It is of great significance to analyze the reasons that affect nurses' mental health and how nurses handle and maintain their own mental health problems, so as to improve the quality of nursing work and the overall health level of nurses. Let's look at the mental health and professional ethics standards of nurses.
The standard of nurses' mental health and professional ethics is 1. They love nursing and are willing to contribute.
Love the nursing profession, take "saving the wounded and rescuing the dying" as its own responsibility, do not seek personal gain, take pains, are not afraid of risks, do everything possible to solve patients' pain, think about patients' thoughts and worry about patients' urgent needs. Nurses face all kinds of illnesses and life-and-death parting scenes alone every day, and are often in an emergency state or participate in rescue work with high physical and mental pressure; In such an environment full of many occupational stressors, stress reaction and negative emotions are inevitable, which will easily lead to physical fatigue, increase psychological load and weaken self-control [1]. Taking protecting patients' lives and improving human health as lofty duties; Try your best to rescue critically ill patients and don't delay the rescue opportunity for any reason. Carry forward the nightingale spirit and establish a strong sense of professionalism and responsibility.
2, scientific care, superb technology
Establish a good professional image and win the understanding and recognition of the society. Social environment (including material environment and spiritual environment) directly affects people's psychological activities, and people's psychological response to social environment stimulation is conscious and positive. This shows that only by correctly understanding the importance of nursing work, strengthening self-esteem and constantly enriching themselves with rich knowledge, especially the study of marginal disciplines such as psychology, aesthetics and sociology, can nurses not only help them adjust and understand, but also improve their ability to understand and evaluate things and promote their comprehensive quality. Only by strengthening the cultivation of personality and psychological quality, adhering to the service tenet of "seeking truth from facts and being kind" and establishing a good social image can we win social support and recognition, improve the social status of nurses, improve their working and living conditions and strengthen their professional beliefs.
Be open-minded and eager to learn, and study hard; Actively participate in continuing education, emphasize "three basics": basic theory, basic knowledge, basic skills training and "four innovations": new business, new theory, new knowledge and new skills learning, constantly update and enrich the knowledge structure, and strive to improve the technical level. Actively use the knowledge of psychology, sociology and other related disciplines to do a good job in nursing.
3, treat patients like relatives, warm and comprehensive.
There is still a secular prejudice that attaches great importance to medical treatment but ignores nursing. Society and hospital administrators pay insufficient attention to nursing work. Nurses' efforts for patients and society can't get due understanding and support. In addition, there are many unreasonable phenomena in welfare treatment, professional title evaluation, labor protection, learning and updating knowledge, etc., which lead to nurses' pessimism, lack of confidence and psychological imbalance.
Respect the patient's life value and personality, and respect the patient's right to equal medical treatment. Under no circumstances should we despise and insult patients in any way. We should treat patients with confidence, enthusiasm, care, patience and responsibility, just like relatives.
4. Medical cooperation is rigorous and standardized.
Nurses should carry out doctors' orders rationally and faithfully, establish a new type of gay relationship between medical staff and strengthen communication and cooperation between medical staff. Actively create a harmonious interpersonal environment and release bad emotions in a timely and reasonable manner. Nurses should be good at communicating with people, actively create a harmonious interpersonal environment, a relaxed and happy working and living environment and a healthy psychological environment, be considerate, treat patients, colleagues, relatives and friends sincerely, tolerantly, respectfully and kindly, and correctly handle all kinds of interpersonal relationships. When encountering setbacks and unpleasantness, we should take appropriate measures, choose suitable objects, release bad emotions in time and reasonably, and gain understanding and psychological support, so as to effectively relieve psychological pressure and maintain psychological balance.
5. Cautious confidentiality, honesty first.
Take honesty and trustworthiness as the basic criterion, be pragmatic in work, abide by duties, safeguard patients' interests, and do nothing harmful to patients' interests when nursing alone, with or without guardianship. Respect the life value and personality of patients, implement protective medical care and keep medical secrets for patients. Consciously abide by the law and do not seek personal gain from doctors: keep medical records and statistical data original, authentic and scientific.
6, dignified appearance, steady behavior
The appearance is natural and dignified, the clothes are neat and coordinated, and the work posts are dressed in professional clothes and badges. Steady behavior, decent words and deeds, modest attitude and full of spirit. In dealing with others, be polite, enthusiastic and generous, and use civilized language and Mandarin.
7. How do nurses keep mental health?
Maintain an optimistic and healthy attitude: First of all, nurses should correctly understand themselves, life and society, identify their position in society and work groups, and objectively evaluate and accept themselves in reality. Secondly, when adjusting one's psychological needs in time and realizing self-level needs, one should choose appropriate goals, not aim too high, treat oneself and the people and things around him correctly, and maintain psychological self-balance. Third, pay attention to cultivate an open-minded, steady, positive and enterprising personality, strive to be an optimistic messenger, not a polluter of negative emotions, and consciously create and maintain a pleasant psychological atmosphere in the living and working environment.
