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Sample records for african medical staff

  1. 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…

  2. 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.

  3. African Americans and the medical establishment.

    Science.gov (United States)

    Smith, C

    1999-09-01

    The African American community's response to the AIDS epidemic has reflected the profound mistrust of the medical establishment which many African Americans feel. Among African Americans, the belief that the epidemic originated in a genocidal plot is widespread. It is thought that organized medicine has been significantly involved in this plot. If we look at African Americans' historical relationship to the medical establishment from the era of slavery to the recent past, the suspicious attitudes which make such beliefs possible can be seen as an intelligible response to a new disease which disproportionately affects African Americans. Successful medical and public health responses to the epidemic have depended and will continue to depend upon overcoming the historical legacy of suspicion and gaining the trust of the community.

  4. 42 CFR 482.22 - Condition of participation: Medical staff.

    Science.gov (United States)

    2010-10-01

    ... medical staff must be composed of doctors of medicine or osteopathy and, in accordance with State law, may... or osteopathy. (3) The responsibility for organization and conduct of the medical staff must be assigned only to an individual doctor of medicine or osteopathy or, when permitted by State law of...

  5. 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.

  6. Exploring Factors Affecting Emergency Medical Services Staffs' Decision about Transporting Medical Patients to Medical Facilities.

    Science.gov (United States)

    Ebrahimian, Abbasali; Seyedin, Hesam; Jamshidi-Orak, Roohangiz; Masoumi, Gholamreza

    2014-01-01

    Transfer of patients in medical emergency situations is one of the most important missions of emergency medical service (EMS) staffs. So this study was performed to explore affecting factors in EMS staffs' decision during transporting of patients in medical situations to medical facilities. The participants in this qualitative study consisted of 18 EMS staffs working in prehospital care facilities in Tehran, Iran. Data were gathered through semistructured interviews. The data were analyzed using a content analysis approach. The data analysis revealed the following theme: "degree of perceived risk in EMS staffs and their patients." This theme consisted of two main categories: (1) patient's condition' and (2) the context of the EMS mission'. The patent's condition category emerged from "physical health statuses," "socioeconomic statuses," and "cultural background" subcategories. The context of the EMS mission also emerged from two subcategories of "characteristics of the mission" and EMS staffs characteristics'. EMS system managers can consider adequate technical, informational, financial, educational, and emotional supports to facilitate the decision making of their staffs. Also, development of an effective and user-friendly checklist and scoring system was recommended for quick and easy recognition of patients' needs for transportation in a prehospital situation.

  7. 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.

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

    OpenAIRE

    Given R.B. Moloto; Lizelle Brink; J. Alewyn Nel

    2014-01-01

    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 environ...

  9. Nursing Home Medical Staff Organization and 30-Day Rehospitalizations

    Science.gov (United States)

    Lima, Julie C.; Intrator, Orna; Karuza, Jurgis; Wetle, Terrie; Mor, Vincent; Katz, Paul

    2013-01-01

    Objectives To examine the relationship between features of nursing home (NH) medical staff organization and residents’ 30-day rehospitalizations. Design Cross-sectional study combining primary data collected from a survey of medical directors, NH resident assessment data (minimum data set), Medicare claims, and the Online Survey Certification and Reporting (OSCAR) database. Setting A total of 202 freestanding US nursing homes. Participants Medicare fee-for-service beneficiaries who were hospitalized and subsequently admitted to a study nursing home. Measurements Medical staff organization dimensions derived from the survey, NH residents’ characteristics derived from minimum data set data, hospitalizations obtained from Part A Medicare claims, and NH characteristics from the OSCAR database and from www.ltcfocus.org. Study outcome defined within a 30-day window following an index hospitalization: rehospitalized, otherwise died, otherwise survived and not rehospitalized. Results Thirty-day rehospitalizations occurred for 3788 (20.3%) of the 18,680 initial hospitalizations. Death was observed for 884 (4.7%) of residents who were not rehospitalized. Adjusted by hospitalization, resident, and NH characteristics, nursing homes having a more formal appointment process for physicians were less likely to have 30-day rehospitalization (b = −0.43, SE = 0.17), whereas NHs in which a higher proportion of residents were cared for by a single physician were more likely to have rehospitalizations (b = 0.18, SE = 0.08). Conclusion This is the first study to show a direct relationship between features of NH medical staff organization and resident-level process of care. The relationship of a more strict appointment process and rehospitalizations might be a consequence of more formalized and dedicated medical practice with a sense of ownership and accountability. A higher volume of patients per physician does not appear to improve quality of care. PMID:22682694

  10. Telephone techniques and etiquette: a medical practice staff training tool.

    Science.gov (United States)

    Hills, Laura Sachs

    2007-01-01

    The telephone is usually the first contact a prospective or new patient has with a medical practice. It is also the method that existing patients and others commonly use to ask questions or convey information. At the same time, a telephone that rings off the hook can be one of the biggest drains on staff time and a source of tremendous frustration. This article suggests practical techniques for managing the medical practice telephone. It provides seven never-fail strategies for saving time on the phone while remaining courteous and attentive to callers. It offers tips to help readers avoid getting caught in an endless game of telephone tag. The article highlights strategies that work particularly well when placing calls and when dealing with a busy signal or voicemail system problem in the practice. It also describes the fine points for taking accurate and complete telephone messages without turning off callers or misleading them. This article further explores practical strategies for using and not abusing the hold button and offers additional tips for telephone equipment and accessories readers may find helpful. Finally, this article suggests guidelines for using an answering machine or voicemail system and provides a 25-question quiz to help readers assess their own telephone technique.

  11. 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…

  12. Tackling burden in ART: an integrated approach for medical staff.

    Science.gov (United States)

    Boivin, Jacky; Domar, Alice D; Shapiro, Daniel B; Wischmann, Tewes H; Fauser, Bart C J M; Verhaak, Christianne

    2012-04-01

    Discontinuation is a problem in fertility clinics. Many couples discontinue assisted reproductive technologies (ART) without achieving a live birth for reasons other than poor prognosis or the cost of treatment. Discontinuation has been attributed to the burden of treatment. The causes of burden can be broadly classified according to whether they originate in the patient, clinic or treatment. Interventions to alleviate these burdens include provision of comprehensive educational material, screening to identify highly distressed patients, provision of tailored coping tools and improvements in the clinic environment and medical interventions. Practical interventions to reduce the different causes of burden in ART exist, but further development and evaluation of the efficacy of these interventions requires more precise definition of terms and theory. In this paper, we propose a general integrated approach to cover different perspectives in dealing with burden in ART clinics. We firstly describe the integrated approach and present common sources of burden. We then describe interventions that could help reduce the burden in ART. Our paper is aimed at fertility clinic staff because of their day-to-day involvement with patients. However, this discussion should also be relevant to companies that develop treatments and to psychosocial experts. Reducing the burden of treatment should lead to improved outcomes, namely better quality of life during treatment and lower discontinuation rates.

  13. Attitudes of parents and staff towards medical students on the paediatric wards.

    Science.gov (United States)

    Duignan, A; Kennedy, C; Canas-Martinez, A; Gildea, D; Jamaludin, M A; Moore, M; Meehan, J; Nadeem, M

    2014-01-01

    This study investigates attitudes of parents and staff to medical students on paediatric wards in a Dublin teaching hospital. We invited 100 parents of patients and 30 staff involved in the care of children on the paediatric wards to participate. The majority of parents agreed or strongly agreed that they would be happy for a student to interview them (n = 87; (87%)), interview their child (80%) or examine their child (74%). Of 30 staff, 12 (40%) staff agreed that the presence of medical students on the ward increased their job satisfaction, 13 (43%) agreed or strongly agreed that medical student presence encouraged them to keep up to date with recent medical developments and 6 (20%) felt that it increased the quality of patient care. Attitudes of both parents and staff to medical students on paediatric wards are positive with both emphasising the need for professional behaviour.

  14. 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.

  15. 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.

  16. Front office staff as medical educators, risk creators, and risk managers.

    Science.gov (United States)

    Kapp, Marshall B

    2016-03-16

    The author describes his own negative series of encounters with the front office staff of a large specialty medical practice during a recent lengthy episode of significant medical distress. The author suggests several reasons, including legal risk management, that medical students should be exposed as part of their education to the interactions of patients with front office staffs (not just physicians) to get a fuller picture of patients' actual experiences with the health care system.

  17. Guidelines for Professional Training of Junior Medical Staff in the Context of European Experience

    Science.gov (United States)

    Sosnova, Myroslava

    2016-01-01

    The article deals with outlining guidelines for improving professional training of junior medical staff based on European experience. Consequently, guidelines and recommendations on enhancing the efficiency of medical education in general and junior medical specialists' professional training, in particular, published by European Union of Medical…

  18. 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...

  19. 75 FR 17143 - Draft Guidance for Industry and Food and Drug Administration Staff; Medical Devices; Neurological...

    Science.gov (United States)

    2010-04-05

    ... Staff; Medical Devices; Neurological and Physical Medicine Device Guidance Documents; Availability... physical medicine devices. FDA has developed a draft special controls guidance document for each of the 11... Guidance Document: Transcutaneous Electrical Stimulator for Aesthetic Purposes; Draft Guidance for...

  20. 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

  1. Language barriers in medical education and attitudes towards Arabization of medicine: student and staff perspectives.

    Science.gov (United States)

    Sabbour, S M; Dewedar, S A; Kandil, S K

    2012-12-04

    Students and staff perspectives on language barriers in medical education in Egypt and their attitude towards Arabization of the medical curriculum were explored in a questionnaire survey of 400 medical students and 150 staff members. Many students (56.3%) did not consider learning medicine in English an obstacle, and 44.5% of staff considered it an obstacle only in the 1st year of medical school. Many other barriers to learning other than language were mentioned. However, 44.8% of students translated English terms to Arabic to facilitate studying and 70.6% of students in their clinical study years would prefer to learn patient history-taking in Arabic. While Arabization in general was strongly declined, teaching in Arabic language was suggested as appropriate in some specialties.

  2. Satisfaction of staff of Swiss insurance companies with medical appraisals: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Gyr Niklaus

    2011-03-01

    Full Text Available Abstract Background A high quality of timely delivered medical appraisals is crucial for social and other insurances to judge possible occupational reintegration measures for patients with medical conditions who are in danger to lose their job. However, little is known about the satisfaction of staff of insurance companies with medical appraisals that they have commissioned. Our questionnaire survey prospectively included all medical appraisals arriving at Swiss insurances from FEB to APR 2008. We assessed the satisfaction of the commissioner with medical appraisals performed by medical assessors. In addition, we evaluated the contribution of several factors to overall satisfaction. The unit of sample was the medical appraisal. Findings We analysed 3165 medical appraisals, 2444 (77% of them from the public disability insurance, 678 (22% from private accident, liability and loss of income insurances and 43 (1% from other insurances. Overall satisfaction of staff of insurance companies in Switzerland was high, but satisfaction of the disability insurance with appraisals was generally lower compared to satisfaction of private insurances. The staff of the disability insurance judged time for preparation as too long in 30%. For staff of private insurance companies 20% of appraisals were not "worth its price". Well-grounded and comprehensible conclusions were the single most important factor for high overall satisfaction (OR 10.1; 95%-CI: 1.1-89.3. Conclusions From the viewpoint of staff of insurance companies, a relevant part of medical appraisals arrives too late. Medical assessors have to take the specific needs of insurances into account, to perform more appraisals with sound conclusions in due time.

  3. 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.

  4. 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…

  5. 76 FR 43689 - Draft Guidance for Industry and Food and Drug Administration Staff; Mobile Medical Applications...

    Science.gov (United States)

    2011-07-21

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

  6. 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 and Drug Administration Staff; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing the availability of the guidance...

  7. 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…

  8. 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...

  9. [Innovative activity of dental faculty staff of Omsk State Medical University: results, problems and prospects].

    Science.gov (United States)

    Novikov, A I; Gudinova, Zh V

    2015-01-01

    The article summarizes innovative activity in Omsk State Medical University (OSMU) and contains the review of innovative developments of staff of dental faculty of OSMU (a line of gels for caries prevetion, the DENTEST diagnostic unit, technology of tooth shape modular restoration, personified therapy.of patients with periodontal disease, caries diagnosis and periodontontal disease prognosis software, a set of the training materials on esthetic modeling of teeth, personification of clinical approaches in oral bioaesthetic rehabilitation, etc.). The analysis of the factors stimulating and complicating innovative detail in medical school, problems of introduction of medical innovations, lack of system of an assessment of medical technologies in Russia, regulations of the organization of innovative activity in medical schools is carried out, the prospects of their solution connected with decision-making at the state level are formulated.

  10. Guidelines for Professional Training of Junior Medical Staff in the Context of European Experience

    Directory of Open Access Journals (Sweden)

    Sosnova Myroslava

    2016-09-01

    Full Text Available The article deals with outlining guidelines for improving professional training of junior medical staff based on European experience. Consequently, guidelines and recommendations on enhancing the efficiency of medical education in general and junior medical specialists’ professional training, in particular, published by European Union of Medical Specialists, General Medical Council, World Federation for Medical Education have been studied, analyzed, justified and presented in the paper. According to European Union of Medical Specialists it has been concluded that general aspects of medical specialists’ training are based on the selection process for the access to the medical specialists’ training, duration of training, common trunk, training program and quality assurance; requirements for training institutions involve recognition, size, quality assurance and teaching infructructure; requirements for instructors encompass qualification, training program, teacher/trainee ratio; requirements for trainees cover experience, language and logbook. In addition, the components that define the quality of junior medical specialists’ professional training based on N. Novosolova’s ideas have been indicated. Finally, based on the positive aspects of the guidelines analyzed the appropriate ones that, in our opinion, may be of use in Ukraine, have been presented.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. Working with anxious or fearful patients: a training tool for the medical practice staff.

    Science.gov (United States)

    Hills, Laura Sachs

    2007-01-01

    Every medical practice must work with at least some patients who are fearful or anxious. This article explores the seven most common root causes of patient fear and anxiety and offers practical suggestions for avoiding or minimizing these fears. It addresses, in particular, the patient's fear of the unknown, of being humiliated, of reenacting a medical legend or horror story, and of being vulnerable and helpless. It also explores the patient's fear of high medical fees or being unable to pay, a poor or disappointing clinical outcome, and being in a hospital-like environment. The author suggests that the medica lpractice staff may wish to seek training in fear control and includes practical how-to strategies for minimizing fear when working with children.

  16. 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

  17. 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.

  18. 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.

  19. 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.

  20. Costs of medical manipulations and funding of medical staff across the Europe

    Directory of Open Access Journals (Sweden)

    Elizabete Pumpure

    2016-12-01

    Full Text Available The Clinical University hospitals in European Union, including those from new European countries, are providing medical services according to high quality standards; however there are significant differences in medical service payment from the government. There are also differences in the amount of the payment for in- and outpatient services. According to World Bank’s assessment several of new European Union members are ranked as high-income countries alongside to old European member countries, but the payment gap of medical services between these countries is very relevant. Health insurance costs vary a lot across the European Union countries, with the highest percentage in Germany (15.5% and the lowest in France (100 Euro per year. In most countries the government finances the costs of surgical manipulations, but by contrast in Latvia patients have to pay fixed payment of EUR 43 for treatment even in case of malignancy and additional payments for staying in hospital. The salary of surgeons in field of gynecological oncology for the full workload ranges from 500 Euro in Macedonia to 4000 Euro in Denmark per month after the taxes. Reward from government varies a lot for the same manipulations in different countries. Despite the fact World Bank ranks new European countries as high-income countries there is tremendous difference in the manipulation costs covered by government and payment of medical stuff.

  1. Medical literature search practice in paediatric junior medical staff: a questionnaire survey.

    Science.gov (United States)

    Shirkhedkar, P; Day, A S

    2008-03-01

    With increasing medical knowledge and emphasis upon evidence-based medicine, it is essential for practitioners to have optimal literature searching skills. There are limited data regarding the use of online information retrieval (IR) systems by paediatric junior medical officers (JMO). The aims of this questionnaire-based study of a group of JMO were to assess the accessibility, frequency of use and preferences for electronic information resources, and to ascertain their perceived adequacy of training and expertise in online searching. Questionnaires were distributed to 319 JMO at two Australian children's hospitals. A total of 106 questionnaires were returned (33.2% response rate). Twenty-four-hour access to electronic medical databases was available to almost 90% of respondents at work or home. Five or less online searches per month were performed by 53.7% of respondents. Previous formal training in database searching was reported by 72.4% of respondents, but over half felt it had been inadequate. Most JMO (91.5%) acknowledged a need for further training in search skills. In spite of widespread availability of online resources, use of these resources was sub-optimal in this group of trainee doctors. Most respondents reported a need for further training in electronic searching. Continuing targeted education in electronic database searching is required to ensure that future doctors develop skills to ensure optimal use of medical literature.

  2. 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.

  3. 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.

  4. 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).

  5. 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.

  6. 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.

  7. 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.

  8. Aromatherapy alleviates endothelial dysfunction of medical staff after night-shift work: preliminary observations.

    Science.gov (United States)

    Shimada, Kenei; Fukuda, Shota; Maeda, Kumiko; Kawasaki, Toshihiro; Kono, Yasushi; Jissho, Satoshi; Taguchi, Haruyuki; Yoshiyama, Minoru; Yoshikawa, Junichi

    2011-02-01

    Night-shift work causes mental stress and lifestyle changes, and is recognized as a risk of cardiovascular diseases associated with impaired endothelial function. Aromatherapy is becoming popular as a complementary therapy that is beneficial for mental relaxation. The purpose of this study was to investigate the effect of aromatherapy on the endothelial function of medical staff after night-shift work. This study consisted of 19 healthy medical personnel (19 men, mean age 32 ± 7 years), including 11 physicians and 8 technicians. Aromatherapy was performed for 30 min by inhalation of the essential oil of lavender. Flow-mediated dilation (FMD) of the brachial artery was measured three times in each subject: on a regular workday, and after night-shift work before and immediately after aromatherapy. A control study was performed to assess the effect of a 30-min rest without aromatherapy. The mean value of sleep time during night-shift work was 3.3 ± 1.3 h. FMD after night-shift work was lower than on a regular workday (10.4 ± 1.8 vs. 12.5 ± 1.7%, Paromatherapy (11.8 ± 2.5%, P=0.02 vs. before aromatherapy). FMD was stable in the control study (10.1 ± 1.9 vs. 10.1 ± 2.2%, P=0.9). This study demonstrated that night-shift work impaired endothelial function in medical staff, an effect that was alleviated by short-term aromatherapy.

  9. [Attitude survey of medical staff on the participation of community pharmacists in palliative home care].

    Science.gov (United States)

    Akai, Namika; Fujita-Hamabe, Wakako; Tokuyama, Shogo

    2009-11-01

    The treatment of cancer pain requires an individually-targeted multidimensional team approach. Further, the basic act for the Anti-Cancer Measures describes that medical staff including pharmacists should participate in the palliative care. Thus it is obvious that community pharmacists should also participate in palliative home care. In addition, a misunderstanding about opioids remains strong in Japan, which could be one of the barriers to palliative home care. In our previous report, we clarified for local residents the importance of educational activity using opioids as a new role for community pharmacists, and it was recognized of great significance by these pharmacists. In this study, we conducted a questionnaire survey among medical doctors, nurses, care managers and home helpers about the need and meaning of the educational activity performed by pharmacists in palliative home care. 86.4% of respondents felt pharmacists' participation in home care was required. Furthermore, most respondents thought that misunderstanding remained about opioids in palliative home care, and believed that pharmacists could play an important role in educational activity about opioids as experts in medicine. This study clarified that other medical team members need the participation of community pharmacists in palliative home care. Therefore, it seems important for these pharmacists to be proactive in participating in such care in the future.

  10. 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.

  11. [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.

  12. 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

  13. Computer Skill Levels of Staff of Vice Chancellery of Health at Kermanshah University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Behzad Karami Matin

    2012-11-01

    Full Text Available Computer is one of the fundamental tools in applying most electronically-based teaching methods. Many studies on the students of university of medical sciences have been focused on their computer and internet skill levels. The skill levels in using computers and internet in Isfahan University of Medical Sciences (IUMS were estimated 14.87 and 12 (from 20, respectively (1 and this amount was 12 out of 20 for the managers of the hospitals affiliated with that university (2. 73% of the students of Mashhad University of Medical Sciences had average familiarity with the computer (3 While, 36.4% of the dentist students of this university had sufficient skill in using electronically-based education system (4. The present study aimed to measure skill level of using computer and internet among the staff of vice chancellery of health at Kermanshah University of Medical Sciences.In this study 246 individuals with associate and bachelor degree and physician of Kermanshah province, from urban and rural centers were selected using stratified sampling procedure. 88.2% of the participants returned the questionnaire. Generally, 43% of the participants had very high skill in using computer, in the following order: the staff of province centers (60%, urban area (56.2%, and rural ones (29.6%. The Findings of the present study are in line with those obtained by Bahadorani, Hosseini and Masoudi (1, 2, 4; while these findings are not in agreement with the results obtained by Vafaee and Alavi (3, 5. There was no statistically significantly association between staff's work experience and skill in using computer and internet. Generally, 13.8% of the participants had very high rate of skill in using internet. This amount belonged to individuals with 11 years of experience and above and lack of skill in using computer belonged to individuals with 5 years of experience. The lowest level of skill in using computer (8.3% and internet (9.3% belonged to rural centers. The

  14. 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。

  15. 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...

  16. 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

  17. 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.)

  18. 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.

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

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    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.

  20. 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

    2015-01-15

    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.

  1. The entry of African-American students into US medical schools: an evaluation of recent trends.

    Science.gov (United States)

    Carlisle, D M; Gardner, J E

    1998-08-01

    A need to reassess US medical schools' admission of African-American students exists based on recent challenges to affirmative action. The Association of American Medical Colleges (AMMC) provided US medical school enrollment data and characteristics. Measures of enrollment were constructed for each medical school and aggregated by ownership type and state. After peaking at 1311 students in 1994, African-American medical school matriculation decreased by 8.7% by 1996. This decline was disproportionately generated by public medical schools. However, it was not limited to institutions that are located in states where anti-affirmative action policies have been implemented. Several schools were consistently successful (e.g., UCLA, Case Western, and Robert Wood Johnson) or unsuccessful (e.g., Texas Tech and Texas A&M) in enrolling African-American students. Recent gains in the enrollment of African-American students are being reversed, particularly at public institutions. Implications exist, particularly for the health of poor and underserved communities that are more likely to be cared for by such students during their careers as physicians.

  2. Factors affecting exposure level for medical staff during orthopedic procedures under fluoroscopic control

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    Maria A. Staniszewska

    2017-02-01

    Full Text Available Background: Extended control of staff exposure in interventional radiology has been legally required over the last few years. This is determined by a number of factors, including the type of procedure, technical conditions and methodology. In orthopedic procedures fluoroscopy is used to control surgical reconstructions. An influence of particular factors on the registered values of doses received by the members of medical team performing osteosynthesis for limb fractures is presented in this paper. Material and Methods: Doses received by individual interventional team members performing specific functions, operator, assisting physicians and scrub nurse, during a series of the procedures were measured. Each person was equipped with 4 dosimetric tools, containing thermoluminescent dosimeters, to measure the equivalent doses for the eyes, hand skin and the neck (outside the shield and to evaluate effective doses. The investigations were performed in operational theatres of 3 hospitals in Łódź. Results: The equivalent doses per one procedure for the eyes and hand skin of the operator were 0.029–0.073 mSv and 0.366–1.604 mSv, respectively. Significantly higher doses were noted during the procedures of intramedullary osteosynthesis, especially for the operator. An average age and body mass index (BMI of patients treated in the monitored hospitals did not differ statistically. Conclusions: Based on the dosimetric measurements the following conclusions can be drawn: in orthopedic procedures of interventional radiology (IR the exposure of the staff is mostly determined by the type of procedure and more precisely by its complexity and by the optimized use of X-ray unit, including pulsed fluoroscopy. It is also revealed that the operator is the most exposed person in the interventional team. Med Pr 2017;68(1:75–83

  3. 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 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.

  4. 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...

  5. Predicting medical staff intention to use an online reporting system with modified unified theory of acceptance and use of technology.

    Science.gov (United States)

    Chang, I-Chiu; Hsu, Hui-Mei

    2012-01-01

    Barriers to report incident events using an online information system (IS) may be different from those of a paper-based reporting system. The nationwide online Patient-Safety Reporting System (PSRS) contains a value judgment behind use of the system, similar to the Value of Perceived Consequence (VPC), which is seldom discussed in ISs applications of other disciplines. This study developed a more adequate research framework by integrating the VPC construct into the well-known Unified Theory of Acceptance and Use of Technology (UTAUT) model as a theoretical base to explore the predictors of medical staff's intention to use online PSRS. The results showed that management support was an important factor to influence medical staff's intention of using PSRS. The effects of factors such as performance expectancy, perceived positive, and perceived negative consequence on medical staff's intention of using PSRS were moderated by gender, age, experience, and occupation. The results proved that the modified UTAUT model is significant and useful in predicting medical staff's intention of using the nationwide online PSRS.

  6. 医务人员尊严保障途径研究%Measures to Protect the Dignity of Medical Staff

    Institute of Scientific and Technical Information of China (English)

    胡爱明

    2012-01-01

    当前,随着“看病贵,看病难”的问题日益突出,医患矛盾不断恶化,医务人员的尊严不断受到侵犯.因此,对医务人员尊严的理解和反思,是社会、患者对医务人员的一种人文关怀,是对医务人员的尊重.本文从生命伦理学、心理学、社会学3个维度对医务人员尊严的内涵进行分析,提出应充分尊重医务人员自主权、医院对医务人员实行人性化管理、医务人员恪守职业道德等方面以促进和谐医患关系的形成.%With the increasiry highlight of the issue of "seeing doedors expensuvly and difficultly". The doctor-patient relationship were worsen coneinously, From the dimensions of bioethics, psychology, sociology, we should understand the dignity of medical staff, explore some measures and approaches to maintaining the dignity and individual physical security of medical staff and form a good atmosphere of respecting medical staff in society. Humanity management is sure to be built in hospitals and medical staff will abide by professional ethnics, which promote to build up a harmonious relationship between patients and medical staff.

  7. 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.

  8. A Survey of Knowledge About and Perceived Barriers to Prostate Cancer Screening Among Medical Staff

    Directory of Open Access Journals (Sweden)

    Akbarizadeh

    2016-04-01

    Full Text Available Background Prostate cancer is the most common cancer among men and the second leading cause of deaths from cancer. Results of previous studies indicate the effectiveness of screening and early detection in reducing mortality from this disease. Objectives The purpose of this study was to survey the knowledge about prostate cancer and perceived barriers to prostate cancer screening among medical staff of two universities in Ahvaz, Iran. Materials and Methods This cross-sectional descriptive study was performed on 120 employees over 40 years old at Ahvaz Jundishapur University of Medical Sciences and Shahid Chamran University of Ahvaz, who were selected by using simple random sampling. The data collection tool was a researcher-created questionnaire based on the study of texts and other studies. Data analysis was performed using SPSS software and through analytical methods including descriptive and inferential statistics. Results The most common barriers to screening for prostate cancer were a lack of knowledge about where to go for tests and how screening tests are done (70.8%, a lack of emphasis on screening tests (59.1%, and a fear of thinking about the disease (50%. Results showed that there was no significant relationship between doing the serum antigen test and having knowledge regarding prostate cancer. But there was a significant association between prostate cancer screening and perceived barriers (P = 0.001. Conclusions Results showed that whereas knowledge by itself cannot guarantee men’s participation in prostate cancer screenings, perceived barriers can play an important role in discouraging men from cancer screening participation. Therefore, designing programs to address these barriers is very important.

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

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    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.

  10. An Observational Study to Evaluate the Medication Errors by Nursing Staff Working in Bushehr Medical Centers during one Year Interval (1385-1386

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    Nasrin Zahmatkeshan

    2010-09-01

    Full Text Available Background: Medication errors refer to inappropriate use of drugs, can lead to harmful and serious consequent. Many factors contribute to incidence of these errors. To investigate this factors a descriptive analytic study was done that assess clinical staff medication errors in Bushehr medical centers. Methods: The participants were 400 clinical staff, including nurses, midwives and nurse assistances to complete designed medication errors questionnaire. This questionnaire include 2 parts, part one was demographic data and part two, assess influencing factors of medication errors in six domain. Results: Results showed that the half of participants (49.9% had medication errors in acquaintance and the most error in dosage (37.7% and then type of drugs(27.7%. 73.3% of participants reported their errors and in unreported cases the most cause was fear of managers. According to participants attitude factors that interfering to medication errors were physicians factor, including illegible order in patient file (24.94%, nurses factors including, incorrect documentation (24.38%, interpersonal relationship (19.45%, inappropriate environment (15.3%, knowledge deficit and lack of experience (11.23% and stressful events (4.66%. No statistical significant correlation between situation of job and shift work. Conclusion: Results show that medication errors are common and human factors are the most factors in these errors.

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

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    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

  12. The use of psychiatric medications to treat depressive disorders in African American women.

    Science.gov (United States)

    Jackson, Allesa P

    2006-07-01

    Review of the current literature confirms that African American women as a group are underdiagnosed and undertreated for psychiatric disorders. Hence, much effort is targeted towards awareness, screening, and improving access to health care for this population. However, once an African American woman is diagnosed with a major mental health disorder, determining the optimal course of treatment is a process that must be approached carefully because of gender and racial/ethnic differences in response and metabolism of psychiatric medications. African American women fall into both of these understudied categories. Given the small numbers of African American women represented in the clinical trials on which clinical practice is based, one must consider the limitations of current knowledge regarding psychoactive medications in this population. Culturally based attitudes or resistance to pharmacotherapy can complicate the use of psychoactive medicines, often a first-line approach in primary care clinics. Communication with patients is key, as well as openness to patient concerns and tolerance of these medications.

  13. 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.

  14. 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.

  15. 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.

  16. Proposal for the conclusion of a partnership agreement, without competitive tendering, for the management of medical emergencies on the CERN site and the training of CERN's medical staff and firefighters in emergency situations

    CERN Document Server

    2014-01-01

    Proposal for the conclusion of a partnership agreement, without competitive tendering, for the management of medical emergencies on the CERN site and the training of CERN's medical staff and firefighters in emergency situations

  17. Building Trusting Relationships in the Medical Practice Team: Thirty Rules to Live By for You and Your Staff.

    Science.gov (United States)

    Hills, Laura

    2015-01-01

    A medical practice team without trust isn't really a team; it's just a group of individuals who work together in a medical practice, often making disappointing progress. This is true no matter how capable or talented the individuals are. Your staff may never reach its full potential if trust is not present. This article offers medical practice managers 30 rules for building trust in their practices: 15 rules that will help them in their leadership roles, and 15 rules to teach and discuss with their employees. It suggests a trust-building screening question to include in job interviews to determine if applicants have a high capacity for trust. It also describes Reina and Reina's "Three C's of Trust," a model that practice managers may find useful as they develop trust competencies in their staffs. This article also includes 10 inspiring quotes that will help medical practice employees build trust and five easy-to-facilitate trust-building exercises that managers can use with the medical practice team.

  18. [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.

  19. 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

  20. 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.

