护理层级管理在提高护理服务质量中的应用

吉丹丹黑龙江农垦神经精神病防治院，黑龙江佳木斯　154002

护理层级管理在提高护理服务质量中的应用

吉丹丹
黑龙江农垦神经精神病防治院，黑龙江佳木斯154002

目的评价在医院护理工作中施行护理层级管理对护理服务质量产生的影响。方法选择2014年2月—2016 年4月进入该院住院且接受对症治疗的125例患者，按随机分组法将其分成研究、对照两组，研究组63例在管理工作中施予护理层级管理服务，对照组62例施予一般化的相关护理服务，对比两组满意度及护理服务水平评定分数等情况，评估护理层级管理方案的运用成效。结果研究组的满意度评分情况优越于对照组，且管理后本科室护理服务水平评定分数优越于管理前，差异有统计学意义（P＜0.05）。结论在医院护理工作中落实护理层级管理措施，可提升患者对于各项护理服务的满意程度，同时还能改善护理服务水平评定分数，因此在临床上有进一步推广的可行性与价值。

护理服务水平；护理层级管理；满意度；护理服务质量；一般护理

［Abstract］Objective To evaluate the effect of the implementation of nursing hierarchy management in hospital nursing work on nursing service quality.Methods 125 cases of inpatients receiving symptomatic treatment in our hospital from February 2014 to April 2016 were selected and randomly divided into two groups，the research group（63 cases）adopted nursing hierarchy management service，the control group（62 cases）adopted general relevant nursing services，the satisfactory degree and nursing service level evaluation score of the two groups were compared after researching nursing，and the application effectiveness in the nursing hierarchy management program was evaluated.Results The satisfactory degree score in the research group was better than that in the control group，and the nursing service level evaluation score in this department after management was better than that before management，and the difference was obvious with statistical significance （P＜0.05）.Conclusion The implementation of nursing hierarchy management measures in hospital nursing work can improve the satisfactory degrees of patients to various nursing services and improve nursing service level evaluation score.Therefore，it has the possibility of further promotion and value in clinic.

［Key words］Nursing service level；Nursing hierarchy management；Satisfactory degree；Nursing service quality；General nursing

表1　管理前、后护理工作者护理服务水平评定分数［（±s），分］

表1　管理前、后护理工作者护理服务水平评定分数［（±s），分］

组别　护理技术（分）　病房环境（分）　工作态度（分）　文书质量（分）　工作水平（分）　健康指导（分）管理前（n=43）管理后（n=43）t值P值80.00±1.07 95.57±1.26 -61.765 043 99 ＜0.05 79.00±2.25 94.58±2.17 -32.683 103 2 ＜0.05 78.11±1.94 96.27±2.54 -37.258 608 8 ＜0.05 79.15±1.16 95.57±1.43 -58.475 710 35 ＜0.05 80.07±2.57 96.13±2.75 -27.979 161 22 ＜0.05 79.86±2.22 97.15±2.05 -37.520 829 22 ＜0.05

护理层理管理属于新型管理模式，强调对护理工作岗位的所有人力资源进行合理调动，通过优化各项护理程序与方案，从而提升护理工作精细度与实时性，进一步提升护理质量。……