Effect analysis of applying high-quality service model to surgical nursing

BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and function.In order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of nursing.AIM To explore the effect analysis of applying high-quality service model to surgical nursing.METHODS We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective communication.Another group of patients received traditional care as a control group.We compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two groups.Inferential statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention measures.RESULTS Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±6.2.In terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±1.2.In terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of complications.In addition,the average hospital stay of patients in the quality service model group was shortened from 6.8±1.5 d to 5.2±1.3 d,and the hospitalization cost was also reduced from 2800±600 yuan to 2500±500 yuan.CONCLUSION Applying a quality service model to hand surgery care can significantly improve patient clinical outcomes,including faster recovery,less pain,greater satisfaction,and reduced complication rates.

The level of patients’ satisfaction and perception on quality of nursing services in the Renal unit, Kenyatta National Hospital Nairobi, Kenya

Introduction: Renal failure is on the increase and patients have to identify with renal services and centres where services for renal replacement therapies are rendered. This calls for health care workers to offer services that are perceived as quality and satisfying in order to meet the biophysical and psychological needs of the patients. Study design: This was a descriptive cross-sectional study undertaken at the Renal unit of Kenyatta National Hospital (KNH). Purpose: The study aimed at determining the level of satisfaction and perception of the quality of nursing services in the Renal unit. Methodology: The study population included all patients who were seeking dialysis services during one month period of data collection. The sample size was 151 following data collection. Data collection tools consisted of semi-structured questionnaires which were administered with the aid of research assistants as well as checklists which were self administered. Data analysis and results: Analysis of data was performed using the statistical package of social sciences (SPSS) version 16. Results of data analysis were presented in form of descriptive statistics which included mean, standard deviation and percentages. Regression analysis, t-test and ANOVA were conducted to determine demographic predictors of patient satisfaction with the nursing services. The results of the study revealed that patients in the Renal unit were generally satisfied with the nursing services. The aggregate mean score for all patients on Likert scale was 71.2 out of 105, with a standard deviation of 16.8. Level of satisfaction was 67.8%. The findings also showed that there was no association between demographic characteristics with the levels of satisfaction with the nursing services. Recommendation: The hospital should keep the patients’ level of satisfaction high and maintain it through the provision of more dialysis machines and hiring more nurses.

Investigation and Analysis of Factors Influencing the Quality of Community Nursing Services in Laishan District,Yantai City

Objective:The purpose of this study is to conduct an in-depth investigation and analysis of the factors affecting the quality of community nursing services in Laishan District,Yantai City,and provide suggestions for improving the quality of the services.Method:The community nursing services in Laishan District,Yantai City were investigated through questionnaires and on-site observations.Result:The content of nursing services was correlated with the professional titles of the staff.The guidance given to patients and caregivers was significantly correlated with the educational level of community nursing personnel.Therefore,this indicates that the professional titles and educational backgrounds of the community nursing personnel have a significant impact on the quality of service provided.Conclusion:The role of professional title evaluation can be optimized,further enhancing the educational level of nurses in surrounding communities,optimizing service content and methods,etc.,in order to improve the quality of community nursing services in the region.

Effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease

BACKGROUND Patients with benign prostatic disease often experience detrusor morphological changes and dysfunction.In severe cases,it leads to bladder detrusor dysfunction,resulting in dysuria,frequent urination,urgent urination,incomplete urination,and other symptoms including renal function injury.An operation to restore normal urination function and to control postoperative complications,as far as possible,is the most common method for benign prostatic disease.AIM To observe the effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease.METHODS In total,130 patients diagnosed with benign prostatic disease,from January 2018 to June 2021,in our hospital,were selected and divided into observation and control groups according to their treatment options.Sixty-five cases in the control group were given routine nursing mode intervention and 65 cases in the observation group received precise nursing service mode intervention.The intervention with the observation group included psychological counseling about negative emotions,pelvic floor exercises,and post-hospital discharge care.The complications of the two groups were counted,and the general postoperative conditions of the two groups were recorded.The urinary flow dynamics indexes of the two groups were detected,and differences in clinical international prostate system score(IPSS)and urinary incontinence quality of life questionnaire(I-QOL)scores were evaluated.RESULTS Postoperative exhaust time(18.65±3.23 h and 24.63±4.51 h),the time of indwelling catheter(4.85±1.08 d and 5.63±1.24 d),and hospitalization time(8.78±2.03 d and 10.23±2.28 d)in the observation group were lower than in the control group.The difference was statistically significant(P<0.05).After the operation,the maximum urinary flow rate(Qmax)increased(P<0.05),the residual urine volume(RUV)decreased(P<0.05),and the maximum closed urethral pressure(MUCP)was not statistically significant(P>0.05)compared to pre-operation.The Qmax of the observation group was higher than that of the control group,while the RUV was lower than that of the control group.There was no significant difference in MUCP between the observation and control groups(P>0.05).The I-QOL score of the two groups improved(P<0.05),and the IPSS decreased(P<0.05).After the operation,the I-QOL score of the observation group was higher than that of the control group,and the IPSS was lower than that of the control group(P<0.05).There were no significant differences in the incidence of urethral injury(1.54%and 3.08%),bladder spasm(0.00%and 1.54%),and secondary bleeding(1.54%and 4.62)between the observation and control groups(P>0.05).CONCLUSION The precise nursing service mode can reduce the incidence of postoperative urinary incontinence in patients with prostate disease,thus improving postoperative urodynamics and rehabilitation,and quality of life.

Intensity of nursing work in a primary healthcare center:An observational study

Objectives:In the sphere of occupational intensity,nursing stands recognized for its inherently demanding nature,marked by a rapid succession of tasks.Our primary aim was to assess the level of job intensity within nursing by analyzing the frequency and duration of activities performed by nurses,instances of task overlap,and the distribution of break times within a primary healthcare center.Methods:This study was conducted using a descriptive working method.Nursing activities were recorded with the observation of six nurses,each monitored for 37.5 h.We used the Maribor System for measuring Quantity in Nursing Care in Primary Health Care Settings to measure the nursing care activities about direct patient care,indirect patient care,and other unproductive aspects through direct non-participant observations.Results:About 41.5%(n=1,640)of all nursing activities involving direct contact with patients,about 38.2%(n=1,508)was indirect patient care,where a large amount worked with paper files(n=666,16.9%).In addition,about 15.0%were other nursing activities(mostly computer work),and just 5.3%(n=210)of tasks were unproductive.The observational findings indicate a pronounced level of work intensity experienced by nurses in primary health clinics.Significantly,nurses were predominantly engaged in direct patient care tasks,often managing multiple activities simultaneously.Their transitions between tasks occurred approximately every 3 min,frequently without adequate intervals for breaks.Conclusions:This study highlights the need to shift nurses’focus from a task-centric approach to one centered on patient care.The prevailing emphasis on tasks may contribute to enduring fatigue and professional dissatisfaction.Consequently,there is an urgent need to redefine the scope of a nurse’s role and implement a comprehensive computer information system as an integral part of this redefined approach.

Observation on the Application Effect of Quality Nursing Service in Geriatric Cerebral Infarction Care

Objective:To observe the specific effects of quality nursing interventions on geriatric cerebral infarction patients.Methods:Eighty geriatric cerebral infarction patients treated in our hospital from January 2022 to December 2022 were selected and randomly divided into two groups using a random number table:40 patients in the experimental group and 40 in the control group.The experimental group received quality nursing interventions,while the control group received routine nursing measures.After the intervention,nursing satisfaction,daily living ability scores,quality of life measurements,and other observation indicators were analyzed.Results:After the intervention,nursing satisfaction in the experimental group was significantly higher than in the control group(P<0.05).Daily living ability scores in the experimental group were also significantly higher than those in the control group(P<0.05).Similarly,quality of life measurements in the experimental group were superior to those in the control group(P<0.05).Conclusion:Quality nursing interventions implemented in the experimental group proved effective for geriatric cerebral infarction patients.The intervention significantly improved patients’satisfaction,enhanced their ability to perform daily activities and elevated their quality of life.These findings demonstrate the clinical value of quality nursing interventions and their potential for broader application.

