Nursing safety is a global research topic, and it is also the focus and core of modern hospital managers. The following is a junior college paper on nursing safety management that I arranged for you for your reference.

1. Application of nursing safety education in teaching Abstract: Integrating nursing safety education into the teaching design method of nursing technology operation can not only deepen nurses' understanding of operation, but also enable nursing students to gradually establish the safety awareness of nursing technology operation in the learning process, laying a foundation for clinical nursing practice. To sum up, integrating nursing safety education into nursing technical operation training in clinical nursing teaching can effectively improve the test scores of nursing students and reduce the occurrence of safety defects, which is worthy of popularization and application in clinical nursing teaching.

Key words: nursing safety education; teaching

I. Data and methods

1. General information.

Sixty nursing students who came to our hospital from 20 16-05-2065 438+02 were randomly divided into observation group and control group, with 65 438+0 males and 29 females in the observation group. Age 18-23 years old, with an average of 20.6 1.9 years old; Among them, there are 25 technical secondary school graduates and 5 junior college graduates. There were 2 males and 28 females in the control group. Age 18-22 years, with an average of 20.7 2.0 years; Among them, there are 24 technical secondary school graduates and 6 junior college graduates. There is no significant difference in general information such as age, gender and education between the two groups, which is comparable.

2. method.

There is no difference between the two groups of trainers. The training of the control group adopts traditional teaching methods, that is, centralized teaching, case nursing, centralized operation teaching, audio-visual teaching and self-study according to the requirements of the training manual, and practice-feedback teaching-clinical application-assessment summary under the guidance of teachers. In the practice class of the observation group, while adopting traditional teaching methods, nursing safety content was integrated into the teaching process. Nursing students have no clinical work experience, no safety awareness, and do not know how to protect themselves and patients. Teachers are nurses with college education or above to ensure the quality of teaching. Teachers are required not to care for students from holding hands to letting go, and it is absolutely not allowed to let go and watch. Strict requirements to ensure medical safety. Teaching teachers should carefully evaluate each batch of nursing students who enter clinical practice, carefully understand the situation of nursing students, and organize nursing students to learn relevant laws, regulations, rules and safety plans; You can take centralized learning or individual guidance; Using cases, pictures and multimedia to explain, make the learning forms diverse, enhance the learning interest of nursing students, thus improve the legal awareness and legal concept of nursing students, and achieve the purpose of using this method to protect themselves, protect patients and not hurt themselves, others or others at work.

3. Effect evaluation.

Before the end of the practice, the two groups of nursing students were assessed on the same operation item according to the theoretical assessment standard and skill operation assessment standard formulated by the nursing department, with a total score of 100. At the same time, the occurrence of adverse events during the internship of the two groups of nursing students was recorded.

4. Statistical processing.

SPSS 1 1.5 was used for statistical analysis. The measurement data were expressed by mean standard deviation x s, and were tested by t test and chi-square test, P

Second, the result

Examination results and adverse events of nursing students. All nursing students successfully completed the eight-month internship, and the average score of theoretical examination in the observation group was higher than that in the control group, with statistical significance (P

