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.

Impact of a High-Quality Nursing Model on Patient Outcomes in Rheumatology:A Randomized Controlled Study

Objective:To enhance the overall nursing effectiveness in the rheumatology and immunology department,explore specific strategies to improve nursing quality using a high-quality care model,and develop a comprehensive nursing system.Methods:A total of 120 hospitalized patients with rheumatoid arthritis from 2022 to January 2024 were selected.These patients were randomly divided into two groups:an observation group(60 patients)and a control group(60 patients).The control group received conventional nursing care,which included creating a good care environment,providing drug guidance,and offering psychological support.In the observation group,a high-quality nursing model was implemented with a focus on meeting the specific needs of the patients.The two groups were compared in terms of complication rates,treatment compliance,nurse-patient disputes,patient satisfaction with nursing care,sleep quality(PSQI score),and pain levels(VAS score).Results:The incidence of complications in the observation group was 3.33%,significantly lower than that of the control group,with a statistically significant difference(P<0.05).Nursing compliance in the observation group was 100%,and patient satisfaction was 96.67%,both higher than in the control group,with a statistically significant difference(P<0.05).Additionally,the VAS pain score in the observation group decreased to 2.12±1.89,and the PSQI sleep quality score decreased to 6.89±0.33,both lower than in the control group,with statistically significant differences(P<0.05).Conclusion:Focusing on the needs of patients through a high-quality nursing model provides targeted care that improves overall nursing effectiveness for patients with rheumatoid arthritis.This approach enhances patient satisfaction with nursing care,increases treatment compliance,reduces the incidence of complications and nurse-patient disputes,improves sleep quality,and alleviates pain.This model holds significant value for broader applications.

The Role of Grid-Style Nursing Management Model in Critically Ill Patients

Objective:This study aims to gain insight into the effects and potential advantages of the grid-style nursing management model in the care of critically ill patients.Methods:Eighty critically ill patients admitted to our hospital between May 2020 and May 2021 were selected and randomly divided into the control group and the grid group,each with 40 patients.The control group implemented traditional nursing management,while the grid group adopted a grid-style nursing management model.The quality of care,quality of life,nursing satisfaction,and treatment adherence of the two groups were compared.Results:Compared with the control group,the grid group had significantly higher quality of care and quality of life(P<0.001);in terms of nursing satisfaction,the score of the grid group was 8.26±0.85,which was significantly higher than that of the control group(6.65±0.77)(P<0.001);90.00%(36 patients)of the grid group showed good treatment adherence,significantly higher than 70.00%(28 patients)of the control group(P<0.001).Conclusion:The implementation of the grid-style nursing management model in critically ill patients can significantly improve the quality of care,quality of life,and satisfaction of patients,and effectively promote patients’treatment adherence.These positive results provide strong support for the promotion and application of this model in clinical care.

Clinical value of precise rehabilitation nursing in management of cerebral infarction

BACKGROUND Cerebral infarction,previously referred to as cerebral infarction or ischemic stroke,refers to the localized brain tissue experiencing ischemic necrosis or softening due to disorders in brain blood supply,ischemia,and hypoxia.The precision rehabilitation nursing model for chronic disease management is a continuous,fixed,orderly,and efficient nursing model aimed at standardizing the clinical nursing process,reducing the wastage of medical resources,and improving the quality of medical services.AIM To analyze the value of a precise rehabilitation nursing model for chronic disease management in patients with cerebral infarction.METHODS Patients(n=124)admitted to our hospital with cerebral infarction between November 2019 and November 2021 were enrolled as the study subjects.The random number table method was used to divide them into a conventional nursing intervention group(n=61)and a model nursing intervention group(n=63).Changes in the nursing index for the two groups were compared after conventional nursing intervention and precise rehabilitation intervention nursing for chronic disease management.RESULTS Compared with the conventional intervention group,the model intervention group had a shorter time to clinical symptom relief(P<0.05),lower Hamilton Anxiety Scale and Hamilton Depression Scale scores,a lower incidence of total complications(P<0.05),a higher disease knowledge mastery rate,higher safety and quality,and a higher overall nursing satisfaction rate(P<0.05).CONCLUSION The precision rehabilitation nursing model for chronic disease management improves the clinical symptoms of patients with cerebral infarction,reducing the incidence of total complications and improving the clinical outcome of patients,and is worthy of application in clinical practice.