The Clinical Application of Quality Nursing Service in Urological Nursing

Objective:To explore and analyze the clinical application effect of high-quality nursing service in urology nursing.Methods:400 patients who received treatment in the urology department of our hospital were selected as the study object and randomly divided into two groups.The control group and nursing group,had 200 patients in each group.The control group received the usual nursing mode,while the nursing group received high-quality nursing services.Results:Through comparative analysis,the complication rate of the nursing group was significantly lower than that of the control group,and the satisfaction rate was significantly higher.Conclusion:The application of high-quality nursing service in the nursing of urological patients is remarkable.

Effectiveness of Comprehensive Nursing Management in Enhancing Blood Donation Outcomes and Donor Experience: A Comparative Study

Objective:To assess the management effect of comprehensive nursing management on blood donation services in blood stations.Methods:Sixty-four individuals who donated blood at a blood station between September 2021 and September 2023 were selected and randomly assigned into two groups of 32 each.The first group received comprehensive nursing management,while the second group received routine nursing management.Blood donation indexes and observational indexes such as adverse reactions were compared between the groups.Results:The total blood donation volume and qualified blood donation volume were higher in the first group than in the second group.The amount of discarded blood and the rate of blood discards were lower in the first group compared to the second group(P<0.05).Additionally,the adverse reaction rate in the first group was lower,the blood donation comfort scores were higher,the psychological state scores were lower,and the quality of care scores were higher than those in the second group(P<0.05).Conclusion:Comprehensive nursing management can improve the efficiency of blood donation,reduce the rate of blood discards,decrease the incidence of adverse reactions,alleviate negative psychological states of blood donors,and enhance both the comfort level of blood donation and the quality of care provided.

Interpretations of Key Points of National Nursing Developmental Project from 2016 to 2020

National Nursing Developmental Project from 2016 to 2020 w as printed and published by General Office of National Health and Family Planning Commission to further accelerate the development of medical nursing so as to meet the healthy requirements of the masses.This paper aimed to interpret the key points of the project from the aspects of excellent achievements in medical nursing development during the 12thFive-Year Plan,opportunities and challenges in nursing development during the 13thFive-Year Plan,guiding thought and primary principles,as w ell as the developmental targets,the primary assignments,the key projects and the supporting measures in the 13thFive-Year Plan,so as to provide the latest important information for nurses and patients w ith special requirements,and to improve nurses’professional nursing quality and capacity in medical nursing profession.

Quality indicators for the care of older adults with disabilities in longterm care facilities based on Maslow’s hierarchy of needs

Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of needs.Methods:The draft of the quality indicators was drawn up based on a literature review and research group discussion.The quality indicators were finalized by two rounds of expert consultation(involving 15 experts)using the Delphi method.The Analytic Hierarchy Process was applied to calculate the indicators’weight.Results:The response rates of the two rounds of consultation were 100%and 93%,and the expert authority coefficients were 0.86 and 0.87.After two rounds of consultation,the expert opinion coordination coefficients of the first-,second-and third-level indicators were 0.42,0.25,and 0.96,respectively(P<0.05),and the variation coefficient was0.25.The final quality indicators for the care of older adults with disabilities in LTCFs included 7 first-level,19 second-level,and 107 third-level indicators.Conclusion:The quality indicators for the care of older adults with disabilities in LTCFs are reliable,scientific,comprehensive,and practical and specify the content of person-centered care needs.This can provide a reference for evaluating and improving care quality in LTCFs.

