为了提高护理病历质量,对近两年来936份长期医嘱单存在的问题进行调查分析。通过采取加强查对制度、强化意识、与病人沟通、组织护理病历实战讨论、加强培训等减少长期医嘱执行单发生问题的有效措施。明显提高了护理病历书写质量,逐步规范了长期医嘱执行单书写,对保证护理病历的真实性、科学性、完整性起到了重要作用。

护理管理是医院管理的重要组成部分,护理管理的主要负责人是护士长,护士长的素质关系到医院整体护理管理质量。因此在现代护理管理体制下,护士长的个人素质、护士长的管理方法对整体提高护理质量发挥着重要作用。

Objective To investigate and analyze the health education requirement in migrant-worker patients and establish health education countermeasures that accord with migrant-worker pa-tients. Methods 600 hospitalization patients were chosen from January to December, 2007,among which 300 migrant-worker patients were set as the experimental group,300 native patients were selected as the control group.The contents and manners of health education requirement were compared between the two groups. Results In the aspect of contents of health education requirement,the highest require-ment was to understand treatment expense,which was significantly higher than that of the control group. The higher requirement included to understand illness condition and treatment protocols,prevention and treatment of common disease and infectious disease.In the aspect of manners of health education require-ment,the highest requirement was to communicate with medical workers,the lowest requirement was to communicate among patients. Conclusions Migrant-worker patients concern about treatment expense, nurses should not only conduct health education about disease-related knowledge, but also pay much atten-tion to informed consent about treatment expense in order to avoid unnecessary dispute.

基层医院护理队伍知识结构低,职称结构不合理的现象在现阶段普遍存在,严重影响了护理质量的提高和医院整体水平的发展.我院采用考核与激励机制相结合的方法提高了护理人员业务水平,提高了护理质量和病人满意率,并在护理队伍中形成讲学习、讲进取的良好风气.

为迅速提高我院护理队伍的素质,近年,我院除了选送业务骨干外出进修,院内强化培训外,还采用了考核结合奖励的激励机制,促进了护士业务水平的快速提高,现报告如下.1实施量化考评