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A Study on the Factors Influencing the Knowledge Hiding of Nurses in Chinese Public Hospitals: A Test of Mediating Effects Based on Psychological Ownership of Knowledge 公立医院护士知识隐藏的影响因素研究——基于知识心理所有权的中介效应检验
Pub Date : 2023-04-27 DOI: 10.11648/j.ajns.20231202.13
Mengxue Fu, Ming-heng Liu, Jijun Wu, Guojing Han, Yuping Chen
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引用次数: 0
A Safety Goggles for Dental Treatment That Can Monitor the Pulse 一种可以监测脉搏的牙科治疗护目镜
Pub Date : 2023-04-23 DOI: 10.11648/j.ajns.20231202.12
Qing Yuan, Song Yang, Xue-Jing Lin, Jie Zhou, Yu-Xuan Han, Lin-Han Wu, Pin-Xin Zhan, Wen-Xuan Tang, Diwas Sunchuri, Zhu-Ling Guo
{"title":"A Safety Goggles for Dental Treatment That Can Monitor the Pulse","authors":"Qing Yuan, Song Yang, Xue-Jing Lin, Jie Zhou, Yu-Xuan Han, Lin-Han Wu, Pin-Xin Zhan, Wen-Xuan Tang, Diwas Sunchuri, Zhu-Ling Guo","doi":"10.11648/j.ajns.20231202.12","DOIUrl":"https://doi.org/10.11648/j.ajns.20231202.12","url":null,"abstract":"","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122200696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Practical Study of a Nursing Manpower Deployment Program Under Temporary Tasks 临时任务下护理人力调配方案的实践研究
Pub Date : 2023-04-13 DOI: 10.11648/j.ajns.20231202.11
Chunfeng Xing, Guilin Liu, Rong Hu, Qiongying Su
: Objective We aim to investigate the practical methods and effects of hospital nursing manpower allocation under large temporary tasks and emergency situations of public emergencies. Methods A TFF nursing manpower deployment plan based on the principle of a three-level nursing management system, fixed and dedicated shift scheduling, and the assistance of flexible nurses was constructed. Under the condition of ensuring the normal work of in-hospital treatment, 936 nursing staff was flexibly deployed from the whole hospital to support large temporary tasks outside the hospital and emergency tasks of public emergencies. Results During the period of facing large temporary tasks, our hospital managed human resources from April to August 2022 on the basis of ensuring the quality and safety of in-hospital nursing work
目的探讨大型临时任务和突发公共事件紧急情况下医院护理人力配置的实践方法和效果。方法根据三级护理管理体系、固定和专用排班、灵活护士辅助的原则,构建TFF护理人力配置方案。在保证院内治疗正常工作的前提下,从全院灵活调配护理人员936人,支持院外大型临时任务和突发公共事件应急任务。结果2022年4月至8月,在临时任务较大期间,我院在保证院内护理工作质量和安全的基础上,对人力资源进行了管理
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引用次数: 0
Experiences of Healthcare Workers Working in COVID-19 Isolation Wards in Lesotho: A Qualitative Study 莱索托COVID-19隔离病房医护人员工作经验:一项定性研究
Pub Date : 2023-02-24 DOI: 10.11648/j.ajns.20231201.14
Bokang Mahlelehlele, M. Lebona, M. Murandu
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引用次数: 0
Construction and Adjustment of the Training Program for Hospice Care Nursing Specialists Based on the Delphi Method 基于德尔菲法的临终关怀专科护士培训方案构建与调整
Pub Date : 2023-02-14 DOI: 10.11648/j.ajns.20231201.13
Shaoju Xie, Jiquan Zhang, Fan Xu, Qiao Li, Xiang-yu Luo, Yaoyao Long, X. Zhong
: Objectives : This study aimed to construct a novel training program focused on the cultivation of practical skills, in order to provide a reference for the training of hospice care (HС) nursing specialists in China. Methods : This study applied Delphi method to collect and analyze opinions of selected experts from different regions and organizations in China, who have knowledge or practical experience related to HC. Results : From October to December 2020, a total of 17 experts from 14 tertiary hospitals and 3 nursing colleges across China participated in the survey. In the first round, out of 17 experts 16 responded, with the expert positive coefficient of 93.8%. For the two rounds of survey, expert’s levels of familiarity with the field were 0.938 and 0.938, while expert’s judgment criterions were 0.868 and 0.878. Thus the authority coefficients for the two rounds were 0.903 and 0.908, indicating high enough degree of authority of the participating experts. Training content covered the overview of HC, comfort care, heart-spirit-community support, hospice services, ethics and law, communication skills and stress response. After proposed adjustments the final training program for HС nursing specialists included 8 first-level sections, 24 second-level sections, and 57 third-level sections, designed for theoretical training time of 4 weeks and practical training of 8 weeks. Conclusion : The new training program for Hospice Care nursing specialists was constructed and evaluated by experts. Content of the program was considered to be comprehensive and reliable, and could provide a reference for the training of HC nursing specialists in China.