Nurse staffing and life expectancy at birth and at 65 years old:Evidence from 35 OECD countries

Objective: To measure the possible magnitude of the role nurse staffing has on increasing life expectancy at birth and at 65 years old.Methods: The statistical technique of panel data analysis was applied to investigate the relationship from the number of practicing nurses' density per 1000 population to life expectancy at birth and at 65 years old.Five control variables were used as the proxies for the levels of medical staffing,health care financial and physical resources,and medical technology.The observations of 35 member countries of Organization for Economic Co-operation and Development (OECD) were collected from OECD Health Statistics over 2000-2016 period.Results: There were meaningful relationships from nurse staffing to life expectancy at birth and at 65 years with the long-run elasticities of 0.02 and 0.08,respectively.Overall,the role of nursing characteristics in increasing life expectancy indicators varied among different health care systems of OECD countries and in average were determined at the highest level in Japan (0.25),followed by Iceland (0.24),Belgium (0.21),Czech Republic (0.21),Slovenia (0.20) and Sweden (0.18).Conclusion: A higher proportion of nursing staff is associated with higher life expectancy in OECD countries and the dependency of life expectancy to nursing staff would increase by aging.Hence,the findings of this study warn health policy makers about ignoring the effects nursing shortages create e.g.increasing the risk of actual age-specific mortality,especially in care of elderly people.

Factors Influencing Patient-Centered Care in the Primary Health Care Settings: The Impact of the Pandemic Crisis and Nurses’ Experience

Patient-centered care has over the past decades, been recognized worldwide as an important component of the health system giving a wider dimension to high-quality healthcare and service delivery. The impact on healthcare and services to the patient is the nurses’ ability to create a friendly rapport with the patients. Yet, the majority in the rural Primary Health Care facilities are still facing many challenges in demonstrating patient-centeredness services to the community. Thus, the objective of this study is to explore and describe the factors influencing patient-centered care provision and nurses’ experience in Primary Health Care facilities. An exploratory qualitative approach with purposive sampling was used to gather data. Individual interviews with 35 nurses were conducted using a semi-structure interview guide question in the Primary Health Care settings in Nigeria. Each of the interviews with the nurses lasted for 25 minutes to one hour. All interviews were audio-taped, and transcribed verbatim using Microsoft Word. The transcripts were read and re-read, coded using NVivo version 12 software to organize the relevant information and categorized them into themes and sub-themes. Thematic analysis guided this study. The findings revealed three themes and sub-themes. The impact of environmental factors with two subthemes—suitable working environment and coordinated care;resources—shortage of staff and inadequate resources as sub-themes, and lastly, cultural sensitivity and religious influence—communication. Poor implementation of PCC strategies in most of the PHC facilities could lead to poor patient care and a lack of job satisfaction among nurses. This study identified that nurses have both negative and positive experience in providing patient-centered care health services. Providing patient-centered care in the Primary Health Care setting promotes the goal of achieving universal health coverage in Nigeria if the government would prioritize nurses’ pay, employ more staff, provide a conducive working environment, and opportunities for further training programs for nurses to enable and empower them with the necessary knowledge and skills. This, in turn, will translate into a range of outcomes that are socially valued, such as health responsiveness, health coverage and fairness.

“互联网+护理服务”实践模式在严重精神障碍患者中的应用

目的 探讨“互联网+护理服务”实践模式在严重精神障碍患者中的应用。方法 将726例严重精神障碍稳定期患者按照随机数表法分为对照组和研究组,各363例。对照组患者给予常规护理干预,研究组患者给予“互联网+护理服务”实践模式干预。采用简明精神病评定量表(BPRS)、康复状态量表(MRSS)、自知力与治疗态度问卷(ITAQ)、生活质量综合评定问卷(GQOLI-74)评估患者疾病严重程度、总体康复情况、自知力、生活质量,采用家庭疾病负担量表(FBSD)评估患者家庭疾病负担情况,采用纽卡斯尔护理服务满意度量表(NSNS)评估患者护理满意度。结果 干预6个月、12个月两组患者BPRS、MRSS、FBS评分均较干预前降低,且研究组低于对照组;两组患者ITAQ评分均较干预前升高,且研究组高于对照组(P<0.01)。干预6个月、12个月两组患者物质生活、心理健康、躯体健康、社会功能评分均较干预前升高,且研究组物质生活、心理健康、社会功能评分均高于对照组(P<0.01)。研究组患者对护理服务的总满意度高于对照组(P<0.01)。结论 对严重精神障碍患者采取“互联网+护理服务”实践模式,可有效提高患者的自知力,促进患者康复,降低家庭负担,提高生活质量和护理满意度。

