构建和谐护患关系以提高呼吸科护理服务质量

目的:研究构建和谐护患关系在提高呼吸科护理服务质量的效果.方法:选择我院呼吸科收治的100例患者作为研究对象,采用数字表法将患者随机分为研究组和对照组.对照组的50例患者使用常规专业的护理,研究组的50例患者在常规专业护理的基础上,与患者构建和谐的护患关系.对比两组患者的临床效果.结果:研究组患者的护理满意度、护理投诉率和护理差错率均低于对照组,且患者的住院时间和患者的治疗依从率均优于对照组.结论:在对呼吸科患者进行护理的过程中,在实施常规专业护理的基础上,与患者构建良好的护患关系,可以有效提高临床护理质量,提高患者的治疗依从性,降低护理过程中的护理差错事件和护理投诉事件.     

提升护理内涵构建和谐护患关系

目的通过提升护理人员的护理内涵,使护患关系和谐。方法通过优质护理服务的推广,使护理工作者不但要有过硬的护理业务技能,还要有高尚的情操、良好的素质和与患者良好的沟通能力。结果通过优质护理的推广,使护患关系更加融洽,提升了护患沟通。结论护患沟通在构建和谐的护患关系中将起到越来越重要的作用。     

构建和谐的护患关系

随着国家法制建设的不断完善,医疗知识的普及,人们的法律意识、健康理念和对疾病的认知也在逐步增强,但随之而来的医疗纠纷也日益增加。因此,在医疗工作中的护患关系已成为一个社会问题。护理工作者只有在护理工作中不断规范护理行为、加强护患沟通,减少摩擦与纠纷,提供与社会进步、患者需求相适应的护理服务,才能有利于构建和谐的护患关系。     

应用护患沟通构建和谐护患关系

一切以病人为中心,实施护患沟通,是医院适应社会经济发展的全新服务模式和思维方式,护惠关系是护理实践活动中最基本的人际关系。合理应用护患沟通路径,是构建和谐护患关系的关键所在,但有些护理人员不重视与患者的沟通,认为只要不与患者争吵做好工作就是了,缺乏和病人的交流与沟通。实现以病人为中心,减轻病人身心痛苦,创造最佳身心状态的需要,是促进护患间理解与支持,提高治疗效果的需要。     

规范护理服务行为 构建和谐护患关系

通过实施规范化护理服务,探索护患沟通方法和技巧,有效地构建和谐的护患关系,满足患者日益增长的自我保健、服务意识和安全意识的需要,提高护理服务质量,促进护理事业发展。     

构建和谐的护患关系

护患关系是护理人员与病人之间在提供和接受护理服务过程中。自然形成的一种帮助与被帮助的人际关系，当前医疗环境复杂，造成医患之间的不和谐事件时有发生，而护理工作处于临床一线的最前沿、最直接与患者接触，容易引发纠纷。因此，探讨如何构建和谐的护患关系应引起足够的重视。     

构建和谐护患关系提高呼吸科护理质量

目的探索构建和谐护患关系的对策。方法通过分析影响护患关系的因素,提出解决的办法。结果构建和谐护患关系的方法有:建立安全管理制度、提高护理人员的职业道德修养和伦理素养、培养良好的护理行为、提高护理人员的专业知识和专业技能、及时履行告知义务等。结论构建和谐护患关系应从完善呼吸科安全管理、增强护士的职业道德和专业技能培训及科室内病案、急救物品管理等方面完善。     

构建和谐护患关系的护理体会

近年来,医疗纠纷的发生率呈上升趋势,医患关系日趋紧张。不能否认,护理工作中出现的大的失误会直接导致护患关系紧张甚至护患纠纷,然而在日常工作实际中我们发现,导致护患关系紧张更多的不是因为工作的失误,而是护理人员在工作中对细节处理不够好,没有意识到自己的一言一行、一举一动对患者产生的重要的心理影响。     

构建和谐护患关系

通过加强护患接触的各个环节的管理、改善人员状况、加大培训力度等来改进服务,提高患者满意率,构建和谐的护患关系.     

