2006年7月我院开展了护士规范化培训。通过培训,学员掌握了丰富的理论知识,规范化和程序化的护理操作技能,综合素质得到全面提高。培训结业后学员胜任临床护士职务,独自完成护理工作,为病员提供全面护理,感悟到了护理的奉献精神;拥有较强的教学意识,积极参与临床教学活动,培养护理人才,体会到了护理的专业性;主动投入护理科研工作,促进护理学科发展,满足自我实现的需求,升华了自己的人生观和价值观。
Research on the Chinese medicine standardized calendar is not only required for the development of evidence-based pharmacy, but it is also needed in order to adapt to, and promote, clinical rational use of Chinese medicine. The experience of the clinical calendar is summarized in this article. This may provide some significant clues and basis for the design and conduct of research when constructing a Chinese medicine standardized calendar.
Objectives To investigate the personnel allocation and workloads of the medical residents across the subspecialties of the Department of Internal Medicine at a tertiary hospital. Methods A cross-sectional survey was performed to investigate personnel allocation and workload. The resulting data were compared with the ministerial standard that regulates the training of medical residents. Results Aside from the subspecialty of Rheumatology, medical residents accounted for 40% to 70% of the total staff physicians. The faculty physicians accounted for only 20% to 50% of the total. When the non-faculty residents were not taken into account, each individual faculty physician took charge of between 5.3 to 15.5 beds across all the subspecialties. When only the non-faculty residents were accounted for, each individual resident took charge of 1.7 to 9.4 beds, 1.3 to 5.7 bed-days per day, and 5.8 to 17.3 patients per month. When both were accounted for, each physician was responsible for 1.3 to 5.9 beds, 1 to 3.6 bed-days per day, and 4.2 to 10.7 patients per month. In comparison with the ministerial standards, medical residents have managed more patients per month in the subspecialties of Nephrology, Respiratory Diseases, Digestive Diseases, Neurology and Infection.Fewer patients were managed in the subspecialty of Endocrinology. Conclusion The medical resident allocation is balanced across the subspecialties of the Department of Internal Medicine, although it is less stable. The total number of physicians is smaller than required, and physicians generally bear an overload of work. The number of patients managed by each individual resident is more than the requirement set by the ministerial standards, and has significant variations across subspecialties. Medical residents need to be allocated in accordance with the corresponding workloads.
We summarize the primary structure, objective and achievements of the resident standard training program in West China Hospital of Sichuan University during the past decade. We also give some advices on how to develop and accomplish future goals of resident standard training.
目的 研究自体动静脉内瘘全程规范化护理的可实施性及优势。 方法 制定自体动静脉内瘘全程规范化护理工作流程及标准，将2011年6月－8月经自体动静脉内瘘行维持性血液透析患者随机分为观察组（125例）和对照组（115例），分别予以全程规范化护理和普通护理，对比分析两组之间内瘘不良事件发生率、患者满意度、护士认同度等指标的差异。 结果 两组内瘘不良事件发生率分别为8.0%和21.0%，患者满意度分别为98.4%和84.3%，差异均有统计学意义（P＜0.05）；两组护士对本组护理模式认同度均为90.0%，差异无统计学意义（P＞0.05）。 结论 自体动静脉内瘘全程规范化护理模式能有效降低内瘘不良事件发生率并显著提高患者满意度，值得临床推广。
目的 建立一个规范化、标准化的肝炎病毒（HBV）感染患者和对照组标本库。 方法 通过对四川绵阳地区大型流行病调查，收集HBV感染患者捐赠的血液标本（ELISA）检测调查者血样乙肝表面抗原（HBsAg），完整记录其实验报告，临床干预及流行病学调查资料。 结果 重大专项传染病综合防治四川示范区项目启动至今共收集血液组织标本87 478份，其中HBV检出阳性标本60 571份；保留相关阴性对照标本26 907份。 结论 建立HBV 感染患者及对照组血液标本库，可为乙肝的综合防治与研究提供高质量标本及相关流行病调查信息。
目的 调查规范化培训护士的职业自我概念现状，以期为其培训方案提供参考依据。 方法 2010年10月－11月采用护理专业自我概念量表对某三甲综合医院2009级、2010级175名规范化培训护士进行面对面问卷调查。 结果 88.37%规范化培训护士职业自我概念积极，5个维度得分从高到低分别是沟通交流、技能、灵活性、领导、满意度。2010级规范化培训护士职业自我概念总得分（t=?2.027，P=0.044）及领导维度得分（t=?3.258，P=0.001）高于2009级者，而技能（t=2.120，P=0.036）、灵活性（t=2.054，P=0.042）维度得分低于2009级；有职业兴趣的规范化培训护士其领导维度得分高于无职业兴趣的规范化培训护士（t=2.063，P=0.043）。 结论 护士规范化培训中除注重技能培训外还应加入情感教育课程，建立领导能力评价体系等。
目的 依托四川大学华西医院的临床资源，建立了一个规范化、标准化的肿瘤组织标本库，对临床医学研究提供了珍贵的资源。 方法 于2009年6月创建四川大学华西医院肿瘤组织标本库、进行质量控制、规范化管理及总结实践经验。 结果 从创建肿瘤组织标本库至2012年2月，共收集各类肿瘤（胃、食管、肝、肺、肠、乳腺、胰腺、甲状腺、纵隔、肾脏、喉、脑）组织标本44 609例，包括肿瘤组织、肿瘤旁组织（距离肿瘤组织2 cm的组织）和切缘远端非肿瘤组织（距离肿瘤组织＞5 cm的组织）。对肿瘤组织标本进行有效和科学的管理，为科研提供了便利和高质量的资源。 结论 建立了一个国际标准化、规范化、信息完善的肿瘤组织标本库，可为肿瘤的发生、发展、转移及生物标志物的研究提供高质量的标本。