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The Outcomes of Integrating High Fidelity Simulation in Nursing Education: An Integrative Review
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作者 Ahmad Ayed Inaam Khalaf 《Open Journal of Nursing》 2018年第5期292-302,共11页
Purpose: The purpose of this review was to identify the best evidence on the effectiveness of using high fidelity simulation technology for learning outcomes in nursing education. Methods: An integrative review was us... Purpose: The purpose of this review was to identify the best evidence on the effectiveness of using high fidelity simulation technology for learning outcomes in nursing education. Methods: An integrative review was used to assess the effectiveness of high fidelity simulation in nursing education. Data search was between 2008 to 2018 using Google Scholar, Scopus, Web of Science, Science Direct, Pub Med, Medline, CINAHL, EBSCO, Cochrane, ERIC, Joanna Briggs Institute and EBSCO host. A total of 17 articles met the eligibility criteria. Results: The seventeen reviewed articles were adopted mixed method designs, randomized controlled trial, quazi-experimental, and correlational studies. Themes were: self-satisfaction and confidence, clinical decision-making, and clinical judgment. Conclusion: Nursing literature supports the importance of including high fidelity simulation in nursing education. HFS provides diverse learning experiences, promotes decision-making and clinical judgment, self-satisfaction and self-confidence to develop assessment and safe practice. Implication: Nursing educators can create a variety of patient conditions for collaborative nursing care for increasing learning outcomes. 展开更多
关键词 high FIDELITY SIMULATION nursing Education STUDENTS
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Effect of High Fidelity Simulation on Nursing Students’ Knowledge in Palestine
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作者 Nida Jawabreh Ahmad Ayed Ahmad Batran 《Open Journal of Nursing》 2019年第4期364-369,共6页
Simulation-based teaching ingredients actual patient encounters with high fidelity simulators, mimicking real-time patient scenarios in a realistic, controlled environment. This study examined the effect of the simula... Simulation-based teaching ingredients actual patient encounters with high fidelity simulators, mimicking real-time patient scenarios in a realistic, controlled environment. This study examined the effect of the simulation on nursing students’ knowledge of adult nursing course before and after simulation sessions. An experimental, one-group (pretest-posttest) design was used. A convenience sample of nursing students enrolled in adult nursing course (n = 102) attended the 8 simulation scenarios. A paired t-test indicated that posttest mean knowledge of adult nursing course was higher than pre-course;however, simulation is significantly effective in helping to improve nursing students’ knowledge. 展开更多
关键词 high FIDELITY SIMULATION UNDERGRADUATE nursing Students KNOWLEDGE
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A review of clinical reasoning in nursing education:based on high-fidelity simulation teaching method 被引量:2
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作者 Qiao-Qian Luo Marcia A Petrini 《Frontiers of Nursing》 CAS 2018年第3期175-183,共9页
