First, improve the connotation construction of nursing, create characteristic high-quality nursing 1, and fully implement the overall nursing responsibility system. Continuously improve the nursing process, realize the responsible holistic nursing with humanistic care as the core, implement the hierarchical management of nursing staff, and form a multi-shift echelon of old, middle and young nurses. The post responsibilities of each shift are clear, and the sense of cooperation is strong. Give full play to the experience and advantages of senior nurses in emergency, critical care, health education, clinical teaching, guidance of junior nurses, etc., and ensure continuous, whole-course and holistic care for patients.

2, around the "patient-centered", customized characteristic quality nursing service. The items and implementation methods of quality nursing in departments depend on the different needs of patients. Nurses should consider patients' needs from psychological, physiological, social and spiritual factors while mastering patients' "Ten Knows", and follow up life help, psychological nursing, rehabilitation guidance and nutrition guidance from every detail, reflecting the functions and functions of nurses in professional nursing, adjuvant therapy, health guidance, communication and coordination.

3. Gradually improve the ability of nursing specialty, which is reflected in the whole process, whole and special aspects of nursing specialty. With the development of new business and new technology in the department, the nursing team must keep up with the medical rhythm, use the opportunity of business rounds and case discussions, learn, accumulate, update and integrate knowledge, keep pictures of special cases in time, and be good at summing up nursing experience in the department.

4. Implement the whole course of health education, with the coverage rate of health education reaching 100% and the awareness rate reaching over 95%. Ensure that patients have adequate health guidance before admission, during admission and after discharge, especially during perioperative period, before and after special examination, when the condition changes, and consciously improve nurses' communication ability and inspection awareness to ensure the effect of health education.

5, the implementation of patient satisfaction survey and return visit system, to achieve more than 98% of the department zero complaints. A questionnaire survey was conducted to investigate the satisfaction of inpatients in departments and hospitals, and a return visit was conducted to discharged patients, with a return visit rate of 100%. The head nurse makes full use of the succession and five rounds to guide the nursing work, and at the same time consciously solicits the opinions of patients and their caregivers to improve the nursing work, so that the coverage rate of patient satisfaction survey in the department can reach 100%.

The second is to pay close attention to the construction of nursing team and conduct targeted management and business training.

1. Pay special attention to the team of head nurses and promote the improvement of management ability. The nursing department organizes the head nurses to study a series of professional management courses, guides the head nurses to position correctly, and shifts the focus of work from burying their heads in work to raising their heads to train nurses to improve their management ability; Follow up the daily work of the head nurse by checking the department, following the class and checking the head nurse's log to ensure the efficient workflow; Strengthen the assessment of head nurses' moral ability and diligence, publish it every month and summarize it every quarter, so as to encourage head nurses to do their duty and improve their ability. Give full play to the guidance, cohesion and encouragement of hospital culture, create a harmonious development department, care about the growth of nurses, and the nursing department is in the "5? 12 "Nurses' Day holds fun sports meeting, which enriches nursing life, enhances the sense of unity and cooperation, and also helps to establish a harmonious nurse-patient relationship and enhance nursing value.

2. In terms of training and business learning, the nursing department focuses on the training quality of teaching staff and lecturers in combination with the annual training plan. Strengthen the training of teachers' educational ability and methods to ensure the effectiveness of teaching; Cultivate teachers' ability through external learning and self-evaluation. Nursing operation skills This year, we will focus on training clinical necessity, * * and common nursing techniques, and regularly carry out patient rescue simulation drills and various emergency drills. And advocate all departments to actively practice according to needs. The nursing department should count the utilization rate of classrooms in various departments. The department will check the paper files every month and upload them to the nursing department before the end of the month. The nursing department will conduct spot checks on the departments according to the assessment results and review the learning effect. Evaluate the items and theories of hospital operation competition once every quarter, rank hospitals and ensure the effectiveness of training.

3. Improve the professional and general nursing ability of nurses. Improve the nursing consultation system, implement cross-departmental consultation and out-of-hospital consultation, especially for critically ill patients with strong cross-disciplinary comprehensiveness, ensure the quality of nursing and improve the general nursing ability; According to the needs of hospital development, the nursing department trains specialized nurses and reserves specialized talents; On the basis of the original pressure sore, static therapy and etiquette group, a news group was added to report the nursing situation of the department in time. Each specialist group should perform their duties, implement the annual plan, and be audited by the nursing department at the end of the year.

