Practical Exploration of Strengthening Team Communication and Cooperation in Head Nurse Nursing Management

This study explores the practical application of nursing management led by head nurses to enhance team communication and collaboration within clinical settings.By integrating leadership theories with nursing practice,this research adopts a qualitative methodology to examine the effects of strategic communication and teamwork enhancement initiatives.Through interviews,observations,and the analysis of case studies in various hospital departments,the study identifies key barriers to effective team communication and collaboration,including hierarchical structures,lack of standardized communication protocols,and insufficient training.Solutions implemented involve targeted communication skills training,the establishment of interdisciplinary teamwork protocols,and leadership workshops for head nurses.The outcomes indicate significant improvements in team efficiency,patient care quality,and staff satisfaction.This research underscores the importance of head nurses in fostering an environment conducive to open communication and collaborative practice,thereby advancing patient care and team performance.

Development of an Information-Based Leadership Evaluation Index System for School Management Teams:A Comprehensive Approach

In the context of educational informatization reform,there are many uncertain factors in the process of education development.To optimize the educational environment so that it can be effectively combined with information technology,teachers need to change their teaching ideas,strengthen the school’s own adaptability to informatization,and promote the development of informatization construction in schools.As a branch of information leadership,the management team should establish an evaluation index system for information leadership in order to ensure the construction of school informatization,so as to provide a boost for the integration of school resources and information technology.Based on the overview and connotation of information-based leadership of the management team,this paper explores the construction of an evaluation index system of information-based leadership of the school management team,aiming to provide references for the research of relevant personnel in the future.

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.

TeamSTEPPS模式在消化内镜室综合管理中的应用效果

目的探讨提高医疗质量与患者安全的团队策略和工具包(TeamSTEPPS)模式在消化内镜室综合管理中的应用效果。方法选取2021年6月至2022年2月河南省直第三人民医院消化内镜室收治的118例肠息肉患者作为对照组,接受常规管理;选取2022年3—9月河南省直第三人民医院消化内镜室收治的126例肠息肉患者作为研究组,接受TeamSTEPPS模式综合管理。对比两组护理风险、不良事件发生率、护理质量、患者满意度。结果两组管理后护理风险评分均高于管理前(P<0.05),研究组管理后急救药品、消毒隔离、护理安全、仪器使用以及岗位安全等护理风险评分高于对照组(P<0.05);研究组不良事件发生率低于对照组(P<0.05);两组管理后护理质量评分高于管理前(P<0.05),管理后,相较于对照组,研究组技能操作、专科护理、病房护理、基础护理、消毒护理及分级护理评分均较高(P<0.05);研究组患者对服务态度、手术护理、专业素质等护理满意度高于对照组(P<0.05)。结论TeamSTEPPS模式下综合管理有助于减少消化内镜室护理不良事件发生,提高护理质量与患者对护理满意度。

企业管理创新“高—中—基”三层传递机制研究——TMT承诺、中层管理者支持与基层员工参与

基于意义建构与意义给赋理论逻辑,本文探究了企业管理创新“TMT承诺—中层管理者支持—基层员工参与”的传递机制;同时,依据组织学习理论,引入组织沟通开放性和外部涉入作为调节变量。利用华南地区530份二阶段跟踪调查企业问卷数据进行实证检验,得到以下结论。TMT规范/情感承诺通过“基层员工直接模仿”(自下而上)与“中层管理者间接传导”(自上而下)的双重机制影响基层员工参与,而TMT持续承诺对基层员工参与的双重影响均不显著;与情感承诺相比,TMT规范承诺通过中层促进基层员工参与的间接效应更强。组织沟通开放性、外部涉入分别正向二阶调节TMT规范/情感承诺与中层管理者支持之间的关系,且两者也正向三阶调节TMT规范/持续承诺与中层管理者支持之间的关系,但是两者对中层管理者支持与基层员工参与之间关系的二阶和三阶调节效应均不显著。研究发现进一步明确了组织内不同层级员工以及内外情境在管理创新实施过程中的重要作用,并为我国企业如何更好提升基层员工管理创新参与提供有益启示。

