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基于精细化管理的护理岗位分类分级模型构建 被引量:23

Construction of the model of clinical nursing post classification based on delicacy management
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摘要 目的构建并实施医院临床护理岗位分类分级管理计算模型。方法2018年10—12月,通过筛选院内的临床科室护士长作为咨询专家,采用德尔菲法对临床科室人均工作量、工作质量、患者满意度、护理年夜班数等进行指标确定并权重赋值,结合2018年全年的医院信息系统后台数据构建临床护理岗位分类分级计算模型,依据计算结果对临床科室进行护理岗位分类分级。结果两轮专家咨询分别获得体现护士工作量及工作强度的82项护理项目,各项目权重赋值0.80~16.14;以此结合医院信息系统数据构建计算模型,获知临床科室护理岗位分类分级排名,将全院临床科室分为3类6级,实现护理岗位分类分级的精准管理。结论临床护理岗位分类分级计算模型构建过程科学、严谨,为动态护士绩效管理及临床护理人力资源合理配置提供了科学依据,为落实精准护理管理提供借鉴。 Objective To construct and implement a calculation model of clinical nursing post classification.Methods Between October to December 2018,head nurses of the hospital were screened as consultants,and Delphi method was used to determine the indicators,while the weights were assigned from the aspects of nursing workload,work quality,patient satisfaction and number of nursing night shifts.Combined with HIS data,the calculation model of clinical nursing post classification was constructed to classify clinical nursing units into different categories and levels.Results After two rounds of expert enquiry,82 nursing work items were identified and the objective weight assignment was determined ranging from 0.80 to16.14.According to the established calculation model and HIS data,nursing posts in clinical departments were classified into 6 levels and 3 categories,and the accurate management of clinical nursing post classification was achieved.Conclusions The construction of a calculation model is scientific and rigorous,which provides a scientific basis for dynamic nurse performance management and rational allocation of human resources.In addition,it provides a useful reference for accurate nursing management.
作者 蔡安烈 包正军 谭江红 田艳珍 王浪 言虹萱 黄红斌 李娟 Cai Anlie;Bao Zhengjun;Tan Jianghong;Tian Yanzhen;Wang Lang;Yan Hongxuan;Huang Hongbin;Li Juan(President′s Office,Affiliated Zhuzhou Hospital of Xiangya School of Medicine,Central South University,Zhuzhou 412000,China;Nursing Department,Affiliated Zhuzhou Hospital of Xiangya School of Medicine,Central South University,Zhuzhou 412000,China;Computer Centre,Affiliated Zhuzhou Hospital of Xiangya School of Medicine,Central South University,Zhuzhou 412000,China)
出处 《中华医院管理杂志》 CSCD 北大核心 2019年第12期1027-1031,共5页 Chinese Journal of Hospital Administration
关键词 医院管理 护理岗位 精细化管理 模型 德尔菲法 Hospital administration Nursing post Delicacy management Models Delphi method
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