护患沟通在构建和谐护患关系中的临床作用

目的:探讨临床护患沟通合理性对于改善护患关系的临床作用。方法:本研究选择我科采取输液治疗的患者进行调查研究,调查其对临床输液中的护患沟通满意情况。对研究人群分为两组进行输液治疗前培训,调查实施护患沟通前、后输液治疗服务情况的满意率。结果:对护患沟通管理实施后进行评估,临床输液患者满意率、临床疗效等均取得良好的效果。实施前输液治疗患者满意率为60.45%,实施后满意率为94.02%,实施前后患者对输液治疗服务满意情况对比差异有统计学意义(x2=35.73,P<0.05)。结论:重视临床护患关系沟通可有效地提高护患之间的信任,加强护患沟通的合理性为临床护理服务。     

加强人文关怀构建和谐医患关系

医患关系是医疗过程中的永恒话题。建立和谐的医患关系，需要医院、医务人员和患者的共同努力。作为成功的医生，医术、医德二者缺一不可;作为患者满意的医院，应在提高人性化服务和规范医疗行为方面寻找服务创新点。     

构建和谐护患关系必须加强护患沟通

沟通是信息传递的重要方式,通过沟通,信息在医院、医护人员、患者及其家属之间得以传播.在临床护理中,以人为本、尊重患者是护惠沟通的前提,只有良好的护患沟通才有良好的护患关系,也才能提高护理质量,满足患者及其家属的需要,预防护患纠纷的发生,提高医院的社会效益和经济效益.     

立足和谐社会 和谐医患关系

1医患关系紧张是影响社会和谐的因素之一 最近，胡锦涛总书记在专题研讨上强调，各级党委和政府要深刻认识构建社会主义和谐社会的重大意义，扎扎实实地做好工作，大力促进社会和谐团结。这一讲话精神是我们党在新时期的执政纲领。只有社会的和谐才有社会的健康发展，全面建设小康型社会，和谐社会是保证。当前，各行各业根据这个讲话精神都在为构建和谐社会而努力，医院这个与老百姓的生命健康关系密切的行业，为构建和谐社会更有义不容辞的责任。     

基于PEST模型构建和谐医患关系的策略研究

近年来,我国医患关系形势不容乐观,伤医事件频发,甚至严重危害正常诊疗秩序,其原因是多方面的。文章从PEST分析模式出发,从政治法律、经济、社会文化、管理技术4个方面分析医患关系的现状及存在的问题,为构建和谐医患关系寻求对策:完善相关法律法规,深化医疗保障制度改革;建立社会信用体系建设,加强失信惩戒;加强医学人文培训,提高医务人员职业素养;正确利用新媒体,共谱医患和谐篇章。     

The Relationship Between Health Status and Utilization of Outpatient Health Care Services

A short, self-administered proxy health status score has been shown to correlate highly with physician’s appraisal based on physical examination. The proxy score has been related to rate of use of ambulatory services by subscribers to two different health insurance plans, one a closed panel group practice plan, and one an open panel largely solo practice. It has been found that health status predicts well those who will not use health care services, but does not predict how much the users will use. Differences between the two health plans in health status-utilization dynamics are noted and discussed.     

构建和谐医患关系重塑白衣天使形象

文章对医患关系紧张的原因进行认真分析,指出医患双方缺乏诚信,是造成医患关系紧张的思想根源;医疗市场失控,医疗价格不断攀升是造成医患关系紧张的关键;医疗服务水平与人民群众医疗服务需求之间的"落差"是医患紧张的催化剂.提出重塑白衣天使形象必须加强医患双方沟通理解,使双方建立积极的情感联系是构建和谐医患庆系的基础保证;改革医疗服务体系,降低医疗费用,满足广大人民群众特别是中低群众健康需求是构建和谐医患关系的关键所在;增强医务人员服务意识,提高医疗服务质量是构建和谐医患关系的必要措施.     

