| Abstract |
Objective: To investigate the effect of implementing hierarchical group system management among nursing staff in intensive care unit (ICU) on improving their subjective motivation and quality of care. Methods: Forty-six nursing staff working in our ICU from September 2020 to September 2021 were retrospectively analyzed as the study subjects, and the implementation of the conventional management model from September 2020 to February 2021 was set as the pre-implementation period, and the implementation of the hierarchical group system management model from March 2021 to September 2021 was set as the post-implementation period. The theoretical achievements, operational skills, subjective motivation, nursing quality and nursing satisfaction were compared before and after implementation. Results: The theoretical knowledge and operational skills assessment scores of nursing staff after implementation were [(92.77±5.02), (93.44±5.38)] and subjective motivation in communication skills, service attitude, theoretical knowledge, service quality, and medical and nursing patient cooperation scores [(8.69±1.01), (8.69±1.01), (9.12±0.29), ( (9.25±0.37), (9.15±0.36)] were higher than those before the implementation, which was statistically significant (P<0.05); the scores of condition mastery, basic nursing work, management of emergency items, nursing documentation, ward management, implementation of nursing measures, achievement of treatment goals, and successful resuscitation in nursing quality after the implementation [(89.43±4.01), (84.23± 3.59), (85.57±3.18), (85.59±2.20), (85.82±2.01), (85.77±3.25), (85.81±3.12), (86.82±2.15)] and nursing satisfaction scores in terms of reasonable scheduling, clear responsibilities, colleagues getting along well, few delayed shifts, high work motivation, and timely (3.97±0.56), (4.26±0.37), (4.52±0.26), (4.06±0.48), (4.37±0.51), (4.69±0.26)] were higher than those before implementation, and the differences were statistically significant (P<0.05). Conclusion: Hierarchical group system management can effectively improve the theoretical and operational skills assessment scores of ICU nursing staff, mobilize subjective motivation, and then improve nursing quality and obtain higher nursing satisfaction, which can be further promoted in hospital management.
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