Summary report of general surgical nurses 1
In order to reflect the feeling that the hospital is home, I have established the service
Summary report of general surgical nurses 1
In order to reflect the feeling that the hospital is home, I have established the service tenet of "patient-centered, patient satisfaction as the core and patient demand as the goal" in the department.
Starting from me, practicing, and then subordinate nurses should first give humanistic care to patients, think about problems from the needs of patients, and establish the concept of caring for and respecting people. Secondly, use warm, cordial and warm words to understand and sympathize with patients' pain, make patients feel cordial and natural, and introduce the hospital environment, various rules and regulations, patients' rights and obligations in the form of hospitalization instructions. Strengthen communication with patients, explain the occurrence and development process of diseases in a simple way, introduce the purpose of each examination and the matters needing attention in doctor's advice in detail, carefully observe the changes of the condition, cooperate with doctors to rescue critically ill patients, grasp the psychological state of patients, formulate humanized and personalized nursing measures, evaluate the nursing effect in time, let patients participate in treatment and nursing, eliminate tension and anxiety, and make patients feel safe and satisfied. Thirdly, from the list of patients' sensitive days, the charging items and standards are explained in detail, so that patients can clearly understand the consumption. As long as we persist in taking patients as the center, taking patients' satisfaction as the core, taking patients' needs as the goal, and providing high-quality personalized services, the economic and social benefits of the department can achieve double harvest. Satisfying patients is the core of hospital work. The improvement of patients' satisfaction is essentially to establish a sincere relationship between patients and hospitals. Only when patients are satisfied can patients become loyal customers of the hospital. Over the past year, nurses have given sincere smiles to patients, and patients have left favorable comments to departments and medical ethics offices. Although the bonus in our hospital is not high, our nursing service is really the best. We have been diligent and conscientious, practicing angels in white's oath in ordinary posts, and handing over a satisfactory answer sheet to patients with high-quality nursing service. The whole department treated 100 patients a year, which was more than last year. The annual income was * * *-yuan, which was-ten thousand yuan more than last year, and the patient satisfaction was adjusted to -.8%. Like-person-time, red envelope refund-person-time, total-yuan, zero complaints throughout the year. This is a breakthrough, this is a leap, this is the result of Qi Xin's concerted efforts and common struggle in all departments of obstetrics and gynecology, and it is the crystallization of our efforts and sweat over the past year, which is worthy of our pride and obvious to all.
In order to ensure nursing safety, I constantly strengthen safety awareness education in daily nursing work, remind unsafe factors in work in time, and put forward rectification measures. Taking the nursing errors in and out of the hospital as an example, organize discussions and learn lessons, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn lessons from them, and let the safety alarm ring constantly.
1. Strengthen the system and responsibility education, reaffirm the responsibilities of nurses at all levels, and clarify the post responsibility system and nursing work system: for example, microcomputer nurses try their best to eliminate patients' doubts about fees, and roving nurses try their best to eliminate patients from changing infusion bottles and getting rid of needles.
2. Strengthen teaching safety management.
The management of key employees, such as intern nurses, rotating nurses and new nurses, should be educated in legal awareness to improve their awareness and ability to guard against risks, so that they can clearly care for patients only under the guidance or supervision of teaching teachers. At the same time, qualified nurses with clinical experience and strong sense of responsibility are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
3. Strengthen management in critical period.
Adhere to the bedside morning, noon and night shift system, strengthen the management of night shift, afternoon shift, holiday shift and other key periods, and take the management of key patients such as intensive care unit patients and critically ill patients in general wards as the discussion focus of morning meeting and succession shift, evaluate the existing and potential risks of patients, and achieve * * * knowledge, which will attract the attention of each class.
4, adhere to the inspection system
(1) Please ask the doctor's advice class BANCHA to check the doctor's advice and record it at noon every day;
(2) Nursing operation requires three checks and seven pairs;
(3) Implement the infusion card review process;
(4) Assist in checking the implementation of the double-check signature system;
(5) Daily, night and discharge inspection signature system;
(6) Check and maintain the signature system of various medical and nursing devices;
(7) Check the signature system of first-aid equipment and medicines;
(8) Daily inspection and replacement of isolation and disinfection signature system;
(9) Daily check and signature system for long-term medication;
(-) Registration and inspection system for the destruction, classification and recovery of medical wastes;
(-) Check the nursing records every week, conscientiously implement the principle of crossing in nursing records, that is, "objectivity, truthfulness, accuracy, timeliness and completeness", and avoid irregular writing, such as missing words, unclear alteration, and inconsistency with doctors' records. It should not only reflect the comprehensive nursing problem record, but also reflect the particularity of specialist symptoms.
