精神专科医院护士对《护理分级标准》的认知及落实现况调查  

Knowledge and practice of Standard for Nursing Classification among nurses in psychiatric hospitals

作　　者：叶晓露 许冬梅[1] 高静[1] 邵静[1] 史方竹 陈雪秋 张燕红[4] 陈海勤[5] 罗薇 邓星萍 YE Xiaolu;XU Dongmei;GAO Jing;SHAO Jing;SHI Fangzhu;CHEN Xueqiu;ZHANG Yanhong;CHEN Haiqin;LUO Wei;DENG Xingping(Nursing Department,Beijing Huilongguan Hospital,Beijing,102200,China)

机构地区：[1]北京回龙观医院护理部,北京市102200 [2]北京回龙观医院临床三科,北京市102200 [3]北京回龙观医院临床二科,北京市102200 [4]南京脑科医院护理部 [5]湖州市第三人民医院护理部 [6]北京回龙观医院康复科 [7]厦门市仙岳医院中西医结合科

出　　处：《中国护理管理》2025年第2期295-299,共5页Chinese Nursing Management

基　　金：北京回龙观医院龙跃计划项目(LY202403)。

摘　　要：目的:调查精神专科医院护士对国家卫生行业标准WS/T 431—2023《护理分级标准》的认知及落实情况,为精神科护理分级工作的进一步完善提供依据。方法:2024年3月—4月,采用方便抽样法,对全国31个省份的308家不同层级精神专科医院的6925名护士开展《护理分级标准》的认知现状问卷调查。结果:89.86%的精神科护士知晓《护理分级标准》,对一级与二级护理分级内容的掌握率分别仅为61.42%、66.76%;44.98%的精神科护士认为《护理分级标准》非常适合精神科;47.49%的精神科护士认为当前医院使用的护理分级方法非常适合精神科临床;护理管理者与临床护士对标准的知晓及掌握情况存在差异(P<0.05);护理分级的评定由医护人员共同确定的占比为54.11%,开具护理分级医嘱以医生为主导的占比为88.14%。结论:《护理分级标准》在精神专科医院护士中知晓度较高,但掌握情况不佳;该标准在精神科临床应用中存在局限性,需要探索更适合精神科护理分级的方法,不断完善精神科护理分级评估依据。Objective:To investigate the psychiatric nursing staff's understanding and practice of Standard for Nursing Classification WS/T 431-2023,a national standard for health services,so as to provide a basis for further improvement of psychiatric nursing classification.Methods:From March to April 2024,6925 psychiatric nurses in 308 psychiatric institutions at different levels in 31 provinces and regions were surveyed on their perception of Standard for Nursing Classification.Results:Totally 89.86%of psychiatric nurses knew the Standard for Nursing Classification,but grasped the nursing grading standard,among which the correct rate of primary and secondary nursing grading was only 61.42%and 66.76%,respectively.According to 44.98%of the psychiatric nurses surveyed,the standard was very suitable for psychiatric department,while 47.49%of the nurses thought that the current nursing classification used in their hospitals was very proper for clinical practice.There were differences in the knowledge and grasp of standards between nursing managers and clinical nurses(P<0.05).The evaluation of nursing classification was determined jointly by doctors and nurses,accounting for 54.11%,and the basis for issuing medical orders for nursing classification was dominated by doctors,accounting for 88.14%.Conclusion:Standard for Nursing Classification WS/T 431-2023 is well known in psychiatric institutions yet with limitations in clinical practice.It is necessary to explore more suitable methods for psychiatric nursing classification and constantly improve the evaluation basis of psychiatric nursing classification.

关 键 词：护理分级 精神科护士 认知 行业标准 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]