How the head nurse manages the department 1 person is the first element of management.
1. 1 Strengthen the cultivation of their comprehensive quality.
1. 1. 1 Role Positioning Management scholars believe that head nurses assume ten roles, namely: leader, contact, companion, supervisor, communicator, spokesperson, entrepreneur, resource allocator, mediator and coordinator [1]. The expectations for the role of head nurses mainly include: hospitals, departments and nursing organizations require head nurses to strictly implement various rules and regulations and post responsibilities to meet patients' needs and establish good professional values; Meet the interests of nurses.
1. 1.2 Training of professional quality The head nurse must have excellent professional knowledge and clinical practice experience in order to gain the respect of nurses from a professional perspective. Only in this way can we lead and ask nurses to strengthen their study, constantly update their knowledge and carry out nursing research. So as to exert the overall effect of the group.
1. 1.3 The investigation on the cultivation of management skills shows that the nursing management in 2 1 century can no longer meet the requirements of the clients and the times by relying solely on experience [2] Management skills include: the ability to balance work and family; Master the knowledge of first aid and the ability to organize rescue effectively;
Master the professional theory and high-end technical operation ability; Have the ability to handle contradictions and disputes; Ability to lead and unite subordinates; Fairness, justice and clear rewards and punishments; Love nursing career, have the ability to participate in the decision-making of major issues in the department; Have the ability of cost accounting; Can use dialectics of nature; Cultivate the ability of subordinates. The comprehensive application of these skills determines the management level of head nurses, which is closely related to improving the job satisfaction of nurses and maintaining good social and economic benefits of hospitals.
1.2 Construction of nursing team
1.2. 1 unify thoughts, strengthen beliefs, carry forward humanistic spirit, turn people-oriented nursing concept into a part of their own value, and deepen the implementation of quality nursing service.
1.2.2 to build the centripetal force and cohesion of the cultural department of the department and show the combat effectiveness of a department. Nursing work depends on every nurse and every nursing link. The head nurse should create an atmosphere of unity and mutual assistance; Head nurses should fully grasp the psychology of every nurse, learn to use the art of motivation, always put themselves in the shoes, and have the spirit of being a ladder to support nurses; Understand and feel the problem from the perspective of others, communicate in depth, brainstorm and reach an understanding. Make every nurse have a high sense of ownership and actively strive to maintain the healthy and orderly development of the department.
Select 1.2.3-star nurses every month, send outstanding nurses out to study and visit, and encourage further study.
1.3 the head nurse of the management of medical relationship should first strive for the support and guidance of the department director, actively report the nursing work to the department director, strengthen communication, and study important issues with the department to reach a consensus. We must adhere to principles, be fair and just, distinguish between public and private, and ignore personal gains and losses; Hold business lectures and expert rounds with the medical team to solicit doctors' opinions and suggestions on nursing work; Let doctors fully understand nurses, trust head nurses, and make nursing work better.
1.4 nurse-patient relationship management The head nurse should not only be warm and considerate to patients, but also keep a cool head and be good at coordination; Respect the rights and interests of patients and their families, attach importance to communication, provide humanistic care, establish good relations with patients and their families, and become caring people of patients.
1.5 dealing with the superior relationship, the director of the nursing department is the decision-maker of the hospital nursing command system. As a head nurse, to adjust the relationship with the nursing department, we must obey the whole part, understand the difficulties of the nursing department, and try our best to help the backward nurses correct their attitudes. When making rounds in the nursing department, I can accept guidance and criticism with an open mind, communicate with the nursing department in time, and put forward my own working ideas in order to achieve * * * knowledge.
Safety is the primary task of nursing management.
2. 1 Improve the rules and regulations The head nurse worked out feasible rules and regulations and job responsibilities according to the requirements of the hospital and the nursing department, combined with the actual situation of the undergraduate course room, and used them to regulate and constrain the behavior of nursing staff. Head nurses are not only managers, but also executors of various systems and participants in various nursing work, and should play an exemplary role.
2.2 Reasonable division of labor, clear responsibilities, and actively handle differences. Due to the inconsistency between departments and specialties, there will be differences and contradictions between nurses in their work, and nursing managers should face and deal with them with their usual mentality. Seeking common ground while reserving differences is an important principle in dealing with differences. Treat specific problems in a specific way, and be careful not to combine differences with personal emotions, nor to deal with differences with people's power struggle together. Avoid the nursing hidden trouble caused by disharmony.
2.3 Pay strict attention to nursing quality control, set up a nursing quality control team, appoint a team leader to be fully responsible for quality supervision, and the head nurse will timely rectify the problems found in the five-day ward round and the comprehensive quality inspection of ward nursing every month according to PDCA cycle, and make records.
3. Department cost accounting is an important part of hospital cost management.
Head nurses should have certain financial management and cost-benefit analysis ability.
3. 1 Strictly implement the price charging standard, let the head nurse control the income of the department, timely account the family members to pay the relevant expenses, maximize the cost-effectiveness and revitalize the operating costs, which can make the limited health resources play a better role.
3.2 The cost management of medical equipment should make department personnel know about advanced medical equipment and instruments, such as ventilators, ECG monitors, micro infusion sets, injection pumps, etc. , has the characteristics of high cost and high price. The head nurse should master the various situations of using medical equipment and instruments in the department, carefully record them, give full play to the efficiency of the equipment, guide the nurses to operate various instruments correctly, and the head nurse is responsible for checking the performance of the instruments. After use, the instrument should be dried, disinfected and maintained in time to ensure that the instrument is in good condition and avoid damage caused by misoperation.
3.3 Standardize material management, improve the system of recipients, strengthen the management of fixed assets, strictly implement the management of materials supply such as sanitary materials, carefully manage the property and materials of departments, rationally purchase all kinds of materials and equipment, and improve the utilization rate of medical resources.
4 Time management
4. 1 The head nurse should arrange her time in a planned way. According to the ABC time management method put forward by American management scientists, the daily work is divided into three categories: A, B and C. No matter the daily nursing work or management work, it is necessary to make predictions to prevent the head nurse from being entangled in trivial matters.
4.2 Reasonable scheduling The head nurse should make a comprehensive analysis according to the workload characteristics of the department, flexibly schedule, complement the old and new, complement the strong and weak, and adjust the schedule at any time to ensure the actual work effect and medical safety. Every day, the nursing work will be carried out in every post and everyone, so that the work can be interlocked and all the services for patients can be completed within the specified time.
4.3 All items should be placed at fixed points, inspected and maintained regularly, with eye-catching marks and neat rows to save time. Planning, organizing, leading, controlling and innovating are the basic functions of management. Effective nursing management is embodied in organizing a working group to make plans and decisions, fully mobilizing the enthusiasm of all staff, and rationally arranging people, finances and materials to achieve high-efficiency and high-quality nursing quality.