摘要目的 探讨护理管理人员与护士联合查房在连续午、夜间查房模式中的应用效果。方法 将各科推荐的综合素质较高的护理骨干参与到护士长等护理管理人员中，按照护理部统一排班及查房内容与管理要求，每天进行午、夜查房。结果 实行联合连续午、夜查房模式后，护理质控综合得分、患者满意度及护理人员满意度均高于实施前，护理不良事件发生数低于实施前，差异均有统计学意义(t=3.19,x2=4.69，7.85,10.37；P ＜0.05或P＜0.01)。结论 实行联合连续午、夜查房模式，杜绝了护理管理盲区，保证了护理管理的连续性与安全性，强化了护理人员人人参与护理管理的意识，促进了护理质量持续改进与提高。减轻了护士与护理管理人员的工作压力，取到了优势互补的协同作用。同时，促进学习，使一大批护理人员得到锻炼，为护理人才储备了后备力量。

abstractsObjective To explore the application of nursing management staff and nurse joint rounds in afternoon and night rounds model. Methods Elite nurses with high comprehensive qualities recommended by every department joined into the nurse management personnel,and took afternoon and right rounds in line with the specific contents and requirements of shifts and rounds. Results After the implementation of joint afternoon and evening rounds model, the overall scores of nursing control quality, patient's satisfaction and nursing staff's satisfaction were higher than those before the implementation; the number of care and adverse events was lower than that before.the implementation (t = 3.19, x2 =4.69, 7.85, 10.37,P ＜0.05 or P ＜0.01). Conclusions Joint afternoon and night rounds model puts an end to the blind area of nursing management, ensures the continuity and safety of nursing management, strengthens nursing staff' s awareness of participation in all nursing management, promotes continuous improvement and enhancement of quality of care, reduces the work pressure of nurses and managing staff , achieves the effects of complementary synergy. And it also promotes learning,which trains a large number of nursing staff and provides the nursing personnel with reserve forces.