Annual work summary of internal medicine nursing (selected 6 articles)

Nursing work is very hard. To be a qualified nurse, you must have a high sense of responsibility and a good professional ethics. The following is my annual work summary of internal medicine nursing (selected 6 articles), for your reference only. Welcome to read this article.

Chapter 1 Summary of the Annual Work of Internal Medicine Nursing Under the leadership of the hospital leaders and the nursing department, with the support and help of all the brother departments in the hospital, all the nursing staff in the respiratory and digestive department are coordinated, proactive, not afraid of hardship and fatigue, and have a high sense of professionalism and responsibility. Combined with the nature of work in respiratory and digestive department, they worked around the center of the hospital, seeking truth from facts and working hard, successfully completed all the nursing tasks of the undergraduate course, and ensured the steady progress of nursing work in the department. Satisfactory results have been achieved, and the nursing work in 20xx years is summarized as follows:

First, strengthen quality nursing service and improve service quality.

1, fully respond to the "angel image building project" of "practicing internal strength and shaping external image", create a beautiful professional image of nurses, and further standardize the language, service, behavior and manners of general nurses.

2. Further standardize "seamless nursing": refine the content of nursing service, enhance the awareness of active service, and provide patients with continuous, whole-course and humanized nursing service.

3. "Limited time nursing service" has been further improved. Through the study and training of the morning meeting, the work efficiency and patient satisfaction have been greatly improved, so the complaint rate has been greatly reduced.

Second, further strengthen safety management to ensure patient safety.

1. Guided by the core system, ensure nursing safety, organize nurses to study nursing management laws and regulations regularly, and enhance nurses' awareness of laws and regulations.

2. Adhere to the physical examination system: the main class and the medication class are required to have physical examination X times a day, and the head nurse participates in physical examination X times a day, making detailed physical examination, measuring blood pressure, and recording and signing.

3, the department of key drugs, high-risk drugs for regular inspection, strict handover, standardized management.

4. Carry out safety awareness education for patients, sign safety agreements in time, evaluate patients with potential safety hazards in time, formulate nursing measures and hang warning signs.

Third, the head nurse takes the lead in establishing a good learning atmosphere and improving the comprehensive quality of nursing staff.

Fourth, the flexible scheduling system and the graded responsibility system for responsible nurses should be implemented, and human resources should be used rationally to provide the best nursing service for patients with good quality and quantity.

5. Health education has been standardized and popularized.

1. Each nurse has strengthened the language communication with the patients in charge and completed the education work seriously.

2, departments make full use of the role of publicity column, make health education knowledge on the wall, in order to strengthen health education.

Six, strengthen basic nursing, prevent the occurrence of complications, do a good job in morning and evening nursing, critically ill and long-term bedridden patients have handover cases, and the incidence of falls and pressure ulcers has dropped to zero.

Seventh, the performance appraisal mechanism was established, which widened the bonus gap and stimulated the work enthusiasm of each nurse to the maximum extent.

Eight, strengthen the management of hospital infection, strictly implement the disinfection and isolation system formulated by the hospital management leading group.

The department insists on regular air culture in the treatment room of the ward every month. Also insist on ultraviolet disinfection of treatment rooms and wards every day, and make records. Disposable articles can be destroyed in time after use, centralized treatment, regular inspection and supervision. The treatment room in the collection and management ward can insist on mopping the floor with 84 disinfectant twice a day, and the ward can mop the floor with 84 disinfectant regularly, so as to carry out terminal disinfection (cleaning the bedside table and wiping it with disinfectant) on the bed unit of discharged patients, which reduces the hospital infection rate.

In short, we continue to adhere to the "patient-centered" humanistic nursing concept into more practical and specific work details, strengthen quality nursing services, pay attention to professional knowledge update, pay attention to strengthening specialty construction, and actively absorb multidisciplinary knowledge. In the future, we will work harder to improve the overall quality of the department and build the strongest department.