Team Effectiveness in Patient Health Management: An Overview of Reviews

Background: The desire to improve the quality of health care for an aging population with multiple chronic diseases is fostering a rapid growth in interprofessional team care, supported by health professionals, governments, businesses and public institutions. However, the weight of evidence measuring the impact of team care on patient and health system outcomes has not, heretofore, been clear. To address this deficiency, we evaluated published evidence for the clinical effectiveness of team care within a chronic disease management context in a systematic overview. Methods: A search strategy was built for Medline using medical subject headings and other relevant keywords. After testing for performance, the search strategy was adapted to other databases (Cinhal, Cochrane, Embase, PsychInfo) using their specific descriptors. The searches were limited to reviews published between 1996 and 2011, in English and French languages. The results were analyzed by the number of studies favouring team intervention, based on the direction of effect and statistical significance for all reported outcomes. Results: Sixteen systematic and 7 narrative reviews were included. Diseases most frequently targeted were depression, followed by heart failure, diabetes and mental disorders. Effectiveness outcome measures most commonly used were clinical endpoints, resource utilization (e.g., emergency room visits, hospital admissions), costs, quality of life and medication adherence. Briefly, while improved clinical and resource utilization endpoints were commonly reported as positive outcomes, mixed directional results were often found among costs, medication adherence, mortality and patient satisfaction outcomes. Conclusions: We conclude that, although suggestive of some specific benefits, the overall weight of evidence for team care efficacy remains equivocal. Further studies that examine the causal interactions between multidisciplinary team care and clinical and economic outcomes of disease management are needed to more accurately assess its net program efficacy and population effectiveness.

Conflict management and perceived team cohesion of nurses in university hospitals

Objective Team cohesion is an essential component in a multidisciplinary team and can inspire the team to perform creative and complex works.This descriptive correlational study aimed to determine the styles of conflict management,levels of team cohesion,and the relationship between each style of conflict management and perceived team cohesion among nurses at affiliated hospitals of Dali University.Methods The sample consisted of 336 nurses from two university hospitals in Yunnan province,selected using the proportionate sampling method.Research instruments included demographic data form,Dutch Test for Conflict Handling(DUTCH)and Group Cohesion Scale.The Cronbach’s alpha coefficient for the five subscales of DUTCH were the following:forcing(0.83),yielding(0.81),avoiding(0.88),problem-solving(0.85),and compromising(0.84).The Cronbach’s alpha coefficient of Group Cohesion Scale was 0.83.Data were analyzed using descriptive statistics and Spearman’s rank-order correlations.Results The results of this study revealed that nurses were most likely to use avoiding conflict management style to deal with conflict situations,followed in rank order by problem-solving,compromising,forcing and yielding conflict management style.Nurses perceived team cohesion at a moderate level(x=4.43,SD=2.01).Additionally,conflict management associated with team cohesion.Conclusion The study findings revealed that avoiding was the conflict management style most frequently utilized by nurses,and nurses perceived team cohesion was at a moderate level.It is required to identify various strategies to improve team cohesion in multidisciplinary teams and develop a support system for nurses.

Thoughts on the Professional Training of Scientific and Technological Management Team of High-level Talents in Provincial Agricultural Research Institutes

From two aspects:the composition of scientific research management institutions and the tasks undertaken by scientific research management departments,the present situation of scientific and technological management team in agricultural research institutes is expounded.Some problems existed in the scientific and technological management team of provincial agricultural research institutes are analyzed,such as uneven knowledge structure of scientific research management personnel,low degree of specialization,poor stability,lack of professional and systematic job training,etc.Professional development countermeasures are proposed,such as optimizing the structure of scientific research management team,establishing a professional management system with the characteristics of agricultural scientific research institutions,formulating corresponding evaluation mechanism for scientific research management personnel,and strengthening the training of agricultural scientific research management personnel.

基于Team STEPPS模型强化呼吸道管理在机械通气病人中的应用

目的:探讨基于Team STEPPS模型强化呼吸道管理在机械通气病人中的应用。方法:回顾性分析2022年1月—11月在医院重症监护室(ICU)接受机械通气的124例病人的临床资料,根据气道管理方式不同分为对照组(50例)和研究组(74例)。对照组病人接受常规护理干预,研究组病人接受基于Team STEPPS模型强化呼吸道管理。比较两组机械通气时间;ICU入住时间;入住ICU第1天和第7天的动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))及氧合指数变化;并记录两组住院期间并发症发生情况。结果:研究组机械通气时间和ICU入住时间均短于对照组(P<0.05);两组入住ICU第7天PaO_(2)、SaO_(2)及氧合指数高于第1天,且研究组均高于对照组(P<0.05);研究组病人住院期间并发症总发生率低于对照组(P<0.05)。结论:基于Team STEPPS模型的强化呼吸道管理可缩短机械通气病人机械通气时间和ICU入住时间,改善病人血气指标,纠正低氧血症状态,降低并发症发生率,改善病人预后。

Knowledge Management Strategy for Handling Cyber Attacks in E-Commerce with Computer Security Incident Response Team (CSIRT)

