专科医院新聘职工岗前培训工作的实践思考

目的通过对专科医院新聘职工开展岗前培训工作进行实践探索,研究一套行之有效的岗前培训模式并运用于实践,从而提升专科医院新聘职工专业技能、医疗意识以及团结协作精神。方法研究对象为安徽省肿瘤医院2014～2018年间新聘551名职工,利用集团化医院管理模式开展岗前培训展开研究。结果通过对我院新员工5年的培训效果进行对比分析,选取参加培训的477名职工进行调查,并利用SPSS17.0软件进行χ~2检验,统计结果显示新员工在每个年度对医院综合满意度差异具有统计学意义(P0.05),培训后新员工对医院满意度、岗位职责知晓情况等改善,新员工工作主动性、积极性明显提高,岗前培训效果显著。结论通过对新聘员工岗前培训相关内容进行分析,完善专科医院的岗前培训体系,强化新进人才培养,为医院发展打好基础。     

谈医院新员工岗前培训

医院新入职员工的岗前培训宗旨在于使新进人员了解医院概况、医院文化及医院规章制度,便于新进人员能更快胜任工作。在医疗技术飞速发展的今天,培养品德高、医术高、科研强的医学人才是当务之急,新员工作为医院的新生力量和后备军,应重视对其进行岗前培训。新员工的岗前培训是医院文化的重要组成部分,更是提高医院医疗服务水平的一个重要环节。     

医院新员工岗前培训的实践与思考

医学院校毕业生,从学生祯医务工作者的角色转换过程中,需要专业的岗前培训指导;已有一定的工作经历的新入院员工,虽具备医疗工作经验,但不同程度地带有原医院思维模式。如何让他们尽快了解组织的规范标准及文化,适应新环境、新岗位的要求,岗前培训是行之有效的管理办法。文章通过介绍我院开展新员工岗前培训实践的四个步骤,从培训的组织、实施、效果及思考等方面进行了阐述。     

加强新员工岗前培训培养医院忠诚员工

医院每年通过招聘的形式录用新员工为医院的发展注入了新鲜血液。如何让新员工更快地进入工作角色，更好地融入团队、融入医院氛围巾发挥自身的价值；同时帮助新员工提高个人素质，培养爱岗敬业精神和团队意识，规划个人发展都是新员工岗前培训的内容，所以，及时、规范、全面的岗前培训是人力资源管理中不可忽视的一个重要环节。我院自1998年起，每年都有计划地、系统地招聘大中专毕业生，几年来对新员工的岗前培训已形成有组织、有规模的专职工作，每年以短训班的形式，集中安排7～10天时间，有计划、有重点地进行专题教育，为新员工的成长打下了良好的基础，为医院的人才储备起到了积极作用。     

医院新职工岗前培训方法探讨

<正>医院新职工岗前培训是医院针对新职工特点,结合各自医院具体状况对新分配员工进行的上岗培训。培训的内容包括院情院史,行政、临床、后勤概况,医德医风教育,礼仪形象培训,医疗规范及各项规章制度介绍等。目的是让新职工对医院有更感性的认识,尽快地进入工作角色,更好地融入医     

柯氏四级培训评估模式对优化医院新进人员岗前培训体系的启示

全面、系统地开展新进人员岗前培训是医院人力资源管理工作的一项重要环节,新进人员岗前培训体系是一个动态、持续的体系,不仅需要建立岗前培训机制,包括岗前培训课程设计、培训形式、培训内容等,还需要建立对培训效果的评估机制。本文以柯氏培训评估模式为指导,在医院开展新进人员岗前培训的长期实践中探索,不断优化新进人员岗前培训体系。     

重庆市某三甲医院新进人员岗前培训影响因素及对策

目的：通过对重庆某三甲医院开展新进人员岗前培训6年经验的总结,找出影响岗前培训效果的相关因素,并进一步完善医院对新进员工的岗前培训体系。方法：采用问卷方法对医院2007年-2012年参加岗前培训的新员工进行匿名调查,并使用Excel进行数据录入和统计。结果：培训学员对培训内容的总体满意度达到93.44%,对培训时间安排总体满意度达到83.19%,对培训教师的表现总体满意度达到94.81%。结论：新进人员岗前培训的内容设计、时间安排以及培训教师的表现等相关因素对培训效果有一定的影响,可以通过对这些因素的分析,帮助医院不断改进岗前培训安排,不断完善岗前培训体系。     

面向新世纪的医师上岗前教育

岗前教育是不同学历新毕业生了解院史、院训 ,进行热爱医院、热爱岗位教育 ,培养主人公意识 ,获取信息的一种重要教育形式〔1〕。各类医学院校毕业生在走上工作岗位前 ,需要进行岗前培训 ,目的是使他们融入医院文化氛围 ,加强爱岗敬业精神 ,增强竞争意识 ,增加对医院内部情况的了解 ,感受医院真切的关怀。本文就在新世纪来临之际 ,如何进行针对性岗前教育问题在此加以探讨。1　临床教学工作面临的新形势1.1　医疗卫生工作面对新形势　ＷＨＯ总干事布伦特兰最近访华时指出 :“中国当前面临的一项巨大挑战是卫生系统改革。随着疾病模式的改变 …     

医院新职工岗前培训的实践与思考

新职工岗前培训是医院加强人才建设的重要途径,结合医院岗前培训工作实践,从岗前培训的对象、目标、形式、维度、效果、意义等方面进行总结和论述,并从岗前培训工作制度化、提升培训效果、培训效果量化评估、加强和完善培训后续工作、新职工全员化培训等方面提出思考与建议。     

浅谈医院新员工岗前培训内容设计的探讨及做法

通过岗前培训内容的设计,应让新员工了解医院文化精髓和医院整体布局,熟悉医院各项规章制度,培养良好的职业道德,加强法律意识和重视医疗安全,建立良好人际关系及规划个人职业成长计划等,最终目的 是帮助和引导新员工尽快的融入医院大家庭,实现角色转换,消除陌生感,发挥个人的专长,尽快适应医院正常工作.     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

Dynamic Changes in Serum Estradiol and Progesterone levels in Patients of Premenstrual Syndrome with Adverse Flow of Liver-qi

Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.     

Real-time Three-dimensional Echocardiography in Assessment of Left Ventricular and Right Ventricular Volumes

Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.     

SCREENING FOR A 21-CHROMOSOME ABNORMALITY IN PREIMPLANTED EMBRYOS OF ELDERLY WOMEN

Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.     

Scientific principles and rigorous processes should be followed in developing clinical guidelines for therapeutic interventions of integrative medicine

A clinical guideline for the therapeutic interventions of integrative medicine may be defined as a written document which states a series of recommendations on therapeutic interventions of integrative medicine for a special disease or condition. The guideline may provide assistance to medical professionals in making clinical decisions aimed at improving the clinical outcome of patients and reducing the costs of medical care（~＇4~. Recommendations issued by a guideline should be based on the best available evidence in both Western and Chinese medicine. For fulfilling this purpose, the development of clinical guidelines for therapeutic interventions in the field of integrative medicine should follow scientific principles and undergo a rigorous processes.