When we have a deep understanding of something, we should record it immediately, so that we can enrich our thoughts through continuous summary. So how do you write it? The following is my carefully organized nursing psychology experience, welcome to learn and refer to, I hope it will help you.
Experience in nursing psychology 1 Since joining our hospital in July 20xx, I have been studying in xx, xx and ICU in turn. Through this year's practical study, I think that if we want to combine the theoretical knowledge we have learned before with the actual clinical work, on the one hand, we should be strict with ourselves in our usual work and consult more teachers, on the other hand, we should study hard in our spare time to understand the main points.
When I was in xx Department, I came into contact with xxxx's professional knowledge for the first time, and I was not familiar with chemotherapy schemes, indications, contraindications and complications of various cancers. After four months of study, I feel that I have learned a lot of useful knowledge, such as: various chemotherapy drugs have different irritation to peripheral veins; Nursing measures that should be taken immediately when drug extravasation occurs during chemotherapy; Nursing care of patients undergoing long-term chemotherapy after deep vein catheterization. In addition, in the process of chemotherapy, patients will have a series of chemotherapy reactions, such as gastrointestinal tract, skin mucosa, psychological state and so on. At this time, it is necessary for our nursing staff to care about patients enthusiastically, respect and patiently listen to patients' complaints, do a good job of bedside handover, and give patients emotional support.
During xx, I learned xxxx related knowledge. Preoperative preparation includes psychological counseling, intestinal preparation and dietary guidance. Postoperative vital signs monitoring, incision observation, assistance in coughing and expectoration, observation of infusion volume and infusion speed, nursing of various drainage tubes, nursing of catheter, diet nursing, observation and nursing of postoperative complications, etc. Because of the particularity of gynecological and oncology patients, we are required to communicate with them more patiently in our daily work. Only in this way can we better improve the quality of nursing and make patients trust our work.
Now rotating in xxx ward, it is a comprehensive department, including ultrasonic scalpel, interventional department, Chinese and western medicine, chemotherapy. I feel that there are many places worth learning here, such as: paying attention to skin protection, limb temperature sensing activity and limb dorsal artery pulsation after ultrasonic scalpel operation; After intervention, the patient should be instructed to brake the affected limb, pressurize the sandbag, and observe the patient's urination.
Through nearly a year's study, I am familiar with the professional knowledge of various departments and pay great attention to the professional image of nurses. I pay attention to civilized and polite service in my daily work, adhere to civilized language, have a dignified appearance, dress neatly, do not wear heavy makeup, do not wear high heels, do not ring shoes, have a polite attitude and have a standardized language. Seriously study the Regulations on Handling Medical Accidents and its laws and regulations, and actively participate in the learning activities of the Regulations on Handling Medical Accidents organized by the hospital, which enriched the legal knowledge and enhanced the awareness of safety protection. Under the active and serious guidance of the head nurse, I have made great progress and improvement in many aspects. At ordinary times, I insist on participating in the monthly business study of the department, attending the morning meeting every Tuesday, insisting on nursing rounds for critically ill patients and training for three basic nurses. I did well in two technical operation exams organized by the nursing department. In one year's work, we can always adhere to the service concept of "patient-centered, quality-centered" and improve our own quality and emergency response ability.
Of course, I still have some shortcomings to improve. For example, in study, sometimes I feel impetuous, I feel that I have too much to learn, and I am impetuous, especially when I encounter setbacks, and I can't handle it calmly. At work, sometimes the standard is low. Although I can basically perform my duties and obligations, my initiative needs to be further improved, which is what I need to improve and improve in the future.
In the coming year, I would like to thank the hospital leaders, head nurses and teachers for their education, guidance, criticism and help, and my colleagues for their concern and support. Looking back on the past, there have been many advances and improvements, but there are also some shortcomings; Looking forward to the future, we should carry forward our own advantages and overcome our own shortcomings.
