护士长在医院护理管理中应发挥核心作用

护理队伍的健康发展直接影响到医院护理质量的高低,护理专业的发展以及整个医疗保健体系的发挥。护士长在护理管理工作中,应不断加强思想政治教育,通过自身人格魅力的影响、公平的激励机制的运用、丰富的人文内涵的建设以及护士自我实现的环节,对护理队伍的健康发展起着积极的推动作用。

教学组长竞聘上岗在临床护理教育管理中的应用

[目的]为提高临床护理教学质量,我院护理部在全院实行教学组长竞聘上岗。[方法]制定出具体的竞聘条件和程序,对实行教学组长竞聘上岗前后两届护生和全院护士的综合素质进行考评。[结果]教学组长竞聘上岗后全院护士和护生综合素质明显提高。[结论]教学组长竞聘上岗提高了全院的护理质量,使全院护理教育管理体系更加规范化。

护士在风湿病患者应用依那西普治疗中的作用的探讨

风湿病是指主要侵犯关节,肌肉,骨骼及关节周围的软组织,如筋腱,韧带,滑囊,筋膜等部位的一组疾病。生物制剂的出现和临床应用开拓了风湿病治疗的重要里程碑。依那西普(商品名:恩利)是风湿病领域第一个全人源化的可溶性肿瘤坏死因子(TNF)拮抗剂。TNF是炎症反应中一类重要的细胞因子,在很多风湿病如类风湿关节炎和强直性脊柱炎等发病中起主导作用。依那西普是一种可溶性受体二聚体。

Reliability and validation of the Arabic version of the Conditions for Workplace Effectiveness Questionnaire-Ⅱ

Objective:This study aimed to examine the psychometric properties of the Conditions for Workplace Effectiveness Questionnaire-Ⅱ-Arabic Version(CWEQ-Ⅱ-AV),which measures structural empowerment among nurses.To enhance the usability and credibility of the CWEQ-Ⅱ among researchers within Arabicspeaking countries,a valid and reliable Arabic version of the measure is necessary.Methods:A cross-sectional research design was used.From December 2018 to June 2019,275 nurses working in 4 hospitals participated in the study.Reliability was assessed by examining internal consistency and split-half reliability.A confirmatory factor analysis was performed to evaluate the factor structure of the CWEQ-Ⅱ-AV.Results:The psychometric properties of the CWEQ-Ⅱ-AV were excellent regarding the six-factor model(opportunity,information,resources,support,formal power,and informal power).The results showed the following fit indices meet the criteria set a priori:comparative fit index(CFI)=0.96,root mean square of error approximation(RMSEA)=0.06,andХ^(2)/df=2.08.Cronbach's a coefficient was 0.95 for the total questionnaire and ranged between 0.83 and 0.89 for the individual subscales.The split-half reliability was 0.91 for the total questionnaire and ranged from 0.83 to 0.87 for individual subscales.Conclusion:This study provides evidence that CWEQ-Ⅱ-AV is both a reliable and valid measure of structural empowerment among Arab nurses.

Multicenter application of a nursing workload measurement scale in adult hospitalization units

Objectives:The study aimed to the multicenter application of a nursing workload measurement scale in the internal medicine and surgery adults hospitalization units.Methods:The study design was a multicenter,observational,and descriptive study.A multicenter application of the MIDENF®nursing workload measurement scale was carried out,which consists of 21 items,and covers the four nursing functions(patient care items,teaching,manager,and researcher),in units of hospitalization of adults of internal medicine and surgery of four different hospitals.Each item contains one or more of the nursing interventions of Nursing Interventions Classification(NIC)and has an assigned time,after comparing the real time it takes to perform each intervention with the North American Nursing Diagnosis Association(NANDA)standardized time.The study was carried out during nine months of the year 2020,measuring two days each month in the three work shifts(morning,evening,and night)to all patients admitted on the days of measurement in the indicated units.Results:The descriptive and inferential analysis of 11,756 completed scales,5,695 in general surgery and 6,061 in internal medicine,showed a greater care load for the two units during the morning shift(227,034 min in general surgery,261,835 min in internal medicine),especially in the items of“self-care”,“medication”,“common invasive procedures”,“fluid therapy”,and“patient and family support”,while the managerial function was similar during the three work shifts in the two units studied,getting values between 57,348 and 62,901min.In the analysis by shift and unit,statistical significance was obtained both for the total workload and the four nursing functions(P<0.001).Conclusions:It is shown that the use of validated scales with the standardized language of nursing functions,adapted to the units,provides objective information to adjust the nursing staff to the real situation of care in any hospital and unit where it is applied,improving quality and patient safety.

