Frontiers of Nursing最新文献

Objective

To systematically evaluate the effectiveness of fall prevention and balance function in the elderly.

Methods

Databases, including PubMed, Web of Science, Cochrane Library, Chinese Biomedical Literature Database (CBM), and CNKI were electronically searched, and the relevant references of the included papers were also manually searched. Two reviewers independently screened the articles according to the inclusion and exclusion criteria, extracted the data, and assessed the methodological quality. A meta-analysis was performed using the Cochrane Collaboration's RevMan 5.1 software.

Results

Six randomized controlled trials (RCTs) involving 2796 participants were included. The results of the meta-analysis showed that compared with a physiotherapy intervention, Tai Chi could significantly reduce the incidence rates of falls [relative risk (RR) = 0.82, 95% confidence interval (CI) (0.73, 0.92)], while there were significant differences in the Timed Up and Go test, Functional Reach Test and Berger Balance Scale.

Conclusions

Tai Chi is effective in reducing the risk of falls and improving balance in the elderly.

Objective

This study sought to translate, modify and validate an instrument developed by Beckman and colleagues to assess the knowledge of clinical nurses regarding pressure ulcers.

Methods

A methodological study design was used. The instrument was translated into Chinese and back-translated into English. A six-expert panel was invited to evaluate the content validity, and a pilot test was subsequently performed on the test-retest stability of the translated instrument. A convenience sampling method was used to recruit 240 nurses from a university teaching hospital in the Mainland of China. In total, 186 valid questionnaires were collected with a 77.5% valid return rate. The validity of the multiple-choice test items (item difficulties and discriminating indices) and internal consistency reliability were evaluated.

Results

The translated and modified instrument demonstrated acceptable psychometric properties, as follows: (1) the overall content validity index (CVI) was 0.91, (2) the overall test-retest reliability was 0.826, (3) the item difficulty indices were between 0.46 and 0.93, (4) the overall values for discrimination were 0.28–0.55, and (5) the Cronbach's α for the internal consistency were 0.792 for the overall instrument and 0.426–0.804 for the sub-themes.

Conclusions

This study represents the first trial to translate and modify an existing instrument that measures the knowledge of pressure ulcers in a Chinese Mainland sample. The instrument demonstrated acceptable psychometric properties and could be applied in cross-cultural nursing practices, including nursing education, research and practice, to evaluate knowledge about pressure ulcer prevention.

Objective

To understand the effect of humanistic nursing care model wards in Children Caring Ward School (CCWS) on the nurses' caring ability.

Methods

Questionnaire 25 nurses of humanistic nursing care model wards in CCWS using the Nkongho Caring Ability Inventory (CAI) before and after implement the humanistic nursing care model, including reform the systems of nursing care, introduce humanistic care model, implement the humanistic care, to measure the nurses' caring ability.

Results

The nurses' caring ability had significantly developed on total, cognition dimension, courage dimension and patience dimension after all measures considered (p < 0.05).

Conclusions

The humanistic nursing care model wards in CCWS has a positive effect on the nurses' caring ability, not only to help build great relationships between nurses and patients but also to enhance the patients' satisfaction.

This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal).

This article has been retracted at the request of author as it was found that some of the data and contents duplicate of formerly published articles. Additionally, a data error remains in the abstract section. Since this may violate the rule of duplicate publication this article needs to be retracted due to partial data and contents duplication with a formerly published articles (links are given below)http://www.tandfonline.com/doi/full/10.1080/13548506.2016.1164873 https://www.ncbi.nlm.nih.gov/pubmed/?term=Relationships+between+perceived+social+support+and+retention+among+patients+in+methadone+maintenance+treatment+in+mainland+China

This review will first cover the root causes of falls, identify preventive measures associated with these falls, and provide an overview of best practice of fall prevention at leading institutions. There is significant benefit in instituting a comprehensive program to reduce falls. After analyzing the results from many successful programs, it is apparent that an integrative program that consists of patient evaluations, environmental modification, and staff training can lead to a significant reduction in the overall prevalence of falls. Such programs can be implemented at a low cost and therefore represent an improvement in care with a high return on investment.

