采用人性化护理管理降低护理差错的思考

随着社会的迅速发展及人们生活水平的不断提高,人们对医疗服务的需求增加,护理工作者所面对的压力增大,产生护理差错的概率增加.同时,护理工作者知识结构水平的改变,整体素质上升,对护理管理要求提高,人性化管理成为当今谈论的焦点,也成为减少护理差错、提高护理质量的重要手段.     

护理管理中的思维应用

护理管理中的创新是强化科学管理,提升护理水平的关键,科学的思维则是护理创新活动的核心和灵魂,以科学的思维指导护理管理实践,通过不同思维方式的应用、思维在护理管理创新中的实施及思维的培养,可以提高管理成效,提升护理质量.     

品管圈在持续改进护理质量管理中的实践与探索

应用科学的管理工具使经验性管理逐渐转向科学化管理是提高护理质量管理水平的关键.近年来,品管圈(quality control circles,QCC)作为一种科学的管理工具逐渐被引入护理质量管理中.2013年初我院护理部组织成立了"外科品管圈推动小组",推动开展QCC,督促指导临床护理单元成立了9个品管圈.QCC的开展促进了临床护士主动参与管理的意识,掌握并运用现代质量管理的手段和工具,共同发现和解决问题,用实证改善临床的管理,掌握科学化的管理技能,不断提高临床护理质量.     

护士分层级使用和管理模式在优质护理中的应用研究

在优质护理服务中实施连班制的弹性排班实现护士分层级使用和管理模式,以探讨更合理、科学的护理管理模式.根据护士的学历、职称、技能、临床经验;患者的病情、工作强度、技术难度、操作风险对护士进行动态调配.分层次使用和管理,即在病区实行“护士长→护理组长→责任护士→助理护士”4个层级管理结构,分层级不分等级,均衡年轻护士和老护士.同时考虑到护士的业务技术,胜任能力相匹配,实现护士人力资源最优化的配置,满足患者的需求,提供优质护理服务.实施后护理文书书写时间较实施前明显减少,基础护理、健康教育时间较实施前明显增加,护理质量,满意度明显优于实施前(P＜0.05),差异有统计学意义.实施护士分层级使用及管理模式真正体现护士能级对应,使现有的人力资源得到了优化配置,提高满意度,保证护理质量,切实符合临床实际护理工作的需要.护士专业价值得到真正的体现,有利于护理人才的培养与护理梯队建设,护理学科的发展.     

危机管理在急诊护理管理中的应用

本文概述了急诊护理危机管理的含义,分析了当前急诊科护理危机的隐患因素,并进一步探讨危机管理在急诊护理管理中应用时的具体措施。阐述了强化危机管理在现代急诊护理管理中的重要作用,提出应最大限度防范与控制急诊护理危机,全面提高急诊科护理管理水平。     

危机管理在急诊护理管理中的应用

本文概述了急诊护理危机管理的含义,分析了当前急诊科护理危机的隐患因素,并进一步探讨危机管理在急诊护理管理中应用时的具体措施.阐述了强化危机管理在现代急诊护理管理中的重要作用,提出应最大限度防范与控制急诊护理危机,全面提高急诊科护理管理水平.     

护理本科生时间管理倾向与成就动机的相关研究

本文目的是探讨护理本科生时间管理倾向与成就动机之间的关系。方法采用青少年时间管理倾向量表和成就动机量表对200名全日制护理本科生进行集体测试。得出结果：护理本科生时间管理倾向与追求成功的动机及避免失败的动机均呈显著正相关;时间价值感对追求成功的动机有显著的预测作用,时间监控观对避免失败的动机有显著的预测作用。研究结论为护理本科生时间管理倾向与成就动机相关显著。     

浅析护理缺陷管理

通过对四年来护士发生护理缺陷的种类及主要责任护士的年龄、工作年限,发生的原因及结果进行分析,探索杜绝护理缺陷和医疗纠纷的途径,来不断深入和完善预防措施。对我院2004年～2007年发生的18例护理缺陷进行总结、分析原因,制定整改意见,监督整改结果,以完善防范手段。护士是高风险职业,护理缺陷的发生在各个年龄段,各个工作年限都会因工作的粗心大意而发生,发生的种类也是各不相同的,因此,护理缺陷的发生与护理人员的责任心、工作经验和应变能力息息相关,即使工作经验丰富的护士也会因为一时的细节疏忽而导致护理缺陷的发生。加强缺陷管理和护士安全教育,强化法制观念采取奖惩并用手段,对降低护理缺陷发生有很大作用。     

安全文化在传染病区护理管理中的应用

总结了安全文化在传染病区护理管理中的实施效果.包括对医务及保洁人员、患者及家属、陪探视人员3部分不同人群的安全教育.认为重视和加强传染病区的安全文化建设,有利于提高医疗护理质量,促进医患关系和谐,提高患者满意度.     

对优秀护士人格与行为因果关系的探讨

当前,在护理同仁致力于实施让我国民众享受有与发达国家民众同等优质护理服务的重大工程之际,培养一支具有良好素质的护理队伍已成为现代管理者的共识。在长期护理管理实践中,笔者深切地感受到：提高护士的心理素质是全面提高护士素质的关键所在。笔者根据心理素质是个...     

