CAJ | 학술논문

目的：规范护理资料在稳固护理管理基础中的作用和管理办法。方法：回顾性分析2011～2014年我院规范护理资料管理后的新上任护理人员失误事件、护患纠纷发生次数、患者满意度和医生/护士满意度并与2007～2010年我院未规范护理资料管理进行对比。结果：2011～2014年实施规范资料管理后护理人员的相关指标评估结果明显优于2007～2010年，P＜0.05。结论：规范护理资料提高了护理人员的管理水平，提供护理工作的新模式，为维护护患关系建立了保障。
목적：규범호리자료재은고호리관리기출중적작용화관리판법。방법：회고성분석2011～2014년아원규범호리자료관리후적신상임호리인원실오사건、호환규분발생차수、환자만의도화의생/호사만의도병여2007～2010년아원미규범호리자료관리진행대비。결과：2011～2014년실시규범자료관리후호리인원적상관지표평고결과명현우우2007～2010년，P＜0.05。결론：규범호리자료제고료호리인원적관리수평，제공호리공작적신모식，위유호호환관계건립료보장。
Objective: To standardize the nursing data in a solid way to function and management foundation in nursing management. Methods:A retrospective analysis of our hospital from 2011~2014 to standardize nursing data management after the new failure events,nursing staff nurse patient dispute frequency,satisfaction of patients and doctors/nurses' satisfaction and 2007~2010 in our hospital were compared not standardized nursing data management.Results:2011~2014 the implementation of standardized management of nursing personnel related information after the assessment result is obviously better than that of 2007~2010,P<0.05.Conclusion:Standardizing the nursing data to improve the nurse management level,providing a new model of nursing work,for the maintenance of nurse patient relationship established security.