军队基层医院提高非现役文职护士卫勤保障能力的做法

随着军队医院编制体制的不断调整,我院的军人护士逐年减少,聘用护士、非现役文职护士越来越多地充实到护理队伍中,在护理工作和卫勤保障中发挥了重要作用。由于非现役文职护士成分新、军事素质欠缺,尤其在当前做好军事斗争卫勤准备的形势下,与军队医院护理任务的要求存在很大差距。因此,如何尽快提高非现役文职护士的卫勤保障能力,适应医院军事斗争卫勤准备需要,是军队医院护理工作的重要职责。     

军队疗养院文职护士存在的心理压力与对策

<正>按照《中国人民解放军文职人员条例》[1],文职护士陆续进入全军各医院、疗养院,为军队护理队伍注入活力。文职护士成为护理队伍中的一支非常重要的中坚力量,但它不同于现役军人护士,又不同于聘用护士。了解军队疗养院文职护士心理压力源,采用针对性心理护理干预,增强文职护士心理防护能力,能使其成为卫勤保障的真正有力后备军。     

非现役文职护士核心能力的培训实践

<正>非现役文职护士是军队编制体制改革应运而生的新生力量。对其军事素质、专业技能及卫勤保障能力等方面的培训研究一直是护理管理者关注的焦点。如何培养高素质的非现役文职护士队伍,以适应军队护理工作所具有的突发事件     

某院75名文职护士个性特征对参与护理科研的影响调查

<正>近年来,文职护士作为军队医院护理队伍的新生力量,被护理管理者作为护理骨干来培养与任用~([1])。笔者所在医院正在积极探索研究型医院建设模式,文职护士科研能力培养是医院后备护理人才梯队建设的必要措施。然而笔者所在医院文职护士均为本科学历,如何定向培养科研能力及提高其     

75名文职护士战创伤救护技术考核结果分析

<正>随着军队医院、疗养院精简整编工作的不断深入,非现役文职护士(下文简称文职护士)已成为军队医院、疗养院临床护理队伍的重要组成部分[1],《中国人民解放军文职人员条     

军队医院提高文职护士卫勤保障能力的方式和体会

<正>文职人员是指按规定编制聘用到军队工作,履行现役军官或文职干部同类岗位相应职责的非现役人员[1]。随着部队联勤体制的不断深化,军人护士数量减少,文职人员充实了临床一线。笔者所在医院目前护理岗位中军人护士与文职护士人数比为1∶2,文职护士已逐渐成为医院的主要护理力量,也成为野战医疗队的重要组成部分。如何尽快提高文职护士的卫勤保障能力,适应当前军队医院军事斗争准备需要,是军队医院护理工作的重要任务。     

军队医院非现役文职护士在非战争军事行动卫勤保障中的作用

军队医院有着双重责任和义务,既在平时担负保障军队指战员及人民群众健康以及灾难性抢救任务,又在战时担负卫勤保障、救护伤员的任务[1-2].自2005年中央军委颁布实行<中国人民解放军文职人员条例>以来,非现役文职护士作为新生力量,已逐渐成长为军队医院护理工作的主力军,成为军队多元化结构中的重要组成部分[2-3].非现役文职护士应根据军队需要参加作战训练、军事演习和处置突发事件,履行参加卫勤保障的职能和义务[4-5].近年来,我院对非现役文职护士的引进、培养、教育、使用和管理做了有益尝试,特别是从优秀非现役文职护士中选拔优秀者参加了军事训练、奥运安保、国庆阅兵保障、抗震救灾等非战争军事行动,尤其是在汶川、玉树抗震救灾的实践中,充分展现了非现役文职护士娴熟的技术和过硬的军政素质,确保医院各项保障任务的圆满完成.现结合抗震救灾工作实践浅谈非现役文职护士在非战争军事行动卫勤保障中的作用.     

济南军区第一疗养院文职护士管理工作做法

<正>随着部队体制编制的调整,非现役文职护士已是护理队伍的重要组成部分。加强军队疗养院文职护士的管理,消除文职护士队伍的不稳定性、临时性,留住技术骨干,培养技术梯次,人才梯次合理,高素质、高品质的复合型人才队伍,增强疗养护理事业可持续发展需要的源动力,是每个疗养护理管理者必须思考、实践与努力的方向[1]。笔者所在疗养院自     

心理契约在护理人力资源管理中的作用

随着军队体制编制调整的不断完善,军队医院护理队伍结构呈现新的变化,由原来单一的军人护士构成变为目前的军人、职工、非现役文职护士、聘用护士和返聘护士多元化存在[1-2],护理人员层次的不同势必会影响护理质量和护理安全.如何对现有护理人力资源进行有效管理,不断加强护理队伍建设,提高护理服务质量和水平,满足部队官兵和人民群众的健康需求,是军队医院人力资源管理面临的新课题.心理契约作为一项人力资源管理实践理论被越来越多的用于企业管理[3],并受到高度重视.现将心理楔约在军队医院护理人力资源管理中的作用介绍如下.     

