CAJ | 학술논문

目的：探讨责任小组包干制及护士层级搭配排班模式在新生儿科护理工作中的应用效果。方法：将我院新生儿科的14名护士分为高级责任护士组和低级责任护士组，每组各有7名护士。高级责任护士组护士主要完成对重症患儿的护理工作，并指导低级责任护士组护士进行工作。低级责任护士组护士主要完成对轻症患儿的护理工作。分析在实施责任小组包干制及护士层级搭配排班模式前后，新生儿科疗区护理不良事件发生率的变化情况。结果：实施责任小组包干制及护士层级搭配排班模式1年后，新生儿科疗区护理不良事件的发生率明显低于实施责任小组包干制及护士层级搭配排班模式1年前，二者相比差异具有显著性（P＜0.05）。结论：在新生儿科护理工作中应用责任小组包干制及护士层级搭配排班模式有利于提高护理人员的综合素质，减少护理缺陷，降低疗区护理不良事件的发生率，对提升整体护理质量具有积极的意义。
목적：탐토책임소조포간제급호사층급탑배배반모식재신생인과호리공작중적응용효과。방법：장아원신생인과적14명호사분위고급책임호사조화저급책임호사조，매조각유7명호사。고급책임호사조호사주요완성대중증환인적호리공작，병지도저급책임호사조호사진행공작。저급책임호사조호사주요완성대경증환인적호리공작。분석재실시책임소조포간제급호사층급탑배배반모식전후，신생인과료구호리불량사건발생솔적변화정황。결과：실시책임소조포간제급호사층급탑배배반모식1년후，신생인과료구호리불량사건적발생솔명현저우실시책임소조포간제급호사층급탑배배반모식1년전，이자상비차이구유현저성（P＜0.05）。결론：재신생인과호리공작중응용책임소조포간제급호사층급탑배배반모식유리우제고호리인원적종합소질，감소호리결함，강저료구호리불량사건적발생솔，대제승정체호리질량구유적겁적의의。
purpose To explore the method application and effect of the responsibility group contract system and nurses level with scheduling in neonatology care management. Method 14 nurses in clinical care will be divided into two responsibility groups , the first group of senior responsibility nurse , when the team leader , mainly to complete the NICU care of patient, and guide the lower liability nurses work . The second group is a lower liability nurses, mainly to complete the smooth care of neonatal. Comparative the adverse events occurrence in example ward. Result ward care incidence of adverse events reduced after the implementation of responsibility group contract system and nurses level with scheduling. the difference was statistically significant ( P < 0.05 ) Conclusion The responsibility group contract system and nurses level with scheduling in neonatology care management applications to reduce care defects and improve quality of care.