Quality for development and patient-centeredness are the principles that hospitals follow and the service model that they adhere to. The following is a hospital nursing medical paper that I have organized for you for your reference.
Hospital Nursing Medicine Essay Sample 1: Research on Hospital Nursing Management Measures[Abstract] There will be some unavoidable medical accidents in hospital nursing, and these accidents are caused by the lack of institutional nursing management, then the corresponding nursing system management is needed. Hospital nursing management measures are based on the relevant routine nursing and special nursing knowledge of the nursing management system, which has a factual basis and scientific, can avoid some common medical accidents, but also improve the quality and level of medical care. This paper describes the implementation and effectiveness of hospital management measures, aiming to provide a scientific basis for hospital nursing management information to enhance the level of hospital nursing management.
[Keywords] hospital nursing management system; effectiveness
Hospital nursing management is a complex and need to be treated strictly management, which is not only related to the management of the basis of the management and management of the correctness, but also relates to the patient's recovery effect and nursing staff to implement the measures of enthusiasm and correctness. In recent years, hospital nursing management has been constantly developing and updating, adding many new management measures, which play a better nursing effect, but the number of nursing staff and the technical requirements of nursing staff are more and more demanding. Therefore, in the case of limited nursing staff, it is necessary to improve the effectiveness of nursing management.
1 Hospital nursing management system of the basic points
Hospital nursing management system has many articles, each nursing system has its own target. The core nursing system can be roughly divided into the following articles:
1.1 Rescue management system
Mainly for the rescue drugs, personnel and other nursing management system, the management aims to improve the level of hospital rescue personnel rescue level as well as to deal with the level of treatment of emergency resuscitation; not only in the fluent process of resuscitation and resuscitation equipment and medication preparation, but more importantly in the rescue of the accurate and timely, the effect is obvious.
1.
1.2 Nursing quality management system
This is a general nursing management system, mainly by the leaders at all levels of the monthly or quarterly nursing quality spot checks, and then formulate related to improve the quality of nursing management program, the implementation of the program by all levels of departments.
1.3 Graded care system
Generally divided into special, I, II, III care, the corresponding care is based on the degree of the patient's condition. Extraordinary care for critical, serious conditions, major surgery and other patient care; Class I care: the care of patients who are seriously ill, critically ill, comatose, paralyzed, cancer, etc.; Class II care: frail, seriously ill but the emergency disappeared, ordinary postoperative patient care; Class III care: acute disease, chronic disease, less serious conditions or recovery period patient care. The degree of illness from mild to severe, care will be from simple to close care, and the complications, nursing drugs, nursing staff, nursing environment and other requirements are different.
1.4 Checking system
The nursing checking system is generally to observe ? Three checks and seven pairs, one attention? Other checking system can also be divided into medical advice checking, medication treatment checking, operating room checking, mainly to proofread the relevant information, to prevent errors in information, medication treatment errors, to ensure that the treatment measures and medication program is correct.
1.5 Nursing handover system
Nursing handover system not only includes the handover of the night shift, day shift and administrative shift, but also the handover of the shift tasks and the relevant report on the situation of patients admitted to the hospital, and then transferred to the successor. Whether it's a nurse or a doctor, you must explain clearly the work and the use of drugs and equipment inventory, emphasizing the precautions and special circumstances.
1.6 Implementation of the medical advice system
Medical advice is generally divided into long-term medical advice and temporary medical advice, is given by the doctor in the patient's treatment program after the development of some of the care, treatment programs and medication, etc., need to be carried out by nurses and doctors together. In general, the doctor can give oral medical advice to ensure the smooth operation of the emergency. Nurses need to implement medical advice in accordance with the doctor's treatment, seek the doctor's advice, especially in special circumstances.
1.7 Ward management system
The general ward is monitored by nurses specializing in rounds, and every day there will be doctors and nurses checking the room, asking about the condition of the treatment of emergencies, etc. and then give medical advice. Ward management process needs to pay attention to infection, germs infection prevention measures, requiring nurses and doctors to do a good job of self-protection and protection of patients.
2 implementation of hospital nursing management measures
The implementation of hospital nursing management can promote the development of hospital nursing.
