As one of the most basic social relations, the doctor-patient relationship has attracted people's attention. With the development of medical model, it is also undergoing new changes. At present, China's economy is developing along the track of marketization, and the reform of medical system is also in-depth, which puts forward new challenges and tests for building a harmonious doctor-patient relationship. Building a harmonious doctor-patient relationship requires the joint efforts of doctors, patients and society. The state has increased health investment, accurately positioned the nature of medical institutions, and guaranteed the basic health of the majority of middle and low-level people.
Only by fundamentally solving the problem of "difficult and expensive medical treatment" can we achieve real harmony between doctors and patients. At the same time, we should also see that the gap between idealized expectation and non-idealized reality exists objectively, and harmonious doctor-patient relationship is a long process, which requires us to improve the legal system and self-discipline at the same time, only with honesty as the lever and humanity as the cornerstone.
Only in this way can we truly realize the ideal doctor-patient relationship, that is, compassionate doctors and patients who trust doctors. 1 status quo of doctor-patient relationship The doctor-patient relationship is a specific healing relationship between medical staff and patients in the medical process, and it is the key in medical interpersonal relationship.
The famous medical historian Seagris once said: "Every medical action always involves two kinds of people: doctors and patients, or more broadly, medical groups and society. Medicine is nothing more than the multifaceted relationship between these two groups. " The high development of modern medicine has further expanded this concept, and "medicine" has expanded from a simple medical group to all hospital staff involved in medical activities; "Bitterness" also extends from simple medical seekers to every social relationship related to it.
In the traditional doctor-patient relationship, doctors take the interests of patients as their own responsibility, and medical workers enjoy a high social status. They relieve the pain of patients and defend their lives. Rescued patients often thank their doctors.
With the rapid development of China's economy, social development and social security of poor families are relatively lagging behind, and the introduction of new drugs, new medical technologies and new equipment has greatly increased medical expenses. Although the health authorities have made a lot of efforts, there are still many patients who can't afford to see the disease and take medicine. Contradictions directly become conflicts between doctors and patients, and hospitals become conflicts.
In recent years, the relationship between doctors and patients in China has become increasingly tense, and the contradiction between doctors and patients is very prominent. There is a phenomenon in the medical environment. On the one hand, patients complain that they can't get the corresponding service after paying medical expenses, and even their own interests are hurt. On the other hand, doctors complain that they have to bear pressure from all sides while they are busy with clinical work.
At the same time, vicious incidents of patients' violence against medical staff occur from time to time all over the country. The patient doesn't trust the medical staff.
The trust of medical staff in patients is very low, and hospitals are troubled by medical disputes. The number of medical disputes in local courts is on the rise, and the factors causing the tension between doctors and patients are not only technical problems, but also many non-technical factors, such as social and cultural quality, psychological state, cognitive level, values and behavior norms, medical environment, service process and so on.
There are so many such incidents that the tension between doctors and patients has become an increasingly prominent problem, and it is also a social problem, which must arouse the high vigilance of relevant departments and deserve our doctors' in-depth thinking. 2 Analysis of the causes of disharmony between doctors and patients 2. 1 Social aspects (1) China's medical insurance system is not perfect, and the medical expenses are relatively high, so patients can't bear the burden of medical expenses, so they vent their feelings on hospitals and doctors, which increases the incidence of doctor-patient disputes in medical activities.
(2) After the medical dispute, some media only relied on one side of the story, did not realize the complexity and professionalism of medicine at the same time, did not know the truth, and made a lot of publicity and reports, which played a misleading role among the masses and contributed to the tension between doctors and patients to some extent. 2.2 Doctor-patient (1) Lack of trust between doctors and patients.
Individual doctors give patients unnecessary examinations and prescribe large prescriptions, so that patients no longer believe in the examination items and treatment plans listed by doctors; The excessive behavior of some patients in medical disputes also makes doctors afraid of medical disputes, consciously avoiding medical risks and carrying out defensive treatment. As a result, the doctor-patient relationship, which should have been fighting the disease, has gradually evolved from trust and cooperation to vigilance, prevention and even opposition.
(2) Lack of communication between doctors and patients. Medical service is an exploratory, practical and risky professional work. Due to individual differences, even if doctors do their duty and adopt the same standardized treatment for the same disease, they may produce different results.
