WorldWideScience

Sample records for junior medical staff

  1. 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…

  2. 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.

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

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    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.

  4. 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.

  5. Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK: a regional survey

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    Payne Karl Frederick

    2012-10-01

    Full Text Available Abstract Background Smartphone usage has spread to many settings including that of healthcare with numerous potential and realised benefits. The ability to download custom-built software applications (apps has created a new wealth of clinical resources available to healthcare staff, providing evidence-based decisional tools to reduce medical errors. Previous literature has examined how smartphones can be utilised by both medical student and doctor populations, to enhance educational and workplace activities, with the potential to improve overall patient care. However, this literature has not examined smartphone acceptance and patterns of medical app usage within the student and junior doctor populations. Methods An online survey of medical student and foundation level junior doctor cohorts was undertaken within one United Kingdom healthcare region. Participants were asked whether they owned a Smartphone and if they used apps on their Smartphones to support their education and practice activities. Frequency of use and type of app used was also investigated. Open response questions explored participants’ views on apps that were desired or recommended and the characteristics of apps that were useful. Results 257 medical students and 131 junior doctors responded, equating to a response rate of 15.0% and 21.8% respectively. 79.0% (n=203/257 of medical students and 74.8% (n=98/131 of junior doctors owned a smartphone, with 56.6% (n=115/203 of students and 68.4% (n=67/98 of doctors owning an iPhone. The majority of students and doctors owned 1–5 medical related applications, with very few owning more than 10, and iPhone owners significantly more likely to own apps (Chi sq, p Conclusions This study found a high level of smartphone ownership and usage among medical students and junior doctors. Both groups endorse the development of more apps to support their education and clinical practice.

  6. MEDICAL STAFF SCHEDULING USING SIMULATED ANNEALING

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    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.

  7. Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK): a regional survey

    Science.gov (United States)

    2012-01-01

    Background Smartphone usage has spread to many settings including that of healthcare with numerous potential and realised benefits. The ability to download custom-built software applications (apps) has created a new wealth of clinical resources available to healthcare staff, providing evidence-based decisional tools to reduce medical errors. Previous literature has examined how smartphones can be utilised by both medical student and doctor populations, to enhance educational and workplace activities, with the potential to improve overall patient care. However, this literature has not examined smartphone acceptance and patterns of medical app usage within the student and junior doctor populations. Methods An online survey of medical student and foundation level junior doctor cohorts was undertaken within one United Kingdom healthcare region. Participants were asked whether they owned a Smartphone and if they used apps on their Smartphones to support their education and practice activities. Frequency of use and type of app used was also investigated. Open response questions explored participants’ views on apps that were desired or recommended and the characteristics of apps that were useful. Results 257 medical students and 131 junior doctors responded, equating to a response rate of 15.0% and 21.8% respectively. 79.0% (n=203/257) of medical students and 74.8% (n=98/131) of junior doctors owned a smartphone, with 56.6% (n=115/203) of students and 68.4% (n=67/98) of doctors owning an iPhone. The majority of students and doctors owned 1–5 medical related applications, with very few owning more than 10, and iPhone owners significantly more likely to own apps (Chi sq, papp usage of several times a day. Over 24hours apps were used for between 1–30 minutes for students and 1–20 minutes for doctors, students used disease diagnosis/management and drug reference apps, with doctors favouring clinical score/calculator apps. Conclusions This study found a high level of

  8. 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...

  9. Completion of Limitation of Medical Treatment forms by junior doctors for patients with dementia: clinical, medicolegal and education perspectives.

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    Yoong, Jaclyn; MacPhail, Aleece; Trytel, Gael; Rajendram, Prashanti Yalini; Winbolt, Margaret; Ibrahim, Joseph E

    2016-10-14

    Objective Limitation of Medical Treatment (LMT) forms are an essential element of end-of-life care. Decision making around LMT is complex and often involves patients with dementia. Despite the complexity, junior doctors frequently play a central role in completing LMT forms. The present study sought perspectives from a range of stakeholders (hospital clinicians, medical education personnel, legal and advocacy staff) about junior doctors' roles in completing LMT forms in general and for patients with dementia.Methods Qualitative data were gathered in semi-structured interviews (SSI) and theoretical concepts were explored in roundtable discussion (RD). Participants were recruited through purposive and convenience sampling drawing on healthcare and legal personnel employed in the public hospital and aged care systems, selected from major metropolitan hospitals, healthcare and legal professional bodies and advocacy organisations in Victoria, Australia. The contents of the SSIs and RD were subject to thematic analysis using a framework approach. Data were indexed according to the topics established in the study aim; categories were systematically scrutinised, from which key themes were distilled.Results Stakeholders reported that completing LMT forms was difficult for junior doctors because of a lack of medical and legal knowledge, as well as clinical inexperience and inadequate training. Healthcare organisations (HCOs) either lacked policies about the role of junior doctors or had practices that were discordant with policy. In this process, there were substantial gaps pertaining to patients with dementia. Recommendations made by the study participants included the provision of supervised clinical exposure and additional training for junior doctors, strengthening HCO policies and explicit consideration of the needs of patients with dementia.Conclusions LMT forms should be designed for clarity and consistency across HCOs. Enhancing patient care requires appropriate and

  10. Assessment of Junior Doctors' Perceptions of Difficulty of Medical Specialty Training Programs

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    Rogers, Mary E.; Creed, Peter A.; Searle, Judy

    2012-01-01

    The demands placed on medical trainees by the different specialty training programs are important considerations when choosing a medical specialty. To understand these demands, 193 junior doctors completed a web-based survey, and: (a) ranked medical specialties according to perceived level of training difficulty (incorporating entry difficulty,…

  11. Medical student clerkship performance and career selection after a junior medical student surgical mentorship program.

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    Day, K M; Schwartz, T M; Rao, V; Khokhar, M T; Miner, T J; Harrington, D T; Ryder, B A

    2016-02-01

    The impact of early medical school mentorship in students' clerkships performance and career selection is unknown. We administered Introduction to Surgery, a resident-directed, semester-long, preclinical elective to junior medical students who answered a Likert-type survey after residency application. Elective participants (EPs) were compared with nonparticipant applicants (EAs), medical school class (MS), and national match outcomes (USA). All 18 EPs (7 M1's, 11 M2's) completed the elective and survey. EP reported more confidence and improved surgical skills, especially attributed to resident mentorship (F(13,237) = 2.3, P = 8*10(-3)). EP "honored" the clerkship more than MS (P = .05); 55.6% of EP, 37.5% of EA, and 27.7% of MS chose surgical fields, yielding a relative risk of 2.0 for EP vs MS (95% confidence interval: 1.3 to 3.2, P = 4*10(-3)). EP "strongly agree" with future mentorship programs (4.6/5), and 1 EP reported the course to be the "main reason" for applying to general surgery. Introduction to Surgery provides a model for a multifaceted junior medical student mentorship program, which has the potential to retain interested students for surgical career selection. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Medical Students and Staff Physicians: The Question of Social Media.

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    Noller, Michael; Mai, Johnny P; Zapanta, Philip E; Camacho, Macario

    2017-07-01

    Social media's prevalence among the professional world is rapidly increasing. Its use among medical personnel-specifically, medical students, resident physicians, and staff physicians-could compromise personal-professional boundaries. Could the acceptance or lack of acceptance of a friend request bias the medical student application process? If friend requests are accepted, then medical students, resident physicians, and staff physicians are provided access to very personal aspects of one another's lives, which may not have been the intent. The question remains whether the separation of one's personal life from work is necessary. Should medical students restrict social media relationships with residents and staff physicians to professional social media networks? The suitability and opportunities of social media among medical professionals is an ongoing issue for research that needs continued evaluation.

  13. Medical employee ethics: a staff training tool.

    Science.gov (United States)

    Hills, Laura Sachs

    2009-01-01

    Ethics is a critical part of medical employee education and is a subject that requires frequent and regular consideration and attention. This article defines ethics particularly as it applies to an individual who works in a medical practice and explores five core ethical values for all medical practice personnel. It suggests the benefits of basing management practices and decisions on ethical core values and explores specific ways that ethics can affect an individual's emotional and physical well being. This article also offers ethical guidelines specifically for medical practice employees regarding the use of their time at work and their workplace communications. Finally, this article offers a set of questions a medical practice employee can use when working through an ethical dilemma and dispels six common myths about medical practice ethics.

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

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    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.

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

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    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.

  16. Professional approaches in clinical judgements among senior and junior doctors: implications for medical education

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    Pilhammar Ewa

    2009-05-01

    Full Text Available Abstract Background Clinical experience has traditionally been highly valued in medical education and clinical healthcare. On account of its multi-faceted nature, clinical experience is mostly difficult to articulate, and is mainly expressed in clinical situations as professional approaches. Due to retirement, hospitals in Scandinavia will soon face a substantial decrease in the number of senior specialist doctors, and it has been discussed whether healthcare will suffer an immense loss of experienced-based knowledge when this senior group leaves the organization. Both senior specialists and junior colleagues are often involved in clinical education, but the way in which these two groups vary in professional approaches and contributions to clinical education has not been so well described. Cognitive psychology has contributed to the understanding of how experience may influence professional approaches, but such studies have not included the effect of differences in position and responsibilities that junior and senior doctors hold in clinical healthcare. In the light of the discussion above, it is essential to describe the professional approaches of senior doctors in relation to those of their junior colleagues. This study therefore aims to describe and compare the professional approaches of junior and senior doctors when making clinical judgements. Methods Critical incident technique was used in interviews with nine senior doctors and nine junior doctors in internal medicine. The interviews were subjected to qualitative content analysis. Result Senior and junior doctors expressed a variety of professional approaches in clinical judgement as follows: use of theoretical knowledge, use of prior experience of cases and courses of events, use of ethical and moral values, meeting and communicating with the patient, focusing on available information, relying on their own ability, getting support and guidance from others and being directed by the

  17. Forty project management strategies for the medical practice staff.

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    Hills, Laura Sachs

    2010-01-01

    Most every medical practice will embark at one time or another on a large and complex new project. The practice may, for instance, undertake a project in office construction or renovation, practice expansion, new technology, or a new large-scale event. The medical practice staff may find itself creating the project plan, overseeing its execution, and working through the plan day to day until its completion. In short, the staff may find itself responsible for project management. This article contains 40 specific, easy-to-implement project management strategies medical practice employees can use to manage both the large and small projects they undertake on behalf of the practice. It suggests effective project management strategies the staff can use before the onset of a new project as well as strategies to help define the project, to deliver the project, and to close and review the project. This article also describes five reasons medical practices often fail at project management and suggests more effective approaches that will ensure that the projects the medical practice undertakes are completed well, on time, and within budget.

  18. Creativity in Medical Learning: A direction-finding study of junior hospital doctors

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    Martin Talbot

    2006-04-01

    Full Text Available In a questionnaire study of creativity, the author has assessed the teaching and clinical practice of medical teachers, as observed by their students. The study has taken some preliminary steps to assess the place of creativity in postgraduate medical learning in the United Kingdom. Junior doctors were asked to compare their ‘best’ teacher with their ‘worst’ utilising a semantic differential scale and questions derived from Torrance’s definitions of creativity. The response rate was 81 (56.25% of 144 junior hospital doctors, in whose view, ‘best’ teachers showed greater creative behaviour as evidenced by significantly higher creativity scores on the majority of parameters (p<0.0001.

  19. An Investigation of Anatomical Competence in Junior Medical Doctors

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    Vorstenbosch, Marc A. T. M.; Kooloos, Jan G. M.; Bolhuis, Sanneke M.; Laan, Roland F. J. M.

    2016-01-01

    Because of a decrease of the time available for anatomy education, decisions need to be made to reduce the relevant content of the anatomy curriculum. Several expert consensus initiatives resulted in lists of structures, lacking analysis of anatomical competence. This study aims to explore the use of anatomical knowledge by medical doctors in an…

  20. Improving acute medical management: Junior Doctor Emergency Prescription Cards.

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    Hutton, Joe; Gingell, Megan; Hutchinson, Lisa

    2016-01-01

    Doctors commencing Foundation Year (FY) training face many stresses and challenges. FY doctors are often the first point of contact for acutely unwell and deteriorating patients. Trust guidelines are used to aid acute medical management. Accessing guidelines is often fraught with barriers. Evidence suggests aide-memoire cards can provide easier access to guidelines and management pathways. We aimed to improve prescribing accuracy and efficiency of FY doctors for acute medical conditions within Gloucestershire trust by improving access to and usability of trust guidelines. Questionnaires were distributed to FY doctors to identify acute medical conditions to include on the emergency prescription cards (EPCs). Two small double-sided cards were created containing bullet pointed trust guidelines for: hyper/hypokalaemia, status epilepticus, diabetic emergencies, arrhythmias, myocardial infarction, acute asthma, pulmonary oedema, anaphylaxis and a ward-round checklist. Feedback was used to improve EPCs prior to distribution. Pre (N=53) and post-intervention (N=46) written questionnaires were completed by FY doctors. These assessed acute clinical management including use of guidance, confidence in management, speed of prescribing and EPC "usability". To assess prescribing accuracy, prescriptions for acute medical conditions were reviewed pre (N=8) and post-intervention (N=12). The EPCs were well received (80% quite/very useful) and found "easy to use" (83%). The introduction of EPCs increased guidance use (pre-intervention 58.8%, post-intervention 71.7%), increased confidence (pre-intervention 79%, post-intervention 89%) and significantly improved prescribing speed (p=0.05). There was a significant correlation with confidence and prescribing speed (p = 0.023). The accuracy of prescribed doses improved (pre-intervention 62.5%, post-intervention 87.5% accurate) as did details regarding route / additional required information (pre-intervention 75%, post-intervention 97

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

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    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

  2. Junior doctors and undergraduate teaching: the influence of gender on the provision of medical education.

    LENUS (Irish Health Repository)

    Prichard, David

    2012-02-01

    BACKGROUND: International experience has demonstrated that the medical profession is becoming less dominated by men. This "feminization of medicine" has been a topic of much debate in the medical literature. As the gender ratio in the profession changes, it is likely that a greater proportion of undergraduate education will be provided by women. Whether this shift away from the male-dominated provision of medical education will have an effect on undergraduate education is unknown. PURPOSE: The aim of this research was to clarify whether there are differences between the attitudes and practices of male and female junior doctors regarding the practice of undergraduate teaching. METHOD: A survey methodology among a cohort of nonconsultant hospital doctors in a major Irish teaching hospital was utilized. The overall response rate was 93%. The cohort held a positive attitude toward teaching undergraduates, and the majority were actively engaged in this activity. Doctors of both genders expressed a willingness to undertake teacher training. RESULTS: There were no significant differences between the genders regarding the self-reported quantity of teaching provided to undergraduates. Male doctors perceived themselves as more confident educators when compared to female doctors, but this is likely to reflect cohort demographics in which a greater proportion of male doctors were more senior. CONCLUSIONS: This study demonstrates that male and female doctors have similar attitudes toward, and practices in, voluntary undergraduate teaching. As a result, any gender shift in medicine is unlikely to result in a significant change in junior doctors\\' attitudes toward undergraduate medical education.

  3. Medical assistance at the Brazilian juniors tennis circuit--a one-year prospective study.

    Science.gov (United States)

    Silva, R T; Takahashi, R; Berra, B; Cohen, M; Matsumoto, M H

    2003-03-01

    A prospective study was conducted during one year to evaluate injuries in Brazilian Junior tennis players during the national circuit, in 2001. Male and female athletes in the age categories under 12, under 14, under 16 and under 18 years, all members of The Brazilian Tennis Confederation, participated in the study. Two physiotherapists and/or one physician evaluated the athletes. A total of 280 medical examinations were performed in 151 tennis players who needed medical treatment during the tournaments. The 151 athletes had 1-6 medical treatments during the tournaments and the mean was 1.8 treatment per athlete. The overall incidence was 6.9 medical treatments for every 1,000 games played. Medical assistance tothe athletes was performed on court in 83 (29.6%) occasions, 185 (66.1%) at the medical department and in both in 12 (4.3%) occasions. Retirement of the match was reported in 9 (3.2%) lesions. The most frequent injuries were: muscle contractures (76 - 27.14%), muscle pain/fatigue (36-12.85%), muscle strain (35-12.52%), tendinopathies (20 - 7.14%), cramps (16 -5.71%), ankle sprain (12 -4.28%) and low back pain (10-3.57%). Muscle pathology was the major source of injuries causing the athlete to seek medical assistance. Preventative measures are important to reduce the number of injuries, which may include muscle stretching programs and adequate nutrition and hydration.

  4. Views of junior doctors about whether their medical school prepared them well for work: questionnaire surveys

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    Taylor Kathryn

    2010-11-01

    Full Text Available Abstract Background The transition from medical student to junior doctor in postgraduate training is a critical stage in career progression. We report junior doctors' views about the extent to which their medical school prepared them for their work in clinical practice. Methods Postal questionnaires were used to survey the medical graduates of 1999, 2000, 2002 and 2005, from all UK medical schools, one year after graduation, and graduates of 2000, 2002 and 2005 three years after graduation. Summary statistics, chi-squared tests, and binary logistic regression were used to analyse the results. The main outcome measure was the level of agreement that medical school had prepared the responder well for work. Results Response rate was 63.7% (11610/18216 in year one and 60.2% (8427/13997 in year three. One year after graduation, 36.3% (95% CI: 34.6, 38.0 of 1999/2000 graduates, 50.3% (48.5, 52.2 of 2002 graduates, and 58.2% (56.5, 59.9 of 2005 graduates agreed their medical school had prepared them well. Conversely, in year three agreement fell from 48.9% (47.1, 50.7 to 38.0% (36.0, 40.0 to 28.0% (26.2, 29.7. Combining cohorts at year one, percentages who agreed that they had been well prepared ranged from 82% (95% CI: 79-87 at the medical school with the highest level of agreement to 30% (25-35 at the lowest. At year three the range was 70% to 27%. Ethnicity and sex were partial predictors of doctors' level of agreement; following adjustment for them, substantial differences between schools remained. In years one and three, 30% and 34% of doctors specified that feeling unprepared had been a serious or medium-sized problem for them (only 3% in each year regarded it as serious. Conclusions The vast knowledge base of clinical practice makes full preparation impossible. Our statement about feeling prepared is simple yet discriminating and identified some substantial differences between medical schools. Medical schools need feedback from graduates about

  5. 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.

  6. Academic profile of Hospital Israelita Albert Einstein medical staff

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    Magda Maria Salles Carneiro-Sampaio

    2003-03-01

    NorthAmerican. It was verified that 34% of the physicians in group 1 and41% in group 2 were lecturers at medical schools and/or teachinghospitals in the Greater Metropolitan Area of São Paulo. CONCLUSIONS:The authors concluded that the medical staff at HIAE presents a muchdifferentiated academic profile, which certainly fosters the developmentof teaching and research activities in the institution.

  7. A new method for teaching physical examination to junior medical students

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    Sayma M

    2016-02-01

    Full Text Available Meelad Sayma, Hywel Rhys Williams Peninsula College of Medicine and Dentistry, Plymouth, UK Introduction: Teaching effective physical examination is a key component in the education of medical students. Preclinical medical students often have insufficient clinical knowledge to apply to physical examination recall, which may hinder their learning when taught through certain understanding-based models. This pilot project aimed to develop a method to teach physical examination to preclinical medical students using “core clinical cases”, overcoming the need for “rote” learning. Methods: This project was developed utilizing three cycles of planning, action, and reflection. Thematic analysis of feedback was used to improve this model, and ensure it met student expectations. Results and discussion: A model core clinical case developed in this project is described, with gout as the basis for a “foot and ankle” examination. Key limitations and difficulties encountered on implementation of this pilot are discussed for future users, including the difficulty encountered in “content overload”. Conclusion: This approach aims to teach junior medical students physical examination through understanding, using a simulated patient environment. Robust research is now required to demonstrate efficacy and repeatability in the physical examination of other systems. Keywords: physical examination, undergraduate, case-based approach 

  8. "A steep learning curve": junior doctor perspectives on the transition from medical student to the health-care workplace.

    Science.gov (United States)

    Sturman, Nancy; Tan, Zachary; Turner, Jane

    2017-05-26

    The transition from medical student to hospital-based first year junior doctor (termed "intern" in Australia) is known to be challenging, and recent changes in clinical learning environments may reduce graduate preparedness for the intern workplace. Although manageable challenges and transitions are a stimulus to learning, levels of burnout in junior medical colleagues are concerning. In order to prepare and support medical graduates, educators need to understand contemporary junior doctor perspectives on this transition. Final-year University of Queensland medical students recruited junior doctors working in diverse hospital settings, and videorecorded individual semi-structured interviews about their transition from medical student to working as a junior doctor. Two clinical academics (NS and JT) and an intern (ZT) independently conducted a descriptive analysis of interview transcripts, and identified preliminary emerging concepts and themes, before reaching agreement by consensus on the major overarching themes. Three key themes emerged from the analysis of 15 interviews: internship as a "steep learning curve"; relationships and team; and seeking help. Participants described the intern transition as physically, mentally and emotionally exhausting. They learned to manage long days, administrative and clinical tasks, frequent interruptions and time pressures; identify priorities; deal with criticism without compromising key relationships; communicate succinctly; understand team roles (including their own status within hospital hierarchies); and negotiate conflict. Participants reported a drop in self-confidence, and difficulty maintaining self-care and social relationships. Although participants emphasised the importance of escalating concerns and seeking help to manage patients, they appeared more reluctant to seek help for personal issues and reported a number of barriers to doing so. Findings may assist educators in refining their intern preparation and intern

  9. 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.

  10. 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…

  11. The role of the psychiatrist: job satisfaction of medical directors and staff psychiatrists.

    Science.gov (United States)

    Ranz, J; Stueve, A; McQuistion, H L

    2001-12-01

    In a previous survey of Columbia University Public Psychiatry Fellowship alumni, medical directors reported experiencing higher job satisfaction compared to staff psychiatrists. To further this inquiry, the authors conducted an expanded survey among the membership of the American Association of Community Psychiatrists (AACP). We mailed a questionnaire to all AACP members. Respondents categorized their positions as staff psychiatrist, program medical director or agency medical director, and rated their overall job satisfaction. The form also included a number of demographic and job characteristic items. Of 479 questionnaires mailed, a total of 286 individuals returned questionnaires (61%-12 forms were undeliverable). As in our previous survey, medical directors experience significantly higher job satisfaction compared to staff psychiatrists. Program and agency medical directors do not differ significantly. In addition, job satisfaction is strongly and negatively correlated with age for staff psychiatrists but not for medical directors. This survey strengthens the previously reported advantage medical directors have over staff psychiatrists regarding job satisfaction. The finding that job satisfaction decreases with increasing age of staff psychiatrists but not medical directors is particularly interesting, suggesting that staff psychiatrist positions may come to be regarded as "dead-end" over time. Psychiatrists are advised to seek promotions to program medical director positions early in their careers, since these positions are far more available, and provide equal job satisfaction, compared to agency medical director positions.

  12. 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.

  13. The evaluation of psycho-emotional state in junior students of medical university

    Directory of Open Access Journals (Sweden)

    Tetiana Pavliuk

    2017-06-01

    Full Text Available Currently, psychosocial factors, stress and mental exhaustion are considered by WHO experts and the International Labour Organization as an important new factor affecting the health, working capacity, training and career. Young generation, especially students, who are an industrial and intellectual potential of the country can be attributed to the risk group because of the extremely high burden of adaptation. The intensity and tension of modern life at a psychological level preceding the occurrence of negative emotional experiences and stress reactions that, accumulating, cause the formation of depressions. The aim of the study was to examine the level of psycho-emotional stress in the junior students of medical university. The observations of the medical students of the second year of study were performed. To determine the psycho-emotional stress we have used adaptive varint of H.Ayzenko method that include an anxiety, frustration, aggressiveness and rigidity, through questionnaires. According to a survey results of the state of psycho-emotional state low levels of stress resistance were found in students in learning activities, indicating that students are exposed to the negative impact of the environment. It should also be noted that the level of emotional condition of students depends on the personal experience of stressful situations that arise in students’ lives.

  14. Awareness of ionizing radiation exposure among junior doctors and senior medical students in radiological investigations.

