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1、,批判性阅读与护理管理,2,提 纲,批判性思维 批判性阅读 批判性阅读实践-护理管理文献阅读,3,Critical Thinking 批判性思维,4,5,8,The 28th International Conference,9,The 28th International Conference,10,The 28th International Conference,11,http:/www.criticalthinking.org/page.cfm?CategoryID=100&endnav=1,12,13,思维标准衡量推理的组成部分,14,CT是一种对话性思维(dialogic thin
2、king)批判性讨论（critical discussion）。批判性倾听（critical listening）批判性阅读（critical reading）批判性写作（critical writing）批判性提问策略（strategy of critical question）,彭漪涟 马钦荣 逻辑学大辞典M 上海：上海辞书出版社，2004P721-734,dialogic thinking;,15,批判性阅读,16,17,18,19,20,批判性阅读实践-护理管理文献阅读,21,批判性阅读实践的三种方法 点-线-面,22,检索工具：CBM关键词：护理质量、护理管理限定时间：2004.12
3、008.12期刊类型：核心期刊结果：共检出文献44篇,前提,23,24,25,地区分布,26,27,文献分类,28,程薇齐卫东王孔才.运用计算机网络技术辅助护理质量持续改进的方法研究.护士进修杂志,2006,21(3):225-226.陈玉萍,罗远芳,张帆.PDCA 循环在基础护理质量管理中的应用.护理学杂志,2007,22(1)(综合版):15-17.张萍.“六西格玛”在护理质量管理中的应用与展望.护理研究,2005,9(3):379-380.邵燕华,林平,赵振娟.模糊综合评判法在护理质量管理中的应用现状.护理研究,2008,22(9)上旬版:2266-2267.,29,累计考核管理模式模糊
4、综合评判法,三级/四级质量控制,网络技术护理信息系统,循证思维追问思维,30,质量评价体系(观察指标),31,Advantages,32,研究内容:人力资源的合理配置与开发；医疗、护理成本核算与经济管理；护理质量的评价标准(观察指标)；护理人员(护士长)的核心竞争力(刚性和柔性、显性和隐性、知识、技能的更新与态度的完善等）能力;护理管理的基本原理与方法(理论);,Disadvantages,33,管理原理 系统原理;整分合原理;反馈原理;封闭原理;弹性原理;能级原理;人本原理;动力原理;竞争原理;效益原理;,管理方法 权威管理方法;经济管理方法;精神管理方法;柔性管理方法;常用管理技术 管理循
5、环;全面质量管理;排列图;因果分析图;软系统方法;ABC库存管理方法;,34,35,36,37,Prospects,38,39,Environment,Content and Methods,Aims and Objectives,Mission,External,Internal,40,Continuous quality improvement is a concept which includes:Quality assurance-the provision of services that meet an appropriate standard.Problem resolution
6、-including all departments involved in the issue at hand.Quality improvement-a continuous process involving all levels of the organization working together across departmental lines to produce better services for health care clients.,41,Deming(1982b)and others have espoused total system reform to ac
7、hieve quality improvement-not merely altering the current system,but radically changing it.It must be assumed that those who provide services at the staff level are acting in good faith and are not willfully failing to do what is correct(Berwick,1991).Those who perform direct services are in an exce
8、llent position to identify the need for change in service delivery processes.Based on this premise,the staff nurse-who is at the heart of the system-is the best person to assess the status of health care services and to work toward improving the processes by which these services are provided to clients in the health care setting.,42,抛砖引玉,期待交流,
