Attitudes of healthcare staff in the treatment of children and adolescents with intellectual disability: A brief report

Background Children with an intellectual disability (ID) have complex health needs that extend beyond the expected cognitive deficits, affecting a myriad of developmental domains. These children frequently receive inadequate health care such that their needs remain poorly managed.

Methods Staff from the Sydney Children’s Hospital Network (N?=?160) completed a survey on attitudes, experiences, and training satisfaction when working with patients with ID. The 48-question needs analysis survey was distributed electronically to staff from a variety of disciplines and experience levels.

Results Although staff considered themselves broadly competent in caring for children with ID, they were less confident in specific skills, such as managing associated challenging behaviours in the clinic. As confidence in skills such as these decreased, the desire for further training increased.

Conclusion This study emphasises the importance of providing accessible, high-quality professional development resources to further develop these skills.     

手术室锐器伤预防的最佳证据应用

正手术室是一个特殊的工作场所,医护人员每天都要频繁地与患者的血液、体液、呕吐物和排泄物等接触,被锋利的污染医疗器械(如手术刀、缝针等)刺伤、划伤的概率也较高,以上情况都对医护人员的健康构成威胁。调查表明,手术室医护人员的职业预防现状不尽如人意,医护人员对标准预防及相关预防知识掌握欠缺。约40%的医护人员不了解针刺伤后应立即报告[1-2],43%的护理人员不知道针刺伤后应采取哪些     

基于开源内容管理系统Drupal的医院护理学学科平台建设

针对医院护理人员知识层次较低、工作强度大、碎片时间多和信息素养低的特征,结合医院图书馆的服务现状,建立了借助开源软件Drupal的护理学学科信息服务平台。通过整合医院图书馆现有馆藏资源,包括纸质、电子文献资源及网络资源等,为护理人员提供文献资源推送、标签云揭示、个性化定制等Web2.0信息服务;充分利用护理人员的碎片时间,提高护理人员信息素养及科研能力,进而最大化利用图书馆资源;探索了Web2.0环境下医院图书馆的新型服务模式。     

Exploring the disclosure decisions made by physiotherapists with a specific learning difficulty

Objectives

To explore the disclosure decisions made in the workplace by physiotherapy staff with a specific learning difficulty (SpLD).

乡镇卫生院护理人员工作现状及离职意愿研究

目的:描述乡镇卫生院护理人员工作现状和离职意愿,并分析工作量和工作内容对离职意愿的影响,为改善基层护理工作提出建议。方法:采用多阶段分层整群随机抽样,对我国三个省45家乡镇卫生院的167名护理人员进行问卷调查,并深度访谈44名护理人员。结果:深化医改以来,农村基层护理人员工作量增加,62%认为自己的工作量大。护理工作占护理人员平均工作时间的60%;公共卫生服务工作占平均工作时间的21%。30%的被调查者具有离职意愿。在控制省份、工作量、婚姻状况、编制、文化程度和从医年限等混杂因素后,公共卫生服务参与情况与护理人员离职意愿显著相关(P0.05)。结论:医改后乡镇卫生院护理人员工作内容扩展、工作量增加,工作内容的扩展降低了护理人员的离职意愿。     

医务人员突发生物事件知识认知调查

目的：了解某三级综合性医院的医务人员对突发生物事件相关知识的认知现状。方法采用自行设计的调查问卷,对医院不同科室的医务人员进行调查。结果医务人员对各类突发生物事件知识掌握程度不一;不同专业、职务、学历、年龄组的医务人员突发生物事件知识得分差异具有统计学意义（P＜0．05）。结论医务人员突发生物事件相关知识掌握情况不理想,应采取多途径、全员、多层次提高医务人员对突发生物事件相关知识的认知水平。     

Provision of hepatitis B vaccination for primary care dental staff in Scotland

OBJECTIVES: All dental surgeons should be protected from hepatitis B virus (HBV) infection by immunisation, ideally administered and monitored via occupational health services (OHS). This study examined relevant OHS systems in place for dental primary care healthcare workers (DHCW) across all Health Board Areas (HBAs) in Scotland. It also explored the DHCWs' knowledge of, and access to, these systems in three HBAs. METHODS: Data from senior staff in all Scottish Health Boards and Primary Care Trusts were collected by self-completing questionnaires. Information from DHCWs was collected via telephone interviews with General Dental Practitioners (GDPs) and Community Dental Officers (CDOs) in each of Ayrshire and Arran, Highland and Lothian Health Boards. RESULTS: Thirteen of the 15 HBAs had robust HBV vaccination and monitoring systems. However, only 7/15 (47%) of these covered all DHCWs. Seven HBAs provided vaccination and monitoring for CDOs only, leaving GDPs to undertake these responsibilities for themselves. Of the 105 DHCWs approached, 82 gave an interview. These interviews highlighted major differences between HBAs in relation to access of DHCWs to OHS and indicated that CDOs had greater access than GDPs to OHS. Overall, 31% of DHCWs were not satisfied with the OHS available. CONCLUSION: In order to safeguard both staff and patients, significant further work is required to ensure that all DHCWs have access to appropriate OHS support for provision and monitoring of immunisation procedures and related functions such as management of sharps injuries.