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Sample records for african medical staff

  1. Nuclear accident and medical staff

    International Nuclear Information System (INIS)

    Described is the commentary concerning normative action of medical staff at radiation emergency and actual actions taken/to be taken for the Nuclear Power Plant Accident (NPPA) in Fukushima. The normative medical staff's action at radiation emergency is essentially based on rules defined by such international authorities as United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR), International Commission of Radiological Protection (ICRP), International Atomic Energy Agency (IAEA) and Basic Safety Standard (BSS) and by network in IAEA, World Health Organization (WHO) and so on. The rules stand on past atomic events like those in Hiroshima, Nagasaki, Three Mile Isl., Chernobyl, and in Japanese Tokai JCO accident. The action above is required as a medical teamwork over specialized doctors. At Fukushima NPPA, medicare flowed from the on-site first-aid station (doctors for industry and labors), then the base for patient transfer (doctors of Japanese Association of Acute Medicine and Tokyo Electric Power Comp.), to the primary hospital for acute exposure (Iwaki Kyoritsu Hos.), from which patients were further transported to the secondary (contamination detected or severe trauma, Fukushima Medical Univ.) and/or tertiary facilities (serious contamination or acute radiation injury, National Institute of Radiological Sciences (NIRS) and Hiroshima Univ.). The flow was built up by the previous lead of national official guidance and by urgent spontaneous network among medical facilities; exempli gratia (e.g.), Fukushima Medical Univ. rapidly specialized in coping with the radiation medicare by partial discontinuance of daily clinical practice. Specialists of acute radiation medicare are generally rare, for which measures for it are more desirable along with health risk communication in facilities concerned. The professional function and endowment required for medical staff at emergency are concluded to be their guts and devotion as well as medical

  2. MEDICAL STAFF SCHEDULING USING SIMULATED ANNEALING

    OpenAIRE

    Ladislav Rosocha; Silvia Vernerova; Robert Verner

    2015-01-01

    Purpose: The efficiency of medical staff is a fundamental feature of healthcare facilities quality. Therefore the better implementation of their preferences into the scheduling problem might not only rise the work-life balance of doctors and nurses, but also may result into better patient care. This paper focuses on optimization of medical staff preferences considering the scheduling problem. Methodology/Approach: We propose a medical staff scheduling algorithm based on simulated annealing, a...

  3. MEDICAL STAFF SCHEDULING USING SIMULATED ANNEALING

    OpenAIRE

    Ladislav Rosocha; Silvia Vernerova; Robert Verner

    2015-01-01

    Purpose: The efficiency of medical staff is a fundamental feature of healthcare facilities quality. Therefore the better implementation of their preferences into the scheduling problem might not only rise the work-life balance of doctors and nurses, but also may result into better patient care. This paper focuses on optimization of medical staff preferences considering the scheduling problem.Methodology/Approach: We propose a medical staff scheduling algorithm based on simulated annealing, a ...

  4. ICRP and radiation protection of medical staff

    International Nuclear Information System (INIS)

    Committee 3 (Protection in Medicine) and Committee 4 (Application of Recommendations) of the International Commission on Radiological Protection (ICRP) deal with the protection of medical staff. In the last 10 years, the Committee on Protection in Medicine has been involved in the preparation of 12 publications, some of which include specific recommendations on occupational RP. This paper summarizes the most relevant aspects of these recommendations on RP for medical staff. The most recent publication on Radiation Dose to Patients from Radiopharmaceuticals contains an annex on hand exposure in radio-pharmacies. Radiation detriment from exposure of both radiological staff and other individuals is considered as part of the justification of medical exposures and of the optimization process. ICRP advises on the uncertainty concerning the risk of cataracts and puts particular emphasis on optimization in situations of exposure of the eyes. Some recommendations on staff protection are included in the documents on computed tomography, digital radiology, pregnancy, discharge of patients after therapy and interventional radiology. The contents related to staff RP in the coming publications of the Committee (pediatric, cardiology, and fluoroscopy) are also summarized.

  5. Radiation Safety Awareness Among Medical Staff

    International Nuclear Information System (INIS)

    The common access to imaging methods based on ionizing radiation requires also radiation protection. The knowledge of ionizing radiation exposure risks among the medical staff is essential for planning diagnostic procedures and therapy. Evaluation of the knowledge of radiation safety during diagnostic procedures among the medical staff. The study consisted of a questionnaire survey. The questionnaire consisted of seven closed-ended questions concerning the knowledge of the effects of exposure to ionizing radiation as well as questions related to responder’s profession and work experience. The study group included a total of 150 individuals from four professional groups: nurses, doctors, medical technicians, support staff. The study was carried out in the three largest hospitals in Gdańsk between July and October 2013. The highest rates of correct answers to questions related to the issue of radiation protection were provided by the staff of radiology facilities and emergency departments with 1–5 years of professional experience. The most vulnerable group in terms of the knowledge of these issues consisted of individuals working at surgical wards with 11–15 years of professional experience. Education in the field of radiological protection should be a subject of periodic training of medical personnel regardless of position and length of service

  6. Burnout of Academic Staff in South African Higher Education Institutions

    Science.gov (United States)

    Rothmann, S.; Barkhuizen, N.

    2008-01-01

    The objectives of this study are to assess the psychometric properties of an adapted version of the Maslach Burnout Inventory-General Survey (MBI-GS) for academic staff in South African higher education institutions and to investigate differences between the burnout levels of different demographic groups. A survey design was used, with stratified…

  7. MEDICAL STAFF SCHEDULING USING SIMULATED ANNEALING

    Directory of Open Access Journals (Sweden)

    Ladislav Rosocha

    2015-07-01

    Full Text Available Purpose: The efficiency of medical staff is a fundamental feature of healthcare facilities quality. Therefore the better implementation of their preferences into the scheduling problem might not only rise the work-life balance of doctors and nurses, but also may result into better patient care. This paper focuses on optimization of medical staff preferences considering the scheduling problem.Methodology/Approach: We propose a medical staff scheduling algorithm based on simulated annealing, a well-known method from statistical thermodynamics. We define hard constraints, which are linked to legal and working regulations, and minimize the violations of soft constraints, which are related to the quality of work, psychic, and work-life balance of staff.Findings: On a sample of 60 physicians and nurses from gynecology department we generated monthly schedules and optimized their preferences in terms of soft constraints. Our results indicate that the final value of objective function optimized by proposed algorithm is more than 18-times better in violations of soft constraints than initially generated random schedule that satisfied hard constraints.Research Limitation/implication: Even though the global optimality of final outcome is not guaranteed, desirable solutionwas obtained in reasonable time. Originality/Value of paper: We show that designed algorithm is able to successfully generate schedules regarding hard and soft constraints. Moreover, presented method is significantly faster than standard schedule generation and is able to effectively reschedule due to the local neighborhood search characteristics of simulated annealing.

  8. Occupational exposure of medical staff: An overview

    International Nuclear Information System (INIS)

    Occupational exposure is defined as the exposure of a worker that is received or committed during a period of work. For an overview of the different area's where workers can be occupationally exposed we can refer to the UNSCEAR reports. The physicians, technicians, nurses, and other medical staff constitute the largest group of workers occupationally exposed to man-made sources of radiation. In this UNSCEAR publication you can find the average occupational doses worldwide and trends during the last 20-30 years. Of course these statistics are difficult to obtain, and there are large differences between different countries. According to the UNSCEAR data, the average exposure of medical workers are now decreasing worldwide, but the number of workers exposed to medical sources of radiation is still increasing. We will give an overview of the occupational exposures in different areas of the medical field, and we will discuss some of the hot-topics and radiation protection problems. We will give some examples of recent staff dose measurements in the different medical fields Diagnostic radiology: Radiography is by far the most widely used X-ray imaging technique. During radiography with fixed installations, the radiographer would normally be expected to stand in a control booth that is typically shielded against X-ray tube leakage and scattered radiation from the room and patient. The occupational doses are mostly low. Fluoroscopic procedures are by far the largest source of occupational exposure in medicine. These procedures require the operator to be present in the examination room, usually close to the patient. In fact, the patient is the main source of exposure because of scattered radiation. Shielding for this scattered radiation is more difficult, but it is possible to reduce the staff doses by partial shielding and simple procedural steps. Fluoroscopy procedures can also be therapeutic. In such cases the procedures arc even longer and doses to staff arc generally

  9. Two Models of Integrating Buprenorphine Treatment and Medical Staff within Formerly "Drug-Free" Outpatient Programs.

    Science.gov (United States)

    Monico, Laura; Schwartz, Robert P; Gryczynski, Jan; O'Grady, Kevin E; Mitchell, Shannon Gwin

    2016-01-01

    "Drug-free" outpatient programs deliver treatment to the largest number of patients of all treatment modalities in the U.S., providing a significant opportunity to expand access to medication treatments for substance use disorders. This analysis examined staff perceptions of organizational dynamics associated with the delivery of buprenorphine maintenance within three formerly "drug-free" outpatient treatment programs. Semi-structured interviews (N = 15) were conducted with counseling and medical staff, and respondents were predominantly African American (n = 11) and female (n = 12). Themes and concepts related to medical staff integration emerged through an inductive and iterative coding process using Atlas.ti qualitative analysis software. Two treatment clinics incorporated buprenorphine maintenance into their programs using a co-located model of care. Their staff generally reported greater intra-organizational discord regarding the best ways to combine medication and counseling compared to the clinic using an integrated model of care. Co-located program staff reported less communication between medical and clinical staff, which contributed to some uncertainty about proper dosing and concerns about the potential for medication diversion. Clinics that shift from "drug-free" to incorporating buprenorphine maintenance should consider which model of care they wish to adapt and how to train staff and structure staff communication. PMID:26940870

  10. Medical Advocacy and Supportive Environments for African-Americans Following Abnormal Mammograms.

    Science.gov (United States)

    Molina, Yamile; Hempstead, Bridgette H; Thompson-Dodd, Jacci; Weatherby, Shauna Rae; Dunbar, Claire; Hohl, Sarah D; Malen, Rachel C; Ceballos, Rachel M

    2015-09-01

    African-American women experience disproportionately adverse outcomes relative to non-Latina White women after an abnormal mammogram result. Research has suggested medical advocacy and staff support may improve outcomes among this population. The purpose of the study was to understand reasons African-American women believe medical advocacy to be important and examine if and how staff can encourage and be supportive of medical advocacy. A convenience-based sample of 30-74-year-old women who self-identified as African-American/Black/of African descent and who had received an abnormal mammogram result was recruited from community-based organizations, mobile mammography services, and the local department of health. This qualitative study included semi-structured interviews. Patients perceived medical advocacy to be particularly important for African-Americans, given mistrust and discrimination present in medical settings and their own familiarity with their bodies and symptoms. Respondents emphasized that staff can encourage medical advocacy through offering information in general in a clear, informative, and empathic style. Cultural competency interventions that train staff how to foster medical advocacy may be a strategy to improve racial disparities following an abnormal mammogram.

  11. Motivation and job satisfaction of non - medical staff

    OpenAIRE

    Veselková, Veronika

    2012-01-01

    This bachelor's thesis deals with the motivation and job satisfaction of non - medical staff in healthcare. The thesis is divided into a theoretical and practical part. The theoretical part explains the theoretical bases, especially motivation, work motivation, selected theories of motivation and job satisfaction. On the basis of theoretical knowledge is written up the practical part. The main aim of this thesis is the analysis of motivation and job satisfaction of non - medical staff in Prag...

  12. The Medical Staff Ride: an education tool for military medical leadership development.

    Science.gov (United States)

    Bricknell, Martin C M

    2016-08-01

    This paper provides a description of the Medical Staff Ride as an educational tool for military medical leadership. It is based upon two Medical Staff Rides covering the Somme Campaign 1916 and the Normandy Campaign 1944. It describes the key educational activity 'The Stand' at which history and current issues are brought together through study of a particular location on the historical battlefield. The Medical Staff Ride can be divided into six distinct phases, each of which have common question sets for analysis by attendees. The Medical Staff Ride can be shown to have valuable educational outcomes that are efficient in time and cost, and effective in achieving personal learning. The supporting Readers for the two Medical Staff Rides covered by this paper are available as electronic supplement to this edition of the journal. PMID:26115999

  13. A survey of Sub-Saharan African medical schools

    Directory of Open Access Journals (Sweden)

    Chen Candice

    2012-02-01

    Full Text Available Abstract Background Sub-Saharan Africa suffers a disproportionate share of the world's burden of disease while having some of the world's greatest health care workforce shortages. Doctors are an important component of any high functioning health care system. However, efforts to strengthen the doctor workforce in the region have been limited by a small number of medical schools with limited enrolments, international migration of graduates, poor geographic distribution of doctors, and insufficient data on medical schools. The goal of the Sub-Saharan African Medical Schools Study (SAMSS is to increase the level of understanding and expand the baseline data on medical schools in the region. Methods The SAMSS survey is a descriptive survey study of Sub-Saharan African medical schools. The survey instrument included quantitative and qualitative questions focused on institutional characteristics, student profiles, curricula, post-graduate medical education, teaching staff, resources, barriers to capacity expansion, educational innovations, and external relationships with government and non-governmental organizations. Surveys were sent via e-mail to medical school deans or officials designated by the dean. Analysis is both descriptive and multivariable. Results Surveys were distributed to 146 medical schools in 40 of 48 Sub-Saharan African countries. One hundred and five responses were received (72% response rate. An additional 23 schools were identified after the close of the survey period. Fifty-eight respondents have been founded since 1990, including 22 private schools. Enrolments for medical schools range from 2 to 1800 and graduates range from 4 to 384. Seventy-three percent of respondents (n = 64 increased first year enrolments in the past five years. On average, 26% of respondents' graduates were reported to migrate out of the country within five years of graduation (n = 68. The most significant reported barriers to increasing the number of

  14. Radiation education required for medical staff

    International Nuclear Information System (INIS)

    This paper introduces the present state and problems of radiation education in the training course for health professionals. Firstly, the following are introduced: Revised version of 'Medical education model and core curriculum ? Guidelines for educational contents (FY2010),' and the contents of pre-graduation education of education curriculum at the Department of Radiation Biology and Health, University of Occupational and Environmental Health (UOEH). Next, the author describes his educational experience at the Institute of Industrial Ecological Sciences (Nursing) of UOEH, and stresses the need for radiation education in order to eliminate the anxiety of nurses against radiation. In addition, he also describes the present state and problems with respect to exposure and radiation risk due to the Fukushima nuclear accident. (A.O.)

  15. An Investigation of Participating to Continuous Medical Education Programs of Medical Staff at A State Hospital

    OpenAIRE

    Şeyda Ferah Tuygar

    2015-01-01

    Aim: This study was planned to determine the frequency, funding and effectiveness of continuous medical education programs which the medical staff at a state hospital attended. Method: This descriptive research was performed on 87 medical staff working at a state hospital (doctor, nurse, midwife, health officer, health technician, and pharmacist) who were accepted to participate in the study. The data were collected through face to face interviews with a questionnaire. Their answers assessed ...

  16. Ethical codes for training staff in South African collieries : a case study / F.W. Kemp

    OpenAIRE

    Kemp, Frederick Willem

    2009-01-01

    The title of the research is "Ethical codes for training staff in South African Collieries -a case study". The research was conducted in coal mining training centres in the Free State, Gauteng and the Mpumulanga provinces of South Africa. The objective of the research was to examine ethical codes currently in place internationally and locally. Based on this research the research was then focused on its contribution to the human resource development arena. South African coal mining train...

  17. Smoking cessation, physicians, and medical office staff. Clinical tobacco intervention in Prince Edward Island.

    OpenAIRE

    Rowan, M S; Coambs, R. B.; Jensen, P.; Balderston, M.; MacKenzie, D; Kothari, A.

    1998-01-01

    OBJECTIVE: To assess attitudes and self-reported behaviours of physicians and medical office staff in Prince Edward Island concerning clinical tobacco intervention (CTI). DESIGN: Mail survey of PEI primary care physicians and their medical office staff. Most surveys were not mailed back but picked up in person by research staff. SETTING: Primary care settings in PEI. PARTICIPANTS: All active primary care physicians in PEI identified in the Canadian Medical Association database and medical off...

  18. Needs, conditions of intervention and staff in medical physics for medical imagery

    International Nuclear Information System (INIS)

    This guide proposes information on the types and quantification of medical physics tasks to be performed when performing medical imagery using ionizing radiations. It gives recommendations about the commitment of medical physicists (with or without support staff) and the required staff in nuclear medicine and, more generally in imagery (interventional radiology, scanography, conventional radiology). It first gives an overview of the situation in France in 2012 in terms of observations made by the ASN during inspections, and of results of a survey conducted among medical physicists involved in medical imagery. It indicates the current regulatory requirements, and international and national recommendations, and describes the commitment in imagery of medical physicists in three countries (Spain, Belgium and Germany). It analyses and describes the fields of intervention of medical physicists in imagery and identifies associated tasks in France (in equipment purchasing, equipment installation, equipment routine usage, patient care, nuclear medicine or internal vectorized radiotherapy, or staff training). Recommendations of a work-group about sizing criteria are proposed

  19. Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV.

    Science.gov (United States)

    Dale, Sannisha K; Bogart, Laura M; Wagner, Glenn J; Galvan, Frank H; Klein, David J

    2016-07-01

    African-Americans living with HIV show worse health behaviors (e.g. medication adherence) and outcomes (e.g. viral suppression) than do their White counterparts. In a 6-month longitudinal study, we investigated whether medical mistrust among African-American males with HIV (214 enrolled, 140 with longitudinal data) predicted lower electronically monitored antiretroviral medication adherence. General medical mistrust (e.g. suspicion toward providers), but not racism-related mistrust (e.g. belief that providers treat African-Americans poorly due to race), predicted lower continuous medication adherence over time (b = -.08, standard error = .04, p = .03). Medical mistrust may contribute to poor health outcomes. Intervention efforts that address mistrust may improve adherence among African-Americans with HIV.

  20. Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV.

    Science.gov (United States)

    Dale, Sannisha K; Bogart, Laura M; Wagner, Glenn J; Galvan, Frank H; Klein, David J

    2016-07-01

    African-Americans living with HIV show worse health behaviors (e.g. medication adherence) and outcomes (e.g. viral suppression) than do their White counterparts. In a 6-month longitudinal study, we investigated whether medical mistrust among African-American males with HIV (214 enrolled, 140 with longitudinal data) predicted lower electronically monitored antiretroviral medication adherence. General medical mistrust (e.g. suspicion toward providers), but not racism-related mistrust (e.g. belief that providers treat African-Americans poorly due to race), predicted lower continuous medication adherence over time (b = -.08, standard error = .04, p = .03). Medical mistrust may contribute to poor health outcomes. Intervention efforts that address mistrust may improve adherence among African-Americans with HIV. PMID:25293970

  1. 76 FR 43689 - Draft Guidance for Industry and Food and Drug Administration Staff; Mobile Medical Applications...

    Science.gov (United States)

    2011-07-21

    ... Staff; Mobile Medical Applications; Availability AGENCY: Food and Drug Administration, HHS. ACTION... guidance entitled ``Mobile Medical Applications.'' FDA is issuing this draft guidance to inform... select software applications intended for use on mobile platforms (mobile applications or ``mobile...

  2. Survey of House Staff Benefits at Forty-Four Medical Schools.

    Science.gov (United States)

    Gutzwiller, Roberta; Shawhan, Gerald L.

    As an aid in evaluating the present and future benefits given house staff personnel (residents, interns, and clinical fellows) at the University of Cincinnati Medical Center, the Department of Institutional Studies sent out questionnaires concerning benefits extended to house staff personnel to the 46 medical schools using university owned or…

  3. Roles of Medical Record and Statistic Staff on Research at the Tawanchai Center.

    Science.gov (United States)

    Pattaranit, Rumpan; Chantachum, Vasana; Lekboonyasin, Orathai; Pradubwong, Suteera

    2015-08-01

    The medical record and statistic staffs play a crucial role behind the achievements of treatment and research of physicians, nurses and other health care professionals. The medical record and statistic staff are in charge of keeping patient medical records; creating databases; presenting information; sorting patient's information; providing patient medical records and related information for various medical teams and researchers; Besides, the medical record and statistic staff have collaboration with the Center of Cleft Lip-Palate, Khon Kaen University in association with the Tawanchai Project. The Tawanchai Center is an organization, involving multidisciplinary team which aims to continuing provide care for patients with cleft lip and palate and craniofacial deformities who need a long term of treatment since newborns until the age of 19 years. With support and encouragement from the Tawanchai team, the medical record and statistic staff have involved in research under the Tawanchai Centre since then and produced a number of publications locally and internationally.

  4. Medical and nursing staff highly value clinical pharmacists in the emergency department

    OpenAIRE

    Fairbanks, Rollin J.; Hildebrand, James M.; Kolstee, Karen E; Schneider, Sandra M.; Shah, Manish N.

    2007-01-01

    Despite the potential impact that emergency pharmacist (EPh) programmes could have on medication safety and quality of care in the emergency department (ED), very few programmes exist. This descriptive survey study aimed to assess staff perceptions of an EPh programme. A random sample of medical and nursing staff in an academic medical centre ED with a dedicated EPh programme received a 26‐item survey (82% return rate). 99% of respondents felt the EPh improves quality of care, 96% feel they a...

  5. Adequacy of pharmacological information provided in pharmaceutical drug advertisements in African medical journals.

    OpenAIRE

    Oshikoya KA; Senbanjo IO; Soipe A

    2009-01-01

    Pharmaceutical advertisement of drugs is a means of advocating drug use and their selling but not a substitute for drug formulary to guide physicians in safe prescribing. Objectives: To evaluate drug advertisements in Nigerian and other African medical journals for their adequacy of pharmacological information. Methods: Twenty four issues from each of West African Journal of Medicine (WAJM), East African Medical Journal (EAMJ), South African Medical Journal (SAMJ), Nigerian Medical Practition...

  6. Testing a Mediational Model of Communication Among Medical Staff and Families of Cancer Patients

    Science.gov (United States)

    Gionta, Dana A.; Harlow, Lisa L.; Loitman, Jane E.; Leeman, Joanne M.

    2005-01-01

    Three structural equation models of communication between family members and medical staff were examined to understand relations among staff accessibility, inhibitory family attitudes, getting communication needs met, perceived stress, and satisfaction with communication. Compared to full and direct models, a mediational model fit best in which…

  7. 77 FR 125 - Draft Guidance for Industry and Food and Drug Administration Staff; Medical Device Classification...

    Science.gov (United States)

    2012-01-03

    ... HUMAN SERVICES Food and Drug Administration Draft Guidance for Industry and Food and Drug Administration Staff; Medical Device Classification Product Codes; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. ] SUMMARY: The Food and Drug Administration (FDA) is announcing the...

  8. Trends in attrition among medical teaching staff at universities in Myanmar 2009–2013

    OpenAIRE

    Nang Mie Mie Htun,; REYER, JOSHUA A; Yamamoto, Eiko; Yoshida, Yoshitoku; Hamajima, Nobuyuki

    2016-01-01

    ABSTRACT Although lack of human resources for health is becoming a global problem, there are few studies on human resources in Myanmar. This study was conducted to investigate the attrition rates of teaching staff from universities for medical professions in Myanmar from 2009 to 2013. The data were collected from administrative records from Department of Medical Sciences, Ministry of Health, Myanmar. Numbers of staff and those who permanently left work (attrition) from 2009 to 2013 were count...

  9. 42 CFR 482.22 - Condition of participation: Medical staff.

    Science.gov (United States)

    2010-10-01

    ...— (i) A medical history and physical examination be completed and documented for each patient no more... requiring anesthesia services. The medical history and physical examination must be completed and documented... services, when the medical history and physical examination are completed within 30 days before...

  10. Ethnomedical science and African medical practice.

    Science.gov (United States)

    Matthe, D S

    1989-01-01

    The ethnomedical sciences are ethnobotany, ethnobiology, ethnopharmacology and phytotherapy. These fields are concerned with medicinal plants only, and the traditional medicines are mostly used. The author has extended the ethnomedical sciences by using traditional medicines in ethnomedicine, bacteriology, ethnobotany, and biochemistry, and thus ethnomedical sciences can be studied by a modern approach. The traditional doctors play a significant part in health care. They have both black and white patients, and they treat about 60%-70% of black patients in the country. Though they have been treating patients for many years, the patients' employers do not accept traditional doctors' medical certificates when they go back to work after treatment. In this case they first go to the traditional doctor for treatment and then go to an academically qualified medical practitioner solely because they need a medical certificate for their employers. Traditional doctors have been practising for centuries. In this country they are known as inyanga or ngaka and these designations mean doctor. Umthakathi or moloi means witch. Witchdoctor translates as Inyanga-mthakathi of ngaka-moloi. PMID:2493558

  11. An exploration of stereotype perceptions amongst support staff within a South African higher education institution

    Directory of Open Access Journals (Sweden)

    Given R.B. Moloto

    2014-02-01

    Full Text Available Orientation: After the 1994 democratic elections, South African organisations had to replace discriminatory policies with new policies to integrate all people and to embrace diversity. As a consequence stereotypes may be more prevalent in diverse working environments.Research purpose: The objective of this study was to explore the experience of stereotypes amongst the support staff within a higher education institution.Motivation for this study: Changes within South African working environments, and specifically higher education institutions, resulted in more diverse management teams and a more culturally diverse workforce. With this in mind, the experience of stereotypes may become more prevalent within South African working environments. Many researchers have focused on stereotypes; however, studies on stereotypes within South Africa are limited, especially within higher education institutions. Research approach, design and method: The research approach was qualitative and a case study design was employed. A combination of both quota and convenience sampling was used. The sample consisted of (N = 30 support staff within a higher education institution in South Africa. Semi-structured interviews were used to collect data.Main findings: The results indicated that the participants do experience stereotypes within their workplace and also hold stereotypes of other people within their workplace. The most prevalent stereotypes mentioned by participants were age, gender, racial and occupational stereotypes. There is also an indication that stereotypes have cognitive, emotional and behavioural effects on the stereotyped.Practical/managerial implications: Organisations should do away with stereotyping by embracing and managing diversity and dealing with stereotypes, specifically within higher education institutions. When managers are aware of stereotypes and the effects thereof in the organisation, they can make every effort to eradicate the stereotypes

  12. The new system of education and training of medical staff in radiation protection in Albania

    International Nuclear Information System (INIS)

    The present situation as regarding the education and training of medical staff in radiological protection is discussed. In particular the protection of patients, children and pregnant women were the most sensible topics in some courses held in recent years. Emphasis is given on a number of courses and course units dealing with radiation safety problems in the medical field and their content. (author)

  13. Trends in attrition among medical teaching staff at universities in Myanmar 2009-2013.

    Science.gov (United States)

    Nang Mie Mie Htun; Reyer, Joshua A; Yamamoto, Eiko; Yoshida, Yoshitoku; Hamajima, Nobuyuki

    2016-02-01

    Although lack of human resources for health is becoming a global problem, there are few studies on human resources in Myanmar. This study was conducted to investigate the attrition rates of teaching staff from universities for medical professions in Myanmar from 2009 to 2013. The data were collected from administrative records from Department of Medical Sciences, Ministry of Health, Myanmar. Numbers of staff and those who permanently left work (attrition) from 2009 to 2013 were counted. The reasons were classified into two categories; involuntary attrition (death or retirement) and voluntary attrition (resignation or absenteeism). Official records of the attrited staff were reviewed for identifying demographic characteristics. The annual attrition rate for all kinds of health workers was about 4%. Among 494 attrited staff from 2009 to 2013, 357 staff (72.3%) left their work by involuntary attrition, while 137 staff (27.7%) left voluntarily. Doctors left their work with the highest annual rate (6.7%), while the rate for nurses was the lowest (1.1%). Male staff attrited with a higher rate (4.6%) than female staff (2.7%). Staff aged 46-60 years had the highest attrition rate. PhD degree holders had the highest rate (5.9%), while basic degree holders had the second highest rate (3.5%). Associate professors and above showed the highest attrition rate (8.1%). Teaching staff from non-clinical subjects had the higher rates (8.2%). Among 494 attrited staff, significant differences between involuntary attrition and voluntary attrition were observed in age, marital status, education, overseas degree, position, field of teaching, duration of services and duration of non-residential service. These findings indicated the need to develop appropriate policies such as educational reforms, local recruitment plans, transparent regulatory and administrative measures, and professional incentives to retain the job. PMID:27019526

  14. A model for selecting assessment methods for evaluating medical students in African medical schools.

    Science.gov (United States)

    Walubo, Andrew; Burch, Vanessa; Parmar, Paresh; Raidoo, Deshandra; Cassimjee, Mariam; Onia, Rudy; Ofei, Francis

    2003-09-01

    Introduction of more effective and standardized assessment methods for testing students' performance in Africa's medical institutions has been hampered by severe financial and personnel shortages. Nevertheless, some African institutions have recognized the problem and are now revising their medical curricula, and, therefore, their assessment methods. These institutions, and those yet to come, need guidance on selecting assessment methods so as to adopt models that can be sustained locally. The authors provide a model for selecting assessment methods for testing medical students' performance in African medical institutions. The model systematically evaluates factors that influence implementation of an assessment method. Six commonly used methods (the essay examinations, short-answer questions, multiple-choice questions, patient-based clinical examination, problem-based oral examination [POE], and objective structured clinical examination) are evaluated by scoring and weighting against performance, cost, suitability, and safety factors. In the model, the highest score identifies the most appropriate method. Selection of an assessment method is illustrated using two institutional models, one depicting an ideal situation in which the objective structured clinical examination was preferred, and a second depicting the typical African scenario in which the essay and short-answer-question examinations were best. The POE method received the highest score and could be recommended as the most appropriate for Africa's medical institutions, but POE assessments require changing the medical curricula to a problem-based learning approach. The authors' model is easy to understand and promotes change in the medical curriculum and method of student assessment. PMID:14507620

  15. Staff perceptions of organisational values in a large South African manufacturing company: exploring socio-demographic differences

    OpenAIRE

    Nico Martins; Melinde Coetzee

    2011-01-01

    Orientation: Companies’ concerns about increasing their competitiveness, responsiveness and adaptability in a globalised, highly complex and turbulent business environment have led to a renewed interest in the role of corporate values and culture in improving organisational effectiveness and performance.Research purpose: The objective of the study was to explore the perceptions of men and women staff members, as well as members of various race and age groups, in a large South African manufact...

  16. Knowledge of pulse oximetry among medical and nursing staff

    Directory of Open Access Journals (Sweden)

    Dimitrios Kosmidis

    2007-04-01

    Full Text Available The pulse oximetry is a widely used non invasive method for monitoring the arterial oxygenation. The doctors and the nurses are persons which are in charge for right interpretation of measurements, receiving suitable interventions for the management of patients. Aim: To assess nurses' and doctors' knowledge of pulse oximetry and identify training needs. Material and method: Participants in this study were 376 doctors and nurses from critical and general care settings in seven hospitals in Greece. The data collection was done through a self-administered questionnaire. Frequency of use, critical care experience, and opinions about education needs were included in demographic data. The knowledge test consisted of a 15 item, multiple-choice questionnaire, designed by researchers based on international bibliography. Results: A 70,7% of participants, use pulse oximeter often and 66,3% consider that is very useful in daily clinical practice. 83,7% didn't have some type of past education while more than 81,4% believes that they need further education. The average score for all (on a 15-point scale was 8,5. Ιn particular, the average score for each team had as follows: 10,5±2,7 for the specialized doctors, 9,6±3,1 for residents, 7,8±3,3 for the nurses and 7,4±3,4 for the nurse assistants. Low percentages of right answers were observed mainly in the questions about principles on which the pulse oximetry are based, clinical application and limitations, as well as normal ranges. Conclusion: The comprehension of pulse oximetry is insufficient, mainly in the nursing staff while totally is observed the need for further education.

  17. Social and Cultural Factors Influence African American Men's Medical Help Seeking

    Science.gov (United States)

    Griffith, Derek M.; Allen, Julie Ober; Gunter, Katie

    2011-01-01

    Objective: To examine the factors that influenced African American men's medical help seeking. Method: Thematic analysis of 14 focus groups with 105 older, urban African American men. Results: African American men described normative expectations that they did not go to the doctor and that they were afraid to go, with little explanation. When they…

  18. MANAGEMENT TECHNOLOGY OF PROFESSIONAL DEVELOPMENT OF STAFF IN MEDICAL ORGANIZA TIONS

    OpenAIRE

    I. A. Revskaia

    2016-01-01

    The article analyzes the mechanisms and technology management personnel professionalization of medical organizations. The question is now becoming even more relevant within the health care sector optimization, the main purpose of which is claimed to improve the quality of health care by improving the efficiency of health care organizations and their personnel, including the availability of physicians and medical staff, their skills and professionalism. The problems of improving the technology...

  19. The Basic Life Support Training and Its Importance for Medical University Staff

    Directory of Open Access Journals (Sweden)

    Afrooz Habibi

    2015-06-01

    Full Text Available Background The survival rate of a cardiac arrest victim increases with basic life support (BLS as the first level of medical care. The purpose of this study was to compare BLS knowledge and skills of medical university staff before and after training course. Methods Thirty eight medical university staff participated in a BSL training course. The course included the assessment of participant’s knowledge by a pretest questionnaire, a lecture, hands-on training in BLS skills, a post-test questionnaire and an interview to evaluate their attitudes. Data were analyzed by the SPSS software version 19, using t-test, one-way ANOVA and chi square tests. P value less than 0.05 was considered statistically significant. Results Our results demonstrated that the mean knowledge score was 6.00 ± 2.09 vs. 8.26 ± 2.10 in pre- and post- education, respectively. A significant mean gain score (2.26 from the pre-test scores to post-test scores was statistically observed (P0.05 whereas, there were the significant differences between trainees’ gain scores and, education and career fields(p< 0.05. Our result also presents that staff attitudes toward the training were positive. Conclusion The present research shows the BLS training had a positive impact on the knowledge and attitudes among university staff. BLS training is extremely useful for medical university staf

  20. Understanding the Use of Educational Technology among Faculty, Staff, and Students at a Medical University

    Science.gov (United States)

    Kazley, Abby Swanson; Annan, Dustin L.; Carson, Nancy E.; Freeland, Melissa; Hodge, Ashley B.; Seif, Gretchen A.; Zoller, James S.

    2013-01-01

    A college of health professions at a medical university located in the southeastern United States is striving to increase the use of educational technology among faculty, staff, and students. A strategic planning group was formed and charged with enhancing the use of educational technology within the college. In order to understand the current…

  1. Upgrading a ColdFusion-Based Academic Medical Library Staff Intranet

    Science.gov (United States)

    Vander Hart, Robert; Ingrassia, Barbara; Mayotte, Kerry; Palmer, Lisa A.; Powell, Julia

    2010-01-01

    This article details the process of upgrading and expanding an existing academic medical library intranet to include a wiki, blog, discussion forum, and photo collection manager. The first version of the library's intranet from early 2002 was powered by ColdFusion software and existed primarily to allow staff members to author and store minutes of…

  2. 75 FR 47604 - Draft Guidance for Industry and Food and Drug Administration Staff; Medical Devices; Neurological...

    Science.gov (United States)

    2010-08-06

    ... July 28, 2010 (75 FR 44267). The document reopened the comment period for a notice of availability of draft guidance documents for 11 neurological and physical medicine devices. The document was published... Staff; Medical Devices; Neurological and Physical Medicine Device Guidance Document; Reopening...

  3. Radiation exposure for medical staff performing quantitative coronary perfusion PET with 13N-ammonia

    DEFF Research Database (Denmark)

    Kristoffersen, Ulrik Sloth; Borgwardt, Henrik Gutte; Skovgaard, Dorthe Charlotte;

    2009-01-01

    PURPOSE: To evaluate radiation doses to medical staff performing quantitative (13)N-ammonia myocardial perfusion positron emission tomography (PET). METHODS: Seventeen PET examinations were performed. Nine examinations consisted of two PET scans (one during rest and one after pharmacological stress...

  4. Evaluation of radiation doses in patient and medical staff during endoscopic retrograde cholangio-pancreatography procedures

    International Nuclear Information System (INIS)

    The radiation exposure dose must be optimised because the hazard resulting from an interventional radiology procedure is long term depending on the patient. The aim of this study was to measure the radiation doses received by the patients and medical staff during endoscopic retrograde cholangio-pancreatography (ERCP) procedures. Data were collected during 126 ERCP procedures, including the dose-area product (DAP), entrance dose (ED), effective dose (E), fluoroscopy time (T) and number of digital radiographs (F). The medical staff members each wore a personal thermoluminescence dosemeter to monitor exposure during ERCP procedures. The mean DAP, ED, E and T were 47.06 Gy cm2, 196.06 mGy, 8.93 mSv, 7.65 min and 9.21 images, respectively. The mean dose to the staff was 0.175 mSv and that to the assistant was 0.069 mSv. The dose to the medical staff was minimal when appropriate protective measures were used. The large variation in the patient doses must be further investigated. (authors)

  5. Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital

    OpenAIRE

    Kontodimopoulos Nick; Lambrou Persefoni; Niakas Dimitris

    2010-01-01

    Abstract Background The objective of this study was to investigate how medical and nursing staff of the Nicosia General Hospital is affected by specific motivation factors, and the association between job satisfaction and motivation. Furthermore, to determine the motivational drive of socio-demographic and job related factors in terms of improving work performance. Methods A previously developed and validated instrument addressing four work-related motivators (job attributes, remuneration, co...

  6. Major incident planning in South East Thames Region: a survey of medical staff awareness and training.

    OpenAIRE

    Brennan, L; Sage, F J; Simpson, A

    1994-01-01

    In order to assess awareness and training of medical staff in major incident planning and disaster medicine, a telephone survey was conducted throughout South East Thames Region. Duty consultants and trainees in anaesthesia, general surgery and orthopaedic surgery from a total of 17 hospitals in the region were included. Accident and emergency (A&E) consultants were also interviewed in order to assess administrative aspects of major incident planning. It was found that major incident plans we...

  7. Health effects assessment of staff involved in medical practices of radiation exposures

    International Nuclear Information System (INIS)

    This study aimed, starting from new national recommendation appearance, to detect health effects of medical staff from six counties of Moldavia region involved in radiation practices and to create a national register data for radiation-induce cancer. Staff involved in medical ionizing radiation uses in Romania - health care level I are monitored on recent new recommendations for three years. The micro nuclei high levels and morphological lymphocytes changes vs. clinical diagnostic can be considered as early possible malignant signs. The micro nuclei test, although unspecific, as a new exam in our legislation can bring useful information on staff exposure and provides a guidance to occupational physician in making his medical recommendations. This cytogenetic test does not seem to correlate with smoking habit or length of exposure. Micro nuclei test both in oral mucous epithelial cells and peripheral culture lymphocytes can be considered of much specificity and correlates with a recent acute exposure level. The conclusions of individual health status surveillance and assessment of personal dose equivalent are very useful data for recording in the radiation cancer-induced register

  8. Job-related burnout and the relationship to quality of life among Chinese medical college staff.

    Science.gov (United States)

    Yao, Shang-Man; Yu, Hong-Mei; Ai, Yong-Mei; Song, Ping-Ping; Meng, Su-Yan; Li, Wei

    2015-01-01

    Although staffs in medical colleges have traditionally been characterized as a stressed group of people, there are no specific studies assessing burnout and the relationship to quality of life (QOL). The purpose of this cross-sectional study was to evaluate job-related burnout and the relationship to QOL among medical college staff in mainland China. Some 360 medical college staffs from 15 schools and departments were enrolled in the study. The Chinese Teachers' Burnout Inventory (TBI) and the World Health Organization Quality of Life--brief Chinese version were used. Data on sociodemographic, work-related, and health-related factors were also collected. Multiple stepwise regression analysis was used to identify significant factors related to the 3 domain scores of the TBI. Structural equation modeling was performed to test the correlation between job-related burnout and QOL. The most significant and common predictors of burnout prevention were a love of the teaching profession and work acknowledgment from a direct supervisor. Job-related burnout had a direct negative effect on QOL. Corresponding health policies and suggestions could be developed to prevent job-related burnout and improve QOL.

  9. Health effects assessment of staff involved in medical practices of radiation exposures

    Energy Technology Data Exchange (ETDEWEB)

    Popescu, I.A.; Lacob, O. [Institute of Public Health Iasi, Radiation Hygiene Lab. (Romania); Roman, I.; Havarneanu, D. [Institute of Public Health Iasi, Occupational Medicine Dept. (Romania)

    2006-07-01

    This study aimed, starting from new national recommendation appearance, to detect health effects of medical staff from six counties of Moldavia region involved in radiation practices and to create a national register data for radiation-induce cancer. Staff involved in medical ionizing radiation uses in Romania - health care level I are monitored on recent new recommendations for three years. The micro nuclei high levels and morphological lymphocytes changes vs. clinical diagnostic can be considered as early possible malignant signs. The micro nuclei test, although unspecific, as a new exam in our legislation can bring useful information on staff exposure and provides a guidance to occupational physician in making his medical recommendations. This cytogenetic test does not seem to correlate with smoking habit or length of exposure. Micro nuclei test both in oral mucous epithelial cells and peripheral culture lymphocytes can be considered of much specificity and correlates with a recent acute exposure level. The conclusions of individual health status surveillance and assessment of personal dose equivalent are very useful data for recording in the radiation cancer-induced register.

  10. Influenza Vaccination Coverage Rate for Medical Staff: Influence of Hospital-Based Vaccination Campaign.

    Science.gov (United States)

    Zielonka, T M; Szymańczak, M; Jakubiak, J; Nitsch-Osuch, A; Życińska, K

    2016-01-01

    Despite intensive recommendations, influenza vaccination rate in medical staff in Poland ranges from about 20 % in physicians to 10 % in nurses. The objective of this work was to assess the influence of hospital influenza vaccination campaign directed toward health care workers, combined with dispensing free of charge vaccine, on vaccination rate. The campaign was conducted by the Hospital Infection Control Team of the Czerniakowski Hospital in Warsaw, Poland, separately for physicians, nurses, and physiotherapists. Overall, 37 % of medical staff were vaccinated, including 55 % of physicians and 21 % of nurses. Concerning physicians, the greatest vaccination rate was in the orthopedic (80 %) and ophthalmology units (73 %), whereas the lowest rate was in the intensive care (22 %) and neurology units (20 %). Concerning nurses, the greatest vaccination rate was in those working in the outpatient (40 %) and emergency units (29 %), whereas the lowest rate was in the ophthalmology (6 %) and surgery units (11 %). We conclude that the professional knowledge campaign combined with the incentive of free of charge vaccine substantially raises the vaccination rate among medical staff.

  11. Is the relationship between your hospital and your medical staff sustainable?

    Science.gov (United States)

    Carlson, Greg; Greeley, Hugh

    2010-01-01

    Issues in the macro-environment are affecting the historic relationships that have existed between hospitals and their medical staffs over the last half century. Rising healthcare costs, deteriorating relationships, unexplained variations in clinical outcomes, transparency in healthcare outcomes, medical tourism, competition between hospitals and physicians, and reluctance by hospitals and physicians to change are among the issues challenging the sustainability of the current business model. This article highlights barriers to maintaining traditional relationships and concludes with strategies to preserve and strengthen relationships between physicians and hospitals. PMID:20565033

  12. Evaluating the attendance of medical staff and room occupancy during palliative radiotherapy

    International Nuclear Information System (INIS)

    Attendance of staff and use of resources during treatment have an impact on costs. For palliative radiotherapy, no reliable data are available on the subject. Therefore, the measurement of selected variables (staff absorbance and room occupancy) based on daily palliative irradiation was the aim of our prospective study. The analysis is part of a larger study conducted by the German Society of Radiation Oncology (DEGRO). A total of 172 palliative radiation treatments were followed up prospectively between October 2009 and March 2010. The study was performed at two experienced radiotherapy departments (Herne and Bielefeld) and evaluated the attendance of medical personnel and room occupancy related to the selected steps of the treatment procedure: treatment planning and daily application of radiation dose. Computed tomography for treatment planning engaged the unit for 19 min (range: 17-22 min). The localization of target volume required on average 28 min of a technician's working time. The mean attendance of the entire staff (radiation oncologist, physicist, technician) for treatment planning was 159 min, while the total room occupancy was 140 min. Depending on the type of treatment, the overall duration of a radiotherapy session varied on average between 8 and 18 min. The staff was absorbed by the first treatment session (including portal imaging) for 8-27 min. Mean room occupancy was 18 min (range: 6-65 min). The longest medical staff attendance was observed during an initial irradiation session (mean: 11 min). Radiotherapy sessions with weekly performed field verifications occupied the rooms slightly longer (mean: 10 min, range: 4-25 min) than daily radiotherapy sessions (mean: 9 min, range: 3-29 min). We observed that the patients' symptoms, their condition, and their social environment confounded the time schedule. Target localization, treatment planning, and performance of palliative radiotherapy absorb resources to an extent comparable to nonpalliative

  13. Factors influencing the perception of medical staff and outpatients of dual practice in Shanghai, People’s Republic of China

    Science.gov (United States)

    Chen, Haiping; Li, Meina; Dai, Zhixin; Deng, Qiangyu; Zhang, Lulu

    2016-01-01

    Objective Dual practice is defined as a physician’s performance of medical activities in different health care institutions (two or more) simultaneously. This study aimed to examine the perception and acceptance of medical staff and outpatients of dual practice and explore the possible factors affecting people’s perception. Methods A cross-sectional study was conducted in 13 public hospitals in Shanghai. Participants included medical staff and outpatients. We distributed 1,000 questionnaires to each participant group, and the response rates were 66.7% and 69.4%, respectively. Statistical differences in variables were tested, and multinomial logistic regression methods were employed for statistical analysis. Results The study included two parts: medical staff survey and outpatient survey. The results of medical staff survey showed that 63.0% of the respondents supported dual practice. Medical staff who belonged to the surgical department or held positive belief of dual practice were more willing to participate in dual practice. Moreover, the publicity activities of dual practice and hospitals’ human resource management system were important factors affecting the willingness of the medical staff. The results of outpatient survey showed that 44.5% of respondents believed that dual practice could reduce difficulty in consulting a doctor. Regarding the perceived benefits of dual practice, the proportion of outpatients who believed that dual practice could meet the demand for health convenience, minor illness, and chronic disease were 45.4%, 42.4%, and 53.7%, respectively. Additionally, demographic characteristics significantly influenced the perception of outpatients. Conclusion This study confirmed that both medical staff and outpatients generally held positive attitudes toward dual practice. Medical staff who belonged to the surgical department or held positive belief of dual practice were more willing to participate in dual practice. Moreover, the existence of

  14. Medical and Psychological Risk Factors for Incident Hypertension in Type 1 Diabetic African-Americans

    Directory of Open Access Journals (Sweden)

    Monique S. Roy

    2011-01-01

    Conclusions. The development of hypertension in African-Americans living with type 1 diabetes appears to be multifactorial and includes both medical (overt proteinuria as well as psychological (high hostility risk factors.

  15. CANCER SCREENING AWARENESS AMONG NURSING STAFF IN GOVERNMENT MEDICAL COLLEGE: A PROSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Mukesh Shanthilal

    2016-07-01

    Full Text Available BACKGROUND Cervical and breast cancers are the common malignancies among female population in India. Though there are approved screening methods available to prevent and detect these cancers at an early stage, there is a lack of awareness about cancer screening among general public as well as the health care professionals. This study is aimed to identify the knowledge, attitude and practice (KAP among the nursing staff regarding cancer screening in these two diseases. METHOD A cross-sectional interview based survey was conducted among 303 female nursing staff working in a government medical college hospital from November 2015 to December 2015. Ethical committee approval was taken. Verbal informed consent was sought from the study subjects. Nursing staff who gave consent to participate in the study were enrolled. There were no specific inclusion or exclusion criteria for the study subjects. A structured pretested questionnaire regarding knowledge, attitude and practice (KAP was used to collect the data. The questions were open-ended. Recall and recognition type of questions were used. The data was entered into MS Excel worksheet and analysed using descriptive statistics. RESULTS Total of 303 nurses included in the study. The age ranged from 21 to 64 years. Median age is 38 years. Only 24.4% (74/303 of Nurses were aware of cancer screening and many of them were aware of Pap smear (55.1%, 167/303 and mammogram (66.3%, 201/303 as investigational tools in diagnosing cancer. Only 17 out of 303 (5.6% nurses had Pap smear test done with an average of 1.23% Pap smear per individual. Mammogram screening was done in 13% (15/115 of the eligible nurses with an average of 1.2% mammogram per individual. The most common reason for not undergoing screening as expressed was they did not feel the need to be screened unless they were symptomatic (55%, they are too young for screening (14.8%, shyness (11.1%, fear (11.1% and lack of time (7.4%. However, 90% of them

  16. Questionnaire on the awareness of generic drugs among outpatients and medical staff.

    Science.gov (United States)

    Hoshi, S; Kimura, H

    2008-06-01

    Generic drugs are not as widely used in Japan as they are in the West. The objective of this study was to survey the awareness of generic drugs among outpatients and medical staff and propose methods of promoting the use of generic drugs. Our survey showed that 86.7% of respondents were aware of generic drugs. This is a higher awareness rate than that in a survey of other groups conducted last year. One reason to explain this higher awareness is the recent increase in generic drug advertisements both in newspapers and on television. However, a point of note is that generic drug usage has not increased. Our survey also showed that generic drug awareness was differed widely among age groups, as younger respondents were much more aware of generic drugs than older respondents. Still, about 40% of respondents who were aware of generic drugs did not realize that they were less expensive than name-brand drugs ? including 30% of medical staff. In addition to continuing advertisement of generic drugs in the media, medical doctors and pharmacists should also be encouraged to endorse the use of generic drugs. Furthermore a new system allowing for substitution prescriptions started in April 2008 and consequently pharmacists can now play an important role in promoting the use of generic drugs. PMID:22504572

  17. Marital Satisfaction, Coping, and Social Support in Female Medical Staff Members in Tehran University Hospitals

    Directory of Open Access Journals (Sweden)

    Jörg Richter

    2014-06-01

    Full Text Available Stress significantly influences marital satisfaction. Women tend to be more emotionally involved in problems than men. Furthermore, employed women encounter more stressors especially when their job is stressful which it is often the case in medical professionals. In the present cross-sectional study, relationships were analyzed between marital satisfaction (ENRICH Marital Satisfaction Inventory, ways of coping (Ways of Coping questionnaire with marital stress and social support (Social Support Questionnaire in 100 female medical staff members in Tehran university hospitals. The results revealed a significant negative relationship between subscales of marital satisfaction and using “seeking social support”, “confrontive coping”, “escape avoidance”, “distancing”, and “self-controlling” as ways of coping related to marriage related problems. Furthermore, the analyses showed that job satisfaction, social support, and ways of coping explain between 24% and 38% of the variance in subscales of marital satisfaction. Therefore focusing on these factors could be an effective approach to promote marital satisfaction in female medical staff members.

  18. Colonialism, Biko and AIDS: reflections on the principle of beneficence in South African medical ethics.

    Science.gov (United States)

    Braude, Hillel David

    2009-06-01

    This paper examines the principle of beneficence in the light of moral and epistemological concerns that have crystallized in the South African context around clinical care. Three examples from the South African experience affecting the development of bioethics are examined: medical colonialism, the death in detention of Steve Biko, and the HIV/AIDS epidemic. Michael Gelfand's book [(1948). The sick African: a clinical study. Cape Town: Stewart Printing Company.] on African medical conditions captures the ambiguous nature of colonial medicine that linked genuine medical treatment with the civilizing mission. Biko's death was a key historical event that deeply implicated the medical profession under apartheid. The present HIV/AIDS epidemic presents the gravest social and political crisis for South African society. All three experiences influence the meaning and relevance of beneficence as a bioethics principle in the South African context. This paper argues for a South African bioethics informed by a critical humanism that takes account of the colonial past, and that does not model itself on an "original wound" or negation, but on positive care-giving practices.

  19. 谈医务人员的社会角色%Reflections on the Social Role of the Medical Staff

    Institute of Scientific and Technical Information of China (English)

    张亚斌; 石晨

    2012-01-01

    当今社会医务人员的社会角色有所偏移,正确认识医务人员社会角色定位,有益于认清医务人员的社会责任、弘扬医学人文精神与推进医学事业的健康发展.医学的目的决定医务人员的社会角色非功利性,医务人员在社会大舞台中担当着守望生命、救死扶伤的公益性角色;现实生活中,由于受市场经济环境、现代医学技术的发展、现行医疗体制存在不足等社会因素的影响,造成医务人员社会角色有所偏移.要重新回归医务人员的社会角色,必须加强医务人员的职业道德教育,加快医疗体制改革,切实维护和保障医务人员自身的基本权利.%Today the social role of the medical staff has been offset. To correct the understanding of the social role of the medical staff will be beneficial to recognize the social responsibilities of the medical staff and carry forward the spirit of medical humanities, and promote the development of medical enterprise. The purpose of medicine determines the social role of the medical staff of non - utilitarian. So the medical staff in the social area should act as the watchman of life - saving. At present the somewhat offset of the role of the medical staff was mainly due to the influences of the market economy environment, the development of modern medical technology and the current health care system, and some other social factors. To realize the re - return of the medical staff's role, we must strengthen the ethics of the medical staff education, accelerate the reform of the medical system, safeguard and protect the fundamental rights of the medical staff.

  20. Dose evaluation in medical staff during diagnostics procedures in interventional radiology

    International Nuclear Information System (INIS)

    Studies show that personal dosimeters may underestimate the dose values in interventional physicians, especially in extremities and crystalline. The objective of this work was to study the radiation exposure levels of medical staff in diagnostic interventional radiology procedures. For this purpose LiF:Mg,Ti (TLD-100) dosimeters were placed in different regions of the physician body. When comparing with reference dose levels, the maximum numbers of annual procedures were found. This information is essential to ensure the radiological protection of those professionals. (author)

  1. Developing a competency-based medical education curriculum for the core basic medical sciences in an African Medical School.

    Science.gov (United States)

    Olopade, Funmilayo Eniola; Adaramoye, Oluwatosin Adekunle; Raji, Yinusa; Fasola, Abiodun Olubayo; Olapade-Olaopa, Emiola Oluwabunmi

    2016-01-01

    The College of Medicine of the University of Ibadan recently revised its MBBS and BDS curricula to a competency-based medical education method of instruction. This paper reports the process of revising the methods of instruction and assessment in the core basic medical sciences directed at producing medical and dental graduates with a sound knowledge of the subjects sufficient for medical and dental practice and for future postgraduate efforts in the field or related disciplines. The health needs of the community and views of stakeholders in the Ibadan medical and dental schools were determined, and the "old" curriculum was reviewed. This process was directed at identifying the strengths and weaknesses of the old curricula and the newer competences required for modern-day medical/dental practice. The admission criteria and processes and the learning methods of the students were also studied. At the end of the review, an integrated, system-based, community-oriented, person-centered, and competency-driven curriculum was produced and approved for implementation. Four sets of students have been admitted into the curriculum. There have been challenges to the implementation process, but these have been overcome by continuous faculty development and reorientation programs for the nonteaching staff and students. Two sets of students have crossed over to the clinical school, and the consensus among the clinical teachers is that their knowledge and application of the basic medical sciences are satisfactory. The Ibadan medical and dental schools are implementing their competency-based medical education curricula successfully. The modifications to the teaching and assessment of the core basic medical science subjects have resulted in improved learning and performance at the final examinations.

  2. Developing a competency-based medical education curriculum for the core basic medical sciences in an African Medical School

    Science.gov (United States)

    Olopade, Funmilayo Eniola; Adaramoye, Oluwatosin Adekunle; Raji, Yinusa; Fasola, Abiodun Olubayo; Olapade-Olaopa, Emiola Oluwabunmi

    2016-01-01

    The College of Medicine of the University of Ibadan recently revised its MBBS and BDS curricula to a competency-based medical education method of instruction. This paper reports the process of revising the methods of instruction and assessment in the core basic medical sciences directed at producing medical and dental graduates with a sound knowledge of the subjects sufficient for medical and dental practice and for future postgraduate efforts in the field or related disciplines. The health needs of the community and views of stakeholders in the Ibadan medical and dental schools were determined, and the “old” curriculum was reviewed. This process was directed at identifying the strengths and weaknesses of the old curricula and the newer competences required for modern-day medical/dental practice. The admission criteria and processes and the learning methods of the students were also studied. At the end of the review, an integrated, system-based, community-oriented, person-centered, and competency-driven curriculum was produced and approved for implementation. Four sets of students have been admitted into the curriculum. There have been challenges to the implementation process, but these have been overcome by continuous faculty development and reorientation programs for the nonteaching staff and students. Two sets of students have crossed over to the clinical school, and the consensus among the clinical teachers is that their knowledge and application of the basic medical sciences are satisfactory. The Ibadan medical and dental schools are implementing their competency-based medical education curricula successfully. The modifications to the teaching and assessment of the core basic medical science subjects have resulted in improved learning and performance at the final examinations. PMID:27486351

  3. Developing a competency-based medical education curriculum for the core basic medical sciences in an African Medical School.

    Science.gov (United States)

    Olopade, Funmilayo Eniola; Adaramoye, Oluwatosin Adekunle; Raji, Yinusa; Fasola, Abiodun Olubayo; Olapade-Olaopa, Emiola Oluwabunmi

    2016-01-01

    The College of Medicine of the University of Ibadan recently revised its MBBS and BDS curricula to a competency-based medical education method of instruction. This paper reports the process of revising the methods of instruction and assessment in the core basic medical sciences directed at producing medical and dental graduates with a sound knowledge of the subjects sufficient for medical and dental practice and for future postgraduate efforts in the field or related disciplines. The health needs of the community and views of stakeholders in the Ibadan medical and dental schools were determined, and the "old" curriculum was reviewed. This process was directed at identifying the strengths and weaknesses of the old curricula and the newer competences required for modern-day medical/dental practice. The admission criteria and processes and the learning methods of the students were also studied. At the end of the review, an integrated, system-based, community-oriented, person-centered, and competency-driven curriculum was produced and approved for implementation. Four sets of students have been admitted into the curriculum. There have been challenges to the implementation process, but these have been overcome by continuous faculty development and reorientation programs for the nonteaching staff and students. Two sets of students have crossed over to the clinical school, and the consensus among the clinical teachers is that their knowledge and application of the basic medical sciences are satisfactory. The Ibadan medical and dental schools are implementing their competency-based medical education curricula successfully. The modifications to the teaching and assessment of the core basic medical science subjects have resulted in improved learning and performance at the final examinations. PMID:27486351

  4. Staff perceptions of organisational values in a large South African manufacturing company: exploring socio-demographic differences

    Directory of Open Access Journals (Sweden)

    Nico Martins

    2011-03-01

    Full Text Available Orientation: Companies’ concerns about increasing their competitiveness, responsiveness and adaptability in a globalised, highly complex and turbulent business environment have led to a renewed interest in the role of corporate values and culture in improving organisational effectiveness and performance.Research purpose: The objective of the study was to explore the perceptions of men and women staff members, as well as members of various race and age groups, in a large South African manufacturing company about the current enactment of organisational values and the importance of these values.Motivation for the study: The challenge of managing multi-cultural work forces from different gender, race and generational backgrounds makes an understanding of how peoples’ values align with those of their organisations, as reflected in their cultures, necessary. Research design, approach and method: Using an organisational values scale, the researchers conducted a quantitative survey on a random sample of 988 participants employed in a large South African manufacturing company.Main findings: ANOVAs and post hoc multiple comparison of means tests revealed that gender, race and age have a significant effect on some of the dimensions of organisational values and that these biographical groups differ significantly in their perceptions of the importance of certain organisational values as well as how their organisations enact them.Practical/mangerial implications: The findings highlight the importance of understanding staff perceptions in creating greater commitment to organisational values as important aspects of an effective organisational culture.Contribution/value-add: This study is original research that contributes new knowledge to the field of organisational psychology and management practices.

  5. Investigation of radiation protection of medical staff performing medical diagnostic examinations by using PET/CT technique

    International Nuclear Information System (INIS)

    Positron emission tomography (PET) is now one of the most important methods in the diagnosis of cancer diseases. Due to the rapid growth of PET/CT centres in Poland in less than a decade, radiation protection and, consequently, the assessment of worker exposure to ionising radiation, emitted mainly by the isotope 18F, have become essential issues. The main aim of the study was to analyse the doses received by workers employed in the Medical Diagnostic Centre. The analysis comprises a physicist, three nurses, three physicians, three technicians, as well as two administrative staff employees. High-sensitivity thermoluminescent detectors (TLDs) were used to measure the doses for medical staff. The personnel was classified into categories, among them employees having direct contact with the ‘source of radiation’—18FDG. The TLDs were placed on the fingertips of both hands and they were also attached at the level of eye lenses, thyroid and gonads depending on the assigned category. The highest dose of radiation was observed during the administration of the 18FDG to the patients. In the case of the physicist, the highest dose was recorded during preparation of the radiopharmaceutical—18FDG. The body parts most exposed to ionizing radiation are the fingertips of the thumb, index and middle finger. (paper)

  6. Risk of cataract among medical staff in neurosurgical department occupationally exposed to radiation

    International Nuclear Information System (INIS)

    In this study we present the risk of cataract among medical staff in neurosurgical department occupationally exposed to radiation compared to those of non-radiation workers. Cataract is the most common degenerative opacity of the crystalline lens developing with aging. Other risk factors for cataract are: infrared and ultraviolet radiation, systemic diseases (diabetes, hypertonic disease), eye diseases (glaucoma, high myopia), drugs (steroids), etc. High risk of developing cataract we find among staff occupationally exposed to radiation during operations - interventional cardiologists and neurosurgeons. This study includes 30 people between 33 and 60 years of age working in neurosurgical department and control group (the same amount and age of people not exposed to radiation in their work). After visual acuity measurement, the lens was examined by retroillumination method (red reflex) and using a bio microscope. The patients were asked for presence of ocular and systemic diseases, eye trauma, drug, alcohol and tobacco abuse and for how many years they work in this department. There was one case with cataract among neurosurgeons. The doctor doesn't have eye or systemic diseases, doesn't take any drugs and is not alcohol or tobacco abuser. In the control group there were two persons with subcapsular cataract but they have diabetes. Radiation is one of the risk factors for cataract. Continuing of this epidemiological survey will provide further knowledge on the potential risk of occupational radiation-induced cataract among neurosurgical staff and will contribute for optimization of radiation protection. (authors)

  7. Radiation exposure for medical staff performing quantitative coronary perfusion PET with 13N-ammonia

    International Nuclear Information System (INIS)

    Purpose: To evaluate radiation doses to medical staff performing quantitative 13N-ammonia myocardial perfusion positron emission tomography (PET). Methods: Seventeen PET examinations were performed. Nine examinations consisted of two PET scans (one during rest and one after pharmacological stress with dipyridamole) and eight examinations consisted of three PET scans (additionally a scan after cold pressor testing). The two nuclear technologists and the physician attending the examinations were equipped with an electronic dosemeter over the chest and thermoluminescent dosimetry chips on the right index finger and wrist. Results: The highest mean equivalent dose per examination for a staff member was 453 μSv (417-490 μSv) to the right index finger, 138 μSv (127-149 μSv) to the right wrist and 13±0.8 μSv to the chest. Conclusions: Myocardial perfusion PET with 13N-ammonia exposes the staff to radiation doses that are comparable to doses from 18F-fluoro-deoxy-glucose scans and the annual doses are well within the recommended upper limits for radiation workers. (authors)

  8. Analysing post-apartheid gender and racial transformation in medical education in a South African province

    OpenAIRE

    Khan, Taskeen; Thomas, Leena S.; Naidoo, Shan

    2013-01-01

    Introduction: In light of global concerns about insufficient numbers of doctors, midwives, and nurses, the World Health Organization (WHO) has identified the scale-up of the production of medical professionals who are competent and responsive to community needs as urgent and necessary. Coincident with this imperative, South African medical schools have also had to consider redressing apartheid-era inequities in access to medical education and changing the racial and gender profile of medical ...

  9. Attitude and Performance of Health Staff Regarding Health Information Resources Kerman University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Azadeh Sadeghi

    2014-06-01

    Full Text Available Introduction: Using different media and information resources in the field of health is to achieve three key outcomes as learning correct health information, change in attitudes related to health and creating new healthy behaviors. This study was performed to determine the attitudes and performance of staff regarding health information resources in health centers of Kerman University of Medical Sciences. Materials and Methods: In this cross-sectional study, all health personnel working in Kerman University of Medical Sciences were evaluated during 2012-13 (N=223. Data collection tool was a researcher made questionnaire containing demographic characteristics, attitudes, and practices questionnaire (α=0.9. Scores of attitude and practice were categorized into three levels as low (under 50%, moderate (50-75% and good (over 75%. The data was analyzed using SPSS-20 statistical software by Chi-square and Pearson correlation. Results: In total, 42.6% of the study population had a positive attitude and 61.9% had a poor performance score. There was a positive correlation between attitude and practice scores (P0.05. Conclusion: Attitude of most study population regarding health information resources was in moderate level and their performance was weak. Therefore, it is suggested to design and implement educational interventions for more efficient use of health information resources among staff.

  10. Monte Carlo calculations on extremity and eye lens dosimetry for medical staff at interventional radiology procedures.

    Science.gov (United States)

    Carinou, E; Ferrari, P; Koukorava, C; Krim, S; Struelens, L

    2011-03-01

    There are many factors that can influence the extremity and eye lens doses of the medical staff during interventional radiology and cardiology procedures. Numerical simulations can play an important role in evaluating extremity and eye lens doses in correlation with many different parameters. In the present study, the first results of the ORAMED (Optimisation of Radiation protection of MEDical staff) simulation campaign are presented. The parameters investigated for their influence on eye lens, hand, wrist and leg doses are: tube voltage, filtration, beam projection, field size and irradiated part of the patient's body. The tube voltage ranged from 60 to 110 kV(p), filtration from 3 to 6 mm Al and from 0 to 0.9 mm Cu. For all projections, the results showed that doses received by the operator decreased with increasing tube voltage and filtration. The magnitude of the influence of the tube voltage and the filtration on the doses depends on the beam projection and the irradiated part of the patient's body. Finally, the influence of the field size is significant in decreasing the doses.

  11. Radiation exposure to patients and medical staff in hepatic chemoembolisation interventional procedures in Recife, Brazil

    International Nuclear Information System (INIS)

    The purpose of this study was to evaluate patient and medical staff absorbed doses received from trans-arterial chemoembolisation of hepatocellular carcinoma, which is the most common primary liver tumour worldwide. The study was performed in three hospitals in Recife, capital of the state of Pernambuco, located in the Brazilian Northeastern region. Two are public hospitals (A and B), and one is private (C). For each procedure, the number of images, irradiation parameters (kV, mA and fluoroscopy time), the air kerma-area product (PKA) and the cumulative air kerma (Ka,r) at the reference point were registered. The maximum skin dose (MSD) of the patient was estimated using radiochromic film. For the medical staff dosimetry, thermoluminescence dosemeters (TLD-100) were attached next to the eyes, close to the thyroid (above the shielding), on the thorax under the apron, on the wrist and on the feet. The effective dose to the staff was estimated using the algorithm of von Boetticher. The results showed that the mean value of the total PKA was 267.49, 403.83 and 479.74 Gy cm2 for Hospitals A, B and C, respectively. With regard to the physicians, the average effective dose per procedure was 17 μSv, and the minimum and maximum values recorded were 1 and 41 μSy, respectively. The results showed that the feet received the highest doses followed by the hands and lens of the eye, since the physicians did not use leaded glasses and the equipment had no lead curtain. (authors)

  12. Assessment of annual average effective dose status in the cohort of medical staff in Lithuania during 1991-2013.

    Science.gov (United States)

    Samerdokiene, Vitalija; Mastauskas, Albinas; Atkocius, Vydmantas

    2015-12-01

    The use of radiation sources for various medical purposes is closely related to irradiation of the medical staff, which causes harmful effects to health and an increased risk of cancer. In total, 1463 medical staff who have been occupationally exposed to sources of ionising radiation (IR) had been monitored. Records with annual dose measurements (N = 19 157) were collected and regularly analysed for a 23-y period: from 01 January 1991 to 31 December 2013. The collected annual average effective dose (AAED) data have been analysed according to different socio-demographic parameters and will be used in future investigation in order to assess cancer risk among medical staff occupationally exposed to sources of IR. A thorough analysis of data extracted from medical staff's dose records allows one to conclude that the average annual effective dose of Lithuanian medical staff occupationally exposed to sources of IR was consistently decreased from 1991 (1.75 mSv) to 2013 (0.27 mSv) (p < 0.0001). PMID:25614631

  13. Assessment of annual average effective dose status in the cohort of medical staff in Lithuania during 1991-2013

    International Nuclear Information System (INIS)

    The use of radiation sources for various medical purposes is closely related to irradiation of the medical staff, which causes harmful effects to health and an increased risk of cancer. In total, 1463 medical staff who have been occupationally exposed to sources of ionising radiation (IR) had been monitored. Records with annual dose measurements (N = 19 157) were collected and regularly analysed for a 23-y period: from 01 January 1991 to 31 December 2013. The collected annual average effective dose (AAED) data have been analysed according to different socio-demographic parameters and will be used in future investigation in order to assess cancer risk among medical staff occupationally exposed to sources of IR. A thorough analysis of data extracted from medical staff's dose records allows one to conclude that the average annual effective dose of Lithuanian medical staff occupationally exposed to sources of IR was consistently decreased from 1991 (1.75 mSv) to 2013 (0.27 mSv) (p < 0.0001). (authors)

  14. Medical Services Utilization: Experience of Members of Staff In a Tertiary Dental Clinic.

    Directory of Open Access Journals (Sweden)

    Olanrewaju I Opeodu

    2014-05-01

    Full Text Available Early detection of diseases will be enhanced by routine preventive medical check-up and this will facilitate institution of early management, which may improve prognosis. Effectiveness of preventive medical check-up in turn may depend on the attitude of health care workers towards their own health. Self-administered questionnaires were distributed among members of staff of a tertiary dental clinic in Nigeria. The questionnaire sought to know among other things, the last time that the respondents had a comprehensive medical check-up and their reasons for doing so. One hundred and ten was filled and return giving a response rate of 73.3%. Data analysis was done using Statistical Package for Social Sciences (SPSS version 14.0. Level of statistical significance was set at p< 0.05. The results shows that the majority of the respondents (58.1% had a comprehensive medical check-up as a mandatory pre-employment requirement, while 27.6% had their last medical check-up as a result of personal concern for one’s health. Measurement of body weight and blood pressure were the most utilized by the respondents. There was a statistically significant relationship between gender and the frequency of checking body weight (p< .004 and also between academic achievement and the frequency of checking blood pressure (p< .000. The study showed that the rate of utilization of medical services is low among the population studied, the fact that they work within a hospital notwithstanding. It is therefore recommended that health workers should change their attitude and embrace preventive utilization of medical services.

  15. Spread of Staphylococcus aureus between medical staff and high-frequency contact surfaces in a large metropolitan hospital

    Directory of Open Access Journals (Sweden)

    Li-sha Shi

    2015-12-01

    Conclusion: Cross-contamination of S. aureus or MRSA on medical workers' hands and contact surfaces was demonstrated within and between departments of a large metropolitan hospital. Improvements are needed in medical staff hygiene habits and in the cleaning of high-frequency contact surfaces to help prevent and control nosocomial infections.

  16. Developing a competency-based medical education curriculum for the core basic medical sciences in an African Medical School

    Directory of Open Access Journals (Sweden)

    Olopade FE

    2016-07-01

    Full Text Available Funmilayo Eniola Olopade,1 Oluwatosin Adekunle Adaramoye,2 Yinusa Raji,3 Abiodun Olubayo Fasola,4 Emiola Oluwabunmi Olapade-Olaopa5 1Department of Anatomy, 2Department of Biochemistry, 3Department of Physiology, 4Department of Oral Pathology, 5Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria Abstract: The College of Medicine of the University of Ibadan recently revised its MBBS and BDS curricula to a competency-based medical education method of instruction. This paper reports the process of revising the methods of instruction and assessment in the core basic medical sciences directed at producing medical and dental graduates with a sound knowledge of the subjects sufficient for medical and dental practice and for future postgraduate efforts in the field or related disciplines. The health needs of the community and views of stakeholders in the Ibadan medical and dental schools were determined, and the “old” curriculum was reviewed. This process was directed at identifying the strengths and weaknesses of the old curricula and the newer competences required for modern-day medical/dental practice. The admission criteria and processes and the learning methods of the students were also studied. At the end of the review, an integrated, system-based, community-oriented, person-centered, and competency-driven curriculum was produced and approved for implementation. Four sets of students have been admitted into the curriculum. There have been challenges to the implementation process, but these have been overcome by continuous faculty development and reorientation programs for the nonteaching staff and students. Two sets of students have crossed over to the clinical school, and the consensus among the clinical teachers is that their knowledge and application of the basic medical sciences are satisfactory. The Ibadan medical and dental schools are implementing their competency-based medical education curricula

  17. An Outbreak of SARS in a Diabetes Room of a General Hospital without Infected Medical Staff

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    Objective To investigate the epidemiologic features of an outbreak of SARS that occurred in a single diabetes room of a general hospital in Beijing in late March 2003. Methods Field investigation was carried out in the ward, the nursing log and the hospitalization medical record of correlative patients were consulted. SARS-CoV in serum specimen from SARS patient was detected by PCR. Results The room where SARS outbreak occurred was on the 13th lfoor of the 16-story main ward building. There were 6 beds in the room, living with 6 female patients (aged 45-67) who were all hospitalized due to type 2 diabetes. On March 24, 2003, Patient 1 began to have a fever and cough, chest X-ray showed pneumonia. Five and six days later, Patient 2 and Patient 3 began to have a fever, respectively. Finally, all of these 3 patients died. Their beds were all at the same side of the room, and the other 3 patients at the opposite side were not infected. Serum SARS CoV-RNA of the Patient 3 was positive by nest-PCR. The daughter-in-law of Patient 1 who accompanied Patient 1 by the bedside several days, mainly near the window, upwind of Patient 1, was not infected. Medical staff, family members and visitors of the 6 patients were not infected. Conclusions This outbreak was not transmitted by aerosol. The distance droplets travels could be up to 3.43 meters. Droplet spread has direction, and the droplets direction of propagation is closely related with the wind direction and speed. Those at the downwind position of SARS patients were susceptible to be infected. Medical staff wore face masks and good natural ventilation of this ward building may be important reasons for the prevention of infection.

