Recognize, reward, retain

Staff recognition plans can be tools for retention or points of contention. The author shows the do's and don'ts for implementing a successful program on your unit.     

坐式体位对产妇镇痛分娩的影响

目的探讨坐式体位对产妇镇痛分娩的影响。方法在获得研究对象知情同意后,便利抽样法选取2013年3-7月在绍兴市妇幼保健院住院实施硬膜外镇痛分娩的99例产妇作为研究对象,按随机数字表法将其分为观察组(n=52)和对照组(n=47)。观察组产妇采用坐式体位进行分娩,对照组产妇采用传统的仰卧位进行分娩,观察两组产妇分娩方式、第二产程、产妇舒适度、下肢酸胀麻木及会阴切开等指标。结果观察组产妇自然分娩率为98.08%,明显高于对照组的85.11%,差异有统计学意义(χ2=3.982,P=0.046);第二产程所用时间明显少于对照组,差异有统计学意义(t=2.310,P=0.024);产妇分娩舒适度总体好于对照组,差异有统计学意义(Z=-2.049,P=0.040);产妇发生下肢酸胀麻木和会阴切开的比例均低于对照组,差异均有统计学意义(均P0.05)。结论坐式体位分娩可提高产妇自然分娩率、缩短第二产程时间和提高产妇分娩舒适度。     

Changing reward systems for team-based systems

With the rapidly changing pace in health care, hospitals are struggling to keep costs under control and to remain competitive. Leadership is increasingly convinced that old methods of compensation are no longer valid and thus are turning to innovative approaches to pay and reward systems. This article describes some of the new pay methods, with an emphasis on team rewards, showing that compensation can keep pace with the evolving needs of health care.     

应用分娩球纠正产程进展缓慢的效果观察

目的 探讨应用分娩球纠正产程进展缓慢的效果.方法 选择进入产程后出现产程进展缓慢的初产妇300例,分为观察组和对照组各150例,对照组给予静脉滴注催产素,并采用舒适体位、平卧位、交替左右侧卧位等体位,观察组在宫缩间歇期采取最舒适的姿势,如骑坐、跪伏、趴在分娩球上,宫缩时随身体重心做前、后、左、右、转圈运动,直至宫口开全.观察两组产程进展、分娩方式、新生儿窒息和产后出血量.结果 观察组产程进展顺利,剖宫产率、产后出血量低于对照组,差异均有统计学意义(P=0.000).新生儿窒息率两组差异无统计学意义(P=0.176).结论 应用分娩球能纠正产程异常,促进自然分娩,减少产后出血量,保障母婴安全.     

Management compensation. A reward systems approach

Across the nation, businesses are rethinking the way performance is rewarded. We are witnessing the emergence of newer, more innovative compensation systems. Today's nurse executive is challenged to design systems for management compensation that reward achievement, performance, and contribution. The author describes a reward systems approach to compensation based on contemporary concepts related to pay.     

Professionalism and the nature of nursing reward

This paper examines the relationship between the rewards that feature in the ideology of professionalism and those that inspire nurses. A core feature of a wider thesis, which examined the congruence between the status aspirations held by nurses and the aspirations to status recognized and rewarded by nursing's professional leaders, this paper reveals both that professionalism is not all of a piece and that nurses' expectations of work rewards are characterized by segmentation. No association was found between the expectation of the reward of professional membership and other intrinsic and extrinsic work rewards associated with professionalism. It was found that nurses, for the most part, desired intrinsic rewards for their work and that the high appeal of intrinsic rewards had not been translated into a high desirability for extrinsic rewards-a dynamic common to many professional groups. Finally, this examination of expected work rewards reveals the segmentary nature of nursing. Not only do factors of biography, mobility, work context and dominant work orientation profoundly influence the expectation of given rewards, only very minimally are the extrinsic rewards currently promulgated as legitimate for the profession as a whole by nursing's professional leaders, reflected in the work reward expectations of this sample of nurses.     

导乐陪伴分娩联合无创分娩镇痛的应用研究

目的:探讨导乐陪伴分娩联合无创分娩镇痛的临床效果。方法:选择2012年5月—2013年7月在江苏省镇江市妇幼保健院待产的初产妇260例,将其随机分为干预组和对照组,每组130例;2组产妇在年龄、文化程度、职业、孕周等方面的差异无统计学意义(P0.05)。对照组产妇在宫口开至2 cm时入产房,由家属陪伴,仅采用常规的呼吸减痛分娩法待产,至产后2 h;干预组产妇在宫口开至2 cm时入产房,由家属陪伴,同时由导乐师进行一对一导乐陪伴并应用分娩镇痛仪镇痛待产,至产后2 h。比较2组产妇的焦虑程度、各产程时间、活跃期时间、产后出血量、镇痛效果、生理分娩率、满意度。结果:干预组产妇焦虑程度、活跃期时间、产后出血量明显低于或少于对照组(P0.05);干预组产妇镇痛效果、生理分娩率、满意率均明显优于对照组(P0.05)。2组产妇的第二产程时间、第三产程时间差异均无统计学意义(P0.05)。结论:导乐陪伴分娩配合分娩镇痛仪的应用能有效降低产妇的焦虑与疼痛程度,缩短活跃期时间,促进自然分娩,减少产后出血量,值得推广。