Reflections on nurses' work summary 1
In my career, although there is nothing earth-shattering in surgical nursing, I have fulfilled my d
Reflections on nurses' work summary 1
In my career, although there is nothing earth-shattering in surgical nursing, I have fulfilled my duties as a nurse with my own practical actions.
As we all know, "three-point treatment and seven-point care" illustrates the importance of nursing, especially in general surgery, where patients are critically ill and will lose their lives at any time. Without the care of relatives and nurses, the patients' eating, drinking, pulling, dispersing and sleeping are all borne by our nurses, day after day, year after year, and they are always treated like relatives.
The nursing work in infectious disease ward is not magnificent, but full of simple and ordinary love, which can best be reflected in life nursing: turning over patients, patting their backs, feeding patients, giving drugs, oral care, perineal irrigation, defecation and so on. Everything is too ordinary, too ordinary to be ordinary.
I remember that the swine flu epidemic was serious at that time, and many swine flu patients were treated in hospitals. I think this is the best time to show the value of nurses, so I joined the team in the swine flu ward. I know what the responsibility is at this dangerous moment. The responsibility is to save every patient's life. The patient's life is more important than anything, more important than himself and his family. We try our best to make patients feel comfortable, so that they can recover as soon as possible and reunite with their families. Patients diagnosed with severe swine flu were so scared that they had to receive isolation treatment. Fear and loneliness are written on the face of every patient with swine flu. When we have no jobs, we talk to patients about their families and jobs. Although it only lasts for a few minutes, patients will feel that they are not facing a disease. They are not alone, and there are a group of selfless and fearless medical workers who can work with them.
Some people say that the infectious disease area is the gate of hell, but we believe that the infectious disease area is the battlefield to fight the disease. Although we seldom hear the laughter of patients here, we hear more groans of pain and heavy gasps. There is no fragrance of flowers here, only the smell of blood and pus. However, in this environment, a strong sense of responsibility makes every medical staff take care of patients and save them from the clutches of death. We know this is a responsibility.
Summary and reflection on nurses' work II
Thanks to the hospital and nursing department for giving me the opportunity to participate in the training of specialist nurses. After several months' study, I successfully passed all the assessment items of the training base, and obtained the certificate of completion of the training course for specialist nurses in Huaxi Hospital, the qualification certificate of provincial specialist nurses issued by the Provincial Health Department and the international picc certificate of vascular access college of Budd Company.
The training of specialist nurses not only enriched my theoretical knowledge, but also greatly improved my practical skills, broadened our vision of nursing work mode in high-grade hospitals and gave me a brand-new understanding of the work of specialist nurses.
During this period, I got to know nursing elites from nearly 30 hospitals and excellent teachers from training bases. They all come from the front line of clinical nursing and have profound attainments in nursing work. During the training period, with the help of this platform, we had extensive exchanges and discussions, shared successful experiences and learning experiences, discussed the puzzles in daily work, and exchanged the advantages of various hospitals in nursing specialty and management mode while learning from each other. I also deeply realized my own shortcomings.
Through this study, I understand: nurses' infusion is not just to carry out doctor's orders; We should not only be the executors of nursing technology, but also be collaborators of medical diagnosis, educators of health consultation and helpers of psychological support. As a specialist nurse in intravenous therapy, we should first love nursing specialty, have comprehensive nursing theoretical knowledge, have a high sense of responsibility and have certain professional practice ability. Only with a certain general medical literacy can we ensure the quality of intravenous infusion nursing and the care that patients get. This is also the goal that our nurses pursue.
According to statistics, more than 80% patients received different forms of infusion treatment during hospitalization, and infusion often lasted until the end of treatment. And our hospital may even exceed this number.
Our intravenous infusion treatment is still limited to simple puncture and medication according to the doctor's advice. Our nurses lack knowledge in water, electrolyte balance, pharmacology, infection control, blood product infusion therapy, parenteral nutrition, anti-tumor therapy and so on. Therefore, in order to improve the nursing quality of intravenous infusion treatment, standardize the operation technology of intravenous infusion, implement successful venipuncture, alleviate the pain of patients and reduce the complications of intravenous infusion, we should start from the following aspects.
