Frontiers of Nursing最新文献

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Systematic evaluation of the clinical nursing pathway with the GRADE approach applied to functional exercise in patients with hip replacements before and after surgery 应用GRADE方法对髋关节置换术前后患者功能锻炼的临床护理路径进行系统评价

Frontiers of Nursing

Pub Date : 2016-12-01 Epub Date: 2016-11-16 DOI: 10.1016/j.cnre.2016.11.008

Lin Yang , Xin-Man Wang , Xiao-Lin Zuo , Shang-Qun Gong , Fan-Jie Meng

<div><h3>Objective</h3><p>To evaluate the effect of the clinical nursing pathway applied to functional exercise in patients with hip replacements before and after the operation.</p></div><div><h3>Methods</h3><p>The China National Knowledge Infrastructure (CNKI), WanFang Data, Chinese science and technology journal database (VIP), PubMed, Web of Science, EMBASE, CBM and the Cochrane Library (2015-5) were searched for randomized controlled trials (RCTs) on clinical nursing pathways for functional exercise in patients with hip replacements before and after surgery from June 2015 to January 2010. The references included in the literature were also retrieved. To meet the literature standard, 2 reviewers independently selected and extracted data according to the inclusion criteria and assessed the risks of bias. RevMan 5.3 software was used in this meta-analysis. The quality of evidence was evaluated using grade profiler3.6 software, the level recommended for grading.</p></div><div><h3>Results</h3><p>A total of 15 RCTs and 1248 patients were included. The meta-analysis showed that, in the clinical nursing path group, the Harris score of hip function [SMD = 3.35, 95%<em>CI</em> (2.53, 4.16), <em>P</em> < 0.00001] and incidence of thrombosis embolism [RR = 0.28, 95%<em>CI</em> (0.15, 0.53), <em>P</em> < 0.0001], pulmonary infection [RR = 0.33, 95%<em>CI</em> (0.14, 0.82), <em>P</em> = 0.02], urinary retention [RR = 0.22, 95%<em>CI</em> (0.09, 0.52), <em>P</em> = 0.0005], constipation [RR = 0.20, 95%<em>CI</em> (0.10, 0.40), <em>P</em> < 0.00001], patients' satisfaction for nursing care [RR = 1.26, 95%<em>CI</em> (1.17, 1.36), <em>P</em> < 0.00001] and shortened hospitalization times [SMD = −1.91, 95%<em>CI</em> (−2.39, −1.43), <em>P</em> < 0.0001]were statistically significantly better than those in the control group. However, in reducing joint dislocations [RR = 0.25, 95%<em>CI</em> (0.05, 1.15), <em>P</em> = 0.08], pressure ulcers [RR = 0.25, 95%<em>CI</em> (0.03, 2.19), <em>P</em> = 0.21], and incidence of complications [RR = 0.42, 95%<em>CI</em> (0.15, 1.12), <em>P</em> = 0.08], there was no statistically significant difference between the two groups. Funnel plot analysis of the average length of stay showed that there might be some publication bias in the literature. The GRADE evaluation results showed that the level of Harris scores for hip function was moderate and the incidence of thrombosis, urinary retention and satisfaction of patients regarding nursing were low, and the rest of the factors analyzed were very low.</p></div><div><h3>Conclusions</h3><p>The effect of the clinical nursing pathway applied to functional exercises in patients with hip replacements before and after surgery was significantly better than that of routine nursing. However, it was restricted by the evaluation grade of the research results and the standardization and uniformity of the research. The results of the above study need to be verified by more high-q

