急诊科护士护患纠纷预见性现状调查

目的了解急诊科护士对护患纠纷的预见性,为护患纠纷防范提供参考依据。方法抽取菏泽市10所医院的232名急诊科护士,应用急诊护士护患纠纷预见性现状调查问卷进行调查。结果急诊护士护患纠纷预见性总分(156.00±41.49)分。性别、年龄、学历、工作年限、职称是急诊科护士护患纠纷预见性影响因素。结论急诊科护士护患纠纷预见性处于中等水平,强化培训与演练,增强急诊护士护患纠纷的预见性,降低护患纠纷,能有效提升急诊护理质量。     

Alcohol-related problems: emergency physicians' current practice and attitudes

To determine whether emergency physicians' (EPs) attitudes affect their support and practice of brief intervention in the Emergency Department (ED), EPs completed an anonymous survey. EPs were asked about their attitudes toward patients with alcohol problems, current ED screening, use of brief intervention, and barriers to use of brief intervention. Chi-square analysis was used and a step-wise regression model was constructed. Respondents reported a high prevalence of patients with alcohol-related problems: 18% in a typical shift. Eighty-one percent said it is important to advise patients to change behavior; half said using a brief intervention is important. Attending physicians had significantly less alcohol education than residents, but were significantly more likely to support the use of brief intervention. Support was not associated with gender, race, census, hours of education, or personal experience. EPs who felt that brief intervention was an integral part of their job were more likely to use it in their daily practice.     

院前急救护士资质及工作职责的改革实践

目的 探讨院前急救护士资质及工作职责的改革实践在院前急救中的作用.方法 通过对院前急救护士实行资格准入、核心能力培养和考核,由院前急救护士与医生组成急救团队进行院前急救,并对其院前急救质量、急救技术的应用情况、人力成本等进行总结.结果 改革后的院前急救护士配置模式与传统模式相比,缩短了出诊时间,提高了抢救质量,降低了人力成本(P<0.05).结论 改革后院前急救护士在院前急救中具有明显优势,建议加大对院前急救护士的培养和使用.     

Vocational rehabilitation: what works and in what circumstances

This paper examines a variety of forms of evidence used to find the effectiveness of vocational rehabilitation interventions. We begin by looking at general unemployment literature and then study the detailed findings of a research project that examined the employment experiences of disabled people, carried out by one of the authors. We then report on a recent evaluation of an innovative vocational rehabilitation scheme. Here, following the approach recommended by Pawson and Tilley (1997), we consider the views of one of the project 'stakeholders' concerning the 'theories' underlying the design of the project. In conclusion we encapsulate some of the knowledge, or evidence, emerging from these diverse sources in configurations of contexts, mechanisms and outcomes, as advocated by Pawson and Tilley.     

Study of Queensland emergency department nurses' actions and formal and informal procedures for clients who self-harm

Emergency department nurses are often required to assess and manage the needs of people who self-harm. A survey of 352 nurses working within 23 major public and 14 major private emergency departments in Queensland, Australia, investigated the extent to which formal and informal procedures are available and the extent to which these procedures guide how nurses respond to clients who present with deliberate self-harm. The Risk Assessment Questionnaire was developed and found that nurses are frequently called to respond to clients presenting because of deliberate self-harm, but most have no formal training in this area. In some services there is a lack of formal and comprehensive procedures for assessment and treatment. Where procedures do exist, significant therapeutic areas related to assessment are not explored with clients. These findings have implications for continuing professional development activities, nursing education programs and clinical practice procedures.     

General practice: a secondment from emergency medicine--so what!

The Joint Committee for Higher Medical Training has issued a core curriculum for training in accident and emergency medicine. This article highlights some of the knowledge, skills, and attitudes one may usefully gain from a period of 6-12 months in general practice and how this can be integrated and adapted to a career in emergency medicine.