Nursing staff should organize and participate in morning and evening nursing, bedside handover and afternoon rounds, evaluate and master the situation of this group of patients, check and guide the implementation of basic nursing, diagnosis and treatment measures and health education. Next, I will bring you a personal nursing summary essay, I hope you like it.

Personal nursing work summary model essay 1 Our profession is called "angels in white". Perhaps only colleagues can understand the pain and fatigue behind this angel. This job demands a lot of us.

When you put on a white coat, you should throw away all your emotions and troubles. In the smell of hospital disinfectant, we have gone through a period of pure girlhood; From the bloody wound, we walked through the fiery youth; Sent away countless quiet nights in a white atmosphere; In the expectation of my lover and the complaint of my children, I dedicated myself to the injured patient.

As we all know, we all work hard and have no hard holidays. There is no fixed rest time. The work is trivial and the responsibility is great. Some nurses also need to deal with leprosy patients, mental patients and infectious diseases. We have paid a lot in obscurity. However, we often encounter grievances and misunderstandings. But we have no regrets. It is precisely because we know that the client is a patient who needs help and sympathy, and a patient who is struggling with the disease. "The doctor's mouth and the nurse's leg", if nothing else, is that one night, all the night nurses in the emergency class walked forty or fifty miles. My leg is swollen from running. Maybe you don't believe it, but please look at the varicose veins on the calves of nurses and sisters, and you will understand.

A real thing happened in the emergency department: it was almost time to get off work in the afternoon, and several flutes sent a dozen trauma patients with accidents by minibus. Day shift nurses took the initiative to stay behind and carry out rescue in an orderly manner. I didn't go home until ten o'clock in the evening. When Xiao Wang was hungry and dragged his tired body, he asked, "Head nurse, we were so busy that the drunk almost hit you!" " "The head nurse said generously," the young couple just got married. The husband was so anxious to see his beloved wife hurt so badly that he drank wine again. We can't care about him. "During such a long holiday as May Day, when everyone is missing picturesque scenery and deep affection, this often happens in our emergency department.

The year 20__ is coming to an end. Looking back on the gains and losses of my work in the past year, with the leadership of the head nurse and the help of my colleagues, I have basically completed the nursing task for 20 years. Over the past year, I have earnestly implemented the requirements of various rules and regulations and job responsibilities. I take "patient satisfaction" and improving nursing quality as standard goals. I have always insisted on doing a good job in system inspection and trying my best to make nursing operations error-free.

In the past year, we have mainly completed basic nursing, special nursing, participation in the rescue of critically burned patients and ward management. Mainly participate in and complete the specific nursing work such as intravenous infusion, blood transfusion, patient turning over, atomizing inhalation, deep vein catheterization nursing, sputum aspiration, drainage and catheterization. No major nursing errors and accidents occurred. Treat every patient seriously and treat them equally. At the same time, I carefully make every nursing record, strictly in accordance with the requirements of hospital departments, and try to make the record error-free. In the care of every patient, I strictly implemented the system of "three checks and six pairs", and basically completed the work required by my duties with good quality and quantity in the past year.

At work, I often feel that I lack nursing knowledge and my working ability is not high, so I also strengthen my study, actively participate in learning activities organized by hospitals and departments, and also ask my colleagues around me to actively improve my professional level. I also learn from practice, sum up my work experience in time, continue to carry forward good practices and correct problems in time.

Although the basic nursing task has been completed, the ability and quality are not high, and some activities of the department are not actively participated. There is always an excuse to improve their professional level, and the operation level is not high, which directly affects the improvement of the doctor-patient relationship.

Therefore, in the future, I will carry forward my advantages, improve my shortcomings, do my job well in nursing posts, and strive to do my job well.

I have been working in our hospital for one year. Over the past year, under the care and direct leadership of hospital leaders and head nurses, and with the care and help of colleagues, I have carefully studied my professional knowledge, strived to improve my theoretical knowledge and mastered various surgical clinical operation skills. Excellent completion of nursing work assigned by hospital leaders at all levels. Become more mature in thought, study and work.