目的评价临床护理路径在髋关节置换术患者术前术后功能锻炼中的应用效果。方法检索中国知网(CNKI)、万方数据、中国科技期刊数据库(VIP)、PubMed、Web of science、EMBASE、CBM、Cochrane Library(2015-5)，检索2015年6月- 2010年1月髋关节置换术患者术前术后功能锻炼临床护理路径的随机对照试验(RCTs)。还检索了文献中包含的参考文献。为满足文献标准，2名审稿人根据纳入标准独立选择和提取资料，并评估偏倚风险。meta分析采用RevMan 5.3软件。使用grade profiler3.6软件评估证据质量，这是推荐的评分级别。结果共纳入15项随机对照试验，1248例患者。meta分析显示，临床护理路径组患者髋关节功能Harris评分[SMD = 3.35, 95%CI (2.53, 4.16)， P <[0.00001]和血栓栓塞发生率[RR = 0.28, 95%CI (0.15, 0.53)， P <0.0001)、肺部感染(RR = 0.33, 95%可信区间(0.14,0.82),P = 0.02),尿潴留(RR = 0.22, 95%可信区间(0.09,0.52),P = 0.0005),便秘(RR = 0.20, 95%可信区间(0.10,0.40),P & lt;0.00001]，患者护理满意度[RR = 1.26, 95%CI (1.17, 1.36)， P <0.00001]缩短住院时间[SMD = - 1.91, 95%CI (- 2.39， - 1.43)， P <0.0001]均显著优于对照组。但在减少关节脱位[RR = 0.25, 95%CI (0.05, 1.15)， P = 0.08]、压疮[RR = 0.25, 95%CI (0.03, 2.19)， P = 0.21]、并发症发生率[RR = 0.42, 95%CI (0.15, 1.12)， P = 0.08]方面，两组差异无统计学意义。平均住院时间的漏斗图分析显示，文献中可能存在一定的发表偏倚。GRADE评价结果显示Harris评分髋关节功能水平为中等，血栓发生率、尿潴留发生率和患者对护理的满意度较低，其余分析因素均很低。结论临床护理路径应用于髋关节置换术患者术前术后功能锻炼的效果明显优于常规护理。但受研究成果评价等级和研究的规范性、统一性等因素的制约。上述研究的结果需要更多高质量的rct来验证。

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引用次数: 3

Research progress in disaster nursing competency framework of nurses in China 中国护士灾害护理胜任力框架研究进展

Frontiers of Nursing

Pub Date : 2016-12-01 Epub Date: 2016-11-15 DOI: 10.1016/j.cnre.2016.11.003

Si-Mu Li , Xiao-Rong Li , Dan Yang , Nai-Wei Xu

All types of frequent natural disasters, which seriously threaten the safety of human life and property, have become a great challenge all over the world. The dangerous and changeable environment in emergency rescue demands higher requirements for competency of the nurses who respond to a disaster. Disaster nursing combines medical science, sociology, psychology, and other disciplines; thus, it has become a comprehensive interdisciplinary branch of nursing. Disaster nursing has just recently been introduced to our country and is still in the stage of exploration. Nurses comprise the largest rescue force on disaster relief teams; therefore, disaster nursing competency is influential on the disaster response and recovery of victims after a disaster. Thus, this paper defines the concepts and elements of disaster nursing, including disaster nursing skill requirements and architectural framework. It will provide an important contribution to improving the overall level and comprehensive quality of disaster nursing competency of nurses in China.

各类自然灾害频发，严重威胁着人类生命财产安全，已成为世界各国面临的巨大挑战。紧急救援中危险多变的环境对护士应对灾害的能力提出了更高的要求。灾害护理结合了医学、社会学、心理学等学科;因此，它已成为护理学的一个综合性的跨学科分支。灾害护理刚刚传入我国，尚处于探索阶段。护士是救灾队伍中最大的救援力量;因此，灾害护理能力对灾后受害者的灾后反应和恢复有重要影响。因此，本文定义了灾害护理的概念和要素，包括灾害护理技能要求和体系结构框架。这将为提高中国护士灾害护理能力的整体水平和综合素质做出重要贡献。

引用次数: 12

Construction of competency evaluation measures for operating room nurses 手术室护士胜任力评价措施的构建

Frontiers of Nursing

Pub Date : 2016-12-01 Epub Date: 2016-11-15 DOI: 10.1016/j.cnre.2016.07.001

Yu-Mei Wang , Li-Juan Xiong , Yi Ma , Xing-Lian Gao , Wen-Fang Fu

Objective

To develop a scientific and reasonable competency evaluation index system for operating room nurses (ORN) in order to provide a tool for selecting, training and evaluating operating room nurses in China.

Methods

A multiple-method approach including in-depth interviews and the Delphi and Analytic Hierarchy Process (AHP) was used. Eighteen interviews were undertaken to explore the components of ORN competencies, and then 30 operating room experts were consulted to gain consensus. Finally, the AHP was adopted to determine the relative weights of competency elements, thus increasing the accuracy of the results.

Results

Results of the interviews suggested that there were 32 items of ORN core competency. Results of the DHP (Delphi and AHP) revealed 22 ORN core competencies in four dimensions, such as specialized knowledge, professional ability, personality and self-motivation. The weights of these four dimensions were 0.477, 0.138, 0.256, and 0.128, respectively.

Conclusions

The construction of an ORN core competency evaluation index system in this study contained not only explicit competence but also implicit competence, which reflected the requirements for operating room nurses comprehensively in China. In particular, as the system presented the specialized features of an operating room, it would be of great importance for both nurses and hospitals.

