Nurses’ Recognition in Nursing for Patients and Families about Organ Donation after Brain Death, Care for Family Members and Supports for Nurses

Background: Globally, there a problem of disequilibrium between donation and organ transplantation, this equilibrium is remarkable in Japan. Especially there are few donations from brain death, and researches from the view point of nurses in clinical situation were needed. Purpose: The purpose of this study was to clarify the recognition of nurses in organ transplantation nursing, required care for families of patients, and required support for nurses to promote quality of nurses in organ donation. Methods: We conducted this research within 2 months in 2019 in Western Japan. A researcher conducted a semi-qualitative interview for nurses in organ transplantation nursing about their recognition of nursing, required care for family members, and required support for nurses once. Results: Nurses recognized that some family members who knew patients’ thoughts made decision easily and some who didn’t know had difficulties. Many nurses felt insufficiency for family cares and some confronted ethical problems. Though some nurses felt conflict about their own thoughts or religion, they took care of patients or family members with responsibility. As for care for families, nurses thought practice of care considering families’ feeling, support of decision making, and care for family to live positively after transplantation as required care. About support for nurses, nurses required education of transplantation, increase of staff members, chance to share dilemma, and mental care. Discussion: Nurses recognized the importance of decision making, and felt an insufficiency for family care or dilemmas. To propose high quality of nursing and organ donation or transplantation, education about transplantation including family care, management about resolution of dilemma or mental health may be required.

Perception gaps for recognition behavior between staff nurses and their managers

Nurse managers play a critical role in improving the work environment. Important leadership characteristics for nurse managers include visibility, accessibility, communication, recognition, and support. The nurse manager’s recognition behaviors strongly influence the job satisfaction of staff nurses. In our previous study, we investigated how staff nurses perceived the nurse manager’s recognition behaviors and revealed that there was a divergence in practical approaches to these behaviors between the nurse manager and the staff. We assume that one factor causing this divergence could be perception gaps between the nurse manager and the staff. The aim of this study, therefore, was to uncover what types of perception gaps exist between the nurse manager and staff nurses and whether the background of staff nurses, such as years of experience or academic background, could affect the staff nurses’ perceptions. This quantitative, cross-sectional study involved 10 hospitals in Japan. A total of 1425 nurses completed the questionnaire. The results showed that staff nurses considered “Respect job schedule preferences” to be the most important of the recognition behaviors. In contrast, nurse managers gave “Nurse manager meets with the staff nurses to discuss patient care and unit management” the highest score for importance. Four factors (marriage status, age, years of clinical experience, and training background) affected the professional awareness of recognition behaviors. Our results suggest that nurse managers need to consider these factors when they conduct recognition behaviors.

Nurse manager’s recognition behavior with staff nurses in Japan-based on semi-structured interviews

Objective: The purpose of this qualitative study was to obtain a better understanding of nurse manager’s recognition behavior. Methods: This study, consisting of semi-structured interviews, was conducted in five hospitals with 100 beds or more in the Kanto, Kansai, and Kyushu regions of Japan. Fifteen nurse managers, who each had more than one year of professional work experience as a nurse manager, participated in this study. Results: We extracted four categories and fourteen subcategories as the factors related to the recognition behaviors in nurse managers. The first category is the basis of the recognition behaviors, which were divided into the following four subcategories: recognition behaviors that they received, perception of recognition behaviors, construction of confidential relationships with staff nurses, and the organizational climate. The second category is the issues that make recognition behaviors difficult, which were classified into the following three subcategories: multiple duties, number of staff nurses, and characteristics of the recent staff nurses. The third category is the factors regarding the staff nurses that must be considered, which consist of the following two subcategories: the characteristics and motivation of staff nurses and recognition behaviors that the staff nurses expect. The forth category is the methods of the recognition behaviors, which consist of the following five categories: watching over and consideration of individuals, evaluation of routine work, development as a professional, opinion sharing and delegating work, and promotion of work-life balance. Conclusions: The recognition behavior by nurse managers is influenced by their own experience, and nurse managers practice recognition behaviors in response to the characteristics of their staff nurses in a busy environment. Our results suggest that nurse managers need expertise in management for them to identity appropriate recognition behavior.

Knowledge about the Quick Sequential Organ Failure Assessment and Recognition of Sepsis: A Survey among Emergency Nurses

The purpose of this study was to assess the knowledge of emergency nurses of quick Sequential Organ Failure Assessment(qSOFA)score,screening tool,and recognition,and importance of sepsis.A multicenter study including 110 ED nurses from six hospitals in Qingdao was conducted.A validated questionnaire was used to evaluate ED nurses’knowledge about qSOFA,sepsis 3.0,and early sepsis screening tool with qSOFA.The scores of knowledge about sepsis 3.0 and qSOFA were lower.The scores of the different characteristics of nurses were statistically different(P<0.05).Col1egues,self-study,and school were the main source of knowledge about sepsis.Manager should improve the cognition of sepsis and strengthen staff training about sepsis in ED.

