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护理组长在实施护理层级管理中作用的研究
引用本文:李玉美.护理组长在实施护理层级管理中作用的研究[J].中国实用护理杂志,2011,27(22).
作者姓名:李玉美
作者单位:四川省医学科学院四川省人民医院城东病区,成都,610110
摘    要:目的 探讨护理组长在护理层级管理中的作用.方法 将19名护理人员随机分为观察组10名和对照组9名.观察组实施护士长-护理组长-责任护士的护理层级管理模式,分管患者具体到人,由护理组长带领本组护理人员共同完成本组患者的各项治疗和护理工作.对照组实施护士长-责任护士的护理层级管理模式.比较观察组、对照组护理人员的专业知识考核成绩、病区综合护理质量、医患满意度得分等指标.结果 观察组的专业技术操作得分、专业理论知识得分均显著高于对照组.观察组的病区护理质量得分、患者的健康教育覆盖率显著高于对照组,不良事件发生率显著低于对照组.观察组的医生满意度得分、患者满意度得分均显著高于对照组.结论 设立护理组长的护理层级管理模式有利于提高护理人员业务水平、病区护理质量、医患满意度,从而能够有效地开展优质护理服务.

关 键 词:护理组长  层级管理  护理质量

Research in role of nursing group leaders in the implementation of care level management
LI Yu-mei.Research in role of nursing group leaders in the implementation of care level management[J].Chinese Journal of Practical Nursing,2011,27(22).
Authors:LI Yu-mei
Abstract:Objective To investigate the role of nursing group leaders in nursing level management Methods 19 nursing staff were divided into the observation group ( 10 nurses)and the control group (9 nurses). The observation group implemented the nursing level management, that was head nursesnursing group leaders-responsibility nurses, specific to the person in charge of patients, the treatment and nursing work was completed under the instruction of nursing group leaders. The control group obeyed the following patterns: head nurses-responsibility nurses. The test results of professional knowledge, comprehensive care quality of wards, satisfaction degree of patients and other indicators were compared between the two groups. Results Scores of technical operations and professional knowledge were significantly higher than the control group, the difference was statistically significant. The scores of ward care quality and health education coverage of patients were significantly higher, adverse event rate was significantly lower than the control group, the difference was statistically significant. The satisfaction degree of doctors and patients was significantly higher than the control group, the difference was statistically significant. Conclusions The implementation of the nursing level management by appointing group leaders can help improve the level of nursing services, ward care quality, patient satisfaction and thus ensure high-quality care to carry out effectively.
Keywords:Group leader  Level management  Quality of care
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