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.

Evaluation of the Effectiveness of the Competency Model for Nursing Managers in the Training of Newly Appointed Head Nurses

Objective:To explore the effectiveness of the competency model for nursing managers in the training of newly appointed head nurses.Methods:Eighteen newly appointed head nurses from Yichang Central People’s Hospital,selected between August 2023 and July 2024,were chosen as the research subjects.Based on the nursing manager competency model,corresponding training programs were developed,and these 18 head nurses were trained accordingly.Results:After the training,all newly appointed head nurses passed the theoretical assessments,with a pass rate of 100.00%.The pass rates for two rounds of assessment were 100.00%and 94.54%,respectively.There was no significant difference in the performance evaluation scores between new and senior head nurses in terms of standardized services,nursing quality,nursing research and teaching,and patient satisfaction(P>0.05).Conclusion:The competency model for nursing managers has a significant effect on the training of newly appointed head nurses.It effectively enhances management awareness,facilitates role transition,and,to some extent,improves the management and leadership capabilities of head nurses.It holds high value for broader implementation.

Bibliometric analysis of continuous nursing service model in stroke patients

Objective:Through the collection and research of literature,analyze the application status,deficiencies,development status,current research hotspots and development trends of stroke patients with continuous nursing care,so as to further develop continuous nursing care for stroke patients.Related research provides reference and clinical nursing work provides the theoretical basis.Methods:Search the relevant literature on continuity care of stroke patients collected from the establishment of the database to November 22,2020 in CNKI,Wanfang database,PubMed,Embase,Web of science,and Weipu database,and use Note Express to sort the documents that meet the standards,and apply Microsoft Excel software establishes a database for information extraction and statistical description of the included literature.Results:A total of 669 related documents were included.The number of related documents published began in 2008 with the first related introduction articles,which increased year by year from 2014 and reached its peak in 2019;the first author came from 31 provinces,autonomous regions and municipalities directly under the Central Government.It mainly includes Henan,Jiangsu,Shandong,Guangdong and Hubei provinces.A total of 297 articles have been published by authors from related regions;a total of 51 articles have been funded by scientific research funds;the types of literature research are relatively rich,and research institutions are mainly concentrated in hospitals and colleges;There are 1,383 authors published in the literature,and the average number of authors is 2.06 per article;a total of 375 articles have been completed by 2 or more authors,and the co-authoring rate is 56.05%.Conclusion:The research on continuity care of stroke patients shows an increasing trend,but the quality of literature,research institutions,and scientific research funding are still very small.It is recommended that follow-up research should pay attention to improving the writing level of thesis,increase funding,expand the cooperation team and establish special Continuous nursing team and scientific research team to improve the psychological and physiological problems of stroke patients,and at the same time improve the quality of papers written by authors.

Nursing team management and construction from the perspective of psychological contract

The psychological contract is a set of personal beliefs about the reciprocal obligations and rights established in an exchange relationship,and high-level fulfillment of psychological contract helps the development of a team.This study summarizes the concept and theoretical basis of psychological contract,the influencing factors and intervention status of nurse psychological contract,and constructs a psychological contract intervention model to provide reference and reference for better construction and management of nursing teams.

The Application Progress of Swiss Cheese Model in Safety Management of Nursing Care

As an important part of medical and health field, nursing safety management plays a vital role in ensuring patients’ life safety. Swiss cheese model is an efficient system security management strategy, covering four dimensions: organizational influence, poor supervision, potential unsafe behavior and unsafe operation behavior. Through in-depth analysis of the risk factors of accidents, this model constructs a multi-level defense system from the above four dimensions in order to prevent accidents. In order to continuously improve nursing safety management and nursing service quality, and promote the sustainable development of nursing work, this study mainly summarized and analyzed the Swiss cheese model and its application progress in the field of nursing safety, aiming at providing theoretical reference for subsequent researchers’ research and clinical practice.

