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1.
总结了对实习护生的带教中存在的问题,包括带教老师及实习护士两方面各自存在的问题并提出了相关对策。认为加强护生的入科接待及教育,向护生介绍专科特色,采用多形式的教学活动,严格选择带教老师,注重带教老师业务水平的培养和带教能力的提高,有利于临床带教质量的整体提高。  相似文献   

2.
影响临床护理带教管理的因素及对策   总被引:35,自引:4,他引:31  
为保证临床护理教学质量,提高护生临床实习效果,结合临床护理带教管理中遇到的难点问题,及时分析,并找出管理对策。规范了带教行为,加强了实习带教管理,提高了带教水平。  相似文献   

3.
护理实习临床带教中存在的问题及对策   总被引:4,自引:0,他引:4  
目的使带教老师的自身素质和带教水平显著提高。使护生对患者的服务意识增强,对护理工作意义的认识得到进一步的加深。方法对当前带教中存在的问题做认真分析并提出对策予以改进。结果护生护理操作及理论考核成绩优秀率由原来的84.0%提高到95.9%,工作积极性和学习主动性有所改观。与此同时,带教老师的自身素质和带教水平也显著提高,患者满意率及临床护理质量随之提高。结论实习带教中存在问题的对策制定合理、有效,保证了实习效率,提高了护生的教学质量。  相似文献   

4.
影响男护生实习质量的因素及对策   总被引:2,自引:0,他引:2  
[目的]针对男护生在临床实习中存在的问题,提出相应的对策,确保男护生的实习质量。[方法]对男护生在临床实习期间出现的问题及特点进行分析,提出要加强男护生的心理调适,选择合适的带教模式,加强带教老师的选择与培训,实施人性化管理等对策。[结果]所有男护生均能顺利完成实习任务,对病区带教质量满意。[结论]男护生在实习中承受了更多的压力,积极采取对策,可确保男护生的实习质量。  相似文献   

5.
彭利芬  陈玉英  成慧 《全科护理》2008,(30):1858-1859
[目的]针对男护生在临床实习中存在的问题,提出相应的对策,确保男护生的实习质量。[方法]对男护生在临床实习期间出现的问题及特点进行分析,提出要加强男护生的心理调适,选择合适的带教模式,加强带教老师的选择与培训,实施人性化管理等对策。[结果]所有男护生均能顺利完成实习任务,对病区带教质量满意。[结论]男护生在实习中承受了更多的压力,积极采取对策,可确保男护生的实习质量。  相似文献   

6.
本文分析妇产科临床实习中存在的问题,探讨加强妇产科临床实习管理对保证和提高妇产科实习质量的意义和作用。认为妇产科实习教学需要全科教学人员树立正确的带教意识和责任感,严格按教学规则执行带教任务,并应予以妥善的组织安排和科学的教学管理,保证教学计划顺利实施。  相似文献   

7.
随着临床实习护士带教任务的繁重,实习生带教层次的多样化,临床带教的要求也越来越高。为了保证带教质量,提高带教水平,加强带教意识,根据以往带教中存在的问题,我科制定了骨科实习生入科教育路径,针对各层次学历的实习护生制定不同的带教计划、实习管理制度、带教老师职责等,取得良好的效果,现报告如下。  相似文献   

8.
儿科临床实习带教质量的探讨   总被引:1,自引:0,他引:1  
临床实习是培养医学生初步具备临床医师基本素质的关键。一个医学生的职业态度、医德医风、临床思维、工作能力及操作技巧等方面的培养 ,主要取决于临床实习阶段的教育。现对儿科临床实习带教工作探讨如下。1学校因素医学专业是比较特殊的专业 ,临床实习阶段是素质提高的关键。实习医院接收较多的实习生 ,增加了临床医师带教任务 ,工作量大超负荷 ,势必影响带教的质量。要采取对策是在高等院校扩大招生的同时 ,实习医院也要同时发展扩大 ,解决临床教师缺编的问题 ,防止实习质量的滑坡。2实习生管理部分同学实习后 ,纪律散漫 ,实习不安心 ,认…  相似文献   

9.
目的:利用具备现代化先进设备消毒供应中心条件,在新的管理模式下探讨提高护生实习质量的带教方法。方法:通过评估消毒供应中心工作特点及护理实习学生特点,不断修订带教计划,制定相应的对策。结果:持续改进后的对策,保证了护士的实习质量。结论:通过改变带教技巧,完善教学质量控制,采取科学施教,达到了预期实习效果。  相似文献   

