Medical ethics experience
Over the past year, under the leadership of the hospital leaders and the dean in charge, with the close cooperation and support of various disciplines and the unity and cooperation of the head nurse, I have worked hard to complete the nursing task. The work is summarized as follows. Please give your valuable comments and suggestions.
Political thoughts:
Seriously study the important thought of _ _ _ _ _, study and implement this great spirit, carry out annual medical quality management activities with care, adhere to the concept of patient-centered and quality-centered nursing service, adapt to the new situation of health reform and social development, participate in various political activities with care, take serving the people and contributing to society as the purpose, take patient satisfaction as the standard and serve the people wholeheartedly.
Enhance legal awareness, seriously study the Regulations on Handling Medical Accidents and its laws and regulations, participate in the training and teaching of the Regulations on Repairing Medical Accidents organized by hospitals twice, and organize head nurses and nursing staff to study many times, so that nursing staff can realize the establishment of the socialist market economic system, the legal system is becoming more and more perfect, and the people's legal concept is constantly enhanced. It has become common sense for people to act according to law and safeguard their legitimate rights and interests. The concept of modern nursing quality is to satisfy patients in all directions and in the whole process, which makes people put forward higher and newer requirements for medical care services, thus enriching legal knowledge, enhancing safety protection awareness, making nurses know the usage of the law and reducing the occurrence of medical accidents according to law.
Standardize the nursing work system;
Deepen health reform and implement new regulations on handling medical accidents. The new situation, such as carrying out the overall target management responsibility system and carrying out the annual activity of medical quality management benefit, has put forward higher requirements for nursing work. Therefore, the nursing department seriously organizes to study the new regulations, learn the management methods of nurses, and strictly implement the practice of unregistered nurses. According to the experience of mental health center, Tai 'an People's Hospital and Luoyang People's Hospital, combined with the actual situation of our hospital, 23 nursing work systems were re-improved and revised. It is clear that the information of nurses at all levels belongs to the secretary resource network. It is forbidden to plagiarize 25 kinds of posts, standardize nursing operation procedures 17, and revise the quality assessment standards of head nurses and nurses. The overall nursing quality assessment standard (strongly supported by the office, quality inspection department and general affairs department) makes nursing work have rules to follow and laws to follow, and gradually makes nursing work institutionalized, standardized, standardized and scientific.
Make a good personal work plan for nurses, strengthen professional study, and strive to improve the quality of nursing team.
1. Strengthen nurses' professional ethics education and polite service, adhere to polite language and implement it in every nursing post. Dignified working hours, neat clothes, no shoulder-length hair, no heavy makeup, no high heels, no loud shoes, polite attitude and standardized language. In April, a training course on nurse etiquette was held for psychiatric nurses, and teachers from South China Hotel were invited to give guidance. And selected 1 1 nurses to participate in the city nurse etiquette competition, and achieved excellent results (the nursing department and 1 1 team members sacrificed holidays to work overtime), showing the elegant demeanor of nurses in the Third Hospital and winning glory for the Third Hospital.
2. Strengthen the education of love and dedication, implement the service concept of patient-centered and quality-centered, improve the overall quality and first-aid potential of nurses, and increase the patient satisfaction to 97.6% throughout the year.
3. Strengthen business learning. The nursing department organizes 36 hours of business lectures every month, and the head nurse gives lectures carefully, which has achieved satisfactory results. The department insisted on business study once a month, asking questions at the morning meeting once a week, insisting on nursing rounds for critically ill patients, strengthening the three basics training for nursing staff, and organizing two technical operation examinations, all of which achieved excellent results, and the qualified rate reached 100%.
4, send nursing staff out for further study ***4 people, the head nurse to attend _ for 22 times.
5. Encourage on-the-job nursing staff to attend nursing college. At present, there are 58 college graduates and 22 undergraduates, which has improved the overall level.
6, driven by the head nurse, nurses and above constantly sum up experience, write papers attentively, incomplete statistics, * * * write 36 papers, published in provincial and municipal magazines and exchanged at academic conferences 2 1 article respectively.