    Science.gov (United States)

    Abuelhia, Elfatih

    2017-03-01

    The awareness and knowledge of ionizing radiation exposure in radiological investigations among junior doctors and medical students were studied. The participants were year four to year six senior medical students enrolled at University of Dammam and interns in King Fahad University Hospital. The survey consisted of 22 questions designed online using the software 'QuestionPro' licensed to the University of Dammam. 100 hard copies were also distributed manually and collected. A total of 221 (88.5%) questionnaires were completed. 213 participants viewed, 151 started and 128 (84.7%) completed online. 93% of the distributed samples were completed. Overall knowledge was poor; 44% and 19% of the respondents thought incorrectly that MRI and ultrasound emit ionizing radiation, respectively. Respondents (92%; n  =  203) underestimated the dose of abdominal spiral computed tomography (CT) and 4% thought no ionizing radiation involved in CT. 59% of respondents underestimated the radiation doses in nuclear medicine; bone scan 87%, PET/CT scan 67%, thyroid isotope scan 45% and PET scan 36%. 47% of the subjects had attended formal lectures, tutorials or workshops on radiation protection while 53% (n  =  119) had not. For future education the majority stated they would prefer tutorials or workshops (42.3%) or problem-based learning/case studies (32.4%), while web-based modules would be their last choice (8.1%).

  15. Western medical ethics taught to junior medical students can cross cultural and linguistic boundaries

    Directory of Open Access Journals (Sweden)

    Margolis Stephen A

    2004-07-01

    Full Text Available Abstract Background Little is known about teaching medical ethics across cultural and linguistic boundaries. This study examined two successive cohorts of first year medical students in a six year undergraduate MBBS program. Methods The objective was to investigate whether Arabic speaking students studying medicine in an Arabic country would be able to correctly identify some of the principles of Western medical ethical reasoning. This cohort study was conducted on first year students in a six-year undergraduate program studying medicine in English, their second language at a medical school in the Arabian Gulf. The ethics teaching was based on the four-principle approach (autonomy, beneficence, non-malfeasance and justice and delivered by a non-Muslim native English speaker with no knowledge of the Arabic language. Although the course was respectful of Arabic culture and tradition, the content excluded an analysis of Islamic medical ethics and focused on Western ethical reasoning. Following two 45-minute interactive seminars, students in groups of 3 or 4 visited a primary health care centre for one morning, sitting in with an attending physician seeing his or her patients in Arabic. Each student submitted a personal report for summative assessment detailing the ethical issues they had observed. Results All 62 students enrolled in these courses participated. Each student acting independently was able to correctly identify a median number of 4 different medical ethical issues (range 2–9 and correctly identify and label accurately a median of 2 different medical ethical issues (range 2–7 There were no significant correlations between their English language skills or general academic ability and the number or accuracy of ethical issues identified. Conclusions This study has demonstrated that these students could identify medical ethical issues based on Western constructs, despite learning in English, their second language, being in the third

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

    Science.gov (United States)

    2012-01-03

    ... educate regulated industry and FDA Staff on how, when, and why to use classification product codes for... 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...

  18. 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...

  19. Comparing attitudes of the public and medical staff towards witnessed resuscitation in an Asian population.

    Science.gov (United States)

    Ong, Marcus Eng Hock; Chung, Wan Ling; Mei, Jeanette Sng Ee

    2007-04-01

    To compare the attitudes of the public attending at a local Emergency Department and the medical staff towards witnessed resuscitation. Over a 2-week period in April 2006, we conducted an interview survey on the relatives of patients attending at the Emergency Department of Singapore General Hospital (SGH) via a convenience sampling. We approached 156 people with a response rate of 93.5%. We compared the results with a similar study conducted on the medical staff in the Emergency Department in the same hospital. Should relatives be present during resuscitation? We found that 73.1% of the public supported witnessed resuscitation compared to only 10.6% of the medical staff (Padvantage for witnessed resuscitation cited by both groups was that relatives would then have assurance that everything possible had been done for the patient. While 68.8% of the public felt that being allowed into the resuscitation area would help in their grieving processes, only 35.6% of the medical staff shared the same point of view (P<0.001). Medical staff were less likely to agree that witnessed resuscitation would strengthen the bonds between themselves and the public (P<0.001). Medical staff were however, more inclined towards the opinion that relatives would have a traumatic experience in witnessing resuscitation of their loved ones (P<0.001) and that the presence of relatives would cause stress to the medical staff performing resuscitation (P<0.001). Locally, we find a discrepancy between healthcare workers and the public towards the concept of witnessed resuscitation. More research is needed on the attitudes of the Asian public and medical staff.

  20. Concussion knowledge and management practices among coaches and medical staff in Irish professional rugby teams.

    Science.gov (United States)

    Fraas, M R; Coughlan, G F; Hart, E C; McCarthy, C

    2015-06-01

    Self-reported concussion rates among U-20 and elite rugby union players in Ireland are 45-48%. Half of these injuries go unreported. Accurate knowledge of concussion signs and symptoms and appropriate management practices among coaches and medical staff is important to improve the welfare of players. Examine concussion knowledge among coaches, and management techniques among medical staff of professional Irish rugby teams. Surveys were administered to 11 coaches and 12 medical staff at the end of the 2010-2011 season. Coaches demonstrated an accurate knowledge of concussion with a good understanding of concussion-related symptoms. Medical staff reported using a variety of methods for assessing concussion and making return-to-play decisions. Reliance on subjective clinical methods was evident, with less reliance on objective postural stability performance. Overall, the coaches in this investigation have accurate knowledge of concussion and medical staff use effective techniques for managing this injury. On-going education is needed to assist coaches in identifying concussion signs and symptoms. It is recommended that medical staff increase their reliance on objective methods for assessment and return-to-play decision making.

  1. Workplace violence and its effect on burnout and turnover attempt among Chinese medical staff.

    Science.gov (United States)

    Chen, Shiying; Lin, Shaowei; Ruan, Qishuang; Li, Huangyuan; Wu, Siying

    2016-11-01

    The present study was to evaluate workplace violence and examine its effect on job burnout and turnover attempt among medical staff in China. A total of 2,020 medical employees were selected from Fujian province by using stratified cluster sampling method. The Chinese version of the Workplace Violence Scale and the Maslach Burnout Inventory-General Survey were used to measure the workplace violence and job burnout, respectively. Other potential influencing factors for job burnout and turnover attempt were collected using a structured questionnaire. The incidence of workplace violence among medical staff was 48.0%. Workplace violence had a positive correlation with emotional exhaustion and cynicism and a negative correlation with professional efficacy. Workplace violence, marital status, employment type, working time (≥ 10 h/day), performance recognition, and life satisfaction were significant predictors for turnover attempt among Chinese medical staff.

  2. 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.

  3. 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.

  4. 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......-ammonia exposes the staff to radiation doses that are comparable to doses from (18)F-fluoro-deoxy-glucose scans and the annual doses are well within the recommended upper limits for radiation workers....

  5. The Efficacy of Web-Based Multimedia Education of Normal Electrocardiogram in Junior and Senior Medical Students

    Directory of Open Access Journals (Sweden)

    Fariborz Akbarzadeh

    2012-12-01

    Full Text Available Introduction: Wide spread availability of internet made the web based education as a real module for training under -graduate medical students. The aim of this study was to evaluate the efficacy of web based multimedia education in normal electrocardiography. Methods: In a semi-experimental study and based on the educational programs of medical students in their inpatient training courses, the normal electrocardiogram selected for web based multimedia education. The materials necessary to teach normal electrocardiogram were provided and multimedia was prepared for installing into computers. Two groups of medical students, 30 in each group in their cardiology service (senior and junior students were selected. Mean while the intervention group studied the multimedia for an hour and for comparison group classroom - based education was done. At the end of study all students answered to atwenty question questionnaire about normal electrocardiogram. Results: The percentage of correct answers in intervention and comparison groups was 72% and 71% respectively. The prevalence of correct answer for junior students in intervention and comparison group was 68% and 67% respectively. The percentage for senior students was 73% and 75%. Conclusion: Like other studies, this study showed the multimedia training can be as effective as the routine classroom based learning. Web based multimedia education is as efficient as classroom based education and can be used as a suitable alternative to conventional methods of training.

  6. 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.

  7. A survey of how and why medical students and junior doctors choose a career in ENT surgery.

    Science.gov (United States)

    Bhutta, M; Mandavia, R; Syed, I; Qureshi, A; Hettige, R; Wong, B Y W; Saeed, S; Cartledge, J

    2016-11-01

    To ascertain determinants of an interest in a career in ENT surgery through a survey of medical students and junior doctors. A survey was administered, comprising Likert scales, forced response and single option questions, and free text responses, at five different courses or events for those interested in a career in ENT. The survey had an 87 per cent response rate; respondents consisted of 43 applicants for national selection, 15 foundation doctors and 23 medical students. The most important factors that encourage ENT as a career included: the variety of operative procedures, work-life balance, inherent interest in this clinical area and inspirational senior role models. Exposure to ENT in undergraduate or post-graduate training is critical in deciding to pursue this specialty. It is important to promote those aspects of ENT surgery that attract people to it, and to argue for greater exposure to ENT during undergraduate and post-graduate training.

  8. Medical Decision-Making Processes and Online Behaviors Among Cannabis Dispensary Staff

    OpenAIRE

    Peiper, Nicholas C.; Camille Gourdet; Angélica Meinhofer; Amanda Reiman; Nicco Reggente

    2017-01-01

    Background: Most cannabis patients engage with dispensary staff, like budtenders, for medical advice on cannabis. Yet, little is known about these interactions and how the characteristics of budtenders affect these interactions. This study investigated demographics, workplace characteristics, medical decision-making, and online behaviors among a sample of budtenders. Methods: Between June and September 2016, a cross-sectional Internet survey was administered to budtenders in the San Francisco...

  9. Impact of Medical School Laboratory Courses and Physician Attitude on Test Use by House Staff.

    Science.gov (United States)

    Everett, George D.; And Others

    1983-01-01

    A study to assess the impact of laboratory courses in medical school on subsequent University of Iowa house staff test use, and to assess the influence of attitudinal factors on test use patterns is reported. Physician preferences for style, format, and timing of laboratory training sessions are examined. (MSE)

  10. 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…

  11. 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…

  12. 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...

  13. 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...

  14. What basic clinical procedures should be mastered by junior clerkship students? Experience at a single medical school in Tanzania

    Directory of Open Access Journals (Sweden)

    Konje ET

    2016-03-01

    Full Text Available Eveline T Konje,1,2 Rodrick Kabangila,2,3 Mange Manyama,2,4 Jacqueline M van Wyk2,5 1Department of Epidemiology and Biostatistics, School of Public Health, Catholic University of Health and Allied Sciences, Mwanza, Tanzania; 2Medical Education Fellowship, Southern Africa FAIMER Regional Institute – SAFRI, Cape Town, South Africa; 3Department of Internal Medicine, 4Department of Anatomy and Cell Biology, School of Medicine, Catholic University of Health and Allied Sciences, Mwanza, Tanzania; 5Department of Clinical and Professional Education, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa Background: Clinical training in most medical schools, including the Catholic University of Health and Allied Sciences (CUHAS, is offered in the form of junior and senior rotations. During these clinical rotations, students are expected to acquire and master the basic procedural skills. However, students’ learning process should be evaluated for quality improvement. Objectives: This study was conducted to identify the basic medical procedural skills that third-year medical students should acquire and master and determine the level of students’ exposure on these procedures at the end of junior rotation in internal medicine. Identification of the gap between clinicians’ opinions, skills practiced by students, and third-year students’ curriculum in the medical department at CUHAS was also done. Methods: The descriptive cross-sectional study was used to collect data through a self-administered, structured questionnaire from clinicians in medicine. A review of logbooks was considered to determine level of students’ exposure, and a document analysis was done using existing medical curriculum. Results: The response of 71% (n=22 was obtained. Clinicians agreed on basic procedures that students should perform independently (ie, Foley catheter insertion, venipuncture, and intravenous drip insertion. Clinicians thought

  15. Staff empowerment: a medical record department's preliminary experiences with continuous quality improvement.

    Science.gov (United States)

    Markon, E

    1992-11-01

    After observing the results of continuous quality improvement, no one would argue against its value in the workplace. However, learning to apply the concepts requires change on everyone's part, and the challenge lies in effecting this change. Not everyone will want to work in this type of environment and, if the organization is truly committed to continuous quality improvement, those individuals may have to make hard decisions as to whether the organization is the right place for them to work. Certain skills are required for staff empowerment to be successful, and training in these skills is essential. The medical record department staff learned early in this process that, although the group possessed job skills, interaction and team skills were lacking. The Development Dimensions International program helped the managers and staff identify the weaknesses of the group and provided educational tools for improvement. The changes often are so subtle, the group does not realize anything has changed. It was not until recently, when the medical record department staff was requested by administration to identify department quality improvement projects, that the group looked back at where the process started and realized how different things are today from three years ago--now staff members lead team meetings, work-groups are redesigning their job processes, and teams update the rest of the department staff on its progress at department meetings. Everyone expressed a sense of pride and accomplishment that the group had indeed responded to the challenge. The experiences of the medical record department thus far clearly support empowerment of employees.(ABSTRACT TRUNCATED AT 250 WORDS)

  16. [Turnover of Non-medical Staff in Outpatient Oncology Practices: Is Building Social Capital a Solution?].

    Science.gov (United States)

    Gloede, T D; Ernstmann, N; Baumann, W; Groß, S E; Ansmann, L; Nitzsche, A; Neumann, M; Wirtz, M; Schmitz, S; Schulz-Nieswandt, F; Pfaff, H

    2015-11-01

    While a lot is known about potential and actual turnover of non-medical hospital staff, only few data exist for the outpatient setting. In addition, little is known about actual instruments which leaders can use to influence staff turnover in physician practices. In the literature, the social capital of an organisation, which means the amount of trust, common values and reciprocal behaviour in the organisation, has been discussed as a possible field of action. In the present study, staff turnover as perceived by outpatient haematologists and oncologists is presented and analysed as to whether social capital is associated with that staff turnover. In conclusion, measures to increase the social capital of a practice are presented. The present study is based on data gathered in a questionnaire-based survey with members of the Professional Organisation of -Office-Based Haematologists and Oncologists (N=551). The social capital of the practice was captured from the haematologists and oncologists using an existing and validated scale. To analyse the impact of the practice's social capital on staff turnover, as perceived by the physicians, bivariate correlations and linear regression analyses were calculated. In total, 152 haematologists and oncologists participated in the study which represents a response rate of 28%. In the regression analyses, social capital appears as a significant and strong predictor of staff turnover (beta=-0.34; pstaff turnover although the underlying study design does not allow for drawing causal conclusions regarding this relationship. To create social capital in their practice, outpatient physicians may apply measures that facilitate social interaction among staff, foster trust and facilitate cooperation. Such measures may already be applied when hiring and training new staff, but also continuously when leading employees and when organising work tasks, e.g., by establishing regular team meetings. © Georg Thieme Verlag KG Stuttgart · New York.

  17. Immunization Status Against Hepatitis B Among Iranian Junior Medical, Nursing, and Obstetrics Students With Different Vaccination Patterns

    Directory of Open Access Journals (Sweden)

    Allami

    2015-08-01

    Full Text Available Background Since the protection time by hepatitis B (HB vaccination is unclear, the strategy of immunization of junior students who previously received hepatitis vaccine is controversial. Objectives This study aimed to determine the status of immunity to hepatitis B in junior medical, nursing and obstetrics students with different hepatitis B virus (HBV vaccination patterns. Patients and Methods In an analytical cross-sectional study, 255 junior medical sciences students were tested for quantitative antibodies to hepatitis B surface antigen (anti-HBs. The proportion of protective immunity was compared in different vaccination patterns. Results Vaccination coverage rates were 74.1%. About half the participants didn’t show serological evidence of protective immunity; 68.9% had their last shot more than 10 years ago and 30.4% had a vaccination history of five years or less (P < 0.001. Geometric mean level of anti-HBs titer among students, who had received a primary series vaccine at birth, was significantly lower than students who had started vaccination at an older age (P < 0.001. Also, analysis of variance for geometric mean of anti-HBs titer showed significant differences between groups based on injection time from the last shot (P < 0.001 (post hoc comparisons resulted in a P value of < 0.001 for birth versus < 5 year group, and P < 0.001 for the 5 to 10 year group. The lowest rate of non-protective level belonged to participants with complete three doses and a booster additional shot (27.1%. The final model for independent predictors of anti-HBs positive status was made by a binary logistic regression analysis. The model included presence of a booster dose, injection time from last shot, and discipline of study. Conclusions This study shows lower anti-HBs among students who were vaccinated at infancy compared to those vaccinated at older childhood or adolescence. Also, subsequent measurement of anti-HBs level at the time of entrance to

  18. Problem-based learning at the receiving end: a 'mixed methods' study of junior medical students' perspectives.

    Science.gov (United States)

    Maudsley, Gillian; Williams, Evelyn M I; Taylor, David C M

    2008-11-01

    Qualitative insights about students' personal experience of inconsistencies in implementation of problem-based learning (PBL) might help refocus expert discourse about good practice. This study explored how junior medical students conceptualize: PBL; good tutoring; and less effective sessions. Participants comprised junior medical students in Liverpool 5-year problem-based, community-orientated curriculum. Data collection and analysis were mostly cross-sectional, using inductive analysis of qualitative data from four brief questionnaires and a 'mixed' qualitative/quantitative approach to data handling. The 1999 cohort (end-Year 1) explored PBL, generated 'good tutor' themes, and identified PBL (dis)advantages (end-Year 1 then mid-Year 3). The 2001 cohort (start-Year 1) described critical incidents, and subsequently (end-Year 1) factors in less effective sessions. These factors were coded using coding-frames generated from the answers about critical incidents and 'good tutoring'. Overall, 61.2% (137), 77.9% (159), 71.0% (201), and 71.0% (198) responded to the four surveys, respectively. Responders perceived PBL as essentially process-orientated, focused on small-groupwork/dynamics and testing understanding through discussion. They described 'good tutors' as knowing when and how to intervene without dominating (51.1%). In longitudinal data (end-Year 1 to mid-Year 3), the main perceived disadvantage remained lack of 'syllabus' (and related uncertainty). For less effective sessions (end-Year 1), tutor transgressions reflected unfulfilled expectations of good tutors, mostly intervening poorly (42.6% of responders). Student transgressions reflected the critical incident themes, mostly students' own lack of work/preparation (54.8%) and other students participating poorly (33.7%) or dominating/being self-centred (31.6%). Compelling individual accounts of uncomfortable PBL experiences should inform improvements in implementation.

  19. [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.

  20. Junior Doctor (CERN Fellows Programme) in the CERN Medical Service (HSE-ME)

    CERN Document Server

    Fassnacht, Veronique

    2016-01-01

    The CERN Medical Service is seeking to reinforce its medical team through the recruitment, for two (or three) years, of a doctor specialised in occupational medicine, who will also take part in the Service's exciting new projects.

  1. Formatting and presenting quality data to medical staffs and hospital boards.

    Science.gov (United States)

    Logan, J A; Hebbeler, G

    1994-10-01

    A host of historical and practical precedents have made hospitals responsible for the quality of care rendered within their facilities. The medical staff and the board of trustees share in this responsibility. Increasing demands for demonstrative evidence of the quality of care in an institution have made the process data-based. There is no substitute for specific data on the performance of both the hospital and its providers in the delivery of care. The trick, however, is in presenting this information to the medical staff and the board in a fashion that will be understandable and that will still maintain confidentiality of provider and patient. The authors offer a presentation system that has met with success in their community hospital.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

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

    Directory of Open Access Journals (Sweden)

    I. A. Revskaia

    2016-01-01

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

  7. Medication Safety: Experiential Learning for Pharmacy Students and Staff in a Hospital Setting

    Directory of Open Access Journals (Sweden)

    Linda V. Graudins

    2016-11-01

    Full Text Available Medication Safety has been an established pharmacy specialty in Australian hospitals since the early 2000s and is now one of the ten Australian hospital accreditation standards. Although advances have occurred, medication-related patient harm has not been eradicated. Victorian undergraduate pharmacy programs include some aspects of medication safety, however clinical pharmacy experience, along with interpersonal and project management skills, are required to prepare pharmacists to be confident medication safety practitioners. This article outlines the range of medication safety-related training offered at an Australian tertiary teaching hospital, including; on-site tutorial for undergraduate students, experiential placement for pharmacy interns, orientation for pharmacy staff and resources for credentialing pharmacists for extended roles. Improvements continue to be made, such as electronic medication management systems, which increase the safe use of medications and facilitate patient care. Implementation and evaluation of these systems require medication safety expertise. Patients’ engaging in their own care is an acknowledged safety improvement strategy and is enhanced by pharmacist facilitation. Building educator skills and integrating experiential teaching with university curricula should ensure pharmacists have both the knowledge and experience early in their careers, in order to have a leading role in future medication management.

  8. 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.

  9. 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

  10. Factors that impact medical student and house-staff career interest in brain related specialties.

    Science.gov (United States)

    Kamour, Abdulbaset H; Han, Dong Y; Mannino, David M; Hessler, Amy B; Kedar, Sachin

    2016-10-15

    There is a national shortage of physicians in brain related specialties (neurology, neurosurgery and psychiatry), with fewer students training in these specialties. This study explored socio-economic and experiential factors that determined medical trainees' interest in brain related specialties. Medical students and house-staff at a state university medical school completed a 46-item questionnaire sent as an anonymous email survey. Survey response rate was 22% (n=258). Eighty-eight (34.1%) trainees were interested in brain related specialties. Prior neuroscience experience (29.6%) and effective medical school neuroscience courses (23.9%) were identified as important by those interested in brain related specialties, while "neurophobia" was reported by 30% of those not interested. Multivariate regression model showed that effective college neuroscience course increased the likelihood for interest in brain related specialties (OR=2.28, 95% CI 1.22, 4.28). Factors which decreased the likelihood included parent's possessing professional degree (OR=0.37, 95% CI 0.17, 0.80), personal annual income>$50,000 (OR=0.40, 0.18, 0.87) and current debt level≥$100,000 (OR=0.33, 0.17, 0.64). The proportion of trainees interested in brain related specialties decreased from 51.7% (1st year medical students) to 27% (4th year students) and 25.3% among house-staff (χ(2) test of trend p=0.001). Socioeconomic (current personal debt and annual income) and experiential factors (college neuroscience course) influence a medical trainee's interest in brain related specialties. Career guidance and improved, better and early exposure to neurosciences may help mitigate trend for decreased interest in brain related specialties. Copyright © 2016 Elsevier B.V. All rights reserved.

  11. 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.

  12. New Staff for New Students: Educational Opportunity for All. Report of the 1973 Assembly of the American Association of Community and Junior Colleges.

    Science.gov (United States)

    Yarrington, Roger, Ed.

    The major portion of this book consists of the background study papers for the 1973 meeting of the AACJC. These chapters are: (1) "A Futuristic Look at Training" by William A. McClelland and David S. Bushnell; (2) "Staff Development; A Priority on Persons" by Terry O'Banion; (3) "Governmental Actions Affecting Staff Development" by Louis W.…

  13. 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.

  14. Mentoring for junior medical faculty: Existing models and suggestions for low-resource settings.

    Science.gov (United States)

    Menon, Vikas; Muraleedharan, Aparna; Bhat, Ballambhattu Vishnu

    2016-02-01

    Globally, there is increasing recognition about the positive benefits and impact of mentoring on faculty retention rates, career satisfaction and scholarly output. However, emphasis on research and practice of mentoring is comparatively meagre in low and middle income countries. In this commentary, we critically examine two existing models of mentorship for medical faculty and offer few suggestions for an integrated hybrid model that can be adapted for use in low resource settings.

  15. The weak relationship between anatomy competence and clinical skills in junior medical students.

    Science.gov (United States)

    Schoeman, Scarpa; Chandratilake, Madawa

    2012-01-01

    In modern curricula, the early integration of anatomy and clinical skills education at undergraduate level is seen as important. However, the direct relationship between medical students' competence in anatomy, and their clinical proficiency during early undergraduate years, has scarcely been studied. In this study, the marks for anatomy and clinical skills of three consecutive cohorts of medical students (n = 538 in total) during their first two years were correlated. The anatomy competence was measured using a new marker, the Anatomy Competence Score (ACS) which was calculated with equal contributions from theory knowledge and its practical and clinical application. Proficiency in clinical skills was determined by OSCE performance marks for stations which examined physical examination and practical procedural skills. The possible compounding effect of students' general academic ability was investigated by using the overall performance mark for each student based on their performance in all subjects over the first two years of the medical curriculum. We found that the correlation between anatomy and clinical skills marks was weak to moderate. However, this correlation was virtually nullified once the effect of academic ability was accounted for. Although these findings suggest that anatomy education does not compliment early clinical education, the lack of complexity of clinical problems used in clinical skills assessments (OSCEs) during the early stages may well be the primary contributing factor to this finding.

