Objective:To analyze the application effect of hierarchical group responsibility system of holistic nursing in Department of Gastroenterology.Methods:655 patients in our hospital from August 2020 to January 2021 were ...Objective:To analyze the application effect of hierarchical group responsibility system of holistic nursing in Department of Gastroenterology.Methods:655 patients in our hospital from August 2020 to January 2021 were selected as the research objects.They were randomly divided into experimental group(328 cases)and control group(327 cases)to explore nursing satisfaction,nursing quality score and clinical symptoms before and after nursing.Results:In the experimental group,266 cases(81.10%)were very satisfied,33 cases(10.06%)were satisfied and 29 cases(8.84%)were dissatisfied.The total number of satisfied cases(very satisfied+satisfied)was 299 cases(91.16%);In the control group,167 cases(51.07%)were very satisfied,63 cases(19.27%)were satisfied,97 cases(29.66%)were dissatisfied,and 230 cases(70.34%)were satisfied.The nursing satisfaction of the experimental group was significantly higher than that of the control group;The nursing quality score of the experimental group was(91.67±0.66),and that of the control group was(71.66±0.88),which was significantly higher than that of the control group;The clinical symptom score of the experimental group was(2.42±0.32),and that of the control group was(4.66±1.11),which was significantly better than that of the control group.Conclusion:The application of hierarchical group responsibility holistic nursing mode in gastroenterology department can not only improve the nursing satisfaction of patients,but also improve the quality of nursing,promote the good development of patients'condition,and provide a comfortable treatment environment for patients,which is worthy of clinical promotion.展开更多
.Thereafter,the full text of all 28 studies were reviewed.Finally,24 studies were included after excluding duplicates,non-3+1 holistic rehabilitation nursing studies,non-experimental studies,studies with inconsistent ....Thereafter,the full text of all 28 studies were reviewed.Finally,24 studies were included after excluding duplicates,non-3+1 holistic rehabilitation nursing studies,non-experimental studies,studies with inconsistent sample size,wrong data analysis,and unclear outcomes,etc.Results:Upon reviewing the 24 literatures,all the included studies were clinical studies that made comparisons between 3+1 holistic rehabilitation nursing groups and traditional nursing groups.The age of the participants were between 60 and 80 years,and the total number of participates were 2,790.However,there were some studies that did not report the average age(5/24),average duration(14/24),and the ratio of male to female patients(3/24).Only a few studies reported the intervention time(7/24)and classified the disease by severity(4/24).The outcomes included activities of daily living(ADL),Mini-Mental State Examination(MMSE),and Chinese Rehabilitation Research Center Aphasia Examination(CRRCAE).A total of 19 studies showed that 3+1 holistic rehabilitation nursing is effective in improving patients’self-care ability;14 studies showed that this rehabilitation nursing has a significant curative effect for the cognitive function of patients;7 studies showed that this nursing model can promote the recovery of language function in AD patients;5 studies showed the model can significantly reduce the incidence of adverse events and complications upon receiving treatment;2 studies showed that the nursing model is helpful for depression and emotional indifference.Conclusion:Compared with the traditional nursing mode,3+1 holistic rehabilitation nursing is more effective in improving self-care ability,cognitive function,language function,emotional state,and so on.In addition,this nursing model can significantly reduce the incidence of adverse events,falls,pressure sores,and other complications during hospitalization.However,the inclusion criteria and duration of intervention for the included studies need to be further standardized,and more experimental studies on the efficacy of 3+1 holistic rehabilitation nursing on severe AD patients as well as the complications caused by AD are required.The cost of 3+1 holistic rehabilitation nursing,which is specialized and personalized,is high.Therefore,the value of this nursing model still requires much research.展开更多
Burn injury is a major public health concern,with an estimated 180,000 deaths each year associated with burn-related infections.The majority of these occur in low-and middle-income countries,and almost two-thirds occu...Burn injury is a major public health concern,with an estimated 180,000 deaths each year associated with burn-related infections.The majority of these occur in low-and middle-income countries,and almost two-thirds occur in the World Health Organization African and South-East Asia Regions.There is a risk of an escalation of burn injury site infections if nurses who are directly involved in burn care do not develop a mechanism to mitigate this risk in the coming years.Hence,this study aims at explaining what burn injuries are and how nurses can prevent the occurrence of infection among burn victims.This review analyzed published studies using keywords such as burn injury,infection in burn patients,and nurses’involvement in infection prevention and control(IPC)on search engines such as PubMed,Science Direct,and Google Scholar.The literature was retrieved and reviewed for eligibility to capture just the variables indicated in this seminar objective;the date range chosen in the literature search was from 2015 to 2023.The study found that many patients die from burn injuries as a result of exposure to infection and most nurses are not adequately informed about infection control.The study also found that nurses’responsibilities include proper hand hygiene,wound care,the use of personal protective equipment,antibiotic medication,cleaning the patient’s surroundings,and preventing patient cross-contamination.Burn injuries pose a significant risk to patients,necessitating infection control and prevention.Therefore,nurses in burn units should be informed on IPC practices and also educate patients,families,and coworkers on their importance.展开更多
