How to improve the quality of nursing care management of the head nurse in the ward

Nursing quality is the eternal theme of nursing, is the core of nursing management. Nursing quality is an important part of the quality of medical care, but also to measure the quality of medical services is one of the important signs. Nursing quality not only depends on the quality of nursing staff and technical quality, more directly dependent on the level of nursing management, especially the method of nursing quality management. Scientific and effective, rigorous and perfect management method is the basis for ensuring nursing quality. The head nurse of the ward, as the most basic clinical manager, plays an important role in the nursing management of the department. How to improve the quality of nursing care in the department, I have the following understanding. First, improve the quality of business. Heavy nursing staff self-cultivation, improve the theoretical level and business and technical skills. First, combined with the needs of specialty development to select and send outstanding nurses for further study, according to the department, reasonable arrangements for nurses to ICU and electrocardiogram learning, in order to improve the nurses' ability to cope with critical emergency patients. The second is to strengthen the on-the-job training, through the monthly nursing room, business learning to constantly master the new theoretical knowledge and technology; the implementation of responsible nurses to participate in the group of doctors room; to strengthen the nurses three basics, specialized theoretical knowledge, the core system, the study of emergency preparedness and the technical operation of the training, a strict examination system, the results of each examination and the nurses of the monthly examination and bonuses linked to the strengthening of nurses to a variety of medical and technical examination of essential knowledge of the nursing before learning, in order to improve the ability of health education. To strengthen the nurses' knowledge of nursing care before various medical and technical examinations, to improve the ability of health promotion; weekly discussion of medical records is organized by the head of the whole nursing team to improve their comprehensive analysis ability. Thirdly, encourage self-education, encourage and support nurses to participate in nursing undergraduate self-study exams to improve the level of education and their own quality. Second, enhance legal awareness, strengthen the sense of responsibility. A high degree of responsibility is to improve the quality of care is an important element, nursing staff should be serious and responsible attitude towards patients. Strengthen the legal awareness education and training for nurses and practical nurses to improve the legal awareness of nursing staff. Nursing errors and accidents are to a large extent caused by a weak sense of the legal system and a weak sense of responsibility at work. Most of the nurses' work is to complete nursing work alone without leadership supervision, therefore, having a high sense of responsibility and good prudent spirit is the guarantee to avoid errors and accidents. Individual legal awareness is weak, work responsibility is not strong nurses, should especially strengthen the education. Third, improve the rules and regulations to implement the core system. Develop and improve the rules and regulations, the duties of all kinds of personnel in each class, the standard of work, so that each class of nurses have a chapter to follow, have a system to check. On the ward of the hierarchical nursing system, checking system, shift handover system, nursing medical record writing standard system, etc., seriously organize learning, strict implementation. All rules and regulations should be observed by everyone. Strictly according to the nurses monthly assessment standards and compliance with the various systems in the department to assess the performance of each nurse, the results of high and low and bonus linked to the selection of outstanding nurses and advanced workers according to the score. Fourth, play the role of quality control team supervision and inspection. According to the characteristics and ability of each nurse, the nursing quality control team is established to assist the head nurse in supervising and checking the case management, ward management, basic nursing care, special nursing care, teaching management, first aid management, etc., so as to realize that everyone has a special responsibility, and there is a person in charge of everything, so as to realize the tasks and responsibilities of the nursing work to each post and each person. Regularly convene a regular meeting every month to analyze the results of nursing quality inspection, summarize and analyze the situation of various nursing inspections in the month, put forward corrective measures, and formulate corresponding uniform regulations for the existing **** problems, reflecting the concept of process control and continuous improvement. Fifth, the scientific and rational use of human resources. In the case of insufficient nursing staffing, the head nurse to do a good job of flexible scheduling, in the arrangement of nurses' work positions to do a combination of old and new, collaborate with each other, and give due consideration to the quality of the personnel and the reasonable distribution of high and low levels of technical skills. Contribute to the coordination of nursing staff relations, play complementary, improve the quality of nursing group. Sixth, monitoring key links. Nurse manager will nursing errors, nursing disputes prone to the link as a nursing risk management focus on the implementation of management. For example, the management of "key nurses": the basic skills are not solid, poor overall quality, poor service consciousness of the nurses need to strengthen the teaching, strengthen supervision and guidance: "key moments" management: such as the number of patients with serious illnesses, treatment and care of a large number of (or) less nursing staff. The situation should strengthen the organization and management and staffing, if necessary, can report to the nursing department to give support, strengthen the first aid items check to ensure that complete, holidays, strengthen the check, line up a good first aid nurses, in order to cope with the occurrence of emergencies. Focus on details, eliminate hidden dangers, reduce nursing errors and accidents, nursing complaint rate, and avoid medical disputes. Seven, strengthen the nurse service concept. With the development of medical model and socio-economic development, the patient's expectation of nursing is also increasing. How to improve patient satisfaction is also an important standard for measuring nursing quality. Strengthen the nurse's active service consciousness, set up "let the patient smile at us" service concept. Take the initiative to communicate with patients, help patients to solve some practical difficulties, so that patients are in the best state to receive treatment and care during hospitalization. Dealing with the doctor-patient relationship follow the "fault in me" principle, the "right" to the patient, where adverse to the image of the hospital and the department of the people and things, reasonable and unfavorable, not to argue with the patient. When the patient dissatisfaction or controversy, the nurse is not required to argue with the patient face to face, by the director, the head nurse to facilitate the resolution of the problem. Improvement of patient satisfaction, reflecting the improvement of the quality of nursing services, not only for the hospital has won good social benefits, but also achieved good economic benefits. Eight, to create a combination of strict and wide environment. Work must be "strict" word at the head, remove the "fear" word, in order to improve the quality of care. Criticism should also speak on the art, many nurses in the character of each, the level of ideological understanding is different, to accept the criticism of the head nurse reflected in different attitudes, therefore, the head nurse should be based on the nature of the problem and the character of the nurse to take a different way of criticism. But in the life of the nurses to do their best to solve problems, understand their needs, as they are like a mother, like to sisters, so that they feel warm in the department work. Every month to find 1-2 nurses to talk about, understand the nurses thought dynamics, life difficulties, seek nursing improvement measures. After work, the organization of departmental activities, relieve work pressure, harmonious relationship between colleagues. Enhance the collective sense of honor to carry forward the good team spirit. Solidarity, mutual support and trust is an important guarantee to improve the quality of our nursing. The complexity and diversity of nursing work is objective, nursing management should be based on strict quality control. To focus on the quality of the elements to coordinate the overall situation; specifically grasp the link quality, pay attention to the end of the quality, quality feedback control, to achieve the improvement of nursing care, improve the quality of the purpose of medicine, 敎育网收集整理.