  16. Contraceptive behavior as risk factor for reproductive health of junior students attending a medical university

    Directory of Open Access Journals (Sweden)

    T.N. Govyazina

    2017-06-01

    Full Text Available 1–3 year students attending medical and preventive faculty of a medical university were our research object. Our research had many stages, and at the first one our goal was to examine and to assess basic behavioral risks for reproductive health of students attending medical and preventive faculty of a medical university. We conducted a sociological examination via questioning. 428 students were questioned as per materials collecting program which included 74 parameters; they accounted for 91.6 % out of the overall official number of students, 45.0 % male students and 40.0 % female students combined work and studies. We detected that, as per questioning results, the specific weight of students who took care of their health amounted to 79.2 % boys and 95.2 % girls. However, the students tended to have bad habits, i.e. constant alcohol intake or smoking. And although information on diseases prevention and on how to pursue healthy lifestyle was perfectly available to them, students didn't try to use it and preserve their health. All the respondents said they were against abortion. Girls were likely to adopt a complex approach when choosing a contraceptive, they resorted to hormonal agents, and, with their partners' consent, to condoms. But they often took hormonal agents without any consultations with a gynecologist or an endocrinologist. Contraceptives were rather rarely applied, and students appeared to have no knowledge on risk factors causing reproductive health deterioration. They also tended to be negligent and too self-confident when it came to reproductive health protection. A risk of abortions was very high for girls who didn't use contraceptives, and also all students ran rather high risk of catching sexual diseases. Sexual education is needed to correct contraceptive behavior; medical workers are a main source of information on reproductive health of young people in 7–10 % cases only. We need to create interactive educational programs

  17. 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.

  18. What to do when your medical practice is short-staffed: a staff training tool.

    Science.gov (United States)

    Hills, Laura Sachs

    2009-01-01

    It's first thing in the morning, the day's appointment schedule is jam-packed, and you just found out that you're going to be short-staffed. After the initial panic wears off what are you and your co-workers going to do? How will you manage to work through your day with fewer people on hand? This article suggests a three-pronged approach to the challenge of medical practice short-staffing. It offers practical tips for avoiding short-staffed days by creating firm policies for staff absences, tardiness, and vacations. This article also describes how cross-training employees, working with temporary employees, and other preparation will make short-staffed days more manageable. Finally, this article provides 10 practical tips for coping with the short-staffed day. It offers helpful advice to any medical practice employee who finds himself or herself feeling overwhelmed by a short-staffed day.

  19. 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.

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

    Directory of Open Access Journals (Sweden)

    Chen HP

    2016-08-01

    Full Text Available Haiping Chen, Meina Li,* Zhixin Dai,* Qiangyu Deng, Lulu Zhang Department of Military Health Management, College of Health Service, Second Military Medical University, Shanghai, People’s Republic of China *These authors contributed equally to this work Objective: Dual practice is defined as a physician’s performance of medical activities in different health care institutions (two or more simultaneously. This study aimed to examine the perception and acceptance of medical staff and outpatients of dual practice and explore the possible factors affecting people’s perception.Methods: A cross-sectional study was conducted in 13 public hospitals in Shanghai. Participants included medical staff and outpatients. We distributed 1,000 questionnaires to each participant group, and the response rates were 66.7% and 69.4%, respectively. Statistical differences in variables were tested, and multinomial logistic regression methods were employed for statistical analysis.Results: The study included two parts: medical staff survey and outpatient survey. The results of medical staff survey showed that 63.0% of the respondents supported dual practice. Medical staff who belonged to the surgical department or held positive belief of dual practice were more willing to participate in dual practice. Moreover, the publicity activities of dual practice and hospitals’ human resource management system were important factors affecting the willingness of the medical staff. The results of outpatient survey showed that 44.5% of respondents believed that dual practice could reduce difficulty in consulting a doctor. Regarding the perceived benefits of dual practice, the proportion of outpatients who believed that dual practice could meet the demand for health convenience, minor illness, and chronic disease were 45.4%, 42.4%, and 53.7%, respectively. Additionally, demographic characteristics significantly influenced the perception of outpatients.Conclusion: This study

  1. 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).

  2. 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.

  3. 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.

  4. 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.

  5. Occupational exposure of medical staff due to diagnostic X-ray examinations in veterinary medicine

    Energy Technology Data Exchange (ETDEWEB)

    Mergel, E.; Feige, S. [Gesellschaft fuer Anlagen- und Reaktorsicherheit mbH (GRS) (Germany); Haeusler, U. [Bundesamt fuer Strahlenschutz (BfS), Salzgitter (Germany)

    2007-07-01

    The implementation of the Council directive 96/29 EURATOM and the corresponding national Radiation Protection Ordinance and the X-ray Protection Ordinance coming subsequently into effect led to a changed situation regarding the occupational radiation protection in the medical sector. To reduce the occupational exposure of veterinarians and assisting staff in veterinary radiography is particularly challenging as, in opposite to human radiological examination, the presence of staff is indispensable to restrain the patient. Beyond that the relevant literature reports about too high and/or about unnecessary radiation exposures. To gain a comprehensive knowledge upon the possible exposure of involved staff, the variety of typical examination methods in veterinary clinics and at practitioners had been investigated during the daily routine. Dose measurements were performed for different employees during the examinations taking into account several places of exposure (lens, thyroid, chest, hand, gonad, and feet). Veterinary X-ray diagnostic examinations for pets as well as in equine radiography had been accounted for this study. In total, 101 examination methods, 4.484 accompanied examinations and 53.892 single dose readings resulted in a reliable statistical base to set up a 'Job-Exposure-Matrix' allowing the dose assessment for a variable number and kind of examinations. The 'Job-Exposure-Matrix' is believed to be a useful tool for optimization of occupational radiation exposure of veterinarians by appraising the height of a possible dose, forcing a review of the status quo and triggering the improvement of personal protection by establishing adequate measures. (orig.)

  6. [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.

  7. 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.

  8. Self-medication with antibiotics in the Republic of Srpska community pharmacies: pharmacy staff behavior.

    Science.gov (United States)

    Marković-Peković, Vanda; Grubiša, Nataša

    2012-10-01

    Self-medication with antibiotics adds to the global risk of increased spread of bacterial resistance. Attitudes and behavior of health professionals also may reinforce self-medication with antibiotics. The aim of this study was to determine whether self-medication with antibiotics is possible in our community pharmacies and to what extent, and to evaluate the behavior and service of pharmacy health professionals regarding non-prescription antibiotic dispensation. An observational, cross-section study was conducted, and pseudo-patient methodology was used to establish the kind of professional service provided in case of patient's explicit demand to buy an antibiotic for treatment of self-diagnosed upper respiratory tract infection. Of the total 318 community pharmacies, 131 (41%) were visited and included in the study. Non-prescription antibiotics were dispensed in 76 (58%) pharmacies. Counseling and symptomatic therapy was offered in 88 (67%) pharmacies. In 25% of pharmacies, no symptomatic therapy was offered; instead, only an antibiotic was sold. Amoxicillin was sold in 85% of cases and, mostly, the one of 1.30 Euro per pack. Both oral and written use instructions were given in 78% cases, whereas none was given in 3% of cases. Self-medication with antibiotics occurs in our community pharmacies, despite being illegal. Pharmacy staff behavior can be a factor that puts patients at risk for self-medication with antibiotics. Community pharmacies are failing their tasks in enhancing rational use of antibiotics. Such a practice may be a consequence of weak enforcement and control over the legislation and professional standards. Copyright © 2012 John Wiley & Sons, Ltd.

  9. 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

  10. [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.

  11. Teamwork and delegation in medical homes: primary care staff perspectives in the Veterans Health Administration.

    Science.gov (United States)

    True, Gala; Stewart, Greg L; Lampman, Michelle; Pelak, Mary; Solimeo, Samantha L

    2014-07-01

    The patient-centered medical home (PCMH) relies on a team approach to patient care. For organizations engaged in transitioning to a PCMH model, identifying and providing the resources needed to promote team functioning is essential. To describe team-level resources required to support PCMH team functioning within the Veterans Health Administration (VHA), and provide insight into how the presence or absence of these resources facilitates or impedes within-team delegation. Semi-structured interviews with members of pilot teams engaged in PCMH implementation in 77 primary care clinics serving over 300,000 patients across two VHA regions covering the Mid-Atlantic and Midwest United States. A purposive sample of 101 core members of pilot teams, including 32 primary care providers, 42 registered nurse care managers, 15 clinical associates, and 12 clerical associates. Investigators from two evaluation sites interviewed frontline primary care staff separately, and then collaborated on joint analysis of parallel data to develop a broad, comprehensive understanding of global themes impacting team functioning and within-team delegation. We describe four themes key to understanding how resources at the team level supported ability of primary care staff to work as effective, engaged teams. Team-based task delegation was facilitated by demarcated boundaries and collective identity; shared goals and sense of purpose; mature and open communication characterized by psychological safety; and ongoing, intentional role negotiation. Our findings provide a framework for organizations to identify assets already in place to support team functioning, as well as areas in need of improvement. For teams struggling to make practice changes, our results indicate key areas where they may benefit from future support. In addition, this research sheds light on how variation in medical home implementation and outcomes may be associated with variation in team-based task delegation.

  12. 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。

  13. 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

  14. 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.)

  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. Medical Decision-Making Processes and Online Behaviors Among Cannabis Dispensary Staff

    Directory of Open Access Journals (Sweden)

    Nicholas C Peiper

    2017-08-01

    Full Text Available Background: Most cannabis patients engage with dispensary staff, like budtenders, for medical advice on cannabis. Yet, little is known about these interactions and how the characteristics of budtenders affect these interactions. This study investigated demographics, workplace characteristics, medical decision-making, and online behaviors among a sample of budtenders. Methods: Between June and September 2016, a cross-sectional Internet survey was administered to budtenders in the San Francisco Bay Area and Greater Los Angeles. A total of 158 budtenders fully responded to the survey. A series of comparisons were conducted to determine differences between trained and untrained budtenders. Results: Among the 158 budtenders, 56% had received formal training to become a budtender. Several demographic differences were found between trained and untrained budtenders. For workplace characteristics, trained budtenders were more likely to report budtender as their primary job (74% vs 53%, practice more than 5 years (34% vs 11%, and receive sales commission (57% vs 16%. Trained budtenders were significantly less likely to perceive medical decision-making as very important (47% vs 68% and have a patient-centered philosophy (77% vs 89%. Although trained budtenders had significantly lower Internet usage, they were significantly more likely to exchange information with patients through e-mail (58% vs 39%, text message (46% vs 30%, mobile app (33% vs 11%, video call (26% vs 3%, and social media (51% vs 23%. Conclusions: Budtenders who are formally trained exhibit significantly different patterns of interaction with medical cannabis patients. Future studies will use multivariate methods to better determine which factors independently influence interactions and how budtenders operate after the introduction of regulations under the newly passed Proposition 64 that permits recreational cannabis use in California.

  17. Medical Decision-Making Processes and Online Behaviors Among Cannabis Dispensary Staff.

    Science.gov (United States)

    Peiper, Nicholas C; Gourdet, Camille; Meinhofer, Angélica; Reiman, Amanda; Reggente, Nicco

    2017-01-01

    Most cannabis patients engage with dispensary staff, like budtenders, for medical advice on cannabis. Yet, little is known about these interactions and how the characteristics of budtenders affect these interactions. This study investigated demographics, workplace characteristics, medical decision-making, and online behaviors among a sample of budtenders. Between June and September 2016, a cross-sectional Internet survey was administered to budtenders in the San Francisco Bay Area and Greater Los Angeles. A total of 158 budtenders fully responded to the survey. A series of comparisons were conducted to determine differences between trained and untrained budtenders. Among the 158 budtenders, 56% had received formal training to become a budtender. Several demographic differences were found between trained and untrained budtenders. For workplace characteristics, trained budtenders were more likely to report budtender as their primary job (74% vs 53%), practice more than 5 years (34% vs 11%), and receive sales commission (57% vs 16%). Trained budtenders were significantly less likely to perceive medical decision-making as very important (47% vs 68%) and have a patient-centered philosophy (77% vs 89%). Although trained budtenders had significantly lower Internet usage, they were significantly more likely to exchange information with patients through e-mail (58% vs 39%), text message (46% vs 30%), mobile app (33% vs 11%), video call (26% vs 3%), and social media (51% vs 23%). Budtenders who are formally trained exhibit significantly different patterns of interaction with medical cannabis patients. Future studies will use multivariate methods to better determine which factors independently influence interactions and how budtenders operate after the introduction of regulations under the newly passed Proposition 64 that permits recreational cannabis use in California.

  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

    Science.gov (United States)

    2010-01-01

    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. PMID:21080954

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

    Directory of Open Access Journals (Sweden)

    Kontodimopoulos Nick

    2010-11-01

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

  1. Development of a 2-h suicide prevention program for medical staff including nurses and medical residents: A two-center pilot trial.

    Science.gov (United States)

    Nakagami, Yukako; Kubo, Hiroaki; Katsuki, Ryoko; Sakai, Tomomichi; Sugihara, Genichi; Naito, Chisako; Oda, Hiroyuki; Hayakawa, Kohei; Suzuki, Yuriko; Fujisawa, Daisuke; Hashimoto, Naoki; Kobara, Keiji; Cho, Tetsuji; Kuga, Hironori; Takao, Kiyoshi; Kawahara, Yoko; Matsumura, Yumi; Murai, Toshiya; Akashi, Koichi; Kanba, Shigenobu; Otsuka, Kotaro; Kato, Takahiro A

    2017-08-30

    Suicide is a crucial global health concern and effective suicide prevention has long been warranted. Mental illness, especially depression is the highest risk factor of suicide. Suicidal risk is increased in people not only with mental illness but also with physical illnesses, thus medical staff caring for physically-ill patients are also required to manage people with suicidal risk. In the present study, we evaluated our newly developed suicide intervention program among medical staff. We developed a 2-h suicide intervention program for medical staff, based on the Mental Health First Aid (MHFA), which had originally been developed for the general population. We conducted this program for 74 medical staff members from 2 hospitals. Changes in knowledge, perceived skills, and confidence in early intervention of depression and suicide-prevention were evaluated using self-reported questionnaires at 3 points; pre-program, immediately after the program, and 1 month after program. This suicide prevention program had significant effects on improving perceived skills and confidence especially among nurses and medical residents. These significant effects lasted even 1 month after the program. Design was a single-arm study with relatively small sample size and short-term follow up. The present study suggests that the major target of this effective program is nurses and medical residents. Future research is required to validate the effects of the program with control groups, and also to assess long-term effectiveness and actual reduction in suicide rates. Copyright © 2017 Elsevier B.V. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    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. 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.

  5. 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.

  6. 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

    .05). The IWB score in nurse group was lower than that in groups of doctors and executive staffs (P <0.01).The IWB score in personnel with primary title was lower than that in advanced level accountants ( P<0.05 ) .Compared with medical staffs with the experience of 10~15 years,the IWB score of medical staffs with the experience of 1~5 and 5~10 years was lower (P<0.05).The medical person-nel with junior college students had lower score than the college degrees and doctoral degrees (P<0.05).The medical staffs with col-lege degrees had higher score than stuffs with master's degrees (P<0.05).The divorced medical staffs had lower score than the single and married medical staffs,and the single medical staffs had lower score than the married medical staffs (P<0.05).③The well-being was positively correlated with family support,friend support,other support and total social support (r =0.220~0.255,P<0.01).④Regression analysis showed that the well-being of medical staffs can be explained by social support,marital status and professional title, accounting for 8.8%.Conclusion The well-being of medical staffs dependents on age, professional title, post of duty, educational background,working years and marital status,which are all closely related to the perceived social support.

  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. 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.

  10. 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.

  11. Stroke awareness among Dubai emergency medical service staff and impact of an educational intervention.

    Science.gov (United States)

    Shire, Fatima; Kasim, Zahra; Alrukn, Suhail; Khan, Maria

    2017-07-06

    Emergency medical services (EMS) play a vital role in expediting hospital arrival in stroke patients. The objective of our study was to assess the level of awareness regarding pre-hospital identification and management of acute stroke among EMS Staff in Dubai and to evaluate the impact of an educational lecture on their knowledge. Ours was a cross-sectional study with a pre-test and post-test design. The intervention was an educational lecture, based on the updated guidelines in pre-hospital care of acute stroke. Participants were assessed before and after the intervention on various aspects of stroke care. Paired t test were used to compare the impact of the intervention. A total of 274 EMS workers participated in our study. The baseline knowledge of participants regarding stroke types was inadequate with only 68% correctly identifying these. 79% were able to name the cardinal stroke symptoms. Knowledge of stroke mimics was poor with only 6.6% identifying stroke mimics correctly. With respect to management, most participants were unable to correctly identify the points to illicit in the history of an acute stroke patient (25.2%) and also the steps in pre-hospital management (40%). All these aspects showed remarkable improvement post intervention. The baseline awareness of most aspects of acute stroke identification and management was poor in our EMS participants. Our educational lecture proved effective in improving this knowledge when tested immediately post intervention. However, there is a need to re-assess this at periodic intervals to identify the need for refresher courses on pre-hospital stroke management.

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

    Science.gov (United States)

    Davoodi, Rozita; Mohammadzadeh Shabestari, Mahmoud; Takbiri, Afsaneh; Soltanifar, Azadeh; Sabouri, Golnaz; Rahmani, Shaghayegh; Moghiman, Toktam

    2013-11-01

    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.

  13. Perinatal staff perceptions of safety and quality in their service.

    Science.gov (United States)

    Sinni, Suzanne V; Wallace, Euan M; Cross, Wendy M

    2014-11-28

    Ensuring safe and appropriate service delivery is central to a high quality maternity service. With this in mind, over recent years much attention has been given to the development of evidence-based clinical guidelines, staff education and risk reporting systems. Less attention has been given to assessing staff perceptions of a service's safety and quality and what factors may influence that. In this study we set out to assess staff perceptions of safety and quality of a maternity service and to explore potential influences on service safety. The study was undertaken within a new low risk metropolitan maternity service in Victoria, Australia with a staffing profile comprising midwives (including students), neonatal nurses, specialist obstetricians, junior medical staff and clerical staff. In depth open-ended interviews using a semi-structured questionnaire were conducted with 23 staff involved in the delivery of perinatal care, including doctors, midwives, nurses, nursing and midwifery students, and clerical staff. Data were analyzed using naturalistic interpretive inquiry to identify emergent themes. Staff unanimously reported that there were robust systems and processes in place to maintain safety and quality. Three major themes were apparent: (1) clinical governance, (2) dominance of midwives, (3) inter-professional relationships. Overall, there was a strong sense that, at least in this midwifery-led service, midwives had the greatest opportunity to be an influence, both positively and negatively, on the safe delivery of perinatal care. The importance of understanding team dynamics, particularly mutual respect, trust and staff cohesion, were identified as key issues for potential future service improvement. Senior staff, particularly midwives and neonatal nurses, play central roles in shaping team behaviors and attitudes that may affect the safety and quality of service delivery. We suggest that strategies targeting senior staff to enhance their performance in

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

    Science.gov (United States)

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

    2016-01-01

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

  16. Marital satisfaction: the differential impact of social support dependent on situation and gender in medical staff in Iran.

    Science.gov (United States)

    Rostami, Arian; Ghazinour, Mehdi; Richter, Jörg

    2013-05-12

    Stress is unavoidable in everyday life and it can effect on marital relationship. Social support especially from emotionally closed persons as a protective factor can help individuals to deal with stress and buffers the negative effects of life stress on marital satisfaction. In the present cross-sectional study we investigated the relationship between social and spousal support and marital satisfaction in medical staff in Iran. Data collection was performed in 653 medical staff using socio-demographic questions, the ENRICH Marital Satisfaction Inventory, and the Social Support Questionnaire. Women and men did not differ in total social support satisfaction and the total number of supporting people; but, women were more often support providers for their husbands than men were for their wives. Spouse support was a more important indicator of marital satisfaction for women than for men. Also results revealed that spouse support is more important than social support from other resources to explain marital satisfaction. Job satisfaction had an explanatory effect on marital satisfaction especially in men. Furthermore, the findings showed that social support could decrease the explanatory impact of job satisfaction on scales of marital satisfaction. Therefore, focusing on social support, especially spouse support could be an effective approach in family counseling or family education programs to improve marital satisfaction in medical staff.

  17. Marital Satisfaction: The Differential Impact of Social Support Dependent on Situation and Gender in Medical Staff in Iran

    Science.gov (United States)

    Rostami, Arian; Ghazinour, Mehdi; Richter, Jörg

    2013-01-01

    Stress is unavoidable in everyday life and it can effect on marital relationship. Social support especially from emotionally closed persons as a protective factor can help individuals to deal with stress and buffers the negative effects of life stress on marital satisfaction. In the present cross-sectional study we investigated the relationship between social and spousal support and marital satisfaction in medical staff in Iran. Data collection was performed in 653 medical staff using socio-demographic questions, the ENRICH Marital Satisfaction Inventory, and the Social Support Questionnaire. Women and men did not differ in total social support satisfaction and the total number of supporting people; but, women were more often support providers for their husbands than men were for their wives. Spouse support was a more important indicator of marital satisfaction for women than for men. Also results revealed that spouse support is more important than social support from other resources to explain marital satisfaction. Job satisfaction had an explanatory effect on marital satisfaction especially in men. Furthermore, the findings showed that social support could decrease the explanatory impact of job satisfaction on scales of marital satisfaction. Therefore, focusing on social support, especially spouse support could be an effective approach in family counseling or family education programs to improve marital satisfaction in medical staff. PMID:23777731

  18. 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.

  19. 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

  20. Evaluation of Patients' Rights Observance According to Patients' Rights Charter in Educational Hospitals Affiliated to Mashhad University of Medical Sciences: Medical Staffs' Views.

    Science.gov (United States)

    Sabzevari, Alireza; Kiani, Mohammad Ali; Saeidi, Masumeh; Jafari, Seyed Ali; Kianifar, Hamidreza; Ahanchian, Hamid; Jarahi, Lida; Zakerian, Mohsen

    2016-10-01

    To supply quality services and healthcare, it is evident that medical ethics and patients' rights, while providing medical and healthcare services need to be observed. This study was conducted to evaluate observance of the Patients' Rights Charter among medical staff of educational hospitals affiliated to Mashhad University of Medical Sciences. This cross-sectional study was conducted in four educational hospitals in Mashhad on eighty physicians, nurses, nurse aids and medical students. Data were collected using a two-part inventory of patients' rights, including demographic data and inventory of patients' rights observance. Data analysis was conducted using SPSS-16 as well as descriptive statistics, independent t-test, chi-square, Spearman correlation coefficient and Pearson correlation. Mean age of subjects was 36.3±8.3. Observance of human rights was perfect by 84.4 percent of subjects. The highest amount of observance of patients' rights was related to the area of respecting patients' privacy and observing the principle of confidentiality, which was evaluated to be perfect by all subjects (100%). The lowest value of patients' rights observance was related to presenting appropriate and adequate information for patients, which was perfect among 48.1% of subjects. There was no significant relation between personal details (age, gender, education and career) and observance of patients' rights (p>0.05). Although in this study, the observance of patients' rights by medical staff is optimal in most areas, the area of providing appropriate and adequate information needs to be promoted. Therefore, it is suggested that more stringent regulatory policies be compiled and implemented to the items of Patients' Rights Charter along with training courses, to strengthen medical staff's awareness in this regard.

  1. 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

  2. [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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. Why are junior doctors reluctant to consult attending physicians?

    Science.gov (United States)

    Swank, Otto H

    2010-03-01

    A physician performs two tasks: making diagnoses and determining treatments. To reduce medical error, junior doctors are supposed to consult their supervisors when they face uncommon circumstances. However, recent research shows that junior doctors are reluctant to do so. This paper presents a model that explains (i) which junior doctors shy away from consulting; (ii) when junior doctors are reluctant; (iii) the importance of protocols in the medical sector; and (iv) when consulting is a sign of strength or a sign of weakness. Furthermore, I show that encouraging junior doctors to consult by investigating mishaps leads to another distortion: they will give too much weight to own assessments.

  8. 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.

  9. [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.