2.1 Guarantee the effective allocation of human resources
The development of medical technology and equipment requires the overall quality of medical personnel to gradually improve the hospital in the nursing management of the number of recruited positions in the number of increasing at the same time the quality requirements are also increasingly high. This requires nursing staff in the stage of learning knowledge, not only to learn the theoretical knowledge, but also to master the clinical application. A large number of clinical research data, the nurse's nursing time and the number of nursing care can directly affect the patient's incidence of medical infections, pressure ulcers, etc., medical urological infections and hospital respiratory infections are more common medical infections, the nursing staff of the patient's correct nursing care, can directly reduce the incidence of infection; therefore, to improve the overall effectiveness of the treatment of hospitals, to strengthen the nursing quality of nursing care, to ensure the effective allocation of human resources is very necessary. The effective allocation of human resources is very necessary [1]. At present, the number of nursing staff shortage in China, as early as the 1950s many Western countries began to use the hierarchy system and care measures to coordinate the way to solve the problem of nursing staff shortage, nowadays the medical level of China's society has been substantially improved, the reward and punishment system, training system, management system, and a number of other measures used for nursing staff, in many cases to solve the problem of nursing staff shortage
2.2 Strengthen the configuration of nurse safety
The efficiency of nurses directly affects the effectiveness of the implementation of hospital nursing management measures, strengthen the configuration of nurse safety, enhance the overall quality of the construction of hospital culture. Some psychologists have pointed out that relative to the material benefits, people attach more importance to the spiritual aspects of the incentive. The nurse's work goal in the hospital is more important to the nurse's status in the hospital in addition to the salary. Many hospitals specialize in providing nurses with some preferential policies, such as free medical checkups, nurse training, celebrating Nurses' Day, and other policies, to improve the nurse's status in the hospital, and at the same time, to improve the nurse's work efficiency. The issue of safe configuration of nursing staff is an aspect that should be strengthened in hospitals [3], nursing staff should maintain an attitude of lifelong learning, and regularly participate in expert lectures or training courses for nursing staff, which can make the team of nurses continue to grow, and at the same time, make the nursing management of hospitals continue to develop [4].
2.3 Focus on logistics
System development of hospital nursing management in the improvement of the logistics system is very important, the degree of heavy workload of nursing staff, the management of the hospital and the establishment of the logistics system is closely related. Clinical data show that tertiary hospitals to improve the logistics and drug management system is significantly more than one or two hospitals, according to analysis, tertiary hospitals to focus on the development of the logistics system of measures to reduce the workload of nurses to reduce the irrational use of drugs, but also to avoid the waste of drugs.
3 Hospital Nursing
The effectiveness of the implementation of management and its shortcomings and improvement programs The implementation of hospital nursing management measures can promote the overall quality of the hospital. Hospital nursing management measures involve all aspects of the hospital, ordinary hospital nursing measures such as first aid, disinfection, drugs and clinical management are very common some nursing measures, hospitals are often more special care work and medical records of nursing management is easy to be ignored.
3.1 General Nursing
Management deficiencies and improvements in emergency nursing management is directly related to the patient's life safety, first aid equipment is perfect to protect the patient's life is a prerequisite for some hospitals will appear first aid equipment is not timely inspection of the patient's life threatening, first aid medicines can effectively control the patient's condition, first aid medicines are incomplete, expired medicines or medicines arranged to avoid the phenomenon of unreasonable. The phenomenon of irrationality should be avoided, first aid personnel is the most important influence factor of first aid, if the first aid personnel inexperience, poor adaptability, low quality will directly cause the patient's life is in danger. Hospital nursing management should strengthen the management of emergency care, strictly check the emergency equipment and emergency drugs, and regularly assess the emergency personnel to improve the quality of emergency care management. Clinical nursing staff in the process of patient care to avoid poor attitude, carelessness, to always maintain a careful attitude, speak gently, patience with the patient, to reduce the generation of medical disputes. For the hospital's aseptic operation nursing management, we should strictly follow the provisions of the implementation of the operation, to prevent improper operation caused by patient infection.
3.2 Nursing care in special departments
Management deficiencies and improvement of the surgical process is carried out under strict procedural control, the various aseptic operations must be carried out strictly, but in the surgical operation of some aspects of the operation is easy to be ignored, such as disinfection area is insufficient, the operation process is incorrect, and the contaminated instruments are not placed in a standard manner, which can easily cause patient infections. All operations in the supply room must strictly comply with national regulations, and some hospitals carry out irregular operations due to insufficient personnel and limited level, resulting in unreasonable cleaning of sterile items [5]. The phenomena of unclean hygiene and unreasonable operation in some departments seriously threaten the life safety of patients. For the deficiencies that occur in special departments, hospital nursing management should strengthen the degree of relevant aspects of the measures to reduce the appearance of unreasonable phenomena, and promote the effective implementation of hospital nursing management.3.3 Deficiencies and Improvements in Nursing Management of Medical FilesAlthough the medical file is one of the most important management institutions in medical institutions, but because of the difference between it and the clinical work, it is very easy to be ignored by the hospital nursing management department, for the Hospital nursing management of the deficiencies that occur, to improve in a timely manner, to strengthen the relevant aspects of nursing management measures, to protect the overall quality of the implementation of hospital nursing management measures, to reduce the occurrence of medical disputes.
