Working hours. Minute stakes

The working time directive has major implications for NHS employers. Many NHS employers believe current systems for recording hours worked will not meet the directive's requirements. The introduction of leave entitlement for bank and agency nurses is likely to cost the NHS an extra 40 m Pounds or more a year. The directive does not currently apply to junior doctors. But if, as expected, they are brought within it, the implications for the NHS are huge.     

SFAT-AM: Short Family Therapy in Ambulatory Medicine. Treatment Approach in 10-15 Minute Encounters

The question of the possibilities latent within an appointmentlasting on average only 10–15 minutes, under the pressuresof a heavy workload in a public clinic, has occupied the authorsfor three years. S FAT-AM: Short Family Therapy in AmbulatoryMedicine, has been developed with aim of offering solutionsto this question. The theoretical background is taken from familymedicine with a biopsychosocial (b.p.s.) systems approach. Theauthors formulated series of basic doctor-patient encounterswhich last on average 10–15 minutes. The basic encounteris a kind of didactic checklist model which presents to thedoctor possibilities latent within. Emphasis is placed on theart of treatment and the meeting itself as therapeutic. Duringthe meeting, patient's satisfaction, psychosocial informationand the doctor's inner voice help the participants adjust toeach other and move from stage to stage. The approach also relatesto the possibility of joint work together with colleagues orwith members of different teams in the clinic. The doctor makesuse of communication techniques and reaches a b.p.s. diagnosiswhich will be the basis for suggesting a treatment. The presentedmodel was tried by the authors and by trainees as part of aspecialization course in family medicine. The trainees receivedbetween 20 and 70 academic hours of instruction. From the doctors'report it can be seen that SFAT-AM can be used in a primaryclinic. Future research should give more specific answers toquestions about the model's desirability, cost-efficiency, andjob satisfaction. (Doctors will be referred to in the male genderthroughout the article).     

Foodservice satisfaction domains in geriatrics,rehabilitation and aged care

Objective  

To develop a foodservice satisfaction instrument for residential aged care and geriatric/rehabilitation units. The quality of care and food provided for clients in long-term care facilities is critical for the prevention of malnutrition.     

Foodservice in a hemodialysis center

The renal dietitian has the challenge of planning a renal diet for patients treated with hemodialysis. The diet must be individualized to provide adequate nutrition for maintenance of ideal body weight and provide for the patient's sense of well-being (1). Because eating and drinking during hemodialysis present serious potential health risks (2-4), the renal dietitian needs to counsel the patient and/or other care provider to plan ways that the patient can consume adequate nutrition. The dietitian will need to follow a series of steps to assess, monitor, and provide alternate meal patterns, which may even include the use of commercial supplements.     

航空医学训练创新模式探讨

针对空军转型建设赋予航卫保障工作的新要求、新使命,空军航空医学鉴定训练中心通过明确定位、转变观念,整合资源、优化布局,创新模式等方法,大力打造一流的飞行人员能力评估促进基地,全面提升航空医学训练效能。