  10. Study on the Career Fatigue of Junior Housekeeping Department Staff:A Study Based on Five-star Hotels in Xiamen%客房基层员工职业倦怠研究--以厦门市五星级饭店为例

    Institute of Scientific and Technical Information of China (English)

    刘永涓; 柯煌强

    2013-01-01

    At present, the research of career fatigue has been carried out in many fields, however the study of the career fatigue of Junior Staff of hotel Housekeeping Department is inadequate and the pre-vious research mainly focused on causes. Drawing upon previous research at home and abroad, based on a survey of junior housekeeping staff of eight five-star hotels in Xiamen which investigated housekeep-ing employees' reaction to fatigue from three aspects, the author concludes that: the junior employee's career fatigue main manifested as emotional drain and dehumanization, while the decline of sense of personal achievement is relatively less obvious. Hotel staff of different demographic traits exhibited great differences in the three dimensions career fatigue.%目前关于职业倦怠的研究在许多领域开展,但是,饭店行业基层员工职业倦怠的研究偏少,而且主要是集中在影响因素方面的研究。通过借鉴国内外在职业倦怠方面的研究,以厦门市8家五星级饭店客房基层员工为调查对象,考察客房基层员工在职业倦怠三个维度的反应情况,得出如下结论:饭店客房基层员工的职业倦怠主要表现在情感耗竭和去人性化两个维度,而在个人成就感降低的维度上表现不强;不同人口学特征的客房基层员工在职业倦怠的三个维度上有显著的差异。

  11. Expo Junior

    CERN Multimedia

    Staff Association

    2014-01-01

    Fort de son succès Expo Juniors revient du 22 au 23 novembre 2014 - Papa & Maman Noël seront présents ! Nous avons le plaisir de  proposer à nos membres des billets d'entrées  à un tarif préférentiel, au prix de CHF 10.- l'unité au lieu de CHF 18.- (gratuit pour les enfants de 0 à 4 ans). Des centaines d’ateliers répartis en 3 villages : Sports & Loisirs, Jeux & Jouets, Éducation & Vie pratique. Cet événement propose aux familles aussi d'autres thèmes : tourisme, idées cadeaux, mode, bien-être, beauté, décoration, ainsi que des services destinés aux familles. Parades, attractions, castings, défilés de mode, dédicaces, séances photos avec Papa Noël, ainsi que de nombre...

  12. 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

  13. [Association between occupational stress and presenteeism among medical staff at grade A tertiary hospitals in Shanghai, China].

    Science.gov (United States)

    Dai, Junming; Hua, Yujie; Zhang, Hao; Huang, Li; Fu, Hua

    2015-10-01

    To investigate the current status of occupational stress and presenteeism among medical staff at grade A tertiary hospitals in Shanghai, China, and to analyze the association between occupational stress and presenteeism. A total of 2356 healthcare workers from eight grade A tertiary hospitals in Shanghai were investigated by stratified random sampling. All the subjects were asked to complete self-administered questionnaires with informed consent. The occupational stress was assessed by the occupational stress core questionnaire. The presenteeism was evaluated by the Stanford Presenteeism Scale. In all subjects, the average score of presenteeism was 15.23 ± 3.89, and 72.5% felt occupational stress in self-evaluation. There were significant differences in the score of presenteeism between subjects with different ages, education levels, occupations, lengths of service, job titles, and shifts (all Pstress, including job demand, control, social support, and demand-control ratio (Pstress in medical staff from grade A tertiary hospitals is positively correlated with the level of presenteeism. It is important to promote social support to reduce the loss of work efficiency due to presenteeism.

  14. 我国中小企业人力资源之基层职前培训研究%The Research of Pre-Employment Training of Junior Staff in Chinese SMEs

    Institute of Scientific and Technical Information of China (English)

    汤向东

    2015-01-01

    Firstly,the paper describes what are SMEs,what is the junior employees,and what is pre-employment training. Then,it porposes six pre-employment training problems of junior employees in chinese SMEs.Finally,it presents five pre-employment trainin measures of junior employees in Chinese SMEs.%本文首先介绍中小企业及基层职前培训。接着,提出我国中小企业人力资源之基层职前培训存在的六个问题。最后,提出了完善我国中小企业人力资源之基层职前培训的五点措施。

  15. Analysis of weight and associated health consequences of the active duty staff at a major Naval medical center.

    Science.gov (United States)

    Gantt, Cynthia J; Neely, Julie A; Villafana, Ian A; Chun, Chisun S; Gharabaghli, Sandy M

    2008-05-01

    The purpose of this study was to analyze the prevalence of overweight and obesity among active duty staff members at one the Navy's largest medical centers, in an effort to clarify the relationship between weight, physical fitness, health care utilization patterns, and health care costs. Data obtained from the Physical Readiness Information Management System were linked with health care utilization data obtained from the Military Health System Management Analysis and Reporting Tool. This information was applied to the National Heart, Lung, and Blood Institute risk-stratification criteria to clarify the roles overweight and obesity play as factors contributing to increased health risk, comorbid conditions, and health care costs in this military health care setting. At least 53% of the active duty staff members (1,755 of 3,306) at this medical center were either overweight or obese, based on body mass index (BMI). Three hundred fifty-one personnel did not have body composition analyses recorded. Using the Navy's current system, only 149 personnel were identified as being "out of standards" and 2,806 personnel were considered to be "within standards." Remarkably, the within-standards group included 241 personnel with obese BMIs and 1,365 personnel with overweight BMIs. The National Heart, Lung, and Blood Institute risk-stratification criteria identified 445 personnel as having increased risk of premature death, based on their BMIs and other risk factors. The Navy's current program resulted in 296 (445 minus 149) missed opportunities to provide weight loss intervention when it is most effective, in the early stages of weight gain. The system currently used by the U.S. Navy to characterize personnel by weight ignores opportunities to identify and to treat high-risk personnel and provides neither a consistent nor an evidence-based model for early intervention and treatment of high-weight personnel at risk for increased morbidity, loss of productivity, and associated

  16. 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.

  17. Aligning institutional priorities: engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements.

    Science.gov (United States)

    Flanagan, Meghan R; Foster, Carolyn C; Schleyer, Anneliese; Peterson, Gene N; Mandell, Samuel P; Rudd, Kristina E; Joyner, Byron D; Payne, Thomas H

    2016-02-01

    House staff quality improvement projects are often not aligned with training institution priorities. House staff are the primary users of inpatient problem lists in academic medical centers, and list maintenance has significant patient safety and financial implications. Improvement of the problem list is an important objective for hospitals with electronic health records under the Meaningful Use program. House staff surveys were used to create an electronic problem list manager (PLM) tool enabling efficient problem list updating. Number of new problems added and house staff perceptions of the problem list were compared before and after PLM intervention. The PLM was used by 654 house staff after release. Surveys demonstrated increased problem list updating (P = .002; response rate 47%). Mean new problems added per day increased from 64 pre-PLM to 125 post-PLM (P quality and safety initiatives with tangible institutional benefits. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. [Relations between attitude and practice of smoking and the training program regarding tobacco control among community medical staff members in Hangzhou, Zhejiang province].

    Science.gov (United States)

    Liu, Qing-Min; Ren, Yan-Jun; Cao, Cheng-Jian; Liu, Bing; Lv, Jun; Li, Li-Ming

    2013-08-01

    To investigate the relations between training and both the attitude and practice on smoking control among community medical staff members in Hangzhou, Zhejiang province. Three representative districts including Xiacheng, Gongshu and Westlake were chosen from Hangzhou city. Questionnaire survey was applied to collect information from the related community medical staff members. The survey mainly contained three aspects: knowledge, attitude and practice regarding smoking control involved in the community medical activities. Availability and application of the resources on smoking cessation were also studied. Logistic regression analysis was applied to explore the factors associated with the smoking control training programs. Differences of rates between groups were assessed with chi-square statistics. Wilcoxon rank sum test was used to study the relationships among knowledge, attitude and practice related to smoking control programs, targeted to the community medical staff members. Eight hundred forty-six community medical workers were involved. Sixty-five percent of the community medical staff members had learned related knowledge on smoking control. Proportion of the community medical staff who had taken lessons on smoking control with 3-10 working years was 1.77 times more than the ones with experience less than two years (OR = 1.77, 95% CI: 1.25-2.51). Eighty-eight point seven percent of the medical staff who had received smoking control training programs were identified with the consciousness that they should advise the patients to quit smoking, comparing to the proportion 81.60% (Z=-2.87, P=0.00) in the control group. In terms of the practice regarding smoking control, data showed that 21.62% of the medical staff who had received smoking control training programs would provide 'how to quit smoking' to more than 90% of the smoking patients, while the proportion in the control group was 10.65% (Z = -5.68, P = 0.00). The use of drugs, traditional Chinese medicine

  19. [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.

  20. [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.

  1. An educational program to promote positive communication and collaboration between nurses and medical staff.

    Science.gov (United States)

    McCaffrey, Ruth G; Hayes, RoseMarie; Stuart, Wendy; Cassel, Asenath; Farrell, Cheryl; Miller-Reyes, Sharmin; Donaldson, Audeanne

    2011-01-01

    An educational program was implemented for nurses and medical residents to improve communication and collaboration. It has been noted that communication and collaboration between members of the healthcare team improve patient outcomes and job satisfaction among nurses. In this article, the program is outlined and outcomes are presented.

  2. 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

  3. How can hospitals better protect the privacy of electronic medical records? Perspectives from staff members of health information management departments.

    Science.gov (United States)

    Sher, Ming-Ling; Talley, Paul C; Cheng, Tain-Junn; Kuo, Kuang-Ming

    2017-05-01

    The adoption of electronic medical records (EMR) is expected to better improve overall healthcare quality and to offset the financial pressure of excessive administrative burden. However, safeguarding EMR against potentially hostile security breaches from both inside and outside healthcare facilities has created increased patients' privacy concerns from all sides. The aim of our study was to examine the influencing factors of privacy protection for EMR by healthcare professionals. We used survey methodology to collect questionnaire responses from staff members in health information management departments among nine Taiwanese hospitals active in EMR utilisation. A total of 209 valid responses were collected in 2014. We used partial least squares for analysing the collected data. Perceived benefits, perceived barriers, self-efficacy and cues to action were found to have a significant association with intention to protect EMR privacy, while perceived susceptibility and perceived severity were not. Based on the findings obtained, we suggest that hospitals should provide continuous ethics awareness training to relevant staff and design more effective strategies for improving the protection of EMR privacy in their charge. Further practical and research implications are also discussed.

  4. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  6. 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.

  7. Bullying among nursing staff: relationship with psychological/behavioral responses of nurses and medical errors.

    Science.gov (United States)

    Wright, Whitney; Khatri, Naresh

    2015-01-01

    The aim of this article is to examine the relationship between three types of bullying (person-related, work-related, and physically intimidating) with two types of outcomes (psychological/behavioral responses of nurses and medical errors). In addition, it investigates if the three types of bullying behaviors vary with age or gender of nurses and if the extent of bullying varies across different facilities in an institution. Nurses play an integral role in achieving safe and effective health care. To ensure nurses are functioning at their optimal level, health care organizations need to reduce negative components that impact nurses' job performance and their mental and physical health. Mitigating bullying from the workplace may be necessary to create and maintain a high-performing, caring, and safe hospital culture. Using an internal e-mail system, an e-mail requesting the participants to complete the questionnaire on Survey Monkey was sent to a sample of 1,078 nurses employed across three facilities at a university hospital system in the Midwest. Two hundred forty-one completed questionnaires were received with a response rate of 23%. Bullying was measured utilizing the Negative Acts Questionnaire-Revised (NAQ-R). Outcomes (psychological/behavioral responses of nurses and medical errors) were measured using Rosenstein and O'Daniel's (2008) modified scales. Person-related bullying showed significant positive relationships with psychological/behavioral responses and medical errors. Work-related bullying showed a significant positive relationship with psychological/behavioral responses, but not with medical errors. Physically intimidating bullying did not show a significant relationship to either outcome. Whereas person-related bullying was found to be negatively associated with age of nurses, physically intimidating bullying was positively associated with age. Male nurses experienced higher work-related bullying than female nurses. Findings from this study suggest

  8. 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.

  9. Identification and Analysis of Labor Productivity Components Based on ACHIEVE Model (Case Study: Staff of Kermanshah University of Medical Sciences)

    Science.gov (United States)

    Ziapour, Arash; Khatony, Alireza; Kianipour, Neda; Jafary, Faranak

    2015-01-01

    Identification and analysis of the components of labor productivity based on ACHIEVE model was performed among employees in different parts of Kermanshah University of Medical Sciences in 2014. This was a descriptive correlational study in which the population consisted of 270 working personnel in different administrative groups (contractual, fixed- term and regular) at Kermanshah University of Medical Sciences (872 people) that were selected among 872 people through stratified random sampling method based on Krejcie and Morgan sampling table. The survey tool included labor productivity questionnaire of ACHIEVE. Questionnaires were confirmed in terms of content and face validity, and their reliability was calculated using Cronbach’s alpha coefficient. The data were analyzed by SPSS-18 software using descriptive and inferential statistics. The mean scores for labor productivity dimensions of the employees, including environment (environmental fit), evaluation (training and performance feedback), validity (valid and legal exercise of personnel), incentive (motivation or desire), help (organizational support), clarity (role perception or understanding), ability (knowledge and skills) variables and total labor productivity were 4.10±0.630, 3.99±0.568, 3.97±0.607, 3.76±0.701, 3.63±0.746, 3.59±0.777, 3.49±0.882 and 26.54±4.347, respectively. Also, the results indicated that the seven factors of environment, performance assessment, validity, motivation, organizational support, clarity, and ability were effective in increasing labor productivity. The analysis of the current status of university staff in the employees’ viewpoint suggested that the two factors of environment and evaluation, which had the greatest impact on labor productivity in the viewpoint of the staff, were in a favorable condition and needed to be further taken into consideration by authorities. PMID:25560364

  10. 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.

  11. 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

  12. 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。

  13. ESHRE guideline: routine psychosocial care in infertility and medically assisted reproduction-a guide for fertility staff.

    Science.gov (United States)

    Gameiro, S; Boivin, J; Dancet, E; de Klerk, C; Emery, M; Lewis-Jones, C; Thorn, P; Van den Broeck, U; Venetis, C; Verhaak, C M; Wischmann, T; Vermeulen, N

    2015-11-01

    Based on the best available evidence in the literature, what is the optimal management of routine psychosocial care at infertility and medically assisted reproduction (MAR) clinics? Using the structured methodology of the Manual for the European Society of Human Reproduction and Embryology (ESHRE) Guideline Development, 120 recommendations were formulated that answered the 12 key questions on optimal management of routine psychosocial care by all fertility staff. The 2002 ESHRE Guidelines for counselling in infertility has been a reference point for best psychosocial care in infertility for years, but this guideline needed updating and did not focus on routine psychosocial care that can be delivered by all fertility staff. This guideline was produced by a group of experts in the field according to the 12-step process described in the ESHRE Manual for Guideline Development. After scoping the guideline and listing a set of 12 key questions in PICO (Patient, Intervention, Comparison and Outcome) format, thorough systematic searches of the literature were conducted; evidence from papers published until April 2014 was collected, evaluated for quality and analysed. A summary of evidence was written in a reply to each of the key questions and used as the basis for recommendations, which were defined by consensus within the guideline development group (GDG). Patient and additional clinical input was collected during the scoping and the review phase of the guideline development. The guideline group, comprising psychologists, two medical doctors, a midwife, a patient representative and a methodological expert, met three times to discuss evidence and reach consensus on the recommendations. 120 recommendations that aim at guiding fertility clinic staff in providing optimal evidence-based routine psychosocial care to patients dealing with infertility and MAR. The guideline is written in two sections. The first section describes patients' preferences regarding the psychosocial

  14. 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.

  15. Validity of the SMS, Phone, and medical staff Examination sports injury surveillance system for time-loss and medical attention injuries in sports

    DEFF Research Database (Denmark)

    Møller, M.; Wedderkopp, Niels; Myklebust, G.

    2017-01-01

    The accurate measurement of sport exposure time and injury occurrence is key to effective injury prevention and management. Current measures are limited by their inability to identify all types of sport-related injury, narrow scope of injury information, or lack the perspective of the injured...... athlete. The aims of the study were to evaluate the proportion of injuries and the agreement between sport exposures reported by the SMS messaging and follow-up telephone part of the SMS, Phone, and medical staff Examination (SPEx) sports injury surveillance system when compared to measures obtained...... measures of injury consequences beyond time-loss from sport. However, this needs to be further evaluated in large-scale studies....

  16. [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.

  17. 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.

  18. 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

  19. 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

  20. Education and National Condition of General Medical Training on Physicians with Junior College Diplomas%专科层次的全科医学教育与国情

    Institute of Scientific and Technical Information of China (English)

    徐江荣; 郭化山; 乌建平

    2011-01-01

    我国农村社区卫生人才短缺,总体素质不高,特别是全科医学人才严重匮乏.利用专科层次全科医学教育"短、平、快"的特点,推行全科医学教育普及和充实农村社区基层医疗人才队伍,能够满足基层民众健康医疗的需求,符合现阶段的我国国情.专科层次的全科医学教育人才培养模式对创建中国特色的全科人才培养之路具有积极与深远的意义.%Because of the shortage of medical personnel in rural communities and the low level of the overall quality,especially the severe shortage of general medical personnel, universal implementation of general medical education and enrichment of the primary health care personnel in rural communities according to the fastness of training of junior college-leveled physicians can meet the needs of the primary health care for the public, which is in line with the current situation of our country. The training model for general medical personnel of junior college levels has a positive and far - reaching significance for cultivating talents on general medicine in a special Chinese way.

  1. 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

  2. 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。

  3. Information and communications technology, culture, and medical universities; organizational culture and netiquette among academic staff.

    Science.gov (United States)

    Yarmohammadian, Mohammad Hossein; Iravani, Hoorsana; Abzari, Mehdi

    2012-01-01

    Netiquette is appropriate behavioral etiquette when communicating through computer networks or virtual space. Identification of a dominant organizational culture and its relationship with a network culture offers applied guidelines to top managers of the university to expand communications and develop and learn organization through the use of the internet. The aim of this research was to examine the relationship between netiquette and organizational culture among faculty members of the Isfahan University of Medical Sciences (IUMS), Iran. To achieve this aim, the research method in this study was correlational research, which belonged to the category of descriptive survey research. The target population comprised of 594 faculty members of the IUMS, from which a sample of 150 was randomly selected, based on a simple stratified sampling method. For collecting the required data, two researcher-made questionnaires were formulated. Even as the first questionnaire tended to measure the selected sample members' organizational culture according to Rabbin's model (1999), the latter was designed in the Health Management and Economic Research Center (HMERC), to evaluate netiquette. The reliability of the questionnaires was computed by Choronbach's alpha coefficient formula and they happened to be 0.97 and 0.89, respectively. Ultimately, SPSS Version #15 was used for the statistical analysis of the data. The findings revealed that the organizational culture and netiquette were below average level among the sample members, signifying a considerable gap in the mean. In spite of that, there was no significant relationship between netiquette and the organizational culture of the faculty members. Emphasizing the importance of cultural preparation and a network user's training, this research suggests that the expansion of network culture rules among IUMS and organizational official communications, through the use of internet networks, in order to promote university netiquette and

  4. 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

  5. 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.

  6. Prolonged Cardiopulmonary Resuscitation Process and Lower Frequency of Medical Staff Visit Predicts Independently In-hospital Resuscitation Success in the Elderly Population

    Directory of Open Access Journals (Sweden)

    Jui-Chen Tsai

    2012-09-01

    Conclusion: Although the initial resuscitation success rate was not affected by age, a longer time interval between the last medical staffs’ visit and the onset of resuscitation did result in a worse success rate in elderly patients. Our data suggest that more frequent staff visits to the elderly population during hospitalization could alter initial resuscitation results.

  7. 北京地区涉外企业对基层员工英语读写能力的需求调查%On Survey of Demands of English Reading and Writing Skills of Junior Staffs in the Enterprises Concerning Foreign Affairs in Beijing

    Institute of Scientific and Technical Information of China (English)

    周咏梅; 杨洪玉; 郑立

    2012-01-01

    为了解北京地区涉外企业中对基层员工英语读写能力的需求,我们对北京地区有代表性的企业进行了调查。结果发现:英语读写能力在涉外企业中占有比较重要的位置;大多数企业要求基层员工有一定的英语读写能力,而企业反馈的信息是高职毕业的基层员工的读写能力有待提高。提出高职院校应及时调整教学模式,真正建立起以市场为导向,服务于地方经济的英语人才培养模式。%A survey of demands of English reading and writing skills of the junior staffs in the enterprises concerning foreign affairs in Beijing is made in this thesis. From the survey we find that the ability of English reading and writing is crucial for a staff in the enterprises concerning foreign affairs in Beijing, and the fact is that the staff' s reading and writing ability is not satisfying and it is required to be improved in the future.

  8. 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.

  9. 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.

  10. Analysis on the Satisfaction Promotion Strategy of the Junior Staff in Star Hotels ---Example of Star Hotels in Zhuzhou City%星级饭店基层员工满意度提升策略研究——以株洲市星级饭店为例

    Institute of Scientific and Technical Information of China (English)

    刘中艳; 肖芳; 王冷

    2012-01-01

    Series of questions, such as unreasonable scheduling system, low pay and benefits, inefficiency training, limited leadership and management level, poor working conditions, weak enterprise culture, will result in lob satisfaction of junior staff in star hotels. In order to enhance junior employee satisfaction in star hotels, some effective means, such as taking a flexible working system, establishing a scientific remuneration system, enhancing vo- cational training, improving leaders'management level, providing good environment, and strengthening the enterprise culture, wilt be adopted.%排班制度不合理,薪酬福利低,培训工作不到位,领导管理水平有限,工作条件差,企业文化建设薄弱等一系列问题,造成星级饭店基层员工满意度偏低。采取弹性工作制,建立科学的薪酬制度,强化职业发展培训,提高领导管理水平,优化工作环境氛围,加强企业文化建设,是进一步提高星级饭店基层员工满意度的有效手段。

  11. Can Medical Decision-making at the Scene by EMS Staff Reduce the Number of Unnecessary Ambulance Transportations, but Still Be Safe?

    Science.gov (United States)

    Peyravi, Mahmoudreza; Örtenwall, Per; Khorram-Manesh, Amir

    2015-06-30

    The aim of this study was to evaluate the procedures adopted by the staff of the Shiraz Emergency Medical Services (EMS) and the outcome of the patients discharged from the scene over a one-year period.   Unnecessary use of ambulances results in the overloading of EMS and the over-crowding of emergency departments. Medical assessment at the scene by EMS staff may reduce these issues. In an earlier study in Shiraz, 36% of the patients were left at home/discharged directly from the scene with or without treatment by EMS staff after consulting a physician at the dispatch center. However, there has been no evaluation of this system with regard to mortality and morbidity.   Retrospective data on all missions performed by the Shiraz EMS (2012-2013) were reviewed. All the patients discharged from the scene by the EMS staff on the 5th, 15th, and 25th days of each month were included. A questionnaire with nine questions was designed, and available patients/relatives were interviewed prospectively (2014; follow-up period 4-12 months).   Out of 3019 cases contacted, 994 (almost 33%) replied. There were 26%-93% reductions in the complaints in all disease categories. A group of the patients left the scene at their own will. Of those who were discharged by the EMS staff at the scene, over 60% were without any complaints. Twelve out of 253 patients died after they were sent home by the EMS staff.   Patients may be discharged at the scene by EMS staff and after consulting a physician. However, there is a need for a solid protocol to ensure total patient safety. This calls for a prospective study.

  12. 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.

  13. The Impact of Learning Natural Dialectics on Junior Doctors' Engaging in Medical Research Activities%学习自然辩证法对初级医生从事医疗科研活动的影响

    Institute of Scientific and Technical Information of China (English)

    颜西君

    2015-01-01

    The study of natural dialectics is of great value and practical significance. Based on the science view and sci-entific method theory of Dialectics of nature, from the actual situation of medical and scientific research activities of the ju-nior doctors, this article respectively discusses the dialectical requirements of training medical scientific spirit, the important idea of the view of dialectical materialism in the diagnosis and treatment,the principles of scientific research closely linked to the topic to carry out, and systematically analyses the influence of learning natural dialectics of junior doctors engaged in medical research.%自然辩证法的学习具有较强的时代价值和现实意义。该研究基于自然辩证法的科学观与科学方法论,从初级医生医疗科研活动实际出发,分别论述了培养医学科研精神的辩证要求,辩证唯物诊治观的重要理念,紧扣选题开展科研的方法原则,较为系统分析了学习自然辩证法对初级医生从事医疗科研活动的影响。

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

    Science.gov (United States)

    Głębocka, Alicja

    2017-01-01

    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. The influence of factors of work environment and burnout syndrome on self-efficacy of medical staff.

    Science.gov (United States)

    Nowakowska, Iwona; Rasińska, Renata; Głowacka, Maria Danuta

    2016-06-02

    Conditions of a healthy, friendly and safe work environment and proper work organisation increase self-efficacy and decrease or eliminate the factors causing the occurrence of burnout symptoms, all of which have a decisive impact on increasing the quality of work. The aim of the study was to analyse and assess the influence of factors of work environment and burnout syndrome on the self-efficacy of medical staff. The study comprised randomly selected professionally-active nurses working on hospital wards (N=405) on the area of two provinces in Poland. The study used the Generalized Self-Efficacy Scale, Copenhagen Burnout Inventory and a questionnaire concerning the factors that influence the process of work organisation at nursing positions in hospitals. Lower scores for self-efficacy resulted in a worse assessment of development opportunities and promotion prospects (r=-0.11), participation in the decision-making process (r=-0.11) and teamwork (r=-0.10). Lower self-efficacy contributed to the occurrence of burnout symptoms r∈[-0.19 - -0.17]. Properly shaped and used organisational factors are stimulating for professional efficiency and effectiveness, and consequently, for the quality of nursing work. Negative assessment of the factors in the work environment contributes to the occurrence of burnout symptoms and decrease in self-efficacy. Nurses with lower self-efficacy more often experienced symptoms of burnout.

