Educational impact of a hospital-based neonatal resuscitation program in Ghana

Aim of the study

To assess midwives’ baseline cognitive knowledge of evidence-based neonatal resuscitation practices, and short- and long-term educational effects of teaching a neonatal resuscitation program in a hospital setting in West Africa.

Methods

All midwives (n = 14) on the labor ward at Ridge Hospital in Ghana were trained using materials modified from the American Academy of Pediatrics (AAP) Neonatal Resuscitation Program (NRP). This training program included didactic and practical teaching and was assessed by direct observation within delivery rooms and written pre- and post-test evaluations. Written and practical modules 9-12 months after the initial training session were also conducted to assess retention of NRP knowledge and skills.

Results

Fourteen midwives received NRP training on the labor ward. Both written and practical evaluation of neonatal resuscitation skills increased after training. The percentage of items answered correctly on the written examination increased from 56% pre-training to 71% post-training (p < 0.01). The percentage of items performed correctly on the practical evaluation of skills increased from 58% pre-training to 81% (p < 0.01). These results were sustained 9-12 months after the initial training session.

Conclusion

After receiving NRP training, neonatal resuscitation knowledge and skills increased among midwives in a hospital in West Africa and were sustained over a 9-month period. This finding demonstrates the sustained effectiveness of a modified neonatal resuscitation training program in a resource constrained setting.     

The heart beads program

Column Editor: Bonnie Gance‐Cleveland Family‐Centered Care provides a forum for sharing information about basic components of caring for children and families, including respect, information sharing, collaboration, family‐to‐family support, and confidence building.     

Restorative Nursing Bladder Training program: recommending a strategy.

This article describes a Restorative Nursing Bladder Training program, a performance improvement initiative aimed at helping patients regain bladder control by postponing voiding, and then urinating according to a specific, individualized timetable. Data were collected on 14 patients who participated in the program from April 1999 through January 2001. Eight patients achieved a 100% reduction in incontinent episodes; 1 patient documented a 90% reduction; another patient attained an 85% reduction; 3 patients showed a 50% reduction; and 1 patient showed a 30% reduction.     

新加坡护理大专课程描述

通过对新加坡南洋理工学院大专护士的入学背景、教师背景、课程结构等情况的描述和分析,在结合我国护理教学实践与经验基础上,在课程的总体构架、课程名称、课程分类、临床实践和带教等方面提出了改善我国护理大专课程设置的一些可行性建议。     

抑郁症护理程序中的几个关键环节分析

针对抑郁症的护理特点,分析抑郁症护理程序中的几个关键环节:认真评估患者的心理状况,建立良好的护患关系,实施个体化的健康教育,给患者提供强有力的心理支持,出院后的持续心理支持和健康指导等。     

护理专业培养方案的对比性研究

2009年我校对护理专业人才培养方案进行了修订,与2005年人才培养方案相比,体现了护理行业的岗位需求,突出了护理职业能力的培养,符合高等职业教育的要求.本文从专业培养目标、课程体系构建、实践教学体系构建、选修课设置等方面与2005年人才培养方案进行对比性研究.     

Doctoral persistence and doctoral program completion among nurses

PROBLEM: The United States is experiencing a critical shortage of registered nurses, which is due to multiple factors, including a deficit of full-time doctorally prepared nursing faculty. METHODS AND FINDINGS: This review of the literature addresses doctoral persistence and the challenges faced by doctoral nursing students. Themes found in this review included periods of transition, parenthood and outside demands, delays and "marinating" in the data, and positive aspects. These issues need to be addressed in order to increase doctoral student retention and reverse the nursing shortage.     

Enhancing a public health nursing shelter program

The Shelter Nurse Program offers important nursing care and resources that help meet the health needs of the homeless population and improve the health of homeless individuals and families. However, formalized program goals and objectives, along with an evaluation plan that demonstrates population outcomes, had never been developed even as the program has evolved over time. Thus, the agency sought our assistance as public health nursing consultants to enhance the overall program to improve the health of the homeless population. To accomplish this, we worked with the agency and the shelter nurses throughout each step of the process to assess the needs of the program, develop appropriate goals and objectives, and develop an effective outcome evaluation plan for the existing Shelter Nurse Program. Lessons learned included the value and applicability of the selected program development model, the importance of agency ownership and active participation by front‐line workers, and the value of educating the workers and introducing resources throughout the process.     

Making program evaluation activities family-centered: a qualitative study

Abstract

Purpose: This study explored ways in which program evaluation activities in pediatric rehabilitation settings can become congruent with family-centered service (FCS) philosophy. Methods: Two Canadian pediatric rehabilitation centers participated in this study, which included focus groups with staff members and interviews with parents. Results: Participants identified seven ways in which program evaluation practices could be made congruent with FCS. Suggestions included: (a) the inclusion of a diverse group of program recipients, (b) the use of processes that facilitate family involvement, (c) the recruitment of family champions, (d) the involvement of families in program development, (e) the establishment of evaluations that are relevant to families (f) the development of center-wide statements about family involvement in evaluation and (g) the compensation of families for their active participation in evaluation. Conclusion: For program evaluation practices to be useful and relevant, they should be improved and made consistent with FCS philosophy. Those evaluating pediatric rehabilitation programs need to use approaches and activities that respect the needs, characteristics, cultures and diversity of the program recipients. Such actions will help to improve the quality of care provided, the nature of program evaluation activities, as well as the overall level of FCS in pediatric rehabilitation settings.

• Implications for Rehabilitation

• By incorporating family-centered activities into program evaluation processes, clinicians/evaluators can improve the overall level of and adherence to FCS philosophy in their centers, enhance the quality of care provided and, thus, contribute positively to the outcomes of program recipients and their families.

