医院人文关怀:从这10条细节服务举措做起!

2017-05-09 佚名 霍尔斯智库

“人文关怀”是护理文化的核心内容之一,是护患沟通的重要思想基础.“以人为本”的护理文化能在给病患带来紧张情绪放松的同时,给医院带来经济和社会影响的双丰收。


引言

随着医学模式的转变,越来越显示出人文关怀的重要性,但是长期以来以治疗为中心、技术至上的医疗观念已根深蒂固,社会心理因素对人的健康影响未受到重视,护理人员只注重对患者的治疗护理而忽视了患者心理上的护理,而人文关怀是当今社会发展的重要特征,是对人的生存状况的关注和对的尊严的肯定,是文化护理的核心内容之一,是护士将所学知识内化后,自觉给予患者的感情付出,以及对患者同情的理解和对人的生命的尊重和关爱。

一、何谓人文关怀

“人文”是一个内涵丰富但又无法确切定义的概念,它与人的价值、人的尊严、人的个性、人的理想、人的独立人格、人的生存和生活及其意义等密切相关。所谓“人文关怀”,简单地说,就是对人的关怀。确切点说,就是“对人的生存状况的关注,对人的尊严和符合人性的生活条件的肯定,对人类的解放和自由的追求等”.作为医院护理,针对的群体正是“人文关怀”的客体--人。Lerininger的理论就认为“关怀就是护理,护理就是关怀”.所以,医院护理工作中的“人文关怀”理念便自然而然地凸现出来。

二、人文关怀的重要性

在市场经济体制下的服务营销理论为医院引入了“顾客服务”的理论,医院不再将患者简单看作是“患病的人”,而是看作“顾客”.护理人员不仅从医生的角度关照关心患者的病情,康复问题,还要从“人文关怀”的角度给予患者人格、尊严、生活追求等方面的全方位照顾,为患者创造健康人性的康复环境。

“人文关怀”是护理文化的核心内容之一,是护患沟通的重要思想基础.“以人为本”的护理文化能在给病患带来紧张情绪放松的同时,给医院带来经济和社会影响的双丰收。患者往往由于来自经济、家庭、生活等方面的负担,精神上承受着较的压力,一方面影响疾病的预期康复,另一方面也可能导致病患或其家属将责任归咎于医院方,造成医患关系紧张。如果护理工作到位,护理人员能在适当的时机,适当的场合给予病患及时的情绪和精神照顾,可以很大程度上直接或间接地给患者及其家属带来极大的安慰,对于协调医患关系,建立医院良好形象起到极大的作用。

三、 医院护理中如何进行人文关怀

对于医院来说,人文护理的最为首要的任务无疑是培养护理人员的人文素质,提高护理的品质。由于长期以来的“技术至上”的医护管理模式以及“人文关怀”理念的缺失,医院护理人员的整体人文素质相对较低,无法适应人文理念的实施。因此,针对医护人员,加强人文教育。以病人为中心,培养护理人员对于病患的日常生理护理之外的“职业之爱”,将对患者人格的尊重通过日常的关心交流中体现出来。“人文关怀”这一理念必须优先在护理人员中得到普及和积极响应,从而为他们在工作中的适当发挥打下必不可少的基础。

接下来个人的人文素质如何应用到实际的医院护理工作中是急需解决的问题。毕竟,再好的理念也需要通过实际的操作体现出来,医院就必须加强护理人员沟通交流的能力和技巧。良好的护理人文素养是高品质护理的有力保障,而有效的交流沟通能力则是人文关怀赖以成功的武器.医院需要对护理人员进行有针对性的言行交流培训,注重与病患及其家属的沟通方式、方法、技巧的培养,将人文理念应用到实际的与病患打交道中来。从而在医院、护理人员与病患之间建立和谐融洽的医疗氛围。

医院作为人文关怀的主体,必须有意识地加强针对病患或者康复患者的调查,获取有关人文关怀实施效果的反馈信息。护理人员的言行是否到位,整体的“人文关怀”理念是否符合病患的需求等一系列问题的最终答案都将来源于病患的反馈。医院则需要获取反馈意见后,有针对性地进行合理调整,以其获得更好的效果。这“理念-实践-反馈-调整”的循环机制将大大促进医院的有序健康发展,建立良好的医患环境。

