In recent years, a small number of medical staff have paid more attention to medical skills than medical ethics, and their service awareness is weak. They even accept red envelopes and ask for kickbacks, which has infringed on the image of doctors to a certain extent and increased the difficulty of solving the problem of people's difficulty in seeing a doctor. To solve this problem, we must strengthen the ideological and political work of medical staff and carry out professional ethics education with humanistic spirit as the main content.
At the same time, we should optimize the incentive mechanism of medical staff from the actual environment of market economy and people-oriented.
Incentive mechanism for medical staff is a system and process in which hospital managers design certain incentive measures according to the needs of management objectives to control and guide the behavior of medical staff to develop in a certain direction. It is highly directional. What is the reward? How to reward? Who decides this kind of award?
Only from the local interests of the hospital, or pay more attention to solving the social needs of difficult and expensive medical treatment while considering the interests of the hospital? The answer is different. Looking at the incentive mechanism of a considerable number of hospitals at present, the former is mostly and the latter is very few.
It is true that the basic duty and business work of a hospital is to cure diseases and save lives. It is impossible to run a hospital by a quack with poor medical skills. The development of hospitals also depends on economic benefits, and hospitals with long-term losses cannot survive.
Therefore, it is absolutely necessary to encourage medical staff to study hard, improve their medical skills and increase economic benefits fairly. In fact, this has been widely valued in the incentive mechanism of hospitals at present, and it has also been quantified accordingly. In fact, the optimization we advocate is not to remove these incentive contents, but to increase the content of medical ethics and improve its position and weight in the incentive mechanism.
The content of medical ethics is very extensive. It is not difficult to establish the content of optimized incentives. The key issue is how to achieve fairness and justice.
The realization of fairness and justice needs a set of scientific and just methods. Based on the current practice of some hospitals, it is feasible to implement quantitative assessment plus comprehensive assessment plus public participation. First of all, the energy should be quantified as much as possible to facilitate control.
Secondly, the implementation of medical ethics evaluation system is a fundamental measure to strengthen the construction of professional ethics and work style, an effective means to build a harmonious doctor-patient relationship, correct unhealthy practices in the industry and civilized hospitals, and an important measure to optimize the incentive mechanism. Third, an effective supervision mechanism is two aspects that complement the incentive mechanism. There should be supervision not only by hospital leaders and employees, but also by the public and the media.
To form a purposeful, planned and organized atmosphere of propaganda and supervision of medical ethics, praise advanced and criticize bad behaviors, which plays an important and positive guiding role. Hospital leaders should discover the good deeds of medical staff in time and report them in the media. Criticism of the media, as long as the facts exist, should be welcomed, actively cooperate with the rectification, and take it as an important basis for the implementation of the assessment system to ensure the survival and development of the hospital and the establishment of a harmonious doctor-patient relationship.
Chapter II: Personal work summary of medical ethics model essay Since I joined the work, I have been working in the surgical clinic, realizing my life value in ordinary and trivial nursing. X years of work experience witnessed my growth process and explained the most classic sentence: if I can't extend the length of my life, I can decide the width of my life. In view of the particularity of my work, I have never seen a "red envelope" in my post. What I hear and get most is the personal thanks of patients and their families. I have delivered meals to patients, donated money, and done my duty in nursing patients. In fact, some jobs are visible to others, and some jobs are invisible to others. Others are serious about my work, so I will talk about my work from a serious point of view. Everyone knows that the nursing post is a radish and a pit, and everyone can complete their own work, but sometimes it is necessary to divide the quality. At this time, the details of the work are particularly important.
For example, after measuring the patient's blood pressure, help the patient tidy up his sleeves; During intravenous infusion therapy, if I see a patient eating, I always ask him to eat before infusion, or the patient asks to go to the toilet before infusion. For these, I have always understood, without any complaints or unpleasant expressions. When infusion, I have to ask the patient whether he is willing to lose his left hand or his right hand; After the infusion, I will pull the infusion stand to the bedside in time to facilitate the patient to get on and off the bed, and the ward looks neat. For postoperative patients, in addition to the routine explanation of diet and activities, help patients get out of bed when necessary and instruct them to urinate at the first time after operation. In surgery, surgery is a common occurrence for medical staff, but for patients, perhaps some patients are new here, and she needs the help and psychological support of medical staff. We know that the day of illness is a time when a person is psychologically sensitive and fragile. If you give a smile, guidance and attention, I believe that trust and respect are for each other. That's what I thought and did.
