To explore the application value of hemodialysis-related nursing sensitive indicators in improving the quality of hemodialysis.Methods Totally 40 outpatients undergoing dialysis treatment from January 2016 to December...To explore the application value of hemodialysis-related nursing sensitive indicators in improving the quality of hemodialysis.Methods Totally 40 outpatients undergoing dialysis treatment from January 2016 to December 2016 served as observation group.Another 40 outpatients who received dialysis from January 2015 to December 2015were selected as control group.Patients in control group received routine nursing and health education on hemodialysis,and those in observation group were given interventions based on nursing sensitive indicators.The hemodialysisrelated nursing sensitive indicators and satisfactory degree of patients on nursing service were compared between two groups.Results Observation group had a better outcome of hemodialysis nursing sensitive indicators compared with control group(observation group:Kt/V[1.30±0.06],Hb[115.0±4.8]g/L,serum Ca[2.31±0.06]mmoL/L,serum P[1.75±0.18]mmoL/L,product of Ca and P[30.95±0.58]mg2/dl,PTH[305±65]pg/mL.control group:Kt/V[1.18±0.07],Hb[99.0±5.2]g/L,serum Ca[2.52±0.07]mmoL/L,serum P[2.07±0.21]mmoL/L,product of Ca and P[39.75±0.74]mg2/dl,PTH[420±84]pg/mL.P<0.05 respectively.)The satisfactory degree of patients on nursing service was97.5%(39/40)in observation group and 80.0%(32/40)in the control group,with a significant difference(P<0.05).Conclusion Hemodialysis-related nursing sensitive indicators provide a scientific basis for nursing quality improvement in patients with hemodialysis,and also play a certain role in promoting high quality nursing service.展开更多
<strong>Introduction:</strong> Nursing-Sensitive Indicators (NSIs) is a critical concept for the advancement of the nursing profession. However, different managerial positions may have a different perspect...<strong>Introduction:</strong> Nursing-Sensitive Indicators (NSIs) is a critical concept for the advancement of the nursing profession. However, different managerial positions may have a different perspective on the appropriate NSIs that should be used in hospitals for the monitoring of nursing care quality. This study aims to find if there is a difference between three groups of nursing managerial positions on the appropriateness of NSIs for the monitoring of nursing care quality. <strong>Methods:</strong> Descriptive cross-sectional approach was employed to evaluate if there is a difference among the three managerial groups in their evaluation for the appropriateness of using a cluster of NSIs in acute care settings. The study was conducted in Jordan between February and March 2020. <strong>Result:</strong> The study participants were 60 nurses from different managerial positions. The mean scores of the participants were: directors of nursing (200.6), nursing supervisors (199.1), and nursing quality specialists (198.62). The findings revealed no statistical difference between the three groups of their evaluation of the appropriateness of the NSIs. <strong>Conclusion:</strong> Standardizing the nursing mangers perspectives of NSIs may advance utilization of the NSIs for the monitoring and reporting of nursing care quality. <strong>Implications for Nursing Management:</strong> Consistent understanding of the measures that can be used to monitor quality of nursing care can establish the foundation for quality measurement and quality improvement in acute care settings.展开更多
This is a pilot research project was prepared to assess the impact of implementing essential standardized nursing quality sensitive indicators in monitoring, evaluating, and controlling the nursing services and activi...This is a pilot research project was prepared to assess the impact of implementing essential standardized nursing quality sensitive indicators in monitoring, evaluating, and controlling the nursing services and activities which implemented in daily nursing care works with the patients in a health institute, aiming for emphasizing the concept of “nursing quality sensitive indicators” which is valuable to elaborate nursing care performance, and for continuous upgrading of daily nursing care, which hopefully will result in more beneficial outcomes, and lesser negative or undesirable outcomes in all aspects of nursing care, and consequently the health care process, particularly regarding patient safety, patient satisfaction and nursing performance improvement. This pilot research project for the essential standardized nursing quality sensitive indicators was applied in intensive care unit (ICU) department in Qurayyat general hospital, and resulted in excellent improvement of all outcomes correlated with the essential standardized nursing quality sensitive indicators. These essential standardized nursing quality sensitive indicators are hopefully be accepted and accredited by the higher health authorities as standardized nursing quality sensitive indicators in health institutes.展开更多