First of all, we should improve the management system of intravenous infusion in our hospital, which is the premise to ensure quality and safety. Perfect intravenous infusion system mainly includes: intravenous therapy professional management system, intravenous therapy technology management system, infusion equipment management system, medication safety management system, infection control and so on.
Secondly, it is necessary to strengthen the professional construction of infusion treatment team, which is the demand of professional development of nursing discipline; This is also the need of the development of intravenous infusion therapy; It is also the key to ensure the infusion treatment and safety in our hospital.
Thirdly, the nursing department of the hospital set up an intravenous infusion treatment group to provide intravenous infusion service for patients with scientific methods, and trained the members of the group from both theoretical and practical aspects to improve the nurses' vascular evaluation, protection ability and venipuncture operation level, and improve patients' satisfaction.
After the training, my brain is full of too much information and excitement. Teacher Luo Yanli from Huaxi Hospital and their team made me feel too much strength. The gap between hospitals, people and teams is really too big. What we have to do is to start from bit by bit, from the most basic, slowly change ideas, change behaviors, do the right thing, and protect our patients and protect them at the same time.
I will apply the advanced concept and technology of intravenous infusion learned in this training to clinical nursing practice, standardize the operation technology, and make a modest contribution to the specialization of intravenous therapy in our hospital.
Summary and Thinking of Nurses' Work (Ⅲ)
First, establish a good professional image.
Professional image includes not only personal image, but also serious and rigorous work attitude, strong sense of responsibility and compassion. If nurses can establish such a good professional image, they can enhance their families' sense of security and trust, thus gaining their recognition, which is also the premise of good communication.
Second, everything is for the patient.
Nurses should know how to put themselves in others' shoes. Parents (especially mothers) are prone to "separation anxiety syndrome" because of the particularity of wards without parental care. Putting a child alone in the ward will worry about many problems and things, such as whether the child eats well, sleeps well, can the disease be cured, whether the needle is stuck well, whether he will cry all the time and nobody will take care of it, and so on. Facing the worries of family members, it is very important to communicate well and reassure family members. Nurses should introduce themselves to their families, the attending doctors and the basic treatment environment of the ward. Inform family members of the risk assessment of various nursing operations and obtain their understanding and recognition. It is also necessary to teach mothers how to milk correctly so as not to affect breastfeeding in the future. These meticulous work can eliminate the anxiety of family members about unfamiliar environment. Considering that family members are worried about "holding the wrong child", nurses should carefully check the child's information with their families, fill in the child's identification wristband and family identification card, and carefully check the child's whole body to meet Maslow's "safety needs" in his basic needs theory, so as to win the full trust of family members.
I have encountered such a thing. After handing over the children, I told my family that I could leave temporarily until visiting time, but my family lingered outside the door for an hour and refused to leave, which attracted the attention of the head nurse and nurses. After patient communication between the head nurse and his family, he finally learned that the family members were worried about whether the child's needles were good or not. Without the supervision of the family members in the ward, the nurse could not insert several needles at a time, which would make the child very uncomfortable. So, he wants to stay outside and listen to whether the child has been crying for a long time. In this regard, the head nurse gave a patient explanation: "Our neonatal department is indeed a high-risk and difficult department, so the hospital arranges all experienced, responsible and most senior nurses to take care of the neonatal department. For difficult venous conditions, we will let top nurses do venipuncture, please rest assured! " After listening to the sincere words of the head nurse, the family finally left at ease. It can be seen that the excellent skills of nurses are a kind of good nonverbal communication, and also a bridge to establish the trust of family members of children in nursing staff. In daily work, we should practice hard and use our skilled skills to reduce the pain of children and the worries of family members.
Third, master appropriate communication methods.
Newborns have a lot of maladjustment to the external environment soon after leaving their mother's warm uterine cavity. The response to all discomfort can only be expressed by crying, and can only passively accept various treatments and nursing. Facing the particularity of customers, there should be special communication methods in nursing work. Touch is an emotional communication between nurses and children. In addition to basic care such as treatment, turning over, patting the back, feeding and changing diapers, it is essential for nurses to massage their children's skin every day. Let children feel the tenderness and comfort like maternal love, and also create good sensory stimulation for children, which is conducive to the development of children's brains. In addition to the needs of treatment, we should also consider the beauty of the child, so try to puncture the limbs and less needles in the head. These details are to appease the anxiety of family members. For family members who need to breastfeed their children during hospitalization, nurses should teach them the correct milking and storage methods to avoid pollution.