Chapter II: Summary of Annual Work of Internal Medicine Nursing Under the leadership of the nursing department and with the strong support of the director, Qi Xin, the chief nurse of Qixin, worked together to successfully complete the nursing work plan issued at the beginning of the year. According to the standard, we should do a good job in all the work item by item. Through continuous quality improvement, we can effectively promote the institutionalization and standardization of nursing management in our department and steadily improve the quality of nursing. The internal medicine nursing work is summarized as follows:

First, the quality of clinical care

Weekly quality control inspection is recorded, and various nursing safety rules and regulations are carefully implemented. Strict implementation of the inspection system, the implementation rate of x%. First-aid items are complete, in emergency standby state, managed by special personnel, handed over by shift, and checked by quality control nurses irregularly. The intact rate of first aid items is x%. Strengthen drug safety management, with special person in charge and weekly inventory. High-risk drugs has signs, fixed-point storage and fixed-point configuration. The coincidence rate is xx%. Implement the basic nursing service items for inpatients and earnestly implement the graded nursing system. The qualified rate of basic nursing is x%, and the qualified rate of primary nursing is x%.

Nursing records should be timely, true and accurate. The qualified rate of nursing document writing was xx%. Provide health education for patients with specialized diseases. The coverage rate of health education is x%, and the awareness rate is x%. Report nursing adverse events in time, analyze the causes and implement corrective measures. Carefully implement all kinds of nursing to ensure that inpatients have no nursing complications (except pre-hospital pressure ulcers) throughout the year. Strengthen safety management, no major nursing errors occurred throughout the year.

Second, the hospital work consciousness

Strict implementation of disinfection and isolation system, aseptic technology operating procedures, head nurses and hospital quality control nurses regularly check themselves. Dispose of medical waste in strict accordance with the management measures of medical and health institutions and the requirements of our hospital's medical waste management system. Strictly implement the hand hygiene standards of medical staff and master the correct hand washing methods. The qualified rate of sterile articles is xx%. Strict implementation of the safe injection system, so that one person, one needle and one tube. Actively accept the training of hospital perception knowledge.

Third, training and learning.

Carry out specialist knowledge training every month, and nurses organize nursing technical operation training in departments. Training on nursing core system was conducted every month, and the awareness rate of nursing staff was xx%. On-the-job nursing staff take X theoretical examinations for all employees every year, and the passing rate is x%. Participate in the evaluation of nursing operation in the whole hospital organized by the nursing department, and the compliance rate is x%. Organize disease nursing rounds and business study once a month. Organize emergency plan training. Organize and carry out specialist first aid skills training, and the qualified rate of nursing staff's technical operation is xx%.

Fourth, quality nursing service.

Further reform the nursing work mode and implement the overall nursing team responsibility system. Paying attention to the collocation of qualifications and abilities can fully reflect the continuous observation of patients. Formulate a scientific and effective performance appraisal system, which is linked with nursing quality, patient satisfaction, nursing difficulty and technical requirements, fully mobilize the enthusiasm of nurses, and make nurses' job satisfaction xx%. The head nurse evaluates the critically ill patients in the department every day, checks the diagnosis knowledge and nursing information of the nurses to the patients in charge, and urges them to carry out health education, rehabilitation guidance and psychological care. Continuously improve patient satisfaction, and the satisfaction rate reaches xx%. There were no nursing disputes and complaints throughout the year.

Problems with verbs (abbreviation of verb)

The overall quality of nursing staff still needs to be further improved, and the study of "three basics" and professional theoretical knowledge still needs to be strengthened. The quality of nursing still needs to be further improved. Individual nurses have a weak sense of crisis and lack initiative in their work. Health education needs to be strengthened. Quality nursing service needs to be further deepened.

Chapter III: Summary of Annual Work of Internal Medicine Nursing With the support and help of the leaders, all internal medicine nursing staff have successfully completed all the nursing work assigned by the leaders with the service tenet of "all patient-centered, all patient-centered" and completed more than xx% of this year's nursing plan. The work in 20xx years is summarized as follows:

First, seriously implement the rules and regulations.

1, our department reiterated the responsibilities of nursing staff at all levels, defined the post responsibility system and nursing work system, and ensured that nursing work was carried out in accordance with operating procedures.

2, adhere to the inspection system:

(1) It is required to check the doctor's advice every day and make records.

(2) Nursing operation requires three checks and eight pairs.

(3) Insist on filling in infusion cards, and no nursing mistakes occurred in the past year.

3. Conscientiously implement routine internal medicine and specialized nursing, and insist on filling in all kinds of information and data registers.

Second, strengthen the construction of medical ethics of nursing staff.

1, continue to implement the code of conduct for nurses and implement the civilized language of nurses in daily work.

