Question 2: What is included in the evaluation of nursing effect Introduction: Quality evaluation of nursing personnel: basic quality evaluation: from the political quality, business quality, professional quality of the three aspects to comprehensively assess the basic quality; from the usual performance of medical ethics and business behavior to see its political and professional quality; from the technical assessment results, theory tests and other items to test. 1. Evaluation of the quality of nursing staff (1) comprehensive evaluation: that is, the evaluation of several aspects of the standards are combined, all activities related to the results of the work of nursing staff can be combined. (2) basic quality evaluation: from the political quality, business quality, professional quality of three aspects to comprehensively assess the basic quality; from the usual medical ethics performance and business behavior to see its political quality and professional quality; from the technical assessment results, theoretical tests and other items to assess the business quality. (3) Behavioral process evaluation: mainly to evaluate the process quality of nursing activities. Assessment of nurses in the whole process of nursing in all aspects of whether the embodiment of patient-centered thinking, whether to implement the patient first service purpose. (4) Behavioral outcome evaluation: outcome quality is the evaluation of nursing service results. Evaluation of nursing staff quality content is mostly qualitative information, such as nursing work and service attitude satisfaction rate, nursing staff end-of-year assessment of the pass rate and so on. 2. Quality evaluation of clinical nursing activities (1) Basic quality evaluation: that is, elemental quality evaluation, mainly focusing on the evaluation of the basic conditions for the implementation of nursing work, including the organization, facilities, instruments and equipment, as well as the quality of nursing staff. ①Environment: whether each nursing unit is safe, clean, neat, comfortable and well-equipped. ② Nursing unit facilities: according to the "General Hospital Accreditation Standards" to evaluate. Instruments: the instruments and equipments are complete and in good condition, and the rate of first-aid items in good condition should reach 100%. Nursing staff: quantity, quality and qualification shall meet the requirements of hospital classification and management. ⑤ Quality control organization structure: according to the size of the hospital, there can be two to three levels of quality management organization, and it can carry out quality control activities on a regular basis. (6) Formulation and implementation of various rules and regulations: whether there are quality standards for various work and quality control standards. (2) link quality evaluation ① common evaluation indicators: a. nursing technical operation pass rate; b. basic nursing pass rate; c. intensive care, first-level nursing pass rate; d. various nursing forms written pass rate; e. one person, one needle, one tube implementation rate; f. routine instrument disinfection and sterilization pass rate. ② Evaluation of the main content: a. the development of holistic care; b. psychological care and health education quantity and quality. c. The accuracy rate of executing medical advice, whether the execution of temporary medical advice is timely; d. Observation of the condition and treatment response, whether to modify the nursing plan dynamically, the form record situation. e. Whether to carry out patient-centered and proactive care; f. Coordination relationship with logistics and medical and technical departments. (3) Final quality evaluation (nursing outcome evaluation): is to evaluate the final effect of nursing activities, refers to each patient's final nursing outcome, or batches of patients' nursing outcome quality evaluation.
Question 3: How to write a nursing record? Nursing record is a nurse in the process of medical care activities on the patient's vital signs, the implementation of medical measures to reflect the specific situation and the results of the record. Nursing records, not only can reflect the quality of hospital medical care, academic and management level, but also for medical, teaching, scientific research to provide valuable basic information, when it comes to medical disputes is also an important evidence of information, is an important basis for determining legal responsibility. However, for a long time, due to the influence of traditional biomedical model and functional nursing, the content of nursing records is not standardized and the quality of nursing records is not guaranteed. The following author summarizes the research information about nursing records as follows for the reference of colleagues.
1 The significance of nursing record writing
Nursing record is an important part of the medical care documents, which reflects the patient in the sick hospitalization during all the medical care situation, reflects the connotation of nursing work, is an indispensable and important information for clinical teaching and research work, has a very strong legal effect. Nursing records strengthen the communication of the relationship between doctors and nurses, improve the nurse's observation, communication, writing and other aspects of the ability to enhance the sense of responsibility, improve the quality of care.
