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护理部行政管理与督导专家双重管理制在护理管理中的实践及效果评价

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目的 探索护理部行政管理与督导专家双重管理机制在护理管理中的应用效果。方法 我院于2019年初采用护理部行政管理与督导专家双重管理机制,通过对护理结构质量、过程质量和终末质量的控制,督导护士执业行为、护士长管理工作、护理教学与培训、护理科研以及协助护理部参与护理工作有关的其他工作等。选取2017年1月—2019年5月实施前的科室护士和2019年6月—2021年12月实施后的科室护士。比较实施前后的护理敏感指标、护理质量管理、满意度、护士执业行为等方面,并对学科发展成果进行阐述。结果 2组护理敏感指标比较,观察组2期以上压疮发生率、气管导管非计划拔管发生率、导尿管非计划拔管发生率、胃肠管(经口鼻)非计划拔管发生率差异有统计学意义(P<0。05);护理管理质量中基础分级护理质量、急救药品(物品)质量管理、护理技术操作、护理文书质量优于对照组,差异有统计学意义(P<0。05);护士与患者满意度,护士不良执业发生率,观察组也优于对照组,差异有统计学意义(P<0。05)。我院护理学科的科研学术成果、专科发展水平等均有较好提升。结论 护理部行政管理与督导专家双重管理制在护理管理实践应用过程中有利于提升护理管理效能,提高护理质量,保障护理安全,规范护士执业行为,提高护士长岗位胜任力,并有利于促进医院护理学科的全面、协调、可持续发展。
Practice and effect evaluation of the dual management system of administrative management and supervising experts in nursing department
Objective To explore the application effect of the dual management mechanism of administrative man-agement and supervision experts in nursing management.Method At the beginning of 2019,the dual management mechanism of administrative management and supervision experts in nursing department was applied to nursing man-agement in our hospital.Nurse practice behavior,head nurse management work,nursing teaching and training,nursing research,and assist the nursing department participate the other work related to nursing work were super-vised by the control of nursing structure quality,process quality,and end quality.Department nurses before the es-tablishment of the Nursing Supervision Committee from January 2017 to May 2019 and department nurses after the establishment of the Nursing Supervision Committee from June 2019 to December 2021 were object.Nursing sensi-tive indicators,nursing quality management,satisfaction,and nurse professional behavior between before and after impcementation were compared,and the development achievements of the discipline were elaborated.Results There was no statistically significant difference(P>0.05)in the incidence of pressure ulcers above stage 2,falls and inju-ries among hospitalized patients,unplanned extubation of tracheal catheters,unplanned extubation of catheters,and unplanned extubation of gastrointestinal tubes(via mouth and nose)between the two groups in terms of various indi-cators;The basic grading nursing quality,first aid drug(item)quality management,nursing technical operation,and nursing document quality in nursing management quality were better than those in the control group,and the differences were statistically significant(P<0.05);The satisfaction rate between nurses and patients,as well as the incidence of bad behavior,were significantly higher in the observation group than in the control group(P<0.05);Our nursing discipline has achieved significant improvement in scientific research and academic achievements,as well as the level of professional development.Conclusion In the application process of nursing management practice,the dual management system of administrative management and supervision experts in nursing department is beneficial for improving nursing management efficiency,improving nursing quality,ensuring nursing safety,standardizing nursing practice behavior,enhancing the competence of head nurses,and promoting the comprehensive,coordina-ted,and sustainable development of nursing disciplines in hospitals.

administrative management of the nursing departmentsupervising expertsdual management systemstandardized practice of nursesnursing quality and safetynursing management

黄敏、何容芳、黄厚强、郭声敏、郑思琳

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西南医科大学附属医院呼吸与危重症医学科,四川泸州 646000

西南医科大学附属医院心身医学科,四川泸州 646000

西南医科大学附属医院护理部,四川泸州 646000

护理部行政管理 督导专家 双重管理制 护士规范化执业 护理质量与安全 护理管理

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(2)
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