CAJ | 학술논문

目的探讨大包干责任制和床边工作制在临床护理工作中的应用效果.方法于2010年7月开始在全院各临床科室推行护士管床、管患者的"大包干责任制",将护士站前移,建立治疗、护理、记录为一体的多功能护理车为流动护理工作站,实行护士床边工作制.比较实施前后基础护理质量指标及护理服务满意度.结果实施后基础护理质量指标各种不良事件的发生例数均较实施前下降;患者满意度、护士满意度较实施前提高,差异有统计学意义(均P＜0.01).结论实行临床护士大包干责任制和床边护理工作制不仅使患者得到实时、有效的护理,而且减轻了护士的劳动强度,提高了工作效率,提升了护士的工作成就感,增进了护患、医护之间的沟通,是值得在临床推广应用的护理工作模式.
목적 탐토대포간책임제화상변공작제재림상호리공작중적응용효과.방법 우2010년7월개시재전원각림상과실추행호사관상、관환자적"대포간책임제",장호사참전이,건립치료、호리、기록위일체적다공능호리차위류동호리공작참,실행호사상변공작제.비교실시전후기출호리질량지표급호리복무만의도.결과 실시후기출호리질량지표각충불량사건적발생례수균교실시전하강;환자만의도、호사만의도교실시전제고,차이유통계학의의(균P＜0.01).결론 실행림상호사대포간책임제화상변호리공작제불부사환자득도실시、유효적호리,이차감경료호사적노동강도,제고료공작효솔,제승료호사적공작성취감,증진료호환、의호지간적구통,시치득재림상추엄응용적호리공작모식.
Objective To investigate the application effects of all-round responsibility system and bedside work system in clinical nursing.Methods By using mobile multifunctional nuraing cart,all-round responsibility system and bedside work system were put into practice in clinical nursing,and quality indices of basic nursing and satisfaction of nursing were compared between pre-adopting the new working pattern and post-adopting it.Results Cases of adverse events involved in quality indices of basic nursing descended and satisfaction of patients was increased obviously.Conclusions The new working pattern can provide prompt and effective nuraing services to patients,reduce labour intensity of nurses,improve working efficiency and enhance the communications between patients and nurses.