Strengthen nursing quality management and improve high-quality and efficient nursing service. It is fully explained that nursing work is an important part of hospital work and another wheel to ensure medical safety and quality service from the aspects of the proportion of nursing staff, the nature of work and the distribution of personnel. Therefore, the quality of nursing is closely related to the rise and fall of medical disputes. It is very important to strengthen the management of nursing quality and improve the individualization of nursing quality. The head nurses in all departments have strict management and are handsome everywhere. Since the implementation of the comprehensive target responsibility system, they have worked overtime and taken the lead to become good red housekeepers. Give full play to the bridge role among nurses, patients and leaders, and make great contributions to ensuring efficient and high-quality service of hospital nursing work.
Do a good job in personal work plan and strive to do a good job in hospital infection management.
Before there was an infection department in our hospital, the nursing department tried its best to do a good job in nursing, strictly implemented disinfection, sterilization and isolation measures, and paid close attention to the aseptic technical operation of nursing staff, so as to achieve one needle and one tube per person. Pay close attention to the management and monitoring of the operating room, supply room, disinfection and sterilization, and conduct air culture in the treatment room and locker room of each department once a month. Strict management of disposable medical supplies, disposable sterile syringes, blood transfusions, infusion sets, etc. After use, disinfection, disfigurement and incineration shall be managed and registered by special personnel. The nursing department monitors and records the intensity of ultraviolet lamps in various departments of the hospital every quarter, and stops using them if they are unqualified, so as to reduce iatrogenic infection.
Medical ethics experience II
For thousands of years, both the Hippocratic Declaration and Sun Simiao's Great Doctor Sincerity have emphasized the importance of medical ethics to medical workers, and clearly put forward to "strengthen the construction of medical ethics and improve the quality of medical services". It is the first time in the party's history that strengthening the construction of medical ethics is written into the report of the national congress of joining the party. Medical ethics is related to the overall political situation. This concentrated medical ethics education activity has made me deeply know that as a medical worker, we should not only have superb medical skills, but also have noble medical ethics, which needs to be patient-centered at all times.
First, to establish good medical ethics, we should deeply understand the importance of medical ethics and vigorously carry forward and inherit the spirit of earthquake relief.
Health care is a cause that benefits the people. Strengthening the construction of medical ethics in medical and health teams is related to the vital interests of the people, the implementation of the party's health work policy, the happiness and well-being of thousands of families, the harmonious development of economy and society and the construction of the economic zone on the west side of the Taiwan Strait, and the image of the party and the government among the people. At the thirty-fifth collective study meeting in the Political Bureau of the Central Committee, I earnestly warned: "We should actively promote the construction of medical ethics and conduct in-depth education on the socialist concept of honor and disgrace, so that the majority of medical and health workers can abide by the purpose of service, enhance their service awareness, improve their service quality and maintain the good image of the medical and health industry." It shows that the construction of medical ethics is not only the work of the medical and health industry, but also an important work that has risen to the overall situation of the whole party and the whole country, which shows the importance of medical ethics.
Looking back on the development of our hospital in recent years, besides a high-quality leadership team, we must also have a team of employees with excellent skills and noble professional ethics. It is the persistent "patient-centered" from top to bottom, and this good medical ethics has formed a strong spiritual strength and a good hospital style. As long as hospital staff continue to proceed from lofty moral beliefs, consciously resist all kinds of unhealthy trends and take patients as the center, hospitals can survive and develop in the competition of survival of the fittest.
Good medical ethics refers to medical personnel who have been proved to have good medical ethics in the work of ensuring medical quality and medical safety. They have a strong sense of responsibility, a good service attitude, an open mind for advice, thoughtful treatment measures for patients, good treatment effect, less missed diagnosis and misdiagnosis, and few or no medical disputes. On the other hand, medical staff with bad medical ethics have a weak sense of responsibility, poor service attitude and perfunctory responsibilities. Even if the technical level is very high, there are often responsible mistakes and accidents, which increase the suffering of patients and even cause disability and death.