Objective: Clinical reasoning is an essential feature of health care practice; it is also a crucial ability for providing patient care of high quality. It has been identified that graduate nurses may lack the clinica... Objective: Clinical reasoning is an essential feature of health care practice; it is also a crucial ability for providing patient care of high quality. It has been identified that graduate nurses may lack the clinical reasoning skills to deliver safe and effective patient cam. It is therefore of paramount importance to enhance nursing students' clinical reasoning ability. High-fidelity simulation (HFS) is proved to be an effective teaching and learning method, which may also have some advantages over other teaching methods. Methods: The authors retrospectively reviewed the related literature, illustrated the application of high-fidelity simulation teaching method in nursing education, putting the focus on the use of it in teaching with clinical reasoning. Results: The application of high-fidelity simulation to nursing education can simulate the clinical situation, thus to create a safe, continuous and efficient learning environment for students, and it can effectively improve students' clinical reasoning ability. Conclusions: high-fidelity simulation is effective for clinical reasoning teaching in nursing education. The extension of its application in China should be of great value. The relevant further study is suggested focusing on how to overcome its own limitations and have it better applied in nursing education in China. 展开更多
关键词 clinical reasoning high-fidelity simulation nursing education teaching method
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Nursing student perspectives of high-fidelity simulation in Macao 被引量:2
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作者 Haobin Yuan Beverly A Williams 《护理学杂志》 CSCD 2015年第7期1-5,共5页
Objective The purpose of this study was to explore student perspectives of high-fidelity simulation.Methods A descriptive study with semi-structured focus group interviews was conducted in Macao.Twenty-one focus group... Objective The purpose of this study was to explore student perspectives of high-fidelity simulation.Methods A descriptive study with semi-structured focus group interviews was conducted in Macao.Twenty-one focus group interviews were held with 113 baccalaureate nursing students who had experienced 36-hour of simulation.Results Students perceived that simulation created a nonrisk learning environment,and was helpful in knowledge and skill enhancement and nurse role understanding.However,lack of realistic interactions in psychosocial responses made it difficult for students to relate simulation experience to real-working situations,and poor group contributions affected their learning.ConclusionInteracting with a human patient simulator does not replicate the experience of working with a live patient.Tutors need to come up with ideas about how to make scenarios more real and give more forthright responses to improve the realism of psychosocial responses during simulation.Students experienced uncertainty with clinical decision making and commented on the minimal contributions of some group members.Tutors should be prepared to provide students with substantial supports in developing their understanding of simulation and engaging in the learning process. 展开更多
关键词 护理学 护士 护理方法 护理工作
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Lebanese Student’s Experience of Benefits of High Fidelity Simulation in Nursing Education: A Qualitative Approach 被引量:1
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作者 Mirna A. Fawaz Ayman M. Hamdan-Mansour 《Open Journal of Nursing》 2016年第10期853-862,共10页
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 th... 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. 展开更多
关键词 high-Fidelity Simulation nursing Students Personal Experience
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Nursing Effects of Medical Treatment Combination on Patients at High Risk of Developing Pressure Ulcers at Rural Homes
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作者 Hua Qin Xiuqiong Hu 《Journal of Clinical and Nursing Research》 2020年第3期14-16,共3页
