我院文职护士工作倦怠原因及对策

随着军队编制体制的改革,文职护士已成为军队疗养院护理队伍的重要力量,其工作状态影响着疗养院的发展建设水平。2011年是我院文职护士应聘到疗养院工作的第5年,有一些文职护士出现了工作倦怠现象,产生了不利影响。本文分析和探讨我院文职护士工作倦怠问题产生的原因及应对措施,将有助于加强文职护士队伍的管理与建设,使她们更好地为军队疗养院的建设贡献自己的力量。     

应用激励理论调动军队非现役文职护士的积极性

随着军队医院、疗养院精简整编工作的不断深入，非现役文职护士已经成为军队医院、疗养院临床护理队伍的重要组成部分，并在确保医疗、护理、科研任务的顺利完成等方面发挥作用，有效缓解了部队医院、疗养院护理人员不足的现象。我院自2006年开始招聘非现役文职护士，如今她们已经是我院各科室护理队伍中不可缺少的生力军，她们的精神状态和工作表现直接影响着我院护理质量的高低和护理队伍的发展。因此，我们要及时了解非现役文职护士的思想动态和心理变化，充分调动她们的积极性，以促进我院护理质量的提高。     

军队非现役文职护士卫勤保障训练的现状

随着军队编制体制的不断调整,非现役文职护士越来越多地充实到军队医院、疗养院的护理队伍中,成为军队医院、疗养院卫勤保障中不可缺少的力量。非现役文职护士是按照规定的编制聘用到军队工作,履行现役军官（文职干部）同类岗位相应职责的非现役人员。由于非现役文职护士成分新、军事素质欠缺,如何尽快提高非现役文职护士的军事素质与卫勤保障能力,适应军队医院军事斗争准备需要,是军队医院护理工作的重要职责。为了提高非现役文职护士的卫勤保障能力,必须进行科学有效的卫勤保障训练。     

军队疗养院文职护理人员规范化管理做法与体会

随着军队编制体制的不断调整,文职护理人员越来越多地充实到军队的护理队伍。我院通过对文职护理人员采取规范化管理,把强化文职护理人员思想和提高业务水平有机结合起来,充分调动了文职护理人员的工作积极性,提高了军队疗养院文职护理人员的业务素质和服务意识,壮大了军队疗养院护理队伍的实力,培养造就了一支思想好、作风硬、业务精的护理队伍。目前,我院文职护理人员已经成为承担军队疗养院护理任务的新生力量。     

疗养院文职护士管理分析

目的分析军队文职护士的规范管理，使这一特殊群体能健康稳定地成长，成为军队护理队伍中的中流砥柱。方法根据文职护士的特点按军队条例、条令规范管理及严格军事训练，在生活学习上采取人性化的管理。结果管理中充分掌握文职护士的特点，扬长避短，才能将高素质的人才留在军队护理队伍。结论文职护士的高学历、高素质必将提高军队护理队伍的整体水平。     

疗养院疗养科室文职护士良好心态的维护体会

文职护士是部队疗养院为了适应社会对临床护理工作的需求,按照规定的编制聘用到军队工作,履行现役文职干部同类岗位相应职责的非现役人员.作为一种新生力量,文职护士已逐渐成为军队医院护理部门的核心力量.文职护士是一个特殊的群体,担负着繁重的护理工作任务,其心理素质的高低可直接影响到整体护理水平和质量,影响着疗养员的治疗和康复进程,在临床科室护理工作中发挥着极其重要的作用.     

军队医院与疗养院文职护士工作满意度调查分析

目的对比军队医院与疗养院文职护士工作满意度现状。方法采用护士工作满意度量表对广州军区两家军队医院临床科室和两家军队疗养院的文职护士进行工作满意度测评并对比分析。结果军队医院文职护士与军队疗养院文职护士工作满意度总分无差异。两组文职护士在护士间的相互影响、职业价值、医护间关系及工作中的自主权方面得分较高,得分比在50%以上;业务内容、机构政策、收入方面得分较低,得分比在50%以下。医院文职护士在收入、业务内容、职业价值方面得分高于疗养院文职护士(P<0.05),而疗养院文职护士医护间关系及工作中的自主权方面得分高于医院文职护士(P<0.05),差异有统计学意义。结论两组文职护士工作满意度得分均偏低,护理管理者应提高文职护士的薪酬和待遇,提高护士的职业自豪感,提升护士工作满意度。     

