实习轮转表的制作技巧与应用

[目的]探讨实习生轮转表的编排方法，制作可长期、反复应用的轮转表，达到既能保证实习生的实习要求全面轮转科室，又不使科室的实习人员过分集中或发生重叠的目的。[方法]首先根据实习时间将周数用阿拉伯数字升序排出，注明每周起止时间(用数表)。然后在实习轮转表上按每周一格的顺序竖排所有实习时间，将所实习的科室横排，表格内的实习生用阿拉伯数字对应代替并分别涂成彩色。[结果]方便了管理者的工作，周数表可用于当年不同学校轮转表编排；彩色的数字清晰易辨，不仅利于检查，而且易于查询。[结论]此方法简单实用，编制过程省时省力；使用固定格式和流程后使制表的过程变得简单化、程序化。     

版块式实习轮转表的设计与应用

摘要：[目的]设计一种新型的实习轮转表,既能方便带教老师查阅,也能保证实习生的实习要求全面轮转科室。[方法]通过实习单元版块化,实习时间周期化,实习人员组别化,应用Excel电子表格,编制师生不同版轮转表,供带教老师、实习生使用。[结果]版块式轮转表简洁明了,清晰易辨,可以长期反复使用,深受师生欢迎。[结论]此方法使用简单,使护生实习轮转安排直观、系统,提高了护生实习管理的工作效率。     

多校多层次护生实习的统筹安排与轮转表的编制

临床实习是护理教学的重要环节,是教学医院的一项重要工作。轮转计划的实施既要考虑让学生按照实习大纲要求全面轮转每个科室,又要使相关科室的实习生合理分配,不发生重叠,便于带教和管理[1]。我院作为一所综合性的教学医院,往往要同时接受多家院校各种学历层次护生的实习,不同学历层次护生的实习大纲要求有所差异,各院校的实习期和各科轮转时间也有所不同。我院从2002年起对各院校实习大纲上的各科实习时间进行统筹,并应用电子表格进行多校多层次护生实习轮转表的制作,使轮转接点统一,高峰期同步轮转,取得较好的效果。现报道如下。1实习单…     

Excel表在制作护士轮转安排表中的应用

运用Excel表格设计制作护士轮转安排表两年共有75名护士完成轮转培训,Excel设计的轮转安排表清晰直观,便于查询,方便轮转护士随时掌握轮转安排,规划自己的工作和学习。同时便于护理管理者对护士轮转情况进行管理和掌控。     

新型护生实习轮转表的编制与应用

目的 改进实习轮转表的编排,使对护生实习的管理更加规范、高效,更加科学化.方法 根据带教老师和实习生的不同信息需求,应用Excel电子表格,分别编制师、生两张不同版轮转表,供实习生、带教老师使用.结果 师、生两张不同版轮转表面对不同受众,简洁直观,信息明了,深受师生欢迎.结论 新的实习轮转表打破了传统编排方式,设计合理,满足了各方需求,提高了效率,达到了优化管理的目的 ,具有推广价值.     

实习生轮转表的设计与应用

为了实习生能够圆满完成实习计划,一份科学的轮转表是重中之重.通过观察与实践,对传统的实习生轮转表进行创新,提高了科学性、方便性和实用性,现介绍如下.     

实习生轮转表的设计与应用

为了实习生能够圆满完成实习计划，一份科学的轮转表是重中之重。通过观察与实践，对传统的实习生轮转表进行创新，提高了科学性、方便性和实用性，现介绍如下。     

护生实习轮转表的设计与应用

护生进入临床实习是教学医院的一项重要工作。护理部每年制作实习轮转表,既要考虑让护生按照实习大纲的要求全面轮转科室,又要使相关科室的护生合理分配,不发生重复或轮空,便于带教和管理。护生实习经常有跨年度的现象,所以此表要将下一年的具体时间体现在轮转表中。为了节约时间和人力资源,使实习轮转表的编排快捷、准确、合理,我院护理部从2002年起,在电脑上将相对精确、有固定格式的表格用于护生的管理,取得了较好的效果。1方法1.1编制实习轮转表:按年月周日顺序横排所有实习时间,将所实习的科室竖排,表格内的护生用阿拉伯数字代替并分别…     

实习护生轮转安排图的制作与使用

我院是一所三级甲等综合性教学医院，每年接受几百名省内外各大专院校的实习护生。由于各校护生的学历层次不尽相同，来院时间也不同步，而且实习大纲的要求也不一致，但必须做到既要使护生每个科室都轮转一遍，又要尽量使每个科室的护生分配合理，因此在轮转安排方面存在较大困难，护生在某科室“重叠”或“稀疏”的现象时有发生。     

