Pub Date : 2020-12-22DOI: 10.11648/J.AJNS.20200906.23
L. Mo, Xiaojuan Liao, Huijuan Cai
Background: Deep venous thrombosis (DVT) is a common complication of gynecological pelvic surgery. DVT focuses on prevention. How to make a detailed perioperative nursing plan and organize its implementation of the measures is a great significance for the prevention of DVT in patients undergoing gynecological pelvic surgery. Objective: To investigate the effect of perioperative nursing intervention measures on the prevention of lower extremity deep vein thrombosis (DVT) in patients undergoing pelvic surgery in gynecology. Methods: Set up a project improvement activity group, analyzation the reason of gynecological pelvic surgery patients with DVT, and development a detailed plan of perioperative nursing intervention measures. Organizing the implementation of “one-on-one” nursing intervention, the problems in the nursing process were collected and formulated solutions, inspection gaps in care, made up the nursing error and improved nursing content. It was used to improve the quality of preventive measures and promote their implementation by “plan-do-check-action” (PDCA) cycle. Results: The perioperative preventive measures were continuously improved with PDCA cycle. The incidence of DVT in patients with pelvic surgery in our gynecological ward decreased from 6.96% to 2.08%. The anus exhausting time, resumption of eating time, defecation time and first leaving bed time of perioperative nursing group were shorter than before of the project improvement activities. The hospitalization time of patients was also significantly shortened. The differences were statistically significant (P < 0.05). Through the follow-up survey, patients' satisfaction with nursing increased from 82.6% to 95.0%. Conclusion: Through the development of detailed perioperative nursing plan and promotion the implementation of the measures with PDCA cycle continuously improved for the prevention of DVT in patients undergoing gynecological pelvic surgery, the incidence of postoperative lower extremity DVT could be effectively reduced and also promote the rehabilitation of postoperative. It was significantly shortened in the hospitalization time of patients, and improved the satisfaction of patients in perioperative nursing.
{"title":"Effect of Perioperative Nursing on the Prevention of Lower Extremity Deep Vein Thrombosis in Patients Undergoing Gynecological Pelvic Surgery","authors":"L. Mo, Xiaojuan Liao, Huijuan Cai","doi":"10.11648/J.AJNS.20200906.23","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.23","url":null,"abstract":"Background: Deep venous thrombosis (DVT) is a common complication of gynecological pelvic surgery. DVT focuses on prevention. How to make a detailed perioperative nursing plan and organize its implementation of the measures is a great significance for the prevention of DVT in patients undergoing gynecological pelvic surgery. Objective: To investigate the effect of perioperative nursing intervention measures on the prevention of lower extremity deep vein thrombosis (DVT) in patients undergoing pelvic surgery in gynecology. Methods: Set up a project improvement activity group, analyzation the reason of gynecological pelvic surgery patients with DVT, and development a detailed plan of perioperative nursing intervention measures. Organizing the implementation of “one-on-one” nursing intervention, the problems in the nursing process were collected and formulated solutions, inspection gaps in care, made up the nursing error and improved nursing content. It was used to improve the quality of preventive measures and promote their implementation by “plan-do-check-action” (PDCA) cycle. Results: The perioperative preventive measures were continuously improved with PDCA cycle. The incidence of DVT in patients with pelvic surgery in our gynecological ward decreased from 6.96% to 2.08%. The anus exhausting time, resumption of eating time, defecation time and first leaving bed time of perioperative nursing group were shorter than before of the project improvement activities. The hospitalization time of patients was also significantly shortened. The differences were statistically significant (P < 0.05). Through the follow-up survey, patients' satisfaction with nursing increased from 82.6% to 95.0%. Conclusion: Through the development of detailed perioperative nursing plan and promotion the implementation of the measures with PDCA cycle continuously improved for the prevention of DVT in patients undergoing gynecological pelvic surgery, the incidence of postoperative lower extremity DVT could be effectively reduced and also promote the rehabilitation of postoperative. It was significantly shortened in the hospitalization time of patients, and improved the satisfaction of patients in perioperative nursing.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124725434","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}
