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.

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.

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.

The Importance of High-Quality Russian Language Services

"High-level opening up"and"high-quality development"are important development goals and directions of China during the 14th Five-Year Plan period.Heilongjiang,as the largest and oldest province open to Russia,has a long history of communication and plays a vanguard role.However,the province's geographical advantages are weakening under the impact of the COVID-19 pandemic and the rapid development of the internet industry.Facing the new era,maintaining and enhancing the regional advantages of the province has become an urgent issue that requires attention.This study takes the Russian language service in Heilongjiang Province as the subject,combines theory with practice through theoretical elaboration and historical analysis,as well as tries to provide reference for improving the language service system in Heilongjiang Province and enhancing its regional advantages.This study believes that a high-quality language service plays an important role in solving the issue.It is necessary to fully understand and apply the essential power of language,be more aware of the importance of Russian language services,build a sound ecosystem of language services,give full play to the traditional advantages of the"Russian"in this province,and finally assume "Russian language services"as the"golden banner"for the development of language services,economy,and culture in the province.

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.

Application of nursing sensitive indicators in improving the quality of hemodialysis

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.

The Impetus for RCEP in Facilitating the High-quality Development of the Tourism Service Trade in Yunnan Province,China

The present world pattern has undergone major changes,the trend of world multi-polarization is constantly emerging,and peace and development remain the main themes of today’s society.The formal signing and implementation of the Regional Comprehensive Economic Partnership(RCEP)is important for meeting the needs of peace and development of many countries and regions.China is in a new era of reform and opening-up,and the RCEP content is in line with China’s concept of pursuing a path of rejuvenation.Based on the locations of important borders,Yunnan Province has become one of the key places for China’s opening-up and development regarding Southeast Asia and South Asia,and the high-quality development of its tourism service trade is of great significance.This study first used the grounded theory analysis method to organize,analyze and process the records of international conferences and government press conferences held in Yunnan Province,as well as important related issues since the signing of RCEP.Then,the social network analysis method was used to analyze the social recognition degree of RCEP in promoting the high-quality development of the tourism service trade in Yunnan Province from the perspectives of different levels and group consensus.The results show that cooperation is the key macro driving force for RCEP in promoting the high-quality development of the tourism service trade in Yunnan Province.Regarding the opportunities and environment of the transportation dividend,policy dividend and investment dividend,port construction,border township construction and exhibition-related construction are important cooperation contents,so they are conducive to the recovery of the tourism industry in a broader development space.Competition can improve the driving force of RCEP in promoting the high-quality development of the tourism service trade in Yunnan Province at the micro level,and has more practical significance.For example,RCEP can better rely on its own geographical advantages and international market competitiveness,optimize the use of resources inside and outside ports,and use high-tech products to form a more green,ecological,organic and sustainable development.In different levels of social identity,RCEP’s power of cooperation is more strongly recognized,while the power of competition is less recognized.However,from the perspective of grouping the various groups,RCEP’s powers of cooperation and competition are jointly recognized by the other groups,indicating that cooperation and competition are necessary for the realization of RCEP’s power.The results of this study provide a certain reference for understanding the dynamics of RCEP in more detail from more angles and for the local implementation of RCEP rules and measures.

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.

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.

Leading High-Quality Development of Service Industry with Institutional Innovation

To realize the transition from high-speed growth to high-quality development,it is necessary not only to change the way and path of economic growth,but also to speed up the improvement of the institutional system that is compatible with highquality development.China has unique institutional advantages in promoting the high-quality development of the service industry(HQDSI),but the service industry is a typical institution-intensive industry that faces higher institutional barriers than the manufacturing industry.Therefore,institutional reform and business environment optimization are particularly important to the promotion of HQDSI,and the effect is also very prominent.Facing the future,we should lead HQDSI by building a high-standard socialist market economy,promote the high-quality and efficient development of the service industry by standardizing it,and encourage the innovation and entrepreneurship of the industry by improving the institutional environment,thus steadily boosting HQDSI in the new era of reform and opening up.

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.

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.

基于NVivo分析改进上海市“互联网+护理服务”的对策建议

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。

数字金融创新有助于促进实体经济高质量发展吗?——基于金融服务效率的机制分析与空间计量

中央金融工作会议强调,坚持把金融服务实体经济作为根本宗旨。数字金融作为数字技术与金融业态融合创新的产物,对提升金融服务效率,支持实体经济高质量发展具有重要意义。基于2011-2021年中国31个省级行政区的平衡面板数据,通过构建实体经济高质量发展指标体系和嵌套空间权重矩阵,运用空间计量模型、动态杜宾模型和中介效应检验方法,实证研究数字金融创新对实体经济高质量发展的直接影响、溢出效应和作用机制,得出:数字金融创新不仅能直接促进本地区实体经济的高质量发展,而且具有正向空间溢出效应,对邻近地区实体经济高质量发展呈现渐进、动态的长期影响。中介效应检验结果表明,提升金融服务效率是数字金融创新促进实体经济高质量发展的主要作用机制。在金融科技创新监管试点地区,数字金融创新对实体经济高质量发展的直接影响、溢出效应和中介效应均明显高于非试点地区。因此,要稳步推进金融科技创新监管试点,优化数字金融业态空间布局,畅通数字金融促进实体经济高质量发展的传导机制。

