Ships usually operate in the vibrant and dynamic environment;a majority of crews work and have a rest in a stressful space and have daily job displacements that working in it and moving from port disrupt as soon as re...Ships usually operate in the vibrant and dynamic environment;a majority of crews work and have a rest in a stressful space and have daily job displacements that working in it and moving from port disrupt as soon as reaching to port. Such conditions which require living at work place for a long time raises a unique job life which causes increase in risks of human mistakes. Huge marine accidents occur per year in country in which human element plays a major role. Identification and analysis of the components affect individuals as the staffs in ships, so that such component raises the conditions due to inattention which result in rise of severe and more severe marine accidents. Evaluation of each component has been taken into account in the present research. The present research seeks to examine and identity factors affecting human elements in marine accidents.展开更多
The main aim of the research is survey of relationship between personality characteristics with academic staffs’ job satisfaction and mental health in the University of Guilan. The statistic population was all these ...The main aim of the research is survey of relationship between personality characteristics with academic staffs’ job satisfaction and mental health in the University of Guilan. The statistic population was all these academic staffs in the year of 2014 (500). 196 individuals have selected by Kerjecy & Morgan (1970) and random sampling method. The research instruments were personality characteristics (NEO), General Health Questionnaire (GHQ) and self-made questionnaires. Pearson’s Correlation, Multiple Regression and Multiple Variant (Manova) have used for analyzing data. Results showed that there was a relationship among neurotic and settlement’s personality characteristics with job satisfaction and neurotic, openness, extroversion personality characteristics and settlement with mental health. Some of personality characteristics had been anticipators of mental health and job satisfaction and personality characteristics with mental health and job satisfaction had differenced depend on sociologic variances relationships.展开更多
Nursing staff provides patient care in an occupational environment that often imposes challenges that affect significantly the musculoskeletal system.Work-related musculoskeletal disorders are common in nursing stuff ...Nursing staff provides patient care in an occupational environment that often imposes challenges that affect significantly the musculoskeletal system.Work-related musculoskeletal disorders are common in nursing stuff and have a negative impact in their professional and daily activities.In the current editorial,the duties of nursing staff,the types of musculoskeletal disorders,the predis-posing factors(including factors related to professional tasks/ergonomics and to working schedules,psychological,social and individual factors)and their impact on working ability and quality of life nursing staff are summarized and pre-ventive measures are proposed.展开更多
On November 26,2021,a novel lineage (B.1.1.529) was categorized as the fifth virus of concern (VOC) and named Omicron by World Health Organization (WHO).Patients infected with COVID-19 Omicron variant are reported to ...On November 26,2021,a novel lineage (B.1.1.529) was categorized as the fifth virus of concern (VOC) and named Omicron by World Health Organization (WHO).Patients infected with COVID-19 Omicron variant are reported to have higher transmissibility,lower severity and mortality than those with previous subvariants.In terms of virulence,the Omicron subvariant is weaker than previous strains,with symptoms mostly being fever,running nose and other symptoms mainly seen in upper respiratory tract infections.However,the clinical characteristics of medical staff infected with Omicron variants have rarely been reported before.We conducted a survey in five centers and summarized these profiles to explore the clinical characteristics.展开更多
Aim:To evaluate the impact of professional training on pediatric outpatient nurses’cognition and attitudes towards the use of clown therapy,and to assess its clinical applicability.Design:A pre-and post-training eval...Aim:To evaluate the impact of professional training on pediatric outpatient nurses’cognition and attitudes towards the use of clown therapy,and to assess its clinical applicability.Design:A pre-and post-training evaluation study.Methods:A total of 31 pediatric outpatient nurses participated in the study,completing a self-designed 15-item questionnaire focused on clown therapy.The questionnaires were administered both before and after a structured training program.The assessment aimed to measure changes in nurses’knowledge and attitudes toward clown therapy.Results:The results indicated a statistically significant improvement in the nurses’cognition following the training(mean score post-training:8.55 vs pre-training:7.71,p=0.003).Conclusion:Notably,the training also eliminated the age-related differences in cognition observed prior to the intervention.Furthermore,nurses expressed more positive attitudes toward the clinical implementation of clown therapy post-training.展开更多
