How to carry out high-quality nursing

High-quality nursing service is the only way to harmonize the nurse-patient relationship and improve the quality of nursing, and its central content is to consolidate basic nursing and provide satisfactory service. Fully demonstrate the love, carefulness, patience and sense of responsibility of nursing staff, and serve the patients wholeheartedly. 1 Contents of quality nursing service The contents of quality nursing service mainly include eight aspects, namely: admission nursing, morning nursing, evening nursing, diet nursing, excretion nursing, lying nursing, comfort nursing, preoperative nursing, postoperative nursing, safety management and discharge nursing. ? 1.1 Hospitalization nursing: Nurses should greet patients with a smile, and a cordial greeting or a seat will make patients feel warm. At the same time, it will leave a good first impression on patients and their families. Because the establishment of a good doctor-patient relationship is conducive to the development of treatment. After welcoming the patient and sending him to the ward, after making proper arrangements, we should actively understand the patient's symptoms, mental state and self-care ability, introduce the hospital environment to the patient, and reduce the tension and anxiety about the unfamiliar environment. So that it can adapt to the hospital environment and life as soon as possible. Then sort out the data of the patient's physiological signs and inform the medical students. 1.2 Morning nursing: Morning nursing staff should use wet sweeping method to clean and tidy the bed unit, and change the bed sheet if necessary. For those half-bedridden patients undergoing abdominal surgery, the bed should be shaken to an appropriate height in consideration of the patient's requirements, and if necessary, the patient should be helped to finish washing. The most important thing in the morning care is to communicate with patients, ask them about their sleep and ventilation at night, and understand their vital signs. When we were tidying up the bed unit, we talked with the bedridden patients about whether they were exercising in the morning and how they felt. We asked the patients who had abdominal distension and abdominal pain yesterday if they were still unwell, and found out whether the patients were exhausted after operation, and guided and helped them to do bed activities. Naturally, we learned the information of the patients, and we took care of the treatment that the patients should receive, and we also gained the trust and recognition of the patients. This seemingly simple process requires us to master a lot of basic knowledge related to diseases in order to provide help and guidance for patients, which invisibly puts forward a higher requirement for us personally-to learn professional knowledge and improve our business level. When the patient receives our professional guidance, I believe he will recognize us from the heart. ? 1.3 Night nursing: Night nursing staff should make the bed unit in time, change the sheets if necessary, and decide whether to open the window for ventilation according to the season, the weather and the patient's condition. Similarly, patients who can't take care of themselves should be helped to finish washing and have a good sleep. At the same time, you can tell the patient which doctor and nurse are on duty tonight, and you can ask them for help if you need anything. Let the patient realize that you have him in your heart. 1.4 Dietary care: Nurses should inform patients of their dietary arrangements and methods according to the doctor's dietary guidance. For example, our department's low salt, low phosphorus, low purine, diabetes diet and so on. What is a low-salt diet and which foods are low in phosphorus? What kind of cooking method can make the purine content in food the lowest? ? 1.5 Excretion nursing: For patients with incontinence, wet clothes should be changed for them in time, so that patients can keep their skin dry and clean. For patients with indwelling catheter, they should be required to do bladder function exercise regularly. And tell its reason and importance, in order to obtain the cooperation of patients and their families. In the process, we not only strengthen communication, but also feel your concern for the patient. ? 1.6 Bed care: Nursing should choose a suitable lying position according to the patient's condition, ask them to do some limited exercise in bed, and give them guidance and assistance. For some high-risk patients, effective defensive measures should be taken in consideration of the patient's condition. Hair care and skin care are very necessary for patients who stay in bed for a long time. Doing a good job in hair care is a major event related to whether the patient can live comfortably and feel comfortable. Doing a good job in hair care also has many benefits, such as improving the blood circulation of the scalp and being conducive to the recovery of the disease; Remove the filth on the head and the falling dander, and make the patient clean, comfortable and beautiful; It can also prevent and kill head lice. Bathing can make the patient's skin clean, promote blood circulation, enhance the excretion function of the skin, prevent skin infection and bedsore, and observe the general situation of the patient. Generally speaking, patients who are in good general condition can take a shower; Patients who can't stand for too long should take a bath. For those patients who are seriously ill and can't take care of themselves, we need the help of our nursing staff to scrub and put on clean clothes and trousers after scrubbing. In the whole process, it not only embodies humanistic care, but also narrows the distance between them and truly treats patients as relatives. 1.7 Comfortable care: Our nurses should help patients who can't take care of themselves to change clothes, and often open windows for ventilation to keep the indoor air fresh. Keep the ward quiet to ensure the patient's sleep quality. When patrolling at night, you should try to walk lightly, talk lightly and operate lightly. ? 1.8 Preoperative care: Before the operation, the nursing staff should explain the relevant surgical knowledge to the patient, and tell the patient how to cooperate with the doctor's operation and the matters that should be paid attention to before the operation, and at the same time give the patient the necessary psychological support before the operation to eliminate their anxiety and tension. For example, when we give a patient a preoperative injection, we don't simply check the patient's bed number, name and dosage, and then leave after the injection, but tell him that he is taking a medicine to relieve the static pain, which can help alleviate his discomfort during the operation and ask him to relax psychologically so as to better cooperate with the doctor. ? 