执业护士和医生助理合作人员创新,以改善心血管外科实践
John W Weimer1, Marci D Newcome, Jeffrey R Ehman
1Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
Journal of the American Association of Nurse Practitioners
|February 5, 2026
概括
对执业护士 (NPs) 和医生助理 (PAs) 的护理模式进行重新设计,大大减少了74%的营业额,并改善了工作文化. 调整模型以实践增长是员工满意度的关键.
科学领域:
- 医疗保健管理的管理
- 在外科手术实践中.
- 提供先进实践的提供者.
背景情况:
- 有效的执业护士 (NP) 和医生助理 (PA) 模型对于患者护理,财务健康和员工保留至关重要.
- 一个心血管外科实践面临着过时的NP和PA护理模式的挑战,导致满意度下降和高周转率.
研究的目的:
- 在一个大型心血管外科实践中重新设计一个过时的NP和PA护理模型.
- 解决工作场所满意度下降和高NP和PA周转率的问题.
主要方法:
- 一个多学科团队启动了一项质量改进项目,以重新设计护理模式.
- 方法包括工作流分析,调查,患者追踪器,员工观察和与前线员工反的合作模型开发.
- 关键的变化包括调整NP和PA与患者的比率,优化任务和重组外科团队的覆盖范围.
主要成果:
- 重新设计的护理模式导致NP和PA营业额平均每年下降74%.
- 部门的工作文化得分显著改善,在实施后从68%上升到85%.
结论:
- 调整NP和PA护理模式以与实践成长保持一致至关重要.
- 成功的重新设计提高了员工的满意度,并减轻了燃烧.
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