Journal of Advances in Clinical Nursing

Objective To study and analyze the impact of the integrated hierarchical responsibility manage- ment of medical and nursing on the quality of orthopaedic nursing, so as to help nurses improve orthopedic nursing work. Methods The time period of this experiment was from January 2022 to May 2022. The researchers selected orthopedic patients for research, with a total of 180 patients. Taking the double-blind control principle as the basis for the grouping of orthopedic patients selected in this experiment, the researchers used the group responsibility nursing model and the medical-nursing integrated hierarchical responsibility management model to complete the control group and experimental group patients. The nursing quality scores and the occurrence of nursing risk events in the control group and the experimental group were recorded, and analyzed and compared. Results The differ- rence between the nursing quality scores of the control group and the experimental group cannot be ignored. There is a large gap in the quality of critical care, basic nursing, writing and knowledge dissemination between the two groups (p<0.05); the control group 22 and 6 of the selected patients in the experimental group had nursing risk events, accounting for 24.44% and 6.67%, respectively. There is a gap that cannot be ignored in the data related to the occurrence probability of patient nursing demeanor events between the groups (p<0.05). Conclusion The hierarchical responsibility management of integrated medical and nursing has a great influence on the quality of orthopedic nursing, and its application effect in orthopedic nursing is significantly better than that of the group res- ponsibility nursing mode.

Orthopedics; Nursing quality; Medical-nursing integrated hierarchical responsibility management