Investigation on clinical nurses' cognition and implementation of current nursing grading standards
10.3760/cma.j.cn115682-20210721-03234
- VernacularTitle:临床护士对现行护理分级标准的认知及临床执行情况调查分析
- Author:
Meiman LIU
1
;
Guowei MA
;
Junling WU
Author Information
1. 应急总医院护理部,北京 100028
- Keywords:
Nurses;
Nursing grading;
Standard;
Gognition;
Implementation
- From:
Chinese Journal of Modern Nursing
2022;28(7):926-930
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the clinical nurses' cognition of WS/T 431-2013 Nursing Grading (hereinafter referred to as "current nursing grading standard") and its clinical implementation status. Methods:This study was a cross-sectional study. From November 2020 to January 2021, the convenience sampling method was used to select 420 clinical nurses from 10 Class Ⅲ Grade A hospitals in 8 cities including Beijing, Tianjin, Changsha, Nanjing, Taiyuan, Nanning as the research objects. The self-designed Current Nursing Grading Standard Practice Questionnaire was used to investigate them. A total of 420 questionnaires were distributed, 405 valid questionnaires were recovered, and the effective recovery rate was 96.4% (405/420) .Results:Among 405 clinical nurses, 80.7% (327/405) were aware of the current nursing classification standards, 89.6% (363/405) of clinical nurses were relatively or very aware of the contents of the current nursing classification standards, 98.5% (399/405) of clinical nurses were aware of patients' self-care ability, 94.1% (381/405) of clinical nurses were proficient or relatively proficient in scoring patients' self-care ability, 53.3% (216/405) of clinical nurses thought that the subject of patient care level decision in the department should be doctors, 46.7% (189/405) of clinical nurses thought that doctors and nurses should jointly decide the level of patient care in the department, 69.6% (282/405) of the clinical nurses thought that the department would dynamically adjust the energy level of the responsible nurse in time according to the changes of the patients' nursing level, and 30.4% (123/405) of clinical nurses thought that the department occasionally or rarely dynamically adjusted the level of responsible nurses in time according to the changes of patient care level.Conclusions:Clinical nurses have a high level of cognition to the current nursing grading standards. In the clinical implementation of the current nursing grading standard, the status quo of the patient's nursing level in the joint decision-making of doctors and nurses has not yet reached the requirements of the current nursing grading standard and the dynamic adjustment of nurse-patient energy level matching needs to be further improved.