Fourth, people-oriented communication concept.
In order to serve patients with high quality, there is also a systematic management system for family visits. We set up a special medical reception team to receive family visits. After carefully checking the identity of family members, the attending doctor will explain their illness in detail, and the nurse on duty will introduce the child's weight, feeding amount and basic treatment and care in detail. The most important thing to emphasize in this respect is that doctors and nurses should match words with deeds, improve the trust of family members and reduce contradictions and misunderstandings.
I have met many family members who don't understand and don't cooperate with window visits, which requires us to explain to them more patiently and meticulously. "Because newborns have low immunity and are susceptible to infection, there is a strict isolation system in the ward, which needs everyone to implement it seriously. Only in this way can we reduce the infection rate of children and help them recover from hospital as soon as possible. " However, for patients with special illness who need bedside visits, we will ask their families to wear isolation gown and isolation shoes to visit the ward, which embodies the people-oriented management system.
Verb (abbreviation for verb) is a one-to-one way of communication.
Finally, when the children leave the hospital, we will check their information with their families again, and do a good job of discharge guidance and education, teach their families the correct way of breastfeeding, how to add complementary food, receive regular immunization and prevent common diseases. And do a good job of return visit after discharge to improve the satisfaction of family members with services.
Good nurse-patient relationship begins with communication. I believe that through our efforts, we can improve the recognition and cooperation of family members on the unaccompanied newborn system and win a good reputation in society.
Summary and Thinking of Nurses' Work (Ⅳ)
In order to gain the trust and understanding of patients, nurses must treat them sincerely, so that the relationship between nurses and patients can be close and they will be willing to tell us something, know what patients think and worry about, and what we can communicate from. Methods and skills of nurse-patient communication, including conversation and nonverbal communication skills. According to patients' different diseases and individual differences, corresponding communication methods are adopted to solve patients' psychological contradictions, so that patients can have trust in medical staff, which is more conducive to the improvement of treatment effect.
First, choose the right way of communication.
Distinguish communication objects: In the conversation with patients, I have this experience: patients of different ages and consumption levels expect us to play an acceptable role and have an appropriate conversation. According to this feature, the author discusses the methods of adopting different conversation modes according to patients' different occupations, ages and cultural backgrounds. For example, when talking with patients with higher education and more medical knowledge, medical terms can be used appropriately and concisely; When talking with ordinary patients with less medical knowledge, especially rural patients, the language should be easy to understand and nuanced; When talking with elderly patients, treat them as elders, treat them with respect, and don't be impatient. When talking with patients of the same age, we should pay attention to treat each other as equals and treat them as brothers and sisters. I feel that these methods seem normal and uncomplicated, but they are very effective in nursing work.
Choose communication methods as appropriate: Choose different communication methods according to different opportunities, occasions and communication purposes. For example, when collecting patients' medical records and medical histories and understanding patients' emotions requires a long conversation, try to avoid patients' treatment, examination, eating or visiting time. When asking questions to patients, they are generally open-ended, such as "What do you think when you know your diagnosis", "What is your current physical condition" and so on. This kind of inquiry is easy to induce the patient's thinking, so that the patient can answer widely and unrestricted, which is beneficial to the patient's physical and mental health.
Second, the correct use of nonverbal communication.
Facial expression: Eyes are the windows of the soul, and nurses' eyes play an important role in talking with patients. Secrets, secrets and extremely subtle thoughts and feelings that are difficult to express in words are always unconsciously revealed in changeable eyes. In nursing, pay attention to the patient's eyes, so as to know more about the patient and serve the patient, and at the same time fully express your feelings with your eyes, and look at the patient's eyes when talking to the patient. When treating or nursing patients, concentrate on your own operation and don't say anything that will affect the operation, so as to give patients a sense of trust and security. When the nurse is in a bad mood, don't talk too much with the patient for the time being, so as to avoid the nurse's bad expression bringing doubt and anxiety to the patient.
Nurse's tool: A nurse's tool is a silent language. Neat clothes, generous appearance and decent manners can make patients feel safe. When a nurse appears in the image of simplicity, neatness, steadiness, dignity but not pride, cheerfulness but not frivolity, enthusiasm and generosity without affectation, it will inevitably bring patients and their families a feeling of happiness, comfort and trust, which can not only adjust the atmosphere of the ward, but also change the patients' bad mood, increase their sense of security, comfort their hearts and help them recover.
