Objective:To explore nursing measures for elderly patients with chronic obstructive pulmonary disease(COPD)and analyze the effect of continuous nursing pathways on improving the accuracy of aerosol use.Methods:From Ap...Objective:To explore nursing measures for elderly patients with chronic obstructive pulmonary disease(COPD)and analyze the effect of continuous nursing pathways on improving the accuracy of aerosol use.Methods:From April 2023 to April 2024,76 elderly COPD patients admitted to our hospital were randomly selected for nursing research.They were divided into two groups using a computer double-blind method,with 38 patients in each group.The control group received routine nursing,while the observation group applied the continuous nursing pathway.The nursing effects of the two groups were investigated and compared,including(1)aerosol accuracy;(2)cardiopulmonary function;(3)subjective well-being and self-care ability;(4)quality of life;and(5)nursing satisfaction.Results:Compared with the control group,the observation group had a significantly higher accuracy rate of aerosol use(P<0.05).Before nursing,there were no significant differences in cardiopulmonary function indicators,MUNSH scores,and ESCA scores between the two groups(P>0.05).After nursing,the patient's cardiopulmonary function improved significantly,and their subjective well-being and self-care ability increased.The observation group was significantly better than the control group in all the above indicators(P<0.05).The quality of life scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:In the nursing of elderly patients with chronic obstructive pulmonary disease,the application of the continuous nursing pathway can effectively improve the accuracy of aerosol use and improve patients'cardiopulmonary function.展开更多
Objective:This study investigates the effect of orthopedic nursing in patients with ankle fractures.Methods:A total of 84 patients with ankle fractures treated in our hospital from September 2022 to September 2023 wer...Objective:This study investigates the effect of orthopedic nursing in patients with ankle fractures.Methods:A total of 84 patients with ankle fractures treated in our hospital from September 2022 to September 2023 were selected and randomly divided into a control group and an observation group using a random number table,with 42 cases in each group.The control group received routine nursing,while the observation group received orthopedic nursing clinical pathway on the basis of traditional nursing.We analyzed and scored the nursing satisfaction and nursing effect of the two groups.Results:Compared with the control group,the observation group had a higher total nursing satisfaction rate,shorter time to get out of bed,shorter hospital stay,and lower hospitalization cost.The Barid score and AOFAS score of the observation group were higher than those of the control group,while the NRS score was lower.Conclusion:The application of orthopedic nursing clinical pathway in patients with ankle fractures significantly improves their quality of life,promotes better recovery of ankle function,and shortens the rehabilitation time.展开更多
Objective:To observe the intervention effect of clinical nursing pathway on patients receiving intravenous therapy via peripheral mid-long catheters.Methods:Ninety patients receiving intravenous therapy via mid-long c...Objective:To observe the intervention effect of clinical nursing pathway on patients receiving intravenous therapy via peripheral mid-long catheters.Methods:Ninety patients receiving intravenous therapy via mid-long catheters in the hospital from March 2024 to March 2025 were selected and randomly divided into a control group and an observation group,with 45 patients in each group.The control group received routine nursing intervention,while the observation group received clinical nursing pathway intervention.The nursing risk events,catheter indwelling time,and nursing satisfaction were evaluated in both groups.Results:The observation group had a shorter catheter indwelling time,fewer risk events during intravenous therapy(total incidence rate of 2.22%),and higher nursing satisfaction.Additionally,negative emotional feedback was reduced,and the SAS score(31.02±1.12)was lower in the observation group compared to the control group.There were significant differences between the two groups in all indicators(P<0.05).Conclusion:Applying the clinical nursing pathway during intravenous therapy via peripheral mid-long catheters can help ensure infusion safety,improve unstable emotional states,and promote high-quality service standards.展开更多
The advancement of society and continuous improvements in the healthcare system have heightened the demands on professional nursing training,necessitating that nursing education better meet practical needs in an incre...The advancement of society and continuous improvements in the healthcare system have heightened the demands on professional nursing training,necessitating that nursing education better meet practical needs in an increasingly diversified medical environment.To address these requirements,the teaching approaches and assessment methods in nursing education should be reformed and updated.This study conducted a comprehensive analysis of the current state of nursing education and proposed potential pathways to enhance nursing education in medical schools.These pathways include implementing a student-centered teaching approach,incorporating various teaching activities,emphasizing the development of students’practical skills,and reforming assessment methods to cultivate well-rounded professionals.The application of these strategies will help improve the effectiveness of classroom teaching,deepen students’understanding of theoretical knowledge and practical skills,and thereby contribute to the improvement of nursing education quality.展开更多