Objective:This study adopts empirical research methods to analyze the impact of intervention measures such as psychological counseling,team building,and stress management training on the mental health of psychiatric m...Objective:This study adopts empirical research methods to analyze the impact of intervention measures such as psychological counseling,team building,and stress management training on the mental health of psychiatric medical staff.Methods:This study selected 211 medical staff(including doctors,nurses,and psychotherapists)from the psychiatric department of a tertiary hospital as research subjects.They were divided into an experimental group(receiving psychological support measures)and a control group(not receiving psychological support measures)according to whether they received psychological support measures.Among them,the experimental group was divided into a total of 106 patients,while the control group was divided into a total of 105 patients.After the implementation of psychological support measures,the work efficiency of both groups of patients was evaluated from three aspects:psychological health level,occupational burnout level,and job satisfaction.Results:After intervention with psychological support measures,the experimental group patients showed significantly higher levels of mental health,occupational burnout,and job satisfaction than the control group,and the above differences were statistically significant(P<0.05).Conclusion:For psychiatric medical staff,the regular implementation of psychological support measures can significantly improve their mental health level,and on the basis of psychological support,the professional enthusiasm and job satisfaction of medical staff have been significantly improved.展开更多
The editorial staff of the Hepatobiliary&Pancreatic Diseases International are grateful to the listed reviewers for their contributions to the improvement of the manuscripts received and the publication of the jou...The editorial staff of the Hepatobiliary&Pancreatic Diseases International are grateful to the listed reviewers for their contributions to the improvement of the manuscripts received and the publication of the journal in the year of 2025(November 1,2024 to October 31,2025).展开更多
Objectives:This study aimed to explore the characteristics of outpatient blood collection center visit fluctuation and nursing workforce allocation based on a time series model,and the application effect was evaluated...Objectives:This study aimed to explore the characteristics of outpatient blood collection center visit fluctuation and nursing workforce allocation based on a time series model,and the application effect was evaluated.Methods:To enhance the efficiency of phlebotomy at the hospital outpatient window and improve patient satisfaction,the First Affliated Hospital with Nanjing Medical University implemented a time series analysis model in 2024 to optimize nursing staff allocation.The management team was led by a head nurse of the outpatient blood collection department with extensive experience.It included one director of the nursing department,six senior clinical nurses,one informatics expert,and one nursing master's degree holder.Retrospective time-series data from the hospital's smart blood collection system(including hourly blood collection volumes and waiting times)were extracted between January 2020 and December 2023.Time series analysis was used to identify annual,seasonal,monthly,and hourly variation patterns in blood collection volumes.Seasonal decomposition and the Autoregressive Integrated Moving Average Model(ARIMA)were employed to forecast blood collection fluctuations for 2024 and facilitate dynamic scheduling.A comparison was conducted to evaluate differences in blood collection efficiency and patient satisfaction before(January-June 2023)and after(January-June 2024)implementing the dynamic scheduling model based on the time series analysis and forecasting.Results:Visit volumes showed periodicity and slow growth,peaking every second and third quarter of the year and daily at 8:00-9:00 a.m.and 2:00-3:00 p.m.The ARIMA model demonstrated a good fit(R2=0.692,mean absolute percentage error=8.28%).After adjusting the nursing staff allocation based on the fluctuation characteristics of the number of phlebotomy per hour in the time series analysis model,at the peak period of the blood collection window,at least three nurses,one mobile nurse and two volunteers were added.The number of phlebotomy per hour increased from 289.74±54.55 to 327.53±37.84 person-time(t=-10.041,P<0.01),waiting time decreased from 5.79±2.68 to 4.01±0.46 min(t=11.531,P<0.01),and satisfaction rose from 92.7%to 97.3%(χ^(2)=6.877,P<0.05).Conclusions:Based on the time series analysis method,it is helpful for nursing managers to accurately allocate human resources and optimize the efficiency of outpatient service resources by mining the special change rule of the outpatient blood collection window and predicting the future fluctuation trend.展开更多
