Objective:To explore the effect of applying safety culture construction in nursing management of infectious disease areas.Methods:During the one-year period from January 2024 to December 2024,patients admitted to the ...Objective:To explore the effect of applying safety culture construction in nursing management of infectious disease areas.Methods:During the one-year period from January 2024 to December 2024,patients admitted to the infectious disease area of our hospital were randomly selected for the study.92 patients were divided into two groups using a computerized double-blind method for intervention.The control group received routine nursing management,while the observation group applied safety culture construction management.The effects of nursing management in the two groups were studied and compared.Results:Before management,the nursing management quality scores of the two groups were evaluated,showing little difference in various scores,and the difference was not statistically significant(P>0.05).Through the implementation of nursing management,the scores of the two groups were significantly improved,and the observation group had significantly higher scores compared to the control group(P<0.05).Compared to the incidence of nursing risk events,the observation group(6.52%)was significantly lower than the control group(30.43%),and there was a significant difference between the two groups(P<0.05).The observation group had significantly higher satisfaction scores for nursing skills,health education,service attitude,and professionalism compared to the control group,indicating patient satisfaction with safety culture construction(P<0.05).Conclusion:Applying safety culture construction in nursing management of infectious disease areas has a preventive effect on nursing risk events and is beneficial for improving patients’risk cognition level.展开更多
This study aimed to explore the application method and effect of a refined management model in orthopedic nursing management.A total of 190 patients treated at our hospital were enrolled and divided into two groups.Ni...This study aimed to explore the application method and effect of a refined management model in orthopedic nursing management.A total of 190 patients treated at our hospital were enrolled and divided into two groups.Ninety-five patients treated from January to May 2023 served as the control group,receiving conventional orthopedic nursing management,while another 95 patients treated from June to December 2023 formed the observation group,in which a refined management model was implemented.The nursing management outcomes of the two groups were compared.The results showed that patients in the observation group had a shorter hospital stay,a lower incidence of postoperative complications and nursing risk events,and higher nursing satisfaction compared to the control group(P<0.05).These findings indicate that the refined management model can effectively improve nursing quality,reduce orthopedic nursing risk events,and enhance patient satisfaction,demonstrating significant clinical value.展开更多
This article summarizes the nursing experience with a patient who underwent resection of a lateral ventricle trigone meningioma via a contralateral interhemispheric approach.Key nursing measures included preoperative ...This article summarizes the nursing experience with a patient who underwent resection of a lateral ventricle trigone meningioma via a contralateral interhemispheric approach.Key nursing measures included preoperative health education and psychological care,baseline neurological assessment,and comprehensive physiological preparation.Postoperative care focused on intensive vital sign monitoring and support,comprehensive neurological evaluation and early rehabilitation,as well as a proactive strategy for preventing secondary epilepsy and controlling intracranial infection.Through active treatment and systematic nursing care,the patient achieved an uncomplicated recovery and was discharged on postoperative day 9.The successful implementation of these structured nursing interventions contributed to favorable postoperative outcomes,offering a valuable reference for the perioperative management of similar complex neurosurgical cases.展开更多
Objective:To study the effectiveness of the PDCA cycle model in the nursing management of the disinfection supply room.Method:From March 2022 to February 2024,the hospital adopted the PDCA cycle model to manage the re...Objective:To study the effectiveness of the PDCA cycle model in the nursing management of the disinfection supply room.Method:From March 2022 to February 2024,the hospital adopted the PDCA cycle model to manage the related work of the disinfection supply room.In this study,40 nursing staff were selected as the research subjects.Sixty-five sets of data generated during the implementation of the PDCA model were selected,and 65 sets of similar data before the implementation were also selected.The relevant data information was compared and evaluated to understand the changes in work before and after the implementation of the PDCA cycle model management.Meanwhile,twenty departments in the hospital were selected to investigate the satisfaction before and after the implementation of the PDCA cycle model management.Result:After the implementation of the PDCA cycle model,the completion rates of various tasks were improved,and there was a significant difference compared with those before the implementation(P<0.05).The work quality of each working link has also been improved since the implementation.Compared with that before the implementation of the PDCA cycle model,there are significant changes(P<0.05).It can be learned from the comparison of satisfaction among various departments that the satisfaction of departments has improved after the implementation of PDCA,and there is a significant difference compared with that before the implementation(P<0.05).Conclusion:The application of the PDCA cycle model in the nursing management of the disinfection supply room can effectively improve the working conditions of the disinfection supply room and provide a basic guarantee for hospital treatment.Therefore,the PDCA cycle management model can be actively adopted in the actual work management.展开更多
BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to i...BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to infusion by nursing staff,may cause adverse infusion events.AIM To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.METHODS The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management:65 patients in the control group received conventional nursing and nursing management interventions,while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management.The occurrence of adverse events,compliance of children,satisfaction of children’s families,and complaints regarding the transfusion treatment were recorded in both groups.RESULTS The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08%and 1.54%,respectively,which were significantly lower than 12.31%and 13.85%in the control group(P<0.05),while repeated punctures and medication addition errors in the observation group were 3.08%and 0.00%,respectively,which were lower than 9.23%and 3.08%in the control group,but there was no significant difference(P>0.05).The compliance rate of children in the observation group was 98.46%(64/65),which was significantly higher than 87.69%(57/65)in the control group,and the satisfaction rate of children’s families was 96.92%(63/65),which was significantly higher than 86.15%(56/65)in the control group(P<0.05).The observation group did not receive any complaints from the child’s family,whereas the control group received four complaints,two of which were due to the crying of the child caused by repeated punctures,one due to the poor attitude of the nurse,and one due to medication addition errors,with a cumulative complaint rate of 6.15%.The cumulative complaint rate of the observation group was significantly lower than that of the control group(P<0.05).CONCLUSION Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients,improve children’s compliance and satisfaction of their families,and reduce family complaints.展开更多
