Commanding insights in a survey of psychiatrists' and registered nurses' levels of mental health literacy in a Chinese general hospital

ADLER‐COLLINS J.K. (2011) Commentary: commanding insights in a survey of psychiatrists' and registered nurses' levels of mental health literacy in a Chinese general hospital. International Nursing Review 58 , 370–371     

影响中医护理科研开展的因素及对策

针对目前中医护理科研相对不足的现状,从护士本身和护理管理者两方面来分析,揭示了影响中医护理科研开展的因素：护士学历层次低,缺乏科研意识,中医基础理论薄弱,无阅读专业文献的习惯,缺乏学科带头人等。大多数护理管理者不重视护理科研,并缺乏必要的支持。提出护理人员应增强科研意识,提高护理群体的整体素质;护理管理者应从思想上给予重视,统一规划,保证中医护理科研的开展。     

基于可拓学理论的护理安全管理模式的研究

<正>护理安全是指在实施护理的全过程中,患者不发生法律和法定的规章制度允许范围以外的心理、机体结构或功能上的损害、障碍、缺陷或死亡[1]。我们从可拓学理论的角度重新审视护理安全管理过     

护理记录的质量分析与管理对策

目的分析现有护理记录质量，规范临床医疗护理行为，保障护理安全。方法抽查我院2006年1月-2007年11月住院、归档病历共1183份，对护理文件记录进行评分。结果①各项护理文件记录的质量分析，扣分率以医嘱单和一般患者护理记录最高，危重患者护理记录为最低；缺陷率以一般患者护理记录和体温单最高，危重患者护理记录最低。②一般患者护理记录中各类记录的质量分析，扣分率是一般护理记录最高，入院护理评估表最低；缺陷率是一般护理记录最高，入院护理评估表为最低。结论加强护理文件书写规范与质量标准的培训学习，对提高护理文件记录的质量内涵、维护医患双方权益均起着重要的作用。     

护理服务与收费探讨

目的 对护理服务与收费进行探讨,以制订标准、完善的护理成本核算体系.方法 通过对长期住院患者在治疗过程中所实施的护理技术及所用众多一次性物品无费用可收来阐述护理收费.结果 护理工作几乎是一项未计酬劳的技术性服务,护理收费比例在总额中偏低、护理收费标准偏低、项目不全、护理劳动力成本被忽略.护理价值无法真正体现.结论 护理管理者应加强护理成本管理,制订出完善、标准的护理成本核算体系.     

护理服务与收费探讨

目的对护理服务与收费进行探讨，以制订标准、完善的护理成本核算体系。方法通过对长期住院患者在治疗过程中所实施的护理技术及所用众多一次性物品无费用可收来阐述护理收费。结果护理工作几乎是一项未计酬劳的技术性服务，护理收费比例在总额中偏低、护理收费标准偏低、项目不全、护理劳动力成本被忽略，护理价值无法真正体现。结论护理管理者应加强护理成本管理，制订出完善、标准的护理成本核算体系。     

自制和改良系列护理用具在骨科患者护理中的应用

骨科患者不论是脊髓损伤造成的截瘫还是四肢骨折，均要长期或一定时间内的卧床和肢体活动受限，随之将会出现一系列生活方面的问题（穿衣困难）及压疮等护理并发症，特别是胸部、骨盆及髋关节术后的患者不便穿内衣，使得患者的隐私时常暴露，造成不良影响（特别是女性患者）。另外，     

护士长应用有效人员管理措施对提升护理质量的效果

目的通过实施有效的人员管理,进一步提高呼吸科的护理质量。方法自2010年下半年起护士长对护士实施系统的管理模式,与2009年下半年同期的护理质量进行比较。结果呼吸科质控平均值由2009下半年的（86．45±4．32）分上升到2010下半年的（93．37±3．76）分,比较差异有统计学意义（t=1．986,P〈0．01）;住院患者对护士工作满意度由2009年的93．82％提升到2010年的98．29％,比较差异有统计学意义（X^2=30．787,P〈0．01）。结论有效的人员管理能明显提升护理质量,只有管理好护理团队,才能使护理质量进一步提高。     

