After reading "Wake Up Care", I feel very heavy. This book has given me a deep feeling so far. There are many problems in the current nursing situation, such as the shortage of nursing staff, cooperation between doctors and nurses and passive machinery, too much treatment time, outdated nursing mode and so on. It may take a long time to improve to the ideal level, but under such circumstances, I think something can be done to change it.
We carry out nursing from the patient's point of view, take the patient as the center, think more about the patient, awaken our sense of responsibility, awaken our profession, awaken the true feelings between us and the patient, and perhaps the doctor-patient relationship will be more harmonious. Now that patients' awareness of protection has increased, I deeply understand the importance of nursing communication and the fear and insecurity of patients coming to the hospital. At this time, a smile and a kind word from us will make patients feel very warm and trust us.
At work, we should pay attention to some trivial details. When treating patients, care and consideration for patients can be reflected in some subtle actions. We often complain that treatment and disposal take up most of our time and have no energy to do psychological care, life care and health education. In fact, these jobs are everywhere, all the time. In the process of treatment and disposal, every communication with patients can achieve the role of education and guidance, and seemingly ordinary diarrhea can also be an effective opportunity to understand patients' psychology. It is the mission of our nursing work to reduce the pain and troubles for patients and bring them more happiness and happiness.
In addition, the ideal nurse should be a good helper for doctors and build a harmonious relationship between doctors and nurses. Nurses should carefully observe the condition and report it to the doctor in time, provide better treatment and nursing plan for the doctor on the basis of completing the doctor's orders, and meet the needs of patients in time.
For the angels in our hearts, for our lofty ideals and beliefs, we are going further and further on the road of saving lives.
After reading Awakening Care, the nursing team of spine surgery in the central hospital developed good reading habits under the advocacy of head nurse Li Qian. Recently, we have incorporated Awakening Care, a gift from hospital leaders, into our new study plan. Every day, night nurses distribute reading tapes in WeChat group, which is convenient for everyone to listen in their leisure time such as getting up or sleeping in the morning. Everyone will leave a message when they have some feelings or questions about each chapter, and the head nurse will lead everyone to answer questions and apply what they have learned.
A new batch of nursing students also entered the department. Looking at young and immature women, they are like themselves six years ago: full of enthusiasm and loneliness, and the teachers' exhortations echo in their minds, as if they were gearing up for the moment when they really walked into the clinic. A few days later, as they gradually became familiar with the environment, they asked a cautious question: Teacher, it seems a little different from what we thought … Yes, when you participate in the rescue, you will not be able to control your hurried steps; In order to let the patient input life-saving blood as soon as possible, you will hold the frozen plasma in your hand and heat it by hand; You will be happy for the patient's recovery and cry for his illness. As for the reason, it's probably because you are a nurse, sending swaddling clothes to the fallen baby and soothing the last companion of the dying patient!
On the road of life, everyone is fragile in the face of illness, and everyone will be afraid in the face of death. As a nursing professional, I can protect and care for my life, help patients to light up their hopes, overcome diseases, or let them leave quietly with dignity at the end of their lives.
Is this kind of scientific nursing lacking? After reading Awakening Care, I can answer: No loss. What is a bachelor's degree? At present, there is a doctor's degree in nursing, and three famous universities have established postdoctoral mobile stations. We should plan our future life so as to achieve ourselves. See the extraordinary nursing profession in the ordinary; Ordinary, more extraordinary.
"On the left is love, and on the right is sympathy. Walking on both sides of the road of life, sowing seeds at any time, flowering at any time, embellishing this long journey with flowers, so that pedestrians wearing branches and leaves can walk on thorns without feeling pain and tears falling, but not sad. " This passage is the best interpretation of nursing work.
Let's join hands in nursing and don't forget your initiative.
After reading Awakening Nursing, recommended by the hospital, I was fortunate to read the book Awakening Nursing written by Professor Zhang Zhongnan. In this book, the professor systematically and comprehensively summarizes the origin, content, process and nursing management of people-oriented holistic nursing, which is of practical significance to significantly improve medical care, safety, efficiency and doctor-patient relationship and ensure the real landing of quality nursing. After reading it, I feel suddenly enlightened, just like a bright light in the dark, which makes me feel suddenly enlightened in the face of busy work and depressed mood every day.
