【摘要】 目的探讨基层医院如何开展护士连续排班模式,更好地解决护士拖班问题,确保护理质量和病人安全。方法将不同层级、不同工作能力和工作经验的护士分成几个小组进行排班,根据病区住院人数、护理工作量、护士定编等情况弹性安排每班人数不等的护士上班。结果实现了护士分层级管理,老护士的责任感加强了,工作价值感提升了,护士拖班率降低89.5%,实现了"三满意",即医生、护士、患者满意。结论基层医院结合实际工作特点开展连续排班模式,更好地保障了中午和夜间病人的安全,真正体现了"以病人为中心"的服务理念;减少交班次数,有效节省时间,提高工作效率,减少安全隐患;实现了护士分层级管理,提高护士价值感。更多还原

【Abstract】 Objective Discuss how to develop nurse arrange in groups mode in basic level hospital,resolve more effectively the problem of nurse delayed on duty to ensure nursing care quality and patients’ safety.Methods Divide nurses of different level,different working ability and work experience into several groups to carry on arranges in groups.According to the quantity of patient in ward,the nursing work load,nurse establishment and so on,arrange groups with different number of nurse to attend duty.Results Realized nurse level management,the senior nurse’s sense of responsibility strengthened,the work value feeling promoted,nurse delayed on duty rate reduced 89.5%;has realized "three satisfactions",namely doctor,nurse,the patient were satisfied.Conclusion Basic level hospital,according with practical work characteristics,develop arranges in groups pattern continuously,and thus has safeguarded the noon and at night patient’s safety well,has manifested truly "take the patient as the center" service idea;reduced times of handover,effectively save time of work,raises the working efficiency,reduces the safe hidden danger;realized nurse level management,enhanced nurse the value feeling.更多还原