为啥要跳出护理看护理?

2017-06-05 易利华健康界

医院的护理管理如何走现代化发展之路呢？我个人认为：首先需要跳出护理来重新审视和认识护理。

昨天在家里备课，认真准备陈晓红将军为我点题的护理讲习班讲座：从国际医院管理看中国护理！虽然，我讲习医院管理课已无数，但是讲述护理管理课尚属于首次！

以我担任院长几十年的经历看：中国医院护理管理的发展，确实存在着一些问题：

一是说说重要，抓起来就放后面了。三分治疗七分护理，讲是如此！做起来往往就倒过来了！二是医院护理发展太狭窄，往往总是走自己的路！与医院医疗与医技发展的协同性比较弱！似乎只有基础的，没什么创新的。三是医院护理的绩效意识不强，往往投入多，产出少！人力成本太大，服务效能偏低！四是护理的科研与技术创新的贡献度不高！在医院的科技擂台赛上鲜有护理专家的身影等。

那么，医院的护理管理如何走现代化发展之路呢？我个人认为：首先需要跳出护理来重新审视和认识护理！这很重要！如同一个人需要不断的自警自醒一般，才能前行！我个人认为：以下几点尤为重要，可供研究者们参考！

第一，中国护理管理发展必须基于当前中国医院管理的发展之中。我们不能过于强调了个性，而忽视了发展的共性。中国医院管理当前面临的医改挑战，也应当是中国护理管理必须破解的难题。中国护理管理不能置身于中国医改之外。中国护理管理也需要改革！也需要应对药品零差率和缩短平均住院天数等的挑战！

第二，中国护理管理发展必须要有国际化的视野！国际护理界有许多值得我们当前中国护理界好好学习的东西，诸如：护理的人力资源管理，富有弹性和区域性的合作管理模式！充满人性化的真正整体化护理管理体系与考核标准！关爱护理人员的磁性护理医院的建设！以及护理专家积极参与专科日常治疗的体验等！国际护理更多的融合于医院医疗管理之中等！

第三，中国护理管理发展必须高度关注患者安全！过去我们中国的医院院长们，强调医生的医疗质量安全意识的比较多。而对护理这方面的要求不多也不高！其实，这是错误的！护理人员在患者的身边时间比较长，观察病人的时间比较多，执行医嘱与转接病人的关键环节较多。因此，医院的医疗质量管理也应当基于医护人员的共同努力之上才行！一个医院护士不注重患者安全目标，这里的医疗安全也是没有保障的！

四，中国护理管理发展还必须努力提高科技创新的贡献度。过去我们总是将医院护理工作归咎于事务性工作，并没有看重于它的科技性、人文性、创新性。所以医院护理的发展落后于医疗，也落后于医技，这已经是一个不争的事实！是不是护理工作真的就不需要科技与创新的力量了？显然这是不正确的！我们应当调动更多的护理人员从事护理科研与创新工作！也要用研究者的眼光来看待护理工作！也要用研究者的眼光来看待每个患者！

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2017-08-01 1351f692b9m

学习了

89 0
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2017-06-06 130****4638

学习了谢谢分享。

85 0
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2017-06-06 飘飘爱

很好

70 0
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2017-06-05 139****5926

好文章学习了

107 0
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2017-06-05 1821efe7b1m

科研论文

97 0

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