Hospital Nursing Bachelor's Degree Thesis Sample

In the current hospital nursing work, nursing service is a long-term work, nurses according to the patient's situation and service needs, appropriate extension of the service cycle, the hospital nursing and the patient's home care combined with each other, for the patient's recovery is very beneficial. Here is my bachelor's thesis on hospital nursing for your reference.

Abstract: PurposeTo analyze the problems and countermeasures of nursing management in primary hospitals. Methods Study our hospital from March 2013 to December 2015 period under the hospital nursing management 87 cases of nursing complaints patients, analyze the cause of complaint problems and the proportion of the problem, at the same time for the problem to do the corresponding nursing management countermeasures analysis. Results of the 87 cases of complaints, 18 cases originated from the lagging nursing management system, accounting for 20.69%, 13 cases of personnel management limitations, accounting for 14.94%, 24 cases of low nursing business, accounting for 27.59%, 22 cases of nursing equipment and facilities limitations, accounting for 25.29%; in the corresponding theoretical and practical assessment scores of the nursing staff, respectively, (76.53) ?3.15) and (72.76?4.76) points. Conclusion The current management of primary hospitals in the nursing management system lagging behind, personnel management is unreasonable, nursing staff nursing business quality is low, while the matching nursing equipment and facilities have more limitations, the overall nursing management of the elements of the level is low, the need to target the situation to increase the nursing management investment.

Keywords: primary hospitals; nursing management; problems; countermeasures

0 Introduction

Primary hospitals serve the grass-roots population, the quality of nursing management is directly related to the patient's impression of the primary hospitals, affecting the image of the primary hospitals outside. However, due to the grass-roots hospitals in their own human, material and geographical resources are relatively lack of, so the nursing management also lacks a strong impetus for development, unable to retain high-quality medical personnel, unable to obtain a higher patient reputation, the need for nursing management work constantly based on the actual situation to do the corresponding management improvement [1].

1 Data and Methods

1.1 General information. The study of our hospital from March 2013 to December 2015 under the hospital care management of 87 cases of nursing complaints patients, male for 59 cases, female for 28 cases; the age range of 18 to 60 years old, the average age of (46.9?14.5) years old; literacy, junior high school and below for 48 cases, high school for 19 cases, college students for 20 cases; all patients have clear expression and Thinking ability, able to cooperate with the investigation of nursing complaints, while all complaints are confirmed to be consistent with the facts.

1.2 Methods. Analyze the specific reasons for the complaints of 87 patients, mainly divided into nursing management system lagging behind, personnel management is unreasonable, nursing staff nursing business quality is low, nursing equipment and facilities limitations, etc., to analyze the proportion of various reasons. At the same time for the complaint nursing team personnel theory assessment and business practice assessment scores, the higher the score represents the better the situation.

2 results

87 cases of complaints, 18 cases originated from the nursing management system lagging behind, accounting for 20.69%, 13 cases of personnel management limitations, accounting for 14.94%, 24 cases of nursing business is low, accounting for 27.59%, 22 cases of nursing equipment and facilities limitations, accounting for 25.29%; in the corresponding nursing personnel theory assessment and practical assessment scores were (76.53?3.15) and (72.76?4.76), respectively.

3 Discussion

3.1 Nursing management problems in primary hospitals. First of all, in the nursing management system lacks a certain degree of rigor and science, often more use of national uniformity standards, the lack of targeted understanding of the local grassroots situation and the development of countermeasures, which leads to a variety of problems one-size-fits-all approach, and can not effectively enhance the scientific effectiveness of nursing management. At the same time in the nursing system, the daily lack of attention to the system, often in a formalistic state, for the system lags behind the problem of the lack of certain attention, resulting in the nursing system and nursing management of the actual work of the state of wanting to be detached from the management of more in the management of people, not the system of the state of the management of the people, nursing management is more by the nursing management personnel to make temporary decisions, the lack of relevant and clear standards of constraints. Or in the system is not used to a high degree, there is a system but not in accordance with the implementation of the state, nursing system implementation sloppy and careless [2]. Secondly, there is a lack of science in nursing personnel management. In the nursing staff recruitment lack of external open and transparent rigorous recruitment system, the introduction of personnel in the quality of uneven. At the same time, because it is a grassroots unit, it is not possible to attract high-quality talents with the characteristics of the post itself, and the overall quality of talents is low. At the same time in the nursing staff training management lack of rigor, the lack of relevant training intensity, while the assessment of standardization and strength is not enough, nursing staff in the professional knowledge and technology to improve the operation of the lack of motivation. The overall team lacks positive upward momentum. Third, the nursing business quality is low. Due to the lack of professional science in the system and personnel management, which leads to low professional business quality of nursing staff, directly affecting the quality of nursing management. Lack of science in business assessment, while the training system is not scientific, nursing staff can not timely and effectively update the nursing business skills and knowledge, resulting in lagging nursing quality. When encountered in critical patients, the incidence of operational errors and adverse events is higher, and nursing rigor is lacking. Fourth, nursing equipment and facilities are limited. The improvement of nursing management quality is affected by nursing equipment and facilities resources, the problem is constrained by the relevant departments of the appropriation and configuration conditions, generally lack of attention from the higher authorities, which leads to the imperfection of the equipment and facilities or the construction of the state of lagging [3].

