Introduction: the head nurse is the middle level leader of the hospital, not only shoulders the burden of managing business, administration, nursing research, teaching and other aspects, but also plays various roles in the work, is a key factor in determining the quality of hospital nursing management. Therefore, to improve the management level of the head nurse and strengthen the improvement of business quality is an important guarantee for hospitals to improve nursing services.
How does the head nurse manage the department1 People are the first element of management
1.1 Strengthening the cultivation of their own comprehensive quality
1.1.1 Role positioning Management scholars believe that the head nurse assumes ten roles, namely: leader, contactor, companion, Supervisor, Communicator, Advocate, Entrepreneur, Resource Allocator, Mediator, and Coordinator [1]. Expectations of the nurse leader role are mainly: hospitals, departments, nursing organizations require the nurse leader to strictly implement the rules and regulations and job responsibilities, to meet the needs of patients, to establish good professional values; to meet the needs of the interests of the nurse group.
1.1.2 Cultivation of professional qualities The head nurse must have excellent professional knowledge and clinical practice experience in order to gain the respect of nurses from a professional point of view. In order to lead and require nurses to strengthen learning, constantly update knowledge and carry out nursing scientific research. Thus, the overall effect of the group can be realized.
1.1.3 Management skills training Survey shows that the 21st century nursing management only by experience to cope with has been far from being able to meet the service users and the requirements of the times [2] management skills include: the ability to balance work and family; master the knowledge of first aid and the ability to effectively organize the rescue;
master the theory of the profession and the ability to operate high-end technology; with the ability to deal with contradictions and disputes; the ability to lead the nursing team, the ability to manage the work of the nurses, and the ability to manage the work of the nurses. The comprehensive application of these skills determines the management level of the head nurse, and is closely related to improving the nursing staff's job satisfaction and maintaining the hospital's good social and economic benefits.
1.2 Construction of the nursing team
1.2.1 Unify thinking, firm beliefs, promote the humanistic spirit, the human-centered nursing concept into a part of their own values, and deepen the implementation of high-quality nursing services.
1.2.2 Create departmental culture The centripetal force and cohesion of the department demonstrates the fighting power of a department. Nursing work is dependent on each nursing staff, each nursing link to complete. Nurse manager to create an atmosphere of solidarity; to fully grasp the psychology of each nurse, learn to apply the art of incentives, nurse manager to do often think differently, to be willing to be a ladder of the spirit of the nurses to be supported; from the perspective of others to understand and feel the problem, in-depth. From the perspective of others to understand and feel the problem, in-depth communication, brainstorming, reach **** knowledge. So that each nurse has a high sense of ownership of responsibility, and actively work to maintain the healthy and orderly development of the department.
1.2.3 Monthly star nurses selection, select outstanding nurses to go out to study and visit, and encourage continued education.
1.3 Management of medical and nursing relations The head nurse should first strive for the director of the department of nursing support and guidance, take the initiative to report to the director of the nursing work, strengthen exchanges and communication, in the department on important issues, *** with the study, to obtain consistent insights. In the balanced distribution of medical and nursing interests to adhere to the principle of fairness, impartiality, public and private, regardless of personal gain or loss; in the business with the medical team to hold business lectures, specialty clinics, to seek the views of doctors on the nursing work and recommendations; so that doctors more fully understand the nurses, trust the head nurse, so that the work of nursing is carried out better.
1.4 Management of nurse-patient relationship The head nurse should be active and enthusiastic in her work, considerate of patients, but also keep a cool head, good at coordination; respect for the rights and interests of patients and their families, pay attention to communication, to provide humane care, to establish a good relationship with patients and their families, and to become a patient's sweetheart.
