提高护患沟通的能力 降低护理风险

1临床上影响护患沟通的不利因素 1．1由于护理人员短缺导致病人护理时数减少护士工作量大节奏快，与病人的沟通时间少，达不到沟通的效果。快节奏、超负荷的护理工作使护士不能和病人建立一种治疗性的护患关系，这种情况下护士既没有时间也没有精力与病人进行有效的沟通，护士与病人的关系也就成了传统的治疗与被治疗，护理与被护理的关系。护患之间缺乏互动缺乏理解，患者就不会满意，不仅如此，超负荷的护理工作也会使一部分护士情绪化，与病人谈话时如果语气把握不好会很容易发生冲突。     

护患沟通技巧在护理工作中的应用与体会

我院护理部从1998年开始便将护患沟通纳入整体护理的一部分。护士在护理工作中，运用良好的沟通技巧，才能取得病人的信任。从而获得有关病人的全面信息，为病人制定个体化的护理计划，以满足病人需要，促进病人早日康复。     

护患沟通技巧在临床护理工作中的体会

随着医学模式的转变,护理服务由以疾病为中心到以病人为中心的整体护理过程.护患关系是一种特殊的服务与被服务的关系,护理工作比较繁琐,病人从入院、住院治疗到出院,整个过程中接触护理人员最多,有些病人由于反复住院,经济负担重,心里郁闷易激惹;有些病人和家属可能在其他地方受了委屈,心情不好,但是护士在第一线工作,患者遇到任何问题首先找护士,常常将内心的不满和怨气迁怒于护士,成为引发纠纷的导火索,如果沟通不好,极易引发护患纠纷.护患关系的和谐、正常与否直接关系着临床护理工作,也直接影响医院护理秩序和质量,所以护患沟通技巧在护理工作中起着重要的作用.现将本人在外科临床护理工作中与病人沟通的体会简述如下.     

提高护患沟通的能力降低护理风险

1 临床上影响护患沟通的不利因素 1. 1 由于护理人员短缺导致病人护理时数减少护士工作量大节奏快,与病人的沟通时间少,达不到沟通的效果.快节奏、超负荷的护理工作使护士不能和病人建立一种治疗性的护患关系[1],这种情况下护士既没有时间也没有精力与病人进行有效的沟通,护士与病人的关系也就成了传统的治疗与被治疗,护理与被护理的关系.     

加强护患沟通 和谐护患关系

护理护患关系是护理人员在医疗服务过程中与患者建立起来的相互依赖的的关系.患者在就医过程中离不开护士的关心和照顾,而护士的工作又依赖患者的存在.建立良好的护患关系有助于护理质量的提高,促进患者早日康复.     

护患沟通障碍的原因分析和对策

护患沟通是满足患者被尊重被关爱的心理需要的基本形式.通过有效的护患沟通发展促进良好的护患关系,同时良好的护患沟通也避免了护理纠纷的发生.     

护患沟通艺术临床实践

1 护患沟通的重要意义 护患沟通是指护士与病人之间的信息交流及相互作用的过程,旨在建立良好的护患关系.语言能治病也能致病.俗话说得好,"良言一句三冬暖,恶语伤人六月寒",这充分说明了沟通的重要性.沟通是一种艺术,需要技巧,沟通无时无处不在.通过沟通可获得患者完整的信息资料,为患者制定恰当的护理计划、护理措施提供可靠充分的依据.     

护患沟通在神经外科护理中的应用

目的 将护患沟通方法应用于神经外科护理中来预防护患纠纷. 方法 运用各种沟通方法及技巧对患者及家属进行有效沟通.针对神经外科护理工作特点:如危重患者多,患者住院时间长,家属长期疲劳陪护,心理压力大等,针对不同患者及家属采取不同的沟通方法,与患者建立良好护患关系. 结果 患者对护士满意度提高,医患关系达到和谐. 结论 有...     

护患沟通艺术临床实践

1护患沟通的重要意义 护患沟通是指护士与病人之间的信息交流及相互作用的过程，旨在建立良好的护患关系。语言能治病也能致病。俗话说得好，“良言一句三冬暖，恶语伤人六月寒”，这充分说明了沟通的重要性。沟通是一种艺术，需要技巧，沟通无时无处不在。通过沟通可获得患者完整的信息资料，     

神经外科护患沟通障碍原因分析及防范措施

我科自2010年以来,分别从患者和护士两方面进行了原因分析,将良好有效的沟通及提高业务技术用于神经外科病人护理中,与患者建立良好的护患关系,取得了满意的效果,现报告如下。     

Development of the projection from the nucleus of the brachium of the inferior colliculus to the superior colliculus in the ferret