3.2 Basic hospital nursing management countermeasures. First of all, it is necessary to enhance the relevant departments and hospital leadership of the nursing management of the importance of the construction of the relevant system, personnel selection on a higher rigor and scientific. The system design pays full attention to the reality of grassroots hospitals, to understand the characteristics of the patient groups served by the hospital and the characteristics of the hospital's senior resources, the characteristics of the hospital's resources, including human resources, material resources and information resources, etc., to enhance the scientific and rationality of the system design; pay attention to the management of personnel, and do a good job of daily training and assessment of personnel, the assessment should be fully linked to the actual situation, through the quantitative evaluation of the daily operational work and the written test, the practical examination, nursing praise and complaints. Assessment, nursing praise and complaints and other situations to do a comprehensive assessment, to enhance the scientific assessment and supervision system, while strengthening the quality of the relevant nursing management supervision efforts to arrange for professionals to engage in the management of the implementation of the work. Personnel introduction mechanism to give full play to the hospital's resource advantages, to attract high-quality talent, retention of talent, while enhancing the hospital personnel competition mechanism, the use of meritocracy and the first on the job personnel utilization mechanism. Increase investment in related facilities and equipment, improve the matching degree of equipment and reality according to local conditions, avoid purchasing and building useless equipment and facilities, and improve the practicality of related construction. Overall nursing management, from the upper management to the nursing work executives, to establish a rigorous scientific operation mechanism, focus on the needs and feelings of patients, to avoid patient complaints, to the needs and satisfaction of patients as the goal of nursing services, to improve the quality of care [4].

References

[1]Yuan Shuqin. Influencing factors and countermeasures of nursing management execution in primary hospitals[J]. Nursing Practice and Research,2013,10(13):90-91.

[2]Gong Zixia. Application of performance appraisal in nursing management in primary hospitals[J]. Sichuan Medicine,2012,33(10):1860-1861.

[3]Ding Xiaoyun,He Liu. Discussion on nursing management risk analysis and countermeasures in primary hospitals[J]. Jilin Medicine,2014,(12):2652-2652.

[4]Zheng Xiaorong,Zeng Hongmei. Exploring the role of nursing quality control center in nursing management in primary hospitals[J]. Modern Preventive Medicine,2012,39(7):1679-1680,1682.

Abstract: Purpose: To explore the effect of the application of performance management in hospital nursing management. METHODS: 25 in-service medical and nursing staff of our hospital were selected as the observation target from May 2012 to July 2014, and performance management was implemented in hospital nursing management, comparing the differences in nursing quality, business competence, and patient satisfaction before and after management. RESULTS: After management, nursing quality, business competence scores and patient care satisfaction scores were compared with those before management, and the differences between groups were obvious and statistically significant (P<0.05). CONCLUSION: The application of performance management in hospital nursing management can significantly improve the comprehensive quality and operational skills of health care personnel, improve the quality of nursing services and patient satisfaction, and is worth using and vigorously promoting.

Keywords: hospital nursing management; application value; performance management

The so-called performance management, in fact, the essence of a unit or organization to implement the exchange of communication with the staff on the relevant tasks, work standards, etc., a management mechanism, through the performance management, you can fully understand the staff's work attitude and behavior, in order to get effective feedback, and to make relevant adjustments. The application of performance management methods in hospital nursing management is conducive to reducing nursing risks, improving the quality of care, actively implementing the relevant requirements of quality care, mobilizing the enthusiasm and enthusiasm of medical and nursing staff, and effectively improving the quality of nursing services [1]. In this paper, 25 in-service medical and nursing staff in our hospital were selected as the observation target, and are reported as follows:

1 Data and Methods

1.1 General information: 25 in-service medical and nursing staff in our hospital were selected as the observation target from May 2012 to July 2014, among which there were 12 males and 13 females, with the age of 20-47 years old, the average age of (30.5?3.5) years old, and the length of service of 2-18 years, mean length of service (6.5?2.3) years. Among them, there are 10 nurse practitioners, 8 nurses, 5 chief nurse practitioners, and 2 head nurses.