In the department, I am the only female party member in the nursing post, and I will strictly restrain myself with party member's standards in words and actions. At work, I am a quality control nurse and I can't do disinfection monitoring myself. How can I supervise other people's work? I have always believed that actions are more convincing than all words. At work, there are many opportunities to know each other, and everyone has his own advantages. For more than ten years, the only thing I am most proud of is adhering to the concept of sterility. No matter how hot it is in summer, I never forget to wear a mask when I work at night, because it has become a habit.
After work, if I encounter rare diseases, such as liver echinococcosis and cellulitis, I will look up information on the Internet and make a health education plan to meet the needs of future work. For me, it is also an opportunity to learn actively. In addition, I often participate in on-the-job training competitions and speech competitions held by hospitals, and have achieved good results. I always feel that no matter whether it is successful or not, every opportunity is an exercise. In terms of knowledge updating, I am not willing to lag behind young people and insist on completing the self-taught college courses.
I have been engaged in nursing for many years, and I can't remember how many critically ill patients I have personally cared for. Let me tell the story that happened at the end of the year when I worked in the western branch. At that time, Corey admitted a patient, Chen Long, who suffered from hypertensive encephalopathy due to sudden hypertension. The patient was sleepy for several days, and one limb was paralyzed. Oral care and skin care must be completed on time, and the patient has no fixed occupation. There is only one daughter in senior three in the family, who lives on the relief provided by the government. Nursing staff actively donated money to offer love, and I also took the lead in donating money to provide them with more thoughtful services. In my spare time, I will run to the ward, help to do some work within my power, chat with patients, and encourage him to establish confidence in overcoming the disease for the sake of children and family. Before the patient was discharged from the hospital, the family members sent the banner of all the nursing staff to the dean's office, which read "exquisite nursing, gratitude". Up to now, this banner is still hanging on the main wall of the nursing department, which is the honor of all the staff of the nursing department. It is with these dribs and drabs that I have won the honorary titles of advanced worker, top ten nurses in the hospital, expert in post, and red flag bearer on March 8th.
Chapter III: Personal Work Summary of Medical Ethics Model Essays 20xx is the second pioneering year of our hospital with the main content of "strengthening connotation, improving quality, raising level and striding over steps". Under the correct leadership of the hospital leaders, all medical staff in the endocrinology department of our hospital have firm confidence, passionate entrepreneurship, strengthened connotation and accelerated development. In accordance with the guiding ideology of hospital work in 20xx, combined with the actual work in this area, they worked in unity and cooperation, practiced in accordance with the law, practiced in an honest manner, carried out in-depth nursing quality services, earnestly completed all the nursing work assigned by the nursing department, and successfully completed the work plan at the beginning of the year. Won the title of "the second national advanced nursing group of traditional Chinese medicine", and there were no nursing mistakes and medical accidents in the past year. The work is summarized as follows:
First, political thought:
1, actively respond to the call of hospital departments, carefully organize and study the spirit and content of 20xx hospital work report, actively respond to the spirit of "striving for Excellence" activities carried out by hospital party committees, establish awareness of development, responsibility, hardship and overall situation, conscientiously do a good job in the unity and cooperation between departments and employees, actively play the team spirit of departments, and actively participate in various activities organized by hospital departments. Actively strive for "* * party member Pioneer Post" and "Worker Pioneer Post".
2, strengthen the construction of medical ethics of nursing staff, strengthen the study and implementation of the construction of party style and clean government, practice in accordance with the law, practice in a clean manner, vigorously promote advanced models and advanced figures, and actively create a team atmosphere of honesty, unity, harmony and progress. The department has no "small treasury", no illegal and disciplinary phenomena such as accepting "red envelopes" and "kickbacks", and no complaints about service quality.
3. Elaborate the human resource allocation plan, emergency plan and scientific and reasonable flexible scheduling. "People-oriented", humanized management, to ensure the quality and safety of nursing, no mistakes and accidents.
4. Strengthen the education of love and dedication, implement the service concept of "patient-centered, quality-centered", improve the professional ethics and comprehensive quality of nurses, aim at serving the people and contributing to society, take patient satisfaction as the standard, and serve patients wholeheartedly. Many times in the "voice of patients", "satisfaction questionnaire" and "post-hospital management return visit" by patients, received pennants and letters of commendation.