I remember when I first came for surgery, I was not used to it, but I was not afraid. In order to do a good job, I asked my predecessors for advice. Study, self-exploration and practice, obey the leadership arrangement, do a good job in nursing, complete the task seriously, and actively learn nursing professional knowledge. In a short time, I became familiar with the surgical work, understood the responsibilities of each class, defined the procedures and direction of the work, improved my working ability, and formed a clear working idea in the specific work, so that I could carry out the work smoothly and finish the work skillfully and successfully. Of course, there are still some shortcomings in the work, such as the lack of skills and facial smile in the work. In the future work, we must strive to improve our skills, be more careful, improve our service with smiles, correct our work attitude, and treat them with the knowledge and skills we have learned. In this year's nursing work, I can feel the importance of nursing work more and more. Nursing is an art and the basic guarantee of health. My experience is "three points of treatment, seven points of care". We should have a sympathetic heart, support our weak life with selfless dedication, carry forward the spirit of saving lives and earnestly perform our medical duties. I hope that through my own efforts, I can get wide acclaim from patients and be recognized by leaders at all levels and head nurses.

I am proud that I am a member of the team of nurses. In my future work, I will redouble my efforts to make my due contribution to the nursing cause.

Summary of Personal Nursing Work In August 2004, I was honored to join our laboratory and become a member of this big family. During this period, with the care and guidance of the leaders and the support and help of my colleagues, I completed my work in a down-to-earth manner and improved in all aspects. Now I will make the following report on my study and work during this period:

First, emancipate the mind and renew ideas.

In the past period of time, we have earnestly studied the spirit of the "1 July" speech, profoundly understood its ideological essence, improved our ideological consciousness, improved our work style and accumulated experience. Through continuous study, my work enthusiasm, sense of ownership and sense of responsibility have been further enhanced, and my ideological and political awareness and theoretical level have also been significantly improved, which has also provided useful guidance and help for my work practice.

Two, conscientiously do their job, and strive to improve the level of business.

Strict and responsible work, actively cooperate with colleagues, strictly abide by the department's work system. Always adhere to the patient-centered service idea to meet the urgent needs of patients. Strictly organize the concept of discipline, so as not to be late, leave early or be on duty. I can correct and correct the problems found in my work in time, pay attention to the study and accumulation of all kinds of knowledge, insist on independent thinking, and constantly improve my comprehensive quality and working ability. Correct attitude, actively participate in various learning lectures of this subject, and learn the latest knowledge and new progress. Unite colleagues, study and study the difficult problems encountered in this discipline, and make progress.

Third, the main problems in the work

The level of political theory is not high enough, especially in the new period; The service quality needs to be improved, and the work is sometimes not detailed enough; Less communication; Sometimes I feel afraid of difficulties and can't meet the expectations and requirements of the leaders. In the new year, I will devote myself to my new job with more enthusiasm, meet new challenges and strive for better results.

Personal nursing work summary mode Article 5 I, female, born, work, university degree, bachelor degree, currently working in a hospital department. June, 5438+February, 20 _ _ _, she was qualified as a head nurse and was appointed as a chief nurse. Since taking up my present job, I have always been strict with myself, striving for progress, serving patients with good medical ethics, skilled operating skills and comprehensive professional knowledge, and achieved remarkable results.

I love my motherland, abide by the Constitution and laws, adhere to the Four Cardinal Principles, love medical and health undertakings, and strictly abide by the rules and regulations of the hospital. Work hard, have good professional ethics, be diligent and meticulous, and bear hardships and stand hard work; Always keep in mind the concept of "people-oriented, honest service" and strive to provide patients with high-quality and comprehensive seamless care. At work, I treat patients like relatives and serve them warmly, which has won many praises from patients and leaders and been rated as "service star" for many times. During the current term, all professional and technical examinations were excellent. In clinical work, active and capable, with strong working ability, engaged in nursing work and comprehensive business knowledge. During this period, he has been transferred to other clinical departments to participate in the rescue and nursing of critically ill patients.

