Lecture on knowledge education in Guangdong Workers' Hospital Ouyang Yuting/photo
condition
The physical and mental stress brought by the nurse-patient relationship is the most obvious.
Fatigue, nervousness, anxiety, depression ... In March, 20021year, the Survey Report on Mental Health of Medical Workers in 2020 (hereinafter referred to as the Report) showed that the mental health problems of medical workers in China can not be ignored, and 27.7% of them may be prone to depression, 65,438+.
Why do nurses become a high-risk group of psychological anxiety? In the interview, the reporter learned that high-intensity work, long night shift, nurse-patient relationship and work-family conflict are all important factors affecting nurses' mental health. Among them, the physical and mental stress brought by the nurse-patient relationship is the most obvious.
"Three-point treatment, seven-point care", with the continuous growth of people's demand for health services, the society's expectations for nursing work will be higher. On the other hand, the shortage of nurses' manpower has greatly affected the nursing needs of patients. It is understood that according to the requirements of the Ministry of Health, the ratio of beds in wards to nurses in wards should be at least 1 0.4, but at present, many hospitals have not reached this standard, which invisibly increases the work intensity of nurses.
"Work is like' fighting', and few people get off work on time. Sometimes it does collapse. " An interviewed nurse said. In daily work, nurses in intensive care unit, psychology department, geriatrics department, oncology department, chemotherapy department, pediatrics department and hematology department may face greater psychological pressure.
"They are faced with psychological patients with symptoms such as anxiety, depression and mania, depressed tumor patients and elderly and frail patients. Nursing is more difficult and the requirements for nurses will be higher. In addition, in the special period of epidemic prevention and control, nurses in infectious diseases and fever clinics are also facing greater psychological challenges. " Li Li, head nurse of Huiqiao Medical Center of Southern Hospital, introduced to the reporter.
Chen Xiaofang, director of the nursing department of the Third Affiliated Hospital of Southern Medical University, said that the work stress of nurses is mainly related to the complexity of patients' illness. The more complicated the patient's condition is, the heavier the workload the nurse undertakes, and the greater the physical and psychological challenges. For example, nurses in emergency department and intensive care unit are much more unpredictable and complicated than nurses in other departments, and are more prone to psychological conditions such as anxiety and depression. After a long time, job burnout may occur.
In addition, the competitive pressure at work is another important reason for nurses' psychological pressure. From nurses to nurses, to nurses in charge and head nurses, if you choose to engage in nursing work, you have to keep moving forward and strive for every step of your career.
"Work and study are correct, and practice theory is grasped with both hands." Wang Hao, a spinal surgery nurse in the Third Hospital of Southern Medical University, summed up her professional requirements. Wang Hao stayed in the hospital for one year after graduating from 20 18 university, then went abroad to study for one year and came back to work in March this year. She told reporters that the hospital will assess nurses every year, including not only skills training competitions, but also theoretical written tests to consolidate the professional knowledge of textbooks. For the future career path, she intends to continue to apply for the nurse qualification certificate. After passing the certificate, you can apply for the nurse in charge five years later, and then the head nurse. "After doing this, learning and progress can't stop."
Nurses in the Third Hospital of Southern Medical University used B-ultrasound to check the position of indwelling catheter unit of patients.
respond
Set up a psychological counseling group and "receive treatment" at any time.
The reporter learned that many hospitals deal with the mental health problems of nurses through measures such as pre-test and post-intervention
Wang Hao said that in the physical examination at the training stage, there is a psychological test. The daily nursing department will also issue mental health questionnaires. "If there are emotions that are difficult to resolve at work, we will communicate with the head nurse or take a temporary leave to rest. Under normal circumstances, we can slow down. "
"Nurses' work is also a service industry, and psychological pressure is definitely there. Fear of wrong needles, wrong medicines and complaints from patients will bring psychological pressure. "Li Li said that nurses who usually go to work will adjust their emotions by spitting. In recent years, Southern Hospital has also set up a psychological nursing team, which not only cares for patients' "mind", but also pays more attention to protecting the physical and mental health of frontline medical staff.
"The Third Hospital of Southern Medical University has set up a psychological consultation group for medical staff to receive' consultation' at any time. The nursing department will hold a nurse symposium every quarter to promptly ease the confusion and pressure in nurses' work and life." Chen Xiaofang told reporters.
In order to better help medical staff solve the "worries", the affiliated hospital of Guangdong Medical University and the hospital trade union set up a psychological consultation group among colleagues and a help committee among colleagues respectively. "As long as we have needs, we can turn to the psychological counseling group and the support clubs among our colleagues for help, and there are specialized doctors to help us relieve stress and solve difficulties." Nurse Chen said to me.
As the "parents" of the broad masses of workers, trade unions at all levels in Guangdong Province are also taking practical actions to care for the physical and mental health of medical staff. After the outbreak of the epidemic in COVID-19 last year, in order to alleviate the mental and physical pressure faced by front-line medical staff and their families, the Provincial Federation of Trade Unions quickly set up a team of psychologists, giving full play to the role of trade union workers, and providing psychological consultation and difficult help services to medical staff and their families through the Guangdong hotline 1235 1 During the Nurses' Day every year, the provincial education, science, culture and health trade union will also organize condolence activities to send the care and warmth organized by the trade union to the nurses. The trade union of the hospital organized a group outdoor expansion activity to let the medical staff relax after their busy work.
suggestion
Strengthen the vacation system and actively carry out psychological adjustment.
