Obstetricians and Gynecologists Paper 1
Discussion on clinical nursing methods of obstetrics and gynecology
From the topic, we can see what this article will discuss, and the role of clinical nursing is needless to say, especially in obstetrics and gynecology. Therefore, it is the focus of future development to do well the clinical nursing work in obstetrics and gynecology and provide high-quality nursing services. On this basis, more attention should be paid to obstetric nursing. This paper will discuss the nursing methods on the premise of the importance of clinical nursing in obstetrics and gynecology and the influence of providing high-quality nursing methods.
Obstetrics and gynecology nursing; Methods; Importance; Humanized nursing
According to the research of international authoritative organizations, when women face some problems, their mood swings are obviously greater than those of men, and their psychological endurance is closely related to their physical condition. Once they are psychologically frustrated, they will be severely hit both psychologically and physically [1]. Therefore, no matter from which aspect, we should pay more attention to women's psychological problems. This is especially true in the care of women in childbirth. A humanized nursing will make women's psychological comfort produce a series of good reactions, otherwise it will make the situation worse and worse, and ultimately affect women's health.
1 Clinical nursing methods in obstetrics and gynecology
Clinical nursing should be humanized. To do this, we must deal with all the details and put them into practice.
1. 1 Change the traditional nursing concept. What kind of knowledge service personnel have will determine what kind of service they will provide. Therefore, nurses should do a good job of understanding nursing. In the department in charge of nursing, do a good job in publicizing the concept of nurses, so that they can correctly understand the importance of nursing, enhance their awareness of caring for patients, give full play to innovative nursing methods, provide high-quality and humanized nursing, and take measures to mobilize their enthusiasm for service and encourage others to do their best in their work.
1.2 Improve the overall consciousness of nursing staff, carry out a series of targeted activities in the whole hospital, cultivate the sense of responsibility and integrity of nursing staff, take the service attitude and service mode in service as the best assessment, take the contribution to the whole hospital as the focus of talent selection and training, and link the fate of nursing staff with the overall fate of the hospital [2], so as to truly improve the good and high-quality service environment for patients. Form a good nursing model and innovate service means. Establish appraisal methods and columns in the whole hospital, select excellent departments as examples every month to give certain rewards, and mobilize the enthusiasm of nursing staff to work hard for the whole hospital.
1.3 continuously strengthen learning. Modern society is a developing and innovative society. No one or any group can survive through independent activities, and so can nursing. In order to survive, we must provide good services for patients. However, the working mode behind closed doors is no longer suitable for today's society. It is necessary to strengthen learning and reference, organize specialists to study in other hospitals, carry out learning activities in the whole hospital, and constantly innovate nursing models.
1.4 establish a good image of nursing staff and improve nursing ability. In nursing, every step requires specialized personnel to care for and take care of nurses. In addition, the good image of nursing staff is also a very important aspect to realize humanized nursing, and the nursing attitude is carried out to every step and to people. Explain patiently in detail what the patient doesn't understand or understand. Another important aspect is to improve the nursing ability of nursing staff. [3] The hospital should regularly train the nursing staff, so that the nursing staff can fully practice in the training, so that every care can satisfy the patients. It is also necessary to improve the ability of nursing staff to deal with some emergencies and let them master the necessary knowledge. At the same time, nurses should be trained with necessary legal knowledge to enhance their legal awareness and prevent unnecessary problems.
2 Significance of clinical nursing methods in obstetrics and gynecology
Whether the nursing provided by hospital nurses can meet the requirements of providing good services for patients determines whether patients can get good treatment in the hospital and whether they can be recognized by the public.
2. 1 can change nurses' understanding of nursing work. Through the training of nursing staff, nurses can have a brand-new understanding of the nursing knowledge they have learned in school, at the same time, they can master some necessary medical knowledge, master the ability to deal with emergencies, change their previous simple understanding of nursing, and fully and comprehensively realize their own shortcomings through exchanges with other brother hospitals [4]. There are still many places to learn, so that they can change their understanding from all aspects.
2.2 Coordinating the relationship between hospitals and patients, stabilizing social order, and providing good services by nurses can make patients feel comfortable and get better in time. For example, it can provide a safer environment for patients in specific work and provide timely services for patients in infusion nursing. At the same time, nursing is also an opportunity for communication. Through the care of patients by nursing staff, patients can recognize nursing work, which is also the recognition of the hospital as a whole and strengthens the emotional communication between the hospital and patients. On the other hand, the disputes between doctors and patients in modern society have become an important aspect that affects social stability, so dealing with the problems between hospitals and patients is a certain contribution to social stability, so good nursing service is also an indirect means to solve social problems.