The experience of nursing psychology has passed so quickly. In a blink of an eye, the internship is over and college graduation is just around the corner. After 10 months of internship, I think I have also moved from an ignorant college student to the society, entered the hospital, and became a nurse to save lives. During my nursing major in school, I knew the importance of theoretical knowledge, took every course seriously, and devoted myself to study and work with rigorous attitude and positive enthusiasm. In the process of internship, although there are tears of success and bitterness of failure, I still wrote down my self-evaluation of my difficult support in the hospital.
In this increasingly fierce social competition, I fully realize the importance of becoming an excellent college student with all-round development in morality, intelligence and physique.
I still remember that a group of us walked into the hospital under the guidance of the teacher. With a feeling of hesitation and nervousness, I started the clinical nursing practice for 10 months. But when I really came into contact with patients, I found that there was still a gap between clinical nursing and books. I not only have a solid theory and skilled operation, but also have the view of love and injury. In my work, I have summarized my internship by constantly learning what I have learned in the process of operation, so that the present practice can make up for the deficiency of the past theory. I am strict with myself in my study. With the strong pursuit of the goal and knowledge of becoming an excellent angels in white, I studied hard, studied hard, had a correct attitude and a clear goal, basically mastered some professional knowledge and skills, and integrated theory with practice; In addition to learning professional knowledge, we also pay attention to the expansion of all aspects of knowledge, extensively dabble in other disciplines, and improve ideological and cultural quality. Therefore, I deeply understand that clinical practice is the consolidation and strengthening of theoretical learning stage, the cultivation and exercise of nursing skills operation, and the best exercise before our employment. Therefore, we cherish this period of time, cherish the opportunity to exercise and improve ourselves every day, and cherish the rare mentoring relationship with teachers.
When I first entered the ward, I always felt at a loss Looking at the students who entered the clinical practice in advance, I can't help but envy them. When can I do this? At that time, nursing work was still in a relatively unfamiliar state, and there was no formed concept of what I could do in such a new environment.
Fortunately, the teacher introduced us to the ward environment, shifts and the work of each shift, self-protection of work, and of course, the most important sense of responsibility and cautious spirit.
Looking back on the first day of hospital internship, it was also my first stop, the supply room. For me, our internship time here is two weeks, but as this is my first department, I am full of curiosity and expectation. I walked into the supply room for the first time, although the surface can be taken for granted as supplying things. But it's more than that. Seeing those new machines, autoclaves, they still look so fresh. I dare not touch it casually, for fear that it will break if I accidentally press the wrong switch, which is worth tens of thousands. I don't know where to start, I don't know anything, so I thought, is this internship suitable for me? Can I continue? Just when I was hesitant, a kind of comfort came from a corner of my heart, "A great man starts from scratch, believes in himself and goes on strongly." Finally, under the guidance of the teacher, I am familiar with the related business of the window, which can basically help patients solve related problems, so I don't need to ask the teacher everything, because I also know that the teacher has his own things to do and tasks to complete. Gradually, I can basically solve many problems in the window independently. Every time I help patients solve problems, I feel really happy and comfortable. I don't know where to start with that feeling, but I know that the slight smile on their lips is recognition and affirmation of my work. I hope this smile will continue to be sweeter and more beautiful. With the accumulation of time, naturally, I also played an "important role" in the department and became a member of this big family. I really appreciate the teachers' teaching and care all the time, and I really hope to get along with you all the time.
Teachers have rich clinical teaching experience, which makes me adapt to the nursing work and hospital environment quickly, and lays a good foundation for future practice.
The nurse's studio is heavy and messy. Although I felt it before I entered the clinic, I really felt it after I entered the ward. Indeed, the job of a nurse is very fragmentary, which can be said to be very humble. We use our own feet to measure the distance of the ward over and over again; However, nurses also have unique charm. Hospitals cannot be without nurses, doctors cannot be without nurses, patients cannot be without nurses, and the whole environment cannot be without nurses. This kind of trivial work has a complete system. It can be said that sparrows are small and complete.
Since I chose the nursing profession, I have a motto: devote my limited life to unlimited nursing work. I will study harder in my future work and improve my business ability. This is what I learned in my ten-month internship, and it is also the first harvest in the internship stage: learn to adapt and grow in a warm-hearted environment!
