Research on the Application Effect of Humanized Nursing Management in Pediatric Rehabilitation Wards

Objective:To explore the application effect of humanized nursing management in pediatric rehabilitation wards.Methods:82 pediatric patients admitted to our hospital between January 2023 and January 2024 were randomly divided into a control group and an observation group.Among them,the control group was given routine care,while the observation group received humanized nursing management,and the clinical nursing effects and situations of the two groups of children were compared and analyzed.Results:After nursing,the observation group showed significantly better performance in intelligent Developmental Quotient(DQ)values(P<0.05).The clinical nursing satisfaction of the observation group was significantly better than that of the control group(χ^(2)=11.710,P<0.05).Conclusion:Humanized nursing management for patients in pediatric rehabilitation wards not only improves their recovery but also significantly enhances parental satisfaction,which is worth learning from and promoting in clinical settings.

Nursing Care Management Strategies in Isolation Wards during the COVID-19 Outbreak

Coronavirus disease 2019 (COVID-19) is highly infectious and has spread worldwide. Medical staff may be exposed to the infection under circumstances of medical supply shortages and improper protection. How to better protect medical staff has become the focus of all walks of life. Therefore, during the COVID-19 outbreak, timely adjustments and optimization of nursing management strategies in isolation wards are important for improving care quality and reducing the infection of medical staff. Based on a literature review and clinical nursing management practices, this article summarizes the nursing management strategies in isolation wards during the COVID-19 outbreak, aiming to provide references for clinical nursing managers.

Corroborative Activities and Recognition Between Community Comprehensive Care Unit’s Nurses and Care Managers in Supporting Discharge of Elderly from Hospital - A Secondary Publication

Objective: The purpose of this study was to clarify the collaborative activities and mutual recognition between community comprehensive care unit nurses (Ns) and care managers (CM) in supporting the discharge of the elderly from the hospital. Methods: A total of 300 nurses working in community comprehensive care wards and 360 care managers working in B City in A Prefecture were surveyed using an anonymous self-administered questionnaire. Results: The highest percentage of responses regarding necessary collaborative activities with multiple professions in supporting hospital discharge were the same for Ns and CMs. The items regarding practice with the highest percentages were “relationship as a team” for Ns, and “user-centered awareness” for CM. While these professionals were willing to share information about their patients’ lives after discharge, the percentage of those explaining their expertise was low. It is thought that collaborative activities focusing on these aspects would lead to more appropriate discharge support.

Criteria for Determining the Need for Admission of People with Dementia to Dementia Nursing Wards of Psychiatric Hospitals in Japan

Purpose: This study aims to establish criteria to determine the need for admission of people with dementia to dementia nursing wards of psychiatric hospitals—based on the experience of nurses working in dementia nursing wards. Methods: Semi-structured interviews were conducted with nurses who had worked in dementia nursing wards of psychiatric hospitals for more than 3 years, to collect data related to the “condition at the time of admission and the process of hospitalization of dementia patients”. Data were analyzed using the content analysis approach. Focusing on “What is the condition of patients with dementia admitted to the dementia nursing ward?”, we created codes according to similarities in the meaning, and classified these into categories where they were evaluated to fully fit in. Results and Discussion: The analysis yielded 4 categories, and 44 codes. The four categories are as follows: [Appearance of a state where self-control is difficult] which expresses a state where behavioral and psychological symptoms of dementia (BPSD) have appeared, and the remaining three categories [Insufficient support provided], [Appearance of symptoms that make living difficult], and [Appearance of physical symptoms that require treatment] express the states that may trigger the appearance of BPSD. These show that the appearance of BPSD is a criterion for determining hospitalization. By providing support to prevent the states described in the 44 codes, nurses may help people with dementia avoid being hospitalized in dementia nursing wards in psychiatric hospitals.

The Influence of Sound Awareness on the Level of Sound Generated during Nursing Activity in a Pseudo-Ward

Sound generated in a ward can be classified into 1) generated by medical staff, 2) generated by patients and their visitors, and 3) others, such as from in-hospital broadcasting microphones and nurse calls. Among these sounds, the incidence from medical staff, in particular, is reportedly high. The study objective is to investigate whether sound awareness is effective in regulating the sound environment even in a busy situation, such as in a real clinical setting, and to examine the extent to which sound awareness affects sound level. Nursing students were asked to perform a series of nursing activities in a pseudo-ward, and the changes in the sound level generated during the nursing activities with or without time and sound awareness were examined. Under varying experimental conditions, the sound and time levels associated with the nursing activities were measured in the following order: condition 1, without sound or time awareness;condition 2, with time awareness but without sound awareness;and condition 3, with both sound and time awareness. The time to perform nursing activities was longer with sound awareness. However, when aware of time only, the sound level from nursing activities rose by 2.3 dB, whereas when aware of both time and sound, the sound level dropped by 3.0 dB. With both time and sound awareness, there is a distinct drop in the sound level from nursing activities, such as wagon handling, handling of items (trays, bowls), working at the sink, and opening and closing the microwave oven door. These results suggest that even in a pseudo-clinical setting it is possible to regulate the environmental sound through the environmental sound awareness of the medical staff, resulting in a drop in the sound level generated while performing nursing activities.

