护士长变革型领导力与职业认同、组织承诺关系的路径分析

目的探讨护士长变革型领导力与职业认同、组织承诺的关系,为提高护士长变革型领导力提供实证依据。方法采用便利抽样法抽取泰安市中心医院134名护士长,采用横断面调查法对其进行变革型领导力、职业认同、组织承诺现况调查。结果研究对象变革型领导力评分为(93.62±9.54)分、职业认同评分为(110.48±11.00)分、组织承诺评分为(98.13±9.63)分。各变量之间均呈显著正相关(P<0.01)。护士长变革型领导力在是否接受系统领导力培训方面差异有统计学意义(P<0.01)。护士长职业认同对变革型领导力具有直接正向预测作用(r=0.182,P<0.01),对护士长的组织承诺有正向预测作用(r=1.000,P<0.01)。组织承诺对变革型领导力有正向预测作用(r=0.818,P<0.01)。职业认同可以通过组织承诺的中介效应间接影响护士长的变革型领导力,95%CI:0.477~0.732,间接效应分析效应值为0.513,Z=7.888,P<0.01。结论研究对象职业认同处于中等水平,变革型领导力得分低于同类研究。是否接受过领导力培训是护士长变革型领导力的重要影响因素。组织承诺在职业认同对变革型领导力的影响中起部分中介作用。加强护士长变革型领导力培训,提高护士长职业认同和组织承诺能有效提高护士长变革型领导力。

Comparison of Emergency Management Strategies for Nosocomial Infections Between Two Earthquakes

Aim:Based on the experience of the 5.12 Wenchuan Earthquake and the 8.8 Jiuzhaigou Earthquake,the emergency management strategies for nosocomial infections were compared between the two earthquakes.The experience shared in the present study provides a guideline for the emergency medical rescue of future earthquake.Methods:The patients involved in this study were those injured in the earthquake and admitted to the hospital for treatment.As an earthquake relief center,the hospital participated in the emergency rescue work of the two recent major earthquakes in western China.Review analysis was carried out in the hospital's infection control experience adopted in the two major earthquakes.It was emphasized that,targeting the characteristics and difficulties in the prevention and control of nosocomial infection,different innovative infection control emergency strategies were adopted by the frontline disaster relief hospitals,under the special circumstances and medical conditions in an earthquake disaster.Results:According to the different focus of infection control in the two earthquakes,different hospital infection control strategies were adopted,and the incidence of nosocomial infections was effectively controlled.

医学专业大学生对预立医疗照护计划的认知态度及制订意愿的影响因素研究

目的调查医学专业大学生对预立医疗照护计划的认知及态度情况并分析影响其制订预立医疗照护计划意愿的因素,为扩大预立医疗照护计划的服务范围,推广实施预立医疗照护计划提供参考。方法采用便利抽样法于2021年3月至5月使用预立医疗照护计划问卷对11所大学569名医学专业大学生进行网络问卷调查。结果393名(69.07%)医学专业大学生表示从没听说过预立医疗照护计划,但453名(79.61%)愿意在将来制订预立医疗照护计划。Logistic回归结果显示,性别、过去5年经历、是否听说过决策代理者、是否认为应在社区实施预立医疗照护计划是影响医学专业大学生制订预立医疗照护计划意愿的因素。结论我国医学专业大学生对预立医疗照护计划的知晓率低,但制订预立医疗照护计划的态度较为积极,高校应开设生死学相关课程,对医学专业大学生进行生命教育,提高医学专业大学生对生命及其存在价值的认识,从而提升其对患者的生命自主权的尊重。

Study on the Application Effect of Family Follow-Up Rehabilitation Nursing in Elderly Autistic Patients in Community Institutions

Objective:To study the effect of family follow-up nursing in rehabilitation of elderly autistic patients in community institutions.Methods:120 elderly autistic patients from February 2021 to July 2022 were randomly divided into a control group and a test group with 60 cases each.The patients in the control group were cared for at home by their family members,while the patients in the test group were given family follow-up rehabilitation care on the basis of the control group.The compliance of patients in the rehabilitation process,the UCLA loneliness score,the autism treatment assessment scale(ATEC)score of patients after this nursing care,and the quality-of-life scores of patients of the two groups before and after nursing care were compared.Results:The compliance of patients in the process of rehabilitation treatment was better in the experimental group than in the experimental group.The physical function score of patients after nursing was better in the experimental group than in the experimental group.The UCLA loneliness score and ATEC score of patients in the experimental group after nursing were lower than those of the control group(P<0.05);the quality-of-life score was higher in the experimental group(P<0.05).Conclusion:The application of family follow-up nursing in the rehabilitation of elderly autistic patients in community institutions can significantly improve patients’compliance and improve their prognosis,thus having high clinical value.