5. The department "Nursing Quality Control Group" was established to encourage nurses to participate in department management through authorization. Each nurse is directly responsible for a department management project, which stimulates the enthusiasm and initiative of nurses.
Second, enhance legal awareness:
1. Seriously organize and study the Regulations on Handling Medical Accidents, the Regulations on Nurses, the Measures for the Management of Hospital Infection and other relevant laws and regulations, and actively participate in various trainings and studies organized by hospitals and nursing departments. Such as hospital awareness knowledge training, occupational protection knowledge training, doctor-patient communication lectures, etc. Improve the legal awareness of each medical staff, enhance the awareness of safety protection, conscientiously implement the nursing grading system, and establish a nurse patrol record sheet.
2, seriously organize to participate in fire knowledge lectures, set up department fire quality controller, organize fire drills and emergency plan evaluation, conscientiously implement the hospital fire control system, check the fire safety hazards in the ward, and ensure the fire safety of departments and hospitals. There were no fire accidents such as fires throughout the year.
Third, strengthen business study and strive to improve the quality of endocrine team.
1, scientifically formulated the learning plan and system of our department, including monthly business study, monthly technical competition, monthly learning experience exchange meeting, weekly morning meeting to ask questions, etc. , with basic theoretical knowledge and professional knowledge as the main content. It creates a strong learning atmosphere and enables civilized members to consciously learn business. And conscientiously do a good job in the registration of credits and assessment results.
2. Strengthen the training and assessment of "three basics" skills, arrange shifts reasonably, and ensure that junior nurses in nursing department can participate in "three basics training". We changed the traditional teaching mode, insisted on pre-job training for new nurses, completed the monthly target progress of new nurse teaching, and adopted the method of combining teaching with self-study. This year, our ward conducted this training for 1 new comrades, and the effect was good.
Fourth, strengthen nursing quality management, improve nursing quality and service efficiency.
1, strengthen quality control and strictly implement the system. Adhere to the self-inspection of department nursing quality control twice a month, and the head nurse and department nursing quality control staff continue to improve the quality of nursing.
2. Do a good job in the management of critically ill patients, master the nursing emergency technology, rescue procedures and the use of rescue medical equipment, and improve the success rate of rescue of critically ill patients.
3. Strengthen ward management, make ward environment clean and tidy, and strive to create a clean, tidy, quiet and comfortable hospitalization environment for patients. The head nurse attends the morning meeting every day and comments on the quality of the morning meeting, emphasizing the key points of safe medical care and nursing work that day.
4, adhere to the system of succession, each class to do a good job of bedside succession. The head nurse strengthens clinical supervision, insists on going deep into the ward every day, participates in bedside handover, does a good job of supervision, and promptly handles, coordinates and solves existing or potential problems in clinical nursing management and nursing quality.
5, do a good job in morning and evening nursing, improve the quality of basic nursing. The qualified rate of basic nursing basically reached 100%, and the incidence of pressure ulcers was zero. Implement pressure sore reporting system, fall/fall bed reporting system, and implement pressure sore evaluation system and fall/fall bed evaluation system. Pay attention to the nursing and preventive measures of pressure ulcers, falls and bed falls, and implement the preventive measures of pressure ulcers in traditional Chinese medicine. Standardize the identification and posting of warning signs.
6, strengthen the quality management of nursing form writing, carefully check, carefully pass, help and bring young nurses, and strive to improve the quality of nursing medical records.
7, strengthen nursing safety management, nip in the bud, carefully organize nursing safety discussion at least once a month, seriously summarize and analyze the shortcomings and hidden dangers existing in this department, actively find out the reasons and implement corrective measures to prevent accidents and medical complaints.
Five, give play to the characteristics of traditional Chinese medicine, and actively carry out nursing work with China characteristics.
1. Strengthen the study of cultural knowledge of traditional Chinese medicine and firmly establish the nursing concept of traditional Chinese medicine. Traditional Chinese medicine nursing is an important part of daily nursing work. The certificate of TCM nursing credits was established, the theoretical knowledge of TCM was regarded as the necessary content of monthly business study in the department, and TCM experts in our department were invited to teach, which organically combined the basic theoretical knowledge with specialist nursing and formed the TCM nursing norms with the characteristics of our hospital. And established the clinical path of single disease nursing in our department.