BACKGROUND Tuberculosis(TB)is a chronic respiratory infectious disease that considerably jeopardizes human health,and there is no effective vaccine suitable for its prevention in the entire population.AIM To investiga...BACKGROUND Tuberculosis(TB)is a chronic respiratory infectious disease that considerably jeopardizes human health,and there is no effective vaccine suitable for its prevention in the entire population.AIM To investigate the promotion of medication adherence and disease cognition in patients with drug-resistant(DR-)TB using detailed nursing management.METHODS In total,114 patients with DR-TB who were diagnosed and treated at our hospital between January 2019 and January 2023 were included in this study.Patients in the control group(n=57)were managed with conventional nursing care,while those in the observation group(n=57)were managed with detailed nursing care.Medication adherence,disease awareness scores,medication safety,and nursing satisfaction were compared between the two groups after the intervention.RESULTS The post-intervention medication compliance rate was 91.23%in the observation group and 75.44%in the control group,with the former being 15.79%higher than the latter(P<0.05).There was no statistically significant difference in the disease awareness scores between the two groups before the intervention;the disease awareness scores of the observation group were significantly higher than those of the control group after the intervention(P<0.05).The incidence of gastrointestinal reactions,joint swelling and pain,hearing loss,electrolyte disorders,and liver and kidney function abnormalities were lower in the observation group than those in the control group.The total nursing satisfaction of the observation group was higher than that of the control group(P<0.05).CONCLUSION Implementation of detailed nursing management for patients with DR-TB can effectively improve medication adherence,enhance awareness of the disease,ensure safety of medication,and improve satisfaction with nursing care.展开更多
Objective:To assess the management effect of comprehensive nursing management on blood donation services in blood stations.Methods:Sixty-four individuals who donated blood at a blood station between September 2021 and...Objective:To assess the management effect of comprehensive nursing management on blood donation services in blood stations.Methods:Sixty-four individuals who donated blood at a blood station between September 2021 and September 2023 were selected and randomly assigned into two groups of 32 each.The first group received comprehensive nursing management,while the second group received routine nursing management.Blood donation indexes and observational indexes such as adverse reactions were compared between the groups.Results:The total blood donation volume and qualified blood donation volume were higher in the first group than in the second group.The amount of discarded blood and the rate of blood discards were lower in the first group compared to the second group(P<0.05).Additionally,the adverse reaction rate in the first group was lower,the blood donation comfort scores were higher,the psychological state scores were lower,and the quality of care scores were higher than those in the second group(P<0.05).Conclusion:Comprehensive nursing management can improve the efficiency of blood donation,reduce the rate of blood discards,decrease the incidence of adverse reactions,alleviate negative psychological states of blood donors,and enhance both the comfort level of blood donation and the quality of care provided.展开更多
Objective:This study aims to gain insight into the effects and potential advantages of the grid-style nursing management model in the care of critically ill patients.Methods:Eighty critically ill patients admitted to ...Objective:This study aims to gain insight into the effects and potential advantages of the grid-style nursing management model in the care of critically ill patients.Methods:Eighty critically ill patients admitted to our hospital between May 2020 and May 2021 were selected and randomly divided into the control group and the grid group,each with 40 patients.The control group implemented traditional nursing management,while the grid group adopted a grid-style nursing management model.The quality of care,quality of life,nursing satisfaction,and treatment adherence of the two groups were compared.Results:Compared with the control group,the grid group had significantly higher quality of care and quality of life(P<0.001);in terms of nursing satisfaction,the score of the grid group was 8.26±0.85,which was significantly higher than that of the control group(6.65±0.77)(P<0.001);90.00%(36 patients)of the grid group showed good treatment adherence,significantly higher than 70.00%(28 patients)of the control group(P<0.001).Conclusion:The implementation of the grid-style nursing management model in critically ill patients can significantly improve the quality of care,quality of life,and satisfaction of patients,and effectively promote patients’treatment adherence.These positive results provide strong support for the promotion and application of this model in clinical care.展开更多
Background:Since the coronavirus outbreak(COVID-19)has been declared an emergency in public health and has drawn enormous attention worldwide,the number of infected cases and deaths increases.The psychological well-be...Background:Since the coronavirus outbreak(COVID-19)has been declared an emergency in public health and has drawn enormous attention worldwide,the number of infected cases and deaths increases.The psychological well-being of the citizens and the health team workers might be affected and lead to more anxiety and stress,such as Post Traumatic Stress Disorder.Aim:This paper aims to provide a holistic approach regarding nursing management of Post-Traumatic Stress Disorder concerning the COVID-19 outbreak and the consequences of lockdown,quarantine,or curfew.Methods:An extensive literature searchesCumulative Index of Nursing&Allied Health Literature(CINAHL),ProQuest Nursing&Allied Health Database,Google scholar PubMed,Ovid MEDLINE,Psych articles,and Psych Info,were conducted to achieve the objective of the study.Results:This paper highlights that the experiences of PTSD among patients in different age groups and health conditions,as well as health team workers as a result of the COVID-19 outbreak,can be affected by several factors including health and social stigmatization,media influences,and public health awareness.The result of this paper suggested that it is important for all nursing practices,concerning the treatment of patients with COVID-19 and its psychological symptoms,especially PTSD,to master their skills and knowledge to gather crucial information on the history of patient distress and to assess their existing levels of stress and anxiety-related the pandemic.Conclusion:The COVID-19 pandemic involves several possible causes of distress for particular people,such as experiencing a loved one's death or being terminally ill;this may lead to post-traumatic stress disorder(PTSD),which needs skilled and certified nurses to collaborate closely alongside other health.team members to identify,manage and support the health of such persons effectively.展开更多
