Construction and clinical effects of ICU nursing subspecialty group

Xiao-hong Min, Zanhua Zhang, Weiwei Cai, Fan Huang, Chunmei Zhang
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Abstract

Objective To explore the construction and clinical effects of ICU nursing subspecialty group. Methods From January 2018 to January 2019, we selected 60 ICU nurses in the 2nd Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University as the subjects by convenient sampling, set up a nursing subspecialty group, selected a staff plan for the group, and defined the work responsibilities of the group; we also determined the organizational management structure, drafted an operation project proposal for the subspecialty group, established the group work system and training program, implemented a performance management mechanism, and formulated an evaluation operation mechanism. Nursing quality, patients' satisfaction, doctors' satisfaction 1 year before and after the ICU nursing subspecialty group was launched were compared and analyzed. Results After the ICU nursing subspecialty group was constructed, the basic nursing, specialized nursing, high-quality nursing, sterilization and isolation, patient satisfaction, and doctor's satisfaction with the nurse were significantly higher than those before the construction, and the differences were statistically significant (P<0.05) . Conclusions The construction of the ICU nursing subspecialty group can comprehensively improve the quality of care, the satisfaction of patients and doctors, which proves an effective discipline and talent management model. Key words: Intensive care unit; Nursing quality; Subspecialty; Satisfaction
ICU护理亚专科组的构建及临床效果
目的探讨ICU护理亚专业群的建设及临床效果。方法从2018年1月至2019年1月,采用方便抽样的方法,选取温州医科大学附属第二医院和育英儿童医院的60名ICU护士为受试者,成立护理亚专业组,为该组选择人员计划,明确该组的工作职责;我们还确定了组织管理结构,起草了子专业小组的运营项目建议书,建立了小组工作制度和培训计划,实施了绩效管理机制,并制定了评估运营机制。比较分析ICU护理亚专业组成立前后1年的护理质量、患者满意度、医生满意度。结果ICU护理亚专业组建成后,基础护理、专科护理、优质护理、消毒隔离、患者满意度、医生对护士的满意度均显著高于建设前,结论ICU护理亚专业群的建设能够全面提高护理质量、患者和医生的满意度,是一种有效的学科和人才管理模式。关键词:重症监护室;护理质量;子专业;满意度
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