中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
25期
3127-3129
,共3页
社区护理%柔性管理%护理质量%满意度
社區護理%柔性管理%護理質量%滿意度
사구호리%유성관리%호리질량%만의도
Community nursing%Flexible management%Nursing quality%Satisfaction
目的 探讨柔性管理在社区卫生服务护理管理中的应用效果.方法 以管理中心下辖39个社区卫生服务中心护理人员101人和家庭病床120患者例作为研究对象,管理中心按随机数字法进行排序登记建档,排列序号奇数的社区卫生服务中心护理人员和家庭病床患者为实验组,排列序号偶数作为对照组.实验组实施柔性管理,对照组实施常规护理.比较柔性管理对护士归属感、服务质量及护理满意度变化.结果 实施柔性管理后,实验组与对照组比较,护士归属感荣誉率分别为37.2％,2.0％；工作和学习热情显著提高,自考率分别为45％,18.0％,离职率分别为0.0％,14.0％,差异有统计学意义(x2值分别2.67,2.31,2.16;P＜0.05)；实验组护理质量评分分别为基础护理(96.0±0.7)分、病床管理(96.0±0.3)分、护理文件(97.1±0.1)分、护理操作(92.5±0.1)分,实验组较对照组明显提高,差异均有统计学意义(t值分别0.87,0.92,0.96,2.13,P＜0.05)；实验组患者的满意度91.7％,显著高于对照组的68.3％,差异有统计学意义(x2 =5.66,P＜0.05).结论 柔性管理在社区健康服务中心护理管理中的应用效果显著,能提高护士的自考虑、荣誉获得率及护理质量,降低其离职率,提高患者对护理工作的满意度,值得临床推广应用.
目的 探討柔性管理在社區衛生服務護理管理中的應用效果.方法 以管理中心下轄39箇社區衛生服務中心護理人員101人和傢庭病床120患者例作為研究對象,管理中心按隨機數字法進行排序登記建檔,排列序號奇數的社區衛生服務中心護理人員和傢庭病床患者為實驗組,排列序號偶數作為對照組.實驗組實施柔性管理,對照組實施常規護理.比較柔性管理對護士歸屬感、服務質量及護理滿意度變化.結果 實施柔性管理後,實驗組與對照組比較,護士歸屬感榮譽率分彆為37.2％,2.0％；工作和學習熱情顯著提高,自攷率分彆為45％,18.0％,離職率分彆為0.0％,14.0％,差異有統計學意義(x2值分彆2.67,2.31,2.16;P＜0.05)；實驗組護理質量評分分彆為基礎護理(96.0±0.7)分、病床管理(96.0±0.3)分、護理文件(97.1±0.1)分、護理操作(92.5±0.1)分,實驗組較對照組明顯提高,差異均有統計學意義(t值分彆0.87,0.92,0.96,2.13,P＜0.05)；實驗組患者的滿意度91.7％,顯著高于對照組的68.3％,差異有統計學意義(x2 =5.66,P＜0.05).結論 柔性管理在社區健康服務中心護理管理中的應用效果顯著,能提高護士的自攷慮、榮譽穫得率及護理質量,降低其離職率,提高患者對護理工作的滿意度,值得臨床推廣應用.
목적 탐토유성관리재사구위생복무호리관리중적응용효과.방법 이관리중심하할39개사구위생복무중심호리인원101인화가정병상120환자례작위연구대상,관리중심안수궤수자법진행배서등기건당,배렬서호기수적사구위생복무중심호리인원화가정병상환자위실험조,배렬서호우수작위대조조.실험조실시유성관리,대조조실시상규호리.비교유성관리대호사귀속감、복무질량급호리만의도변화.결과 실시유성관리후,실험조여대조조비교,호사귀속감영예솔분별위37.2％,2.0％；공작화학습열정현저제고,자고솔분별위45％,18.0％,리직솔분별위0.0％,14.0％,차이유통계학의의(x2치분별2.67,2.31,2.16;P＜0.05)；실험조호리질량평분분별위기출호리(96.0±0.7)분、병상관리(96.0±0.3)분、호리문건(97.1±0.1)분、호리조작(92.5±0.1)분,실험조교대조조명현제고,차이균유통계학의의(t치분별0.87,0.92,0.96,2.13,P＜0.05)；실험조환자적만의도91.7％,현저고우대조조적68.3％,차이유통계학의의(x2 =5.66,P＜0.05).결론 유성관리재사구건강복무중심호리관리중적응용효과현저,능제고호사적자고필、영예획득솔급호리질량,강저기리직솔,제고환자대호리공작적만의도,치득림상추엄응용.
Objective To investigate the application and effect of flexible management in nursing manage.Methods The nursing staffs of 101 and 120 patients using family beds from 39 community health service centers under the jurisdiction of Management Centre were selected as the research object.All of them were sorted and registered by using random number method,and were divided into two groups.Those with odd number were put in the experimental group with flexible management,and those with even number were put in the control group with routine nursing.The changes of nurses' belonging sense,service quality and patients satisfaction with nursing under application of flexible management were observed and evaluated.Results After the implementation of flexibility management,the honor rate of nurses' belonging sense,the rate of taking voluntarily examinations and the turnover rate which reflected enthusiasm for working and learning,were 37.2％,45％ and 0.0％ in the experimental group,and 2.0％,18.0％ and 14.0 ％ in the control group,respectively,and these differences were statistically significant between the two groups (x2 =2.67,2.31,2.16,respectively; P ＜ 0.05).The score of basic nursing,the score of hospital bed management,the score of nursing documentation and the score of nursing operation in the experimental group were (96.0 ± 0.7),(96.0 ± 0.3),(97.1 ± 0.1) and (92.5 ± 0.1),respectively,which were higher those in the control group,and these differences were statistically significant between the two groups (t =0.87,0.92,0.96,2.13,respectively ; P ＜ 0.05).The patients satisfaction of 91.7％ in the experimental group was higher 68.3％ in the control group,the difference was statistically significant (x2 =5.66,P ＜ 0.05).Conclusions The application of flexible management in community nursing management has achieved the significant effect,which can help to enhance the rate of taking voluntarily examinations,the honor rate of nurses' belonging sense and the nursing quality,reduce the turnover rate of nurses,and improve patients satisfaction with nursing.It is suitable for more application and promotion in clinical practice.
