ICU护理亚专科小组的构建及临床应用效果评价

目的探讨ICU护理亚专科小组的团队构建及临床应用效果。方法采用便利抽样法,选择2018年1月—2019年1月温州医科大学附属第二医院ICU的60名ICU护士作为研究对象,设立护理亚专科小组,选拔小组人员方案,制定小组工作职责;确定组织管理结构,拟定亚专科小组运行项目书,建立小组工作制度,制定小组培训方案,推行绩效管理机制,拟定考核运行机制。比较ICU护理亚专科小组开展前后1年的护理质量、患者满意度、医生满意度。结果ICU护理亚专科小组构建后,基础护理、专科护理、优质护理、消毒隔离、患者满意度、医生对护士满意度评分高于干预前,干预前后比较差异有统计学意义(P<0.05)。结论构建ICU护理亚专科小组能全面提升护理质量,并提高患者和医生的满意度,是一种有效的学科和人才管理模式。

Construction and clinical effects of ICU nursing subspecialty group

Objective To explore the construction and clinical effects of ICU nursing subspecialty group.Methods From January 2018 to January 2019,we selected 60 ICU nurses in the 2nd Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University as the subjects by convenient sampling,set up a nursing subspecialty group,selected a staff plan for the group,and defined the work responsibilities of the group;we also determined the organizational management structure,drafted an operation project proposal for the subspecialty group,established the group work system and training program,implemented a performance management mechanism,and formulated an evaluation operation mechanism.Nursing quality,patients'satisfaction,doctors'satisfaction 1 year before and after the ICU nursing subspecialty group was launched were compared and analyzed.Results After the ICU nursing subspecialty group was constructed,the basic nursing,specialized nursing,high-quality nursing,sterilization and isolation,patient satisfaction,and doctor's satisfaction with the nurse were significantly higher than those before the construction,and the differences were statistically significant(P<0.05).Conclusions The construction of the ICU nursing subspecialty group can comprehensively improve the quality of care,the satisfaction of patients and doctors,which proves an effective discipline and talent management model.