辽宁省养老机构入住老人护理服务满意度及需求的调查研究

目的 了解辽宁省养老机构入住老人的现状、护理服务满意度及需求,探讨养老机构入住老人的服务需求.方法 整群随机抽取沈阳、大连、鞍山、营口、锦州、葫芦岛等6个城市的574名养老机构入住老人进行问卷调查.结果 超过50%的入住老人对服务态度、生活护理、康复指导满意,但对医疗护理和心理护理满意的老人比例不到50%.不同年龄、婚姻状况的老人对心理护理服务的需求程度比较,差异有统计学意义(P＜0.05).结论 入住老人对心理护理有很高的需求;针对不同年龄、婚姻状况的老人有必要提供个案心理护理.     

基于SoLoMo的医学院校图书馆移动服务

调查了国内医学院校图书馆的移动服务现状,介绍了医学院校专业设置的特殊性、医学学科的专业性、医学图书馆用户群的独特性,分析医学图书馆移动服务未能如期开展的原因,得出移动服务模式仅局限于SMS、WAP、APP服务等基础层面,深层次服务内容和模式还有待拓展,因此基于SoLoMo理念,从社交化、本地化、移动化三方面对移动图书馆的服务拓展提出建议和对策。     

在冠状动脉粥样硬化性心脏病患者中实施人性化护理的体会

目的探讨对冠状动脉粥样硬化性心脏病患者实施人性化护理的体会。方法根据冠状动脉粥样硬化性心脏病患者的心理特点、加强主动服务意识,做好健康教育,满足患者的基本需要,以人性化护理服务于患者。结果体现人性化护理在临床护理工作中的真实意义。结论实施人性化护理不仅提高了护理质量和患者满意率,也提高了护士的综合素质和主动服务的意识。     

Mobile health IT: the effect of user interface and form factor on doctor-patient communication

Background

Introducing computers into primary care can have negative effects on the doctor-patient dialogue. Little is known about such effects of mobile health IT in point-of-care situations.

Aim

To assess how different mobile information devices used by physicians in point-of-care situations support or hinder aspects of doctor-patient communication, such as face-to-face dialogue, nonverbal communication, and action transparency.

Method

The study draws on two different experimental simulation studies where 22 doctors, in 80 simulated ward rounds, accessed patient-related information from a paper chart, a PDA, and a laptop mounted on a trolley. Video recordings from the simulations were analyzed qualitatively. Interviews with clinicians and patients were used to triangulate the findings and to verify the realism and results of the simulations.

Result

The paper chart afforded smooth re-establishment of eye contact, better verbal and non-verbal contact, more gesturing, good visibility of actions, and quick information retrieval. The digital information devices lacked many of these affordances; physicians’ actions were not visible for the patients, the user interfaces required much attention, gesturing was harder, and re-establishment of eye contact took more time. Physicians used the devices to display their actions to the patients. The analysis revealed that the findings were related to the user interface and form factor of the information devices, as well as the personal characteristics of the physician.

Conclusion

When information is needed and has to be located at the point-of-care, the user interface and the physical form factor of the mobile information device are influential elements for successful collaboration between doctors and patients. Both elements need to be carefully designed so that physicians can use the devices to support face-to-face dialogue, nonverbal communication, and action visibility. The ability to facilitate and support the doctor-patient collaboration is a noteworthy usability factor in the design of mobile EPR systems. The paper also presents possible design guidelines for mobile point-of-care systems for improved doctor-patient communication.     

东莞地区护理管理者情况及岗位培训需求

目的了解东莞地区护理管理者情况及岗位培训需求,为东莞地区建立护理管理者培训机制及规范化培训方案提供依据。方法采用自行设计的问卷,调查东莞68所医院共744名护理管理者。结果 744名护理管理者中,硕士占1.35%,本科占60.35%;初级职称占30.25%。风险与危机处理及质量管理是护理管理者主要的培训需求。影响培训的因素是经费、时间、内容和上级领导不支持。结论东莞地区护理管理者任职学历、职称欠合理。护理管理者培训应以需求为导向,分层级、有重点,多形式进行。     

Measuring Quality and Performance of Assistive Technology: Results of a Prospective Monitoring Program

A crucial need in assistive technology delivery is follow-up to determine device performance and satisfaction from the individual with a disability's perception. As part of an overall research project on technology transfer, this investigation was designed to measure and document service delivery outcomes, first in a pilot study at the Rehabilitation Engineering Center (REC), Lucile Salter Packard Children's Hospital at Stanford (LSPCH) with 60 consumers and then in a replication study in four other service delivery centers providing devices to 103 clients. One hundred sixty-three devices were delivered to 163 consumers by five service delivery centers. The results of this investigation indicate that user feedback can be documented through prospective and standardized data collection forms; outcome measures can be helpful in determining user satisfaction and device performance; user responses, compared with clinician evaluations, are reliable perceptions of device performance; provision of the selected assistive devices was demonstrably positive for the majority of device users; and for those individuals not initiating return visits, the phone-call follow-up provided information that would not have been available otherwise to the service providers.     

