我国“互联网+护理服务”推行中存在的问题及发展对策

“互联网+护理服务”可以为老年慢性病患者等出行不便的人群提供便捷、优质的护理服务。积极推动“互联网+护理服务”对于加快推动健康老龄化、助力实施健康中国战略具有重要意义。本文剖析了国内“互联网+护理服务”推进过程中存在的问题,发现主要有以下几点:相关法律法规缺失,配套制度亟待完善;护士时间精力有限,且对人身安全与执业安全存在较多担忧;患者实际服务利用率有待提高;服务模式较为零星、单一;存在信息孤岛,且有数据泄露的风险等。本文提出相应的发展对策及建议,以期为“互联网+护理服务”的健康可持续发展提供参考。     

Better safe than sorry: one agency's successful safety and security strategies

The Home Healthcare and Protective Services Departments of Cincinnati Children's Hospital Medical Center (CCHMC) pooled their expertise to develop a comprehensive safety and security program for the visiting clinical staff. This article describes the program, various training sessions and modules, and the escort program provided by the Protective Services officers.     

The use of a mobile application to track process workflow in perioperative services

This article discusses the data collection tool developed to investigate how patient flow is affected by the delivery of different types of care within Perioperative Services. To better understand the Perioperative Services processes, this study tracked staff members as they perform their activities. A challenging aspect of documenting the processes observed while tracking the Perioperative Services staff is to record the specific times and order in which the activities took place. The Perioperative Services is a fast-paced, dynamic environment where the staff members often perform multiple tasks that may also be interrupted, and each staff member may perform these tasks in their own sequence. To meet the needs of accurate data gathering, an iPhone/iPod Touch application was developed. It provides several advantages over the traditional paper/pencil method: (1) time stamps are instantaneous and consistent among the data collectors, (2) activities are entered via swipe-and-click capability, (3) multiple active tasks and interruptions can be tracked, and (4) collected data can be output to Microsoft Excel or Access for analysis. The "app" has proven to be useful in capturing data for our study. This technology can be customized and applied to similar settings at other hospitals.     

School health services: a Hub of Services to children and their families

The Corporate/Community Schools of America (C/CSA) is a not-for-profit coalition of business executives, concerned educators, and community leaders working to reform urban public education in the United States. This article reports on the C/CSA Chicago and the Hub of Services, which is a central component of the school design. The Hub of Services concept is described and compared to traditional school health program management models. Selected outcomes of the program are summarized as well as replication issues. Given the competing demands for increased school-based services and increased fiscal constraints, this unique experiment provides a school health service model that offers a solution for both of these demands.     

University and service sector collaboration for undergraduate psychiatric nursing education

ABSTRACT:  Collaboration between the education and service providers assists with the development of enhanced clinical and educational experiences for students. This paper describes an innovative collaborative program developed by the School of Nursing, University of Ballarat and Grampians Psychiatric Services, Ballarat Health Services. Mental health clinical nursing staff are the student off-campus clinical supervisors and on-campus lecturers, supported by two jointly appointed co-ordinators. Program evaluation reveals that this collaborative approach assists in the provision of a supportive learning environment, increases enthusiasm about psychiatric nursing and draws on relevant mental health nursing skills in the university and service sectors.     

Motivational Interviewing, 2nd ednWilliam Miller and Stephen RollnickThe Guilford Press. ISBN: 1‐572‐30563‐0, 2002, 428 pp with index, £26.95 (hbk)

More people with intellectual disability are living independent lives. They can and do experiment with substances that the wider community try, such as alcohol and drugs (both legal and illicit). Unfortunately for some, they develop problems related to their use of these substances. Face‐to‐face, semi‐structured interviews were conducted with 13 professionals who work in Intellectual Disability Services and Alcohol &; Drug Services to discover their experiences of caring for people with intellectual disabilities who hazardously use substances. Although small numbers of people presented to these services, many more people with intellectual disabilities used Intellectual Disability Services for support, rather than their local Alcohol &; Drug Services. While the numbers may be relatively small, the challenges this client group pose are very perturbing in relation to their physical, emotional and social health. The professionals reported a lack of education in working with this doubly disadvantaged population. Moreover, policies were absent to guide staff to work collaboratively with this often‐ignored population. These findings are discussed in light of the innovative practices that are occurring in other parts of the UK regarding the recognition, assessment treatment and long‐term management of this population. Intellectual Disability Services and Alcohol &; Drug Services need to work more closely together if the needs of this population are to be effectively met.     