2 Contents of nursing record writing
2.1 Admission assessment form After the patient is admitted to the hospital, the nurse collects information related to the patient's disease by talking to family members or family members to ask about the medical history, nursing checkups and observation of the condition, and reading outpatient medical records and examination results. These data mainly include: (1) general information about the patient: such as name, gender, age, occupation, ethnicity, marriage, education level, admission time, and mode of admission. (2) Admission diagnosis, time of data collection. (3) Nursing examination: e.g., temperature, pulse, respiration, blood pressure, weight, demeanor, expression, systemic nutrition, skin and mucous membranes, limb activity, history of allergies, and psychological status. (4) Living habits: e.g. diet, sleep, bowel habits, hobbies. (5) Medical history: a brief description of the course of the disease and out-of-hospital diagnosis and treatment, and the purpose of admission. The above information should be reliable, the record should be comprehensive, accurate, factual, the first page should be completed by the class, that is, which class came to the patient, completed by the nurse on duty.
2.2 Nursing Record Sheet (PIO) PIO is the core part of the nursing record, nursing record process reflects the dynamic changes, that is, recorded in a PIO way. p-problem (problem), I-intervention (measures), O-oute (results). This nursing single nursing plan, nursing measures, measures based on the evaluation of the effect of integration, more convenient to record, the writing process does not have to emphasize the nursing diagnosis, measures, results listed separately, but embodied in the nursing course of the record, specifically the following points: (1) nursing records are nurses according to the doctor's orders and the condition of the patient in the hospital during the process of objective records of the nursing process, to avoid repeated recording of the same nursing problems without evaluation of the effect of nursing measures. According to the condition of the targeted record of the patient's conscious symptoms, mood, psychology, diet, sleep, urination and defecation, as well as the patient's new symptoms, signs and so on. The effects of the treatment measures and nursing measures implemented for the condition and the adverse reactions were recorded carefully and honestly. (2) Record the positive results of laboratory tests in order to observe the condition, but do not record the content of subjective analysis. The content of nursing operation should be recorded operation time, key steps; the patient's condition during the operation, and the operator's signature. (3) The name of the drug, dosage, and the patient's reaction after taking the drug should be recorded when the drug is temporarily administered. (4) Emphasize the vital signs as the focus of the record. If the patient has symptoms, the doctor did not give treatment advice, "observation", "observation" is also a medical advice, the nurse should record the full name of the doctor and the contents of the medical advice to observe. (5) The day of the patient's discharge or the day before, should be written to the patient's condition and the return of the situation and the need to patients and their families to explain the health issues. (6) One day before the surgery patient should record the patient's preoperative preparation, whether there is any change in the patient's condition, etc.; the record should be timely on the day of surgery, and at least one record per shift for the first three days after the surgery, with changes in the patient's condition recorded at any time. On the day of discharge, record the postoperative wound condition of the surgical patients, with or without drains, removal of wires or not, as well as the need to explain to the patients and their families the content of health education guidance.
3 Discharge instructions
Discharge instructions were written one day before the patient was discharged, in duplicate (the patient took a copy), for the patient's different diseases, psychological, therapeutic care, living habits, guidance, including diet, rest, medication, review and preventive health care knowledge of the disease and the relevant precautions. Try to be as specific as possible, do not just write the principle of the text, to be different from person to person, can not be uniform or patterned.
4 Notes related to writing nursing records ...... >>
Question 4: How to write a patient's comment to a nurse The service is very enthusiastic and attentive.
