【摘要】 目的 探讨医院在进行内科护理管理期间层级管理模式的应用效果。方法 选取2021年6月—2023年9月枣庄市峄城区吴林街道社区卫生服务中心的12名内科护理人员作为研究对象，其中2021年6月—2022年7月实施常规管理方法，设为参照组；2022年8月—2023年9月实施层级管理方法，设为研究组。对比两组内科护理人员的投诉、差错事件、护理管理质量评分以及护理管理满意度评分。结果 研究组无投诉以及差错事件出现；参照组发生投诉事件2起，发生差错事件2起。研究组护理人员安全管理、指导服务、急救护理、卫生处理评分分别为（92.25±3.25）分、（93.16±3.15）分、（92.17±4.22）分、（93.19±5.12）分，均高于参照组的（85.33±3.16）分、（86.12±4.11）分、（87.13±3.25）分与（88.29±2.25）分，差异均有统计学意义（t=5.288,4.709,3.277,3.035;P均<0.05）。研究组护理人员各项护理管理满意度评分均高于参照组，差异均有统计学意义（P均<0.05）。结论 内科护理实施层级管理模式，可降低护理人员的投诉以及差错事件发生风险，并提升护理人员的护理管理质量以及护理管理满意度。更多还原

【Abstract】 Objective To explore the application effect of the hierarchical management model during the nursing management of internal medicine in hospitals. Methods A total of twelve nursing staff working in the Department of Internal Medicine of Community Health Service Center in Yicheng District, Wulin Street, Zaozhuang City from June 2021 to September 2023 were selected as the research objects. From June 2021 to July 2022 implemented the conventional management method and were set as the reference group, from August 2022 to September 2023 implemented the hierarchical management method and were set as the research group. The complaint, error events, nursing management quality scores, and nursing management satisfaction scores of the nursing staff in the two groups were compared. Results Among the twelve nursing staff in the research group, there were no complaints or error events.Among the twelve nursing staff in the reference group, there were 2 complaint events and 2 error events. The scores of safety management, guidance service, emergency nursing, and sanitation treatment of the nursing staff in the research group were 92.25±3.25, 93.16±3.15, 92.17±4.22, and 93.19±5.12 respectively, which were higher than 85.33±3.16, 86.12±4.11, 87.13±3.25, and 88.29±2.25 in the reference group,and the differences were statistically significant(t=5.288, 4.709, 3.277, 3.035; all P<0.05). The satisfaction scores of the nursing staff in the research group for various aspects of nursing management were all higher than those in the reference group, and the differences were statistically significant(all P<0.05). Conclusion Implementing the hierarchical management model in internal medicine nursing can reduce the complaint and error events, and improve the nursing management quality and nursing management satisfaction of nursing staff.更多还原