CAJ | 학술논문

目的探讨将临床护理路径与护士分层级管理联合应用,推动临床路径顺利实施.方法利用现有资源,将临床护理路径流程任务制定到各层级护士的工作职责中,采取量化评价流程质量的方式,与护士绩效挂钩,实现护理活动的程序化和标准化.结果临床护理路径与分层级管理联合应用前后患者满意度比较,差异有统计学意义(P<0.01);实行临床护理路径后各单病种的平均住院日下降,差异有统计学意义(P<0.05).结论实施临床护理路径与护士分层级管理联合应用,有效控制了医疗成本,提高了护理质量,达到最佳的护理管理目标.
목적 탐토장림상호리로경여호사분층급관리연합응용,추동림상로경순리실시.방법 이용현유자원,장림상호리로경류정임무제정도각층급호사적공작직책중,채취양화평개류정질량적방식,여호사적효괘구,실현호리활동적정서화화표준화.결과 림상호리로경여분층급관리연합응용전후환자만의도비교,차이유통계학의의(P<0.01);실행림상호리로경후각단병충적평균주원일하강,차이유통계학의의(P<0.05).결론 실시림상호리로경여호사분층급관리연합응용,유효공제료의료성본,제고료호리질량,체도최가적호리관리목표.
Objective To investigate clinical nursing pathway management combined with nurse hierarchical system so as to promote the smooth implementation of clinical pathways.Methods The process of clinical nursing pathway was distributed into the work of nurses at different levels by using the present available resources; their process quality was quantitatively evaluated, which was closely related to their achievements, with the aim of making the nursing activity procedurized and standardized.Results Patients' satisfaction before and after implementing the clinical care pathway management combined with nurse hierarchical system was significantly different (P<0.01); the average hospital stay for a single disease was decreased after its implementation (P<0.05).Conclusions Implementing clinical nursing pathway management combined with nurse hierarchical system could effectively control the health care costs, improve quality of care and achieve the best possible care and management objectives.