Analysis Of Impact On High-Quality Nursing Implement In Nursing-Patient Relationship

Medical and health care is an important part in promoting social and economicdevelopment, improve people's health play an irreplaceable role. Although the nursing jobdeveloped rapidly in recent years, comare with the economic and social development andpeople's health service needs, there are still gaps in the number of teams of nurses to furtherincrease in the ability to further improve the service connotation and areas to furtherexpansion, on the rights and treatment needs further protection. Therefore, to implementthe National Health Conference in 2010 and the deepening of the spirit of the key tasks ofmedical and health system,Ministry of Health from 2010 to launch a nationwide "qualitycare demonstration project" activities. Hospital in strict accordance with "quality caredemonstration project" requirements, and actively implement the "patient-centered" service,strengthen the supervision of clinical care, strengthening primary care, improve the qualityof care, provide patients with a positive quality, efficient and satisfactory care.In this paper, we carry out the quality care status, the implementation of quality careand the impact on hospital inpatient nursing care needs and satisfaction surveys, based onthe Ministry of Health to develop the "promotion of quality supervision and inspection ofcare services evaluation criteria" for hospital nurses, home-made "inpatient care needssurvey tables," "inpatient care satisfaction survey Tables" questionnaire for hospitalpatients surveys and face to face interviews with the hospital to implementation of qualitycare demonstration project summarized the results obtained, for the implementation processThe question put forward practical recommendations Further improve the nurse-patientrelationship, improve patient satisfaction.Results:Hospital of Jilin Province and Changchun City, as to carry out the focus of hospitalquality care, health administration department in accordance with the requirements of thehospital leadership attaches great importance to employees, to participate in the various departments to ensure effective; the first time active demonstration engineering activities, changes in the concept of change the work, step by step, solid progress, the hospital ward to carry out services has reached 100%.The delivery of quality care demonstration project, the care of nurses brought change. Responsibility of nurses for each patient no more than 8, the effective patient-centered, shortening the shift time, the nurses, the average time spent on patients increased significantly from before the delivery of quality care services increased to 18.7 minutes after the implementation of 37.5 minutes, an increase of 100%; in the implementation of quality care process, the nurse will give nurses more than the work of authority; duty nurse in charge of the patients according to their actual work to do nursing care scheduling process. For nurses working in the proposal,Nurse can listen to and more attention; more than 90% of nurses believe that quality care in the implementation process, the nurse is focusing on nurses goals, and about the quality care carried out; the nurses encountered difficulties in work , the nurse can give help; The delivery of quality care services need to develop detailed and effective plan of care, and according to the patient's condition to determine the care priorities, allocation of scientific tasks. Nurses to understand patients' needs, to interact with the patient care activities as the opportunity to use every opportunity to educate patients to take an effective way to communicate with patients and their families, and to make preventive health care measures。For patient care needs and satisfaction survey found that 343 patients need to be investigated is to introduce the highest frequency of physicians and nurses in charge, to 53.64%; for disease-related treatment, care programs, procedures, only selected patients to 30.32%; for nurses is excellent, from the academic background, responsibility and love, age qualification, skills, attitude and other aspects of the evaluation of five patients value most is the age of qualified nurses, accounting for 44.90% rate survey,While only 93 patients would be whether they have enthusiasm, initiative attitude of a nurse is excellent as an evaluation standard; after the delivery of quality care, patient satisfaction rate, nurse-patient relationship more harmonious, an increase of care and safety. Nursing service touching stories are numerous. Rounds each patient and their families have taken the initiative to express their gratitude to nursing services, in recognition of their responsibility to nurses. Since the commencement of the hospital nursing disputes only 1 case. Received more than 60 banner plane, letters of appreciation more than 500 letters. Patient satisfaction increased from 92% -95% were carried out in 95 ?% -99%.Discussion:National "quality care demonstration project" activities started has achieved initial success. Indeed the delivery of quality care services for hospitals, patients, nurses brought great changes in the hospital through "quality care demonstration project" activities, to achieve the following five patterns of change, namely, human resource management paradigm shift, changes in care management, clinical care and the changing pattern of the changing pattern of care and quality control, nursing training model. Through changes in care patterns, division of labor ward and accountability for implementation, integration- based care, the condition observation, treatment, communication and health care guidance,Provide patients with comprehensive, full, continuous care. Continuous, full, comprehensive care for the whole primary care and specialist care will combine to promote the patients recover quickly and improve the efficiency of medical resource utilization. Rigorous and meticulous observation of the disease, superb strong technical expertise, attentive primary care, comfort and safety of the training environment, intimate comprehensive health education so that patients get real benefits, improved patient satisfaction, nurse-patient relationship more harmonious, an increase of care and safety, building a harmonious nurse-patient relationship.Quality care has yielded some success, but long-term mechanism for sustainable development has not been established, there are some situations and problems. Main features: the training of nurses is not in place, inadequate human resources, logistics in place, there is no perfect home care model, nurse career prospects and inadequate career planning, detailed grading standards of care and service content is not clear, the lack of long effective mechanism is established, the nurse needs to be further improved treatment, care and documentation writing is not standardized.Quality care services for the implementation process and problems arise, the following recommendations: (a) improve the revised rules and regulations, job responsibilities, services, processes, rules to follow nurses at work, according to the law. (B), the establishment of specialist care training base for quality care special training to enhance job training assessment; (c), improve human resources planning, additional human resources (D) House leadership attached great importance to the organization and coordination, improve logistics. (E) to highlight the detailed characteristics of the specialist standard of care, improve the home care model; (f), increased media publicity, the responsibility of nurses to do health education,Improve patient and community awareness. (G), to strengthen supervision and management positions (eight), to simplify writing nursing case required to develop care and medical records system. Reduce the time to write nurses have more time to observe the condition of patients.