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1.
Family-centered care (FCC) for sick newborns is emerging as a paradigmatic shift in the practice of facility-based newborn care. It seeks to transforming a provider-centered model into a client-centered one and thus build a new therapeutic alliance. FCC is the cornerstone of continuum of care, imparting caregiving competencies to parents/caregivers both within institutions as well as after the discharge. This has potential gains for the newborn, family members, and facility-level staff. The initial model piloted in tertiary-care settings is now undergoing translation at five sites across the country; the outcomes are keenly awaited. 相似文献
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Yasmine Yousef Etienne St-Louis Robert Baird Emily R. Smith Elena Guadagno Dickens St-Vil Dan Poenaru 《Journal of pediatric surgery》2019,54(4):831-837
Background
The Lancet Commission on Global Surgery highlighted global surgical need but offered little insight into the specific surgical challenges of children in low-resource settings. Efforts to strengthen the quality of global pediatric surgical care have resulted in a proliferation of partnerships between low-and middle-income countries (LMICs) and high-income countries (HICs). Standardized tools able to reliably measure gaps in delivery and quality of care are important aids for these partnerships. We undertook a systematic review (SR) of capacity assessment tools (CATs) focused on needs assessment in pediatric surgery.Methods
A comprehensive search strategy of multiple electronic databases was conducted per PRISMA guidelines without linguistic or temporal restrictions. CATs were selected according to pre-defined inclusion criteria. Articles were assessed by two independent reviewers. Methodological quality of studies was appraised using the COSMIN checklist with 4-point scale.Results
The search strategy generated 16,641 original publications, of which three CATs were deemed eligible. Eligible tools were either excessively detailed or oversimplified. None used weighted scores to identify finer granularity between institutions. No CATs comprehensively included measures of resources, outcomes, accessibility/impact and training.Discussion
The results of this study identify the need for a CAT capable of objectively measuring key aspects of surgical capacity and performance in a weighted tool designed for pediatric surgical centers in LMICs.Type of Study
Systematic Review.Level of Evidence
II. 相似文献4.
通过文献研究、问卷调查、专家访谈、现地调研等方法,分析医院离退休干部参与社会治理的现状及影响因素,探讨社区对离退休干部参与社会治理的需求,提出通过党建引领医院离退休干部参与社会治理的“1235”模式,并给出具体的操作路径,以期为推动医院离退休干部积极参与社会治理提供参考。 相似文献
5.
低胆红素血症对机体抗氧化能力和脂质过氧化的影响及VitE的干预效果 总被引:6,自引:1,他引:5
目的 :探讨低胆红素血症对机体抗氧化能力和脂质过氧化的不良影响并观察VitE的干预效果。方法 :从体检健康人群中有意选择 4 5例胆红素水平偏高者 (≥ 15 μmol/L)和 4 0例胆红素水平偏低者 (≤ 9μmol/L)作为研究对象 ,抽空腹静脉血检测血清总抗氧化能力 (T -AOC) ,丙二醛 (MDA)及血浆氧化修饰低密度脂蛋白(Ox -LDL) ,并给低胆红素组每人每天口服VitE 10 0mg ,连续 2周 ,复测上述指标。结果 :与高胆红素组比 ,低胆红素组T -AOC明显降低 (P <0 .0 1) ,而MDA和Ox -LDL明显升高 (P <0 .0 5和P <0 .0 1) ,但低胆红素组补充VitE干预后 ,T -AOC显著升高 ,而MDA和Ox -LDL显著降低 (均P <0 .0 1) ,分别达到甚至超过了高胆红素组的相应水平。结论 :低胆红素血症可显著降低机体抗氧化能力 ,促进脂质过氧化 ,但这一不良影响可以通过补充VitE得到有效纠正。 相似文献
6.
护士礼仪课的教学与实践 总被引:4,自引:0,他引:4
为适应医学模式的转变和市场需求,福建中医学院护理学系开设护士礼仪选修课,并对此课程进行教学设计,包括师资培养设计、教学对象设计、教学内容设计、教学方法设计。在授课结束对学生问卷调查、访谈和考试,并对结果进行统计学处理.认为教学实践效果较好。另在教学实践基础上讨论开设护士礼仪课程的意义,提出护士礼仪课程建设若干思考。 相似文献
7.
阐述了节能建筑的特点,分析了建筑节能设计规程及标准的特点,并结合中国的资源状况和北京的能耗现状,论述了医院建筑电气专业的具体设计做法。 相似文献
8.
The author is currently working in the office of Health Promotion,Ministry of Health in British Columbia. For the past 17 yearsshe has worked in Health and Welfare Canada as an advocate forcitizen participation in developing health programs and policies. This article is based on her experience as an advocate and bureaucratin translating and mediating health promotion rhetoric intoaction. The Canadian Healthy Communities and Strengthening Communitiesprojects are used as examples in analyzing the opportunitiesand contradictions in building alliances. 相似文献
9.
构建学习型军队医院的策略 总被引:4,自引:2,他引:2
孙景海 《解放军医院管理杂志》2003,10(4):340-341
作介绍了该院制定合理的共同愿景,激发医院员工的学习愿望;建设学习型的领导班子,带动员工自觉学习;强化学习过程管理,不断提高学习效果;处理“学”与“用”的关系,保证学习型组织管理模式长久运行等一系列构建学习型医院的基本做法,为探索医院管理新模式提供了参考。 相似文献
10.
This study describes a method for determining the number of radiographic rooms devoted to emergency radiology that would be
required to keep mean patient waiting time at a desired level.
A desired mean waiting time for patients must be determined. In our setting, a mean waiting time of 8 minutes resulted in
few complaints. The waiting time then sets the required utilization rate of available capacity. Daily and hourly volume and
variability in volume of examinations were measured over a 3-month period. This represents the demand. The needed number of
rooms is determined by comparing demand with effective available capacity for different numbers of rooms.
To maintain an 8-minute mean waiting time, 50% utilization of capacity is required. Mean demand on Sundays is 176 examinations.
Five rooms are required, since this gives a 180-examination effective capacity.
Using waiting time as the primary decision criterion for making capacity decisions in emergency radiology has several advantages:
the method is easy to use, volume variability is taken into account, and the focus is on service to patients. 相似文献