Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement...Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement research findings have not been explored thoroughly.This study aimed to explore Indonesian nurse preceptors in guiding nursing students to use research findings.Methods:This study used interpretive phenomenology analysis that involves 9 nurse preceptors from hospitals in West Kalimantan,Indonesia.Semi-structured in-depth interviews were recorded and then transcribed verbatim.Results:Three themes were generated during the analysis:“types of student supervision,”“issues during supervision,”and“the need for research literacy and supervision.”Conclusions:Nurse preceptors need support to supervise the nursing students to use research findings.In addition to upgrading nursing skills,nurse preceptors must receive training in research and its utilization.Developing an appropriate strategy to assist students in using research findings will enhance the promotion of evidence-based nursing practices on a daily basis.展开更多
Background: Making changes in the existing curriculum aims, objectives, course contents learning outcomes and assessment strategies have become a fact of life for nurse educators. Purpose: To enhance the existing Bach...Background: Making changes in the existing curriculum aims, objectives, course contents learning outcomes and assessment strategies have become a fact of life for nurse educators. Purpose: To enhance the existing Bachelor of Science (BSc) in nursing curriculum through integration of evidence-based practice (EBP) and teaching of critical thinking skills. Materials and Methods: A needs analysis was conducted using a five-phased approach to review the BSc in nursing Curriculum. Kern’s six-step model was adapted and introduced through a series of workshop exercises that highlighted the application of each step: 1) Desk review of the BSc curriculum offered globally;2) Administration of the needs assessment questionnaire to key informants;3) Strengths, weakness, opportunities and threat analysis;4) Consultative meeting with major stakeholders;5) Curriculum review. Results: The five-phased approach established some gaps in existing curricula, and identified critical core competences and best practices in integrating EPB and critical thinking in the BSc undergraduate curriculum and some “A” level content that was not in tandem with the practice of nurses. New courses were developed to support students in academic writing and enhance professionalism and duration of training was reduced from 5 to 4 years. Conclusion: The process demonstrated that BSc curriculum review, in fact, should be thoroughly scrutinized to encourage positive changes to the curriculum, provide opportunities for team building and the development of leadership skills and a whole-of course perspective on the curriculum.展开更多
Objective: to explore the nursing content and effect of evidence-based nursing service model in patients with myocardial infarction complicated with heart failure.Methods: 66 patients with myocardial infarction compli...Objective: to explore the nursing content and effect of evidence-based nursing service model in patients with myocardial infarction complicated with heart failure.Methods: 66 patients with myocardial infarction complicated with heart failure treated in our hospital from April 2020 to June 2021 were selected.They were divided into two groups according to basic nursing and evidence-based nursing.Basic nursing was used in the routine group and evidence-based nursing was used in the experimental group.The prognosis, curative effect, nursing service satisfaction and quality of life of the two groups were compared.Results: the intervention effect of the experimental group was significantly higher than that of the routine group (P < 0.05);The satisfaction of nursing service in the experimental group was significantly higher than that in the routine group (P < 0.05).Conclusion: evidence based nursing measures can be effectively applied to patients with myocardial infarction complicated with heart failure, can effectively improve the rescue effect of patients, and can significantly improve the quality of life and clinical nursing quality of patients, which is worthy of promotion.展开更多
Objective: To observe the effect of evidence-based nursing in the clinical nursing of lung cancer patients undergoing chemotherapy. Methods: sample source: 100 patients who received lung cancer chemotherapy in our hos...Objective: To observe the effect of evidence-based nursing in the clinical nursing of lung cancer patients undergoing chemotherapy. Methods: sample source: 100 patients who received lung cancer chemotherapy in our hospital from December 2018 to December 2019 were equally divided into evidence-based group and conventional group according to the drawing method. The routine group was given routine clinical nursing, while the evidence-based group was given evidence-based nursing. The score of quality of life and the incidence of adverse reactions were compared between the two groups. Results: the scores of quality of life in the evidence-based group were higher than those in the conventional group (P < 0.05);the incidence of adverse reactions in the evidence-based group (4.00%) was significantly lower than that in the conventional group (24.00%) (x2 = 8.3056, P = 0.0039). Conclusion: the implementation of evidence-based nursing for lung cancer patients with chemotherapy can not only ensure the treatment effect, but also improve the quality of life of patients and reduce the probability of adverse reactions, which is worthy of promotion.展开更多
Objective: to explore the preventive effect of evidence-based cluster nursing intervention on stress injury of critical neonates in NICU. Methods: after the approval of the hospital ethics committee, 40 critically ill...Objective: to explore the preventive effect of evidence-based cluster nursing intervention on stress injury of critical neonates in NICU. Methods: after the approval of the hospital ethics committee, 40 critically ill newborns admitted to NICU from January 2020 to January 2022 were selected as the research objects, and randomly divided into two groups (n20). The conventional nursing was applied to the control group, and the evidence-based cluster nursing was applied to the observation group. The nursing effects of the two groups were compared and analyzed from the aspects of the occurrence of stress injuries of children, nursing outcomes and the survey results of family members satisfaction with nursing. Results: compared with the control group, the incidence of stress injury in the observation group was lower, and the observation group had a longer time from hospital admission to stress injury, a shorter hospital stay, a higher cure rate, and a higher total nursing satisfaction, with statistical significance (P<0.05). Conclusion: in the process of monitoring and treatment of critical neonates in NICU, stress injury is easy to occur. Once it happens, it will directly affect the prognosis, increase the probability of poor prognosis, prolong the treatment time, and increase the related expenses. Cluster nursing based on evidence can effectively control the stress injury, and then promote the rapid recovery of children.展开更多