A study of the relationship between nurses'experience,structural empowerment,and attitudes toward computer use

Objective:This study examined the relationship between structural empowerment and nurses’experience and attitudes toward computer use.Methods:This study was conducted using a cross-sectional quantitative design.A total of 184 registered nurses from four hospitals in Jordan participated in the current study.Data were collected using a demographics questionnaire,the Conditions for Work Effectiveness Questionnaire-II(CWEQ-II),and the Pretest for Attitudes toward Computers in Healthcare(PATCH).Results:The median of experience in years among nurses was 5.0,ranging from one to 26 years.The mean score for the attitudes toward computer use was 61.90±11.38.Almost half of the participants,45.11%,were in the category of“feel comfortable using user-friendly computers.”The participants’mean average of the total structural empowerment was 12.40±2.43,and the values for its four subscales were:opportunity 3.57±0.87,resources 2.83±0.85,information 3.06±0.79,and support 2.95±0.86.The frequencies analysis revealed that most participants had a moderate level of empowerment(n¼127,69.02%).The bivariate correlation between nurses’experience and attitudes toward computer use was significant(r¼0.17,P<0.05).The relationship between the total structural empowerment score and attitudes toward computer use was positive but weak(r¼0.20,P<0.01).Conclusion:The results indicated that more experienced nurses are more reluctant toward computer use.However,creating an empowering work environment can facilitate nurses’attitudes toward computer use.

Does investor protection affect the choice of earnings management methods through real activity manipulation and accrual manipulation？ Asian comparison

This paper examines systematic differences in earnings management through real activity manipulation and accrual manipulation across 7 Asia countries. The study proposes arguments that in economies with high investor protection, managers prefer to manage earnings through real activity manipulation rather than through accrual manipulation because accrual manipulation is more likely to draw auditors or regulators scrutiny than real decisions about pricing and production. The study findings are consistent with prediction. Despite being in economies with high investor protection, managers still have bigger discretion in managing earnings through real activities rather than accrual manipulation.

Reviewing opioid use, monitoring, and legislature: Nursing perspectives

The phenomena of prescription opioid misuse and abuse have a complicated history of contributing factors including policies,practices,and prescribing leading to contemporary phenomena.Some factors implicated in the opioid drug abuse problem include inefficient prescribing and improper use,lack of knowledge related to interpretation and assessment of pain levels,and decreased oversight and regu-lation from government and policy agents.Nurses,often frontline providers,need to be knowledgeable and embrace the guidelines,and necessary implications associated with both prescribing and admin-istration of opioids.Additionally,all providers including physicians,physician assistants,nurse practi-tioners,and bedside nurses must have a firm understanding of the improper use and abuse of opioids.The examination and review of opioid policies at the state and federal level has revealed inconsistency with regulations,policies,and guidelines that have lead to the current situation.The use of an inter-disciplinary team with nurses and various other practitioners is a good strategy to help reduce this problem.

Co-word clustering analysis for nursing safety management research focuses by PubMed

Objective： To analyze hot research areas and the present research status of nursing safety management in PubMed. Methods： PubMed was searched using ＂safety management＂ for the literature on nursing safety management. BICOMB 2.0 and SPSS 20.0 software were used to analyze high-frequency keywords and conduct co-word clustering analysis. Results： We searched for totally 2353 articles related to our topic and extracted 19 high-frequency keywords （27.50%）. Five research focuses were concluded, including： study on nursing safety culture; team work to promote nursing safety; practice of nursing safety management; workplace violence against nursing staffs; nursing safety and quality evaluation standard. Conclusion： Analysis of the hotspots of nursing safety management in the past 10 years will contribute to understanding the research emphases and trend of development, and provide reference for the study and practice of nursing safety management.

