【摘要】 目的探讨专科护士培养与管理实践方法,为我国专科护士管理提供参考。方法医院设立兼职专科护士及专职专科护士岗位,建立专科护士工作量化评价方法和专科护士工作能力综合评价指标,明确准入条件、工作范围、岗位职责、角色职能、考核指标及岗位待遇等,给予兼职专科护士高于普通护士的奖金待遇,专职专科护士与护士长同等奖金系数待遇等。结果 2001~2017年共培养专科护士156人(专职9人、兼职147人),18个护理专科培训基地为外院培养了1 000多名专科护士;本院专科护士均有效完成专科护理工作;2010年以来院内患者压疮、跌倒、非计划性拔管,ICU呼吸机相关肺部感染、中心静脉导管相关性血流感染尿管相关泌尿系感染发生率逐年下降。结论规范的专科护士培养、使用及管理机制有利于提高专科护理质量及专科护理人才梯队建设,推动专科护理发展。更多还原

【Abstract】 Objective To explore methods for training and management of nurse specialists.Methods We set part-time and full-time nurse specialist posts,built quantitative evaluation of their work and comprehensive evaluation of their work ability,as well as identified entrance criteria,work scope,post duties,role functions,appraisal indicators and post remuneration,etc.Higher bonus was given for part-time nurse specialists than general nurses and the bonus for full-time nurse specialists was the same as head nurse.Results A total of 156 nurse specialists were cultivated in 2001-2017,of whom 9 were full-time and 147 were part-time.And we also cultivated more than 1 000 nurse specialists for the other hospitals in 18 specialties.Both full-time and part-time nurse specialists fulfilled their work obligations.The incidence rates of pressure ulcers,falls,unplanned extubation,ICU ventilator-associated pneumonia,central venous catheter-related bloodstream infections,and catheter-related urinary tract infections have decreased year by year since 2010.Conclusion Standardized training,utilization and management of nurse specialists can improve quality of nursing and construction of talent ladder,thus to promote development of specialty nursing.更多还原