4 Conclusion
The implementation of hospital nursing management measures is the focus of nursing measures is also the pivotal point in the nursing process, although the current hospital nursing management there are still shortcomings, but it has a good effect in improving the quality of care and patient recovery. Moreover, nursing management measures can utilize limited human resources to complete a large amount of nursing work, in promoting nursing staff motivation and improve the level of nursing technology also has a lot of value.
[References]
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Hospital Nursing Medicine Essay Sample 2: Nursing Staff Able Level Management Ideas in Primary HospitalsAbstract: Nurses' able level management ensures the implementation of basic nursing care and improves patient satisfaction. In the previous nursing model, regardless of education, qualifications and abilities, all bear the same responsibilities and obligations, failing to realize the scientific management of nurses' human resources, restricting the development and improvement of nurses' professional competence [18].
Keywords: primary hospital nursing; management ideas
In 2010, China's Ministry of Health carried out a nationwide ? Quality nursing service demonstration project? activities to consolidate basic care and provide high-quality nursing services [1]. It is evident that? Nursing quality is the eternal theme of nursing management. is the eternal theme of nursing management, the core of nursing management, directly related to the quality of medical services [2]. The continuous improvement and enhancement of nursing quality not only depends on the perfect nursing quality management system and effective quality monitoring means, but also depends on the quality and technical quality of nursing staff. Therefore, it is the nurses who are the main controllers of nursing quality [3]. In the Xinjiang region, the educational level of nursing personnel in secondary general hospitals exists at various levels, such as undergraduate, junior college, and junior college, and with junior college education as the main body, the number of highly educated nursing personnel is obviously insufficient [4], which seriously affects the quality of nursing care in primary hospitals. Therefore, to understand the current situation of nursing staff competency management in primary hospitals, and to build a set of systematic and perfect, operational nursing staff competency management model is an important issue that needs to be explored and solved at present.
1 Nursing personnel function level management introduction
Function level correspondence, that is, according to the work function of the preparation of personnel, so that the nursing staff's seniority, level and so on with the appropriate. On the basis of seniority, education, experience, combined with the actual working ability of nurses that is the comprehensive quality, to achieve all levels of positions and their functions of the correspondence [5]. The principle of correspondence between levels of competence refers to placing personnel with different competence in different positions, giving them corresponding rights and responsibilities, and implementing the correspondence and adaptation between competence and position [1]. In recent years, the turnover rate of nursing personnel, i.e., the turnover rate, is high, and the proportion of low seniority nurses in the clinical front line is increasing, which makes it difficult to ensure the quality of nursing care. Therefore, continuous improvement of nursing quality management quality enhancement has been the center of focus for nursing managers [6]. According to the situation of nursing human resources in China, a new development idea and trend nurse energy level management model is proposed [7]. Capability level management, is a reform of human resource management implemented through the grading of talent, responsibility setting, hierarchical use and other measures, so as to activate the potential of talent, mobilize employees to work actively and creatively [8, 9]. Clinical nursing positions to choose the right person to undertake the various tasks set out, to achieve the qualifications, abilities, qualities of personnel and the work of the work undertaken by the job position, in order to improve the quality and efficiency of nursing work [10]. Nurses are the maintainers of patients' physical and mental health, and the quality of nurses plays a decisive role in the quality of nursing work. As a nurse, not only should have rich professional knowledge, skillful operation skills and noble medical ethics, but also should have excellent psychological quality [11].
