Development and empirical research of the perioperative fine management evaluation scale for process control / 中华医院管理杂志

Objective:To design an evaluation scale of perioperative fine management, and test it in hospitals, for verifying its effectiveness and sorting out problems in such management.Methods:November 2020 to August 2021, the scale framework was designed by using the process management theories featuring process-oriented control; then the scale was built based on a risk measurement indicators pool created based on policies, literature, standards and expert interview results on perioperative management; an empirical study was made in the end.Results:The scale consists of 209 risk measurement indicators and Likert 5-level scoring method was adopted to measure the possibility of problems in each respect. A total of 99 experts from 31 hospitals participated in the trial of the scale in 2021, and Cronbach α coefficient was 0.997, indicating good consistency among risk measurement indicators. The median of the average scoring of respective risk measurement indicators was 1.69. The most common problems in the perioperative management process include: lack of analysis and countermeasure research on the perioperative fine management; insufficient medical staff; poor awareness of medical staff in standardized and fine management. Conclusions:This scale can quantitatively evaluate respective aspects of perioperative fine management.

Sample Retention Management and Evaluation in Drug Inspection Agencies Based on Process- oriented Adminis- tration Concept / 中国药房

OBJECTIVE：To combine with the concept of process-oriented administration ，and to provide reference for improving the process and measures of the sample retention management and evaluation in drug inspection agencies. METHODS ： From the aspects of organizational management and control measures ，the improvement measures for sample retention management system were investigated. From the aspects of warehouse-in check ，storage management and warehouse-out judgment ，warehouse management and informatization ，the improvement measures for procedures and measures about sample retention management were explored. From the aspects of evaluation content and quality control measures ，the evaluation and continuous improvement of sample retention management were investigated. RESULTS & CONCLUSIONS ：In the aspect of organizational management ，it is necessary to improve management procedures and processes ，determine sample retention objectives and plans ，improve post allocation and management ，and improve safety emergency plans. In the aspect of control measures ，it is necessary to improve the business management measures such as warehouse-in status inspection ，adjust the conditions such as warehouse space allocation ， and improve the intelligent prompt of remaining validity period of samples. The key to the three links of warehouse-in ，storage and warehouse-out are warehouse-in check ，storage space and condition control ，and warehouse-out judgement. The relevant processes and measures can be improved from these aspects. The contents of sample retention management evaluation includes management system，management measures and process ，improvement and evaluation. Plan-Do-Check-Action （PDCA）cycle is a measure to improve the efficiency and quality of sample retention management in drug inspection agencies .

Test of simple effect of work process-oriented theory nursing ward round on critical thinking capacity of nursing undergraduates / 中国实用护理杂志

Objective@#Toexplore work process-oriented theory nursing ward round, research work process-oriented theory nursing ward round on critical thinking capacity of nursing undergraduates.@*Methods@#Totally 80 Elective nursing ward round courses of nursing undergraduates were divided into the experimental A group and the experimental b group with 40 cases in each group. The experimental A group select the beginning of 9 weeks on Until, the experimental B group select the after of 9 weeks on Until. The nursing undergraduates were assessed by CTDI-CV on first, ninth, eighteenth weeks to evaluate the effect of the two groups.@*Results@#Main effect of group factor and time factor of CTDI-CV had statistical significance (P<0.05) . There were significant interaction in the scores of CTDI-CV. Simple effect analysis demonstrated the scores of CTDI-CV in the experimental A group were higher than those of the experimental b group after the intervention (P<0.05) . Two groups of on first, ninth, eighteenth weeks measured values compared the effect of amount of FB<FA, the experimental group A intervention effect was better than in the experimental group B intervention.@*Conclusions@#For nursing undergraduates guided based on the working process of the curriculum of nursing ward round the critical thinking ability had good practice guidance, and on the start time to choose university grade three semester two on 9 weeks before commencement of nursing undergraduates promotes higher critical thinking ability.

Efecto del entrenamiento de la fuerza por procesos sobre el equilibrio de los niños con trastorno del desarrollo de la coordinación / The effect of strength training based on process approach intervention on balance of children with developmental coordination disorder

