Nurse professionalism enhancement program sample essay a:
Quality nursing services depend on good professional quality. In the next period of time, quality care should be promoted in breadth and depth, and can reflect the connotation and value of the nursing profession, young nurses urgently need to improve the quality of the ability to clinical training and teaching of the task is very heavy. In order to promote young nurses to learn to master the basic theories of nursing, basic knowledge, basic skills, and effectively used in various clinical nursing work, the development of this work program.
First, the work of the goal
Establish the "learning to use", "knowledge and practice" principle, reform the nurses clinical teaching rotations, "three basic" training assessment The way the method, focusing on thinking ability, practical ability, humanistic qualities of the formation, guiding young nurses to use professional knowledge to guide the clinical work, to strengthen the observation of the condition, operating skills and specialized symptomatic treatment ability, change passive work for active work, really will solve the patient's problems, competent clinical nursing work, promote quality nursing services in-depth and lasting development.
Second, the scope of the object
Scope: the province's two hospitals above the full implementation.
Objects: newly hired nurses at all levels of medical institutions.
Third, the main content
(a) standardized training
New nurses standardized training cycle for three years, divided into three phases: novice adaptation period (0 to 6 months), skills maturity (7 to 18 months) and clinical rotation period (19 to 36 months). It is suggested that the following arrangements can be made:
1. Novice adaptation period (0 to 6 months)
Month 1: pre-service training.
Fixed section after two-way selection.
Month 2: Care of 6 to 8 with clinical instructor***.
Month 3: Care of 8 to 12 individuals with clinical instructor*** or 4 to 6 individuals independently under the supervision of a clinical instructor.
Month 4 to 6: 6 to 8 people under the supervision of a clinical instructor. Familiar with the various systems and regulations of the ward, post duties, workflow, mastery of basic nursing skills, mastery of nursing program thinking, familiar with common diseases care, examination, drugs and hospital infection prevention and control of basic knowledge.
Intra-departmental assessment. Assessment form: clinical performance evaluation, operation assessment.
The hospital can also organize a "separate duty qualification assessment", the assessment of those who are qualified to enter the next stage of standardized training and a separate duty, failing to extend the training time until the assessment is qualified.
2, skill maturity (7 ~ 18 months)
Fixed department.
Under the guidance of the head nurse, the head of the responsible group or clinical instructor, according to the patient's condition to take care of 8 to 12 people independently, mainly critical patients. Regularly arrange for new nurses to participate in the director of the medical examination (group patients mainly), business learning, book reports, critical care patients evidence-based nursing examination, etc., the conditions of the hospital can be organized annually outdoor development training.
Basic mastery of the basic operating skills of specialized nursing, familiar with the "practical clinical nursing" (should know and should be able to sub-book), skilled use of nursing procedures to assess the condition, analyze the nursing problem, and take appropriate nursing measures.
The hospital can choose more professional and technical operations or more critical patients in the department as a clinical training base, assessment and designation of clinical teaching, training in specialized nursing basic operations (general project base test, special projects within the department test), training in common diseases, multiple cases of critical illness assessment, and the organization of the implementation of the assessment, to strengthen the thinking ability of the new nurses, the ability to care for the critical illness and communication skills.
Training base assessment. The form of assessment: bedside examination, operation assessment.
3, clinical rotation period (19 ~ 36 months)
Clinical rotation. The necessary departments are ICU, emergency room, and other departments are arranged according to the situation. The rotation time is determined by each hospital in accordance with the actual situation.
Under the guidance of the head nurse and the head of the responsible team, according to the patient's condition, take care of 8 to 12 people independently, mainly the critically ill. The department designates a senior nurse or nurse specialist as the mentor, the rotating nurse records daily work notes and communicates with the mentor on a regular basis, and the mentor gives comprehensive guidance to the student's work and study.
Regularly arrange for the rotating nurse to participate in the department director's medical checkups (patients in the group mainly), business study or participate in the activities of the specialty group, book reports, evidence-based nursing checkups for critically ill patients, and so on, and hospitals with the conditions can organize out-of-hospital learning.
Master the nursing operation skills of various specialties, master the use of various instruments and equipment, master the "practical clinical nursing" (should know and should be able to sub-book), master the rotation of various specialties of common diseases, multi-century disease nursing routine, and skilled use of the nursing program to assess the condition, analyze the nursing problems, and to take suitable nursing measures.
