Mental health policy and integrated care: global perspectives

Although omitted from the World Health Organization's eight Millennium Development Goals, mental illness ranks fourth of the 10 leading causes of disability in the world and is expected to approach second place by 2020. Scarce resources challenge responses to mental health needs. Effective approaches must consider existing healthcare delivery networks, nurses as care providers, as well as social, cultural, political and historical contexts. This paper reviews policy development and care approaches to address mental health needs around the world. Challenges, successes and further needs are discussed. Selected articles were reviewed to represent varied approaches to address mental health needs in countries with diverse resources and infrastructures. Integrated systems offer one model for addressing mental health needs along with physical health needs within a population. While potentially an efficient strategy, caution is advised to ensure services are integrated and not merely added on top of an already overburdened system. As the largest group of healthcare professionals worldwide, nurses play a key role in the delivery of mental health services. Nurses have an opportunity, if not a responsibility, to collaborate across borders sharing education and innovative approaches to care delivery.     

眼科健康教育系列图谱的设制与临床应用

目的探讨眼科健康教育系列图谱在临床的应用效果。方法在眼科治疗、护理、手术、住院及就诊等各个环节,使用自行设制的眼科系列健康教育图谱为患者或其家属进行相关知识的健康教育。结果患者健康教育满意度、患者或家属对所患疾病的知识知晓率、健康教育普及率、患者依从性、行为改变及医患沟通有效率等均有所提高。结论眼科健康教育图谱的应用,开创一种全新的医疗、护理服务模式,使健康教育逐步向系统化、专业化、正规化方向发展,不断满足患者日益增长的疾病知识需求,体现了以人为本的人文关怀理念。     

眼科健康教育系列图谱的设制与临床应用

目的探讨眼科健康教育系列图谱在临床的应用效果。方法在眼科治疗、护理、手术、住院及就诊等各个环节,使用自行设制的眼科系列健康教育图谱为患者或其家属进行相关知识的健康教育。结果患者健康教育满意度、患者或家属对所患疾病的知识知晓率、健康教育普及率、患者依从性、行为改变及医患沟通有效率等均有所提高。结论眼科健康教育图谱的应用,开创一种全新的医疗、护理服务模式,使健康教育逐步向系统化、专业化、正规化方向发展,不断满足患者日益增长的疾病知识需求,体现了以人为本的人文关怀理念。     

Leadership styles in interdisciplinary health science education

The US Institute of Medicine recommends that all health professionals should deliver patient-centered care as members of interdisciplinary health science teams. The current application of the Bolman and Deal Leadership model to health sciences provides an interesting point of reference to compare leadership styles. This article reviews several applications of that model within academic health care and the aggregate recommendations for leaders of health care disciplines based on collective findings.     

Infection control: public health, clinical effectiveness and education

In this article the author discusses three main issues in infection control: the development of clinical effectiveness, education and public health. Present day infection control practice is based on principles put forward by Florence Nightingale over 100 years ago. Despite medical advances, hospital-acquired infection remains a major cause of morbidity and mortality. Further research is required to assess how effective present day infection control activities and policies are in reducing the spread of infection. The success of implementing evidence-based practice relies on multidisciplinary, user-friendly educational initiatives. It is imperative that community practitioners are involved in the promotion of infection control. Greater public awareness of infectious agents and the importance of basic hygiene will ensure that infection control cannot remain the exclusive property of hospitals, but must extend to all areas of public health.     

食疗与保健健康教育软件在临床护理中的应用

目的 探讨健康教育软件的应用在医院健康教育中的作用和地位。方法 严格施训，规范行为，层层检测，把健康教育落在实处。结果 满足了护士、病人、健康人多层次的需求，体现了护士的劳动价值，提高了护士地位，使健康教育成为有个性、有内容、可操作、有目标、有效果的“硬指标”。结论 使护理工作进入了高层次。社会效益、经济效益双赢的高品质服务得以实现。     

整合式健康教育在社区中老年患者骨质疏松症管理中的应用

目的探讨整合式健康教育在社区中老年患者骨质疏松症管理中的应用效果。方法将120例骨质疏松骨折的患者随机分为观察组和对照组,对照组实施常规健康教育,观察组实施整合式健康教育。6个月后,比较2组患者的知信行情况及生活质量。结果观察组干预后的骨质疏松知识、信念和行为得分均高于对照组,差异有统计学意义(P0.05)。观察组干预后的躯体疼痛、社会功能、心理功能、活力等方面的生活质量均高于对照组,差异有统计学意义(P0.05)。结论整合式健康教育能够提高中老年患者骨质疏松症知信行情况,改善生活质量。     

Leadership and public policy

This article outlines some of the key issues that medical science, research, and technology raise for society and urges nurses to play a larger role in setting public policy to define and regulate their future use and development. It notes the unique clinical and academic experiences of nurses that qualify them for this task and suggests specific ways these goals can be achieved through the Center for Health Policy, Research and Ethics at George Mason University.     

喉切除患者健康教育光盘临床应用体会

喉切除是喉癌患者的主要治疗手段,但是繁琐的护理细节和注意事项是很多患者和家属所无能为力的,一款有针对性的全程健康教育光盘将是减少并发症,提高病人生存质量,延长生命,影响疗效和预后的一个重要因素。     

临床健康教育组长工作手册的设计和应用

目的强化健康教育工作督导落实,提高健康教育效果。方法设计临床健康教育组长工作手册,聘任临床健康教育组长,各科室按要求对健康教育质量进行持续改进并记录;护理部每季度进行检查、评估并反馈,实行统一评分管理。结果通过临床实践,提高了患者健康教育普及率、知晓率及护士健康教育能力。结论临床健康教育组长工作手册的应用促进了健康教育工作规范化管理,提高了临床健康教育组长的执行力。     

临床路径在病人健康教育中的应用现状及展望

介绍了临床路径在病人健康教育中的应用范围及实施状况,提出健康教育路径将更好地契入诊疗临床路径中,以及病人健康教育路径书的规范化及变异管理规范化的发展方向。     

临床路径在病人健康教育中的应用现状及展望

介绍了临床路径在病人健康教育中的应用范围及实施状况，提出健康教育路径将更好地契入诊疗临床路径中，以及病人健康教育路径书的规范化及变异管理规范化的发展方向。