Objective To evaluate the effects of on-duty head nurses on nursing quality control. Methods On-duty head nurse system was established for the nursing quality management of late night and holidays shifts of each nursing unit ,supervise nursing implementation,assist the rescue of critically ill patients and all kinds of difficult care issues and achieve 24-hour seamless management. The effects were compared before (2005)and after (2010)head nurse on duty system. Results After the implementation of on-duty head nurse system,the annual compliance rate of nursing quality indicators significnatly increased(P<0. 05) ; In accordance with the standards (hospitalized patients' satisfaction rate of the nursing work ≥ 90%), the satisfaction rates before and after on-duty head nurse system were 81. 25% and 97. 73% respectively,with significant difference(P<0. 05); Within 5 years, on-duty head nurses assisted the department completing the rescue of 125 critically ill patients and solving 102 cases of difficult care issues. Conclusion On-duty head nurse can effectively improve the nursing quality and safety in special session and improve the overall nursing level of hospital.%目的 探讨内科总值班护士长制度对护理质量的控制效果.方法 设立总值班护士长,负责内科各个护理单元晚夜班及节假日的护理质量管理,督导护理工作落实情况,协助科室进行危重患者的抢救并解决各类疑难护理问题,实现护理质量24 h无缝隙管理.对总值班护士长制度实施前(2005年)和实施后(2010年)的效果进行比较.结果 实施总值班护士长制度后,各项护理质量指标达标率逐年提高,且实施后与实施前比较,差异有统计学意义(P＜0.05);按照住院患者对护理工作满意率≥90%的标准,实施前后内科护理工作满意度达标率分别为81.25%、97.73%,两者比较差异有统计学意义(P＜0.05);实施5年来,共协助科室完成125次危重患者抢救,解决102例疑难护理问题.结论 总值班护士长能够有效提高特殊时段的护理质量和护理安全,提高医院整体护理水平.
展开▼
