分区管理与护理人员分层使用在急诊儿科的应用效果  

Effect of partitioned management and hierarchical use of nurses in the pediatric emergency room

作　　者：石小毛[1] 陈小淦[1] 阳秀春[1] 杨图宏[1] 

机构地区：[1]湖南省人民医院儿科医学中心, 长沙410005

出　　处：《中华现代护理杂志》2014年第6期697-699,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨急诊儿科实行分区管理与护理人员分层使用相结合对提高急诊儿科护理质量的有效性。方法根据急诊儿科的功能，将急诊划分为抢救区、留观区及输液区，评估患者的病情进行不同分区的安置；分析、评估护理人员的能力、职称以及工作年限，分为高级责任护士、中级责任护士和初级责任护士。在各区合理安排、科学使用各层级护理人员，分析比较实行分区管理与护理人员分层使用前即2009年7-12月（对照组）与实行分区管理与护理人员分层使用后即2011年7-12月（干预组）患者的抢救成功率与护理不良事件发生率。结果对照组不良事件发生率为0．0252％（15/59452），干预组为0．0058％（4/68790），两组比较差异有统计学意义（χ2＝8．12，P＜0．05）。对照组抢救成功率为97．57％（201/206），干预组为99．61％（256/257），两组比较差异有统计学意义（χ2＝7．32， P＜0．05）。结论患者分区管理与护理人员分层使用对提高急诊儿科护理质量有明显的效果。Objective To explore the effect of enhancing nursing quality by combining partitioned management mode and hierarchical use of nurses in the pediatric emergency room .Methods The pediatric emergency room was partitioned into rescue area , observation area , transfusion area and patient ’ s condition evaluation area .The nursing staff was analyzed and evaluated by capability , professional title , work years and classified into senior charge nurse , intermediate charge nurse and junior charge nurse .The rescue success rate and the nursing adverse event rate were compared before （ from July to December , 2009 ） and after （ from July to December , 2011 ） applying the partitioned management mode and hierarchical use of nurses .Results The nursing adverse event rate was 0.025 2%（15/59 452） in the control group and 0.005 8%（4/68 790） in the intervention group, and the difference was significant （χ2 =8.12, P＆lt;0.05）.The rescue success rate was 97.57% （201/206） in the control group and 99.61%（256/257） in the intervention group, and the difference was significant （χ2 =7.32, P＆lt;0.05）.Conclusions The combined application of partitioned management mode and hierarchical use of nurses in pediatric emergency room has obvious effects in enhancing the quality of pediatric emergency nursing .

关 键 词：分区管理 分层使用 护理质量 

分 类 号：R47[医药卫生—护理学]