  1. Prevalence and related factors of post-traumatic stress disorder among medical staff members exposed to H7N9 patients

    Directory of Open Access Journals (Sweden)

    Liling Tang

    2017-01-01

    Conclusion: The PTSD level of doctors and nurses after their exposure to H7N9 patients was high, which warrant further research. Health and medical institutions should pay attention to the physical and psychological health of these staff members.

  2. 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.

  3. Stainable hepatic iron in 341 African American adults at coroner/medical examiner autopsy

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    Acton Ronald T

    2005-01-01

    Full Text Available Abstract Background Results of previous autopsy studies indicate that increased hepatic iron stores or hepatic iron overload is common in African Americans dying in hospitals, but there are no reports of hepatic iron content in other cohorts of African Americans. Methods We investigated the prevalence of heavy liver iron deposition in African American adults. Using established histochemical criteria, we graded Perls' acid ferrocyanide-reactive iron in the hepatocytes and Kupffer cells of 341 consecutive African American adults who were autopsied in the coroner/medical examiner office. Heavy staining was defined as grade 3 or 4 hepatocyte iron or grade 3 Kupffer cell iron. Results There were 254 men and 85 women (mean age ± 1 SD: 44 ± 13 y vs. 48 ± 14 y, respectively; p = 0.0255; gender was unstated or unknown in two subjects. Approximately one-third of subjects died of natural causes. Heavy staining was observed in 10.2% of men and 4.7% of women. 23 subjects had heavy hepatocyte staining only, six had heavy Kupffer cell staining only, and one had a mixed pattern of heavy staining. 15 subjects had histories of chronic alcoholism; three had heavy staining confined to hepatocytes. We analyzed the relationships of three continuous variables (age at death in years, hepatocyte iron grade, Kupffer cell iron grade and two categorical variables (sex, cause of death (natural and non-natural causes in all 341 subjects using a correlation matrix with Bonferroni correction. This revealed two positive correlations: hepatocyte with Kupffer cell iron grades (p Conclusions The present results confirm and extend previous observations that heavy liver iron staining is relatively common in African Americans. The pertinence of these observations to genetic and acquired causes of iron overload in African Americans is discussed.

  4. SURVEY ON HAND HYGIEN STATUS OF MEDICAL STAFF%医务人员手卫生现状观察

    Institute of Scientific and Technical Information of China (English)

    袁明; 李冬梅

    2011-01-01

    Objective To know the hand hygiene status of medical staff, and put forward the management. Methods Stratified random sampling and questionnaire survey were used to investgated the quality of hand hygiene of 372 medical staffs in 56 medical institute of this district. Results Of 372 medical staff, 54.8% master the concept of hand hygiene,51.6% wash their hands with "six step wash method, 29.3% understand thehand hygiene standards. The influencing factor of hand hygiene compliance were inadequate hand - washing equipment, improper hand - washing supplies, lack of knowledge of hand hygiene, etc. Using soap and fluid water, the average clearance rate of natural bacteria on surface was 71.5%. Conclusion The quality rate of medical staff hand hygiene in hospital ih Daxing District is low. And we recommend to increase the scientifical hand -washing equipment, strengthen monitor and supervision.%目的 了解本区医疗机构医务人员手卫生现况,针对存在的问题制定管理对策.方法 采用分层随机抽样和问卷调查方法,对该区56家医疗机构的372名医务人员手卫生质量进行了调查.结果 在本次调查的372名医务人员中,能掌握手卫生概念者占54.8%;能正确采用六步洗手法洗手者占51.6%;了解手卫生标准的医务人员占29.3%.影响医务人员手卫生依从性的因素主要有洗手设备不足和配置不合理,洗手用品选择不当,缺乏手卫生知识等.医务人员手用肥皂加流动水清洗,对手表面自然菌平均清除率为71.5%.结论 该区医疗机构医务人员手卫生质量合格率较低,管理中存在的问题较突出,建议科学配置洗手设施和加大监督监测力度.

  5. [Euthanasia of patients in coma vigil. Results on German medical staff attitudes].

    Science.gov (United States)

    Böttger-Kessler, G; Beine, K H

    2007-07-01

    An examination was made concerning doctors' and nursing staff's attitudes towards active euthanasia of patients suffering from coma vigil (2652 doctors and 5785 nursing staff were interviewed). This investigation made clear that most of the persons asked about this group of patients voted for a change in German laws following the Dutch example. There were noticeable differences observed between the professional groups. A majority (64.79%) were convinced that under certain circumstances it is justified to end intentionally the life of persons in a coma vigil. Of the nursing staff, 70.38% were in favour of this attitude, and 51.53% of the doctors share this opinion. Certain groups supported the question of active euthanasia more clearly than others. These were young participants in the investigation, first-time employees, nondenominational interviewees, those who are dissatisfied with their job situation, who are from the newly-formed German states, and who are divorced. The attitudes expressed by all these people originate in many different motives: thoughts about the patients, aspects concerning jobs, and personal aspects had an influence on results of the investigation. This single investigation which was restricted to patients suffering from coma vigil and to employees of the public health service, does not prove that the total population has generally changed its attitude toward active euthanasia. It is impossible to justify the necessity of new laws about euthanasia based on the above results.

  6. 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…

  7. AWARENESS ABOUT ANESTHESIA AND ANESTHESIOLOGIST AM ONG THE PARAMEDICAL STAFFS OF S N MEDICAL COLLEGE, BAGALKOT (KARNATAKA

    Directory of Open Access Journals (Sweden)

    Hiremath

    2013-10-01

    Full Text Available ABSTRACT: BACKGROUND : The more advancing and life saving specialty and specialist i.e ., anesthesia and ane sthesiologists, both have been kept behind the screen, more so in developing countries. Though the role of anesthesiologist is crucial, the public knowledge of anesthetic practice is limited. The present day anesthesiologist is based on the use of newer a nd safer drugs, better patient monitoring, pain management, labour analgesia and critical care. OBJECTIVES : This study was designed to assess the knowledge about the role of anesthesia and anesthesiologist among the paramedical staff at S.N medical college , Bagalkot. METHODOLOGY : This prospective questionnaire based study was done at S.N medical college and hospital among paramedical staffs working in different departments after taking the consent and approval of the ethical committee. Data was collected by pretested and predesigned questionnaire from 105 study participants. A majority of 90.28% of respondents felt that anesthesia was necessary for surgery. 40.80% knew that it was given by anesthesiologists. 18.38% of respondents knew that besides anaestheti zing, anesthesiologists monitor the vital signs till the completion of surgery. 5.60%, 9.11% & 3.8% of respondents were aware of their role in ICU, labor analgesia and pain clinic respectively. Only 22.81% patients had knowledge about anesthesia risks give n in consent form. The statistical association between past exposure to anesthesia and knowledge about anesthesia was not significant (p <0.1 . CONCLUSION : Anesthesiologist work mainly in the operation theatre and to some extent monitor the patient in the post operative ward for pain management and nausea vomiting, headache, etc. The role inside the theater & expanding role outside the theater poorly known. The awareness about the role of anesthesiologist in operation theater intensive care unit labor analg esia acute and chronic pain management and emergency care areas and

  8. The hemorrhagic fevers of Southern Africa with special reference to studies in the South African Institute for Medical Research.

    OpenAIRE

    1982-01-01

    In this review of studies on the hemorrhagic fevers of Southern Africa carried out in the South African Institute for Medical Research, attention has been called to occurrence of meningococcal septicemia in recruits to the mining industry and South African Army, to cases of staphylococcal and streptococcal septicemia with hemorrhagic manifestations, and to the occurrence of plague which, in its septicemic form, may cause a hemorrhagic state. "Onyalai," a bleeding disease in tropical Africa, o...

  9. 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.

  10. [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.

  11. 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.

  12. Evaluation of the Relationship between Workaholism, Organizational Silence, and Burnout in Staff of Mazandaran University of Medical Sciences in 2014

    Directory of Open Access Journals (Sweden)

    fatemeh arab

    2016-03-01

    Full Text Available Introduction and Purpose: Workaholism can be enjoyable, but at the same time, frustrating  and problematic with positive and negative repercussions. This study aimed to investigate the relationship of workaholism and organizational silence with burnout in staff of Mazandaran University of Medical Sciences. Methods: This descriptive, correlational study was performed in 302 individuals selected through stratified random sampling. The data collection tools included Workaholism Analysis Questionnaire (Spence and Robbins, 1992, organizational silence  questionnaire (Hashushian, 2013, and Maslach Burnout Inventory (Maslash and Jackson, 1981. To analyze the data, descriptive and inferential statistics (Pearson’s correlation coefficient test and regression analysis were performed, using SPSS version 20. Results: The mean of workaholism, organizational silence, burnout, and organizational commitment were 3.57±0.46, 2.89±0.71, 2.12±0.75, and 4.18±0.73, respectively. There was a significant inverse relationship between workaholism and burnout, while there was a significant direct association between organizational silence and burnout. Conclusion: Considering our results regarding workaholism, organizational silence, burnout, and organizational commitment, designing and implementing training programs for staff to promote their awareness regarding these concepts can be beneficial.

  13. [Automatization of the monitoring of medical staff--the basis of their continued professional education].

    Science.gov (United States)

    Bulatov, M R; Koshelev, V P; Matvienko, V V; Kostiuchenko, O M; Riabinkin, V V; Zakharov, S G

    2012-02-01

    Some reasons preventing realization of a principle of vocational training of the medical personnel of health service BC the Russian Federation, including the expense of insufficient efficiency of planning of formation are considered in the article. Recommendations about working out of the personnel register are given.

  14. 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

  15. Laughing Gas in a Pediatric Emergency Department-Fun for All Participants: Vitamin B12 Status Among Medical Staff Working With Nitrous Oxide.

    Science.gov (United States)

    Staubli, Georg; Baumgartner, Matthias; Sass, Jörn Oliver; Hersberger, Martin

    2016-12-01

    The efficiency of nitrous oxide in an equimolar mixture with oxygen or in concentrations up to 70% is approved for short painful procedures. Evaluation of the vitamin B12 levels in anesthetic staff applying nitrous oxide showed reduced vitamin B12 plasma levels. This study examines the vitamin B12 status of medical staff working with nitrous oxide in a pediatric emergency department (ED). Medical staff of the ED at the University Children's Hospital Zurich participated. The vitamin B12 status was evaluated by measuring homocysteine, methylmalonic acid, vitamin B12, blood count, and the MTHFR C677T genotype. As a control group, medical personnel working in the "nitrous oxide-free" pediatric intensive care unit were recruited.

  16. 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.

  17. Investigating the Relationship between Employees' Psychological Empowerment with Their Mental Health in Headquarters Staff of Tabriz University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Ghader Parshak

    2015-09-01

    Full Text Available ​Background and Objectives : The aim of this study was to determine the relationship between employees' psychological empowerment with their mental health in headquarters staff of Tabriz University of medical sciences. Study population consisted of all the employees working in headquarters section with a total number of 215 in 2014. Material and Methods : For sampling, stratified sampling method was used. Sample size was estimated 170 participants according to (Krejcie & Morgan table which consisted of 80 female and 90 male. The research method is descriptive –correlation. For data collecting, standard psychological capability questionnaire (PEQ and General Health Questionnaire (GHQ. Results : Data analysis showed that there is a meaningful relationship between three items of psychological capability (competence-reliance-the right of choice and mental health, while there is no meaningful relationship between the sense of being effective and mental health. Also, according to the multiple regression, competence, reliance and the right of choice items have a meaningful effect on mental health and based on standardized coefficient (beta coefficient, the right of choice, competence and reliance have the most effects on the employees’ mental health respectively. Conclusion : Mental health depends on thinking, feeling and behavior of individuals. In general, people who are mentally healthy, have a positive attitude on life and are prepared to face challenges in life, have good feeling about themselves and others and are responsible towards their relationship and in the workplace. In this study, employees' psychological empowerment of headquarters staff of Tabriz University of medical sciences may predict their mental health.

  18. Tuberculosis and Migration: A Challenge for Medical Staff and Public Health

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    Ines Griesshammer

    2016-01-01

    Full Text Available A high number of asylum seekers enter Switzerland every year. They often originate from countries with a high TB prevalence. Our patient from Somalia presented with 2 lipoma-like tumors with pain on palpation on his left chest wall but no symptoms including coughing, fever, night-sweats, or loss of weight. CT scan then showed diffuse infiltrations of his lung and multiple abscesses on his left chest wall. Therefore contagious tuberculosis (TB was suspected and the patient was put in isolation. In the follow-up the diagnosis of open TB was proofed with bronchial secretion and EBUS-guided biopsy that showed acid-fast rods. This particular case shows how difficult the identification of patients with open TB can be, especially if there are no respiratory or systemic symptoms. Therefore awareness of possible infectious disease is paramount for ED Doctors treating patients from countries with high prevalence. Early and strict isolation measures can help to reduce risk of contagion among staff and patients.

  19. 泛在信息社会下医务人员的信息素养%Information literacy of medical staff in ubiquitous information society

    Institute of Scientific and Technical Information of China (English)

    苏宏权; 杨继红

    2014-01-01

    After a description of the connotation and features of ubiquitous information society and the connotation and components of information literacy of medical staff in ubiquitous information society, the approaches were put forward for training and improving the information literacy of medical staff in ubiquitous information society.%阐述了泛在信息社会的内涵及特征、泛在信息社会下医务人员信息素养的内涵和构成,提出了在新的环境下培养和提高医务人员信息素养的途径。

  20. 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

  1. 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.

  2. Considering effect of organizational identity and commitment on job performance of staff of Guilan University of medical science regarding mediating role of organizational citizenship behavior

    Directory of Open Access Journals (Sweden)

    Fereshteh Ebrahimzadeh

    2016-12-01

    Full Text Available The main goal of this research is studying the effect of organizational commitment and identity on job performance of staff of Guilan University of medical science regarding mediating role of organizational citizenship behavior. Current research is descriptive and its goal is applied and method of data collection is field and its tool is questionnaire. In current research considering statistical society are staff of Guilan University of medical science about 540 people. Regarding the whole number of statistical society and Morgan table number of sample volume are 224 people that 550 questionnaires were distributed by using simple random sampling. Finally 226 questionnaires were collected from staff and information wereanalyzed. Result showed that organizational commitment, organizational identity an organizational citizenship behavior has positive and direct effect on job performance of staff. Also occurrence of organizational citizenship behavior cansincrease severity of effect of identity and commitment of organization on job performance of staff. Organizations can increase job performance of staff by using result of this research and seeming positive effect of organizational commitment and identity and citizenship behavior and strengthening each one and lead in the direction of organizational goals.

  3. 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

  4. Risk analysis using fuzzy set theory of the accidental exposure of medical staff during brachytherapy procedures.

    Science.gov (United States)

    Castiglia, F; Giardina, M; Tomarchio, E

    2010-03-01

    Using fuzzy set theory, this paper presents results from risk analyses that explore potential exposure of medical operators working in a high dose rate brachytherapy irradiation plant. In these analyses, the HEART methodology, a first generation method for human reliability analysis, has been employed to evaluate the probability of human error. This technique has been modified on the basis of fuzzy set concepts to take into account, more directly, the uncertainties of the so-called error-promoting factors on which the method is based. Moreover, with regard to some identified accident scenarios, fuzzy potential dose was also evaluated to estimate the relevant risk. The results also provide some recommendations for procedures and safety equipment to reduce the occurrence of radiological exposure accidents.

  5. [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.

  6. 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

  7. 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.

  8. 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。

  9. Is social capital as perceived by the medical director associated with coordination among hospital staff? A nationwide survey in German hospitals.

    Science.gov (United States)

    Gloede, Tristan D; Hammer, Antje; Ommen, Oliver; Ernstmann, Nicole; Pfaff, Holger

    2013-03-01

    Effective coordination among all members of hospital staff has been shown to be associated with better quality of care. The literature indicates that social capital, a form of organizational resource, may facilitate the task of coordination. However, to the best of our knowledge, no study has yet examined this link within a healthcare setting. Thus, the objective of this study was to analyze the relationship between social capital and coordination among hospital staff, as perceived by the medical director being a key informant of the hospital. In 2008, we surveyed the medical directors of 1224 German hospitals by the use of a standardized questionnaire. We conducted stepwise multivariate linear regression and controlled for hospital size, ownership and teaching status. In total, 551 medical directors (45%) responded to the survey. We found social capital to be a significant predictor of coordination (β = 0.444, p social capital can be associated with better coordination among members of hospital staff, as perceived by the medical director. Therefore, investment in social capital may facilitate better organization of work processes in hospitals and may therefore help to improve patient outcomes. However, longitudinal studies are needed in order to explain the causal relationship between social capital and coordination among hospital staff.

  10. Factors influencing biosafety level and lai among the staff of medical laboratories

    Directory of Open Access Journals (Sweden)

    Anna Kozajda

    2013-08-01

    Full Text Available Background: The aim of the study was to assess the biological risks of medical laboratory employees with particular focus on laboratory acquired infection (LAI, activities having the greatest risk, accidents with biological material, post exposure procedure, preventive measures and workers' knowledge about biological exposure. Materials and Methods: The study involved 9 laboratories. A questionnaire survey was attended by 123 employees and 9 heads of these units with the use of two questionnaires for laboratory workers and the managers. Results: 32.5% of the respondents (40 persons had an accident at least once. Needlestick or a broken glass injury covered 18.7% respondents (23 persons, while splashing the skin, mucous membranes or conjunctivae related to 22.8% (28 persons. Among the employees who had an accident, only 45% of the respondents (18 persons reported this to the manager. Microbes dominant in the biological material were known only to 57 respondents (46.3%, less than half could correctly give an example of a disease (57 persons, 46.3%. More than half of the respondents admitted that they do not know all of the possible routes of infection while working in the laboratory (68 persons, 55.3%. Conclusions: In the study population, a high incidence of accidents was observed, usually during blood sampling and transfer of biological material. Condition of the workers' equipment with personal protective measures and laboratory facilities in devices to reduce the risk of infection and procedures for handling the potentially infectious material should be considered as insufficient. Lack of basic knowledge of the employees about biohazards at workplaces was shown. Med Pr 2013;64(4:473–486

  11. 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.

  12. ANALYSIS OF MEDICAL STAFF'S PARTICIPATION INTO PHYSICAL TRAINING%临床医护人员体育锻炼现状调查与分析

    Institute of Scientific and Technical Information of China (English)

    江洪

    2011-01-01

    [Objective] To find out the situation and influential factors of medical staff's participation into physical train ing in Henan. [Methods] The data were processed by SPSS 10.0 statistical software. [Results] The research result showed that medical staff's attitude to physical training was positive, but their behaviors lagged behind. Medical staff's physical training at different ages had prominent differences in frequency, time, experience and load (P <0.001). [Conclusion] It is a poor situation that the medical staffs participate into physical training, so it is urgent to take all kinds of intervening measures to im prove the medical staff' s quality of life.%[目的]了解河南省医护人员参加体育锻炼的现状及影响因素.[方法]采用自行设计参加体育锻炼的现状及影响因素的问卷进行调查,数据经SPSS 10.0统计软件处理.[结果]大多数医护人员对体育锻炼认知态度积极,但锻炼行为滞后,不同年龄段的医护人员在参加体育锻炼的频率、时间、经历、负荷方面存在显著性差异(P<0.001).[结论]医护人员参加体育锻炼的目的明确,参与率偏低,存在工作量大、精神压力大的现象;体育锻炼场地、器材短缺,无人指导;医院应采取各种预防干预措施,提高医护人员的生活质量.

  13. 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.

  14. The Relationship Between Burnout Syndrome Among the Medical Staff and Work Conditions in the Polish Healthcare System.

    Science.gov (United States)

    Głębocka, Alicja

    2016-12-31

    Psychologists emphasize that people employed in social service organizations are vulnerable to chronic stress and burnout syndrome caused by a close and unsatisfied interpersonal relationship. However, emotional exhaustion, depersonalization, and a feeling of diminished personal accomplishment can be attributed to other external factors. One of them is poor living and occupational conditions. According to a report by OECD, the healthcare system in Poland is the worst among the member countries. The aim of the present study was to define the relationship between occupational burnout and the rating of the Polish healthcare system among the medical staff. The study included 224 participants. The Maslach Burnout Inventory and the Dehumanized Behavior and the Głębocka and Rużyczka scale of Behavioral Indicators of Patient's Dehumanization were applied. The evaluations of the healthcare system were also collected. The results demonstrate that physicians were the group of most emotionally exhausted and, simultaneously, most life-satisfied persons, while nurses presented the highest level of dehumanization and the lowest level of satisfaction from life achievements. Only did physicians evaluate the healthcare system as a relatively good one. They were also more tolerant of latent dehumanization. A relationship between the dimensions of burnout and the evaluation of healthcare system were observed. The emotionally exhausted or prone to dehumanization persons were more likely to evaluate the Polish healthcare system negatively.

  15. 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。

  16. 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.)

  17. 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.

  18. 医务人员洗手现状分析与方法探讨%Analysis of the hand-washing situation and method in medical staff

    Institute of Scientific and Technical Information of China (English)

    陈明纯; 林伟青; 肖惠兰

    2009-01-01

    Objective To investigate the situation of hand-washing method in medical staff, and try to find the best way and improvement of hand-washing to medical staff. Methods Hand-washing methed of medical staff was observed. The bacterial clearance rate and qualified rate were compared in three hand-washing ways: with ,soap, or after hand-washing with lodophor, or fast speed hand disinfectant. Results The result of fast speed hand disinfectant was the best. Its qualified rate and bacterial clearance rate were 100% and 97.1% respctively. The rates of the method after hand-washing with lodophor were 97.8% and 95.7%respctively. The rates of method with soap were 96.1% and 90.2% respctively. Conclusions The situation of hand-washing in medical staff is not satisfactory, and needs to be improved by the medical training and facilities improvement. It is convenient to wash hands by the method of fast speed hand disinfec-tant, and can improve the compliance of medical staff and decrease the rates of nosocomial infection.%目的 了解医务人员洗手现状,探讨有效的洗手方式和促进措施.方法 采用现场观察医务人员洗手现状和榆测肥皂普通洗手、普通洗手+碘伏及快速手消毒液洗手方式的除菌率和合格率,并进行比较分析.结果 快速手消毒液洗手效果最好,除菌率97.1%、合格率为100%;其次为普通洗手+碘伏,除菌率95.7%、合格率97.8%;肥皂普通洗手除菌率90.2%、合格率96.1%.结论 医务人员洗手现状不容乐观,需加强培训教育,改善洗手设施.消毒液擦手方便、有效,可提高医务人员手卫生依从性,降低医院感染的发生.

  19. 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。

  20. 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.

  1. A New Approach to Identify High Burnout Medical Staffs by Kernel K-Means Cluster Analysis in a Regional Teaching Hospital in Taiwan

    Directory of Open Access Journals (Sweden)

    Yii-Ching Lee PhD

    2016-11-01

    Full Text Available This study uses kernel k-means cluster analysis to identify medical staffs with high burnout. The data collected in October to November 2014 are from the emotional exhaustion dimension of the Chinese version of Safety Attitudes Questionnaire in a regional teaching hospital in Taiwan. The number of effective questionnaires including the entire staffs such as physicians, nurses, technicians, pharmacists, medical administrators, and respiratory therapists is 680. The results show that 8 clusters are generated by kernel k-means method. Employees in clusters 1, 4, and 5 are relatively in good conditions, whereas employees in clusters 2, 3, 6, 7, and 8 need to be closely monitored from time to time because they have relatively higher degree of burnout. When employees with higher degree of burnout are identified, the hospital management can take actions to improve the resilience, reduce the potential medical errors, and, eventually, enhance the patient safety. This study also suggests that the hospital management needs to keep track of medical staffs’ fatigue conditions and provide timely assistance for burnout recovery through employee assistance programs, mindfulness-based stress reduction programs, positivity currency buildup, and forming appreciative inquiry groups.

  2. 社区医务人员新职工岗前培训效果分析%Effect of Pre-job Training of the Community Medical Staff

    Institute of Scientific and Technical Information of China (English)

    王洪兴; 张韬

    2013-01-01

    Objective To evaluate the effect of pre - job training of medical staff in a community health center ( CHC ) in Shanghai. Methods The pre -job training of new medical staff in Huinan CHC from 2006 to 2011 was retrospectively evaluated. Results A total of 82 new staff underwent the pre - job training. The training was carried out twice a year and lasted for one week each time. The training had five stages: preparation, training, evaluation, follow-up, and feedback. The content mainly focused on community health service prospect, professional skills, interpersonal relationships ( with colleagues and patients ), and career plan. The pre - job training enabled the new staff quickly join the medical team with enhanced service consciousness and skills. Conclusion The pre - job training enhances the professionalism of new medical staff of CHC and ensures the sustainable development of community health service.%目的 评价了解新职工岗前培训效果,探索岗前培训模式.方法 回顾分析2006-2011年惠南社区卫生服务中心岗前培训情况.结果 新进职工82人,主要是刚毕业和调入本单位的新职工.培训分为准备、培训、考核、追踪、反馈五个阶段.培训内容主要由四部分组成:(1)展望社区卫生服务发展前景;(2)提高社区卫生服务专业技能;(3)正确处理与患者和同事之间的关系;(4)规划职业发展,增强职业幸福感.新职工很快融入服务团队,强化服务意识,掌握服务技能,增强职业荣誉感.结论 重视岗前培训,强化新职工职业意识,能减少社区卫生人员流失,保证社区卫生服务持续开展.

  3. 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.

  4. 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

  5. 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.

  6. 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

  7. 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

    2017-01-01

    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 (P<.05). Expectation of care and social support are important factors for developing interventions to increase medication adherence among blacks. PMID:26593105

  8. 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 (PExpectation of care and social support are important factors for developing interventions to increase medication adherence among blacks.

  9. Knowledge of Staff Members of Residential Care Facilities for Individuals with Intellectual Disability on Medication Administration via Enteral Feeding Tube

    Science.gov (United States)

    Joos, E.; Mehuys, E.; Van Bocxlaer, J.; Remon, J. P.; Van Winckel, M.; Boussery, K.

    2016-01-01

    Background: Guidelines for the safe administration of drugs through enteral feeding tube (EFT) are an important tool to minimise the risk of errors. This study aimed to investigate knowledge of these guidelines among staff of residential care facilities (RCF) for people with ID. Method: Knowledge was assessed using a 13-item self-administered…

  10. 医疗纠纷后医务人员心理健康状况调查#%Survey on Mental Health Status of Medical Staff after the Medical Dispute

    Institute of Scientific and Technical Information of China (English)

    虎文燕; 尹科; 续小霞

    2016-01-01

    Objective: To analyze the mental health status of medical staff after medical disputes,and to study the methods of improving the psychological coping ability of medical staff.Methods:In Nov ~2015 year in Feb 2014 in our hospital outpatient,inpatient department occurred and the medical dispute events of 40 cases,divided into observation group and control group.The scores of the two groups of medical staff on the psychological health status were compared. Results:Two groups of medical personnel SCL symptom self rating scale List-90 score comparison,observation group medical personnel somatization,interpersonal sensitivity,depression,anxiety,hostility,and mental disease of were significantly higher than those of control group,compared to the test,P<0.05,with statistical significance.Conclusion:The psychological health of medical staff in medical disputes will be affected greatly by negative impact and influence,which can cause adverse psychological crisis.%目的:分析医疗纠纷后医务人员的心理健康状况,并对提高医务人员心理应对能力的方法进行研究与应用。方法:选择2014年2月~2015年11月在我院门诊、住院部发生和未发生医疗纠纷事件的医务人员各40例,分为观察组和对照组。对比观察两组医务人员在心理健康状况方面的评分结果差异。结果:两组医务人员SCL症状自评量表-90评分对比,观察组医务人员躯体化、人际关系敏感、抑郁、焦虑、敌对、以及精神病性均显著高于对照组,对比经检验,P<0.05,具有统计学意义。结论:医疗纠纷后医务人员心理健康会受到极大程度的负面冲击和影响,造成不良心理危机状态,应通过加强指导的方式改善医务人员的心理状况。

  11. 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

  12. 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 .

  13. 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.

  14. ٍEffective factors on the Incidence of medication errors from the nursing staff perspective in various department of Fasa Hospital

    Directory of Open Access Journals (Sweden)

    Mostafa Bizhani

    2013-06-01

    Full Text Available  Background and Objective: The incidence of medical errors is deemed one of the unavoidable cases of serious threats to the health and safety of patients. This study aimed to determine the factors influencing medication errors from the perspective of the nursing staff. Materials and Methods: This descriptive -analytic study recruited 80 nurses working in various wards in Fasa Hospital. The nurses were selected via the availability sampling method, and their perspective on factors affecting medication errors was gathered using a questionnaire designed for this study. The data were analyzed with SPSS-15 software.   Results: The most important causes of medication errors were work fatigue, low nurse-to-patient ratio, long working hours, high density of work in units, and doing other tasks. Other variables such as age and gender as well as factors effective on the incidence of medication errors are mentioned in the full text. Conclusion: From the nurses’ standpoint, workload and the patient-to-nurse ratio were the most significant factors leading to medication errors.

  15. 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.

  16. Development of novel medications for drug addiction. The legacy of an African shrub.

    Science.gov (United States)

    Glick, S D; Maisonneuve, I M

    2000-01-01

    Ibogaine, one of several alkaloids found in the root bark of the African shrub Tabernanthe iboga, has been claimed to be effective in treating multiple forms of drug abuse. Problems associated with side effects of ibogaine have spawned a search for more effective and safer structural derivatives. 18-Methoxycoronaridine (18-MC), a novel iboga alkaloid congener, appears to have substantial potential for broad use as an anti-addictive therapy. Like ibogaine (40 mg/kg), 18-MC (40 mg/kg) decreases the intravenous self-administration of morphine and cocaine and the oral self-administration of ethanol and nicotine in rats; unlike ibogaine, 18-MC does not affect responding for a non-drug reinforcer (water). Ibogaine and 18-MC appear to reduce the reinforcing efficacies, rather than the potencies, of drugs of abuse. Both ibogaine and 18-MC decreases extracellular levels of dopamine in the nucleus accumbens while only ibogaine increases serotonin levels in this brain region. Both ibogaine and 18-MC block morphine-induced and nicotine-induced dopamine release in the accumbens; only ibogaine enhances cocaine-induced increases in dopamine levels. Ibogaine produces whole body tremors and, at high doses (at least 100 mg/kg), cerebellar damage; 18-MC does not produce these effects. Ibogaine, but not 18-MC, causes bradycardia at high doses. Ibogaine and its metabolite noribogaine have low microM affinities for kappa and mu opioid receptors, NMDA receptors, 5HT-3 receptors, sigma-2 sites, sodium channels and the serotonin transporter. 18-MC has low microM affinities at all three opioid receptors and at 5HT-3 receptors but much lower or no affinities for NMDA and sigma-2 receptors, sodium channels, and the 5HT transporter. Both 18-MC and ibogaine are sequestered in fat and, like ibogaine, 18-MC probably has an active metabolite. 18-MC also has (+) and (-) enantiomers, both of which are active. Considered together, all of the data indicate that 18-MC should be safer than ibogaine and

  17. INVESTIGATION ON STATUS OF HAND HYGIENE MEASURE PERFORMANCE OF MEDICAL STAFFS%医护人员手卫生措施执行现状分析

    Institute of Scientific and Technical Information of China (English)

    毛惠珍; 赵兴; 杨宝忠; 李晓琴; 鞠光亚

    2011-01-01

    Objective To know the status of hand hygiene measure performance in clinical medical staffs, and explore effective method to improve the rate of hand hygiene implementation.Methods Questionnaire survey was used to compared and observe the hand hygiene measure performance actuality of our medical staffs before and after hand hygiene knowledge trained.Results Before hand hygiene knowledge training, the realizing rate of the six step hand - washing method of medical staffs was 49.42%, the realizing rate of the hand disinfectant was 38.76%, the realizing rate of handwashing section was 40.12%, the rate of hand hygiene implementation was 23.32%.After training the rate of which were 94.19%, 95.93%, 97.29% and 57.51% respectively.Conclusion Medical staffs know little about hand hygiene.The realizing and execution rate of the hand hygiene knowledge were improved distinctly by special training, which effectively increase the rate of hand hygiene measure performance.%目的 了解临床医护人员手卫生措施执行现状,探讨提高手卫生执行率的方法.方法 采用问卷调查的方法,对本医院医务人员开展手卫生知识培训前后手卫生措施执行情况作比较观察.结果 培训之前,医护人员对六步洗手法知晓率为49.42%,对手消毒剂知晓率为38.76%,洗手指征知晓率为40.12%,手卫生执行率为23.32%.培训之后,医护人员对六步洗手法知晓率为94.19%,对手消毒剂知晓率为95.93%,洗手指征知晓率为97.29%,手卫生执行率为57.51%.结论 医务人员对手卫生知识了解甚少,经过专项培训明显提高了手卫生知识的知晓率和执行率,为提高手卫生措施执行率提供保障.