2. Actively carry out TCM nursing and strive to improve the efficiency of TCM nursing. In nursing work, we have made full use of the specialty of traditional Chinese medicine and combined with modern medical knowledge and methods to form a set of perfect nursing norms and operating procedures of traditional Chinese medicine. Actively use the nursing characteristics of traditional Chinese medicine in specific nursing work. Starting from the admission of new patients, under the guidance of the nursing theory of traditional Chinese medicine, the patients were comprehensively and carefully evaluated by the methods of "looking, smelling, asking and cutting", and the collected clinical data, symptoms and signs were analyzed in the most basic way. Under the premise of establishing their etiology, disease nature and disease location, the advantages of traditional Chinese medicine nursing were brought into play and dialectical nursing was carried out. In the specific nursing operation of traditional Chinese medicine, every nurse is assessed by combining regular and irregular methods, and every nurse is required to master the basic operation of traditional Chinese medicine nursing. In the field of acupuncture rehabilitation, according to the characteristics of patients, we have developed a series of standardized rehabilitation training exercises, such as head and face acupoint massage exercises, bed bridge exercises, sitting and sitting balance training exercises, shoulder and shoulder strap activities and lower limb control ability training exercises, and at the same time carried out scraping, cupping, water injection, massage, Chinese medicine application, Chinese medicine fumigation, foot soaking and other Chinese medicine nursing operations. In the field of endocrine, there are many patients with diabetes and hyperthyroidism.
3. Carry out patient-centered health education, set up diabetes patients' association, and formulate and distribute diabetes health handbook, TCM health prescription and TCM diet prescription with our department's characteristics. Carry out bedside education, make patients familiar with disease prevention, rehabilitation and related medical care, nursing and self-care knowledge through the words and deeds of nurses and the distribution of health education manuals. Six, actively carry out nursing research and TCM nursing continuing education projects, organize and participate in the whole hospital nursing paper exchange and reading report activities.
A provincial administration of traditional Chinese medicine project is under way, and a hospital-level project is being declared. Nurse X obtained the certificate of primary diabetes teacher from the World Health Foundation.
Of course, there are still some shortcomings in our work, such as the business level of the department needs to be further improved; Ward management, first aid awareness and skills need to be further improved, the characteristics of traditional Chinese medicine need to be further developed, and nursing research papers need to be strengthened. In the future work, our young members of the Department of Endocrinology will make persistent efforts under the leadership of the hospital, by going up one flight of stairs!
Chapter IV: Personal work summary of medical ethics model essay This year is coming to an end, and summing up the past is to devote to new work with higher enthusiasm. In the heavy clinical work, we should not only successfully complete our own technical work, but also pay attention to the cultivation of medical ethics, improve our own moral standards, take service as pride, and proceed step by step from three aspects: doctor-patient relationship, doctor-nurse relationship and nurse-teacher relationship.
"Eliminating human diseases and improving health" is the ultimate goal of our medical industry. It is precisely because of this bright light that our efforts are persistent, and it is precisely because of this commitment that society respects the health industry. Although the relationship between doctors and patients is getting more and more tense, I always put patients first in clinical work to save lives and serve patients wholeheartedly. People-oriented, patients first exist as human beings. Civilized manners and excellent service are the most basic requirements. Respect the personality and rights of patients, keep medical secrets for patients like friends, win the goodwill and trust of patients, abide by the law, practice medicine honestly, and refuse red envelopes and gifts.
Doctors and nurses are comrades-in-arms in the same trench, and they are as close as lips and teeth. Building a harmonious relationship between doctors and nurses is the basis for the safe and effective conduct of the whole medical activity. Therefore, in clinical work, I take the overall situation into account, unite and cooperate, everything starts from the clinic, everything is for the patient, and doctors and nurses Qi Xin work together. Quality service is not only an attitude, but also a strong professional quality as a strong backing. Over the past year, I have persisted in studying undergraduate courses to improve my own quality, treat diseases in clinical work, standardize medical service behavior, and strive to learn the relevant knowledge of this major through various channels, so that I can understand the new trends of this major, broaden my horizons and improve my professional and technical level.
Over the past year, in line with the doctor's bounden duty, treating patients and being responsible for patients, we have solved one thorny thing after another without causing a medical dispute. In the coming 20xx year, I will continue to carry forward the spirit of the past year, do my job well, be responsible for patients' urgent needs, satisfy patients, and assume the responsibility of being a good doctor to save lives.
