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Nursing management paper 1[ abstract]

Objective To explore the application effect of detail thinking management mode in nursing management of cardiology department. Methods From April 6, 1965 to April 7, 1965, 144 patients in our hospital were randomly divided into control group and observation group. Patients in the control group were cared by traditional routine nursing methods, while patients in the observation group were cared by detailed thinking management methods. The incidence of adverse events and nurses' satisfaction were compared between the two groups. Results The incidence of adverse events in the control group was 65438 09.44%, and that in the observation group was 6.40%. The incidence of adverse events in the observation group was significantly lower than that in the control group (P < 0.05). The total satisfaction of patients in the control group was 66.67%, while that in the observation group was 90.27%. The total satisfaction of the observation group was significantly higher than that of the control group, and the difference between the two groups was statistically significant (P < 0.0 1). Conclusion The application effect of detail thinking management mode in nursing management of cardiology department is remarkable, and it is worth popularizing in clinical nursing.

[Keywords:]

Detail thinking management mode; Nursing management of cardiology department; App application

With the progress of society and the improvement of medical technology, people have higher and higher requirements for medical services. Nursing management has an important influence on nursing quality, clinical treatment level and harmonious doctor-patient relationship [1], and in today's medical environment, the quality of nursing work directly affects the medical level. In nursing management, adhering to the detailed thinking management method has an important influence on the improvement of nursing quality [2]. Detail thinking management mode is to standardize every link, system and process in the clinical nursing process, plan, coordinate and control all the elements, so as to standardize nursing work and monitor the condition in detail, thus improving the quality of nursing and the satisfaction of patients with nursing staff [3]. In order to fundamentally improve the quality of nursing, the hospital applied the theory of nursing management to practice, and selected 144 patients in cardiology department who were treated in our hospital from April 438+06, 1965 to April 438+07, 1965 as the research object, and randomly divided them into control group and observation group, and carried out routine nursing and detailed thinking management mode respectively, which achieved good results. The report is as follows.

1, data and methods

1. 1 general information

144 patients with cardiology in our hospital were randomly divided into control group and observation group, with 72 cases in each group. There were 37 males and 35 females in the control group, aged from 32 to 68 years, with an average age of (52.5 4.21) years. There were 36 males and 36 females in the observation group, aged 365,438 0 ~ 69 years, with an average age of (565,438 0.4 3.465,438 0) years. Patients in both groups were cardiovascular diseases. There is no statistical difference in gender, age and disease type between the two groups, which is comparable.

1.2 nursing methods

The control group was given routine nursing methods, and the specific methods were as follows:

① Daily nursing management: carry out daily nursing for patients and monitor patients' rational drug use.

② Psychological nursing: always care about patients and pay attention to communication, so that they can keep a positive attitude towards diseases.

The patients in the observation group adopted the following detailed thinking management methods.

1.2. 1 Standardize the nursing system

In the department of cardiology, it is necessary to formulate a specific standard system to ensure that all details can be followed and standardize the nursing measures of nursing staff. Make a flow chart of nursing system, so that nursing staff can implement it according to standards and reduce mistakes; Standardize the daily nursing schedule. Nurses need to master the details of each operation, adjust the work distribution in time and constantly improve their work.

1.2.2 basic nursing management

Fully understand the patient's condition, guide the patient to take medicine in strict accordance with the doctor's advice, disinfect the ward on time every day and keep ventilation, ensure that the patient can be in a clean and comfortable environment, and give the patient enough help in daily life.

1.2.3 Psychological nursing management

Due to the influence of the disease, patients' psychology has changed to varying degrees, and most patients' attitude towards life has gradually become negative. Coupled with economic pressure, insomnia, anxiety and depression often occur. Therefore, we must attach importance to psychological nursing, and nurses should communicate with patients more and tell successful cases of diseases to enhance patients' confidence. Enlighten patients and listen to them, so as to increase their belief in overcoming diseases.

1.2.4 health education

Some patients don't know much about their diseases, so they can hold health education lectures on related diseases on a regular basis, so that patients can have a deeper understanding of their diseases and how to prevent and pay attention to them in the future, so that patients can cooperate with medical staff for active treatment.