This manuscript critically evaluates the randomized controlled trial(RCT)conducted by Phiri et al,which assessed the effectiveness of virtual reality(VR)training for psychiatric staff in reducing restrictive practices...This manuscript critically evaluates the randomized controlled trial(RCT)conducted by Phiri et al,which assessed the effectiveness of virtual reality(VR)training for psychiatric staff in reducing restrictive practices(RPs).Specifically,this RCT investigated the impact of VR on the handling of aggressive patients by psychiatric staff compared to traditional training methods.Despite significant reductions in perceived discrimination in the VR group,there were no major improvements in self-efficacy or anxiety levels.The system usability scale rated the VR platform highly,but it did not consistently outperform traditional training methods.Indeed,the study shows the potential for VR to reduce RPs,although fluctuations in RP rates suggest that external factors,such as staff turnover,influenced the outcomes.This manuscript evaluates the study’s methodology,results,and broader implications for mental health training.Additionally,it highlights the need for more comprehensive research to establish VR as a standard tool for psychiatric staff education,focusing on patient care outcomes and real-world applicability.Finally,this study explores future research di-rections,technological improvements,and the potential impact of policies that could enhance the integration of VR in clinical training.展开更多
Objective:To investigate the knowledge,beliefs,and behaviors of ICU nursing staff regarding pulmonary rehabilitation after cerebral hemorrhage surgery,and to analyze the influencing factors based on the IKAP(Informati...Objective:To investigate the knowledge,beliefs,and behaviors of ICU nursing staff regarding pulmonary rehabilitation after cerebral hemorrhage surgery,and to analyze the influencing factors based on the IKAP(Information-knowledge-belief-behavior)model,in order to provide a basis for optimizing nursing project management.Methods:A cross-sectional study design was used to conduct a questionnaire survey among ICU nursing staff in a tertiary grade A hospital from January to June 2025.A self-compiled questionnaire on knowledge,attitude and practice of pulmonary rehabilitation after cerebral hemorrhage was used,which included demographic data,knowledge dimension(10 questions),belief dimension(10 questions),and behavior dimension(10 questions).The questionnaire was scored on a Likert scale of 5,with a higher total score indicating a better level of knowledge,attitude and practice.Descriptive statistics,t-tests and one-way analysis of variance were used for the data using SPSS 25.0.Results:A total of 120 questionnaires were distributed,and 115 valid questionnaires were retrieved,with an effective recovery rate of 95.8%.Nursing staff scored(7.2±1.5)points(out of 10)in the knowledge dimension,(8.0±1.2)points(out of 10)in the belief dimension,and(6.5±1.8)points(out of 10)in the behavior dimension.There were statistically significant differences in knowledge-attitude-practice scores among nursing staff of different ages,years of service and titles(p<0.05).Multiple linear regression showed that years of service and training experience were the main influencing factors of knowledge,attitude and practice(β=0.25,p<0.01).Conclusion:ICU nursing staff have a moderate level of knowledge and behavior regarding pulmonary rehabilitation after cerebral hemorrhage surgery,have positive beliefs,but their practical behavior needs to be strengthened.Nursing project management based on the IKAP model can improve the quality of care through intensive training and personalized intervention.展开更多
[Objectives] To investigate and analyze the physical examination status of the staff in an agricultural university in Tianjin,to understand the composition of the diseases suffered by the staff in the university,and t...[Objectives] To investigate and analyze the physical examination status of the staff in an agricultural university in Tianjin,to understand the composition of the diseases suffered by the staff in the university,and to provide the basis for the formulation of health education programs and health management countermeasures.[Methods] A comprehensive physical examination survey was conducted among 377 teachers and staff in the school,and the results were statistically analyzed by SPSS 24.0.[Results] The detection rates of diseases among the staff of a university in Tianjin were 161(42.7%)overweight and obesity,167(44.3%)dyslipidemia,250(66.31%)thyroid nodules,214(56.76%)fatty liver,116(30.77%)hyperglycemia,96(25.46%)hypertension,90 cases(23.87%)had abnormal ECG,and the prevalence rate increased with age.[Conclusions] The health status of the staff in a university in Tianjin is not optimistic.They should strengthen health education and health care guidance,increase sports and physical exercise,actively do a good job in early diagnosis,treatment and prevention of diseases,and improve their health level.展开更多