Pub Date : 2020-12-22DOI: 10.11648/J.AJNS.20200906.21
Guilin Liu, Ruiying Huang, Yan Liu, Ni Zhang, Weiju Chen, Qingran Lin
Purpose: To determine the impact of the internet+ transitional care on knowledge, attitudes, and practice (KAP) of family caregivers of patients with Alzheimer’s disease (AD) and analyze the practicability of the internet+ Medical Messenger and WeChat network support platforms. Background: The number of AD patients in China has exceeded 10 million, ranking first in the world. Home care is the main way of care for AD patients. We use the Internet platform to implement “online” combined with “offline” continuous care for AD patients and home caregivers, and provide personalized health education and guidance, so that caregivers can easily master disease-related knowledge, establish positive care beliefs, improve care ability, and promote the improvement of patients’ caregivers’ knowledge, attitude and practice. Method: The family caregivers of 77 patients with AD were randomly divided into two groups (intervention group [40 patients] and control group [37 patients]). The intervention group adopted the internet + transitional care, while the control group adopted traditional transitional care. The KAP of the two groups of family caregivers before intervention, 3 months after intervention, and 6 months after intervention were analyzed. Results: The KAP scores of the 77 family caregivers before intervention were 17.39 ± 2.92, 33.42 ± 4.77, and 57.65 ± 13.84. There was no significant difference in the knowledge scores in the care (t=1.89, P=0.062) and symptom (t=1.78, P=0.078) dimensions 3 months after intervention, while there was a significant difference in the other KAP dimensions (P < 0.05). Conclusions: The internet + transitional care improves the level to of KAP among family caregivers of patients with AD and the effect was proportional to time.
目的：探讨 "互联网+过渡护理 "对阿尔茨海默病患者（AD）家庭照顾者的知识、态度和实践（KAP）的影响，并分析 "互联网+医疗信使 "和 "微信网络支持平台 "的实用性。研究背景中国老年痴呆症（AD）患者人数已超过 1000 万，居世界首位。家庭护理是 AD 患者的主要护理方式。我们利用互联网平台，对AD患者和家庭护理人员实施 "线上 "结合 "线下 "的连续护理，提供个性化的健康教育和指导，使护理人员轻松掌握疾病相关知识，树立积极的护理信念，提高护理能力，促进患者护理人员知识、态度和实践能力的提高。研究方法将77例AD患者的家庭护理人员随机分为两组（干预组[40例]和对照组[37例]）。干预组采用互联网+过渡性护理，对照组采用传统过渡性护理。对两组家庭照顾者在干预前、干预后 3 个月和干预后 6 个月的 KAP 进行分析。结果显示干预前 77 名家属照顾者的 KAP 得分为（17.39 ± 2.92）、（33.42 ± 4.77）和（57.65 ± 13.84）。干预 3 个月后，护理知识得分（t=1.89，P=0.062）和症状知识得分（t=1.78，P=0.078）无明显差异，而其他 KAP 维度有明显差异（P < 0.05）。结论互联网+过渡性护理提高了AD患者家庭护理者的KAP水平，且效果与时间成正比。
{"title":"Impact of the Internet+ Transitional Care on Knowledge, Attitudes, and Practice of Family Caregivers of Patients with Alzheimer’s Disease: A Randomized Controlled Trial","authors":"Guilin Liu, Ruiying Huang, Yan Liu, Ni Zhang, Weiju Chen, Qingran Lin","doi":"10.11648/J.AJNS.20200906.21","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.21","url":null,"abstract":"Purpose: To determine the impact of the internet+ transitional care on knowledge, attitudes, and practice (KAP) of family caregivers of patients with Alzheimer’s disease (AD) and analyze the practicability of the internet+ Medical Messenger and WeChat network support platforms. Background: The number of AD patients in China has exceeded 10 million, ranking first in the world. Home care is the main way of care for AD patients. We use the Internet platform to implement “online” combined with “offline” continuous care for AD patients and home caregivers, and provide personalized health education and guidance, so that caregivers can easily master disease-related knowledge, establish positive care beliefs, improve care ability, and promote the improvement of patients’ caregivers’ knowledge, attitude and practice. Method: The family caregivers of 77 patients with AD were randomly divided into two groups (intervention group [40 patients] and control group [37 patients]). The intervention group adopted the internet + transitional care, while the control group adopted traditional transitional care. The KAP of the two groups of family caregivers before intervention, 3 months after intervention, and 6 months after intervention were analyzed. Results: The KAP scores of the 77 family caregivers before intervention were 17.39 ± 2.92, 33.42 ± 4.77, and 57.65 ± 13.84. There was no significant difference in the knowledge scores in the care (t=1.89, P=0.062) and symptom (t=1.78, P=0.078) dimensions 3 months after intervention, while there was a significant difference in the other KAP dimensions (P < 0.05). Conclusions: The internet + transitional care improves the level to of KAP among family caregivers of patients with AD and the effect was proportional to time.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126934460","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}
Pub Date : 2020-12-22DOI: 10.11648/J.AJNS.20200906.24
Zhenghou Zhang, Shanshan Wang, Ziwei Liu, Ze-kai Li
