设立护理组长在护士层级管理中的实践与体会

目的探讨设立护理组长在临床护士层级管理工作中的实践。方法对外科病房8个病区试行设立护理组长工作岗位，实行护士长一护理组长一责任护士一助理护士层级管理模式，由护理组长或替班组长实现二级护理质控网，将护理质控前移，确保护理工作质量。结果实行护理组长后护理服务满意度97．3％，比实施前明显提高。结论护士层级管理体现以患者为中心的管理理念，充分发挥各层级护理人员的作用，有利于合理安排使用人力资源，更好实施层级管理，有利于护理人才的培养，推动护理专业发展。

Practice and experience of the establishment of nurse team leaders in the hierarchical management

Objective To explore the feasibility of the establishment of nurse team leaders in the hierarchical management. Methods Eight nurses were assigned as nurse team leaders in eight surgeon wards. To ensure the quality of nursing, we established the hierarchical management mode of Head nurse-nurse team leader -primary nurse, made the nurse team leader or monitor take charge of the secondary nursing quality control networks, and brought the nurse quality control work forward. Results The patient' s satisfaction to nursing service increased significantly after nurse team leader system. Conclusions The hierarchical management reflects a patient-centered philosophy, makes full use of nursing staff at all levels, and it is beneficial to arrangt human resource and talent cultivation, it can make the implementation of the hierarchical management better and promote the nursing professional development.