5. Improve the nursing risk plan.
Pay attention to the cultivation of nurses' emergency ability in daily work: improve the on-site rescue ability of emergency patients, common sense of fire prevention and fire fighting and emergency plan. Improve the nursing emergency risk plan, make a retrospective evaluation of each emergency work, draw lessons from it, improve the nurses' ability to respond and deal with emergencies, and ensure the normal daily work.
(C) increase revenue and reduce expenditure to improve economic efficiency.
1. Increase income: master various charging standards, make full use of charging policies, collect every penny recovered, carry out more nursing services, strengthen dunning efforts, and avoid the phenomenon of patients' arrears.
2. Cost saving: minimize the waste of water and electricity, disposable materials and medicines, and pay special attention to the repair and maintenance of medical equipment in the department to ensure normal operation and create maximum economic benefits for the department.
The above are the achievements and achievements that my department and I have made in the past year. "Without enough money, no one is perfect" has many shortcomings and deficiencies. Achievements can only represent the past, and we have to face the future work. Looking back, we have come all the way, full of hardships and joy; Looking ahead, we have a long way to go and are full of hope. I believe that under the guidance of the president of our hospital, with the sincere cooperation of all members of our hospital and with the close cooperation of our brother departments, our hospital will definitely overcome every problem and every difficulty. I will lead our department to do better, go further and get more benefits. At the same time, we should overcome our own shortcomings and deficiencies, strengthen management internally, shape our image externally, and make greater achievements in nursing quality, professional ethics and medical ethics.
Summary of general surgical nurses II
In a blink of an eye, the one-month surgical internship has ended. Although this internship is a bit bitter and tired, it is quite enjoyable. Ward rounds, dressing changes, writing course records, following surgery, and writing discharge summary, every day's life is spent in such repeated busyness. In general surgery, we make rounds at 7: 30 in the morning and then change the dressing. Of course, the most difficult thing in the operation is to follow the operation, and often one stop is several hours. Learn to look up tables, write medical records, change medicine, take out stitches, and operate. Basically starting from scratch, it is so difficult to realize the seemingly simple operation for the first time. Although not everyone actively participates in the operation, they are still very knowledgeable even by stages, such as thyroidectomy, cholecystectomy, splenectomy, appendectomy, subtotal gastrectomy, radical resection of colon cancer and so on. My knowledge of laparoscopic technology and interventional therapy has made me refreshed.
After staying in a department for a long time, I feel that everyone really feels like a family. The care and instruction of teachers and the cooperation of the whole department make the busy work full and happy. Surgeons are mostly temperamental people. No matter how good they are at ordinary times, once they do something wrong, they criticize others and leave you no face. After the operation, I will play with you again as if nothing had happened. Doctors are under great pressure when doing surgery, especially when the surgery is not smooth, so all I can do is try not to make mistakes, otherwise I really want to cry and will only be scolded. My tutor, kind and rigorous, taught me a lot, patiently demonstrated and explained, and young people are easy to communicate with.
I have learned a lot about brain surgery, such as replacing intracranial drainage bags and urethral drainage bags. In fact, their operation steps are similar, and the most disappointing thing is to inject indwelling needles. The complex taste of this kind of surgical practice may only be realized by those who have experienced it personally. Whatever it is, it's quite memorable. Of course, more importantly, I learned a lot that books can't. From snow to cold spring!
Although, in the operation, the most bitter thing is to follow the operation, often standing for hours, standing with backache. What is even more frightening is that when I am on duty at night, I am often called up for emergency surgery at two or three in the middle of the night. I often yawn while pulling my hook, and the next day I compare with the national treasure. In urology, the biggest feature is the large flow of patients, which also means that the workload of our writing is greatly increased. Patients who often finish surgery at four or five o'clock in the afternoon are discharged the next day, which makes us work overtime every day to write the course record, make a discharge summary, and fall asleep when we get back to the dormitory. This is the taste of surgery, like a five-flavor bottle. The complicated taste may only be experienced by people who have experienced it personally. Moreover, every student who has practiced surgery has different contents in the five-flavor bottle, either sour or spicy or sweet, but one thing is the same. No matter what it is, it will be a taste worthy of my life, belonging to surgery and my own taste.
