新时期聘用护士的管理难点及对策

随着我国卫生事业人事制度改革工作的推进和社会的发展,各级医院护患之间的人数比例出现不同程度的悬殊。为缓解这一矛盾,各医院都聘用了一些合同制护士填补岗位空缺,缓解人员紧张的局面,但这同时也给护理管理工作增加了一些难度。本文作者在长期的一线工作中,总结出聘用护士的工作特点,以及由此带给护理管理工作的难度,并通过长期的实践总结出医院聘用护士管理对策。期待本文能对聘用制护士的管理工作起到参考作用。     

新形势下公立医院推行岗位管理的必要性和方法探析

<正>新的医改方案在强调改革公立医院运行机制时,提出"聘用制度和岗位管理制度,实行以服务质量及岗位工作量为主的综合绩效考核和岗位绩效工资制度,有效调动医务人员工作积极性"~([1])。国内各级医院包括笔者所在的医院都已推行了以服务质量及岗位工作量为主的绩效考核制度,但在实际应用过程中,由于医学的特殊性、公立医院作为一个特殊的单位和本身所独有的职能,其岗位设置和人员配置有不同于其他单位的个性要求,很难用     

新形势下公立医院推行岗位管理的必要性和方法探析

<正>新的医改方案在强调改革公立医院运行机制时,提出"聘用制度和岗位管理制度,实行以服务质量及岗位工作量为主的综合绩效考核和岗位绩效工资制度,有效调动医务人员工作积极性"。国内各级医院包括笔者所在的医院都已推行了以服务质量及岗位工作量为主的绩效考核制度,但在实际应用过程中,由于医学的特殊性,公立医院作为一个特殊的单位和本身所独有的职能,其岗位设置和人员配置有不同于其他单位的个性要求,很难用统一的标准进行绩效考核。     

如何搞好卫生事业单位岗位设置的建议

为推进卫生事业单位人事制度改革,规范卫生事业单位岗位设置,建立适应社会主义市场经济需要和符合事业单位性质特点的岗位管理制度,根据《国务院办公厅关于印发<关于在事业单位试行人员聘用制度意见>的通知》(国办发[2002]35号)、《山东省人事厅<关于全面推行竞争聘任专业技术职务的通知>》(鲁人职[1998]38号)和《关于印发山东     

医院岗位设置管理存在的问题分析及对策

在全面深化改革的新形势下,迫切需要进一步深化医院人事制度改革、建立健全医院岗位设置管理制度。依据国家规范事业单位管理政策,医院实施科学有效的岗位设置管理给人力资源管理制度改革注入了活力。依托岗位设置管理,创建公平竞争的环境,有利于提高用人效益、调动员工的积极性和促进医院长远发展。岗位设置管理已成为医院人事制度改革的重要举措和创新,实施科学的岗位设置管理,不仅能够改变传统人事管理工作方面的不足,而且能够建立有效的人     

浅谈医院分配机制改革

在新形势下 ,医院内部分配仍要以按劳分配为主 ,多种分配方式并存的分配制度 ,与医院的目标管理 ,科室的医疗质量和工作业绩 ,以及经济效益考核等挂钩。在具体操作上要建立有效控制增长机制。因此 ,必须从医院管理的源头上 ,从强化医院目标责任抓起。1根据岗位设置特点 ,实行评聘分开 ,是目前医院内部分配机制改革的一项基础工作医院医技科室 (化验、特检) ,可实行按岗定酬工资 ,明确岗位责任 ,任职条件和聘用期限。合理制订各类岗位的纵向分配阶梯和同类岗位横向分配等差标准 ,按其所聘岗位确定工资待遇 ,实行低职高聘或高聘低用。聘任后 ,…     

东部战区医院护理人力资源配置情况研究

目的 了解东部战区医院护理人力资源现况,科学合理地做好护理人力资源配置管理.方法 编制战区医院护理人力配置调查问卷,对战区内所有医院(含临床部)护士数量、岗位分布、队伍结构、机动卫勤分队护士情况及护理管理中存在的矛盾问题等展开调查研究.结果 护士总数稳步增加,实际开放床位与护士总数比为1:0.59,与临床岗位护士总数比为1:0.54;在岗军人护士较少,仅占2.38%,非护理岗位军人护士占实有军人护士31.83%;聘用护士占护士总数达91.54%,管理岗位聘用护士占42.8%,聘用护士已成为战区医院护理队伍的主体力量;护士队伍学历水平提升显著,大专以上学历护士达92.18%,但初级职称护士占92.65%,高级职称护士仅占0.83%,35岁以下的护士占88.74%,工作10年以下的聘用护士占实有聘用护士总数达83.44%,技术骨干力量流失问题严重.结论 结合当前现状,要高度重视军人护士编制的落实,加强文职人员护士和聘用护士的培训管理,打造以军人护士为核心,文职护士为骨干,聘用护士为主体的专业人才队伍,为部队官兵和人民群众提供更加优质的护理服务.     