This study aimed to explore the characteristics of perioperative nursing of experimental goats using self-made axial-flow blood pump implantation and provided theoretical nursing knowledge and practice-based evidence ...This study aimed to explore the characteristics of perioperative nursing of experimental goats using self-made axial-flow blood pump implantation and provided theoretical nursing knowledge and practice-based evidence for the clinical application of domestically manufactured artificial cardiac pumps. Methods: Seven experimental goats were used in this study, three for pre-testing and four for the formal experiments. According to the surgical requirements for axial-flow blood pump implantation into the cardiac apex, we creatively designed and made a series of highly practical animal surgical instruments including a composite disassemblable bed for experimental animal transferring and monitoring, a multifunctional animal surgery bed, and portable medical supporting equipment. We also applied for two national invention patents and one utility model patent. Active measures were taken to ensure careful preparation before surgery, close collaboration during surgery, and effective management of complications after surgery. Results: Two of the four experimental goats died during surgery because of a massive hemorrhage caused by distal anastomotic failure and air embolism-induced cardiac arrest caused by air leakage from the outlet into the heart due to poor connection of the auxiliary pressure tap (used to measure left ventricular pressure). The mean survival time of the remaining three experimental goats was 22.7 hours. Conclusion: This study was the first to systematically and comprehensively investigate the perioperative nursing management of axial-flow blood pump implantation using animal models. These findings could greatly promote further clinical applied nursing research of self-made artificial cardiac pump implantation in experimental goats.展开更多
Objective: to analyze the related risk factors of incision infection in type I incision surgery, and formulate a targeted nursing management plan based on the actual situation. Methods: the infection problem of incisi...Objective: to analyze the related risk factors of incision infection in type I incision surgery, and formulate a targeted nursing management plan based on the actual situation. Methods: the infection problem of incision surgery is very serious. We mainly analyzed the patients with incision surgery in our hospital from 2018 to December 2019. As the research object, we divided them into two groups by the method of random allocation. We carried out comparative analysis and research on the relevant infection factors of the two groups, and we obtained the relevant results. Results: the time, place, whether to place the guide tube or not, and the receiving operation are all influenced by single factor. The operation time is more than three hours, and the incidence rate of operation is relatively high, all of which have relevant statistical significance. The incision operation should be classified and judged according to the actual situation. Conclusion: according to the actual situation, patients with type I incision surgery should analyze the risk factors and take relevant targeted nursing measures in advance, so as to reduce the incidence of incision infection in the operating room and ensure the safety of the surgery.展开更多
Objective: to study the practical application effect of nurses' hierarchical management in obstetrics and gynecology nursing management. Methods: 46 female patients were selected from January 2021 to January 2022 ...Objective: to study the practical application effect of nurses' hierarchical management in obstetrics and gynecology nursing management. Methods: 46 female patients were selected from January 2021 to January 2022 in the Department of Obstetrics and Gynecology of our hospital. They were divided into two groups according to different nursing methods. The 23 patients in the observation group were mainly managed by nurses at different levels, and the 23 patients in the control group were mainly managed by routine nursing. The adverse events rate, nursing satisfaction rate and nursing quality score of the two groups of female patients were compared. Results: the adverse events rates of the observation group and the control group were 0.00% and 21.75% respectively. The satisfaction rate of nursing was 96.55% and 73.91%. Nursing skills (23.48±1.03), (16.32±1.93), nurse-patient communication (24.02±0.56), (18.02±1.46), safety management (23.84±1.01), (17.47±2.01), first aid management (23.21±1.05), (16.48 2.28), basic nursing (24.28±0.65), (18.05±2.11), the difference between the groups was statistically significant (p < 0.0.01) Conclusion: the layered management of nurses has a good effect in the nursing management stage of obstetrics and gynecology, and can effectively avoid the risk of adverse events such as falls and sharp instrument injuries, improve the quality of nursing and obtain high recognition from patients. It should be applied in a wider range.展开更多
This study explores the practical application of nursing management led by head nurses to enhance team communication and collaboration within clinical settings.By integrating leadership theories with nursing practice,...This study explores the practical application of nursing management led by head nurses to enhance team communication and collaboration within clinical settings.By integrating leadership theories with nursing practice,this research adopts a qualitative methodology to examine the effects of strategic communication and teamwork enhancement initiatives.Through interviews,observations,and the analysis of case studies in various hospital departments,the study identifies key barriers to effective team communication and collaboration,including hierarchical structures,lack of standardized communication protocols,and insufficient training.Solutions implemented involve targeted communication skills training,the establishment of interdisciplinary teamwork protocols,and leadership workshops for head nurses.The outcomes indicate significant improvements in team efficiency,patient care quality,and staff satisfaction.This research underscores the importance of head nurses in fostering an environment conducive to open communication and collaborative practice,thereby advancing patient care and team performance.展开更多
Objective: to explore the value of humanized nursing service, the effective nursing of pediatric outpatient service was taken as the research center of this study. Methods: the selected children were studied from July...Objective: to explore the value of humanized nursing service, the effective nursing of pediatric outpatient service was taken as the research center of this study. Methods: the selected children were studied from July 2019 to August 2020. The selected patients (80 cases) were randomly divided into control group (routine nursing) and observation group (humanized service), and the nursing effect between groups was statistically evaluated. Results: the proportion of complete compliance in the observation group was 65.00%, while that in the control group was 32.50%. The nursing compliance between the groups was 95.00% and 72.50%, respectively. The data between the groups were significantly different (P < 0.05). The proportion of very satisfied was 57.50% in the observation group and 35.00% in the control group. The difference of satisfaction between groups was significant (92.50% : 70.00%) (P < 0.05). Discussion: the implementation of humanized service in pediatric outpatient department plays a positive role in improving nursing compliance and nursing satisfaction, which is worthy of further clinical promotion.展开更多
