1 title; 2 the author; (3) abstract (abstract, about 100 words); 4 keywords; ⑤ English abstract.
(2) Body parts
1. Preface (>
Question 2: What are the characteristics of case nursing? 1. The improvement of patients' autonomy With the progress of society, the deepening of market economy and the development of modern medicine, the reform of social medical insurance system and the improvement of laws and regulations, patients have more choices when seeking medical treatment. Patients can not only choose hospitals, doctors and nurses, but also have the right of informed consent or refuse treatment and nursing during treatment. At the same time, the enhancement of patients' legal awareness also urges us to strengthen our awareness of self-protection when treating and nursing patients. 2. Improve the requirements for nursing work. With the improvement of people's cultural life, patients have higher and higher requirements for nursing work. Nurses are required not only to have good professional ethics and love nursing work, but also to have lofty feelings of loving life. All work should be patient-centered, and we must be proficient in the theoretical knowledge and technical operation of nursing specialty. Nurses should not only relieve patients' pain, but also make patients suffer the least pain and achieve satisfactory treatment results. The demand for related knowledge of nursing staff has increased, and the change of nursing mode has broadened and extended the functions of nursing work. In this model, the object of nursing is people first, followed by diseases. Therefore, when nursing patients, nurses should be patient-centered, master not only conventional nursing skills, but also knowledge of humanities, psychology and society, so as to meet the nursing needs of patients both physically and mentally. Nurses should not only have the ability to quickly identify reactions, but also be good at communicating with patients and establishing a good nurse-patient relationship.
Question 3: Understanding of case nursing After years of work, I gradually realized that I need to accumulate my own nursing experience in order to be handy in daily nursing work. In fact, nurses, as helpers, have the responsibility to make their own nursing work achieve positive and constructive results and play a therapeutic role, so the nurse-patient relationship becomes a therapeutic relationship. The therapeutic nurse-patient relationship is not a general relationship, but a targeted relationship, which needs to be seriously implemented and promoted. Because the therapeutic relationship is centered on the needs of patients, in addition to the above factors such as general life experience, the quality, professional knowledge and technology of nurses will also affect the therapeutic nursing process and the good nurse-patient relationship of patients. How to establish a good nurse-patient relationship, I think we should pay more attention to some details. In the communication with patients, I think the details are mainly manifested in: more love, patience, strong sense of responsibility, enthusiasm for patients, careful care, gentle action, consideration, serious attitude, rich expression, respect, consideration, courtesy, sincerity, concern and generosity. In recent years, the operating room in our hospital has integrated the concept of wholeness and humanization into nursing work and achieved gratifying results. Nursing visit and psychological consultation were conducted before and after operation. The day before the operation, as a nurse in the operating room and a visiting nurse during the operation, I went to the ward to understand the patient's condition, physical condition and psychological state, to inform the patient of the precautions before and during the operation, and to understand the special needs of the patient. After the preoperative visit, patients should make preparations in advance, and through self-discipline and rational use of sedatives during the operation, they can basically get through this stage calmly and smoothly. Preoperative visit can also meet some special requirements of patients and eliminate their worries and psychological pressure on surgery. In short, from a psychological point of view, the above examples show whether the operating room temperature is cool or not. Our healthy medical staff and patients have different experiences. Sometimes, due to psychological factors and emotional anxiety, patients will have a series of neurotic and non-pathological clinical manifestations, which will eventually hinder the normal operation. The function of preparing this gauze for patients actually reflects a kind of care and psychological suggestion, and we will establish a very humanized relationship with patients through our nursing activities. Preoperative visit not only realized the communication between nurses and patients, but also checked the venous blood vessels to be punctured during the operation in advance and recorded them on the visit list for filing, so that the patients can puncture the venous trocar smoothly after entering the operating room, greatly improving the convenience, efficiency and quality of nursing operation and ensuring the timely supply of liquid, medicine and blood in the venous passage during the operation. In a word, preoperative visit laid a good foundation for the smooth operation, and insisting on postoperative visit system is conducive to our summary and improvement. Through postoperative follow-up, patients expressed satisfaction with our intraoperative nursing work. I really appreciate this passage: "What do you mean it's not simple? It's not easy to do simple things a thousand times. What do you mean it's not easy? It is not easy to do a very easy thing that everyone recognizes and do it very seriously. " Our nursing work is so ordinary and "simple". If we do these seemingly "simple" jobs well every day, then we must be a complex person, and our team must be a complex group and team.
