门诊护理人员绩效考核体系的建立与实践

[目的]探讨门诊护理人员绩效考核方案,充分发挥门诊护理人员的工作积极性,提高满意度,提升护理质量。[方法]通过专家咨询,确定门诊护理人员绩效考核指标体系,确定量性、质性考核指标,每月实施考核,按季度汇总,考评结果与工资挂钩。[结果]实施绩效考核改革后,医生对护士满意度由80.2%提升至96.0%,病人满意度由81.8%提升至96.9%,护理人员对奖金分配满意度由46.7%提升至96.7%。[结论]全面、科学、公平、公正的绩效考核有利于加强护理管理、发挥激励作用,从而促进护理质量的持续提升。     

建立护理岗位管理绩效考核系统的实践与成效

[目的]探讨以护理岗位管理为基础,实施护理人员绩效考核的做法与成效。[方法]通过专家会议法,确定各级护士的准入标准、工作内容及能级系数,建立护理岗位管理模型和绩效考核系统,并依托信息化平台实施绩效考核。[结果]新的考核模式实施后,医生对护士的满意度由80.6%提升至96.9%,病人满意度由96.2%提升至99.4%,护士对绩效考核满意度由81.8%提升至96.9%,护士离职率由9.68%下降到6.27%。[结论]科学、全面的岗位管理,公平、客观的绩效考核有助于稳定护理队伍,激发护士的工作积极性,提高护理管理效率,从而促进护理质量的持续提升。     

深化优质护理服务示范工程实施护理绩效考核探讨

[目的]探讨推行绩效考核对深化优质护理服务示范工程和加强护理质量管理的效果。[方法]运用量化考核方法对普外科护理工作进行考核,比较实施绩效考核前后其护理质量服务指标、护理差错和护理满意度的情况。[结果]与实施护理绩效考核前比较,实施护理绩效考核后护理质量明显提高、护理差错发生率明显下降、护理服务满意度明显提升。[结论]护理绩效考核充分发挥了护士工作的积极性和主动性,深入推动了优质护理服务示范工程的开展。     

岗位层级管理模式在医院人事改革眼科护理中的应用

[目的]探讨岗位层级管理模式在医院人事改革眼科护理中的应用。[方法]实行层级岗位管理护理模式,进行岗位设置、护士配置。护理部统筹全院护士绩效考核分配,门诊、手术室结合量化考核,提高临床夜班护士系数等。眼科护士分N0-N5共6个层级别培训和考核,制定层级培训手册。护理质量管理实行科室护理单元自控、护士长交叉检查、护理部组织护理质量管理委员会下设的专业小组管理、项目小组管理、护理总值班督导、护理部主任行政业务督导等质控考核,考核结果与绩效挂钩。比较人事制度改革实施前后病人满意度、护士岗位工作满意度及护士对统筹绩效考核分配满意度。[结果]实施岗位层级管理模式后,各层级护士对岗位工作满意度由90.55%提高到98.42%,护士对统筹绩效考核分配满意度由91.33%提高到96.06%,病人满意度由91%提高到97%。自2013年始医院护理质量评价每年获市级评估"A级",无护理服务投诉,无护理差错事故,护士离职1人离职率2.8%,离岗率0。[结论]在人事制度改革中,眼科护理实行岗位层级管理模式,护理部统筹绩效分配,能有效地实现同工同酬,能保证护理质量及提高病人满意度,为病人提供持续科学的优质护理服务,有效减少护理差错及护理人才流失,不同程度地引导眼科护士走向临床岗位,满足临床病人需求。     

360度反馈法在医院护理人员绩效考核中的应用

[目的]探讨一种科学有效的护理人员绩效考核模式。[方法]随机将22个l临床科室分为实验组与对照组，实验组实行360度反馈法，对照组进行常规考评，每季度确定考核结果。[结果]实验组实施360度反馈法后，护理人员的专业素质、工作质量以及病人对护理工作的满意度均高于对照组（P〈0．05或P〈0．01）。[结论]在护理人员绩效考核中实施360度反馈法，可激发不同层次护理人员的工作积极性，提高护理人员的工作质量和专业素质，更重要的是可为病人提供高质量的护理服务。     

对护理人员实施绩效考核的体会

目的 探讨对护理人员实施绩效考核的方法.方法 包括对本院护理人员实施绩效考核,依据岗位职责,采用工作数量、工作质量等项目进行综合考核.比较实施绩效考核前后护理质量、患者满意度及"三基"培训情况.结果 实施绩效考核后护理质量、患者满意度及"三基"培训情况较实施前有明显提高(p<0.05).结论 绩效考核方法 调动了护理人员工作的积极性,护理质量、患者对护理服务的满意度均得到提升,护患关系更加和谐,值得推广.     

