Work-related quality of life and performance appraisal among nurses at a tertiary hospital in Philippines

Objective:The objective of the study is to describe the work-related quality of life(WRQOL)among nurses and explore its association with performance evaluation ratings.Methods:A cross-sectional design was utilized measuring the WRQOL scale and the previous performance appraisal rating.Multistage sampling approach was utilized with nurses stratified based on their position and then systematically random sampled based on their unit assignment.Results:One hundred and eighty-two nurses were included.About half reported a high quality of work life(101;55.5%).Low scores were noted on the subscale working conditions(100;54.9%),low to average responses for home-work interface(109;59.9%),control at work(100;54.9%),and stress at work(90;49.5%).A higher proportion of nurses reported positive responses toward the areas of general well-being(113;62.1%)and job-career satisfaction(112;61.5%),than in the other subscales.There were notable differences between WRQOL ratings:(1)Head nurses had the highest perceived quality of work life,followed by nurse supervisors and charge nurses(F=6.1,P<0.01)and(2)Nurses in the pay-patient services reported lower quality of working life,while those in office and outpatient services had more positive scores(F=4.6,P<0.01).Conclusion:Only more than half of the nurses reported a high quality of work life,some of its dimensions,particularly job and career satisfaction and working conditions,appeared to vary in the perceived degree across years in service,work hours,and position.The assessment of the quality of work life may serve as an important tool to address staff burnout,absenteeism and other issues that affect job performance among health-care professionals.

The Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) instrument: Psychometric properties and staff views of the quality of forensic psychiatric services in Sweden

The aim of the present study was to evaluate the psychometric properties and dimensionality of the instrument Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) and to describe the perceived quality of psychiatric care among forensic inpatient service staff. A sample of 348 forensic inpatient staff from 18 forensic wards in Sweden participated in the study. A confirmatory factor analysis revealed a seven-factor structure with item loadings > 0.50 on expected factors, indicating adequate psychometric properties. The staff’s ratings of quality of care were high, 94% being positive. The highest ratings were found for the secluded-environment dimension and the lowest for the secure-environment dimension. Several factors influenced the ratings of quality of care, for instance, staff’s time to perform their duties and staff’s age. It is concluded that the QPC-FIPS can give valuable information about staff’s perceptions of the quality of care provided at inpatient forensic psychiatric care services, which can be used to identify areas for quality improvement. Use of the QPC-FIPS is an easy and inexpensive way to evaluate quality in forensic inpatient care, preferably in conjunction with the QPC-FIP instrument developed for forensic inpatients and covering the same items and dimensions.

Factor Structure and Psychometric Properties of the Danish Adaptation of the Instrument Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS)

There is a need for an internationally standardized and psychometrically tested instrument to measure the perceptions of staff members on the quality of forensic inpatient care provided. The aim of the present study was to adapt the Swedish instrument Quality of Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) to the Danish context and to evaluate its psychometric properties and factor structure in this context. All permanently employed staff members at all 27 forensic inpatient wards in Denmark were invited to answer the Danish version of the QPC-FIPS. In total, 641 staff members participated, resulting in a response rate of 80%. The Danish version of the QPC-FIPS showed adequate psychometric properties and excellent goodness of fit of the hypothesised factor structure. Hence, the Danish QPC-FIPS is an excellent instrument for evaluating quality of forensic inpatient care both in clinical practice and in cross-cultural research. The members of staff generally reported that the care provided to patients was of high quality. The quality of the forensic-specific dimension was rated the highest, followed by the support, secluded environment, encounter, discharge and participation. The quality of the secure environment dimension was perceived to be the worst. The QPC-FIPS includes important aspects of staff members’ assessments of quality of care and offers a simple and inexpensive way to evaluate psychiatric forensic inpatient care. The QPC-FIPS can be used together with the Quality of Psychiatric Care-Forensic In-Patient (QPC-FIP) instrument, which covers the same items and dimensions as the QPC-FIPS, to identify patients’ and staff members’ views on quality of care and to improve the quality of forensic psychiatric care and benchmarking.