四、细节服务措施

①温馨环境:为患者提供指示标识清晰明了,安静、整洁、舒适的诊疗环境,倡导文明、有序就诊。在相关场合可增加背景音乐,舒缓病人就医压力。

②志愿服务:推进医务社工和医院志愿者服务,积极组织志愿者为患者提供减压疏导、病房探访、康复鼓励、陪诊送检、引路导诊、维持秩序等服务。

③便民服务:免费发放“门诊就诊指南”、“住院就诊指南”、“就诊手册”等,方便患者及时了解就诊信息;挂号收费窗口增设财务找零小托盘。

④隐私保护:尊重患者,在诊疗全过程注重保护病人隐私。不在床头卡写病人的入院诊断,不在叫号系统直接显现病人姓名全称,在姓名中加一个“*”,如张*刚。

⑤温馨检查:辅助检查时,提供温馨服务。为磁共振检查患者提供小棉球或耳塞,保护听力,降低恐惧感;免脱鞋检查,在放射诊断、超声、心电图检查床上铺设垫板;耦合剂加热,冬天B超室耦合剂温热后操作;检查床旁安装爱心扶手,安装适合产妇及老年患者起床使用的扶手,让起床变得更容易;检验结果异地查询服务,对外地患者或因事无法及时取检验报告的患者,提供查询通道,可通过电话、手机短信查询或邮寄检查报告单。

⑥温馨提醒:提供电子显示屏及短信预告提醒,提醒患者适时就诊,使患者在等候期间可以自行安排时间。

⑦情绪安抚:医护人员和卧床病人交流时注意情绪疏导,使他们感到温暖和关心;麻醉师和护士对手术前后的病人进行言语和肢体安抚,以舒缓紧张情绪。

⑧医患沟通:设立病区主任接待日、护士长倾听日,加强与病人和家属的沟通,及时了解患者需求和心理变化,做好宣教、解释、治疗和沟通工作。

⑨出院服务:提供出院分时段结账服务,减少病人排队时间;向出院病人提供“联系卡”等医患联系服务,内容可包括相关科室及专家介绍,病区咨询电话,复诊、随访时间等。

⑩健康教育:如开通市民健康热线,提供健康咨询服务;开设各类科普健康讲座,因地制宜普及健康知识;病房护士向病人传授合适的活动操,帮助病人康复。

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    2017-05-10 xlwang2693
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    2017-05-10 大爰

    医者仁心!

    0

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    2017-05-09 damiao93

    学习了,可以在以后工作的应用

    0

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    2017-05-09 LiuXm681

    理解了!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1739815, encodeId=9f941e39815bd, content=<a href='/topic/show?id=8ebb2494283' target=_blank style='color:#2F92EE;'>#人文关怀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24942, encryptionId=8ebb2494283, topicName=人文关怀)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=747634567246, createdName=1508842480_96220448, createdTime=Sat May 20 00:40:00 CST 2017, time=2017-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1458306, encodeId=d26a14583065e, content=<a href='/topic/show?id=502b24940b3' target=_blank style='color:#2F92EE;'>#人文#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24940, encryptionId=502b24940b3, topicName=人文)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e9096012283, createdName=xlwang2693, createdTime=Wed May 10 23:40:00 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196010, encodeId=c6ff19601043, content=医者仁心!, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Wed May 10 06:19:19 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195861, encodeId=a97019586128, content=学习了,可以在以后工作的应用, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuCkPCv9CVFBmWOibyBArQwSeQLxvxz9OaumlaSUZjfCWTxbXduhuG2xCJUPs1nB9nd4gxZknH7IZj/0, createdBy=52281985209, createdName=damiao93, createdTime=Tue May 09 14:57:56 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195808, encodeId=c45c19580833, content=理解了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6uYmc0bvXOkMbHUAuoOy17yjxJZXdqNNrBjaHUSI7lzKqXYGHDtNibcTgXpKkJa2eFOLpbD6o0fjIFqicTpgx9yN/0, createdBy=9def1311037, createdName=LiuXm681, createdTime=Tue May 09 11:53:36 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195798, encodeId=ccbc195e98b6, content=谢谢,感谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Tue May 09 11:08:23 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195779, encodeId=45c2195e7934, content=回归人性温暖的医学, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Tue May 09 09:36:32 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195767, encodeId=b7d8195e67f5, content=不错。。。。。。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLEjPHcBWkEawnOHuvuXw3Lxjnzko8jRkakGyVZ27zRcmYACibkCom9Da1icAJBDFrbJelRNtMRic3H3/0, createdBy=152c1940043, createdName=Lke, createdTime=Tue May 09 09:01:39 CST 2017, time=2017-05-09, status=1, ipAttribution=)]
    2017-05-09 执着追梦

    谢谢,感谢分享!

