Value congruence and job satisfaction among nurses: a human relations perspective

The relationship between job satisfaction and value congruence within four organizational value areas was studied among nurses at surgery wards. Congruence between perceived and desired human relations values and social climate independently determined attitudes toward the nurse's ward. Social climate was operationalized as the habit of chatting with colleagues, and was inversely related to time pressure. Ward attitudes predicted job satisfaction, although structural equation modeling suggested that human relations value congruence also predicted job satisfaction directly, in addition to its effect through ward attitudes. Human relations value congruence thus appeared as an important ingredient of person-organization fit in nursing.     

Aggression towards health care staff in a UK general hospital: variation among professions and departments

Background. Aggression towards health care staff is an increasing problem and although many studies have examined psychiatric settings, few have considered general hospitals and in particular, variation among professions and locations. In addition, studies often fail to include all forms of aggression such as threatening behaviour and verbal aggression. Methods. This study extends existing research by evaluating physical assault, threatening behaviour and verbal aggression from patients/visitors towards general hospital staff in the context of different professions and departments. Results and conclusions. The survey of staff showed that aggression is widespread. Within the preceding year, 27% of the respondents were assaulted, 23% experienced threatening behaviour from patients and 15.5% experienced threatening behaviour from visitors. Over 68% reported verbal aggression, 25.7% experiencing it more regularly than monthly. By departments, over 42% of the medical department staff, 36% of the surgical staff and over 30% of the Accident and Emergency staff were assaulted. By profession, staff nurses and enrolled nurses reported the most assaults (43.4%) and doctors, the fewest (13.8%). Other nursing grades and health care professions all reported levels of physical assault in excess of 20%. Correspondingly high levels of threatening behaviour and verbal aggression were also reported although the patterns of victimization differed according to the various professions and departments. Independently, significant levels of assault, threatening behaviour and verbal aggression were reported. When aggregated they demonstrate the higher levels of victimization that general hospital staff experienced on a regular basis. Relevance to clinical practice. Institutional averages actually obscure the much higher levels of aggression experienced by the particular professions in particular departments. This study helps to localize the problem and identify those at most risk, but more research is needed into the aetiology of the aggression and of vulnerability factors associated with victimization.     

Self-reported experiences as predictors for onset of psychotropic medication. A prospective study of healthy draftees

Abstract

Background: Psychosis and other psychiatric disorders are often preceded by prodromal symptoms. There are few community-based studies on symptom predictors of severe mental problems in healthy people. Aims: We aimed to study how a new self-reported screen for prodromal symptoms (PROD) predicts onset of all psychotropic and antipsychotic medication in healthy draftees. Methods: In a prospective follow-up study, 2330 18-year-old Finnish draftees who at call-up in 1999 completed the PROD comprising 21 symptom items divided into positive, negative and general symptom categories were prospectively followed for 6 years. First purchases of any psychotropic and antipsychotic drugs separately between 2000 and 2005 were used as an indicator of the onset of psychiatric disorder and predicted by PROD symptoms in Cox regression analysis. Results: A majority of the PROD items significantly predicted the first purchases of any psychotropic and of antipsychotic drugs, separately. Positive, negative and general symptoms predicted purchases of any psychotropic medication, while negative and general symptoms predicted purchases of antipsychotic drugs. General symptoms, in particular anxiety, had a strong independent association with onset of psychotropic medication. Conclusions: In young healthy men, self-reported sub-clinical psychic symptoms predict onset of psychiatric disorders requiring psychotropic, including antipsychotic, medication.     

社区获得性肺炎急性时相蛋白的检测及其意义

目的探讨社区获得性肺炎(CAP)急性时相反应蛋白(APR)测定的临床意义.方法测定62例社区获得性肺炎APR的水平,将其分为有心肺疾病和/或危险因素组(A组,30例)和无心肺疾病和/或危险因素组(B组,32例);监测其APR含量变化,并与30例正常人进行对照分析.结果CAP患者测定的CRP、AAG及HPT的含量明显高于正常组(p＜0.01),而A组患者的CRP、AAG、HPT的含量明显高于B组(p＜0.01).结论APR的测定对于CAP病情的评估及预后有着密切联系.     

