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Look at zhejiang practice to improve TCM nursing skills

2016年07月21日

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Look at zhejiang practice to improve TCM nursing skills


Time: 2016-07-20

Source: China's traditional Chinese medicine

Author: ZhangGuanChun Juan-juan li


Recently, the development of nursing science and nursing research and analysis of traditional Chinese medicine of zhejiang province "(hereinafter referred to as the" analysis "), according to the 84 class of traditional Chinese medicine hospital of zhejiang statistics found that after has to develop TCM nursing plan, the state administration of traditional Chinese medicine issued by conventional ZhuanBing nursing specialized hospitals of traditional Chinese medicine, respectively, to 69 (82.14%), 72 (86%).

The doctor of traditional Chinese medicine nursing progress can be made

This suggests that the province's most traditional Chinese realizing a complete coverage of the traditional Chinese medicine nursing, half of the hospital to carry out the nursing clinical pathway of traditional Chinese medicine, the application of traditional Chinese medicine nursing technique project, operating frequency and the traditional Chinese medicine nursing income increased year by year. In 2014, zhejiang TCM nursing service held by 10.6682 million, annual revenue is 140 million yuan, the province a lot of traditional Chinese medicine nursing business outcomes exponentially.

The analysis report pointed out that the good situation of nursing career development of TCM, expanding the nursing team; Hospital attaches great importance to traditional Chinese medicine nursing science development; Actively explore around the nurse training mode; Constantly excavate and innovation of traditional Chinese medicine nursing technique, in the past two years the province hospital, a total of 40 application of traditional Chinese medicine nursing patents and 234 project subject; By setting up nursing clinic of TCM extends service; Efforts to reform the nursing service process, etc.

But also should pay attention to at the same time, the traditional Chinese medicine nursing can not adapt to the increasing new requirements, also a lot of difficulties and problems. All levels of hospital actual open beds and the total number of nurses is "bed than", there is a certain distance from the standard, nursing human resources allocation is not optimistic.

Another, according to the previous two years in zhejiang province hospital nurses quit rate by 5.49%; Secondary hospitals is higher than the tertiary hospital, the nurse of resignation by more than 70% for the contract. "Three" hospital, the formal establishment of nurses quit rate has increased.

In addition, the zhejiang province all levels of hospital nurse degree has universal standard, but only 8% of Chinese medicine colleges and universities graduate, professional nursing talents of traditional Chinese medicine is very scarce, 2 class hospital accounts for only about 3%.

Zhejiang hospital at various levels shall, in accordance with the rules of high quality nursing service evaluation (2014 edition) "after the self-assessment, found that the current problems existing in the nursing work is first and foremost: human resource configuration is insufficient (37.61%) and logistics and auxiliary support department (33.03%), the nursing information system is not sound enough problem (14.68%), the nurse treatment (10.09%).

Second, average in charge of the data is more than eight, nursing writing, nurse, heavy workload big, etc.

Have a certain risk is again, Chinese medicine nursing technique. Dosing errors and burns the high incidence of accidents, burns including moxibustion burns (61%) and Chinese medicine soak, fumigation scald, traditional Chinese medicine (TCM) packet burns, moxibustion apparatus scald thermostat failure, etc.

In addition, the drug allergy accounted for 12.86%, ear ear damage caused by 1.05%, operation and other accidents, such as point sticking drugs did not take out, attach cause blisters etc also happen from time to tome.

The five problems of traditional Chinese medicine nursing

Survey found that the traditional Chinese medicine nursing management ability levels not neat, post management is not perfect, asymmetric nurses ability to post requirement, overall quality improvement. Most hospital is not set, vice President of the nursing, nursing and nursing personnel no more say, this is a big disadvantages of hospital nursing management.

Survey argues that, in the medical team, nursing team has always been a team that has the execution.

The existing shortcoming in: one is the understanding of TCM nursing is not in place. Tend to light heavy medical care, medical compensation unfair distribution.

The second is the insufficiency of TCM nursing human resources. Hospital bed than are not up to standard, has become a major obstacle to deepen the quality of nursing; The core content of shih syndrome of TCM nursing, the development rate of just 46.2%.

3 it is the traditional Chinese medicine nursing talents training system is not perfect. The current hospital nursing team still is western medicine nurse is given priority to, the nurse in the "western" training, belong to popularize TCM nursing knowledge, lack of systemic and purpose, TCM nursing training materials have no standard to reference.

Four is the doctor of traditional Chinese medicine nursing quality management system to be improved. Quality tracking and effect evaluation, improvement scheme implementation, TCM nursing information, etc.

Five is some shortage restricts the application of clinical Chinese medicine nursing technique. Such as nursing staff not ChuFangQuan, part of the traditional Chinese medicine nursing technique did not include coverage, low fees, the nursing techniques and quality control of traditional Chinese medicine, not form a unified standard operation, differences exist in the same technology in different hospital, etc. The doctor of traditional Chinese medicine to the development of nursing science, traditional Chinese and western medicine nursing to fusion, need the attention from all walks of life.

Strengthen management ability to ascend

In zhejiang province puts forward: "much starker choices-and graver consequences-in" to further strengthen TCM nursing human resources allocation and TCM nursing backbone personnel training. To reform the traditional Chinese medicine nursing personnel training mode, improve the differentiation ability of the nursing. To improve the nurse stratified training system, accomplish on-demand positioned, people post match.

The analysis report suggested that set up provincial TCM nursing specialist nurse training base, taking off-job training and multi-channel, multi-channel training form, strengthen the team construction of TCM nursing specialists, to provide policy guarantee.

Family planning department of health and nursing quality control of traditional Chinese medicine organization at all levels, more open TCM nursing training, to formulate the implementation of hospital nursing staff in the "western" standardization training plan and plan of action, to improve the training effect.

The analysis report suggested that set up TCM nursing professional senior technical title promotion platform, train the nurses to the Chinese medicine knowledge study interest and study initiative.

Zhejiang TCM nursing quality control institution should be unified operation specification and appropriate technology for TCM nursing of TCM nursing training content. Need to have a clear standard of nursing quality control of traditional Chinese medicine, is operational.

To better improve and standardize the TCM nursing service ability, zhejiang has launched "Chinese medicine nursing management quality assessment standard (trial version) in 2016, the standard is divided into Chinese medicine nursing, nursing management system and organization culture construction, nursing human resources and training management, nursing quality management of traditional Chinese medicine, Chinese medicine nursing technique management and so on five kind of article 72, will be to quantify the various traditional Chinese refining the assessment and evaluation.