PDF下载

[1]胡岳秀王清郑雅宁夏冬云陈雁吴春英.江苏省148家社区卫生服务中心护理质量管理现状调查与分析[J].中国卫生质量管理,2024,31(05):41-45.[doi:10.13912/j.cnki.chqm.2024.31.5.10]
　HU Yuexiu,WANG Qing,ZHENG Yaning.Investigation and Analysis of Status Quo of Nursing Quality Management in 148 Community Health Service Centers in Jiangsu Province[J].Chinese Health Quality Management,2024,31(05):41-45.[doi:10.13912/j.cnki.chqm.2024.31.5.10]

点击复制

江苏省148家社区卫生服务中心护理质量管理现状调查与分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第31卷期数: 2024年05期页码: 41-45 栏目: 护理质量出版日期: 2024-05-15

Title:: Investigation and Analysis of Status Quo of Nursing Quality Management in 148 Community Health Service Centers in Jiangsu Province

作者:: 胡岳秀王清郑雅宁夏冬云陈雁吴春英; 南京大学医学院附属鼓楼医院

Author(s):: HU Yuexiu; WANG Qing; ZHENG Yaning; Gulou Hospital,Nanjing University Medical School

关键词:: 江苏省; 社区卫生服务中心; 护理质量; 护理管理; 护理人力资源

Keywords:: Jiangsu Province; Community Health Service Centres; Nursing Quality; Nursing Management; Nursing Human Resources

分类号:: R197.1R47

DOI:: 10.13912/j.cnki.chqm.2024.31.5.10

文献标志码:: A

摘要:: 目的调查江苏省社区卫生服务中心护理质量管理现状，为护理质量提升提供参考。方法便利选取江苏省148家社区卫生服务中心为研究对象，对其护理质量管理现状进行问卷调查。结果148家社区卫生服务中心床护比在1:0.06~1:2.25之间，74家机构无专科护士，7家机构无高级职称护士。5家机构组织架构为一级质控，125家机构已成立护理质量与安全管理委员会，141家机构建立了护理质量管理制度，124家机构制订了护理质控标准，所有机构均成立了护理质量督查组，督查频率以每月一次为主（占比51.35%）。13.51%的机构上级卫生行政部门未成立基层医疗卫生机构护理质控中心，91.89%的机构上级卫生行政部门开展了护理质量专项督查，督查频率以每季度一次为主（占比58.78%）。结论江苏省148家社区卫生服务中心护理人力资源配置不足，护理质量管理组织体系有待健全，上级卫生行政部门监管有待加强。

Abstract:: ObjectiveTo investigate the status quo of nursing quality management in community health service centers in Jiangsu Province and provide reference for improving nursing quality. Methods148 community health service centers in Jiangsu Province were selected as the research objects and the status quo of nursing quality management was investigated by questionnaire.ResultsThe bed-to-nurse ratio of 148 community health service centers ranged from 1:0.06 to 1:2.25, 74 institutions had no specialist nurses and 7 institutions had no senior nurses. 5 institutions had a first-class quality control organization structure, 125 institutions had set up a nursing quality and safety management committee, 141 institutions had established a nursing quality management system, 124 institutions had formulated nursing quality management standards, and all institutions had set up a nursing quality inspection group, and the frequency of inspection was mainly once a month (51.35%). 13.51% of the health administrative departments at the higher level of the institutions did not set up a nursing quality control center in primary medical and health institutions, and 91.89% of the health administrative departments at the higher level of the institutions carried out special supervision of nursing quality, and the frequency of supervision was mainly once every quarter(58.78%).Conclusion The nursing manpower allocation of 148 community health service centers in Jiangsu Province was insufficient, the nursing quality management organization system needed to be improved, and the supervision of superior health administrative departments needed to be strengthened.