摘要:目的:本研究旨在建构一套以实务技能培养为核心的新训练模式,为中国安宁疗护(HС)专科医师的训练提供参考。方法:本研究采用德尔菲法,对来自中国不同地区、不同组织的具有HC相关知识或实践经验的专家进行意见收集和分析。结果:2020年10月至12月,来自全国14家三级医院和3所护理院校的17名专家参与了调查。在第一轮中,17名专家中有16人回答,专家正面系数为93.8%。两轮调查中,专家对该领域的熟悉程度分别为0.938和0.938,专家的判断标准分别为0.868和0.878。因此,两轮的权威系数分别为0.903和0.908,说明参与专家的权威程度足够高。培训内容包括健康护理概述、舒适护理、心灵-社区支持、临终关怀服务、道德与法律、沟通技巧和压力反应。经建议调整后,HС护理专家的最终培训计划包括8个一级班、24个二级班、57个三级班,理论培训时间为4周,实践培训时间为8周。结论:构建了新的临终关怀专家培训方案,并得到了专家的评价。认为该方案内容全面、可靠,可为国内HC护理专科人才培养提供参考。
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引用次数: 0
Democratic Parenting on Knowledge, Attitudes and Drug-Free Behavior for Teenagers 民主教育对青少年知识、态度和无毒行为的影响
Pub Date : 2023-01-17 DOI: 10.11648/j.ajns.20231201.11
Grido Handoko Sriyono, Alwin Widhiyanto
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引用次数: 0
In Adult Breast Cancer Patients, the Effect of Compression Garments on Changes in the Volume of Breast Cancer lymphedema: A Literature Review 在成年乳腺癌患者中,压缩服装对乳腺癌淋巴水肿体积变化的影响:文献综述
Pub Date : 2023-01-17 DOI: 10.11648/j.ajns.20231201.12
Yaoyao Long, Shaoju Xie, Qiao Li, Na Wang
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引用次数: 0
Nurses’ Perceptions regarding the antiretroviral therapy services at selected health facilities in Lesotho 护士对莱索托选定卫生机构抗逆转录病毒治疗服务的看法
Pub Date : 2021-10-26 DOI: 10.1101/2021.10.21.21265325
I. Nyangu, Z. Nkosi
In Lesotho, ART services are provided in primary health care (PHC) facilities which are mostly run by nurses.The study aimed to describe perceptions of nurses regarding the antiretroviral therapy services at PHC facilities across six selected districts in Lesotho.A cross sectional survey was conducted in which convenience sampling was used to select 214 nurses working at PHC facilities across six districts. They completed a structured self-report questionnaire that collected information on their perceptions using a Likert scale with six options (strongly agree, agree, neutral, disagree, strongly disagree, and no answer). The response rate was 92% (n=197) and data were analyzed using SPSS (23).Nurses’ perceptions were positive and the same on whether ARVS and other medications were available; they were qualified and competent to provide ART services; they had adequate resources and equipment to provide ART services; they were satisfied with their jobs and the services they provided; and there was monitoring and evaluating system for the ART services. Nurses’ perceptions significantly differed and were mostly negative on whether they were adequately staffed to provide ART services; their organizational structures allowed for the provision of adequate and efficient services; ART services were accessible; and there was adequate and accurate documentation of the ART services they provided.As nurses are the main health care providers in Lesotho, their perceptions are important in improving service delivery. It is important to standardize ART services across the districts to ensure equitable accessibility in line with service demand.