Question 5: Nursing evaluation has the following forms: 1, nursing room visits. Room visit is to evaluate the effectiveness of nursing program implementation of the most major, basic and effective nursing activities; it can reflect whether the nurse has the theoretical and practical knowledge of the nursing program. Both the nurse in the use of nursing procedures to evaluate each step, but also from the evaluation of nursing effects, test the nurse's ability to solve problems. Room visits can be categorized according to nursing functions: ① group visits; ③ nurse manager visits; ③ nursing department visits. According to the nursing form of checkup can be divided into: ① comparative checkup. That is, the same disease, different individual conditions, from which to find out **** sex and personality of the room; ② evaluation room, that is, the collective evaluation of the group of nurses responsible for the implementation of the nursing program, the effect of the form of room; ③ case study nursing room, that is, the implementation of the nursing care plan for a critically ill patient and the quality of care for a comprehensive examination of the form of room; ④ teaching room, a critically ill and difficult patients, complex surgery patients or patients receiving new therapies, new technologies. Teaching room, to a critical and difficult patients, complex major surgery patients or accept new treatments, new technology cases for nursing program teaching room. 2. Nursing consultation. Nursing consultation is also a method of evaluating the implementation of nursing program, which is mainly a kind of case discussion for complex, difficult, critical and new technology patients, through which the goal of nursing diagnosis of such patients can be clarified and the deviation and deficiency in nursing can be corrected. Timely development of effective nursing program. Through the consultation, improve the nurses' critical thinking and comprehensive analysis of the problem ability to promote the development of new technologies, new methods of clinical application, and promote the mutual penetration of knowledge. Mutual exchanges, urge business learning, help to improve the technical level. 3. Discharge nursing case discussion. Is commonly used to discuss the complexity of discharged patients. Difficult or death case method, is a retrospective evaluation of the implementation of such patient care procedures, summarize a method to improve the level of care. 4. Nursing medical record quality evaluation. Nursing chart quality evaluation is the correctness of the responsible nurse to use the knowledge and skills of drilling procedures and the responsible nurse in the implementation of nursing procedures in each step of the behavior evaluation.
Question 6: What is included in the evaluation of the effect of continuing nursing education through the pedagogy of the theory of re-study and re-understanding of the theory of nursing pedagogy [2] the theory of the "refinement" and "reorganization" deleted a lot of descriptive, commenting on the content; especially on some nursing education, the nursing education of the contents of the "refinement" and "reorganization" of the theory of nursing education. In particular, the introduction to the history of nursing education research has been drastically cut down, which is more suitable for undergraduate students to learn. Second, general concepts of education have been added. Thirdly, the classic theories of nursing education and the educational views of its representatives have been carefully selected and categorized, and described in more understandable language and with nursing applications or examples. Fifth, the contents of "teaching evaluation" and "learning assessment" are integrated into "educational evaluation", and specific practices of test preparation and analysis are added. The basic principle of these practices is to make the content of the book strive to highlight the scientific and contemporary at the same time, more prominent knowledge, practicality and readability, easy to self-study.
Continuing nursing education is following the standardization of professional training after graduation, to learn new theories, new knowledge, new technologies, new methods as the main life-long nursing education, training object for the nurse or above, the purpose of which is to enable nursing staff to maintain high medical ethics and medical style throughout their professional career, and continue to improve their professional work ability and business level, to keep up with the development of nursing discipline. 1. Formulate the implementation plan for continuing nursing education The formulation of the program should be in line with the Trial Measures for Continuing Nursing Education issued by the Ministry of Health of the People's Republic of China. The content is mainly on the training object of each stage of continuing education, training content and form, credits, assessment and performance management.
2, according to the requirements to participate in continuing education programs Continuing education programs can be out for further training or to participate in learning classes outside the hospital, can also be self-study or to participate in the network teaching, to participate in the departmental organization of the teaching room, etc., generally short-term and amateur on-the-job learning is given priority to. According to the regulations of the Ministry of Health, continuing education is managed under a credit system. The minimum number of credits per year is 25, of which 10 credits are class I and 15-22 credits are class II. Class I credits include national education programs approved and recognized by the Ministry of Health, continuing education programs approved and recognized by the province or city, and continuing education programs filed by the Ministry of Health's Continuing Education Committee; class II programs are self-study programs or other forms of continuing education programs. 3, credit review, registration of each nursing staff in different titles have a credit manual, used to record the nurse in the title of the stage of the credits. In the second half of each year, the Nursing Department uniformly issues a notice of credit registration. Nurses submit their credit cards and study notes to the head nurse of their department, who reviews and registers the credits in the credit booklet and signs it. After the registration, the credit booklet is submitted to the nursing department, the credit card and study notes are returned to me to keep for inspection.
