Nursing staff provides patient care in an occupational environment that often imposes challenges that affect significantly the musculoskeletal system.Work-related musculoskeletal disorders are common in nursing stuff ...Nursing staff provides patient care in an occupational environment that often imposes challenges that affect significantly the musculoskeletal system.Work-related musculoskeletal disorders are common in nursing stuff and have a negative impact in their professional and daily activities.In the current editorial,the duties of nursing staff,the types of musculoskeletal disorders,the predis-posing factors(including factors related to professional tasks/ergonomics and to working schedules,psychological,social and individual factors)and their impact on working ability and quality of life nursing staff are summarized and pre-ventive measures are proposed.展开更多
Objective:This study adopts empirical research methods to analyze the impact of intervention measures such as psychological counseling,team building,and stress management training on the mental health of psychiatric m...Objective:This study adopts empirical research methods to analyze the impact of intervention measures such as psychological counseling,team building,and stress management training on the mental health of psychiatric medical staff.Methods:This study selected 211 medical staff(including doctors,nurses,and psychotherapists)from the psychiatric department of a tertiary hospital as research subjects.They were divided into an experimental group(receiving psychological support measures)and a control group(not receiving psychological support measures)according to whether they received psychological support measures.Among them,the experimental group was divided into a total of 106 patients,while the control group was divided into a total of 105 patients.After the implementation of psychological support measures,the work efficiency of both groups of patients was evaluated from three aspects:psychological health level,occupational burnout level,and job satisfaction.Results:After intervention with psychological support measures,the experimental group patients showed significantly higher levels of mental health,occupational burnout,and job satisfaction than the control group,and the above differences were statistically significant(P<0.05).Conclusion:For psychiatric medical staff,the regular implementation of psychological support measures can significantly improve their mental health level,and on the basis of psychological support,the professional enthusiasm and job satisfaction of medical staff have been significantly improved.展开更多
[Objectives] To investigate and analyze the physical examination status of the staff in an agricultural university in Tianjin,to understand the composition of the diseases suffered by the staff in the university,and t...[Objectives] To investigate and analyze the physical examination status of the staff in an agricultural university in Tianjin,to understand the composition of the diseases suffered by the staff in the university,and to provide the basis for the formulation of health education programs and health management countermeasures.[Methods] A comprehensive physical examination survey was conducted among 377 teachers and staff in the school,and the results were statistically analyzed by SPSS 24.0.[Results] The detection rates of diseases among the staff of a university in Tianjin were 161(42.7%)overweight and obesity,167(44.3%)dyslipidemia,250(66.31%)thyroid nodules,214(56.76%)fatty liver,116(30.77%)hyperglycemia,96(25.46%)hypertension,90 cases(23.87%)had abnormal ECG,and the prevalence rate increased with age.[Conclusions] The health status of the staff in a university in Tianjin is not optimistic.They should strengthen health education and health care guidance,increase sports and physical exercise,actively do a good job in early diagnosis,treatment and prevention of diseases,and improve their health level.展开更多
Objectives:This study aimed to explore the characteristics of outpatient blood collection center visit fluctuation and nursing workforce allocation based on a time series model,and the application effect was evaluated...Objectives:This study aimed to explore the characteristics of outpatient blood collection center visit fluctuation and nursing workforce allocation based on a time series model,and the application effect was evaluated.Methods:To enhance the efficiency of phlebotomy at the hospital outpatient window and improve patient satisfaction,the First Affliated Hospital with Nanjing Medical University implemented a time series analysis model in 2024 to optimize nursing staff allocation.The management team was led by a head nurse of the outpatient blood collection department with extensive experience.It included one director of the nursing department,six senior clinical nurses,one informatics expert,and one nursing master's degree holder.Retrospective time-series data from the hospital's smart blood collection system(including hourly blood collection volumes and waiting times)were extracted between January 2020 and December 2023.Time series analysis was used to identify annual,seasonal,monthly,and hourly variation patterns in blood collection volumes.Seasonal decomposition and the Autoregressive Integrated Moving Average Model(ARIMA)were employed to forecast blood collection fluctuations for 2024 and facilitate dynamic scheduling.A comparison was conducted to evaluate differences in blood collection efficiency and patient satisfaction before(January-June 2023)and after(January-June 2024)implementing the dynamic scheduling model based on the time series analysis and forecasting.Results:Visit volumes showed periodicity and slow growth,peaking