A study of the relationship between professional values and ethical climate and nurses'professional quality of life in Iran

Objective:To explore the relationship between nursing professional values and ethical climate and nurses'professional quality of life.Methods:The present study is a descriptive,cross-sectional work in which 400 nurses from various wards of hospitals in the south-east of Iran were studied.Data were collected using a questionnaire consisting of four sections:demographics,Nurses'Professional Values Scale-Revised(NPVS-R),the Hospital Ethical Climate Survey(HECS),and the Professional Quality of Life Scale(ProQOL).Results:The total mean scores for professional values were 105.29±15.60.The total mean score for the ethical climate was 100.09±17.11.The mean scores for the indexes of compassion satisfaction,burnout,and secondary traumatic stress were 45.29±8.93,34.38±6.84,and 32.15±7.02 respectively.The relationships between professional values and the indexes of compassion satisfaction(r=0.56),burnout(r=0.26),and secondary traumatic stress(r=0.18)were found to be positive and significant(P<0.001).Also,the relationships between ethical climate and the items of compassion satisfaction(r=0.60,P<0.001),burnout(r=0.15,P=0.002)were found to be positive and significant.Conclusion:An understanding of nurses'perception of professional values and improving the ethical climate at work can help nursing administrators identify more effective strategies toward increasing compassion satisfaction and lessening bumout and work-related stress.

Nurse staffing and life expectancy at birth and at 65 years old:Evidence from 35 OECD countries

Objective: To measure the possible magnitude of the role nurse staffing has on increasing life expectancy at birth and at 65 years old.Methods: The statistical technique of panel data analysis was applied to investigate the relationship from the number of practicing nurses' density per 1000 population to life expectancy at birth and at 65 years old.Five control variables were used as the proxies for the levels of medical staffing,health care financial and physical resources,and medical technology.The observations of 35 member countries of Organization for Economic Co-operation and Development (OECD) were collected from OECD Health Statistics over 2000-2016 period.Results: There were meaningful relationships from nurse staffing to life expectancy at birth and at 65 years with the long-run elasticities of 0.02 and 0.08,respectively.Overall,the role of nursing characteristics in increasing life expectancy indicators varied among different health care systems of OECD countries and in average were determined at the highest level in Japan (0.25),followed by Iceland (0.24),Belgium (0.21),Czech Republic (0.21),Slovenia (0.20) and Sweden (0.18).Conclusion: A higher proportion of nursing staff is associated with higher life expectancy in OECD countries and the dependency of life expectancy to nursing staff would increase by aging.Hence,the findings of this study warn health policy makers about ignoring the effects nursing shortages create e.g.increasing the risk of actual age-specific mortality,especially in care of elderly people.

Survey of the Sleep Quality of Medical Staff in a Grade A Tertiary Hospital during the Novel Coronavirus Pneumonia Outbreak

This study aimed to investigate the sleep quality of medical staff in China who are combatting novel coronavirus pneumonia(COVID-19).To perform this,a survey of 127 medical staff from three separate wards(the general ward,isolation ward,and fever clinic)of a Grade A tertiary hospital in China was conducted.The survey questionnaire measured general characteristics and included the Pittsburgh Sleep Quality Index(PSQI).We consequently found that global PSQI scores differed significantly between the different wards(χ2=44.561,P<0.001).Whilst the medical staff in the general ward did not report any sleep disturbances,those in the isolation ward and the fever clinic both exhibited various degrees of sleep disturbance(global PSQI score>7).Medical staff in the isolation ward had the worst sleep quality(mean rank=91.74),followed by those in the fever clinic(mean rank=70.52)and the general ward(mean rank=39.10),respectively.The primary sleep disturbances reported by the medical staff from the isolation ward included difficulty falling asleep(24 cases,71.42%),waking early or at night(28 cases,80%),and nightmares(18 cases,51.42%).In addition,31.42%(11 cases)of the medical staff from the isolation ward had less than six hours of sleep a night,and 65.71%(23 cases)felt that their sleep quality was poor;meanwhile,for the staff from the fever clinic these ratios were 16.67%(seven cases)and 33.33%(14 cases),respectively.In contrast,among medical staff in the general ward,98%(49 cases)reported sleeping for more than six hours a night,and 96%felt that their sleep quality was good.In conclusion,of the medical staff providing treatment for COVID-19,those in isolation wards and fever clinics are more likely to experience sleep disturbances.

