General office of the national health and family planning commission informed about high quality nursing service evaluation work 
 
 
The 2014-07-10 national health and population and family planning commission of the People's Republic of China

Countries who do medical letter [2014] no. 522 

        Provinces, autonomous regions and municipalities directly under the central government health and family planning commission (health bureaus), the xinjiang production and construction corps health bureau:
        To consolidate the high quality nursing service work results, further implement the responsibility system of whole nursing, promote the quality of nursing service, in-depth to carry out continuously, promote more close to the clinical nursing, close to the patient, close to the society, through research, to launch in 2014-2017 three-year high quality nursing service evaluation. Now the matters related to notice the following:
        First, the evaluation scope
        All kinds of hospitals at all levels, the focus is on level 2 above hospitals to carry out the quality of nursing service.
        Second, the key content
        (a) hospital attaches great importance to and support nursing work.
        1. The hospital leadership attaches great importance to the quality of nursing service, will this work as the "head" project, set up special organizations, formulate feasible scheme, a clear division of duties and carry out the hospital departments, implement the management by objectives.
        2. Regular problems of promoting high quality nursing service, work to develop practical and feasible measures, and a breakthrough and innovation.
        3. According to "byelaw of nurses and the" twelfth five-year "development plan for nursing care, pay attention to the nurse team construction, expansion clinical nurse team number, meet the demand of hospital nursing jobs and clinical services.
        4. The implementation of "humanistic care", protect the legitimate rights and interests the nurse and improve the nurse working conditions, improve the nurse benefits, create the nurse good practice environment.
        5. From the perspectives of people, goods, content, intensify to support and guarantee the nursing work, reduce the ward nurses in nursing work, the formation of partial work to serve the clinical pattern, improve the efficiency of nursing work.
        6. The hospital according to the approved personnel standards, the implementation of the nurse. The nurse equal pay for equal work, turnover rate is low.
        (2) implement scientific nursing management.
        7. According to the function of hospital task and the actual work needs, establish flat nursing management system, clear responsibilities and implement the nursing management.
        8. According to the request of the responsibility system for the overall care, improve the update routine nursing work rules and regulations, disease and clinical nursing service specifications and standards.
        9. Science set up the nursing job, reasonable configuration and flexible deployment of nursing manpower, can meet the needs of clinical work. Prohibit the nursing jobs for nurses.
        10. To establish the nurse post responsibility, is clear about the care of the job responsibility and work standard, regulate the behavior of clinical nursing practice. 
        11. The formulation and implementation of the hospital nurse training program, to "post demand" as the guidance, strengthen new nurse specialist, on-the-job nurses, nursing managers and nursing staff on-the-job training, training content accord with the actual demand, the responsibility system for the overall care and nursing jobs and raise the level of nursing management and service.
        12. The hospital combined with the actual, explore the nurse stratified level management, setting up reasonable clinical nurse career development path.
        13. Nurse to establish scientific performance evaluation and distribution system, according to the nursing work responsibility, risk factors, the quantity and quality, patient satisfaction and so on, carries on the inspection to the nurse, and the assessment results and the nurse's income distribution and reward recommendation, title promotion, work more, optimal blue-chip reward, arouse the enthusiasm of nurses.
        (3) to improve clinical nursing services.
        14. To implement the responsibility system for the overall and partial ward nursing, nurse in charge of a number of patients, on the premise of correctly evaluate patients, for patients to provide professional care, observation, treatment, psychological support, health care services such as education, communication, pay attention to the humanistic care to patients and communication.
        15. Responsibility for the full implementation of nursing responsibility, pay attention to nursing professional connotation construction, strengthen the communication, patients and medical care team to provide patients with standard, professional, humanized nursing service, promote patients early recovery.
        16. The ward management orderly, don't rely on family members or relatives hire a care nursing in patients, carers rate dropped significantly, to ensure the safety of patient care.
        17. The hospital (urgent) examine the door, the operating room, such as step by step to carry out the quality of nursing service, continuously improve the nursing service, embody humanistic care.
        18. Actively extend nursing service, will be in the hospital nursing service extends to the community, family, provide patients with medication guidance, health education, slow disease management, and other services.
        19. The patients to the hospital nursing service satisfaction evaluation.
        (4) continue improve the quality of nursing.
        20. A sound nursing quality control organization, personnel responsibilities clear, scientific and reasonable nursing quality control standards, implement the management by objectives.
        21. Can reasonable use of continuous quality improvement tools to continuously improve quality of care, improve nursing service level.
        22. The regular monitoring and nursing quality indicators, analysis index data, found the problem in time, formulate and implement corrective actions.
        23. The system, improve and implement nursing for patients with key departments and key links and key work processes, scientific and reasonable emergency plan and precautions, put in place.
        24. According to the general office of the ministry of health, "about the medical institutions to implement form notice type of nursing documents, and combining the reality of this unit, establish perfect hospital nursing documents writing standards, quality control and evaluation standards. Formal writing, avoid the nurse writing burden.
        Three, relevant requirements
        (a) of self-evaluation of hospital. Hospital according to the requirements of all types and at all levels, carry out the work of a high quality nursing service every year in the second half of the self assessment, forming the self-assessment report (" the high quality nursing service basic content of self-evaluation report "see appendix 1), submit it to issue the" practice license of medical institution "of the family planning administrative department of public health. According to the problems found during the self assessment, establish improvement scheme, implemented, and constantly promote the quality of nursing service work.
        Family planning department of public health (2) the selective evaluation. Family planning administrative department of public health at all levels should be based on "high quality nursing service evaluation rules" (see attachment 2) to level 2 above hospitals high quality nursing service work within their respective jurisdictions spot check evaluation, evaluation is focused on the hospital high quality nursing service to carry out the situation, to improve clinical nursing service, nursing quality, continuous improvement, appraise the rectification of inspiring nurses and hospital etc.
        Provincial family planning administrative department of public health to in before the end of December of each year, the annual evaluation summary submitted by medical hospital authority.
        (3) regular spot checks. By commission will be in the provinces, autonomous regions and municipalities directly under the selective examination evaluation, on the basis of timely organization to carry out spot check, check.
        Contact: medical hospital authority medical and nursing Liu Yujun, Meng Li
        Contact phone: 010-68792206, 68792208
        E-mail: ylyhlc@126.com 
 
        Attachment:
        1. High quality nursing service basic content of self-evaluation report. Docx 
 
        2. High quality nursing service evaluation rules. Doc 

General office of national health and family planning commission
On June 16, 2014