The state administration of traditional Chinese medicine of traditional Chinese medicine (TCM) on strengthening nursing work

The 2013-07-26 14:19:39 reference: the department author:

The traditional Chinese medicine medical ZhengFa [2013] no. 42

The provinces, autonomous regions and municipalities directly under the central government health bureaus and administration of traditional Chinese medicine, the xinjiang production and construction corps health bureau of traditional Chinese medicine academy of sciences, China:

        To seriously implement the "state council about support and promote the development of TCM cause several opinions (guo fa [2009] 22), to meet the needs of the people's growing health and economic and social development of the new requirements of TCM nursing, improve the level of TCM nursing service, give full play to traditional Chinese medicine nursing in deepening the reform of medical health system and the role of diagnosis and treatment work, regarding strengthening the doctor of traditional Chinese medicine nursing work put forward the following opinions:

        One, fully aware of the importance of strengthening nursing of TCM

        TCM nursing is an important part of the work of Chinese medicine, in the long-term clinical practice, guided by the theory of traditional Chinese medicine, has formed the unique technique and service process, became one of the important means of comprehensive prevention and treatment of diseases of TCM. TCM nursing people-oriented, pay attention to the overall, dialectical nursing, personalization, technology method is flexible, easy to accept, and complement each other, modern nursing plays an important role. As health idea change and the change of medical model, TCM nursing is more and more shows its unique advantages. Strengthen the nursing of TCM, to improve medical service quality, we will deepen reform of the pharmaceutical and health care system overall goals, give full play to the characteristics of TCM advantages and improve the clinical curative effect of traditional Chinese medicine and meet the diversity and personality requirements of the people, has the very vital significance.

        In recent years, the rapid development of economic and social and people more attention to health, puts forward higher requirements on nursing of TCM. But now the doctor of traditional Chinese medicine nursing progress relatively slow, can not adapt to the demands of the development of society and the cause of Chinese medicine. Nursing special advantage did not give full play to the doctor of traditional Chinese medicine, Chinese medicine nursing human resources lack, the doctor of traditional Chinese medicine nursing technique has not been widely used, the nursing level to improve syndrome differentiation, Chinese medicine nursing academic development is slow, the scientific research level is not high. Management departments and institutions of traditional Chinese medicine of traditional Chinese medicine at all levels should be fully aware of the importance and urgency of strengthen the nursing of TCM, to enhance the sense of responsibility and mission, take effective measures to strengthen overall nursing in traditional Chinese medicine.

        Second, the guiding ideology and basic principles

        (a) the guiding ideology

        In deng xiaoping theory and "three represents" important thought, the scientific outlook on development as guidance, closely around ensuring and improving people's livelihood and deepen the reform of the pharmaceutical and health care system overall goal, to maintain and carry forward traditional Chinese medicine nursing characteristic advantage, enrich and develop Chinese medicine nursing theory and practice, give full play to the doctor of traditional Chinese medicine nursing important role in improving the clinical curative effect, maintain and improve people's health.

        (2) the basic principles

        Strengthening characteristics, improve curative effect. Adhere to the people-oriented, based on clinical, wide application characteristics of traditional Chinese medicine nursing technique, optimization of TCM nursing plan, enhance the capacity of TCM nursing service, improve the clinical curative effect of traditional Chinese medicine.

        Deepen reform and strengthen management. Create conditions actively, enhance TCM nursing talents team construction, innovation of traditional Chinese medicine nursing service mode, establish and improve TCM nursing management and quality evaluation of long-term mechanism, perfecting the doctor of traditional Chinese medicine nursing development related policies and measures.

        Highlight the key and coordinated development. Adhere to follow the rules of the development of traditional Chinese medicine, TCM nursing development direction, clear grasp of traditional Chinese medicine nursing work, clinical as the core, balanced and promote the development of TCM nursing clinical, teaching and scientific research.

