1 sense of responsibility
Responsibility is the premise of doing a good job. The word "heart" of "sense of responsibility" has long been called thought and spirit by ancient Chinese philosophers, that is, "consciousness" in a broad philosophical category today, which is different from "heart" in a certain part of the body in medicine. The "heart" (sense of responsibility) in the work is in place, that is, holding a heart, doing it attentively in class, and not being selfish after class, in order to do a good job in nursing. Even for younger nurses, or nurses who have changed jobs, they are "willing but unable" to the job they just took over, but as long as they have this heart, they will be qualified for this job as soon as possible. If there is no sense of responsibility, neither new nor old nurses will do a good job in nursing. There is a causal relationship between things, that is, there is a causal relationship, and nursing work also has a causal side. Work is done by people. To achieve good results, even the best results, nurses must have a good psychological state and correct consciousness to guide themselves to perform their duties. A good beginning will lead to a good result. Some things are wrong, but not universal. Nurses should not be careless in their work. "A tiny difference, a thousand miles away", a beating will not be right. Strengthening the sense of responsibility is a good motivation and the best starting point. Of course, there will be good intentions to do something wrong at work, which is within the normal range. There is no problem with the world outlook and correct consciousness, but there are mistakes in the process of transforming the world outlook into methodology, or in the operation of methods. "Doing bad things with good intentions" is a matter of method, not ideology. The method problem is very complicated and special. For nurses, nursing work has professional level, experience, patient cooperation and other obstacles. , making the method invalid or not in place. These are external reasons, which are caused objectively, not subjectively. This kind of "mistake" can be easily prevented and overcome. If you make a mistake that you shouldn't make because of your weak sense of responsibility, the nature will change, and it will not fall within the normal scope. You can't use "mistakes" to block the pond, and you must investigate its responsibility. Therefore, the sense of responsibility is not dispensable for nurses, and it must be cultivated by self-cultivation. The sense of responsibility is closely related to the requirements of job responsibilities, and sometimes it can be combined into one, but the difference is obvious. The former belongs to self-cognition, self-requirement, emphasizes personal internal control and has a soft side; The latter is an external law, which is mandatory and hard. "Hardness" is the duty and standard of work, and "softness" is the soul of personal work. "Hardness" is like bone and "softness" is like meat.
2 Equality consciousness
It is essential for nurses to strengthen their sense of responsibility, but it is not enough to have a sense of responsibility. On the basis of the sense of responsibility, we should work creatively around it. This "enlargement" means that the unilateral efforts and wishful work of nurses have become the mutual cooperation and coordination between nurses and patients. The initiative and choice of close cooperation between nurses and patients lies with nurses. How do nurses adapt, cater to and get the support of patients? It is the key to establish the sense of equality, that is, nurses should adopt the concept of equality in treating patients, not only treat all patients as a bowl of water, but also always get along with patients on an equal footing, and nurses should not feel condescending. In the ward, nurses are relatively fixed, patients are mobile, and the choice of hospitalization is in the hands of patients. If the nurse is compared to the master, then the patient can be compared to the guest. The nurse-patient relationship should be "patience and diligence". How does the host receive the guests for their convenience? First of all, we should respect patients, attach importance to each other's existence, treat every patient with the same enthusiasm as guests, and strive to make patients feel the enthusiasm, easygoing and thoughtful of their hosts. To achieve this, it is mainly reflected in the service attitude of nurses, and it is necessary to "speak lightly, walk lightly and operate lightly".
The working object of nurses is living life, and the sense of equality should also include respect for life. Patients and healthy people are different in physiology, but equal in personality. If nurses establish this awareness in their minds, their attitude towards patients will not be condescending, but they will speak kindly, do things lightly and be sensitive. However, sometimes it happens that when a nurse speaks kindly to a patient, she will repay or ignore them with harsh words. Phenomenologically, equality is not bought with equality. What is the reason? Obviously this is because the patient's psychological state has changed. When people are disturbed by diseases, the normal tissues and cells of the body are destroyed, which affects people's normal activities and disrupts the law of life for many years, resulting in irritability. At this time, patients may be immersed in pain and trouble, so they will not give due attention and reward to the nurse's kind words. If we can think that our nurse will behave in this way when she encounters unpleasant things, maybe even worse than his performance, then we can understand. This requires nurses to have equal consciousness, compassion and tolerance. At present, the main reason why patients complain about our nurses in the news media is attitude, accounting for more than 85%. It shows that patients are very concerned about nurses' attitude, and it also shows that nurses' attitude plays an important role in the development and prognosis of patients' illness.