Objective： By constructing a training system of quality evaluation standards for emergency nurse specialist（ENS）, we can ensure smooth operations and quality training for ENS.Methods： First, the frame structure of...Objective： By constructing a training system of quality evaluation standards for emergency nurse specialist（ENS）, we can ensure smooth operations and quality training for ENS.Methods： First, the frame structure of indicators was designed on the basis of system theory and the balanced scorecard method. Meanwhile, corresponding quantitative standard indicators were compiled through literature analysis and a review of training characteristics. Next, screening indicators were collected through consultation with experts and statistical calculations. The indicators weight coefficient was calculated using the analytic hierarchy process（AHP）. Finally, indicators were validated in two groups of nurses in two different training courses.Results：（1） We created a three-level indicator system： level-Ⅰ dimensions have 4 indicators, while level-Ⅱ dimensions and level-Ⅲ dimensions have 13 and 34 indicators, respectively;（2） The coefficient of expert＇s judgment is 0.840, familiarity is 0.914 and authority is 0.877, and the three rounds of coordination coefficient are 0.456, 0.553 and 0.715, respectively;（3） There are at least 56 indicators in alternative quantitative standards; and（4） The alpha reliability value of the indicator system in the two training course had no significant difference（P 〉 0.05）. The same result was observed when examining two groups of nurses in one training course（P 〉 0.05）.Conclusions： This study established a training system of quality evaluation standards for emergency nurse specialists that is objective, reliable, easy to operate and representative according to scientific selection and verification. This system can therefore provide a basis for quality evaluation and targeted improvement for ENS training in addition to promoting health.展开更多
Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of needs.Methods:The draft of the quality indicator...Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of needs.Methods:The draft of the quality indicators was drawn up based on a literature review and research group discussion.The quality indicators were finalized by two rounds of expert consultation(involving 15 experts)using the Delphi method.The Analytic Hierarchy Process was applied to calculate the indicators’weight.Results:The response rates of the two rounds of consultation were 100%and 93%,and the expert authority coefficients were 0.86 and 0.87.After two rounds of consultation,the expert opinion coordination coefficients of the first-,second-and third-level indicators were 0.42,0.25,and 0.96,respectively(P<0.05),and the variation coefficient was0.25.The final quality indicators for the care of older adults with disabilities in LTCFs included 7 first-level,19 second-level,and 107 third-level indicators.Conclusion:The quality indicators for the care of older adults with disabilities in LTCFs are reliable,scientific,comprehensive,and practical and specify the content of person-centered care needs.This can provide a reference for evaluating and improving care quality in LTCFs.展开更多
BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and co...BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.METHODS We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1,2021 and December 31,2023.We compared and analyzed the respiratory mechanical indexes[airway resistance(Raw),mean airway pressure(mPaw),peak pressure(PIP)],blood gas analysis indexes(arterial oxygen saturation,arterial oxygen partial pressure,and oxygenation index),and serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT),cortisol(COR),and high mobility group protein B1(HMGB1)]of all patients before and after treatment.RESULTS Before treatment,there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups(P>0.05).However,after treatment,the respiratory mechanical indexes of patients in both groups were significantly improved,and the improvement of Raw,mPaw,plateau pressure,PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group(P<0.05).The serum CRP and PCT levels of patients were significantly decreased,and the difference was statistically significant compared with that of nursing group alone(P<0.05).The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.CONCLUSION The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators,blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.展开更多
Caring has long been recognized as central to nursing and is increasingly posited as a core concept although developing a theoretical description of caring which is adequate in the 21st. century continues to be a diff...Caring has long been recognized as central to nursing and is increasingly posited as a core concept although developing a theoretical description of caring which is adequate in the 21st. century continues to be a difficult task for nursing scholars. Consequently, verifying existing theoretical structures of caring remains an ongoing challenge. The aim of this article is to provide empirical verification of the caring processes of “knowing,” “being with,” “doing for,” “enabling” and “maintaining belief” from Swanson’s Middle Range Caring Theory based on the categorization of nursing actions from a systematic literature review on care. Methods: A systematic literature review was conducted in the fields of nursing sciences, medicine and psychology. Purposeful sampling was carried out covering a period from 2003-2013. The final sample included 25 articles. Results: Major themes of nursing actions included “knowing” which consisted of centering, nurturing, informed understanding, assessment skills, communication and respect for individual differences. “Being with” was characterized by intimate relationship, connecting, presencing, emotional adaptability awareness of self/other and decentering. “Doing for” included competence, knowledge, professional/technical skills, helping actions, anticipatory, multidisciplinary and preserving dignity. “Enabling” was characterized by self care, commitment, complexity of care, appropriate communication, information/education, sharing power, enabling choice and ongoing validation. Finally, “maintaining belief” was characterized by spiritual being, humanistic view, harmonious balance, hope, love, and compassion, meaning, and religious and spiritual orientation. Conclusion: Empirical verification was shown for the caring processes described in Swanson’s Caring Theory grounded in concrete nursing actions.展开更多
