The experience of transition from nursing students to newly graduated registered nurses in Singapore

ObjectivesTo investigate the experience of newly graduated registered nurses (NGRNs) in Singapore following their initial 6–12 months of transition from nursing student to registered nurse.MethodsThis mixed-methods study consisted of two phases. In the first phase, data were collected via the administration of the online survey to 30 NGRNs. The questionnaire contained 42 items of the four-point Likert scale survey. In the second phase, a focus group interview was conducted with 5 NGRNs to gather complementary information regarding the major findings from the first phase.ResultsThe survey revealed despite most NGRNs (80%) in this study expressed overall satisfied with their transition, the item score was (2.97±0.61) out of 4, the majority (83.3%) also perceived their transition to professional practice being stressful, the item score was (3.07±0.74) out of 4.Three themes emerged from the interview, ‘personal transition experience’, ‘professional transition experience’, and ‘organizational transition experience’, which are entwined to construct overall NGRNs’ transition experiences.ConclusionsThis study reaffirms the theory-practice gap phenomenon. This signifies the need for closer collaboration between educational, healthcare industry and regulatory stakeholders to examine and address factors that influence their transition experience to better support them for workforce readiness.     

女性分娩创伤真实体验质性研究的Meta整合

目的:系统评价女性对分娩创伤的真实体验。方法:计算机检索Embase、Cochrane Library、PubMed、Medline、ClinicalKey、中国生物医学文献数据库、中国知网、维普网和万方数据库,收集关于女性对分娩创伤的看法及情感体验等的质性研究,检索时限为建库至2021年7月1日。采用澳大利亚Joan...     

新加坡陈笃生医院护理管理特色

新加坡陈笃生医院是一所集医疗、教学、科研为一体的综合医院。护理管理特色 :一是技术管理与行政管理并举 ,有利于护理质量的提高和护士的自我发展 ;二是各级护理人员职责明确 ,促进了整体护理的发展     

新加坡医院内护士职业生涯规划

护士职业生涯规划是设计护理人员专业发展的计划,目的在于实现组织与护理人员的共同成长、共同受益。新加坡医院采用护士职业生涯规划,通过对护士的认证和晋升体制的实施,培养出不同级别的护士,根据不同的级别分配不同的工作,从而提高护理质量和护理效率。这样,既满足了医院对护理人员不断提升护理质量的要求,又满足了护理人员个人职业发展的愿望。     

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。     

Physiotherapy education in Singapore: a new degree programme through collaboration between Trinity College Dublin and Singapore Institute of Technology

Abstract

Entry level physiotherapy education began in Singapore in 1992 with the commencement of a three-year diploma. The yearly numbers of diploma graduates has risen over the years and currently over 100 students graduate from Nanyang Polytechnic (NYP) each year. Physiotherapy education in Ireland changed from diploma to degree level in 1986, and since the 1990s there has been a growing focus on post graduate education and research. This paper describes the background to the development of a one-year programme leading to a BSc (Physiotherapy) (from the University of Dublin, Trinity College) with recognition of the three-year diploma in Physiotherapy from NYP in Singapore. The first graduates of the one-year programme will receive their degrees in 2013.     

新加坡中央医院感染管理的学习体会

文章介绍了新加坡中央医院感染管理工作及具体措施,从住院环境监测、合理使用抗生素和规范手卫生等各个方面,形成完备的医院感染管理控制网络,以确保患者在医院就医的安全性,真正体现了“以人为本”的理念,并在此基础上,总结了对我国医院感染管理的启示.     

新加坡护士人力资源管理现状

对新加坡护理人员的招聘形式,护理人员的配置、使用、培训,高级护理人才的培养等方面进行了介绍,使护理人员对新加坡护理人力资源管理现状有一定了解,对我国护理人力资源的管理、改革有一定启示。     

Psychological changes and the resolution of acute neck pain after a motor vehicle accident