绩效考核对护士工作积极性的影响

[目的]探讨绩效考核对护士工作积极性的影响。[方法]建立绩效考核机制:制定考核指标、确定考核分值、设立考评方法和计分方式。评价绩效考核实施前后护理人员工作质量基础分及加分项得分情况。[结果]实施绩效考核前后护理人员加分情况和工作质量得分均有明显提高。[结论]实施绩效考核调动了护士工作积极性,提高了护理服务质量。     

360度反馈法在医院护理人员绩效考核中的应用

[目的]探讨一种科学有效的护理人员绩效考核模式.[方法]随机将22个临床科室分为实验组与对照组,实验组实行360度反馈法,对照组进行常规考评,每季度确定考核结果.[结果]实验组实施360度反馈法后,护理人员的专业素质、工作质量以及病人对护理工作的满意度均高于对照组(P＜0.05或P＜0.01).[结论]在护理人员绩效考核中实施360度反馈法,可激发不同层次护理人员的工作积极性,提高护理人员的工作质量和专业素质,更重要的是可为病人提供高质量的护理服务.     

基于排队论模型联合动态调配护理人员对提高门诊采血室工作效率、护理质量的影响

[目的]探讨排队论模型联合动态调配护理人员对提高门诊采血室工作效率、护理质量的影响。[方法]选取2018年1月—2018年12月门诊采血室20名护理人员为研究对象,采用回顾性分析法的方式对排队论模型联合动态调配护理人员管理模式进行总结,并与实施前(2017年1月—2017年12月)的工作效率、护理质量及病人满意度评分进行比较。[结果]实施排队论模型联合动态调配护理人员管理模式后门诊采血室护理人员的工作效率显著高于实施前,差异有统计学意义(P0.05);实施后门诊采血室护理人员的护理质量高于实施前,差异有统计学意义(P0.05);实施后病人满意度高于实施前,差异有统计学意义(P0.05)。[结论]实施排队论模型联合动态调配护理人员,对门诊采血室进行科学计算和人员调配,能优化和提升门诊护理人员的合理利用和配置,可以提升工作效率,缓解护理人员工作压力,提升护理质量,缩短采血等待时间,提升病人满意度。     

三级综合医院护理单元分层绩效考核的成效研究

[目的]建立护理单元分层绩效考核体系并检验其实施效果。[方法]成立护理单元绩效考核领导小组,采用文献研究法、半结构访谈法、德尔菲法、动态评定法结合统计学处理,确定各护理单元分层级的标准;为不同层级范围的护理单元确定岗位数,制定绩效考核指标体系,并对实施效果进行评价。[结果]实施护理单元分层绩效考核改革后,护理质量、病人及服务对象对护理人员工作满意度、护理人员主观评价得分均高于改革前(P0.01)。[结论]建立护理单元分层绩效考核指标体系有助于提高护理质量和病人满意度。     

Towards an aesthetics of nursing

Towards an aesthetics of nursing This paper re-appraises the work of Barbara Carper on aesthetics and the art of nursing. It identifies serious flaws in Carper's original arguments and the way in which she and subsequent authors have conflated the concepts of art and aesthetics in nursing. The paper explores a broader approach to aesthetics and proposes a way in which a theoretical approach to nursing aesthetics could be developed. The paper concludes that nursing is a fit object of aesthetic appreciation and that aesthetic quality is a necessary attribute of good nursing practice.     

提升护理服务综合价值的研究

目的:研究护理综合价值的提升。方法:分析护理价值研究背景,阐述护理价值研究进展结果:提出护理价值研究途径。结论:有利于达成一种共识,使广大护理人员认识护理价值、研究护理价值、开发护理价值,重视护理综合价值研究和提升。 护理服务价值是护理服务劳动产品的价值和服务本身所创造的价值的总和,即使用价值与价值的统一。目前日本、美国、德国和中国都在加强护理价值研究的探索,但仍存在使用价值与价值研究分离问题。因此,我们应不断加强护理综合价值研究,以适应卫生事业改革对护理管理的挑战。本研究主要在分析国内外护理价值研究的基础上,提出综合护理价值研究途径,以达到合理评价护理价值的目的。     

Research and the configuration of nursing services

• ? This paper is concerned with the way in which nursing research has influenced changes in the organization of nursing services, particularly the shift from so-called traditional nursing to new nursing. To this end published research and professional literature are selectively reviewed.
• ? The case is made to support the view that change in nursing has been driven forward by the evangelical zeal of opinion leaders rather than evidence.
• ? It is suggested that holistic care as embodied in new nursing is no longer affordable. Market pressures have precipitated a revisiting of the task basis of nursing. An effective anchor would have been a solid body of research evidence pointing up the value new nursing may have. Regrettably not enough research was done prior to the diffusion of new nursing. What was done was not always adequate, and what was adequate was not effectively deployed by nurse leaders.
• ? Nursing is the largest workforce in the NHS and has attracted a great deal of policy interest. It is suggested that it will become increasingly important for nursing to be more strategic, and develop its own professionally driven research agenda.
• ? The future of the nursing profession is uncertain. It is clear that evidence-based practice is centre stage, and there is a need for nursing to re-negotiate its professional boundaries and to develop intellectual partnerships in order to move the knowledge base of practice forward.

