摘要
目的:探讨ICU护理亚专科管理模式在ICU患者临床救治中的应用效果。方法:基于当前ICU患者的实际需求,制定精准、系统的组织架构、工作流程、联动机制、质控体系、动态跟访、科研转化等管理方案,构建一套护理亚专科多元联动、多向补充、协同发展的双向反馈机制的工作模式。采取类实验方法,将ICU护理亚专科管理模式实施前(2021年1月1日至12月31日)的患者设为对照组,ICU护理亚专科管理模式实施后(2022年1月1日至12月31日)的患者设为干预组,比较实施前后护士的核心能力、专科业务、敏感指标、满意度以及实施前后对患者产生的影响。结果:ICU护理亚专科管理模式实施后提升了护士的核心能力,减少了患者住院时间和机械通气时间,降低患者再入ICU率、ICU获得性衰弱、ICU获得性吞咽障碍、失禁性皮炎的发生率,降低非计划性拔管占比,提高了患者、护士、医生以及学生的满意度,差异均有统计学意义。结论:ICU护理亚专科管理模式的构建,可有效促进ICU护理亚专科建设、护理人员核心能力提升、重塑护理内涵、改善患者预后,最终促进医院护理事业的良性、可持续的发展。
Objective:To explore the application effect of ICU nursing sub-specialty management model in the clinical treatment of ICU patients.Methods:Based on the actual needs of ICU patients,a precise and systematic management plan including organizational structure,workflow,linkage mechanism,quality control system,dynamic follow-up,and scientific research transformation was formulated,to construct a working model of multi-linkage,multi-direction supplement and coordinated development of two-way feedback mechanism in sub-specialty nursing.The control group was set before the implementation of ICU nursing sub-specialty management mode(Jan 1 to Dec 31,2021),and the intervention group was set after the implementation of ICU nursing sub-specialty management model(Jan 1 to Dec 31,2022).The core competence,specialty,sensitive indicators,satisfaction,and impact on patients were compared before and after implementation.Results:After the implementation of the ICU nursing sub-specialty management model,the core competence of nurses was improved,and the hospitalization time and mechanical ventilation time of patients were reduced,the incidence of re-entry ICU,acquired weakness,acquired dysphagia and incontinence dermatitis was decreased,the proportion of unplanned extubation was decreased,and the satisfaction of patients,nurses,doctors and students was improved(P<0.05).Conclusion:The construction of ICU nursing sub-specialty management model can effectively promote the construction of ICU nursing sub-specialty,improve the core competence of nurses,reshape the connotation of nursing,improve the prognosis of patients,and ultimately promote the benign and sustainable development of hospital nursing.
作者
孙瑞祥
陶秀彬
江海娇
高红
余金甜
方可
SUN Ruixiang;TAO Xiubin;JIANG Haijiao;GAO Hong;YU Jintian;FANG Ke(Department of Critical Care Medicine,Yijishan Hospital,Wannan Medical College,Wuhu 241001,China;Department of Nursing,Yijishan Hospital,Wannan Medical College,Wuhu 241001,China)
出处
《沈阳医学院学报》
2024年第3期248-255,共8页
Journal of Shenyang Medical College
基金
安徽省卫生重点专科建设项目(No.皖卫函[2021]273号)
皖南医学院校级质量工程(No.2022jyxm24)
皖南医学院校级中青年课题(No.WK2023ZQNS20/WK2023ZQNS21)
皖南医学院弋矶山医院三新项目(No.Y23063)
皖南医学院弋矶山医院创新管理项目(No.CX2023022)。
关键词
ICU
护理亚专科
管理模型
构建与应用
ICU
nursing sub-specialty
management model
construction and application
