北京市5所医院护理岗位垂直管理实施中的问题与建议

发布时间：2018-04-10 10:18

选题：垂直管理　视角：质性研究　引自：《中华护理杂志》2017年08期

【摘要】：目的了解护理岗位垂直管理实施过程中的问题及相应建议,为实行护理岗位管理改革提供参考依据。方法通过目的抽样的方法,选取北京市5所岗位管理试点医院的护理管理者、临床护士、科主任和绩效处处长等进行半结构访谈。采用Colaizzi现象学分析法进行分析。结果通过对访谈资料进行分析,总结护理岗位垂直管理实施过程中遇到的问题,包括4个主题:影响科室内部管理与合作、绩效分配方案的科学性和公开度不够、高年资护士绩效分配和岗位设置问题突出、临时调配护士存在胜任力和归属感问题;总结护理岗位垂直管理工作的建议,包括4个主题:提高科室对护士管理的参与度、公开绩效分配制度并征求多方意见、为高年资护士提供职业发展空间、设置规范化培训和储备护士库,避免随意调配。结论护理岗位垂直管理实施过程中仍存在很多问题,包括科室内部管理与合作、绩效分配方案的科学性和公开度不够、高年资护士绩效分配和岗位设置问题等。建议从提高科室对护士管理的参与度、公开分配制度并征求多方意见、为高年资护士提供职业发展空间等方面着手,促进护理岗位垂直管理的顺利实施。
[Abstract]:Objective to understand the problems and corresponding suggestions in the implementation of vertical nursing post management, and to provide reference basis for carrying out nursing post management reform.Methods through the method of objective sampling, the nursing managers, clinical nurses, department directors and directors of the performance department of 5 pilot hospitals of post management in Beijing were selected for semi-structured interviews.Colaizzi phenomenological analysis was used.Results through the analysis of interview data, the problems encountered in the implementation of vertical management of nursing posts were summarized, including four themes: affecting the internal management and cooperation of departments, and the scientific and open degree of the performance distribution scheme was not enough.The problems of performance distribution and post setting of senior nurses are prominent, the problems of competency and sense of belonging exist in temporary deployment of nurses, and the suggestions of vertical management of nursing posts are summarized, including four topics: enhancing the participation of departments in nursing management.Open performance distribution system and seek opinions, provide career development space for senior nurses, set up standardized training and reserve nurse bank, avoid arbitrary deployment.Conclusion there are still many problems in the implementation of vertical management of nursing posts, including internal management and cooperation in departments, lack of scientific and open performance distribution scheme, performance assignment and post setting of senior nurses, etc.It is suggested to improve the participation of departments in nursing management, to open the distribution system and to solicit opinions, and to provide career development space for senior nurses so as to promote the smooth implementation of vertical management of nursing posts.
【作者单位】：北京大学护理学院;北京市医院管理局;
【分类号】：R47

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