In the future, I will work harder to make my theoretical knowledge and operational skills by going up one flight of stairs, so as to better serve patients. Strive to be an excellent nursing staff, worthy of the glorious title of angels in white!
Experience of Nursing Psychology The three-month internship ended in a blink of an eye. During this period, I learned a lot and felt deeply. The following is my experience report during my internship:
I. Learning Attitude We all hope to meet a good tutor during the internship, but it is not enough to just wait for the tutor to impart knowledge. The most important thing is to look at our own learning attitude. When we first started our internship, our biggest feeling was that we all became errands and learned nothing. Far from the excitement of just leaving campus to work, there is only frustration. In fact, people who can't learn will have this idea. For those of us who have just come into contact with the clinic, even if the teacher assured us to take injections and medicines and other treatments, I think we have no confidence in our hearts! In the process of running errands, you can quickly get familiar with the department environment, familiar with patients and so on. So I think this so-called running errands is a transition from school to clinic, which we must go through.
Second, the learning method has just set foot on the job, and most of us will prepare a notebook to carry with us and record it at any time. But I think most people's books are tasks assigned to us by teachers except the knowledge mentioned by teachers. This situation lasted for several months. Until I went to my current department to practice in the Burn Department. I remember that on the first day, the head nurse made a request to us, "prepare a notebook, study a diary, and write down everything you learn every day, including what the teacher said, what you asked yourself and the problems you encountered." Even if there is really nothing to write on this day, you should review whether you have done anything wrong on this day. Even if it is nothing in others' eyes, you should keep a daily record. "In this way, I persisted for a month and found that I learned a lot more in this month than in previous months, so I persisted in the later departments and gained a lot.
Third, build confidence for interns, there are only a handful of practical opportunities, and sometimes they are too nervous to start. Therefore, it is difficult to take the first step by shrinking in front of rare opportunities, which requires us to build confidence and believe in ourselves.
Fourth, communication skills are very important in clinical communication with patients. Generally, patients will not choose interns for injection or other treatments, and sometimes even refuse, which requires us to have good communication skills and get along well with patients. I don't think he should be ashamed to refuse you again.
Attitude towards patients If we sincerely treat patients as our relatives and think about them everywhere, then patients will treat you as their family. I think if I were a patient, I would rather have an extra shot than leave the opportunity to my relatives. Even if it hurts, the mouth will say, "You played really well, and it didn't hurt at all."
6. Preparatory work Before entering various departments for internship, it is best to do some preparatory work. For example, I reviewed the basic knowledge of burn surgery: the calculation of burn area, the principle and formula of fluid replacement for large area burns, etc. I worked as an intern in the Burn Department before, which not only left a good impression on the head nurse and the teaching teacher, but also allowed me to have a learning goal at work, which was beneficial and harmless. The above are some of my internship experiences, which I hope will be helpful to junior girls who are or will soon embark on internship positions.
Experience of nursing psychology 4 Learning nursing psychology is of great significance for maintaining one's mental health and physical health, and for caring for and helping others. A person's inner feelings-emotions, sorrows and sorrows-will be directly reflected in the external behavior, and an optimistic and positive attitude will make the external life full of joy. After studying psychology, you will gradually understand your personality characteristics and mental health, and at the same time pay more attention to people around you. I used to be annoyed that my parents nagged on the phone across the mountain and would fight because my classmates were unhappy. I feel as if I am always wronged by myself, but I seldom think from the other side's position. After studying nursing psychology, I learned to care more about others. Maybe those are our relatives, our classmates and friends, or just strangers who meet by chance. Only by thinking about problems with a just and fair mind can we live in harmony with the environment and society.
Secondly, after entering the university, students have more free time, need to have strong self-control ability and learn to be conscious of their subjectivity. Otherwise, it will be a waste of time because of improper methods, no points, half the effort, or poor self-control
It is very important for young people to evaluate themselves correctly and accept themselves. It is related to establishing a correct self-concept, adapting to the environment and promoting the healthy development of personality. Accepting oneself and getting rid of inferiority is an important guarantee for mental health. How can we enhance our sense of self-acceptance? As long as you really know yourself, set goals suitable for your own situation, constantly expand your life experience, analyze yourself honestly, frankly and calmly, and find out the problems, you can remedy them in time, and turn the blow of failure into the driving force to enhance your sense of self-acceptance. Various psychological motivation conflicts caused by subjective factors may make college students feel frustrated, such as students' majors are not in line with themselves, class and collective interpersonal relationships are not harmonious, life is not suitable, personal appearance and so on.