every second and third quarter of the year and daily at 8:00-9:00 a.m.and 2:00-3:00 p.m.The ARIMA model demonstrated a good fit(R2=0.692,mean absolute percentage error=8.28%).After adjusting the nursing staff allocation based on the fluctuation characteristics of the number of phlebotomy per hour in the time series analysis model,at the peak period of the blood collection window,at least three nurses,one mobile nurse and two volunteers were added.The number of phlebotomy per hour increased from 289.74±54.55 to 327.53±37.84 person-time(t=-10.041,P<0.01),waiting time decreased from 5.79±2.68 to 4.01±0.46 min(t=11.531,P<0.01),and satisfaction rose from 92.7%to 97.3%(χ^(2)=6.877,P<0.05).Conclusions:Based on the time series analysis method,it is helpful for nursing managers to accurately allocate human resources and optimize the efficiency of outpatient service resources by mining the special change rule of the outpatient blood collection window and predicting the future fluctuation trend.展开更多
On November 26,2021,a novel lineage (B.1.1.529) was categorized as the fifth virus of concern (VOC) and named Omicron by World Health Organization (WHO).Patients infected with COVID-19 Omicron variant are reported to ...On November 26,2021,a novel lineage (B.1.1.529) was categorized as the fifth virus of concern (VOC) and named Omicron by World Health Organization (WHO).Patients infected with COVID-19 Omicron variant are reported to have higher transmissibility,lower severity and mortality than those with previous subvariants.In terms of virulence,the Omicron subvariant is weaker than previous strains,with symptoms mostly being fever,running nose and other symptoms mainly seen in upper respiratory tract infections.However,the clinical characteristics of medical staff infected with Omicron variants have rarely been reported before.We conducted a survey in five centers and summarized these profiles to explore the clinical characteristics.展开更多
Through analyzing the cases of Xiao Zhijun and the Yulin maternal jumping incident,the authors found significant disputes between the requests for non-indicated cesarean section and medical risk prevention,as well as ...Through analyzing the cases of Xiao Zhijun and the Yulin maternal jumping incident,the authors found significant disputes between the requests for non-indicated cesarean section and medical risk prevention,as well as between the psychology of avoiding childbirth pain and surgical responsibility.Currently,based on people’s current awareness and the responsibility orientation of expert opinions in disputes,medical institutions tend to satisfy family members’surgical requirements after fulfilling their obligation to fully inform about risks,to reduce the risk of losing disputes.This phenomenon actually reflects the contradiction between the demands of patients’families and the responsibilities of medical staff in medical decision-making.To balance the responsibilities of medical staff and the demands of patients’families,the authors believe that multiple governance paths need to be constructed:first,optimizing the level of medical staff’s communication;second,strengthening medical risk science popularization relying on modern information technology to improve patients’risk cognition ability;and third,raising society’s correct understanding of cesarean section through multiple channels.These measures can help to enhance patients’trust in hospital diagnosis and treatment results and promote harmonious development of doctor-patient relationships.展开更多
文摘Nursing staff provides patient care in an occupational environment that often imposes challenges that affect significantly the musculoskeletal system.Work-related musculoskeletal disorders are common in nursing stuff and have a negative impact in their professional and daily activities.In the current editorial,the duties of nursing staff,the types of musculoskeletal disorders,the predis-posing factors(including factors related to professional tasks/ergonomics and to working schedules,psychological,social and individual factors)and their impact on working ability and quality of life nursing staff are summarized and pre-ventive measures are proposed.
文摘Objective:This study adopts empirical research methods to analyze the impact of intervention measures such as psychological counseling,team building,and stress management training on the mental health of psychiatric medical staff.Methods:This study selected 211 medical staff(including doctors,nurses,and psychotherapists)from the psychiatric department of a tertiary hospital as research subjects.They were divided into an experimental group(receiving psychological support measures)and a control group(not receiving psychological support measures)according to whether they received psychological support measures.Among them,the experimental group was divided into a total of 106 patients,while the control group was divided into a total of 105 patients.After the implementation of psychological support measures,the work efficiency of both groups of patients was evaluated from three aspects:psychological health level,occupational burnout level,and job satisfaction.Results:After intervention with psychological support measures,the experimental group patients showed significantly higher levels of mental health,occupational burnout,and job satisfaction than the control group,and the above differences were statistically significant(P<0.05).Conclusion:For psychiatric medical staff,the regular implementation of psychological support measures can significantly improve their mental health level,and on the basis of psychological support,the professional enthusiasm and job satisfaction of medical staff have been significantly improved.
