Effects of high-quality neurosurgical nursing care on improving clinical nursing quality

BACKGROUND With continuous advancements in medical technology,neurosurgical nursing is constantly developing and improving to provide higher-quality nursing services.AIM To explore the effects of different types of high-quality nursing care on clinical nursing quality and patient satisfaction in neurosurgical nursing.METHODS Eighty patients who received neurosurgical treatment in the Affiliated Hospital of Southwest Medical University from June to December 2020 were selected as study participants and categorised into study and control groups.The study group comprised 40 patients who received 4 different types of high-quality nursing care,whereas the control group comprised 40 patients who received conventional nursing care.After a specific period,nursing satisfaction levels and adverse event and complication rates were compared between the two groups.RESULTS Satisfaction with high-quality care was higher than that with conventional care,and high-quality health services and regional services showed the highest satisfaction levels,with an average score of 12 on the Glasgow scale.The satisfaction levels of the study and control groups were 75%and 57%,respectively,with a statistically significant difference(t=7.314,P<0.05).During the nursing period,the adverse event and complication rates were the highest in patients with level III pathology grade and those who underwent neurosurgery(40.02%and 85.93%,respectively),and the difference was statistically significant.CONCLUSION In neurosurgical nursing,employing appropriate high-quality nursing methods can effectively reduce adverse event and complication rates in patients,thereby improving the quality of nursing care and increasing clinical nursing value.

Impact of a High-Quality Nursing Model on Patient Outcomes in Rheumatology:A Randomized Controlled Study

Objective:To enhance the overall nursing effectiveness in the rheumatology and immunology department,explore specific strategies to improve nursing quality using a high-quality care model,and develop a comprehensive nursing system.Methods:A total of 120 hospitalized patients with rheumatoid arthritis from 2022 to January 2024 were selected.These patients were randomly divided into two groups:an observation group(60 patients)and a control group(60 patients).The control group received conventional nursing care,which included creating a good care environment,providing drug guidance,and offering psychological support.In the observation group,a high-quality nursing model was implemented with a focus on meeting the specific needs of the patients.The two groups were compared in terms of complication rates,treatment compliance,nurse-patient disputes,patient satisfaction with nursing care,sleep quality(PSQI score),and pain levels(VAS score).Results:The incidence of complications in the observation group was 3.33%,significantly lower than that of the control group,with a statistically significant difference(P<0.05).Nursing compliance in the observation group was 100%,and patient satisfaction was 96.67%,both higher than in the control group,with a statistically significant difference(P<0.05).Additionally,the VAS pain score in the observation group decreased to 2.12±1.89,and the PSQI sleep quality score decreased to 6.89±0.33,both lower than in the control group,with statistically significant differences(P<0.05).Conclusion:Focusing on the needs of patients through a high-quality nursing model provides targeted care that improves overall nursing effectiveness for patients with rheumatoid arthritis.This approach enhances patient satisfaction with nursing care,increases treatment compliance,reduces the incidence of complications and nurse-patient disputes,improves sleep quality,and alleviates pain.This model holds significant value for broader applications.

The Effect of Personalized Comprehensive Care on the Nursing Care of Severe Pneumonia Patients

Objective:To explore the value of receiving personalized comprehensive care for patients with severe pneumonia.Methods:73 patients with severe pneumonia who visited the clinic from February 2020 to February 2023 were included in this study.The patients were randomly grouped into Group A and Group B.Group A received personalized comprehensive care whereas Group B received conventional care.The value of care was compared.Results:The duration of mechanical ventilation time,the time taken for fever and dyspnea relief,and the hospitalization time of Group A were shorter than those in Group B(P<0.05).The blood gas indexes such as PaO_(2),PaCO_(2),and blood pH of Group A were better than those of Group B(P<0.05).The pulmonary function indexes such as peak expiratory flow(PEF),forced vital capacity(FVC),and forced expiratory volume in 1 second(FEV_(1))of Group A were better than those of Group B,P<0.05.Moreover,the patients in Group A were generally more satisfied with the care given compared to the patients in Group B(P<0.05).Conclusion:Personalized comprehensive care improves blood gas indexes,enhances lung function,accelerates the relief of symptoms,and also enhances patient satisfaction in severe pneumonia patients.

