Construction of an occupational stress management system for medical staff based on employee assistant program / 中华医院管理杂志

Objective:To develop an occupational stress management system for medical staff, in order to provide scientific reference for management actions.Methods:From January 2019 to July 2020, a stress management system initially took shape based on employee assistant program(EAP)and the assessment-prevention-control-evaluation organizational stress management model, pinpointing pediatrics featuring high occupational stress as the breakthrough point. Other means called into play include literature review and semi-structured interviews of pediatric managers and staff, for the purposes of learning the status of stress management. Delphi method was also used to learn by correspondence the occupational stress management system as seen by pediatric experts. The weight of items was determined by percentage method.Results:Eight managers and eight pediatric staff were interviewed, with four topics identified. Twenty experts participated in 2 rounds of Delphi inquiry by correspondence, and the recovery rates were 91% and 100% respectively. The authority coefficients were 0.78 and 0.80, and the Kendall coordination coefficients were 0.17 and 0.14(both P<0.01). The finalized occupational stress management system consists of 5 level-1 indicators, including organization system, stress assessment, stress prevention, stress control and effect evaluation, as well as 21 level-2 indicators and 71 level-3 indicators. Conclusions:The occupational stress management system of medical staff is scientific, reliable and comprehensive, serving as a useful reference for the hospital management in their occupational stress management work.

Correlation between Family Function and Parenting Self-Efficacy in Caregivers of Children with Autism Spectrum Disorder / 中国康复理论与实践

@#Objective To analyze the correlation of family function with parenting self-efficacy (PSE) in autism spectrum disorder (ASD) family. Methods Cohort study was carried out. From August, 2015 to February, 2016, caregivers of ASD children (n=142) and healthy children (n=131) were enrolled into investigation group (n=173) and control group (n=131). They were assessed with Family Assessment Device (FAD) and Tool to Measure Parenting Self-efficacy (TOPSE). Results There were significant differences in the scores of FAD and TOPSE between two groups (P<0.05). The scores of FAD were lower in the high income, urban ASD families than in the low income, rural ASD families (P<0.05). The scores of FAD negatively correlated with the scores of TOPSE in the ASD families (r=-0.152 to -0.257, P<0.05). Conclusion The family function and level of PSE of the ASD families was obviously inferior to the healthy families, and the worse the family function is, the lower the level of PSE will be. Individualized and family-centered intervention strategies should be developed to provide a good family environment for the rehabilitation of children with ASD.

Study on reliability of children anthropometric indicators measured by medical students during clinical practice / 重庆医学

Objective To evaluate the reliability of children anthropometric indicators measured by medical students in clini-cal practice .Methods The convenient sampling was adopted to collect the data of the head circumference (HC) ,recumbent length (RL) and crown-rump length (CRL) of infants and young children measured by the students in clinical practice from entering-de-partment training to exiting-department .The re-measured data by clinical teachers were simultaneously collected .The measurement difference were compared between the students and clinical teachers .The measurements reliability was described by using the indi-cators such as the mean absolute differences (MAD) ,percentages of difference within a critical value (PDCV) and so on .Results MAD of HC ,RL and CRL at entering-department were 0 .46 ,0 .55 ,0 .81 cm respectively ,which at exiting-department were 0 .30 , 0 .43 ,0 .51 cm respectively ,the difference were statistically significant (P<0 .05) .PDCV of HC ,RL and CRL belonging to good quality standard at entering-department were 41 .5% ,58 .0% and 36 .0% respectively ,which at exiting-department were increased to 53 .5% ,70 .0% and 59 .0% respectively .PDCV of HC ,RL and CRL belonging to error data were 19 .0% ,10 .0% and 13 .0% re-spectively .Conclusion RL measured by medical students in clinical practice has good quality ,while the bigger errors exist in the measurement values of HC and CRL .

The psychometric characteristics of Neonatal Oral-motor Assessment Scale in clinical practice / 中国实用护理杂志

Objective To examine the psychometric characteristics of the Neonatal Oral-motor Assessment Scale (NOMAS) and the influence of evaluation time on assessment results of oral motor skills for preterm infants,and to provide advice for the application of oral-motor assessment in clinic practice.Methods Following Palmer's method,a video recording was made for the preterm infants at different age during the first 2 min of nutritive sucking(NS).We stored the recordings on a digital videodisc and two NOMAS assessors assessed each recording.Results The NOMAS had acceptable internal consistency for less than 35 weeks' PMA (postmenstrual age).Moderate correlation were found between scores on the NOMAS and feeding performance for less than 35 weeks' PMA (normal sucking r=0.58,sucking disorder r=-0.61).The NOMAS demonstrated low responsiveness to changes in oral-motor skill in a week period,ranging from 33 to 36 weeks' PMA (SRM=0.02～0.49).The NOMAS scores for evaluating 30 seconds and 2 minutes were not consistent,the former scores was higher.Conclusions The reliability and validity of NOMAS were acceptable in assessing the oral-motor function of preterm infants for less than 35 weeks' PMA.The evaluation time of NOMAS was suitable for 2 min.