病区实施床边工作制的效果评价

目的探讨病区实施床边工作制对提高优质护理服务的效果。方法2008年5月-2009年12月收治病人14329名,未实施床边工作制作为对照组;2010年5月-2011年12月收治病人19547名,实施床边工作制作为实验组。统计病人基础护理质量指标发生率,并每月抽取自行设计的患者满意度调查表及自行设计的病人健康教育实施单各20份,共各抽取400份,用表格将内容细化设计成百分制进行分析。结果实验组实施床边工作制后住院病人对护理工作的满意度提升（P〈0．01）。在入院接待宣教、病区环境、基础护理、护理技术、健康教育、服务态度等满意度均有大幅提升（P〈0．01）。使用药物错误、高危药外渗、跌倒、误吸、深静脉血栓发生率明显下降（P〈0．01,P〈0．05）。护士锐器伤发生率虽有降低,但P〉0．05,无显著性差异。实验组健康宣教覆盖率100％,病人对宣教知识的掌握率达92．25％,较对照组明显提高（P〈0．01）。结论床边工作制的实施显著提高住院病人满意度,在创建优质护理服务示范工程中能起到积极的推动作用。     

病区实施分组护理的效果评估

目的合理利用有限的护理人力资源，为病人提供更优质、高效、人性化的护理服务。方法将目前病区固定床位30张分为2组，每组设1名组长（责任护士）全程负责所管病人的健康教育、治疗和护理工作。分组护理的时间是8：00～17：30。夜班因护士编制暂未实施分组护理。结果实施分组护理前后平均每天输液呼叫铃声次数、应铃到位时间经t检验，病人对疾病知识知晓率和对护理服务满意度经X^2检验，均有显著性差异（P〈0．001或P〈0．05），分组护理后护理效果优于分组护理前。结论分组护理体现以人为本的人性化护理服务理念，改善了护患关系，提高了住院病人对疾病的认识，从而提高了护理质量和病人满意度。     

实习护士行病人护理满意度调查的意义探讨

目的探讨实习护士进行病人护理满意度调查的意义。方法分别由实习护士和护士对 2 0 0 3年第四季度与 2 0 0 4年第二季度的住院病人进行护理满意度调查 ,用SPSS统计软件对调查结果差异进行统计分析和讨论。结果实习护士对住院病人护理满意度调查结果与护士调查结果差异无显著意义 (P >0 .0 5 )。结论可由护理实习生进行病人对护理工作满意度的调查。     

个体化健康教育在神经眼科病房中的应用效果

目的探讨个体化健康教育在神经眼科病房中的应用效果。方法选取我院神经眼科住院患者100例，随机分为对照组和研究组，每组50例。对照组采用传统的住院宣教方式，研究组采用个体化方式进行健康教育。采用观察与询问相结合的方法对患者依从性进行评定，采用询问与发放自制的患者对护理工作满意评价度表相结合方式评价患者对护理工作的满意度。结果研究组患者遵医行为、对护理工作满意度等方面优于对照组（P〈0．01，P〈0．05）。结论对神经眼科患者实施个体化健康教育有利于患者疾病的康复，能够提高护士专业知识水平及患者对护理工作的满意度。     

影响护理工作质量满意度的缺陷因素与干预措施

目的 分析住院病人对护理工作质量满意度的结果，寻找存在影响护理工作的缺陷因素，采取护理干预措施。方法 针对1996～2003年住院病人对护理工作质量满意度的测评，共发问卷2928份，整体护理与功能制护理的满意度比较差异有非常显著性（P〈0．01）。选择实施整体护理模式病房作为试验组，而非模式病房作为对照组，针对病人1853项不满意护理工作的数据资料，采取百分比统计和χ^2检验处理。结果 传统的服务思维模式、护士素质不高、编制不足、待遇低等原因都影响护理工作质量。结论 实施整体护理，转变服务理念，强化管理，以提高了病人对护理工作的满意度，确俣了护理工作质量和效率。     