  18. 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)

  19. 重症监护病房医护人员洗手方法的调查%Investigation on Hand-washing Methods of ICU Medical Staff

    Institute of Scientific and Technical Information of China (English)

    欧阳玲; 王楠; 王志彬; 姚一; YAOYi

    2011-01-01

    [Objective] To know the status of hand-washing methods of ICU medical staff in No. 174 Hospital of PLA, improve the correct rate of hand-washing, and strengthen the prevention and isolation measures for nosocomial infection. [Methods] Using field inspection arid questionnaire survey, the hand-washing methods of ICU medical staff were investigated. [Results] The total implementation rate of hand-washing indications in ICU was 68. 9% . The hand-washing implementation rate before aseptic operation, after invasive operation and after contacting blood and secretion was 86. 0% , 92. 0% and 100. 0% , respectively. 73. 7% of medical staff washed their hands with correct method, and 42.0% washed their hands with enough time. The main causes of low correct rate of hand-washing were shortage of education about related knowledge, and lack of supervision and monitoring systems. [Conclusion]The implementation rate of main hand-washing indications among ICU medical staff was high, but the correct rate of hand-washing methods needs to be improved.%目的 了解解放军第174医院重症监护病房医务人员卫生洗手方法的情况,提高洗手的正确性,加强医院感染预防隔离措施.方法 采用现场检查和问卷调查方法,对重症监护病房医务人员洗手方法进行调查.结果 重症监护病房洗手指征总执行率为68.9%,在执行无菌操作之前和侵入性操作之后以及接触血液分泌物之后洗手执行率依次为86.0%、92.0%和100.0%.洗手方法正确者占73.7%,洗手达到规定时间者只占42.0%.洗手正确率低的原因主要是未进行相关知识教育,缺乏监督监测制度.结论 重症监护病房医务人员洗手主要指征执行率相对较高,但洗手方法的正确性有待提高.

  20. African American Women's Perceptions and Attitudes Regarding Participation in Medical Research: The Mayo Clinic/The Links, Incorporated Partnership

    Science.gov (United States)

    Brewer, LaPrincess C.; Parker, Monica W.; Balls-Berry, Joyce E.; Halyard, Michele Y.; Pinn, Vivian W.; Radecki Breitkopf, Carmen

    2014-01-01

    Abstract Objective: To examine perceptions and attitudes toward health-related research participation among professional African American women. Methods: Participants were members of an African American women's service organization, The Links, Incorporated. Data were collected via self-administered questionnaires at The Links, Incorporated 2012 National Assembly. Sociodemographics, prior research experience, intention to participate (ITP), willingness to participate (WTP) in a variety of research studies and attitudes about research participation were measured. Results: A total of 381 surveys were analyzed. A majority of respondents were married (66%), employed (69%), and college educated (96%). Median age was 59; 38% reported prior research participation. Overall, 78% agreed with the statement, “Participation in research will mean better care,” 24% agreed “Participation in research is risky” and 3% agreed “Scientists cannot be trusted.” Fifty-two percent agreed with the statement, “Research conducted in the U.S. is ethical.” Mean ITP in research was 4.9±1.7 on a rating scale of 1 (“definitely no”) to 7 (“definitely yes”). WTP was highest for an interview study and providing a blood sample, and lowest for clinical trial and medical record review. Conclusion: Attitudes toward research participation were generally favorable among professional African American women; many expressed WTP in a variety of research study types. PMID:25046058

  1. 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.

  2. 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 ...

  3. 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

  4. African-Americans' perceptions of health care provider cultural competence that promote HIV medical self-care and antiretroviral medication adherence.

    Science.gov (United States)

    Gaston, Gina B

    2013-01-01

    Most studies of cultural competence in healthcare examine healthcare providers' definitions of cultural competence practices. This study is unique in that it examines the relationship between African-American patients' perceptions of the cultural competence of their HIV healthcare providers and the adherence of these patients to medical self-care and antiretroviral therapy (ART). This cross-sectional, exploratory, descriptive study was conducted at the Ruth Rothstein CORE Center in Chicago, Illinois. The sample consisted of 202 HIV-positive African-Americans who completed surveys during clinic visits. Multiple measures were used, including the Patient Assessments of Cultural Competency survey instrument developed by the Department of Health and Human Services Agency for Healthcare Research and Quality. Medical self-care was measured using the advice and instructions scale and the self-care symptom management for people living with HIV/AIDS categorical scale. ART adherence was measured using the Adherence Behaviors Self-Report and Adherence Self-Report scales. The data revealed many significant correlations between variables. The more patients believed that providers should integrate culture in HIV treatment; the better their reported health (F1,138=0.151, P=0.05) and the more they followed their provider's advice and instructions (medical self-care; F1,138=0.029, P=0.05). Participants who trusted their providers engaged in more medical self-care (F1,138=0.280, P=0.01). More shared treatment decisions were reported among participants who had higher levels of education (F1,127=0.337, P=0.05). Findings of this study indicate the need for increased attention to the role of cultural competence in HIV/AIDS care. Understanding patient perceptions of provider cultural competence has the potential to improve HIV treatment adherence and health outcomes.

  5. 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。

  6. 医患纠纷的防范与处理%Prevention and disposal of dissension between medical staff and patients

    Institute of Scientific and Technical Information of China (English)

    宋祥勇; 罗淅艳; 陈鸿舟; 曾旭; 杨凡

    2016-01-01

    In this paper,the author engaged in the doctor-patient dispute prevention and disposal for 10 years made a preliminary discussion of the various reasons for the occurrence of dissension between medical staff and patients.According some of the experiences of our hospital in dealing with medical disputes,the author put forward some suggestions for the prevention and settlement of disputes between doctors and patients,for your reference.%本文作者从事医患纠纷防范与处理10年,初步探讨医患纠纷发生的各种原因,并根据我院在处理医患纠纷方面的一些经验,提出预防和解决医患纠纷的一些建议,以供大家参考。

  7. 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.

  8. 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.

  9. 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…

  10. 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.

  11. 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。

  12. 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

  13. Monitoring of occupational exposure in medical staff and intervention strategies%医务人员职业暴露监测分析及干预对策

    Institute of Scientific and Technical Information of China (English)

    赵丽霞; 杨乐; 宋舸; 吴云亚; 朱梦捷

    2013-01-01

    目的 分析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 采用前瞻性的调查方法,监测2012年医务人员职业暴露发生情况.结果 共发生63名医务人员职业暴露,其中以护士为主占68.25%,多集中在20~25岁低年资职工占42.86%,职业暴露科室多见于外科占36.51%,科室以病房居首位占49.21%,主要以锐器刺伤为主占79.37%,拔针、手术缝合和抽血分别占26.98%、17.46%、15.87%),为职业暴露发生的主要环节,暴露源中患有血源性传播疾病34例,占53.97%,以乙型肝炎为主(25例),暴露后均能正确处理伤口,未出现医务人员感染现象.结论 通过建立职业安全防护制度,加强教育与培训,执行标准预防,规范操作行为,组织职工年度体检及预防接种,能有效减少和降低医务人员职业暴露及其伤害.%OBJECTIVE To analyze the factors associated with the occupational exposure in medical staff, and to probe possible intervention strategies. METHODS The prospective investigation was carried out to monitor the incidence of occupational exposure in the medical staff in 2012. RESULTS There were 63 cases of occupational exposure during the study. The accidents occurred mainly in the nurses (68. 25%) , most were aged between 20 and 25 years, accounting for 42. 86%, and the occupational exposures were most common in the departments of surgery (36. 51%). Among the departments, the wards ranked the first place (49. 21%), and the sharp injuries accounted for 79. 37% . The withdrawal of needles (26. 98%), surgical sutures(17. 46%) and blood drawing (15. 78%) were the main procedures of the occupational exposures. There were 34 patients (53. 97%) with blood-borne diseases as the source of exposure, most of them were infected with hepatitis B (25 cases). The wound could be correctly handled after the occurrence of occupational exposure, and the infections did not occur in any medical staff. CONCLUSION

  14. 医务人员对医疗检查合理性认知情况的调查%Cognitive Research of Medical Staff to the Rationality of Medical Examination

    Institute of Scientific and Technical Information of China (English)

    潘传德; 卢祖洵

    2011-01-01

    Objective To understand the cognitive attitudes of medical staff towards medical examination reasonableness ,which will provide an objective basis to effectively monitor the medical examination behavior. Method The convenience sampling and individual interviews were used to investigate 58 cases of medical personnel. The investigating contents include the connotation and meaning of medical staff to medical examination,influencinal factors of rational examination ,and reasons for irrational examination. Result 34.5% of the investigators viewed that meeting the necessary medical,and diagnostic needs would be reasonable;87.9% of the investigators viewed that reasonable medical examination would save health care resources;97.3% of the investigators viewed that choosing medical examination should take medical needs into account at first;89.7% of the investigators viewed that unreasonable examinations were caused by legal problems. Conclussion Evaluation on reasonableness of medical examination was related to integration and balance of multi-disciplinary, such as the technical specifications of medical behavior, law,economics, ethics and sociology, etc.%目的 了解医院医务人员对医疗检查合理性的认知态度,为有效监管医疗检查行为提供客观依据.方法 采取方便抽样和个别访谈法,调查了58例医务人员对合理医疗检查的内涵和意义、影响医疗检查选择的因素和不合理医疗检查原因等问题的认知情况.结果 34.5%的认为只要符合患者诊疗需要的医疗检查即为合理的,87.9%的认为合理的医疗检查可以节约医疗资源,97.3%的选择医疗检查首先考虑到诊疗需要,89.7%的认为不合理医疗的原因是法律问题.结论 医疗检查合理性评价涉及到医疗行为的技术规范、法学、经济学、伦理学和社会学等多学科的融合与平衡.

  15. NUMBER AND STRUCTURE OF MEDICAL STAFF IN THE SIBERIAN CITIES IN THE GREAT PATRIOTIC WAR OF 1941-1945

    Directory of Open Access Journals (Sweden)

    Yuliya A. Davidova

    2013-01-01

    Full Text Available A dynamics of the number of medical personnel Siberian cities in the Great Patriotic war is analyzed in the article. The author studies quantity and structure of senior and low-grade medical personnel of healthcare institutions, shows its impact on medical and sanitarian anti-epidemic work, as well as considers methods of decision of personnel problem in the region. The study is based on analysis of documents of the State Archive of the Russian Federation, the Russian State Archive of Socio-Political History, the Russian State Archive of Economy and the Regional Archives of the Siberian cities.

  16. The Morehouse Mystique: Becoming a Doctor at the Nation's Newest African American Medical School

    Science.gov (United States)

    Gasman, Marybeth

    2012-01-01

    The Morehouse School of Medicine in Atlanta, Georgia, is one of only four predominantly Black medical schools in the United States. Among its illustrious alumni are surgeons general of the United States, medical school presidents, and numerous other highly regarded medical professionals. This book tells the engrossing history of this venerable…

  17. Analysis of 121 Medical Staff of Sharp Instrument Injuries%121例医务人员锐器伤监测分析

    Institute of Scientific and Technical Information of China (English)

    卢小莲; 李亮; 蒋鹏

    2013-01-01

    Objective To explore and investigate the relative risks of sharp instrument injuries among medi -cal staff , and discuss the countermeasures .Methods Information and occurrence situation of sharp instrument inju -ries among medical staff were collected by prospective surveillance .Results From Jan 2012 to Dec 2012, the num-ber of medical staff with the occurrence occupational exposure was 130, while 121 of them were hurt by sharp instru-mental (93.08%), 8 were contacted on their skin and mucosa (6.15%), 1 was punctured on the end of in vitro stump (0.77%) .Medical-surgical unit and transfusion hall of out -patient were major occurrence place of sharp instrument injuries;puncture , injection and blood collection were common steps .The exposure source of hepatitis B ranked the first (33.06%);the number of first -level exposure was 7 (5.79%), the second-level exposure was 114 (94.21%) .The tracking survey on those medical staff who were hurt by sharp instrument showed that no one got hematogenous spread disease .Conclusion Sharp instrument injury is a common exposure in medical practice .Com-plying with the standardized operation , paying attention to the self -protection are efficient ways to decrease occur-rence rate of occupational infection .%目的:调查医护人员医疗锐器损伤的相关因素,探讨有效的职业防护管理措施。方法采用前瞻性研究方法,监测医务人员医疗锐器损伤发生情况。结果2012年1-12月医务人员发生职业暴露共130人其中发生医疗锐器损伤121名、占93.08%,皮肤黏膜接触8人、占6.15%,离体残肢端刺伤1人、占0.77%;内外科病房和门诊输液厅是锐器伤主要发生场所;各种诊疗穿刺和注射、采血操作是常见的锐器伤环节;暴露源为乙型肝炎者占首位为33.06%;一级暴露7人、占5.79%,二级暴露114人、占94.21%。所有医疗锐器损伤的医务人员经追踪观察,无一人发生血源传播

  18. AN IMPACT OF THE EFFICIENT FUNCTIONING OF THE VENTILATION AND AIR-CONDITIONING SYSTEM ON THERMAL COMFORT OF THE MEDICAL STAFF IN THE OPERATING ROOM

    Directory of Open Access Journals (Sweden)

    Tomasz Jankowski

    2016-11-01

    Full Text Available Ventilation and air conditioning systems are necessary for developing proper parameters of indoor envi-ronment in operating rooms. The main task of ventilation and air conditioning in those specific areas consists in creating desirable temperature, reducing the number of microorganisms and the concen-trations of hazardous gases and substances in the air, as well as ensuring the proper direction of airflow. In Poland, indoor environment in operating rooms has to comply with the requirements set out in three regulations (Journal of Laws of 2002 No. 75, item 690, as amended, Journal of Laws of 2002 No. 217, item 1833, Journal of Laws of 2011 No. 31, item 158, as amended and the document entitled "Guidelines for the design of general hospitals". Given insufficient accuracy of the abovementioned national documents, it is a common practice to use foreign standards, i.e. ASHRAE Standard 170-2013, DIN 1946-4: 2008 and FprCEN TR 16244: 2011. When considering the conditions for thermal comfort, it is important to bear in mind a close link between air flow velocity and air temperature. Air in the zone occupied by patients and medical staff must not cause the sensation of draft. Furthermore, air velocity should be sufficient to eliminate interference caused by the presence of people and other sources of heat. It should also reduce the turbulence level in the air in the operating room. Efficient functioning of ventilation and air conditioning was tested during treatments and operations carried out on three wards of a Warsaw hospital. Tests were performed with the participation of medical staff from various surgical units. They were asked to perform minor manual tasks to simulate work on the op-erating table, and to complete a questionnaire on subjective thermal sensation. The applied methodology is widely used during testing of general and local ventilation in public buildings. Air temperature, relative humidity, air flow supply and exhaust air from the

  19. 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.

  20. Administration of hand-washing compliance of medical staff and nosocomial infections%医务人员洗手依从性管理与医院感染

    Institute of Scientific and Technical Information of China (English)

    董明驹; 史莉; 杨富强; 宋涛

    2011-01-01

    目的 调查医院医务人员手卫生和洗手依从性的现状,探讨手卫生与医院感染的关系,制定手卫生的管理对策.方法 了解医务人员手污染现状和携带病原菌的种类.结果 医务人员工作中细菌携带率为100.0%,洗手后细菌携带率为20.8%;携带的病原菌包括:金黄色葡萄球菌、凝固酶阴性葡萄球菌、肠球菌属、铜绿假单胞菌、鲍氏不动杆菌、大肠埃希菌、肺炎克雷伯菌、产气肠杆菌、变形菌属等.结论 医务人员手污染是病原菌传播的重要途径,必须重视手卫生的监督管理,提高对洗手的认知性和依从性,才能有效的预防经手传播的医院感染.%OBJECTIVE To investigate the status of hand hygiene and hand-washing compliance of medical staff and approach the relation between hand hygiene and nosocomial infections to institute the administration strategy for hand hygiene.METHODS The hand contamination of medical staff and the carrying pathogenic species were investigated.RESULTS The carrying rate of pathogenic bacterium before hand-washing was 100.0%, while that after hand-washing was 20.8%.The carrying pathogenic bacteria includeds Staphylococcus aureus, coagulase negative staphylococcus, enterococci, Pseudomonas aeruginosa , Acinetobacter baumanii , Escherichia coli , K lebsiella pneumouia, Enterobacter aerogenes, Bacillus proteus and so on.CONCLUSION The hand contamination of medical staff is the major way for the spread of pathogenic bacteria.It should be attached importance to the supervision of hand hygiene and the improvement of recognition and compliance of hand-washing to effectively prevent the nosocomial infections caused by the hand contamination.

  1. 高校医务人员急救技能培训效果分析%Effect analysis on the first aid training for universities medical staff

    Institute of Scientific and Technical Information of China (English)

    卓强; 王润娟

    2012-01-01

    Objective To learn the situation of universities medical staff on grasp of the first aid training. Methods The first aid training was conducted among 174 universities medical staff, training included emergency hemostasis and cardiopulmonary resuscitation. The examination results between the pre and post training were compared. Results The score of emergency hemostasis was 61. 51±12. 71 before training, and the score was 88. 59±6. 56 after training. The average score of cardiopulmonary resuscitation was 58. 01 ±14. 17 before training, and the score was 88. 47 ±8. 18 after training and the ability of the first aid skills significantly improved(P<0. 05). Conclusion To improve the first aid skills, universities medical staff should be trained regularly.%目的 了解高校医务人员对急救技能的掌握情况.方法 对成都市大中专院校医务人员174名进行急救技能培训,培训内容包括紧急止血法(止血、包扎、固定及搬运)和心肺复苏术,将对培训前后急救技能水平考核结果进行比较.结果 培训前医务人员紧急止血法平均分数为(61.51±12.71)分,培训后分数为(88.59±6.56)分;培训前心肺复苏平均为(58.01±14.17)分,培训后为(88.47±8.18)分,医务人员经培训后紧急止血和心肺复苏能力显著提高(P<0.05).结论 高校医务人员应定期进行急救知识培训,以提高医务人员的急救技能水平.

  2. 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.

  3. Survey and Analysis of Hand Hygiene of Medical Staff%医务人员手卫生状况调查及分析

    Institute of Scientific and Technical Information of China (English)

    李绕波; 桂庆芳

    2014-01-01

    Objective:To know the status of hand hygiene of medical personnel and analyze factors that affected the implementation of medical personnel’s hand hygiene,and then provide a basis for improving the compliance of medical personnel’s hand hygiene.Method:To carry out a questionnaire survey on the medical personnel in our hospital about hand hygiene.Result:The major factor that affects the implementation of hand hygiene among medical workers was job factor. 59.79%(58/97) investigated medical workers think they did not had time to wash hands as they are too busy.As for the facility factor,43.30%(42/97) of the investigated medical workers think the hand washing sinks were insufficient,on the aspect of cognitive factors about hand hygiene,43.30%(42/97) people think they did not pay sufficient attention to hand washing and disinfection in work.Conclusion:The hand hygiene condition of medical staff is fine but still in deficient, which basically are reflected as follows some medical workers are too nervous or busy to wash hands,unreasonable layout of hand washing facilities and weak consciousness of hand hygiene.%目的:了解医务人员手卫生的状况,分析影响医务人员手卫生执行的因素,为如何提高手卫生依从性提供依据。方法:制订《医务人员手卫生状况调查表》,对医院医务人员进行手卫生问卷调查。结果:影响医务人员手卫生执行的主要因素为工作因素中认为工作太忙没有时间洗手59.79%(58/97),手卫生设施因素中洗手池数量太少43.30%(42/97)及手卫生认知因素中认为个人在工作中对洗手或手消没有足够的重视43.30%(42/97)。结论:医务人员手卫生状况尚可但仍然有部分欠缺,表现在工作紧张无暇顾及洗手,洗手设施布局不合理及手卫生意识淡薄。

  4. A STUDY ON THE ADVERSE EFFECTS OF FORMALDEHY DE ON THE STAFF OF ANATOMY DEPARTMENTS WORKING IN VARIOU S MEDICAL COLLEGES

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    Krishnaiah

    2012-10-01

    Full Text Available Formaldehyde is the widely used chemical for embalming cadavers, for fixation of tissues in histology, for fumigation of op eration theatres and sterilization of surgical instruments . Formaldehyde cannot be absorbed through the skin but becomes vapor at room temperature. Anatomists, pathologists, forensi c surgeons, staff of dissection hall , embalming laboratory , histology laboratory and medical students will get exposure of formaldehyde gas. It is estimated that an anatomist gets expo sed to formaldehyde (gas for about 30,000 - 60,000 hours in his / her life time. Formaldehyde is the “drug of choice” for above purpose if it is used with proper precaut ions , but it can produce harmful effects on many systems as on skin, respiratory system, ce ntral nervous system , gastro intestinal system and produce minor to major problems ran ging from burning of eyes to carcinomas. A cross sectional survey is conducted by sel ecting 120 members of anatomy staff (Both teaching and nonteaching who are work ing in colleges in and around Hyderabad city. The effect of formalin on above group is st udied. Results of this survey are grouped system wise and known protective measures are discussed.

  5. 77 FR 16036 - Guidance for Industry, Third Parties and Food and Drug Administration Staff; Medical Device ISO...

    Science.gov (United States)

    2012-03-19

    ... HUMAN SERVICES Food and Drug Administration Guidance for Industry, Third Parties and Food and Drug...--Requirements for regulatory purposes,'' (ISO 13485:2003) audit report provides FDA a degree of assurance of... GHTF founding members auditing systems include: The Canadian Medical Devices Conformity...

  6. Adjusting to Random Demands of Patient Care: A Predictive Model for Nursing Staff Scheduling at Naval Medical Center San Diego

    Science.gov (United States)

    2008-09-01

    West Model Adult ICU Model Holt-Winters’ Expo Smoothing Model Month Total Req. Acuity Adj. FTEs Leve l Tren d Seaso n Predicted FTE’s...Surgical Model Medical Total Req. FTE’s Based Holt-Winters’ Expo Smoothing Model Month Workload Acuity/FTE’ s Level Tren d Season Predicte d

  7. 75 FR 28257 - Draft Guidance for Industry, Third Parties and Food and Drug Administration Staff; Medical Device...

    Science.gov (United States)

    2010-05-20

    ... concerning this draft guidance to the Division of Dockets Management (HFA-305), Food and Drug Administration... devices-- Quality management systems--Requirements for regulatory purposes,'' may voluntarily submit the... Japanese Medical Device Ministry of Health, Labour and Welfare system. This notice of availability...

  8. 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.

  9. 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…

  10. Occupational Radiation Exposure to the Extremities of Medical Staff during Hysterosalpingography and Radionuclide Bone Scan Procedures in Several Nigerian Hospitals

    Directory of Open Access Journals (Sweden)

    Nnamdi Norbert Jibiri

    2016-10-01

    Full Text Available Objective: The practice of regular dose measurement helps to ascertain the level of occupational dose delivered to the staff involved in diagnostic procedures. This study was carried out to evaluate the dose exposed to the hands of radiologists and a radiologic technologist carrying out HSG and radionuclide bone scan examinations in several hospitals in Nigeria. Methods: Radiation doses exposed to the hands of radiologists and a technician carrying out hysterosalpingography (HSG and bone scan procedures were measured using calibrated thermo-luminescent dosimeters. Five radiologists and a radiologic technologist were included in the study for dose measurement. Results: The study indicates that each radiologist carried out approximately 2 examinations per week with the mean dose ranging between 0.49-0.62 mSv per week, resulting in an annual dose of 191 mSv. Similarly, the occupational dose delivered to both the left and right hands of a radiologic technologist administering 99mTc-methylene diphosphonate (MDP without cannula and with cannula were 10.68 (720.2 and 13.82 (556.4 mSv per week (and per annum, respectively. It was determined that the left hand of the personnel received higher doses than their right hand. Conclusion: The estimated annual dose during HSG is far below the annual dose limit for deterministic effects, however, it is greater than 10% of the applicable annual dose limit. Hence, routine monitoring is required to ensure adequate protection of the personnel. The total annual dose received during the bone scan exceeds the annual dose limit for both hands, and the dose to either left or right hand is greater than the dose limit of 500 mSv/yr. The radiologists monitored are not expected to incur any deterministic effects during HSG examinations, however, accumulated doses arising from the scattered radiation to the eyes, legs, and neck could be substantial and might lead to certain effects. More staff are required to administer 99m

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

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    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.

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

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    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.

  13. Knowledge, attitude, and performance of medical staff of teaching healthcare settings about hepatitis B and C in Isfahan, Iran

    Directory of Open Access Journals (Sweden)

    Behrooz Ataei

    2014-01-01

    Conclusions: Due to excessive contact with patients, a paramedic-educated society is expected to have an optimal level of knowledge, attitude, and performance related to viral hepatitis. Our results from the checklists showed that medical personnel are not appropriately aware of viral hepatitis and their performance, too, is not satisfactory. Further continuous training is required and there needs to be more emphasis on actions regarding behaviors with high risk of infection transmission.

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

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    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

  15. The availability and limitation of medical simulation teaching to improve medical staffs' clinical skills%采用医学模拟教学提高医务人员临床技能的有效性与局限性

    Institute of Scientific and Technical Information of China (English)

    徐学虎; 邹钧; 宋亭; 丘敏仪; 梁波; 罗冰

    2011-01-01

    目的 探讨医学模拟教学提高医务人员临床技能的有效性与局限性.方法 采用医学模拟教学方法与传统授课方法分别对医务人员开展徒手心肺复苏( cardiopulmonary resuscitation,CPR)、胸腹(膜)腔穿刺术、骨髓腔穿刺术、中心静脉置管术、气管插管、呼吸机使用6项专项临床技能的培训和考核,比较两种教学方法下两组医务人员的成绩,以评价模拟培训教学的效果.结果 两组医务人员的骨髓腔穿刺术、中心静脉置管术、气管插管3项成绩比较,其差异无统计学意义;而徒手心肺复苏、胸腹(膜)腔穿刺术、呼吸机使用3项成绩比较,其采用医学模拟教学方法的医务人员成绩高于传统授课方法的医务人员成绩,差异有统计学意义,P<0.05.结论 医学模拟教学对提高医务人员临床技能水平具有一定效果,有一定推广价值,但是也有其局限性.%Objective To explore the availability and limitation of medical simulation teaching to improve medical staffs' clinical skills.Methods The medical staffs were randomly distributed to the traditional team and simulation teaching team.The teaching effect was estimated by the monomial manipulation of cardiopulmonary resuscitation,thoracocentesis,abdominocentesis,bone marrow puncture,indwelling central veins catheters,trachea cannula and using breathing machine through statistical analysis.Results There was no statistical significance in bone marrow puncture,indwelling central veins catheters and trachea cannula between the control and simulation teaching teams.However,the achievement of cardiopulmonary resuscitation,thoracocentesis,abdominocentesis and using breathing machine in simulation teaching teams were significantly higher than the control.Conclusions Medical simulation teaching takes a certain extent effect on elevating the medical staffs' clinical skills.There is value to spread,but has limitation.

  16. 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

  17. The Performance of New Accrual Accounting Plan in Tehran University of Medical Sciences from Financial Staff Perspective: A Cross-sectional Analysis

    Directory of Open Access Journals (Sweden)

    Alireza Mahboub Ahari

    2015-08-01

    Full Text Available ​ Background and objectives : Accrual Accounting System was developed to determine the actual cost of organizational performance. This type of accounting approach is adopted as a main control lever for development and implementation of operational budget within public organizations. Since medical universities play a significant role in society's health and the major part of the country’s budget is devoted to it, the study was accomplished to study the main findings of Iranian New Financial Plan in a governmental medical university. Study will provide better insight on how the plan could meet supposed objectives. Material and Methods: In this cross-sectional study, 46 accounting staffs of Tehran University of Medical Sciences (TUMS were selected by accidental sampling and studied by using a 22-item questionnaire. Respondents were asked to answer the questions about how the plan was performed in their departments and whether it was a success or a failure. We used T-Test and Analysis of Variance for mean comparison. Data were analyzed using SPSS16 software. Results: Most of the respondents were male (52.2% and graduated with bachelor degree in accounting and 65% of the respondents had at least a little knowledge of accrual accounting fundamentals. The study results showed that most of the respondents implied that the outcomes of the implemented plan were satisfying. Respondents who were graduated in financial majors had higher satisfaction rate than others. Conclusion: The role of a comprehensive information system as an underlying and challenging necessity should be emphasized in accrual accounting system. Performance based budgeting system as a frequently focused program in Iranian socio-economic public organizations and Iran’s Ministry of Health and Medical Education should be fitted with the settlement of new financial plan.

  18. 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)

  19. Academic Guidance for Undergraduate Students in a South African Medical School: Can we guide them all?

    Directory of Open Access Journals (Sweden)

    Mpho P Jama

    2017-02-01

    Full Text Available Higher education institutions, including medical schools, still grapple with the challenge of poor academic performance of students. Some studies report the positive results of providing academic guidance for common challenges such as poor and/or ineffective time management, study methods, test- and exam-taking techniques and management, and the high academic workload of undergraduate medical students. However, limited detailed insights and understanding of medical students who experience more complex challenges are available.  This study was conducted at a medical school in South Africa to determine undergraduate medical students’ perceptions of factors affecting their academic performance. A total of 89 semi-structured interviews were held with undergraduate medical students who were identified as having academic problems between 2012 and 2015. According to the results, more blacks, males and first- and second year students experienced poor academic performance. Prominent findings included the harsh realities and implications of lack of accommodation for black students; how poor academic performance can lead to an array of other social and psychological problems, such as withdrawal of bursaries and negative achievement emotions that some students experience. Compared to the usual objective measures of individual ability, the rich qualitative data of cases presented in this study reveal critical, real insights and understanding of students’ challenges from their own perspective.

  20. [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".

  1. 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).    

  2. 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.

  3. 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.

  4. 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.

  5. 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。

  6. 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.