Development of a nurse robot serving in infectious disease isolation wards

A prototype of nurse robot system serving in infectious disease wards is developed by analyzing the systems requirement. Firstly, the type synthesis and dimension synthesis for optimizing the workspace are presented. Secondly, the tele-control system based on velocity control mode is introduced, and tele-control program is written. Finally, the imitation of position workspace and experiment of transforming objects from buffer area to isolation area are carried out.

Characteristic Duties of Critical Care Nurses in Japan: A Time-Study Comparison with Neurology Ward Nurses

Background: The importance of the acute phase in hospitals has been increasing. While administering high-level critical care, the working styles of critical care nurses, the types of clinical care they provide, and the way in which they prioritize tasks, remain unclear. Aim of this study was to elucidate the characteristic duties of critical care nurses through a comparison with neurological ward nurses. Methods: We recorded the duties of critical care nurses and neurology ward nurses (10 each) using a time-study design. Duties were measured separately by action, classified using a classification table, and differences between the two groups were compared. Results: No differences in the number of actions were observed between the two groups. The top five items that required the most time for critical care nurses were, “Movement”, “Administration and oxygen management”, “Handover process/Doctor’s rounds”, “Preparation for entry and exit management of patients”, and “Bed bathing (for bedbound patients)”. Of the 195 items, significant differences between the groups were noted for 34 items, while the duties of critical care nurses were best characterized by bed bathing (for bedbound patients), changing position, confirmation of infusion tubes, handover process/doctor’s rounds, and preparation for entry and exit management of patients. Conclusion: A characteristic of critical care nurses is that they must remain near patients and perform tasks while moving only a short distance. Moreover, the promotion of tasks while communicating with physicians is presumed to play a role in the promotion of team medicine. Furthermore, much time was spent caring for patients in bed, and a lot of time was devoted to the preparation and finalizing of treatments and care, suggesting the possibility that more time can be spent on caring for patients through a revision of duties.

Nursing Care of Patients With Transcatheter Closure of Atrial Septal Defect via Femoral Vein

Objective:To explore the operative nursing coordination method for the treatment of congenital atrial septal defect(ASD)by transcatheter closure of atrial septal defect via femoral vein.It provides useful experience for the treatment of congenital heart disease.Methods a total of 12 patients undergoing minimally invasive atrial septal defect closure via femoral vein from January 2017 to November 2017 in our department of cardiac surgery were selected as the subjects.All patients received transesophageal ultrasound guided ASD occlusion by femoral vein.The operation and nursing contents include preoperative care,the cooperation of the itinerant nurses,the coordination of the instrument nurses and the postoperative nursing.Results the operation of 12 patients in this group was successful.The diameter of the occluder was 17.1+4.5 mm during the operation.The time of tracheal intubation was 2.4+0.7 h,from the femoral vein to the sheath tube time was 38.7+9.4 min,the occupancy of ICU was 12.5+2.6 h after the operation.The average time of hospitalization was 4.5+1.8 D.There were 2 cases of shunt 1mm immediately after operation.After 24h reexamination,the shunt disappeared,the heart murmur disappeared in the rest of the patients.No residual shunt and other complications occurred.

术后患者自控镇痛:北京协和医院30年临床管理经验

术后疼痛严重影响患者的康复进程,从而导致住院时间延长,照护成本增加。合理应用患者自控镇痛装置可有效缓解围术期急性疼痛。北京协和医院于1994年引入患者自控镇痛技术,并于2004年成立了急性疼痛服务工作组,以麻醉医生为指导、手术室疼痛专科护士为基础,联合实施基于患者自控镇痛的全流程、规范化管理,并不断改进和创新工作方法,为术后疼痛管理的发展奠定了坚实基础。本文从临床工作重点、护理管理经验、疼痛治疗理念的推广与传播、新形势下急性疼痛服务模式的发展等方面对该项工作进行系统回顾与总结,以期为全面加强患者诊疗过程中的疼痛管理、提升患者围术期镇痛服务满意度提供有价值的参考。

基于大数据的多学科协作教学模式在全科病房护生实习带教中的应用

目的:研究基于大数据多学科协作教学模式在全科病房护生实习带教中的应用。方法:选择2018年4月至2020年4月我院全科病房实习护生98名,依据随机数表法分组。对照组接受常规教学,试验组接受基于大数据的多学科协作教学模式。比较两组综合护理能力考核成绩及满意度。结果:试验组理论考核、操作技能、病例分析、文献检索、语言表达及团队协作等综合护理能力考核成绩均高于对照组(P<0.05);试验组带教满意度高于对照组(P<0.05)。结论:基于大数据的多学科协作教学可提高理论考核、操作技能及团队协作等综合能力,增加护理满意度。