A qualitative study of Korean music therapist's turnover experiences

Nine Korean music therapists’ turnover experiences were examined using consensual qualitative research. Five domains and 24 categories were created from the cross-analysis of the data. The domains of this study were: (a) factors contributing to turnover; (b) burnout; (c) turnover procedure; (d) changes after turnover; and (e) factors contributing to retention. Based on the frequency label of each category, three types of categories were generated: general (8–9 cases), typical (5–7 cases), and variant (2–3 cases). The result showed that the lack of recognition for music therapy among administrators, supervisors, and peer therapists contributed to music therapists’ turnover decision. However, it was found that these participants had a strong sense of professionalism, which was expressed through their work, regardless of the various challenges posed by environmental conditions. In fact, financial sources such as work conditions and salary were only categorized as variant whereas the professional incentives were identified generally across participants in this study.     

新医改后三省乡镇卫生院卫技人员激励机制变化趋势分析

目的 对比新医改初期和深入阶段, 山东、安徽和陕西三省乡镇卫生院卫生技术人员激励机制变化情况。方法 分别于2011年和2013年对山东、安徽和陕西三省18家乡镇卫生院卫生技术人员进行收入水平和福利享有率、满意度和工作感受等与激励机制相关内容调查, 并对结果进行描述性统计分析。结果 与2011年相比, 2013年乡镇卫生院卫生技术人员实际月收入均值增长38.6%, 工伤保险、失业保险和生育保险享有率分别提高22.2%、12.1%和22.9%。收入和福利2项经济激励因素满意度得分分别增加0.16和0.23分, 但在所有激励因素中得分仍然最低;非经济激励因素满意度得分无明显变化, 多数处于一般水平。工作意义感得分降低了0.22分。结论 应在进一步完善经济激励的同时着重加强非经济激励。     

The quality of telepsychiatry in terms of accessibility,appropriateness, effectiveness,and safety among psychiatric patients in King Abdulaziz Medical City: An observational cross-sectional analytical study

There has been an increasing demand for psychiatric care in recent decades, and “telepsychiatry” was developed to meet these demands. It is a type of telemedicine in which they provide many medical services virtually, such as therapy, counseling, and medication management. Telepsychiatry has numerous advantages, including lower costs, reduced stigma, and improved continuity of care. To the best of our knowledge, no previous studies in the western region of Saudi Arabia addressed patients satisfaction with telepsychiatry. This cross-sectional study aims to assess patient satisfaction in telepsychiatry in terms of accessibility and timeliness, appropriateness, effectiveness, and safety, and to see whether patient satisfaction affects their decision to use the service again in the future. A cross-sectional study was conducted using a prestructured survey on the basis of the Client Satisfaction Questionnaire-18, which is a validated questionnaire used to assess patients’ satisfaction with the services provided to them. From January 2021 to July 2021, all male and female psychiatric patients over the age of 18 years who had psychiatric virtual appointments were included in this study. This study included 182 patients, of whom 106 were female. Patients were generally satisfied with the telepsychiatry services; 56.6%, 81.9%, 86.8%, and 91.2% of the participants were satisfied with the access and timeliness, appropriateness, effectiveness, and safety, respectively, and a total of 58.3% either strongly agree or agree of the overall satisfaction level. Depression and anxiety disorders were the most common psychiatric diseases. The statistical analysis revealed no significant relationships between patients’ satisfaction and demographic characteristics. Telepsychiatry has been evaluated to meet the growing demand for psychiatric care; it also has significant advantages. Patients had an overall positive satisfaction level toward telepsychiatry service, and so the results of this study support the continuity of using telepsychiatry in the future. Further research area could include a comparison between patients’ and providers’ satisfaction levels with telepsychiatry.     

关于大学生性别特质与恋爱关系满意度的调查研究

目的验证双性化性别特质模型并探讨性别特质同恋爱满意度的关系。方法采用洛克-华莱氏(Lock-Wallace)婚姻(恋爱)关系调适测定量表和性别特质量表对109名大学生进行问卷调查。结果双性化特质的人占49.5%,未分化特质的人占11.0%,男性化特质的人占34.9%,女性化特质的人占4.6%;不同性别特质类型的人在恋爱满意度上有着显著的差异(F=12.657,P<0.01);16个性别特征和恋爱满意度有着显著的相关(P<0.05)。结论随着时代的发展,双性化趋势明显;在恋爱过程中,具有双性化特质的人有较高的恋爱满意度;高恋爱满意度与具体的某些人格特征相关。