  7. Survey on lunch behaviors of 196 medical staff%196名医护人员午餐饮食行为状况研究

    Institute of Scientific and Technical Information of China (English)

    梁小红; 王庆雄; 陈紫娟

    2013-01-01

    OBJECTIVE To investigate the lunch behaviors,dietary-pattern,attitude to lunch and nutrition and nutrition knowledge of medical staff so as to provide evidence for nutrition education in medical staff.METHODS Questionnaire survey was conducted to a cluster sample of 196 medical staff in several hospitals of Guangdong.RESULTS Most of participants thought that having lunch (78.06%) and taking vegetables in lunch (64.80%) was essential.14.80% of them were satisfied with lunch circumstance and 10.20% of them were satisfied with lunch quality.35.20% of them cared the dietary-pattern and 91.84% of them wanted to change their eating habit for health.82.65% of them hoped to know more nutrition knowledge.93.37% of them thought that nutrition was very important for health.Only 41.84% of medical staff knew the dietary guideline and pagoda for Chinese.Most of participants liked to get nutrition knowledge from book,journal,newspapers and periodicals (54.08%),television (32.65%).81.12% of them had lunch on time.75% of them ate out.53.57% of them took less 20 minute on lunch.The main factors affected the choice of lunch were as follows:nutrition and health (38.78%),convenience (34.18%),taste (10.20%).93.87% of them chose rice and products as staple food and most of them took adequate staple food,but vegetable,fruit,roughage and legume,and products were deficient.Livestock and birds were more than recommendation.The right rate of the answer to nutrition knowledge was 62.24%-97.45%,doctors were better than nurses and those hospitals in Guangzhou were better than other hospitals.CONCLUSION Most of participants have positive attitude to lunch and nutrition and have good dietary-pattern.The amount of vegetable,fruit,roughage,legume and products should be increased while the lunch circumstance should be improved too.Most of participants can give right answer on nutrition knowledge.Medical staff should learn more nutrition knowledge.%目的 了

  8. 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

  9. 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

  10. The relationship among subjective well-being,social support and influence factors in medical staffs%医务人员主观幸福感与社会支持及其影响因素的关系研究

    Institute of Scientific and Technical Information of China (English)

    邹志礼; 黄雨兰; 汪瑾宇; 李兴红; 何影; 闵文蛟; 周波

    2016-01-01

    目的:探讨医务人员主观幸福感与社会支持的关系。方法采取系统抽样方法抽取四川省级医院在职医务人员612名,采用一般情况问卷、幸福感指数量表(IWB)、领悟社会支持量表(PSSS)对抽中的医务人员进行调查。结果①医务人员幸福感指数平均得分为(9.91±2.92)分。②医务人员幸福感指数得分在男女之间差异无统计学意义( P>0.05)。20~30岁医务人员的幸福感低于30~40岁和大于40岁以上者;护士组的幸福感低于机关组和医生组;初级职称者的幸福感低于高职称者;工作1~5年和5~10年者的幸福感低于工作10~15年者;大专学历者的幸福感低于本科和博士学历者,本科学历者的幸福感高于硕士学历者;未婚者的幸福感低于已婚者,离异者的幸福感低于未婚和已婚者,差异均有统计学意义(P<0.05)。③幸福感分别与家庭支持、朋友支持、其他支持及总社会支持呈不同程度的正相关( r=0.220~0.255,P<0.01)。④回归分析显示医务人员幸福感能被社会支持、职称、婚姻状况解释占8.8%。结论不同年龄、职称、工作岗位、学历、工作年限、婚姻状况的医务人员有着不同的的幸福感体念,且与社会支持密切相关。%Objective To explore the relationship among subjective well-being,social support and influence factors in medical staffs.Methods We selected and tested 612 medical staffs from our hospital by using the systematic sampling method,and a general state questionnaire,index of well-being ( IWB) and perceived social support scale ( PSSS) .Results ①The average score of IWB was 9.91 ±2.92 in medical staffs.②There was no statistically significant between male and female medical staffs in IWB.Compared with the medical staffs with 20~30 years old,the medical staffs with 30~40 and over 40 years old had higher scores of IWB (P<0

  11. 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.

  12. 三级医院医务人员手卫生现状调查%Investigation of hand hygiene situation among medical staff in tertiary hospital

    Institute of Scientific and Technical Information of China (English)

    陈明纯; 姚展成; 林伟青; 林佩贤; 王清江; 辜红妮; 郭淑珍; 郑少瑜

    2011-01-01

    Objective To investigate the implementation situation of hand hygiene in tertiary hospital,explore measures for improving the compliance of medical staffs in hand hygiene.Methods The implementation situation of hand hygiene in medical staffs was evaluated by blinded observation and the pathogens in their hands were detected.Results The total implementation rate of hand hygiene was 44.49% and the rate was higher in nurses(47.24%)than doctors (39.90%),trainee was the lowest(35.29% ).Among different departments,the implementation rate in pediatric was the highest(51.40%),gynecology and obstetrics was the second(46.18%),and surgical department was the lowest (40.00%).Hand hygiene implementation rate was significantly higher in fast hand disinfectant was offered than not offered ( x2=10.05,P <0.01).There were hand-washing facilities or the facilities were convenient to get had no significant impact on the implementation rate( x2 =0.04,0.01,P > 0.05).The most common bacteria carried by hand was gram-positive bacteria,such as coagulase-negative Staphylococci,Bacillus subtilis and so on.Conclusions Hand hygiene implementation rate is low in tertiary hospital,so it is urgent to create a good atmosphere of hand hygiene,in order to improve hand-washing facility,provide fast hand disinfectants to improve the compliance of medical staffs in hand hygiene,which can reduce the incidence of hospital infection.%目的 了解三级医院医务人员手卫生的现状,探索提高手卫生依从性的措施.方法 采用现场盲法观察医务人员手卫生执行情况,并检测其手部病原菌分布情况.结果 医务人员手卫生执行率44.49%,其中护士(47.24%)高于医师(39.90%),实习生最低(35.29%);从科室类别看,以儿科手卫生执行率最高为51.40%,妇产科次之46.18%,外科最低40.00%.医务人员手卫生执行率在提供快速手消毒剂时明显高于未提供时(x2=10.05,P<0.01),而病房内有无洗手设施

  13. 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

  14. 门诊医务人员手卫生依从性现状及对策%Analysis and Countermeasures on Hand Hygiene Compliance of Outpatient Medical staff

    Institute of Scientific and Technical Information of China (English)

    周小玲; 陈珏

    2016-01-01

    Objective To analyze of the health status and the influencing factors of hand washing compli-ance, and to improve the hand hygiene compliance of the medical staff in clinic.Methods By using questionnaire after the hidden field observation,methods of hand washing and hand hygiene status were monitored in 276 patients. The hand hygiene compliance rate of the medical staff in different departments, different operation types and differ-ent positions were compared.Results The highlight cause of the influence of hand hygiene compliance is no time to wash their hands(29.4%);worried about relationship between doctor and patient (27.5%);the compliance of hand washing for nurses,doctors and work attendance were 67.7%,38.0%and 29.6%;the highest compliance for medical staff in different hand-washing time is contact with patient blood, body fluid(100%) ,the second is con-tact with damaged skin, wound dressing(85.7%);the compliance of hand hygiene after diagnosis and treatment operation (51.65%)is higher than that before diagnosis and treatment(23.42%),the higher compliance of hand hygiene for medical personnel in different departments is department of general surgery ( 71 .43%) , department of orthopedics(65.63%) and clinical laboratory(52.78%) .Conclusion As global attention to hand hygiene,hospi-tals should improve management awareness and strengthen the management of hand hygiene of medical staff in clinic to promote the formation of management mode, to ensure medical safety and reduce hospital infection rate.%目的:了解门诊医务人员手部卫生现状及影响洗手依从性的因素,探讨干预对策,提升门诊医务人员手卫生依从性。方法采用问卷设计后隐蔽式现场观察,对276名门诊医务人员的洗手方法及手卫生状况进行监测,比较不同科室、不同操作类型、不同岗位医务人员的手卫生依从率。结果影响手卫生依从性较突出原因是工作忙,没有时间洗手(29.4%),

  15. Serum 25 hydroxyvitamin D profile after single large oral doses of cholecalciferol (vitamin D3 in medical staff in North India: A pilot study

    Directory of Open Access Journals (Sweden)

    L Priyambada

    2014-01-01

    Full Text Available Background: Vitamin D deficiency is widely prevalent in India and subjects who have almost no exposure to sunlight are severely deficient. Daily oral doses of cholecalciferol (vitamin D3 are costly as compared to stoss doses and further, take a long time for the serum levels to reach a plateau. Compliance to supplementation may also be better if a regimen involves single oral doses of vitamin D at specified intervals rather than daily doses. Evidence-based guidelines regarding the dosing and the frequency of dosing for prophylactic intermittent supplementation (stoss doses in severely-deficient subjects are few. Materials and Methods: In a prospective intervention study, we serially assessed 30 asymptomatic healthy medical staff for serum 25-hydroxyvitamin D [25(OHD] and parathyroid hormone (PTH; (a at baseline; (b monthly for 3 months after single oral 60,000 units (U cholecalciferol; (c monthly for 3 months after 120,000 (or 180,000 for those with elevated alkaline phosphatase U cholecalciferol; and, (d subsequently, at 3 months after a repeat dose of 60,000 U cholecalciferol by repeated measures analysis of variance. Results: The baseline serum 25(OHD was 7.1 ± 5.4 ng/mL (< 10 ng/mL in 85% subjects which increased to 18.7 ± 8.9 ng/mL at 1 month after 60,000 U of cholecalciferol (P < 0.001 and decreased to 11.1 ± 5.3 ng/mL by the 3 rd month. The higher dose of 120,000 (or 180,000 U increased mean 25(OHD to 28.9 ± 9.9 ng/mL at the end of 1 st month, declining to 17.9 ± 4.9 ng/mL (P < 0.001 at 3 months. With the subsequent 60,000 U the serum 25(OHD was 18.4 ± 3.9 ng/mL at 3 months. PTH showed a corresponding negative trend. No hypercalcemia was observed. Conclusions: Vitamin D deficiency is highly prevalent amongst medical staff in Northern India. An initial dose of 120,000-180,000 U of cholecalciferol is required to elevate 25(OHD out of the deficiency range. Maintenance dose is needed at 2 months.

  16. 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

  17. Meta-analysis of effect on needlestick injury intervention in medical staffs%预防医务人员锐器伤干预效果的Meta分析

    Institute of Scientific and Technical Information of China (English)

    王汇平; 江智霞; 肖政; 袁晓丽; 胡汝均; 邵星

    2014-01-01

    目的 系统分析评价国内外医务人员锐器伤干预效果的研究,为降低医务人员职业暴露率提供依据.方法 计算机检索CNKI数据库、万方数据库、维普数据库、PubMed数据库,搜集国内外1981年至2013年公开发表的关于医务人员锐器伤干预研究,并用Review Manager5.2软件对纳入的研究进行Meta分析.根据I2值和P值进行异质性检验,选择固定或随机效应模型分析合并数据,通过风险比(OR)及其95%置信区间(CI)来衡量干预效果.结果 纳入的文献共有19篇,累计干预人数20 592例,对照人数19 855例,干预效果合并效应量的OR值及其95%CI分别为:综合干预[OR =0.40,95%CI(0.27,0.59)];教育培训[OR=0.24,95%CI(0.11,0.55)];工程干预[OR=0.30,95%CI(0.16,0.55)];安全操作[OR=0.15,95%CI(0.09,0.26)];安全管理[OR=0.09,95%CI(0.06,0.13)].在降低锐器伤发生率上干预组与对照组比较差异均有统计学意义.结论 教育培训、安全管理、工程干预、安全操作干预措施均可降低锐器伤的发生率,提高医务人员的生存质量.%Objective To systematically analyze and evaluate the intervention effect of foreign and domestic research about needlestick injuries in medical staffs and provide the basis for reducing the rate of occupational exposure of medical staffs.Methods The intervention study of needlestick injuries in medical staffs between 1981 and 2013 were collected in CNKI,VIP,Wanfang and PubMed databases,Metaanalysis was conducted for the included studies by RevMan5.2 software.According to I2 and P value heterogeneity was determined,choose a fixed or random effect model to analyze and merge the data to measure the effect of the intervention by OR and 95% confidence intervals (C I).Results The total of included studies was 19,the number of the intervention group and the control group was 20 592 and 19 855,the OR and 95% CI of intervention effect as shown below:comprehensive intervention OR=0.40,CI

  18. 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.

  19. Attitudes and beliefs of South African medical students toward organ transplantation.

    Science.gov (United States)

    Sobnach, Sanju; Borkum, Megan; Millar, Alastair J W; Hoffman, Ross; Muller, Elmi; McCurdie, Fiona; Kahn, Delawir

    2012-01-01

    The aim of this study was to assess and analyse the attitudes and beliefs of medical students regarding organ donation, procurement, and transplantation. Medical students at the University of Cape Town were prospectively surveyed using a self-administered questionnaire. There were 346 study participants; the mean age was 21 (range 18-33) yr, 38% were male and 62% was female. Only 8% of respondents were registered donors; clinical and white students constituted the majority of this group. Of the 315 "non-donors," the main reason for not donating was "I have not really thought about organ donation" (59%). Most students (91%) would accept an artificial organ; and 87% and 52% of students would accept human and animal organs respectively. Muslim students (11%, preincarnation (18%, p=0.00) were less willing to accept human or animal organs. About 95% of respondents stated that they would like to learn more about transplantation and would keep information about it in their practice but only 18% of respondents knew where to find information for potential donors and recipients. Most students have a favorable attitude toward organ transplantation; religion and belief systems impact on willingness to receive organs.

  20. 应用ATP生物荧光系统监测医务人员手卫生质量%APPLICATION OF ATP BIOLUMINESCENCE SYSTEM FOR MEDICAL STAFF HAND HYGIENE QUALITY MONITORING

    Institute of Scientific and Technical Information of China (English)

    赵会杰; 王力红; 张京利; 马文晖; 赵霞

    2013-01-01

    目的 应用ATP生物荧光系统对医务人员的手卫生质量进行监测,以便加强医务人员手卫生的量化管理.方法 采用ATP生物荧光检测仪及其配套试剂,对临床医务人员手卫生质量进行了监测与评价.结果 103名医院工作人员均采用洗手液和流动水六步法洗手,其中71人的相对光单位(RLU)值≤30,洗手合格率为68.93%,其中护士洗手合格率最高.结论 ATP生物荧光检测系统用于临床医务人员手卫生质量监测方法具有可行性,检测结果比较接近实际.%Objective To monitor medical staff hand hygiene quality ATP bioluminescence system in order to strengthen the medical staff hand hygiene quantitative management. Methods The ATP biological fluorescence detector and its supporting reagent are used to monitor and evaluate the clinical medical staff hand hygiene quality. Results 103 hospital staff extracted are all use liquid soap + flow of water through the six steps after washing technique, of which RLU value of 71 people were ≤30, hand washing quality passing rate is 68. 93% , among them the nurse hand washing quality is the highest. Conclusions ATP bioluminescence detection system used in clinical medical staff hand hygiene quality monitoring method is feasible, the test results is closed to the actual.

  1. 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.

  2. 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

  3. Exigencias laborales psicológicas percibidas por médicos especialistas hospitalarios Job stress perceived by hospital medical staff

    Directory of Open Access Journals (Sweden)

    V. Escribà-Agüir

    2002-12-01

    muerte, sentirse responsable de vidas humanas, incertidumbre ante el diagnóstico y el tratamiento y otros con la organización del trabajo (sobrecarga de trabajo y falta de personal.Objective: To identify the psychosocial risk factors related to psychological demands perceived by specialist physicians from six public hospitals in the province of Valencia in Spain. Methods: A qualitative study was carried out. The population studied comprised the hospitals' specialist medical staff (Oncology, Internal Medicine, Traumatology, Radiology and Intensive Care. A trained interviewer performed 47 individual, face-to-face, semi-structured interviews. To select the participants, the following structural variables were taken into account: gender, age, family responsibilities, medical specialty, professional standing, length of service, and type of contract. Interviews were tape recorded and subsequently transcribed. Finally, the content of the interviews was analyzed. Results: The main psychosocial risk factors mentioned by the participants were workload and lack of staff, mainly due to the characteristics of work organization in the hospital. Another job stressor was daily contact with suffering and death, and feeling responsible for human life. Other significant job stressors were interpersonal relations in the work environment, in the case of patients' relatives, uncertainty about diagnosis and treatment, the possibility of being sued for malpractice, and communicating bad news. Conclusions: Hospital physicians report a large number of psychosocial risk factors. Some involve the characteristics of the medical profession (contact with suffering and death, responsibility for human life, uncertainty about diagnosis and treatment and others concern work organization (workload and staffing shortages.

  4. 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.  

  5. 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。

  6. South African Dental Students' Perceptions of Most Important Nonclinical Skills According to Medical Leadership Competency Framework.

    Science.gov (United States)

    Van der Berg-Cloete, Sophy E; Snyman, Lorraine; Postma, Thomas C; White, John G

    2016-11-01

    Recent developmental frameworks suggest that dental curricula should focus on developing nonclinical skills in dental students. The aim of this study was to qualitatively map students' perceptions of the most important nonclinical skills against the Medical Leadership Competency Framework (MLCF). A representative sample of second- to fifth-year students (n=594; overall response rate 69%) from all four dental schools in South Africa participated in a cross-sectional survey in 2014-15 enquiring about nonclinical skills and dental practice management. One of the questions required students to list the four most important nonclinical skills required for a dentist. Students (n=541) most frequently noted competencies related to working with others (97.9%), personal qualities (72.3%), and managing services (42.9%) as the most important nonclinical skills. Very few students mentioned competencies related to the improvement of services (14.1%) and the provision of strategic direction (10.9%). The students' attention appeared to be on nonclinical skills generally required for clinical care with some realization of the importance of managing services, indicating a need for a stronger focus on leadership and management training in dental schools in South Africa. The results also helped to unravel some of the conceptual ambiguity of the MLCF and highlight opportunities for leadership research using the MLCF as a conceptual framework.

  7. 我国从事临终关怀服务医护人员职业水平浅析%A Simply Investigation on the Professional Level of Hospice Care Medical Staff in China

    Institute of Scientific and Technical Information of China (English)

    邵夏龙; 花蕾; 王香平; 钱慧欣

    2015-01-01

    This article makes an investigation on the present situation of professional level of the hospice care medical staff from five aspects which including the human resources situation in hospice care institution,the hospice care knowledge and skill of the medical staff,the attitude to hospice care of the medical staff,the present situation of the training education of hospice care.The article concludes the current situations that the relative concentration of the areal distribution,short supply,uneven academic and knowledge level and the level of knowledge and skills need to be improved urgently in the medical staff.According to the research,this article gives three advises as follows,firstly,strengthen the systemic education and research in hospice care field,secondly,strengthen the education of humanities and ethics and finally,put emphasis on the hospice care in medical records.%从临终关怀机构人力资源情况、医护人员临终关怀知识及技能水平、医护人员对临终关怀的态度、接受临终关怀培训教育的现状等四方面探究我国临终关怀领域医护人员职业水平的现状,分析得出医护人员地域分布相对集中、人员供不应求、职称层次参差不齐、知识技能水平亟待提高的现状。并据此从加强临终关怀系统性教育和研究、加强医学人文和职业道德教育、注重病案中临终关怀记录三方面提出了建议。

  8. 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

  9. 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。

  10. 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

  11. 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.

  12. 提高医务人员手卫生依从性的干预措施%To improve the compliance of hand hygiene of medical staff intervention measures

    Institute of Scientific and Technical Information of China (English)

    徐晓红

    2015-01-01

    目的:了解医务员手卫生执行情况,探讨提高手卫生依从性的措施。方法采用手卫生清洁观察表和问卷调查方法,对我院180名医务人员手卫生执行情况进行调查。结果本次调查的180名医务人员中,了解手卫生标准者占28.49%,正确采用六步洗手法者占51.61%,熟练掌握手卫生概念者占54.84%。结论通过实施干预措施可提高医务人员手卫生依从性,首先要有完善的手卫生设施,同时还需要加强宣传教育培训,提高洗手意识,加大监管力度。%ObjectiveTo investigate the current state of hand sanitation in medical staffs in our hospital in order to enhance hand sanitation in medical staffs.MethodsHand hygiene observation table,and questionnaire survey were used to investigated the quality of hand hygiene of 180medicals staffs in our hospital.ResultsOf 180 medical staffs, 28.49% understand the hand hygiene standards,51.61% wash their hand with six step wash method,54.84% master the concept of hand hygiene.ConclusionFor enhancing the hand sanitation compliance,the first step for hospital is well-equipped facilities. Wide-spread hand sanitation knowledge and training are also important for strengthen the awareness of hand washing. Furthermore,increasing super-vision is also necessary.

  13. 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.

  14. 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

  15. 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.

  16. Effectiveness Evaluation of Infectious Disease Knowledge Training for Medical Staff of a TCM Hospital%某中医院医护人员传染病知识培训效果评价

    Institute of Scientific and Technical Information of China (English)

    石丽丽; 程麦莉; 权金林

    2013-01-01

    目的:了解某中医院医护人员对法定传染病知识的认知情况。方法:采用自行设计的调查问卷,对医护人员进行传染病相关知识问卷调查并评价培训效果。结果:培训前医生对传染病的诊断、病因、预防措施的知晓率均高于护士,有统计学意义(P<0.05)。医护人员在培训后对传染病的分类、报告卡填写、报告时限、报告方式、报告流程的知晓率高于培训前,有统计学意义(P<0.05)。结论:通过培训能够有效提高医护人员传染病知识,医疗机构应加强对医护人员的培训。%Objective: To understand the recognition of medical staff in a TCM hospital to legal infectious disease knowledge. Method:Medical staff were investigated with self-design questionnaires and the effects of the training were judged. Result:The awareness rates at the diagnosis, the cause, prevention measures of the infectious disease in the doctor were higher than those of the nurses before training, the difference had statistical meaning (P<0.05). The awareness rates of medical staff at the sorting of infections disease, filling in the card, the time limitation of the report, the way of the report and the procedure of the report after training were higher than those before training, the difference had statistical meaning (P<0.05). Conclusion: Training could effectively improve infectious disease knowledge of medical staff, the training for medical staff in medical institutions should be strengthened.

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

    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

  18. The status of compliance and continuous improvement countermeasures of medical staff hand hygiene%医务人员手卫生依从性现状及持续改进对策

    Institute of Scientific and Technical Information of China (English)

    许晓银

    2014-01-01

    There is a variety of pathogenic bacteria in hospital,hand hygiene plays an important role in the control and prevention of disease. At present, there is some phenomenons our medical staff ,such as low degree of cognitive for hand hygiene, incorrect washing and sanitary hand disinfection method, hand hygiene facilities not perfect, hand hygiene management system not perfect.Therefore, measures should be taken to improve the medical staff hand hygiene compliance.This paper briefly introduces the status of compliance and continuous improvement countermeasures of medical staff hand hygiene.%医院存在多种多样的病原菌,注意手卫生对疾病的控制和预防有着十分重要的作用。目前,我院普遍存在医务人员手卫生认知程度低、洗手与卫生手消毒方法不正确、手卫生设施不完善、手卫生的管理制度不完善等现象。因此,应采取措施提高医务人员手卫生的依从性。本文简要介绍医务人员手卫生依从性现状及持续改进对策。

  19. 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。

  20. 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

  1. 肿瘤专科医院医务人员职业倦怠状况及其影响因素分析%Analysis on Job Burnout and Its Influencing Factors of Medical Staffs in the Cancer Hospital

    Institute of Scientific and Technical Information of China (English)

    王莹; 王桂芝; 张晓洁; 贾慧民

    2016-01-01

    Objectives The study aims to understand the job burnout status among medical staffs in the cancer hospital and analyze its influencing factors,to learn about the regularity and characteristics of job burnout in the medical staffs,so as to lay the foundation for the study of effective intervention focus on the influencing fac-tors. Methods The study subjects were 1 034 medical staff in the affiliated cancer hospital of Xinjiang medical uni-versity.They were evaluated by Maslach Burnout Inventory-Human Service Survey (MBI-HSS)and demographic characteristics questionnaire.Results 83.49% of the medical staffs had a certain degree of emotional exhaus-tion.71.60% of the medical staffs had a certain degree of emotional indifference.95.07% of the medical staffs'per-sonal accomplishment were low.The results of MBI-HSS in different gender,age,marital status,professional catego-ry,education level,professional title,daily working hours were statistically significant in different dimensions of the job burnout(P <0.05).Conclusions The job burnout status of the medical staff in the cancer hospital is not opti-mistic.We should find the effective solutions to relieve the situation.%目的:了解肿瘤专科医院医务人员的职业倦怠状况及其影响因素,为进一步认识医务人员职业倦怠产生的规律和特点,以便针对影响因素开展有效干预研究奠定基础。方法选取新疆医科大学附属肿瘤医院1034名医务人员为研究对象,采用马斯勒职业倦怠量表-服务行业版(MBI-HSS)和自制个人情况调查问卷对研究对象进行问卷调查。结果分别有83.49%和71.60%的医务人员有一定程度的情绪衰竭和情感淡漠,95.07%的医务人员的个人成就感低;不同性别、年龄、婚姻状况、从事专业类别、学历、职称、日工作时间等人口学特征的医务人员在职业倦怠不同维度上差异有统计学意义(P <0.05)。结论肿瘤专科医院医务人员职业倦怠状况不容

  2. Text Messaging to Improve Hypertension Medication Adherence in African Americans From Primary Care and Emergency Department Settings: Results From Two Randomized Feasibility Studies

    Science.gov (United States)

    Hirzel, Lindsey; Dawood, Rachelle M; Dawood, Katee L; Nichols, Lauren P; Artinian, Nancy T; Schwiebert, Loren; Yarandi, Hossein N; Roberson, Dana N; Plegue, Melissa A; Mango, LynnMarie C; Levy, Phillip D

    2017-01-01

    Background Hypertension (HTN) is an important problem in the United States, with an estimated 78 million Americans aged 20 years and older suffering from this condition. Health disparities related to HTN are common in the United States, with African Americans suffering from greater prevalence of the condition than whites, as well as greater severity, earlier onset, and more complications. Medication adherence is an important component of HTN management, but adherence is often poor, and simply forgetting to take medications is often cited as a reason. Mobile health (mHealth) strategies have the potential to be a low-cost and effective method for improving medication adherence that also has broad reach. Objective Our goal was to determine the feasibility, acceptability, and preliminary clinical effectiveness of BPMED, an intervention designed to improve medication adherence among African Americans with uncontrolled HTN, through fully automated text messaging support. Methods We conducted two parallel, unblinded randomized controlled pilot trials with African-American patients who had uncontrolled HTN, recruited from primary care and emergency department (ED) settings. In each trial, participants were randomized to receive either usual care or the BPMED intervention for one month. Data were collected in-person at baseline and one-month follow-up, assessing the effect on medication adherence, systolic and diastolic blood pressure (SBP and DBP), medication adherence self-efficacy, and participant satisfaction. Data for both randomized controlled pilot trials were analyzed separately and combined. Results A total of 58 primary care and 65 ED participants were recruited with retention rates of 91% (53/58) and 88% (57/65), respectively. BPMED participants consistently showed numerically greater, yet nonsignificant, improvements in measures of medication adherence (mean change 0.9, SD 2.0 vs mean change 0.5, SD 1.5, P=.26), SBP (mean change –12.6, SD 24.0 vs mean change

  3. 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.

  4. 广西壮族自治区医护人员职业枯竭的影响因素分析%Analysis on influential factors for occupation burnout of medical staffs of Guangxi Zhuang Autonomous Region

    Institute of Scientific and Technical Information of China (English)

    廖庆兰; 韦波; 胡世红; 林丽; 李贞

    2009-01-01

    目的 探讨广西壮族自治区医护人员职业枯竭的主要影响因素.方法 采用多阶段按比例分层整群系统随机抽样法,使用自编医护人员职业枯竭量表为工具,对4 575名医护人员进行问卷调查.使用单因素、多因素分析及回归分析对数据进行处理.结果 社会环境因素是职业枯竭的保护因素,回归系数为-0.015;组织环境、工作环境、医院等级、工作科室是职业枯竭的危险因素,回归系数为0.040~0.258,P<0.05.结论 职业枯竭现象是一个受众多变量作用的复合现象,医护人员的职业枯竭与组织环境、工作环境、医院等级、工作科室有关.%Objective To investigate the main influencing factors on occupation burnout of medical staffs of Guangxi Zhuang Autonomous Region. Methods By means of many phases stratified cluster system for a random sampling, via using the self-organized scale for measuring occupation burnout of medical staffs, 4575 medical staffs were investigated with questionnaire for occupation burnout of medical staffs. The data was processed by single and multiple factors analysis and regression analysis. Results Society environment is the protective factor of occupation burnout, and the regression coefficient is - 0.015. While organization environment, working environment, scale of hospital and working section office are the risk factors for occupation burnout, and the regression coefficient is 0.040 ~ 0.258, P < 0.05. Conclusions Occupation burnout is a composite phenomenon affected by many variables. Occupation burnout of medical staffs is related to organization environment, working eavironment, scale of hospital and section office of working.

  5. 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.

  6. 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.

  7. 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

  8. 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。

  9. Sleep paralysis and trauma, psychiatric symptoms and disorders in an adult African American population attending primary medical care.

    Science.gov (United States)

    Mellman, Thomas A; Aigbogun, Notalelomwan; Graves, Ruth Elaine; Lawson, William B; Alim, Tanya N

    2008-01-01

    The occurrence of sleep paralysis (SP) absent narcolepsy appears to not be uncommon in African Americans and probably other non-European groups. Prior research has linked SP to trauma and psychiatric disorders and suggested a specific relationship to panic disorder in African Americans. The objective of our study was to evaluate relationships of SP with trauma, concurrent psychiatric symptoms and lifetime psychiatric diagnoses in an adult African American population recruited from primary care. Cross sectional study with surveys and diagnostic interviews; Patients attending primary care clinics filled out a survey that determined the 6 month prevalence and associated features of SP, a panic disorder screen, the self-rated Hamilton Depression Scale, and an inventory of trauma exposure. A subset of trauma-exposed participants (N = 142) received comprehensive diagnostic interviews that incorporated the Structured Clinical Interview for DSM-IV and the Clinician Assessed PTSD Scale. Four hundred and forty-one adults participated (mean age-40.0 SD = 13.3, 68% female, 95% African American). Fourteen percent endorsed recent SP. In approximately 1/3 of those with SP, episodes also featured panic symptoms. SP was strongly associated with trauma history, and concurrent anxiety and mood symptoms. SP was not associated with specific psychiatric disorders other than lifetime (but not current) alcohol or substance use disorders. Our findings suggest that SP is not uncommon in adult African Americans and is associated with trauma and concurrent distress but not with a specific psychiatric diagnosis.

  10. 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

  11. 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。

  12. 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

  13. 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

  14. 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.

  15. 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

  16. 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

  17. 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...