  18. Analysing post-apartheid gender and racial transformation in medical education in a South African province

    Directory of Open Access Journals (Sweden)

    Taskeen Khan

    2013-01-01

    Full Text Available Introduction: In light of global concerns about insufficient numbers of doctors, midwives, and nurses, the World Health Organization (WHO has identified the scale-up of the production of medical professionals who are competent and responsive to community needs as urgent and necessary. Coincident with this imperative, South African medical schools have also had to consider redressing apartheid-era inequities in access to medical education and changing the racial and gender profile of medical graduates to be representative of the population. In this article, we explore progress and challenges with regard to transformation, defined as intentional and planned changes aimed at addressing historical disadvantages, in the Gauteng Province of South Africa. Methods: A cross-sectional, descriptive analysis was conducted using data on medical school admissions and graduations from the Health and Education Departments for the period 1999–2011. Admission and graduation statistics of 1999, 2005, 2008, and 2011 were analysed according to race and gender. Results: The results show that there has been progress in transforming the race and gender composition of medical students and graduates, in line with the transformation strategies of the South African government. In 1999, black African enrolments and graduates were conspicuously low in two of the three medical schools in the Gauteng province. By 2011, an almost six-fold increase in black African student enrolments was seen in one medical school that was previously designated as a white institution. In contrast, at the historically black medical school, whites only represented 0.40% of enrolments in 1999 and 7.4% in 2011. Since 1999, the number and proportion of female medical enrolments and graduates has also increased substantially. Conclusion: While there has been progress with redressing historical disparities and inequities in terms of race and gender, further efforts are needed to ensure that student

  19. The African Genome Variation Project shapes medical genetics in Africa

    Science.gov (United States)

    Gurdasani, Deepti; Carstensen, Tommy; Tekola-Ayele, Fasil; Pagani, Luca; Tachmazidou, Ioanna; Hatzikotoulas, Konstantinos; Karthikeyan, Savita; Iles, Louise; Pollard, Martin O.; Choudhury, Ananyo; Ritchie, Graham R. S.; Xue, Yali; Asimit, Jennifer; Nsubuga, Rebecca N.; Young, Elizabeth H.; Pomilla, Cristina; Kivinen, Katja; Rockett, Kirk; Kamali, Anatoli; Doumatey, Ayo P.; Asiki, Gershim; Seeley, Janet; Sisay-Joof, Fatoumatta; Jallow, Muminatou; Tollman, Stephen; Mekonnen, Ephrem; Ekong, Rosemary; Oljira, Tamiru; Bradman, Neil; Bojang, Kalifa; Ramsay, Michele; Adeyemo, Adebowale; Bekele, Endashaw; Motala, Ayesha; Norris, Shane A.; Pirie, Fraser; Kaleebu, Pontiano; Kwiatkowski, Dominic; Tyler-Smith, Chris; Rotimi, Charles; Zeggini, Eleftheria; Sandhu, Manjinder S.

    2014-01-01

    Given the importance of Africa to studies of human origins and disease susceptibility, detailed characterisation of African genetic diversity is needed. The African Genome Variation Project (AGVP) provides a resource to help design, implement and interpret genomic studies in sub-Saharan Africa (SSA) and worldwide. The AGVP represents dense genotypes from 1,481 and whole genome sequences (WGS) from 320 individuals across SSA. Using this resource, we find novel evidence of complex, regionally distinct hunter-gatherer and Eurasian admixture across SSA. We identify new loci under selection, including for malaria and hypertension. We show that modern imputation panels can identify association signals at highly differentiated loci across populations in SSA. Using WGS, we show further improvement in imputation accuracy supporting efforts for large-scale sequencing of diverse African haplotypes. Finally, we present an efficient genotype array design capturing common genetic variation in Africa, showing for the first time that such designs are feasible. PMID:25470054

  20. Possibilities of utilizing blended-learning in the area of language education of medical staff

    Directory of Open Access Journals (Sweden)

    Radka Šulistová

    2014-11-01

    Full Text Available This contribution deals with the presentation of teaching materials created within the IMED-KOMM-EU "Intercultural medical communication inEurope" internet project, having taken place under the leadership of the Institute for Intercultural Communication inGermany(Ansbach,Berlin,Jena,Erfurt. Project target was creating, testing, valorisation and permanent extending of the mentioned teaching materials, testing and certification technologies (ECL for intercultural professional communication of foreign physicians and other medical staff. The target groups involving the already practising professionals, as well as students, should be able to utilize the existing possibilities of communication withinEuropeand to perform their professional activity or studies in the languages, in which the materials are elaborated. As a result, five complete courses of blended-learning were created, which are generally easily accessible at mutually connected web sites in Czech, Slovak, German, Bulgarian and Hungarian. Their core are modules orientated on practice with complex exercises online and offline focused on the medical communication, including the manuals for teachers.

  1. Medical staff radiation exposure in electrophysiology procedures: First results during biventricular ICD implantation

    International Nuclear Information System (INIS)

    Cardiac resynchronization therapy (CRT) requires a very long fluoroscopy time due to the need to monitor the placement of the device and electrodes inside the patient’s body at every step of the procedure. Aim of this study was to analyse staff X-ray exposure during the intervention, measuring Hp(10) values with electronic dosimeters worn by medical staff. The scattered X-ray field was characterized using a spectrometric CdTe (cadmium-telluride) detector to define the radiation field impinging on the operator and thereby identify the correct dosimeter position for accurate measurement (i.e., above or under the shielding apron). In particular, knowledge of the X-ray spectrum yields information on photon flux and the energy distribution of the X-rays. Dosimetric data were then recorded in a series of 20 consecutive patients, obtaining a first set of Hp(10) data that can be used to estimate the risk for the electrophysiologist performing this procedure.

  2. [Evaluation of a risk communication approach for maintenance staff working with induced radioactivity in medical linear accelerators].

    Science.gov (United States)

    Watanabe, Hiroshi; Yamaguchi, Ichiro; Maehara, Yoshiaki; Koizumi, Mitsue; Fujibuchi, Toshioh; Kida, Tetsuo; Tsukamoto, Atsuko; Horitsugi, Genki; Hiraki, Hitoshi; Kimura, Yumi; Oyama, Masaya

    2013-12-01

    In order to promote consensus building on decommissioning operation rules for medical linear accelerators in Japan, we carried out a risk communication (RC) approach mainly providing knowledge for maintenance staff regarding induced radioactivity. In February 2012, we created a booklet (26 pages) to present an overview of the amended law, the mechanism and the distribution of induced radioactivity showing the actual radiation dose rate around a linear accelerator and actual exposure doses to staff. In addition, we co-sponsored a seminar for workers in this field organized by the Japan Medical Imaging and Radiological Systems Industries Association to explain the contents of this booklet, and answer questions regarding induced radioactivity of linear accelerators as an RC program. As a result, the understanding of staff regarding the regulations on maximum X-ray energy on linear accelerators (Papproach suggests that consensus building should be used to make rules on decommissioning operations for linear medical accelerators.

  3. Benefits and Barriers of E-Learning for Staff Training in a Medical University.

    Science.gov (United States)

    Franz, Stefan; Behrends, Marianne; Haack, Claudia; Marschollek, Michael

    2015-01-01

    Learning Management Systems (LMS) are a feasible solution to fulfill the various requirements for e-learning based training in a medical university. Using the LMS ILIAS, the Institute of Diagnostic and Interventional Radiology has designed an e-learning unit about data protection, which has been used by 73% of the department's employees in the first three months. To increase the use of e-learning for staff training, it is necessary to identify barriers and benefits, which encourage the use of e-learning. Therefore, we started an online survey to examine how the employees evaluate this learning opportunity. The results show that 87% of the employees had no technical problems and also competence of Information and Communication Technology (ICT) was no barrier. If anything, reported issues were time shortages and tight schedules. Therefore, short learning modules (less than 20 minutes) are preferred. Furthermore, temporal flexibility for learning is important for 83% of employees. PMID:26152964

  4. Legal Reflection on Medical Staff's Rights and Interests Protection under the Background of Violent Injury to Medical Staff%暴力伤医背景下医务人员权益保护的法律思考

    Institute of Scientific and Technical Information of China (English)

    石悦; 张琴

    2015-01-01

    In recent years, violent injury to medical stuff happened frequently, which not only disturbs the social order, destroys the medical environment, but also seriously damage the legitimate rights and interests of the medical staff. Based on the investigation and analysis on violent injury to medical staff in recent years in our country, this paper elaborates the deficiencies and inadequacy of the legal protection of rights and interests of the medical staff in our country, and with the safeguard of medical staff's legitimate rights and interests as the starting point, puts forward suggestions to strengthen the protection of the rights and interests of the medical staff in China from the law running links such as legislation, law enforcement, judicature and law-abiding.%近年来,频繁发生的暴力伤医事件,不仅扰乱了社会秩序,破坏了就医环境,而且严重伤害了医务人员的合法权益。文章在对我国近几年暴力伤医事件调查分析的基础上,阐述了我国法律在保护医务人员权益上所存在的缺失和不足,并以切实维护医务人员合法权益为出发点,从立法、执法、司法、守法等法律运行环节提出了加强我国医务人员权益保护的法治建议。

  5. The African Genome Variation Project shapes medical genetics in Africa

    Science.gov (United States)

    Gurdasani, Deepti; Carstensen, Tommy; Tekola-Ayele, Fasil; Pagani, Luca; Tachmazidou, Ioanna; Hatzikotoulas, Konstantinos; Karthikeyan, Savita; Iles, Louise; Pollard, Martin O.; Choudhury, Ananyo; Ritchie, Graham R. S.; Xue, Yali; Asimit, Jennifer; Nsubuga, Rebecca N.; Young, Elizabeth H.; Pomilla, Cristina; Kivinen, Katja; Rockett, Kirk; Kamali, Anatoli; Doumatey, Ayo P.; Asiki, Gershim; Seeley, Janet; Sisay-Joof, Fatoumatta; Jallow, Muminatou; Tollman, Stephen; Mekonnen, Ephrem; Ekong, Rosemary; Oljira, Tamiru; Bradman, Neil; Bojang, Kalifa; Ramsay, Michele; Adeyemo, Adebowale; Bekele, Endashaw; Motala, Ayesha; Norris, Shane A.; Pirie, Fraser; Kaleebu, Pontiano; Kwiatkowski, Dominic; Tyler-Smith, Chris; Rotimi, Charles; Zeggini, Eleftheria; Sandhu, Manjinder S.

    2015-01-01

    Given the importance of Africa to studies of human origins and disease susceptibility, detailed characterization of African genetic diversity is needed. The African Genome Variation Project provides a resource with which to design, implement and interpret genomic studies in sub-Saharan Africa and worldwide. The African Genome Variation Project represents dense genotypes from 1,481 individuals and whole-genome sequences from 320 individuals across sub-Saharan Africa. Using this resource, we find novel evidence of complex, regionally distinct hunter-gatherer and Eurasian admixture across sub-Saharan Africa. We identify new loci under selection, including loci related to malaria susceptibility and hypertension. We show that modern imputation panels (sets of reference genotypes from which unobserved or missing genotypes in study sets can be inferred) can identify association signals at highly differentiated loci across populations in sub-Saharan Africa. Using whole-genome sequencing, we demonstrate further improvements in imputation accuracy, strengthening the case for large-scale sequencing efforts of diverse African haplotypes. Finally, we present an efficient genotype array design capturing common genetic variation in Africa.

  6. Integration of foreign and local medical staff in a disaster area: the Honduras and El Salvador experiences.

    Science.gov (United States)

    Waisman, Yehezkel

    2003-06-01

    International medical aid after natural disasters may take various forms, ranging from self-sufficient military forces to single experts or specialists who function primarily as advisers. A model integrating foreign and local medical staff has not previously been reported. In response to the call for international aid by the Honduran and El Salvadorian governments in the wake of Hurricane Mitch in November 1998 and the San Salvador earthquake in January 2001, Israel sent medical supplies and 10 member teams of medical professionals to each country. The aim of the present paper is to describe the unique Israeli approach to providing healthcare in disaster areas by integrating foreign and local medical staff, and to discuss its advantages and disadvantages. The paper focuses on the experience of the two emergency medicine physicians on the team who were assigned to the Atlantida General Hospital in La Ceiba, Honduras. The same team in San Salvador subsequently applied the same approach. PMID:12789069

  7. Occupational radiation exposure of medical staff performing 90Y-loaded microsphere radioembolization

    International Nuclear Information System (INIS)

    Radioembolization of liver cancer with 90Y-loaded microspheres is increasingly used but data regarding hospital staff exposure are scarce. We evaluated the radiation exposure of medical staff while preparing and injecting 90Y-loaded glass and resin microspheres especially in view of the increasing use of these products. Exposure of the chest and finger of the radiopharmacist, nuclear medicine physician and interventional radiologist during preparation and injection of 78 glass microsphere preparations and 16 resin microsphere preparations was monitored. Electronic dosimeters were used to measure chest exposure and ring dosimeters were used to measure finger exposure. Chest exposure was very low for both products used (<10 μSv from preparation and injection). In our experience, finger exposure was significantly lower than the annual limit of 500 mSv for both products. With glass microspheres, the mean finger exposure was 13.7 ± 5.2 μSv/GBq for the radiopharmacist, and initially 17.9 ± 5.4 μSv/GBq for the nuclear medicine physician reducing to 13.97 ± 7.9 μSv/GBq with increasing experience. With resin microspheres, finger exposure was more significant: mean finger exposure for the radiopharmacist was 295.1 ± 271.9 μSv/GBq but with a reduction with increasing experience to 97.5 ± 35.2 μSv/GBq for the six most recent dose preparations. For administration of resin microspheres, the greatest mean finger exposure for the nuclear medicine physician (the most exposed operator) was 235.5 ± 156 μSv/GBq. Medical staff performing 90Y-loaded microsphere radioembolization procedures are exposed to safe levels of radiation. Exposure is lower than that from treatments using 131I-lipiodol. The lowest finger exposure is from glass microspheres. With resin microspheres finger exposure is acceptable but could be optimized in accordance with the ALARA principle, and especially in view of the increasing use of radioembolization. (orig.)

  8. Occupational radiation exposure of medical staff performing {sup 90}Y-loaded microsphere radioembolization

    Energy Technology Data Exchange (ETDEWEB)

    Laffont, Sophie; Ardisson, Valerie; Lenoir, Laurence [Cancer Institute, Centre Eugene Marquis, Department of Nuclear Medicine, Rennes (France); Rolland, Yan; Rohou, Tanguy [Cancer Institute, Centre Eugene Marquis, Department of Interventional Radiology, Rennes (France); Edeline, Julien [University of Rennes 1, Rennes (France); Comprehensive Cancer Center, Institute Eugene Marquis, Department of Medical Oncology, Rennes (France); INSERM, U-991, Liver Metabolisms and Cancer, Rennes (France); Pracht, Marc; Sourd, Samuel Le [Comprehensive Cancer Center, Institute Eugene Marquis, Department of Medical Oncology, Rennes (France); Lepareur, Nicolas [Cancer Institute, Centre Eugene Marquis, Department of Nuclear Medicine, Rennes (France); INSERM, U-991, Liver Metabolisms and Cancer, Rennes (France); Garin, Etienne [Cancer Institute, Centre Eugene Marquis, Department of Nuclear Medicine, Rennes (France); University of Rennes 1, Rennes (France); INSERM, U-991, Liver Metabolisms and Cancer, Rennes (France)

    2016-05-15

    Radioembolization of liver cancer with {sup 90}Y-loaded microspheres is increasingly used but data regarding hospital staff exposure are scarce. We evaluated the radiation exposure of medical staff while preparing and injecting {sup 90}Y-loaded glass and resin microspheres especially in view of the increasing use of these products. Exposure of the chest and finger of the radiopharmacist, nuclear medicine physician and interventional radiologist during preparation and injection of 78 glass microsphere preparations and 16 resin microsphere preparations was monitored. Electronic dosimeters were used to measure chest exposure and ring dosimeters were used to measure finger exposure. Chest exposure was very low for both products used (<10 μSv from preparation and injection). In our experience, finger exposure was significantly lower than the annual limit of 500 mSv for both products. With glass microspheres, the mean finger exposure was 13.7 ± 5.2 μSv/GBq for the radiopharmacist, and initially 17.9 ± 5.4 μSv/GBq for the nuclear medicine physician reducing to 13.97 ± 7.9 μSv/GBq with increasing experience. With resin microspheres, finger exposure was more significant: mean finger exposure for the radiopharmacist was 295.1 ± 271.9 μSv/GBq but with a reduction with increasing experience to 97.5 ± 35.2 μSv/GBq for the six most recent dose preparations. For administration of resin microspheres, the greatest mean finger exposure for the nuclear medicine physician (the most exposed operator) was 235.5 ± 156 μSv/GBq. Medical staff performing {sup 90}Y-loaded microsphere radioembolization procedures are exposed to safe levels of radiation. Exposure is lower than that from treatments using {sup 131}I-lipiodol. The lowest finger exposure is from glass microspheres. With resin microspheres finger exposure is acceptable but could be optimized in accordance with the ALARA principle, and especially in view of the increasing use of radioembolization. (orig.)

  9. Evaluating the attendance of medical staff and room occupancy during palliative radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Adamietz, Irenaeus A. [University of Bochum, Department of Radiation Oncology, Bochum (Germany); Marienhospital Herne, Department of Radiotherapy and Radiation Oncology, Herne (Germany); Micke, Oliver [Franziskus-Hospital, Department of Radiation Oncology, Bielefeld (Germany); Popp, Wolfgang [Prime Networks AG, Basel (Switzerland); Sack, Horst [DEGRO, Berlin (Germany)

    2014-09-15

    Attendance of staff and use of resources during treatment have an impact on costs. For palliative radiotherapy, no reliable data are available on the subject. Therefore, the measurement of selected variables (staff absorbance and room occupancy) based on daily palliative irradiation was the aim of our prospective study. The analysis is part of a larger study conducted by the German Society of Radiation Oncology (DEGRO). A total of 172 palliative radiation treatments were followed up prospectively between October 2009 and March 2010. The study was performed at two experienced radiotherapy departments (Herne and Bielefeld) and evaluated the attendance of medical personnel and room occupancy related to the selected steps of the treatment procedure: treatment planning and daily application of radiation dose. Computed tomography for treatment planning engaged the unit for 19 min (range: 17-22 min). The localization of target volume required on average 28 min of a technician's working time. The mean attendance of the entire staff (radiation oncologist, physicist, technician) for treatment planning was 159 min, while the total room occupancy was 140 min. Depending on the type of treatment, the overall duration of a radiotherapy session varied on average between 8 and 18 min. The staff was absorbed by the first treatment session (including portal imaging) for 8-27 min. Mean room occupancy was 18 min (range: 6-65 min). The longest medical staff attendance was observed during an initial irradiation session (mean: 11 min). Radiotherapy sessions with weekly performed field verifications occupied the rooms slightly longer (mean: 10 min, range: 4-25 min) than daily radiotherapy sessions (mean: 9 min, range: 3-29 min). We observed that the patients' symptoms, their condition, and their social environment confounded the time schedule. Target localization, treatment planning, and performance of palliative radiotherapy absorb resources to an extent comparable to

  10. Job Stress of Medical Staffs in General Hospital%综合医院一线医务人员工作应激调查

    Institute of Scientific and Technical Information of China (English)

    王玉林; 刘碧英; 王锐

    2003-01-01

    Objective: To explore the job stress status of medical staffs in general hospital. Methods: A total of 201 medical staffs were sampled from a general hospital in Changsha City, Hunan Province, and their job stress levels were evaluated by the Medical Job Stress Invemory. Results:The subjects from internal medicine department showed silgnificantIy higher job stress level than those from surgical departmem;and the doctors group showed higher stress level in the interpersonal subscale than the nurses group. Condusion:It is important to pay attention to medical staff''s job stress and job burnout in order to improve their mental health levels.

  11. Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital

    Directory of Open Access Journals (Sweden)

    Kontodimopoulos Nick

    2010-11-01

    Full Text Available Abstract Background The objective of this study was to investigate how medical and nursing staff of the Nicosia General Hospital is affected by specific motivation factors, and the association between job satisfaction and motivation. Furthermore, to determine the motivational drive of socio-demographic and job related factors in terms of improving work performance. Methods A previously developed and validated instrument addressing four work-related motivators (job attributes, remuneration, co-workers and achievements was used. Two categories of health care professionals, medical doctors and dentists (N = 67 and nurses (N = 219 participated and motivation and job satisfaction was compared across socio-demographic and occupational variables. Results The survey revealed that achievements was ranked first among the four main motivators, followed by remuneration, co-workers and job attributes. The factor remuneration revealed statistically significant differences according to gender, and hospital sector, with female doctors and nurses and accident and emergency (A+E outpatient doctors reporting greater mean scores (p 55 years of age reported higher job satisfaction when compared to the other groups. Conclusions The results are in agreement with the literature which focuses attention to management approaches employing both monetary and non-monetary incentives to motivate health care professionals. Health care professionals tend to be motivated more by intrinsic factors, implying that this should be a target for effective employee motivation. Strategies based on the survey's results to enhance employee motivation are suggested.

  12. Education of hand rubbing technique to prospective medical staff, employing UV-based digital imaging technology.

    Science.gov (United States)

    Lehotsky, Ákos; Szilágyi, László; Demeter-Iclănzan, Annamária; Haidegger, Tamás; Wéber, György

    2016-06-01

    The aim of this study was to objectively assess the hand hygiene performance of medical students. Hand rubbing technique was evaluated by employing innovative UV-light-based imaging technology, identifying patterns and trends in missed areas after applying WHO's six-step protocol. This specially designed hand hygiene education and assessment program targeted 1,344 medical students at two distant sites in Central Europe. Students were introduced to a short video, presenting the basics of hand hygiene, and then received further demonstration from professional trainers, focusing on the correct execution of WHO's six-step technique. To verify the acquired skill, participants rubbed their hands with UV-marked alcohol-based solution. Digital images of the hands were recorded under UV light, followed by computer evaluation and assessment. Immediate objective visual feedback was given to the participants showing missed areas on their hands. The statistical analysis of missed spots was based on retrospective expert-driven manual evaluation. Significant difference in rubbing quality was found between female and male participants [35.3% (CI 95%: 33-38%) versus 29.0% (CI 95%: 27-31%), p < 0.001], dominant and non-dominant hands [43.4% (CI 95%: 39-48%) versus 34.9% (CI 95%: 32-38%), p = 0.002], and various zones of the hands' dorsal side. Based on the participants' feedback and the evaluation of the infection control specialists, it can be stated that the identification of typically missed patterns and the instant visual feedback have a vital role in improving the hand hygiene technique of prospective medical staff. PMID:27352974

  13. High beta radiation exposure of medical staff measures for optimisation of radiation protection

    International Nuclear Information System (INIS)

    Full text of publication follows: New therapies applying beta radionuclides have been introduced in medicine in recent years, especially in nuclear medicine, e. g. radio-synoviorthesis, radioimmunotherapy and palliative pain therapy. The preparation of radiopharmaceuticals, their dispensary as well as injection require the handling of vials and syringes with high activities of beta emitters at small distances to the skin. Thus the medical staff may be exposed to a high level of beta radiation. Hence the local skin dose, Hp(0,07), was measured at these workplaces with thin-layer thermoluminescent dosemeters TLD (LiF:Mg,P,Cu) fixed to the tip of the fingers at both hands of the personnel. In addition, official beta/photon ring dosemeters were worn at the first knuckle of the index finger. Very high local skin doses were measured at the tip of index finger and thumb. The findings indicate that the exposure of the staff can exceed the annual dose limit for skin of 500 mSv when working at a low protection standard. By the use of appropriate shieldings and tools (e.g. tweezers or forceps) the exposure was reduced of more than one order of magnitude. The German dosimetry services provide official beta/photon ring dosemeters for routine monitoring of the extremity exposure of occupationally exposed persons. But even monitoring with these official dosemeters does not provide suitable results to control compliance with the dose limit in the majority of cases because they can mostly not be worn at the spot of highest beta exposure (finger tip). Therefore, a study was performed to identify the difference of readings of official ring dosemeters and the maximum local skin dose at the finger tips. At workplaces of radio-synoviorthesis a correction factor of 3 was determined provided that the staff worked at high radiation protection standard and the ring dosemeters were worn at the first knuckle of the index finger. The correction factor increases significantly when the radiation

  14. The Automated Alert System for the Hospital Infection Control and the Safety of Medical Staff Based on EMR Data.

    Science.gov (United States)

    Jo, Eunmi

    2016-01-01

    This report is about planning, developing, and implementing the automated alert system for the Hospital infection control and the safety of medical staffs about information on patients exposed to infection based on EMR Data in a tertiary hospital in Korea. PMID:27332375

  15. 77 FR 63837 - Draft Guidance for Industry and Food and Drug Administration Staff; eCopy Program for Medical...

    Science.gov (United States)

    2012-10-17

    ... HUMAN SERVICES Food and Drug Administration Draft Guidance for Industry and Food and Drug Administration Staff; eCopy Program for Medical Device Submissions; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing the availability...

  16. 78 FR 102 - Guidance for Industry and Food and Drug Administration Staff; eCopy Program for Medical Device...

    Science.gov (United States)

    2013-01-02

    ... HUMAN SERVICES Food and Drug Administration Guidance for Industry and Food and Drug Administration Staff; eCopy Program for Medical Device Submissions; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing the availability of...

  17. Dose assessment of medical staff taking care of patients treated with 131I due to the intake of 131I

    International Nuclear Information System (INIS)

    Aim: Legislation requires that patient receiving 131I in activities greater than 550MBq have to be hospitalized in special closed department. Medical staff taking care of these patients can be exposed to external irradiation and internal contamination with 131I. The aim of this study was to assess the annual effective dose of medical staff taking care of patients treated with 131I due to the occupational intake of 131I. Material - Medical Staff: 6 nurses took care of 6 patients (placed into two rooms) treated with 131I in activities between 550 and 1100 MBq. 131I was normally delivered to patients once per week. After patients received 131I nurses were in contact with patients in average 4 hours per day, 4 days per week. Methods: Direct Method - whole body counting (WBC) of staff was performed daily after they finished their work and indirect method - determination of air 131I concentration in patient's rooms (AC) were used to assess the intake of 131I by staff. Measurements were done in winter period.Results and Dose Assessment: Results of measurements of medical staff and determination of 131I air concentration are presented. Average daily 131I intake of staff assessed from WBC results was 315 Bq; average daily 131I air concentration for first four days was 35 Bq/m3. Assessment of annual effective dose due to the internal contamination (realistic approach): - Direct method: 315 Bq/day x 208 days/year x 7,6 Sv/Bq x 10-9 = 0,498 mSv/year. - Indirect method: 35 Bq/m3 x 1,5 m3/hour x 832 hours/year x 7,6 Sv/Bq x 10-9 = 0,332 mSv/year. Conclusion: Medical staff taking care of patients treated with 131I received effective dose less than 0,5 mSv/year due to the intake of 131I. In the some time period they received 1,65 to 2,24 mSv due to the exposure to the external radiation coming from patients treated with 131I

  18. A Survey of the Knowledge of Venous Thromboembolism Prophylaxis among the Medical Staff of Intensive Care Units in North China.

    Directory of Open Access Journals (Sweden)

    Xiao Tang

    Full Text Available Guideline concordance for venous thromboembolism (VTE prophylaxis in critically ill patients in intensive care units (ICUs varies across different countries.To explore how the medical staff of ICUs in China comprehend and practice VTE prophylaxis.Questionnaires comprising 39 questions and including 4 dimensions of thromboprophylaxis were administered in ICUs in North China.In all, 52 ICUs at 23 tertiary hospitals in 7 Chinese provinces and municipalities were surveyed. A total of 2500 questionnaires were sent, and 1861 were returned, corresponding to a response rate of approximately 74.4%. Of all surveyed medical staff, 36.5% of physicians and 22.2% of nurses were aware of the guidelines in China, and 19.0% of physicians and 9.5% of nurses comprehended the 9th edition of the guidelines of the American College of Chest Physicians (ACCP. Additionally, 37.6% of the medical staff chose a prophylaxis method based on the related guidelines, and 10.3% could demonstrate the exact indication for mechanical pattern application. Worries about skin injury, difficulty with removal and discomfort during mechanical thromboprophylaxis were cited by more than 30% of nurses, which was significantly more frequent than for physicians (graduated compression stockings: 54.3% VS 34.1%, 60.7% VS 49%, and 59.4% VS 54%, p = 0.000; intermittent pneumatic compression: 31% VS 22.2%, 19.2% VS 13.9%, and 37.8% VS 27.2%, p = 0.000.The knowledge of VTE prophylaxis among the medical staff of ICUs in North China remains limited, which may lead to a lack of standardization of VTE prophylaxis. Strengthened, standardized training may help medical staff to improve their comprehension of the relevant guidelines and may finally reduce the occurrence of VTE in ICUs and improve the prognosis of critically ill patients with VTE.

  19. Hand Hygiene Survey of Medical Staff%医护人员洗手情况调查

    Institute of Scientific and Technical Information of China (English)

    于敏华; 俞建平

    2009-01-01

    目的 认识手卫生制度对医院感染控制的影响,探讨有效的手卫生执行措施.方法 随机抽取258名医务人员,调查其洗手情况,同时对医院执行手卫生制度前(2004-2005年)、后(2006-2007年)的医院感染率作比较.结果 医务人员洗手率低,进行一般操作前及进出Ⅱ类病区时洗手率仅为35.02%~49.42%,洗手合格率仪为54.17%;而执行手卫生制度后本院医院感染率下降达30.00%.结论 手卫生制度是防止医院感染最重要的措施之一,而医务人员手卫生意识普遍不强,应从制定规范、加强监督及完善相应配套设施去保障医务人员的依从性.%OBJECTIVE To understand the situation of hand hygiene in our hospital to explore effective measures for implementation. METHODS 258 medical personnel, were investigated for the hand-washing, before and after the implementation of the hands of our health system to compare the nosocomial infection rate. RESULTS The low rate 35.02~49.42% of medical personnel washed their hands before the normal operation in and out the Ⅱ area.Hand-washing compliance rate was only 54.17% ; and after the implementation of our health system in hand,nosocomial infection rate decreased 30%. CONCLUSIONS Washing hands is important to prevent nosocomial infection, Medical personnel generally do not have a strong sense and we should start and strengthen the supervision and improve the supporting facilities to ensure the compliance of medical staff.

  20. Adequacy of pharmacological information provided in pharmaceutical drug advertisements in African medical journals.

    Directory of Open Access Journals (Sweden)

    Oshikoya KA

    2009-06-01

    Full Text Available Pharmaceutical advertisement of drugs is a means of advocating drug use and their selling but not a substitute for drug formulary to guide physicians in safe prescribing. Objectives: To evaluate drug advertisements in Nigerian and other African medical journals for their adequacy of pharmacological information. Methods: Twenty four issues from each of West African Journal of Medicine (WAJM, East African Medical Journal (EAMJ, South African Medical Journal (SAMJ, Nigerian Medical Practitioner (NMP, Nigerian Quarterly Journal of Hospital Medicine (NQJHM and Nigerian Postgraduate Medical Journal (NPMJ were reviewed. While EAMJ, SAMJ and NMP are published monthly, the WAJM, NQJHM and NPMJ are published quarterly. The monthly journals were reviewed between January 2005 and December 2006, and the quarterly journals between January 2001 and December 2006. The drug information with regards to brand/non-proprietary name, pharmacological data, clinical information, pharmaceutical information and legal aspects was evaluated as per World Health Organisation (WHO criteria. Counts in all categories were collated for each advertiser.Results: Forty one pharmaceutical companies made 192 advertisements. 112 (58.3% of these advertisements were made in the African medical journals. Pfizer (20.3% and Swipha (12.5% topped the list of the advertising companies. Four (2.1% adverts mentioned generic names only, 157 (81.8% mentioned clinical indications. Adults and children dosage (39.6%, use in special situations such as pregnancy and renal or liver problems (36.5%, adverse effects (30.2%, average duration of treatment (26.0%, and potential for interaction with other drugs (18.7% were less discussed. Pharmaceutical information such as available dosage forms and product and package information {summary of the generic and proprietary names, the formulation strength, active ingredient, route of administration, batch number, manufactured and expiry dates, and the

  1. Evaluation of a risk communication approach for maintenance staff working with induced radioactivity in medical linear accelerators

    International Nuclear Information System (INIS)

    In order to promote consensus building on decommissioning operation rules for medical linear accelerators in Japan, we carried out a risk communication (RC) approach mainly providing knowledge for maintenance staff regarding induced radioactivity. In February 2012, we created a booklet (26 pages) to present an overview of the amended law, the mechanism and the distribution of induced radioactivity showing the actual radiation dose rate around a linear accelerator and actual exposure doses to staff. In addition, we co-sponsored a seminar for workers in this field organized by the Japan Medical Imaging and Radiological Systems Industries Association to explain the contents of this booklet, and answer questions regarding induced radioactivity of linear accelerators as an RC program. As a result, the understanding of staff regarding the regulations on maximum X-ray energy on linear accelerators (P<0.05), and the outline of clearance systems (P<0.01), were facilitated by RC. In addition, we found that about 70% of maintenance staff considered that the cooling time for decommissioning operation depended on the situation. Our RC approach suggests that consensus building should be used to make rules on decommissioning operations for linear medical accelerators. (author)

  2. Supervision and feedback for junior medical staff in Australian emergency departments: findings from the emergency medicine capacity assessment study

    Directory of Open Access Journals (Sweden)

    Weiland Tracey J

    2010-11-01

    Full Text Available Abstract Background Clinical supervision and feedback are important for the development of competency in junior doctors. This study aimed to determine the adequacy of supervision of junior medical staff in Australian emergency departments (EDs and perceived feedback provided. Methods Semi-structured telephone surveys sought quantitative and qualitative data from ED Directors, Directors of Emergency Medicine Training, registrars and interns in 37 representative Australian hospitals; quantitative data were analysed with SPSS 15.0 and qualitative data subjected to content analysis identifying themes. Results Thirty six of 37 hospitals took part. Of 233 potential interviewees, 95 (40.1% granted interviews including 100% (36/36 of ED Directors, and 96.2% (25/26 of eligible DEMTs, 24% (19/81 of advanced trainee/registrars, and 17% (15/90 of interns. Most participants (61% felt the ED was adequately supervised in general and (64.2% that medical staff were adequately supervised. Consultants and registrars were felt to provide most intern supervision, but this varied depending on shift times, with registrars more likely to provide supervision on night shift and at weekends. Senior ED medical staff (64% and junior staff (79% agreed that interns received adequate clinical supervision. Qualitative analysis revealed that good processes were in place to ensure adequate supervision, but that service demands, particularly related to access block and overcrowding, had detrimental effects on both supervision and feedback. Conclusions Consultants appear to provide the majority of supervision of junior medical staff in Australian EDs. Supervision and feedback are generally felt to be adequate, but are threatened by service demands, particularly related to access block and ED overcrowding.

  3. Physicians’ leadership styles in rural primary medical care: How are they perceived by staff?

    OpenAIRE

    Hana, Jan; Kirkhaug, Rudi

    2014-01-01

    Abstract Aim. This study investigates which leadership styles can be identified among general practice lead physicians and how they are associated with and predicted by staff and context characteristics like profession, gender, age, work experience, and team size. Method/material. In a cross-sectional study self-administered questionnaires were distributed to staff physicians (42% females) and support staff (98% females) at 101 primary health care centres in North Norway. A total of 127 and 2...

  4. This is Africa: an introduction to medical operations on the African continent.

    Science.gov (United States)

    Givens, Melissa L; Lynch, James H

    2014-01-01

    This article regarding Special Operations Forces (SOF) medical operations in Africa is an introduction to a follow-on series of articles that will address in more detail pertinent medical topics which pertain to operations on the African continent. Medical operations in Africa require dynamic and systematic approaches that consider the myriad challenges, yet offer flexible solutions applied as situations and environments dictate. We believe this series of articles will be of high interest to readers and provide key information that will be germane to future SOF operations.

  5. Medical staff extremity dosimetry in CT fluoroscopy: an anthropomorphic hand voxel phantom study

    Science.gov (United States)

    Figueira, C.; Becker, F.; Blunck, C.; DiMaria, S.; Baptista, M.; Esteves, B.; Paulo, G.; Santos, J.; Teles, P.; Vaz, P.

    2013-08-01

    This work aims to contribute to the study of the radiation dose distribution delivered to the hands of medical staff members during a general computed tomographic (CT) fluoroscopic guided procedure. In this study, both Monte Carlo simulations and measurements were performed. For free-in-air and computed tomography dose index (CTDI) body phantom measurements, a standard pencil ionization chamber (IC) 100 mm long was used. The CT scanner model was implemented using MCNPX (Monte Carlo N-Particle eXtended) and was successfully validated by comparing the simulated results with measurements. Subsequently, CT images of a hand, together with an anthropomorphic phantom, were voxelized and used with the MCNPX code for dose calculations. The hand dose distribution study was performed both by using thermo-luminescent detector measurements and Monte Carlo simulations. The validated simulation tool provides a new perspective for detailed investigations of CT-irradiation scenarios. Simulations show that there is a strong dose gradient, namely the even zones of the hand that are in precise vicinity to the x-ray beam only receive about 4% of the maximum dose delivered to adjacent areas which are directly exposed to the primary x-ray beam. Finally, the scatter contribution of the patient was also studied through MC simulations. The results show that for directly exposed parts of the hand surface, the dose is reduced by the body of the patient (due to the shielding), whereas the dose is increased by scattered radiation from the patient for parts of the skin that receive scattered radiation only.

  6. Patient Safety Culture Based on Medical Staff Attitudes in Khorasan Razavi Hospitals, Northeastern Iran.

    Directory of Open Access Journals (Sweden)

    Rozita Davoodi

    2013-11-01

    Full Text Available Since establishing a safety culture in an organization is considered as the first step in patient safety improvement, there is always a need for updated field evaluation to better plan future decisions.We performed a cross-sectional, analytic-descriptive study in 25 hospitals related to Mashhad University of Medical Sciences (MUMS during a 3-month period from April to June 2012. A questionnaire, designed by previous patient safety culture studies with confirmed validity and reliability, was used and distributed among a sample of 922 staff, chosen randomly from the mentioned hospitals. Data were analyzed by SPSS software version 16."Organizational learning - continuous improvement" and "teamwork within unit" had the highest percentage of positive results as 79.85 ± 12.03% and 71.92 ± 17.08%, respectively; whereas "non-punitive response" to errors (21.57 ± 6.42 and "staffing" (26.36 ± 16.84 came out as the least important factors. There were no meaningful statistical relation between general features of the understudy hospitals including the number of beds, educational level or proficiency status with the general safety culture score.Most of the safety culture aspects were reported as low to moderate in terms of importance. If something needs to be modified interventionally in this respect, "the approach to confront errors" would be a wise choice. This could be achieved by establishing an atmosphere of open communication and continuous learning through elimination of the fear for reporting errors and installing a more acceptable approach in hospitals.

  7. [EMOTIONAL INTELLIGENCE EQ--A NECESSARY SKILL FOR SUCCESS OF MEDICAL STAFF IN THE 21ST CENTURY].

    Science.gov (United States)

    Tadmor, Tamar; Dolev, Niva; Attias, Dina; Reuven-Lelong, Ayalla; Rofe, Amnon

    2016-01-01

    During the last decade, medical organizations have undergone major changes worldwide and these continue to evolve at a rapid pace. Today the medical profession faces many new challenges that will eventually have an impact on almost every aspect of daily hospital routine. To a large extent, these issues arise from emerging new technologies, the entry of a new generation of trained workers who have different views and characteristics than previous generations, and the introduction of stricter regulations and accreditation procedures in recent years. In addition, the various hospital staff members now have different professional expectations and demands; there is also an important need to reduce costs, accompanied by a shift towards the concept of patients perceiving themselves as clients rather than only as people needing medical assistance. Facing all these challenges, undoubtedly, medical teams will need to acquire a more comprehensive set of professional skills critical for their continued success in the 21st century. These skills will have to include the ability to be more flexible, so as to be able to adapt to changing environments, to remain effective at work under stress, to develop positive personal interactive working relationships, while providing excellent service to patients, and to maintain the ability to guide and lead others in a changing medical environment. People with the above skills reflect the positive attributes of high emotional intelligence. Recent studies show that emotional intelligence plays an important role in the success of the entire medical staff and particularly for those in management roles. Hospitals will have to take into consideration all the necessary characteristics, if they wish to maintain and further consolidate their previous achievements in the 21st century. In particular, they will need to pay attention to the EQ of both new and existing staff, using it as a meaningful parameter for new recruits and for the further

  8. Radiant Ceiling Panels Combined with Localized Methods for Improved Thermal Comfort of Both Patient and Medical Staff in Patient Room

    DEFF Research Database (Denmark)

    Mori, Sakura; Barova, Mariya; Bolashikov, Zhecho Dimitrov;

    2012-01-01

    The objectives were to identify whether ceiling installed radiant heating panels can provide thermal comfort to the occupants in a patient room, and to determine a method for optimal thermal environment to both patient and medical staff simultaneously. The experiments were performed in a climate...... mattress were used to provide local heating for the patient. The effects of the methods were identified by comparing the manikin based equivalent temperatures. The optimal thermal comfort level for both patient and medical staff would obtained when two conventional cotton blankets were used with extra...... chamber resembling a single-bed patient room under convective air conditioning alone or combined with the ceiling installed radiant heating panels. Two thermal manikins simulated a patient lying in the bed and a doctor standing next to the patient. Conventional cotton blanket, electric blanket, electric...

  9. Research progress on job burnout in medical staff%医护人员职业倦怠研究进展

    Institute of Scientific and Technical Information of China (English)

    张庆玲; 潘昕茹; 刘明华

    2011-01-01

    医护人员是职业倦怠的高发人群,本文就职业倦怠的概念及内涵、医护人员职业倦怠现状、危害、原因及预防进行了综述,同时指出针对医护人员职业倦怠的不同影响因素探索有效的干预方法是未来职业倦怠的研究方向之一.%Medical staff are apt to job burnout. The conception and connotation of job burnout, the status , harm, reasons and prevention of medical staff job burnout are reviewed. In the meantime, it is pointed out to explore effective intervention methods according to different reasons that lead to job burnout is one of research fields in the future.

  10. Investigation of attitudes regarding technology in teaching staff members of Medical Faculty by CHAID analysis

    Directory of Open Access Journals (Sweden)

    Ömer Satıcı

    2009-01-01

    Full Text Available Aim: In this study, the attitudes of teaching staff of Fac-ulty of Medicine, Dicle University, in the 2005-2006 aca-demic year about technology was intended to be exam-ined. This research is a study on how teaching staff are affected with their different characteristics.Materials and Methods: Our study 224 persons were taken. Of the persons, 68 were professor, 40 were As-soc Professor, 44 were Assistant Professors, 58 were research assistants and 14 were expert. In our study, how the attitude variables were connected to the de-pendent (target variables was determined. The emer-gence of attitudes of different items has been intended to be studied on. Likert type form was applied for attitude items.Results: The attitudes on the wish of the teaching staff to join technology fairs were found to be different. Re-search assistants were found to have positive attitudes compared to the higher rank teaching staff. It was seen that the teaching staff who were indecisive to join the technological fairs wanted new instructive technologies to be used in their areas. Their departments determined their attitudes. It can be said that the teaching staff are indecisive about the opinion that ‘technology will take place of human beings’. It was found that the ones who did not agree with this item were mostly from Surgery Department. Conclusion: In general, the academic staff have posi-tive attitudes towards technology.

  11. Preparing Peacekeepers: An Analysis of the African Contingency Operations, Training, and Assistance Program Command and Staff Operational Skills Course

    Science.gov (United States)

    Karis, Daniel Gerald

    2010-01-01

    The United States (U.S.) response to events in Africa in the 1990s--warlords in Somalia, the genocide in Rwanda, the crisis in Burundi, and the destruction of the U.S. embassies in Kenya and Tanzania--was the development of the African Crisis Response Initiative (ACRI) followed by the African Contingency Operations Training and Assistance (ACOTA)…

  12. Patient Safety Culture Status From The Perspective Medical Staff Of Yasuj Hospitals In 2015

    Directory of Open Access Journals (Sweden)

    M Rezaean

    2016-01-01

    Full Text Available Background & aim: One of the most important problems in the health sector, particularly in clinical centers, is the quality of healthcare. Patient safety is one of the most important elements in creating health care quality due to the fact that it is a critical component to the quality of health care and many errors are present in patient care and treatment practices..                                                               Thus, the aim of the present study was to determine the status of the patient safety culture and its relationship with events reported in Yasuj hospitals. Methods: The present descriptive cross-sectional study was conducted on 361 medical staff of Yasuj hospitals. The data were collected through a hospital survey on patient safety culture. The collected data were analyzed by using SPSS statistics soft ware version 21, using Descriptive methods, Pearson Coefficient, ANOVA, and T-Test. Results: The results of the present study revealed that the teamwork among hospital units (71/89percent, with expectations and management measures (66/38% in the case of safety obtained the most score and non-punitive response to errors (48/79% and manager support (55/88 percent obtained the least score. 73/7% of employees of three hospitals in the past 12 months did not report any event. In addition, there was a meaningful statistical relationship between the total score of safety culture and reporting the events. In this study, 15.5 % of respondents assess their safety culture in work as good, 44.3 % as acceptable and 30.5 percent reported poor. The overall safety culture among the three studied hospitals was 61.81 %. Results confirmed that the culture safety of patient in studied hospitals was average. Conclusions: The hospitals may rely on their strong points in terms of patient safety culture and try to remove their weak points to form a safe environment and appropriate

  13. [The voluntary medical care during the First World War. The work of the nursing staff in the military field hospitals on the eastern and western frontlines].

    Science.gov (United States)

    Stölzle, Astrid

    2012-01-01

    The voluntary medical care consisted of civilians who were provided to the medical corps in the First World War for the first time in this great dimension. The nursing staff on the eastern and the western German frontlines were sending letters back home, some of them were drafting diaries due to the special event or recorded their experiences after the war. Besides the narratives of their private impressions, these documents are reflecting their nursing work, which the nursing staff had to achieve. An important factor was, that the patients were soldiers. Conflicts in the cooperation with the medical staff and among the nurses did not seem to have influenced a good quality of care, however it facilitated a harmonic coexistence and above all, it helped to sustain behind the fronts. The study of the nursing care and the relationship with patients and among the staff reflects on the meaning of nursing care for the staff.

  14. 析医务人员法律意识的培养%On the Cultivation of Medical Staff's Legal Consciousness

    Institute of Scientific and Technical Information of China (English)

    高原

    2016-01-01

    With the coming of globalized biology - psychology - social medical model and the development of evidence-based medicine, medical practice transferred from traditional disease-centered to patient-centered, the traditionally passive medical service relationship between doctors and patients gradually developed into participatory health service relationship, and during the process, patients' right-protection consciousness is greatly enhanced. Compared with the strong atmosphere of law-ruling, medical staff's legal awareness and sensitivity obviously lagged behind, which was caused by several reasons, so it is necessary to strengthen medical personnel's legal consciousness. And we should adopted various measures to cultivate the legal consciousness of medical staff in order to strengthen medical staff's consciousness of legal practice, reduce medical disputes, construct a harmonious doctor-patient relationship, and promote the healthy development of the medical and health care.%随着全球化生物-心理-社会医疗模式的来临及循证医学的发展,医疗行为从传统的"以疾病为中心"转向"以病人为中心",医患双方传统的"被动式"医疗服务关系逐步发展为"参与式"医疗服务关系,在此过程中,患者的维权意识大大增强;而与社会浓厚的法治氛围相比,医务人员的法律敏感性和法律意识则明显滞后.医务人员法律意识淡薄的原因涉及多个方面,增强医务人员法律意识势在必行.为此,需采取多种措施培养医务人员的法律意识,以利于增强医务人员依法执业的自觉性,减少医患纠纷,构建和谐医患关系,促进医疗卫生事业的健康发展.

  15. Evaluating the Imbalance Between Increasing Hemodialysis Patients and Medical Staff Shortage After the Great East Japan Earthquake: Report From a Hemodialysis Center Near the Fukushima Nuclear Power Plants.

    Science.gov (United States)

    Koshiba, Takaaki; Nishiuchi, Takamitsu; Akaihata, Hidenori; Haga, Nobuhiro; Kojima, Yoshiyuki; Kubo, Hajime; Kasahara, Masato; Hayashi, Masayuki

    2016-04-01

    The Great East Japan Earthquake in 2011 caused an unprecedented imbalance between an increasing number of hemodialysis patients and medical staff shortage in the Sousou area, the site of the Fukushima nuclear power plants. In 2014, capacity of our hemodialysis center reached a critical limit due to such an imbalance. We attempted to evaluate the effort of medical staff to clarify to what extent their burden had increased post-disaster. The ratio of total dialysis sessions over total working days of medical staff was determined as an approximate indicator of effort per month. The mean value of each year was compared. Despite fluctuations of the ratio, the mean value did not differ from 2010 to 2013. However, the ratio steadily increased in 2014, and there was a significant increase in the mean value. This proposed indicator of the effort of medical staff appears to reflect what we experienced, although its validity must be carefully examined in future studies.

  16. A survey study on use of over the counter (OTC) drugs among medical students, nursing and clerical staff of a tertiary care teaching rural hospital

    OpenAIRE

    Devang Parikh; B. M. Sattigeri; Ashok Kumar; Shruti Brahmbhatt

    2013-01-01

    Aim: The study was conducted to evaluate use of over the counter (OTC) drugs among the medical students, nursing and clerical staff of tertiary care teaching rural hospital to determine the awareness and disadvantages on use of OTC. Methods: Responses to a feedback questionnaire covering various aspects on usage of OTC drugs were obtained from 100 medical students, 100 nursing and 100 clerical staff. Results: Among 300 respondents, 84% used OTC, commonly purchased by self. Majority of them st...

  17. An important ethical and medicolegal issue; projecting the need for medical education about patient rights among the hospital staff

    OpenAIRE

    SELÇUK, Mustafa Yasin; ÜNAL, Mustafa; TONTUŞ, Hacı Ömer; ALTINTOP, Levent; Karakuş, Akan

    2015-01-01

    The aim of this study was to evaluate the need for medical education about patient rights among hospital staff and in the light of the study findings a curriculum map were designed on this issue. A self-administered questionnaire about patient’s rights was hand-delivered to 124 university hospital personnel who accepted to fill a questionnaire before education program settled in 29 March 2012. Ninety-two (74.2%) respondents were female and thirty-two (25.8%) were male. The mean age was 34.71±...

  18. Staff eye doses in a large medical centre in Saudi Arabia: are they meeting the new ICRP recommendations?

    International Nuclear Information System (INIS)

    A 5-y retrospective analysis of the cardiology staff eye doses was performed on 34 staff from different categories (cardiologists, nurses and technologists) at King Faisal Specialist Hospital and Research Centre (KFSHRC) in Riyadh, Saudi Arabia. KFSHRC is a tertiary medical centre with 800-bed capacity having more than 5000 cardiac catheterisation procedures performed annually. The aim of the study is to derive staff doses to the lens of the eyes using the personal dose equivalent Hp(0.07) values from the annual TLD dose report for the years 2008-2012 and determine the category of staff with high estimated eye doses. The study also aims to investigate the causes for high doses and recommend dose-reduction techniques. The dose to the lens of the eye was estimated by using the ratio Hp(0.07)slab/Hlens of 1.1 where Hp(0.07) values are the reported doses read from TLD badge worn at the collar level. The average annual eye dose of each category for the 5-y monitoring period was determined. Cardiologists tend to receive higher doses than the nurses by a factor of 2-4 and can exceed 5 mSv y-1. No correlation exists between the eye doses of nurses and the cardiologists. There is a need to use a conversion coefficient in terms of eye lens dose per dose-area product for faster estimation of eye lens doses. However, there is a limitation on the use of the conversion coefficient because it will depend on the clinical procedure and the X-ray tube angulation. Further investigation on this limitation is needed. (authors)

  19. 78 FR 59038 - Mobile Medical Applications; Guidance for Industry and Food and Drug Administration Staff...

    Science.gov (United States)

    2013-09-25

    ... HUMAN SERVICES Food and Drug Administration Mobile Medical Applications; Guidance for Industry and Food... ``Mobile Medical Applications.'' The FDA is issuing this guidance to inform manufacturers, distributors... applications intended for use on mobile platforms (mobile applications or ``mobile apps''). At this time,...

  20. Model of Work-Related Ill Health of Academic Staff in a South African Higher Education Institution

    Science.gov (United States)

    Rothmann, S.; Barkhuizen, N.; Tytherleigh, M. Y.

    2008-01-01

    The objective of this study is to investigate the relationships between burnout, ill health, job demands and resources, and dispositional optimism in a higher education institution in South Africa. A survey design was used. The study population (N = 279) consisted of academic staff working in a higher education institution. The Maslach Burnout…

  1. Secondary analysis of electronically monitored medication adherence data for a cohort of hypertensive African-Americans

    Directory of Open Access Journals (Sweden)

    Knafl GJ

    2012-03-01

    Full Text Available George J Knafl1, Antoinette Schoenthaler2, Gbenga Ogedegbe21School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; 2Center for Healthful Behavior Change, New York University School of Medicine, New York, NY, USABackground: Electronic monitoring devices (EMDs are regarded as the “gold standard” for assessing medication adherence in research. Although EMD data provide rich longitudinal information, they are typically not used to their maximum potential. Instead, EMD data are usually combined into summary measures, which lack sufficient detail for describing complex medication-taking patterns. This paper uses recently developed methods for analyzing EMD data that capitalize more fully on their richness.Methods: Recently developed adaptive statistical modeling methods were used to analyze EMD data collected with medication event monitoring system (MEMS™ caps in a clinical trial testing the effects of motivational interviewing on adherence to antihypertensive medications in a cohort of hypertensive African-Americans followed for 12 months in primary care practices. This was a secondary analysis of EMD data for 141 of the 190 patients from this study for whom MEMS data were available.Results: Nonlinear adherence patterns for 141 patients were generated, clustered into seven adherence types, categorized into acceptable (for example, high or improving versus unacceptable (for example, low or deteriorating adherence, and related to adherence self-efficacy and blood pressure. Mean adherence self-efficacy was higher across all time points for patients with acceptable adherence in the intervention group than for other patients. By 12 months, there was a greater drop in mean post-baseline blood pressure for patients in the intervention group, with higher baseline blood pressure values than those in the usual care group.Conclusion: Adaptive statistical modeling methods can provide novel insights into patients’ medication

  2. The Impact of Everyday Discrimination and Racial Identity Centrality on African American Medical Student Well-Being: a Report from the Medical Student CHANGE Study.

    Science.gov (United States)

    Perry, Sylvia P; Hardeman, Rachel; Burke, Sara E; Cunningham, Brooke; Burgess, Diana J; van Ryn, Michelle

    2016-09-01

    Positive psychological well-being is an important predictor of and contributor to medical student success. Previous work showed that first-year African American medical students whose self-concept was highly linked to their race (high racial identity centrality) were at greater risk for poor well-being. The current study extends this work by examining (a) whether the psychological impact of racial discrimination on well-being depends on African American medical students' racial identity centrality and (b) whether this process is explained by how accepted students feel in medical school. This study used baseline data from the Medical Student Cognitive Habits and Growth Evaluation (CHANGE) Study, a large national longitudinal cohort study of 4732 medical students at 49 medical schools in the USA (n = 243). Regression analyses were conducted to test whether medical student acceptance mediated an interactive effect of discrimination and racial identity centrality on self-esteem and well-being. Both racial identity centrality and everyday discrimination were associated with negative outcomes for first-year African American medical students. Among participants who experienced higher, but not lower, levels of everyday discrimination, racial identity centrality was associated with negative outcomes. When everyday discrimination was high, but not low, racial identity was negatively related to perceived acceptance in medical school, and this in turn was related to increased negative outcomes. Our results suggest that discrimination may be particularly harmful for African American students who perceive their race to be central to their personal identity. Additionally, our findings speak to the need for institutional change that includes commitment and action towards inclusivity and the elimination of structural racism.

  3. Analysis of radiation exposure to medical staff and patients during ERCP in Uruguay

    International Nuclear Information System (INIS)

    Background.The ERCP procedure requires the use of fluoroscopy with the subsequent exposure to ionizing radiation. The doses received by patients, physicians and assistants in the endoscopy have never been recorded in our area. This analysis describes the findings of the MIREDUy study (measuring radiation in digestive endoscopy in Uruguay). Objective. To determine radiation exposure received by patients, physicians and assistants during ERCP. Methods. Data were collected from 33 procedures conducted by four endoscopists, supported by endoscopy assistants. All staff took basic radiation-protection measures. The magnitudes measured were the kerma area product (KAP) for the patient and the effective dose (E) and the equivalent doses in hand (HM) and lens of the eyes (HC) for the operators. Results. Mean value for PKA was 24 Gy.cm2 (range: 0.04-71) equivalent to 312 chest x-rays. The mean fluoroscopy time was 2.3 minutes (range: 0.45 a 5.70 minutes). The E mean per procedure was 3.69, 5.14 y 3.69 μSv, for physician, first and second assistant respectively. The dose in hand for the physician was 19.4 μSv and the dose in lens was 7.94 μSv. Conclusions. The first results of measuring ERCP radiation doses in Uruguay are presented. These procedures expose the patient and staff to measurable radiation doses, which should be taken into account to minimize their risks. (authors)

  4. A survey study on use of over the counter (OTC drugs among medical students, nursing and clerical staff of a tertiary care teaching rural hospital

    Directory of Open Access Journals (Sweden)

    Devang Parikh

    2013-04-01

    Full Text Available Aim: The study was conducted to evaluate use of over the counter (OTC drugs among the medical students, nursing and clerical staff of tertiary care teaching rural hospital to determine the awareness and disadvantages on use of OTC. Methods: Responses to a feedback questionnaire covering various aspects on usage of OTC drugs were obtained from 100 medical students, 100 nursing and 100 clerical staff. Results: Among 300 respondents, 84% used OTC, commonly purchased by self. Majority of them started self medication within 2 days of their illness. The frequently reported illness that prompted self-medication included headache, cough and cold, fever, generalised weakness, acidity, dysmenorrhoea, and sleep disturbances. Majority of them obtained OTC by mentioning name of drug (81%, 35% by telling symptom and 15% by showing old prescription. We found that 87% people share OTC among relatives and friends. Conclusions: Usage of OTC was highest amongst medical students and nursing staff. Time consumption for consultation, the consultation fees and frequent visits were the commonly mentioned reasons for self medication. It was analysed that none of the clerical staff were aware of the drug, dose, frequency of administration and adverse reactions. While very little awareness of medication was found even among nursing staff and medical students. Therefore it is suggested that the public has to be educated on the type of illnesses to be self-diagnosed and medicated, dangers of OTC on misuse which would possibly lead to delay in detection of more serious underlying ailment and timely medication. [Int J Res Med Sci 2013; 1(2.000: 83-86

  5. The new economic credentialing: protecting hospitals from competition by medical staff members.

    Science.gov (United States)

    Weeks, Elizabeth A

    2003-01-01

    This Article addresses hospitals' use of economic criteria to determine an individual's qualifications for staff privileges. Hospitals are resorting to economic conflict-of-interest credentialing policies in an attempt to ensure physician's loyalty and maintain their own economic viability. Physicians, however, argue that entrepreneurial activities are necessary for them to meet the economic challenges posed by declining reimbursements and rising insurance costs. The Article surveys the numerous legal theories that physicians (and, in some cases, the federal government) could employ in attacking these new types of credentialing policies and concludes that, on balance, hospitals should be able to implement their policies in ways that minimize liability in most jurisdictions. The Article concludes by discussing other issues that economic credentialing policies raise, including those implicating tax-exempt status and nonlegal considerations. PMID:12940678

  6. [Medical university teaching staff training for formation of communicative competence in dentists].

    Science.gov (United States)

    Lopanova, E V; Lomiashvili, L M

    2015-01-01

    Psychology and pedagogical preparation provides improvement of the ability of psychological interaction with the patient, promotes deepening of constructive cooperation between them. It facilitates collecting and analysis of clinical data and has direct impact on efficiency of treatment and prophylactic actions. Formation of communicative competence becomes one of key problems of continuous medical education. Introduction of the Medical Communication module in the program of professional development will provide modern technologies of training in technics of active hearing, effective communication, adjustment of contact, feedback, behavior in a stress situation.

  7. Interventions to increase medication adherence in African-American and Latino populations: a literature review.

    Science.gov (United States)

    Hu, Daniel; Juarez, Deborah Taira; Yeboah, Michelle; Castillo, Theresa P

    2014-01-01

    The objective of this systematic review was to investigate the effectiveness of interventions to improve medication adherence in ethnic minority populations. A literature search from January 2000 to August 2012 was conducted through PubMed/Medline, Web of Science, The Cochrane Library, and Google Scholar. Search terms used included: medication (MeSH), adherence, medication adherence (MeSH), compliance (MeSH), persistence, race, ethnicity, ethnic groups (MeSH), minority, African-American, Hispanic, Latino, Asian, Pacific Islander, and intervention. Studies which did not have ≥75% of the sample population comprised of individuals of any one ethnic background were excluded, unless the authors performed sub-group analyses by race/ethnicity. Of the 36 studies identified, 20 studies showed significant post-intervention differences. Sample population sizes ranged from 10 to 520, with a median of 126.5. The studies in this review were conducted with patients of mainly African-American and Latino descent. No studies were identified which focused on Asians, Pacific Islanders, or Native Americans. Interventions demonstrating mixed results included motivational interviewing, reminder devices, community health worker (CHW) delivered interventions, and pharmacist-delivered interventions. Directly observed therapy (DOT) was a successful intervention in two studies. Interventions which did not involve human contact with patients were ineffective. In this literature review, studies varied significantly in their methods and design as well as the populations studied. There was a lack of congruence among studies in the way adherence was measured and reported. No single intervention has been seen to be universally successful, particularly for patients from ethnic minority backgrounds.

  8. Can Opening ‘Ethics Files’ on Medical Staff Improve Patients’ Care?

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Healthcare workers in Shanghai are walking the line after recent news that regulations issued by local health authorities will soon enforce the opening of an “ethics file” for each of the city’s 140,000 medical workers. According to the regulations, once

  9. The Confidentiality of Medical Secrets of Patients by the Nursing Staff

    Directory of Open Access Journals (Sweden)

    Chalkias Theodoros

    2010-01-01

    Full Text Available In this article you will find a critical discussion about the significance of confidentiality of "medical secrets" (keeping the secrets of ill people by nurses. Special cases are mentioned regarding the need to keep, or reveal the secret.

  10. [The system of selection and training of military-medical staff for the 40th army (1979-1989)].

    Science.gov (United States)

    Ryabinkin, V V

    2015-10-01

    In December 1979 in order to fulfil their internationalist duty troops and units of the 40th Army of the Armed Forces of the USSR was brought into Afghanistan. For complete and qualitative manning of the army with the military doctors it was needed in a short time to create a system capable to carry out candidates selection, their education and specialized training for work in extreme conditions of combat operations. This system was created in a short time. The article presents information about its features, advantages and problems that had to be solved during the entire period of the Soviet-Afghan war. The complex staff arrangements had allowed solving medical support problems of the 40th Army on the high level.

  11. Awareness and knowledge of common eye diseases among the academic staff (non-medical faculties) of University of Malaya.

    Science.gov (United States)

    Chew, Y K; Reddy, S C; Karina, R

    2004-08-01

    A cross sectional study was conducted to assess the level of awareness and knowledge of common eye diseases (cataract, glaucoma, diabetic retinopathy and refractive errors) among 473 academic staff (non-medical faculties) of University Malaya. The awareness of cataract was in 88.2%, diabetic retinopathy in 83.5%, refractive errors in 75.3% and glaucoma in 71.5% of the study population. The knowledge about all the above common eye diseases was moderate, except presbyopia which was poor. Multivariate analysis revealed that females, older people, and those having family history of eye diseases were significantly more aware and more knowledgeable about the eye diseases. Health education about eye diseases would be beneficial to seek early treatment and prevent visual impairment in the society.

  12. Radiation protection of the nursing staff during the medical care of nuclear medicine in-patients

    International Nuclear Information System (INIS)

    During medical care of nuclear medicine in-patients the medical personnel is exposed to external irradiation from the diagnosed patients. Restrictions in normal care are not necessary. The average dose equivalent of occupationally exposed persons amounted to only 2-8% of the limit effective dose equivalent of 50 mSv per year and corresponds nearly with the mean dose equivalent by environmental radiation. In intensive care units the working distances of the personnel to the patient should not fall below 50 cm for a longer time because of the increased exposure. The occupational dose increases by more than 90% at a working distance of under 1 m. It is not necessary to establish special controlled areas in the wards

  13. Shift Work and Related Health Problems among Medical and Diagnostic Staff of the General Teaching Hospitals Affiliated to Shiraz University of Medical Sciences, 2012

    Directory of Open Access Journals (Sweden)

    Zahra Sajjadnia

    2015-07-01

    Full Text Available Introduction:Today, shift work is considered as a necessity in many jobs and for some 24-hour services the use of shift-work is growing. However, shift work can lead to physiological and psycho-social problems for shift workers. This study aimed to determine the effects of shift work on the associated health problems, together with the demographic and job characteristics underlying the problems, among the medical and diagnostic staff of the general teaching hospitals affiliated to Shiraz University of Medical Sciences in 2012. Method:This study was an applied, cross-sectional and descriptive-analytical one. The study employed a sample of 205 employees from the medical and diagnostic staff using stratified sampling proportional to the size and simple random sampling methods. Data were collected using the Survey of Shift workers (SOS questionnaire, validity and reliability of which have already been confirmed. Finally, the collected data were analyzed using SPSS 16.0 software through ANOVA, Chi-square, Independent-Samples T-Test, as well as Pearson Correlation Coefficient. A P<0.05 was considered statistically significant. Results: The results showed that among the demographic and job characteristics studied, the individual, family and social problems had significant associations with work schedules, shift work and job satisfaction. In addition, there were significant associations between musculoskeletal disorders and the satisfaction of shift work; cardiovascular disorders and marital status and occupation; digestive disorders and the work schedules; sleep disorders and the satisfaction of shift work; musculoskeletal disorders, cardiovascular disorders and sleep disorders and age, job experience and shift work experience. And finally, there were significant associations among sleep disorders and age, job experience and the shift work experience. Conclusion: Based on the findings of this study, demographic characteristics such as age, marital

  14. African Americans’ Perceptions of Adherence to Medications and Lifestyle Changes Prescribed to Treat Hypertension

    Science.gov (United States)

    Pettey, Christina M.; McSweeney, Jean C.; Stewart, Katharine E.; Cleves, Mario A.; Price, Elvin T.; Heo, Seongkum; Souder, Elaine

    2016-01-01

    More than 80 million Americans have hypertension (HTN), and African Americans (AAs) are disproportionately affected. AAs also have lower rates of adherence to HTN treatment. It is important to understand AAs’ perceptions of adherence to develop effective interventions. The aim of this study is to examine AAs’ perceptions of adherence to medications and lifestyle changes prescribed to treat HTN. In this qualitative study, we used purposive sampling to recruit Southern AAs with HTN aged 21 and older from a free, faith-based clinic. We recorded individual, in-person interviews about perceptions related to adherence to treatment of HTN and analyzed verbatim transcripts using content analysis and constant comparison. We also conducted medical record audits. Twenty-nine AAs participated (52% female, 38% were <50 years of age, 52% had taken anti-HTN medications for ≥5 years). Audits indicated that 65% had uncontrolled HTN during the previous year. Two main themes included causes of HTN and ways to improve blood pressure. Perceived causes of HTN included diet, stress, unhealthy actions, genes, and obesity. Ways to improve HTN included using cultural treatments “passed down,” increasing exercise, reducing stress, and losing weight. Many reported using home remedies to control HTN, including drinking pickle juice. More than half of this sample had uncontrolled HTN. They identified influences of culture on perceptions of adherence including causes and treatment of HTN, and possibly detrimental home remedies. It is imperative that clinicians identify culturally appropriate interventions for this high-risk group. PMID:27148469

  15. African Americans’ Perceptions of Adherence to Medications and Lifestyle Changes Prescribed to Treat Hypertension

    Directory of Open Access Journals (Sweden)

    Christina M. Pettey

    2016-01-01

    Full Text Available More than 80 million Americans have hypertension (HTN, and African Americans (AAs are disproportionately affected. AAs also have lower rates of adherence to HTN treatment. It is important to understand AAs’ perceptions of adherence to develop effective interventions. The aim of this study is to examine AAs’ perceptions of adherence to medications and lifestyle changes prescribed to treat HTN. In this qualitative study, we used purposive sampling to recruit Southern AAs with HTN aged 21 and older from a free, faith-based clinic. We recorded individual, in-person interviews about perceptions related to adherence to treatment of HTN and analyzed verbatim transcripts using content analysis and constant comparison. We also conducted medical record audits. Twenty-nine AAs participated (52% female, 38% were <50 years of age, 52% had taken anti-HTN medications for ≥5 years. Audits indicated that 65% had uncontrolled HTN during the previous year. Two main themes included causes of HTN and ways to improve blood pressure. Perceived causes of HTN included diet, stress, unhealthy actions, genes, and obesity. Ways to improve HTN included using cultural treatments “passed down,” increasing exercise, reducing stress, and losing weight. Many reported using home remedies to control HTN, including drinking pickle juice. More than half of this sample had uncontrolled HTN. They identified influences of culture on perceptions of adherence including causes and treatment of HTN, and possibly detrimental home remedies. It is imperative that clinicians identify culturally appropriate interventions for this high-risk group.

  16. Methotrexate – Genotoxic and teratogenic for medical staff of oncology wards?

    Directory of Open Access Journals (Sweden)

    Małgorzata Kupczewska-Dobecka

    2015-06-01

    Full Text Available Methotrexate (MTX is one of the most widely used cytostatic drugs belonging to the folic acid antagonists. It is a substance non-classified as a carcinogen in the European Union and by the International Agency for Research on Cancer (IARC as there is no evidence of its carcinogenicity to humans and animals. Nevertheless, MTX has been placed on the list of dangerous drugs used in chemotherapy, mainly due to genotoxic and teratogenic effects, causing developmental toxicity and reproductive toxicity. Methotrexate was determined in the hospital ward air during the preparation of a medicament at a level of 0.3 mg/m3, as well as on protective gloves and preparatory room surfaces. In most research projects MTX was identified in the urine of health care workers, pharmacists and nursing staff. The highest cumulative concentration of MTX in 112 urine samples was 1416 mg in workers preparing infusions for patients. Studies carried out in pharmacies revealed the presence of MTX in 60% of tests, and the maximum concentration of 15 ng/cm2 surface of the tray to count tablets. Legal exposure limit values for MTX in the work environment have not yet been established. Occupational exposure limits have been established by some manufacturers at the level of 0.0003–0.0025 mg/m3. There is an urgent need to establish normative values. It should also be emphasized that MTX is absorbed through the skin, which may significantly increase the exposure and measuring its concentration in the work environment may not be sufficient to estimate the actual exposure. Med. Pr. 2015;66(2:265–275

  17. Risk of radiation exposure to medical staff involved in interventional endo-urology

    International Nuclear Information System (INIS)

    The aim is to estimate the possibility the new annual dose limit for eye lens to be exceeded and to study the impact of protective shield. Radiation exposure to medical personnel was evaluated with EDD-30 dosemeter in positions of operating surgeon, assisting doctor and nurse. At the operator's typical position for diagnosis and treatment of the urinary tract, the lens dose rates were 0.9 mSv h-1 and 0.06 mSv h-1 without and with lead shield. At the operator's position typical for percutaneous intervention dose rates were 1.9 and 0.02 mSv h-1, respectively. At typical workload, the annual eye lens dose to the main operator without protective screen was estimated to be 29 mSv. With lead screen, operator lens dose can be reduced by a factor of 15-95 according to the procedure. Installation and use of lead screen and use of lead glasses were recommended to the endo-urology medical team. (authors)

  18. Assessment of Occupational Exposure Among Pakistani Medical Staff During 2007-2011

    International Nuclear Information System (INIS)

    The data analysis of occupationally exposed medical workers in Nuclear Medicine (NM), Radiotherapy (RT) and Diagnostic Radiology (DR) at the Institute of Nuclear Medicine and Oncology (INMOL), Pakistan is presented for the time interval (2007–2011). The whole-body exposure doses of the workers were measured by using the Film Badge Dosimetry technique. The annual average effective doses in NM, RT and DR have been found well below the permissible annual limit of 20 mSv (averaged over a period of 5 consecutive years), with no over-exposure detected. This declining trend of annual average effective dose is the consequence of improved radiation protection practices at INMOL during the recent years.

  19. [Significance of Multi-center Obstetrics Perioperative Team Training Including Various Medical Staffs].

