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[摘要] 妇产医院迫切需要护士长来实施有效管理,以便减少护理上的各种差错现象,防止出现纠纷,从而让患者对护理服务效果感到满意.妇产医院门诊护士长要加强管理,就需要加强妇产科患者安全护理的前馈控制,制订符合产科实际情况的工作流程和制度,并设计出严格有序的操作规程,收集以往护理差错,适时组织相关人员学习,召集相关人员对出现的护理差错进行探讨,提升认识. 同时要進行科学培训和考评,注重提升实际护理水平,强化学习培训,持续增强综合能力,制订考评标准,进行统一考评,合理护理排班,做好统筹安排；增强护士的人性化护理水平,努力形成融洽的护患关系.

[关键词] 妇产医院；护士长管理；护理管理

[中图分类号] R7 [文献标识码] A [文章编号] 1672-5654（2018）01（a）-0031-02

[Abstract] The hospital for gynecology and obstetrics urgently needs the effective management from the head nurses, in order to reduce and even eliminate various errors in the nursing and prevent the disputes, thus making the nurses feel satisfied with the nursing service effect, and the head nurses in the hospital for gynecology and obstetrics should enhance the management, should enhance the feedforward control of safety nursing of patients in the department of gynecology and obstetrics, make the workflow and system conforming to the practical conditions, design the strict the operation regulations, collect the past nursing errors, duly organize the study of the related staff, study the nursing errors of nursing staff, and improve the recognition, at the same time, we should conduct the scientific training and evaluation, pay attention to the improvement of practical nursing level, intensifying the learning and training, continuously enhancing the comprehensive abilities, making the evaluation standards, conduct the uniform evaluation, rationally conduct the nursing shifting, and coordinating each job, enhance the humanistic nursing level of nurses and make efforts to develop a harmonious medical relationship.

[Key words] Hospital for gynecology and obstetrics； Management of head nurses； Nursing management

妇产医院患者往往有着较多的急诊和夜诊现象,且流动性大、护理任重、病情变化快,加之操作上的不确定因素多,并涉及到两个人生命安全等特点,妇产科一直以来都被看作是风险较大的专业科室之一[1].因各类因素的影响,常会出现某些未达到患者要求的情况,或者产生不利于患者的结果,这样,就使得患者对护理服务不满意,并能引起医疗上的纠纷和事故.因此,在该科中迫切需要护士长来实施有效管理,以便减少乃至彻底消除护理上的各种差错现象[2],防止出现纠纷,从而让患者对妇产医院的护理服务效果感到满意.

1 加强妇产科患者安全护理的前馈控制

妇产医院内被护理的对象多为手术、以及急诊或者妊娠合并症的许多产妇和初生婴儿,直接关系到母婴安全,任务量大、且在内容上显得较为琐碎,易使护理人员在进行服务时精力分散.作为护士长既要有较高的操作能力和丰富的实践阅历,还要善于预见问题及防范风险,既能对症弥补潜在的缺陷,也能预见性地做好事先防范[3],从而增强前馈控制的效果.

1.1 制订符合产科实际情况的工作流程和制度,并设计出严格有序的操作规程

该科护士长在设计严格有序的操作规程的同时,还要严密监督各个环节的具体操作.了解在整个操作之中,有无安全盲点、以及是否有潜在的隐患等等,必要时可调整规程,以保证各环节的操作安全.护士长可通过定期跟班来了解相关制度和流程的执行情况,并督促各班严格按制度和流程的要求执行.

1.2 收集以往护理差错,适时组织相关人员学习

产科的护士长平时要将护理之中易出现的差错全部做好记录,并制成小册子,适时组织相关护理人员据此学习[4].对刚入科的新进护士以及轮转护士尤其要逐条耐心解释,使其在今后的操作中时刻谨记安全要求,避免出现不必要的失误.

1.3 召集相关人员对出现的护理差错进行探讨,提升认识

妇产医院论文参考资料：