The purpose of nursing quality control is to ensure nursing safety, prevent nursing defects and nursing disputes, and promote disease rehabilitation. Because there are some imperfections in nursing quality control management evaluation, there is still a certain distance to meet the needs of patients. In quality control, patients' needs, people-oriented and people's psychological and physiological needs as a diverse individual are ignored. The following is a research paper on nursing quality control management that I share with you. For more details, please pay attention to paper net graduation.
The purpose of nursing quality control management is to improve the value of nursing service and strengthen the accuracy and standardization of each nurse's behavior, so as to meet the requirements of nursing quality control. Everything starts from the patient, and the nurse's nursing behavior should meet the objective needs of nursing quality and the reasonable needs of patients. Through nursing quality control, nurses' nursing behaviors meet the requirements of nursing work and patients' good quality standards, block, eliminate and reduce some bad nursing behaviors and quality control problems, pay close attention to link quality, attach importance to terminal quality, prevent nursing defects and hidden dangers, and ensure nursing safety. Through the questionnaire survey of patients' satisfaction in the department and the quality control problems found by the personnel in the department, we will rectify them in time. Through the establishment of department quality control team, strengthen the nursing quality control consciousness of each nurse. The nursing department conducts management supervision and inspection on the quality of nursing work in the department every week 1 time. Implementing the system of nursing night rounds, supervising the implementation of post responsibility system, completing nursing quality and establishing quality control circle activities have improved nursing quality.
Keywords: nursing quality control management
1 Factors affecting nursing quality control and management
1. 1 lack of management quality.
Because nursing management talents are selected from excellent clinical nurses, they lack the education and training of nursing management knowledge, and mainly rely on experience management and humanized management; There is a departmental imbalance in personnel performance appraisal, with only punishment and no reward, and less income; Unable to handle the problems in quality control nursing fairly, lacking certain scientific management knowledge; All these are likely to cause some mistakes and defects in nursing quality management [1].
1.2 nursing quality control management work is a mere formality.
Because the head nurse is conducting quality control inspection, sometimes the head nurse can't work in the first-line clinic, only do some administrative work, and sometimes only do quality control work in the morning, so there is a phenomenon of missing quality control inspection. Nurses should be familiar with the inspection time of quality control inspectors and deal with the inspection. Checking is one thing, and not checking is another. On weekdays, nurses' work lacks authenticity and pragmatism, and patients have not benefited from the examination. Working days are better than holidays, morning is better than afternoon, and day is better than night. If the nurse knows the patient's condition, she will be familiar with the medical record quickly and tell the quality control inspector the contents, but she may not be familiar with it at other times. Another example is that the health education of responsible care cannot be carried out well in daily work, and it can only be carried out when patients are discharged from hospital. The results of quality control inspection can not truly, objectively and accurately reflect the nursing quality and the actual supervision results.
1.3 Nurses' awareness of quality control is weak, and they lack certain nursing safety knowledge, foresight and the ability to eliminate defects that may lead to nursing disputes.
Young nurses lack working experience, are unfamiliar with working procedures, have unclear operating norms, and operate according to subjective impressions, which has the diversity and complexity of nursing work. Young nurses do not have the ability to rescue critically ill patients or lack the ability to observe the changes of patients' condition, which leads to defects in nursing behavior. The problems found in nursing quality control inspection can not be analyzed in time, and corrective measures are put forward and corresponding countermeasures are formulated.
1.4 ignores patients' feelings and only pays attention to the implementation of management system.
With the development of medical science and society, people's ideas are constantly changing [1]. Many patients want to participate in the medical care process and express their opinions on their own disease rehabilitation. Due to the continuous improvement of patients' self-awareness and medical knowledge, the passive decision of doctors and nurses has changed into the consciousness of being responsible for their own lives and health, which has changed the difference between nurses and patients in terms of provision and demand. For example, after the patient is admitted to the hospital, it is cleaned and trimmed. In the survey, 55% patients asked to use their own nail clippers instead of those prepared by the hospital, and they did not want to be assisted or supervised by nurses. In order to implement the nail cutting system in hospitals, nurses will ask patients to cut their nails immediately to prevent being caught in the next shift, which will inevitably lead to conflicts between nurses' behavior and patients' needs. The purpose of implementing management measures by nurses is to prevent nursing quality control inspection from being discovered; Avoid being criticized, deducted points, or even deducted bonuses. Man is a diversified individual, and his physiological and psychological cognition, disease perception and living habits will present different needs to different individuals [1]. Because the nursing quality management system ignores the needs of patients to a certain extent, it can not provide high-quality nursing services aimed at meeting the needs of patients.
