影响临床护生护理安全的原因分析与对策

临床实习是护理专业学习的最后一年,是将理论与实践相结合的关键阶段。护生们离开学校,融入临床护理工作中,而每一项护理操作都与生命有关。随着社会的进步和发展,人们的期望值越来越高,法律意识不断增强,护理工作的风险和压力也随着增大,护生的临床实习给护理工作带来了不安全因素。如何避免护生引起的护理不良事件,笔者对三家医院由护生     

护生安全教育存在的问题与对策

本文从带教老师和学生两方面对护生安全教育存在的问题进行了综合分析，提出相应对策，以防范护理差错，提高临床护理教学质量。     

护生临床实习的影响因素及对策

护生临床实习是护生从学校走向工作岗位的必经时期,是进入护士角色的开始,针对护生实习目的不够明确,角色转换适应性差及理论与实践结合不紧密等特点,提出加强护生带教,强化服务意识,运用护理程序规范各项护理技能操作,是提升临床护理教学质量的关键。     

浅析护生临床带教中存在的问题及对策

目的 总结临床带教经验,采取相应对策,争取更好地教学效果。方法 认真带教,勤于观察,及时发现护生在实习中存在的护理差错或护理缺陷,带教老师根据存在问题,需要加强管理,采取有效措施,解决问题。结果 通过针对护生临床实习存在的问题,及时采取相应的对策,取得了较好效果。结论 及时发现问题、分析问题、解决问题,抓好管理,强化训练,可以有效遏制护生实习中存在的差错及护理缺陷。     

临床实习护生的心理分析及教学对策

目的分析生产实习护生在临床实习各期的心理状况与需求,为制订临床教学计划提高教学质量提供依据。方法采用调查表对2009级高职班50名实习护生进行问卷调查,并对结果进行分析。结果实习初期53.9%的学生感到兴奋,65%的学生希望与临床教师关系融洽,84.6%的学生工作积极主动,73.1%的学生希望教师手把手教,实习中期希望教师手把手教的由初期73.1%下降至11.5%;实习末期61.5%的学生由兴奋、紧张恐惧到自信,23.9%的学生由希望与临床教师关系融洽到希望摆脱教师,23.1%的学生由希望教师手把手教到独自操作,19.2%的学生希望尽快结束实习。结论临床教学中应根据不同实习阶段采取不同的教学对策。     

对护生潜在护理法律问题认知的探讨

目的了解护生对潜在护理法律问题认知的情况。方法用自行设计的调查问卷表,对85名护生进行问卷调查。结果护生对潜在护理法律问题认知度较低。结论护生的护理法律意识有待提高,应重点从学校基础教育与临床带教两方面抓起,从而满足护生走上工作岗位后护理工作的需要。     

广州市某医学院校护生实习中存在的问题及管理对策

目的探究实习护生在日常护理工作中存在的差错和缺陷的原因,为提高护理实习生管理,减少护理差错提供参考.方法采用自行设计的实习护生护理差错发生原因调查表,对50名实习护生进行问卷调查.结果 50名实习护生发生护理差错和缺陷共计66人次, 其中因未严格执行三查七对而发生差错和缺陷的有25人次,责任心不强的有13人次,技术操作不熟练的有9人次, 知识能力不足的有8人次,盲目自信的有5人次,紧张感6人次.学历低、年纪小的实习护生较学历高、年纪大的实习护生发生护理差错和缺陷的人次数多.结论在护理管理中,需加强实习护生责任心和综合素质的培养,严格强调护理操作程序的重要性,加强相关法律法规的学习.     

