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Background: We aimed to investigate the clinical application effect of people-oriented nursing model on the negative emotions and psychological conditions of patients with bladder cancer. Methods: Eighty patients with bladder cancer were enrolled from January 2020 to January 2022 in the Second Affiliated Hospital of Qiqihar Medical University Heilongjiang, Province, China. The patients were randomly divided into the control group, each group consisted of 40 patients (conventional nursing mode) and the experimental group (people-oriented nursing mode) according to the admission time. The differences of the anxiety, depression and quality of life scores at the time of admission and discharge were compared between the two groups. Results: There was statistically significant differences in the Self-Rating Anxiety Scale (SAS) and Self-rating depression scale (SDS) score within each group of patients and between the two groups at the time of admission and discharge, respectively (P=0.001). In addition, there was a statistically significant difference in the scores at discharge, and the scores of the patients in the experimental group were better than those in the control group. There was a statistically significant difference in the scores at discharge, and the scores of the experimental group were lower than those of the control group P<0.001). After comparing the overall scores of admission and discharge of the two groups of patients, the differences were statistically significant, and the scores at discharge were better improved than those at admission were. Conclusion: The people-oriented nursing model could relieve the negative emotions, relieve pain and improve the life quality of patients with bladder cancer.
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When a public health emergency occurs, a potential sanitation threat will directly change local residents' behavior patterns, especially in high-density urban areas. Their behavior pattern is typically transformed from demand-oriented to security-oriented. This is directly manifested as a differentiation in the population distribution. This study based on a typical area of high-density urban area in central Tianjin, China. We used Baidu heat map (BHM) data to calculate full-day and daytime/nighttime state population aggregation and employed a geographically weighted regression (GWR) model and Moran's I to analyze pre-epidemic/epidemic population aggregation patterns and pre-epidemic/epidemic population flow features. We found that during the COVID-19 epidemic, the population distribution of the study area tended to be homogenous clearly and the density decreased obviously. Compared with the pre-epidemic period: residents' demand for indoor activities increased (average correlation coefficient of the floor area ratio increased by 40.060%); traffic demand decreased (average correlation coefficient of the distance to a main road decreased by 272%); the intensity of the day-and-night population flow declined significantly (its extreme difference decreased by 53.608%); and the large-living-circle pattern of population distribution transformed to multiple small-living circles. This study identified different space utilization mechanisms during the pre-epidemic and epidemic periods. It conducted the minimum living security state of an epidemic-affected city to maintain the operation of a healthy city in the future.
Subject(s)
COVID-19 , Spatial Regression , Urban Population , China/epidemiology , Cities , Demography , HumansABSTRACT
Social development programmes are deliberate attempts to bring about change and unintended outcomes can be considered as inherent to any such intervention. There is now a solid consensus among the international evaluation community regarding the need to consider unintended outcomes as a key aspect in any evaluative study. However, this concern often equates to nothing more than false piety. Exiting evaluation theory suffers from overlap of terminology, inadequate categorisation of unintended outcomes and lack of guidance on how to study them. To advance the knowledge of evaluation theory, methods and practice, the author has developed an evaluation approach to study unintended effects using a theory building, testing and refinement process. A comprehensive classification of unintended outcomes on the basis of knowability, value, distribution and temporality helped specify various type of unintended outcomes for programme evaluation. Corresponding to this classification, a three-step evaluation process was proposed including a) outlining programme intentions b) forecasting likely unintended effects c) mapping the anticipated and understanding unanticipated unintended outcomes. This unintended outcomes evaluation approach (UOEA) was then trialled by undertaking a multi-site and multi-method case study of a poverty alleviation programme in Pakistan and refinements were made to the approach.The case study revealed that this programme was producing a number of unintended effects, mostly negative, affecting those already disadvantaged such as the poorest, women and children. The trialling process demonstrated the effectiveness of the UOEA and suggests that this can serve as a useful guide for future evaluation practice. It also provides the discipline of evaluation with an empirically-based reference point for further theoretical developments in the study of unintended outcomes.
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Developed Countries , Developing Countries , International Cooperation , Program Evaluation/methods , Social Change , Humans , Intention , Prejudice , Program Development/methods , Program Evaluation/standards , Public PolicyABSTRACT
Since human society entered the 21st century, the rapid development of medical technology also gave birth to a series of negative effects:medical service technology first, trust crisis of the doctor-patient relation-ship, and medical industry money worship. Especially in recent years, due to the lack of humanistic spirit in medi-cal institutions, the doctor -patient relationship is of the worst state in the history. Therefore, it is urgent to strengthen the medical humanities education in the construction of hospital culture. Aiming at the problems existing in the current medical industry, this paper expounds the importance of strengthening the humanistic education in the construction of hospital culture.
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This paper reviewed and summarized experiences of Shanghai Hospital Development Center in the design and implementation of infrastructure planning for municipal public hospitals in Shanghai.The capital construction of more than 10 years has effectively upgraded infrastructure of such hospitals,enforced the people-oriented awareness,expanded the service ability and service capacity, further balanced the layout of quality medical resources,and significantly improved the sustainability of development.Furthermore, ever increasing government investment keeps business performance and service capability of such hospitals on the rise.