In the vigorous earthquake relief struggle, the vast number of medical and health personnel wrote the magnificent poems of angels in white's United struggle, selfless dedication and saving lives, which made the title of angels in white resound through the land of China again. This spirit is a portrayal of their good medical ethics and noble professional ethics. We should integrate this spirit of earthquake relief into our daily work, forge ahead, make further progress, and be worthy of the reputation of "angels in white".
Second, establish good medical ethics and pay attention to ideological education.
Good medical ethics should be firmly rooted in the hearts of every medical staff, so we must attach importance to ideological education. It is necessary to learn through staff meetings, weekly hospital meetings, departmental and team meetings, publicize and instill the spirit of health reform, and establish the purpose of serving the people no matter how the reform deepens and the situation changes; Medical staff's humanitarian moral concept of saving lives cannot be changed; The patient-centered thinking cannot be changed; The position of medical quality, medical safety and honesty first cannot be changed. At the same time, it is necessary to carry out advanced typical demonstration education and hospital culture construction. We should make use of various forms such as window, slogan, journal and weekly meeting to vigorously publicize advanced typical deeds and inspire and educate people with the power of example. Strengthening the construction of hospital culture and regularly carrying out competitions in literature, art, sports, professional knowledge and technical operation not only enrich the cultural life of employees, but also promote healthy atmosphere, enhance communication and cohesion among employees and enhance their ability to resist unhealthy trends.
Third, establish good medical ethics and start from small details.
Since ancient times, doctors have always taken "great doctors are sincere" as the criterion. However, at this stage, although my professional level is not up to "accuracy", I should be patient-centered, care, love and be patient with patients, start with small things that are easy to ignore, make the service more detailed and practical, and insist on serving no small things. Improve service attitude, improve service language, try to avoid misunderstanding caused by improper words, make patients feel at home in our hospital, make patients look sad when they enter the hospital, and smile when they come home. A casual greeting and a sincere smile can warm patients' hearts and give them confidence to overcome diseases. "Take the patient as the center, think about the patient's thoughts and worry about the patient's urgency", love their jobs and win the trust of patients, without grandiloquence, only selfless dedication. With a warm smile, abide by that sacred oath, build a harmonious doctor-patient relationship and create the true meaning of human love.
Fourth, to establish good medical ethics, we must abide by the "eight prohibitions" in the medical and health industry.
If doctors ignore their professional ethics and self-cultivation, they can't strictly restrain themselves, take kickbacks, make bills and make commissions; Arbitrary charges, random inspections, and indiscriminate use of expensive drugs and consumables; Medical staff regard medical service as a profit-making means, with weak sense of responsibility, low service quality, disregard for patients' interests and even frequent medical liability accidents. In this case, how can we talk about saving lives and how can medical ethics win the trust of patients? Therefore, to establish a good medical ethics, we must abide by the "eight prohibitions" in the medical and health care industry, take this as the criterion, always "take patients as the center" and persist in resisting unhealthy trends.
In short, from the political and overall height, we deeply understand the extreme importance and urgency of strengthening the construction of medical ethics. Further strengthen the sense of responsibility and anxiety, keep in mind the entrustment of the party and the people, abide by the purpose of serving the people's health wholeheartedly, start from yourself and start from now on in the spirit of being enthusiastic for the people and improving technology, and fulfill the promise of "taking patients as the center, thinking about their thoughts, being anxious about their needs and doing what they need" with their own actions, in order to maintain good medical services in Dupi People's Hospital.
Medical ethics experience (3)
According to the spirit of the notice of the hospital party committee, in order to implement the requirement of "strengthening the construction of medical ethics" in the report of the 17th National Congress of the Communist Party of China, with the guidance of Deng Xiaoping Theory and Theory of Three Represents, and with the goal of establishing the socialist concept of honor and disgrace, strengthening the construction of medical ethics and improving the professional ethics of medical staff, I fully realize that the hospital is the main window of the health system and the outpatient department is the important window of the hospital. Because the behavior of medical staff is related to people's health and life, medical ethics has always been concerned and highly demanded by all walks of life, often forming a temporary hot spot. Although there are few accidents caused by bad medical ethics, they have great influence and are especially hated and condemned. Therefore, the construction of medical ethics is one of the key points of social moral construction.