2.3 It is more beneficial for patients to recover their emotions quickly, which is a good medicine for treating diseases. With a good mood, you can actively communicate with the nursing staff, reflect your own understanding and ideas, and make the nursing staff fully prepared, which can provide a good psychological state for future treatment. Nurses provide good care for patients, which is beneficial for patients to actively cooperate with treatment, maintain a good mood and make patients recover in time. Obstetrics and gynecology nursing is more conducive to women's mental health and reduces some unnecessary diseases.
3 Conclusion
In clinical nursing of obstetrics and gynecology, communication with female patients should be strengthened while nursing. Nurses are the people who have the most direct contact with patients in the hospital. Nurses' nursing attitude, methods and skills are directly related to patients' mood and mood of receiving treatment, and indirectly related to the relationship between hospitals and patients and social problems. Therefore, we should improve nurses' nursing level from various aspects, and at the same time ask nurses to communicate with patients more, understand nurses' ideas and correct their own shortcomings in time. Through continuous exchange and study, some training courses are carried out to comprehensively improve the nursing work of nursing staff from the aspects of service level and professional understanding.
refer to
[1] Zhao Jinxiu, Deng Xiaoyang. Methods and effects of quality nursing service in obstetrics and gynecology [J]. China Kang Min Medicine, 20 10, (16).
[2] Yang Xiaoni, Liao Yanping. The important role of humanized nursing in obstetrics and gynecology nursing [J]. Clinical Medical Practice, 2009, (1 1).
[3] Chen Yan, Chen Hongyu, Fu Mo, et al. Practice and discussion of on-site meeting of quality nursing service in our hospital [J]. journal of nursing administration, 2007, (07).
[4] Ping Li, Tian Xiaoli, Gao Yanhong, et al. Implementation methods and effects of standardized management of employed nurses in our hospital [J]. journal of nursing administration, 2006, (06).
Obstetricians and Gynecologists Paper II
Analysis of doctor-patient communication in diagnosis and treatment of obstetricians and gynecologists
With the improvement of people's living standards, the demand for medical care has also increased. At the same time, people's legal concept is getting stronger and stronger, and their awareness of safeguarding rights is getting stronger and stronger. The society has more and more strict requirements and expectations for the level and quality of medical services provided by medical staff. In such a medical environment, the relationship between doctors and patients becomes complex and sensitive, and the incidence of medical disputes is quite high. Among them, poor communication between doctors and patients is often the fuse of disputes. Therefore, good communication between doctors and patients is the key measure to prevent medical disputes. Communication between doctors and patients in the process of obstetrics and gynecology diagnosis and treatment is a knowledge of interpersonal relationship. Many medical disputes are caused by poor communication, so obstetrics and gynecology medicine needs to cultivate its own concern about communication with patients, so that patients can actively cooperate with treatment, which is helpful to improve the diagnosis and treatment effect. Good doctor-patient relationship will enable patients to complete treatment in a happy mood, and also make doctors feel a sense of accomplishment and satisfaction.
Keywords: Obstetrics and Gynecology doctor-patient dispute communication
1 particularity of obstetrics and gynecology
1. 1 the particularity of the discipline itself.
Obstetrics and gynecology medical activities are risky, and obstetric critical diseases are often unpredictable, with complex conditions and rapid changes. Doctors must fully understand the patient's condition, make a correct diagnosis, take active and effective measures, and fully communicate with patients and their families, so as to have an immediate effect and even come back to life. Otherwise, it may delay the best treatment opportunity and cause irreparable serious consequences. Surgical treatment of gynecological diseases may involve the decision of whether to preserve reproductive organs and maintain reproductive functions, which will directly affect the family life of patients in the future. Therefore, patients are eager to know the necessity and danger of surgical treatment, which requires understanding the psychological needs of patients and fully explaining and communicating with patients and their families, so as to reach an understanding with them and make appropriate decisions.
1.2 particularity of the disease.
Gynecological tumors have their own characteristics. Cervical cancer can be found and treated early. Ovarian cancer is often found in the late stage, requiring major surgery or even chemotherapy, and the prognosis is poor; Benign gynecological tumors mostly occur in women in reproductive period, which seriously affects reproductive function and quality of life. They will recur and need repeated treatment. For these diseases, doctors and patients need to communicate repeatedly. Patients should understand the advantages and disadvantages and long-term risks of various treatment methods, make joint decisions with doctors, and cooperate closely to achieve long-term stability. Most obstetric patients are in a normal state, not a disease.
