高年资临床一线护士职业身心体验的质性研究

目的了解高年资临床一线护士的职业身心体验,为管理者制定人性化护理管理制度提供依据。方法采用质性研究方法中的现象学研究方法 ,深入访谈11名高年资临床一线护士。结果提炼出4个主题:①生理机能减退(工作力不从心,睡眠障碍);②特殊的心理变化(情绪不稳,易激惹,易患身心疾病;转岗、离岗心理);③压力大(工作压力增大;家庭压力增大);④工作经验丰富(丰富的临床护理经验;能够完全掌握病人的心理;病人的信任及融洽的护患关系;高度的责任心;较强的带教能力和科研能力)。结论护理管理者应注意临床一线护士的身心变化,减轻护士的压力,减少护士的分流,提高临床一线护士的工作待遇和社会地位,确保护理质量的提高。     

高年资护士管理现状与对策

高年资护士是护理专业宝贵的人力资源,通过对国内外高年资护士的结构和管理现状进行比较,分析国内高年资护士流失原因,提出相应管理对策,以便合理利用高年资护士,避免护理人力资源的浪费。     

我院高年资护士职业疲惫感原因分析

目的探讨高年资护士职业疲惫感的原因,为管理者制定人性化管理提供依据。方法采用现象学研究法探索高年资护士对护理工作的体验,以半结构式的深入会谈法对我院各临床科室的60名高年资护士进行访谈,对访谈资料采用阅读、分析、反思、分类、提练5个步骤分析其疲惫感产生的原因。结果高年资护士工作疲惫感原因包括5个方面,即工作无成就感、心理负荷过重、身体健康问题、自我追求受限、情感受挫。结论管理者应关注高年资护士的身心健康,加强与高年资护士的沟通,解决工作中遇到的困难。运用激励机制调动其工作热情,稳定护理队伍。     

三级甲等医院护师及以上职称护理人员科研现状的调查

目的:了解三级甲等医院护师及以上职称护理人员的科研状况及影响因素。方法:对182名三级甲等医院护师及以上职称护理人员进行自设问卷调查,内容包括科研现状、对科研的态度、科研的困难、激励因素及对科研相关知识的需求。结果:23.1%的护理人员在专业期刊上发表过护理论文,51.6%参与过科研活动;其中时间、相关知识、激励制度、信息资源等被认为是护理人员从事临床科研的主要影响因素。结论:临床护理人员的科研水平有待提高,管理者可通过创造必要的客观条件,如时间安排、科研培训、激励制度、信息资源等促进临床科研的发展。     

住院老年慢性病患者心目中优秀护士的质性研究

目的 了解住院老年慢性病患者心目中优秀护士的形象.方法 采取立意取样法,选择2008年9-12月在某老年科住院治疗的21例老年慢性病患者作为研究对象,进行半结构式深入访谈,现场录音,按现象学研究的方法整理分析资料.结果 通过阅读、分析、反思、分类和提炼主题,得出3个主题:(1)高尚的医德是优秀护士的基础,优秀护士要有无私奉献的精神;尊重患者,一视同仁;有爱心,注重生活护理.(2)良好的专业技术是优秀护士的体现.优秀护士的静脉输液技术要做到"一针见血、无痛穿刺";善于观察病情变化、有一流救治水平;工作细致谨慎.(3)深厚的护理专业知识与一定心理学知识使护士的内涵得以升华.结论 住院老年慢性病患者对护士的专业水平要求高,对护士的服务范围要求广.将道德品质和专业能力相结合才是老年慢性病患者心目中的优秀护士.     

