沈阳医学院学报2024，Vol.26Issue(3)：248-255,8.DOI:10.16753/j.cnki.1008-2344.2024.03.005
ICU护理亚专科管理模式的构建与应用
Construction and application of ICU nursing sub-specialty management model
摘要
Abstract
Objective:To explore the application effect of ICU nursing sub-specialty management model in the clinical treatment of ICU patients.Methods:Based on the actual needs of ICU patients,a precise and systematic management plan including organizational structure,workflow,linkage mechanism,quality control system,dynamic follow-up,and scientific research transformation was formulated,to construct a working model of multi-linkage,multi-direction supplement and coordinated development of two-way feedback mechanism in sub-specialty nursing.The control group was set before the implementation of ICU nursing sub-specialty management mode(Jan 1 to Dec 31,2021),and the intervention group was set after the implementation of ICU nursing sub-specialty management model(Jan 1 to Dec 31,2022).The core competence,specialty,sensitive indicators,satisfaction,and impact on patients were compared before and after implementation.Results:After the implementation of the ICU nursing sub-specialty management model,the core competence of nurses was improved,and the hospitalization time and mechanical ventilation time of patients were reduced,the incidence of re-entry ICU,acquired weakness,acquired dysphagia and incontinence dermatitis was decreased,the proportion of unplanned extubation was decreased,and the satisfaction of patients,nurses,doctors and students was improved(P＜0.05).Conclusion:The construction of ICU nursing sub-specialty management model can effectively promote the construction of ICU nursing sub-specialty,improve the core competence of nurses,reshape the connotation of nursing,improve the prognosis of patients,and ultimately promote the benign and sustainable development of hospital nursing.关键词
ICU/护理亚专科/管理模型/构建与应用Key words
ICU/nursing sub-specialty/management model/construction and application分类
医药卫生引用本文复制引用
孙瑞祥,陶秀彬,江海娇,高红,余金甜,方可..ICU护理亚专科管理模式的构建与应用[J].沈阳医学院学报,2024,26(3):248-255,8.基金项目
安徽省卫生重点专科建设项目(No.皖卫函[2021]273号) （No.皖卫函[2021]273号）
皖南医学院校级质量工程(No.2022jyxm24) （No.2022jyxm24）
皖南医学院弋矶山医院三新项目(No.Y23063) （No.Y23063）
皖南医学院弋矶山医院创新管理项目(No.CX2023022) （No.CX2023022）
皖南医学院校级中青年课题(No.WK2023ZQNS20/WK2023ZQNS21) （No.WK2023ZQNS20/WK2023ZQNS21）