Academic advising system and its application exploring in nursing colleges of China

Review the definition,origin,development and application status of the foreign academic advising system and make a comparison with the Chinese counselor system.Start with the perspectives of the learning difficulties and attrition rate of nursing students to explore the importance and significance of its implementation in Chinese nursing colleges and universities.Meanwhile,present the prototype of the existing academic advising system in China,with the expectation of providing a theoretical basis for the introduction of this system in nursing colleges and universities and the cultivation of high-quality nursing talents.

Application Value of High-Quality Nursing Intervention in Patients with Cirrhotic Ascites

Objective:To study the application value of high-quality nursing intervention in patients with cirrhotic ascites.Methods:From February 2018 to February 2020,80 patients with cirrhotic ascites,treated in Yancheng No.1 People’s Hospital,were selected as the subjects for this study.The patients were divided into two groups based on the type of nursing intervention:a routine group and an observation group,with 40 cases in each group.The routine group received routine nursing,and the observation group received high-quality nursing intervention on the basis of routine nursing.The nursing effects and adverse reactions of the two groups were observed and compared.Results:The total effective cases in the observation group were 39 cases,with a total effective rate of 97.5%;the total effective cases in the routine group were 33 cases,with a total effective rate of 82.5%.The total effective rate of the observation group was significantly higher than that of the routine group(P<0.05).In the routine group,there were eight cases of adverse reactions,in which the incidence of adverse reactions was 20.0%,whereas there were only two cases of adverse reactions in the observation group,in which the incidence of adverse reactions was 5.0%.The incidence of adverse reactions in the observation group was significantly lower than that in the routine group(P<0.05).Conclusion:The application of high-quality nursing intervention in patients with cirrhotic ascites can improve the nursing effect and reduce the occurrence of adverse reactions;thus,it should be popularized in clinical settings.

Effect of High-Quality Nursing on Patients with Hemorrhagic Fever with Renal Syndrome

Objective:To explore and analyze the effect of high-quality nursing on patients with epidemic hemorrhagic fever with renal syndrome.Methods:Ninety patients with epidemic hemorrhagic fever with renal syndrome treated in Huyi District People’s Hospital from October 2021 to January 2022 were randomly divided into an experimental group and a control group,with 45 cases in each group.The control group received routine nursing and the experimental group received high-quality nursing.The effect of routine nursing and high-quality nursing were compared and analyzed based on the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),the degree of satisfaction with nursing care,and the patients’quality of life.Results:Before nursing,there was no significant difference in the patients’psychological state between the two groups(P>0.05);after nursing,there was significant difference in the patients’psychological state between the two groups(P<0.05);the degree of satisfaction with nursing care of the experimental group was significantly higher than that of the control group(P<0.05);comparing the quality of life of the two groups,the quality-of-life score of the control group was significantly lower than that of the experimental group(P<0.05).Conclusion:For patients with epidemic hemorrhagic fever with renal syndrome,high-quality nursing can significantly and effectively improve their psychological state,level of satisfaction with nursing care,and quality of life.

An analysis of association of personality traits with job burnout among nurses working in hospital