Respiratory gas exchange and physiological demands during a fire fighter evaluation circuit in men and women

We examined the oxygen uptake (VO2) and carbon dioxide output (VCO2) during completion of a circuit developed for testing fire fighters and related performance time to laboratory measures of fitness. Twenty-two healthy university students (ten women) were trained in the tasks then performed the circuit as quickly as possible. Breath-by-breath gas exchange and heart rate were continuously measured with a portable system. Median circuit time was 6:13 (min:s, 25-75% = 5:46-6:42) for men and 7:25 (25-75% = 6:49-10:21) for 8 women finishers (P = 0.023), and VO2 averaged 68 and 64% VO2max for the men and women during the circuit. Both men and women had high respiratory exchange ratios (>1.0) suggesting marked anaerobic energy contribution. Physiological variables associated with circuit time were assessed by backward stepwise regression yielding a significant model that included only peak work rate during arm cranking exercise as a function of circuit completion time across men and women combined (P < 0.001). For men, but especially for women, the time required for the simulated victim drag (68.2 kg mannequin) was positively correlated with total time to complete the other circuit elements (r = 0.51, r = 0.96 respectively). The simple correlation between circuit time and VO2max (mL/kg/min) revealed poor relationships for men (r = -0.37, P > 0.05) and women (r = 0.20, P > 0.05). These data demonstrated that upper body fitness as reflected by peak work rate during arm cranking correlated with total circuit time for the men and women in our population sample.     

Physiological demands of different sailing techniques of the new Olympic windsurfing class

The introduction of the new Olympic class windsurf-board has prompted sailors to develop a new technique of sail “pumping” (rhythmically pulling the sail so that it acts as a wing). Contrary to the old technique that mainly involved upper body activity, the new one requires both upper and lower body muscle activity. Accordingly, the aim of the present study was to compare the performance characteristics of the board (speed and pointing angle ability relative to the direction of the wind) as well as the sailors’ physiological demands during sail pumping with the old and new pumping techniques. Nineteen male, highly-trained (O_2max: 65.1 ± 5.9 ml min⁻¹ kg⁻¹), international level windsurfers from six different countries underwent two testing sessions on-water in a balanced order. Compared to the old pumping technique the mean distance sailed with the new technique (1,872 ± 15 and 1,764 ± 13 m, respectively) and the board speed (3.42 ± 0.49 and 3.81 ± 0.28 m s⁻¹, respectively) were significantly (P < 0.05) shorter and greater, respectively. Consequently, the time taken to sail the testing course was significantly shorter with the new compared to the old technique (390 ± 8 vs. 420 ± 16 s). Despite the finding that the new technique was sustained at a significantly higher fraction of O_2max (80.5 ± 5.2 and 72.7 ± 4.5%, respectively) compared to the old technique, total energy expenditure (130.7 ± 11.3 and 128.1 ± 9.2 Kcal, respectively) and blood lactate concentration 3 min into recovery (9.4 ± 2.2 and 8.5 ± 1.7 mmol l⁻¹, respectively) were not different. It is concluded that application of the new sail pumping technique improves the performance characteristics of the board without increasing the sailors’ total metabolic requirement.     

User involvement in health and social care education: a concept analysis

This paper presents an evaluative discussion of the literature, and findings from a concept analysis which explores user involvement in the context of health and social care higher education in the United Kingdom. User involvement is increasingly a requirement in higher education and the purpose of the concept analysis was to clarify and elucidate the meaning and nature of the concept. Walker and Avant's (2005) eight step framework for concept analysis was used to provide understanding of the underlying attributes and a model for critique and meaningful evaluation and research. A structured search and discussion of contemporary literature was undertaken. A model case is identified along with antecedents, critical attributes and consequences. The complexities of involvement are delineated with a recommendation for robust research that explores the benefits of involvement.