Through analyzing the cases of Xiao Zhijun and the Yulin maternal jumping incident,the authors found significant disputes between the requests for non-indicated cesarean section and medical risk prevention,as well as ...Through analyzing the cases of Xiao Zhijun and the Yulin maternal jumping incident,the authors found significant disputes between the requests for non-indicated cesarean section and medical risk prevention,as well as between the psychology of avoiding childbirth pain and surgical responsibility.Currently,based on people’s current awareness and the responsibility orientation of expert opinions in disputes,medical institutions tend to satisfy family members’surgical requirements after fulfilling their obligation to fully inform about risks,to reduce the risk of losing disputes.This phenomenon actually reflects the contradiction between the demands of patients’families and the responsibilities of medical staff in medical decision-making.To balance the responsibilities of medical staff and the demands of patients’families,the authors believe that multiple governance paths need to be constructed:first,optimizing the level of medical staff’s communication;second,strengthening medical risk science popularization relying on modern information technology to improve patients’risk cognition ability;and third,raising society’s correct understanding of cesarean section through multiple channels.These measures can help to enhance patients’trust in hospital diagnosis and treatment results and promote harmonious development of doctor-patient relationships.展开更多
The National Health Service(NHS)is a term used to describe the publicly funded healthcare delivery system providing quality healthcare services in the United Kingdom.There are several challenges militating against the...The National Health Service(NHS)is a term used to describe the publicly funded healthcare delivery system providing quality healthcare services in the United Kingdom.There are several challenges militating against the effective laboratory service delivery in the NHS in England.Biomedical scientists work in healthcare to diagnose disease and evaluate the effectiveness of treatment through the analysis of body fluids and tissue samples from patients.They provide the"engine room"of modern medicine with 70%of diagnosis based on the laboratory results generated by them.This review involved the search of literature for information on working condition of biomedical scientist in the NHS in England.Laboratory service delivery in the NHS in England faces numerous daunting challenges;staffing levels in the last few years have become dangerously low,less remunerated,relatively less experienced and predominantly band 5's,multidisciplinary rather than specialty based,associated with working more unsocial hours without adequate recovery time,de-banding of staff,high staff turnaround,profit and cost driven rather than quality.These factors has resulted in burn out,low morale,high sickness absences,increased error rate,poor team spirit,diminished productivity and suboptimal laboratory service delivery.There is the urgent need to retract our steps on unpopular policies to ensure that patient care is not compromised by ensuring adequate staffing level and mix,ensuring adequate remuneralion of laboratory staff,implementing evidenced-based specialty oriented service,determining the root cause/s for the high staff turnover and implementing corrective action,identifying other potential sources of waste in the system rather than pruning the already dangerously low staffing levels and promoting a quality delivery side by side cost effectiveness.展开更多
Objective:To summarize and produce aggregated evidence on the effect of simulation-based teaching on skill performance in the nursing profession.Simulation is an active learning strategy involving the use of various r...Objective:To summarize and produce aggregated evidence on the effect of simulation-based teaching on skill performance in the nursing profession.Simulation is an active learning strategy involving the use of various resources to assimilate the real situation.It enables learners to improve their skills and knowledge in a coordinated environment.Methods:Systematic literature search of original research ar ticles was carried out through Google Scholar,Medline,and Cochrane Cumulative Index to Nursing and Allied Health Literature(CINAHL)databases.Studies conducted on simulation-based teaching and skill performance among nursing students or clinical nursing staff from 2010 to 2019,and published in the English language,were included in this study.Methodological quality was assessed by Joanna Briggs Institute,and the risk of bias was also assessed by Cochrane risk of bias and the risk of bias assessment tool for non-randomized studies(ROBINS-I)checklists.Results:Initially,638 titles were obtained from 3 sources,and 24 original studies with 2209 study par ticipants were taken for the final analysis.Of the total studies,14(58.3%)used single group prep post design,7(29.1%)used high fidelity simulator(HFS),and 7(29.1%)used a virtual simulator(VS).Twenty(83.3%)studies reported improved skill performance following simulation-based teaching.Simulation-based teaching improves skill performance among types of groups(single or double),study regions,high fidelity(HF),low fidelity(LF),and standard patient(SP)users.But the effect over virtual and medium fidelity simulators was not statistically significant.Overall,simulation-based teaching improves the skill performance score among the experimental group(d=1.01,95%confidence interval[CI][0.69–1.33],Z=6.18,P<0.01,93.9%).Significant heterogeneity and publication bias were observed during the pooled analysis.Conclusions:Simulation did improve skill performance among the intervention groups,but the conclusion is uncer tain due to the significant heterogeneity.The large extent of difference among original research has necessitated the development of well-defined assessment methods for skills and standardized simulation set-up for proper assessment of their effects.展开更多