住院病人满意度调查分析与对策

[目的]了解住院病人对护理工作的满意度。[方法]采取问卷调查方法50个护理病区的住院病人随机进行护理工作满意度调查。[结果]病人对疾病相关知识指导、饮食指导、药物指导、责任护士主动沟通、自理帮助不满意频次最高。[结论]应加强责任护士与病人主动沟通,加强健康教育,提高病人满意度。     

医护合作型责任制护理模式的实践及效果

目的：探讨医护合作型责任制护理模式在深化优质护理服务活动中的实施效果。方法：在深入开展优质护理服务活动中,实施医护合作型责任制护理模式,采用自行设计的调查表,对病人满意度、医生满意度和护士满意度进行问卷调查,同时采集护理质量检查结果和护理服务质量相关数据,与实施医护合作型责任制护理模式前的调查结果进行比较。结果：实施医护合作型责任制护理模式后,病人对护理工作满意度、医生对护理工作满意度均明显提高,差异具有统计学意义（P〈0．05）。护士对自身工作满意度也有所提高,但差异无统计学意义（P〉0．05）。特级护理和一级护理质量、基础护理质量、病区管理质量明显提高,差异具有统计学意义（P〈0．05）。最满意护士的人次数、病人感谢信中点名表扬护士的人次数明显增多。结论：实施医护合作型责任制护理模式,能有效地密切医、护、患关系,充分发挥高级责任护士的作用,促进初级责任护士的成长,提高工作效率和护理质量,达到“病人满意、医生满意、护士满意”的目标。     

优质护理服务在眼科病房的应用效果

目的探讨优质护理服务在眼科病房运用的临床效果。方法选取收治的眼科疾病患者200例,根据入院时间的不同,将患者随机分为常规护理组和优质护理组,每组100例。常规护理组采取常规的眼科护理方式;优质护理服务组对护士进行为期1个月的规范化管理和护理技能培训,根据培训的内容制定严格的管理制度以及严密的护理操作流程。观察培训前后眼科病房患者陪护的使用率,并评价患者对护理工作的满意度。结果优质护理组的满意度明显高于常规护理组（P〈0．05）,陪护率明显低于常规护理组（P〈0．05）。结论优质护理服务能够有效提高临床护理效果,减少眼科病房陪护率,提升患者的满意度。     

绩效奖金考核管理在儿科优质护理服务中的应用探讨

目的探讨科学公正的绩效奖金考核在优质护理服务工作中的正面效应。方法根据儿科专科特点制定有效的绩效考核管理标准,在对护士的考核和管理中实施,并及时记录和反馈。结果比较开展绩效奖金考核管理前后,在病人满意度、专科质量指标、健康教育落实率都有显著差异,具有统计学意义（P〈0．05）。结论实施绩效奖金考核不但可以提高护士工作的积极性和工作效益,还可以提高护理工作质量,提高病人满意度,进而促使护士转变护理理念,提升优质护理服务内涵。     

分层责任包干制在优质服务示范病房中使用的有效性研究

目的验证护士分层责任包干制护理模式在优质服务示范病房中使用的有效性,改变护理模式,最大程度地满足病人的护理需求,提高护理人力的使用效率和患者的满意度。方法全院实行护士分层级管理,设立专科护士（N4）一责任组长（N3）一高级责任护士（N2）一初级责任护士（N1）一助理护士（N0）五层分层级管理模式,做好护士分层级培训与考核,职责明确,实行责任包干制,改革护士排班模式,实施层级的工作权限与绩效考核。比较实施前后护理工作质量、患者满意度、直接护理时间、护士的职业价值观等改善情况。结果实施护士分层级管理模式后,基础护理合格率、健康教育落实率、护士对患者病情掌握率、护理差错缺陷发生率等各项护理工作质量较实施前显著提高（P〈0．01）,患者的满意度明显提高（P〈0．01）,护士对患者的直接护理时间明显增加（P〈0．01）,护士的职业价值观得到明显提高（P〈0．05）。结论实施护士分层责任包干制护理管理模式,可以有效提升护理质量、病人满意度、直接护理时间及护士的职业价值观,提高了护理人力的使用效率。     

