Current Status and Influencing Factors of the Quality of Work Life of Nurses in Intensive Care Unit

Objective: To investigate the current status and influencing factors of the quality of work life of nurses in Intensive Care Unit (ICU). Methods: A total of 243 ICU nurses from 6 general hospitals in Jingzhou were selected by convenient sampling method. Questionnaires were conducted with the general information questionnaire, Connor-Davidson Resilience Scale (CD-RISC) and Work-Related Quality of Life Scale-2 (WRQoL-2). Results: The total average score of the quality of work life of ICU nurses was (3.35 ± 0.44), which was at a medium level. Department, professional title, frequency of night shift, experience of workplace violence and psychological resilience were the influencing factors of the quality of work life of nurses in ICU, accounting for 39.4% of the variance. Conclusion: The quality of work life of ICU nurses needs to be improved. Nursing managers should pay attention to the work environment of ICU nurses, rationally allocate manpower, and improve the status of psychological resilience of nurses, so as to improve their quality of work life.

Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia

Objectives:This study aimed to develop an empowerment model for burnout syndrome and quality of nursing work life(QNWL).Methods:This study adopted a mixed-method cross-sectional approach.The variables included structural empowerment,psychological empowerment,burnout syndrome and QNWL.The population consisted of nurses who have civil servant status in one of the regional hospitals in Indonesia.The participants were recruited using multi-stage sampling measures with 134 respondents.Data were collected using questionnaires,which were then analysed using partial least squares.A focus group discussion was conducted with nurses,chief nurses and the hospital management to identify strategic issues and compile recommendations.Results:Structural empowerment influenced psychological empowerment(path coefficient=0.440;t=6.222)and QNWL(path coefficient=0.345;t=4.789).Psychological empowerment influenced burnout syndrome(path coefficient=-0.371;t=4.303),and burnout syndrome influenced QNWL(path coefficient=-0.320;t=5.102).Structural empowerment increased QNWL by 39.7%.Conclusion:The development of a structural empowerment model by using the indicators of resources,support and information directly influenced the psychological empowerment of the sample of nurses.As an indicator of meaning,psychological empowerment decreased burnout syndrome.In turn,burnout syndrome,as the indicator of personal achievement,could affect the QNWL.Structural empowerment directly influenced the QNWL,particularly within the workplace context.Further studies must be conducted to analyse the effects of empowerment,leadership styles and customer satisfaction.

Influencing Factors and Improvement Strategy to the Quality of Nursing Work Life: A Review

This review introduces the definition, influencing factors and improvement strategy to the quality of nursing work life, which can provide references for nursing managers to understand the factors affecting the quality of nursing work life and choose effective measures to improve the quality of nursing work life.

Research on the Ideological and Political Work of Nursing Students in the New Era under the Strategy of Healthy China

Nursing students have uniqueness within the general university student population as they are among the primary practitioners of the “Healthy China Strategy 2030” and guardians of people’s health. Innovating and strengthening ideological and political education for nursing students, enhancing their skills in serving the people, is a significant political task for medical universities. Against the backdrop of the “Healthy China Strategy,” how to effectively improve nursing students’ professional competencies, integrate life education, medical humanities education, and general ideological and political education, and utilize life education to construct a more suitable ideological and political education system for nursing students, in order to better establish correct worldviews, values, and professional outlooks, are urgent practical issues that need to be addressed in ideological and political education in medical universities. This article takes life education as an entry point and focuses on integrating it with the internalization and unification of ideological and political education courses, aiming to explore the possibilities and new pathways for integrating life education into the ideological and political education of nursing students in the new era.

A Probe into Ernest Hemingway's Suicide Enigma Through His Works and Life Experiences

Ernest Hemingway, one of the brightest stars on the literary stage of both American and the whole world literature in the twentieth century, had gained an everlasting reputation by the image of"the tough man"he created in lots of his works.Hence, to readers, Hemingway must be a strong man both physically and mentally. Though Hemingway had passed away, he left us an inestimable literary treasure, and we can draw some lessons from his suicide tragedy. To modern people who are

From prolonging life to prolonging working life: Tackling unemployment among liver-transplant recipients

Return to active and productive life is a key goal of modern liver transplantation(LT). Despite marked improvements in quality of life and functional status, a substantial proportion of LT recipients are unable to resume gainful employment. Unemployment forms a threat to physical and psychosocial health, and impairs LT cost-utility through lost productivity. In studies published after year 2000, the average postLT employment rate is 37%, ranging from 22% to 55% by study. Significant heterogeneity exists among studies. Nonetheless, these employment rates are lower than in the general population and kidneytransplant population. Most consistent employment predictors include pre-LT employment status, male gender, functional/health status, and subjective work ability. Work ability is impaired by physical fatigue and depression, but affected also by working conditions and society. Promotion of post-LT employment is hampered by a lack of interventional studies. Prevention of pre-LT disability by effective treatment of(minimal) hepatic encephalopathy, maintaining mobility, and planning work adjustments early in the course of chronic liver disease, as well as timely post-LT physical rehabilitation, continuous encouragement, self-efficacy improvements, and depression management are key elements of successful employment-promoting strategies. Prolonging LT recipients' working life would further strengthen the success of transplantation, and this is likely best achieved through multidisciplinary efforts ideally starting even before LT candidacy.