To summarize the characteristics of wheelchair-user combination, this paper studied wheelchairs, wheelchair users, nursing staffs and interaction relationship between them. Firstly, the findings of some research on wh...To summarize the characteristics of wheelchair-user combination, this paper studied wheelchairs, wheelchair users, nursing staffs and interaction relationship between them. Firstly, the findings of some research on wheelchairs and wheelchair users were investigated, and the studies in four aspects of wheelchairs and their accessories, wheelchair users, wheelchairs and wheelchair users (man-machine system), and skills training for the performance of wheelchair were reviewed. Then “wheelchair-user combination” was put forward based on the relationship between wheelchairs and wheelchair users in real life, and the “wheelchair-user combination” was divided into “WUs-Ws system” and “WUs-Ws-NSs system” according to whether the nursing staffs were needed. Finally, this paper analytically studied the characteristics of wheelchair users, characteristics in use of wheelchair and characteristics of nursing staffs, as well as put forward the characteristics of the wheelchair-user combination.展开更多
文摘Ships usually operate in the vibrant and dynamic environment;a majority of crews work and have a rest in a stressful space and have daily job displacements that working in it and moving from port disrupt as soon as reaching to port. Such conditions which require living at work place for a long time raises a unique job life which causes increase in risks of human mistakes. Huge marine accidents occur per year in country in which human element plays a major role. Identification and analysis of the components affect individuals as the staffs in ships, so that such component raises the conditions due to inattention which result in rise of severe and more severe marine accidents. Evaluation of each component has been taken into account in the present research. The present research seeks to examine and identity factors affecting human elements in marine accidents.
文摘The main aim of the research is survey of relationship between personality characteristics with academic staffs’ job satisfaction and mental health in the University of Guilan. The statistic population was all these academic staffs in the year of 2014 (500). 196 individuals have selected by Kerjecy & Morgan (1970) and random sampling method. The research instruments were personality characteristics (NEO), General Health Questionnaire (GHQ) and self-made questionnaires. Pearson’s Correlation, Multiple Regression and Multiple Variant (Manova) have used for analyzing data. Results showed that there was a relationship among neurotic and settlement’s personality characteristics with job satisfaction and neurotic, openness, extroversion personality characteristics and settlement with mental health. Some of personality characteristics had been anticipators of mental health and job satisfaction and personality characteristics with mental health and job satisfaction had differenced depend on sociologic variances relationships.
文摘Nursing staff provides patient care in an occupational environment that often imposes challenges that affect significantly the musculoskeletal system.Work-related musculoskeletal disorders are common in nursing stuff and have a negative impact in their professional and daily activities.In the current editorial,the duties of nursing staff,the types of musculoskeletal disorders,the predis-posing factors(including factors related to professional tasks/ergonomics and to working schedules,psychological,social and individual factors)and their impact on working ability and quality of life nursing staff are summarized and pre-ventive measures are proposed.
文摘On November 26,2021,a novel lineage (B.1.1.529) was categorized as the fifth virus of concern (VOC) and named Omicron by World Health Organization (WHO).Patients infected with COVID-19 Omicron variant are reported to have higher transmissibility,lower severity and mortality than those with previous subvariants.In terms of virulence,the Omicron subvariant is weaker than previous strains,with symptoms mostly being fever,running nose and other symptoms mainly seen in upper respiratory tract infections.However,the clinical characteristics of medical staff infected with Omicron variants have rarely been reported before.We conducted a survey in five centers and summarized these profiles to explore the clinical characteristics.
文摘Aim:To evaluate the impact of professional training on pediatric outpatient nurses’cognition and attitudes towards the use of clown therapy,and to assess its clinical applicability.Design:A pre-and post-training evaluation study.Methods:A total of 31 pediatric outpatient nurses participated in the study,completing a self-designed 15-item questionnaire focused on clown therapy.The questionnaires were administered both before and after a structured training program.The assessment aimed to measure changes in nurses’knowledge and attitudes toward clown therapy.Results:The results indicated a statistically significant improvement in the nurses’cognition following the training(mean score post-training:8.55 vs pre-training:7.71,p=0.003).Conclusion:Notably,the training also eliminated the age-related differences in cognition observed prior to the intervention.Furthermore,nurses expressed more positive attitudes toward the clinical implementation of clown therapy post-training.
