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随着社会的进步和医疗卫生水平的不断提高,中国正加速进入老龄化社会,迫切需要加强对老年人的疾病防治和健康保健,而开展社区家庭病床服务是重要措施之一。在家庭病床服务中静脉输液是不可缺少的治疗措施,但家庭静脉输液一般都在缺乏医疗条件的家庭中进行,因此,不可避免存在安全隐患。社区护士既要有效的保护自己,又要为广大患者提供安全便捷的服务,这是社区护理所面临的最大困惑,也是社区护理风险防范中的重中之重。现将家庭静脉输液存在的安全隐患及防治对策综述如下。 相似文献
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杭州市社区护理服务现状调研与建设 总被引:38,自引:0,他引:38
本研究调查了杭州市 5个城区 4 6个社区卫生服务中心的社区护理服务现状 :社区护理人员的一般情况 ,社区护士的知识需求 ,社区人群对社区护理服务的需求。根据结果分析讨论了存在的问题 ,提出加快社区护理发展必须更新观念 ,强化社区护理意识 ;加强学习 ,完善社区护理知识结构 ;建立制度 ,规范社区护理管理 ;拓宽领域 ,满足社区人群的健康需求。为规范社区护理服务体系 ,探索适合我国国情的社区护理模式提供了基础资料和依据。 相似文献
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家庭护理管理制度的探索与实践 总被引:4,自引:0,他引:4
为了促进社区护理质量管理工作的开展,作者根据国家卫生部有关文件精神,结合医院护理质量管理的有关条目,研究建立了一整套家庭护理管理制度.家庭护理管理制度包括:①社区护士入户制度;②家庭病床建床制度;③家庭护理环境管理制度;④家庭护理操作制度;⑤家庭医疗护理文件管理制度;⑥安全管理制度;⑦家庭分级护理制度;⑧家庭病床结床制度.通过护理实践,使家庭护理管理逐渐向科学化管理迈进,增加社区卫生服务的信誉度,增强社区护理人员的责任心,更进一步密切护患关系,使患者对护理服务满意率明显提高. 相似文献
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目的 了解台州市社区护士参与“互联网+护理服务”的情况,为我国社区开展“互联网+护理服务”提供参考。方法 通过台州市居家护理服务平台,收集2019年1月至2022年6月台州地区社区护士提供的互联网护理服务工作量、项目类型、服务满意度、护理不良事件等信息进行分析。结果 台州市社区护士共完成居家护理9726例次,无医疗纠纷、服务投诉和护理安全等不良事件发生。共完成6380例次居家护理满意度测评,患者满意度为98.18%。结论 台州市开展社区“互联网+护理服务”能安全有效地提供居家护理服务,居民认可度高,值得推广。 相似文献
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开展社区家庭护理存在的问题与对策 总被引:4,自引:0,他引:4
阙珍 《中国初级卫生保健》2005,19(10):56-56
1开展社区家庭护理存在的问题 1.1家庭护理人才缺乏 家庭护理是一种对个人和家庭提供连续性和综合性医疗保健的护理专科.是一种整和生命科学.是临床医学和行为医学的宽广学科。家庭护理要求护士为个人,家庭提供优质、方便、经济及防、治、保、康一体化的初级医疗保健服务。它不仅涉及相关的多学科的医疗护理保健知识.还需要护士有强烈的人文情感、出色的管理意识和执着的敬业精神。而从我国目前的护理队伍发展现状来看.能起到这类综合作用的护理人员是为数不多的。 相似文献
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随着我国人口老龄化 ,疾病谱与死亡谱改变 ,家庭小型化以及医疗费用上涨 ,探索社区护理新途径 ,已成为 2 1世纪护理工作研究的重点。我院自 1995年以来先后在凤凰街道数个居委会设立了凤凰二村、金泉、美都等社区卫生服务站 ,取得了很好的效益。社区护士担负着更多元化角色。护理者的角色社区卫生服务是以健康为中心、家庭为单位、社区为范围 ,需要为导向 ,以老人、妇女、儿童和残疾人为重点服务对象 ,融预防、保健、医疗、康复、健康教育及计划生育技术服务为一体的具有综合性和连续性的健康服务[1] 。在这样的原则下 ,社区护士对个人 (健… 相似文献
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培养全科护士 发展社区护理服务 总被引:1,自引:0,他引:1
随着新的医学模式——生物、心理、社会医学模式的确立,社区护理应运而生,它增添了新的护理工作内容,扩大了护理工作职能,实现了以护理疾病为中心向以人群整体健康为中心的转变,使护理从医院走向社会、走向家庭,变护理在医院的封闭式服务为开放式社会化服务。社区护理资源的充分利用对社区卫生服务适应社会发展需要具有重要意义。全科护士积极参与家庭护理是满足社区居民健康需求与达到基本卫生保健目标的保证。在发展社区护理服务的过程中,将有一大部分护士走出医院进入社区,这就对社区护士提出了更高的要求,我们必须尽快培养全科护士,发展社区护理服务。 相似文献
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Constance Williams 《Social science & medicine (1982)》1986,23(12):1297-1303
Community organizations have often focused their campaigns for social change on the health care system. While the techniques of Saul Alinsky and to a lesser extent Paulo Friere have provided the theoretical backbone for most community organizing efforts, these campaigns frequently are characterized by a rather eclectic synthesis of different methodologies. The nursing home industry has been one of the most severely publicly criticized components of the American health care system, and during the last decade consumer groups have sought to achieve fundamental improvements in the quality of life