Treating patients equally does not degrade the status of nurses. On the contrary, it can promote the coordination and communication between nurses and patients, make patients trust nurses and actively cooperate with medical staff to treat diseases. At the same time, patients are treated equally and respected, which reduces the sense of loss caused by diseases, is beneficial to their physical, psychological and even mental state, and greatly enhances their confidence in consciously resisting disease erosion. Therefore, we believe that it is an important link for nurses to complete their duties with high quality and an important aspect of nurses' creative work to establish equality consciousness on the basis of their sense of responsibility.
3 sense of friends
With a sense of equality, we can avoid unnecessary conflicts and disharmony with patients and achieve the purpose of initial communication between nurses and patients. They respect each other, but there seems to be a sense of distance between them, that is, the boundaries between subject and object are clear, and they have not yet integrated into each other's minds, that is, they have not yet reached the goal of "you have me and I have you". This communication still needs to be expanded and sublimated. On the basis of equality consciousness, nurses should also establish a sense of friends. With a sense of friends, we can close the sense of distance between nurses and patients. The friend consciousness in nursing work refers to that nurses regard patients and their relatives as friends in their work, and put in certain feelings in the process of getting along with patients (of course, this feeling is different from the opposite sex feelings between men and women), which is manifested as being happy for the improvement of patients and for the peace of mind of patients. With a sense of friendship, nurses can make friends with patients actively, and carefully understand and observe patients during treatment and getting along: what kind of person is he? How did his family treat him? What is his occupation? How does this occupation affect his character? Does he love his job? Wait a minute. While caring about patients' diseases, we should also care about people with different personalities. We often hear such arguments as "This patient is good", "That patient is unreasonable" and "This patient is not bad, but his family is too poor". This is the emotional color that nurses penetrate when they get along with patients. Some patients are in a leading position before admission. Usually I have the final say, and I am the only one. When I went to the hospital, I treated the nurse as a subordinate, bossing around and giving orders, which disrupted the normal nursing procedure. Some patients are rich and think that money can buy everything. They have a lot of demands on nurses, sometimes beyond the scope of nursing. It's really a headache for nurses to meet such patients. If we have "friend consciousness", our nurse will think like this: "This friend is a little arrogant, I have to persuade him to know that the hospital has hospital rules and can't do whatever he wants." This friend has a problem with his concept. I want to enlighten him and let him learn to respect others. Of course, the consciousness of friends can't make us give up principles and strict operating procedures. On the contrary, we should be more cautious for the safety and recovery of our friends. Treat others with a friend's heart, and you will definitely get the echo of your friend's heart. Patients must be able to abide by the rules and regulations of the hospital, understand the hardships of nursing work, and silently remind themselves to add luster to their friends and not to add chaos to them; We should actively cooperate with the treatment and not passively obstruct it; I am willing to take the heart of a friend as my heart, and I will definitely live up to the righteousness of medical staff.
Treating patients as friends is not a vulgar philosophy in nursing work, but a high-level communication to deal with the relationship between nurses and patients. Our daily nursing work can be done, but it has not attracted enough attention. Few nurses can really treat patients like friends, and few people can really understand the value of "friend consciousness" in nursing work. Even if they understand the meaning, they will be abandoned because they have no extra money. We believe that friend consciousness is not dispensable in nursing work, but an indispensable part of high-quality nursing. With this awareness, working under this awareness will not only achieve good results, but also reassure patients and do a good job in the ideological work of "headache" patients. This is the inherent requirement of modern holistic nursing, and it is also the quality that nurses should have under the new situation, because people are emotional animals, and the sense of friendship is the condensation and sublimation of feelings.
