长处理论在手术室护理管理中的应用

Objective To develop and manage the advantages of nursing staffs in operating room and arouse ntrses'hope to change and develop themselves, making the application and effort of personal strengths to reach the best level, upgrading the degree of satisfaction in nursing. Methods The management system of life orientation (LIFO) was introduced to nursing management of operating room. The assessment was made in individual superiority and aim of life of nurse in order to position nursing post and set up a cooperative team scientifically and effectively and obtain the optimal utilization in personnel resources. The comparison of the effect was made according to the results of clinical application of the management system in operating room. Results There was significant difference in the comparison of the degree of satisfaction of patients and their family members at nursing before and after the introduction of LIFO management system (P＜0.05 ); the significant differences were also found in 14 items of all 20 items of investigation ( P ＜ 0. 05) . Conclusions Nursing administrators can know their nursing staffs well by LIFO theory, which benefits for establishing an effective team and relieving nurses 'pressure so that the quality of nursing can be more improved.     

长处理论在手术室护理管理中的应用

Objective To develop and manage the advantages of nursing staffs in operating room and arouse ntrses'hope to change and develop themselves, making the application and effort of personal strengths to reach the best level, upgrading the degree of satisfaction in nursing. Methods The management system of life orientation (LIFO) was introduced to nursing management of operating room. The assessment was made in individual superiority and aim of life of nurse in order to position nursing post and set up a cooperative team scientifically and effectively and obtain the optimal utilization in personnel resources. The comparison of the effect was made according to the results of clinical application of the management system in operating room. Results There was significant difference in the comparison of the degree of satisfaction of patients and their family members at nursing before and after the introduction of LIFO management system (P＜0.05 ); the significant differences were also found in 14 items of all 20 items of investigation ( P ＜ 0. 05) . Conclusions Nursing administrators can know their nursing staffs well by LIFO theory, which benefits for establishing an effective team and relieving nurses 'pressure so that the quality of nursing can be more improved.     

护理干预对宫颈癌患者放疗后并发症的影响

Objective To investigate the nursing intervention on the complication after radiotherapy of cervical cancer patients.Methods A total of 130 cervical cancer patients undergoing radiotherapy were randomly divided into two groups:control group was given conventional methods only treatment and care,while the observation group was given additional routine treatment and care according to the situation in which two radiation therapy in patients with stages of psychological nursing,health education,guidance,individualized care and symptomatic treatment intervention,and then the number of cases of complications for the patients as well as the degree of satisfaction were compared.Results After the first phase of the second phase,the incidence of complications was significantiy lower in observation group than that of the control group,the degree of satisfaction was significantly higher (P＜0.05) .Conclusions The implementation of nursing intervention for cervical cancer patients undergoing radiotherapy can be effective in reducing the incidence of complications and improve patients' satisfaction.     

危重症专科小组运作在呼吸道护理管理中的应用及效果

Objective To investigate the role and effect of critical cases specialist group' s operation mode on the nursing quality of respiratory tract. Methods Totally 106 tracheal intubation patients were selected for experiments. 57 cases that use specialist group's operation mode are in experimental group;and others are in control group, which don' t use specialist group' s operation mode. For experimental group, critical cases specialist group was established to organize regular patient rounds, instruct consultations, formulate work direction and nursing quality standards and evaluation indexes;the critical cases of patients with nursing quality were evaluated with three-tier process monitoring;while control group were treated with traditional head nurse rounds guidance, nurses supervision inspection second-level monitoring. This research chose the accident rate of ventilator-associated pneumonia and respiratory care to be one index of the nursing quality for critical cases.Results Ventilator related pneumonia (VAP) and take off tube incidence reduced significantly, the differences were statistically significant (7. 70% vs 20.04%, χ2 = 4. 51, P ＜ 0. 05;10. 52% vs 26.53 %, χ2 = 5.69, P ＜0. 05). The nursing problems and nursing complaints solved by nurses were more than the control group(P ＜0. 05);Doctors' and patients' satisfaction with nursing care were also improved (P ＜0. 05). Conclusions Critical cases specialist group' s operation mode can improve the professional skill of nurses for critical cases;formulate nursing management of clinical critical cases respiratory nursing;improve the nursing quality of respiratory tract.     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

门诊口腔科护理质量管理中的"五常法"

目的:研究"五常法"在门诊口腔科护理质量管理中的应用效果。方法:应用"五常法"原理对人、物、环境进行规范改进,并定期进行检查评估,持续不断改进。结果:口腔科护理质量明显提高,急救物品完好率,无菌物品合格率,贵重仪器使用保管完好率,物品准备完好率,口腔器械准备完好率,患者满意度均明显提高。结论:"五常法"的应用提高了门诊口腔科的护理管理质量,确保医疗护理安全,提高了工作效率,提升了科室形象。     

2型糖尿病患者的食谱管理与应用研究

目的 探讨2型糖尿病患者的食谱管理在临床应用中对饮食控制效果的影响.方法 将已确诊的2型糖尿病患者116例,采用前后床位分组的方法分成对照组和观察组,对照组患者人院后只进行常规的健康宣教和小组讲座教育,观察组患者人院后除常规教育外,还由专职护士严格按照食谱管理的程序给予患者及家属系统的健康教育,比较两组患者执行推荐食谱配餐情况、相关知识掌握程度,以及血清生化检验指标.结果 观察组患者执行推荐食谱配餐的依从性、对食谱管理相关知识的认知与掌握程度均明显高于对照组患者.其血清生化检验结果:空腹血糖(FBG)、餐后2 h血糖(PBC)、糖化血红蛋白(HbAlc)、三酰甘油(TG)、总胆固醇(TC)等的控制观察组优于对照组.结论 食谱管理能提高糖尿病患者合理饮食的依从性,有利于糖尿病患者掌握饮食控制的原则和配餐方法,达到更好地控制糖尿病的目的 .     

