Promoting leadership: the development of a nurse executive team in an acute hospital trust

Aim The purpose of this study was to evaluate how an executive nursing team, within an acute hospital trust in the south of England, developed their leadership characteristics through the use of a professional development programme. Background This paper offers an insight into how this team worked together to clarify their views of their new role and how the role would be enacted. Method A questionnaire using quantitative and qualitative measures was used to explore the group’s leadership style and evaluate the professional development programme. Findings The findings show how the development programme worked and what clarity it afforded the group in terms of their leadership style. Group work, building on the findings, helped them define their particular characteristics, skills and leadership ability and what further work was needed to demonstrate this. Conclusions The issues raised, such as team‐working, mutual purpose and personal development, are discussed in terms of their function within an integrated executive team with vision and goals. Implications for nursing management In ensuring that the nursing service has positive purpose, direction and goals, there needs to be a strategic approach to corporate development; otherwise, nursing will struggle to lead itself within a fast changing health care system.     

Globalized health and its governance

Globalization brings about a new era of more integrated human society. However, it is a double-edged sword: while enjoying the benefits of closer economic, trade and more frequent cultural exchanges among countries, we are encountered with a number of problems and risks, such as nuclear weapons proliferation, environmental pollution, natural disasters, spread of infectious diseases, etc. Given this fact, new concepts of global health governance have emerged in the health arena across the globe in recent years.     

Generation Scotland: consulting publics and specialists at an early stage in a genetic database's development

A preliminary consultation about Scotland's first family-based, population DNA database (Generation Scotland) involved 10 focus groups with diverse publics and a series of 17 interviews with key stakeholders in various locations in Scotland throughout 2003/2004. Unlike similar consultations on genetic databases, this took place at the concept phase of the proposed genetic research. We report on the specific concerns that arose around participation, access, use, feedback and public consultation. Broadly, we find differences between specialists and focus groups are mostly of degree and not of kind, although the specialists were more confident in some areas (e.g. governance). Given the salient and recurring nature of these issues when compared with the UK Biobank consultations, for example, we suggest that the efforts to consult have not been matched with equal effort on policy or institutional response. So, following from this, we offer compelling reasons for introducing more robust legislation and regulation.     

Our Postpandemic World: What Will It Take to Build a Better Future for People and Planet?

Policy Points

• Despite the pandemic''s ongoing devastating impacts, it also offers the opportunity and lessons for building a better, fairer, and sustainable world.
• Transformational change will require new ways of working, challenging powerful individuals and industries who worsened the crisis, will act to exploit it for personal gain, and will work to ensure that the future aligns with their interests.
• A flourishing world needs strong and equitable structures and systems, including strengthened democratic, research, and educational institutions, supported by ideas and discourses that are free of opaque and conflicted influence and that challenge the status quo and inequitable distribution of power.

     

连建伟教授治疗汗证治验五则

介绍建伟教授治疗汗证五则:虚劳汗出、肥人多汗、产后盗汗、气虚自汗、红汗案。指出:宜不被常法所左右,善于辨证。     

良性小动脉性肾硬化分期的辨证论治

良性小动脉性肾硬化多由肝脾肾三脏脏气虚弱,功能失调所致。肝阳上亢,肝风内动是其发生的病理基础,脾虚失运,气血两亏是其发展的病理机制,脾肾衰败,浊毒内蕴为其恶化及转归的根本。治疗上应注重预防为主,早期诊断,分期辨证施治,以调理肝脾肾三脏功能为主。     

Transfer of the critically ill adult patient

Patient transfer has both resource ramifications and is an important public health issue. With increasing centralization of specialist services and the advent of regional trauma networks, the requirement for patient transfer is ever present. Every year in the UK over 11,000 intensive care patients are transferred and the majority of these transfers are facilitated by a team from the transferring hospital. Transferring a critically ill patient is a process involving inherent risk. It follows that prior preparation around planning for a safe transfer is essential, both in terms of anticipating potential problems, mitigating against them and ensuring clear and timely communication with the accepting hospital and respective specialties responsible for the patient. In the longer term, training of staff is essential in order to reduce instances of harm to patients. Medical transfers must be the subject of further research in order to consolidate best practice and improve our understanding of patient safety during transfer. This article provides an overview of the different types of patient transfer, the associated hazards, human factors around decision making, communication, equipment and organization.     

法人治理结构在区域性医疗联合体中的实施路径探析

通过分析区域性医疗联合体在新医改中提出的背景,总结了上海在前期开展实践中的经验,阐述了完善法人治理结构在打造区域性医疗联合体中的重要性和可行性,并结合上海在崇明地区开展的医疗联合体的试点工作,研究了区域性医疗联合体法人治理结构的实施路径,指出在实践中要先易后难,循序渐进,沿着先转机制,再建体制的路线,经过＂松散式＂、＂紧密型＂和＂一体化＂三个不同的联合体发展阶段,最后构建科学合理的法人治理结构。     

银屑病从血论治

银屑病在中医学上称为白庀,治疗较为棘手。目前西医治疗以维A酸类、抗肿瘤药物、维生素类、免疫疗法等为主,其中许多有较大的毒副反应,影响患者的生存质量。祖国医学辨证分型中＂血分蕴毒＂是银屑病的重要病机,中医药治疗本病从血论治在缓解病情、防止复发等方面有良好效果。文章就近年来银屑病＂从血论治＂的中医药治疗进展作一综述。