The communication between doctors and patients is not enough, especially some necessary information is not known to patients in time, which makes patients misunderstand and easily leads to conflicts between doctors and patients. (3) Medical care lacks humanistic care.
With the progress of medical technology and the upgrading of medical equipment, while improving the level of diagnosis and treatment, doctors rely more on instruments for diagnosis, weakening communication with patients and making patients feel less concerned and cared for by doctors. When conflicts and misunderstandings occur, due to the lack of humanistic care, the two sides cannot understand each other.
(4) The patient's expectation of the therapeutic effect is unrealistic. Patients and their families have unrealistic high expectations before treatment, ignoring the complexity and risk of medicine itself. When the results are different from their expected results, they think that the medical staff are at fault, so disputes arise.
3. Countermeasures to build a harmonious doctor-patient relationship 3. 1 Strengthen communication and exchange between doctors and patients based on the actual needs of patients (1). Medical staff should fully respect and safeguard patients' right to know and choose, and introduce patients' condition, medication and examination purpose.
Doctors should make appropriate and reasonable treatment plans based on the principle of "actual needs", and try to avoid excessive medical treatment and abuse of high technology. So as to prevent patients from receiving expensive examinations in the early stage, but there is not enough post-treatment in the later stage.
2. Views on the current nurse-patient relationship Write a composition Many years ago, a father and a mother wanted to take a vacation, so they decided to go to town at night.
They invited the people they trusted most to look after the children. When the nanny came, even their children had fallen asleep in bed.
So the nanny just checked whether the child slept well and sat down. Late at night, the nanny felt bored and wanted to go downstairs and watch TV.
But she can't watch it because there is no TV downstairs (because parents don't want their children to watch too much garbage). She called the children's parents and asked if they could watch TV in the bedroom. Of course, the parents of the child agreed.
But the nanny wants one last request. She asked if she could cover the clown statue with a blanket or clothes, because it scared her.
There was a silence on the phone for a while. (Dad is talking to the nanny at this moment) He said, Take the children out ... We will call the police ... We have never had any clown statues.
That clown is probably a murderer who escaped from prison. There was silence on the phone for a while.
(The father of the child who is talking to the nanny) said: Take the child out of this house ... We will inform the police ... We don't have a clown statue ... The children and the nanny were murdered by clowns. The clown turned out to be a murderer who escaped from prison.
If you don't forward this post within 5 minutes, this clown will stand in front of your bed with a knife at 3 am.
3. A 400-word composition on nursing professional ethics (1) Characteristics of nursing professional ethics 1. Nursing professional ethics has its distinctive industry characteristics, closely combined with nursing professional division of labor and professional activities, resulting in its specific professional responsibilities, service methods and means, and adapted to its specific professional activities.
It has distinct characteristics of nursing profession. Play a role in a specific nursing profession and standardize the professional behavior and activities of nursing staff.
It constrains nursing staff and guides their nursing professional behavior. 2. Nursing professional ethics has a historical heritage. Nursing professional ethics reflects the special requirements of the society for this profession, with corresponding activities and methods, specific service objects and means, standardized personnel management methods and corresponding professional ethics requirements.
And this requirement needs continuous inheritance and development. Therefore, nursing professional ethics has certain historical inheritance.
3. There are many forms of nursing professional ethics. Formally, professional ethics includes rules, regulations, codes, conventions and vows. From the content point of view, social professional life is varied, and each professional life will reflect its requirements through professional ethics.
Therefore, nursing professional ethics show diversity. With the progress of society and the development of nursing discipline, as well as the promotion of new medical reform, people's requirements for nursing level are constantly improving, and the scope of nursing needs is constantly expanding. Accordingly, new nursing professional ethics will emerge continuously.
4. Nursing professional ethics has strong pertinence. Nursing professional ethics is closely related to its specific professional activities, which is an objective requirement to ensure that nursing activities can be carried out normally and implemented in daily nursing work. It needs a concise, practical, concrete and feasible code of conduct, which is easy to learn, master, accept, apply and operate, so as to guide and help nurses to develop good professional nursing ethics. It has the function of regulating professional interests. In nursing professional activities, employees will inevitably form between nursing groups and the whole society, between nursing groups and patients they serve, between nursing groups and hospitals, between nursing groups and within nursing groups.
