Nursing Department of Zhongshan Hospital received national key discipline fund in 2011, and is one of the first group of 22 trial units for nurse post management and the Intensive Care Practice Base of National Health and Family Planning Commission of China (NHFPC). It is also the training base of NHFPC intensive care, the first evidence application base in China founded with the largest evidence-based nursing centre in the world, and the clinical training hospital for Shanghai International Enterostomal Therapist programme. Shanghai Nursing Association recognized the department as the training centre for intensive care, hemodialysis, emergency treatment, nursing in operation room, enterostomal treatment, and special treatment of diabetes in communities. The department offers specialized outpatient nursing service for enterostomy, PICC, and hemodialysis, as well as a master programme in nursing.
The incumbent head of the department also holds the following positions: Deputy Dean of Fudan University Nursing College, standing director of Shanghai Nursing Association, vice president of Shanghai Evidence-Based Nursing (EBN) Centre, senior member of Shanghai Nursing Quality Control Centre and member of the Shanghai Senior Professional Title Review Panel. Meantime, head of the department is also the vice president of National Nursing Quality Promotion Association, a member of NHFPC Nursing Management Panel, a member of Advanced Specialized Nursing Practice Committee of International Council of Nurses, and the Supervisor of Quality Improvement at World Health Organization (WHO). The Counsellor of Nursing Department is also the director general of Shanghai Nursing Association, a counsellor of Shanghai Nursing Quality Promotion Centre panel, and a member of NHFPC Nursing Quality Standard Committee. Among the leading team of the department, two are deputy directors of Chinese Nursing Association (CNA), seven are directors and deputy directors of different committees of Shanghai Nursing Association, five are board members of nursing journals, and four are master supervisors.
1. Leader in Quality Management
Zhongshan Hospital Nursing Department is the first in China to apply quality management tools systematically. In 2012, the entire hospital promoted Quality Control Circle (QCC) and formed Nursing Committee of National Quality Control Circle Association in 2016, and the department was granted the title “QCC Training Base”. The Nursing Department manages more than 50 nursing quality improvement programmes, involving more than 600 nurses. These programmes include themes such as nursing safety, ward management, cost management, specialized nursing, and methodologies such as QCC, PDCA, root cause analysis, failure mode analysis, and so on. For several consecutive years, the Nursing Department has been awarded Shanghai Nursing Improved Performance Award, NHFPC Quality Improvement Award, and the First Place of National Quality Control Circle Competition. The department is also among the first batch of units in the country to be granted “Excellent Nursing Care Exemplary Ward” and “Shanghai Excellent Nursing Care Advanced Hospital”.
2. Systematic Structure of Specialized Nursing
Talent development has always been a priority of Zhongshan Hospital Nursing Department. As early as in 2005, the department has successfully trained the first nurse specializing in wound and ostomy. Since then, the department has trained specialized nurses in different areas, including wound and ostomy, PICC, respiratory care, oncology nursing, hemodialysis, intensive care, psychological consult and so on. Specialized outpatient nursing service is provided and the department also offers self-care guidance and consultation, 24-hour hotline for peritoneal dialysis patients who receive home care, PICC (Peripherally Inserted Central Catheter) maintenance for patients, maintenance and care for PORT, health education for patients suffer from diabetes. Nursing department is currently dedicated to building 26 sub-specialized nursing teams and 10 MDT nursing teams, with the purpose of keeping pace with clinical medicine, and train sub-specialized nursing leaders who are skilled in certain areas. The department aims to revolutionize nursing and care patterns by establishing and improving disease nursing standards and routine norms and procedures with knowledge drawn from the case library of different specialized areas. Cooperating with other medical teams in doing research is an appealing factor for many outstanding nurses, enabling them to comprehensively experience nursing, actively improve themselves, and grow with doctors and the hospital.
3. Competitive Nursing Education
The Nursing Department boasts the clinical nursing research centre of Fudan University Nursing College and the Nursing Education Department of Zhongshan Hospital. Around 550 graduates, undergraduates, and junior college students are trained every year. Students are mainly from Fudan University, Shanghai Jiaotong University, Shanghai University of Traditional Chinese Medicine, Anhui Medical University, Nantong Medical College, Shandong Medical College, Senior Medical College, Shanghai Urban Construction Vocational College, Shanda University and others. Meantime, the department is also responsible for practice training of different levels of nurses from various specialties, and provides training for almost 100 specialized nurses (intensive care, emergency treatment, nursing in operation, enterostomal therapist, and blood purification) in Shanghai annually.
Teaching staff at the Nursing Department designs training programmes of different competency levels and implements credit management system. They are responsible for assigning nurses to train with those of a higher level, as well as training and certification of specialized nurses. They will further gather experiences of selecting assistants to head nurses and provide opportunities for them to practice and send them to participate various certificate training programmes so as to prepare them for future head nurse posts. Statistics show that 80% of head nurses have received training at the Hospital Management Office of Fudan University, 90% of head nurses and some leading nurses have been trained in Taiwan, and 100% of head nurses have attended Head Nurse Certificate training programme, forming a well-developed mechanism for selection, training, and examination of assistant to head nurses at Zhongshan Hospital.
4. National Influence
The department has aided hospitals in suburban areas and “backward, autonomous regions of minority groups, border and underdeveloped areas” and has trained nurses from more than 20 provinces and cities. Staff of nursing department has travelled to many places in China to introduce the grading system of nursing standards, and the application of nursing quality improvement tools. “Sister hospitals” in Shanghai, Shanxi province, Jiangsu province, Beijing and other regions have started to implement QCC with our assistance and guidance. The department has sent many medical teams for emergency relief and rescue in earthquakes, tsunamis, SARS, avian influenza, APEC, and Conference on Interaction and Confidence-Building Measure in Asia (CICA) and have excellently accomplished tasks of emergency relief and medical support. The department has its own WeChat official account named “复旦大学附属中山医院护理部”, and has established a platform of communication, study, research, and management for information sharing and exchange between nurses. 117 messages and 385 pictures have been shared on WeChat and the number of users reached 3095 by May 2016.
5. International Cooperation and Exchange
In cooperation with Australian evidence-based nursing centre, Zhongshan Hospital Nursing Department has become the evidence application base of the Australian partner. Each year, the department will appoint outstanding nursing staff to study at the Joanna Briggs Institute (JBI) and attend Australia Evidence-Based Nursing Practice Conference. This year, Fudan University Nursing College, Shanghai Evidence-Based Nursing (EBN) Centre, and our department have jointly held Evidence-Based Approach to Critical Illness Nursing Release Conference and the proposals were chosen as candidates for Shanghai Nursing Association Nursing Contribution Award. The Nursing Department has received 94 groups of visitors from home and abroad, totalling 964 people. Among them, there were 27 delegations (203 people) from the United States, Australia, Singapore, Hong Kong SAR, and Taiwan. Five groups of nurses have been sent to exchange and study overseas, and two to other regions in China. Some nurses have attended and made presentations at international nursing conferences and forums.