Grading Nursing Decision Nurse Job Descriptions And Work Process Of Research

Research purposesThis study is the sub-topics of the task of grading nursing decision-making body, ourgroup pre-grading nursing decision-making body, using hierarchy analytic process:"Thedoctor is not yet considered to be the best decision-making body grading nursing existingindependent decision-making of doctors grading nursing is not yet considered to be the bestdecision-making, nursing experts believe that the classification of independentdecision-making for care by the nurses, medical experts think it would be health care jointdecision-making, the highest recognition rate of the common health care decision-making".Based on the basis of the preliminary demonstration of the grading nursing decision-makingbody to determine the grading nursing decision-making of nurses qualification with thecharge nurse and titles qualifications, five years of clinical experience of undergraduatenursing students or three years of clinical experience in nursing graduate students. Gradingnursing decision-making nursing training a total of seven courses, including23teachingcontent, the next48entries. This project aims to form a "graded care decision-making ofnurses job descriptions book, nurse decision-making classification of nursing work flow chartand related management systems.Research Objects and MethodsInvestigated through literature research and the Beijing Union Medical College Hospitalclassification care system, preliminary design grading nursing decision-making of nurses jobdescriptions and workflow consultation questionnaire. Select34medical, nursing specialistsin the province, using the Delphi method, job description of the classification of caredecision-making of nurses, nurse decision-making classification of nursing work processesand related management systems, two expert advice, and to determine its weight; MicrosoftExcel and database and SPSS13.0software for Windows software for data processing.The results1.Beijing Union Medical College Hospital classification care system inspection reportUnion Medical College Hospital, every departments in the Ministry of Health issued"General Hospital grading nursing guiding principles (Trial)" on the basis of combination ofthe characteristics of departments diseases, namely the development laboratory for gradingnursing implementation of standards. Patients after admission, the main classes of nursesassess and determine the care level, based on the severity of the patient’s condition and livingskills. Level out, to make timely adjustments to changes in the patient’s condition. No longerreflect the care level in the doctor’s medical advice on the basic information into the computerwith the patient’s name, age, diagnosis, and embodied in a patient on the list,use purple, green,pink, blue represents the level. Nurse decision-making grading nursing as a purely nursingheritage since the beginning of the establishment of the hospital, so doctors have issued alevel of care nurse if positive attitude and also holds a recognized level assigned to the nursesattitude. At the same time, nurses in the issued care level, critically ill and seriously illpatients based on the critically ill and seriously ill medical advice notice issued to intensivecare and a care, to ensure consistency and synchronization of the level of care and livingwills.2. determined the grading nursing decision-making nurse job descriptions Two round experts questionnaire recoveries were95%,100%,100%effective,expert’s authoritative coefficient of0.8647, suggesting that experts actively high degree ofreliability of the results. After the first round of the letter of inquiry job descriptions partiallydeleted0entries, and modified4entries, and increased6entries. Five experts should bedeleted entries4-3"to communicate with patients, understand the needs of the patients thelevel of care", the experts pointed out that the care level is determined based on the patient’scondition, rather than patient care needs.In the second round of the letter, group discussedagree with expert opinion, and deleted entries4-3. In addition to experts on entry did not dothe modification, indicating that the experts agree on the entry rate, basically consistent withthe grading nursing decision nurse job description "content views. Decision-making nursesResponsibilities weight from high to low0.1716,0.1706,0.1695,0.1685,0.1622,0.1576, whichin turn determine and adjust the level of patient care, is responsible for the patient’s overallassessment, communication and coordination, good check, and shift work, participate inrounds, the guidance of the lower-level nurses.3. Nurse decision-making grading nursing work flow chartThe first round of entries experts agree that rates a minimum of94%can be seen tosupport a high degree of expert nurse decision-making grading nursing. experts to modifyentries2, increased entry3. Second round of consultation, the results of the consultationdirectly to the form of a flow chart presented to the experts, expert nurse decision-makinggrading nursing workflow opinions and suggestions, experts entries1-2check, inform explainto the patient to obtain cooperation has been included in the entry2-1to collect patient data,should be deleted. Subject coordination group discussion, agreed with the expert advice anddeleted entries1-2. Expert opinions of other entries consistent.4. determined nurse decision-making grading nursing management systemThe Management system part after the first round of the letter of inquiry to delete0entries, modify8entries, one entry. Proposed to increase the nursing department to develop aspecial assessment standards in the nursing department should be the person responsible forgrading nursing, entries5-2in the second round of the inquiry of experts and experts on anentry in the4participants to learn to statements to adjust instead of training learning systems,and other entries did not do the modification, indicating that the experts agree on the entryrate, basically consistent views on the content of the decision-making classification of nursescare management system ". Decision-making nurses Responsibilities weight from high to low0.1716,0.1706,0.1695,0.1685,0.1622,0.1576, which in turn determine and adjust the level ofpatient care, is responsible for the patient’s overall assessment, communication andcoordination, good check, and shift work, participate in rounds, the guidance of thelower-level nurses.ConclusionsIn this study, formated a more scientific grading nursing decision-making nurse jobdescriptions, nurse decision-making classification of nursing work flow and decision-makingclassification of nurses care management system. Preparation of grading nursingdecision-making of nurses job descriptions in the book, qualitative descriped jobresponsibilities and operating criterion, so that decision-making duties of the nurses clearerly,clearer division of roles, norms workflow so that the decision-making nurse worked in thebest run state, improve quality of care, reduce nursing disputes, as well as provide the basis for grading nursing clinical pilot work of nurses in decision-making.