10.
陈明芳 《华西医学》2003,18(1):94-94
在临床带教中,加强对护生的管理,提高其综合素质和业务技能,是护理管理者应关注的问题,我院护理部根据现代护理模式要求,注重培养实际工作能力强的实用型护士,改变了传统的带教方法,以详细的实习前教育是基础;选派高素质的带教老师,是保证实习质量的关键;抓综合应急能力的考核,是提高护生实际工作能力的保证为指导,提高临床带教质量。  相似文献   

11.
Societal expectations of modern laboratory medicine will engender increasing scrutiny about the accuracy of laboratory data, the timeliness of performing laboratory tests, and the transmission of the results. Laboratorians who understand basic medicolegal principles applicable to laboratory medicine will be comfortable at the interface between law and medicine, and likely will practice acceptable laboratory medicine. Good medicine is good law. The authors divide their discussion into four parts: accountability for laboratory services, quality and risk in laboratory management, forensic evidence in the laboratory, and testimony by clinical laboratory personnel.  相似文献   

12.
儿童骨显像操作指南   总被引:2,自引:2,他引:0  
儿童骨显像操作指南编写的主要内容包括儿童骨显像检查的临床适应证及禁忌证、核医学医务人员岗位要求、检查操作规范(病史采集、患儿准备及注意事项、放射性药物、图像采集、显像模式)、报告处理、质量控制及显像过程中的辐射安全。该指南主要适用于临床应用最多的99Tcm-MDP儿童骨显像检查。该操作指南的目的是为核医学医师在临床工作中处理儿童骨显像检查提供实用而行之有效的操作规范。  相似文献   

13.
曹利  王一平 《华西医学》2007,22(4):700-701
目的:分析我国急诊医学核心期刊临床随机对照试验文献,了解其能否为临床循证医学实践提供真实可靠的证据。方法:对我国急诊医学核心期刊进行计算机检索,并从检索结果中筛选出临床RCT文献进行分析。结果:检出临床RCT文献702篇。393篇描述了诊断标准,占56%;702篇描述了纳入标准,占100%;266篇描述了排除标准,占38%;26篇样本含量≥100例,占3.7%;34篇描述了随机分配方法,占5%;19篇描述了随机分配方案隐藏情况,占3%;19篇清楚描述盲法采用情况,占3%;702篇描述设立了对照,占100%;231篇清楚描述基线资料,占33%;592篇干预措施描述清楚,占84%;624篇观测指标及终点指标描述清楚,占89%;267篇描述了毒副作用,占38%;305篇清楚描述随访时间,占43%;10篇清楚描述脱落失访情况,占1%;1篇描述了依从性,占0.1%;145篇统计分析完全正确,占21%。结论:我国急诊医学核心期刊临床RCT文献质量尚需进一步提高,以满足临床循证医学实践需要。  相似文献   

14.
儿科核医学诊疗技术操作规范和临床应用指南的主要内容包括儿科核医学检查治疗的准备工作和注意事项、医务人员岗位要求、放射性药物剂量、病史采集方案、显像程序流程、临床应用范围和安全性。该指南适用于临床应用较多的儿童核医学检查。该操作指南的目的是为核医学医师在临床工作中进行儿童检查提供实用而行之有效的操作规范。  相似文献   

15.
16.
This presentation will review academic programs and discuss the pros and cons of academic practice. The role of the academic physiatrist in the future and the requirements for improving academic programs will be addressed. Like any other medical specialty, the viability of physical medicine and rehabilitation depends on its acceptance as an academic discipline. In recent years, there has been a number of positive indicators for strengthening academic physiatry including: increased educational exposure to medical students, increased number of residency programs and percentage filled and increased emphasis on research activities. Academic practice of physiatry should appeal to the individual with the following goals in life: (1) increase involvement in scholarly activities; (2) be on the cutting edge of new techniques and concepts of practice; (3) become a recognized expert in subspecialization areas; (4) vary practice more evenly between direct and indirect patient care activities; (5) work in an intellectually stimulating environment but with some constraint on one's destiny; (6) obtain adequate but not high financial rewards supplemented by a high benefit package; and (7) make a significant impact on the future of physical medicine and rehabilitation at the national level. Because academic physiatry will significantly influence the determination of what is rehabilitation and who will practice it, we must strive to improve the quantity and quality of academic programs. Areas especially needing attention are research and education to establish the scientific basis of the field and to train qualified personnel. To meet these goals, high quality clinical and scholarly programs with subspecialization, an adequate financial base and good marketing program will be necessary.  相似文献   

