Purpose:To avoid the nursing risk of inpatients,reduce the occurrence of nursing errors and improve the safety of inpatients.Methods:We established a nursing risk early warning and control system,which includes a safe...Purpose:To avoid the nursing risk of inpatients,reduce the occurrence of nursing errors and improve the safety of inpatients.Methods:We established a nursing risk early warning and control system,which includes a safety supervisory network,risk screening and early warning tools,and a risk control process.Results:The qualified rates of risk control measures to prevent pressure ulcers,unplanned extubation and fall/fall from bed all increased.The incidence of reported nursing errors decreased.The number of mistakes in medication-giving decreased.Conclusion:The establishment of an inpatient early warning and control system could effectively avoid nursing risk,improve risk prevention abilities,improve patient safety,and improve nursing quality.展开更多
Infections are identified as the most common preventable cause of death in pediatric oncology patients. Assessing and stratifying risk of infections are essential to prevent infection in these patients. To date, no to...Infections are identified as the most common preventable cause of death in pediatric oncology patients. Assessing and stratifying risk of infections are essential to prevent infection in these patients. To date, no tool can fulfill this demand in China. This study aimed to develop a nursing work-based and Chinese-specific tool for pediatric nurses to assess risk of infection in oncology patients. This research was a modified Delphi study. Based on a literature review, a 37-item questionnaire rating on a 0-5 scale was developed. Twenty-four experts from 8 hospitals in 6 provinces of China were consulted for three rounds. Consensus for each item in the first round was defined as： the rating mean was 〉 3 and the coefficient of variation （CV） was 〈 0.5. Consensus for each item in the second round was defined as CV 〈 0.3. Consensus among experts was defined as： P value of Kendall＇s coefficient of concordance （W） 〈 0.05. After three rounds of consultation, a two-part tool was developed： the Immune Status Scale （ISS） and the Checklist of Risk Factors of Infection （CRFI）. There were 5 items in the ISS and 14 in the CRFI. Based on the ISS score, nurses could stratify children into the low-risk and high-risk groups. For high-risk children, nurses should screen risk factors of infection every day by the CRFI, and twice weekly for low-risk children. Further study is needed to verify this tool＇s efficacy.展开更多
目的:探讨对呼吸机相关性肺炎(VAP)患儿实施基于前馈风险控制理论的精细化护理的临床价值。方法:病例选取开封市儿童医院2020年3月—2022年3月103例VAP患儿为研究对象,采用随机数字表法分为对照组(51例)与研究组(52例),研究组接受基于...目的:探讨对呼吸机相关性肺炎(VAP)患儿实施基于前馈风险控制理论的精细化护理的临床价值。方法:病例选取开封市儿童医院2020年3月—2022年3月103例VAP患儿为研究对象,采用随机数字表法分为对照组(51例)与研究组(52例),研究组接受基于前馈风险控制理论的精细化护理,对照组接受常规护理。比较两组的儿童状态-特质焦虑量表(STAIC)评分、血清降钙素原(PCT)、儿童抑郁评定量表(CDRS)评分、血清淀粉样蛋白(SAA)、临床症状改善时间及治疗依从性。结果:干预后研究组与对照组PCT(0.84±0.18 vs 1.21±0.22)ng/mL、STAIC(38.58±2.60 vs 35.26±3.58)分、SAA(7.26±0.22 vs 11.25±0.94)mg/L、CDRS(7.52±1.68 vs 15.48±2.17)分比较差异有统计学意义(P<0.05)。研究组与对照组咳嗽(3.74±0.51 vs 4.81±0.66)d、发热(1.50±0.37 vs 1.93±0.42)d、气促(2.08±0.70 vs 2.85±0.75)d、咳痰(3.51±0.64 vs 4.18±0.81)d改善时间比较差异有统计学意义(P<0.05),研究组与对照组治疗依从率(96.15%vs 80.39%)比较差异有统计学意义(P<0.05)。结论:基于循证理念的标准化护理可缩短支气管肺炎患儿身体康复时间,减轻患儿局部炎症反应,提高患儿治疗依从性。展开更多
Background: Aggressive tendencies from psychiatric inpatients are increasingly becoming problematic at a national referral psychiatric hospital in Zimbabwe. No research has been done in this context to determine the d...Background: Aggressive tendencies from psychiatric inpatients are increasingly becoming problematic at a national referral psychiatric hospital in Zimbabwe. No research has been done in this context to determine the dynamics around this disturbing phenomenon. Objectives: To determine the level of knowledge on anger control, to determine the occurrence of real assaultive behaviour and to examine the relationship between level of knowledge on anger control and occurrence of real assaultive behaviour in patients aged 20 - 45 years admitted at a national referral psychiatric hospital in Zimbabwe. Method: A descriptive correlational design was used. Seventy-six respondents aged between 20 and 45 years were selected using simple random sampling. A structured interview was used to collect data. The occurrence of real assaultive behaviour was adapted from the Staff Observation and Aggression Scale completed by observing patients during the assaultive behaviour occurrence. Patient observation was done by the psychiatric trained nurses who were specifically trained for this study to fill the part of the data collection instrument that needed observation. Data were analysed using descriptive statistics, Pearson Correlation Coefficient test and simple regression analysis. Results: Results showed a Pearson coefficient test of (r = -3.47, p Conclusions: Results call for collaboration of mental health practitioners to empower patients with anger control skills.展开更多
基金This study was supported by the Shanghai Health System Advanced and Appropriate Technology Promotion Project(No.2013SY030).