Role Expectation of Nurse Managers in Geriatric Health Services Facilities

Back ground: The characteristics of geriatric health services facilities (GHSF) in Japan include provision of care focused on the life of the residents, and there is a need for cooperation between care workers and physical therapists responsible for the care. Thus, it is expected that a nurse manager occupies specific roles suited for the above characteristics that are different from those of medical facilities. Thus, we aimed to clarify the role expected of nurse managers via a questionnaire survey administered to nurses and care workers in GHSF. Methods: We used a descriptive, cross-sectional design. The study was conducted in 56 GHSF all over Japan. The instrument used for data collection was a questionnaire. The questionnaires consisted of 35 items for determining role expectation of nurse managers, the background information of respondents. The role of nurse managers was analyzed using principal factor analysis (promax rotation). Findings: A total of 259 nurses and care workers participated in this study. We extracted 34 items by factor analysis, which were classified into three factors (promotion of home nursing, management of medical care, and environment creation for collaboration and education). Among care workers, four factors consisting of 33 items were extracted. Factors one, two, and three were similar to those of nurses;“intervention to ethical problem” was extracted as the additional fourth factor. Conclusion: The roles required for nurse managers in GHSF are the promotion of home nursing, which is the original role of the health services facilities, exhibition of the specialty as a healthcare professional, creation of a work environment that promotes mutual understanding for collaboration with other professionals, and enhancement of the education and training system.

Study Protocol on Stroke Management: Role of Nurses and Physiotherapists at the Adult University Teaching Hospital, Lusaka Zambia

Background: Management of stroke patients requires a multidisciplinary approach. Literature presents unequivocal evidence of improved outcomes when patients are treated in a stroke unit by multi-disciplinary teams made up of medical doctors, nurses, physiotherapists and occupational therapists. Among the multidisciplinary team members, physiotherapists and nurses are the largest professional workforce working with both stroke patients and survivors. This study, therefore, aims at investigating the role of nurses and physiotherapists in the management of stroke patients at the Adult University Teaching Hospital. Methodology: This study shall utilize a convergent parallel mixed method design where both quantitative and qualitative data will be collected at the same time resulting in two data sets which will eventually be merged at the point of discussion. The quantitative component shall utilize an analytical cross-sectional approach while the qualitative component shall use a qualitative case study approach. The study will be conducted at the Adult University Teaching Hospital in Lusaka. Data will be collected from all the 287 nurses and 37 physiotherapists working in the Emergency Department, Medical Wards, Adult Intensive Care Unit and the Department of Physiotherapy. Quantitative data will be analyzed using Statistical Package for social sciences. Descriptive statistics shall be computed on the role of nurses and physiotherapists in stroke care. In addition, chi-square and fisher’s exact tests will be used in the test for associations between variables while binary logistic regression will be used in identifying predictors of the various roles played by nurses and physiotherapists in the management of stroke patients. Qualitative data will be analyzed using thematic analysis in order to generate new concepts and a substantive model of care for stroke patients. Conclusion: Despite research evidence of improved outcomes when stroke patients are managed by a multi-disciplinary team, data on the role of different members of the multidisciplinary care team in stroke management is almost non-existent from the Zambia context. It is therefore hoped that information obtained from this study will be used as a basis for recommending the streamlined role of the nurse and physiotherapist in both acute care and rehabilitation.

Impact of Healthcare Management and Control on Service Delivery, a Case of Oklahoma Healthcare Facilities

Background: Healthcare management and control have been essential to any economy and a concern for most nations. Health care being in the service industry gives another challenge as they are inseparable from the service providers. As a result, a significant focus should be made on the management and control of healthcare. A study is necessary to establish how such practices influence service delivery within the healthcare industry. Objective: To show the influence of health care management and control on the service delivery in the health sector and to establish the impact of health care management system on the delivery of health services, find out the extent to which health leadership has influenced service delivery in the health industry and to establish the existence of healthcare control practices in the health industry and their impact on service delivery. Methods: The general information questionnaire, interviews patient’s satisfaction scale, and the hospital performance index were investigated by interviewing 42 healthcare workers working in Oklahoma hospitals. The study utilized a combination of data collection instruments, questionnaires, and interviews for primary data collection and a cross-sectional survey for secondary data from healthcare records within the healthcare facilities. The research adopted a descriptive statistics methodology for data analysis. The study tested the validity of data collected and reset test for omitted variables and simple correlation analysis. Results: effective healthcare management yields reasonable patient satisfaction and ignites motivation among healthcare workers. Additionally, quality service delivery is a function of proper healthcare management systems. Although it is impossible to measure effective management through observation, the testimonies and satisfaction levels among the nurses and the patients communicate accurately.

