Research on the Impact of Nurse Layered Management on Improving the Quality of Internal Medicine Nursing
Objective To explore the impact of nurse hierarchical management on improving the quality of internal medicine nursing.Methods A total of 40 internal medicine nurses from the department of critical care medicine,Huanghua Municipal People's Hospital from December 2021 to December 2022 were selected and randomly divided into two groups of 20 each using a random number table method.The control group was given routine management,while the observation group was given hierarchical management by nurses.The occupational quality of life scale/management effectiveness,nursing quality score,self-efficacy and effectiveness evaluation,and incidence of nursing unsafe events were compared.Results The observation group had higher work environment,work family balance,social environment,and workload scores than the control group(P<0.05).The observation group had higher levels of health education,basic nursing,professional nursing,and ward management than the control group(P<0.05).The self-efficacy,superior nurse evaluation,doctor evaluation,and nurse self-evaluation of the observation group were all higher than those of the control group(P<0.05).The qualification rate of basic nursing in the observation group(90.00%),the implementation rate of health education(95.00%),the nurse's understanding of the patient's condition(95.00%),and the patient satisfaction rate(90.00%)were all higher than those in the control group(50.00%,55.00%,50.00%,50.00%)(P<0.05).The incidence of unsafe nursing events in the observation group was 5.00%,which was lower 40.00%of the control group(P<0.05).Conclusion Hierarchical management of nurses has a significant improvement effect on the quality of internal medicine nursing and can enhance their self-efficacy.
layered managementdepartment of internal medicinenursing qualityself efficacysecurity incidentsmanagement effectiveness