基于语音声纹识别的手术安全核查软件研发与应用

目的:开发并应用基于语音声纹识别的手术安全核查软件以保障手术安全核查的规范实施。方法:依据手术安全核查要求设计形成该软件并在某三级甲等医院选取于2022年7月―12月实施的不同类型手术600例,随机分为试验组和对照组,比较两组手术安全核查的执行率、核查人员资质相符率及手术中断事件发生率等。同时调查该软件的声纹识别、语音转录功能及可用性评价。结果:使用该软件后试验组手术安全核查执行率、核查人员资质相符率及手术中断事件发生率与对照组比较,差异均有统计学意义(P<0.05)。同时软件的声纹识别及语音转录功能良好,可用性较高。结论:使用该软件进行手术安全核查,可在确保核查人员资质的基础上提高手术安全核查执行的规范性及完整性,保障患者的手术安全。

整体护理用于介入导管室的效果分析

目的探讨介入导管室中采用整体护理的效果。方法选取医院2021年6月至2023年6月收治的需行介入治疗的患者54例,通过简单随机化掷骰子法分为对照组和观察组,各27例。两组均采用常规护理,观察组增加整体护理。结果观察组患者的生活质量评分均显著高于对照组,护理干预认可度显著高于对照组(P<0.05)。结论整体护理更利于提升介入治疗后导管室内患者的配合度,辅助达成理想疗效,从而提升患者的生活质量,促进症状缓解。

PDCA循环管理对提高呼吸内科护士的护理质量影响

目的分析PDCA循环管理对提高呼吸内科护士的护理质量的效果。方法选取2021年5月—2023年5衡阳市中医医院呼吸内科护士15名为研究对象,于2021年5月—2022年5月实施常规管理,2022年6月—2023年5月实施PDCA循环管理,对比PDCA循环管理实施前后管理效果。结果PDCA循环管理护士操作能力评分、护理质量评分、管理方法认同率均高于常规管理,差异有统计学意义(P均<0.05)。结论呼吸内科中加强PDCA循环管理,可以提升护士操作能力,进一步提升护理质量,护士对管理方法认可度也更高。

医护一体化健康教育对老年种植牙患者认知度及睡眠质量的影响

目的:探讨医护一体化健康教育对老年种植牙患者认知度及睡眠质量的影响。方法:选取2021年9月至2022年12月漳州卫生职业学院附属口腔医院护理部收治的老年种植牙患者78例作为研究对象,随机分为对照组和观察组,每组39例。对照组接受常规健康教育,观察组接受医护一体化健康教育,比较2组治疗认知度,遵医依从性,并发症及睡眠质量。结果:观察组治疗认知度与遵医依从性高于对照组(均P<0.05);观察组并发症发生率低于对照组(P<0.05);护理后,观察组PSQI评分低于对照组(P<0.05)。结论:医护一体化健康教育可保障老年种植牙患者顺利完成治疗,提升其认知度及遵医依从性,减少并发症发生,提高其睡眠质量。

当代大学生对“互联网+护理服务”模式的认知现状调查研究

目的通过了解当代大学生对于“互联网+护理服务”模式的认知状况,为进一步推进“互联网+护理服务”的发展提供参考。方法通过“互联网+护理服务”现状调查问卷,对就读于Y大学的203名学生进行问卷调查。结果当代大学生对“互联网+护理服务”模式的认可程度较高,但缺乏深层次了解。不同专业大学生对“互联网+护理服务”模式中3个条目的知晓程度及7个条目的认可程度差异有统计学意义(P<0.05)。结论国家应加大对“互联网+护理服务”的宣传力度,高校也应采取措施积极宣传“互联网+护理服务”模式,激发大学生对“互联网+护理服务”模式的了解兴趣,提高其对“互联网+护理服务”模式的知晓和认可程度,以促进“互联网+护理服务”模式在我国的进一步落实与发展。

门诊护理指导对妊娠中期孕妇焦虑的影响评价

目的分析门诊护理指导对妊娠中期孕妇焦虑的影响。方法选取100例孕妇,根据护理方法不同分为观察组与对照组,各50例。观察组接受优质门诊护理指导,对照组接受基础护理指导。比较两组护理前后孕期焦虑量表(PRAQ)评分、护理认可度。结果护理后,观察组PRAQ评分低于对照组,差异有统计学意义(P<0.05)。观察组护理总认可度高达98.00%,高于对照组的76.00%,差异有统计学意义(P<0.05)。结论门诊护理指导应用于妊娠中期孕妇时,能够更加显著地降低孕妇的焦虑程度,进而获得孕妇更高的认可度,值得临床推广。