ICU专科护士临床实践教学服务质量评价指标体系的构建

目的基于SERVQUAL模型构建ICU专科护士临床实践教学服务质量评价指标体系。方法2023年9-12月,采用小组访谈、文献分析及德尔菲专家函询法,通过2轮对15名专家的函询,确定ICU专科护士临床实践教学服务质量评价指标体系的内容。结果2轮专家函询中,问卷的回收率均为100%,专家权威系数为0.92和0.91,变异系数为0.05~0.28和0.05~0.22,整体肯德尔协调系数分别为0.38和0.57,最终构建的ICU专科护士临床实践教学服务质量评价指标体系包含一级指标5项、二级指标10项和三级指标34项。结论构建的ICU专科护士临床实践教学服务质量评价指标体系结果科学可靠,专家意见集中,兼具教学评价和指导功能,可为ICU专科护士培训认证工作提供系统、客观的教学服务质量评价依据。

低年资护士基本心理需求在同事支持与组织公民行为间的中介效应

目的探讨低年资护士基本心理需求在同事支持与组织公民行为间的中介效应,为护理管理者采取针对性措施促进低年资护士组织公民行为表现,促进护理服务质量和组织整体绩效的提升提供依据。方法采用便利抽样法,选取河南省4所三级综合医院的550名低年资护士为研究对象,使用一般资料调查表、组织公民行为量表、同事支持量表和基本心理需求量表进行调查,采用结构方程模型检验低年资护士基本心理需求在同事支持及组织公民行为间的中介效应。结果最终纳入524份问卷。同事支持评分为74.44±22.00,基本心理需求评分为32.28±6.25,组织公民行为评分为89.60±10.17。同事支持分别与基本心理需求、组织公民行为呈负相关(均P<0.05),基本心理需求与组织公民行为呈正相关(P<0.05)。分层回归分析结果显示,在控制一般资料变量后,同事支持及基本心理需求能解释组织公民行为总变异的31.4%。低年资护士基本心理需求在同事支持与组织公民行为间起中介作用,中介效应占总效应的36.045%。结论护理管理者应重视低年资护士群体同事支持的作用,满足其基本心理需求,进而促进低年资护士的组织公民行为。

广东省三级综合医院优质护理服务评价指标的构建

目的构建广东省三级综合医院优质护理服务评价指标,为促进优质护理服务评价工作和规范优质护理服务提供参考。方法基于文献检索的基础上,应用头脑风暴法并借鉴国内已有的相关制度、标准和政策构建出评价指标条目池和问卷初稿;采用德尔菲法对评价指标进行两轮专家函询。结果两轮专家函询的回收率分别为80.00%和91.67%;权威程度系数均为0.93,医院部分Kendall协调系数W分别为0.128和0.116,病区部分分别为0.193、0.107,差异具有统计学意义(均P<0.001)。第2轮函询医院各指标的重要性均数为(4.43~5.00)分。第2轮函询病区各指标的重要性均数为(4.59~5.00)分。构建的广东省三级综合医院优质护理服务评价指标包括医院和病区两个部分,其中医院部分包括一级指标8项、二级指标22项、三级指标65项,病区部分包括一级指标9项、二级指标23项、三级指标50项。结论本研究编制的广东省三级综合医院优质护理服务评价指标具有较好的科学性和可靠性,有利于完善优质护理服务管理制度,引导优质护理服务健康发展。

