Patients in public hospitals received insufficient food to meet daily protein and energy requirements: Cape Town Metropole, South Africa

Objectives: This study aimed to determine the energy and protein content of meals served and consumed by hospitalised patients compared with their needs, to assess patients' food satisfaction and investigate associations with energy and protein intake. Design: This was an exploratory quantitative cross-sectional study. Setting: Three public hospitals within the Cape Town metropole were recruited; a central hospital (945 beds), large district hospital (372 beds) and a medium district hospital (172 beds). Subjects: Adult inpatients 18+ years admitted to medical or surgical wards, on a non-therapeutic/normal hospital diet were recruited by purposive sampling method between 2018 and 2019.Outcomes measures: Each participant's weight and height were measured to calculate body mass index (BMI) and to determine energy/protein requirements. The Acute Care Hospital Foodservice Patient Satisfaction Questionnaire was administered. Meals were weighed before and after consumption to calculate energy and protein intake per patient/day. Results: A total of 128 patients (males = 71) participated. Total protein served did not meet patient requirements in any of the hospitals. Consumed energy and protein were significantly below requirements in all hospitals (p < 0.002). Perceived food quality (r = 0.38, p = 0.039) and staff/service issues (r = 0.39; p = 0.035) were significantly positively correlated with protein intake, while appetite correlated positively (r = 0.42, p = 0.006; r = 0.41, p = 0.008) and length of stay (LOS) correlated negatively (r = −0.46, p = 0.002; r = −0.42, p = 0.008) with energy and protein intake, respectively. Conclusion: Energy and protein served was significantly lower than participants' requirements in all three hospitals and none achieved the official ration scale amounts. Nearly 40% reported having a normal appetite and did not receive additional food from family or friends, which may lead to hospital-acquired malnutrition and increased hospital length of stay (LOS). Improved hospital food quality, quantity, mealtimes and staff training should be a focus to improve patient energy and protein intake

Exploration and practice of staff training of a general hospital / 中华医院管理杂志

Systematic and scientific training for all employees is an important means to improve the medical quality and service level of general hospitals. The authors′ hospital established a staff training university in 2012, built an integrated training management platform, and explored the combination of online and offline training for all its staff. Guided by the hospital′s development goals and service objectives, professional courses and comprehensive courses were set. Each specialty sets the course content and credit requirements according to the level of staffs, and dynamically adjusts the course setting according to the needs and training effect evaluation. This training mode ensured the effective implementation of in-hospital training, and the credit qualification rate of staffs had increased from 29.31% in 2012 to 85.37% in 2020; Improved the pertinence, timeliness and practicability of training; It enriched the training resources, broke the time and space constraints of training, and eliminated the contradiction between work and study.

Research management of the hospital build a new way / 中华医学科研管理杂志

Hospital Research Branch to provide diversity of services should rely on a combination of different professionals composite research management department.This paper analyzes the current status of the hospital research management staff proposed the formation of complex multifunctional research subjects and their personnel training programs,and the staff have made short-term and long-term co-ordination of running countermeasures,as well as multi functional management functions method.

Los desafíos de un verdadero sistema de justicia juvenil: una visión psicoeducativa / The Challenges of a Real Youth Justice System: A Psychoeducational Perspective

Basándose en la larga experiencia de seis decenios de la provincia de Quebec (Canadá) y en la literatura científica relativa a las intervenciones de mayor eficacia, los autores analizan, desde una perspectiva psicoeducativa, los mayores desafíos que enfrentan los sistemas de justicia juvenil cuando se proponen respetar cabalmente los principios básicos de la Convención Internacional sobre los Derechos del Niño.

The authors present the major challenges which, according to them, have to be achieved in order to establish a genuine juvenile justice system for delinquent adolescents in accordance with the principles of the International Children Rights Convention. These challenges are explained through a psychoeducational perspective, based upon the sixty years of experience of the Quebec Province in Canada, and upon the scientific literature on the most efficient interventions.

The basic induction training methods and practice of pharmacists / 中华医学教育探索杂志

ObjectiveTo study the methods,techniques,content about standardized induction training of pharmacists.Methods49 pharmacy recruits are accepted standardized 3-month pre-service training.ResultsThe new team of pharmacists enhance their self-confidence,improve skills and can adapt to the hospital environment faster and enter the role of pharmacists.ConclusionThe implementation of standardized training is conductive to increasing the overall quality of pharmacists and practice skills rapidly,in order to meet the clinical role,avoid health risks and ensure drug safety of patients.

O custo direto do programa de treinamento em ressuscitação cardiopulmonar em um hospital universitário / The direct cost of cardiopulmonary ressuscitation training program in the University Hospital

O presente estudo teve por objetivo mapear o processo de treinamento compartilhado em ressuscitação cardiopulmonar para técnicos e auxiliares de enfermagem da UTI e Semi-intensiva de Adulto do HU-USP e aferir os custos diretos das principais atividades do processo. Trata-se de um estudo exploratório, retrospectivo, de levantamento documental, nos moldes de estudo de caso. Para a coleta de dados, foram elaboradas duas planilhas: de controle das atividades e de cálculo de custo de cada atividade do processo. Seus resultados mostraram que o custo direto total do programa de treinamento em ressucitação cardiopulmonar foi de R$ 9.081,44. O custo direto com pessoal representou 96,74% e com material 3,26%. No subprocesso planejamento do treinamento, o enfermeiro instrutor-assistencial teve o maior custo direto do pessoal com 62,04%. Os custos diretos relacionados com o material utilizado foram maiores, também, no subprocesso planejamento do treinamento, representando 63,73%. O custo total por treinamento foi de R$206,40.

The aims of the study were todo a map of cardiopulmonary ressucitation training process with nursing techinicians and nursing auxiliaries who work with adults in the contex of Intensive Care Unit and Semi Intensive Care Unit of Hospital Universitário, Universidade de São Paulo and to estimate the direct costs of the main activities of this process. This is an exploratory, retrospective, survey documents study whose research design is a case study. Data were stored in two forms - "activities control" and "calculation of each activity of the process". The results showed that the total direct cost of the cardiopulmonary ressucitation training program was R$ 9.081,44 and 96.74% were costs related with human resource and 3.26% related with materials/supplies. In the training planning subprocess the biggest direct cost with human resource was used nurse instructor, 62.04%. The direct costs related with the used materials also were biggest in the training planning subprocess and represented 63.73%. The total cost for each employee was R$ 206,40.

The renovation of training system, a key approach for improving

Investment in training human resources is the most essential investment for development. Investment in training leaders, managers would be the key roles, best worth and meticulous. The author commented the facts of the training leaders, managers in MOH, and some requirements and solutions for renovating of training system such as training and cultivating according to some criteria, training and cultivating accompany with projects, training and cultivating depend on the actual needs, and training and cultivating must be assessed its efficacy