Factors influencing the occupational well-being of experienced nurses

Objectives:To determine the factors influencing the occupational well-being of experienced nurses.Methods:We interviewed eight experienced nurses using an exploratory,semi-structured interview.Results:The interviews revealed five themes that influenced occupational well-being in experienced nurses:(1)external occupational recognition;(2)internal career expectation and occupational value;(3)workenvironment;(4)family support;and(5)occupationalplanningand payment.When the nurses were not recognized by patients or clients,their family,colleague and leaders,their well-being was negatively impacted.However,the harmonious work environments and friendly interpersonal relationships positively impacted their well-being.Conclusion:By identifying the factors that contribute to a nurse's occupational well-being,the nursing management is better able to address the nurse's needs to maintain a positive well-being.This in turn will decrease the burnout and increase retention of experienced nurses,which will raise the quality of patient care.

Communication and Leadership Strategies for Retaining Registered Nurses: A Descriptive Phenomenological Study

This descriptive phenomenological study was to explore how communication and leadership influenced retention of registered nurses. The theoretical foundation of this descriptive phenomenological study is communication and leadership grounded in Burns theory of transformational leadership. The purpose of this study was to expand on and fill a gap in the research of how the lived experiences of nine registered nurses add to the influence communication and leadership has on retention, and to answer the following research questions. What are the lived experiences of registered nurses in the Western United States as they relate to retention when those registered nurses perceive a lack of communication? And, what are the lived experiences of registered nurses in the Western United States as they relate to retention when those registered nurses perceive a lack of leadership? The researcher interviewed nine participants working in hospitals in the Western United States. Thematic and descriptive data analysis resulted in five primary themes, transparency, cohesive workplace, passion, collaboration, and leadership. The study used transformational leadership as the primary leadership philosophy. The results of the study showed that leadership and communication can have a positive, or a negative influence on retention of registered.

公众对护士角色及护理职业认知的现状调查

目的了解公众对护士角色及护理职业认知现状,为推进护理事业发展提供参考。方法采用自行设计调查问卷通过网络完成在线调查。问卷内容包括一般资料、护士角色认知、护理职业认知及认可情况等。结果共收集有效答卷942份。公众对护士的第一印象总体是积极的;普通公众对优秀护士期望占比最高的是“态度好”(91.22%)及“有责任心”(91.22%),护士占比最高的是“专业知识、技能扎实”(94.27%)。多数公众认为存在护士短缺,60.82%普通公众及29.30%护士表示“会/可能会”推荐亲朋好友从事护理行业。结论公众对护士角色及护理职业给予积极评价,但对护士的形象缺乏全面认知。护理人员及护理管理者应不断提升护士形象,提高公众对护理职业的了解和支持度。

分阶段护理干预在老年慢性鼻窦炎鼻内窥镜手术患者中的应用

目的 探讨分阶段护理干预对老年慢性鼻窦炎鼻内窥镜手术患者疾病认知及心理和生理应激反应的影响。方法 选取2020年2月—2022年2月南阳医学高等专科学校第一附属医院收治的74例老年慢性鼻窦炎患者,采用随机数字表法分为对照组和观察组,每组37例。对照组患者采用常规护理干预,观察组患者实施分阶段护理干预,2组患者均持续干预4周。比较2组患者干预前后的疾病认知、负性情绪和生理应激指标、生活质量以及术后并发症发生情况和护理满意度。结果干预后,观察组患者自制疾病认知调查表中发病机制、诱发因素、临床表现及日常护理4个维度评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者心率(HR)、收缩压(SBP)及舒张压(DBP)水平均低于对照组,差异均有统计学意义(P<0.05)。观察组患者术后并发症发生率为2.70%(1/37),低于对照组的21.62%(8/37),差异有统计学意义(χ^(2)=4.554,P=0.033)。干预后,观察组患者中文版鼻腔鼻窦结局测试-20量表(SNOT-20)中鼻部症状、鼻窦炎相关症状、情感障碍及睡眠障碍评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者自制护理满意度调查表中操作技术、健康教育、沟通态度、并发症预防4个维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论 分阶段护理干预应用于老年慢性鼻窦炎鼻内窥镜手术患者,能够增强患者对疾病的认知,减轻患者负性情绪及生理应激反应,降低术后并发症发生风险,提高患者生活质量及护理满意度。