Advances in the Nurse-Led Diabetes Management Model

Diabetes mellitus is an important chronic disease that affects the health of the population worldwide, causing a serious impact on patients’ quality of life and increasing the burden on the healthcare system. With the increasing number of diabetic patients, the traditional healthcare model is under tremendous pressure. In recent years, the nurse-led diabetes management model, as an innovative approach to nursing intervention, has gradually become an important part of comprehensive diabetes management. This article reviews the conceptual model, specific types of nurse-led diabetes management models, barriers faced by nurses during implementation, and corresponding strategies, with a view to providing a reference for the management of diabetic patients and the development of diabetes specialty nurses.

个案管理为主导的护联体服务在急性心肌梗死患者全程管理中的应用效果

目的探讨个案管理为主导的护联体服务在急性心肌梗死患者全程管理中的应用效果。方法选取2023年1月至10月无锡市人民医院收治的84例急性心肌梗死患者为研究对象,按照随机数字表法分为观察组(42例)和对照组(42例)。观察组采用以个案管理为主导的护联体服务体系进行全程追踪管理,对照组患者采用心内科一般护理常规进行护理及回访。比较两组患者再入院率、焦虑及抑郁情况、急性心肌梗死疾病相关知识掌握情况、社区满意度和信任度。结果两组患者再入院率比较,差异无统计学意义(P>0.05);观察组焦虑和抑郁评分低于对照组,差异有统计学意义(P<0.05);观察组急性心肌梗死患者知识测评量表评分、社区医院满意度评分、信任度评分均高于对照组,差异有统计学意义(P<0.05)。结论以个案管理为主导的护联体服务能够缓解急性心肌梗死患者焦虑抑郁情绪,提高患者疾病知识掌握度,提高患者对社区医院满意度、信任度。

基于KANO模型的护患双方对专科护理门诊关怀行为期望比较

目的探究专科护理门诊护患双方对关怀行为的期望,为高效实施护理人文关怀提供依据。方法以华生关怀理论为框架,基于关怀评价量表,结合文献回顾、半结构化访谈、德尔菲专家函询,形成专科护理门诊患者22项关怀行为需求指标。应用KANO模型设计调查问卷,采用便利抽样法于2023年5-6月,对河南省5所三级甲等医院1309例在专科护理门诊就诊的患者和119名专科护理门诊护士进行调查。结果22项关怀行为中,患者视角下归于必备属性5项、期望属性6项、魅力属性11项,其中满意系数Better值最高的为“多种途径的预约挂号”,不满意系数Worse值最高的是“治疗护理中保护您的个人隐私”;基于Better-Worse指数的分类显示,必备属性9项、期望属性2项、魅力属性11项。护患双方对21项关怀行为的KANO属性构成分布比较,差异有统计学意义(均P<0.05),KANO属性构成分布一致的项目仅1项。结论专科护理门诊服务应在满足必备属性的基础上,着力提高期望属性,并尽力满足魅力属性。护患双方在关怀行为属性构成上存在较大偏差,护士应加强患者需求为导向的人文关怀服务,以满足患者需求,提高满意度。

基于“互联网+”的个案管理模式对腹膜透析患者营养状况、透析充分性及腹膜炎的影响

目的探讨“互联网+”的个案管理模式对腹膜透析(PD)患者营养状况、透析充分性及腹膜炎的影响。方法根据收案标准采用整群抽样方法选取2021年1月至2022年12月该院肾病科256例PD患者为研究对象,根据入院时间分为研究组(2021年1-12月,n=108)和对照组(2022年1-12月,n=148),比较2组患者治疗前和治疗3个月后的营养状况、PD充分性、腹膜炎发生率、焦虑抑郁的情况。结果治疗3个月后,研究组血清清蛋白正常人数比例显著高于对照组[78.7%(85/108)vs.66.2%(98/148)],差异有统计学意义(χ^(2)=0.625,P=0.041);膜透析充分人数比例高于对照组[94.4%(102/108)vs.76.4%(113/148)],差异有统计学意义(χ^(2)=0.528,P<0.001);腹膜炎发生率低于对照组[9.3%(10/108)vs.19.6%(29/148)],差异有统计学意义(χ^(2)=0.915,P=0.036);焦虑评分优于对照组[(35.89±6.98)分vs.(32.57±7.65)分],差异有统计学意义(t=2.239,P=0.027)。2组患者抑郁得分[(39.17±7.63)分vs.(37.19±7.62)分]比较,差异无统计学意义(t=1.283,P=0.203)。结论基于“互联网+”的个案管理模式在改善患者的营养状态、提高PD的充分性、降低并发症发生率方面具有明显效果。

