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1、APN连续性排班模式护士工作满意度调查及研究【摘要】目的调查实行APN连续性排班后护士对护理工作的满意度,从而制定更为合理的连续性排班方式。方法护理部设计APN连续性排班护士工作满意度调查表,对实行APN连续性排班5个月以上的25个临床科室,进行护士满意度问卷调查,共发出问卷471份,收回471份。结果实行APN连续性排班后,73.6%的护士认为交接班次数减少,66.2%的护士认为交接班的清晰度增加,65.*2%的护士认为拖班现象减少,61.5%的护士认为对专业知识的了解程度增加,61.4%的护士认为护士团队合作精神升高,61.7%的护士认为繁忙时段护士上班人数增加,59.4%的护士认为
2、精神压力增加。结论实行APN连续性排班能更好地体现以患者为中心的服务理念,保障了繁忙时段(中午和夜间)患者的安全,减少了护理安全隐患,从而提高了护理工作质量。但仍存在一些问题,需要进一步完善和改进。【关键词】连续性排班;护士;满意度��TheinvestigationandanalysisofjobsatisfactionaboutNurse’sAPNcontinuousschedulingmodelsZENGWei�xian,JIANGGui�su,ZHENGXiu�xian.6Departmentofadministrative,centerpeople’shospitalofhui
3、zhou,cityguangdong516001,China【Abstract】ObjectiveToinvestigatenurses’ssatisfactiononnursingjobafterimplementAPNcontinuousshifts,andthusdevelopamorerationalwayaboutthecontinualscheduling.MethodsnursingDepartmentDesignthetableaboutnursejobsatisfactionsurveyoncontinuityAPNscheduling,theninvestigatet
4、henurseswhowereinthe25clinicaldepartmentsimplementedthecontinuousshiftsAPNmorethan5months,471questionnairesweresentout,471wererecovered.ResultsAPNcontinualschedulingmadethe73.6%nurseswarethereductionofshiftchange,66.2%ofthenurseswaredtheclarityincreaseofshiftchange,65.*2%ofthenurseswaredthereduct
5、ionofofdragclasses,61.5%ofthenursesthoughttheprofessionalknowledgelevelofunderstandingwasincreased,61.4%ofthenursesconsideredtheteamworkwasincreased,61.7%ofthenursesfeltthatthenumberofnursesisincreasedinworkduringpeakhours.And59.4%ofthenurses6waredtheincreasestress.ConclusionTheimplementationofco
6、ntinualAPNschedulingcanreflectthephilosophyofpatient�centeredinservicebetter,andensurepatient’ssafetyinthepeakhours(noonandnight),reducesecurityriskscare,improvingcarequality.However,therearestillsomeissuesneededmorerefinementandimprovement.【Keywords】Continualscheduling,nurse,satisfaction为了更合理的利用
7、护理人力资源,有利于护士对患者进行连续动态观察和整体护理,减少护理薄弱环节,减少护士交接班次数,解决目前各大医院普遍存在护士缺编的问题。广东省卫生厅从2007年开始,建议全省各大医院推行APN连续性排班模式,这种排班模式将全天24h分为3个班次,依次为A班(7:30�16:00)、P班(15:30�22:30)、N班22:00�68:00)[1]。我院自2009年1月起在心血管内科、急诊科、胃肠外科、肿瘤外科、儿三区等5个科室试行A