在校护本生对护理安全的认识现状分析及对策

目的探讨在校护生对护理安全的认识现状。方法采用问卷调查,发问卷400份,收回400份,有效394份。结果大二护生没有接触到安全知识占49%,大三护生26%,两者比较P0.05。结论护生的护理安全知识掌握较差,大二、大三两者比较之间有显著性差异。     

中专护生临床实习中面临的问题及对策

临床实习在中等护理教育全过程中处于至关重要的阶段。本文就当前社会形势下中专护生临床实习中面临的一些急待解决的问题进行探讨,并提出相应对策,希望在护理同仁及卫生事业管理者的共同努力下,培养出适应发展需要的中专护理人才。     

护生在临床实习中的心理状态分析及对策

实习是护生从课堂走向临床,理论与实践相结合的重要阶段。带教老师不仅要正确地引导护生,让护生通过实习真正达到巩固理论知识,掌握基本技能,练就良好的素质和作风这一目标,而且也不可忽视护生的心理状态和需要。因此调节护生心理状态贯穿于临床带教工作中,对培养护理人才也起着积极的作用。     

浅析护理安全的影响因素及对策

护理安全是指患者在接受护理的全过程中，不发生法律和法定的规章制度允许范围以外的心理、机体结构或功能上的损害、障碍缺陷或死亡。从广义上的角度和现代化护理管理的发展看，护理安全还应该包括护士的执行安全，即在执行的过程中不发生允许范围与限度以外不良因素的影响和损害。护理人员法制观念淡薄、执行操作规程不认真、工作责任心不强、缺乏服务意识、护理不严和管理失控、患者的违医行为等都是影响护理安全的相关因素。在临床建立相应的防范对策，制定完善的管理制度，有效地进行质量和环节控制，对护理人员进行法制教育和系统的培训等，都是确保护理安全和护理质量的保证，是医院护理管理者的必修课，也是医院生存和发展的基础。     

基础护理学教学实习中护生的心理诱导

通过对护生在基础护理学教学实习中易出现的心理状态进行了分析,并对如何进行正确的心理诱导提出了几点建议和对策.     

Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.

OBJECTIVE: To evaluate whether perceptions of patient safety in nursing homes vary by length of employment, type of employee, and shift worked. DESIGN: Cross-sectional study. SETTING: Twenty-six nursing homes in Ohio participating in a randomized trial to test the effectiveness of a clinical informatics tool to improve patient safety during the medication monitoring. PARTICIPANTS: Nurses (n = 367) and nursing assistants (n = 636) employed at the time of the survey in the summer and fall of 2003. MAIN OUTCOME MEASUREMENTS: Resident safety questions included 34 items on different aspects of resident safety (overall safety perception, teamwork within and between departments, communication openness, feedback and communication about error, non-punitive response to error, organizational learning, management expectations, and actions promoting safety, staffing, and management support for patient safety). RESULTS: Overall perceptions of resident safety by employees were acceptable, with clear management communication of safety goals. Approximately 40% of nursing staff found it difficult to make changes to improve things most or all of the time; similar proportions indicated that management seriously considered staff suggestions to improve resident safety; only half reported management discussions with staff to prevent recurrence of mistakes. Regardless of staff type, one in five reported feeling punished and two in five reported that reporting of errors was seen as a 'personal attack'. CONCLUSIONS: Interventions to change the safety culture in nursing homes are warranted. Nursing homes need guidance on how to use information to implement safety improvement projects in the context of a strict regulatory environment which may prohibit innovative system change.     

Opportunities for advance practice nurses in the nursing facility

Advance practice nurses (APNs) have emerged as valuable members of the nursing facility interdisciplinary team. They function in a variety of roles, including clinical care, administration, nursing consultation, and education. Positive outcomes in key indicators of care and reduction in costs to the healthcare systems have been attributed to their practice. Barriers to implementation of the role include regulatory issues, facility resistance, and difficulty adapting to the environment. Facilitation of the role is enhanced by collegial relationships and role negotiation. There is strength in the APN-physician collaborative model. The APN is likely to concentrate on prevention, restoration, maintenance, and palliative care, allowing the physician to concentrate on complex medical problems. There is a need for APN practices to identify APN-sensitive outcomes, collect and analyze data, and disseminate findings.     