Question 4: Briefly describe the advantages and disadvantages of nursing methods and case nursing. Functional nursing is a common nursing method, which was first influenced by industrial assembly line and formed in 1930s. Its characteristics and shortcomings. 2. Case nursing, in which a nurse is responsible for taking care of one or two patients, is suitable for intensive care units or rescuing critically ill patients. This nursing method can provide detailed and comprehensive care for patients, meet various needs of patients, and have high quality of care. But more nurses and more expenses are needed, and the work efficiency is not high. Western countries began to implement three groups of nursing in 1950s. The specific way is to divide the nurses in the ward into two or three groups, each nursing group is responsible for taking care of about 20 patients, and a nurse with higher education and experience is the team leader to lead the group work. Although this method can make up for the deficiency of functional nursing and provide continuous care for patients. At the same time, it can also establish a team spirit of mutual cooperation, which is conducive to giving full play to the ability of each nurse. But it still can't meet the overall needs of patients. Four-responsibility nursing responsibility nursing is an ideal nursing method developed in the process of medical model transformation in the 1970s. In the 1980s, some large hospitals in China began to try it out, but it could not be popularized due to conditions. Its characteristics and shortcomings. 5 Holistic nursing mode In recent years, many hospitals in China have absorbed the advantages of responsible nursing and developed holistic nursing mode. The purpose of holistic nursing mode is to provide holistic nursing for patients under the guidance of modern nursing concepts and nursing procedures. The main contents of holistic nursing mode ward construction include: determining the guiding ideology of nursing, formulating nurses' responsibilities and assessment standards, rationally allocating nurses, designing various nursing forms, standardizing nursing plans and standardizing education plans. At the same time, establish and improve various support systems in the hospital, create a good working environment for the overall nursing model, free nurses from a large number of unprofessional jobs, increase the time of directly caring for patients, and improve the quality of nursing. Holistic nursing mode is an ideal way of nursing work at present, but it also has some shortcomings such as high requirements for nurses and complicated writing of nursing sheets. In the application of holistic nursing mode, we should master the concept of holistic nursing, and the specific working methods can be flexibly adopted according to their respective situations.
Question 5: The format of nursing cases is directly Baidu ~ ~
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Question 6: Summary of Nursing Cases 20 16 is coming to an end, and the year's work will also be over. This year's pediatric nursing work will be summarized, and the hospital leaders will be invited to review the work of our department, and please criticize and correct me.
Know your way clearly and go on like this. In the past three years, with the guidance and help of hospital leaders and nursing department leaders, I have turned pressure into motivation and gradually standardized pediatric nursing work. The existing nursing staff in the department clearly define the post responsibilities of each class and strictly demand themselves according to the established pediatric work rules and standards. The head nurse carries out irregular assessment, so that rewards and punishments are clear, fair and just; Second, rescue drugs and equipment are cleaned once a week to achieve standardized management; Third, deepen safety management, strengthen safety awareness, and do a good job in safety nursing. Safety nursing is an important part of pediatric nursing work, and it is also an important link for nurses to care for pediatric patients. Therefore, it is the key to improve medical quality to strengthen the responsibility consciousness education of each nursing staff and do a good job in safety nursing. Therefore, every nursing staff must do a good job in patient admission education and publicity of matters needing attention. On-the-job staff should master the condition of critically ill patients, respect patients and their families, pay attention to their psychological changes, attach importance to psychological nursing and spiritual care, and solve their ideological problems in time. Patrol wards, strictly implement various nursing routine systems, and strengthen the safety management of various facilities and articles in wards. In 20 16, there were no disputes caused by safety accidents and no major accidents. Fourth, do a good job in quality control of head nurses, implement nursing quality supervision, constantly find and solve problems, and improve nursing quality. Understand and master this department.
Dynamic, recorded. Analyze the problem and report it at the morning meeting or nursing meeting to prevent recurrence. Fifth, understand the new trend of nursing discipline development, organize nursing staff to study regularly, strengthen the "three basics" training, learn new business, new knowledge and new technology, and strive to improve the professional level of every nursing staff to keep up with the needs of the times. Strengthen the study of specialty, organize nursing staff to study in departments and hospitals on a regular basis, as well as the three basic theoretical examinations and operation training; Sixth, strengthen the communication between nurses and patients, organize regular work and rest forums, listen to the suggestions of patients and their families, improve and improve nursing work, and really think about what patients think and worry about what patients are anxious about; Seventh, insist on making rounds every night, understand the condition and nursing problems of critically ill patients on that day, and deal with them accordingly when necessary. Eighth, hold a department nursing meeting every month, and put forward improvement plans and methods in view of the defects and deficiencies in nursing work in that month; To report the drug interactions found in clinic and the matters needing attention in nursing of some diseases, so as to make continuous improvement. Finally, the head nurse is the financial manager of the department, and should carry forward the traditional virtues of thrift and eliminate waste; I ask all medical staff to start with saving every kilowatt-hour, every drop of water and every piece of paper, strictly control the expenditure of departments from the self, find out all waste phenomena in time and put forward opinions, severely criticize those who waste seriously, and supplement them with economic penalties when necessary. Although this may offend some people, I know that it is necessary for head nurses to strengthen economic accounting, reduce the cost of medical care and pay attention to economic benefits and medical care effects.
Besides, I know that in the current competitive situation, there is only constant learning.