Neurons in the deeper layers of the superior colliculus (SC) have spatially tuned receptive fields that are arranged to form a map of auditory space. The spatial tuning of these neurons emerges gradually in an experience-dependent manner after the onset of hearing, but the relative contributions of peripheral and central factors in this process of maturation are unknown. We have studied the postnatal development of the projection to the ferret SC from the nucleus of the brachium of the inferior colliculus (nBIC), its main source of auditory input, to determine whether the emergence of auditory map topography can be attributed to anatomical rewiring of this projection. The pattern of retrograde labeling produced by injections of fluorescent microspheres in the SC on postnatal day (P) 0 and just after the age of hearing onset (P29), showed that the nBIC-SC projection is topographically organized in the rostrocaudal axis, along which sound azimuth is represented, from birth. Injections of biotinylated dextran amine-fluorescein into the nBIC at different ages (P30, 60, and 90) labeled axons with numerous terminals and en passant boutons throughout the deeper layers of the SC. This labeling covered the entire mediolateral extent of the SC, but, in keeping with the pattern of retrograde labeling following microsphere injections in the SC, was more restricted rostrocaudally. No systematic changes were observed with age. The stability of the nBIC-SC projection over this period suggests that developmental changes in auditory spatial tuning involve other processes, rather than a gross refinement of the projection from the nBIC.     

Mechanisms of the suppression of the nociceptive reflex of the opening of the mouth during stimulation of the structures of the limbic brain

The comparative effectiveness of the inhibitory influence of tetanic stimulation of hypothalamus, amygdala and limbic cortex on EMG-response of m. digastricus evoked by electrical stimulation of tooth pulp nociceptive afferents was studied in cats anesthetized with a mixture of chloralose and nembutal. It was found that inhibition of the EMG-component of the jaw-opening reflex is most pronounced in case of stimulation of medial and lateral region of the hypothalamus, the inhibitory effect of central and medial nuclei of the amygdala is less pronounced and the effect of the limbic cortex is the weakest. It was shown that the mechanism of the antinociceptive effect of tetanic stimulation of the hypothalamus is not related to the concomitant increase of the blood pressure. After stabilization of the blood pressure the suppressive effect of the hypothalamus remains without changes, that points out to a direct, primary, not baro-afferent mechanism of the inhibition of the activity of nociceptive neurons of the trigeminal sensory nuclei. Noradrenaline, injected intravenously, induced a large increase of the blood pressure accompanied by a pronounced inhibition of the pain reflex. Angiotensin causes the same degree of blood pressure elevation without changes in the amplitude of the EMG-response of the pain reflex. Hypothalamic and noradrenergic mechanisms for control of pain sensitivity are discussed.     

The organization of the connections between the cortex and the claustrum in the monkey

The distribution of labelled cells and of extracellular granules in the claustrum has been studied after injections of horseradish peroxidase in several areas of the neocortex. The frontal and parietal lobes are related to the anterior and posterior halves respectively of the claustrum, and the occipital and temporal cortex to the posterior and inferior margins. Parts of the claustrum related to areas of the cortex in the frontal lobe overlap considerably in the antero-posterior dimension with parts related to widely separated but interconnected areas of the parieto-temporal cortex. Areas of cortex within one lobe which are interconnected are related to parts of the claustrum which overlap in the dorsoventral dimension.     

Experimental study of the projections of the nucleus of the tractus solitarius and the area postrema in the cat

Projections from the area postrema and adjacent parts of the medial solitary nucleus are demonstrated with the Nauta method following lesions limited exclusively to these structures. Experiments are controlled with lesions involving adjacent bulbar regions, cerebellum, and spinal cord. Ascending pathways in the dorsal and lateral columns of the spinal cord project ipsilaterally to the area postrema and bilaterally to a para-alar nucleus in the ventral periphery of the nucleus gracilis. Neurons in the area postrema project mainly inspilaterally to the dorsal and medial regions of the medial solitary nucleus. Neurons in the posterior half of the medical solitary nucleus project ipsilaterally to the lateral solitary nucleus, dorsal vagal nucleus, ambigus, retrofacial nucleus, and dorsal and lateral bulbar reticular formation. Projections to nuclei intercalatus and prepositus hypoglossi, bilaterally, and to the ipsilateral dorsal tegmental nucleus by way of the dorsal longitudinal fasciculus are also shown. No direct projections to the diencephalon are demonstrated. Control lesions in the dorsal column nuclei reveal projections to the contralateral inferior olive and thalamic reticular and ventrobasal nuclei, but not to the projection sites of the solitary nucleus. Evidence is given to support the hypothesis that ascening visceral pathways are interruped in the bulbar reticular formation and dorsal tegmental nucleus before reaching the diencephalon. Correlations are suggested with functional aspects of the central autonomic and reticular activating systems.