摘要目的 探讨利用现有的护理人力资源,建立实施科室节假日护理安全主管值班制的方法和效果.方法 建立节假日护理主管值班制,比较实施前后节假日期间的护理质量、患者满意度、医生对护士的满意度及护理缺陷及投诉的发生率,进行效果评价.结果 实施后护理质量较实施前有明显提高,差异具有统计学意义(P＜0.05);患者满意度由实施前的87.50％上升至96.67％,医生对护士的满意度由实施前的84.00％上升至98.00％,差异均有统计学意义(x2分别为6.92,4.40;P ＜0.05);护理缺陷及投诉明显降低,由实施前的8例降至实施后的1例.结论 科室节假日护理安全主管值班制的实施,提高了护理质量及患者满意度,确保了节假日护理工作安全,并使一批护理人员得到了培养和锻炼,有利于护理管理人才的成长和储备.

abstractsObjective To explore the methods and effects of establishing and enforcing departmental duty system of nursing safety supervisor during festivals and holidays with available nursing manpower resource.Methods Departmental duty system of nursing safety supervisor during festivals and holidays was established.The effects of the duty system were evaluated by comparing the index of nursing quality,patients satisfaction,doctors satisfaction to nurses,nursing defects and complaints rate during festivals and holidays before and after the enforcement of the duty system.Results After enforcing the duty system,nursing quality raised significantly (P ＜0.05 ).Both degrees of patients and doctors to nurses satisfaction significantly increased (from 87.5％ to 96.67％ and from 84.0％ to 98.0％,P＜0.05).Nursing defects and complaints decreased significantly from eight cases to one case after the implementation.Conclusions Enforcing of departmental duty system of nursing safety supervisor during festivals and holidays improved nursing quality and patients satisfaction,ensured nursing safety during festivals and holidays,trained a batch of nurses,and is beneficial for the growth and reserving of nursing management talents.