为了减少装配作业车间内因物料齐套产生的等待浪费,使具有装配约束的关联零件加工进度得到有效协同,设计一类卡片导航平衡控制系统(control of balance by card-based navigation,COBACABANA)。其基于两类卡片循环回路实现任务投放与作...为了减少装配作业车间内因物料齐套产生的等待浪费,使具有装配约束的关联零件加工进度得到有效协同,设计一类卡片导航平衡控制系统(control of balance by card-based navigation,COBACABANA)。其基于两类卡片循环回路实现任务投放与作业分派的可视化进度协同控制逻辑。本文详细介绍系统的运行机制和系统控制参量,通过构建一般化的装配作业车间仿真模型,探讨在不同装配关联度下各控制参量的性能变化。实验结果表明,COBACABANA系统性能良好,并且选择合适的控制参量就能够有效提升关联零件的进度协同性。展开更多
目的:调查浙江省公立医院感染控制联络护士(Infection Control Link Nurses,ICLN)岗位职能及需求,为后续ICLN的准入、培养、考核及认证提供依据。方法:2022年5月13日至6月7日,由浙江省护理学会防感染专业委员会牵头,采用自行设计的ICLN...目的:调查浙江省公立医院感染控制联络护士(Infection Control Link Nurses,ICLN)岗位职能及需求,为后续ICLN的准入、培养、考核及认证提供依据。方法:2022年5月13日至6月7日,由浙江省护理学会防感染专业委员会牵头,采用自行设计的ICLN岗位职能问卷对浙江省内11个市37家公立医院的ICLN进行线上问卷调查。结果:共发放1938份问卷,回收率及有效率均为100%。ICLN参与抗生素管理率(24.4%)与主观认同率(39.4%)低;86.9%的ICLN希望医院制度上定期给予排班支持;91.6%的ICLN认为需要院感防控专业知识和技能的培训。结论:浙江省ICLN岗位职能不够明确,需要建立系统的培养和认证体系,优化岗位标准,推进岗位的专科化发展。展开更多
Objective: To test a causal model of job stress among nurse-midwives working in labor and delivery units in Thailand.Methods: Random and convenience sampling was used to recruit 282 nurse-midwives with at least 6 mont...Objective: To test a causal model of job stress among nurse-midwives working in labor and delivery units in Thailand.Methods: Random and convenience sampling was used to recruit 282 nurse-midwives with at least 6 months of work experience from 16 regional ter tiary hospitals in Thailand. Data were collected from May to December 2020. Research instruments with good internal consistency reliability ranged from 0.83 to 0.91 including the Job Stress Scale and the Thai version of the Job Content Questionnaire(TJCQ). Descriptive statistics and a structural equation model were used for data analysis.Results: Job demands were the strongest predictor of job stress. At the theoretical level, high job control plays a crucial role in directly reducing job stress. However, the present research provides contrary evidence to the theoretical predictions. When nurse-midwives perceive high job control, they perceive pressure to meet the expectations of their supervisors and colleagues. Therefore, high job control can contribute to job stress. Likewise, job suppor t had an indirect effect on job stress among nurse-midwives through job control. The modified model fitted the empirical data(χ^(2) = 57.76, df = 22, CMIN/df = 2.62, goodness of fit(GFI) =0.96, adjusted goodness of fit(AGFI) =0.91, comparative fit index(CFI) = 0.95, and root mean square error of approximation(RMSEA) = 0.07). The effects of job demands, job control, and job suppor t on job stress among Thai nurse-midwives can explain 67% of the model’s total variance for job stress.Conclusions: Nurse-midwives who encounter high job demands and less control over their work control suffer from job stress. Job support does not directly affect nurse-midwives’ job stress but influences it through perceived job control. Strategies to decrease job stress among Thai nurse-midwives should focus on how to balance job demands, and enhance job control, and job suppor t.展开更多
在调度集中系统3.0(Centralized Traffic Control System 3.0,CTC3.0)推广使用过程中,对于接发车作业中的流程管理功能,因覆盖岗位多,需要通过多岗位联动来实现接发车作业流程的流转,尤为获得车站的关注与重视。通过分析车站运输生产过...在调度集中系统3.0(Centralized Traffic Control System 3.0,CTC3.0)推广使用过程中,对于接发车作业中的流程管理功能,因覆盖岗位多,需要通过多岗位联动来实现接发车作业流程的流转,尤为获得车站的关注与重视。通过分析车站运输生产过程中的接发车作业流程业务,结合CTC3.0作业流程管理功能,探讨一种基于无线专网的CTC3.0多岗位联动技术方案,以期在未来的实践中,实现CTC3.0车站接发车作业流程管理数字化,减轻车站人员的作业负担。展开更多