Objective: to explore the application value of evidence-based nursing in the nursing of gastrointestinal surgical pipeline. Methods: 106 patients who came to our hospital for gastrointestinal surgery were divided into...Objective: to explore the application value of evidence-based nursing in the nursing of gastrointestinal surgical pipeline. Methods: 106 patients who came to our hospital for gastrointestinal surgery were divided into control group and observation group. The control group was mainly routine nursing, and the observation group was mainly evidence-based nursing. Results: the rates of accidental extubation and unplanned extubation in the observation group were lower than those in the control group (P < 0.05);The total satisfaction of nursing in the observation group was higher than that in the control group (P < 0.05);The anxiety score, pain score and fear score of the observation group were lower than those of the control group (P < 0.05). Conclusion: in the nursing of gastrointestinal surgical pipeline, the application of evidence-based nursing can reduce the rate of accidental extubation and unplanned extubation, improve the overall satisfaction of nursing and improve the mental state.展开更多
Objective: to conduct a comprehensive and in-depth research and analysis on the practical application of predictive nursing and evidence-based nursing in anesthesia patients in the operating room. Methods: fifty eight...Objective: to conduct a comprehensive and in-depth research and analysis on the practical application of predictive nursing and evidence-based nursing in anesthesia patients in the operating room. Methods: fifty eight patients who underwent surgery in our hospital from 2017 to 2019 were selected as the subjects of this study. All patients were divided into two groups by random average grouping. Predictive nursing was adopted for the patients in the control group, while evidence-based nursing was adopted for each patient in the experimental group. The recovery time and complications of patients in the operating room in the two groups were comprehensively analyzed and studied. Results: there was no significant difference in recovery time and VAS score between the two groups. The probability of complications in the experimental group was lower than that in the reference group. Conclusion: evidence based nursing and predictive nursing can play a positive role in the rehabilitation of anesthesia patients in the operating room. After the completion of evidence-based nursing, the probability of complications is relatively low. In practice, it is also necessary to select appropriate nursing methods in combination with the actual situation and needs of patients.展开更多
Objective: to study and analyze the effect of evidence-based nursing in the nursing of cerebral infarction with hypertension. Methods: 82 patients with cerebral infarction complicated with hypertension were selected a...Objective: to study and analyze the effect of evidence-based nursing in the nursing of cerebral infarction with hypertension. Methods: 82 patients with cerebral infarction complicated with hypertension were selected and divided into study group and control group, with 41 cases in each group. Routine nursing was given to patients in the control group and evidence-based nursing was given to patients in the study group. The clinical effects of the two groups were observed and compared. Results: after evidence-based nursing, the study group was better than the control group in blood pressure and nursing effect, and the difference was statistically significant (P < 0.05). Conclusion: the application of evidence-based nursing in the nursing of patients with cerebral infarction complicated with hypertension can improve the blood pressure of patients, improve the nursing effect, and effectively promote the rehabilitation of patients. The clinical effect is significant, which is worthy of clinical application and promotion.展开更多
Objective: To study the effect of evidence-based nursing model on prevention of deep vein thrombosis in patients with traumatic fracture during perioperative nursing. Methods a total of 360 patients with lower extremi...Objective: To study the effect of evidence-based nursing model on prevention of deep vein thrombosis in patients with traumatic fracture during perioperative nursing. Methods a total of 360 patients with lower extremity traumatic fracture surgery were selected as the sample group in the orthopedic department of our hospital, and the age range was selected from January 2018 to January 2020. Methods: 360 patients were randomly divided into two groups: the general nursing group (n = 180), the evidence-based nursing group (n = 180). The patients in the general nursing group were given perioperative nursing according to the routine nursing mode, and the patients in the evidence-based nursing group were strictly implementing the evidence-based nursing process. Observe the statistical results of two indicators of lower extremity deep vein thrombosis and patients' satisfaction with nursing work in two groups of patients with different nursing methods. Results of the observation found that the incidence of deep venous thrombosis in patients with evidence-based nursing intervention was only 1.67%, which was significantly lower than that of 10.56% in the general nursing group (P < 0.05). The satisfaction rate of patients in general nursing group was only 62.78%, which was significantly different from that of evidence-based nursing group (92.22%) (P < 0.05). Conclusion the application of evidence-based nursing mode in perioperative period can effectively reduce the probability of deep vein thrombosis and promote the improvement of nursing satisfaction of patients, which is worthy of recommendation in clinical nursing work.展开更多
Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursi...Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursing allowances provided by the Chinese government for people with disabilities who are unable to work are not only important components of China’s social security system which provide for the needs of its disabled,but also show China’s ability to guarantee the basic living standard and social fairness and justice for this group of people.展开更多
