护理长的任务-tmatw.PPTVIP

謝謝 * * * * * * * * * * * * * * * * * * * * Role of head-nurse of dialysis unit護理長的任務  翁 淑 滿 Chang Gung Memorial Hospital Oct. 29 , 2011 透析品質管理經驗分享 * 基本屬性 不穩定過程 結果 高罹病率 高死亡率 低生活品質 1.免疫功能缺陷 2.長期併發症 1.年齡層偏高 2.伴隨其他系統疾病 3.生活活動能力低 病人部份 疾病部份 1.透析中急性併發症 2.透析中意外事件 Character and prognosis of Dialysis 專業知識 人員管理 服務態度 專業技能 汰舊換新 設備管理 資料庫維護 維修保養 環境維護 品質管理 品質指標監控 QCC 專案改善 病人安全 分工 整合 引進新治療 服務創新 實證醫學 創意獎勵制度 團隊合作 安全 及時 公平 有效 效率 Management by objectives of Dialysis * Four major missions of  head nurse 責任 / RESPONSIBILITY 品質 / QUALITY 創新 / INNOVATION 關懷 / CARING * 責任 / RESPONSIBILITY 護理管理領導模式 Journal of Nursing Management,2008, 16, 525–534. Challenges Demends Expectation Nursing leaders of tomorrow Outcome-orientation ? Quality of work and outcomes ? Innovation ? Orientation towards the future Understading nursing Practice ? Direct and indirect nursing care ? Experitis in nursing ? Handyman tasks Accountability activities ? Supporting staff ? Ensuring staff xompetencies ? developing Responsibility activities ? communicating ? organizing ? cooperating Recognition of underlying premises of one‘s work *Framework of one‘s competence,well-being at work and the basis for one‘s work as nurse manager * Nurse Managers (NMs) have an important role in the health care organization and are responsible both for the staffs quality of care and for quality of work life. In Sweden, the NMs have the responsibility for the management of the ward and are responsible for personnel (recruitment, selection of staff, development, work environment), budgets (budgeting, cost control and financial result), nursing practice (introducing and maintaining standards) and the development of the services. The increased responsibility of NMs is supposed to lead to organizational effectiveness and efficiency. Canadian Medical Association Journal, 1993, 148 (4), 501–4. Journal of Nursing Managemen