損失慘重和去上課

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2009-10-29 (週四) 1:41

分類：生活札記

剛剛滿肚子緊張。

因為我在情急之下直接重開機，又在還沒關閉的情況下拔除隨身碟，順便青了把我趕走的爸爸一眼。

其實我常做這種事，可是這次果然碰到鬼了。

過沒多久我重新把隨身碟接上去，準備繼續看小說，最近樂不思蜀的在隨身碟塞滿了大概超過2000本的不同類型的小說，其中尤以恐怖類型我最愛。

事情就是發生在我把資料夾打開以後…整個資料夾完全是空的，一個檔案也沒有。

這時候我又發現我手上翻閱的小說又開始寫到基督教(沒辦法我一丁點都不喜歡這個宗教)，心情整個壞到谷底了。

默默嘆氣，就開始用剛剛花兩個小時才找到的FinalData，抓看看資料還在不在。現在是12點8分，跑完資料還需要45分鐘。

最近幾個月的心血就看這45分鐘分鐘了。夜路走多了就是會這樣啦，糟糕的是我還真的每天都騎夜路回家，可惡。

補充：現在是凌晨1點半。原來損失最大的不是收集的東西，而是我自己寫的，上次備份是2個半月前，這段時間寫的幾篇都消失不見了(嘆)。

–

前天去上了難得主題是護理人員的課。

衛生署做了一個專題研究。基於護理人力不足以及患者家屬負荷過高，照護品質待加強，計畫實行病房服務員制度，病房服務員工作就是取代家屬在醫院陪伴患者，價格也不貴約600~800不等，似乎比一般看護便宜一點點。目前在幾間醫院測試施行過。

但問題是，實行了以後，結果發現並沒有減少護理人員的負荷，只是似乎病患及家屬的舒適度有提高。

今天的課題還包括幾個國外學者發表他們的研究，以及他們的護理現況。(大概是這樣，因為後半是外國人，我幾乎都聽不懂)

英國的方針是增加層級，分工詳細，並且互相配合，增加人力。目的是提升照護品質減少院內感染及死亡率。

有趣的是，早上課程才剛開始，就有前輩問：關於護理人員超時過勞的問題，有沒有解決方法？(當然那個人問的時候還稍微有點激動)

台上的回答是一直有在關心，也許等這個計畫結束會注意吧，至於人力問題則應該由各醫院的人力部門解決。也就是要在死亡率提高和人力支出間作平衡。就看上級長官怎麼想。

(阿，這個聽說有喔，糟糕內幕不能說欸。不過據說越會管理問題越多)

關於超時工作，工作負荷大的研究專題也不曾間斷，可是不管研究結果如何，只要回到現實面，就通通打回原形。健保實行以後，因為給付內容沒有護理費這種東西(包含在病房費)，薪水不會提高，人力也是盡可能減少，成本問題麻。

不用提層級平板的問題，我們的工作不管書讀了幾年，通通都做一樣的工作，往上的就是護理長，再往上就是護理部長官了。

平常在病房看的就是一大堆護理人員，以及醫生、呼吸治療師、營養師之類的醫事人員。所以，廁所紙沒了、電視壞了、住院訂餐等，所有的窗口都是護理人員。

接著還沒完，醫院要發展需要各種數據，就要寫些各種作業、報告。這些還是同一批人在寫耶，不管你是護校、大學、研究所畢業都一樣！

英國光是層級有8層，每一階依學歷、能力有所不同，當然工作內容也不一樣。(以前聽學校老師說，台灣的護士到國外肯定超強的，因為不管哪層我們都全包嘛。)

而澳洲的護理人員工作滿意度高達67%。除了專業能力受重視外，暴力虐待也是滿意度重要的因素。

到了下午，正經的全程英文課繼續上，外國來的大師們依序上場。

日本的做法我比較不懂，2000年至今，他們的護理人員閒置人數約50%，但臨床的人力缺乏人仍然非常嚴重。

他們的做法是，從1994年直接實行全責護理，也就是病人住院期間一切生活由護理人員負責(咦!!!!)

