护理安全员在护理管理中的作用

目的探讨护理安全员在护理管理中的作用。方法通过综合考评和竞聘选拔护理安全员,对全科护理风险进行识别、评估、控制、评价,突出预防,加强薄弱环节及重点时间、重点人员的监控,随机督导,注意环节与过程的监控。结果实行护理安全员管理后护理缺陷发生率显著减少,管路护理、腕带佩戴合格率显著提高(均P<0.01)。结论护理安全员对护理风险进行动态监测及控制,可提高护理人员的安全意识,降低护理安全隐患,保证护理安全质量。     

The role of nursing safety supervisor in nursing management

目的 探讨护理安全员在护理管理中的作用.方法 通过综合考评和竞聘选拔护理安全员,对全科护理风险进行识别、评估、控制、评价,突出预防,加强薄弱环节及重点时间、重点人员的监控,随机督导,注意环节与过程的监控.结果 实行护理安全员管理后护理缺陷发生率显著减少,管路护理、腕带佩戴合格率显著提高(均P＜0.01).结论 护理安全员对护理风险进行动态监测及控制,可提高护理人员的安全意识,降低护理安全隐患,保证护理安全质量.     

循证护理小组在临床护理实践中的作用

目的 探讨循证护理运用于护理临床实践的具体实施模式.方法 以科室为单位,整合专科护士与学组骨干力量,形成以护士长带头的循证护理小组,负责科室临床带教、科研创新工作及环节质量控制.结果 循证护理小组成立后,护理带教满意度由82.5％提高至92.4％;住院满意度由90.34％提高至98.75％;科室护理人员在统计源期刊发表论文数由2篇增加到9篇;护理人员理论及操作水平得到显著提高(均P＜0.05).结论 成立循证护理小组,可发挥不同层级护理人员的优势,促进循证护理在临床实践中的应用,提升护理品质.     

人性化护理模式在手术室护理中的应用效果分析

目的 探讨人性化护理模式在手术室护理中的应用效果.方法 选取如皋市中医院手术室进行的100例手术患者为研究对象,随机分为人性化护理组与对照组各50例.对照组采取常规手术室护理方案.人性化护理组在对照组的基础上采用人性化护理模式方案.比较两组患者的护理满意度和不良事件发生率.结果 人性化护理组患者的护理总满意度是98％,...     

护理岗位动态配合在急诊科优质护理服务深化中的应用

目的探讨护理岗位动态配合在急诊科优质护理服务深化中的应用效果。方法进行人力资源规划、岗位的重新设置并分级,并在岗位合理匹配的基础上实施动态配合。结果实施岗位动态配合后,急诊护理质量、患者对护士护理满意度显著提高,护士对护理工作的压力源显著降低(均P0.01)。结论急诊科实施岗位动态配合的岗位管理方法,有利于缓解护士工作压力,提高护理工作质量,增加患者满意度,促进急诊科优质护理服务的进一步深化。     

优质护理服务中基础护理落实的难点及管理

目的探讨基础护理有效实施的管理措施。方法针对基础护理落实不到位的状况,找出存在的问题为患者拒绝(75.75%)、护理决策问题(11.08%)、护士对全面落实基础护理认识不到位(6.74%)及护理管理方面的问题(6.43%);采取针对性改进措施,实施5个月后评价效果。结果干预后15项(17项中除外床上移动和安全管理)基础护理除整理床单位、床上用便器、尿管护理3项外,另12项落实率均显著提高(P<0.05,P<0.01)。结论经过调查研究后制定的针对性管理措施可有效解决基础护理落实中的难点,提高基础护理落实率。     

Dialysis in nursing homes

The number of geriatric end-stage renal disease (ESRD) patients in the United States is increasing disproportionately to other age groups on dialysis. Thus there will be more dialysis patients that will require the assistance of nursing homes or extended care facilities. Nursing homes may be beneficial for the geriatric patient in terms of social and physical rehabilitation. Many of these facilities, however, may not take care of or may not have the capacity to adequately care for dialysis patients. Such patients have a higher rate of peritonitis when on peritoneal dialysis (PD) and have higher mortality rates on hemodialysis (HD) or PD compared to similar dialysis patients in the community. Cooperation and communication between the dialysis center and the nursing home, given the complex management issues involved in the care of these patients, are essential. One promising approach to the care of elderly dialysis patients is an integration of nursing home and dialysis unit. Although another approach could be to more fully utilize the services of adult day care centers, this has proven logistically difficult and has not been reported to be successful since it was first suggested more than a decade ago.     

Simulation in nursing training

Simulation is a method which is increasingly used in nursing training in Anglo-Saxon countries, but which is still not arousing much interest in French training institutes. However, numerous studies show the benefits of simulation, not only for the student, but also for the teacher and the patient, even if it does have its limits.