Electronic Commerce (E-Commerce) was created to help expand the market share network through the internet without the boundaries of space and time. However, behind all the benefits obtained, E-Commerce also raises the issue of consumer concerns about the responsibility for personal data that has been recorded and collected by E-Commerce companies. The personal data is in the form of consumer identity names, passwords, debit and credit card numbers, conversations in email, as well as information related to consumer requests. In Indonesia, cyber attacks have occurred several times against 3 major E-Commerce companies in Indonesia. In 2019, users’ personal data in the form of email addresses, telephone numbers, and residential addresses were sold on the deep web at Bukalapak and Tokopedia. Even though E-Commerce affected by the cyber attack already has a Computer Security Incident Response Team (CSIRT) by recruiting various security engineers, both defense and attack, this system still has a weakness, namely that the CSIRT operates in the aspect of handling and experimenting with defense, not yet on how to store data and prepare for forensics. CSIRT will do the same thing again, and so on. This is called an iterative procedure, one day the attack will come back and only be done with technical handling. Previous research has succeeded in revealing that organizations that have Knowledge Management (KM), the organization has succeeded in reducing costs up to four times from the original without using KM in the cyber security operations. The author provides a solution to create a knowledge management strategy for handling cyber incidents in CSIRT E-Commerce in Indonesia. This research resulted in 4 KM Processes and 2 KM Enablers which were then translated into concrete actions. The KM Processes are Knowledge Creation, Knowledge Storing, Knowledge Sharing, and Knowledge Utilizing. While the KM Enabler is Technology Infrastructure and People Competency.

Integrating Project Management, Software Development, and Knowledge Management Models: A Case Study in a Public ICT Services Organization

In project-based organizations knowledge is a critical resource used to develop and deliver products and services with a high level of quality. Therefore, a systematic and sustainable process is necessary to coordinate knowledge management, project management and product lifecycle. This scenario predominates in companies focused on the creation and maintenance of information systems. This article presents an exploratory study based on a framework that integrates cognitive, managerial, and operational processes in a public Brazilian organization that provides services in the area of information and communications technology, focusing on the construction and maintenance of information systems. Those processes are operationalized by three management models considering knowledge, project, and software development processes. Our proposal aims to understand the relationships between those three management models and their influence on the software development process in the organization under study. Our premise is based on the principle that cognitive management, project management, and software development management must be integrated to fulfill the demands of product development and service provision. The research data was composed of registers of working hours spent on software development and maintenance projects involving 244 people allocated to 5064 projects in the period from 2007 to 2013. The study resulted in the identification of the relationships among the three management models adopted by the organization, with emphasis on knowledge management activities, which were not directly identified, making it difficult to account for and measure them. We established a set of activities connected to each one of the knowledge management model phases. Since those activities were not visible before, our approach contributed to build a systematic process to register and relate activities linked to the dimensions of cognitive processes, project management, and software construction.

Humanizing the Culture of Technology Teams: Strategies for Creating Healthier and More Productive Work Environments

With the advancement of technology, companies are increasingly dependent on technology teams to stay competitive. However, members of these teams often work in stressful and unhealthy environments, which can undermine their productivity and well-being. The humanization of the culture of technology teams is an approach that aims to create healthier and more productive work environments for team members, promoting balance between personal and professional life. Despite the importance of a healthy and productive work environment, many companies do not invest in strategies to humanize the culture of their technology teams. This can lead to high levels of stress, staff turnover and low productivity. The objective of this project is to identify effective strategies to humanize the culture of technology teams and create healthier and more productive work environments in digital companies. For this, factors such as management styles, psychological safety, human-centered development, individual beliefs and time and energy management will be analyzed. The project’s methodology will include a literature review on the subject and qualitative data analysis will be performed using a content analysis approach. This project will contribute to the advancement of knowledge about the humanization of the culture of technology teams in digital companies. The results can be applied to companies that want to create healthier and more productive work environments for their team members.

制造企业数字化能力生成的高管团队影响机制与同群效应

数字化时代,传统制造企业普遍沉浸在缺乏“数字化能力”的焦虑中,企业能否运用数字技术和信息资源产生数字化能力,是推动企业数字化战略落地的关键。对297家制造企业高管成员的调查数据进行实证检验,检验高管团队异质性对制造企业数字化能力的影响,探究同群效应下高管团队异质性、组织惯例更新对制造企业数字化能力生成的作用机制,证实数字化能力是高管团队异质性驱动下制造企业不断修正和创造组织惯例的结果。在这一过程中,行业同群效应强度正向调节制造企业数字化能力的构建,但是地区同群效应强度却与制造企业数字化能力的生成无关。研究认为,制造企业数字化能力构建不是单纯的组织内部惯例更新过程,而是外部群体影响下的复杂决策,数字化不仅是单个企业的转型问题,还是受社会互动影响的群体问题。研究结果为制造企业构建数字化能力提供了理论指导与策略参考。