Objective:To observe the effect of auricular point pressing combined with nursing based on syndrome differentiation in the treatment of insomnia patients.Methods:Totally 92 patients with insomnia were randomly divided...Objective:To observe the effect of auricular point pressing combined with nursing based on syndrome differentiation in the treatment of insomnia patients.Methods:Totally 92 patients with insomnia were randomly divided into the observation groupgiven auricular point pressing combined with nursing care based on syndrome differentiation and the control group treated with auricular point pressing alone.The improvement of Pittsburgh Sleep Quality Index(PSQI),TCM Syndrome Score and nursing satisfaction were compared between the 2 groups.Results:The time effect of PSQI total score and 6 factors in both groups were statistically significant(P<0.05).The time effect,interaction effect and inter-group effect of subjective sleep quality,PSQI total score were statistically significant(P<0.05);the 4 inter-group factors of sleep quality,sleep latency,sleep duration and daytime function were statistically significant(P<0.05).The total score of TCM syndromes in the observation group was lower than that in the control group(P<0.05),and the satisfaction rate in the observation group higher than that in the control group(80.43%vs.60.86%,P<0.05).Conclusion:Auricular point pressing combined withnursing based on syndrome differentiation can effectively improve the sleep quality of insomnia patients,and has significant advantages in improving TCM syndromes,as well as gained higher nursing satisfaction from patients.展开更多
Background: Problem based learning (PBL) is an innovative way of delivering instruction in which problems are used as the basis of learning. Problem based learning was developed in the 1960s by Harold Barrows at McMas...Background: Problem based learning (PBL) is an innovative way of delivering instruction in which problems are used as the basis of learning. Problem based learning was developed in the 1960s by Harold Barrows at McMaster University Medical School in Canada. Since then, PBL had been im-plemented as a teaching method in other reputable education institutions internationally, includ-ing nursing education. Curriculum reform is proposed through PBL in conjunction with patient simulation in undergraduate nursing education. The first author, Tan Kan Ku, PhD Candidate, MHS (Transcultural Mental Health—by Research) worked as a Registered Nurse for more than two decades internationally in England, New Zealand, Saudi Arabia and Australia, where she worked as a Case Manager in Community Mental Health Rehabilitation Program. Since 2001, she focused on nurse education and research into the stigma of mental illness from a cross-cultural perspective. Currently, she teaches Mental Health, Cultural Diversity and Research in the Diploma of Nursing course at Victoria University in Melbourne, Australia, while completing her PhD thesis for examination at Charisma University. The second author, Dr. Michael Ha, FSA, MAAA, CFA, CPA (Australia) FRM, PRM, LLM, is the Founding Director of the MSc Financial Mathematics programme at Xian Jiaotong-Liverpool University. He was previously Vice President of Strategic Business In-itiatives Units at ING Life Insurance in its Taiwan operation. Ninety percent of his students are enrolled in the Financial Mathematics programme. They learn not only mathematics and statistics theories but also their applications in the Finance and Investment areas, especially Portfolio Con-struction and Financial Risk Management. Creating a real-world Finance work environment in university lecture-halls embracing theories and practice, Dr. Ha strongly believes the PBL method can be employed in the Financial Mathematics training agenda so students can be better-prepared for work. Students are no longer instructed-learners but active thinkers and problem-solvers. Conclusion: Educators in fields such as Medical, Nursing, Engineering, Financial Mathematics, Ac-counting, Computing, etc., need to be prepared to change their teaching philosophy from didactic to problem solving for PBL to be implemented. Constructive alignment is recommended for curri-culum reform.展开更多
[Objectives] To investigate the effects of TCM nursing based on syndrome differentiation on pulmonary function and quality of life in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD)....[Objectives] To investigate the effects of TCM nursing based on syndrome differentiation on pulmonary function and quality of life in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). [Methods] A total of 92 patients with AECOPD who came to Nanchong Chinese Medicine Hospital from March 2022 to February 2023 were selected for the study, and the intervention group (TCM nursing based on syndrome differentiation, 46 cases) and the conventional group (basic nursing, 46 cases) were selected for the study, and the pulmonary function and quality of life of the two groups were compared. [Results] Before nursing, there was no significant difference in levels of forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and percentage of forced expiratory volume in one second to forced vital capacity (FEV1/FVC) between the intervention group and conventional group ( P >0.05). After 3 months of nursing, the levels of FVC, FEV1 and FEV1/FVC in the intervention group were higher than those in the conventional group ( P <0.05). Before nursing, there was no significant difference in the scores of health, emotion and social functions between the two groups ( P >0.05). At three months of nursing, the scores of health, emotion, and social functions in the intervention group were higher than those in the conventional group ( P <0.05). [Conclusions] The implementation of TCM nursing based on syndrome differentiation in patients with AECOPD can effectively improve the pulmonary function and quality of life of patients, and has significant clinical implementation value.展开更多
Objective: In the Healthy Child Action Enhancement Program (2021-2025), it is proposed to ensure the safety and health of newborns and to promote high-quality development of health. Our department established risk ass...Objective: In the Healthy Child Action Enhancement Program (2021-2025), it is proposed to ensure the safety and health of newborns and to promote high-quality development of health. Our department established risk assessment criteria for medical adhesives in neonates by applying the best evidence in the management program for the reduction of medical adhesive-associated skin injuries in neonates, in terms of the use and removal of adhesives. Methods: A systematic search and quality assessment of topics related to medical adhesive-related skin injury in neonates was conducted to summarize the best evidence and to conduct a quality review in the neonatal unit. Results: After 2 rounds of review, medical and nursing staff in the neonatal unit had a 98% compliance rate for the knowledge of neonatal medical adhesive-related skin injury and a satisfactory compliance rate for the other 9 indicators;after the application of the evidence, the incidence of neonatal medical adhesive-related skin injury was significantly lower than that before the application of the evidence, and the differences were statistically significant (P Conclusion: The application of the best evidence-based management program in neonatal medical adhesive-associated skin injury can reduce the incidence of neonatal medical adhesive-associated skin injury, reduce neonatal infections, and improve the integrity of the protective skin barrier in neonates.展开更多