全面落实"医院质量管理年"活动方案的护理管理体会

2005年为“医院质量管理年”,并下发《医院质量管理年活动方案》及《医院管理评价指南(试行)》。据此护理部在院领导支持下,结合医院实际情况,认真领会文件精神,加大对“三基三严”培训,突出“四个训练”,保证“四个过关”,并通过“层层检查,层层监督”把各项管理措施落到突出处,收到了较好的效果。     

台北荣民总医院护理管理见闻及借鉴

介绍了台北荣民总医院护理管理见闻,包括完善的护理人员进阶制度、护理教师临床实务指导能力考评、院内护理丰富资源共享性、计算机执行医嘱核对实物图片信息的再校对性以及医院开展各种人性化措施。结合大陆护理管理工作实际,可参考和借鉴台北荣民总医院的护理管理经验,尝试建立院内网络护理信息库,实现资源共享;计算机录入校正,显示各类药品实物图片信息,提高医嘱执行查对的高效性和准确性;允许护理人员“要休”“要班”,实施科学、有效、人性化的护理管理,以便进一步为病人提供身心并护的优质服务,同时有益于提升护理人员的快乐工作指数,最终实现多维度共赢。     

健康管理类技能型人才培养构想

健康管理与健康产业属现代服务业,在我国刚刚起步,其主旨是维护和促进人的健康。我国虽已将"健康管理师"列入职业目录,但人才培养培训滞后,高素质、高技能专门人才匮乏。本研究结合高职教育实践及健康管理与健康产业背景,就健康管理专业人才培养目标、课程设置、毕业生面向等问题进行探讨。     

院前急救护理管理方法探讨

对院前急救护理进行了论证,主要包括护士的组织管理、现场急救管理、转运和途中监护的管理、以及急救要素的管理等4个方面。认为规范院前急救护理工作和加强护理管理有利于工作人员的思想认识、法律意识、业务水平和服务态度等方面的提高,能促进护士更好地完成院前急救护理工作。     

遵义市二级医院护理人力资源管理现状浅析

目的探讨遵义市二级医院护理人力资源管理中存在的主要问题,寻求合理的对策,以确保护理质量和服务质量。方法根据《细则》要求,遵义市卫生局组织了遵义医学院附院、遵义医院的相关专家,对遵义市部分二级以上医院进行医院管理年活动的检查和督导。结果护士人力资源配备不足;存在非注册护士从事护理工作的现象;紧急状态下护理人力资源调配方案不完善。结论强化护士的法律执业意识,加强监督力量;合理配备护理人力资源;完善紧急状态下人力资源的调配方案,是确保实施等级护理质量和患者安全的需要,也是医院生存和发展的必要条件。     

知己健康管理改善老年高血压患者不良生活习惯的研究

目的探讨知己健康管理改善老年高血压患者生活方式的效果。方法对55例老年高血压患者进行知己健康管理教育及指导,让其居家对自我健康行为进行管理,采用自身对照方法追踪其一年生活方式、规范治疗行为的改变效果及对住院率的影响进行比较,数据应用SPSS13．0软件处理。结果管理后患者对高血压知识的掌握情况、生活方式改善、遵医行为比管理前有明显改变（P〈0．01）。平均年内住院率比管理前少（P〈0．01）;结论知已健康管理不仅可以持续强化老年患者对疾病知识的认识;改善不良生活行为对疾病的影响,同时教给他们一套自我管理和保健的方法,优化其生活方式,可提高控制血压和降低危险因素的水平。     

风险管理在儿科急诊护理工作中的应用研究

目的研究风险管理在儿科急诊护理工作中的应用。方法选取2021年10月至12月间来我科室就诊的100例患儿作为研究对象,将其分为研究组、对照组两组,每组各50例患儿。运用常规护理模式护理对照组患儿,运用风险管理模式,为研究组患儿给予护理干预,分析二组发生不良护理事故的情况并统计护理满意度。结果研究期间,研究组不良护理事件发生率为2.0%,对照组不良护理事件发生率为12.0%;研究组对护理工作的满意度为98.0%,对照组对护理工作的满意度为84.0%,P<0.05,组间差异具统计学意义。结论将风险管理应用于儿科急诊护理工作,可降低不良事件发生几率,保障患儿安全,具有推广应用价值。     

流程管理在门急诊输液安全管理中的应用

目的探讨流程管理在门急诊输液安全管理中的应用。方法运用流程管理的理论和方法,调查分析门急诊输液安全管理中存在的问题并进行流程改善,重新制定出更加规范、科学的输液流程及安全管理规定,并实施、评价。调查统计新流程执行前后输液相关安全事件发生率、护士依从性、病人满意度。结果新流程执行后:(1)门急诊输液相关安全事件发生率明显降低(P0.001);(2)护士依从性明显提高(P0.001);(3)病人满意度明显增加(P0.001)。差异均有极显著意义。结论运用流程管理的科学理论和方法,可以有效提高门急诊输液安全管理质量。