高职高专学校护理实训教学存在的问题及对策思考

护理实训是高职高专护理专业教育教学的重要组成部分,是保障人才培养质量的重要教学环节.由于主客观原因,护理实训教学存在教学方式方法较为传统、内容更新滞后、师资队伍素质不高、学生学习缺乏主动性、实训设备落后等诸多问题.为提高教学质量,应改进教学方法、创新教学内容、完善考核评价体系、加强师资队伍建设,不断提高实训教育教学质量.     

重症急性胰腺炎的临床护理问题与对策

目的:总结重症急性胰腺炎患者临床出现的护理问题及采取的护理对策。方法:运用护理程序对患者实施整体护理。结果:8例患者除一例转外省继续治疗外,其余全部治愈出院。结论:对患者加强观察,及时找出存在的或潜在的护理问题,并采取相应的对策,对提高重症急性胰腺炎的治愈率起到了重要的作用。     

浅谈护生毕业实习前岗位强化培训

本文主要阐述对护生进行切实有效的岗前培训,以便提高护生毕业实习效果,尽快适应护理工作岗位,为今后护士执业奠定良好基础的重要性.提出科学的培训内容和方法,包括医德医风、法律法规、实践技能、自我防护、避免和减少医疗纠纷等方面.     

ABC时间管理方法在护生临床带教中的应用

目的；探讨应用ABC时间管理方法在护生临床实习带教中的效果。方法；选择在昆明医学院第一附属医院实习的2003级5年制本科护生112人，随机分为实验组和对照组，实验组56人、对照组56人。对照组采用常规方法带教，实验组采用常规带教加上ABC时间管理方法，在实习结束前进行出科理论、操作和护理文件书写考核。结果：实验组的理论、操作考核成绩和护理文件书写质量得分均高于对照组，差异有统计学意义。结论；ABC时间管理方法在护生临床实习带教中应用，有利于护生获得理论知识与临床实践的统一．取得较好的实习效果和质量。     

School climate factors contributing to student and faculty perceptions of safety in select Arizona schools

BACKGROUND: To ensure that schools are safe places where students can learn, researchers and educators must understand student and faculty safety concerns. This study examines student and teacher perceptions of school safety. METHODS: Twenty‐two focus groups with students and faculty were conducted in 11 secondary schools. Schools were selected from a stratified sample to vary in location, proximity to Indian reservations, size, and type. The data analysis was based on grounded theory. RESULTS: In 9 of 11 schools, neither faculty nor students voiced overwhelming concerns about safety. When asked what makes school safe, students tended to report physical security features. School climate and staff actions also increased feelings of safety. Faculty reported that relationships and climate are key factors in making schools safe. High student performance on standardized tests does not buffer students from unsafe behavior, nor does living in a dangerous neighborhood necessarily lead to more drug use or violence within school walls. School climate seemed to explain the difference between schools in which students and faculty reported higher versus lower levels of violence and alcohol and other drug use. CONCLUSIONS: The findings raise provocative questions about school safety and provide insight into elements that lead to perceptions of safety. Some schools have transcended issues of location and neighborhood to provide an environment perceived as safe. Further study of those schools could provide insights for policy makers, program planners, and educational leaders.     

提高实习护生职业安全防护用具使用率的干预方法

目的 探讨提高实习护生职业安全防护用具使用率的最佳方法.方法 按方便抽样法将医院实习护生分为3组,1组采用综合干预法,2组采用单一大会培训,3组仅提供齐全的防护用具,观察评价防护用具使用率.结果 干预前组、综合干预组、单一大会培训组和提供齐全防护用具对照组的实习护生,防护用具使用率分别为57.0％、81.2％、60.9％和59.4％,综合干预组实习护生防护用具使用率最高,和干预前组、单一大会培训组、对照组防护用具使用率相比,差异有统计学意义(P＜0.01);单一大会培训组和对照组的防护用具使用率效果差,与干预前相比,差异无统计学意义.结论 对实习护生开展形式多样的教育、反复强化培训,有效的监督管理机制,是提高实习护生防护用具使用率合理、有效的干预方法.