1.5 The same quality control problem appears repeatedly in one person.
The number of inpatients is large, the environment is noisy, the number of nurses is insufficient, and the mental pressure is great. From morning till night, a young nurse in the main class was under great mental pressure, writing a lot of documents and recording a lot. In addition, she visited the ward, and the records were not skilled, which easily led to the omission of details in nursing work or improper and untimely handling. She can't answer the patient's questions patiently, she is agitated, she can't check the patient more and ask one more question, and she is afraid of being found by quality control inspection, which leads to a vicious circle. The problem still exists, and the same problem still appears repeatedly in this person.
1.6 The service quality concept of meeting patients' needs cannot be reflected in quality control evaluation.
The purpose of nursing quality control is to ensure nursing safety, prevent nursing defects and nursing disputes, and promote disease rehabilitation. Because there are some imperfections in nursing quality control management evaluation, there is still a certain distance to meet the needs of patients. In quality control, patients' needs, people-oriented and people's psychological and physiological needs as a diverse individual are ignored. Some regulations are made only for the convenience of nurses' supervision and management, which emphasize the hospital rules and regulations that patients should abide by after hospitalization, and less consider them from the patient's point of view, causing certain inconvenience to patients.
2 countermeasures
2. 1 department quality management team was established.
There are 10 quality control teams in our department to conduct good quality control in all aspects of nursing work. Every nurse earnestly performs quality control duties and participates in them, ensuring everyone's supervision and quality control, regardless of holidays, day and night, and ensuring the fairness and rationality of each nurse and quality control nursing behavior. In order to ensure the quality control of all work, the nursing quality control system in our hospital is divided into three levels, the quality management group of nursing department? Regional head nurses' nursing quality management team. Department quality management group is composed of basic nursing, graded nursing, treatment room management, ward management, hospital management, department management, blood transfusion management, technical operation and first aid management, which is the basis of nursing quality control and is seriously implemented by general nurses.
2.2 Strengthen the consciousness of nursing quality control of each nurse [1]
In order to ensure medical safety, prevent nursing defects, supervise nursing behavior, and take patients' needs as the center, then every nursing staff should enhance certain legal knowledge of nursing safety in their minds, keep the consciousness of nursing quality control in mind, do a good job in nursing quality control management, earnestly perform various post responsibilities, further improve the nursing quality management system, implement everyone's participation in nursing quality control, strengthen the connotation construction of nursing quality, further put nursing quality control in place, and focus on controlling link quality. Put forward requirements for head nurses' management ability and quality control consciousness, organize head nurses to go out to study leadership art, communication skills and nursing business, and apply what they have learned to nursing quality control management inspection and implement it in all aspects of quality control management. The quality control management ability of head nurses has been improved and recognized in the quality control management of nursing work. The quality control results of each group are carried out by a single department, and the quality control inspection results of nurses are linked to the economic benefits of nurse target management. Provide selfless dedication, dedication and medical ethics education to nurses anytime and anywhere, and strive to improve nurses' high sense of responsibility for patients and posts [1]; Conduct skills training and business learning knowledge infusion, internalize the spirit of Excellence. The strengthening of quality control, the improvement of importance and the implementation of necessity are formed in the work, so that every nurse can form conscious behavior and consciousness in quality control management activities and ensure the personal medical safety of the department.