Management of chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS):an evidence-based approach

Objective：To evaluate the efficacy and safety of the treatment of chronic prostatitis/chronic pelvic pain syndrome （CP/CPPS）. Methods- The randomized controlled trials （RCTs） about the treatment for CP/CPPS all over the world were searched. MEDLINE （January 1966 to June 2007）, EMBASE （January 1988 to June 2007）, and 4 Chinese databases were electronically searched. The studies included in the refer- ences of eligible studies were additionally searched. Two reviewers independently screened the studies for eli- gibility, evaluated the quality and extracted the data from the eligible studies, with confirmation by cross- checking. Divergences of opinion were settled by discussion or consulted by the experts. Meta-analysis was performed by using RevMan 4.2 software. Results： Twelve original studies involving 1 003 participants met inclusion criteria. Compared with placebo, alpha-blockers could improve the symptoms of CP/CPPS obvious- ly with WMD of NIH-CPSI, total score and pain score were -4.10 （95%CI： -6. 92 to -1.28） and -1.68 （95 %CI： -2.54 to -0. 82）. Antibiotics could not improve the symptoms obviously with WMD of NIH-CP- SI; total score and pain score were -2.71 （95%CI： -4. 78 to -0. 64） and -0.86 （95%CI： -2.07 to 0.36）. Flavoxate could not improve the NIH-CPSI total score obviously, but could relieve the pain, with WMD of NIH-CPSI total score and pain score being -2.96 （95%CI： -5.17 to -0. 74） and --2.31 （95%CI.. -4.05 to 0.03）. Prostat could improve the NIH-CPSI total score obviously, but could not relieve the pain, with WMD of NIH-CPSI total score and pain score being --7. 60 （95%CI.. -9. 97 to -5.23） and -2. 02 （95%CI： -4.07 to 0. 04）. Conclusion： Drug intervention could improve total symptoms of CP/CPPS in some degree, but no universally effective treatment is available that can prove significant lasting benefit for all the symptoms of CP/CPPS. Future RCT must use an appropriate sample size and optimal duration and fol- low-up of participants. It is important to improve the quality of internal original studies.

Roadroid： Continuous Road Condition Monitoring with Smart Phones

Road condition is an important variable to measure in order to decrease road and vehicle operating/maintenance costs, but also to increase ride comfort and traffic safety. By using the built-in vibration sensor in smart phones, it is possible to collect road roughness data which can be an indicator of road condition up to a level of Class 2 or 3 in a simple and cost efficient way. Since data collection therefore is possible to be done more frequently, one can better monitor roughness changes over time. The continuous data collection can also give early warnings of changes and damage, enable new ways to work in the operational road maintenance management, and can serve as a guide for more accurate surveys for strategic asset management and pavement planning. Collected measurement data are wirelessly transferred by the operator when needed via a web service to an internet mapping server with spatial filtering functions. The measured data can be aggregated in preferred sections, as well as exported to other GlS （geographical information systems） or road management systems. Our conclusion is that measuring roads with smart phones can provide an efficient, scalable, and cost-effective way for road organizations to deliver road condition data.

Psychometric properties and characteristics of the Diabetes Self Management Scale

Objective:Assessing diabetes self care management is essential for nursing care for diabetes.There is a need to have valid and reliable scales that assess the actual performance of diabetes self management,The purpose of this study was to revise and conduct psychometric testing and analysis of the Diabetes Self Management Scale(DSMS).Methods:A cross-sectional methodological design was used.A convenience sample was used and 78 adults with diabetes and taking insulin from five sites in the Midwest area of the U.S participated in the study.Reliability analysis was done using Ferketich techniques to make decisions about whether any given item should be retained or deleted.Results:A descriptive analysis for the 60 items of the scale was conducted;several items had low variability compared to the other items on the scale.The correlation matrices showed that a total of 20 items had poor item characteristics.These 20 items were deleted resulting in developing 40-item version of the scale.The 40-item scale had high level of internal consistency(Cronbach'sα=0.947).The validity testing of the 40-item scale was guided by the Research Model for Diabetes Self Care Management;results were congruent with the model and showed strong correlation with self efficacy,moderate correlation with self care agency,and weak correlation with diabetes knowledge.Conclusion:The items and the scale(DSMS)have undergone careful psychometric testing.The 40-item DSMS is a reliable and valid instrument to measure diabetes self care management among people with diabetes.