Objective:The objective of the present study is to explore the effects of personality traits on job burnout among hospital nurses.Materials and Methods:This cross-sectional research was done during 2019-2020 at Kashan Shahid Beheshti Hospital.The data analysis procedures included descriptive statistics and the partial least squares-based structural equation modeling.The participants were 150 nursing professionals.A questionnaire indicating information on demographics,burnout(measured using the Maslach Burnout Inventory with three dimensions of depersonalization,emotional exhaustion,and personal accomplishment),and personality profile(measured employing the neuroticism extraversion openness five-factor inventory including extroversion,conscientiousness,agreeableness,neuroticism,and openness to experience dimensions)was used to gather the required data.Results:The results of the study showed that the validity and reliability of the measurement model were desirable(factor load higher than 0.5,the Cronbach’s alpha value and the composite reliability are>0.7).Structural model showed statistically drastic,negative relationship between the nurses’burnout levels and neuroticism(β=0.722)and openness to experience(β=0.437).However,the relationship was significantly positive between the nurses’burnout levels and conscientiousness(β=0.672),agreement(β=0.594),and extraversion(β=0.559)(P<0.03).Conclusions:The present study helped the recognition of burnout among nurses working in hospitals and approved the effects of personality features on the burnout experience.

Caring for Older Persons in a Technologically Advanced Nursing Future

As people live longer, a larger percentage will live with multiple chronic conditions and functional impairments such as difficulties with activities of daily living, mobility, and the management of one’s household. The purpose of this paper is to examine the care of older persons in a technologically advanced nursing future by discussing roles and responsibilities of nurses who practice gerontological nursing, and explaining how a technologically advanced future would change the delivery of home health care for older persons in the community. The theory of Technological Competency as Caring in Nursing grounds 3 processes of nursing as knowing persons as caring, wholeness is oneness, and caring as a multi-dimensional process. Harnessing technology for the health of older persons would enable them to live independently, socially engaged, and safely. A technologically advanced nursing future leads to concomitant sustainable disruptive and frugal innovations in healthcare. Nurses in practice must take advantage of these disruptions and consider frugal innovations as the futures of nursing education, practice, and research are here.

Effects of Band Therapy Using Music on Grasping Power, Depression, and Personal Relationships in Nursing-Home-Dwelling Elderly Individuals

The current study examined the effects of band therapy using music on grasping power, depression, and personal relationships among residents of a nursing home. Thirty subjects participated in the study. The band therapy included greetings, warm-up exercises with music, singing with dance, playing instruments, closing speech, and stretching with background music. Band therapy was held for 40 minutes once per week, for a total of four sessions, in the activity room of the nursing home. Findings showed that grasping power, depression, and personal relationships were improved at posttest, but the differences were not statistically significant. A better study design to compare the effects of band therapy with the other group, and a more simple and repeated intervention for the elderly to follow without stress might be necessary.

Skin damage due to personal protective equipment among nursing staff in a dedicated coronavirus disease-2019 hospital of tribal India

Background:Nursing staff are at much greater risk of infection(Ebola virus diseases and severe acute respiratory syndrome)due to their exposure to highly infectious bodily fluids and droplet nuclei and the need for personal protective equipment(PPE)to reduce the transmission risk.Aim:The present study was conducted to estimate the prevalence of skin injuries and their types due to PPE usage among nursing staff in tribal India.Materials and Methods:This descriptive cross-sectional study was conducted in the dedicated coronavirus disease-2019(COVID-19)hospital for a period of 4 months among 144 nursing staff wearing Grade 2 and 3 PPE kits.Study subjects were approached through social networking websites and survey questionnaires(Google forms)according to relevant guides,and research literature was used to collect the details regarding baseline,duty,and skin injury characterization.Chi-square test was used to find the association between skin injury and baseline or duty characteristics,and the association was significant at a P<0.05.Results:It was observed that 54.7%of nursing staff were working for 6 or more hours and 16.5%of subjects were wearing the PPE kit for 5 or more hours per day.Skin injury was reported by 86.3%of the subjects after using PPE.Skin injuries among nurses were statistically significant with their current place of stay and daily duty hours(P<0.05).Conclusion:In this study,it was found that 86.3%of subjects had suffered from skin injuries by using PPE while caring for COVID-19 patients during duty hours,so an effective preventive measure should be adopted.