Evaluation of patient safety culture as perceived by nurses during the COVID-19 pandemic

Objectives:A good patient safety culture(PSC)is linked to a reduced risk of patient problems and minimal undesirable occurrences.This study investigated the PSC levels from nurses'perspectives during the COVID-19 pandemic.Methods:A descriptive cross-sectional design was applied.The Hospital Survey on Patient Safety Culture(HSOPSC)questionnaire was administered to 315 nurses working at 2 major hospitals in Jeddah,Saudi Arabia.The data were analyzed using descriptive statistics,a t-test,and a one-way ANOVA test.The statistical significance of the correlation was determined at the 0.05 level.Results:PSC was rated as medium overall according to the nurses,with a weighted mean of 2.88–0.76 and a relative weight of 57.57%.In addition,all PSC composites were rated from medium to high,except organizational learning,which was rated low.The correlation between sociodemographic variables as well as PSC levels was investigated using the t-test and one-way ANOVA test.The association is statistically significant when P≤0.05.The findings revealed a statistically significant correlation between nurse nationality(t=-4.399,P=0.000),age(F=7.917,P=0.000),experience in years(F=3.760,P=0.024),and hospital(t=-0.401,P=0.689).Conclusions:The nurses in this study had a medium overall PSC level,and all PSC composites ranged from a medium to a high level,except organizational learning,which had a low level.In addition,the findings showed that there is a significant relationship between PSC levels,nurses'nationalities,experience in years,and the hospital itself.

住院医师规范化培训师资队伍能力提升路径探讨

住院医师规范化培训(简称“住培”)指导医师的综合能力和素质是培养优秀住院医师的重要保障,也是影响住培质量的关键要素。随着我国住培管理制度的不断完善,住培师资队伍能力提升最主要的途径已不仅限于师资培训,骨干师资培育计划也逐渐成为高效提升住培师资能力的创新途径。骨干师资培育计划将住培师资培养目标进行了更加细致的划分,指导医师以自身教学业绩及教学能力水平等为基础,通过开展一系列的教学活动逐步提高综合教学能力。教学管理部门组织专家通过遴选体系、培训体系、考核体系对骨干师资培育对象进行严格的三级培育体系管理,严把入口、过程、出口三个关键环节,强调过程管理和目标考核,并引入住培督导反馈机制,同时配套资助及激励政策。骨干师资培育计划的开展探索了住培师资队伍建设的新途径,对逐步分层次提升住培师资能力提供新的思路。

世界主要国家教育变革的发展趋势与中国选择

世界主要国家正面临公平优质教育发展陷入困境,青年技能与劳动力市场脱节,专业教师队伍建设亟待加强,信息革命带来潜在教育风险,教育国际交流合作频繁受阻等多重挑战。针对诸多难题,世界各国政府采取了一系列措施:扩大教育资源供给,促进教育机会公平;规范教育法律法规,健全教育保障体系;强化知识技能习得,提高人才培养质量;提升教师专业水平,激发教育内生动力;深化职业教育改革,支撑产业结构升级;加强教育评估问责,确保组织管理效率;对接国际双向需求,加快教育全球布局;深化教育简政放权,提升综合治理效能。我国教育改革须形成整体性全局性意识,以其他国家先行经验为镜鉴,站在促进学生个体全面发展、引领经济社会创新转型、服务国家重大战略的高度进行系统规划。

基于数据驱动的数智化护理管理平台构建与应用

让新质生产力赋能护理质量管理,是护理管理者的时代课题。基于数据中台,运用数据采集引擎、转换引擎、可视化技术等,融合各异构业务系统原始数据,构建了集运营管理、质量管理、人员管理于一体的数智化护理管理平台,实现了多系统管理业务数据的自动采集、一站式展示、实时监测、智能预警,提高了护理决策科学化水平,提升了护理智慧化管理水平。

中国特色高质量职业教育师资队伍的时代内涵、建设目标与实现路径

建设中国特色高质量职业教育师资队伍是实现中国式职业教育现代化的题中要义。以问题视角切入,当务之急需厘清“是什么、建什么、怎样建”三个基础问题。“是什么”本质是阐释中国特色高质量职业教育师资队伍时代内涵:基于国家战略要义解读,可架构“立场、使命、战术、评价”四维内涵理解框架;“建什么”本质是明确中国特色高质量职业教育师资队伍建设目标:基于内涵四维理解框架,可明确“与时同频、文化承融、教做双湛、协同共生”四大关键建设目标;“怎样建”本质是设计中国特色高质量职业教育师资队伍实现路径:基于建设目标高效实现,可尝试构建“全生命期教育体系、文化承融赋责制度、教做双元评价机制、协作共赢激励机制”四条实现路径。