Objective: to discuss and reveal the application efficiency of nursing quality checklist based on nursing management in obstetrics and gynecology. Methods: from February 2020 to November 2021, 144 inpatients in obstet...Objective: to discuss and reveal the application efficiency of nursing quality checklist based on nursing management in obstetrics and gynecology. Methods: from February 2020 to November 2021, 144 inpatients in obstetrics and gynecology department were randomly divided into two groups, 72 in each group. The routine nursing management was used as the reference group, and the nursing management based on the nursing quality check table was used as the research group. The measurement items of nursing satisfaction, nursing quality, SAS, SDS, life quality and sleep quality before and after nursing intervention were measured and compared between the two groups. Results: the nursing satisfaction of the research group was higher than that of the reference group (P < 0.05). The measurement items of nursing environment, basic nursing, service attitude and nursing technology in the study group were higher than those in the reference group (P < 0.05). Before nursing, the SAS measurement items and SDS measurement items of the research group were roughly equal to those of the reference group (P > 0.05). After nursing, the SAS measurement items and SDS measurement items of the research group were lower than those of the reference group (P < 0.05). Before nursing, the quality of life measurement items and sleep quality measurement items of the research group were roughly the same as those of the reference group (P > 0.05). After nursing, the quality of life and sleep of the research group were better than those of the reference group (P < 0.05). Conclusion: promoting nursing management based on nursing quality checklist for inpatients in obstetrics and gynecology department is effective and worth popularizing.展开更多
Objective: to explore the practical application of risk control in the nursing management of the infection department. Methods: in this study, 130 patients treated in the infection department of our hospital from earl...Objective: to explore the practical application of risk control in the nursing management of the infection department. Methods: in this study, 130 patients treated in the infection department of our hospital from early 2020 to December 2020 were selected, and the selected patients were randomly divided into two groups, one is the reference group, with 65 patients in each group. For routine care of patients in the reference group, and patient risk control management in the study group, the effectiveness of the two care models was compared. Results: the incidence of disputes and accidents in the reference group was (15.38%) (16.92%), the incidence of disputes and accidents was (4.62%) and (3.08%) respectively, including the dispute event X2 of 4.188, P value of 0.041, contingency (2 of 6.923, P value of 0.009, and the two groups were significantly different, (P <0.05).The nursing scores of the reference and study groups were (6.34 ± 2.32) and (9.85 ± 1.96), with a t-value of 9.318 and a p-value of 0, with a significant difference between the two groups (P <0.05).The environmental scores of the reference and study groups were (6.14 ± 1.73) and (9.68 ± 2.96), with t-value of 8.324, p-value of 0, and significant difference between the two groups (P <0.05).In addition, the reference group had 19 patients after routine care, 25 patients, 67.7%, 30 patients after routine care, 33 care, 96.9%, X2,19.07, P value 0, significant difference between the two groups, (P <0.05). Conclusion: the application of risk control management in nursing management is recommended.展开更多
Now, infectious diseases are the second leading cause of death in the world. If hospital infection is considered, the main cause of death will be infectious diseases all over the world. Hospital infection seriously af...Now, infectious diseases are the second leading cause of death in the world. If hospital infection is considered, the main cause of death will be infectious diseases all over the world. Hospital infection seriously affects the life safety of patients, the health of medical staff, and the development of high-tech medicine and the normal operation of social medical system. The prevention and treatment of hospital infection are multifaceted, multidisciplinary and multidisciplinary. Hospitals should have destinations, strengthen management in an orderly and systematic way, and adopt scientific prevention and treatment measures to reduce the risk of hospital infection. In the process of providing medical services, hospital infection permeates almost all links, every operation and every patient in need of help, and many medical care standards are closely related to hospital infection. This indicates that nursing is especially important for the treatment of hospital infection, and the quality of nursing directly affects the quality of medical care. Strengthening nursing system is an important measure to effectively monitor hospital infection.展开更多
Objective: to analyze the application of PDCA cycle in nursing management of disinfection supply room. Methods: from March, 2019 to March, 2020, 42 cases of nursing management of disinfection supply room in our hospit...Objective: to analyze the application of PDCA cycle in nursing management of disinfection supply room. Methods: from March, 2019 to March, 2020, 42 cases of nursing management of disinfection supply room in our hospital were selected as the control group. From June, 2020 to June, 2021, 42 cases of PDCA cycle in nursing management of disinfection supply room in our hospital were selected as observation group. We should not only compare the nursing scores of each index of the two groups of supply rooms, but also compare the satisfaction of medical staff. Results: the disinfection quality of the observation group was 94.9+3.2, the packaging quality was 91.9+3.1, the environmental quality was 94.8+1.5, and the instrument management was 96.9+4.2, while that of the control group was 86.9+3.9, the packaging quality was 88.6+4.1, the environmental quality was 86.8+1.2 and the instrument management was 86.9+4.2. It can be seen that the disinfection quality, packaging quality, environmental management and equipment management in the observation group are significantly higher than those in the control group, P<0.05. The satisfaction rate of medical staff in the observation group was 95.24%(40 cases) and the dissatisfaction rate was 4.76%(2 cases), while the satisfaction rate of medical staff in the control group was not 83.33%(35 cases) and the dissatisfaction rate was 6.67%(7 cases). The satisfaction rate of medical staff in the observation group was better than that in the control group. It can be seen that the nursing scores of each index in the supply room of the observation group are better than those of the control group, and the satisfaction of medical staff is also higher than that of the control group. Conclusion: in the nursing management of disinfection supply room, the application of PDCA cycle mode can not only improve the nursing scores of each index in the supply room, but also improve the satisfaction of medical staff, and timely adjust the deficiencies in management.展开更多