  16. COMPREHENSIVE JUNIOR COLLEGES.

    Science.gov (United States)

    NIKITAS, CHRISTUS M.; AND OTHERS

    TO MEET THE STATE'S HIGHER EDUCATION NEEDS, THE NEW HAMPSHIRE JUNIOR COLLEGE COMMISSION DEVELOPED A PLAN OF (1) GRADUAL AND SELECTIVE CONVERSION OF THE STATE'S TECHNICAL AND VOCATIONAL SCHOOLS TO COMPREHENSIVE JUNIOR COLLEGES, (2) SELECTIVE ADDITION OF 2-YEAR PROGRAMS AT THE STATE COLLEGES AND INSTITUTES, AND (3) ESTABLISHMENT OF A STATE…

  17. 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。

  18. Effect of fall risk assessment software in electronic medical record system used by junior nurses%低年资护士应用电子病历系统跌倒软件的效果分析

    Institute of Scientific and Technical Information of China (English)

    盛芝仁; 董玲娜; 周红娣; 陈冬萍; 柳春波; 胡建利

    2016-01-01

    目的:探讨低年资护士运用宁波大学医学院附属医院开发的电子病历系统跌倒软件的实践效果。方法采用回顾性研究的方法,对某院2014年和2015年度经护理电子病历系统上报的跌倒不良事件进行回顾性分析,比较运用跌倒风险评估软件前后,与低年资护士相关的跌倒高危预报率、跌倒发生率;采用修订的报告认知问卷和患者安全文化感知问卷,以探索本院跌倒软件的开发与实施,对临床低年资护士的护理不良事件报告认知和患者安全态度的影响。结果低年资护士的跌倒高危预报率为54.9%,高于跌倒软件实施前(25.9%),差异有统计学意义(P<0.01);实施后与低年资护士相关的跌倒发生率减少至40%,差异有统计学意义( P<0.05);低年资护士的护理不良事件报告认知明显改善,差异有统计学意义( P<0.05);与实施前相比,低年资护士的患者安全文化感知总分及各维度得分均提高,差异有统计学意义( P<0.05)。结论电子病历系统跌倒软件的实践提高了低年资护士对跌倒不良事件发生的防范能力,有利于加强其安全信念,保障护理安全。%Objective To explore the effect of fall risk assessment software in electronic medical record system used by junior nurses. Methods By retrospective study, the fall events reported by electronic medical record system between 2014 and 2015 were analyzed. The prediction rate for high risk falls and the incidence of falls related to junior nurses were compared before and after using fall risk assessment software, and the effect of fall risk assessment software on cognition and safety attitude of junior nurses was analyzed by revised report cognitive questionnaire and patient safety culture assessing scale about clinical nurse. Results After using fall risk assessment software, the prediction rate for high risk falls of junior nurses was higher than before (54

  19. Measurement of {sup 131}I activity in thyroid of nuclear medical staff and internal dose assessment in a Polish nuclear medical hospital

    Energy Technology Data Exchange (ETDEWEB)

    Brudecki, K.; Mietelski, J.W. [Polish Academy of Sciences, Institute of Nuclear Physics, Krakow (Poland); Kowalska, A.; Szczodry, A. [Holy Cross Cancer Center, Department of Endocrinology and Nuclear Medicine, Kielce (Poland); Zagrodzki, P. [Polish Academy of Sciences, Institute of Nuclear Physics, Krakow (Poland); Jagiellonian University, Department of Food Chemistry and Nutrition, Medical College, Krakow (Poland); Mroz, T. [Pedagogical University in Cracow, Krakow (Poland); Janowski, P. [AGH University of Science and Technology, Krakow (Poland)

    2017-03-15

    This paper presents results of {sup 131}I thyroid activity measurements in 30 members of the nuclear medicine personnel of the Department of Endocrinology and Nuclear Medicine Holy Cross Cancer Centre in Kielce, Poland. A whole-body spectrometer equipped with two semiconductor gamma radiation detectors served as the basic research instrument. In ten out of 30 examined staff members, the determined {sup 131}I activity was found to be above the detection limit (DL = 5 Bq of {sup 131}I in the thyroid). The measured activities ranged from (5 ± 2) Bq to (217 ± 56) Bq. The highest activities in thyroids were detected for technical and cleaning personnel, whereas the lowest values were recorded for medical doctors. Having measured the activities, an attempt has been made to estimate the corresponding annual effective doses, which were found to range from 0.02 to 0.8 mSv. The highest annual equivalent doses have been found for thyroid, ranging from 0.4 to 15.4 mSv, detected for a cleaner and a technician, respectively. The maximum estimated effective dose corresponds to 32% of the annual background dose in Poland, and to circa 4% of the annual limit for the effective dose due to occupational exposure of 20 mSv per year, which is in compliance with the value recommended by the International Commission on Radiological Protection. (orig.)

  20. Analysis on the Contributing Factors of Career Fatigue of Junior Staff in Chinese Restaurant%饭店中餐基层员工职业倦怠影响因素分析

    Institute of Scientific and Technical Information of China (English)

    刘永涓; 黄秀容

    2014-01-01

    Career fatigue is increasingly common and serious in the junior workers in Chinese restaurants in hotels, which has affected the development of the employees′ career and hotels. Through interviewing employees of Chinese restaurants in five hotels and analyzing the data collected , the following conclusion is drawn: emotional intelligence, characteristics of job, role conflicts, managerial factors, sense of fairness, the enterprise strength , social and organizational support, emotional exhaustion, dehumanization, sense of personal achievement are the ten contributing factors for junior workers′career fatigue. These factors are both positive and negative. And development of career fatigue of junior employees generally goes through the following stages: emotional exhaustion, emotional intelligence, social and organizational support, reduction of a sense of accomplishment.%当前饭店中餐基层员工的职业倦怠现象日益普遍与严重,已影响到员工自身职业生涯发展和饭店发展的方方面面。采取调查访谈法,通过对五家饭店中餐基层员工的访谈、调查,收集各种资料。并对资料进行处理分析,挖掘中餐基层员工职业倦怠的各种影响因素,得出以下结论:影响饭店中餐基层员工职业倦怠的十大因素为:情绪智力、工作特性、角色冲突、领导因素、公平感、企业实力、社会和组织支持、情感耗竭、去人性化、个人成就感。其中有正向因素有负向因素。而饭店中餐基层员工职业倦怠的发展经历了情感耗竭---情绪智力、社会和组织支持---成就感降低的过程。

  1. 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.)

  2. 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.

  3. 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.

  4. 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。

  5. 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.

  6. Do junior doctors take sick leave?

    Science.gov (United States)

    Perkin, M R; Higton, A; Witcomb, M

    2003-09-01

    Nosocomial infections place a heavy burden on overstretched health services. An audit of junior doctors' sick leave behaviour was undertaken in 1993 and again in 2001. The object was to ascertain the level of common infectious illness and to investigate whether junior doctors were remaining at work inappropriately. The doctors were asked if any factors had influenced their decision to take sick leave or not. Between the two audits several initiatives have been introduced to improve the working conditions of junior doctors, including the New Deal to reduce hours of work. Eighty one junior doctors in a large teaching hospital participated in 1993 and 110 in 2001. The number reporting an infectious illness in the previous six months was similar (61.7% in 1993, 68.2% in 2001). There had been a significant increase in the percentage of infectious illness episodes for which the doctors took sick leave (15.1% in 1993, 36.8% in 2001, p work (72% in 1993, 68% in 2001). Consultant pressure was cited by 26% (1993) and 20% (2001). Use of the staff occupational health unit was minimal, with none of the ill doctors contacting the department in 1993 and only three in 2001. Overall, despite the reduction in the number of infectious doctors not taking sick leave, the majority remained at work. Fundamental changes are needed if potentially infected doctors are not to present a risk of iatrogenic infection.

  7. Knowledge, attitudes and practices of medical staff towards obesity management in patients with spinal cord injuries: an International survey of four western European countries.

    Science.gov (United States)

    Wong, S; van Middendorp, J; Belci, M; van Nes, I; Roels, E; Smith, É; Hirani, S P; Forbes, A

    2015-01-01

    To (1) examine the opinions of medical staff working in spinal cord injury (SCI) centres (SCICs); (2) evaluate their knowledge, attitudes and practices towards obesity prevention and management; (3) report the number of beds and dietitians available at each SCIC. A 37-item questionnaire was sent to 23 SCICs in the UK, the Netherlands, Belgium and the Republic of Ireland between September 2012 and January 2013. Eighteen SCICs returned the questionnaires for analysis. All respondents stated that they had an interest in obesity treatment but only 2.3% of the respondents received training in obesity management. Sixty-one percent of staff did not consider body mass index (BMI) to be appropriate for use in SCI patients and subsequently less than half of the respondents use BMI routinely. The majority of respondents reported that they are confident in dealing with overweight (74.5%) and obese (66.1%) SCI adults, less than half (44.1%) are confident in treating overweight and obese SCI children. Respondents also indicated the need for nationally adopted guidelines and a lack of physical activity provision. There were 17.5 whole-time equivalent (WTE) dietitians recorded in 22 SCICs, equivalent to 47.8 beds per WTE dietitians (range 10-420). Non-UK SCIC dietitians are significantly better resourced than in UK SCICs (beds per WTE dietitian: 36 vs 124, P=0.035). Medical staff expressed the need to participate in obesity prevention and management. Appropriate training should be considered for all medical staff and the development of specific weight management guidelines and dietetic provision should be considered.

  8. 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.

  9. 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.

  10. 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.

  11. 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

  12. Diagnosis and management of acute kidney injury: deficiencies in the knowledge base of non-specialist, trainee medical staff.

    Science.gov (United States)

    Muniraju, T M; Lillicrap, M H; Horrocks, J L; Fisher, J M; Clark, R M W; Kanagasundaram, N S

    2012-06-01

    Enhanced education has been recommended to improve non-specialist management of acute kidney injury (AKI). However, the extent of any gaps in knowledge has yet to be defined fully. The aim of this study was to assess understanding of trainee doctors in the prevention, diagnosis and initial management of AKI. An anonymised questionnaire was completed by hospital-based trainees across Newcastle Renal Unit's catchment area. Responses were evaluated against a panel of pre-defined ideal answers. The median score was 9.5 out of 20 (n = 146; range 0-17) and was lower in more junior trainees. Fifty percent of trainees could not define AKI, 30% could not name more than two risk factors for AKI and 37% could not name even one indication for renal referral. These serious gaps in knowledge highlight the need for enhanced education aimed at all training grades. Organisational changes may also be required to optimise patient safety.

  13. 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.

  14. 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…

  15. 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

  16. 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

  17. 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.

  18. 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 .

  19. Convergence and translation: attitudes to inter-professional learning and teaching of creative problem-solving among medical and engineering students and staff

    Science.gov (United States)

    2014-01-01

    Background Healthcare worldwide needs translation of basic ideas from engineering into the clinic. Consequently, there is increasing demand for graduates equipped with the knowledge and skills to apply interdisciplinary medicine/engineering approaches to the development of novel solutions for healthcare. The literature provides little guidance regarding barriers to, and facilitators of, effective interdisciplinary learning for engineering and medical students in a team-based project context. Methods A quantitative survey was distributed to engineering and medical students and staff in two universities, one in Ireland and one in Belgium, to chart knowledge and practice in interdisciplinary learning and teaching, and of the teaching of innovation. Results We report important differences for staff and students between the disciplines regarding attitudes towards, and perceptions of, the relevance of interdisciplinary learning opportunities, and the role of creativity and innovation. There was agreement across groups concerning preferred learning, instructional styles, and module content. Medical students showed greater resistance to the use of structured creativity tools and interdisciplinary teams. Conclusions The results of this international survey will help to define the optimal learning conditions under which undergraduate engineering and medicine students can learn to consider the diverse factors which determine the success or failure of a healthcare engineering solution. PMID:24450310

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

    Science.gov (United States)

    Spoelstra, Howard; Stoyanov, Slavi; Burgoyne, Louise; Bennett, Deirdre; Sweeney, Catherine; Drachsler, Hendrik; Vanderperren, Katrien; Van Huffel, Sabine; McSweeney, John; Shorten, George; O'Flynn, Siun; Cantillon-Murphy, Padraig; O'Tuathaigh, Colm

    2014-01-22

    Healthcare worldwide needs translation of basic ideas from engineering into the clinic. Consequently, there is increasing demand for graduates equipped with the knowledge and skills to apply interdisciplinary medicine/engineering approaches to the development of novel solutions for healthcare. The literature provides little guidance regarding barriers to, and facilitators of, effective interdisciplinary learning for engineering and medical students in a team-based project context. A quantitative survey was distributed to engineering and medical students and staff in two universities, one in Ireland and one in Belgium, to chart knowledge and practice in interdisciplinary learning and teaching, and of the teaching of innovation. We report important differences for staff and students between the disciplines regarding attitudes towards, and perceptions of, the relevance of interdisciplinary learning opportunities, and the role of creativity and innovation. There was agreement across groups concerning preferred learning, instructional styles, and module content. Medical students showed greater resistance to the use of structured creativity tools and interdisciplinary teams. The results of this international survey will help to define the optimal learning conditions under which undergraduate engineering and medicine students can learn to consider the diverse factors which determine the success or failure of a healthcare engineering solution.

  1. Based on the emotional commitment after 85 junior staff flow empirical analysis%基于情感承诺的85后基层员工流动实证分析

    Institute of Scientific and Technical Information of China (English)

    陈婉梅; 欧阳友全; 苏凯

    2014-01-01

    企业员工情感管理是企业借助沟通、激励、关心等因素,促动员工的情感,使员工在情感氛围下发挥工作积极性,完成组织目标。利用情感来留住员工将是企业最佳选择。%the enterprise employees' emotional management is the enterprise use communication, motivation, care factors, such as actuating employees' emotion, make employees in emotional atmosphere play to work enthusiasm, complete the organizational goals. Using emotion to retain staff will be a best choice for the enterprises.

  2. 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。

  3. 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.

  4. ٍ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.

  5. Medical rota changes and venous thromboembolism prophylaxis in orthopaedic patients.

    Science.gov (United States)

    Bohler, Iain; George Mackenzie Jardine, Alan

    2014-01-01

    Efficacy of clinical guidelines to improve patient care is highly dependent on the ability of hospital teams to interpret and implement advised standards of care. Trimester and bi-annual rotation changes often see transference and loss of acquired experience and knowledge from wards with ensuing shortfalls in patient safety and care quality. Such shortfalls were noticed in the ability of our unit to adhere to national venous thromboembolism (VTE) prophylaxis measures. A prospective quality improvement audit was embarked upon to address this. An initial audit of VTE prophylaxis in 112 patients demonstrated just 71% compliance with suggested measures. Errors were predominantly medical in origin and secondary to poor understanding, interpretation, and knowledge of VTE guidelines. Errors were also noted in nursing and patient compliance to measures. Repeated re-auditing demonstrated increased error (following initial improvement post audit) after periods of medical staff rotation. Through education of junior medical and nursing staff, and of patients, the unit was able to achieve 100% compliance. Rota changes often induce conflict of interest between maintaining adequate services and high levels of patient care or providing suitable and informed induction programmes for new medical staff. Emphasised education of VTE prophylaxis guidelines has now become part of induction of junior medical staff, whilst ward based measures ensure daily compliance. The success of the audit strategy has led to its use throughout other surgical units within the hospital.

  6. 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)

  7. 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.

  8. 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.

  9. 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 ...

  10. Polypharmacy and medication regimen complexity as factors associated with staff informant rated quality of life in residents of aged care facilities: a cross-sectional study.

    Science.gov (United States)

    Lalic, Samanta; Jamsen, Kris M; Wimmer, Barbara C; Tan, Edwin C K; Hilmer, Sarah N; Robson, Leonie; Emery, Tina; Bell, J Simon

    2016-09-01

    The purpose of this study is to investigate the association between polypharmacy with health-related quality of life (HRQoL) and medication regimen complexity with HRQoL in residential aged care facilities (RACFs). A cross-sectional study of 383 residents from six Australian RACFs was conducted. The primary exposures were polypharmacy (≥9 regular medications) and the validated Medication Regimen Complexity Index (MRCI). The outcome measure was staff informant rated quality of life assessed using the Quality of Life Alzheimer's disease (QoL-AD) scale. Covariates included age, sex, Charlson's comorbidity index, activities of daily living, and dementia severity. Logistic quantile regression was used to characterize the association between polypharmacy and QoL-AD (model 1) and MRCI and QoL-AD (model 2). The median age of the 383 residents was 88 years and 297 (78 %) residents were female. In total, 63 % of residents were exposed to polypharmacy and the median MRCI score (range) was 43.5 (4-113). After adjusting for the covariates, polypharmacy was not associated with either higher or lower QoL-AD scores (estimate -0.02; 95 % confidence interval (CI) -0.165, 0.124; p = 0.78). Similarly, after adjusting for the covariates, MRCI was not associated with either higher or lower QoL-AD scores (estimate -0.0009, 95 % CI -0.005, 0.003; p = 0.63). These findings suggest that polypharmacy and medication regimen complexity are not associated with staff informant rated HRQoL. Further research is needed to investigate how specific medication classes may impact change in quality of life over time.

  11. 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

  12. 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。

  13. 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。

  14. 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…

  15. 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.

  16. 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

  17. 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

  18. 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。

  19. 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.

  20. 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.

  1. 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.

  2. 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

  3. 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.

  4. 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.

  5. 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

  6. 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.

  7. 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.

  8. Investigation on Professional Cognition of Freshmen from Clinical Medical Specialty of Junior College%临床医学专业专科新生专业认知调查分析

    Institute of Scientific and Technical Information of China (English)

    任建立; 孟羽俊; 张丽丽

    2012-01-01

    目的 了解临床医学专业专科新生专业认知水平及其影响因素,为有针对性地开展专业认知教育提供思路和方法.方法 问卷调查2009级449名新入学的临床医学专业学生的一般情况、父母职业、生源地和临床医学专业相关的基本知识知晓情况,应用SPSS 16.0统计软件进行数据分析.结果 84.63%新生知道医生的基本素质、67.48%知道医学的目的、40.31%知道基层卫生服务趋势、40.09%知道高职与普通高教区别、37.42%知道医学的学习方法、32.29%知道医学模式与学科分类、新医改及全科医学的含义知晓率仅为21.16%和2.67%;其认知程度受父母职业及生源地影响(P<0.05),与性别、年龄没有明显关系(P>0.05).结论 临床医学专业新生专业认知度较低,有必要对临床医学专业新生进行专业认知教育,引导学生进行专业相关知识社会实践调查和参与卫生公益活动可能是提高学生专业认知的有效措施.%Objective To understand professional cognitive level of freshmen from clinical medicine specialty and its influencing factors,and provide new ideas and method on developing education of the professional cognition. Methods A questionnaire survey was performed among 449 freshmen from clinical medical specialty of junior college in 2009 about their common information, occupation of their parents and clinical medicine professional basic knowledge. The data was analyzed with SPS316.0. Results The ratios of the freshmen knowing the basic quality of the doctor, the medical purpose,the trend of primary health services, the difference of between vocational and general higher education, medical learning methods, medical model and classification, the meanings of the new medical reform and general medicine were 84. 63% ,67, 48%,40. 31%,40. 09% ,37. 42% , 32.29% ,2.67% and 21.16% ,respectively,and the cognitive abilities of the freshmen concerned with their parental

  9. 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...

  10. 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

  11. 77 FR 41413 - Draft Guidance for Industry and Food and Drug Administration Staff; Medical Devices: The Pre...

    Science.gov (United States)

    2012-07-13

    ... HUMAN SERVICES Food and Drug Administration Draft Guidance for Industry and Food and Drug Administration... establishment in 1995, the pre-IDE program has been a successful resource for both medical device applicants and... clinical studies conducted outside of the United States to support future U.S. marketing applications (Ref...

  12. 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...

  13. 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。

  14. 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

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

    Directory of Open Access Journals (Sweden)

    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.

  16. Making The Most of Medical orientation; A New Approach.

    Directory of Open Access Journals (Sweden)

    Dr Jonathan Taitz

    2004-02-01

    Full Text Available Orientating new junior medical staff can be a complex and time consuming task. Traditional models have typically involved a day or longer of lectures. This involves a large number of senior staff being available on the first day of term. It also means that junior staff not present on the first day had any access to an orientation program at all. Evaluation of our program confirmed the belief that the day was dull and that there was simply too much information for new staff to absorb. As a result of this feedback we extensively updated our orientation program. Pre-reading of the junior staff manual became compulsory. We departed from the traditional lecture style program and devised a new ten- station scenario based interactive program. The stations were designed to cover aspects of the hospital’s mandatory education and key educational requirements in order to function effectively on our campus. Station leaders were selected and trained in the goals of the new process. Several of our secondment sites were engaged in the development of the project topics. We hoped that our secondment sites would be relieved of some orientation responsibility if core material was delivered centrally. The strength of the new orientation is that it is portable, reproducible and uniform. It is also available via video conferencing. A single person can educate new staff in three hours if the need arises. Most importantly all new staff will have access to the program within a week of starting a term at our hospital.

  17. Evaluating Junior Secondary Science Textbook Usage in Australian Schools

    Science.gov (United States)

    McDonald, Christine V.

    2016-08-01

    A large body of research has drawn attention to the importance of providing engaging learning experiences in junior secondary science classes, in an attempt to attract more students into post-compulsory science courses. The reality of time and resource constraints, and the high proportion of non-specialist science teachers teaching science, has resulted in an overreliance on more transmissive pedagogical tools, such as textbooks. This study sought to evaluate the usage of junior secondary science textbooks in Australian schools. Data were collected via surveys from 486 schools teaching junior secondary (years 7-10), representing all Australian states and territories. Results indicated that most Australian schools use a science textbook in the junior secondary years, and textbooks are used in the majority of science lessons. The most highly cited reason influencing choice of textbook was layout/colour/illustrations, and electronic technologies were found to be the dominant curricula material utilised, in addition to textbooks, in junior secondary science classes. Interestingly, the majority of respondents expressed high levels of satisfaction with their textbooks, although many were keen to stress the subsidiary role of textbooks in the classroom, emphasising the textbook was `one' component of their teaching repertoire. Importantly, respondents were also keen to stress the benefits of textbooks in supporting substitute teachers, beginning teachers, and non-specialist science teachers; in addition to facilitating continuity of programming and staff support in schools with high staff turnover. Implications from this study highlight the need for high quality textbooks to support teaching and learning in Australian junior secondary science classes.

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

    Directory of Open Access Journals (Sweden)

    FARZAD MAHMOUDIAN

    2013-01-01

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

  19. Junior doctors' knowledge of applied clinical anatomy.

    Science.gov (United States)

    Gupta, Yuri; Morgan, Mia; Singh, Annika; Ellis, Harold

    2008-05-01

    This study examines the level of knowledge of applied clinical anatomy among junior doctors. A multiple-choice questionnaire was designed, which covered 15 areas of anatomical knowledge essential to clinical practice, for example, important surface landmarks and interpretation of radiographs. The questionnaire was completed by 128 individuals. They comprised anatomy demonstrators, preregistration house officers (PRHOs), senior house officers (SHOs) and specialist registrars (SpRs) across the range of medical and surgical specialities. Answers were scored and analyzed by group, allowing comparison not only between newly qualified PRHOs and more senior doctors, but also with anatomy demonstrators who had undergone more traditional anatomical training. The results reveal a wide variation of knowledge among junior doctors, with PRHOs scoring an average of 72.1%, SHOs 77.1%, SpRs 82.4%, and demonstrators 82.9%. This progression in knowledge up the clinical hierarchy may reflect clinical experience building upon the foundations laid in medical school, although with demonstrators topping the league table, it seems that intensive academic training is the most beneficial. With junior doctors' training in the UK currently in flux, these results highlight the need for training in clinical anatomy to hold an important place in the development of tomorrow's clinicians.

  20. 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).    

  1. 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.

