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Objective To cultivate specialist nurses to perform preoperative stoma site marking in patients to receive enterostomy and improve the rate of preoperative stoma site marking and the ability of preoperative stoma site marking in specialist nurses. Methods The rate of preoperative stoma site marking in 148 patients from July 2016 to October 2016 was investigated and the reason of not receiving preoperative stoma site marking was analyzed. Nineteen primary nurses were trained to perform preoperative stoma site marking instead of the traditional pattern which was performed by enterostomy therapist and physician. The training included the criteria of preoperative stoma site marking, difficult preoperative stoma site marking, demonstration, group exercises, theoretical and operational assessment. The preoperative stoma site marking of 156 patients were performed by specialist nurses from November 2016 to February 2017.Then,the rate of preoperative stoma site marking,accuracy of stoma location,and knowledge of preoperative stoma site marking were compared between the traditional and new management pattern. Results The preoperative stoma site marking rate was 91.89%(136/148)and the accuracy rate was 94.12%(127/136)in traditional management pattern.The lack of enterostomy therapist, surgery performed on weekends and emergency surgery were the reasons that preoperative stoma site marking was not performed.After changing the management pattern,the preoperative stoma site marking rate was increased to 98.72%(154/156) and there was a significant difference between them (χ2=8.06, P <0.05).The accuracy of localization was decreased to 92.86%(143/154),but there was no significant difference between them(χ2=0.03,P>0.05).The rate of acquiring preoperative stoma site marking knowledge in nurses was increased from 8/19 to 18/19 with a significant difference(χ2=12.18,P<0.01). Conclusions The pattern of preoperative stoma site marking was changed and the new pattern improved the rate of preoperative stoma site marking,and didn′t affect the accuracy of preoperative stoma site marking.Meanwhile,we also improved the nurses′level of preoperative stoma site marking in our department.
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Employed staffs in military hospital are the basic power in the development of hospital, and they are playing an im-portant role in the military medical security.The article gives a detailed elaboration on the innovation and practice of employed staff man-agement in our hospital.In order to improve the efficiency and scientific management level of employed staffs, the innovative measure-ments in employment pattern, post management, education development, policy system, promotion passage are put forward in combination with current situation of employed staff in order to promote the construction of employed staffs and the development of the hospital.
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By analyzing the effect of 5A group-managementpattern on the community -based diabetes management , the article aimed to establish a new model of community -based diabetes management .Method It de-signed a community-based intervention program , and discussed the intervention effect by comparing the indicators before and after the intervention .Result After 12-months intervention , intervention group patients are better than the contrast group in aspects of mental health , the control of HBAIC and blood pressure , and use of medical resources . Conclusion The 5A group-managementpattern may help the patients in improving mental health controlling blood pressure and HBAIC , and improving medical resources utilization .
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Objective To understand working pressure of nurses,and discuss effective measures to alleviate nursing work pressure and control nursing risk.Methods A questionnaire investigation was carried out to understand nursing pressure level,to discuss the related factors of pressure.Nursing department adopted effective measures to alleviate pressure and maintain psychological health of nurses.Pressure sources,satisfaction degree of patients and nurse-patients disputes before and after the implementation of new management methods were compared.Results After the implementation of new management methods,nursing pressure level decreased from 58.43％ to 48.76％,satisfaction degree of patients increased from 82.80％ to 94.70％.Nurse-patients disputes decreased from 0.50％ to 0.01％.Conclusions New nursing management pattern has instructive effect on restriction of nursing risk and alleviation of mental pressure as well as to increase the working zeal of nurses.
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La tercera etapa de la política cubana de ciencia y tecnología marcó la creación del Centro de Inmunología y Productos Biológicos en 1994. El carácter empresarial de la actividad científica y la tendencia en la política de la ciencia hacia la innovación delinearon la política institucional del Centro, con cambios en las estructuras física, organizativa y funcional. El reconocimiento del factor territorial en la política de ciencia e innovación tecnológica y la necesaria introducción de los resultados fueron condicionantes políticas trascendentales para que la política científica institucional se centrará en solucionar los problemas del diagnóstico médico. Las medidas adoptadas crearon nuevas estructuras y modos de operación. El Centro cumple con su encargo social a través de proyectos de obtención de productos biológicos. La evaluación de los indicadores de desempeño de la actividad científica convirtió al Centro en objeto de la investigación y la innovación.
The third stage of the Cuban policy for science and technology marked the creation of the Center of Immunology and Biological Products in 1994. Both the scientific activitys managerial character and the scientific policys trend towards innovation defined the Centers institutional policy, changing the physical, organizational, and functional structures. Both the acknowledgement of the territorial aspect of the policy for science and technological innovation and the necessary introduction of results became greatly political conditions to focus the institutional scientific policy on solving medical diagnosis problems. Measures were put into effect, creating new structures and ways of action. The Centers social responsibility is achieved through projects for obtaining biological products. The evaluation of the scientific activity made the Center an object of research and innovation.
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OBJECTIVE: To explore the management pattern that conducive to the development of the Chinese Herbal Pieces Department.METHODS: The pros and cons of the comprehensive pharmacy management pattern for Chinese Herbal Pieces Department were analyzed.RESULTS: The introduction of the comprehensive pharmacy management pattern in the Chinese Herbal Pieces Department resulted in the reduction of the human,material and financial resources;however,it also led to declining of the quality of the cut crude drug,reduction in drug consumption,lowering of pharmacists' sense of responsibility,presence of more risk factors of dispensing errors,lowering of social concern,weakening of the position of Chinese medicine and marginalization of status of Chinese medicine.CONCLUSION: The inclusion of Chinese Herbal Pieces Department into comprehensive pharmacy management should be carried out with prudence or it might as well to maintain the relative independence of the Chinese Herbal Pieces Department so as to protect and develop the Chinese medicine.
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Medical education has its own peculiarities, so does the management of medical students. To establish a management pattern which is appropriate to medical students' all-round development, needs to find out a management pattern appropriate to the medical department of comprehensive university, to summarize the present management pattern of medical students in different medicine colleges, and to put forward the principles and problems which ought to be followed and paid attention to during the reformation, on the principle of being based on students, setting up standard system and improving the quality of managers.