男护士专业态度与工作压力源的调查研究

[目的]了解分析男护士专业态度与工作压力源的状况.[方法]选择毕业工作1年～4年45名男护士,采用自制护理专业态度调查表及中国护士工作压力源量表,进行男护士专业态度与工作压力源问卷调查.[结果]45名男护士工作压力程度处于中等水平,对本专业认同度较低,但自我认同较好;其压力源主要来源于"工作量及时间分配问题"等原因,其择业动机影响专业态度及工作压力的程度,专业态度与工作压力程度呈负相关.[结论]应加强男护生和男护士专业思想教育,提高男护士的社会地位,合理调整护理工作量,从而提升男护士专业认同感,减轻工作压力,减少流失率.     

医院专职陪护人员压力因素调查研究

目的了解医院专职陪护人员的压力因素构成,给陪护管理提供可行性指导。方法自行设计问卷对100 名某大型综合医院陪护中心的专职陪护人员进行随机抽样调查,并对医院专职陪护人员的构成、压力因素以及两者的关系进行探讨。结果医院专职陪护人员的压力因素依次为伦理因素、身体因素、患者病情、缺乏社会支持、经济因素、自我感受、限制社会活动、缺乏医务人员支持及知识缺乏等方面的问题。其不受教育程度、职业及陪护年限的影响(P>0.05)。不同性别的陪护人员在经济方面的压力差异有显著性意义(P<0.05);有无兼职工作、不同年龄段的陪护人员在缺乏社会支持方面的压力存在差异(均P<0.05);不同婚姻状况、不同收入的陪护人员在缺乏医务人员支持方面的压力亦显示差异(均P<0.01)。结论尊重陪护人员,给其理解和支持,完善陪护人员管理制度,不断提高其素质,能使陪护人员更好地为患者和社会服务。     

实习阶段本科护生临床能力调查分析

目的探讨围术期患者舒适护理的管理、实施方法和效果。方法树立正确的围术期护理理念,注重舒适护理和人文关怀;组织授课,提高舒适护理的理论水平;开展术前访视和术后随访;开展手术体位的规范化培训,提高患者术中体位舒适度;配置手术室舒适护理硬件设备、完善使用;制订围术期舒适护理考核评价标准等。结果患者围术期舒适度提高,患者和手术医生对手术室护士的满意度均得到提高。结论系统、科学的管理能促进手术室护士实施舒适护理,提高患者围术期舒适度,保证手术安全。     

精神科护士的职业危险因素及防护对策

高风险性的护理工作存在多种危险因素,通过普及法制教育、加强责任心、增强护士的自我防护意识,同时完善管理制度、规范操作规程、减轻工作压力等积极的防护对策,收到了良好的效果。     

职称晋升资料演示系统的设计与应用

本文简要介绍了医院职称晋升中资料演示系统的设计方案和实施步骤等内容。     

THE IMPACT OF PROFESSIONAL ADJUSTMENT ON THE PSYCHOLOGICAL DISTRESS OF IMMIGRANT PHYSICIANS

The impact of professional adjustment on the psychological well-being of recent immigrant physicians from the former USSR to Israel was examined. Sources, levels and symptoms of distress were measured by the Demographic Psychosocial Inventory, PERI Demoralization Scale and Brief Symptom Inventory. Data were collected from physicians during two stages in the professional adjustment: the retraining stage (N=379) and the specialization stage (N=102). The groups differed significantly in the frequency of reported stressors. Distress level was lower among specializing physicians than in the physician retraining phase. From the most prominent symptoms characterizing distress in the retraining physicians only depression and anxiety persist in specializing physicians. The ‘group at risk’ for stress-related psychopathology was significantly smaller in specializing than that in retraining.     

重大疫情期间护生职业认同感现状及影响因素研究

目的 了解重大疫情期间护生职业认同感现状及影响因素,为疫情期间高校开展职业思想教育提供理论依据.方法 应用一般资料问卷、职业认同感量表对山西省4所医学类院校935名护生进行问卷调查.结果 护生职业认同感总分为44.00(38.00～48.00)分,条目均分为4.40(3.80～4.80)分,性别、学历、就读护理专业原因...     

Installing oncofertility programs for breast cancer in limited versus optimum resource settings: Empirical data from 39 surveyed centers in Repro-Can-OPEN Study Part I & II

PurposeAs a further step to elucidate the actual diverse spectrum of oncofertility practices for breast cancer around the globe, we present and discuss the comparisons of oncofertility practices for breast cancer in limited versus optimum resource settings based on data collected in the Repro-Can-OPEN Study Part I & II.MethodsWe surveyed 39 oncofertility centers including 14 in limited resource settings from Africa, Asia & Latin America (Repro-Can-OPEN Study Part I), and 25 in optimum resource settings from the United States, Europe, Australia and Japan (Repro-Can-OPEN Study Part II). Survey questions covered the availability of fertility preservation and restoration options offered to young female patients with breast cancer as well as the degree of utilization.ResultsIn the Repro-Can-OPEN Study Part I & II, responses for breast cancer and calculated oncofertility scores showed the following characteristics: (1) higher oncofertility scores in optimum resource settings than in limited resource settings especially for established options, (2) frequent utilization of egg freezing, embryo freezing, ovarian tissue freezing, GnRH analogs, and fractionation of chemo- and radiotherapy, (3) promising utilization of oocyte in vitro maturation (IVM), (4) rare utilization of neoadjuvant cytoprotective pharmacotherapy, artificial ovary, and stem cells reproductive technology as they are still in preclinical or early clinical research settings, (5) recognition that technical and ethical concerns should be considered when offering advanced and innovative oncofertility options.ConclusionsWe presented a plausible oncofertility best practice model to guide oncofertility teams in optimizing care for breast cancer patients in various resource settings.     

How to pass the national selection interview

This article outlines the author's recommendations on how to navigate the current national selection process in order to achieve a higher surgical training post. The article breaks the daunting task of selection down into manageable sections covering pre-application portfolio boosting activity, an explanation of the online application process, and hints and tips to prepare for the interview itself. We hope to provide an overview of this process and allay some fears that surround this challenging time for applicants.