To date,there are no known specific antiviral medicines recommended for coronavirus disease 2019(COVID‑19).The treatment mainly focuses on the improvement of the immunity of the individual and the application of palli...To date,there are no known specific antiviral medicines recommended for coronavirus disease 2019(COVID‑19).The treatment mainly focuses on the improvement of the immunity of the individual and the application of palliative treatment.A case of a patient diagnosed with mild COVID‑19 and then later developed common COVID‑19 which was treated and closely monitored at home will be presented.The patient was advised for self‑quarantine with several prescribed medications.Nursing home and self‑care advice were given to the patient,including a change of lifestyle for the duration of the isolation,medication advice,symptomatic care,change of diet,how to monitor the progress of the disease,psychological care,and follow‑up instructions.During the course of the nursing plan,the patient showed significant improvements,and normal life functions were restored.On February 05,2020,novel coronavirus nucleic acid test showed negative after re‑examination;the patient was cured.Therefore,providing adequate nursing plan for home‑based self‑care treatment can effectively cure mild and common cases of COVID‑19.展开更多
Objective:To explore the effect of nursing intervention based on Caprini risk assessment scale for venous thromboembolism(VTE)in perioperative patients with liver cancer.Methods:A total of 128 hepatocellular cancer(HC...Objective:To explore the effect of nursing intervention based on Caprini risk assessment scale for venous thromboembolism(VTE)in perioperative patients with liver cancer.Methods:A total of 128 hepatocellular cancer(HCC)patients who were hospitalized in our department from January 2021 to March 2022 and met the research criteria were selected.According to odd and even numbers in the order of inclusion,64 cases were divided into two groups:a control group and an observation group.The control group received routine nursing intervention during perioperative period,while the observation group received nursing intervention based on Caprini risk assessment scale for VTE.The incidence of VTE and complications were compared between the two groups.Results:The incidence of VTE and postoperative complications in the observation group were lower than those in the control group(P<0.05).Conclusion:Nursing intervention based on Caprini risk assessment scale for VTE can reduce the incidence of perioperative deep vein thrombosis and complications in patients with liver cancer;thus,it is worthy of clinical application.展开更多
Practice-based research networks (PBRN) seek to improve healthcare through the use of research, quality improvement, and collaborative learning. When used by nontraditional models of care such as the nurse managed hea...Practice-based research networks (PBRN) seek to improve healthcare through the use of research, quality improvement, and collaborative learning. When used by nontraditional models of care such as the nurse managed healthcare center (NMHC), PBRNs can be incorporated into successful quality improvement (QI) programs. UT Health Services is a NMHC utilizing a PBRN as one component of a comprehensive QI program in an effort to deliver high quality healthcare.展开更多
Objective:The objective of this study is to evaluate the learning experience effect of online problem‑based learning(PBL)and case‑based learning(CBL)in teaching disaster nursing.Methods:According to the characteristic...Objective:The objective of this study is to evaluate the learning experience effect of online problem‑based learning(PBL)and case‑based learning(CBL)in teaching disaster nursing.Methods:According to the characteristics of online PBL and CBL,the revised curriculum experience questionnaire(CEQ)was used to evaluate the teaching quality.Cronbach’s coefficient and the reliability of the split‑half reliability questionnaire were calculated.The exploratory factor analysis of 26 items was carried out by principal component analysis and maximum variance rotation method.Kaiser‑Meyer‑Olkin(KMO)and Bartlett’s tests were used to test the validity of the questionnaire.The comparison between groups was performed by one‑way analysis of variance.Results:A total of 191 questionnaires were issued and 183 copies were recovered,with a recovery rate of 95.8%.The Cronbach’s alpha coefficient of CEQ is 0.929,and the Cronbach’s alpha coefficient of each dimension is between 0.713 and 0.924.After factor analysis,the KMO value was 0.817.The 26 items finally returned to 6 principal components,and all factor load values were above 0.7,indicating good factor analysis effect.This study found that students who learned disaster nursing had an ideal online learning experience,and the average value of CEQ was 3.74±0.42.In particular,male students,senior students or medical students had a higher curriculum experience score.In addition,compared with the national recruitment,the international students have higher curriculum experience score on the dimension of Appropriate Assessment Scale,indicating that the international students are more inclined to use online PBL and CBL.Conclusions:Using the revised CEQ is an innovative approach to evaluate the effect of online PBL and CBL in teaching disaster nursing,which can improve students’experience and curriculum quality.展开更多
Background: Student nurses and other healthcare students are the future mental health professionals and have the potential for changing the future of mental healthcare. Therefore, their negative attitudes and behavior...Background: Student nurses and other healthcare students are the future mental health professionals and have the potential for changing the future of mental healthcare. Therefore, their negative attitudes and behaviors should be screened and corrected by effective anti-stigma interventions. Otherwise, they would likely withhold some health services and practice coercive treatments once planning care to people with mental illness. However, little is known on effective approaches to correct these negative attitudes and behaviors, despite the previous reviews that have shown that contact-based interventions have demonstrated positive attitudinal and behavioral changes for nursing students towards people with mental illness. Aim: The aim of this literature review was to compile the available research evidence on contact-based interventions that have targeted the attitudes and behaviors of nursing students towards people with mental illness. Methods: The relevant literature was extracted by searching electronic databases (MEDLINE, PsycINFO, and CINAHL) and by hand checking reference lists of past similar reviews. Results: Eleven studies were retrieved and included in this review. The included studies in this review either have employed social contact interventions, video-based social contact interventions, or both types for the aim of combining or comparing. Furthermore, the included studies either have targeted the attitudes of nursing students towards people with mental illness (including prejudice), or a combination of attitudinal and behavioral outcomes (including behavioral intentions and social distance). No studies have targeted behavioral outcomes solely. Conclusions: From the available literature, the current authors cannot draw conclusions on the most effective type, form, or ingredients of contact-based interventions among nursing students, as previous literature has large variations. No consistency was found in the previous studies regarding the types or contents of effective contact-based interventions. The compiled evidence in this review, has suggested that contact-based interventions (both social contact and video-based social contact) have been effective in changing the attitudes and behaviors of nursing students favorably, similarly to what previous reviews have found.展开更多