Shift Work: Impact on Nurses’ Health and Quality Life in Pointe-Noire (Congo)

Introduction: The consequences of shift work on health, psychological balance and socio-family life are multiple and universally known. Objective: The aim of this survey was to describe the impact of shift work on nurses’ health and quality life. Methodology: This was a cross-sectional descriptive study of the exposed and non-exposed type from May 2013 to July 2013, i.e. for a period of 3 months. We had included and divided into two groups the nurses working in the various departments of the Loandjili General Hospital (LGH). A questionnaire derived from the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale had been used to collect the data. Results: Of the 91 nurses considered, including 59 in shift work (group I) and 32 in daytime work (group II), significant associations were found between shift work on the one hand and sleep problems on the other hand in all these aspects, stress and appetite disturbances. However, no significant association was found between shift work on the one hand and the use of sleeping pills on the other hand. Fatigue, mood disorders and the notion of free time (at home and for leisure), although the frequencies are relatively high in the group of nurses on shift work. Conclusion: Our results show that nurses’ health, social and family life at Loandjili General Hospital are negatively impacted by shift work. There is a need to put in place means of prevention.

工作不安全感如何影响工作-生活平衡?——一个被调节的链式中介模型

基于资源保存理论,考察工作不安全感对工作-生活平衡的影响机制。对346名企业员工进行两阶段纵向追踪调查,结果表明:(1)工作不安全感对工作-生活平衡有直接负向影响;(2)工作认知失败和消极工作反刍在工作不安全感对工作-生活平衡的负面影响间起到中介作用以及链式中介作用;(3)主管支持感强化工作认知失败与消极工作反刍之间的关系从而调节以上链式中介。研究结果有助于为改善由工作不安全感引发的工作和生活失衡提供启发和对策。

肿瘤科护士工作生活质量与死亡应对能力的相关性研究

目的:调查肿瘤科护士工作生活质量及死亡应对能力现状,探讨肿瘤科护士工作生活质量与死亡应对能力的相关性。方法:采用便利抽样法,于2020年7月—8月选取广州市某2家三级甲等肿瘤专科医院193名护士为研究对象,使用一般资料调查表、工作生活质量量表(第2版)、死亡应对能力量表进行现场调查。结果:工作生活质量总分为(106.89±16.46)分,处于中等水平。死亡应对能力总分为(128.29±27.83)分。工作生活质量总分与死亡应对能力总分呈正相关(r=0.161,P<0.05)。结论:肿瘤科护士工作生活质量及死亡应对能力处于中等水平;死亡应对能力是工作生活质量的重要影响因素。管理者可通过加强临终护理培训、心理辅导等措施提高护士死亡应对能力,以改善护士工作生活质量,稳定护理队伍。

临床护士工作生活质量现状及潜在剖面分析

目的 了解临床护士工作生活质量现状,并对其影响因素进行潜在剖面分析。方法 对便利抽样法抽取的1 438名临床护士采用一般资料调查表、护士工作相关生活质量量表(WRQoL)、临床护士额外任务负荷问卷(ETLS)及心理授权量表(PES)进行调查分析。对护士工作生活质量进行潜在剖面分析,并通过单因素与多因素分析对护士工作生活质量进行差异性检验。结果研究共回收有效问卷1 227份。临床护士工作生活质量可分为3个潜在类别:工作生活低质量组(58.19%)、工作生活中等质量组(25.35%)、工作生活高质量组(16.46%)。单因素分析显示,3组护士在文化程度、职务、是否承担教育护士岗位职责、每月夜班频次、参与心理减压培训情况、ETLS评分及PES评分方面比较,差异均有统计学意义(P<0.05或0.01)。多因素分析显示,职务、承担教育护士岗位职责、参与心理减压培训情况、心理授权、额外任务负荷是护士工作生活质量分类的影响因素。结论 临床护士工作生活质量分类特征明显,医院管理者可以根据影响因素对不同类别特征的临床护士进行有针对性的心理干预,以提高护士的工作生活质量水平。

中小学校长的心理健康素养对其生活满意度、工作满意度的影响:心理健康和主动工作行为的中介作用

为了探讨中小学校长的心理健康素养对其生活满意度、工作满意度的影响,以及心理健康和主动工作行为的中介作用。本研究以心理健康素养量表、一般心理健康问卷、主动工作行为量表、生活满意度量表、工作满意度量表为测量工具对河南省283名中小学校长进行问卷调查。结果发现:(1)中小学校长心理健康素养正向影响心理健康和主动工作行为;(2)中小学校长心理健康素养通过心理健康和主动工作行为间接影响生活满意度;(3)中小学校长心理健康素养通过心理健康和主动工作行为间接影响工作满意度。研究结果揭示了中小学校长心理健康素养通过心理健康和主动工作行为间接影响生活满意度、工作满意度的内在机制,能够为干预中小学校长心理健康素养,改善他们的生活满意度和工作满意度提供理论支持。

