依托大学附属医院培养医学影像技术专业的问题与思考

我国医学影像技术专业开设时间短,办学依托模式在各高校间存在较大差异,其中基于大学附属医院培养医学影像技术专业的模式存在课程体系逻辑不合理、教研机构设置不健全、学生创新研究引导不足等弊端,同时本文提出缓解上述不利教育因素的方案,旨在进一步完善高校附属医院主导医学影像技术专业建设的模式,输出更优质的人才。     

情绪释放技术在白内障日间手术老年患者中的应用

目的 探讨情绪释放技术在老年白内障日间手术患者中的应用,评价其减轻患者术前焦虑情绪、降低术前紧张性高血压发生率的效果。方法 通过便利抽样法,选取2021年09月-12月于本院手术室接受白内障日间手术的老年患者216例,采用历史对照研究,将2021年09-10月符合纳入标准的108例白内障日间手术患者作为对照组,2021年11-12月的108例白内障日间手术患者作为实验组,对照组采取常规的护理干预措施,实验组在常规护理干预的基础上联合情绪释放技术的护理方案进行干预。比较两组患者的焦虑评分、血压、患者满意度。结果 实验组患者焦虑评分、血压降低幅度均低于对照组,差异有统计学意义(P<0.05)。实验组患者家属满意度高于对照组,差异有统计学意义(P<0.05)。结论 情绪释放技术可以有效地降低术前紧张性高血压的发生率,缓解白内障老年患者的焦虑情绪,降低手术取消率,提高患者的满意度,提升护理服务质量,为手术的顺利进行提供保障。     

Factors associated with the perceptions of eHealth technology of Chinese nurses and nursing students

AimThe current study sought to assess the perceptions of eHealth technology of nurses and nursing students in China and to examine the association between these perceptions and demographic factors.BackgroundDespite the increasing use of eHealth technologies in China and across the globe, the perceptions of practicing and student nurses remain minimally explored. Findings from such an inquiry can potentially inform actions and policies to improve the uptake of eHealth technologies among Chinese nurses.DesignThis was a cross-sectional study with a real-time online survey.MethodsA convenience sample of 1338 nurses and nursing students from Mainland China participated in the study. Their perceptions of eHealth technology were collected using the Chinese version of the Perceptions of eHealth Technology Scale. The Kruskal-Wallis test and multiple linear regression analysis were used to examine the relationship between demographic variables (age group, gender, occupation, education level, position and clinical experience) and perceptions of eHealth technology. All study procedures adhered to the STROBE guidelines.ResultsMost participants were aged between 20 and 29 (55.8%). Nearly half (42.5%) were frontline clinical nursing staff, some were nursing students (36.2%), academic nursing staff (12.3%) and clinical nursing management staff (9.0%). Regardless of the differences in their demographic characteristics, the participants had higher mean scores in “Perception of eHealth applications” and lower mean scores in “Knowledge of eHealth technology”. Participants with doctoral degree had a higher mean total score and higher sub-scale scores in knowledge of eHealth technology, perception of the advantages of eHealth technology and perception of eHealth applications; and the lowest scores in perception of the disadvantages of eHealth technology and perception of eHealth applications. Occupation, position and clinical experience were found to be the demographic characteristics associated with eHealth perceptions, before adjusting for age and gender. Education level was associated with eHealth perceptions regardless of adjustment.ConclusionOverall, participants had higher scores on perceptions of eHealth applications but lower scores on knowledge of eHealth technology. Considering the association between education and all subscales and overall scores, it may be essential to implement continuing professional education for nurses to improve their knowledge of eHealth applications. Encouragement to use available eHealth digital technologies may also be helpful to improve perceptions of eHealth.     

Educating early childhood teachers for the global world

Teachers for the twenty‐first century for the global world need to be proficient in technology and skilled as reflective practitioners. They need to be able to reflect on diversity in myriad ways: learning styles, special needs, cultural differences, racial differences, developmentally appropriate differences, teaching styles and personality differences of children, teachers, parents, community members and administrators. The paradigni shift of the twenty‐first century is that teachers need to be team players who are skilled at operating in a variety of collaborative partnerships.

The Early Childhood Program Faculty, at NEIU, with the help of a Teacher Quality Education grant, developed with six universities in Illinois called Illinois Professionals Learning Partnerships (IPLP), set out to adapt the NEIU/ECED program for the twenty‐first century in a global world by focusing on four goals: (1) increasing technology and writing skills across the curriculum, (2) developing reflective skills and understanding of diversity (special needs, multicultural/international cultures), (3) developing student experience working in collaborative partnerships and (4) increasing clinical experiences.

The IPLP grant enabled the ECED program to: (1) spend intensive time on changing the curriculum in two retreats a year, (2) develop a faculty cohort including tenure track faculty, visiting lecturers and adjuncts, (3) develop a combined program of research and program development, (4) recruit and hire three new tenure track international faculty, (5) develop professional development schools and intensive field experiences, (6) combine resources for many grants, (7) develop short‐term international experiences and faculty exchange programs and (8) increase technology skills of students and faculty through action laboratories on using video technology, digital cameras, reflective email discussions and videography.     

基于信息化的医院财务管理探讨

分析了当前我国公立医院财务管理信息化存在的问题,介绍了公立医院管理信息系统总体结构的软硬件情况,设计了公立医院财务管理信息系统框架结构,以便为医院财务管理中信息化应用提供参考。     

城乡基层医疗机构常见病卫生技术利用比较分析

目的了解城乡基层医疗机构住院病人常见病卫生技术利用情况,提出建议。方法根据预调研结果,确定城乡基层医疗机构住院病人前10位常见病为研究对象;运用多阶段分层随机抽样,抽取8家城乡基层医疗机构;通过系统抽样,抽取样本医疗机构样本病种住院病历,统计住院病人基本信息及卫生技术利用情况。结果社区卫生服务中心住院病人的住院天数、检查项目、化验项目及药物使用大部分高于乡镇卫生院。结论相关部门应加大农村卫生事业投入;基层医疗机构应加强适用性基础设施建设及常规设备的配置与更新,贯彻与落实基本药物制度;各级卫生行政部门及基层医疗机构应加强医务人员基本卫生技术培训等。