Compassion is on the right, walking on both sides of the road of life, sowing seeds and flowering at any time, decorating this long journey with fragrant flowers, so that pedestrians who wear branches and brush leaves will not feel pain and tears, but they will not feel sad. "After reading this passage, I was very touched. If through our efforts, the sick people can be relieved of their pain, the hope of life can be ignited, and their lives can leave with dignity and peace at the last moment, I feel the greatness and loftiness of the nursing career I am engaged in, and I also understand the true essence of the nursing career, that is, to safeguard the dignity of life, protect life and care for life.
At the beginning of this book, the professor pointed out the defects of our current nursing model. These defects lead to the delay of patients' illness, serious complications in the treatment process, deterioration of patients' prognosis and decline of patients' quality of life after rehabilitation. To sum up all the reasons, the doctor-patient relationship is getting more and more tense. In practical work, how can we alleviate this contradiction? I think there are the following ways:
First: I think we should change our traditional nursing concept. We nurses should help patients as much as possible, do a good job of "patient-centered" nursing concept in nursing, and make profits for patients as much as possible. Patient-centered refers to thinking of patients everywhere in concept and medical behavior, and putting patients first in all activities. For example, we provide life care for patients. It is mentioned in the book that this is not a simple washing of hair and feet, but we encourage patients to do it themselves when they have the ability to take care of themselves, and assist them when they have no ability to live. When doing life nursing, observe the patient's condition changes and reduce the occurrence of lagging understanding of the condition. Compared with disease-oriented nursing, people-oriented nursing pays more attention to the influence of patients' emotional, psychological and physical function recovery on patients. When we provide treatment for patients, we should pay more attention to patients' emotional and psychological changes and discover patients' psychological changes in time.
Second, pay attention to nurse-patient communication. Language is a tool for human beings to communicate their thoughts and feelings. Beautiful, cordial and enthusiastic language can make patients feel warm. You can communicate with patients more and use your professional knowledge to increase patients' understanding of their own diseases and increase their confidence in overcoming them. At work, we are faced with patients who are in a state of physical and mental pain, so we should take care of them with care, love and consideration. I believe that as long as we work hard, we will also get the sincere reward from the patients.
Third, pay attention to humanistic care and embody humanistic spirit. We should take patients as the center, pay attention to people, care about people, attach importance to people's personality, and truly treat people as people, not as attachments to diseases.
Fourth, continue to vigorously carry out quality nursing projects. The "holistic nursing" and "quality nursing" mentioned in Professor Zhang Zhongnan's Awakening Nursing include psychological nursing, treatment, life nursing and educational guidance. This nursing model perfectly interprets "love, patience, carefulness and responsibility".
To this end, an excellent nurse should first be able to stand in the patient's position, learn to think for them, care for and understand the patient, and relieve the pain for the patient with skilled technology and quality service. Use your own knowledge to help solve patients' doubts, inform patients of diseases and precautions, improve your position in patients' minds, and make patients believe that you can help doctors treat their diseases and get respect, thus reducing unnecessary medical disputes. Really understand Professor Zhang Zhongnan's nursing thought, regain people's respect for nursing workers, let the nursing cause really develop, and let nursing workers work happily, safely and attentively.
Thoughts on "Awakening Care" 4 Unfortunately, I reluctantly watched "Awakening Care". Now I am glad that I read this book, and I am honored to have this "unwilling" learning opportunity. At the beginning of this book, there is a question that hits the soul directly: "What is the role of nursing?" I can't help thinking that in the two or three years of my career, I have never thought about similar problems. At first, I didn't study nursing voluntarily, but all kinds of coincidental learning, and I felt that all aspects should do their duty well.
Reading "Awakening Care" makes people suddenly enlightened. This book points out five major defects of nursing: insufficient number of nursing staff, too much treatment time, unsatisfactory professional skills, frustrated nurses' enthusiasm and so on. As a psychiatric nurse who has just joined the job for a few years, there is no way to change many aspects by her own efforts, but what can be changed is to improve and improve her own problems.
First, strive to improve professional skills. Many professional skills of psychiatric nurses are not as good as those of general hospitals, which is my first feeling when I first entered the hospital. Each has his own strengths. Psychiatry is good at observing the situation of psychiatry, but it also has defects in observing other aspects. Even if he observed the blind spot of knowledge, he didn't know how to care. Strengthening the study of their own theories is what nurses should always do.
