扁平化模式在护理管理中的应用及效果  

Application Effects of Flattening Model on Nursing Management

作　　者：盛芝仁[1] 胡斌春 周红娣[1] 陈谦[3] 陈冬萍[4] 陈娅莉[5] 袁黎君[6] 胡建利[1] 杨海萍[7] 柳春波[1] 

机构地区：[1]宁波大学医学院附属医院护理部,浙江宁波315020 [2]浙江省护理学会,浙江杭州310003 [3]宁波大学医学院附属医院伤口护理中心 [4]宁波大学医学院附属医院创伤骨一科 [5]宁波大学医学院附属医院脊柱外二科 [6]宁波大学医学院附属医院儿外科 [7]宁波大学医学院附属医院神经外科

出　　处：《解放军护理杂志》2013年第11期55-56,59,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：宁波市科技局社发项目(2011C50055)

摘　　要：目的探讨扁平化模式在护理管理中的应用及效果。方法改变目前宁波大学医学院附属医院护理管理行政层级金字塔结构为扁平化的结构,减少护理行政管理层级,将原来的7个管理层级减少到4个层级。改革临床护士排班模式,把护士分层管理和责任包干有机结合起来,建立具有不同层级护士组成的若干个并行的护理责任小组,每名患者有相对固定的护士对其全面负责。结果实施扁平化模式2年来,宁波大学医学院附属医院的护理质量合格率、患者满意度及陪护率与实施前相比,均有显著提高(均P<0.05)。结论扁平化模式在护理管理中的应用减少了护理管理中间环节,加快了信息沟通和传递速度,提高了工作效率,促进了给患者提供连续、全程护理服务的落实。Objective To explore the application effect of flattening model on nursing management. Memoos Change the current nursing management of administrative hierarchy from pyramid structure to flat structure, re-duce nursing administrative level from seven administrative layers to four levels. Reform the clinical nurses＇ sched-uling model and integrate the nurse stratified management and responsibility system effectively and set up several parallel nursing responsibility teams with different levels of nurses. Every patient should be in the charge of rela-tively fixed nurses. Results Nursing quality, patient satisfaction, and accompany rate were improved significantly 2 years after implementation of flattening model（P〈0.05）. Conclusion Application of flattening model contribu- ted to reducing the intermediate links in nursing management, accelerating the speed of information communication and transmission, reducing the human cost of intermediate links, improving the efficiency of the work and making sure the overall process of nursing service provided continuously.

关 键 词：护理 管理模式 扁平化管理 责任制整体护理 

分 类 号：R197.323[医药卫生—卫生事业管理]