5000-word nursing graduation thesis 1 Analysis on the significance of traditional medicine to nursing ethics.
1 Respect the medical ethics of colleagues and be modest and prudent.
Is Chinese medicine expounding? Kindness and equality? At the same time of thinking, it also puts forward clear requirements for fellow travelers. Through continuous development and improvement, it has gradually formed a good tradition of mutual respect, kindness without pity, modesty and eagerness to learn, and progress. In the book Great Doctor Sincerity, Sun Simiao discussed in detail the relationship between doctors and fellow doctors, and put forward detailed requirements. He believes that a husband is a doctor's law, and he must not be joking, talking about banter, talking about right and wrong, talking about human relations, showing off his reputation, ruining his doctor, and being proud of himself [3]? It provides reference for the development of traditional medical ethics. In the Ming Dynasty, doctors paid more attention to the communication with their peers, and a number of excellent doctors emerged. Chen Shigong pointed out in Five Commandments and Ten Essentials of Physicians:? All fellow villagers are respected by old people, taught by scholars, disappointed by proud people and recommended by people with inferiority [4]? . It is emphasized that we should adopt different methods to get along with peers at different levels, which is also of great reference significance for us to deal with the relationship with peers. Reference significance: ① Learn to correctly handle the interest relationship with colleagues, respect each other, supervise each other, cooperate on an equal footing and improve together; (2) Cultivate good emotional adjustment ability. When there is a contradiction with colleagues, we should take the overall situation into consideration, seek common ground while reserving differences, understand each other, and do not quarrel with colleagues over trifles; (3) Take the initiative to admit mistakes, listen to opinions with an open mind, accept criticism and make timely improvements; (4) form good self-discipline and self-cultivation, do not envy colleagues' achievements, do not gossip about colleagues after meals, and do not deliberately belittle others; ⑤ Pay attention to polite language. When you meet a colleague, you should take the initiative to say hello. When asking for help from colleagues, be cordial and sincere, form a good relationship with colleagues and reduce friction. ⑥ Strengthen communication and cooperation with colleagues to promote the harmonious relationship between doctors and patients.
2. Diligent and knowledgeable academic spirit.
Doctors in past dynasties have always regarded the attitude of diligent study and the spirit of studying the source of extensive medical knowledge as the premise of treating diseases and saving lives, requiring doctors to take it. Know astronomy above, geography below and personnel above. Try to do it? There is no medicine that doesn't understand its nature, and there is no one who doesn't care about it? . Xu Chunfu pointed out in ancient and modern medical records:? The doctor is a living person, and his academics are not good, but it is too early to say. Emphasize the harm of poor medical skills. There is also a saying in the classic book of traditional Chinese medicine, Record of Rejuvenation: Doctors can make a living, but doctors without skills are not enough to make a living. Doctors are required to have excellent medical skills, otherwise they are not qualified to save people and save the world. Chen Gongshi also asks for a doctor? Diligently reading the book of ancient medical theory, do you have to put it down all day? . Looking back on the outstanding physicians of past dynasties, those who have made outstanding achievements are all models of assiduous study and painstaking study. Zhang Zhongjing, a famous doctor in the Han Dynasty, forgot to eat and sleep, never put down his books, summed up the experience of doctors in past dynasties, and personally practiced, and finally wrote the medical skill of Treatise on Febrile Diseases, which was regarded as Chinese medicine? Four classics? First, it has a far-reaching impact on Chinese medicine. Li Shizhen, a physician in the Ming Dynasty, collected more than 800 medical books of past dynasties and conducted in-depth practical investigation and research. After 27 years, I finally wrote a book "Compendium of Materia Medica", which systematically summarized China's medical experience before16th century, and had a far-reaching impact on Chinese medicine, and was praised as? Encyclopedia of Oriental Medicine? . On the other hand, today, this spirit of painstaking research is worth learning from. While lamenting the achievements of the sages, we should also reflect and think more about ourselves.
