军队医院聘用合同护士心理状况调查及管理对策

在社会主义市场经济发展的新形势下 ,军队医院面向社会 ,实行对外开放 ,扩大了收治范围。驻汉部队各医院根据医疗任务的需要 ,不同程度的扩展了床位 ,为保证护理质量 ,解决编制护士明显短缺的问题 ,各医院均从地方卫校择优招聘了部分应届毕业生补充到护理岗位 ,成为合同护士。这支军队医院护理队伍中的特殊群体 ,她们的前景如何 ,能否在军队医院长期干下去 ?带着这个问题我们作了一次军队医院聘用合同护士心理状况调查 ,根据调查结果 ,采取相应管理对策 ,以供参考。1　资料和方法为全面了解军队医院聘用合同护士的心理状况 ,我们设计了军队…     

坚持以人为本规范聘用护士管理

随着军队医院编制护理人员数量的不断减少，大量聘用地方护士已成为医院补充护理力量，缓解护理人员不足的重要手段。我院自1986—2005年共聘用护士160余人，现有聘用护士51人，占全院护士的84％。近年来，医院不断改善她们的政治生活待遇和工作学习环境，使聘用人员队伍思想稳定，工作安心，在医院建设中发挥着重要作用。[第一段]     

部队医院手术室聘用护士培训方法的探讨

随着部队医院对外开放和精减整编，大批地方护士进入军队医院从事护理工作，较好地解决了护士人力不足的问题。我院手术室自1998-01～2004-12先后招聘11名聘用护士。为了提高聘用护士队伍素质，使她们成为手术室护理骨干，在聘用护士的选用和培养过程中不断积累经验，形成了一套比较全面的培训方法，介绍如下。     

强化护士法律意识规范护士行为

我院虽是地处边陲城市的一所军队中心医院，但医疗环境、设备、技术水平在当地及周边都有一定优势。由于近年部队精简整编，护理队伍缩减，医院大量聘用非现役人员。目前我院军人护士只占4％，非现役文职人员占7％，而89％的非现役护士都是来自地方院校毕业的应届生。由于低年资护士的增多，护士技术欠缺、经验不足，从而也使护理服务质量难以提高。随着医学知识的普及，法律观念的增强，公民自我保健意识和法律意识不断加强，病人的合法权益一旦受到损害，就要追究法律责任。然而在护士中普遍存在法律意识淡薄的问题，特别是缺乏与护理有关的法律知识。     

加强聘用护士管理,确保临床护理质量

随着军队建设向“精兵、强军”的战略转移,军队医院护理编制员额不断压缩。军队医院通过大量聘用地方护理人员,缓解了临床护理工作人员少、任务重的矛盾,但同时也给军队医院管理带来了新的问题。如何加强聘用护士管理,提高素质,确保护理工作质量,已成为当前军队医院必须认真解决的一个重要课题。 我院从1990年开始聘用地方护士,先后共计聘用了186人。目前在院90人,占护士总数的60％,最长工龄9年,平均年龄21±3岁,大专以上学历占13％。12年来,我们不断探索和完善聘用护士管理机制,营造栓心留人的氛围,着力提高她们的全面素质,确保护理工作质量,取得了较好的效果。现将我     

边疆中小型军队医院聘用护士的培训与管理

我院地处边疆,是汉、蒙、维、回、哈萨等多民族共同居住区,是一所中小型军队医院。随着军队医院编制体制的改革与调整,护理人员的组成结构发生了很大的变化,聘用地方人员已成为军队医疗机构中护理人员的主体,我院现有聘用护士235人,占全院护士的87.03%。近几年来,我院为了营造拴心留人的环境,激发聘用人员的"主人翁"意识,对其进行规范化、合理化的培训和管理,不断改善她们     

军队聘用护士进行护士长适任培训的实践

聘用护士是军队医院适应新形势、谋求再发展的特殊条件下产生的新事物。随着聘用护士在军队医院工作阅历的增加，已具有相当的业务素质和军事素质。为保持军队医院护理队伍结构的优化，培养并保留护理后备人才，我院选拔优秀聘用护士进行了护士长适任培训，并在培训前后进行问卷调查。现报告如下。     

运用激励机制 加强聘用护士的管理

随着军队编制体制改革的深入，聘用护士逐渐成为军队医院临床护理队伍的重要组成部分，是护理队伍建设和发展的主要力量，其整体素质决定着医院护理水平的高低。我院目前聘用护士已占全院护士总数的51．4％。在近4年的护理管理工作实践中，我们合理应用不同的激励机制，充分调动聘用护士的积极性，激发其内在潜力，大大提高了聘用护士的工作绩效，推动了医院整体护理质量的提高。     

