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目的:探索一套适合基层医院护理人力资源分级管理方式。方法:运用问卷调查法,通过院内和科内竞聘上岗的方式将护理人员设置为护理主管、一级护士、二级护士3层。制定各层级护理人员的岗位职责,分层级进行培训及考核,实施效益工资与护士分级管理挂钩的分配方案。结果:采用分级管理模式后提高了护理质量及护理管理效率,护士的专业理论、技能、专业成就感、满意度及病人的满意度均提高,和实施前比较有统计学意义(P<0.05)。结论:基层医院护理人员人力资源分级管理模式是一套适合在基层医院推广使用的管理模式,使基层医院护理人力资源得到均衡使用。
Objective: To explore a set of management methods suitable for nursing human resources in primary hospitals. Methods: By means of questionnaire, nurses were set up as nursing supervisors, first-level nurses and second-level nurses by the way of competing for posts in hospital and department. Formulate the duties and responsibilities of nurses at all levels, carry out training and examination at different levels, and implement the distribution plan linked with the effective salary and nurses’ grading management. Results: The quality of nursing and the efficiency of nursing management were improved after graduation management. Nurses ’professional theory, skills, professional accomplishment, satisfaction and patients’ satisfaction increased significantly compared with those before the implementation (P <0.05) . Conclusion: The human resources management model of grassroots hospital nurses is a set of management mode suitable for promotion and use in grassroots hospitals, which makes the nursing human resources of grassroots hospitals be balanced.