Reference significance: ① respect knowledge, practice, study hard and keep learning, master solid nursing theoretical knowledge and operational skills, pay attention to the combination of theory and practice, and pay attention to knowledge accumulation and innovation; ② Learn to study extensively, pay close attention to the latest development of nursing at home and abroad in time, and learn not only the advanced nursing knowledge at home, but also the cutting-edge nursing technology abroad; We should not only learn professional knowledge well, but also extensively study interpersonal relationship, interpersonal communication, humanities and other knowledge, enhance comprehensive quality, improve image and adapt to the change of medical model; ③ We should have the spirit of constantly summing up and being brave in innovation, give full play to subjective initiative, constantly sum up past experience, combine advanced nursing trends at home and abroad, constantly innovate, and actively participate in the selection, rectification and evaluation of new technologies; (4) We should have persistent research spirit and perseverance, study hard and learn technology in a down-to-earth manner. If we encounter problems that we don't understand, we should not be self-righteous and pretend to understand. We should consult relevant materials or consult colleagues in time until we understand them. ⑤ We should cultivate the quality of honesty and integrity, be rigorous and solemn academically, do not cheat, put an end to academic misconduct, communicate with colleagues at work, listen to different opinions, learn from others' strengths and make up for our own shortcomings.
3 clean and pure, well-behaved appearance.
Honesty and purity, cultivating good manners and paying attention to self-cultivation are important components of China's traditional medical ethics. Doctors of all ages agreed that doctors must be dignified and behave appropriately in order to win the love of patients. As the theory of medical workers says:? Any way to be a doctor must correct yourself first, and then correct things? And said that doctors should: Wen Ya, modesty, courtesy, gentleness, no self-esteem, no affectation? , put forward? Proper behavior? The idea of becoming a medical way. Sun Simiao also stressed: Any great doctor who treats a disease must be calm and have no desire or desire? It puts forward stricter and more detailed requirements for medical practitioners, which is worthy of consideration and reference by nursing workers.
Reference significance:
(1) Remember that nurse? Prevent diseases, relieve pain, restore health and promote health? Self-respect, self-love, self-confidence and self-improvement, do not accept bribes, and do not easily accept the property of patients and their families.
(2) Dignified appearance, decent behavior, nurses should stand, sit and walk steadily and gracefully [2].
(3) clothing should be neat, clean, solemn and generous, and in harmony with the working environment.
4 Pay attention to the unity of external beauty and internal beauty, make up properly, and improve your self-image, but don't make up.
⑤ Warm and thoughtful service, standing and greeting, taking the initiative to greet, cordial and enthusiastic, natural expression, smiling, showing love, care and consideration everywhere, making patients feel warm.
⑥ Kind tone, accurate and concise language, full of emotion, and pay attention to everyday language, okay? Eight tone service? , that is? There are greetings when patients come, greetings when they meet, explanations before surgery, apologies when surgery is wrong, apologies when surgery is finished, congratulations when holidays come, and farewell when patients leave hospital? . In addition, when nursing patients, we should pay attention to our words and deeds, and there should be no frivolous words or actions.
All landowners do daily care? Light operation, light walking, light talking, light door opening and closing? what's up Four light services? It can not only reflect the artistic beauty of nursing work, but also create a good rest environment for patients and improve the relationship between nurses and patients.
Self-discipline and cultivation of being cautious in words and deeds and keeping medical secrets.
