层级管理在产科护理管理中的应用

目的探讨层级管理在产科护理管理中的应用。方法在我院妇产科实施层级护理管理,比较实施层级护理管理前后住院患者对护理工作满意度及护理部对护理质量考核得分的变化。结果实施层级护理管理后取得了以下效果：（1）患者对护士的服务、工作能力、沟通及病区管理及总体评价都有显著提高。（2）患者对初级护士和高级护士的评价显著提高,对中专学历及本科学历护士的满意度显著提高。（3）产科护士在理论知识、基础护理、专科护理、护理文书、危重患者护理、病房管理等方面显著提高。结论层级护理管理能够提高产科护理质量,值得在临床工作中广泛推广。

The Application of Hierarchical Management in the Management of Obstetrical Nursing

Objective To explore the application of hierarchical management in the management of obstetrical nursing.Methods Hierarchical nursing management was implemented in the obstetrics and compared the difference of nursing satisfaction and nursing quality assessment results before and after implementing the management.Results 1） Patients＇ satisfaction on nurses in the department of obstetrics before and after practicing the hierarchical management in terms of service attitude,the working ability,communication,ward management and overall evaluation was improved with significantly statistical difference（P 〈0.05）.2） Patients＇ satisfaction on senior and junior nurses before and after practicing the hierarchical management was improved with significantly statistical difference（P 〈0.05）,so was on nurses with technical school education or bachelor degree（P 〈0.05）.3） Theoretical knowledge,basic nursing,professional nursing,nursing records,nursing care of critically ill patients and ward management of nurses in obstetrics were significantly improved（P 〈0.05）.Conclusion Hierarchical management could improve the nursing quality in the department of obstetrics and worth being popularized.