The hospital-level assessment is the main, supplemented by the discharge assessment. The assessment form: theoretical examination, real-life case analysis and operational assessment.
(B) provincial sampling test
2012 onwards, the provincial Department of Health annually organizes a sampling test of young nurses' ability to work in clinical practice in tertiary hospitals, setting up an "excellent", "qualified" and "unqualified" three grades. "three levels, to replace the original three hospital nurses "three basic" random test activities. Specific matters are as follows:
1, sampling time
With the annual province's three hospitals, medical personnel "three basic" examination activities or special inspection of nursing work and arrangements, time to be announced.
2, sampling test object
The three hospitals (including hospitals) and provincial hospitals on duty in the post to obtain licensing qualifications of nurses (including contract nurses).
Randomly selected from the national nurse licensing database of nurses who have worked for 3 to 10 years, 6 general hospitals, 3 specialized hospitals. The list is taken one week in advance, and the list can be adjusted as appropriate for those who can't attend for any reason.
3, sampling form
Real-world case study and operational assessment.
The Provincial Department of Health commissioned the Provincial Nursing Society in the various professional committees, professional groups on the basis of filling some of the clinical backbone, the formation of "Jiangsu Province, young nurses business ability to test the expert pool", divided into a number of specialty groups, to determine the type of each specialty and common diseases and diseases of the type of operational assessment, to determine the level of evaluation The experts are divided into several specialty groups to determine the types of common diseases and multi-morbidities in each specialty, the types of operation assessment, and to determine the grade evaluation standards. According to the number of nurses drawn from various places and the types of specialties involved, a team of experts will be sent to the nurses' ward or the ward where they have been rotated to carry out real-life case analysis and operational assessment.
4, the scope of the examination
The practical clinical nursing "three basic" (should know and should be able to sub-volume) (Southeast University Press, 2012 edition), "practical clinical nursing "three basic" (operation) (Southeast University Press, 2004 version), "three basic" (operation) (Southeast University Press, 2004 edition). Publishing House, 2004 edition) as the main reference, combined with clinical nursing routines and "quality nursing service" related documents and connotations, by the provincial health department unified organization proposition.
5, examination time and method
15-20 minutes per person. Critically ill patients mainly, including the assessment of the condition, analyze nursing problems, take appropriate nursing measures (including operational assessment). Specific methods refer to the Ministry of Health "tertiary general hospital accreditation standards implementation guide" (2011 version) in the "case tracking method", focusing on disease care.
6, the results of the examination
The results of the examination will be announced within four weeks after the end of the examination, and the results of the unit in the province for notification. Individual results feedback to the hospital nursing department.
The sampling of young nurses' clinical practical work ability in secondary hospitals, the municipal health bureaus can refer to the above methods to develop and implement their own.
Nurses professionalism enhancement program essay two:
I. Methods and steps 1.1 to develop a plan
Provide learning materials, platforms for nursing technical operation practice and qualification examination information, develop relevant policies and rationalize the work time, encourage nursing staff to grasp the business learning as soon as possible, so that the nursing staff of all seniority to enhance the professional qualities and pass the qualification examination. Rationalize the workload of each class, so that the nurse in charge and the nurse in charge of their own work and study tasks, at the same time, can be on the low seniority nurses "one to help one", "one to one" help, or designate each class to check the specific teaching teachers, to ensure that each class work, quality of care can meet the standard. The work and quality of nursing care can reach the standard. In order to enter the nursing management PDCA cycle as soon as possible, the following steps are used.
(1) analyze the quality of nursing records in each class, the knowledge structure and professional quality of nursing staff, to find out the existing problems, such as whether the nursing records are standard, whether the professional and technical operation is skilled, to analyze the attitude of the service and the shortcomings of nursing work, and to give individual guidance and help for the existing problems in a timely manner. For example, if the nursing record is not filled out, the medical terminology is not accurate, the handwriting is not clear, the statement is not concise, the nursing operation is not standardized, etc., the supervisor will supervise the teacher to modify the record in time in order to improve the quality of their own qualities and the quality of nursing services as soon as possible.
(2) Clearly lead to low satisfaction of nursing service, easy to produce the cause of the problem, is the lack of professional knowledge or operating skills are not skilled, is the service attitude is not correct or service method is not appropriate. Teaching faculty should provide timely guidance and improvement in response to the problems.