Objective: To evaluate the effect of endoscopic high-frequency electrocoagulation electrodesiccation (HFEE) of intestinal polyps in the clinical nursing pathway. Method: A total of 120 patients who underwent HFEE of i...Objective: To evaluate the effect of endoscopic high-frequency electrocoagulation electrodesiccation (HFEE) of intestinal polyps in the clinical nursing pathway. Method: A total of 120 patients who underwent HFEE of intestinal polyps were randomly divided into two groups of 60 cases. The control group received conventional nursing care while the observation group received the clinical nursing pathway of HFEE. Results: The average length of hospitalization, hospitalization costs, and mastery of the three health education of the observation group was lower than that of the control group (P < 0.01). The satisfaction of care in the observation group was significantly better than the control group (P <0.01). Conclusion: The clinical care path was suitable for HFEE of intestinal polyps, which shortened the patient’s length of hospitalization, improved their awareness of health education, improved their satisfaction with care, reduced medical disputes, and promoted the good development of nurse-patient relationships .展开更多
Background Nursing internship is the terminal course in nursing education. However, the long-standing nursing teaching evolves with obvious disadvantages： boring methods, lack of live Demo and unstandardized contents...Background Nursing internship is the terminal course in nursing education. However, the long-standing nursing teaching evolves with obvious disadvantages： boring methods, lack of live Demo and unstandardized contents. Therefore, a novel method is urgently in need. Methods In this study, a total of 74 nursing interns rotating in Cardiac Surgery ward of Large Vessel, Cardiac Surgery Department, were included. Of them, 37 included from July 2016 to March 2017 were distributed to the control group trained by the traditional method; while the rest 37 included from July 2017 to March 2018 were distributed to the study group receiving a novel teaching method characteristic of using clinical pathway and drawing. Baseline characteristics such as gender, age, graduation school were matched. Both groups had an internship for 4 weeks and each subject was taught by experienced instructors like nurse practitioner or nurse-in-charge. Comprehensive assessment,including growth assessment of specialty knowledge and examinations of both theory and operation,were applied both in the beginning and by the end of the internship. Results In the growth assessment of specialty knowledge, the study group performed significantly better than the control group in both total score and sub-section score（specialty pharmacy and specialty operation）. In the final examination, the study group had a higher score in specialty operation than the control group, which was statistically significant. Conclusions Application of clinical pathway combined with drawing method significantly improves the quality of cardiac surgery nursing teaching.展开更多
Objective: to analyze the clinical effect of clinical nursing pathway applied in tension-free repair of indirect inguinal hernia during perioperative period. Methods: 68 patients with indirect inguinal hernia were sel...Objective: to analyze the clinical effect of clinical nursing pathway applied in tension-free repair of indirect inguinal hernia during perioperative period. Methods: 68 patients with indirect inguinal hernia were selected from November 2020 to November 2021. All the patients were treated with tension-free hernia repair. The 68 patients were randomly divided into the control group (34 cases, perioperative routine care) and the observation group (34 cases, perioperative clinical care path). The rehabilitation progress, pain occurrence probability, total treatment cost, complications, total hospitalization time and nursing satisfaction of the patients after the operation were compared between the two groups after different nursing methods were implemented. Results: in terms of drug cost, hospitalization time and hospitalization expenses, the observation group was lower/shorter than the control group (P < 0.05). In terms of the occurrence of complications, the complication rate of the observation group was calculated to be 5.88%, and that of the control group was calculated to be 23.53%, P < 0.05;The incidence of postoperative pain was 52.94% in the observation group and 76.47% in the control group (P < 0.05). The time of anal exhaust, defecation and ambulation in the observation group was shorter than that in the control group (P < 0.05). In the aspect of nursing satisfaction, the satisfaction rate of the observation group was 100.00%, while that of the control group was 88.24%, P < 0.05. Conclusion: tension-free hernioplasty for patients with indirect inguinal hernia, and the application of clinical nursing pathway to carry out nursing work during the perioperative period of these patients, can enable these patients to recover more quickly after operation, avoid too many complications, reduce their treatment costs, relieve postoperative pain, and is conducive to improving the satisfaction of nursing service.展开更多