综合性医院病区分类管理评价指标体系构建

目的:构建综合性医院临床病区分类管理指标体系,为科学评价岗位价值奠定基础、对护理岗位管理提供理论依据。方法:对综合医院病区分类管理主要构成要素进行分析,根据专科属性结合各临床病区的工作量、护理难度等因素选择客观、可测量的指标,采用德尔菲专家咨询法构建临床病区分类管理指标体系。结果:2轮函询分别向15名专家发出函询表,回收率均为100%。2轮专家函询有12名专家提出修改意见,专家权威程度为0.89。最终形成包括护理工作量、护理工作难度、护理职业风险和工作压力负荷4个一级指标、11个二级指标、33个三级指标的评价体系。结论:构建的综合医院病区分类管理指标可为临床病区分类及临床护理管理实践提供理论基础。

1例腰椎间盘突出症患者的医护一体化中医护理查房

总结1例腰椎间盘突出患者的医护一体化中医护理查房实践经验。分析患者临床资料,由责任护士汇报病例,医生分析病情,医护联合对重点护理内容进行讨论,协同制定护理措施。通过医护一体化查房,医护之间专业互补,重建医、护、患三位一体的治疗和护理模式,达到实施整体护理的效果。

广东省三级综合医院优质护理服务评价指标的构建

目的构建广东省三级综合医院优质护理服务评价指标,为促进优质护理服务评价工作和规范优质护理服务提供参考。方法基于文献检索的基础上,应用头脑风暴法并借鉴国内已有的相关制度、标准和政策构建出评价指标条目池和问卷初稿;采用德尔菲法对评价指标进行两轮专家函询。结果两轮专家函询的回收率分别为80.00%和91.67%;权威程度系数均为0.93,医院部分Kendall协调系数W分别为0.128和0.116,病区部分分别为0.193、0.107,差异具有统计学意义(均P<0.001)。第2轮函询医院各指标的重要性均数为(4.43~5.00)分。第2轮函询病区各指标的重要性均数为(4.59~5.00)分。构建的广东省三级综合医院优质护理服务评价指标包括医院和病区两个部分,其中医院部分包括一级指标8项、二级指标22项、三级指标65项,病区部分包括一级指标9项、二级指标23项、三级指标50项。结论本研究编制的广东省三级综合医院优质护理服务评价指标具有较好的科学性和可靠性,有利于完善优质护理服务管理制度,引导优质护理服务健康发展。

急诊病房患者床旁动脉血气检查及护理探讨

目的 探讨急诊病房患者床旁动脉血气检查及护理措施。方法 选取2022年9月至2023年9月我院收治的急诊病房患者150例,根据入院时间分组,对照组(2022年9月至2023年2月)与观察组(2023年3月至2023年9月)各75例。全部患者均接受床旁血气检查,对照组行常规护理,观察组行针对性护理,比较两组血气分析标本合格率以及患者对护理工作的满意度。结果 观察组血气分析标本合格率高于对照组(P<0.05);观察组患者对护理工作的满意度高于对照组(P<0.05)。结论 急诊病房患者床旁动脉血气检查过程中,为患者实施综合护理干预,可提升血气分析标本合格率及患者对护理工作的满意度。

BOPPPS联合CBL教学模式在血液净化专科护士动静脉内瘘物理检查能力培训中的应用

目的探讨BOPPPS联合CBL教学模式在血液净化专科护士动静脉内瘘物理检查能力培训中的应用效果。方法选择2021年9月至2022年12月在我院肾脏内科学习的70名血液净化专科护士,随机分为试验组(n=35)和对照组(n=35),分别采用BOPPPS联合CBL教学模式和传统教学模式进行动静脉内瘘物理检查能力培训,培训结束后统一进行理论考试与操作技能考核,并通过问卷调查了解其批判性思维能力及教学满意度。结果试验组理论考试与操作技能考核成绩、教学满意度均优于对照组,批判性思维能力整体优于对照组,但仅分析能力和自信心维度得分比较差异有统计学意义。结论BOPPPS联合CBL教学模式有利于提高血液净化专科护士动静脉内瘘物理检查能力,且护士对该教学模式接受度较高。