    Science.gov (United States)

    Komasawa, Nobuyasu; Fujita, Daisuke; Nakayama, Mai; Fujiwara, Shunsuke; Mihara, Ryosuke; Okada, Daisuke; Omoto, Haruka; Tanaka, Motoshige; Nishihara, Isao; Minami, Toshiaki

    2016-02-01

    We report the development of a multi-center/multispecialist obstetrics perioperative team training program. Participants were members of the team, including anesthesiologists, obstetricians, and operation nurses. A questionnaire survey was conducted prior to course participation to clarify any questions team members had. The courses included a lecture and simulation training with scenario-based discussions or the use of a simulator. Scenarios included massive bleeding during cesarean section, massive bleeding after vaginal delivery, and emergency cesarean section for premature placental abruption. After each course, participants discussed problems associated with obstetrics medical safety in the context of each theme. Simulation-based perioperative team training with anesthesiologists, obstetricians, and operation nurses may serve as a vehicle to promote perioperative obstetrics patient safety.

  20. The Defect Management of the Professional Quality of Medical Staffs%医务人员职业素质培养的思考

    Institute of Scientific and Technical Information of China (English)

    黑蕴红

    2015-01-01

    在引发医患关系紧张的诸多因素中,与医务人员的爱心、同情心、责任心和法律意识缺失有关,常常因医务人员的服务态度和同理心不足等问题引发医患纠纷甚至导致冲突。文章结合案例围绕医务人员的同理心、职业责任感以及职业素质及自律等方面进行思考,认为提高医务人员职业素质是一个亟待解决的问题。提出应该加强人文医学的源头教育、注重医务人员的素质培养、依法、依规规范医疗行为。重视和加强医务人员职业素质和医德修养的培养,应当成为医院文化建设的首要任务,应该抓紧、抓好、抓落实。医务人员更要从自身做起,恪守“慎独”和职业自律,用人文关怀和良好的医术服务于患者,促进医患关系的和谐。%The medical staffs lack of love, compassion, responsibility, and legal consciousness are the factors caused the doctor-patient relationship nervous. Medical staff's service attitude and lack of empathy can cause medical disputes between medical staff and even lead to conflict. Combining with case, around the medical staff of empathy and concern of professional responsibility and professional quality defects, think improve professional quality of medical personnel is a problem to be solved. We should strengthen the source of medical humanities education, pay attention to the quality of medical personnel training, regulating medical behavior in accordance with the law, in accordance with the rules. Attaches great importance to and strengthen the cultivation of the professional quality of medical staff and medical ethics accomplishment, should become the primary task of the construction of hospital culture, should grasp, pays special attention to, grasp the implementation. Medical personnel must start from their own; abide by "self-supervision" and professional self-discipline, with humanistic care and good medical service to patients, promoted

  1. Study and analysis on the demand degree of different medical staff for the application knowledge of medical equipment%不同医务人员对医疗设备应用知识需求程度分析

    Institute of Scientific and Technical Information of China (English)

    戴伟

    2014-01-01

    Objective To analyze and study the demand degree of different medical staff for the application knowledge of medical equipment. Methods 75 medical staff in our hospital from October 2011 to May 2013 were selected as research object,and of application knowledge of medical equipment demand degree of all the medical staff were alll evaluated by questionnaire,then the evaluation results of all the medical staff with different operating post,positional title,work seniority and educational attainments were compared. Results The demand degree of nurses,staff with lower positional title,shorter work seniority and lower educational attainments for the application knowledge of medical equipment were all obviously higher than those of other medical staff,all P<0.05,there were all significant differences. Conclusion The demand degree of different medical staff for the application knowledge of medical equipment have obvious differences,so the demand of medical staff with different operating post,positional title,work seniority and educational attainments should be paid to targeted intervention.%目的:分析不同医务人员对医疗设备应用知识需求程度。方法选取2011年10月~2013年5月本院的75名医务人员为研究对象,采用问卷调查对所有医务人员进行医疗设备应用知识需求程度评估,然后将其中不同岗位、职称、工作年限及文化程度者的评估结果进行比较。结果护理人员、职称较低、工作年限较短及文化程度较低的医务人员对于医疗设备应用知识需求程度明显高于其他医务人员,差异有统计学意义(P<0.05)。结论不同医务人员对医疗设备应用知识需求程度存在明显的差异,故在干预的过程中应注意对不同岗位、职称、工作年限及文化程度者的需求进行针对性干预。

  2. The knowledge, attitude and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province, China

    OpenAIRE

    Zhiheng Zhou; Caixia Wang; Jiaji Wang; Huajie Yang; Chao Wang; Wannian Liang

    2012-01-01

    Abstract Background Primary care medical staffs’ knowledge, attitude and behavior about health emergency and the response capacity are directly related to the control and prevention of public health emergencies. Therefore, it is of great significance for improving primary care to gain in-depth knowledge about knowledge, attitude and behavior and the response capacity of primary care medical staffs. The main objective of this study is to explore knowledge, attitude and behavior, and the respon...

  3. Evaluation of an mHealth Medication Regimen Self-Management Program for African American and Hispanic Uncontrolled Hypertensives.

    Science.gov (United States)

    Davidson, Tatiana M; McGillicuddy, John; Mueller, Martina; Brunner-Jackson, Brenda; Favella, April; Anderson, Ashley; Torres, Magaly; Ruggiero, Kenneth J; Treiber, Frank A

    2015-01-01

    African Americans and Hispanics have disproportionate rates of uncontrolled essential hypertension (EH) compared to Non-Hispanic Whites. Medication non-adherence (MNA) is the leading modifiable behavior to improved blood pressure (BP) control. The Smartphone Medication Adherence Stops Hypertension (SMASH) program was developed using a patient-centered, theory-guided, iterative design process. Electronic medication trays provided reminder signals, and Short Message Service [SMS] messaging reminded subjects to monitor BP with Bluetooth-enabled monitors. Motivational and reinforcement text messages were sent to participants based upon levels of adherence. Thirty-eight African-American (18) and Hispanic (20) uncontrolled hypertensives completed clinic-based anthropometric and resting BP evaluations prior to randomization, and again at months 1, 3 and 6. Generalized linear mixed modeling (GLMM) revealed statistically significant time-by-treatment interactions (p theory-guided design. PMID:26593951

  4. INVESTIGATION ON HAND HYGIENE OF MEDICAL STAFF IN ONE SANATORIUM%疗养院医护人员手卫生状况调查

    Institute of Scientific and Technical Information of China (English)

    张秀芬; 第五进学; 唐裕杰

    2013-01-01

    Objective To investigate the execution and influence factors of medical staffs hand hygiene in one sanatorium. Methods On - site investigation and questionnaire were used to study the hand hygiene of medical staff in the sanatorium. Results The average rate of hand - cleaning was 84. 5% , the qualified rate of hand - cleaning was 83. 3% , and that of hand - drying by paper or dryer was 52.4% . The main reason of the incorrect hand - cleaning for medical staff were their busy work and ignorance. Conclusion The hand hygiene compliance of the medical staff in the sanatorium was low, mainly because the medical staff did not pay attention to it, so the administration and intervention should be strengthened.%目的 了解某疗养院医护人员手卫生执行情况及影响手卫生的因素.方法 采用现场调查方法,实际考察某疗养院医务人员手卫生状况.结果 洗手指征平均执行率为84.5%,洗手方法正确率平均为83.3%,用纸巾或烘干机干手者占52.4%.影响医护人员手卫生执行的主要因素是重视不够,工作忙没空洗手.结论 该疗养院医务人员手卫生依从性较低,主要原因是对手卫生不够重视,应强化管理和干预措施.

  5. Library staff development course.

    OpenAIRE

    Eaton, E K

    1981-01-01

    The Moody Medical Library at the University of Texas Medical Branch plans, presents, and evaluates regularly a staff development program for its employees, including librarians and clerical and technical staff. The program's purpose is to provide continuing education for the library staff while concurrently: (1) providing information concerning specific library services and programs; (2) illustrating the interrelationship of the departments and divisions within the library; (3) developing a s...

  6. Investigation and analysis on disaster rescue professional skill of medical staff%医护人员灾害救援专业技能调查分析

    Institute of Scientific and Technical Information of China (English)

    黄丽虹; 刘轶博

    2011-01-01

    目的:通过对医护人员灾害救援专业技能进行调查和研究,为提高我国灾害救援水平提供理论和实践支持.方法:采用文献资料调查法、问卷调查法和访谈法,用分层随机抽样和整群抽样相结合的方法,以我国东北三省6所三甲医院的2496名医护人员为研究对象.结果:大多数医护人员对参加现场进行灾害救援工作感到无信心.医护人员灾害救援专业技能水平低下.省会城14和其他城市医护人员灾害救援专业技能之间有差异性(P<0.05).绝大多数医护人员认为提高其灾害救援专业技能水平的最有效方法是开展灾害医学继续教育.结论:目前医护人员灾害救援专业技能水平较低,应大力开展灾害医学继续教育以提高我国灾害救援整体水平.%Ohjectives : To investigate the medical staffs professional skill of disaster rescue and to give theoretical and practical support for improving the capacity of Chinese disaster rescue. Methods: 2496 medical staffs in 6 tertiary hospitals in Liaoning, Jilin and Heilongjiang province were selected as research samples. Literature review, questionnaire and interview were used. Stratified random sampling and cluster sampling were the sampling methods. Results: Most medical staff worried ahout attending the disaster rescue work. Medical staff's disaster rescue professional skill capacity is low. the skill hetween capital city and other city are different ( P<0.05 ) .The most effective way of improving medical staffs disaster rescue skill is disaster medical continuation education. Conclusion: Medical staffs disaster rescue skill is inferior. We should development disaster medical continuing education in order to improve the level of Chinese disasters rescue.

  7. Extremity doses of medical staff involved in interventional radiology and cardiology: Correlations and annual doses (hands and legs)

    International Nuclear Information System (INIS)

    An intensive measurement campaign was launched in different hospitals in Europe within work package 1 of the ORAMED project (Optimization of RAdiation protection for MEDical staff). Its main objective was to obtain a set of standardized data on extremity and eye lens doses for staff in interventional radiology (IR) and cardiology (IC) and to optimize staff protection. The monitored procedures were divided in three main categories: cardiac, general angiography and endoscopic retrograde cholangio-pancreatography(ERCP) procedures. Using a common measurement protocol, information such as the protective equipment used (lead table curtain, transparent lead glass ceiling screen, patient shielding, whole body shielding or special cabin etc.) as well as Kerma Area Product (KAP) values and access of the catheter were recorded. This study was performed with a final database of more than 1300 procedures performed in 34 European hospitals. Its objectives were firstly to determine if the measured extremity doses could be correlated to the KAP values; secondly to check if the doses to the eyes could be linked to the doses to the hands (finger or wrist positions) and finally if the doses to the fingers could be estimated based on the doses to the wrists. General correlations were very difficult to find and their strength was mostly influenced by three main parameters: the X-ray tube configuration, the room collective radioprotective equipment and the access of the catheter. The KAP value can provide a simple mean to estimate the extremity doses of the operator given that it is assessed correctly for the operator when he is actually using the X-ray tube. Moreover, this study showed that the doses to the left finger are strongly correlated to the doses to the left wrist when no ceiling shield is used. It is also possible to estimate the doses to the eyes given the doses to the left finger or left wrist but the X-ray tube configuration and the access have to be considered. The annual

  8. Evaluation of time, attendance of medical staff, and resources during stereotactic radiotherapy/radiosurgery. QUIRO-DEGRO trial

    International Nuclear Information System (INIS)

    Background: The German Society of Radiation Oncology ('Deutsche Gesellschaft fuer Radioonkologie', DEGRO) initiated a multicenter trial to develop and evaluate adequate modules to assert core processes and subprocesses in radiotherapy. The aim of this prospective evaluation was to methodical assess the required resources (technical equipment and medical staff) for stereotactic radiotherapy/radiosurgery. Material and methods: At two radiotherapy centers of excellence (University Hospitals of Heidelberg and Marburg/Giessen), the manpower and time required for the implementation of intra- and extracranial stereotactic radiotherapy was prospectively collected consistently over a 3-month period. The data were collected using specifically developed process acquisition tools and standard forms and were evaluated using specific process analysis tools. Results: For intracranial (extracranial) fractionated stereotactic radiotherapy (FSRT) and radiosurgery (RS), a total of 1,925 (270) and 199 (36) records, respectively, could be evaluated. The approximate time needed to customize the immobilization device was median 37 min (89 min) for FRST and 31 min (26 min) for RS, for the contrast enhanced planning studies 22 and 27 min (25 and 28 min), for physical treatment planning 122 and 59 min (187 and 27 min), for the first and routine radiotherapy sessions for FSRT 40 and 13 min (58 and 31 min), respectively. The median time needed for the RS session was 58 min (45 min). The corresponding minimal manpower needed was 2 technicians for customization of the immobilization device, 2.5 technicians and 1 consultant for the contrast-enhanced planning studies, 1 consultant, 0.5 resident and 0.67 medical physics expert (MPE) for physical treatment planning, as well as 1 consultant, 0.5 resident, and 2.5 technicians for the first radiotherapy treatment and 2.33 technicians for routine radiotherapy sessions. Conclusion: For the first time, the resource requirements for a radiotherapy

  9. Qualitative research of patients participating in hand hygiene of medical staff%患者参与医务人员手卫生的质性研究

    Institute of Scientific and Technical Information of China (English)

    高雪; 赵体玉

    2015-01-01

    目的:探讨患者参与提醒医务人员手卫生相关问题的情况。方法采用目的抽样法对15例住院患者进行半结构式深入访谈,并运用Colaizzi分析法对获得的资料进行内容分析。结果患者手卫生知识较为匮乏;患者对参与提醒医务人员手卫生持谨慎、反对态度;患者参与提醒医务人员手卫生存在一定困难。结论医务人员应根据影响患者参与的因素,针对性地采取相关措施促进患者参与,进而提高医务人员手卫生依从性。%Objective To study the situation of patients participating in hand hygiene of medical staff .Methods Fifteen patients chozen by purposive sampling method were given in‐depth interviews .Colaizzi analysis method was used to analyze the data .Results Patients were lack of hand hygiene knowledge .Most patients were opposed to remind medical personnel to pay attention to hand hygiene .There was a certain difficulty for patients to participate in hand hygiene of medical staff .Conclusion Medical personnel should take relevant measures to promote patients to participate hand hygiene of medical staff and improve hand hygiene compliance of medical staff .

  10. Mobile Health of Medical Staff and Hospital Infection Control%医务人员手机卫生与医院感染控制

    Institute of Scientific and Technical Information of China (English)

    杜凤霞; 王艳鸿; 刘莉; 白国杉

    2016-01-01

    Objective To know the mobile bacterial pollution of medical staff and make decisions thus providing basis for preventing the hospital cross infection. Methods June 2015 60 cases of medical staff in the department of obstetrics and gynecology, pediatrics, department, department of internal medicine and department of surgery were randomly selected for mobile bacterial cultivation, and the questionnaire survey was carried out, and the cleaning and maintenance in mobile daily usage of medical staff was known. Results The mobile phone survey stained bacteria was 93.3% were detected in 9 kinds of 116 strains of bacteria, which 16.3%of mobile phone culture results of pathogenic bacteria, and reported in the literature of foreign mobile phone of pathogenic bacteria contamination rate for 9 comments, more than 90% of the specimens for the mixed bacteria, 2 kinds of bacteria and 2 kinds of above. Conclusion The mobile bacteria content of medical staff was seri-ous, the mobile pollution varied in the medical staff of different departments. We should improve the hand hygiene compli-ance of medical staff, regularly clean and disinfect mobiles and prevent the occurrence of hospital infection.%目的:了解医务人员手机细菌污染情况,为预防医院交叉感染提供依据。方法2015年6月随机选取该院内外妇儿医护人员60名,对其手机进行细菌培养,同时开展问卷调查,了解医务人员手机日常使用清洁保养等情况。结果该次调查手机染菌量为93.3%,共检出9种116株细菌,其中16.3%手机培养结果为致病菌,与国外文献报道手机的致病菌污染率为9%~36%一致,90%以上的标本为混合菌,2种菌及2种以上。结论医务人员手机染菌量严重,不同科室医务人员手机污染情况也不同。应提高医务人员手卫生依从性,定期对手机进行清洁消毒,预防医院感染的发生。

  11. Analysis and countermeasures of report omission of medical staff with sharp injury%医务人员锐器伤漏报分析及对策

    Institute of Scientific and Technical Information of China (English)

    刘晓容

    2011-01-01

    目的 分析医务人员锐器伤漏报原因,提出预防对策.方法 自行设计医务人员锐器伤调查问卷表,选取该院290名锐器使用医务人员进行问卷调查,并对调查结果进行统计分析.结果 共计收回调查表273份,调查参与率为94.14%.医务人员1个月内发生锐器伤67名,锐器伤发生率为24.54%.发生锐器伤后仅7名医务人员上报医院感染管理科,锐器伤漏报率高达89.55%,其中护理人员、临床医生漏报比例最高,分别为58.34%、28.33%.漏报原因包括认为麻烦(28.33%)、不知晓(16.67%)、不知道报告流程(16.67%)、认为没必要报告(15.00%)等.结论 加强医务人员职业防护培训,提高其锐器伤报告意识以预防、减少医务人员职业暴露的发生.%Objective To analyze the cause of report omission of medical staff with sharp injury and propose the preventive measures. Methods Self-designed questionnaire concerning medical staff with sharp injury was employed. 290 medical staff with sharp injury in a hospital were selected to conduct questionnaire survey and the results were subjected to statistical analysis. Results A total of 273 questionnaires were collected with participation rate of 94. 14%. Sharp injuries occurred in 67 medical staff during a month with incidence of 24. 54 %, however, only 7 cases were reported to nosocomial infection management department. Omission rate of sharp injury report was up to 89. 55%. Nurses and clinicians possessed the highest proportion of omission which were 58. 34%,28. 33% respectively. Causes of report omission included trouble (accounting for 28. 33%) , unacquaintance (accounting for 16. 67%) ,unawareness of reporting process (accounting for 16. 67%) and unnecessary (accounting for 15. 00%). Conclusion Enhancing medical staff training of occupational protection and improving their awareness of sharp injury reporting can prevent and decrease the incidence of occupational exposure of medical staff.

  12. Evaluation of time, attendance of medical staff, and resources during interstitial brachytherapy for prostate cancer. DEGRO-QUIRO trial

    International Nuclear Information System (INIS)

    The German Society of Radiation Oncology initiated a multicenter trial to evaluate core processes and subprocesses of radiotherapy by prospective evaluation of all important procedures in the most frequent malignancies treated by radiation therapy. The aim of this analysis was to assess the required resources for interstitial high-dose-rate (HDR) and low-dose-rate (LDR) prostate brachytherapy (BRT) based on actual time measurements regarding allocation of personnel and room occupation needed for specific procedures. Two radiotherapy centers (community hospital of Offenbach am Main and community hospital of Eschweiler) participated in this prospective study. Working time of the different occupational groups and room occupancies for the workflow of prostate BRT were recorded and methodically assessed during a 3-month period. For HDR and LDR BRT, a total of 560 and 92 measurements, respectively, were documented. The time needed for treatment preplanning was median 24 min for HDR (n=112 measurements) and 6 min for LDR BRT (n=21). Catheter implantation with intraoperative HDR real-time planning (n=112), postimplantation HDR treatment planning (n=112), and remotely controlled HDR afterloading irradiation (n=112) required median 25, 39, and 50 min, respectively. For LDR real-time planning (n=39) and LDR treatment postplanning (n=32), the assessed median duration was 91 and 11 min, respectively. Room occupancy and overall mean medical staff times were 194 and 910 min respectively, for HDR, and 113 and 371 min, respectively, for LDR BRT. In this prospective analysis, the resource requirements for the application of HDR and LDR BRT of prostate cancer were assessed methodically and are presented for first time. (orig.)

  13. Evaluation of time, attendance of medical staff, and resources during interstitial brachytherapy for prostate cancer. DEGRO-QUIRO trial

    Energy Technology Data Exchange (ETDEWEB)

    Tselis, N.; Zamboglou, N. [Sana Klinikum Offenbach, Department of Radiation Oncology, Offenbach am Main (Germany); Maurer, U. [St.-Antonius-Hospital, Strahlentherapie, Eschweiler (Germany); Popp, W. [Prime Networks AG, Basel (Switzerland); Sack, H. [University of Essen, Department of Radiation Oncology, Essen (Germany)

    2014-04-15

    The German Society of Radiation Oncology initiated a multicenter trial to evaluate core processes and subprocesses of radiotherapy by prospective evaluation of all important procedures in the most frequent malignancies treated by radiation therapy. The aim of this analysis was to assess the required resources for interstitial high-dose-rate (HDR) and low-dose-rate (LDR) prostate brachytherapy (BRT) based on actual time measurements regarding allocation of personnel and room occupation needed for specific procedures. Two radiotherapy centers (community hospital of Offenbach am Main and community hospital of Eschweiler) participated in this prospective study. Working time of the different occupational groups and room occupancies for the workflow of prostate BRT were recorded and methodically assessed during a 3-month period. For HDR and LDR BRT, a total of 560 and 92 measurements, respectively, were documented. The time needed for treatment preplanning was median 24 min for HDR (n=112 measurements) and 6 min for LDR BRT (n=21). Catheter implantation with intraoperative HDR real-time planning (n=112), postimplantation HDR treatment planning (n=112), and remotely controlled HDR afterloading irradiation (n=112) required median 25, 39, and 50 min, respectively. For LDR real-time planning (n=39) and LDR treatment postplanning (n=32), the assessed median duration was 91 and 11 min, respectively. Room occupancy and overall mean medical staff times were 194 and 910 min respectively, for HDR, and 113 and 371 min, respectively, for LDR BRT. In this prospective analysis, the resource requirements for the application of HDR and LDR BRT of prostate cancer were assessed methodically and are presented for first time. (orig.)

  14. The Comparison of Rapid E-Learning Approach and Traditional E-Learning in Staff In-Service Training in Tehran University of Medical Sciences

    OpenAIRE

    Seyd-Shohre Alavi; Esa ebrahim-Zade; Davoud Karimzadegan-Moghaddam; Mohammad Attaran; Ramin Mehrdad; Banafshe golestan

    2009-01-01

    Introduction: As there are few studies that compare rapid e-learning with traditional e-learning this study was carried out in Tehran University of Medical Science in 1387 in order to compare learning rate trainees satisfaction and the time consumed to develop training courses in these two approaches. Methods: In this interventional study 100 employees were assessed in two 50- staff groups by blocking randomization one group learned through traditional e-learning and the other by rapid e-lear...

  15. 医务人员控烟状况调查%An Investigation on Tobacco Control among Medical Staff in Cixi City

    Institute of Scientific and Technical Information of China (English)

    李剑; 戎志东; 罗央努

    2012-01-01

    目的 了解慈溪市医务人员的控烟状况及影响因素,为制定有效的控烟措施提供科学依据.方法 采取分层整群抽样的方法抽取26家医疗单位的3021名医务人员进行问卷调查.结果 医务人员总吸烟率为13.72%,其中男性吸烟率为34.28%,女性吸烟率为1.39%;吸烟危害性认知度为98.52%;吸烟的主要原因是社交需要为37.44%,戒烟成功率为21.30%.结论 男性医务人员吸烟状况比较严重,应加强系统的控烟培训,创建无烟医院环境,带动居民吸烟率的下降.%Objective To know tobacco control status and Influencing factors among medical staff in Cixi city, and to provide scientific basis for formulating effective measures of tobacco control. Methods Stratified cluster sampling was adopted in 26 medical institutes and 3021 medical staff were surveyed by questionnaire. Results The total smoking rate among medical staff who received survey was 13. 72% , among which, 34. 28% males and 1. 39% females. Awareness rate of risk of smoking was 98. 52% ; The main reason of smoking was social needs, the rate being 37. 44% . Successful rate of smoking cessation was 21. 30%. Conclusion Smoking situation in male medical staff was more serious. Systematic training on smoking control should be enhanced in medical staff and smoke - free hospital environment should be established to decline the rate of smoking among residents.

  16. 医务人员工作满意度调查研究综述%Overview on Investigation of Job Satisfaction of Medical Staffs

    Institute of Scientific and Technical Information of China (English)

    王文星; 马利; 徐雅

    2014-01-01

    Using the methods of literature review and comparative analysis ,the paper analyzes and the job satisfaction of medical staff from the angle of job satisfaction concept ,related theory research ,the research progress of medical staffs’ job satisfaction ,the research situation of medical staffs’ job satisfaction at home and abroad .It is difficulty to find the related research to the job satisfaction of employed medical staffs ,not much research was found on job satisfaction of staffs in second class hospitals and community hospitals .The scale needs to be improved and perfected in order to adapt to the current situation about the job satisfaction of medical staff at home .As the job satisfaction of the medical staff is more and more important ,the research of job satisfaction should be paid attention to ,and we can learn the whole condition about the job satisfaction in hospital correctly and immediately so taking measures to improve the degree of satisfaction .%通过查阅文献和对比分析,从员工满意度的概念、相关理论研究,以及医务人员工作满意度的调查研究进展、国内外医务人员满意度的研究现状等角度,对医务人员满意度的研究进行描述分析,发现国内对聘用制医务人员的调查不多,对二级医院医生工作满意度方面的研究较少,对社区医务人员工作满意度的现状调查研究也不多见,调查量表缺乏符合我国医院实际情况的变量。随着对医务人员满意度的重视,现代医院应加强员工工作满意度的调查研究,及时、准确地掌握员工的工作满意度情况,有的放矢地采取改进措施,提高员工工作满意度。

  17. 我院工作人员离职倾向现状与对策%The status of resignation in medical staff in our hospital and its countermeasures

    Institute of Scientific and Technical Information of China (English)

    杨帆

    2012-01-01

    目的 了解公立医院人员流失的原因和影响因素,为医院管理者进行人员管理提供建议.方法 采用通用量表对广州市某三甲医院300名在职人员离职倾向情况进行问卷调查.结果 不同的工作岗位和用工形式的员工在离职倾向的感知水平上存在显著差异.护理人员和编制外员工具有较高的离职倾向.结论 公立医院在人才的供需市场中长期处于优势地位,长久以来对于人员流失问题的重视不足.此外,现阶段医院人员管理仍处于人事管理阶段,人才管理方面仍缺少人性化,如对于离职员工较少采取离职访谈等人力资源管理方法,即便实施了离职访谈,对于发现的问题也较少及时更正.公立医院应注重对人员流失问题的研究,进一步完善医院人才激励体系,促进公立医院人才管理的合理发展.%Objective To comprehend the causes and influencing factors of resignation in medical staff in public hospitals,and to provide advice for personnel management.Methods A questionnaire survey on resignation tendency was conducted in 300 medical staff with the General Scale.Results Awareness level of inclination of resignation significantly differed in the staff with different types of positions.Nursing staff and informal staff had higher inclination of resignation.Conclusions Public hospitals were in an advantage position in a supply and demand market for medical staff and ignored the problems of resignation for a long time.In addition,presently hospital personnel management was still in the stage of personnel management,which lacked humanity,including lack of interviews with the resigned employees and lack of strategies for dealing with the problems after interviews.Public hospital should pay great attention to the problems of staff resignation,further improve hospital personnel incentive system,and accelerate the rational development of personnel management.

  18. Application of Structural Equation Model to Evaluate the Perception of Service Quality of Medical Staffs of infectious Disease Department in Chinese Hospitals

    Institute of Scientific and Technical Information of China (English)

    2014-01-01

    Objective To enhance the quality of medical service for Chinese patients through research of service quality from Chinese medical personnel. Methods ServQual scale was used for infection medical staffs randomly by sampling questionnaire in Beijing, Shanghai, Chengdu, Chongqing, Guangzhou and Nanning. The data collected were entered and analyzed using SPSS 20.0. Statistical methods included frequency, factor analysis, reliability analysis, correlation analysis, independent samples t test, one-way analyses of variance, simultaneous regression analysis and structural equation model analysis. Results The Kaiser-Meyer-Olkin value for the factor analysis of the scale was 0.970. The Cronbach’sαfor the reliability analysis was 0.975. The Pearson correlation coefficients were 0.624-0.874 and statistically significant. Undergraduates felt good, PhD students felt bad;the doctors felt bad;managers felt good. Standard 5 dimensions of the regression coefficients were positive, including empathy (β = 0.288), reliability (β =0.241) impacting on perceived service quality mostly. The control ability and stability of the standard error of perceived service quality directly effected value were 0.646 and 0.382, respectively. Conclusions Medical staffs of infectious disease department have poor perception of service quality. Hospitals should improve awareness and of clinicians and deepen the reform of the medical care system.

  19. Effect of Expectation of Care on Adherence to Antihypertensive Medications Among Hypertensive Blacks: Analysis of the Counseling African Americans to Control Hypertension (CAATCH) Trial.

    Science.gov (United States)

    Grant, Andrea Barnes; Seixas, Azizi; Frederickson, Keville; Butler, Mark; Tobin, Jonathan N; Jean-Louis, Girardin; Ogedegbe, Gbenga

    2016-07-01

    Novel ideas are needed to increase adherence to antihypertensive medication. The current study used data from the Counseling African Americans to Control Hypertension (CAATCH) study, a sample of 442 hypertensive African Americans, to investigate the mediating effects of expectation of hypertension care, social support, hypertension knowledge, and medication adherence, adjusting for age, sex, number of medications, diabetes, education, income, employment, insurance status, and intervention. Sixty-six percent of patients had an income of $20,000 or less and 56% had a high school education or less, with a mean age of 57 years. Greater expectation of care was associated with greater medication adherence (P=.007), and greater social support was also associated with greater medication adherence (P=.046). Analysis also showed that expectation of care mediated the relationship between hypertension knowledge and medication adherence (Psocial support are important factors for developing interventions to increase medication adherence among blacks. PMID:26593105

  20. 医护人员丙型病毒性肝炎防治知识的知晓情况%Hepatitis C Awareness in Medical Staff

    Institute of Scientific and Technical Information of China (English)

    施阳; 李燕婷; 吴寰宇; 任宏; 顾宝柯

    2011-01-01

    [目的] 了解医护人员对丙型病毒性肝炎防治知识的知晓情况,提出应对措施.[方法] 采用三阶段抽样法抽取上海市有代表性的4个区的一、二、三级医院重点科室共3200名医护人员.进行丙肝防治知识问卷调查.并采用卡方检验、多因素非条件logistic回归分析等统计学方法,分析医护人员丙肝防治知识知晓状况.[结果] 在不同等级医院问、不同受教育程度医护人员问对丙肝防治知识的知晓率存在差异(P<0.05).受教育程度、医院等级对医护人员丙肝知识知晓率有影响.[结论] 低等级医院及受教育程度低的医护人员对丙肝防治知识的知晓率较低,今后应针对该状况加强基层医院医护人员的丙肝防治知识培训.%[ Objective ] To investigate the awareness of hepatitis C in medical staff, as well as to suggest strategies for hepatitis C control: [ Methods ] Using a three-stage-sampling approach, four districts were selected in Shanghai and 3 200 medical staff in key departments from primary to tertiary hospitals in all selected districts were interviewed using a structured questionnaire. Chi-square test and logistic regression were used in data analysis. [ Results ] There were significant differences of the awareness across different hospital grades and different education levels ( P < 0.05 ). The awareness rate in the medical staff in secondary and tertiary hospitals was higher than those in primary ones, and the awareness rate increased with higher education level ( Ptrend < 0.05 ). The impact factors associated with the awareness of hepatitis C included hospital grades and education levels. [ Conclusion ] The training on hepatitis C in the medical staff should be enforced, especially to the staff in primary hospitals or with lower education.

  1. 医务人员科研认知与科研素养调查%Investigation on scientific research cognition and quality of medical staff

    Institute of Scientific and Technical Information of China (English)

    朱晓荣; 张维敏; 陆元梅

    2015-01-01

    Objective To analyze the status quo of scientific research cognition and quality of medical staff and existing problems in a tertiary hospital of Zunyi City in order to provide reference for increasing the overall scientific research level and perfecting hospital internal management. Methods The questionnaire investigation method was adopted to collect the data of sci-entific research cognition and quality among medical staff in a hospital of Zunyi City. The collected data were analyzed by using the SPSS17.0 statistical software. Results The survey data of 212 questionnaires showed that the cognition on"whether the sci-entific research promotes the future development of hospital"had statistically significant difference among different levels of medi-cal staff(P<0.01);the cognition on"necessity of hospital to carry out the scientific research work"had statistically significant dif-ference among different education backgrounds of medical staff (P<0.01);the cognition on"whether clearing the hospital scientific system/application procedure"and"whether participating in or applying for the scientific research projects"had statistically sig-nificant difference among different professional titles of medical staff (P<0.05);the recognition on"whether seeking truth from facts or rigorously seeking study in the scientific research process"had statistically significant difference among different profes-sional titles of medical staff (P<0.01). Among 143 medical staff participating in the research project,58.7%of medical staff could basically and properly select the topics in daily medical practical work. Conclusion The medical staff have a higher degree of awareness on"whether the scientific research promotes the development of the hospital in the future",but the hospital scientific research strength does not have a high level of play,the high pressure,having no time to conduct,lack of training and guidance are the main factors restricting the medical staff to take part in

  2. Improving radiation awareness and feeling of personal security of non-radiological medical staff by implementing a traffic light system in computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Heilmaier, C.; Mayor, A.; Zuber, N.; Weishaupt, D. [Stadtspital Triemli, Zurich (Switzerland). Dept. of Radiology; Fodor, P. [Stadtspital Triemli, Zurich (Switzerland). Dept. of Anesthesiology and Intensive Care Medicine

    2016-03-15

    Non-radiological medical professionals often need to remain in the scanning room during computed tomography (CT) examinations to supervise patients in critical condition. Independent of protective devices, their position significantly influences the radiation dose they receive. The purpose of this study was to assess if a traffic light system indicating areas of different radiation exposure improves non-radiological medical staff's radiation awareness and feeling of personal security. Phantom measurements were performed to define areas of different dose rates and colored stickers were applied on the floor according to a traffic light system: green = lowest, orange = intermediate, and red = highest possible radiation exposure. Non-radiological medical professionals with different years of working experience evaluated the system using a structured questionnaire. Kruskal-Wallis and Spearman's correlation test were applied for statistical analysis. Fifty-six subjects (30 physicians, 26 nursing staff) took part in this prospective study. Overall rating of the system was very good, and almost all professionals tried to stand in the green stickers during the scan. The system significantly increased radiation awareness and feeling of personal protection particularly in staff with ? 5 years of working experience (p < 0.05). The majority of non-radiological medical professionals stated that staying in the green stickers and patient care would be compatible. Knowledge of radiation protection was poor in all groups, especially among entry-level employees (p < 0.05). A traffic light system in the CT scanning room indicating areas with lowest, in-termediate, and highest possible radiation exposure is much appreciated. It increases radiation awareness, improves the sense of personal radiation protection, and may support endeavors to lower occupational radiation exposure, although the best radiation protection always is to re-main outside the CT room during the scan.

  3. Improving radiation awareness and feeling of personal security of non-radiological medical staff by implementing a traffic light system in computed tomography

    International Nuclear Information System (INIS)

    Non-radiological medical professionals often need to remain in the scanning room during computed tomography (CT) examinations to supervise patients in critical condition. Independent of protective devices, their position significantly influences the radiation dose they receive. The purpose of this study was to assess if a traffic light system indicating areas of different radiation exposure improves non-radiological medical staff's radiation awareness and feeling of personal security. Phantom measurements were performed to define areas of different dose rates and colored stickers were applied on the floor according to a traffic light system: green = lowest, orange = intermediate, and red = highest possible radiation exposure. Non-radiological medical professionals with different years of working experience evaluated the system using a structured questionnaire. Kruskal-Wallis and Spearman's correlation test were applied for statistical analysis. Fifty-six subjects (30 physicians, 26 nursing staff) took part in this prospective study. Overall rating of the system was very good, and almost all professionals tried to stand in the green stickers during the scan. The system significantly increased radiation awareness and feeling of personal protection particularly in staff with ? 5 years of working experience (p < 0.05). The majority of non-radiological medical professionals stated that staying in the green stickers and patient care would be compatible. Knowledge of radiation protection was poor in all groups, especially among entry-level employees (p < 0.05). A traffic light system in the CT scanning room indicating areas with lowest, in-termediate, and highest possible radiation exposure is much appreciated. It increases radiation awareness, improves the sense of personal radiation protection, and may support endeavors to lower occupational radiation exposure, although the best radiation protection always is to re-main outside the CT room during the scan.

  4. 灾害救援医务人员心理反应及相关因素%Psychic reactions of medical staff in disaster rescue and its related factors

    Institute of Scientific and Technical Information of China (English)

    姜莹莹; 李红玉; 张涛

    2011-01-01

    分析了灾害事件对救援医务人员造成的心理应激障碍、心理应激反应的主要表现,探讨影响救灾医务人员身心健康状况的相关因素,为有效维护其身心健康提供依据.%It analyzed psychoiogical stress disoraer of rescue medical staff caused by disasters events and main manifestations of psychological stress reactions of medical staff.And it probed into related factors of influencing physical and psychological health state of rescue medical staff so as to provide some bases for effectiveiy maintaining botb physical and psychological health of rescue medical staff.

  5. Monitoring of occupational exposure in medical staff and prevention strategies%医务人员职业暴露监测分析与防范对策

    Institute of Scientific and Technical Information of China (English)

    李润蓉; 沈振威

    2016-01-01

    目的:分析医务人员职业暴露的相关因素,针对性采取防范对策。方法:用自行设计的职业暴露登记表,对医务人员发生职业暴露的监测资料进行回顾性调查。结果:41名医务人员发生职业暴露,护士占70.73%,工龄5年以下占68.29%,职业暴露发生科室多见外科,占31.71%,发生地点病房居首,占46.34%。主要是锐器伤占90.24%,主要环节依次是拔针、术中切开或缝合、处置医疗废物,分别占39.02%、21.95%、14.63%,暴露源血源性传播疾病22人,占53.66%,乙型肝炎16人,占39.02%,职业暴露的系列处理到位,未发生职业暴露感染。2013、2014年职业暴露发生率分别为3.57%、2.29%;上报率分别为48.00%、68.75%。结论:建立职业安全防护制度,开展安全培训教育,定期体检及预防接种,督导医护人员的规范化操作,配备安全器具和防护用品等,能有效防范医务人员职业暴露发生。%Objective To analyze the factors associated with the occupational exposure in medical staff,and to probe possible prevention strategies. Method The retrospective review on the monitoring data of occupational exposure in medical staff was made by the self-designed occupation exposure registration form. Results There were 41 cases of occupational exposure during the re-view. The accidents occurred mainly in the nurses(70. 73%),most were less than five years of seniority(68. 29%),and the oc-cupational exposures were most common in the department of surgery( 31. 71%). Among the departments,the wards ranked the first place( 46. 34%),and the sharp injuries accounted for 90. 24%. The withdrawal of needles( 39. 02%),surgical sutures (21. 95%),disposal of medical waste(14. 63%),there were 22 patients(55. 36%)with blood-borne disease as the source of exposure,most of them were infected with hepatitis B(16 cases,39. 02%). The wound could be correctly handled after

  6. The Job Satisfaction of Medical Staff in Country-Level Hospitals%县级医院医务人员工作满意度分析

    Institute of Scientific and Technical Information of China (English)

    韩仕龙; 方鹏骞; 冯珊

    2013-01-01

    目的 了解县级医院医务人员工作满意度现状,分析主要影响因素,为推进县级公立医院改革提供参考.方法 定性与定量相结合,重点采用问卷调查法、半结构式访谈法和文献分析法,对19家县级医院2 008名医务人员进行了调查.结果 医务人员总体工作满意度不高.个人收入、培训机会、工作压力和生活压力等方面满意度较低.不同岗位、学历、职称的医务人员工作满意度有显著性差别.结论 提高医务人员满意度应重点考虑个人收入、医院管理状况和工作压力等因素,并注意不同群体的差异.%Objective To get a comprehensive view of the job satisfaction situation of medical staff and find its main influencing factors, so as to provide reference for county - level public hospital reform. Method A combination of qualitative and quantitative methods were used; including questionnaire, semi -structured interviews and literature analysis, and 2008 medical staff from 19 county level public hospitals was surveyed. Result The job satisfaction of medical staff was not high, the satisfaction degree of training opportunities, personal income and stress in work and life are especially low. There are significantly different a-mong different positions, education background and professional titles; personal income, hospital management and job stress was the main factor that affect medical stalls'satisfaction. Conclusion To improve job satisfaction of medical staff, the factors should be paid more attention to, including personal income, hospital management and job stress and the groups deviation.

  7. Searching in the Dark: Phenotyping Diabetic Retinopathy in a De-Identified Electronic Medical Record Sample of African Americans.

    Science.gov (United States)

    Restrepo, Nicole A; Farber-Eger, Eric; Crawford, Dana C

    2016-01-01

    A hurdle to EMR-based studies is the characterization and extraction of complex phenotypes not readily defined by single diagnostic/procedural codes. Here we developed an algorithm utilizing data mining techniques to identify a diabetic retinopathy (DR) cohort of type-2 diabetic African Americans from the Vanderbilt University de-identified EMR system. The algorithm incorporates a combination of diagnostic codes, current procedural terminology billing codes, medications, and text matching to identify DR when gold-standard digital photography results were unavailable. DR cases were identified with a positive predictive value of 75.3% and an accuracy of 84.8%. Controls were classified with a negative predictive value of 1.0% as could be assessed. Limited studies of DR have been performed in African Americans who are at an elevated risk of DR. Identification of EMR-based African American cohorts may help stimulate new biomedical studies that could elucidate differences in risk for the development of DR and other complex diseases.

  8. 临床医务人员锐器伤现状调查分析%Current status of sharp instrument injuries of clinical medical staff

    Institute of Scientific and Technical Information of China (English)

    王一瑶; 王海燕; 邓钰; 于子旭

    2012-01-01

    OBJECTIVE To estimate the current situation and relevant influencing factors of sharp instrument injuries of medical staff, to provide the scientific hasis for further formulating prevention measures. METHODS By means of filling out questionnaires, a certain number of medical staff were randomly selected according to the stratified cluster sampling. RESULTS Of 571 subjects investigated, the sharp instrument injuries occurred in 389 cases with the incidence rate of 68. 13% , there were totally 1058 case-times of sharp instrument injuries with the mean sharp injuries of 2. 72 times; the incidence rates of the sharp instrument injuries in the medical staff with the work experience less than 5 years, 6 - 10 years, and more than 11 years were 78. 73% , 71. 52% , and 46. 05% , respectively, the difference was statistically significant ( x2 = 48. 790, P < 0. 01); of 318 cases who got contaminated sharp injuries, 270 cases were reported with the report rate of 84. 91%, the report rates of the medical staff with sharp injuries contaminated by the patients with HBV or HCV were 100. 00% and 75. 76% of the medical staff with sharp injuries contaminated by unknown infections; the sharp injuries mainly occurred in the preoperative preparation and intraoperative procedure, accounting for 33. 18% and 35. 35%, respectively. CONCLUSION The incidence of sharp instrument injuries is relatively high in the clinical medical staff; it is necessary to intensify the occupational prevention education, standardize the operation procedure, and implement the prevention criterions so as to reduce the incidence of sharp instrument injuries.%目的 了解临床医务人员锐器伤现状及相关影响因素,为进一步制定职业防护措施提供科学依据.方法 按照分层整群抽样抽取一定数量的医务人员,采用填写调查问卷的方式收集资料.结果 571名调查对象中,发生锐器伤者389人,锐器伤发生率为68.13%,共计发生1058人次,人均被刺伤2.72

  9. 谈病案管理员的素质和能力要求%A Discussion on Quality and Ability Requirement of Medical Records Staffs

    Institute of Scientific and Technical Information of China (English)

    苏静; 龚黛琛; 陈冬连; 王继伟

    2012-01-01

    传统的病案管理正逐步朝卫生信息管理的方向发展,专业的病案管理员是确保这一系列改革政策能够顺利实施的关键,这就对病案管理员提出了更高的要求.医院需合理配置专业的病案管理员,并注重对其素质的培养和能力的要求,从而提高医院病案室的整体水平,使病案室能够更好服务于医院的发展需求.%At present, the traditional case management is gradually towards the direction of development of health information management . The key to ensure this series of reform policies smooth implement is professional medical record staffs , which put forward higher requirements for them . Hospitals need the rational allocation of professional medical record staffs , focusing on their training quality and capacity requirements . Therefore it can improve the whole level of department of medical records , better serving development requirement of hospital .

  10. 医学科研院所工作人员绩效评价体系的建立%Build Staff Performance Evaluation System of Medical Research Institutes

    Institute of Scientific and Technical Information of China (English)

    何有琴; 谷景亮; 甄天民

    2016-01-01

    Objective To establish staff performance evaluation system of academy of medical sciences.Methods The Delphi method was employed.Results The main indicators of staff performance evaluation were selected by two-round of the Delphi method,and the evaluation system was established.Evaluation indicators covered different types of jobs of science research,medical services,disease prevention,medical education,science and technology support.Conclusions After two-round of consultation,there were more consistencies among experts regarding to selection of evaluation indicators.It will be tested and justified by further theoretical and empirical research.%目的 构建医学科研院所工作人员绩效评价体系.方法 采用Delphi法.结果 经过两轮专家咨询,筛选了工作人员绩效评价的主要评价指标,构建了评价体系.指标涵盖科学研究、医疗服务、疾病防治、医学教育和科技支撑等不同工作岗位类型的评价指标.结论 两轮专家咨询后,评价指标选择方面意见逐步趋同,需要通过进一步的理论和实证研究加以检验.

  11. 医护人员对绩效考核方式的认知情况分析%Analysis of Medical Staff's Cognition on Performance Evaluation

    Institute of Scientific and Technical Information of China (English)

    李文君; 张洁; 张露; 刘国琴

    2014-01-01

    目的分析某公立医院医护人员对该院绩效考核方式的认知情况及其影响因素。方法采取问卷调查法,用自行设计问卷进行调查,收集数据。用SPSS统计软件对数据进行统计分析。结果医护人员对医院绩效考核表示了解的人员只有20%左右,超过40%的人员对现行的考核方式感到不太满意或不满意,医护人员选择的主要反馈方式为同事间议论,占到40.3%。结论该医院医护人员对绩效考核方式了解程度不高,工龄越长的工作人员对绩效考核原则越了解;满意度较低,编制内医护人员对科室奖金分配方案的满意度高于聘用制和合同制的工作人员;反馈方式欠规范,同事间议论为主要的反馈方式,学历较高的医护人员更愿意选择向管理部门及其工作人员反馈。需要加强有效的宣传方式,提高医护人员的满意度,建立科学有效的反馈机制,完善医院评价系统,提高医院管理效率。%Objective To analyze medical staff's cognition on the performance evaluation and its influencing factors. Methods Self-designed questionnaire was adopted to collect data. The data was analyzed though SPSS statistical software. Results The proportion of medical staff who understand the performance evaluation system is only about 20%;more than 40%of the staff are not satisfied with the current system and the main feedback way is colleagues' discussion, accounting for 40.3%. Conclusion The medical staffs' understanding of the evaluation system is not deep. The longer the staff worked, the deeper understanding of the performance evaluation principles they reported and the lower satisfaction they felt. Permanent employee was more satisfied about the bonus distribution scheme than contract staff. The feedback way was not formal enough as the major way is discussion between colleagues, but employees with higher education were more willing to give feedback to the

  12. 医护人员职业倦怠现状分析及对策探讨%Analysis of Job Burnout in Medical Staff and Countermeasure Study

    Institute of Scientific and Technical Information of China (English)

    杨曦; 张桂祯; 张新颜; 侯凯文; 张树兵

    2015-01-01

    目的 分析、探讨医护人员职业倦怠产生的原因、表现、危害以及应当采取的应对措施.方法对医护人员产生职业倦怠的社会因素及职业因素、感染职业倦怠后的行为表现进行了系统分析.结果 职业倦怠严重危害个体的心理和生理,给社会带来负面影响.结论 职业倦怠现象应引起高度重视,及时有效的干预能大大减低职业倦怠的发生以及对社会的负面影响.%Objective To explore the cause and the present features of job burnout in medical staff and the effective countermeasure to be taken.Methods An analysis was made to the social factors and professional factors that caused job burnout in medical staff as well as the symptoms of those troubled by it.Results Job burnout troubled medical staff psychologically and physically and it had a nega-tive impact on the daily work and daily life.Conclusions More attention should be paid to job burnout;timely and effective countermea-sures can greatly reduce the occurrence of job burnout and its negative effect on social life.

  13. 在职医务人员救援医学培训内容设置%Contents setting of rescue medicine training for in-service medical staff

    Institute of Scientific and Technical Information of China (English)

    胡南; 刘庆春

    2016-01-01

    Objective To explore contents suitable for in-service medical staff in rescue medicine training.Methods Based on widely literature review, we established preliminary contents, and then Delphi method was applied on enquiring 27 experts for three rounds. Results Response rates of experts were 96%, 89% and 92% respectively. The average authority coefficient of experts for the index was 0.850;Kendall’s Ware was 0.378, 0.380 and 0.420 respectively. Finally, five level indicators, 29 secondary indicators are established.Conclusions Contents of rescue medicine training for in-service medical staff are preliminarily established, which provides research foundation for cultivating excellent medical staff.%目的:探讨适合在职医务人员救援医学培训的内容。方法在查阅大量文献的基础上,确立备选内容。采用Delphi法对27名专家进行三轮函询。结果专家回复率分别为96%、89%和92%。专家对指标的平均权威系数为0.850,肯德尔协调系数(Kendall’s W)分别为0.378、0.380和0.420。最终确立一级指标5个,二级指标29个。结论初步设定了在职医务人员救援医学培训内容,为培养应对突发灾难事件的高水平医务人员提供研究基础。

  14. Evaluation of an mHealth Medication Regimen Self-Management Program for African American and Hispanic Uncontrolled Hypertensives

    Directory of Open Access Journals (Sweden)

    Tatiana M. Davidson

    2015-11-01

    Full Text Available African Americans and Hispanics have disproportionate rates of uncontrolled essential hypertension (EH compared to Non-Hispanic Whites. Medication non-adherence (MNA is the leading modifiable behavior to improved blood pressure (BP control. The Smartphone Medication Adherence Stops Hypertension (SMASH program was developed using a patient-centered, theory-guided, iterative design process. Electronic medication trays provided reminder signals, and Short Message Service [SMS] messaging reminded subjects to monitor BP with Bluetooth-enabled monitors. Motivational and reinforcement text messages were sent to participants based upon levels of adherence. Thirty-eight African-American (18 and Hispanic (20 uncontrolled hypertensives completed clinic-based anthropometric and resting BP evaluations prior to randomization, and again at months 1, 3 and 6. Generalized linear mixed modeling (GLMM revealed statistically significant time-by-treatment interactions (p < 0.0001 indicating significant reductions in resting systolic blood pressure (SBP and diastolic blood pressure (DBP for the SMASH group vs. the standard care (SC control group across all time points. 70.6% of SMASH subjects vs. 15.8% of the SC group reached BP control (< 140/90 mmH at month 1 (p < 0.001. At month 6, 94.4% of the SMASH vs. 41.2% of the SC group exhibited controlled BP (p < 0.003. Our findings provide encouraging evidence that efficacious mHealth, chronic disease, medical regimen, self-management programs can be developed following principles of patient-centered, theory-guided design.

  15. Improving medication adherence in African-American women living with HIV/AIDS: Leveraging the provider role and peer involvement.

    Science.gov (United States)

    Okoro, Olihe; Odedina, Folakemi T

    2016-01-01

    African-American women continue to be disproportionately affected by HIV-related morbidity and mortality. To address the burden of HIV/AIDS among this at-risk population, there is need to gain a better understanding of the factors that influence and affect their care-seeking behavior and specifically adherence to antiretroviral treatment. A preliminary qualitative study was conducted with a sample of the target population (n = 10) using grounded theory as the methodological approach. Similarly, 21 healthcare providers - physicians, pharmacists, nurses, and case managers - were then interviewed. A thematic analysis of the transcripts compared care-provider perceptions and narrated experiences with those from the patient participants. Themes related to patient care perceived to enhance medication adherence included (1) provider-patient relationship; (2) holistic and patient-centered care; (3) adequacy of patient education and counseling; (4) modeling adherence behavior; and (5) motivation. Two intervention strategies are proposed - Peer educators as an integral part of the care team and Patient Advisory Groups as a feedback mechanism to enhance effective delivery of patient care in the target population. This exploratory research lays a foundation for the design of targeted interventions to improve linkage to care and enhance medication adherence in African-American women living with HIV/AIDS. PMID:26278429

  16. Dose evaluation in medical staff during diagnostics procedures in interventional radiology; Avaliacao da dose na equipe medica durante procedimentos diagnoticos de radiologia intervencionista

    Energy Technology Data Exchange (ETDEWEB)

    Bacchim Neto, Fernando A.; Alves, Allan F.F.; Rosa, Maria E.D.; Miranda, Jose R.A. [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil). Instituto de Biociencias. Departamento de Fisica e Biofisica; Moura, Regina [Faculdade de Medicina de Botucatu, SP (Brazil). Departamento de Cirurgia e Ortopedia; Pina, Diana R., E-mail: bacchim@ibb.unesp.br [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil). Faculdade de Medicina. Departamento de Doencas Tropicais e Diagnostico por Imagem

    2014-08-15

    Studies show that personal dosimeters may underestimate the dose values in interventional physicians, especially in extremities and crystalline. The objective of this work was to study the radiation exposure levels of medical staff in diagnostic interventional radiology procedures. For this purpose LiF:Mg,Ti (TLD-100) dosimeters were placed in different regions of the physician body. When comparing with reference dose levels, the maximum numbers of annual procedures were found. This information is essential to ensure the radiological protection of those professionals. (author)

  17. A investigation on challenge-hindrance stress among medical staff%医护人员挑战性-障碍性压力的现状分析

    Institute of Scientific and Technical Information of China (English)

    常淑莹

    2015-01-01

    目的:应用挑战性-障碍性压力源问卷探讨我国当前医疗体制下医护工作人员的挑战性-障碍性压力的现状,并分析医护人员挑战性-障碍性压力在不同性别、年龄、婚姻状况、岗位类别、教育程度以及工作年限等变量上的个体差异。方法采用随机抽样方法和挑战性-障碍性压力源问卷调查方法,对河南省若干医院的207名医护人员进行调查,采用描述统计、因素分析、独立样本 t 检验、单因素方差分析、相关分析和回归分析等多种统计方法。结果男性医护人员在挑战性压力(t =4.111,P ﹤0.001)和障碍性压力(t =2.829,P ﹤0.01)维度上均显著高于女性;工作年限长的医护人员挑战性压力(F =5.581,P ﹤0.01)和障碍性压力(F =1.586,P ﹤0.10)均高于工作年限短的医护人员。﹤20岁、21~25岁年龄段的医护人员挑战性压力均较较年长的医护人员低。已婚的医护人员的挑战性压力高于未婚组。结论挑战性-障碍性压力源量表中文版在我国医护人员中的应用表现出了良好的信度和效度,性别、工作年限、年龄、婚姻状况可以影响医护人员挑战性压力的大小,而障碍性压力的大小只受性别、工作年限影响。%Objective To investigate the status of challenge-hindrance stress among medical staff by questionnaire,and ana-lyze the individual differences of challenge-hindrance stress among medical staff with different gender,age,marital status,job category,education level and work experience and other variables. Methods Two hundrad and seven medical staff of several hospitals in Henan province were investigated by random sampling method and challenge-hindrance stress questionnaire. And a variety of statistical methods were used,including descriptive statistics,factor analysis,independent samples t test,variance a-nalysis of single factor,correlation analysis,regression analysis

  18. Survey of professional ethics observance degree among managers and staff of teaching hospitals of Shiraz University of Medical Sci

    OpenAIRE

    FARZAD MAHMOUDIAN; SEYED ZIAEDDIN TABEI; PARISA NABEIEI; NEDA MOADAB; MEHRNAZ MARDANI; ZAHRA HOUSHMAND SARVESTANI; ZAHRA GHASEMI

    2013-01-01

    Introduction: Professional ethics is a very important issue for managers who are role models for students and staff. It can also be very effective in organizational activities. The main objective of this research is to describe the result of managers’ self assessment in Shiraz teaching hospitals. Methods: The present research is a cross-sectional study. The statistical society of this research includes all senior, middle and executive managers of Nemazi, Faghihi and Chamran ...

  19. 精神科医护人员睡眠质量对照分析%Comparative study on the sleep quality of psychiatric medical staff

    Institute of Scientific and Technical Information of China (English)

    廖湘交; 罗丽新; 谢志妹

    2015-01-01

    Objective To investigate the sleep quality of psychiatric medical staff. Methods Totally 237 psychiatric medical staff of psychiatric clinical of Psychiatric Hospital of Guangzhou Civil Administration were selected by a cluster sampling method,and they were investigated by the Pittsburgh Sleep Quality Index(PSQI). Results There were 84 psychiatric doctors and nurses whose PSQI scores was over 7(35. 4% ). The scores of sleep factor disorder of female staff were higher than those of male. The score of day-time functional factor of the stuff who worked less than 10 years was higher than those who worked less than 10 years. The score of sleep efficiency factor of the psychiatric staff with level of education in the college here were higher than those of the psychiatric staffs with level of education in undergraduate course or above. The nurses needed more time to sleep than the doctors(t = - 2. 107,1. 994, 2. 609,- 2. 529,P 7分者有84人(35.4%);女性睡眠障碍因子评分高于男性,工龄10年者,受教育程度在大专以下者睡眠效率因子分高于本科以上者,护士入睡时间比医生长,差异均有统计学意义(t =-2.107,1.994,2.609,-2.529,P 均<0.05);护士 PSQI 总评分高于医生,差异有统计学意义(t =-2.667,P<0.01);护士睡眠效率较医生差,差异有统计学意义( t =-3.595,P <0.01)。结论精神科医护人员睡眠质量差,女性更容易发生睡眠障碍,工龄短者日间功能易受影响,受教育程度低者睡眠效率差,护士入睡时间长,睡眠质量较医生差。

  20. Staff Report to the Senior Department Official on Recognition Compliance Issues. Recommendation Page: Council on Naturopathic Medical Education

    Science.gov (United States)

    US Department of Education, 2010

    2010-01-01

    The Council on Naturopathic Medical Education (CNME) is a programmatic accrediting agency. CNME's current scope of recognition is the accreditation and preaccreditation throughout the United States of graduate level, four-year naturopathic medical education programs leading to the Doctor of Naturopathic Medicine (N.M.D.) or Doctor of Naturopathy…

  1. A STUDY OF RISK FACTOR SCORE OF LIFE-STYLE DISEASES AMONG THE STAFF OF A PRIVATE MEDICAL COLLEGE OF JAIPUR

    Directory of Open Access Journals (Sweden)

    Anjali

    2014-09-01

    Full Text Available BACKGROUND: With the changing lifestyles and dietary habits, the health of the world is now dominated by non-communicable diseases such as diabetes, obesity, cardiovascular diseases and cancer. These are commonly linked to risk factors associated with the life style of an individual like tobacco use, unhealthy diet, physical inactivity, obesity, high blood pressure. These diseases can be modified by just adopting healthy lifestyle habits. STUDY OBJECTIVE: To assess the risk factors score (tobacco, alcohol, diet, physical activity, BMI, blood pressure, etc. of non-communicable diseases in the staff of a private medical college of Jaipur. STUDY DESIGN: Hospital-based Cross-sectional study. SETTING: A private medical college of Jaipur district. Sample Population: Staff members including all the doctors, nurses, laboratory technicians and class three workers were interviewed using the pre-designed schedule. DURATION OF STUDY: 2 months (July – September, 2010. RESULTS: Of all the risk factors the maximum (i.e. 37 respondents (20.5% had 4 risk factors. In the 40-49 yrs age group majority of respondents (i.e. 18 and 18 had the risk factor score of 4 and 5, in 50-59 years, majority (i.e. 12 respondents had 4 and in ≥60 yrs majority (i.e. 8 respondents had 7 risk factors.

  2. 某公立医院青年员工激励因素调查%Survey of incentive factors for young medical staff at a public hospital

    Institute of Scientific and Technical Information of China (English)

    唐蔚蔚; 柴建军; 胡雅洁; 桂德权

    2013-01-01

    激励是通过满足员工需要从而提高员工工作效率、激发员工为组织献身的工作热情.因此,准确了解员工需求是实施有效激励的前提.本调查通过对某公立医院348名青年员工的激励因素进行问卷调查,探讨不同院龄、不同岗位青年员工的激励影响因素及其差异,以期对公立医院的精细化人力资源管理提供借鉴.%Employee motivation is to meet their needs and improve their productivity and work enthusiasm for the organization.Therefore,an accurate understanding of their needs is a prerequisite for the implementation of effective motivation.In view of this,we conducted a questionnaire survey of incentive factors for young medical staff at a public hospital.This study aimed at analyzing different incentive factors among medical staff with different seniority and job categories as well as their differences,in an effort to provide references for fine human resource management and motivation implementation at public hospitals.

  3. Surgical and medical management of a uterine spindle cell tumor in an African hedgehog (Atelerix albiventris).

    Science.gov (United States)

    Done, Lisa B; Deem, Sharon L; Fiorello, Christine V

    2007-12-01

    A 5-yr-old female African hedgehog (Ateleris albiventris) presented with hematuria. Vulvar culture results revealed a 4+ growth of Enterococcus sp. and gamma-Streptococcus sp. susceptible to trimethoprim sulfa and enrofloxacin. Ultrasound evaluation of the abdomen revealed an unidentifiable tubular structure in the region of the reproductive tract. An exploratory laparotomy and ovariohysterectomy were performed. Pathologic studies of the uterus showed a uterine spindle cell tumor, uterine endometrial polyp, uterine adenomyosis, and a possible acute infarct resulting in uterine wall necrosis. Hematuria did not reoccur, and the hedgehog lived for another 19 mo until she died from an oral squamous cell carcinoma. To date, this is the first report of a uterine spindle cell tumor in an African hedgehog. PMID:18229871

  4. 公立医院医务人员离职情况与心理契约违背分析%Analysis of Resignation Status and Psychological Contract Violation in Med-ical Staff in the Public Hospital

    Institute of Scientific and Technical Information of China (English)

    刘晶; 李思茹

    2016-01-01

    Objective To study the measures of stabilizing the medical staff by exploring the resignation status and psycho-logical contract violation in medical staff in the public hospital. Methods 225 cases of resignation medical staff in some public hospital were selected as the objects and the resignation report was surveyed and analyzed by the psychological con-tract violation scale. Results The public hospital in our city, going abroad and foreign-capital hospital were the main places where the medical staff in the public hospital had gone, and there were obvious differences in the psychological contract vi-olation scores between the medical staff of different ages. Conclusion The public hospital should take systematical measures to improve the perception of performing the hospital’s duties of medical staff especially the young medical staff and reduce the occurrence of psychological contract violation.%目的:通过考察公立医院医务人员离职情况与心理契约违背现状,探讨稳定医务人员对策。方法以某公立医院225名离职医务人员为对象,采用心理契约违背量表调查并对离职报告分析。结果本市公立医院、出国、外资医院是公立医院医务人员的主要离职去向;不同年龄段的医务人员心理契约违背得分存在显著性差异。结论公立医院应采取系统措施改善医务人员特别是青年医务人员对医院履行职责的感知,减少其心理契约违背的发生。

  5. Strategies for Mobilizing Grassroots Medical Staffs' Occupation Enthusiasm during the New Health Care Reform%新医改实施中调动基层医务人员职业积极性的对策研究

    Institute of Scientific and Technical Information of China (English)

    杨萍; 徐玉梅

    2012-01-01

    通过对山东省潍坊市和东营市的部分基层医疗机构中医务人员的工作现状、职业积极性状况等问题进行调研,分析新医改实施过程中影响医务人员职业积极性发挥的因素,由此提出调动基层医务人员职业积极性的相关对策:职业认同——基层医务人员职业积极性发挥的源动力;改善待遇——基层医务人员职业积极性发挥的物质基础;合理的绩效考核制度——基层医务人员职业积极性的制度保证;社会宽容——基层医务人员职业积极性的社会环境支持.%Through ihe investigation on the current situation and the occupation initiative of medical staffs in Weifang City, Dongying city, this paper analyzed the factors affecting medical staffs'occupation enthusiasm during new health care reform implement and thus put forward the related strategies for mobilizing grassroots medical staffs 'occupation enthusiasm: occupation identity -the source of power to mobilize grassroots medical staffs'occupation enthusiasm; improved treatment - the material foundation to mobilize grassroots medical staffs'occupation enthusiasm; a reasonable performance appraisal system -the system security to mobilize grassroots medical staffs'occupation enthusiasm; social tolerance -the social environment support for mobilizing grassroots medical staffs'occupation enthusiasm.

  6. Condition and prevention of occupational exposure of medical staff%医务人员职业暴露现状分析及防护措施

    Institute of Scientific and Technical Information of China (English)

    孔令茹; 孔令俊; 李冰

    2011-01-01

    OBJECTIVE To investigate the condition and risk factor of occupational exposure of medical staff, and provide evidence for preventive strategies to medical staff. METHODS A retrospective investigation of the occuptional exposure status of medical staff in hospital in 2009 was made according to the report sheets of needle stick injuries and occupational exposures of 46 cases of medical staff. RESULTS Totally 46 cases occupational exposures were reported in 2009,30 cases were sharp injuries (65. 22%)and 16 cases were blood/body fluid exposures(34. 78%). Most of the occupational exposures populations were nurses (60. 87%) and doctors (32.61%). The sources of exposure was mainly Hepatitis B which accounted for 80. 00% in exposure sharp instrument. Dominant departments were general wards (65. 22%). Exposure links were mainly all kinds of puncture and injection(30.43%). The total annual expenditure was 11 417. 76 yuan in detection and treatment of occupational exposure, 248.21 yuan for each person. CONCLUSIONS It is effective for medical staff to strengthen the training and education, improve vocational safety awareness, standardize all of operating regulation, change adverse working habit, execute criteria prevention, strengthen immunization vaccination and perfect the monitoring system of occupational exposure.%目的 了解医院医务人员职业暴露发生的基本情况和危险因素,为制定职业暴露防护措施提供依据.方法 根据2009年全院报告的医务人员锐器伤和职业暴露报告单,分析医务人员发生职业暴露的基本情况和危险因素.结果 全年共报告职业暴露46人,其中锐器伤30人,占65.22%,血液/体液暴露16人,占34.78%;发生职业暴露以护士(60.87%)和医师(32.61%)为主;暴露源病种以乙型肝炎为最多,占锐器伤暴露源的80.00%;暴露地点主要发生在病房占65.22%;各暴露环节中以各种穿刺和注射所占比例最高占30.43%;全年共支出

  7. Effect analysis of influenza vaccination among medical staff%医务人员接种流感疫苗的效果分析

    Institute of Scientific and Technical Information of China (English)

    吴承菊; 郑修霞; 孙菲; 汤哲; 邢华; 杨洁

    2008-01-01

    目的 评价医务人员接种流感疫苗的效果.方法 选取134名在门诊和病房工作的接种过流感疫苗的医务人员作为接种组,选取人口学资料与之相匹配的未接种流感疫苗的135名医务人员作为对照组.在流感疫苗接种后的第3个月对接种组和对照组进行问卷调查.结果 接种疫苗后3个月内,接种组和对照组医务人员流感样疾病的发病率分别为11.2%和18.5%,流感疫苗的保护率为39.46%.接种组流感样疾病患者的平均病程为1.73d.对照组的平均病程为2.96d.接种组患者未服药、服用1种药物和服用2种以上药物的比例分别是46.7%、33.3%和20.0%;而对照组患者分别为32.0%、8.0%和60.0%.结论 接种流感疫苗对医务人员等职业高危人群具有一定的保护作用.%Objective The purpose d this investigation was to evaluate the effect d influenza vaccination among medical staff. Methods We chose 134 medical staff who worked in out-patient department and the wards and received influenza vaccination as the inoculation group, 135 medical staff who did not receive influenza vaccination as the non-inoculation group. Investigation with questionnaires was carried out in the two groups 3 months after vaccination. Results The incidence rate of influenza-like disease in the observation group and the control group was 11.2% and 18.5% respectively. The protective rate was 39.46%. The average illness process of influenza-like disease in the observation group and the control group was 1.73 days and 2.96 days. The percent of patients with no medication, one kind of drug medication and two kinds of drag medication was 46.7%, 33.3% and 20.0% in the observation group and 32.0%, 8.0% and 60.0% in the control group. Conclusion Influenza vaccination exerted protective effect for medical staff and other people at high risk of emergency.

  8. Research on Job Satisfaction Evaluation of Reserved Medical Staff%预留医务人员工作满意度评价研究

    Institute of Scientific and Technical Information of China (English)

    李丛双; 刘鹏; 陈晗; 于新; 栾婷婷; 王珊珊; 赵航

    2015-01-01

    在查阅大量相关文献的基础上,选择预留医务人员的满意度作为对象开展研究。首先探讨了预留医务人员在我国医疗体系中的特殊性和重要性,进而以长春市某三甲医院为研究背景,通过随机抽样的方法对该院2012年入院的296名预留医务人员开展工作满意度调查研究。通过对问卷的统计分析,建立了一套医务人员工作满意度的影响模型。并通过探讨工作满意度各要素在性别、年龄、科室等基本特征上的差异性,以及各要素之间的交互作用,进一步修订模型。本研究的结论对于探讨预留医务人员的满意度具有指导意义。%Based on numerous reading of relevant academic literatures,this study chooses the satisfaction of obligate medical staff as the obj ect.First,the study discusses the significance and the particularity in China′s medical system,and then uses a three level of first-class hospital of Changchun as the obj ect of our research,and conducts semi-structured interviews on 5 doctors by random sampling on 296 reserved medical staff,what′s more,establishes a series of influencing model by analyzing the answers of the questionnaires.In addition,this study uses questionnaire survey analysis method to analyze the data of the questionnaire,and then uses exploratory factor analysis method to determine the structure factors which affect the j ob satisfaction,and then tests the reliability and validity,and finally,analyzes whether there exists differences in basic characteristics such as gender,age and departments that affects the job satisfaction in this research,and to study the interaction between the various elements.The conclusion of this study to investigate the reserved has guiding significance for the satisfaction of obligate medical staff.

  9. 75 FR 28257 - Draft Guidance for Industry, Third Parties and Food and Drug Administration Staff; Medical Device...

    Science.gov (United States)

    2010-05-20

    ... Japanese Medical Device Ministry of Health, Labour and Welfare system. This notice of availability and... Program.'' It does not create or confer any rights for or on any person and does not operate to bind...

  10. HIV Stigma and Missed Medications in HIV-Positive People in Five African Countries

    OpenAIRE

    Greeff, Minrie; Dlamini, Priscilla S.; Wantland, Dean; Makoae, Lucy N.; Chirwa, Maureen; Kohi, Thecla W.; Naidoo, Joanne; Mullan, Joseph; Uys, Leana R; Holzemer, William L

    2009-01-01

    The availability of antiretroviral medications has transformed living with HIV infection into a manageable chronic illness, and high levels of adherence are necessary. Stigma has been identified as one reason for missing medication doses. The objective of this study was to explore the relationship between perceived HIV stigma and self-reported missed doses of antiretroviral medications in a 12-month, repeated measures cohort study conducted in Lesotho, Malawi, South Africa, Swaziland, and Tan...

  11. The Relationship between Organizational Citizenship Behavior and Performance of the Staff of Qazvin University of Medical Sciences and Health Services

    OpenAIRE

    Gholamreza Memarzadeh Tehran; Masoumeh Sadat Abtahi; Soheila Esmaeili

    2013-01-01

    More than two decades, the first organ and colleagues of OCB have been expressed through the words. The aim of this study was to investigate the relationship between organizational citizenship behavior and performance of employees of Qazvin University of Medical Sciences and Health Services. The population in this study has included some units to the Qazvin University of Medical Sciences. This study is a descriptive research method will be correlated. In analyzing the data, both descriptive a...

  12. Hospital Staff and Patient Recognition Toward Opening of Medical Services Market, and Factors in Selecting a Foreign Hospital

    OpenAIRE

    Ryu, Hyang Jin; Park, Eun Cheol; Sohn, Tae Yong; Yu, Seung Hum

    2007-01-01

    Purpose The objectives of this study are to compare the hospital employees' and patients' recognition and attitudes toward the opening of the medical services market, to analyze the differences between hospital employees and patients on the factors in selecting a foreign hospital. Materials and Methods This study collected and analyzed data using systematic questionnaires that were self-administered by employees and outpatients to compare their recognition of the opening of the medical servic...

  13. The Continuing Education Status of Medical Record Management Staff in Our Country%国内病案管理人员继续教育现状

    Institute of Scientific and Technical Information of China (English)

    吴颖娜

    2011-01-01

    continuing education for medical record management staffs; 3 The implementation and measures of continuing education were reviewed. To discuss how to carry out medical record continuing education effectively by health adm inistration departments and industry associations. So that the overall quality and operational capacity of medical record management staffs can be improved, strengthen and improve the medical record management continuing education, cultivate medical record managem ent team witt know ledge and structuring, Make sure the development of medical record management into a virtuous cycle state, so that can better serve the social and clinical.

  14. Cumulative Psychosocial and Medical Risk as Predictors of Early Infant Development and Parenting Stress in an African-American Preterm Sample

    Science.gov (United States)

    Candelaria, Margo A.; O'Connell, Melissa A.; Teti, Douglas M.