我院“女子民兵救护队”组建6年管理体会

近年来，随着军队医院编制体制调整、人员精简整编，聘用护士作为特殊群体走进军营，给新时期军队医院管理工作带来新的课题，如何最大限度地挖掘她们的潜能，用好管好这支生力军，我院由聘用护士组建成的“女子民兵救护队”，实行军事化管理，经6年的实践，走出了一条对聘用护士科学、合理、合法管理的新路子。     

新形势下军队医院聘用护士所面临的问题及对策

近年来，随着部队精简整编政策的不断深入，军队医院中军人护士编制大幅度减少，而科室展开床位逐渐增加，军队医院大量聘用合同护士已成为一种必然趋势。聘用护士为军队医院弥补人力不足，顺利完成医疗、科研、教学发挥了很大作用，并逐渐成为军队医院护理队伍的重要组成部分。以我科为例，聘用人员常年在60．0％以上，且还在不断增加。但是，     

Optimization of the system of medical service of students of Cadet Schools of the Ministry of Defense of the Russian Federation

One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10-17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children's health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care.     

带状疱疹83例误诊原因分析

带状疱疹是由水痘—带状疱疾病毒引起的皮肤科常见疾病。其主要的病理损害,一是受累神经的严重炎症性浸润,继而导致受侵犯神经节内神经细胞变性、坏死;二是皮肤的水泡。迅速抑制神经节和相应的感觉神经纤维的充血、水肿和坏死,防止粘连形成,达到迅速镇痛、改善皮损,缩短病程及防止后遗症的发生是治疗的关键。因而,尽早明确诊断,     

Estimation of accumulated dose of radiation by method of ESR-spectrometry of dental enamel of mammals

ESR-spectrometry was used to investigate radiation-induced paramagnetic centers in enamel of mammals: carnivores (polar bear and fox), ungulates (reindeer, European bison, moose), and man. Values at half the microwave power saturation of the radiation signal, P_1/2, evaluated at room temperature, was found to range from 16 to 26 mW for animals and man. A new approach to discrimination of the radiation induced signal from the total ESR spectrum of reindeer enamel is proposed. ‘Dose-response’ dependencies of enamel of different species mammals were measured within the dose range from 0.48 up to 10.08 Gy. Estimations of ‘radiosensitivity’ enamel of carnivores and ungulates showed good agreement with radiosensitivity enamel of man by ESR method.     

Analysis of the results of the international comparison of activity measurements of a solution of Fe

The results of an international comparison of activity measurements of a solution of ⁵⁵Fe organized by the BIPM in 2005 are reported and analysed. This exercise, which follows the procedures of the CIPM mutual recognition arrangement to update older comparisons, is a renewal of the comparison organized by the BIPM that took place in 1978. A EUROMET comparison was organized in 1996 specifically to compare activity measurements of a ⁵⁵Fe solution by means of liquid-scintillation techniques. Results of these three comparisons are presented and discussed in this paper.

The radionuclide solution was provided by the NPL, which also distributed the samples to the participants. The activity of the ampoules was measured by 16 laboratories using 12 methods producing 25 results. Some general considerations on uncertainty assessments pertaining to the different techniques used are drawn. The outcome of four different estimators is compared from which the presence of at least one outlier can be confirmed. Further measurements should be made to try to reduce the discrepancy between the results. To date the outcome of the present comparison does not show an improvement to that of the 1996 comparison.     

Evaluation of the results of various technics of non-surgical therapy of varicocele

A new method of non-surgical treatment of varicocele syndrome is described: it consists in sclerotherapy of spermatic vein by trans-femoral percutaneous catheterization with balloon-catheters. In 8 cases venous thrombosis has been induced by direct electric clotting. The techniques and a 6 months follow-up are discussed. It is pointed out that this procedure should be considered as the method of choice for tubular lesions and sub-fertility prophylaxis in young people and in childhood.     

延迟性脾破裂误漏诊原因分析

目的探讨延迟性脾破裂误漏诊原因和预防措施.方法回顾性分析总结12例延迟性脾破裂中的诊断和误漏诊的经验与教训.结果本组延迟性脾破裂的误漏诊5例(41.66%).对多发伤与脾破裂并存可能认识不足,外伤史轻微或伤员隐瞒外伤史,缺乏腹痛-缓解-突然再腹痛的典型病史,缺乏“对冲性脾破裂”力学分析和整体化诊断思路等为其误漏诊的主要原因.结论详细的外伤史和全面系统检查,重视腹以外多发伤掩盖腹内脏器伤及延迟性脾破裂可能.确立外伤-腹内脏器伤-脾破裂整体化诊断思路.不间断地辅以B超检查脾形态学变化和腹内有无积液,腹腔穿刺确定有无血腹、X线胸腹部检查观察左侧胸肋角和膈肌运动情况、必要时CT检查以尽早发现脾包膜下血肿,降低延迟性脾破裂误漏诊率.