CAJ | 학술논문

目的：探讨护士分层管理在临床护理管理中的效果。方法选择6个科室实施护士分层管理，根据护士不同能级设立5个层级：助理护士（N0）、初级责任护士（N1）、高级责任护士（N2）、责任组长（N3）、专科护士（N4），界定各级护士工作职责；优化护士人力资源配置；实施分层培训；采取扁平化责任包干制的工作模式。比较实施分层管理前后6个月的护理质量指标和患者满意度。结果实施护士分层管理后，基础护理、护理安全、病房管理和健康教育4个护理质量指标平均得分明显高于分层管理前，差异有统计学意义（P＜0．01）；患者满意度平均得分明显高于分层管理前，差异有统计学意义（P＜0．01）。结论护士分层管理有利于提高临床护理质量和患者满意度。
목적：탐토호사분층관리재림상호리관리중적효과。방법선택6개과실실시호사분층관리，근거호사불동능급설립5개층급：조리호사（N0）、초급책임호사（N1）、고급책임호사（N2）、책임조장（N3）、전과호사（N4），계정각급호사공작직책；우화호사인력자원배치；실시분층배훈；채취편평화책임포간제적공작모식。비교실시분층관리전후6개월적호리질량지표화환자만의도。결과실시호사분층관리후，기출호리、호리안전、병방관리화건강교육4개호리질량지표평균득분명현고우분층관리전，차이유통계학의의（P＜0．01）；환자만의도평균득분명현고우분층관리전，차이유통계학의의（P＜0．01）。결론호사분층관리유리우제고림상호리질량화환자만의도。
Objective To explore the effect of nurse hierarchical management in clinical nursing service . Methods Nurse hierarchical management was implemented in six departments .Nurses were divided into five lev-els: assistant nurses (NO), primary responsibility nurses (N1),senior responsibility nurses (N2), responsibility leader(N3)and specialist nurses(N4).The responsibilities of each level were identified .Optimized nurses man-power deployment , implementation of layered training , taking working model of flattening responsibility contracting system .Nursing quality index and patient satisfaction were compared six months before and after implement of nurse hierarchical management .Results After implement of nurse hierarchical management , average scores of basic nursing , nursing safety , ward management and health education were high than that before implement of nurse hier-archical management ( P<0 .01 ) .Average score of patient satisfaction after nurse hierarchical management was high than that before nurse hierarchical management ( P<0 .01 ) .Conclusion Nurse hierarchical management is benefit to improve clinical nursing quality and patient satisfaction .