1 All the staff to learn the fine management, enhance the ICU nursing culture construction
1.1 Emphasize the importance of fine management of nursing management:Hospitals as a service industry, in the fierce competition in the market to stand firm, for the hospital administrators, the key is to strengthen the quality of medical management. Nursing is an indispensable and important part of medical activities. Due to the special nature of the service object is human, which requires that our work must be accurate and fine service patients to meet the needs of patients. The implementation of fine management is of great significance to improve the quality of care and improve patient satisfaction.
1.2 ICU to establish the concept of fine management, included in the annual work plan of the department. Organize the whole department of nurses to learn, understand the connotation of fine management, learning "details determine success or failure", etc. Through the organization of team learning, so that nursing managers, nursing staff to realize: fine management is a consciousness, is a concept, is a serious attitude, is a culture of excellence.
1.3 Learning the strategies and methods of fine management, explaining to all nurses what is fine management, why fine management, how to carry out fine management; secondly, understanding the process of fine management work is a process of identifying problems and solving problems [2], which must be responded to and participated in by all staff in order to enter into the process of the operation of ward-based operation, and at the same time, to set up initiative and Positivity and the idea of ownership in order to effectively implement the refined management.
1.4 Symposium so that each nurse has a deep understanding of the spiritual connotation and essence of the refined management, consciously improve and optimize each process, each link, to ensure that the work to achieve tangible results.
2 grasp the system, the implementation of the establishment of a rigorous style of work
2.1 learning rules and regulations, and often organize the entire nursing staff to learn a variety of rules and regulations, according to the work of the department needs to develop a relevant system requirements. In the work of the "repeated learning, repeated lectures, repeated grasp, grasp repeatedly" method, to strengthen the nursing staff of the management system, the nursing operation system of knowledge and understanding. To do the rules and regulations, job duties system everyone knows, so that it becomes a constraint on the behavior of nursing staff quasi-criteria.
2.2 Implementation of rules and regulations to implement the post responsibility system: caution them "do not take the good small and do not do, do not take the evil small and do". Remember the importance of our nursing work, do not look down on yourself, and do not think that people look down on nursing work. In the work of the implementation of the "who is responsible for the post who is responsible for the task who completed, who work who do" responsibility system, refused to blame each other in front of the responsibility.
2.3 Propaganda "strict is love, loose is harmful" management concept to strengthen the management of the system is the key to the nursing staff to be able to correctly understand the ideology, the work of the strict implementation of the rules and regulations, to achieve the true unity of thought and action, effectively guaranteeing the system uncompromising implementation of the nursing program uncompromising implementation of the tasks uncompromisingly. The implementation of the system, the implementation of the task without compromise, the completion of the work without compromise.
3 grasp management, heavy process, to ensure that the work is safe and effective 3.1 to take PDCA management cycle is in accordance with the planning, implementation, inspection, treatment of the four stages of process monitoring and quality management, and according to the cycle. In order to achieve the full monitoring of the nursing management process, the PDCA management cycle is effectively utilized to form the mode of nursing staff's participation and management. This model can make the participating managers to enhance the sense of responsibility, enhance the nursing staff to confirm their own role function, enhance the ability to complete the work, improve the work efficiency and quality of work.
3.2 Nursing staff according to their own personality characteristics, work ability, their own strengths to form mutual help groups. The formation of nursing quality control group, nursing technology group, business learning group, nursing safety group, nursing first aid group. Recommended by the group or self-recommended group leader, the development of the group's work responsibilities, annual nursing work plan and implementation steps. Members of the group according to the different divisions of labor, in their respective jobs self-check problems, weekly problems and rectification programs for communication, monthly quantitative analysis of the problem, through incentives, penalties to promote nursing management and nursing quality management.
3.3 Each group should be based on the relevant content of the responsible, planned, focused, step-by-step, goal-oriented implementation of refined management. Emphasize the overall management of the system through the goal, so that the management process, personnel, methods and work arrangements are operating around the goal; emphasize the play of human enthusiasm, initiative and creativity, in accordance with the goal requirements for the implementation of self-management and self-control, in order to improve the adaptation to the environment of the `resilience'; emphasize the assessment of management performance based on the results of the goal, in order to ensure that the management activities to obtain a satisfactory result [3].
4 grasp the service, emphasize the details, and strive to create a warm and harmonious working atmosphere
4.1 cultivate nurses to sincerely serve the patients' consciousness, and attach importance to the education and training of nurses. Such as from the beginning of saying "you", open speech, do things with heart. Keep in mind the department service purpose: quality service, patient first; department service goal: all for the patient, for the patient all, for all patients; department nurse service etiquette ten points: instrument beauty, sweet smile, greetings, warm words, room diligence, observation, behavior light, business fine, help wide, strong affinity.
4.2 In the training of business skills: organize and improve a variety of nursing procedures, the use of medical equipment, the use of medical equipment, special inspection procedures, first aid plan process, unified training, so that each nurse can be skilled and standardized master, to ensure that the nursing work of the unit can be carried out in an orderly manner.
4.3 Enhance the doctor-patient relationship, recognized by the hospitalized patients, and enhance the feelings between nurses and patients, the nurses in the department for the patient's enthusiasm for the service is higher, the whole department presents a unity and harmony of the situation.
In short, our nursing work in the implementation of fine management process, improve the department of patient satisfaction rate, effectively improve the quality of nursing care in the ward, training a solid style, bold and careful nurse team, but the fine management at present due to the start, but also need to be in practice to continue to improve, and constantly improve, in order to really play the role of fine management.
References
[1] Wang Zhongqiu, Wu Hongbiao, Liu Xingwang. Refined management [M]. Beijing: Xinhua Publishing House, 2005: 5
[2]Wu Xiangjiang. The understanding and practice of refined management [J]. Hangzhou Journal of Financial Research, 2004(7):31-33