高年资临床护士对住院患者安全影响因素的评价

目的了解患者在住院期间常发生的安全问题及患者自身影响安全的因素，帮助护理人员及早发现患者存在的安全隐患，为制定临床安全护理措施提供参考。方法采用尺度式问卷调查，调查台州市6所医院113名临床高年资护理人员对常见住院患者安全问题及患者自身影响安全因素的评价，并对患者安全问题的常见程度及患者自身影响安全因素的危险程度进行了分析评判。结果患者住院期间位居前6位的安全问题为静脉输液渗出、跌倒、压疮、用药失误、院内感染和烫伤，患者自身影响安全的主要因素导致其危险程度排序的前3位依次为压疮、用药失误及跌倒。结论各级医院应认识并重视常见安全问题，注重安全防护；重视患者的主体地位，积极鼓励患者参与自身安全管理；构建安全文化，提升安全护理整体水平，以保障患者安全。     

试行查房护师制探索儿科护理继续教育之路

目的:探索儿科护理继续教育之路,培养儿科护理高级技术骨干。方法:试行查房护师制,已完成住院总护师规范化培训的高年资护师或主管护师,通过与医师共同查房,了解病人病情,找出护理问题,制定相应的护理措施并组织实施,检查护理记录书写质量并进行护理教学及查房指导等。结果:通过查房护师制的实施,在培养儿科护理专业高级技术骨干,提高护理质量,保持医护诊疗记录的一致,建立良好的护患关系,减少医疗纠纷等方面收到了较好的效果。     

Interpreting trauma radiographs

BACKGROUND: Many accident and emergency clinicians regard the radiographic image as an extension of the clinical examination, as a provisional diagnosis, based on clinical signs and symptoms, can be confirmed or refuted by inspection of X-rays. However, the value of radiography in this context is not determined by the actual presence of trauma or pathology on the radiograph, but is dependent on the ability of a clinician to identify any trauma or pathology present. Traditionally, the responsibility for interpreting radiographic images within the accident and emergency environment in the United Kingdom (UK) has been with medical clinicians. However, expansion of the nursing role has begun to change the boundaries of professional practice and now many nurses are both requesting and interpreting trauma radiographs. AIM: To ascertain the ability of accident and emergency doctors and nurses to interpret trauma radiographs, and identify whether there is a consistent standard of interpretive accuracy that could be used as a measure of competence. METHODS: A literature review was conducted using the Cochrane Library, Medline and CINAHL databases and the keywords radiographic interpretation, radiographic reporting, accident and emergency and emergency/nurse practitioner. FINDINGS: The ability of accident and nursing doctors and nurses to interpret trauma radiographs accurately varies markedly, and no identified published study has established an appropriate level of accuracy that should be achieved in order to demonstrate satisfactory competence in the interpretation of radiographic images. CONCLUSIONS: Determining a measure of interpretive accuracy that can be used to assess ability to interpret radiographic trauma images is fraught with difficulties. Consequently, nurses may attempt to prove their skills by directly comparing their abilities to those of their medical colleagues. However, as a result of marked variation in the ability of senior house officers to interpret trauma radiographs, a similar ability does not automatically imply that a satisfactory level of ability has been achieved.     

糖尿病联络护士工作模式的探讨

目的探讨糖尿病联络护士工作方法、效果和运作模式。方法在全院开展以专科护士为核心、各病区有1名护士参与的糖尿病联络护士工作小组,糖尿病联络护士对本科糖尿病患者进行转介,专科护士对转介患者进行会诊、个体化的指导。结果提高了在非糖尿病专科住院的糖尿病患者的遵医行为,提高了患者的糖尿病相关知识水平,纠正非糖尿病专科护理人员对糖尿病患者的不正确护理,新发现糖尿病患者的糖尿病专科门诊就诊率100%。结论提高兼职糖尿病专科护士的工作效率,提高非糖尿病专科住院的糖尿病患者的教育效果。     

选拔聘用护士当选护士长对护理管理的作用

探讨聘用护士当选护士长对护理管理的作用.从全院护士队伍中公开竞聘护士长,选拔政治思想好,业务技术精的聘用护士为护士长.聘用制护士长和在编护士长一样发挥着领导作用.充分认识聘用护士在医院发挥的作用,为聘用护士提供一个发展的平台,有利于稳定护理队伍和提高医疗护理质量.     

