以服务接触理论的理念构建患者满意评价体系的探索性研究

目的 尝试运用服务接触理论思想探索构建患者满意评价体系内容与结构的方法.方法 通过叙事研究方法采集三甲医院门诊患者就医经历,采用服务接触理论对影响患者满意度的因素进行分析、归纳,在此基础上确定患者满意的各类触点,这些触点是构建评价体系内容与结构的依据.结果 在医疗服务各环节存在的服务触点有结果、过程、交流与互动3个维度,又再分为人的触点、设施的触点、信息的触点3个方面.这些触点都可成为影响满意度的因素,是构成患者满意评价体系的基本内容:如候诊环节座椅不够属于就医过程维度的设施触点,就诊环节医生态度冷淡属于交流与互动维度的人的触点,检查环节不能当天取结果属于结果维度的设施触点等.及时找出弱项服务触点并加以整改,将有效提升患者满意度.结论 根据服务接触理论整理出的各类服务触点能为构建合理有效的患者满意评价体系的具体内容和结构提供依据,叙事研究方法作为一种质性研究方法,可作为有效的患者满意度评价工具进行探索性研究阶段的信息收集.     

应用Access程序设计医院个性化药品查询系统

目的:提高药学服务的质量,方便医务人员查询药品信息。方法:收集和整理药品说明书信息,利用Access对数据库的管理功能设计医院药品查询系统。结果与结论:该系统使用简便、界面清晰、操作人性化,能方便地提供药品信息,通过日常的维护,能轻松实现医院药品信息查询个性化,可满足不同医院门诊药物咨询的要求。     

我院“军字一号”历史病历光盘查询系统的实现

本文介绍我院在＂军字一号＂信息平台上建立相应的病案转存系统的技术和实现方法。解决了＂军字一号＂文件服务器中的病历文件越积越多、不便查询的问题。     

儿科医务人员传染病突发事件应急能力评价指标体系构建

目的 构建儿科医务人员应对传染病突发事件的应急能力评价指标体系。方法 以PPRR风险管理模型为基础,结合文献研究和课题组讨论初步形成儿科医务人员传染病突发事件应急能力评价体系草案;通过两轮专家函询对18名专家的意见进行分析汇总,运用层次分析法确定权重,形成儿科医务人员传染病突发事件应急能力评价体系终稿。结果 最终获得一级指标4个、二级指标15个、三级指标35个,并确定相应指标的权重系数。两轮专家函询的问卷回收率分别为100%和94.74%,专家的两轮咨询专家判断系数Ca为0.922,熟悉程度Cs为0.811,权威成熟Cr为0.8665。结论 基于PPRR风险管理模型构建的儿科医务人员传染病突发事件应急能力评价指标具有较高的科学性和实用性,后续仍需在实践中继续优化和完善。     

非招标采购方式的问题

在军队物资非招标采购方式运用实践中,竞争性谈判采购存在竞争性程度问题、谈判操作中的严密性问题、临时更改评审方法标准和成交条件问题;询价采购存在评审方法和评定成交的标准问题、是否必须有3家以上合格报价问题、指定品牌问题和其他程序问题;单一来源采购存在价格居高不下问题、成本价格随性能同时增长问题、技术创新与技术改造的动力受限问题.     

学生中医儿科问诊标准化病人的培训和应用研究

目的:探索在大专三年制医学专科学校培训并应用学生问诊标准化病人(SSP)的可行性和实效性.方法:在临床专业大二医学生中遴选并进行中医儿科问诊SSP的培训.将中医专业的学生随机分成实验组和对照组,实验组用SSP进行问诊技能学习,对照组采用病例讨论法进行问诊技能学习.SSP再用于实验组和对照组的问诊技能的考试中.结果:2组问诊技能、问诊内容及病历书写成绩比较,差异均有高度统计意义(P<0.01),实验组成绩优于对照组;对实验组教师问诊临床技能考试评分和SSP评分的相关性检验,呈高度相关.结论:SSP的应用能在有限的学制内,有效地提高学生的问诊临床技能.SSP培训模式和应用值得在三年制医学类学校的技能教学中推广运用.     

Research based empathic knowledge for nursing: A translational strategy for disseminating phenomenological research findings to provide evidence for caring practice

We are interested in the kind of knowledge that is particularly relevant to caring practice and the way in which qualitative research findings can serve such knowledge. As phenomenological researchers we have been engaged with the question of how findings from such research can be re-presented and expressed more aesthetically. Such a movement towards a more aesthetic phenomenology may serve the communicative concern to express phenomena relevant to caring practice in ways that appeal to the ‘head, hand and heart’. The paper first offers some thoughts about the complex kind of knowledge relevant to caring that is not only technical or propositional, but actionable and aesthetically moving as well. We call this kind of knowledge ‘embodied relational understanding’. Further, the paper outlines the development of one way of serving a more aesthetic phenomenology whereby research findings can be faithfully and evocatively translated into more empathically impactful expressions. We call this process ‘embodied interpretation’. It is guided by an epistemological framework grounded in the philosophies of Gadamer and Gendlin. We finally illustrate the process with reference to the experience of living after Stroke, and consider the value of this translational process for nursing education and practice.     

医学院校物理实验教学改革的探索

目的:探讨培养医学生的创新意识和创新能力。方法:在常规医用物理实验中进行探究式教学,通过创设情境、提出问题;启发思考、分析因果、提出假设;设计实验、科学探究;总结、评价、交流等过程,培养医学专业学生的科学思维方法、创新意识和创新能力。结果:通过改变教学策略,把医用物理实验项目中所用的思想和方法融入到教学的实际中去,就会使学生从过去那种被动做实验而上升到自己参与研究;使学生从接受性学习走向自主研究学习。结论:在医用物理实验教学中开展探究式教学是可行的。     

Promoting compassionate care with the older people: a relational imperative

We have been invited to imagine a future where the care for older people goes beyond the current paradigm. This article challenges the fundamental assumptions that underlie current care practices and, instead, promotes systems and processes that elevate nourishing and stimulating relationships with basic dignity, as well as personal agency, in the later days of life. Healthcare professionals still base current care systems on a medical model that emphasises the diagnosis, treatment and cure of disease (Kane RL & West JC, 2005It Shouldn't Be This Way: The Failure of Long-Term Care, Vanderbilt University Press, Nashville, Tennessee). In contrast, we highlight principles of relating that support care to older people during the final stages of life, and promote systems, processes, and design elements that constitute compassionate care. To do so, it is necessary to move from a model that responds to the dominant regulatory environment to a model that is designed in the ongoing processes of human relationships. Specifically, we are including all dimensions of relating including relations among the residents and between and among residents' families, and all levels and functions of caretakers and the community.