Three, a comprehensive refinement of quality control standards, to ensure the effectiveness of inspection.

1, continuously implement the three-level management system of nursing quality, and the nursing department organizes the nursing quality control team to inspect the nursing quality of the nursing unit in the whole hospital every month, and analyzes the inspection results at the head nurse's regular meeting, puts forward improvement measures and arranges their implementation, so as to gradually improve the standardization of clinical nursing quality management. For the departments and individuals with the same recurring problems, the head nurse's relevant responsibilities shall be investigated.

2. According to the quality control inspection in the past 20 years, the checklist was revised, the item of "quality nursing" was added, and the nursing service was scientifically quantified. This year, in strict accordance with the detailed requirements of each form, the examination will be carried out in a more flexible and close-to-clinical form, and the nursing department will organize a comprehensive examination every quarter. Pay attention to the effect of first-class quality control, give full play to the role of quality controllers in departments, cultivate strict work habits and sense of ownership of quality control nurses, closely combine quality control with daily work, make norms routine and promote the improvement of nursing quality in departments.

3. Strictly guard against errors and improve the reporting system of adverse events. Prevent adverse events such as falls, bed falls, pressure sores and surgical complications (deep vein thrombosis, lung infection) in the hospital in advance. Analyze the reasons in time, find out the shortcomings, formulate improvement measures and fully implement them. The head nurse should check the operating standards and norms to prevent nursing errors and responsible persons.

2. How to write the second quality nursing work plan in 2023?

First, the goal of hospital nursing work is to improve the management system of "quality, safety and service" of nursing, and all work is institutionalized, scientific and standardized. Strengthen connotation construction and continuously improve the overall quality of nursing team. Adhere to the "people-oriented" service principle, make the nursing service closer to the masses and society, continuously meet the people's growing demand for medical services, and create high-quality nursing benefits.

Second, the hospital nursing index

1, and the average score of three-level foundation of nursing staff reached more than 85 points;

2, nursing technology operation examination qualified rate reached more than 90 points;

3. The qualified rate of basic nursing reached 90%;

4. The qualified rate of intensive care and primary care reached 90%;

5. The qualified rate of writing five kinds of nursing forms reached 90%;

6. The intact rate of first-aid articles shall be kept at100%;

7. The qualified rate of disinfection and sterilization of conventional instruments shall be kept at100%;

8. The training rate of nursing staff reached 100%, and the credits of continuing education of nursing staff reached the specified requirements;

9, published more than 2 academic papers in journals at or above the provincial level.

10, and the number of serious nursing errors was 0;

1 1, and the number of nursing accidents per year is 0;

12, patients' satisfaction rate with nursing service ≥ 96;

Third, the hospital nursing management measures

1, nursing staff management

(1) In the allocation of nursing staff, efforts should be made to keep the ratio of actual hospital beds to ward nurses at 1: 0.4 to ensure the quality of nursing work. Other special circumstances, according to the actual workload in the hospital to make appropriate adjustments, while avoiding wasting nursing resources.

(2) strive to complete the "quality nursing service" work in the whole hospital, and gradually use nurses of different levels.

(1) strive for the support of hospital leaders, and nurses should minimize non-nursing work.

② Strengthening patients' life nursing is mainly completed by clinical nurses, and the responsible nurses should do a good job of guidance.

(3) The competent nurses and nurses should also undertake quality control, teaching, lectures, nursing plans, scientific research, etc. on the basis of completing the work of this class.

④ In addition, attention should be paid to the application of nursing backbones that patients are satisfied with to the clinical front line. For example, nurses with good venipuncture skills can consider arranging treatment classes to ensure the "high quality" of nursing services and fully mobilize the enthusiasm and initiative of nursing staff.

(3) To train and assess personnel at all levels, and the nursing department and all departments should manage nurses' technical files at the same time.

(4) Implement humanized management, care for, respect and motivate nursing staff, and often communicate with nursing staff individually, especially nurses with ideological burden. We should be more considerate and understand nurses, help them adjust their psychology, reduce their pressure and fully mobilize their work enthusiasm.

(5) Do a good job in the inspection and supervision of the head nurse management, and ask the head nurse to reflect the daily main work in the form of a table.

2. Nursing quality management

(1) Continuously improve the system.