Objective: To investigate the effect of clinical nursing pathway (CNP) combined with cluster nursing mode in intravenous biologic treatment of rheumatoid immune disease patients. Methods: Convenience sampling method w...Objective: To investigate the effect of clinical nursing pathway (CNP) combined with cluster nursing mode in intravenous biologic treatment of rheumatoid immune disease patients. Methods: Convenience sampling method was used to select inpatients receiving biologics treatment in Rheumatology and Immunology Department of a grade A hospital in Jingzhou city from May 2020 to April 2022. 75 patients from May 2020 to April 2021 were selected as the control group, and 75 patients from May 2021 to April 2022 were selected as the observation group. The control group was given routine care. The observation group was treated with CNP combined with cluster nursing mode on the basis of the control group, and the incidences of adverse infusion reactions, total treatment time, patient satisfaction and nurse satisfaction were compared between the two groups. Results: There were statistically significant differences between the two groups after intervention (P Conclusion: Using CNP combined with cluster nursing mode is beneficial to reduce the incidence of adverse infusion reactions in patients, shorten the total treatment time, and improve the satisfaction of patients and nurses.展开更多
Objective To explore the specific application effect of clinical nursing path nursing mode in the process of nursing work in pediatric ward.Methods 80 pediatric patients in our hospital from May 2020 to may 2021 were ...Objective To explore the specific application effect of clinical nursing path nursing mode in the process of nursing work in pediatric ward.Methods 80 pediatric patients in our hospital from May 2020 to may 2021 were randomly divided into two groups with 40 cases in each group.Among them, the patients in the control group chose the basic nursing mode, and the patients in the experimental group applied the clinical nursing path mode on the basis of the nursing in the control group.Through nursing, the nursing satisfaction and clinical compliance of the two groups were compared.Results in terms of nursing satisfaction, the experimental group (97.50%) was higher than the control group (87.50%). There was significant difference between the two groups (P < 0.05);The clinical compliance of the experimental group (95.00%) was higher than that of the control group (80.00%). There was significant difference between the two groups (P < 0.05).Conclusion the application of clinical nursing pathway model in pediatric ward can significantly improve the satisfaction and compliance of children, promote the rehabilitation of children, and reduce the contradiction between doctors and patients. It is worthy to be popularized and used in clinic.展开更多
Objective: The paper aims to investigate the clinical nursing pathway (CNP) in the application of immunosorption therapy in patients with rheumatic immune disease. Methods: Convenience sampling method was used to sele...Objective: The paper aims to investigate the clinical nursing pathway (CNP) in the application of immunosorption therapy in patients with rheumatic immune disease. Methods: Convenience sampling method was used to select inpatients who received immunoadsorption therapy from January 2020 to December 2022 in the rheumatology and Immunology department of a 3A hospital in Jingzhou City. 30 patients from January 2020 to June 2021 were selected as control group, and 30 patients from July 2021 to December 2022 were selected as observation group. The control group was given routine nursing. On the basis of the control group, the observation group used a clinical nursing pathway for intervention during the perioperative period of immunosorbent therapy. The incidence of adverse reactions, patient satisfaction, and nurse satisfaction during immunosorbent therapy between the control group and the observation group were compared. Results: After intervention, the incidence of adverse reactions in the observation group was significantly lower than that in the control group, while patient satisfaction and nurse satisfaction in the observation group were significantly higher than those in the control group. The results are all statistically significant (P Conclusion: Clinical nursing pathway is beneficial to reduce the incidence of adverse reactions in patients with immunoadsorption during peri-treatment and improve the satisfaction of patients and nurses.展开更多
Objective: to study the effect of health education on patients with bronchial asthma using clinical nursing pathway. Methods: 100 patients with bronchial asthma who received treatment in our hospital from February 202...Objective: to study the effect of health education on patients with bronchial asthma using clinical nursing pathway. Methods: 100 patients with bronchial asthma who received treatment in our hospital from February 2020 to February 2022 were selected as the research object and divided into 50 cases of control group and 50 cases of observation group. The patients in the control group were treated with conventional nursing mode and the patients in the observation group were treated with clinical nursing pathway. The asthma score, hospitalization time and health education score of the patients in the control group and the observation group were compared. Results: the asthma score of the patients in the control group was higher than that in the observation group, and the random variable obeying normal distribution was 0.05, with obvious difference;The length of hospital stay of the patients in the control group was longer than that of the observation group, and the random variable obeying normal distribution was 0.05, with significant difference. The health education score of the patients in the control group was lower than that in the observation group, and the random variable obeying normal distribution was 0.05, with significant difference. Conclusion: compared with the conventional nursing model, the clinical nursing pathway is more effective in quality and health education for patients with bronchial asthma. The asthma symptoms of the patients are significantly improved, the hospitalization time is significantly shortened, and the health education score is higher, which is worthy of further promotion in clinical practice.展开更多
