三级中医医院等级评审视角下的护理管理模式实践*

作者：张 霞，蒋 维，张 丹，王菊花，陈素桢，彭双平

单位：湖南中医药高等专科学校附属第一医院/湖南省直中医医院，湖南 株洲 412000

引用：引用：张霞，蒋维，张丹，王菊花，陈素桢，彭双平.三级中医医院等级评审视角下的护理管理模式实践[J].中医药导报,2025,31(5):118-121,141.

DOI：10.13862/j.cn43-1446/r.2025.05.021

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摘要：目的：探讨三级中医医院等级评审视角下的护理管理模式实践。方法：湖南中医药高等专科学校附属第一医院（湖南省直中医医院）于2023年1月起开始实施三级中医医院等级评审视角下的护理管理模式，比较实施前后（2021年为实施前，2023年为实施后）护理管理效果。结果：护理管理模式实施后全院护士在病情掌握评估能力、临床护理规范、人文关怀、应变处理能力等综合素质能力方面及中医适宜技术掌握情况、中医特色护理技术开展质量方面的得分均显著高于实施前（P＜0.05）；患者对护理人员的满意度评分均显著高于实施前（P＜0.05）；不良事件发生率显著低于实施前（P＜0.05）。结论：三级中医医院等级评审视角下的护理管理模式能够显著提升护理人员的业务能力和综合素质，促进医院整体安全管理水平的提升，提高中医特色护理服务的针对性和个性化。

关键词：三级中医医院；等级评审；护理管理

Abstract：

Objective: To explore the practice of a nursing management model under the framework of tertiary-grade traditional Chinese medicine (TCM) hospital accreditation. Methods: The First Affiliated Hospital of Hunan Traditional Chinese Medical College (Hunan Province Directly Affiliated TCM Hospital) implemented the nursing management model guided by tertiary-grade TCM hospital accreditation standards starting in January 2023. Nursing management outcomes were compared before (2021) and after (2023) implementation. Results: Post-implementation, nurses demonstrated significantly higher scores in comprehensive competencies, including patient condition assessment (P<0.05), clinical nursing standardization (P<0.05), humanistic care (P<0.05), emergency response capability (P<0.05), proficiency in TCM nursing techniques (P<0.05), and implementation quality of TCM characteristic nursing techniques (P<0.05). Patient satisfaction scores were significantly elevated (P<0.05), and the incidence of adverse events markedly decreased (P<0.05). Conclusion: The nursing management model based on tertiary-grade TCM hospital accreditation standards effectively enhances nurses' professional competencies, promotes hospital-wide safety management, and optimizes the specificity and personalization of TCM characteristic nursing services.

Key words：tertiary-grade traditional Chinese medicine hospital; grade accreditation; nursing management

发布时间：2025-12-31

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