These months have been an adaptation process, and many shortcomings need to be improved. This is an internship process, and many concepts have been revised. Although I am very tired, I can beat them. This is just the beginning of the internship, and we need to explore it in the future. At the same time, we should also make demands on ourselves in order to gain something. I think the next challenge is also an opportunity, and I must seize this opportunity.
Summary report of general surgical nurses 3
From 20 to 2000, with the care and support of the hospital and the joint efforts of nursing colleagues, we paid close attention to the implementation of the target plan formulated at the beginning of the year and carried it out seriously, and successfully completed various tasks. The annual nursing work is summarized as follows:
First, quality care.
With the in-depth development of high-quality nursing service, our department has strengthened nurse-patient communication and health education in addition to routine basic nursing and specialist nursing, and strengthened the sense of responsibility of nurses. Really realize the importance of quality service from the heart, take quality service as a duty and obligation of nurses, be grateful, change passive service into active service, go deep into the ward, understand the needs of patients and improve the relationship between nurses and patients. The satisfaction degree of departments reached more than 95%, and the nursing quality and patient satisfaction were obviously improved, achieving a double harvest of economic and social benefits.
Second, the department quality and safety management
Quality and safety management is the eternal theme of hospitals, and regular inspection and evaluation is the guarantee to improve nursing quality. In order to improve the quality of nursing, the department re-planned the nursing account on the basis of summarizing the previous work experience. The head nurse gives full play to the role of quality control leading group in basic management and quality management, and according to the work arrangement of nursing department, it is planned every month, arranged every week and focused every day. In the quality management of basic nursing, we should strictly implement nursing operation norms, strengthen inspection and ensure implementation. Each department insists on nursing quality inspection 2-3 times a week, analyzes the reasons for the shortcomings in the inspection, and through in-depth and meticulous thinking,
I want to educate and strengthen nurses' awareness of service, quality and safety. Formulate practical improvement measures. Timely improve the weak links in the work. In the aspect of link quality, we should pay attention to the timeliness and standardization of nursing medical record writing. In terms of safety management, disinfection and isolation, we should strictly control the work and start from bit by bit. The annual safety standards, disinfection and isolation work conform to the specifications, and there are no errors and accidents. In the whole year, the qualified rate of basic nursing in departments reached over 95%, and the coverage rate of health education reached 100%. Third, personnel management and training.
From 20 to 2000, five new nurses in general surgery conducted planned and standardized pre-job training for new nurses, and all new nurses could adapt to their jobs as soon as possible. Based on the rejuvenation of undergraduate nursing staff, the department has formulated a detailed hierarchical training plan and implemented it conscientiously, and further consolidated the three basic knowledge and professional skills through morning questioning, business study, nursing rounds and operation training. Support and encourage nurses to continue their studies. 1 nurse went out for further study for 6 months, and 4 nurses continued their undergraduate education.
Fourth, the establishment of the top three.
In October 20, our hospital successfully passed the re-evaluation of dimethyl ester and the initial evaluation of the top three, leading the general nursing staff to learn and standardize their work according to the top three standards. Standardize all kinds of nursing documents into books, formulate personnel training plans, clarify the post responsibilities and work standards of each post, standardize the goods management process, make the nursing work more standardized and unified, keep in mind the themes of grade hospital evaluation: quality, safety, service, management and performance, and implement continuous quality improvement.
Verb (abbreviation of verb) open source and reduce expenditure
Standardize the management of consumables and articles in the management department, check them regularly, put an end to waste, and constantly strengthen the saving consciousness of department personnel.
Sixth, there are shortcomings.
1, individual nurses' communication ability is not strong, which needs to be further improved.