Patient satisfaction with nursing care and its relationship with patient characteristics

The aim of this study was to assess patient satisfaction with nursing care and the relationship between patient satisfaction and patient characteristics. This cross‐sectional study was conducted at a 1100‐bed tertiary care teaching hospital in Turkey. Data were collected using the Newcastle Satisfaction with Nursing Care Scales and a patient information form. Overall, data indicated a high level of patient satisfaction. Hospitalization affected the Experience of Nursing Care Scale independently, while the type of ward, sex, income, and education independently affected the Satisfaction with Nursing Care Scale. Patients who underwent surgical procedures, male patients, the 40–59‐year‐old age group, those who had low levels of education or income, and patients who were hospitalized for long periods were most satisfied. Patients' sex, age, income, duration of hospitalization, and ward type were important factors that affected their satisfaction with nursing care. The characteristics of patients who have a low level of satisfaction with nursing care should be assessed and taken into consideration by nurses.     

Models of nursing care: a comparative study of patient satisfaction on two orthopaedic wards in Brisbane.

Patient satisfaction measures assist nurses in the evaluation of effectiveness of nursing practice and assist the process of improvement regarding established practice. A comparative study was carried out on 36 patients from a ward using team nursing (Model 1) and 38 patients from a ward using patient allocation (Model 2) in two orthopaedic wards of a 900 bed teaching hospital in Brisbane, Australia. The purpose of the research was to measure if differences in the levels of patient satisfaction were evident. The Patient Satisfaction Survey (Greenhill and Henderson 1997) used in this study encompassed aspects such as patients' feelings and perceptions; nurses' skills, behaviour and attitudes; nurses' communication and education skills; and continuity of care experienced. The results indicated that there were no differences between models of nursing care and levels of patient satisfaction. However, there were significant relationships between patient satisfaction and patients' characteristics such as age, education and health status.     

护理满意度特征性预测指标的研究

目的探讨护理满意度特征性预测指标。方法采用问卷调查的形式,对1500名患者护理满意度情况进行统计分析。结果护理满意度与患者的性别、学历、年龄相关（P〈0．05）,与居住地（农村或城市）及费用类别（自费或医保）不相关。结论性别、年龄、学历是护理满意度具有特征性的预测指标,而居住地及医疗费用类型对预测护理满意度无指导意义。     

Structure and process factors that influence patients' perception of inpatient psychiatric nursing care at Mathari Hospital, Nairobi

To explore structure and process factors which influence patients' perception of quality inpatient psychiatric nursing care at Mathari hospital. This was a cross-sectional study of 236 inpatients selected by stratified random sampling. Competence to give consent was determined by a minimum score of 24 on Mini Mental State Examination. Patients were interviewed using a semi-structured questionnaire. Differences in proportions of variables were determined by calculating confidence interval and summary chi-squared statistics. P-values of < or =0.05 were considered significant. Majority of patients (87%) were aged 20-49 years with 43% having stayed in the ward for over a month. Structure factors related to patients' perception of care included physical environment, being happy with the way the ward looked was significantly related to satisfaction with care (chi(2) = 5.506, P = 0002). Process factors significantly related to patients' satisfaction with care included nurses providing patients with information on prescribed medicines (chi(2) = 10.50, P = 00012). Satisfaction with care was positively related to ability to recommend someone for admission in the same ward (chi(2) = 20.2, P = 00001). Structure and process factors identified as influencing patients' perception of care were physical environment and nurses' qualities that fit within the characteristics of Peplau's Interpersonal Relations Theory.     