英国养老护理人员培训对我国的借鉴与启示

本文介绍了英国养老护理人员培训概况,分析了其培训特点,在此基础上思考了对我国养老护理人员培训的借鉴：满足老年人的疾病护理的需求,丰富护理内涵;不断壮大养老护理队伍,吸引高技能人才;借鉴NVQ制度,促进我国养老护理人员分层培训体系的建立;改善养老护理员工的福利与奖惩制度;完善养老机构的规章制度,确保持证上岗比例。     

一起四级医疗事故引发的几点思考

目前,规范护士执业范围的法律、法规存在着盲区。作者通过对一起四级医疗事故的护理责任及护士执业范围的合法性进行分析探讨,认为应当尽快出台与《护士条例》配套的实施细则,以明确规范护士的执业范围及合法性,保障护士执业的安全。     

Increasing Communication Among Nursing Home Residents

In this preliminary, intrasubject study (N = 8), we examined the effects of communication skills training and the use of memory books by Nursing Assistants (NAs) on the social ecology of a nursing home. Through inservice and on-the-job training, NAs were taught to use communication skills and memory books during their interactions with residents with mild to moderate cognitive impairment (Mini Mental Status Examination, M = 16.25), but relatively intact communication abilities. An abbreviated staff motivational system called Behavioral Supervision (Burgio and Burgio, 1990. Int. J. Aging Hum. Deve. 30: 287–302.) was attempted to encourage performance of these skills on the nursing units. Results showed that, regardless of sporadic implementation of the intervention by nursing staff, the intervention improved communication between staff and residents during care routines, increased the amount of time other residents and visitors spent talking with target residents, and increased the rate of positive statements made by the target residents and others in their immediate environment. Results are discussed in terms of limitations of the staff motivational system and modifications made to the system in a larger ongoing intervention trial.     

临床共情与护理技术结合：人性化的护理

临床共情是一种能体验患者内心世界的能力,通过患者的言语和非言语表达,觉察和认识患者情感和情绪需求,并对其做出恰当的回应.临床共情具有科学的理论和实践基础,具有缓解患者心理上的痛苦,改善护患关系,促进患者康复等作用.在当今复杂的医疗环境下,务必要重视共情培养,适时运用临床共情.然而,我们强调临床共情的重要作用,并不能忽视护理技术的根本作用,根除躯体上的病变仍有赖于护理技术的有效性.在临床护理实践中,坚持共情与护理技术的有机结合,推进人性化的护理构建.     

落实当代护理伦理职责存在的问题及对策

在临床护理实践中,要落实当代护理伦理职责尚存在不少问题,例如忽视多元文化护理、关爱与人性化服务不够以及不能充分认识和维护患者的权利。要解决这些问题,宜促进护理伦理学课程改革,努力提高护士自身素质;同时,营造理想的医疗护理伦理环境,加强管理,也是落实当代护理伦理职责的必由之路。     

A STAFF MANAGEMENT SYSTEM FOR MAINTAINING IMPROVEMENTS IN CONTINENCE WITH ELDERLY NURSING HOME RESIDENTS

We developed a staff management system for maintaining treatment gains achieved on a specialized continence unit located in a geriatric nursing home. Geriatric assistants learned to use a prompted voiding procedure to maintain improved dryness for 4 elderly residents. The staff management system included self-monitoring and recording of prompted voiding activities and supervisory monitoring and feedback based on group performance of these activities. Results show that the system was effective in maintaining prompted voiding activities with corresponding maintenance of improved patient continence. However, a gradual decline in staff performance was noted 4 to 5 months after the initiation of the system. During a subsequent phase of the study, provision of individual feedback restored staff performance to previous levels. Results are discussed in relation to the practicality of prompted voiding interventions in nursing home environments and the applicability of staff management systems in this setting.     

借助巴林特小组培训模式提高临床护理质量

通过对巴林特小组培训模式的认识和理解,并将之运用于临床护理研究,使护理人员在处理护患关系中形成新的视角和更具分析性的思考方式,从而能够更深刻地意识到自身对于患者的影响,提高换位思考的敏感性,以便更好地理解和帮助患者;同时还能促进护理人员的心理健康和减少其工作中存在的护患矛盾。这不仅可以提高患者的治疗效果和生活质量,而且还可以提升护理人员自身的职业素养。因此,巴林特小组培训模式对于实现临床护理优质服务具有重要的现实意义。     

Nurturing and Enhancing Creativity of Nursing Students in Taiwan: A Quasi-Experimental Study

Creativity and innovation are considered important measures of core competence in Taiwan for students of all levels, including nursing students. Integrating creativity with interdisciplinary teaching modules could increase creativity for nursing students; however, this has not been empirically determined. The purpose of this study was to determine if incorporating interdisciplinary teaching into a teaching for creativity module (TCM) could enhance creative thinking and creative abilities of nursing students. Students enrolled in a capstone nursing course for the development of healthcare-related products were divided into 2 groups. Both groups participated in the 18-week course; however, one group received creativity training with interdisciplinary teaching during the course, which was taught by nursing faculty who completed a TCM workshop. Students who received the interdisciplinary TCM intervention scored significantly higher than controls on measures of creative thinking. Our findings suggest a TCM program, which incorporates interdisciplinary teaching, and instruction in techniques for creativity, such as brainstorming, attribute listing, assessment matrix, and paired comparison, can stimulate divergent thinking abilities of nursing students.