Objective: to construct an intelligent transfusion adverse reaction pathway and observe its application effect. Methods: from February 2020 to May 2020, 257 patients with adverse blood transfusion reactions in inpatie...Objective: to construct an intelligent transfusion adverse reaction pathway and observe its application effect. Methods: from February 2020 to May 2020, 257 patients with adverse blood transfusion reactions in inpatient ward of a hospital were selected, and the same group of nurses were in charge of the patients, and the patients were randomly divided into control group (132 cases) and observation group (125 cases). 648 nurses in charge of inpatient wards were surveyed. The control group used standardized clinical pathway in blood transfusion, and the observation group used intelligent clinical pathway to write nursing records. The nursing record writing time, report completion rate and nurse satisfaction were compared between the two groups. Results: the report writing time of the observation group was shorter than that of the control group, the report integrity was higher than that of the control group, and the nurse satisfaction was higher than that of the control group, with statistical significance (P<0.01). Conclusion: using intelligent clinical pathway to manage adverse reactions of blood transfusion is beneficial to improve thework efficiency and quality of nurses, and significantly improve the satisfaction of nurses.展开更多
Objective: to explore the application of clinical pathway in radiotherapy nursing of patients with nasopharyngeal carcinoma. Methods: from September 2021 to the present, 74 patients with nasopharyngeal carcinoma under...Objective: to explore the application of clinical pathway in radiotherapy nursing of patients with nasopharyngeal carcinoma. Methods: from September 2021 to the present, 74 patients with nasopharyngeal carcinoma undergoing chemotherapy in our hospital were selected as the research subjects. They were divided into experimental group and reference group with 37 cases in each group. Clinical pathway intervention was implemented in the experimental group and routine nursing was implemented in the reference group. The nursing satisfaction and nursing quality were compared. Results: compared with the reference group, the experimental group had higher nursing satisfaction and nursing quality scores, with significant differences between the groups (P < 0.05). Conclusion: the implementation of clinical nursing pathway for radiotherapy of nasopharyngeal carcinoma can promote the improvement of nursing satisfaction. It is a high-quality nursing model and can be popularized in disease treatment.展开更多
Nursing administration requires a large volume of wide-ranging information, and nurse administrators are limited in their ability to compile and analyze information for nursing administration. The purpose of this stud...Nursing administration requires a large volume of wide-ranging information, and nurse administrators are limited in their ability to compile and analyze information for nursing administration. The purpose of this study is to create methodology for developing a nursing administration analysis system to aid nurse administrators in performing outcome analysis. In this methodology, information required for nursing administration in the PSYCHOMS? (Psychiatric Outcome Management System, registered trademark) database is analyzed according to the individual needs of nurse administrators. It features a combination of a classification method and an extraction method for obtaining quantitative and qualitative data as information required for nursing administration, and enables nurse administrators to easily obtain analysis results that they directly need. This methodology converts the time required nurse administrators to collect and organize information into time for making considerations in order to devise strategies for improving the quality of nursing care services, and can improve the quality and efficiency of nursing administration. This may lead to an increase of the quality of nursing care services at psychiatric hospitals. This methodology is highly versatile as it can be applied in information management, not only for nursing, but for the entire psychiatric hospital.展开更多
Objective: to review and analyze the influence of the two clinical measures of routine and multidisciplinary collaboration on patients' rehabilitation degree and self-care ability, and to explore the practical app...Objective: to review and analyze the influence of the two clinical measures of routine and multidisciplinary collaboration on patients' rehabilitation degree and self-care ability, and to explore the practical application effect of multidisciplinary collaboration. Methods: total sample enrollment: 72 cases;sample selection time: 2020.9 —— 2021.9, all samples were taken from the patients with acute cerebral infarction included in our hospital. Random samples were divided into two groups and used group control method to explore the practical application value by comparing the results of different nursing measures. The grouping situation was as follows: 36 patients with routine care service were set as the control group;36 patients with multidisciplinary collaborative pathway care were set as the observation group. Compare the two groups of application effects. Results: patients in the observation group had better intervention efficiency, better nerve injury recovery, better functional score, better self-care ability, and P <0.05 between groups. Conclusion: collaborative pathway nursing positively affects the ability and rehabilitation effect of acute cerebral infarction.展开更多
