Tuesday, September 18, 2012

High-quality nursing Family type service When could get home

High-quality nursing Family type service When could get home
Since the beginning of last year, Ministry of Public Health launch " attend to the service engineering while being good " nationwide ,Require the nurse to bear the patient's basic nursery work, lighten relatives' burden. This piece of everything is rounded " The family " , the project of thinking about the family, how well nowadays going on in the hospital of Xi'an? What convenience is brought for patient and relative? Puzzled and difficult problem that how is it that have met? How far does the project has before realizing original intention and perfect distance? The reporter visits some investigations for this. The intersection of reporter and the intersection of black pigment and intern Jiang gentle the South Pole have / pursue Use " all-round service " Liberate the intersection of patient and the intersection of relative and much citizen, had in the intersection of nurse and ill experience of friend, in most human eyes, this is a work that labour also works with one's mind or brains, not merely care about the patient's condition progress, also look after the patient's trifling matters of everyday life and daily life. So long as a relative is in hospital in the family, often whole family, all body and mind is all tired, what is more, the patient has not fully recovered yet sometimes, but the relative accompanying and attending to it fell hard first. Recently, in several large-scale hospitals of the market in Xi'an, the reporter finds, a sub person of everybody is enclosing a patient, the scene accompanied and attended to, worn out mentally and physically in turn has been reduced. The nurses bear the patient's basic nursery work voluntarily, have not merely freed relatives from out the dog-tired trifling affairs, also let the patient experience and make warm more. In the last ten days of May, when the reporter comes to the ward of joint surgery of Red Cross, Xi'an hospital, 60 -year-old patient Zhang ChangJie is sitting on the bed moving wrist, ankle, recovers and does exercises. Though just finish the right knee joint and replace the operation and still less than one week, auntie Zhang has rosy cheeks, spirit is very energetic too. In the ward, reporters have not seen that have family's company by her, have just learnt under inquiring, accompany her family to already go home. "Family members come to see the situation every day, nothing left, the nurse here looks after me very well, do not need relatives to worry about at all. " Zhang ChangJie says, two are in charge of a nurse and does not basically leave the ward for a whole day, the patient has washed hair and washed the face, pruned the nail, spiked and carried massage, the oral cavity is cleared up, the body is clean,etc. all life nursery work after dominate, in addition, also instruct the patient how to carry on the function and do exercises constantly, the speed tried to accelerate resuming. "These little girls are very deft, do not work in the hand stopping some from entering the door to begin every morning, not unoccupied in the mouth, " Auntie " It is long " Auntie " It is short, call more cordially than one's own daughter. " She tells reporters, under the nurse's concentrated treatment, resume very well oneself. "The doctor says that can leave hospital in one week after the operation, but I do not worry at all, want, make, recover, train more in here, line don't go not late even when dismantle. " In fact, this kind of all-round " next to the skin " Serve, since last year, have already launched in 48 houses of third grade and second first rate hospital, 197 departments of the whole city. Through the try to find out and is practisedding of more than one year, patient's satisfaction has been obviously improved. The reporter knows from the Ministry of Health, all tertiary hospitals in the range of the whole province within this year, will all launch the high-quality care, will cover 50% that is at least the total number of inpatient areas in the inpatient area, meanwhile, 78 above- second -class hospitals in the range of Xi'an, must all implement " demonstration project of the high-quality care " too ,Let more patients can enjoy the family type service too in the hospital. Have not " accompanied and attended to " Collide with compatriot's traditional idea Have not " accompanied and attended to " Statement, when the demonstration project of the high-quality care is launched put forward, regarded reducing the accompanying and attending to rate of family members as the main purpose at that time. But nowadays, have not " accompanied and attended to " There is new intension, this change is not merely extension of the idea, what the back contained is, in the course of advancing the high-quality care, the masses of medical personnel are exploring and improved course constantly. "In my view, the Chinese attachment to the family is heavier, thought once there are relatives in hospital, it is natural to accompany by the bed by oneself, no matter how the medical personnel cares for the kindred that can't substitute relatives whole-heartedly, so, require relatives not to accompany and attend to simply, does not accord with the China's actual conditions very much either. The most ideal state is, relatives can rest assure of giving the patient to the hospital very much, then according to the needs of one's own one, budget one's time to look about and accompany rationally. " West head of the nursing department of Beijing hospital Hu XueHui tells reporters. So, the hospital is not mandatory to require relatives to leave the ward, but try hard to pass the nurse overall and thoughtful nursery work, lighten patient relatives' pressure on one hand, on the other hand let patients experience more kindred. If relatives because under the pressure of the hard and fast rule of the hospital, but can't accompany at patient's side, the then such one " Have not accompanied and attended to " Also not so humanized, it is not likewise what the hospital wants. "We hope to see, it is the service which the hospital can offer thoughtfully, let relatives reduce and accompany and attend to time consciously, set up on the basis of fully believing in the hospital " Have not accompanied and attended to " . " Hu XueHui says frankly, should reach this kind of state, the transition of compatriot's idea and health care industry of our country still have longer ways to go. The one that need changing is not merely a concept of patient and relative. Been called by people all the time " Hospital nurse " Nurse,it is it take medicine after having an injection to if you can't want, look after by patient not merely nowadays,can't last condition and self-care ability of patient, offer the help in life, the patient substantially as taking care of oneself to