2. Conduct medical ethics and professional ethics training for all nurses to improve the doctor-patient relationship. Our nursing work is well received by patients and their families.

3, medical ethics satisfaction questionnaire to inpatients, satisfaction survey results in xx% or more.

4, the department held a public holiday symposium on a regular basis every month, solicit opinions from patients, meet the requirements of patients.

5. Conduct pre-job professional ethics education, rules and regulations, nurse code of conduct education, basic nursing knowledge, specialized disease knowledge and nursing technology operation assessment for new nurses, and those who pass the examination will be given posts.

Third, strengthen the management of hospital infection.

1, strictly implement the disinfection and isolation system.

2. Insist on air culture in the disposal room every month.

3. Insist on ultraviolet disinfection of the disposal room every day, and make records. Dust the ultraviolet lamp with anhydrous alcohol every half month, and make records.

4, disposable goods can be destroyed in time after use, centralized processing, and regular inspection and supervision, record.

5, ward adhere to ultraviolet disinfection every day, ventilation for half an hour in the afternoon.

6, medical waste according to the process of transshipment, and recorded.

Four, the successful completion of the special inspection of key diseases

1, improve traditional Chinese medicine nursing routine and syndrome differentiation nursing.

2. Carry out rehabilitation health education and guidance with Chinese medicine characteristics, which has been well received by patients.

3. Carry out TCM nursing skill operation training focusing on cupping and scraping.

4. Make continuous improvement measures of TCM nursing quality, actively improve and record, and the effect is good.

Fifth, improve the professional quality of nursing staff.

1. Conduct three basics and three strictness training for on-the-job personnel and organize theoretical assessment.

2, the department organizes business study every week, the content is the basic theoretical knowledge of nursing, professional knowledge.

3. Insist on nursing rounds once a month, discuss nursing diagnosis and nursing measures, and improve professional quality.

4. Pay attention to the collection of nursing service demand, obtain hot demand and feedback information by issuing nursing job satisfaction questionnaire, and put forward improvement measures in time to motivate nurses to work and mobilize their enthusiasm.

5. Strengthen the study of nurses' etiquette culture, strengthen nurses' awareness of modern nursing culture, standardize nursing operation terms and nurse-patient communication skills, cultivate nurses to establish good professional ethics and improve the quality of nursing staff.

Chapter four: The time of summing up the annual work of internal medicine nursing really flies, and the end of the year will come in a blink of an eye. Looking back on the work done in the post of head nurse in the past year, I have many feelings in my heart; The work since 20xx is summarized as follows:

First, strict management and effective coordination

Over the past year, under the leadership of the nursing department and the director of the department, we have been strict with ourselves from all aspects, taken the lead in doing well the work of the department, especially the nursing work, boldly managed and conscientiously implemented the work system of the hospital and the department, ensuring the steady development of the work of the department. Actively cooperate with the director to do a good job in medical coordination and guide everyone to do a good job in medical communication; Immediately discover and solve some frictions and contradictions, enhance the cohesion of departments, and make Chinese medicine become a warm family; Let doctors and nurses work in a state of physical and mental pleasure, and also create a warm and harmonious hospitalization environment for patients.

Second, pay close attention to nursing business training

As a comprehensive department of xx, our department is faced with many miscellaneous diseases, many intractable diseases and weak nursing specialty. Correspondingly, among the X nurses in Chinese medicine department, only one graduated from the Nursing College of Integrated Traditional Chinese and Western Medicine, and the rest graduated from the nursing major of Western medicine, and only learned the basic knowledge of Chinese medicine at school; With the continuous development of the training of "specialist nurses" in western medicine, the characteristics and advantages of specialist nurses are becoming more and more obvious today. Nurses of traditional Chinese medicine have no specific professional knowledge and development direction, which affects the enthusiasm of this group and the stability of the team, and also has a negative impact on the quality of nursing work in wards.

In view of this reality, I decided decisively: start from me and train all the staff. Through the combination of business lectures and business rounds, the department directors and doctors participated in the training, including the knowledge of common diseases in internal medicine, including respiration, circulation, digestion and nervous system, systematically trained the basic knowledge and common skills of traditional Chinese medicine, and even trained some knowledge of conservative treatment and nursing of general surgery and orthopedic diseases. After a year of systematic training, the assessment results show that nurses have a comprehensive understanding of the common diseases of the above systems, which not only improves their professional and technical level, but also greatly enhances their confidence in their own and departmental development. Since then, I have adopted the daily strengthening method, combined with the existing cases in the ward to strengthen the trained knowledge, and finally built a nursing team with excellent skills and Chinese medicine characteristics.

