1、Qualitycaredemonstrationproject优质护优质护理服理服务务示范工程示范工程Letthenurseregressionward让护士回归病房1QualitycareVSFunctionalnursingservices优质护优质护理服理服务务VS功能制功能制护护理服理服务务TheshanghaiHealthBurean(上海市上海市卫卫生局)生局)Basicnursingservices(基基础护础护理服理服务务)Professionaltechnicalservices(专业专业技技术术服服务务)Communication(沟通交流沟通交流)closetopatie
2、nts(贴贴近患者)近患者)closetoclinical(贴贴近近临临床)床)closetothecommunity(贴贴近社区)近社区)Letthenursebackward(让护让护士回士回归归病房)病房)2QualitycareVSFunctionalnursingservices优质护优质护理服理服务务VS功能制功能制护护理服理服务务l那么究竟什么是那么究竟什么是优质护优质护理服理服务务lSowhatisthe“qualityofnursingservice”l这这和以往的和以往的护护士提供的功能制服士提供的功能制服务务有什么区有什么区别别?lwhatsthedifferenceto
3、previousnursesprovidefunctionalservice?3Functionalnursing功能制功能制护护理理lDidnottakethepatientasthecenter没有以病人没有以病人为为中心中心lPerformDoctorsorderspassive被被动执动执行医嘱行医嘱lAttendtoeachonesownduties各司其各司其职职,lInjections打打针针、medicine发药发药、temperature量体温、量体温、writedocuments写文写文书书lassemblyline流水流水线线lLittletimetostaythenea
4、r-patient很少有很少有时间时间在病人身在病人身边边停留停留lArelackoftheemotionalcommunication缺少情感交流缺少情感交流4Qualitycare优质护优质护理理lpatient-centered以病人以病人为为中心中心lInitiative主主动动lExecutiveordersonlypartofnursingwork执执行医嘱只是行医嘱只是护护理工作的一部分理工作的一部分lpreviousnursesandpatientsarerarelytaketheinitiativetochat以前以前护护士很少主士很少主动动和病人聊天和病人聊天lBuildu
5、pthenurseandpatientscommunicationbridge现现在架起在架起护护患沟通的患沟通的桥桥梁梁5Mobilenursingstation流流动护动护士台士台lAninvestigationshowsthat一一项调查显项调查显示示lUpanddown来回来回lmedicalequipment医医疗疗器械器械lalcoholcotton酒精棉酒精棉lthermometer体温表体温表lneededcanbetakenatanytime需要需要时时可以随可以随时时取用取用lreducingthenumbertowardsandnursingstation减少往返病房和减
6、少往返病房和护护士台的次数士台的次数6Thecooperateofotherdepartment医院其他部医院其他部门门的配合的配合lReducethenursesnon-careworking减少减少护护士的非士的非护护理工作理工作lLogisticdepartment后勤部后勤部门门lOnlineapplication网上申网上申领领lProvidewanddeliveryservice送送货货上上门门服服务务lMoretimeandenergytopatients更多的更多的时间时间和精力留和精力留给给患者患者7ThechangeofOurhospitalforhighqualitynu
7、rsing我院我院为为“优质护优质护理理”做的改做的改变变lChangethetraditionalschedulingmodel改改变传统变传统排班模式排班模式lreducethefrequencyofshiftrelief减少交接班减少交接班频频率率lContactwithrelativelyfixednurses接触到相接触到相对对固定的固定的护护士士减少交接班频度接触到相对固定的护士8护士长责任护士 责任护士 责任护士7-8 9-1011-12护士长责责任任护护士士责责任任护护士士责责任任护护士士1-23-45-6lChangethegroupResponsibilitysystem改改变变小小组组包干制包干制limplementedaflatResponsibilitysystem实实行扁平化包干制行扁平化包干制lEveryoneavailabletopatients人人包干病人人人包干病人小组长责任护士责任护士病房1-6病房7-12低年资护士低年资护士ThechangeofOurhospitalforhighqualitynursing我院我院为为“优质护优质护理理”做的改做的改变变9lessaccompanynursing少陪少陪护护noaccompanynursing无陪无陪护护lookafterwithoutcare陪而不陪而不护护summary总结总结1011