1例俄罗斯船员前期旅行救助以及后续尸体移运监管情况报告

本文围绕1名俄罗斯入境船员突发重症、急救转诊、死亡处置、国际运尸等一系列工作,卫生检疫人员不辱使命,较好地处置了大丰口岸通航以来首例入境船员传染病排查、旅行救助、院中关怀以及国际运尸监管等工作,受到港口当局、船方以及船员家属等相关方一致好评。     

转型健康教育模式对肿瘤患者化疗依从性的影响

目的探讨转型健康教育模式对肿瘤患者化疗依从性的影响。方法将2010年9月～2011年2月80例住院化疗患者作为对照组,对2011年3月-2011年8月住院的80例化疗患者采取转型健康教育模式进行宣教,设计化疗患者依从性调查表进行问卷调查,对结果进行比较。结果与对照组比较,采取转型健康教育后的患者更能了解疾病相关知识,自觉地配合检查、治疗、护理,治疗依从性提高,自我保健能力增强,提高了治疗效果,差异有统计学意义（P〈0．05）。结论转型健康教育模式可以更好地与患者沟通交流,针对化疗的不同时段,提供最适宜的健康宣教,并采用信息化工具,督促和指导患者出院后的遵医行为,使患者的依从性得到提高,同时也促使护理人员不断加强自身业务技能训练,提高了综合素质。     

The effectiveness of clinical supervision for a group of ward managers based in a district general hospital: an evaluative study

davis c. & burke l. (2011) Journal of Nursing Management 20, 782-793 The effectiveness of clinical supervision for a group of ward managers based in a district general hospital: an evaluative study Aim To present an evaluative audit assessing the effectiveness of clinical supervision for ward managers. Background A year-long project to introduce clinical supervision to ward managers was implemented and evaluated. The objectives were to evaluate staff perceptions of implementing clinical supervision and determine its outcomes. Method An audit evaluation process was used. Results Findings are presented against perceptions, implementation and reported outcomes of clinical supervision. Insights were gained into its relevance and importance to nurses and the organisation. Findings show that clinical supervision was perceived to be effective and helped improve patient care, but some feared it becoming a form of managerial control. Conclusions Ward managers perceived advantages for personal and professional development from adopting this process. Implications for Nursing Management There is a need for greater understanding of clinical supervision before Trusts implement it. The introduction of a resource pack for clinical areas would also be of value. Finally, there needs to be a named person who has a special knowledge of clinical supervision to act as a champion and change agent in effecting implementation at both the executive level and within each clinical area.     

压疮督查小组在急诊危重留观病人压疮防治中的作用

目的 降低急诊危重留观病人压疮发生率.提高带入压疮好转及治愈率.方法 成立以急诊护士长和业务骨干为成员的“压疮督查小组”,制定管理制度及职责,建立管理流程,进行相关理论培训,对压疮进行积极预防和治疗.结果 急诊护士预防压疮意识增强,压疮护理知识不断更新,急诊留观室压疮发生率明显降低,带入压疮好转率及治愈率提高,同时也提高了患者及家属对压疮的自护能力.结论 成立“压疮督查小组”,能有效降低压疮发生率,提高带入压疮好转及治愈率,提升急诊护理质量.     

我国药品监督的发展与现状

我国药品监督工作经过60多年的不断发展,经过几代药监工作者的不懈努力,已逐步形成了国家、省、地市、县四级药品监督体系和一套较系统的药品检验工作程序.本文主要对我国药品监督发展的历史和现状进行了简述,重点从药品技术监督体系的人力资源、基础设施、硬件设施和基本装备等方面的研究成果以及存在的问题展开论述,为进一步深入研究药品技术监督体系打下基础.     

A selective review of mental health nursing in New South Wales, Australia, in relation to clinical supervision

Recent reports have suggested that mental health staff have added stress, which arose from poor working conditions, heavy workloads, and lack of resources, within a culture in which there was a large degree of burnout, low morale, lack of job satisfaction, poor status, insensitivity and indifference. This is particularly so for mental health nurses, who create the ambience in clinical settings. Previous research has shown that the introduction of clinical supervision, as a central plank of clinical governance arrangements, has a positive effect in some of these respects, but remains underdeveloped in Australia. The present scoping study examined the extent to which this was so in mental health nursing services in the state of New South Wales. Individual mental health nurses (n = 601) and Area Health Services (n = 17) provided data about their local circumstances. Findings revealed that mental health nursing in New South Wales was a committed, late middle-aged workforce, working in services about which there was a width of opinion with the prevailing management arrangements, yet to fully exploit their therapeutic potential, or engage the educational opportunities that would assist them in their endeavour. More specifically, it remained a workforce that has yet to engage clinical supervision in a systematically coherent manner. The study concluded, therefore, that clinical supervision offered a possible practical remedy to address the causes and the effects of suboptimal service provision and that the ready availability of dedicated funding and the immediate access to service development and research expertise was a rare and timely confluence.     

Clinical Supervision for the Treatment of Adults With Severe Mental Illness: Pertinent Issues When Assisting Graduate Nursing Students

PURPOSE. There is little to guide advanced practice nurses to provide supervision for graduate students conducting psychotherapy with persons with serious mental illness. This article provides concrete suggestions for clinical supervision. CONCLUSIONS. Supervision should focus on assisting students to conduct recovery-based psychotherapy in terms of the therapeutic alliance, methods to provide empathy, collaborative goal setting, the management of countertransference, and the development of self-awareness. PRACTICE IMPLICATIONS. In providing clinical supervision, preceptors should assist students to become more aware of their own thoughts and feelings as well as stigmatizing beliefs in order to help clients move toward recovery.     

城市环境卫生作业监理模式初探

分析了环境卫生管理工作存在问题,并试图从建立一套科学、合理、实用的环境卫生作业监理模式出发,开发一套数字信息化系统,以提升城市环境卫生质量。     

Introducing clinical supervision across Western Australian public mental health services

Retention and recruitment of the mental health nursing workforce is a critical issue in Australia and more specifically in Western Australia (WA), partly due to the isolation of the state. It has been suggested that these workforce issues might be minimized through the introduction of clinical supervision within WA mental health services, where, historically, it has been misunderstood and viewed with caution by mental health nurses. This may have been partly due to a lack of understanding of clinical supervision, its models, and its many benefits, due to a paucity of information delivered into initial nurse education programs. The aim of this pilot project is to explore and evaluate the introduction of clinical supervision in WA public mental health services. A quantitative approach informed the study and included the use of an information gathering survey initially, which was followed with evaluation questionnaires. The findings show that education can increase the uptake of clinical supervision. Further, the findings illustrate the importance of linking clinicians from all professional groups via a clinical supervision web‐based database.