        Third, strengthen the TCM clinical nursing work

        (a) readjusting the TCM nursing service concept

        All, comprehensive hospital of traditional Chinese medicine clinical departments and medical institutions of traditional Chinese medicine of traditional Chinese medicine nursing care workers should fully understand the particularity of TCM clinical nursing work, enhance the sense of responsibility and mission, guided by the TCM concept of overall, taking patient as the center, adhere to the principle of "the nursing" syndrome differentiation in TCM clinical nursing, with characteristic of Chinese medicine clinical nursing work.

        (2) actively promote implementation of traditional Chinese medicine nursing care plan

        Each medical institutions of traditional Chinese medicine and the comprehensive hospital of traditional Chinese medicine clinical departments to actively explore for different symptoms of disease and syndrome to implement targeted nursing intervention of traditional Chinese medicine, enrich the connotation of the "shih syndrome". Combing, summed up and refined common diseases of TCM nursing experience and advantage, TCM nursing plan formulation, implementation and promotion. TCM nursing plan timely analysis and evaluation work, optimize and perfect the TCM nursing plan, in time and in the traditional Chinese medicine nursing plan, based on the revision of traditional Chinese medicine nursing routine, to guide clinical Chinese medicine nursing, improve the clinical curative effect of traditional Chinese medicine. By 2015, 100 TCM nursing to formulate and implement solutions.

        (3) promote the integrated treatment of traditional Chinese medicine

        Medical institutions should be widely used in traditional Chinese medicine nursing technique of traditional Chinese medicine, Chinese medicine hospital (including combine traditional Chinese and western medicine, national medical hospital, similarly hereinafter) each department carry out at least 4 items of Chinese medicine nursing technique, nurses skilled technical operation procedures. In hospital of traditional Chinese medicine combined treatment area (room) construction, give full play to the role of the nursing personnel, equipped with a certain number of nursing staff, actively assist the doctor in doctor of traditional Chinese medicine treatment. Nursing staff should actively use, normative operation of traditional Chinese medicine diagnosis and treatment equipment, rich in traditional Chinese medicine nursing means. Encouraged to explore ways of organic combination of Chinese and western medicine nursing technology and method, improve the level of clinical nursing.

        (4) to strengthen the construction of nursing key specialty of traditional Chinese medicine

        Selection, building a batch of demonstration role in driving the national and provincial nursing key specialty of traditional Chinese medicine, and explore innovative key specialty construction of TCM nursing mode. Strengthen key specialty connotation construction, organize the implementation of the traditional Chinese medicine nursing plan, inheritance and promotion of specialized subject characteristic of traditional Chinese medicine nursing technique, experience method. To strengthen the construction of TCM nursing key specialty cooperative, building academic, technical communication platform, to conduct academic exchanges, technical cooperation, technical guidance, technical promotion and scientific research, promote Chinese medicine nursing technique innovation and academic progress.

        (5) development of TCM nursing services

        Give full play to traditional Chinese medicine nursing in not cure disease, aging and chronic diseases prevention and control, the special advantage role of rehabilitation work. Supported by institutions, based on family and community as the backing, to promote Chinese medicine nursing service to grassroots family development, and gradually to the aged care, slow disease care, hospice care, and other fields, enhance TCM nursing service continuity, stability, coordination and integration, to provide efficient, high-quality and convenient TCM nursing service.

        (6) establish and improve the nursing quality evaluation of traditional Chinese medicine examination system

        Develop and improve nursing quality inspection evaluation standard of traditional Chinese medicine. According to traditional Chinese medicine hospitals, nursing care quality management organization, set level 2 or level of TCM nursing work elements of the comprehensive evaluation on the quality, process quality and final quality. Strengthen quality consciousness of nursing staff, standardize the nursing behavior, on the basis of giving full play to the advantages of TCM nursing characteristics, strive to improve the patient's quality of life, can meet the needs of patients, maintaining patients' rights, continue improve the quality of nursing.