some according to the patient's demand, even assist to urinate, defecate, wash body,etc.. Because the course attended to, observe the course of patient's condition. Meanwhile, the nurse will fully communicate with patient and relative, will understand the patient's habits and customs. In this way, while nurse's work load increases, a lot of changes have taken place too in the working content. Director Hu XueHui tells reporters, the change of nurse's idea needs a long time. "Now the intersection of nurse and composition of colony, with after the 80, young artificial main fact after the 90, they only-child mostly, regard oneself as the centre at home, want them to change thoughts now, indeed can not be finished overnight. " Hu XueHui says, worthy to be gratified, after developing the activity of high-quality care, the patients are to the nurse's hard working, sufficient affirmation and gratitude that offer. "This lets nurses see the value that oneself pays, this has just become motive force of their work. " Except carrying on education and training constantly, the hospital also adjusts the system to assess, the nurse's performance salary and work load, patient's satisfaction are linked directly. "The nurse's improvement to some extent of income, have energy even more naturally. " Spirit and materialist double encouragement, let nurse can put into, pursue, attend to services while being good conscientiously, offer overall and thoughtful services to patient, has reaped the patient's more favorable comments too. Ensure the team building of the service quality to follow up and come into? Da colorful tool instrument call on bag weld foot-path all ����� Mou admire why, the intersection of She and Shan make a noise exhausted the intersection of Zou and awake Yan take off proper regretful �� idle thin R pay �frequently �� is beautiful �� think Yi clear Mi the army write with oh Bo �� stand tall and upright ��, Zhan of ��, pay the intersection of �� and rice, move ������ criticize sb's faults frankly tubes of �� think ���, Tiao of Yi, melt whisker twist in accordance with polished Xi, reed of ��! Have the mandarin orange of eyebrow had Xiao Ni's gown pulled out and kept fit strongly and cut open keeping fit and rushed down Quality stagger Chu! Last �� into lotus root Chu by ��last �� Hangzhou Hu pavilion �� mark ���� ostrich ���� skin scar �� rancours roast Qu of �� 1 the sixth of the twelve Earthly Brancheses hard last Liang ���� joke cheeks sad why, ���� Xi of �� 1 Chinese condemn Dongs long-drawn-out refute Like �� and say that receives � yttrium Bo to print! Study carefully frequently case Mou �� Hes vulgar last Xun spoil so there aren't rifle �� skull decayed tooth �� s fervent for the heads of kangs condylar �� of Mi 1 Lings pretties after lasting ���� to �� Ge Yu of ���� 1 donkey crack slowly! Widowed abundant ��, shelf of ��, shine, stand tall and upright �� glitter the intersection of foot-path and �� spell ��, Suo of Huo, resist the intersection of �� and Jian, at a disturbance of the intersection of Yan and the intersection of �� and umbrella regretful noon such as interconnected systems such as �� such as ��? On one hand, content and quantity of the work are increasing constantly, on the other hand will offer high-quality nursing service again, this proposes higher requirement for nursing team of the hospital: It is enough to not merely guarantee hands, meanwhile, also want the support personnel's basic quality, in order to avoid the service quality " Give a discount " . "Present nursing team, no matter in quantity or on quality, it is also very difficult to totally meet hospital's demands. This is a bottleneck restraining the high-quality care from going on and developing too. " Speaking of the puzzlement met in the nursery work, municipal fourth Deputy Director of hospital nursing dept. Li CuiRu in Xi'an says. Launched the high-quality care last year so far, the hospital successively recruited more than 130 nurses newly, has carried on some post adjustment according to the demand of every department, though in quantity, protect bed last Ministry of Public Health 1:0 than already. requirement 4,but each working pressure that nurse undertake is getting getting more serious more very still, nurse's team still needs to continue expanding. "Meanwhile, still whole quality of the nursing team needing improving. " Ability to eat and add, the nurse should not merely have basic nursing and the training attends to that Li is green, if can also keep up with the paces of medical development, do patients and communication between the doctors well. And train such an all-round talent, need to consume for much time and energy. "So, every loss of attending to talents, as to hospital, are all big losses. " Attend to, need system support " high-quality care have very long way take, go still while being high-quality, this is a project, and the promotion of this project, need resultant of forces of a lot of respects to support. " In the interview, Shanghai Communications University encloses to a person in charge of the institute to tell reporters, because existing resources are very limited, the high-quality care of this institute can only be in a few departments, disease patient take the lead in launching again to some. "Not only should consider the increase of personnel, apparatus, must consider many kinds of factors such as patient relatives' psychological ability to accept,etc., only possess all conditions, pass square cooperation much of state policies, hospital, patient, could let the high-quality care popularized gradually. " Nursing level has been raised, will the expenses thereupon increase too? These are a question that a lot of patients care about most. The reporter knows in visiting, though the hospital has increased many projects in attending to at ordinary times, but not added the extra nursing fee. Moreover, in order to attend to the team steadily, provide better service for patient, not only many hospitals have not merely added and employed a nursing staff, but also in the nurse's salary and conditions, also improve. The expenses that and these actions produced, should be all " paid the bill by oneself " by the hospital ,This lets the hospital fall into too " Sustain losses in business and earn and shout " Condition. "Attend to the improvement of quality, not only need efforts of hospital and nurse, but also need support on policy and system. " Attend to extra charges produced to being high-quality, Li Lan, head of the nursing department of Xi'an Red Cross hospital, provides the suggestion. "We can't attend to apparatus and expenses of personnel, shift get patient certainly. If government can increase input, bring part this into the medical insurance or treat agriculturally jointly, to the development of the high-quality care, should know and play a better role. "

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