Objective: To evaluate the efficacy of psychosocial interventions designed to improve the psychological distress of informal caregivers of cancer patients compared with usual care. Methods: Nine relevant databases were searched from inception to November 2020. We included randomized controlled trials focused on comparing psychosocial interventions delivered to informal cancer caregivers with usual care. Study quality was evaluated with the Cochrane Risk of Bias Assessment Tool, and meta-analysis was performed using Review Manager statistical software. Results: Fifteen studies involving 1006 participants met the inclusion criteria, and several kinds of psychosocial interventions were applied to either cancer caregivers or patient-caregiver dyads. Compared to usual care, psychosocial interventions manifested positive, significant results in depression (SMD=-0.47, 95%CI -0.71 to -0.24, P<0.001) and anxiety (SMD=-0.50, 95%CI -0.91 to -0.09, P=0.02). And the psychosocial interventions have no significant effect on general psychological distress (SMD=-0.25, 95%CI -0.54 to 0.05, P=0.10) and subjective burden (SMD=-0.06, 95%CI -0.26 to 0.14, P=0.55) of cancer caregivers. Conclusion: Psychosocial interventions designed for cancer caregivers can effectively reduce depression and anxiety, while no significant results were found in general distress and subjective burden of cancer caregivers. More studies with stronger methodological designs and larger samples are still needed in the future.
{"title":"Psychosocial Interventions to Improve Psychological Distress of Informal Caregivers of Cancer Patients: A Meta-analysis of Randomized Controlled Trial","authors":"Zhenghou Zhang, Shanshan Wang, Ziwei Liu, Ze-kai Li","doi":"10.11648/J.AJNS.20200906.24","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.24","url":null,"abstract":"Objective: To evaluate the efficacy of psychosocial interventions designed to improve the psychological distress of informal caregivers of cancer patients compared with usual care. Methods: Nine relevant databases were searched from inception to November 2020. We included randomized controlled trials focused on comparing psychosocial interventions delivered to informal cancer caregivers with usual care. Study quality was evaluated with the Cochrane Risk of Bias Assessment Tool, and meta-analysis was performed using Review Manager statistical software. Results: Fifteen studies involving 1006 participants met the inclusion criteria, and several kinds of psychosocial interventions were applied to either cancer caregivers or patient-caregiver dyads. Compared to usual care, psychosocial interventions manifested positive, significant results in depression (SMD=-0.47, 95%CI -0.71 to -0.24, P<0.001) and anxiety (SMD=-0.50, 95%CI -0.91 to -0.09, P=0.02). And the psychosocial interventions have no significant effect on general psychological distress (SMD=-0.25, 95%CI -0.54 to 0.05, P=0.10) and subjective burden (SMD=-0.06, 95%CI -0.26 to 0.14, P=0.55) of cancer caregivers. Conclusion: Psychosocial interventions designed for cancer caregivers can effectively reduce depression and anxiety, while no significant results were found in general distress and subjective burden of cancer caregivers. More studies with stronger methodological designs and larger samples are still needed in the future.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122423354","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}
Objective: To analyze the effect of early screening and safe management of dysphagia in scleroderma patients. Methods: From January 2016 to January 2020, a randomized controlled trial was performed with scleroderma patients (n = 42) who were diagnosed as scleroderma. In intervention group, the participants are accepted early screening and safe management of swallowing disorders. The participants of control group are accepted common nursing service. Result: the 48.84% of participants have problems in swallowing process, most participants provide assessment of level 2 of WST. In swallowing test assessment, more participants think they feel obstruction when eating steamed bread. The accident aspiration pneumonia has higher risk than that of aspiration pneumonia in two group (10.00% vs 3.75% & 37.50% vs 23.75%). In research of swallowing function treatment, most participants of intervention group are basic recovery in treatment outcome, the control group have most invalid assessment in treatment outcome. Conclusion: the early screening and safe management of dysphagia can efficacy improve scleroderma dysphagia of scleroderma patients. In dysphagia problem, the scleroderma patients have higher risk of accident aspiration, and the early screening and safe management of dysphagia can improve problems of accident aspiration and aspiration pneumonia. Additionally, the early screening and safe management of dysphagia have strong effect for dysphagia.
