护理研究
護理研究
호리연구
NURSING RESEARCH
2015年
1期
26-29
,共4页
ICU%医护一体化%小组责任制%护理管理
ICU%醫護一體化%小組責任製%護理管理
ICU%의호일체화%소조책임제%호리관리
ICU(intensine care unit)%medical integration%group responsibility system%nursing management
[目的]探讨综合 ICU实行医护一体化模式下责任护理组长负责制实施效果。[方法]在综合 ICU 实行“医护一体化模式下的责任护理组长负责制”，明确其岗位职责和工作流程，制定并实施绩效考核方案，对护士分层培训。比较实施前后护理文件书写合格率、专科护理操作考核合格率、特级护理落实合格率、抢救成功率、治疗目标达成率检查结果；通过自设问卷调查医生、病人及家属对护理工作的满意度。[结果]实行医护一体化模式下责任护理组长负责制后护理满意度及各项危重护理质量指标得到提高。[结论]医护一体化模式下责任护理组长负责制的实行，激发了护士的工作积极性，从而提供更专业的护理服务、规范化的培训，并推动科室团队文化的良性发展，但人力资源分配及绩效考核等仍需进一步探讨。
[目的]探討綜閤 ICU實行醫護一體化模式下責任護理組長負責製實施效果。[方法]在綜閤 ICU 實行“醫護一體化模式下的責任護理組長負責製”，明確其崗位職責和工作流程，製定併實施績效攷覈方案，對護士分層培訓。比較實施前後護理文件書寫閤格率、專科護理操作攷覈閤格率、特級護理落實閤格率、搶救成功率、治療目標達成率檢查結果；通過自設問捲調查醫生、病人及傢屬對護理工作的滿意度。[結果]實行醫護一體化模式下責任護理組長負責製後護理滿意度及各項危重護理質量指標得到提高。[結論]醫護一體化模式下責任護理組長負責製的實行，激髮瞭護士的工作積極性，從而提供更專業的護理服務、規範化的培訓，併推動科室糰隊文化的良性髮展，但人力資源分配及績效攷覈等仍需進一步探討。
[목적]탐토종합 ICU실행의호일체화모식하책임호리조장부책제실시효과。[방법]재종합 ICU 실행“의호일체화모식하적책임호리조장부책제”，명학기강위직책화공작류정，제정병실시적효고핵방안，대호사분층배훈。비교실시전후호리문건서사합격솔、전과호리조작고핵합격솔、특급호리락실합격솔、창구성공솔、치료목표체성솔검사결과；통과자설문권조사의생、병인급가속대호리공작적만의도。[결과]실행의호일체화모식하책임호리조장부책제후호리만의도급각항위중호리질량지표득도제고。[결론]의호일체화모식하책임호리조장부책제적실행，격발료호사적공작적겁성，종이제공경전업적호리복무、규범화적배훈，병추동과실단대문화적량성발전，단인력자원분배급적효고핵등잉수진일보탐토。
Objective:To probe into the effects of the group leader responsibility system based on the medical in-tegration model in comprehensive ICU.Methods:Group leader responsibility system based on medical integra-tion model was carried out in comprehensive ICU,then to determine their duties and work flow,make and fulfill performance assessment scheme and classification training for different nurses.The pass rate of nursing file writing,specialist care operations examination pass rate,pass rate of implementation of intensive care,the sur-vival rate,the treatment goal achievement rate and test results,the satisfaction of doctors,patients and their families to nursing work were compared before and after the implementation through self designed question-naires.Results:This nursing satisfaction and the various quality indexes of critical care were improved.Conclu-sion:The implement of group leader responsibility system based on the medical integration model has inspired the enthusiasm of nurses,provided a more professional care services and standardized training.It promotes the healthy development of team culture in Geriatrics Department.Nevertheless,the human resources allocation and performance appraisal still need to be studied further.