and care available to nursing home residents. However, the standard Alinsky and Friere techniques have limitations in organizing efforts directed toward nursing home reform. One case study is presented which describes a relatively successful community organizing project for better care in a San Francisco Bay Area nursing home. The organizing method used in this project was one of community advocacy. This method is described in detail, and the limitations and potentials of community advocacy are analyzed. 相似文献
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Corry A.J. Ketelaars RN MA Huda Huyer Abu-Saad RN PhD Ruud J.G. Halfens PhD Maryanne A.G. Schlösser PhD Rob Mostert MD Emiel F.M. Wouters MD PhD 《Health & social care in the community》1996,4(4):200-207
An ageing population, shorter periods of hospitalization, and advances in medical technology have meant that community nurses have become increasingly confronted with patients demanding skilled and specialized nursing care. The quality of care provided by 47 general and eight specialized community nurses was studied in a group of 115 patients with severe chronic obstructive pulmonary disease (COPD) after discharge from hospital. Four process variables were studied: the content of the home visit, the time spent on the home visit, the quality of the report, and the number of home visits. Results show that the content of the home visit differed between general and specialized community nurses. General nurses were more focused on analysing care needs and specialized nurses paid more attention to psycho-social problems. The number of home visits and the time spent on the care provided did not differ significantly between both groups. The quality of the report of specialized nurses was significantly higher. In conclusion, specialized community nurses demonstrated a higher clinical competence in the care of patients with COPD. Further research is required to conclude whether positive changes in nursing process result in positive patient outcomes. 相似文献
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汪晓翠 《安徽卫生职业技术学院学报》2007,6(1):68-68
目的:为了减轻患者术前的不适和恐惧感,有利于手术顺利进行和术后恢复.方法:在手术室为妇科手术患者实施麻醉后的"无痛"保留导尿.结果:在手术室的护理改革促进了整体护理的深入发展,体现人文关怀. 相似文献
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目的探讨延伸护理及居家护理应用于糖尿病患者的效果。方法66例社区糖尿病患者随机分为两组各33例,观察组接受延伸护理及居家护理,对照组接受常规住院护理和社区护理,比较两组的血糖、生活质量和护理满意度。结果观察组的空腹血糖和餐后2 h血糖均显著低于对照组,生活质量各项指标评分以及总评分均显著高于对照组,护理满意度显著高于对照组(P<0.05)。结论延伸护理及居家护理能够显著改善糖尿病患者的血糖水平、生活质量,提高护理满意度。 相似文献
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目的:探索手术室护理工作新模式,实现患者满意、家属满意、医护配合好(手术医生满意、麻醉医生满意),体现护士价值。方法:采用建立健全护理工作规章制度、加强护理培训、护士分层管理、探索排班模式、建立完善绩效考核制度、改善手术室护理服务等方法。结果:手术室护理质量、护士综合素质有明显提升,手术患者、手术医生、手术室护士满意度明显提高。结论:开展优质护理服务,能够有效提升手术室护士综合素质和能力,提高手术室护理质量,实现了手术患者满意、手术医师满意、手术室护士满意的优质护理服务目标。该模式对手术室开展优质护理工作具有指导价值。 相似文献
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临床护理路径管理模式的应用及效果评价 总被引:125,自引:6,他引:125