Third, try cultural management and strive to make characteristics.

Years of experience as a head nurse have made me deeply realize that it is important for a team to standardize its behavior, but it is more important to change its thinking and sublimate its inner world, so that the external cause of "head nurse management" can play a role through the internal cause of "personal quality" of nurses. To this end, I have taken a series of measures: on the nurses' shift schedule, I will send them a life and workplace sentiment every week; Hold a small blackboard newspaper of "Angel Heart Talk"; Use the morning meeting to tell them some inspirational, philosophical and other short stories to arouse their thinking about life and career. In a subtle way, the humanistic quality of our Chinese medicine nurses has been greatly improved. Finally, a virtuous chain of "I use humanistic knowledge to change nurses-nurses manage themselves effectively-improve the quality of nursing work" was created. In recent years, not only the construction of TCM nursing culture is flourishing, but also all the work objectives are successfully completed. In the previous provincial and municipal inspections, our Chinese medicine department was famous for its charging standards, and every time we welcomed the charging inspection, we did not lose a point to the hospital. In the evaluation and inspection of professional ethics, Chinese medicine health education and nursing service have been affirmed and praised by participating experts.

Fourth, pay attention to service details and improve patient satisfaction.

For example, in terms of health education for patients, most departments rely solely on oral education by nurses, but through long-term observation, I found a drawback: nurses talk less, the content is incomplete, and they talk more, because time is limited, they can speak quickly and have no focus, so that patients can't remember at all. To this end, I made an outline of the content of admission education as the content of oral education for nurses, and input the details into the computer. After the general education, the nurses sent detailed information to the patients, which played a very good role. Similarly, there are "propaganda of nasal feeding knowledge", "retention method of sputum culture specimens" and "precautions for retention of urine culture specimens". This kind of oral and written publicity not only helps patients to master it, but also saves a lot of time for Nurse's Day, so it is well received by everyone.

Five, continuous learning and summary, improve their own quality.

As the saying goes, it takes hard work to strike while the iron is hot. While doing a good job in nursing management in departments, we should persist in learning new knowledge, constantly sum up clinical nursing experience and improve our comprehensive quality. I took the psychological counselor exam in 20xx, hoping to get xx certificate in X.

Shortcomings and efforts of intransitive verbs

Facing my patients and my department, I can frankly say that I have been working hard for you! However, facing myself, I know there are still many shortcomings in my work. For example, scientific research is an important driving force for the progress and development of nursing work, but the nursing scientific research projects in our Chinese medicine department are still blank; For another example, sometimes, the requirements are too strict, and I have even seen the tears and helplessness of nurses. Therefore, looking forward to the future, I am full of confidence in the work of head nurses in the new year. As a head nurse, my efforts are:

1, strive for a breakthrough in nursing scientific research;

2. Combine leniency with severity to make your management style more mature.

Chapter 5: Summary of the annual work of internal medicine nursing X months ago, I went to work with great joy and became a nurse. I wore a white nurse's uniform and a dovetail hat, walked lightly and smiled at the patient. This is the first lesson that the head nurse taught me. I thought that "nursing" was enough as long as we were patient, earnest and hard-working, but the fact was not so simple.

These x months of work have made me grow a lot. From the "Smile Service, Build a Sunshine Team" organized by the department to the end of the three-level evaluation of the hospital, from simple clinical nursing to emergency treatment of patients with critical myocardial infarction, I deeply realized that it is easy to be a good nurse, but it is really not easy to become a qualified specialist nurse.

As a qualified nurse, you should have a high sense of responsibility and good professional ethics. We should establish the concept of "patient-centered", respect, understand, sympathize with and care for patients, and treat patients equally regardless of gender, race, wealth and level. We should not only care about the patient's condition, but also strengthen the psychological care and health education for the patient. At the same time, it is necessary to help patients' social adaptability, which is also compatible with "modern health".