  18. 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

  19. 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

  20. 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

  1. 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。

  2. 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:

  3. Application of PDCA cycle management on hand hygiene of medical staff in the outpatient department%PDCA循环管理在门诊医务人员手卫生管理中的应用

    Institute of Scientific and Technical Information of China (English)

    黄金姣; 梁金清; 李春莲; 覃少珍; 韩玲; 李杏

    2013-01-01

    Objective To explore the application of PDCA cycle management on hand hygiene compliance of medical staff in the outpatient clinic. Method The application effects of PDCA cycles of planning - do - check - action on continuous quality improvement of hand hygiene of clinic medical staff was observed before and after the implementation. Results The knowledge of hand hygiene, qualified rate of hand hygiene and hand washing compliance were improved after the implementation of PDCA cycle management (P <0.01 or P <0.05 ). Conclusion The application of PDCA cycle of planning - do - check - action on continuous quality improvement can improve hand hygiene of medical staff effectively.%目的 探讨PDCA循环管理在门诊医务人员手卫生依从性规范管理中的应用.方法 应用计划-实施-检查-处理(PDCA)循环管理对门诊医务人员手卫生进行持续质量改进,观察实施前后的效果.结果 实施PDCA循环管理后,门诊医务人员手卫生知识知晓率、手卫生合格率和护士洗手依从性均提高(P<0.01或P<0.05).结论 应用PDCA循环管理进行持续质量改进,可有效提高医务人员手卫生状况.

  4. 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.

  5. 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.

  6. 北京地区医护人员对骨髓腔内输液知晓现况的调查研究%Status quo study of the medical staffs in intraosseous infusion in Beijing area

    Institute of Scientific and Technical Information of China (English)

    汪宇鹏; 祖凌云; 高炜; 于雪; 刘盛; 张萌

    2016-01-01

    Objective To investigate the condition of awareness of emergency intravenous infusion style in medical staffs in part of third-grade class-A hospital in Beijing area, analyze the causes of insufficient of intraosseous infusion in China, to provide the basis for the development of the intraosseous infusion technology. Method 420 clinical medical staffs in emergency department, ICU and other departments in 8 hospitals in Beijing area, cognitive situation and the degree of trust about intraosseous infusion and central venous infusion were counted and analyzed through questionnaire. Result Awareness rate of intraosseousinfusion was only 32.6% (137/420) in medical staffs, and awareness rate of central venous infusion was 97.4% (409/420). The indications and the operation process of intraosseous infusion were known by only 4.0%(17/420) and 3.8%(16/420) in the medical staff;and the contraindications of intraosseous infusion were known by 22.6%(95/420). There were only 49.5%(208/420) medical staffs trust the intraosseous infusion. The average awareness rate of intraosseous infusion in the medical staffs of the other department [26.9%(52/193)] was less than that in emergency department [40.8% (42/103)] (P < 0.05); the awareness of intraosseous infusion from junior titles to senior titles tended to increase especially in emergency department and ICU, trend test had statistically significant difference (respectively, P=0.002, P<0.001);the awareness rate of intraosseous infusion among senior medical staffs in different departments was also different, the analysis found the awareness rate of intraosseous infusion in the senior medical staffs of other department [31.7%(13/41)] was less than that in the senior staffs of ICU [72.7%(8/11)] and emergency department [66.7%(4/6)];when the peripheral venous puncture are not successful twice, 70.7%(297/420) of the medical staffs would consider central venous infusion, 22.1%(93/420) would try the peripheral venous puncture again, only 4

  7. Analysis on mental health and job burnout status of medical staff in the cancer hospital%肿瘤专科医院医务人员心理健康与职业倦怠状况调查分析

    Institute of Scientific and Technical Information of China (English)

    王莹; 刘新亚; 张晓洁; 刘衍琼; 贾慧民

    2015-01-01

    Objective To understand the mental health and job burnout status among medical staff in the cancer hospital and analyze their influencing factors,so as to provide reference for targeted countermeas-ures and intervention measures.Methods 933 medical staffs in the affiliated cancer hospital of Xinjiang medical university were selected as research subjects and evaluated by symptom checklist 90 (SCL-90), maslach burnout inventory-human service survey (MBI-HSS)and demographic characteristics question-naire.Results The results of SCL-90 in different gender,age,professional category,education level,pro-fessional title and daily working hours presented statistical difference (P <0.05)among medical workers. The results of MBI-HSS in different gender,age,marital status,education level and daily working hours were statistical significant in different dimensions of the job burnout (P <0.05).Conclusion The mental health and job burnout status of the medical staff is not optimistic.The medical staff should be relieved by psychological intervention,for improving the mental health and job burnout status of medical staff.%目的:了解肿瘤专科医院医务人员的心理健康与职业倦怠状况及其影响因素,为提出针对性对策和干预措施提供参考。方法选取新疆医科大学附属肿瘤医院933名医务人员为研究对象,采用症状自评量表(SCL-90)、马斯勒职业倦怠量表—服务行业版(MBI-HSS)和自制个人情况调查问卷对医务人员进行问卷调查。结果不同性别、年龄、从事专业类别、学历、职称、日工作时间等人口学特征的医务人员 SCL-90量表不同因子分差异有统计学意义(P <0.05);不同性别、年龄、从事专业类别、学历、职称、日工作时间等人口学特征的医务人员职业倦怠不同维度差异有统计学意义(P <0.05)。结论医务人员心理健康及职业倦怠状况不容乐观,应采取必要措施进行心理

  8. 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

  9. 医护人员洗手依从性调查分析及干预措施研究%Sdudy on the investigation of hand-washing compliance in clinical medical staffs and intervention

    Institute of Scientific and Technical Information of China (English)

    高国贞; 苏影云

    2008-01-01

    Objective To investigate the actuality of medical staffs'hand-washing nowadays,find the factors which influence the medical staffs'hand-washing compliance and discuss the intervenient measure of enhancing hand-washing compliance.Methods 210 medical staffs were investigated and were observated purposely by the researchers in secret who have got training.Results The hand-washing compliance rate among medical staffs was low(46.2%),after intervention the hand-washing compliance rate in experiment group(81.3%)were significantly higher than that in control groop(42%).Conclusion The medical staffs understood the knowledge of hand-washing but didnt do it according to the criterion completely.Enhancing the hand-washing compliance rate is depending on some conditiond,which are as follows:(1)Strengthen the training of all staffs by different kinds of metrheds;(2)The leaders pay more attention to;(3)Training and education must be persevered in.%目的 探讨提高医护人员洗手的依从性的方法,进而降低院内感染的发生率.方法 采用隐蔽性方法对广州市甲、乙、丙3所三甲医院内科、外科、妇科、儿科、ICU、急诊、普通门诊等科室210名医护人员进行洗手依从性的观察并进行问卷调查,了解医护人员对洗手的认识情况和执行情况,分析影响依从性的因素将洗手依从性接近的两所医院的医护人员分别设为试验组和对照组,试验组给予一系列综合干预.结果 问卷调查显示:医护人员洗手知识知晓率为96.6%,自评洗手依从性为95.1%,但隐蔽性观察结果显示操作前后依从率分别为39.3%和53.0%,平均依从性只有46.2%;试验组经采取一系列干预措施后,操作前后洗手的依从性分别为76.7%和85.8%,明显高于对照组的35.2%和48.7%.结论 医护人员对洗手有正确认识,但未能切实贯彻到行动中,知行分离.通过加强医护人员洗手的教育和监督,改善洗手条件等综合措施可提高医护人员洗手的依从性.

  10. 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. 

  11. The comparison of anxiety and depression rate between medical staff of infertility centers and obstetrics and gynecology centers of Yazd, Shiraz, Isfahan and Kerman hospitals

    OpenAIRE

    Zahra Pourmovahed; Seyed Mojtaba Yassini Ardekani; Mohammad Ali Khalili; Iman Halvaei; Ali Nabi; Mojdeh Ghasemi; Farzaneh Fesahat

    2014-01-01

    Background: Regarding the close and continuous interaction of infertility staff with hopeless infertile couples and in the contrary the atmosphere of happiness especially in obstetric wards make a sense that considering anxiety and depression it would be a difference between these two wards. Objective: The objective of this study is the comparison of the rate of depression and anxiety between the two wards of infertility and obstetrics and gynecology. Materials and Methods: This study is a de...

  12. 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.

  13. Analysis of influencing factors of hand hygiene of medical staff based on PRECEDE model%PRECEDE 模式对医务人员手卫生的影响因素分析

    Institute of Scientific and Technical Information of China (English)

    刘晗; 江艳; 陈慕刁; 梁春梅; 张晓辉; 高钰琳

    2016-01-01

    OBJECTIVE To explore the three kinds of factors that affect the hand hygiene behavior of medical staff based on PRECEDE model ,so as to provide evidence for later effective intervention .METHODS A questionnaire was designed based on the PRECEDE theory and used to investigate 149 clinical medical staff in a dermatology hospital from Dec .2015 to Jan .2016 .The data were analyzed by SPSS 20 .0 .RESULTS The survey question-naires were issued 150 ,and 149 valid questionnaires were recovered ,with the effective recovery rate of 99 .33% . predisposing factors .There were no significant differences in the index of hand hygiene and related knowledge a-mong medical staff of different gender ,seniority ,educational level and professional titles .The differences of the scores of hand hygiene indexes of doctors ,nurses and medical technicians were significant (P<0 .05) .Busy work and inconvenient hand washing facilities were the major contributing factors affecting the hand hygiene of the health care workers .Lack of rewards and punishments and lack of effective monitoring were the major intensifying factors .CONCLUSION The hospital infection management department should fully consider the influence of the predisposing ,enabling and reinforcing factors on the hand hygiene behavior of medical staff .By enhancing train-ing ,improving hand hygiene facilities ,and reinforcing supervision and management ,multiple intervention meas-ures can be applied to improve hand hygiene compliance in order to guarantee the safety of both the medical staff and patients .%目的:应用PRECEDE模式探讨影响医务人员手卫生行为的三类因素,为后期进行有效的干预提供参考依据。方法基于PRECEDE模式理论,自行设计调查问卷,对2015年12月—2016年1月医院149名临床医务人员进行调查,数据采用SPSS 20.0软件进行统计分析。结果本次调查共发放问卷150份,收回有效问卷149份,有效回收率为99.33%;倾向因

  14. 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。

  15. 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.

  16. 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.

  17. 年轻医务人员生理心理健康状况调查分析%The physiological and psychological health investigation and analysis of young medical staff

    Institute of Scientific and Technical Information of China (English)

    潘培涛; 杨业兵; 武剑

    2015-01-01

    目的:了解年轻医务人员的健康状况,分析相关影响因素,提出相应的措施。方法对1307名年轻医务人员于2014年5月进行体检,其中男性277名、女性1030名。检查项目包括血常规、血生化、B超等;并随机抽取部分医务人员(20%)进行职业倦怠量表、医院焦虑抑郁量表调查,以了解年轻医务人员生理心理健康状况。结果与饮食相关疾病如高胆固醇、脂肪肝为高发疾病。心理状况调查发现226名年轻医务人员中,27.8%有焦虑症状、16.7%的有抑郁症状。存在焦虑症状的医务人员具有更显著的情绪枯竭、玩世不恭的职业倦怠表现(t情绪=3.41,P情绪=0.001;t玩世=2.83,P玩世=0.005);存在抑郁的医务人员会有更显著的情绪枯竭、成就感低落的倦怠表现(t情绪=2.36,P情绪=0.019;t成就=2.24,P成就=0.026)。结论许多年轻医务人员处于亚健康状态,医务人员自身和医院都应该给予足够重视,采取必要的措施如定期体检、推广合理的生活方式、管控压力等促进医务人员生理心理健康状态。%Objective To understand the health status of young medical staff by analysis of relevant factors and put forward appropriate measures .Methods Medical examination for 1 307 young medical staffs in May 2014,of which 277 were male, 1 030 were female.The inspectary items included blood routine , blood biochemistry , B ultrasonic examination project , and a part of medical staffs selected for occupation burnout scale .Hospital anxiety and depression scale were studied to understand the psychological health status .Results Diet-related diseases such as high cholesterol and fatty liver disease were higher in examination project .The mental state survey for 226 staffs foun-ded that 27.8%of young medical workers had anxiety symptoms and 16.7%had symptoms of depre-ssion.Medical personnel with anxiety presence had a more

  18. 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

  19. 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。

  20. 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

  1. 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.

  2. 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

  3. 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

  4. Elections to Staff Council

    CERN Multimedia

    Association du personnel

    2006-01-01

    The Staff Association will shortly be renewing the mandate of half of the Staff Council. This is an opportunity for you to become more directly involved in the Staff Association's work and help promote and defend the staff's interests and, more broadly, those of the Organization itself.

  5. 军队三甲医院医务人员职业倦怠现状调查及分析%Job burnout in medical staff from 3A PLA hospitals

    Institute of Scientific and Technical Information of China (English)

    瞿伟; 谷珊珊

    2012-01-01

    Yongxin. The medial staff in 3 A PLA hospitals were screened according to Li Yongxin' diagnostic criteria for job burnout and compared with the medical staff in civil hospitals. Results The total score of emotional exhaustion was (21.96 ±7. 54) which was lower than its critical value (25 ) , and (11.7 ± 7.44) and (16.04 ±6.04) respectively for depersonalization and diminished personal accomplishments which were slightly higher than its critical value (11 and 16) . The detection rate of emotional exhaustion, depersonalization and diminished personal accomplishments was significantly lower in medial staff of 3 A PLA hospitals than in those of local hospitals (20.9% vs 81.2% , 30.9% is 66.4% and 42. 7% vs 76.2% , P >0.05). The detection rate of diminished personal accomplishments was higher in divorced medical staff, those with a record of professional training school and an income of less than 2 000 RMB Yuan than in married and unmarried medical staff, those with a record of college and university training, master and doctor, and an income of 2 000 to 5 000 RMB Yuan or over (P <0.05). The emotional exhaustion was severer in military personnel than in non-military and employed personnel (P < 0. 05). A significant difference was found in emotional exhaustion and depersonalization of medical staff working at different departments and positions (P < 0. 05 ). Conclusion The current state of job burnout is better in 3 A PLA hospitals than in civil hospitals. More attention should be paid to military personnel and ICU, divorced, low education level and low income medical staff.

  6. 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

  7. [Investigation on cognition of zoonosis among veterinary clinical staff].

    Science.gov (United States)

    Takinami, Kenji

    2005-10-01

    We conducted a survey to determine how much veterinary clinic staff, including veterinary surgeon and veterinary technicians, know about zoonosis. Response was 52.5%. All staff members knew of zoonosis. Staff members who knew what zoonosis meant accounted for 98%. Staff members trained in zoonosis accounted for 75% among veterinary surgeons and 66% among veterinary technicians. Staff members who thought that zoonosis would increase in future accounted for 92% among veterinary surgeons and 79% among veterinary technicians. Staff members who were asked by pet owners about zoonosis accounted for 87% among veterinary surgeons and 51% among veterinary technicians. Staff members who thought veterinary surgeons must report zoonosis to public health centers accounted for 96% among veterinary surgeons and 88% among veterinary technicians. Veterinary clinic staffs thus had correct knowledge and were aware of zoonosis. The network of medical staff and veterinary staff could therefore build on this result.

  8. 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

  9. 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

  10. 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

  11. Application Value of Doctor-patient Communication Courses to Medical Staff%开设医患沟通课程对医务人员的应用价值分析

    Institute of Scientific and Technical Information of China (English)

    李亚蕊; 曹玉玲; 冀璐

    2015-01-01

    Objective: To investigate the significance of doctor -patient communication courses to medical staff.Methods:Using self-made questionnaire and self -evaluation of anxiety scale (SAS), selection in our u-niversity study of 200 cases of medical personnel , in accordance with the doctor -patient communication before and after the course is divided into classes before and after teaching group , respectively on two groups before and after learning the medical staff on the SAS scores and questionnaire survey .Results:Compared with group before teach-ing, teaching group after medical staff thought through the study of doctor -patient communication course , is con-ducive to cultivating communication consciousness , improve doctor -patient communication skills as well as pre-venting the doctor-patient contradiction (P<0.05).After teaching group SAS score (34.50 ±6.88), signifi-cantly lower than the teaching group SAS score (45.51 ±6.97), difference was statistically significant (t =15 .622 ,P<0 .01 ) .Conclusion:Doctor-patient communication courses are effective way to improve the ability to communicate , to alleviate the anxiety of the medical staff at the same time also has a certain value .%目的:探讨开设医患沟通课程对医务人员的应用价值。方法采用自编问卷及焦虑自评量表( SAS),选取在我校学习的200例医务人员,按照对医患沟通课程学习前后分为授课前组和授课后组,分别于学习前后对两组医务人员进行SAS评分及问卷调查。结果与授课前组相比,授课后组医务人员认为通过医患沟通课程的学习,有益于培养沟通意识,提高医患沟通的技巧以及防范医患矛盾( P<0.05)。授课后组SAS评分为(34.50±6.88),明显低于授课前组SAS评分(45.51±6.97),差异有统计学意义(t=15.622,P<0.01)。结论开设医患沟通课程是提高沟通能力的有效途径,同时对于缓解医务人员的焦

  12. 医护人员手卫生执行现状及其影响因素调查分析%Survey and Analysis on the Implementation Status and Influencing Factors of Hand Hygiene of Medical Staff

    Institute of Scientific and Technical Information of China (English)

    和欢

    2016-01-01

    目的了解临床医护人员手卫生执行状况及其影响因素,为降低医院感染率提供理论依据。方法于2015年2月至2015年12月,采用便利抽样的方法,对锦州市某医院402名医护人员手卫生的依从性、正确率、影响因素及其手卫生执行效果进行问卷调查。结果本研究共调查402次手卫生指征时医护人员的执行情况,实际执行91次,依从率为22.6%,其中正确执行的次数为16次,正确率为17.6%。调查结果显示,影响手卫生执行及效果的23项因素中,选择最多的前5项因素分别为:工作繁忙(61.19%)、洗手次数多会使皮肤干燥(57.46%)、洗手池旁干手用具配备不到位(57.21%),清洁剂或消毒剂刺激皮肤引起不适(51.99%)、无奖惩措施(50.50%)。结论医院应加强医护人员的手卫生相关知识的学习与培训,减少不利因素对手卫生执行及其效果的影响,强化医护人员的手卫生观念,提高医护人员的手卫生的依从率及正确率,有效减少医院感染的发生。%Objective To understand the implementation status and influence factors of hand hygiene of medical staff, and to provide a theoretical basis to reduce the hospital infection rate. Methods A questionnaire on hand hygiene compliance, correct ratio, influencing factors, and implementation effect of 402 medical staff was conducted in a hospital in Jinzhou from February to December, 2015 by sampling conveniently. Results A total of 402 hand hygiene indications were involved in the research. Actually it was execu-ted 91 times and the compliance rate was 22. 6%. In addition, 16 cases finished correct operation, and the correct ratio was 17. 6%. The survey showed that the top five factors of the 23 factors affecting the execution and effect of hand hygiene were busy work (61. 19%), easily leading to xerosis cutis (57. 46%), no equipment to dry hands (57. 21%), skin discomfort caused by cleaning agent or antiseptic

  13. 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.

  14. SURVEY ON THE CURRENT SITUATION OF HAND HYGIENE OF MEDICAL STAFF IN AN INFECTIOUS HOSPITAL%一所传染病医院医务人员手卫生现状调查

    Institute of Scientific and Technical Information of China (English)

    张桂枝; 张鹏飞

    2012-01-01

    目的 了解传染病医院医务人员手卫生执行和手卫生措施状况,分析影响因素,制定手卫生措施.方法 通过单盲法调查和现场查看方式,对山西省某传染病专科医院医务人员手卫生措施及其执行情况进行了调查.结果 在2009 -2011年连续3年期间,该医院临床医生手卫生执行率总平均为49.2%~65.6%;护士手卫生执行率总平均为69.0%~ 83.4%.至2011年,该医院感应式水龙头配置率为37.5%,但所有科室都配备了洗手液和手消毒剂.但该医院医务人员洗手液和手消毒剂的使用率均在20%以下.结论 该传染病医院医务人员手卫生执行率呈上升趋势,但总体偏低,洗手装置和手卫生方式均比较落后,应加强管理.%Objective To understand the execution and current situation of hand hygiene methods and to analyze the influential factors so as to improve the hand hygiene methods. Methods Single - blind investigation and viewing on the scene were used to investigate the execution of hand hygiene of medical staff in an infectious special hospital in Linfen Shanxi, Results During three continuous years of 2009 - 2011, the average execution rates of hand hygiene of clinical doctors in this hospital were from 49.2% ~ 65.6% ; those of nurses were from 69.0 ~ 83.4%. Until year 2011, the allocation rate of induction type water tap was 37- 5% , and all the departments had equipped with handwashing liquid and hand disinfection. The usage rates of handwashing liquid and hand disinfectants of medical staff in this hospital were below 20%. Conclusion The execution rate of hand hygiene of medical staff in this infectious hospital has taken on a rising trend, while it is comparatively low on the whole. The hand washing allocation and hand washing methods are relatively backward, so management should be strengthened.

  15. 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。

  16. Prevalence and risk factors of hand dermatitis of medical staff%医务人员手部皮炎的流行病学调查及风险因素分析

    Institute of Scientific and Technical Information of China (English)

    陈岚

    2015-01-01

    Objective To investigate the prevalence and risk factors associated with hand dermatitis among medical staff in Beijing Chuiyangliu Hospital. Methods A questionnaire survey, physical examination were conduced among medical staff. The risk factors were analyzed by SPSS 16.0. Results The overall prevalence of hand dermatitis were 18.4%. Among many risk factors, systemic diseases, allergic history and contacting antiseptics were independent risk factors (P = 0.001, 0.002, 0.009). Conclusions The prevalence of hand dermatitis among medical staff was higher than common people. It maybe inlfuenced by systemic diseases, allergic history and contacting antiseptics .%目的:了解北京市垂杨柳医院医务人员手部皮炎患病情况并探讨可能的风险因素。方法采用调查问卷方法对垂杨柳医院医务人员进行调查,对有皮肤问题的医务人员逐一进行皮肤科检查,收集流行病学资料。所有资料用SPSS 16.0进行统计学分析,对相关危险因素进行分析。结果在此次调查中,医务人员手部皮炎患病率为18.4%。系统性疾病、过敏史以及接触消毒剂是手部皮炎的独立风险因素(P=0.001、0.002、0.009)。结论在本次调查中医务人员手部皮炎发病率较普通人群高,手部皮炎患病可能与系统疾病、过敏史和接触消毒剂有关。

  17. 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.

  18. Current status of hand-washing compliance of medical staffs in grass-root hospitals and administration strategies%基层医院医护人员洗手依从性现状及管理措施

    Institute of Scientific and Technical Information of China (English)

    孔双红

    2012-01-01

    目的 调查医院医护人员手卫生及洗手依从性现状,探讨手卫生与医院感染的相关性,制定手卫生管理对策.方法 随机抽查临床科室部分医护人员手污染的现状、了解医护人员手携带细菌的种类及性质,分析手污染的原因.结果 医护人员在常规医疗活动中,手部细菌携带率为100.0%,洗手后细菌携带率为29.6%;携带的细菌主要是: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、产气肠杆菌、金黄色葡萄球菌、凝固酶阴性葡萄球菌和肠球菌属等.结论 医护人员手部污染是医院感染的重要危险因素,必须强化医护人员预防医院感染的理念,提高对洗手的认知性和依从性,优化手卫生措施,有效预防与控制经手传播的医院感染.%OBJECTIVE To investigate the status of hand hygiene and hand-washing compliance of medical staffs and approach the correlation between hand hygiene and nosocomial infections to institute the administration strategy of hand hygiene.METHODS The random inspection of hand hygiene was performed for random selected medical staffs in clinical departments.The species of carrying pathogens were determined, and the reasons for contamination were analyzed.RESULTS The carrying rate of pathogenic bacteria before hand-washing was 100.0% while that after hand-washing was 29.6%.The carrying pathogenic bacteria mostly comprised of Esche-richiacoli, Klebsiella pneumonia, Pseudomonas aeruginosa , P.alcaligenes, Proteus, Enterobacter aerogenes, Staphylococcus aureus, coagulase negative Staphylococcus, Enterococci and so on.CONCLUSION The hand contamination is an important risk factor for nosocomial infections.We should strengthen hospital infections awareness of medical staffs, enhance the recognition and compliance of hand-washing and optimize hand hygiene measures to prevent and effectively control the nosocomial infections communicated through hands.

  19. 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.

  20. 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

  1. 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.

  2. 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。

  3. 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

  4. Investigation on the cognition of cancer pain in medical staff and cancer patients%医护人员及肿瘤患者对癌痛认知的调查分析

    Institute of Scientific and Technical Information of China (English)

    杨璞; 朱建华; 肖文华; 刘家宏; 周旋; 李秋文

    2015-01-01

    Objective To investigate the cognition of pain in medical staff and pain control in cancer patients,find the problems in current cancer pain control and provide information for the improvement of pain management.Methods The pain related cognitive questionnaire survey was used to investigate 48 doctors and nurses in Department of Oncology of our hospital,and the cancer pain questionnaire survey was used to investigate 321 cancer patients in the same department.Results 81.3% (39/48) of the medical staff will conduct a comprehensive assessment before treating cancer pain patients,22.9% (1 1/48) thought when patients feel pain,the first thing to do was diverting his attention,81.3% (39/48) considered that it should be evaluated pain intensity by cancer patients' complaints,6.3% (3/48) of the medical staff didn't know the Guidelines of Pain Relief Ladder for Cancer Pains,10.4% (5/48) was not clear about pain score method.27.1% (13/48) of the medical staff chose pethidine to deal with outbreak pain,45.8% (22/48) of the medical staff thought on-demand delivery should be used in the treatment of chronic pain,22.9% (11/48) thought we should not handle the side effects of opioid until it appeared.The percentage of pain in cancer patients was 44.2% (142/321).The main concerns of painful patients about using pain medications were drug addiction (38/124,30.6%) and the side effects(31/124,25.0%),and considering pain as a sign of disease progression (19/124,15.3%).Conclusion Misunderstanding on the usage and safety of analgesics and cancer pain management are common among medical staff and cancer pain patients.The cancer pain standardized management should be improved in our hospital.%目的 调查医护人员对癌痛的认知以及肿瘤患者疼痛控制状况,观察目前癌痛控制中存在的问题,为完善癌痛管理提供依据.方法 采用自行设计的癌痛相关认知调查表调查我院肿瘤科及相关科室医护人员48名,及自行

  5. 血液净化中心医护人员职业暴露危险因素分析%Risk factors of occupational exposure among medical staff in hemopurification centers

    Institute of Scientific and Technical Information of China (English)

    李芸; 张海燕; 邝炎辉

    2015-01-01

    目的:对血液净化中心医护人员职业暴露危险因素及相关情况进行调查分析,提出对策。方法采用分层整群抽样方法,抽取深圳市3家三级甲等医院血液净化中心共120名医护人员为调查对象,采用问卷调查、收集其过去1年接触的职业暴露危险因素、职业伤害发生和职业安全防护措施认知相关资料,进行统计分析。结果噪声刺激、接触病人液体和接触光辐射是医护人员最常见的职业暴露危险因素,职业暴露率分别为100.0%、94.2%和94.2%。护士职业暴露危险因素总得分高于医生[71.0(62.0,76.0)分 vs 57.0(50.0,62.0)分,P<0.01],初级和中级职称医护人员的职业暴露危险因素总分均高于高级职称者( P<0.01)。医护人员亚健康状态、职业性损伤和工作相关疾病发生率分别为33.3%、29.2%、14.2%。医护人员对常见经血液传播疾病的认知率最高,为95.0%;对降低医疗设备噪声方法的认知率最低,仅为33.3%。结论血液净化中心医务人员职业危害暴露率较高,应采取综合防治措施降低其职业危害风险。%Objective To investigate and analyze the risk factors and related status of occupational exposure among medical staff in hemopurification centers, and to put forward the countermeasures.Methods By stratified cluster sampling method, 120 medical staffs were selected from 3 hemopurification centers of Level-3 Class-A hospitals in Shenzhen City and surveyed by questionnaire on their occupational exposing risk factors, condition of occupational injuries, and cognition of occupational safety protection measures during the past year.The data were statistically analyzed.Results The noise exposure, bodily fluid contact with patients, and light radiation were the most common risk factors for medical staffs, with the exposure rates of 100.0%, 94.2%, and 94.2%, respectively

  6. 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

  7. Discussion on Professional Quality and Management of Medical Equipment Purchasing Staff%医疗设备采购人员的职业素质及管理探讨

    Institute of Scientific and Technical Information of China (English)

    张颖冬; 马俊; 孙忠河; 蒋红兵

    2012-01-01

    The lack of high quality purchasing staff is the core matter that has restricted the development of medical equipment purchasing business. This paper analyzes five kinds of basic professional quality, including moral quality, professional skills, cost consciousness, communication skills and learning desire. It also suggests to construct modern purchasing team from ability training, evaluation, program construction, and risk control.%高素质人才匮乏是制约医疗设备采购事业发展的核心问题.本文分析了道德素养、专业技能、成本意识、沟通能力、学习意愿5种基本职业素质.建议通过能力培养、考核评价、程序建设和风险防控来建设现代化的医疗设备采购队伍.

  8. 门诊医护人员手卫生的调查分析及应对策略%Investigation of hand hygiene of medical staff in outpatient department and coping countermeasures

    Institute of Scientific and Technical Information of China (English)

    李颖; 陈美芳; 高燕; 徐国英

    2014-01-01

    目的:对医院门诊医护人员的手部清洗及消毒情况进行调查,并提出相应的策略,降低医院感染率。方法对医院门诊78名医护人员手部携带的病原菌分布进行分析,并对手卫生的认知、消毒方法进行调查,同时进行宣传教育、方法指导,比较宣讲前后手部带菌情况。结果共分离出病原菌69株,排名前5位的依次为大肠埃希菌、金黄色葡萄球菌、表皮葡萄球菌、铜绿假单胞菌、屎肠球菌分别占26.1%、21.7%、17.4%、13.1%、8.7%;医护人员对手部卫生的认知差异较大,护理人员能够认真洗手、手消毒以及知晓正确洗手方法的比例为87.5%、80.0%,明显好于医师对应的比例68.4%、52.6%( P<0.05);通过宣讲及方法指导,医师及护士均能够自觉地进行手消毒,手消毒前后医师合格率分别为52.6%、94.7%,护士为70.0%、97.5%,两组人群手消毒前后合格率比较差异均有统计学意义(P<0.05)。结论医护人员对于手卫生均有较深刻的认识,但在具体的执行力度和方法还需进一步改进,通过宣讲、监管等应对措施,医护人员手卫生的合格率明显提高,该策略值得推广应用。%OBJECTIVE To investigate the status of cleaning and disinfection of hands of the medical staff in outpa-tient department and propose corresponding coping countermeasures so as to reduce the incidence of nosocomial in-fections .METHODS The distribution of pathogens isolated from the hands of 78 medical staff was analyzed ,then the awareness of hand hygiene and the disinfection methods were investigated ,the preaching education was con-ducted for guidance of disinfection ,and the colonization of bacteria on the hands was observed and compared before and after the preaching education .RESULTS A total of 69 strains of pathogens have been isolated ,among which the Escherichiacoli

  9. Application of PDCA cycle management on hand hygiene of medical staff in Intensive Care Unit%浅谈PDCA循环管理在ICU医务人员手卫生管理工作中的应用效果

    Institute of Scientific and Technical Information of China (English)

    卢孝莉; 何芳; 肖池兵

    2014-01-01

    目的:探讨分析PDCA循环管理在ICU医务人员手卫生规范管理工作中的应用效果。方法:在我院ICU医务人员手卫生管理工作中实施PDCA(计划-实施-检查-处理)循环管理,观察对比实施该方案前后的管理效果,并将对比的结果进行回顾性的分析。结果:实施PDCA循环管理后,ICU医务人员在洗手的依从性、手卫生知识的知晓率及手卫生合格率等方面均较实施之前有显著的提高(P<0.01),具有统计学意义。结论:在ICU医务人员手卫生管理工作中实施PDCA循环管理可有效提高ICU医务人员的手卫生状况,值得在临床上推广应用。%Objective To explore the application of PDCA cycle management on hand hygiene compliance of medical staff in the Intensive Care Unit. Results The hand washing compliance,knowledge of hand hygiene and qualified rate of hand hygiene were improved after the implementation of PDCA cycle management(P<0.01).Conclusion The application of PDCA cycle of planning-doing-check-action on continuous quality improvement can improve hand hygiene of medical staff effectively.