Objective:To explore the nursing effects of medical treatment combination on patients at high risk of developing pressure ulcers at rural homes.Methods:From January 2018 to December 2018,86 patients at high risk of de... Objective:To explore the nursing effects of medical treatment combination on patients at high risk of developing pressure ulcers at rural homes.Methods:From January 2018 to December 2018,86 patients at high risk of developing pressure ulcers at rural homes who were in Wenjiang Hospital were randomly divided into a control group and an observed group.The control group received the routine publicity and education and visiting,while the observed group adopted the cooperative nursing model of medical treatment combination.Then compare the healing status and nursing satisfaction of the two groups.Results:Of the 43 patients with pressure ulcers in the observed group,18 had been in the second stage of pressure ulcers and 16 had been healed;14 had been in the third stage of pressure ulcers and 8 had been healed;11 had been in the fourth stage of pressure ulcers and 5 had been healed.The nursing satisfaction of the patients in the observed group was 95.35%.Conclusion:Conducting medical treatment combination on patients at high risk of developing pressure ulcers at rural homes can effectively improve the patients’and their families’awareness of pressure ulcer nursing,standardize their nursing behaviour,help recover the patients themselves and promote the patients’satisfaction. 展开更多
关键词 Medical treatment combination nursing effects Patients at high risk of developing pressure ulcers
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A bibliometric analysis of core articles ofinternational nursing research frontiersbased on the Web of Science database
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作者 Shi-Fan Han Jin-Lian Cheng +2 位作者 Ya-Ping Wang Qiong Chen Zhu-Ya Xu 《Frontiers of Nursing》 CAS 2020年第1期31-38,共8页
Objective:To review and analyze the basic information and distribution of core articles in the global research frontier of nursing,so as to ascertain the current trend in the field.Methods:A total of 37 highly cited e... Objective:To review and analyze the basic information and distribution of core articles in the global research frontier of nursing,so as to ascertain the current trend in the field.Methods:A total of 37 highly cited essential science indicator(ESI)papers in the nursing discipline were retrieved,which were compared with the core article collection of the ESI research frontier in January 2019 to understand the current nursing research frontiers.Subsequently,a statistical analysis of the core articles that constituted the nursing research frontiers was performed using a bibliometric method.The analysis was conducted with multiple aspects including the number of core articles,total number of citations,average publication year,issuing country,participating institution,citing paper,journal distribution,and core researcher.Results:At present,the two international research frontiers of nursing are patient-centered care(Research Frontier 1)and missed care(Research Frontier 2).These two frontiers include a total of 12 core articles,6 of which are highly cited Web of Scienceindexed nursing papers.Research Frontier 1 includes three core articles that were cited 389 times.Research Frontier 2 includes nine core articles that were cited 841 times.Articles in the two frontiers were cited by 454 and 841 papers,respectively,most of which are in the United States.In addition,the 12 core articles were published across eight journals,the impact factors of which are all relatively high.Lastly,Research Frontier 1 involves 11 authors,whereas Research Frontier 2 involves 49 authors,of which seven authors have published more than two articles.Conclusions:The core articles in the frontier of international nursing research demonstrate distinctive features in their issuing country/region,journal distribution,and participating institution.Review and analysis of the core articles of international nursing research frontiers can help nursing staff understand the current research hotspots and consequently perform corresponding scientific research to promote the development of the nursing discipline. 展开更多
