Geriatric nursing competence of clinical nursing staff at different hospital levels in Chongqing,China:A cross-sectional study

Objectives:This study aimed to survey the geriatric nursing competencies of clinical nursing staff in Chongqing City,China,and provide suggestions to enhance these competencies.Methods:This study was conducted in 204 hospitals in Southwest China from December 24,2022 to January 7,2023.The“Geriatric Nursing Competence of Clinical Nurse Investigation Tool”was used to explore factors that influence geriatric nurses’competencies via stratified sampling.The survey was conducted by distributing and collecting questionnaires through the online platform Wenjuanxing.Results:A total of 10,692 nurses answered the questionnaires.Of these questionnaires,9,442 were valid.The total geriatric nursing competence score of the clinical nursing staff was 2.29±0.81,the secondary hospital score was 2.23±0.78,and the tertiary hospital’s overall mean score was 2.33±0.83.The factors that influenced secondary hospitals included the department of medicine,age of nurses and total length of career(P<0.05).The factors that influenced tertiary hospitals included the department of medicine,age of nurses,nurses’professional title,and geriatric practical advanced nurses’certification(P<0.05).Conclusions:Geriatric nursing competence among clinical nursing staff is imbalanced at a lower-middle level and is influenced by various factors.Thefindings highlight the need for further clinical training in geriatric nursing.The training of geriatric nurses should focus on necessary clinical skills and on preparing them to adequately manage comprehensive geriatric syndromes.

Based on the ISM model embedded geriatric rehabilitation nursing facility development restriction factor analysis

This article through to new embedded geriatric rehabilitation care development present situation, pointed out that in the popularization of its restriction factors, and then asked a further analysis of various factors, constructed the obstacle factors explanation structure model （ISM）.According to the result of classification model and find out the problem, the most direct factors and put forward the corresponding Suggestions, facilities for embedded geriatric rehabilitation nursing mode to find out the key points of development, provide a reference value to scientific basis.

Real experience among undergraduate nursing students in learning the course of geriatric nursing : a qualitative study

Objective:To understand the real experience of nursing students majoring in geriatric nursing in learning the course of geriatric nursing,so as to provide reference for the design of this course.Methods:The semi-structured int erview was used to interview 27 sophomore nursing students in the department of geriatric nursing in a a Chinese medicine college to understand their experience of learning the course of"Geriatric Nursing",and to apply a seven-step phenomenological analy sis method for data analysis.Results:Refined 8 themes:Lack of cognition of physiological aging;focus on social issues and daily life care;adopting a blended teaching style to stimulate nursing students'interest in learning;understanding the life of the elderly from a professional point of view after class;reverence for life and realisation of life values;little attention is paid to the career of the elderly in China;Geriatric Nursing program expands the scope of employment;and fostering nursing s tudents'willingness to engage with the elderly.Conclusion:The nursing students can understand and experience to the elderly and their lives through learning the course of Geriatric Nursing,but lack the motivation to learn actively.Teachers should guid e nursing students to pre-study before class,enrich the course content,expand their knowledge outside of class,and adopt blended teaching to cultivate their perception of the elderly.

Cognitive Ability in Elderly in a City in Northeastern Brazil: An Analytical Study

To analyze the cognitive ability of elderly people assisted by the Family Health Strategy (FHS) in a northeastern Brazilian city, a cross-sectional, analytical study was conducted with 406 elderly assisted by the FHS in Mossoro-RN, Brazil, from March to May 2014. The data were collected through two validated questionnaires. For the data analysis, the Alpha Cronbach’s, Kruskal-Wallis test, chi-square and Pearson correlation statistical tests were applied. There was a predominance of women (67.98%) in the survey. Among the respondents, 50% had an index of up to 27 points in Pfeffer Instrument, identifying greater degree of dependence in performing instrumental daily activities related to mobility in the community (39.7%) and financial management (57.1%). On Mini-Mental State Examination (MMSE), 75% of seniors had an index above 27 points, with the scores classification as standard (50.99%), mild (25.12%), moderate (22.66%) and severe (1.23%). Although changes have been identified in cognitive performance and independence of elderly people in some areas, these difficulties do not completely affect the lives and daily activities of the elderly.

Implementation of Robotic Hygiene System for Surveillance and Prevention of Hospital Infections in Non-Self-Sufficient Patients

Background: Personal hygiene in non-self-sufficient patients is essential to prevent the proliferation and spread of bacteria from one patient to another, both through inanimate objects (fomites) and directly through healthcare workers. The first 1000 bed hygiene treatments performed by the collaborative robot “COPERNICO Surveillance & Prevention” in 229 non-self-sufficient patients were analyzed. Materials and Methods: A total of 229 patients were included: 215 patients came from emergency contexts or home, and 14 from long-term care facilities;the presence of sepsis, venous or urinary catheters, non-invasive ventilation, bedsores, clinical condition at discharge, and treatment sessions performed were recorded. All patients were hospitalized in the Geriatrics, Medicine and Pneumology departments. The system is able to collect and process data in real time. Results: Seventy-one patients with community-acquired sepsis and fourteen with healthcare-associated infections were treated;sixty-two had pressure ulcers. The analysis of the first 1000 treatments shows the healing of almost all sepsis cases, positive evolution of pressure ulcers, and hospital stays comparable to those of the entire group of 1008 hospitalized in the same period. There was no onset of side effects or complications. Conclusions: Although the healthcare setting is not among those at greatest risk of infections, the clinical efficacy, along with excellent evaluations from patients, family members, and healthcare personnel and the absence of side effects and complications, makes the system exceptionally manageable and user-friendly for non-self-sufficient patients.