Be a man, not only be loved, but also love yourself. Only those who know how to love themselves can truly understand all beings in the world. With more confidence and more love, we can find a better, broader and closer road to success than others! Some people say that happiness, for most people, has become a distant dream. Actually, it is not. No one can stop a person from being happy. Everyone has a happy factor. The key is whether you want to be happy or not. When you encounter troubles, be optimistic, be brave and be knowledgeable, and happiness will be around you.
So I think in the future study and life, if you want to be an excellent medical worker, you must do the following:
First, I used to be a student, and the school is student-centered. Chinese education has always been spoon-feeding: passively accepting so much knowledge. Although I have taken the exam so many times, now my knowledge seems to have disappeared in my mind and I can only keep turning pages. When I was speechless under the teacher's questions again and again, I realized that my memory was shallow, and memories without time were like footprints on the beach. At that time, it seemed profound and obvious, but it could not bear the cleaning of time.
Second, when I first started my internship, I didn't understand a lot of things. Although I have had a probation period before, I still feel lack of confidence when it comes to actual operation. Will I make a mistake? What if I did something wrong? I am always timid in doing things, and my classmates who practice with me do well. I think the teacher likes it. It seems that it's not my turn. I blindly follow the basic nursing and follow the operation every day. I want to say "let me try", but I'm afraid. So I think the role change is a hurdle, and I must work hard to overcome it. The method mainly depends on initiative. I found that teachers are happy to teach as long as they ask questions and put forward operational requirements on their own initiative. You can't wait for the teacher to ask for something like in school.
Third, in the face of patients, especially surgical patients, it is common to see blood. When you see a patient groaning in pain, especially during surgery, your heart will always be in your throat, so be careful and tie your hands behind your back, but you will still give it.
The patient caused more pain. Therefore, you should be more bold and exercise more. My goal is to be bold and cautious, and only accurate and quick can solve the patient's pain as soon as possible.
Four, in this period of surgical practice, nursing work experience, every teacher is emphasizing the concept of sterility, because of this, I deeply understand the concept of sterility, and will unconsciously abide by it in the operation. And standardized operation is really a very conservative and safe practice! As for new methods and innovative thinking, we must be familiar with the situation.
Here, I see smiling faces, all of which are particularly beautiful and lovely, which makes me feel that if I were a patient, I would choose to live here without hesitation. Therefore, I also ask myself not to bring emotions to work, and keep a sunny smile every day to make patients feel warm!
Only in this way can I become an excellent medical worker. This is my experience in nursing psychology.
Experience of nursing psychology 5 This morning, I was at a loss. I went early in the morning and got off work. Teacher Duan didn't arrive, and the shift rounds were over. Teacher Duan hasn't arrived yet. Oh, no, I won't miss work today. Oh, it's in vain. I know I can sleep a few more hours. I don't think so. I remember who said that I would come to make rounds every morning except on vacation, and I wouldn't come if Teacher Duan didn't come.
Anyway, take out all the medical records and I'll check them. I used to work as an army general, but I haven't done it before. The patient's ward round record is correct. Write down the patient's abnormal situation, call her or ask the teacher around, take a deep breath and stride into the ward. At this moment, she came. Ok, write down the results of rounds:
Characteristics of Parkinson's disease:
(1) Resting tremor (starting from upper limb A → lower limb B → lower limb A)
⑵ Muscle tension increases, the mask and handwriting gradually become smaller, it is difficult to start, and the gait is flustered. This is because dopamine and acetylcholine control muscle tension. The former plays an inhibitory role and the latter plays an exciting role. This happens when excitement is greater than inhibition.
(3) the amount of exercise is reduced.