目的:分析硬皮病患者吞咽困难的早期筛查及安全处理的效果。方法:2016年1月至2020年1月，对诊断为硬皮病的硬皮病患者(n = 42)进行随机对照试验。在干预组，参与者接受吞咽障碍的早期筛查和安全管理。对照组接受普通护理服务。结果:48.84%的参与者在吞咽过程中存在问题，大部分参与者提供WST二级评估。在吞咽测试评估中，更多的参与者认为他们在吃馒头时感到阻塞。两组意外吸入性肺炎发生风险均高于吸入性肺炎(10.00% vs 3.75%; 37.50% vs 23.75%)。在吞咽功能治疗的研究中，干预组在治疗结果上以基本恢复为主，对照组在治疗结果上以无效评价为主。结论:吞咽困难的早期筛查和安全处理能有效改善硬皮病患者的吞咽困难。在吞咽困难问题中，硬皮病患者意外误吸的风险较高，对吞咽困难进行早期筛查和安全处理可以改善意外误吸和吸入性肺炎的问题。此外，吞咽困难的早期筛查和安全处理对吞咽困难有很强的作用。
{"title":"Analysis on the Effect of Early Screening and Safe Management of Dysphagia in Scleroderma Patients","authors":"Yingfeng Huang, Guiyan Wen, Xia Huang, Xiao-yuan Huang","doi":"10.11648/J.AJNS.20200906.20","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.20","url":null,"abstract":"Objective: To analyze the effect of early screening and safe management of dysphagia in scleroderma patients. Methods: From January 2016 to January 2020, a randomized controlled trial was performed with scleroderma patients (n = 42) who were diagnosed as scleroderma. In intervention group, the participants are accepted early screening and safe management of swallowing disorders. The participants of control group are accepted common nursing service. Result: the 48.84% of participants have problems in swallowing process, most participants provide assessment of level 2 of WST. In swallowing test assessment, more participants think they feel obstruction when eating steamed bread. The accident aspiration pneumonia has higher risk than that of aspiration pneumonia in two group (10.00% vs 3.75% & 37.50% vs 23.75%). In research of swallowing function treatment, most participants of intervention group are basic recovery in treatment outcome, the control group have most invalid assessment in treatment outcome. Conclusion: the early screening and safe management of dysphagia can efficacy improve scleroderma dysphagia of scleroderma patients. In dysphagia problem, the scleroderma patients have higher risk of accident aspiration, and the early screening and safe management of dysphagia can improve problems of accident aspiration and aspiration pneumonia. Additionally, the early screening and safe management of dysphagia have strong effect for dysphagia.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123903790","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}
Pub Date : 2020-12-08DOI: 10.11648/J.AJNS.20200906.19
Shaoman Lin, W. Lv, Wanxian Lu, Shujuan Mai, Qiaohong Wang
Objective: To assess the application effect analysis of nurse's equipment management standardized in ICU equipment management. Method: This study included 56 related medical staffs who are working in ICU department and they used the medical equipment in their working. the data of 2018 was defined as control group, that the medical equipment was receive common management methods in 2018. In intervention group, we collected related data in 2019, that the medical equipment was receive nurse's equipment management standardized in this year, the intervention contrasts Standardize management, set up instrument management team, formulate instrument management system, instrument maintenance and repair system, instrument training system, and regularly organize study and training for all staff in the ward. We evaluated the differences between the two groups in terms of instrument repair rate, instrument maintenance cost, nursing staff's mastery of instrument and equipment skills, instrument maintenance quality, instrument and equipment maintenance rate, and instrument management mode satisfaction. Result: In terms of the frequency and cost of instrument and equipment maintenance, the frequency and cost of maintenance are both higher than the standard management, and the results are statistically significant. In the survey results of instrument and equipment standard management, except maintenance efficiency, the other data are statistically significant. The p value of nursing staff's satisfaction with instrument and equipment skills, instrument maintenance quality, instrument and equipment maintenance, the p-value instrument management mode was all less than 0.005, the difference was statistically significant. Conclusion: Standardized management of ICU equipment can reduce equipment failure rate and maintenance cost.
