灾难护理教育在提高护生职业认同感中的应用

目的:探讨灾难护理教育在提高护生职业认同感中的效果。方法:选取2018年6月至2019年1月在我院的138名护理实习生作为对照组,采用传统的教学方法;2019年6月至2020年1月在我院的146名护理实习生作为观察组,加入灾难护理教育。比较2组护生灾难护理知识考核成绩、职业认同感差异,观察组护生对灾难教育法效果评价。结果:经过灾难教育后,观察组护生灾难护理知识考核成绩从干预前的(29.88±5.13)分提高到(61.04±0.89)分(P<0.05);实习结束后观察组职业认同感总分较对照组高(P<0.05);观察组对改善职业态度的满意度为95.89%,总体满意度高达95.21%。结论:对护生进行灾难护理教育,使其深度了解灾难护理、改善职业态度,从而提高职业认同感。     

临床医学专业学位研究生培养体系的探索与实践

临床医学专业学位研究生培养目标是培养掌握坚实的医学基础理论、基本知识和基本技能,具有较强临床实践能力、临床研究能力、创新能力的高素质、高层次、复合型医学人才。在当前临床医学专业学位研究生与住院医师规范化培训并轨培养背景下,如何提升临床医学专业学位研究生综合能力和全面素质,成为临床医学专业学位研究生培养迫切需要解决的问题。文章以锦州医科大学为例,介绍了学校近几年在临床医学专业学位研究生培养中探索构建以综合能力为导向的培养体系的经验和体会,旨在寻求既符合医学教育规律,又有利于培养医学研究生综合素质的最佳培养模式,提高医学人才培养质量。     

深化医改背景下提高公立医院文化建设的探索

随着我国医药卫生体制改革的不断深入,公立医院发展面临新的挑战,因此建立一支立场坚定、具有新时代医疗卫生职业精神、愿意奉献与坚守、对职业有高度认同感的高素质医务工作者队伍就显得尤为重要。通过提高公立医院文化建设的科学化水平可以助推这支队伍的建设,从而提高医院的核心竞争力。本文结合江苏省老年医院近年来在医院文化建设方面的探索与实践,坚持党建引领、制度完善、以人为本、主动创新、全员参与的五项原则,形成了具有鲜明特色和丰富内涵的医院文化体系,树立了省老年病医院品牌,为促进医院高质量发展提供了不竭的动力与保障。     

Prevention of violence in prison – The role of health care professionals

The World Health Organization (WHO) classifies violence prevention as a public health priority. In custodial settings, where violence is problematic, administrators and custodial officials are usually tasked with the duty of addressing this complicated issue-leaving health care professionals largely out of a discussion and problem-solving process that should ideally be multidisciplinary in approach.Health care professionals who care for prisoners are in a unique position to help identify and prevent violence, given their knowledge about health and violence, and because of the impartial position they must sustain in the prison environment in upholding professional ethics. Thus, health care professionals working in prisons should be charged with leading violence prevention efforts in custodial settings.In addition to screening for violence and detecting violent events upon prison admission, health care professionals in prison must work towards uniform in-house procedures for longitudinal and systemized medical recording/documentation of violence. These efforts will benefit the future planning, implementation, and evaluation of focused strategies for violence prevention in prisoner populations.     

The Sustainability of Improvements from Continuing Professional Development in Pharmacy Practice and Learning Behaviors

Objective. To assess the long-term sustainability of continuing professional development (CPD) training in pharmacy practice and learning behaviors.Methods. This was a 3-year posttrial survey of pharmacists who had participated in an unblinded randomized controlled trial of CPD. The online survey assessed participants’ perceptions of pharmacy practice, learning behaviors, and sustainability of CPD. Differences between groups on the posttrial survey responses and changes from the trial’s follow-up survey to the posttrial survey responses within the intervention group were compared.Results. Of the 91 pharmacists who completed the original trial, 72 (79%) participated in the sustainability survey. Compared to control participants, a higher percentage of intervention participants reported in the sustainability survey that they had utilized the CPD concept (45.7% vs 8.1%) and identified personal learning objectives (68.6% vs 43.2%) during the previous year. Compared to their follow-up survey responses, lower percentages of intervention participants reported identifying personal learning objectives (94.3% vs 68.6%), documenting their learning plan (82.9% vs 22.9%) and participating in learning by doing (42.9% vs 14.3%) in the sustainability survey. In the intervention group, many of the improvements to pharmacy practice items were sustained over the 3-year period but were not significantly different from the control group.Conclusion. Sustainability of a CPD intervention over a 3-year varied. While CPD-trained pharmacists reported utilizing CPD concepts at a higher rate than control pharmacists, their CPD learning behaviors diminished over time.     

北京市结核病防治医务人员职业倦怠状况及影响因素调查

目的:调查北京市结核病防治医务人员职业倦怠情况,探讨低成就感、人格解体及情感衰竭3个不同维度的职业倦怠影响因素,提出减轻职业倦怠产生的建议和对策,提高结核病防治工作质量。方法:2021年4月25日至5月10日,采用现况调查的方法,运用结构型自填问卷对北京结核病控制研究所及北京市16个区的结核病防治机构从事诊疗、防控岗位的医务人员进行在线匿名问卷调查。调查内容包括马斯勒职业倦怠调查普适量表(MBI-GS)以及自行设计的一般信息表。采用logistic逐步回归,分别分析职业倦怠3个维度的影响因素。结果:共发放问卷313份,收回有效问卷311份,有效率为99.36%。311名结核病防治医务人员中,男性 81名(26.05%),女性230名(73.95%),平均年龄(41.12±9.84)岁,检出职业倦怠195名(62.70%),低成就感202名(64.95%),人格解体144名(46.30%),情感衰竭192名(61.74%)。3个维度影响因素的logistic回归分析显示:从事防控岗位(OR=2.12,95%CI:1.26~3.55) 的医务人员在工作中更容易体会到低成就感;从事结核病防治工作时间≥10年(OR=2.21,95%CI:1.34~3.64)、每周累计运动时间<3h(OR=1.71, 95%CI:1.04~2.82)、职称晋升没达到期望(OR=3.09,95%CI:1.79~5.33)、与同事相处不融洽(OR=2.70,95%CI:1.43~5.08)的医务人员更容易出现人格解体现象;每天睡眠时间<6h(OR=1.85,95%CI:1.02~3.37)、职称晋升没达到期望(OR=1.84,95%CI:1.11~3.05)、与同事相处不融洽(OR=2.68,95%CI:1.34~5.35)的医务人员更容易发生情感衰竭。结论:北京市结核病防治医务人员职业倦怠检出率较高,从事防控岗位的人员更容易出现低成就感,应增加结核病防治医务人员职称晋升机会、开展团体心理建设、共同建立良好的工作氛围,多措并举提高工作成就感,从而减轻职业倦怠的发生。