BACKGROUND The emergency department(ED)plays a critical role in establishing artificial airways and implementing mechanical ventilation.Managing airbags in the ED presents a prime opportunity to mitigate the risk of v...BACKGROUND The emergency department(ED)plays a critical role in establishing artificial airways and implementing mechanical ventilation.Managing airbags in the ED presents a prime opportunity to mitigate the risk of ventilator-associated pneumonia.Nonetheless,existing research has largely overlooked the understanding,beliefs,and practical dimensions of airway airbag management among ED nurses,with a predominant focus on intensive care unit nurses.AIM To investigate the current status of ED nurses'knowledge,beliefs,and practical behaviors in airway airbag management and their influencing factors.METHODS A survey was conducted from July 10th to August 10th,2023,using convenience sampling on 520 ED nurses from 15 tertiary hospitals and 5 sary hospitals in Shanghai.Pathway analysis was utilized to analyze the influencing factors.RESULTS The scores for ED nurses'airway airbag management knowledge were 60.26±23.00,belief was 88.65±13.36,and behavior was 75.10±19.84.The main influencing factors of airbag management knowledge included participation in specialized nurse or mechanical ventilation training,department,and work experience in the department.Influencing factors of airbag management belief comprised knowledge,department,and participation in specialized nurse or mechanical ventilation training.Primary influencing factors of airbag management behavior included knowledge,belief,department,participation in specialized nurse or mechanical ventilation training,and professional title.The belief in airbag management among ED nurses acted as a partial mediator between knowledge and behavior,with a total effect value of 0.513,and an indirect effect of 0.085,constituting 16.6%of the total effect.CONCLUSION ED nurses exhibit a positive attitude toward airbag management with relatively standardized practices,yet there remains room for improvement in their knowledge levels.Nursing managers should implement interventions tailored to the characteristics of ED nurses'airbag management knowledge,beliefs,and practices to enhance their airbag management proficiency.展开更多
目的通过meta分析来评价临床护理路径对冠心病患者介入治疗后的效果。方法利用计算机检索Cochrane Library、Web of Science、PubMed、Embase、Medline、中国期刊全文数据库、中国生物医学服务系统、维普中文期刊全文数据库以及万方数...目的通过meta分析来评价临床护理路径对冠心病患者介入治疗后的效果。方法利用计算机检索Cochrane Library、Web of Science、PubMed、Embase、Medline、中国期刊全文数据库、中国生物医学服务系统、维普中文期刊全文数据库以及万方数据库中关于临床护理路径对冠状动脉粥样硬化性心脏病(以下简称“冠心病”)介入治疗效果的随机对照试验,根据纳入标准筛选出符合质量的文献,严格评价后提取数据,采用RevMan 5.2进行meta分析。结果共纳入12篇文献,均为随机对照试验,共1237例患者,meta分析结果证明:观察组住院天数少于对照组(加权均数差为-2.62,95%置信区间为-3.52~-1.72,P<0.0001);观察组住院费用少于对照组(加权均数差为-4214.30,95%置信区间为-7266.91~-1161.69,P=0.007);观察组满意率高于对照组(相对危险度(relative risk,RR)为1.17,95%置信区间为1.09~1.26,P<0.0001),(标准均数差为1.31,95%置信区间为0.43~2.18,P=0.0030);观察组尿潴留的发生率低于对照组(RR=0.41,95%置信区间为0.26~0.65,P=0.0001);观察组出血和血肿的发生率低于对照组(RR=0.37,95%置信区间为0.22~0.62,P=0.0002);观察组迷走反射的发生率低于对照组(RR=0.33,95%置信区间为0.16~0.68,P=0.0030);观察组心律失常的发生率低于对照组(RR=0.43,95%置信区间为0.32~0.58,P<0.0001);观察组心源性休克的发生率低于对照组(RR=0.52,95%置信区间为0.31~0.89,P=0.0200)。结论临床护理路径能够缩短冠心病介入治疗后患者的住院天数,减少其住院费用,提高满意度,降低相关并发症(出血和血肿、迷走反射、心律失常、心源性休克)的发生率,然而由于纳入的文献存在偏倚的风险较高,其确切效果仍需更多临床高质量随机对照试验来证实。展开更多
文摘Objective:To explore nursing measures for elderly patients with chronic obstructive pulmonary disease(COPD)and analyze the effect of continuous nursing pathways on improving the accuracy of aerosol use.Methods:From April 2023 to April 2024,76 elderly COPD patients admitted to our hospital were randomly selected for nursing research.They were divided into two groups using a computer double-blind method,with 38 patients in each group.The control group received routine nursing,while the observation group applied the continuous nursing pathway.The nursing effects of the two groups were investigated and compared,including(1)aerosol accuracy;(2)cardiopulmonary function;(3)subjective well-being and self-care ability;(4)quality of life;and(5)nursing satisfaction.Results:Compared with the control group,the observation group had a significantly higher accuracy rate of aerosol use(P<0.05).Before nursing,there were no significant differences in cardiopulmonary function indicators,MUNSH scores,and ESCA scores between the two groups(P>0.05).After nursing,the patient's cardiopulmonary function improved significantly,and their subjective well-being and self-care ability increased.The observation group was significantly better than the control group in all the above indicators(P<0.05).The quality of life scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:In the nursing of elderly patients with chronic obstructive pulmonary disease,the application of the continuous nursing pathway can effectively improve the accuracy of aerosol use and improve patients'cardiopulmonary function.
文摘Objective:This study investigates the effect of orthopedic nursing in patients with ankle fractures.Methods:A total of 84 patients with ankle fractures treated in our hospital from September 2022 to September 2023 were selected and randomly divided into a control group and an observation group using a random number table,with 42 cases in each group.The control group received routine nursing,while the observation group received orthopedic nursing clinical pathway on the basis of traditional nursing.We analyzed and scored the nursing satisfaction and nursing effect of the two groups.Results:Compared with the control group,the observation group had a higher total nursing satisfaction rate,shorter time to get out of bed,shorter hospital stay,and lower hospitalization cost.The Barid score and AOFAS score of the observation group were higher than those of the control group,while the NRS score was lower.Conclusion:The application of orthopedic nursing clinical pathway in patients with ankle fractures significantly improves their quality of life,promotes better recovery of ankle function,and shortens the rehabilitation time.
