Nursing management Use scientific methods to organize and implement clinical nursing; create a beautiful recuperation environment for patients; establish a good nurse-patient relationship; effectively improve the quality of care and so on. The following is a sample nursing research paper that I have organized for you for your reference.
Nursing Research Paper Sample One"Emergency Nursing Role Skills Essay"
With the development of the nursing profession, nursing care has shifted from a single disease care to a holistic and comprehensive care. That is, biological, psychological and social all-round care model. The shift in the nursing model is in line with the requirements of society, in line with the needs of patients, it allows nurses to expand their roles and skills. As the hospital window image of the emergency department nurses, their own role and skills will directly affect the reputation of the hospital, must be given sufficient attention.
1. The role and skills of social workers:
The emergency department is a place to rescue the sick and wounded, but also a narrow social environment, in the face of sudden critical patients, but also must face different knowledge and cultivation, different cultural backgrounds, different customs, different economic ability of all kinds of people, so the emergency nurse is first of all a social worker, she must have noble dedication, rich in social skills. Therefore, the emergency nurse is first of all a social worker, she must have high professionalism, rich experience in social work, and strong organization and coordination ability. Pay attention to the collaborative relationship with the patient's unit, the patient's family, the party responsible for the accident, the police and insurance personnel.
In the face of batches, sudden emergency, critical patients, can provide patients with timely social support from social groups, units, families, friends and relatives. It includes two aspects of support:
(1) Spiritual support, i.e., the understanding, comfort, and encouragement of patients by the above groups and people, which helps to reduce or alleviate patients' emotional tension or mental stress. This is important for patients who have attempted suicide or had a sudden major accident.
(2) material and economic support: provide patients with timely information on law, insurance and treatment, and assist patients in seeking material and economic assistance from the above groups and people to solve the difficulties of life and raise funds for treatment. Especially for criminal cases, public security injury cases, accidental injuries and car accident injuries patients who have purchased insurance should be reminded to report to the police in time, and it is very important to collect and keep the relevant information. It is very important to collect and save the relevant information. The nurse can foreseeably, orderly and effectively cooperate with various medical and technical departments to create a highly efficient treatment environment, and win valuable follow-up treatment time for the patients. Emergency nurses must also have a strong sense of laws and regulations, in a tense work environment, especially to pay attention to their words and deeds on the patients and their families effect, to avoid unnecessary disputes.
2. The role and skills of professional workers:
Previously, nursing was a specialty belonging to the medical profession, with the development of nursing, it has become an independent discipline, nurses must change their dominant position in the concept of establishing a professional worker's awareness, mastery of professional skills, which requires emergency nursing staff must have the ability to independently determine the condition of the ability to identify a variety of danger signals and outstanding skills. This requires that emergency nursing personnel must have the ability to independently judge the condition and the ability to identify various danger signals and outstanding adaptability. Skilled in first aid resuscitation techniques, rapid and correct use of various first aid monitoring equipment, familiar with the resuscitation procedures of emergency and critical patients in various specialties, with the knowledge and skills to solve specific and difficult problems in nursing, and able to answer relevant questions raised by patients and their families. Knowledge of new developments in the specialty of emergency medicine. Nursing professional development in addition to synchronization with the medical profession, but also with many emerging disciplines, fringe disciplines and social humanities cross and penetrate each other, emergency nursing is at the forefront of nursing change. Therefore, emergency nursing staff must also have the ability to acquire and apply multidisciplinary knowledge skills, constantly update the knowledge structure, explore the application of new technologies, improve self, so as to be more confident, more methodical, more predictable implementation of holistic care for the patient, to improve with the doctor to rescue the patient's success rate.
3. The role and skills of psychological workers:
The work of emergency nursing staff is directly facing the sudden acute and critical patients, the causes of disease and injury are complex, patients and their families are difficult to face the cruel reality, and thus emotional instability or disorder, coupled with the rescue work is intense and busy, sometimes even can not get off work on time, so the emergency nurses must also be a good quality of psychological, and who has mastered the skills of psychological work. She should have the spirit of self-sacrifice and selfless dedication, a healthy outlook on life and values, an optimistic and cheerful personality, and the ability to regulate the emotions of patients and their families. She should be able to influence patients, their families, coworkers and other collaborators with her own charisma and gain their support, trust, support and cooperation. Respect the patient's feelings, understand and agree with the patient's personal feelings, through patient explanation, sincere persuasion, warm encouragement, meticulous care, considerate service, so that the patient's body and mind are benefited. Not to explore and discuss the patient's privacy in public, to prevent the order, blame, leakage, useless and other negative emotions to pass, so as to avoid the patient to produce self-worth underestimation and the bad mood of helplessness. In addition, emergency nurses should also be good at controlling and eliminating bad emotions and stress from themselves, preventing words and actions that may unintentionally harm patients, their families, and colleagues and collaborators, and creating a harmonious and orderly atmosphere for treatment.