  10. 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.

  11. 七例疑似受照的医疗工作人员染色体畸变分析%Analysis of chromosomal aberration in seven medical staffs suspected with exposure to ionizing radiation

    Institute of Scientific and Technical Information of China (English)

    韩林; 赵风玲; 王喜爱; 王平; 姜峰; 吕玉民

    2012-01-01

    目的 通过对怀疑受到电离辐射照射的医疗工作人员进行外周血淋巴细胞染色体畸变分析,探讨可能的受影响因素.方法 某医院检验科工作人员7名,男性1名,女性6名.他们工作室的楼下是医院CT室,工作室和CT室间的楼板为厚度约6 cm的普通预制板.采用常规法,对7名人员外周血淋巴细胞染色体畸变进行分析.结果 4例女性工作人员外周血中检测到双着丝粒体(dic),dic率为0.40% ~ 1.60%,明显高于dic的自发率(0.03%,x2=36.79,P<0.05);在所有工作人员中均检测到易位畸变,易位率在0.33%~1.20%之间,明显高于易位的自发率(0.01%,X2=42.90,P<0.05).结论 推测这些工作人员受到过量电离辐射照射.%Objective To investigate the chromosomal aberrations in seven medical staffs suspected with exposure to ionizing radiation and to speculate its possible causation.Methods The hospital staffs,including 6 females and 1 male,worked in a clinical laboratory where a CT room was located downstairs.The thickness of precast slab between these two rooms was 6 cm.Peripheral blood lymphocytes of seven staffs were examined for conventional chromosomal aberrations.Results The frequencies of dicentrics in the peripheral lymphocytes of 4 females were from 0.40% to 1.60% that was significantly higher than the spontaneous frequency of dicentrics (0.03%,x2 =36.79,P < 0.05).The translocation was observed in the lymphocytes from all subjects with frequencies from 0.33% to 1.20%,obviously higher than its spontaneous frequency of 0.01% (x2 =42.90,P < 0.05).Conclusion These staffs suffer from ionizing radiation.

  12. 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.

  13. E3 Staff Database

    Data.gov (United States)

    US Agency for International Development — E3 Staff database is maintained by E3 PDMS (Professional Development & Management Services) office. The database is Mysql. It is manually updated by E3 staff as...

  14. 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.

  15. 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。

  16. 综合医院医务人员心理健康状况调查%The investigation of mental health status of medical staffs in a general hospital

    Institute of Scientific and Technical Information of China (English)

    邹志礼; 黄雨兰; 汪瑾宇; 李兴红; 何影; 闵文蛟; 周波

    2015-01-01

    目的:了解综合医院医务人员的心理健康状况。方法采取系统抽样方法抽取四川省人民医院在职医务人员共609名,采用一般情况问卷、症状自评量表(SCL-90)对抽中的医务人员进行调查。结果医务人员SCL-90总分及各因子得分均低于常模,差异均有统计学意义( P<0.05)。女性医务人员的躯体化、强迫症状、人际关系敏感、忧郁、焦虑及SCL-90总分均高于男性医务人员,差异有统计学意义( P<0.05),其他因子得分差异无统计学意义( P>0.05)。护士SCL-90总分及各因子得分均高于医生和机关人员,差异均有统计学意义(P<0.05),医生组与机关人员比较差异无统计学意义(P>0.05)。大专学历者的抑郁因子得分高于硕士及博士,敌对因子得分高于博士,其余因子得分及总分高于本科、硕士和博士,差异均有统计学意义(P<0.05);本科学历者的躯体化、强迫症状、人际关系敏感因子得分及总分高于博士,差异均有统计学意义(P<0.05)。不同年龄、职称、工作年限、婚姻状况的医务人员SCL-90总分及各因子得分均差异无统计学意义(P>0.05)。结论医护人员的心理健康状况相对良好,但不同性别、工作岗位、学历的医务人员的心理健康可能存在差异。%Objective To investigate the mental health status of medical staffs in a general hospital.Methods A total of 609 medical staffs from our hospital were selected by the systematic sampling method,and were tested by using general state questionnaire and Symptom Checklist 90 (SCL-90).Results The total score of SCL-90 and subscales scores were lower than the national norm (P0.05 ) .The total score of SCL-90 and subscales scores in nurses were higher than that in doctors and office staffs ( P0.05).The depression factor score and hostile factor score in staffs with junior college degree was

  17. Elections to Staff Council

    CERN Multimedia

    Association du personnel

    2007-01-01

    The Staff Association will shortly be renewing the mandate of half of the Staff Council. This is an opportunity for you to become more directly involved in the Staff Association’s work and help promote and defend the staff’s interests and, more broadly, those of the Organization itself.

  18. Investigation and Analysis on Young Medical staff's Mental Status and Career Planning%青年医务人员思想状况及职业生涯规划调查

    Institute of Scientific and Technical Information of China (English)

    杨鹏高; 陈佳; 秦艳; 王玉明

    2012-01-01

    目的 针对目前从事医疗行业的青年普遍追求高学历、高水平、临床科研齐头并进的现状,对工作强度大、从业风险高、收入普遍比较低的青年医务工作者做好思想引导和职业生涯规划进行调研,为完善医院青年人才培养规划提出合理化建议,激发青年员工在院务工作中的积极性,为青年发展成才奠定基础.方法 随机选取上海市某市级医院473名35岁以下青年员工,采用问卷调查,了解其对待工作与生活的态度、对待事业与成功的态度及对职业的认可度、医院的归属感等方面的信息和数据.结果 大部分被调查青年医务工作者珍惜目前从事的工作,有明确的职业发展目标,工作努力、学习勤奋.为了个人的发展,绝大多数进行过或正在进行针对性的努力,有较强的危机感和紧迫感.但是本次调研也反映出被调研者工作压力大,对医院工作环境不甚满意.同时,认为个人的成才和领导合理的用人关系密切.结论 医院应就青年医务人员的工作积极性,职业生涯规划及青年人才培养加强进一步指导和促进.%Object In view of the phenomenon that commonly young medical staffs pursuit high education and demand high level clinical technique which should go hand in hand with scientific research, researchers aimed to investigate the problem that how to do good mental guidance and career planning on young medical employees who work with high stress, high risk, but low income, further improve hospital young medical talents cultivation planning, in order to inspire them to work harder and prepare solid foundation for their development. Methods Questionnaire inventory was applied to 473 young medical staffs that were under 35 years old and selected randomly from a Shanghai municipal hospital for the investigation and analysis of their work and life attitudes, attitudes toward success, the recognition of their work and sense of belonging

  19. 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

  20. Way and strategy of enhancing the construction of medical ethics for nursing staff%加强护理人员医德医风建设的途径与策略

    Institute of Scientific and Technical Information of China (English)

    钱娜

    2015-01-01

    医德医风是指医务人员的职业道德与行业风气。当前形势下,加强医德医风建设非常必要,对精神文明建设、提高医疗质量和医院的可持续发展均具有非常重要的意义。护理质量是医院医德医风建设的重要“窗口”,代表整个医院的形象。本文在分析当今护理人员医德医风存在问题与原因的基础上,提出了加强思想教育、学习培训、制度建设、考核监督、文化建设、医疗投入以及畅通信息渠道等几个加强医德医风建设的途径和策略。%Medical ethics is professional ethics and industry atmosphere of medical personnel.Under the current situa-tion,enhancing the construction of medical ethics is significantly important,as it has very important significance for the construction of spiritual civilization,as well as improvement of medical quality and the sustainable development of hos-pital.Nursing quality is an important "window" of the construction of medical ethics in hospital,and it represents the image of the whole hospital.Today,based on analysis of existing problems in the construction of medical ethics and causes to these problems in nursing staff,this paper proposes several solutions and strategies including strengthening ideological education,learning and training,system construction,examination and supervision,cultural construction,medi-cal input and smoothing information channel and so on to enhance the construction of medical ethics.

  1. What are key determinants of hospital admissions, readmission rate and day case rate within the South African medical schemes population?

    Directory of Open Access Journals (Sweden)

    Nondumiso Gugu Khumalo

    2012-06-01

    Full Text Available  BACKGROUND: In South Africa, private hospitals absorb a high proportion of the total health expenditure on private health care. Between 2008-2010 private hospital expenditure which includes ward fees, theatre fees, consumables, medicines and per diem arrangements consumed between 40.5% and 40.9% of the total benefits paid by medical schemes from the risk pool, whilst in-hospital managed care fees ranged between 1.8% and 2.8% for the equivalent years.OBJECTIVE: The aim of this paper is to highlight key factors contributing to utilisation of hospital services within the medical schemes population and to recommend “appropriate” and cost effective strategies on hospital utilisation management.METHODS: A cross sectional survey informed by retrospective analysis of quantitative data was used. Researchers also triangulated quantitative data with systematic review of literature.RESULTS: The results show that demographic indicators such as age profile, dependency ratio, pensioner ratio and prevalence of chronic conditions are not the only key factors influencing hospital admissions, but rather the effectiveness of each medical scheme in containing hospital admissions is also influenced by available technical capacity on utilisation review and audit as well as the managed care methodology including the philosophy underpinning benefit option design.CONCLUSION: This study highlights the importance of “value based” managed care programs linked to benefit option design in health care utilisation management. The choice of one managed care program over the other often leads to tradeoffs whereby unintended consequences emanate. Medical schemes are therefore encouraged to continuously review their managed care programs to ensure value for money as well as better access and health outcomes.http://dx.doi.org/10.7175/fe.v13i2.207

  2. Retrospective cost comparison of chiropractic versus medical treatment of back pain in a typical South African mechanised underground mining environment

    OpenAIRE

    2010-01-01

    M. Tech. It is well known internationally that the high prevalence of back pain costs the economies of the world many billions of dollars annually. This has prompted a great deal of research abroad into means of reducing the deleterious economic effects of back pain. One of the results of this research is the realisation that Chiropractic treatment of back pain offers an efficacious and cost effective alternative to the conventional medical treatments currently employed in most countries. ...

  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. Pharmaceutical interventions by collaboration between staff pharmacists and clinical pharmacists and implementation of Joint Commission International Accreditation Standards on medication use may optimize pharmacotherapy in geriatric patients

    Directory of Open Access Journals (Sweden)

    Chen M

    2016-11-01

    Full Text Available Meng Chen, Quan Zhou Department of Pharmacy, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of ChinaWe read with great interest the prospective study by Cortejoso et al,1 which describes the characteristics of pharmaceutical interventions in two geriatric wards (orthogeriatric ward and geriatric day unit of a general teaching hospital. We strongly agree with their finding that shows the importance of clinical pharmacist involvement in the optimization of pharmacotherapy in elderly patients. Furthermore, we especially appreciate their new and interesting findings that the clinical pharmacist was more frequently requested by physicians and nurses for information about the pharmacotherapy of the patients on the geriatric day unit, compared with the orthogeriatric ward at admission and discharge (5.7% vs 1.2% and 1.7%, respectively, P<0.05, and that the pharmacist asked for more confirmation of the physician orders on the geriatric day unit rather than the orthogeriatric ward (19.8% vs 1.8% and 15.7% at admission and discharge, respectively, P<0.05. We are from a Joint Commission International (JCI-accredited academic medical center hospital with 3200 beds in China. Safe medication management and use are pivotal to patient safety and quality of care on which the state-of-the-art standards of the Joint Commission focus. We would like to share our perspectives in the following paragraphs.View original paper by Cortejoso and colleagues. 

  5. 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

  6. 临床护理人员用药风险防范认知度调查分析%Investigation and analysis of medication risk prevention awareness in clinical nursing staff

    Institute of Scientific and Technical Information of China (English)

    周国秀; 成孝林

    2012-01-01

    Objective: To understand the nursing staff risk cognitive and attention of drug risk prevention, enhance drug risk management, to ensure safe drug use of patients. Methods;A questionnaire survey was conducted in nursing staff in our hospital,analyzed the investigation results. Results: 13. 04% of the nurses do not realized the responsibility to prevent drug use risk; the overall recognition rate of the three basic concepts of adverse drug reactions, medical errors and drug damage were 39.13% ,30.43% and 58.69% ; willingness of the report adverse drug events was 67.39%. Conclusions:The main sources of drug risk are adverse drug reactions medical errors and drug damage. Equal emphasis on use of education, system and inspection, constantly strengthen the sense of responsibility of the medication risk.%目的:了解护理人员对用药风险防范的认知和重视程度,加强用药风险管理,保障患者用药安全.方法:对护理人员进行用药风险防范认知度问卷调查,并对调查结果进行分析.结果:有13.04%的护理人员没有认识到防范用药风险的责任;对药品不良反应、用药错误和药品损害三个基本概念的总体认知率分别为39.13%,30.43%和58.69%;对药物不良事件的报告意愿率为67.39%.结论:以药品不良反应、用药错误和药品损害为用药风险的主要来源,采用教育、制度和督查并重的方法,不断强化防范用药风险的责任意识.

  7. 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.

  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. "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.

  11. [Prevalence and characteristics of the "burnout syndrome" of the medical staff of cancer and TB institutions of Primorskiĭ Kraĭ].

    Science.gov (United States)

    Bektasova, M V; Kaptsov, V A; Sheparev, A A

    2012-01-01

    As 50 doctors and 70 nurses in oncologic dispensaries as well 90 doctors and 110 nurses in tuberculosis dispensaries in Primorye have been studied on the basis of voluntary testing methods supposed by C. Maslach and V.V. Boiko. The aim of this study was to estimate the relative prevalence and psychological features of the "burnout syndrome" among doctors and nurses of oncologic and tuberculosis dispensaries in Primorye Territory. "Emotional burnout" in various stages of its development is much more common among nurses (75% of respondents), compared with physicians (less than 50% tested). In nursing professional burnout syndrome developed significantly more frequently in the more severe form, and with less seniority of professional activity. The dependence of burning on the age and professional experience is more common for physicians. There is an urgent need to study the epidemiology of the "burnout syndrome" and identify ways to prevent the formation of social syndrome in medical personnel.

  12. Analysis of Helicobacter Pylori Infection in Medical Staff of a Hospital in Jilin%吉林某医院医务人员幽门螺旋杆菌感染分析

    Institute of Scientific and Technical Information of China (English)

    张艳波; 李晓鸥; 李艳

    2016-01-01

    Objective To investigate the situation of Helicobacter pylori (Hp) infection in medical staff, and to analyze the epidemiological characteristics of Hp in order to provide data for prevention of Helicobacter pylori infection. Methods The serum of 1932 medical workers were collected and the Hp antibody was used to measure the serum. Results There was no significant difference in the infection rate of Helicobacter pylori between males and females, but the difference was statisti-cally significant between the different age groups. Conclusion The rate of Helicobacter pylori infection in medical personnel in Jilin area is lower than the national average level, and it is mainly focused on the prevention and treatment of 40 to 60 years old people.%目的:了解医务人员幽门螺旋杆菌(Hp)感染情况,分析Hp流行病学特征,为预防幽门螺旋杆菌感染提供数据。方法收集健康体检的1932名医务人员的血清,采用Hp抗体比浊法全自动生化分析仪测定。结果幽门螺旋杆菌感染率在男性和女性间无明显差异,而在各年龄组之间的差异有统计学意义。结论吉林地区医务人员幽门螺杆菌感染率低于全国平均水平,重点防治40~60岁人群。

  13. 医学科技查新员焦虑现象分析及缓解对策%Medical Staff Novelty Anxiety Phenomenon Analysis and Mitigation Countermeasures

    Institute of Scientific and Technical Information of China (English)

    魏裕

    2014-01-01

    随着科技与信息的发展,医学科技查新工作的作用日益重要。但查新任务的繁重必然会使查新员产生一定的心理问题,焦虑现象尤为突出。本文认为焦虑现象的来源有心理焦虑、信息焦虑和职业焦虑,并分别提出了可行的缓解对策,以期为查新工作更好的开展提供相关依据。%With the development of science and technology and information,the role of Medical science and technology novelty retrieval is more and more important.The heavy task of novelty retrieval wil nevitably make the novelty search members have psychological problems, anxiety phenomenon is particularly prominent. This paper argues that there are three sources of the anxiety phenomenon such as psychological anxiety, information anxiety and vocational anxiety, and put forward the feasible relieved methods ,in order to provide evidences to make novelty searching work bet er.

  14. 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

  15. 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

  16. Occupational exposure among medical staff of oral department and prevention countermeasures%口腔医护人员职业暴露与防护措施调查分析及对策

    Institute of Scientific and Technical Information of China (English)

    徐彦彬; 刘冰; 黄香河; 李化

    2013-01-01

    OBJECTIVE To understand the occupational exposure among the medical staff of oral department and the execution of the prevention measures, to probe into the prevention countermeasures so as to provide basis for establishing safe occupational management pattern. METHODS The clinic doctors and nurses in one oral hospital and the oral departments of six integrated hospitals were invested by questionnaire. RESULTS There were totally 149 clinicians and 137 nurses investigated. Within one year, the incidence rate of the sharp injuries of the clinicians was 85. 92% , the nurses 85. 40%. The incidence rate of the mucous exposure was 85. 23% , the nurses 68. 61%. The top three types of sharp instruments leading to the sharp injuries in the clinicians were the syringe needle, drill needle, and expanding pin and contusion, while the syringe needle, expanding pin and contusion and probe were of the nurses. the average injection rate of the hepatitis B vaccine was 92. 72% , 50. 00% of whose antibody were confirmed positive after the injection. The implementation of the correct prevention measures was low. CONCLUSION The incidence rate of the occupational exposure is high among the medical staff, the medical staff lack the knowledge of occupational protection, the protection measures are not implemented in actual place. It is necessary to strengthen the education of occupational safety, to improve the protection awareness , to standardize the operation procedure, and to establish the management mechanism for occupational safety so as to reduce the incidence of the occupati exposure.%目的 了解口腔医护人员职业暴露与防护措施执行情况,探讨预防对策,为建立职业安全管理模式提供依据.方法 对石家庄市1所口腔专科医院及6所综合医院口腔科的临床医护人员进行问卷调查.结果 共调查医师149名、护士137名,1年内医师与护士皮肤锐器伤发生率分别为87.92%与85.40%,医师与护士黏

  17. 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

  18. African Literature

    OpenAIRE

    Recek, Denis

    2011-01-01

    The topic of this diploma is the formation and shaping of African literature. The first chapter is about the beginning of African literature. It describes oral literature and its transmission into written literature. Written African literature had great problems in becoming a part of world literature because of its diversity of languages and dialects. Christianity and Islam are mentioned as two religions which had a great impact on African literature. Colonialism is broadly described as an es...

  19. 北京某二级甲等综合医院医务人员手卫生现状分析及对策%Current status of hand hygiene of medical staff in a two A general hospital in Beijing and countermeasures

    Institute of Scientific and Technical Information of China (English)

    杨艳秋; 高淑义; 王海英

    2012-01-01

    目的 了解临床医务人员手卫生状况,探讨提高医务人员手卫生依从性和洗手正确性的管理方法.方法 强化手卫生管理前后,采用随机抽查的方法,对医务人员手卫生依从性和洗手正确性进行调查.结果 强化手卫生管理后,医务人员手卫生依从性由43.23%提高至68.32%,洗手正确性由25.00%提高至38.61%;医务人员手卫生依从性和洗手正确性整体较低,护士高于医师.结论 采取相应的干预措施可以提高医务人员手卫生的依从性和正确性,但需要管理者持之以恒的严格管理.%OBJECTIVE To understand the status of hand hygiene of the medical staff so as to improve the hand hygiene compliance of the medical staff as well as the management of correct hand washing. METHODS By means of the randomized examination, the hand hygiene compliance and the correctness of hand washing of the medical staff were investigated before and after the enhancement of the hand hygiene management. RESULTS After the enhancement of hand hygiene management, the hand hygiene compliance of the medical staff increased from 43. 23% to 68. 32%, the correctness of hand washing increasing from 25. 00% to 38. 61%. The hand hygiene compliance and the correctness of hand washing of the medical staff were generally low , which were higher in the nurses than in the doctors. CONCLUSION Taking the corresponding interventions can improve both the compliance and correctness of hand hygiene of the medical staff, but the medical staff need to adhere to the strict management.

  20. 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.

  1. 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

  2. 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.

  3. 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.

  4. 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.

  5. The South African traditional health practitioner as a beneficiary of and provider to medical funds and schemes through the traditional health practitioners Act (Act No 22, 2007: A present-day perspective

    Directory of Open Access Journals (Sweden)

    Gabriel Louw

    2017-01-01

    Full Text Available Background Payments to traditional health practitioners for services rendered from medical funds and schemes, as envisaged by the Traditional Health Practitioners Act (Act No 22, 2007, is controversial and a point of contention. Such policy was followed before in South Africa in the 1990s when some funds and schemes offered limited alternative healthcare benefits for members consulting traditional healers. Aims The study aimed to offer a contemporary view of the South African traditional health practitioner as a provider to and beneficiary of the medical funds and schemes through the Traditional Health Practitioners Act (No 22, 2007. Methods This is an exploratory and descriptive study that makes use of an historical approach by means of investigation and a literature review. The emphasis is on using current documentation like articles, books and newspapers as primary sources to reflect on the South African traditional health practitioner as a provider to and beneficiary of the medical schemes and funds through the Traditional Health Practitioners Act (No 22, 2007. The findings are offered in narrative form. Results It seems as if the South African authorities completely misunderstand the future implications of the Traditional Health Practitioners Act (No 22, 2007 on healthcare. This is specifically true when it comes to the right to claim from medical funds and schemes for services rendered by traditional health practitioners and the possible extra costs for these medical schemes and funds. Conclusion The implications of Section 42(2 of the Traditional Health Practitioners Act (No 22, 2007 which aims to set up a claiming process for traditional health practitioners, seems to be very problematic. The fact that Act No 22 (2007 has not been enacted properly nine years after its promulgation has put a halt on the professionalization of traditional healers until 2015. This also affected their status as a beneficiary of and service provider to the

  6. 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

  7. Analysis on physiological change characteristics and diseases incidence of medical staff on Tibetan Plateau during the implementation of medical support%赴藏执行卫勤保障任务医务人员生理变化特点及发病情况分析

    Institute of Scientific and Technical Information of China (English)

    倪军; 朱海燕; 王慧杰; 王锦波; 孔学军; 闫文正; 洪刚; 李重先; 郝少君

    2015-01-01

    目的:分析赴青藏高原执行卫勤保障任务的医务人员生理变化特点及发病情况。方法对不同海拔、进驻方式及习服阶段医务人员的血压、心率、血氧饱和度及发病情况进行统计分析。结果(1)医务人员的血压随海拔的升高呈逐渐上升趋势,在海拔2000 m以内人员舒张压无显著变化,海拔3000 m以上舒张压显著升高;平原及海拔1000~2000 m、3000~3670 m、4400 m人员的收缩压比较,差异有统计学意义(P﹤0.05);医务人员心率随海拔升高而逐渐加快,2000 m以下、3000 m、3670 m、4400 m之间差异有统计学意义(P﹤0.05);医务人员血氧饱和度随海拔升高而逐渐降低,1000 m以下、2000 m、3000 m、3670 m、4400 m之间差异有统计学意义(P﹤0.05)。(2)铁路输送和摩托化机动两种进驻方式间医务人员血压、心率变化差异均有统计学意义(P﹤0.05),血氧饱和度变化差异无统计学意义;两种进驻方式的急性高原反应发病率差异有统计学意义(P﹤0.05)。(3)赴藏医务人员入驻2周内以急性高原反应(71.97%)和上呼吸道感染(28.79%)发病为主,入驻2周后急性高原反应发生率明显降低(1.51%),上呼吸道感染发生率降低(6.28%)。结论医务人员在高原执行卫勤保障任务时,其生理变化特点和发病情况与进驻高原的海拔、进驻方式和驻训时间有密切关系。%Objective To analyze the physiological change characteristics and morbidity situation of medical staff during medical support mission on the Tibetan Plateau.Methods The blood pressure, heart rate, oxygen saturation and morbidity situation of medical staff in different altitude, ways to enter and station, acclimatization stage were statistically analyzed.Results (1) The blood pressure of medical staff showed an upward trend with the rise of altitude, there was no significant change of diastolic blood

  8. 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

  9. 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

  10. 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.

  11. 医院等级与医护人员对临终关怀的知识和态度的关系%The comparison in awareness and attitude of hospice care among medical staff in different levels of hospital

    Institute of Scientific and Technical Information of China (English)

    陈诗; 李惠玲; 刘璐; 周坤

    2016-01-01

    培训的重点对象。%Objective To survey and compare the awareness and attitude of hospice care among medical staff from hospitals ranked 1, 2, and 3. And to examine the association of hospital grading with awareness and attitude of hospice care. So that this study would promote orientation for hospice care theoretically. Methods A cross-sectional questionnaire survey was performed among medical staff in Suzhou to investigate the awareness and attitude of hospice care from hospitals ranked 1, 2, and 3. Generalized linear regression model was applied to examine the association of hospital levels with awareness and attitude of hospice care. Results A total of 990 individuals were surveyed. Among them, 580 were from hospitals ranked 3, 252 were from hospitals ranked 2, and 158 were from hospitals ranked 1. The attitude to someone self′s death scored 7.2 ±2.1, 7.6 ±2.4, 7.2 ±2.1, the attitude to patients′death scored 11.0 ±2.6, 11.6 ±2.3, 11.5±2.3, there was a significant difference among the 3 levels (F=3.34, 3.69, all P0.05). Conclusions The awareness and attitude of hospice care is poorer in medical staff from hospitals ranked 1 as compared with those from hospitals ranked 2 or 3. Our finding suggests that medical staff from hospitals ranked 1 is a target population on whom hospice care training would be performed.

  12. 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.

  13. 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

  14. Elections to Staff Council

    CERN Document Server

    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...

  15. Decentralized Ground Staff Scheduling

    DEFF Research Database (Denmark)

    Sørensen, M. D.; Clausen, Jens

    2002-01-01

    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...... work in a smaller area of the terminal and thus spends less time walking between stands. When planning decentralized the allocation of stands to flights influences the staff scheduling since the workload in a zone depends on which flights are allocated to stands in the zone. Hence solving the problem...... depends on the actual stand allocation but also on the number of zones and the layout of these. A mathematical model of the problem is proposed, which integrates the stand allocation and the staff scheduling. A heuristic solution method is developed and applied on a real case from British Airways, London...

  16. 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...

  17. 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.

  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. 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…

  20. 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 .

  1. 社区医护人员院前急救知识和技能的培训现状及对策研究%Status of Prehospital Emergency Care Knowledge and Skill among Community Medical Staff and Countermeasures

    Institute of Scientific and Technical Information of China (English)

    温静; 赵渤; 吕书群; 刘辉

    2011-01-01

    three - graded hospitals as the teacher; the ways of lecture, exercise. scene teaching, and test were applied. After the training, the accuracy rates of 27 questions about prehospital medical care knowledge and skills among the subjects were increased to different degrees ( P < 0. 05 ).There were 148 ( 85. 1% ) of them who satisfied with the training method. Conclusion The community medical staff have lower levels of prehospital medical care skills and knowledge , so that an appropriate training mode is needed for them.

  2. Staff rules and regulations

    CERN Multimedia

    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 ...

  3. Cognition Status of Community Medical Staff and Residents to Pooling Funds of Outpatient Service in Medical Insurance in Changsha City%长沙市社区医务人员及居民对医保门诊统筹的认知情况调查

    Institute of Scientific and Technical Information of China (English)

    冯辉; 罗艳; 何国平; 罗昶; 付兆亮; 尹春春; 易琼

    2013-01-01

    Objective To learn the cognitions of community medical staff and residents to pooling funds of outpatient service in medical insurance in the pilot community health service ( CHS ) centers of Changsha city so as to provide the basis for implementation of the pooling funds of outpatient service. Methods The cluster random sampling was taken in Changsha city during 2011 to recruit 199 members of medical staff from 10 CHS organizations and 295 residents from 3 communities where the pooling funds had been implemented, and 152 from 9 CHS organizations and 296 residents from 3 communities where the pooling funds was not implemented. The questionnaire survey and depth interviews were conducted among the subjects to learn their cognitions of the pooling funds. Results There was a statistically significant difference in understanding on the fooling funds of outpatients service between the medical staff from CHS organizations where the pooling funds had been implemented and those from CHS organizations where the pooling funds was not implemented ( P <0. 05 ) . After the implementation of the pooling funds, 87. 7% of the medical staff pointed out that the residents' satisfaction improved, 86. 0% believed the number of visits increased, 71.5% thought that the medical care level was generally improved and the doctor - patient relationship became more harmonious, and 58. 1% held that the economic efficiency was raised in CHS organizations. And there was a statistically significant difference in understanding on the fooling funds of outpatients service between the residents from communities where the pooling funds had been implemented and those from communities where the pooling funds was not implemented ( P < 0. 05 ) . Conclusion Both the community medical staff and residents believe that the implementation of the pooling funds of outpatient service is conducive to improve the level of primary health care services, and reduce health care costs. And it is closely related to the

  4. 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

  5. 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

  6. Study on morbidity of metabolic syndrome and its related diseases of staffs in Luzhou Medical college%泸州医学院教职工代谢综合征及相关疾病患病率调查

    Institute of Scientific and Technical Information of China (English)

    王江林; 杨敏; 胥方元

    2011-01-01

    Objective To investigate the incidence of Metabolic Syndrome (MS) and its related diseases of staffs in luzhou medical college,and provide scientific information for the subsequent study and nutritional education. Methods The staffs who attended the annual physical examination in the affiliated hospital of Luzhou medical college from April 8,2009 to May 18,2009, were elected. Their essential information,indices of anthroposomatology and biochemical indicators were collected. Results (1)1 592 teachers participated in the physical examination, 1 576 of which obtained integrated data,and the effective percentage was 98. 99%. (2) The detectable rate of MS was 6. 8% ,males 10. 6% and females 3.5% . The morbidity of MS in man aged 30 - 59 was significatly higher than that in women. (3)The detectable rates of obesity,hypertension,diabetes mellitus,dyslipidemia,hyperuricemia and fatty liver in the objects were 29. 1% , 14. 5% ,7. 7% ,34. 3% , 15. 4 % and 10. 9% .respectively. (4)The prevalence rate of these diseases increased with age,and the number of males with these diseases were far more than that of females. Conclusion The morbidity of MS and its related diseases are higher in men than that in women,and the group with the highest prevalence was 50 - 69 years old group. So we should pay more attention to these people s health.%目的 通过调查泸州医学院教职工代谢综合征(metabolic syndrome,MS)及其相关疾病的患病情况,了解本院教职工健康状况,为该人群的健康教育提供基础资料.方法 选择2009年4月8日至2009年5月18日于泸州医学院附属医院参加健康体检的教职工作为研究对象,收集体检数据,包括一般情况、人体学指标及生物化学指标.结果 (1)本次健康体检有1 592例,实际得到有效体检数据1 576例,有效率为98.99%.(2)该校教职工MS的检出率为6.8%,其中男为10.6%,女为3.5%,且男性患病率高于女性(χ2=31.303,P<0.05).30~<60岁MS男性患病率高于

  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. 品管圈活动在ICU医护人员手消毒管理中的应用%Application of quality control circle activities in management of hand disinfection of medical staff in ICU

    Institute of Scientific and Technical Information of China (English)

    潘海燕; 颜波儿

    2012-01-01

    目的 探讨品管圈活动对ICU医护人员手消毒的影响,改善手消毒不规范行为,为临床手卫生管理提供有效方法.方法 成立品管圈活动小组,设计手消毒现况调查表,对问题进行原因分析,确立并落实4项改进措施.结果 卫生手消毒不规范行为由活动前的177人次/周减少至40人次/周.结论 品管圈活动有效地改善了手消毒现状,是一种有效提高手卫生管理的方法.%OBJECTIVE To explore the impact of quality control circle aclivities(QCC) on hand disinfection in the ICU medical staff, to improve the irregularities of hand disinfection and find out the effective management of hand hygiene. METHODS A QCC activity group was set up. The questionnaire was designed for analyzing the status of hand disinfection, the 4 modified measures were proposed and implemented. RESULTS The hand disinfection irregularities decreased from 177 times per week to 40 times per week. CONCLUSION The application of the quality control circle activities has effectively improved the status of hand disinfection. It is an effective way to improve hand hygiene management.