Improving person-centred care in dementia

Failings in dementia care in acute hospitals have been reported to the Scottish Public Services Ombudsman and other scrutiny bodies in Scotland and the UK. This article sets out key knowledge and resources to help nurses provide compassionate and person-centred care.     

Emergency aid and rescue services in Turkey (ambulance services).

This article outlines the recent status of ambulance services provided by Emergency Aid and Rescue Services (EARS) in the Republic of Turkey. EARS would seem to be the future model of emergency medical systems (EMS) in Turkey.     

Home health compare: Web site offers critical information to consumers, professionals

The Centers for Medicare & Medicaid Services, a federal agency of the U.S. Department of Health and Human Services, has released new data about the quality of care provided by Medicare-certified home health agencies as part of an expanding initiative to continue to improve the home care services that are provided to millions of Americans. The initiative combines information about the quality of care provided by individual home health agencies-for use by consumers, their families, and healthcare professionals-with important resources to assist home health agencies working to improve quality of care. This article provides an overview of that initiative, and discusses information available on the Home Health Compare Web site that case managers and discharge planners will find useful for helping patients and their families select a home health agency.     

Experiences of Nursing Joint Appointments in a Teaching Health Unit

This article describes the experiences of five community health nursing faculty who are jointly appointed between McMaster University School of Nursing and the Hamilton-Wentworth Department of Public Health Services in Hamilton, Ontario, Canada. The appointees are actively involved in service, education, and research activities within the teaching health unit, a specially funded project of the Ontario Ministry of Health. Various kinds of consultation and expertise are offered by joint appointees to staff and management within the Department of Public Health Services. The amount of time and effort invested in a particular activity or project varies as staff, students, and joint appointees each make their contributions. Several lessons are learned in acting out our diverse roles in this exciting and challenging service environment.     

Book Reviews

Cultural Competence for Evaluators: A Guide for Alcohol and other Drug Abuse Prevention Practitioners Working With Ethnic/Racial Communities. Orlandi, M. (Ed.). Rockville, MD: Office of Substance Abuse Prevention, Department of Health and Human Services Alcohol, Drug Abuse and Mental Health Administration, 1992.

Emerging Technologies and New Directions in Drug Abuse Research, Research Monograph 112. Rockville, MD: National Institute on Drug Abuse, U.S. Department of Health and Human Services. 1991, 334 pp.

Helping Homeless People with Alcohol and Other Drug Problems. Stefl, M. (Ed.). Rockville, MD: Homeless Demonstration and Evaluation Branch, Division of Clinical and Prevention Research, NIAAA, Department of Health and Human Services, May 1992, 50 pp.

Job Training and Employment Services for Homeless Persons With Alcohol and Other Drug Problems. Rockville, MD: Homeless Demonstration and Evaluation Branch, Division of Clinical and Prevention Research, NIAAA. Department of Health and Human Services, March 1992, 96 pp.

Methamphetamine Abuse: Epidemiologic Issues and Implications. Reserach Monograph 115. Miller, M., Kozel, N. (Eds.). Rockville, MD: NIDA, U.S. Department of Health and Human Services, 1991, 130 pp.

Methodological Issues in Controlled Studies on Effects of Prenatal Exposure to Drug Abuse. Research Monograph 114 Kilbey, M.M., Khursheed, A. (Eds.). Rockville, MD: NIDA, U.S. Department of Health and Human Services, 1991, 371 pp.