Nursing research paper example two Emergency nursing quality evaluation system to explore the micro paper
Emergency nursing is the study of a variety of acute diseases, acute trauma, acute episodes of chronic diseases and acute critical care of patients in the rescue of a new specialty, its development is rapid, and there has not yet appeared a set of compatible reflect the characteristics of the specialty of the nursing quality evaluation system. Nursing quality evaluation system, hospitals still use conventional evaluation standards. Such standards cannot fully reflect the nursing characteristics of each specialty and lack practicality, professionalism, completeness and scientificity. In order to reflect the practicality, scientificity, completeness and professionalism, the establishment of the emergency nursing quality evaluation system standards should follow the following principles.
1. Based on clinical practice, highlighting the practicality.
Emergency department patients are characterized by rapid onset, strong time, randomness, small controllability, and strong professionalism, which puts forward high requirements for emergency department medical personnel. Emergency nursing personnel have multiple roles, in addition to the main body of medical services, but also the organizer and coordinator of disaster rescue, but also the public first aid education guide, consultant, educator medical|study education network collation. With the transformation of the medical model and the improvement of people's living standards and the reform of the health care system, people's demand for emergency services is getting higher and higher, and in the diagnosis and treatment of the requirements of fast time, high efficiency, low fees, and full service. In the establishment of nursing quality evaluation standards should be from the work content of emergency care and clinical practice, highlighting the focus of the work, reflecting the principle of practicality, the evaluation of the workflow should be simple, convenient, triage, diagnosis, rescue, diagnosis and treatment, health education is satisfactory.
2. Focus on the end of the evaluation based on the combination of link evaluation, highlighting the scientific.
At present, the quality of care evaluation is still based on the final quality evaluation, easy to generalize the illusion of instability and distortion, the nursing staff is easy to focus on the work of the surface form to cope with the inspection, it is difficult to implement the patient-centered holistic care.
The implementation of the final evaluation process combined with the link quality evaluation can maximize the play of personnel mobility, innovation, open up thinking, the introduction of competition, in order to achieve the purpose of improving quality, reduce costs, and promote the development of the discipline. For example, the same problem can be achieved through different ways to achieve the same results, this different ways, methods is the link evaluation of the need to control, it is from the cause and nature of the improvement of quality, the method is more practical and feasible.
Nursing staff is the core of quality evaluation, link evaluation also requires its understanding of the purpose of quality evaluation, methodology, standards, and improve the awareness of quality management, to do not only to know, but also to know why.
3. Nursing quality evaluation system should be comprehensive, highlighting the integrity.
The emergency department has an outpatient nature and ward characteristics, its quality evaluation should also take into account the general ward and special outpatient management standards. Room management in addition to standardized facilities, clear responsibilities, in the scheduling should highlight the flexibility, mobility; medical record writing in addition to objective, standardized, concise, detailed, in the time record is more required to be true and accurate; technical operation evaluation to highlight the high efficiency (accurate, timely, standardized); nosocomial infection evaluation in addition to the routine evaluation of nosocomial infection standards, the Emergency Department of the various types of infectious diseases and disinfection and isolation should also have a corresponding evaluation standards; overall nursing care. corresponding evaluation standards; overall nursing evaluation should highlight the practicality, innovation, affordability, service, nursing management should develop nursing staff self-protection awareness standards, enhance legal awareness.
4. Evaluation of the system of regional management, reflecting the specialty.
The emergency department's emergency and heavy features require every health care worker to have a sense of timeliness and life-saving awareness. Evaluation focuses on whether the emergency call can be quickly responded to (time, speed), whether the measures are appropriate, whether a variety of first aid items are complete, whether the function is good, whether a variety of abnormalities can be detected in a timely manner, effectively dealt with, whether there is a large reserve capacity of first aid supplies, whether the contact and communication system is smooth and effective, and whether the collaboration system is synchronized to cooperate and so on. Emergency patients and emergencies, and medical personnel and medical resources are extremely limited, so that the limited resources are fully utilized, zoning management is an effective management method. District management is based on the severity of the condition of the centralized hierarchical partition clinic, change the unplanned, disorderly work for the relative planned, orderly, highlighting the work center of gravity, the technical force, instruments and equipment focused on the rescue of critically ill patients.
At present, the emergency department is divided into the initial diagnosis area, observation area, guardianship area, surgical area. The primary diagnostic area is mainly responsible for the diagnosis of patients, preliminary diagnosis and treatment and maintain the order of diagnosis. According to the principle of priority treatment of the condition, reflecting the concept of life first, and also involved in the initial emergency rescue of critically ill patients and disaster relief organization and coordination work. Therefore, the evaluation of the quality of nursing care in the preliminary diagnosis area should reflect the correct rate of triage, the rate of reporting the condition, the timely rate of diagnosis, and the success rate of critical resuscitation.