4. Severe anxiety can be treated with Celeste, and mild and moderate anxiety can be treated with Deanxit.
3. Tinnitus is mostly caused by the following factors:
(1) vestibulocochlear lesions
(2) Hypertension
(3) dizziness.
4. Meclofenoxate: a brain protective drug.
⒌ Patients with decreased muscle strength after spasm, which is due to muscle fatigue after spasm, resulting in a slight decrease in muscle strength.
6. Multiple infarctions in the same site may be due to vascular stenosis in this site, and cerebral angiography should be done; Multiple infarctions in different parts are secondary infarctions.
In the afternoon, I got off work, but I want to make up the course of the disease. Results During this period, I met my first neurological patient, who was completely handled by me (when the teachers disappeared collectively, the nurse had to find me):
The patient is the family member of the hospitalized patient. He complained of intermittent right temporal headache with numbness of distal limbs for half a year. The pain was a needle-like stabbing pain, which improved in more than a day. Pain in one day, no obvious time regularity, no nausea, vomiting, blurred vision, fever, rotation of vision and other symptoms. Every time he has an attack, he can get better by taking gastrodin himself. A few years ago, he had a sharp scratch on his right temple. Physical examination: the frontal line is symmetrical, the eyeball movement is normal, and the bilateral pupils are round and equal in length, about 0. 3cm, the nasolabial groove is normal, the mouth is centered, the tongue is centered, the hearing in both ears is normal, and the cheeks feel normal; Muscle strength of limbs is normal, with bilateral pathological signs (-) and meningeal irritation sign (-).
My diagnostic thinking: headache → organic diseases → vascular/nervous system diseases → patients complain of needle-tip tingling (unclear) → patients complain of getting better after taking gastrodin (which can dilate blood vessels), and tend to blood vessels → short course of disease, quick improvement, no obvious inducement → headache caused by near and far, syndrome differentiation, headache caused by hypertension, headache caused by coronary heart disease, headache caused by diabetic complications → migraine preliminary. Some pathological signs can't be elicited, so it is suggested to check blood pressure, blood sugar and electrocardiogram to eliminate related causes. EEG is not recommended for the time being, because the condition is mild and EEG is mostly negative.
In fact, I found the "house explanation" quite useful. When the patient asked me why I had to do these tests, I took the house as an analogy. The brain is like a house, and the blood vessels in the brain are like the water pipe system of the house. Nerves in the brain are like the electrical system of a house; As for the head CT, it is to check whether the house structure is damaged. If one of these projects goes wrong, "people" living in the house will feel uncomfortable, so these tests should be done. After this explanation, the patient came back with satisfaction. ......
The 6 1 month pediatric practice stage of experiential nursing psychology is fleeting, and time slips away quietly through the fingers, and the time that can't be grasped is like a blink of an eye. The end of one internship is also the beginning of another internship stage, preparing for another relay in the internship stage.
After understanding the basic situation of pediatric nursing, I began to devote myself to internship. Under the tireless teaching of clinical teachers, I have continuously studied and explored professional knowledge and accumulated some work experience. Perhaps these experiences are just a drop of water in the vast ocean; A pebble in the vast desert is a precious treasure to me, just like a wave on the vast beach, leaving countless sparkling shells, which are worth cherishing and remembering. Perhaps these gains are relatively small, but I believe that success is accumulated on every small progress. "Rome was not built in a day."
Entering pediatrics, I learned from the teachers that pediatrics is a comprehensive department, covering various diseases of internal medicine and surgery. However, the types of children's diseases are very different from those of adults: the onset is urgent, the momentum is fierce and the changes are rapid. Therefore, we nurses should formulate a series of corresponding nursing measures according to the characteristics of their diseases. Because of children's own characteristics and young age, they can't or can't accurately describe their illness, and they don't know how to cooperate with medical staff. Therefore, pediatric nursing has many contents, great difficulties and high requirements. In addition to basic nursing and disease care, there are a lot of life care and health education. The patient's condition should be carefully observed, and the doctor should be informed in time if any changes are found.