目的探讨质控前移应用于呼吸与危重症医学科(Respiratory and Critical Care Medicine,RCCM)管理中的效果分析。方法选取2021年12月—2023年12月永州市中心医院呼吸与危重症医学科的30名护理人员为研究对象,根据不同的质控方法分为两组...目的探讨质控前移应用于呼吸与危重症医学科(Respiratory and Critical Care Medicine,RCCM)管理中的效果分析。方法选取2021年12月—2023年12月永州市中心医院呼吸与危重症医学科的30名护理人员为研究对象,根据不同的质控方法分为两组,两组为同一批护理人员。2021年12月—2022年12月进行常规质控,为对照组;2023年1—12月进行质控前移,为研究组。比较两组护理文书质量评分、护理考核指标(基础护理评分、急救物品管理评分、消毒隔离管理评分)、职业倦怠量表(成就感降低、去个体化、情绪消化)评分。结果研究组护理文书质量评分高于对照组,差异有统计学意义(P<0.05)。研究组基础护理评分、急救物品管理评分、消毒隔离管理评分均高于对照组,差异有统计学意义(P均<0.05)。研究组成就感降低评分、去个体化评分、情绪消化评分均低于对照组,差异有统计学意义(P均<0.05)。结论质控前移能够提高RCCM护理人员的护理文书的书写质量,改善对基础护理、急救物品和消毒隔离的管理,且降低护理人员的职业倦怠感。展开更多
文摘为了减少装配作业车间内因物料齐套产生的等待浪费,使具有装配约束的关联零件加工进度得到有效协同,设计一类卡片导航平衡控制系统(control of balance by card-based navigation,COBACABANA)。其基于两类卡片循环回路实现任务投放与作业分派的可视化进度协同控制逻辑。本文详细介绍系统的运行机制和系统控制参量,通过构建一般化的装配作业车间仿真模型,探讨在不同装配关联度下各控制参量的性能变化。实验结果表明,COBACABANA系统性能良好,并且选择合适的控制参量就能够有效提升关联零件的进度协同性。
文摘目的:调查浙江省公立医院感染控制联络护士(Infection Control Link Nurses,ICLN)岗位职能及需求,为后续ICLN的准入、培养、考核及认证提供依据。方法:2022年5月13日至6月7日,由浙江省护理学会防感染专业委员会牵头,采用自行设计的ICLN岗位职能问卷对浙江省内11个市37家公立医院的ICLN进行线上问卷调查。结果:共发放1938份问卷,回收率及有效率均为100%。ICLN参与抗生素管理率(24.4%)与主观认同率(39.4%)低;86.9%的ICLN希望医院制度上定期给予排班支持;91.6%的ICLN认为需要院感防控专业知识和技能的培训。结论:浙江省ICLN岗位职能不够明确,需要建立系统的培养和认证体系,优化岗位标准,推进岗位的专科化发展。
文摘Objective: To test a causal model of job stress among nurse-midwives working in labor and delivery units in Thailand.Methods: Random and convenience sampling was used to recruit 282 nurse-midwives with at least 6 months of work experience from 16 regional ter tiary hospitals in Thailand. Data were collected from May to December 2020. Research instruments with good internal consistency reliability ranged from 0.83 to 0.91 including the Job Stress Scale and the Thai version of the Job Content Questionnaire(TJCQ). Descriptive statistics and a structural equation model were used for data analysis.Results: Job demands were the strongest predictor of job stress. At the theoretical level, high job control plays a crucial role in directly reducing job stress. However, the present research provides contrary evidence to the theoretical predictions. When nurse-midwives perceive high job control, they perceive pressure to meet the expectations of their supervisors and colleagues. Therefore, high job control can contribute to job stress. Likewise, job suppor t had an indirect effect on job stress among nurse-midwives through job control. The modified model fitted the empirical data(χ^(2) = 57.76, df = 22, CMIN/df = 2.62, goodness of fit(GFI) =0.96, adjusted goodness of fit(AGFI) =0.91, comparative fit index(CFI) = 0.95, and root mean square error of approximation(RMSEA) = 0.07). The effects of job demands, job control, and job suppor t on job stress among Thai nurse-midwives can explain 67% of the model’s total variance for job stress.Conclusions: Nurse-midwives who encounter high job demands and less control over their work control suffer from job stress. Job support does not directly affect nurse-midwives’ job stress but influences it through perceived job control. Strategies to decrease job stress among Thai nurse-midwives should focus on how to balance job demands, and enhance job control, and job suppor t.
文摘在调度集中系统3.0(Centralized Traffic Control System 3.0,CTC3.0)推广使用过程中,对于接发车作业中的流程管理功能,因覆盖岗位多,需要通过多岗位联动来实现接发车作业流程的流转,尤为获得车站的关注与重视。通过分析车站运输生产过程中的接发车作业流程业务,结合CTC3.0作业流程管理功能,探讨一种基于无线专网的CTC3.0多岗位联动技术方案,以期在未来的实践中,实现CTC3.0车站接发车作业流程管理数字化,减轻车站人员的作业负担。
文摘目的探讨质控前移应用于呼吸与危重症医学科(Respiratory and Critical Care Medicine,RCCM)管理中的效果分析。方法选取2021年12月—2023年12月永州市中心医院呼吸与危重症医学科的30名护理人员为研究对象,根据不同的质控方法分为两组,两组为同一批护理人员。2021年12月—2022年12月进行常规质控,为对照组;2023年1—12月进行质控前移,为研究组。比较两组护理文书质量评分、护理考核指标(基础护理评分、急救物品管理评分、消毒隔离管理评分)、职业倦怠量表(成就感降低、去个体化、情绪消化)评分。结果研究组护理文书质量评分高于对照组,差异有统计学意义(P<0.05)。研究组基础护理评分、急救物品管理评分、消毒隔离管理评分均高于对照组,差异有统计学意义(P均<0.05)。研究组成就感降低评分、去个体化评分、情绪消化评分均低于对照组,差异有统计学意义(P均<0.05)。结论质控前移能够提高RCCM护理人员的护理文书的书写质量,改善对基础护理、急救物品和消毒隔离的管理,且降低护理人员的职业倦怠感。