Background: Recent research has focused on the effectiveness of different treatment regimens in pain clinics,where a call for more multifaceted treatment has been highlighted.Less attention has been paid to improvemen...Background: Recent research has focused on the effectiveness of different treatment regimens in pain clinics,where a call for more multifaceted treatment has been highlighted.Less attention has been paid to improvements within pain clinics,and how registered nurses-who usually play a key role-perceive and experience the accessibility,treatment options and follow-up offers at public pain clinics.Objective: The overall aim was to explore and describe how nurses experience health care provided to patients with chronic non-cancer pain at pain clinics.Methods: We used 10 individual interviews with nurses working at 10 different public pain clinics in Norway.The interviews were analyzed using qualitative content analysis.Results: One theme was developed from the content analysis: "Nurses' striving to provide whole-person care in pain clinics." The nurses experienced allocation of limited resources as challenging,especially when the dilemma between accepting new patients from the waiting list and offering follow-up to existing patients became apparent.Multifaceted treatment was perceived as vital,although resources,priorities,and theoretical understanding of pain within the team were challenging.Conclusions: The needs for multifaceted and integrated treatments in chronic pain management were obvious,although this approach appeared to be too demanding of resources and time.Stronger cooperation between pain clinics in specialist care and health care providers in primary care to ensure better patient flow and treatment is required.Emphasis is placed on coherent theoretical approaches to pain management within the team in the pain clinics to ensure whole person care.展开更多
Objective:To standardize the holistic care for patients with severe coronavirus disease 2019(COVID-19)in China.Methods:The consensus was preliminarily formed by combining relevant literature findings and frontline med...Objective:To standardize the holistic care for patients with severe coronavirus disease 2019(COVID-19)in China.Methods:The consensus was preliminarily formed by combining relevant literature findings and frontline medical working experiences,and it was eventually confirmed by five rounds of online discussions and expert consultations.Results:This consensus included nursing assessment,nursing priorities,nursing goals,and thirteen key points of nursing procedures such as oxygen therapy and respiratory nursing,etc.Conclusion:This scientific and practical consensus guideline can provide clinical guidance on the holistic nursing care of patients with severe COVID-19.展开更多
Background: Nursing care approaches may vary from one patient to another. In the nursing profession, nurses are imbibed with the attributes of multicultural care competencies that would empower the nurses to be adapti...Background: Nursing care approaches may vary from one patient to another. In the nursing profession, nurses are imbibed with the attributes of multicultural care competencies that would empower the nurses to be adaptive and mindful of how they provide and go with their carative nursing managements. This would entail that the non-Muslim nurses must be aware and be sensitive enough in their approaches and communicative exchanges with their Muslim patients. Objective: The study aims to identify the care approaches given by non-Muslim nurses working in the Arab world and how they elicit and provide a universal approach in caring Muslim patients. Methods: The study utilized a mixed methodology, specifically the explanatory sequential design, which involved a descriptive-comparative quantitative research design and eidetic qualitative research design. Results: Based on the result with the highest mean 3.63%, the respondents strongly agree that the non-Muslim nurse is aware of her own culture, 3.60% strongly agree that the non-Muslim Nurse does not discriminate the decisions of the patients regardless of gender, race, culture or belief and 3.58% still strongly agree that the non-Muslim nurse encourages patients to communicate as need arises. Here are three themes emerged from the study: understanding and respect of cultures, caring across borders, and caring calmness. In connecting the differences, non-Muslim nurses must be aware of their own culture, must not discriminate the decisions of the patients regardless of gender, race, culture or belief and must encourages patients to communicate as need arises. Conclusion: Knowing and understanding the scope of nursing practice with a high regard of respect to patients without discrimination will promote and provide holistic, safe and high-quality nursing care.展开更多
Throughout its history, the nursing profession has claimed to provide holistic patient care, which is defined as bio-psycho-socio-spiritual care. Today, however, many nurses do not feel comfortable with the “spiritua...Throughout its history, the nursing profession has claimed to provide holistic patient care, which is defined as bio-psycho-socio-spiritual care. Today, however, many nurses do not feel comfortable with the “spiritual” element of care and are uncertain about their professional role in the assessment and delivery of spiritual care. Discomfort and avoidance of attending to the spiritual needs of human beings creates “a hole” in holistic patient care. Contributing factors to the “hole in holistic patient care” include: 1) blurring of boundaries in the language and definitions of “spirituality” and “religion”, 2) insufficient attention to definitions of spirituality and spiritual distress;3) confusion and role conflict with professional identity among disciplines related to responsibility for spiritual care;4) insufficient education and skill development for nurses and other healthcare professionals in the assessment, intervention and appropriate referral of patients experiencing spiritual distress. The purpose of this article is to explore the history of holistic nursing as it pertains to the human dimension of spirituality and conclude with practice models for spiritual assessment and spiritual care that can “fill” the hole in holistic nursing care.展开更多
