目的 探讨拔岗晋级结合激励机制在护士岗位管理的实践和体会。方法 在护士岗位管理中运用拔岗晋级结合激励机制,收集实施岗位管理前后1年护士满意度、患者满意度、护士职业获益感、护士职业投入、离职率资料,进行统计学分析。结果 实施后护士满意度、患者满意度、护士职业获益感、护士职业投入较实施前提高(P<0.05),离职率下降(P<0.05),差异有统计学意义。结论 建立在拔岗晋级及激励机制上的护士岗位管理能提高护士满意度,降低护士离职率,稳定护士队伍,能够提高护士职业获益感、护士职业投入,从而提高护士工作的主观能动性和工作积极性,为高质量护理服务和优质护理服务长效机制的建立奠定了基础,促进优质护理服务的可持续发展,提高护理管理效能。

Objective To explore the application and experience of job promotion combing with excitation mechanism in nurses position management. Methods We used job promotion combing with excitation mechanism in nurses position management to compare the satisfaction rate, perceived career benefit, work engagement and separation rate of nurses. Results After the application, the satisfaction rate, perceived career benefit and work engagement of nurses were increased, while separation rate of nurses was decreased(P<0.05), the difference has statistical significance. Conclusion The application may increase the satisfaction rate, perceived career benefit and work engagement of nurses, and decrease the separation rate of nurses, elevate the subjective initiative and work enthusiasm. Nursing quality is improved continuously. The management efficacy is promoted.

目的 探讨临床全程导师制结合OSCE考试法对实习护生评判性思维的影响。方法 将176名在我院实习的本科实习护生随机分为两组,每组88人。对照组采用传统的临床带教和考核方式进行带教,实验组采用临床全程导师制结合OSCE考试法进行带教。记录两组理论考试成绩、实践技能成绩及护理病历成绩,比较两组实习护生教学前后评判性思维能力,比较两组实习护生干预后对临床带教模式的整体评价。结果 实验组理论考试成绩、实践技能成绩、护理病历成绩得分均高于对照组（P<0.05）。开展教学后两组评判性思维能力量表（CTDI-CV）各维度评分及总分均升高,实验组各维度评分及总分均高于对照组（P<0.05）。开展教学后实验组对临床带教模式的整体评价均高于对照组（P<0.05）。结论 临床全程导师制结合OSCE考试法,有助于提高本科实习护生的评判性思维能力。

Objective To explore the application and influence of the whole course mentor system combined with OSCE on the critical thinking ability of undergraduate clinical student nurses. Methods 176 undergraduate clinical student nurses were divided to control group and experimental group,88 for a group respectively. Control group used traditional clinical teaching method while the experimental group used whole course mentor system combined with OSCE. The theory and practice assessment scores ,medical record writing scores and critical thinking scores of clinical student nurses before and after the implementation of the two teaching modes were compared. Results The theory and practice assessment scores and medical record writing scores of the students in the experimental group were better than those of students in the control group（P<0.05）. The score of CTDI-CV was increased in both two groups after intervention. The score of all dimensions in CTDI-CV was better improved in the experimental group than that of controls （P<0.05）. And the evaluation of teaching mode of the experimental group was better than the control group（P<0.05）. Conclusion The teaching method of the whole course mentor system combined with OSCE is helpful to improve undergraduate clinical student nurses'ability of critical thinking.

目的 探讨信息预警系统在住院患者压疮风险管理中的运用。方法 应用描述性分析,χ²检验和t检验方法,对实施信息预警系统前后的院内压疮发生率、压疮护理质量管理指标以及使用纸质版和电子版Waterlow量表评估患者压疮危险的平均时间进行比较。结果 试行信息预警系统后,院内压疮发生率下降至0.11‰;护士对压疮危险患者评估率、动态评估率和预防压疮措施落实率都明显升高;护士使用电子版Waterlow量表评估患者压疮危险耗时显著减少。结论 信息预警系统在住院患者压疮风险管理中起到重要作用,为临床护理和护理管理提供了良好的工具,保障患者安全。

Objective To explore the application of risk management information system in the inpatients' risk management of pressure ulcers (PUrs). Methods A descriptive analysis, Chi-square test and T-test were used to analyze the incidence of inpatients' PUrs and indicators of the nursing quality control before and after applying the risk management information system. Results After using this information system, incidence of PUrs decreased to 0.11‰ . Rate of registered nurses' assessment on inpatients' with PUrs risk and dynamically assessment rose obviously. The rate of prevention of PUrs went up as well. The mean time to assess inpatients' PUrs risk with electronic Waterlow scale was significantly less than the mean time of paper Waterlow scale. Conclusion The risk management information system played a vital role in the inpatients' PUrs risk management. It could provide an effective tool for the clinical nursing's quality control, improve registered nurses' efficiency and protect inpatients'safety.