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In this paper, the authors analyzed the current problems in domestic hospital nursing human re-source such as widespread erosion, nursing staff slack and others. From the characteristics of nursing ethics and be-havior dynamic analysis, suggest to establish a focus on the humanities concern nursing ethics culture of the people-oriented, fundamentally effectively motivate nurses, specific include: respecting nurses and ethical personality differences;to establish a trust mechanism for nursing staff;meet the needs of nursing staff learning;to establish a nursing staff self management team, thus improve hospital nursing ethics management work, for the nursing staff to provide a stable and efficient working and living environment.
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Discussed in this paper is how to provide the personal , differential and intelligent information service for the users of library by putting the people-oriented purpose into its different information services .
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The paper focuses on how to establish a harmonious library based on people -oriented theory from two aspects: people -oriented reader service and librarian management, particularly including strengthening literature resources construction, reader service innovation, career planning and continuing education to librarians, etc.
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The author described the application of "people oriented" management concept to the construction of teacher's team of the university in four aspects:talent recruitment;the stability and the sustainable development of current team:the management of teacher's team,the rationalization of incentive mechanism.And the author also put forward some corresponding proposal and solution in the construction of teacher's team of the university.
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The article explored the'people-oriented'teaching in pharmacology for the students of clinical profession.'People-oriented'outlook on education in pharmacology teaching for the students of clinical profession included two aspects,namely,teachers,student-centered teaching,and students,patient-centered learning.
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Constructing a harmonious hospital shares an important role in constructing a harmonious socialist society.Ethical factors are not only the foundation of constructing a harmonious hospital,but also the inherent requirement of clinical practice as well as the consistent goal and means of modern hospital management.Construction of a harmonious hospital in the new situation should embark from the hospital connotation construction,develop a top-grade group of medical staff,build up a transparent charging system,construct a graceful medical environment,search society public opinion support for strengthening mutual communication between doctors and patients,and reconstruct mutual trust between doctors and patients.
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The paper gives an account of the concept and significance of the people-oriented principle and explores its practice in hospital management,including adopting patient-centered humane management,intensifying job dedication,and enhancing the hospital's cohesive force and development potential.Patient-centered humane management includes adopting the system of no companions for the inpatients,respecting the patients and safeguarding their rights and interests,providing friendly and comfortable medical environments for the patients,managing in a scientific,rational and whole-course manner the diets of the patients,and offering quality medical services to the patients.
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In light of the emergence and development of the idea of people oriented management, the paper discusses the cultural pathways for people oriented management. People oriented management is a must for the progress of advanced culture; hospital culture is in essence people oriented culture; hospital culture and people oriented management are intrinsically unified; and cultural strength constitutes the hospital's perpetual competitiveness. For this reason, it is imperative to pinpoint the intrinsic demands of hospital culture and people oriented management so as to enhance the hospital's credibility and competitiveness. The following steps can be taken: ①identifying common objectives; ②fostering and upholding the hospital spirit; ③cultivating the idea of people oriented services; ④developing a "learning type" hospital; and ⑤making full use of the human resources on the basis of the "four respects".
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Objective To explore proper methods of and environment for people oriented management so as to meet the various new challenges confronting hospitals. Methods The means of retrospection plus the Delphi method and sociological investigations were adopted. Results An exploration was made into the theories and principles to be followed, the means to be adopted and the human environment to be created in implementing people oriented management. Conclusion Hospitals implementing people oriented management and thus achieving maximized benefits in human resources management will be able to enhance their market shares and maintain sustainable development.
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The people-oriented view is a universal idea,which holds different manifestations in different domain,and as for medical field manifests as the principle of no injury.There are certain obstacles during the application of no injury principle,including the neglect of the psychological injury,arrogance of the science,and the absence of humanities and psychology knowledge.This paper provides some countermeasure to make a best application of the no injury principle,that is,to stress the patients′ psychological health,eliminate the tyranny idea over patients,and consummate medical knowledge structure.
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This article is to discuss the ethical principles in the diagnosis and treatment of oral disease in elderly patients.The patient-oriented concept should not be neglected.Doctors′ moral responsibility must be strengthened during examination,diagnosing and curing process.Medical skills should be well mastered and improved.Characteristic of senile patients should be attached to and right oral health education is obligatory for patients.
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The article expounds the relationship of medical ethics and medical humanities education in a doctrinal aspect.Medical ethics possesses a more essential and inherent nature compared with medical humanities education,thus serves as the fundamental motivation and guide of medical practice for medical students and staff.Their relationship is clearly understood and the curriculum structure of medical education reasonably adjusted.The following will be beneficial reference for medical ethics cultivation for medical students: to strengthen all sidedness,positivism and interest of medical ethics education,medical humanities education served as evidence and complement for medical ethics education;to demonstrate ethical characteristics,profundity and intention of medical humanities education,medical ethics education also served as the aim and gist of medical humanities education.
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People-oriented is the fundamental value of Chinese medical ethics.It is the most important ideological foundation and the most prominent features of the humanities of traditional Chinese medical ethics for its content of philosophy,humanity and sociology.A series of medical ethics incident alerts us that if we violate the scientific concept of "people-oriented" and neglect the requirements of medical ethics and professional ethics training,the development of medicine will lose its orientation,and even depart from the fundamental tenet of people-oriented.
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By analyzing the basic line of medical ethics,this paper points out the collapse of basic line of medical ethics is due to the lack of people-oriented spirit in medical activities.Hospitals and medical staff should build up people-oriented spirit and conscience,strengthen the sense of honor and humiliation,thus to prevent the recollapse of the basic line of medical ethics and build up a harmonious physician-patient relationship.This project is significant in conducting the educational program of social glory and humiliation sense.