目的建立科学合理的手术室护士胜任力评价指标体系，为手术室护士的选拔、培训和评价提供依据。方法采用深度访谈法、德尔菲法和层次分析法(AHP)。我们进行了18次访谈来探讨ORN胜任力的组成部分，然后咨询了30名手术室专家以获得共识。最后，采用层次分析法确定胜任力要素的相对权重，提高了结果的准确性。结果访谈结果显示，ORN核心能力共有32项。DHP(德尔菲和层次分析法)结果显示了专业知识、专业能力、个性和自我激励四个维度的22项ORN核心竞争力。四个维度的权重分别为0.477、0.138、0.256、0.128。结论本研究构建的手术室护士核心能力评价指标体系既包含显性能力，也包含隐性能力，全面反映了中国手术室护士的需求。特别是，由于该系统呈现了手术室的专业化特征，对护士和医院都具有重要意义。

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引用次数: 8

Research progress at hope level in patients with chronic non-malignant diseases 慢性非恶性疾病患者的研究进展

Frontiers of Nursing

Pub Date : 2016-12-01 Epub Date: 2016-11-15 DOI: 10.1016/j.cnre.2016.11.002

Wang-Yang Lu , Miao-Ling Cui

This article reviews the hope level of chronic non-malignant diseases patients and its influencing factors. We also introduced to the concept of hope level, related theory of hope, measuring tools and the basic strategy of improving the hope level of chronic non-malignant diseases patients. We proposed that we should better understand and apply the theory of hope to make targeted nursing intervention measures for different patients.

本文综述了慢性非恶性疾病患者的希望水平及其影响因素。介绍了希望水平的概念、希望的相关理论、测量工具以及提高慢性非恶性疾病患者希望水平的基本策略。我们提出我们应该更好地理解和运用希望理论，针对不同的患者制定有针对性的护理干预措施。

引用次数: 4

Research progress on narrative education in clinical nursing education 叙事教育在临床护理教育中的研究进展

Frontiers of Nursing

Pub Date : 2016-12-01 Epub Date: 2016-11-15 DOI: 10.1016/j.cnre.2016.11.001

Wen-Fu Cheng, Ti-Yu Zhao, Yue Guo

This article introduces the concept and mode of narrative education in addition to the application of narrative education in clinical nursing education. A summary is presented of the application of narrative education in this clinical nursing context from several aspects, including providing a display platform and various other teaching forms for the teachers' use, promoting the professional quality of teachers and students, and facilitating the teaching of abstract concepts.

本文介绍了叙事教育的概念和模式，以及叙事教育在临床护理教育中的应用。从提供展示平台及多种教学形式供教师使用、提高师生专业素质、促进抽象概念教学等几个方面对叙事教学在临床护理情境下的应用进行了总结。

引用次数: 4

Development and evaluation of a new curriculum based on the Delphi method for master of nursing programs in China 基于德尔菲法的中国护理硕士课程新课程开发与评价

Frontiers of Nursing

Pub Date : 2016-12-01 Epub Date: 2016-11-16 DOI: 10.1016/j.cnre.2016.11.005

Xiao-Ping Jiang , Li Yan , Xian-Lan Zheng , Xian Liu , Xiao-Qiong Wei

Objective

To develop a new curriculum for a master's degree in nursing and provide a reference for nursing education in China.

Methods

After a comprehensive literature review and item consolidation, an expert panel developed the initial version of the master's degree program objective and curriculum. A three-round Delphi study was subsequently conducted to revise and validate the curriculum.

Results

Twenty-six experts participated in the evaluation and validation process. The authority coefficient was 0.88, and the Kendall coordination coefficient was statistically significant (χ² test, P < 0.01). The final training objective contained 9 items, covering knowledge, skills and humanistic quality. The final established curriculum contained 22 courses, including 5 public compulsory courses, 5 specialized basic compulsory courses and 12 elective courses for professional development.

Conclusions

The present study provided an operational curriculum for a master's degree in nursing in China.

