Personal learning summary of head nurses 1 At the beginning of the new year, the nursing department organized a training seminar for new head nurses and head nurses for 12 days. The head nurses of the whole hospital participated in the study and training, and the nursing department invited many directors and deputy directors of the hospital office, financial planning department, economic management department, doctor-patient dispute coordination department and nursing department to give lectures, giving a systematic, detailed and in-depth explanation from the aspects of hospital development, performance distribution, standardized financial operation management, nursing safety, quality management and head nurses' self-construction. I have benefited a lot from this study. Not only broadened my horizons, but also learned a lot of valuable experience, updated my concept and made my working ideas clearer. I also deeply realize that as a head nurse, we should constantly learn new professional knowledge and scientific management methods, accumulate experience, have excellent coordination and communication skills, and be strict and decisive in execution, so as to really do a good job in nursing management in our department.
1, the head nurse is the "vanguard" of nursing work. To be an excellent head nurse, we need to study the art of nursing management seriously, make full use of the influence of personality charm and play the role of grass-roots managers; It is necessary to have higher professional ability and comprehensive ability, professionalism, innovation, competition and quality awareness, and to keep forging ahead and innovating in order to better adapt to modern nursing work.
2. Improve the learning atmosphere and create a positive, united and cooperative nursing team, so that everyone is responsible and everything is managed.
3. Safety management is the focus of nursing management, and it is also a topic that we repeatedly emphasize and reiterate, which is the guarantee of nursing quality. When there is a problem, the head nurse should not criticize the wrong nurse first, but should check which step of our operation has loopholes, improve and modify it as soon as possible, strengthen this management, and take a warning to avoid the recurrence of the same mistake. This is the ultimate goal of nursing safety management.
4. Effective communication includes conveying information to each other by language, voice, smile and expression.
5. Quality evaluation: First-class quality evaluation is the most direct, authentic and basic evaluation method. Head nurses should strengthen their study, master various quality standards and operating procedures, strictly control quality, train and guide nursing staff, and realize continuous improvement of nursing quality.
6. Strengthen detail management: details determine the quality of nursing service, details can harmonize the relationship between nurses and patients, details can strengthen nursing safety, and details can ensure nursing quality.
After the director of the financial planning department and the director of the Economic Management Office explained the standardization of financial operation management and performance appraisal, I realized that the head nurse has a great responsibility in the financial management of the department, from which I learned that:
1, rational use of human resources, so that people can give full play to their talents and give full play to everyone's potential advantages.
2. Establish and improve the performance appraisal distribution system, and use the incentive mechanism to mobilize the work enthusiasm of general nurses.
Cao, deputy director of the hospital office, gave me a systematic and comprehensive introduction to the historical development of our hospital. Through unremitting efforts, successive leaders led our hospital to grow and develop, and the love for our hospital came into being. In particular, I should bear in mind the "32-character" policy of running a hospital as the standard of work and the driving force for progress.
For several days in a row, I arrived early every time and recorded it carefully for fear of missing something. After the training, I thought a lot. I intend to rearrange my notes, focus on some books in related fields, and clarify my responsibilities. During the study day of nursing business in our department, I will impart these ideas, experiences and knowledge to the nursing staff in our department, so that everyone can strengthen their understanding, start from themselves and make continuous progress.
I believe that there will be a new improvement and qualitative leap in the nursing work in our hospital in the future. Thanks to the leadership of the nursing department and the guidance of various departments, I hope that more high-quality, multi-angle and all-round training like this can be held in the future, so that the nursing work in our hospital can reach a new level.
After working for a month, I experienced the initial hesitation caused by unfamiliar environment. At this moment, I felt the joy of harvest, and also pointed out the direction for me who has not worked long-starting from myself, starting from now, starting from small things, reflecting my value in ordinary work and interpreting the meaning of "angel".
This is a place where everyone is "full of vigor and work hard". Everyone creatively faces work and life, willingly dedicates their enthusiasm and brings health, happiness and hope to patients. No one complains about hard work, and everyone finds their own value in work; Doctors and nurses express their trust and gratitude to the hospital with rigorous attitude, positive action and serious eyes.
In addition to my admiration for teachers' profound knowledge and professionalism, my heart is full of deep gratitude to the dean and head nurse! Thanks to this team, this positive, energetic and caring team!