With the establishment and continuous improvement of the market economy system, the construction and development of hospitals have changed from dependence to management service. Due to various reasons, in the current market economy environment, medical ethics has many characteristics:
1, benefit-driven, medical ethics imbalance. With the continuous improvement of people's material living conditions, traditional medical ethics have changed, and driven by interests, some medical staff's views on right and wrong, advantages and disadvantages, and respect and inferiority have also changed. Originally, the hospital's service aim was to reduce illness and save lives, not just for profit. However, under the condition of market economy, hospitals are mainly engaged in self-operated medical and health services, pursuing both social and economic benefits. Improper handling of the two causes medical ethics imbalance in some units and medical staff. Specifically, it is indiscriminate inspection, arbitrary charges, indiscriminate use of drugs, accepting red envelopes, and engaging in a second job to "generate income", which disrupts the medical order and corrupts medical ethics.
2. The return of value leads to the loss of medical ethics. While subsidizing hospitals, the state also marketizes hospital materials. The rise and fall of prices have changed the relationship between supply and demand in the market. When personal interests conflict with collective interests, affected by the market economic system and bad social atmosphere, individual medical personnel may seek immoral compensation when their interests are not realized through proper channels. What's more, they think that seeing a doctor, having an examination, having an operation, receiving treatment from patients, receiving red envelopes and gifts from patients; It is reasonable to recommend and sell health care drugs to patients. This reflects the distance between market price and value caused by market economy, which leads to the loss of medical ethics.
3. Conflict of interests leads to disorder of medical ethics. In the case of insufficient state compensation, hospitals should pay attention to both economic benefits and social benefits in order to seek development, so they should pay attention to both medical services and medical services. However, the value of medical services cannot be directly measured by money. Facing patients, hospitals have the morality of choosing the best treatment for patients and saving lives, and at the same time, they have the responsibility to maintain the reproduction of hospital labor. In the concrete implementation, the two will inevitably collide, leading to the imbalance of medical ethics.
It can be seen that the market economy is not only reflected in the legal system constraints, but also in the moral constraints based on reputation. Under the condition of market economy, hospitals not only shoulder the task of protecting people's health, but also participate in market competition for their own survival and development. Strengthening the construction of medical ethics and establishing a scientific, reasonable, effective and feasible management system is an important link for hospitals to maintain vigorous vitality in the fierce medical competition. Then, how should hospitals start with "honesty" education and do a good job in building medical ethics?
I think we can make a fuss from the following two aspects.
1, do a good job in ideological education of medical staff based on "sincere" people. First, do a good job in the education of ideals and beliefs. This is the core of ideological and moral construction, and also the core of medical ethics construction. It is necessary to educate employees to correctly treat the difficulties, interest adjustment and some problems under the conditions of market economy, strengthen their determination to serve patients wholeheartedly and contribute to the survival and development of hospitals. The second is to educate employees on "three views". That is, educate employees with new outlook on life, values and world outlook, so that employees can correctly treat the relationship between material interests, individuals, collectives and the state, and integrate personal interests into collective interests through education; Educate medical staff to establish a correct outlook on life, and take curing patients and relieving their pain as the goal of realizing the value of life. The third is to educate employees to serve patients wholeheartedly. Educate employees to establish that patients are "customers and friends" of the hospital, strengthen communication between doctors and patients, build a harmonious relationship between doctors and patients, and educate employees to put themselves in the position of patients at all times and put the interests of patients first.
2, based on "integrity", earnestly fulfill the commitment to the service object. First, we should combine the construction of medical ethics with various systems. It is necessary to formulate and improve medical ethics norms, closely link medical ethics with the interests of employees, strictly examine and implement them, establish a competitive mechanism, eliminate the fittest, comprehensively improve the service level of medical staff, improve medical ethics and make patients satisfied. Second, continue to implement the open system of medical services and medical charges and the "one-day list system" for inpatients, so that patients can clearly understand their consumption, and take "doctors don't raise prices" and "children don't cheat" as the fundamental requirements of medical ethics. Only with a correct attitude can we stick to the integrity of patients and fulfill the promise of serving patients wholeheartedly.
