首页|静脉用药调配中心护理人员岗位管理体系的实施

静脉用药调配中心护理人员岗位管理体系的实施

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目的 探索适宜静脉用药集中调配中心(Pharmacy Intravenous Admixture Services,PIVAS)护理人员岗位的管理体系.方法 选取2021年7月—2022年6月于昆山市第一人民医院PIVAS工作的12名护理人员作为研究对象,2021年7-12月采用常规护理管理方法,2022年1-6月开始基于PIVAS的特点对护理人员进行岗位管理,两种护理方法均为同一批护理人员.比较不同管理方法护理人员的考核成绩、管理满意度、工作中专业素质的表现.结果 PIVAS岗位管理下护理人员理论考试成绩[(95.54±3.67)分]和实际操作成绩[(96.78±2.84)分]高于常规管理,差异有统计学意义(P均<0.05).PIVAS岗位管理下护理人员PIVAS核心制度及护理工作流程,静脉用药混合调配操作规程,洁净区清场、清洁和消毒操作规程,细胞毒性药物调配及溢出操作规程,洁净环境控制及废弃物处置操作规程,文件文档书写及保管,PIVAS应急事件处理操作规程评分均优于常规管理,差异有统计学意义(P均<0.05).PIVAS岗位管理下护理人员对管理的总满意度高于常规管理,但差异无统计学意义(P>0.05).结论 对PIVAS护理人员进行PIVAS岗位管理,可提升护理人员的岗位胜任能力,充分发挥护理调配岗位的作用,确保患者的用药安全,进一步提高护理人员的专业水平.
Implementation of the Nursing Staff Position Management System in the Intravenous Medication Dispensing Center
Objective To explore the nursing staff position management system suitable for pharmacy intravenous ad-mixture services(PIVAS).Methods 12 nursing staff working in PIVAS of Kunshan First People's Hospital from July 2021 to June 2022 were selected as the study objects.The routine nursing management method was used from July to December 2021.From January to June 2022,the position management of nursing staff was used based on the charac-teristics of PIVAS,all of which were the same batch of nursing staff.The assessment scores,management satisfaction,and professional quality performance of nursing staff were compared between different management mothods.Results The theoretical test scores[(95.54±3.67)points]and practical operation scores[(96.78±2.84)points]of nursing staff in PIVAS position management were higher than those in conventional management,the differences were statistically sig-nificant(both P<0.05).The scores of PIVAS core system and nursing work process of nursing staff,intravenous drug mixing and preparation operating procedures,clean area clearance,cleaning and disinfection operating procedures,cy-totoxic drug compounding and spillage operating procedures,clean environment control and waste disposal operating procedures,document writing and storage,PIVAS emergency incident handling operating procedures under the man-agement of PIVAS positions were better than those of routine management,the differences were statistically significant(all P<0.05).The total satisfaction of nursing staff with PIVAS positions management was higher than that with routine nursing management,but the difference was not statistically significant(P>0.05).Conclusion The management of PIVAS positions can improve the competence of nursing staff,give full play to the role of nursing deployment posi-tions,ensure patient medication safety,and further improve the professional level of nursing staff.

Intravenous medication centralized dispensing centerNursing staffPost managementNursing manage-ment

黄敏、王利娟、刘瑞珏

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昆山市第一人民医院药学部,江苏昆山 215300

静脉用药集中调配中心 护理人员 岗位管理 护理管理

2024

中国卫生产业
全国卫生产业企业管理协会

中国卫生产业

影响因子:0.692
ISSN:1672-5654
年,卷(期):2024.21(4)