Strengthen the cultivation and accumulated training of their own psychological endurance and improve their psychological defense ability. Usually take part in practical activities to carry out psychological stress training in emotional aspects, cultivate and improve the insight and correct judgment ability of things, master and accumulate the experience of stabilizing emotions and overcoming psychological stress in various situations, improve self-control and psychological defense ability, and consciously adjust and balance themselves according to their own psychological and life cycle characteristics [2]. Learn to relax. Arrange your leisure ways and time reasonably, and enrich your spare time. Through visiting relatives and friends, dancing, gathering with friends, exercising, listening to one's favorite music, reading one's favorite books, traveling and other recreational activities or some social activities, one can cultivate one's sentiment, enjoy one's body and mind, combine work and rest, increase one's knowledge and get a healthy and beautiful time.
Frequently asked questions and answers for nurses 1. You gave a patient an infusion and suddenly had an adverse reaction. What should you do at this time?
As a nurse, first stop infusion, notify the doctor and treat according to the doctor's advice!
2. How long does it take to wash your hands in seven steps?
Rub your hands carefully all the time 15 seconds or more.
3. Should I pay attention before preparing the potion?
Understand the medicinal properties of each medicine, whether there will be side effects, or harmful, or reduce the efficacy.
What should you do if your colleagues report you to the leader?
If I don't have conclusive evidence, or just hearsay that a colleague complained to the leader and the leader didn't ask me, I'll pretend nothing happened. If the leader talks to me, I will report it truthfully.
Patients are required to use painkillers every 4 hours. This time, the patient used painkillers for less than three hours, and the noise was very loud and painful. What should you do?
Carry out the doctor's advice correctly. Explain the indications and action process of medication to patients, and pay attention to observe whether the patient's condition has changed. If he cannot be diagnosed, please consult a doctor.
6. What should I do if I am arranged to work in the emergency department through the interview, but I find that I am not suitable for the emergency department after working for a period of time?
Try to adapt to the work, not to adapt the work to me. Find out the existing problems and actively solve them.
7. Suppose you work in a unit with outstanding achievements and are affirmed by the leader. But at the same time, you find that your colleagues are increasingly isolating you. What do you think of this problem? what are you going to do？
(1) outstanding achievements, it is definitely a good thing to get leadership, and work harder in the future.
(2) Check whether your enthusiasm for work is greater than your enthusiasm for communication between colleagues, and strengthen communication between colleagues. * * * The same hobby.
8. What are your advantages and disadvantages about nursing?
Advantages: I am a novice, I have the latest professional ideas, professional knowledge and skills, passion and creativity.
Disadvantages: lack of clinical experience. I will use the latest ideas, skills and passion to create clinical experience.
9. What are the taboos for gastric lavage?
(1) Patients with uncontrolled convulsions should not be inserted with gastric tube, and forced insertion can often induce convulsions.
(2) Those who take corrosive agents.
(3) Past history of esophageal varices or upper gastrointestinal bleeding.
(4) taking strong acid and alkali by mistake. Acute peritonitis.
10. When a practical nurse treats a patient, she is often rejected by the patient. If you are a practical nurse, what should you do?
Nurse interns should start from the most basic nursing when they enter the ward, and gradually gain trust through contact with patients and their families in the ward, especially the daily basic nursing. If you can always consider what you need from the patient's point of view and try your best to help, then your treatment will be accepted by the patient with the help of the teaching teacher.
1 1. As a nurse, she is an excellent nurse as long as she has excellent operational skills. Do you agree with this view? Why?
Incomplete:
(1) I love nursing, love my job, and have the professionalism to serve human health.
(2) Care about the patient's sufferings, think about what the patient thinks, and be anxious about what the patient is anxious about. Have a high sense of responsibility, compassion and love for patients.
(3) Have good medical ethics and integrity. Do not do illegal operations that violate moral conscience, do not do disloyal work, and safeguard professional reputation.
(4) Have honest character, noble moral cultivation and noble thoughts and sentiments.
(5) Have certain cultural literacy, nursing theory and humanistic knowledge, and have the basic knowledge of participating in nursing education and nursing scientific research. Can be competent in nursing work, be brave in learning professional skills, and maintain a high level of nursing.
(6) Have strong nursing skills, and be able to apply the working methods of nursing procedures to solve the existing or potential health problems of patients.
(7) Maintain good cooperative relations with peers and other personnel, and respect, love, unite and cooperate with each other.
