进修人员在双向转诊中作用的研究

我国人口分布范围广,医疗资源主要集中在大、中城市,合理利用有限的医疗资源,解决看病难,看病贵,实现有效转诊,是我们当前面临的一个难题。研究显示：通过进修医生转诊率高,迅速,患者及家属满意率高;对符合转诊要求,需要下转的患儿100例通过进修人员下转患者率96％,直接下转率65％。由此可见通过进修医生对患者进行双向转诊效果...     

High Aspirations: Differences in Employee Satisfaction Between University Faculty and Staff

Employee satisfaction surveys were examined for five universities in the US, UK and Canada, selected because they presented results for faculty and other staff separately. Faculty consistently score more negatively on employee satisfaction across a wide range of areas. The most negative responses are for areas such as personal/worklife balance, work demands/workload, university direction, and whether the employee would choose to work at the same institution again/would recommend it for employment. The results are consistent with previous studies which have shown that education level is negatively associated with job satisfaction. The results suggest that university faculty have high aspirations, since in a number of indicators faculty working conditions appear superior to those of staff (tenure; average income; sabbatical leaves; work control; involvement and consultation in university decision-making), although junior faculty prior to tenure may experience more stress than staff. Employers undertaking employee satisfaction surveys need to take into account systematic differences in aspirations among their employees, when interpreting survey results.     

Towards emotional containment for staff and patients: developing a Work Discussion group for play specialists in a paediatric ward

This paper describes the evolution of a staff Work Discussion group run by a child psychotherapist in a teaching hospital for more than 15 years. It offers insight into the emotional experience of both NHS staff and patients as seen through the lens of the discussion of the staff’s work. The author identifies three main stages in the evolution of this group, as trust and the feeling of a safe space gradually developed. The first stage was identifying and understanding the emotional experience of patients, through the use of observational skills and psychoanalytic concepts; the second emerged as staff began to include their own emotional experience in the narrative; the last stage saw a qualitative shift in the staff’s capacity to share the pain generated by the work, knowing about it through holding it in the group’s mind and being able to reflect on it, allowing them to process experience in a way that made the work more bearable – akin to Bion’s concept of ‘containment’. This evolution is illustrated with relevant vignettes in the light of some theoretical and historical considerations. The paper demonstrates the value of Work Discussion groups in terms of indirectly supporting hospitalised patients, as well as promoting staff’s resilience and professional capacities in difficult contexts.     

The effect of emotional clarity and attention to emotion on job satisfaction: A mediating role of emotion regulation among Chinese medical staff

The present study examined the relationships among attention to emotion, emotional clarity, emotion regulation, and job satisfaction, and tested whether the plausible associations between emotional processes (e.g., attention to emotion, emotional clarity) and job satisfaction can be mediated by emotion regulation in a sample of Chinese medical staff. In total, 1,766 medical staff in Guangdong province completed questionnaires including the demographics, the Minnesota Satisfaction Questionnaire, Emotional Clarity, Attention to Emotion, and the Emotion Regulation Questionnaire. Results showed significant direct effect of emotional clarity, but not attention to emotion on job satisfaction. Cognitive reappraisal significantly mediated the associations between emotional processes (e.g., attention to emotion, emotional clarity) and job satisfaction whereas expressive suppression was not a statistically significant mediator. These results suggest that attention to emotion and emotional clarity contribute to job satisfaction by increasing certain emotion regulation strategies such as reappraisal. Intervention or medical education programs targeting enhancing emotional clarity and reappraisal may be beneficial for increasing job satisfaction of medical staff in China.     

Preference assessment training via self‐instruction: A replication and extension

We examined the effects of a self‐instructional and feedback package on participants’ implementation of a paired‐stimulus preference assessment. Specifically, in Experiment 1, we used a multiple baseline design across participants to replicate and extend the results of Graff and Karsten (2012) by evaluating the effectiveness of their self‐instructional manual. A majority of the participants (i.e., 5 of 7 undergraduate students and 4 of 5 in‐home behavior technicians) achieved mastery with the self‐instructional package. The remaining participants met the mastery criterion after brief modeling and feedback sessions. In Experiment 2, we identified the most effective component of the feedback condition from Experiment 1 when a self‐instructional package was not sufficient. Brief feedback sessions in which participants received a list of the targeted responses plus information regarding accuracy of emitted responses was sufficient for 5 of 6 participants to achieve mastery.     

The effects of videotape modeling on staff acquisition of functional analysis methodology

Lectures and two types of video modeling were compared to determine their relative effectiveness in training 3 staff members to conduct functional analysis sessions. Video modeling that contained a larger number of therapist exemplars resulted in mastery-level performance eight of the nine times it was introduced, whereas neither lectures nor partial video modeling produced significant improvements in performance. Results demonstrated that video modeling provided an effective training strategy but only when a wide range of exemplars of potential therapist behaviors were depicted in the videotape.     

暴力侮辱伤医状况的调查分析

在我国,针对医务工作者的暴力和侮辱伤医时有发生,其频率和严重程度日益突显,有加速递增的态势。暴力和侮辱伤医的诱因主要来自于医方、患方、院方和深层次的社会原因。这一事实,造成了不良的社会影响和消极影响,医务人员丧失了人身安全和人格尊严;工作满意度下降,职业忠诚度降低;防御性医疗形成,损害了医务人员和患者自身的利益,阻碍医学科学技术的发展。鉴于此,应采取标本兼治、综合治理的策略,如建立《医务人员保护法》、《医疗场所治安管理条例》;对医患进行医学道德教育;加强医院管理;深化医疗体制改革等。