2. The professional knowledge and skills of young nurses need to be further strengthened.
3. The scientific research ability is not strong.
Summary report of general surgical nurses 4
In 2000, under the leadership of the nursing department, we actively prepared for the evaluation of tertiary hospitals, strengthened the quality control of nursing, improved the service process and enhanced the connotation of high-quality nursing service according to the evaluation standards of nursing quality, and basically completed the work plan formulated this year, which is summarized as follows:
First, the completion of nursing work objectives
1. According to the target liability form signed at the beginning of the year, the nursing department will check and the department will check itself. The completion of various nursing quality indicators is as follows:
1) The average score of ward management was 96.73, and the qualified rate was100%;
2) The average score of basic nursing was 96.27, and the qualified rate was100%;
3) The average score of nursing document writing was 96.73, and the qualified rate was100%;
4) The average score of first-class nursing was 94.95, and the qualified rate was100%;
5) The average score of blood transfusion management is 95.08, and the qualified rate is100%;
6) The average score of perioperative nursing was 95.76, and the qualified rate was1.000%;
7) Average hand hygiene score: 96.35, and the qualified rate is100%;
8) The average score of disinfection and isolation: 95.43, and the qualified rate100%;
9) The average score of nursing safety: 96.8 1, and the qualified rate100%;
10) the intact rate of first-aid equipment and drugs100%; Qualified rate100%;
1 1) Average score of nursing theory operation: 89.42; Average operation score: 91.26; Qualified rate100%;
2. According to the nursing service standard issued by the nursing department, the nurses in the department were trained, with an average score of 96.5 points, which met the expected requirements. There were no complaints about nursing services this year.
3. As of June165438+1October, * * * distributed 55 satisfaction questionnaires, with an average score of 99.63 and a satisfaction rate of 100%.
4. This year, * * * reported 1 1, including Grade II 1, 5 Grade III and 5 Grade IV.
5. Scientific research papers: 2 papers meet the requirements of nursing department, both written by head nurses, reporting new nursing technology 1 paper, 2 less than the 4 expected by the department at the beginning of the year. Nurses in departments have not received good training and guidance in scientific research, and strive for a breakthrough next year.
Second, steadily promote quality nursing work
1. Clinical nursing service fully embodies the characteristics of specialties, strengthens the consciousness of humanistic care, advocates humanized service, and continuously promotes warm services with the characteristics of each specialty, such as "double-hearted nursing" and "quiet ward".
2. Conduct daily etiquette training for nurses, such as service specification, telephone etiquette, knocking etiquette, bedside handover, etc. Every day, when the head nurse leads the nurses to shift shifts at the bedside, the responsible nurses should introduce themselves, and at the same time, each ward should hang the responsibility protection card designed by our department, which is convenient for patients to supervise the work of nurses in their wards and improve the service quality of nursing staff.
3. In the skill training of nurses, we should further standardize and pay attention to the training of nursing operation terms and nurse-patient communication skills, so as to cultivate nurses to establish a good professional image. The development of high-quality nursing activities has strengthened the sense of responsibility of nurses and improved the communication between nurses and patients.
4. Carry out extended services such as telephone follow-up of discharged patients, personal home visits of patients with special operations, timely understand the rehabilitation of patients after discharge and give guidance to enhance the reputation of nursing brands and hospitals.
5. Formulated the Manual of Health Education for Common Diseases in General Surgery, with pictures and texts, which is convenient for patients to master.
Third, further improve the performance appraisal.
Under the guidance of the performance appraisal scheme of the nursing department, the performance appraisal index and supplementary provisions of general surgical nursing were revised again, and the assessment was made according to workload, quality, personality, attendance and satisfaction, which reflected that more work was rewarded, and the work enthusiasm of nursing staff was stimulated, and the quality of nursing was greatly improved.
Fourth, the management ability of head nurses has been further improved.
The nursing department strengthened the training of head nurses' management ability, and teacher Zhang Jinghong, a nursing expert, came to our department for nursing rounds, guidance and management knowledge training.
This year, municipal and provincial quality nursing inspections were received 1 person-time. Through inspection, the problems existing in the management of head nurses were found. Under the guidance of the nursing department and the head nurse of major surgery, according to the quality inspection standards issued by the nursing department, check whether the core system, operation process and code of conduct of nursing staff meet the requirements. In-depth comments in the early stage make the nursing staff's thinking divergent, and then grasp the condition more comprehensively.
