层级全责护理模式对基础护理质量的影响  

Effect of Hierarchical Full-responsibility Nursing System on the Quality of Basic Nursing

作　　者：王正英[1] 刘晓芳[1] 

机构地区：[1]深圳市西乡人民医院心内科,广东深圳518102

出　　处：《护理学杂志》2008年第11期7-9,共3页

摘　　要：目的探讨护理组织模式对基础护理质量的影响。方法在全院16个病区随机选择6个病区，再随机分为观察组和对照组各3个病区。对照组实施常规整体护理模式．观察组构建实施层级全责护理模式，即每个病区护士按每组分管12～15例患者分为2～3组，每组3名护士（全责护士、辅助护士、助理护士各1名），辅助护士和助理护士在全责护士的指导下共同完成小组患者的各项护理。实施3个月后评价效果。结果病房环境、三短、六洁、五送、管道护理、压疮防护、健康教育、病情掌握及怠者满意度9项除管道护理、压疮防护2项外，观察组均显著优于对照组（均P〈0．01）。结论实施层级全责护理模式能提高基础护理质量，提高患者对护理服务的满意度。Objective To investigate the effect of nursing model on the quality of basic nursing. Methods Six wards were randomly chosen from 16 wards in the hospital and randomly divided into a control group and an observation group, with each group having 3 wards. The control group carried out routine holistic nursing model, and the observation group carried out a new hierarchical full-responsibility nursing system, in which the nurses in each ward were divided into 2-3 units, with a full responsibility nurse, an auxiliary nurse, and an assistant nurse in each set taking care of 12-15 patients. The auxiliary nurse 6md assistant nurse completed the patient＇s nursing care together under the full responsibility nurse＇s instruction. The effects were evaluated after 3 months. Results Seven measurements, including sickroom environment, ＂three short＂, ＂six clean＂, ＂five send＂, health education, disease observation and patients＇ satisfaction in the observation group were superior to those in the control group （all P〈0.01 ）. Conclusion Holding the hierarchical full-responsibility nursing system can improve the quality of basic nursing and the satisfaction of patients to nursing service.

关 键 词：病区 层级全责护理 基础护理 护理模式 护理管理 整体护理 

分 类 号：R471[医药卫生—护理学] C931.3[医药卫生—临床医学]