Practice and effectiveness of improving nursing quality in primary hospitals under the model of overall trusteeship
10.3760/cma.j.issn.1674-2907.2020.07.019
- VernacularTitle:全面托管模式下提升基层医院护理质量的实践与成效
- Author:
Yahua SHU
1
;
Shuangfeng LI
Author Information
1. 浙江省宁波市北仑区人民医院护理部 315800
- Keywords:
Nursing administration research;
Nursing quality;
Trusteeship hospital;
Professional identity;
Job satisfaction
- From:
Chinese Journal of Modern Nursing
2020;26(7):936-940
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of high quality nursing resources sinking in primary hospitals nursing quality management under the model of overall trusteeship.Methods:In January 2017, through the establishment of a nursing custody assistance team, high-quality nursing resources were integrated to sink to the primary hospitals (Ningbo Daxie Development Zone Hospital) , improving the nursing management system and nursing quality control three-level system, strengthening nursing quality supervision, performance assessment and diversified training of nursing talents. The quality of care, nurse bedside comprehensive ability, nurse job satisfaction, professional identity, and patient satisfaction before and after trusteeship for 2 years were observed and compared.Results:After 2 years of trusteeship, the scores of nursing quality in all dimensions and total score were significantly higher than those before the trusteeship, and the differences were statistically significant ( P<0.05) . After 2 years of trusteeship, nurse bedside comprehensive ability and job satisfaction of the nurses were significantly higher than those before the trusteeship (χ 2=16.97, 40.08; P<0.01) . After 2 years of trusteeship, the scores of professional identity in all dimensions and total score were higher than those before the trusteeship, and the differences were statistically significant ( P<0.01) . After 2 years of trusteeship, the patient satisfaction was higher than that before the trusteeship, and the difference was statistically significant (χ 2=30.40, P<0.01) . Conclusions:Under the overall trusteeship mode, high-quality nursing resources are sunk into primary hospitals, and scientific nursing management and talent training innovation mode are implemented, which effectively improve the nursing quality of the trusteeship hospital, improve the job satisfaction of nurses and patients' satisfaction, and promote the sustainable development of the trusteeship hospital.