文摘Objective:To observe the intervention effect of clinical nursing pathway on patients receiving intravenous therapy via peripheral mid-long catheters.Methods:Ninety patients receiving intravenous therapy via mid-long catheters in the hospital from March 2024 to March 2025 were selected and randomly divided into a control group and an observation group,with 45 patients in each group.The control group received routine nursing intervention,while the observation group received clinical nursing pathway intervention.The nursing risk events,catheter indwelling time,and nursing satisfaction were evaluated in both groups.Results:The observation group had a shorter catheter indwelling time,fewer risk events during intravenous therapy(total incidence rate of 2.22%),and higher nursing satisfaction.Additionally,negative emotional feedback was reduced,and the SAS score(31.02±1.12)was lower in the observation group compared to the control group.There were significant differences between the two groups in all indicators(P<0.05).Conclusion:Applying the clinical nursing pathway during intravenous therapy via peripheral mid-long catheters can help ensure infusion safety,improve unstable emotional states,and promote high-quality service standards.
基金Open Research Project of Henan Provincial Key Medicine Laboratory of Nursing(HNSYHLKT202303 and HNSYXZKT202441)Henan Provincial Key Scientific Programs for Universities(25A330004)Henan Provincial Innovative Training Program for Undergraduates(S202410472013)。
文摘The advancement of society and continuous improvements in the healthcare system have heightened the demands on professional nursing training,necessitating that nursing education better meet practical needs in an increasingly diversified medical environment.To address these requirements,the teaching approaches and assessment methods in nursing education should be reformed and updated.This study conducted a comprehensive analysis of the current state of nursing education and proposed potential pathways to enhance nursing education in medical schools.These pathways include implementing a student-centered teaching approach,incorporating various teaching activities,emphasizing the development of students’practical skills,and reforming assessment methods to cultivate well-rounded professionals.The application of these strategies will help improve the effectiveness of classroom teaching,deepen students’understanding of theoretical knowledge and practical skills,and thereby contribute to the improvement of nursing education quality.
文摘Objective: To evaluate the effect of endoscopic high-frequency electrocoagulation electrodesiccation (HFEE) of intestinal polyps in the clinical nursing pathway. Method: A total of 120 patients who underwent HFEE of intestinal polyps were randomly divided into two groups of 60 cases. The control group received conventional nursing care while the observation group received the clinical nursing pathway of HFEE. Results: The average length of hospitalization, hospitalization costs, and mastery of the three health education of the observation group was lower than that of the control group (P < 0.01). The satisfaction of care in the observation group was significantly better than the control group (P <0.01). Conclusion: The clinical care path was suitable for HFEE of intestinal polyps, which shortened the patient’s length of hospitalization, improved their awareness of health education, improved their satisfaction with care, reduced medical disputes, and promoted the good development of nurse-patient relationships .
文摘Background Nursing internship is the terminal course in nursing education. However, the long-standing nursing teaching evolves with obvious disadvantages： boring methods, lack of live Demo and unstandardized contents. Therefore, a novel method is urgently in need. Methods In this study, a total of 74 nursing interns rotating in Cardiac Surgery ward of Large Vessel, Cardiac Surgery Department, were included. Of them, 37 included from July 2016 to March 2017 were distributed to the control group trained by the traditional method; while the rest 37 included from July 2017 to March 2018 were distributed to the study group receiving a novel teaching method characteristic of using clinical pathway and drawing. Baseline characteristics such as gender, age, graduation school were matched. Both groups had an internship for 4 weeks and each subject was taught by experienced instructors like nurse practitioner or nurse-in-charge. Comprehensive assessment,including growth assessment of specialty knowledge and examinations of both theory and operation,were applied both in the beginning and by the end of the internship. Results In the growth assessment of specialty knowledge, the study group performed significantly better than the control group in both total score and sub-section score（specialty pharmacy and specialty operation）. In the final examination, the study group had a higher score in specialty operation than the control group, which was statistically significant. Conclusions Application of clinical pathway combined with drawing method significantly improves the quality of cardiac surgery nursing teaching.
文摘Objective: to analyze the clinical effect of clinical nursing pathway applied in tension-free repair of indirect inguinal hernia during perioperative period. Methods: 68 patients with indirect inguinal hernia were selected from November 2020 to November 2021. All the patients were treated with tension-free hernia repair. The 68 patients were randomly divided into the control group (34 cases, perioperative routine care) and the observation group (34 cases, perioperative clinical care path). The rehabilitation progress, pain occurrence probability, total treatment cost, complications, total hospitalization time and nursing satisfaction of the patients after the operation were compared between the two groups after different nursing methods were implemented. Results: in terms of drug cost, hospitalization time and hospitalization expenses, the observation group was lower/shorter than the control group (P < 0.05). In terms of the occurrence of complications, the complication rate of the observation group was calculated to be 5.88%, and that of the control group was calculated to be 23.53%, P < 0.05;The incidence of postoperative pain was 52.94% in the observation group and 76.47% in the control group (P < 0.05). The time of anal exhaust, defecation and ambulation in the observation group was shorter than that in the control group (P < 0.05). In the aspect of nursing satisfaction, the satisfaction rate of the observation group was 100.00%, while that of the control group was 88.24%, P < 0.05. Conclusion: tension-free hernioplasty for patients with indirect inguinal hernia, and the application of clinical nursing pathway to carry out nursing work during the perioperative period of these patients, can enable these patients to recover more quickly after operation, avoid too many complications, reduce their treatment costs, relieve postoperative pain, and is conducive to improving the satisfaction of nursing service.
