Cultivation Path of Nursing Undergraduates’Scientific Research and Innovation Ability

Objective: The cultivation of the innovation ability and scientific research is one of the nursing learning objectives for undergraduate students. To explore the method and effect of training system of scientific research innovation ability of nursing undergraduates based on “3332”. Methods: Three course learning modules are constructed: stage-based course learning module, systematic project practice training module and comprehensive practice training module. A practical training platform for scientific research innovation projects is built, and undergraduate scientific research innovation ability training is carried out from both in-class and out-of-class lines. Results: Since 2017, the students have obtained 7 national innovation and entrepreneurship training programs, 52 university-level undergraduate scientific research projects, published more than 10 academic papers, and obtained 2 patent authorization. Conclusions: The training system of scientific research innovation ability of nursing undergraduates based on “3332” is conducive to the development of scientific research innovation ability of nursing students, and to cultivate nursing talents who can adapt to the development of the new era and have better post competence.

Application of Academic Salons in Cultivating the Scientific Research Skills of First-Year Nursing Master’s Students

Objective:To explore the application effect of academic salons on developing the scientific research skills of first-year nursing master’s students.Methods:According to Wallas’four-stage model of the creative process,from November 2022 to February 2023,66 first-year nursing master’s students from the School of Nursing at Zhejiang Chinese Medical University were selected using a convenient sampling method to participate in a multidisciplinary academic salon consisting of a total of 8 sessions held once every two weeks.Before the first and after the last academic salon,postgraduate research skills evaluation questionnaires and perception of research skills acquisition questionnaires were used to assess first-year nursing master’s students.A semi-structured interview was conducted with nine students after the final academic salon.Results:The total scores for scientific research skills and sense of achievement among first-year nursing master’s students after the academic salon were higher than those before the salon,and the difference was statistically significant.The interview results showed that the“salon theme,”“tutor comments,”and“sharer output”are the focus of the first-year nursing master’s students in the academic salon.Conclusions:Academic salons can enhance postgraduate students’scientific research skills and foster a greater appreciation for scientific research.We can enhance academic salons by carefully choosing relevant themes,inviting knowledgeable presenters and expert tutors to provide feedback,and prioritizing equality and effective communication.

Cultivation Path of Nursing Undergraduates’ Scientific Research and Innovation Ability

Objective:The cultivation of the innovation ability and scientific research is one of the nursing learning objectives for undergraduate students.To explore the method and effect of training system of scientific research innovation ability of nursing undergraduates based on“3332”.Methods:Three course learning modules are constructed:stage-based course learning module,systematic project practice training module and comprehensive practice training module.A practical training platform for scientific research innovation projects is built,and undergraduate scientific research innovation ability training is carried out from both in-class and out-of-class lines.Results:Since 2017,the students have obtained 7 national innovation and entrepreneurship training programs,52 university-level undergraduate scientific research projects,published more than 10 academic papers,and obtained 2 patent authorization.Conclusions:The training system of scientific research innovation ability of nursing undergraduates based on“3332”is conducive to the development of scientific research innovation ability of nursing students,and to cultivate nursing talents who can adapt to the development of the new era and have better post competence.

Contingency management strategies of the Nursing Department in centralized rescue of patients with coronavirus disease 2019

Objectives:This article aims to summarize a series of contingency management strategies of the Nursing Department in the centralized treatment of patients with coronavirus disease 2019(COVID-19).Methods:The strategies of the Nursing Department included an early warning for prevention and control,taking functions of vertically commanding and horizontally coordinating,and reasonably allocating nursing workforce,to facilitate centralized treatment work in the in-hospital fever clinic,isolation wards and ICU,and referral and admission of critical patients.Five special groups were established in charge of training and examination,management and supervision,psychological support,logistical support,and reporting and publicity,respectively.Results:It was achieved that no deaths from critical patients and no medical staff,no other patients were infected.Conclusion:Through the implementation of these strategies,safe and efficient centralized treatment was ensured timely,orderly and sustainably.

Reliability and validation of the Arabic version of the Conditions for Workplace Effectiveness Questionnaire-Ⅱ

Objective:This study aimed to examine the psychometric properties of the Conditions for Workplace Effectiveness Questionnaire-Ⅱ-Arabic Version(CWEQ-Ⅱ-AV),which measures structural empowerment among nurses.To enhance the usability and credibility of the CWEQ-Ⅱ among researchers within Arabicspeaking countries,a valid and reliable Arabic version of the measure is necessary.Methods:A cross-sectional research design was used.From December 2018 to June 2019,275 nurses working in 4 hospitals participated in the study.Reliability was assessed by examining internal consistency and split-half reliability.A confirmatory factor analysis was performed to evaluate the factor structure of the CWEQ-Ⅱ-AV.Results:The psychometric properties of the CWEQ-Ⅱ-AV were excellent regarding the six-factor model(opportunity,information,resources,support,formal power,and informal power).The results showed the following fit indices meet the criteria set a priori:comparative fit index(CFI)=0.96,root mean square of error approximation(RMSEA)=0.06,andХ^(2)/df=2.08.Cronbach's a coefficient was 0.95 for the total questionnaire and ranged between 0.83 and 0.89 for the individual subscales.The split-half reliability was 0.91 for the total questionnaire and ranged from 0.83 to 0.87 for individual subscales.Conclusion:This study provides evidence that CWEQ-Ⅱ-AV is both a reliable and valid measure of structural empowerment among Arab nurses.