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

    Institute of Scientific and Technical Information of China (English)

    李琳; 张秀敏; 刘红箭; 李晶华; 王昕晔; 刘冰

    2013-01-01

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

  3. Research-Oriented Series: A Portal into the Culture of Biomedical Research for Junior Medical Students at Alfaisal University in Saudi Arabia

    Science.gov (United States)

    Shareef, Mohammad Abrar; Dweik, Loai M.; Abudan, Zainab; Gazal, Abdalla M.; Abu-Dawas, Reema B.; Chamseddin, Ranim A.; Albali, Nawaf H.; Ali, Alaa A.; Khan, Tehreem A.; AlAmodi, Abdulhadi A.

    2015-01-01

    Student contributions to research have been shown to effectively reflect on their communication and critical thinking skills. Short-term research courses offer opportunities for medical students to advance their research experience in subsequent high-demanding long-term research opportunities. The purpose of the present study was to describe the…

  4. 全科医学知识理论对专科医学生临床实践和就业导向的作用调查%Role of General Medical Knowledge and Theory to Junior Medical College Students in Clinical Practice and Employment Orientation

    Institute of Scientific and Technical Information of China (English)

    曾坪; 何坪; 邓宇; 李曼霞; 周洪敏; 江敏; 周永芬; 吴建华

    2011-01-01

    Objective To evaluate the role of general medical knowledge and theory to junior medical college students in clinical practice and employment orientation.Methods Totally 50 graduating clinical medical students in junior medical colleges, recruited hy cluster sampling, were surveyed by questionnaires to understand their cognition, attitudes and interests to general practice, the function of general practice in clinical practice and their employment direction.Results Some 93.18% of the students thought that general practice study was helpful to clinical internship; 75.0% thought general practice knowledge could he used in clinical internship; 55.0% did not want to engage in community health service work, their reasons were lower incomes ( accounting for 36.36% ) and uncertain future ( accounting for 45.45% ).Conclusion The knowledge and theory teaching on general practice carried out for junior college students majoring in clinical medicine can improve the clinical application rate of general practice and the students' sense of professional belongings.%目的 评价全科医学知识理论对专科医学生临床实践与就业导向的作用.方法 整群抽取在渝高校应届临床医学专业毕业生50人,进行问卷调查,了解其对全科医学的认知态度及兴趣、全科医学对临床实践工作的作用及其就业去向.结果 93.18%的学生认为学习全科医学对临床实习有帮助,75.0%的学生在临床实习中运用全科医学知识.55.0%的学生不愿意从事社区全科医生工作,认为待遇较低和前途不明朗者分别占36.36%和45.45%.结论 结合我国社区卫生政策和工作实际,在临床医学专科生中开展全科医学知识理论教学,能提高全科医学的临床应用率和学生的专业归宿感.

  5. 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.

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

    Institute of Scientific and Technical Information of China (English)

    蒙世佼; 闫宇翔; 刘佑琴; 董晶; 宋曼殳; 王嵬

    2013-01-01

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

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

    Science.gov (United States)

    Soriano, Fabricio González

    2009-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

    石锦娟; 吴强驹; 张超; 何长江; 王静; 黄旭华

    2016-01-01

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

  9. The 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.

  10. 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.

  11. Prevalence of stress in junior doctors during their internship training: a cross-sectional study of three Saudi medical colleges’ hospitals

    Science.gov (United States)

    Abdulghani, Hamza Mohammad; Irshad, Mohammad; Al Zunitan, Mohammed A; Al Sulihem, Ali A; Al Dehaim, Muhammed A; Al Esefir, Waleed A; Al Rabiah, Abdulaziz M; Kameshki, Rashid N; Alrowais, Nourah Abdullah; Sebiany, Abdulaziz; Haque, Shafiul

    2014-01-01

    Background Medical science is perceived as a stressful educational career, and medical students experience monstrous stress during their undergraduate studies, internship, and residency training, which affects their cognitive function, practical life, and patient care. In the present study, an assessment of the prevalence of self-perceived stress among new medical graduates during their internship training has been performed, and correlations of self-perceived stress with sex, marital status, and clinical rotations have been evaluated. Patients and methods Interns of the King Khalid, King Abdulaziz, and King Fahd University hospitals in Saudi Arabia were invited to complete a stress inventory known as the Kessler 10, which is used for stress measurement. Apart from stress evaluation, the questionnaire collected personal data, such as age, sex, and marital status, in addition to information relevant to hospital training, assigned duties, and clinical training rotations. Results Our results showed that nearly 73.0% of interns were under stressed conditions. Most of the interns were affected by a severe level of stress (34.9%), followed by mild (19.3%) and moderate (18.8%) levels of stress. The stress level was significantly higher (84.0%) among female interns in comparison with male interns (66.5%) (odds ratio =2.64; confidence interval =1.59–4.39; P<0.0002). There were statistically significant differences between the percentages of male and female interns (P≤0.047) at mild, moderate, and severe stress levels. Marital status had no role in causing stress. The highest stress level was reported by interns during the clinical rotations of medicine (78.8%), followed by surgery (74.7%), pediatrics (72.4%), obstetrics and gynecology (70.1%), and emergency (58.3%). The prevalence of stress among the interns and their corresponding clinical rotations in all three hospitals had significant linear correlations (r≥0.829, P≤0.041). Conclusion We found a significantly

  12. Prevalence of stress in junior doctors during their internship training: a cross-sectional study of three Saudi medical colleges’ hospitals

    Directory of Open Access Journals (Sweden)

    Abdulghani HM

    2014-09-01

    Full Text Available Hamza Mohammad Abdulghani,1 Mohammad Irshad,1 Mohammed A Al Zunitan,1,2 Ali A Al Sulihem,1,2 Muhammed A Al Dehaim,1,2 Waleed A Al Esefir,1,2 Abdulaziz M Al Rabiah,1,2 Rashid N Kameshki,1,2 Nourah Abdullah Alrowais,2 Abdulaziz Sebiany,3 Shafiul Haque1 1Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 2Department of Family and Community Medicine, King Saud University, Riyadh, Saudi Arabia; 3Department of Family and Community Medicine, University of  Dammam, Dammam, Saudi Arabia Background: Medical science is perceived as a stressful educational career, and medical students experience monstrous stress during their undergraduate studies, internship, and residency training, which affects their cognitive function, practical life, and patient care. In the present study, an assessment of the prevalence of self-perceived stress among new medical graduates during their internship training has been performed, and correlations of self-perceived stress with sex, marital status, and clinical rotations have been evaluated.Patients and methods: Interns of the King Khalid, King Abdulaziz, and King Fahd University hospitals in Saudi Arabia were invited to complete a stress inventory known as the Kessler 10, which is used for stress measurement. Apart from stress evaluation, the questionnaire collected personal data, such as age, sex, and marital status, in addition to information relevant to hospital training, assigned duties, and clinical training rotations.Results: Our results showed that nearly 73.0% of interns were under stressed conditions. Most of the interns were affected by a severe level of stress (34.9%, followed by mild (19.3% and moderate (18.8% levels of stress. The stress level was significantly higher (84.0% among female interns in comparison with male interns (66.5% (odds ratio =2.64; confidence interval =1.59–4.39; P<0.0002. There were statistically significant differences between the

  13. 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.

  14. Prevalence of stress in junior doctors during their internship training: a cross-sectional study of three Saudi medical colleges’ hospitals

    OpenAIRE

    Abdulghani HM; Irshad M; Al Zunitan MA; Al Sulihem AA; Al Dehaim MA; Al Esefir WA; Al Rabiah AM; Kameshki RN; Alrowais NA; Sebiany A; Haque S

    2014-01-01

    Hamza Mohammad Abdulghani,1 Mohammad Irshad,1 Mohammed A Al Zunitan,1,2 Ali A Al Sulihem,1,2 Muhammed A Al Dehaim,1,2 Waleed A Al Esefir,1,2 Abdulaziz M Al Rabiah,1,2 Rashid N Kameshki,1,2 Nourah Abdullah Alrowais,2 Abdulaziz Sebiany,3 Shafiul Haque1 1Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 2Department of Family and Community Medicine, King Saud University, Riyadh, Saudi Arabia; 3Department of Family and Community Medicine, Universit...

  15. 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。

  16. 提升专科层次全科医学师资整体素质的有效对策%Effective Countermeasures for Promoting the Overall Quality of General Medical Teachers for Physicians with Junior College Diplomas

    Institute of Scientific and Technical Information of China (English)

    徐江荣; 郭化山

    2011-01-01

    培养专科层次面向农村与社区的全科医学人才,师资是关键.为了提升专科层次全科医学师资整体素质,保证全科医学人才培养质量,采取"加强学习、组织培训、实行考评"的策略,促使全科医学教师从思维理念、道德品行、教学方法及全科医学理论知识与实践技能等素质方面得到全面提升.同时,根据全科医学专、兼职教师的不同教学特点,促使其对全科医学知识、技能与职业素质的有机融合,显著提高教学质量.该策略对建设一支高素质全科医学师资队伍,推动全科医学向深层次发展均具有重要作用.%As for training general medical talents with junior college diplomas for rural areas and communities, quality of the teachers is crucial. In order to promote the overall quality of general medical teachers and to ensure the quality of talents training , measures of learning strengthening, training arrangement and implementing evaluation are taken to comprehensively enhance the quality of the teachers from aspects including ideas , morality, teaching skills and their general medical knowledge and skills. At the same time, according to the different teaching characteristics of professional and part - time teachers on general medicine, strategies are taken to better integrate general medical knowledge , skills and professional quality, which in turn improve the teaching quality notahly. The strategies play a significant role in building a high - class training faculty and promoting the further development of general medicine.

  17. 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.

  18. Research-oriented series: a portal into the culture of biomedical research for junior medical students at Alfaisal University in Saudi Arabia.

    Science.gov (United States)

    Shareef, Mohammad Abrar; Dweik, Loai M; Abudan, Zainab; Gazal, Abdalla M; Abu-Dawas, Reema B; Chamseddin, Ranim A; Albali, Nawaf H; Ali, Alaa A; Khan, Tehreem A; AlAmodi, Abdulhadi A

    2015-03-01

    Student contributions to research have been shown to effectively reflect on their communication and critical thinking skills. Short-term research courses offer opportunities for medical students to advance their research experience in subsequent high-demanding long-term research opportunities. The purpose of the present study was to describe the development, implementation, and evaluation of a research-oriented series (ROS) on undergraduate students at Alfaisal University in Saudi Arabia. The ROS was designed to comprise eight sessions. Each session addressed core principles and the practice of research concepts and was based on theoretical morning sessions supplemented by afternoon practical sessions delivered by experienced senior medical students and faculty members. Students were assessed comprehensively by the end of the ROS. The series was conducted twice, and 35 students were involved each time. A total of 70 enrolled students (35 men and 35 women) with grade point averages of >3.5 and students responded to the online survey and rated the ROS highly in improving their research knowledge, skills, and confidence. Male students reported significant gains compared with their female peers (Pstudent gains after attending the ROS. Qualitative responses were in support of three recurring themes favoring the unique learning environment in the ROS. In conclusion, the ROS offers a short-term systematic approach to fundamental steps and concepts of biomedical research. Copyright © 2015 The American Physiological Society.

  19. 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

  20. 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

  1. 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.

  2. The effect of quality circles on job satisfaction and quality of work-life of staff in emergency medical services.

    Science.gov (United States)

    Hosseinabadi, Reza; Karampourian, Arezou; Beiranvand, Shoorangiz; Pournia, Yadollah

    2013-10-01

    Quality circles, as a participatory management technique, offer one alternative for dealing with frustration and discontent of today's workers. This study was conducted to investigate the effect of implementation of quality circles on nurses' quality of work-life and job satisfaction. In this study, two emergency medical services (EMS) of Hamedan province were selected and randomly assigned as the experimental and control groups. After the experimental group was trained and quality circles were established in this group, the levels of quality of work-life and job satisfaction were measured in the two groups. Then, the statistical analyses were performed using t-test. After the intervention, the results showed significant differences between the scores of motivational factors (p=0.001), the total scores of job satisfaction (p=0.003), and the scores of some quality of work life (QWL) conceptual categories including the use and development of capacities (p=0.008), the total space of life (p=0.003), and the total scores of QWL (p=0.031) in the experimental group compared to those in the control group. This study confirms the effectiveness of quality circles in improving quality of work-life and job satisfaction of nurses working in EMS, and offers their application as a management method that can be used by EMS managers. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. 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

  4. 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

  5. Conocimientos sobre shigellosis y su manejo epidemiológico en personal médico Knowledges on shigellosis and its epidemiological management in medical staff

    Directory of Open Access Journals (Sweden)

    Alvin Mena Cantero

    2010-03-01

    Full Text Available Introducción: la Shigella como agente causal de episodios diarreicos con sangre ha sido el germen aislado con mayor frecuencia en los laboratorios clínicos, no obstante, el número de casos reportados por el Sistema de Enfermedades de Declaración Obligatoria es inferior, lo que demuestra un subregistro en su notificación. Objetivos: elevar el nivel de conocimientos de médicos y alumnos internos sobre la shigellosis. Métodos: se realizó un estudio cuasi experimental antes-después, de una intervención educativa sobre la shigellosis y su manejo epidemiológico. La investigación se hizo en los policlínicos comunitarios docentes "Marcio Manduley" y "Nguyen Van Troi" en el período de enero a junio de 2008. La muestra quedó conformada por 64 médicos, de ellos 21 eran alumnos internos. Todos expresaron su consentimiento para participar en la investigación. Se aplicó la prueba no paramétrica ji cuadrada con un nivel de significación de p Introduction: Shigella as causal agent of diarrheic episodes with presence of blood has been the more frequent isolated agent in clinical laboratories; however, the number of cases reported by System of Diseases of Mandatory Statement is lower demonstrating a sub-registry of its notification. Objectives: to confirm the knowledge level of medical staff on the Shigellosis. Methods: a quasi-experimental study was conducted before and after a educational intervention on the Shigellosis and its epidemiological management. Research was made in the "Marcio Manduley" and "Nguyen Van Troi" Teaching and Community polyclinics from January to June, 2008. Sample included 43 physicians and 21 internal students in which the intervention was applied. Information was obtained by application of anonymous questionnaire. Results: before intervention it was possible to verify that taxonomic knowledges were satisfactory in only 9 polled persons for a 14,06%, after it, the figure of persons with a good level of knowledges

  6. 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

  7. Examination of cross contamination risks between hospitals by external medical staff via cross-sectional intercept survey of hand hygiene

    Directory of Open Access Journals (Sweden)

    Schiffers, Hank

    2014-08-01

    Full Text Available [english] Introduction: Work in hospitals is supported by contributions of life sciences industry representatives (IR in various ways of fields. Close contact between them, caretakers and patients is unavoidable, even in situations where hygiene is critical.The present study investigates whether IR display comparable levels of and methicillin-resistant (MRSA contamination after being exposed to a shared environment for a minimum of 4 hours.Material and methods: An anonymous survey to sample a group of healthcare professionals for traces of fingertip contamination was performed. We used dip slides ( and MRSA to evaluate professionals at the medical exhibition MEDICA. After applying exclusion criteria 298 participants remained valid, they consisted of 208 industry representatives, 49 nurses and 41 physicians.Results: IR where engaged in hospitals, operating rooms and outpatient clinics (82%, 41.8%, 51.9% respectively. 65.9% of IR (vs. 48.8% physicians and 40.8% nurses carried a microbiological burden ≥10 CFU (colony forming units. Neither (≥10 CFU in IR (40.9% did show statistical differences in contamination patterns in comparison to physicians (43.9%, p=0.346 and nurses (36.7%, p=0.878 nor did MRSA (physicians p=0.579, nurses p=0.908. We were unable to differentiate transient from pre-existing permanent colonization.Conclusion: Exposure to the same environment may result in similar hand contamination patterns of IR when compared caregivers. This supports the concern that industry representatives can cause cross infection between hospitals and hygiene sensitive areas like operation room, intensive care unit and central sterilization units particularly. Further study is required to clarify whether pre-existing bacterial colonization is an influencing factor and how industry is taking care of this to create a safe working environment for their employees, the customers and ultimately the patients.

  8. Effect of Shift Work on the Frequency of Depression in Nursing Staff of Yazd University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Gholam Hossein Halvani

    2012-12-01

    Full Text Available Introduction: Depression as a disorder is relatively common in all societies; several factors are involved in depression development, that shift work is one of these factors. This study compared the frequency of depression in different shifts of nurses in hospitals of Yazd University of medical sciences. Materials & Methods: This study is a descriptive analytical study. Based on statistical methods, 150 nurses participated in this study. The research tool was a questionnaire that included 15 personal questions and 21 questions related to Beck test. The results were analysed by SPSS software. Results: 13.3% of all subjects were males and 86.7% were females. Results showed that, there is no significant relationship between gender, education, type of job, employment status and satisfaction levels of income with depression. Marital status (P-Value = 0.009 and F = 6.93, shift work (day working and shift work (P-Value = 0.032 and F = 1.11, job satisfaction (P-Value = 0.000 and F = 7.641 and the satisfaction of the employer (P-Value = 0.001 and F = 5.414 were significantly associated with depression. 3.49% of the nurses were in normal status, 7.26% had mild depression, 3.9% required consultation with the psychiatrist,% 7.8% suffered from moderate depression, 75.4% from severe depression and 3.1% from very severe depression. Conclusion: It seems that shift work can not cause depression alone, but depression is the result of the interaction of several factors.

  9. 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%),

  10. 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.

  11. 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.

  12. Career Progression of Junior Professional Officers

    Energy Technology Data Exchange (ETDEWEB)

    Pepper S. E.; Carbonaro J.; Hoffheins, B; Collins, T.

    2015-07-12

    The U.S. Support Program to IAEA Safeguards (USSP) has funded more than 25 Junior Professional Officer (JPO) positions in the IAEA Department of Safeguards since 2005. JPOs are college graduates with zero to two years’ work experience who work alongside experienced IAEA staff members for one to two years and assist with basic, yet essential work while obtaining valuable experience. They contribute to equipment development, testing, integration, open source information collection and analysis, and software and database development. This paper will study the trends in career progression for the JPOs who have completed assignments with the IAEA in the Department of Safeguards. Brookhaven National Laboratory, in its role in managing the USSP, has compiled information that can be analyzed for this purpose.

  13. 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

  14. Data on motivational factors of the medical and nursing staff of a Greek Public Regional General Hospital during the economic crisis

    Directory of Open Access Journals (Sweden)

    Marianna Charalambous

    2017-04-01

    Full Text Available In this article, we present the data related to motivational factors given by the medical (n=118 and nursing (n=217 staff, of a Greek Public General Hospital during a period of financial austerity. The data collection has been based on a structured self-administrable questionnaire which was used in a previous survey in Cyprus (Chatzicharalambous, 2015 [1]. The incentives-rewards included amount in a total to 11 (both financial and non-financial. The data contains 4 parts: (1 demographics, (2 assessment of the degree to which this hospital provided such incentives-rewards, (3 personal assessment of the participants about the significance of these incentive-rewards and (4 to what extent these incentives-rewards have increased or decreased over the last five years due to the economic crisis. The sample was analyzed as a whole on demographics and by a professional subgroup (doctors and nurses for the other three parts. The data include quantitative tables for all parts. Finally include three tables contain multilevel models.

  15. [Work-to-family influence and social supports: job satisfaction in a north-Italy public health organization --differences between medical and administrative staff].

    Science.gov (United States)

    Colombo, Lara; Zito, Margherita; Ghislieri, Chiara

    2012-01-01

    In recent years, the interest in the well-being at work has grown considerably, also considering the latest law directives. Several scholars have devoted particular attention to the topic of the work-to-family influence and of social supports, as elements able to affect the perceived well-being. The well-being in health care has to consider the particular nature of work and the relevant relational dimensions that require special attention for the emotional side. The research was promoted by the Committee for Equal Opportunities of a public health organization in the North-West Italy. Referring to the job demands-resources theoretical model, this study investigated the role of organizational and family supports, work-to-family spillover (positive and negative) and family workload as possible determinants of job satisfaction, intended as an indicator of psychological well-being at work. Respondents to the questionnaire are 541 (55% of the total employees), their average age is 43 and they are mostly women (80%). Data analysis showed the central role of supervisors supports, of the co-workers supports and, to a lesser extent, the role of the work-to-family spillover in influencing job satisfaction. Moreover, significant differences between medical and administrative staff were detected. The centrality of supports, especially those of supervisors in determining job satisfaction, is in line with studies indicating that a supportive leadership and a family-friendly culture can facilitate the arise of positive outcomes for both workers and organizations.

  16. 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

  17. 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.

  18. 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.

  19. 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

  20. Poor interpretation of chest X-rays by junior doctors

    DEFF Research Database (Denmark)

    Christiansen, Janus Mølgaard; Gerke, Oke; Karstoft, Jens;

    2014-01-01

    INTRODUCTION: Studies targeting medical students and junior doctors have shown that their radiological skills are insufficient. Despite the widespread use of chest X-ray; however, a study of Danish junior doctors' skills has not previously been performed. MATERIAL AND METHODS: A total of 22...... diagnosis, the participant's confidence in the diagnosis was assessed on a five-point Likert scale. The diagnoses were divided into four groups: normal findings, chronic diseases, acute diseases and hyperacute diseases or conditions. RESULTS: A total of 22 doctors receiving basic clinical education (BCE...

  1. Successful introduction of a daily checklist to enhance compliance with accepted standards of care in the medical intensive care unit.

    Science.gov (United States)

    Nama, A; Sviri, S; Abutbul, A; Stav, I; van Heerden, P V

    2016-07-01

    We introduced a simple checklist to act as an aid to memory for our junior medical staff to ensure that every patient in the intensive care unit (ICU) received every appropriate element of a bundle of care every day. The checklist was developed in consultation with our junior doctors and was designed to be completed every morning for every patient by the junior doctor reviewing the patient. The completed checklist was then checked again by the attending intensivist on the main daily ward round to ensure all the appropriate elements of the checklist had been applied to the patient. It was also noted each day which of the elements of the checklist had been forgotten and was therefore prompted to be completed by use of the checklist. Of the 75 patients surveyed there were 99 occasions, in 48 patients, when the checklist detected a forgotten element of the bundle of care (i.e. in 64% of patients). There was a decrease in the incidence of missed elements of the bundle of care the longer the patient stayed in the ICU. Types of missed elements varied with the duration of the ICU stay. We found that the introduction of a simple checklist, developed in collaboration with the junior medical staff who would be using the checklist every day in the ICU, resulted in the detection and correction of missed elements of a bundle of care we had previously introduced in the ICU.

  2. 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

  3. 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。

  4. 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。

  5. A Prospective Epidemiological Study of Injuries in Japanese National Tournament-Level Badminton Players From Junior High School to University

    Directory of Open Access Journals (Sweden)

    Miyake

    2016-03-01

    Full Text Available Background Injury prevention programs have recently been created for various sports. However, a longitudinal study on badminton injuries, as assessed by a team’s dedicated medical staff, at the gymnasium has not been performed. Objectives We aimed to perform the first such study to measure the injury incidence, severity and type as the first step in creating a badminton injury prevention program. Patients and Methods A prospective, longitudinal survey was conducted between April 2012 and March 2013 with 133 national tournament-level badminton players from junior high school to university in Japan with the teams’ physical therapists at the gymnasium. Injury incidence was measured as the injury rate (IR for every 1,000 hour (1000 hour and IR for every 1,000 athlete exposures (1000 AE. Severity was classified in 5 levels by the number of days the athlete was absent from practice or matches. Injury types were categorized as trauma or overuse. Results Practice (IR (1,000 hour was significantly higher in female players than in male players; the rates increased with increasing age. IR (1,000 AE was significantly higher in matches than in practice in both sexes of all ages, except for female junior high school students and injuries were most frequent for high school students in matches. The majority of the injuries were slight (83.8%; overuse injuries occurred approximately 3 times more than trauma. Conclusions This is the first study in which medical staff assessed injuries in badminton, providing value through benchmark data. Injury prevention programs are particularly necessary for female university students in practice and high school students in matches.

  6. Perceptions and attitudes of hospital staff toward paging system and the use of mobile phones.

    LENUS (Irish Health Repository)

    Haroon, Muhammad

    2012-02-01

    OBJECTIVES: Our objective was to document the pattern of mobile phone usage by medical staff in a hospital setting, and to explore any perceived benefits (such as improved communications) associated with mobile phones. METHODS: This cross-sectional survey was conducted in Waterford Regional Hospital, Ireland, where bleep is the official system of communication. All non-consultant hospital doctors, of medical disciplines only, were asked to participate. The questionnaire was designed to explore the pattern and different aspects of mobile phone usage. RESULTS: At the time of study, there were sixty medical junior doctors, and the response rate was 100 percent. All participants used mobile phones while at work, and also for hospital-related work. For 98.3 percent the mobile phone was their main mode of communication while in the hospital. Sixty-two percent (n = 37) made 6-10 calls daily purely for work-related business, and this comprised of >\\/= 80 percent of their daily usage of mobile phones. For 98 percent of participants, most phone calls were work-related. Regarding reasons for using mobile phones, all reported that using mobile phone is quicker for communication.Conclusions: Mobile phone usage is very common among the medical personnel, and this is regarded as a more efficient means of communication for mobile staff than the hospital paging system.