Objective

The aim of the present study was to investigate Chinese nurses' perception of risk factors for phlebitis.

Methods

A convenience sample of hospital nurses was recruited in Beijing, China. Data were collected using a demographic information questionnaire and a questionnaire measuring nurses' perception of risk factors for infusion phlebitis.

Results

It was found that knowledge of risk factors for infusion phlebitis was incomplete, even among experienced nurses in the study participants. A high rate of incorrect answers to questions about the pH of fluid (89.9%), gauze or polyurethane catheter dressings (79.1%), and steel needles for drug infusion (76.3%) was observed.

Conclusions

These findings suggest that nurses should be trained about the risk factors for infusion phlebitis.

Objective

To standardize pain management in the anesthesia recovery period and improve the effects of analgesia on acute postoperative pain.

Methods

Using healthcare failure mode and effect analysis (HFMEA), we analyzed the primary cause of patients' pain and subsequently determined the process and risk priority number (RPN).

Results

Actions were taken to improve patients' pain. After using HFMEA, the experimental group's visual analog scale (VAS) scores were lower than those of the control group at 1 h and at discharge from the post-anesthetic intensive care unit (PAICU). The differences were statistically significant (P < 0.05).

Conclusions

The application of failure mode and effect analysis can relieve pain and improve the quality of nursing.

Objective

To investigate the main risk factors of peripherally inserted central catheter (PICC) related upper extremity deep venous thrombosis and establish the risk predictive model of PICC-related upper extremity deep venous thrombosis.

Methods

Patients with PICC who were hospitalized between January 2014 and July 2015 were studied retrospectively; they were divided into a thrombosis group (n = 52), with patients who had a venous thrombosis complication after PICC, and a no-thrombosis group (n = 144), with patients without venous thrombosis. To compare between the two groups, significantly different variables were selected to perform multivariate logistic regression to establish the risk-predictive model.

Results

The PICC catheter history, catheter tip position, and diameter of blood vessel were the key factors for thrombosis. The logistic regression predictive model was as follows: Y = 3.338 + 2.040 × PICC catheter history +1.964× catheter tip position −1.572× diameter of vessel. The area under the receiver operating characteristic curve for the model was 0.872, 95%CI (0.817–0.927). The cut-off point was 0.801, the sensitivity of the model was 0.832, and the specificity was 0.745.

Conclusions

The PICC catheterization history, catheter tip position, the diameter of blood vessel were the key factors for thrombosis. The logistic regression risk model based on these factors is reliable for predicting PICC-related upper extremity deep venous thrombosis.

Objective

To investigate the effect of the nursing path on postoperative complications after endoscopic submucosal dissection (ESD).

Method

Patients' nursing paths for ESD were established based on a systematic analysis of relevant literature, previous clinical procedures and consultation with chief physicians from a gastroenterology department. Forty patients were divided into the observation or control group and were assigned to follow the nursing path or the conventional path after an ESD, respectively. Next, the incidence of postoperative complications of these two groups was measured, primarily assessing the occurrences of bleeding, perforation, infection, and anxiety.

Results

The incidence of complications after ESD in the observation group was remarkably lower than that of the control group (P < 0.05).

Conclusion

The nursing path for ESD has a positive role in reducing certain frequent complications that occur after ESD, particularly infection and anxiety; in addition, the nursing path optimizes nursing care in patients with gastrointestinal stromal tumor.

After reviewing Chinese and foreign language literature published in recent years, this study analyzed nursing education in China and other countries and China in terms of basic nursing education and training, curriculum and teaching contents, teaching materials, and teaching methods and evaluated the characteristics of nursing education and continuing education, etc., to draw experience and lessons from successful foreign nursing education programs and to provide examples for nursing education reform in our country.