目的编制新的护理硕士学位课程，为中国护理教育提供参考。方法经过全面的文献回顾和项目整合，专家小组制定了硕士学位项目目标和课程的初步版本。随后进行了三轮德尔菲研究，以修改和验证课程。结果26位专家参与了评价和验证过程。权威系数为0.88，肯德尔协调系数有统计学意义(χ2检验，P <0.01)。最终的培训目标包含9个项目，包括知识、技能和人文素质。最终确定的课程包括22门课程，其中公共必修课5门，专业基础必修课5门，专业发展选修课程12门。结论本研究为中国护理硕士提供了一套可操作的课程设置。

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引用次数: 21

Reliability and validity of an indicator system for assessing the quality of ophthalmic nursing 眼科护理质量评价指标体系的信度和效度

Frontiers of Nursing

Pub Date : 2016-12-01 Epub Date: 2016-11-15 DOI: 10.1016/j.cnre.2016.11.004

Jing-Hua Shi , Lu Liu , Ya-Qin Li

Objective

The aim of this study was to examine the reliability and validity of an indicator system for assessing the quality of ophthalmic nursing.

Methods

A questionnaire-based study was performed for 218 individuals in clinical nursing management using this indicator system. The resulting data were compiled and analyzed using Excel 2003 and SPSS 13.0, and tests of reliability and validity were conducted.

Results

The indicator system yielded an overall Cronbach's ɑ value of 0.948, a test-retest reliability of 0.793, 3-dimensional Cronbach's ɑ values of 0.870–0.930, and a content validity of 0.92. Exploratory factor analysis was then performed to extract three common factors, which generated a cumulative contribution rate of 54.04%. The load range of each factor was 0.43–0.83.

Conclusions

The indicator system for evaluating the quality of ophthalmic nursing has favorable reliability and validity, which means that it is a suitable clinical tool for assessing the quality of ophthalmic nursing.

目的探讨眼科护理质量评价指标体系的信度和效度。方法采用该指标体系对218名临床护理管理人员进行问卷调查。采用Excel 2003和SPSS 13.0对所得数据进行整理和分析，并进行信度和效度检验。结果该指标体系的总体Cronbach’s系数为0.948，重测信度为0.793，三维Cronbach’s系数为0.870 ~ 0.930，内容效度为0.92。然后进行探索性因子分析，提取3个共同因子，累积贡献率为54.04%。各因子的负荷范围为0.43 ~ 0.83。结论所建立的眼科护理质量评价指标体系具有良好的信度和效度，可作为眼科护理质量评价的临床工具。

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引用次数: 2

Effects of music therapy on mood, language, behavior, and social skills in children with autism: A meta-analysis 音乐治疗对自闭症儿童情绪、语言、行为和社交技能的影响:一项荟萃分析

Frontiers of Nursing

Pub Date : 2016-09-01 Epub Date: 2016-09-16 DOI: 10.1016/j.cnre.2016.06.018

Zhi-Min Shi , Gui-Hong Lin , Qing Xie

Objective

To investigate the effects of music therapy on mood, language, behavior, and social skills in children with autism.

Methods

A literature search was conducted using the following Chinese databases: the China National Knowledge Infrastructure (CNKI), Wanfang Data, the Chinese Biomedical Literature (CBM) Database, and the VIP Chinese Science and Technology Periodicals Database. The search terms were “autistic children” or “children with autism” and “music therapy” or “music treatment.” Studies of randomized controlled trials (RCTs) were included, and each publication included was assessed for quality. A meta-analysis was conducted using RevMan 5.1.

Results

Publications were selected based on the inclusion and exclusion criteria. Six research articles describing RCTs were included; the total sample size was 300 patients. The results of meta-analysis showed that music therapy improved mood [Risk ratio (RR) = 3.02, 95% confidence interval (CI) = 1.93–4.11, Z = 5.45, P < 0.000 01] and behavior (RR = 7.36, 95% CI = 4.28–10.44, Z = 4.69, P = 0.000 01) in children with autism. Additionally, music therapy improved language (RR = 4.05, 95% CI = 3.38–4.73, Z = 11.71, P = 0.000 01), sensory perception (RR = 4.62, 95% CI = 1.55–7.69, Z = 2.95, P = 0.003), and social skills (RR = 4.66, 95% CI = 1.90–7.42, Z = 3.31, P = 0.000 9) in children with autism.

Conclusions

Music therapy can improve mood, language, sensory perception, behavior, and social skills in children with autism.