关键词 nursing CORE ARTICLE research FRONTIER BIBLIOMETRICS highly CITED paper
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A Literature Review on the State of High School Sex Education Implemented by School Nurses
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作者 Tomoko Nakamura Yoshiko Saga +4 位作者 Narumi Hosokawa Chisako Haba Yōko Kuroda Taeko Miyajima Hideaki Kitō 《Health》 CAS 2022年第12期1227-1243,共17页
Objective: In recent years, increases in sexually transmitted infections, cervical cancer caused by HPV, and abortions due to unwanted pregnancy among those in their 20s have become serious issues that threaten fertil... Objective: In recent years, increases in sexually transmitted infections, cervical cancer caused by HPV, and abortions due to unwanted pregnancy among those in their 20s have become serious issues that threaten fertility. This study aims to identify issues in need of attention and the difficulties experienced by school nurses in teaching sex education in high schools preemptively before these students become sexually active in order to promote responsible sexual behaviors for the prevention of STIs. Method: ICHUSHI Web Ver. 5 and CiNii were queried for literature published between 2000 and May 2022. Search terms were “yōgokyōyu” [school nurses], “seikyōiku” [sex education], “seikansenshō” [sexually transmitted infections/diseases], and “kōkōsei” [high school students]. In addition, we limited the search to Japanese literature only, due to differences in cultural background and the roles of school nurses. Results & Observations: Sex education is taught by multiple faculty members and implemented into multiple subjects such as health & physical education and home economics. There are differences in the content taught by school nurses and other faculty. As specialists in health and hygienics, school nurses demonstrate high awareness and positive attitudes toward sex education. Additionally, while they play a central role in sex education, they face difficulties due to having no position in school health plans, differences in awareness among faculty, busy schedules, difficulty securing time, and failure to coordinate with other faculty. It is necessary to consider school-wide policies that systematize sex education as a continuous subject. Furthermore, while they have many opportunities to undertake consulting duties on sexuality, there is uncertainty among school nurses on their ability to meet student needs. Therefore, the development of teaching materials and opportunities for school nurses to improve their teaching skills is absolutely essential. 展开更多
关键词 School nurses high School Students Sex Education
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Application of nursing sensitive indicators in improving the quality of hemodialysis 被引量:1
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作者 SUN Ling WEN Suiqin +1 位作者 HOU Linghong ZHUANG Xunfang 《中西医结合护理(中英文)》 2017年第11期1-5,共5页
To explore the application value of hemodialysis-related nursing sensitive indicators in improving the quality of hemodialysis.Methods Totally 40 outpatients undergoing dialysis treatment from January 2016 to December... To explore the application value of hemodialysis-related nursing sensitive indicators in improving the quality of hemodialysis.Methods Totally 40 outpatients undergoing dialysis treatment from January 2016 to December 2016 served as observation group.Another 40 outpatients who received dialysis from January 2015 to December 2015were selected as control group.Patients in control group received routine nursing and health education on hemodialysis,and those in observation group were