        (7) to conduct high quality nursing service demonstration project

        On the reform of public hospital of traditional Chinese medicine as an opportunity to further carry out the doctor of traditional Chinese medicine characteristic high-quality nursing service demonstration project activities. Insist on reform of nursing service mode as the breakthrough point, implement the responsibility system of the overall clinical nurses to patients nursing, fully implement the nursing post responsibility system, deepen the connotation of the professional construction. Innovation of TCM nursing work mode, pay attention to the use of traditional Chinese medicine nursing theory in life daily life, diet aftercare, medication nursing and modern nursing, health education, etc, to provide personalized TCM nursing service, provide patients with comprehensive, full and has the characteristics of traditional Chinese medicine of high quality nursing service as a whole. To 2015, the national to create 100 national, 300 provincial quality care services advanced unit.

        Fourth, strengthening nursing team construction of traditional Chinese medicine

        (a) equipped with nursing human resources reasonably

        Medical institutions of traditional Chinese medicine should according to "Chinese nursing career development plan outline (2011-2015) requirements, increase the number of clinical nurses, common ward bed care is no less than that of actual 1-0. 4, and gradually achieve the 1-0. 5 ~ 0.6. The clinical nursing post nurses accounted for no less than 95% floor nurse, intensive care unit, door key department (urgent) examine, the operating room nurse. Reasonable allocation to 2015, graduated from a principle of traditional Chinese medicine or TCM nursing professional nurse tertiary hospital of traditional Chinese medicine not less than 40%, second hospital of traditional Chinese medicine is not lower than 30%; college degree or above of the nurse tertiary hospital of traditional Chinese medicine is not lower than 80%, second hospital of traditional Chinese medicine is not lower than 50%.

        (2) strengthening nursing talents of traditional Chinese medicine

        The doctor of traditional Chinese medicine medical institutions should strengthen the traditional Chinese medicine of all nursing staff knowledge and skills training. To establish and perfect the system of standardization of Chinese medicine nursing training, to ensure that the training system and plan in place, to ensure that the system of traditional Chinese medicine knowledge and skills training of nursing staff to their corresponding position nursing staff more than 70% of the total; Not in TCM colleges and universities graduate or the nurse work in medical institutions of traditional Chinese medicine of TCM nursing completed three years of traditional Chinese medicine theory and skills training for total time of not less than 100 hours. To 2015, the hospital should be built in traditional Chinese medicine of traditional Chinese medicine nursing training in the classroom, there are someone who's in charge of, develop training plan, clear training objectives, take many forms, strengthening the nursing staff at different levels of training.

        Strengthen the medical institutions of traditional Chinese medicine of traditional Chinese medicine nursing knowledge and skills training. "Twelfth five-year" period, Chinese medicine medical institutions across the country to select a group of Chinese medical nursing knowledge and skills training, improve the level of TCM nursing ability and.

        (3) the emphasis on traditional Chinese medicine nursing management team construction

        Will the doctor of traditional Chinese medicine nursing management team training into the hospital management cadres training plan, overall arrangement, implement it step by step. To build a policy of TCM higher levels, business ability outstanding, TCM nursing management quality excellent management team. To 2015, level 3 hospital of traditional Chinese medicine with bachelor degree or above in the nursing management personnel should be not less than 60%. More than 500 pieces of bed medical institutions of traditional Chinese medicine, should actively create conditions to set up, vice President of the nursing.

        Five, promote Chinese medicine nursing education scientific research and foreign exchanges

        (a) to develop the nursing college of traditional Chinese medicine education and continuing education

        Various colleges and universities of Chinese medicine nursing education work to and closely integrated clinical of traditional Chinese medicine, the curriculum should comply with the Chinese medicine hospital service patterns and professional characteristics, close with the cooperation and relationship between medical institutions of traditional Chinese medicine. TCM clinical nursing demand oriented, professional education as the theme, humanistic care as a fundamental, practical innovation as the leading, strengthen the theory of traditional Chinese medicine knowledge and skills of learning. Development of TCM nursing continuing education to meet the demand of TCM nursing career development as the guidance, post competence as the core, actively carry out targeted, practical, coordination and effectiveness of TCM nursing continuing education, comprehensively improve the overall quality of the contingent of TCM nursing staff. To strengthen the construction of Chinese medicine nursing science, to promote academic development and innovation of TCM nursing.