{"title":"The Application Effect Analysis of Nurse's Equipment Management Standardized in ICU Equipment Management","authors":"Shaoman Lin, W. Lv, Wanxian Lu, Shujuan Mai, Qiaohong Wang","doi":"10.11648/J.AJNS.20200906.19","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.19","url":null,"abstract":"Objective: To assess the application effect analysis of nurse's equipment management standardized in ICU equipment management. Method: This study included 56 related medical staffs who are working in ICU department and they used the medical equipment in their working. the data of 2018 was defined as control group, that the medical equipment was receive common management methods in 2018. In intervention group, we collected related data in 2019, that the medical equipment was receive nurse's equipment management standardized in this year, the intervention contrasts Standardize management, set up instrument management team, formulate instrument management system, instrument maintenance and repair system, instrument training system, and regularly organize study and training for all staff in the ward. We evaluated the differences between the two groups in terms of instrument repair rate, instrument maintenance cost, nursing staff's mastery of instrument and equipment skills, instrument maintenance quality, instrument and equipment maintenance rate, and instrument management mode satisfaction. Result: In terms of the frequency and cost of instrument and equipment maintenance, the frequency and cost of maintenance are both higher than the standard management, and the results are statistically significant. In the survey results of instrument and equipment standard management, except maintenance efficiency, the other data are statistically significant. The p value of nursing staff's satisfaction with instrument and equipment skills, instrument maintenance quality, instrument and equipment maintenance, the p-value instrument management mode was all less than 0.005, the difference was statistically significant. Conclusion: Standardized management of ICU equipment can reduce equipment failure rate and maintenance cost.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"221 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132081502","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}
Pub Date : 2020-12-04DOI: 10.11648/J.AJNS.20200906.16
Lin Ke, F. Qi, Wang Fang, Zhaokai Ding, Bai Jing
Background: Surgical counts are a basic and crucial specialized nursing operation in operating rooms, to guarantee surgical safety, prevent surgical items from retaining in the body and ensure the success of surgery and safety of patients. Objective: To explore the effect of “Surgical Instruments Organizer” applied in operating rooms as a nursing patented product to minimize the occurrence of surgical counts missing. Methods: Research setting was arranged in a large general hospital where two of the emergency operating rooms were used to compare the effects and influences of the application with “Surgical Instruments Organizer”. Results: The rate of surgical counts missing in the control room was significantly higher than that in the experimental room (P<0.05). In both the control room and the experimental room, the incidence of one surgical counts missing in one surgery was higher than that of two surgical counts missing in one surgery. Surgical counts missing between two surgeries mostly happened when surgical items were removed temporarily (141, 10.2% in the control room; 55, 4.0% in the experimental room), while surgical counts missing happened the least in preoperative preparation (21, 1.5% in the control room; 4, 0.3% in the experimental room). Between two operating rooms, most of the time lost items were found by scrub nurses (403, 29.2% in the control room; 165, 12.1% in the experimental room). Most of lost items can be found within 10 minutes (312, 22.6% in the control room; 112, 8.2% in the experimental room), but a few items cost more than 60 minutes (32, 2.3% in the control room; 17, 1.3% in the experimental room). Conclusion: “Surgical Instruments Organizer” can effectively reduce the rate of surgical counts missing in emergency surgeries, and improve the nursing quality and surgical safety.