(哈哈，前面沒有聽，我不知道日本這麼做的原因是啥，聽到這個超驚訝)

並且從1985年開始作觀察研究。總而言之結果他們認為和薪資有關，薪水增加50%，留任和年資增加40%和70%。

這時候，又有人問了，因為這個專題是從sars開始的，這位老學姊就問了外國學者，他們對於類似和平醫院那種被關進去、甚至被感染的那些護理人員，有什麼保障？

真是問廢話，人家的稅金是我們的十幾倍，社會福利告示我們幾百萬倍，當然肯定是有保障的阿。

這些人該不會故意問這些問題給負責的官員難看吧？

不過話說回來其實我們也過的挺好的，因為醫院不會砍我們的薪水，他們砍醫生的：D

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0 [term_order] => 0 [term_taxonomy_id] => 255 [taxonomy] => category [description] => [parent] => 6 [count] => 1 ) [43] => stdClass Object ( [term_id] => 244 [name] => 聽音樂 [slug] => %e8%81%bd%e9%9f%b3%e6%a8%82 [term_group] => 0 [term_order] => 0 [term_taxonomy_id] => 256 [taxonomy] => category [description] => [parent] => 6 [count] => 3 ) [44] => stdClass Object ( [term_id] => 88 [name] => 試讀 [slug] => %e8%a9%a6%e8%ae%80 [term_group] => 0 [term_order] => 7 [term_taxonomy_id] => 198 [taxonomy] => category [description] => [parent] => 223 [count] => 23 ) [45] => stdClass Object ( [term_id] => 213 [name] => 護理人員繼續教育 [slug] => %e8%ad%b7%e7%90%86%e4%ba%ba%e5%93%a1%e7%b9%bc%e7%ba%8c%e6%95%99%e8%82%b2 [term_group] => 0 [term_order] => 28 [term_taxonomy_id] => 221 [taxonomy] => category [description] => [parent] => 0 [count] => 23 ) [46] => stdClass Object ( [term_id] => 12 [name] => 遊戲-其他 [slug] => %e9%81%8a%e6%88%b2-%e5%85%b6%e4%bb%96 [term_group] => 0 [term_order] => 19 [term_taxonomy_id] => 12 [taxonomy] => category [description] => [parent] => 0 [count] => 10 ) [47] => stdClass Object ( [term_id] => 11 [name] => 遊記 [slug] => %e9%81%8a%e8%a8%98 [term_group] => 0 [term_order] => 15 [term_taxonomy_id] => 231 [taxonomy] => category [description] => [parent] => 6 [count] => 6 ) [48] => stdClass Object ( [term_id] => 235 [name] => 部落客的暑假作業 [slug] => %e9%83%a8%e8%90%bd%e5%ae%a2%e7%9a%84%e6%9a%91%e5%81%87%e4%bd%9c%e6%a5%ad [term_group] => 0 [term_order] => 0 [term_taxonomy_id] => 246 [taxonomy] => category [description] => [parent] => 219 [count] => 17 ) [49] => stdClass Object ( [term_id] => 13 [name] => 部落格寵物 [slug] => %e9%83%a8%e8%90%bd%e6%a0%bc%e5%af%b5%e7%89%a9 [term_group] => 0 [term_order] => 20 [term_taxonomy_id] => 13 [taxonomy] => category [description] => [parent] => 222 [count] => 5 ) [50] => stdClass Object ( [term_id] => 205 [name] => 閱聽記錄表 [slug] => %e9%96%b1%e8%81%bd%e8%a8%98%e9%8c%84%e8%a1%a8 [term_group] => 0 [term_order] => 5 [term_taxonomy_id] => 213 [taxonomy] => category [description] => [parent] => 0 [count] => 7 ) [51] => stdClass Object ( [term_id] => 294 [name] => 隨想 [slug] => %e9%9a%a8%e6%83%b3 [term_group] => 0 [term_order] => 0 [term_taxonomy_id] => 309 [taxonomy] => category [description] => [parent] => 6 [count] => 2 ) [52] => stdClass Object ( [term_id] => 77 [name] => 電影 [slug] => %e9%9b%bb%e5%bd%b1 [term_group] => 0 [term_order] => 0 [term_taxonomy_id] => 200 [taxonomy] => category [description] => [parent] => 220 [count] => 52 ) [53] => stdClass Object ( [term_id] => 233 [name] => 韓劇 [slug] => %e9%9f%93%e5%8a%87 [term_group] => 0 [term_order] => 0 [term_taxonomy_id] => 244 [taxonomy] => category [description] => [parent] => 220 [count] => 3 ) [54] => stdClass Object ( [term_id] => 195 [name] => 預告 [slug] => %e9%a0%90%e5%91%8a-%e8%b6%85%e8%ae%9a%e5%bd%b1%e8%a6%96 [term_group] => 0 [term_order] => 0 [term_taxonomy_id] => 203 [taxonomy] => category [description] => [parent] => 220 [count] => 7 ) [55] => stdClass Object ( [term_id] => 224 [name] => 食記 [slug] => %e9%a3%9f%e8%a8%98-%e7%94%9f%e6%b4%bb%e6%9c%ad%e8%a8%98 [term_group] => 0 [term_order] => 0 [term_taxonomy_id] => 233 [taxonomy] => category [description] => [parent] => 6 [count] => 9 ) ) POST QUERY: POST QUERY RESULTS
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