董事会非正式层级对企业ESG表现的影响——来自我国上市公司的经验证据

提高企业ESG表现对促进企业高质量发展、推动我国碳中和进程具有重要战略意义。作为一项企业战略决策,企业ESG表现与董事会治理效率息息相关。基于沪深两地A股上市公司数据,从合法性视角和董事权威不平衡的治理效应视角,分析董事会非正式层级影响企业ESG表现的内在机制;从公司决策传导机制视角出发,分析管理层能力发挥的中介效应。研究发现,董事会非正式层级对企业ESG表现具有显著的正向促进作用;管理层能力在董事会非正式层级与企业ESG表现之间起中介作用;董事会非正式层级对企业ESG表现的影响在权力大小不同、稳定性不同的管理团队中存在显著差异。通过对董事会非正式层级影响企业决策行为的研究,丰富了董事会非正式层级作用及效果的内在机制的相关研究,对于进一步提升中国企业ESG表现具有重要的借鉴意义。

高管团队异质性、企业风险承担和企业价值

本文以2008—2019年深沪两市A股上市企业为样本,实证研究了高管团队(TMT)整体异质性、企业风险承担及企业价值的关系,并基于产权异质性和企业规模视角进行进一步研究。结果显示:TMT整体异质性能够正向影响企业价值,其中年龄、性别、金融背景和海外背景异质性作为主要影响变量;企业风险承担在TMT的年龄、金融背景及海外背景方面的异质性与企业价值间存在中介效应;进一步研究表明,相较于非国有企业,国有企业的TMT异质性对企业价值的影响力度和显著性都较大;国有企业能够显著缓解非国有企业在TMT的教育背景、职能背景、任期三个方面的异质性对企业价值的负向作用。低资产规模企业中TMT异质性对企业价值的影响结果要明显于高资产规模企业。本文首次将TMT异质性、企业风险承担及企业价值纳入一个体系进行研究,且在TMT异质性的衡量指标方面增加了职能背景、海外背景及金融背景三项指标,丰富且深化了高层梯队理论。

精神分裂症发生代谢综合征的影响因素及药师主导团队管理的干预效果

目的:探讨精神分裂症发生代谢综合征(MS)的影响因素及药师主导团队管理的干预效果。方法:选取2022年4至9月于南通市第四人民医院就诊的精神分裂症伴发MS患者80例(MS组),本院同期就诊的精神分裂症无MS患者80例(非MS组)。采用Logistic回归分析精神分裂症发生MS的影响因素。按随机数排秩法将MS组患者分为对照组与干预组,各40例。除常规治疗外,对照组采取常规管理,干预组在对照组基础上给予药师主导团队管理干预,均干预6个月。比较两组干预前后代谢指标(BMI、腰围、空腹血糖、高密度脂蛋白、甘油三酯),精神状况[阴性/阳性量表和一般精神病理量表]及生存质量[世界卫生组织生存质量测量表(WHOQOL-BREF)]的差异。结果:Logistic回归分析结果显示,年龄大,吸烟,IL-6水平高,PAI-1基因4G/4G+4G/5G基因型及高CRP血症是精神分裂症发生MS的危险因素,有适度运动习惯为保护因素(P<0.05)。研究组干预前后BMI、腰围、空腹血糖、甘油三酯、一般精神病理量表、心理功能、躯体健康得分差值均高于对照组(P<0.05)。结论:药师主导团队管理可有效改善精神分裂症伴发MS患者的代谢指标,缓解临床症状,提高生存质量。

多学科呼吸管理小组在A型主动脉夹层患者中促肺康复的效果研究

目的探讨基于医护联合的多学科呼吸管理小组在A型主动脉夹层患者中促肺康复的效果。方法选择本院2022年1月至2023年1月收治的A型主动脉夹层患者80例,随机分为对照组和观察组,每组40例。对照组患者给予常规护理,观察组在对照组的基础上实施基于医护联合的多学科呼吸管理小组护理方式。比较2组患者的肺功能指标[氧合指数(OI)、呼吸指数(RI)、动态肺顺序性(Cdyn)、静态肺顺应性(Cst)]、临床指标、对护理工作的满意度。结果T1时2组OI值、RI值、Cdyn水平及Cst水平比较,差异无统计学意义(P>0.05),T2、T3、T4时观察组OI值、Cdyn水平及Cst水平均高于对照组,RI值均低于对照组,观察组CICU时间、机械通气时间、使用高流量氧疗时间及住院总时间均短于对照组,LUS评分低于对照组,对护理工作的满意度高于对照组,差异均有统计学意义(P<0.05)。结论基于医护联合的多学科呼吸管理小组可明显改善A型主动脉夹层患者术后的肺功能,缩短机械通气时间,提高对护理工作的满意度,值得在临床进一步进行推广。