基金supported by Universitas Tanjungpura Pontianak,Indonesia(No.2377/UN22.9/PG/2022,2022)。
文摘Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement research findings have not been explored thoroughly.This study aimed to explore Indonesian nurse preceptors in guiding nursing students to use research findings.Methods:This study used interpretive phenomenology analysis that involves 9 nurse preceptors from hospitals in West Kalimantan,Indonesia.Semi-structured in-depth interviews were recorded and then transcribed verbatim.Results:Three themes were generated during the analysis:“types of student supervision,”“issues during supervision,”and“the need for research literacy and supervision.”Conclusions:Nurse preceptors need support to supervise the nursing students to use research findings.In addition to upgrading nursing skills,nurse preceptors must receive training in research and its utilization.Developing an appropriate strategy to assist students in using research findings will enhance the promotion of evidence-based nursing practices on a daily basis.
文摘Background: Making changes in the existing curriculum aims, objectives, course contents learning outcomes and assessment strategies have become a fact of life for nurse educators. Purpose: To enhance the existing Bachelor of Science (BSc) in nursing curriculum through integration of evidence-based practice (EBP) and teaching of critical thinking skills. Materials and Methods: A needs analysis was conducted using a five-phased approach to review the BSc in nursing Curriculum. Kern’s six-step model was adapted and introduced through a series of workshop exercises that highlighted the application of each step: 1) Desk review of the BSc curriculum offered globally;2) Administration of the needs assessment questionnaire to key informants;3) Strengths, weakness, opportunities and threat analysis;4) Consultative meeting with major stakeholders;5) Curriculum review. Results: The five-phased approach established some gaps in existing curricula, and identified critical core competences and best practices in integrating EPB and critical thinking in the BSc undergraduate curriculum and some “A” level content that was not in tandem with the practice of nurses. New courses were developed to support students in academic writing and enhance professionalism and duration of training was reduced from 5 to 4 years. Conclusion: The process demonstrated that BSc curriculum review, in fact, should be thoroughly scrutinized to encourage positive changes to the curriculum, provide opportunities for team building and the development of leadership skills and a whole-of course perspective on the curriculum.
文摘Objective: to explore the nursing content and effect of evidence-based nursing service model in patients with myocardial infarction complicated with heart failure.Methods: 66 patients with myocardial infarction complicated with heart failure treated in our hospital from April 2020 to June 2021 were selected.They were divided into two groups according to basic nursing and evidence-based nursing.Basic nursing was used in the routine group and evidence-based nursing was used in the experimental group.The prognosis, curative effect, nursing service satisfaction and quality of life of the two groups were compared.Results: the intervention effect of the experimental group was significantly higher than that of the routine group (P < 0.05);The satisfaction of nursing service in the experimental group was significantly higher than that in the routine group (P < 0.05).Conclusion: evidence based nursing measures can be effectively applied to patients with myocardial infarction complicated with heart failure, can effectively improve the rescue effect of patients, and can significantly improve the quality of life and clinical nursing quality of patients, which is worthy of promotion.
文摘Objective: To observe the effect of evidence-based nursing in the clinical nursing of lung cancer patients undergoing chemotherapy. Methods: sample source: 100 patients who received lung cancer chemotherapy in our hospital from December 2018 to December 2019 were equally divided into evidence-based group and conventional group according to the drawing method. The routine group was given routine clinical nursing, while the evidence-based group was given evidence-based nursing. The score of quality of life and the incidence of adverse reactions were compared between the two groups. Results: the scores of quality of life in the evidence-based group were higher than those in the conventional group (P < 0.05);the incidence of adverse reactions in the evidence-based group (4.00%) was significantly lower than that in the conventional group (24.00%) (x2 = 8.3056, P = 0.0039). Conclusion: the implementation of evidence-based nursing for lung cancer patients with chemotherapy can not only ensure the treatment effect, but also improve the quality of life of patients and reduce the probability of adverse reactions, which is worthy of promotion.
文摘Objective: to explore the preventive effect of evidence-based cluster nursing intervention on stress injury of critical neonates in NICU. Methods: after the approval of the hospital ethics committee, 40 critically ill newborns admitted to NICU from January 2020 to January 2022 were selected as the research objects, and randomly divided into two groups (n20). The conventional nursing was applied to the control group, and the evidence-based cluster nursing was applied to the observation group. The nursing effects of the two groups were compared and analyzed from the aspects of the occurrence of stress injuries of children, nursing outcomes and the survey results of family members satisfaction with nursing. Results: compared with the control group, the incidence of stress injury in the observation group was lower, and the observation group had a longer time from hospital admission to stress injury, a shorter hospital stay, a higher cure rate, and a higher total nursing satisfaction, with statistical significance (P<0.05). Conclusion: in the process of monitoring and treatment of critical neonates in NICU, stress injury is easy to occur. Once it happens, it will directly affect the prognosis, increase the probability of poor prognosis, prolong the treatment time, and increase the related expenses. Cluster nursing based on evidence can effectively control the stress injury, and then promote the rapid recovery of children.
