Model essay on hospital nursing medicine

Quality-oriented development and patient-oriented are the principles and service models that hospitals follow. The following is a paper on hospital nursing medicine compiled by me for your reference.

Model essay 1: Research on hospital nursing management measures [Abstract] Some medical accidents will inevitably occur in hospital nursing, and these accidents are caused by the lack of institutional nursing management, so corresponding nursing system management is needed. Hospital nursing management measures are a nursing management system based on relevant conventional nursing and special nursing knowledge, which is factual and scientific, can avoid some common medical accidents and improve the quality and level of medical care. This paper expounds the implementation and effect of hospital management measures, aiming at providing scientific basis for hospital nursing management and improving the level of hospital nursing management.

[Keywords:] Hospital nursing management system; efficiency

Hospital nursing management is a complex management that needs to be treated strictly, which is not only related to the basis and correctness of management, but also related to the rehabilitation effect of patients and the enthusiasm and correctness of nursing staff in implementing measures. In recent years, hospital nursing management has been continuously developed and updated, and many new management measures have been added, which has played a good nursing effect, but the number of nursing staff and the technical requirements for nursing staff are getting higher and higher. Therefore, it is necessary to improve the effectiveness of nursing management under the condition of limited nursing staff.

1 Basic points of hospital nursing management system

There are many nursing management systems in hospitals, and each nursing system has its own pertinence. Its core nursing system can be roughly divided into the following parts:

1. 1 rescue management system

Mainly aimed at the nursing management system of rescuing drugs and personnel. The purpose of management is to improve the rescue level of hospital rescuers and the handling level of emergency rescue; It is not only reflected in the smooth rescue process and the preparation of rescue equipment and drugs, but more importantly, it is reflected in the accuracy, timeliness and obvious effect of rescue.

1.2 nursing quality management system

This is a general nursing management system. Leaders at all levels conduct spot checks on the quality of nursing every month or quarter, and then make relevant plans to improve the quality of nursing management, which are implemented by departments at all levels.

1.3 graded nursing system

Generally divided into special care, I, II, III care, according to the patient's condition for corresponding care. Super-class nursing is aimed at critically ill, seriously ill and major surgical patients; A kind of nursing: nursing of patients with serious illness, critical illness, coma, paralysis, cancer, etc. Class II nursing: nursing care of patients who are weak, seriously ill but the emergency disappears, and after general surgery; Three-level care: care for patients with acute, chronic, mild or convalescent diseases. The degree of illness is from light to heavy, and the nursing will be from simple to dense. The requirements for complications, nursing drugs, nursing staff and nursing environment are different.

1.4 Check the system

Is the nursing inspection system generally observed? Three checks, seven pairs, one attention? , mainly to avoid operating errors or insufficient operating equipment, but also to view all the nursing process information of patients. Other check systems can also be divided into doctor's advice check, medication check and operating room check, which mainly proofread relevant information, prevent information errors and medication errors, and ensure correct treatment measures and medication plans.

1.5 nursing succession system

The nursing handover system not only includes the handover of night shift, day shift and administrative shift, but also includes reporting the duty tasks and related inpatients during handover, and then handing them over to successors. Whether nurses or doctors are handed over, they should explain the work content and the inventory of drugs and equipment, emphasizing matters needing attention and special circumstances.

1.6 implement the doctor's advice system

Doctor's orders are generally divided into long-term doctor's orders and temporary doctor's orders, which are some nursing, treatment plans and medication situations formulated by doctors after making treatment plans for patients, and need to be implemented jointly by nurses and doctors. Generally speaking, doctors can give verbal orders to ensure the smooth progress of first aid. Nurses should consult according to doctors' treatment methods, especially under special circumstances.

1.7 Ward Management System

The general ward is patrolled and monitored by nurses. Every day, doctors and nurses make rounds, ask about the illness and deal with emergencies, and then give medical advice. In the process of ward management, it is necessary to pay attention to the preventive measures of infection and bacterial infection, and ask nurses and doctors to protect themselves and patients.

2 the implementation of hospital nursing management measures

Implementing hospital nursing management can promote the development of hospital nursing.