1.2.5 Observe the details of the disease.

For patients in cardiology department, observing the details of illness is a very important quality of nursing staff, which is closely related to the particularity of cardiology department. Cardiology patients are prone to anxiety, their condition changes greatly and their course of disease is long. A little carelessness will delay the best treatment time and lead to life safety. Medical staff should do more examinations to understand the real-time condition. Nurses should carefully observe the patient's mental state and various indicators, and make real-time records.

1.2.6 Strengthen training to improve the detailed thinking of nursing staff.

In the process of detail thinking management, it is necessary to set up a nursing management team and invite foreign experts to carry out specific training for team members, mainly including basic training, professional knowledge and technical operation. For patients in the department of cardiology, electrocardiograph is essential in the daily treatment process, so nurses must use electrocardiograph to strictly detect heart rate to avoid life-threatening caused by abnormal treatment. During the training period, the legal awareness of nursing staff should be continuously strengthened to protect themselves in the nursing process.

1.2.7 Strengthen safety management to ensure nursing safety.

Ensuring nursing safety is the focus of work, and a safe nursing environment can ensure the life safety of patients. This requires the implementation of various rules and regulations to ensure nursing safety. Cardiology patients' condition changes rapidly, and many drugs are taken orally and intravenously. A slight mistake will lead to disputes between nurses and patients. Therefore, in the work, we should strictly observe the post, check the patients in strict accordance with the nursing grade system, carry out the handover procedures, find out the subtle changes of patients' condition in time, and implement the nursing measures in time to ensure the safety of patients.

1.3 observation index

Record the incidence of adverse events in nursing process and investigate patients' satisfaction with nursing quality.

1.4 evaluation criteria

The evaluation criteria of nurses' satisfaction are divided into: very satisfied, satisfied and dissatisfied. Very satisfied: the patient's condition has been effectively alleviated and the incidence of adverse events has been significantly reduced; Satisfied: the patient's condition was effectively relieved and the incidence of adverse events was reduced; Dissatisfaction: the patient's condition has not been alleviated, and the incidence of adverse events has not decreased. Total satisfaction = (very satisfied+satisfied)/(very satisfied+satisfied+dissatisfied) × 100.00%.

1.5 statistical method

The survey results of the data were compared by SPSS 17.0 statistical software, and the counting data of falls of middle-aged and elderly cerebrovascular inpatients in nursing risk management were compared by χ2 test, which was expressed by [n(%)]. P & lt0.05 was statistically significant.

2. Results

2. 1 Comparison of the incidence of adverse reactions in nursing period

The incidence of adverse reactions in the control group was 65438 09.44%, and that in the observation group was 6.40%. The incidence of adverse reactions in the observation group was significantly lower than that in the control group (P

2.2 Satisfaction analysis

Comparing the total satisfaction of patients in the two groups, the total satisfaction of patients in the control group was 66.67%, and that of patients in the observation group was 90.28%. The total satisfaction of the observation group was significantly higher than that of the control group, and the difference between the two groups was statistically significant (P

Step 3 discuss

Nursing work is an indispensable part of the hospital, which is closely related to the quality of medical care and the safety of patients' lives. Nursing work is very important for the recovery of patients, and high-quality comprehensive nursing can accelerate the recovery of the body. On the contrary, the lack of nursing work will lead to nurse-patient disputes [4]. As a new nursing mode, detail thinking management mode has been gradually applied to clinic in recent years, mainly from standardizing nursing process and implementing details to achieve high-quality nursing work [5]. The detailed thinking management mode has a large amount of tasks and detailed work content, which requires staff to invest more energy. Proper detail management can obviously reduce the incidence of nursing accidents, provide the best service for patients and achieve satisfaction.

In this paper, 65,438+044 patients in cardiology department who were treated in our hospital from April 438+06, 1965 to April 438+07, 1965 were randomly divided into control group and observation group, with 72 patients in each group. The control group was given traditional routine nursing, while the observation group was given detailed thinking management mode. Compare and analyze the incidence of adverse reactions between the two groups, and then analyze the application effect of detailed thinking management mode in nursing management of cardiology department. The results showed that the incidence of adverse events in the control group was 65438 09.44%, and that in the observation group was 6.40%. The incidence of adverse events in the observation group was significantly lower than that in the control group (P

It shows that the detailed thinking management mode can effectively reduce the incidence of adverse reactions of patients in cardiology department, and the satisfaction of patients with nursing staff is obviously improved. To sum up, the detailed thinking management model is of great significance to the therapeutic effect of patients in cardiology department, and it is worth popularizing in medical units.