Only by studying, studying and studying again can we adapt ourselves to this tide of competition and reform. During my one-year tenure here, I constantly improved my professional level and political quality, and took the self-study exam. In addition, he also actively participated in party classes and constantly improved his ideological and political quality.
In 20 16 years, under the correct leadership of the hospital leaders and the joint efforts of all colleagues in pediatrics, our department treated 3 170 patients, which was higher than that in 14 years and 15 years, with an average annual bed utilization rate of 108%. Due to the limited space, the number of newborns admitted has decreased compared with the previous two years, but the level of medical care has improved. Doctors and nurses turn pressure into motivation and work hard without major mistakes in the whole year under the circumstances of high bed turnover rate and rapid renewal of patients in hospital.
The achievements are gratifying, but there are also shortcomings, especially the development of the year of medical quality management, which makes me fully realize our shortcomings. For example, hospital infection management, irregular writing of medical documents, and disputes between doctors and patients still occur from time to time. In the nursing work of 20 16, I will pay more attention to the management of hospital infection and standardize the writing of medical records. At the same time, according to the cause analysis of the dispute on 20 16, it is necessary to solve the dispute caused by the site problem as soon as possible and further improve the medical service. & gt
Question 7: Nursing case analysis How to write a case analysis?
Case 1: planning steps to improve the quality of nursing staff (chapter 3, section 1, plan overview)
In order to improve the quality of nursing, the hospital requires to improve the quality of nursing staff. The nursing department immediately held a working meeting to convey the hospital's work deployment and carried out a series of planning steps: ① What problems were found in the analysis? (2) what is the goal? ③ Evaluation resources include clinical workload, the number of nurses and the attitude of department directors. (4) Make alternative plans for the way, time and content of nurses' learning. ⑤ Compare the advantages, disadvantages and feasibility of the above schemes. ⑥ According to the evaluation, choose a satisfactory scheme. ⑦ Make auxiliary plans, including teachers, teaching materials, activities and training content plans. (8) Budget preparation, such as teachers, classrooms, teaching materials, teaching AIDS, etc.
Question:
1. Do you think the above plan is feasible? Why?
2. Please evaluate the effect of the nurse training program and explain the reasons.
Case 2: Reasonable arrangement of time (Chapter 3, Section 3, Time Management)
Zhang Ling is the head nurse in the internal medicine ward of a hospital. She graduated from nursing as a bachelor. After working for four years, she was hired as the head nurse of the internal medicine ward. She works hard every day, especially hard. Sometimes she helps the nurses in the main class to handle the doctor's orders, sometimes she helps the nurses in the treatment room with intravenous infusion, or she repairs the curtains that fall from the ward. Looking at her busy figure, the nurses in the ward criticized Zhang Ling as an incompetent head nurse. Why is this? What about the head nurse Zhang?
How to arrange working hours and be a qualified head nurse?
Question:
1. Why does the head nurse work so hard and the nurses still think she is incompetent?
2. How should Head Nurse Zhang arrange her time?
Case 3: Learning organization in nursing team (Chapter 4, section 1, organization overview)
Nurse Xiao Wang was transferred to the nursing department of the hospital as an on-the-job nursing education officer. Xiao Wang cherishes this opportunity and is determined to do it well. She thinks nursing skills are very important, so she organized a nursing operation competition in the whole hospital. After that, she is going to give theoretical examinations to nurses of different ages in the hospital to improve the theoretical level of nursing staff. Her practice has been criticized by some nurses, who think that this method does not meet the needs of modern nursing development. Nurses want to learn some new nursing knowledge, not exams and competitions, and hope Xiao Wang is in the group.
Ask the nurses for advice before organizing some activities and engage in some activities.
Activities of common interest. This incident made Xiao Wang very depressed.
Question:
1. Is Xiao Wang doing the right thing? How should she improve her work?
2. What are the main tasks of a learning organization?
Case 4: Formation of Nursing Quality Control Group (Chapter 3, Section 3, Organizational Change and Development)
The nursing department attaches great importance to "clinical nursing quality work". In order to implement the quality control work, the nursing department reorganized the "quality control team" twice. The first "nursing quality control group" consists of the deputy director of nursing department, the head nurse of internal and external departments and several senior nurses. They work hard and are strictly controlled, and the nursing department speaks highly of them, but the nurse group shows unfriendly support to them. After discussion, the nursing department decided to reorganize the "quality control team", which was replaced by the negative director of the nursing department, the head nurse representative and the young nurse.
Table composition, the nurse group showed support and friendliness to its work, but the nursing department leaders expressed concern about its work effect.
Question:
1. Ask the students to role-play in groups and find out which way is more acceptable to the students themselves.
2. Ask students to analyze the motivations and obstacles of organizational change.
Question 8: Case nursing, noun explanation Case nursing refers to the nursing work mode in which a nurse is responsible for all the nursing contents of a patient, also known as "special nursing" or "special nursing".
Question 9: How to write nursing case analysis and find the case? From the etiology to treatment, examination, nursing problems, nursing measures to discharge, everything belongs to the patient.