According to the needs of the development of the situation, combined with the clinical practice, we will constantly improve the quality control system, revise the assessment rules of nursing staff, and further improve the assessment contents and scoring standards of nursing quality such as ward management, basic nursing, graded nursing, disinfection and isolation, nursing document writing, supply room, operating room, outpatient service and stomatology.

(2) Strengthen implementation, supervision and inspection.

Pay attention to the supervision of the quality of nurses' operation process, do a good job in quality control and management, clarify the division of labor, ensure everyone's participation, and manage at different levels to ensure quality. There are inspection records, analysis, evaluation and improvement measures.

(3) Implement the system of nurses' long night rounds, holidays and weekly rounds.

(4) Discuss, analyze, summarize and feedback quality control issues. Problems found in quality control inspection at all levels should be promptly fed back to nurses on duty and head nurses. The head nurse will make a summary once a month and report it at the weekly meeting of the department. The nursing department scores the quality control summary once every quarter, and reports it at the head nurse's regular meeting, analyzes the reasons and puts forward solutions. And inform the whole hospital through the nursing newsletter. Nurses' awareness rate of existing problems and improvement measures reached 100%.

(5) The completion rate of nursing measures should be above 90% to ensure the effectiveness of continuous improvement of nursing quality.

3, nursing safety management

(1) Conduct training on medical and nursing laws and regulations, organize study, discussion and special lectures, so as to improve the legal awareness of nursing staff, act in accordance with the law and protect the legitimate rights and interests of patients and nurses.

(2) nursing defect management, adhere to the strict supervision of the quality of each link, find potential safety hazards, and take timely measures to nip nursing errors and accidents in the bud. The nursing department standardizes the record book of nursing defects and errors, and records the problems in time (including time). Parties, events, results, qualitative analysis, cause discussion, improvement measures).

(3) Strict quality control of various rules and regulations and nursing operation procedures, strict "rounds" system, management system of first-aid drugs and articles, and implementation of the obligation to inform of injury treatment or inspection, which is organized by the nursing department on a regular basis and supervised by managers at all levels on a regular and irregular basis to find hidden dangers, determine measures and promote improvement.

4, hospital infection control management

(1) Zeng Qiang's understanding of hospital infection;

(2) Strengthen the management of key departments;

(3) Strengthening the management of environmental commodities;

(4) Strengthen the management of medical waste;

5. Improve the management level of enterprises.

(1) Further deepen the work of "quality nursing service", take the patient's needs as the service orientation, pay attention to personalized service, further standardize various nursing routines and nursing operation procedures, and ensure the effectiveness of the measures.

(2) Strengthen the effect of business rounds. The nursing department organizes hospital nursing rounds 1 time every month, and each department organizes 1 time every week to discuss and analyze critical and difficult cases, special cases, special nursing problems, new technologies and new businesses, sum up experience, and improve nurses' working ability and professional quality.

(3) Guide nurses to understand new nursing technologies and projects, encourage nurses to participate in nursing research, actively accumulate information, write nursing papers, and encourage nurses to actively contribute.

6, on-the-job training management

(1) Nursing business learning requires the nursing department to organize nursing business learning irregularly, and each department organizes 1 business learning every month, with records and lecture notes.

(2) Training contents of nursing theory: nursing quality standards, various nursing work systems, nursing service processes, "three basics" nursing knowledge, and emergency plans. At the same time, we should pay attention to carrying out targeted business training to "learn what you lack" and "talk about the problems you actually have" to strengthen the nursing learning effect.

(3) Key points of nursing skills training. Standardize training on fifteen nursing operations, especially for new employees and young nurses. Common first aid skills C. Rehabilitation skills and techniques involved in health education.

(4) Send head nurses and nursing backbones out to participate in training and study, constantly improve new knowledge and new business, and promote the improvement of nursing quality.

3. How to write the third article of the quality nursing work plan in 2023?

First, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks and provide high-quality, safe and orderly nursing services for sick children. 1. Constantly strengthen safety awareness education, promptly remind unsafe factors found in the work, and propose corrective measures. Taking the nursing errors inside and outside the hospital as an example, we can organize discussion and study for reference, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn from them, and make the safety alarm ring constantly.

2, the implementation of various rules and regulations, regular and irregular inspection, supervision in place, and supervision and inspection records.

3. Strengthen the management of key periods, such as night shift, middle shift and holidays. , the implementation of flexible scheduling system, reasonable collocation of old, middle-aged and young people on duty, and pay attention to cultivate nurses' cautious spirit when they are on duty independently.