Objective: nursing management of obstetrics and gynecology is used to prevent nosocomial infection, and the prevention effect is carefully observed. Methods: 100 cases of obstetrics and gynecology patients were select...Objective: nursing management of obstetrics and gynecology is used to prevent nosocomial infection, and the prevention effect is carefully observed. Methods: 100 cases of obstetrics and gynecology patients were selected as observation subjects to carry out this investigation. All patients were divided into two groups. The first group of patients used traditional nursing management to prevent nosocomial infection, and the second group of patients used obstetrics and gynecology nursing management to prevent nosocomial infection. After experiencing the same length of care, the proportion of infection events and the effectiveness of care in both groups were recorded and analyzed. All patients were selected between December 2018 and December 2019. Results: the effectiveness of the traditional nursing management is not as good as that of nursing management of obstetrics and gynecology in preventing nosocomial infection. After infection prevention using nursing management of obstetrics and gynecology, the probability of triggering infection event in patients with obstetrics and gynecology is far less than that of patients with traditional nursing management in infection prevention. Conclusion: compared with the traditional nursing management, nursing management of obstetrics and gynecology is more effective in preventing nosocomial infection, so this kind of nursing management is worthy of comprehensive promotion and use.展开更多
Objective: to analyze the effect of strengthening nursing management on prevention of nosocomial infection. Methods: a total of 100 inpatients from September 2019 to December 2020 in our hospital were selected and ran...Objective: to analyze the effect of strengthening nursing management on prevention of nosocomial infection. Methods: a total of 100 inpatients from September 2019 to December 2020 in our hospital were selected and randomly divided into two groups with 50 cases in each group. Patients in the conventional nursing management group were given conventional nursing, while patients in the strengthened nursing management group were given enhanced nursing management. The incidence rate of hospital infection and nursing quality score were compared between the two groups. Results: the incidence rate of nosocomial infection in strengthening nursing management group was lower than that in routine nursing management group, and the nursing quality score was higher than that in routine nursing management group (P < 0.05). Conclusion: the application effect of strengthening nursing management in hospital infection control of hospitalized patients is exact, which can reduce the occurrence of hospital infection and improve the quality of nursing. It is worthy of promotion.展开更多
文摘Objective:To explore the effect of applying safety culture construction in nursing management of infectious disease areas.Methods:During the one-year period from January 2024 to December 2024,patients admitted to the infectious disease area of our hospital were randomly selected for the study.92 patients were divided into two groups using a computerized double-blind method for intervention.The control group received routine nursing management,while the observation group applied safety culture construction management.The effects of nursing management in the two groups were studied and compared.Results:Before management,the nursing management quality scores of the two groups were evaluated,showing little difference in various scores,and the difference was not statistically significant(P>0.05).Through the implementation of nursing management,the scores of the two groups were significantly improved,and the observation group had significantly higher scores compared to the control group(P<0.05).Compared to the incidence of nursing risk events,the observation group(6.52%)was significantly lower than the control group(30.43%),and there was a significant difference between the two groups(P<0.05).The observation group had significantly higher satisfaction scores for nursing skills,health education,service attitude,and professionalism compared to the control group,indicating patient satisfaction with safety culture construction(P<0.05).Conclusion:Applying safety culture construction in nursing management of infectious disease areas has a preventive effect on nursing risk events and is beneficial for improving patients’risk cognition level.
文摘This study aimed to explore the application method and effect of a refined management model in orthopedic nursing management.A total of 190 patients treated at our hospital were enrolled and divided into two groups.Ninety-five patients treated from January to May 2023 served as the control group,receiving conventional orthopedic nursing management,while another 95 patients treated from June to December 2023 formed the observation group,in which a refined management model was implemented.The nursing management outcomes of the two groups were compared.The results showed that patients in the observation group had a shorter hospital stay,a lower incidence of postoperative complications and nursing risk events,and higher nursing satisfaction compared to the control group(P<0.05).These findings indicate that the refined management model can effectively improve nursing quality,reduce orthopedic nursing risk events,and enhance patient satisfaction,demonstrating significant clinical value.
文摘This article summarizes the nursing experience with a patient who underwent resection of a lateral ventricle trigone meningioma via a contralateral interhemispheric approach.Key nursing measures included preoperative health education and psychological care,baseline neurological assessment,and comprehensive physiological preparation.Postoperative care focused on intensive vital sign monitoring and support,comprehensive neurological evaluation and early rehabilitation,as well as a proactive strategy for preventing secondary epilepsy and controlling intracranial infection.Through active treatment and systematic nursing care,the patient achieved an uncomplicated recovery and was discharged on postoperative day 9.The successful implementation of these structured nursing interventions contributed to favorable postoperative outcomes,offering a valuable reference for the perioperative management of similar complex neurosurgical cases.
文摘Objective:To study the effectiveness of the PDCA cycle model in the nursing management of the disinfection supply room.Method:From March 2022 to February 2024,the hospital adopted the PDCA cycle model to manage the related work of the disinfection supply room.In this study,40 nursing staff were selected as the research subjects.Sixty-five sets of data generated during the implementation of the PDCA model were selected,and 65 sets of similar data before the implementation were also selected.The relevant data information was compared and evaluated to understand the changes in work before and after the implementation of the PDCA cycle model management.Meanwhile,twenty departments in the hospital were selected to investigate the satisfaction before and after the implementation of the PDCA cycle model management.Result:After the implementation of the PDCA cycle model,the completion rates of various tasks were improved,and there was a significant difference compared with those before the implementation(P<0.05).The work quality of each working link has also been improved since the implementation.Compared with that before the implementation of the PDCA cycle model,there are significant changes(P<0.05).It can be learned from the comparison of satisfaction among various departments that the satisfaction of departments has improved after the implementation of PDCA,and there is a significant difference compared with that before the implementation(P<0.05).Conclusion:The application of the PDCA cycle model in the nursing management of the disinfection supply room can effectively improve the working conditions of the disinfection supply room and provide a basic guarantee for hospital treatment.Therefore,the PDCA cycle management model can be actively adopted in the actual work management.