(8) Have healthy psychology, cheerful and stable mood, tolerant and open-minded mind and strong body. Work style is rigorous, implicit, positive, decisive, agile and realistic.
(9) Pay attention to civility and politeness, use standardized language, have a kind attitude, be steady and dignified, dress neatly, and be generous in appearance.
12. When new patients are admitted to the hospital, they are often unfamiliar with the environment and anxious about the disease. How do you accept new patients?
First smile, treat the patient as family, then speak softly and clearly, and move softly. It would be a great encouragement for patients if they could talk about the past successful cases of the disease.
13. When patients leave the hospital, they often thank the doctors first and ignore the nurses. What do you think of this problem?
It is more important to keep a steady mind. Doctors must play a major role in the treatment of patients, and it is understandable for patients to thank doctors. The work of care workers should also be affirmed. If the patient is cured and ignores the nursing staff, as a nursing staff, there is no need to be unbalanced. Because their own efforts and values have been reflected in the patient's smooth recovery and discharge, they should be self-affirmed and treated calmly. Being a medical worker is not to get others' affirmation, and you can't put the cart before the horse. Instead of obsessing over these trivial matters, we should strengthen our professional skills and better fulfill our vocation as a nursing worker. As long as you really pay, you will definitely get everyone's affirmation.
14. In your opinion, what advantages do you have to win this position compared with others?
(1) Analysis of its own advantages and disadvantages (profound and objective);
(2) Understanding of the position applied for (seeking truth from facts);
(3) understanding of the relationship between personal characteristics and positions (sufficient arguments to explain the matching with positions);
(4) Personal future work prospects (innovation and reality).
15. What should I do if I find mass nitrite poisoning while on duty?
(1) immediately report the situation to the leaders at the hospital level, including the approximate number, location and severity of poisoning.
(2) immediately contact the chief physician on duty, report the specific situation, and request the chief physician on duty to inform the hospital departments to be prepared to rescue a large number of patients.
(3) To rescue patients, it is necessary to prioritize, the seriously wounded should be rescued first, and at the same time, it is necessary to get in touch with the patients' families as soon as possible.
(4) Inform the hospital security personnel to maintain order, and pay attention to appease the family's emotions to prevent the situation from expanding. What happened in this process should be reported to the superior at any time.
16. After the operation, the nurse found that there were only six pieces of gauze left, but she remembered that it was seven. The doctor said I was the director or you were the director. what do you think?
A: First of all, it should be affirmed that the nurse's serious and responsible attitude is correct. If a piece of gauze is really forgotten in the patient, the consequences are unimaginable. The attitude of being responsible for patients is the basic medical ethics that doctors should have. For the doctor, it is necessary to verify the correctness of what the nurse said with the attitude of thinking for the patient under uncertain circumstances. The relationship between doctors and nurses is equivalent to the relationship between leaders and subordinates, which implies that as leaders, we should carefully analyze the suggestions made by subordinates and adopt correct suggestions, while as subordinates, we should calmly treat the different opinions of leaders and analyze them correctly. Obey the leadership on non-principled issues, and reflect major principled issues to superiors. If your correct opinion is not adopted, you won't work passively.
17. You had a lot of things in your hand when you were on duty, and the head nurse gave you an important thing. What would you do?
As a nurse, it is inevitable to encounter such a situation, which requires us to do our best to overcome the difficulties and complete the task on time and with good quality.
(1) I should believe that this is the negligence of the head nurse, or that there are too few people for me. Please treat it correctly and don't complain. If there is no conflict between several working hours, I will handle it according to the principle of which is more important.
(2) If possible, when dealing with new tasks, first adjust the affairs at hand and see if you can squeeze out time to finish them. If overtime can be solved, add overtime.
(3) If it really doesn't work, explain the situation to the leader, and colleagues will assist or undertake other tasks. If I do the most suitable thing, please ask the head nurse to coordinate and hand over my affairs to others.
18. Doctors often hide their illness from patients. what do you think?
(1) Psychologically, most patients will fall into despair after learning that they are terminally ill, and even refuse to continue receiving treatment. Therefore, it is beneficial to cooperate with the treatment and conceal the patient's illness properly. However, if the patient already knows and insists on asking about this matter, the doctor should respect the patient's right to know, tell him the illness gently, and give more guidance to help him tide over the psychological difficulties.
(2) First of all, I don't think doctors should hide their illness from patients. The reason is simple, because doctors can't hide their illness based on medical ethics. In addition, if you don't tell the patient about your illness, how can you get the patient's cooperation? The key lies in when and how the doctor tells the patient. At Harvard, I once met an example: a patient had cancer, and the doctor thought for a long time and decided to tell the patient the sad news slowly. Therefore, doctors encourage patients and introduce the progress of treatment to him every day, and the disease develops from simple to in-depth Gradually, the patient had a real understanding of his illness, accepted the fact calmly, and finally passed away peacefully. Doctors have also done a lot of meticulous work for patients' families and obtained their cooperation.