{"title":"Clinical Effect of Patented Product for Specialized Nursing in Operating Rooms","authors":"Lin Ke, F. Qi, Wang Fang, Zhaokai Ding, Bai Jing","doi":"10.11648/J.AJNS.20200906.16","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.16","url":null,"abstract":"Background: Surgical counts are a basic and crucial specialized nursing operation in operating rooms, to guarantee surgical safety, prevent surgical items from retaining in the body and ensure the success of surgery and safety of patients. Objective: To explore the effect of “Surgical Instruments Organizer” applied in operating rooms as a nursing patented product to minimize the occurrence of surgical counts missing. Methods: Research setting was arranged in a large general hospital where two of the emergency operating rooms were used to compare the effects and influences of the application with “Surgical Instruments Organizer”. Results: The rate of surgical counts missing in the control room was significantly higher than that in the experimental room (P<0.05). In both the control room and the experimental room, the incidence of one surgical counts missing in one surgery was higher than that of two surgical counts missing in one surgery. Surgical counts missing between two surgeries mostly happened when surgical items were removed temporarily (141, 10.2% in the control room; 55, 4.0% in the experimental room), while surgical counts missing happened the least in preoperative preparation (21, 1.5% in the control room; 4, 0.3% in the experimental room). Between two operating rooms, most of the time lost items were found by scrub nurses (403, 29.2% in the control room; 165, 12.1% in the experimental room). Most of lost items can be found within 10 minutes (312, 22.6% in the control room; 112, 8.2% in the experimental room), but a few items cost more than 60 minutes (32, 2.3% in the control room; 17, 1.3% in the experimental room). Conclusion: “Surgical Instruments Organizer” can effectively reduce the rate of surgical counts missing in emergency surgeries, and improve the nursing quality and surgical safety.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131341808","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}
Pub Date : 2020-12-04DOI: 10.11648/J.AJNS.20200906.17
Tan Zhishan, Zhang Lian, Zeng Xiuyue, Yu Haohui
Objective: Loaner Instrumentation due to various comprehensive factors, the equipment often can not be delivered to the disinfection supply center according to the prescribed time, which not only affects the handling quality of the equipment, but also affects the timely supply andusage of the equipment. The study aims to explore the managing method of orthopedic spare loaner instrumentation and implants in Central Sterile Supply Department of the hospital (hereinafter referred to as CSSD). Methods: 418 orthopedic operations use orthopedic spare loaner instrumentation and implants in 2018 were selected as per-implementation. The routine methods were used to manage the orthopedic spare loaner instrumentation and implants. 437 orthopedic operations use orthopedic spare loaner instrumentation and implants in 2019 were selected as the implementation. Using the optimized method to manage the orthopedic spare loaner instrumentation and implants is to compare the changes of timely supply rate, double closed loop management execution rate and doctor satisfaction before and after the implementation of orthopedic spare loaner instrumentation and implants in our hospital. Results: After the implementation of optimized management measures, the timely supply rate of orthopedic spare loaner instrumentation and implants reached 100%; the implementation rate of double closed-loop management increased from 69.86% to 100%; and the doctor satisfaction increased from 77.78% to 97.22%. Conclusion: By optimizing the management measures of orthopedic spare loaner instrumentation and implants, we can improve the timely supply rate, achieve the whole process trace ability and improve the doctor's satisfaction, further improve the safety of the instruments, reduce the surgical infection, and ensure the safety of patients.
{"title":"Optimize the Management and Effectiveness of Orthopedic Spare Loaner Instrumentation and Implants in Central Sterile Supply Department","authors":"Tan Zhishan, Zhang Lian, Zeng Xiuyue, Yu Haohui","doi":"10.11648/J.AJNS.20200906.17","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.17","url":null,"abstract":"Objective: Loaner Instrumentation due to various comprehensive factors, the equipment often can not be delivered to the disinfection supply center according to the prescribed time, which not only affects the handling quality of the equipment, but also affects the timely supply andusage of the equipment. The study aims to explore the managing method of orthopedic spare loaner instrumentation and implants in Central Sterile Supply Department of the hospital (hereinafter referred to as CSSD). Methods: 418 orthopedic operations use orthopedic spare loaner instrumentation and implants in 2018 were selected as per-implementation. The routine methods were used to manage the orthopedic spare loaner instrumentation and implants. 437 orthopedic operations use orthopedic spare loaner instrumentation and implants in 2019 were selected as the implementation. Using the optimized method to manage the orthopedic spare loaner instrumentation and implants is to compare the changes of timely supply rate, double closed loop management execution rate and doctor satisfaction before and after the implementation of orthopedic spare loaner instrumentation and implants in our hospital. Results: After the implementation of optimized management measures, the timely supply rate of orthopedic spare loaner instrumentation and implants reached 100%; the implementation rate of double closed-loop management increased from 69.86% to 100%; and the doctor satisfaction increased from 77.78% to 97.22%. Conclusion: By optimizing the management measures of orthopedic spare loaner instrumentation and implants, we can improve the timely supply rate, achieve the whole process trace ability and improve the doctor's satisfaction, further improve the safety of the instruments, reduce the surgical infection, and ensure the safety of patients.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"63 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127408527","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}
Pub Date : 2020-12-04DOI: 10.11648/J.AJNS.20200906.18
Mengying Qi, Jinai He, Jia-Yang Yan
Object: Determine the cause of nosocomial cluster infections of peripheral venous catheter-related bloodstream infection (PIVC-BSI), and provide advice on prevention, control and nursing measures. Method: A retrospective analysis of nosocomial cluster infections that occurred in a tertiary hospital on July 28-30, 2019. Blood samples from patients suspected of PIVC-BSI were retained for bacterial culture. The clinical data of the patients, environmental hygiene indicators were collected. Results: All 8 patients had chills within 0.5 - 3.5 hours after intravenous infusion, and the highest body temperature reached 41°C. The peripheral blood samples of 4 patients were cultured as Burkholderia cepacia infection, and the eluate from the catheter tip of 2 patients cultured the same bacteria as the blood culture. The humidity in the treatment preparation room was 60% - 80%. There was mold in the sterile storage cabinet. Conclusion: The nosocomial cluster infection of PIVC-BSI was caused by Burkholderia cepacia colonizing the tip of the peripheral intravenous catheter, and the high air humidity was the most likely factor. The ability of nurses to identify and respond to PIVC-BSI as well as the infection control management level of each department still needs to be improved.