1.5 Deal with the superior relationship The director of the Department of Nursing is the decision maker of the hospital nursing chain of command, as the head nurse, to regulate the relationship with the Department of Nursing, must be partially subordinate to the whole, sympathetic to the difficulties of the Department of Nursing, and strive to help the backward nurses to correct their attitudes. In the Ministry of Nursing inspection, can humbly accept the guidance and criticism, timely communication with the Ministry of Nursing, put forward their own work ideas, in order to achieve *** knowledge.
2 Safety is the primary task of nursing management
2.1 Sound and perfect the rules and regulations The head nurse, according to the requirements of the hospital and the Department of Nursing, combined with the actual situation of this section, to formulate practical rules and regulations and job duties, with the system, the duties to regulate and constrain the behavior of nursing staff. The nurse is not only a manager, but also an implementer of the system and a participant in the nursing work, and should play an exemplary role.
2.2 Reasonable division of labor, clear responsibilities, and actively deal with differences Due to the inconsistency of the department's professionalism, nurses and nurses in the work of the divergence, contradiction, nursing managers should be a normal state of mind to face and handle." Seek common ground while reserving differences" is an important principle in dealing with disagreements, specific problems should be treated specifically, and care should be taken not to combine disagreements with personal emotions, nor should disagreements be handled together with human power struggles. Avoid disharmony and lead to nursing pitfalls.
2.3 Pay close attention to nursing quality control Set up a nursing quality control team, designate a team leader is fully responsible for quality supervision, the head nurse daytime five checkups and monthly ward nursing comprehensive quality inspection found that the problem in accordance with the PDCA cycle in a timely manner for corrective action, and have a record.
3 Departmental cost accounting is an important part of the hospital cost management
Nurse manager should have a certain financial management and cost - benefit analysis of the relevant ability.
3.1 Strict implementation of the price charge standard, to do should be collected, collected without leakage The head nurse mastered the department's income, timely account of the family to pay the relevant fees, maximize cost-effectiveness, revitalization of operating costs, can make the limited health resources to play a better role in the benefits.
3.2 The cost management of medical equipment should allow the department to recognize the advanced medical equipment and instruments, such as ventilators, cardiac monitors, microfluidics, syringe pumps, etc., with the characteristics of high cost and price, the head nurse should grasp the use of medical equipment and instruments of the department of a variety of situations, seriously do a good job of record keeping, to give full play to the effectiveness of the equipment, to guide the nurses to operate the correct variety of instruments, by the general nurses are responsible for checking the instrument performance, the use of the instrument after the use of the instrument. The performance of the situation, the use of the instrument should be timely drying, disinfection and maintenance, to ensure that the equipment is intact, to avoid damage to the instrument and equipment due to misuse, to improve the service life of the instrument and equipment.
3.3 Standardize the management of goods, improve the system of receiving Strengthen the management of fixed assets, strict implementation of the supply of sanitary materials and other materials management, careful management of the department's property, materials, reasonable purchase of a variety of materials, equipment, and improve the utilization of medical resources.
4 time management
4.1 The head nurse should have a plan to arrange their own time According to the ABC time management method proposed by the American management scientists, the daily work is divided into A, B, C three categories. Whether it is daily nursing business work, or management work should be predicted to prevent the head nurse from being trapped in trivial matters.
4.2 Reasonable scheduling The head nurse should conduct a comprehensive analysis based on the characteristics of the workload of the department, flexible scheduling, new and old complement each other, strong and weak complement each other, and adjust the scheduling at any time to ensure both the effectiveness of the work and to ensure the safety of medical care. Every day, the nursing work will be implemented to each post, each person, so that the work is closely linked, interlocking, to ensure that all services to patients in the specified time to complete the work.
4.3 All items are placed at fixed points, regularly inspected and maintained, clearly labeled, neatly arranged, and easily accessible to save time. Planning, organizing, leading, controlling and innovating are the basic functions of management, effective nursing management embodied in the organization of a working group to formulate plans, make decisions, and fully mobilize all personnel enthusiasm, and people, money, and materials reasonable arrangements to achieve efficient and high-quality care.