The Process of Support by Nursing Professionals for Families Having a Member with Borderline Personality Disorder

The purpose of this study was to explore the process of family support provided by nurses to families with a borderline personality disorder (BPD) patient. Semi-structured interviews were conducted with 16 nurses who had provided care to BPD patients. Data obtained from the interviews were qualitatively analyzed using a modified grounded theory approach. As an overall core category of family support processes practiced by nurses for families with BPD patients, family support practiced without awareness that the nurses were supporting families was extracted. Through this process, nurses held perceptions that were premises for family support, which were formed through their individual nursing experiences and perspectives. Nurses also had diverse perceptions concerning the image of families. Through the integration of perceptions that were premises for family support and perceptions of an image of the family, nurses underwent a process of “determination and ambivalence about the need for family support.” Then, nurses provided “family support practice” when they acknowledged the need for family support. During the “family support practice,” nurses had difficulties in providing family support. When family support was not successfully provided, nurses provided “family support practice with seeking more effective ways through trial and error.” For cases in which nurses did not acknowledge the need for intervention, they intentionally chose “not to provide family support.” Furthermore, during the “family support practice,” nurses had contradictory perspectives of family support. Such family support processes ultimately led to an awareness of the same family support required for the future. Family support was provided with “family support practice” and “family support practice with seeking more effective ways through trial and error.” In some cases, however, the process ended in “not to provide family support intentionally.” Experiences and perspectives in providing family support are important factors in carrying out future family support. Developing the positive implications of these factors and reducing psychological strain on nurses may ensure smooth implementation of family support. Thus, nurses need to recognize that they are supporting the family, which is identified as a core category.

Investigating the Relationship Between Emotional Intelligence and Personality Types Among Nursing Candidates in Ardebil University, in Iran

Personality characteristics of each people are unique. It seems that these features of personality have an impact on emotional intelligence and ability to interact with people in a social environment. This study was conducted to investigate the relationship between emotional intelligence and personality types of nursing students. The research was descriptive and correlative. The study population consisted of Ardebil University of senior nursing candidates in 2011-2012. The study sample included 125 people. Assessment tools were the Bar-on Emotional Intelligence Inventory and MBTI （Myers-Briggs Type Indicator） personality type questionnaire. The data were analyzed by SPSS 20 （T-test, analysis of variance, Pearson correlation and multiple regression with significant level P〈0 .05）. Pearson correlation coefficients showed there is a significant inverse between variables extroversion-introversion and emotional intelligence with level of .01 （r=-522）. Therefore, personality characteristics impact on emotional intelligence of students. Thus, more research of emotional intelligence and personality characteristics is necessary at different levels to selection for nursing profession.

Predictive roles of organizational and personal factors in work engagement among nurses

Objective:To determine the work engagement levels of hospital nurses and the predictive roles that nurses’personal and organizational characteristics play.Methods:A cross-sectional design was employed in this study,which included 549 nurses working in the Central Philippines.Nurses were selected through purposive sampling,and a self-repor t questionnaire outlining personal and organizational characteristics was employed.The Utrecht Work Engagement Scale(UWES)was applied to gather data about nurse engagement.Results:The dedication score was the highest among the three dimensions of engagement while the vigor score was the lowest.Overall,Filipino nurses experienced an average level of work engagement.We observed significant relationships between a nurse’s age,years of experience in nursing,years in their present unit,and their position at work and their levels of engagement,vigor,sense of dedication,and absorption.Hospital capacity was a negative predictor of vigor,dedication,absorption,and overall work engagement.Fur ther,the type of nursing contract was a negative predictor of vigor and dedication.The type of hospital and the nurse’s position were positive predictors of vigor,dedication,and absorption.Conclusions:Filipino nurses were satisfactorily engaged at work.A number of nurses’personal and organizational characteristics play a predictive role in their work engagement.Thus,nursing administrators must suppor t,develop,and implement activities and measures that engage nurses at work.

