ABSTRACT
Objective:To analyze current situation of hospice care in Jinshan District of Shanghai and provide recommendations for development of hospice care. Methods:This cross-sectional study included 8 hospice care institutions， their health staff and 316 patients during May-August， 2019. Results were analyzed by quantitative and qualitative methods. Results:There had 80 approved beds in Jinshan District， but only 53 beds were used for 189 inpatients in 2017. Hospice care institutions received financial supports from district government at the construction stage， but relied on their own for daily operation costs. The motivation of health staff to work in hospice care was not strong. Among the hospice care workers， 18% had no certification for hospice care， and only 5% of them had senior professional titles. Continued education for health workers in hospice care was weak and the workers were under heavy stress. Conclusion:The potential needs for hospice care were unmet while hospice care was under-utilization in Jinshan District. The development of hospice care was unbalanced， and the health workers lacked motivation. The resources of hospice care need to be strengthened.
ABSTRACT
Since from 1995, holistic nursing has over 20 years of development in China. And now as the nursing models spread to national wide, holistic nursing aim to the National Twelfth Five-year Plan. At the guidance of the National Twelfth Five-year Plan, the nursing model in China has been began to turn to holistic nursing model. But because of the influence from many factors from the implementation, the way of thinking about to carry out the nursing care using by most of the nurses in clinic is also from the illness and the medical orders. The holistic nursing philosophy and methods, for example the care program, have been not implemented well. Nurse staffing has been in the national plan. And after years of effort the situation has been improved. But it also can not fit the needs in clinic. So as the method to solve the contradiction between the staffing and the needs, the nursing schedule has began to change. The APN model and some mathematic model have been used to the innovation for the nursing schedule. The ability level of the nurses is known as the important fact on the implementation of holistic nursing. So the nurse training is in the attention. But the standardization for the training is the problem we face now. As the chief method and factor to the continual improvement for holistic nursing, quality evaluation system in our country has been improved gradually. But the scientific management methods have not well combine to the fact, and became a factor to restrict the improvement. So the necessary steps for the improvement of holistic nursing in China involve the investigation about the fact and the theory, the innovation and the standardization for the current situation, and the chinization of the theory.
ABSTRACT
The research and establishment for the internet and information digitalization of traditional Chinese medicine have been greatly developed in the past thirty years, keeping paces with times. The database system has been extensively applied in the field of traditional Chinese medicine. The establishment of sharing databases for Chinese medicine will lay the foundation for inheritance and innovation of traditional Chinese medicine.