    2006-01-01

    The present study examined predictive linkages between cumulative psychosocial and medical risk, assessed neonatally, and infant development and parenting stress at 4 months of infant corrected age. Predominantly low-income, African-American mothers and their preterm infants served as participants. Cumulative psychosocial risk predicted early…

  15. African-American and Latina Women Seeking Public Health Services: Cultural Beliefs regarding Pregnancy, including Medication-taking Behavior

    Directory of Open Access Journals (Sweden)

    Luz Dalia Sanchez, MD, MCP, MHA, PhD

    2011-01-01

    Full Text Available Objective: to describe cultural beliefs and medication-taking-behavior about pregnancy in African-American and Latina women. Design: qualitative study using phenomenological methodology; face-to-face, semi structured interviews and focus group. Thematic analysis was done to obtain themes consistent with the research objective. Setting: Maricopa County, Arizona, Department of Public-health Programs, November 2008 through April 2009.Participants: women seeking public-health services in the greater Phoenix, Arizona.Results: fifteen adult women representing two ethnic groups (seven African-Americans and eight Latinas participated. Themes derived from the interview data included: “The Dilemma: To Become or Not to Become Pregnant;” “The Ideal Stress-free World: Support System;” “Changing Worlds: Wanting Dependency;” and “The Health care System: Disconnection from Pregnancy to Postpartum.”Conclusions: based on the cultural themes: 1. pregnancies were not planned; 2. healthy life-style changes were not likely to occur during pregnancy; 3. basic facts about the biology of sexual intercourse and pregnancy were not understood, and there was no usage of any preconceptional or prenatal medications; and 4. professional health care was not desired or considered necessary (except during delivery. These cultural beliefs can contribute to negative birth outcomes, and need to be considered by pharmacists and other health-care providers. The information gained from this study can guide the implementation of educational programs developed by pharmacists that are more sensitive to the cultural beliefs and points of view of these particular women. Such programs would thus be more likely to be favorably received and utilized.

  16. Influence of Different Working Modes on Medical Staffs%不同工作模式对医务人员职业精神的影响

    Institute of Scientific and Technical Information of China (English)

    于德华; 李建刚; 许树长; 黄红; 刘薇群; 董政军; 程卢山

    2013-01-01

    Objective To explore the differences of medical staffs under different working modes.Methods Making statistical analysis to nurses and doctors through interviews and questionnaires,with comparing "High Quality Nursing Service Project" and "Consistent Obstetrics" with traditional working mode.Results (1) Working modes have significant effects on enthusiasm and satisfaction of medical staffs.(2) Factors of employee satisfaction between staffs is different:nurses laying particular stress on the job itself,including working conditions improvement,work content diversification and work autonomy strengthening; doctors on their own development,including hospital policy,opportunities of promotion and rationality of distribution.(3) Working modes have no significant influence on employee engagement and job burnout,but some individual items for employee engagement have significant difference,and nurses and doctors are different.Conclusion The society should pay more attention to the influence on medical professionalism from the change of working mode in health reform.%目的 探讨不同工作模式下医务人员职业精神表现的差异.方法 以“优质护理服务工程”、产科“一贯制”工作模式和传统工作模式为基础,通过访谈法和问卷调查对护士和医生两个群体进行统计分析.结果 (1)工作模式对医务人员工作积极性变化和员工满意度有显著影响.(2)护士和医生员工满意度的原因各不相同:护士偏重工作本身方面,包括工作条件改善、工作内容多样和工作自主性增强;医生偏重自身发展方面,包括医院政策、晋升机会和绩效分配的合理性.(3)工作模式对医务人员工作敬业度和工作倦怠影响不显著,但是对工作敬业度中个别条目影响显著,并且护士和医生各不相同.结论 社会各界应重视医改中工作模式变化对医务人员职业精神产生的影响.

  17. Risk Factors of Osteoporosis in Medical Staff%医护人员骨质疏松症的危险因素

    Institute of Scientific and Technical Information of China (English)

    熊莺; 黄文杰; 李青

    2011-01-01

    目的 研究医护人员骨质疏松症发病的危险因素,为临床预防骨质疏松症提供依据.方法 选取245例经过确诊的60岁以上骨质疏松症人群,以及260例参加健康检查的无该疾病的医护人员;对研究对象进行问卷调查,最后采用logistic回归分析方法进行危险因素分析.结果 研究结果显示,性别、年龄、户外劳作、体育锻炼、饱食程度、服用钙剂、糖尿病史、甲状腺功能亢进(甲亢)史、骨折史以及绝经年龄均为骨质疏松症发病的危险因素.结论 医护人员预防骨质疏松症,应注意绝经前后钙水平,避免长期饱食,经常参加户外活动及体育锻炼,适当补充钙剂,及早治疗糖尿病、甲亢等,并保持身心健康.%[ Objective] To study the risk factors of osteoporosis in medical staff, provide basis for prevention of osteoporosis in clinic. [ Methods ] 245 patients who were diagnosed with osteoporosis and over 60 years old, and 260 medical staff who received health examination and without osteoporosis were collected. The questionnaire survey was performed among research objects, and the risk factors analysis was conducted by Logistic Regression Method. [ Results ] The sex, age, outdoor working, physical exercise, satiation level , calcium supplement, diabetes history, hyperthyroidism history , bone fracture history and menopause age were the risk factors of osteoporosis. [ Conclusion]In order to prevent osteoporosis, medical staff should pay attention to calcium level before and after menopause, avoid long-term satiation, take part in outdoor activity and physical exercise usually, take calcium supplement appropriately, cure the diabetes and hyperthyroidism early, and keep physical and mental health.

  18. 医护人员判断癌症患者濒死期的质性研究%Qualitative study on cancer patients agonal judge of medical staff

    Institute of Scientific and Technical Information of China (English)

    周茹珍; 王海霞; 周玲君; 赵继军

    2016-01-01

    目的 探讨医护人员从癌症患者哪些症状来判断其处于濒死期.方法 2015年5月采用焦点小组访谈法,共3组,每组5人,选择合适的时间、地点进行访谈.访谈围绕主题"如何判断晚期癌症患者处于濒死期",按照制订的访谈提纲进行.结果 通过内容分析得出濒死期患者常表现出以下方面:疼痛、"回光返照"、意识、呼吸方式、血液循环、出入量、功能状态7个方面的改变,以及医护人员凭直觉经验来判定患者处于濒死期.结论 医护人员对评估癌症患者濒死期有自己的质性认识,临终前部分症状的改变可为评估生存期提供参考.%Objective To explore what symptoms which the medical staff judged from determination of agonal symptoms in cancer patients. Methods Focus group interview was conducted by 3 groups, 5 people in each group in appropriate time and place at May 2015. The interview was conducted around the theme of"how to judge the advanced cancer patients in dying". Results Agonal patients often showed changes in 7 aspects by content analyzing included pain, "the last radiance of the setting sun", consciousness, breathing patterns, blood circulation, intake and output volume and functional status. Besides, the instinct and experience of medical staff was another determinant. Conclusions Medical staff members have their qualitative understanding on evaluating when cancer patients are agonal. Changes in some symptoms before death can provide references for evaluating survival time.

  19. 医学院校教职工脂肪肝横断面研究%Cross-sectional Survey of Fatty Liver Among Staff of a Medical College

    Institute of Scientific and Technical Information of China (English)

    陈超豪; 汪伟唯; 金杜娟; 谢婷; 李东霞; 陈建华; 郭怀兰

    2011-01-01

    Objective To investigate the prevalence rate of fatty liver among the staff of a medical college, to explore the influencing factors of fatty liver, and to provide a theoretical basis for the prevention of fatty liver. Method A crosssectional survey of physical examination results was conducted in the staff of a medical college. Results Data from 700 out of 715 staff members were analyzed. The prevalence rates of fatty liver in the overall staff, men, and women were 34.70%,43.80% and 26.30%, respectively. There were statistically significant differences in the prevalence rate of fatty liver among different age groups and between different genders. The results from the single factor analysis showed that the increasing of fasting blood glucose (FBG), serum total cholesterol I (TC), triglyceride (TG), blood serum uric acid (UA), low density lipoprotein cholesterol (LDL-C), hypertension and high body mass index (BMI) were the possible risk factors of fatty liver.The results from the Logistic regression analysis showed that sex, the increasing of TG, hypertension, the increasing of LDL -C, and high BMI were the possible risk factors of fatty liver and OR (95%CI) was 1. 576(1.055~2.354), 3.069(2.013~4.681), 1.877(1.124~3.136), 1.722(1.032~2.874) and 7. 275(4. 613~11. 475), respectively. Conclusions The prevalence rate of fatty liver in the staff members of the medical college was high. Fatty liver is closely related to BMI, TG,hypertension, LDL-C and sex.%目的 了解医学院校教职工脂肪肝患病率,探讨脂肪肝患病率的影响因素,为脂肪肝的防治提供理论依据.方法 收集该医学院校教职工体检结果,进行横断面调查.结果 体检人数715人,可用于分析700人,脂肪肝总患病率34.70%,男性为43.80%,女性为26.30%.不同年龄组、不同性别脂肪肝患病率差异有统计学意义;单因素分析显示,高空腹血糖(FBG)、高血清总胆固醇(TC)、高甘油三酯(TG)、高血压、高血尿

  20. The Comparison of Rapid E-Learning Approach and Traditional E-Learning in Staff In-Service Training in Tehran University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Seyd-Shohre Alavi

    2009-01-01

    Full Text Available Introduction: As there are few studies that compare rapid e-learning with traditional e-learning this study was carried out in Tehran University of Medical Science in 1387 in order to compare learning rate trainees satisfaction and the time consumed to develop training courses in these two approaches. Methods: In this interventional study 100 employees were assessed in two 50- staff groups by blocking randomization one group learned through traditional e-learning and the other by rapid e-learning. The traditional e-learning content development was based on waterfall instructional design by Macromedia flash software. The rapid e-learning content development was based on parallel process of three stages of analysis design and development by Adobe Presenter software. The data were collected by pre test post test final examination; self- report questionnaire of learning and questionnaire of trainees satisfaction. Results: There was no significant difference between pre test post test final examination scores and self report of learning of the two groups nor was there significant difference between satisfaction of content delivery method e-learning program and overall satisfaction in the two groups. The consumed time for developing the course in traditional and rapid e-learning approaches was 141 working days and 24 working days respectively. Conclusion: The staff learning and satisfaction were not different in these two e-learning approaches but the time needed for content development in rapid e-learning approach was much less compared to the other approach. Therefore it is recommended that rapid e-learning be used in electronic staff in-service training in universities.

  1. 77 FR 16036 - Guidance for Industry, Third Parties and Food and Drug Administration Staff; Medical Device ISO...

    Science.gov (United States)

    2012-03-19

    ... Australia Inspectorate; and the Japanese Ministry of Health, Labour and Welfare System for Medical Devices... Submission Program'' was published for comment in the Federal Register of May 20, 2010 (75 FR 28257... Submission Pilot Program.'' It does not create or confer any rights for or on any person and does not...

  2. Analysis of Medical Staff Smoking Status and Smoking Knowledge Attitude in Jilin Province%吉林省医务人员吸烟现况及知识态度分析

    Institute of Scientific and Technical Information of China (English)

    李琳; 张秀敏; 刘红箭; 李晶华; 王昕晔; 刘冰

    2013-01-01

    为了更好地了解吉林省医务人员的吸烟状况,为进一步开展控烟工作提供科学依据,对吉林省50家医疗机构的3787名医务人员进行问卷调查,调查结果显示,男性医务人员吸烟率较高;医务人员对烟草危害认识不全面,控烟意识较为薄弱.应加强对医务人员烟害知识等方面的培训,以改变其吸烟行为、提高控烟责任意识.%In order to have a better understanding of medical staff's smoking situation in Jilin Province,thus providing scientific basis for the future tobacco control work,three thousand seven hundred and eighty-seven medical staffs in fifty medical institutions in Jilin Province were selected to answer the questionnaire survey.A survey result shows that the smoking rate of medical staff was high.Medical stuffs do not have comprehensive understanding of the dangers of tobacco and tobacco control awareness seems to be weak.To change their smoking behaviors and improve the sense of responsibility for tobacco control,more relevant trainings on the dangers of tobacco are needed among medical staff.

  3. 论医务人员积极性与激励机制的应用%Application of Initiative and Inspiring Mechanism in Medical Staff

    Institute of Scientific and Technical Information of China (English)

    徐茂; 刘宏鸣; 李宇飞; 解放军第455医院医务处,上海200052

    2011-01-01

    介绍激励机制的原则、作用、方法;探讨多元激励机制在现代医院管理应用中的重要地位和策略;论述激励机在调动医务人员的积极性、激发工作热情,以及促进医院可持续发展中的作用与意义.%The article introduced the principle, function and method of inspiring mechanism, discussed the important role of multiple inspiring mechanism in modern hospital management. Additionally, the author the role and significance of inspiring mechanism in motivating the initiative and working passion of medical staff, so as to promote the sustainable development of the hospital.

  4. Survey of professional ethics observance degree among managers and staff of teaching hospitals of Shiraz University of Medical Sci

    Directory of Open Access Journals (Sweden)

    FARZAD MAHMOUDIAN

    2013-01-01

    Full Text Available Introduction: Professional ethics is a very important issue for managers who are role models for students and staff. It can also be very effective in organizational activities. The main objective of this research is to describe the result of managers’ self assessment in Shiraz teaching hospitals. Methods: The present research is a cross-sectional study. The statistical society of this research includes all senior, middle and executive managers of Nemazi, Faghihi and Chamran hospitals. Regarding the small volume of statistical society and advice of a statistical counselor, the census method was used. The data were gathered using questionnaires. Results: The result of this research showed that there was a significant association between managerial ethics and education levels but there wasn’t a significant association between average score of managerial ethics and the field of study, sex and age. Also the mean for managerial ethics was the highest in Faghihi hospital. Discussion: According to research findings and positive association between managerial ethics and education levels, observance of professional ethics is essential. So we can train managers to observe professional ethics more in their organizations in order to improve organizational efficacy.

  5. Evaluation of Students by Faculty Members and Educational Staff at Shahr-e-Kord University of Medical Sciences in 1386-87

    Directory of Open Access Journals (Sweden)

    M Delaram

    2008-01-01

    Full Text Available Introduction: Student evaluation is considered as one of the most important principles of educational planning. An effective evaluation not only plays an important role in discriminating among students, but also helps the instructor assess his own activities. Additionally, a suitable strategy for solving the problems of the educational program may be provided on the basis of evaluation. For this purpose, the method of students' evaluation by faculty members and educational staff was studied in Shar-e-Kord University of Medical Sciences in the academic year 1386-87. Method: This descriptive study was conducted on a total of 122 subjects derived from all the faculty members and educational staff at Shahr-e-Kord University of Medical Sciences in the academic year 1386-87. A researcher-made questionnaire was used to collect the required data. The validity of the questionnaire was established using expert opinion, and its reliability (r = .79 was approved by test-retest. The data were analyzed by descriptive statistics (mean, SD, and inferential statistics (Pearson correlation coefficient using the SPSS (p-value < 0.05. Results : The research findings showed that to evaluate students, 69.4 % of the educational units under study used the formative and summative tests, 16.2 % used just summative tests, and 14.4 % used pretest, diagnostic tests, formative tests, and summative tests. The most frequently used test formats were written tests and MCQs (multiple choice questions. Also, 88.3% of the studied units considered the summative exam as the most important evaluation criteria. Only 44.2% of the subjects used a lesson plan in their presentation and teaching, and 38.2% gave a midterm exam. There was a statistically significant correlation between the variables of "giving a midterm exam" and "the mean number of college credits taught", i.e., those who taught more credits, also gave more midterm exams (p-value < 0.05. Conclusion : The teaching method most

  6. 医务人员亚健康状态及其影响因素的研究%Suboptimal Health Status of Medical Staff and Its Influencing Factors

    Institute of Scientific and Technical Information of China (English)

    蒙世佼; 闫宇翔; 刘佑琴; 董晶; 宋曼殳; 王嵬

    2013-01-01

    目的 了解医务人员的亚健康状态及其影响因素.方法 以参加2012年度宣武医院本院健康体检的在职医务人员(年龄≥40岁)为研究对象,采用亚健康状态评价问卷(SHSQ-25)、哥本哈根社会心理问卷(COPSOQ)、生活压力量表(FSS)、简易应对方式问卷(SCSQ)及领悟社会支持量表(PSSS)作为研究工具,进行亚健康状态的调查.结果 2012年度健康体检人数为914人,共回收有效问卷797份,有效应答率为87.20%.医务人员的患病率为56.09%,亚健康率为14.30%.不同年龄、性别、文化程度、岗位类别、体育锻炼和吸烟情况者的健康状态分布间差异均有统计学意义(P<0.05).不同健康状态者在COPSOQ中积极因子、消极因子得分间差异均有统计学意义(P<0.05);在生活压力得分间差异有统计学意义(P<0.05);在SCSQ中消极应对得分间差异有统计学意义(P<0.05).Logistic回归结果显示,性别、文化程度、COPSOQ-消极二阶因子及FSS-生活压力为亚健康的主要影响因素.结论 应重视女性医务人员的亚健康;可以通过避免消极工作应激、缓解家庭生活压力、合理工作和保持轻松健康心态来预防与控制亚健康状态.%Objective To analyze epidemical condition of suboptimal health of medical staff and its influencing factors. Methods The epidemical survey on suboptimal health was conducted in medical staff aged 40 years old and above who participated in 2012 annual health medical examination from Xuanwu Hospital. The data were collected by using Suboptimal Health Status Questionnaires - 25 ( SHSQ - 25 ), Copenhagen Psychosocial Questionnaire ( COPSOQ ), Family Stress Scales ( FSS ), Simplified Coping Style Questionnaire ( SCSQ ) and Perceived Social Support Scale ( PSSS ) . The logistic regression analysis method was used to study influence factors of suboptimal health. Results Among 914 of the medical staff participated in 2012 annual health medical

  7. [Like Moses' staff: pathological inheritance as an argument for medical vigilance of consanguine marriage in Mexico, 1870-1900].

    Science.gov (United States)

    Soriano, Fabricio González

    2009-01-01

    This paper analyzes the discussions in the field of legal medicine in Mexico about the prudence of regulations concerning intermarriage that were decreed in the civil codes for the Federal District of 1871 and 1884. It shows that the heated debate forced the authors of the regulations to struggle for the need for medical vigilance of marriages between relatives, as a preventive measure sustained in a nihilistic vision of the pathological inheritance. The paper concludes by proposing a philosophical analysis that abandons the old fields of the "external" and the "internal".

  8. Job Burnout on Psychiatric Hospital Medical Staff%精神病专科医院医务人员职业倦怠现况调查

    Institute of Scientific and Technical Information of China (English)

    石锦娟; 吴强驹; 张超; 何长江; 王静; 黄旭华

    2016-01-01

    Objective:To investigate the job burnout of psychiatric medical staff,distribution and the influence of social support on job burnout,and provide a reference for prevention and control psychiatric job burnout among med-ical staff.Methods:Cluster sampling survey on 347 medical staff in Xi'an secondary and above psychiatric hospital through job burnout questionnaire and social support rating scale.Results:Emotional exhaustion scored(20.50±7.60) points,depersonalization scored(9.93±4.94)points,a sense of achievement lower scored(24.65±6.04)points.162 people had mild burnout,,accounting for 46.69%,131(37.75%)moderate burnout,42(12.10%)severe burnout.De-personalization dimension scores of male was higher than that of female(t=-2.99,P<0.05);Depersonalization di-mension score differences between each age group showed statistical significance(F=3.91,P<0.01).Emotional ex-haustion(F=3.49,P<0.01),depersonalization dimension(F=4.22,P<0.01)scores of nurses showed statistically significant with doctors and technicians.Obj ective support scores of doctors showed statistically significant with nur-ses and technicians(P<0.01).The three dimension of social support had negative correlation with depersonalization (r=-0.16~-0.22,P<0.01)and significantly positive correlation with a sense of achievement reduce(r=0.18~0.22,P<0.01).Conclusion:Job burnout among psychiatric medical staff is prominent,especially the male and the nursing staff,more social support is necessary to improve psychiatric medical staff job burnout situation.%目的:了解精神科医务人员的职业倦怠水平、分布情况和社会支持对职业倦怠的影响,为防控精神科医务人员职业倦怠提供参考资料.方法:通过对西安市二级及以上精神病专科医院347名医务人员整群抽样调查,采用工作倦怠问卷和社会支持评定量表测定医务人员的职业倦怠水平和获得的社会支持情况.结果:情感衰竭(20.50±7.60)分,人格解体(9.93±4.94)

  9. The Relationship between Organizational Citizenship Behavior and Performance of the Staff of Qazvin University of Medical Sciences and Health Services

    Directory of Open Access Journals (Sweden)

    Gholamreza Memarzadeh Tehran

    2013-09-01

    Full Text Available More than two decades, the first organ and colleagues of OCB have been expressed through the words. The aim of this study was to investigate the relationship between organizational citizenship behavior and performance of employees of Qazvin University of Medical Sciences and Health Services. The population in this study has included some units to the Qazvin University of Medical Sciences. This study is a descriptive research method will be correlated. In analyzing the data, both descriptive and inferential statistics were used. Descriptive statistics including frequency tables is the mean level of analytic structural equation modeling, confirmatory factor analysis (CFA and path analysis (Path Analysis is used. Software used for data analysis software package SPSS version 18 software package LISREL 8.54 version of Windows are. The results show that, in general purpose, due to the OCB altruism, work ethics, sportsmanship and civic behavior has increased the performance. So after, polite and considerate of OCB on employee performance was not affected. So over all research hypothesis is accepted.

  10. 医学模式转变与医护人员素质的提高%Changing Medical Mode and the Improving the Quality of Medical Staffs

    Institute of Scientific and Technical Information of China (English)

    潘德玲

    2000-01-01

    From biological medicine to biological-psychological-social medical is the result of modern civilization. Medical mode and thinkings should catch up with the development of cociety, only by realizing this, can we suit the development of modern medicine.%从生物医学向生物-心理-社会医学转变是现代文明的必然产物,医学模式与思维的变化也应与社会的进步与发展同步。认识这一转变的必然性,才能适应现代医学的发展。

  11. Central African Economic and Monetary Community; Staff Report on Common Policies of Member Countries; Public Information Notice on the Executive Board Discussion; and Statement by the Executive Director for the Central African Economic and Monetary Community

    OpenAIRE

    International Monetary Fund

    2012-01-01

    This paper discusses the common policies adopted by the members of the Central African Economic and Monetary Community (CEMAC). The macroeconomic performance was good in 2011 with improved fiscal balances, public investment programs, and higher reserves. However, CEMAC is facing challenges from deep-seated structural problems, including uncoordinated fiscal policy, financial sector weaknesses, and obstacles to growth and competitiveness. The Executive Board recommends monetary policies for fi...

  12. 2011年长沙市医院工作人员吸烟现况及相关知识调查%Survey on Smoking Status and Smoking Related Knowledge Among Medical Staff in Hospitals of Changsha in 2011

    Institute of Scientific and Technical Information of China (English)

    朱江; 胡劲松; 周婧瑜; 章希莹

    2012-01-01

    Objective To investigate the prevalence of smoking behavior and the smoking- related knowledge and attitude in medical staff of hospitals in Changsha, and to provide scientific evidence for making tobacco— free hospital policy. Methods Stratified random sampling and questionnaire survey were used to collect data among 1,000 medical staff members from 10 hospitals of Changsha from September to October 2011. Results The smoking rate of the medical staff was 24.0% , and the current smoking rate was 16. 8% . The daily tobacco consumption of smokers was 15.22. More than 60% smokers took their first cigarette within one — hour after getting up everyday. The second — hand smoke exposure rate of medical staff was 86. 3% . Only 13. 7% respondents declared that they were out of second - hand smoke. 79. 6% medical staff believed that smoking would lead to heart attack. 80-4% and 81 % medical staff believed that smoking would lead to stroke and impotence, respectively. Most of the medical staff were the .supporters for smoking- free hospital. But 32.8% medical staff still believed that smoking should be allowed in rest rooms of hospitals. Conclusions Smoking is a serious problem among male medical staff. Most of the medical staff arc the supporters for smoking— free hospital. But their smoking related knowledge should be improved. To emerge their role model in the tobacco control work, it is necessary to implement tobacco control training and to provide smoking cessation service for medical staff.%目的 了解长沙市医院工作人员的吸烟状况及相关认知与态度,为制定无烟医院政策提供科学依据. 方法 2011年9-10月,采用分层随机抽样方法抽取长沙市10所医院的1000名工作人员进行吸烟相关的问卷调查.结果 长沙市医院工作人员吸烟率为24.0%,现在吸烟率为16.8%,吸烟者日平均吸烟量为15.22支,60%以上吸烟者自称在起床后1h内吸第一根烟.医院工

  13. 1027名医务人员癌症疼痛知识及态度调查研究%The investigation of 1027 medical staff about knowledge grasping and attitude of cancer pain

    Institute of Scientific and Technical Information of China (English)

    Hong Qiu; Shiying Yu

    2007-01-01

    Objective: To get the message of knowledge and attitude about pain of the medical members from basic medical service sites by questionnaire investigation. To point out concrete directions for generalization and post-education of the three-tiered principles of analgesics treatment of WHO. Methods: We designed a questionnaire about cancer pain treatment.We used it to make inquire in 1040 medical staff from different medical agencies. SPSS software was used to analyze all data. Results: 1027 questionnaires were fit for data analysis. 91.4% of staff working in the primary medical agencies, 95.0%with professional title of assistant professor or lower title, and 83.7% younger than 50-year old. The data displayed that basic knowledge of cancer pain are poorly mastered. More than half investigates cannot evaluate the pain degrees correctly, and have many erroneous understandings about pain. Conclusion: The training of pain treatments for the medical staff working in primary medical agencies should be enhanced because of their poor grasping. Primary agencies should increase the varieties of analgesic drugs and change their attitude and conception of analgesic drugs administration.

  14. Research Situation on Job Bornout of Medical Staff%医护人员职业倦怠研究概况

    Institute of Scientific and Technical Information of China (English)

    张敏娜

    2012-01-01

    The theory of job burnout was proposed in the 20th century 70s.In China, research on job burnout started late, to which is not pay attention until the late 20th century. Medical staff as a group of high incidence of job burnout on whom the effect and damage shouldn't be indispensable. Therefore, to discuss the cause of job burnout and find the method of intervention, have become an important issue in the research of medical professional group.%职业倦怠理论的提出始于20世纪70年代,在我国,对职业倦怠的研究起步较晚,直到20世纪末才开始关注,医护人员作为职业倦怠的高发群体,职业倦怠对其影响及危害不容忽视.因此,探讨医护人员职业倦怠产生的原因,寻求干预职业倦怠的方法,已成为医疗职业群体研究中的重要问题.

  15. 危害基层医院医护人员职业健康的调查分析%Investigation and analysis of factors on the damaging occupational health of medical staffs in primary hospitals

    Institute of Scientific and Technical Information of China (English)

    吕秋玲

    2012-01-01

    Objective: To investigate and analyze the factors on influencing the occupational health of medical staffs in one primary hospital of Dongguan city, to find out the reasons on influencing the stress and satisfaction level of medical staffs. Methods: A questionnaire survey was conducted between the doctors and nurses in the department of clinical medical. In -dicators such as work stress and work satisfaction were investigated by the 5-grade Likert classification method. The results were analyzed to find out the reasons influencing the stress and satisfaction level of medical staffs. Results: the 201 medical staffs were selected from 9 departments, 82.58% expressed high work stress while only 4.48% were satisfied with work, indicated that medical staffs had high work risk and stress and low satisfaction. Conclusion: Clinical medical staffs contact various patients with fast-paced work and heavy workload everyday, and there are a large number of infection factors and adverse environmental factors in the ward every day, which inevitably cause harm to the medical staffs and influence their occupational health.%目的:针对东莞某基层医院医护人员职业健康的原因进行调查分析,寻找影响医护人员压力及满意水平的原因.方法:对临床医护人员所在科室的医生及护士进行问卷调查,工作压力、工作满意度等指标采用Likert 5级分类法,对调查结果分析影响医护人员压力及满意水平的原因.结果:通过选择9个科室201名医护人员调查,表示工作压力大的占82.58%,对工作很满意的占4.48%,反应了医护人员的工作风险和压力大,满意度低.结论:临床医护人员每天接触各种患者,工作节奏快、任务繁重,加之病区每天有大量感染因素、不良环境因素的存在,这不可避免地对医护人员造成危害,影响了医护人员的职业健康.

  16. 海南省儿科医务人员心理健康状况调查%Investigation of the Mental Health of Hainan Province's Pediatric Medical Staff

    Institute of Scientific and Technical Information of China (English)

    胡祥英; 何永平; 黄善文; 王开梅; 郑光强; 石霖

    2012-01-01

    Objective: To understand the state of mental health of pediatrics medical staff of Hainan province, and corresponding counter-measure. Methods; A total of 423 questionnaires were handed out to hospital pediatrics medical staff members with no history of mental disease from March 2011 to June 2011. The 405 questionnaires were recovered by adopting cluster sampling methods. Two questionnaires were adopted in the study: general condition questionnaires and the self-report symptom check list 90 ( SCL-90). Results: The pediatrics medical staff of Hainan province produced SCL-90 total score, total average score, positive scores, somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, terror, schizophrenia, which were higher than the Chinese national average. There were statistics difference between them (P<0. 05). The 119 (29.38%) medical staffs were regarded as having mental health problems. The symptoms that scored more than 2 points; obsessive-compulsive was first, 112 (27.65% ). Depression was second, 84 (20.74% ) ; somatization was third, 81 (20.00% ). Anxiety was fourth, 79 (19. 51% ). Comparing the SCL-90 scores in difference factors. There were significant differences in the all factor scores of SCL-90 between difference title (P<0. 05). There were significant differences in somatization, interpersonal sensitivity, anxiety between night shift ≥ 6 days/month and night shift ≤ 5 days/month, day shift(P<0. 05). There were significant differences in somatization, obsessive-compulsive, depression, terror, paranoid between 15 ~ 20 years and other four groups in work history (P<0. 05 ). There were significant differences in all factor scores of SCL-90 between third grade hospitals and other two grade hospitals (P<0.05 ). There were significant differences in factor score of obsessive-compulsive, interpersonal sensitivity, depression between head nurses and director of pediatric, general doctors (P<0.05). There were significant differences

  17. RICU医务人员手卫生依从性调查%Investigation of hand hygiene compliance of RICU medical staff

    Institute of Scientific and Technical Information of China (English)

    张祖莉; 段敏; 刘雨村

    2014-01-01

    OBJECTIVE To investigate the implementation and the main influential factors of hand hygiene in the respiratory intensive care unit (RICU), and analyze the feasibility of the intensive education and continuous super‐vision to improve hand hygiene compliance and the qualified rate of the medical staff so as to provide reference for clinical treatment .METHODS A continuous undercover investigation of hand hygiene compliance and qualified rate was conducted among the RICU medical staff during Feb .-Jul .2012 .The specific intensive education of hand hygiene knowledge was given to the 101 staff who did not implement hand hygiene .The changes in the hand hy‐giene compliance rate in the 6 months were compared with the software SPSS16 .0 .RESULTS The hand hygiene compliance rate of clinicians, nurses, attendants, respiratory therapists was 71 .3%, 84 .5%, 70 .5%, 54 .2%respectively .The main influential factor was the lack of the awareness of the necessity and importance of hand hy‐giene, and some staff thought wearing gloves can replace hand‐washing and were afraid of the impairment of rapid hand sanitizers to the skin .Through the intensive education and the continuous supervision, the compliance rate were improved significantly from initially 60 .7% to 85 .1% (P<0 .05) .CONCLUSION Continuing intensive edu‐cation and supervision of hand hygiene played a great part in improving the hand hygiene compliance rate .%目的:调查呼吸重症监护病房(RIC U )医务人员手卫生执行情况及主要影响因素,探讨针对性手卫生强化教育和持续监管提高医务人员手卫生依从性和合格率,为预防交叉感染提供参考依据。方法调查分析2012年2-7月通过持续暗访RIC U医务人员手卫生依从性和合格率,对未执行手卫生的101名医务人员进行针对性强化教育,比较6个月内医务人员手卫生依从率变化,采用SPSS16.0软件进行分析。结果临床医

  18. Survey on Awareness on Recent Health Care Reform in Medical Staff and Patients of Shaanxi%陕西医患双方对新医改认知的调查

    Institute of Scientific and Technical Information of China (English)

    李全义; 师社会; 王明旭

    2012-01-01

    目的 了解医患双方对新医改的感受和认知,分析其影响因素.方法采用问卷调查的方法.结果 医患双方在学历和职称两方面存在显著性差异(x2=25.74,P<0.01)、(x=104.74,P<0.01),但在收入上无差异(x2=8.60,P>0.05).医患双方分别有8.12%和27.61%的人不知道我国目前已稚行新医改,医务人员对新医改的认识主要来自于工作经历(89.68%),公众的认知主要来自于亲身感受(81.40%)和家人、亲戚朋友口口相传(14.65%).医务人员关心的是个人收入变化(48.56%)和医疗环境改善(40.61%),公众更在意医保报销比例(37.20%)和医药费用降低(25.08%).与医改前相比,医患双方均认为“看病难、看病责”问题有所缓解,但问题依然存在.个人收入变化是形成医方对医改认知的最主要因素(P<0.01),而医保参加情况则是影响公众对医改认知的重要原因(P<0.01).结论 陕西医患双方对新医改认识不同;个人收入变化、医保参加情况是影响医患双方对新医改认知的因素.%Objective; To survey the awareness and feeling about the recent health care reform in medical staff and patients, and analyze the influencing factors. Methods: Questionnaires method was used in this study. Re-SliltS; There was significant difference between medical staff and patients in educational background and technical title(x2 =25.74,P 0. 05 ). 8. 12% of medical staff and 27. 61% of patients did not know the new health care reform. The cognition of medical staff on new health care reform mainly came work experience (89. 68% ). For the patients, it mainly came from personal feeling ( 81. 40% ) and hearing from families and friends (14. 65% ). Most of medical staff concerned about personal incomes (48. 56% ) and the improvement of medical environment (40. 61% ). The public concerned about the proportion of medical compensation(37. 20% ) and reduction of medical costs(25.08% ). Comparing with before

  19. Staff Association

    CERN Multimedia

    Staff Association

    2014-01-01

    Remove of the staff association office   The Staff Association offices are going to be renovated during the coming four months, February to May 2014. The physical move from our current premises 64/R-002 to our temporary office in  510/R-010 will take place on Friday January 31st, so the Secretariat will be closed on that day. Hence, from Monday February 3rd until the end of May 2014 the Staff Association Secretariat will be located in 510/R-010 (entrance just across the CERN Printshop).    

  20. 肿瘤科医护人员对晚期肿瘤患者实施预先指示的质性研究%Attitudes of Oncology Medical Staffs on Advance Directives for Advanced Cancer Patients: a Qualitative Study

    Institute of Scientific and Technical Information of China (English)

    王丽英; 胡雁; 陆箴琦; 顾文英

    2011-01-01

    The research was to explore the attitudes of oncology medical staffs on advance directives (AD) for advancedcancer patients. 8 oncology medical staffs selected by purposive sampling participated in the semi - structure interviews.Three themes were extracted from the attitudes of oncology medical staffs towards AD: accepting and demanding it; beingdifficult to carry it out j being possible to try it out with some countermeasures. Although there are still some difficulties,oncology medical staffs support AD in general. And the implementation of AD in mainland of China needs a long time oflocalization.%探讨肿瘤科医护人员对晚期肿瘤患者实施预先指示(advance directives,AD)的态度.使用目的抽样法对8位肿瘤科医护人员进行半结构式访谈.结果显示,肿瘤科医护人员对实施AD的态度可归纳为:(1)认可并有需求;(2)具体实施仍有一定困难;(3)可尝试应用但需一定对策.因此,肿瘤科医护人员总体非常支持AD的实施,但具体应用还需一定时期的本土化过程.

  1. Investigation of current status of sharp instrument injuries in 1320 medical staff%1320名医务人员锐器伤现状调查分析

    Institute of Scientific and Technical Information of China (English)

    田青; 吕婕; 李蕾

    2012-01-01

    目的 对医务人员锐器伤情况进行回顾性调查,以期对锐器伤的预防和处理提供指导.方法 采用复旦大学附属中山医院设计的调查问卷,对1320名医务人员在2011年8月1 -31日的锐器伤发生情况进行调查.结果 共发放1320份问卷,均为有效问卷;27名医务人员发生锐器伤,其中护士22人,占81.48%,为锐器伤发生的主要人群,锐器伤发生场地主要在普通病房,占45.71%,造成锐器伤发生的医疗器械主要是一次性注射器,占54.29%,造成锐器伤的发生时机主要为补液配置,占51.43%;有68.86%的被调查者参加过培训,仅有8.57%的伤者报告了锐器伤.结论护士是锐器伤发生的高危人群,应加强重点部门锐器伤的防护培训;锐器伤的发生率较高,但是上报率较低;发布与宣传血源性职业暴露的防护指南十分关键.%OBJECTIVE To survey the current situation of the sharp instrument injuries in clinical staff, and to provide scientific evidence for the prevention and treatment of sharp instrument injuries. METHODS A total of 1320 medical staff were surveyed during 1st Aug to 31st Aug, 2011 on sharp injuries with the questionnaires designed by Zhongshan Hospital Affiliated to Fudan University. RESULTS All the 1320 distributed questionnaires were valid;there 27 medical staff who suffered the sharp instrument injuries, including 22 nurses (81. 48%); injured; and the general ward was ranked as the highest risk department for sharp injuries(45. 71%); the disposable syringes (54. 29%) were the major medical equipments which caused sharp injuries. Drug reconstitution(51. 43%) was the key link where the sharp injuries occurred. There were 68. 86% of the respondents who had ever attended the related training, and only 8. 57% of the injured respondents reported their sharp injuries. CONCLUSIONS The nurses are the population at high risk of sharp injuries; the training about the prevention of sharp injuries in key

  2. Hypertension, Periodontal Disease, and Potassium Intake in Nonsmoking, Nondrinker African Women on No Medication

    Directory of Open Access Journals (Sweden)

    Masashi Yamori

    2011-01-01

    Full Text Available The purpose of this cross-sectional study was to investigate the association of periodontitis and/or tooth loss with hypertension by excluding the common confounders. Eighty-one Tanzanian women who were aged 46–58 years, nonsmokers, nonalcoholic drinkers, and on no medication underwent clinical examination. Multiple-regression analysis showed that the severity of periodontitis was significantly correlated with increased systolic blood pressure and diastolic blood pressure. Simple-regression analysis indicated that the severity of periodontitis was inversely correlated with 24-hour urinary excretion of potassium (r=-0.579, P=0.0004 and also inversely with the frequency of intakes of green vegetables (r=-0.232, P=0.031 and fruits (r=-0.217, P=0.0043. Low-potassium intake in the diet mostly accompanied by low dietary fiber intake increases BP as well as periodontal inflammation. Potassium intake may be an important factor linking periodontitis and hypertension in middle-aged nonsmoking and nonalcoholic women on no medication, although chronic inflammation such as periodontitis may cause hypertension through a more direct mechanism.

  3. Chronic disease risk factors, healthy days and medical claims in South African employees presenting for health risk screening

    Directory of Open Access Journals (Sweden)

    Kolbe-Alexander Tracy L

    2008-07-01

    Full Text Available Abstract Background Non-communicable diseases (NCD accounts for more than a third (37% of all deaths in South Africa. However, this burden of disease can be reduced by addressing risk factors. The aim of this study was to determine the health and risk profile of South African employees presenting for health risk assessments and to measure their readiness to change and improve lifestyle behaviour. Methods Employees (n = 1954 from 18 companies were invited to take part in a wellness day, which included a health-risk assessment. Self-reported health behaviour and health status was recorded. Clinical measures included cholesterol finger-prick test, blood pressure and Body Mass Index (BMI. Health-related age was calculated using an algorithm incorporating the relative risk for all case mortality associated with smoking, physical activity, fruit and vegetable intake, BMI and cholesterol. Medical claims data were obtained from the health insurer. Results The mean percentage of participation was 26% (n = 1954 and ranged from 4% in transport to 81% in the consulting sector. Health-related age (38.5 ± 12.9 years was significantly higher than chronological age (34.9 ± 10.3 yrs (p Conclusion SA employees' health and lifestyle habits are placing them at increased risk for NCD's, suggesting that they may develop NCD's earlier than expected. Inter-sectoral differences for health-related age might provide insight into those companies which have the greatest need for interventions, and may also assist in predicting future medical expenditure. This study underscores the importance of determining the health and risk status of employees which could assist in identifying the appropriate interventions to reduce the risk of NCD's among employees.

  4. NICU staff

    Science.gov (United States)

    ... your infant in the neonatal intensive care unit (NICU). The staff often includes the following: ALLIED HEALTH ... involved in your baby's care while in the NICU, it is the neonatologist who determines and coordinates ...

  5. Problems of communicative competence in multi-cultural medical encounters in South African health services.

    Science.gov (United States)

    Grant, T

    2006-11-01

    Research in health communication shows communicative competence to be an important aspect of successful health-care. Definitions of competence involve more than the participants, however; the position and status of these participants in terms of the medical hierarchy and accepted paradigm, the language of choice, educational levels and a host of other variables affect relationships and perceptions of competence. This article grapples with a number of issues that impact on communicative competence in the health-care professions, given the multi-lingual and -cultural society within South Africa as well as emerging shifts that foreground this debate. In particular, the thorny question around language use, the hegemonies of the past regarding a dominant lingua franca and subsequent issues involving translation and interpretation are discussed.

  6. Problems of communicative competence in multi-cultural medical encounters in South African health services.

    Science.gov (United States)

    Grant, T

    2006-11-01

    Research in health communication shows communicative competence to be an important aspect of successful health-care. Definitions of competence involve more than the participants, however; the position and status of these participants in terms of the medical hierarchy and accepted paradigm, the language of choice, educational levels and a host of other variables affect relationships and perceptions of competence. This article grapples with a number of issues that impact on communicative competence in the health-care professions, given the multi-lingual and -cultural society within South Africa as well as emerging shifts that foreground this debate. In particular, the thorny question around language use, the hegemonies of the past regarding a dominant lingua franca and subsequent issues involving translation and interpretation are discussed. PMID:17310745

  7. 医务人员服务现状的调查与分析%An Investigation and analysis of the status quo of the medical staff services

    Institute of Scientific and Technical Information of China (English)

    柯山; 李顺民; 杨曙东

    2015-01-01

    目的::调查深圳市中医院医患关系的现状、医德医风现状和医务人员服务意识等情况。方法:2013年9月在深圳市中医院对患者采取面对面和电话访问的方式完成1555份样本调查,对医务人员采取自填问卷调查的方式完成695份样本调查,调查人员以亲身体验的方式完成12份样本调查。结果:调查发现导致医患关系紧张的主要原因是医疗纠纷的处理机制不健全、媒体报道不当、医院的管理制度不到位等因素,而医护人员的服务态度、医护人员的责任心不强也是影响医患关系的重要因素;深圳市中医院的医务人员对患者的服务意识较强,但在医患沟通方面仍有待提升;医院医务人员总体满意度为69.74分,介于一般满意和比较满意之间;患者总体满意度为82.88分,距离患者的期望值还有一定差距。结论:深圳市中医院的平均日诊量较大,医务人员数量不能满足工作需要,同时管理制度的落实有待加强;应加强对医护人员的沟通技巧培训,一线医务人员的服务规范、服务效率有待提高;在医院管理的细节方面应加强制度建设和完善服务措施。%Purpose To make an overall investigation concerning currently running doctor-patients relationship, doctor’s ethics and ethos, as well as staff’s consciousness of service in Shenzhen Chinese Medicine Hospital. Investigation Starting in Sep of 2013, an investigation was expanded in Shenzhen Chinese Medicine Hospital. 1555 patients separately submitted their questionnaires through a face-to-face or phone call interview, and 695 people among medical staff fulfilled their answer forms in a self-administered way. Besides, there are 12 questionnaires done by investigators personally according to their self-experience.Outcome The survey explains an unharmonious relationship between doctor and patient is most likely to be caused by several

  8. Demographic, medical and visual aspects of Dia- betic Retinopathy (DR and Diabetic Macular Edema (DME in South African diabetic patients*

    Directory of Open Access Journals (Sweden)

    Anusha Y. Sukha

    2009-12-01

    interactions (p = 0.01 and emotional re-action to vision loss (p = 0.018 was reported in subjects with DME.Conclusion: This study has identified possible demographic, medical and visual risk factors of DR and DME in South African diabetic patients.  

  9. 建立公立医院医务人员薪酬制度的研究∗%Study on Salary System Establishment for Medical Staff in Public Hospitals

    Institute of Scientific and Technical Information of China (English)

    黄亚新; 徐长江; 丁强; 吴伟; 王丹; 潘晨; 朱卫华

    2015-01-01

    为进一步深化公立医院改革,充分调动医务人员积极性和创造性,建立符合医疗行业特点的公立医院医务人员薪酬制度非常重要。笔者提出,应合理确定医务人员薪酬总体水平、薪酬结构,完善各类人员分配机制,建立公立医院工资总额备案和动态增长机制,健全补偿机制。%Public hospital reform is the key link in deepening the reform of the pharmaceutical and health care sys-tem,and medical staff in public hospitals is the main force participating in the reform. It is significant to establish the salary system of medical staff conforming to the characteristics of medical industry in public hospitals in order to further deepen the reform in public hospitals and fully stimulate the enthusiasm and creativity of the broad masses of medical workers. Therefore,the authors put forward to determine rationally the overall level of medical staff salary,compensation structure, improve allocation mechanism of all kinds of personnel,establish the system of the total payroll in records and perfect com-pensation mechanism.

  10. Comparison between the results of academic staff self assessment and those made by the students, Faculty of Medicine, Mazandaran University of Medical Sciences, 2006.

    OpenAIRE

    H.M.Jafari; K.Vahidshahi; M. Kosaryan; Mahmoodi, M

    2007-01-01

    Abstract Background and purpose: Educational evaluation is a structured process for determination of quality and effectivness of an educational program. Of the most common and studied methods used for evaluation of academic staff is evaluation by students, however, "self-assessment" of the academic staff has not been videly used and there are few studies about it. So the purpose of this study was to assess the correlation between the results of the academic staff "self assessment" and assessm...

  11. Prevention of occupational exposure to medical staff%医务人员职业暴露调查分析与预防

    Institute of Scientific and Technical Information of China (English)

    王金贤; 杨利亚

    2012-01-01

    OBJECTIVE To understand the current status of occupational exposure to medical staff, and explore the countermeasures. METHODS The surveillance was carried out by using monitoring and control system of nosocomial infections of Beijing center for quality control and improvement of nosocomial infections, and the data were statistically analyzed. RESULTS From Aug. 2005 to Feb. 2011, a total of 86 cases of occupational exposures were monitored. The sharp injuries were the major exposure, accounting for 93. 02%; blood-borne exposure source accounted for 55. 81%; the exposure mostly distributed in the nurse, accounting for 60. 47%; the distribution of the exposure in departments were as the following: department of surgery 29. 07%, department of medicine 26. 74% I the incidence of the occupational exposure to medical personnels with low seniority was 55. 81% I the exposure most frequently occurred in the wards and operating rooms, accounting for 48. 84% and 23.25%, respectively; the syringe needles and scalp acupuncture were the exposure sources, accounting for 27. 91% and 23. 25%, respectively; the disposal of the used sharp instruments was the most frequent cause of occupational exposure, accounting for 25. 58%, followed by pulling of the needles (24. 42%). CONCLUSION Nursing staff and medical personnel with low seniority are the groups at high-risk of occupational exposure; it is necessary to strengthen the training and the management in key departments, establish and make the standardized management system for occupational exposure so as to reduce the hazards of occupational exposures.%目的 了解医务人员职业暴露现况,探讨防范对策.方法 利用北京市医院感染管理质量控制和改进中心“医院感染监控管理系统”开展监测,并对数据进行分析.结果 2005年8月-2011年2月共监测到86名医务人员职业暴露情况,暴露种类以锐器伤为主,占93.02%;血源性暴露源占55.81%;职业分布以护士为主,占60

  12. Analysis of improving hand hygiene compliance among medical staff of NICU%提高 NICU 医务人员手卫生依从性研究

    Institute of Scientific and Technical Information of China (English)

    付宏; 聂勋梅; 陈泽芬

    2015-01-01

    目的:探讨提高新生儿重症监护病房(N IC U )医务人员手卫生依从性的有效干预措施。方法选择医院N IC U 20名医务人员为研究对象,通过采取改善手卫生设施,提供教育与培训方案,营造手卫生氛围,加强手卫生管理与督导等干预措施,以2013年7月1日-12月31日为干预后,2012年7月1日-12月31日为干预前,观察比较干预前后医务人员手卫生依从率、自我评价手卫生执行力度得分及每天每床洗手液消耗量。结果 N IC U医务人员手卫生依从率干预后为96.08%、干预前为64.98%,差异有统计学意义( P<0.001);自我评价手卫生执行力度得分干预后为(23.72±1.46)分、干预前为(20.36±1.55)分,差异有统计学意义( P<0.001);每床洗手液消耗量干预后为40.04 ml/d、干预前为20.27 ml/d。结论通过执行干预措施对提高NICU医务人员的手卫生依从性有效可行。%OBJECTIVE To discuss the effective interventions that can improve compliance of hand hygiene among medical staff of NICU .METHODS Totally 20 medical personnel in the NICU of Chongqing Jiangjin District Cen‐tral Hospital were chosen as the research objects .Multiple interventions were applied ,such as improving hand hy‐giene facilities ,providing education and training programs ,creating the atmosphere of hand hygiene to supervise and improve hand hygiene .The Hand hygiene behaviors and hand sanitizer used from Jul .1 ,2013 to Dec .31 , 2013 were regarded as observation group .The Hand hygiene behaviors and hand sanitizer used from Jul .1 ,2012 to Dec .31 ,2012 were treated as control group .The hand hygiene compliance rate ,self‐evaluation scores about performing hand hygiene and the consumption of hand sanitizer of the two groups were observed and compared . RESULTS The rate of NICU medical staff hand hygiene compliance after the intervention was 96 .08% ,and the rate

  13. Survey on the infection rate of tuberculosis among medical staffs of the institutions for province tuberculosis prevention and control%1486名结防机构医务人员结核病感染现状调查

    Institute of Scientific and Technical Information of China (English)

    郝宝林; 刘占峰; 邢进; 马丽萍

    2014-01-01

    Objective To study the infection rate of tuberculosis among medical staffs of the institutions for tuberculosis prevention and control. Methods Cross-sectional study was adopted, Randomly selected 40 counties from 109 counties and all municipal TB control institutions (18), all medical staffs in these institutions received PPD skin test examination. Results 1 486 medical staffs received PPD skin test, the positive rate was 66.1%. Of which resident physicians、outpa-tient physicians、hospital cares、radiation workers、supervisors were 75.9%、75.3%、74.6%、72.3%、71.8%,respec-tively. Using Chi-square test, the medical staffs of the PPD skin test positive rate and strong positive rate were signifi-cantly higher than the non-medical staffs. Conclustions Infection control in this Province TB control institutions was weak, the medical staffs had a high vocational TB exposure risk.%目的:了解河南省结核病防治机构不同岗位医务人员结核病感染现状。方法于2005年1月从该省18个地市和109个县中随机抽取40个县,对抽取的58个结核病防治机构的所有在职医务人员作为调查对象;进行PPD皮试检查。结果1486名医务人员接受了PPD皮试检查,阳性率为66.1%,其中住院医生(75.9%)、门诊医生(75.3%)、住院护理(74.6%)、放射人员(72.3%)、督导医生(71.8%)。经x2检验,PPD皮试阳性率与强阳性率医务人员均明显高于非医务人员。结论该省结防工作人员结核病感染率较高,应加强医务人员的感染控制工作。

  14. Monitoring and intervention of occupation exposure in 75 medical staffs%75例医务人员职业暴露监测及干预

    Institute of Scientific and Technical Information of China (English)

    廖秀英; 朱本淑; 李泉

    2014-01-01

    目的:回顾性分析75例医务人员发生职业暴露的相关因素,探讨有效干预对策。方法采用回顾性分析,监测2012年1月至2013年12月2年来,全院医务人员职业暴露发生情况。结果75例医务人员职业暴露中,护理人员职业暴露发生率最高,占81.33%,医师次之,占13.33%;发生职业暴露的主要科室为肿瘤血液肾内科占17.33%,其次为普外科14.67%、神经内科13.33%;职业暴露的主要环节为操作后用物整理占37.33%,其次为拔针占21.33%;职业暴露的主要器具为注射器针头占37.67%,其次为输液器针头占37.33%;职业暴露源前三位分别是不明源、病原体阴性和乙型肝炎(48.00%、36.00%和12.00%);经过及时的伤口处理、预防用药、按时随访,75例职业暴露人员无一例发生感染。结论通过完善职业暴露管理体系、建全职业安全防护制度、加强培训、提高全员职业安全意识、改善护理人力不足和规范操作流程等,是减少医务人员职业暴露的有效措施和手段。%Objective To retrospectively analyze the factors associated with the occurrence of occupation exposure in 75 medical workers,and to explore the effective intervention countermeasures.Methods The occurrence situation of the whole staff occupation exposure from January 2012 to December 2013 was retrospectively analyzed.Results In 75 medical personnel of occupation expo-sure,the nursing staff had the highest occurrence rate of occupation exposure,accounting for 81.33%,followed by doctors,account-ing for 13.33%;The major departments with the occupation exposure occurrence were the oncology,hematology and nephrology, accouting for 17.33%,followed by the general surgery(14.67%)and neurology(13.33%);the main links of occupation exposure were the used items settling after operating,accounting for 37.67%,followed by withdrawal of infusion needle,accounting for 37. 33%;the

  15. 重庆市合川区医护人员心理健康状况分析%Analysis of Mental Health of Medical Staff in Hechuan District of Chongqing

    Institute of Scientific and Technical Information of China (English)

    李海华; 胡振龙; 尹欢; 陈甜; 梁洪涛; 张燕

    2015-01-01

    Objective:To investigate the mental health states of medical staff in Hechuan district of Chongqing. Method:Totally 570 medical staff were enrolled for Symptom Checklist 90 (SCL-90) test. The subjects with SCL-90 score >160 were considered as under abnormal psychological health. The total score of SCL-90, as well as the scores of somatization, obsession,sensitivity to personal relationship, depression, anxiety, hostility, dread, paranoid-ideation and psychotics, was computed and compared with statistic methods.Result:The results showed that the rate of medical staff was 18.95% (108/570), while for the clinical nurses, clinicians, medical staff in the district units and in town units, the rates of abnormal health were estimated to be 23.20% (58/250), 15.63% (50/320), 25.60% (75/293) and 11.91% (33/277) respectively. The scores of multiple factors were obviously different between the medical staff in this district and the national norm. The SCL-90 scores of the medical staff in the district units showed a marked higher than those in town units(P0.05).Conclusion:The mental health status of the medical staff were in a poor state in the district. The medical staff in the district units had more psychological problems than those in the town units; clinical nurses were in worse mental health states compared to clinicians.%目的:调查重庆市合川区医护人员的心理健康状况。方法:以重庆市合川区570名医护人员为研究对象,应用症状自评量表(SCL-90)调查,以SCL-90总分>160分为心理症状阳性,并在躯体化、强迫、人际关系、抑郁、焦虑、敌对性、恐怖、偏执、精神病性9项因子及总均分等方面进行统计分析。结果:心理症状阳性的比例:医护人员18.95%(108/570);临床护士23.20%(58/250),临床医生15.63%(50/320);区级卫生单位医护人员25.60%(75/293),卫生院医护人员11.91%(33/277)。该地区医护人员SCL-90多项因子分与中

  16. The Effective Ways to Improve Information Literacy of Medical Staffs under Information Environment%信息环境下提升医务人员信息素养的有效途径

    Institute of Scientific and Technical Information of China (English)

    朱蓉

    2012-01-01

    The paper depicts the connotation of information literacy, aiming at the status of information literacy of medical staffs, it points out the urgency of improving information literacy of medical staffs, discusses the effective ways under information environment, in- eluding stepping up publicity, cuhivating information capability, enriching collection resources, constructing network platform, improving literacy of librarians, etc.%阐述信息素养的内涵,针对医务人员信息素养现状,提出提高信息素养的紧迫性,探讨信息环境下提升医务人员信息素养的有效途径,包括加强宣传力度、培养信息能力、丰富馆藏资源、构建网络平台、提升馆员素质等方面。

  17. Investigation and Analysis of Associated Factors of Chronic Constipation in Medical Staff in Shanghai%上海地区医务人员慢性便秘调查及其相关因素分析

    Institute of Scientific and Technical Information of China (English)

    袁春英; 袁蕙芸

    2015-01-01

    Background:With the increase in pace and pressure of modern life,the aging of population,the change in dietary pattern and the challenge of social psychological problems,the overall prevalence of chronic constipation is increasing in general population in recent decades. Aims:To investigate the prevalence and associated factors of chronic constipation in medical staff. Methods:A total of 1 000 medical staffs were enrolled at random in Shanghai Ren Ji Hospital for fulfilling a questionnaire on associated factors of chronic constipation. Diagnosis of chronic constipation met the Rome Ⅲ criteria. Chi-square test and Logistic regression model analysis were performed to screen the potential risk factors for chronic constipation. The statistically significant variables revealed by chi-square test were taken into the Logistic regression model. Results:Nine hundred and eighty-six medical staffs completed the questionnaire,of them 115 were diagnosed as chronic constipation with a prevalence of 11. 7% . Multivariate Logistic regression analysis revealed that reading/ playing cell phone when defecation,working pressure,anxiety,and depression were the risk factors,which might increase the prevalence of chronic constipation;while regular life style,regular diet,drinking water,and regular bowel movement were the protective factors,which might decrease the prevalence of chronic constipation. Conclusions:Chronic constipation is prevalent in medical staff in Shanghai. Psychological factors,dietary pattern and life style,etc. are considered to be implicated in the pathogenesis of chronic constipation. Favorable life style,dietary pattern,bowel habit and mental status are associated with the reduced risk of chronic constipation.

  18. Risk factors of low back pains in medical staff of endoscopy room%内镜室医务人员腰背痛危险因素的调查研究

    Institute of Scientific and Technical Information of China (English)

    祝静雯; 盛小燕; 蔡文智; 王莉慧; 龙爱华; 曹文静; 王丽

    2012-01-01

    目的 了解内镜室医务人员腰背痛的发生现状及其影响因素.方法 采用一般资料调查表、腰背痛危险因素调查表、改良Oswestry腰背痛调查量表对广州市7家医院内镜室115名医务人员进行调查.结果 内镜室医务人员腰背痛发生率为45.2%.站立时间大于4h、职业伤害定期上报和精神高度紧张是腰背痛发生的主要因素.结论 内镜室医务人员腰背痛发生率较高,应提高人文关怀,建立安全工作环境等以预防内镜室医务人员腰背痛的发生.%Objective To study the risk factors of low back pains in medical staff of endoscopy room. Method 115 medical staff from the endoscopy rooms of 7 hospitals in Guangzhou were involved in the survey by the General Data Questionnaire, the Risk Factors for Low Back Pains and the improved Oswestry Low Back Pain Questionnaire. Results The incidence of low back pain in the medical staff of the endoscopy rooms was 45.2%. The risk factors were more than 4 hours standing, regular reporting of occupational injuries and intensified nervousness at work. Conclusions The incidence of low back pains in the medical staff of the endoscopy rooms is at a higher level. Such measures should be taken to improve humane care and build safe work settings to prevent their low back pains.

  19. Reduction of levels of radiation exposure over patients and medical staff by using additional filters of copper and aluminum on the outputs of X-ray tubes in hemodynamic equipment

    International Nuclear Information System (INIS)

    Radioprotection in hemodynamic services is extremely important. Decrease of total exposition time, better positioning of medical staff in the room, use of individual and collective protection equipment and shorter distance between the patient and the image intensifier tube are, among others, some ways to reduce the levels of radiation. It is noted that these possible forms of reducing the radiation exposition varies depending on the medical staff. Hence, the purpose of the present paper is to reduce such levels of radiation exposition in a way apart from medical staffs. It is proposed, therefore, the use of additional filters on the output of the X-ray tube in three hemodynamic equipment from different generations: detector with a flat panel of amorphous selenium, image intensifier tube with charge coupled device, and image intensifier tube with video camera. In order to quantify the quality of the images generated, a simulator made of aluminum plates and other devices was set up, so it was possible to measure and compare the acquired images. Methods of images analysis (threshold, histogram, 3D surface) were used to measure the signal/noise ratio, the spatial resolution, the contrast and the definition of the signal area, thus doubts regarding the analysis of the images among observers (inter-observers) and even for a single observer (intra-observer) can be avoided. Ionization chambers were also used in order to quantify the doses of radiation that penetrated the skin of the patients with and without the use of the filters. In all cases was found an arrangement of filters that combines quality of the images with a significant reduction of the levels of exposure to ionizing radiation, concerning both the patient and the medical staff. (author)

  20. 军队医务人员生活事件、焦虑水平及与工作满意度的关系%Life Events, Anxiety Level and Job Satisfaction for Medical Staffs in Military

    Institute of Scientific and Technical Information of China (English)

    张莹; 陈铖; 段家怀; 郭立新; 肖水源

    2012-01-01

    目的:了解军队医务人员群体的应激现状和主要来源及其与工作满意度的关系.方法:对驻某地区的3家军队中心医院的300名医务人员(现役军人)进行调查,采用生活事件量表、军人心理应激自评问卷等为测量工具.结果:军队医务人员应激的主要来源为工作学习事件,焦虑水平和生活事件对工作满意度有显著的预测力.结论:减少军队医务人员生活事件,降低其焦虑水平,能有效提高其工作满意度.%Objective: To investigate the status of occupational stress and its effects on job satisfaction for military medical staffs. Methods: 300 medical staffs in three military hospitals were selected as subjects. The Life Event Scale (LES) was applied to investigate the occupational stress, Military Psychological Stress Self-evaluation Test(PSET) was used to investigate the stress level, and the level of job satisfaction were measured by a simple self-assessing scale of 0-10 scores. Results: The work and study-event is the main source of the stress for military medical staffs, anxiety level and life events had predicting power to job satisfaction. Conclusion: Military hospital medical staff can improve their job satisfaction by reducing the anxiety level and life events.

  1. Towards Promoting An African Medical System: A critique of government responses to claims of a cure for HIV/AIDS in Nigeria, 1986-2007

    Directory of Open Access Journals (Sweden)

    S. B. Amusa

    2013-05-01

    Full Text Available The HIV/AIDS epidemic has been described as the greatest health challenge of our era. Aside from Highly Active Antiretroviral Treatment (HAART, the virus has defied any other form of permanent cure or disease control. The continents of Africa and Asia are the worst-hit areas by the scourge of the pandemic. Yet in Africa, there have been claims of HIV/AIDS being cured by African indigenous medical practitioners. Our paper examines the official responses of the Federal Government of Nigeria to such claims. We will examine the emergence and national responses to the epidemic in Nigeria and assess the government’s contempt for the efforts of indigenous medical practitioners in the quest for a viable cure. We conclude by asserting that until African governments realize, recognize and appropriate indigenous medical achievements into mainstream health strategy and policy, Africa will not only remain at the periphery of global health systems but will also continue to be ravaged by HIV/AIDS.

  2. Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era

    Directory of Open Access Journals (Sweden)

    Wang HF

    2015-03-01

    top type of error regarding administration route, but it continuously decreased from 64 (first half-year of 2012 to 27 (first half-year of 2014. More experienced registered nurses made fewer medication errors. The number of MAEs in surgical wards was twice that in medicinal wards. Compared with non-intensive care units, the intensive care units exhibited higher occurrence rates of MAEs (1.81% versus 0.24%, P<0.001. Conclusion: A 3-and-a-half-year intervention program on MAEs was confirmed to be effective. MAEs made by nursing staff can be reduced, but cannot be eliminated. The depth, breadth, and efficiency of multidiscipline collaboration among physicians, pharmacists, nurses, information engineers, and hospital administrators are pivotal to safety in medication administration. JCI accreditation may help health systems enhance the awareness and ability to prevent MAEs and achieve successful quality improvements. Keywords: medication administration, medication errors, nurse, quality improvements

  3. Investigation and analysis on pain management knowledge and attitude of orthopedic medical staffs%骨科医务人员疼痛管理知识和态度调查分析

    Institute of Scientific and Technical Information of China (English)

    刘娜

    2016-01-01

    Objective To investigate and analyze the level of pain management knowledge and attitude in or-thopedic medical staffs .Methods Totully 58 orthopedic medical staffs were selected and investigated by self-ques-tionnaire ,then the level of pain management knowledge and attitude were analyzed and the corresponding interven-tional countermeasures were provided .Results The assessment score of pain management knowledge and attitude were set as the dependent variables ,and gender ,age ,work experience ,marital status ,professional title and education as the independent variables ,the multiple stepwise regression analysis was performed .The results showed that age , work experience ,professional title and education degree were the influence factors of pain management knowledge and attitude in the orthopedic medical staffs (P< 0 .05) .Conclusion In the treatment process of orthopedic patients ,the differences of pain management knowledge and attitude levels exist in different levels of medical staffs .The medical institution should formulate the corresponding interventional measures according to the individual differences of medi-cal staffs for promoting the level of pain management knowledge and attitude .%目的:探讨骨科医务人员疼痛管理知识和态度水平。方法采用骨科医务人员疼痛管理知识和态度调查表,选取58名骨科医务人员进行调查,分析疼痛管理知识和态度水平并提出相应的干预对策。结果以骨科医务人员疼痛管理知识和态度评估得分为应变量,以医务人员性别、年龄、工作年限、婚姻状况、职称、教育程度为自变量进行回归分析,结果显示年龄、工作年限、职称、教育程度均是骨科医务人员疼痛管理知识和态度影响因素(P<0.05)。结论在骨科患者治疗过程中,不同层次医务人员疼痛管理知识和态度水平存在差异,医疗机构应根据医务人员的个体差异制订相应的干预对策

  4. Status Survey on Knowledge of Medical Staff's Carrying Out Psychological Intervention for the Wounded after Disasters%灾后医护人员对伤员实施心理干预知识的现状调查

    Institute of Scientific and Technical Information of China (English)

    张焕芳; 李红玉; 员庆博

    2012-01-01

    目的 了解灾后医护人员对伤员实施心理干预知识的掌握情况.方法 采用整群抽样法,抽取辽宁省锦州市三甲医院、成都市三甲医院在岗医护人员392名,自行设计问卷调查医护人员对伤员进行心理干预知识的掌握情况.结果不同地区医院、是否主动为伤员提供过心理帮助、是否参加过心理干预培训的医护人员问卷得分比较,差异均有统计学意义(P<0.05);参加过心理干预培训的医护人员与没有参加过心理干预培训的医护人员问卷各纬度(急性应激障碍、慢性创伤性应激障碍、自杀)得分比较,差异有统计学意义(P<0.05).结论医护人员心理干预意识较差,灾害救援经验不足,应加强对医护人员的灾后伤员心理干预知识的教育.%Objective To survey the knowledge of medical staff on carrying out psychological intervention for the wounded after disaster. Methods The cluster sampling taken for recruiting 392 on - the -job medical staff from 3A - graded hospital in Jinzhou city of Liaoning province and Chengdu city. A self - designed questionnaire survey was conducted about their knowledge on carrying out psychological intervention for the wounded after disaster. Results The scores of the medical staff from hospitals of different regions about whether they had initially offered the psychological help to the wounded, and whether they participated in the training on knowledge of psychological intervention showed statistically significant difference ( P < 0. 05 ); and the scores of various dimensions ( acute stress disorder, chronic stress disorder, and suicide ) of the medical staff who had participated the training on knowledge of psychological intervention showed statistically significant differences as compared with those of the medical staff who had not ( P <0. 05 ) . Conclusion The medical personnel have poorer psychological intervention consciousness and lack experience in disaster relief, so they

  5. The Analysis of Correlated Factors of Mental Stress on 498 Medical Staff%498名医务人员心理应激相关影响因素分析

    Institute of Scientific and Technical Information of China (English)

    王晓妹; 王章泽; 江燕; 王校

    2012-01-01

    目的 探讨医务人员心理应激的相关因素.方法 采用整体随机抽样的方法选取498名医务人员为调查对象,运用自编个人基本信息调查表、症状自评量表、团体用心理社会应激调查表等工具对其进行问卷调查.应用Pearson与Spearman相关分析和二分类Logistic回归分析等统计方法进行分析.结果 医务人员心理应激水平与性别、年龄、学历、医院级别、职业工种、职称、SCL-90总分及各因子分之间呈显著相关关系;Logistic回归分析显示,有统计学意义的变量包括职称、恐怖、精神病性.结论 医务人员心理应激受年龄、医院级别、职称、恐怖、精神病性的影响,为了提高医务人员心理应激适应能力,应将上述因素纳入医疗应激管理体系之中.%Objectives To explore the correlated factors of mental stress of the medical staff. Methods This research used basic personal information questionnaire, symptom checklist 90 (SCL-90) and psychosocial stress survey for group (PSSG) to survey 498 medical staff. Results The mental stress levels of the medical staff were significantly correlated to gender, age, education, hospital-level, professional types of work, professional title, SCL-90 total score and it's sub-factors; The logistic regression showed that age, hospital-level, professional title, phobia and psychosis had statistical significance. Conclusions Factors such as age, hospital-level, professional title, phobi-a and psychosis can influence the mental stress of medical staff, and in order to improve mental stress adaptability of medical staff, we should brought these factors into stress management system of medical affairs.

  6. The Study of the Relationship between Depressive Symptoms and Occupational Stress of the Medical Staff%医护人员抑郁症状与职业紧张的关系研究

    Institute of Scientific and Technical Information of China (English)

    文凯; 洪文刚

    2015-01-01

    目的:研究医护人员抑郁症状与职业紧张的关系。方法:采用调查问卷分析758例医护人员在性别、年龄、婚姻状况、教育程度、职务、夜班情况、每周工作时间、福利待遇满意度及医患关系等方面的差异性,采用Logistic回归分析医护人员抑郁症状与职业紧张之间的关系。结果:758例医护人员中共有422例出现抑郁症状,抑郁症状检出率为55.67%,经单因素分析,医护人员在年龄、婚姻状况、职务、夜班情况、每周工作时间、福利待遇满意度及医患关系等方面比较差异有统计学意义(P<0.05);经Logistic回归分析,高付出-高回报、低付出-低回报、高付出-低回报均与抑郁症状均具有密切相关性,差异有统计学意义(P<0.05),且紧张程度越高,对抑郁症状的释放率越大。结论:医护人员抑郁症状与职业紧张之间存在着紧密联系,制订有效防治措施可明显降低医护人员精神抑郁症状的发生率,提高医疗工作效率和减少医疗纠纷事件的发生例数。%Objective: To study the relationship of between depressive symptoms and occupational stress of the medical staff.Method: The differences of the gender, age, marital status, education level, job, night shift situation, weekly working hours, welfare satisfaction and doctor-patient relationship of 758 cases of medical staff were compared by questionnaire analysis. The relationship of medical staff between depressive symptoms and occupational stress was analyzed by Logistic regression analysis.Result:422 cases among the 758 cases of medical staff showed depressive symptoms, and the detection rate of depressive symptoms was 55.67%. There were significant differences in medical staff among the age, marital status, position, the night shift, weekly working hours, welfare satisfaction and doctor-patient relationship by the single factor analysis, the differences were statistically

  7. An investigation of social support and mental health status on medical staff from different level hospitals%不同级别医院工作人员社会支持与心理卫生状况调查

    Institute of Scientific and Technical Information of China (English)

    胡海萍; 张少觐

    2012-01-01

    Objective: To study the social support and the menial health status on medical staff from different level hospitals, and analyze the relationship between the social support and menial health status. Methods: Five hundred medical workers were surveyed with the Social Support Rating Sheet( SRRS) and Symptom Checklist(SCL-90 ) questionnaire. Results: There were significantly differences about social supports in various dmensions between medical staffs with different ages, marital status and job title in hospital (P 0. 05 ). There were significantly differences about the SRRS and other factors scores between the hospital staffs fkm different level hospitals( P 0.05);不同级别医院工作人员SRRS总分和各因子分差异有统计学意义(P<0.01);SRRS总分、客观支持分、对支持的利用度多数与SCL-90的总分和各因子分呈负相关(P<0.01).结论:不同级别医院工作人员制定心理疏导方案时应充分考虑社会支持对其心理健康的影响作用.

