目的

改变脑卒中病房护理交接班模式， 减少护士工作时间的消耗。

方法

在传统的交接班模式的基础上进行改良， 采用选择性参加晨会集体交接班。 要求责任护士每天提前15 min 进入病房了解病情， 制定计划， 护理患者； 交班护士依次与接班护士分段床头交接分管区域患者的病情；护士长将原来晨会后提问， 改变为下班前总结和布置明天工作， 做到全程跟踪、 指导、 监督和控制。

结果

改良后的护理交班模式， 至少每天前移治疗时间45 min， 缓解了中午时段的治疗压力； 同时使护士掌握患者病情的熟练程度提升7% 左右， 住院患者满意度在原来的基础上提升3.2%左右。

结论

改良后的护理交接班模式有效缩短了交班的时间， 增加了护士的工作效率， 满足了患者及家属的需求， 提高了患者满意度。

Objective

To change the model of hand over in stroke ward in order to utilize nurses'work time.

Methods

Modifying the traditional model of hand over， morning meeting attendance for all nurses becomes optional instead of mandatory.This new method requires all charge nurses enter the ward 15 min earlier to see their patients'situation，make nursing plans and nurse their patients.Nurses who are about to off duty need to describe and explain patients'situation under their duty area to nurses who are about to start their work by turn.In stead of asking questions after morning meetings，the head nurse will give a summary to today's work and assign new works for tomorrow before off duty.Head nurse as an instructor，an auditor and a supervisor，needs to follow the track of all her team members，and provide help if needed.

Results

The new hand over model shortened the hand over time by at least 45 min.This new model not only gave the charge nurses more time to caring her patients，but also relived the pressure of treatment during noon time.Meanwhile，by the testing results（provide in a table below），the proficiency of nurses increased by roughly 7%.And patients'degree of satisfaction increased by 3.2%.

Conclusions

The new hand over model shorten the time to hand over the next shifts， increase all nurses'work efficiency，fulfill patients and their families'need and increase patients'degree of satisfaction.