Lebanese Student’s Experience of Benefits of High Fidelity Simulation in Nursing Education: A Qualitative Approach

Background: Simulation is perceived as an important part to the nursing clinical educational experience since it can offer a safe learning environment for the students’ clinical practice. Objective: The purpose of this study was to explore the Lebanese student’s experience of benefits of high fidelity simulation in nursing education. Design: A qualitative study using open-ended questionnaire. Setting: This study was implemented at private university in Lebanon between January and April 2015. Participants: A purposive sample was sought from those who have a simulated experience. Methods: Qualitative data were collected via interviews and analysed using a thematic approach. Findings: Four major themes were identified: “Bridging Theory to Clinical Practice”, “Developing Critical Thinking and Decision-making”, “Practicing Safely Leads to Enhancing Confidence”, “Teamwork Spirit and students’ motivation to earn and practice more”. Conclusion: Simulation was found to be an acceptable learning strategy for novice nursing students. The use of simulations is a useful and effective learning strategy. Students with a higher positive attitude towards the simulation experience displayed better learning outcomes. Thus, the integration of simulation into the learning experience of nursing students will bridge the gap between theory and practice;enhance their critical thinking and motivation aptitudes along with traditional clinical practice by sparing them a safe milieu.

Experiences of being old and receiving home nursing care. Older South Sami narrations of their experiences—An interview study

The Sami people who are the natives of Scandinavia are not a homogeneous group. They consist of different groups of Sami populations of which the South Sami population are one small group. For the South Sami this means a problem;they have to struggle against a general ignorance about the Sami people and culture, which also may affect received home nursing care. The aim of this study is to describe individual South Sami experiences of being old and receiving home nursing care. A sample of 10 older persons with South Sami background was chosen for this study. Narrative interviews were conducted and qualitative content analysis was used to identify and categorize primary patterns in data. The experience of being an old person with South Sami background who receives home nursing care was understood through the use of the following four themes developed from the informants’ own narratives: “Experience of losses in life”;“Feelings of being less valued”;“Feelings of gratitude”;and “Experience of meaning in daily life as old”. The main finding is that the South Sami population still is exposed to an ongoing subtle colonisation. Therefore, it is important to prepare and teach nurses who work in the South Sami area in cultural care, traditional values and beliefs specific to the South Sami population.

Structural Accessibility of Gynecological Nursing Clinics for Users with Motor Disabilities in Basic Health Units

A quantitative descriptive study aimed to evaluate the physical structure accessibility of gynecological nursing clinics and their bathrooms in basic health units for users with motor disabilities. A checklist tool/instrument was applied for analyzing 16 items in the bathroom and four in the nursing clinic. 157 basic health units were evaluated. In the nursing clinic, counters and tables (79.6%) were accessible, but stretchers (93%), seats (93.6%) and doors (87.3%) were inaccessible;moreover, 17.8% of the units examined proved totally inaccessible. In the bathroom, the items with the best evaluation were the height of the toilet flusher (47%) with operation by slight pressure (44.6%) and the wall-mounted sink (42.7%). Bathroom doors and turning area/space for wheelchairs were inaccessible. No bathroom reached full accessibility, and 31.2% were entirely inaccessible. Non-compliance was evident of the standard 9050:2004 of the Brazilian Association of Technical Standards. Raising the awareness of health and engineering professionals is recommended to learn technical accessibility standards and implement them.

Coping, Personality and Post Traumatic Stress Disorder in Nurses Affected by Super Storm Sandy

Objectives: To identify the incidence of post-traumatic stress disorder experienced by nurses as a result of a natural disaster, and its relationship to personality and coping style. Design and Sample: A descriptive correlational design was used to examine the relationships between and among the variables using an anonymous online survey. Measures: Post Traumatic Stress Disorder (PTSD) was measured using the PTSD-8 [1]. The Brief COPE [2] was used to measure coping style. Personality was measured utilizing the State Trait Personality Inventory [3]. Participants answered demographic questions such as gender and age, and how they were affected by the storm. Results: Over 19% percent of the nurse participants met the criteria for PTSD. The significant predictors of PTSD were the personality characteristics of state-anxiety, state-trait and trait depression, and the coping strategies of active coping, denial, acceptance, instrumental support, behavioral disengagement, venting and planning. The final regression model explained 90.7% of the variance in high PTSD-8 score. Conclusions: The findings of this study support the literature and the researchers’ belief, that there is a relationship among coping, personality, and PTSD. More research is needed to understand the individual coping mechanisms that nurses utilize during times of stress and how they are related to personality and PTSD.

