护理实习生网格化管理的实践与探索——延伸管理触角 筑牢安全底线

Practice and Exploration of Grid Management for Nursing Interns: Extending Management Reach and Consolidating Safety Bottom Line

摘要: 目的：探讨网格化管理模式在护理大规模临床实习中的应用效果，为破解实习生“点多、面广、分散”的管理难题提供参考。方法：针对某医学院2026届1034名护理实习生所分布的32家临床实习基地的管理现状，构建并实施以“学院–实习队长–学生”三级联动为主体的网格化管理体系。重点包括：以32家实习医院为网格单元，选拔实习队长32名作为各网格节点负责人；建立新老队长“结对子”经验传承机制；运行月度例会制度与关键节点安全预警机制；规范应急事件协同处置流程；同步构建以“朋辈支持–辅导员疏导–专业支持”为主体的队长心理疏导机制。结果：该模式运行以来，顺利完成了2026届1034名护理实习生面向32家实习医院的精准派遣与岗位对接；依托网格化信息传导通道，教学安排、安全提醒及纪律要求实现全覆盖、快触达；累计协助处理各类手续及协调事务数百次，成功预警并协助处置多起实习生突发疾病、医患矛盾、情绪危机等应急事件，全年未发生因管理盲区导致的安全责任事故。结论：网格化管理模式通过延伸管理触角至32家实习医院一线，有效消除了临床实习管理中的信息盲区和响应滞后问题，并在保障学生安全的同时强化了对网格节点人员的人文支持，实现了管理效能的实质性提升，是筑牢实习生安全底线、保障临床教学秩序可行的实践路径，值得同类院校借鉴推广。

Abstract: Objective: To explore the application effect of the grid management model in the large-scale clinical practice of nursing interns, so as to provide references for solving the management difficulties of interns featured by “multiple sites, wide coverage and scattered distribution”. Methods: According to the management status of 1034 nursing interns of the 2026 cohort distributed across 32 clinical internship bases affiliated to a medical college, a three-level linkage grid management system of “college-internship team leader-student” was constructed and implemented. The key measures included: taking 32 internship hospitals as grid units, selecting 32 internship team leaders as person-in-charge of each grid node; establishing a mentorship mechanism for experience inheritance between new and senior team leaders; implementing monthly meetings and an early warning mechanism for safety at key nodes; standardizing the collaborative disposal process of emergencies; and simultaneously building a psychological counseling mechanism for team leaders consisting of “peer support-counselor intervention-professional assistance”. Results: Since the implementation of this model, the precise assignment and post matching of 1034 nursing interns of the 2026 cohort across 32 internship hospitals have been successfully completed. Relying on the information transmission channel of grid management, teaching arrangements, safety reminders and disciplinary requirements have achieved full coverage and rapid delivery. Hundreds of procedures and coordination matters have been assisted, and multiple emergencies including sudden illnesses, doctor-patient conflicts and emotional crises among interns have been successfully warned and handled. No safety liability accidents caused by management blind spots occurred throughout the year. Conclusion: By extending management reach to the frontline of 32 internship hospitals, the grid management model effectively eliminates information blind spots and delayed responses in clinical practice management. While ensuring students’ safety, it strengthens humanistic support for personnel at grid nodes and achieves substantial improvement in management efficiency. It serves as a feasible practical path to consolidate the safety bottom line of interns and guarantee the order of clinical teaching, which is worthy of reference and promotion for similar colleges and universities.