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目的为提高医患满意度,提升护理质量及医院的声誉,对护士岗位实施分类分层岗位管理。方法根据院分类分层岗位管理标准并结合科室特点,对护理工作进行分类分层,以确定岗位类别及职数,明确各类各层任职要求,建立能效体系及晋级考核制度,实施动态管理,实施2年后对效果进行评价。结果进行分类分层精细化管理后,护理质量明显提高,患者及内部需求方满意度明显提高(与实施前比较P<0.01),护士离岗率由2.83%降低到2.16%,患者住院时间由平均11.6天降低到9.2天。结论对护理岗位实施分类分层管理,能够有效提高护理效率,提升护理质量,减少医患矛盾,提升患者及医院内部需求方的满意度。
Objective To improve the satisfaction of doctors and patients, improve the quality of care and the reputation of the hospital, and implement nurse job classification and post management. Methods According to the classification standard of post management in hospital and the characteristics of departments, the nursing work was classified and stratified to determine the job category and number of jobs, clarify the job requirements of all levels, establish energy efficiency system and promotion examination system, implement dynamic management, 2 years after the implementation of the evaluation of the effect. The results showed that the quality of nursing care was significantly improved after the classification and stratification management. Satisfaction of patients and internal demand-parties was significantly improved (P <0.01 compared with that before the implementation), and the rate of nurses leaving-work decreased from 2.83% to 2.16% An average of 11.6 days reduced to 9.2 days. Conclusion The classification and management of nursing posts can effectively improve the nursing efficiency, improve the quality of nursing care, reduce the contradiction between doctors and patients, and enhance the satisfaction of patients and hospitals within the demand side.