Nowadays, young people have personalities and ideas, but the overall quality of the staff recruited at the grassroots level is obviously not as good as that of the staff in the top three hospitals, and some of them have poor foundations and are not good at learning; Some are not self-motivated and have low requirements for themselves; Some reasons, such as poor control ability, can't restrain themselves well, which leads to the poor effect of nursing staff in primary hospitals despite frequent training, and despite the sound system, violations still occur from time to time. Cultivating them is an urgent task and will be a long-term continuous improvement process [1]. The guidance from the following aspects has achieved initial results.
Cultivation of professional belief
Career cognition and orientation: Every employee must have a correct understanding of his/her career and team before he/she can treat his/her work with a correct attitude [2]. First of all, we should understand that nursing work is a service work, and the service object is a special group-patients. This puts higher demands on nursing staff. They should not only have noble professional ethics and kindness, comprehensive nursing theoretical knowledge and solid nursing skills, but also have a good professional image and self-cultivation, self-respect and self-love, establish harmonious interpersonal relationships, and obtain satisfactory exchanges and communication between the two sides. Otherwise, they will get into trouble at work, and customers will lack respect and support for nurses. At present, the tense doctor-patient relationship in society and the frequent occurrence of hospital violence make the situation of nursing staff more difficult, with heavy work tasks and great ideological pressure, and they are tired of coping with various evaluations and inspections, which seriously affects the growth enthusiasm of new nurses. As nursing managers, we should let them correctly understand and deal with the negative factors, encourage them and promote their growth. If we can't arm our minds with progressive ideas from time to time, then our nurses will become lazy and lifeless, and there is no way to talk about quality service. The Nurses' Regulations promulgated by the State Council clearly stipulates the staffing, treatment, rights and obligations, laws and responsibilities of nurses, which shows that nurses are an industry of great concern to the country rather than a humble job, and nurses cannot treat themselves and their clients with a humble attitude. Nurses should show tenderness, consideration, dignity, beauty, diligence, understanding and dedication, and conquer clients with their own skills and personality charm.
Concept renewal: psychology determines attitude and behavior. I can't let wrong thoughts and actions change me. In clinical work, some nurses will complain that they are not recognized, understood, recognized and treated differently, resulting in depression and confusion, lack of fighting spirit and career ideals [3, 4]. Only by breaking through the barriers of thinking, changing ideas and re-examining our own goals can we correctly face the setbacks and grievances in actual work and life. Complaining is always an unhealthy psychology, which will only increase the feeling of imbalance. Nursing managers should find ways to make them do the right things with the right attitude, generate positive and healthy emotions, and be happy, successful and meaningful people. "Patient-centered" is the eternal theme of hospital service, and "empathy" is the best way. The service concept is changing, and the medical service is changing. From pure technical service to humanized service, from sitting in the classroom to active service, from hospital to family, patients need service and satisfaction, not customers and being managed. They need benevolence to achieve the ultimate goal of humanized service and always appear as service providers.
Cultivation of study habits
Pre-job training [5]: Let them set up the concept that they must study hard and keep charging from the first day they are recruited to the hospital, because the recruiters in the Second Hospital are mixed, and the training task will be a long way to go. Let them receive good training in the golden age of learning knowledge, and then take up their posts after passing the examination one by one, and decide the assigned departments according to the training results. Those who fail the examination are not allowed to arrange departments temporarily, and the allocation of departments can be implemented only after the nursing education group has passed the examination again. Through the implementation of this pre-job training mode, new employees have a good start and put themselves into the working state as soon as possible in thought and action, which has achieved good results compared with the previous formal training.
Three basics training, including theory and skills: every year, the nursing department and departments make specific and feasible annual continuing education plans according to the situation, stipulate the bibliography and scope of common parts of nursing work, and arrange other contents according to the characteristics of departments. The plan of each department was implemented after being audited by the nursing education group. The nursing department formulated corresponding nursing post skills, covering all nursing work, and required new nurses to master basic skills within 1 year. The two-way control of new and old employees requires the patient guidance of the teaching teacher, leading by example and ensuring the effect. All kinds of training plans are carried out on time, and the teachers assess the items they have learned item by item and register them truthfully. The head nurse randomly checks the assessment items and effects, and the nursing department checks the study notes, checks the test operation and gives feedback on the spot. Theoretical exams are held every quarter, and the failed make-up exams are held until they are qualified, which really plays a role in mastering knowledge.
Specialist training: ① In order to adapt to the work of the department as soon as possible, newly assigned nurses or rotation nurses need specialist training. Each department makes a detailed training plan according to the characteristics of the department, and designates experienced senior teachers to form one-on-one guidance. The department shall establish a specialist training manual, which shall be implemented by stages, including the working system and responsibilities of the department, labor discipline, ward environment, patients, the use and maintenance of commonly used instruments in the department, charging standards, hospital transfer process, risk emergency plan, specialist theory and operation, the role, usage and precautions of commonly used first-aid drugs, rescue procedures for common diseases, nursing routine and health education for common and critically ill patients in the department, etc. The head nurse and the teaching teacher check and record the new employees, and the nursing department will check the training progress and training effect from time to time, and make plans and adjustments according to the development of the department. For nurses who are not serious and have incorrect attitudes, ideological education should be carried out as soon as possible to help them get on the right track. For those who fail to pass the examination for many times, talk individually and stay in the department or adjust their posts [6]. (2) Specialized nurse orientation training aims at training young nurses with nurse qualification, college degree or above, experience in internal and surgical nursing, love for nursing posts, and continuous enterprising and innovative ability. First of all, it is required to master the theory and skills of this major, and after being recommended by the department and audited by the nursing department, strive for opportunities to go out and learn new experiences, and impart what they have learned to other personnel in the department in different forms, which will play a guiding role in business and become the right-hand man of the head nurse [7].
discuss
With the development of medical services and the improvement of nursing quality standards, almost all hospitals are looking for the best talent training model. The key is how to make these management methods play the greatest role in practice. There is training without assessment, and there is a system without supervision. Over time, training and management will become a mere formality, and the system will exist in name only. Employees will lower their standards and be busy dealing with quality problems. After the above management and training of nursing staff, the nursing department has formed a good learning and working atmosphere for nurses in various departments. All the work is carried out according to the plan, and the staff at all levels perform their duties. While upgrading skills, we will improve our moral cultivation and steadily improve our departments. The young team will be more energetic and show a new nursing style.