• Those evaluating pediatric rehabilitation programs need to use evaluation approaches and activities that respect the needs, characteristics, cultures and diversity of the program recipients.

• By engaging program recipients and their families in program development, they may become more engaged in program evaluation.

     

国内外护理层级管理现状

对护理层级管理的概念及国内外护理层级架构的设置及应用现状进行了分析,剖析了国内护理层级管理中存在的问题,以期为公立医院改革及护理层级管理的推进提供借鉴。     

社区护理临床教学内容与程序的研究

[目的]逐步建立和完善社区护理临床规范教学内容和程序,提高护生教学质量.[方法]以访谈和调查表的形式,对实施规范教学内容和程序带教前后的80名南昌大学医学院护理本科生实习效果进行调查,所得数据进行统计学分析.[结果]经统计学分析,实施规范教学内容和程序前后学生自评、老师评价、社会评价有统计学意义(P<0.01).[结论]实施科学规范教学内容和程序进行带教,能够提高社区护理临床教学质量,带动社区护理临床师资队伍建设,增强学生的专业情感.     

构建急诊护士应对灾害培训模式的探讨

通过分析急诊护士掌握灾害救治知识与技术的现状及构建急诊护士应对灾害培训的必要性，提出急诊护士应对灾害培训的模式，并阐述了培训模式包括的内容与方式。培训内容主要包括理论与技术；培训方式包括扩大继续教育内涵、定期组织模拟演练及建立多种学习途径等。同时，建议护理管理者转变观念，加强平时灾害救治知识与技能培训，以提高急诊护士应对灾害的能力：     

护理程序在双硫仑样反应急救中的应用

目的：总结应用护理程序对部分双硫仑样反应患者急救护理的经验。方法：对40例患者应用护理程序进行护理,对患者的相关因素进行全面的分析和评估,制订出较合理的护理诊断和计划并按要求进行针对性护理。结果：大多数患者在短时间内症状明显缓解,大大提高了急诊抢救成功率。结论：护理程序应用于双硫仑样反应患者急救中取得了良好效果。     

精神分裂症恢复期患者支持性干预方案的简单效应分析

目的 针对精神分裂症恢复期危险因素,探索适合精神分裂症恢复期患者的支持性干预方案.方法 将64例精神分裂症患者匹配分为实验组和对照组各32例,2组均服用相同的抗精神病药物,对照组进行常规的健康教育,实验组实施支持性干预方案,干预时间为4个月.干预前后采用IBS、APGAR、GSES和SDSS评价2组的康复效果.结果 2组被试GSES、APGRA、SDSS、IBS评分的组间因素及时间因素的主效应均具有统计学意义,且APGRA、SDSS、IBS存在时间与分组的交互作用;简单效应分析显示,干预后实验组与对照组GSES、APGRA、SDSS、IBS相比,差异有统计学意义,而对照组除自我效能指标外,其他指标干预前后比较差异无统计学意义.结论 针对精神分裂症恢复期患者制定的支持性干预方案有良好的实践指导作用,能提高患者的自我效能感以及家庭功能,纠正不合理信念,改善社会功能,帮助患者更好地适应社会.     

护理程序在甲状腺功能亢进患者健康教育中的应用

目的:探讨护理程序在甲状腺功能亢进患者健康教育中的应用效果.方法:对150例甲状腺功能亢进患者运用护理程序进行健康教育,将健康教育前后调查结果进行对比分析.结果:实施健康教育后甲状腺功能亢进患者定时复查、按时服药、合理饮食、适当运动、预防感染、自我护理与实施健康教育前相比较均有显著性差异(P＜0.01).结论:运用护理程序进行健康教育,可减少甲状腺功能亢进患者并发症的发生.     

急诊预检分诊护士岗位培训方案的构建

目的:构建急诊预检分诊护士岗位培训方案,为临床工作提供参考。方法:通过两轮专家咨询,对条目进行修改、整理,并测量条目的权重值。结果:遴选专家对本研究有较高兴趣,函询意见较为集中,两轮函询后形成的急诊预检分诊护士岗位培训方案包括一级条目3个、二级条目21个、三级条目69个。结论:构建的急诊预检分诊护士岗位培训方案具有科学性和可靠性。覆盖面广且充分结合预检分诊实际工作情况,能为下一步研究提供借鉴。     

神经症患者程序化心理护理的效果

目的 观察了解神经症患者实施程序化心理护理的临床效果.方法 将85例住院神经症患者随机分为研究组（n=44）和对照组（n=41）,对照组实施常规心理护理,研究组实施程序化心理护理,比较2组患者焦虑自评量表（SAS）以及患者心理需求问卷、患者满意度问卷评分的差异.结果 入组10 d后,研究组的满意度项目均分高于对照组,心理需求总量少于对照组,差异有统计学意义;20 d后,研究组SAS总分低于对照组.结论 程序化心理护理能较好地满足神经症患者心理需求,显著提高患者满意度,有效降低焦虑水平.     

抢救程序模型在临床护理训练中的应用及效果

目的提高护士抢救危重症病人的技能。方法建立抢救程序模型，实验组和对照组护士各100名，实验组护士运用抢救程序模型进行训练，对照组运用常规带教方法训练，训练时间均为6个月。结果实验组仿真模拟抢救成绩和医生满意度高于对照组（P〈0．01）。结论运用抢救程序模型训练护士，可有效提高护士的抢救水平。     

微信小程序在临床教学中心管理中的应用

基于由专人管理的教学中心教室和课程预约中，存在的繁琐、易于发生错误等问题，探索微信小程序的教室和课程预约系统，实现教室和课程预约的简单、随时和无纸化。