实行连续性排班与小组责任制工作模式前后护患满意度的调查  

Investigation of satisfaction on the model of continuous scheduling and group-responsibility system

作　　者：曾美文[1] 郑秀先[1] 马泽萍[2] 曾金萍[3] 钟伟荣[4] 

机构地区：[1]广东省惠州市中心人民医院护理部,516001 [2]广东省惠州市中心人民医院骨科,516001 [3]广东省惠州市中心人民医院肾内科,516001 [4]广东省惠州市中心人民医院内分泌科,516001

出　　处：《中华现代护理杂志》2012年第11期1296-1298,共3页Chinese Journal of Modern Nursing

摘　　要：目的了解实行连续性排班与小组责任制后护士对工作、患者对护理服务的满意度，为人性化管理、持续改进护理质量提供依据。方法采用自制的满意度调查表对6个标杆科室的护士、住院患者在实施连续性排班及小组责任制前后进行满意度调查，对比分析护士对护理工作、住院患者对护理服务的评价情况。结果排班方式改革及工作模式调整后6～12个月护士的满意度达91．0％～92．3％，患者的综合满意度达92．5％～95．7％，与改革前对比，差异有统计学意义（P〈0．05）；改革后夜班周期缩短，护士的满意度为61．8％，低于改革前的76．2％，差异有统计学意义（x2=6．95，P〈0．01）；护士的精神压力在改革前后差异无统计学意义（x2=0．70，P〉0．05）。结论排班方式改革及小组责任制的落实能为住院患者提供无缝隙、优质的护理服务，同时激发了各层级护理人员的潜能，提高了护理服务质量。但临床一线护士配置不足，护士的心理压力大仍亟待解决。Objective To explore the satisfaction of nurses on the work and patients on the nursing service after implementing the model of continuous scheduling and group-responsibility system, so as to to provide theories for improving nursing quality and human management. Methods Self-designed satisfaction questionaire was used to investigate nurses and patients before and after implementing the model of continuous scheduling and group-responsibility system, and nurses＇ satisfaction on the work and patients＇ satisfaction on the nursing care were observed and compared. Results The comprehensive satisfaction of nurses on the work in sixth, ninth, twelfth month after implementing the model of continuous scheduling and group-responsibility system was 91.0% ,91. 6% ,92. 3%, respectively which was higher than 80： 6% before implementing, and the difference was statistically significant （ X2 = 4.74,5.56,6.40, respectively; P 〈 0.05 ）. The satisfaction of patients on nursing increased from 90.1% to 95.7% after the model was implemented three to twelve months, which was significantly higher than 78.5% before implementing（ P 〈 0.01 ）. Night shift period was shortened and the nurses＇ satisfaction was decreased from 76.2% to 61.8% after the model was implemented（ X2 = 6.95, P 〈 0. 01 ）, while there was no difference in the situation of their mental pressure. Conclusions The scheduling revolution and group-responsibility system can provide no-gap and excellent nursing, and stimulate nurses＇ potential, and improve the nursing quality. But the situation of nurses＇ mental pressure is not improved for the lack of clinical nurses.

关 键 词：数据收集 连续性排班 小组责任制 满意度 

分 类 号：R47[医药卫生—护理学]