心理健康促进量表的汉化及在护理人员中的信效度检验

目的对心理健康促进量表(Mental Health Promotion Scale,MHPS)进行汉化,并在护理人员中检验其信效度。方法依照Brislin翻译模式对英文版量表进行翻译、回译、文化调适和预调查,形成中文版MHPS。2022年12月至2023年4月,选取959名临床护士展开问卷调查,评价量表的信效度。结果中文版MHPS探索性因子分析提取12个公因子,累计方差贡献率为74.634%;其条目水平内容效度指数(I-CVI)0.900~1.000,量表水平内容效度指数(S-CVI/Ave)为0.996。验证性因子分析显示,模型各项指标均达标准,模型拟合度良好。量表总的Cronbach′sα系数为0.961,重测信度为0.888,Spearman-Brown折半信度系数为0.889。结论中文版MHPS量表的信效度良好,可作为我国护理人员心理健康促进能力的测评工具。

护理学生对网约护士认同度及影响因素分析

通过便利抽样法抽取某高校护理学院和某市“三甲”医院实习生共409名进行问卷调查,以了解护理学生对网约护士这一新兴护理服务行业的认同现状和影响因素,为未来网约护士护理人才培养储备计划提供依据。

ICU老年病人谵妄早期识别及护理干预研究进展

从重症监护室(ICU)老年病人谵妄发生的危险因素、评估工具、医护协作下的药物管理及集束化护理方案的干预策略等方面进行综述,以期为临床医护人员选择合适的ICU老年病人谵妄评估工具、采取有效的干预措施提供临床依据。

个人与组织契合度在护理管理中的应用

个人组织契合度反映了个人与组织在不同层面上的一致程度。本研究对其概念、测量工具以及其在护理管理领域的应用现状进行总结,并分析个人与组织契合度的影响因素,以期为进一步改善护理工作环境、护理人员职业认同感等提供参考。

基于人机接触压力图像的被护理人姿态识别

针对当前基于触觉信息的被护理人姿态识别精度低、可识别关节点数少等问题,设计了一种基于多模态数据的被护理人姿态识别方法。首先,采用OptiTrack运动捕捉系统和触觉传感器,采集并构建了包含51人30万帧被护理人姿态和60万张接触压力图像的数据集;然后,将接触压力图像和人体位置热图作为卷积神经网络(CNN)的输入,识别被护理人的关节位置,根据关节位置得到被护理人姿态。实验结果表明:所提出的方法能识别人体的5个关键关节位置,精度达到了90%,满足识别被护理人姿态的实用性要求。

定位二维码识别技术在急性脑卒中患者护理记录书写中的应用

目的将个人数字助理(PDA)扫描定位二维码识别技术应用于缺血性脑卒中静脉溶栓患者中进行护理记录书写,并评价其应用效果.方法采用类实验性研究方法,以浙江医院2021年9月至2022年2月采用移动护理车进行常规护理书写的58例急诊缺血性脑卒中静脉溶栓患者的护理记录作为对照组,以2022年3月至8月应用PDA扫描定位二维码进行护理书写的51例急性缺血性脑卒中静脉溶栓患者护理记录作为观察组.比较两组脑卒中静脉溶栓患者护理记录书写所需用时、护理记录书写错误发生率的差异,并评估急诊护士对PDA扫描定位二维码进行护理记录书写的满意度.结果观察组采用PDA扫描定位二维码进行护理记录书写时间较对照组明显缩短[s:137(109,192)比480(436,604),P<0.05],首程专科评估内容有欠缺率[3.92%(2/51)比20.69%(12/58)]、溶栓观察内容不够详细出现率[7.84%(4/51)比43.10%(25/58)]均较对照明显降低(均P<0.05).观察组和对照组溶栓药物泵入记录不规范率[0%(0/51)比1.72%(1/58)]、肌力评估记录不规范率[1.96%(1/51)比5.17%(3/58)]、错别字出现率[0%(0/51)比3.44%(2/58)]比较差异均无统计学意义(均P>0.05).此外,急诊护士对PDA扫描定位二维码识别技术进行护理记录书写的整体满意度为92.94%(2844/3060),对定位二维码辅助同步护理记录各条目平均得分均>4.5分,其中对易于操作的满意度得分最高为(4.78±0.50)分,护士对PDA扫描定位二维码进行护理病历书写接受度好,能够满足临床需求.结论采用PDA扫描定位二维码辅助脑卒中治疗流程中护理记录的书写能有效缩短书写护理记录用时,减少护理记录错误的发生率,提高护理病历质量;同时能有效降低护士在静脉溶栓流程中的书写负担,提高护士对护理记录的满意度,值得临床推广.