护士自主排班的临床实践

发布时间：2018-06-04 14:41

本文选题：护理管理研究 + 护士　；参考：《中华护理杂志》2015年11期

【摘要】：目的通过实施医院临床护士自主排班模式,探讨自主排班的临床应用效果。方法选取北京市某三级甲等综合医院具备自主排班实施条件的临床科室试行护士自主排班模式。护理部组织相关科室及人员编写《护士自主排班指导原则》,经试行后对其部分内容进行修改、完善,并在全院范围内推广自主排班模式。推广1年后,采用自行编写的《自主排班实施情况调查表》对59个护理单元的333名护士进行问卷调查。结果我院各护理单元基本上已经开展了护士自主排班。在提前排班的时间上,71.11%的护士表示能够提前3个月及以上自选班次。90.63%的护士表示科室已经制订了具体的自主排班制度,且在执行过程中,护士对排班方式的满意度分别达到了97.60%。其中91.69%的护士表示科室能够满足其各种休假(病假、产假、婚假及探亲假等)。结论自主排班的顺利施行,有赖于完善的自主排班原则,并应结合各临床科室的实际情况进行。通过自主排班,体现了护理管理者的人性化管理,合理利用了护士人力资源,又体现了护理工作的职业优越性,提高了护士工作积极性,值得推广。
[Abstract]:Objective to explore the clinical application effect of independent shift arrangement by implementing the pattern of hospital clinical nurses. Methods A clinical department of Grade 3A General Hospital in Beijing was selected to carry out the independent shift arrangement model of nurses. The nursing department organized the relevant departments and personnel to compile the guiding principles of Nurses' Independent shift arrangement, and then revised and perfected some of its contents after trial, and popularized the pattern of autonomous shift arrangement in the whole hospital. A year later, 333 nurses in 59 nursing units were investigated with the self-compiled questionnaire. Results all nursing units in our hospital have basically carried out the nurse's independent shift arrangement. 71.11% of nurses said that they could select shift 3 months or more in advance. 90.63% of nurses said that the department had formulated a specific system of independent shift scheduling, and in the process of implementation, the nurses' satisfaction with the mode of shift scheduling reached 97.60 points respectively. Among them, 91.69% of nurses said that the department can meet their various kinds of leave (sick leave, maternity leave, marital leave and family visit leave, etc.) Conclusion the successful implementation of autonomous shift scheduling depends on the perfect principle of independent scheduling and should be carried out in combination with the actual situation of each clinical department. Through the independent shift arrangement, the humanized management of nursing managers, the rational use of nurses' human resources, the professional superiority of nursing work, the improvement of nurses' enthusiasm and the promotion of nurses' work are reflected.
【作者单位】：首都医科大学附属北京友谊医院护理部;
【分类号】：R47

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