Introducción. El equilibrio es uno de los problemas más importantes de los niños con trastorno del desarrollo de la coordinación (TDC). Según el enfoque por procesos, además del entrenamiento de la fuerza, las adaptaciones neuromusculares pueden mejorar el equilibrio. Objetivo. Evaluar los efectos del entrenamiento de la fuerza sobre el equilibrio estático y dinámico de los niños con TDC. Métodos y población. En el estudio participaron niños de 7 a 9 años de edad de Teherán, y el diseño utilizado fue el de un ensayo controlado aleatorizado. A los sujetos se los separó aleatoriamente en dos grupos: experimental (n= 15) y de referencia (n = 15). Los participantes tuvieron 24 sesiones de ejercicio a lo largo de 12 semanas. El grupo experimental realizó el entrenamiento de la fuerza con ejercicios con la banda elástica flexible Thera-band®, mientras que el grupo de referencia hizo los ejercicios de rutina de la clase de educación física. Se midió la fuerza isométrica de los músculos abductores de la cadera y de los flexores plantares con un dinamómetro manual, y se utilizó la prueba de destrezas motoras de Bruininks-Oseretsky, segunda edición (BOT-2, por sus siglas en inglés) para medir el equilibrio estático y dinámico. Los datos se analizaron con pruebas t para muestras independientes y emparejadas. Resultados. El entrenamiento de la fuerza aumentó significativamente la fuerza muscular de los niños con TDC (P < 0,001) y mejoró su equilibrio estático (P < 0,05); sin embargo, estos ej ercicios no tuvieron un efecto significativo sobre el equilibrio dinámico (P > 0,05). Conclusión. El entrenamiento de la fuerza mejora el equilibrio estático de los niños con TDC. No se observó una mejoría del equilibrio dinámico como resultado del entrenamiento de la fuerza en estos niños.

Introduction. Balance is one of the main problems of children with developmental coordination disorder (DCD). According to process-oriented approach, besides strength training, neuromuscular adaptations can improve balance. Objective. To evaluate the effects of strength training on improving static and dynamic balance in DCD children. Methods and population. Children between 7 to 9 years old in Tehran participated in the study through randomized controlled trial design. Subjects were randomly divided into two experimental (n = 15) and control (n= 15) groups. The participants exercised for 12 weeks and 24 sessions. The experimental group received strength training using flexible Thera-band elastic exercise and control group received routine exercises in physical education class. Isometric strength of hip abductor muscles and plantar flexors were measured using hand held dynamometer, and Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) was used for measurement of static and dynamic balance. Data were analyzed using independent and paired sample t-tests. Results. Strength training significantly increased muscle strength in DCD children (P <0.001) and improved their static balance performance (P <0.05); however, these exercises had no significant effect on their dynamic balance performance (P >0.05). Conclusion. The strength training leads to static balance improve in DCD children. There was not an improvement in dynamic balance through the strength training in these children.

Working process oriented teaching design under the flipped classroom model / 中华医学教育探索杂志

Objective To discuss the practical application effect of the work process oriented teaching model that based on flipped classroom in the teaching of higher vocational Chinese medicines.Method We chose 97 students from Grade 2012 higher vocational Chinese traditional medicine,set them into experimental group (47 students) and comparison group (50 students).The experimental group was applied with the flipped classroom teaching,combined with the teaching mode of working process and the comparison group was applied with the traditional teaching mode from September 2014 to July 2015.At the end of the experiment,through the questionnaire survey,the differences of the experimental group students' autonomous learning ability and problem solving ability were compared between before the experiment teaching and after the teaching.The difference of post adaptation ability of the experimental group and the control group was also compared,and besides,the students' satisfaction degree to flipped classroom combined with working process teaching mode was investigated and analyzed.SPSS 16.0 software was used for statistical analysis,and t test was used to compare two groups' measurement information and count data with chi-square test.Result The score of independent learning ability after teaching in the experimental group was significantly higher than before [(77.50 ± 7.10) vs.(88.51 ± 9.30);t=6.451,P=0.000].However,there was no statistically significant difference in problem-solving capability before and after the teaching[(83.70 ± 2.32) vs.(84.30 ± 2.11);t=1.312,P=0.193].The score of five aspects of the adaptability to work in the experimental group and total score were higher than the comparison group and the difference was statistically significant [work attitude (18.72 ± 2.01) vs.(16.78 ± 3.33),t=3.447,P=0.001;service ability (17.99 ± 1.98) vs.(16.05 ± 2.15),t=4.614,P=0.000;professional ability (18.19 ± 2.46) vs.(15.37 ± 2.79),t=5.267,P=0.000;completion of work (19.01 ± 1.75) vs.(16.88 ± 1.83),t=5.851,P=0.000;strain capacity:(18.33 ± 2.09) vs.(17.01 ± 2.46),t=2.839,P=0.006;the total score of job adaptability (92.24 ± 3.89) vs.(82.09 ± 4.05),t=12.574,P=0.000].Experimental group's satisfaction showed that 91.48％ of students liked the teaching model,87.23％ thought that it improved their learning interest,82.98％ believed that it was beneficial to improving their communication skills.Conclusion Teaching mode of flipped classroom combined with working process helps to improve teaching quality.