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Abstract Objective：To explore group leader responsibility system effect in thoracic surgery scheduling，change the model of nursing， optimize and reorganize ，and improve the utilization of nursing manpower， the greatest extent possible to meet patients needs and improve patients satisfaction nursing.Method： Since January 2013 the team leader responsibility system were used，that was implementing charge nurse-primary group leader-primary nurse vertical management，the liability of supervising quality were extended by charge nurse to head nurse responsible team leader and nurses， detailed division of labor， and strengthen the various job responsibilities，and accountability to the people. Patients’ satisfaction of two modes，quality of nursing，and nurses working pressure were compared.Result：Before and after the implementation of the responsibility of team leader in charge of patient nursing system scheduling mode satisfaction， quality of nursing， nurses operating pressures， patients’ satisfaction and quality of nursing has improved significantly for nursing， nurses working pressure lower than before，the differences were statistically significant（P<0.05）. Conclusion：Implementation group leader’s responsibility system and scheduling mode improve patients satisfaction of nursing ，improve nursing quality，and reduce the nurse work pressure.
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