激励化管理对护理人员工作质量的影响评价

目的评价激励化管理对护理人员工作质量的影响。方法回顾性分析2021年1—12月山东大学附属儿童医院儿科实施常规管理的13名护理人员作为对照组,2022年1—12月山东大学附属儿童医院儿科实施激励化管理的12名护理人员作为观察组。比较不同管理模式对2组护理人员工作质量的影响。结果观察组个人成就感评分为(39.87±4.12)分,高于对照组的(33.37±3.90)分;观察组情感耗竭、去人格化评分分别为(23.34±3.86)分、(9.12±1.34)分,低于对照组的(30.96±5.17)分、(14.40±1.32)分,差异有统计学意义(P<0.05)。观察组工作投入量表(utrecht work engagement scale,UWES)评分高于对照组,差异有统计学意义(P<0.05)。观察组职业获益感评分高于对照组,差异有统计学意义(P<0.05)。观察组护理水平评分高于对照组,差异有统计学意义(P<0.05)。观察组核心胜任力评分高于对照组,差异有统计学意义(P<0.05)。结论激励化管理对护理人员工作质量提高具有积极影响,可减轻护理人员职业倦怠感,提升工作投入状况、职业获益感及护理水平。

教师教育强国建设的历史依据、时代诉求与战略举措

教师教育强国建设是教育强国建设持续繁荣的根基。自中华人民共和国成立以来,教师教育本体实践的历史贡献、学科发展的历史规律、伟大进程的历史经验决定了我国必须坚定地走教师教育强国之路。教师教育强国建设要回应中国式现代化建设的重大战略需求、应对未来社会发展对新质教师提出的创新要求以及破解教师教育自身主要矛盾的现实需求。锚定“双优先”战略定位、坚持“双提高”战略目标、明确“双激励”战略手段、突出“双进阶”战略要素、构建“双驱动”战略保障是中国特色教师教育强国建设的战略举措。

现代产业学院背景下产教融合模式探索与实践研究

产教融合工作在现代产业学院建设的加持下展现出新的发展前景,各高校结合自身办学特点开发了多元化的校企合作模式,同时也表现出融合深度不够、体制机制不完善等问题。文章研究表明,唐山学院智能与信息工程学院依托现代产业学院建设步伐,不断发现问题、总结经验,在实践中提出“双轨双赋能”产教融合建设模式,采用“四步走”战略提高师资队伍建设水平,采用“三支撑”架构提升专业人才培养质量,创新产教融合手段、激发企业融入热情、助力现代产业学院发展,大力推进科技成果落地转化,积极服务企业生产实际,切实提高了服务地区经济建设发展能力。

护理人员共享决策能力现状及影响因素研究

目的了解护理人员共享决策能力的现状并探讨影响因素,为共享决策能力教育与培训提供依据。方法采用一般资料调查表、护理人员共享决策能力量表、杰弗逊共情量表和组织支持感量表对7所综合医院的2363名护理人员进行调查。结果护理人员共享决策能力得分(3.79±0.72)分,共情能力(5.64±0.70)分,组织支持(3.73±0.79)分。多元线性回归分析显示,工作年限、是否接受过共享决策教育培训、共情能力、组织支持是护理人员共享决策能力的影响因素(均P<0.05)。结论护理人员共享决策能力处于中等水平。护理管理者应根据相关影响因素,制定培训计划,以提高护理人员共享决策能力。

新冠后疫情时期广州市医务人员职业生命质量调查

目的通过了解新冠后疫情时期广州市医务人员职业生命质量现状,为相关部门关注医务人员职业生命质量,采取相应的管理措施提供参考依据。方法采用横断面调查法,以定额抽样和便利抽样相结合的方式抽取调查对象,通过微信发送问卷至符合条件的医务人员进行填写。结果研究结果显示,广州市医务人员生命质量总分均值为104.0分,处于中等偏下水平。不同岗位的医务人员QWL7-32总分得分差异有统计学意义(P<0.05)。医技人员得分均值最高,临床护士得分均值最低。不同学历医务人员职业胜任感得分差异有统计学意义(P<0.05)。其中本科的职业胜任感中位数最低。不同岗位医务人员生理健康、职业满意度、职业胜任感和工作家庭平衡感得分差异有统计学意义(P<0.05)。其中生理健康、职业满意度和职业胜任感得分中位数临床护士低于其他岗位;工作家庭平衡感得分中位数临床护士、医技人员低于临床医生和行政职能科室人员。结论相关部门需重点关注本科学历职业胜任感、临床护士生理健康、职业满意度和职业胜任感,临床护士、医技人员工作家庭平衡感。应针对性地给予相应医务人员群体更多的人文关怀,关注其身心状况和家庭情况,合理安排工作时间,加强相关培训,支持外出进修和学习等。