参考文献/References:

［1］刘雪冰,许亚红,刘艳平,等.家庭医生签约服务模式对我国社区护理工作影响的研究进展［J］.全科护理,2023,21(29):4087-4089.［2］陈芮.基层医疗如何发挥“网底”作用缓解“看病难”［N］.金华日报,2023-12-29(07).［3］王芊芊,王啸宇,王梦雪,等.基于熵权TOPSIS法和RSR法模糊联合的我国社区卫生服务中心医疗服务质量综合评价［J］.现代预防医学,2023,50(6):1069-1074.［4］龚义侠,王娟,方丽梅.南京城区社区护理质量控制标准体系对社区护理质量的影响［J］.国际护理学杂志,2020,39(10):1902-1905.［5］葛丹萍,赵晓英,陈燕.基于秩和比法的诸暨市社区护理人力资源配置水平评价［J］.中医药管理杂志,2021,29(16):197-198.［6］张磊,王文华,李甜.基于集聚度的陕西省卫生人力资源配置公平性分析［J］.中国卫生质量管理,2022,29(7):102-106.［7］王赛男,宋玉磊,翁艳翎,等.运用秩和比法评价我国社区护理人力资源配置水平［J］.护理学杂志,2020,35(5):59-62.［8］江苏省卫生厅.江苏省城市社区卫生服务中心、站设置标准：苏卫医〔2006〕113号［S］.2006.［9］卢蓉,姜润生,黄丽,等.昆明市社区卫生服务中心护理人力资源现状调查［J］.护理管理杂志,2013,13(6):436-438.［10］余佳,李京京,童欢欢,等.国内下沉社区的高年资护士与美国开业护士的角色对比研究［J］.护理研究,2021,35(12):2223-2227.［11］范一磊,张艳,程青云,等.国际护士处方权的管理及启示［J］.中华护理教育,2022,19(2):187-192.［12］刘玉杰,张琦,张晓曼,等.我国部分三级综合医院护理质量管理组织架构调查与分析［J］.解放军护理杂志,2021,38(2):10-13.［13］刘雅,车文芳,王婧,等.县级医院护理质量与安全管理现状分析［J］.中国卫生质量管理,2020,27(1):94-98.［14］PRONOVOST PJ,HOLZMUELLER CG,MOLELLO NE,et al.The armstrong institute:an academic institute for patient safety and quality improvement,research,training,and practice［J］.Acad Med,2015,90(10):1331-1339.［15］柴慧玲,裴嘉宇,陈云,等.三级医院护理帮扶基层医院质量评价指标体系的构建［J］.中国药物与临床,2021,21(24):4071-4074.［16］庄雷岚,杨兆伟,张朝凯,等.三级医院对口支援县级医院护理管理的实践与思考［J］.中国护理管理,2015(Z1):91-93.［17］唐浪娟,刘聪香,岳丽春,等.南昌市县级医院护理帮扶需求调查及其影响因素分析［J］.中国实用护理杂志,2015,31(23):1728-1733.［18］熊莉娟,徐玉兰,谭蕾,等.医联体背景下护理帮扶专科联盟的构建与实施［J］.护理研究,2021,35(21):3834-3838.［19］马莉,高杨,王璟,等.北京市某三甲医院驻点对口帮扶基层县医院护理工作实践［J］.中国卫生质量管理,2023,30(7):48-51,57.

相似文献/References:

[1]蒋欣静,王高玲.江苏省医疗服务分级诊疗实践程度分析[J].中国卫生质量管理,2016,23(03):112.[doi:10.13912/j.cnki.chqm.2016.23.3.33]
[2]杨山石何梅汤洁金春林王贤吉.基于DRGs的上海嘉定医疗服务质量与绩效评价研究[J].中国卫生质量管理,2017,24(03):22.[doi:10.13912/j.cnki.chqm.2017.24.3.08]
[3]刘苏苏茅宁莹.江苏省卫生地方标准工作现状分析[J].中国卫生质量管理,2021,28(07):22.[doi:10.13912/j.cnki.chqm.2021.28.7.06 ]
　LIU Susu,MAO Ningying.Status Analysis of Health Local Standards in Jiangsu Province[J].Chinese Health Quality Management,2021,28(05):22.[doi:10.13912/j.cnki.chqm.2021.28.7.06 ]
[4]薛梓晨秘玉清陈倩邢家润黄静雯寇儒欣邓神根李伟.山东省社区卫生服务中心老年慢病管理脆弱性评价研究[J].中国卫生质量管理,2023,30(08):75.[doi:10.13912/j.cnki.chqm.2023.30.8.16 ]
　XUE Zichen,MI Yuqing,CHEN Qian.Vulnerability Evaluation of Elderly Chronic Disease Management in Community Health Service Centers of Shandong Province[J].Chinese Health Quality Management,2023,30(05):75.[doi:10.13912/j.cnki.chqm.2023.30.8.16 ]
[5]朱思宇白雪蔡正坤陶军毛靖.基于SERVQUAL模型与IPA分析的武汉市社区卫生服务中心服务质量评价[J].中国卫生质量管理,2023,30(10):62.[doi:10.13912/j.cnki.chqm.2023.30.10.14 ]
　ZHU Siyu,BAI Xue,CAI Zhengkun.Service Quality Evaluation of Wuhan Community Health Service Center Based on SERVQUAL Model and IPA Analysis[J].Chinese Health Quality Management,2023,30(05):62.[doi:10.13912/j.cnki.chqm.2023.30.10.14 ]
[6]宋景晨李远萌潘琦吴锁薇盖媛媛姚德明.基于医联体的“专科—全科团队”模式效果评估[J].中国卫生质量管理,2023,30(12):44.[doi:10.13912/j.cnki.chqm.2023.30.12.10 ]
　SONG Jingchen,LI Yuanmeng,PAN Qi.Evaluation of the Effect of "Specialty-General Practice Team" Mode Based on Medical Association[J].Chinese Health Quality Management,2023,30(05):44.[doi:10.13912/j.cnki.chqm.2023.30.12.10 ]
[7]王波刘海波蒋昵真张立波赵艳梅金一明许友山濮云峰徐志华徐长根张冬民蔡伟俊王克成范恩勇.江苏省14家采供血机构血液检测实验室现状调查[J].中国卫生质量管理,2023,30(12):83.[doi:10.13912/j.cnki.chqm.2023.30.12.18 ]
　WANG Bo,LIU Haibo,JIANG Nizhen.Investigation on the Current Situation of Blood Testing Laboratories in 14 Blood Collection and Supply Institutions in Jiangsu Province[J].Chinese Health Quality Management,2023,30(05):83.[doi:10.13912/j.cnki.chqm.2023.30.12.18 ]
[8]许媛媛吴韬陈建俞罗莉沈波.上海市远郊社区卫生服务中心腹膜透析技术开展现状调查与分析[J].中国卫生质量管理,2025,32(02):83.[doi:10.13912/j.cnki.chqm.2025.32.2.19]
　XU Yuanyuan,WU Tao,CHEN Jianyu.Investigation and Analysis of the Status Quo of Peritoneal Dialysis Technology in Shanghai Outer Suburban Community Health Centers[J].Chinese Health Quality Management,2025,32(05):83.[doi:10.13912/j.cnki.chqm.2025.32.2.19]
[9]林婷婷吴彬叶文成崔晓田蔚然.基于名中医工作室的医院-社区结合脑卒中康复模式构建研究[J].中国卫生质量管理,2025,32(07):87.[doi:10.13912/j.cnki.chqm.2025.32.7.19]
　LIN Tingting,WU Bin,YE Wencheng.Research on the Construction of a Hospital-Community Integrated Stroke Rehabilitation Model Based on the Famous Traditional Chinese Medicine Physician Studio[J].Chinese Health Quality Management,2025,32(05):87.[doi:10.13912/j.cnki.chqm.2025.32.7.19]
[10]周芬潘菊美王晓琳何梦雪米蔷曹庆张峻玮杨科佳沈南平.上海市儿童安宁疗护协同转介服务模式构建[J].中国卫生质量管理,2025,32(08):54.[doi:10.13912/j.cnki.chqm.2025.32.8.12]
　ZHOU Fen,PAN Jumei,WANG Xiaolin.Construction of a Collaborative Referral Service Model for Pediatric Palliative Care in Shanghai[J].Chinese Health Quality Management,2025,32(05):54.[doi:10.13912/j.cnki.chqm.2025.32.8.12]

更新日期/Last Update: 2024-05-15