2. 1 Ensure the effective allocation of human resources

With the development of medical technology and equipment, the overall quality of medical staff is required to be gradually improved. In nursing management, the number of people recruited by hospitals is increasing, and the quality requirements are getting higher and higher. This requires nurses to master not only theoretical knowledge but also clinical application at the stage of learning knowledge. A large number of clinical research data show that the nursing time and nursing times of nurses can directly affect the incidence of iatrogenic infection and pressure ulcers. Iatrogenic urinary system infection and hospital respiratory system infection are common iatrogenic infections, and the correct care of patients by nurses can directly reduce the incidence of infection; Therefore, it is very necessary to improve the overall treatment effect of the hospital, strengthen the nursing quality of nurses and ensure the effective allocation of human resources [1]. At present, there is a shortage of nursing staff in China. As early as 1950s, many western countries began to solve the shortage of nursing staff through the coordination of hierarchy and nursing measures. Nowadays, the medical level of our society has been greatly improved. Many measures such as reward and punishment system, training system and management system have solved the shortage of nursing staff in many cases. China hospital mainly implements the principle of nursing staff competition, strengthens the effective allocation of human resources and improves the overall quality of nursing staff.

2.2 Strengthen the safety configuration of nurses

The work efficiency of nurses directly affects the implementation effect of hospital nursing management measures, strengthens the safe allocation of nurses and improves the overall construction quality of hospital culture. Some psychologists point out that people value spiritual motivation more than material benefits. In addition to salary, nurses pay more attention to their position in the hospital. Many hospitals provide some preferential policies for nurses, such as free physical examination, nurse training, and celebrating Nurses' Day, which can improve the status of nurses in hospitals and improve work efficiency. The safe allocation of nursing staff is an aspect that hospitals should strengthen [3]. Nurses should keep the attitude of lifelong learning and regularly attend expert lectures or nursing staff training courses, which can make the team of nurses grow and the nursing management of hospitals develop continuously [4].

2.3 Pay attention to logistics

In the systematic development of hospital nursing management, it is very important to improve the logistics system. The heavy workload of nursing staff is closely related to the establishment of hospital management and logistics system. Clinical data show that more tertiary hospitals have improved their logistics support and drug management systems compared with primary and secondary hospitals. According to the analysis, the measures of developing logistics system in tertiary hospitals can reduce the workload of nurses, reduce irrational drug use and avoid the waste of drugs.

3 Hospital nursing

The effectiveness of management implementation, its shortcomings and improvement scheme The implementation of hospital nursing management measures can promote the overall quality of the hospital. Hospital nursing management measures involve all aspects of the hospital. Common hospital nursing measures, such as first aid, disinfection, drugs and clinical management, are very common nursing measures, and hospitals often ignore some special nursing work and nursing management of medical files.

3. 1 ordinary care

The inadequacy and perfection of emergency nursing management is directly related to the life safety of patients, and the perfection of emergency equipment is the premise to protect patients' lives. In some hospitals, failure to check emergency equipment in time may pose a threat to patients' lives, and emergency drugs can effectively control patients' condition. To avoid the phenomenon of incomplete, expired or unreasonable drug arrangement, first-aid personnel are the most important influencing factors. If the first-aid personnel have insufficient experience, poor adaptability and low quality, they will directly endanger the lives of patients. Hospital nursing management should strengthen emergency nursing management, strictly check emergency equipment and medicines, regularly assess emergency personnel, and improve the quality of emergency nursing management. In the process of nursing patients, clinical nurses should avoid bad attitude and carelessness, always keep a careful attitude, speak softly, be patient with patients and reduce the occurrence of medical disputes. For the aseptic operation and nursing management in the hospital, all operations should be carried out in strict accordance with the regulations to prevent patients from being infected due to improper operation.

3.2 Nursing care of special departments

Management defects and improvement of operation process are carried out under strict program control, and all aseptic operations must be strictly implemented. However, it is easy to ignore some aspects in the operation, such as insufficient disinfection area, incorrect operation process, irregular placement of contaminated instruments, etc., which are easy to cause patients' infection. The operation of the supply room must strictly abide by the state regulations. Some hospitals carry out nonstandard operations due to insufficient personnel and limited level, which leads to unreasonable cleaning of sterile items [5]. Some departments have unclean hygiene and unreasonable operation, which seriously threatens the life safety of patients. In view of the shortage of special departments, hospital nursing management should strengthen the measures of correlation, reduce unreasonable phenomena and promote the effective implementation of hospital nursing management. 3.3 Shortcomings and Improvements of Nursing Management of Medical Records Although medical records are one of the important management systems of medical institutions, they are easily overlooked by hospital nursing management departments because of their differences from clinical work. For the deficiencies in hospital nursing management, we should improve in time and strengthen relevant nursing management measures to ensure the overall quality of hospital nursing management measures and reduce the occurrence of medical disputes.