Third, grasp the variable factors in communication.
Grasping the variable factors in communication can make both sides put their thoughts and emotions into it, which is conducive to improving the communication effect.
Understanding: In medical care, patients have many physiological and psychological needs, among which strong psychological needs need to be understood. Understanding can reduce patients' sense of alienation and loneliness in difficulties. For example, a patient with cervical cancer is depressed and loses confidence in treatment. In view of the patient's psychological state, when I was nursing and treating her, I talked with her with understanding eyes and appropriate, popular and warm language, telling her that the development level of modern medicine can control the development of the disease. Through this communication between us, the patient's mood became stable, and I said that I would cooperate with the hospital's treatment and establish confidence in overcoming the disease.
Participation: in the new nurse-patient relationship, medical staff are no longer in an absolute dominant position and have absolute control. Encouraging patients to participate in self-care and learn new behaviors and skills will undoubtedly play an important role in the treatment and rehabilitation of diseases. For example, there is a patient who wants to have a total hysterectomy the next day, and the mood before the operation is extremely complicated. In order to relieve her nervousness and distract her from being too focused. The author specially told the patients about the operating room environment, possible situations during the operation and the situation after the operation, which relieved the psychological pressure of others a lot. When she saw the patient the next morning, she took the initiative to say to the author: "I slept well last night, and now my mood is much more stable." I changed from passive treatment to active participation. "
Trust: In medical treatment, trust is particularly important for patients, because most of the patients' clinical manifestations are tense and their emotions are fragile, and they especially need the support of medical staff. Trust in medical staff can reduce the vulnerability of patients. Usually talk to patients more, gain their trust and give them a sense of security. The author realized in practice that as long as you are good at making friends with patients, she is willing to tell you the truth and let you pay attention to many problems that need attention in nursing. For example: 1 A patient with adenomyosis complicated with diabetic hypertension, the author regularly measures his blood sugar and blood pressure and arranges a diabetic diet, which makes her feel that the nurse and the patient are relatives. One day, he quietly said to the author, "I used to love meat and sweets." After I was admitted to the hospital, I still asked my family to deliver meals behind your back, so my blood test and urine test were abnormal. I am very touched to see you take care of me in such a relationship. "Tell me wholeheartedly, be sure to follow my recipe to eat in the future. As long as we continue to strengthen professional cultivation and care for patients like relatives, we will win the trust of patients.
As early as19th century, nightingale, the founder of nursing specialty, put forward that nursing is both science and art. Most researchers in modern times also believe that the essence of nursing specialty is caring for people and caring for the quality and ability of others. To achieve this goal, nurses should not only master the necessary knowledge of internal medicine nursing, but also consciously strengthen the study of social humanities.
Nurse-patient communication adapts to the bio-psychological-social medical model and modern holistic nursing model, which meets the psychological needs of patients and the growing needs of self-care and safety awareness of patients. Nurses must strengthen the study of humanities and social sciences, master the ways, methods and skills of nurse-patient communication on the premise of gaining the trust of patients, so as to achieve the purpose of effective communication with patients, further improve the relationship between nurses and patients and improve the quality of nursing.
Communication is a complex and profound science with its uniqueness and artistry. This requires us to have a strong professional quality, choose appropriate communication methods, establish a relationship of mutual trust with patients, and let patients express their thoughts. The first condition of communication between patients and nurses is a harmonious atmosphere. In the process of treating and nursing patients, we should choose the right words at the right time to make patients feel warm and trust, willing to communicate with you and raise their concerns. Nurses should objectively explain, patiently introduce the occurrence, development, treatment and prognosis of the disease, arouse patients' love for life, and encourage patients to establish confidence in overcoming the disease through home chat. Accept treatment and nursing in a new psychological state, and use nonverbal communication such as eyes, instruments and facial expressions to truly understand patients, so that patients can be physically and mentally healthy and recover as soon as possible.