4. Strengthen the management of key sick children, such as critically ill children in intensive care unit and critically ill children in Pu 'er ward, take the above-mentioned children as the focus of discussion in the morning meeting and shift handover, evaluate the existing and potential risks of patients, reach a * * * knowledge, and attract the attention of each class.

5. Manage key employees such as intern nurses, rotating nurses and new nurses, educate them on legal awareness, improve their awareness and ability to resist risks, and make students clear that they can only care for patients under the guidance or supervision of the teaching teacher. At the same time, qualified nurses with clinical experience and strong sense of responsibility are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.

6. Improve nursing records and reduce potential safety hazards. Pay attention to the problems existing in nursing documents at this stage, standardize nursing document records, conscientiously implement the "cross principle" in nursing records, that is, objectivity, truthfulness, accuracy, timeliness and completeness, and avoid irregular writing, such as missing words, unclear alteration and inconsistency with doctors' records. , which not only reflects the comprehensive nursing problem records, but also reflects the symptoms of specialties, so that the nursing documents are standardized and standardized.

7. Strengthen nurses' own occupational protection, organize general nurses to study the Guiding Principles of HIV Occupational Exposure Protection for Medical Staff and the Regulations on AIDS Protection, and formulate occupational exposure reporting system, occupational exposure prevention measures and specific treatment measures and procedures after occupational exposure.

8. Improve the risk plan of nursing emergencies, pay attention to cultivating nurses' emergency ability at ordinary times, make a retrospective evaluation of each emergency work, learn from it, and improve nurses' ability to deal with emergencies.

Second, take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.

1. The nurses in the office class sincerely receive the newly admitted children, send them to the bedside, and take the initiative to give admission education and health education to their families.

2. Strengthen service awareness education and improve the concept of humanized active service.

3. Ask the nurse in charge to communicate with the family members of the child every day, including health education, understanding the prognosis of the child's illness, life needs, effects and reactions after taking the drug, etc. Nurse-patient communication can shorten the distance between nurses and patients, which is the prerequisite and necessary condition for doing well all kinds of nursing work.

4. Seriously implement the notification procedures before and after clinical treatment, respect the family members' right to know, and relieve their concerns.

5. Hold a symposium on holidays every month, distribute patient satisfaction questionnaires, praise and encourage nurses with high service quality, and criticize and educate nurses with poor service quality.

Three, regular and irregular nursing quality inspection, to maintain the continuous improvement of nursing quality.

1, give full play to the role of nursing quality control team, conduct quality inspection every week, find problems in time, correct and deal with them in time.

2, constantly modify and improve all kinds of nursing quality standards, and organize learning, according to the standard implementation of nursing work.

3. The head nurse conducts regular and irregular quality inspections, analyzes the reasons for the deficiencies, makes timely rectification, and strengthens the service awareness and quality awareness of nursing staff.

4, every month on the quality control team, the head nurse quality inspection, nursing department quality inspection feedback information comprehensive analysis, find out the reason, formulate feasible corrective measures, and check the implementation of the rectification.

Fourth, strictly implement the three basics and three strictness training plan to improve the overall quality of nursing staff.

1, according to the "three basics and three strictness" training plan, train nursing staff at all levels, and organize theoretical examinations and technical operation examinations every month.

2. Ask the nurse questions during nursing rounds, including basic theoretical knowledge, professional theoretical knowledge and nosocomial infection knowledge.

3. Make use of the morning meeting to ask questions about the core system of hospital nursing, so that every nurse can master and seriously implement it.

4, often review the knowledge of nursing emergency risk plan and conduct simulation exercises to improve the emergency ability of nurses.

5. Conduct a first-aid technical drill every quarter to master the use of first-aid equipment and instruments.

6. Conduct a comprehensive evaluation on the implementation of the three basics and three strictness plan every quarter.

4. How to write the fourth quality nursing work plan in 2023?

First, strengthen nursing safety management. 1, safety is the core of all work. Nursing work should be meticulous and patient, and strictly follow the core nursing system, nursing routine and workflow. Three-level quality control has indeed been put in place, and potential safety hazards have been eliminated in the bud.

2, comb the existing workflow, modify the unreasonable process. Develop practical workflows or guidelines for new projects. There are rules to follow.

Second, actively improve patient satisfaction.

1, often take a patient as an example, follow up the investigation and ask the patient's opinions on staff, health environment, work flow, medical quality and so on. , find problems and actively improve.