文摘Objective: to explore the application value of evidence-based nursing in the nursing of gastrointestinal surgical pipeline. Methods: 106 patients who came to our hospital for gastrointestinal surgery were divided into control group and observation group. The control group was mainly routine nursing, and the observation group was mainly evidence-based nursing. Results: the rates of accidental extubation and unplanned extubation in the observation group were lower than those in the control group (P < 0.05);The total satisfaction of nursing in the observation group was higher than that in the control group (P < 0.05);The anxiety score, pain score and fear score of the observation group were lower than those of the control group (P < 0.05). Conclusion: in the nursing of gastrointestinal surgical pipeline, the application of evidence-based nursing can reduce the rate of accidental extubation and unplanned extubation, improve the overall satisfaction of nursing and improve the mental state.
文摘Objective: to conduct a comprehensive and in-depth research and analysis on the practical application of predictive nursing and evidence-based nursing in anesthesia patients in the operating room. Methods: fifty eight patients who underwent surgery in our hospital from 2017 to 2019 were selected as the subjects of this study. All patients were divided into two groups by random average grouping. Predictive nursing was adopted for the patients in the control group, while evidence-based nursing was adopted for each patient in the experimental group. The recovery time and complications of patients in the operating room in the two groups were comprehensively analyzed and studied. Results: there was no significant difference in recovery time and VAS score between the two groups. The probability of complications in the experimental group was lower than that in the reference group. Conclusion: evidence based nursing and predictive nursing can play a positive role in the rehabilitation of anesthesia patients in the operating room. After the completion of evidence-based nursing, the probability of complications is relatively low. In practice, it is also necessary to select appropriate nursing methods in combination with the actual situation and needs of patients.
文摘Objective: to study and analyze the effect of evidence-based nursing in the nursing of cerebral infarction with hypertension. Methods: 82 patients with cerebral infarction complicated with hypertension were selected and divided into study group and control group, with 41 cases in each group. Routine nursing was given to patients in the control group and evidence-based nursing was given to patients in the study group. The clinical effects of the two groups were observed and compared. Results: after evidence-based nursing, the study group was better than the control group in blood pressure and nursing effect, and the difference was statistically significant (P < 0.05). Conclusion: the application of evidence-based nursing in the nursing of patients with cerebral infarction complicated with hypertension can improve the blood pressure of patients, improve the nursing effect, and effectively promote the rehabilitation of patients. The clinical effect is significant, which is worthy of clinical application and promotion.
文摘Objective: To study the effect of evidence-based nursing model on prevention of deep vein thrombosis in patients with traumatic fracture during perioperative nursing. Methods a total of 360 patients with lower extremity traumatic fracture surgery were selected as the sample group in the orthopedic department of our hospital, and the age range was selected from January 2018 to January 2020. Methods: 360 patients were randomly divided into two groups: the general nursing group (n = 180), the evidence-based nursing group (n = 180). The patients in the general nursing group were given perioperative nursing according to the routine nursing mode, and the patients in the evidence-based nursing group were strictly implementing the evidence-based nursing process. Observe the statistical results of two indicators of lower extremity deep vein thrombosis and patients' satisfaction with nursing work in two groups of patients with different nursing methods. Results of the observation found that the incidence of deep venous thrombosis in patients with evidence-based nursing intervention was only 1.67%, which was significantly lower than that of 10.56% in the general nursing group (P < 0.05). The satisfaction rate of patients in general nursing group was only 62.78%, which was significantly different from that of evidence-based nursing group (92.22%) (P < 0.05). Conclusion the application of evidence-based nursing mode in perioperative period can effectively reduce the probability of deep vein thrombosis and promote the improvement of nursing satisfaction of patients, which is worthy of recommendation in clinical nursing work.
文摘Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursing allowances provided by the Chinese government for people with disabilities who are unable to work are not only important components of China’s social security system which provide for the needs of its disabled,but also show China’s ability to guarantee the basic living standard and social fairness and justice for this group of people.
文摘Objective:To observe the effect of auricular point pressing combined with nursing based on syndrome differentiation in the treatment of insomnia patients.Methods:Totally 92 patients with insomnia were randomly divided into the observation groupgiven auricular point pressing combined with nursing care based on syndrome differentiation and the control group treated with auricular point pressing alone.The improvement of Pittsburgh Sleep Quality Index(PSQI),TCM Syndrome Score and nursing satisfaction were compared between the 2 groups.Results:The time effect of PSQI total score and 6 factors in both groups were statistically significant(P<0.05).The time effect,interaction effect and inter-group effect of subjective sleep quality,PSQI total score were statistically significant(P<0.05);the 4 inter-group factors of sleep quality,sleep latency,sleep duration and daytime function were statistically significant(P<0.05).The total score of TCM syndromes in the observation group was lower than that in the control group(P<0.05),and the satisfaction rate in the observation group higher than that in the control group(80.43%vs.60.86%,P<0.05).Conclusion:Auricular point pressing combined withnursing based on syndrome differentiation can effectively improve the sleep quality of insomnia patients,and has significant advantages in improving TCM syndromes,as well as gained higher nursing satisfaction from patients.