前列腺癌根治术患者出院准备服务方案的构建与应用

目的基于循证护理理念构建前列腺癌根治术患者出院准备服务方案,并探讨其临床应用效果。方法将66例前列腺癌根治术患者按照入院时间分为对照组35例,观察组31例。对照组采用常规护理方法和随访方案;观察组基于文献检索及专家函询,构建前列腺癌根治术患者出院准备服务方案,并对患者实施该方案。结果出院时观察组出院准备度、出院指导质量评分显著高于对照组(均P<0.05);出院后1个月、3个月观察组焦虑及生活质量评分显著低于对照组(均P<0.05)。结论出院准备服务方案的实施可以提高前列腺癌根治术患者的出院准备度、出院指导质量,缓解患者焦虑情绪,提高生活质量。

综合护理服务在肾结石PCNL术后患者中的应用效果分析

目的 研究肾结石患者经皮肾镜碎石术(Percutaneous Nephrolithotripsy,PCNL)术后实施综合护理的影响与效果。方法 便利选取2022年6月—2023年6月青岛大学附属医院行PCNL术治疗的144例肾结石患者为研究对象。使用随机抽签法分为两组,对照组(n=72)应用常规护理,观察组(n=72)应用综合护理服务。比较两组术后并发症、生活质量与护理满意度。结果 观察组并发症发生率为4.17%,低于对照组的13.89%,差异有统计学意义(χ^(2)=4.143,P<0.05);护理后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05);观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论 肾结石患者行PCNL术治疗后接受综合护理服务,可降低术后相关并发症发生率,提高患者生活质量,提升护理满意度,临床应用价值显著。

新质生产力赋能社区老年“体医养融合”健康服务困境与纾解

由新技术、新产业、新要素、新组织构成的新质生产力,为老年健康服务发展注入了新的活力。研究运用文献资料法和逻辑分析法,探究新质生产力赋能社区老年“体医养融合”健康服务的价值、内涵、逻辑、困境和策略。研究认为,新质生产力赋予“体医养融合”健康服务新的内涵,包括但不限于健康服务技术突破与创新、生产要素配置创新性、服务模式“高智高效高质”。新质生产力赋能社区老年“体医养融合”健康服务要突出引领与指导的理论先导逻辑、创新与突破的技术驱动逻辑、互动与合作的资源开发逻辑、优化与互补的结构支撑逻辑。“体医养融合”健康服务能满足老年多元化、个性化健康需求,但面临新型劳动者匮乏、劳动资料升级滞后、老年群体认知落后、生产要素不协同等困境。提出以下纾解策略:引导劳动者技能升级与角色重塑,激发新质生产力赋能活力;促进劳动资料创新与升级,启动新质生产力赋能引擎;聚焦老年群体特点与需求,助力老年群体融入新生产力时代;探索生产要素重组与优化,推动新质生产力赋能升级。

全程优质护理服务对小儿支气管哮喘雾化吸入的作用效果

目的观察在雾化吸入治疗支气管哮喘患儿中施以全程优质护理服务的效果。方法选择于2022年6月至2023年5月就诊于河南省儿童医院的90例支气管哮喘患儿为观察对象,治疗方法均为雾化吸入治疗,按照随机数字表法分为试验组和对照组,其中45例接受全程优质护理服务的患儿为试验组,45例接受常规护理的患儿为对照组,并对护理效果、护理满意度、肺功能指标、治疗时间、治疗依从性进行观察和对比。结果试验组护理效果(97.78%)优于对照组患儿(82.22%)(P<0.05);试验组护理满意度(97.78%)高于对照组(80.00%)(P<0.05);试验组护理后肺功能指标优于对照组(P<0.05)。试验组咳嗽、喘息消失时间和住院时间较对照组短(P<0.05)。试验组患儿治疗依从性(95.56%)优于对照组(73.33%)(P<0.05)。结论对运用雾化吸入治疗的支气管哮喘患儿施以全程优质护理可提高护理效果及满意度,改善患儿肺功能指标,缩短咳嗽、喘息消失时间和住院时间,促进治疗依从性提升,值得推广。