4, the annual credit audit of each department will be submitted to the Ministry of Nursing credit manual, the Ministry of Nursing for the registration of the credit manual to verify. The verification method can be organized by the nursing department of the head nurse and the assistant in charge of each department randomly selected a number of nurses credit manual, the head nurse of the department is required to provide credit manual registered credits on the corresponding proof (credit manual study notes, class records, etc.).
5, credit entry computer management nursing department can use the microcomputer to establish a credit management system, the whole hospital nursing staff credit implementation standardized management. Nursing Department each year will be the year's credits into the system and save, managers in the nursing staff to apply for re-registration, apply for promotion before querying their credits to determine whether they meet the qualification requirements.
Question 7: How to write a case study (a) Preliminary part
① Title; ② Author; ③ Abstract (overview summary, about 100 words); ④ Keywords; ⑤ English summary.
(ii) the body part
1. preface (>
Question 8: How to write the nursing record, and generally pay attention to what problems? Nursing records truly reflect the patient's condition, the quality of care, for medical care teaching to provide valuable first-hand information, and in the reversal of the burden of proof to provide an important legal basis, therefore, nursing managers must attach great importance to the writing of nursing records. Our hospital since the nursing record into the inpatient medical record, in the quality control of the implementation of layers of control, from the grass-roots level. Firstly, the head nurse of the ward checks the nursing records of the ward and guides the nurses to write correctly; secondly, the head nurse of the major department organizes the head nurse of the system to randomly check the nursing records of the ward under his jurisdiction every month; the nursing department organizes the head nurse of quality control to check the nursing records of each ward of the whole hospital every quarter, and there is the head nurse of full-time quality control who randomly checks the discharged records, so that we can strictly control the quality of the records at each level, and find out the problems in time and rectify them. Rectification is carried out in a timely manner when problems are found. Through the major section of the head nurse regular meeting, the hospital head nurse regular meeting on the results of the inspection of the **** problem to comment, in order to reduce the writing problem, so as to ensure that the quality of nursing record writing. Hope to help you
Question 9: nursing resume simple self-evaluation how to write 1, let the content of the resume is outstanding
Content is everything, so the resume must highlight your ability, achievements, and past experience, only have a beautiful appearance and no content resume is not attractive. The content of your resume should carefully analyze your abilities and state that you are qualified for the job.
2, make the appearance of the resume eye-catching
The appearance of the resume does not have to be emphasized, but it should be eye-catching. Take a look at the margins of your resume and use those margins and borders to emphasize your body text, or use a variety of font formats, such as italics, capitalization, underlining, first word highlighting, first line indentation, or pointy head.
3. Try to keep your resume short and use only one sheet of paper
An employer may scan your resume and then spend 30 seconds deciding whether to call you in, so one sheet of paper works best.
4. Position your resume
Employers want to know what you can do for them. A vague, general and unfocused resume will cost you a lot of opportunities, so it's important to position your resume. If you have more than one objective, it is best to write multiple different resumes, highlighting the key points on each one. This will give your resume a better chance of standing out.
5. Write a short summary
This is actually one of the most important parts of the summary, which can be written on a few of your most prominent strengths. Not many candidates write these sentences, but employers see it as a great way to get noticed.
6. Emphasize successes
Employers want evidence of what you're made of. Remember to demonstrate your previous achievements and what benefits your former employer received, including how much money you saved him, how much time you spent, etc., show what innovations you had, etc.
7. Strive for accuracy
Describe your skills, abilities, and experience as accurately as possible, without exaggerating or misleading. Be sure that what you write is the same as your actual ability and level of work, but also the time and company of your previous work.
8. Use influential vocabulary
Use such vocabulary as proven, analytical, creative and organized. This will increase the persuasive power of the resume.
9. Be careful with words
Many officials in the survey spoke about this. They hate typos. Many people said: when I found the wrong word I will stop reading. So, your resume must be carefully written. Employers always think that typos show that people are not good enough.
