Introduction: Partners engaged in the nursing industry, the following is a model essay on nursing thesis writing, hoping to help your thesis writing.

Model essay on nursing thesis writing

Discussion on clinical nursing safety from work details

Paper Keywords detail nursing safety

With the development of society, people's awareness of self-protection and legal concept is increasing day by day, providing quality services for patients. First of all, in order to effectively guard against the strong, hospital nursing work should embody the purpose of "patient-centered" nursing service, such as the occurrence of nursing errors, accidents and disputes, and ensure the safety of clinical nursing. Safety management is the fundamental guarantee of nursing quality, the focus of nursing management and the standard to measure the level of hospital nursing management.

There is a saying: "details determine success or failure." Nursing work is a complex work, which is closely related to each other, standardized and handed over. Therefore, doing well in every detail of clinical nursing work is the premise of reducing and eliminating disputes and accidents, and also the guarantee of improving nursing quality. Therefore, we should attach great importance to the details of nursing work.

First, the safety issues in the work details.

(A) Nurse etiquette and communication details

Seriously studying nurse etiquette and strengthening aesthetic consciousness can play a role in respecting patients and increasing their trust in us. If the work clothes should be clean and fit, put on a little light makeup, and don't call the patient's bed number or call him by his first name, so as not to cause the patient's disgust. Speak softly, be kind and generous, walk softly, close the door, pay attention to the cultivation of inner temperament, shape the image and use the language art, which can increase patients' trust in us and accept our services easily. Even if there are small mistakes in work, it is easy to be forgiven. Statistics show that 40% of disputes are caused by lack of communication. On the other hand, if the clothes are untidy, the clothes are messy, the patients or their families are impatient with their questions, the words are cold and blunt, and they have nothing to do with playing mobile phones. Talking and laughing loudly will increase the patients' resentment, make it difficult to understand when encountering contradictions and shortcomings, and easily lead to nursing disputes. Therefore, we should realize that using polite language, communicating with patients in beautiful language and giving full play to the value-added function of language art can not only enhance the image of nurses, eliminate misunderstandings and hidden dangers, but also win social reputation and patient satisfaction for hospitals.

(B) the implementation details of the core nursing system

1, shift system: nurses should be serious, meticulous, accurate and in place. Before taking over, the successor should complete the work of the class with good quality and quantity to prepare for the succession. The successor shall take up his post 15 minutes in advance, and carry out bedside handover with the successor. After the successor takes over, he should inspect all the patients in the ward and be aware of it. Avoid hasty handover, don't check, don't know the ward.

2. Graded nursing system: check and record patients according to the requirements of nursing level. The contents of the patrol: illness, medication, reaction, skin, pipeline, lying position, use of instruments and equipment, etc. If the machine can't or can't patrol, just call in the office. In the process of examination, communication with patients should be increased to reflect humanized service.

3. Check system: it is the most important in the nursing system. Every nurse is very familiar with the check-up system, but the problem of implementation is actually a problem of responsibility. Inertial thinking or subjective assumption, "what do you think" leads to problems, such as the expiration date of drugs, misplaced drugs, replacement of liquids, liquid flocs and so on. Therefore, when it is necessary to handle drugs, it is necessary to check them.

(3) Details of nursing quality

1, patient safety assessment. The introduction of patients into the hospital is a mere formality, and the safety problems caused by the degree of patients' diseases are insufficiently evaluated. For example, although warning signs are placed in corridors, toilets, window sills and other places, the safety guidance for the elderly, the infirm and children patients should be targeted. The safety evaluation of hospitalized patients should be timely, such as restless patients, patients with mobility difficulties, long-term hospitalized patients, psychological problems of patients with chronic diseases and tumors, suicidal tendencies, etc.

2, intensive care: the observation and mastery of the condition is not in place, and the change of the condition cannot be found in time; Not taking medicine in time-I don't know the order and time of taking medicine, the observation of heart failure speed caused by dyspnea, and the observation of shock.

3. Basic nursing: "three short and six clean", according to the requirements of the Notice of the Ministry of Health on Strengthening Clinical Nursing, simplify the writing of nursing documents, return the time to nurses and nurses to patients, complete the basic nursing and life nursing of patients, and reduce the burden on their families. Pay attention to the quality of basic nursing work, and the nursing of oral cavity, skin and treatment pipeline is not in place.