[References]

Zhang Junyan. Application of detail thinking management theory in nursing management of cardiology department [J]. Clinical Journal of Nursing Science, 20 16,1(10):173-174.

[2] Jiang. Application and research of detail management in ICU nursing management [J]. Primary medical forum, 20 13, 12 (18): 2365-2366.

[3] Guan Yi. Application of detail thinking management theory in nursing management of cardiology department [J]. Journal of Cardiovascular Diseases of Integrated Traditional Chinese and Western Medicine, 2016,4 (25):100-1.

[4] Li. Application of detail management in nursing management of cardiology department [J] .2013,3 (7): 381-382.

[5] Xu Ping. To explore the role of detail management in medical care [J]. chinese medicine guides, 2013 (1):12-13.

Nursing management paper 2[ abstract]

Objective To explore the application effect of detail management in nursing management of operating room. Methods 130 patients who underwent surgery in our hospital from March 20 16 to March 20 17 were selected as the research object. According to the equivalence of admission time, they were divided into control group and experimental group with 65 cases in each group. The control group was given routine nursing intervention, while the experimental group was given fine nursing measures. The nursing quality score, intraoperative comfort and cooperation, and nursing satisfaction were compared between the two groups. Results The score of nursing quality in the experimental group was significantly higher than that in the control group (P

[Keywords:]

Operating room nursing; Detail management; Nursing quality; degree of satisfaction

The most important department in the hospital is the operating room, which is the most important consulting room for treating patients and saving lives, and also the consulting room where the hospital attaches great importance to skills [1-3]. The nursing operating room is not only heavy in workload and strong in technology, but also bears more risks than other departments, and there are many security risks in the work. Because patients and their families have high expectations for the treatment and rescue in the operating room, and the nursing work in the operating room will directly affect the recovery and prognosis of patients, so we must attach great importance to the nursing quality in the operating room. With the continuous development of social economy, the traditional nursing mode can no longer meet the basic needs of patients for operating room nursing. As a new nursing mode, detail nursing usually supplements, perfects, analyzes and identifies some related details, so as to avoid accidents and errors in nursing as much as possible, and then comprehensively improve the quality of nursing [4-6]. The basic service tenet of detail management is to take patients as the basic center, provide the most considerate, meticulous and thoughtful service for patients, and improve patients' satisfaction and comfort during the operation. In this study, 130 patients were selected as the research object to explore the application effect of detailed nursing in operating room. The report is as follows.

1 data and methods

1. 1 general information

From March 2065438 to March 2065438, +2065438+2065438 selected 130 patients who needed surgical treatment in our hospital as the research object. According to the equivalence of admission time, they were divided into control group and experimental group with 65 cases in each group. There were 36 males and 29 females in the control group. The age ranged from 23 to 68 years with an average of (45.5 2.8) years. Orthopedic surgery 2 1 case, laryngeal surgery 24 cases, nasal surgery 20 cases. The operation time was 36 ~ 325 minutes, with an average of (65438 080.5) minutes. There were 32 males and 33 females in the experimental group. The age ranged from 24 to 65 years, with an average of (44.5 3.2) years. Orthopedic surgery 19 cases, laryngeal surgery in 24 cases and nasal surgery in 22 cases; The operation time was 465438 0 ~ 336 minutes, with an average of (65438 088.5) minutes. Exclusion criteria [7-9]: intraoperative blood loss >; 300ml patients; Patients with severe malnutrition before operation; Patients with nervous system diseases; Patients with severe immune system diseases. There was no significant difference in general data between the two groups (P & gt0.05), which was comparable. This study was examined and approved by the Medical Ethics Committee of our hospital, and all patients were aware of this study and signed the informed consent form.