Evaluation of the Maintenance Management Associated with the Performance of a Public Building

The lack of proper maintenance in buildings is responsible for various anomalies, which can cause property and personal damage. The objective of this study is to analyze the maintenance management of the administration building at the Technological Park UFRJ/Brazil, trying to emphasize the relation between maintenance and good performance of the building and to demonstrate the need to develop a consistent maintenance system to achieve an efficient maintenance management. The study allowed to present strategies and possibilities of interventions, in addition to proposing the essential aspects for the development of a structured maintenance system. After reviewing the issue of building maintenance under the various perspectives presented, the importance of planning a preventive building maintenance, according to standards, to achieve the level of performance expected for the building, besides being essential the search for tools and methods that can increase the efficiency of management can be concluded. It is also pertinent to conclude that prevention is the most effective solution against the depreciation factors that affect a building, being the most economical viable, and ensuring other benefits for the building and its users, such as security, property valuation and attendance to the warranty period.

Correlation between time management disposition and ability confidence of chinese nursing students： a meta-analysis

Objective： To evaluate the correlation between time management disposition and ability confidence of Nursing Students in China through the Pearson correlation coefficient. Methods： Electronic databases including the Cochrane library, PubMed, EMBASE, the Web of Science, CBM, Wanfang, VIP and CNKI were searched from inception to October 2017 to collect literature on the correlation between time manage-ment disposition and ability confidence of Chinese nursing students. The studies were examined according to the inclusion and exclusion criteria. After extracting data and evaluating the quality of the included studies. Meta-analysis was carried out using Stata 12.0 software. Results： A total of 7 articles with 1632 nursing students were included, and the quality of the literature was at medium level. Meta-analysis shown the total score of time management disposition of Chinese nursing students and its three dimensions were related to ability confidence. The summary correlation coefficient between time management disposition and ability confidence was 0.52 （0.43 to 0.59） ; There is a weak correlation between time value and ability confidence （r, 0.33; 95% CI, 0.25 to 0.39）; There was a moderate level of correlation between time control and ability confidence （r, 0.49; 95% CI, 0.43 to 0.54）; There was a moderate level of correlation between time efficacy and ability confidence （0.47, 0.41, 0.53）.And the relevance of nursing time management disposition and behavioral confidence varies with the nursing student＇s area, nursing student＇s diploma, measurement tools and sample size. Conclusion： The time man- agement disposition of Chinese nursing students is moderately related to ability confidence. When there are different in nursing students in the area, nursing diploma, measurement tools and sample size, the relevance is very different. The time management disposition of Chinese nursing students and their ability confidence are mutually reinforcing, and the time management disposition and their ability confidence should be further strengthened in the future.

Explore the Practice and Application of Nursing Safety and Quality Management

Objective： Explore the practice and application of safety care management and quality management at work. Methods： Establish and improve the nursing management system, safety assurance and quality improvement through the development of clinical nursing assessment standards, supervision, inspection and evaluation of the hospital based nursing quality management to ensure the compliance of the basic quality indicators; raised the nursing quality,to improve with the basic pattern, we prefer both the long and short-term goals, implement and guide the nursing quality, to improve project implementation, quality management training and assessment. Results： Through the implementation of the management of nursing safety and nursing quality, hospital comprehensive nursing quality and service satisfaction has increased significantly. Conclusion： Implementation of nursing safety management and nursing quality management, which ensure the nursing quality of hospital-wide surveillance, improvement and implementation of nursing quality and service satisfaction improved to play a positive role in promoting. Through increased management, nursing quality management more standardized and institutionalized procedures, and enhanced the quality of nurses＇ awareness and sense of competition, play an enhanced role in the promotion of the service concept of ＂patient-centered＂, improve the nursing comprehensive quality, and create a safe and comfortable medical and rehabilitation environment.

