Training and use practices of specialty nurses in a tertiary hospital based on the ORTCC refined management theory

Wu Yinü; Feng Jiehui; Xu Jianning; Yu Wei; Zhu Han; Wang Huafen

doi:10.3760/cma.j.cn116021-20240611-02119

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Training and use practices of specialty nurses in a tertiary hospital based on the ORTCC refined management theory

Nursing Education Study | 更新时间：2025-10-29

- Training and use practices of specialty nurses in a tertiary hospital based on the ORTCC refined management theory
- Chinese Journal of Medical Education Research Vol. 24, Issue 10, Pages: 1386-1392(2025)
- 作者机构：
  
  1.浙江大学医学院附属第一医院护理部，杭州 310003
  2.浙江中医药大学护理学院，杭州 310053
  3.浙江大学医学院附属第一医院心血管内科，杭州 310003
  4.浙江大学医学院附属第一医院国际保健中心，杭州 310003
- 作者简介：
  
  Feng Jiehui, Email: 1503026@zju.edu.cn
- 基金信息：
  
  Medicine and Health Science and Technology Project of Zhejiang Province(2024KY1191;2025KY782)
- DOI：10.3760/cma.j.cn116021-20240611-02119
  CLC： R-05
- Received：11 June 2024，
  
  Published：20 October 2025
- 稿件说明：
移动端阅览
吴一女, 冯洁惠, 徐建宁, 等. 基于ORTCC精细化管理理论的三级医院专科护士队伍培养和使用实践[J]. 中华医学教育探索杂志, 2025, 24(10): 1386-1392.

Wu Yinü, Feng Jiehui, Xu Jianning, et al. Training and use practices of specialty nurses in a tertiary hospital based on the ORTCC refined management theory[J]. Chinese journal of medical education research, 2025, 24(10): 1386-1392.
吴一女, 冯洁惠, 徐建宁, 等. 基于ORTCC精细化管理理论的三级医院专科护士队伍培养和使用实践[J]. 中华医学教育探索杂志, 2025, 24(10): 1386-1392. DOI： 10.3760/cma.j.cn116021-20240611-02119.

Wu Yinü, Feng Jiehui, Xu Jianning, et al. Training and use practices of specialty nurses in a tertiary hospital based on the ORTCC refined management theory[J]. Chinese journal of medical education research, 2025, 24(10): 1386-1392. DOI： 10.3760/cma.j.cn116021-20240611-02119.

摘要

目的

应用ORTCC精细化管理模型对某三级甲等综合医院专科护士队伍进行系统管理和整体建构，促进专科护士队伍培养和发展。

方法

梳理专科护士管理架构；开展专科护士工作调研；应用ORTCC模型对专科护士队伍实施精细化管理，包括：确定“培养—使用—管理”三位一体目标

（objective）

，梳理完善规则体系（rules），搭建分层培养平台（training），理顺全程评价考核（check），塑造专科照护文化（culture）。实施1年后评价效果。

结果

实施ORTCC精细化管理后，2023年专科护士队伍数量发展至367人，形成了三阶递进的专科人才梯队；专科护士职业获益感总分及各维度得分高于2022年（

0.001）；临床胜任力总分及各维度得分高于2022年（

0.001或

0.05）。同时，形成12项专科护理技术，获6项省级以上专项质量改进奖，专科服务能力进一步提升。

结论

基于ORTCC模型的专科护士精细化管理实践为三级医院专科护士的分层培养、有效使用与科学管理提供了一定的理论和实践依据，促进了专科护士队伍建设和专科服务能力提升。

Abstract

Objective

To apply the ORTCC (objective

rule

training

check

and culture) refined management model for the systematic management and overall construction of a specialty nurse team in a tertiary grade A general hospital

and to promote the cultivation and development of specialty nurses.

Methods

The management framework of specialty nurses was investigated and a survey on their work was conducted. The ORTCC model was used to implement fine management of specialty nurses

including determining the integrated objective of "training

use

and management"

(objective)

improving the rule system (rule)

building a hierarchical training platform (training)

streamlining the whole process check (check)

and shaping the specialty nursing culture (culture). The effects were evaluated after one year of implementation.

Results

After the implementation of ORTCC refined management

the number of specialty nurses increased to 367 in 2023

and a three-level progressive specialty nurse team was formed. The total and dimensional scores of perceived professional benefits (

0.001) and clinical competence (

0.001 or

0.05) were higher than the scores in 2022. Additionally

12 specialized nursing techniques were established

and six provincial or higher-level specialized quality improvement awards were obtained

further enhancing the capacity for specialized nursing services.

Conclusions

The refined management practice of specialty nurses based on the ORTCC model provides a theoretical and practical basis for the hierarchical cultivation

effective use

and scientific management of specialty nurses in tertiary hospitals

thereby promoting specialty nurse team development and enhancing specialized service capacity.

关键词

Keywords

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