Chapter V: Summary of Personal Work of Medical Ethics. In 20xx, Fan Wen strictly abided by medical ethics, strived to improve professional ethics and medical service quality, and served people's health wholeheartedly. In the work, we should take the patient as the center, always think of the patient, do everything possible to alleviate the patient's pain, at the same time respect the patient's personality and rights, treat the patient equally, keep medical secrets for the patient, and do not reveal the patient's secrets and secrets. Learn from colleagues, respect each other, unite and cooperate. Honest, law-abiding, not seeking personal gain for doctors. Be rigorous and realistic in business, strive for progress, study medical skills, constantly update knowledge and improve technical level.
I have been working in X for more than X months. With the care of hospital and department leaders and the help of my colleagues, I successfully completed all the work, and soon became familiar with the new working environment. My work attitude and professional and technical level have made great progress, mainly in the following aspects:
First, correct working attitude and serve patients enthusiastically.
As a doctor, serving patients is both a duty and an obligation. After taking part in the work, I will strive to improve my ideological quality and professional ethics, correct my master's mentality, worry about the patient's urgency, think about the patient's thoughts, and do my best to serve the patient; Be patient with every patient, no matter how tired, take pains to explain and communicate, and strive to implement the work of "two good things and one satisfaction".
Two, seriously and responsibly do a good job in medical work, improve the professional and technical level.
1, insist on business study. After taking part in the work, I still insist on studying every day and mastering a disease every day; At the same time, do not forget to learn the new achievements of this major, constantly absorb new nutrition and exercise scientific research thinking;
2. Adhere to the principle of "Excellence and meticulousness" and carry out work in strict accordance with routine medical operations to avoid medical accidents and errors; Constantly enrich my clinical experience in my work, always be modest and prudent, have the courage to ask the superior doctors for advice when I encounter problems I don't understand, and strive to improve my comprehensive analysis and problem-solving ability; Closely observe the condition, timely and accurately record the condition, and properly handle patients; As a new doctor, I should guard against arrogance and rashness, be full of energy and keep learning.
Third, be strict with yourself, make continuous progress and contribute to the development of the hospital.
As a member of the hospital, it is my unshirkable responsibility to make suggestions and contribute to the greater development of the hospital. On the basis of doing a good job, I will make suggestions for the development of the department and look forward to a new high in workload next year.
To sum up, with the help of hospital leaders and colleagues in the past 20xx years, all my work has been successfully completed, but I can't relax at all, because my future work will face greater challenges and opportunities. At the same time, there is still a gap compared with other advanced colleagues. In my future work, I will continue to work hard to overcome my own shortcomings and create more excellent work results.
Chapter VI: Personal work summary of medical ethics model essay pays attention to the cultivation of medical ethics, takes care of service as pride, and starts from three aspects: doctor-patient relationship, doctor-nurse relationship and nurse-worker relationship, and gradually progresses in heavy clinical work.
"Eliminating human diseases and improving health" is the ultimate goal of our medical industry. It is precisely because of this bright light that our efforts are persistent, and it is precisely because of this commitment that society respects the health industry. Although the relationship between doctors and patients is getting more and more tense, I always put patients first in clinical work to save lives and serve patients wholeheartedly. People-oriented, patients first exist as human beings. Civilized manners and excellent service are the most basic requirements. Respect the personality and rights of patients, keep medical secrets for patients like friends, win the goodwill and trust of patients, abide by the law, practice medicine honestly, and refuse red envelopes and gifts.
Doctors and nurses are comrades-in-arms in the same trench, and they are as close as lips and teeth. Building a harmonious relationship between doctors and nurses is the basis for the safe and effective conduct of the whole medical activity. There are an endless stream of patients all over the country, and there are an endless stream of continuing education personnel from all corners of the country. In clinical work, they take the overall situation into account, unite and cooperate, proceed from the clinic and work together for patients, doctors and nurses. As far as professional treatment is concerned, as many doctors as possible should take part in ward rounds and shift changes to get a deeper understanding of the condition, and at the same time, colleagues in the new rotation should try their best to help them get familiar with the environmental standard process. The doctor-patient relationship is harmonious, and the doctor-patient relationship is naturally stable.
Quality service is not only an attitude, but also a strong professional quality as a strong backing. Over the past year, I have persisted in studying undergraduate courses to improve my own quality, treat diseases in clinical work, standardize medical service behavior, study hard foreign languages, make use of hospital library resources, consult Chinese and foreign professional magazines regularly, learn database retrieval knowledge, understand the new trends of this major, broaden my horizons and improve my professional and technical level.