医院推行人员聘用制的几点体会

目的事业单位人员聘用制,是事业单位与职工依据国家有关法律、法规和政策、在平等自愿、协商一致的基础上,通过签定聘用合同,确定聘用单位和受聘人员的聘用关系,明确双方权利和义务的的人事管理制度。通过实行人员聘用制度,实现事业单位人事管理由身份管理向岗位管理转变,逐步建立人员能进能出、能上能下、有利于优秀人才脱颖而出的用人制度。     

岗位管理在门诊护理管理工作中的应用

在门诊护理管理工作中,实施有效的岗位管理,可有效改善当前门诊护理工作中存在的人浮于事、职权分工不明,工作效率低等问题,显著提高医疗服务水平以及医疗质量。在进行岗位设置时,科学设置为基础,实施护理人员的培训工作为保证,对于改善当前门诊护理管理质量以及水平具有相当重要的意义。     

药学岗位综合技能训练课程改革探索

目的： 探讨建设产业学院背景下的药学岗位综合技能训练课程的改革实践。方法：以“药学岗位综合技能训练”为例,从课程开设背景及课程设置、具体改革思路与措施、课程综合实验项目实例等方面,总结相关改革成效与经验。结果：产业学院背景下的药学岗位综合技能训练课程改革有效提高了应用型药学人才的培养质量。结论：现代产业学院是人才培养的新型载体,同时药学岗位综合技能训练课程也是现代产业学院的重要抓手。产业学院背景下的药学岗位综合技能训练课程的改革探索为职业人才培养提供了重要思路与参考依据。     

市级专科医院推行全员聘用制的尝试

本文叙述了市级专科医院在试行人员聘用制改革中的六点主要做法,即:成立聘用工作专门领导小组;“一整合一分离”,加强专科建设,逐步按病种分科,实行专病综合治疗;“两倾斜一精简”,编制内按需设岗;中层干部任用实行竞争上岗,副高和中级专业技术职务竞争上岗、按岗聘任;落实岗位,明确职务,商定聘期,规范合同;健全聘用制度、完善管理办法。通过采取这些措施,实现了市级肿瘤专科医院进行全员聘用制的平稳过渡。在推行过程中积累了丰富的经验,对医疗卫生事业单位推行人员聘用制具有一定的参考作用。     

药学相关专业物理化学教学的与时俱进

结合药学专业特点,从整合教学内容、创新教学模式、构建多元化评价体系方面对物理化学教学提出切实可行的改革探索。     

南京市食药监系统监管协调性影响因素研究

为探索南京市食药监系统的监管协调性影响因素,推进基层食药监系统的监管效能提升,本文基于文献研究和专家访谈,并通过对基层食药监执法人员的问卷调查,采用因子分析法对影响因素进行探讨。经分析认为,监管体制、协作制度、监管力量配置和监管环境4个因素对监管协调性有显著影响,未来基层食药监系统应从合理设置监管体制和运作制度、强化基层监管力量以及完善和统一相关技术标准和信息平台等方面入手,提高协调性以促进监管效能的提升。     

高校实验技术人员量化考核体系建立的研究与探讨

目的 高校实验室绩效改革已经成为目前高校科研教学改革体系中重要一环.实验教辅人员人浮云于事,大锅饭现象在高校岗位中比较严重,如何解决这一问题已经迫在眉睫. 方法 本文针对目前高校实验室绩效考核中存在的问题及难点进行分析探讨,寻找建立一套相对公平、合理的高校实验室管理人员绩效考核体系,并进行合理化建议.结果与结论 量化考核填补目前学校实验室管理岗位的考核制度的标准空缺,提升教学质量和效率,但从整个学校管理制度的人性化和科学化提升,和改善目前实验室管理岗位的生存环境来说,还需要很长时间的实践与探索.     

Development of the Clozaril Patient Management System

The Clozaril Patient Management System (CPMS) has been developed to provide a 100% fail-safe system for monitoring white blood cell counts (WBCs) in patients being treated with clozapine (Clozaril^®/Leponex^®) in the United States and to provide comprehensive data collection on the incidence and development of agranulocytosis. CPMS provides a case administrator and a registered pharmacist. Their role is to support the physician by facilitating the determination of WBC's at a national laboratory and by distributing clozapine to the patient. Specific tasks of the case administrator include: keeping track of outpatient phlebotomy appointments, following up missed appointments, ensuring that WBCs are obtained and analyzed weekly by the national laboratory, following up the results of these tests, providing liaison with the pharmacy, maintaining a data base for all patients receiving clozapine and conveying these data to the physician. Initial experience with this program in Cleveland is described in this paper. The characteristics of patients enrolled in CPMS, satisfaction with the program and its success in meeting predetermined objectives are described. Experience with 31 patients in this outpatient setting suggests that CPMS can be an effective, reliable system for assisting in blood monitoring of patients being treated with clozapine.     

