全日制本科规范化培训护士对临床护理带教师资核心能力期望的质性研究

探讨全日制本科规范化培训护士对临床护理带教师资核心能力的期望,为给予本科护理规培生优质的教学体验和实现高质量护理规范化培训教学提供参考依据。方法 采用质性研究中的描述性现象学方法,通过目的抽样,抽取南充市2家三级甲等综合医院12名全日制本科规范化培训护士进行线下、半结构式访谈,采用Colaizzi 7步分析法对访谈资料进行整理分析。结果 全日制本科规范化培训护士对临床护理带教师资期望涵盖4个主题:临床专业能力、临床教学能力、人文素养、护理科研能力。结论 全日制本科规范化培训护士注重护理临床师资的临床专业能力、教学能力、人文素养、护理科研能力,并展现出对综合能力较强的临床带教老师更认可。培训基地在师资遴选时可将以上能力纳入标准。本研究可为全日制本科护理规范化培训遴选师资标准、培养师资核心能力的方向提供参考。 。

泪道逆行插管术的护理

我科开展泪道逆行插管术已有两年,共收治近150例病人。在患者术前术后的治疗护理过程中,我科护理人员结合我州名族聚居这一具体情况。

关于加强我市医院陪护人员管理及使用的调研报告

人口老龄化是人类进入21世纪所面临的重大经济和社会问题。中国是世界上人口最多的国家,预计到2040年,中国老年人口的数量将达到4.1亿,约占中国总人口的29%。然而421的家庭模式必然会出现老年人生病,子女无暇照顾的状况。与此同时,我国护士与病床床位数之比显著低于国际水平。医院陪护人员行业因此应运而生,填补了市场空白。现阶段医院陪护人员在管理及使用过程当中出现了很多问题。据调查,现阶段天津各大医院对医院陪护人员都有极大的需求量。

Nurses’perception on competency requirement and training demand for intensive care nurses

Objectives Various authors have explored the combination of competencies necessary for ensuring safe and quality care carried out by nurses in Intensive Care Units(ICUs).Nurses’perception of training is an element that must be studied in order to adopt appropriate educational measures.This study aimed to evaluate nurses’perception of the importance of intensive care training in Spain.Methods A descriptive,cross-sectional,multicentre study was conducted on a national level in Spain.Totally 85 ICUs took part in the study.The questionnaire used was developed using the Delphi method and had 66 items to investigate nurses’perception on competency requirements and training needs.The evaluation was conducted by a 10-point Likert scale.Results The sample was 568 Spanish nurses.Significant differences were found on an academic level,in terms of gender and hospital type,and in the professional experience of the nurse when it comes to evaluating the different training items;the differences in overall questionnaire scores among these groups were statistically significant(P<0.05).The nurses analyzed believe that previous training and professional experience in other care services are necessary before starting work in an ICU.Conclusion Implementation of training programs tailored to the needs of critical nurses had benefits for nurses and the health system.Nurses benefited from training focused on the skills and knowledge of each moment of their working life.Nurses have a different evaluation of their training needs throughout their professional cycle.Therefore,their training must be adapted to the professional stage of each nurse.

Comparison of RN licensure examination: China and the United States

Having the two largest nursing workforces across the globe,both China and the United States have implemented licensure examinations to standardize the qualifications of registered nurse.China established the National Nursing Licensure Examination(NNLE)in 1995.Like the National Council Licensure Examination for Registered Nurses(NCLEX-RN)in the United States,the NNLE has become an important link in the nurse registration process and contributed a lot in quality assurance and development of nursing profession.It may be necessary for the NNLE to learn from NCLEX-RN in several aspects,including increasing the frequency of exam,providing examinees with individualized services,and continuing reforming exam content and format.By better aligning the content and format of the examination with the current nursing paradigm and clinical requirements,nurses may enter the healthcare field better prepared to care for patients.Considering the magnitude of their nursing workforce,both China and the United States have great potential to serve as a role model for other developing countries as they look towards establishing national nursing education programs.As new policies around standardized nurse education in China take form,we urge that the NNLE be included alongside curricular reforms.As these reforms are implemented,continued research will be needed to evaluate the effectiveness of curriculum and licensure exam regulations upon nurse preparedness and quality of nursing care in China.

Dilemmas in end-stage heart failure

Heart failure （HF）, a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worldwide. As a leading cause of hospitalizations among patients aged 65 years or older, HF is a major consumer of healthcare resources, creating a substantial strain on the healthcare system. This paper discusses the epidemiology of HF, financial impact, and multifaceted predicaments in end-stage HF care. A search was conducted on the U.S National Library of Medicine website （www.pubmed.gov） using keywords such as end-stage heart failure, palliative care, ethical dilemmas. Despite the poor prognosis of HF （worse than that for many cancers）, many HF patients, caregivers, and clinicians are unaware of the poor prognosis. In addition, the unpredictable clinical trajectory of HF complicates the planning of end-of-life care, such as palliative care and hospice, leading to underutilization of such resources. In conclusion, ethical dilemmas in end-stage HF are numerous, embroiling not only the patient, but also the caregiver, healthcare team, and society.