4 conclusion

The implementation of hospital nursing management measures is the focus of nursing measures and the hub of nursing progress. Although there are still some shortcomings in hospital nursing management at present, it has a good effect on improving nursing quality and patient rehabilitation. Moreover, nursing management measures can use limited human resources to complete a lot of nursing work, which is also of great value to promote the enthusiasm of nursing staff and improve the level of nursing technology.

[References]

[1] Nursing information management in Taipei Veterans General Hospital and its reference [J]. Journal of Nursing, 2014 (9):12-14.

[2] Experience and reference of nursing management in the affiliated hospital of Oita University in Japan [J]. Journal of Nursing, 2010 (1):16-18.

[3] Introduction of nursing management mode in Singapore Central Hospital [J]. Modern Clinical Nursing, 20 14 (9): 82-83.

[4] Application of human resource management mode corresponding to energy level in hand surgery nursing management [J]. PLA Nursing Journal, 20 15(8):63-68.

[5] Application of hierarchical management in nursing management [J]. PLA Nursing Journal, 20 13 (20): 60-6 1.

Model article 2 of hospital nursing medicine: Reflections on hierarchical management of nurses in primary hospitals Abstract: Hierarchical management of nurses ensures the implementation of basic nursing work and improves patient satisfaction. In the previous nursing model, regardless of education background, qualifications and abilities, they all assumed the same responsibilities and obligations, which failed to realize the scientific management of nurses' human resources and restricted the development and improvement of nurses' professional ability [18].

Key words: primary hospital nursing; Management thinking

20 10 China Ministry of health launched nationwide? Demonstration project of quality nursing service? Activities to consolidate basic nursing and provide quality nursing services [1]. Visible? Nursing quality? It is the eternal theme and core of nursing management, which is directly related to the quality of medical services [2]. The continuous improvement of nursing quality depends not only on the perfect nursing quality management system and effective quality monitoring means, but also on the quality and technical quality of nursing staff. Therefore, nurses are the main controllers of nursing quality [3]. In Xinjiang, there are many levels of nursing staff in secondary general hospitals, including undergraduate, junior college and technical secondary school, and the number of highly educated nursing talents is obviously insufficient, which seriously affects the nursing quality of primary hospitals. Therefore, it is an important issue to understand the current situation of hierarchical management of nursing staff in primary hospitals and build a set of hierarchical management model of nursing staff with perfect system and strong operability.

1 introduction to hierarchical management of nursing staff

Energy level correspondence, that is, staffing according to job functions, makes the qualifications and grades of nursing staff adapt to it. On the basis of paying attention to qualifications, education and experience, combined with the practical working ability of nurses, that is, comprehensive quality, we can achieve the correspondence between posts at all levels and their functions [5]. The principle of energy level correspondence refers to putting people with different abilities in different posts, giving them corresponding rights and responsibilities, and realizing the correspondence and adaptation between abilities and posts [1]. In recent years, the turnover rate of nursing staff is high, and the proportion of junior nurses in the clinical front line is getting higher and higher, so it is difficult to guarantee the quality of nursing. Therefore, the continuous improvement of nursing quality management quality has always been the focus of nursing managers [6]. According to the present situation of nursing human resources in China, a new development idea and trend of nurse hierarchical management model are put forward [7]. Energy-level management is a human resource management reform to activate the potential of talents and mobilize the enthusiasm and creativity of employees by grading talents, setting responsibilities and using them at different levels [8, 9]. The quality and efficiency of nursing work can only be improved by selecting the right person to undertake the specified tasks in clinical nursing posts, so that the qualifications, abilities and qualities of the personnel can be adapted to the jobs undertaken [10]. Nurses are the defenders of patients' physical and mental health, and the quality of nurses plays a decisive role in the quality of nursing work. As a nurse, you should not only have rich professional knowledge, skilled operation skills and noble medical ethics, but also have excellent psychological quality [1 1].