Medical ethics experience (4)
Medical services also attach great importance to the benefits of medical services. However, the value of medical services cannot be directly measured by money. In the face of patients, hospitals have the morality of saving lives and the responsibility of maintaining hospital labor reproduction. In the concrete implementation, the two will inevitably collide, leading to the imbalance of medical ethics.
It can be seen that the market economy is not only reflected in the legal system constraints, but also in the moral constraints based on reputation. Under the condition of market economy, hospitals not only shoulder the task of protecting people's health, but also participate in market competition for their own survival and development. Strengthening the construction of medical ethics and establishing a scientific, reasonable, effective and feasible management system is an important link for hospitals to maintain vigorous vitality in the fierce medical competition. Then, how should hospitals start with "honesty" education and do a good job in building medical ethics?
I think we can make a fuss from the following two aspects.
1, based on "sincerity", do a good job in ideological education of medical staff. First, do a good job in the education of ideals and beliefs. This is the core of ideological and moral construction, and also the core of medical ethics construction. It is necessary to educate employees to correctly treat the difficulties, interest adjustment and some problems under the conditions of market economy, strengthen their determination to serve patients wholeheartedly and contribute to the survival and development of hospitals. The second is to educate employees on "three views". That is, educate employees with new outlook on life, values and world outlook, so that employees can correctly treat the relationship between material interests, individuals, collectives and the state, and integrate personal interests into collective interests through education; Educate medical staff to establish a correct outlook on life, and take curing patients and relieving their suffering as the highest goal to realize the value of life. The third is to educate employees to serve patients wholeheartedly. Educate employees to establish the concept that patients are the "customers" of the hospital, and that patients are the food and clothing parents of hospital employees, correctly understand the relationship between medical workers and patients, and educate employees to always put themselves in the shoes and put the interests of patients first.
2, based on the "letter", earnestly fulfill the commitment to the service object. First, we should combine the construction of medical ethics with various systems. It is necessary to formulate and improve medical ethics norms, closely link medical ethics with the interests of employees, strictly examine and implement them, establish a competitive mechanism, eliminate the fittest, comprehensively improve the service level of medical staff, improve medical ethics and make patients satisfied. Second, we must adhere to the open system of medical services and medical charges and the "daily list system" of inpatients, so that patients can clearly understand their consumption, and take "doctors do not raise prices" and "children do not bully" as the fundamental requirements of medical ethics. Only with a correct attitude can we stick to the integrity of patients and fulfill the commitment of serving patients wholeheartedly.
Highlight key points, strengthen measures and correct unhealthy trends in the industry.
In recent years, our hospital has always reflected strongly on the rectification of the masses in the construction of professional ethics.
Unhealthy trends in drug procurement and sales are the focus, and hot spots such as accepting red envelopes, eating invitations, accepting gifts, being cold and hard, and being top-notch are the focus. The whole system and strengthening measures have been seriously solved, which has led the hospital to completely correct the unhealthy trend in the industry and achieved results.
First, the medical environment has been improved. At the beginning of this year, in order to facilitate patients to seek medical treatment and create a comfortable and clean medical environment, the hospital invested 1 10,000 yuan to transform the old doors and windows of the outpatient building and the ward building and replace them with plastic steel windows, which made the indoor and outdoor environment of the ward look brand-new. The newly-built corridor connecting the outpatient department and the ward building was put into use in August. The spacious, bright and elegant corridor has become a concentrated exhibition board for cultural construction in our hospital.