文摘Objective:This study adopts empirical research methods to analyze the impact of intervention measures such as psychological counseling,team building,and stress management training on the mental health of psychiatric medical staff.Methods:This study selected 211 medical staff(including doctors,nurses,and psychotherapists)from the psychiatric department of a tertiary hospital as research subjects.They were divided into an experimental group(receiving psychological support measures)and a control group(not receiving psychological support measures)according to whether they received psychological support measures.Among them,the experimental group was divided into a total of 106 patients,while the control group was divided into a total of 105 patients.After the implementation of psychological support measures,the work efficiency of both groups of patients was evaluated from three aspects:psychological health level,occupational burnout level,and job satisfaction.Results:After intervention with psychological support measures,the experimental group patients showed significantly higher levels of mental health,occupational burnout,and job satisfaction than the control group,and the above differences were statistically significant(P<0.05).Conclusion:For psychiatric medical staff,the regular implementation of psychological support measures can significantly improve their mental health level,and on the basis of psychological support,the professional enthusiasm and job satisfaction of medical staff have been significantly improved.
文摘The editorial staff of the Hepatobiliary&Pancreatic Diseases International are grateful to the listed reviewers for their contributions to the improvement of the manuscripts received and the publication of the journal in the year of 2025(November 1,2024 to October 31,2025).
基金funded by the Nursing project,“Clinical ability improvement project”in the First Affliated Hospital with Nanjing Medical University(JSPH-NC-2021-09).
文摘Objectives:This study aimed to explore the characteristics of outpatient blood collection center visit fluctuation and nursing workforce allocation based on a time series model,and the application effect was evaluated.Methods:To enhance the efficiency of phlebotomy at the hospital outpatient window and improve patient satisfaction,the First Affliated Hospital with Nanjing Medical University implemented a time series analysis model in 2024 to optimize nursing staff allocation.The management team was led by a head nurse of the outpatient blood collection department with extensive experience.It included one director of the nursing department,six senior clinical nurses,one informatics expert,and one nursing master's degree holder.Retrospective time-series data from the hospital's smart blood collection system(including hourly blood collection volumes and waiting times)were extracted between January 2020 and December 2023.Time series analysis was used to identify annual,seasonal,monthly,and hourly variation patterns in blood collection volumes.Seasonal decomposition and the Autoregressive Integrated Moving Average Model(ARIMA)were employed to forecast blood collection fluctuations for 2024 and facilitate dynamic scheduling.A comparison was conducted to evaluate differences in blood collection efficiency and patient satisfaction before(January-June 2023)and after(January-June 2024)implementing the dynamic scheduling model based on the time series analysis and forecasting.Results:Visit volumes showed periodicity and slow growth,peaking every second and third quarter of the year and daily at 8:00-9:00 a.m.and 2:00-3:00 p.m.The ARIMA model demonstrated a good fit(R2=0.692,mean absolute percentage error=8.28%).After adjusting the nursing staff allocation based on the fluctuation characteristics of the number of phlebotomy per hour in the time series analysis model,at the peak period of the blood collection window,at least three nurses,one mobile nurse and two volunteers were added.The number of phlebotomy per hour increased from 289.74±54.55 to 327.53±37.84 person-time(t=-10.041,P<0.01),waiting time decreased from 5.79±2.68 to 4.01±0.46 min(t=11.531,P<0.01),and satisfaction rose from 92.7%to 97.3%(χ^(2)=6.877,P<0.05).Conclusions:Based on the time series analysis method,it is helpful for nursing managers to accurately allocate human resources and optimize the efficiency of outpatient service resources by mining the special change rule of the outpatient blood collection window and predicting the future fluctuation trend.
基金Supported by Basic Science Research Program Through the National Research Foundation of Korea(NRF)Funded by the Ministry of Education,No.NRF-RS-2023-00237287 and No.NRF-2021S1A5A8062526Local Government-University Cooperation-Based Regional Innovation Projects,No.2021RIS-003.
