Patients have the most say in the quality of service. The choice of patients urges nurses to improve their own quality, take the initiative to care for patients and reduce patient complaints. After many investigations, the patient satisfaction rate is above 98%, and no medical disputes occur. 4.3 Coordination and cooperation to enhance team cohesion In the form design of doctors and nurses, "cooperative spirit" can well reflect the cooperative relationship between doctors and nurses. Since the launch of the selection campaign, it is generally felt that the sense of ownership of hiring nurses has increased, and everyone puts the interests of the department first. 4.4 Recognize the advantages and disadvantages, objectively evaluate yourself, and publicly release photos of excellent employed nurses. Patient supervision is always a whip, and the winning hired nurse will pay more attention to his words and deeds; On the other hand, other employed nurses will follow their example and work hard in secret. Most employed nurses are young and enthusiastic, but they often don't know how to do their job well. The selection activities make the employed nurses realize their working ability, understand their weaknesses, and make clear the direction of future efforts. 4.5 Stimulating potential and making up for the lack of motivation at ordinary times are important factors affecting people's mental health. Criticism and non-acceptance will reduce the sense of belonging and cause psychological stress. Social psychology research shows that everyone has multiple needs at any time, and the satisfaction of needs is the driving force to arouse people's behavior. Recruiting nurses is no exception. They hope that they can be recognized, praised and understood by leaders, colleagues and patients. The hired nurses who were selected as excellent think that their work has been affirmed by most people, and they are very fulfilled, happy, comfortable and hardworking. 4.6 Scientific management based on facts must be scientific, speak with data, speak with facts, and don't look at others by subjective impression. This selection activity helps head nurses to fully understand the level of employment, nursing quality and patients' opinions, so as to improve their work accordingly. It is inevitable to rely on the head nurse's examination unilaterally at ordinary times. After all, what the head nurse observes is limited. We incorporate participation in management, teamwork spirit and sense of ownership into the selection criteria, and effectively supervise the service content that is not easy to control at ordinary times. In a word, doing a good job in nursing depends on the subjective initiative of nursing staff, not mandatory constraints. Only by stimulating the potential of nursing staff can we complete nursing work, let patients receive high-quality services, let employed nurses feel the recognition and understanding of their work and reflect their own value. For nurses with different professional titles and abilities, there are different ways to motivate them, which can eliminate the traditional "big pot" mentality, define personal goals, form a kind of pressure and motivate nurses' enterprising spirit. At the same time, it also shows that nursing service needs more scientific and systematic management, with perfect system constraints and final quality evaluation. References: chinese journal of hospital administration, 1999 Study on the difference in evaluation of excellent nurses among doctors, nurses and patients [China Nursing Journal, 2002 Nursing Journal of the People's Liberation Army, 2002 Nursing Research, 1999 205 ~ 206. (Editor: Pei Xianjun) On the implementation of meticulous management to improve the quality of nursing service, Wang Qionghua (Nursing Department of Chongqing Second People's Hospital, Chongqing 402 160 Abstract: Whether nursing service can be accepted by the public and patients depends largely on the details. The details that are easily overlooked in nursing service include observing early or minor disease clues, hospital environment descriptions and warning signs, language or behavior, and caring about the nuances of life care. Detailed service should start from the following points: defining the service object and understanding the job responsibilities; Carefully do a good job in nursing service; Carry out "inch climbing" quality service; Attach importance to humanized service; Meticulous life care. Keywords: nursing; Quality service; Chinese picture classification number in the details: C93 1.3 document identification number: article number:1671-315x03-0058-02. Carry out detailed information management, and the Property Equality Office for Baby Care Services 58. Abstract WHE therthenursingserviceaccepted publicatandpatientsdependsonthedetailstosome extent。 Detailed nursing services that are easily overlooked include observation of early or early signs of disease and warning of daily nursing in hospital environment. The following points should be paid attention to when implementing refined nursing service focusing on humanized service and daily life nursing. Author China keywords detailed date of receipt: 2004-12-07; Resume date: October, 20051-10 About the author: Liao Rong (1963-), female, from Chongqing, deputy director of nursing department, deputy director of nurses, junior college, mainly engaged in nursing management, nursing education, etc. People's demand for medical care services is increasing day by day. Under the condition of market competition mechanism, the unpopular service will lose customers and economic benefits. Especially in the market with relatively surplus medical service institutions, competition will intensify. Many medical institutions hope to win patients through nursing brand services, thus expanding the medical market share. There is no trivial matter in nursing service, and most of the service work is to deal with trivial matters. Success comes from details and small things. We should pay attention to all the details in the service work, and the ultimate success is made up of these details. In nursing service, nurses' concern for patients, even a greeting, makes patients feel gratified. The comfort and satisfaction of patients is the greatest success of nurses. Nursing is also different from other service industries, and the negligence of any small link may cause irreparable losses. Details easily overlooked in nursing service 2. 1 Observing patients carelessly Nurses tend to overlook the changes of early and minor illnesses in clinical work, thus delaying the best rescue opportunity for patients. 