Implementation of the system reform and the practice of clinical nursing.docVIP

 PAGE \* MERGEFORMAT 13 Implementation of the system reform and the practice of clinical nursing The late 80s, foreign scholars and some of the organizational structure of the management experts, consultants, against the Government to reduce the compensation funds, the hospital increasingly competitive status of the hospital’s clinical care system has been carefully analyzed, and in clinical nursing practice carried out a series of reforms. Authors have carried out a review to learn from successful experiences of foreign care reform in the establishment of a suitable model of China’s national conditions for the majority of nursing care and to provide a new idea. 1, clinical nursing practice in Patients who are not considered complete, but is divided into several parts, each subject is only responsible for a certain part of the patient, [1] The patient was complaining too much contact with the patient medical personnel, and when cases of genuine problems, but can not be found to the main responsible officer. This is the care of the most serious problems. [2] Patients need to be discharged from the hospital to the continuous, holistic nursing care has not received enough attention. [1] The number of nursing staff shortage problem, the actual organization of nursing staff is not sensible, not based on the background and clinical experience of nursing staff carry out by level of education, technological capabilities, taking up posts in different levels. [1,3] Registered nurses engaged in a large number of non-professional work, a decrease of registered nurses and patients used to observe conditions and the exchange of time. [4] Nurses for the care of patients every day with less time, but for the organization of things, too much time planning and writing. [1] Doctors did not really involved in caring for the process, did not play to their guidance and coordination with other disciplines role. [1] Critical pati