2 The current situation and difficulties of nursing staff's ability level management
2.1 The current situation of nursing staff's ability level management in China
Many domestic researches have also explored the hierarchical division of nursing staff, such as Zhou Yongmei [12], who used a self-designed survey questionnaire to investigate the situation related to the corresponding ability level of 450 nursing staff, and established a set of nurses' ability level theoretical system for the tertiary general hospitals. A theoretical system of competence level was established for nurses in a tertiary general hospital. Wan Pong [13] and others have developed a hierarchical framework for nurses in large general hospitals, as well as access standards for nurses at all levels, i.e., the content of specific empowerment work. According to the literature, according to the knowledge, attitude, skills and other aspects of clinical nurses to give the appropriate level of ability to the post, not only can mobilize the enthusiasm of nurses, play the maximum effectiveness of nurses at all levels, to stabilize the quality of basic nursing care, improve the level of specialized care also play a positive role in promoting [14]. In addition, Wensu County People's Hospital began to try to implement hierarchical classification management for 160 nurses in 14 clinical departments according to their professional and technical level, competence, education, title, and work experience in November 2011, and through three years of clinical practice and exploration, the quality of nursing services has improved significantly, the satisfaction of nurses and patients has gradually increased, and the rate of nurses' leaving the hospital has been greatly reduced, but due to its location in remote minority However, due to the location of remote minority areas, nursing staff in the education, knowledge level, the sense of identity of the profession and other aspects there are still many practical difficulties.
2.2.1 Human resource allocation is not in place
China's Ministry of Health stipulates that the ratio of doctors to nurses is 1:2, and the ratio of beds to nurses is 1:0.4, while the actual situation is far worse. Our hospital preparation of 400 beds, while the actual opening of 500 beds, 40 to 50 patients in the department only 10 to 12 nurses, each nurse is responsible for 8 to 10 patients. The limited number of nurses need to complete a large number of therapeutic work every day, the remaining time can only focus on critical patients rounds, the general patient only to complete the routine treatment and care, to the basic care, specialty care, health promotion to do, there is a great deal of difficulty.
2.2.2 Education level is low, the basic theory is weak
At present in the ethnic minority areas of the secondary general hospital nursing staff of the educational level of the starting point is low, mainly to the secondary level of education, the follow-up college education accounted for about 50% to 60%, which led to the general quality of nurses is generally low. At the same time, due to the nursing staff's weak basic theoretical knowledge, narrow knowledge, lack of multidisciplinary knowledge, most of the nurses work more passive or even mechanical, limited to the implementation of the medical prescription, do routine operations, no errors and accidents, service attitude can be warm and considerate. The basic knowledge of nursing and specialized knowledge is relatively superficial, lack of diligence and enthusiasm, desire for knowledge is not strong, can not be applied to learning.
2.2.3 Personnel title and actual ability does not match
Because our region is an ethnic minority area, 90% of the hospitalized patients are Uyghur, there is a certain difficulty in the process of communication with patients. Therefore, when recruiting nursing staff in our hospital, we follow the ratio of 50% for each ethnic group, 50% for each Chinese group. And in practice part of the ethnic nurses have certain differences in their ability to understand, work ability and title, years of work is not compatible, coupled with the possibility of giving birth to a second child, resulting in a heavier burden on the family, the energy is often insufficient.
2.2.4 Departmental managers have a fear of difficulties
Nursing managers have insufficient knowledge of the connotation of the ability level management, lack of awareness of the lack of innovation, enthusiasm is not high, the Ministry of Nursing to develop the nurses ability to classify the use of the management of the implementation of the program and the nursing ability to manage the performance of the distribution program did not seriously organize the study, discussion and in a state of coping with the existence of the idea of getting by. That this reform is too difficult, the grassroots hospitals are understaffed, the ethnic areas of the lower quality of nurses, the conditions are limited and difficult to carry out or worry about as a pilot after the work is cumbersome and the results are not significant.
3 Nursing staff capable of managing the outlook and recommendations
3.1 Increase the strength of personnel recruitment, the implementation of dynamic deployment
Reasonable nursing staffing is to carry out the basis of the hierarchical use of nurses [15]. First of all, the hospital's nursing staff of each department's education, title, age, years of experience and the proportion of people and Han to do a status survey, and then according to the hospital's current development needs and the workload of each department in order to determine the number of recruits, the level of education is very necessary. It is recommended that the relevant departments should optimize the structure of nursing human resources in Xinjiang in terms of age, education, professional title, ethnicity and increase the development of nursing human resources on the basis of guaranteeing nursing manpower in accordance with the requirements of the "Outline of China's Nursing Career Development Plan (2005-2010)" [16]. First, by actively participating in the major colleges and universities job fairs combined with online recruitment. At the same time, according to the procedure to actively respond to the health administrative department of the nursing team's serious shortage of the problem, to attract the attention of the government. Second, the nursing department of the hospital should carry out dynamic management of human resources according to the nursing workload of each department, the number of critically ill patients, and the nursing needs of patients, and make deployment at any time, so that the existing nurses can play a maximum role. The third is to continuously improve the logistical support system, to liberate nurses from non-professional affairs, to save nursing human resources, to increase the number of hours of direct patient care by nurses, and to improve the quality of care.