Excellent doctors of all ages have always been cautious in their words and deeds, paying special attention to protecting patients' privacy in the process of practicing medicine, which is clearly recorded in many classic works. Does Neijing require a doctor? Ask about customs when entering the country, taboo when entering the house, and ceremony when attending class? Respect the custom and privacy of patients. Chen Shigong also pointed out in Five Commandments and Ten Essentials:? Anyone who looks after women and monks should wait for the waiter to come and then go into the room for consultation. If you don't have a companion, you shouldn't watch it yourself? . Ancient doctors paid so much attention to keeping medical secrets, which laid a foundation for Chinese traditional medical ethics and set a model, which is worth thinking and learning by nurses. Reference significance: ① Take protective medical measures for patients, closely observe the relevant situation, handle it carefully, protect patients' secrets and privacy, and prevent them from being leaked and used by criminals; (2) Strictly abide by rules and regulations and operating procedures, be scientific and rigorous, seek truth from facts, and not be careless; ③ Understand different national cultures and beliefs, and judge confidentiality according to the beliefs and customs of different patients; (4) When it is necessary to spread patients' secrets for the purpose of diagnosis and treatment, ethical judgments must be made and carried out within the scope permitted by law; ⑤ When operations involving patients' private parts, such as urethral catheterization and perineal irrigation, attention should be paid to shielding and patient and meticulous explanation should be made. If it is operated by a male nurse, the consent of the patient must be obtained, and the operation should be accompanied by a female nurse or the presence of a third party; ⑥ Don't talk about or provide personal information and data of patients to anyone, including their relatives and friends.
5 abstract
Through the practice and efforts of doctors in past dynasties, traditional medicine has left us with extremely valuable resources in life care and medical ethics, which deeply embodies the humanitarian spirit of medicine. Although there are many dross in it, the mainstream thought is good, and many ethical thoughts still have important reference and reference significance for the cultivation of nurses' nursing ethics. Nurses should learn to absorb nutrition from tradition, enrich and perfect nursing moral thoughts, improve their comprehensive quality and provide high-quality nursing services for patients.
The role of nursing culture in the construction of nursing team.
1 Connotation of nursing culture Nursing culture is the shared values, basic beliefs and codes of conduct gradually formed by nursing organizations in a specific nursing environment. The sum of its own image and the corresponding system carrier. It reflects and represents nurses' thoughts, the same value standards, the moral norms and codes of conduct that meet the requirements of the times, and the cultural quality of pursuing development.
2. Make the implementation plan of nursing culture 2. 1. Establish the category of nursing culture construction, which is divided into three levels. The material layer is expressed in the form of abstract nursing observation, creating a strong cultural atmosphere. The system layer is to unify the service concept, equipment, decoration, behavior and service standards of nurses. Psychological layer is the basic belief, value standard, professional ethics and mental outlook that nurses abide by, and it is the basis and principle for forming material layer and system layer.
2.2 The practical manual of angel image mainly includes five chapters: standardized standards of nursing concept, equipment, decoration, behavior and service image.
2.3 Establish a management system for nursing culture construction, set up a quality control team, formulate quality control standards, and guide and control nursing behaviors.
2.4 Improve the reward and punishment regulations and combine scientific research? Sanxin? Performance, selection of individual angels and collective angels, performance and promotion and promotion linked.
2.5. Carry out relevant cultural activities and carry out angel image-building projects; Medical education | net collects and arranges the standardized performance competition of angel image; Realize? Three excellent and four hearts? Appraisal, nursing skill operation competition, knowledge competition, etc.
3 the role of nursing culture in the construction of nursing team
3. 1 Nursing culture enhances nurses' sense of identity with happiness in work and life.
The demand level of nurses has changed obviously. Nurses work in a specific environment, and the emotional changes caused by long-term stress will affect their quality of life, which will inevitably lead to the deterioration of the service or nursing quality they provide. The most important thing in the construction of nursing culture is to standardize members' behavior with ideas. Through the establishment of nursing concept, the work goal of nursing staff was clarified, personal potential was tapped, and her work enthusiasm was stimulated. Moreover, it provides opportunities for each individual to fully display their talents and enhances the happiness of nursing staff's life.