Nursing Students’Clinical Learning Environment in Norwegian Nursing Homes:Lack of Innovative Teaching and Learning Strategies

Background: Nursing students hesitate to choose aged care as a career, and the aged care sectors are on an edge regarding nursing positions. Clinical learning environments may influence nursing students’ career choices. Few studies have explored learning environments in nursing homes, although students increasingly have placements there. Objectives: The aim was to produce information for developing nursing students’ learning opportunities in nursing homes. Design: A cross-sectional survey design was used. Settings: The study was conducted at a university college in southeast Norway. Participants: Students in two cohorts of a bachelor degree program in nursing participated, N = 499. Methods: Data were collected on nursing students’ perceptions of clinical learning environments during placements in five nursing homes. A 42-item validated questionnaire with the subscales personalization, individualization, involvement, task orientation, innovation, and satisfaction was used. Data analysis used descriptive statistics, t-tests, and linear regression analysis. Results: Total scores showed overall satisfaction with clinical learning environments in nursing homes. However, innovation subscale scores were very low. First year students had significantly higher scores than third year students on the total scale, and most subscales. Age was significantly associated with total scale scores and subscale satisfaction scores. Higher education and work experience before entering nursing education were significantly associated with involvement subscale scores. Conclusions: Students are more positive than negative about their clinical learning environments. Low valuation of innovation seems to be a consistent finding in studies in both nursing homes and hospitals internationally. For innovative learning strategies to function they must be anchored at the organizational level. Future research should develop and test more innovative learning strategies for nursing students.

Norwegian Nursing Home——A Care Facility or a Home?

This article focuses on the function of Norwegian nursing homes. A brief history of institutionalisation of older people in Norway is presented. An expressed task for Norwegian nursing homes is active treatment, and even though the “Guarantee of dignity” was implemented from January 2011, there are proofs that the rights of the residents are constantly violated. Another task for Norwegian nursing homes is to be home for the residents. This double function of the nursing home, being both a care facility and a home is discussed, and whether the nursing homes succeed in fulfilling these tasks or not is questioned. It is also questioned if Goffman’s descriptions of total institutions are applicable on nursing homes of today.

Functional Contentment Model: Optimizing Quality of Life for Nursing Home Residents with Dementia

The Functional Contentment Model (FCM) attains two objectives: 1) building a relationship focused plan of care for nursing home residents diagnosed with dementia;and 2) maximizing and maintaining older adults’ contentment, peace, and happiness while living in dementia care environments. There are three essential components within the FCM: 1) Person/Family Centered Care;2) Slow Medicine;and 3) Team Care Management. The principles of “Person/Family-Centered Care” are coupled with the philosophy of “Slow Medicine,” and neither can exist without the engagement of “Team Care Management.” In short, the FCM maximizes the older adult’s potential functioning in activities of daily living, cognition, gross and fine motor skills, communication, and physical well-being, while maintaining the highest possible level of contentment, peace, and happiness. This is accomplished through dynamically utilized professional modalities adapted to the changing needs of the older adult resident—pharmacologic, physical and occupational therapies, family education and involvement, dietary, spiritual, stimulating activities, as well as any individualized modality. The lead for operationalizing the Functional Contentment Model is the nursing home medical director, whose key role is assuring a team approach to care including the older adult resident, the family, and all staff (dietary, housekeeping maintenance as well as care and administrative staff). The FCM is a culture change model that has implications in practice and policy for each nursing home.