To be a qualified nurse, we should have a solid theoretical foundation and exquisite technology, develop in an all-round way and keep pace with the times. To adapt to the new era of holistic nursing, we must have a variety of knowledge, such as computers, foreign languages, humanities and so on. The concept of nursing in the new era requires nurses to be not only a health care worker, but also a qualified consultant, missionary, educator, necessary nutritionist and so on. Therefore, a qualified nurse, on the premise of solid basic skills, should also keep learning, constantly sum up experience in her work and constantly improve herself.

To be a qualified nurse, you should have a healthy body and plenty of energy. Meticulous and responsible for the work. Nurses' clinical work is busy and tiring, so it is inseparable from health to keep a clear head and abundant energy in the care of critically ill patients, especially in the process of rescuing patients. Nurses should strictly abide by the rules and regulations of the hospital, strictly study the theory of "three basics and three strictness", strictly implement aseptic operation and disinfection and isolation, timely and accurately handle every doctor's order, and improve various nursing documents. According to the nursing level, we should carefully patrol the ward, observe the patient's condition changes, and notify the doctor in time when problems are found.

As a qualified nurse, whether formal, recruited or nursing staff should have the spirit of ownership and teamwork ability. The medical environment and interpersonal relationship faced by nurses are complicated, and they will accidentally walk into the minefield, causing unhappiness. As a qualified nurse, we should know that the strength of the collective is powerful, and we must not be separated from the collective and make it complicated. A drop of water in the sea will dry up, and a person will have strength only if he integrates his own interests with the collective. Collectivity is the source of individual wisdom and the melting pot of cultivating individual talents and character. A United and cooperative group will work hard and unite for the health of patients and the improvement of nursing quality in departments. Unity is strength, cooperation is sail, and human feelings are like water. Only with unity and cooperation and human touch can the ship sail more stably and further.

As a qualified nurse, you should have a high degree of legal awareness. With the improvement of people's living standards, patients' requirements for nursing quality are also improving. With the construction of legal society, patients' right to know about medical treatment and medical knowledge is increasing, and a little negligence of nursing staff will lead to patients' dissatisfaction or complaints. Therefore, nurses are required to constantly improve their legal awareness, update their concepts, be strict with themselves, avoid quarreling with patients, carefully check and implement doctor's orders, standardize operations, provide well-founded and enthusiastic services, and strive to create a good and safe medical environment.

In short, as a qualified nurse, we should love our job, establish a good moral outlook, have a high sense of responsibility, be hard-working and work hard. We should keep learning, emancipate our minds and adapt to the needs of the times.

If youth is fire, let her burn for the cause of nursing! I am willing to use my life to add luster and heat to the nursing cause.

Chapter VI: Summary of the annual work of internal medicine nursing in 20xx years. Under the leadership of the nursing department, according to the work plan of the nursing department, the internal medicine department successfully completed various tasks throughout the year. The summary is as follows:

First, strengthen nursing safety management

Supervise the implementation of various core systems in a planned way, find problems in time, analyze and rectify.

(1) Implementation of inspection system: it was found that after the temporary medical orders were issued, the double check was not in place, the active check of infusion was not in place, and the label was not standardized. The problems existing in the inspection have been continuously improved, and the inspection process of each link has been standardized, and the defects in the inspection have been significantly reduced compared with before.

(ii) Implementation of the inheritance system

1. There are some problems in the writing of handover report, such as incomplete lintel, no description or specific description on admission, no classification, incomplete nursing measures, and no continuous observation on the next shift. Standardize the handover report through continuous improvement measures such as training, evaluation, continuous inspection and feedback.

2. There are some problems in bedside handover, such as the unclear handover subject, mainly the head nurse's inspection, the responsible nurse can't take the initiative to take charge of the patient, introduce herself and understand the condition, the skin handover of the bedridden patient is not serious, and the night nurse can't tidy up the bed unit of the critically ill patient before handing over the shift. Through training, inspection and guidance, bedside handover is more standardized than before.

(3) Implementing graded nursing system.

1, graded nursing was not carried out according to the level of nursing, especially for chemotherapy patients, the liquid input and local skin condition were not carefully checked during the shift change, and the hourly patrol situation could not be recorded, especially at noon and afternoon. The content of disease observation is not clear. When carrying out oral medication orders, nurses can't grasp the patient's medication situation, patients can't grasp the function, side effects and medication methods of drugs, nursing guidance such as abdominal circumference measurement of ascites patients and oral care of fasting patients is not in place, and the health education effect is poor. By defining the responsibilities of responsible nurses and responsible team leaders, the implementation of graded nursing system is more standardized than before.

