无领导小组讨论的多侧面Rasch模型应用*

采用项目反应理论(IRT)的多侧面Rasch模型(MFRM),分析评价中心技术中无领导小组讨论(LGD)的测评结果,探讨被试能力水平、评委评分宽严度、评分内部一致性、维度难度和评定等级等问题,进而讨论各种偏差。通过 MFRM 分析人事测评结果,可深入了解被试能力的真实差异、甑别维度难度、探查测评误差源,从而完善测评试题编制、评估或诊断评委合格性、提高测评维度与测评目的匹配性,为拓展项目反应理论在人事测评中的应用提供独特视角。     

关怀哲学视阈下的自杀防控探究

自杀问题是当下社会中存在的精神卫生症候之一,从关怀哲学的视角探究自杀防控理念的历史源流、现实境遇、临床困境与价值诉求,经由医患关怀的和谐转化,医务人员可以在防控自杀病人的进程中达到“关怀”与“防控”的知行统一,一方面为自杀病人提供文化关怀的防控脉相,另一方面为医护人员在自杀防控的实践运用层面提供参考.     

Soul,Myth and Cosmovision in a Changing World: Essentials of Analytical Psychology and the Descendent Path1

This essay addresses the key role of analytical psychology amid our changing world: to work towards an expansion of Humanity's worldview. In current times of utmost transformation, it becomes imperative that we embrace a total cosmovision, one that includes the 360 degrees of existence: not only the 180 diurnal degrees of ascent, light and order, yet also the descendent sphere, incorporating what is unconscious, nocturnal and mysterious. Integrating this lower realm in our psychic life, however, contrasts our Western worldview, in which these two domains are seemingly opposed and mutually excluding. Mythopoetic language, and the mythologems that manifest in different myths, provide the means of delving into the profound paradoxes at the core of the total cosmovision. Myths such as Añañuca (Chile), Osiris (Egypt), Dionysus (Greece) and Innana (Sumer), highlight the descending path, providing a symbolic narrative of an archetypical transformation or spin, a key moment of “turning on its own axis” that merges the realms of Life and Death, ascent and descent, birth and decay. To live this paradoxical and generative path of transformation, individuals must seek their personal myth not outside but within themselves, where springs the Suprasense.     

Suicide and self-inflicted injuries

The present study addressed itself to the problem of self-inflicted injuries (SII) in the Israeli army, and to the wider question whether non-fatal self injuries and suicide are part of the same phenomenon. The findings show that in some cases SII is an unsucessful suicide while in others SII is anything but a reflection of a death wish. It appears that the modus operandi is a major indication as to the intentions of the actor. The study also demonstrates the difference between the population of the suiciders and that of the SII victims. While suiciders seem to score higher on the Performance Prediction Score (PPS) and Combat Suitability Scale, the SII population seems to be overly represented in the lower parts of the PPS and the Combat Suitability Scale. The study used a data set that represents a 5 year period, and followed the consequences of the SII in terms of medical status and occupational assignment of the actors. The findings yielded some possible policy implications, in terms of a better classification of the relevant populations, and a possible attribution of a more refined meaning to the behavior. © 1994 Wiley-Liss, Inc.     

Using Estimates of the Output Productivity Ratio (SDp) to Improve the Accuracy and Managerial Acceptance of Utility Analysis Estimates

This study compared nursing supervisors' percentile estimates (15th, 50th, and 85th) of staff nurse performance made in terms of dollar value and two alternative metrics—output (number of patients cared for) and staffing (number of nurses required to staff a unit). Of the three estimation procedures, nursing supervisors were most confident in the accuracy of their output-based estimates and least confident in the accuracy of their dollar value-based estimates. Estimates of the standard deviation of performance as a percentage of mean performance (SDp) ranged from 19% for the staffing-based estimate to 29% for the output-based estimate. Contrary to expectations, dollar value-based SDp estimates were only minimally correlated with staffing- and output-based SDp estimates. I conclude that allowing supervisors to make percentile estimates in terms of familiar metrics has potential value for improving the accuracy and managerial acceptability of utility analysis.     

基于三角互动模型评判人员选拔的有效性

分析了评判人员选拔的有效性存在的误区,指出评判人员选拔的有效性不应局限于评判素质测评的有效性,还应该全面地评判工作分析、人员管理、绩效评估等环节的有效性。提出了评判人员选拔有效性的三角互动模型,并指出这一模型所揭示的提高人员选拔有效性的途径。     

对改善农村医疗卫生人才队伍现状的思考

农村卫生技术人才匮乏给农村卫生事业发展带来了严峻的挑战,导致这一现状的缘由应从多层面进行分析。作为医学领域新思想、新知识、新技术的创造者和发源地以及医学人才培养摇篮的高等医学院校在改变这种格局中担负着重大的使命。探讨如何以客户意识作为教育及办学价值取向,从而为改善农村卫生队伍现状开拓了思路。     

浅析我国临床医学人才培养体系

半个多世纪以来,我国临床医学人才培养已取得突出成就,但仍存在亟待解决的问题,需加快有关改革。着重分析我国临床医学人才培养中结构性失衡、学位体系欠科学等问题,并提出相应的改革建议：建立“5+3”为主体以培养通科医生为目标的临床医学人才培养体系,并授予医学博士学位,且作为培养全科医学人才主渠道;建立分层递进的住院医师规范化培训模式,加快完善专科医师培训制度;进一步加强高端复合型医学人才的培养;加强医学院校附属医院的规范与建设;尊重医学教育的特殊规律,成立专门的医学教育管理机构。

     

从新冠防控看疾控人员在公共卫生突发事件应对中的伦理挑战

疾控人员在公共卫生突发事件应对中一直发挥着重要的作用,但也面临着诸多伦理问题和挑战。通过对来自10个省份的一线疾控人员进行质性焦点组访谈,围绕疾控人员在新冠防控中的主要职责任务,从流调溯源、信息共享与发布、隔离管控和社区防控和新技术的应用四个方面对疾控人员在公共卫生事件应对中所面临的伦理学挑战进行了梳理,并进行了进一步分析。为未来的公共卫生突发事件应对从数据的分享与利用,科学防控的全面理解以及提升公众的公共卫生意识与伦理学支持等方面提出意见和建议。

     

隐性知识视角下中医师承教育的困境与突破

隐性知识是难以用符号、编码和言语准确表达,但可被人类意识并感知的事实、信息与技能,它是中医区别于西医最显著的特征。中医隐性知识的意向性、分布性与实践性,决定了以观摩意会、具身实践、刻意练习为主的师承教育是获取中医精髓、积累诊疗经验最理想的形式。然而,在现代科学教育的冲击下,中医师承教育面临课程失衡、师资不足、平台阻隔、文化衰微、制度不全等困境,亟须增加实践课程分量、扩大师承导师征聘范围、重建多学派交流平台、增强中医文化自信、加大政策倾斜力度,从而落实中医隐性知识传承,深化人才培养质量。