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The Health care supervisor最新文献

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Medical outcomes assessment and management with emphasis on laboratory applications. 医疗结果评估和管理,重点是实验室应用。
Pub Date : 1998-12-01 DOI: 10.1097/00126450-199812000-00010
W Umiker
Outcomes assessment and management are playing an increasing role in reducing costs and providing better customer satisfaction. In this overview we describe some outcomes applications and techniques, including benchmarking and clinical pathways. Some outcomes undertakings are complicated and may be frustrating, but most are rewarding to patients or health care providers or both. Challenges are discussed and laboratory applications featured.
结果评估和管理在降低成本和提供更好的客户满意度方面发挥着越来越大的作用。在这篇综述中,我们描述了一些结果应用和技术,包括基准和临床途径。一些结果承诺很复杂,可能令人沮丧,但大多数对患者或医疗保健提供者或两者都有好处。讨论了挑战和实验室应用的特点。
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引用次数: 0
Seven spoonfuls of preventive medicine for sexual harassment in health care. 七勺保健性骚扰预防药。
Pub Date : 1998-12-01 DOI: 10.1097/00126450-199812000-00003
H L Moore, J D Cangelosi, R W Gatlin-Watts

Sexual harassment claims have increased substantially since 1990 and continue to be prominent in the Equal Employment Opportunity Commission's discrimination caseload. The authors surveyed high-level training and human resource practitioners in small, medium, and large health care organizations for suggestions to counter this trend. Three fourths of these professionals suggested that behavior modeling of strong policies combined with effective training helped. The survey results suggest seven preventive medicine strategies for reducing work-related sexual harassment incidents in health care organizations.

自1990年以来,性骚扰索赔大幅增加,并继续在平等就业机会委员会的歧视案件中占据突出地位。作者调查了小型、中型和大型卫生保健组织的高级培训和人力资源从业人员,以寻求应对这一趋势的建议。四分之三的专业人士认为,强有力的政策和有效的培训相结合的行为模型有所帮助。调查结果提出了七种预防医疗策略,以减少医疗机构中与工作有关的性骚扰事件。
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引用次数: 3
Recognizing abuse in culturally diverse clients. 在不同文化背景的客户中发现虐待行为。
Pub Date : 1998-12-01 DOI: 10.1097/00126450-199812000-00004
R Davidhizar, S Dowd, J N Giger

Abuse is a major problem in American society. The problem of abuse among ethnically diverse persons is an area about which most health care professionals know little. This article describes the Giger-Davidhizar Model of Transcultural Assessment as a tool of assessment of the client who is abused. Use of a framework for assessment can enable more culturally competent care to be delivered.

虐待是美国社会的一个主要问题。不同种族的人之间的虐待问题是大多数保健专业人员所知甚少的领域。这篇文章描述了Giger-Davidhizar的跨文化评估模型作为评估被虐待客户的工具。使用评估框架可以提供更具文化适应性的护理。
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引用次数: 4
Time-bound madness. 有时限的疯狂。
Pub Date : 1998-12-01 DOI: 10.1097/00126450-199812000-00006
R Davidhizar, J N Giger, V L Poole

The concept of the passage of time is familiar to most people regardless of ethnic heritage. However, some persons are more time-bound than others. This article discusses the qualities of time-bound individuals and outlines strategies for responding to time-bound madness.

时间流逝的概念对大多数人来说都是熟悉的,无论种族血统如何。然而,有些人比其他人更受时间限制。本文讨论了受时间限制的个体的特质,并概述了应对受时间限制的疯狂的策略。
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引用次数: 0
Mixed motivations: the leadership contradiction. 混合动机:领导矛盾。
Pub Date : 1998-12-01 DOI: 10.1097/00126450-199812000-00011
C R McConnell

Individuals who seek leadership positions are driven by a mixture of motivating forces that involve the pursuit of largely psychological needs that are often far more self-serving than altruistic. Because of personal drives involved, we have reason to conclude at times that the leaders we do get are not the best, because the truly best are not strongly driven to seek leadership. Also, supervisors and other managers frequently make the mistake of judging employees' drives and motivations differently from their own. However, followers follow for the same essential reason that leaders lead: to attain need satisfaction. There are various patterns or styles of leadership, and it is possible to readily identify a particular leader's style and to learn something about the needs that drive the leader simply by observing that person's behavior. Ultimately the leaders who are most successful are those who are able to make the organization's goals their own and to be genuinely driven to attain those goals.

