目的 探讨护士分层级管理对促进护理质量持续改进的效果.方法 建立护士分层级管理制度,依据护士学历、工龄、职称、能力及科室工作情况,人员特点将护士分为5个层级,重组各班各级人员职责与工作标准,实行APN连续性排班.结果 经过6个月的管理运行,护理质量检查指标明显提高,基础护理到位,患者满意度增加,护士的工作分工明确,责任落实到人,护患纠纷次数减少,护长的凝聚力日益增强.结论 加强护士分层级管理,建立一套完整的护理管理新模式,是促进护理质量持续改进的关键.%Objective To investigate the effect of management of nurses with different levels of professional skills on promoting increasing improvement of quality of care.Methods The nursing staff were divided into five groups with different levels of professional skills based on professional education background,length of service,job title,work experience and working requirement of the department.The nurses were reassigned on the basis of duty and standards.APN continuous arrangement of duty was implemented.Results After 6-month of implementation, quality of care was significantly improved,basic care was ideal,rate of patient satisfaction was increased,nurses's responsibilities were clear,rate of nurse-patient disputes was reduced,and prestige of the head nurse was elevated.Conclusions Strengthened management of nurses with different levels of professional skills and establishment of a complete new model of care management is the key to increasing improvement of quality of care.
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