Epidemiology of Cocaine Use and Abuse. Research Monograph 110. Schober, S, Schade, C. (Eds.). Rockville, MD: NIDA, U.S. Department of Health and Human Services, 1991.     

The NSF for children, young people and maternity services

The new National Service Framework for Children, Young People and Maternity Services (Department of Health, 2004) draws together current recommendations for best practice. This article highlights the points most relevant to nurses from this 10-year plan of practice improvement.     

Public health nursing in children's protective services

This article describes the development and integration of a Los Angeles County, Department of Health Services, Public Health Nursing (PHN) program within the local Children's Protective Services (CPS) agency to assist the Children's Social Workers (CSWs) with their legally mandated health case management services. It summarizes the unique health needs of children who enter protective services, and explains why CPS agencies often overwhelmed by an increasing number of cases and diminishing resources, have had difficulty providing necessary health care monitoring and oversight. Program evaluation data detailing PHN services during the first 2 years of program implementation gives valuable insight into their evolving role function within this new practice arena. Issues regarding the integration of disciplines, and the contribution of the PHNs to the CPS agency are discussed.     

Breaking with tradition and redefining the disability equation: the Southern Californian Edison experience

Southern California Edison formed a single, new disability prevention and management organization: Employee Services. This department aggregated the formerly scattered programs dealing with the entire disability continuum from injury prevention through claims and rehabilitation to Occupational Safety and Health Administration (OSHA) compliance and occupation research.     

Home Health Compare: Web site offers critical information to consumers and professionals

The Centers for Medicare & Medicaid Services (CMS), a federal agency of the U.S. Department of Health and Human Services, has released new data about the quality of care provided by Medicare-certified home health agencies as part of an expanding initiative to continue to improve the home care services that are provided to millions of Americans. The initiative combines information about the quality of care provided by individual home health agencies-for use by consumers, their families, and health care professionals-with important resources to assist home health agencies working to improve quality of care. This article provides an overview of that initiative, and discusses information available on the Home Health Compare Web site that case managers and discharge planners will find useful for helping patients and their families select a home health agency.     

EMS state and province survey

This 1991 Emergency Medical Services State and Province Survey gives you the most complete collection of data we've ever provided. Listings include 50 states, the District of Columbia, the Virgin Islands, and 10 Canadian provinces. Our sincere thanks to the many people who responded to our request for information.     

BOOK REVIEWS

Economics of Health Care Financing The Visible Hand by Cam Donaldson & Karen Gerard
Lecture Notes on Geriatrics 4th edn by Nicholas Coni, William Davison & Stephen Webster
Library and Information Services to Support Project 2000 British Library Research and Development Report 6088 Nursing Library Information Services phase I Capital Planning Information, Stamford, Lincolnshire
Review of Repetitive Strain Injury The Keyboard Disease by Edward Huskisson
Handbook of School Health 17th edn edited by Peter McWilliam Trentham Books, Stoke-on-Trent
With This Body' Caring and Disability in Marriage by Gillian Parker
Life-Threatening Problems in the Emergency Room by Anne Sutcliffe
Community Psychiatric Nursing A Research Perspective vol 2 edited by Brooker & Edward White
Counselling in General Practice edited by Roslyn Corney & Rachel Jenkins
Conflicts in Care Medicine and Nursing by Lesley Mackay     

Dreams, Teachers, and Legislation

When I accepted the James D. Mills Award from The American College of Emergency Physicians, I had three goals in mind, which I wanted to share with those attending the commemorative dinner meeting. My first goal was to remind those in attendance that each of us must make our academic dreams come true. My next goal was to acknowledge two of my empowering teachers at the dinner, Dr. Peter Rosen and Dr. William Sacco, who have made revolutionary advances in health care; and finally, I wished to remind the membership of the need to work with Congressional leaders to pass the Access to Emergency Medical Services Act of 2009. I warned the leaders in emergency medicine of the necessity to pass the Access to Emergency Medical Services Act of 2009 to ensure that our emergency medical patients receive prompt and responsible care. This has been our quest.