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About print and distribute 2012 high quality nursing service work programme promotion of notice

2012年05月02日

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About print and distribute "2012 high quality nursing service work programme promotion of notice

 

 

Who do the medical ZhengFa [2012] 47

 

        All provinces, autonomous regions, municipalities directly under the central government health TingJu, administration of traditional Chinese medicine, xinjiang production and construction corps health bureau:

        For the purpose of implementing the "1025" deepening medicine health system reform during the planning and implementation plan "and 2012 national health work conference spirit, ministry of health and the state administration of traditional Chinese medicine decided in 2012 to further promote the quality care services. Now the "2012 promotion quality care services work plan" printed and distributed to you, please carefully organize the implementation.

 

, 19 April 2012

 

2012 high quality nursing service work programme promotion

 

        For the purpose of implementing the "1025" deepening medicine health system reform during the planning and implementation plan "and 2012 national health work conference spirit, at the conclusion of the 2011 years high quality nursing service in further, on the basis of high quality nursing service promotion, make this work plan.

 

        A, guiding thoughts

        In order to carry out the "1025" deepening medicine health system reform during the planning and implementation plan ", combined with the national health system to excel and "miyoshi YiManYi" activities, to enhance the connotation construction and improve the technical nursing level as the core, according to the implementation of the hospital quality nursing service work standards (try out) "and" the clinical nursing practice guidelines (2011 edition) ", effectively promoting high quality nursing service to provide security for the people, and with high quality nursing services.

 

        Two, work principle and target

        Adhere to reform nursing service model as the breakthrough point, the clinical nurses in patients with responsibility system holistic nursing; Adhere to fully perform nursing duties for the foothold, deepen major connotation construction, to improve the quality of clinical nursing; Adhere to strengthen scientific management as the key point, fully mobilize the nurse team enthusiasm, establish promote the long-term mechanism of high quality care services. According to "change model, heavy clinical, build mechanism" work principle, to promote nursing public hospital reform and development needs, meet people's health needs the growing needs.

 

        In 2012, the national all level 3 hospital quality care cover more than 60% of the ward, and in the door (urgent) examine, operating rooms and other departments provide high quality nursing service, of which three level of first-class hospital in partial promotion; 60% of the prefecture (municipal) level of the second class hospitals and 30% of the county hospital nursing service quality; Trial reform of public hospitals to a lot in the hospital, including nursing service quality in promotion.

 

        Three, work task

        (a) the administrative department of health task.

 

        1. Carefully organize the implementation. The local governments at various levels, the administrative departments of health of Chinese medicine according to promote nursing service quality in 2012 the working principles and objectives, the hospital implementation within its jurisdiction then management. To goes down to the basic unit investigation, grasps the hospital's actual situation, existing problems and to adopt targeted measures, and promote the system and mechanism innovation, and build a good policy environment. Should notice to all measures of sustainability and effectiveness, ensure work tasks into effect.

 

        2. Strengthening inspection and guidance. According to the high quality nursing service standard, take investigations, not regular inspection, the comment on, pays a return visit patients, the third party satisfaction survey and so on many kinds of forms to carry out inspections, and with the hospital evaluation evaluation, clinical key specialty evaluation, and the combination of the objective evaluation of hospital provide high quality nursing of the actual effect, pay attention to patients and reflection of the society. To strengthen the quality of service in hospital nursing instruction, correct work deviation, summarize and promote good practice and experience.

 

        3. Strengthen the corresponding supporting. Guidance level 3 hospital hospital quality care at the county level and help promote service, through the urban and rural hospital corresponding support work, promote county hospital reform nursing mode, strengthen the scientific management, improve care nurse service consciousness and professional technology level. Strengthen county hospital nurse team construction, and implement the nurse with standard, and enrich the clinical nurse a line number, safeguarding the legitimate rights and nurse, ensure high quality nursing service is progressing smoothly.

 

        4. Launch publicity and training. Adhere to the correct orientation of public opinion, summarize the quality of nursing service work progress and effectiveness and extensive propaganda work emerged in advanced deeds and excellent typical, and encourage all the hospitals to reform the innovation, accumulate beneficial experience, build promote the development of nursing work good atmosphere. At the same time, increase of hospital administrators and nursing managers at all levels of training, unified the ideological understanding, comprehends working the essence, master the practical methods, improve nursing scientific management level.

 

        5. Play a central role in the quality. Strengthen each provincial nursing quality control center ability construction, and guide the qc center to fulfill its duties, to establish and improve the quality of nursing assessment standards, collection, statistics and analysis the quality of nursing and high quality nursing service information, and spot check of information, the organization carries out the nursing professional personnel training, and through the play to the role of nursing qc center, supervise the effective implementation work.

 

        (2) hospital task.

 

        1. Improved clinical nursing services.

 

        (1) the deepening reform nursing mode. Carry on a holistic nursing responsibility system work mode, for patients to provide comprehensive, professional, human nature, the whole of the nursing services. In the door (urgent) examine, operating rooms and other departments to explore the high quality of the nursing practice form, optimize the door (urgent) examine service process, the implementation of the "one-stop service for the health education to patients and instruction, for the surgery patients provide standard perioperative care and ensuring patients safety, embodied humanistic care.

 

        (2) fully perform nursing duties. Fully perform nurse nursing responsibility, paying attention to the physical and mental health patients, do take care, professional observation, treatment disposal, psychological support, communication and health guidance for mission, provide the patients with the holistic nursing care services. Work process, do not rely on patients and their families' family members from hiring workers care patients.

