Application of hierarchical management model in operating room nursing
层级管理模式在手术室护理中的应用效果

摘要

目的：探讨将层级管理模式应用在手术室护理中，对提升科室护理质量的干预效果。方法： 选取我院手术室护理人员 31 例，以开展层级管理模式作为时间分界设为 2 组，将 2020.01 至 2020.12 实施 常规管理设为对照组，将 2021.01 至 2021.12 实施层级管理模式设为观察组，比对组间护理管理质量管理指 标差异。结果：经比对 2 组各项护理质量指标，显示管理后观察组护理人员基础护理质量评分、消毒隔离 评分、护理人员评分、设备物品评分、急救药品评分、病区管理评分及护理技术评分高于对照组，组间差 异确切，P＜0.05。结论：以层级管理模式实施手术室护理管理，可将层级不同护理人员工作优势充分发挥 出来，进一步增强手术室护理管理质量，同时还能够减少不良护理事件的发生，利于确保手术治疗顺利开 展，适宜基层医院借鉴。

Abstract

Objective: To explore the intervention effect of hierarchical management mode applied in operating room nursing to improve the nursing quality of the department.
Methods: 31 nurses in the operating room of our hospital were selected， and the hierarchical management mode was used as the time boundary to set up two groups. The routine management from January 2020 to December 2020 was set up as the control group， and the hierarchical management mode from January 2021 to December 2021 was set up as the observation group. Another 100 patients were selected for surgical treatment， and the differences of nursing management quality and adverse nursing event management indicators between the groups were compared.
Results: After comparing the nursing quality indexes of the two groups, the scores of basic nursing quality, disinfection and isolation, nursing staff, equipment and articles, emergency medicine, ward management and nursing technology of the observation group were higher than those of the control group after management, and the differences between the groups were exact (P < 0.05).
Conclusion  : implementing the nursing management in the operating room with the hierarchical management mode can give full play to the working advantages of nurses at different levels， further enhance the quality of nursing management in the operating room，reduce the occurrence of adverse nursing events，and ensure the smooth development of surgical treatment， which is suitable for reference in grass-roots hospitals.