APN排班与护士层级管理在重症监护病房中的应用

摘要

目的 探讨APN排班与护士的层级管理在重症监护专科护理管理中的应用效果.方法 改变传统的排班模式,实施APN连续性分组排班,每小组均实行护理组长-责任护士-助理护士层级管理,新老搭配,使各项护理工作均能在监督指导下落实.结果 APN排班各班的护理人力安排均衡且交接次数比传统排班明显减少.实施APN排班与护士层级管理后,危重患者护理合格率由90.50%提高到98.50%,差异有显著性(P<0.05).结论 ICU开展APN连续排班和层级管理,有利于合理安排人力,分组排班,充分发挥团队协作精神及各层级护理人员的作用,有效降低年轻护士在岗时因专业能力不足所带来的安全隐患,确保护理安全,促进专科发展,全面提高护理质量.%Objective To explore the APN scheduling's and the hierarchical nurse management's effect on special nursing management of ICU.Methods Change the traditional Scheduling,and carry out the APN scheduling and the hierarchical nurse management by the experienced nurses and the less-experienced ones. All the nursing job is completed under supervising. Results After the practice of APN Scheduling, the nurse management is more rational. And the qualified rate of ICU nursing got a raise from 90.50% to 98.50%. Conclusions Carrying out the APN scheduling and the hierarchical nurse management in the ICU, can make the human capital arrangement more rational, and get a better team work. What's more, it can promote the development of the special nursing and the nursing quality.