我国耕地养护中的问题与对策建议

耕地及其养护是我国粮食安全的基础,是生态环境安全的重要途径和农民就业的重要场所。但是,目前我国粮食安全隐患逐渐凸现,主要是由于耕地无人养护、无人愿意养护、只用不养而质量退化明显,而且,有关养护法规不完善。针对这些问题,提出了耕地养护的相应对策。     

Home Is Where the Help Is

Abstract

Policy regarding long-term care has been an issue of rising national concern. In this paper we examine the transition of Danish long-term care policy with special attention to Skævinge, the first community in Denmark to integrate institutional and community-based services for the elderly. Recent studies on the variation between costs and services in Danish communities and the results of U.S. studies on community-based care suggest that successful implementation of integrated institutional and community-based long-term care is feasible in the United States. Lessons from Denmark highlight conditions that will facilitate success in this endeavor.     

The Waterbirth Project: São Bernardo Hospital experience

Introduction

The following quantitative observational study aimed to analyse the maternal and neonatal outcomes of 90 low-risk pregnant women who gave birth in water at São Bernardo Hospital.

中国协和医科大学的护理教学改革之路

我国护理本科教育水平相对落后。为了改变这一现状,许多院校便致力于护理本科教育改革,其中中国协和医科大学护理学院进行的教学改革是最成功的典范之一。推广其护理教育观念和改革的指导思想、护理专业的培养目标、课程体系和教学内容、课程实施的组织和准备及最终教学改革的评价,可供那些正在进行护理本科教育改革的兄弟院校有所借鉴。     

LBL+PBL+CBL模式在护理学基础理论与实验教学中的应用

目的：院探讨LBL+PBL+CBL模式在护理学基础理论与实验教学中的作用。方法院将120名护生随机分为试验组和对照组,试验组采用LBL+PBL+CBL教学,对照组采用传统教学法。对两组护生的理论及实验技能进行考核,通过自行设计的问卷调查评价教学效果。结果院试验组理论与实验技能成绩优于对照组(P<0.01),试验组护生对LBL+PBL+CBL模式的各项教学效果评价较好。结论院在护理学基础理论与实验教学中应用LBL+PBL+CBL模式能发挥不同教学方法优势,将理论与实验有机结合,有效提高教学效果和护生的综合能力。     

Nursing-Home Resident Quality of Life: A Longitudinal Case Study Approach

Longitudinal quality-of-life (QOL) research incorporating multiple perspectives can add to knowledge about how nursing home residents experience QOL, but these methods are seldom used. This study employed interviews and participant observation to conduct multiple-perspective, longitudinal case studies of six residents. Close, reciprocal relationships with staff members, staff knowledge of residents, and autonomy were fundamental to QOL. Autonomy was experienced through choice and self-advocacy. Changes in QOL over time related to changes in resident health status, acclimation to the setting and family member availability. Study results may have implications for staffing and staff training.     

Effects of Impact-Absorbing Flooring in Residential Care from the Perspectives of Enrolled Nurses

Falls are a daily occurrence in nursing homes and few interventions for reducing fall-related injuries have proven to be effective. Impact absorbing flooring (IAF) in residential care has shown promising results in reducing fall-injuries and in the process of developing and implementing IAF all aspects are valuable to explore. Therefore, the aim of this qualitative study is to describe the enrolled nurses (ENs) experiences of IAF. We carried out focus group interviews with ENs and used content analysis to process the data. The ENs experienced both negative and positive aspects with the IAF. Importantly, the ENs perceived the IAF as effective in preventing fall-injuries. They also appreciated the improvements in acoustics. Negative aspects were that the flooring initially was challenging to walk on and that it made it harder to maneuver heavy equipment. A significant and transferable finding in this study was the importance of the ENs' perceived difficulty in preventing fall-injuries amongst elderly people living in nursing homes. This seemed to be a driving force to accept the intervention. Although IAF affects the working conditions in a nursing home, ENs are willing to accept these issues given the perceived effectiveness of the intervention.     

评判性思维培养教学法在外科护理教学查房中的应用

目的探讨外科护理学教学查房中应用评判性思维培养教学法对培养学生评判性思维、提高学生综合能力及教学满意度等方面的影响。方法200名在外科实习的护理专业学生分为传统教学组（102名）和评判性思维培养教学组（98名）,进行外科护理查房教学,最后对有关10项指标进行评定。结果评判性思维培养教学组在详细了解病情、有效收集资料、查阅相关文献、发挥主观能动性、理论联系实际、提高思维能力、提高分析解决问题能力、融合相关基础知识、掌握专科知识、提高语言表达能力等方面与传统教学组有显著性差异（P〈0.05）。结论在外科护理教学查房中,评判性思维培养教学法在培养学生评判性思维、提高学生综合能力及教学满意度等方面优于传统教学法。     

积极心理学视角中的男护生管理教育——以广东医学院为例

男护生既有普通大学生的共性,也有作为一个新兴专业男生所独有的思想行为特点。针对其特点,运用积极心理学的相关知识,以一种积极的思想观念去对待男护生及其问题,通过其积极体验,塑造积极自我,进行积极改变,促进高校男护生的有效管理教育。     

高校校医室护理人员的素质

高校校医室护理工作具有综合性、适应性、独立性和自觉性等特点,护理人员须具有良好的职业道德、广博的专业知识和熟练的专业技能,才能提高护理水平与质量。