Summary and reflection on nurses' work Chapter V
I am just a general internal medicine nurse in the affiliated hospital of _ _ _. During my four years working in the hospital, I was moved by those eyes that longed for life but suffered every day. I want to do a lot for them, not only to cure their physical diseases with my professional skills, but also to give them hope and feel the warmth of life through the care we provide, such as a comfortable hospital bed, a bowl of delicious food and a hospital.
In our work, there are no gorgeous costumes and rhetoric, only our sincere and warm smiles, ordinary work, ordinary language and ordinary actions, which are all interpretations of nursing work, but it is precisely these ordinary things that have made life brilliant. In ordinary work, we use smiles to soothe patients' sad hearts. In ordinary posts, we bring hope to patients with angelic love.
In my nursing experience, there is a very special patient who has no ideology. When he opens his eyes, he only tries to moan and groan. He will become quiet after eating and drinking enough. He is what people often call a vegetable. During the months in hospital, he spent more time with us. He happened to know that May 24th was his 30th birthday. We want him to feel this special. Colorful, but from now on, in his world, I can't see others' concern for him, hear others' blessings and feel others' love for him. Such a day may accompany him all his life. On the morning of May 24th, we carefully finished life care for him, put on brand-new clothes, sent exquisite flowers, lit 30 birthday candles and made a long-lost birthday song for him. Our hearts trembled and moved, and everyone was in tears. Perhaps this contains more of our expectations for him at this time, and the medical staff, patients and their families in the whole hospital building are silently praying for him! My heart is full of admiration and cherish for life! We should be grateful for our health, bless those who are still struggling with the disease in hospital beds, and hope that they will recover soon and be healthy and happy!
The beauty of an angel in mythology lies in her holiness and kindness, and the beauty of angels in white lies in her warmth and smile. Angels are not in distant heaven, but in a world full of diseases, right next to patients. We have this angelic love, which is nobler than angels. Maybe angels are really on the other side of the sky, the sea, the time and space and the soul, but our love is still on this side of life. What we can do is to bring vigorous hope and sincere warmth to every patient in need at every critical moment. We use every drop of love to soothe every sick heart, hoping that in our days, they can have the best things in life: health, happiness and happiness!
Summary and reflection on nurses' work Chapter VI
I am a nurse engaged in aged care. Here, I mainly focus on aged care and hospice care. What the old people need at this time is neither fame nor money. What they want most is to be cared for and get the true feelings of the world.
During my two years of work in the Geriatrics Department, I saw with my own eyes that what people said was not the noble behavior of their loved ones. In the face of elderly patients who are inconvenient to move, unable to speak, seriously ill, and some have several smelly bedsores, the nurses led the nurses to show their care, patience and selflessness. They wipe and massage the elderly who can't take care of themselves in bed, help the elderly with mobility difficulties to walk step by step, or push the elderly in wheelchairs to the casino for rehabilitation exercise. The nurse gently cleaned, disinfected and bandaged the wound for the elderly with bedsore. Nurses shuttle through the ward to take care of elderly patients and sometimes feed them with water; Sometimes I turn over and pat the old man on the back; Sometimes take the blood pressure, feel the pulse and cover the quilt for the elderly. They are really devoted to their work and get along well with the old people. At this moment, I was moved, and I humbly learned from the nurses. He showed enthusiasm, diligence and carefulness in his work, and soon got along well with the old people. In fact, the old man is very easy to satisfy, even if he simply says hello, then he will be very happy.
If you want to give full play to your work ability, you should not only be responsible and careful, but also have solid basic skills, such as communication, observation, understanding, writing, nursing technical operation ability, and constantly improve your professional level and clinical operation ability. Now our hospital is striving for "two excellent" and "high quality nursing service"
Hospital. Everyone thinks this is an exciting good thing. If it succeeds, they will be proud of it, so the whole hospital is actively working hard for it. After a hard day's work, the nurses in our department gave up their time with their families, postponed their holidays and gave up their private time, and insisted on staying after work to prepare for the examination without complaint.
The most noteworthy is our department director. After work, she gave up the opportunity to be a good wife and mother and stayed with us to give us guidance. Not only that, the director is very concerned about our health. She is afraid that we will be hungry, so she will give us some food at her own expense. I am really honored to have such a good leader.
During those days in class, I became cautious and learned a lot about how to behave. I like to concentrate on the nursing work in my department, and I will work harder to do my share in the future, and the share of live high is free and wonderful!