(3) Find out the objective factors affecting the quality of nursing services. If the nursing staff's physical health or mental health is poor, they should be allowed to receive timely treatment and rest to adjust. If they lack professional knowledge or practical experience, they should be provided with relevant learning materials and timely explanations, as well as supplies and venues for nursing operations, and arrange for instructors to guide them, so as to ensure that nursing staff have a good working condition.
(4) for the reasons of poor nursing service effect of specific plans and measures, implementation of the program, the expected effect, time schedule, to determine the responsible person, the executor and the completion of the method, etc.; check the nursing records of each class, found that the problem of timely feedback and correction; find out the weak links in the work of each class, and timely enhancement; regularly organize lectures within the department and the hospital; equipped with relevant learning materials, nursing technology operation exercise The company's main goal is to provide the best possible service to its customers, and to provide the best possible service to its customers, and to provide the best possible service to its customers.
1.2 Implementation phase Strictly in accordance with the implementation of the plan. The quality of nursing care should be supervised from each class, the supervisor should be responsible for their own responsibility, and the hierarchical management of the unremitting. The assessment shall be made with strict reference to the scoring standard of nursing quality assessment and the scoring standard of nursing technical operation specification, and the key points shall be explained, the difficult points shall be instructed and the operation shall be commented, and the result of the assessment shall be recorded in order to refer to the next cycle. The establishment of a reward and punishment system and its implementation, and strive to everyone pass, everyone meets the standard, in order to improve the quality of care at the same time to enhance the quality of nursing staff.
1.3 Inspection stage Compare the implementation results with the predetermined goals, check the implementation of the predetermined goals, find out where the problems are in a serious, responsible and scientific manner, and summarize the successes and failures to guide the next step. To do every class, every day, every week, every month, every quarter, every year, there is a check, there are records, there is information feedback, there is a summary, there is improvement.
1.4 Processing stage (1) to irregular sampling or secret questionnaire results from the nursing service qualification rate and satisfaction rate as the basis for the implementation of rewards and penalties. Recognize the success of the experience, the formation of standards, resolutely according to this standard to judge the effectiveness of the work and the implementation of rewards, in order to facilitate the success of the experience to carry forward.
Summarize the lessons of failure, recorded and severely punished, in the section of the warning column timely tips to prevent the occurrence of similar situations.
(2) put the unsuccessful and leftover problems in the next cycle to solve, so the cycle, as soon as possible, so that the quality of care per person per shift to meet the standards and constantly improve patient satisfaction, so that the quality of care and quality of nursing staff to steadily improve.
Second, the results and discussion Department of nursing work checking the implementation of the three-shift system, that is, the morning shift? Afternoon shift? Evening shift, shift follow-up. Hospital nursing work management is implemented in a hierarchical system, i.e., teaching faculty? Nurse manager? Chief Nursing Officer? Nursing Supervision Team Nursing Department, level by level supervision, level by level. The implementation of PDCA cycle of nursing management in our hospital has significantly improved the quality of our nursing staff and the quality of nursing work. In the "second level" evaluation, the hospital successfully passed the "second level" evaluation and was upgraded to "second level hospital", which is the affirmation of the evaluation team of the Provincial Department of Health on the work of the hospital in all aspects, and also the affirmation of the nursing management of the hospital. This is the affirmation of the jury of the provincial health department on all aspects of our work, and is also a strong testimony that our nursing management adheres to the PDCA cycle to effectively improve the quality of nursing care and quality of nursing staff. Nowadays, our hospital has developed from a general internal medicine department to a department of internal medicine, internal medicine, surgery, obstetrics and gynecology, pain, anus and intestines, orthopedics, rehabilitation, and another department is under preparation, and the number of nursing staff has also increased from 10 to 32. Of course, this is complemented by the simultaneous development of other areas of the hospital, which has won good social and economic benefits for the hospital. While the scale of the hospital continues to expand, nursing staff and nursing workload continues to increase at the same time, nursing management only strictly adhere to the PDCA cycle, in order to improve the quality of nursing care, nursing services to improve the rate of qualification and satisfaction rate, the degree of benefit to the patient increased, and thus enable the hospital to carry out the work of medical care and gradually expanding the scale of the hospital in an orderly manner.
Nurses professionalism enhancement program essay three:
First, the training object: work 3-5 years nursing staff.
Second, the training objectives: focus on young nurses thinking ability, practical ability, humanistic training, mastery of specialized knowledge, and through the nursing program skilled application, strengthen the observation of the condition, operating skills and specialized symptomatic treatment ability, to promote the quality of nursing services in-depth and lasting development.
