High-quality nursing service demonstration project activity plan 1 In order to further strengthen and improve hospital clinical nursing service, enrich the connotation of nursing service, and improve the quality and level of nursing service, this plan is formulated according to the requirements of the Notice of Henan Provincial Health Department on Printing and Distributing (No.22 [20xx]) and the actual situation of our hospital.
I. Guiding ideology
With the implementation of the "demonstration project" as the carrier, the overall implementation of the "Regulations on Nurses" in the State Council as the main line, the emphasis on strengthening basic nursing, and the goal of patient satisfaction, social satisfaction and government satisfaction, we will comprehensively strengthen clinical nursing, standardize nursing behavior, improve nursing services, safeguard nurses' legitimate rights and interests, improve nursing quality, ensure medical safety, and strive to provide safe, high-quality and satisfactory nursing services for the people.
Second, the activity objectives
(A) Patient satisfaction
Clinical nursing work directly serves patients. By providing patients with positive and high-quality nursing services and strengthening basic nursing, patients can feel the improvement of nursing services, the professional culture of nurses serving patients with love, carefulness, patience and responsibility, and the good professional ethics and high-quality nursing services in the nursing industry.
Social satisfaction
By strengthening clinical nursing work and consolidating basic nursing services, we can establish a good image of the medical and health industry serving the people wholeheartedly in the whole society, carry forward the humanitarian spirit of saving lives, and promote a more harmonious relationship between doctors and patients.
(3) The government is satisfied.
Deepening the reform of the medical and health system is an important strategic deployment of the CPC Central Committee and the State Council, and it is a livelihood project that benefits the broad masses of the people. By improving people's satisfaction with nursing service, the overall goal of medical and health system reform can be achieved.
Third, the theme of the event
Consolidate basic nursing and provide satisfactory service.
Fourth, the scope of activities.
All clinical departments in the hospital.
The key content of verb (abbreviation of verb)
All departments should further implement the Regulations on Nurses, conscientiously implement the requirements of Notice of the Ministry of Health on Strengthening Clinical Nursing in Hospitals, Guiding Principles of Graded Nursing in General Hospitals (Trial), Basic Nursing Service for Inpatients (Trial), Basic Nursing Service Specification and General Clinical Nursing Technical Service Specification, earnestly strengthen nursing management, standardize nursing services, implement nursing work and consolidate basic nursing. Focus on the following 16 tasks:
(a) establish and improve the relevant rules and regulations, clear job responsibilities.
1. Establish and improve the rules and regulations of clinical nursing, the routine of disease nursing and the norms and standards of clinical nursing service.
2. Establish the post responsibility system for nurses, formulate and implement the post responsibilities and work standards of nurses at all levels, and standardize clinical nursing practice.
3. Establish a performance appraisal system for nurses, and combine the assessment results with the promotion assessment of nurses according to the quantity and quality of clinical nursing work completed by nurses and the satisfaction of inpatients.
(2) Effectively perform basic nursing duties and improve nursing service.
4. Make clear the basic nursing items and work norms that clinical nurses should be responsible for. Clinical nurses must perform basic nursing duties, standardize nursing behavior and improve nursing service level.
5. Clarify the connotation, service items and working standards of clinical nursing service. The service connotation and service items of graded nursing should include patient's condition observation, treatment and nursing measures, life nursing, rehabilitation and health guidance. It should be included in the openness of hospital affairs and introduce the mechanism of patients and society participating in evaluation.
6. Clinical nurses implement the responsibility system for nursing patients, so that the responsible nurses can provide continuous and full-course nursing services for patients in charge, enhance the sense of responsibility of nurses and close the relationship between nurses and patients.
7. Provide patients with satisfactory nursing services, reverse the situation that patients' families or their families hire nurses to take care of patients' lives, and reduce the burden on patients.
(3) Deepen the concept of "patient-centered" and enrich the work connotation.
8. Integrate the "patient-centered" nursing concept and humanistic care into the nursing service for patients, strengthen communication with patients while providing basic nursing services and professional technical services, and provide humanized nursing services for patients.
9. Continuously enrich and expand the nursing service for patients, and provide holistic and seamless nursing according to patients' needs on the basis of doing well the prescribed nursing service items, so as to promote nursing work to be closer to patients, clinic and society.