寻求领导职位的个人受到多种动力的驱动,这些动力主要涉及对心理需求的追求,这些需求往往更多地是自私的,而不是利他的。由于个人驱动力的关系,我们有时有理由得出结论,我们得到的领导者并不是最好的,因为真正最好的领导者并没有强烈的动力去寻求领导。此外,主管和其他管理者经常会错误地判断员工的动力和动机与他们自己的不同。然而,追随者追随的根本原因与领导者领导的原因相同:获得需求满足。有各种各样的领导模式或风格,很容易识别一个特定的领导者的风格,并通过观察那个人的行为来了解一些驱动领导者的需求。最终,最成功的领导者是那些能够使组织的目标成为自己的目标,并真正推动实现这些目标的人。
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引用次数: 2
A supervisor asks: "the employee and the job". 一位主管问:“员工和工作”。
Pub Date : 1998-12-01
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引用次数: 0
Workplace privacy: HIV testing, disclosure, and discrimination. 工作场所隐私:艾滋病毒检测、披露和歧视。
Pub Date : 1998-12-01
I Goldberg, I Sprotzer

Human immunodeficiency virus (HIV) testing and the disclosure of HIV-related information pose questions of privacy and public policy that are of concern in both public- and private-sector workplaces. Public-sector employees have constitutional protection from discrimination on the basis of their HIV-positive status. The Americans with Disabilities Act (ADA) is an important source of protection for private-sector employees. There are also other federal laws that provide protection from discrimination. However, the scope of these laws is unclear. Similarly, while some state legislatures have attempted to set standards to protect the privacy of HIV-positive employees, laws vary from state to state. Case precedent is also inconsistent. This article examines some current issues regarding HIV testing, employee privacy, and protection from discrimination.

人体免疫机能丧失病毒(艾滋病毒)检测和披露与艾滋病毒有关的信息构成了隐私和公共政策问题,这是公共和私营部门工作场所都关切的问题。公共部门雇员受到宪法保护,不因其艾滋病毒阳性状况而受到歧视。《美国残疾人法案》(ADA)是保护私营部门雇员的重要来源。还有其他一些联邦法律保护人们不受歧视。然而,这些法律的范围并不明确。同样,虽然一些州的立法机构试图制定标准来保护艾滋病毒阳性员工的隐私,但各州的法律各不相同。判例也不一致。本文探讨了当前有关艾滋病毒检测、员工隐私和保护免受歧视的一些问题。
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引用次数: 0
I'm not paranoid: they are out to get me. 我不是偏执狂:他们是来抓我的。
Pub Date : 1998-09-01
R Davidhizar

Paranoid thinking is a common phenomenon that is experienced in everyday life and consequently can found among health care professionals and employees. Health care professionals sometimes experience paranoid thoughts about the actions and intentions of others in the workplace. It is important for the health care professional to understand paranoid thoughts and to respond appropriately if these feelings are experienced. Appropriate action can be important in maintaining the professional's image in the workplace.

偏执思维是日常生活中常见的一种现象,因此在医疗保健专业人员和员工中都可以找到。卫生保健专业人员有时会对工作场所中其他人的行为和意图产生偏执的想法。对于医疗保健专业人员来说,理解偏执的想法并在经历这些感觉时做出适当的反应是很重要的。适当的行为对于维护专业人士在工作场所的形象非常重要。
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引用次数: 0
Training and retaining Shasthyo Shebika: reasons for turnover of community health workers in Bangladesh. 培训和留住Shasthyo Shebika:孟加拉国社区卫生工作者更替的原因。
Pub Date : 1998-09-01
S H Khan, A M Chowdhury, F Karim, M K Barua

Shasthyo Shebikas (SS) are community health workers forming the core of BRAC's Essential Health Care (EHC) programme. The SS dropout was 44 percent for study area and 32 percent for EHC programme. The SS discontinued their work due to lack of time, lack of "profit", and family's disapproval. The effects of the dropouts were decreased achievement of targets, and a loss of money in the amount of $24 (U.S.) per dropout SS for their training and supervision. The SS retention may increase if EHC strictly adheres to its existing guidelines when selecting trainees, and if it highlights during SS training that SS; s first and foremost role will be as that of a volunteer and then of a salesperson.

Shasthyo Shebikas (SS)是构成BRAC基本卫生保健(EHC)方案核心的社区卫生工作者。研究区的SS辍学率为44%,EHC项目的辍学率为32%。党卫军停止了他们的工作,因为没有时间,没有“利润”,和家人的反对。辍学的影响是降低了目标的实现,并且每个辍学的SS的培训和监督损失了24美元(美元)。如果EHC在选择学员时严格遵守其现有的指导方针,并且在培训过程中强调SS,则SS的保留可能会增加;我的首要角色是志愿者,然后才是销售人员。
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引用次数: 0
Please don't shoot me: I'm only the change agent. 请不要开枪打我,我只是变革的推动者。
Pub Date : 1998-09-01
D H Freed

The change agent is a necessity rather than an option for a hospital's future success in the volatile managed care environment. While his or her message may be unpopular and tactics unconventional, the change agent had the extraordinary confidence and capacity to move an organization from analysis to synthesis. This article describes the change agent's makeup and method of operation as well as the 10 most potent tools and insights for effecting sustainable change.

在多变的管理式医疗环境中,变革推动者是医院未来成功的必要条件,而不是一种选择。虽然他或她的信息可能不受欢迎,策略可能不合常规,但变革推动者具有非凡的信心和能力,可以将组织从分析转向综合。本文描述了变更代理的组成和操作方法,以及10种最有效的工具和实现可持续变更的见解。
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引用次数: 0
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The Health care supervisor
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