A study of the relationship between nurses'experience,structural empowerment,and attitudes toward computer use

Objective:This study examined the relationship between structural empowerment and nurses’experience and attitudes toward computer use.Methods:This study was conducted using a cross-sectional quantitative design.A total of 184 registered nurses from four hospitals in Jordan participated in the current study.Data were collected using a demographics questionnaire,the Conditions for Work Effectiveness Questionnaire-II(CWEQ-II),and the Pretest for Attitudes toward Computers in Healthcare(PATCH).Results:The median of experience in years among nurses was 5.0,ranging from one to 26 years.The mean score for the attitudes toward computer use was 61.90±11.38.Almost half of the participants,45.11%,were in the category of“feel comfortable using user-friendly computers.”The participants’mean average of the total structural empowerment was 12.40±2.43,and the values for its four subscales were:opportunity 3.57±0.87,resources 2.83±0.85,information 3.06±0.79,and support 2.95±0.86.The frequencies analysis revealed that most participants had a moderate level of empowerment(n¼127,69.02%).The bivariate correlation between nurses’experience and attitudes toward computer use was significant(r¼0.17,P<0.05).The relationship between the total structural empowerment score and attitudes toward computer use was positive but weak(r¼0.20,P<0.01).Conclusion:The results indicated that more experienced nurses are more reluctant toward computer use.However,creating an empowering work environment can facilitate nurses’attitudes toward computer use.

Multicenter application of a nursing workload measurement scale in adult hospitalization units

Objectives:The study aimed to the multicenter application of a nursing workload measurement scale in the internal medicine and surgery adults hospitalization units.Methods:The study design was a multicenter,observational,and descriptive study.A multicenter application of the MIDENF®nursing workload measurement scale was carried out,which consists of 21 items,and covers the four nursing functions(patient care items,teaching,manager,and researcher),in units of hospitalization of adults of internal medicine and surgery of four different hospitals.Each item contains one or more of the nursing interventions of Nursing Interventions Classification(NIC)and has an assigned time,after comparing the real time it takes to perform each intervention with the North American Nursing Diagnosis Association(NANDA)standardized time.The study was carried out during nine months of the year 2020,measuring two days each month in the three work shifts(morning,evening,and night)to all patients admitted on the days of measurement in the indicated units.Results:The descriptive and inferential analysis of 11,756 completed scales,5,695 in general surgery and 6,061 in internal medicine,showed a greater care load for the two units during the morning shift(227,034 min in general surgery,261,835 min in internal medicine),especially in the items of“self-care”,“medication”,“common invasive procedures”,“fluid therapy”,and“patient and family support”,while the managerial function was similar during the three work shifts in the two units studied,getting values between 57,348 and 62,901min.In the analysis by shift and unit,statistical significance was obtained both for the total workload and the four nursing functions(P<0.001).Conclusions:It is shown that the use of validated scales with the standardized language of nursing functions,adapted to the units,provides objective information to adjust the nursing staff to the real situation of care in any hospital and unit where it is applied,improving quality and patient safety.

阿什里德培训模式在耳鼻咽喉科护理科研培训中的应用效果

目的探讨阿什里德培训模式在耳鼻咽喉科护理科研培训中的应用效果,以改进护理科研培训方法和提高临床护士科研能力。方法选择医院耳鼻咽喉科2018年1月—2019年12月参加培训的79名临床护士作为对照组,采用常规护理科研培训方法;另选取2020年1月—2021年12月参加培训的70名临床护士作为观察组,将阿什里德培训模式的离散阶段、整合阶段、聚焦阶段融入科研培训过程,成立科室护理科研项目管理小组,设计各阶段科研培训方案,在不同阶段赋予不同培训内容和重点。采用t检验比较两组的科研氛围、科研能力、科研压力、科研焦虑及科研绩效等自评指标均数值。结果两组护士的科研压力、科研焦虑、科研能力及科研绩效组间差异无统计学意义(P>0.05)。培训后,两组护士的科研氛围、科研能力及科研绩效评分均高于对照组,差异有统计学意义(P<0.05);而两组护士的科研压力和科研焦虑评分差异无统计学意义(P>0.05)。结论基于阿什里德培训模式设计的科研培训方案能营造临床科室科研氛围、提高护士科研能力和科研绩效,为改进护理科研培训提供有效的方法。

