剖析患者投诉

患者投 是患者就医过程中与医务人员或医疗单位的利益发生的表现形式,着重剖析了因医疗费用、服务质量、医疗质量等引起的投诉,分析了投诉的目的及管理投诉单位的反应,并从几个方面探讨了如何对待投诉,减少投诉、避免投诉。     

遗忘症患者外显与内隐记忆实验研究:语义性启动效应任务

采用ＷＭＳ—ＣＲ和ＭＭＳＥ对临床脑损伤患者进行了认知功能与记忆功能两方面的筛选,获得９名遗忘症患者。然后采用偏好和自由联想两项语义性启动效应任务进行测验,发现遗忘症患者在外显记忆受损情况下,的确存在语义性启动效应,且与正常对照相近。推论语义性启动效应任务与遗忘患者损伤的颞叶或间脑结构无关。同时还讨论了启动效应任务,认为偏好任务采用言语性材料不是理想的方法。     

Patient and Family Descriptions of Ethical Concerns

Abstract

Ethically challenging situations routinely arise in the course of illness and healthcare. However, very few studies have surveyed patients and family members about their experiences with ethically challenging situations. To address this gap in the literature, we surveyed patients and family members at three hospitals. We conducted a content analysis of their responses to open-ended questions about their most memorable experience with an ethical concern for them or their family member. Participants (N?=?196) described 219 unique ethical experiences that spanned many of the prevailing themes of bioethics, including the patient-physician relationship, end-of-life care, decision-making capacity, healthcare costs, and genetic testing. Participants focused on relational issues in the course of experiencing illness and receiving medical care and concerns regarding the patient-physician encounters. Many concerns arose outside of a healthcare setting. These data indicate areas for improvement for healthcare providers but some concerns may be better addressed outside of the traditional healthcare setting.     

这不是我的工作！不合规任务及其对员工的影响

不合规任务, 作为一种新型职场压力源, 近几年逐渐成为组织管理研究领域的一个前沿话题。不合规任务是指不符合人们预期工作范围、不应由自己完成或不必要执行的任务, 包括不合理任务和不必要任务。不合规任务对员工情绪、认知、动机、工作态度、工作行为、身心健康, 以及工作-家庭关系均有一定的负面影响, 影响性质和强度取决于员工的个体特征和所处的情境特征。压力-自我冒犯理论、公平理论、工作要求-资源模型、工作特征模型、情感事件理论和自我决定理论是解释不合规任务影响的主要理论。未来研究可拓展不合规任务的概念和层次、探索和整合作用机制、探讨不合规任务的权变效应、考察不合规任务的影响因素以及开展文化情境和文化导向的研究。     

Testing Measurement Invariance of the Dark Triad Dirty Dozen in a Belgian Adult Sample

The Dirty Dozen (Jonason & Webster, 2010) is a frequently used concise version of the Dark Triad to measure three socially aversive personality traits: Machiavellianism, psychopathy and, narcissism. The present study has examined measurement invariance in a sample of Belgian adults. The present study aims to assess measurement invariance of the Dutch version of the Dirty Dozen measure across gender in a large city-based representative adult sample in Belgium (N = 1587). Multi-group first-order confirmatory factor analysis for categorical indicators was utilized. In addition, unique associations between Dirty Dozen traits, trait self-control and, acceptance of illegitimate norms were examined in a series of structural equation models. Results indicated that the internal consistency of the Dirty Dozen subscales was good for Machiavellianism (α = 0.80) and narcissism (α = 0.80), but modest for psychopathy (α = 0.64). The hypothesized three correlated factors model with separate factors for Machiavellianism, psychopathy and, narcissism provided a poor fit for men and women. Invariance testing across gender showed evidence for weak invariance only, indicating that the underlying latent factors are measured the same way with the same metric in the two populations. However, we were not able to establish strong measurement invariance. Observed group differences should be interpreted with caution. Furthermore, Machiavellianism and psychopathy were strongly associated with trait self-control in both men and women. Strong correlations were found between acceptance of illegitimate norms and Dirty Dozen traits, Machiavellianism and, psychopathy, but not with narcissism.     

构建病人自主择医的现代医学伦理观

“病人选择医生”这一重大改革举措可以得到病人自主择医权和改革实践的有力辩护与支持,同时,为使其形成有序合理格局,并进入可持续发展的正常轨道,也亟需以解决现实重大问题为基础,着力的构建病人自主择医权的现代医学伦理观。这个医学伦理观应由现代的伦理理念框架1管理伦理框架、程序伦理框架构筑成主体框架。     

关于晚期肿瘤患者临终关怀问题的探讨

分析了晚期肿瘤患者临终关怀的重要意义和特殊性,论述了临终关怀的主要内容,探讨了临终关怀中的伦理问题,特别是对是否告知患者实情和是否应该放弃治疗等问题进行了深入讨论和分析。并提出晚期肿瘤患者的临终关怀,要从生理、心理、社会、伦理等多方面、多角度关爱患者,帮助患者认识生命价值,理解生命意义,提高生存质量。     

医疗纠纷非诉讼解决机制与和谐医患关系

医疗纠纷的急剧攀升与解决医疗纠纷的方式和途径较为单一、过分倚重诉讼有直接的关系。要改变医疗纠纷的现状,构建和谐医患关系,必须克服法治等于诉讼的误区,建立以法律规范为指导,以预防机制为基础,以非诉讼解决机制为主要方式,以法律诉讼为最终途径的多元化的医疗纠纷解决机制。     

变性术后患者心理状况的影响因素分析及对策

变性术后的患者是个特殊的弱势群体,心理问题非常突出,它是生理、个人、家庭、社会等多种因素交互影响的结果;因此,通过社会、家庭及个体的共同努力,帮助其建立良好的个体心理模式,稳定其心理状态,可促进其心理的健康发展,这对于变性手术的成功和帮助变性后患者重新走向社会有重要意义。