The guardianship area is mainly responsible for the rescue of critically ill patients until their lives are stable. With the rapid development of China's emergency technology level, a large number of high-precision equipment and technology is widely used in clinical, various types of ventilators, defibrillators, cardiac monitors, bedside laboratory analyzers, cardiopulmonary resuscitators and so on need to have a high level of professionalism, high technical operation of the emergency nursing staff. Therefore, the focus of their nursing quality evaluation should be placed on business technology, examining the correct use and maintenance of various instruments and equipment, the ability to observe and respond to a variety of patients with acute and serious illnesses, and the awareness of innovation and scientific research. The surgical area is mainly responsible for emergency surgical treatment, the evaluation focuses on the success rate of surgery, postoperative infection rate, the degree of proficiency of surgical cooperation and health education before and after surgery.
In conclusion, nursing managers should update their concepts, grasp the latest developments, and establish management standards that serve the practice of emergency nursing, in order to promote the quality of emergency nursing care toward a high level of development.
Nursing Research Paper Sample Three"Neonatal Asphyxia Nursing Paper
Abstract Objective To explore the observation and nursing care methods after resuscitation of neonatal asphyxia. Methods The clinical nursing data of 42 cases of asphyxiated newborns were retrospectively analyzed. Results 42 cases of neonates with asphyxia, except for two cases with intracranial hemorrhage to give up treatment, one case with intestinal paralysis renal failure, one case with pulmonary hemorrhage death, the other 38 cases were all cured and discharged from the hospital.
Keywords neonate; asphyxia; resuscitation; observation; nursing
1. Clinical data:
From January 2007 to December 2007, 42 cases of asphyxia occurred in neonates born in our hospital and transferred to our department from outside hospitals. There were 28 cases of mild and moderate asphyxia (Arrhenius score), 14 cases of severe asphyxia, 1 case of asphyxia due to diabetes mellitus in the mother, 5 cases of gestational hypertension in the mother, 5 cases of placenta praevia, 6 cases of umbilical cord bypassing the neck, 7 cases of intrauterine distress due to contamination of the amniotic fluid with fetofecal matter, 5 cases of prolonged labor, 2 cases of cephalo-pelvic asymmetry, 3 cases of ruptured uterus, 8 cases of preterm labor, 9 cases of combined intracranial hemorrhage (confirmed by cranial CT), 1 case of intestinal paralysis, 1 case of pulmonary hemorrhage, 38 cases of clinical cure, 1 case of abandonment, 1 case of clinical cure. There were 38 cases of clinical cure, 2 cases of abandonment of treatment and 2 cases of death.
2. Resuscitation methods:
After the delivery of the fetal head, the midwife must use the left hand from the root of the nose to the jaw extrusion, try to squeeze out the mucus and amniotic fluid in the mouth and nose. After the delivery of the fetus so that the newborn lying on his back, shoulder pads, so that the head tilted back, with a suction tube suction nasopharyngeal and oral mucus, amniotic fluid, negative pressure does not exceed 30mmHg, each time suction for 10 seconds, to maintain a clear respiratory tract, if the respiratory tract mucus blockage site is deep, laryngoscopy can be used for tracheal intubation and suctioning. It can also be inserted with bare hands. The action must be rapid and timely, to be completed within 1 minute after birth, pay attention not to damage the respiratory mucosa. After removing the respiratory foreign body can not breathe, can be artificial respiration, at the same time to give oxygen. If the heart rate is slower than 60 beats per minute, chest extrusion should be used first. If the heart rate does not improve after the above treatment, drug-assisted therapy should be given to ensure that the infusion is smooth during the resuscitation process. Warmth must be maintained throughout the resuscitation process. Immediately after the delivery of the child, dry the newborn's moist body to reduce heat dissipation, preferably with far-infrared heat preservation bed equipment. Because the cold will raise the metabolism to increase oxygen consumption, aggravating acidosis.
3. Post-asphyxia care:
Timely and effective resuscitation of asphyxiated newborns, firstly, keep the airway open, establish effective breathing, increase ventilation and ensure the supply of oxygen. Next is to maintain effective circulation and medication, etc..
Warmth:
In the absence of a warming box, the baby can be placed close to the mother's arms, covered with clothes and quilts on the outside, or with a hot water bag to keep warm. But need to prevent accidents, scalding, water temperature to not more than 50 ℃ is appropriate.
If the conditions of the place, the child can be placed in the warming box. The temperature of the warming box should be adjusted according to the weight of the child. The child's skin temperature should be kept as neutral as possible at about 36.5°C to minimize oxygen consumption.
