等级护理收入提高背景下的护理成本分析

目的：核算等级护理项目的成本,提出护理成本管理的建议。方法：采用回顾性调查法,对2004年和2005年护理人员在等级护理项目中直接成本投入和产出情况进行描述性分析。结果：护理等级越高,成本回收率越低。结论：建议运用价值规律,对等级护理的成本进行核算,比较实际成本与收费的差异,为护理人力资源的合理利用,探讨护理工作的价值提供依据。     

Management theory. Flying the flag

The NHS Institute for Innovation and Improvement says costs will fall and patient care will improve if the service adopts techniques pioneered in the industry. The private sector practice of listening to customers is vital to progress in the NHS. Reducing sickness absence needs to include the promotion of flexible working practices.     

无痛纤支镜下小儿肺泡灌洗的术中护理

纤维支气管镜（下称纤支镜）在儿童呼吸道疾病的正确诊断和治疗方面起着非常重要的作用,通过纤支镜行支气管肺泡灌洗,能解决药物治疗和胸部理疗效果不佳的肺部大片感染和肺不张的临床难题。2006年2月至2008年2月,湖北省妇幼保健院儿内科共进行了58例无痛性纤支镜下肺泡灌洗术,术中顺利,效果满意,现报告如下。     

Nursing diagnoses of premature infant under intermediary care

The study aims at identifying nursing diagnoses of premature infants attended in a neonatal intermediary care unit in the countryside of S?o Paulo State, Brazil. That was a retrospective study conducted from 118 patient records of hospitalized premature infants. The most frequent nursing diagnosis were sleep deprivation (83.1%), risk for infection (76.3%) and dysfunctional family processes (75.4%), belonging to NANDA domains: activity/rest, security/protection and role relations, this order. Study results articulated the diagnosis frequency with NANDA domain to which they belong identifying their approach limitation and main domains pointed in assistance systematization to premature newborn in intermediary care.     

新时期护理纠纷的防范对策

为了防范护理纠纷，本认为应采取以下对策：（1）更新观念，改变服务;(2)重视学习法律知识，提高自我保护意识；（3）实行职业保险，加快护理立法；（4）采取措施，实现自我保护。