文摘Purpose:To avoid the nursing risk of inpatients,reduce the occurrence of nursing errors and improve the safety of inpatients.Methods:We established a nursing risk early warning and control system,which includes a safety supervisory network,risk screening and early warning tools,and a risk control process.Results:The qualified rates of risk control measures to prevent pressure ulcers,unplanned extubation and fall/fall from bed all increased.The incidence of reported nursing errors decreased.The number of mistakes in medication-giving decreased.Conclusion:The establishment of an inpatient early warning and control system could effectively avoid nursing risk,improve risk prevention abilities,improve patient safety,and improve nursing quality.
基金supported by Nanjing Medical University(Grant Numbers:2012NJMU031 and 2013NJMU0027)the Education Department of Jiangsu Province(Grant Numbers:13KJB20014 and JX10617801)
文摘Infections are identified as the most common preventable cause of death in pediatric oncology patients. Assessing and stratifying risk of infections are essential to prevent infection in these patients. To date, no tool can fulfill this demand in China. This study aimed to develop a nursing work-based and Chinese-specific tool for pediatric nurses to assess risk of infection in oncology patients. This research was a modified Delphi study. Based on a literature review, a 37-item questionnaire rating on a 0-5 scale was developed. Twenty-four experts from 8 hospitals in 6 provinces of China were consulted for three rounds. Consensus for each item in the first round was defined as： the rating mean was 〉 3 and the coefficient of variation （CV） was 〈 0.5. Consensus for each item in the second round was defined as CV 〈 0.3. Consensus among experts was defined as： P value of Kendall＇s coefficient of concordance （W） 〈 0.05. After three rounds of consultation, a two-part tool was developed： the Immune Status Scale （ISS） and the Checklist of Risk Factors of Infection （CRFI）. There were 5 items in the ISS and 14 in the CRFI. Based on the ISS score, nurses could stratify children into the low-risk and high-risk groups. For high-risk children, nurses should screen risk factors of infection every day by the CRFI, and twice weekly for low-risk children. Further study is needed to verify this tool＇s efficacy.
文摘目的:探讨对呼吸机相关性肺炎(VAP)患儿实施基于前馈风险控制理论的精细化护理的临床价值。方法:病例选取开封市儿童医院2020年3月—2022年3月103例VAP患儿为研究对象,采用随机数字表法分为对照组(51例)与研究组(52例),研究组接受基于前馈风险控制理论的精细化护理,对照组接受常规护理。比较两组的儿童状态-特质焦虑量表(STAIC)评分、血清降钙素原(PCT)、儿童抑郁评定量表(CDRS)评分、血清淀粉样蛋白(SAA)、临床症状改善时间及治疗依从性。结果:干预后研究组与对照组PCT(0.84±0.18 vs 1.21±0.22)ng/mL、STAIC(38.58±2.60 vs 35.26±3.58)分、SAA(7.26±0.22 vs 11.25±0.94)mg/L、CDRS(7.52±1.68 vs 15.48±2.17)分比较差异有统计学意义(P<0.05)。研究组与对照组咳嗽(3.74±0.51 vs 4.81±0.66)d、发热(1.50±0.37 vs 1.93±0.42)d、气促(2.08±0.70 vs 2.85±0.75)d、咳痰(3.51±0.64 vs 4.18±0.81)d改善时间比较差异有统计学意义(P<0.05),研究组与对照组治疗依从率(96.15%vs 80.39%)比较差异有统计学意义(P<0.05)。结论:基于循证理念的标准化护理可缩短支气管肺炎患儿身体康复时间,减轻患儿局部炎症反应,提高患儿治疗依从性。
文摘Background: Aggressive tendencies from psychiatric inpatients are increasingly becoming problematic at a national referral psychiatric hospital in Zimbabwe. No research has been done in this context to determine the dynamics around this disturbing phenomenon. Objectives: To determine the level of knowledge on anger control, to determine the occurrence of real assaultive behaviour and to examine the relationship between level of knowledge on anger control and occurrence of real assaultive behaviour in patients aged 20 - 45 years admitted at a national referral psychiatric hospital in Zimbabwe. Method: A descriptive correlational design was used. Seventy-six respondents aged between 20 and 45 years were selected using simple random sampling. A structured interview was used to collect data. The occurrence of real assaultive behaviour was adapted from the Staff Observation and Aggression Scale completed by observing patients during the assaultive behaviour occurrence. Patient observation was done by the psychiatric trained nurses who were specifically trained for this study to fill the part of the data collection instrument that needed observation. Data were analysed using descriptive statistics, Pearson Correlation Coefficient test and simple regression analysis. Results: Results showed a Pearson coefficient test of (r = -3.47, p Conclusions: Results call for collaboration of mental health practitioners to empower patients with anger control skills.