蓄力护理经济效力引领护理事业新发展

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。

金融科技创新如何促进实体经济高质量发展——基于金融服务效率的机制分析与空间计量

金融科技创新对于提升金融服务效率,服务实体经济具有重要意义。基于2011—2021年我国31个省份的平衡面板数据,运用空间计量模型和中介效应检验,研究金融科技创新对实体经济高质量发展的直接影响、间接效应和作用机制。研究发现:金融科技创新不仅能直接促进本地区实体经济高质量发展,而且具有正向空间溢出,对邻近地区实体经济高质量发展呈现渐进、动态的长期影响。中介效应和异质性检验表明,提升金融服务效率是金融科技创新促进实体经济高质量发展的主要机制。在金融科技创新监管试点地区,金融科技对实体经济高质量发展的直接影响、间接效应和中介效应均明显高于非试点地区。因此,要优化金融科技业态空间布局,提升金融服务效率,深化金融科技创新监管试点,以更好地服务实体经济高质量发展。

中国服务贸易高质量发展的测度及国际比较——基于新发展理念的视角

党的二十大报告指出要全面贯彻新发展理念、构建新发展格局,以推动高质量发展为主题,加快建设贸易强国。服务贸易作为国际贸易的重要组成部分,其发展质量日益成为衡量贸易强国的关键指标。文章基于新发展理念,结合高质量发展的内涵,构建服务贸易高质量发展指标体系,运用熵值法对全球36个主要国家2010—2021年的服务贸易发展质量进行测度和比较。研究结果表明:2010年以来,中国服务贸易发展质量排名由第14位上升至第11位,与发达国家的差距逐渐缩小;从分维度指标来看,中国服务贸易的绿色和共享发展水平位于世界前列,但创新、协调和开放发展水平较为落后。最后,根据测度及比较的结果,结合新发展理念提出了推动我国服务贸易高质量发展的对策建议。

数字赋能农村公共服务高质量:发展视域、内在逻辑与实践路径

数字赋能农村公共服务高质量发展,是中国式现代化的应有之义和重要途径。作为一个发展视域性命题,数字赋能农村公共服务,超越微观服务质量管理逻辑。数字技术突破时空、资源限制,赋能农村公共服务,让农业农村农民提升人力资本、享有数字红利与共享公共服务资源,促进微观农民个体的全面发展、中观农业农村现代化与宏观城乡融合发展。公共服务数字化是数字赋能农村公共服务高质量的重要机制,然而现实中存在数字人才、数字基础设施、数字资源配置等三大限度。超越农村公共服务数字化现实限度,要从农民数字素养培养、农村数字基础设施投资、城乡数字公共资源体制改革等方面着力,以更好发挥数字赋能农村公共服务高质量发展的价值作用。

“公共文化服务共同体”:大文化视野下的现代治理新路径——兼论公共文化设施质效测算模型构建

“公共文化服务共同体”建设是公共文化服务治理体系和治理能力现代化进程中的新产物,是具有中国特色的公共文化现代治理新路径。文章探讨在大文化视野下,公共文化设施的新型样态及其评价标准,提出公共文化设施质效测算模型,从公共文化设施的有效服务供给能力、有效资源保障能力、有效吸引能力和公众满意度四个方面进行测算,以期以统一的、简单的、少人工的指标进行实时动态数据分析,全面展现大文化视野下公共文化服务供给现状和实际质效,从而以科学决策促进“公共文化服务共同体”可持续发展,推动公共文化服务高质量发展。

以新发展理念引领中国特色金融发展之路

金融服务于高质量发展,必须完整、准确、全面贯彻新发展理念,把金融服务实体经济作为根本宗旨,切实融入到创新、协调、绿色、开放、共享发展的全过程和各领域。现阶段,金融服务“创新发展”,要着力解决创新型技术产业成长的风险分担、内生动力、共性基础设施供给等问题;金融服务“协调发展”,要着力改进既有经济结构、金融结构中的不均衡问题;金融服务“绿色发展”,应遵循促进可持续增长、维护生态公平等原则;金融服务“开放发展”,要着力围绕交易成本、比较优势来推进对外经贸投资活动;金融服务“共享发展”,要着力推进普惠金融、养老金融高质量发展。