合作式医护工作模式在骨科的实施与效果评价  

Initiative and evaluation of a nurse-physician collaborative partnership project in the orthopedic department

作　　者：卞静霞 凤珏 楼建华[2] 徐红[2] 

机构地区：[1]上海交通大学医学院附属上海儿童医学中心骨科,上海200127 [2]上海交通大学医学院附属上海儿童医学中心护理部,上海200127

出　　处：《护理学杂志》2012年第24期61-63,共3页

基　　金：上海市市级医院临床管理优化项目(SHDC2011604)

摘　　要：目的探讨合作式医护工作模式在骨科的实施与效果。方法构建合作式医护工作模式,包括设立总责护士岗位,医护联合查房,医护人员固定和专科化,营造"患儿第一"的病区文化,建立建设性解决冲突的机制,科主任和护士长的支持性管理,提升医护人员能力等。结果实施1年后,患儿平均住院日较实施前缩短1.7d,床位周转率、使用率、出院人数和手术人数均增加1倍,护士工作满意度提升5.6%。结论在不增加医护人员人力的情况下,合作式医护工作模式能提高工作效率,提升护士工作满意度和护理工作质量。Objective To explore the effect of a nurse-physician collaborative partnership project initiated in the orthopedic depart- ment. Methods A nurse-physician collaborative partnership project was launched in the orthopedic department： an in-charge nurse position was set; physician and nurses together made interprofessional rounds; the medical staff were assigned into specialized teams and were not involved into rotation to different units; a patient-first philosophy as part of unit culture was deeply rooted in the heart of medical workers; constructive conflict resolution mechanisms were established; the medical director and the head nurse were supportive to staff; medical workers＇ competency were improved by a variety of methods. Results One year after implement of the nurse-physician collaborative partnership project in the orthopedic department, patients＇ length of stay were shortened by 1.7 days in average, bed rotation rate and occupancy rate, and numbers of discharge patients and surgical patients, were doubled, and nursesr job satisfaction increased by 5.6%, as compared to a year ago. Conclusion The nurse-physician collaborative partnership project improves work efficacy of medical workers, and nurses＇ job satisfaction, without increasing nursing staffing, and compro- mising nursing quality.

关 键 词：骨科 合作式医护工作模式 总责护士 医护联合查房 专科化管理 护理管理 

分 类 号：R473.6[医药卫生—护理学] C931.3[医药卫生—临床医学]