Make attending to to change from the function into practice that the responsibility system attends to
Clinical tumour institute and Beijing tumour hospital of Peking University are carrying out Ministry of Public Health " The demonstration project of the high-quality care " In the activity, choose an inpatient area of the mammary gland internal medicine - oncology, hepatobiliary pancreas surgery as the pilot ward, the nursing dept. instructs the pilot ward to optimize adjustment in attending to the work pattern, make it make and attend to and change from the function into the responsibility system and attend to the mode to attend to the mode, have further raised the department and attended to working efficiency clinically, has guaranteed to attend to the work safety, promote and attend to the management level, satisfy patient conscientiously. Published in the 12th periodical of 2010 of magazine of " Chinese hospital " " Make attending to to change from the function into practice that the responsibility system attends to " In the article, the clinical tumour institute's mammary gland internal medicine head nurse of Peking University would rather wait for the author to point out vaguely particularly, what is called responsibility system attend to, admitted to hospital, reach, leave hospital, take on, attend to the whole responsibility wholly from patient by one nurse, can provide globality, continuity, harmony, a body nursing service mode for patient. It features from the nursing taking disease as the centre to the nursing regarding patient as the centre, the nurse has strengthened the sense of duty, really regard patient as " my patient " ; The patient has increased sense of safety, nurse is " my nurse " Affiliated for sense,make getting closer without being lasted relationed. Meanwhile, the relation between nurse and doctor changes, the nurse is no longer the doctor's assistant, but cooperative partner, attend to the patient wholly according to the work method of attending to the procedure. As everyone knows, the long, complicated, psychological problem of condition treatment with high uncertainty of tumour patient's course of disease is seen more, such a patient needs sense of ownership even more, as to " my nurse " There are more urgent demands. The our academy attends to practice that the mode changes through 3 months, has obtained satisfactory phased achievement in the pilot ward. As to the thing that 100% in the overall satisfaction of institute patient's satisfaction investigation, among them very satisfactory rate is up to 60%. To 116 patient's satisfaction investigations of leaving hospital, overall satisfaction is up to 100% too, cite 104 nurses, an inpatient area of hepatobiliary pancreas surgery is partial to the worker accompanying and attending to rate and drop to 15% from 86%, the relative looking after a patient by staying with him in hospital rate drops to 50% from 85%. The above-mentioned data indicate the nursery work of the pilot ward has got the abundant commendation and definite of patient and relative.
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