基于主成分分析法的天津市某三级甲等医院CCU患者满意度分析

目的：采用主成分分析法分析影响住院患者满意度的主要因素指标权重,为进一步提高医疗护理服务质量,提升患者就医感受提供理论依据。方法：采用自行设计的住院患者满意度调查问卷,对天津市某三级甲等医院CCU的100名住院患者进行调查。指标权重采用主成分分析,各指标评价采用象限图法。结果：指标权重分析结果显示,对患者满意度影响较大的指标分别为医院提供的心理辅导、家属的关心、健康教育、医生沟通能力、病房探视制度、就医费用、病房软件环境（隔音、温湿度、气味等）、医院提供的饮食。象限图显示非常重要但是满意度相对不高的指标依次为医院提供的饮食、医院提供的心理辅导、就医费用、病房软件环境、病房探视制度、健康教育。结论：医院应优先改进医院提供的饮食、心理辅导、就医费用、病房软件环境、病房探视制度及健康教育这6个方面,以提高医疗护理服务质量,提升患者就医感受。     

系统健康教育对血液透析患者护理服务质量的影响

目的通过系统健康教育提高血液透析患者的存活率和生活质量,并进一步提高护理服务质量。方法对2007年5-10月接受血液透析的患者60例进行系统健康教育（包括护理人员血液透析知识的培训、患者基本情况和病情的评估以及健康教育措施的落实）,并评估实验前后患者的满意度及血压、高血钾发生率、瘘管堵塞率、肌酐等病情观察指标。结果实验前后患者对血透室护理工作满意率分别为81．96％和99．70％,就介绍血透注意事项、内瘘的按压和护理、药物及饮食指导等条目实验前后有统计学意义（P〈0．01）;实验前,血液透析患者发生高血钾2例、内瘘闭塞4例,实验后仅发生1例内瘘闭塞（P〈0．05）;实施系统健康教育后,血液透析患者的透析后血压、透析前后肌酐均显著降低（P〈0．05）。结论系统的健康教育可提高血液透析患者对疾病的认识和自我管理能力,提高其存活率和生活质量;同时,也有助于不断提高护理服务质量,提升护理人员的整体素质。     

县级医院病房护士工作满意度调查与分析

目的:了解县级医院病房护士对工作的满意度,提出医院管理工作中存在的不足,制定改进措施。方法:采用Mueller/Mccloskey满意度量表(MMSS)对320名病房护士的工作满意度进行调查。结果:病房护士的工作满意度水平较低,其主要原因是福利待遇低,排班制度缺乏灵活性,护理专业发展机会少等。结论:医院及护理管理者应采取有效措施,提高病房护士的工作满意度,提高护士工作的积极性,从而提高护理质量水平。     

Evaluating the impact of a new high dependency unit

The impact of a new high dependency unit (HDU) that was developed from an adjoining ward was evaluated from both an organizational and consumer perspective. Satisfaction of patients and relatives with nursing care on the ward of origin was measured before and after the development of the HDU, and nurses were surveyed regarding the impact of the change on nursing practices. Patients' perceptions of pain and pain management was compared between patients admitted to the ward prior to the development of the HDU, and a later group admitted to the HDU. Results showed that despite high satisfaction prior to the development of the HDU, satisfaction of patients and relatives improved on the ward after the development of the HDU. Nurses in both areas also described higher satisfaction levels after the change. Patients admitted to the HDU expressed higher levels of satisfaction with nurses' response to analgesia requests and clinical data showed a trend toward lower pain scores in this group compared with pre-HDU patients. The HDU was found to be effective in providing high level care and monitoring for a group of patients at risk of postoperative complications. It was also associated with additional benefits in the running of the adjacent ward.     

10h工作制排班在肝胆外科优质护理示范病房的应用效果

目的探讨10h工作制排班在肝胆外科优质护理示范病房的应用效果。方法对传统"三班制"工作模式进行改革,采用10h工作制模式,并评价实施10h工作制排班前6个月和后6个月的患者满意度、护士对工作满意度及护理质量。结果实施10h工作制排班6个月,患者满意度、护士对工作满意度、护理质量较实施前明显提高。结论护士排班可采用10h工作制排班模式。