4. Family consciousness
On the basis of friends' awareness, the relationship between nurses and patients will be sublimated, and pro-feelings will be formed, and mutual affection will sprout. This kind of family consciousness is the highest level of communication in the working relationship between nurses and patients. Generally speaking, people who are related to themselves are called relatives, and the feelings between relatives are different from other feelings. According to the survey, the highest organization of the consortium is composed of relatives of overseas Chinese in business activities, which shows that the Chinese nation has a deep-rooted concept of "blood is thicker than water". Dependence and trust on loved ones are priceless. Nurses and patients are not related by blood, but what if nurses treat patients as their own relatives? Nurses have established the consciousness of family members ideologically, treating older patients as elders, patients of similar age as brothers and sisters, and young patients as children, so they feel different when nursing. Every specific little action in the operation will take into account whether it is beneficial to the patient or not, and the requirements for operating skills will be higher. Because "I" is treating my loved ones, I must minimize the pain and improve the comfort to the highest point. If the sense of friends is emotional, then the sense of family is affectionate. When a patient who has been in bed for a long time dies, the nurse and the patient's relatives shed tears together, which is the embodiment of family consciousness. People will feel that the nurse-patient relationship is very harmonious when they see a discharged patient and a nurse reluctant to part. We often encounter this situation when we give intravenous injections to patients. When we give an injection to a patient who is familiar with harmony, we can often "hit the nail on the head", and the probability of getting a shot in place is very high. When we give an injection to a new patient or a patient who has had an argument with a nurse, we are always nervous, so the injection rate of one injection is very low. In the same way, they will not feel much pain when giving intramuscular injections to patients with good nurse-patient relationship, but they will feel extremely painful when giving intramuscular injections to patients with tense nurse-patient relationship, and the pain will get more and more every time. When their relationship with nurses improves, they won't feel much pain after the injection. This phenomenon tells us a truth: people have a good impression, and big things can be turned into small things; When people hate each other, small things can become big things. There are many kinds of nursing operations that will bring discomfort and even pain to patients. If patients are treated as elders, brothers and sisters and children, they should not only strictly abide by the operating rules, but also try their best to make their skills skilled and efficient and reduce the time and times that bring discomfort and pain to patients. On the other hand, "heart for heart" is also treated sincerely by patients, who will treat nurses as relatives. "If there is such a good child, sister and aunt to treat me, what pain is there?" ! "In this way, the nurse-patient relationship has entered a virtuous circle. Therefore, kinship awareness paves the way for high-quality, efficient and effective nursing work. When the patient leaves the hospital with fond memories, his own life is prolonged and his social life is also prolonged-this is the charm and value of "family consciousness"; When a patient leads you to death, medical staff, as members of "relatives" in his mind, have devoted their feelings to the treatment of his illness and fulfilled their duties (obligations). While thanking "relatives", he should remember the last moment of his life without regrets.
As the highest level of nurse-patient communication, the consciousness of relatives is more difficult to achieve than that of friends. We believe that "more difficult" does not mean that it cannot be achieved. During the war years, the wounded officers and men in the rear battlefields regarded the wounded as relatives, medical staff and the broad masses of the people wholeheartedly served the wounded, and sang an epic family battle song. Isn't this fine tradition universal? Shouldn't it be widely promoted? Hospitals are places to heal the wounded and rescue the dying and practice humanitarianism. This kind of place should be flawless and spotless, and all available strength should be used to treat patients without any selfishness. The sense of kinship we advocate, in the final analysis, is to give full play to the skills and wisdom of nurses to serve patients. Skills are hard, and they are produced and formed through training. Intelligence is often permeated with more training elements such as knowledge, character and personality. If you have a close relationship with patients, you can treat patients like relatives, and integrate your skills and intelligence into your work, so that your work will be icing on the cake and achieve the best results.
In a word, the job of a nurse is complicated. In the final analysis, it is a sentence: "Serve the patients wholeheartedly". The establishment of this "service" concept is the formation of nurses' post consciousness, and the specific content of post consciousness is the sense of responsibility, equality and relatives and friends. The contents of these four aspects are step by step, deepened step by step and interlocked, forming an all-round and three-dimensional consciousness network to guide nurses' work. If these four aspects are really creatively applied to nursing work, it will fully embody the truth, goodness and beauty and try to avoid the false, evil and ugly in nursing work. Because nurses must seek truth from facts and stress practical results in establishing a sense of responsibility in their work; Establishing a sense of equality, especially the sense of relatives and friends, is bound to be kind to patients at work, cooperate with colleagues and live in harmony with patients. Ward is not a family, but a family atmosphere. In the atmosphere of "harmonious family", nurses and patients cooperate tacitly and have mutual affinity. "You have me, I have you", the soul will inevitably emerge beautiful harmony and sublimate the true feelings of the world. We say that there are 100,000 jobs for nurses in Qian Qian, each of which is attached to the patient's "face". This does not depend on the patient's face, but the "face" is related to the patient's health; It depends on whether the patient's mood is happy; It is related to patients' satisfaction with nurses' work; Whether the nurse-patient relationship is harmonious; It depends on whether the atmosphere of "home" is warm. The initiative of drawing "face" lies with the nurse, and the key to drawing well lies with the nurse. We should firmly remember the motto "paint a fox without turning into a dog" and really strengthen the post consciousness, which is the key to draw a good "face" spectrum, which also permeates the nurse's self-face.