Exploring factors of uneven use of telehealth among outpatient pharmacy clinics during COVID-19: A multi-method study

BackgroundTo enable services to be provided at a distance during the COVID-19 pandemic, outpatient pharmacy services in Australia underwent near-immediate reform by moving to telehealth, including telephone and video consults.ObjectiveTo investigate how telehealth was used in a metropolitan outpatient pharmacy setting before and after the start of the COVID-19 restrictions and the various influences on the uptake of phone and video modalities.MethodsA multi-methods approach was used including: (1) quantifying administrative activity data between July 2019 to December 2020 and, (2) semi-structured interviews with key stakeholders (n = 34).ResultsActivity data: Between July 2019 to December 2020 16,377 outpatient pharmacy consults were provided. Of these, 13,543 (83%) were provided in-person, 2,608 (16%) by telephone and 226 (1.4%) by video consult. COVID-19 impacted how these services were provided with telephone activity more than four-times higher in April 2020 than March 2020 and slight increases in video consults. Pharmacists have heavily favoured using the telephone despite the recommendation that video consults be used as the primary mode of contact and that telephone only be used when a video consult was not possible. As soon as COVID-19 restrictions eased, clinicians gradually returned to in-person appointments, maintaining some use of telephone and very limited use of video consult. Semi-structured interviews: Whilst clinicians recognised the potential benefits of video consults, challenges to routine use included the additional administrative and planning work required pre-consult, perceptions that patients were unable to use the technology, and the belief that in-person care was ‘better’ and that the telephone was easier.ConclusionOrganisational strategies that encouraged the use of video over telephone (e.g. through financial incentives) did not appear to influence clinicians’ choice of care modality. Implementation studies are required to co-develop solutions to embed telehealth options into outpatient pharmacy settings that provide the best experience for both patients and clinicians.     

宁波市食品药品监管系统干部素质提升的新途径

食品药品监管系统机构改革之后,普遍存在监管人员的知识结构与专业要求不相匹配的问题,妨碍了监管职责的履行和行政效能的发挥,各地都在积极探索队伍建设的有效方法。本文通过对浙江省宁波市食品药品监管人员成人函授学历教育专项工作情况的介绍,为各地培训工作提供良好先例,为监管队伍素质提升提出有益建议。     

玻璃纤维桩在修复残冠残根中的应用

目的探讨玻璃纤维桩在残根残冠修复中的应用效果。方法选择64例患者的80颗残冠残根为研究对象,80颗残冠残根经过完善的根管治疗后,选择玻璃纤维桩和复合树脂进行粘结,形成纤维桩树脂核,恢复基牙外形并进行全冠修复。结果经过6个月～2年的随访观察,80颗牙中77颗修复效果良好,无异常,3颗因纤维桩脱落失败,无根折、桩折现象,修复成功率为96.25%,修复效果满意。结论玻璃纤维桩在残冠残根的修复治疗中,能达到良好的修复效果。     

Adherence rates with infliximab therapy in Crohn's disease

BACKGROUND: Inflammatory bowel disease is associated with non-adherence to treatment with oral medications. AIM: To assess the intravenous infliximab adherence rate and identify risk factors for non-adherence to treatment. METHODS: Infliximab infusion dates for 1 June 2002-30 October 2003 were obtained. Additional information was obtained from two other administrative and patient-based databases. Non-adherence was defined as a 'No Show' designation for a scheduled appointment. Non-adherence rate, odds ratios for associations to 'No Show' appointments and analysis were performed to identify patient characteristics associated with non-adherent behaviour. RESULTS: One thousand hundred and eighty-five infliximab infusions were scheduled for 274 patients. Forty-eight (4%) of appointments were classified as 'No Show'. Six patients accounted for 13/48 (27%) of failed appointments; another 35 patients missed one appointment. 'No Show' appointments were more likely to be for female patients, those on concomitant immunomodulators and those >18 weeks from initial infusion. Patients who missed >1 appointment were more likely to be female and have Medicaid vs. those with only one missed appointment (P < 0.05). Indication, patient area code and race were not significantly associated with single or repeated No Show behaviour. CONCLUSIONS: Overall, the non-adherence rate for infliximab is low. Risk factors that may contribute to non-adherence to treatment include female gender and maintenance dosing.     

基于能力提高的发酵制药设备和技术课程教学改革

在发酵制药设备与技术课程的改革中,基于职业能力培养制订课程标准、优化课程教学内容、改革教学方法、构建实践教学体系,提高了课程教学质量.