《病区护理人文关怀管理规范》团体标准解读

人文关怀是护理的本质和核心。医院管理者、医护人员都在积极探索实施人文关怀。病区是患者接受医疗护理包括人文关怀的主要场所。目前,尚缺乏明确的便于护理人员使用的指导性文件。因此,项目牵头医院组织全国25所医院共同编制《病区护理人文关怀管理规范》团体标准,由中国生命关怀协会发布。提出病区护理人文关怀适用范围、术语与定义、基本要求、制度与流程、素养与培训、环境与设施、质量评价与改进。本文对团体标准中的重要组成部分、条目进行详细解释,以便于使用者理解,促进病区护理人文关怀规范的实践。

兼职感控护士在病区感染防控中的作用

文章介绍了国内外兼职感控护士的设立和发展,以及组织管理的现况。从促进感控措施落地、促进各类人员参与感控实践及影响组织文化和他人行为等角度阐述了兼职感控护士在病区感染防控中的作用,并总结了未来兼职感控护士的发展方向。

翻转课堂在护理教学查房中对学生自主学习能力的影响

目的探究在护理教学查房中,采用翻转课堂教学模式的价值。方法选取2021年6月—2023年6月广西医科大学第一附属医院60名神经外科护理实习生为研究对象,随机分为2组,其中30名实习生接受常规护理教学查房模式,作为对照组;另外30名实习生在护理教学查房中应用翻转课堂模式,作为观察组;对比2组实习生的理论考核成绩、自主学习能力、护理教学查房效果评价、实习生评判性思维能力、教学满意度。结果入科时,2组理论考核成绩对比差异无统计学意义(P>0.05),出科时,较对照组,观察组实习生的理论考核成绩[(80.47±5.24)分]高于对照组[(77.25±4.69)分],差异有统计学意义(P<0.05);与对照组[(34.25±4.26)分、(35.47±5.66)分、(36.47±4.58)分、(96.58±12.25)分]相比,观察组自主学习能力(自我管理能力、信息处理能力、学习合作能力)评分[(39.15±4.58)分、(39.37±3.25)分、(40.25±5.12)分、(105.47±11.98)分]有所提高,差异有统计学意义(P<0.05);观察组护理教学查房效果评价中提高学习积极性、促进知识理解和应用、提高探索学习能力、增强专科理论知识、提高语言表达能力、增加课堂互动等相较对照组有所提高,差异有统计学意义(P<0.05);教学前,2组实习生的中文版评判性思维能力测量表(Chinese version of critical thinking disposition inventory,CTDI-CV)评分对比差异无统计学意义(P>0.05),教学后,观察组CTDI-CV各个维度评分较对照组有所提高,差异有统计学意义(P<0.05);教学满意度对比,观察组较对照组有所提高,差异有统计学意义(P<0.05)。结论在护理教学查房中采用翻转课堂模式,有利于培养实习生的学习兴趣及发展自主学习能力,以保障良好的护理教学查房质量,进一步提高实习生成绩,取得满意的教学效果。

日间病房护理模式在乳腺良性肿瘤真空辅助旋切术患者中的应用

目的 探讨日间病房护理模式在乳腺良性肿瘤真空辅助旋切术患者中开展的应用效果。方法 选择东南大学附属中大医院乳腺外科2019年1月—2021年6月收治的186例乳腺良性肿瘤真空辅助旋切手术患者为研究对象。按护理模式不同分为对照组90例和观察组96例,对照组给予常规住院护理模式,观察组给予日间病房护理模式。比较2组患者住院时长、医疗费用、术后不良反应及护理满意度等情况。结果 观察组患者住院时长短于对照组,医疗费用低于对照组,护理满意度评分高于对照组,差异有统计学意义(P <0.05);观察组患者不良反应总发生率为2.08%,低于对照组的10.00%,差异有统计学意义(P <0.05)。结论 乳腺良性肿瘤真空辅助旋切术患者应用日间病房护理模式疗效显著。

舒适理念在日间病房胃肠道肿瘤化疗患者中的应用

目的探讨舒适理念下的护理干预对于日间病房胃肠道肿瘤化疗患者的意义。方法抽取2022年2月至2023年2月期间我院日间病房接诊的胃肠道肿瘤化疗患者100例,根据随机摸球法形式将其分为试验组和对照组,均为50例患者,对照组以常规的措施进行干预,试验组患者接受舒适理念下护理干预。对比两组患者护理前后舒适度评分、生活质量评分以及不良反应发生率和护理满意度。结果护理前,两组患者舒适度评分组间无统计学意义(P>0.05);两组均经过护理后,其舒适度得分均提高,且试验组各指标得分高于对照组(P<0.05)。护理前,组间患者生活质量分数无统计学意义(P>0.05);护理后,试验组患者生活质量分数较对照组生活质量分数更高(P<0.05)。护理后试验组不良反应发生率低于对照组(P<0.05)。试验组护理满意度高于对照组(P<0.05)。结论舒适理念下的护理干预用于日间病房胃肠道肿瘤患者中,不仅有效改善其化疗后的舒适度,还能够进一步提高经化疗后的生活质量,减少不良反应的出现。