Objectives To explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care hospitals.Method A convergent parallel mixed methods design was perform...Objectives To explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care hospitals.Method A convergent parallel mixed methods design was performed.We conducted a quantitative representative survey with nursing managers from 32 Austrian general acute care hospitals and 11 qualitative semi-structured interviews with nursing quality management experts.Both results were first analyzed independently and afterward merged in the discussion.Results On average,76%of nursing documentation is already electronically supported in the surveyed Austrian hospitals.However,existing nursing data is seldom used for secondary purposes such as nursing-sensitive outcome analyses.This is due to four major reasons:First,hospitals often do not have a data strategy for the secondary use of routine data.Second,hospitals partly lack the use of standardized and uniform nursing terminologies,especially for nursing evaluation.Third,routine nursing data is often not documented correctly and completely.Fourth,data on nursing-sensitive outcomes is usually collected in specific documentation forms not integrated into routine documentation.Conclusion The awareness of the possibilities for secondary use of nursing data for nursing-sensitive outcome analyses in Austrian hospitals is still in its infancy.Therefore,nursing staff and nursing management must be trained to understand how to collect and process nursing data for nursing-sensitive outcome analyses.Further studies would be interesting in order to determine the factors that influence the decision-making processes for the secondary use of nursing data for outcome analyses.展开更多
Objective:To evaluate the nursing effects of targeted care for children with nutritional iron-deficiency anemia(IDA).Methods:A total of 88 children with IDA admitted to the hospital from November 2021 to November 2023...Objective:To evaluate the nursing effects of targeted care for children with nutritional iron-deficiency anemia(IDA).Methods:A total of 88 children with IDA admitted to the hospital from November 2021 to November 2023 were selected(each child included one accompanying family member).Using a random number table,the participants were divided into two groups:the observation group,which received targeted nursing care,and the reference group,which received standard nursing care.The anemia correction rate,nutritional indicators,and family knowledge level were compared.Results:The anemia correction rate in the observation group was higher than in the reference group,with post-nursing nutritional indicators superior to those in the reference group.Additionally,family members in the observation group had a higher level of knowledge(P<0.05).Conclusion:Targeted nursing can effectively correct anemia symptoms in children with IDA,improve nutritional indicators,and increase family members’knowledge,demonstrating high nursing effectiveness.展开更多
Aim:To determine the effect of foot reflexology intervention on pain and physiological indicators in postoperative patients.Data resources:The Cochrane library,PubMed,EMBASE,MEDLINE,SCOPUS,CINAHL,China National Knowle...Aim:To determine the effect of foot reflexology intervention on pain and physiological indicators in postoperative patients.Data resources:The Cochrane library,PubMed,EMBASE,MEDLINE,SCOPUS,CINAHL,China National Knowledge Infrastructure(CNKI),VIP,and Wan Fang Data were searched from inception until January2020.Review methods:Studies were screened according to the PICOS principle.The methodological quality was assessed with Cochrane Risk of Bias Tool.Meta-analysis was performed using RevMan 5.3 software.Results:5 randomized clinical trials involving 318 participants were included in the meta-analysis.There were significant differences in pain and heart rate in postoperative patients between the two groups.Conclusion:The foot reflexology intervention decrease the postoperative pain and heart rate for the postoperative patients.It can be considered to be an effective non-pharmaceutical therapy to reduce the postoperative pain and heart rate.The evidence is not enough to prove the effectiveness of reducing postoperative blood pressure,respiratory rate,pulse rate and oxygen saturation using the foot reflexology.展开更多