文摘Objective:To analyze the application effect of hierarchical group responsibility system of holistic nursing in Department of Gastroenterology.Methods:655 patients in our hospital from August 2020 to January 2021 were selected as the research objects.They were randomly divided into experimental group(328 cases)and control group(327 cases)to explore nursing satisfaction,nursing quality score and clinical symptoms before and after nursing.Results:In the experimental group,266 cases(81.10%)were very satisfied,33 cases(10.06%)were satisfied and 29 cases(8.84%)were dissatisfied.The total number of satisfied cases(very satisfied+satisfied)was 299 cases(91.16%);In the control group,167 cases(51.07%)were very satisfied,63 cases(19.27%)were satisfied,97 cases(29.66%)were dissatisfied,and 230 cases(70.34%)were satisfied.The nursing satisfaction of the experimental group was significantly higher than that of the control group;The nursing quality score of the experimental group was(91.67±0.66),and that of the control group was(71.66±0.88),which was significantly higher than that of the control group;The clinical symptom score of the experimental group was(2.42±0.32),and that of the control group was(4.66±1.11),which was significantly better than that of the control group.Conclusion:The application of hierarchical group responsibility holistic nursing mode in gastroenterology department can not only improve the nursing satisfaction of patients,but also improve the quality of nursing,promote the good development of patients'condition,and provide a comfortable treatment environment for patients,which is worthy of clinical promotion.
文摘.Thereafter,the full text of all 28 studies were reviewed.Finally,24 studies were included after excluding duplicates,non-3+1 holistic rehabilitation nursing studies,non-experimental studies,studies with inconsistent sample size,wrong data analysis,and unclear outcomes,etc.Results:Upon reviewing the 24 literatures,all the included studies were clinical studies that made comparisons between 3+1 holistic rehabilitation nursing groups and traditional nursing groups.The age of the participants were between 60 and 80 years,and the total number of participates were 2,790.However,there were some studies that did not report the average age(5/24),average duration(14/24),and the ratio of male to female patients(3/24).Only a few studies reported the intervention time(7/24)and classified the disease by severity(4/24).The outcomes included activities of daily living(ADL),Mini-Mental State Examination(MMSE),and Chinese Rehabilitation Research Center Aphasia Examination(CRRCAE).A total of 19 studies showed that 3+1 holistic rehabilitation nursing is effective in improving patients’self-care ability;14 studies showed that this rehabilitation nursing has a significant curative effect for the cognitive function of patients;7 studies showed that this nursing model can promote the recovery of language function in AD patients;5 studies showed the model can significantly reduce the incidence of adverse events and complications upon receiving treatment;2 studies showed that the nursing model is helpful for depression and emotional indifference.Conclusion:Compared with the traditional nursing mode,3+1 holistic rehabilitation nursing is more effective in improving self-care ability,cognitive function,language function,emotional state,and so on.In addition,this nursing model can significantly reduce the incidence of adverse events,falls,pressure sores,and other complications during hospitalization.However,the inclusion criteria and duration of intervention for the included studies need to be further standardized,and more experimental studies on the efficacy of 3+1 holistic rehabilitation nursing on severe AD patients as well as the complications caused by AD are required.The cost of 3+1 holistic rehabilitation nursing,which is specialized and personalized,is high.Therefore,the value of this nursing model still requires much research.
文摘Burn injury is a major public health concern,with an estimated 180,000 deaths each year associated with burn-related infections.The majority of these occur in low-and middle-income countries,and almost two-thirds occur in the World Health Organization African and South-East Asia Regions.There is a risk of an escalation of burn injury site infections if nurses who are directly involved in burn care do not develop a mechanism to mitigate this risk in the coming years.Hence,this study aims at explaining what burn injuries are and how nurses can prevent the occurrence of infection among burn victims.This review analyzed published studies using keywords such as burn injury,infection in burn patients,and nurses’involvement in infection prevention and control(IPC)on search engines such as PubMed,Science Direct,and Google Scholar.The literature was retrieved and reviewed for eligibility to capture just the variables indicated in this seminar objective;the date range chosen in the literature search was from 2015 to 2023.The study found that many patients die from burn injuries as a result of exposure to infection and most nurses are not adequately informed about infection control.The study also found that nurses’responsibilities include proper hand hygiene,wound care,the use of personal protective equipment,antibiotic medication,cleaning the patient’s surroundings,and preventing patient cross-contamination.Burn injuries pose a significant risk to patients,necessitating infection control and prevention.Therefore,nurses in burn units should be informed on IPC practices and also educate patients,families,and coworkers on their importance.