During my work in the emergency department, I have mastered the observation and nursing of common, frequently-occurring and critical patients in internal medicine, and the nursing of patients with multiple surgical injuries, compound injuries and severe craniocerebral injuries. He can skillfully, independently and quickly complete various technical operations in the emergency department, master various rescue routines for acute, dangerous and serious patients, and can better cooperate with doctors to do rescue work for acute, dangerous and serious patients, such as cardiopulmonary resuscitation, acute myocardial infarction and cardiac arrest. Master the use, principle and simple troubleshooting of emergency instruments and equipment such as ECG monitor and ventilator; Participated in the rescue of 2 patients with cardiac rupture, all of which were successful; Participated in the treatment of collective food, carbon monoxide poisoning and major traffic accidents for more than 30 times, with clear severity, orderly work and proper arrangement, which greatly improved the success rate of treatment; Five patients (more than 80%) who participated in the rescue of large area burns have recovered. Transferred to the department because of work needs. During this period, I studied with an open mind and mastered advanced medical and nursing knowledge at home and abroad. Cooperate with the professor to participate in the treatment of 5 patients with severe multiple fractures of maxillofacial region, and the recovery is good, achieving the ideal expected effect; Participate in the treatment 1 patient with huge uvula cancer, recover well, and have no hoarseness and cough after drinking water. My technical level has also improved rapidly. Mastered the preoperative and postoperative care of sinusitis, nasal septum and pharyngeal surgery, the precautions of glaucoma and cataract patients before and after surgery, and the nursing technology of artificial airway was skilled and meticulous.

While completing their jobs, they also undertake the teaching work of new nurses and interns. In their work, they lead by example, be serious, meticulous and strict, so that they can master various technical operations of nursing and be competent for clinical nursing work.

After work, I actively studied and accumulated experience, strengthened the study of medical theory, foreign languages, computers and other knowledge, completed the undergraduate study of higher nursing specialty and obtained a bachelor's degree.

In my work, I integrated theory with practice, constantly accumulated and summarized clinical nursing experience, published 7 papers in national magazines, published books 1 volume, and won the second prize of outstanding academic achievements in natural science in Zibo. The published papers and works are as follows:

During my tenure, I was awarded many honorary titles such as advanced worker, three-star nurse, innovative worker and March 8 red flag bearer. In the theoretical and technical operation examination organized by the hospital, I have achieved good results in the top three for many times.

Although I have made some achievements in my work, there is no end to my study. In the future, I will continue to work hard, constantly sum up experience, learn new nursing theories, techniques and management methods, try my best to do my job well, and promote the medical level of the hospital.

One year of nursing work is coming to an end. Looking back on my work in the past year, I have gained a lot. My nursing level has also improved a lot with my work. Compared with before, I did it more smoothly, almost subconsciously without thinking. I also want to sum up my nursing work in the past year.

I. Nursing work

Being a nurse in a hospital has always been my dream. I've always wanted to be a medical worker, and I know it's a hard job. But I am still very happy to be a nurse in the hospital, especially when I see the patients I take care of discharged from the hospital. Many patients are particularly satisfied with my service. When I do nursing, I always follow the doctor's advice carefully and do my job well according to the requirements of doctors and head nurses. I also ask questions in time if I don't understand, take care of patients actively, and take patients' affairs as my own business. I know that since I became a nurse, I should be patient and take care of patients carefully. Some patients have a bad temper, are sick and are in a particularly bad mood. As a nurse, I not only do basic work well. I will also actively comfort patients, talk to them more and relieve their anxiety. I also understand that they are not angry for no reason, but anxious because of illness. I should take good care of them.

Second, study and improve.

Doing nursing work by yourself will not forget to study. I understand that it is not so easy to be an excellent nurse. You should not only do your job well, but also study more. Only by knowing more and accumulating more work experience can we do a good job in nursing. The work of medical care is the accumulation of experience, and the judgment of some problems also requires us to have more experience and do more things. You can also know how to do a good job in nursing so that patients can get better faster. Take the initiative to consult the head nurse and other colleagues if you have any questions. After work, I will watch some nursing videos and books to accumulate more nursing knowledge and understand some patients' cases. If this happens, what should I do? The more you know, the more work experience you will accumulate, so there is only one.

I also have some shortcomings in my work this year. When my colleagues or I find out, I will try my best to improve, keep learning and make serious changes, so that my nursing work can be done better within one year and my own shortcomings can be reduced. I will do my nursing work better and more perfect in the future.

Summary of Personal Nursing Work In the past 6 20 years, the nursing work in our hospital has been mainly to meet the re-evaluation of "secondary and secondary general hospitals", while continuing to deepen high-quality nursing services, comprehensively improve nursing quality, strengthen nursing human resource management, ensure the realization of nursing safety objectives, and actively complete the temporary tasks arranged by the hospital. The main work of the whole year is summarized as follows:

First, strengthen the connotation construction of nursing team and improve the level of nursing management.