Objective: to explore the effect of continuous improvement of nursing quality by using sensitive indicators of nursing quality in the nursing process of psychiatric patients. Methods: from January 2017 to June 2018, 5...Objective: to explore the effect of continuous improvement of nursing quality by using sensitive indicators of nursing quality in the nursing process of psychiatric patients. Methods: from January 2017 to June 2018, 56 patients in the psychiatric department of our hospital were selected by random number table method for retrospective analysis as the control group. Since July 2018, our hospital has applied nursing quality sensitive indicators, and 61 patients were selected by random number table method as the study group. Analyze the clinical nursing quality, BPRS score and IPROS score. Results: the quality of clinical nursing in the control group was inferior to that in the study group (P < 0.05), indicating that the difference was statistically significant;the BPRS score of the study group was better than that of the control group (P < 0.05), indicating that the difference was statistically significant;the IPROS score of the study group was better than that of the control group (P < 0.05), indicating that the difference was statistically significant. Conclusion: in the continuous improvement of psychiatric nursing quality, the application of nursing quality sensitive indicators is helpful to improve the quality of nursing and alleviate the mental illness of patients.展开更多
Objective: to analyze and observe the influence of individualized nursing on patients with acute gouty arthritis. Methods: a total of 80 patients with acute gouty arthritis admitted to our hospital from February 2020 ...Objective: to analyze and observe the influence of individualized nursing on patients with acute gouty arthritis. Methods: a total of 80 patients with acute gouty arthritis admitted to our hospital from February 2020 to March 2021 were randomly divided into study group (40 cases) and conventional group (40 cases). The conventional group provided routine nursing for arthritis patients, and the study group provided personalized nursing for arthritis patients. The recovery of clinical indicators and nursing satisfaction of patients with arthritis in the two groups were compared and analyzed. Results: the recovery of clinical indexes in the study group was significantly better than that in the conventional group (P < 0.05). The satisfaction of the study group and the conventional group were 97.5% and 77.5% respectively, P < 0.05, and there was a significant difference between the two groups. Conclusion: the application of individualized nursing in patients with acute gouty arthritis can make the symptoms of patients recover quickly, achieve the goal of early cure, and get the recognition and satisfaction of the majority of patients. It is worth promoting and adopting actively.展开更多
Objective: to explore and evaluate the effect of psychological intervention plan in the nursing of patients with hypertensive heart disease. Methods: 78 subjects with hypertensive heart disease who were selected to im...Objective: to explore and evaluate the effect of psychological intervention plan in the nursing of patients with hypertensive heart disease. Methods: 78 subjects with hypertensive heart disease who were selected to implement the intervention program in the hospital were investigated. The date was limited from December 2, 2019 to October 13, 2021. According to the principle of parity, the selected objects are divided into two groups, and the intervention contents are distinguished respectively. The value of the former (odd number, control group) was 39, and the traditional intervention plan was adopted. The number of the latter (even number, observation group) was consistent with the former, and psychological intervention plan was applied. To explore the nursing application of the selected object, the changes of relevant indicators, negative emotional changes, compliance and the recognition of relatives to nursing work and implementers, and to evaluate them between groups. Results: before the differential intervention plan was adopted, there was no significant difference in systolic blood pressure, diastolic blood pressure, heart rate, anxiety and depression between the two groups (P > 0.05). Under the application of different intervention schemes, compared with the data of the control group, the total effective rate of nursing application in the observation group increased significantly, the blood pressure and heart rate were clearly improved, the negative emotion was relieved, the compliance was improved, and the degree of recognition of relatives was increased. All the above data were statistically significant (P < 0.05). Conclusion: the effect of psychological intervention plan in the nursing of patients with hypertensive heart disease is accurate, which can significantly improve the relevant indicators and psychological state of patients, and is conducive to the improvement of their compliance. It is suitable for application and recognized and trusted by most patients' relatives, which is highly scientific.展开更多