17.
目的 构建浙江省中医护理技术规范化管理方案,进一步统一中医护理技术名称和分类,制订技术分级原则和人员资质准入标准,促进中医护理技术同质化管理和质量改进。方法 2020年8月—2022年3月,组建研究小组并结合文献研究、现状调查结果形成浙江省中医护理技术规范化管理方案初稿,采用德尔菲专家函询和专家论证等方法制订浙江省中医护理技术规范化管理方案并通过技术分级预测模型进行验证。结果 德尔菲法共函询35名专家,问卷有效回收率为100%;专家熟悉程度系数为0.917,判断系数为0.909,专家权威程度系数为0.913,函询结束后中医护理技术归纳为11类,80项,并制订3个维度的技术分级原则。根据技术分级影响变量构建2项预测模型并绘制受试者操作特征曲线,得出受试者操作特征曲线下面积为0.904。通过专家论证会,最终确定为8类,56项,包括中医护理技术名称、类别和级别,并制订中医护理技术的人员资质准入标准。结论 构建的中医护理技术规范化管理方案具有较高的科学性,为中医护理临床实践的质量提供保障,同时有助于推动中医护理学科发展。  相似文献   

18.
Clinical Governance and evidence-based laboratory medicine.   总被引:1,自引:0,他引:1  
BACKGROUND: Clinical Governance is described as "a framework through which the NHS organisations are accountable to continue to improve the quality of the service and safeguarding high standards of care by creating an environment in which excellence in clinical care would flourish"; it is aimed to ensure continuous improvement in the overall standard of clinical care, ensuring that clinical decisions are based on the most up-to-date evidence in terms of effectiveness. METHODS: If Clinical Governance is a framework through which NHS organisations are accountable to continuously improve the quality of their services and safeguarding high standards of care, Clinical Effectiveness is a vital part of Clinical Governance. Clinical Effectiveness is a term that refers to measuring and monitoring the quality of care, and comprises various activities, including: Evidence-Based Practice, Research and Development, Clinical Audit, Clinical Guidelines, Integrated Care Pathways, and Total Quality Management. RESULTS: The application of evidence-based medicine (EBM) in laboratory medicine or evidence-based laboratory medicine (EBLM) aims to advance clinical diagnosis by researching and spreading new knowledge, combining methods from clinical epidemiology, statistics and social science with the traditional pathophysiological molecular approach. EBLM, by evaluating the role of diagnostic investigations in the clinical decision-making process, can help in translating the results of good quality research into everyday practice. CONCLUSIONS: If Clinical Governance is a framework through which organisations are accountable to improve the quality of care, health professionals should identify high quality standards, and systematically and rigorously monitor against them the process and outcomes that represent the diagnostic process. Within such a policy framework, practice guidelines are expected to play a major role, providing the basis to access the quality of care and guidance where clinical practice is found not in line with professional standards.  相似文献   

19.
PURPOSE OF REVIEW: New data on the efficacy of low tidal volume ventilation for acute lung injury, noninvasive ventilation for chronic obstructive pulmonary disease exacerbation, weaning from mechanical ventilation, and prevention of ventilator-associated pneumonia provide, for perhaps the first time in respiratory care, compelling evidence for clinicians to change practice. However, experience from every other field in medicine suggests that there will be significant barriers to changing clinical practice at the bedside.Studies on implementation of effective practice in medicine shows that a multifaceted, team-oriented approach incorporating reminders, efficient use of non-physician personnel, protocols, and education is required to change clinical practice. Limited data on current practice of mechanical ventilation suggest that it deviates from recommended practice. Unfortunately, there are no studies exploring community-based implementation of mechanical ventilation guidelines and only a few studies to inform clinicians as to why ventilator practice may be difficult to change.As the evidence base grows for effective critical care practice, so does the responsibility to translate practices that improve outcome from research journals to patients' bedsides. Strategies for doing this are presented in the review.  相似文献   

20.
目的 探讨品管圈在精神科开放病房降低药物发放不及时事件发生率中的应用效果.方法 成立品管圈,通过对药物发放不及时事件发生率临床现状把握,设定目标,原因分析,拟定并实施对策,最终进行效果评价.结果 药物发放不及时事件发生率由改善前的6.7%降低到改善后的1.3%.结论 品管圈活动有效降低了药物发放不及时事件的发生率,提高了护理人员的专业技术水平和质量管理能力,促进了护理质量的持续改进.  相似文献   

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