动态岗位管理在急诊日间病房的实施与效果分析  

Dynamic post management practice and effect analysis in the emergency day ward

作　　者：白国欣[1] 王朝霞[1] 贾汝福[2] 

机构地区：[1]河北省沧州市中心医院护理部,061001 [2]河北省沧州市中心医院院办,061001

出　　处：《中华现代护理杂志》2017年第19期2537-2540,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨在工作时间集中、工作量大、工作应急性强的急诊日间病房实施动态护理岗位管理的效果.方法 2015年1月沧州市中心医院护理部通过设置急诊日间病房护理动态岗位的资质要求、选拔考试、系统培训、质量监控、效果评价、薪酬分配等流程,建立了较为完善的动态岗位管理体系.比较实施前（2014年12月）和实施后（2015年12月）患者输液等候时间、患者满意度和实施后的护理人力成本.结果 在急诊日间病房进行动态岗位管理后,患者输液等待时间由原来的（19.23±2.73）min降低到（10.14±1.18）min,差异有统计学意义（t=93.09,P〈0.01）;实施前患者对急诊日间病房护理工作的满意度为85.45%（171/200）,实施后满意度为95.50%（191/200）,差异有统计学意义（χ2=11.631,P〈0.01）.共有50名符合条件的护士通过准入考核获得上岗资质,安排820个班次,累计工作2300 h,节省了至少10名护理人员编制.结论 护理动态岗位管理有利于护士人力资源的合理调配和护理队伍的稳定性.Objective To investigate the effect of implementing dynamic post management in the emergency day ward, which has plenty of urgent, time-concentrated work every day.Methods In January 2015, the Cangzhou Central Hospital Nursing Department passed the plan that set a process for the dynamic post qualification requirements, screening test, the system training, quality control, performance evaluation, salary allocation in day ward and our nursing department created a perfect dynamic post management system. From December 2014 （before implementation） to December 2015 （after implementation）, the effects were investigated from the patients＆#39; waiting time, the degree of satisfaction, the human cost, and the stability of the nursing team. Results After the implementation of the dynamic post management in the emergency day ward, the patients＆#39; waiting time decreased from （19.23±2.73）min to （10.14±1.18）min （t=93.09,P〈0.01）and the degree of satisfaction increased from 85.45%（171/200） to 95.50%（191/200）with the differences of statistical significance （χ2=11.631,P〈0.01）. A total of 50 qualified nurses obtained qualification via admittance examination. We had arranged 820 classes and accumulatively worked 2300 hours, which had saved at least 10 of nursing personnel.Conclusions Dynamic nursing station is beneficial to the reasonable allocation of human resources and the stability of the nursing team.

关 键 词：护理 日间病房 动态岗位 管理 

分 类 号：R47[医药卫生—护理学]