目的 探讨临床护理路径(CNP)管理模式在临床护理中的应用效果。方法 分别对行甲状腺腺瘤(甲瘤)切除术和子宫肌瘤全切除术的病人进行CNP的对比研究。结果 介入CNP管理的实验组,其平均住院日缩短,术前等待天数减少,平均住院费用下降。甲瘤病人的满意度上升2.18%,达98.96%;子宫肌瘤病人的满意度上升2.87%,为99.55%,同时,CNP管理也增加了护士的工作满足感。结论 将CNP管理模式运用于我国的临床护理是可行的。 相似文献
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《Journal of the American Medical Directors Association》2022,23(1):105-110
ObjectivesPotentially avoidable hospitalizations are harmful to nursing home residents. Despite extensive care transitions research, no studies have described transfers originating outside the nursing home (eg, visiting family members or at a dialysis center). This article describes 82 out-of-facility (community) transfers and compares them to transfers originating within the nursing home (direct transfers).DesignSecondary data analysis with multivariable model for community transfer risk factors.Setting and ParticipantsEighty-two community transfers and 1362 transfers originating in the nursing home, involving 870 residents enrolled in the OPTIMISTIC demonstration project between January 1, 2015, and June 30, 2016.MethodsTransfers were compared using data from the Minimum Data Set and root cause analyses performed at time of transfer. Multivariable associations were assessed at the transfer level to define risk factors for community transfers. Project nurses collected data on community transfers to inform a root cause analysis.ResultsResidents with community transfers were younger (74.4 years vs 78.2 years), with lower prevalence of cognitive impairment (44.8% vs 70.3%) and higher rates of heart failure (38.7% vs 23.3%) than residents with direct transfers. Community transfers were more likely due to cardiovascular illness (31.2% vs 8.7%), whereas less likely to be for cognitive, behavioral, and psychiatric concerns (11.7% vs 22.7%). Nearly half (46%) of community transfers originated at dialysis centers. Residents transferred outside the nursing home were less likely to have documented limitations to care such as a do not resuscitate code status. Communication during community transfers was identified on root cause analyses as a potential area for improvement.Conclusions and ImplicationsCommunity transfers were more likely to occur in younger residents with higher rates of cardiovascular disease and lower rates of cognitive impairment. Improved communication between nursing home staff and outside providers as well as more extensive advance care planning for residents with cardiovascular disease may reduce community transfers. 相似文献
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目的:探索建立城市社区居家养老医疗服务模式。方法:通过近两年的米市巷街道社区卫生服务中心的居家养老医疗服务工作的实践,探索建立居家养老医疗服务的可持续化模式。结果:米市巷街道的居家养老医疗工作实现了可持续化、标准化、网格化、信息化、中医特色化,有效提升了政府和社区卫生服务中心形象。结论:通过政府购买居家医疗服务,建立以政府为主导,社区卫生服务为依托,社会各界与志愿者广泛参与的居家养老医疗服务,是实现“老有所医”的一种可持续模式。 相似文献
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目的:探讨实施优质护理服务活动的实践方法与效果。方法:在全院范围宣传开展“优质护理服务”的意义,先确定4个科室为“优质护理服务示范病区”,然后在全院范围内开展优质护理服务活动,采取的措施包括实施护士责任制包干;提高护理人力资源的合理利用;推行亲情护理服务;不断完善护士激励机制。结果:提高了护理人员的整体素质、护理工作质量及患者满意度。结论:开展优质护理服务,能达到令患者、医院、社会、政府都满意的效果。 相似文献