文摘Background: Problem based learning (PBL) is an innovative way of delivering instruction in which problems are used as the basis of learning. Problem based learning was developed in the 1960s by Harold Barrows at McMaster University Medical School in Canada. Since then, PBL had been im-plemented as a teaching method in other reputable education institutions internationally, includ-ing nursing education. Curriculum reform is proposed through PBL in conjunction with patient simulation in undergraduate nursing education. The first author, Tan Kan Ku, PhD Candidate, MHS (Transcultural Mental Health—by Research) worked as a Registered Nurse for more than two decades internationally in England, New Zealand, Saudi Arabia and Australia, where she worked as a Case Manager in Community Mental Health Rehabilitation Program. Since 2001, she focused on nurse education and research into the stigma of mental illness from a cross-cultural perspective. Currently, she teaches Mental Health, Cultural Diversity and Research in the Diploma of Nursing course at Victoria University in Melbourne, Australia, while completing her PhD thesis for examination at Charisma University. The second author, Dr. Michael Ha, FSA, MAAA, CFA, CPA (Australia) FRM, PRM, LLM, is the Founding Director of the MSc Financial Mathematics programme at Xian Jiaotong-Liverpool University. He was previously Vice President of Strategic Business In-itiatives Units at ING Life Insurance in its Taiwan operation. Ninety percent of his students are enrolled in the Financial Mathematics programme. They learn not only mathematics and statistics theories but also their applications in the Finance and Investment areas, especially Portfolio Con-struction and Financial Risk Management. Creating a real-world Finance work environment in university lecture-halls embracing theories and practice, Dr. Ha strongly believes the PBL method can be employed in the Financial Mathematics training agenda so students can be better-prepared for work. Students are no longer instructed-learners but active thinkers and problem-solvers. Conclusion: Educators in fields such as Medical, Nursing, Engineering, Financial Mathematics, Ac-counting, Computing, etc., need to be prepared to change their teaching philosophy from didactic to problem solving for PBL to be implemented. Constructive alignment is recommended for curri-culum reform.
基金Supported by Special Research Project of Science and Technology Bureau of Nanchong City,Sichuan Province"Effects of TCM Nursing Based on Syndrome Differentiation on Pulmonary Function and Quality of Life in Patients with Acute Exacerbation of COPD"(22YYJCYJ0057)Science and Technology Program of Sichuan Province"Effects of TCM Nursing Based on Syndrome Differentiation on Pulmonary Function and Quality of Life in Patients with Acute Exacerbation of COPD"(2021YFS0270).
文摘[Objectives] To investigate the effects of TCM nursing based on syndrome differentiation on pulmonary function and quality of life in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). [Methods] A total of 92 patients with AECOPD who came to Nanchong Chinese Medicine Hospital from March 2022 to February 2023 were selected for the study, and the intervention group (TCM nursing based on syndrome differentiation, 46 cases) and the conventional group (basic nursing, 46 cases) were selected for the study, and the pulmonary function and quality of life of the two groups were compared. [Results] Before nursing, there was no significant difference in levels of forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and percentage of forced expiratory volume in one second to forced vital capacity (FEV1/FVC) between the intervention group and conventional group ( P >0.05). After 3 months of nursing, the levels of FVC, FEV1 and FEV1/FVC in the intervention group were higher than those in the conventional group ( P <0.05). Before nursing, there was no significant difference in the scores of health, emotion and social functions between the two groups ( P >0.05). At three months of nursing, the scores of health, emotion, and social functions in the intervention group were higher than those in the conventional group ( P <0.05). [Conclusions] The implementation of TCM nursing based on syndrome differentiation in patients with AECOPD can effectively improve the pulmonary function and quality of life of patients, and has significant clinical implementation value.
文摘Objective: In the Healthy Child Action Enhancement Program (2021-2025), it is proposed to ensure the safety and health of newborns and to promote high-quality development of health. Our department established risk assessment criteria for medical adhesives in neonates by applying the best evidence in the management program for the reduction of medical adhesive-associated skin injuries in neonates, in terms of the use and removal of adhesives. Methods: A systematic search and quality assessment of topics related to medical adhesive-related skin injury in neonates was conducted to summarize the best evidence and to conduct a quality review in the neonatal unit. Results: After 2 rounds of review, medical and nursing staff in the neonatal unit had a 98% compliance rate for the knowledge of neonatal medical adhesive-related skin injury and a satisfactory compliance rate for the other 9 indicators;after the application of the evidence, the incidence of neonatal medical adhesive-related skin injury was significantly lower than that before the application of the evidence, and the differences were statistically significant (P Conclusion: The application of the best evidence-based management program in neonatal medical adhesive-associated skin injury can reduce the incidence of neonatal medical adhesive-associated skin injury, reduce neonatal infections, and improve the integrity of the protective skin barrier in neonates.