文摘BACKGROUND Intravenous infusion is a common method of drug administration in clinical practice.Errors in any aspect of the infusion process,from the verification of medical orders,preparation of the drug solution,to infusion by nursing staff,may cause adverse infusion events.AIM To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.METHODS The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management:65 patients in the control group received conventional nursing and nursing management interventions,while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management.The occurrence of adverse events,compliance of children,satisfaction of children’s families,and complaints regarding the transfusion treatment were recorded in both groups.RESULTS The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08%and 1.54%,respectively,which were significantly lower than 12.31%and 13.85%in the control group(P<0.05),while repeated punctures and medication addition errors in the observation group were 3.08%and 0.00%,respectively,which were lower than 9.23%and 3.08%in the control group,but there was no significant difference(P>0.05).The compliance rate of children in the observation group was 98.46%(64/65),which was significantly higher than 87.69%(57/65)in the control group,and the satisfaction rate of children’s families was 96.92%(63/65),which was significantly higher than 86.15%(56/65)in the control group(P<0.05).The observation group did not receive any complaints from the child’s family,whereas the control group received four complaints,two of which were due to the crying of the child caused by repeated punctures,one due to the poor attitude of the nurse,and one due to medication addition errors,with a cumulative complaint rate of 6.15%.The cumulative complaint rate of the observation group was significantly lower than that of the control group(P<0.05).CONCLUSION Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients,improve children’s compliance and satisfaction of their families,and reduce family complaints.
文摘BACKGROUND Tuberculosis(TB)is a chronic respiratory infectious disease that considerably jeopardizes human health,and there is no effective vaccine suitable for its prevention in the entire population.AIM To investigate the promotion of medication adherence and disease cognition in patients with drug-resistant(DR-)TB using detailed nursing management.METHODS In total,114 patients with DR-TB who were diagnosed and treated at our hospital between January 2019 and January 2023 were included in this study.Patients in the control group(n=57)were managed with conventional nursing care,while those in the observation group(n=57)were managed with detailed nursing care.Medication adherence,disease awareness scores,medication safety,and nursing satisfaction were compared between the two groups after the intervention.RESULTS The post-intervention medication compliance rate was 91.23%in the observation group and 75.44%in the control group,with the former being 15.79%higher than the latter(P<0.05).There was no statistically significant difference in the disease awareness scores between the two groups before the intervention;the disease awareness scores of the observation group were significantly higher than those of the control group after the intervention(P<0.05).The incidence of gastrointestinal reactions,joint swelling and pain,hearing loss,electrolyte disorders,and liver and kidney function abnormalities were lower in the observation group than those in the control group.The total nursing satisfaction of the observation group was higher than that of the control group(P<0.05).CONCLUSION Implementation of detailed nursing management for patients with DR-TB can effectively improve medication adherence,enhance awareness of the disease,ensure safety of medication,and improve satisfaction with nursing care.
文摘Objective:To assess the management effect of comprehensive nursing management on blood donation services in blood stations.Methods:Sixty-four individuals who donated blood at a blood station between September 2021 and September 2023 were selected and randomly assigned into two groups of 32 each.The first group received comprehensive nursing management,while the second group received routine nursing management.Blood donation indexes and observational indexes such as adverse reactions were compared between the groups.Results:The total blood donation volume and qualified blood donation volume were higher in the first group than in the second group.The amount of discarded blood and the rate of blood discards were lower in the first group compared to the second group(P<0.05).Additionally,the adverse reaction rate in the first group was lower,the blood donation comfort scores were higher,the psychological state scores were lower,and the quality of care scores were higher than those in the second group(P<0.05).Conclusion:Comprehensive nursing management can improve the efficiency of blood donation,reduce the rate of blood discards,decrease the incidence of adverse reactions,alleviate negative psychological states of blood donors,and enhance both the comfort level of blood donation and the quality of care provided.
文摘Objective:This study aims to gain insight into the effects and potential advantages of the grid-style nursing management model in the care of critically ill patients.Methods:Eighty critically ill patients admitted to our hospital between May 2020 and May 2021 were selected and randomly divided into the control group and the grid group,each with 40 patients.The control group implemented traditional nursing management,while the grid group adopted a grid-style nursing management model.The quality of care,quality of life,nursing satisfaction,and treatment adherence of the two groups were compared.Results:Compared with the control group,the grid group had significantly higher quality of care and quality of life(P<0.001);in terms of nursing satisfaction,the score of the grid group was 8.26±0.85,which was significantly higher than that of the control group(6.65±0.77)(P<0.001);90.00%(36 patients)of the grid group showed good treatment adherence,significantly higher than 70.00%(28 patients)of the control group(P<0.001).Conclusion:The implementation of the grid-style nursing management model in critically ill patients can significantly improve the quality of care,quality of life,and satisfaction of patients,and effectively promote patients’treatment adherence.These positive results provide strong support for the promotion and application of this model in clinical care.
文摘Background:Since the coronavirus outbreak(COVID-19)has been declared an emergency in public health and has drawn enormous attention worldwide,the number of infected cases and deaths increases.The psychological well-being of the citizens and the health team workers might be affected and lead to more anxiety and stress,such as Post Traumatic Stress Disorder.Aim:This paper aims to provide a holistic approach regarding nursing management of Post-Traumatic Stress Disorder concerning the COVID-19 outbreak and the consequences of lockdown,quarantine,or curfew.Methods:An extensive literature searchesCumulative Index of Nursing&Allied Health Literature(CINAHL),ProQuest Nursing&Allied Health Database,Google scholar PubMed,Ovid MEDLINE,Psych articles,and Psych Info,were conducted to achieve the objective of the study.Results:This paper highlights that the experiences of PTSD among patients in different age groups and health conditions,as well as health team workers as a result of the COVID-19 outbreak,can be affected by several factors including health and social stigmatization,media influences,and public health awareness.The result of this paper suggested that it is important for all nursing practices,concerning the treatment of patients with COVID-19 and its psychological symptoms,especially PTSD,to master their skills and knowledge to gather crucial information on the history of patient distress and to assess their existing levels of stress and anxiety-related the pandemic.Conclusion:The COVID-19 pandemic involves several possible causes of distress for particular people,such as experiencing a loved one's death or being terminally ill;this may lead to post-traumatic stress disorder(PTSD),which needs skilled and certified nurses to collaborate closely alongside other health.team members to identify,manage and support the health of such persons effectively.