given interventions based on nursing sensitive indicators.The hemodialysisrelated nursing sensitive indicators and satisfactory degree of patients on nursing service were compared between two groups.Results Observation group had a better outcome of hemodialysis nursing sensitive indicators compared with control group(observation group:Kt/V[1.30±0.06],Hb[115.0±4.8]g/L,serum Ca[2.31±0.06]mmoL/L,serum P[1.75±0.18]mmoL/L,product of Ca and P[30.95±0.58]mg2/dl,PTH[305±65]pg/mL.control group:Kt/V[1.18±0.07],Hb[99.0±5.2]g/L,serum Ca[2.52±0.07]mmoL/L,serum P[2.07±0.21]mmoL/L,product of Ca and P[39.75±0.74]mg2/dl,PTH[420±84]pg/mL.P<0.05 respectively.)The satisfactory degree of patients on nursing service was97.5%(39/40)in observation group and 80.0%(32/40)in the control group,with a significant difference(P<0.05).Conclusion Hemodialysis-related nursing sensitive indicators provide a scientific basis for nursing quality improvement in patients with hemodialysis,and also play a certain role in promoting high quality nursing service. 展开更多
关键词 音乐疗法 急性髓系白血病 癌因性疲乏 中西医结合护理
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A Survey of Digital Content Required for STD Prevention Education Taught by School Nurses
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作者 Tomoko Nakamura 《Health》 2024年第4期350-370,共21页
Purpose: In recent years, there has been concern in Japan about the increase in STDs among adolescents aged 15 - 19. In order to prevent STDs and guide adolescents toward desirable sexual behavior, this study’s goal ... Purpose: In recent years, there has been concern in Japan about the increase in STDs among adolescents aged 15 - 19. In order to prevent STDs and guide adolescents toward desirable sexual behavior, this study’s goal was to examine the actual state of STD prevention education taught by school nurses as part of the school curriculum, as well as the kinds of digital content they wish to have for teaching on the subject. Method: An anonymous, self-administered questionnaire was distributed by email and leaflet. Targeting the 100 valid responses received from the surveyed school nurses, descriptive statistics were made for each survey item and comparisons were made between the early- and mid-career groups based on years of experience. Results: 70.0% of respondents reported teaching about STDs in Health & Physical Education classes. School nurses in the early-career group used ready-made materials, while the mid-career group used both ready-made and self-made materials. 95% of respondents reported that they had little or no knowledge of STDs, while 84% reported that they were “good” or “fairly good” at teaching classes on sexuality. Both groups reported difficulty with the topics of “phimosis” and “nocturnal emissions” in the physiological category, “sexual behavior” in the “sex-adjacent” category, and “sexual and reproductive issues” in the psychosocial category. Respondents expressed a need for digital content covering the topics of “sexual violence”, “sexual abuse”, “sexually transmitted diseases”, and “how to turn down sex”. The mid-career group desired digital content for more items than the early-career group, with significant differences in the pathogens involved in sexually transmitted diseases and sex-adjacent items. 32.0% of respondents answered that they had done self-study for sex education classes in the past three years, and both groups desired self-study on “sexually transmitted diseases”, with the mid-career group significantly higher than the early-career group on “cervical cancer & HPV”, “emergency contraceptives”, and “media literacy”. Conclusion: Health & Physical Education is the main subject that covers STDs, and pre-existing materials are commonly used. It is expected that this is due to nurses’ busy schedules and the fact that only one school nurse is assigned to each school. The data collected suggested that nurse teachers want categorized digital content that can be used in the classes they are responsible for, rather than educational content on topics they are not comfortable with. In addition, given the changing environment surrounding sex, it was clear that they wish to understand the realities and needs of the high school students they teach, and desire self-study opportunities to improve their teaching methods. 展开更多
