聘用护士工作积极性的影响因素与管理策略

目的:探讨医院聘用护士工作积极性的影响因素,寻求并采取合理的管理对策,促进医院护理质量与管理水平的提高。方法:采用工作积极性测试问卷对54名聘用护士进行调查。结果:聘用护士工作积极性问卷平均得分(3.97±0.66)明显偏低。结论:医院必须建立科学有序的聘用护士规范化管理体系,全面提高其各种福利待遇,注重人本管理,营造和谐的人际氛围,最大限度地调动其主观能动性。     

基层医院聘用护士离职意愿及影响因素研究

目的 探讨基层医院聘用护士离职意愿及其影响因素.方法 对策县一、二级医院271名聘用护士进行问卷调查.结果 基层医院聘用护士离职意愿得分处于较高水平,且二级医院高于一级医院;基层医院聘用护士离职意愿影响因素包括组织承诺及工作环境和工作性质.结论 提高护士的组织承诺感,增加护理人力资源配置,改善工作环境,调整工作结构,可以降低聘用护士的离职意愿水平.     

基层医院在编和聘用护士心理卫生与职业紧张现状及其关系的调查分析

目的：了解护士基层医院在编和聘用心理卫生与职业紧张是否存在差异，探讨影响基层医院在编和聘用护士心理卫生的职业紧张因素。方法：采用普通健康问卷及采用Mclean＇s职业紧张问卷，调查基层15所医院1120名护士的心理卫生及职业紧张现状。按在编护士与聘用护士进行护士人群的分组，比较两组人群的心理卫生、职业紧张差异及职业紧张因素对心理卫生的影响作用。结果：两组人群心理卫生及职业紧张得分均在正常范围，但存在显着性差异，聘用护士心理卫生状况好于在编；在编护士应付能力、工作应激源、工作满意感均强于聘用护士。多元逐步回归分析显示：应付能力、职称、雇用形式、工作应激源是聘用护士心理卫生状况的影响因素。职称、工作压力、应付能力是在编护士心理卫生状况的主要影响因素。结论：为促进护士的心理卫生，有必要对护士心理卫生及影响因素进一步进行深入的研究。     

聘用护士管理中存在的问题及对策

由于人事制度的改革,我院使用了大批聘用护士.聘用护士队伍稳定性差、继续教育存在一定的局限性,参与护理质量管理的意识差是聘用管理中发现的问题,对此采取减轻聘用护士的工作量、提高待遇;提高聘用护士业务素质,加强继续教育学习;重视聘用护士人才队伍建设,调动聘用护士的积极性,让聘用护士参与质量管理,以稳定聘用护士队伍和提高聘用护士的质量.     

基层医院聘用护士流失问题与对策

由于医院体制的原因,聘用护士在基层医院护士中占相当大的比重,她们承担着医院一线的护理工作,承担着最繁重的工作任务,而由于收入待遇、工作前景及个人价值等问题,导致基层医院聘用护士流失较严重,影响了护理队伍的稳定和发展。本文通过探讨基层医院聘用护士流失的原因,提出留住聘用护士,促进护理队伍稳定的对策。     

基层医院聘用护士流失问题与对策

由于医院体制的原因,聘用护士在基层医院护士中占相当大的比重,她们承担着医院一线的护理工作,承担着最繁重的工作任务,而由于收入待遇、工作前景及个人价值等问题,导致基层医院聘用护士流失较严重,影响了护理队伍的稳定和发展。本文通过探讨基层医院聘用护士流失的原因,提出留住聘用护士,促进护理队伍稳定的对策。     

影响聘用护士工作能动性的调查与分析

目的了解聘用护士的思想动态,分析影响聘用护士工作能动性的因素,从而采取相关对策,以调动聘用护士的能动性。方法采取无记名多选择式问卷调查。结果影响聘用护士工作能动性的因素依次为聘用年限、工资水平、福利待遇等。结论解决聘用护士的后顾之忧,调动聘用护士积极性,使聘用护士的综合素质大大提高,保证临床护理质量和安全。     

双因素理论在军队医院聘用护士管理中的应用

利用激励-保健理论,指导教育培训激励、主人翁精神激励、个人发展激励、奖金发放等调动聘用护士工作积极性。结果实施后护理服务满意度显著高于实施前。提示,应用双因素理论能激发聘用护士工作积极性,提高护理质量。     

对优秀聘用护士的评选与管理

目的充分调动聘用护士的工作积极性和主动性,搭建聘用护士成长的平台。方法公示优秀聘用护士条件、广泛宣传、自愿报名,合格者参与评选。对评选出的优秀聘用护士,要求其认真履行职责,并进行适时评价、奖励等系统管理。结果提高了聘用护士的理论及操作成绩和患者满意度;患者投诉及护理缺陷发生率下降。结论实施优秀聘用护士的评选,可以提高其工作积极性。     

双因素理论在军队医院聘用护士管理中的应用

利用激励-保健理论,指导教育培训激励、主人翁精神激励、个人发展激励、奖金发放等调动聘用护士工作积极性.结果实施后护理服务满意度显著高于实施前.提示,应用双因素理论能激发聘用护士工作积极性,提高护理质量.     