3.2 Nursing culture has promoted the consolidation of professional skills and the improvement of their own quality.
Through the implementation of the specific content of nursing culture, the professional quality, service consciousness, self-education, scientific research and innovation ability, professional paper quality and professional level are regarded as hard indicators for selecting top-notch nursing talents, so that everyone can fully realize that only by continuous learning, creative work and continuous summary and accumulation can they be competent for their jobs and better serve patients. The patient-centered quality assurance plan and business development plan formulated by each department on the basis of evaluation are more scientific and innovative. Through the implementation and patient evaluation, nurses will undoubtedly have a sense of urgency and responsibility, thus increasing their consciousness and enthusiasm to do all the work actively.
3.3. Improve the professional image of nurses.
Visual identity design through cultural construction. Communicate the nursing concept to patients and society in the form of materialized expression, and implement the patient's? Do you see it? Yuehe nursing staff heart? Yue? Win-win effect; Through the creation of angel image project, the implementation of nursing rules and regulations and the construction of nursing culture are integrated, and the good cultural quality of nurses is cultivated. It can be seen that the construction of nursing culture not only makes subjects realize the value of their own image, but also urges them to maintain their own image consciously and actively.
3.4. Promote the continuous improvement of nursing quality through the construction of nursing culture.
, nursing staff can firmly establish? Patient-centered? Stimulate the enthusiasm of nursing staff and meet the needs of patients at different levels. At the same time, the nursing quality management model with holistic nursing as the content and quality assurance system as the core not only pays attention to patient satisfaction, but also strengthens? Full, comprehensive, full? Service consciousness. Therefore, the quality of nursing and patient satisfaction have been continuously improved.
3.5 Refine the essence of nursing culture and build an excellent nursing team.
The foundation of nursing culture is the values of nursing staff, and the theme of values is people. Modern management attaches great importance to the role of people. Think? People's knowledge is inferior to people's intelligence, people's intelligence is inferior to people's quality, and people's quality is inferior to people's consciousness? The key point of nursing team construction is to attach importance to ideological education and improve the overall consciousness of the team. The way of education should be done in five aspects: respecting, understanding, caring, inspiring and educating people. Respect the independent personality and self-esteem of nursing staff, believe in their creativity, understand their difficulties in work, study and life, care about their progress and help them solve problems. Give encouragement, encouragement, achievement affirmation, praise and reward through various opportunities, so that nurses can gain a sense of accomplishment and honor. Strengthen the sense of responsibility and mission of nursing staff through positive education in different ways.
Discussion on the role of humanized nursing in obstetrics and gynecology nursing
Objective To explore the application effect of humanized nursing service in obstetrics and gynecology nursing. Methods From August 2065438 to August 201June, 60 patients in the Department of Obstetrics and Gynecology of Gushi County People's Hospital were selected. According to nursing methods, they were divided into observation group and control group, with 80 cases in each group. The control group took routine nursing service, while the observation group took humanized nursing service. The nursing effect and nursing satisfaction of the two groups were compared. Results the total effective rate (95%) of the observation group was significantly higher than that of the control group (85%), and the nursing satisfaction (98%) was significantly higher than that of the control group (86%), with statistical significance (P < 0. 05). 05)。 Conclusion Humanized nursing service is effective in the treatment of gynecological patients, which can effectively improve the clinical treatment effect, improve anxiety and promote the quality of life, and is worthy of clinical application.
Obstetrics and gynecology; Humanized nursing service; Application effect
Obstetric and gynecological diseases are common clinical diseases with high incidence. The most common gynecological diseases are uterine diseases, vaginal diseases and tubal diseases. The patient's clinical symptoms are very obvious after onset. Without timely and effective treatment, it is easy to induce other diseases and seriously affect the quality of life of patients [1]. Conventional treatment can improve the symptoms of patients, but the long-term effect is not ideal, and the prognosis of treatment is relatively poor because of the lack of idealized nursing methods. The purpose of this paper is to explore the application effect of humanized nursing service in obstetrics and gynecology nursing.