村落中的“公主”——城市化进程中的成长陷阱

中国近40年的城市化进程,对女性成长具有特殊意味。有这样一群农村姑娘,她们本是家庭、村落或学校的宠儿,充满内在的骄傲,对人生有着特别的渴望期许,但最终走上了成功与幸福相对立的道路。对她们而言,成长中的陷阱遍布爱情、家庭与事业各个方面。在这里,赫然存在一种文化中断。这种文化中断不是根源于波伏瓦所说的“幸福的被动性”或布迪厄所说的“男性统治”及其背后的“象征暴力”,也不是由于家庭资本或社会经济地位的特殊影响,而是与一套外在的打断系统息息相关。正是这套打断系统在她们生活中再造了相互观看与占有、情感结构与事业组织、理论生活与生产性劳动的现实区分。而城乡二元体制,则是这种打断系统制度化的核心。从这里,我们看到了城市、学校与理论知识这样一套公共支持系统与女性成长的内在关联。

理论社会工作学:生成基础与实践逻辑

根据社会工作既有理论体系与学科发展现实情况,理论社会工作学能够彰显社会工作学科化的可能性与可行性。理论社会工作学以价值起点和情境基础重新定义社会工作人性观和困境观,进而构建生活化助人的实践逻辑。从回归生活的目标设定、生活意义的场境适应、成长为本的策略选择、系统互动的介入路径等方面,支持和协助服务对象度过暂时的生活危机。结合中国特色社会主义的时代背景,理论社会工作学澄清了社会工作的社会性、福利性、治理性、发展性等专业特质;并在公民权利、公共利益与人类命运共同体等方面厘清专业定位。

基于流场仿真的某型涡轮叶片的表面微结构分析

利用流场仿真和扫描电子显微镜观测的方法,对某型涡轮叶片工作前后的表面微形貌进行了分析,研究了高温高压环境对叶片表面形貌变化的影响。首先为了提高计算效率,根据叶片形式,建立了涡轮叶片流场的周期性对称CFD模型,并利用有限体积法对流场的温度和压力进行计算分析;然后利用扫描电镜对工作叶片的表面形貌进行观测,分析叶片表面微缺陷形式;最后根据仿真与试验观测结果,分析了叶片缺陷产生的原因和影响叶片表面微结构变化的因素。结果表明:叶片前缘温度达到最高的860K,在几何结构和波系的共同作用下,叶片前后缘、叶尖、叶根附近流场流动特性复杂,流道内温度和压力分布不均匀;叶片后缘根部出现长约180μm的穿晶/沿晶混合模式的微裂纹,后缘叶尖处有长约30μm的夹杂物裂纹出现,这是叶片热应力、叶片表面金相转变、氧化、氢脆等共同作用的结果;应根据涡轮泵的实际任务情况对涡轮泵地面热试车程序进行合理的安排,尤其在关机阶段要考虑是否对涡轮叶片的冷却采取大气环境隔离措施。研究可为液体火箭发动机涡轮叶片寿命评估提供参考。

重大突发传染病流行背景下医务人员工作家庭平衡影响因素研究

目的以新冠肺炎疫情为例,分析在重大突发传染病流行背景下,影响医务人员工作家庭平衡的因素,以期在应对重大突发传染病发生时,为保障医务人员平衡工作家庭关系提供策略依据。方法以北京市某三级甲等医院在职员工为研究对象,开展线上问卷调查。问卷内容包括职工人口学特征、新冠病毒感染情况和工作家庭平衡评分等。对调查结果采用描述性分析、独立样本t检验、单因素方差分析、多元线性回归模型,以分析影响工作家庭平衡4个维度的因素。结果共回收有效问卷5652份,感染新冠病毒职工4362人。影响因素分析结果显示,性别、文化程度、职务、科室类别、岗位、聘用方式、工作年限、所属院区、是否感染新冠病毒、严重程度、症状持续时间、近1周是否存在新冠症状是影响医务人员工作家庭平衡的因素。结论重大突发传染病发生时,特定医务人员群体面临工作家庭平衡压力,应予以重点关注。同时应建立、健全医务人员长期新冠肺炎康复支持体系,以保障医务人员心身健康。

乳腺癌术后患者重返工作后工作生活质量及相关因素

目的:探讨乳腺癌术后患者重返工作后工作生活质量及相关因素。方法:选取316例已重返工作的乳腺癌术后患者,采用一般资料调查表、癌症患者工作生活质量量表(QWLQ-CS)、乳腺癌患者心理弹性量表(BCRS)、癌症自我管理效能感量表(SUPPH)对其进行调查,采用多重线性回归分析其工作生活质量相关因素。结果:多重线性回归分析显示,QWLQ-CS得分与受教育程度、家庭人均月收入、工作模式、重返工作时间,及BCRS的个人保护、社会保护,SUPPH的正性态度维度得分正向关联(β=1.05、1.23、2.26、0.69、0.95、1.00、0.13),与合并并发症负向关联(β=-3.83)。结论:乳腺癌术后患者重返工作后工作生活质量有待提高,心理弹性和自我效能与工作生活质量存在正向关联。