{"title":"Investigation of Nosocomial Cluster Infections of Peripheral Venous Catheter-Related Bloodstream Infection","authors":"Mengying Qi, Jinai He, Jia-Yang Yan","doi":"10.11648/J.AJNS.20200906.18","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.18","url":null,"abstract":"Object: Determine the cause of nosocomial cluster infections of peripheral venous catheter-related bloodstream infection (PIVC-BSI), and provide advice on prevention, control and nursing measures. Method: A retrospective analysis of nosocomial cluster infections that occurred in a tertiary hospital on July 28-30, 2019. Blood samples from patients suspected of PIVC-BSI were retained for bacterial culture. The clinical data of the patients, environmental hygiene indicators were collected. Results: All 8 patients had chills within 0.5 - 3.5 hours after intravenous infusion, and the highest body temperature reached 41°C. The peripheral blood samples of 4 patients were cultured as Burkholderia cepacia infection, and the eluate from the catheter tip of 2 patients cultured the same bacteria as the blood culture. The humidity in the treatment preparation room was 60% - 80%. There was mold in the sterile storage cabinet. Conclusion: The nosocomial cluster infection of PIVC-BSI was caused by Burkholderia cepacia colonizing the tip of the peripheral intravenous catheter, and the high air humidity was the most likely factor. The ability of nurses to identify and respond to PIVC-BSI as well as the infection control management level of each department still needs to be improved.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"102 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113989238","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}
Pub Date : 2020-11-27DOI: 10.11648/J.AJNS.20200906.15
M. Hassan, Mohamed Ahmed, Sultan A. Alharbi, Uthman Abdull Ah Mohammed Albeshi, Ebtisam Hanshool Mauof Al-Gathmi
Introduction: Vector-borne diseases account for over 17% of all infectious diseases, causing quite 1 million deaths each year global quite 2.5 billion people in over 100 countries are in danger of contracting Dengue. Objective: The study aimed assess Knowledge attitude and practice toward chikungunya virus among Kassala community people of selected area (Kassala in Sudan 2018-2019). Methodology: A community based cross sectional study was conducted in selected area of Kassala city. The study was conducted among 49 participants from 30th December 2018 to January 2019. Simple sampling method was followed for choosing the participants; face-face interview was taken by using structured questionnaire. Result: The results show that respondents had heard of Chikungunya infection 48 (97%), and 43 (87%) responded correctly that Chikungunya is transmitted by Aedes mosquito. Among total 49 only 2 (4%) had misconceptions that Chikungunya vector breeding in dirty storage water. Study respondents were conscious about clinical features of Chikungunya infection signs and symptoms of Chikungunya p-.000. Study participants use various methods measures against mosquitoes bites including Mosquito repellant cream18 (36%), Wearing full sleeves shirt 16 (32%), Electric racquet 16 (32%), and Bed nets 5 (10%) for insect bite prevention. Social network/ media was considered because the most significant and useful source of data on the disease. Conclusion: Community people havegood knowledge about Chikungunya breeding place and methods of prevention of the disease and further adult mosquito control measures play important role for the effective containment of a virulent disease.