This study examines the changes in self‐perception during resolution of an acutely painful neck injury sustained in a motor vehicle accident. We tested predictions from self‐discrepancy theory and a model of self‐pain enmeshment. Measures of discrepancy between the current (actual) self and both the ideal and feared‐for self were predicted to remain stable over a 21‐day recovery period whereas a measure of enmeshment was predicted to decrease as pain resolved. We also examined the relationship between daily ratings of achievement in several domains and participants perceived ideal performance. Sixty patients with possible acute neck injury recruited within 1 month after a motor vehicle accident gave consent and data were obtained from 42 participants. Standard questionnaire measures of pain, disability, fear of movement, pain catastrophizing and self‐discrepancies, self‐pain enmeshment and data from diaries (measures of pain, mood, self‐discrepancies, pain catastrophizing and fear of movement) were obtained. In general the relationships between the measures of self‐discrepancy and enmeshment and mood were in accord with both theoretical predictions and previous observations. Resolution of pain was associated with a reduction in enmeshment but not to change in self‐discrepancy. Multilevel analyses of the diary data showed that concordance between actual and ideal performance increased over the 21 days of data collection. These data provide preliminary support for aspects of self‐discrepancy theory and the self‐pain enmeshment model.     

A retrospective audit of spirituality assessment in palliative care patients in Singapore

Abstract

Introduction

Spirituality is essential and forms a critical factor in the way palliative care patients cope with their illnesses. It has been recognized as a major and important component of palliative care. There is little data in Singapore on the current state of spiritual care at the end of life.

Materials and methods

A retrospective case-notes audit of the current state of spirituality assessment was conducted in the home care as well as hospital in-patient setting. The case-notes audit was selected from patients who were seen by the palliative medicine teams between June and July 2013.

Results

A total of 108 home care patient case notes and 182 hospital in-patient case notes were analyzed during the period of this study. Only 24.1% of home care patients and 30.2% of hospital in-patients had spirituality assessments conducted, of which most patients (77.8%) had these assessments completed during the first initial clinical review. The common spiritual themes identified were fairly equally distributed among the 81 palliative care patients in whom a spirituality assessment was performed.

Conclusion

Our audit shows that less than one-third of patients have had a spiritual assessment conducted, similar to the results of other studies elsewhere. It is hoped that this spirituality assessment rate can be improved by putting in place a structured spiritual programme in future.     

Health locus of control and safety restraint attitudes in a sample of motor vehicle accident victims.

A study was undertaken to determine the health locus of control beliefs and the health promotion and safety restraint use attitudes of a sample of previously injured motor vehicle occupants. Health locus of control was not found to be related to more favorable attitudes toward safety restraint use and restraint use legislation.     

妊娠期交通事故伤的急诊救治

目的 探讨妊娠期交通事故伤的急诊救治方法.方法 回顾性分析2000～2007年收治的17例妊娠期交通事故伤的临床资料.结果 本组17例受伤孕妇中,孕妇死亡2例,死胎2例,流产(引产)3例,2孕妇出院后胎儿流产,余胎儿存活.结论 交通事故伤成为孕妇非产科死亡的主要原因,急诊救治必须建立在充分了解患者妊娠期生理变化的基础上,首要的救护努力应聚焦在孕妇身上,孕妇稳定的生命体征是胎儿存活的保证.放射线检查与超声检查有时是必要的.必须坚持多学科协作,迅速组织急诊医师、产科医师、麻醉师、放射医师、相关外科医师和急诊护士组成救治团队参与抢救.     

Advice-giving on self-medication: perspectives of community pharmacists and consumers in Singapore

BACKGROUND: In Singapore, community pharmacists provide an advice-giving service to consumers who seek self-medication for minor ailments management. This service has not been studied formally from the perspectives of pharmacists and consumers. OBJECTIVES: The study aimed to identify (i) the approach taken by pharmacists in providing advice for self-medication and (ii) consumers' behaviour in self-treatment and their perception of the advice-giving role of the community pharmacist. METHOD: The pharmacists and consumers were surveyed independently using two structured questionnaires. RESULTS AND DISCUSSION: All community pharmacists who participated in the survey were confident in providing advice on self-medication. However, none of them recorded the consultations and only 17.5% of them had documented their general physician referrals. Most consumers (66.3%) would self-medicate and only consult a professional when the desired outcome was not achieved. Less than 10% of consumers would approach the pharmacists as the first option for advice. More than half of the pharmacists felt that the advice they rendered deserved a fee whereas only 28.4% of the consumers were willing to pay. Both parties thought the fee should not be more than S5 dollars (US3 dollars). CONCLUSION: Generally, there is congruence in the perspectives on self-medication between the advice-giving pharmacist and the consumer. The consumers still lack awareness that pharmacists can help them to self-medicate more safely and effectively. Therefore, more effort in public education is warranted. The current state of poor documentation of the advisory function of community pharmacists should be improved.