2. Improve the emergency plan, strengthen the emergency plan drills and positioning rescue drills, and improve the emergency handling ability of nurses. The internal medicine department organized emergency drills for hypoglycemia and anaphylactic shock, and each ward organized corresponding content drills according to the characteristics of the region. Two patients with anaphylactic shock in ward 3 were successfully rescued, and 1 ward 1 patient committed suicide. Nurses can rescue and report in an orderly manner according to the pre-plan, and nurses in all wards can carry out rescue in an orderly manner according to the positioning rescue plan, which improves the success rate of rescue and has been affirmed by doctors.

3, organize regular safety meetings, timely analysis of defects found in the inspection, serious rectification.

Second, the continuous improvement of nursing quality

All nursing quality evaluation standards.

(1) Writing quality of nursing documents: the format requirements of nursing documents were trained, the observation points of common diseases in various subjects were made, various scoring methods and applications were trained, and the writing template of nursing records of common diseases was made, which improved the writing quality of young nurses.

(2) Management of rescue articles and drugs: the rescue vehicles were changed into sealed management, and the methods of sealed, handed over and inspected were standardized.

(3) Management of head nurses: Young head nurses were trained to write all kinds of notebooks, which standardized the head nurses' work flow, guided the shift inspection and improved their management ability.

(4) Strengthen the evaluation, early warning and follow-up examination of high-risk patients with pressure ulcer, and pay attention to the dynamic observation of pressure ulcer score when the condition changes. In addition to pressure ulcers, the incidence of hospital pressure ulcers is X.

(5) Quality of basic nursing: By standardizing the admission examination and the examination during the shift change, the problems existing in basic nursing can be found in time. For example, whether the nails are trimmed, whether the bed unit is neat, whether the lying position is appropriate, and whether the infusion is standardized. Each group of nurses has a treatment and nursing list, and the problems found by the responsible team leader and head nurse form nursing instructions in time, telling nurses to write them on the treatment and nursing list and implement them in a planned way, and check and urge them in time to improve the quality of basic nursing.

(VI) Nursing quality of critical illness: check and guide every critical case, and focus on cultivating the ability of nurses to evaluate and observe the condition, find nursing problems, correctly implement nursing measures and communicate with patients and their families. List the observation points and nursing points of critically ill patients, explain the changes of nurses' condition that need to be reported to doctors, and carry out predictive training for possible situations, which is convenient for young nurses to implement and improve the level of critical care.

(7) TCM nursing quality: training and organizing the implementation according to the diseases of TCM nursing programs in various wards formulated by the nursing department. All designated diseases must have TCM nursing measures and TCM treatment techniques. Nurses can master TCM syndrome differentiation and treatment methods, and the utilization rate of TCM nursing techniques is higher than before.

Third, earnestly implement the overall nursing responsibility system and improve the quality of nursing service.

Each ward is equipped with relatively reasonable human resources. Each ward is divided into two major responsibility groups, and each responsibility group is divided into several groups. Each nurse in charge is responsible for a certain number of patients according to the ability level. The responsibilities of the responsible team leader and the responsible nurse are clarified, and the nurses are instructed to plan their working hours reasonably, carry out various treatments and nursing in a planned way, take the initiative to patrol patients, reduce the number of ringing bells, actively communicate with patients and strengthen the relationship with patients. The nurse-patient relationship is more harmonious than before. Strengthen the routine study of specialized diseases, improve the ability of nurses to observe the condition, find and deal with problems, strengthen the operation of basic nursing and the training and on-site guidance of specialized nursing operation, and standardize the operation.

Fourth, strengthen training and assessment to improve the level of nursing ability.

* * * Organize floor nursing rounds for X times, ordinary care rounds for X times, and specialized nursing training for X times. Give X lectures on business learning and training for nurses at all levels, assess the operation of nurses for X times, assess the clinical ability of young nurses for X times, guide nurses to participate in the first-aid technical operation competition in xx city, and win the group X prize.

Verb (abbreviation of verb) has its shortcomings.

1, the academic atmosphere is not enough, and there is no topic paper.

2. The communication skills of junior nurses are insufficient, and patients' satisfaction needs to be improved.