  7. 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

  8. 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。

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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

  14. 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.

  15. 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。

  16. 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

  17. 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。

  18. 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

  19. 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

  20. 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.

  1. 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.

  2. 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.

  3. 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

  4. 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。

  5. 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...

  6. Strengthening the Role of Ocular Pathology in Clinical Thinking Training Targeting for House Staff

    Institute of Scientific and Technical Information of China (English)

    Yungang Ding; Wenxin Zhang; Xiaohui Liu; Jianxian Lin; Jianliang Zheng; Yongping Li

    2011-01-01

    Ocular pathology serves as one vital branch subject of histopathology, and also as a basic ocular science analysing the pathogenesis of eye disease,the regular pattern of disease progress,and ocular morphology,tissue metabolism and functional changes noted during the onset of ocular diseases.The underlying purpose lies in revealing and investigating the mechanism of such diseases and the nature of lesions,providing essential theoretical evidence to diagnosis and treatment of eye diseases.ocular pathology acts as a bridge connecting basic and clinical medical science1.Clinical ophthalmologists,especially junior house staff,should attach importance to ocular pathology,understand,be familiar with,and master basic knowledge in ocular pathological subject to cultivate sound clinical thinking and analytical ability and to improve comprehensive diagnosis and treatment efficacy in clinical setting.

  7. Junior Professors Question Job Policies

    Science.gov (United States)

    Smith, Lauren

    2007-01-01

    Female and minority faculty members rated their institutions less positively as places for junior professors to work than did their male and white counterparts, according to a new report. Young professors said institutional policies designed to help them succeed were important, but they were less satisfied that those policies were effective. Women…

  8. Improving Junior High Classroom Management.

    Science.gov (United States)

    Emmer, Edmund T.; And Others

    A field experiment was conducted to determine whether descriptive-correlational results from classroom management research could be implemented by junior high school teachers, and whether such implementation would result in improved classroom management. An experimental group (18 teachers) received management manuals developed by researchers, and…

  9. Holography in the Junior High.

    Science.gov (United States)

    Tomaszkiewicz, Frank

    1988-01-01

    Examines the use of holography in the art technology program of a junior high school. Characterizing holography as a valuable artistic experience and discovery experience and stressing the importance of student interest and involvement, the author discusses the necessary equipment for the project and includes two diagrams of a holographic setup.…

  10. 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。

  11. 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

  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. The Davis Junior High Global Warming Project and Bike/Walk to School Challenge

    Science.gov (United States)

    King, A.; Anastasio, C.; Niemeier, D.; Scow, K.

    2007-12-01

    Junior high school students in Davis, CA, were targeted in an outreach project combining interactive and hands- on information about global warming and carbon footprints with a bike/walk to school challenge. The project was conducted by the Kearney Foundation of Soil Science, the Department of Land, Air and Water Resources and the John Muir Institute of the Environment at the University of California Davis. Approximately 70 undergraduates, graduate students, post-doc researchers, faculty and staff from UCD and the town of Davis were involved. Workshops were held in the 7th, 8th and 9th grade science classes in Davis' 3 junior high schools, reaching a total of 1700 students. Each 50-minute presentation consisted of a Global Warming Jeopardy game, followed by individual calculation of carbon footprints oriented towards a junior high school student. Biking or walking to school, instead commuting by car, was introduced as an important and feasible activity that could reduce one's carbon footprint. Working with staff from each junior high, students were then challenged to increase biking or walking to school during a 2 week Bike/Walk to School Challenge . UCD students and staff monitored automobile commuting (# cars, idle time) and bike use during this time and provided incentives for biking or walking . All schools were recognized for efforts to reduce their carbon footprints, and the concept was reinforced at the start of the following school year by planting a tree at each school.

  14. Pygmalion Effect on Junior English Teaching

    Directory of Open Access Journals (Sweden)

    Yurong Wang

    2014-12-01

    Full Text Available Pygmalion Effect, or Robert Rosenthal Effect, was proved by the famous American psychologist Robert Rosenthal and Jacobson in 1968. Pygmalion Effect, as a matter of fact, is a psychological suggestion, which believes that people can accept the influence and suggestion given by the people whom very much they admire, like, believe, and respect. This effect was first applied in the field of management and medication. What’s more, remarkable achievements have been accomplished on human resource management. Robert Rosenthal put it into education through an experiment called Pygmalion in the Classroom, which aroused widely attention in the education sector. This thesis mainly focuses on the application of Pygmalion effect in English teaching, especially junior English teaching in China. If we can make good use of the Pygmalion Effect to conduct teaching and have positive expectations to students, it will improve teaching greatly.

  15. 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

  16. Computer-Based Training at a Military Medical Center: Understanding Decreased Participation in Training among Staff and Ways to Improve Completion Rates

    Science.gov (United States)

    Lavender, Julie

    2013-01-01

    Military health care facilities make extensive use of computer-based training (CBT) for both clinical and non-clinical staff. Despite evidence identifying various factors that may impact CBT, the problem is unclear as to what factors specifically influence employee participation in computer-based training. The purpose of this mixed method case…

  17. Seroprevalence of Antibodies to Pandemic (H1N1 2009 Influenza Virus Among Hospital Staff in a Medical Center in Taiwan

    Directory of Open Access Journals (Sweden)

    Yu-Jiun Chan

    2010-02-01

    Conclusion: The SPR of antibodies against the pandemic (H1N1 2009 virus in the hospital staff was higher than that in the general population, reflecting a higher contact risk. Prevaccination surveillance of the immune status of different risk groups may help to prioritize which groups should be vaccinated first.

  18. 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

  19. Interns as teachers of medical students: a pilot programme.

    LENUS (Irish Health Repository)

    Dunne, B

    2012-01-31

    BACKGROUND: In recent years, rising numbers of medical students and an increasingly demanding clinical workload has put pressures on the educational systems for medical students in the hospital. Bedside teaching remains central to education, but tutorial delivery by registrars, tutors and consultants has proven to be increasingly difficult with the greater numbers of students now in the undergraduate system. AIMS: We have performed a pilot study to determine the feasibility of developing a Junior Tutor Programme, to assist in the delivery of tutorials to undergraduate medical students. METHODS: This was designed and delivered by interns under the supervision of the academic staff in the Departments of Medicine and Surgery in Connolly Hospital. The programme was evaluated by a questionnaire filled in by the students anonymously. RESULTS: A supervised programme of tutorials delivered by interns is a potentially useful way to ensure delivery of clinical teaching to undergraduate medical students.

  20. Medical engagement and organizational characteristics in general practice

    DEFF Research Database (Denmark)

    Ahnfeldt-Mollerup, Peder; dePont Christensen, René; Halling, Anders;

    2016-01-01

    and this is determined by a complex interaction between both individual and organizational characteristics. Working in collaboration, having staff and being engaged in vocational training of junior doctors are all associated with enhanced levels of medical engagement among GPs.......BACKGROUND: Medical engagement is a mutual concept of the active and positive contribution of doctors to maintaining and enhancing the performance of their health care organization, which itself recognizes this commitment in supporting and encouraging high quality care. A Medical Engagement Scale...... results were analysed in conjunction with the GP register data. RESULTS: Statistically adjusted analyses revealed that the GPs' medical engagement varied substantially. GPs working in collaboration with colleagues were more engaged than GPs from single-handed practices, older GPs were less engaged than...

  1. 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.

  2. 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

  3. 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

  4. 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

  5. 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。

  6. 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:

  7. A pilot survey of junior doctors' confidence in tasks related to broad aspects of competence

    DEFF Research Database (Denmark)

    Davis, Deborah J; Skaarup, Anne Marie; Ringsted, Charlotte

    2005-01-01

    Medical authorities and society are recommending that postgraduate medical education prepare physicians for broad aspects of competence. The most effective ways to prepare physicians for these are not known. The aim of this pilot study was to survey junior doctors' growth in confidence in different...... physician roles. A total of 165 junior doctors in internal medicine completed a self-administered survey of confidence levels in physician roles. Confidence levels between training levels were compared. Confidence in the roles of medical expert, communicator and collaborator increased between PRHOs and SHOs...... tracking will be important to evaluate the effect of educational interventions on patient care. Udgivelsesdato: 2005-Sep...

  8. 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.

  9. 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.

  10. 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.

  11. 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. 

  12. 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...

  13. 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

  14. 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.

  15. 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

  16. 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.

  17. 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

  18. 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.

  19. 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.

  20. 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。

  1. Working pressure, Occupational Stress and Job Satisfaction of Medical Staff in Military Central Hospital%军队中心医院医务人员工作压力、应激与满意度调查

    Institute of Scientific and Technical Information of China (English)

    张莹; 段家怀; 罗敬河; 陈铖

    2011-01-01

    Objective The study was designed to probe into the working pressure , occupational stress status and job satisfaction with work in different groups of medical staffs in military central hospital, and to provide reference for establishing relevant policies.Methods Three hundreds of military medical staffs were surveyed by a questionnaire and a self - assessing scale.The Stress level was measured by the soldier psychological stress self - evaluation test ( PSET )developed by Li Quan - Cao and the level of working pressure and job satisfaction were measured by a simplified self - assessing scale of 0 - 10 scores.Results The working pressure and stress status degree were both assessed overloaded on the medical staffs in military central hospitals of this area whereas the job satisfaction was assessed relatively sufficient.The outcomes varied to the difference of age, official rank, professional titles and type of job profession.Conclusion The staff aging from 31 to 40.with battalion rank and with intermediate professional title should be the priority of emphasis.%目的 了解军队中心医院医务人员不同群体的工作压力、应激水平及工作满意度情况,为制订有关政策提供依据.方法 以问卷方式对某地区的3家军队中心医院的300名医务人员(现役军人)进行调查,应激水平采用李权超,工 作压力与工作满意度采用0~10分自评.结果 该地区军队中心医院医务人员工作压力较大,应激水平较高,总体工作满意度为比较满意,不同年龄、职别、技术职称及专业性质人员的情况存在差异.结论 对年龄段在31~40岁,营职,中级技术职称的军队医务人员应予更多的重视和关注.

  2. 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.

  3. 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.

  4. A comprehensive systematic review of the use of simulation in the continuing education and training of qualified medical, nursing and midwifery staff.

    Science.gov (United States)

    Elliott, Sharon; Murrell, Karen; Harper, Peter; Stephens, Tim; Pellowe, Carol

    2011-01-01

    Simulation can be defined as a person, device or set of conditions made to resemble a real life situation. It is used in many high-risk industries particularly when reality is dangerous, critical events are rare and errors are costly in human and/or financial terms. The use of simulation in the UK is now considered an essential component of education programmes designed for healthcare practitioners. However the use of simulation in undergraduate education has been studied in depth but little is known about its use in postgraduate education. The aim of this systematic review was to establish: where and in which context is simulation an effective educational medium in post qualifying/continuing education; what is the benefit to learners of using simulation in respect of their knowledge, skills and confidence and what are the implications for future research in this area? This review looked for both quantitative and qualitative evidence in the form of primary research.The review focused on post qualification medical, nursing and midwifery staff undertaking educational development programmes utilising simulation. Types of interventions: the intervention explored in this review is simulation in the form of the re-creation of a patient centred scenario / event in a realistic context. The review explicitly excluded simulation designed to specifically to improve motor skills in isolation from context, such as part task trainers. The outcome measures to be explored in this review were: demonstration of the application of knowledge to the simulated clinical situation; demonstrable improvement in knowledge of the environment and equipment; demonstration of risk assessment; safe working practice in relation to the clinical environment; recognition of own limitations and knowing when to call for help; effective communication; team working and leadership skills; evidence from learners in relation to the educational experience; evidence of increased learner confidence following

  5. 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

  6. 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。

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

    Directory of Open Access Journals (Sweden)

    Maryam Najibi

    2015-07-01

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

  8. 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

  9. 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.

  10. 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

  11. 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

  12. Perspectives of staff nurses of the reasons for and the nature of patient-initiated call lights: an exploratory survey study in four USA hospitals

    Directory of Open Access Journals (Sweden)

    Tzeng Huey-Ming

    2010-02-01

    Full Text Available Abstract Background Little research has been done on patient call light use and staff response time, which were found to be associated with inpatient falls and satisfaction. Nurses' perspectives may moderate or mediate the aforementioned relationships. This exploratory study intended to understand staff's perspectives about call lights, staff responsiveness, and the reasons for and the nature of call light use. It also explored differences among hospitals and identified significant predictors of the nature of call light use. Methods This cross-sectional, multihospital survey study was conducted from September 2008 to January 2009 in four hospitals located in the Midwestern region of the United States. A brief survey was used. All 2309 licensed and unlicensed nursing staff members who provide direct patient care in 27 adult care units were invited to participate. A total of 808 completed surveys were retrieved for an overall response rate of 35%. The SPSS 16.0 Window version was used. Descriptive and binary logistic regression analyses were conducted. Results The primary reasons for patient-initiated calls were for toileting assistance, pain medication, and intravenous problems. Toileting assistance was the leading reason. Each staff responded to 6 to 7 calls per hour and a call was answered within 4 minutes (estimated. 49% of staff perceived that patient-initiated calls mattered to patient safety. 77% agreed that that these calls were meaningful. 52% thought that these calls required the attention of nursing staff. 53% thought that answering calls prevented them from doing the critical aspects of their role. Staff's perceptions about the nature of calls varied across hospitals. Junior staff tended to overlook the importance of answering calls. A nurse participant tended to perceive calls as more likely requiring nursing staff's attention than a nurse aide participant. Conclusions If answering calls was a high priority among nursing tasks, staff

  13. 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

  14. 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.

  15. [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.

  16. 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

  17. 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

  18. 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

  19. Teaching History in the Junior College.

    Science.gov (United States)

    Ediger, Marlow

    1989-01-01

    Recommends techniques for teaching history in the junior college. Discusses subject matter to be taught, the psychology of learning, and the philosophy of teaching history. Addresses the special needs of the junior college classroom. Outlines criteria to be followed in teaching history. (RW)

  20. Junior High Career Planning: What Students Want

    Science.gov (United States)

    Bardick, Angela D.; Bernes, Kerry B.; Magnusson, Kris C.; Witko, Kim D.

    2004-01-01

    This research used "The Comprehensive Career Needs Survey" to assess the career counselling needs of 3,562 junior high students in Southern Alberta. This article examines junior high students' responses regarding their perceptions of (a) the relevance of career planning, (b) who they would approach for help with career planning, and (c)…

  1. Junior High Norms for the Bender Gestalt.

    Science.gov (United States)

    Grow, Richard T.

    1980-01-01

    Junior high students were tested to supply normative data supporting the Bender Gestalt. Subject's performance was not significantly related to sex or occupation of the family bread winner. These variables do not have to be controlled for in norming visual motor tests at the junior high level. (Author)

  2. Effective Management in Junior High Mathematics Classrooms.

    Science.gov (United States)

    Emmer, Edmund T.

    Reporting on part of the data collected in the Junior High Classroom Organization Study, this document focuses on the mathematics subsample. Twenty-six mathematics teachers in 11 junior high schools were observed in two classes. The major purpose of this paper is to describe the classroom procedures and behaviors of teachers identified as…

  3. Personality differences among junior postgraduate trainees in the United Kingdom.

    Science.gov (United States)

    Martinou, Eirini; Allan, Hayley; Vig, Stella

    2015-01-01

    An early understanding of the personality profiles of junior trainees may be valuable for supporting the professional and educational development of tomorrow's doctors. This study aims to describe the personality profile of junior trainees and to explore whether the personality profiles differed according to the level of training, specialty choice, or gender. The Mental Muscle Diagram Indicator was distributed electronically. South West London, Health Education England South London. A total of 157 junior trainees completed the personality questionnaire. Specifically, there were core surgical (n = 40), core medical (n = 24), and foundation trainees (n = 93). The preferential profile across all groups was Extroversion (E), Sensing (S), Feeling (F), and Perception (P). More foundation doctors favored an extrovert and sensing personality when compared with core trainees (72% vs 60.4% and 77.4% vs 57.5%, respectively). More core surgical trainees appeared to prefer Extroversion when compared with their medical counterparts (66.7% vs 54.2%). More core medical trainees favored an intuitive behavior when compared with their surgical colleagues (50% vs 35%). Significantly, more female trainees (83.3%) displayed an extrovert personality than male trainees (66.7%) did. According to the Mental Muscle Diagram Indicator analysis, this work shows that the more junior the trainees are in their career, the more they tend to enjoy human interaction and to favor acting before thinking. The most junior trainees tend to be slightly more interested in dealing with facts rather than ideas and favor a flexible approach of life. The reducing ratio of Extroversion and Sensing in the core trainees when compared with foundation doctors may suggest that clinical experience has an effect on personality. As trainees begin to progress, they may tend to reflect more on their practice and to start thinking about more long term. These results suggest that a greater understanding of their personality

  4. THE MANAGEMENT OF HUMAN RESOURCE DEVELOPMENT IN AR RAIHAN BANDAR LAMPUNG JUNIOR HIGH SCHOOL

    Directory of Open Access Journals (Sweden)

    Betti Nuraini

    2014-11-01

    Full Text Available This case study portrays the human resources development management in Junior High School Ar Raihan Bandar Lampung. It was designed into five stages, i.e. planning, designing (determining, collecting data, analyzing data, and drawing conclusion. The study found that (1 the selection process the teachers’, librarians’ and laboratory personnels’ recruitment was nil; (2 the recruitment gave priority only to teachers, counselors, and administrative staff;; (3 the employment of librarians and laboratory assistants becomes a second priority compared to teachers, counselors, and administrative staff; (5 the school gave an equal renumeration to the teachers and the education personnel; (6 the focus of human development was on teachers.

  5. Vocabulary Development of Junior Teens

    Directory of Open Access Journals (Sweden)

    L. V. Nikonova

    2013-01-01

    Full Text Available The article deals with the communicative competence formation of young adolescents in the secondary school at the Russian language lessons. The author maintains that the key element of the above problem is the vocabulary development guaranteeing both comprehension and verbal expression formation – oral and written. The theoretical part of the research explores different word functions: nominal, communicative, text generating and semantic. The correlation between the mental development level and lexical semantic system formation is emphasized. The age specific features of junior teens are listed: rising interest to various life spheres and activi- ties, capability of formulating opinions and judgments, self-awareness, formation of values. The relationship complexity stimulates vocabulary development of 10 to 12 year-old children; however, the process requires peda- gogical facilitation.The monitoring of speech development proves the necessity of commutative competence formation of the fifth- and sixth-year pupils. The paper presents the model of communicative competence development and its approbation results received for the junior adolescents. 

  6. Vocabulary Development of Junior Teens

    Directory of Open Access Journals (Sweden)

    L. V. Nikonova

    2015-03-01

    Full Text Available The article deals with the communicative competence formation of young adolescents in the secondary school at the Russian language lessons. The author maintains that the key element of the above problem is the vocabulary development guaranteeing both comprehension and verbal expression formation – oral and written. The theoretical part of the research explores different word functions: nominal, communicative, text generating and semantic. The correlation between the mental development level and lexical semantic system formation is emphasized. The age specific features of junior teens are listed: rising interest to various life spheres and activi- ties, capability of formulating opinions and judgments, self-awareness, formation of values. The relationship complexity stimulates vocabulary development of 10 to 12 year-old children; however, the process requires peda- gogical facilitation.The monitoring of speech development proves the necessity of commutative competence formation of the fifth- and sixth-year pupils. The paper presents the model of communicative competence development and its approbation results received for the junior adolescents. 

  7. Factores relacionados con la satisfacción laboral de enfermería en un hospital médico-quirúrgico Factors related to nursing staff job satisfaction in a medical and surgery hospital

    Directory of Open Access Journals (Sweden)

    Juan Máximo Molina Linde

    2009-09-01

    Full Text Available Objetivo: analizar el grado de satisfacción laboral de los profesionales de enfermería que trabajan en un hospital médico-quirúrgico y establecer los factores sociodemográficos y profesionales relacionados con la misma. Metodología: estudio transversal y descriptivo. Se seleccionaron aleatoriamente 75 profesionales de enfermería (total: 510 del Hospital Médico Quirúrgico de la Ciudad Sanitaria "Virgen de las Nieves", de Granada, España, se autoadministra un cuestionario anónimo, compuesto por el Font-Roja (mide la satisfacción laboral y variables socio-demográficas y laborales. Resultados: la edad media de los encuestados es de 42,9 años; 72% mujeres, 64,9% casados, 73,3% vinculados en propiedad, 58,7% son del bloque de hospitalización y 67,6% tiene turno rotatorio. El grado de satisfacción global del Font Roja resulta medio (69,92 ± 10,48, recorrido entre 24 y 120. La dimensión mejor valorada es la «relación interpersonal con los compañeros» (3,82 ± 0,86 y la peor valorada la «promoción profesional» (2,28 ± 0,75. El bloque o lugar de trabajo es un elemento predictor de la satisfacción laboral (ß=-0,297, p=0,018. Análisis y discusión: un entorno de trabajo que garantice más satisfacción laboral para los profesionales de enfermería redundaría en mejoras de calidad en los cuidados recibidos por los pacientes de parte de este tipo de personal.Objective: to analyze the degree of job satisfaction of staff nurses working in a medical and surgical hospital, and to establish the socio-demographics and professional factors related to their job satisfaction. Methodology: cross-sectional and performed on seventy five persons of the nursing staff of the medical and surgery hospital (total: 510 of Ciudad Sanitaria Virgen de las Nieves of Granada (Spain, by means of a self-administered and anonymous survey. The questionnaire has two parts: the first one is Font-Roja test (it measures the job satisfaction and the second one

  8. 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

  9. 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

  10. 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.

  11. 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.

  12. 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。

  13. 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.

  14. 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.

  15. 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.

  16. 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。

  17. A time and motion study of junior doctor work patterns on the weekend: a potential contributor to the weekend effect?

    Science.gov (United States)

    Richardson, L C; Lehnbom, E C; Baysari, M T; Walter, S R; Day, R O; Westbrook, J I

    2016-07-01

    Patients admitted to hospital on weekends have a greater risk of mortality compared to patients admitted on weekdays. Junior medical officers (JMO) make up the majority of medical staff on weekends. No previous study has quantified JMO work patterns on weekends. To describe and quantify JMO work patterns on weekends and compare them with patterns previously observed during the week. Observational time and motion study of JMO working weekends using the Work Observation Method by Activity Timing (WOMBAT; Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia) software. Descriptive statistics were used to determine the proportion of total observed time spent in tasks. Weekend JMO predominately spent time in indirect care (32.0%), direct care (23.0%) and professional communication (22.1%). JMO spent 20.9% of time multitasking and were interrupted, on average, every 9 min. Weekend JMO spent significantly more time in direct care compared with weekdays (13.0%; P pattern of JMO work could be a potential contributing factor to the weekend effect in terms of JMO abilities to respond safely and adequately to care demands. © 2016 Royal Australasian College of Physicians.

  18. Musculoskeletal Injuries and Training Patterns in Junior Elite Orienteering Athletes

    Directory of Open Access Journals (Sweden)

    Lilian Roos

    2015-01-01

    Full Text Available Findings about the relation between musculoskeletal injuries and training patterns in orienteering athletes are sparse. Therefore, the musculoskeletal injuries and training patterns of 31 Swiss elite orienteering athletes aged 18-19 years were analyzed in a retrospective study. Individual training diaries and medical records were used to assess training data and injury history, respectively. Group comparisons and a multiple linear regression (MLR were performed for statistical analysis. The junior elite orienteering athletes performed 7.38 ± 2.00 training sessions weekly, with a total duration of 455.75 ± 98.22 minutes. An injury incidence rate (IIR of 2.18 ± 2.13 injuries per 1000 hours of training was observed. The lower extremity was affected in 93% of all injuries, and the knee (33% was the most commonly injured location. The MLR revealed that gender and six training variables explained 60% of the variance in the injury severity index in this study. Supported by the low IIR in the observed age group, the training protocol of the junior elite orienteering athletes was generally adequate. In comparison to elite track, marathon, and orienteering athletes, the junior elite athletes performed less high-intensity interval training (HIIT. However, more frequent HIIT seems to be a protective factor against injuries.