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1739815, encodeId=9f941e39815bd, content=<a href='/topic/show?id=8ebb2494283' target=_blank style='color:#2F92EE;'>#人文关怀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24942, encryptionId=8ebb2494283, topicName=人文关怀)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=747634567246, createdName=1508842480_96220448, createdTime=Sat May 20 00:40:00 CST 2017, time=2017-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1458306, encodeId=d26a14583065e, content=<a href='/topic/show?id=502b24940b3' target=_blank style='color:#2F92EE;'>#人文#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24940, encryptionId=502b24940b3, topicName=人文)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e9096012283, createdName=xlwang2693, createdTime=Wed May 10 23:40:00 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196010, encodeId=c6ff19601043, content=医者仁心!, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Wed May 10 06:19:19 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195861, encodeId=a97019586128, content=学习了,可以在以后工作的应用, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuCkPCv9CVFBmWOibyBArQwSeQLxvxz9OaumlaSUZjfCWTxbXduhuG2xCJUPs1nB9nd4gxZknH7IZj/0, createdBy=52281985209, createdName=damiao93, createdTime=Tue May 09 14:57:56 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195808, encodeId=c45c19580833, content=理解了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6uYmc0bvXOkMbHUAuoOy17yjxJZXdqNNrBjaHUSI7lzKqXYGHDtNibcTgXpKkJa2eFOLpbD6o0fjIFqicTpgx9yN/0, createdBy=9def1311037, createdName=LiuXm681, createdTime=Tue May 09 11:53:36 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195798, encodeId=ccbc195e98b6, content=谢谢,感谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Tue May 09 11:08:23 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195779, encodeId=45c2195e7934, content=回归人性温暖的医学, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Tue May 09 09:36:32 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195767, encodeId=b7d8195e67f5, content=不错。。。。。。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLEjPHcBWkEawnOHuvuXw3Lxjnzko8jRkakGyVZ27zRcmYACibkCom9Da1icAJBDFrbJelRNtMRic3H3/0, createdBy=152c1940043, createdName=Lke, createdTime=Tue May 09 09:01:39 CST 2017, time=2017-05-09, status=1, ipAttribution=)]
    2017-05-09 lyh994

    回归人性温暖的医学

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1739815, encodeId=9f941e39815bd, content=<a href='/topic/show?id=8ebb2494283' target=_blank style='color:#2F92EE;'>#人文关怀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24942, encryptionId=8ebb2494283, topicName=人文关怀)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=747634567246, createdName=1508842480_96220448, createdTime=Sat May 20 00:40:00 CST 2017, time=2017-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1458306, encodeId=d26a14583065e, content=<a href='/topic/show?id=502b24940b3' target=_blank style='color:#2F92EE;'>#人文#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24940, encryptionId=502b24940b3, topicName=人文)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e9096012283, createdName=xlwang2693, createdTime=Wed May 10 23:40:00 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196010, encodeId=c6ff19601043, content=医者仁心!, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Wed May 10 06:19:19 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195861, encodeId=a97019586128, content=学习了,可以在以后工作的应用, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuCkPCv9CVFBmWOibyBArQwSeQLxvxz9OaumlaSUZjfCWTxbXduhuG2xCJUPs1nB9nd4gxZknH7IZj/0, createdBy=52281985209, createdName=damiao93, createdTime=Tue May 09 14:57:56 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195808, encodeId=c45c19580833, content=理解了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6uYmc0bvXOkMbHUAuoOy17yjxJZXdqNNrBjaHUSI7lzKqXYGHDtNibcTgXpKkJa2eFOLpbD6o0fjIFqicTpgx9yN/0, createdBy=9def1311037, createdName=LiuXm681, createdTime=Tue May 09 11:53:36 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195798, encodeId=ccbc195e98b6, content=谢谢,感谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Tue May 09 11:08:23 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195779, encodeId=45c2195e7934, content=回归人性温暖的医学, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Tue May 09 09:36:32 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195767, encodeId=b7d8195e67f5, content=不错。。。。。。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLEjPHcBWkEawnOHuvuXw3Lxjnzko8jRkakGyVZ27zRcmYACibkCom9Da1icAJBDFrbJelRNtMRic3H3/0, createdBy=152c1940043, createdName=Lke, createdTime=Tue May 09 09:01:39 CST 2017, time=2017-05-09, status=1, ipAttribution=)]
    2017-05-09 Lke

    不错。。。。。。。。

    0

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