  8. Differences of Cognition on Doctor-patient Relationship Between Medical Staff and Patients%医患双方对医患关系的认知差异研究

    Institute of Scientific and Technical Information of China (English)

    沈婉婉; 鲍勇

    2015-01-01

    目的:了解医患双方对医患关系的认知差异,为构建和谐的医患关系提供针对性的政策建议。方法根据地域和经济发展水平,选取上海、武汉及合肥3个城市为调查现场;采用单纯随机抽样,在每个城市分别选取二、三级医疗机构各1家;采用整群随机抽样方法选取医务人员1300名和患者1500名为调查对象。于2014年7—10月,采用现场问卷调查的方法,调查问卷内容主要为医患双方的一般情况、对医患关系的认知情况。回收医务人员有效问卷1172份、患者有效问卷1390份,有效回收率分别为90.2%和92.7%。结果医务人员认为医患关系的紧张度高于患者,医患双方对医患关系总体状况的认知间差异有统计学意义( P<0.05)。对于医患关系的影响因素,患者认同率排名前三位的依次是服务态度、医疗环境、医德医风;医务人员认同率排名前三位的依次是服务流程、服务态度、医疗环境;双方认同率最低的都是文化教育。除医疗环境、收费价格外,医患双方对医患关系影响因素的认同率间差异有统计学意义( P<0.05)。结论医患双方对医患关系的认知存在差异,客观评价和充分重视医患双方的认知差异性是建立和谐医患关系的基础;建议建立健全的医疗体制,优化医疗环境;加强医方职业修养,提高患方文化素质;加强医患沟通,提高服务水平。%Objective To investigate the differences of cognition on doctor-patient relationship between medical staff and patients and put forward corresponding policy recommendations on how to construct a harmonious doctor - patient relationship. Methods Based on regional representativeness and economic level,we selected Shanghai,Wuhan and Hefei to conduct the investigation. Using simple random sampling method,we selected a first-grade medical setting and a third-grade medical setting from each

  9. The Causes and Countermeasures for High Complaint Rate in Young Medical Staff%青年医务人员被投诉率高的成因及对策

    Institute of Scientific and Technical Information of China (English)

    徐萍

    2016-01-01

    Young medical staff are vital force in hospital development and represent the future of medical industry. Due to their thoughts, personalities, experiences, etc., they are apt to have conflicts with patients and become the subject of complaints about medical services. The hospital managers attach great importance to this situation and plan to help young medical staff achieve three "improvement" through three "innovations", so as to reduce the complaints about medical services effectively.%青年医务人员是医院发展的生力军,也是医疗事业的未来。由于思想、个性、经验等原因,青年医务人员易与患者发生冲突,成为医疗服务投诉的对象。医院管理者对此应高度重视,要通过三个“创新”,帮助青年医务人员实现三个“提高”,有效减少医疗服务投诉。

  10. 武警部队医院医务人员心理健康状况调查%Investigations on the psychological health condition among medical staffs of armed police hospital

    Institute of Scientific and Technical Information of China (English)

    方爱清

    2013-01-01

    Objective To survey the psychological health condition among medical staffs of armed police hospital .Methods Assessments were conducted with the Symptom Checklist-90 (SCL-90) in 162 medical staffs on service from armed police hospital .Results Their total mean and each factor score of the SCL-90 were significantly lower compared with soldier ’s and national norm (P<0 .01) ,the detection rate of posi-tive symptoms was 17 .28% ;the total mean ,somatization ,obsession ,depression ,anxiety ,paranoia and psychotic score were significantly higher in administrators than general medical staffs (P<0 .05);the total mean ,somatization ,anxiety ,hostility ,paranoia and psychotic score were significantly higher in staffs with high title than one with primary (P<0 .05 or 0 .01) and so were paranoia and psychotic than ones with middle (P<0 .05) .Conclusion The general psychological health condition among medical staffs on service of armed police hospital is better ,but attention should be paid to psychological health condition of administrators and staffs with high title .%目的了解武警部队医院医务人员的心理健康状况。方法对162名武警部队医院现役医务人员应用症状自评量表进行测评分析。结果入组医务人员症状自评量表总均分及各因子分均显著低于军人常模及全国常模( P<0.01),阳性症状检出率为17.28%;科室管理人员总均分及躯体化、强迫、抑郁、焦虑、偏执、精神病性因子分显著高于普通医务人员(P<0.05);高级职称医务人员总均分及躯体化、焦虑、敌对、偏执、精神病性因子分显著高于初级( P<0.05或0.01),偏执、精神病性因子分显著高于中级(P<0.05)。结论武警部队医院现役医务人员整体心理健康状况良好,但应关注科室管理人员及高职称医务人员的心理健康状况。

  11. 医院医务人员业务技术档案的建立及意义%The Establishment and Significance of the Hospital Medical Staff Business Technology Archives

    Institute of Scientific and Technical Information of China (English)

    於海燕; 沈康

    2015-01-01

    医疗单位的业务技术人员在长期的医疗活动、卫生工作和科研实践的过程中积累了大量的业务资料,这些资料能够全面地展现医务人员的个人业务发展过程,是医务人员的学术水平、业务能力以及工作业绩的主要凭证,能够直观地反映本单位医疗技术所处水平。建立健全医务人员业务技术档案管理工作,有利于增强医务人员的整体医疗能力和医疗素质,推动我国医疗队伍的整体建设和发展。%Medical units of the business and technical personnel accumulated a large number of business information in the process of long-term medical treatment activity, health work and scientific research practice. These data can fully show per-sonal business development process for the medical staff', They were main documents of the academic level, business skills, and performance which can reflect the unit medical technology level intuitively. It will be beneficial to strengthen the whole medical ability and quality of the medical staff, promote the overall construction and development of our medical team by establish and improve the medical personnel business technology file management.

  12. 监狱警察和精神科医护人员职业倦怠调查分析%Analysis on Work Related Fatigue among Prison Police and Mental Medical Staffs

    Institute of Scientific and Technical Information of China (English)

    谢家玲; 潘奎琼; 刘世华

    2012-01-01

    Objective To investigate the work related fatigue among prison police and mental medical staffs; to compare the social support between two groups; to develop specific intervention strategies in the future. Methods The Chinese Maslach Burnout Inventory (CMBI) and the Social Support Rating Scale (SSRS) were applied to 100 prison police and 100 mental medical staffs respectively. Their status of work related fatigue and relevant social support were analyzed accordingly. Results 1) The level of fatigue among prison police was higher than mental medical staffs (P0.05); 3) The level of social support in the prison police was higher than that in the mental medical staffs (P< 0.05). Conclusion Both prison police and mental medical staffs were vulnerable to suffering from fatigue. However, the details and relevant social support between these two groups were different. Active intervention should be taken for different occupation.%目的 了解监狱警察及精神科医护人员在职业倦怠、社会支持情况上的异同,以期制定针对性的干预措施. 方法 采用职业倦怠问卷-中文版(Chinese Maslach Burnout Inventory,CMBI)和社会支持评定量表(Social Support Rating Scale,SSRS),分别对某精神病院医护人员和某男监狱的警察各100人,进行工作倦怠及社会支持的调查. 结果 (1)监狱警察的倦怠程度高于医护人员(P<0.05);(2)监狱警察的耗竭、人格解体高于医护人员(P<0.05),而成就感降低在两组间差异无统计学意义(p>0.05);(3)监狱警察的社会支持高于医护人员(P<0.05). 结论 监狱警察和医护人员都容易产生职业倦怠,但具体表现和获得的社会支持不同,应积极、有针对性地采取有效干预措施,以改善不同职业群体的职业倦怠.

  13. 医护人员传染性非典型肺炎患者心理状况分析%Psychological analysis for the medical staff suffering from severe acute respiratory syndrome

    Institute of Scientific and Technical Information of China (English)

    孙红; 任霞

    2004-01-01

    stress to human beings. In this crisis, medical staff were in highly psychological stressing state as fighting against SARS.Correlations among SARS, psychology and pathology etc. have been being investigated. What is the function of psychological factors on medical staff with SARS?OBJECTIVE: To understand the function of psychological factors on medical staff suffering from SARS, and provide objective evidences for making practical psychological intervention plan during medical care process for medical staff and SARS patients.DESIGN: Sampling investigation.SETTING:Department of Medical psychology, Capital University of Medical Sciences.PARTICIPANTS: Totally 35 medical staff with SASR were diagnosed and hospitalized. They were selected from the medical staff who had working in Beijing You' an Hospital from April 2003 to June 2003 and contacting with SASR parients directly more than 60 hours.INTERVENTIONS: Objective and significance of test were explained to the subjects by trained doctors. General condition questionnaire edited by ourselves, Symptom Checklist(SCL-90), Eysenck Personality Questionnaire (EPQ), and self-edited cognitive questionnaire were filled in by the subjects.self-confidence and emotional state.RESULTS: Scores of six factors in SCL-90 nine factors, or somatization,obsession, interpersonal sensitivity, depression, anxiety and phobia of sick medical staff were higher than those of healthy medical staff; and differences was significant( t = - 3.06 to 11.65, all P < 0. 01). Personality style had no direct relationship to SARS, and scores of psychoticism, introvertion and extrovertion, neuroticism and covering tendency in EPQ of SARS group and control group had no significance( t = - 1.50 to 1.17, all P > 0.05) .Differences of cognition, self-confidence and emotional state between the two groups were significant (x2 =6.01, 16. 83,16.67, P < 0. 05 -0. 01).CONCLUSION: The medical staff suffering from SARS had improper psychological state. The irrational

  14. Analysis of job satisfaction and determinants among medical staff of a county hospital in Guangxi%广西县级综合性医院医务人员工作满意度及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    侯佳乐; 孔巍; 吴雁鸣; 李志建; 曹剑涛; 马进

    2013-01-01

    目的 调查广西县级综合性医院医务人员的工作满意度,并分析其影响因素.方法 采用随机抽样方法对广西壮族自治区武鸣县人民医院的250名医务人员进行工作满意度调查.问卷内容包括被调查者的性别、年龄、职别、职称、工作年限、文化程度、年收入和培训情况等,工作满意度评价涉及从事专业、工作环境、医疗仪器设备、收入报酬、绩效考核制度、职务晋升机会、培训/进修机会、机构制度实施效果、医患关系以及社会地位等维度.采用描述性分析、t检验和方差分析、非条件Logistic回归分析医务人员的工作满意度及其影响因素.结果 该县级医院医务人员对工作的总体满意度为2.80分,满意率为65.0%,属于比较不满意.医师、护士、医技人员是满意度总体评价的负面影响因素,医师和医技人员与其他人员比较差异有统计学意义,接受过培训人员与未接受过培训人员比较差异有统计学意义.结论 该县级医院的医务人员对收入报酬、医患关系和社会地位并不满意,建议建立公平、透明、合理的分配制度,推行有效措施改善医患关系,提高医务人员的社会地位.%Objective To investigate the job satisfaction of medical staff in a county hospital of Guangxi,and analyse the determinants.Methods A total of 250 medical staff were randomly selected from Wuming County Hospital in Guangxi for survey on job satisfaction.The questionnaire included the basic characteristics such as gender,age,occupational category,professional title,education,duration of working,annual income and training status,and the evaluation on job satisfaction concerned with occupational category,working condition,medical equipment,income,performance evaluation system,promotion opportunity,opportunity for training,effect of measures,doctor-patient relationship and social status.Descriptive analysis,t test,variance analysis and non

  15. Cognition and attitude of medical staff from a city on workplace violence%某市医务人员对工作场所暴力及应对的认知和态度

    Institute of Scientific and Technical Information of China (English)

    李磊; 冯晓蕾; 吴留广; 姚武; 王威

    2015-01-01

    目的:调查某市2家综合医院医务人员对工作场所暴力及应对的认知和态度。方法采用自制调查表调查医务人员对工作场所暴力及应对的认知和态度。结果28.0%的调查对象以前没有听说过“工作场所暴力”,96.9%的调查对象认为护士应进行包含预防工作场所暴力内容的岗前培训,并且愿意参加这种培训。调查对象认为预防或减少工作场所暴力发生的措施依次为传媒正确导向(86.5%);倡导尊重医务工作者,改善服务态度(86.1%);提高人际沟通技能,进行针对性培训,加强暴力应对能力(78.6%)。结论医院应为医务工作者创造支持性的环境,传媒正确导向,倡导尊重医务工作者、改善服务态度,进行针对性地培训,提升医务人员的沟通交际能力和工作场所暴力的应对能力。%Objective To investigate the status of cognition and attitude of medical staff from 2 general hospitals in a city on workplace violence. Methods The status of cognition and attitude to workplace violence of medical staff were investigated by ap-plying homemade questionnaire. Results 28. 0% of medical staff had never heard of workplace violence. 96. 9% of medical staff thought the content of job training should include the prevention strategies of workplace violence. Medical staff thought the main strategies to prevent or reduce workplace violence were correct media guidance(86. 5% );respect to medical staff,impro-ving the service attitude(86. 1% );improving the skill of communication,strengthening ability of dealing with workplace violence (78. 6% ). Conclusion Hospital should create a more supportive and safer working environment for prevention of workplace vi-olence. The main strategies to prevent or reduce workplace violence include correct media guidance and respect to medical staff, improving the service attitude and the skill of communication,strengthening ability of

  16. Cognition and attitude of medical staff from a city on workplace violence%某市医务人员对工作场所暴力及应对的认知和态度

    Institute of Scientific and Technical Information of China (English)

    李磊; 冯晓蕾; 吴留广; 姚武; 王威

    2015-01-01

    Objective To investigate the status of cognition and attitude of medical staff from 2 general hospitals in a city on workplace violence. Methods The status of cognition and attitude to workplace violence of medical staff were investigated by ap-plying homemade questionnaire. Results 28. 0% of medical staff had never heard of workplace violence. 96. 9% of medical staff thought the content of job training should include the prevention strategies of workplace violence. Medical staff thought the main strategies to prevent or reduce workplace violence were correct media guidance(86. 5% );respect to medical staff,impro-ving the service attitude(86. 1% );improving the skill of communication,strengthening ability of dealing with workplace violence (78. 6% ). Conclusion Hospital should create a more supportive and safer working environment for prevention of workplace vi-olence. The main strategies to prevent or reduce workplace violence include correct media guidance and respect to medical staff, improving the service attitude and the skill of communication,strengthening ability of dealing with workplace violence.%目的:调查某市2家综合医院医务人员对工作场所暴力及应对的认知和态度。方法采用自制调查表调查医务人员对工作场所暴力及应对的认知和态度。结果28.0%的调查对象以前没有听说过“工作场所暴力”,96.9%的调查对象认为护士应进行包含预防工作场所暴力内容的岗前培训,并且愿意参加这种培训。调查对象认为预防或减少工作场所暴力发生的措施依次为传媒正确导向(86.5%);倡导尊重医务工作者,改善服务态度(86.1%);提高人际沟通技能,进行针对性培训,加强暴力应对能力(78.6%)。结论医院应为医务工作者创造支持性的环境,传媒正确导向,倡导尊重医务工作者、改善服务态度,进行针对性地培训,提升医务人员的沟通交际能力和工作场所暴力的应对能力。

  17. Excessive daytime sleepiness and adherence to antihypertensive medications among Blacks: analysis of the counseling African Americans to control hypertension (CAATCH trial

    Directory of Open Access Journals (Sweden)

    Williams NJ

    2014-03-01

    Full Text Available Natasha J Williams,1 Girardin Jean-Louis,1 Abhishek Pandey,2 Joseph Ravenell,1 Carla Boutin-Foster,3 Gbenga Ogedegbe1 1Center for Healthful Behavior Change, Division of Internal Medicine, NYU Medical Center, New York, 2Department of Family Medicine, SUNY Downstate Medical Center, Brooklyn, 3Center of Excellence in Disparities Research, Weill Cornell Medical College, New York, NY, USA Background: Excessive daytime sleepiness (EDS often occurs as a result of insufficient sleep, sleep apnea, illicit substance use, and other medical and psychiatric conditions. This study tested the hypothesis that blacks exhibiting EDS would have poorer self-reported adherence to hypertensive medication using cross-sectional data from the Counseling African-Americans to Control Hypertension (CAATCH trial. Methods: A total of 1,058 hypertensive blacks (average age 57±12 years participated in CAATCH, a randomized controlled trial evaluating the effectiveness of a multilevel intervention for participants who receive care from community health centers in New York City. Data analyzed in this study included baseline sociodemographics, medical history, EDS, and medication adherence. We used the Epworth Sleepiness Scale, with a cutoff score of ≥10, to define EDS. Medication adherence was measured using an abbreviated Morisky Medication Adherence scale, with a score >0 indicating nonadherence. Results: Of the sample, 71% were female, 72% received at least a high school education, 51% reported a history of smoking, and 33% had a history of alcohol consumption. Overall, 27% of the participants exhibited EDS, and 44% of those who exhibited EDS were classified as adherent to prescribed antihypertensive medications. Multivariable logistic regression analysis, adjusting for effects of age, body mass index, sex, education, and smoking and drinking history indicated that participants who exhibited EDS were more than twice as likely to be nonadherent (odds ratio 2.28, 95

  18. RELATIONSHIP OF THE STAFF LOYALTY AND THE PERFORMANCE OF THE DENTAL CLINIC OF THE KRASNOYARSK STATE MEDICAL UNIVERSITY NAMED AFTER V.F. VOYNO-YASENETSKY

    Directory of Open Access Journals (Sweden)

    Татьяна Леонидовна Маругина

    2013-10-01

    Full Text Available We used the NPS methodology (Net Promoter Score developed by Fred Reichheld to determine loyalty of KRASSMU dental clinic staff. The method makes it possible using only 2 questions to evaluate not only the level of employees’ loyalty to the organization, but also to identify the approaches of increasing or retaining this level.The doctors, nurses, administrative and general service staff - all in all 60 employees were involved in the survey. As a result of the survey the level of NPS of the KRASSMU dental clinic staff is as following: 2.9% are promoters with a high degree of loyalty, 41.4% with an average degree of loyalty; the group of critics includes employees with a low degree of loyalty - 45.7%, totally not loyal - 10%. Thus the NPS index is -11.4%.Despite the negative NPS index the job performance standards of the dental clinic are increasing every year. It is achieved by the reward of the staff, satisfaction of needs, honest relationship in case of fulfillment of the terms of contract, the favorable environmental conditions in the workplace, as well as a qualitative monitoring the work of staff.DOI: http://dx.doi.org/10.12731/2218-7405-2013-9-30

  19. 医改前后承德市某县基层医务人员工作满意度调查%Survey on Grassroots Medical Staff's Job Satisfaction before and after the Health Reform, Chengde

    Institute of Scientific and Technical Information of China (English)

    刘卫云

    2015-01-01

    目的:通过对承德市某县基层医务人员医改前后工作满意度比较,调查医改对医务人员的影响.方法:采用整群抽样法对医改前后承德市某县14所乡镇卫生院的医务人员进行工作满意度问卷调查.结果:医改前基层医务人员工作满意度得分为124.53±20.71,医改后为131.44±21.64,医改前满意度得分低于医改后,差异具有统计学意义(P<0.05).但不同个体特征的医务人员医改前后工作满意度不同,尤其是聘用制医务人员工作满意度得分医改后为122.55±21.63,医改前得分为128.86±23.08,医改后低于医改前,差异具有统计学意义(P﹤0.05).结论:提高医务人员工作满意度,促进基层医疗机构健康发展,既要考虑评价项目又要考虑不同的个体特征.%Objective: Compared the job satisfaction among the grassroots medical staff before and after the health reform , to know the influ-ence of the health reform.Methods: The SPSS 20 Software is adopted to analyze the grassroots medical staff job satisfaction questionnaire before and after.Results: Before the reform, grassroots health workers job satisfaction score was 124.53 ±20.71, 131.44 ±21.64 after reform, health care medical staff job satisfaction scored below after the reform, statistically significant differences (P<0.05).But individual characteristics of job satisfaction of medical staff are different before and after the reform, medical staff non in a series job satisfaction score was 122.55 ±21.63 after medical reform, before the score was 128.86 ±23.08 (P<0.05).Conclusion: To improve the medical staff job satisfaction, promote the development of grassroots medical institutions, should consider to the evaluation of different projects and different characteristics of different indi-viduals.

  20. Analysis of the status of medical staff on primary rural preventive health care in Anhui province%安徽省农村卫生保健网网底医务人员的现状调查及分析

    Institute of Scientific and Technical Information of China (English)

    付连国; 吴学森; 程先进; 周纯先; 贾贤杰; 刘源; 江平平; 庞宏洋

    2012-01-01

    目的:了解安徽省农村卫生保健网网底医务人员现状,为进一步提高农村卫生室服务能力提供依据.方法:按分层抽样原则从皖北、皖中、皖南地区,按经济好、中、差抽取农村卫生室的医务人员,采用自编制调查表,调查其基本状况、教育培训状况、工作满意度、工作时间分布及基础知识测试.结果:村卫生室医疗人员年龄平均为41.54岁,男性占80.69%,高中及以上文化程度占68.23%,平均村卫生室工作年限13.94年;87.59%的人员接受过正规教育,对现有培训措施及成效评价较好,但在培训过程中也存在若干问题;对目前工作、收入、工作条件的满意度均评价为一般;预防免疫等公共卫生服务项目开展较少;基础知识测试及格率皖北为36.9%、皖中为40.5%、皖南为53.8%.结论:安徽省农村医务人员医疗技能不高,人员结构不合理,其职能不明确,应依靠完善的培训机制和政府有力的投入给予保障.%Objective: To understand the status of medical staff on primary rural health care in Anhui province, and provide the basic reason for improving service capability of rural clinics. Methods: Medical staff was selected according to different economical levels from rural clinics which lied in southern, middle and northern in Anhui province, and the conditions of status, education, satisfaction, working time, and basic knowledge were surveyed using self-questionnaire. Results: The average age of medical staff was 41. 54, the ratio of male was 80. 69% ,the ratio of senior high school education was 68. 23% ,the average working time in rural clinics was 13. 94 years;87. 59% medical staff were accepted medical education, and given better reputation, but there were several problems during training; the medical staff had general satisfaction on the condition of work and salary; the ratio of spending on public health services time was little, such as preventive immunity;the pass ratios of

  1. 肿瘤科医护人员对癌因性疲乏管理认知的质性研究%Recognition of medical staff in the oncology department about management of cancer related fatigue:a qualitative research

    Institute of Scientific and Technical Information of China (English)

    田利; 王芬; 薛嵋; 曹娟妹; 周群英; 杨益群; 李惠玲

    2015-01-01

    Objective To explore how medical staff in the oncology department understand management of cancer related fatigue (CRF), and explore what factors influencing the effective practice of CRF management. Methods Qualitative inquiry was adopted. Ten medical staffs in the oncology department were selected for in- depth interview. Generic analysis was applied to code, categorize and interpret the qualitative data. Results Participants believed that many factors influenced the CRF, which hadn′t been assessed as an independent symptom and lacked the systematic, effective and specific interventions. The medical staff, patients and their families neglecting the CRF management was the main barrier. Strengthening system construction and staff training was mentioned as major area which needed to be improved. Conclusions CRF management guideline should be formulated according to our national situations based on the clinical practices, besides, the training of correlated clinical knowledge and skills of medical staff should be strengthened and eventually promote the cancer patients′quality of life.%目的:了解肿瘤科医护人员对癌因性疲乏管理的认知,探讨实施有效癌因性疲乏管理的影响因素。方法采用质性研究对10名肿瘤科医护人员进行半结构式访谈,并运用类属分析法进行资料的编码、分类、提取主题。结果受访的肿瘤科医护人员认为癌因性疲乏的影响因素较多;尚未将其作为一个独立症状进行评估;认为尚缺乏系统、有效、具有针对性的管理措施;医护人员和家属缺乏对癌因性疲乏管理的重视是阻碍癌因性疲乏有效管理的障碍因素;只有加强制度层面建设和医护人员的培训才能有效推动癌因性疲乏管理工作。结论应结合临床实际情境,制定符合我国国情的癌因性疲乏管理指南,并对临床医护人员进行相关知识和技能培训,以提高肿瘤患者的生命质量。

  2. 某二级医院医务人员继续医学教育需求调查与分析%Survey and analysis on demand of continuing medical education of medical staff in an upper second-class hospital

    Institute of Scientific and Technical Information of China (English)

    陶春牡; 卢建华

    2015-01-01

    通过对医患双方进行调查,了解医务人员对继续教育内容的需求,为调整继续医学教育内容提供依据。向医患双方发放调查表,了解医务人员希望学习的继续教育内容以及患方对医务人员的期望,通过比较分析,提出继续医学教育内容调整的建议。调查发现,100%的医务人员有主动参加继续医学教育的愿望,在继续医学教育内容的需求上,除专业技能之外,对沟通技巧、心理学知识、服务礼仪、管理知识等也有需求。96.3%的患方对医方参加继续教育持支持态度。医务人员应参加持续整个职业生涯的继续医学教育,继续医学教育的内容应拓展到医学专业内容外的其他领域,只有参加终身的包含医学人文学科在内的继续医学教育,才能不断提高服务患者的水平,满足广大群众日益增长的医疗服务需要,从而构建和谐的医患关系。%Objective:To understand the medical staff continuing education content and requirements through investigating both doctors and patients, and provide the evidence for the adjustment of the content of continuing medical education. Methods: We distributed the questionnaires to medical staff and patients to understand what the medical staffs want to learn, and what patients expect medical staff to be. By comparing and analyzing, we proposed suggestions on the adjustment of continuing medical education content. Results: We found that 100% of the medical staff has the desire to take part in continuing medical education. In addition to professional skills, the communication skills, psychology knowledge, service etiquette, and management knowledge were most important components of continuing medical education. 96.3% of the patients' attitude toward continuing education was approving. Conclusion: Medical staffs should take part in continuing medical education during the whole career life. The contents of continuing medical

  3. Research of the Intervention and Effect of Risk Management Program on the Medical Staff Occupational Exposure%风险管理程序对医务人员职业暴露干预与效果

    Institute of Scientific and Technical Information of China (English)

    肖夕凤; 龚秀萍

    2014-01-01

    Objective To investigate the application of risk management program for effectively intervening the occurrence of med-ical staff occupational exposure so as to improve the effect of occupational exposure protection. Methods The hospital medical staff were selected as the research object and the occupation exposure related knowledge and the protective action had been taken were surveyed by the retrospective investigation questionnaire method. The medical staffs' occupational exposure risk was evaluated by the risk management program, intervention was used to effectively intervene the non-standard behavior and the results were ana-lyzed after the intervention. Results After the risk management program applied to the in-service staff of our hospital, the inci-dence of occupational exposure was reduced from 47.2% to 13.6%, awareness of knowledge about protection increased from 28.05% to 94.35% and the correct treatment rate after the occurrence of occupational exposure rose from 0% to 61.95%, the dif-ferences were statistically significant (P<0.01). Conclusion The intervention of risk management program applied to the medical staff occupational exposure, can effectively reduce the occurrence of medical staff occupational exposure and non-standard protec-tive behavior and improve the medical staff occupational exposure protection consciousness and protection behavior.%目的:探讨应用风险管理程序对医务人员职业暴露的发生进行有效干预,不断提高职业暴露防护效果。方法选取医院医务人员作为研究对象,采用回顾性问卷调查法了解职业暴露相关知识的知晓率及采取的防护行为等,应用风险管理程序对医务人员职业暴露风险进行评估,对不规范行为进行有效干预,分析干预后效果。结果通过对该院在职医务人员进行风险管理程序应用后,职业暴露发生率明显下降,由应用前47.2%下降为应用后13.6%;防护知识知晓率从应用前28

  4. RELATIONSHIP OF THE STAFF LOYALTY AND THE PERFORMANCE OF THE DENTAL CLINIC OF THE KRASNOYARSK STATE MEDICAL UNIVERSITY NAMED AFTER V.F. VOYNO-YASENETSKY

    OpenAIRE

    Татьяна Леонидовна Маругина; Анатолий Кузьмич Яркин; Вадим Валентинович Федотов; Екатерина Сергеевна Загородних

    2013-01-01

    We used the NPS methodology (Net Promoter Score) developed by Fred Reichheld to determine loyalty of KRASSMU dental clinic staff. The method makes it possible using only 2 questions to evaluate not only the level of employees’ loyalty to the organization, but also to identify the approaches of increasing or retaining this level.The doctors, nurses, administrative and general service staff - all in all 60 employees were involved in the survey. As a result of the survey the level of NPS of the ...

  5. 临床护理人员用药安全管理的现状与策略%The status quo of medication safety management of clinical nursing staff and its strategies

    Institute of Scientific and Technical Information of China (English)

    薛洁

    2011-01-01

    It analyzed the status quo and its influencing factors of medication safety management of clinical nursing staff. It pointed out some strategies for medication safety management including implementing all rules and regulations, improving the work flow, rationally allocating nursing human resources and carrying out job training on medication safety.%分析临床护理人员用药安全管理现状及其影响因素,提出护理用药安全管理策略在于落实各项制度、完善工作流程、合理配置护理人力、开展用药安全在职培训.

  6. A Survey on Occupational Exposure and Preventive Measures in Medical Staff of Shanghai%上海市医务人员职业暴露与防护现状调查

    Institute of Scientific and Technical Information of China (English)

    田靓; 朱仁义; 朱秋丽; 江宁; 范俊华; 陈越火

    2013-01-01

    [目的]了解医务人员的职业环境、职业伤害与感染的发生情况,为医疗卫生事业改革与发展提供参考.[方法] 2011年3至5月期间,以自行设计的调查问卷为工具,采用分层随机抽样方法,在上海市18个区(县)抽取13家不同类别和等级医院的医务人员. [结果]共调查442例对象;护士占40.5%,三级医院医务人员占50.7%.个人防护用品的总使用率为86.5%.受到被血污染的锐器刺伤后,59.7%的调查对象对血液来源进行追踪和检测,乙型肝炎病毒的检测阳性率最高(36.2%).发生伤害最多的岗位是护士(50.8%),三级医院医务人员职业伤害发生率最高(45.1%).受到伤害后仅有47.3%的医务人员立即报告. [结论]医务人员不安全医疗行为普遍存在,且自我保护能力和意识不强,尤其是三级医院的护士.应采取有效措施降低医务人员的职业感染与伤害发生率.%[ Objective ] To investigate the occupational environment and the incidence rates of occupational injury and infection among medical staff, so as to provide basis for healthcare reform and further development in China. [ Methods ] Medical staff at various levels in 13 Shanghai hospitals across different categories were selected by a stratified random sampling strategy and invited to complete a structured questionnaire in the period of March 2011 to May 2011. [ Results ] Four hundred and forty-two participants were enrolled to the survey, among which nursing staff accounted for 40.5% and participants from tertiary hospitals accounted for 50.7%. The utilization rate of personal protective equipment was 86.5%, and 59.7% of injury involving blood contamination objects reported tracing and testing the source of the contamination after injured by sharp instruments involoving blood contamination, in which the most common blood contamination was positive hepatitis B (36.2%). The nursing staff accounted for 50.8% and the tertiary hospital

  7. Centralized cancer pain cognition situation in basic medical staff from China%我国西南地区基层医务人员癌痛认知现状调查

    Institute of Scientific and Technical Information of China (English)

    刘婧; 王静; 贾钰铭; 雷开键; 张瑶; 江健; 郭菁菁; 贾凤琴

    2013-01-01

    目的:了解我国西南地区基层医务人员的癌痛认知状况,为提高基层癌痛控制水平提供依据。方法:选择我国西南地区四川省宜宾市宜宾县横江镇及所辖部分村级医务人员,进行集中式癌痛问卷调查并进行癌痛知识宣教。结果:横江镇医务人员认为仅有17%(8/46)的癌痛患者得到治疗;70%(32/46)医务人员不注重对患者进行癌痛治疗宣教;64%(40/46)医务人员对规范癌痛控制知识不了解;87%(40/46)医务人员认为麻醉止痛药不能满足患者需要;70%(32/46)的医务人员要求增加癌痛培训次数。结论:横江镇医务人员癌痛认知状况较差,需要更多适应基层的癌痛知识培训,建议将癌痛控制纳入社区慢性病肿瘤的具体管理之中。%Objective:To understand the recognition status of cancer pain in basic medical staff from small towns to provide the basis for the improvement of cancer pain management in these areas. Methods:The medical staff of Hengjiang Town and subordinate villages was selected. The study area is situated in southwest China. Centralized questionnaires regarding cancer pain were collected and analyzed. A program and education of cancer pain were provided for these medical workers. Results: The medical staff from Hengjiang asserted that only 17%of cancer pain patients receive treatments. Approximately 70%of the medical staff did not consider the popularization and explanation of cancer pain treatment in their patients. Approximately 64%of the medical staff was not familiar with standardized cancer pain control, 87%did not believe that narcotics could suffice the need of patients, and 44%did not participate in the training for cancer pain control. Conclusion: The medical staff in Hengjiang possesses less knowledge on the importance of cancer pain. Hence, further training is necessary. The specific management of cancer pain as a part of community chronic diseases is

  8. Dizi-Gui Educations in Improveing Job Burnout in Psychiatric Medical Staffs%《弟子规》教育改善精神科医务人员的职业倦怠

    Institute of Scientific and Technical Information of China (English)

    祁国阳; 江芳萍; 杨雀屏; 周振和; 王军

    2015-01-01

    目的:探讨《弟子规》教育对精神科医务人员的职业倦怠的影响. 方法:应用职业倦怠测试量表( MBI-GS) ,随机招募60名精神科医务人员作为试验组,将与试验组性别、年龄匹配的机关、医技等非一线60名职工作为对照组. 对试验组进行《弟子规》教育. 应用汉密顿抑郁量表( HAMD)、汉密顿焦虑量表( HAMA)以及职业倦怠测试量表( MBI-GS)评价教育前后精神科医务人员以及职业倦怠状况的差异. 结果:试验组教育前在焦虑及抑郁得分与对照组相比均有显著性差异(t=2.61,3.09;P0.05). 结论:《弟子规》教育能够改善精神科医务人员的职业倦怠状况.%Objective:To investigate the effects of Dizi -Gui educations on job burnout in psychiatric medical staffs.Methods:60 psychiatric medical staffs were randomly enrolled as research group and 60 office and medical technology personnel and other non -medical staffs were selected as normal control group.The research groups were educated with Dizi -Gui.HAMD,HAMA and MBI-GS were employed to rate the mental and Job Burnout status.Results:Before education ,HAMA score and HAMD score in re-search group were higher than those of control group (t=2.61,3.09;P0.05). Conclusion:Dizi-Gui education improves job burnout in psychiatric medical staffs

  9. 沈阳市医护人员职业紧张和生命质量状况调查%A Cross-Sectional Study on Occupational Stress and Quality of Life among Medical Staff in Shenyang

    Institute of Scientific and Technical Information of China (English)

    张莹; 梁多宏; 史新竹; 耿庆妍; 刘洋

    2012-01-01

    [ Objective ] To investigate and evaluate the status of occupation stress and quality of life among medical staff of Shenyang hospitals above municipal level, and to provide basis for making health protection measures and improving their quality of life. [ Methods ] A total of 345 staff from 2 Shenyang hospitals above municipal level were selected by cluster and random sampling. Occupational Stress Inventory-Revised (OSI-R) and 36-Item Short Form Health Survey (SF-36) were used for interview. Statistical analyses were performed using Mest and variance analysis for comparison of stress and quality of life under various factors, and covariance analysis for correlation evaluation between stress and quality of life. [ Results ] Significantly higher scores of personal strains were found among the staff under 35 years of age, females, nurses, and the medical staff working more night shifts (P<0.05). The scores of physical health domain in quality of life in the medical staff decreased with age. The male participants showed higher quality of life than the females (P<0.05); the same result was found in the medical staff having less night shifts. A significantly negative correlation between personal strain and quality of life was also found (P<0.01). [ Conclusion ] Occupational stress is one of the important risk factors that affect quality of life of medical staff.%[目的]对沈阳市级以上医院的医护人员进行调查,评价其职业紧张和生命质量状况,为制定医护人员健康保护措施,提高其生命质量提供科学依据.[方法]采用整群随机抽样方法,抽取2所沈阳市级以上医院345名医护人员,采用职业紧张量表( OSI-R)和生命质量量表(SF-36)对医护人员进行调查,应用t检验和方差分析比较不同特征医护人员个体紧张程度和生命质量的差异,并采用协方差分析方法探讨个体紧张程度和生命质量之间的关系.[结果]≤35岁医护人员个体紧张

  10. Study on hand hygiene intervention of medical staff in intensive care unit%重症监护室医务人员手卫生干预研究

    Institute of Scientific and Technical Information of China (English)

    崔琢; 朱敬蕊; 汪振林; 张向君; 项平; 谢琪芳

    2015-01-01

    目的::调查干预前后重症监护室医务人员手卫生依从性、知晓情况及医院感染发生率,了解手卫生现状及手卫生与医院感染之间的关系。方法:采用实验流行病学方法,从2013年5月至2014年5月分5个阶段进行手卫生干预,干预措施包括直接观察、手卫生培训、评估反馈等,观察干预前后手卫生执行情况,计算手卫生依从性。进行现场试卷考核,计算重症监护室人员手卫生知晓率。统计调查时段内医院感染发生例数,计算医院感染发生率。结果:医生手卫生执行依从性从干预前45.0%提高到再干预后的91.1%,护士手卫生依从性从干预前43.3%提高到再干预后的92.2%,差异均有统计学意义( P0.05)。结论:采取有效的干预措施提高手卫生依从性和知晓率,可以有效降低医院感染的发生。%Objective:To investigate the hand hygiene compliance and awareness of medical staff in intensive care unit,incidence of nosocomial infection before and after the intervention, and know the status of hand hygiene, relationship between hand hygiene and nosocomial infection. Methods:The hand hygiene intervention in five stages were implemented using experimental epidemiology method from May 2013 to May 2014. The intervention measures included direct observing,hand hygiene training,assessment feedback,observing the implementation of hand hygiene before and after the intervention and calculating the compliance of hand hygiene. All people were examined on-site to calculate the awareness rate of hand hygiene. The number of cases with nosocomial infection was analyzed during the survey period to calculate the incidence of nosocomial infection. Results:The hand hygiene compliance in doctors and nurses before and after intervention were from 45. 0% to 91. 1% and from 43. 3% to 92. 2%, respectively, the difference of which was statistically significant(P0. 05). Conclusions

  11. Transfusion safety in francophone African countries: An analysis of strategies for the medical selection of blood donors

    OpenAIRE

    Tagny, CT; Kouao, MD; Touré, H.; Gargouri, J; Fazul, AS

    2011-01-01

    BACKGROUND: The goal of selecting a healthy blood donor is to safeguard donors and reduce the risks of infections and immunologic complications for recipients. STUDY DESIGN AND METHODS: To evaluate the blood donor selection process, a survey was conducted in 28 blood transfusion centers located in 15 francophone African countries. Data collected included availability of blood products, risk factors for infection identified among blood donor candidates, the processing of the information collec...

  12. Health literacy and its influence factors among Chinese medical staff in 2012%2012年全国医务人员健康素养状况及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    卢永; 李英华; 聂雪琼; 李莉; 黄相刚

    2015-01-01

    understand the status of health literacy and its influence factors among Chinese medical staff to provide evidence for the development of intervention strategies and measures.Methods The survey respondents who filled “medical staff”in the blank of “occupa-tion”in 2012 National Residents Health Literacy Surveillance System were selected as analysis object.The data was cleaned and analyzed by SPSS 17.0 statistical software.Results 1248 effective questionnaires of medical staff were acquired from the data of 2012 National Residents Health Literacy Surveillance.The medical staff from urban area accounted for 63.54%. The medical staff from rural area accounted for 36.46% .The male accounted for 41.91% .The female accounted for 58.09%.Health literacy level of medical staff was 30.46%.The level of urban area medical staff was 35.69%.The level of rural area medical staff was 22.42%.The level of urban staff was higher than the level of rural staff (χ2 =23.864,P <0.05).The female’s level was 33.38%.The male’s level was 27.34%.The female’level was higher than the male’s level (χ2 =5.191,P =0.023).The level of East Region medical staff was 34.22%.The level of Middle Region staff was 30.07%.The level of West Region staff was 27.70%.The difference among East Region,Middle Region and West Region did not have statistical significance (χ2 =4.276,P =0.118).The possession ratios of “essential knowledge and idea”,“healthy lifestyle and behavior”and “essential skills”were 47.68%,29.41% and 30.77%,respectively.The literacy level of safety and first aid was the highest one among 6 kinds of issue-oriented health literacy,which was 65.30%.The lev-els of essential medicine literacy and chronic disease prevention and treatment literacy were relatively low,which were 27.40% and 25.48% respectively.The results of logistic regression showed that education was the important influence factor to the medical staff’s health literacy.Higher education,higher health literacy

  13. Investigation and analysis of sharp instrument injuries in medical staff and preventive strategies%医务人员锐器伤调查分析及控制策略

    Institute of Scientific and Technical Information of China (English)

    陈敏; 郑艳; 王文爱; 刘君; 苗勤

    2012-01-01

    目的 了解医务人员锐器伤的发生人群、时间以及操作环节,探讨有效的控制策略.方法 依据医疗锐器伤发生后登记上报的69例案例发生情况,进行监测追踪,对锐器伤的发生原因、锐器种类、操作环节等因素进行分析.结果 护士及低年资医务人员锐器伤发生率高,占62.32%、55.07%;周一、五及上午时段锐器伤发生率高;病室内发生锐器伤占37.68%,手术室占33.33%;发生锐器伤的锐器主要是注射器针头,其次是输液器针头及缝合针,分别占26.09%、21.74%、17.39%;处理使用过的锐器(28.99%)、手术(27.54%)、经皮拔针(23.19%)等环节容易发生锐器伤;有63.77%的医务人员发生锐器伤时未戴手套.结论 护士、低年资医务人员是锐器伤的高危人群,操作不规范、防护不当是锐器伤发生的主要原因;加强医务人员的职业安全教育,规范安全操作行为,是减少医务人员锐器伤发生的有效控制措施.%OBJECTIVE To investigate the high-risk groups, time, and operational links for medical staff with sharp instrument injuries and explore the effective prevention strategy. METHODS A total of 69 cases of medical staff suffered from sharp instrument injury from 2007 to 2010 were analyzed with a retrospective study to observe the reasons, types, operational links of sharp instrument injuries. RESULTS The incidence of sharp instrument injuries in the nurses and medical staff with short service life was 62. 32% and 55. 07%, respectively; the incidence of sharp instrument injuries that occurred on Monday, Friday and morning sessions was high; the sharp injuries that occurred in ward accounted for 37. 68%, operating room 33. 33%; the major sharp instruments causing injuries were the syringe needles (26. 09%) , infusion needles (21. 74%) , and suture needles (17. 39%) ; the sharp injuries frequently occurred in dealing with used sharp instruments (28. 99%), surgery (27

  14. 医护人员简短戒烟干预技术自信度调查%A Survey of Degree of Confidence on Brief Tobacco Intervention Skills among Medical Staffs

    Institute of Scientific and Technical Information of China (English)

    闫丽平; 蔡文阁; 赵霞

    2015-01-01

    Objective This research article aims to provide further information for further tobacco control task, by investigating degree of confidence of medical staff in a hospital in Beijing, who implement brief smoking cessation intervention techniques.Methods Investigate degree of confidence of taking brief tobacco intervention on 355 medical staff by using self-administered and inquiry method. The main content of degree of confidence is the knowledge and guidance ability of smoking cessation. The evaluation of degree of confidence and the comparison among departments use One Way ANOVA analysis, and comparison of different occupation use T test analysis. Results Doctors’degree of confidence is higher than nurses’(t=9.137, P<0.05). Medical staffs from department of Respiration and department of Thoracic surgery generally have higher degree of confidence in the implementation of brief smoking cessation intervention technology. However, medical staffs from department of Traditional Chinese Medicine and department of physical examination generally have lower degree of confidence(F=15.54, P<0.05).The question of follow up in assessment questionnaire get lowest score(3.06±1.19).ConclusionMedical staffs from non-professional department get lower score on knowledge and guidance ability of smoking cessation than medical staffs from professional department, which resulting in low degree of confidence on taking the brief tobacco intervention technology.%目的:对北京市某三甲医院医护人员实施简短戒烟干预技术自信度现状的调查,为今后开展医院控烟工作提供基础资料。方法采用自填式和询问式的方法,对355名医护人员进行简短戒烟干预自信度评估卡问卷调查,自信度内容主要是戒烟知识和戒烟指导能力。自信度评估内容和科室之间比较采用One Way ANOVA分析;职业比较采用t检验统计。结果医师的自信度高于护士(t=9.137,P<0.05)。呼吸科和胸外科医

  15. 某院938例医务人员的药物咨询案例分析%Analysis of 938 Cases of Drug Consultation of Medical Staff in a Hospital

    Institute of Scientific and Technical Information of China (English)

    马燕; 何莲英

    2015-01-01

    The drug consultation cases of medical staff from June 1st of 2009 to May 31st of 2013 in one hospital were collected and analyzed statistically and the drug consultation of medical staff in hospital was summarized so as to find the entry point for further improvement of drug consultation. Pharmacist can provide pharmaceutical services in the aspects of drug interactions and incompatibility, usage and dosage, precautions for use, adverse drug reaction and medication in special people, etc.%收集某院2009年6月1日-2013年5月31日的医务人员药物咨询案例进行统计与分析。总结医院医务人员的药物咨询情况,为进一步改进药物咨询工作找到切入点。药师可以从药物相互作用与配伍禁忌、用法用量、使用注意事项、药品不良反应、特殊人群用药等方面开展药学服务工作。

  16. The training process of basic life support skills for primary medical staff%基层医务人员初级急救技术的培训流程

    Institute of Scientific and Technical Information of China (English)

    黄文娟; 刘励军; 徐波

    2015-01-01

    Objective The present study was to carry on an universal training for the primary medical staff , assess training effectiveness , and optimize the training process .Methods In accordance with the pre-designed training process , an universal training was carried on for the primary medical staff in Suzhou.By means of analyzing the results of training , we tried to optimize the training process .Results ①There were a total of 2612 persons, who took part in the training , including 1442 doctors or nurses from township hospitals , and 1170 persons from the medical services of village .The male was accounted for 1425/2612 (54.6%), and the female accounted for 1187/2612 (45.4%) of the total number .The number of countryside doctors aged over 60 years old was 419 , accounting for 16%of this population of medical staff .②The percentage of medical staff from township hospitals and medical services of village mastering CPR were 62.0% and 59.3% respectively.However, 96.1% of medical staff from township hospitals had no knowledge about non -invasive and invasive mechanical ventilation , while 95.3%of them knew nothing about electrical defibrillation .Meanwhile, 96.2% of medical staff from medical service of village had no idea about automated external defibrillation ( AED) .③The results of training on non -invasive and invasive mechanical ventilation , electrical defibrillation and AED , showed no significant difference between before and after training (P>0.05), but the training of others skills made the significant improvement (P<0.05).Conclusion ①The training of basic life support skills can overall improve the first aid level of medical staff from primary medical establishments .②In this study, the training process could be optimized:AED should be handled for medical staff of primary level by the mean of special training , for present , electrical defibrillation , non-invasive and invasive mechanical ventilation are not included in universal training .%目的:

  17. 77 FR 37886 - Notice of Intent To Obtain Information Regarding Organizations Who Are Assisting African...

    Science.gov (United States)

    2012-06-25

    ... African Governments To Increase Healthcare Institution Capacity To Maintain Complex Medical Equipment..., which are currently helping African government hospitals, clinics, laboratories, and other African... involved in enhancing the long term ability of African government health institutions to maintain...

  18. 医务人员工作倦怠与特质情绪智力相关关系的研究%Study on the Relationship between Burnout and Trait Emotional Intelligence in Medical Staffs

    Institute of Scientific and Technical Information of China (English)

    肖远; 孙红; 张辉; 刘芙蓉

    2012-01-01

    Objective By examining the correlation between burnout and trait emotional intelligence in medical staffs, the basis would be provided on improving burnout. Methods 552 medical staffs that were chosen by the random sampling method, and were measured by the questionnaires of burnout and trait emotional intelligence. Results (1) There was significant negative correlation between the scores in burnout and trait emotional intelligence; (2) Generally, trait emotional intelligence has a negative predictive effect on burnout. Conclusion It was feasible to improve burnout of medical staffs by training trait emotional intelligence. And design of training program should pay attention to the integrity and comprehensiveness.%目的 通过考察医务人员工作倦怠与特质情绪智力的相关关系,为探索改善医务人员工作倦怠状况的方法提供依据.方法 采用随机抽样的方式对552名医务人员进行工作倦怠和特质情绪智力问卷的调查.结果 (1)工作倦怠与特质情绪智力负性相关关系显著;(2)总体上,特质情绪智力对工作倦怠具有一定的负向预测作用.结论 可以通过对医务人员特质情绪智力的培养改善其工作倦怠感,培训方案的设计要注意整体性和全面性.

  19. STAFF NEEDED

    CERN Multimedia

    2001-01-01

    The English National Programme, part of the Lycée International de Ferney-Voltaire (France) needs the following staff for September 2001: A part-time teacher of primary English The post involves teaching the English curriculum to pupils who are within the French educational system: Classes take place on Tuesday afternoons at the Lycée, Team spirit necessary as teachers work as a team, Induction & training are offered. A part time teacher of senior secondary history-geography in English A part time teacher of secondary mathematics in English Teachers must be mother-tongue English speakers and have a relevant degree and/or teaching qualification. For the history-geography post, either history or geography degrees are acceptable. Please send your c.v. and a letter of application to Peter Woodburn, Head, English National Programme, Lycée International, 01216 Ferney-Voltaire, France. (Email: engnat@hotmail.com) Telephone 04 50 40 82 66 for further details of posts. Ple...

  20. 直观教育对提高医护人员手卫生依从性的效果研究%RESEARCH ON IMPROVING EFFECT ON HAND HYGIENE COMPLIANCE OF MEDICAL STAFF THROUGH DIRECT- VIEWING EDUCATION

    Institute of Scientific and Technical Information of China (English)

    赵庆华; 何蕾; 高岩; 尹自芳; 程丽红; 魏艳菊

    2012-01-01

    Objective To study the education methods of hand hygiene of ICU medical staff in order to improve the compliance of hand hygiene. Methods Direct - viewing education method of hand hygiene was used to train the medical staff and to observe the compliance of hand hygiene and quality monitoring. Results Through the direct - viewing education method of hand hygiene, the frequency of hand washing a day increased from 16 times to 36 times; the bacteria on the hands decreased from average 14 cfu/cm2 to ≤5 cfu/cm2. The examination results showed that the qualified rate of hand hygiene of medical staff increased from 18. 75% to 93. 75% through education. Conclusion Through direct - viewing education of hand hygiene, the compliance of hands washing and the quality of hands hygiene of medical staff in ICU were efficiently improved.%目的 研究监护室医护人员手卫生教育方式,提高手卫生依从性.方法 采用手卫生直观教育的方法,对医护人员手卫生进行培训,并观察医护人员手卫生依从性和质量监测.结果 通过手卫生直观教育,重症监护室医护人员日洗手次数由教育前的16次提高到36次;手上带菌数由平均14 cfu/cm2,降低到≤5 cfu/cm2.检测结果显示,医护人员手卫生质量合格率由教育前的18.75%,提高到93.75%.结论 通过手卫生直观教育,有效提高了重症监护室医护人员洗手依从性和手卫生质量.

  1. Puncture by pointed instrument in medical staff in operating room and related protection strategies%手术室医务人员锐器刺伤与防护对策

    Institute of Scientific and Technical Information of China (English)

    朱琳

    2011-01-01

    Objective To explore the reasons and the protection strategies for puncture by pointed instrument in medical staff at work in operating room. Methods The major reasons for puncture by pointed instrument in medical staff at work in operating room from2007 to 2009 were retrospectively analyzed. Effective prevention measures were made. Results The rate of puncture by pointed instrument was effectively lower after systemic education on occupational safety and prevention. Proper emergency management and tracking of prevention against occupational exposure avoided the incidence of infectious diseases. The mental stress could be alleviated in the victims after they received psychological assistance according to the levels of exposure. Conclusions Education on nosocomial infection and occupational safety should be strengthens in the medical staff in operating room. The staff should regulate their medical pratice and operation. Control of nosocomial infection need to be enhanced and puncture-induced infections should be prevented.%目的 探讨我院手术室医务人员在工作中造成锐器刺伤的原因及防护对策.方法 回顾性分析2007-2009年发生在手术室工作场所产生的锐器刺伤的主要因素,并提出有效的预防控制措施.结果 通过系统的职业安全防护教育,有效降低利器损伤的发生率;锐器刺伤后采取恰当的应急处理和职业暴露防护追踪可避免感染传染性疾病;根据不同暴露级别对刺伤者进行心理辅导,可缓解受伤者的心理压力.结论 加强手术室工作人员的医院感染及职业安全教育,培养良好的工作习惯,科学的医院感染控制,预防锐器伤所致的感染.

  2. 医护人员遭受工作场所暴力后心理应激反应的深度体验%Qualitative research on psychological stress of the hospital workplace violence against the medical staff

    Institute of Scientific and Technical Information of China (English)

    余泳琛; 邹芳亮; 蔡一凡; 林丽敏; 林卓华; 卢延虹; 蔡文智

    2014-01-01

    Objective To investigate the stress reaction of the medical staff who suffered workplace violence,and provide reference for nursing interventions.Methods 13 medical staff who suffered work-place violence were interviewed through semi-constitutional formula,the data were analyzed by phenomenological method of qualitative research.Results The psychological stress of medical staff mainly included 3 themes:complex emotions,eager to help; psychological adjustment required internal and external integration; different stress reaction affected the psychological state.Conclusions The medical staff suffer seriously from the workplace violence both on the physical and mental health,individuals should learn how to deal with it correctly,and the relevant departments should pay full attention to the humane care to victims of violence,guide them to view the stress correctly,and to take effective measures to prevent and control workplace violence.%目的 探讨医护人员遭受工作场所暴力后的应激反应,为采取干预措施提供依据.方法 对13名遭受过医院暴力的医护人员采用半结构式深度访谈,按照质性研究中的现象学方法整理分析资料.结果 医护人员遭受医院场所暴力后的应激反应深度体验为:情绪复杂、渴望帮助;心理调适需内外结合;不同应激反应影响心理状态.结论 医院工作场所暴力事件给医护人员带来了强烈且持久的应激反应,造成严重的影响,我们要密切关注暴力受害者的心理健康,及时有力地进行心理疏导,引导受害者正确看待应激源,最终将暴力后遗症伤害降到最低程度.

  3. 医务人员职业暴露相关危险因素调查与分析%Investigation and analysis of the related risk factors of occupational exposure in medical staff

    Institute of Scientific and Technical Information of China (English)

    罗斌华; 吴志勇; 李福太; 陈丽霞; 沈燕如; 兰玉娟; 吕芷娴

    2014-01-01

    目的:了解医务人员职业暴露相关危险因素,分析发生原因,为制定医务人员职业暴露预防措施提供依据。方法对2010年1月-2012年12月109名医务人员发生职业暴露相关情况进行统计分析,采用SPSS13.0进行统计分析。结果109名职业暴露人员中,实习护士、临床护士、内科医师、外科医师、助产士及保洁员分别占56.88%、27.52%、6.42%、4.59%、2.75%及1.84%;暴露发生部位主要为手或手指,占90.82%;暴露时发生操作以拔针为主,占47.70%;暴露源以乙型肝炎居首位,占57.80%,其次为未知暴露源,占22.02%。结论加强医务人员职业防护培训,建立职业暴露报告管理制度,提高医务人员标准预防意识,完善防护用品,可有效防止职业暴露事件的发生。%OBJECTIVE To understand the related risk factors of occupational exposure in medical staff ,and analyze the causes ,so as to provide basis of prevention measures for occupational exposure in medical staff .METHODS Totally 109 cases of occupational exposure in medical staff from Jan .2010 to Dec .2012 were analyzed .The soft‐ware SPSS13 .0 was used for statistical analysis .RESULTS In the 109 cases of occupational exposure ,practical nurses ,clinical nurses , physicians , surgeons ,midwives and cleaning staff accounted for 56 .88% ,27 .52% , 6 .42% ,4 .59% ,2 .75% and 1 .84% .The main exposure site was the hand or fingers ,accounting for 90 .82% . Teasing needle was the main operation where the exposure happened ,accounting for 47 .70% .Hepatitis B was the leading exposure source accounting for 57 .80% ,followed by unknown exposure sources accounting for 22 .02% . CONCLUSION To strengthen the occupation protection training of medical staff ,establish a management system of occupational exposure report ,raise the awareness of standard prevention of medical staff ,and improve the protec‐tive equipment

  4. A study on knowledge and practice regarding biomedical waste management among staff nurses and nursing students of Rajendra Institute of Medical Sciences, Ranchi

    Directory of Open Access Journals (Sweden)

    Shamim Haider

    2015-03-01

    Full Text Available Background: Hospitals are the centre of cure and also the important centres of infectious waste generation. Effective management of Biomedical Waste (BMW is not only a legal necessity but also a social responsibility. Aims and Objectives: To assess the knowledge and practice in managing the biomedical wastes among nursing staff and student nurses in RIMS, Ranchi. Materials and methods: The study was conducted at RIMS, Ranchi from Oct 2013 to March 2014 (6 months. It was a descriptive, hospital based, cross-sectional study. A total of 240 nurses participated in the present study, randomly chosen from various departments A pre-designed, pre-tested, structured proforma was used for data collection after getting their informed consent. Self-made scoring system was used to categorize the participants as having good, average and poor scores. Data was tabulated and analyzed using percentages and chi-square test. Results: The knowledge regarding general information about BMW management was assessed(with scores 0-8,it was found  that level of knowledge was better in student nurses than staff nurses as student nurses scored good(6-8correct answers in more than half of the questions (65%.Whereas staff nurses scored good in only 33.33% questions. When the practical information regarding the BMW management is assessed (with scores 0-8, it was found that staff nurses had relatively better practice regarding BMW management than students as they scored good(6-8correct answers in 40% and 30% respectively. Conclusion: Though overall knowledge of study participants was good but still they need good quality training to improve their current knowledge about BMW. 

  5. A study on knowledge and practice regarding biomedical waste management among staff nurses and nursing students of Rajendra Institute of Medical Sciences, Ranchi

    OpenAIRE

    Shamim Haider; Sneha Kumari; Vivek Kashyap; Shalini Sunderam; Shashi Bhushan Singh

    2015-01-01

    Background: Hospitals are the centre of cure and also the important centres of infectious waste generation. Effective management of Biomedical Waste (BMW) is not only a legal necessity but also a social responsibility. Aims and Objectives: To assess the knowledge and practice in managing the biomedical wastes among nursing staff and student nurses in RIMS, Ranchi. Materials and methods: The study was conducted at RIMS, Ranchi from Oct 2013 to March 2014 (6 months). It was a descriptive, hospi...

  6. Research on the Balint groups to improve medical staff occupational stress and burnout aspects%巴林特小组改善医护人员职业压力与职业倦怠

    Institute of Scientific and Technical Information of China (English)

    高新义

    2016-01-01

    目的::探讨巴林特小组在改善医护人员职业压力和职业倦怠方面的效果,降低医护人员负性情绪体验,有效预防医护人员职业倦怠。方法:选取潍坊市某中医院124名医护人员,采用知觉压力量表(CPSS)、职业倦怠量表(MBI-HSS)、正性负性情绪量表(PANAS),选取量表高分端的27%中的20人为研究对象,随机划分成10人的实验组,进行为期3个月的巴林特小组干预,10人的对照组,无任何干预,在干预前后分别对实验组和对照组进行测量。结果:实验组被试在 CPSS 总分、紧张感、失控感、MBI- HSS 总分、情绪疲惫感、工作冷漠感、负性情绪水平维度上后测得分低于前测,差异有统计学意义(t =4.58,4.58,3.58,4.92,5.60,3.34,8.17;P 0.05)。结论:巴林特小组可以改善医护人员职业压力和职业倦怠。%Objective:To investigate the effect of Balint groups to improve of medical staff occupational stress and job burnout,and then to reduce the negative emotional experience and prevent the job burnout of medical staffs effec-tively.Methods:124 medical staffs from traditional Chinese medical hospital of Linqu were enrolled in this study,u-sing Perceived Stress Scale,Maslach Burnout Inventory,The Positive and Negative Affect Scale to investigate the status.20 people of high scores on PSS,MBI,NA were selected,divided 10 of them into Balint group in random ways and then trained for three months;10 medical staff were divided into control group without any intervention.Both ex-perimental group and control group were asked to complete all the scales before and after the intervention.Results:In scores on CPSS,sense of tension,sense of out of control,MBI- HSS,emotion exhaustion,job burnout,negative af-fect,the experimental group were significantly lower than before(t = 4.58,4.58,3.58,4.92,5.60,3.34,8.1 7;P 0.05).Conclusion:Balint groups can improve occupation-al stress and job burnout of medical staff.

  7. 辽宁省3市医疗卫生机构人员控烟干预效果评价%Effects evaluation on smoking control intervention among medical staffs in Liaoning Province

    Institute of Scientific and Technical Information of China (English)

    李慧; 李跃进; 刘懿卿; 田丹

    2012-01-01

    Objective To explore smoking situation, knowledge and attitude to smoking control and ability of smoking quit support among medical staffs in Shenyang, Yingkou and Dashiqiao of Liaoning Province. Methods 20 medical and health institutions were chosen by cluster sampling. A questionnaire of the Survey of Medical Staff complied by Ministry of Health was carried out. Intervention activities were implemented and evaluated. Results The smoking rate of medical staffs was 15.62% before intervention, and 13.43% after intervention respectively. After intervention, the mean amount of smoked cigarettes was reduced to (11. 10 ±6. 26) per day, and percentage of smoking in work time was decreased to 24. 57%. The percentage of smokers who wanted to quit smoking was 43. 10%. The no smoking area of institution building was increased to 81. 65%. Conclusion After half a year intervention, the smoking prohibiting environment in medical units was improved, but more measures are needed to amplify smoke-free unit.%目的 了解辽宁省沈阳市、营口市、大石桥市医疗卫生机构人员吸烟情况、对控烟知识的认识、态度以及提供戒烟服务的能力.方法 采用整群抽样方法,共抽取20家医疗卫生机构,采用卫生部统一编制的“医疗卫生机构人员调查”开展问卷调查,进行干预并评价干预效果.结果 干预前,医务人员吸烟率为15.62%,干预后为13.43%;干预后吸烟者每天平均吸烟量减少为(11.10±6.26)支,上班时经常吸烟者所占比例降低至24.57%,有戒烟打算者所占比例增加到43.10%;规定不能在室内任何区域吸烟的单位比例升高至81.65%.结论 通过为期半年的干预,医疗机构控烟活动初见效果,但仍需采取措施推动无烟单位的创建活动.

  8. 医务人员发生血源性传染病疾病职业接触分析及对策%Analysis and Countermeasures of the Medical Staff Occupational Exposure to Blood-borne Infectious Diseases

    Institute of Scientific and Technical Information of China (English)

    李小英; 李松林

    2013-01-01

    Objective:Understanding of the author on the hospital medical staff blood-borne diseases occupational exposure,to provide evidence for protective countermeasures.Method:January 2008-2012 in December reported blood-borne transmitted diseases occupational exposure summary statistics and analysis174 cases of occupational exposure to medical staff nurses accounted for 65.52%.Result:Occurrence of occupational exposure to medical staff nurse in 174 cases (65.52%),the working life of 0-5 years occurred occupational exposure to the highest (52.30%). The operating room,supply room,outpatient infusion and emergency department is a high incidence of occupational exposure to the departments;Occupational exposure categories is given priority to with needle stick injuries,accounting for 59.77%;And about 50.57%of the exposure to pull out the needle.Conclusion:Strengthen medical training on the protection,improve the awareness of occupational protection of medical personnel,standard operating procedures,comprehensive protection mechanism,to reduce the occurrence of occupational exposure.%目的:了解笔者所在医院医务人员血源性传播疾病职业暴露情况,为制定防护对策提供依据。方法:对2008年1月-2012年12月笔者所在医院上报的血源性传播疾病职业暴露情况进行汇总统计、分析。结果:发生职业接触的医务人员护士174例(65.52%),工作年限0~5年发生职业接触最高(52.30%)。手术室、供应室、门诊输液和急诊科是职业接触的高发科室;职业接触类别以针刺伤为主,占59.77%;暴露环节以拔针为主,占50.57%。结论:加强医疗防护培训,提高医务人员职业防护意识,规范操作流程,完善保障机制,减少职业接触的发生。

  9. Survey of infection protection knowledge and personal protection condition of medical staff in operating rooms%手术室工作人员感染防护知识掌握及个人防护调查研究

    Institute of Scientific and Technical Information of China (English)

    高宝琴; 王丽娜; 杨彬霞; 朱玉花; 张永强

    2013-01-01

    OBJECTIVE To survey and research the infection protection knowledge and the personal protection condition of the medical staff in operating rooms and put forward rational improvement measures so as to better protect the physical and mental health of the operating room staff.METHODS A total of 50 operating room staff were randomly selected for questionnaire survey,and the questionnaire mainly included the infection protection knowledge and the personal protection measures,then the survey results were analyzed.RESULTS Totally 56.00% of the staff suffered from the sharp instrument injuries,78.00% of the staff could master the treatment measures after the sharp instrument injuries.Most of the staff lacked the infection protection knowledge when they carried out the infection operation or the blood transfusion for the patients,accounting for 22.00% and 26.00%,respectively;the staff who performed the assistant radiotherapy accounted for 68.00%,the staff who lacked the disinfectant protection knowledge 48.00 %.CONCLUSION The operating room staff lack the knowledge of the infection and the personal protection,it is necessary to carry out the targeted training of the protection awareness and the protection measures.%目的 调查研究手术室工作人员感染防护知识掌握情况及个人防护情况,提出合理改进措施,以更好保护手术室工作人员身心健康.方法 随机抽取50名手术室工作人员进行问卷调查,问卷内容主要包括感染防护知识及个人防护措施掌握两个部分,对问卷调查结果进行分析.结果 有56.00%的医护人员有锐器伤经历,78.00%的医护人员掌握锐器伤后正确处理措施;在进行感染手术及为患者抽血输液时多数缺乏感染防护知识,分别占22.00%及26.00%;放射辅助手术及消毒液防护意识知识缺乏,分别占68.00%及48.00%.结论 手术室工作人员在感染知识及个人防护上存在欠缺,需针对性加强防护意识及防护技能培训.

  10. A study of the problems between basic insurance organizations and teaching hospitals of Shiraz University of Medical Sciences as viewed by the staff of income hospitals and representative of the insurer’s organization in 2013

    Directory of Open Access Journals (Sweden)

    Maryam Najibi

    2015-07-01

    Full Text Available Introduction: In Iran health insurance is a significant tool in healthcare costs, financing health care and equal access to health services for people. Problems between hospitals and insurance organizations impose extra cost to the patient, leading to financial losses they will infringe upon the rights of patients. This study aimed to determine the issues between hospitals and basic insurance organizations and proposed practical solutions to solve problems in Shiraz University of Medical Sciences. Method:This research was a qualitative study (content analysis, which was conducted in 2013. The research population consisted of teaching hospitals of Shiraz University of Medical Sciences; Purposeful sampling was used and continued until data saturation. The representative of the insurers and staff of income hospitals were asked questions using a semi-structured interview. In this study, we used NVIVO for data analysis. Results: The results of this study showed that the most common problems between basic insurance organizations and teaching hospitals include the lack of prompt payment of hospital bills and imposing deduction on the hospitals. Conclusion: Based on the results of this study, it seems that cooperation between hospitals and insurance organizations could be improved by timely payment of hospital bills and codifying appropriate rules and regulations by basic insurance organizations and, on the other hand, with timely completion of bills and training of hospital staff by the hospital authorities.

  11. 新疆公立医院医务人员工作满意度分析%Analysis of job satisfaction among medical staff of public hospitals in Xingjiang

    Institute of Scientific and Technical Information of China (English)

    韦艳; 段萌萌; 李得保; 董旭南

    2015-01-01

    Objective To analyze the related influence factors of job satisfaction of medical staff in public hospitals,so as to take effective measures to improve the enthusiasm of the medical staff.Methods A to-tal of 334 medical staff were randomly selected from 6 Xinjiang public hospital to investigate the job satis-faction by Likert score recording method of attitude scale.The situation and the influence factors of job satisfaction were investigated and analyzed.Results The overall satisfaction of medical staff is low.The basic satisfaction accounted for only 66.77%.There was significant difference between the different medical staffs in work pressure,a sense of security and professional development.There was significant difference between the different professional titles in the work pressure,work reward,a sense of security and profes-sional development.There was significant difference between the different degree of medical staff in the work environment,work remuneration and professional development.The logistic regression analysis indi-cated that the major impact factors relevant to job satisfaction were the working life,income,working time whether reasonable arrangement and the job ability whether develop.Conclusion The overall satis-faction of medical staff is low.The major impact factors relevant to job satisfaction were the working life, income,working time whether reasonable arrangement and the job ability whether develop.In view of the influence factors,measures should be taken to improve the job satisfaction of medical staff.%目的:探讨新疆公立医院医务人员工作满意度情况及其影响因素,从而采取有效措施提高医务人员的工作积极性。方法采用随机抽样方法选取新疆6所公立医院的334名医务人员作为研究对象,采用李克特(Likert)态度量表的评分记录方法对工作满意度情况进行调查,对影响医务人员满意度的相关因素进行比较分析。结果医务人员的总体

  12. 运用训练等级考评模式组织医院参谋技能考核比武%Organizing Skills Contest of Medical Staff Officers by Using Training Level Evaluation Model in Hospital

    Institute of Scientific and Technical Information of China (English)

    李卫东; 陈礼潮; 卢敬飞

    2014-01-01

    It is effective way to train staff officers commanding ability and build strong medical command authority that organizing medical staff officers skills contest by using training level evaluation model .Meanwhile, the purpose is to enhance the combat effectiveness and security forces and , the main target is to improve the basic theory which is achieved by means of counseling theory , thematic lectures and focused assessment , basic physical fitness and basic skills.In addition, it is also effective manner to improve the commanding skills of directorates in military hospital.%运用后勤训练等级考核模式,组织开展参谋技能考核比武,是培养参谋队伍指挥能力素质、打造过硬卫勤指挥机关的有效途径。坚持战斗力保障力标准,以“基本理论、基础体能、基本技能”为主要内容,采取理论辅导、专题授课、集中考核等方式,检验并提高医院首长机关指挥技能。

  13. 医患关系视角下医务人员职业倦怠及对策%Medical staffs job burnout and countermeasures under the perspective of the doctor-patient

    Institute of Scientific and Technical Information of China (English)

    刘梦明; 王忠; 秦江梅; 邓玉宏; 陈伟

    2015-01-01

    [目的]了解新疆生产建设兵团基层卫生人员职业倦怠现况,帮助新疆生产建设兵团卫生队伍稳定提供理论依据。[方法]采用多阶段分层抽样方法,用马斯勒倦怠问卷对1664名医生进行调查。[结果]有93.2%的卫生人员出现了中度以上的倦怠感;高工作要求、内部及外部工作资源的缺失导致“情绪衰竭”、“消极工作”和低“个人成就感”的倦怠症状。[结论]从管理层和个人角度采取措施,能预防医务人员工作产生职业倦怠感。%ObjectiveTo understand grass roots medical staffs job burnout situation of Xinjiang production and construction corps status so as to provide theoretical basis for helping health team’s stability.Methods Questionnaire investigated 1664 doctors by stratified sampling method.ResultsThere were 93.2% health staffs who appeared moderate job burnout. High job demands, lack of working resources internal and external that led to burnout symptom of “emotional exhaustion”, “negative working” and “low sense of personal achievement”.Conclusions Take measures from management and personal angle, to prevent the job burnout of medical staffs.

  14. 山西省乡镇卫生院医务人员工作满意度调查分析%Survey and Analysis on the Satisfaction of Medical Staff in Health Clinics of Townships of Shanxi Province

    Institute of Scientific and Technical Information of China (English)

    王卫东; 卢祖洵

    2011-01-01

    Objectives To investigate the satisfaction of medical staff in health clinics of townships and take appro priate measures to improve it to enhance medical service quality. Methods Group random stratification sampling was conducted, total 16 health clinics of townships were sampled in 4 counties, which including 2 poverty county and 2 non-poverty counties. The questionnaire survey was carried out in their medical staff. Results The satisfac tion of medical staff in health clinics of township was not very high. The average score was (62. 40±ll. 64) ,the av erage score in non-poor counties(67. 41 ±21. 54) was higher than it in poverty county(56. 96±19. 18). The main in fluence factors related to low satisfaction were hospitals' system, benefits and income, and social respect. The sat isfaction was higher in female, younger, low education levels and staff from paramedical units. Conclusions Ac cording to the factors affecting job satisfaction of medical staff in different groups, different administration measures and stimulating ways should be taken to improve their enthusiasm and provide qualified service.%目的 了解乡镇卫生院医务人员工作满意度,提出相应的措施,从而提供高质量的医疗服务.方法 采用随机分层抽样的方法,从山西省贫困县和非贫困县随机各抽取2个县的16个乡镇卫生院的医务人员进行问卷调查.结果 工作总体满意度不高,平均得分62.40±11.64,非贫困县调查对象总体满意度高于贫困县,得分分别为:(67.41±21.54)分、(56.96±19.18)分.医务人员不满意的因素主要是医院制度、福利待遇、社会认同等项目.乡镇卫生院中女性、年龄小、学历低、辅助科室的医务人员更容易对工作感到满足.结论 根据影响贫困县和非贫困县医务人员满意度的因素,应采取针对性的管理措施及激励手段,以提高其工作积极性.