文摘This manuscript critically evaluates the randomized controlled trial(RCT)conducted by Phiri et al,which assessed the effectiveness of virtual reality(VR)training for psychiatric staff in reducing restrictive practices(RPs).Specifically,this RCT investigated the impact of VR on the handling of aggressive patients by psychiatric staff compared to traditional training methods.Despite significant reductions in perceived discrimination in the VR group,there were no major improvements in self-efficacy or anxiety levels.The system usability scale rated the VR platform highly,but it did not consistently outperform traditional training methods.Indeed,the study shows the potential for VR to reduce RPs,although fluctuations in RP rates suggest that external factors,such as staff turnover,influenced the outcomes.This manuscript evaluates the study’s methodology,results,and broader implications for mental health training.Additionally,it highlights the need for more comprehensive research to establish VR as a standard tool for psychiatric staff education,focusing on patient care outcomes and real-world applicability.Finally,this study explores future research di-rections,technological improvements,and the potential impact of policies that could enhance the integration of VR in clinical training.
基金2024 Natural Science Project of Sichuan Nursing Vocational College:Research on the Application of Nursing Project Management Based on IKAP Model in Pulmonary Rehabilitation After Cerebral Hemorrhage Surgery(Project No.:2024ZRY22)。
文摘Objective:To investigate the knowledge,beliefs,and behaviors of ICU nursing staff regarding pulmonary rehabilitation after cerebral hemorrhage surgery,and to analyze the influencing factors based on the IKAP(Information-knowledge-belief-behavior)model,in order to provide a basis for optimizing nursing project management.Methods:A cross-sectional study design was used to conduct a questionnaire survey among ICU nursing staff in a tertiary grade A hospital from January to June 2025.A self-compiled questionnaire on knowledge,attitude and practice of pulmonary rehabilitation after cerebral hemorrhage was used,which included demographic data,knowledge dimension(10 questions),belief dimension(10 questions),and behavior dimension(10 questions).The questionnaire was scored on a Likert scale of 5,with a higher total score indicating a better level of knowledge,attitude and practice.Descriptive statistics,t-tests and one-way analysis of variance were used for the data using SPSS 25.0.Results:A total of 120 questionnaires were distributed,and 115 valid questionnaires were retrieved,with an effective recovery rate of 95.8%.Nursing staff scored(7.2±1.5)points(out of 10)in the knowledge dimension,(8.0±1.2)points(out of 10)in the belief dimension,and(6.5±1.8)points(out of 10)in the behavior dimension.There were statistically significant differences in knowledge-attitude-practice scores among nursing staff of different ages,years of service and titles(p<0.05).Multiple linear regression showed that years of service and training experience were the main influencing factors of knowledge,attitude and practice(β=0.25,p<0.01).Conclusion:ICU nursing staff have a moderate level of knowledge and behavior regarding pulmonary rehabilitation after cerebral hemorrhage surgery,have positive beliefs,but their practical behavior needs to be strengthened.Nursing project management based on the IKAP model can improve the quality of care through intensive training and personalized intervention.
文摘[Objectives] To investigate and analyze the physical examination status of the staff in an agricultural university in Tianjin,to understand the composition of the diseases suffered by the staff in the university,and to provide the basis for the formulation of health education programs and health management countermeasures.[Methods] A comprehensive physical examination survey was conducted among 377 teachers and staff in the school,and the results were statistically analyzed by SPSS 24.0.[Results] The detection rates of diseases among the staff of a university in Tianjin were 161(42.7%)overweight and obesity,167(44.3%)dyslipidemia,250(66.31%)thyroid nodules,214(56.76%)fatty liver,116(30.77%)hyperglycemia,96(25.46%)hypertension,90 cases(23.87%)had abnormal ECG,and the prevalence rate increased with age.[Conclusions] The health status of the staff in a university in Tianjin is not optimistic.They should strengthen health education and health care guidance,increase sports and physical exercise,actively do a good job in early diagnosis,treatment and prevention of diseases,and improve their health level.
文摘Through analyzing the cases of Xiao Zhijun and the Yulin maternal jumping incident,the authors found significant disputes between the requests for non-indicated cesarean section and medical risk prevention,as well as between the psychology of avoiding childbirth pain and surgical responsibility.Currently,based on people’s current awareness and the responsibility orientation of expert opinions in disputes,medical institutions tend to satisfy family members’surgical requirements after fulfilling their obligation to fully inform about risks,to reduce the risk of losing disputes.This phenomenon actually reflects the contradiction between the demands of patients’families and the responsibilities of medical staff in medical decision-making.To balance the responsibilities of medical staff and the demands of patients’families,the authors believe that multiple governance paths need to be constructed:first,optimizing the level of medical staff’s communication;second,strengthening medical risk science popularization relying on modern information technology to improve patients’risk cognition ability;and third,raising society’s correct understanding of cesarean section through multiple channels.These measures can help to enhance patients’trust in hospital diagnosis and treatment results and promote harmonious development of doctor-patient relationships.
