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目的探讨二线值班护士对提高急诊科夜间护理工作质量的效果。方法选取2015年1月-2016年6月期间深圳市宝安区福永人民医院急诊科共72名护士作为研究对象,在急诊科建立二线值班护士夜间值班制度,并落实到位,比较二线值班护士夜间值班制度实施前后急诊科护士的夜间护理问题解决效率、工作幸福感指数、护理质量评分、医生满意度评分。结果实施二线值班护士夜间值班制度后,急诊科护士的夜间护理问题解决效率明显提高,护士的工作幸福感指数以及夜间护理质量评分均明显提高,医生对护理工作的满意度评分也明显提高,差异均有统计学意义(P<0.05)。结论在急诊科采取二线值班护士夜间值班制度,可有效解决夜间护理问题,改善急诊科夜间护理质量,还可提高急诊科护士的工作幸福感指数,有利于急诊科夜间护理工作的开展。
Objective To explore the effect of second-line on duty nurses on improving the quality of night care in emergency department. Methods A total of 72 nurses from emergency department of Fuyong People’s Hospital, Bao’an District, Shenzhen City from January 2015 to June 2016 were selected as study subjects. A night shift system for second-line on-duty nurses was established in the emergency department and was put in place. Night-time nurses on duty Before and after the implementation of the system, emergency department nurses’ efficiency of night-time nursing problem solving, index of work well-being, nursing quality score and doctor’s satisfaction score. Results After the on-duty night shift system for second-line on-duty nurses was implemented, the efficiency of nurses in night-time nurses ’night-time nursing problems was significantly improved, the indices of nurses’enthusiasm for work and night care quality were significantly improved, and the doctors’ scores on nursing satisfaction were significantly improved. All were statistically significant (P <0.05). Conclusions The second-line on-duty nurse night shift system in emergency department can effectively solve the problem of night care, improve the night care quality of emergency department and improve the work happiness index of emergency department nurses, which is conducive to the night care work of emergency department.