The relationship between menstrual attitudes and menstrual symptoms among Taiwanese women

AIM OF THE STUDY: This study explored characteristics of the menstrual cycle including duration, prevalence and severity of symptoms and examined the relationship of these characteristics with attitudes toward menstruation. BACKGROUND: Conceptualization of menstrual phenomena and attitudes toward menstruation may vary among cultures. While data about menstrual health among American women are widely available, there are little data concerning menstrual health in Taiwanese women. DESIGN/METHODS: A total of 30 healthy women with a mean age of 24.4 years participated in the study and made daily records of symptoms over a 90-day period with the Woods Daily Health Diary (WDHD). They then retrospectively completed the Moos Menstrual Distress Questionnaire (MMDQ) and the Menstrual Attitudes Questionnaire (MAQ). RESULTS: The mean age of menarche of these women was 13 years, their mean cycle duration was 5.8 days and the cycle length was 31.1 days. The mean scores of five subscales for MAQ ranged from 2.19 to 3.28. Forty-six percent of the surveyed Taiwanese women agreed that the onset of menstruation can be predicted and anticipated, and 78% of these women agreed that menstruation was a natural event. CONCLUSIONS: Menstrual attitudes in Taiwanese women are multidimensional, and that significant cross-cultural differences are present. Attitudes toward menstruation in Taiwanese women are related to their physical, cognitive, behavioural and psychological changes in the premenstrual and menstrual phases.     

Attitudes towards the Infection Prevention and Control Nurse: an interview study

ward d.j. (2012) Journal of Nursing Management  20, 648–658 Attitudes towards the Infection Prevention and Control Nurse: an interview study Aim A study was undertaken involving nursing students and nurse mentors to investigate the experiences and learning needs of nursing students in relation to infection prevention. One of the objectives was to consider the views of both nursing students and mentors towards the Infection Prevention and Control Nurse (IPCN) as an important staff member in infection prevention and control. Background Infection prevention and control is a national and international priority but compliance with precautions can be low. One reason for this is staff attitudes. Infection Prevention and Control Nurses have an important role to play in the management of patient care through clinical staff and it is therefore important that they are seen as approachable and effective in their role. Methods Using a qualitative approach, data were obtained through semistructured interviews with 31 nursing students and 32 nurse mentors. Interviews were recorded, transcribed and analysed using framework analysis. Findings Three themes emerged: attitudes towards the IPCN, effects of the presence of the IPCN and preferred qualities in IPCNs. Conclusions Areas for future research are identified and recommendations made to address areas where attitudes may affect both clinical practice and the education of nursing students in clinical placements. Implications for nursing management Nurse specialists or practitioners, who are often seen within a management role, need to consider how they work with clinical staff in order to foster more collaborative relationships.     

护理专业化发展过程中的角色区别

文章总结了作为高级实践护士的临床护理专家和开业护士以及作为其前身的专科护士之间的区别,分别从其起源、概念和角色职能、培养认证、工作场所及处方权方面进行了阐述,以帮助护理人员正确认识护理专业中的多种角色。     

The effectiveness of a diabetes nurse clinic in treating older patients with type 2 diabetes for their glycaemic control

Aims. The aim of this study is to determine the effectiveness of a diabetes nurse clinic intervention in controlling the poor glycaemia of older patients with type 2 diabetes. Research method. This is a quasi‐experimental design with pre‐ and follow‐up tests. The study was conducted in a regional acute hospital in Hong Kong. A total of 150 (75 controls, 75 cases) poor glycaemic control older patients with diabetes were recruited in the study. Outcome measures. Biomedical and psychological data were collected at pre‐ and follow‐up period and compared between groups. Results. The study results show an effective intervention of diabetes nurse clinic in giving consultation and education to the type 2 diabetic patients. Subjects in the nurse follow‐up group showed an improvement in the HbA1c, and systolic blood pressure and reduction on healthcare utilization. Conclusion. The study provided evidence to support the diabetes nurse clinic in treating the older patients with diabetes. This study has provided confidence to the diabetes nurse to treat the unstable older patients with diabetes. Relevance to clinical practice. Diabetes mellitus is a serious health concern that most commonly affects older people. As indicated by the results of this study, this educational programme can act as an effective nursing intervention to the type 2 diabetic patients.