文摘[Objectives] To investigate and analyze the physical examination status of the staff in an agricultural university in Tianjin,to understand the composition of the diseases suffered by the staff in the university,and to provide the basis for the formulation of health education programs and health management countermeasures.[Methods] A comprehensive physical examination survey was conducted among 377 teachers and staff in the school,and the results were statistically analyzed by SPSS 24.0.[Results] The detection rates of diseases among the staff of a university in Tianjin were 161(42.7%)overweight and obesity,167(44.3%)dyslipidemia,250(66.31%)thyroid nodules,214(56.76%)fatty liver,116(30.77%)hyperglycemia,96(25.46%)hypertension,90 cases(23.87%)had abnormal ECG,and the prevalence rate increased with age.[Conclusions] The health status of the staff in a university in Tianjin is not optimistic.They should strengthen health education and health care guidance,increase sports and physical exercise,actively do a good job in early diagnosis,treatment and prevention of diseases,and improve their health level.
基金funded by the Nursing project,“Clinical ability improvement project”in the First Affliated Hospital with Nanjing Medical University(JSPH-NC-2021-09).
文摘Objectives:This study aimed to explore the characteristics of outpatient blood collection center visit fluctuation and nursing workforce allocation based on a time series model,and the application effect was evaluated.Methods:To enhance the efficiency of phlebotomy at the hospital outpatient window and improve patient satisfaction,the First Affliated Hospital with Nanjing Medical University implemented a time series analysis model in 2024 to optimize nursing staff allocation.The management team was led by a head nurse of the outpatient blood collection department with extensive experience.It included one director of the nursing department,six senior clinical nurses,one informatics expert,and one nursing master's degree holder.Retrospective time-series data from the hospital's smart blood collection system(including hourly blood collection volumes and waiting times)were extracted between January 2020 and December 2023.Time series analysis was used to identify annual,seasonal,monthly,and hourly variation patterns in blood collection volumes.Seasonal decomposition and the Autoregressive Integrated Moving Average Model(ARIMA)were employed to forecast blood collection fluctuations for 2024 and facilitate dynamic scheduling.A comparison was conducted to evaluate differences in blood collection efficiency and patient satisfaction before(January-June 2023)and after(January-June 2024)implementing the dynamic scheduling model based on the time series analysis and forecasting.Results:Visit volumes showed periodicity and slow growth,peaking every second and third quarter of the year and daily at 8:00-9:00 a.m.and 2:00-3:00 p.m.The ARIMA model demonstrated a good fit(R2=0.692,mean absolute percentage error=8.28%).After adjusting the nursing staff allocation based on the fluctuation characteristics of the number of phlebotomy per hour in the time series analysis model,at the peak period of the blood collection window,at least three nurses,one mobile nurse and two volunteers were added.The number of phlebotomy per hour increased from 289.74±54.55 to 327.53±37.84 person-time(t=-10.041,P<0.01),waiting time decreased from 5.79±2.68 to 4.01±0.46 min(t=11.531,P<0.01),and satisfaction rose from 92.7%to 97.3%(χ^(2)=6.877,P<0.05).Conclusions:Based on the time series analysis method,it is helpful for nursing managers to accurately allocate human resources and optimize the efficiency of outpatient service resources by mining the special change rule of the outpatient blood collection window and predicting the future fluctuation trend.
文摘On November 26,2021,a novel lineage (B.1.1.529) was categorized as the fifth virus of concern (VOC) and named Omicron by World Health Organization (WHO).Patients infected with COVID-19 Omicron variant are reported to have higher transmissibility,lower severity and mortality than those with previous subvariants.In terms of virulence,the Omicron subvariant is weaker than previous strains,with symptoms mostly being fever,running nose and other symptoms mainly seen in upper respiratory tract infections.However,the clinical characteristics of medical staff infected with Omicron variants have rarely been reported before.We conducted a survey in five centers and summarized these profiles to explore the clinical characteristics.
文摘Through analyzing the cases of Xiao Zhijun and the Yulin maternal jumping incident,the authors found significant disputes between the requests for non-indicated cesarean section and medical risk prevention,as well as between the psychology of avoiding childbirth pain and surgical responsibility.Currently,based on people’s current awareness and the responsibility orientation of expert opinions in disputes,medical institutions tend to satisfy family members’surgical requirements after fulfilling their obligation to fully inform about risks,to reduce the risk of losing disputes.This phenomenon actually reflects the contradiction between the demands of patients’families and the responsibilities of medical staff in medical decision-making.To balance the responsibilities of medical staff and the demands of patients’families,the authors believe that multiple governance paths need to be constructed:first,optimizing the level of medical staff’s communication;second,strengthening medical risk science popularization relying on modern information technology to improve patients’risk cognition ability;and third,raising society’s correct understanding of cesarean section through multiple channels.These measures can help to enhance patients’trust in hospital diagnosis and treatment results and promote harmonious development of doctor-patient relationships.