关键词 high School Students Sexually Transmitted Diseases Digital Content School nurses
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Comparison of Nurses’ and Families’ Perception of Family Needs in Critical Care Unit at Referral Hospitals in Malawi
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作者 Rodwell Gundo Feggie Feggie Bodole +1 位作者 Edoly Lengu Alfred Alfred Maluwa 《Open Journal of Nursing》 2014年第4期312-320,共9页
This study compared needs of family members as perceived by nurses and the family members themselves. The study design was descriptive and utilized quantitative data collection and analysis method. Nurses (n = 62) wor... This study compared needs of family members as perceived by nurses and the family members themselves. The study design was descriptive and utilized quantitative data collection and analysis method. Nurses (n = 62) working in the Intensive Care Units (ICU) and High Dependency Units (HDU) of three tertiary health facilities in Malawi at the time of the study consented to participate in the study. In addition, family members (n = 62) who were looking after a critically sick relative in the ICU and HDU in the same tertiary facilities consented and participated in the study. Data were collected using a questionnaire developed from the Critical Care Family Needs Inventory for a period of 7 days. STATA version 10 was used to analyze data. The rank correlation between the mean scores of perceived needs across major need categories of support, comfort, information, proximity and assurance between the nurses and family members was significantly different from zero (r = 0.97, p = 0.005). Nurses and family members, respectively ranked assurance (90% and 92%) as the highest priority need, followed by information (78% and 85%) and comfort (78% and 84%) and then support (70% and 73%) and proximity (66% and 69%). The ranking however between the 2 groups on 16 out of 45 individual needs were significantly different (p < 0.05). Among the nurses, the rankings by registered nurses were significantly higher (p < 0.05) from those of nurse midwife technicians. There were also significant differences (p < 0.05) in the mean scores between the gender of family members with men demanding more “comfort” than females. Results show a need for facility authorities to formulate ICU policies and strategies that ensure provision of friendly services to family members of critically ill patients. 展开更多
关键词 Critical Illness FAMILY Needs nurses PERCEPTIONS INTENSIVE CARE Unit high
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基于NVivo分析改进上海市“互联网+护理服务”的对策建议 被引量:3
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作者 赵缨 赵琦 《护理研究》 北大核心 2024年第1期1-7,共7页
目的:分析上海市三级、二级和一级医院护士开展“互联网+护理服务”的重要性和制约因素,为推进“互联网+护理服务”提供对策建议。方法:采用目的抽样法,选取上海市2所三级综合医院、2所三级专科医院、2所二级综合医院以及3所一级医院(... 目的:分析上海市三级、二级和一级医院护士开展“互联网+护理服务”的重要性和制约因素,为推进“互联网+护理服务”提供对策建议。方法:采用目的抽样法,选取上海市2所三级综合医院、2所三级专科医院、2所二级综合医院以及3所一级医院(社区卫生服务中心)共36名临床护理人员或管理者进行半结构式访谈,使用三级编码法,借助NVivo 12 Plus软件的项目图、矩阵编码分析等功能对访谈资料进行内容分析。结果:共构建重要性、制约因素和对策建议3个一级节点、13个二级节点和11个三级节点。按照参考点数量分析,重要性依次体现在服务对象福祉、护士价值和医院发展上;制约因素依次排序主要是安全问题、人力问题、政策问题和平台问题。对策建议依次排序主要是服务定价、服务项目、服务安全、服务标准、服务平台和服务对象。通过框架矩阵比较分析发现,不同级别医院开展“互联网+护理服务”存在的制约因素和对策建议侧重点不同。结论:不同级别医院护士开展“互联网+护理服务”的制约因素不同,建议加大政策支持、明确管理制度和服务规范、优化人力资源配置、合理服务定价、持续改进“互联网+护理服务”项目,加快信息平台建设,多措并举,推进优质护理服务共建共享。 展开更多
关键词 “互联网+护理服务” 制约 对策 优质护理 延续护理 护理管理