2. Conduct a satisfaction survey once a month and analyze the results. Have a public holiday once a month.

Third, do a good job in standardized training and orthopedic specialist knowledge training.

1, according to the nursing department training plan, combined with the characteristics of department personnel to develop personalized training programs.

5. How to write Article 5 of the Quality Nursing Work Plan in 2023?

First, the implementation of nursing quality inspection has improved the nursing work in the department. According to the tasks assigned by the nursing department, the weekly work arrangement in the head nurse's manual and the monthly work focus, the nursing work is supervised and inspected, and the questions are fed back in time in combination with the inspection results of quality control nurses. If there are recurring problems, analyze and discuss them in the monthly department quality feedback meeting, discuss the improvement methods and record them, and continuously improve the nursing quality of the department. Strive to make the qualified rate of basic nursing reach ≧90%, graded nursing reach ≧90%, the intact rate of first-aid articles reach 100%, and the qualified rate of nursing document writing reach ≧90%. The qualified rate of disinfection and sterilization of medical devices is 100%, and the number of bedsores per year is 0 (except inevitable bedsores).

Second, strengthen nursing safety awareness and strengthen safety education for all staff.

1, strictly implement the check system, and specifically implement three checks and seven pairs in the work; Check the injection, medication and disposal; Check the blood transfusion; Check the diet and other aspects. On-the-job inspection in ordinary jobs, BANCHA of the doctor's advice class is right. The head nurse always checks once a week and corrects the problems in time when found.

2. Drainage tube and tracheal intubation are performed on conscious patients, and protective constraints are given to restless patients to prevent patients from accidentally extubating.

3, internal and external medicine placed separately, the bottle label is clear. Potassium chloride and 10% sodium chloride are clearly marked.

4, all kinds of rescue equipment to keep clean, good performance; First-aid drugs meet the requirements and should be replenished in time after use; Sterile articles should be clearly marked and stored as required to ensure that they are within the validity period.

5, for nursing errors and adverse events, according to the ICU reward and punishment system to the parties to give criticism, fines, departments timely organize discussions, put forward treatment opinions, necessary preventive and corrective measures, and report to the nursing department. The monthly quality control meeting will analyze and comment on the hidden dangers of nursing safety in the whole hospital and departments in that month and put forward preventive measures.

6. Continue to strengthen the training and inspection of nursing document writing, further improve the content of nursing record sheet, and ensure that nurses complete nursing records timely, accurately, objectively, truly and completely to ensure medical safety.

Third, according to the hospital ICU infection control standards

Do a good job in hospital infection management, strictly implement various disinfection and isolation systems, and classify medical wastes according to the requirements of hospital sense. Strengthen the management of cleaners and keep ICU ward clean and tidy.

Fourth, strengthen continuing education and learning, and constantly improve the professional skills of nursing staff by using various opportunities and ways.

1. Organize department nurses to study professionally regularly every month, take turns to teach, and learn ICU rules and regulations, nursing routines and operating procedures. During the study, the lecturer deepened his impression in the teaching process, and the listeners were also improved.

2. Ask and urge each nurse to attend lectures and nursing rounds organized by the nursing department of the hospital, and complete continuing education credits in a planned way.

3. Encourage department nurses to participate in various forms of adult examination education to further improve the comprehensive quality of nursing staff.

4. Ask questions in the morning meeting, learn the basic knowledge of this major and strengthen the responsibility system. Strengthen the operation training of nurses' basic skills, carefully assess and train according to the requirements of standardized training for nurses, formulate effective learning plans for the three basic theories and professional knowledge, and divide the three basic theories and professional knowledge into articles according to their contents, and pass each article every month.

5. Enhance nurses' awareness of scientific research and strive to complete 1-2 nursing papers in 20 years.

6. The department plans to send two nurses out for further study.

7. Try out the quality control circle in the department, take the department as the circle, and under the guidance of the circle leader, use a series of methods such as brainstorming to optimize the nursing methods and improve the nursing quality.

8. According to the actual situation in our department, it is planned to train 1 critical nurses in our department.

5.ICU nursing posts are risky and have high technical knowledge, and ICU wards are not accompanied. All the nursing work of the patient falls on the nursing staff. In order to ensure the safety of nursing, each group is arranged in 5 classes with 3 people. The new building is about to be put into use, the scale of ICU is expanding, and the nursing staff in our department are facing vacancies. I hope the leaders will give support to the talent reserve work of our department.