In the era of social development and progress, the management of nursing safety is the most concerned thing for the masses in medical care. In the hospital, the embodiment of patients' treatment process and nursing process is nursing safety. In the development of today's times, the safety, level and quality of nursing have a great influence on the medical treatment in hospitals. At present, there are widespread problems in hospital nursing safety management, especially clinical nursing, which is one of the concerns of the masses. Of course, obstetric care safety is also a concern of many families. In order to make patients feel at ease in hospital, it is necessary to improve the safety awareness of medical care management, and carry out strict training for nursing staff to improve nursing safety awareness and service quality. Avoid medical disputes, protect the reputation of the hospital and improve the prestige of the hospital.

2 Common problems in nursing safety management

2. 1 Poor sense of service

In many hospitals, many nurses do not pay enough attention to clinical and obstetric care, and some hospitals do not have a perfect nursing safety management system, which leads to medical disputes in hospitals. In the hospital, the nurse is the guardian of the hospital and the patron saint of the patient; Nursing safety has attracted public attention. To improve the safety awareness of nursing staff, it is necessary to carry out strict training and assessment for all nursing staff in order to improve the service quality of nursing staff to patients. In addition, nurses' service consciousness is not strong enough, their work attitude is not correct enough, their requirements for patients are not detailed enough, and their care for patients is not active enough. I was not responsible enough during the shift change, just left after work, and there was no detailed handover for special patients. Completing a day's task is just a formality. As long as there is no problem, it is the heart to complete the task. The factors that make patients feel uneasy about the treatment in the hospital are their lack of service awareness and irresponsible attitude towards caregivers, which leads to the reputation of the hospital being affected.

2.2 Insufficient clinical nurses

At present, the shortage of clinical nursing staff in hospitals can't deal with emergencies in time, which leads to an increase in the rate of medical accidents. Clinical nursing is the most important part of the hospital, and whether patients can recover quickly is the work content that nurses need to do. Nursing patients and protecting their lives are also nurses' jobs. Obstetrics, in particular, requires higher skills of nurses, and maternal and child management is managed separately. Therefore, the number of obstetric nurses should be adjusted according to the proficiency of patients, and the workload of obstetric nursing is also relatively large, and the work of obstetrics is relatively trivial. In the face of more difficult things, the safety awareness of nursing is easily ignored, and even obstetric nurses can't fully serve the clinic.

2.3 Nurses are not skilled.

There are many young nurses in the hospital, and the skilled technology is not proficient enough _z] The experience and qualifications are not independent enough, which leads to fewer nurses in the hospital, especially obstetric midwives, and the workload is large and complicated. However, the knowledge of obstetric midwives is not rich enough, and the knowledge is relatively old, so midwives rarely have the opportunity to continue their studies and conduct more advanced training. If you can't correctly judge the size and position of the fetus before delivery, it is easy to suffocate the fetus. If you don't handle the prenatal and postpartum work skillfully, it will lead to maternal bleeding and life-threatening. Therefore, we should have the knowledge of nursing safety management to reduce the occurrence of medical accidents.

3 nursing safety management countermeasures

3. 1 Enhance nurses' safety awareness.

Cultivate the safety awareness of nursing managers, go to more developed hospitals in the city for further study, and let nurses learn different management modes in different environments to keep their knowledge updated. In addition, it is necessary to strengthen the quality education of nurses, strengthen the original education methods of nurses, exercise willpower with new education methods, and strengthen the safety awareness in management. And improve the management system to improve the management safety awareness of nurses, so that nurses can skillfully operate technology. Come in and improve the management system, improve the service quality and operation skills of nurses, improve the quality service for patients and improve the quality of safety management and nursing service.

3.2 Reasonable arrangement of nursing human resources

Strengthen nurses' ability training and basic knowledge learning, and conduct on-the-job training and technical assessment for new nurses. Nurses should abide by the management system of the hospital, improve their skills and restrain their behavior by the rules and regulations of the hospital. In addition, the hospital should set up the functions and management scope of the head nurse to play the role of mutual supervision, and the head nurse should drive the nursing staff to work normally. Nurses should obey the arrangement of superiors to improve work efficiency and management safety. The head nurse should arrange work according to everyone's ability to effectively improve the enthusiasm of nurses. Head nurses should improve the working atmosphere of all nurses, so that nurses can keep a clear head in their work and ensure the quality and safety of nursing work.

3.3 Strengthen nurse-patient communication.

There are medical accidents in hospitals because there is little communication between nurses and patients, which leads to medical disputes. To improve the nurse-patient relationship, it is necessary to improve the theoretical knowledge and skills of nurses and strengthen the management system for nurses. With the development of the times, the nursing work in hospitals is constantly improving, and the communication between nurses and patients has become an important factor in whether the nursing work can be done well. It is an effective method to establish mutual trust, respect and cooperation between nurses and patients. To shorten the distance between nurses and patients, we need to establish a new service concept to improve the relationship between nurses and patients. In order to improve the quality of nursing and provide a good foundation for better treatment. Thereby reducing medical disputes, improving hospital nursing quality and nursing safety management, and ensuring medical safety.

4 conclusion

With the development of the times, the management mode of hospitals in medicine is constantly changing with the needs of the times. The new management mode puts forward high requirements for medical quality. To improve the requirements of nursing work, we must strengthen the management of nursing quality. After analyzing the problems existing in hospital nursing work, this paper also puts forward corresponding improvement countermeasures, focusing on improving nurses' skills and service awareness training, and constantly embodying the service concept of nursing from quality management. Constantly strengthen nursing and standardize its own technology in behavior, so as to improve nursing quality, reduce nursing risks, meet patients' needs, avoid medical disputes and improve the management mode of hospital departments.