基于研究生科研素养培育的护理学研究方法课程思政素材库建设

为达到“立德树人”目标,培育护理研究生科研素养,充分发挥课堂主渠道作用,以课程建设为契机、课堂教学为载体、科研育人为主题,在社会主义核心价值观引领下,系统挖掘研究生护理学研究方法课程中的思政元素,同时结合中医药院校特色,从科研意识、科研伦理、科研道德三方面构建科研育人的课程思政教学模式,效果良好。

基于“双创”育人理念的项目化混合式教学法在本科护理研究教学中的实践

调查研究基于“双创”育人理念的项目化混合式教学法在本科护理研究教学中的应用效果。结果表明,基于“双创”育人理念的项目化混合式教学法有利于本科护理研究教学效果的提升。

先导专项档案管理模式及优化策略研究

近年来,中国科学院战略性先导专项的立项活动日益增多,先导专项档案管理模式呈现出多样化的特点,但在责任划分、监督执行、制度完善及质量控制等多个层面均存在显著短板。为提高先导专项档案管理的质量和水平,文章分析了先导专项档案管理的现状,探讨了现行三种先导专项档案管理模式的优劣,提出从管理责任体系、规章制度体系、人才队伍体系、档案资源体系、档案管理平台等方面优化“科研+行政”并轨管理模式,以期双线负责人共同肩负专项责任,共同推进档案管理工作,为先导专项的高效建设提供优质的档案服务支持。

ICU护理缺失量表的编制及信效度检验

目的 编制ICU护理缺失量表并检验其信效度。方法 以护理缺失理论模型为框架,通过文献分析、质性访谈和专家咨询编制量表初稿。于2021年9月-10月选取湖南省某三级甲等医院的219名ICU护士进行调查,分析量表的信度及效度;于2021年11月-2022年1月选取湖南省3所医院的203名ICU护士进行调查,用于验证性因子分析。结果 ICU护理缺失量表共分为2部分,ICU护理缺失量表(A部分)和ICU护理缺失原因量表(B部分)。A部分共37个条目,不进行维度划分,B部分包含护理人员绝对不足、护理人员相对不足、物质资源因素、沟通交流因素、组织管理因素5个维度,共25个条目。通过探索性因子分析共提取5个公因子,累计方差贡献率为66.938%,验证性因子分析提示模型拟合较好(χ^(2)/df=2.029,近似误差均方根=0.071,增值拟合指数=0.923,比较拟合指数=0.922)。量表两部分内容效度分别为0.89和0.84。量表A、B部分的Cronbach’s α系数分别为0.963和0.946,B部分各维度的Cronbach’s α系数为0.708~0.904。结论 重症监护病房护理缺失量表具有较好的信效度,适用于我国ICU内护理缺失现状的调查。

ICU护士恢复体验在工余塑造与工作投入间的中介效应分析

目的基于资源保存理论,探讨ICU护士恢复体验在工余塑造与工作投入之间的中介作用,以提升ICU护士的工作投入水平。方法2023年1月—3月,采用便利抽样法选取山东省3所三级甲等综合医院的227名ICU护士进行问卷调查,调查工具包括一般资料调查表、工余塑造量表、恢复体验量表和工作投入量表简化版。结果ICU护士工余塑造对工作投入影响的总效应为0.490(P<0.001),直接效应为0.174(P=0.007),恢复体验部分介导了工余塑造和工作投入之间的关系,间接效应为0.316(95%CI:0.231~0.414),中介效应占总效应的64.49%。结论ICU护士主动对自身休闲时间进行系统性的规划可为个体补充资源,改善恢复体验,从而对工作投入产生积极效果。

基于工作坊的科研能力培训模式在基层医院护士中的应用

目的探讨基于工作坊的培训模式在基层医院护士科研能力培训中的应用效果。方法选取某基层医院31名护士为研究对象,进行为期7个月的护理科研培训,比较培训前后护士科研能力及取得的科研成果。结果培训后,护士问题发现能力、科研实践能力、资料分析能力3个维度得分显著高于培训前。结论基层医院护士科研能力不足,以工作坊形式开展的护理科研培训能够在一定程度上提高其科研能力。

