以绩效精细化管理提升手术室护理质量  

Nursing Performance Refined Management in Operating Room for Improvement of Nursing Quality

作　　者：管晓明 张春艳[1] 李建[1] 高勇[1] 戴璐[1] GUAN Xiaoming;ZHANG Chunyan;LI Jian(Affiliated Huai'an First People's Hospital of Nanjing Medical University,Huai'an,Jiangsu,223300,China)

机构地区：[1]南京医科大学附属淮安第一医院

出　　处：《中国卫生质量管理》2019年第6期19-22,共4页Chinese Health Quality Management

基　　金：江苏省医院协会医院管理创新研究面上指导课题(JSYGY-3-2018-298)

摘　　要：目的探索适合手术室护理工作的绩效管理模式。方法建立基于技术级别、年资、岗位、工作量及工作质量的多维度绩效考核方案,比较实施绩效改革前后3个月的连台手术衔接时间、护理工作质量、外科医生及手术室护士的满意度。采用SPSS 20.0统计软件进行数据处理。结果绩效改革实施后,连台手术衔接时间缩短了10.59min;护理工作质量显著提升;外科医生满意度由85.07%提升至96.67%;护士对绩效考核指标设置满意度由82.09%提升至95.52%,对考核指标配比满意度由85.07%提升至98.51%,差异均有统计学意义(P<0.05)。结论将精细化管理引入手术室护理绩效中能够提高手术室运行效率,提升手术室护理工作质量,改善外科医生及手术室护士满意度。Objective To explore the suitable performance management mode for nursing work in operating room.Methods The multiple-dimensional appraisal scheme was formed based on technical level,seniority,position,work load and work quality.The preparation time for successive operations,nursing work quality,satisfaction of surgeons and operating room nurses were compared between three months before and after the performance reform.The SPSS 20.0 was used for data analysis.Results After the implementation of the performance reform,the preparation time for successive operations was shortened by 10.59 min.The quality of nursing work improved significantly;the satisfaction of surgeons increased from 85.07%to 96.67%,the satisfaction of nurses on the performance assessment indicators increased from 82.09%to 95.52%,and the satisfaction on the assessment indicators increased from 85.07%to 98.51%(P<0.05).Conclusion Refined management of nursing performance in operating room can improve operation efficiency,enhance nursing work quality and strengthen satisfaction of surgeons and operating room nurses.

关 键 词：手术室 护理绩效 护理工作质量 精细化管理 

分 类 号：R197.322[医药卫生—卫生事业管理]