规范化管理促护理工作发展

为适应深化改革的需要,促进护理工作发展,二○三医院采用规范化管理手段强化对护理工作的管理,变以往的终末质量控制方式为环节——终末质量控制。通过制定一系列的规章制度,增强了各项医疗护理规章制度在实际工作中的管理效能。通过对护士行为、护士语言、护理文件书写等方面的规范,收到了明显的效果,护理人员自我规范意识得以增强,护理质量明显提高,有力地促进了护理工作的发展。     

Inverse Dose-Response Relationship Between Home Health Care Services and Rehospitalization in Older Adults

Objectives(1) To examine the impact of specific services [skilled nursing (SN), physical therapy (PT), occupational therapy (OT), and home health aide (HA)] in Medicare-certified home health care (HHC) on subsequent rehospitalization among older patients during a 60-day HHC episode and (2) to test the moderating effect of functional limitation on these services.DesignSecondary analysis of data from the Outcome and Assessment Information Set (OASIS) and HHC administrative records of a statewide not-for-profit HHC agency from January 1, 2016, to December 31, 2016.Setting and ParticipantsParticipants were ≥65 years old and were admitted to HHC within 48 hours of hospital discharge.MeasuresOutcome was time to rehospitalization during the 60-day HHC episode (ie, number of days). Independent variables were visit intensity (number of visits/week) of SN, PT, OT, and HA, respectively. Functional limitation was measured by a composite score generated from 9 OASIS items on physical function. Multivariate Cox Proportional hazard analyses were conducted. Subgroup analysis (high vs low functional limitation) was conducted to examine the moderating effect of functional limitation on specific HHC services. Ad hoc analysis was conducted to examine potential interaction between specific HHC services that were significantly related to rehospitalization.ResultsThe sample included 1377 participants, among whom 11.5% were rehospitalized during the 60-day HHC episode. At the threshold dose of 1 PT or 2 SN visits/week, higher visit intensity significantly reduced the hazard of rehospitalization in these patients by up to 82% for PT (2.30 visits/week; hazard ratio [HR] = 0.18, P value < .001) and 48% for SN visits (2.51 visits/week; HR = 0.52, P value < .05). The effect of PT on reducing the risk of rehospitalization was more pronounced in patients with low versus high functional limitation (2.30 visits/week, HR = 0.08 vs 0.24, both P < .001). SN was only effective in reducing the hazard of rehospitalization in the low functional limitation group (1.70 visits/week, HR = 0.41, P < .05; 2.51 visits/week, HR = 0.29, P < .05), but not in the high functional limitation group (P > .05 at all intensity levels). Visit intensity of HA or OT was not significantly related to rehospitalization.Conclusions/RelevanceAt a threshold of 1 PT visit or 2 SN visits/week, HHC lowered the risk of rehospitalization in older patients by up to 82% and 48%, respectively. Both PT and SN were more effective in avoiding rehospitalization in patients with low functional limitation than in those with high functional limitation. Older patients should receive enough HHC services (especially PT and SN) to avoid rehospitalizations with consideration of their functional limitation.     

Differences in the Use of Primary Care Services Between Spanish National and Immigrant Patients

Knowing what real use is made of health services by immigrant population is of great interest. The objectives are to analyze the use of primary care services by immigrants compared to Spanish nationals and to analyze these differences in relation to geographic origin. Retrospective observational study of all primary care visits made in 26 urban health centers. Main variable: total number of health centre visits/year. Dependent variables: type of clinician requested; type of attention, and origin of immigrants. The independent variable was nationality. Statistics were obtained from the electronic medical records. The 4,933,521 appointments made in 2007 were analyzed for a reference population of 594,145 people (11.15 % immigrants). The adjusted annual frequency for nationals was 8.3, versus whereas 4.6 for immigrants. The immigrant population makes less use of primary care services than national population. This is evident for all age groups and regardless of the immigrants’ countries of origin. This result is important when planning health care resources for immigrant population.     

护理人员非物质激励需求水平与工作积极性相关研究

目的调查医院护理人员非物质激励需求水平与工作积极性状况,并探讨两者间的相关性,为医院管理者制订护理激励措施和政策提供参考。方法用护理人员非物质激励调查问卷对1270名高校附属医院护理人员进行非物质激励需求水平及工作积极性调查。结果(1)护理人员对38个非物质激励指标的总体感受均处于一般水平,总分为132.12分,x=3.38。(2)护理人员工作积极性与非物质激励需求水平总分和5个维度的得分在0.01的水平上显著负相关,相关系数在-0.525^-0.335之间。结论医院护理人员非物质激励需求水平依次为情感尊重激励、组织环境激励、自我实现激励、工作条件激励和员工服务激励。护理人员非物质激励需求的水平对工作积极性有相关性。