文摘This study aimed to explore the characteristics of perioperative nursing of experimental goats using self-made axial-flow blood pump implantation and provided theoretical nursing knowledge and practice-based evidence for the clinical application of domestically manufactured artificial cardiac pumps. Methods: Seven experimental goats were used in this study, three for pre-testing and four for the formal experiments. According to the surgical requirements for axial-flow blood pump implantation into the cardiac apex, we creatively designed and made a series of highly practical animal surgical instruments including a composite disassemblable bed for experimental animal transferring and monitoring, a multifunctional animal surgery bed, and portable medical supporting equipment. We also applied for two national invention patents and one utility model patent. Active measures were taken to ensure careful preparation before surgery, close collaboration during surgery, and effective management of complications after surgery. Results: Two of the four experimental goats died during surgery because of a massive hemorrhage caused by distal anastomotic failure and air embolism-induced cardiac arrest caused by air leakage from the outlet into the heart due to poor connection of the auxiliary pressure tap (used to measure left ventricular pressure). The mean survival time of the remaining three experimental goats was 22.7 hours. Conclusion: This study was the first to systematically and comprehensively investigate the perioperative nursing management of axial-flow blood pump implantation using animal models. These findings could greatly promote further clinical applied nursing research of self-made artificial cardiac pump implantation in experimental goats.
文摘Objective: to analyze the related risk factors of incision infection in type I incision surgery, and formulate a targeted nursing management plan based on the actual situation. Methods: the infection problem of incision surgery is very serious. We mainly analyzed the patients with incision surgery in our hospital from 2018 to December 2019. As the research object, we divided them into two groups by the method of random allocation. We carried out comparative analysis and research on the relevant infection factors of the two groups, and we obtained the relevant results. Results: the time, place, whether to place the guide tube or not, and the receiving operation are all influenced by single factor. The operation time is more than three hours, and the incidence rate of operation is relatively high, all of which have relevant statistical significance. The incision operation should be classified and judged according to the actual situation. Conclusion: according to the actual situation, patients with type I incision surgery should analyze the risk factors and take relevant targeted nursing measures in advance, so as to reduce the incidence of incision infection in the operating room and ensure the safety of the surgery.
文摘Objective: to study the practical application effect of nurses' hierarchical management in obstetrics and gynecology nursing management. Methods: 46 female patients were selected from January 2021 to January 2022 in the Department of Obstetrics and Gynecology of our hospital. They were divided into two groups according to different nursing methods. The 23 patients in the observation group were mainly managed by nurses at different levels, and the 23 patients in the control group were mainly managed by routine nursing. The adverse events rate, nursing satisfaction rate and nursing quality score of the two groups of female patients were compared. Results: the adverse events rates of the observation group and the control group were 0.00% and 21.75% respectively. The satisfaction rate of nursing was 96.55% and 73.91%. Nursing skills (23.48±1.03), (16.32±1.93), nurse-patient communication (24.02±0.56), (18.02±1.46), safety management (23.84±1.01), (17.47±2.01), first aid management (23.21±1.05), (16.48 2.28), basic nursing (24.28±0.65), (18.05±2.11), the difference between the groups was statistically significant (p < 0.0.01) Conclusion: the layered management of nurses has a good effect in the nursing management stage of obstetrics and gynecology, and can effectively avoid the risk of adverse events such as falls and sharp instrument injuries, improve the quality of nursing and obtain high recognition from patients. It should be applied in a wider range.
文摘This study explores the practical application of nursing management led by head nurses to enhance team communication and collaboration within clinical settings.By integrating leadership theories with nursing practice,this research adopts a qualitative methodology to examine the effects of strategic communication and teamwork enhancement initiatives.Through interviews,observations,and the analysis of case studies in various hospital departments,the study identifies key barriers to effective team communication and collaboration,including hierarchical structures,lack of standardized communication protocols,and insufficient training.Solutions implemented involve targeted communication skills training,the establishment of interdisciplinary teamwork protocols,and leadership workshops for head nurses.The outcomes indicate significant improvements in team efficiency,patient care quality,and staff satisfaction.This research underscores the importance of head nurses in fostering an environment conducive to open communication and collaborative practice,thereby advancing patient care and team performance.
文摘Objective: to explore the value of humanized nursing service, the effective nursing of pediatric outpatient service was taken as the research center of this study. Methods: the selected children were studied from July 2019 to August 2020. The selected patients (80 cases) were randomly divided into control group (routine nursing) and observation group (humanized service), and the nursing effect between groups was statistically evaluated. Results: the proportion of complete compliance in the observation group was 65.00%, while that in the control group was 32.50%. The nursing compliance between the groups was 95.00% and 72.50%, respectively. The data between the groups were significantly different (P < 0.05). The proportion of very satisfied was 57.50% in the observation group and 35.00% in the control group. The difference of satisfaction between groups was significant (92.50% : 70.00%) (P < 0.05). Discussion: the implementation of humanized service in pediatric outpatient department plays a positive role in improving nursing compliance and nursing satisfaction, which is worthy of further clinical promotion.
文摘Objective: to discuss and reveal the application efficiency of nursing quality checklist based on nursing management in obstetrics and gynecology. Methods: from February 2020 to November 2021, 144 inpatients in obstetrics and gynecology department were randomly divided into two groups, 72 in each group. The routine nursing management was used as the reference group, and the nursing management based on the nursing quality check table was used as the research group. The measurement items of nursing satisfaction, nursing quality, SAS, SDS, life quality and sleep quality before and after nursing intervention were measured and compared between the two groups. Results: the nursing satisfaction of the research group was higher than that of the reference group (P < 0.05). The measurement items of nursing environment, basic nursing, service attitude and nursing technology in the study group were higher than those in the reference group (P < 0.05). Before nursing, the SAS measurement items and SDS measurement items of the research group were roughly equal to those of the reference group (P > 0.05). After nursing, the SAS measurement items and SDS measurement items of the research group were lower than those of the reference group (P < 0.05). Before nursing, the quality of life measurement items and sleep quality measurement items of the research group were roughly the same as those of the reference group (P > 0.05). After nursing, the quality of life and sleep of the research group were better than those of the reference group (P < 0.05). Conclusion: promoting nursing management based on nursing quality checklist for inpatients in obstetrics and gynecology department is effective and worth popularizing.