  9. Perceptions of medical staff on uncomfortable symptoms of leukemia children during chemotherapy%医护人员对白血病患儿化疗期间不适症状感知的调查

    Institute of Scientific and Technical Information of China (English)

    卜秀青; 张婷婷; 杨瑞坤; 秦秀群; 梦玲

    2014-01-01

    目的:了解医护人员对白血病患儿化疗期间不适症状的感知状况,为制订干预措施提供依据。方法采用自行设计的白血病患儿化疗不适症状问卷,对61名医护人员进行调查。结果医护人员认为白血病患儿化疗期间的主要不适症状依次为脱发、食欲下降、恶心及呕吐、口腔炎、发热、疲乏等。结论白血病患儿化疗期间不适症状较为常见,需要综合考虑患儿的不适症状,制订和实施全方位的护理措施,提高患儿的生活质量。%Objective To investigate the perceptions of medical staff about chemotherapeutic symptoms in children with leukemia.Method Sixty-one doctors and nurses were involved in the investigation using a self-designed questionnaire on uncomfortable symptom scale.Result The main symptoms of chemotherapy included hair loss,poor appetite,nausea,vomiting, oral mucositis and fatigue.Conclusion Chemotherapeutic symptoms are common in children with leukemia and need appropriate nursing management.

  10. 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.

  11. 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

  12. 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)

  13. 援塞抗疫医疗队医护人员工作初期压力状况的质性研究%Qualitative research onstress conditionsafter arrival of staff in the medical team against Ebola virus in Sierra Leone

    Institute of Scientific and Technical Information of China (English)

    张立; 谢鹏

    2016-01-01

    目的 了解援塞抗疫医疗队医护人员工作初期所面临的压力.方法 深入访谈医疗队10名医护人员在工作初期的压力感受,在资料分析中采用KJ法归纳主题.结果 医疗队医护人员工作初期的压力主要归纳为3个主题:不良的生理的反应、复杂的心理反应与较好的社会支持.结论 在援塞工作的中后期阶段,需加强医护人员生理、心理的支持与照护,继续完善社会支持,从而使他们更快地适应角色,更好地完成援塞医疗任务.%Objective To understand work stress of staff in the medical team against Ebola virus in Sierra Leone when they just arrived. Methods In-depth interviews were conducted to 10 medical workers in the medical team about their work stress when they just arrived. The theme was concluded by KJ methodin the data analysis. Results When they just arrived, stress of the medical staff mainly came from the following three themes:undesirable physiological reaction, complex psychological reaction and good social support. Conclusions In the middle and later stage of work in Sierra Leone, physiological and psychologicalsupport and care should be provided to staff in the medical team, with social support kept improving, so as to help them adapt to the role sooner, and accomplish the medical mission faster and better.

  14. 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

  15. 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

  16. 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%,

  17. 医务人员执业类别对社区糖尿病管理效果的影响研究%Influence of Practicing Categories of Medical Staff on Community Diabetes Management Effects

    Institute of Scientific and Technical Information of China (English)

    李昱东; 赵列宾; 田文斐; 龚幼龙; 余金明

    2016-01-01

    Objective To investigate the influence of practicing categories of medical staff on community diabetes management effects. Methods From January 2012 to January 2013 ,415 diabetes patients who received community management in Wuliqiao Community in Huangpu District of Shanghai were selected. Firstly they were randomly divided into control group and joint management group, and then were divided into general practitioners management group and non general practitioners management group randomly. Finally the grouping results were control group of general practitioners management ( n=78 )and control group of non general practitioners management ( n=122 ), joint management group of general practitioners ( n=122 ) and joint management group of non general practitioners ( n =93 ) . Patients in control group applied community conventional management mode,while patients in joint management group adopted joint management mode of general practice -specialist;general practitioners were responsible for the whole management process of diabetic patients in general practitioners management group,nurses and public health practitioners who were currently participated in the follow - up of chronic diseases were responsible for the whole management process of diabetic patients in non general practitioners management group. The management effects of patients in 4 groups were compared,and influence of practicing categories and management mode on management effects were discussed. Results There was no significant difference in BMI,2 - hour postprandial blood glucose(2 hPG),total cholesterol(TC)and triacylglycerol(TG)of patients in four groups before and after management(P ﹥0. 05);there was significant difference in difference value of waist -hip ratio,systolic blood pressure,diastolic blood pressure,fasting blood glucose(FPG)and glycosylated hemoglobin(HbA1c)before and after management(P﹤0. 05). The results of multiple linear regression analysis showed that the above indices were not

  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. Medic Bleep.

    Science.gov (United States)

    2017-03-15

    Medic Bleep is a secure instant messaging app that enables clinicians to discuss patient care quickly, securely and legally. It looks and feels like WhatsApp, but has been designed for the healthcare market to enable staff to communicate with each other, and to help speed up conversations between clinicians to increase efficiency.

  20. Integration of CERN staff

    CERN Multimedia

    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.

  1. Staff rules and regulations

    CERN Multimedia

    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...

  2. Sleep Quality among Female Hospital Staff Nurses

    Directory of Open Access Journals (Sweden)

    Pei-Li Chien

    2013-01-01

    Full Text Available Purpose. To investigate sleep quality of hospital staff nurses, both by subjective questionnaire and objective measures. Methods. Female staff nurses at a regional teaching hospital in Northern Taiwan were recruited. The Chinese version of the pittsburgh sleep quality index (C-PSQI was used to assess subjective sleep quality, and an electrocardiogram-based cardiopulmonary coupling (CPC technique was used to analyze objective sleep stability. Work stress was assessed using questionnaire on medical worker’s stress. Results. A total of 156 staff nurses completed the study. Among the staff nurses, 75.8% (117 had a PSQI score of ≥5 and 39.8% had an inadequate stable sleep ratio on subjective measures. Nurses with a high school or lower educational degree had a much higher risk of sleep disturbance when compared to nurses with a college or higher level degree. Conclusions. Both subjective and objective measures demonstrated that poor sleep quality is a common health problem among hospital staff nurses. More studies are warranted on this important issue to discover possible factors and therefore to develop a systemic strategy to cope with the problem.

  3. 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

  4. 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

  5. 医护人员性健康指导知信行状况及其影响因素%Investigation of current status of the knowledge, attitude and practice of medical staff on sexual health guidance and analysis of influence factors

    Institute of Scientific and Technical Information of China (English)

    何平; 张安琴; 张蒙

    2012-01-01

    Objective To investigate the current status of knowledge, attitude and practice (KAP) of medical staff among different clinic unit on sexual health guidance,and analyze the influence factors. Methods A self-devetoped KAP questionnaire for medical staff was used, and 460 medical personnel in Chengdu city were investigated. The data were statistically analyzed. Results The scores of KAP of sexual health guidance were tow. There was a significant difference in KAP among different clinic units ( F = l. 063 , 6.746,7.618 for knowledge,attitude and practice,respectively;all P<0. 001) with the best in the department of gynaecotogy. The primary influence factor for guidance behavior was that the patients lacked consulting knowledge. The secondary factor was that medical staff lacked sexual knowledge. Conclusion The most clinical medical staff lack knowledge of sexual health guidance and ignore patients' sexual health problems. The guidance behavior is also limited. Therefore,it will be a tong way for sexual health guidance.%目的 了解医护人员对患者性健康指导现状,分析性健康指导知信行的影响因素.方法 自行设计问卷调查表,调查460名临床医护人员的性健康指导知信情况,并对数据进行分析统计.结果 医护人员对患者性健康指导的知信行分值均偏低;不同科室医护人员在性健康指导知识、态度和行为方面存在差异(F值分别为7.063、6.746和7.618,均P<0.001),妇科在性健康指导方面做得最好(P<0.01);影响健康指导行为的首要因素是没有患者咨询性知识,其次为医护人员性知识缺乏.结论 临床科室医护人员普遍存在性健康指导知识缺乏、忽视患者性健康问题、健康行为受限的诸多问题.性健康教育任重道远.

  6. 76 FR 70150 - Draft Guidance for Industry and Food and Drug Administration Staff; Investigational Device...

    Science.gov (United States)

    2011-11-10

    ... Staff; Investigational Device Exemptions for Early Feasibility Medical Device Clinical Studies... guidance, FDA intends to facilitate early feasibility studies of medical devices, using appropriate risk mitigation strategies, under the IDE requirements. Early feasibility studies allow for limited early...

  7. 76 FR 80947 - Draft Guidance for Industry and Food and Drug Administration Staff; Investigational Device...

    Science.gov (United States)

    2011-12-27

    ... Staff; Investigational Device Exemptions for Early Feasibility Medical Device Clinical Studies... approaches FDA intends to facilitate early feasibility studies of medical devices, using appropriate risk..., early feasibility studies, as well as outlines the general principles for preparing and reviewing...

  8. 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.

  9. 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 .

  10. 医务人员对孕产妇体质量管理知识、态度及行为的现状分析%Investigation of medical staff on knowledge,attitude and behavior levels of maternal body weight management

    Institute of Scientific and Technical Information of China (English)

    吴兴珍; 王颖; 王玉琼

    2015-01-01

    Objective To study current status of medical staff on maternal body weight management knowledge,attitude and behavior levels,and identify the existing problems those in the job of maternal body weight management.Methods By cluster sampling method,a total of 28 maternity hospital in Sichuan province were included,and 562 cases of medical staff who were in accordance with the inclusion and exclusion criteria of this study and from these hospital,and they participated in the investigation voluntarily were recruited as respondents.The project items of the "Questionnaire of the Medical Staff on Maternal Body Weight Management Knowledge ,Attitude and Behavior" ("the Questionnaire")included:the general information of the medical staff,such as gender,age,job title,etc.And project items of the maternal body weight management:① knowledge on maternal body weight management:a total of 33 items, get score of every item;② the attitude on management process:a total of 30 items,assessment as "low degree of recognition","uncertainty" and"high degree of identity";③ management practice:a total of 14 items,these items were divided into 4 rating,such as "no management","less than 50% of pregnant women in management","50%-75% of pregnant women in management",and "management of more than 75% pregnant women".Results We handed out 530 "the Questionnaire" to 530 cases medical staff,and recovery rate of qualified "the Questionnaire" was 94.3%.Results of medical staff involved in maternal weight managementt included:①the average score of knowledge on maternal body weight managment among medical staff was (66.5 ± 1 5.5)score (hundred-mark system),of these,44.1% medical staff got with a below average score.High scores items were mainly on the dangers of poor quality of body weight management,while low scores items were about the practice methods of body weight management.②The management attitude process, medical staff had highly identity about the benefits of body weight management

  11. African America.

    Science.gov (United States)

    Brodie, Carolyn S.; Brown, Gloria

    1994-01-01

    Presents an annotated bibliography of quality materials by and about African Americans in the areas of poetry, music, folklore, women, picture books, history/collective biography, authors, and professional materials. Activities are suggested in each area for Black History Month. (LRW)

  12. The Staff Association and you

    CERN Multimedia

    Association du personnel

    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 ...

  13. 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

  14. Family Factors Associated with Language Competence among Toddlers in French, North African, and African Families in France.

    Science.gov (United States)

    Honig, Alice Sterling; Park, Kyung-Ja

    Language adequacy was coded for 403 toddlers 24 months of age who had received medical and psychological examinations in a Bilan de Sante clinic in Paris, France. The children were from three cultures: native French middle class, immigrant North African Moslem, and immigrant Black African. Demographic, socioeconomic, medical, biological,…

  15. 口腔门诊医护人员“标准预防”知信行的调查报告%Current Situation and Inlfuential Factors of Medical Staffs' Knowledge-attitude-practice about Standard Precaution in Shenzhen First-class Hospitals

    Institute of Scientific and Technical Information of China (English)

    周军; 王羽凡; 刘开蕾

    2015-01-01

    Objective The objectives were to know knowledge-attitude–practice level with Standard Precaution among medical staffs in Shenzhen first-class hospitals.Methods Totally 170 medical staffs were investigated with a self designed questionnaire using stratiifed random sampling.Results Totally 170 valid questionnaires (54 doctors and 116 nurses) were collected. There was statistical significance in profession, working years, professional title and degree about know knowledge-attitude–practice level with Standard Precaution (P<0.01). It is influenced by many factors. The signiifcant differences between doctors (18.52%) and nurses (58.62%) has been found in hand hygiene. Medical staff who always "masks" and "wear isolation gowns" is just 43.53% and 23.53%. The main reason is "time" (35.29%) and "protective equipment supply" (36.47%). 88.24% medical staffs have been injured by sharp instrument, but 78.89%medical staffs do not report. Because 55.17% think the procedure is complex.Conclusion It is necessary to strengthen medical staffs’ training, correct errors, and increase compliance with standard precaution.%目的:了解三甲医院口腔门诊医护人员标准预防认知现状,防治医院感染的发生。方法采用随机抽样的方法,自行设计问卷,对170名口腔门诊医护人员进行调查。结果共回收有效问卷170份,其中,医生54份,护士116份。职业,工龄,职称,学历对标准预防相关知识了解的差异具有统计学意义(P<0.01);标准预防依从性受多种因素的影响。其中手卫生的依从性护士为58.62%,医生仅有18.52%,医护人员间的差异具有统计学意义。而影响手卫生依从性的主要因素为“工作忙碌/无足够时间”及“需优先处理病人”(58.83%,36.47%)。总是“戴面罩”和“穿隔离衣”的医护人员仅43.53%,23.53%。其主要原因是“时间紧迫”与“防护设备供应不足”(35.29%,36.47%)。

  16. Human African trypanosomiasis.

    Science.gov (United States)

    Lejon, Veerle; Bentivoglio, Marina; Franco, José Ramon

    2013-01-01

    Human African trypanosomiasis or sleeping sickness is a neglected tropical disease that affects populations in sub-Saharan Africa. The disease is caused by infection with the gambiense and rhodesiense subspecies of the extracellular parasite Trypanosoma brucei, and is transmitted to humans by bites of infected tsetse flies. The disease evolves in two stages, the hemolymphatic and meningoencephalitic stages, the latter being defined by central nervous system infection after trypanosomal traversal of the blood-brain barrier. African trypanosomiasis, which leads to severe neuroinflammation, is fatal without treatment, but the available drugs are toxic and complicated to administer. The choice of medication is determined by the infecting parasite subspecies and disease stage. Clinical features include a constellation of nonspecific symptoms and signs with evolving neurological and psychiatric alterations and characteristic sleep-wake disturbances. Because of the clinical profile variability and insidiously progressive central nervous system involvement, disease staging is currently based on cerebrospinal fluid examination, which is usually performed after the finding of trypanosomes in blood or other body fluids. No vaccine being available, control of human African trypanosomiasis relies on diagnosis and treatment of infected patients, assisted by vector control. Better diagnostic tools and safer, easy to use drugs are needed to facilitate elimination of the disease.

  17. Healthy Eating and Harambee: curriculum development for a culturally-centered bio-medically oriented nutrition education program to reach African American women of childbearing age.

    Science.gov (United States)

    Kannan, Srimathi; Sparks, Arlene V; Webster, J DeWitt; Krishnakumar, Ambika; Lumeng, Julie

    2010-07-01

    The purpose was to develop, implement and evaluate a peer-led nutrition curriculum Healthy Eating and Harambee that addresses established objectives of maternal and infant health and to shift the stage for African American women of childbearing age in Genesee County toward healthier dietary patterns using a socio-cultural and biomedical orientation. The PEN-3 model, which frames culture in the context of health promotion interventions, was integrated with the Transtheoretical Model to guide this 13-week pre-test/post-test curriculum. Materials developed included soul food plate visuals, a micronutrient availability worksheet, a fruit stand, and gardening kits. Learning activities included affirmations, stories, case-scenarios, point-of-purchase product recognition, church health teams, and community health fairs. We investigated health-promoting dietary behaviors (consumption of more fruits and vegetables (F&V), serving more F&V to their families, and moderating dietary sodium and fat intakes), and biomedical behaviors (self-monitoring blood pressure and exercising) across five stages of change. Session attendance and program satisfaction were assessed. N = 102 women participated (mean age = 27.5 years). A majority (77%) reported adopting at least one healthy eating behavior (moderating sodium, serving more F&V to their families), 23% adopted at least two such behaviors (reading food labels for sodium; using culinary herbs/spices; serving more F&V to their families), and 45% adopted both dietary (moderating sodium; eating more fruits) and biomedical behaviors. Participants and facilitators favorably evaluated the curriculum and suggested improvements. A multi-conceptual approach coupled with cultural and biomedical tailoring has potential to promote young African American women's movement to more advanced stages of change and improve self-efficacy for fruit and vegetable intake, dietary sodium moderation, and self-monitoring blood pressure and physical activity.

  18. African-American Biography.

    Science.gov (United States)

    Martin, Ron

    1995-01-01

    Suggests sources of information for African American History Month for library media specialists who work with students in grades four through eight. Gale Research's "African-American Reference Library," which includes "African-America Biography,""African-American Chronology," and "African-American Almanac,"…

  19. '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.

  20. Investigation on Cognitive and Management Status of Children's Pain in Medical Staff of Department of Pediatrics%儿科医护人员对儿童疼痛认知和管理现状的调查

    Institute of Scientific and Technical Information of China (English)

    钱丽冰; 陈梦莹; 陈银花; 程锐; 李晓南

    2012-01-01

    Objective To understand the present cognitive situation of medical staff of pediatric department towards children's pain and clinical pain management status. Methods To investigate cognitive states and clinical pain management on 118 pediatricians and 158 pediatric nurses among part of the third - grade class — a hospitals of Nanjing area. Questionnaires were designed according to McCaffery M's " Pain Knowledge and Attitude Survey" and Renne Manworren's "Pediatric nurses' Pain Knowledge and Attitude Survey". SPSS 17.0 and Epicalc 2000 software were used to analyze all data. Results Pediatricians' and pediatric nurses' average accuracy rate of children's pain knowledge were (57.00 ± 2.95)% ,(56.19 ±3.01)% respectively. Pediatricians' and nurses' accuracy rate about"Whether the newborn are able to receive morphine therapy to relieve pain"and "Whether analgesics can really control pain"were less than 36, 00% ,minimum up to 14. 56% . The accuracy rate of the pediatricians who came from children's hospital were higher than that of those who came from general hospital(F < 0.05) , so as the pediatricians who had accepted pain knowledge training were higher than that of those who hadn't accepted it( P <0.05 ). Pediatricians who believed the newborn's physiological responses compared to older children was not obvious more those who believed that newborns could not use morphine analgesic(P<0.05). Conclusions Pediatricians and nurses were lack of knowledge of children's pain, especially the knowledge of children's pain treatment. It was urgent to strengthen the professional's health care training about children's pain knowledge, which will promote clinical pediatric pain management.%目的 了解儿科医护人员对儿童疼痛认知及临床疼痛管理的现状.方法 对南京地区部分三级甲等医院118名儿科医师和158名儿科护士进行儿童疼痛认知及临床疼痛管理现状调查,调查表参考McCaffery M“疼痛知识与态度调查表

  1. African Trypanosomiasis

    Science.gov (United States)

    2011-06-01

    Histol. 1977;375:53- 70. 42. Poltera AA, Owor R, Cox JN. Pathological aspects of human African trypanosomiasis (HAT) in Uganda. A post - mortem survey of...nodular lesions , including anthrax or tick bite associated with Rickettsia conorii infection. The chancre is followed by a hemolymphatic stage, dur- ing...electrocardiograph- ic changes and, at times, terminal cardiac insufficiency.41 Pulmonary lesions specifically related to trypanosomiasis are not

  2. 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

  3. 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."

  4. An ICT-Based Diabetes Management System Tested for Health Care Delivery in the African Context

    Directory of Open Access Journals (Sweden)

    Claude Takenga

    2014-01-01

    Full Text Available The demand for new healthcare services is growing rapidly. Improving accessibility of the African population to diabetes care seems to be a big challenge in most countries where the number of care centers and medical staff is reduced. Information and communication technologies (ICT have great potential to address some of these challenges faced by several countries in providing accessible, cost-effective, and high-quality health care services. This paper presents the Mobil Diab system which is a telemedical approach proposed for the management of long-term diseases. The system applies modern mobile and web technologies which overcome geographical barriers, and increase access to health care services. The idea of the system is to involve patients in the therapy process and motivate them for an active participation. For validation of the system in African context, a trial was conducted in the Democratic Republic of Congo. 40 Subjects with diabetes divided randomly into control and intervention groups were included in the test. Results show that Mobil Diab is suitable for African countries and presents a number of benefits for the population and public health care system. It improves clinical management and delivery of diabetes care services by enhancing access, quality, motivation, reassurance, efficiency, and cost-effectiveness.

  5. 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

  6. 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 ...

  7. Investigations of the bacteria on surface of mobile phone and hand hygiene of medical staff in emergency department%急救部医护人员手机携带病菌状况与手卫生调查分析

    Institute of Scientific and Technical Information of China (English)

    姜亦冰; 曹阳; 王曼; 赵晓东

    2014-01-01

    Objective:To investigate the relationship between the bacteria on the surface of mobile phone and hand hygiene in medical staff in emergency department. Methods:The bacteria culture and sensitivity test of the surface of mobile phone of 12 medical staff in emergency department were investigated for 3 days,the results of which were compared with those of the patients’specimens. Results:The 9 bacterial strains, such as Staphylococcus aureus, Staphylococcus epidermidis, Escherichia coli, Klebsiella pneumonia, Bauman Acinetobacter and so on( including 2 extensively drug-resistant bacteria strains of Staphylococcus aureus and Bauman Acinetobacter) ,on the surface of mobile phone of medical staff were detected by bacteria culture. The 12 bacterial strains,such as Staphylococcus aureus, Staphylococcus epidermidis,Escherichia coli, Klebsiella pneumonia, Bauman Acinetobacter and so on ( including 3 extensively drug -resistant bacteria strains of Staphylococcus aureus,Bauman Acinetobacter and Escherichia coli) ,in patients’specimens were detected by bacteria culture. Conclusions:The mobile phone of medical stuff may be the media of bacterial cross infection.%目的:调查急救部一线护理人员手机带菌情况与手卫生之间的关系。方法:连续3 d对急诊病房12名一线护理人员使用手机表面进行细菌培养及药敏试验,并与同期急救部患者送检标本细菌培养药敏检查进行比较。结果:护理人员手机表面细菌培养结果检出金黄色葡萄球菌、表皮葡萄球菌、大肠埃希菌、肺炎克雷伯菌、鲍曼不动杆菌等9种菌株,并发现广泛耐药菌2株;同期急救部送检患者细菌培养检出金黄色葡萄球菌、表皮葡萄球菌、大肠埃希菌、肺炎克雷伯菌、鲍曼不动杆菌等8种菌株,耐药菌3株。结论:一线医护人员工作中使用手机可能引起细菌交叉感染。

  8. Managing the Challenges of Adopting Electronic Medical Records: An Exploratory Study of the Challenges Faced by African American Health Care Professionals

    Science.gov (United States)

    Riddick, William P.

    2013-01-01

    The implementation of technology within the health care industry is viewed as a possible solution for lowering costs and improving health care delivery to patients. Electronic medical record system(s) (EMRS) are information technology tools viewed within the health care industry as a possible solution for aiding improvements in health care…

  9. 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;

  10. 广东省18家医院急诊科医护人员离职意愿及其影响因素调查%Study on the turnover intention of medical staff and its influence factors in emergency department in 18 hospitals of Guangdong

    Institute of Scientific and Technical Information of China (English)

    王畅; 王声湧; 代金芳; 董杉; 李文浩; 董晓梅

    2011-01-01

    目的 了解广东省部分医院急诊科医护人员离职意愿现状及其影响因素,为医院的人事管理工作提供参考依据.方法 按方便抽样方式抽取广东省18家医院415名急诊科的医护人员进行问卷调查,共收回有效问卷408份.采用明尼苏达工作满意度问卷的短式量表以及自行设计的用于评估离职意愿、工作压力和心理状况的调查问卷.结果 有离职意愿的为93 人(22.79%);三甲医院急诊科医护人员的离职意愿明显低于二甲及以下医院(x= 15.56,P=0.00).logistic回归分析结果表明地区因素以及工作压力大和心理症状多是离职意愿的危险因素,工作满意度高是保护因素.结论 广东省18家医院急诊科22.79%的医护人员不愿意继续在急诊科工作.应采取措施提高工作满意度、降低工作压力和增强心理健康,降低急诊科人员的离职意愿率.%Objective To investigate the turnover intention and its influence factors in the staff of emergency department,and to provide guides for the hospital personnel management work.Methods Convenience sampling was used to investigate 415 medical staff in emergency departments from 18 hospitals in Guangdong province.We adopted the short scale of MSQ and a selfdesigned questionnaire which was used to estimate the turnover intention, work pressure and psychological situation.Results The medical staff who had the turnover intention accounted for 22.79% (93 people).The turnover intention of medical staff in emergency department from Grade 3 A hospital was lower than that from Grade 2 A and Grade 1 A hospital ( x2 = 15.56,P =0.00).Logistic regression showed that region factors, high work pressure and many psychological symptoms were risk factors for the turnover intention, while high job satisfaction was protective factor for it.Conclusion More than a fifth of the medical staff want to discontinue their work in the emergency department.The key to reduce the turnover

  11. 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.

  12. 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…

  13. Recruiting and Retaining Summer Staff.

    Science.gov (United States)

    Crossen, Brian; Yerkes, Rita

    1998-01-01

    Recruiting of camp staff is challenged by economic and workplace restructuring, including business downsizing, part-time and temporary employment patterns, and generational attitude changes. Strategies for hiring and retaining staff include knowing what college-age workers want, marketing benefits, adopting new business strategies, and empowering…

  14. 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…

  15. Nursing home error and level of staff credentials.

    Science.gov (United States)

    Scott-Cawiezell, Jill; Pepper, Ginette A; Madsen, Richard W; Petroski, Greg; Vogelsmeier, Amy; Zellmer, Dave

    2007-02-01

    Providing safe nursing home care is both a clinical and fiscal challenge in many countries. The fiscal realities result in the addition of other workers, such as medication technicians or aides (CMT/A), to the health care team. The purpose of this study was to determine the impact of various levels of credentialing among nursing home staff who deliver medications (RN, LPN, or CMT/A) on medication error. In addition, the impact of distractions and interruptions was explored. Using naïve observation, 39 medication administrators representing various levels of credentialing were unobtrusively observed to determine the number of medication errors, distractions, and interruptions in five nursing homes. There were no differences in medication error rates by level of credential. However, RNs had more interruptions during their medication administration, and these increased interruptions were associated with increased medication error rates when wrong time errors were excluded (p = .0348).

  16. 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. 