(4) Enriching the team of clinical nurses and strengthening the management of human resources.
10. The hospital enriches the team of clinical front-line nurses and ensures the allocation of nurses in clinical nursing posts to the maximum extent. The proportion of clinical frontline nurses in hospitals is not less than 95%.
1 1. The hospital explores the hierarchical management of nurses, adopts a nurse manpower allocation method based on clinical nursing workload, and implements flexible nurse manpower allocation according to post responsibilities, workload and professional technical requirements.
(5) Improve the quality management of clinical nursing and continuously improve the quality.
12. Only by perfecting the evaluation standard of clinical nursing quality, further refining and quantifying the evaluation indicators and ensuring the implementation of nursing work can patients get benefits.
13. Nursing management departments and clinical departments establish and implement basic nursing responsibility system, establish quality assessment system for nursing managers and clinical nurses at all levels according to levels, combine regular inspection with regular assessment, and take the inspection and assessment results as the basis for rewards and punishments and assessment for nurses and departments to continuously improve nursing quality.
14. Cancel unnecessary writing of nursing documents, simplify nursing documents, and encourage departments to adopt tabular nursing documents in combination with reality. The time for clinical nurses to write nursing documents every day should not exceed half an hour in principle.
(six) attaches great importance to clinical nursing work, safeguard measures in place.
15. Hospital leaders should attach great importance to clinical nursing work, take this work as an important opportunity for the hospital to "grasp service and build image", clarify and implement the division of responsibilities of all relevant departments in the hospital, form the work goal of the whole hospital, create a good working atmosphere in the whole hospital, and mobilize the enthusiasm of nurses.
16. Hospitals should earnestly fulfill their leadership responsibilities, strengthen the unity and cooperation of relevant departments, increase funding, improve nurses' welfare treatment, tilt to the clinical front line, implement equal pay for equal work, and mobilize all forces to provide convenient conditions and strong guarantees for comprehensively strengthening clinical nursing and implementing basic nursing work.
Implementation steps of intransitive verbs
(1) Preparations for the start-up phase (March 20xx).
The hospital set up a leading group for "demonstration project" activities, formulated the implementation plan according to the actual situation, defined the work focus, organization and division of labor, arranged the activities, prepared, mobilized and organized the activities, fully mobilized the enthusiasm of the nurses in the hospital, and made them consciously and actively participate in the activities.
(2) Organization implementation stage (April 20xx-June 65438+10).
According to the requirements of the activity plan, all departments carry out the "demonstration project" activities in an all-round way, conduct self-examination on the weak links of clinical nursing, and solidly promote the implementation of the key tasks of the activity 16. The leading group of hospital activities should guide and inspect the activities of various departments according to the requirements of the activity plan.
(3) Summarize the communication stage (20xx years 1 1 month).
The hospital will summarize the activities of establishing "demonstration project" in stages, and commend the departments, wards and individuals who have responded well to patients and society, provided quality nursing services and played a demonstration role. On the basis of voluntary declaration by departments, we recommend 1 "quality nursing service demonstration ward" and 2 "advanced individuals with quality nursing service" to participate in the city's selection.
Seven. job requirement
(1) Improve ideological understanding and strengthen organizational leadership.
All departments should unify their thinking, fully understand the importance and urgency of strengthening clinical nursing work from the perspective of deepening the reform of medical and health system and safeguarding the health rights and interests of the broad masses of the people, earnestly strengthen organizational leadership, overcome difficulties in work, strengthen their confidence, do a good job in propaganda and mobilization, implement improvement measures, and ensure that all work is effective.
(2) Conscientiously implement and make solid and steady progress.
All departments should take the "quality nursing service demonstration project" as an important starting point to improve the level of nursing work, conscientiously implement the spirit of relevant documents, clarify responsibilities and make careful arrangements, encourage all departments to work creatively in light of their own reality, explore the establishment of a long-term mechanism, carry forward the work style of seeking truth and being pragmatic, work hard, and earnestly and comprehensively carry out self-examination and self-correction, so as to promote the solid and steady development of all work and continuously improve the level of clinical nursing work.
(3) Strengthen guidance and inspection to ensure effective results.