Objective:To study the application effects of the entire-course nutrition management model led by specialized nutrition nurses in patients with distant cholangiocarcinoma.Methods:Using convenience sampling,one hundred...Objective:To study the application effects of the entire-course nutrition management model led by specialized nutrition nurses in patients with distant cholangiocarcinoma.Methods:Using convenience sampling,one hundred and twenty patients with distant cholangiocarcinoma admitted from April 2023 to October 2024 were selected as the experimental subjects of this study.They were grouped using a random number table method.The intervention group consisted of 60 patients with distant cholangiocarcinoma who received the entire-course nutrition management led by specialized nutrition nurses,while the observation group consisted of 60 patients who received conventional management.The intestinal function,nutritional indicators,quality of life,and satisfaction were compared between the intervention and observation groups.Results:After intervention,the intestinal function,nutritional indicators,quality of life,and satisfaction of patients with distant cholangiocarcinoma in the intervention group were significantly better than those in the observation group,with statistically significant differences(P<0.05).Conclusion:The application of the entire-course nutrition management model led by specialized nutrition nurses in patients with distant cholangiocarcinoma has more prominent effects and can further improve prognosis,making it worthy of widespread clinical application.展开更多
文摘To explore the application value of hemodialysis-related nursing sensitive indicators in improving the quality of hemodialysis.Methods Totally 40 outpatients undergoing dialysis treatment from January 2016 to December 2016 served as observation group.Another 40 outpatients who received dialysis from January 2015 to December 2015were selected as control group.Patients in control group received routine nursing and health education on hemodialysis,and those in observation group were given interventions based on nursing sensitive indicators.The hemodialysisrelated nursing sensitive indicators and satisfactory degree of patients on nursing service were compared between two groups.Results Observation group had a better outcome of hemodialysis nursing sensitive indicators compared with control group(observation group:Kt/V[1.30±0.06],Hb[115.0±4.8]g/L,serum Ca[2.31±0.06]mmoL/L,serum P[1.75±0.18]mmoL/L,product of Ca and P[30.95±0.58]mg2/dl,PTH[305±65]pg/mL.control group:Kt/V[1.18±0.07],Hb[99.0±5.2]g/L,serum Ca[2.52±0.07]mmoL/L,serum P[2.07±0.21]mmoL/L,product of Ca and P[39.75±0.74]mg2/dl,PTH[420±84]pg/mL.P<0.05 respectively.)The satisfactory degree of patients on nursing service was97.5%(39/40)in observation group and 80.0%(32/40)in the control group,with a significant difference(P<0.05).Conclusion Hemodialysis-related nursing sensitive indicators provide a scientific basis for nursing quality improvement in patients with hemodialysis,and also play a certain role in promoting high quality nursing service.
文摘<strong>Introduction:</strong> Nursing-Sensitive Indicators (NSIs) is a critical concept for the advancement of the nursing profession. However, different managerial positions may have a different perspective on the appropriate NSIs that should be used in hospitals for the monitoring of nursing care quality. This study aims to find if there is a difference between three groups of nursing managerial positions on the appropriateness of NSIs for the monitoring of nursing care quality. <strong>Methods:</strong> Descriptive cross-sectional approach was employed to evaluate if there is a difference among the three managerial groups in their evaluation for the appropriateness of using a cluster of NSIs in acute care settings. The study was conducted in Jordan between February and March 2020. <strong>Result:</strong> The study participants were 60 nurses from different managerial positions. The mean scores of the participants were: directors of nursing (200.6), nursing supervisors (199.1), and nursing quality specialists (198.62). The findings revealed no statistical difference between the three groups of their evaluation of the appropriateness of the NSIs. <strong>Conclusion:</strong> Standardizing the nursing mangers perspectives of NSIs may advance utilization of the NSIs for the monitoring and reporting of nursing care quality. <strong>Implications for Nursing Management:</strong> Consistent understanding of the measures that can be used to monitor quality of nursing care can establish the foundation for quality measurement and quality improvement in acute care settings.
文摘This is a pilot research project was prepared to assess the impact of implementing essential standardized nursing quality sensitive indicators in monitoring, evaluating, and controlling the nursing services and activities which implemented in daily nursing care works with the patients in a health institute, aiming for emphasizing the concept of “nursing quality sensitive indicators” which is valuable to elaborate nursing care performance, and for continuous upgrading of daily nursing care, which hopefully will result in more beneficial outcomes, and lesser negative or undesirable outcomes in all aspects of nursing care, and consequently the health care process, particularly regarding patient safety, patient satisfaction and nursing performance improvement. This pilot research project for the essential standardized nursing quality sensitive indicators was applied in intensive care unit (ICU) department in Qurayyat general hospital, and resulted in excellent improvement of all outcomes correlated with the essential standardized nursing quality sensitive indicators. These essential standardized nursing quality sensitive indicators are hopefully be accepted and accredited by the higher health authorities as standardized nursing quality sensitive indicators in health institutes.
