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基于护士分级的病区临床护士工作分工研究

甘红霞 赵庆华 谢莉玲 肖明朝 康简   

  1. 重庆医科大学附属第一医院护理部
  • 出版日期:2015-05-25 发布日期:2015-05-25
  • 基金资助:
    国家临床重点专科护理建设项目 [ 财社(2010)305 号]

Work division of clinical nurse based on nurse grading management

  • Online:2015-05-25 Published:2015-05-25

摘要: 目的:在护士分层级的基础上,构建一套科学、规范和实用的病区临床护士工作分工方案。方法:通过资料分析法、实地观察法初步界定病区各层级临床护士的工作分工,采用Delphi 专家函询法对其进行论证,构建不同层级临床护士的工作分工。结果:专家函询中,两轮问卷回收率分别为79.1%、95.0%,权威系数分别为0.868、0.875,协调系数分别为0.209、0.271,经卡方检验P <0.01,差异具有统计学意义;构建出N0 级护士6 项、N1 级护士6 项、N2 级护士10 项、N3 级护士10 项、N4级护士10 项和N5 级护士10 项共52 项工作分工。结论:构建的病区各层级临床护士工作分工具有较高的科学性、可靠性和实用性,可为病区临床护士的工作提供具体明确的指导,为护理管理者构建岗位职责提供方法和理论依据。

Abstract: Objective: To establish a scientific, standardized and practical work division of the clinical nurses based on nurses grading management. Methods: The data analysis method and field research method are used to preliminarily define the work division contents of the clinical nurses of different grades in the inpatient area; then the Delphi expert inquiry method was implemented to establish the work division of the clinical nurses of different grades. Results: In the expert inquiry, the effective response rate of the questionnaire in two rounds was 79.1% and 95.0%, with authority coefficient of 0.868 and 0.875 and coordination coefficient of 0.209 and 0.271 (P<0.01), respectively. It also established a 52-item work division system, including 6 items for N0-grade nurse, 6 items for N1-grade nurse, 10 items for N2-grade nurse, 10 items for N3-grade nurse, 10 items for N4-grade nurse and 10 items for N5-grade nurse. Conclusion: The work division establishment of the clinical nurses of different grades in the inpatient area was scientific, reliable and practical, and it provided a clear and specific guidance to the clinical nurses' work in inpatient area.