3.2 Strengthen the education of the nursing team and improve the comprehensive quality of nursing personnel
Improve the education system to cultivate the needs of nursing personnel at different levels. Establish a nursing education system from secondary to higher education, and gradually popularize higher nursing education, increase the proportion of undergraduate and postgraduate students, improve the nursing research level and professional standards, and adapt to the needs of the nurses' ability level system [15]. The Department of Nursing should increase the on-the-job training of nursing personnel, establish a long-term mechanism for stratified training and assessment of nurses, and set training goals. Nurses are divided into general posts, specialty posts, management posts, and then subdivided into auxiliary posts, first-level posts, second-level posts, and responsible team leaders according to each person's technical level, work ability, knowledge structure, etc. At the same time, the establishment of standardized clinical training base, and equipped with perfect nursing skills operation molds, nursing staff at all levels of targeted implementation of stratified training, improve the ability of nurses at all levels, so that many young and talented nursing talent to stand out, nurses at all levels in the realization of self-worth at the same time to promote the development of nursing work. Further enhance the overall quality of the hospital nursing team and promote the construction of talent echelon.
3.3 Establish a reasonable performance allocation, assessment mechanism, fully mobilize personnel enthusiasm
Performance assessment management principles, performance assessment in the scientific construction? Remuneration according to position, remuneration according to workload, remuneration according to the quality of service? On the basis of the distribution mechanism, the establishment of clinical nurses at all levels of job responsibilities and quantitative assessment standards [17]. To this end, the Department of Nursing has formulated and issued the implementation plan for the use and management of the division of nurses' ability level and the performance allocation plan for the management of nursing ability level, which is based on the quality of the work of the nursing position, the quantity of work, the labor intensity, the risk of responsibility, patient satisfaction and other indicators of the comprehensive comprehensive assessment, to achieve the pay according to the post, pay more and more pay for the performance allocation system, and to break the long-standing ? According to the seniority ranking? The phenomenon of "seniority" has been broken. The results of the assessment are combined with the promotion of titles and the evaluation of excellence. Change the original functional scheduling mode, each ward according to the number of patients into 1 ~ 2 responsibility group, each group set up a group leader, group members 3 ~ 5, from the patient admission, treatment, care to discharge are managed by the nurse responsible for the implementation of the whole process of the patient, continuous, seamless flattening of the nursing. Mid-night shift and responsibility shift to do: Min, Han reasonable collocation, seniority and low seniority combined, the higher nurses to guide the lower nurses of the hierarchical management model, give full play to the role of the role model of the third-level nurses.
3.4 Unify thinking and improve nursing managers' cognition
Nursing managers play an irreplaceable role in the training, use and management of nurses in the hierarchy. Therefore, the role of the nurse manager is pivotal to the effectiveness of nursing staff hierarchical management. The Department of Nursing took the lead in organizing the whole hospital nursing managers, nurses repeatedly study the relevant documents, interpretation of the implementation of the program, and held a regular meeting of the head of the nurses to find out the existence of difficulties and the focus of the work, publicity and learning from the same level of hospitals to carry out the effectiveness of the work. To unify thinking, improve the understanding of the hospital's nursing staff on the hierarchical management of the questions raised to give a patient explanation, so that they set up confidence, to overcome the difficult emotions.
4 Summary
Nurses can level management to ensure the implementation of basic nursing care, improve patient satisfaction. In the previous nursing model, regardless of education, seniority and ability, all bear the same responsibilities and obligations, failing to realize the scientific management of nurses' human resources, restricting the development and improvement of nurses' professional ability [18]. Competence level management stimulates the potential of nurses and improves their professional satisfaction. It has realized the organic combination of individual ability, value and personal interests, and changed the status quo of limited space for nurses' professional development and unhelpful personal value enhancement [19]. Since the implementation of the hierarchical management of nurses in our hospital, the functions of nurses at all levels have been significantly improved, nurses are more cautious and standardized in their operations, with a stronger sense of responsibility, realizing the complementarity of advantages between nursing staff, the incidence of adverse events has been significantly reduced, and the management of the nurse manager is more in-depth and comprehensive, so that the internal quality of nursing work has also been substantially improved. Nursing competence management can fully embody ? People-oriented? management concept, so that all levels of nursing staff to do their part, to achieve the use of the person's strengths, make the best use of the management effectiveness [20], so as to provide a scientific method for the cultivation and use of nursing talent in primary hospitals.
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