At first, I just listened, looked and felt. Over time, everyone will drive me to gradually integrate into the culture of the hospital and into the team of orthopedics. A very United departmental team is not only reflected in the fact that colleagues are like a family, but also cares more for patients than relatives. Head nurses attach great importance to patients' psychological care, health education and standardized services, close the relationship between nurses and patients, and improve patients' satisfaction rate with nursing work, which is an opportunity to test and exercise nurses' knowledge structure and comprehensive ability, enhance their role in patients' rehabilitation, and enhance their self-worth and enthusiasm for learning knowledge. It also made me deeply like back therapy. In fact, every flower is the crystallization of sunshine and rain. I believe that although I have been here for a short month, I have learned a lot of knowledge and benefited a lot, because there are such lovely and respectable colleagues and teachers who always urge me to take every step.
Nurses are not disgusted and impatient with every patient. With their gentlest smiles, the most appropriate language and the most skilled operation, they provide patients with more humanized services, so that every patient who receives treatment here feels "at home". Working here, I was infected by their spirit. Let me gradually understand that our work is not a career, but a career, so that I can keep a positive heart no matter what problems I encounter in my future work. Of course, I will talk about the current situation and existing problems of the department from my personal point of view.
First, the treatment room and dressing room insist on mopping the floor with disinfectant twice a day, the ward regularly mops the floor with disinfectant, and the sheets of discharged patients are disinfected at the end (clean the bedside table and wipe it with disinfectant).
Second, the application of warm tips and signs. Hanging various warm warning signs and signs in the ward can improve the quality of nursing. The illustrated warm warning signs reflect humanistic care. If warning signs and signs are hung in the dressing room, nurse station, ward corridor, sterile area and polluted area of treatment room, it is more conducive to establishing an interactive nurse-patient relationship and effectively avoiding nursing defects and errors.
Third, establish a management system for first-aid drugs. First-aid drugs must be placed in designated places, managed by special personnel and marked with eye-catching signs. It should be placed in different categories, supplemented and registered in time after use, and the validity period should be checked on time.
Finally, I thank the dean, the head nurse and all my colleagues for their concern. In the future, I will work harder to make my due efforts for the comprehensive quality nursing service and nursing development of hospitals and departments!
Personal learning summary of head nurses' continuing education 19 From August 8th to June 9th, I had the honor to attend the training course of "Head Nurses' Position in Tertiary Hospitals" organized by the Provincial Nursing Society. The students in this training course are all from tertiary hospitals in Jiangsu Province, and I have benefited a lot from 12 days of theoretical and clinical practice training.
The contents of this training course include: introduction to management and hospital management practice, head nurses' leadership methods, execution and team building, detailed rules for the implementation of evaluation standards for graded hospitals, nursing management and continuous quality improvement, quality improvement and the application of quality control circle, the cultivation and assessment of young nurses' clinical practical work ability, and the implementation and experience of performance appraisal management.
As a new ward head nurse, I really have no idea about the requirements of the post of "head nurse" and how to be a qualified head nurse. This kind of head nurse training class is a timely rain for me, which makes me further realize the nature of my work and clarify my responsibilities and obligations. Now I report my learning summary as follows:
1, how to manage the work
Through this training, I learned that "management" is a science and an art, not the simple "managing people by people" and "managing by experience" I originally thought. Modern management pays more attention to "managing people by system", "managing more with less" and "managing according to place, time and people", all of which must be based on scientific theories and methods. Managers regulate and manage the work of subordinates according to these scientific systems, routines and processes. In addition, we should pay attention to the art of management, and achieve "fairness, justice, multi-purpose positive incentive mechanism, humanized management" and so on. We should constantly improve our personal knowledge, be responsible, be good at employing people, be ready to help others, and enhance our personal charm.
As a manager, you must have the ability to inspire, control emotions, be humorous, speak and listen. As Professor Liu Hong of South Medical University said in the training class, for a head nurse, to do a good job in management, she must have five core abilities, namely, "effective communication with superiors, ensuring the completion of tasks, being good at solving problems, building a high-performance team and execution". Liu Jiaoshou conveyed these principles and methods to us with vivid examples, which really benefited us a lot.
The most effective leader never emphasizes himself, but is a team, which can tolerate anyone's diversity. As a head nurse, she should be like a magnet, attracting and driving department staff to work under the same goal and make achievements.
2. How to control the quality of nursing in wards?
Nursing quality mainly refers to the degree to which nursing work provides nursing technology and life service for patients. It is not a fixed goal, but a process of continuous improvement. The implementation of its management mainly includes: plan, process, result and feedback. I was deeply impressed by the lecture given by Chen Xiangyu, director of the nursing department of Gulou Hospital, on how the head nurse carries out quality control. She pointed out that "the head nurse should have quality standards in mind", and should evaluate and measure from three aspects: structure, process and result, scientifically analyze, find problems, understand the causes of problems, improve the scheme, implement the scheme, and then check the feedback to achieve continuous improvement. This provides a good reference for my future work.
