優(yōu)質(zhì)護(hù)理示范工程在臨床中的應(yīng)用優(yōu)質(zhì)護(hù)理服務(wù)示范工程活動(dòng)方案 【摘要】 目的：探討創(chuàng)建優(yōu)質(zhì)護(hù)理示范病房的方法與成效。方法：先后確立6個(gè)科室為試點(diǎn)病房，從改變護(hù)理服務(wù)理念和護(hù)理工作模式，增強(qiáng)護(hù)理人力資源、加強(qiáng)基礎(chǔ)護(hù)理、落實(shí)“護(hù)士床邊工作制”、強(qiáng)化健康教育，評(píng)估護(hù)理服務(wù)效果，完善績(jī)效考核制度等方面進(jìn)行探索，創(chuàng)建和完善優(yōu)質(zhì)護(hù)理示范病房。結(jié)果：實(shí)施優(yōu)質(zhì)護(hù)理服務(wù)后，患者對(duì)護(hù)士工作滿意度由90.88%上升到99.83%；呼叫率由66.85%下降到16.36%；陪護(hù)率及自聘護(hù)工率由97.56%下降到69.26%；患者對(duì)健康知識(shí)知曉率由82.36%上升到97.58%；護(hù)士自我滿意度由79.08%提高到了93.02%；醫(yī)生對(duì)護(hù)士工作的滿意度由76.06%提高到了94.05%；無(wú)投訴率及護(hù)理并發(fā)癥的發(fā)生。結(jié)論：通過(guò)創(chuàng)建優(yōu)質(zhì)護(hù)理示范病房，可以提高患者、家屬、醫(yī)護(hù)人員的滿意度，提高整體護(hù)理質(zhì)量，達(dá)到患者、社會(huì)和政府三滿意。 【關(guān)鍵詞】 醫(yī)院； 優(yōu)質(zhì)護(hù)理服務(wù)； 成效 Clinical Application of High Quality Nursing Demonstration Project/HUANG Hui，CHEN Li，GUO Zi-yun./Medical Innovation of China，xx，9(25):041-043 【Abstract】 Objective: To explore the methods and effectiveness of creating high-quality care demonstration ward.Method:Has established six departments for the pilot unit to change the philosophy of care services and the mode of care，enhancing nursing human resources，strengthening basic care，the implementation of the nurse bedside working to strengthen health education，assess the effect of nursing services，and improve the performance appraisal system and other aspects to explore，create and improve quality care demonstration ward.Result:Patients after the implementation of the job satisfaction of nurses has increased by 90.88% to 99.83%;call rate down from 66.85% to 16.36%;aompanying rate and self-employed care workers decreased from 97.56% to 69.26%;patients health awareness rate increased from 82.36% to 97.58%;nurse self-satisfaction from 79.08% to 93.02%;doctors nurses work satisfaction increased from 76.06% to 94.05%;plaints and care the incidence of plications.Conclusion:By creating high-quality care demonstration wards so that patients，their families，medical staff satisfaction improved significantly improve the overall quality of care to patients，society and government three satisfaction. 【Key words】 Hospital; High quality nursing service; Effectiveness First-authors address:Maternal and Child Health Hospital of Tongling City Anhui Province，Tongling 244000，China doi：10.3969/j.issn.1674-4985.xx.25.022 為貫徹落實(shí)衛(wèi)生部關(guān)于進(jìn)一步加強(qiáng)臨床護(hù)理工作 _和安徽省衛(wèi)生廳xx年開(kāi)展“優(yōu)質(zhì)護(hù)理服務(wù)示范工程”活動(dòng)的要求，xx年5月-xx年12月筆者所在醫(yī)院先后確立6個(gè)科室為試點(diǎn)病房，從改變護(hù)理服務(wù)理念和護(hù)理工作模式、增強(qiáng)護(hù)理人力資源、加強(qiáng)基礎(chǔ)護(hù)理、落實(shí)“護(hù)士床邊工作制”、強(qiáng)化健康教育、評(píng)估護(hù)理服務(wù)效果、完善績(jī)效考核制度等方面進(jìn)行探索，取得了較好的效果，現(xiàn)將具體做法介紹如下。 1 資料與方法 1.1 一般資料 xx年5月-xx年12月醫(yī)院先后確立了6個(gè)科室為試點(diǎn)病房，即心血管內(nèi)科、消化內(nèi)科、婦科、產(chǎn)科、普兒科、NICU。其中NICU核定床位數(shù)4張，配置護(hù)士10人，床護(hù)比為l:2.5；其余5個(gè)示范病房核定床位數(shù)總數(shù)180張，共配置護(hù)士76人，床護(hù)比為l:0.4以上；護(hù)士年齡2052歲；職稱：副主任護(hù)師2名，主管護(hù)師18名，護(hù)師36名，護(hù)士30名；學(xué)歷：本科18名，大專63名，中專5名；工作年限：13年26名，35年18名，5年以上42名。 1.2 方法 1.2.1 準(zhǔn)備工作 1.2.1.1 轉(zhuǎn)變護(hù)理服務(wù)理念 院領(lǐng)導(dǎo)對(duì)“示范工程”給予了高度重視