2 Status and difficulties of nursing staff's energy level management

2. 1 Status quo of nursing staff grade management in China

Many domestic studies have also discussed the classification of nursing staff. For example, Zhou [12] used a self-designed questionnaire to investigate the corresponding situation of 450 nurses' energy levels, and established a theoretical system of nurses' energy levels in tertiary general hospitals. Wan Peng [13] and other studies believe that the nurse grade framework and the admission standards of nurses at all levels in large general hospitals are specific empowerment work contents. According to literature reports, according to the knowledge, attitude and skills of clinical nurses, giving them posts at corresponding levels can not only arouse the enthusiasm of nurses and give full play to the maximum efficiency of nurses at all levels, but also play a positive role in stabilizing the quality of basic nursing and improving the level of specialized nursing [14]. In addition, Wensu County People's Hospital began to try to manage111160 nurses in the 14 clinical department according to their professional technical level, ability, education, professional title and work experience. After three years of clinical practice and discussion, the quality of nursing service has been obviously improved. The turnover rate of nurses has been greatly reduced, but because they are located in remote minority areas, nurses still have many practical difficulties in education, knowledge level and professional identity.

2.2 Status quo of hierarchical management of nursing staff in grass-roots hospitals in ethnic minority areas

2.2. 1 human resource allocation is not in place.

The Ministry of Health of our country stipulates that the ratio of doctors to nurses is 1:2, and the ratio of beds to nurses is 1:0.4, but the actual situation is far from it. There are 400 beds in our hospital, but 500 beds have actually been opened. There are only 10 ~ 12 nurses in the department with 40 ~ 50 patients, and each nurse in charge is responsible for 8 ~ 10 patients. Limited nurses need to complete a lot of treatment work every day, and the rest of the time can only focus on patrolling critically ill patients. For ordinary patients, basic nursing, specialized nursing and health education are difficult to complete.

2.2.2 Low level of education and weak basic theory.

At present, the education level of nurses in secondary general hospitals in ethnic minority areas is low, mainly secondary school education, and the subsequent college education accounts for about 50% ~ 60%, which leads to the general low comprehensive quality of nurses. At the same time, due to the weak knowledge of basic theory, narrow knowledge and lack of multidisciplinary knowledge, most nurses are passive, even mechanical, limited to carrying out doctor's orders and doing routine operations, without mistakes and accidents, and their service attitude is warm and thoughtful. The mastery of basic nursing knowledge and professional knowledge is superficial, lacking the enthusiasm of being diligent and eager to learn, and the ability to apply what they have learned is not strong.

2.2.3 The professional title of the personnel does not adapt to the actual ability.

Because our area is an ethnic minority area, 90% of inpatients are Uighurs, so it is difficult to communicate with patients. Therefore, when recruiting nursing staff in our hospital, the proportion of Chinese and China people is 50% respectively. However, in practice, there are some differences in the understanding ability of some ethnic nurses, and their working ability does not adapt to their professional titles and working years. In addition, they can have a second child, resulting in a heavy family burden and often lack of energy.

2.2.4 Department managers are afraid of difficulties.

Nursing managers have insufficient understanding of the connotation of energy level management, lack of innovative consciousness and low enthusiasm. They are in a state of coping with the nursing level division and management implementation plan and the nursing level management performance distribution plan formulated by the nursing department, and have no serious discussion, but they have the idea of muddling through. It is considered that this reform is too difficult, the basic hospitals are understaffed, the comprehensive quality of nurses in ethnic areas is low, the conditions are limited, and it is difficult to implement, or they are worried that the work after the pilot is complicated and the effect is not obvious.

3 prospects and suggestions for hierarchical management of nursing staff

3. 1 Strengthen personnel recruitment and implement dynamic deployment.

Rational allocation of nursing staff is the basis of stratified use of nurses [15]. First of all, we should make a survey on the qualifications, professional titles, ages, working years and the ratio of people to Chinese of nurses in all departments of the hospital, and then determine the number of recruits and educational level according to the current development needs of the hospital and the workload of all departments. It is suggested that on the basis of ensuring nursing manpower, relevant departments should optimize the structure of nursing human resources in Xinjiang from the aspects of age, education, professional title and nationality according to the requirements of China Nursing Development Plan (2005 ~ 20 10), and increase the development of nursing human resources [16]. First, by actively participating in job fairs in major universities and combining online recruitment. At the same time, according to the procedure, actively reflect the serious shortage of nursing staff to the health administrative department, which has attracted the attention of the government. Second, the hospital nursing department should dynamically manage human resources according to the nursing workload of each department, the number of critically ill patients and the nursing needs of patients, and deploy them at any time to make the existing nurses play their greatest role. Thirdly, constantly improve the logistics support system, liberate nurses from non-professional affairs, save nursing human resources, increase the time for nurses to directly care for patients and improve the quality of nursing.