1.2 method

The control group was given routine nursing intervention. Inform the relevant precautions before operation, briefly introduce the operation process, relieve the patients' nervousness and make them actively cooperate with the treatment. Patients' vital signs should be closely monitored during operation, and important indicators should be continuously monitored after operation. Once the patient has an adverse reaction, he should report it to the doctor in time and solve it. The experimental group adopted fine nursing measures, mainly including:

① Set up an operating room detail management team. The main members include operating room nurses and head nurses. , discuss the details of the meeting and work out a set of detailed nursing management plan [10]; It is necessary to regularly carry out skills training for nursing staff in the operating room, as well as advanced nursing forums and experience exchange meetings to exchange nursing skills and experiences in the operating room, and constantly strengthen the professional skills of team members to ensure the effectiveness and safety of nursing in the operating room; Establish a safety management system, and nurses and head nurses should strictly check surgical instruments and drugs before operation to avoid mistakes during operation; Hold regular meetings, sum up work, analyze recent mistakes, learn from experience and correct them, so as to fundamentally improve the safety of surgical nursing.

② Preoperative nursing. Nurses should wear neat and clean nurse uniforms. When communicating with patients, we should use a gentle, amiable, polite and modest way, and when asking patients about their illness, we should ensure that the words are clear and smooth. If patients have doubts about their own condition, nurses should take the initiative to ask questions, which can help patients relieve stress, solve doubts, explain more successful cases to patients, and enhance their self-confidence in overcoming diseases.

③ Intraoperative nursing. It is necessary to strictly control surgical instruments, ensure that surgical instruments and equipment are in a normal state [1 1], take good care of patients' surgical measures, comfort and encourage them with sympathetic words, understand the discomfort of patients during the operation, and make timely adjustments.

④ Postoperative care. In the case of regular postoperative visits, nursing staff should strengthen communication with patients, timely understand the psychological and physical conditions of patients, give correct guidance to postoperative recovery, and inform patients, and contact doctors in time if abnormalities are found [12]. Really take the patient as the center and establish the basic principle of patient first.

1.3 observation index

According to references, the evaluation of nursing quality is divided into four evaluation indexes [13]: preoperative nursing quality, intraoperative nursing quality, postoperative nursing quality and professional quality and image of nursing staff. Each score is 0~ 10, the higher the score, the higher the nursing quality, and the sum of the four parts is the total score of nursing quality; A self-designed questionnaire was used to investigate patients' nursing satisfaction, and the scores of each item were 0~ 10. The higher the score, the higher the satisfaction. 9~ 10 is very satisfactory, 7~8 is basically satisfactory, 5~6 is average, and less than 5 is not satisfactory. Total satisfaction = (very satisfied+basically satisfied+average) cases/total cases × 100%.

1.4 statistical method

Statistical software SPSS25.0 was used to analyze the data, and the measurement data were expressed by the mean standard deviation (X S). T test was used for comparison between the two groups. Counting data were expressed by ratio, and χ2 test was used for comparison between groups. Rank sum test was used to compare grade data, P

Two results

2. 1 Comparison of nursing quality scores between two groups

The nursing quality scores of patients in the experimental group were significantly higher than those in the control group, with statistical significance (P

2.2 Comparison of intraoperative cooperation and comfort between the two groups.

The cooperation and comfort of patients in the experimental group were significantly better than those in the control group, and the difference was statistically significant (P < 0.0 1).

2.3 Comparison of nursing satisfaction between the two groups

The overall nursing satisfaction of the experimental group was significantly higher than that of the control group (P

3 discussion

With the continuous development of modern medicine, people's demand for health is increasing. Nurses should not only provide patients with relevant medical services, but also provide patients with high-quality nursing services psychologically and physically, so it is very important to strengthen the detail management in operating room nursing [14]. Relevant research shows that refining the nursing links in the operating room can improve the probability of successful operation and promote patients' better recovery. In detail management, it is mainly to strictly implement various systems in management, analyze the potential risks in implementation and find some weak links [15]. For example, the operating room is often understaffed. Because there are more women, more sick leave, maternity leave and marriage leave, and more hospital operations, the health of nursing staff is in a state of fatigue for a long time, which also leads to the continuous decline of nursing quality and operational mistakes. There is a fault phenomenon between new and old nurses [16], and some new nurses are lack of sense of responsibility, unstable in thinking and difficult to teach; There are still some nurses who lack awareness of prevention and risk management, ignore details, can't strictly observe patients, and can't strictly implement operating specifications [17]. In view of the above problems, this study added detail management to the nursing work in operating room. The results showed that the nursing quality scores of patients in the experimental group were significantly higher than those in the control group, and the difference was statistically significant (P

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