1. In order to optimize the nursing management team, enhance the vitality and execution of nursing management, update the concept of nursing service and improve the ability of clinical nursing management, in September, 13 clinical nursing backbones were successfully recruited as head nurses in various departments through the form of five guarantees.

2, around the requirements of grade evaluation, revise the system, improve the method, improve the quality of nursing management:

Zhao Juying, head nurse of obstetrics and gynecology, was sent to the maternity ward of the Tenth People's Hospital affiliated to Tongji University for further study for two months. At the same time, lead Shen Aiping, the head nurse of delivery room, to visit the obstetrics department of Baoshan Branch of Shuguang Hospital, and broaden the management ideas in many ways.

4, carry out various forms and ways of training, improve the professional and technical level of nurses, and successfully complete the 20__ year on-the-job training plan for nurses formulated at the beginning of the year.

Second, take the patient as the center, deepen and extend the "quality nursing service"

1. On the basis of developing high-quality nursing wards of surgery and internal medicine successively, after strict examination in April, obstetrics and gynecology was determined as the third high-quality nursing ward in our hospital.

2. In order to improve the environment of maternity wards, three special maternity wards were established and opened after the transformation. On this basis, obstetrics has developed new services. Four midwives in the delivery room participated in the municipal training and obtained the "Doula" certificate, and three nurses obtained the baby touching certificate. They carried out obstetric extension services in the ward and guided their families to provide special services such as baby bathing and touching, which were warmly welcomed by the parturients. Since the implementation of high-quality nursing, the satisfaction of obstetrics and gynecology has been significantly improved.

3. In order to facilitate patients' rehydration and solve the problem of keeping patients' large infusions, the emergency infusion room overcame the site difficulties and customized miniature lockers, so that patients no longer need to carry heavy large infusions back and forth, and the warm service was greatly appreciated by patients.

4. Improve service process and service quality. Reflected in the detailed service, the satisfaction of the excellent care unit has always remained above 95% throughout the year.

Thirdly, PDCA is used for safety and quality management, which ensures the continuous improvement of nursing quality.

1, under the unified guidance of the nursing department, each department arranges safety officers to make self-inspection records, the head nurse organizes weekly nursing safety education meetings, and uses PDCA cycle management mode to find out the causes of nursing quality and safety problems in departments, rectify and eliminate hidden dangers, and put forward project management methods for recurring problems.

2. The system of nursing quality management committee was revised to make quality management more standardized and comprehensive, leaving no dead ends.

3. Organize quality control team members to supervise and inspect the nursing quality of each ward regularly every month. Timely sort out the quality control opinions and feed them back to each ward, and make timely rectification.

4. Arrange the head nurse and the teaching teacher to make rounds day and night every day, and the contents of weekly rounds should be focused, so as to find hidden dangers at night and correct them in time. In this way, the sense of responsibility of night shift nurses is enhanced and the quality of nursing work is consistently supervised and controlled.

5. Formulate and implement non-punitive nursing safety adverse event reporting and management system. By the end of 10, the nursing department * * * had received 8 nursing adverse events and handled them respectively.

6. Focus on high-risk safety factors, such as abnormal catheter shedding, falling, bed falling, pressure sore, etc. , formulate nursing risk prevention measures and emergency plans and handling procedures for emergencies. This year, 135 cases of pressure ulcers have been reported, all of which were brought in from the hospital and cared for.

7. Strengthen the management of high-risk drugs and highly toxic drugs.

Fourth, strengthen the management of nursing human resources to ensure the orderly progress of nursing work.

1. According to the recruitment plan made at the beginning of the year, our hospital recruited 6 nurses this year, which enriched the front line of clinical nursing.

2. Formulated the scheme of nursing human resources allocation in emergency, and established the process of nursing human resources allocation, so that nurses can ensure the orderly nursing in emergency. On the evening of 65438+1 October1day, 35 people had outstanding emergency rescue, and the emergency plan was effectively and quickly implemented.

3. Formulate the post system and rating scale of the nurse in charge, so that the nurse in charge can have a deeper understanding of their work contents and responsibilities, guide the nurse in charge to fully perform the observation, treatment, nursing and health guidance for the patients in charge, and make the head nurse's assessment of the nurses rule-based.