在莱索托,抗逆转录病毒治疗服务是在初级保健设施提供的,这些设施大多由护士管理。该研究旨在描述护士对莱索托六个选定地区初级保健机构抗逆转录病毒治疗服务的看法。采用方便抽样的横断面调查方法,选取6个地区的214名在初级保健机构工作的护士。他们完成了一份结构化的自我报告问卷,使用李克特量表收集了他们对六个选项(强烈同意、同意、中立、不同意、强烈不同意和不回答)的看法信息。有效率为92% (n=197),数据采用SPSS(23)分析。护士对是否可获得抗逆转录病毒药物和其他药物的看法是积极的;他们有资格和能力提供抗逆转录病毒治疗服务;他们有足够的资源和设备提供抗逆转录病毒治疗服务;他们对自己的工作和提供的服务感到满意;还有抗逆转录病毒治疗服务的监测和评估系统。护士的看法显著不同,并且对是否有足够的人员提供抗逆转录病毒治疗服务大多持否定态度;它们的组织结构允许提供充分和有效的服务;提供抗逆转录病毒治疗服务;他们提供的抗逆转录病毒治疗服务有充分和准确的文件记录。由于护士是莱索托的主要卫生保健提供者,她们的看法对改善服务提供非常重要。重要的是使各个地区的抗逆转录病毒治疗服务标准化,以确保公平获得符合服务需求的服务。
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引用次数: 0
The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic 新冠肺炎大流行期间,政策驱动下降低成人住院患者“轻度疼痛”的疼痛强度
Pub Date : 2021-10-12 DOI: 10.11648/J.AJNS.20211005.14
Litaba Efraim Kolobe, Nabeeha Tashkandi, A. Caswell, Sheikha Al Anizi, Aisha Al Khanbaie, Waad Maringah, Kawther Ajarmeh, Eman Al Ruwaili
Context: Moderate to severe pain has a profound negative impact on functioning and quality of life, hence nursing guidelines were needed as the driving force to optimize pain nursing interventions. Aim: To enhance the reduction of adult inpatients' pain intensity of not more than mild pain during the COVID-19 pandemic nursing care settings. Methods: For this hospital-wide pain management quality improvement initiative, quarterly cross-sectional pain prevalence surveys were conducted between February 2020 and February 2021. For patients with pain scores less than 4/10 only section one of the survey questionnaires was used, while those with pain scores more than mild pain chart review was performed utilizing section two of the questionnaire. The 80/20 principle was adopted to identify the area that needs attention for specific improvement actions of each unit that achieved less than 80% of patients with pain intensity less than 4/10. Results: University Hospital A achieved an average of 92% throughout the four quarters, and 87.4% was for University Hospital B. Less than 20% of patients during the four quarters of the surveys had moderate to severe pain in both hospitals. Conclusions: Both two hospitals achieved the target goal of more than 80% pain prevalence scores of not more than mild pain during the four quarters of the studies. It is therefore strongly recommended that healthcare organizations put in place policies and procedures that assign the nurses the target goal of effective pain management.
背景:中度至重度疼痛对功能和生活质量有深远的负面影响,因此需要护理指南作为优化疼痛护理干预措施的驱动力。目的:加强COVID-19大流行护理环境中成人住院患者轻度以上疼痛强度的降低。方法:在2020年2月至2021年2月期间,对全院范围内的疼痛管理质量改进计划进行了季度横断面疼痛患病率调查。对于疼痛评分低于4/10的患者,仅使用调查问卷的第一部分,而对于疼痛评分高于轻度疼痛的患者,使用调查问卷的第二部分进行疼痛图表回顾。采用80/20原则,对疼痛强度小于4/10的患者,达到80%以下的各单元需要注意的具体改善措施进行识别。结果:大学A医院四个季度的平均疼痛率为92%,大学b医院的平均疼痛率为87.4%。在四个季度的调查中,两家医院均有不到20%的患者出现中度至重度疼痛。结论:在四个季度的研究中,两家医院都达到了超过80%的疼痛患病率评分,不超过轻度疼痛。因此,强烈建议医疗机构制定适当的政策和程序,为护士分配有效疼痛管理的目标。
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引用次数: 0
Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients 血液透析患者动静脉瘘成熟率及时间的评价
Pub Date : 2021-09-27 DOI: 10.11648/J.AJNS.20211005.12
S. Haq, M. Bashir, M. Khan, M. Khan, Abdullah