Five, nursing staff training and practice teaching work
This year, according to the requirements of the nursing department, we actively do a good job in grading training for nurses, which is divided into:
1. Professional knowledge training and assessment 1 time/month;
2. Three basics theory and skill operation training assessment 1 time/month;
3. Specialized Training and Assessment for Severe Diseases 1 time/month;
4. Core system, nursing routine, job responsibility training and assessment 1 time/quarter;
5. Training, drill and evaluation of emergency plan 6 times/year;
6. Conduct emergency training and evaluation for the personnel in the talent pool of the department twice a year;
This year, more than 120 interns from Suqian Health School and Shuyang Health School actively received education.
Problems in intransitive verbs
(1) The connotation of quality nursing service needs to be further deepened;
(2) The professional knowledge of nursing staff needs to be further improved;
(3) Strengthening the training of young nurses;
(4) There are 2 nursing papers, but 4 papers formulated at the beginning of the year are not completed.
Summary report of general surgical nurses 5
Under the guidance of the nursing department, the director of the department, the help of the doctors in the department, and the joint efforts of nursing colleagues, we paid close attention to implementation and earnestly implemented the target plan formulated at the beginning of the year, and basically completed all tasks smoothly. The nursing work in the past six months is summarized as follows:
First, quality care.
With the in-depth development of high-quality nursing service, in addition to routine basic nursing and specialized nursing, our department has also strengthened nurse-patient communication and health education, and strengthened nurses' sense of responsibility. Really realize the importance of quality service from the heart, regard quality service as the duty and obligation of nurses, change passive service into active service, go deep into wards, understand patients' needs and improve the relationship between nurses and patients, and the satisfaction of departments is over-%. We are in the process of nursing follow-up registration, and we will do this work well in the next step. It is expected to improve patients' satisfaction with the department through this work, thus improving economic benefits.
Second, the department quality and safety management
Quality and safety management is the eternal theme of hospitals and departments, and regular inspection and evaluation is the guarantee to improve nursing quality. In order to improve the quality of nursing, the head nurse should give full play to the role of the members of the quality control leading group in basic management and quality management on the basis of summing up the previous work experience, and combine with the actual situation of the department to achieve monthly planning, weekly arrangement and daily focus. In the quality management of basic nursing, we should strictly implement nursing operation norms, strengthen inspection and ensure implementation. All departments insist on nursing quality inspection 2-3 times a week, analyze the reasons for the deficiencies in the inspection, strengthen the service consciousness, quality consciousness and safety consciousness of nursing staff through in-depth and meticulous ideological education, and formulate practical improvement measures.
(a) revised the department disease nursing routine and nursing workflow, etc. And trained and studied.
(2) Improve professional quality and comprehensively optimize nursing service. According to the requirements of the hospital nursing department on the classification and grade standard of nurses, we should strengthen the training of basic theoretical knowledge, professional knowledge and technical operation of nursing specialty, improve the practical working ability of nurses at all levels, train responsible nurses, and improve the comprehensive quality and professional ability of nursing staff. In the first half of the year, the examination scores of nurses at all levels reached the qualified standard, and two comrades achieved good results in the top three of the corresponding levels.
(3) Strictly implement the responsibility system and holistic nursing (1), and fully implement APN scheduling method and flexible scheduling. (2) fully implement the duties of nurses. It integrates professional nursing, disease observation, assistance in treatment, coordination and communication, health promotion and psychological nursing to provide patients with all-round, whole-course and continuous nursing services. Close observation of patients' condition, timely communication with doctors, communication with patients, health education and rehabilitation guidance for patients, and psychological care. (3) Deepen the hierarchical use of nurses, assign responsible nurses according to the patient's condition, nursing difficulty and technical requirements, and the critically ill patients are responsible by nurses with high seniority and strong ability, reflecting the corresponding energy levels.
(4) Strengthen the health education of patients. The responsible nurse should provide health education at least 1 time every day, and give detailed instructions to patients according to the routine treatment and nursing of common diseases in the department and the special diet.
(5) Strengthen management to ensure nursing safety (1) Strengthen the management of key links of patients and critically ill patients, and improve the nursing process and management evaluation procedures. (2) Strengthen nursing safety management. Each quality control team conducts weekly inspection and monthly investigation of nursing safety hazards, analyzes and discusses the causes of nursing errors and nursing adverse events, analyzes the reasons and lessons to be learned, and puts forward preventive measures and improvement measures.