The leading group of hospital activities should give timely guidance and inspection, pay attention to patients' feelings and evaluation of nursing services, and avoid "going through the motions". Through the guidance and examination, the clinical nursing work was strengthened, the basic nursing was implemented, the clinical nursing service was improved, and the patient satisfaction was improved.
The quality of nursing work and the level of professional skills are directly related to people's health and life safety, and to people's satisfaction with medical and health services. Strengthening the clinical nursing work in hospitals and providing high-quality nursing services for the people is an inevitable requirement for deepening the reform of the medical and health system and an important measure for building a harmonious doctor-patient relationship. According to the requirements of Chongqing "quality nursing service demonstration project" activity plan, combined with our county
Actually, this implementation plan is specially formulated.
I. Guiding ideology
Conscientiously implement the spirit of Chongqing medical administration and medical supervision work conference, strive to popularize the nursing concept of "patient-centered", earnestly strengthen clinical nursing work, implement basic nursing, and provide safe, high-quality and satisfactory nursing services for patients.
Second, the activity objectives
By the end of 20xx, through the activity of "Demonstration Project of Quality Nursing Service" with the theme of "Consolidating Basic Nursing and Providing Satisfied Service", two demonstration hospitals of quality nursing service will be established, and 3-5 demonstration wards of quality nursing service will be created, with 5- 10 advanced individuals. Through the "demonstration project" activities, we will improve nurses' awareness of active service, comprehensively strengthen clinical nursing work, strengthen basic nursing, improve service quality, harmonize the relationship between nurses and patients, put patient safety in the first place, promote the safety of surgery, medication and medical care, provide active, comprehensive, patient and meticulous nursing services for patients, change passive services into active services with practical actions, change active services into moving services, and promote special services.
Third, the theme of the event
"Consolidate basic nursing and provide satisfactory service".
Fourth, the scope of activities.
All kinds of medical institutions at all levels in the county, focusing on hospitals above the central health center.
Verb (abbreviation of verb) is the main content of the activity.
(a) the establishment of the "quality nursing service demonstration project" activity leading group, closely around the theme and core of the activity, and comprehensively promote the activity.
(2) Strengthen publicity and mobilization, further implement the Nurses' Regulations, earnestly (Source:) organize and study the requirements of Notice of the Ministry of Health on Strengthening Clinical Nursing in Hospitals, Guiding Principles of Graded Nursing in General Hospitals (Trial), Basic Nursing Service for Inpatients (Trial), Basic Nursing Service and Clinical Nursing Technical Service, and earnestly achieve it.
(3) Establish and improve relevant systems, implement the assessment standards of clinical nursing quality, especially basic nursing quality, establish a nurse performance appraisal system, improve the nursing quality evaluation system, strengthen the implementation of relevant nursing rules and regulations, and strengthen supervision and inspection to ensure that basic nursing work is implemented.
(4) To improve the overall quality of the nursing team, all nurses should establish "four consciousnesses", namely, overall situation consciousness, responsibility consciousness, service consciousness and safety consciousness, strengthen "four abilities", namely, learning ability, innovation ability, coordination ability and execution ability, improve the operation efficiency and management level, and make the nursing quality of the hospital reach a higher level.
(5) Actively explore practical nursing service mode, aiming at providing safe, effective, satisfactory and convenient nursing service, and combining with the reality, carry out "three-in-one nursing service" and "three-in-one": quality service, nursing measures and health education. "Ten Ones": a greeting, a smile, a pot of boiling water, a glass of water and a nurse-patient contact card when the patient is admitted to the hospital. After admission, the nurse in charge talked with the patient once, every time 10 minutes, and the venipuncture was successful once. When you leave the hospital, you will prescribe health education, and everyone will do a good deed for the patients every month. The "patient-centered" nursing concept and humanistic care are integrated into the nursing service for patients, providing basic nursing service and professional technical service while providing humanized nursing service for patients.
(6) Strengthen communication with patients to meet their informed needs (environment, treatment, medication, rehabilitation, psychological intervention, surgery, examination, etc.). ), solicit the opinions of patients or patients' families, put forward timely rectification opinions on the nursing problems found, promote the improvement of clinical nursing service quality, constantly sum up experience, and promote clinical nursing work to be close to patients, clinic and society.