4. The combination of outpatient department and emergency injection room was completed in high temperature season, which simplified the service process, saved nursing human resources to a greater extent, and ensured the staffing and nursing safety of outpatient department and emergency department in high temperature season.

Fifth, with the strong support of hospital departments, the quality of hospital infection management has been effectively guaranteed.

1, continue to strengthen the quality of hospital infection management, especially in key departments and key departments. Supervise nurses in the whole hospital to improve hand hygiene compliance and implement standard prevention.

2. The business management of operating room and supply room was merged, the ledger registration of supply room was improved, and the pre-vacuum sterilizer, biological monitoring instrument and detection kit were added during the year, which achieved good results in the quality control inspection of the hospital.

Six, strictly implement the teaching and scientific research plan, and comprehensively improve the quality of nursing teaching and scientific research.

1. According to the plan made by clinical teaching files, 28 nursing students successfully completed their internship tasks in the hospital.

2. By holding intern forums and teacher review meetings, two-way feedback can be realized and teaching can be improved.

In March and July, the official implementation of surgical district-level scientific research began.

4. During the year, we started classes in cooperation with Baoshan Branch of Shanghai Open University, and 28 nurses participated in on-the-job education for nursing undergraduates. Our hospital was signed as an open university nursing teaching practice base.

Seven, nursing index assessment summary is up to standard.

The qualified rate of head nurses' work quality is 98.2%

The qualified rate of ward management is 94.5%

The qualified rate of nursing documents was 92.8%

The qualified rate of disinfection and isolation was 93.4%

The qualified rate of emergency supplies and medicines is 97.6%.

The qualified rate of graded nursing was 90.65438 0%.

Satisfaction of outpatient and emergency departments: 95.86%

Satisfaction degree of the excellent care unit (ward 3): 96.87%, up 3.33% from last year. Nursing adverse events: 6 cases of nursing errors, 2 cases of nursing accidents and 2 cases of nursing complaints.

Eight, improve the standard of civilized service and promote the construction of spiritual civilization.

1. Improved various satisfaction evaluation forms. By increasing the evaluation times, evaluation times and evaluation of hospitals, nursing departments and departments, the full coverage of satisfaction evaluation is realized, and the evaluation results are fed back in time for rectification. The intensive care unit remains above 95%, and the outpatient and emergency departments remain above 90%.

2. Fifty nurses in the whole hospital take the initiative to participate in hospital volunteer service during the rest time, and use their professional knowledge and quality service to solve problems for emergency patients.

3, actively cooperate with hospital departments to complete all kinds of medical security activities such as gynecological physical examination, student physical examination, employee physical examination, etc.

Nine, there are shortcomings

1, management level and innovation consciousness need to be improved.

2. The overall quality of nurses needs to be strengthened, lacking flexibility and adaptability, and nurses' awareness of active service needs to be strengthened.

3. Management quality needs to be improved, and impetuous personality characteristics need to be overcome.

4. Nursing papers and scientific research are still in the initial stage.

Main working ideas for 20__ years:

1, continuously improve the ability of nursing management, use PDCA to manage the safety and quality of the whole hospital, and constantly summarize, so that the quality of nursing has a process of continuous improvement and improvement.

2. Re-establish outpatient posts, relatively regionalize triage management, and improve outpatient pre-inspection norms.

3. Continue to deepen and refine the work of three high-quality nursing wards, make our hospital's characteristic services from two aspects of business and service, and establish a brand. To provide patients with convenient, optimized and high-quality nursing services, so that patients' satisfaction is above 95%.

4. Further improve the management ability of head nurses, strengthen the training of head nurses, lead the head nurses to visit and study in other hospitals, arrange four new head nurses to participate in the competency-based class for head nurses organized by Shanghai Nursing Association, and arrange the head nurses of internal medicine to go out for further study.

5. Strengthen the training of specialized nurses, declare picc nursing clinics and neonatal nursing clinics, and initially build a midwife training base in the whole region.

6. Strengthen the theoretical and operational training assessment of nurses within five years, and improve standardized training measures.

7, make 20__ session of internship teaching plan, plan to teach 30 interns.

8. Give play to the role of teaching and research group, encourage young nurses to contribute actively, and fully promote the on-the-job education of hospital staff.