文摘Objective: To investigate the effect of clinical nursing pathway (CNP) combined with cluster nursing mode in intravenous biologic treatment of rheumatoid immune disease patients. Methods: Convenience sampling method was used to select inpatients receiving biologics treatment in Rheumatology and Immunology Department of a grade A hospital in Jingzhou city from May 2020 to April 2022. 75 patients from May 2020 to April 2021 were selected as the control group, and 75 patients from May 2021 to April 2022 were selected as the observation group. The control group was given routine care. The observation group was treated with CNP combined with cluster nursing mode on the basis of the control group, and the incidences of adverse infusion reactions, total treatment time, patient satisfaction and nurse satisfaction were compared between the two groups. Results: There were statistically significant differences between the two groups after intervention (P Conclusion: Using CNP combined with cluster nursing mode is beneficial to reduce the incidence of adverse infusion reactions in patients, shorten the total treatment time, and improve the satisfaction of patients and nurses.
文摘Objective To explore the specific application effect of clinical nursing path nursing mode in the process of nursing work in pediatric ward.Methods 80 pediatric patients in our hospital from May 2020 to may 2021 were randomly divided into two groups with 40 cases in each group.Among them, the patients in the control group chose the basic nursing mode, and the patients in the experimental group applied the clinical nursing path mode on the basis of the nursing in the control group.Through nursing, the nursing satisfaction and clinical compliance of the two groups were compared.Results in terms of nursing satisfaction, the experimental group (97.50%) was higher than the control group (87.50%). There was significant difference between the two groups (P < 0.05);The clinical compliance of the experimental group (95.00%) was higher than that of the control group (80.00%). There was significant difference between the two groups (P < 0.05).Conclusion the application of clinical nursing pathway model in pediatric ward can significantly improve the satisfaction and compliance of children, promote the rehabilitation of children, and reduce the contradiction between doctors and patients. It is worthy to be popularized and used in clinic.
文摘Objective: The paper aims to investigate the clinical nursing pathway (CNP) in the application of immunosorption therapy in patients with rheumatic immune disease. Methods: Convenience sampling method was used to select inpatients who received immunoadsorption therapy from January 2020 to December 2022 in the rheumatology and Immunology department of a 3A hospital in Jingzhou City. 30 patients from January 2020 to June 2021 were selected as control group, and 30 patients from July 2021 to December 2022 were selected as observation group. The control group was given routine nursing. On the basis of the control group, the observation group used a clinical nursing pathway for intervention during the perioperative period of immunosorbent therapy. The incidence of adverse reactions, patient satisfaction, and nurse satisfaction during immunosorbent therapy between the control group and the observation group were compared. Results: After intervention, the incidence of adverse reactions in the observation group was significantly lower than that in the control group, while patient satisfaction and nurse satisfaction in the observation group were significantly higher than those in the control group. The results are all statistically significant (P Conclusion: Clinical nursing pathway is beneficial to reduce the incidence of adverse reactions in patients with immunoadsorption during peri-treatment and improve the satisfaction of patients and nurses.
文摘Objective: to study the effect of health education on patients with bronchial asthma using clinical nursing pathway. Methods: 100 patients with bronchial asthma who received treatment in our hospital from February 2020 to February 2022 were selected as the research object and divided into 50 cases of control group and 50 cases of observation group. The patients in the control group were treated with conventional nursing mode and the patients in the observation group were treated with clinical nursing pathway. The asthma score, hospitalization time and health education score of the patients in the control group and the observation group were compared. Results: the asthma score of the patients in the control group was higher than that in the observation group, and the random variable obeying normal distribution was 0.05, with obvious difference;The length of hospital stay of the patients in the control group was longer than that of the observation group, and the random variable obeying normal distribution was 0.05, with significant difference. The health education score of the patients in the control group was lower than that in the observation group, and the random variable obeying normal distribution was 0.05, with significant difference. Conclusion: compared with the conventional nursing model, the clinical nursing pathway is more effective in quality and health education for patients with bronchial asthma. The asthma symptoms of the patients are significantly improved, the hospitalization time is significantly shortened, and the health education score is higher, which is worthy of further promotion in clinical practice.
文摘Objective: to construct an intelligent transfusion adverse reaction pathway and observe its application effect. Methods: from February 2020 to May 2020, 257 patients with adverse blood transfusion reactions in inpatient ward of a hospital were selected, and the same group of nurses were in charge of the patients, and the patients were randomly divided into control group (132 cases) and observation group (125 cases). 648 nurses in charge of inpatient wards were surveyed. The control group used standardized clinical pathway in blood transfusion, and the observation group used intelligent clinical pathway to write nursing records. The nursing record writing time, report completion rate and nurse satisfaction were compared between the two groups. Results: the report writing time of the observation group was shorter than that of the control group, the report integrity was higher than that of the control group, and the nurse satisfaction was higher than that of the control group, with statistical significance (P<0.01). Conclusion: using intelligent clinical pathway to manage adverse reactions of blood transfusion is beneficial to improve thework efficiency and quality of nurses, and significantly improve the satisfaction of nurses.