     

Putting policy into practice: pre- and posttests of implementing standardized languages for nursing documentation

Aims and objectives. To describe the change in documentation of the nursing process in all inpatient wards in a 900‐bed university hospital. Major research question was what are the differences between before and after implementation of documentation policy related to the steps of the nursing process? Background. Implementation of standardized languages has been shown to be difficult to accomplish in clinical practice. Patients are the source of data and their conditions, responses and well‐being should be reflected in the nursing record. As such, nursing documentation can create the premises for the development of new knowledge in nursing and the improvement of nursing performance and can provide data and information necessary for nursing researchers to evaluate the quality of interventions and participate in the formulation of healthcare policy. This study is part of longitudinal project to prepare nurses for electronic documentation within the interdisciplinary health record and to improve documentation of nursing using standardized languages. Design and method. A cross‐sectional study design was used: a pretest (n = 355 nursing records) for baseline status of nursing documentation, an intervention and a post‐test (n = 349 nursing records) to obtain data on nursing documentation. The year‐long intervention comprised planned work in groups, and educational and supporting efforts. Results. A statistically significant improvement was found in the use of Functional Health Patterns for documentation of nursing assessment, NANDA for nursing diagnoses and Nursing Interventions Classification for nursing interventions in documentation of daily nursing care for inpatients. Conclusion. At all organizational levels intervention aimed at putting policy regarding documentation into clinical practice considerably improved daily use of standardized nursing languages. Relevance to clinical practice. Nurses need to use standardized language to document patient care data in the electronic health record and to demonstrate contributions to nursing care.     

基层医院整体护理的实施与对策

目的:总结实施整体护理的经验,提高护理质量。方法:全面综合分析实施整体护理的对策和措施。结果:经验:领导的高度重视和大力支持,是实现整体护理模式转变的坚实基础;提高人员整体素质,确保整体护理的有效开展;多做少写,以点带面,实行非模式病房开展整体护理工作;积极开展健康教育,巩固整体护理效果;实施整体护理质量管理的措施。体会:领导的重视和支持,是开展整体护理工作的根本保证;提高了社会公众对护理工作的认可程度和护士的社会地位;显示了护士的自身价值;改善了护患关系,提高了病人满意度,同时也密切了医护关系;护理队伍整体素质提高,敬业精神增强。结论:实施整体护理,促进了护理学科的发展。     

临床护理成本与效益分析

笔者根据临床护理服务价格偏离成本的事实,提出关注护理成本,改革现行的医疗护理服务收费制度和医疗费用结构比,提升护士的劳务价值,以期深入发展护理经济研究形成系统的护理成本核算体系,以低成本、高效益的优质护理服务来赢得市场。     

我院专科护理门诊的实施与体会

目的探讨专科护理门诊的实施方法与体会。方法确定专科项目及服务内容、选拔护理门诊人员并明确工作职责、设置合理的诊室、制订相关制度,规范就诊流程,建立门诊护理日志,拓展服务功能。结果开设专科护理门诊以来,已接待门诊患者27000余人次,得到了患者、家属、医生及护士的认可。护理门诊就诊综合满意率为96．54％。结论开设专科护理门诊有利于提高护理专业地位,满足不同患者的健康需求,促进专科护士成长。     

涉外护理英语教学现状与思考

分析目前涉外护理英语的教学现状和存在的问题,从招生制度、课程定位与课程内容、教材选择、师资队伍建设、英语和涉外护理工作语言环境、考评方式、学生管理方面探讨提高涉外护理英语教学质量和涉外护理人才培养的对策。     

Towards an international theory of nursing

Abstract During the latter half of the 20th century, the development of numerous nursing theories has enriched nursing scholarship and education worldwide, a movement initially led by North American scholars. Recently, nurses outside of North America have begun to reformulate these theories in order to make them relevant in other contexts. This study summarizes those movements in developing an international theory of nursing and suggests future directions for such a theory.     

我院护理差错分析及对策

为了加强对护理安全的管理,对6年中发生的33起护理差错及与护理管理有关的主要因素进行分析,认为差错主要发生在护士,其中合同护士发生率较高;与护理管理相关的主要因素有:规章制度不健全占27.3%;业务知识欠缺占36.3%;与临床教学有关、未严格执行查对制度各占18.2%。通过建立健全各项护理规章制度,加强岗前护理安全教育、护士的规范化培训、对临床教学以及对合同护士的管理等综合措施,有力地保证了护理安全。