APN连续性护理排班模式的探讨

目的探讨实施APN连续性护理排班模式的效果。方法在全院18个病区改革传统的护士排班方式，实施APN连续性排班，比较两种排班模式的上班时段、交接班次数、交接班所占用时间、病人及医生对护理工作满意度等。结果APN连续性排班模式比传统的排班模式每天交接班次数少，交接班所占用时间少，病人及医生对护理工作满意度高（P〈0．05）。结论APN连续性护理排班模式符合病人的需要，有利于合理利用护理人力资源，保证病人安全，提高护理服务和护理质量。

Application of the modality of APN continuous shift arrangement on nursing care

Objective The objective is to discuss the effect of applying the APN continuous shift arrangement of medical nursing care. Methods We modified the traditional duty arrangement modality in 18 departments of the hospital and performed the APN continuous method. The duty timeslice, times and duration of handover, and satisfaction degree of doctors and patients toward the nursing care were compared between the two modalities. Results The APN continuous shift arrangement had less times and duration of handover but higher satisfaction degree of doctors and patients comparing with traditional arrangement modality. Conclusions The APN continuous shift arrangement of medical nursing care is beneficial for the convenience of patients and the reasonable use of nursing human resource in hospital. It has significant advantages on ensuring the safety of patients and on improving the quality of nurse service.