1 data and methods
1. 1
From August 2065438 to June 2065438+June 2065438, 60 gynecological patients/kloc-0 were selected from Gushi County People's Hospital and divided into observation group and control group according to nursing methods, with 80 cases in each group. The age of the observation group was 20 ~ 58 years old, with an average of (34? 4? 0? 6) Age, course of disease 1 ~ 4a, average (2? 5? 0? 5)a； The control group was 19 ~ 60 years old with an average of (33? 8? 1? 2) Age, course 1? 3~5? 4a, average (2? 4? 1? 2) A. There was no significant difference in clinical data such as age and course of disease between the two groups (P > 0.05). 0? 05), comparable.
1.2 nursing methods
The control group received routine nursing service, underwent routine examination when admitted to hospital, and made detailed observation and treatment on its clinical vital signs and symptoms. Mainly observe whether the patient has inflammation, infection, blood pressure, heartbeat, urination and so on. Related nursing staff should do a good job in patients' daily and discharge nursing. The observation group used humanized nursing service, the specific contents are as follows.
(1) create a good nursing environment for patients. The treatment of gynecological patients is concentrated in the ward, and the noisy staff in the ward will easily affect the normal work and rest of patients, resulting in obvious irritability. Therefore, it is necessary to create a good working environment for patients as much as possible to ensure that they can get enough rest [2].
② Strengthen communication skills. After the onset, most patients show impatience, and all kinds of complaints are inevitable. Therefore, nurses are required to actively help patients adjust their emotions, and adopt the way of smiling service to leave a good impression on patients and gain the trust of patients and their families.
(3) During the operation, the movements should be gentle and quick, so that the patient's heart is full of warmth and he can relax as much as possible.
(4) to guide patients to leave the hospital, put forward corresponding summary suggestions according to their recovery, and clearly inform patients and their families of the matters needing attention in nursing.
1.3 observation index
① Clinical efficacy. Remarkable effect means that the patient's symptoms disappear obviously and the test results are normal; Improvement means that the patient's symptoms have improved, and the examination part is still abnormal; Ineffectiveness means that the symptoms or signs of the patient have not changed significantly, or even the condition has deteriorated sharply. ② Self-made questionnaire was used to analyze nursing satisfaction. Including very satisfied, basically satisfied and dissatisfied.
Statistical analysis of 1.4
All data were compiled by SPSS 19? 0 statistical software package for processing. Qualitative data is represented by (n,%), and comparison between groups is adopted? 2 test, p
Two results
2. 1 therapeutic effect
The total effective rate of the observation group was 95. 0%) was significantly higher than that of the control group (85? 0%), the difference was statistically significant (P
2.2 Nursing satisfaction
Nursing satisfaction of observation group (98? 0%) was significantly higher than that of the control group (85? 0%), the difference was statistically significant (P
3 discussion
Obstetrics and Gynecology is a specialized department type, and women's psychological endurance is generally low. Once the disease breaks out, they usually have different levels of anxiety and fear. At present, gynecological diseases are mainly treated by surgery, which can improve symptoms to some extent, but the long-term curative effect is not ideal, and there is no effective nursing method in the whole process, which makes the prognosis of patients generally poor [3].
Humanized nursing service aims at insisting on all things for patients, constantly inspiring and mobilizing the creativity and enthusiasm of nursing staff, thus effectively improving the clinical treatment effect and promoting patients to obtain mental, psychological and physical comfort and satisfaction. The results of this study show that the total effective rate of the observation group is 95? 0%) was significantly higher than that of the control group (85? 0%), nursing satisfaction (98? 0%) was significantly higher than that of the control group (86? 0%), the difference was statistically significant (P
refer to
[1] Xu Chunhong. Analysis of the application effect of humanized nursing in obstetrics and gynecology nursing [J]. China Practical Medicine, 2013,8 (27): 247-248.
[2] Huang, Ye Caimei. Observation on the application effect of humanized nursing in obstetrics and gynecology nursing [J]. China Modern Doctor, 2015,53 (17):144-147.
[3] Wang Huazhen. Evaluation of the application effect of humanized nursing in obstetrics and gynecology nursing [J]. China Modern Doctor, 2016,54 (27):160-162.
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