Psychological capital mediates the association between nurses'practice environment and work engagement among Chinese male nurses

Objectives:This study aims to investigate the environmental and individual factors contributing to male nurses'psychological well-being and to explore the psychological mechanisms that may explain the links between nurses'practice environment and work engagement,thereby presenting the implications for nurse managers.Methods:A total of 161 male nurses from three tertiary first-class hospitals in Changsha City in China participated in the study.We collected the data using the Practice Environment Scale of the Nursing Work Index,the Psychological Capital Questionnaire,and the Utrecht Work Engagement Scale.Results:Scores of male nurses'practice environment(2.88±0.31),psychological capital(4.42±0.62),and work engagement(3.17±1.39)were all above the midpoint;however,the subscales"the nursing staffing and resources adequacy"(2.72±0.48),"hope"(4.33±0.72),and"dedication"(2.96±1.61)scored lowest.Nurses'practice environment and psychological capital positively predicted nurses'work engagement;psychological capital fully mediated the influence of nurses'practice environment on work engagement.Conclusions:Creating a supportive nursing practice environment can increase male nurses'work engagement by developing their psychological capital.Nurse managers can then provide reasonable workload and pathways for male nurses to achieve goals,thereby fostering their hope.

An overview on the protected area system for forest conservation in Bangladesh

A total of 19 protected areas （PAs） have been established in Bangladesh representing all the four forest types of the country. Apart from being the repository of biological diversity, these PAs serve as the source of subsistence livelihoods to the local communities. While all the PAs are managed by the state Forest Department （FD）, with a view to ensure sustainability, a recent approach of co-management has been initiated in five PAs as a pilot project with an aid of development partners incorporating stakeholders＇ participation. Along with demonstrating a number of upbeat impacts, the initiatives exert some constraints which need to be addressed properly to ensure the success of participatory approach and enhance the ongoing conservation scheme. This paper reviews the published works, government and project documents to analyze the present status of PAs and suggest recommendations accordingly.

Improving job satisfaction of Chinese nurses: the positive effects of structural empowerment and psychological capital

Objectives:This study examined the influence of Chinese nurses’personal resources(psychological capital)and access to workplace resources(structural empowerment)on their job satisfaction.Method:A cross-sectional study was designed during the period of January to April 2018.An anonymous questionnaire containing demographic characteristics sheet,Minnesota Satisfaction Questionnaire,Conditions for Work Effectiveness Questionnaire-II and psychological capital(PsyCap)was issued to 480 registered nurses in Tianjin,China.A total of 462 respondents became our subjects.Hierarchical regression was performed to explore the factors associated with job satisfaction.Results:The average Minnesota Satisfaction Questionnaire score was 65.68±12.35 in our study population.Hierarchical regression analysis showed that structural empowerment(β=0.421,P<0.01),PsyCap(β=0.227,P<0.01) and educational level(β=0.061,P<0.05) were positively associated with job satisfaction.Conclusion:The job satisfaction of Chinese nurses was at a moderate level.Structural empowerment was the most crucial predictor of job satisfaction,followed by PsyCap.Therefore,nursing administrators should take measures such as building an authorized work environment and improving nurses’PsyCap in order to promote job satisfaction among Chinese nurses.

The Application of Multi-Criteria Analysis to Managing Human Resources on the Local Government Level in Environment Protection

This project investigates the hypothesis for keeping the environment safe by using human resources at the local government level. Strategic decision-making in the management of human recourses in the field of environmental protection is crucial for the countries in transition. Lack of financial and technological resources can be compensated with other potentials. Therefore, it is necessary to emphasize the decision-making process. Optimization of the existing resources under real conditions is needed in order to get better results of the implementation of adopted strategies. As an example, the scheme of optimal solution based on PROMETHEE method （multi-criteria method of optimization） is given.

The impact of foreign trade and FDI on environmental pollution

Over the past 30 years China＇s economy has made tremendous development and going on the road of opening-up is an important aspect of the successful experience, which should be unswervingly adhered to in the further. However, rationally looking at how different the impact of foreign economic activities on China＇s economy and society is economic workers＇ main task. From 1982 to 2006, based on six categories of China＇s environmental indicators, the paper improves the entropy method to calculate the environmental pollution index which can represent China＇s overall environmental situation, uses the VAR model of the impulse response function and variance decomposition method to study the impact of foreign trade, FDI on China＇s environmental pollution in the long-term. The results show that, FDI and import trade is conducive to the improvement of the quality of our environment and export trade is the deterioration of our environment, ＂pollution haven＂ hypothesis is proved in China. Export trade is an important variable that aggravates environmental pollution.

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.