文摘Objective: to explore the application of clinical pathway in radiotherapy nursing of patients with nasopharyngeal carcinoma. Methods: from September 2021 to the present, 74 patients with nasopharyngeal carcinoma undergoing chemotherapy in our hospital were selected as the research subjects. They were divided into experimental group and reference group with 37 cases in each group. Clinical pathway intervention was implemented in the experimental group and routine nursing was implemented in the reference group. The nursing satisfaction and nursing quality were compared. Results: compared with the reference group, the experimental group had higher nursing satisfaction and nursing quality scores, with significant differences between the groups (P < 0.05). Conclusion: the implementation of clinical nursing pathway for radiotherapy of nasopharyngeal carcinoma can promote the improvement of nursing satisfaction. It is a high-quality nursing model and can be popularized in disease treatment.
基金supported by a grant for Strategic Information and Communications R&D Promotion Program(SCOPE)of Japan(No.122309008).
文摘Nursing administration requires a large volume of wide-ranging information, and nurse administrators are limited in their ability to compile and analyze information for nursing administration. The purpose of this study is to create methodology for developing a nursing administration analysis system to aid nurse administrators in performing outcome analysis. In this methodology, information required for nursing administration in the PSYCHOMS? (Psychiatric Outcome Management System, registered trademark) database is analyzed according to the individual needs of nurse administrators. It features a combination of a classification method and an extraction method for obtaining quantitative and qualitative data as information required for nursing administration, and enables nurse administrators to easily obtain analysis results that they directly need. This methodology converts the time required nurse administrators to collect and organize information into time for making considerations in order to devise strategies for improving the quality of nursing care services, and can improve the quality and efficiency of nursing administration. This may lead to an increase of the quality of nursing care services at psychiatric hospitals. This methodology is highly versatile as it can be applied in information management, not only for nursing, but for the entire psychiatric hospital.
文摘Objective: to review and analyze the influence of the two clinical measures of routine and multidisciplinary collaboration on patients' rehabilitation degree and self-care ability, and to explore the practical application effect of multidisciplinary collaboration. Methods: total sample enrollment: 72 cases;sample selection time: 2020.9 —— 2021.9, all samples were taken from the patients with acute cerebral infarction included in our hospital. Random samples were divided into two groups and used group control method to explore the practical application value by comparing the results of different nursing measures. The grouping situation was as follows: 36 patients with routine care service were set as the control group;36 patients with multidisciplinary collaborative pathway care were set as the observation group. Compare the two groups of application effects. Results: patients in the observation group had better intervention efficiency, better nerve injury recovery, better functional score, better self-care ability, and P <0.05 between groups. Conclusion: collaborative pathway nursing positively affects the ability and rehabilitation effect of acute cerebral infarction.
文摘BACKGROUND The emergency department(ED)plays a critical role in establishing artificial airways and implementing mechanical ventilation.Managing airbags in the ED presents a prime opportunity to mitigate the risk of ventilator-associated pneumonia.Nonetheless,existing research has largely overlooked the understanding,beliefs,and practical dimensions of airway airbag management among ED nurses,with a predominant focus on intensive care unit nurses.AIM To investigate the current status of ED nurses'knowledge,beliefs,and practical behaviors in airway airbag management and their influencing factors.METHODS A survey was conducted from July 10th to August 10th,2023,using convenience sampling on 520 ED nurses from 15 tertiary hospitals and 5 sary hospitals in Shanghai.Pathway analysis was utilized to analyze the influencing factors.RESULTS The scores for ED nurses'airway airbag management knowledge were 60.26±23.00,belief was 88.65±13.36,and behavior was 75.10±19.84.The main influencing factors of airbag management knowledge included participation in specialized nurse or mechanical ventilation training,department,and work experience in the department.Influencing factors of airbag management belief comprised knowledge,department,and participation in specialized nurse or mechanical ventilation training.Primary influencing factors of airbag management behavior included knowledge,belief,department,participation in specialized nurse or mechanical ventilation training,and professional title.The belief in airbag management among ED nurses acted as a partial mediator between knowledge and behavior,with a total effect value of 0.513,and an indirect effect of 0.085,constituting 16.6%of the total effect.CONCLUSION ED nurses exhibit a positive attitude toward airbag management with relatively standardized practices,yet there remains room for improvement in their knowledge levels.Nursing managers should implement interventions tailored to the characteristics of ED nurses'airbag management knowledge,beliefs,and practices to enhance their airbag management proficiency.