  15. Study of occupational stress status 9uo in medical staff and its corresponding measures%医护人员职业紧张状况及应对措施研究

    Institute of Scientific and Technical Information of China (English)

    邹艳艳; 甄亚琴; 李文玉; 丁清

    2015-01-01

    Objective To identify the occupational stress status quo in medical staff and its influencing factors,so as to bring up corresponding measures for occupational stress. Methods By cluster sampling,the medical staff in a hospital whose service year longer than six months were selected and surveyed with a self-designed general information questionnaire and an occupational stress scale. Results The actual valid questionnaires were 573 pieces,and the valid return rate was 95. 5% . The scores of stress reaction and subitem of occupational mission of these study objects were much higher than those of the norm,and the differences between them were statistically significant(P <0. 05). The main influence factors of occupational stress in medical staff were PE,SS,RB,RI and RO. Conclusion Most medical staff are in a high level of occupational stress,which ask for the hospital managers to adopt comprehensive measures of three - grade prevention. Three aspects of source of tension,personal stress sensitivity,and more sensitive response management system should be focused to reduce the psy-chological tension of medical staff and improve their work efficiency.%目的:了解医护人员职业紧张现状及其影响因素,提出预防职业紧张的对应措施。方法采用整群抽样法,将医院工作时间大于6个月的医护人员作为研究对象,采用自制基本资料调查表及职业紧张量表进行问卷调查。结果发放调查问卷600份,有效调查问卷573份,有效回收率为95.5%;本研究个体紧张反应及各子项目均显著高于常模,差异有统计学意义( P <0.05);医护人员紧张反应的主要影响因素为工作环境、社会支持、任务冲突、任务不适和任务过重。结论医护人员普遍处于较高的职业紧张水平,管理者应采用三级预防的综合措施,从紧张的来源、提高个人紧张敏感度、发展响应更敏感的管理系统3个方面着手,减轻医护人员紧

  16. The effect of psychological yoga on negative emotion and living quality of medical staff%心灵瑜伽对医护人员负性情绪及生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    罗丽丹; 叶美霞

    2015-01-01

    目的:探讨心灵瑜伽对医护人员负性情绪及生活质量的影响。方法选取20例医护人员为研究对象,并给予心理瑜伽减压干预。采用抑郁自评量表(SDS)及焦虑自评量表(SAS)评价负性情绪;采用健康调查量表(SF-36)评价生活质量;采用马斯勒倦怠量表-服务行业版(MBI-HSS)评价工作倦怠程度。结果干预后,医护人员SAS及SDS评分均显著降低,与干预前比较差异具有统计学意义(P<0.05)。医护人员活力、情感职能、社会功能、精神健康、生理功能、生理职能、躯体疼痛及总体健康等维度评分均显著升高,与干预前比较差异具有统计学意义(P<0.05)。医护人员情绪衰竭、情感疏远评分显著降低,个人成就感评分显著升高,与干预前比较差异具有统计学意义(P<0.05)。结论心灵瑜伽可有效减轻医护人员工作压力,改善其负性情绪及生活质量,值得推广使用。%Objective To evaluate the effect of psychological yoga on negative emotion and living quality of medical staff. Methods Selected 20 cases of medical staff as the research object. Used self-rating depression scale (SDS) and self-rating anxiety scale (SAS) to evaluate the negative emotions. Used short-form-36 health survey to evaluate the living quality. Used maslach burnout inventory-human service survey (MBI-HSS) to evaluate the job burnout.ResultsAfter the intervention, the SAS and SDS scores of medical staff were significantly lower, compared with before intervention differences statistically significant (P<0.05). The dimension score of vitality, emotional functions, social function, mental health, physical function, physiological functions, physical pain and general health were significantly increased, compared with before intervention differences statistically significant (P<0.05). The score of medical staff emotional exhaustion and emotional alienation significantly

  17. 合理情绪疗法在医护人员职业倦怠中的应用效果观察%Observation of Rational Emotive Therapy on Application Effect of Medical Staff in the Occupation Burnout

    Institute of Scientific and Technical Information of China (English)

    李春艳; 马晓亮; 赵宁; 安春; 赵润平

    2015-01-01

    目的:探讨合理情绪疗法在医护人员职业倦怠防治中的效果。方法:对2013年7月-2014年10月,自愿报名参与活动的医护人员中随机选取临床一线500名护士和300名医生作为研究对象,对存在职业倦怠的100名护士与60例医生进行为期2个月的合理情绪疗法,对干预前后的职业倦怠情况进行问卷调查,统计干预前后职业倦怠的评分情况。通过统计学分析,探讨心理学合理情绪疗法在医护人员职业倦怠中的应用及疗效观察。结果:干预后护理人员与医疗人员的职业倦怠评分分别为(167.38±8.43)分、(162.83±11.29)分,较干预前(217.83±15.29)分与(209.43±14.27)分均显著下降,干预前后比较差异均有统计学意义(t=14.283、11.853,P<0.05)。护理人员与医疗人员干预后重度评分的比例显著下降,轻度与中度评分的比例显著提高,比较差异均有统计学差异(P<0.05)。结论:合理情绪疗法对缓解医护人员的职业倦怠有积极的改善作用。%Objective:To explore the rational emotive therapy effect in the prevention of occupation burnout of medical staff. Method:From July 2013 to October 2014,voluntary participation in the activities of the medical staff were randomly selected,including 500 clinical frontline nurses and 300 doctors as the research object,the reasonable mood therapy for 2 months on the existence of occupation burnout 100 nurses and 60 patients with the doctor were carried on,a questionnaire survey was conducted before and after the intervention of occupation burnout occupation burnout, score statistics before and after intervention. Result:After the intervention ,nursing staff and medical personnel occupation burnout scores were respectively(167.38±8.43),(162.83±11.29),compared with(217.83±15.29) and(209.43±14.27)before the intervention were significantly decreased,the differences were statistically significant (t=14

  18. Staff training in organisation

    OpenAIRE

    Vomáčka, Štěpán

    2012-01-01

    This thesis is focused to areas of staff training in organization. The first part summarize general problems of staff training as a part of human resources management and concepts are explained such as motivation to education, human recources management, staff training methods, analyses of staff training needs, methods of development needs identification, staff training planning, corporate staff training, e-learning and evaluation of personnel development results. The second part of this thes...

  19. 边疆少数民族地区医务人员职业倦怠现状调查与分析%An investigation and analysis on job burnout of medical staffs in minority border areas

    Institute of Scientific and Technical Information of China (English)

    曾俊伟; 杨国愉; 赵梦雪; 王立菲; 张晶轩; 张丽; 李晨

    2015-01-01

    Objective To explore the status of job burnout of medical staffs in minority border areas. Methods A total of 906 medical personnel from Pu'er hospitals in Yunnan Province were as-sessed with Maslach Burnout Inventory General Survey (MBI-GS) by t test, descriptive statistics, chi-square test, ANOVA and LSD-t pairwise comparison. Results ①The emotional exhaustion, cynicism and reduced personal accomplishment of medical staffs in minority border areas (1.55±1.40, 0.99± 1.29, 2.47±1.98) are significantly lower than general areas (P=0.000, 0.010, 0.000); ②emotional ex-haustion, cynicism and Maslach Burnout Inventory (MBI) total points of different levels of hospital medi-cal staff, the score of which in descending order are:municipal, county and township (town) levels (P=0.000, 0.000, 0.000); ③Female medical personnel's emotional exhaustion and cynicism are scored significantly higher than males medical staff (P=0.000, 0.025); ④The scores of emotional exhaustion, cynicism, reduced personal accomplishment and MBI total points of Bachelor medical staff are signifi-cantly higher than those of colleges as well as secondary schools and below (P=0.000, 0.000, 0.000, 0.012); ⑤The scores of reduced personal achievement of Lahu medical staff are higher than those of other ethnic groups (P=0.009). Conclusion In medical staffs in minority border areas there exists a certain extent of job burnout, which presents differences among genders, educational background, hos-pitals and ethnic groups.%目的:探讨边疆少数民族地区医务人员职业倦怠特点。方法采用Maslach职业倦怠量表(MBI-GS),对云南省普洱市不同等级医疗卫生机构906名医务人员进行调查,比较不同人员职业倦怠特点,采用描述性统计、t检验、卡方检验、单因素方差分析及LSD-t进行两两比较。结果①边疆少数民族地区医务人员情感衰竭、玩世不恭和成就感低落均分为(1.55±1.40、0.99±1.29、2.47±1.98

  20. 某军队医院医务人员生活方式及饮食习惯调查及对策%Survey on Lifestyle and Diet Habits of Medical Staff of A Military Hospital and Its Countermeasures

    Institute of Scientific and Technical Information of China (English)

    李英秋; 龙江丽; 荆忱; 张岩; 潘玉焕; 刘静平

    2011-01-01

    [Objective]To understand the lifestyle and diet habits of medical staff, and provide evidence for developing individualized health management.[Methods]Health examination and questionnaire were adopted to conduct investigation on 598 medical workers serving and retired of a hospital about health, diet habits and lifestyle.The data were statistically analyzed with SPSS 11.5.[Results]The overall prevalence rate of risk factor for cardiovascular diseases among medical staff was 61.6%.The top 10 bad lifestyles and diet habits were less intake of coarse grains (84.75% ), less intake of water (71.61%), lack of physical exercise (64.73% ), less intake of vegetables (62.43%), less intake of fish (60.11% ), eating greasy (59.73% ), without insisting on eating breakfast ( 58.77% ), less intake of fruits ( 55.83% ), inadequate intake of milk ( 55.16% ), the partial eclipse (48.61% ).The bad lifestyles and diet habits of retired medical workers were long time TV watching ( 79.91% ) and less kinds of food intake (47.44% ).[Conclusion]The medical staff is the group with high risk of cardiovascular disease.Bad lifestyle and diet habits exist in medical staff.It is necessary to strength their health education and health management%目的 了解医务人员的生活方式及饮食习惯,为制定个体化的健康管理提供依据.方法 采用健康检查、问卷调查的方法对某军队医院的598名在职及离退休的医务人员进行健康状况、饮食习惯和生活方式调查,统计分析采用SPSS 11.5统计软件进行.结果 医务人员各种心脑血管病危险因子总患病率为61.6%;在职医务人员排在前10位的不良生活饮食习惯为摄入粗粮少(84.75%)、饮水少(71.61%)、缺乏体育锻炼(64.73%)、摄入蔬菜少(62.43%)、摄入鱼类少(60.11%)、喜食油腻(59.73%)、不坚持吃早餐(58.77%)、摄入水果少(55.83%)、摄入奶量不足(55.16%)、偏食(48.61%),离退休医务人员的主要不良生活

  1. 成都市狂犬病暴露预防门诊犬伤处置能力调查%Medical Staff's Capability of Treating Dog-bitten Out-patients in Rabies Clinics in Chengdu

    Institute of Scientific and Technical Information of China (English)

    朱昆蓉; 岳勇; 欧志梅; 杨梅; 李志春; 罗远沛; 周晓静; 耿玲; 石春俐

    2013-01-01

    Objective To investigate medical staff's capability of treating dog - bitten patients in rabies prevention and control department in Chengdu, and to provide reference for standardizing the medical treatment. Methods Onsite observation was carried out to the medical personnel from the 21 rabies clinics of Chengdu. The investigator served as an intern for a week in every selected spot. The observation included diagnosis and treatment processes of dog injury, wound cleaning and disinfection, vaccine and serum injections, re - immunization for injury and before injury etc. Database was established with Epidata3. 02 and was analyzed by SPSS13. 0. Results No statistical difference was found ( P > 0. 05 ) among three levels of clinics ( municipal, district level and community level) concerning the following variables: wound cleaning, vaccine and serum injections, retreatment for injury among the medical staff; the rate of correct operation was above 80%. Significant differences were found on variables as; treatment or description before dog injury, diagnosis and treatment processes (P < 0. 05 ) ; the lowest correct operation rate was among medical staff in community — level ( with a correct rate of 70.73% and 58. 33%, respectively). Conclusion The medical staffs capability to treat dog injury in Chengdu needs further improvement, calling for more targeted and standardized technical training.%目的 了解成都市主城区狂犬病暴露预防门诊(犬伤门诊)医务人员犬伤处置能力的现状,为规范犬伤暴露后的医学处理工作和提高犬伤处理水平提供参考和依据.方法 对成都市21家犬伤门诊医务人员开展现场观察,每个犬伤门诊现场观察1周.观察的主要内容包括犬伤的诊断和处理流程、伤口清洗和消毒、疫苗和狂犬病免疫球蛋白的注射、再暴露和暴露前的免疫预防等.采用Epidata3.02软件建立数据库,SPSS13.0软件进行数据分析.结果 市级及以上、区级和社

  2. The Survey and Analysis of the Factors Effecting Grassroots Medical Staffs Professional Enthusiasm in Shandong Province%山东省基层医务人员职业积极性影响因素的调查及分析

    Institute of Scientific and Technical Information of China (English)

    徐玉梅; 秦浩; 刘宪亮

    2012-01-01

    Objective;To further understand the current work situation of grassroots medical staff under the background of new health care reform, especially the factors effecting grassroots medical staffs professional enthusiasm in Shandong province. Methods; Questionnaire investigation was carried out in 346 grassroots medical staff in Weifang and Dongying city. ResuttS;Only 9. 82% of the grassroots medical staff felt very satisfied with the current situation, the total satisfaction rate was 39.02% , the professional work environment satisfaction rate was 32.66% , the position of unit performance assessment satisfaction rate was 30.92% , and the satisfaction rate for promotion of technical title fair and reasonable and the current salary was 28.03% , and the satisfaction rate for current situation of doctor - patient relationship was only 26. 30%. Conclusion: Based on the investigation of the not high satisfaction rate for current situation, this paper proposed the constructive measures: further strengthening the government responsibility; ensuring all the measures in place; assuring the grassroots staff's reasonable salary and reducing their occupational risk.%目的 深入了解新医改方案实施、公立医院改革试点中基层医务人员的工作现状,尤其是影响基层医务人员职业积极性发挥的因素.方法 选取山东省潍坊市和东营市共346名基层医务人员进行问卷调查,并筛选出具有统计学意义的影响因素.结果 对当前基层医疗工作现状非常满意人数仅占9.82%,总满意率为39.02%.对职业工作环境满意率为32.66%,对单位的岗位绩效考核满意率为30.92%,对技术职称晋升公平合理、当前的工资福利待遇的满意率都为28.03%,而对当前医患关系现状的满意率仅为26.30%.结论 从山东省基层医务人员工作现状满意度上来看,新医改实施后对工作的总体满意度仍然不高.依照此结论,提出了建设性对策:进一步强化政

  3. Guangzhou Part of the Top Three Hospital Emergency Department Medical Staff Burnout Survey%广州部分三甲医院急诊科医护人员职业倦怠调查

    Institute of Scientific and Technical Information of China (English)

    吴俊平

    2013-01-01

    Explore three grade a hospital emergency department medical staff burnout current situation and related factors. Maslach burnout inventory investigation Guangzhou top three hospital emergency department medical staff. Health care workers average emotional exhaustion in moderate, with an average score of 27. 93 points; different gender, job category and marital status in the depersonalization and low personal achievement score was not statistically significant (P>0. 05) ; but different gender, type of work, marital status, age, size, and position title level score on emotional exhaustion and burnout differences were statistically significant (F<0. 05), low men, doctors, unmarried, young and titles emotional exhaustion and burnout than other categories of health care workers. The top three hospital emergency department medical staff burnout phenomenon is more common, the degree of a moderate, gender, type of work, marital status, age, size, and position title level affect medical staff burnout; men, doctors, unmarried, young and titles low staff emotional exhaustion and burnout is more significant.%探讨三级甲等医院急诊科医护人员职业倦怠现状及相关影响因素.采用Maslach职业倦怠量表对广州三甲医院急诊科医护人员进行调查.医护人员平均情感耗竭处于中度,平均得分为27.93分;不同性别、工作类别与婚姻状况在去人格化和低个人成就的得分比较无统计学意义(P>0.05);但不同的性别,工作类别、婚姻状况、年龄大小与职称等级在情感耗竭和职业倦怠上的得分比较差异均有统计学意义(P<0.05),其中男性、医生、未婚、年纪轻和职称低人员的情绪耗竭和职业倦怠高于其他类别的医护人员.三甲医院急诊科医护人员职业倦怠现象较为普遍,程度处于中度,性别、工作类别、婚姻状况、年龄大小与职称等级影响着医护人员的职业倦怠;男性、医生、未婚、年纪轻和职称

  4. Attitudes towards informed consent, confidentiality, and substitute treatment decisions in southern African medical students: a case study from Zimbabwe.

    Science.gov (United States)

    Hipshman, L

    1999-08-01

    This study explored the attitudes of biomedical science students (medical students) in a non-Western setting towards three medical ethics concepts that are based on fundamental Western culture ethical principles. A dichotomous (agree/disagree) response questionnaire was constructed using Western ethnocentric culture (WEC) based perspectives of informed consent, confidentiality, and substitute decision-making. Hypothesized WEC-Biased responses were assigned to the questionnaire's questions or propositions. A number of useful responses (169) were obtained from a large, cross-sectional, convenience sample of the MBChB students at the University of Zimbabwe Medical School. Statistical analysis described the differences in response patterns between the student's responses compared to the hypothesized WEC-Biased response. The effect of the nine independent variables on selected dependent variables (responses to certain questionnaire questions) was analyzed by stepwise logistic regression. Students concurred with the hypothesized WEC-Biased responses for two-thirds of the questionnaire items. This agreement included support for the role of legal advocacy in the substitute decision-making process. The students disagreed with the hypothesized WEC-Biased responses in several important medical ethics aspects. Most notably, the students indicated that persons with mental dysfunctions, as a class, were properly considered incompetent to make treatment decisions. None of the studied independent variables was often associated with students' responses, but training year was more frequently implicated than either ethnicity or gender. In order to develop internationally and culturally relevant medical ethics standards, non-Western perspectives ought to be acknowledged and incorporated. Two main areas for further efforts include: curriculum development in ethics reasoning and related clinical (medico-legal) decision-making processes that would be relevant to medical students from

  5. The relationship between job burnout and social support in medical staff%医务人员工作倦怠及其与社会支持的关系

    Institute of Scientific and Technical Information of China (English)

    邹志礼; 周波; 黄雨兰; 汪瑾宇; 李兴红; 何影

    2015-01-01

    Objective To assess the prevalence and severity of burnout in medical staffs,and investigate associated demographic,perceived social support and job burnout.Methods Totally 618 medical staffs form Sichuan province people's hospital were selected by the systematic sampling method,and were tested by general state questionnaire,job burnout questionnaire and perceived social support scale.Results ①The prevalence of job burnout was 75.6%,including mild job burnout (36.1%),moderate (32.2%),severe (7.3%).②The scores of emotional exhaustion in the female medical staffs(20.50±8.35) was higher than the male medical staffs (19.07±7.76,P<0.05).Divorced medical staffs had higher scores(18.28±7.13) than that of single and married medical staffs (15.05±5.00) in low personal accomplishment (P< 0.01).The medical personnel of different ages were statistically significant difference in total job burnout scores,emotional exhaustion and depersonalisation (F=4.475,3.061,3.942,all P<0.05).The medical personnel of different post,professional title and working years were statistically significant difference in total job burnout scores and emotional exhaustion (F=6.920,13.968; 3.506,3.391;3.190,3.300,all P< 0.05).The medical personnel of different educational attainment were statistically significant difference in total job burnout scores,emotional exhaustion and low personal accomplishment(F=6.218,2.837,2.850,all P<0.05).)Correlation analysis found that emotional exhaustion,depersonalisation,low personal accomplishment and total job burnout respectively with family support,friend support,and other support and total social support was significantly negative correlation (r=-0.126~-0.403,P<0.01).④Regression analysis showed that education,family and friends support were protective factors for total job burnout(OR=-0.248,95% CI =0.625-0.975 ; OR=-0.084,95% CI =0.862-0.980 ; OR=-0.091,95% CI =0.860-0.968 ; all P<0.05).Conclusion The prevalence of job

  6. Hand hygiene and hand-washing compliance of medical staff:current status and administration strategies%医务人员手卫生与洗手依从性现状及管理对策

    Institute of Scientific and Technical Information of China (English)

    范文; 黄娥; 段六生; 雷鸿斌; 易光明

    2011-01-01

    目的 了解医务人员手卫生的现状,研究手卫生与医院感染的关系,从而制定手卫生管理对策.方法随机抽查8个临床科室部分医务人员手污染现状,研究医务人员手携带病原菌的种类及性质,分析其污染因素.结果医务人员工作过程中手细菌携带率为100.0%,洗手后细菌携带率为30.4%;携带的主要细菌为:大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌、产碱假单胞菌、变形菌属、金黄色葡萄球菌、凝固酶阴性葡萄球菌和肠球菌属等.结论医务人员手部污染是医院交叉感染的重要危险因素,必须强化医务人员医院感染理念教育,重视手卫生的监督管理,提高对洗手的认知性和依从性,才能有效预防与控制由手传播的医院内交叉感染.%OBJECTIVE To understand the status of hand hygiene of medical staff and investigate the relation between hand hygiene and nosocomial infections to institute the administration strategy of hand hygiene.METHODS The random inspection of hand hygiene was performed for parts of medical staff in 8 clinical departments. The species of carrying pathogens were investigated. The reasons for contamination were analyzed.RESULTS The carrying rate of pathogenic bacteria before hand-washing was 100. 0% while which after hand-washing was 30.4 %. The common pathogenic were Escherichia coli, Klebsiella pneumouia, Pseudomonas aeruginosa , Pseudomonas alcaligenes , Bacillus proteus, Staphylococcus aureus , Coagulase negative Staphylococcus and Enterococci, and so on. CONCLUSION The hand contamination is the important risk factor of hospital cross infection. The hospital infections idea of medical staff should be strengthened, the supervision of hand hygiene and the enhancement of the recognition and compliance of hand-washing should be attached importance to effectively prevent and control the hospital cross infection communicated through hands.

  7. 医务人员人格因素、组织因素与工作投入的关系%The Mediating Role of Medical Staff's Personality on Work Engagement and Organizational Factors

    Institute of Scientific and Technical Information of China (English)

    高慧; 李昌俊; 郑涌

    2011-01-01

    [Objective] To investigate the medical staffs' work engagement, and explore the mediating role of personality on the organizational factors and the work engagement. [ Methods ] By utilizing stratified random sampling, a total of 346 medical staff were investigated with the Utrecht Work Engagement Scale, the Health-Related Hardiness Scale, the Core Self-Evaluations Scale, the Work-Home Conflict Scale and the Social Support Scale. [ Results ] There was significant correlation between the organizational factors and the personality factors, the same relationship was found between the organizational factors and the work engagement, between the personality factors and the work engagement(P<0.01); the personality factors fully mediated the relationship between the organizational factors and the work involvement. [ Conclusion ] In organization environment, the reaction of medical staff is determined by their personality characters.%[目的]了解医务人员工作投入的现状,探讨人格因素对组织因素和工作投入的中介效应.[方法]使用随机抽样法对北京、山东2个城市3家医院346名医务人员,采用工作投入量表、健康坚韧性量表、核心自我评价量表、工作一家庭冲突问卷和社会支持问卷进行调查.共发放问卷400份,收回359份,共获得有效问卷346份,有效回收率为87%.对数据进行相关分析和路径分析.[结果]组织因素与人格因素、组织因素与工作投入、以及人格因素与工作投入均相关显著(P<0.01),人格因素能够全面介入组织因素对工作投入的影响.[结论]人格因素决定了医务人员在工作情境中的反应.

  8. 不同洗手方法对医护人员手消毒效果的影响%Effect of different hand washing methods on sterilization of medical staff

    Institute of Scientific and Technical Information of China (English)

    吴冉; 王晓; 孙素芬; 程延

    2015-01-01

    Objective:To investigate the sterilization effects of different hand washing methods,So as to provide convenient,fast,and reliable hand hygiene method for the medical staff. Methods:60 medical staff was randomly divided into control group and experimental group. The control group used ordinary hand soap and the experimental group received free hands sanitizers respectively,after hand washing making bacterial culture. Observated the number of bac-terial colonies in the hand of two groups. Results:Ordinary hand washing gel,free hand sanitizers pass rate was 73. 33% and 96. 67% separately,they both have no detected pathogens,compared the difference of two hand - washing effect included statistically significant ( P < 0. 05). Conclusion:Both methods can be used to hand washing sterilization for medical staff,free hand washing sanitizers group is more effective than ordinary hand washing group.%目的::观察医护人员不同洗手方法的消毒效果,为医务人员提供方便、快捷、可靠的手卫生方法。方法:2014年2~3月随机将门诊医护人员60人等分为试验组和对照组,对照组使用普通洗手液,观察组使用免洗手消毒液洗手,所有医护人员洗手后均进行手部细菌培养。结果:对照组和试验组合格率分别为73.33%,96.67%,均未检出致病菌,两组洗手效果比较差异有统计学意义(P <0.05)。结论:两种洗手方法均可用于临床医务人员的手部清洗除菌,免洗手消毒液洗手组的洗手效果优于普通洗手液洗手组。

  9. Application effect of medical staff synchronization responsibility management in neurology department patients%医护同步责任管理在神经内科患者中的应用效果观察

    Institute of Scientific and Technical Information of China (English)

    巩林霞; 王元芝

    2013-01-01

    目的 探讨医护同步责任管理模式在神经内科中的临床应用效果.方法 选择2010年7月实施医护同步责任管理模式后患者与护士,与2009年开展未实施前患者与护士进行比较,比较二组患者满意度、护理质量、护士身心健康及护士满意度.结果 观察组患者的满意度(95.55%)明显高于对照组;护理质量明显提高;疾病发生率明显降低,职业满意度明显提高.结论 医护同步责任管理模式密切了医患、护患、医护之间的关系,患者满意度、护士职业满意度明显提高,护理质量更加规范,护士身心健康得到了保证.%Objective To discuss the clinical application effect of medical staff synchronization responsibility management mode in neurology department patients.Methods The patients and nurses were selected as observation group who were treated with medical staff synchronization responsibility management,and the patients and nurses were selected as control group who were not treated with it.Two groups was compared with patients'satisfaction,quality of nursing,nurses health of body and mind and nurses'satisfaction.Results The patients'satisfaction in the observation group (95.55%) was significantly higher than that in the control group; nursing quality was obviously improved ; incidence rate of the disease decreased significantly,occupation satisfaction was improved significantly.Conclusion Medical staff synchronization management mode can improve the relationship of doctor-patient,nurse-patient,doctor-nurse,nurses'occupation satisfaction and the nursing quality,guarantee effectively the physical and mental health of nurses.

  10. Decentralized Ground Staff Scheduling

    OpenAIRE

    Sørensen, M. D.; Clausen, Jens

    2002-01-01

    Typically, ground staff scheduling is centrally planned for each terminal in an airport. The advantage of this is that the staff is efficiently utilized, but a disadvantage is that staff spends considerable time walking between stands. In this paper a decentralized approach for ground staff scheduling is investigated. The airport terminal is divided into zones, where each zone consists of a set of stands geographically next to each other. Staff is assigned to work in only one zone and the sta...

  11. INVESTIGATION ON THE MEDICAL STAFF HAND HYGIENE IN COMPREHENSIVE ICU%综合重症监护病房医护人员手卫生调查

    Institute of Scientific and Technical Information of China (English)

    王超美; 段红林; 杨军

    2011-01-01

    目的 了解重症监护病房医务人员手卫生现状,研究影响手卫生的因素.方法 通过问卷调查和现场观察的方法, 对本医院重症监护病房医务人员手卫生消毒情况进行了调查.结果 本医院ICU部分医务人员对手卫生知识概念模糊,但对手卫生指征及洗手方法掌握较好.有96%的医务人员认为手卫生重要;有90%的医务人员最习惯的手卫生方式是洗手,只有10%的医务人员习惯快速手消毒剂擦手消毒方式.影响手卫生依从性的因素主要是没有时间,洗手频率太高,怕损伤皮肤,洗手设施不方便等.结论 ICU医务人员手卫生知识欠缺,洗手执行率受主客观因素影响明显,应加强相关知识培训和制度落实.%Objective To know the current status of hand hygiene of medical personnel in comprehensive ICU and the influencing factors of hand hygiene.Methods Questionnaires and on - site observations were used to investigate the knowledge and compliance of hand hygiene of medical personnel in the authors'hospital.Results Parts of the medical personnel have ambiguous understandings of hand hygiene, but they are well aware of hand hygiene indicators and adopt good hand wash methods.96% of medical personnel regard hand hygiene important.The habitual hand hygiene methods of 90% of medical personnel is washing hands, while of 10% is using quick hand disinfectant.Factors influencing hand hygiene compliance are heavy workload, frequent hand - wash, afraid of damage on skin, inconvenience hand - washing facilities etc.Conclusions Medical personnel in ICU have insufficient hand hygiene knowledge.We should strengthen the educatation to medical personnel and raise their awareness in hand hygiene.

  12. Research on Psychological Capital and Influence Factors of Medical Staff%医务人员心理资本调查与影响因素研究

    Institute of Scientific and Technical Information of China (English)

    田慧芳

    2014-01-01

    Objective We find out the psychological capital status of medical staf ,and at the same time we get the factors of psychological capital of medical staf by exploring the dif erences in dif erent demographic variables,in order to seek empirical support for the promotion of medical staf 's psychological capital. Methods We use SPSS16.0 software,applying descriptive statistical analysis,independent samples t test,and single-factor analysis of variance methods to 415 medical staf which are from four tertiary hospitals in Tianjin randomly. Results Psychological capital of medical staf overal in the upper level. The dif erent marital status of the medical staf of psychological capital do not exist significant dif erences. The dif erent genders,ages,job titles,educations and monthly incomes do exist significantly dif erences. Conclusion Demographic variables have impact on the psychological capital of medical staf .%目的:了解医务人员心理资本的现状,同时通过探讨不同人口学变量下医务人员心理资本的差异得到其影响因素,为寻求医务人员心理资本的提升提供实证支持。方法采用SPSS16.0软件,应用描述性统计分析、独立样本t检验和单因素方差分析方法,对随机抽取的天津市四家三级医院415名员工心理资本进行问卷调查,并对调查结果进行统计分析。结果医务人员心理资本总体处于中上水平,不同婚姻状况下医务人员心理资本不存在显著差异,不同性别、年龄、职称、学历和学月收入下心理资本均存在显著差异。结论人口学变量对医务人员心理资本有影响作用。

  13. K-A-P analysis of nutritional oncology for Chinese medical staff%中国医务人员肿瘤营养知识-态度-行为调查分析

    Institute of Scientific and Technical Information of China (English)

    张晓伟; 李素云; 周岚; 胡雯; 赵长海; 巍少忠; 石汉平; 李薇; 陈公琰; 赵广法; 陈建思; 罗素霞; 杨婷; 黄进; 陈鄢津

    2016-01-01

    与临床营养方面的科研,医务人员前3位营养知识来源是工作中摸索积累(66.22%)、阅读专业书籍和期刊杂志(65.40%)、在校时学习(61.25%)。结论当前我国医务人员对肿瘤营养治疗有着积极的态度和较好的营养治疗行为,但营养知识的掌握程度亟需进一步提高,非常有必要加强对医务人员的营养教育培训。%Objective Investigate and understand Chinese medical staff’s knowledge, attitude and practice (K-A-P) towards the nutritional oncology, to provide a basis for the training of the nutritional oncology, and the improvement on clinical treatment. Methods This is a multicenter, prospective and observational study for about 3036 medical staffs from 138 hospitals in the 13 provinces of China, to collect and summarize the K-A-P scores in questionnaires.Results The overall mean±SD for K scores was 41.26±23.68, the pass rate was 35.31%, and the good rate was 12.48%. The overall mean±SD for A scores was 82.23±12.63, the pass rate was 96.57% and the good rate was 69.37%. The overall mean±SD for P scores was 73.03±15.06, pass rate was 85.64%and the good rate was 39.86%. The correlation coefifcient between the K scores and A scores was 0.136 withP value less than 0.05, the correlation coefifcient between the K scores and P scores was 0.179 withP value less than, which means there are correlations between the K scores and A scores, the K scores and the P scores. The pass rate of K scores for the male medical staff was higher than the female (P>0.05), but there is no signiifcant difference for the A scores and P scores in the gender of the medical staffs (P0.05). The mean value, pass rate and good rate for K-A-P scores in medical staffs with higher degrees were superior than lower degrees (P0.05), but there is a higher P scores and the pass rate in general hospitals (P<0.05). The study time on nutritional education is less than 10 percentages of the full time for 58

  14. Investigation and analysis of medical staff's occupational exposure to blood transmitted diseases%医务人员血液传播性疾病职业暴露调查分析

    Institute of Scientific and Technical Information of China (English)

    谭妙莲; 唐保东; 林菁华; 龙硕; 刘霞

    2013-01-01

    目的 了解医务人员发生血液传播性疾病职业暴露的状况,为及时处理职业暴露、制定预防对策提供依据.方法 建立血液传播性疾病职业暴露监测报告系统,医务人员发生职业暴露后填写“血液传播性疾病职业暴露个案登记表”,调查医务人员在临床工作中发生职业暴露的情况.结果 共收到60名医务人员血液传播性疾病职业暴露的报告,发生职业暴露的职业以护士(含实习护士)最高44人,占73.3%,职业暴露人员年龄以20~35岁为主,占80.0%,手术科室报告职业暴露人数略高于非手术科室;锐器伤32人,血液、体液溅污28人;暴露后均及时进行局部处理,根据暴露者的暴露情况及自身对暴露源的病原体相应免疫状态,做出相应干预措施的有16人,经追踪随访6个月,均未发生血源传播性病原体感染.结论 加强职业安全防护培训,增强医务人员职业安全防护意识,规范医疗操作,减少职业暴露的发生,暴露后采取有效合理的干预措施降低被感染的危险.%OBJECTIVE To understand the status of the medical staff's occupational exposure to the blood transmitted diseases through the monitoring so as to provide basis for the timely treatment and to develop the prevention countermeasures. METHODS The monitoring report system of the occupational exposure to blood transmitted diseases was established. The registration table for the cases with occupational exposure to blood transmitted diseases was filled out by the medical staff after the occupational exposure emerged, the incidence of the medical staff's occupational exposure was investigated in the clinical work. RESULTS A total of 60 medical staff have reported being exposed to the blood transmitted diseases, the incidence of the occupational exposure was the highest in the nurses ( including the intern nurses ), with the case number of 44 cases ( 73. 3%). The medical staff aged between 20 and 35 years

  15. A path analysis of psychosocial factors on job burnout in first aid medical staff%医疗急救人员工作倦怠社会心理因素的路径分析

    Institute of Scientific and Technical Information of China (English)

    鲁先灵; 万杰

    2013-01-01

    Objective To analyze the psychosocial influential factors on job burnout and their interaction models in first aid medical staff.Method A survey was carried out concerning job burnout status,job stress,job overload,work-family conflict,overall job satisfaction,coping styles and social support in 504 first aid medical staffs,by which to seek the psychosocial influential factors of job burnout status and explore their interaction models using stepwise multivariable regression and path analysis.Result (1) The stepwise multivariable regression on the job burnout showed that job overload,work stress,work-family conflict,overall work satisfaction and negative coping style were the key social-psychological influential factors in job burnout(F =90.562,P =0.001).(2) The path analysis showed that the job overload was the major event caused the work stress,and work stress played a direct and indirect roles in the level of job burnout in first aid medical staff,and the work-family conflict and overall work satisfaction was disposition factors of job burnout with direct actions and indirect actions.The negative coping style was an intermedium link between work stress and job burnout.Conclusion Decrease of work intensity and change of bad coping styles can be effective on job burnout in first aid medical staff.%目的 探讨医疗急救人员职业倦怠的影响因素及其相互作用.方法 通过504例医疗急救人员职业倦怠状况及相关社会心理因素的调查,采用多因素逐步分析和通径分析的方法研究社会心理影响因素的作用方式和途径.结果 (1)多因素逐步回归分析结果表明,工作超负荷、工作应激、工作-家庭冲突、工作满意度和消极应付方式先后进入回归方程(F=90.562,P=0.001);(2)路径分析结果表明,工作超负荷是医疗急救人员工作应激的主要来源,工作应激可以直接和通过间接作用影响医疗急救人员的职业倦怠;工作-家庭冲突、工作满意度

  16. 湖北省某市城区小型医疗机构医务人员健康素养调查分析%Analysis on Health Literacy of Medical Staff in Small-scaled Urban Medical Institutions in Hubei Province

    Institute of Scientific and Technical Information of China (English)

    李萍; 朱志芬; 钟萍; 王春兰

    2011-01-01

    Objective:To investigate the current status of the health literacy of the medical staff in small -scaled medical institutions in a city of Hubei province. Methods: The 2008 Chinese citizens health literacy questionnaire designed by Chinese citizens health literacy panel was used among 1,600 medical personnel in 307 small - scaled medical institutions in Hubei province, and the data from valid survey were given statistical and comprehensive analysis. Results: The overall rate of health literacy knowledge among medical staff in small - scaled medical institutions was 67% , and there was a statistically significant difference in health literacy between those with different educational backgrounds and technical degrees, while there was no statistically significant difference in health literacy between those of different ages and genders. Conclusion: Medical staff in small - scaled medical institutions have an overall low health literacy, thus the superior health department should aim to raise the health literacy of those target population, include taking the health literacy training into the social development planning, stressing health education.%目的 了解湖北省某市城区小型医疗机构医务人员健康素养的现状.方法 采用中国公民健康素养调查组设计的2008中国公民健康素养调查问卷,以307家小型医疗机构的1600名医务人员为调查对象,对有效问卷进行数据统计和综合分析.结果 城区小型医疗机构医务人员健康素养总体知晓率为67%,不同学历和技术职称人员的知晓率具有统计学意义,不同年龄及性别之间无统计学意义.结论 城区小型医疗机构医务人员健康素养水平低,上级卫生部门应大力提高小型医疗机构人员的健康素养,把健康素养纳入社会发展规划,重视健康教育.

  17. Summary of the Related Variables of Medical staff's Organizational Commitment%医护人员组织承诺相关变量研究综述

    Institute of Scientific and Technical Information of China (English)

    王子姝; 赵丽珍; 郑建萍

    2014-01-01

    By retrospectively analyze the current domestic empirical research on medical staff’s organizational commitment, and study the antecedent and outcome variables of it and mechanism of the action,then propose some research directions in future, to promote the hospital managers understand the medical staff’s occupational psychology preferably,improve the employee performance and organizational effectiveness.%回顾分析国内关于医护人员组织承诺的实证研究,探讨医护人员组织承诺的前因变量、结果变量及作用机制,并提出未来可进一步研究的方向,促进医院管理者更好地了解和把握医护人员的职业心理,提升员工绩效和组织效能。

  18. 医护人员组织承诺相关变量研究综述%Summary of the Related Variables of Medical staff's Organizational Commitment

    Institute of Scientific and Technical Information of China (English)

    王子姝; 赵丽珍; 郑建萍

    2014-01-01

    回顾分析国内关于医护人员组织承诺的实证研究,探讨医护人员组织承诺的前因变量、结果变量及作用机制,并提出未来可进一步研究的方向,促进医院管理者更好地了解和把握医护人员的职业心理,提升员工绩效和组织效能。%By retrospectively analyze the current domestic empirical research on medical staff’s organizational commitment, and study the antecedent and outcome variables of it and mechanism of the action,then propose some research directions in future, to promote the hospital managers understand the medical staff’s occupational psychology preferably,improve the employee performance and organizational effectiveness.

  19. Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care: effects of a targeted protocol implementation for nursing and medical staff

    OpenAIRE

    Knowles, Serena; Lam, Lawrence T; McInnes, Elizabeth; Elliott, Doug; Hardy, Jennifer; Middleton, Sandy

    2015-01-01

    Background Bowel management protocols have the potential to minimize complications for critically ill patients. Targeted implementation can increase the uptake of protocols by clinicians into practice. The theory of planned behaviour offers a framework in which to investigate clinicians’ intention to perform the behaviour of interest. This study aimed to evaluate the effect of implementing a bowel management protocol on intensive care nursing and medical staffs’ knowledge, attitude, subjectiv...

  20. Convergence and translation : attitudes to interprofessional learning and teaching of creative problem-solving among medical and engineering students and staff

    OpenAIRE

    Spoelstra, H.; Stoyanov, S; Burgoyne, L; Bennet, D; Drachsler, H.; Vanderperren, K.; Van Huffel, Sabine; McSweeney, J; Shorten, G.; O'Flynn, S.; Cantillon-Murphy, P.; O'Tuathaigh, C

    2014-01-01

    Background Healthcare worldwide needs translation of basic ideas from engineering into the clinic. Consequently, there is increasing demand for graduates equipped with the knowledge and skills to apply interdisciplinary medicine/engineering approaches to the development of novel solutions for healthcare. The literature provides little guidance regarding barriers to, and facilitators of, effective interdisciplinary learning for engineering and medical students in a team-based project context. ...

  1. Effective method of measuring the radioactivity of [131I]-capsule prior to radioiodine therapy with significant reduction of the radiation exposure to the medical staff.

    Science.gov (United States)

    Lützen, Ulf; Zhao, Yi; Marx, Malies; Imme, Thea; Assam, Isong; Siebert, Frank-Andre; Culman, Juaraj; Zuhayra, Maaz

    2016-01-01

    Radiation Protection in Radiology, Nuclear Medicine and Radio Oncology is of the utmost importance. Radioiodine therapy is a frequently used and effective method for the treatment of thyroid disease. Prior to each therapy the radioactivity of the [131I]-capsule must be determined to prevent misadministration. This leads to a significant radiation exposure to the staff. We describe an alternative method, allowing a considerable reduction of the radiation exposure. Two [131I]-capsules (A01 = 2818.5; A02 = 7355.0 MBq) were measured multiple times in their own delivery lead containers - that is to say, [131I]-capsules remain inside the containers during the measurements (shielded measurement) using a dose calibrator and a well-type and a thyroid uptake probe. The results of the shielded measurements were correlated linearly with the [131I]-capsules radioactivity to create calibration curves for the used devices. Additional radioactivity measurements of 50 [131I]-capsules of different radioactivities were done to validate the shielded measuring method. The personal skin dose rate (HP(0.07)) was determined using calibrated thermo luminescent dosimeters. The determination coefficients for the calibration curves were R2 > 0.9980 for all devices. The relative uncertainty of the shielded measurement was radioactivity.

  2. Effective method of measuring the radioactivity of [131I]-capsule prior to radioiodine therapy with significant reduction of the radiation exposure to the medical staff.

    Science.gov (United States)

    Lützen, Ulf; Zhao, Yi; Marx, Malies; Imme, Thea; Assam, Isong; Siebert, Frank-Andre; Culman, Juaraj; Zuhayra, Maaz

    2016-01-01

    Radiation Protection in Radiology, Nuclear Medicine and Radio Oncology is of the utmost importance. Radioiodine therapy is a frequently used and effective method for the treatment of thyroid disease. Prior to each therapy the radioactivity of the [131I]-capsule must be determined to prevent misadministration. This leads to a significant radiation exposure to the staff. We describe an alternative method, allowing a considerable reduction of the radiation exposure. Two [131I]-capsules (A01 = 2818.5; A02 = 7355.0 MBq) were measured multiple times in their own delivery lead containers - that is to say, [131I]-capsules remain inside the containers during the measurements (shielded measurement) using a dose calibrator and a well-type and a thyroid uptake probe. The results of the shielded measurements were correlated linearly with the [131I]-capsules radioactivity to create calibration curves for the used devices. Additional radioactivity measurements of 50 [131I]-capsules of different radioactivities were done to validate the shielded measuring method. The personal skin dose rate (HP(0.07)) was determined using calibrated thermo luminescent dosimeters. The determination coefficients for the calibration curves were R2 > 0.9980 for all devices. The relative uncertainty of the shielded measurement was radioactivity. PMID:27455475

  3. Medical workplace violence and sub-health among hospital staffs in general hospitals in Zhengzhou%郑州市综合医院医务场所暴力与医务人员亚健康

    Institute of Scientific and Technical Information of China (English)

    杨力沣; 王珂; 娄小平; 朱伟

    2011-01-01

    Aim; To investigate the relationship between medical workplace violence and sub-health among hospital staffs in general hospitals in Zhengzhou. Methods: A study by cluster sampling was conducted to investigate 6 general hospitals in Zhengzhou. Self-developed questionnaires about workplace violence and sub-health were conducted in 1 265 hospital staffs that were selected randomly. Results :46. 1% participants suffered workplace violence. The difference of physiological, psychological and social function scores of sub-health between hospital staffs who suffered hospital violence and those without hospital violence experience was statistically significant (t = 1. 674,6. 957 and 4. 686 ,P < 0. 001). The difference of three dimensions of sub-health scores between different sources and coping styles of violence was statistically significant (P < 0. 05 ). Conclusion: The workplace violence may lead to hospital staffs' physiological, psychological and social function abnormality, and decrease their survival quality.%目的:探讨郑州市综合医院医务场所暴力与医务人员亚健康的关系.方法:整群抽取郑州市6所综合医院,随机抽取医务人员1 265名,采用自制暴力问卷和亚健康量表进行暴力经历和亚健康状况调查.结果:暴力发生率为46.1%;遭受暴力(包括不同形式暴力)与否的医务人员在生理亚健康、心理亚健康和社会亚健康3个维度得分差异有统计学意义(t=7.674、6.957和4.686,P均<0.001);不同暴力来源、采取不同应对方式的医务人员在生理亚健康、心理亚健康和社会亚健康3个维度得分差异均有统计学意义(P均<0.05).结论:医务场所暴力可导致医务人员出现生理健康、心理健康和社会功能异常,生存质量下降.

  4. 医疗资源重组后医务人员“困惑性问题”的理性处理%Approaches to rationally handle confusions among hospital staff after medical resources restructuring

    Institute of Scientific and Technical Information of China (English)

    任智红

    2011-01-01

    This paper expresses diverse confusions or mental, psychological issues with staff following the several hospitals "merger" or reorganization, including personal identity adjustments, implementation challenges, professional performance issues, and relationship difficulties. The study proposes several tentative solutions. These include a unified, very big or generous attitude among staff to help develop a good awareness or need for personal improvement, a safety attitudinal approach leading to establishing a sense of quality and safety in medical practice with the new hospital, an encouragement approach to motivate staff to try to achieve, and an approach to build harmony with hospital staff to have compassion and care. Additionally it is concluded or recommended that shaping a certain cultural environment in this hospital is critical to lessen or end the confusions, that faster innovation in management concepts is desired, and that employee contentment should be given top priority over patient and community satisfaction.%阐述了医院整合后职工产生的“身份自卑心理”、“制度执行茫然心理”、“业务水平失衡心理”、“生存危机心理”、“关系不适应心理”等“困惑性问题”,提出了以“大气文化”培育和根植职工提升内心素养意识、以“安全文化”培育和根植医院职工质量与安全意识、以“激励文化”培育和根植医院职工奋发进取意识、以“和谐文化”培育和根植医院职工内心仁爱意识等解决办法,并得出医院整合后医院文化的创设是解决医疗资源整合中医院职工“困惑性问题”的关键、要迅速在管理理念上有所创新、要始终把职工满意放在第一位,其次才是病人满意、社会满意等体会.

  5. Decentralized Ground Staff Scheduling

    DEFF Research Database (Denmark)

    Sørensen, M. D.; Clausen, Jens

    2002-01-01

    Typically, ground staff scheduling is centrally planned for each terminal in an airport. The advantage of this is that the staff is efficiently utilized, but a disadvantage is that staff spends considerable time walking between stands. In this paper a decentralized approach for ground staff...... scheduling is investigated. The airport terminal is divided into zones, where each zone consists of a set of stands geographically next to each other. Staff is assigned to work in only one zone and the staff scheduling is planned decentralized for each zone. The advantage of this approach is that the staff...... Heathrow Airport. This study shows that decentralization generally increases the number of staff needed compared to centralized planning. The case study also shows that there is a trade-off between the extra staff needed and the quality of the stand allocation. Furthermore, the robustness of solutions...

  6. Towards Tertiary Education. Staff and Staff Development.

    Science.gov (United States)

    Ratcliffe, Joan

    This report is intended as a resource for all those interested in staff development, especially in the tertiary education context. It describes the staff development project in the first two years of a new tertiary college--Harlow Technical College in England. An introduction and a description of the context of the project begin the report.…

  7. 护理人员锐器伤与工作满意度关系分析%An analysis on the relationship between medical sharp inj uries and j ob satisfaction among nursing staff

    Institute of Scientific and Technical Information of China (English)

    于双杰; 李文玉; 邹艳艳; 张晨

    2014-01-01

    目的:探讨护理人员锐器伤的相关因素及其与工作满意度的相关性,为制定有效的预防和干预对策提供依据。方法采用分层随机抽样方法,以新疆某三甲医院护理人员189人作为研究对象。将人口学资料、职业暴露和工作满意度编成问卷进行回顾性调查。结果锐器伤发生率为70.4%,工龄短、学历和职称低的护理人员锐器伤发生率高,次数多为2~5次;大多护理人员防护行为欠佳,知识主要来自学校教育;有过锐器伤的护理人员工作满意度低,工作满意度低的易发生锐器伤。结论除应加强护生岗前培训和职业防护管理外,还要通过提高护理人员工作满意度来减少锐器伤的发生。%Objective To investigate the risk factors of the medical sharp injuries and the correlation with job satisfaction among the nursing staff in one tertiary hospital in Xinjiang for the prevention-consciousness enhancement and the reduction of the occurrence of occupational exposure.Methods A cluster random sampling was adopted to investigate 189 cases with questionnaire surveys on general status,occupational exposure and overall j ob satisfaction during one year.Results The occurrence rate of sharp inj uries was 70.4% among 189 nursing staff and the nursing staff with shorter working time,lower education and tech-nical titles had more sharps inj uries,averagely 2-5 times.Most of the nursing staff had poor protective behavior,with some knowledge mainly from school education.The nurse staff with sharp injuries had lower job satisfaction and the nurse staff with lower j ob satisfaction was prone to the sharp inj uries.Conclusion The pre-service training of nursing students and the management of occupational protection should be further strengthened, and it is suggested to improve the nursing j ob satisfaction to reduce the occurrence of sharp inj uries.

  8. Preliminary Efficacy of Group Medical Nutrition Therapy and Motivational Interviewing among Obese African American Women with Type 2 Diabetes: A Pilot Study

    Science.gov (United States)

    Miller, Stephania T.; Oates, Veronica J.; Brooks, Malinda A.; Shintani, Ayumi; Jenkins, Darlene M.

    2014-01-01

    Objective. To assess the efficacy and acceptability of a group medical nutritional therapy (MNT) intervention, using motivational interviewing (MI). Research Design & Method. African American (AA) women with type 2 diabetes (T2D) participated in five, certified diabetes educator/dietitian-facilitated intervention sessions targeting carbohydrate, fat, and fruit/vegetable intake and management. Motivation-based activities centered on exploration of dietary ambivalence and the relationships between diet and personal strengths. Repeated pre- and post-intervention, psychosocial, dietary self-care, and clinical outcomes were collected and analyzed using generalized least squares regression. An acceptability assessment was administered after intervention. Results. Participants (n = 24) were mostly of middle age (mean age 50.8 ± 6.3) with an average BMI of 39 ± 6.5. Compared to a gradual pre-intervention loss of HbA1c control and confidence in choosing restaurant foods, a significant post-intervention improvement in HbA1c (P = 0.03) and a near significant (P = 0.06) increase in confidence in choosing restaurant foods were observed with both returning to pre-intervention levels. 100% reported that they would recommend the study to other AA women with type 2 diabetes. Conclusion. The results support the potential efficacy of a group MNT/MI intervention in improving glycemic control and dietary self-care-related confidence in overweight/obese AA women with type 2 diabetes. PMID:25243082

  9. Preliminary Efficacy of Group Medical Nutrition Therapy and Motivational Interviewing among Obese African American Women with Type 2 Diabetes: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Stephania T. Miller

    2014-01-01

    Full Text Available Objective. To assess the efficacy and acceptability of a group medical nutritional therapy (MNT intervention, using motivational interviewing (MI. Research Design & Method. African American (AA women with type 2 diabetes (T2D participated in five, certified diabetes educator/dietitian-facilitated intervention sessions targeting carbohydrate, fat, and fruit/vegetable intake and management. Motivation-based activities centered on exploration of dietary ambivalence and the relationships between diet and personal strengths. Repeated pre- and post-intervention, psychosocial, dietary self-care, and clinical outcomes were collected and analyzed using generalized least squares regression. An acceptability assessment was administered after intervention. Results. Participants (n = 24 were mostly of middle age (mean age 50.8 ± 6.3 with an average BMI of 39 ± 6.5. Compared to a gradual pre-intervention loss of HbA1c control and confidence in choosing restaurant foods, a significant post-intervention improvement in HbA1c (P = 0.03 and a near significant (P = 0.06 increase in confidence in choosing restaurant foods were observed with both returning to pre-intervention levels. 100% reported that they would recommend the study to other AA women with type 2 diabetes. Conclusion. The results support the potential efficacy of a group MNT/MI intervention in improving glycemic control and dietary self-care-related confidence in overweight/obese AA women with type 2 diabetes.

  10. Human Rights That Influence The Mentally Ill Patient In South African Medical Law: A Discussion of Sections 9; 27; 30 and 31 of the Constitution

    Directory of Open Access Journals (Sweden)

    M Swanepoel

    2011-12-01

    Full Text Available The personalised nature of mental illness obscures from general view the intolerable burden of private and public distress that people with serious mental illness carry. Invariably the mentally ill person encounters rejection and humiliation that are in some way tantamount to a "second illness." The combination either disrupts or puts beyond reach the usual personal and social life stages of marriage, family life, raising children, sexual relationships, the choice of treatment, affordable housing, transportation, education and gainful employment. As a result of their lack of financial and social support and their experience of rejection from society, persons with mental illness tend to neglect themselves and their diet, and frequently delay seeking treatment. Against this background, this contribution critically focuses on the human rights that influence the mentally ill patient in South African medical law. Specific attention is paid to the relevance and meaning of sections 9 (the equality clause, 27 (access to health care services, 30 and 31 (language, culture and religion of the Constitution of the Republic of South Africa, 1996.

  11. "Big Momma Had Sugar, Imma Have It Too" Medical Fatalism and the Language of Faith Among African-American Women in Memphis.

    Science.gov (United States)

    Hotz, Kendra G

    2015-12-01

    This essay offers a theological exploration of the relationship between medical fatalism and religious belonging among African-American women in Memphis. Drawing on the work of black and womanist theologians and on conversations with participants in a diabetes intervention program administered by a faith-based community health provider, I argue that how we narrate the meanings of our bodies is irreducibly religious. The language we use to interpret and communicate the meaning of our bodily existence emerges from a set of assumptions, often unarticulated, about what is of ultimate value to us. The essay focuses on three interlocking features that link faith with fatalism or hope: (1) The idea that if "I don't claim that" disease cannot enter my body; (2) the role of faith-based clinics in re-establishing trust with marginalized communities; and (3) how nuanced attention to the social location of health seekers can re-frame our understanding of patient compliance. Disrupting fatalism can only be done from within a health seeker's own narrative, and therefore, healthcare providers who learn these narratives and respect their holiness will develop more effective interventions.

  12. Plagiarism in the article Emphysematous cystitis and emphysematous pyelitis: a clinically misleading association. Mustapha Ahsaini et al. The Pan African Medical Journal. 2013;16:18. (doi:10.11604/pamj.2013.16.18.2505).

    Science.gov (United States)

    2015-01-01

    This retracts article Emphysematous cystitis and emphysematous pyelitis: a clinically misleading association. Mustapha Ahsaini, Amadou Kassogue, Mohammed Fadl Tazi, Anas Zaougui, Jalal Edine Elammari, Abdelhak Khallouk, Mohammed Jamal El Fassi, My Hassan Farih. The Pan African Medical Journal. 2013;16:18. (doi:10.11604/pamj.2013.16.18.2505).[This retracts the article DOI: 10.11604/pamj.2013.16.18.2505.]. PMID:26328003

  13. 118例血源性职业暴露医务人员暴露情况的调查分析%Investigation of 118 Medical Staff with Hematogenous Occupational Exposure

    Institute of Scientific and Technical Information of China (English)

    张伏萍; 戴明芳; 李晓飞

    2015-01-01

    Objective To investigate the exposure conditions of 118 medical staff with hematogenous occupational exposure. Methods A total of 118 medical staff with hematogenous occupational exposure registered in the People's Central Hospital of Ji'an were selected from January 2011 to August 2014,the occupational distribution,exposure places,high-risk operations,exposure sources, exposure parts, exposure ways were retrospectively investigated. Results The occupations included nurses(54. 23%),physicians(22. 03%)and internship staff(13. 57%);the main exposure places were bed -ward(57. 63%)and operating room(27. 12%);the high -risk operations were withdrawal of needles and treatment after withdrawal of needles(37. 29%),surgical operation(32. 20%),emergency rescue(16. 95%);the most exposure source was hepatitis B virus(37. 29%);the most exposure part was hand(77. 97%);the most exposure way was sharp instrument injury(66. 10%). All of the 118 cases received local treatment ( 100. 00%), and 62 of them received prophylactic (52. 54%). Conclusion Nurses are the main medical staff of hematogenous occupational exposure, targeted prevention measures should carry out according high-risk operations,exposure sources,exposure parts and exposure ways.%目的:调查分析118例血源性职业暴露医务人员的暴露情况。方法选择2011年1月—2014年8月在吉安市中心人民医院登记的血源性职业暴露医务人员118例,对其人群分布、暴露场所、高危环节、暴露源、暴露部位及暴露方式进行调查分析。结果118例血源性职业暴露医务人员主要为护士、医生和实习工作人员,分别占54.23%、22.03%和13.57%。血源性职业暴露的主要场所为病房和手术室,占57.63%和27.12%。引起血源性职业暴露的高危环节主要为拔针与拔针后处理、手术操作和急诊抢救,分别占37.29%、32.20%和16.95%。暴露源中最多的是乙型肝炎病毒( HBV),占37.29%;暴露

  14. Morals, morale and motivations in data fabrication: Medical research fieldworkers views and practices in two Sub-Saharan African contexts.

    Science.gov (United States)

    Kingori, Patricia; Gerrets, René

    2016-10-01

    Data fabrication, incorrect collection strategies and poor data management, are considered detrimental to high-quality scientific research. While poor data management have been occasionally excused, fabrication constitutes a cardinal sin - scientific misconduct. Scholarly examinations of fabrication usually seek to expose and capture its prevalence and, less frequently, its consequences and causes. Most accounts centre on high-income countries, individual senior researchers and scientists who are portrayed as irrational, immoral or deceptive. We argue that such accounts contain limitations in overlooking data collected in 'the field', in low-income countries, by junior researchers and non-scientists. Furthermore, the processes and motivations for fabrication and subversive practices are under-examined. Drawing on two separate ethnographies, conducted in 2004-2009 in medical research projects in sub-Saharan Africa, this paper investigates fabrication among fieldworkers using data from observations and informal conversations, 68 interviews and 7 Focus Group Discussions involving diverse stakeholders. Based on an interpretative approach, we examined fieldworkers' accounts that fabrications were motivated by irreconcilable moral concerns, faltering morale resulting from poor management, and inadequate institutional support. To fieldworkers, data fabrication constituted a 'tool' for managing their quotidian challenges. Fabrications ranged from active to passive acts, to subvert, resist and readdress tensions deriving from employment inequalities and challenging socio-economic conditions. We show that geographical and hierarchical distance between high-ranking research actors and fieldworkers in contemporary configurations of international medical research can compartmentalise, and ultimately undermine, the relationships necessary to produce high-quality data. In focusing on fieldworkers, we argue for the inclusion of wide-ranging perspectives in examinations of data

  15. Internal marketing strategy: Focusing on staff orientation in health care in South Africa

    Directory of Open Access Journals (Sweden)

    J. W. De Jager

    2008-12-01

    comprehensive framework for Provincial Hospital Management to prioritise important staff related issues in order to satisfy their needs. The recommendations of this study need to be applied if acceptable health care is to be provided.Originality/Value: This study challenges existing internal marketing studies on health care services. Its significance lies in an attempt to establish the needs of diversified health care staff in a health care setting. It offers uniquely South African internal marketing framework that focuses on similarities and differences between medical and nursing staff in a Gauteng public hospital.

  16. Development of occupation burnout inventory for medical staffs and analysis of reliability and validity%医护群体职业枯竭量表编制及信度效度分析

    Institute of Scientific and Technical Information of China (English)

    廖庆兰; 韦波; 张作记; 苏莉; 冯学泉; 胡世红; 王翔南

    2008-01-01

    目的 编制评价医护群体职业枯竭的多维测评量表.方法 在查阅国内外大量文献资料量表等基础上,结合国外Maslach枯竭量表等同类量表,在访谈、专家咨询及广泛采纳医护人员意见的基础上,结合临床研究经验,筛选原始项目构成量表,从广西柳州、南宁、百色、贵港、桂林5城市的三级、二级、一级医院中随机抽取4575名医护人员作为施测样本,通过探索性因素分析确定量表结构,检验量表的信度、效度指标.结果 医护群体职业枯竭量表包括情绪衰竭、去人性化、低成就感3个维度18个项目,项目得分与其所属因素的相关性系数为0.694~0.860(P<0.01),该量表及各因子的Cronbach α系数为0.942~0.830,Cuttman Split-Half Coefficient分半系数为0.864~0.906(P<0.01).间隔1个月,2次测量量表相关系数为0.706(P<0.01),各因子2次测量的Pearson相关系数为0.724,0.650,0.624(P<0.01),采用朱伟等修订的Maslach枯竭量表通用版的中文版(MBI-GS)作为效标,与量表总分相关系数达0.709,各相应因子间的相关系数为0.867,0.673,-0.652(P<0.01).结论 医护群体职业枯竭量表具有较好的信度和效度,可用于医护人员职业枯竭的测量.%Objective To develop a multi-dimensional occupation burnout inventory of medical staffs.Methods It is on the base of huge domestic and overseas document,information and inventories,and combines similar scales such as Maslach Burnout Inventory.It also contains opinions of medical staff and consultation of experts,considers clinical experience and screens structural inventory of original project.4575 medical members were chosen randomly from first,second and third class hospitals in 5 Guangxi cities of Liuzhou,Nanning,Baise,Guigang,Guilin as test samples.It was identified inventory structure by exploratory factor analysis,and reliability and validity were verified.Results Three factors constitudted occupation burnout

  17. Behavioral intervention in hand hygiene of medical staff and relevant study on hospital infections%医务人员手卫生的行为干预与医院感染的相关研究

    Institute of Scientific and Technical Information of China (English)

    田素芳

    2012-01-01

    目的 探讨医院感染及对医务人员手卫生行为干预的影响效果.方法 选取基层医院医师、护士、检验人员为研究对象,通过对其实施手卫生干预措施,评价其干预前后的情况.结果 加强医院感染管理,医护人员手卫生的依从性得到提高.结论 提高医护人员洗手的效果,是控制医院感染的重要措施,对医护人员进行手卫生的干预是有效可行的.%OBJECTIVE To evaluate the nosocomial infections and the impact of behavior intervention in hand hygiene of medical personnel. METHODS The doctors, nurses, and inspectors in grass-roots hospitals were selected as study subjects. The situation before and after hand hygiene intervention was evaluated through implementation of intervention in hand hygiene. RESULTS Hand hygiene compliance was significantly improved through strengthening the management of hospital infections. CONCLUSION To improve the effect of hand washing of the health care workers is an important measure to control hospital infections, and the intervention in hand hygiene of medical staff is effective and feasible.

  18. 品管圈对神经外科医务人员手卫生执行情况的效果分析%Analysis of the Quality Control Circles Effect on Hand Hygiene Compliance for the Neurosurgery Medical Staff

    Institute of Scientific and Technical Information of China (English)

    吴志萍

    2015-01-01

    目的:探讨品管圈对提高神经外科医务人员正确执行手卫生依从性的效果。方法:利用品管圈(QCC)工具,结合 WHO 提出手卫生的5个重要指征,品管圈成员对医务人员手卫生执行情况进行现场观察,对重点环节、手卫生5个时刻进行调查、数据汇总分析、原因分析,采取干预措施,提高手卫生的依从性和正确率。对干预前后效果进行对比。结果:干预后手卫生依从性显著提高,执行率提高了24.6%;正确率提高了21.6%。结论:品管圈活动提高了神经外科医务人员手卫生意识和依从性,降低了神经外科医院感染发生率,值得临床推广应用。%Objective:To study the quality control circles effect to improve the correct execution of hand hygiene compliance for the neurosurgery medical staff. Method:Using the quality control circle(QCC)tools,combined with the five important indications of hand hygiene put forward by WHO,quality control circles members were carrying out the medical personnel on-site hand hygiene observation. The implementation of the key link,the five times of the hand hygiene were investigated;data summary and the cause were analysized;the intervention measures were taken to im-prove the hand hygiene compliance and accuracy. The findings and measures were performed to compare of QCC activity before and after the intervention. Results:The hand hygiene compliance and accuracy after intervention conducted in-creased significantly,with enforced by 24. 6% ;increased accuracy by 21. 6% . Conclusion:The quality control circle activities have not only improved hand hygiene awareness,but reduce the surgical hospital infection incidence among the surgical medical staff,which is worthy of clinical popularization and application.

  19. 青岛市551名医务人员心理健康状况及其影响因素分析%Study on mental health status and its influencing factors among 551 medical staffs in Qingdao City

    Institute of Scientific and Technical Information of China (English)

    冀永娟; 衡中玉; 项紫霓; 匡桂芳

    2015-01-01

    Objective To evaluate the mental health status of medical staffs and its influencing factors.Methods A total of 551 medical staffs were assessed from January to June in 2014 using Symptom Check List 90 (SCL-90),Maslach Burnout Inventory (MBI),Social Support Rating Scale (SSRS),Interpersonal Trust Scale (ITS),and Trait Coping Style Questionnaire (TCSQ).Results The total score (148.27 ±60.61 )and most factors scores in SCL-90 of medical staffs were significantly higher than that of Chinese norm (129.96 ±38.76,P <0.01)except interpersonal sensitive.The scores of nurses (154.68 ±59.21)were obviously higher than that of staffs in functional officials (134.56 ±50.53,P <0.01)a-part from psychoticism.The scores of depression (1.68 ±0.76)and hostility (1.67 ±0.84)in doctors were higher than those in functional officials (1.47 ±0.57,1.46 ±0.58,P <0.05).The total scores of laborial staffs (149.14 ±59.35) and first-line managers (155.24 ±69.17)were higher than those in senior managers (121.20 ±40.27)except interpersonal sensitive (P <0.01).As far as influencing factors,the positive factors included positive coping style,better social sup-port,higher professional title and degree,and work in administrative department.While negative coping style,higher level of job burnout were the negative factors.Conclusion Medical staffs in Qingdao have worse mental health level than general population.Coping styles,social support,job burnout and professional title are important influencing factors.%目的:调查青岛市医务人员心理健康状况及影响因素。方法采用分层随机抽样的方法于2014年1—6月对青岛市551名医务人员进行症状自评量表(SCL-90)、Maslach 职业倦怠问卷、社会支持评定量表、人际信任量表及特质应对方式问卷调查。结果除人际敏感外,医务人员 SCL-90总分(148.27±60.61)及各因子得分均显著高于全国常模(129.96±38.76)(P <0.01)。除精神病

  20. 儿童医院医务人员的焦虑和抑郁状况及其影响因素%Anxiety and depression among the medical staff of a children's hospital

    Institute of Scientific and Technical Information of China (English)

    李红英; 张跃; 汤健; 赵晓科; 杜森杰

    2015-01-01

    Objective To explore the prevalence of anxiety and depression among the medical staff of a children's hospital, and to understand their relationship with age, gender, educational background, family income, family harmony, position, marital status, experience, title, work pressure, weekly working hours, chronic diseases and stressful events.Methods The medical staff of a children's hospital were evaluated using Zung's self-rating anxiety scale (SAS) and self-rating depression scale (SDS).The scores were correlated with age, gender, educational background, family income, family harmony, position, marriage, working years, title, work pressure, weekly working hours, chronic diseases, and stressful events data collected about the same respondents.Results There were 320 respondents suffering from anxiety disorders and 392 experiencing depression among the 677 medical staff surveyed.There were 288 who suffered from anxiety associated with depression.There was a significant difference between the males and the females.Marital status, family harmony, chronic disease and stress events were all significant predictors of anxiety or depression.A univariate analysis showed that neither education nor family income had significant predictive power, but age, professional title,working years, working pressure and working in different departments were all significant predictors.Medical staff with different weekly working hours showed significantly different average levels of anxiety, but position had no such effect.Position was, though, significantly correlated with depression score, while weekly working hours were not.Multivariable logistic regression models showed that educational background, working pressure, family harmony, chronic disease and stressful events were all significant predictors of anxiety.Working pressure, family harmony and chronic disease were related to depression.Conclusion Significant anxiety and depression were observed among the medical staff of this children

  1. Hand hygiene compliance of medical staff and improuing strategies%医务人员手卫生依从性及改进对策

    Institute of Scientific and Technical Information of China (English)

    李焕芝; 毛乾国; 付建国; 周玉贞; 吴碧玉

    2012-01-01

    OBJECTIVE To evaluate the hand hygiene compliance ( HHC) of healthcare workers (HCWs) in a tertiary traditional Chinese medical hospital and to probe the strategies to improve the HHC of HCWs. METHODS A total of 220 clinicians and 226 nurses who were on duty from a tertiary traditional Chinese medical hospital were involved in this on-the-spot investigation. A self-designed questionnaire for HHC and hand hygiene facility was used in this study. RESULTS An overall HHC was 57. 6% , the nurses' HHC was 73. 9% which was higher than 40. 9% of the clinicians (χ =49. 670,p = 0. 000). Furthermore, the surgeons' HHC (47. 6% ,)was higher than internists' (31. 9% ,)(χ2 = 5. 492,p = 0. 019) and surgical nurses' HHC (91. 5%,)was higher than the internal medicine nurses(58. 3% ,)(χ2 =32. 113,p - 0. 000) jsuch a poorer HHC was mainly due to subjective causes with an attributable risk of 75. 7% and the objective causes with an attributive risk of 24. 3%. CONCLUSION The HHC of HCWs in the tertiary traditional Chinese medical hospital is relatively low, the subjective causes are the attributable factors . it is necessary to strengthen education and training as the comprehensive measures so as to strengthen the HHC of HCWs.%目的 了解某三级中医院医务人员手卫生依从性,探讨提高医务人员手卫生依从性的措施.方法 采用自行设计的手卫生依从性调查表和手卫生设施调查表,现场调查在岗临床医师220名、护士226名手卫生依从性和科室手卫生设施配置情况.结果 总体手卫生依从性为57.6%,护士为73.9%,高于医师的40.9%(x2=49.670,P=0.000),外科医师为47.6%,高于内科医师的31.9%(x2=5.492,P=0.019),外科护上为91.5%,高于内科护士的58.3%(x2=32.113,P=0.000);手卫生依从性低主观归因率为75.7%.客观归因率为24.3%.结论 某三级中医院医务人员手卫生依从性较低,主观原因为主要原因,应采取以强化培训为主的综合措施,提高医务人员手卫生依从性.

  2. TO RAISE HAND HYGIENE ADHERENCE IN MEDICAL STAFF BY APPLYING PDCA CIRCULATION METHOD%应用PDCA循环法提高医护人员手卫生依从性

    Institute of Scientific and Technical Information of China (English)

    赵玉娟; 曲彦

    2013-01-01

    目的 探讨应用PDCA循环法提高医护人员手卫生依从性的可行性.方法 应用PDCA循环法对医护人员洗手行为进行循环管理.结果 236名医护人员实施PDCA循环法管理前后手卫生知识知晓率比较差异有显著意义(x2 =88.21,P<0.01).实施PDCA循环后,医护人员洗手执行率、洗手正确率、手细菌检测合格率明显提高,差异均有显著性(x2 =18.97~609.75,P<0.01).结论 PDCA循环法可在短期内有效地提高医护人员手卫生依从性及质量.%Objective To investigate the feasibility of applying PDCA circulation method for raising hand hygiene ad-he-rence in medical workers. Methods To investigate the feasibility of applying PDCA circulation method for raising hand hygiene adherence in medical workers. Results In 236 medical staff surveyed, the awareness of hand hygiene knowledge was significantly different as compared between before and after implementation of PDCA (x2 = 88. 21,P<0. 01). After practice of the PDCA cycle, the rates of proper handwashing and qualification of microbial detection of hands were obviously elevated (x2 = 18. 97 — 609. 75,P<0. 01). Conclusion PDCA circulation method can effectively improve handwashing adherence and quality in a short time.

  3. Elections to Staff Council

    CERN Multimedia

    Saff Association

    2013-01-01

    2013 Elections to Staff Council   Vote! Make your voice heard and be many to elect the new Staff Council. More details on the elections can be found on the Staff Association web site (https://ap-vote.web.cern.ch/elections-2013).   Timetable elections Monday 28 October to Monday 11 November, 12:00 am voting Monday 18 and Monday 25 November, publication of the results in Echo Tuesday 19 November, Staff Association Assizes Tuesday 3 December, first meeting of the new Staff Council and election of the new Executive Committee The voting procedure is monitored by the Election Committee.

  4. Evaluation of time, attendance of medical staff and resources for radiotherapy in pediatric and adolescent patients. The DEGRO-QUIRO trial

    International Nuclear Information System (INIS)

    The German Society of Radiation Oncology (DEGRO) initiated a multicenter trial to develop and evaluate adequate modules to assert core procedures in radiotherapy. The aim of this prospective evaluation was to methodical assess the required resources for radiotherapy in pediatric and adolescent patients. At three radiotherapy centers of excellence (University Hospitals of Heidelberg and Muenster, the Medical School of Hannover), the manpower and time required for radiotherapy in pediatric and adolescent patients was prospectively documented consistently over a 2-year period. The data were collected using specifically developed standard forms and were evaluated using specific process analysis tools. A total number of 1914 data sets were documented and carefully analyzed. The personnel time requirements for all occupational groups were calculated as total time needed for a specific procedure and mean time per person. Regarding radiotherapy in general anesthesia, the required manpower was higher. The personnel time requirements in these cases were also longer, mainly due to longer room occupancy. Overall, the required resources were remarkably similar between the three different departments and may, therefore, be considered as representative. For the first time, the personnel time requirements of a radiotherapy department for the maintenance, protection, and optimization of operational readiness for radiotherapy in pediatric and adolescent patients with and without general anesthesia were determined methodically. (orig.)