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Partner profile of pregnant women who have obstetric prenatal high risk in a university hospital south of Brazil
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作者 Gisele Perin Guimaraes Jussara Gue Martini 《Open Journal of Obstetrics and Gynecology》 2013年第9期35-40,共6页
This study aimed to relate the social and obstetric risk factors presented by pregnant women who underwent high risk prenatal in a southern Brazil hospital unit. This is a quantitative research. The data collection wa... This study aimed to relate the social and obstetric risk factors presented by pregnant women who underwent high risk prenatal in a southern Brazil hospital unit. This is a quantitative research. The data collection was conducted from January to September 2012, where 12 high-risk pregnancies and nine companions with diversified social and obstetric conditions were seen. The analysis was by simple statistics. Pregnant women social profile results indicated that predominant age group was 31 to 40 years old;all had some degree of education;84% Catholic;75% of pregnant women were accompanied by someone of their choice during high risk prenatal care;and 50% of the choices were for her spouse;half of these pregnant women have a professional occupation. Obstetrics findings demonstrated that the majority of women were not planning on the pregnancy, only 17% started prenatal care in the first trimester, 42% had already presented risk in previous pregnancy, 58% of women were classified as high risk due to fetal abnormalities. Given these findings, it is clear that high-risk pregnancy as a period involving several factors, including social and obstetric that, when connected, can compromise the process of gestating for both the mother and the fetus. 展开更多
关键词 PREGNANCY Prenatal Care high Risk nursing
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蓄力护理经济效力引领护理事业新发展 被引量:1
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作者 吴欣娟 《护理管理杂志》 CSCD 2024年第5期369-370,共2页
护士在医疗服务体系中发挥重要作用,作为维护和保障人民群众生命安全和身体健康的重要力量,须同步关注护理的社会效益和经济效力,才能达到改善护理服务的目标。文章基于对国内外护理经济效力研究现状的剖析与比对,深化社会对护理经济价... 护士在医疗服务体系中发挥重要作用,作为维护和保障人民群众生命安全和身体健康的重要力量,须同步关注护理的社会效益和经济效力,才能达到改善护理服务的目标。文章基于对国内外护理经济效力研究现状的剖析与比对,深化社会对护理经济价值的理解及认同,并从护理经济教育、角色拓展、新领域融合发展3个方面探讨了护理经济效力的促进策略,为护理高质量发展探寻新动力。 展开更多
关键词 护理 经济效力 人力资源效能 高质量发展
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超声联合影像学调整双腔耐高压PICC原发性异位的临床实践效果 被引量:1
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作者 张柳燕 黄果花 +2 位作者 李秋凤 伍瑛 陈云 《循证护理》 2024年第7期1295-1298,共4页
目的:探讨双腔耐高压注射型经外周静脉穿刺中心静脉置管术(PICC)导管原发性异位借助超声引导+影像学资料复位的临床实践效果。方法:选取2020年3月—2023年3月我院724例双腔耐高压PICC置管病人,51例病人置管完成后24 h内通过胸部影像学... 目的:探讨双腔耐高压注射型经外周静脉穿刺中心静脉置管术(PICC)导管原发性异位借助超声引导+影像学资料复位的临床实践效果。方法:选取2020年3月—2023年3月我院724例双腔耐高压PICC置管病人,51例病人置管完成后24 h内通过胸部影像学检查确诊导管发生原发性异位,发生率为7.04%。异位后分析其原因,结合胸部影像学资料,通过实时B超影像、腔内心电图P波形态,多种手法及体位综合复位的处理措施。结果:41例病人成功复位,成功率为80.3%。10例病人多因病人血管因素或错过调管时机导致导管复位失败。结论:置管护士要有扎实的理论基础以及丰富的实践经验,在临床实际操作过程中,应该灵活应用,多方法结合,具体问题具体分析,尽可能保证PICC导管尖端处于最佳位置,减少并发症的发生。 展开更多
关键词 耐高压PICC导管 原发性异位 超声 影像学 复位 护理
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综合性优质护理在造血干细胞移植治疗SAA患者中的应用 被引量:1
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作者 徐妍妍 李娅婷 +1 位作者 韦莹莹 张娜 《海南医学》 CAS 2024年第8期1174-1179,共6页
目的探讨综合性优质护理在行造血干细胞移植治疗的重型再生障碍性贫血(SAA)患者中的应用效果。方法前瞻性选取2019年1月至2023年1月郑州大学第一附属医院收治的86例均行造血干细胞移植治疗的SAA患者为研究对象,按随机数表法分为综合干... 目的探讨综合性优质护理在行造血干细胞移植治疗的重型再生障碍性贫血(SAA)患者中的应用效果。方法前瞻性选取2019年1月至2023年1月郑州大学第一附属医院收治的86例均行造血干细胞移植治疗的SAA患者为研究对象,按随机数表法分为综合干预组和常规干预组各43例。常规干预组患者给予常规的护理干预,综合干预组患者在常规干预基础上给予综合性优质护理干预,均干预3个月。比较两组患者干预前后的心理状态[焦虑自评量表(SAS评分)、抑郁自评量表(SDS评分)]、应对方式、睡眠质量[匹兹堡睡眠质量量表(PSQI评分)]和生活质量[生活质量综合评定问卷-74(GQOL-74评分)],同时比较两组干预后治疗依从性及干预期间的并发症发生率。结果干预后,综合干预组患者的SAS评分、SDS评分、消极应对评分、PSQI评分分别为(45.82±1.42)分、(43.87±1.14)分、(10.32±0.76)分、(7.46±1.14)分,明显低于常规干预组的(54.38±2.28)分、(53.16±1.25)分、(14.15±0.83)分、(10.18±1.21)分,积极应对评分为(27.41±1.03)分,明显高于常规干预组的(22.96±0.75)分,差异均有统计学意义(P<0.05);干预后,综合干预组患者的社会功能评分、躯体功能评分、心理功能评分及GQOL-74总分分别为(89.14±2.25)分、(85.67±2.59)分、(87.79±1.25)分、(262.60±3.11)分,明显高于常规干预组的(80.34±1.36)分、(78.45±1.43)分、(82.34±1.08)分、(241.13±2.85)分,差异均有统计学意义(P<0.05);综合干预组患者的总治疗依从率为95.35%,明显高于常规干预组的79.07%,差异有统计学意义(P<0.05);干预期间,综合干预组患者的口腔感染、肺部感染、呕吐、腹泻发生率分别为4.65%、4.65%、18.60%、18.60%,明显低于常规干预组的23.26%、20.93%、39.53%、44.19%,差异均有统计学意义(P<0.05)。结论综合性优质护理可改善采用造血干细胞移植治疗的SAA患者的负性情绪,调节其应对方式,提升其治疗依从性,预防并发症的发生,进而改善患者的睡眠质量和生活质量。 展开更多