Best Practices and Innovative Scenarios of Integrated Patient Data Management to Improve Continuity of Care and Scientific Research

Clinical data have strong features of complexity and multi-disciplinarity. Clinical data are generated both from the documentation of physicians＇ interactions with the patient and by diagnostic systems. During the care process, a number of different actors and roles （physicians, specialists, nurses, etc.） have the need to access patient data and document clinical activities in different moments and settings. Thus, data sharing and flexible aggregation based on different users＇ needs have become more and more important for supporting continuity of care at home, at hospitals, at outpatient clinics. In this paper, the authors identify and describe needs and challenges for patient data management at provider level and regional- （or inter-organizational-） level, because nowadays sharing patient data is needed to improve continuity and quality of care. For each level, the authors describe state-of-the-art Information and Communication Technology solutions to collect, manage, aggregate and share patient data. For each level some examples of best practices and solution scenarios being implemented in the Italian Healthcare setting are described as well.

Role of social distancing in tackling COVID-19 during the first wave of pandemic in Nordic region:Evidence from daily deaths,infections and needed hospital resources

Objectives:To measure the effect of social distancing on reducing daily deaths,infections and hospital resources needed for coronavirus disease 2019(COVID-19)patients during the first wave of the pandemic in Nordic countries.Methods:The observations of social distancing,daily deaths,infections along with the needed hospital resources for COVID-19 patient hospitalizations including the numbers of all hospital beds,beds needed in ICUs and infection wards,nursing staffs needed in ICUs and infection wards were collected from the Institute for Health Metrics and Evaluation(IHME)by the University of Washington.The observations of social distancing were based on the reduction in human contact relative to background levels for each location quantified by cell phone mobility data collected from IHME.The weighted data per 100,000 population gathered in a 40-day period of the first wave of the pandemic in Denmark,Finland,Iceland,Norway and Sweden.Statistical technique of panel data analysis is used to measure the associations between social distancing and COVID-19 indicators in long-run.Results:Results of dynamic long-run models confirm that a 1%rise in social distancing by reducing human contacts may decline daily deaths,daily infections,all hospital beds needed,beds/nurses needed in ICUs and beds/nurses needed in infection wards due COVID-19 pandemic by 1.13%,15.26%,1.10%,1.17%and 1.89%,respectively.Moreover,results of error correction models verify that if the equilibriums between these series are disrupted by a sudden change in social distancing,the lengths of restoring back to equilibrium are 67,62,40,22 and 49 days for daily deaths,daily infections,all hospital beds needed,nurses/beds needed in ICUs and nurses/beds needed in infection wards,respectively.Conclusion:Proper social distancing was a successful policy for tackling COVID-19 with falling mortality and infection rates as well as the needed hospital resources for patient hospitalizations in Nordic countries.The results alert governments of the need for continuously implementing social distancing policies while using vaccines to prevent national lockdowns and reduce the burden of patient hospitalizations.

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.

Analysis on Policies of Oil and Gas in China

The Government has actively introduced oil and gas policies to promote the sustainable and healthy development of the industry it, 2017. The purposes of such policies are： to accelerate the reform of mineral resource royalties and advance the competitive transfer of mining rights; to promote the reform of the natural gas price, introduce cost supervision on long-distance natural gas pipeline enterprises in the area of gas pipeline transportation, and strengthen the regulation qf the distribution price; to liberalize the import qf crude oil in an orderly manner, increase the allowable volume of non-state trading crude oil imports, strengthen the supervision and periodically pause the approval of the right to use imported crude oil; and to enhance environmental protection.

Research on the institutional design of the long-term care insurance in Shanghai

Shanghai went into the ranks of the aging society in 1979, as the first area which entered into the aging society in China. Along with the arrival of the ageing, the nursing problems of the old man and disabled elderly become the important factors which affect social development. The establishment of the legal system, System integration to realize resource optimal allocation, Division of multilevel optimization services provide new pattern can make it happen.

Analysis of Participatory Approach Applied in Creating a New Protected Area Anjozorobe Angavo

The political will in compliance with the Convention on Biological Diversity brings to the establishment of MSPA （Madagascar system of protected areas）. The aim is to conserve biodiversity, alleviate poverty and develop the country. Participation and involvement of local population in natural resources management, consultation with all sectors and responsibilization of regional and local authorities in protected areas management are all the basic principles of MSPA. The paper brought focus in the understanding of this participation of local actors （populations, local authorities） and in their interests to participate in the protected area management in Anjozorobe Angavo. The research has been conducted by doing investigations and meetings with local actors. A typology of participations had been done. It has been indeed noticed that the understanding was differentiated then motivations to participate were not always the environmental one. The populations＇ participation could be either by convenience, or for personal interest, or imposed participation, or conscious participation. But in order to reach the purpose of the protected areas sustainable management, the operator should admit that the participation in protected areas management is imposed naturally and should consider those differences in visions; at last, the approach should motivate local populations to participate consciously.