3, grade hospital review requirements
In the past, we only had a preliminary understanding of the requirements and connotation of grade hospital evaluation. In this training class, we systematically studied the evaluation of grade hospitals, and learned the classification of detailed rules (basic standards, core clauses and optional items), the distribution of nursing core clauses in Jiangsu detailed rules, and the expression, judgment principles, nature results and inspection methods of evaluation. In particular, I have a deeper understanding of the content of Chapter 5. It is helpful for us to better carry out and cooperate with the evaluation of grade hospitals in our hospital.
At the same time of theoretical study, we also conducted clinical practice training. My internship training hospitals are the Second Affiliated Hospital of Southern Medical University and Zhong Da Hospital. Through four days' internship in two hospitals, I was deeply impressed by their following practices in communication and study with colleagues in hospitals.
Impressive practice:
1), bedside rounds of the Second Affiliated Hospital of Southern Medical University
The ward of the Second Affiliated Hospital of Southern Medical University basically has a head nurse to make bedside rounds every day. The specific method is to select patients with serious illness in the ward, and the participants include head nurses, responsible team leaders, responsible nurses, junior nurses in the ward and practical nurses. First, the nurse in charge will report the patient's condition (nine points) at the patient's bedside, evaluate the patient's nursing problems today, take specific measures (on-site surgery), and make an evaluation, pointing out what problems have not been solved and need to be explained to the next class. After the report of the nurse in charge, the team leader will report what guidance was given to the patient today, and evaluate the work of the nurse in charge, point out the shortcomings and provide supplementary guidance. Finally, the head nurse is evaluating and tracing back, and then asking questions about patients.
2. Authorized management of head nurses in Zhong Da Hospital.
My internship department in Zhong Da Hospital is neurology, and the head nurse's authorization management is better. The main method is to set up several quality control groups (such as administrative group, quality control group, teaching and research group, etc.). ), with a senior and capable nurse as the team leader and 3-4 team members, work on their respective projects, and the head nurse bears the main responsibility.
3) Nurses in Chinese-American hospitals are trained at different levels.
Zhong Da Hospital has training objectives and specific measures for nurses in charge, nurses, nursing workers and recent personnel. Senior nurses are mainly trained in teaching, scientific research articles and organizational skills. Junior nurses mainly train basic skills, knowledge and professional knowledge.
All the above practices have achieved good results in practice and inspired me greatly. I want to learn from them in my future work. The following are my immature ideas, and I hope the leaders will criticize and guide me.
Immature ideas:
1), more bedside rounds.
In the future work, I will combine the characteristics of our department, organize more bedside rounds, and combine the case tracking method to cultivate nurses' ability to find and solve problems, and also exercise their expression skills. This not only broadens nurses' knowledge and improves the quality of nursing, but also exercises the head nurse herself, prompting us to constantly learn professional knowledge and improve the ability of organization and coordination.
2), authorization management
Authorization enables nurses to participate in ward management, which not only exercises nurses' ability and improves their subjective initiative, but also frees the head nurse from tedious things and supervises and macro-controls ward work, which is more conducive to the control, innovation and development of ward nursing quality. I want to carry it out in my future work, but I don't think it is suitable for me or the staff in the ward. I still want to keep learning, constantly improve my various abilities, and then evaluate the abilities and needs of the department staff, lead them to study together, slowly let them participate in the management of the ward, cultivate subjective initiative, strengthen the cohesion of the department, and approach this goal step by step.
3), nurses hierarchical training
Focusing on the overall goal of building an academic team proposed by our ward, "hierarchical training" also provided me with a new idea. We can consider bringing it into scientific research management, evaluate the scientific research ability of nurses in our ward, give preferential policies and resources to those with strong ability, and strive to train 1-2 scientific research backbones within 5- 10 years so that they can carry out scientific research independently; 3-5 professional experts can cooperate with the backbone of scientific research to carry out various scientific research work, and through the backbone and experts to drive other people to actively participate in scientific research work. Set up a "pyramid" business team according to personal ability to make the best use of people.
In short, after the on-the-job training of head nurses, although I have learned some management theory knowledge and broadened my horizons, it is far from enough. This is only the first step of the long March. In the future, I will continue to study, combine management theory with practical work, and lead all the staff in the department to do a good job in the ward.
Personal summary of head nurses' further study 4 Under the care of hospital leaders and nursing department, I am honored to be sent to hospital surgery for a period of 1 month for further study. Through further study, I deeply realized my deficiency in nursing management and the gap in nursing quality, and also deeply understood the advanced nursing service concept of the hospital.
