护士分层级管理模式对提高护理管理质量的作用分析

王迪

[摘要] 目的 研究护士分层级管理模式对于提升护理管理质量的效果。方法 对该医院就职的50名护士及收治的60例患者予以项目调查，选择时间是2015年1—12月，依据抽签法分组，每组纳入25名护士及30例患者，试验组采用护士分层级管理模式，对照组采用常规管理模式，评比两组护士护理理论知识考核合格总计率、护士护理操作技能考核合格总计率、患者护理效果满意总计率、护士护理质量评分状况。结果 试验组护士护理理论知识考核合格总计率高于对照组（P<0.05）;试验组护士护理操作技能考核合格总计率高于对照组（P<0.05）;试验组护士基础护理项目评分值、护理安全项目评分值、病房管理项目评分值、护理文书项目评分值高于对照组（P<0.05）;试验组患者护理效果满意总计率高于对照组（P<0.05）。结论 采用护士分层级管理模式可以促使护理管理质量提高。

[关键词] 护士;分层级管理模式;护理管理;管理质量

[中图分类号] R471 [文献标识码] A [文章编号] 1672-5654（2019）10（b）-0101-02

Analysis of the Effect of Nurses' Hierarchical Management Mode on Improving the Quality of Nursing Management

WANG Di

Department of Nursing， Jilin Provincial People's Hospital， Changchun， Jilin Province， 130021 China

[Abstract] Objective To study the effect of nurses' hierarchical management mode on improving the quality of nursing management. Methods 50 nurses and 60 patients admitted to the hospital were investigated. The selection time was from January to December 2015. According to the lottery method， a group of 25 nurses and 30 patients were included. The nurses were classified into a hierarchical management mode， and the control group used the conventional management mode to evaluate the qualified total rate of nursing knowledge of the two groups of nurses， the qualified total rate of nurses' nursing operation skills， the satisfaction rate of patient care effects， and the quality of nurses' care quality. Results The qualified rate of nurses' nursing knowledge assessment in the experimental group was higher than that of the control group（P<0.05）. The qualified rate of nurses' nursing operation skills in the experimental group was higher than that of the control group（P<0.05）. The scores of nursing items， the scores of nursing safety items， the scores of ward management items， and the scores of nursing documents were higher than those of the control group （P<0.05）. The satisfaction rate of nursing results in the experimental group was higher than that of the control group （P<0.05）. Conclusion The adoption of a hierarchical management model of nurses can promote the quality of nursing management.

[Key words] Nurse; Hierarchical management model; Nursing management; Quality control

加強护理管理可减少护理干预风险，保证患者机体健康和安全，提升护理服务质量[1]。该文选取2015年1—12月50名护士及60例患者为研究对象，分析护士分层级管理模式对提升护理管理质量的效果及价值。报道如下。

1  资料与方法

1.1  一般资料

按照抽签法对该医院就职的50名护士及收治的60例患者实行分组，每组收入25名护士和30例患者。对照组护士年龄均值（28.69±2.54）岁，患者年龄均值（44.69±4.57）岁。试验组护士年龄均值（28.71±2.46）岁，患者年龄均值（44.52±4.41）岁。两组一般资料差异无统计学意义（P>0.05）。

1.2  方法

对照组采取常规管理模式：按照轮岗和轮班方式实施管理及护理。

试验组采取护士分层级管理模式：①对护士实行分层级。N1：在该院工作3年的护士，执行基础护理内容;N2：在该院从事护理工作≥3年的护士及<3年的护师，对患者病情、心态等予以评定，将护理方案制定，督促下级护士的护理工作;N3：在该院从事护理工作≥3年的护师、主管护师，负责护理管理执行工作，携带下级护士对疑难病情患者开展护理，对下级护士的护理干预予以指导;N4：持有副高级及以上资格证书或专科护士资格证书者，对护理管理予以监管。②实行培训和考核。定期开展护理内容培训，且对护理质量实行考核，对存在的不足实行改进和完善。

1.3  观察指标

统计对照组及试验组护士护理理论知识考核合格总计率、护士护理操作技能考核合格总计率、患者护理效果满意总计率，分析两组护士护理质量评分状况[2]。