Discussion on Patent Protection Management of Agricultural Institutions of Higher Learning

along with the implementation of national intellectual property strategy and the construction of an innovative country, institutions of higher learning pay more and more attention to patent. By elaborating the roles of patent protection management from five aspects and sunmarizing Sichuan Agricultural University＇ s status quo of patent management, patent policies and patent licensing in recent years, this paper discusses four problems existing in universities ＇ patent protection management and proposes corresponding countermeasures.

Apply the visual management in the nursing education to carry forward the spirit of Nightingale

Apply the visual management in the teaching of the nursing education, and strengthen the cultivation of the spirit of Nightingale of the nursing students. According to the characteristics of the method of the visual management, using the visual and iconic teaching methods, construct the scene and the atmosphere of the rich cultural atmosphere, to stimulate the students＇ human emotional experience. Through several approaches, carry forward the spirit of Nightingale education of the nursing students, and make the students establish the lofty values of the nursing occupation, to provide the nursing care of high quality for the patients.

Discussion on Present Situation and Countermeasures about the development of nursing human resources

Nursing Human Resource Management is part of the human resources is nursing human resources by organizing nurses study, planning, training, and ultimately serve the medical career management stated objectives. Nursing human resource development of our human resources there are insufficient care, nurses configuration structure is irrational, the management system is not perfect, nurses are not high quality is the current status of nursing human resource mauagemenL and problems. This paper proposes a ＂human resource is the first resource＂ human resources management concept, has taken to develop a reasonable management mechanism, improve relevant laws and regulations of nursing human resources development, increase investment in education, strengthen education and training for nurses, the rational allocation of nursing human resources and other measures. In this paper, the connotation of Human Resources Management in the current situation as the starting point of care, from the current situation of nursing human resource development and the problems of the current situation of nursing human resource management and problems of nursing human resources management to discuss and propose appropriate for the development of human resource management solutions.

Correlation between the Diversity and Land Use in Cleared Grassland Areas in the Pannon Mountains

Nowadays, mowing has an increasing role in the management of semi-natural and nature conservation areas. Semi-dry grasslands have been planted on cleared areas of forest in the Pannon Mountains, which would be reclaimed by forest without use of the areas by humans. In our work we analysed cleared grasslands. The questions we tried to answer were which changes were caused by different land use, how favourable mowing can be for the purpose of grassland management and nature protection, do the composition of the plant species and the diversity vary within two years when conditions of precipitation are different. In four sampling areas, in 4 × 10 quadrats we registered the plant species and their cover values. We performed a site assessment in April, June and October, 2013-2014. We analysed the data by using cluster and ordination processes and we compared the sampling areas on the basis of the humidity preference and Shannon＇s index of diversity. According to the results, the composition of species and diversity on the analysed areas used for different purposes considerably deviate from each other. Further, we found a difference between two portions of the area whose had minor deviation in water management.

Research on logistics management system based on supply chain management

Generally, supply chain logistics is the unification of logistics, information flow and capital flow, logistics runs through the whole process of the supply chain. Logistics connects the individual enterprise in the supply chain and it is the bond of mutual cooperation between enterprises. In that way, the logistics management becomes an important part of the supply chain management system naturally. However, it is not so long since the theory of supply chain management and logistics management put forward so they are still being refined. Besides, it is lack of green philosophy in the logistics management of the supply chain and effect of logistics on the environment and resource efficiency do not be considered synthetically. Yet, methods to solve the problem that customers return items and waste materials have been excluded from the enterprises and business strategy. With the awareness that people should protect the environment and conserve resources enhanced and governments increase the intensity of environmental regulations constraints, the theory and practice of green logistics management are valued by the foreign supply chain management and logistics management theory community and the business community gradually.