文摘To date,there are no known specific antiviral medicines recommended for coronavirus disease 2019(COVID‑19).The treatment mainly focuses on the improvement of the immunity of the individual and the application of palliative treatment.A case of a patient diagnosed with mild COVID‑19 and then later developed common COVID‑19 which was treated and closely monitored at home will be presented.The patient was advised for self‑quarantine with several prescribed medications.Nursing home and self‑care advice were given to the patient,including a change of lifestyle for the duration of the isolation,medication advice,symptomatic care,change of diet,how to monitor the progress of the disease,psychological care,and follow‑up instructions.During the course of the nursing plan,the patient showed significant improvements,and normal life functions were restored.On February 05,2020,novel coronavirus nucleic acid test showed negative after re‑examination;the patient was cured.Therefore,providing adequate nursing plan for home‑based self‑care treatment can effectively cure mild and common cases of COVID‑19.
文摘Objective:To explore the effect of nursing intervention based on Caprini risk assessment scale for venous thromboembolism(VTE)in perioperative patients with liver cancer.Methods:A total of 128 hepatocellular cancer(HCC)patients who were hospitalized in our department from January 2021 to March 2022 and met the research criteria were selected.According to odd and even numbers in the order of inclusion,64 cases were divided into two groups:a control group and an observation group.The control group received routine nursing intervention during perioperative period,while the observation group received nursing intervention based on Caprini risk assessment scale for VTE.The incidence of VTE and complications were compared between the two groups.Results:The incidence of VTE and postoperative complications in the observation group were lower than those in the control group(P<0.05).Conclusion:Nursing intervention based on Caprini risk assessment scale for VTE can reduce the incidence of perioperative deep vein thrombosis and complications in patients with liver cancer;thus,it is worthy of clinical application.
文摘Practice-based research networks (PBRN) seek to improve healthcare through the use of research, quality improvement, and collaborative learning. When used by nontraditional models of care such as the nurse managed healthcare center (NMHC), PBRNs can be incorporated into successful quality improvement (QI) programs. UT Health Services is a NMHC utilizing a PBRN as one component of a comprehensive QI program in an effort to deliver high quality healthcare.
基金This work was supported in part by the 22nd Batch of Teaching Reform Research Projects of Jinan University(JG2020080)Teaching Quality and Teaching Reform Project of Undergraduate University of Guangdong in China(2017,2020)+2 种基金Undergraduate Training Programs for Innovation and Entrepreneurship of Jinan University in China(no.CX20157,CX20145)Traditional Chinese Medicine Bureau of Guangdong in China(no.20161065 and 20201075)National Health and Family Planning Commission of Guangdong in China(no.A2016583,A2017228,A2017140 and A2020137).
文摘Objective:The objective of this study is to evaluate the learning experience effect of online problem‑based learning(PBL)and case‑based learning(CBL)in teaching disaster nursing.Methods:According to the characteristics of online PBL and CBL,the revised curriculum experience questionnaire(CEQ)was used to evaluate the teaching quality.Cronbach’s coefficient and the reliability of the split‑half reliability questionnaire were calculated.The exploratory factor analysis of 26 items was carried out by principal component analysis and maximum variance rotation method.Kaiser‑Meyer‑Olkin(KMO)and Bartlett’s tests were used to test the validity of the questionnaire.The comparison between groups was performed by one‑way analysis of variance.Results:A total of 191 questionnaires were issued and 183 copies were recovered,with a recovery rate of 95.8%.The Cronbach’s alpha coefficient of CEQ is 0.929,and the Cronbach’s alpha coefficient of each dimension is between 0.713 and 0.924.After factor analysis,the KMO value was 0.817.The 26 items finally returned to 6 principal components,and all factor load values were above 0.7,indicating good factor analysis effect.This study found that students who learned disaster nursing had an ideal online learning experience,and the average value of CEQ was 3.74±0.42.In particular,male students,senior students or medical students had a higher curriculum experience score.In addition,compared with the national recruitment,the international students have higher curriculum experience score on the dimension of Appropriate Assessment Scale,indicating that the international students are more inclined to use online PBL and CBL.Conclusions:Using the revised CEQ is an innovative approach to evaluate the effect of online PBL and CBL in teaching disaster nursing,which can improve students’experience and curriculum quality.
文摘Background: Student nurses and other healthcare students are the future mental health professionals and have the potential for changing the future of mental healthcare. Therefore, their negative attitudes and behaviors should be screened and corrected by effective anti-stigma interventions. Otherwise, they would likely withhold some health services and practice coercive treatments once planning care to people with mental illness. However, little is known on effective approaches to correct these negative attitudes and behaviors, despite the previous reviews that have shown that contact-based interventions have demonstrated positive attitudinal and behavioral changes for nursing students towards people with mental illness. Aim: The aim of this literature review was to compile the available research evidence on contact-based interventions that have targeted the attitudes and behaviors of nursing students towards people with mental illness. Methods: The relevant literature was extracted by searching electronic databases (MEDLINE, PsycINFO, and CINAHL) and by hand checking reference lists of past similar reviews. Results: Eleven studies were retrieved and included in this review. The included studies in this review either have employed social contact interventions, video-based social contact interventions, or both types for the aim of combining or comparing. Furthermore, the included studies either have targeted the attitudes of nursing students towards people with mental illness (including prejudice), or a combination of attitudinal and behavioral outcomes (including behavioral intentions and social distance). No studies have targeted behavioral outcomes solely. Conclusions: From the available literature, the current authors cannot draw conclusions on the most effective type, form, or ingredients of contact-based interventions among nursing students, as previous literature has large variations. No consistency was found in the previous studies regarding the types or contents of effective contact-based interventions. The compiled evidence in this review, has suggested that contact-based interventions (both social contact and video-based social contact) have been effective in changing the attitudes and behaviors of nursing students favorably, similarly to what previous reviews have found.