        (2) to enhance nursing scientific research level of TCM

        Attaches great importance to traditional Chinese medicine nursing scientific research, clinical care, developing the special advantage of TCM, in order to improve the nursing effect of traditional Chinese medicine as the core, strengthen the nursing of TCM theoretical connotation, scientific basis and evaluation of the clinical practice. Actively carry out nursing experience of traditional Chinese medicine screening, combing with inheritance, mainly around the suspects and the difficult problem of TCM nursing research, nursing of TCM technology and method of operational procedures, set up evaluation standard of nursing effect of traditional Chinese medicine, form of traditional Chinese medicine nursing promotion mode, to promote Chinese medicine nursing academic innovation. TCM nursing laboratory construction, raise the level of nursing scientific research of TCM.

        (3) promoting TCM nursing foreign cooperation and exchanges

        Adopt various forms to strengthen international exchanges in the field of TCM nursing, learn and draw lessons from foreign advanced nursing service concept, professional and technical experience, education management pattern, vigorously promotion of traditional Chinese medicine nursing concept, method and results, to promote Chinese medicine nursing to the world.

        Six, to carry out the doctor of traditional Chinese medicine nursing safeguards

        (a) to strengthen organization and leadership

        Chinese medicine management departments at all levels to TCM nursing as an important part of career development of TCM, unified deployment, overall arrangement, synchronous implementation. To clarify responsibilities, Chinese medicine management departments at all levels to set up dedicated professional (is) the doctor of traditional Chinese medicine nursing management cadre, responsible for TCM nursing management. To give full play to the role of industry association and the association of Chinese medicine, encourages and supports industry association and the association of traditional Chinese medicine (TCM) to actively participate in nursing work. All medical institutions of traditional Chinese medicine to strengthen nursing management departments and the coordination of other departments, clear nursing, medical, pharmaceutical, logistics or related department responsibilities, perfect the mechanism, cooperate with each other, the whole advancement.

        (2) perfect policies and security measures

        Around to study will help TCM nursing policies and measures, strengthen communication and coordination with other related departments, actively explore and establish the doctor of traditional Chinese medicine of traditional Chinese medicine nursing technique, the nursing of TCM nursing services such as the price formation mechanism, promoting to establish and improve TCM nursing services charge standard, and be included in the health insurance reimbursement category; Separate set of traditional Chinese medicine nursing professional technical position qualifications review series, explore to establish reflect characteristics of traditional Chinese medicine of traditional Chinese medicine nursing professional title evaluation standard, a peer review, promote the TCM nursing professional talent team construction.

        Through various channels to raise funds, increase the funds input to the TCM nursing work, in the traditional Chinese medicine nursing key specialty construction, technology promotion, personnel training, scientific research, etc. To strengthen nursing management information construction, improve the efficiency of nursing service.

        Improve hospital personnel and income distribution system, complete the nurse post setting management, establish scientific performance evaluation mechanism, the nurse's income distribution, title promotion and reward recommendation to the line of traditional Chinese medicine (TCM) and clinical nursing tilt, do work more, quality optimal reward, equal pay for equal work, efforts to create the good conditions of career development, stable clinical nurse team.

        (3) to strengthen management and supervision

        Provincial administration of traditional Chinese medicine of traditional Chinese medicine (TCM) should be set up nursing quality control center, will be entirely responsible for the jurisdiction of TCM nursing guidance and supervision of quality. Combined with the actual, develop and improve nursing quality assessment of traditional Chinese medicine evaluation criteria, evaluation of traditional Chinese medicine medical institutions of traditional Chinese medicine nursing key work completion, timely corrective measures are put forward for the existing problems, to promote Chinese medicine nursing quality continuous improvement.

The state administration of traditional Chinese medicine

On July 22, 2013

(this site editor Wang Zhong one)