基金supported by the nursing special items of Health and Family Planning Commission Research Fund in Hubei province(No.HL2012-15)
文摘Objective： By constructing a training system of quality evaluation standards for emergency nurse specialist（ENS）, we can ensure smooth operations and quality training for ENS.Methods： First, the frame structure of indicators was designed on the basis of system theory and the balanced scorecard method. Meanwhile, corresponding quantitative standard indicators were compiled through literature analysis and a review of training characteristics. Next, screening indicators were collected through consultation with experts and statistical calculations. The indicators weight coefficient was calculated using the analytic hierarchy process（AHP）. Finally, indicators were validated in two groups of nurses in two different training courses.Results：（1） We created a three-level indicator system： level-Ⅰ dimensions have 4 indicators, while level-Ⅱ dimensions and level-Ⅲ dimensions have 13 and 34 indicators, respectively;（2） The coefficient of expert＇s judgment is 0.840, familiarity is 0.914 and authority is 0.877, and the three rounds of coordination coefficient are 0.456, 0.553 and 0.715, respectively;（3） There are at least 56 indicators in alternative quantitative standards; and（4） The alpha reliability value of the indicator system in the two training course had no significant difference（P 〉 0.05）. The same result was observed when examining two groups of nurses in one training course（P 〉 0.05）.Conclusions： This study established a training system of quality evaluation standards for emergency nurse specialists that is objective, reliable, easy to operate and representative according to scientific selection and verification. This system can therefore provide a basis for quality evaluation and targeted improvement for ENS training in addition to promoting health.
基金This study was funded by the National Natural Science Foundation of China (Grant No. 72074164)Chinese Academy of Medical Sciences(Grant No. 2020-JKCS-024).
文摘Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of needs.Methods:The draft of the quality indicators was drawn up based on a literature review and research group discussion.The quality indicators were finalized by two rounds of expert consultation(involving 15 experts)using the Delphi method.The Analytic Hierarchy Process was applied to calculate the indicators’weight.Results:The response rates of the two rounds of consultation were 100%and 93%,and the expert authority coefficients were 0.86 and 0.87.After two rounds of consultation,the expert opinion coordination coefficients of the first-,second-and third-level indicators were 0.42,0.25,and 0.96,respectively(P<0.05),and the variation coefficient was0.25.The final quality indicators for the care of older adults with disabilities in LTCFs included 7 first-level,19 second-level,and 107 third-level indicators.Conclusion:The quality indicators for the care of older adults with disabilities in LTCFs are reliable,scientific,comprehensive,and practical and specify the content of person-centered care needs.This can provide a reference for evaluating and improving care quality in LTCFs.
文摘BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.METHODS We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1,2021 and December 31,2023.We compared and analyzed the respiratory mechanical indexes[airway resistance(Raw),mean airway pressure(mPaw),peak pressure(PIP)],blood gas analysis indexes(arterial oxygen saturation,arterial oxygen partial pressure,and oxygenation index),and serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT),cortisol(COR),and high mobility group protein B1(HMGB1)]of all patients before and after treatment.RESULTS Before treatment,there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups(P>0.05).However,after treatment,the respiratory mechanical indexes of patients in both groups were significantly improved,and the improvement of Raw,mPaw,plateau pressure,PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group(P<0.05).The serum CRP and PCT levels of patients were significantly decreased,and the difference was statistically significant compared with that of nursing group alone(P<0.05).The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.CONCLUSION The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators,blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.