The interests of all aspects are basically the same, which is the condition for the smooth development of nursing profession. In order to maintain the normal medical and nursing order, political, legal, administrative and economic measures should be taken. In addition, professional ethics can be used to adjust all aspects of the relationship.
The adjusted professional relationship includes two aspects: one is the internal personnel relationship of the nursing collective. Through this adjustment, nursing workers can work harmoniously for the same goals and interests and fulfill their social and professional responsibilities.
The second is the relationship between nursing and clients. Through the normative role of professional ethics, nursing workers can fulfill their duties, better serve patients, meet patients' needs, and reflect the social value of nursing as a specific profession.
2. It is an objective requirement of people's behavior to have functional professional ethics to ensure the normal conduct of professional activities. In nursing professional activities, there are specific clients who bear corresponding social responsibilities.
Through the restraint of professional ethics, we ask employees to make clear what they should and should not do, and make their behavior meet the needs of professional activities. 3. Helping and guiding nurses to establish their outlook on life, professional ideals and nursing professional ethics plays an important role in the formation of noble professional ideals and sentiments of nurses.
Because professional ethics is a guide to people's professional life, it stipulates professional social responsibility, defines the tasks of professional medical search engines in the workplace, and establishes specific work objectives. It plays an important role in nurses' career to cultivate and exercise excellent quality and form noble career ideals.
4. It has the function of promoting and promoting the formation of good moral habits in the whole society. Social morality is also a comprehensive reflection of people's mental outlook. It is not only restricted by social fashion, but also has an impact on social fashion. Therefore, professional ethics is an important part of social fashion.
Whether people can demand themselves according to professional ethics in their professional life is closely related to the formation of a good social atmosphere. In daily professional activities, nurses will consciously abide by professional ethics, love their jobs, care for patients, serve the society, and form good social relations and social ethics.
It plays an important role in building a harmonious doctor-patient relationship and a harmonious society.
4. How to deal with the relationship between patients and doctors? To build a harmonious doctor-patient relationship, medical staff should do it for patients.
First, correctly understand the role of doctors. How much emotion a doctor puts into his service will be rewarded. It is impossible for mechanical services without feelings to be praised, trusted and recognized by patients and ordinary people. The patient is finally cured by love, including the love of family, relatives, friends, society and medical staff. Doctors are the best medicine for patients. Doctors must master the skills of communicating with patients, which is the core skill that doctors must master, because the process of medical service is the process of doctor-patient communication, doctor-patient communication and doctor-patient cooperation, and medical students have never received special training in this field when studying in medical colleges. Doctors in the 2 1 century must have three basic qualities: to be a patient listener, a careful observer and a keen talker. Second, a correct understanding of the doctor-patient relationship Objectively speaking, the doctor-patient relationship is indeed an unequal relationship. Medical staff are professional technicians in the medical field, but patients are not professional technicians in the medical field. The patient may not understand what the doctor said or what the doctor wrote, and may not correctly understand his own problems. Doctors need to explain, explain and educate them patiently, so that they can reach a consensus and cooperate effectively on the basis of mutual understanding. Third, correctly understand the concept of patient. To understand this whole, we must first understand the complete background and relationship of patients, such as social background, community background, family background, personal background, disease background and so on. Then understand all aspects of health, such as physical, mental, social and moral health, and finally understand the overall health, such as organs, system functions and physical, mental and social. To fully understand the health status of patients, we must understand the interaction mechanism between people's subconscious mind and consciousness, body and spirit (physiology and psychology), individual and nature, and society. Fourth, correctly understand the services that patients need. Doctors must establish a holistic medical concept, master a systematic and holistic way of thinking and a patient-centered service model. Such a doctor is actually a general practitioner. Therefore, patients need to go to the general practitioner for the first time, and then the general practitioner will refer them to specialists and psychologists for services when necessary, but the general practitioner is always responsible for the health of patients. Holistic * * * is a continuous, comprehensive, coordinated, accessible, people-oriented and prevention-oriented service, which can make up for the shortage of specialized services. Only by knowing what service patients expect and doing it according to their expectations can patients be satisfied and take the initiative in market competition.