Chen Xiaofang, Director of Nursing Department of the Third Hospital of Southern Medical University: The shortage of nurses should be a worldwide problem. I hope the state can give some support and provide enough manpower. The other is to improve the medical environment and promote the harmonious relationship between nurses and patients. In the past, the social awareness of nursing work was not high, and it was always considered as a relatively low-level service work. In fact, nursing is a refined skill post. At the same time, I hope that the whole society will give more humanistic care to nurses and give them more understanding and support.
Yang Jing, a famous psychologist: I think nurses are most likely to cause job burnout due to long-term work pressure, sleep disorder, lack of rest on duty and staying up late. Coupled with the lack of time to raise children, emotional stress is transmitted to the family, leading to family conflicts. It is suggested that the leaders of the unit strengthen the vacation system and implement fair performance appraisal to provide psychological assistance services for medical staff. Nurses should also take the initiative to make psychological adjustment, and do psychological consultation in time when necessary.
The Report suggests strengthening the construction of the overall mental health service system for medical workers, ensuring their mental health and improving their mental health literacy. When maintaining the mental health of medical workers, it is necessary to reduce the adverse effects of work on families from both internal and external aspects. Internally, through lectures, training and publicity, we should enhance the awareness of medical staff to maintain work-family balance and improve their coping skills. Externally, it is necessary to give certain guarantees from the system and take measures to reduce their worries.
story
Head nurse of infectious diseases department Chen: The string of epidemic prevention and control is always tight.
When it comes to patients with infectious diseases, people dare not avoid it, but as the head nurse of the infectious diseases department of the Affiliated Hospital of Guangdong Medical University, Chen deals with such patients every day. Engaged in clinical nursing for 33 years, participated in the treatment of infectious diseases such as SARS, Japanese encephalitis, cholera, swine flu, hand, foot and mouth disease, dengue fever and AIDS.
Chen (third from left) always sticks to the front line of epidemic prevention and control.
At the beginning of last year, when the COVID-19 epidemic struck, she went to the front line again, shouldering the management of isolation ward and fever clinic. Material preparation, planning process, ward layout, patient division, treatment and nursing, personnel training, manpower arrangement, hospital and department information uploading and publishing, complicated work, she has to do everything herself.
Nowadays, the focus of epidemic prevention and control has shifted to foreign importers. Chen Ye is at the forefront, working in the most dangerous isolated observation area for foreign importers, and taking care of these "potential cases". Chen and her colleagues cannot go home until the foreign workers are out of danger. "We are also ordinary people, and we will be nervous and afraid, but there must always be someone to do the work. We are professional medical staff. No one is more suitable than us. We will not back down. We are duty-bound. "
For front-line medical staff, it has become their daily work to prevent and control various epidemics in a "combat" state. They have always been tight on the string of epidemic prevention and control, and they dare not relax for a moment. "Last year, the epidemic may have been tense at the beginning. Now we have this knowledge. As long as scientific protection is done, there will be no problems and fear can be overcome. "
In order to thank the medical staff for their silent dedication since the epidemic, on May 8, the hospital held a literary evening to relieve the work pressure of the medical staff who work hard every day through rich entertainment programs.
For the future work, Chen said: "On the one hand, we must do a good job in vaccination; On the other hand, we must be prepared for a protracted war with the epidemic, always be vigilant and highly vigilant, and hold the barrier of epidemic prevention and control. "
Zhong, Director of Geriatrics Nursing: While comforting patients, we should also protect our own safety.
"The working status of geriatric nurses is always highly tense. In addition to ensuring the safety of patients, nurses should also protect themselves. " Zhong Yan, head of the Geriatrics Department of Guangdong Workers' Hospital, said frankly that because nurses take care of elderly patients, they are often insane, so they occasionally throw things and hit people. As a nurse, we should not only appease patients, but also protect their personal safety.
Zhong, the nursing director of the Geriatrics Department of Guangdong Workers' Hospital, made an introduction at the lecture.
With the aging of society, the number of elderly patients complicated with dementia or mental disorders has increased in recent years. Zhong said frankly that the work pressure of geriatric nurses is reflected in the high expectations of family members to send the elderly. However, elderly patients with mental disorders need to adhere to drug control and treatment for a long time in the process of rehabilitation. Once the medicine is missed once, it will be easy to repeat and fail to achieve good therapeutic effect. On the other hand, due to economic pressure and other problems, some patients' families will turn the pressure into sharp words and impulsive behaviors and transfer them to nurses, which will easily affect their normal work and daily life.
Due to the low social recognition and value recognition of elderly nurses, when asked about the work department, Zhong said with shame, "I am afraid that others will treat me differently and say that I am a caring old lady." In order to enhance the social recognition of geriatric nurses, this year, when Zhong was invited to attend the knowledge education lecture, he shared the topic analysis and intervention of nurses' negative emotions, focusing on the working environment, characteristics and pressure faced by geriatric nurses, in order to affirm the work value of nurses.
Xie Ling, deputy director of the Nursing Department of Guangdong Workers' Hospital, said that the hospital encourages nurses in geriatrics to attend knowledge education lectures and introduce the work, exploration and experience of geriatrics to the outside world. The hospital also regularly invites experts inside and outside the hospital to give lectures on the theme of "Happy Work, Happy Life" to relieve the work pressure of nurses. Because the geriatrics department is semi-closed, there is little communication with other departments. However, hospital trade unions have many caring measures for nurses in geriatrics department, and often organize collective outdoor expansion activities, such as playing badminton and climbing mountains. In order to help nurses in geriatrics department strive for more retraining and re-education opportunities, the hospital has created a platform to exchange nursing knowledge with experts, so as to enhance their sense of professional honor, acquisition and identity.
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