(VI) Performance of post responsibilities (1) shall be assessed according to post management as the basis for performance appraisal. (2) Nurses shall follow the assessment criteria. (3) Strengthen the implementation of medical safety core system and various nursing operation norms, processes and routines.
Third, personnel management and training.
-Four nurses were added in general surgery, and two resigned, with a certificate-holding rate of-%. The department has carried out planned and standardized pre-job training for new nurses, and all new nurses can adapt to their jobs as soon as possible. Based on the rejuvenation of undergraduate nursing staff, the department has formulated a detailed hierarchical training plan for personnel and earnestly implemented it, and further consolidated the "three basics" knowledge and specialist skills through morning questioning, business study, nursing rounds and operation training. Support and encourage nurses to continue their studies. In the early stage, a nurse participated in the training of mobile nurses in the hospital. According to the situation, the department sent three nurses to the emergency department to study, each for one month, and made corresponding study reports after returning to the department, which achieved good learning results. According to the plan, 1 person will go out for further study for 3 months.
Fourth, the establishment of the top three.
In the past two years, our hospital has been preparing to upgrade to a tertiary hospital, leading the general nursing staff to study and standardize their work according to the tertiary standards. Standardize all kinds of nursing documents, formulate personnel training plans, clarify the job responsibilities and standards of each post, standardize the goods management process, formulate nursing rules to follow, further standardize and unify all nursing work, and check the results in the first half of the year. The preparation of our department is still at the forefront of the hospital.
Verb (abbreviation of verb) open source and reduce expenditure
In the previous special rectification activities in the industry, we felt that standardizing the management of consumables and articles in the department was of great significance to the department. We regularly check the department's trial consumables, water and electricity, put an end to waste, and constantly strengthen the department staff's awareness of saving.
Have shortcomings:
1, due to the young nursing team, junior qualifications, lack of clinical experience, critical thinking and foresight, and serious solidification of thinking, the work innovation and experience summary ability are insufficient.
2. Due to personal reasons, I have been taking various exams in the first half of this year, so the management of departments has declined, resulting in a certain degree of decline in nursing quality compared with last year. There were cases of adverse nursing events in the first half of this year, including catheter shedding, and the rest were caused by human factors.
3. Since the implementation of the responsibility nursing, most nurses have been able to actively abide by the relevant rules and regulations to carry out various operations, but some nurses are still thinking casually and taking it for granted in their work, lacking sufficient cautious spirit, which leads to the failure to fully implement the responsibility nursing and reduces the quality of nursing.
4. Some nurses are introverted and lack communication skills, which needs to be further improved.
5. There is still a gap between the overall professional level of department nursing and the standards of specialized centers, especially the professional knowledge and skills of young nurses need to be further strengthened.
6, nursing scientific research ability is not strong, habitual thinking is serious, lack of innovation consciousness in work, lazy thinking in writing articles, lack of self-motivation, always think that they can't write, learning is too slow.
Next step:
1. Revise the study plan, search for information according to the existing problems, conduct appropriate training, strengthen guidance at work, break the habitual thinking, apply advanced work concepts to work, sum up experience in time, and blaze new trails.
2. Put into work, increase nurses' working motivation, enhance quality awareness and safety awareness, formulate measures, sum up experience, and minimize the incidence of adverse events in the second half of the year.
3, continue to strengthen the overall nursing responsibility system, give full play to the role of the responsibility team leader, adopt a certain two-group appraisal incentive mechanism, stimulate the enthusiasm of staff, give full play to the subjective initiative of nurses, and at the same time strengthen the cultivation of cautious and independent spirit, and conduct appraisal at the end of each month.
4. Mobilize the spirit of mutual help and friendship among nurses in the department, extroverted nurses actively help introverted nurses, and department personnel * * * Qi Xin work together to enhance communication. The head nurse pays more attention to special personnel in a special period and gradually changes, making the atmosphere in the department more harmonious, communicating more fully at work and improving patient satisfaction.
5, strictly implement the study plan, study and train with good quality, according to the level and actual situation of the department staff, after the half-year exam, continue to formulate monthly morning questions, assess on time, and will continue to send personnel to study.
6. It is planned to invite comrades with high level of writing articles in the hospital to give lectures in the department to improve nurses' learning enthusiasm. Through face-to-face study, nurses' writing ability will be improved to a certain extent, and articles will be published in the second half of the year.
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