Attend to management to practise " The exercises to benefit the internal organs "

Attend to management to practise " The exercises to benefit the internal organs "
Attend to management to practise " The exercises to benefit the internal organs "
Staff reporter Sun Meng Since 2005, our country attend to undertaking enter one the intersection of fast development and issue, to issue for enforcement sign help the intersection of nursery work and the intersection of outside and terms of development possess already even more " the the intersection of nurse and regulations ". This is the common understanding that the representative participating in the conference participating in the whole country to attend to the management seminar recently reaches. But, how should the external cause work through the internal cause? Come from 31 provinces in the whole country, autonomous region, municipality directly under the Central Government and Hong Kong, the health authorities of the Macao Special Administrative Region, attend to the quality and accuse of 726 representatives that centre and hospital attend to the administrative department around attending to management system, attending to contents such as the work pattern,etc. to exchange clinically. Should recommend attending to vertical management according to the introduction of Vice President of PLA general hospital Chen XiaoHong, the current nursing management system lacks the administrative department of the nurse incorporating human rights, ownership of property, real right into an organic whole from aspect of hospital; On the aspect of department, the nurse's leader is a chief of the office of the department, the nurse manages and is in subsidiary status, there is no unified training, performance checking and rating, manpower resources management and allocating, have led to the fact the nurse's social status and professional attribute are difficult to ensure and prominent. So she thinks, should recommend attending to and managing vertically in a more cost-effective manner. Chen XiaoHong says, the hospital should set up a Vice President who is responsible for managing the nursery work, manage the whole institute's nurse step by step vertically. The nurse is managed by the head nurse, the head nurse is managed by the superintendent of nurse, the superintendent of nurse manages from attending to a Vice President. Such a management mode can make the nurse get unified technical training, work allocating, performance to check and rate. Head of the nursing department of the People's Hospital Zhong YuanHe introduces first in municipal Hunan Province Chen state, institute this manage go on pilot project for many years vertically attending to already, implement nursing dept., superintendent of nurse, the intersection of head nurse and tertiary responsibility system at organizing management system. She says, the nursing dept. is " hard role " in the hospital ,Responsible for appointing and removing a nurse, and have the right to adjust and control the nurse's salary, it is to supervise ring upon ring even more to attending to quality, make the application efficiency of the nurse human resources improve greatly. The nurse should use Ministry of Public Health to cure the policy department's chief Wang Yu to point out, in most hospitals in our country at present hierarchically, all nurses no matter how the education, professional title, post are, undertake same responsibility and obligation, the salary is distributed and has not got in touch, cause the nurse to lack the distinct professional developing direction in the clinical nursery work with the duty, technological content. He encourages every medical organization to explore the nurse's hierarchical multi-zone supervision on the basis of existing human resources, " explore that sets up the employing mechanism encouraging nurse's team to keep forging ahead, endeavor to gain the upper hand hard " . In recent years, some areas and hospitals have explored in nurse's differentiated control. The plain chastity of the president of Shanghai nurses association old man introduces, since 2006, Shanghai explores frame and ability standard that nurse's energy sets up progressively. The nurse of Shanghai is divided into 4 grades: The intersection of nurse and grade, the intersection of nurse and �� grade, nurse and senior nurse practitioner of training. Among them nurse grade is mainly responsible for basic nursing and basically attend to and treat. Nurse's �� grade is responsible for the nursing of the patient especially critical patient in an all-round way, and guide the subordinate nurse. The training nurse is to work in a certain special field, have clinical nurse specially attending to the skill, if the training nurse of operating room, serious disease guard specialized department nurse, emergency call specialized department nurse, blood and dialyse a specialized department nurse etc.. The senior nurse practitioner is divided into a clinical type, management type again. The clinical type senior nurse practitioner is responsible for the clinical nursing problem of solving the special, difficulty, consult and guide the nursing of this field and practise. The managing senior nurse practitioner is mainly engaged in nursing management of the whole institute or big department. 2007, Shanghai chooses 8 hospitals to launch nurse's differentiated control pilot project, found finally patient's satisfaction to the nurse's work was obviously superior to not launching a pilot project in the ward in the pilot ward. The department of public health of Guangdong Province divides the clinical nurse into 3 grades. The top level is a training nurse. The ordinary clinical nurse is divided into elementary nurse and senior nurse according to its qualifications, ability, the senior nurse is responsible for the guidance and nursing of the serious disease patient of the elementary nurse. The third hospital in Peking University carries out a nurse, is in charge of the management framework of two level nurses of nurse in the public ward since 2006. In charge of nurse's average length of service and greater than in 6, have the above title for technical personnel of nurse practitioners, mainly responsible for the nursing of critical patient and operation patient; It is relatively low to carry out nurse's age and service seniority, is mainly responsible for the nursing of the general patient. This institute still sets up the specialized nurse on the special nursing post. Propose, implement nurse's differentiated control, should be in order to guarantee nurse's quantity as the prerequisite first in some pilot areas and hospitals. The pilot projects of three institutes in Shanghai and Peking University indicate, compared with sick bed the ward nurse must up to 0.461. Secondly, it is combined that nurse's differentiated control must be organic with the existing professional title system, the corresponding treatment that and can offer according to the nurse's rank, and take on the nurse who the serious disease patient attended to as to the post of clinical training, should be reflected on the treatment. Moreover, implementing nurse's differentiated control should meet real work of the hospital's needs, different hospitals should reflect the difference on the nurse's rank level. In addition, Shanghai and Guangdong Province propose, it is necessary to set up the levels of nurse and assistant, responsible for looking after the life of the general patient, is managed in unison by the hospital. Should reflect to assign labour value is old say dawn, the People's Hospital of Jiangsu Province implements " not accompanying " in 4 inpatient areas red Attend to, the experience of attending to the expenses and improving greatly after the departments of public health of Jiangsu Province Price Bureau, Jiangsu Province check is worth drawing lessons from. Though attended to the fee to go up by about 10 times, the impatient's satisfaction is up to 98%. Ministry of Public Health cure the intersection of policy and department attend to Guo YanHong, division chief of, point out in internal management even, let the nurse receive fulfillment and value sense, reflect on the salary remuneration and distribute according to work, excellent and work excellently, could let the nurse participate in the work while innovating actively. Zhong YuanHe introduces, on the basis that the nurse uses hierarchically, Hunan Province the intersection of Chen and the intersection of state and municipal first the People's Hospital nursing dept. divide nurse into, attend to the hillock for the intersection of group leader and hillock, the intersection of group member and hillock, basic nursing hillock and life, distribute the salary in technological post and labour intensity, has broken the existing Wage System, have widened the difference between different grades, has realized the firewood leaves with the hillock, the hillock turns into the firewood and changes. Salary instead few questions that the salary reform has prevented the work load from being large, had a big risk, the nursing post with bad condition gets, " encourage the nursing staff to keep dirty, bitter, involves the work position that technology expects much on the first line " . The first affiliated hospital of second army medical university is according to nurse's working age and service seniority, title for technical personnel, post responsibility, working number of runs and quality and the intersection of attendance and the intersection of day and grade confirm nurse bonus form, and made the careful bonus and calculated formulae, the nurse's bonus must use independent accounting. This makes distribution of awards slope to the clinical dirty, bitter, hard post, through this kind of guide which distributes the mode, the clinical nursing staff in the hospital is to Africa The number of people attending to the post and transferring is reduced to some extent too.


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