Evidence-based high altitude cerebral hemorrhage N

e707004304 · Wysłany: Wto 1:30, 15 Mar 2011

Evidence-based high altitude cerebral hemorrhage nursing

, Li. Empirical evidence-based nursing care and clinical application [J]. Qingdao Medical College, 2007,43 (6): 563. (Received 13 :2008-08-31) 36 cases of nursing disputes Analysis and Countermeasures high-Jin (PLA 324 Hospital, urinary kidney, Chongqing Jiangbei 400020) Abstract Objective To investigate the nurse-patient disputes the causes and preventive measures . Methods From January 2000 to January 2006 6 years 36 cases of nursing disputes retrospective analysis of the causes. The results of hospital management and nursing staff reasons are: nurses lack communication skills with patients, nurses, poor operational capacity, not enough skilled nursing techniques,[link widoczny dla zalogowanych], poor service awareness, legal awareness and medical payment system is not strong. Of not being perfect; patients reasons are: the uneven quality of patients, the changing role not suited for nursing too much prejudice and negative media coverage of health workers so that patients and decreased trust. Conclusion strengthen the legal, safety education, enhance service awareness, regulate the practice of real-time, accurate billing, improved service, increased management,[link widoczny dla zalogowanych], and improve service quality, strengthen the communication between nurses and patients, increase the positive public opinion support for advocacy efforts to reduce the key to nursing disputes. Key words nursing disputes; causes; countermeasures 【Key Words】 R197.3 Document code】【B】【Article ID 1672-7193 (2008) 06.0166.02 in medical practice, nurse-patient disputes have occurred, not only pain and trouble to the patients, but also to make nurses physically and mentally exhausted, influence and interfere with the normal care, such as the address is not timely, inappropriate and may harm the overall image of the nursing profession. Our hospital from 2000 年 January 1 January 2006 there were 36 cases of nursing disputes, caused by the attitude of nurses l6 cases, 44.4% from improper or lack of communication between nurses and patients in 4 cases, 11.1% from nurses due to poor operational capacity of 6 cases, accounting for l6.7%, by nurses is not strong awareness of the law caused 3 patients, accounting for 8%, 7 cases were caused by improper charges, accounting for 19.4%. Nurse-patient disputes occurring now analyze the causes of the causes for the proposed countermeasures. l analysis 1.1 nurses reasons. 1.1.1 The weak legal consciousness, sense of service is not strong at present patients gradually increase the legal awareness of the legal awareness of individual nurses failed to improve, not fully respect the patient's right to know, leaving patients with less privacy. Furthermore,[link widoczny dla zalogowanych], the work is not strong sense of service, loose thinking and careless, perfunctory prevarication, lack of initiative and apathy lead to patient dissatisfaction with rigid attitude led to nurse-patient disputes. 1.1.2 The operational capacity of nurses to patients have poor sense of insecurity with the development of science and technology, medical, nursing new theories, new technologies, and some nurses complacent, lazy, do not update nursing knowledge, proposed by the disease in patients with treatment, care and other aspects of the doubt not timely and satisfactory response, in addition to retaining】 66 * Less skilled management technique has resulted in mistrust of patients, even disgusted, and even small mistakes are not working understanding, so that patients have less cause disputes. 1.1.3 lack of communication skills of nurses is the interaction between communication and information transfer, including the opinion, emotion, idea exchange, etc., thus obtaining mutual understanding, trust and good relationships. Nurse-patient communication helps to understand the patient's physical and mental condition, provide the correct information to patients and better services for patients, help patients relieve pain, to create a good mental state, but also to close nurse-patient relationship, enhance mutual understanding between support and cooperation to enhance the effect of treatment and care. ... However, in clinical work, some nurses lack communication skills, communication skills, lack of communication with patients the time and place due to improper communication failure, easily lead to disputes. 1.2 1.2.1 The cost of hospital management of medical costs cause concern to the patient. Most large hospitals now use the computer billing, but the billing system is not perfect, some time is not real-time billing, individual nurses negligence double-charged, multi-billing, although can be promptly corrected, but still cause some patients hospital medical fees charged doubt, the occurrence of nurse-patient disputes. 1.2.2 Patients with good manners in inadequate rest can make patients feel relaxed environment. Conducive to disease recovery, otherwise patients may aggravate the pain. Such as the ward has not been timely hardware repair damage caused inconvenience to patients,[link widoczny dla zalogowanych], not quiet and clean rooms, reasonable arrangements for the severity of the patient,[link widoczny dla zalogowanych], sharing a room, save weight patients can affect other patients and other factors which can lead to care in patients with irritable mood risk of disputes.