Application and Evaluation of Clinical Nurse Hierarchical Management

Objective To explore the effect of nurse hierarchical management in clinical nursing service.Methods Nurse hierarchical management was implemented in six departments. Nurses were divided into five levels: assistant nurses( NO),primary responsibility nurses( N1),senior responsibility nurses( N2),responsibility leader( N3) and specialist nurses( N4). The responsibilities of each level were identified. Optimized nurses manpower deployment,implementation of layered training,taking working model of flattening responsibility contracting system. Nursing quality index and patient satisfaction were compared six months before and after implement of nurse hierarchical management. Results After implement of nurse hierarchical management,average scores of basic nursing,nursing safety,ward management and health education were high than that before implement of nurse hierarchical management( P 0. 01). Average score of patient satisfaction after nurse hierarchical management was high than that before nurse hierarchical management( P 0. 01). Conclusion Nurse hierarchical management is benefit to improve clinical nursing quality and patient satisfaction.