Third, the training content:
(a) work within three years of nursing staff
New nurses standardized training cycle for three years, divided into three phases: novice adaptation period (0 to 6 months), skills maturity (7 to 18 months) and clinical rotation period (19 to 36 months).
1. Novice adaptation period (0 to 6 months)
The first half month: pre-service training (nursing department). Fixed section after bi-directional selection. The first 1-2 months: with the clinical instructor *** with the care of 6 to 8 people.
Month 3: Care for 8 to 12 with clinical instructor*** or 4 to 6 independently with clinical instructor.
The fourth to sixth months: to take care of 6 to 8 people independently under the guidance of clinical instructors. Specific training content: familiarize with the various systems and regulations of the ward, job duties, workflow, master the basic nursing main operation skills, master the thinking method of nursing procedures, familiar with the care of common diseases, examination, medication, and the basic knowledge of hospital infection prevention and control.
Specific training progress:
Week 1-2: work procedures and standards for each shift.
Week 3-4: Observation of common diseases in our department, nursing points, treatment principles, the role of commonly used drugs and adverse reactions, precautions, etc.. (hernia, appendicitis, thyroid, gallbladder, breast disease, etc.)
Weeks 5-6: to explain the specialty of common critical care (severe pancreatitis, gastrointestinal cancer, compound injuries, etc.)
Weeks 7-24: common nursing operations in our department and the use of various resuscitation instruments (cardiac monitoring, oxygen, sputum, enema, catheterization, gastrointestinal decompression, etc.), and to participate in the hospital operation demonstration every month. The department monthly training and assessment.
2, skill maturity (7 ~ 18 months)
Under the guidance of the responsible team leader or clinical instructor, according to the patient's condition, independent care of 8 ~ 12 people. Regularly arranged to participate in the department director's medical rounds, business studies, book reports, critical care patients evidence-based nursing rounds.
The students should have a basic understanding of the basic operating skills of specialized nursing, be familiar with the "Three Fundamentals of Practical Clinical Nursing" (should know and should know sub-volume), and be skilled in the use of nursing procedures to assess the condition of the patient, analyze the nursing problems, and take appropriate nursing measures. The training of common diseases, multi-care patients with critical illness assessment, and the organization of the implementation of the assessment, to strengthen the thinking ability of new nurses, critical care ability and communication skills.
3, clinical rotation period (19 ~ 36 months)
Under the guidance of the head nurse, the responsible team leader, according to the patient's condition to take care of 8 to 12 people independently, mainly critical patients. The department designates one senior nurse as the mentor, who gives comprehensive guidance to the students' work and study.
Regularly arrange for rotating nurses to participate in the department director's medical checkups, business studies, or participate in the activities of specialty groups, book reports, evidence-based nursing checkups for critically ill patients, and so on.
Mastering specialized nursing skills, the use of various instruments and equipment, "practical clinical nursing" (should know and should be able to sub-book) "three basic", specializing in common and frequent disease nursing routine, and skilled use of nursing procedures to assess the condition, analyze nursing problems, and take appropriate nursing measures.
(B) 3-5 years of nursing training content
Specialty knowledge: 1, master the observation of a variety of diseases in general surgery and nursing care points and complications of prevention and care methods.
2, master the general surgery of various diseases health education content.
3, master case study and case discussion implementation procedures.
4, familiar with the new knowledge of specialties, new theories and related paper writing method.
Specialty skills: 1, skilled application of nursing procedures for patient care.
2, organization and participation in the rescue of critically ill patients, difficult nursing operations and the use of various rescue instruments and equipment.
3, to participate in the department of critical and difficult case discussion, to undertake specialized lectures and teaching room.
4, the development of teaching plans for the target teaching, participate in ward management, complete the special sub-control quality control.
Fourth, the assessment arrangements:
1, the work of three years of nurses:
(0-June) monthly clinical performance evaluation, theory, operation assessment. Nurse manager "alone on duty qualification assessment", the assessment of those who are qualified to enter the next stage of standardized training and alone on duty, those who do not qualify, extend the training time until the assessment is qualified.
(7-36 months) Monthly theoretical and operational assessment, monthly nursing plan. Timely record in the rotation manual.
2, work 3-5 years nurse
Specialty knowledge: quarterly.
Specialty skills: monthly.
(Note: the core system, emergency plans and all first aid skills of the whole nursing staff must be proficient.)
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