公立医院人力资源配置竞争力及问题研究

人力资源配置实际上是用人的艺术,强调人才是一类重要的资源,根据人才的不同能力在不同岗位上进行分配,最大程度发挥人才的价值。当前因为经济水平的不断提升,新医疗体制改革越来越深入,公立医院需要承受非常大的压力。在人力资源配置上,公立医院具有一定竞争力,但同时也存在一些问题,医院必须保持较高的竞争意识,保证人力资源的合理配置,才可以确保医院始终具备良好的竞争力,保证可持续的发展。     

Factors Associated With Discharge Destination in Older Patients: Finnish Community Hospital Cohort Study

ObjectivesPrimary care physician-led community hospitals provide basic hospital care for older people in Finland. Yet little is known of the outcomes of the care. We investigated factors associated with discharge destination after hospitalization in a community hospital and the role of active rehabilitation during the stay.DesignProspective observational study.Setting and ParticipantsShort-term community hospital stays of older adults (≥65 years) living in the Kuopio University Hospital district in central and eastern Finland.MethodsData on short-term (1-31 days) hospital stays from 51 community hospitals were collected with an electronic survey between January and June 2016. Physicians, secretaries, and rehabilitation staff from each community hospital completed the data collection form. Discharge destination was defined as home, residential care or death, and active rehabilitation as frequency of rehabilitation at least once a day. Analyses were conducted using the Bayesian approach and the BayesiaLab 9.1 tool.ResultsData of 11,628 community hospital stays were analyzed. The patients' mean age was 81.6 years (SD 7.9), and 57.5% were women. A younger age (65-74 years), a high number of rehabilitation staff (>2 per 10 patients), and receiving rehabilitation at least once a day were associated with discharging patients to their own homes. Daily rehabilitation was associated with returning to home in all patient groups.Conclusions and ImplicationsOlder patients admitted to a community hospital for any reason may benefit from active rehabilitation. The role of community hospitals in the acute care and rehabilitation of older patients is important in aging societies.     

SHEL模式下基层医院护理人员高警示药品安全管理培训的效果

目的:探究SHEL模式下基层医院护理人员高警示药品安全管理培训的效果。方法:选取2020年7月—2021年6月在医院从事临床护理工作的80名护理人员,随机将其分为观察组与对照组各40人。对照组实施常规培训模式,观察组实施SHEL模式培训,比较两组护理人员高警示药品相关知识及技能掌握程度、意外事件发生率及核心能力。结果:培训后观察组护理人员理论及操作得分分别为(86.75±6.18)分及(93.19±4.28)分,核心能力得分为(228.98±8.37)分,均明显高于对照组(P<0.05),同时观察组护理人员在护理过程中出现给药前未双人核对、药品分类不清及交接记录不全的概率分别为0.95%、0.95%及1.90%,明显低于对照组(P<0.05),且未出现药物外渗及滴速有误等情况。结论:对基层医院护理人员实施SHEL模式下高警示药品安全管理培训,能够有效提高护理人员高警示药品理论、技能掌握程度及核心能力,同时有助于降低护理工作中意外事件的发生概率。     

新型冠状病毒肺炎疫情期方舱医护人员共情疲劳及影响因素分析

目的了解新型冠状病毒肺炎疫情期方舱医护人员共情疲劳现状及其影响因素。方法应用专业生活质量量表(ProQOL)和心理弹性量表(CD-RISC)对在武汉市3所方舱医院工作的219名医护人员进行问卷调查。结果方舱医院医护人员共情疲劳得分为共情满意维度(38.74±7.83)分,职业倦怠维度(21.64±5.05)分,继发性创伤应激维度(20.90±6.29)分;其中轻度共情疲劳105人(47.95%),中度共情疲劳32人(14.61%),重度共情疲劳23人(10.50%);共情疲劳受医护人员工作单位所在省份、突发公共卫生事件工作史、方舱工作时间、工作环境适应情况、工作负荷、睡眠情况、心理弹性的影响(P0.05,P0.01)。结论新型冠状病毒肺炎疫情下医护人员共情疲劳现象普遍存在,可通过加强突发公共卫生事件相关培训与督导、合理人力资源管理、创造良好的工作氛围、加强一线医护人员人文关怀等措施帮助改善共情疲劳状态,维护医护人员的身心健康。     

综合医院心理卫生科住院患者的特征分析

目的 分析综合医院心理卫生科住院患者的基本特征,提出综合医院心理卫生科住院患者的护理模式.方法 采用回顾性方法,对心理卫生科2002-2005年的745例住院患者进行分析.结果 综合医院心理卫生科住院患者中16～55 岁患者占81.60%,市区住院患者占62.68%,平均住院(52士69.44)d,发病时间≥30 d者占60.81%,神经症、癔症与心理生理障碍占52.6%.治愈率为46.98%,总有效率为90.74%.结论 综合医院设立心理卫生科病房,不仅方便患者就医,而且对综合医院管理和医护模式的转变有不可替代的作用.