Three. discuss

Safe and effective nursing can promote the recovery or improvement of patients' diseases, while unsafe nursing factors may lead to prolonged hospitalization or deterioration of patients' conditions [2]. At present, with the continuous improvement of patients' legal awareness and requirements for nursing technical services, there are many uncertain factors in nursing technical operation due to individual differences of patients' conditions [3], which increases the insecurity of nursing technical operation. Therefore, clinical nursing teaching should pay more attention to the changes in the connotation and extension of nursing technology operation, and design the uncertain factors in nursing technology operation as the key teaching content, which will arouse learners' great attention, that is, constantly strengthen their safety awareness in teaching and lay the foundation for clinical practice safety. Introduce the concept of safety education into teaching design, and pay attention to the occupational safety and health in the key links of nursing technology operation. The teaching goal is to master the basic process and methods of nursing technology operation for nursing students; Nursing students master the safety measures of operation as the key content of teaching; The ability of nursing students to identify the weak links of potential safety hazards in nursing technology operation is a difficult point in teaching. According to the teaching objectives, the design highlights the teaching key points and difficulties, and organically combines the teaching contents related to nursing technical operation with "basic principles of nursing technical operation, aseptic technical operation, standard preventive operation, isolation principle, medical personnel protection principle, medical waste classification, placement and treatment". Integrating nursing safety education into the teaching design method of nursing technical operation can not only deepen nurses' understanding of operation, but also enable nursing students to gradually establish the safety awareness of nursing technical operation in the learning process, laying a foundation for clinical nursing operation practice. To sum up, integrating nursing safety education into nursing technical operation training in clinical nursing teaching can effectively improve the test scores of nursing students and reduce the occurrence of safety defects, which is worthy of popularization and application in clinical nursing teaching.

refer to

1, Application of nursing identification in safety management of general surgical wards Sharla Cheung; Jiang Ping; Lu Yuping; Li Jianqun; Journal of nursing administration 2006-09- 1083

2. Experience and enlightenment of foreign nursing safety management: Wang Zhihong; Chen Yahua; China Journal of Practical Nursing

Nursing safety is an important index to measure nursing service, which directly threatens the safety of nurses and patients and affects the social and economic benefits of hospitals. The quality of nursing must be guaranteed by the nursing safety system, and attention should be paid to cultivating nurses' professional quality and ability, focusing on link quality management, and at the same time, dynamic quality control measures should be formulated to eliminate unsafe hidden dangers and effectively protect patients' lives, health and safety.

Keywords: hospital nursing safety; Countermeasures; enterprise

First, the factors affecting nursing safety

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1.2 Nurses lack professional knowledge and poor technical ability. Most young nurses lack professional theoretical knowledge, especially the newly introduced nurses have not passed the examination and selection, and their professional quality and technical ability are relatively poor. At the same time, they lack professionalism and responsibility. They are not skilled in the operation of various instruments, they are in a hurry when they are rescued, and their observation of the condition is not comprehensive.

1.3 The patients' legal concept is gradually strengthened, and the nurses lack self-protection awareness. With the revision and improvement of laws and regulations and the further reform of social medical insurance, patients' legal concept is gradually enhanced, nurses lack the awareness of active service, lack communication skills when encountering problems in clinical work, and cannot use relevant legal knowledge to better protect themselves.

1.4 Nurses' working attitude is not strict and their service attitude is poor. Today's students are all born in the 1980s, with many only children and spoiled families. Their attitude towards work is not positive and serious, let alone hard work, lack of communication skills, and blunt language in answering questions, which leads to misunderstanding and disgust of patients and lays many hidden dangers for their work.

1.5 nursing documents are not standardized, not carefully written, illegible and altered; Nursing records can not reflect the patient's condition comprehensively, objectively, dynamically and continuously, and often record some objective contents, failing to reflect the observation points, measures taken and effect evaluation.

1.6 the nursing safety system is not perfect, and some risk factors such as pressure ulcers, bed fall and falls are not well supervised. Nursing defects have not been well analyzed and improved, and the responsibility is only placed on the client, but the client and the relevant departments have not really taken a positive attitude to deal with them, which makes the safety hidden dangers continue and eventually leads to serious defects.

1.7 management supervision is not in place, system implementation is not in place, nursing department and head nurse supervision is weak, beds are expanded in a short time, a large number of junior nurses are introduced, and clinical nursing experience is insufficient. At the same time, the younger nursing management personnel lead to insufficient safety management experience, inadequate implementation of rules and regulations and operating procedures, leading to defects.