2.3 The quality control system was further improved, and the supervision of quality control links was in place.
Hospital nursing departments and departments should further strengthen and improve the quality control system, implement the requirements of everyone's participation in the connotation construction of quality control, actively mobilize their consciousness, master the details of quality control standards, draw fishbone diagrams and Plato diagrams of quality control problems, analyze problems and put forward countermeasures, and implement quality control circle activities in our department's quality control management, so that all nursing staff can change from passive management to active and voluntary participation management. Refine and strengthen patient satisfaction survey standards, revise and improve various job responsibilities, strengthen and standardize nursing behavior, make nurses understand better, and let everyone participate in all aspects of quality control inspection management. The head nurse's management responsibility is in place, so that all links in the quality control process are not limited by time and are in a controlled state at any time and place, giving full play to the role of quality control management.
2.4 the nursing department shall supervise and inspect the quality of nursing work in this department every week/kloc-0 times.
Regional head nurses supervise and inspect the nursing quality of departments every Thursday and put forward rectification measures; All department personnel are involved in everyone's quality control management process. The hospital nursing department will print the inspection details, grading standards and inspection results into written materials every month and distribute them to all departments. Each special quality control inspection team will conduct a comprehensive inspection of the department, conduct management inspection of the ward, check the quality of nursing work at any time, point out problems in time, and further explain and train those responsible to familiarize them with correct nursing behaviors and goals; By organically combining random quality control inspection with regular inspection, the management of quality control inspection is always under control. Nurses will conscientiously perform their duties, work with a sense of responsibility, and can't be careless and lax in thinking, so as to achieve self-quality control and self-discipline. The head nurse of the regional head nurse quality control special inspection department conducts self-examination and self-evaluation on the nursing behavior and quality of the department, so as to know fairly well, apply the quality control circle management to the nursing management of the department, and carry out the quality control circle activities. Every member of the circle has learned to find problems in clinical work, scientifically analyze problems, effectively improve the quality of clinical nursing work, strengthen the communication and cooperation ability among doctors, patients and nurses, improve everyone's understanding, strengthen their sense of responsibility, have the ability to solve problems in nursing work, and strengthen the spirit of teamwork.
2.5 the implementation of nursing night rounds system, the implementation of the post responsibility system and the quality of nursing work.
Combine the quality control of nurses' work during the day with the quality control of nurses' work at night to strengthen the quality control of nursing in departments. Self-examination and self-evaluation can be carried out anytime and anywhere, and feedback can be given the next day when problems are found at night to prevent delay. Introduce quality control circle management as quality control inspection management, and improve the responsibilities of quality control functional departments. Our hospital has a nursing quality control management committee, a special quality control inspection for head nurses in large areas, a three-level quality control for department quality control teams, and a department quality activity team to earnestly perform their duties. On this basis, in addition to the mutual quality control inspection and management of department personnel, each quality control team set up a quality control team leader to monitor each quality control team at any time, put forward rectification opinions, and urge them to correct as soon as possible. According to the nursing quality standards and assessment methods, the quality control team leader regularly conducts quality control inspections on the nursing work of each nursing staff, and records the assessment and evaluation as the basis for the performance appraisal at the end of the month. Every month, each quality control group will hold a meeting to summarize, evaluate, analyze and put forward countermeasures for this month's quality control problems. Can not be solved, put forward relevant suggestions and opinions to the quality supervision and inspection management Committee and the special inspection team.
2.6 Introduction of Quality Control Circle Management Activities
Quality control circle management activities are people-oriented, patient-centered, and mainly play the role of guidance, encouragement, radiation, recognition and cohesion, and also have the characteristics of comprehensiveness and sociality. It can alleviate the increasingly tense nurse-patient relationship, ensure nursing safety, guide and construct a relaxed, harmonious and positive hospital quality control circle culture, and subtly integrate it into the employees' thoughts, so that nurses can have a sense of belonging and organizational affinity, safeguard the honor of departments and hospitals, and achieve the purpose of hospital development. Through the implementation of nursing quality management countermeasures, the occurrence of nursing defects and errors is effectively reduced, the nursing quality is improved, the connotation of high-quality nursing service is enhanced, patients feel high-quality nursing service, the comprehensive quality of nursing staff is improved, and the nurse-patient relationship is improved.
refer to
Bao, Jiang Qiongxian, Wang Baiping. Influence of quality control management on nurses' behavior [J]. China Journal of Practical Nursing, 2006,22 (6): 70-71.
;