Service mode and sound vertical management system. My learning experience is summarized as follows:
1. Standardization and standardization of hospital nursing management. Whether senior nurses, junior nurses, new nurses, rotation nurses or interns, their management regulations and requirements are different. For example, a senior nurse should undertake the teaching of some intern students and lectures of departments, and new nurses should participate in the "three basics" training and assessment. The nursing department consists of three groups (gas cutting group, stoma group and PICC group). They are composed of three nurses in each department, which is the talent reserve of nursing department and the object of human resource allocation in emergencies. The number, professional title and age structure of nursing staff in departments are reasonable, and the optimized and complementary combination of rich experience and weak auxiliary ability forms a relatively stable and scientific configuration structure. At the same time, it also gives the department room for development. According to the requirements of the nursing department, the head nurse made a weekly listening day for the head nurse.
Second, the overall nursing management post responsibility system is implemented, and the nursing work is busy and orderly. In hospital surgery, there are 50 to 60 patients every day, as many as 10 to 20 critically ill patients, and more than 20 first-class nursing patients. Moreover, every patient admitted to the hospital should undergo pressure sore, fall or fall out of bed, unplanned extubation score (early warning score) and catheter risk assessment for patients admitted with catheter. If the safety hazard score is reached, it must be reported to the nursing department and corresponding preventive measures must be taken.
Third, trace management is systematic and paperless. There are many records related to hospital nursing, but the information system is very sound. They completed all the records of a patient in less than 5 minutes, and the basic information was automatically generated. Relevant content is copied and pasted in the form of modules, and all records are processed in series. For example, a patient is penicillin (positive). As long as you indicate penicillin (positive) on the temperature list, all records of this patient will show penicillin (positive) information. And as long as there are patients who need to be handed over because of leaving, entering, changing majors, surgery, etc. After the relevant procedures are completed, the information that needs to be handed over will automatically appear on the handover record to remind you that the patient needs to be handed over. You just need to make some changes in this record, and all the records, including wristbands and bed cards, are printed out. Nurses spend more time on morning and evening nursing, infusion, oxygen supply, monitoring, atomization, sputum elimination, health education and so on. And make a scientific plan.
Third, strict system management reflects the implementation of the core system everywhere. Every morning, the head nurse leads the team to manually shift each patient at the bedside, and there is a quick hand disinfectant at the door of each ward. Handover is very strict and meticulous, from the patient's condition, treatment, diet, bedside card, drug allergy history, skin, wrist strap, pressure sore prevention, fall warning signs, to the patient's hair, toenails, beard and oral hygiene, to the patient's bed unit management and admission education. Each class lasts about an hour, and every detail of the work reflects the nurses' conscious, responsible and positive attitude, and they are not lazy or complaining. The implementation of the core system is everywhere.
Fourth, according to the requirements of the nursing department and the needs of the department's work, nurses are trained and assessed in layers in a planned and purposeful manner, and implemented layer by layer. The department has a strong learning atmosphere, and nurses have solid theoretical knowledge and excellent skills. Every day after the shift, we should learn nursing business, and the head nurse should ask questions every Tuesday and Friday morning. Young nurses, in particular, require everyone to participate, learn and answer. The research contents include basic nursing, specialized nursing, ten safety objectives, nursing core system, objectives, connotation, job responsibilities, complications of nursing operation, emergency plan, emergency medication, specialized medication, eight knowledge of patients and so on. A strong learning atmosphere has been formed in the department. At the same time, the assistant head nurse also randomly tested the nursing routine and operation skills of young nurses, and constantly improved the professional and technical level.
Five, the hospital nurse performance appraisal by the nursing department according to the four aspects of nursing quality, nursing quantity, satisfaction, cost control distribution, workload extracted by the system, can charge the workload of nursing related expenses, the department for secondary distribution.
6. Socialization and standardization of logistics services. Every day, the plumber will go to the department to check whether there are hidden dangers of water and electricity. Everyone in the delivery center is responsible for the examination appointment, accompanying examination and specimen delivery of all patients on the first floor, and each nurse is responsible for two wards. The patient's diet and life are well taken care of, and the hospital pharmacy can buy all disposable supplies.
Seven, there is no end to learning. Seeing that the hospital nursing work is doing so well not only makes me feel the pressure, but also makes people forge ahead. How to strengthen the construction of young surgical nursing team, how to improve the nursing service process, and how to improve the overall nursing quality including basic nursing and specialist nursing. , has become the focus and direction of our young nursing team in the future. In order to adapt to the development of hospitals and departments, in today's tense doctor-patient relationship, how to further prevent medical risks, have full foresight and foresight for possible accidents and sudden crises, and cultivate nurses' keen observation and quick response ability is also an important aspect that our young nursing team needs to grow up step by step.