9. Complete daily work, such as overall business study, safety education, specialized training and quality evaluation. Reach the standard of nursing quality index.

10, no nursing accidents occurred, and nursing adverse events were minimized.

1 1. Effectively manage human resources, recruit 8 new nurses, and merge the locker room of outpatient department into emergency surgery.

The nursing work in the new year still needs the attention, support and help of hospital leaders. I will lead this nursing team to strengthen internal management, shape external image, and make unremitting efforts in nursing quality and professional ethics construction.

Summary of Personal Nursing Work 7 20__ years is a year of transformation, growth and progress for hospitals, departments and individuals. In this year, we are constantly facing challenges and opportunities. After this year's work and study, I have undergone qualitative changes, rapid growth, and a clear goal of forging ahead.

First, change ideas and improve management level.

1. Learn more: learn from experienced excellent head nurses and learn their work experience and working methods. Learn from nursing colleagues in other hospitals, and learn their advanced management mechanism, scheduling methods and working conditions. Learn from the nurses in the department, learn their strengths in their work, and make up for their own shortcomings.

2, communicate with other head nurses, find the shortcomings in the work, find the hidden dangers in the work, adjust the working state at any time, keep up with the pace of the hospital.

3, the implementation of humanized management: care about the department nurses in life, take the initiative to help if you have difficulties. Strict requirements in the work, so that everyone is equal, different from person to person, give full play to the advantages of each nurse, mobilize the enthusiasm of nurses.

Second, strengthen nursing management, strictly control nursing quality, and ensure nursing safety.

1. requires nurses to strictly abide by the nursing core system, various rules and regulations and operating procedures, strictly control the quality of nursing, and prevent nursing errors and accidents. Ensure that there is assessment and notification beforehand and improvement measures afterwards. Really know fairly well and finish the work according to the standard.

2, give full play to the role of nursing quality control team, arouse the enthusiasm and sense of responsibility of quality control team members, can take the initiative to take the responsibility of inspection, and help colleagues in Cory make progress.

3, do it yourself, do a good job in class BANCHA, and summarize it day by day and week by week, so that nurses can consciously improve the quality of nursing.

The third is to develop high-quality nursing service demonstration wards, strengthen basic nursing services and improve patient satisfaction.

1. Since the implementation of the high-quality nursing service demonstration ward, we have strengthened basic nursing services, communicated with patients more, understood patients' needs, and really solved problems for patients.

2, flexible scheduling, make full use of human resources, give play to the subjective initiative of nurses, and facilitate the provision of services for patients. Flexible scheduling not only reduces the workload of nurses, but also solves practical problems such as morning and evening care, morning and evening disposal and unfamiliar nurses.

3, strengthen the management of critically ill patients. Pay attention to rescue cooperation and ability training. Don't panic in the face of serious illness, and the rescue should be organized.

Four, "three basics and three strictness" training and teaching work

1, according to the departmental plan, conduct business study twice a month, conduct skill training once, and conduct theoretical and skill operation examinations on time. There are plans, implementation, evaluation and summary.

2, strict requirements for nurses to write according to the specification, timely check and correct the problems and errors found, and constantly improve the quality of writing.

3. Strictly require interns to teach as planned.

Five, strengthen the management of hospital infection.

1, strictly implement the disinfection and isolation system, and the department infection quality control team will check, summarize and record as planned.

2, according to the requirements of hospital infection, hospital infection knowledge training on a regular basis.

Sixth, build your own nursing brand-subtle warmth

Patients with advanced tumors are often hospitalized in general internal medicine. Such patients are not only in poor health, but also very anxious. Nurses tend to be more careful and careful when nursing such patients. A simple operation may take only one minute in other patients, but it takes half an hour in such patients. Every time the nurse is sweating like a pig without complaining, she brings kind words and understanding smiles to the patients and their families.

Seven, the existing shortcomings and the direction of efforts.

1, lack of nursing quality control: First, it is reflected in ward management, and there are still many shortcomings. Second, the writing of nursing records, especially after the simplification of nursing records, the requirements for the writing quality of nursing records have declined. These two aspects are what I urgently need to improve and strengthen.

2. Training: There are few training opportunities and nurses can't learn new knowledge.

3. Nursing scientific research and papers: constantly update nursing knowledge, develop new technologies and projects as soon as possible, and lead general nurses to make progress together.