急诊科护士替代性创伤潜在剖面分析及各类别创伤后成长差异研究

目的探索急诊科护士替代性创伤的潜在类别及影响因素,并比较各类别间替代性创伤后成长水平的差异。方法采用方便抽样法,于2022年3月一5月选取安徽省20所公立综合医院的498名急诊科护士为研究对象,采用一般资料调查表、救助者替代性创伤问卷、创伤后成长评定量表进行问卷调查。结果急诊科护士替代性创伤可分为低创伤组(15.5%)、中等创伤组(53.0%)、高创伤-生活信念受损组(31.5%)3个类别。不同类别护士的替代性创伤后成长得分,差异具有统计学意义(F=3.736,P=0.025)。Logistic回归结果显示,性格偏向、是否参加过突发公共事件应急培训、护患关系是替代性创伤潜在类别的影响因素(P<0.05)。结论急诊科护士替代性创伤可划分为3个类别,替代性创伤程度越高,其替代性创伤后成长水平越高。护理管理者应关注性格内向、未参加过突发公共事件应急培训、护患关系差的急诊科护士,并采取针对性的干预措施,以减少替代性创伤的发生。

广西三甲医院临床护士循证实践实施氛围与循证护理能力的相关性研究

目的调查广西临床护士循证实践实施氛围与循证护理能力。方法2023年3-4月,采用便利抽样法选取广西3所三甲医院246名临床护士作为研究对象,采用一般资料问卷、循证实践实施氛围量表(implementation climate scale,ICS)、循证护理能力评定量表进行问卷调查。结果临床护士循证实践实施氛围综合得分为(2.76±0.94)分,护士循证护理能力总分为(45.06±22.41)分。循证实践实施氛围与循证护理能力成正相关(r=0.469,P<0.05)。多元分层回归分析显示,循证实践实施氛围进入循证护理能力影响因素模型(F=57.441,P<0.001),可独立解释循证护理能力14.2%变异量。结论临床护士循证护理能力水平、循证实践实施氛围总体水平欠佳,有待进一步提升。护理管理者应营造良好的循证实践实施氛围,促进临床循证护理实践的开展,提升护士循证护理能力。

眼科专科门诊电子病历专家共识(2024)

眼科是专科化程度较高的科室,通用门诊电子病历无法满足其专科特殊业务需求。推行眼科专科门诊电子病历可规范诊治流程,提升病历产出效率,强化慢性眼病的进展监测,辅助诊疗决策。中国卫生信息与健康医疗大数据学会眼科专业委员会依据国家相关政策法规以及行业标准,结合通用门诊电子病历在眼科临床使用的痛点及眼科医生在临床诊疗、科研中的实际需求,经过认真、全面、充分讨论达成共识性意见,制定《眼科专科门诊电子病历专家共识(2024)》,旨在为眼科门诊电子病历的设计、应用和管理提供更加专业、精细和实用的载体。

医院伦理氛围在伦理支持体系与急诊分诊护士道德勇气关系中的中介作用

目的 探讨医院伦理氛围在伦理支持体系与急诊分诊护士道德勇气之间的中介作用,并为临床实践提供依据,以提升急诊分诊护士的伦理标准和决策能力。方法 于2023年10月-12月,通过便利抽样方法,在湖北省十堰市3所三级甲等综合医院中选取396名急诊分诊护士作为研究对象。基于社会支持理论,假设医院伦理氛围在伦理支持体系对急诊分诊护士道德勇气的影响中起中介作用。采用一般资料调查表、急诊分诊护士伦理支持体系感受调查问卷、医院伦理氛围量表及护士道德勇气量表进行数据收集,并使用结构方程模型进行数据分析和假设验证。结果 描述性分析显示,急诊分诊护士的伦理支持体系感受、医院伦理氛围及道德勇气的评分分别为(83.35±10.01)分、(100.64±13.49)分、(81.52±10.56)分。相关性分析表示,伦理支持体系得分与医院伦理氛围得分(r=0.833,P<0.01)及道德勇气得分(r=0.820,P<0.01)之间均呈强正相关,医院伦理氛围得分与道德勇气得分(r=0.887,P<0.01)也显示出强正相关性。结构方程模型分析表明,各项拟合指标优良,医院伦理氛围在伦理支持体系感受与道德勇气之间具有显著的中介作用,间接效应值为0.492,95%CI为0.489~0.685,相对效应值为51.52%。结论 医院伦理氛围显著地中介了伦理支持体系与急诊分诊护士道德勇气之间的关系,强调了医院伦理氛围在提升护理职业道德标准中的关键作用。

三级医院临床护理人员科研能力现况及影响因素分析

采用方便抽样法,于2021年9—11月对中国科学院大学深圳医院和石岩人民医院803名临床护理人员应用一般资料问卷、护理人员科研能力自评量表、科研人员自我效能感量表进行横断面调查。护理人员科研能力影响因素采用多元线性回归分析法,以调查临床护理人员科研能力的现状并分析其影响因素,为提升三级医院护理人员科研能力的整体水平提供理论依据。调查表明,三级医院护理人员科研能力存在一定程度的不足,医院管理者应重视对临床护士进行科研能力的培养,提高护理人员科研水平。