Second, nursing safety countermeasures and measures

2. 1 Strengthen the professional ethics education of nursing staff. Noble professional ethics and good work style are fundamental to prevent medical accidents. The medical ethics office and nursing department of the hospital conduct professional ethics education for the nursing staff in the hospital every quarter, strengthen the sense of responsibility, improve the service attitude and work style; At the same time, according to the actual situation of our hospital, the nursing department formulates the language and behavior norms of nurses, so that nurses can consciously standardize their behavior in their work, increase their sense of responsibility, cultivate good professional ethics and quality, improve work efficiency and quality, and prevent nursing defects.

2.2 Strengthen the legal awareness of nurses. The nursing department will hold on-the-spot meetings on nursing safety work from time to time, carefully analyze and discuss the causes of nursing defects in clinical work, actively formulate improvement measures, conduct regular training on relevant laws and regulations, release cases of nursing defects every month, and require all departments to study and analyze carefully and learn lessons. Through learning, nurses can know the law, abide by the law, understand the law, provide satisfactory services for patients, and better safeguard their own and patients' legitimate rights and interests.

2.3 Improve the nursing system According to the ten safety goals of patients in the Ministry of Health and the defects in daily work, we will constantly improve the rules and regulations, such as the prevention of pressure ulcers, bed falling, falls, catheter slippage and other related management systems, and improve the registration and reporting system of adverse events and the registration and reporting system of "crisis value". Hospitals and departments often supervise the implementation of various systems to effectively ensure nursing safety.

2.4 Change the service mode, optimize the workflow, formulate a "people-oriented, patient-centered" service mode, and provide better services for patients with standardized instruments and languages; Optimize the workflow of nursing staff, overcome the randomness in nursing management and clinical nursing service, and further ensure the service quality.

2.5 Strengthen the training of nursing staff. Newly introduced nursing staff must undergo pre-job training and assessment before they can be rotated to departments. Standardize young nurses who have been in hospital for three years, so that they can master theoretical knowledge and operational skills, cultivate their stress ability and organization and coordination ability, make patients and their families feel dependent and safe on medical staff, and gain an understanding of nursing work, thus preventing and reducing the occurrence of nursing defects.

2.6 Strengthen link quality management to prevent defects. The supervision focus of nursing department and nurses' long-night rounds is to implement the system, arrange new and old nurses, strengthen the management of important links in nursing of critically ill patients, pay special attention to the management of patients admitted to hospital, discharged from hospital and transferred to other departments, and strengthen the implementation of doctor's orders. Strengthening the management of error-prone links is to change the negative treatment after nursing unrest into active prevention, that is, to change the disposal behavior into preventive control behavior, so as to eliminate and reduce nursing hidden dangers.

2.7 standardize the computer processing and execution of doctor's advice. 20 1 1 year, the application of computer network in our hospital, prescription and arrangement of doctor's advice, synchronous confirmation of drug delivery in pharmacy, manual copying, injection and disposal of various treatment cards changed to computer input, output and printing. In order to ensure the accurate implementation of all kinds of medical orders and treatment measures, the nursing department has formulated a set of strict computer processing and execution procedures to ensure the accurate implementation of medical orders.

2.8 Applying nursing safety signs to prevent nursing defects is one of the most intuitive, quickest and most influential methods and means. We adopted nursing level identification, drug warning identification, environmental area identification, accident prevention identification, catheter identification, wristband and so on. Through the use of signs, it can play a warning and reminding role for nurses, enhance safety awareness, let patients participate in safety, play a supervisory role, and effectively eliminate nursing defects.

Three. discuss

Nursing safety is an important index to measure nursing service, which directly threatens the safety of nurses and patients and affects the social and economic benefits of hospitals. The quality of nursing must be guaranteed by the nursing safety system, and attention should be paid to cultivating nurses' professional quality and ability, focusing on link quality management, and at the same time, dynamic quality control measures should be formulated to eliminate unsafe hidden dangers and effectively protect patients' lives, health and safety.

refer to

1, application of root cause analysis in nursing safety management; Wang Wei; Chinese nursing management 2009-06- 1566

2. Application of safety culture in nursing management of delivery room in Huang Meizhen: spearmint; China Journal of Nursing July-May 2008