2. Problems often encountered in doctor-patient communication
2. 1 Improper communication between doctors and patients. In the diagnosis and treatment of obstetrics and gynecology, the improper communication between doctors and patients is mainly reflected in two aspects: on the one hand, when telling patients about their illness, they use too many professional terms. Due to the different educational levels of different patients, medical technical terms are relatively difficult to understand. When interns use too many technical terms to state their illness, patients will not understand or even misunderstand their illness. This will not only affect the communication efficiency, but also cause disputes between doctors and patients. On the other hand, there is a wrong statement when stating the conditions. It's easy for a doctor to say such things when facing a seriously ill patient? There's nothing more we can do. 、? Do you want us to do everything possible? 、? Why don't you get rid of the equipment for waiting for words. These words can not only be expressed correctly, but also cause misunderstanding and even psychological harm to patients.
2.2 Avoid using technical terms and pay attention to accurate expression. When communicating with doctors and patients, we should always remind ourselves to consider patients' unfamiliarity with medicine, avoid using medical terms as much as possible, and use easy-to-understand language instead. So that you and the patient can clearly understand the condition. In addition, we should pay attention to the accuracy of expression words. When facing patients, don't say anything when you think of it. Before you speak, you should organize your own language and express your meaning with the most accurate words.
3 the role of doctor-patient communication in gynecological practice
3. 1 The importance of first visit communication.
We should strive to establish a good communication relationship between doctors and patients. Let patients feel the full attention of doctors from the beginning of treatment and know that their demands can be understood by doctors. Doctors show concern for patients in the process of diagnosis and treatment, and try to think and solve problems from the perspective of patients, so as to make correct decisions. The purpose of communication is to enable both doctors and patients to reach a * * * understanding of the diagnosis and treatment plan, * * * to share the responsibility and achieve a win-win situation for doctors and patients. For example, for patients with uterine fibroids, there are many treatment methods, which is more important, surgical treatment or drug treatment. Doctors need to decide according to the actual situation, age, treatment desire and fertility requirements of patients. Doctors need to listen to patients patiently, ask about their illness seriously, know about their previous treatment, accurately judge their illness according to the examination results, inform patients of the advantages and disadvantages of the scheme according to medical conditions, and discuss treatment measures with patients. Doctors reflect the medical level in communication and promote their in-depth study of medical technology; In communication, patients realize that doctors are considerate of patients. Full communication promotes mutual trust and understanding and makes the treatment plan more reasonable. Even if something goes wrong, both doctors and patients are psychologically prepared, which reduces the risk of conflict between doctors and patients.
3.2 Communication in different scenarios of gynecology.
Gynecology is mainly surgery, and full communication before and after operation is very important. The decision of operation needs the understanding and cooperation of patients. Doctors need to understand patients' understanding of diseases and treatment needs according to medical principles and norms, negotiate with patients and make more appropriate treatment decisions. For example, in the treatment of uterine fibroids, whether to remove the tumor or preserve the uterus, laparoscopic or open surgery, it is necessary to let patients know the efficacy and risks of various methods, so that patients can fully understand the extent that doctors can do at present and the risks they may encounter, so that patients can think carefully with doctors and decide the surgical methods together. The bad news brought by malignant tumor and disease itself to patients and their families, doctors should convey it to patients and their families in an appropriate way, explain the treatment methods and prognosis, encourage them and give them confidence to overcome the disease. For critically ill patients who must undergo surgery, we should make preparations for surgery as soon as possible, and fully explain the necessity, urgency and risks of surgery to patients and their families. For gynecological diseases with no surgical indications for the time being, it is necessary to closely observe the changes of the condition and decide the next treatment plan after the condition is stable.
It is more necessary to explain the process to the patient's family and get understanding and cooperation. For atypical, rare and complicated diseases and diseases limited by current medical conditions, doctors need to organize in-hospital consultations and out-of-hospital consultations to actively promote the diagnosis and treatment of diseases. Communicate with patients and their families in a frank and timely manner, explain the condition, the next diagnosis and treatment measures, and inform the medical unknown. If there is no solution, inform the developed countries, they can't solve it. Hospitals and doctors do not cure all diseases, so that patients and their families have objective expectations of the treatment effect and can actively cooperate, instead of worrying and complaining blindly. Any treatment is continuous, and the disease needs regular follow-up. The patient feels that the medical staff has been caring for him, caring for him and having an overall grasp of the condition. In this way, the understanding of patients will be more and more full, and the understanding of medical knowledge will be more and more full. Health is achieved through communication, and medicine promotes rapid development through communication.
refer to
Huang, Wang Ping. Discussion on communication obstacles of medical students in clinical practice. China medical frontier, 2007,1(1):106-107.
[2] Zhang Shiqian, Shen Ji, Strengthening the cultivation of clinical medical students' communication skills between doctors and patients [J]. China Medical Frontier, 2007,2 (13): 28-29.
[3] Chen Shirong. Cultivation of doctor-patient communication ability of TCM students in clinical teaching [J]. Exploration of medical education, 2008,7 (5): 507-508.
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