Second, the hospital set up a leading organization to correct unhealthy trends in the purchase and sale of drugs and medical devices, adopted bidding for the purchase of drugs and medical devices, signed an assessment agreement with drug dealers, and signed an assessment responsibility letter with all doctors, clearly stipulating that kickbacks are not allowed in drug sales, and clearly stipulating that sellers should immediately withdraw from the hospital when they find one case, and doctors should immediately lay off one case when they find one case. Our hospital completely eliminated the breeding ground of unhealthy drug propaganda and corrected the unhealthy drug propaganda.
The fourth is to pay close attention to unhealthy practices such as taking kickbacks and receiving red envelopes. We adopt the method of confirming the responsibility certificate layer by layer, and put an end to the problem of opening commission and receiving red envelopes. The responsibility book clearly stipulates that no one may prescribe medicine or accept red envelopes. Once it is found that the responsible person has been laid off, the department and the director of the department cannot evaluate the advanced. The inspection department conducts a comprehensive inspection of all subjects every month, so that this regulation is truly implemented. Now our hospital has put an end to the phenomenon of prescribing medicine and receiving red envelopes. Up to now, * * * medical staff in our hospital refused to accept red envelopes for 4__ times.
Fifth, advocate humanized service and establish humanistic medical concept. Our hospital strictly controls medical ethics, and the professional behavior of medical staff has been effectively standardized, putting an end to bad behaviors such as raw, cold, hard, top, eating, taking, sticking and wanting. We have further implemented six contents: the first-visit doctor responsibility system, the service commitment system, the free agency system, the time-limited settlement system, the negative filing system and the accountability system.
Medical ethics experience (5)
When nurses perform their duties in their posts, how can they accomplish various tasks with high efficiency, high quality and creativity, achieve the best work effect, reassure patients and actively cooperate with hospital treatment? Through the study of medical ethics, I have established the post consciousness of nurses and have some understanding of improving work efficiency and quality.
First, a sense of responsibility is a prerequisite for doing a good job. This "heart" not only means to be in place at work, but also to do it with heart in class, so as to do a good job of nursing with "heart" as the focus. Without a sense of responsibility, neither new nor old nurses will do a good job in nursing. In recent years, there are many young people working at the grassroots level, and their confidence is not enough. We should be patient and meticulous in our work. Nurses should not be careless at all. "A tiny difference is a thousand miles away." It is not right to hit people. Of course, well-meaning work will also make mistakes, which is within the normal range. Generally speaking, there is no problem, there is a correct consciousness, but there are mistakes in the links of views and practices. "Doing bad things with good intentions" is a matter of method, not ideology. Therefore, the sense of responsibility is not dispensable for nurses, and it must be cultivated by self-cultivation. This kind of "mistake" is easy to prevent and overcome. If a mistake is made because of a weak sense of responsibility, the nature will change and it is not within the normal range, so it cannot be said to be a "mistake". Then it is necessary to investigate its responsibility. Therefore, the sense of responsibility is not dispensable for nurses, and it must be cultivated by self-cultivation.
Second, there must be a sense of equality and affection, and the initiative and choice of working closely with patients lies with nurses. How do nurses adapt, cater to and get the support of patients? It is the key to establish equality consciousness, that is, nurses adopt the concept of equality when treating patients. They treat all patients not only as a bowl of water, but also as mobile patients, and the right to choose hospitalization is in the hands of patients. If the nurse is compared to the master, then the patient can be compared to the guest. The nurse-patient relationship should be "patience and diligence". How does the host receive the guests for their convenience? First of all, we should respect patients, attach importance to each other's existence, treat every patient with the same enthusiasm as guests, and strive to make patients feel the enthusiasm, easygoing and thoughtful of their hosts. To do this, it is mainly reflected in the service attitude of nurses. Nurses should "speak softly, walk lightly and operate lightly". The working object of nurses is living life, and the sense of equality should also include respect for life. Therefore, equality consciousness is an important part of high-quality work and an important aspect of nurses' creative work.
In recent years, the medical reform policy has gone deep into the grassroots, which has solved the problems of difficult and expensive medical treatment for the masses. Good policies need to be vigorously implemented by our on-the-job personnel. In the final analysis, it is a sentence: "Serve patients wholeheartedly" and do better with your heart and action.