Abstract:

Objective To construct a management scheme of nursing assistants in unaccompanied hospitals and explore its application effect. Methods The management team of nursing assistants in unaccompanied hospitals was set up. On the basis of investigating the current situation of nursing assistants’ team management，the management scheme of nursing assistants was constructed by ORTCC management model for references，including 5 parts：determining management objectives，perfecting rules system，building hierarchical training system，checking and assessing，and shaping cultural system. Convenience sampling method was used to select 92 nursing assistants in an unaccompanied hospital in Xiamen，Fujian Province from June 2021 to June 2022 as application subjects. The post competence of nursing assistants and the satisfaction of patients and nurses to nursing assistants were compared before the application of the management scheme（June-December 2021） and after the application（January 2022-June 2022）. Results After the application of ORTCC management model，the total score of post competency of medical nursing assistants increased from[65（64，67）] to [91（90，92）]；the excellent rate of post competency level increased from 1.09% to 67.39%；the satisfaction of patients with nursing assistants increased from 61.99% to 88.62%；the scores of nurses’ satisfaction with nursing assistants in all dimensions were significantly higher than before（all P<0.05），and the overall evaluation was improved from 92.73% to 99.24%. Conclusion The use of the ORTCC management model for nursing assistants can effectively improve their post competence，improve the satisfaction of patients and nurses，and help to further stabilize and develop the medical nursing assistants staff.

Key words: Unaccompanied Hospitals, Nursing Assistants, Nursing Administration Research

摘要：

目的 构建无陪护医院护理员管理方案（以下简称“管理方案”），并分析其应用效果。方法 成立管理小组，在管理现状调研的基础上，借鉴ORTCC管理模型构建管理方案，具体包括确定管理目标、完善规则体系、搭建分层培训体系、定期检查与考核和塑造文化体系5个部分。采用便利抽样法，选取2021年6月—2022年6月在福建省厦门市某实行无陪护医院的92名护理员作为应用对象，比较管理方案应用前（2021年6月—12月）与应用后（2022年1月—6月）护理员岗位胜任力、患者和护士对护理员的满意度。结果 管理方案应用后，护理员的岗位胜任力得分从[65（64，67）]分提高至[91（90，92）]分，岗位胜任力等级优秀率由1.09%提升至67.39%；患者对护理员满意度由61.99%上升至88.62%，护士对护理员满意度的各维度得分均较前明显提高（P<0.05），总体评价满意度由92.73%提高至99.24%。结论 采用基于ORTCC管理模型的管理方案对护理员进行管理，可有效提高其岗位胜任力，提高患者和护士对其的满意度，有助于进一步稳定和发展护理员队伍。

关键词: 无陪护医院, 护理员, 护理管理研究