  17. 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。

  18. 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

  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. 综合干预对杭州市社区医务人员提供戒烟咨询的效果及影响因素分析%Assessment on the impact of smoking cessation counseling service and related influencing factors under comprehensive community-based intervention programs about the community medical staff in Hangzhou city

    Institute of Scientific and Technical Information of China (English)

    王胜锋; 刘清; 刘庆敏; 任艳军; 吕筠; 李立明

    2014-01-01

    Objective To evaluate the short-term impact of comprehensive community-based intervention programs on smoking cessation counseling services provided by community medical staff and related influencing factors in three districts of Hangzhou city.Methods Within the framework of Community Interventions for Health (CIH) Program,a community trial was conducted in two districts (Xiacheng and Gongshu) and a district (Xihu) as control,by a parallel comparison and random grouping based quasi-experimental design.Two independent questionnaire-based surveys of cross-sectional samples in the intervention and comparison areas were used to assess the impact of intervention.Results There were 299 and 141 medical staff in the areas of intervention and ‘ control',respectively.For the intervention area,the quantity of available resources increased from 2to 3 and the quantity of used resources increased from 1 to 3 (both P<0.001),while the area of control had a downward trend for both quantities.For the ratios of well-readiness for smoking counseling,in the intervention area were 35.5%,52.0% before and after intervention (P<0.001),while the ‘controlled' area they were 28.1%,39.3%,respectively (P=0.162).A slight increase was seen in the intervention area for the proportion of the medical staff who had been provided smoking cessation counseling,as ≥90% patients (including asking smoking status,announcing risks related to the risks of smoking and advising smoking cessation programs etc.),while the proportion decreased in the area of ‘control'.The improvement of preparedness would promote medical staff to ask their patients about smoking status (OR=1.43,P=0.007),while all factors as a whole would not influence the medical staff to inform patients about the danger of smoking and advice patients to quit smoking.Conclusion Comprehensive community-based interventions could increase the opportunities for medical staff to acquire and utilize smoking cessation resources to

  1. 耳鼻咽喉头颈外科医护人员与患者的隐私认知现状调查及对策%Cognition and strategy of patients′ privacy among medical staffs and patients in Otolaryngology Head and Neck Surgery Department

    Institute of Scientific and Technical Information of China (English)

    纪小琴; 余蓉; 乔怡歆; 郑永波; 刘颖

    2016-01-01

    目的:调查患者及医护人员对患者隐私的认知情况以及患者隐私泄露的途径,以探讨在医疗护理中提高患者隐私保护服务的对策。方法采用自行设计的关于隐私认知的调查问卷,在2014年7月的同一天对在院的92例患者以及本科室的59名医护人员进行调查,并对数据进行统计学分析。结果多数患者对个人隐私有一定的认知,在患者信息方面,患者认为各种检查结果、传染病史、病情属于隐私的分别为34.8%,30.4%,28.3%;在身体部位方面,患者认为会阴部、臀部、胸部属于隐私的分别为63.0%,39.1%,31.5%。医护人员对患者隐私的认知度更高,在患者信息方面,医护人员认为情感史、传染病史、各项检查结果属于隐私的分别为86.4%,86.4%,78.0%;在身体部位方面,医护人员认为会阴部、臀部、胸部属于隐私的分别为100.0%,89.8%,86.4%,差异有统计学意义(P<0.05)。医疗护理中仍存在隐私保护不当的问题:如查房体检、询问病史、护理诊疗过程、房间布局、医护人员交谈等会泄露患者的隐私。结论耳鼻咽喉头颈外科医护人员需改变较少涉及患者隐私的观念,应加强医护人员对患者隐私保护的宣传,缩小医患对隐私认知的差异性,减少不必要的医患纠纷。%Objective To investigate the cognition status and possible ways of patients′ privacy divulgence among medical staffs and patients, and to explore feasible strategies to protect the privacy. Methods A self-designed questionnaire about privacy cognition was used to investigate 92 patients and 59 medical staffs on one day in July 2014. Results The majority of patients had certain cognition of individual privacy;34. 8%, 30. 4% and 28. 3% of the patients thought the test outcomes, history of infection, illness conditions were private issues;63. 0%, 39. 1% and 31. 5% of the patients thought the perineum, pygal and chest were private parts. Medical

  2. 科室是否收治地震伤员对医护人员心理状况的影响%Analysis on the mental status of medical staffs in departments which treated or did not treat patients injured in the earthquake

    Institute of Scientific and Technical Information of China (English)

    陈忠兰; 李玲利; 廖灯彬; 安晶晶; 宁宁

    2009-01-01

    Objective To compare and analyze the mental status of medical staffs between orthopedics department treating the patients injured in the earthquake and other departments which did not treat patients injured in the earthquake, so as to provide the evidence and reference for psychological intervention. Methods A cross-sectional study was done. We chose the staffs in the orthopedics department (the orthopedics group, 97 persons) and in other departments which did not treat patients injured in the earthquake (the non-treatment group, 100 persons) as the eligible subjects, by a convenient sampling. The research tool to make this survey was Symptom Checklist-90 (SCL-90). Results The scores in somatization, anxiety and phobic anxiety of staffs in the orthopedics department were significantly higher than those in the national norm, having a significance in statistics (P<0.05). But the positive numbers had no significant difference compared to the national norm. There was no significant difference in the anxiety and phobic anxiety score between departments which did not treat patients injured in the earthquake and the national norm. As for others they were significantly lower than the national norm (P<0.05). Only a few persons had positive symptome in specific factors. Conclusions There exists damage in mental health in the medical staffs in orthopedics department, and it is necessary to implement mentalintervention. The psychological profile of medical staffs of other departments which did not treat patients injured in the earthquake is totally fit, and only a few individuals need psychological directions.%目的 比较并分析汶川大地震期间科室是否收治地震伤员对医护人员心理状况的影响,为心理干预提供参考和依据.方法 采用方便抽样的方法,抽取收治大量地震伤员的骨科医护人员97名(骨科组)和未收治地震伤员的外科其他科室医护人员100名(未收治组),采用症状自评量表(SCL-90)

  3. The African Well Woman's Clinic at Guy's and St Thomas' Hospital Trust.

    Science.gov (United States)

    Momoh, C

    1998-03-01

    In September 1997, the Guy's and St. Thomas' Hospital Trust opened its African Well Woman's Clinic to provide counseling and support to pregnant survivors of female genital mutilation. The clinic offers deinfibulation to women at 18-20 weeks' gestation. The clinic is operated by a qualified specialist midwife with the support of a female obstetrician/gynecologist. While it is only open the first Monday of every month, the clinic has already served 33 infibulated immigrants from Somalia, one from Ethiopia, three from Sudan, and three from Eritrea. In addition, the clinic has seen five women from Nigeria and four from Sierra Leone with clitoridectomy. A December 1997 survey conducted by clinic staff revealed that health care workers felt they needed more information about female genital mutilation. Therefore, the clinic organizes lectures for medical and midwifery students and other health care workers.

  4. Afri-Can Forum 2

    OpenAIRE

    Sartorius, Benn; Coetzee, Jenny; Mokgatswana, Kgaugelo; Jewkes, Rachel; Gray, Glenda E.; Dugas, Marylène; Gagnon, Marie-Pierre; Rutakumwa, Rwamahe; Mbonye, Martin; Kiwanuka, Thadeus; Nakamanya, Sarah; Muhumuza, Richard; Nalukenge, Winfred; Seeley, Janet; Atujuna, Millicent

    2016-01-01

    Table of contents A1 Introduction to the 2nd synchronicity forum of GHRI/CHVI-funded Canadian and African HIV prevention and vaccine teams O1 Voluntary medical male circumcision for prevention of heterosexual transmission of HIV in adult males in Soweto: What do indicators and incidence rate show? Hillary Mukudu, Neil Martinson, Benn Sartorius O2 Developing a peer-led community mobilization program for sex workers in Soweto: HIV risk and demographics Jenny Coetzee, Janan Dietrich, Kgaugelo Mo...

  5. 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

  6. 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

  7. 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…

  8. Problems and Countermeasures for Professional Personality Cultivating in Medical Staff%医务人员职业人格养成中存在的问题及对策分析

    Institute of Scientific and Technical Information of China (English)

    李慧

    2015-01-01

    现今部分医务人员职业道德修养不甚理想,存在责任感缺失、职业技能与岗位不匹配、职业信念不坚定等问题,而外在环境的影响与内在修养的弱化为两大原因。因此,应通过优化外部环境,完善宣教体制,加强医务人员内心修为,提升医务人员价值观来促进医务人员职业人格的养成,最终促成社会主义核心价值观在医疗领域的有力践行。%Now, parts of the medical personnel have some problems such as low professional moral accomplish-ment, lack of sense of responsibility, professional skills and post does not match, faith is not strong, and so on. The external environment and internal weakening sense for cultivation are the main reasons.Therefore, optimizing the external environment, improving the education system, strengthening medical personnel’ s values, could pro-mote the formation of medical staff’ s professional personality, and eventually led to a powerful implement of social-ist core values in medical practice.

  9. Continuing education for hospice staff.

    Science.gov (United States)

    Conedera, F; Schoessler, M

    1985-06-01

    Hospice nursing is unique because of the philosophy and issues surrounding hospice care. Program planning for hospice staff follows basic principles. The real challenge in developing programs for orientation, continuing, and inservice education is using a format that will truly enable staff to meet the objectives. A lecture, programmed instruction, or video/slide format works well for the "nuts and bolts," but more creativity is needed for the other issues facing the hospice nurse--death, grief, symptom control, stress, team roles, and helping patients with options. Incorporating into the program some of the methods suggested will offer staff the opportunity to become involved in learning and make that learning more meaningful.

  10. 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

  11. 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

  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. Gansu Province for Neurology and Neurosurgery medical staff survey of stroke patients with affective disorder and psychological treatment of cognitive%甘肃省医护人员对脑卒中后患者情感障碍及心理治疗认知状况的调查

    Institute of Scientific and Technical Information of China (English)

    姚惠侠; 冯海霞; 何君芳; 李亚斌

    2014-01-01

    目的:调查甘肃省医护人员对情感障碍是否影响肢体恢复以及心理治疗的认知状况。方法:采取问卷调查的方法,对甘肃省10家不同级别的省市县级医院的医护人员520例进行调查。结果:情感障碍对肢体功能恢复的影响占97.26%,脑卒中后心理治疗的需要占94.91%。结论:甘肃省医护人员认为情感障碍对肢体功能恢复有影响,并且非常需要心理治疗。%Investigate surgical health care workers in Gansu Province nerve affective disorder affects the limb recoveryas well as the understanding of psychotherapy . Methods:Take the survey questionnaire , Gansu Province , 10 provinces and cities of different levels of the nerve of the county hospital , surgical medical staff 520 cases . Results:Affective disorder recovery of limb function accounted for 97 . 26% , and accounted for 94 . 91 percent of the need of psychological treatment of post -stroke . Conclusions:For Neurology and Neurosurgery in Gansu Province medical staff that affective disorders affect the recovery of limb function , and a great need for psychotherapy .

  14. 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

  15. Health risk factors and health-related presenteeism in medical staff of a tertiary grade A hospital%某三甲医院医务人员健康危险因素与健康相关工作效率低下关系的研究

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Objective To study the relationships of health risk factors and health-related presenteeism in medical personnel of a tertiary grade A hospital. Methods A literature review and expert consultation were used to identify 14 health risk factors included in the survey, and the Michigan's Health Risk Appraisal Questionnaire was modified. Medical personnel of a tertiary grade A hospital in Beijing were selected for this cross-sectional study, including doctors, nurses, medical technicians, pharmacists, as well as scientific researchers, and staff members responsible for education, medical affairs, journal editors and other work. Physical measurement and questionnaire survey were conducted to collect demographic data, distribution of health risk factors of medical staff, and productivity information. Results Among 14 health risk factors, pressure or stress had the highest proportion (80.2%), followed by poor quality of sleep (63.7%), high blood lipid (33.8%), low physical activity (30.9%), and unreasonable diet (29.6%). Medical staff of different ages( c 2=16.141, P=0.001) and different occupations( c 2=15.982, P=0.003) had different probability of presenteeism. Medical staff under 30 years of age were most likely to be presenteeism (38.3%). The probability of presenteeism in nurse was the highest(56.2%). Under a high pressure and taking relax medicine seemed more likely to be presenteeism. Conclusion In the 14 kinds of health risk factors, pressure and taking relax medicine in medical staff may be associated with health-related presenteeism.%目的:分析某三甲医院医务人员中存在的健康危险因素,并分析其与健康相关工作效率低下之间的关系。方法通过文献查阅和专家咨询,确认了14种健康危险因素纳入调查,并对密歇根大学的健康危险因素评估问卷进行了修改。选择北京市某三甲医院1451名在职医务人员,包括医生、护士、医技人员、药学人员,以及科研、教育、

  16. A qualitative research on ICU medical staff's attitudes toward withdrawal of life sustaining therapy of end-stage patients%ICU医护人员对于终末期患者放弃生命支持治疗态度的研究

    Institute of Scientific and Technical Information of China (English)

    刘梦婕; 李玉香; 唐鲁; 李丽; 赵继军

    2012-01-01

    目的 了解ICU医护人员对于放弃生命支持治疗的真实态度.方法 采用现象学方法,对5家三级甲等医院10名ICU医护人员进行深度访谈.结果 医学方面包括放弃治疗的医学标准和脑死亡的诊断标准;伦理方面包括负罪感和生命神圣不可侵犯;法律方面包括规范执行放弃治疗的文书和可靠的法律保护;教育方面包括死亡教育的必要性和姑息医学知识培训共4方面8个主题.结论 应尽快建立关于终末期患者放弃生命支持治疗的规范化程序,使之有章可循、有法可依.%Objective To understand ICU medical staffs true attitudes toward withdrawal of life sustaining therapy of end-stage patients. Methods Using the phenomenological method,a depth interview was conducted with ten medical staff from five tertiary hospitals. Results Eight themes in four aspects were abstracted, including the medical criteria of forgoing life sustaining treatment and the diagnostic criteria of brain death in medical aspect,the feeling of guilt and life was inviolable in ethical aspect, standardizing the documentation of forgoing life sustaining treatment and legal protection in legal aspect, the necessity of death education and training of palliative care in educational aspect. Conclusion Withdrawal of life sustaining therapy is a prevalent phenomenon in ICU. It is necessary to formulate the standards and procedure for withdrawal of active treatment as soon as possible.

  17. Alzheimer's: 7 Tips for Medical Visits

    Science.gov (United States)

    ... Regular medical care is an important part of Alzheimer's treatment. Use these seven tips to stay on ... Clinic staff People who have dementia due to Alzheimer's disease need regular medical care to address a ...

  18. Design of Staff Assessment System

    OpenAIRE

    Vaníček, Josef

    2016-01-01

    This diploma thesis focuses on the topic of working assessment of staff. The objective is to create a new system evaluation and motivation of staff in the factory. The theoretical part of the individual chapters is focused on the evaluation system, evaluation methods, evaluation interview, system implementation, motivation and remuneration. The practical part describes the company and its system of evaluating and remuneration employees. Proposal for a new system was created by collecting info...

  19. A staff shortage in Canada?

    Energy Technology Data Exchange (ETDEWEB)

    Stoll, P. [Human Resources Development Canada, Quebec (Canada)

    1995-04-01

    Attrition of experienced staff, falling student enrolments and closure of university courses are symptoms of the contraction of the Canadian nuclear industry over the last two decades. It is not alone. A study carried out by Human Resources Development Canada, a government department, to forecast the demand for qualified nuclear staff in Canada over the next 15 years has reached similar conclusions to an OECD/NEA study of its members` future personnel requirements. (author).

  20. SENIOR STAFF ADVANCEMENT COMMITTEE (SSAC)

    CERN Document Server

    2000-01-01

    Composition and mandateThe Senior Staff Advancement Committee is composed of members nominated ad persona by the Director-General.The Committee examines proposals from Divisions concerning promotions to grade 13 in Career Path IX, changes of career path to Career Path IX and advancements to the exceptional grade in Career path VIII.The Director-General may consult the Committee on any matter related to senior staff careers.The Committee makes its recommendations to the Director-General.

  1. 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.

  2. 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

  3. 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

  4. 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

  5. 76 FR 50484 - Draft Guidance for Industry, Clinical Investigators, and Food and Drug Administration Staff...

    Science.gov (United States)

    2011-08-15

    ... Considerations for Pivotal Clinical Investigations for Medical Devices.'' This document is intended to provide... medical devices and for FDA staff who review those submissions. This guidance document describes different study design principles relevant to the development of medical device clinical studies that can be...

  6. Why join the Staff Association

    CERN Multimedia

    Association du personnel

    2011-01-01

    Becoming a member of the Staff Association (SA) is above all a personal choice, showing that the joining person’s commitment and adherence to values such as solidarity, social cohesion, etc.In September, the SA launches a membership campaign to convince a maximum number to join, to inform, arouse interest and support. Posters, emails and individual contacts are part of the campaign programme, just like this editorial. As far as individual contacts are concerned, we ask you to give time and lend an ear to the delegates of your department in the Staff Council, who will approach you, in order to make an open and constructive discussion possible. Do not hesitate to ask questions and let them know your thoughts about the SA, as (constructive) criticism enables us to progress. The Staff Association and its role of collective representation The Staff Association, via its delegates, represents collectively all staff of the Organization before the Director-General and Member States. To do this, staff rep...

  7. Effective dose estimation to patients and staff during urethrography procedures

    Energy Technology Data Exchange (ETDEWEB)

    Sulieman, A. [Prince Sattam bin Abdulaziz University, College of Applied Medical Sciences, Radiology and Medical Imaging Department, P. O- Box 422, Alkharj 11942 (Saudi Arabia); Barakat, H. [Neelain University, College of Science and Technology, Medical Physics Department, Khartoum (Sudan); Alkhorayef, M.; Babikir, E. [King Saud University, College of Applied Sciences, Radiological Sciences Department, P. O. Box 10219, Riyadh 11433 (Saudi Arabia); Dalton, A.; Bradley, D. [University of Surrey, Centre for Nuclear and Radiation Physics, Department of Physics, Surrey, GU2 7XH Guildford (United Kingdom)

    2015-10-15

    Medical-related radiation is the largest source of controllable radiation exposure to humans and it accounts for more than 95% of radiation exposure from man-made sources. Few data were available worldwide regarding patient and staff dose during urological ascending urethrography (ASU) procedure. The purposes of this study are to measure patient and staff entrance surface air kerma dose (ESAK) during ASU procedure and evaluate the effective doses. A total of 243 patients and 145 staff (Urologist) were examined in three Hospitals in Khartoum state. ESAKs were measured for patient and staff using thermoluminescent detectors (TLDs). Effective doses (E) were calculated using published conversion factors and methods recommended by the national Radiological Protection Board (NRPB). The mean ESAK dose for patients and staff dose were 7.79±6.7 mGy and 0.161±0.30 mGy per procedures respectively. The mean and range of the effective dose was 1.21 mSv per procedure. The radiation dose in this study is comparable with previous studies except Hospital C. It is obvious that high patient and staff exposure is due to the lack of experience and protective equipment s. Interventional procedures remain operator dependent; therefore continuous training is crucial. (Author)

  8. Investigation and Analysis of Psychological Health Status of Medical Staff in Emergency Department of General Hospital of Zhongshan City Township%中山市乡镇综合医院急诊科医护人员心理健康状况调查分析

    Institute of Scientific and Technical Information of China (English)

    李昌松; 饶惠平; 张琼; 张建龙

    2014-01-01

    目的:探究中山市乡镇综合医院急诊科医护人员心理健康状况调查状况。方法:选取中山市乡镇综合医院急诊科医护人员160人作为A组,非急诊科(内外科)医护人员160名作为B组,另选择中国常模健康成人160例作为C组,观察对比三组心理健康状况。结果:在躯体不适、强迫、人际关系、抑郁、焦虑、敌对性、恐怖、偏执、精神病性观察项目上,相较于常模C组,A组SCL-90评分最高,B组次之;SDS和SAS评分比较中, A组均最高,其次为B组,C组最低,组间比较差异均具有统计学意义(P<0.05)。结论:为促进急诊医疗质量的提高,需对特定医务人群开展针对性的心理疏导,以改善目前心理健康状况,保证急诊工作质量。%Objective:To explore the mental health status of medical staff in emergency department of general hospital of Zhongshan township. Method:In this survey,three groups were selected to evaluate their mental health status. Group A including 160 medical staff were from the emergency department of Zhongshan Hospital and group B covers other 160 medical staff from non-emergency department(including physicians and surgeons). In addition,another 160 healthy adults sorted out from Chinese Norms were marked as group C. Phychological health status of the three groups were compared. Result:Compared to group C,group A obtained a higher SCL-90 score and group C presented the lower one in the physical discomfort,compulsion,interpersonal sensitivity,depression,anxiety,hostility,phobia,paranoid and psychotism. Furthermore,according to the standard of SDS and SAS score,group A delivered the highest score and group C showed the poorest score,suggesting a significant statistics among the three groups with a parameter of P<0.05. Conclusion:It is necessary for the medical personal to carry out the specific targeted psychological counseling to improve the quality of emergency medical

  9. A Study on Association of Nutrition Training and Nutrition Intervention Consciousness,Intervention Behaviors among Community Medical Staff in Hangzhou City%社区医务人员营养培训与其干预意识及行为的关联研究

    Institute of Scientific and Technical Information of China (English)

    刘冰; 刘庆敏; 任艳军; 吕筠; 李立明

    2014-01-01

    Objective To know the status of nutrition education of community medical staff and analyze its association with nutrition intervention consciousness and behaviors.Methods Three representative districts including Xiacheng,Gongshu and Westlake were selected and 846 community medical staff was involved in this study.Questionnaire investigation was applied to collect the information from mainly three aspects including training,consciousness and practice.Logistic stepwise regression analysis and Cochran -Mantel -Haenszel test were used.Results Most of the community medical staff was female (78.49%).78.95% of the staff had received the training of nutrition knowledge and its main influencing factor was working time.The Association was observed between the nutrition training and the preparation of nutrition consultation. The more training received,the higher self -assessment would be (P <0.05 ).Meanwhile,as the types of training increased,the awareness and attitude of medical staff was improved remarkably,such as knowing risks of unhealthy dietary,asking the dietary habit of the patients routinely,and advising patients to establish a good dietary habit to their children (all P <0.05 ).Nutrition training also had a positive association with nutrition intervention behavior ,such as implementing more measurement of blood pressure, weight, and blood cholesterol for community outpatients, communicating with them in the importance of balanced diet and proper nutrition,and giving weight loss suggestion to obese patients (all P <0.05).Conclusion Training on nutrition knowledge and intervention skills of community medical staff should be emphasized and reinforced in the future,in order to promote the effect on chronic diseases prevention of community -based intervention strategies.%目的:了解社区医务人员的膳食营养培训情况,以及培训是否与社区诊疗过程中增进的营养干预意识及行为相关联。方法选取杭州市下城

  10. Application of the psychological crisis intervention on the medical staff in acute and critical care departments%心理危机管理模式在急重症高风险科室医护人员中的应用

    Institute of Scientific and Technical Information of China (English)

    王纯玲; 李俊凤; 朱耘生

    2014-01-01

    Objective To investigate the effect of application of the psychological crisis intervention on the medical staff in acute and critical care departments and to improve the physical and psychological health of medical staff .Methods The psychological crisis intervention of improving the social support and self -and-others assistance was applied on 96 medical staff who worked in the intensive care units ( ICU ) , emergency room ( ER) and the department of neurosurgery for 6 month.The Pressure Scale , the Social Support Rating Scale and the Symptom checklist 90 (SCL-90) were used for data collection.The effects before and after intervention were compared.Results The pressure scale results showed that the source of pressure were from work , interpersonal relationship and study , among which 100% investigators felt the pressure from long working hours , worries of mistakes , medical dispute and lack of security .The score of social support before intervention was ( 37 .57 ± 7.74), which was significantly lower than (41.52 ±8.19) after the intervention (t=3.434, P<0.05).The score of SCL-90 was lower after the intervention .The score of somatization , obsessive-compulsive , interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism were (1.97 ± 0.51), (1.88 ±0.54), (1.83 ±0.55), (1.72 ±0.61), (1.69 ±0.49), (1.28 ±0.48), (1.55 ±0.46), (1.50 ±0.56) and (1.30 ±0.41), respectively, the differences had statistical significances (t =15.861, 9.173, 7.989, 7.966, 9.198, 6.311, 5.573, 1.271, 5.828, respectively; P<0.05).Compared with the medical staff in other departments , the medical staff in acute and critical care departments had a significantly lower score of SCL-90 (P<0.05).Conclusions The study indicates that the medical staff in acute and critical care departments has mental problems .Using self-and-others assistance with the psychological crisis intervention can improve their availability of social support .It

  11. Preparing radiology staff to meet service goals: a training model.

    Science.gov (United States)

    Ricciardone, E B; Stepanovich, P H; West, V T

    1994-01-01

    This article describes a model used to train radiology staff in customer service relations at a large southeastern medical center. Information about the needs of the radiology department and staff was acquired through quantitative and qualitative assessments. The primary goal of the training was twofold: 1) to develop employee awareness of customer expectations and 2) to develop problem-solving skills to respond to customer service related issues. Instructional methods compatible with adult learning were used and training results were assessed. Positive changes in employee attitudes and behaviors are described and recommendations for training development and implementation are discussed.

  12. The effect of ward rounds making by the operation president of the hospital to improve hand hygiene compliance of the medical staff%业务院长查房对提高医务人员手卫生依从性的效果

    Institute of Scientific and Technical Information of China (English)

    刘晖; 罗龙金; 周裕梅

    2015-01-01

    目的:探讨业务院长查房对基层医院医务人员手卫生依从性、医院感染发生率影响,统计快速手消毒剂、洗手液每床每日消耗量。方法医院感染管理科和其他职能部门负责人在业务院长的带领下每天上午参加一个住院病区的业务查房,医院感染管理科将医务人员手卫生依从性作为查房监管的重点,对医务人员手卫生依从性进行观察并记录,在总结会上现场反馈;将业务院长查房前的2012年1-6月设为对照组,业务院长查房后的2013年1-6月设为试验组,比较对照组与试验组手卫生用品消耗量、医院感染例次率、医务人员的洗手依从率。结果医院感染管理科参与业务院长查房后,医务人员手卫生依从性较查房前明显提高,医师由33.10%提高至61.04%,护士由51.86%提高至79.20%,差异有统计学意义( P<0.01);临床科室快速手消毒剂、洗手液每床每日消耗量从查房前的1.88、7.03ml分别提高至5.38、11.51ml,消耗量明显提高;医院感染率由2.01%降低至1.50%,差异有统计学意义( P<0.05);护士手卫生依从性高于医师,各科室手卫生依从性由高到低依次为儿科、妇产科、外科、内科。结论将手卫生纳入业务院长查房内容,取得院领导的重视,可明显提高医务人员手卫生依从性,降低医院感染发生率。%OBJECTIVE To investigate the influence of the ward rounds making by the hospital operation president on hand hygiene compliance and the incidence rate of hospital infection of the medical staff in grass‐roots hospitals , the consumption of the daily use of rapid hand disinfectant and liquid soap for each bed was counted .METHODS The management department of hospital infections and other functional departments participated in a hospital ward rounds with the hospital operation president .The compliance of hand

  13. Heart Disease and African Americans

    Science.gov (United States)

    ... Minority Population Profiles > Black/African American > Heart Disease Heart Disease and African Americans Although African American adults are ... were 30 percent more likely to die from heart disease than non-Hispanic whites. African American women are ...

  14. 基层医院医疗废物回收人员医院感染管理现状及对策%Current Situation and Countermeasures of Hospital Infection Management of Medical Waste Recycling Staff in Basic Level Hospitals

    Institute of Scientific and Technical Information of China (English)

    黄再娣; 赵爱新

    2015-01-01

    目的为了了解基层医院对医疗废物回收人员的管理现状,并为规范管理制定对策,预防医院感染。方法利用自行设计的调查表对13名医疗废物回收人员进行调查、反馈。结果13名回收人员年龄偏大、文化程度低,普遍对当前的工资待遇不满意,人员流动性大,且缺乏正规培训,导致个人防护意识差,对院感防控及消毒隔离知识知晓甚少。甚至还有23.1%的人工作时不佩戴手套。结论调查结果显示,基层医院对医疗废物回收人员的管理存在非常严重的问题,主管部门应高度重视,加强对相关人员的培训,规范流程,完善制度,健全组织,严格执行消毒隔离,降低医院感染发生率。%Objective Catching the meaning of cur ent situation how primary hospitals manage the staf s of medical waste recycling and formulating strategies for standardizing the management,then preventing the hospital infection. Methods Making a research of 13 medical waste recycling staf s with an Original .Results 13 medical waste recycling staf s are aging and il-educated,they general y complain about their wages.The mobility of them is improving,and they fails to accept formal training,which leads to they have a weak consciousness of self-protection and have no idea about prevention and control of hospital infection and the knowledge about disinfection and isolation.Even 23.1%of them doesn’t wear sterile gloves. Conclusion The research shows the management of medical waste recycling staf s in primary hospital has serious defects,so the competent department should pay high at ention to it.On the one hand,we must cultivate those medical waste recycling staf s,and standardize the operational process.On the other hand,we need improve the system about prevention and control of hospital infection,strictly enforcing disinfection and isolation,then reducing the rate of hospital infection.

  15. NO to sacrificing future staff!

    CERN Multimedia

    Staff Association

    2011-01-01

    During our public meetings last week, we reviewed several subjects. However, the most urgent one today is the 2nd package of measures for our Pension Fund. In our previous issue, we devoted a long article to the Management’s plan for staff recruited from January 2012. A disaster! As we announced at our meetings, the Staff Association will organize a referendum at the beginning of April. For the message to be heard it is vital that as many staff as possible take part. By voting you will express your support to your staff representatives to stand in the way of these unacceptable measures. It is a matter of urgency that the staff makes their voice heard. Time is short, the decisions will be made in June. The future of our Organization is as stake. This is our future colleagues we are talking about. We must prevent this sacrifice. They must be welcomed in such a manner that there is no uneasiness between us. They must be made to feel welcome in their new family, CERN, our CERN. That they should pay an ...

  16. 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

    Directory of Open Access Journals (Sweden)

    Şebnem ASLAN

    2011-01-01

    Full Text Available 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 hospitals of Konya province. The datas obtained from the survey are analysed with descriptive statistics and confirmatory factor analysis using SPSS 16.0 and Lisrel 8 programmes. As a result, Dennis and Bocernea scale is reduced to 5 dimensions and 14 questions, and Dennis and Winston scale to 3 dimensions and 14 questions. The new scale is found as valid and reliable.

  17. 武汉市某三级公立医院医疗卫生人员满意度调查%Inev stigation on Satisfaction of Medical Staff of a Tertiary Public Hospi tal in Wuhan

    Institute of Scientific and Technical Information of China (English)

    江婷; 王慧敏; 李舒丹; 王凌

    2016-01-01

    目的:提高医疗质量和服务质量是医院立足的根本,而让职工满意,则是医疗质量和服务质量得以提升的先决条件。方法利用网上填写调查问卷的方式,采用SPSS统计软件对工作本身、工作背景、工作群体、工作回报、医院管理等五个部分的内容进行分析,探讨不同年龄段医疗卫生人员对工作满意度的认知状况。结果武汉市某三级公立医院年轻职工对工作特征、组织地位与组织期望等内容较为满意,高年资职工对薪酬、人际关系等内容较为满意。结论应采取有效措施提高职工的满意度。①加强医院文化建设。②加强对医疗卫生人员医德医风教育。③加强部门间团队合作。④充分发挥薪酬的激励作用。⑤加大职工的职业发展空间。⑥定期、连续性地开展员工满意度调查。%Objective Employee satisfaction which are the foundation of the hospital is a precondition for improving the medical treatment quality and service quality.Methods The author probes the cognitive status of medical personnel in different age groups on the degree of job satisfaction by online questionnaire.And then, the data are analyzed by using SPSS with the following aspects:the job itself, the job background, the job group, the rewarding of the job and the hospital management.Results In a tertiary public hospital in Wuhan, while young employees are more satisfied with the job characteristics, organizational status and expectation, etc., high qualifi-cation employees are more content with remuneration, interpersonal relationship and so on.Conclusion It is es-sential to take measures to improve employee satisfaction,by enhancing the medical ethics education of medical per-sonnel, promoting team work among departments, making full use of the encouragement of remuneration, providing more career opportunities for personnel, and conducting employee satisfaction surveys regularly and

  18. 浙江省温州市精神专科医院女性医护人员职业倦怠与睡眠质量的相关性分析%The analysis of correlation between job burnout and sleep quality in psychiatric female medical staff of Wenzhou city

    Institute of Scientific and Technical Information of China (English)

    朱文标; 陈策; 杨亚芳; 王蕾; 张伟

    2016-01-01

    Objective To explore the relationship between job burnout feeling and sleep quality in psychiatric female medical staff.Methods 100 female medical staff were randomly selected from two mental hospitals in Wenzhou,and the Pittsburgh sleep quality index was used to evaluate and Maslach burnout inventory;and the relation-ship between sleep quality and job burnout was analyzed.Results Female psychiatric and medical personnel to the personality dimension score was (10.84 ±4.75)points,which was higher than Maslach norm (7.12 ±5.22)points;emotion exhaustion scores of (14.44 ±6.38)points,low achievement sense score of (15.07 ±6.89)points,below the Maslach often die emotion exhaustion scores of (22.19 ±9.53)points and low achievement sense scores (36.54 ± 7.34)points.The differences were statistically significant (t =-12.15,7.84,-31.15,all P <0.01).Job burnout and there were significant correlations between sleep quality and the emotional exhaustion and personification and PQSI seven dimensions and the total score was a positive correlation,low sense of achievement and PQSI total score and negatively correlated with seven dimensions.Conclusion Wenzhou psychiatric female medical staff burnout is significantly higher than the general population,there is a correlation between staff burnout and sleep quality,and the more serious burnout,poorer quality of sleep.Improving the quality of sleep of medical staff is one of the ways to relieve job burnout.%目的:探讨精神专科医院女性医护人员职业倦怠与睡眠质量的关联性。方法从温州市区精神专科医院随机选取女性医护人员100人,采用匹兹堡睡眠质量指数和 Maslach 职业倦怠量表对研究对象进行评估;并分析睡眠质量及职业倦怠感之间的关联性。结果精神科女性医护人员去人格化维度得分(10.84±4.75)分,高于 M