1.9 Postoperative care: After the operation, the nursing staff should closely observe the patient's condition changes, and record the patient's vital signs data. Once there is any abnormal situation, they should promptly notify the doctor. Tell the patient not to move after operation, and don't uncover the gauze covering the wound at will, touch the wound with your hands or wash the wound with water. Strictly keep the wound dry. There are also patients with abdominal surgery who are very concerned about when they can eat and what foods they can eat. They all need our guidance. ? 1.1 Safety management: Our hospital is considerate for patients in this respect, such as installing handrails and anti-skid mats in toilets and aisles. There are also fire alarms and fire extinguishers. Necessary protective measures should be taken for restless patients to ensure their safety. For patients who need to wear a restraint belt, the purpose should be explained to their families and their consent should be obtained. And strengthen inspections. 1.11 Discharge nursing: As a nurse, this is the last link of nursing. Nurses should give necessary guidance to patients according to their condition and recovery, such as matters needing attention after discharge, medication guidance and diet guidance. And actively accept patients' opinions on nursing work. And extend the service to the home, a phone call, a greeting, and an exhortation will make the patient feel warm. For example, our department often provides health education and knowledge guidance for discharged diabetic patients. ? Cultivating good professional ethics is the key to do a good job in high-quality nursing. As a nurse, we should be strict in self-discipline and have a sense of being cautious and independent. Nursing is a conscientious job. In many cases (for example, patients are not awake), there is a lack of external supervision of their work, and high-quality nursing service comes from good professional ethics. Among them, the spirit of being cautious and independent is the basis for nurses to ensure high-quality nursing work. 2.1 Self-cultivation is the cornerstone of good professional ethics: "Self-cultivation" means that even when a person is alone, medical staff can still demand themselves with strict standards to make their behavior conform to the norms. This is a necessary professional ethics for nursing staff. Because as long as there is such cultivation, the effect of nursing service will be guaranteed. ? 2.2 Establish good interpersonal relationships and improve professional ethics: Nursing is a cooperative work. It includes cooperation with doctors, patients and nurses. Therefore, good interpersonal relationship is the guarantee of quality nursing work. As a nursing staff, we should adjust our emotions and devote ourselves to our work. Medical staff and doctors cooperate tacitly to achieve the purpose of saving lives and serving the masses; Cooperate effectively with nursing staff to ensure the accuracy of the work; Cooperate effectively with patients to ensure the relief of patients' psychological tension. ? 2.3 "People-oriented" nursing concept is the core of professional ethics: "People-oriented" is the core of professional ethics in nursing work. Every patient hopes to recover as soon as possible after receiving treatment in the hospital. However, whether the patient's good wishes can be realized depends on the quality of nursing besides the level of treatment in the hospital. Only when the nursing staff adhere to the concept of "people-oriented" can the goal of high-quality nursing service be truly guaranteed. For example, in the process of nursing, the nursing staff should be asked to perform aseptic operation. As an aseptic operation, there is no evaluation standard to measure it, but only the nursing staff themselves know it. As medicine is scientific and rigorous, only with good professional ethics and a "people-oriented" nursing concept can nurses strictly demand themselves from the heart and treat every nursing operation process seriously. Because the formulation of any rules and regulations is an external constraint, the real quality service comes from the inner desire for self-introversion. ? 3 "communication" and "honesty" are the basis of good quality nursing. 3.1 "communication" is the basis of good quality nursing service: good "communication" can ensure that doctors can know the data of patients' physiological signs in time and make correct medication and treatment judgments according to patients' conditions; Good communication with medical staff can ensure that there are no mistakes during the shift change; Establishing good communication with patients can help patients to eliminate their tension and anxiety in the process of receiving treatment. In this way, we can truly realize high-quality nursing service. Because high-quality nursing service is not only completed unilaterally by nursing staff. ? 3.2 "Honesty" is the basis of doing a good job in high-quality nursing service: Honesty is the basis of providing high-quality nursing service, and only when it runs through the whole process of work can it win a good reputation in an increasingly competitive society. Because to some extent, in addition to providing good medical technology, patients' trust in it is also the key to achieve good treatment results. ? Honesty service is not just a slogan for nursing workers, but should be implemented in every little thing and embodied in every detail. "Honest service" embodies the nurses' high sense of responsibility and sympathy, feeling the patients' cold and warm pains with heart, listening to the patients' voices with listening ears, observing their illness with keen eyes, accepting patients with kindness, wisdom and humanity, understanding them more, being more sincere, smiling more, encouraging them more, being less indifferent and alienated, and moving patients with our care, sincerity and patience. . ? In a word, high-quality nursing service is the key to help nurses complete nursing work, achieve nursing goals and achieve success, and it is also the magic weapon for hospital survival and the source of development. Only by persistently paying close attention to high-quality nursing service, constantly improving working standards, grasping the details of work system and improving the quality of work can we truly win the support and respect of patients.

quoted from Baidu library.