2.2 In terms of language and behavior, nurses address the patient's bed number and name; The language of receiving patients is blunt and the explanation is simple, which brings unnecessary troubles, misunderstandings and even disputes to patients; When giving medicine to patients, nursing in the morning and evening, and infusion, they only bury their heads and don't communicate with patients; Some nurses open and close the ward door too loudly; Littering used cotton fibers and gauze everywhere; What's more, due to the unclear identification in the ward, some inpatients can't find the storage place of urine and urine samples in the ward. 2.3 Ignore the small links in the nursing process. When nurses do enema and catheterization for patients in large wards, they don't draw curtains, which makes patients feel embarrassed to expose their privacy. Do not pay attention to washing hands and not wearing masks before and after various nursing operations, which is easy to cause nosocomial infection; Over-exposure of the patient's body parts during the treatment operation; When patients are not accompanied by infusion, problems about diet and going to the toilet are easily ignored by nurses. Pay attention to details, start from small things, 3. 1, define the service object and realize the work responsibility. First, let nurses know that the object of nursing work is people who have only one life. Cherishing life and respecting people's health rights and dignity are the unshirkable responsibilities of nurses. Nurses have the most opportunities to contact patients and are "sentinels" in clinical work. Health depends on life. In the face of sick patients, the duties of nurses should not be sloppy. 3.2 Care service should be careful. 3.2. 1 Focus on "fineness". Advocate the working attitude of "Excellence" and "nuance", and you can't ignore any important disease clues in your work. Nurses are required to develop unique occupational observation, make full use of their professional knowledge and experience, observe atypical and inconspicuous symptoms of diseases in a subtle and comprehensive way, and make timely and accurate responses. 3.2.2 Start with the familiar things around you and focus on the impact of specific work. Nurses who are lax in thinking and knowingly commit crimes will not be tolerated. If it is found that night nurses do not wear masks during aseptic operation, they will be severely criticized immediately, the bonus will be deducted and checked at the branch meeting. Let every nurse know that the system can't be violated. Nurses should always keep in mind their responsibilities, strengthen their careful and meticulous cultivation, and provide safety for patients. 3.3 Carry out "Inch Climbing" quality service activities "Inch Climbing" is a simulation concept, which originated from Matsushita, Japan. To carry out the "climbing inch" quality service activity is to start from small things, start from little by little, and let the honest service be implemented in small things and specific details. What the patient thinks, the nurse can do, and what the patient didn't expect, the nurse should also do. Standardize nursing behavior, formulate detailed rules of high-quality service items according to the actual situation of the hospital, earnestly implement them to people, supervise and inspect them, and gradually improve the quality of nursing service. 3.3. 1 Standardize nurses' service words and deeds. In order to meet the humanized needs of patients, the nursing department has formulated corresponding measures to standardize nurses' words and deeds from three aspects: admission procedure, technical operation, nursing service and behavior documents. Nurses are required to use civilized and friendly language, receive standardized and appropriate medical care and warm service, so that patients feel at home. 3.3.2 Standardize nursing operation procedures. Further refine and quantify each link of nursing work, put forward the quality standard of each link, and integrate humanistic care consciousness into nursing operation. The patient's consent must be obtained before the operation, and the purpose and matters needing attention of the operation should be actively introduced. During the operation, help the patient to take a comfortable position, communicate and operate. After the operation, we should thank the patients for their cooperation and sincerely apologize to the patients for the mistakes in the operation. 3.4 Humanized service pays attention to details. Humanized service is to understand the psychological needs of patients, really think of patients, and start from scratch. The problem is not the size, but whether it is in place. Careful service in place is an important weight for hospitals to win patients. In order to pay attention to the safety and comfort of patients, we have a patient activity room in each ward, equipped with microwave oven, induction cooker, water heater and public magnetic card telephone. Non-slip floor is laid in the passage, and handrails convenient for patients to walk are installed on both sides of the walls of all ward corridors; Every ward and intensive care unit has TV and medical equipment tapes; All kinds of signs are clearly displayed and clearly pointed. The hospital set up a 24-hour free patient service team to push patients for various examinations; Send birthday cards and birthday cakes to patients who celebrate their birthdays during hospitalization, and fine service is reflected in small things. 3.5 Every ward has added meticulous life care workers and night nurses to ensure that the ward works 24 hours a day to meet the needs of patients. Nurses can not only better reflect the caring heart of nursing profession, but also make patients feel the perfect and exquisite service art when they carry out clinical nursing work such as life nursing for patients. Careful life nursing promotes nurse-patient communication and improves nurse-patient relationship. In a word, nursing is a fine art of service, and fine service can be embodied in small things. Only by providing comprehensive, thoughtful and meticulous nursing services and enhancing the competitiveness and vitality of hospitals can hospitals be in an invincible position in the fierce medical market competition. References: Chinese Journal of Nursing, 2003 Talking about the role of zero tolerance and humanistic care in nursing management [China Hospital Management, 2002] Beijing: Renmin University of China Press, 2002.64 ~ 67. (Editor: Liu Shuqin) Implementing meticulous management to improve the quality of nursing service.