Practice and effect evaluation of specialty nursing construction based on subspecialty
10.3760/cma.j.cn115682-20210523-02225
- VernacularTitle:以亚专科为基础的专科护理建设实践与效果评价
- Author:
Qing WANG
1
;
Ling YUAN
;
Zhengxiang CHEN
;
Yan CHEN
Author Information
1. 南京大学医学院附属鼓楼医院护理部，南京 210008
- Keywords:
Nursing;
Subspecialty;
Medical integration;
Specialty construction;
Nurse practice environment
- From:
Chinese Journal of Modern Nursing
2022;28(5):637-642
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To build a specialty nursing construction model based on subspecialty, so as to explore the practice results in clinical specialist nursing construction of hospitals.Methods:A specialty nursing construction mode with subspecialty as the entry point and medical integration mode as the core was constructed. From January 2017 to December 2019, the project was piloted in 9 key nursing specialties and gradually promoted from point to area. Specialty nursing construction effect, nurse practice environment and patient experience in the department level were comprehensively evaluated.Results:After the implementation of specialty nursing construction projects based on subspecialty, 17 specialty nursing items and 14 key nursing technologies were added and 12 subspecialty nursing brand projects were constructed. After the implementation of the specialty nursing construction project based on subspecialty, the total score of nurse practice environment assessment was (80.40±15.72) , higher than (77.97±16.99) before the implementation, and the difference was statistically significant ( P<0.05) . After implementation, the scores of quality management, internal support, medical cooperation, professional promotion, manpower allocation, social status and remuneration were higher than those before implementation, and the differences were statistically significant ( P<0.05) . After the implementation of the project, the satisfaction of discharged patients was improved and the number of hospital-level commendation cases increased from 218 to 567. Conclusions:The specialty nursing construction model based on subspecialty has positive role in promoting the construction of specialist nursing in the department, improving nurses practicing environment and enhancing medical experience of patients.
