1. Management training
1. 1 Nursing Department
1. 1. 1 Improve and perfect various nursing rules and regulations, such as formulating and implementing technical specifications and standards for disease nursing routine and clinical nursing. The nursing department has formulated the nursing core system and important procedures, prevention and treatment of common clinical nursing operation complications, adverse reactions and observation points after the use of key drugs, nursing before and after special examinations, and dietary guidance for hospitalized patients. , and printed into a book for each nurse to learn, to provide basis, reference and guidance for clinical nursing work, and to enhance the connotation of nursing.
1. 1.2 regularly carry out various knowledge lectures and experience exchanges, raise awareness, change service awareness, and continuously promote quality nursing services. The contents of the knowledge lecture include: safeguarding and respecting patients' rights and interests, clinical pathway, actively reporting adverse events and hidden dangers, and quality nursing service standards; Experience exchange is combined with the head nurse in the pilot ward and the advanced individual with high quality nursing service. At the meeting, the young head nurse introduced how to improve the enthusiasm of nurses from the perspective of management. Improve the connotation quality through the change of evaluation mode and standard. Faced with trivial life care, young nurses born in 1980s introduced how to change from never understanding to understanding, from passive to active, from passive to active, from "asking me to do" to "I want to do", which finally won the satisfaction of family members, patients and doctors. Nurses who participated in the exchange generally reported full harvest, which not only improved their self-study ability, but also promoted the faster and better development of responsible nursing. More importantly, they really put their activities into concrete actions, so as to really do things and do practical things.
1. 1.3 Strengthen the three basics training. Quality service and superb technology are the real quality care, both of which are indispensable. "High-quality" nursing is not just a simple matter of washing the patient's face, wiping his body and cutting his nails, but actually putting the patient in his heart. Without excellent basic skills, the so-called "high quality" is also a form. The nursing department regularly conducts theoretical and operational examinations for nurses. Through this form, every nurse has a solid basic skill; Let the family rest assured and satisfy the patients.
1. 1.4 Conduct competitions on operational skills and knowledge to improve interest and participation in learning. Such as "cardiopulmonary resuscitation" operation skill competition and quality nursing service knowledge competition. Through such related activities, the learning enthusiasm of nurses is fully mobilized, and the nurses in the whole hospital actively participate and have high enthusiasm.
1.2. Clinical departments
1.2. 1 Consolidate basic nursing and improve nursing quality. Basic nursing is the cornerstone of specialized nursing and improving professional level [2]. Nurses carry out basic nursing and life nursing for patients, effectively care for patients' condition by mastering professional knowledge, bearing in mind that safety and life nursing are equally important, infiltrating psychological nursing and rehabilitation guidance into meticulous care and care for patients, constantly improving backward service processes and advocating quality nursing services throughout the process. The head nurse supervises the implementation and execution of basic nursing work every day, and fills in the gaps in time to effectively implement basic nursing work; Conduct basic nursing operation examination every month to strengthen basic skills.
1.2.2 The head nurses of all departments insist on asking questions every morning, and carry out the core system, important processes, nursing rounds, business study for critically ill patients and case discussion every month. Conduct theoretical examination on these manuals issued by the nursing department, and constantly strengthen the study of rules and regulations and important processes. In addition, relevant guidance has been given on how to carry out targeted nursing for patients, and nurses' observation ability, ability to find and solve problems have been continuously improved. At the same time, it enriches nurses' professional knowledge, expands their knowledge, makes clinical nursing service fully embody the characteristics of specialties, enriches the service connotation, organically combines basic nursing with specialty nursing, ensures the safety of patients and embodies humanistic care.
1.2.3 to build a harmonious nurse-patient relationship and improve patient satisfaction. Constantly enhance the active service consciousness of responsible nurses, and the connotation of nursing is also constantly enriched. Take health education as an example. In the past, nurses were mostly superficial articles, but now they will use their spare time to write their own standard blueprints for health education. All the lines are clearly framed. In addition, the application frequency of call bell in nursing service and the familiarity of patients with nurses have also been effectively standardized. Nurses and patients trust each other, support each other and have a harmonious relationship. Patients' satisfaction should be investigated regularly. First, the nurses in the ward check each other, and the head nurse and the nursing department regularly supervise each other to understand the feedback of patients on nursing work, listen to patients' opinions, and take sustainable improvement measures according to the feedback to continuously improve patients' satisfaction.
1.2.4 All departments put forward personalized opinions in the form of "brainstorming", take patients as the center, consider patients' needs from all directions and angles, advocate that everything is for patients, give priority to patients' feelings in every operation, and provide "humanized" quality services for patients. The ward provides various convenience services, such as free use of microwave ovens, provision of "love" thermos bottles, and purchase of daily necessities for patients with mobility difficulties; The "six measures" of surgical intensive care unit and the vivid schematic diagram of understanding patients' unspeakable needs fully reflect that nurses are considerate of patients and consider their needs.
1.2.5 strengthen the basic education of interns, change the service concept and standardize the basic nursing operation. During the operation, it is required to communicate with patients as much as possible and use standardized language. Language has also become a part of the whole nursing process. It is required to be affable, explain to patients with a smile, give them a sense of intimacy, eliminate their nervousness and gain their trust. Students have a deeper understanding of the nursing profession while following the teacher's life care for patients.
2 effectiveness
2. 1 Nurse's sense of responsibility has obviously enhanced the nurse's holistic and whole-process responsibility for patients, and urged nurses to master the patient's condition, diagnosis and treatment plan and nursing points more carefully and comprehensively, thus truly achieving the activity goal of "being close to patients, clinic and society" in nursing work.
2.2 The nurse-patient relationship is further harmonious. Nurses really turn around patients, take the initiative to patrol and communicate, and provide high-quality and efficient services to patients with excellent service attitude, exquisite nursing technology and comprehensive theoretical knowledge. Patients and their families fully recognized the nursing service, and the nurse-patient relationship was more harmonious.
2.3 With the decrease of the rate of accompanying family members, the number of self-employed nurses decreased. Because nurses undertake all the nursing services, the burden on patients' families is greatly reduced, and patients' families feel more satisfied and reassured with the professional nursing of nurses, which effectively benefits patients.
2.4 Improve patients' feelings about nursing service and improve patients' satisfaction. Due to the implementation of responsible nursing, responsible nurses are responsible for patients' treatment, nursing and various health guidance, and can help solve problems at any time, so that the relationship between nurses and patients is closer and patients trust nurses more. Since the launch of the activity, zero nursing complaints have been realized.
2.5 Nursing work is more scientific and efficient. Each workflow is optimized and reasonable, which improves the efficiency of nursing work, and nurses provide professional nursing to ensure the quality and safety of nursing. Nurses can consciously learn the theoretical knowledge related to specialties and actively give professional health guidance, psychological consultation and rehabilitation nursing, which enriches the connotation of nursing specialty and promotes the realization of self-worth and the development of academic level of specialties.
With the development of "Demonstration Project of Quality Nursing Service", although some achievements have been made, we know that there is still a gap between the current service and the requirements of patients. It is necessary to study and discuss the difficulties and problems faced by nursing reform, overcome and solve them, and promote the demonstration project of high-quality nursing service to be carried out in depth, stably and persistently; In order to comprehensively strengthen clinical nursing work, improve nursing service and build a harmonious doctor-patient relationship; Continuously promote nursing work close to patients, clinic and society.