  19. Musculoskeletal Injuries and Training Patterns in Junior Elite Orienteering Athletes.

    Science.gov (United States)

    Roos, Lilian; Taube, Wolfgang; Zuest, Peter; Clénin, German; Wyss, Thomas

    2015-01-01

    Findings about the relation between musculoskeletal injuries and training patterns in orienteering athletes are sparse. Therefore, the musculoskeletal injuries and training patterns of 31 Swiss elite orienteering athletes aged 18-19 years were analyzed in a retrospective study. Individual training diaries and medical records were used to assess training data and injury history, respectively. Group comparisons and a multiple linear regression (MLR) were performed for statistical analysis. The junior elite orienteering athletes performed 7.38 ± 2.00 training sessions weekly, with a total duration of 455.75 ± 98.22 minutes. An injury incidence rate (IIR) of 2.18 ± 2.13 injuries per 1000 hours of training was observed. The lower extremity was affected in 93% of all injuries, and the knee (33%) was the most commonly injured location. The MLR revealed that gender and six training variables explained 60% of the variance in the injury severity index in this study. Supported by the low IIR in the observed age group, the training protocol of the junior elite orienteering athletes was generally adequate. In comparison to elite track, marathon, and orienteering athletes, the junior elite athletes performed less high-intensity interval training (HIIT). However, more frequent HIIT seems to be a protective factor against injuries.

  20. 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...

  1. Decentralized Ground Staff Scheduling

    DEFF Research Database (Denmark)

    Sørensen, M. D.; Clausen, Jens

    2002-01-01

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

  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 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.

  4. Training and Practices of Cannabis Dispensary Staff.

    Science.gov (United States)

    Haug, Nancy A; Kieschnick, Dustin; Sottile, James E; Babson, Kimberly A; Vandrey, Ryan; Bonn-Miller, Marcel O

    2016-01-01

    Introduction: The proliferation of cannabis dispensaries within the United States has emerged from patient demand for the legalization of cannabis as an alternative treatment for a number of conditions and symptoms. Unfortunately, nothing is known about the practices of dispensary staff with respect to recommendation of cannabis strains/concentrations for specific patient ailments. To address this limitation, the present study assessed the training and practices of cannabis dispensary staff. Materials and Methods: Medical and nonmedical dispensary staff (n=55) were recruited via e-mail and social media to complete an online survey assessing their demographic characteristics, dispensary features, patient characteristics, formal training, and cannabis recommendation practices. Results: Fifty-five percent of dispensary staff reported some formal training for their position, with 20% reporting medical/scientific training. A majority (94%) indicated that they provide specific cannabis advice to patients. In terms of strains, dispensary staff trended toward recommendations of Indica for anxiety, chronic pain, insomnia, nightmares, and Tourette's syndrome. They were more likely to recommend Indica and hybrid plants for post-traumatic stress disorder (PTSD)/trauma and muscle spasms. In contrast, staff were less likely to recommend Indica for depression; hybrid strains were most often recommended for amyotrophic lateral sclerosis (ALS). In terms of cannabinoid concentrations, dispensary staff were most likely to recommend a 1:1 ratio of delta-9-tetrahydrocannabinol (THC):cannabidiol (CBD) for patients suffering from anxiety, Crohn's disease, hepatitis C, and PTSD/trauma, while patients seeking appetite stimulation were most likely to be recommended THC. Staff recommended high CBD for arthritis and Alzheimer's disease and a high CBD or 1:1 ratio for ALS, epilepsy, and muscle spasms. Conclusions: Although many dispensary staff are making recommendations consistent with

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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.

  10. 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.

  11. 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

  12. 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

  13. 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.

  14. 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.

  15. 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.

  16. 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.

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

    Institute of Scientific and Technical Information of China (English)

    王子姝; 赵丽珍; 郑建萍

    2014-01-01

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

  18. CARIES PREVENTION AMONG JUNIOR SCHOOLCHILDREN

    Directory of Open Access Journals (Sweden)

    S.К. Matelo

    2011-01-01

    Full Text Available Biennial program of controlled tooth brushing performed econdary school among junior schoolchildren from Minsk secondary school № 166 proved to be highly effective. Decrease in caries increment has been shown on the average up to 50%. No credible differences between remineralising defluorinated toothpastes or pastes enriched with aminofluoride (F = 500 ppm and sodium fluoride  (F = 1000 ppm efficacy were found in this study. Credibility of the results was determined by comparison with similar study conducted on a bigger population of children. Though anti-caries effect of the same tooth-pastes in a bigger-scale study was lower — within 30%. Such difference can be explained by a different level of motivation and discipline of participants.Key words: schoolchildren, dental caries prevention, toothpastes. (Voprosy sovremennoi pediatrii — Current Pediatrics. — 2011; 10 (6: 48–51

  19. 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.

  20. The educational value of ward rounds for junior trainees

    Directory of Open Access Journals (Sweden)

    Faidon-Marios Laskaratos

    2015-04-01

    Full Text Available The ward round (WR is a complex task and medical teachers are often faced with the challenge of finding a balance between service provision and clinical development of learners. The educational value of WRs is an under-researched area. This short communication aims to evaluate the educational role of WRs for junior trainees and provides insight into current practices. It also identifies obstacles to effective teaching/training in this setting and provides suggestions for improving the quality of WR teaching.

  1. Junior doctors' views on reporting concerns about patient safety: a qualitative study.

    Science.gov (United States)

    Hooper, Patricia; Kocman, David; Carr, Sue; Tarrant, Carolyn

    2015-05-01

    Enabling healthcare staff to report concerns is critical for improving patient safety. Junior doctors are one of the groups least likely to engage in incident reporting. This matters both for the present and for the future, as many will eventually be in leadership positions. Little is known about junior doctors' attitudes towards formally reporting concerns. To explore the attitudes and barriers to junior doctors formally reporting concerns about patient safety to the organisations in which they are training. A qualitative study comprising three focus groups with 10 junior doctors at an Acute Teaching Hospital Trust in the Midlands, UK, conducted in 2013. Focus group discussions were transcribed verbatim and analysed using a thematic approach, facilitated by NVivo 10. Participants were supportive of the idea of playing a role in helping healthcare organisations become more aware of risks to patient safety, but identified that existing incident reporting systems could frustrate efforts to report concerns. They described barriers to reporting, including a lack of role modelling and senior leadership, a culture within medicine that was not conducive to reporting concerns, and a lack of feedback providing evidence that formal reporting was worthwhile. They reported a tendency to rely on informal ways of dealing with concerns as an alternative to engaging with formal reporting systems. If healthcare organisations are to be able to gather and learn from intelligence about risks to patient safety from junior doctors, this will require attention to the features of reporting systems, as well as the implications of hierarchies and the wider cultural context in which junior doctors work. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  2. 医学专升本学生时间管理倾向与自我监控的相关性研究%A correlative study on time management disposition and self-monitoring of medical students upgrading from junior college to university

    Institute of Scientific and Technical Information of China (English)

    马俊卿

    2015-01-01

    目的:了解医学专升本学生时间管理倾向与自我监控的状况,并分析两者的相关性。方法采用青少年时间管理倾向量表和Snyder自我监控力量表个人反应问卷,对专升本406名学生进行调查和分析。结果1)医学专升本学生中生活在农村与生活在城镇的学生在时间效能感上的差异( t=2.223,P﹤0.05)、是否独生子女在时间管理倾向与时间效能感上的差异( t=-2.138,P﹤0.05;t=-2.616,P﹤0.05)、是否学生干部在时间监控感上的差异( t=2.731,P﹤0.05)有统计学意义;2)在各人口统计学特征上,高/低监控水平都存在统计学意义,有显著性差异(P﹤0.05);3)自我监控与时间监控感存在低度相关(r=0.104,P﹤0.05)。结论医学专升本学生自我监控水平的不同对时间管理倾向的影响不明显,但自我监控水平与时间监控观存在相关性。%Objective To know the status of time management disposition and self‐monitoring of medical students upgrading from junior college to university ,and to analyze the correlation between the two .Methods By Time Management Disposition Scale and Snyder self‐monitoring individuals reaction force form questionnaire , the investigation and analysis on the 406 students .Results 1)Medical students upgrading from junior college to univer‐sity of colleges and universities living in rural and urban in the time difference in efficacy ( t=2.223 ,P﹤0.05 ) , whether the child at the time management disposition and time management efficacy difference ( t= -2.138 ,P﹤0.05 ;t= -2.616 ,P﹤ 0.05 ) , whether the student leaders a sense of the difference in the time control ( t=2.731 ,P﹤0 .05 ) was statistically significant .2 )In each demographic characteristics ,high/low control level have statistically significant ,there were significant differences ( P﹤0.05 ) .3 )Self‐monitoring and low sense of time mo

  3. Improving Mathematical Problem-Solving Skills in the Middle Grades. A Staff Training Manual.

    Science.gov (United States)

    Weiland, Linnea; And Others

    This manual was written to help district curriculum leaders in New Jersey improve instruction in mathematical problem solving in middle and junior high schools. Four training modules contain the material and information needed to conduct a staff development course. The manual was designed to accompany turn-key training sessions to prepare the…

  4. 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

  5. 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

  6. 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.

  7. Outbreak of Mysterious Illness Among Hospital Staff

    DEFF Research Database (Denmark)

    Jacobsen, Peter; Ebbehøj, Niels Erik

    2016-01-01

    BACKGROUND: Hospitals are rarely reported as settings for mass psychogenic illness (MPI). The present report scrutinizes an outbreak of probable MPI among hospital staff, with medical intervention reinforcing the course of the illness. CASE REPORT: Four of seven staff members in an emergency depa....... Outbreaks of illness in a group of symptomatic victims without indication of significant physical disease should be managed by observation and limited intervention.......BACKGROUND: Hospitals are rarely reported as settings for mass psychogenic illness (MPI). The present report scrutinizes an outbreak of probable MPI among hospital staff, with medical intervention reinforcing the course of the illness. CASE REPORT: Four of seven staff members in an emergency...... the following 9 days, 14 possible poisoning victims were identified, 6 of whom were transferred for HBO. After hospital stays with repeated HBO treatment and examinations without identification of significant physical disease, the majority of the 10 HBO-treated victims remained symptomatic, some on prolonged...

  8. Work Stressors, Social Support, and Burnout in Junior Doctors: Exploring Direct and Indirect Pathways

    Science.gov (United States)

    Sochos, Antigonos; Bowers, Alexis; Kinman, Gail

    2012-01-01

    The study tested a pathway model linking different occupational stressors, different sources of social support, and burnout. A sample of 184 junior medical doctors was used. Pathway analysis suggested that doctors who experienced increased time demands, organizational constraints, and a lack of personal confidence perceived their consultants as…

  9. Topic Outlines in Microbiology: An Instructor's Guide for Junior and Community Colleges.

    Science.gov (United States)

    American Society for Microbiology, Washington, DC.

    This resource guide presents subject matter organized in outline form for four topical areas: introductory microbiology; medical microbiology; microbial genetics; and microbial physiology. The first two units comprise the two most frequently taught microbiology courses in community and junior colleges. The outlines for microbial genetics and…

  10. 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. 

  11. Academic Staff Perspectives Towards Adoption of E-learning at Melaka Manipal Medical College: Has E-learning Redefined our Teaching Model?

    Science.gov (United States)

    Bhardwaj, A; Nagandla, K; Swe, K Mm; Abas, A Bl

    2015-01-01

    E-learning is the use of Information and Communication Technology (ICT) to provide online education and learning. E- Learning has now been integrated into the traditional teaching as the concept of 'blended learning' that combines digital learning with the existing traditional teaching methods to address the various challenges in the field of medical education. Structured e-learning activities were started in Melaka Manipal Medical College in 2009 via e-learning platform (MOODLE-Modular Object-Oriented Dynamic Learning Environment). The objective of the present study is to investigate the faculty opinions toward the existing e-learning activities, and to analyse the extent of adopting and integration of e-learning into their traditional teaching methods. A cross sectional study was conducted among faculties of Medicine and Dentistry using pre-tested questionnaires. The data was analyzed by using the statistical package for social science, SPSS, version 16.0. The result of our survey indicates that majority of our faculty (65.4%) held positive opinion towards e-learning. Among the few, who demonstrated reservations, it is attributed to their average level of skills and aptitude in the use of computers that was statistically significant (plearning that enables smooth transition of the faculty from their traditional teaching methods into blended approach. Our results are anticipated to strengthen the existing e-learning activities of our college and other universities and convincingly adopt e-learning as a viable teaching and learning strategy.

  12. Investigation on AIDS/STD related knowledge, attitude and behavior among junior college students in medical college%医学院校低年级大学生AIDS/STD相关知识、态度及行为调查

    Institute of Scientific and Technical Information of China (English)

    黄翔; 陆杰灵; 苏国生

    2015-01-01

    Objective To investigate the knowledge, attitude and behavior related to acquire immune deifciency syndrome and sexually transmitted disease (AIDS/STD) among junior college students in medical college, and to provide suggestion on the future health education on AIDS/STD and recruitment of low-risk blood donors for junior students. Methods The self-designed questionnaire and random sampling were used to investigate on freshmen whose number was 1 250 in a medical college. Results Respondents’ awareness rate of three major routes of AIDS transmission was from 79.67%to 91.79%. Nearly 9.20%of the respondents agree on the premarital sexual behavior. And about 18.7%of the students showed the fear to AIDS and they were reluctant to admit patients with AIDS. Conclusions The health education on AIDS/STD related knowledge should be made to be universal, and enhance sexual morality, safe sexual behavior and ethics training.%目的:研究了解医学院(校)低年级大学生的艾滋病/性病(AIDS/STD)相关知识、态度及行为的现状及性知识需求,为今后开展低年级大学生AIDS/STD的宣教和低危献血者的招募提供依据。方法自行设计问卷,采取随机抽样的方法对某医学院(校)大一新生1250人进行自填式问卷调查。结果被访者对AIDS三大主要传播途径知晓率为79.67%~91.79%;近9.20%的被访者对婚前性行为表示赞同;18.7%的学生表示对AIDS恐惧,并在将来的工作中不愿接收AIDS患者。结论普及AIDS/STD相关知识的宣教并增强性道德、安全性行为及职业道德的培养。

  13. 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

  14. [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.

  15. 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.

  16. Junior faculty core curriculum to enhance faculty development.

    Science.gov (United States)

    Guillet, Ronnie; Holloway, Robert G; Gross, Robert A; Libby, Katie; Shapiro, Janine R

    2017-04-01

    Senior Instructors and Assistant Professors in their first academic appointment may not have all the tools for an efficient start to their careers. Although many institutions provide access to mentoring programs and seminars on faculty development, the timing and format of the offerings often conflict with ongoing responsibilities of the faculty, particularly clinical faculty. We established a collaboration between the Clinical and Translational Science Institute (CTSI) and the University of Rochester Medical Center Office for Faculty Development with the goal of developing a week-long Junior Faculty Core Curriculum that would better suit faculty schedules. We convened focus groups and with their help, identified themes for inclusion in the course. Speakers were identified from among local senior faculty. University leadership was enlisted in promoting the course. Individual speakers and course content were evaluated daily, at the end of the week-long course, and 6 months later. Planning for subsequent years incorporated the feedback. Yearly evaluations and subsequent course modification continued. Junior faculty from nearly every department in the Medical Center were represented. There was high learner satisfaction and participation however several limitations were identified and addressed in subsequent years. The focus on principles and available resources, not specific skills or content was appropriate. Daily interactions among participants from a wide variety of departments fostered networking among faculty who may not otherwise have met and discussed common interests. The ultimate value of such an early, intensive faculty development program will depend on whether it equips junior faculty to organize, develop, and achieve their academic goals better than alternative formats. This will require further study.

  17. Engaging Frontline Leaders and Staff in Real-Time Improvement.

    Science.gov (United States)

    Phillips, Jennifer; Hebish, Linda J; Mann, Sharon; Ching, Joan M; Blackmore, C Craig

    2016-04-01

    The relationship of staff satisfaction and engagement to organizational success, along with the integral influence of frontline managers on this dimension, is well established in health care and other industries. To specifically address staff engagement, Virginia Mason Medical Center, an integrated, single-hospital health system, developed an approach that involved leaders, through the daily use of standard work for leaders, as well as staff, through a Lean-inspired staff idea system. Kaizen Promotion Office (KPO) staff members established three guiding principles: (1) Staff engagement begins with leader engagement; (2) Integrate daily improve- ment (kaizen) as a habitual way of life not as an add-on; and (3) Create an environment in which staff feel psycho- logically safe and valued. Two design elements--Standard Work for Leaders (SWL) and Everyday Lean Ideas (ELIs) were implemented. For the emergency department (ED), an early adopter of the staff engagement work, the challenge was to apply the guiding principles to improve staff engagement while improving quality and patient and staff satisfaction, even as patient volumes were increasing. Daily huddles for the KPO staff members and weekly leader rounds are used to elicit staff ideas and foster ELIs in real time. Overall progress to date has been tracked in terms of staff satisfaction surveys, voluntary staff turnover, adoption of SWL, and testing and implementation of staff ideas. For example, voluntary turnover of ED staff decreased from 14.6% in 2011 to 7.5% in 2012, and 2.0% in 2013. Organizationwide, at least 800 staff ideas are in motion at any given time, with finished ones posted in an idea supermarket website. A leadership and staff engagement approach that focuses on SWL and on capturing staff ideas for daily problem solving and improvement can contribute to organization success and improve the quality of health care delivery.

  18. Effect of an interactive cardiopulmonary resuscitation assist device with an automated external defibrillator synchronised with a ventilator on the CPR performance of emergency medical service staff: a randomised simulation study.

    Science.gov (United States)

    Nitzschke, Rainer; Doehn, Christoph; Kersten, Jan F; Blanz, Julian; Kalwa, Tobias J; Scotti, Norman A; Kubitz, Jens C

    2017-04-04

    The present study evaluates whether the quality of advanced cardiac life support (ALS) is improved with an interactive prototype assist device. This device consists of an automated external defibrillator linked to a ventilator and provides synchronised visual and acoustic instructions for guidance through the ALS algorithm and assistance for face-mask ventilations. We compared the cardiopulmonary resuscitation (CPR) quality of emergency medical system (EMS) staff members using the study device or standard equipment in a mannequin simulation study with a prospective, controlled, randomised cross-over study design. Main outcome was the effect of the study device compared to the standard equipment and the effect of the number of prior ALS trainings of the EMS staff on the CPR quality. Data were analysed using analyses of covariance (ANCOVA) and binary logistic regression, accounting for the study design. In 106 simulations of 56 two-person rescuer teams, the mean hands-off time was 24.5% with study equipment and 23.5% with standard equipment (Difference 1.0% (95% CI: -0.4 to 2.5%); p = 0.156). With both types of equipment, the hands-off time decreased with an increasing cumulative number of previous CPR trainings (p = 0.042). The study equipment reduced the mean time until administration of adrenaline (epinephrine) by 23 s (p = 0.003) and that of amiodarone by 17 s (p = 0.016). It also increased the mean number of changes in the person doing chest compressions (0.6 per simulation; p trainings, the time intervals in the ALS algorithm until the defibrillations decreased with standard equipment but increased with the study device. EMS staff with limited training in CPR profit from guidance through the ALS algorithm by the study device. However, the study device somehow reduced the ALS quality of well-trained rescuers and thus can only be recommended for ALS provider with limited experience.

  19. 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.

  20. Who Do Hospital Physicians and Nurses Go to for Advice About Medications? A Social Network Analysis and Examination of Prescribing Error Rates.

    Science.gov (United States)

    Creswick, Nerida; Westbrook, Johanna Irene

    2015-09-01

    To measure the weekly medication advice-seeking networks of hospital staff, to compare patterns across professional groups, and to examine these in the context of prescribing error rates. A social network analysis was conducted. All 101 staff in 2 wards in a large, academic teaching hospital in Sydney, Australia, were surveyed (response rate, 90%) using a detailed social network questionnaire. The extent of weekly medication advice seeking was measured by density of connections, proportion of reciprocal relationships by reciprocity, number of colleagues to whom each person provided advice by in-degree, and perceptions of amount and impact of advice seeking between physicians and nurses. Data on prescribing error rates from the 2 wards were compared. Weekly medication advice-seeking networks were sparse (density: 7% ward A and 12% ward B). Information sharing across professional groups was modest, and rates of reciprocation of advice were low (9% ward A, 14% ward B). Pharmacists provided advice to most people, and junior physicians also played central roles. Senior physicians provided medication advice to few people. Many staff perceived that physicians rarely sought advice from nurses when prescribing, but almost all believed that an increase in communication between physicians and nurses about medications would improve patient safety. The medication networks in ward B had higher measures for density, reciprocation, and fewer senior physicians who were isolates. Ward B had a significantly lower rate of both procedural and clinical prescribing errors than ward A (0.63 clinical prescribing errors per admission [95%CI, 0.47-0.79] versus 1.81/ admission [95%CI, 1.49-2.13]). Medication advice-seeking networks among staff on hospital wards are limited. Hubs of advice provision include pharmacists, junior physicians, and senior nurses. Senior physicians are poorly integrated into medication advice networks. Strategies to improve the advice-giving networks between senior

  1. 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。

  2. 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

  3. 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

  4. 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

  5. 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

  6. Personality traits predict job stress, depression and anxiety among junior physicians

    OpenAIRE

    2013-01-01

    Background: High levels of stress and deteriorating mental health among medical students are commonly reported. In Bergen, Norway, we explored the impact of personality traits measured early in their curriculum on stress reactions and levels of depression and anxiety symptoms as junior physicians following graduation.Methods: Medical students (n = 201) from two classes participated in a study on personality traits and mental health early in the curriculum. A questionnaire measuring p...

  7. Patient need at the heart of workforce planning: the use of supply and demand analysis in a large teaching hospital's acute medical unit.

    Science.gov (United States)

    Le Jeune, I R; Simmonds, M J R; Poole, L

    2012-08-01

    Timely medical assessment is integral to the safety and quality of healthcare delivery in acute medicine. Medical staff are an expensive resource. This study aimed to develop a modelling system that facilitated efficient workforce planning according to patient need on the acute medical unit. A realistic 24-hour 'supply' of junior doctors was calculated by adjusting the theoretical numbers on the rota for leave allowances, natural breaks and other ward duties by a combination of direct observation of working practice and junior doctor interviews. 'Demand' was analysed using detailed admission data. Supply and demand were then integrated with data from a survey of the time spent on the process of clerking and assessment of medical admissions. A robust modelling system that predicted the number of unclerked patients was developed. The utility of the model was assessed by demonstrating the impact of a regulation-compliant redesign of the rota using existing staff and by predicting the most efficient use of an additional shift. This simple modelling system has the potential to enhance quality of care and efficiency by linking workforce planning to patient need.

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. 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

  13. Elections to Staff Council

    CERN Multimedia

    Staff Association

    2011-01-01

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

  14. Internationalize Your Camp Staff.

    Science.gov (United States)

    Grier, Linda J.

    1986-01-01

    Provides a rationale for using international applicants for American summer camp positions and summarizes the services of organizations that screen, interview, and orient qualified applicants. Discusses contributions that international staff can make to a camp program with a global perspective and points out staff orientation and other practical…

  15. Censorship of IMC Materials in Wisconsin Schools. Part I: Focus on Middle/Junior High Schools. Results of a Survey Conducted in May 1980.

    Science.gov (United States)

    Wisconsin State Dept. of Public Instruction, Madison.

    Professional staff in school libraries and instructional media centers (IMCs) located in 229 Wisconsin middle and junior high schools were surveyed anonymously to collect information on censorship attempts in their schools during 1978-79 and 1979-80. A total of 212 surveys were returned. Survey participants were asked to respond to questions…

  16. 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.

    Science.gov (United States)

    Wang, Hua-Fen; Jin, Jing-Fen; Feng, Xiu-Qin; Huang, Xin; Zhu, Ling-Ling; Zhao, Xiao-Ying; Zhou, Quan

    2015-01-01

    Medication errors may occur during prescribing, transcribing, prescription auditing, preparing, dispensing, administration, and monitoring. Medication administration errors (MAEs) are those that actually reach patients and remain a threat to patient safety. The Joint Commission International (JCI) advocates medication error prevention, but experience in reducing MAEs during the period of before and after JCI accreditation has not been reported. An intervention study, aimed at reducing MAEs in hospitalized patients, was performed in the Second Affiliated Hospital of Zhejiang University, Hangzhou, People's Republic of China, during the journey to JCI accreditation and in the post-JCI accreditation era (first half-year of 2011 to first half-year of 2014). Comprehensive interventions included organizational, information technology, educational, and process optimization-based measures. Data mining was performed on MAEs derived from a compulsory electronic reporting system. The number of MAEs continuously decreased from 143 (first half-year of 2012) to 64 (first half-year of 2014), with a decrease in occurrence rate by 60.9% (0.338% versus 0.132%, Pefficiency 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.

  17. 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...

  18. 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 Sta