The acceptance rate of hemodialysis (HD) in end stage renal disease (ESRD) patients has been increasing globally. Pakistan is a CKD high burden country with the increasing acceptance rate of HD. Unfortunately, there is dearth of published information regarding the rate, time to and factors associated with AVF maturation. The current retrospective cohort study was conducted with the aim to evaluate the rate, time to and factors associated with delayed AVF maturation. This study was conducted at the HD unit of Baluchistan Institute of Nephrology-Urology Quetta, Pakistan. The record of 120 HD patients who underwent native arteriovenous fistula (AVF) creation was reviewed focusing on the associated factors and arteriovenous fistula maturity. A standardized data collection form was used to abstract patients’ socio-demographic and clinical data. Delayed AVF maturation was defined as AVF which got mature after six weeks of its creation. Statistical Package for Social Sciences (SPSS version 20) was used for data analysis. Categorical data was presented at frequencies and percentages whereas, continuous data was presented as mean ± standard deviations. Chi-square and Fisher exact tests wherever applicable were conducted to find association between patients’ socio-demographic and clinical characteristics and delayed AVF maturation. A p-value <0.05 was considered statistically significant. Mean age and body mass index of the study participants were respectively 43.20 ±15.184 years and 20.14 ± 4.37 kg/m2. Majority of them were males (53.3%), belonged the age group 31-45 years (42.5%), rural residents (62.5%) and non-smokers (65.8%). A total of 93.3% patients were suffering from hypertension and 6.7% suffered from diabetes mellitus. Majority of the study participants had no family history of CKD (81.7%) and baseline visit of dialysis they had CKD duration of 2-5 years (47.5%). The mean time to AVF maturation in the current cohort was 41.9 ± 8.5 days. A total of 91.7% patients achieved the early maturation of AVF. No factor had statistical significant association with delayed AVF maturation. The rate of AVF maturation in the current cohort is comparatively high than reported in the published literature. Being a single centre study with retrospective design its results cannot be generalized. In the current study, 91.5% of the patients achieved early maturation of AVF. The rate of early maturation in the current cohort was comparatively higher than that reported in the previously published literature. In this retrospective study, we didn’t find out any factor which had significant association with time to AVF maturation.
终末期肾病(ESRD)患者血液透析(HD)的接受率在全球范围内呈上升趋势。巴基斯坦是CKD高负担国家,HD的接受率越来越高。不幸的是,缺乏关于AVF成熟的速度、时间和相关因素的公开信息。目前进行回顾性队列研究的目的是评估延迟AVF成熟的比率、时间和相关因素。这项研究是在巴基斯坦奎达俾路支省肾脏泌尿科研究所HD单位进行的。本文回顾了120例HD患者行先天性动静脉瘘(AVF)的记录,重点分析了相关因素和动静脉瘘的成熟度。采用标准化数据收集表对患者的社会人口学和临床数据进行抽象。延迟AVF成熟定义为AVF在其创建6周后成熟。使用SPSS version 20统计软件包进行数据分析。分类数据以频率和百分比表示,而连续数据以平均值±标准差表示。卡方检验和Fisher精确检验在适用的情况下进行,以发现患者的社会人口学和临床特征与AVF延迟成熟之间的关系。p值<0.05认为有统计学意义。研究对象的平均年龄和体重指数分别为43.20±15.184岁和20.14±4.37 kg/m2。其中男性占53.3%,年龄31-45岁占42.5%,农村居民占62.5%,非吸烟者占65.8%。93.3%的患者患有高血压,6.7%的患者患有糖尿病。大多数研究参与者没有CKD家族史(81.7%),基线透析就诊,CKD持续时间为2-5年(47.5%)。当前队列中AVF成熟的平均时间为41.9±8.5天。共有91.7%的患者实现了AVF的早期成熟。没有任何因素与AVF延迟成熟有统计学意义。当前队列中AVF的成熟率相对于已发表文献报道的要高。作为一项回顾性的单中心研究,其结果不能一概而论。在本研究中,91.5%的患者实现了AVF的早期成熟。当前队列中的早熟率相对高于先前发表的文献报道。在本回顾性研究中,我们未发现任何与AVF成熟时间有显著关联的因素。
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American Journal of Nursing Science
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