Please write a short essay of not less than 800 words on the topic of "such a doctor-patient relationship". The writing will generally be a sigh of public opinion. Some scold the abuser, some lament that doctors have no communication skills and are not familiar with patients' psychology, some complain that doctors have become low-income and high-risk occupations, some hope that doctors can live with dignity, some worry that they will not be treated in the future ... and even sporadic cheers make medical practitioners more painful and physically and mentally injured.
Although we strongly advocate the harmony between doctors and patients, in recent years, contradictions between doctors and patients are still heard from time to time, and the anxiety about the tension between doctors and patients is still lingering. "Doctors' parents' heart", once the most respected profession in China tradition, has been repeatedly injured by conflicts, which is thought-provoking.
In fact, no matter in which country, there are always people who are seriously ill and desperate, and there are always doctors who lack communication skills. Why is the conflict between doctors and patients shocking today? The doctor who was killed in Harbin this time had no direct contact with the murderer. Who is the injured doctor holding the knife for?
With the rapid development of economy, China has accumulated a lot of debts in social security, and "education" and "medical care" are the two families that have been dragged down. This year is finally expected to achieve the goal promised for nearly 20 years-education investment accounts for 4% of GDP. However, * * * financial investment in medical and health care is also a long-term downturn, which has not yet attracted attention. 20 1 1 year, China's medical and health expenditure only accounts for 1.35% of GDP, which is lower than most countries in the world. In developed countries, the proportion of health expenditure in GDP is generally 6%-8%, while in developing countries it is mostly 2%-6%.
Low investment leads to low level of medical security, unbalanced allocation of medical resources between urban and rural areas and the eastern and western regions, chaos of "taking medicine to support doctors" and large prescriptions caused by separation of medicines, medical troubles caused by poor supervision of the pharmaceutical market, and rampant counterfeit drugs ... all these are in contrast with the increasingly affluent material life of the people. After food and clothing, people's desire for health and longevity surged, but they tried their best to seek medical advice. When people's lives are at stake, some irrational patients vent their grievances on frontline clinicians.
The moral standard of medical workers will never be lower than the social average. On the contrary, most of them are benevolent. For 654.38+03 billion people, this is one of the occupations that have the most contact, the deepest dependence and the greatest benefit. The vast majority of doctors and nurses are working diligently and seriously, supporting the health cause of 654.38+03 billion people. In order to save their lives, they work "white plus black" with low pay, and suffer psychological pressure beyond ordinary people's imagination, as well as some unscrupulous colleagues pouring into the muddy water of this profession, and even suffering individual but painful innocent knife wounds and direct injuries.
Doctors and patients should be comrades-in-arms in the same trench, work together and face the same enemy-disease. Being at opposite poles will only hurt both sides. Therefore, please aim the scalpel at the drawbacks of the system and call for efforts to increase medical investment as well as education investment.
This is the fundamental solution for doctors not to be stabbed again.
6. How to write a good paper on nurse-patient relationship in obstetrics and gynecology 1. 1 Obstetrics and gynecology nurses lack professional knowledge?
Obstetrics and gynecology nursing is very popular in recent years, and many people have joined the obstetrics and gynecology nursing industry, resulting in uneven professional knowledge and insufficient nursing knowledge. In addition, obstetrics and gynecology nursing is a discipline with wide coverage, strong integrity and strong professionalism, which requires high quality of personnel.
Obstetrics and gynecology nurses should have good nursing quality, not only need to master complex theoretical professional knowledge, but also need to have rich working experience. For nurses who have just entered obstetrics and gynecology nursing, their professional knowledge is insufficient. Moreover, with the development of medical level, more and more new technologies and new equipment have been put into obstetrics and gynecology clinic.
If nurses can't correctly understand new drugs and skillfully use new equipment, it may cause serious nursing safety hazards. 1.2 The quality of nurses in obstetrics and gynecology needs to be improved.
Obstetrics and gynecology nursing is a job that requires nurses' patience and responsibility, and requires flexible methods to deal with different people and patients. However, because obstetrics and gynecology is a busy department, with poor work foresight, frequent emergency night consultations, changeable illness and high turnover rate, all the work is the most complicated in all clinical departments, especially the nursing work in obstetrics and gynecology, so some nurses will feel irritable and impatient to cope with the nursing work that should have been completed seriously.