目的探讨音乐治疗对自闭症儿童情绪、语言、行为和社交技能的影响。方法采用中国知网(CNKI)、万方数据、中国生物医学文献数据库(CBM)和维普中国科技期刊数据库进行文献检索。搜索词是“自闭症儿童”或“自闭症儿童”和“音乐治疗”或“音乐治疗”。纳入随机对照试验(RCTs)的研究，并对纳入的每份出版物进行质量评估。采用RevMan 5.1进行meta分析。结果根据纳入标准和排除标准选择出版物。纳入6篇描述rct的研究文章;总样本量为300名患者。meta分析结果显示，音乐治疗改善情绪[风险比(RR) = 3.02, 95%可信区间(CI) = 1.93-4.11, Z = 5.45, P <[0.0001]和行为(RR = 7.36, 95% CI = 4.28-10.44, Z = 4.69, P = 0.0001)。此外，音乐治疗改善了自闭症儿童的语言(RR = 4.05, 95% CI = 3.38-4.73, Z = 11.71, P = 0.000 01)、感觉知觉(RR = 4.62, 95% CI = 1.55-7.69, Z = 2.95, P = 0.003)和社交技能(RR = 4.66, 95% CI = 1.90-7.42, Z = 3.31, P = 0.000 9)。结论音乐治疗可以改善自闭症儿童的情绪、语言、感觉知觉、行为和社交技能。

{"title":"Effects of music therapy on mood, language, behavior, and social skills in children with autism: A meta-analysis","authors":"Zhi-Min Shi , Gui-Hong Lin , Qing Xie","doi":"10.1016/j.cnre.2016.06.018","DOIUrl":"10.1016/j.cnre.2016.06.018","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the effects of music therapy on mood, language, behavior, and social skills in children with autism.</p></div><div><h3>Methods</h3><p>A literature search was conducted using the following Chinese databases: the China National Knowledge Infrastructure (CNKI), Wanfang Data, the Chinese Biomedical Literature (CBM) Database, and the VIP Chinese Science and Technology Periodicals Database. The search terms were “autistic children” or “children with autism” and “music therapy” or “music treatment.” Studies of randomized controlled trials (RCTs) were included, and each publication included was assessed for quality. A meta-analysis was conducted using RevMan 5.1.</p></div><div><h3>Results</h3><p>Publications were selected based on the inclusion and exclusion criteria. Six research articles describing RCTs were included; the total sample size was 300 patients. The results of meta-analysis showed that music therapy improved mood [Risk ratio (<em>RR</em>) = 3.02, 95% confidence interval (<em>CI</em>) = 1.93–4.11, <em>Z</em> = 5.45, <em>P</em> < 0.000 01] and behavior (<em>RR</em> = 7.36, 95% <em>CI</em> = 4.28–10.44, <em>Z</em> = 4.69, <em>P</em> = 0.000 01) in children with autism. Additionally, music therapy improved language (<em>RR</em> = 4.05, 95% <em>CI</em> = 3.38–4.73, <em>Z</em> = 11.71, <em>P</em> = 0.000 01), sensory perception (<em>RR</em> = 4.62, 95% <em>CI</em> = 1.55–7.69, <em>Z</em> = 2.95, <em>P</em> = 0.003), and social skills (<em>RR</em> = 4.66, 95% <em>CI</em> = 1.90–7.42, <em>Z</em> = 3.31, <em>P</em> = 0.000 9) in children with autism.</p></div><div><h3>Conclusions</h3><p>Music therapy can improve mood, language, sensory perception, behavior, and social skills in children with autism.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":"3 3","pages":"Pages 137-141"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.06.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25

Research progress of hierarchical division in nursing ladder management in China 中国护理阶梯管理中等级划分的研究进展

Frontiers of Nursing

Pub Date : 2016-09-01 Epub Date: 2016-09-15 DOI: 10.1016/j.cnre.2016.06.012

Yong-Le Shi, Ji-Ping Li

This paper reviews the concept, research condition and research progress of hierarchical division in nursing ladder management in China; points out the problem and outlook of this area.

本文综述了护理阶梯管理中层级划分的概念、研究现状及研究进展;指出了该领域存在的问题和发展前景。

引用次数: 2

Research progress in nursing subspecialization 护理分科研究进展

Frontiers of Nursing

Pub Date : 2016-09-01 Epub Date: 2016-10-05 DOI: 10.1016/j.cnre.2016.10.002

Fang Wang, Li Yuan, Zhen-Zhen Xiong, Rao Li

With the rapid development of medical departments in recent years, nursing subspecialization has increased in prominence and performance. This highly subspecialized division of labor system not only improves the quality of nursing care but also promotes the development of nursing science. Today, developing nursing subspecialization has become the direction and strategy for the development of clinical nursing practice in many countries.

近年来，随着医学专科的快速发展，护理专科的重要性和表现日益突出。这种高度亚专业化的分工制度不仅提高了护理质量，而且促进了护理科学的发展。目前，发展护理亚专科已成为许多国家临床护理实践发展的方向和策略。

引用次数: 1

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