流行性出血热的肾脏和腹水超声改变及其临床意义

报道确诊为流行性出血热的７８例病人的肾脏和腹水的Ｂ超表现，结果显示患者早期即可有肾脏肿大，肾锥体肿胀，中心集合系统受压变窄，肾实质回声增粗、增强、肾周暗带等特征性改变，并可出现不同程度的腹水。根据这些改变可早期确诊。并依据声像图进行分型。这对临床分期，估计预后，指导治疗均有重要意义。     

Patellar hypomobility and the flexibility of the iliotibial band and the femoral quadriceps

Background. The aim of our study was to determine whether or not the flexibility of the iliotibial band and femoral quadriceps have an impact on patellar hypomobility, due to their connections with the patellar stabilizers. Material and methods. We examined 62 patients (44 females, 18 males) with a median age of 15 years (range 9-19). All these patients had patellofemoral dysfunction in the tested knees (101). The medial and distal glide of the patella were tested with a manual test according to Kaltenborn's scale. Ober's test was performed to test the tightness of the iliotibial band. The flexibility of the quadriceps femoris was tested while the patient was lying prone with the tested leg on the couch and the other beside it. Results. Statistical analysis based on the c2 test (P=0.05) found no dependence between the flexibility parameters of the iliotibial band or the femoral quadriceps and the parameters of patellar hypomobility. Of the tested joints, 37.6% showed hypomobile patella and positive Ober's test, while 34.7% had hypomobile patella and a positive test for femoral quadriceps flexibility. Conclusions. The flexibility of the iliotibial band and femoral quadriceps has no direct influence on passive patellar hypomobility, but can affect the biomechanics of the patellofemoral joint and the location of the point of contact on articular surfaces during dynamic knee work. The flexibility of these muscles should be a diagnostic factor in patients with patellofemoral dysfunction.     

班宜奎,任庆华,金娜英,孙垚,张勇

大脑与肠道以肠道菌群为介导进行双向交流,称为微生物—肠—脑轴。缺血性脑卒中(Ischemic Stroke,IS)发生后会引起肠道菌群失调,肠道菌群的失调又会影响到IS的发展和预后。研究者们通过大量研究发现肠道菌群与IS病理上密切相关,或许可以作为IS早期诊断和防治的指标之一,并且发现调节肠道菌群可以影响IS的预后。现就微生物—肠—脑轴相关性以及相应的干预方法进行综述,以期为IS的治疗提供新的思路。     

Berson, Yalow, and the JCI: the agony and the ecstasy

The isolation of insulin in 1921 by Banting, Best, Collip, and Macleod stands as one of the most dramatic stories in modern medical investigation. Only two years passed between the initial experiments in dogs to widespread human application to the awarding of the Nobel Prize in 1923. Insulin-related research has also served as a focus, at least in part, for the work of three other Nobel Prize recipients: determination of the chemical structure of insulin by Frederick Sanger in 1958; determination of the three-dimensional structures of insulin and vitamin B12 by Dorothy Hodgkin in 1964; and finally, the development of immunoassay by Solomon Berson and Rosalyn Yalow in 1959-1960, which led to a Nobel Prize for Yalow in 1977 (five years after the untimely death of Berson). The history of Yalow and Berson's discovery and its impact on the field is an illustration of the adage that every story has two sides.     

护士长管理素质与护士工作压力相关性的调查与分析

目的 :探讨病房护士长的管理素质与护士工作压力的相关性。方法 :采用问卷调查法对 12 5名护士进行调查 ,调查结果用相关性分析进行统计学处理。结果 :护士长的管理素质与护士工作压力呈负相关。结论 :病房管理者只有努力提高自身的管理素质才能相应地减轻护士的工作压力     

Tibetan Buddhism and the resolution of grief: the Bardo-thodol for the dying and the grieving

This article is a contribution to the cross-cultural study of grief. The Bardo thodol (sometimes translated the Tibetan Book of the Dead ) and the ritual associated with it provides a way to understand how Buddhism in Tibetan culture manages the issues associated with what is called grief in Western psychology. The resolution of grief in the survivors is intertwined with the journey to rebirth of the deceased. The present article describes (a) the progression of the deceased, (b) the rituals by which survivors separate from the physical incarnation of the deceased, (c) how, by channeling the feelings of grief to support the progress of the deceased, grief is brought to a positive resolution, and (d) the continuing bond survivors maintain with the dead even though the dead has moved on to the next life.