1.2 Methods: the implementation of performance management in hospital nursing management, the development of the completion of the assessment standards, after the organization of the members of the group to carry out the performance management aspects of learning, so that they fully understand the relevant content and requirements of nursing management, clear implementation of the purpose of the performance appraisal to improve their self-discipline and sense of responsibility, so that they are proactive in accordance with the norms of nursing and the assessment standards for the implementation of all the work, including: (1) ) Clarify the basic content of performance appraisal: implement open assessment, mainly for the quality of nursing work, nursing workload and patient satisfaction in three aspects, using a percentage system of scoring, each accounting for 50%, 30%, 20%. (2) The implementation of job level management: mainly including years of service, title and education, position and other content, the implementation of night shift value management, support and encourage medical and nursing staff to continue to learn, improve professional knowledge and mobilize their work enthusiasm. (3) Implementation of nursing workload assessment: according to the number of patients rescued, the number of surgical patients and the number of critically ill patients, the number of patients discharged from the hospital, overtime, the amount of basic nursing care and other content will be calculated points value, to the degree of difficulty of each nursing project and the degree of risk, the nursing care level labeled with different coefficients, the product of the two that is, the quantitative indicators of the performance of the nursing workload, fully embodies the principle of "work more, get more", fairness and impartiality. (4) Implementation of nursing quality assessment: the nurse manager as a guide, quality control team is responsible for the assessment, the development of adequate assessment projects, clear specific points, the nursing quality of nursing staff to meet the standard degree of nursing quality indicators and business capacity to be evaluated once a month, comparative analysis of performance management before and after the evaluation results. The contents to be assessed for business ability include document writing, department management, basic theory, professional knowledge, operation skills, etc.; the contents to be assessed for nursing quality include basic nursing care, nursing care for critically ill patients, health education, disinfection and isolation, incidence of nursing disputes, incidence of falls, catheter slip, etc. (5) assessment of patient satisfaction: the use of the hospital's own satisfaction questionnaire, *** counted 100 points, the higher the score, indicating that the higher the patient's satisfaction with the care; (6) statistical performance points: each nursing staff points need to be counted at the end of the month, the total performance of 50% of the nursing workload and 30% of the quality of nursing work, 20% of the patient's satisfaction of the three and then add the incentives for performance minus the punishment of the performance [2-3]. The total performance is the sum of 50% nursing workload and 30% nursing quality, 20% patient satisfaction, plus reward performance minus penalty performance [2-3].

1.3 Statistical processing: the application of statistical software package SPSS21.0 to analyze all the data, all the observation indexes are expressed by (x?s) and be, t test, if P<0.05, it means that the difference is statistically significant.

2Results

The pre-management business competence score was (84.5?9.0), the quality of care score was (88.7?6.4), and the patient satisfaction score was (89.3?7.2); the post-management business competence score was (93.8?8.4), the quality of care score was (95.7?3.0), and the patient satisfaction score was ( 96.7?3.8) points, the results of intergroup comparison showed that the experimental group performance management effect is better than the control group, the difference is statistically significant (P<0.05).

3 Discussion

The high risk of medical activities with high technology, high difficulty and human resource management imperfections, prominent doctor-patient conflicts and other issues have always been the difficulty of influencing the quality of clinical nursing service work. Health care personnel in the treatment, care work has a key role, only fully mobilize its treatment of the work of the subjective initiative and positive creativity, in order to better improve the efficiency of clinical work and patient satisfaction. Performance appraisal is one of the most important aspects of the implementation of performance appraisal must be carried out in all aspects of the assessment, to understand the current medical services to be resolved in the work of the key issues and the inner needs of the staff, the rational allocation of resources, and the active implementation of reward and punishment management system. Only by creating a perfect performance management system can we better stimulate the potential of nursing staff and enhance the core competitiveness of the hospital [4-5]. The results of this group of studies show that the quality of nursing care, business competence scores and patient care satisfaction scores after management are significantly higher than before management (P<0.05). This fully proves that the application of performance management in hospital nursing management can significantly improve the comprehensive quality and operational skills of health care personnel, improve the quality of nursing services and patient satisfaction, and is worth using and vigorously promoting.

References

[1] Chen Shiqing, Zhang Xiaorong, Tang Yaqiong et al. The application of performance management in urology nursing management[J]. Modern Clinical Nursing, 2013, 30(7):67-69.

[2]Li Chuntang, Jiang R, Wang Ye et al. Application of the combination of competency assessment and performance management in nursing management of intensive care medicine department[J]. Medical Information, 2015, 25(18):132-132.

[3]Gao Yueqin. The application of performance management in nursing management[J]. Medical Information, 2014, 09(33):128-128.

[4]Ma Xia, Zhang Jianhua. Application of performance management in quality management of surgical care[J]. World Digest of Recent Medical Information (Continuous Electronic Journal), 2015, 15(34):227.