19. What do you think is unreasonable in the hospital where you practice, and how do you deal with it?
(1) During my internship, I found that there were few facilities for the disabled in the hospital where I practiced.
(2) In view of this situation, I first made a survey with my classmates, such as counting the number of disabled people who entered the hospital within a week and asking them to fill out some questionnaires.
(3) After the investigation, I will write a detailed investigation report and submit it to the hospital, analyze the patient's satisfaction and the equipment that needs to be added, and put forward practical solutions for the hospital's reference, hoping that these situations can be solved by the hospital.
20. A salesman of a large pharmaceutical company came to your department to sell drugs, claiming that he had established contacts in the hospital, and other colleagues received red envelopes. As long as you prescribe more medicine for me, you can get a proportional commission. I was just about to give you a red envelope when my colleague came in. What should you do?
(1) I will explain to pharmacology that I will never accept red envelopes. As a medical worker, I have the minimum professional ethics.
(2) Actively communicate with colleagues to explain that this is the first time that such a thing has happened, and ask colleagues how to solve such a thing next time.
(3) self-reflection, to see if there is anything wrong with your usual words or actions, which has caused wrong impressions and misunderstandings!
(4) If this phenomenon of accepting red envelopes does happen, I should suggest to the hospital to improve the relevant system.
2 1. Your professionalism is very strong, and your leaders are not familiar with technical operation. He often makes you do this and that, leaving you at a loss. What would you do?
First, everyone has his own strengths. The leaders are not familiar with technical operation, but the leadership organization and coordination ability is really better than mine. It is not surprising that this phenomenon exists in practical work, and it should be acknowledged and accepted.
Second, because the leader is the decision-making and organizer, and I am the executor and the person who completes my specific tasks, I generally try my best to adapt to the work plan and tasks assigned by the leader.
Third, if the work plans and tasks issued by the leaders violate the technical operation rules, blind implementation may cause losses or accidents, we should persuade the leaders to change or refuse to implement them.
Fourth, we should communicate with leaders frequently, discuss relevant technical knowledge and operating procedures with him (her), make him (her) familiar with relevant technical knowledge and operating procedures, and put forward more constructive suggestions for his (her) reference before arranging and allocating each work plan.
22. When you were on duty in the emergency department, relatives and friends rushed to see you. What would you do?
(1) Ask friends and relatives carefully to know the specific situation and nature of the emergency, and then make corresponding judgments.
(2) If this urgent matter is related to my occupation, such as my relatives being unwell or injured, I will deal with it according to the situation on duty at that time and the priority of illness. I will deal with serious patients first, and I will never give priority to my relatives because of my personal relationship.
(3) If it is a personal matter, I will explain to my relatives the principle of our emergency duty. Be sure to stick to your post and not leave your post without leave. See if you can help him deal with it after work. I believe my relatives and friends can understand.
(4) If it's really urgent, I'll ask for leave from the leader, and I can't leave the duty post until the leader on duty agrees and arranges relevant personnel to replace me.
23. As a medical worker, what advantages and disadvantages do you think you have?
(1) I am a medical worker, engaged in medical work, able to meet all kinds of people, and often deal with some emergencies, which gives me a strong ability to deal with people. I am calm, clear-headed, crisp, serious, steady and patient.
(2) I have a strong team spirit, I can establish a cooperative relationship of mutual trust with my colleagues, I have good listening and communication skills, I can interact with others, I enjoy information and honor, I work hard, I can finish my work in time, I am willing to help my colleagues, I am willing to undertake work outside my own work, and this spirit has been improved and improved in my work.
(3) As the saying goes, no one is perfect, but I also have shortcomings, such as shallow social experience and little work experience. Only by constantly discovering, correcting and consulting others sincerely and humbly can we overcome our own shortcomings and constantly improve ourselves.
When you were on duty, an emergency patient suddenly fainted in front of you. What did you do?
(1) It is normal to encounter such a thing at work. I want to deal with it calmly, quickly and properly, and I can't be flustered.
(2) Immediately check the patient's vital signs to see if it is stable, and report this situation to the chief doctor on duty in the hospital.
(3) If the patient's condition is stable, I will deal with the patient's condition with the nurse on duty.
(4) If the patient is in critical condition, I should immediately contact the doctor on duty in other departments and ask for assistance in treatment.
(5) During the treatment, you can't leave your post without leave, and you can't arrange your own shifts. If the patient needs to be examined by our company, he should report the situation to the doctor on duty and leave after approval.