Training and use practices of specialty nurses in a tertiary hospital based on the ORTCC refined management theory
10.3760/cma.j.cn116021-20240611-02119
- VernacularTitle:基于ORTCC精细化管理理论的三级医院专科护士队伍培养和使用实践
- Author:
Yinü WU
1
;
Jiehui FENG
;
Jianning XU
;
Wei YU
;
Han ZHU
;
Huafen WANG
Author Information
1. 浙江大学医学院附属第一医院护理部，杭州 310003
- Publication Type:Journal Article
- Keywords:
Specialty nurse;
Cultivation;
Development;
ORTCC theory;
Refined management;
Nursing management research
- From:
Chinese Journal of Medical Education Research
2025;24(10):1386-1392
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To apply the ORTCC (objective, rule, training, check, and culture) refined management model for the systematic management and overall construction of a specialty nurse team in a tertiary grade A general hospital, and to promote the cultivation and development of specialty nurses.Methods:The management framework of specialty nurses was investigated and a survey on their work was conducted. The ORTCC model was used to implement fine management of specialty nurses, including determining the integrated objective of "training, use, and management"(objective):, improving the rule system (rule), building a hierarchical training platform (training), streamlining the whole process check (check), and shaping the specialty nursing culture (culture). The effects were evaluated after one year of implementation.Results:After the implementation of ORTCC refined management, the number of specialty nurses increased to 367 in 2023, and a three-level progressive specialty nurse team was formed. The total and dimensional scores of perceived professional benefits ( P<0.001) and clinical competence ( P<0.001 or P<0.05) were higher than the scores in 2022. Additionally, 12 specialized nursing techniques were established, and six provincial or higher-level specialized quality improvement awards were obtained, further enhancing the capacity for specialized nursing services. Conclusions:The refined management practice of specialty nurses based on the ORTCC model provides a theoretical and practical basis for the hierarchical cultivation, effective use, and scientific management of specialty nurses in tertiary hospitals, thereby promoting specialty nurse team development and enhancing specialized service capacity.