(7) Increase the number of clinical front-line nurses and ensure the staffing of clinical nursing posts to the maximum extent. The proportion of clinical front-line nurses in the total number of nurses is not less than 95%, and the bed-to-nurse ratio in the demonstration ward is not less than 1:0.45.
(8) Clinical nurses should take care of patients as their own responsibility, explore the hierarchical use of nurses in combination with the actual situation, and implement flexible scheduling on the basis of actual workload to provide patients with continuous, full-course and seamless nursing services.
(nine) to explore outstanding nursing talents, strengthen the assessment of clinical nursing service, especially the quality of basic nursing, and take the quantity and quality of clinical nursing work completed by nurses and the satisfaction of inpatients as the main conditions for promotion and evaluation.
(ten) the implementation of tabular nursing documents, cancel the unnecessary writing of nursing documents (including the writing of head nurses' documents), and the time for clinical nurses to write nursing documents every day should not exceed half an hour in principle. Nursing documents include: temperature list, doctor's advice list, operation counting records in course records, and nursing records of critical and severe patients.
(1 1) Strengthen leadership, establish a nursing support center according to the actual situation, clarify and implement the division of responsibilities of all relevant departments in the hospital, especially strengthen the support of drugs, materials, maintenance, inspection and safety, assist departments in acceptance and delivery, reduce or eliminate non-nursing work such as nurses going out to receive materials and medicines, and truly achieve nurses returning to patients, improve service quality, and ensure the connotation of nursing services. Benefit the majority of patients.
(twelve) in the demonstration ward publicity nursing services, and consciously accept social supervision.
(thirteen) combined with the "medical quality" activities, continue to promote and implement the "patient safety target" management.
Implementation steps of intransitive verbs
(1) Preparations for the start-up phase (March 20xx)
Medical institutions at all levels in the county shall formulate the specific implementation plan of our hospital according to this plan, and report it to the Medical, Political, Scientific and Educational Department of the County Health Bureau before March 30, 20xx. It is necessary to do a good job in propaganda and mobilization, organize all staff to learn, and further improve their understanding of the purpose and significance of implementing the "demonstration project of quality nursing service" and strengthening basic nursing work. It is necessary to realize that basic nursing is an important means to fully understand patients and observe their illness, a breakthrough to implement holistic nursing, an important way to promote harmony between doctors and patients, and an important link to improve professional level and ensure medical safety.
(2) Organizing the implementation stage (April 20xx-165438+1October)
1. According to the requirements of relevant documents of the Municipal Health Bureau, it is recommended that * * County People's Hospital, * * County Chinese Medicine Hospital and Liangshan Central Health Center be the pilot hospitals of * * County "Quality Nursing Service Demonstration Project". And organize experts to formulate * * county "quality nursing service demonstration project" demonstration hospitals, demonstration wards, advanced individual selection criteria. Other medical institutions actively promote the "quality nursing service demonstration project" in accordance with the requirements of relevant documents.
2. Conscientiously implement the Guiding Principles of Graded Nursing in General Hospitals (for Trial Implementation), Basic Nursing Service for Inpatients (for Trial Implementation), Work Specification of Basic Nursing Service, General Specification of Clinical Nursing Technical Service and other standard requirements, strictly implement various nursing rules and regulations and disease nursing routines, strive to achieve standardization, standardization and institutionalization, and push the nursing quality to a new level.
(3) Summary communication stage (February 65438+20xx).
Hold a county-wide nursing work conference, summarize the implementation of the hospital's "high-quality nursing service demonstration project" in stages, hold an on-site experience exchange meeting, exchange experiences with each other, publicize and promote good experiences and practices, and commend hospitals, wards and individuals who have a good evaluation of patients and can play a demonstration role.
Seven, job requirements:
(a) Raising awareness and strengthening leadership
All kinds of hospitals at all levels should fully understand the importance and urgency of strengthening clinical nursing work from the height of safeguarding people's health interests, strengthen leadership, clarify responsibilities and increase publicity.
(2) Work hard in combination with reality.
All kinds of hospitals at all levels should work creatively and solidly according to their own reality, ensure the effectiveness of the "demonstration project of quality nursing service" and let the broad masses of people really feel the benefits brought by the reform of medical and health system.