军队疗养院文职护理人员任职现状的质性研究

目的了解军队疗养院文职护士任职现状的体验。方法采用半结构式的深入访谈法对9名军队疗养院文职护士进行访谈,通过现场录音收集9名护士录音资料,并以内容分析法对资料做归纳整理及分级。结果提炼得出4个类别:1非现役文职护士承担了类似于军人的职责和任务。2非现役文职护士接受类似军人护士的管理。3非现役文职护士待遇有待提高。4非现役文职护士职业发展存在瓶颈现象。结论非现役文职护士是军队疗养院不可或缺的护理人才,在疗养院的发展过程中,必须重视非现役护士的职业体验,针对性地解决其中存在的问题,减少非现役文职护士的流失。     

非现役文职护士对疗养院军护的压力与对策

随着军队医院体制不断调整完善,非现役文职护士已成为护理队伍的主流。本文通过分析非现役文职护士的特点,并结合疗养院军队护士自身的优势与劣势,查找压力源与制定对策,目的是更好地调动军护人员的积极性,促进军护同非现役文职护士间的相互学习,加强她们的协作精神,以保证并提高护理工作质量。     

情感教育在军队疗养院非现役文职护士中的运用

为适应高技术战争的特点,军队已进行体制编制调整改革,体现在军队疗养院护理系统就是非现役文职护士逐步进入军队疗养院,担负起较大份额的护理任务.因此,对非现役文职护士加强素质教育,进一步提高其综合能力,更好地为部队干部疗养和特勤疗养服务显得尤为迫切.素质教育的核心即是情感教育,而情感教育则包括尊重、关爱护士,以及丰富她们的情感体验等,使其获取身心的健康发展[1].……     

Acquired predisposition to mycobacterial disease due to autoantibodies to IFN-gamma

Genetic defects in the IFN-gamma response pathway cause unique susceptibility to intracellular pathogens, particularly mycobacteria, but are rare and do not explain mycobacterial disease in the majority of affected patients. We postulated that acquired defects in macrophage activation by IFN-gamma may cause a similar immunological phenotype and thus explain the occurrence of disseminated intracellular infections in some patients without identifiable immune deficiency. Macrophage activation in response to IFN-gamma and IFN-gamma production were studied in whole blood and PBMCs of 3 patients with severe, unexplained nontuberculous mycobacterial infection. In all 3 patients, IFN-gamma was undetectable following mitogen stimulation of whole blood, but significant quantities were detectable in the supernatants of PBMCs when stimulated in the absence of the patients' own plasma. The patients' plasma inhibited the ability of IFN-gamma to increase production of TNF-alpha by both autologous and normal donor PBMCs, and recovery of exogenous IFN-gamma from the patients' plasma was greatly reduced. Using affinity chromatography, surface-enhanced laser desorption/ionization mass spectrometry, and sequencing, we isolated an IFN-gamma-neutralizing factor from the patients' plasma and showed it to be an autoantibody against IFN-gamma. The purified anti-IFN-gamma antibody was shown to be functional first in blocking the upregulation of TNF-alpha production in response to endotoxin; second in blocking induction of IFN-gamma-inducible genes (according to results of high-density cDNA microarrays); and third in inhibiting upregulation of HLA class II expression on PBMCs. Acquired defects in the IFN-gamma pathway may explain unusual susceptibility to intracellular pathogens in other patients without underlying, genetically determined immunological defects.     

Immunoglobulin administration to fetuses with anemia due to alloimmunization to D

BACKGROUND: The purpose of this study was to examine fetal tolerance of high-dose intravenous immunoglobulin (IVIG), given directly at the time of intravascular transfusion, and its effects on fetal hemolysis and pregnancy outcome in the setting of alloimmunization to D. STUDY DESIGN AND METHODS: Thirteen consecutive D+ fetuses requiring transfusion for maternal alloimmunization received high-dose IVIG (1.0 g/kg) and red cell transfusions. Twenty-four previous, consecutive fetuses with maternal anti-D served as controls. The schedules for subsequent transfusions were the same in the two groups. RESULTS: High-dose IVIG was well tolerated by all fetuses. In the IVIG group, daily decreases in hematocrit were smaller than those in controls after the second administration of IVIG (mean hematocrit decrease, 0.72 percent/day vs. 1.45 percent/day; p = 0.007). No significant difference was found in the total number of fetal transfusions, the gestational age at delivery, the duration of neonatal intensive care, the number of neonates requiring postnatal transfusion therapy, and perinatal mortality. CONCLUSION: In this small pilot study, direct administration to fetuses of IVIG with red cell transfusions was well tolerated and appeared to have a beneficial effect on fetal hemolysis.