4. Technical operation: informing, educating, guiding and observing-informing the purpose and significance before disposal, adverse drug reactions, etc. "Three checks and seven pairs"-especially traditional Chinese medicine preparations, are prone to floc, yellow color and bulging bottle caps. Sensitive test solution-use one for each person and discard one. Do you want to change the needle? Change the batch number; Drug compatibility-normal saline is used in the middle; Dispensing-Consider drug half-life? It is now on the market.

(four) the details of ward environmental safety

For example, whether the environmental sanitation satisfies patients, whether the bed is clean, whether the ward is quiet, whether the sewer is blocked, whether there is odor, and so on. Whether the treatment car or the pulley of the door and window is refueled regularly, if the noise is too loud, it will affect the patient's sleep and rest. Nurses should promptly notify relevant departments to solve abnormal problems. In addition, it is our duty to ensure the safety of patients from all aspects. Nurses should pay attention to remind patients to take good care of valuables to prevent theft. ? Second, the reason analysis

(1) Nurses' legal awareness and occupational risk awareness are weak.

For a long time, the thinking habit and vision of medical care have formed "talking about medical care" without asking anything else. Nurses only pay attention to solving patients' health problems and ignore potential legal problems; Nursing practitioners are young, lack of nursing experience, lack of awareness of safety precautions, and lack of ability to foresee nursing disputes and mistakes.

(2) The basic theory is not solid and the technology is new. Insufficient ability to use

Clinical nurses have weak basic knowledge, unskilled basic skills, insufficient ability to use new technologies, lack of professional knowledge and work experience, and are prone to operational errors or operational errors. With the development of new technology, there are more and more contents with high technical complexity and high technical requirements in nursing work, which affects nursing safety.

(three) the sense of responsibility is not strong, mechanically implement the doctor's advice, not strictly abide by the rules and regulations and operating norms.

Nurses have been educated to correctly carry out the doctor's orders, and have formed a habit, but they have not thoroughly studied whether the doctor's orders are correct or not and the possible problems in their implementation. Nurses should take the last step well, not just carry out the doctor's orders mechanically; Check system and other core systems are not well implemented in the work, and the disposal is not routine, such as violating the principle of aseptic operation. Nurses' weak sense of responsibility will inevitably lead to serious consequences.

Third, countermeasures.

(1) Improve nurses' awareness of occupational risks and strengthen legal knowledge education.

To ensure nursing safety, nurses should first raise their awareness of nursing risks and strengthen their self-discipline behavior. We should always study relevant laws and regulations and know the law. The nursing department will increase the education of nursing-related legal knowledge in the relevant training of nurses, and will also hold special discussions on cases of nursing defects, cases of nursing negligence and cases that easily lead to nursing disputes, so that nurses can deeply understand the potential legal problems in their work, consciously abide by the law and enhance their legal awareness.

(2) Strengthen nursing training and improve professional quality.

Strengthen the basic theory and skills training of nursing staff and do a good job in qualification examination. Senior nurses should take the lead in passing, helping and guiding. Encourage nurses to take self-study exams, provide young nurses with learning opportunities by sending them out and inviting them in, and let them know more about new nursing knowledge, trends and concepts at home and abroad, which not only broadens their horizons, but also expands their theoretical level.

(3) The head nurse should strengthen the management of young nurses and attach importance to detail management.

The head nurse is the director of ward nursing management. First of all, she should be familiar with the situation of her own department, professional theory and skills, professional characteristics and so on. At the same time, she should be clear about the process of patient care, be good at finding the weak points of nursing links and do a good job in detail management. The head nurse should be careful not to find the cause of the problem. Once unsafe factors are found in daily nursing inspection, countermeasures should be put forward in time to eliminate hidden dangers and ensure the safety of patients.

(4) Strengthen the sense of responsibility and communicate with patients.

Every nurse should have a strong sense of responsibility and pay attention to every detail of the patient. Especially the questions raised by patients and their families, are taken seriously. Strengthen communication with patients and reduce unnecessary disputes.

In short, we attach importance to every detail and pay attention to every little thing, which is not dogma or empty talk. We should proceed from reality, conscientiously implement it and run through the whole nursing process. People-oriented, patient-centered, small things in work can improve the quality of nursing, satisfy patients and their families, truly reflect the details of white clothes, cultivate the spirit of caution and independence, and do every link of work well, so as to make a style.

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