Effect of "head nurse responsibility" on the nursing quality of night shift in department of pediatrics
10.3760/cma.j.issn.1674-2907.2013.21.029
- VernacularTitle:“带班护士组长负责制”对儿科夜班护理质量的影响
- Author:
Jing BAI
1
;
Chun-Mei LI
;
Tong LI
;
Zai-Yan LIANG
Author Information
1. 100015,首都医科大学附属北京地坛医院儿科
- Keywords:
Nurse;
Night shift;
Nursing quality;
Head nurse responsibility
- From:
Chinese Journal of Modern Nursing
2013;19(21):2560-2563
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectiveness of head nurse responsibility in night shift in department of pediatrics.Methods "Head nurse responsibility" was implemented in night shift since July,2011.One head nurse was entirely responsible for the treatment and nursing in patients' night shift,and ensured that highly qualified and experienced nurses were available at clinic.Self-designed questionnaire on satisfaction was used to investigate 120 patients,30 doctors and 30 nurses before head nurse responsibility from July to December 2010 and after head nurse responsibility from July to December 2011.Conventional nursing was carried out before the implementation of head nurse responsibility,and head nurse was added after the implementation.Scores in night shift nursing quality,changes and observation of patient' s condition,rescuer operating skills,health education,nurses' responsibility,guide ability,cooperation ability,attitude,overall evaluation of night shift quality,and satisfaction of patients,doctors and nurses were compare between two groups.Results The score of comprehensive night shift nursing quality was obviously better after head nurse responsibility than before [(93.45 ± 4.72) vs (86.93 ± 4.69)],and the difference was statistically significant (t =1.989,P ＜ 0.01).The score of satisfaction of parents of patients in overall evaluation of night shift quality were higher after head nurse responsibility than before [(4.70 ± 0.31) vs (3.73 ± 0.69)],and the difference was statistically significant (t =2.01,P ＜ 0.01).Satisfaction of patients,nurses and doctors improved respectively from 88.24％ to 98.51％,88.47％ to 99.43％ and 86.27％ to 98.56％ after the implementation,and the differences were statistically significant (x2 =9.64,4.32,4.28,respectively; P ＜ 0.05).Conclusions "Head nurse responsibility" can guarantee the safety of night shift nursing in department of pediatrics,as well as improve the nursing quality and patients' satisfaction,which is beneficial to improve the quality of night shift nursing in high-quality nursing service of the children' s ward.