Monitoring of vital signs:
Respiration is the main focus of monitoring. If the respiratory rate is persistently greater than 60 breaths/minute, apnea is greater than 15 seconds to 20 seconds/minute, accompanied by decreased heart rate, cyanosis around the lips and limb extremities, and often with expiratory moaning, then the child often needs oxygen inhalation. Oxygen is usually administered by head mask for 4 to 5 liters/minute. Oxygen concentration should be adjusted according to the results of blood gas analysis, because hypoxia can cause irreversible damage to vital organs, and prolonged high oxygen concentration can cause oxygen toxicity.
Heart rate and blood pressure monitoring, they often change with the respiratory situation, the monitoring of the main measurement of the heart rate, pay attention to the strength of the heart sound, the rhythm of the heart. If the heart rate is lower than 80 beats per minute, chest compressions should be taken or the application of drugs to stimulate the heart. If the heart rate is higher than 180 beats/minute and accompanied by hepatomegaly, heart failure may occur and cardiac stimulants should be used according to medical advice. If there are devices such as cardiac galvanography and cardiac ultrasound, the abnormalities can be detected at an early stage, the doctor can be notified in time and cooperate with the resuscitation, which will play a positive role in improving the survival rate of the child. The systolic blood pressure of blood pressure is about 45～80mmHg.
Observation of changes in condition:
Because neonatal asphyxia can cause a series of complications, in order to prevent complications and good prognosis. We must closely observe the child's adverse manifestations, such as the size of the cry, screaming, limb muscle tone, peripheral circulation, skin temperature and color, various reflexes are normal, whether the consciousness is impaired, urination and defecation, etc. If you find the above abnormalities, you should take measures to prevent the child's condition. If you find the above abnormalities, you should take active measures to prevent further aggravation of the disease affecting the life of the child.
Because of the asphyxia and hypoxia, the anal sphincter of the child is relaxed, the meconium can be partially eliminated before birth, and there is no feces or less feces due to the reduction of intestinal peristalsis after birth, and also due to the asphyxia and hypoxia and the redistribution of blood, resulting in intestinal ischemia. Abdominal distension and bloody stools appear a few days after birth, and urination is also reduced due to renal damage caused by hypoxia and ischemia. Therefore, it is important to observe and record the frequency, amount, color and character of urine and stool.
Prevention of infection:
Because of the low resistance of the newborn body, pathogenic bacteria are easy to invade the body caused by infection, can be appropriate application of antibiotics. Newborns are required to live in a single room or live with children with the same disease, reduce the number of visitors, staff should wash their hands before and after contact with children, wear masks, work clothes and clean shoes. People with respiratory infections are prohibited from touching children. Items used by children must be clean and, if necessary, sterilized by autoclaving before use. The ward is sterilized with ultraviolet light once a day, and the children's skin, buttocks and umbilical cord are well taken care of.
Feeding:
Newborns resuscitated from mild asphyxia can be breastfed directly if they respond well and suck well. If the sucking ability is poor, can be used to drip or gastric tube feeding. The severe asphyxia resuscitation recovery is not good, appropriate delay in the opening of the milk time, to prevent the vomit inhalation again caused by asphyxia. If the feeding can not guarantee the nutritional supply of the person, to give intravenous rehydration, generally the first intravenous drip 10% glucose, and then according to the need to add drops of compound amino acids, neutral fat, plasma and other intravenous high-nutritional therapy.
Quiet:
Asphyxiated children must be kept quiet, reduce moving, care and operation as much as possible to focus on, the action should be gentle. The head is slightly elevated to minimize intracranial hemorrhage.
4. Experience:
In this paper, 42 cases of asphyxia in the newborn, after the birth of the fetus, the use of new methods of resuscitation techniques and post-resuscitation vital signs and monitoring of the condition and careful care, timely treatment, in addition to two cases with intracranial hemorrhage to give up the treatment, one with intestinal paralysis and renal failure, one with pulmonary hemorrhage and death, the other 38 cases are all cured and discharged from the hospital. When asphyxia occurs in newborns, effective resuscitation techniques and monitoring of vital signs must be carried out in a timely manner, because hypoxia can cause damage to multiple organs, especially the brain in ischemia and hypoxia for more than four minutes, irreversible damage will occur, and asphyxiated children with intelligence abnormalities, complications occurring in an important relationship with the time of hypoxia medical|student education network. Therefore, it is extremely important to deal with it correctly and effectively, strive for resuscitation as soon as possible, reduce the occurrence of sequelae, reduce perinatal mortality and eugenics. The treatment and care of neonatal asphyxia does not require expensive drugs and instruments, but mainly the responsibility, love and confidence of medical personnel.
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