基金This research did not receive any specific grant from funding agencies in the public,commercial,or not-for-profit sectors
文摘Background: Recent research has focused on the effectiveness of different treatment regimens in pain clinics,where a call for more multifaceted treatment has been highlighted.Less attention has been paid to improvements within pain clinics,and how registered nurses-who usually play a key role-perceive and experience the accessibility,treatment options and follow-up offers at public pain clinics.Objective: The overall aim was to explore and describe how nurses experience health care provided to patients with chronic non-cancer pain at pain clinics.Methods: We used 10 individual interviews with nurses working at 10 different public pain clinics in Norway.The interviews were analyzed using qualitative content analysis.Results: One theme was developed from the content analysis: "Nurses' striving to provide whole-person care in pain clinics." The nurses experienced allocation of limited resources as challenging,especially when the dilemma between accepting new patients from the waiting list and offering follow-up to existing patients became apparent.Multifaceted treatment was perceived as vital,although resources,priorities,and theoretical understanding of pain within the team were challenging.Conclusions: The needs for multifaceted and integrated treatments in chronic pain management were obvious,although this approach appeared to be too demanding of resources and time.Stronger cooperation between pain clinics in specialist care and health care providers in primary care to ensure better patient flow and treatment is required.Emphasis is placed on coherent theoretical approaches to pain management within the team in the pain clinics to ensure whole person care.
文摘Objective:To standardize the holistic care for patients with severe coronavirus disease 2019(COVID-19)in China.Methods:The consensus was preliminarily formed by combining relevant literature findings and frontline medical working experiences,and it was eventually confirmed by five rounds of online discussions and expert consultations.Results:This consensus included nursing assessment,nursing priorities,nursing goals,and thirteen key points of nursing procedures such as oxygen therapy and respiratory nursing,etc.Conclusion:This scientific and practical consensus guideline can provide clinical guidance on the holistic nursing care of patients with severe COVID-19.
文摘Background: Nursing care approaches may vary from one patient to another. In the nursing profession, nurses are imbibed with the attributes of multicultural care competencies that would empower the nurses to be adaptive and mindful of how they provide and go with their carative nursing managements. This would entail that the non-Muslim nurses must be aware and be sensitive enough in their approaches and communicative exchanges with their Muslim patients. Objective: The study aims to identify the care approaches given by non-Muslim nurses working in the Arab world and how they elicit and provide a universal approach in caring Muslim patients. Methods: The study utilized a mixed methodology, specifically the explanatory sequential design, which involved a descriptive-comparative quantitative research design and eidetic qualitative research design. Results: Based on the result with the highest mean 3.63%, the respondents strongly agree that the non-Muslim nurse is aware of her own culture, 3.60% strongly agree that the non-Muslim Nurse does not discriminate the decisions of the patients regardless of gender, race, culture or belief and 3.58% still strongly agree that the non-Muslim nurse encourages patients to communicate as need arises. Here are three themes emerged from the study: understanding and respect of cultures, caring across borders, and caring calmness. In connecting the differences, non-Muslim nurses must be aware of their own culture, must not discriminate the decisions of the patients regardless of gender, race, culture or belief and must encourages patients to communicate as need arises. Conclusion: Knowing and understanding the scope of nursing practice with a high regard of respect to patients without discrimination will promote and provide holistic, safe and high-quality nursing care.
文摘Throughout its history, the nursing profession has claimed to provide holistic patient care, which is defined as bio-psycho-socio-spiritual care. Today, however, many nurses do not feel comfortable with the “spiritual” element of care and are uncertain about their professional role in the assessment and delivery of spiritual care. Discomfort and avoidance of attending to the spiritual needs of human beings creates “a hole” in holistic patient care. Contributing factors to the “hole in holistic patient care” include: 1) blurring of boundaries in the language and definitions of “spirituality” and “religion”, 2) insufficient attention to definitions of spirituality and spiritual distress;3) confusion and role conflict with professional identity among disciplines related to responsibility for spiritual care;4) insufficient education and skill development for nurses and other healthcare professionals in the assessment, intervention and appropriate referral of patients experiencing spiritual distress. The purpose of this article is to explore the history of holistic nursing as it pertains to the human dimension of spirituality and conclude with practice models for spiritual assessment and spiritual care that can “fill” the hole in holistic nursing care.
