1.Effect analysis of setting up full-time visiting nurses in emergency transfusion room
Haijin LIU ; Yiying KE ; Meixia SU
Chinese Journal of Practical Nursing 2017;33(27):2143-2145
Objective To explore the effects analysis of setting up full-time visiting nurses in emergency transfusion room. Methods The transfusion adverse events, patient satisfaction and quality control score of patients before and after setting up full-time visiting nurses were analyzed through setting up the post of full-time visiting nurses in emergency transfusion room. Results Compared with the posts without full-time visiting nurses, the adverse events of infusion decreased from 0.61% (200/32728) to 0.18%(48/26470),χ2=63.762,P<0.05,and the patient satisfaction score increased from 91.33 ± 1.21 to 95.67 ± 1.37, t=10.277, P<0.05, and the quality control score was increased from 91.00 ± 1.55 to 96.50 ± 1.38, t=12.845, P<0.05. Conclusions Setting up full- time visiting nurses can strengthen the management of transfusion and satisfy the needs of patients' life and treatment. It is an important guarantee to reduce the risk of transfusion, ensure the safety of infusion and improve the satisfaction of patients.
2.Dilemmas and countermeasures:medical social work carry out the ethical practice of volunteers management
Jinxia CHEN ; Xiulan ZHANG ; Xiaoyun YE ; Weiya CHEN ; Yiying WU ; Ke SHEN
Chinese Medical Ethics 2024;37(7):837-842
The management of hospital volunteers is one of the main tasks of medical social workers.In practical work,they are often in a dilemma due to ethical problems,which restricts the scientific development of hospital volunteer organizations.Based on the experience of frontline medical social workers in the"Guangji Boat"Volunteer Service Alliance of the Second Affiliated Hospital Zhejiang University School of Medicine,while investigating other public hospitals,this paper summarized and organized ethical issues,analyzed their causes,and proposed improvement strategies.The ethical dilemma of hospital volunteer service was mainly in the conflict between the dual relationship of human emotion and norm,the conflict between incentive mechanism and non-reward value,as well as the conflict between participation motivation and organizational goal.The ethical dilemma in the management of hospital volunteers was attributed to the lack of standardized practical operation systems.Based on the above ethical dilemmas,combined with the development experience of volunteer service in public hospitals,this paper proposed reasonable countermeasures to provide a reference for the management of hospital volunteers.