文摘Caring has long been recognized as central to nursing and is increasingly posited as a core concept although developing a theoretical description of caring which is adequate in the 21st. century continues to be a difficult task for nursing scholars. Consequently, verifying existing theoretical structures of caring remains an ongoing challenge. The aim of this article is to provide empirical verification of the caring processes of “knowing,” “being with,” “doing for,” “enabling” and “maintaining belief” from Swanson’s Middle Range Caring Theory based on the categorization of nursing actions from a systematic literature review on care. Methods: A systematic literature review was conducted in the fields of nursing sciences, medicine and psychology. Purposeful sampling was carried out covering a period from 2003-2013. The final sample included 25 articles. Results: Major themes of nursing actions included “knowing” which consisted of centering, nurturing, informed understanding, assessment skills, communication and respect for individual differences. “Being with” was characterized by intimate relationship, connecting, presencing, emotional adaptability awareness of self/other and decentering. “Doing for” included competence, knowledge, professional/technical skills, helping actions, anticipatory, multidisciplinary and preserving dignity. “Enabling” was characterized by self care, commitment, complexity of care, appropriate communication, information/education, sharing power, enabling choice and ongoing validation. Finally, “maintaining belief” was characterized by spiritual being, humanistic view, harmonious balance, hope, love, and compassion, meaning, and religious and spiritual orientation. Conclusion: Empirical verification was shown for the caring processes described in Swanson’s Caring Theory grounded in concrete nursing actions.
文摘Objectives To explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care hospitals.Method A convergent parallel mixed methods design was performed.We conducted a quantitative representative survey with nursing managers from 32 Austrian general acute care hospitals and 11 qualitative semi-structured interviews with nursing quality management experts.Both results were first analyzed independently and afterward merged in the discussion.Results On average,76%of nursing documentation is already electronically supported in the surveyed Austrian hospitals.However,existing nursing data is seldom used for secondary purposes such as nursing-sensitive outcome analyses.This is due to four major reasons:First,hospitals often do not have a data strategy for the secondary use of routine data.Second,hospitals partly lack the use of standardized and uniform nursing terminologies,especially for nursing evaluation.Third,routine nursing data is often not documented correctly and completely.Fourth,data on nursing-sensitive outcomes is usually collected in specific documentation forms not integrated into routine documentation.Conclusion The awareness of the possibilities for secondary use of nursing data for nursing-sensitive outcome analyses in Austrian hospitals is still in its infancy.Therefore,nursing staff and nursing management must be trained to understand how to collect and process nursing data for nursing-sensitive outcome analyses.Further studies would be interesting in order to determine the factors that influence the decision-making processes for the secondary use of nursing data for outcome analyses.
文摘Objective:To evaluate the nursing effects of targeted care for children with nutritional iron-deficiency anemia(IDA).Methods:A total of 88 children with IDA admitted to the hospital from November 2021 to November 2023 were selected(each child included one accompanying family member).Using a random number table,the participants were divided into two groups:the observation group,which received targeted nursing care,and the reference group,which received standard nursing care.The anemia correction rate,nutritional indicators,and family knowledge level were compared.Results:The anemia correction rate in the observation group was higher than in the reference group,with post-nursing nutritional indicators superior to those in the reference group.Additionally,family members in the observation group had a higher level of knowledge(P<0.05).Conclusion:Targeted nursing can effectively correct anemia symptoms in children with IDA,improve nutritional indicators,and increase family members’knowledge,demonstrating high nursing effectiveness.
文摘Aim:To determine the effect of foot reflexology intervention on pain and physiological indicators in postoperative patients.Data resources:The Cochrane library,PubMed,EMBASE,MEDLINE,SCOPUS,CINAHL,China National Knowledge Infrastructure(CNKI),VIP,and Wan Fang Data were searched from inception until January2020.Review methods:Studies were screened according to the PICOS principle.The methodological quality was assessed with Cochrane Risk of Bias Tool.Meta-analysis was performed using RevMan 5.3 software.Results:5 randomized clinical trials involving 318 participants were included in the meta-analysis.There were significant differences in pain and heart rate in postoperative patients between the two groups.Conclusion:The foot reflexology intervention decrease the postoperative pain and heart rate for the postoperative patients.It can be considered to be an effective non-pharmaceutical therapy to reduce the postoperative pain and heart rate.The evidence is not enough to prove the effectiveness of reducing postoperative blood pressure,respiratory rate,pulse rate and oxygen saturation using the foot reflexology.