After a month's pediatric practice, I have grown a lot, gradually getting rid of the childishness of the school and becoming mature. In the "post", I not only learned the most basic skills of a nurse, but also learned the nursing knowledge of diseases. More importantly, I learned how to communicate with patients' families. Pediatric care is for children. For every parent, the most precious thing is their children. Family members and medical staff are based on the concept of thinking about children. In addition to the exquisite infusion technology, it is also necessary to educate patients' families, such as diet education, environment, clothing, psychological care and so on. After preaching to my family, they expressed great gratitude to me, and I was particularly gratified that the fruits of my labor were appreciated.
How time flies to experience nursing psychology! Unconsciously, I practiced in orthopedics for more than a month. Actually, I'm very tired in orthopedics. It was not very bright when I went in the morning, but it was already dark when I came in the evening. Even before going to bed, I smelled iodophor ... As the teacher said, farmers are busy plowing in spring, weeding in summer and harvesting in autumn. Only farmers know the hardships, and only they can appreciate the joy. The teacher is a native of Gansu, so am I? When you come, you must work hard. The four-week internship is over. I used to be confused and ignorant, but now I have made some progress. It can be said that every day is extraordinary. A sentence that comes to mind when encountering a difficult operation: you can't do it, but you must think of it. Actually thinking is very important.
During my internship in orthopedics, I experienced more than 40 large and small operations, including the human body from head to toe. Such as: clavicle fracture, acromioclavicular joint dislocation, shoulder joint dislocation, surgical neck fracture of humerus, humeral shaft fracture, supracondylar fracture of humerus, medial condyle fracture of humerus, lateral condyle fracture of humerus, elbow dislocation, Monteggier fracture, radial neck fracture, Galeazzi Geiger fracture, distal radius fracture, navicular fracture, pelvic fracture, acetabular fracture, femoral neck fracture, hip dislocation, femoral head necrosis and femoral fracture. It can be said that I have learned a lot through these operations and postoperative treatment. Not only in technology, but also in humanistic care. The classification of fracture is varied: the bone with simple fracture has only one fracture line; The bone of comminuted fracture is broken into more than two pieces; The bone of an open fracture pierces the skin, and the fracture is connected with the outside world. The three main methods of fracture repair are:
1. Plaster bandage fixation
2. Surgical reduction and internal fixation: surgical incision of fractured soft tissue, exposure of fractured segment, and reduction of fracture under direct vision. Metal internal fixators after reduction, such as bone plates, screws, intramedullary nails, compression steel plates, etc. It has no adverse reaction to human tissue, and can also be used to fix fracture segments with autologous or allogenic bone transplantation.
3. Surgical reduction and external fixation: surgery is performed to reduce the fracture, and an external fixator is installed outside the fractured limb. The external fixator is an external steel frame assembled by a chuck and a steel pipe, which can support the bone and correct all kinds of displacement during the healing process of the bone. This fixation method is generally suitable for complex fractures that cannot be internally fixed.
With the mastery of my own knowledge, the teacher has unconsciously regarded me as a standard surgeon, not a student. What impressed me most was the experience of surgical treatment of lateral condyle fracture of humerus. Epiphyseal fracture of lateral condyle in children is also called epiphyseal fracture. Fractures usually include the capitulum humeri and the radial part of the trochlea humeri. Because a large part of the fracture block of lateral condyle of humerus is composed of cartilage, the cartilage on X-ray film is underdeveloped, and the younger the age, the more cartilage there is, which is easy to miss the diagnosis. Improper treatment often leads to fracture nonunion and elbow joint dysfunction. My teacher and I operated on 8 cases of humeral lateral condyle fracture from February 20xx 10 to June 20xx10, and achieved satisfactory results.
Now that I am in contact with the clinic, I find that what I see in my actual work is not as simple as I imagined, nor is it as typical as what I wrote in the book. At work, I often rely on my usual experience. Only by practicing and having good experience can I gradually accumulate experience. I will continue to study hard in the next department to make my internship more perfect. Finally, I offer my teacher's classic words: a good doctor is a philosopher first, and a butcher can operate. The key is to have a philosophical way of thinking.
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