10, personal information is not necessary
Nowadays, writing personal information such as blood type, height, and place of birth on your resume is sometimes no longer necessary. Many companies are happy to accept resumes without personal information.
11, the final test
Remember, your resume should answer the following questions: Is it clear and able to let the employer know your ability as soon as possible? Is it clear what you can do? Does it spell out the basis on which you are asking for this job? Is there something to remove?
Question 10: How to Write a Nursing Case Study Case Study
Case 1: Program Steps to Improve the Quality of Nursing Personnel (Chapter 3, Section 1, Program Overview)
A hospital has asked for an improvement in the quality of nursing personnel to improve the quality of care. Nursing Department immediately held a working meeting to convey the hospital's work deployment, a series of planning steps: ① analyze the form of what problems found? ② Determine what the goal is? ③Assess the resources including clinical workload, number of nurses, and the attitude of the department head. ④Develop alternative programs on the way, time, and content of nurses' learning. ⑤ Compare the options Compare the above options by fully discussing the pros and cons and feasibility. ⑥ Select a satisfactory program based on the evaluation. ⑦Develop auxiliary plans including plans for teachers, teaching materials, activities, and training contents. (8) Prepare budgets for teachers, classrooms, teaching materials, and teaching aids.
Questions:
1. Do you think the above plan is feasible? Why?
2. Evaluate the effectiveness of the nurse training program and give reasons.
Case 2: Rationalize time (Chapter 3, Section 3 Time Management)
Zhang Ling, a hospital internal medicine a group of ward nurse manager, nursing undergraduate graduates, four years of work was recruited to internal medicine a group of ward nurse manager work. She works very hard every day, especially hard, from time to time to help the main nurse to deal with medical advice, from time to time to help treatment nurses intravenous infusion, or to repair the curtains fell down in the ward, looking at her busy figure, the nurses in the ward criticized Zhang Ling is an incompetent head nurse. Why is this, and how then should Nurse Manager Zhang
organize her work time to be a competent nurse manager.
Questions:
1. Why do the nurses think that the head nurse is incompetent even though she works so hard?
2. How should nurse manager Zhang arrange her time?
Case 3: The Learning Organization in the Nursing Workforce (Chapter 4, Section 1, Organizational Overview)
Nurse Wang was transferred to the hospital's Nursing Department as an on-the-job nursing education officer, and Wang cherished the opportunity and was determined to do well. She believes that nursing skills are very important, so she organized a hospital-wide nursing operation competition. After that she was ready to conduct a hospital-wide theory test for nurses of different ages to improve the theoretical level of nursing staff. Her approach has been criticized by some nurses, who think that this method is not adapted to the needs of the development of modern nursing, and that the nursing staff would like to learn some new nursing knowledge instead of exams and competitions, and hope that Xiao Wang will consult the nurses before organizing some activities, and engage in some activities that are of interest to all of us
.
This is the first time I've ever seen a nurse in a hospital in the United States.
Questions:
1. Is Wang doing the right thing? How should she improve her work?
2. What are the main tasks of a learning organization?
Case 4: Formation of the Nursing Quality Control Team (Chapter 3, Section 3, Organizational Change and Development)
The Nursing Department attaches great importance to the "Quality of Clinical Care". In order to implement quality control, the nursing department reorganized the Quality Control Team twice. The first "nursing quality control team" was composed of the deputy director of the nursing department and the head nurse of the medical and surgical department and several senior veteran nurses, who worked conscientiously, controlled strictly, and were highly evaluated by the nursing department, but the nurses' group was unfriendly and unsupportive to them. After discussion in the nursing department, it was decided to reorganize the "quality control team", which consisted of the negative director of the nursing department, representatives of the head nurses, and representatives of the young nurses.
The nurses' group was very supportive and friendly to their work, but the leadership of the nursing department was concerned about the effectiveness of their work.
Questions:
1. Ask the students to role-play in groups to experience which approach is more acceptable to the students themselves?
2. Ask students to analyze what are the drivers and what are the resistances when it comes to organizational change?