On further deepen the quality of nursing and improve nursing service 
 
 
The 2015-03-17 national health and population and family planning commission of the People's Republic of China 

Countries who do medical hair [2015] no. 15 

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the administration of traditional Chinese medicine, the xinjiang production and construction corps health bureau:
 
    Further advance the quality of nursing and improve nursing service is "to further improve the medical service action plan" an important content, to improve the nursing quality, meet the demand of people's health is of great significance. To further strengthen the awareness of nursing service, improve the level of nursing service and benefit more patients, regarding the job requirements are as follows:
 
    One, continue to expand coverage for high quality nursing service, benefit more patients
 
    At the county level of the new high quality nursing service in hospital, has been carried out to increase coverage of hospital wards. Tertiary hospitals across the country, by the end of 2015, each unit to carry out high quality nursing service; Secondary hospital, to carry out high quality nursing service accounts for 60% of the ward of not less than 80%, the proportion of the city-level hospitals at the county level hospitals not less than 40%. At the same time, the conditional hospital should actively in door (urgent) examine, operating room and outpatient departments to carry out the quality of nursing service.
 
    Second, take effective measures to further improve hospital nursing service
 
    (a) door (urgent) examine the nursing service responsibility, innovation service pattern. Hospital to build a door (urgent) examine the nursing post responsibility system, clear responsibilities and the implementation of the nursing service. Prioritize clinical nursing experience, professional ability of nurse triage work, completes the triage, consultation, explain and answer questions. To implement preferential treatment in patients with acute and critical disease and escorted to the hospital. On waiting, patients should strengthen patrol, closely observe patients condition change, timely and effective treatment. Waiting to take various measures to strengthen, infusion, treatment, patient health education during under observation, etc.
 
    (2) specification ward patients into a hospital, nursing process, improve the service. We need to improve and strictly implement the patient into the hospital, hospital nursing service system and service process. Nurse shall, in accordance with the requirements for the patient into the hospital, nursing services, shall not be passed on to further education practice nurses and nursing students instead of completed. Conditional hospital, shall explicitly designed (and) the position of personnel to provide targeted continuity of care service to discharged patients, guarantee nursing service continuity, meet the demand of patients. Hospital patients in the hospital, see appendix for nursing work system and service process.
 
    (3) implement the responsibility system for ward the overall care, regulate the behavior of nursing. Nurse should further implement the responsibility system, holistic nursing care according to the patient's disease characteristics, physical, psychological and social needs, the specification provides the whole nursing of body and mind. We will strictly implement nursing grading system, the key of comprehensive assessment for patients with necessary professional care according to the assessment. Regularly patrol patients in accordance with the relevant requirements, observation patient's condition in time, medication and treatment after the reaction, found that the problem timely communication with the doctor, and take effective measures. To implement individualized health education for patients, pay attention to the matters needing attention before and after drug use, inspection, operation and disease related knowledge such as guide, and can reflect the specialized subject characteristic. Class of traditional Chinese medicine hospital to widely used characteristic of traditional Chinese medicine nursing technique, optimization of traditional Chinese medicine nursing plan, innovation of traditional Chinese medicine nursing service mode, enhance the capacity of TCM nursing service, fully embodies the traditional Chinese medicine nursing characteristic advantage.
 
    (4) strengthen the humanistic care consciousness, strengthen the protection of communication. Nurses should strengthen the consciousness of active service and the humanities concern, to deepen the concept of "patient-centered", respect for and protection of patient privacy, patient carefully care, care, psychological support and humanistic care. To strengthen the communication with patients, pay attention to the patient's discomfort and demands, and help to solve in time. Continue to improve the nursing service attitude, put an end to attitude enthusiasm, to explain the phenomenon such as patience, service does not reach the designated position.
 
    Third, increase the intensity of work, ensure that obtains the actual effect
 
    (a) to strengthen the nursing leadership and strong support. Hospitals should fully recognize to improve nursing service to improve the quality of medical service and hospital operation efficiency, the significance of promoting the sustainable development of hospital health. We need to strengthen the management of nursing work, shall gradually establish nursing, vice President of the tertiary hospital, to establish and implement the responsibility system for jobs. To establish the personnel, financial, medical, nursing, logistics, medicine department linkage mechanism, mix, take effective measures to improve the nurse benefits, improve the nurse working conditions, establish the medical cooperation mechanism, improve the clinical support system, regulating the behavior of clinical medicine, reduce the nurse in the nursing work, increase the intensity of support.
 
    (2) to strengthen the nursing manpower, meet the demand of clinical nursing services. More attention must be paid to the hospital the nurse human resource, shall not be arbitrarily reduce the nurse preparation and quantity. To ensure the clinical nursing post number of nurses, and according to the department of disease characteristics and nursing workload, the rational allocation of nurses. Hospital can be hired and reasonable equipped with a certain amount, after standard training and obtained the corresponding qualification of orderlies, under the guidance and supervision of nurse, care for the patient to provide simple life. Hospital to the orderly implementation specification management, it is forbidden to nurse instead of in therapeutic nursing professional technical work, ensure the safety of the medical and nursing quality.
 
    (3) strengthen nurse training, improve nursing service ability. Hospital should strengthen the nurse post standardization training, improve the post demand oriented and post competence as the core of nurse training mechanism, combining the responsibility system for the overall care, develop targeted training content, improve the nurse to the patient's evaluation, observation, rehabilitation guidance and communication ability such as nurses and patients.
 
    (4) strengthen the management of nursing science, fully arouse the enthusiasm of nurses work. Hospitals should be in accordance with the related requirements of the nurse station management, combined with the actual situation, set up nursing science, nursing post qualifications and responsibilities clear; According to the nursing workload in jobs, technical difficulties and professional requirements and work risk, reasonable configuration and adjust the nurse manpower, reflect people post match. To the nurse, reasonable layered implementation level. Establishment of nurse scientific performance evaluation and salary distribution system, arouse the enthusiasm of nurses work step by step.
 
    Family planning administrative department of public health at all levels, management department and the hospital of traditional Chinese medicine to deep understanding to promote the importance of quality care, improve nursing service, will work as a tangible improvement livelihood of the people, to establish a good image of health industry and meet the demand of people's health is important work, seriously organize the implementation, make greater efforts to promote refinement and innovation to improve the nursing service measures, regularly carry out third party evaluation, found the problem in time, continue to improve, make sure to obtain actual effect. To intensify publicity, actively through the Internet, newspapers, new media, such as form, improve nursing service new methods, new look, set up advanced type, play to the demonstration effect, to point with surface, gradually promotion, build advance the quality of nursing in the whole society, people enjoy the achievement of reform of the good atmosphere.
 
    Attachment: hospital patient into the hospital, nursing work system and service process. Docx 

General office of national health and family planning commission The state administration of traditional Chinese medicine office

On March 12, 2015