Moreover, a few nurses also bring life emotions to work, and their patience is insufficient, which seriously affects the quality of nursing. At the same time, nurses' legal awareness is still relatively weak, and they do not pay attention to the right to know and inform patients and their families, which leads to medical disputes from time to time.
To sum up, the quality of nursing staff needs to be improved to avoid nursing accidents and medical disputes. 1.3 Obstetrics and gynecology nursing management system is not comprehensive enough.
With the rapid development of medical care, patients have higher and higher requirements for nursing work, and their corresponding nursing management system should also be updated and improved. However, at present, many hospitals do not attach importance to nursing management, fail to formulate a nursing management system for obstetrics and gynecology that meets the current needs in time, and still use a simple and flawed nursing management system for obstetrics and gynecology.
The hospital should supplement and modify the nursing management system in time, so that it can adapt to guide the clinical nursing work well. 1.4 Obstetrics and gynecology nursing management is not in place.
The nursing management department did not play a good supervisory role, which led to insufficient implementation of the nursing system. At the same time, the daily management work of some nursing management departments is only to cope with the instructions of superiors, and the management is lazy and a mere formality.
All these indicate that the implementation of obstetric nursing management is not in place, and if the implementation problems cannot be solved well, the quality of obstetric nursing will be affected. 1.5 Lack of effective communication.
The purpose of communication is to enhance the communication between people. Good nursing communication is the basis of successfully completing nursing work, obstetrics and the key to preventing nursing disputes.
Some women don't know enough about pregnancy and childbirth, and they are in contradiction and fear. Good nurse-patient communication is one of the keys to solve this problem.
However, at present, some nurses in obstetrics and gynecology have insufficient communication with patients, and they have not conducted effective communication and psychological counseling in time according to the different situations of patients. 2 Solution 2. 1 Improve the professional knowledge level of nursing staff.
The professional knowledge level of nursing staff plays a vital role in nursing quality. Hospitals can improve the professional knowledge level of nursing staff through training. Nurses can skillfully use the medical instruments needed by gynecology through professional training of nursing knowledge in obstetrics and gynecology, master the characteristics and contraindications of drugs, and cooperate with doctors' treatment plans.
In addition, hospitals can carry out professional nursing competitions to improve the learning enthusiasm of nursing staff. At the same time, the professional level of medical staff can be assessed regularly to improve the enthusiasm of nursing staff for work and study.
For inexperienced nurses, hospitals should take targeted practical guidance and form a "helping pair" with experienced nurses in obstetrics and gynecology, so that they can master the practical skills of obstetrics and gynecology nursing skillfully. 2.2 Enhance the service consciousness and sense of responsibility of nursing staff.
Responsibility is the basis of good quality, and enhancing the responsibility of nursing staff is an effective method to prevent work accidents and implement safety nursing. Hospitals should provide professional ethics training and education for nurses, so that nurses can establish the idea of "patient-centered".
By strengthening the service consciousness and responsibility consciousness of medical staff, nurses can find and summarize the problems and solutions in nursing work, do a good job in quality nursing and improve the quality of obstetrics and gynecology nursing as a whole. 2.3 Establish a comprehensive nursing management system for obstetrics and gynecology.
Obstetrics and gynecology nursing management system needs to be continuously improved to meet the requirements of obstetrics and gynecology nursing and make obstetrics and gynecology nursing more professional, standardized and industrialized. Hospitals should identify, analyze and supplement the details around the implementation of nursing management strategies in obstetrics and gynecology, make clear the nursing quality objectives, and make nursing staff have rules to follow and fulfill their duties.
At the same time, the hospital should combine the characteristics of obstetrics and gynecology when formulating the nursing management system of obstetrics and gynecology. When arranging the work, the hospital should arrange the work reasonably according to the different professional levels of nursing staff and make full use of the characteristics and specialties of each nursing staff.
The nursing management system should also adopt effective incentive and punishment policies to improve employees' enthusiasm and sense of responsibility. 2.4 Strictly implement the nursing management system of obstetrics and gynecology.