关键词 综合性优质护理 重型再生障碍性贫血 造血干细胞移植 心理状态 并发症
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供需平衡视角下“定制式”高质量护理人才培养模式探析
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作者 贾培培 李欣颖 +3 位作者 刘霞 赵林 脱淼 魏丽丽 《中国护理管理》 CSCD 北大核心 2024年第3期447-451,共5页
目的:基于供需平衡视角构建“定制式”高质量护理人才培养模式,并检验其应用效果,为我国高质量护理人才培养提供参考。方法:通过专家会议法和焦点小组访谈法,综合把握临床需求、学科发展和人才培养三大主线,并以高质量发展为导向,拟定... 目的:基于供需平衡视角构建“定制式”高质量护理人才培养模式,并检验其应用效果,为我国高质量护理人才培养提供参考。方法:通过专家会议法和焦点小组访谈法,综合把握临床需求、学科发展和人才培养三大主线,并以高质量发展为导向,拟定培养方案并实施,通过工作幸福感问卷、培养人才数量、人才分布、专科护理服务开展情况、成果产出评估应用效果。结果:2021年—2022年共培养330名“定制式”高质量护理人才,院内培养、院内外联合培养、院外培养护士工作幸福感总分分别为(52.91±4.45)、(52.83±4.87)、(52.83±5.00)分,与实施前相比,差异有统计学意义(P<0.05),专科护理服务数量和成果产出显著增多。结论:供需平衡视角下“定制式”高质量护理人才培养模式在优化护士人才培养路径、强化护理发展驱动力方面具有良好效果,可为我国高质量护理人才培养提供一定的参考。 展开更多
关键词 高质量 定制式 护理 人才 培养
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基于归因理论的护理干预在经鼻高流量氧疗患者中的应用效果 被引量:1
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作者 肖芹 李林 +1 位作者 熊琴 杨婷 《保健医学研究与实践》 2024年第4期139-144,共6页
目的探讨基于归因理论的护理干预在经鼻高流量氧疗(HFNC)患者中的应用价值,以期为临床治疗提供参考。方法选取2021年2月-2023年5月于四川大学华西医院接受治疗的144例HFNC患者为研究对象。采用随机数字表法将患者分为观察组和对照组,每... 目的探讨基于归因理论的护理干预在经鼻高流量氧疗(HFNC)患者中的应用价值,以期为临床治疗提供参考。方法选取2021年2月-2023年5月于四川大学华西医院接受治疗的144例HFNC患者为研究对象。采用随机数字表法将患者分为观察组和对照组,每组72例。对照组患者给予常规护理干预,观察组患者在对照组基础上联合基于归因理论的护理干预。比较2组患者遵医情况及护理满意度;比较2组患者干预前后疾病感知问卷(BIPQ)、Borg疲劳量表、视觉类比呼吸困难法量表(VAS)、抑郁自评量表(SDS)及焦虑自评量表(SAS)评分。结果观察组患者总遵从率高于对照组,差异有统计学意义(P<0.05)。干预前,2组患者BIPQ中治疗控制、后果、情绪、持续时间、症状、关注、个人控制、疾病了解评分比较,差异无统计学意义(P>0.05)。干预后,2组患者BIPQ中治疗控制、后果、情绪、持续时间、症状、关注、个人控制、疾病了解评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者Borg疲劳量表及VAS评分比较,差异无统计学意义(P>0.05)。干预后,2组患者Borg疲劳量表评分均低于干预前,且观察组低于对照组;VAS评分高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者SAS、SDS评分比较,差异无统计学意义(P>0.05)。干预后,2组患者SAS、SDS评分均低于干预前,且观察组低于对照组,差异均具有统计学意义(P<0.05)。观察组患者护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论基于归因理论的护理干预能有效强化患者的遵医行为,减轻患者的疾病感知压力,缓解患者的负面情绪,提高患者的护理满意度,值得临床推广应用。 展开更多
关键词 归因理论 经鼻高流量吸氧 遵医行为 疾病感知压力 护理满意度
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基于CiteSpace护理经济效力研究热点及发展趋势的可视化分析
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作者 张岚 杨红梅 +4 位作者 王仕雨 芮子容 王瑞 闫晶晶 施金芬 《护理管理杂志》 CSCD 2024年第5期371-375,443,共6页
目的从国际视角探讨护理经济效力的研究热点及发展脉络,为重塑公众观念,改进对护理的战略投资,以增进护理学科的经济及社会效益提供参考。方法检索并分析PubMed建库至2024年3月16日收录的护理经济效力相关文献,应用CiteSpace进行分析,... 目的从国际视角探讨护理经济效力的研究热点及发展脉络,为重塑公众观念,改进对护理的战略投资,以增进护理学科的经济及社会效益提供参考。方法检索并分析PubMed建库至2024年3月16日收录的护理经济效力相关文献,应用CiteSpace进行分析,剖析护理经济效力研究的前沿热点及发展趋势。结果共纳入1630篇护理经济效力相关文献,年度发文量呈先缓慢后快速的增长趋势;发达国家间合作较多;机构合作网络相对分散;作者间合作密切;研究热点主要集中在生活质量、卫生经济、基础保健、经济评价,研究场所以养老院为核心。护理经济效力研究形成9个主题聚类,代表了国内公立医院高质量发展的9个热点。突变词图谱显示,护理经济效力研究呈现由基础服务、患者安全到成本效益演变的特征。结论护理经济效力领域的研究热点从传统的健康服务组织与管理逐步向老龄化、人文性方向发展,呈现出与护理学科发展历程一致的演变路径,智慧化是未来新方向,以机器学习等为手段通过护理经济效力促进人类健康进而驱动经济健康发展。 展开更多
关键词 护理 经济效力 高质量发展 热点 发展趋势 CITESPACE
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公立医院高质量发展背景下平台型领导对护士创新行为影响研究
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作者 刘颖 周航 曹琦 《中国卫生政策研究》 CSCD 北大核心 2024年第3期72-78,共7页
目的:为提高公立医院护士队伍创新绩效,提升护理服务质量,推动公立医院高质量发展,本文基于实地调研,系统探索公立医院护士长平台型领导风格促进下属护士创新行为的作用机制。方法:采用方便抽样,对J省与N省三家公立医院428名护士进行问... 目的:为提高公立医院护士队伍创新绩效,提升护理服务质量,推动公立医院高质量发展,本文基于实地调研,系统探索公立医院护士长平台型领导风格促进下属护士创新行为的作用机制。方法:采用方便抽样,对J省与N省三家公立医院428名护士进行问卷调查,并通过相关分析和回归分析对护士长平台型领导风格水平与护士工作繁荣、任务相关信息处理能力和创新行为间关系进行检验。结果:护士长平台型领导风格可以通过提升下属护士任务相关信息处理能力和工作繁荣两重机制共同促进他们的创新行为。结论和建议:公立医院应通过加强各科室护士长平台型领导风格水平,鼓励其通过这一领导风格的发挥着力提升下属护士任务相关信息处理能力和工作繁荣水平,促进下属护士展现更多创新行为,最终实现公立医院护理服务质量提升和高质量发展。 展开更多
关键词 公立医院 高质量发展 护士 平台型领导 创新行为
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