基于职业生命质量的医务人员社会支持需求研究

目的通过调查新冠后疫情时期广州市医务人员社会支持需求,为相关部门对广州市医务人员进行针对性的社会支持,提高医务人员职业生命质量提供依据。方法采用横断面调查法,以定额抽样和便利抽样相结合的方式抽取调查对象,通过网络平台发送问卷至符合条件的医务人员进行填写。结果分析结果表明,广州市医务人员社会支持总分满分为20分,得分为9(7,11)分,其中媒体支持得分最低。不同年龄组、学历和岗位的医务人员社会支持总分得分差异有统计学意义(P<0.05)。各年龄组中,25岁以下得分中位数最低;各学历中,大专及以下得分中位数最低;各岗位中,行政职能科室得分中位数最高,其他岗位得分中位数相等。总人数排在前5位的社会支持需求为:患者理解和信任医务人员(93.03%)、单位提高薪酬福利(86.06%)、媒体正确政策宣传和舆论引导(83.41%)、媒体关注医务人员生存状态(80.29%)以及媒体加强失实报道和不当言论监管(76.92%)。25岁以下医务人员患者对遵守医嘱、大专及以下医务人员对家人(或朋友)关注身心健康的需求较高。总人数排在前5位的迫切希望的社会支持需求为:患者理解和信任医务人员(75.72%)、单位提高薪酬福利(53.85%)、家人或朋友协助家庭事务(42.55%)、媒体正确政策宣传和舆论引导(34.62%)和媒体关注医务人员生存状态(33.41%)。结论医务人员的社会支持得分不高,需要多方面给予社会支持。

辽宁省护理人员护理质量管理工具认知与应用现状调查

目的 调查辽宁省护理人员护理质量管理工具认知与应用现状,为开展质量管理工具培训、推动护理高质量发展提供依据。方法 采用分层随机与便利抽样相结合的方法,对辽宁省238所医院的护理部主任和4 355名护理人员进行问卷调查。结果 92.44%的医院应用过质量管理工具,平均每所医院应用2.86种。90.38%的护理人员应用过质量管理工具,但仅有34.54%的护理人员对所应用质量管理工具的熟悉程度在75%以上;护理人员对质量管理工具的认知得分为(49.74±15.76)分,态度得分为(21.02±3.55)分;制约护理人员使用质量管理工具的因素有应用经验不足、基本理论掌握不足、日常工作量繁重、医院信息化支持不足等。结论 护理质量管理工具应用的种类和范围仍需增加,护理人员对质量管理工具的认知水平和应用能力有待提高。医院应重视对护理质量管理工具临床应用的推进,有针对性地开展质量管理工具培训。

基于“WSR”构建护理人员应对突发公共卫生事件的质量管理体系

目的:建立基于“WSR”的质量管理体系,以提高护理人员应对突发公共卫生事件的能力。方法:基于“WSR”建立护理人员的网格化管理,通过确定质量管理体系的组织体系、质量方针,实施质量管理体系的流程控制,建立四层次的体系文件来构建质量管理体系,并通过技术评价确定该质量管理体系的运行效果。结果:通过建立全面质量管理的管理体系,实现了预设的质量方针、发现了系统运行的不足点,并将进行持续改进。结论:基于“WSR”构建护理人员应对突发公共卫生事件的质量管理体系,可帮助护理人员快速响应、高效应对突发公共卫生事件。

工会聚焦儿科医务人员精神文化需求的研究

目的调查并分析苏州市某三甲儿童专科医院医务人员的精神文化需求现状,从工会在医院精神文化建设发挥作用的角度,探索渠道和途经,为相关医院开展精神文化活动提供借鉴。方法选取2021年10月—2023年3月苏州市某三甲儿童专科医院的2010名职工进行网上问卷调查,分析职工的精神文化需求。结果经过数据分析,紧张、焦虑等心理状态普遍存在于儿科医务人员中,77.18%的职工认为开展精神文化类活动对缓解工作压力有帮助,当前儿科医务人员对精神文化类活动的需求呈现多样化、个性化的特点。结论工会在儿科医院精神文化建设中应与时俱进,结合儿科医务人员现实所需,在思想引领、活动创新、阵地建设等方面主动作为,不断满足儿科医务人员的精神文化需求。