精神科护理人员举证责任倒置中举证能力的培养与效果分析

The Ability of Psychiatric Nurses to Present Evidence under Inversion of Burden of Proof : Training and Effect

目的培养精神科护理人员在举证责任倒置中的证据意识,提高其举证能力。方法提高护理人员的医德修养,加强法律知识和业务能力的培训与考核,使各项护理工作规范化、程序化,加强护理证据的过程管理,指导书写护理文书,建立和完善责任签名制度。结果强化培训与管理实施前和实施3年后分别对100名护理人员的相关法律知识和6个病区200份护理文书书写质量、执行签名情况进行检查,统计数据显示差异有统计学意义。结论对护理人员的法律知识和业务能力实施强化培训,加强护理文书书写指导和关键环节的管理,能提高护理人员的举证能力,以应对举证责任倒置,降低医疗纠纷发生率。

Objective To improve the psychiatric nurses＇ ability to present evidence by training their awareness under in- version of burden of proof. Methods The training measures for nurses included improving the cultivation of medical ethics, strengthening their training and assessment of legal knowledge and professional ability, improving the normalization and routinization in nursing work, enhancing the management of evidence, guiding them to write nursing records, and estab- lishing the system of responsibility and signature. Results Before and 3 years after the implementation of intensive train- ing and management, a total of 100 nurses were tested for their legal knowledge, and 200 copies of nursing records from 6 wards were checked for the quality and signatures. The statistical data showed there was significant difference. Conclusions For nurses, implementing intensive training on legal knowledge and professional ability, and guiding the writing of nurs- ing papers and management can improve their ability to present evidence under inversion of burden of proof and reduce medical dissension.