 

        (3) strengthen the nursing connotation construction. Earnestly carry out clinical nursing practice guidelines and nursing technology norms and specify the working standard, standard care behavior. Nurse can correct implementation treatment disposal, and closely observe, evaluation of patients had a timely and doctors and communication with doctors together complete diagnosis and treatment plan, at the same time, strengthen the communication with the patient, respect take care of patients, increase with the trust. Traditional Chinese medicine, hospital medicine hospital and national medical hospital according to the traditional Chinese medicine of traditional Chinese medicine hospital nursing work's guide in clinical nursing service requirements, and fully embodies traditional Chinese medicine and national medical reason special advantage.

 

        (4) improve the level of specialized nursing. Clinical nursing service training characteristic highlight adequately, use professional technology nurse knowledge, the patients developing individual health education, and guide the rehabilitation exercise, promote the patient restore function, solve the difficult problem nursing, improve the level of specialized nursing, ensuring patients safety, enhance the medical quality and efficiency.

 

        (5) actively carry out extension services. Encourage patients to discharge follow-up, the conventional follow-up, college follow-up and ZhuanBing follow-up, and the combination of in the hospital established cooperation mechanism level department. Conditional hospital can community health service organizations establish cooperation relationship for the community, the critical patients to hospital open up "the green channel", will turn to rehabilitation hospital patients community medical service, and gradually realize two-way referral, satisfy patients medical needs, improve the medical resources use efficiency.

 

        2. Strengthen the nurse scientific management.

 

        (1) ensure clinical nurse equipped with. According to the requirements of holistic nursing responsibility system equipped with a nurse, clinical nursing position of nurse nurse proportion is not less than 95% of the institution. The common ward than the actual bed not less than 0.4:1, each nurses responsible for the average patient is not more than eight, intensie care unit with the ratio 2.5-3:1, neonatal care ward care than with 1.5 1.8:1. The door (urgent) examine, operating rooms and other departments according to the door (urgent) examine quantity, amount, and the surgical treatment of the integrated element such as reasonable configuration nurse.

 

        (2) rationally adjust the nursing human. According to the workload, technical difficulty reasonable adjustment factors such as nursing human, extra bed or in patients are too critical, timely increase nurses quantity; Make the nurse human emergency deployment plans, and in case of emergencies and special circumstances, the guarantee of the emergency nurse deployment. The nurse both clinical needs and nurse scheduling will, reflect the continuous, full of patients, human care.

 

        (3) improve the performance appraisal system. The nurse performance evaluation to nursing service quality, quantity, technology risk and patient satisfaction as the key point, and to pay attention to the clinical manifestation and performance, will be the result of examination and evaluation and the nurse's income distribution, promotion, learning education, professional titles such as author rewards pegged to the workload big, technical difficulty high clinical nursing post tilt, reflect equal pay for equal work, more gain for more pay, superior performance for optimal.

 

        (4) increase nursing training efforts. The hospital to develop and implement the nurses on-the-job training plan, according to the actual need to develop new nurse standardized training specialist, training and management training, innovation and the methods of training, deepen the "patient-centered" concept, pay attention to the humanistic spirit and the professional quality of the training, improve the service ability and professional technology level.

 

        (5) explore implementation management position. Combined with public hospital personnel system reform, explore the implementation of the nurse post Settings management, the establishment of scientific nursing position, make directory, responsibilities and post office conditions to establish post responsibility system, according to the needs of SheGang, hired by the mount guard, employment, and gradually will nurse according to identity management according to the post for change management.

 

        3. Security nurse legitimate rights and interests.

 

        (1) earnestly implement the nurse establishment. According to the approved hospital personnel establishment standard, carries out the nurse establishment, and shall not be arbitrarily reduce organization nurse positions, do not get optional increase irregular employment contract nurses. The hospital's service scale, such as the number of beds change, it shall adjust the nurse configuration and ensure the implementation of the number of.

 

        (2) ensure that the nurse welfare treatment. The hospital implement relevant wages, allowances, benefits and the title of the provisions of the promotion, improve the clinical nurse a line of wage level. Hospital of the employment contract nurses and enjoy equal treatment of nurse in, do it justice, equal pay for equal work.

 

        (3) implement support security measures. Care nurse health of body and mind, improve the nurse working conditions, establish and perfect the support guarantee system, and reduce ward nurse the nursing work in, form the service institution in clinical pattern, improve nursing work efficiency.

 

        Four, the related work requirements

        (a) strengthen the organization leadership. Each provincial health, the Chinese medicine administrative departments and the hospital to strengthen the quality of care for promotion organization and leadership, according to the scheme requirements, combined with the implementation of the two years experience, make the areas under their respective jurisdiction, the hospital a specific plan in 2012, refining working target, clear the main measures to implement the tasks. Each provincial health, the Chinese medicine administrative management department formulate promotion of 2012 nursing service quality in the work plan by May 20 YiZhengSi, submit the health ministry and the state administration of traditional Chinese medicine YiZhengSi.

 

        (2) strengthening department coordination. Each provincial health, the Chinese medicine administrative management department to be active and coordination, organize relevant departments to formulate to promote nursing service quality policy measures, actively to support and participate in the news media, and take various measures to exchange and promotion for the development of the high quality nursing service creating good social atmosphere. The hospital to strengthen cooperation between the departments of labor division, closely, form a cohesive force of work.

 

        (3) establish a long-term mechanism. Each provincial health, the Chinese medicine administrative department according to the ministry of health and the state administration of traditional Chinese medicine work deployment, clinical nursing mode in the reform and nursing management way brave practice, pay attention to nursing service connotation construction, strengthen the nurse scientific management team, and gradually establish arouse nurses enthusiasm, improve the quality of care long-effect mechanism, promote the quality care service further, sustainable and healthy development.