3.2 Strengthen the education of nursing team and improve the comprehensive quality of nursing staff.

Improve the education system and cultivate the needs of nursing staff at different levels. Establish a middle and higher nursing education system, gradually popularize higher nursing education, increase the proportion of undergraduate and graduate students, improve the level of nursing scientific research and professionalism, and meet the needs of the nurse grading system [15]. The nursing department should strengthen the on-the-job training of nursing staff, establish a long-term mechanism for grading training and assessment of nurses, and set training objectives. Nurses are divided into ordinary posts, specialist posts and management posts, and then subdivided into auxiliary posts, first-class posts, second-class posts and responsible team leaders according to each person's technical level, working ability and knowledge structure. At the same time, a standardized clinical training base is established, equipped with perfect nursing skill operation molds, and nurses at all levels are trained at different levels, which improves the ability of nurses at all levels and makes many young and promising nursing talents stand out. Nurses at all levels have promoted the development of nursing work while realizing their self-worth. It further improved the overall quality of hospital nursing team and promoted the construction of talent echelon.

3.3 Establish a reasonable performance distribution and assessment mechanism to fully mobilize the enthusiasm of personnel.

Scientific construction of performance appraisal management principles? Pay by post, pay by workload and pay by service quality? Based on the distribution mechanism, the job responsibilities and quantitative assessment standards of clinical nurses at all levels were formulated [17]. Therefore, the nursing department has formulated and issued the Implementation Plan for the Use and Management of Nurses' Competency and the Performance Distribution Plan for Nurses' Competency Management, and made comprehensive assessment according to the work quality, workload, labor intensity, risk responsibility and patient satisfaction of nursing posts, thus realizing the performance distribution system of paying according to posts and getting more for more work, breaking the long-standing practice of? By seniority? Phenomenon. And combine the assessment results with the evaluation of professional title promotion and Excellence. Change the original functional scheduling mode, and divide each ward into 1 ~ 2 responsibility groups according to the number of patients. Each group has 1 team leader and 3 ~ 5 team members. Patients from admission, treatment, nursing to discharge are managed by the responsible nurse, giving patients full, continuous and seamless flat care. The middle and night shift and the shift on duty should be: a reasonable combination of Chinese and Chinese, a combination of high seniority and low seniority, and a hierarchical management model in which superior nurses guide junior nurses, giving full play to the exemplary role of tertiary nurses.

3.4 unify thoughts and improve the cognition of nursing managers.

Nursing managers play an irreplaceable role in the hierarchical training, use and management of nurses. Therefore, whether the classified management of nursing staff can achieve practical results or not, the role of head nurses is very important. The nursing department takes the lead in organizing nursing managers and nurses in the whole hospital to study relevant documents repeatedly, interpret the implementation plan, hold regular meetings of head nurses, find out the existing difficulties and priorities, and publicize and learn the effectiveness of this work to hospitals at the same level. Unify thinking, improve the understanding of grading management of nursing staff in the whole hospital, and patiently explain the problems raised, so that they can establish confidence and overcome difficulties.

4 abstract

The ability management of nurses ensures the implementation of basic nursing work and improves patients' satisfaction. In the previous nursing model, regardless of education background, qualifications and abilities, they all assumed the same responsibilities and obligations, which failed to realize the scientific management of nurses' human resources and restricted the development and improvement of nurses' professional ability [18]. Energy level management stimulates the potential of nurses and improves their professional satisfaction. It has realized the organic combination of personal ability, value and personal interest, and changed the current situation that nurses have limited career development space and personal value promotion is useless [19]. Since the implementation of nurse classification management in our hospital, the functions of nurses at all levels have been significantly improved, nurses have been more cautious, standardized and responsible, nurses have complementary advantages, the incidence of adverse events has been significantly reduced, and the management of head nurses has been deeper and more comprehensive, which has greatly improved the connotation and quality of nursing work. Can nursing grade management be fully reflected? People-oriented? The management concept of "best management" enables nurses at all levels to perform their duties and achieve the management efficiency of giving full play to their talents [20], which provides a scientific method for the training and use of nursing talents in primary hospitals.

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