护生首次与第二次轮转实习的心理变化与对策

目的本文通过对第一轮、第二轮护理实习生实习情况的心理调查，针对存在心理问题以便采取更为合适的及具有针对性的教学方法。方法将107例护理实习生两轮实习后问卷的结果，同一问题进行比较，不同学历比较，独生子女与非独生子女进行比较采用构成比、频数统计。结果经统计学处理第一轮与第二轮比较107例实习生在担心自己的仪表、容易哭泣、经常责备自己、感到难以完成任务、感到孤独、过分担忧、感到别人不理解你、感到比不上他人、做事反复检查9个问题P〈0．05。同一轮内不同学历比较第一轮只有容易烦恼和激动一项P〈0．05；第二轮神经过敏一项P〈0．05即大专实习生所占比例高于中专实习生，独生子女与非独生子女同一轮内各问题比较无差异。结论第一轮存在的心理问题需及时与科室和学生沟通，改变教师的思维方式，缩短实习生心理问题的时间，尽快在第二轮实习心理问题有所转变或消失。     

Strategic decision making on shifting sands

Strategic decision making in today's health care marketplace is very challenging. In the past, strategic plans were written for five to ten years. With the rapidly changing environment, planning for more than two years is difficult. It is critical for organizations to set a pathway for success. However, the organization needs to be able to respond quickly to environmental changes and take advantage of opportunities. The article presents a case study on a relatively new organization that has ambitious strategic goals. It discusses the decision-making process on the ways to enter a new marketplace, including the key factors assessed by the organization and their implications.     

床基大单制作改革与临床应用

在临床护理工作中,多年来一直按照基础护理教科书中规定的铺床法铺床基大单[1].在实践工作中发现传统铺床法存在一些与实际工作不相适应的地方,为了缩短铺床时间,节省护士体力,并随时保持床单平整、紧绷,特别是对有呼吸困难,腹部术后的病人,采取半卧位,把床头摇起时,床单一直保持平整,在工作中不断总结经验,将床基大单制作进行了革新,发现其具有较强的实用性、先进性,现报告如下.     

表格式护理电子文书研发与实施效果

目的 减少护理文书书写时间,确保病人的直接护理时间.方法 借助医院HIS系统开发表格式护理电子文书系统.结果 减少了护士护理文书书写时间,提高了护理文书书写质量(P<0.01).结论 表格式护理电子文书可以缩短护理文书书写时间,提高书写质量.     

The application of decision making concepts by nurse practitioners in general practice

The application of decision making concepts by nurse practitioners in general practice ¶This paper is concerned with the conceptual frameworks which could be applied to nurse practitioners in general practice in reaching decisions during patient consultations. Four strategies of decision making are explained within a practice context: hypothetico-deductive method, decision analysis, pattern recognition and intuition. The study uses retrospective verbalization and observation of 20 nurse practitioners working alongside general practitioners to explore decision making issues. The results of the study show that important factors relating to decision making include: the ability to recognize patterns in clinical situations to fit with patterns previously seen; an appreciation of the consequences of inappropriate action; and the ability to concentrate simultaneously on complex and sometimes masked patient cues as well as multiple treatment options.     

Foundations of shared decision making and examples of its application in rehabilitation

Enhanced patient participation in health care is demanded due to better knowledge of patients about diseases and their treatment, due to more treatment strategies in the course of scientific progress, due to ethical and legal considerations, and due to study results. With shared decision-making (SDM) a method was defined for the medical interview to involve patients in treatment decisions. Process steps for orientation are available for the procedure of the medical encounter. Transfer of shared decision-making into health care can be realized through three strategies, i. e., by physician training to enhance physicians' competencies in medical encounter, by decision aids for better information and preparation for decision making, and by patient education. For examination and fostering of SDM in German health care the German Ministry of Health initiated a research consortium in the years 2001 to 2007 called "Patient as a partner in medical decision making". In an additional research consortium of the German Ministry of Education and Research, the German Pension Insurance scheme as well as the associations of statutory and private health insurance, various projects for health services research on the subject of "Chronic Diseases and Patient Orientation" will be funded starting in 2008. This initiative with a focus on rehabilitation will foster studies about need-specific patient information, training programmes for chronically ill patients, and about the organisation of a more participative structure of health care delivery.