跨理论模型在乳腺癌相关淋巴水肿病人中的应用

目的:探讨基于跨理论模型的自我护理干预在乳腺癌相关淋巴水肿病人中的应用效果。方法:采用便利抽样法,选取2022年5月—2023年5月太原市某三级甲等医院乳腺科淋巴水肿专科门诊治疗的70例乳腺癌相关淋巴水肿病人为研究对象,随机分为对照组和观察组,各35例。对照组给予常规健康教育,观察组在对照组的基础上给予基于跨理论模型的自我护理干预,干预时间为3个月,比较两组干预前后自我护理行为、自我管理效能、症状及自我护理依从性。结果:对照组33例,观察组34例完成研究。干预后,观察组病人的活动和疾病管理、患肢保护、皮肤护理、自我护理的持续性维度评分及自我护理行为量表总分高于对照组,差异均有统计学意义(P<0.05);观察组中文版癌症自我管理效能感量表总分高于对照组,差异有统计学意义(P<0.05);干预1个月与3个月后,观察组乳腺癌相关淋巴水肿预防行为调查量表得分高于对照组,差异有统计学意义(P<0.05);干预后,观察组乳腺癌淋巴水肿症状指数量表相关症状部分得分低于对照组,差异有统计学意义(P<0.05)。结论:基于跨理论模型的自我护理干预可以提高乳腺癌相关淋巴水肿病人的自我护理能力,增强自我管理效能,提升自我护理依从性,减轻淋巴水肿相关症状的严重程度,有利于医护人员对乳腺癌相关淋巴水肿病人的长期管理,并为临床干预提供参考。

TSDF教学模式在护理学基础实践教学中的应用——以养老服务管理专业为例

目的探讨TSDF(tell,激活;show,连接;do,归纳;feedback,反思)教学模式在养老服务管理专业护理学基础实践教学中的应用效果。方法将2021级48名养老服务管理专业学生作为对照组,采用传统教学模式;将2022级51名养老服务管理专业学生作为观察组,采用TSDF教学模式,比较两组学生临床实践综合能力、自我导向学习能力、自主学习能力、实践技能操作考核成绩及对教学模式的满意度。结果观察组临床实践综合能力、自我导向学习能力、自主学习能力、实践技能操作考核成绩及对教学模式的满意度均优于对照组(P<0.05)。结论TSDF教学模式在养老服务管理专业护理学基础实践教学中的应用效果较好,值得推广。

一站式服务模式对改善老年普外科手术患者护理质量的效果分析

目的:分析一站式服务模式对改善老年普外科手术患者护理质量的效果。方法:选取2023年1月—9月上饶市人民医院收治的70例老年普外科手术患者作为研究对象,使用信封随机法分为对照组(给予一般护理)和观察组(对照组基础上给予一站式服务模式护理),每组各35例。观察并记录患者入院等待时间、住院时间、心理状态、睡眠质量、生活质量以及各流程环节护理满意度。结果:观察组患者对护理服务各流程环节满意度均较对照组高,差异均有统计学意义(t=9.692、8.247、8.622、11.629、9.766,P<0.05);观察组患者入院等待时间、住院时间明显短于对照组,差异均有统计学意义(t=4.316、8.741,P<0.05);术前,观察组抑郁自评量表(SDS)及焦虑自评量表(SAS)评分明显低于对照组,差异均有统计学意义(t=4.186、4.885,P<0.05);出院时,两组患者匹兹堡睡眠质量指数(PSQI)评分评分均下降且观察组低于照组,差异有统计学意义(t=7.131,P<0.05)。结论:一站式服务模式可减少老年普外科手术患者入院等待时间、住院时间,改善患者心理状态、睡眠质量与生活质量,患者护理满意度明显增加。

老龄化视域下中医药医养结合养老模式实施路径探究——以沧州市智慧社区为例

文章运用SWOT分析方法、AHP层次法,以嵌入理论、马斯洛需求层次理论为理论基础,对沧州市中医药医养结合养老服务模式应用现状进行研究,并提出针对性建议,为沧州市及国内医养结合工作的进一步开展提供有益借鉴。