护理组长轮换制在ICU护理团队中应用效果的质性研究  

A qualitative study on the effect of nursing team leader rotation system in ICU

作　　者：李尊柱 李真 刘桂英 孙建华 李奇 罗红波 孙红[3] Li Zunzhu;Li Zhen;Liu Guiying;Sun Jianhua;Li Qi;Luo Hongbo;Sun Hong(Department of Critical Care Medicine,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China;School of Nursing of Peking Union Medical College,Beijing 100144,China;Obstetrics and Gynecology,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院重症医学科,100730 [2]北京协和医学院护理学院,100144 [3]中国医学科学院北京协和医学院北京协和医院妇产科,100730

出　　处：《中国实用护理杂志》2020年第32期2544-2548,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨护理组长轮换制在ICU护理团队中的应用效果,为优化护理人力资源配置、促进医护团队合作、提高护理质量提供参考。方法于2018年10月至2019年6月在北京协和医院重症医学科病区内实施ICU护理组长轮换制,并通过个体访谈,运用半结构访谈法了解该制度实施后科室医护人员对团队合作、工作流程、护理质量等方面的感受和体验,以评估实施效果。结果访谈结果显示,实施护理组长轮换制后,多数医护人员感受到医护团队合作改善、工作学习积极性提高,组长队伍中,新组长感觉能力得到提升、原组长的工作压力有所缓解,部分医护人员认为护理质量未受明显影响,其绩效减少在可接受范围。结论实施护理组长轮换制可能能够改善团队合作、提高工作积极性、提高组长团队整体能力、缓解工作负荷,后续可通过量化指标评价其具体效果,并探讨对护理质量、患者结局的影响,以进一步探讨该制度的可行性及有效性。Objective To explore the effect of nursing team leader rotation in ICU nursing team,so as to provide reference for optimizing the allocation of nursing human resources,promoting the cooperation of nursing team and improving the quality of nursing care.Methods The ICU nursing team leader rotation was implemented from October 2018 to June 2019,semi-structured interview method was used to understand the feeling and experience of medical staff in the department on team cooperation,workflow,nursing quality and other aspects after the implementation of the rotation,so as to evaluate the effectiveness.Results According to the results of interviewing,by implementing the nursing team leader after rotation,most staff feel the improvement of care team,as well as the enthusiasm of learn and work.The new leader′ability is got promoted,former leader feeled working pressure eased,some medical workers think that nursing quality was not affected,and there performance appraisal was reduced in an acceptable range.Conclusion The implementation of the nursing team leader rotation may be able to improve teamwork,work enthusiasm,and the ability of overall leader team,alleviate the workload,future studies could evaluate its specific effect by quantitative indicators,and discusses the impact on the quality of care and patient outcomes,to further explore the feasibility and effectiveness of the system.

关 键 词：重症监护室 护理组长 团队合作 护理人员配备 

分 类 号：R47[医药卫生—护理学]