Secondly, change the concept of nursing as soon as possible, take the initiative to observe and be good at observing. What is real nursing? This book gives the answer. People-oriented holistic nursing is too important! Figuratively speaking, its significance and function is to make nurses become doctors' sentries. They are like scouts in battle, not the main battle troops, but they can find the enemy's situation and nip in the bud. They are also the patron saint of patients, always taking care of patients and finding problems in time. This shows that it is particularly important to observe the condition, and we can have a forward-looking thinking to prevent and deal with it in time to prevent the aggravation of the condition. There was a patient in the department before, weighing 100 kg. Every night when she goes to bed, she often sits up and breathes by herself from time to time before going to bed. A nurse found that the patient coughed and had sputum discomfort, and reported it to the doctor in time, and then she was given aerosol inhalation and cough treatment according to the doctor's advice. The patient's sleep improved significantly. Assuming that the nurse only routinely checks the patient's sleep dynamics and does not observe the special situation that the patient can't cough up phlegm, it is very likely that the patient will have an accident of sputum suffocation.
Finally, you need to have empathy and compassion. I feel more like self-reflection, self-reflection on my own shortcomings, and self-reflection on whether I have achieved the empathy and compassion mentioned in the book at work. Quote the words in the book: "Love is on the left, sympathy is on the right, walking on both sides of the road of life, sowing at any time, blooming at any time, decorating this road with fragrant flowers, so that pedestrians covered with branches and leaves will not feel pain and tears, but they will not be sad." I once read a news that ICU nurses in a hospital personally asked doctors to give air intubation in order to understand the pain of patients' sputum aspiration and tracheal intubation, in order to put themselves in the patient's shoes and provide better services for patients.
Nursing is facing people, and the career path is bound to have difficulties and changes, and more is testing and commitment. As nurses, we have a lot to learn and change, but I believe that the road to serving patients' health will be bright.
Reflections on awakening care 5. Awakening Care is a famous hospital management expert, orthopedic expert, director of the Arkansas Orthopedic Research Institute in the United States, and the first to win the international Richard. Professor Zhang Zhongnan, an Asian medical expert who won the O 'Connor Prize, not only put forward the concept of "people-oriented nursing", but also introduced in detail how to implement this concept. Its purpose is to help nursing managers and nurses know what to do, why to do it and how to do it in the process of implementing quality nursing. Most cases in the book come from the author's personal management experience, which is easy to understand. It is not a textbook, but it has the soul of a textbook; It is not an institutional norm, but the standard and basis of institutional norms; You can't copy mechanically, you need to know how to create.
When I closed the book, my heart was heavy. This book left a deep impression on me. The number of nursing staff is insufficient, overtreatment takes up time, professional skills are unsatisfactory, nurses' enthusiasm is frustrated, doctors and nurses passively cooperate mechanically, nursing schedules are extensive and rigid, and nursing fees are far lower ... This is the current nursing situation, and there are indeed many problems. It may take a long time to improve to the ideal level, but under such circumstances, I think some changes can still be made.
Yes, we care from the patient's point of view, take the patient's needs as the guide, think more about the patient, awaken our sense of responsibility, awaken our profession, and awaken the true feelings between us and the patient. Perhaps the doctor-patient relationship will be more harmonious. Teacher Zhang Zhongnan clearly said, "The re-optimized nursing process is also destined to rely on scientific management." As a good nursing worker and manager, we must strictly abide by the rules and regulations of the hospital. Any rules and regulations, if you sincerely accept it and think that its existence is necessary and reasonable, then it is not a constraint for you, but to protect your work to be completed more effectively and quickly. There is no trivial matter for patients, so nursing work should start from details, change passive service into active service, and change active service into touching service.
In the whole nursing work, "holistic nursing" and "quality nursing" mentioned in Awakening Medical Care include psychological nursing, treatment, life nursing and educational guidance. This nursing model perfectly interprets "love, patience, carefulness and responsibility". For this reason, an excellent nurse should first stand in the patient's position, learn to think for them, care for and understand the patient, and relieve the pain for the patient with skilled technology and excellent service. Whenever those injured and fragile lives need care, we always appear at the first time, using our hands to drive away the disease and save lives. I think at this time, all excellent nurses should feel that they are angels and a selfless messenger, which can reduce people's pain and troubles and bring joy and happiness.
In addition, the ideal nurse should be a good assistant to the doctor and build a harmonious doctor-patient relationship. Nurses should carefully observe the condition, reflect the condition to the doctor in time, provide better treatment and nursing plan for the doctor on the basis of accurately completing the doctor's orders, and meet the needs of others in time. For the angel in our hearts, for our lofty ideals and beliefs, for our young vows, you and I are both shouldering the ardent hope of Teacher Zhang Zhongnan, and going further and further on the road of saving lives.