  5. Benefiting Africans

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Along with thriving Sino-African economic and trade ties,Chinese companies have attached greater importance to their social responsibility to Africans.More than 2,000 sweaters woven by Chinese mothers were sent to orphans and disabled children in Kenya and four other African countries in September. This activity was launched by Hengyuanxiang,aleading Chinese wool manufacturer.

  6. Benefiting Africans

    Institute of Scientific and Technical Information of China (English)

    ZHANG ZHIPING

    2011-01-01

    Along with thriving Sino-African economic and trade ties,Chinese companies have attached greater importance to their social responsibility to Africans.More than 2,000 sweaters woven by Chinese mothers were sent to orphans and disabled children in Kenya and four other African countries in September.This activity was launched by Hengyuanxiang,a leading Chinese wool manufacturer.

  7. Relationships among psychological capital, social support and mental health of medical staffs%医务人员心理资本、社会支持与心理健康的关系

    Institute of Scientific and Technical Information of China (English)

    闫丽娜; 苏便苓; 李震中; 刘振红

    2011-01-01

    目的 探讨医务人员心理资本、社会支持与心理健康的关系.方法 依据方便取样的原则,采用心理资本量表(PCQ-24)、社会支持评定量表(SSRS)及症状自评量表(SCL-90),对河北省某三甲医院101名医务人员进行调查.结果 ①心理资本的自我效能、希望、韧性及乐观得分分别为[(3.73±0.58)分,(3.59±0.60)分,(3.81±0.49)分,(3.70±0.32)分],均在中点以上,各维度之间差异具有显著性(<0.05).医生自我效能得分高于护士[分别为(3.92±0.66)分,(3.59±0.48)分],差异具有显著性(P<0.05).不同受教育程度医务人员自我效能有统计学差异(F=2.53,P<0.05).②心理资本与SCL-90各因子呈负相关(P<0.01或P<0.05),社会支持与SCL-90部分因子呈负相关(P<0.05).③心理资本能显著负向预测SCL-90因子.结论 心理资本与医务人员心理健康密切相关,而社会支持对心理健康无明显影响.%Objective To explore the relationships among psychological capital,social support and mental health of medical staffs.Methods According to convenience sampling principle,101 medical staffs from one three-grade class A hospital in Hebei participated in the study.They were investigated with questionnaires such as Psychological Capital Questionnaire ( PCQ-24),Social Support Rating Scale (SSRS) and Symptom Checklist 90(SCL-90).Results ①The scores of self-efficacy,hope,resilience and optimism were(3.73 ±0.58 ),(3.59 ±0.60),(3.81±0.49),(3.70 ± 0.32),all of which are higher than middle points.There were statistic difference in four subscales of psychological capital(P < 0.05 ).Compared with nurses,doctors scored higher in self-efficacy ( (3.92 ±0.66),(3.59 ±0.48) ).The difference was significant(P<0.05).Among different educational background there were also statistic differences(P < 0.05 ).②Psychological capital was negatively related to the whole factors of SCL-90(P<0.0l,or P < 0.05 ),however,social support was negatively

  8. Survey on the Current Status of Job Satisfaction of Clinical Medical Staff and Research on Coping Strategies%临床医护人员执业满意度现况调查及对策研究

    Institute of Scientific and Technical Information of China (English)

    张潇潇; 朱钇璇; 王晶桐; 王杉

    2015-01-01

    Objective To explore the current status of job satisfaction of clinical medical staff and factors that influence the job satisfaction,and to put forward coping strategies and suggestions for improving the job satisfaction of clinical medical staff,so as to maintain workforce stability.Methods The paper will investigate the job satisfaction of clinical medical staff by sending questionnaires to all doctors and nurses working in a hospital,and use descriptive analysis and T test statistic method to analyze the current status of job satisfaction of questionnaire receivers as well as different dimensions of job satisfaction among different population groups.Results More than 85% of questionnaire receivers think that the job they are doing is at higher risk.Over 80% feel stressed out by their jobs.Less than 35% are satisfied with their occupations,social status,working status,job security,and promotion opportunities.Less than 15% feel respected by their jobs.Conclusions Generally,questionnaire receivers' job satisfaction is low.Heavy workload and poor quality of life are leading factors that contribute to their low job satisfaction.In this sense,we should adopt various measures to give attention to these key population groups.%目的 探索医护人员执业满意度的现状及影响因素,提出提高医护人员执业满意度的对策与建议,维护医疗队伍稳定.方法 对某医院全部在岗的医生和护士进行医务人员执业满意度问卷调查,采用描述性分析和T检验的统计学方法,分析调查对象的执业满意度现状和不同特征人群在执业满意度不同维度的表现.结果 85%以上人认为工作所承担的风险较大,80%以上人对当前从事的工作感到压力,少于35%的人对自己所从事的职业、自身的社会地位、目前的工作状态、所从事职业的安全感、所获得的晋升机会感到满意;少于15%的人认为他们所从事的职业受到尊重.结论 调查对象

  9. An analysis of characteristic occupational stressors for medical staff in general hospitals%三级综合医院医务人员职业压力源特征及分析

    Institute of Scientific and Technical Information of China (English)

    王香平; 赵利杰; 邢华; 刘佑琴; 王卓; 钱慧欣; 王建敏; 花蕾; 白弘冬; 王晓燕; 王明晓; 贺蓓; 席修明; 信彬; 汤哲

    2010-01-01

    目的 探讨北京市医务人员职业压力源水平、特征及其相关因素.方法 应用自行设计问卷对北京市5所三级综合医院2 460名医务人员进行调查.结果 三级综合医院医务人员的压力源排序前10位的是工作责任重、风险大,工作量大,工资待遇低,医疗管理体制问题,人员配备数量不足,各类检查考核频繁,医患关系紧张,物价上涨因素,经常加班超时工作,继续学习压力;认为职业压力中度及以上的占95.2%;不同年龄、性别、婚姻状态、职称、学历、工作年限及不同单位、科室、专业、职务等对职业压力的影响均有统计学意义.结论 应结合人口学特征与压力特点针对性地开展压力管理,采取有效措施缓解医务人员的工作压力,保持员工身心健康,提高工作效率与组织凝聚力.%Objective To explore the status, characteristics and factors in relation to occupational stress for medical staffs in tertiary general hospitals. Methods A total of 2460 medical staff were sampled in five tertiary general hospitals in Beijing, with their occupational stress levels evaluated with the Occupational Stress Inventory. Results The top ten stressors as found ranked as heavy duty, high risk exposure, high workload, low wages, setbacks in the health care management system, insufficient staffing, excessively frequent inspections and examinations, strained doctor-patient relationship, price inflation, frequent overtime, and pressure from continuous learning. Occupational stress is seen as moderate and above by 95.2% of the surveyed. Differences in age, gender, marital status, professional title, education, work experience, as well as those of different organizations, departments, professions, and duty were found to be statistically significant in regard of professional stress. Conclusions Stress management should be in place targeting demographic and stress characteristics. Effective measures are recommended to

  10. 内蒙古三市医疗卫生机构工作人员吸烟状况调查%Investigation on smoking status among the medical staff in three cities of Inner Mongolia

    Institute of Scientific and Technical Information of China (English)

    李卉; 其其格; 翟瑞峰

    2011-01-01

    目的 了解内蒙古呼和浩特市、包头市、赤峰市医疗机构工作人员吸烟和被动吸烟的情况及提供戒烟服务的能力.方法 采用简单随机方法抽取呼和浩特市、包头市及赤峰市20家医疗机构1665名工作人员和采用拦截法抽取252名患者及家属进行相关调查.结果 抽取的医疗机构工作人员吸烟率为18.26%,其中男性吸烟人数占总吸烟人数的98.36%;对吸烟危害相关知识、吸烟与疾病的关系以及被动吸烟与疾病的关系平均知晓率分别为57.30%、61.77%和70.64%;18.11%的门诊医生从不询问或很少询问患者的吸烟情况,仅14.68%的患者及家属得到过医生提供的戒烟服务;20家医疗机构有13家是无烟场所,5家有明显的禁烟规定.结论 医疗机构的控烟环境虽初步形成,但还需要通过行政干预推动无烟场所创建,努力提高全区控烟履约能力.%Objective To understand the condition of smoking and passive smoking and the ability of helping people who wanted to quit smoking among the medical staff in Hohhot, Baotou and Chifeng cities of Inner Mongolia. Methods 1665 persons from 20 medical units were selected with simple random sampling method and 252 patients and families were selected with intercept method in Hohhot, Baotou and Chifeng cities. Results The rate of smoking was 18. 26% in the selected sample of the medical staff and it was 98. 36% for males. The average awareness rate of smoking harm knowledge, the relationship of smoking and diseases and the relationship of passive smoking and diseases were respectively 57. 30%, 61.77%, and 70. 64%, 18. 11% of clinic doctors never or seldom ask the condition of smoking of the patients. Only 14. 68% of patients and their families get the service of smoking cessation from doctors. 13 of 20 medical units were no-smoking place, S units had obvious no-smoking rule. Conclusion Not only no-smoking environment in the medical units has primarily

  11. The survey of the awareness rate of“Mental Health Law of the People's Republic of China”in the medical staff%四川省泸州市医务人员对《中华人民共和国精神卫生法》知识的知晓情况

    Institute of Scientific and Technical Information of China (English)

    蓝艳; 刘可智; 梁雪梅

    2014-01-01

    目的:了解医务人员对《中华人民共和国精神卫生法》的知晓情况,为卫生行政部门推进精神卫生法的实施提供理论依据。方法采用方便抽样方法,在泸州市分别选取一家综合医院和专科精神病院的656名医务人员进行精神卫生法相关知识问卷调查。结果及格率83.2%。专科精神病院、综合医院精神科和硕士以下学历的医务人员得分较高(P<0.05)。结论泸州市医务人员对精神卫生法知识的知晓率总体较高;但综合医院医务人员特别是非精神科医务人员以及硕士及以上人员的精神卫生法知识知晓率还有待提高。%Objective To investigate the awareness rate of the“Mental Health Law of the People's Republic of China”in the medical staff and to explore the differences between the psychiatric medical staff and non-psychiatric medical staff,also to an-alyze the reasons.So to provide the theoretical basis for the implementation of the“Mental Health Law of the People's Repub-lic of China”.Methods The random sampling method was used to select 656 medical staff in a hospital and a psychiatric hospi-tal.Results The correct answer rate of the awareness rate of the “Mental Health Law of the People's Republic of China”was 27.4%~97.4%.The mean of the questionnaire score were 27.14 ± 4.42 points and the pass rate of the questionnaire was 83.2%.Multivariate logistic regression analysis showed that gender (r=1.549,P<0.001)and profession(r=-4.887,P<0.001)were related with the questionnaire score.Conclusion The awareness rate of psychiatric medical staff was higher than that of the medical staff.So more training was needed for the medical staff in the hospital.

  12. Use of the World Health Organization’s Medical Eligibility Criteria for Contraceptive Use Guidance in sub-Saharan African Countries: A Cross-Sectional Study

    Science.gov (United States)

    Chen, Melissa J; Gaffield, Mary E; Kiarie, James

    2016-01-01

    ABSTRACT Given recent updates to the postpartum contraception recommendations in the fifth edition of the Medical Eligibility Criteria for Contraceptive Use (MEC), published by the World Health Organization (WHO), the purpose of this qualitative study was to assess the extent to which national family planning policies in sub-Saharan African countries are in agreement with the WHO MEC, particularly with regard to postpartum contraceptive use. WHO headquarters sent questionnaires to country-level focal points to complete with their Ministry of Health counterparts. Between February and May 2016, 23 of 32 (72%) surveys were completed. All respondents reported that their countries had used the MEC document in the past, with most reporting that they had used the guidance as a reference (n = 20, 87%), for training purposes (n = 19, 83%), to change clinical practices (n = 17, 74%), and to develop national policies (n = 16, 70%). While many respondents (16, 70%) indicated their countries already include immediate postpartum intrauterine device insertion among breastfeeding women in their family planning policies, few reported currently allowing use of progestogen-only pills (n = 8, 35%) or implants (n = 8, 35%) during the immediate postpartum period (i.e., less than 48 hours after delivery) for breastfeeding women. A higher percentage of respondents indicated their countries allowed breastfeeding women the option of progestogen-only pills (n = 16, 70%) and implants (n = 13, 57%) between 48 hours and 6 weeks postpartum. Findings from this baseline assessment suggest that many countries may benefit from training and policy formulation support to adapt both new WHO MEC updates as well as existing recommendations from previous MEC revisions into national family planning guidelines. PMID:27688720

  13. The expectation about ICU advanced practice nurse's competency among ICU medical staff%ICU高级实践护士能力期望的调查与分析

    Institute of Scientific and Technical Information of China (English)

    钟亚萍; 卢惠娟; 夏海鸥; 蒋红

    2012-01-01

    目的 探讨ICU医护人员对ICU高级实践护士能力的期望,为确立其培养目标提供依据.方法 对ICU406名护士和58名医生进行问卷调查,并对结果进行多维尺度分析.结果 对ICU高级实践护士能力的期望主要体现在临床作用和发展期望两个维度上,可被分成临床实践、团队工作、教育、控制改进等4类能力.其中对临床作用最大的是临床实践、团队工作能力;发展期望最高的是团队工作、控制改进能力.结论 ICU高级实践护士培养应重点发展团队工作能力、部分临床实践能力、控制改进能力.%Objective To investigate the expectation about the competency of ICU advanced practice nurses(APN) among ICU medical staff, so as to provide reference for determining objective of ICU APN training. Methods Totally 406 ICU nurses and 58 doctors were investigated by questionnaires. Data were analyzed by multidimensional scaling. Results Medical staffs' expectation about the competency of ICU APN focused on two dimensions:clinical role and expectation of development. The competencies could be classified into four following categories:clinical practice, teamwork, education, control and improvement Capacity of clinical practice and capacity of teamwork had the most important clinical role. Capacity of teamwork and capacity of control and improvement had the highest expectation degree of development. Conclusions It is suggested that education of ICU APN should focus on the competencies of teamwork,partial clinical practice,control and improvement.

  14. Evaluation of time, attendance of medical staff and resources for radiotherapy in pediatric and adolescent patients. The DEGRO-QUIRO trial

    Energy Technology Data Exchange (ETDEWEB)

    Zabel-du Bois, Angelika; Milker-Zabel, Stefanie; Debus, Juergen [University of Heidelberg, Department of Radiotherapy and RadioOncology, Heidelberg (Germany); Bruns, Frank; Christiansen, Hans [Medical School Hannover, Department of Radiation Oncology, Hannover (Germany); Ernst, Iris; Willich, Normann [University of Muenster, Department of Radiation Oncology, Muenster (Germany); Popp, Wolfgang [Prime Networks AG, Basel (Switzerland); Sack, Horst [University of Essen, Department of Radiation Oncology, Essen (Germany)

    2014-06-15

    The German Society of Radiation Oncology (DEGRO) initiated a multicenter trial to develop and evaluate adequate modules to assert core procedures in radiotherapy. The aim of this prospective evaluation was to methodical assess the required resources for radiotherapy in pediatric and adolescent patients. At three radiotherapy centers of excellence (University Hospitals of Heidelberg and Muenster, the Medical School of Hannover), the manpower and time required for radiotherapy in pediatric and adolescent patients was prospectively documented consistently over a 2-year period. The data were collected using specifically developed standard forms and were evaluated using specific process analysis tools. A total number of 1914 data sets were documented and carefully analyzed. The personnel time requirements for all occupational groups were calculated as total time needed for a specific procedure and mean time per person. Regarding radiotherapy in general anesthesia, the required manpower was higher. The personnel time requirements in these cases were also longer, mainly due to longer room occupancy. Overall, the required resources were remarkably similar between the three different departments and may, therefore, be considered as representative. For the first time, the personnel time requirements of a radiotherapy department for the maintenance, protection, and optimization of operational readiness for radiotherapy in pediatric and adolescent patients with and without general anesthesia were determined methodically. (orig.) [German] Die deutsche Gesellschaft fuer Radioonkologie (DEGRO) initiierte eine Multizenterstudie zur Entwicklung und Anwendung geeigneter Module zur Erhebung und Analyse von Kernprozessen bei der Radiotherapie von Kindern und Jugendlichen. Ziel dieser prospektiven Erhebung war es, die erforderlichen Ressourcen bei der Radiotherapie im Kindesalter systematisch zu evaluieren. An drei strahlentherapeutischen Kompetenzzentren (Universitaetskliniken

  15. Investigation and Analysis on The Cognition of Medical Staff about Rational Use of Antibacterial Drug in Our Hospital%我院医务人员抗菌药物合理使用认知度的调查分析

    Institute of Scientific and Technical Information of China (English)

    朱立伟; 钱先中; 金惠静; 杨娟; 仵利军

    2015-01-01

    Objective To evaluate the medical staff about the relative knowledge of rational use of antibacterial drug in our hospital, and to further improve the level of antibacterial drugs standardized management in our hospital, to ensure safe drug use of patients. Methods The questionnaire was designed according to the national and military related laws and regulations and the basic knowledge of antimi-crobial drugs, it was conducted among doctors、nurses and pharmacists (including trainee) in our hospital, the result of survey was ana-lyzed statistically. Results A total of 305 questionnaires were issued, and 297 questionnaires were recovered including 7 invalid ques-tionnaires, the effective recovery rate is 95. 08% . On the whole, the highest rate of cognition of rational use of antimicrobial drugs is pharmacists, followed by doctors, and nurses. There is a big difference in cognition about the specific knowledge: there are 65. 63% of doctors, 40. 37% of nurses and 85. 71% of pharmacists were clear about the concept of antimicrobial drugs; only 61. 25% of doctors, 50. 46% of nurses and 100. 00% of pharmacists are aware of the hierarchical management of antimicrobial drugs; 60. 63% of doctors, 44. 04% of nurses and 90. 48% of pharmacists are aware of the administration time about preventive medication for type I incision op-eration; lecture was the main demand approach for the knowledge of antibacterial drugs, which was accounted for 86. 90% of the medical personnel. Conclusion Our hospital medical staff awareness of the rational use of antimicrobial drugs is low. Suggestions that the an-timicrobial management team consists of medical department, infection control department, inspection department and medical departments and other personnel was established. It is suggested to enhance the training of antimicrobial drug related knowledge for the medical staff, improve their cognition and alertness of antimicrobial agents so as to reduce the drug resistant bacteria and

  16. Analysis on detection results of PFLMNF and routine blood of medical staff exposed to radiation%放射作业医务人员血常规及淋巴细胞微核率检测结果分析

    Institute of Scientific and Technical Information of China (English)

    王秀英; 刘海峰; 柳建强; 唐新颖; 刘玮; 高静

    2013-01-01

    目的 探讨接触医用射线工作人员血常规及淋巴细胞微核率的变化规律,为放射工作人员的健康监护和管理提供理论依据.方法 对某医院73例放射作业人员进行血常规及淋巴细胞微核率检测,并与22例对照进行比较,分析工作岗位及工龄对血常规及淋巴细胞微核率的影响.结果 接触医用射线组淋巴细胞微核异常率(42.47%)高于对照组(13.64%),差异有统计学意义(P<0.05),而且淋巴细胞微核率与工龄正相关(P <0.05,r=0.28).血常规异常率(20.55%)与对照组(18.18%)相比,差异无统计学意义.不同工作岗位的年有效吸收剂量均低于职业照射剂量限值,其中年有效吸收剂量最高的介入放射组与最低的诊断放射组比较,差异有统计学意义(P<0.05),但2组的淋巴细胞微核率及血常规异常率差异无统计学意义.结论 接触医用射线工作人员淋巴细胞微核率增高,与工龄正相关,与年有效吸收剂量无剂量效应关系.%Objective To explore the changing rule of PFLMNF and routine blood of medical staff exposed to radiation,so as to provide theoretical basis for health monitoring and management of the medical staff.Methods The blood cells and lymphocyte micronucleus collected from 73 medical workers exposed to radiation were tested,as well as compared with the 22 control group.The effects of operating post and seniority on routine blood and PFLMNF were also analyzed.Results The abnormal PFLMNF of group exposed to radiation (42.47%) was significantly higher than that of control groups (13.64%).The differences had statistical significance (P < 0.05) and there was positive correlation between PFLMNF and seniority (P < 0.05,r =0.28).Compared with the control group (18.18%),there was no statistical significant difference of routine blood in the radiation group (20.55%).The annual effective absorbed dose of different posts was lower than occupational exposure dose

  17. Correlation between Trait Emotional Intelligence and Life Quality in Medical Staff%医务人员特质情绪智力与生存质量的相关关系研究

    Institute of Scientific and Technical Information of China (English)

    张辉; 丁璐; 孙红

    2012-01-01

    目的 探讨医务人员特质情绪智力与生存质量的相关关系,为从情绪智力的角度提高医务人员的生存质量提供参考.方法 采用特质情绪智力问卷(TEIQue)和世界卫生组织生存质量测定量表简表(WHOQOL-BREF)对北京市552名医务人员的情绪智力和生存质量进行测量.结果 医务人员生存质量中的心理[(13.7±2.2)分]、生理[(13.7±2.1)分]和环境维度[(12.0±2.3)分]得分均低于中国常模[分别为(14.3±2.5)分、(15.8±2.9)分、(13.2±2.4)分],社会关系维度得分[(13.9±2.4)分]高于中国常模[(13.7±3.0)分],差异均有统计学意义(P<0.05).特质情绪智力与生存质量各维度之间存在正相关关系.结论 医务人员的生存质量亟待关注,特质情绪智力对生存质量的各领域具有一定的预测作用.%Objective To explore the relationship between trait emotional intelligence and life quality of medical workers so as to provide a reference for improving the quality of life of the medical staff in terms of emotional intelligence. Methods Trait Emotional Intelligence Questionnaire (TEIQue) and WHOQOL - BREF were used to survey 552 medical workers in Beijing on their emotional intelligence and quality of life. Results The WHOQOL - BREF scores of the subjects were ( 13. 7 ±2. 2) in psychology, (13.7 ±2.1) in physiology and (12.0 ±2.3) in environment dimension, respectively, which were lower than (14. 3 ± 2. 5 ) , (15. 8 ± 2. 9) , and (13. 2 ± 2. 4 ) in Chinese norms; while The WHOQOL - BREF score of the subjects was ( 13. 9 ± 2. 4 ) in social dimension, which was higher than (13. 7 ± 3. 0) in Chinese norm ( P < 0. 05). And the trait emotional intelligence was positively correlated with WHOQOL - BREF scores in each dimension. Conclusion The situation of quality of life of medical staff needs to be concerned. The trait emotional intelligence can be used to predict all aspects of life quality.

  18. Medical SAS File (MDP)

    Data.gov (United States)

    Department of Veterans Affairs — The Medical SAS system provides a variety of SAS-formatted files containing medical data for use by VA staff. These files, and the ability to create user files, are...

  19. 医护人员心理资本、应对方式与工作倦怠关系%Relationship among Psychological Capital, Coping Style and Job Burnout of Medical Staffs

    Institute of Scientific and Technical Information of China (English)

    闫丽娜; 苏便苓; 李震中; 刘振红

    2012-01-01

    目的 探讨医护人员心理资本、应对方式与工作倦怠的关系.方法 采用心理资本量表、简易应对方式量表和Maslach工作倦怠量表通用版对河北省某省级三甲医院101名医护人员进行调查.结果 (1)医生自我效能得分高于护士,成就感低落得分低于护士(P<0.05).(2)心理资本与工作倦怠(乐观与成就感低落相关除外)呈显著负相关(P<0.01或P<0.05),消极应对与成就感低落呈显著正相关(P<0.01).(3)希望对情绪衰竭和玩世不恭有明显负向预测(P<0.01,P<0.001),自我效能(P<0.001)和消极应对(P<0.05)对成就感低落分别有负向和或正向预测作用.结论 提升心理资本水平,调整消极应对方式能有效预防和矫治医护人员工作倦怠:医院管理层应关注护士群体的心理状态.%Objective To explore the relationships among psychological capital, coping style and job burnout of medical staffs. Methods 101 medical staffs in one third-grade class A hospitals in Hebei were participated in the study , who assessed by Psychological Capital Questionnaire, Simplified Coping Style Questionnaire and Maslach Burnout Inventory-General Survey. Results (1) The score of self-efficiency of doctor was higher than that of nurse , however lower in personal accomplishment (p<0.05) . (2) Psychological capital was negatively related with job burnout (P<0.01or P< 0.05), excluding the relation between resiliency and personal accomplishment. Then negative coping style was positively related to personal accomplishment (P<0.01) . (3) Hope could negatively predict emotional exhaustion and depersonal-ization (P<0.01 ; P<0.001) . Self-efficfiency (P<0.001l and negative coping style (F<0.05) could negatively or positively predict personal accomplishment. Conclusions Psychological capital and negative coping style are important, may be the most influencing factors on job burnout in hospital staffs. The psychological state of nurses should be

  20. Supervision of Central African Economic and Monetary Community medical market%浅谈中非经济与货币共同体的医药市场监管

    Institute of Scientific and Technical Information of China (English)

    吉迪; 蒋倩; 平其能

    2009-01-01

    目的:为走近中国与中非药品市场交流和中非经济与货币共同体(CEMAC)创建药品共同监管市场提供参考.方法:主要通过文献分析的研究手段,分析中非经济与货币共同体药品市场的现状、目前的形势,并提出了CEMAC在医药市场监管中存在的问题,通过分析提出了完善医药市场的方法.结论:要实现中非药品市场的共同监管,应立足中非各国国情,建立中非共同市场以实现共同监管,同时提供中国关心中非药品市场交流的企业和专家参考文件的目的.%Objective To provide references for the Central African Economic and Monetary Community to set up common medical market.Methods Current situation and problems existing in the Centrat African Economic and Monetary Community were analyzed by literature analysis.Methods of improving the medical market were proposed.Conclusion Central African national conditions should be based on to achieve the common supervision of CEMAC.We should set up the Central African Common Market in order to achieve the purpose of co-regulation.

  1. The Occupational Exposure which Medical Staff Handling Antineoplastic Agents Make in Antineoplastic Therapeutic Process and Protective Measure%医护人员对抗肿瘤药物的职业暴露及防护措施

    Institute of Scientific and Technical Information of China (English)

    艾建红; 张志娟; 王家彦; 刘俏; 王桂森

    2012-01-01

    Configuration and input chemotherapy drugs are one ofthe main jobs ofthe nurse, so it caused great threat to the health of the nursing staff. Occupational protection has already become our topic of high attention in recent years. Although many hospitals has established Pharmacy Intravenous Admixture Services, at work there are still a lot of temporary chemotherapy which need clinical nurses to dispose and contact antitumor drugs. This may lead to personal health risk. This paper reviewed common occupational exposure pathways during the anti-tumor therapy process, and put forward corresponding protective measures to provide medical personnel security information.%配置和输入化疗药物是护士的主要工作之一,故对护理人员的健康造成了很大的威胁.职业防护已成我们近年来高度关注的话题.虽很多医院现已改为中心配液,但在工作中仍有很多临时化疗医嘱需要临床护士,接触抗肿瘤药物可能导致个人健康风险.本文综述了抗肿瘤治疗过程中常见的职业暴露途径,并提出了针对性的防护措施,以期为医护人员提供安全保障信息.

  2. The Survey of Psychiatric Medical Staff' Burnout,Social Support and Depression%精神科医护人员职业倦怠、社会支持及抑郁情绪调查

    Institute of Scientific and Technical Information of China (English)

    薛欣杰; 廖湘交; 孙洪波; 崔洪梅; 高海龙

    2015-01-01

    's Self-Rating Depression Scale( SSRS) . Results MBI-GS scale scores found that accomplishment depression scores of male were higer than women. a sense of accomplishment low junior titles and job burnout factor scores were higher than mid-level titles, the difference was statistically significant ( P<0. 05 );SDS scale scores found that educational attainment of specialist who score higher than the undergraduate and above,junior titles of SDS scores were significantly higher than the mid-level and above,nurses SDS score was significantly higher than doctors,differences were statistically significant(P<0. 05);SSRS scale scores found that unmarried objective support and social support factor of scores were significantly lower than married persons,the difference was sta-tistically significant(P<0. 05). Correlation analysis of Medical staff burnout dimensions found that subjective satisfaction,health status and emotional exhaustion income had a certain correlation with medical personnel(P<0. 05);and interpersonal income sta-tus had a certain correlation with health care degree of cynicism(P<0. 05);income status,family status and personal relationships with the medical staff had low degree of correlation with a certain sense of accomplishment(P<0. 05). Conclusion Psychiatric medical staff in men and junior titles were more prone to low achievement, junior titles were more prone to burnout;unmarried worker had less social support;level of depression of low level of education,junior titles and nurses were higher than other groups. This suggested that hospital administrators should be more concerned about the men,junior,unmarried,less educated,and physical and mental health of nurses.

  3. 中年女性医务人员围绝经期综合征患病状况调查%Survey of Perimenopausal Syndrome in Middle-aged Female Medical Staff

    Institute of Scientific and Technical Information of China (English)

    陈桂萍; 白文佩; 张婧; 卢薇薇; 崔广霞; 席思思; 杨慕坤; 朱赛楠; 闫小妍; 姚晨

    2013-01-01

    目的 调查中年女性医务人员围绝经期综合征患病状况,分析其影响因素.方法 以问卷调查形式,对2012年3-6月北京大学第一医院40~55岁的全体在编女职工围绝经期综合征现状及相关因素进行调查.结果 529人进入统计分析,平均年龄(46.6±4.0)岁,既往或目前所患慢性疾病中最常见的前3种疾病为子宫肌瘤141人(26.7%)、高脂血症98人(18.5%)、高血压87人(16.4%).170人(32.1%)患有围绝经期综合征,其中轻度110人(20.8%)、中度55人(10.4%)、重度5人(0.9%).最常见的前3位围绝经期症状为疲乏(84.1%)、骨关节肌肉痛(68.2%)、易激动(66.2%).更年期综合征组与非更年期综合征组职称、体质指数(BMI)、性生活频率、1年内是否发生过痛苦事件、生活满意度、能否控制不良情绪、控制不良情绪办法以及高血压、骨质疏松、高脂血症、颈椎病、子宫肌瘤的患病率比较,差异均有统计学意义(P<0.05).经多因素Logistic回归分析结果显示,1年内发生过痛苦事件(P=0.043)、生活不满意麻木(P<0.001)、高脂血症(P=0.037)、颈椎病(P<0.001)与围绝经期综合征发生有关系.结论 疲乏、骨关节肌肉痛、易激动是中年女性医务人员最突出的临床症状.1年内发生过痛苦事件、生活不满意麻木、高脂血症、颈椎病是围绝经期综合征的危险因素,因此,应加强中年女医务人员的围绝经期保健工作,采取有效的干预措施提高其生活质量.%Objective To explore the prevalence of perimenopausal syndrome in middle - aged female medical staff and to analyze related influencing factors. Methods A total of 589 female medical staff aged from 40 to 55 between March and June in 2012 selected in the Peking University First Hospital were surveyed with a prepared questionnaire on self - reported meno-pausal symptoms and related influencing factors. Results A total of 529 questionnaires met the criteria and were used

  4. 医务人员手卫生现状与医院感染相关性调查%Current status of hand hygiene of medical staff and its correlation with nosocomial infections

    Institute of Scientific and Technical Information of China (English)

    周玉萍; 李志建; 谭妙莲; 黄少华; 皮艳青

    2013-01-01

    目的 调查医务人员手卫生状况与医院感染发生率,探讨医务人员手卫生状况与医院感染的相关性.方法 选取2011年7月—2012年7月医院各类环境下工作的528名医务人员,手部采样后进行细菌培养;采取调查问卷及现场调查方法进行调查手卫生依从性,并对同期医院感染发生情况进行分析.结果 医务人员手卫生取样标本合格份数451份,合格率为85.42%,其中合格率临床医师为87.88%、临床护士为85.25%、医技人员为79.49%,各类医务人员手卫生消毒合格率比较差异无统计学意义;医务人员诊疗操作前、诊疗操作后、接触患者前、接触患者后手卫生依从性分别为40.34% 、59.47% 、30.11%、50.19%,诊疗操作前与诊疗操作后、接触患者前与接触患者后比较,差异有统计学意义(P<0.05),其中临床医师分别为44.50%、62.88%、32.58%、53.79%,临床护士分别为39.78%、59.94%、29.97%、49.86%,医技人员分别为30.77%、43.59%、23.08%、41.03%,各类医务人员诊疗操作前与诊疗操作后、接触患者前与接触患者后比较,差异均有统计学意义(P<0.05);同期住院患者共17 486例次,发生医院感染者1042例次,医院感染发生率为5.96%,医院感染与医务人员手消毒合格率直线相关分析,两者间具有负相关(r=-0.84,P=0.000).结论 医务人员手卫生状况尚可,但手卫生依从性在诊疗操作前、接触患者前较差,同期医院感染发生率较低,加强手卫生依从性是进一步降低医院感染的关键环节.%OBJECTIVE To investigate the current status of hand hygiene of medical staff,analyze the incidence of nosocomial infections and observe the correlation between the status of hand hygiene and the incidence of nosocomial infections.METHODS A total of 528 cases of medical personnel,who worked under various conditions from Jul 2011 to Jul 2012,were enrolled in the study,then the

  5. 综合医院手术室医护人员对仪器设备知识需求的调查分析%The Medical Staff Knowledge Needs of the Equipment in the Operating Room

    Institute of Scientific and Technical Information of China (English)

    邓露; 王惠平; 刘卫红

    2012-01-01

    目的 通过调查分析手术室医护人员对仪器设备相关知识需求的情况,探讨手术室仪器设备管理的有效方法. 方法 随机选择手术室护士60名和外科手术医生60名,对其进行手术室仪器设备相关知识需求问卷的调查,分析他们在实际工作中对此方面的了解与需求情况. 结果 手术室医护人员都希望了解仪器设备相关知识;均希望采用厂家人员授课的方法进行培训.在培训内容、管理形式上,手术室护士和医生的得分有统计学差异(P<0.05或P<0.01),其中护士希望得到的培训内容排名前3位的是:仪器设备的正确操作流程、仪器设备的存放位置和基本配套、仪器设备基本故障处理和维修处理程序,医生希望得到的培训内容排名前3位的是:仪器设备基本故障处理和维修处理程序、仪器设备的正确操作流程、通用和专科仪器设备.护士最希望的管理模式是手术室专科组长协同护士长或专职人员共同管理,医生最希望的管理模式是调派专职技术人员管理. 结论 手术室仪器设备的管理应综合各方面因素,充分了解手术室护士和实际使用者外科医生的需求,针对性地制定出相关管理措施和培训方法,提高仪器设备的管理效率,进一步营造手术配合的和谐氛围.%Objective To investigate the medical staff knowledge needs of the equipment in the operating room, and explore an effective management method of instruments and equipment in the operating room. Method 60 nurses and 60 surgeons of the operating room were randomly selected to survey their operating room instruments and equipment-related knowledge needs by applying questionnaire. Results The operating room medical staff wants to know the knowledge of the equipment, and wish to be taught the usage method by the factory staff. There were significant differences between nurses and surgeons in training contents and management forms (.P<0

  6. 西安某医学院校教职工、医务人员及学生吸烟状况及相关态度调查%Investigation of the Smoking Rate and Attitude towards Tobacco Control among Teachers, Medical Staff and Students in One Medical College in Xi'an

    Institute of Scientific and Technical Information of China (English)

    刘南; 王学良; 王运乐; 王宏武; 王明旭; 徐新潮; 范亚利; 张众录; 韩菊

    2011-01-01

    目的 了解某医学院校教职工、附属医院医务人员以及在校学生吸烟情况和对控烟工作的态度.方法 以自行设计的问卷为调查工具,对医学院全部教职工、附属医院医务人员和在校学生进行调查.结果 教职工的吸烟率最高,为25.80%,然后依次为医务人员、研究生和大学生,吸烟率分别为14.29%、4.96%和3.64%;男性吸烟率远高于女性(x2=668.32 P<0.05),男性教职工、医务人员、研究生和大学生的吸烟率分别为48.33%、41.56%、14.11%和7.23%.各类人员对控烟工作的支持率均在90%左右.讨论在无烟医学校园和无烟医院的创建工作中,应以男性吸烟者和青年学生为重点,通过环境与制度建设的结合,推进全社会控烟工作的有效开展.%Objective: To illuminate the smoking rate and attitude towards tobacco control among teachers,medical staffs and students in one medical college in Xi'an. Methods: Using a self - designed questionnaire surveys the whole target population, including teachers, medical staffs and students. Results: Teachers have the highest smoking rate of 25.80%, followed by the medical staffs, graduate students and undergraduates, with smoking rates of 14.29%, 4.96% and3.64% respectively; male smoking rate is much higher than that of females (x2 = 668.32 P < 0.05 ); Smoking rate of male faculty members, medical staffs, graduate students and undergraduates were 48.33%, 41.56%, 14.11% and 7.23%. About 90% of target population support tobacco control.Discussion: In the construction of smoke -free hospitals and campus, male smokers and young students are the focus of target education population. Tobacco control should be effectively promoted in the whole society through carrying out a combination of environment and institution building.

  7. The Discussion on Health Management of Medical Staff in A Tertiary Comprehensive Hospital of Jiangmen City%江门市某三甲综合医院医务人员健康管理探讨

    Institute of Scientific and Technical Information of China (English)

    陈世友; 黎晓绮; 陈坚

    2015-01-01

    目的:通过总结某三甲综合医院医务人员5年的慢性病检出率,分析原因并在此基础上提出有效的健康促进策略。方法:使用江门市某三甲综合医院2009-2013年职工健康体检结果。对疾病检出率采用多个样本率的χ²检验进行分析。结果:胆囊疾病、高血压、血糖异常、脂肪肝检出率5年比较,差异有统计学意义(P<0.01)。结论:医务人员健康状况不容乐观,应当引起有关部门的高度重视。在采取综合措施基础上,强调综合社会力量是保证医务人员健康促进的非常重要举措。%Objective: To through the detection rate of chronic disease for five years of medical staff in a tertiary comprehensive hospital, analyze the reasons and put forward effective health promotion strategies on the basis of the reasons.Method: The results of health examination of workers from 2009 to 2013 in a tertiary comprehensive hospital of Jiangmen city were used. The χ² test of multiple sample rate was used in the detection rate of disease for significance test analysis.Result: There were statistical differences among the detection rate of gallbladder disease, high blood pressure, blood glucose abnormalities, and fatty liver in five years (P<0.01).Conclusion: Health status of medical personnel is not optimistic, it should draw great attention of the related departments. On the basis of adopting comprehensive measures, emphasizing the comprehensive social forces is very important measure to ensure the medical personnel health promotion.

  8. Planning Staff Meetings. Ideas for Staff Training.

    Science.gov (United States)

    Carter, Margie

    2002-01-01

    Emphasizes the importance of the planning and the process of organizing staff meetings. Specifically addresses the areas concerning clarity of purpose and structure of meetings, as well as promoting learning and connecting during meetings. Provides specific strategies to achieve these goals including suggestions for self-assessment. (SD)

  9. Elections to Staff Council

    CERN Multimedia

    Staff Association

    2011-01-01

    Elections to fill all seats in the Staff Council are being organized this month. The voting takes place from the 31st of October to the 14th of November, at noon. As you may have noted when reading Echo, many issues concerning our employment conditions are on the agenda of the coming months and will keep the next Staff Council very busy. So, make your voice heard and take part in the elections for a new Staff Council. By doing so, you will be encouraging the men and women who will be representing you over the next two years and they will doubtless appreciate your gratitude. Every member of the Staff Association will have received an email containing a link to the webpage which will allow voting. If you are a member of the Staff Association and you did not receive such an email, please contact the Staff Association secretariat (staff.association@cern.ch). Do not forget to vote * * * * * * * Vote Make your voice heard and be many to elect the new Staff Council. More details on the election...

  10. Survey on the knowledge, attitudes and behavior for foodborne disease in medical staff%医务人员食源性疾病相关知识、诊疗态度和诊疗行为的调查分析

    Institute of Scientific and Technical Information of China (English)

    陈志; 朱紫杭; 周文; 余少珍

    2014-01-01

    Objective To investigate the knowledge,attitude and behavior of medical staffs on foodborne diseases.Methods To investigate the knowledge,attitude and behavior of medical staffs on foodborne diseases by random sampling following the questionnaire.Results There were 332 medical workers attending the survey.The medical staffs were lack of knowledge for foodborne disease,percent of pass was 34.33%.The pass rate of attitude and behavior were 88.88% and 98.19%.The knowledge score of medical staff of top three hospital (6.49± 2.18)were lower than the community health service center(7.04±2.26) (P<0.05),but attitude and behavior score of this two staffs had not statistical differences(P>0.05).Conclusion It is necessary to help medical staff to improve the attitude of foodborne diseases,and improve the monitoring of underreporting case.%目的 了解辖区内医务人员对食源性疾病的认知度和态度、行为的现状.方法 采用随机整群抽样方法,对辖区内三甲医院和社区医院的医务人员进行问卷调查.结果 共调查332名医务人员,普遍缺乏食源性疾病相关知识,合格率为34.33%,而诊疗态度及诊疗行为合格率达到88.88%和98.19%.三甲医院医务人员在食源性疾病相关知识的得分[(6.49±2.18)分]低于社区卫生服务中心医务人员[(7.04±2.26)分],差异有统计学意义(P<0.05),而在诊疗态度及诊疗行为方面的得分两者差异无统计学意义(P>0.05).结论 加强食源性疾病相关知识的宣贯有助于医务人员改善对食源性疾病警觉态度,进而有助于改善监测漏报行为.

  11. New staff contract policy

    CERN Multimedia

    HR Department

    2006-01-01

    Following discussion at TREF and on the recommendation of the Finance Committee, Council approved a new staff contract policy, which became effective on 1 January 2006. Its application is covered by a new Administrative Circular No. 2 (Rev. 3) 'Recruitment, appointment and possible developments regarding the contractual position of staff members'. The revised circular replaces the previous Circulars No. 9 (Rev. 3) 'Staff contracts' and No. 2 (Rev. 2) 'Guidelines and procedures concerning recruitment and probation period for staff members'. The main features of the new contract policy are as follows: The new policy provides chances for long-term employment for all staff recruits staying for four years without distinguishing between those assigned to long-term or short-term activities when joining CERN. In addition, it presents a number of simplifications for the award of ICs. There are henceforth only 2 types of contract: Limited Duration (LD) contracts for all recruitment and Indefinite Contracts (IC) for...

  12. 某三甲医院医务人员医疗锐器伤的分析%Analysis of needlestick and sharps injuries among medical staff in upper first-class hospital

    Institute of Scientific and Technical Information of China (English)

    顾月; 陈辰; 程科萍; 涂志斌; 张徐军

    2013-01-01

    目的 了解综合医院医务人员医疗锐器伤的发生情况及危险因素,为医院感染控制部门及卫生部门制订预防措施提供参考依据.方法 采用统一问卷调查方法,对南京市某三级甲等医院800名医务人员过去一年内医疗锐器伤的发生情况进行调查,其中641人问卷有效完整,医生239人,护士348人,其他工作类别54人.对资料进行x2检验及多因素Logistic回归分析.结果 共调查641名医务人员,373名发生过医疗锐器伤,发生率为58.19%.不同工作类别及不同工作科室的医疗锐器伤发生率的差异有统计学意义(P<0.01).注射器针头、玻璃、头皮针输液器针头及缝合针是造成医务人员医疗锐器伤的主要器具,其中医生以缝合针伤害率(48.21%)明显高于护士(6.72%),护士以注射器针头、头皮针输液器针头以及玻璃的伤害率(71.15%、59.68%、49.04%)明显高于医生(46.43%、6.25%和16.96%),差异均有统计学意义(P<0.01).医生以抽取体液或组织标本、冲洗伤口、缝合、剪断和切开伤害率明显高于护士,护士以注射、静脉输液、经肝素帽封管、连接静脉输液管路、抽取动脉血或静脉血伤害率明显高于医生,差异均有统计学意义(P<0.05).结论 医务人员医疗锐器伤的发生较普遍,漏报严重.应加强医护人员的培训和操作规范管理.%Objective To investigate the incidence of needlestick and sharps injuries among the medical staff in an upper first-class hospital and its risk factors and to provide a basis for the infection control department of hospital and health administration department to establish the policies for safe injection.Methods A questionnaire survey was conducted in 800 healthcare professionals in an upper first-class hospital in Nanjing,China to investigate the incidence of needlestick and sharps injuries in the past year.A total of 641 persons completed the questionnaire,including 239

  13. Analysis of Stress Factors on Medical Staffs Burnout:Investigation of a Hospital in Jinzhou%医务人员职业倦怠压力源因素分析--以锦州某医院的调查为例

    Institute of Scientific and Technical Information of China (English)

    任素娟

    2014-01-01

    医务人员职业倦怠的影响因素有多种,如宏观层面的执业环境、中观层面的医院管理,以及微观层面的个体自身。以锦州市某医院医务人员为调查对象,采用问卷调查法和访谈调查法相结合的方式,识别影响职业倦怠的主要压力源因素。调查发现,中观层面的因素对医务人员职业倦怠影响较大,进而对此提出有效的预防及干预对策,如构建医务人员健康档案,建立医患冲突防范系统,加强对医务人员沟通能力的培训,实行多元化考核方式,实施绩效薪酬积分制度等。%There are many factors influencing the job burnout of medical staffs ,such as the practicing environment of macro level ,the hospital management of meso level ,the individual reasons of micro level .This article chooses the medical staffs in a hospital of Jinzhou as the research object ,recognizing the key stress factors of job burnout through using questionnaire and interview survey methods .The survey found that factors of the meso level have great effect on the job burnout of medical staffs .Then ,it puts forward the effective prevention and intervention measures ,such as building health record of medical personnel , constructing doctor-patient conflict prevention system , strengthening the medical staff training in interpersonal skills ,diversifying evaluation methods ,implementing the performance pay points system .

  14. Investigation and Analysis on the Cognition of Health Insurance in Medical Staffs%临床医务人员对医疗保险认知的调查分析

    Institute of Scientific and Technical Information of China (English)

    冷家骅; 陈治水; 刘忆; 冯晶辉; 郑启文

    2016-01-01

    目的:对医务人员的医保认知进行调查,为医疗机构精细化管理做铺垫,为推动医保医师管理做参考。方法:进行问卷调查,利用非参数秩和与序列回归对不同人群的认知情况进行统计分析。结果:调查医务人员49名;各认知维度得分均良好;不同工龄、科室、岗位之间医保认知存在统计学差异;71.2%认为医保文书繁琐;81.6%有接受培训意愿。结论:医保工作具备专业技巧性;护士的认知相对较好;医保文书电子化是提升医保工作的重点,也是难点;医保学习是乐于接受的。建议:医院层面,强化医保监管和学习意识,建立碎片式学习机制,利用信息和宣传手段形成全院医保一盘棋;政府层面,多部门联合,落实医师行为监管细则,并逐步推开医保医师管理制度。%Objective To Investigate the medical staffs’ cognition about medical insurance and their willingness to learn in Peking Cancer Hospital, to lay a foundation for precise management in medical institutions, and to provide references for the management of healthcare physicians. Methods Questionnaire survey was conducted, the nonparametric methods and ordinal regression were used to compare the cognitive status among different groups of medical staffs. Result Of 49 subjects, the cognitive scores of different dimensions were favorable; there were statistical differences among persons with different length of working, in different departments and positions; 71.2% of them considered the paperwork being tedious; 81.6% of them were willing to learn. Conclusion Health insurance has professional features; the knowledge in nurses is relatively better; electronic paperwork is the key points to improve the conducting of insurance; training is acceptable. Suggestions It is necessary for hospitals to strengthen healthcare supervision and learning consciousness, to establish fragment learning mechanism and to

  15. Investigation of Psychological Health on Medical Staff of Emergency Department After Workplace Violence%急诊医护人员遭受工作场所暴力后心理状况的调查

    Institute of Scientific and Technical Information of China (English)

    丘宇茹; 王吉文; 吴惠文

    2012-01-01

    Objective To investigate psychological health status of doctor and nurse who suffered from workplace violence in Emergency Department. Methods 158 doctors and nurses of Emergency Department in 6 hospitals of Guangzhou by SCL-90 questionnaire method were investigated,and every factor score of doctors and nurses were compared with normal model. Results Medical Staff who were suffered from workplace violence was 41.1% of all Medical Staff in Emergency Department. The suffered group was lower than no suffered group in age (P<0.0l) and working lifetime( P<0.001). Most of trespassers were patient' s familiality (56.3%). The violence was mostly verbal insult, shaming, afflicting, and harassment (70.6%). After doctor and nurse suffered from workplace violence, the average symptom score, total score and total share of doctor and nurse was significantly higher than that of the Chinese normal in aspect of the factors, like somatization, compulsion , depression, anxietas, hostility, mental disease factor(P<0.01). Positive item number of doctor was obviously higher than one of nurse(P<0.01 ) Conclusions Psychological health of doctor and nurse in emergency department were affected by. Workplace violence severely The workplace violence should be prevented and controlled. The psychological consultant should be provided for the doctor and nurse.%目的 探讨急诊医护人员遭受工作场所暴力后的心理健康状况.方法 应用症状自评量表(symptom checklist-90,SCL-90)对广州市6所三级甲等综合医院6个月内遭受过工作场所暴力的158名急诊医护人员进行问卷调查,并将医护人员SCL-90 各因子得分与国内常模进行比较.结果 遭受工作场所暴力者占急诊科全体医护人员的41.1%,遭受者组在年龄(P<0.01)、工作时间(P<0.001)上均小于未遭受者组,施暴者多数为患者家属(56.3%);遭受的暴力大多数为言语的辱骂、污辱、折磨和骚扰(70.6%),遭受工作场所暴力后,急诊医护人员

  16. 应用荧光剂污染试验检测医务人员手卫生消毒质量%Application of fluorescent agent pollution test in testing of hand hygiene disinfection quality of medical staff

    Institute of Scientific and Technical Information of China (English)

    陈瑜; 房君; 陈琳; 陈培服; 张英

    2015-01-01

    OBJECTIVE To test the hand hygiene disinfection quality of the medical staff with fluorescent agent pol‐lution test so as to strengthen the quality management of hand hygiene disinfection of the medical staff .METHODS From Jan 2014 to Jun 2014 ,the quality of hand hygiene and disinfection of 165 health care workers was tested and evaluated through the pollution test with fluorescence detector and its matched fluorescence agent ,and the statisti‐cal analysis of data was performed with the use of SPSS17 .0 software .RESULTS Of 165 health care workers ,41 were qualified for the disinfection ,with the total qualified rate 24 .85% ;the qualified rate was 28 .00% among nurses ,17 .86% among doctors ,8 .33% among nursing workers .Totally 124 health care workers were unquali‐fied for the test ,of whom 64 were unqualified for one site ,accounting for 51 .61% .A total of 258 times of un‐qualified disinfection occurred in the sites ,of which 63 (24 .42% ) were the roots of the thumbs .CONCLUSION It is simple ,convenient ,feasible ,and low‐cost to use the fluorescent agent pollution test for the testing of the quali‐ty of hand hygiene and disinfection of the health care workers ,which is worthy to be promoted in the clinical de‐partment .%目的:应用荧光剂污染试验对医务人员的手卫生消毒质量进行检测,以便加强医务人员手卫生消毒后的质量管理。方法于2014年1-6月采用荧光检测仪及其配套荧光剂,通过污染试验对165名临床医务人员手卫生消毒质量进行检测与评价,数据采用SPSS 17.0软件进行统计分析。结果165名医务人员中41人消毒合格,总合格率为24.85%,其中护士合格率为28.00%,医师合格率为17.86%,护工合格率仅为8.33%;124名医务人员检测均不合格,以1个部位不合格为主,共64人占51.61%,消毒不合格部位发生共258频次,以大拇指根部为主,共63频次占24.42%。结论荧光

  17. Shadows of Transformation: Inclusion and Exclusion of Academic Staff at a University of Technology

    Science.gov (United States)

    Hemson, C.; Singh, P.

    2010-01-01

    A study of academic staff at a South African university of technology used questionnaires and interviews to understand perceptions and experiences related to inclusion and exclusion. Taking critical race theory as the theoretical framework, the study revealed high levels of anger amongst staff of different racial identities. Expressions of…

  18. Elections to Staff Council

    CERN Multimedia

    Staff Association

    2013-01-01

    Elections to fill all seats in the Staff Council are being organized this month. The voting takes place from the 28 of October to the 11th of November, at noon. As you may have noted when reading Echo, many issues concerning our employment conditions are on the agenda of the coming months, and in particular the Five-yearly-Review 2015, subject of the questionnaire that you probably recently filled out. All this will keep the next Staff Council very busy indeed. So, make your voice heard and take part in the elections for a new Staff Council. By doing so, you will be encouraging the men and women who will be representing you over the next two years and they will doubtless appreciate your gratitude. Every member of the Staff Association will have received an email containing a link to the webpage which will allow voting. If you are a member of the Staff Association and you did not receive such an email, please contact the Staff Association secretariat (staff.association@cern.ch). Do not forget to v...

  19. Optimisation of staff protection

    International Nuclear Information System (INIS)

    It is important to minimize the radiation dose received by staff, but it is particularly important in interventional radiology. Staff doses may be reduced by minimizing the fluoroscopic screening time and number of images, compatible with the clinical objective of the procedure. Staff may also move to different positions in the room in an attempt to reduce doses. Finally, staff should wear appropriate protective clothing to reduce their occupational doses. This paper will concentrate on the optimization of personal shielding in interventional radiology. The effect of changing the lead equivalence of various protective devices on effective dose to staff has been studied by modeling the exposure of staff to realistic scattered radiation. Both overcouch x-ray tube/undercouch image intensified and overcouch image intensifier/undercouch x-ray tube geometries were simulated. It was deduced from this simulation that increasing the lead apron thickness from 0.35 mm lead to 0.5 mm lead had only a small reducing effect. By contrast, wearing a lead rubber thyroid shield or face mask is a superior means of reducing the effective dose to staff. Standing back from the couch when the x-ray tube is emitting radiation is another good method of reducing doses, being better than exchanging a 0.35 mm lead apron for a 0.5 mm apron. In summary, it is always preferable to shield more organs than to increase the thickness of the lead apron. (author)

  20. Staff development planning in an academic health sciences library*

    OpenAIRE

    Hartman, Linda M.; Abromitis, Rebecca A.; Kuller, Alice B.; Epstein, Barbara A.

    2005-01-01

    Objective: A staff development committee (SDC) was convened to implement staff development opportunities for an academic health sciences library system comprised of three separate facilities. The charge for the SDC was to: (1) develop programs to enhance workplace skills and personal growth, (2) communicate the availability of existing programs at the university and medical center, and (3) encourage the staff to participate in these opportunities.

  1. The AB Staff Plan

    CERN Document Server

    Boillot, J; Delahaye, J P; Myers, S; CERN. Geneva. AB Department

    2003-01-01

    The present report summarises the staff plan of the newly created Accelerators and Beams (AB) Division following the restructuring of the Accelerator Sector and covering the period 2003 to 2010. It underlines the refocusing of the staff on priority work, especially the LHC Project and is coherent with the recently adopted CERN Long Term Plan (LTP). It compares the requested and available manpower (both staff and industrial support) for each Project, Programme and Activity (PPA) split in work packages and highlights the missing manpower for each category of personnel.

  2. A survey on effect of workplace violence in hospital on work-related stress of medical staffs%医院工作场所暴力对医护人员工作压力影响的调查研究

    Institute of Scientific and Technical Information of China (English)

    林汉群; 闫俊辉; 王箭; 王晓川; 韩雪飞; 刘新媚

    2012-01-01

    Objective To understand the status of medical staffs suffering from workplace violence in hospital and to investigate the influence of workplace violence on work-related stress of the medical staff. Methods By cluster sampling, 1880 medical staffs from 3 hospitals in Shenzhen were investigated in this study. By questionnaire survey method, the Workplace Violence in Hospital Setting Questionnaire and the Work-related Stress Scale were used to measure the status of workplace violence in hospital setting and the level of work-related stress of medical staff. Results The overall incidence rate of workplace violence was 57. 6%. The work-related stress of the medical staffs suffering from violence was higher than that of the medical staffs without suffering from violence(P<0. 01). The more frequence of working violence was, the higher level of work-related stress of medical staffs (P< 0. 01). Conclusion The overall incidence rate of workplace violence is still at higher level among the medical staffs, which has profound effect on their work-related stress. Therefore, it is necessary to carry out counterpart measures to reduce the incidence of workplace violence.%目的 了解医护人员遭受医院工作场所暴力的情况,探讨医院工作场所暴力对医护人员工作压力的影响.方法 使用医院工作场所暴力调查表和工作压力量表,调查3家综合性医院工作至少1年的1 880名在职医护人员,了解医院工作场所暴力发生情况和医护人员的工作压力水平.结果 医护人员在医院工作场所遭受暴力的发生率为57.6%.暴力组医护人员的工作压力及5个维度的得分均高于非暴力组,差异具有统计学意义(P<0.01).心理暴力组医护人员的工作压力得分随着暴力频次的增加呈上升趋势,差异具有统计学意义(P<0.01).结论 医护人员在医院工作场所遭受暴力的风险很高,而且医院暴力对医护人员的工作压力造成了深刻的影响,有必要采取

  3. Sağlık Çalışanlarında Hizmetkâr Liderlik: Dennis-Winston ve Dennis-Bocernea Hizmetkâr Liderlik Ölçeklerinin Geçerlik ve Güvenirlik Araştırması( Servant Leadership Among Medical Staff: Investigation of Validity and Reliability of Dennis-Winston and Dennis-Bocernea Servant Leadership Scales)

    OpenAIRE

    ASLAN, Şebnem; Musa ÖZATA

    2011-01-01

    This study aims to contribute the two different scales used in evaluation of servant leadership among medical staff on Turkish literature. In this context, validity and reliability analysis of Dennis and Winston (2003) and Dennis and Bocernea (2006) Servant Leadership Scales are done. Dennis and Winston Scale includes 23 questions and 3 dimensions, and Dennis and Bocernea scale includes 29 questions and 7 dimensions. The survey is conducted with 180 staff in practising in three different hosp...

  4. Reduction of levels of radiation exposure over patients and medical staff by using additional filters of copper and aluminum on the outputs of X-ray tubes in hemodynamic equipment; Reducao da dose de radiacao em pacientes e equipes medicas pelo uso de filtros adicionais de cobre e aluminio nas saidas de tubos de raios X em equipamentos de hemodinamica

    Energy Technology Data Exchange (ETDEWEB)

    Weis, Guilherme L.; Müller, Felipe M.; Schuch, Luiz A., E-mail: glweis@gmail.com [Universidade Federal de Santa Maria (UFSM), Santa Maria, RS (Brazil)

    2013-12-15

    Radioprotection in hemodynamic services is extremely important. Decrease of total exposition time, better positioning of medical staff in the room, use of individual and collective protection equipment and shorter distance between the patient and the image intensifier tube are, among others, some ways to reduce the levels of radiation. It is noted that these possible forms of reducing the radiation exposition varies depending on the medical staff. Hence, the purpose of the present paper is to reduce such levels of radiation exposition in a way apart from medical staffs. It is proposed, therefore, the use of additional filters on the output of the X-ray tube in three hemodynamic equipment from different generations: detector with a flat panel of amorphous selenium, image intensifier tube with charge coupled device, and image intensifier tube with video camera. In order to quantify the quality of the images generated, a simulator made of aluminum plates and other devices was set up, so it was possible to measure and compare the acquired images. Methods of images analysis (threshold, histogram, 3D surface) were used to measure the signal/noise ratio, the spatial resolution, the contrast and the definition of the signal area, thus doubts regarding the analysis of the images among observers (inter-observers) and even for a single observer (intra-observer) can be avoided. Ionization chambers were also used in order to quantify the doses of radiation that penetrated the skin of the patients with and without the use of the filters. In all cases was found an arrangement of filters that combines quality of the images with a significant reduction of the levels of exposure to ionizing radiation, concerning both the patient and the medical staff. (author)

  5. Investigation and analysis of the hepatitis B virus infection in the medical staff of a psychiatric hospital%精神病医院医务人员乙型肝炎病毒感染临床分析

    Institute of Scientific and Technical Information of China (English)

    李月海

    2013-01-01

    Objective To study the medical personnel of asylum HBV infection condition,to provide basis to prevent cross infection in medical affairs.Methods HbsAg,HBsAb,HBcAb,HBeAg and HBeAb were examined in 281 medical personnels of whole hospital using the ELISA method.Results HBV infection rate of medical personnel in the asylum was 53.38%,and the positive rate of HBsAg was 11.39%,including 10.92% of the males and 11.73% of the females.There was no significant difference between them (P>0.01).The HBsAg positive rate was 15.17% in clinical medical personnel and 4.85 % in the none clinical medical personnel,it showed a significant difference (P<0.01).The HbsAg positive rate in clinical medical personnel was higher than the average.46.62% of the staff had all of these five serums marks negative,while 31.67% of them took the vaccine initiatively.Conclusion It is very important to improve the living condition of patients with mental diseases.It could mostly prevent the infectious diseases if we strengthen the HBV prevention management.It is an important content of the infection management work in current mental illness hospital,and also an important content of the hospital medical treatment quantity management.%目的 探讨精神病医院医务人员乙型肝炎病毒(HBV)感染状况,为医院进一步预防医患间HBV交叉感染提供依据.方法 对全院281名医务人员用ELISA法检测乙肝表面抗原(HBsAg)乙肝表面抗体(抗-HBs)乙肝e抗原(HBeAg)乙肝e抗体(抗-HBe)乙肝核心抗体(抗-HBc)五项血清标志物.结果 精神病医院医务人员HBV感染率53.38%,其中HBsAg阳性率11.39%,男性医务人员HBsAg阳性率10.92%,女性医务人员HBsAg阳性率11.73%,两组间无显著差异(P>0.01);临床医务人员HBsAg阳性率15.17%,非临床医务人员的HBsAg阳性率4.85%,两组间有显著性差异(P<0.01)且临床医务人员的HBsAg阳性率高于全国平均HBsAg阳性率,五项血

  6. Staff rules and regulations

    CERN Document Server

    HR Department

    2007-01-01

    The 11th edition of the Staff Rules and Regulations, dated 1 January 2007, adopted by the Council and the Finance Committee in December 2006, is currently being distributed to departmental secretariats. The Staff Rules and Regulations, together with a summary of the main modifications made, will be available, as from next week, on the Human Resources Department's intranet site: http://cern.ch/hr-web/internal/admin_services/rules/default.asp The main changes made to the Staff Rules and Regulations stem from the five-yearly review of employment conditions of members of the personnel. The changes notably relate to: the categories of members of the personnel (e.g. removal of the local staff category); the careers structure and the merit recognition system; the non-residence, installation and re-installation allowances; the definition of family, family allowances and family-related leave; recognition of partnerships; education fees. The administrative circulars, some of which are being revised following the ...

  7. Evaluating Burnout among Administrative and Healthcare Staffs

    Directory of Open Access Journals (Sweden)

    Neda Khorshidian

    2015-06-01

    Full Text Available Background & Aims of the Study Burnout is an occupational hazard which is known as one of the major factors affecting employees’ psychological disorders. The present study aimed to evaluate occupational burnout among administrative and healthcare staffs of Shiraz University of Medical Sciences. Materials & Methods In this cross sectional study, 300 employees (150 administrative staff and 150 health care staff were selected using random sampling method. Data were collected using Maslach Burnout Inventory and analyzed using SPSS software. Results: The mean of burnout was 2.33±0.60. The results showed no significant difference between men and women employees in terms of occupational burnout and its three dimensions. Moreover, a significant difference between administrative and medical staffs  were found only in the dimension of emotional exhaustion. The mean score of emotional exhaustion in the administrative staff was significantly lower than that of their peers in the healthcare sector (2.03±0.84vs. 2.36±1.00 (p=0.03. Conclusions: The results showed that the majority of employees reported an average level of burnout .Such finding was in agreement with the results reported in previous studies. The obtained results can pave the way for further study on the identifying determinants of burnout.

  8. Staff Association Information Meetings

    CERN Multimedia

    2011-01-01

    Staff Association Information Meetings: - Thursday 29 September at 2 p.m., Meyrin, Kjell Johnsen Auditorium, 30-7-017 (in French) - Friday 30 September at 10 a.m., Prévessin, BE Auditorium, 864-1-D02 (in French) - Monday 3 October at 2 p.m., Meyrin, IT Auditorium, 31-3-004 (in French) - Tuesday 4 October at 2 p.m., Meyrin, Filtration Plant, 222-R-001 (in English)   Staff Association

  9. 某公立医院离职人员组织认同与离职原因相关分析%The Study on the Relationship between Organizational Identification and Reasons for Resignation among Medical Staff of a Public Hospital

    Institute of Scientific and Technical Information of China (English)

    桂德权; 胡雅洁; 唐蔚蔚

    2014-01-01

    目的:通过考察离职医务人员组织认同与离职原因相关关系,探讨稳定医务人员对策。方法以某公立医院51名离职医务人员为对象,采用组织认同量表调查并对离职报告分析。结果离职医务人员组织认同与离职原因存在关联(列联系数C=0.349, P<0.01)。结论因外部职业机会离职者的组织认同明显低于因其他原因离职者。%Objective By examining the correlation between organizational identification and reasons for resignation among medical staff, the basis would be provided on retaining talent. Methods 51 resignation medical staff were collected, Organizational Identifi-cation Scale were used to survey, and resignation reports were analyzed. Results There was significant correlation between the scores in organizational identification and reasons for resignation (C=0.349,P<0.01). Conclusion Resignation medical staff who leave because of other jobs had lower organizational identification than the ones leaving due to other reasons.

  10. 医务人员职业暴露风险分析与防控对策�%Analysis on risk prevention and control countermeasures for occupation exposure of medical staff

    Institute of Scientific and Technical Information of China (English)

    朱晓栋; 李琳; 李学军; 王桂明; 姜梅杰

    2015-01-01

    Objective To improve the occupational protection ability of medical personnel by monitoring the high-risk groups and risk factors of the occurrence of occupational exposure in clinical work, and to provide a reference to reduce the risk of occupational exposure. Methods The form designed by own hospital were applied,“the occupational exposures case registration form”were iflled out by the cases of occupational exposure and “the analysis of occupational exposure cause and continued improvement form”were iflled out by departments occurring occupational exposure. Total of 286 cases of occupational exposure among medical staff from 2011 January to 2014 June were collected. The information of surveillance included identiifcation, occupational category, exposed location, exposed part, the risk step of occupational exposure occurring, exposure mode and treatment measure, prophylaxis and follow-up results were analyzed, respectively. Results Among the 286 cases with occupational exposure, the female were more than male, accounting for 77.97%(223/286) and 22.03%(63/286), respectively. The main categories of exposures were nurse and physician, occupying 52.10% (149/286) and 27.97% (80/286). The exposed location mainly occurred at ward, operation room and injection (treatment) room, accounting for 51.39%(147/286), 19.58%(56/286) and 11.55%(33/286), respectively. The risk occasion and exposed way were based on sharp instrument injury, generally occurred at the time of clearing up medical waste, pulling out the needle, discarding sharps into the sharp-box, processing operation and puncture, accounted for 22.38%(64/286), 19.59%(56/286), 14.34%(41/286), 12.93%(37/286) and 11.19%(32/286), respectively. The rates of emergency treatment, immediately reported, expert evaluation, and implementation of doctor order of the occupational exposure were all reached 100%(286/286). According to the followed-up information, all the occupational exposure were not with infection caused

  11. Study on the medical staff flow of township hospital in Anhui Province%安徽省乡镇卫生院卫生技术人员流动现况调查

    Institute of Scientific and Technical Information of China (English)

    王磊; 陈健伟; 丁宏

    2011-01-01

    Objective To understand the staff status and characteristics of medical staff flow in township hospital.Methods 8 counties in the north, middle and south of Anhui Province (3, 3 and 2 respectively) were randomly selected as investigate sites, and 5 random township hospitals were investigated in each county. Self-made questionnaires were used to collect data by asking key-figuers and looking up original materials locally. Results The annual inflow rate among the respondents was 3.8% ~5.9%, while the outflow rate was 2.0% ~4.6%. Of the influent people, males occupied 43.7%, people under 30 years old took up 74.1%, individuals with diplomas from college and graduated from technical secondary school were 49.7 % and 43.1% respectively, 51.3 % of this group did not have job titles, 41.1% were doctors and 35.5 % were nurses, 62.4% joined via open recruitment. Meanwhile, in the effluent group, males occupied 41.0 %,people under 30 held 34.5%, people with college diplomas and graduated from secondary school covered 35.3% and 52.5 %, 5.8 % did not have job titles, doctors and nurses were 54.7 % and 18.0 % respectively, 36.0% left to higher level hospitals. Conclusions The scale of medical staff increases evenly and slightly. However, the work experience and professional competence of effluent group are higher than the influent group. While the construction of positions shows that the view of attaching more importance to treatment while looking down prevention still existed in township hospitals.%目的 了解乡镇卫生院卫生技术人员流动现况及特征.方法 分别在皖北、皖中、皖南地区随机抽取3、3、2个共计8个县为调查现场,在每个县随机抽取5个乡镇卫生院为调查对象,运用自制调查表,通过询问关键知情人、查阅现场原始资料等方法收集资?结果 2006-2008年被调查乡镇卫生院卫生技术人员年流入率为3.8%~5.9%,年流出率为2.0%~4.6%,

  12. An audit of smoking prevalence and awareness of HSE smoking cessation services among HSE staff.

    Science.gov (United States)

    OhAiseadha, C; Killeen, M; Howell, F; Saunders, J

    2014-04-01

    This audit estimated smoking prevalence and awareness of quit services among Health Service Executive (HSE) staff. A questionnaire posted to a random sample of 1,064 staff received a 71% response rate. Staff smoking prevalence was 15.0% overall, and 4.4% among Medical/Dental staff. Front-line-healthcare staff were less likely to smoke than other staff categories (adjusted OR 0.38, p HSE quit services. Targeted interventions are required to help staff to quit smoking and to boost awareness of quit services.

  13. Should complementary and alternative medicine familiarisation modules be taught in African medical schools?%是否应该在非洲医学院校中教授补充替代医学?

    Institute of Scientific and Technical Information of China (English)

    Oluwole Busayo Akinola

    2011-01-01

    Complementary and alternative medicines (CAMs) are household sources of therapy in African communities.A large percentage of the African population uses CAMs as an alternative to mainstream medicine.This is partly due to tradition,and partly because of inability to afford conventional treatments.In the developed countries,the use of CAMs is gradually on the increase.As a result,certain medical schools in these countries are incorporating CAM familiarisation modules into their undergraduate medical curricula.In Africa,most medical schools have not taught CAM yet.However,in view of the rising use of CAMs by the African populace,and the potential CAM-conventional therapy interactions,there is the need for physicians to get familiar with those CAMs in common use.To achieve this,it is recommended that African medical schools introduce CAM familiarization modules into the undergraduate medical curricula.This would fully prepare the 21st century doctors to deliver holistic medical treatment,and thus be at par with the global trend.%在非洲社会,补充替代医学疗法是家庭常用的疗法.大多数非洲人使用补充替代医学疗法替代主流医学疗法.出现这一现象的原因一是因为传统,二是因为很多人从经济上无法负担常规的治疗手段.在发达国家,补充替代医学的使用不断增长,因此,这些国家的很多医学院校将补充替代医学的课程纳入了医学本科生的课程体系.而在非洲,大部分医学院校并没有向学生教授补充替代医学.基于越来越多的非洲人开始使用补充替代医学疗法,以及潜在的补充替代医学疗法与常规疗法的相互作用,医生们有必要熟知那些常用的补充替代医学疗法.要达到这一目标,建议将补充替代医学的课程纳入非洲医学院校医学本科生的授课体系.这将有助于未来的非洲医生掌握整体治疗的手段,并与国际的发展趋势接轨.

  14. 对乌鲁木齐地区口腔医务人员有关AIDS/HIV感染的知识、态度调查%Investigation of stomatology medical staffs' knowledge and attitudes of AIDS/HIV infection in Urumqi area

    Institute of Scientific and Technical Information of China (English)

    兰赟; 赵堂民

    2012-01-01

    目的 了解乌鲁木齐市口腔医务人员艾滋病防治知识态度情况,分析其影响因素,为今后开展AIDS/HIV知识教育及加强AIDS/HIV感染控制提供背景资料及依据.方法 对乌鲁木齐市沙区305名口腔医务人员进行问卷调查,掌握其艾滋病相关知识及危险行为了解情况.结果 乌鲁木齐地区口腔医务人员对AIDS的一般知识了解较多,对于HIV的传播途径了解程度在70%以上.结论 乌鲁木齐市口腔医务人员对艾滋病的认识和预防措施有一定了解,但仍需对口腔医务人员进行全面系统的有关艾滋病知识的教育.%Objective To understand stomatology medical staffs' knowledge and attitudes of AIDS/HIV infection in Urumqi and analyze relevant influencing factors, in order to provide background information and basis for the knowledge education and control of AIDS/HIV. Methods A questionnaire survey was conducted among 305 stomatology medical staffs in Sha district of Urumqi city, in order to master their understanding condition of AIDS related knowledge and risk behaviors. Results Stomatology medical staffs in Urumqi area had a relatively broad general knowledge of AIDS and their understanding of the routes of HIV transmission was over 70%. Conclusion Stomatology medical staffs in Urumqi area has certain understanding of the knowledge and prevention measures of AIDS. It is necessary to carry out overall and comprehensive education of AIDS related knowledge among stomatology medical staffs.

