划片区组长负责制能级对应分层管理模式在急诊护理管理中的应用价值  

Application value of division area group leader responsibility system level corresponding hierarchical management mode in emergency nursing management

作　　者：许利[1] 余正慧 谯进 沈秋红 XU Li;YU Zhenghui;QIAO Jin;SHEN Qiuhong(Hanzhong Central Hospital,Hanzhong 723000,China)

机构地区：[1]汉中市中心医院,陕西汉中723000

出　　处：《临床医学研究与实践》2024年第23期142-145,共4页Clinical Research and Practice

基　　金：汉中市中心医院临床教改项目(No.YJG2105)。

摘　　要：目的研究划片区组长负责制能级对应分层管理模式在急诊护理管理中的应用价值。方法选取我院41名急诊科护理人员为研究对象,其中2020年1月至2022年1月采用常规急诊护理管理(n=41,管理前),2022年2月至2023年1月采用划片区组长负责制能级对应分层管理模式(n=41,管理后)。选择同期我院急诊科收治的80例患者的临床资料开展回顾性分析,其中2020年1月至2022年1月纳入40例患者,2022年2月至2023年1月纳入40例患者。比较管理前、后的护理不良事件发生率、护理质量、护士人文素质及患者安全胜任力。结果管理后的护理不良事件总发生率为5.00%,低于管理前的20.00%(P<0.05)。管理后的病区管理、护士工作能力、护士形象、护理服务态度、健康教育评分及总分均高于管理前(P<0.05)。管理后的职业道德素质、文化素质、法律素质、审美素质、心理素质评分及总分高于管理前(P<0.05)。管理后的知识因素、系统因素、态度因素、技能因素评分及总分高于管理前(P<0.05)。结论划片区组长负责制能级对应分层管理模式在急诊护理管理中的应用价值显著,可降低护理不良事件发生率,提高护理质量,提升护理人员的人文素质,值得推广。Objective To study the application value of division area group leader responsibility system level corresponding hierarchical management mode in emergency nursing management.Methods A total of 41 nursing staff in the emergency department of our hospital were selected as the research objects,from January 2020 to January 2022,routine emergency nursing management was adopted(n=41,before management),from February 2022 to January 2023,the division area group leader responsibility system level corresponding hierarchical management mode was adopted(n=41,after management).The clinical data of 80 patients admitted in the emergency department of our hospital during the same period were selected for retrospective analysis,among them,40 patients were included from January 2020 to January 2022,and 40 patients were included from February 2022 to January 2023.The incidence of nursing adverse events,nursing quality,humanistic quality of nurses and patient safety competency before and after management were compared.Results The total incidence of nursing adverse events after management was 5.00%,which was lower than 20.00%before management(P<0.05).The scores of ward management,nurses'working ability,nurses'image,nursing service attitude,health education and total score after management were higher than those before management(P<0.05).The scores of professional ethics,cultural quality,legal quality,aesthetic quality,psychological quality and total score after management were higher than those before management(P<0.05).The scores of knowledge factor,system factor,attitude factor,skill factor and total score after management were higher than those before management(P<0.05).Conclusion The division area group leader responsibility system level corresponding hierarchical management mode in emergency nursing management has a significant application value,it can reduce the incidence of nursing adverse events,increase the quality of nursing,and improve the humanistic quality of nursing staff,which is worth promoting.

关 键 词：划片区 组长负责制 能级对应 分层管理模式 急诊 护理管理 

分 类 号：R472.2[医药卫生—急诊医学]