普胸手术围术期发生心律失常的危险因素分析及护理

文章对437例普胸手术病例行回顾性分析,探讨了普胸手术围术期发生心律失常的危险因素。结果显示,高龄患者(≥60岁)、术后剧烈疼痛未按时止痛者、围术期低氧血症者更易并发心律失常(P<0.5)。由此得出,高龄、疼痛、低氧血症是普胸手术围术期发生心律失常的重要危险因素。     

The Practice Boundaries of Advanced Practice Nurses: An Economic and Legal Analysis

The purpose of this study is to examine the effects of State regulation that determines the extent of professional independence of advanced practice nurses (APNs). We find that in States where APNs have acquired a substantial amount of professional independence, the earnings of APNs are substantially lower, and those of physicians assistants (PAs) are substantially higher, than in other States. These results are striking since PAs are in direct competition with APNs; the only real operational difference between these groups is that PAs are salaried employees who must work under the supervision of a physician. The implication is that physicians have responded to an increase in professional independence of APNs by hiring fewer APNs and more PAs. The finding that earnings of APNs decline when they attain more professional autonomy vis-à-vis physicians reinforces work by Sass and Nichols on physical therapists.The content is the responsibility of the authors and does not represent official positions of the Federal Reserve Bank of St. Louis or the Federal Reserve SystemJEL classification: I11, I18, J31, J44, L51     

循证护理在《护理学基础》教学中的应用

循证护理教学模式,改变了传统教学模式,护生由被动接受变为学习的主动设计者与参与者,激发了护生的学习积极性,有利于培养护生循证思维与批判性思维。     

基础护理实验室的开放与管理初探

开放实验室是以提高学生动手能力、设计实验能力、知识综合运用能力及创新能力为主要目的。实验室在高等学校中具有重要的地位,是教学、科研的重要基地和开展实验教学、科学研究、技术开发、社会服务的基本场所,它在培养创新人才中具有重要的作用。文章就如何做好基础护理实验室的开放管理从创新、信息化、开放实验室等方面作了初步的探讨。     

子宫输卵管造影术126例观察及护理

子宫输卵管碘油造影术是治疗不孕症常见也是最有效的办法之一,而正确的护理是促进手术成功的重要方面,本文根据我院实例介绍,探讨了子宫输卵管碘油造影术的观察和护理工作。     

涉外护理教师培养的思路与实践

在涉外护理双语教学过程中,培养双语护理教师是保证涉外护理教学质量的关键。选拔成长全面,专业素质高,语言能力强的教师担任涉外护理专业教师,发挥其表率作用;根据国内外临床、护士培训及教学的发展要求,有针对性地培训全体护理教师;通过个体支持,促进群体的教学水平;定期举办教学基本功比赛,为教师搭建展示自我与互相交流的平台;以评促教,充分发挥反馈的激励作用;稳步适时进行新老交替,不断充实涉外护理教师队伍;将涉外护理教师和出国专业护士培养有机结合,达到教学和就业的双赢。     

浅谈异位妊娠的病因及护理对策

异位妊娠中的输卵管妊娠是妇产科最常见的急腹症之一,当输卵管妊娠流产或破裂时,可引起腹腔内严重出血,如不能及时就诊、处理,可危及生命。文章着重就异位妊娠中的输卵管妊娠发生的病因及护理措施,进行了分析和探讨。     

高职高专护理专业基础医学课程设置中存在的问题

目的:探讨基础医学课程在护理专业的中存在的相关问题;方法:对其开设的合适与否以及后期临床课程的学习及临床工作的直接关系进行分析;结果:现阶段我校护理专业基础医学课程存在学时的分配、教材的选择、教师的教育背景及教学方法等不尽人意之处;结论:护理专业医学基础课程设置与安排有待进一步改进。     

"Quicker and sicker" under Medicare's prospective payment system for hospitals: new evidence on an old issue from a national longitudinal survey

Medicare's prospective payment system for hospitals (PPS), introduced in the USA in 1983, replaced cost reimbursement with a system of fixed rates which created incentives for hospitals to control costs. Previous studies found that elderly patients were discharged from hospital "quicker and sicker" under PPS and concluded that families were coping at home. We analyse a national longitudinal survey, the first National Health and Nutrition Examination Survey and its Epidemiologic Followup Study, which includes data on more outcomes over a longer period than earlier studies. We find that the rate of admission to nursing homes from the community in the first weeks after a hospital discharge more than tripled under PPS, suggesting that families were not always able to cope. As another response to sicker patients, discharges directly to nursing homes from hospitals, which jumped initially under PPS, may have risen further when payment rates were tightened in the early 1990s. Hospital readmissions fell after the first few years. Our findings are strengthened by the fact that we control for patients' health using health information collected independently of hospital admission.     

探究护理专科生学习动机与自我概念的关系

为分析专科护生学习动机与自我概念之间的关系,采用统计法,对专科护生的学习动机与自我概念做相关和回归分析。结果表明专科护生自我概念中的认知自我、学术自我与学习动机的相关程度最高;自我概念中的认知自我、学术自我对学习动机有预测作用。