In order to improve the safety of the use of instruments and equipment in the department, the emergency department has implemented some measures, but the improvement effect is not obvious. Therefore, our department decided to set up a PDCA project for safety management of instruments and equipment. The PDCA project "Improving the Safety of Emergency Equipment Management" was carried out in our department, and the team leader was Liu Qing.
Liu Qing felt the challenge and pressure, and decided to use the PDCA management knowledge she learned in the quality control circle project to contribute her talents to the improvement of nursing quality in the department.
However, the problems that need to be solved urgently in the promotion of this project include: there are many management defects in the management of instruments and equipment in departments recently, such as the wrong time of ECG monitors and repeated failures of ECG machines; Although the project team was set up, the participation of members was not high, and I felt that it was a burden outside the busy daily work.
On this day, Liu Qing held its first collective meeting. Only six members of 13 arrived, and they all came late.
15 minutes have passed, and the theme of the meeting has not yet entered. Everyone is talking about the Spring Festival holiday.
Xiaolan is the training team leader, has a good relationship with Liu Qing, speaks enthusiastically, and puts forward many existing problems and suggestions for improvement.
Zhou Xiao is a male nurse. His own problems are a laundry list, but his suggestions are nothing. No matter what others say, they are sharply opposed.
Lao Mao was absent-minded and was still playing with his mobile phone during the meeting.
Xiaoping wanted to make suggestions, but after several attempts, his voice was drowned out.
An hour passed, and in the face of all kinds of doubts and objections, Liu Qing had to terminate the meeting. She doubted whether the project could be successfully implemented. She went to consult the head nurse this afternoon.
A team is a unit composed of two or more members, who influence and coordinate with each other and take responsibility for each other to achieve the same goal.
Nursing team refers to the combination of two or more nurses with complementary skills, indirect and indirect work links, specific nursing work objectives, shared responsibilities and joint efforts to make the overall performance level higher than the sum of individual inputs.
Then I drew a picture:
According to the theories of Tuckman, Jenden and Lacoursier, team building goes through five stages:
Formation period: Team members are familiar with each other.
Storm period (shock period): During the period of high emotion, team members' personality, role consciousness and the conflicts caused by it began to erupt.
Normalization period: contradictions are resolved and the team gradually achieves harmony and unity.
Functional period (implementation period): The team has matured and started to play its role.
Termination period (adjustment period): team members are ready to dissolve.
The first meeting was in a small office in the original emergency department, which was very simple. The head nurse also specially found a small blackboard.
At first, everyone didn't want to be called to a meeting together, so they barely talked and didn't play with their mobile phones.
When it comes to circle names, the head nurse encourages everyone to speak freely. Everyone began to feel interesting and began to speak in succession. Everything was mentioned, and finally the spark circle was circled as the circle name.
The division of labor of each person is also discussed, and the responsibilities of each person are clarified. For example, some people are responsible for information collection, some people are responsible for meeting organization, and some people are responsible for PPT production.
This is the characteristics of the 1 period: interaction, expectation and the formation of work circles.
Later, under the standard placement of ambulance first aid items, people began to argue again:
For example, whether infusion bags and surgical bags need to be set up, redesign the management manual of ambulance in the car, and how to place disinfection items.
Opinions, arguments and even negative emotions.
This is the characteristic of the second storm period: argument, confrontation and tension.
Then the head nurse and Huang Fang recorded everyone's opinions, personally got on the bus and made field investigations one by one, and finally decided to set up infusion bags and surgical bags. It is decided to re-standardize the standard card "Ambulance Management Manual" for the items in the first aid kit, replace the cotton wool on the ambulance and add new green clothes representing the characteristics of first aid.
Then at the circle meeting, I will explain to you why I did it and the detailed rules of braking action.
This is the characteristics of the third standard period: positioning, setting goals and cohesion.
Next, everyone will implement it according to the opinions reached at the circle meeting. During that time, the head nurse and the quality inspection team leader attached great importance to the feedback of the implementation results.
When a colleague contradicted him, the head nurse found him, listened to his advice and adjusted some details, but after the conversation, she asked him to do it strictly according to the requirements. Such colleagues also accepted the criticism and encouragement of the head nurse.
This is the characteristics of the fourth implementation period: hard work, contact and tacit understanding.
After the activity, everyone gradually got used to the new requirements, and the first-aid items on the ambulance were completely new: bed unit, first-aid kit, spare medicine, disposable goods and oxygen facilities.
Colleagues have realized the benefits of the activity, the voice of opposition has disappeared, and a new atmosphere of being willing to think and be diligent has begun to appear in the department.
The head nurse and Liu Qing began to prepare the activity summary materials, and the quality control team announced the end.
This is the characteristics of the fifth termination period: summary, evaluation and effect feedback.
Xiaolan, who is active and enthusiastic, can be the right-hand man;
Mao, who plays mobile phones, may not be interested in the meeting. He should ask privately whether he would like to join the team. If so, it means that you attach great importance to her suggestion and ask her to concentrate on the meeting. If not, encourage them to attend.
Xiaoping, whose voice is ignored, should support her speech and let others hear her point of view clearly;
Zhou Xiao is an opponent. Such people hope to improve themselves by opposing others. Leaders should not argue with him, especially in front of team members. Sometimes you can give your opponent a task that he can accomplish independently, ask for his opinions and give them back, so that his attitude can be corrected step by step.
Liu Qing knows the next five steps:
1. establishment period: at first, I didn't know the main tasks and development direction of instrument and equipment management improvement, and I didn't know what to do for the team;
2. Storm period: everyone has their own opinions on the reasons and plans of the project, and differences arise;
3. Normalization period: the person in charge of the cooperation project coordinated repeatedly, the opinions were gradually balanced, and the basic contradictions were solved;
4. Implementation period: more people understand and members enhance friendship and sense of accomplishment;
5. Adjustment period: After the project is completed, evaluate and summarize the project.
Understand the five stages of team building, scientifically allocate personnel management and promotion, and know that each stage overlaps with each other, but the core direction remains unchanged, so as to do a good job in team building of nursing projects.
References:
1. Liu Huaping, Li Hong. Essentials of nursing management cases. Beijing: People's Health Publishing House, 20 1 May1Edition: 98: 100.