{"title":"Knowledge Attitude and Practice Toward Chikungunya Infection Among Kassala Community in Sudan 2018-2019","authors":"M. Hassan, Mohamed Ahmed, Sultan A. Alharbi, Uthman Abdull Ah Mohammed Albeshi, Ebtisam Hanshool Mauof Al-Gathmi","doi":"10.11648/J.AJNS.20200906.15","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.15","url":null,"abstract":"Introduction: Vector-borne diseases account for over 17% of all infectious diseases, causing quite 1 million deaths each year global quite 2.5 billion people in over 100 countries are in danger of contracting Dengue. Objective: The study aimed assess Knowledge attitude and practice toward chikungunya virus among Kassala community people of selected area (Kassala in Sudan 2018-2019). Methodology: A community based cross sectional study was conducted in selected area of Kassala city. The study was conducted among 49 participants from 30th December 2018 to January 2019. Simple sampling method was followed for choosing the participants; face-face interview was taken by using structured questionnaire. Result: The results show that respondents had heard of Chikungunya infection 48 (97%), and 43 (87%) responded correctly that Chikungunya is transmitted by Aedes mosquito. Among total 49 only 2 (4%) had misconceptions that Chikungunya vector breeding in dirty storage water. Study respondents were conscious about clinical features of Chikungunya infection signs and symptoms of Chikungunya p-.000. Study participants use various methods measures against mosquitoes bites including Mosquito repellant cream18 (36%), Wearing full sleeves shirt 16 (32%), Electric racquet 16 (32%), and Bed nets 5 (10%) for insect bite prevention. Social network/ media was considered because the most significant and useful source of data on the disease. Conclusion: Community people havegood knowledge about Chikungunya breeding place and methods of prevention of the disease and further adult mosquito control measures play important role for the effective containment of a virulent disease.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130358717","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}
Pub Date : 2020-11-19DOI: 10.11648/J.AJNS.20200906.14
M. Bussard
Clinical judgment is an essential skill required for nurses to provide safe, quality patient care. Nurse educators must develop effective teaching strategies to assist prelicensure nursing students in developing clinical judgment skills. The objective of this study was to determine if a teaching strategy focused on the affective domain of learning and emotional intelligence could be an effective strategy to promote the development of clinical judgment. A guest speaker was invited to the classroom and provided her “lived experience” with multiple sclerosis, which provided a storytelling method of learning. An interpretive descriptive qualitative study was conducted with twenty-one prelicensure diploma registered nursing students enrolled in a medical-surgical nursing course (in the United States of America). Tanner’s Clinical Judgment Model (noticing, interpreting, responding, and reflecting) was used as the theoretical framework to guide data analysis. Four themes emerged from the data: 1) attentive listening (noticing), 2) understanding the patient’s experience (interpreting), 3) compassionate and empathetic care (responding), and 4) treat the patient as a person, not as a disease (reflecting). Results indicated that storytelling via “lived experiences” is an effective teaching strategy which promotes learning through the affective domain and emotional intelligence while also assisting students in developing clinical judgment. Clinical judgment skills are essential for the graduate nurse transitioning to practice.
{"title":"Prelicensure Nursing Students Developing Clinical Judgment Through Emotional Intelligence: A Qualitative Interpretive Descriptive Study","authors":"M. Bussard","doi":"10.11648/J.AJNS.20200906.14","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.14","url":null,"abstract":"Clinical judgment is an essential skill required for nurses to provide safe, quality patient care. Nurse educators must develop effective teaching strategies to assist prelicensure nursing students in developing clinical judgment skills. The objective of this study was to determine if a teaching strategy focused on the affective domain of learning and emotional intelligence could be an effective strategy to promote the development of clinical judgment. A guest speaker was invited to the classroom and provided her “lived experience” with multiple sclerosis, which provided a storytelling method of learning. An interpretive descriptive qualitative study was conducted with twenty-one prelicensure diploma registered nursing students enrolled in a medical-surgical nursing course (in the United States of America). Tanner’s Clinical Judgment Model (noticing, interpreting, responding, and reflecting) was used as the theoretical framework to guide data analysis. Four themes emerged from the data: 1) attentive listening (noticing), 2) understanding the patient’s experience (interpreting), 3) compassionate and empathetic care (responding), and 4) treat the patient as a person, not as a disease (reflecting). Results indicated that storytelling via “lived experiences” is an effective teaching strategy which promotes learning through the affective domain and emotional intelligence while also assisting students in developing clinical judgment. Clinical judgment skills are essential for the graduate nurse transitioning to practice.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121346908","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}
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