医院战略联盟绩效影响因素分析及评价模型

战略联盟理论被众多的医院重视和认同,越来越多的医院通过"网络+联盟"的方式组建战略联盟;尽管企业战略联盟的理论和实践已取得了深入的发展,但医疗行业战略联盟的理论还很不完善,尤其是缺乏对医院战略联盟绩效评价方面系统和深入的研究。本文从联盟外部环境因素、成员自身特性、成员关系特征以及信息传递方式等方面对医院战略联盟绩效的影响因素进行了分析,建立了一个较为完整的理论评价模型,并在此基础上提出了相关建议。     

对我院医院感染状况的调查与分析

目的 了解医院感染的发生现状,为今后采取有针对性的措施,降低医院感染发生率提供依据.方法 采用回顾性调查的方法,对2009年9月至2010年8月出院患者的医院感染病例进行分析.结果 15 859 例住院患者中发生医院感染646 例,感染率为4.07%.血液科、ICU和肿瘤科患者是医院感染的高危人群.常见感染部位依次...     

简约型EAP模式在护士压力管理中的应用研究

目的 研究简约型EAP模式在护士压力管理中的应用效果.方法 随机抽取230名护士,运用简约型EAP对护士实施援助,连续干预1年,比较分析干预前后护士压力源量表和护士工作满意度量表评分情况.结果 在护士压力管理中,实施EAP前后,调查结果 均有统计学意义(P＜0.05);在护理专业及工作方面的问题、工作量及时间分配、工作环境及资源方面的问题、病人护理方面的问题、管理及人际关系五大方面差异显著.护士的工作满意度均分较干预前明显增高,特别在排班、同事之间的关系、工作被称赞和认可、工作责任的平衡等方面均明显(P＜0.05).结论 简约型EAP模式在护士压力管理中具有可行性,能有效管理和缓解护士压力,提高护士工作满意度,体现了"以人为本"的管理理念.     

Managing HIV-positive sero-status in Ghana’s most HIV concentrated district: self-perceived explanations and theoretical discourse

As of December 2015 there were 37 million persons living with HIV/AIDS (PLWHAs), 70% of whom are in sub-Saharan Africa. Ghana, which contributes a relatively small number to Africa’s HIV burden, has a generalised HIV epidemic. The current national prevalence is 1.47%. Agormanya, one of the HIV sentinel sites in the county and where this study was conducted, has current prevalence of 11.6%. This makes it critical to explore how persons infected with HIV manage their lives, especially in the midst of entrenched stigma and discrimination. However, available information on how PLWHAs in sub-Saharan Africa handle their day-to-day lives mostly dwell on food and nutrition. Thus, there is dearth of information on how PLWHAs in Ghana particularly handle the circumstances of their daily lives which are mostly coloured by their HIV-positive statuses, given their stigmatised identity. We explore how PLWHAs respond to the experiences and challenges of living with HIV/AIDS in Lower Manya Krobo, consistently most HIV-infected district in Ghana. Data were collected from 38 combined purposive and randomly selected HIV-positive persons in two leading hospitals (St Martins Depores Agormanya and Atua Government hospitals which provide specialised HIV care in the district. Using in-depth interviews, we studied how PLWHAs managed their routine livelihoods in the midst of extreme stigma. We combined the social capital and resilience theoretical frameworks to show that our respondents were mostly resilient and strategically mostly drew upon extended family social support to cope with their livelihood challenges. We recommend that community opinion leaders and other stakeholders sensitise community members in Lower Manya Krobo to better understand the mode of HIV infection and encourage/strengthen family and community cohesion and social support.     

A working paradigm for the treatment of obesity in gastrointestinal practice

Obesity is a chronic, relapsing, multifactorial disease characterized by abnormal or excessive adipose tissue accumulation that may impair health and increase disease risks. Despite the ever-increasing prevalence and economic and societal burden, the current approaches to treat obesity are not standardized or generally effective. In this article, we describe a current working paradigm developed by a consensus approach for the multidisciplinary treatment of obesity in the gastrointestinal practice. Obesity should be managed as a continuum of care focusing on weight loss, weight loss maintenance, and prevention of weight regain. This approach needs to be disseminated throughout the health care system, coordinated by a multidisciplinary team, and include gastroenterologists who are in a unique position to address obesity. Gastroenterologists are in the front line of managing the morbidity resulting from obesity, and have expertise in use of the essential tools to manage obesity such as nutrition, pharmacology, endoscopy, and surgery.     

马斯洛需要层次论成长型需求在临床护士管理中的运用

随着社会的不断发展,护理在维护人类身心健康方面发挥了极其重要的作用。但是大量的调查发现临床护士在工作中自我成长需求无法满足,自身价值得不到体现,导致护理人才的流失,进而影响了护理队伍的稳定,这对护理事业的发展十分不利。文章运用马斯洛需要层次理论中的成长型需要分析临床护士的自身发展需求,并针对其现状为护理管理者提供相应的建议,以期更好地满足临床护士的成长需要。     

个体化健康管理对改善成年男性下尿路症状的效果评价

目的 探讨个体化健康管理对改善成年男性下尿路症状的效果.方法 对100例成年男性下尿路症状患者进行为期一年的个性化健康管理.结果 健康管理后患者的国际前列腺症状评分下降、生活质量评分提高,与管理前比较差异均具有统计学意义(P<0.01);健康管理后患者勃起功能国际问卷-5评分明显下降,与管理前比较差异具有统计学意义(P...