The hospital organizes nurses in obstetrics and gynecology to learn the management system of obstetrics and gynecology nursing, so that medical staff can know more about what they need to do and enhance their execution. At the same time, managers should always supervise and inspect the implementation of nursing staff's work.
Hospitals should do a good job in supplementary management of drugs, supplies and medical equipment in delivery rooms. 2.5 to do a good job of patient communication.
Effective communication can increase patients' sense of security and responsibility, so that nurses can effectively carry out nursing work. First of all, nurses should pay attention to communication skills with patients and adopt a reasonable way of speaking and a cordial attitude.
Secondly, in the process of talking with patients, nurses should try to use the language that patients can understand to avoid the appearance of professional terms.
7. Write a short article about caring for the elderly and selling hemp balls to the elderly.
"Sell hemp balls, sell hemp balls ..." This damn peddling woke me up from my dream again. Needless to say, it's half past five, and it's still half an hour before I should get up.
Somehow, just recently, there was an old man selling hemp balls in our family. He starts selling at 5: 30 every day, whether on weekdays or weekends. Whether it's sunny, windy or rainy, the thunder can't move. He disturbs my good dreams every day. I should get up at six o'clock. At this time, I was awakened by him, which made me afraid to sleep. I have to toss and turn in bed when I get up, which wastes half an hour, not to mention how uncomfortable it is. For this reason, I hate this hemp ball very much. I got a headache and upset when I heard this peddling, and I didn't know how to scold him.
However, until one day, my opinion of this old man selling hemp balls suddenly changed.
It was a sunny Sunday morning, and I was woken up by the hateful peddling as usual. I covered my head tightly with a quilt and didn't want to mention how cruel I was to the old man. It's hateful to have such a rest day and not let people sleep late. Suddenly, amid the harsh hawking, there was another lark's crow, which was crisp and sweet, and my heart could not help moving. I can't sleep anyway. I might as well go out and see the scenery in the morning, see what kind of old man this is and what kind of craftsmanship he has, just lift the quilt and put it on quickly.
I took some change and walked out of the house. Hey, it's a nice day today. The sky is blue and the sun is shining, and my heart suddenly opens up. I followed the hawking to find the old man selling hemp balls, and I saw an old man surrounded by a large group of children from a distance. I think it's no wonder that the peddlers come every day. It turns out that business is not bad. I quickly took a few steps, a closer look, the in the mind a little surprised. The one selling hemp balls in my heart is. I didn't expect the old man in front of me to wear an old uniform that was washed white, but he was clean and neat, up and down, and he looked capable. I secretly had a good impression, handed the change in my hand and said, "Give me two." The old man took money in one hand and a pair of chopsticks and a convenient bag in the other. He put two hemp balls in the bag and said gently, "Be careful, take it." I took it and took out a bag. I can't help liking him and looking at him carefully: his weather-beaten face has wrinkles carved by years, his body is strong, and his face is always filled with a kind smile for children. No wonder the children are surrounded by a big circle, no wonder the children are so willing to eat, no wonder they come to sell every day ... I am full of comfort, eat hemp balls and go back ...
Who knows that I was stopped by the old man just a few steps ago, and I couldn't help but "plop" in my heart, thinking that I had just paid the money. Why, should I be corrected? My newly-rising affection for him suddenly disappeared, and I turned angrily and was about to have an attack. Unexpectedly, the old man took out four and a half dollars from his pocket and handed it to me. He said apologetically, "Little classmate, I was busy just now and didn't have time to give you change. I am really sorry. " I was puzzled. He said, "You gave me five dollars." It suddenly dawned on me. What's the matter? "I was speechless. I really hate myself. How can I look at such an old man who works hard to support himself? I quickly reached for the money handed over by the old man and said, "Nothing, I bought it all." The old man gave me all the remaining hemp balls and said, "Two more, free of charge. "I refused to accept anything, but the old man walked over and said," This is a big sale at a loss. Buy five and get one free. " Then he left without looking back. ...
Looking at the old man's farther and farther back, I have great respect for him, and I can't help feeling in my heart: all the small vendors I usually contact are shoddy, with less to fill more, deceiving customers. How can there be honesty between people? Today, the old man gave me a vivid lesson. The world needs honesty, but we should cherish it even more!