基于专业能力进阶制度的护理人员优化层级管理模式初探

目的探讨分析基于护理专业能力进阶制度的优化层级管理模式在临床的应用效果。方法选择重庆市大足区二级及以上5家医院共500名护士作为研究对象,随机分为干预组和对照组,每组护士各250名,对照组护士采用传统管理模式,干预组护士采用基于专业能力进阶制度护理人员优化层级管理模式,比较分析两组护士护理能力、临床工作质量和不良事件发生率。采.用SPSS 23.0进行卡方检验和<检验。结果两组护士年龄、性别、婚姻、职称、工作年限等差异没有统计学意义(P>0.05),基线资料保持一致,具有可比性。进行优化层级管理后,干预组护士护理能力得分(82.30 ± 3.83)明显高于对照组(72.78 ±5.33);干预组护士护理工作质量得分(97.53 ±9.71)明显高于对照组(90.17 ±8.18)。对两组医院不良事件发生率进行组间比较,干预组不良事件发生率(0.9%)明显低于对照组(3.9%),差异均有统计学意义(P<0.05)。结论基于专业能力进阶制度的护理人员优化层级管理模式能够提升护理人员的专业能力和临床护理质量,降低不良事件发生率,为提升护理管理水平提供借鉴和参考。

Preliminary application of optimized hierarchical management model for nurses based on advanced professional competence system

Objective To investigate the clinical application effect of the optimized hierarchical management model based on the advanced system of nursing professional competence. Methods A total of 500 nurses from 5 secondary or tertiary hospitals in Dazu district of Chongqing were selected and randomly divided into intervention group and control group, with 250 nurses in each group. The traditional management model was adopted for the control group, and the optimized hierarchical management model based on the advanced professional competence system was adopted for the intervention group. The two groups were compared in terms of nursing ability, clinical work quality, and incidence rate of adverse events. All the data were analyzed by SPSS 23.0, Chi-square test and t test were used for statistical analysis. Results There were no significant differences in age, sex, marital status, professional title, and working years between the two groups (P>0.05). The baseline data were consistent and comparable. Compared with the control group, the intervention group had significantly higher scores of nursing ability [(82.30 ± 3.83) vs.(72.78 ± 5.33)] and nursing quality [(97.53 ± 9.71) vs.(90.17 ± 8.18)]. The intervention group had a significantly lower incidence rate of adverse events than the control group [(0.9% vs. 3.9%), P<0.05]. Conclusion The optimized hierarchical management model for nursing staff based on the advanced professional competence system can improve the professional competence and clinical nursing quality of nursing staff, reduce the incidence rate of adverse events, and provide a reference for improving the level of nursing management.