Constructing ICU scheduling mode by two-way selection and decentralized management

Abstract

Objective To explore nursing scheduling mode in ICU. Methods Grouping was carried out on the basis of nursing decentralized management and the two-way selection between group heads and group members. The research target was the 60 nurses in ICU. Degrees of the nurses' job satisfaction and changes of nursing quality before and after grouping were compared and analyzed. Results The general degree of the nurses' satisfaction towards scheduling was (3.75±0.70) points before grouping while (4.30±0.50) points six months after grouping. The difference had the statistical significance (t=6.564 5, P < 0.01); the scores of nursing quality check on classification management, ward management, nursing security, emergency management and hospital infection management were (91.97±1.47), (93.07±1.66), (93.43±1.50), (94.03±1.10), (94.07±1.39) points respectively before grouping and (95.08±1.63), (95.77±1.55), (96.07±1.41), (97.37±1.56) and (97.07±1.48) points respectively six months after grouping. The differences had the statistical significance (t=6.519 2-10.993 4, P < 0.01). Conclusions The two-way selection among nurses and decentralized management grouping can improve the degree of nurses′ job satisfaction and nursing quality. Key words: Nurses; Quality control; Intensive care unit; Personnel allocation and time arrangement