坐在家中也可监护宝宝

腹中胎儿在家也会有专业的医疗监护，不仅减少了孕妇跑医院的舟车劳顿，更保证了孕期准妈妈和胎儿的安全系数。     

Caregivers' satisfaction with hospice care in the last 24 hours of life

The goals of this study were to identify elements of care that contributed to positive and negative perceptions of hospice care in the last 24 hours of life, and to define patient and family characteristics that are associated with satisfaction with care during this difficult period. Surveys were sent to 207 primary caregivers, and 112 surveys were returned. This study reports four findings that elucidate the factors that make family members more or less satisfied with the care that their loved one received during the last day of life, and how satisfaction with this period of care should be measured.     

Climbing Mount Everest: on our way to the summit

The key to climbing Mount Everest is not one individual striving for the peak. Teamwork, leadership, and meticulous planning are what take climbers to the summit. They are key, as well, to solving the problems of human resources in the healthcare system.     

On the way to our 200th anniversary

The Dutch Journal of Medicine celebrates 150 years of continuous publication and looks forward to the next 50 years, notwithstanding the hazards offorecasting. In the coming years, the practice of medicine will see more teamwork and more specialisation, but the core process will remain personal counselling by a physician who manages to address somatic and psychological factors. Medical research will continue to include patients as well as molecules, but clinical trials will be threatened by overregulation through bureaucracy and legalism. Despite easy access to search facilities in the digital era, the future of general medical journals in local languages seems assured, because physicians need to keep abreast of developments in other specialties; the only uncertainty is whether these journals will continue to be read on paper.     

Home health, nursing homes take patients from hospitals

The fast-growing home health agencies and nursing homes are taking acute and subacute patients from the nation's hospitals, but their labor costs are soaring. And personnel problems may slow their growth, writes Donald E.L. Johnson     

Politicity of care as an emancipatory reference for nursing: getting to know to care better, delivering care to confront, delivering care to emancipate

Politicity of care deals with the intelligent and disruptive handling of help-power. Such notion can mainly be expressed by the trihedron getting to know to care better, delivering care to confront, delivering care to emancipate which, when adapted to the work process in health, may become emancipatory. This theoretical-philosophical reflection explores the ambiguous aspect of care, expressed by being solidary and becoming political. Objectives: a- to reflect about the politicity of care, as management of help-power, which is capable of emancipatory subversion; b- to discuss the way capitalist societies deal with health care; c- to point out disruptive dynamics to nurses, based on the emancipatory trihedron of care. The main idea of this article is to indicate applicabilities for the conception of politicity of care in the sphere of the nursing work process, signaling emancipatory potentialities.     

Finding our way together on the journey to zero

Remember that classic scene from The Wizard of Oz when Dorothy's house is being hurled into the sky and her world and worries are rotating around her in a great tornado? Ever feel that way at work? To be sure, the modern risk manager and safety professional are facing new challenges and expectations: value‐based services, mandatory reporting, pay for performance, new compliance standards, and so on. Sometimes it's disorienting, perhaps similar to how Dorothy must have felt when she realized she was not in Kansas anymore.     

微血管减压术治疗24例原发性三叉神经痛的护理

目的:探讨微血管减压术治疗三叉神经痛的术前、术后护理措施及效果.方法:选取某医院神经外科24例原发性三叉神经痛采用微血管减压术的患者作为研究对象,针对患者的实际病情给予相应的术前准备、心理护理、术后病情观察、并发症的护理等护理措施,分析评估术后治疗及护理效果.结果:24例三叉神经痛患者,完全缓解15例,完全缓解率为62.5％;明显好转9例,明显好转率为37.5％;术后未出现任何护理并发症,治疗有效率为100％.结论:在微血管减压术中,针对不同的患者,通过做好围手术期的护理工作,可提高治疗效果以及护理满意度.     

Education and care in nursing: passport to the learning, education, and care in health

This is an essay about care and education in nursing from integrative and converging approaches, elucidating that the dialogical process between the subject who cares and the citizen-subject who is cared must occur in a problem-maker perspective, contextualized and transversalized between the two conceptual worlds that involve the human relations. It shows furthermore that, to the professional exert the care and education, he must use a "passport" that conducts him to different "scales" of knowledge in a creative, aesthetical, ethical, political and technical approach. In which the education empowers the capacity of care and the use of it, capacitates him to intervent in a constructive/reflexive, singular/plural, dynamic/flexible way, in a given historical cultural context of relationships between subjects.