我军文职护士参加卫勤保障任务中存在问题及改进措施分析

<正>军队文职人员是指按照部队规定编制聘用到军队工作,履行现役军官(文职干部)同类岗位相应职责的非现役人员。文职护士与军人护士一样,既承担着地方和军队伤病员的医疗救护工作,又担负着卫勤战备训练及突发事件应急救援的神圣使命。随着我军编制体制改革的深入推进,军人护士数量逐渐减少,文职护士已成为我军卫勤保障的中坚力量。该文回顾了文职护士在完成多样化卫勤保障任务、提升卫勤保障能力中的作用,并对卫勤保障中存在问题进行探讨。     

Degraded and undegraded carrageenans and experimental gastric and duodenal ulceration

The prevention of histamine-induced gastric and duodenal ulceration in the guinea-pig has been examined using a series of undegraded and degraded carrageenans. Undegraded carrageenans were active at lower doses than degraded carrageenans. The high viscosity of the undegraded carrageenans in solution prevented their use in larger doses. Degradation of carrageenan without serious loss of sulphate, gives a product which allows the dose to be increased to an extent that its effect more than offsets the slight loss in activity caused by the degradation. No single feature of carrageenan structure can be related to anti-ulcer activity although degradation, and hence reduction of molecular size, generally reduces activity. Sulphate contents over 30% have little apparent effect on activity; κ-carrageenans were not consistently different in anti-ulcer activity from Λ-carrageenans. This contrasts with the antipeptic activity of carrageenans where κ-carrageenans are less active than their Λ-counter-parts. As with antipeptic activity, the degree of anti-ulcer activity is probably determined by a combination of structural features which includes molecular size and polyanionic properties.     

Affective and Anxiety Disorders and Alcohol and Drug Dependence:

Depression and anxiety frequently coexist in patients with substance use disorders. This clinically-oriented article examiens the relationship between these conditions and emphasizes data showing that substances of abuse can cause signs and symptoms of both depression and anxiety. These substance-related syndromes appear to have a different course and prognosis than uncomplicated, independent anxiety and major depressive disorders, and clinicians should consider the role of alcohol and other drugs in all patients presenting with these complaints. The authors will also outline an approach for diagnosing and managing patients with the combination of a substance use and depressive or anxiety disorder.     

Alcohol and Substance Use and Abuse in Women and Children

No abstract available for this article.     

Excretion and biotransformation of alfentanil and sufentanil in rats and dogs

The excretion and biotransformation of alfentanil (ALF) and sufentanil (SUF), two recent analogues of the synthetic opioid fentanyl, were studied after single iv administration of the tritium-labeled drugs in male rats and dogs. The drugs were almost completely metabolized in the two species, which resulted in a large number of metabolites. The excretion of the metabolites was rapid and exceeded 95% within 4 days, except for that of ALF metabolites in dogs (about 85%). For ALF, excretion of the radioactivity with the urine (73% in rats, about 76% in dogs) exceeded that with the feces. For SUF, excretion of the radioactivity with the urine amounted to 38 and 60% and that with the feces to 62 and 40%, in rats and dogs, respectively. Bile-cannulated rats excreted 68% with the bile within 24 hr after SUF dosing, and about 22% of this biliary radioactivity was subjected to enterohepatic circulation. After an ALF dose, the biliary excretion amounted to 24%, and the enterohepatic circulation was minimal. The main metabolic pathways of the two drugs were the oxidative N-dealkylation at the piperidine nitrogen and at the amide nitrogen, oxidative O-demethylation, aromatic hydroxylation, and the formation of ether glucuronides. N-[4-(Hydroxymethyl)-4-piperidinyl]-N-phenylpropanamide (M6) was the main metabolite of both ALF and SUF in rats. In dogs, the glucuronide of N-(4-hydroxyphenyl)propanamide (M5) was the main metabolite of ALF. After SUF dosing in dogs, N-[4-(methoxymethyl)-4-piperidinyl]-N-phenylpropanamide was more abundant than M5.