86例儿科护理纠纷原因研究及管理对策

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1、86例儿科护理纠纷原因研究及管理对策【摘要】目的分析探讨儿科护理纠纷发生原因。方法通过对城区六家医院儿科近5年护理纠纷进行回顾性分析，探讨儿科护理纠纷发生原因，纠纷发生与当事人职称和工龄的关系。结果统计分析后发现纠纷的主要原因是护理人员的服务水平不高(其中工作责任心不强占26．7%，服务态度冷淡占23%，静脉穿刺水平不高占15．1%)，家属期望值过高和医疗费用增长过快(分别占16．3%和10．5%)，同时还发现低年资和低职称护理人员比高年资高职称的护理人员更容易发生护理纠纷。结论认为更新护理观念、改善服务态度；加强护患沟通、重视护

2、理综合业务素质的提高；强化年轻护理人员的儿科护理技术水平的训练和提高；重视儿科护理的高危因素，严把护理质量关；普及法律知识教育，增加法律意识是降低儿科护理纠纷的主要措施。【关键词】儿科护理纠纷；原因分析；对策CausativeAnalysisof86NursingDisputesinPediatricsandManagingCoutermeasuresCHENYan．jiao，ZHOULin.YiyangCityCentralHospitalofHunanProvince，Yiyang413000，China【Abstract】O

3、bjectiveToanalyzethecausesofnursingdisputesoccurredinpediatrics.MethodsA9retrospectiveanalysiswasperformedonnursingdisputesinpediatricsinrecent5yearsin6urbanhospitaltoexaminethecausesofnursingdisputesoccurredinpediatrics，andassociationbetweendisputepresenceandproffess

4、ionaltitleandworkingageofthepersoninvolved.ResultsBystatisticalanalysisitwasfoundthatthemajorcauseofthenursingdisputeswasdecreasednursingservicelevelofthenursingstaffinwhichlackinginresponsibilityoftheworkrepresented26．7%，indifferentserviceattitude23%，andinfavorablein

5、traveouspuncture(bleedbackatoneneedle)15．1%，toohighexpectationsofthefamilyandincreasedmedicalcostaccountingfor16．3and10．5%respectively.Anditshowedthatthenursingstaffofthelowlengthofserviceandproffessionaltitlewasmorepronetotriggerthenursingdisputepresencethanthoseofth

6、ehighlengthofserviceandproffessionaltitle.ConclusionRenewingthenursingconcepts，improvingtheserviceattitude，strengtheningthepatient．nursecommunication，layingstressontheelevationofthenursingintegratedbusiness9quality，augmentingthetrainingandelevationofnursingskilllevelo

7、ftheyoungernursingstaffinpediatrics，emphasizingthehigh．riskfactorsforpediatricnursingcare，controllingstrictlythenursingquality，popularizingtheeducationoflegalknowledge，andincreasingthelegalconsciousnessarethemainmeasurestakentoreducethepediatricnursingdisputes.【Keywor

8、ds】Nursingdisputesinpediatrics;Causativeanalysis;Countermeasure护理纠纷是护患双方对医疗护理后果在认识上的意见不一致所发生的争执或争议，必须通过相关部门或负责人进行调解方能解决的护患纠葛