文摘Objective: to explore the practical application of risk control in the nursing management of the infection department. Methods: in this study, 130 patients treated in the infection department of our hospital from early 2020 to December 2020 were selected, and the selected patients were randomly divided into two groups, one is the reference group, with 65 patients in each group. For routine care of patients in the reference group, and patient risk control management in the study group, the effectiveness of the two care models was compared. Results: the incidence of disputes and accidents in the reference group was (15.38%) (16.92%), the incidence of disputes and accidents was (4.62%) and (3.08%) respectively, including the dispute event X2 of 4.188, P value of 0.041, contingency (2 of 6.923, P value of 0.009, and the two groups were significantly different, (P <0.05).The nursing scores of the reference and study groups were (6.34 ± 2.32) and (9.85 ± 1.96), with a t-value of 9.318 and a p-value of 0, with a significant difference between the two groups (P <0.05).The environmental scores of the reference and study groups were (6.14 ± 1.73) and (9.68 ± 2.96), with t-value of 8.324, p-value of 0, and significant difference between the two groups (P <0.05).In addition, the reference group had 19 patients after routine care, 25 patients, 67.7%, 30 patients after routine care, 33 care, 96.9%, X2,19.07, P value 0, significant difference between the two groups, (P <0.05). Conclusion: the application of risk control management in nursing management is recommended.
文摘Now, infectious diseases are the second leading cause of death in the world. If hospital infection is considered, the main cause of death will be infectious diseases all over the world. Hospital infection seriously affects the life safety of patients, the health of medical staff, and the development of high-tech medicine and the normal operation of social medical system. The prevention and treatment of hospital infection are multifaceted, multidisciplinary and multidisciplinary. Hospitals should have destinations, strengthen management in an orderly and systematic way, and adopt scientific prevention and treatment measures to reduce the risk of hospital infection. In the process of providing medical services, hospital infection permeates almost all links, every operation and every patient in need of help, and many medical care standards are closely related to hospital infection. This indicates that nursing is especially important for the treatment of hospital infection, and the quality of nursing directly affects the quality of medical care. Strengthening nursing system is an important measure to effectively monitor hospital infection.
文摘Objective: to analyze the application of PDCA cycle in nursing management of disinfection supply room. Methods: from March, 2019 to March, 2020, 42 cases of nursing management of disinfection supply room in our hospital were selected as the control group. From June, 2020 to June, 2021, 42 cases of PDCA cycle in nursing management of disinfection supply room in our hospital were selected as observation group. We should not only compare the nursing scores of each index of the two groups of supply rooms, but also compare the satisfaction of medical staff. Results: the disinfection quality of the observation group was 94.9+3.2, the packaging quality was 91.9+3.1, the environmental quality was 94.8+1.5, and the instrument management was 96.9+4.2, while that of the control group was 86.9+3.9, the packaging quality was 88.6+4.1, the environmental quality was 86.8+1.2 and the instrument management was 86.9+4.2. It can be seen that the disinfection quality, packaging quality, environmental management and equipment management in the observation group are significantly higher than those in the control group, P<0.05. The satisfaction rate of medical staff in the observation group was 95.24%(40 cases) and the dissatisfaction rate was 4.76%(2 cases), while the satisfaction rate of medical staff in the control group was not 83.33%(35 cases) and the dissatisfaction rate was 6.67%(7 cases). The satisfaction rate of medical staff in the observation group was better than that in the control group. It can be seen that the nursing scores of each index in the supply room of the observation group are better than those of the control group, and the satisfaction of medical staff is also higher than that of the control group. Conclusion: in the nursing management of disinfection supply room, the application of PDCA cycle mode can not only improve the nursing scores of each index in the supply room, but also improve the satisfaction of medical staff, and timely adjust the deficiencies in management.
文摘Objective: nursing management of obstetrics and gynecology is used to prevent nosocomial infection, and the prevention effect is carefully observed. Methods: 100 cases of obstetrics and gynecology patients were selected as observation subjects to carry out this investigation. All patients were divided into two groups. The first group of patients used traditional nursing management to prevent nosocomial infection, and the second group of patients used obstetrics and gynecology nursing management to prevent nosocomial infection. After experiencing the same length of care, the proportion of infection events and the effectiveness of care in both groups were recorded and analyzed. All patients were selected between December 2018 and December 2019. Results: the effectiveness of the traditional nursing management is not as good as that of nursing management of obstetrics and gynecology in preventing nosocomial infection. After infection prevention using nursing management of obstetrics and gynecology, the probability of triggering infection event in patients with obstetrics and gynecology is far less than that of patients with traditional nursing management in infection prevention. Conclusion: compared with the traditional nursing management, nursing management of obstetrics and gynecology is more effective in preventing nosocomial infection, so this kind of nursing management is worthy of comprehensive promotion and use.
文摘Objective: to analyze the effect of strengthening nursing management on prevention of nosocomial infection. Methods: a total of 100 inpatients from September 2019 to December 2020 in our hospital were selected and randomly divided into two groups with 50 cases in each group. Patients in the conventional nursing management group were given conventional nursing, while patients in the strengthened nursing management group were given enhanced nursing management. The incidence rate of hospital infection and nursing quality score were compared between the two groups. Results: the incidence rate of nosocomial infection in strengthening nursing management group was lower than that in routine nursing management group, and the nursing quality score was higher than that in routine nursing management group (P < 0.05). Conclusion: the application effect of strengthening nursing management in hospital infection control of hospitalized patients is exact, which can reduce the occurrence of hospital infection and improve the quality of nursing. It is worthy of promotion.
