转科护士护理病历书写能力培养的探讨  

Cultivation of Probationer Nurses' Ability to Write Nursing History

作　　者：刘梦华[1] 马真琴[1] 苗凤花[1] 

机构地区：[1]甘肃省中医院,甘肃兰州730050

出　　处：《西部中医药》2012年第6期90-91,共2页Western Journal of Traditional Chinese Medicine

摘　　要：从转科护士在护理病历书写中存在的问题及原因分析、采取的带教措施2方面探讨对转科护士护理病历书写能力培养的重要性,提出护理病历是对患者病情客观的描述及医疗护理处理后病情转归的记录,是医疗病历的重要组成部分。因此,护士在进入临床转科阶段,培养其护理病历书写能力极为重要。Importance of cultivation of probationer nurses＇ ability to write nursing history is explored from the problems and reasons analysis in nursing history and the measures teachers took. Nursing history, a crucial part of medical records, are the notes of objective description of patients＇ conditions and changes after medical nursing. There- fore, cultivation of writing ability is significant.

关 键 词：病历书写 转科护士 培养 

分 类 号：R197.323[医药卫生—卫生事业管理]