CAJ | 학술논문

目的利用现有人力资源,建立组长负责制分层管理模式,减少护理缺陷,减少护理纠纷,提高急诊护理质量.方法制订考核标准,将护士分层使用和分层管理,实施组长负责制层级管理模式,通过考核,将结果进行分析、反馈.结果实施前后护理质量、患者对护士的满意度、医生对护士的满意度、相关科室对急诊护理工作的满意度经χ2检验,差异明显.护理缺陷由2005年的5次,减少到2007年的1次;护理纠纷由2005年的5宗,减少到2007年的0宗;急救物品完好率由98%提高到100%.结论组长负责制分层管理模式,保证急诊护理各时段、各环节护理质量均得到落实,减少了护理缺陷,减少了护理纠纷,提高了患者满意度,提高了护理质量,值得临床急诊科借鉴.
목적 이용현유인력자원,건립조장부책제분층관리모식,감소호리결함,감소호리규분,제고급진호리질량.방법 제정고핵표준,장호사분층사용화분층관리,실시조장부책제층급관리모식,통과고핵,장결과진행분석、반궤.결과 실시전후호리질량、환자대호사적만의도、의생대호사적만의도、상관과실대급진호리공작적만의도경χ2검험,차이명현.호리결함유2005년적5차,감소도2007년적1차;호리규분유2005년적5종,감소도2007년적0종;급구물품완호솔유98%제고도100%.결론 조장부책제분층관리모식,보증급진호리각시단、각배절호리질량균득도락실,감소료호리결함,감소료호리규분,제고료환자만의도,제고료호리질량,치득림상급진과차감.
Objective Through utilizing the existing human resources and establishing stratified management modes based on the responsibility of the leader of nursing teamwork to reduce nursing de-fects and nursing disputes, and improve the quality of emergency care. Methods Nurses in the depart-ment of emergency were stratified, and the stratified management modes based on the responsibility of the leader of nursing teamwork was implemented. Then the results underwent analysis and feedback through assessment. Results Quality of care, the satisfaction degree of patients, doctors and the relevant depart-ments before and after the implementation had statistical significance by χ2 test. The cases of nursing de-fects reduced from 5 in 2005 to 1 in 2007 and nursing disputes reduced from 5 in 2005 to 0 in 2007.The intact rate of first aid materials increased from 98% in 2005 to 100% in 2007. Conclusions The strati-fied management modes can ensure that the quality of emergency care implemented in every hour and link, and can reduce the nursing defects and disputes, increase patient satisfaction degree and improve quality of care. So the stratified management modes are worthy of clinical reference in emergency department.