基金Supported by grant(NEI001)from the management of Nelson Biomedical Limited UK
文摘The National Health Service(NHS)is a term used to describe the publicly funded healthcare delivery system providing quality healthcare services in the United Kingdom.There are several challenges militating against the effective laboratory service delivery in the NHS in England.Biomedical scientists work in healthcare to diagnose disease and evaluate the effectiveness of treatment through the analysis of body fluids and tissue samples from patients.They provide the"engine room"of modern medicine with 70%of diagnosis based on the laboratory results generated by them.This review involved the search of literature for information on working condition of biomedical scientist in the NHS in England.Laboratory service delivery in the NHS in England faces numerous daunting challenges;staffing levels in the last few years have become dangerously low,less remunerated,relatively less experienced and predominantly band 5's,multidisciplinary rather than specialty based,associated with working more unsocial hours without adequate recovery time,de-banding of staff,high staff turnaround,profit and cost driven rather than quality.These factors has resulted in burn out,low morale,high sickness absences,increased error rate,poor team spirit,diminished productivity and suboptimal laboratory service delivery.There is the urgent need to retract our steps on unpopular policies to ensure that patient care is not compromised by ensuring adequate staffing level and mix,ensuring adequate remuneralion of laboratory staff,implementing evidenced-based specialty oriented service,determining the root cause/s for the high staff turnover and implementing corrective action,identifying other potential sources of waste in the system rather than pruning the already dangerously low staffing levels and promoting a quality delivery side by side cost effectiveness.
文摘Objective:To summarize and produce aggregated evidence on the effect of simulation-based teaching on skill performance in the nursing profession.Simulation is an active learning strategy involving the use of various resources to assimilate the real situation.It enables learners to improve their skills and knowledge in a coordinated environment.Methods:Systematic literature search of original research ar ticles was carried out through Google Scholar,Medline,and Cochrane Cumulative Index to Nursing and Allied Health Literature(CINAHL)databases.Studies conducted on simulation-based teaching and skill performance among nursing students or clinical nursing staff from 2010 to 2019,and published in the English language,were included in this study.Methodological quality was assessed by Joanna Briggs Institute,and the risk of bias was also assessed by Cochrane risk of bias and the risk of bias assessment tool for non-randomized studies(ROBINS-I)checklists.Results:Initially,638 titles were obtained from 3 sources,and 24 original studies with 2209 study par ticipants were taken for the final analysis.Of the total studies,14(58.3%)used single group prep post design,7(29.1%)used high fidelity simulator(HFS),and 7(29.1%)used a virtual simulator(VS).Twenty(83.3%)studies reported improved skill performance following simulation-based teaching.Simulation-based teaching improves skill performance among types of groups(single or double),study regions,high fidelity(HF),low fidelity(LF),and standard patient(SP)users.But the effect over virtual and medium fidelity simulators was not statistically significant.Overall,simulation-based teaching improves the skill performance score among the experimental group(d=1.01,95%confidence interval[CI][0.69–1.33],Z=6.18,P<0.01,93.9%).Significant heterogeneity and publication bias were observed during the pooled analysis.Conclusions:Simulation did improve skill performance among the intervention groups,but the conclusion is uncer tain due to the significant heterogeneity.The large extent of difference among original research has necessitated the development of well-defined assessment methods for skills and standardized simulation set-up for proper assessment of their effects.
文摘To summarize the characteristics of wheelchair-user combination, this paper studied wheelchairs, wheelchair users, nursing staffs and interaction relationship between them. Firstly, the findings of some research on wheelchairs and wheelchair users were investigated, and the studies in four aspects of wheelchairs and their accessories, wheelchair users, wheelchairs and wheelchair users (man-machine system), and skills training for the performance of wheelchair were reviewed. Then “wheelchair-user combination” was put forward based on the relationship between wheelchairs and wheelchair users in real life, and the “wheelchair-user combination” was divided into “WUs-Ws system” and “WUs-Ws-NSs system” according to whether the nursing staffs were needed. Finally, this paper analytically studied the characteristics of wheelchair users, characteristics in use of wheelchair and characteristics of nursing staffs, as well as put forward the characteristics of the wheelchair-user combination.
