Analysis of the application of hierarchical group system management in improving the initiative and qualityof care of ICU nursing staff
分层次小组制管理在提高ICU护理人员主观能动性和护理质量中的应用分析

摘要

目的 探究在重症监护病房（ICU）护理人员中实施分层次小组制管理对提高其主观能动性、护理质量的效果。方法 回顾性分析2020年9月至2021年9月于我院ICU工作的46名护理人员作为研究对象，2020年9月-2021年2月实施常规管理模式设为实施前，2021年3月-2021年9月实施分层次小组制管理模式设为实施后。比较实施前、实施后理论成绩、操作技能、主观能动性、护理质量及护理满意度。结果 实施后护理人员理论知识、操作技能考核评分分别为[（92.77±5.02）分、（93.44±5.38）分]和主观能动性中沟通技巧、服务态度、理论知识、服务质量、医护患合作评分[（8.69±1.01）分、（8.69±1.01）分、（9.12±0.29）分、（9.25±0.37）分、（9.15±0.36）分]均高于实施前，有统计学意义（P＜0.05）；实施后护理质量中病情掌握、基础护理工作、急救物品管理、护理文件书写、病区管理、护理措施落实、达成治疗目标、抢救成功评分[（89.43±4.01）分、（84.23±3.59）分、（85.57±3.18）分、（85.59±2.20）分、（85.82±2.01）分、（85.77±3.25）分、（85.81±3.12）分、（86.82±2.15）分]和护理满意度中排班合理、职责明确、同事相处融洽、拖班情况少、工作积极性高、及时解决疑难问题评分分别为[（3.97±0.56）分、（4.26±0.37）分、（4.52±0.26）分、（4.06±0.48）分、（4.37±0.51）分、（4.69±0.26）分]均高于实施前，差异有统计学意义（P＜0.05）。结论 分层次小组制管理能够有效提高ICU护理人员理论及操作技能考核成绩，调动主观能动性，进而提升护理质量，获得更高护理满意度，可于医院管理中进一步推广。

Abstract

Objective: To investigate the effect of implementing hierarchical group system management among nursing staff in intensive care unit (ICU) on improving their subjective motivation and quality of care.
Methods: Forty-six nursing staff working in our ICU from September 2020 to September 2021 were retrospectively analyzed as the study subjects, and the implementation of the conventional management model from September 2020 to February 2021 was set as the pre-implementation period, and the implementation of the hierarchical group system management model from March 2021 to September 2021 was set as the post-implementation period. The theoretical achievements, operational skills, subjective motivation, nursing quality and nursing satisfaction were compared before and after implementation.
Results: The theoretical knowledge and operational skills assessment scores of nursing staff after implementation were [(92.77±5.02), (93.44±5.38)] and subjective motivation in communication skills, service attitude, theoretical knowledge, service quality, and medical and nursing patient cooperation scores [(8.69±1.01), (8.69±1.01), (9.12±0.29), ( (9.25±0.37), (9.15±0.36)] were higher than those before the implementation, which was statistically significant (P<0.05); the scores of condition mastery, basic nursing work, management of emergency items, nursing documentation, ward management, implementation of nursing measures, achievement of treatment goals, and successful resuscitation in nursing quality after the implementation [(89.43±4.01), (84.23± 3.59), (85.57±3.18), (85.59±2.20), (85.82±2.01), (85.77±3.25), (85.81±3.12), (86.82±2.15)] and nursing satisfaction scores in terms of reasonable scheduling, clear responsibilities, colleagues getting along well, few delayed shifts, high work motivation, and timely (3.97±0.56), (4.26±0.37), (4.52±0.26), (4.06±0.48), (4.37±0.51), (4.69±0.26)] were higher than those before implementation, and the differences were statistically significant (P<0.05).
Conclusion  : Hierarchical group system management can effectively improve the theoretical and operational skills assessment scores of ICU nursing staff, mobilize subjective motivation, and then improve nursing quality and obtain higher nursing satisfaction, which can be further promoted in hospital management.