文摘Objective: to explore the effect of continuous improvement of nursing quality by using sensitive indicators of nursing quality in the nursing process of psychiatric patients. Methods: from January 2017 to June 2018, 56 patients in the psychiatric department of our hospital were selected by random number table method for retrospective analysis as the control group. Since July 2018, our hospital has applied nursing quality sensitive indicators, and 61 patients were selected by random number table method as the study group. Analyze the clinical nursing quality, BPRS score and IPROS score. Results: the quality of clinical nursing in the control group was inferior to that in the study group (P < 0.05), indicating that the difference was statistically significant;the BPRS score of the study group was better than that of the control group (P < 0.05), indicating that the difference was statistically significant;the IPROS score of the study group was better than that of the control group (P < 0.05), indicating that the difference was statistically significant. Conclusion: in the continuous improvement of psychiatric nursing quality, the application of nursing quality sensitive indicators is helpful to improve the quality of nursing and alleviate the mental illness of patients.
文摘Objective: to analyze and observe the influence of individualized nursing on patients with acute gouty arthritis. Methods: a total of 80 patients with acute gouty arthritis admitted to our hospital from February 2020 to March 2021 were randomly divided into study group (40 cases) and conventional group (40 cases). The conventional group provided routine nursing for arthritis patients, and the study group provided personalized nursing for arthritis patients. The recovery of clinical indicators and nursing satisfaction of patients with arthritis in the two groups were compared and analyzed. Results: the recovery of clinical indexes in the study group was significantly better than that in the conventional group (P < 0.05). The satisfaction of the study group and the conventional group were 97.5% and 77.5% respectively, P < 0.05, and there was a significant difference between the two groups. Conclusion: the application of individualized nursing in patients with acute gouty arthritis can make the symptoms of patients recover quickly, achieve the goal of early cure, and get the recognition and satisfaction of the majority of patients. It is worth promoting and adopting actively.
文摘Objective: to explore and evaluate the effect of psychological intervention plan in the nursing of patients with hypertensive heart disease. Methods: 78 subjects with hypertensive heart disease who were selected to implement the intervention program in the hospital were investigated. The date was limited from December 2, 2019 to October 13, 2021. According to the principle of parity, the selected objects are divided into two groups, and the intervention contents are distinguished respectively. The value of the former (odd number, control group) was 39, and the traditional intervention plan was adopted. The number of the latter (even number, observation group) was consistent with the former, and psychological intervention plan was applied. To explore the nursing application of the selected object, the changes of relevant indicators, negative emotional changes, compliance and the recognition of relatives to nursing work and implementers, and to evaluate them between groups. Results: before the differential intervention plan was adopted, there was no significant difference in systolic blood pressure, diastolic blood pressure, heart rate, anxiety and depression between the two groups (P > 0.05). Under the application of different intervention schemes, compared with the data of the control group, the total effective rate of nursing application in the observation group increased significantly, the blood pressure and heart rate were clearly improved, the negative emotion was relieved, the compliance was improved, and the degree of recognition of relatives was increased. All the above data were statistically significant (P < 0.05). Conclusion: the effect of psychological intervention plan in the nursing of patients with hypertensive heart disease is accurate, which can significantly improve the relevant indicators and psychological state of patients, and is conducive to the improvement of their compliance. It is suitable for application and recognized and trusted by most patients' relatives, which is highly scientific.
文摘Objective:To study the application effects of the entire-course nutrition management model led by specialized nutrition nurses in patients with distant cholangiocarcinoma.Methods:Using convenience sampling,one hundred and twenty patients with distant cholangiocarcinoma admitted from April 2023 to October 2024 were selected as the experimental subjects of this study.They were grouped using a random number table method.The intervention group consisted of 60 patients with distant cholangiocarcinoma who received the entire-course nutrition management led by specialized nutrition nurses,while the observation group consisted of 60 patients who received conventional management.The intestinal function,nutritional indicators,quality of life,and satisfaction were compared between the intervention and observation groups.Results:After intervention,the intestinal function,nutritional indicators,quality of life,and satisfaction of patients with distant cholangiocarcinoma in the intervention group were significantly better than those in the observation group,with statistically significant differences(P<0.05).Conclusion:The application of the entire-course nutrition management model led by specialized nutrition nurses in patients with distant cholangiocarcinoma has more prominent effects and can further improve prognosis,making it worthy of widespread clinical application.
