为了更好地协调某三级甲等医院卒中中心建设工作,卒中中心设置脑卒中专科护士岗位,工作职责包括协助脑卒中患者快速救治、健康教育、卒中项目协调、卒中质量监测与改进及医护人员培训等.通过有脑卒中专科护士参与的、多学科协作的卒中中心建设,卒中中心制度规范等更加完善,质量监测全达标病例比例从2009年-2010年的10.8％提高至2015年-2016年的81.1％(P＜0.001).脑卒中专科护士协调卒中中心建设是在医院质量改善方面的尝试,为专科护士角色的拓展提供了经验和参考,但也亟需规范的培养、认证及长期管理.%To better coordinate the construction of stroke center in one tertiary hospital,a specialist stroke nurse was hired,whose working scope included participation in rapid treatment of acute stroke patients,health education,stroke programme coordination,stroke quality surveillance,healthcare staff training and so on.Through the establishment of stroke center involving participation of the specialist stroke nurse,rules and regulations of the stroke center were improved while median Door-to-Needle time of intravenous thrombolysis was shortened from 98min in 2009～2010 to 58min in 2015～2016 and the percentage of zero quality defect medical records was improved from 10.8％ to 81.1％(P＜0.001).The involvement of specialist stroke nurse in coordination of stroke center is a new model for health quality improvement and provides some experience for specialized nurse role development and implementation.There is also a need for standardized training,professional certification and long-term management of specialist stroke nurse.
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