  15. 甲流期间医护人员的认知、心理状态回顾性分析%Retrospective Analysis on Cognition for Influenza A and Psychological Status of Medical Staffs during the Epidemic of Influenza A (H1N1)

    Institute of Scientific and Technical Information of China (English)

    武涧松; 闫涛; 彭石林

    2011-01-01

    目的 回顾性分析甲流期间高危医护人员对甲流的认知及心理状态,探讨其影响因素.方法 采用自制调查问卷,动态观察143名抗甲流医护人员甲流认知和心理状态,并以普通病房41名医护人员为对照,Logistic回归分析相关因素.结果 高危组甲流认知评分显著高于对照组(P<0.05).认知随疫情发展呈持续改善趋势,受培训次数、高危程度、职业、年龄、子女情况5个因素影响(OR>1).高危组心理异常重于对照(P<0.05),发热门诊最明显,主要表现为情绪和睡眠障碍,与认知水平、性别负相关(OR<1),与高危程度、疫情发展正相关(OR>1).结论 高危医护人员具有较高甲流认知水平,存在一定程度心理障碍,需要根据疫情变化和人员特征,给予针对性培训和心理干预.%Objective To analyze retrospectively cognition for Influenza A(H1N1) and psychological status of medical staffs in high-risk during Influenza A, and explore their affecting factors. Methods With self-designed questionnaire .cognition for Influenza A and psychological status of 143 medical staffs fighting against Influenza A were investigated dynamically,and compared with 41 medical staffs of general ward. Logistic regression was used to analyse their affecting factors. Results Cognition scores of high-risk groups were higher than those of control significantly (Pl). There were more serious psychological abnormalities in high-risk groups than control(P1). Conclusion Medical staffs in high-risk showed a higher level of cognition for Influenza A and a certain degree of psychological abnormalities at the same time. It was necessary to give medical staffs pointed training and psychological Intervention according to changes of the epidemic and characteristics of personnel.

  16. Analysis on influence factors of medical staff blood-borne occupational exposure based on structural equation modeling%基于结构方程模型的医务人员血源性职业暴露防护行为的影响因素分析

    Institute of Scientific and Technical Information of China (English)

    周家梅; 江智霞; 袁晓丽; 邵星; 罗祎; 王汇平; 陈素贞

    2015-01-01

    目的 应用结构方程模型分析医务人员血源性职业暴露防护行为影响因素,为提高医务人员血源性职业暴露防护运作系统性能提供理论依据.方法 通过探索性因子分析及结构方程模型的拟合,得出影响医务人员血源性职业暴露防护行为的各因素及其之间的关系.结果 模型拟合较理想,医院决策层和科室管理层直接影响医务人员的行为意向,科室管理层对医务人员行为意向的影响较大,路径系数为0.27;医院决策层对医务人员行为意向的直接影响较小,路径系数为0.03,但其可通过科室管理层间接对行为意向产生影响;行为意向对职业暴露防护行为的影响最大,其路径系数为0.80,行为意向基本决定了医务人员血源性职业暴露防护行为.结论 医院应完善各项规范制度并建立有效的沟通渠道,同时提升组织关怀能力;科室应提高规范制度执行力度,配备足够的安全设备,为医务人员提供最佳的工作环境,从而提高医务人员血源性职业暴露防护行为依从性.%Objective To analyze the influence factors of medical staff blood-bome occupational exposure by structural equation modeling,in order to improve medical staff of blood-borne occupational exposure protection performance of the system to provide the theory basis for operation.Methods The influence factors of medical staff blood-borne occupational exposure and their correlation were analyzed by exploratory factor analysis and structural equation modeling fitting.Results Model fitting was ideal,hospital decision-makers and department management directly affected the behavior intention of medical staff,department management greatly influenced by the behavioral intention to the medical personnel,path coefficient was 0.27.Hospital decision-makers of behavioral intention to the medical personnel directly affect smaller,path coefficient was 0.03,but its indirect impact on behavioral intention by

  17. Medical staffs' attitude towards the causes and precautions of docter-patient dispute%医护人员对医患纠纷发生原因及预防措施态度的研究

    Institute of Scientific and Technical Information of China (English)

    武杰; 刘方; 胡慧秀; 尚少梅; 刘海英; 王志稳

    2015-01-01

    Objective:To investigate the nurses and the doctors' attitude towards doctor-patient dispute. Methods: Totally 353 nurses and 306 doctors from 7 hospitals in Beijing were selected conveniently and surveyed with a self-made questionnaire. Results:The nurses' and the doctors' identiifcation rates on the causes of doctor-patient dispute had signiifcant differences (P0.05) except item"negative effects on professional title evaluation". The identification rates which were more than 90.0%included disturbance of daily life and work from patients' entanglement, impairing working enthusiasm, negative effects to hospital and departments' performance. In terms of precautions to doctor-patient dispute, the nurses' and the doctors' identiifcation rates had no signiifcant differences (P>0.05) except 2 items, optimization medical visit process and shortening the waiting time, and positive news media orientation to the public. Furthermore, the nurses' and the doctors' identiifcation rates on 7 items were all above 90.0%, such as improvement of the relevant laws and regulations, balance of the medical service resources, optimizing treatment process and shortening the waiting time, positive news media orientation to the public, improving the medical skill, communication skill and service attitudes of medical staff. Conclusion:Comprehensive measures, including guiding the public understand the medical process correctly, and improving relevant legislation further, could be helpful to reduce the occurrence of doctor-patient dispute and resolve them properly.%目的:调查医护人员对医患纠纷发生原因及预防措施的态度,为医患纠纷的预防和处理提供参考。方法:采用自设问卷,方便选取北京市7家医院的353名护士和306名医生进行问卷调查。结果:护士和医生对医疗纠纷发生原因的认同率在医院就诊流程不合理、医护人员的服务态度问题、医护人员的责任心问题、

  18. Call for papers: SAJHE special issue 'Re-imagining writing retreats for academic staff in higher education'

    Directory of Open Access Journals (Sweden)

    Guest Editors

    2016-06-01

    Full Text Available Call for papers for an upcoming special issue of the South African Journal of Higher Education (SAJHE in 2016: ‘Re-imagining writing retreats for academic staff in higher education’.

  19. 四川省成都市医疗卫生工作人员吸烟干预效果评价%Evaluation of effects on smoking control intervention among medical staff in Chengdu City of Sichuan Province

    Institute of Scientific and Technical Information of China (English)

    张晓燕; 刘熹; 洪英; 杨莉; 田红梅; 熊茂德; 李小虎

    2011-01-01

    Objective To explore the situation of smoking medical staff in Chengdu City of Sichuan Province,and to evaluate the effectiveness of the project of setting up non-smoking institution. Methods 15 medical and health institutions were chosen to set up non-smoking institution in Chengdu in 2009. Before and after the project, 2 surveys were conducted and the oontents of questionnaire included the smoking situation, knowledge and attitude related to smoking and the ability to help the patient to quit smoking and the effectiveness of the project. Results The smoking rate of the investigated population before the implement of project was 13.4%, and the rates in male and female were 40. 0% and 0. 5% respectively. Through the implement of the project, the smoking rate didn' t decreased markerly, but the rate of people who quit smoking increased from 2. 7% to 5. 6%, and the knowledge of smoking also improved. The number of doctors who care about the smoking situation and provide the suggestion of quit smoking to the patients also rose obviously. Conclusion The method of smoking prevention and related support of surrounding is effective, and the project of no smoking institution brings certainly positive results.%目的 了解四川省成都市医疗卫生工作人员吸烟状况,评估创建无烟医疗卫生机构项目实施效果.方法 2009年在指定的成都市15家医疗卫生机构中开展无烟单位创建工作,在项目实施前后,采用卫生部统一编制的"医疗卫生机构人员吸烟状况调查表"调查吸烟情况,与吸烟相关的知识和态度,以及帮助吸烟者戒烟能力,实施干预措施并评价干预效果.结果 本次共调查干预前医疗卫生工作人员吸烟率13.4%(其中男性吸烟率40.0%,女性0.5%).经干预后,吸烟率虽未显著降低,但医疗卫生工作人员中戒烟的人数由2.7%上升为5.6%,掌握的吸烟危害知识增加,主动关心病人吸烟状况并为病人提供戒烟建议

  20. 医患沟通障碍中医务人员因素分析及可行性对策%Factor Analysis and the Feasible Countermeasures of Doctor-Patient Communication Barriers in Medical Staff

    Institute of Scientific and Technical Information of China (English)

    孙瑜; 侯银静; 梁颖慧; 秦明照

    2014-01-01

    [ABSTRACT]Objective: To analyze the related factors of medical personnel doctor-patient communication barriers, and puts forward the feasible countermeasure. Methods: In a tertiary hospital in Beijing in the medical staff questionnaires about doctor-patient communication management, collect relevant information including communication barriers and moral cultivation, communication, communication skills, 68 valid questionnaires were divided into effective communication group of 40 copies, 28 copies of effective communication group. Results:Obtained by chi square test, ethics, communication, listening skills, language skills, language skills than non ineffective communication group in the proportion of effective communication group, P<0.05, morality, communication and communication skills and communication between doctors and patients showed positive correlation; by logistic regression analysis, moral cultivation of the value of OR was 3.25(P<0.01), and moral cultivation compared with other factors and relative large doctor-patient communication.Conclusion:Through strengthening the moral consciousness, strengthen communication, enhance communication skills and self regulating pressure four puts forward to strengthen communication countermeasures.%目的::分析医患沟通障碍中涉及医务人员的因素,并提出可行性对策。方法:对北京某三甲医院在职医务人员发放关于医患沟通管理的调查问卷,收集包括道德修养、沟通意识、沟通技巧在内的沟通障碍相关信息,68份有效问卷分为有效沟通组40份,无效沟通组28份。结果:由卡方检验得出,道德修养、沟通意识、倾听技巧、语言技巧、非语言技巧在有效沟通组比例大于无效沟通组,P<0.05,道德修养、沟通意识和沟通技巧均与医患沟通呈正相关;由logistic回归分析得出,道德修养OR值为3.25(P<0.01),道德修养与其他因素相比与医患沟通相

  1. Cancer and African Americans

    Science.gov (United States)

    ... Population Profiles > Black/African American > Cancer Cancer and African Americans African Americans have the highest mortality rate ... 65MB] At a glance – Top Cancer Sites for African Americans (2008-2012) Cancer Incidence Rates per 100, ...

  2. 深圳市医护人员工作感受状况及影响因素分析%The working experience of the medical staff in Shenzhen city and its inlfuencing factors

    Institute of Scientific and Technical Information of China (English)

    孙婷; 汪文新; 夏挺松

    2015-01-01

    目的:调查深圳市医护人员的工作感受现状,并分析其影响因素,为改善医护人员工作感受,提高其工作绩效提供参考.方法:采用分层随机抽样的方法,抽取466名医护人员,采用问卷调查法获取个人基本情况及工作感受信息,对数据进行描述性分析和Logistic回归分析.结果:医生和护士工作感受得分分别为(79.15±8.90)分、(79.82±8.18)分;婚姻状况、每周平均工作时间影响护士的工作满意度,年龄、最高学历影响医生的工作满意度;每周平均工作时间、每月平均夜班次数影响护士的职业紧张程度,专业技术职称、每周平均工作时间影响医生的职业紧张程度;工作年限影响护士的离职意愿,年龄、每周平均工作时间影响医生的离职意愿.结论:护士的工作满意度比医生高且其职业紧张程度比医生低.有配偶、每周平均工作时间更短的护士工作满意度更高.年龄越高、学历为本科的医生工作满意度越高.每周平均工作时间越短、每月平均夜班次数越少,护士的职业紧张程度越低.医生的专业技术职称越高、每周平均工作时间越长,其职业紧张程度也就越低.工作年限越长的护士离职意愿越低,而年龄越大、每周平均工作时间越长的医生离职意愿越低.%Objective: To understand the basic situation of medical staff work experience and its inlfuencing factors analysis and comparison of the doctors and nurses, to give references for the work to improve the medical staff experience. Methods: Stratified cluster method to extract 466 health care workers, personal basic conditions and work experience of the survey, the data are descriptive analysis and logistic regression analysis. Results: Work experience score of doctor is 79.15±8.90, paramedics score is 79.82±8.18; Logistic regression analysis marital status, average weekly working time on the job satisfaction of nurses, age, highest level of

  3. Integration of CERN staff

    CERN Document Server

    1965-01-01

    An example of the integration of CERN staff in the neighbouring communes is provided by the hamlet of Bugnon at St-Genis-Pouilly (Ain), FRance. The CERN installation on the Swiss site are visible on the left in the background. Behind them the Saleve mountain in Haute-Savoie.

  4. Ideas on Staff Motivation.

    Science.gov (United States)

    Child Care Information Exchange, 1991

    1991-01-01

    Suggests the use of timely communication through feedback for the purpose of boosting staff morale. Managers can cause employees to motivate themselves by restructuring jobs to satisfy employees' needs, by using artful criticism, and by asking employees about morale. Includes a list of key ingredients of a satisfying job. (SH)

  5. Systematic Staff Selection.

    Science.gov (United States)

    Murphy, Norman L.

    1979-01-01

    Describes the process of staff selection for the general studies department at Piedmont Technical College. Makes suggestions on how to write a job description, establish selection criteria, develop the selection process, and make the selection itself. Includes sample forms used in the process. (DR)

  6. Staff rules and regulations

    CERN Document Server

    HR Department

    2007-01-01

    The 11th edition of the Staff Rules and Regulations, dated 1 January 2007, adopted by the Council and the Finance Committee in December 2006, is currently being distributed to departmental secretariats. The Staff Rules and Regulations, together with a summary of the main modifications made, will be available, as from next week, on the Human Resources Department's intranet site: http://cern.ch/hr-web/internal/admin_services/rules/default.asp The main changes made to the Staff Rules and Regulations stem from the five-yearly review of employment conditions of members of the personnel. The changes notably relate to: the categories of members of the personnel (e.g. removal of the local staff category); the careers structure and the merit recognition system; the non-residence, installation and re-installation allowances; the definition of family, family allowances and family-related leave; recognition of partnerships; education fees. The administrative circulars, some of which are being revised following the m...

  7. Medical dosimetry in Hungary

    Science.gov (United States)

    Turák, O.; Osvay, M.; Ballay, L.

    2012-09-01

    Radiation exposure of medical staff during cardiological and radiological procedures was investigated. The exposure of medical staff is directly connected to patient exposure. The aim of this study was to determine the distribution of doses on uncovered part of body of medical staff using LiF thermoluminescent (TL) dosimeters in seven locations. Individual Kodak film dosimeters (as authorized dosimetry system) were used for the assessment of medical staff's effective dose. Results achieved on dose distribution measurements confirm that wearing only one film badge under the lead apron does not provide enough information on the personal dose. The value of estimated annual doses on eye lens and extremities (fingers) were in good correlation with international publications.

  8. 成都市基层医疗卫生机构精防人员精神卫生知识知晓率及培训需求调查%The Rates of Awareness and Training Demand of Mental Health of the Medical staff Working in the Community ;Health Services in Chengdu City

    Institute of Scientific and Technical Information of China (English)

    代光智; 秦小荣

    2014-01-01

    Objective Investigate the rates of awareness and training demand of mental health of the medical staff work-ing in the Community health services to improve the training methods and make some policy suggestion. Methods A survey of the medical staff working in the Community health services, including all the staff who is working for the community mental health. Results The rates of basic awareness is 83. 5% and the rates of partial awareness is 16. 5% in all 376 staff. The rates of awareness have no difference in sex、age、major and professional ranks and titles,but it’ s different in educational background and the years of professional work. Conclusion A new investigation about how to improve the serviceability and keep the stability of the medical staff working in the Community health services should be continued.%目的:掌握成都市从事精神卫生服务的基层医疗卫生机构精防人员精神卫生知识知晓率情况及其培训需求,为改进培训方式和制定相关政策提供依据。方法采取问卷调查的方法对全成都市共计319家基层医疗卫生机构的从事社区精神卫生服务的社区医护人员进行调查。结果参与调查的376例中,精神卫生知识基本知晓率为83.5%、部分知晓率为16.5%,知晓率在不同性别、年龄、专业、职称的精防人员间无差异,但不同学历间和从事精神卫生工作的时间不同的精防人员的知晓率存在差异。结论需在以后工作中进一步研究如何保持基层精防队伍的稳定性、提高精防人员的服务能力、满足其不断增长的需求。

  9. Ethics, patient rights and staff attitudes in Shanghai's psychiatric hospitals

    Directory of Open Access Journals (Sweden)

    Su Liang

    2012-05-01

    Full Text Available Abstract Background Adherence to ethical principles in clinical research and practice is becoming topical issue in China, where the prevalence of mental illness is rising, but treatment facilities remain underdeveloped. This paper reports on a study aiming to understand the ethical knowledge and attitudes of Chinese mental health professionals in relation to the process of diagnosis and treatment, informed consent, and privacy protection in clinical trials. Methods A self-administered survey was completed by 1110 medical staff recruited from Shanghai’s 22 psychiatric hospitals. Simple random selection methods were used to identify target individuals from the computerized registry of staff. Results The final sample for analysis consisted 1094 medical staff (including 523 doctors, 542 nurses, 8 pharmacologists and 21 other staff. The majority reported that their medical institutions had not established an Ethics Committee (87.8% and agreed that Ethics Committees should be set up in their institutions (72.9%. Approximately half (52% had not received systematic education in ethics, and almost all (89.1% of the staff thought it was necessary. Nearly all participants (90.0% knew the Shanghai Mental Health Regulations which was the first local regulations relating to mental health in China, but only 11% and 16.6% respectively knew of the Nuremberg Code and the Declaration of Helsinki. About half (51.8% thought that the guardian should make the decision as to whether the patient participated in clinical trials or not. Conclusions The study indicates that most psychiatric hospitals in Shanghai have no Medical Ethics Committee. More than half the medical staff had not received systematic education and training in medical ethics and they have insufficient knowledge of the ethical issues related to clinical practice and trials. Training in ethics is recommended for medical staff during their training and as ongoing professional development.

  10. 自我情绪管理对医务人员睡眠质量和脑力疲劳的影响%Influence of self emotional management on sleep quality and mental fa-tigue among medical staff

    Institute of Scientific and Technical Information of China (English)

    邓树嵩; 郭蕊

    2014-01-01

    目的:探讨睡眠质量和脑力疲劳之间的关系以及对二者关系可能有影响的自我情绪管理的中介效应和调节效应。方法:应用匹茨堡睡眠质量指数量表、多维疲劳量表和自我情绪管理问卷对521例医务人员进行测评,利用回归分析来研究变量之间的效应关系。结果:睡眠质量和脑力疲劳的相关系数为0.380( P<0.001)。睡眠质量对脑力疲劳的影响中,19.13%是通过中介变量自我情绪管理间接影响的。交互作用项“睡眠质量×自我情绪管理”的偏回归系数差异有统计学意义(B=0.035,t=2.875,P=0.004),且引入交互项后ΔR2差异亦有统计学意义(ΔR2=0.196,P<0.001)。结论:自我情绪管理在医务人员的睡眠质量和脑力疲劳的关系中起中介效应和调节效应。%Aim:To investigate the relationship between sleep quality and mental fatigue by adding “third variable”, named, mediator and moderator .Methods:A total of 521 medical staff were investigated by Pittsburgh sleep quality in-dex, the multidimensional fatigue inventory-20, and emotional intelligence scale .The hierarchical regression was used to explore the mediating effect and moderating effect .Results:The correlation coefficient of sleep quality and mental fatigue was 0.380(P<0.001).The self emotional management played an incomplete intermediary role in the effect of the sleep quality on the mental fatigue , with the mediating effect accounting for 19 .13%of the total effects .There was statistic sig-nificance in the interaction variable (sleep quality ×self emotional management) of regression coefficient (B=0.035,t=2.875,P=0.004) and R2 change (ΔR2 =0.196, P<0.001).Conclusion: The self emotional management may play both an incomplete intermediary role and a modulatory role on the relationship of sleep quality and mental fatigue .

  11. ‘A Matter of Conscience’: The Moral Authority of the World Medical Association and the Readmission of the South Africans, 1976–1994

    OpenAIRE

    Mbali, Mandisa

    2014-01-01

    This article describes the role of transnational anti-apartheid activism in South Africa, Britain and the United States in generating international moral outrage over the readmission of the Medical Association of South Africa (MASA) to the World Medical Association (WMA), which had taken place in 1981 after it had withdrawn from that body in 1976. It discusses an example of a controversy where an international health organisation (IHO) lost moral authority as a result of being accused of whit...

  12. 精神压力分析系统在精神科医务人员工作压力评定中的应用%The application of Stress Analysis System in the evaluation of job stress of psychiatric medical staff

    Institute of Scientific and Technical Information of China (English)

    郭振宇; 郭平; 郭华; 赵指亮; 张龙涛

    2014-01-01

    目的:探讨精神压力分析系统在精神科医务人员工作压力评定中的应用价值。方法对50名精神科医务人员(研究组)和50名健康者(对照组)应用精神压力分析系统进行测评分析。结果研究组生理压力和心理压力指数显著高于对照组(P<0.01)。结论精神压力分析系统中的生理压力和心理压力指数是评价工作压力的有效客观指标,该系统能准确评估精神科医务人员的工作压力。%Objective To explore the application value of the Stress Analysis Sys-tem (SAS) in the evaluation of job stress of psychiatric medical staff .Methods Assessments were conducted with the SAS in 50 psychiatric medical staff (re-search group) and 50 healthy persons (control group) .Results Physiological and psychological stress index were significantly higher in research than control group ( P<0 .01) .Conclusion Physiological and psychological stress index of the SAS are effective objective in-dex of evaluating job stress ,the SAS could accurately assess ther job stress of psychiatric medical staff .

  13. Medical Tourism in Iran: attitude and challenges

    OpenAIRE

    Nazanin Zia Sheikholeslami; Mariam Bahsoun; Siavash Zia Sheikholeslami

    2012-01-01

    Introduction: Medical Tourism is one of the most important branches of Tourism with many socioeconomicbenefits. Medical Tourism refers to traveling to other countries to obtain medical services with lower costscomparing to their own countries. As health tourism is a new subject in Iran, we decided to study the attitude andknowledge of Qom Medical University staff about Health Tourism.Methods: This descriptive study was done on 250 Medical staff of Beheshti Hospital of Qom Medical University b...

  14. African dance

    OpenAIRE

    Mumberson, Stephen

    2012-01-01

    The RE Open will be shown at the Mall Gallery London and the international section was judged by major practitioners and educators, print dealers and collectors, President of RE and Keeper of the Ashmolean Museum Dr Bren Unwin, John Purcell, Deborah Roslund, Colin Harrison, Dave Ferry, and Mark Hampson. Piece selected "African Dance" print.

  15. "African Connection."

    Science.gov (United States)

    Adelman, Cathy; And Others

    This interdisciplinary unit provides students in grades kindergarten through seventh grade an opportunity to understand diversity through a study of Africa as a diverse continent. The project is designed to provide all elementary students with cultural enrichment by exposing them to African music, art, storytelling, and movement. This project can…

  16. 广东省医务人员对食源性疾病认知、态度及培训效果调查%Survey on the knowledge and attitude for foodborne disease in medical staffs in Guangdong province and the effectiveness of training

    Institute of Scientific and Technical Information of China (English)

    王艳梅; 卢玲玲; 黄琼; 陈子慧; 黄熙; 梁骏华; 夏苏建

    2012-01-01

    Objective To understand the knowledge and attitude of medical staffs on foodborne diseases in Guangdong province, and to assess the effectiveness of training. Methods The knowledge and attitude of foodborne diseases in medical staffs of ten hospitals in eight cities of Guangdong province were investigated by questionnaires. Results The average score of medical staffs before training was 20.31 ±3.06 for the knowledge and 7.90 ± 1.47 for the attitude on foodborne diseases, while that after training was 23.08 ±2.65 and 8.94 ±0.99 respectively, with significant difference before and after training. Conclusion Medical staffs play an important role in the surveillance of foodborne diseases; their cognitive level on foodborne diseases should be improved; carrying out training on their knowledge and attitude of ■ foodborne disease can obtain good effectiveness.%目的 了解医务人员对食源性疾病知晓度及态度情况,评估进行食源性疾病培训的效果.方法 对广东省8个城市的10个食源性疾病监测试点医院的医务人员进行关于食源性疾病认知与态度的培训前后问卷调查.结果 培训前医务人员对食源性疾病知识平均得分为20.31±3.06分,态度平均得分为7.90±1.47分;培训后医务人员知识平均得分为23.08±2.65分,态度平均得分为8.94±0.99分.培训前后医务人员对食源性疾病的知晓度(t=-20.04,P=0.00)和态度(t=-13.79,P=0.00)差异有显著性.结论 医务人员在食源性疾病的主动监测过程中起着非常重要的作用,须进一步提高医务人员对食源性疾病的认知水平,开展食源性疾病培训能取得一定的效果.

  17. Design of Staffs Assessing System

    OpenAIRE

    Hůlová, Iva

    2011-01-01

    This thesis deals with the staff assessment system in the organization in connection with reward system. This thesis is divided into the theoretical part and the practical part. The theoretical part describes the concept of staff assessment system and system of reward. Within the frame of staff assessing in addition to these tasks further the basic and additional assessment methods are explained, assessment criteria and also the errors and problems connected with the staff assessing. The c...

  18. 'A matter of conscience': the moral authority of the World Medical Association and the readmission of the South Africans, 1976-1994.

    Science.gov (United States)

    Mbali, Mandisa

    2014-04-01

    This article describes the role of transnational anti-apartheid activism in South Africa, Britain and the United States in generating international moral outrage over the readmission of the Medical Association of South Africa (MASA) to the World Medical Association (WMA), which had taken place in 1981 after it had withdrawn from that body in 1976. It discusses an example of a controversy where an international health organisation (IHO) lost moral authority as a result of being accused of white supremacy and a pro-American engagement in Cold War politics. At the time of its readmission to the WMA, the MASA was controversial because of its failure to strike off its membership roll one of the doctors implicated the death in detention of Black Consciousness leader Steve Biko in 1977. It details how these activists viewed the American Medical Association as having campaigned for the MASA's readmission. The WMA's readmission of the MASA cost the former its relationships with the World Health Organisation (WHO) and the British Medical Association - a dispute which continued until South Africa's democratic transition of 1994. With its focus on transnational activism in relation to the WMA and the effects of activists' allegations of racism on its internal politics, this article contributes to the literature on the history of IHOs. Ultimately, this controversy shows the deficiency of international medical professional associations as ethical arbitrators of last resort.

  19. Management problems of staff motivation

    OpenAIRE

    PUZYNYA T.A.

    2015-01-01

    Staff motivation is a major link in improving the competitiveness of any organization. One of the main problems of management of motivation of staff is the individuality of each employee, so the knowledge of psychology and individual needs will help organizations effectively manage staff.

  20. [Cultural approach in nursing care of North African Muslims needing palliative care].

    Science.gov (United States)

    Lepain, Catherine

    2003-03-01

    Working in a multi-cultural medical establishment, concerning both patients and nursing staff, calls for deliberations regarding the intercultural as well as palliative approach in nursing care. These deliberations are: 1) intra-personal, in questioning the nursing staff on his/her values, beliefs, convictions, personal culture and identity, as well as opinions regarding health, illness and death. 2) Interpersonal, in recognizing the other person through his/her culture, values, individuality, while taking into account his/her opinions on health, illness and death. The goal of this project is to initiate this intercultural approach by first studying the culture from the perspective of North African Muslims currently hospitalized. It will develop in three steps: The first step to consider consists in training health-care professionals. The second step will lead to the preparation of pedagogical support concerning "nursing care and North African culture". The third step should significantly demonstrate the intercultural approach in clinical nursing procedures. In the future, the project's aim should progress towards a health-care collaboration in which each patient feels implicated regardless of his/her condition, culture, beliefs, education or lifestyle. PMID:12749094

  1. STAFF VACANCY LIST

    CERN Multimedia

    Human Resources Division

    2002-01-01

    For economy reasons, it has been decided to stop printing and distributing this list to Staff Members. It can be found on the Web (LIST). Divisional Administrative Officers will receive an updated printed copy on a monthly basis and are asked to display this in a public place in their division. Copies will also be posted on the notice boards of the Administration Building (No. 60) in the glass-fronted cabinet (close to the lifts) and also on the notice board close to the Post Office. A copy will also be given to the Reception (Building No. 33). Human Resources Division Tel. 74606

  2. Information for contractors' staff

    CERN Multimedia

    Dosimetry Service

    2005-01-01

    We have observed a significant decrease in the number of completed Certificates for Work in Controlled Radiation Areas being submitted with applications for dosimeters for your staff. Henceforth, we shall no longer be able to issue dosimeters without a certificate, which must be signed by the employee and the contractor's radiation-protection expert. You can obtain the certificate form from the Dosimetry Service at Building 24/E-011 or from our Website: http://service-rp-dosimetry.web.cern.ch/service-rp-dosimetry/ Thank you for your understanding. The Dosimetry Service

  3. Information for contractors' staff

    CERN Multimedia

    The Dosimetry Service

    2005-01-01

    We have observed a significant decrease in the number of completed Certificates for Work in Controlled Radiation Areas being submitted with applications for dosimeters for your staff. Henceforth, we shall no longer be able to issue dosimeters without a certificate, which must be signed by the employee and the contractor's radiation-protection expert. You can obtain the certificate form from the Dosimetry Service at Building 24/E-011 or from our Website: http://service-rp-dosimetry.web.cern.ch/service-rp-dosimetry/. Thank you for your understanding. The Dosimetry Service

  4. The Staff Association and you

    CERN Multimedia

    Staff Association

    2013-01-01

    The Staff Association, your representative with the Management and the Member States The article VII 1.01 of the Staff Rules and Regulations (SR&R) provides that “the relations between the Director-General and the personnel shall be established either on an individual basis or on a collective basis with the Staff Association as intermediary”. This essential role of the Staff representatives, of being the spokesperson of the entire staff of the Organization vis-à-vis the Director-General and the Members States, is achieved through regular participation in the various joint advisory committees defined in the SR&R. The most important are the Standing Concertation Committee and the TREF, tripartite forum where your representatives meet with the Member States delegates, in the presence of the Management, to explain the position of the staff on the various issues concerning employment conditions. The Finance Committee also gives the opportunity to the Staff Association to ...

  5. Six Sigma quality management method on the improvement of hand hygiene compliance of medical staff in operation rooms%应用六西格玛质量管理方案改善医护人员手卫生依从性的研究

    Institute of Scientific and Technical Information of China (English)

    马玉霞; 楼晨雁; 周雪; 龚园园; 张亚男

    2015-01-01

    OBJECTIVE To improve the compliance of hand hygiene in medical staff of operation rooms by Six Sigma quality management method , so as to achieve the purpose of reducing infection rates in operation rooms . METHODS Totally 326 medical staff in operation rooms ,from Oct .2013 to Nov .2014 ,were selected for this study .Six‐Sigma quality management was used to improve hand hygiene compliance of medical staff .According to the results of the early investigation for hand hygiene compliance in medical staff ,the reasons for the low compli‐ance of hand hygiene of medical staff was analyzed .Targeted measures and quality control were taken .The rate of hand hygiene compliance and the rate of correct hand washing before and after the improvement were observed , and the infection rates of the operation room before and after the treatments were compared .RESULTS Before ap‐plied Six Sigma quality management ,hand washing rates of staff in operating rooms was 52 .01% ,the rate of proper use six‐step washing method was 47 .60% .After the improvement measures ,the rate of hand washing was 93 .89% ,and 93 .47% of the medical staff could correctly use six step hand washing method;the differences were significant (P<0 .05) .The average number of colonies of the medical workers after the improvement was (2 .3 ± 0 .5) CFU/cm2 ,and was significantly lower than that before the improvement of (7 .1 ± 2 .8) CFU/cm2 .After the improvement ,the incidence of infections in the operation rooms was 4 .40% .It was significantly lower than that before the improvement (7 .91% ) (P<0 .05) .CONCLUSION Six‐Sigma quality management can effectively improve the hand hygiene compliance in medical staff of operation rooms and their attention on it ,which can re‐duce the infection rate of operation rooms .%目的:应用六西格玛质量管理方案改善手术室医护人员手卫生依从性,从而达到降低手术室感染的目的。方法选取2013年10月-2014年11

  6. Burnout of academic staff in a higher education institution / Nicolene Barkhuizen

    OpenAIRE

    Barkhuizen, Emmerentia Nicolene

    2004-01-01

    Universities worldwide are developing a disturbing imbalance with their environments. In recent years, academic working conditions in South African universities have changed dramatically as a result of the country's post-apartheid policies and the accelerating globalisation of knowledge. Academic staff are continually confronted with an overload of job demands without corresponding increases in job resources. These prolonged job stressors that academic staff are subjected to ov...

  7. Obesity and African Americans

    Science.gov (United States)

    ... Data > Minority Population Profiles > Black/African American > Obesity Obesity and African Americans African American women have the ... ss6304.pdf [PDF | 3.38MB] HEALTH IMPACT OF OBESITY More than 80 percent of people with type ...

  8. 应用新版心肺复苏及心血管急救指南评价医护人员胸外心脏按压质量%Quality of chest compression performed by medical staff as compared to the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

    Institute of Scientific and Technical Information of China (English)

    黄素芳; 严丽; 张凤玲; 邹灯秀

    2013-01-01

    Objective To evaluate the quality of chest compression performed by medical staff on a medical-training mannequin, to find out how medical staff conform to the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) , and to provide information for further CPR training program. Methods A total of 219 clinical staff participated in a training program on the 2010 American Heart Association Guidelines for CPR and ECC. Then the participants were asked to perform CPR on a medical-training mannequin for 2 min, and the quality of chest compression was evaluated by using the Lacrdal PC Skill Reporting System. Results The staff showed signs of fatigue at (57. 46 ± 29. 10)s and the rate of proper hand placement averaged 83. 35% ; mean compression rate was (130. 95 ± 23. 37)/min; 95. 63% performed compression at correct frequency; the rate of correct compression depth (at least 5 cm) averaged 14. 54% ; and rate of chest wall recoil was 78. 51 %. Conclusion Chest compression performed by medical staff fails to meet with the requirements of high-quality of chest compression. CPR training programs should especially focus on rescuer s hand placement, posture, compression depth, exertion, and compression rate, so as to improve training effect.%目的 对照了解临床医护人员实施心肺复苏时胸外心脏按压质量,为有效提高心肺复苏培训效果提供参考.方法 对219名临床医护人员按照实施理论知识与实践操作技能培训,利用高级复苏模型及计算机技能报告系统监测医护人员技能考核中的胸外心脏按压相关质量指标.结果 医护人员按压疲劳时间为(57.46±29.10)s,定位准确率为83.35%,平均按压心率为(130.95±23.37)次/min,按压频率正确率为95.63%,按压深度平均正确率为14.54%,胸壁回弹率为78.51%.结论 临床医护人员考核结果不能满足高质量胸外心脏按压的质量指标要求,进行心肺复

  9. 医院管理层和相关临床科室营养知识现状调查%Investigation on the current situation of mastery of knowledge of nutrition of hospital management staff and medical personnel of related clinical departments

    Institute of Scientific and Technical Information of China (English)

    陈立勇; 张洁; 孟妍

    2011-01-01

    目的:调查医院管理层和相关临床科室营养科普知识、营养专业知识、临床营养知识的现状.方法:选择山东省30所医院为研究对象,设计调查表,请各所医院的医院管理层和相关临床科室医护人员进行营养学知识问卷调查.调查内容包括一般情况,营养科普知识、营养专业知识、临床营养知识和知识来源及应用.结果:医院管理层和相关临床科室医护人员的临床营养学知识普遍不足,营养科普知识掌握好于营养专业知识和临床营养知识(P<0.01);不同类别医院之间知识掌握情况有显著性差异(P<0.01).不同专业之间知识,掌握有差异,内外科明显优于其他科室(P<0.05).不同职称的医生之间营养学知识答题得分差异无显著性.不同学历之间营养知识的掌握有差异,博士与硕士高于本科及以下学历(P<0.01).结论:我省三级医院管理群体及普通医护人员基础营养、临床营养知识不足,建议医学院校适当增加营养学课程学时,适当增加培训以提高医护人员营养学知识水平及整体医疗素质.%Objective: To investigate the current situation of mastery of popular knowledge of nutrition, professional and clinical knowledge of nutrition of hospital management staff and medical personnel of the related clinical departments. Methods:30 hospitals in Shandong province were selected as the research objects, and hospital management staff and medical personnel of the related clinical departments were investigated by the designed questionnaire which included general information, the channel to gain the popular knowledge of nutrition, professional and clinical knowledge of nutrition and its application. Results: The mastery of clinical knowledge of nutrition of hospital management staff and medical personnel is inadequate. The command of popular knowledge of nutrition was better than that of professional and clinical knowledge of nutrition (P <0. 01 ); the

  10. Outbreak of Mysterious Illness Among Hospital Staff

    DEFF Research Database (Denmark)

    Jacobsen, Peter; Ebbehøj, Niels Erik

    2016-01-01

    the following 9 days, 14 possible poisoning victims were identified, 6 of whom were transferred for HBO. After hospital stays with repeated HBO treatment and examinations without identification of significant physical disease, the majority of the 10 HBO-treated victims remained symptomatic, some on prolonged......BACKGROUND: Hospitals are rarely reported as settings for mass psychogenic illness (MPI). The present report scrutinizes an outbreak of probable MPI among hospital staff, with medical intervention reinforcing the course of the illness. CASE REPORT: Four of seven staff members in an emergency...... influence from dramatic intervention was probably a strong driving force in the outbreak. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Awareness of MPI may prevent unnecessary and potentially harmful treatment as well as improve health care resilience, particularly with respect to preparedness...

  11. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Service Médical

    2000-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, be they staff or from outside firms, that they are welcome at the Infirmary, building 57, ground floor.For information, call the Nurses- on Telephone73802- by electronic mailInfirmary.Service@cern.chMarion.Diedrich@cern.chJanet.Doody@cern.chMireille.Vosdey@cern.chMedical Service

  12. The pollution level of CO2 pneumoperitoneum in operation room and its influence on the health of medical staff%手术室CO2气腹污染程度及对医护人员健康的影响

    Institute of Scientific and Technical Information of China (English)

    徐晓; 张培培; 李莎; 陈继红

    2013-01-01

    Objective The purpose of this study is to define the pollution level of CO2 pneumoperitoneum in operation room and its influence on the health of medical personnel,and put forward certain countermeasures.Methods This research consisted of four groups of experiments,and gradually proved that the use of pneumoperitoneum machine would lead to air pollution in the operation room,and the health of medical staff were influenced too.The four experiments were:the maximum CO2 gas leakage experiment;laparotomy and pneumoperitoneum surgery in the operating room CO2 gas concentration control experiment;CO2 gas concentration increase on the influence of the medical staff experiment; long-time pneumoperitoneum surgery operating room CO2 gas concentration change experiment.Results The maximum CO2gas leakage situation could cause the operation room CO2 gas concentration to increase(> l 000× 104); pneumoperitoneum machine in actual use process,could cause the increase of CO2 gas concentration in operation room; increase of CO2 gas concentration had an impact on the vital signs of the medical staff,the heart rate and blood pressure were statistically different before and after the operation; during pneumoperitoneum surgery for a long time,indoor CO2 gas concentration increased (>1000× 10-6)and reduced quickly postoperation.Conclusions The use of C02 pneumoperitoneum machine in operation room influence the health of medical personnel.Effective protective measures dealing with gas pollution should be taken to reduce the chronic injury to medical staff.%目的 明确手术室CO2气腹的污染程度及对医护人员健康的影响,并提出一定的应对措施.方法 通过4组实验,逐步证明手术室中气腹机的使用是否会对手术室空气造成污染,并且对医护人员的健康产生影响.4项实验分别为:CO2气体最大泄漏实验;开腹手术与气腹手术的手术室空气CO2气体浓度对照实验;CO2气体浓度升高对医护人员的影响实验;

  13. Evaluating your office staff.

    Science.gov (United States)

    Levin, Roger

    2004-11-01

    The most important assets in a dental practice are the people. We no longer live in an era in which an employee stays in the same job for decades. Change is inevitable and often comes at inopportune times. Evaluation gives the dentist the opportunity to identify key team members who will join the core team and train new staff members. Conversely, executive evaluation also demonstrates that there may not be a proper fit for a team member, if he or she cannot demonstrate the ability to grow and change with a practice despite support, training and career path development. As author Alvin Toffler noted, "The illiterate of the 21st century will not be those who cannot read or write, but those who cannot learn, unlearn and relearn."

  14. Improving staff selection processes.

    Science.gov (United States)

    Cerinus, Marie; Shannon, Marina

    2014-11-11

    This article, the second in a series of articles on Leading Better Care, describes the actions undertaken in recent years in NHS Lanarkshire to improve selection processes for nursing, midwifery and allied health professional (NMAHP) posts. This is an area of significant interest to these professions, management colleagues and patients given the pivotal importance of NMAHPs to patient care and experience. In recent times the importance of selecting staff not only with the right qualifications but also with the right attributes has been highlighted to ensure patients are well cared for in a safe, effective and compassionate manner. The article focuses on NMAHP selection processes, tracking local, collaborative development work undertaken to date. It presents an overview of some of the work being implemented, highlights a range of important factors, outlines how evaluation is progressing and concludes by recommending further empirical research.

  15. Teaching Aids: Struggling with/through Student Resistances in Psychology Curricula in South African Universities

    Science.gov (United States)

    Wilbraham, Lindy

    2016-01-01

    African universities have been called to respond to the social issues of trauma, adversity, injustice and inequality that trouble their embedding communities, their staff and their students. The need for South African universities to respond to HIV/Aids (in particular) includes the opening up of new knowledge about and ways of managing the impacts…

  16. Investigation and Analysis on the Organization Environmental Management Satisfaction of Medical Staff%医务人员对组织环境管理满意度的调查分析

    Institute of Scientific and Technical Information of China (English)

    王淑萍

    2015-01-01

    Objective To the medical staf on organizational satisfaction of environmental management for ef ective investigation. Methods 1300 medical staf were selected to participate in this study, the investigation of medical staf in an organization's environmental management requirements. Results The medical staf of human resource satisfaction is lowest, fol owed by a safe working environment and safety operation. The age is smal , the shorter length of service of medical staf satisfaction is relatively high. Conclusion The hospital leaders should attach importance to environmental management, improve the management level of.%目的:对医务人员对组织环境管理满意度进行有效调查。方法抽取某市医院1300名医务人员,调查对组织环境管理要求情况。结果医务人员对人力资源满意度最低,其次是安全工作环境及安全操作。年龄越小、工龄越短医务人员满意度相对较高。结论医院领导人应重视组织环境管理,提高其管理水平。

  17. New data on African health professionals abroad

    Directory of Open Access Journals (Sweden)

    Clemens Michael A

    2008-01-01

    Full Text Available Abstract Background The migration of doctors and nurses from Africa to developed countries has raised fears of an African medical brain drain. But empirical research on the causes and effects of the phenomenon has been hampered by a lack of systematic data on the extent of African health workers' international movements. Methods We use destination-country census data to estimate the number of African-born doctors and professional nurses working abroad in a developed country circa 2000, and compare this to the stocks of these workers in each country of origin. Results Approximately 65,000 African-born physicians and 70,000 African-born professional nurses were working overseas in a developed country in the year 2000. This represents about one fifth of African-born physicians in the world, and about one tenth of African-born professional nurses. The fraction of health professionals abroad varies enormously across African countries, from 1% to over 70% according to the occupation and country. Conclusion These numbers are the first standardized, systematic, occupation-specific measure of skilled professionals working in developed countries and born in a large number of developing countries.

  18. Information Needs and Knowledge Service Innovation to the Medical Staff in Hospital Library under Network Environment%网络环境下的医院图书馆为医务人员知识服务创新探讨

    Institute of Scientific and Technical Information of China (English)

    罗书练; 郑萍

    2012-01-01

    本文通过分析医务人员对信息需求的特点,明确医务人员的信息服务需求,进而确定知识服务的基本模式和内容,促进医院图书馆人员不断更新服务理念,创新信息服务模式,加强信息知识服务,充分发挥医院图书馆在医教研中的作用.%This article analyses the characteristics of information needs, defines demand for information services, confirm the basic model and content of knowledge services. It is very important significance for the staff in the hospital library to update on service concept, innovate information service model, strengthen up information and knowledge services and give full play to the hospital library's role in the medicine, teaching and scientific research.

  19. 海南省农村卫生扶贫建设医务人员培训项目评估研究%Evaluation and research of the training project of medical staff in health developing project in rural area of Hainan province

    Institute of Scientific and Technical Information of China (English)

    吴宇; 祝慧萍; 樊立春; 孙少文; 高晓晖; 方为民; 杜玉开

    2012-01-01

    Objective; To evaluate the subprojects of rural health poverty alleviation project training in Hainan province, promote the conduct of training work among the medical staff in primary hospitals. Methods: KirkPatrick four - level model evaluation method was used for comprehensive evaluation in terms of four levels including reflection, learning, behavior, and result Results; Reflection level; most of the trainees were satisfied with the training course, environment, and training process. Learning level; the training had a certain effect, but it didn't reach the ideal goal, the theoretical level of the trainees were still poor. Behavior level; the self - assessment of the trainees was good, the leaders and work members considered that the levels of trainees got promotion. Result level; the change of training goal was not obvious, which needed further observation. Conclusion; The training program is received by the medical staff from primary hospitals, and a certain effect is obtained, but it dosent reach the ideal level; the organization and pattern of training program are worthy to be popularized, the training work among the medical staff from primary hospitals has heavy responsibilities.%目的:对海南省农村卫生建设扶贫项目培训子项目进行评估,促进基层医务人员培训工作开展.方法:采用Kirkpatrick的四层次模型评估法,分为反映、学习、行为和结果四个层面对培训项目进行综合评估.结果:反映层:学员对于课程设置、环境、教学过程绝大多数表示满意;学习层:培训有一定效果,但未达到理想要求,理论水平仍较差;行为层,学员自我评价有收获,领导和同事一致认为学员水平得到提高;效果层:培训目标改变不明显,有待进一步观察.结论:培训项目获得了基层医务人员的肯定和接受,取得一定效果,但仍未达到理想水平;培训项目的组织和形式值得推广,基层医务人员培训工作任重而道远.

  20. Implementing effective staff education about advance directives.

    Science.gov (United States)

    DesRosiers, M; Navin, P

    1997-01-01

    The Patient Self-Determination Act of 1990 guarantees the right to refuse medical or surgical treatment and the right to draft advance directives. This review of the current literature provides those in nursing staff development and inservice education with an overview of advance directives and their implications for nursing education and practice. Possible core subjects for inclusion in planned, purposeful, advance directive education programs are examined, including cultural sensitivity, facilitator skills, interviewing techniques, legal information, patient autonomy, and reasoning and decision making. This review provides a platform for future research.

  1. Training of African nurses in Nyasaland (Malawi from 1889 to 1927

    Directory of Open Access Journals (Sweden)

    J. Smit

    1988-09-01

    Full Text Available When the first pioneer missionaries arrived in Nyasaland during I860 there was no educational system in operation according to Western standards. The training of nurses (male and female therefore evolved as the educational system developed. Before 1900 the training of nurses was done independently by each mission, only providing staff for their local clinics and hospitals. Although the missions worked in different areas of the country, they realised from the start that they should co-operate to achieve results in the medical, educational and technical fields of their work. The Protestant Missions therefore held a series of general missionary conferences where they discussed the different aspects of their work. Six such conferences were held. During the second conference in 1904, an educational code was drawn up and accepted by the missions of the whole Protectorate. During this conference three standards of training was suggested namely that of dressers, hospital attendants and medical assistants. The different syllabuses were discussed. On the suggestion of the Commissioner of the Protectorate, a Medical Board was formed during 1905, to plan for training courses and arrange for examinations. This Board consisted of government and mission representatives. During 1909 the medical courses became more refined. The government did not take part in the training of nurses hut was willing to employ as many nurses as the missions could manage to train. The education system began to develop steadily but then in 1914-1918 war came which caused much disruption. The years of 1919 to 1925 were years of recovery. The education was again stimulated by the visit of the Phelps-Stokes Commission during 1924 which recommended a policy of cooperation in education between Government and Missions. A Department of Education was formed during 1926 and it was decided that vocational schools, which included schools where medical assistants and dispensers were trained

  2. The status survey of oral medical institution and staff in Changsha-Zhuzhou-Xiangtan city group%长株潭城市群口腔医疗资源现状调查与未来配置的建议

    Institute of Scientific and Technical Information of China (English)

    黄俊辉; 刘学茂; 周中苏; 李毅萍; 陈偲; 黄雲立; 张凯; 阙国鹰; 姚晓艺; 唐杰清

    2015-01-01

    医务人员主要分布在长沙。上述指标提示,作为湖南省政治、经济与文化中心的长株潭地区口腔医疗服务资源不足,分布欠平衡,口腔医师的整体质量不高,有待引起当地卫生行政主管部门的高度重视。%Objective To investigate and analyze the status of oral medical institutions and staff in Changsha-Zhuzhou-Xiangtan city group so as to provide the oretical basis for the government policy making and distributing medical institutions and staff. Methods Questionnaires were itemized filled with relevant data, and database was established by EpiData 3.02 software and statistical analyzed with Excel software. Results By the December 30, 2012, the number of oral medical institutions in Changsha-Zhuzhou-Xiangtan city group was 338, and 67.8% in Changsha, 18.3% in Zhuzhou, and only 13.9%in Xiangtan. The public medical institutions accounted for 25.7%(87), private ones reached 74.3%(251). Among three cities, the proportion of institutions was highest in dental clinics, the followed by department of stomatology of general hospitals, and the lowest was stomatological hospital. The total professional staff was 1 207, including 74.73%doctors (902), 21.54%nurses (260), and 3.73%technicians and other personnel (45), there was 0.66 dentists per million population. The educational status of professional staff was 50% in college and more, and high school or non academic staff up to 50%. The middle and primary technical staff accounted for the vast majority, and 55.54% in Changsha, 61.07% in Zhuzhou, 61.54% in Xiangtan. The academic degree of doctors in Changsha was 16.85% for master or doctoral degree, 37.08%undergraduate and 33.87%college, there was still 12.20%below college degree. The academic degree of doctors in Zhuzhou and Xiangtan, college degree as the main body, were respectively 45.64% and 40.77%. The number of dental chair in three cites was 1 141, and 66% of the dental chairs was in Changsha. Distribution of

  3. Survey on Current Status of Smoking and Smoking-related Knowledge Among Medical Staff Members of a Hospital in Hunan%湖南省某医院医务人员吸烟现状及相关知识调查

    Institute of Scientific and Technical Information of China (English)

    彭进平; 陈梅英; 卜平元

    2011-01-01

    Objective To explore the prevalence of smoking behavior and the smoking- related knowledge and attitude in medical professionals. Methods We designed a smoking - related questionnaire according to the smoking- related materials. Cluster sampling method was applied to conduct a survey of smoking on 578 medical professionals of a hospital in Hunan in October, 2010. Results The current smoking rate of medical professionals was 19.38 %, and the rate of smoking was 33.64 % in males and 1.56 % in females. There were statistically significant differences in the smoking rates of medical staff members with different gender, age, educational backgrounds and professional titles (P<0.05). As for the smokingrelated knowledge and attitude, medical professionals knew the common hazards, such as pulmonary diseases easily resulted from smoking and passive smoking; but there were still 22.49% medical professionals knew little about the harmful effects of smoking and passive smoking on other organs. Most of the medical professionals thought that smoking was de rigueur and it could relieve the stress. Conclusions Smoking behavior is a serious problem among male medical workers, especially smoking behavior of staff members of medical institutions, which brings negative effects on the surrouling people. It is necessary to enhance the tobacco control in medical institutions and create tobacco-free environment in hospitals so as to be a role model and play a support role in the tobacco control work.%目的 探讨医务人员吸烟行为流行情况以及对吸烟的知识与态度.方法 参照有关资料自行设计调查问卷,采用整群抽样法,于2010年11月对湖南省某医院578名医务人员进行调查.结果 医务人员现在吸烟率为19.38%,其中男性吸烟率为33.64%,女性为1.56%;不同性别、年龄、文化程度与职称的医务人员吸烟率差异均有统计学意义(P<0.05).在对吸烟相关知识与态度方面,医务人员知道吸烟与

  4. Staff Bullying in Australian Schools

    Science.gov (United States)

    Riley, Dan; Duncan, Deirdre J.; Edwards, John

    2011-01-01

    Purpose: The purpose of this paper is to estimate the prevalence of staff bullying in Australian schools, to identify bullies and targets and to examine some implications for school leaders in dealing with staff bullying. Design/methodology/approach: The quantitative research design survey instrument contained 11 demographic items, 44 questions of…

  5. Staff Development Is Not Enough.

    Science.gov (United States)

    Hammons, Jim

    Staff development activities that affect professional ability must be coupled with efforts toward organizational development if two additional determinants of performance, employee motivation and organizational climate, are to be significantly improved. Indeed, emphasis on staff development alone may have negative effects in that such an approach…

  6. Fundamentals of Medical Ultrasonics

    CERN Document Server

    Postema, Michiel

    2011-01-01

    This book sets out the physical and engineering principles of acoustics and ultrasound as used for medical applications. It covers the basics of linear acoustics, wave propagation, non-linear acoustics, acoustic properties of tissue, transducer components, and ultrasonic imaging modes, as well as the most common diagnostic and therapeutic applications. It offers students and professionals in medical physics and engineering a detailed overview of the technical aspects of medical ultrasonic imaging, whilst serving as a reference for clinical and research staff.

  7. Reminder from Medical Service

    CERN Multimedia

    Medical Service

    2004-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses on telephone: 73802 by e-mail: Service.Medical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  8. REMINDER FROM MEDICAL SERVICE

    CERN Multimedia

    Medical Service

    2002-01-01

    For medical problems, we would like to remind all personnel working on the CERN sites, staff members or from outside firms, that they are welcome at the Infirmary, building 57, ground floor. For information, call the nurses: on telephone: 73802 by e-mail: Service.Medical@cern.ch Francoise.Lebrun-Klauser@cern.ch Mireille.Vosdey@cern.ch Katie.Warrillow-Thomson@cern.ch Medical Service

  9. An exploration of cancer staff attitudes and values.

    Science.gov (United States)

    McKegney, F P; Visco, G; Yates, J; Hughes, J

    1979-01-01

    A multidisciplinary team involved in the care of patients with advanced cancer including physicians, nurses, social workers, physical therapists, nutritionists, clergymen, enterostomal therapists, biostatisticians and administrative personnel were studied over a period of eighteen months. A prospective study of staff attitudes and values about life, disease, and medical care which focused particularly on cancer, cancer treatment and patients with cancer was undertaken. Data were gathered from the staff by written responses to the following instruments: 1) Rokeach Value Survey and 2) a Personal Attitudes Toward Illness Questionnaire. This longitudinal prospective study demonstrated the reliability of scrutinizing individual and collective staff characteristics in a cancer care team. Although most team members had minimal previous contact with clinical research or with patients with advanced cancer, increased exposure did not result in changes in staff attitudes and values over the period of seventeen months. PMID:481321

  10. 2011 Elections to Staff Council

    CERN Multimedia

    Staff Association

    2011-01-01

    Vote Elections to fill all seats in the Staff Council are being organized this month. Voting will begin on Monday 31 October. Make your voice heard and be many to elect the new Staff Council. By doing so, you will be encouraging the men and women who will  represent you over the next two years and they will doubtless appreciate your gratitude. More details on the elections can be found on the Staff Association web site. (http://association.web.cern.ch) Elections Timetable Monday 31 October, at noon start date for voting Monday 14 November, at noon closing date for voting Monday 21 November, publication of the results in Echo Tuesday 22 and Wednesday 29 November Staff Association Assizes Tuesday 6 December, at 10.00 a.m. first meeting of the new Staff Council and election of the new Executive Committee The voting procedure is monitored by the Election Committee. 

  11. The investigate analysis of job burnout from the medical staff in Nanjing General Hospital of Nanjing Mili-tary Region%南京军区南京总医院医务人员职业倦怠现状调查分析

    Institute of Scientific and Technical Information of China (English)

    周兰泳

    2014-01-01

    Objective With the development of the national health system reform, the peculiarity of certified doctor environ-ment makes domestic doctors′job burnout become a focus.The aim of this study was to study the present situation and reseason of the clinician job burnout, and to provide reference for the prevention and eliminatation of the job burnout effectivelly. Methods Chi-nese Maslach burnout inventory ( CMBI) , written by Professor Li Yongxin in Henan University was used in this study.Five hundred questionnaires were sent to medical staff in Nanjing General Hospital of Nanjing Military Region, and 489 copies were taken back.Four hundred and seventy eight copies were effective with the ratio of 97.8%. Results The emotion exhaust general mark of medical staff in army hospital was (21.96 ±7.54), which was below critical mark (25).The deindividuality and the lower of individual a-chievement feeling were (11.7 ±7.44) and (16.07 ±6.03),respectively, which were slightly above critical mark (11, 16).Accord-ing to the diagnostic criteria of job burnout, 42.07%of medical staff were mild job burnout, 27.41%were moderate job burnout, and 5.35%were serious job burnout. Conclusion Job burnout exists widely, and hospital manager should highly pay attention to the body and mind health of medical staff.%目的:随着国家医疗体制改革的不断深入,医生执业环境的特殊性使得国内医生的职业倦怠问题逐渐成为关注的焦点。文中旨在调查医务人员的职业倦怠现状,并探讨其原因,为有效预防和消除职业倦怠提供参考。方法采用河南大学李永鑫教授编制的工作倦怠问卷( Chinese Maslach burnout inventory, CMBI),以南京军区南京总医院医务人员为调查对象,发放问卷500份,收回489份,有效问卷478份,有效率97.8%。结果军队医院医务人员情感耗竭总分为(21.96±7.54)分,低于临界值(25分);去人性化及

  12. 南京军区南京总医院医务人员职业倦怠现状调查分析%The investigate analysis of job burnout from the medical staff in Nanjing General Hospital of Nanjing Mili-tary Region

    Institute of Scientific and Technical Information of China (English)

    周兰泳

    2014-01-01

    Objective With the development of the national health system reform, the peculiarity of certified doctor environ-ment makes domestic doctors′job burnout become a focus.The aim of this study was to study the present situation and reseason of the clinician job burnout, and to provide reference for the prevention and eliminatation of the job burnout effectivelly. Methods Chi-nese Maslach burnout inventory ( CMBI) , written by Professor Li Yongxin in Henan University was used in this study.Five hundred questionnaires were sent to medical staff in Nanjing General Hospital of Nanjing Military Region, and 489 copies were taken back.Four hundred and seventy eight copies were effective with the ratio of 97.8%. Results The emotion exhaust general mark of medical staff in army hospital was (21.96 ±7.54), which was below critical mark (25).The deindividuality and the lower of individual a-chievement feeling were (11.7 ±7.44) and (16.07 ±6.03),respectively, which were slightly above critical mark (11, 16).Accord-ing to the diagnostic criteria of job burnout, 42.07%of medical staff were mild job burnout, 27.41%were moderate job burnout, and 5.35%were serious job burnout. Conclusion Job burnout exists widely, and hospital manager should highly pay attention to the body and mind health of medical staff.%目的:随着国家医疗体制改革的不断深入,医生执业环境的特殊性使得国内医生的职业倦怠问题逐渐成为关注的焦点。文中旨在调查医务人员的职业倦怠现状,并探讨其原因,为有效预防和消除职业倦怠提供参考。方法采用河南大学李永鑫教授编制的工作倦怠问卷( Chinese Maslach burnout inventory, CMBI),以南京军区南京总医院医务人员为调查对象,发放问卷500份,收回489份,有效问卷478份,有效率97.8%。结果军队医院医务人员情感耗竭总分为(21.96±7.54)分,低于临界值(25分);去人性化及

  13. 失效模式与效应分析在医护人员血源性职业暴露风险管理中应用%Application of failure mode and effects analysis in risk management for occupational blood-borne exposure in medical staff

    Institute of Scientific and Technical Information of China (English)

    嵇晓红; 王美兰; 廖小玲

    2015-01-01

    Objective To explore the application effects of failure mode and effects analysis ( FMEA) in risk management for occupational blood-borne exposure in medical staff.Methods A FMEA team of risk management for occupational blood-borne exposure was established, the possible failure modes of occupational blood-borne exposure in medical staff were listed by using“brainstorming” method, to analyze the causes and consequences of the failure, to calculate the risk priority number ( RPN) index.The priority processing was aimed at the highest risk index, to formulate and implement the improvement measures.Results After the implementation of FMEA management, the risks of various failure modes for occupational blood-borne exposure were significantly decreased, the average RPN index of the failure mode dropped by 61.93%and the weight coefficient dropped by 64.79%.The standardized incidence ratio of occupational blood-borne exposure in medical staff decreased from 0.075 person-time/person · year to 0.053 person-time/person · year ( Z =3.235, P<0.05 ) .Conclusion The application of FMEA in occupational blood-borne exposure in medical staff can determine and refine the high-risk link of occupational blood-borne exposure, making the improvement measures more targeted so as to reduce the risk of occupational exposure.%目的:探讨失效模式与效应分析( FMEA)法在医护人员血源性职业暴露风险管理中的应用效果。方法组建血源性职业暴露风险管理FMEA团队,利用“头脑风暴法”列出医护人员发生血源性职业暴露的失效模式,分析失效原因及后果,计算风险指数( RPN);针对最高风险指数进行优先处理,制定改进措施并组织实施。结果实施FMEA管理后,各项失效模式发生血源性职业暴露的风险明显降低,失效模式的RPN值平均下降了61.93%、权重系数下降了64.79%;医护人员血源性职业暴露的标准化发生率由0.075人

  14. 山西省太原市临床医护人员的日常营养知识、态度、行为调查分析%A Survey and analysis of routine nutrition knowledge, attitude, practice of clinical medical staffs in Taiyuan of Shanxi province

    Institute of Scientific and Technical Information of China (English)

    郝丹丹; 张文青; 郭丽娜; 刘娟; 安阳

    2015-01-01

    [目的]了解临床医护人员的日常营养知识-态度-行为(KAP),为今后进行营养健康教育提供基础资料。[方法]随机抽取两所三甲医院的279名在岗临床医护人员作为调查对象进行自填问卷调查。[结果]调查对象中体重标准者占62.40%,消瘦者占5.38%,超重/肥胖者占32.26%;其营养K、A、P答题的及格率和优秀率分别为74.91%,47.67%;97.85%,70.25%;85.30%,32.97%;中、高级职称者的营养K、A、P得分均高于初级职称者(P<0.05);食品营养标签的知晓率最低,为15.77%;调查对象中91.04%的人对营养知识感兴趣,98.21%的人认为有必要进行营养知识宣教;57.71%人的饮食情况追求营养平衡,45.88%的人每天吃早餐;其优先选择获取营养知识的途径是短信与网络。[结论]临床医护人员营养知识提升空间较大,营养态度普遍较好,营养行为较欠缺,应加强其营养健康教育,提高自身营养行为。%Objective To know routine nutrition knowledge, attitude, practice of clinical medical staffs so as to provide the fundamental basis. Methods The self-administered questionnaire was conducted among 279 on-the-job clinical medical staffs who were selected by random sampling in provincial top three hospitals.Results 62.40% of respondents were standard body weight, 5.38% of them were thin, 32.26% of them were overweight/obesity. The pass rate and the excellent rate about nutrition K、A、P was 74.91%, 47.67%, 97.85%, 70.25% and 85.30%,32.97% . The person with medium and senior title, their nutrition KAP was higher than the primary’s (P < 0.05). Food nutrition labels knowledge rate was the lowest (15.77%). 91.04% of respondents interested in nutrition knowledge.98.21% of them thought that there was a need for nutritional knowledge education, 57.71% of them pursued nutritional balance diet, 45.88% of them ate breakfast every day. The way that medical staffs gave preference to

  15. African Americans Respond Poorly to Hepatitis C Treatment

    Science.gov (United States)

    Black Issues in Higher Education, 2004

    2004-01-01

    African Americans have a significantly lower response rate to treatment for chronic hepatitis C than non-Hispanic Whites, according to a new study led by Duke University Medical Center researchers. Some African Americans--19 percent--did respond to the drug combination of peginterferon alfa-2b and ribavirin. But in non-Hispanic Whites with the…

  16. Medical education in Germany.

    Science.gov (United States)

    Nikendei, Christoph; Weyrich, Peter; Jünger, Jana; Schrauth, Markus

    2009-07-01

    Following the changes made to the medical licensing regulations of 2002, medical education in Germany has been subject to radical modification, especially at undergraduate level. The implementation of the Bologna Process is still a matter of intense political debate, whilst positive movement has occurred in developing the professionalisation of teaching staff through a Masters Degree in Medical Education. In the area of postgraduate medical education, major restructuring of programmes is occurring, whilst the debate in continuing medical education is related to the amount of practical clinical education that is required.

  17. Research on job satisfaction and its influencing factors of medical staff in community health service ;institutions in Nanning%南宁市社区卫生服务机构医务人员工作满意度及其影响因素研究

    Institute of Scientific and Technical Information of China (English)

    何秋平; 马贞玉; 冯启明; 陈志明; 陈发钦

    2016-01-01

    目的:了解南宁市社区卫生服务机构医务人员的工作满意度及其影响因素。方法采用分层随机抽样的方法,于2015年11—12月在南宁市6城区随机抽取12个社区卫生服务机构184名医务人员进行问卷调查。调查内容主要包括医务人员的基本情况及对社区卫生服务机构的满意度情况。采用单因素和多重线性回归的方法分析影响总满意度的因素。结果社区卫生服务机构医务人员的总满意度一般,均值为(3.80±0.46)分,六个维度中工作回报维度满意度最低(3.40±0.45)分,总体情况维度最高(4.13±0.73)分;单因素分析中婚姻状况(F=5.243,P=0.006)和是否愿意继续从事现在的工作(T=3.458,P=0.001)对总满意度影响差异有统计学意义;多重线性回归分析中,职称和是否愿意继续从事现在的工作进入回归模型,为Y=4.604-0.517 X1-0.114X2。结论社区卫生服务机构医务人员工作满意度有待提高;不同婚姻状况、职称和是否愿意继续从事现在的工作对医务人员工作满意度有一定影响。%Objective To understand the job satisfaction of medical staff in community health service institutions in Nanning and its influencing factors. Methods The stratified random sampling method were used to collect the basic information and the satisfaction of 184 medical staff from 12 community health service institutions in 6 districts of Nanning. The self-made questionnaires were used for medical staff during December and November in 2015. Univariate analysis and multiple linear regression analysis were used to analyze the factors influencing the total satisfaction. Results The total satisfaction of medical staff in community health service institutions were in general with a mean score of (3.80 ± 0.46). Job reward satisfaction(mean score, 3.40±0.45)was lowest and the overall satisfaction (mean score, 4.13±0.73)was highest of six dimensions

  18. Perceptions of Academic Staff towards Accommodating Students with Disabilities in a Civil Engineering Undergraduate Program in a University in South Africa

    Science.gov (United States)

    Mayat, Nafisa; Amosun, Seyi Ladele

    2011-01-01

    This study explored the perceptions of academic staff towards admission of students with disabilities, and their accommodation once accepted into an undergraduate Civil Engineering program in a South African university. Qualitative responses relating to the perceptions of five academic staff were obtained through semi-structured interviews. The…

  19. Job Satisfaction in a South African Academic Library in Transition

    Science.gov (United States)

    Hart, Genevieve

    2010-01-01

    Job satisfaction was investigated at a South African university library undergoing change on many fronts. The study included 31 members of staff and the data were gathered via interviews/questionnaires, informed by standard HRM job satisfaction theory. The study found a "love-hate" relationship between respondents and their work. The key positive…

  20. Restructuring support staff classification levels for academic health sciences library positions.

    OpenAIRE

    McCann, J C; Davis, S E; Trainor, D J; Waller, D. K.; Greenblatt, R B

    1990-01-01

    Nonprofessional library support staff traditionally hold what are considered to be low-paying, nonchallenging positions. These negative factors make retaining creative and productive employees difficult. This article outlines the approach taken at the Medical College of Georgia's Robert B. Greenblatt, M.D. Library to devise a structure of library staff positions that becomes progressively more demanding. A new nine-level Library Staff Classification Plan resulted. This plan also enables and e...

  1. 感染预防控制对肺结核病房医护人员职业暴露影响效果的研究%Research on the effect of standardized infection prevention and control measure in tuberculosis wards to the medical staff occupational exposure

    Institute of Scientific and Technical Information of China (English)

    李春梅; 王克芳

    2015-01-01

    Objective To evaluate the effect of the infection prevention and control measures in pulmonary tuberculosis ward such as management measures, environmental control and personal protective etc.Methods Set the isolation tuberculosis ward, to performing infection prevention and control measures: management measures, knowledge training for medical staff. Perform environment control measure, such as three area, two channels, the actual separation barrier gate settings, installing low negative pressure ventilation and the circulative wind disinfection. Equip with enough staff, use the N95 masks for staff, surgical masks for free with patients and urge to use. Do not perform the measures including area separation and wind circulation in the non-isolation ward, and equip with surgical masks for staff, without masks for patients. Analyze the incident rate of tuberculosis of the staff in isolation ward and non-isolation ward.Results The tuberculosis incident rate in non-isolation ward is 8.3%, and the rate in isolation ward is 0.Conclusion The effect is remarkable to decrease the TB incident rate of the staff to performing infection prevention and control measures in pulmonary tuberculosis ward such as management measures, environmental control and personal protective etc.%目的:评价在肺结核病房实施管理措施、环境控制、个人防护等感染预防控制措施的效果。方法设置隔离肺结核病房,实施感染预防控制:制定管理办法,对医护人员进行知识培训;对隔离病房进行三区、两通道、中间实际错开屏障门设置,安装实施低负压定向通风和循环风空气消毒等环境控制措施;配备足够的医护人员并使用N95口罩,免费为患者提供外科口罩并督促使用。混住(非隔离)肺结核病房不实施分区、通风等措施,医护人员戴外科口罩,患者不戴口罩。分析对比隔离病房与混住病房医护人员结核病发病率。结果混住病房医

  2. 粤港两地部分急诊科医护人员对哀伤关顾认识的调查分析%A survey of bereavement care of medical staff in emergency department in Hong Kong and Guangdong

    Institute of Scientific and Technical Information of China (English)

    杨俏兰; 骆丽君

    2012-01-01

    目的 调查粤港两地部分急诊科医护人员对哀伤关顾的认识情况,为国内开展哀伤关顾护理提供理论依据.方法 自行设计对哀伤关顾的认识调查问卷,对香港各大联网医院的急诊科医护人员、本省各地区赴港学习的急诊科专科护士和本院急诊科医护人员进行调查,了解他们对哀伤关顾的认识情况.结果 香港急诊科医护人员对哀伤关顾的认识(100.0%)、参加过哀伤关顾培训(100.0%)、实施过哀伤关顾(100.0%)以及具备的哀伤关顾技能(100.0%)都比较好,并认为有必要开展哀伤关顾(98.8%)和愿意加入哀伤关顾小组(86.3%);而赴港学习的本省急诊科专科护士和本院急诊科医护人员对哀伤关顾的认识、参加过哀伤关顾培训、实施哀伤关顾以及所具备的哀伤关顾技能基本处于较少或无的状态,对于是否有必要开展哀伤关顾和愿意加入哀伤关顾小组,赴港学习的本省急诊科专科护士有92.6%认为有必要,85.2%愿意加入;而本院急诊科医护人员84.1%认为有必要,63.2%愿意加入.结论 国内医护人员对哀伤关顾的认识以及对病人实施哀伤关顾较少,学习并引进香港以及国外关于哀伤关顾的知识,结合本国国情发展和完善本土哀伤关顾文化非常重要.%Objective To investigate recognition of bereavement care of medical staff in emergency department in Hong Kong and Guangdong,and to provide theoretic basis for performing bereavement care domestically.Methods A self-designed questionnaire was used to investigate the recognitions of bereavement care among the medical staff from the emergency department in Hong Kong and Guangzhou as well as among the professional nurses exchanged to the hospitals in Hong Kong.Results The emergency medical personnel in Hong Kong systematically received the training on the knowledge of bereavement care and the skills.They were willing to participate in the care

  3. Medical education.

    Science.gov (United States)

    Krishnan, P

    1992-01-01

    In theory, the Medical Council of India (MCI) determines the standards and qualifications of medical schools. It also sanctions curricula and ensures standards. Yet no standards exist on the mode of selection in medical schools, duration of study, course content, student stipends or period of internship. It takes 4.5 years to finish medical school. Students undergo preclinical, paraclinical, and clinical training. Most courses are in English which tends to favor the urban elite. Students cannot always communicate with patients in local languages. Textbooks often provide medical examples unrelated to India. Pedagogy consists mainly of lectures and rote learning predominates. Curricula tend not to provide courses in community health. Students pick up on the elitist attitudes of the faculty. For example, faculty do not put much emphasis on community health, individual health, equity in health care delivery, and teamwork. Further the education system is not patient oriented, but hospital or disease oriented. Faculty should train students in creating sanitation programs, knowing local nutritious foods, and in making community diagnoses. Yet they tend to be practitioners 1st then educators. Further faculty are not paid well and are not always invited to take part in improving curriculum, so morale is often low. Moreover experience in health planning and management issues is not required for administrators. In addition, medical schools are not well equipped with learning aids, libraries, or teaching staff. Tax revenues finance medical education. 75% of graduating physicians set up a private practice. Further many physicians go to urban areas. 34-57% emigrate to other countries. The problems of medical education will not be solved until the political and economic system becomes more responsive to the health needs of the people.