不同方法配置护理人员的比较分析

目的为了合理配置有限的护理人力资源,平衡各科室的劳动强度,保证护理质量。方法随机选择10个病区,跟踪记录1周的护理工作量,记录当天的实际护士上班人数,当天病人数。通过4种计算方法得到所需护士人数的一周曲线图。结果目前护理人员严重缺编,每天护士实际上班人数与按工作量计算(按护士8h工作制,满负荷计算)所需的护士人数相差甚远。按1：O．4(实际病人数)配置护理人员将导致劳动强度的不均衡性。结论按护理工作量配置护理人员是一种科学的方法。     

The effects of applying an assessment form based on the health functional patterns on nursing student's attitude and skills in developing the nursing process

ObjectivesComprehensive nursing assessment, as the first step in the nursing process, involves the systematic and constant data gathering to facilitate the development of the patient-specific nursing process. The aim of this study is to determine the effects of applying an assessment form based on the health functional patterns on nursing student's attitude and skills in developing nursing process.MethodsA randomized controlling design was conducted. Of 84 undergraduate nursing students, 42 students were allocated to the intervention or control group. In clinical education, a patient assessment form based on Gordon's functional health patterns was applied to help students in the intervention group to develop nursing process, while the control group received traditional methods. The data were gathered using a demographic information questionnaire, skills in nursing process development checklist, and attitudes towards nursing process questionnaire.ResultsThe average scores for students’ attitude and skills in developing nursing process in the intervention group were greater than those of the control group.ConclusionApplying nursing assessment using the patient assessment form based on Gordon's functional health patterns can improve the students' learning in developing nursing process.     

开展优质护理服务存在的问题与对策

<正>由于我国人口老龄化存在老龄化速度快、规模大、发展过程不平衡,疾病谱发生改变,经济发展水平低[1],独生子女对老人的赡养负担重等因素,人们需要享受医疗服务的需求越来越大[2]。2010年全国护理工作会议提出开展优质护理服务     

The impacts of faculty caring on nursing students’ intent to graduate: A systematic literature review

ObjectivesTo examine the current studies about the impacts of faculty caring on nursing students’ intent to graduate and provide recommendations. The nursing profession continues to face nursing shortages. One of the solutions recognized to alleviate the shortage is increasing the number of students graduating from nursing schools. It lacks a literature review synthesizing the current research about the impacts of faculty caring on nursing students’ intent to graduate and indicate areas for future research.MethodsThis is a systematic literature review. The search of the literature was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Databases searched included MEDLINE via PubMed, CINAHL, PsycINFO, and ProQuest Search. Search terms included ‘attrition,’ ‘dropouts,’ ‘graduation rate,’ ‘faculty,’ ‘instructor,’ ‘professor,’ ‘nursing,’ and ‘caring.’ResultsTen articles met the inclusion criteria. The articles were conducted in the Associate Degree of Nursing and the Bachelor of Science in Nursing programs. Nursing faculties played a significant role in students’ intent to graduate by building students’ confidence, creating a compassionate learning environment, and promoting students’ competence. Faculties’ caring behaviors, including respecting students, showing empathy, and using caring communication skills, were essential characteristics to affect students’ learning environments.ConclusionsThe findings indicate that students’ perceptions of faculty caring can affect their perceptions of the learning environment and sense of belonging, and therefore, impact their intent to graduate. Students’ perceptions of their instructors’ caring behaviors are instrumental in motivating them to continue learning. The capacity of faculty caring plays a significant role in students’ success.     

护理标识在护理风险管理中的实践和体会

目的使用和管理护理标识,降低护理风险。方法在护理服务过程中,系统、规范、科学地使用护理标识。结果护理差错发生率下降了90%,病人满意度保持在95%以上,护理人员的风险意识增强。结论护理标识有助于降低护理风险,提高护理质量。     

What is the process of a comprehensive mental health nursing assessment? Results from a qualitative study

COOMBS T., CURTIS J. & CROOKES P. (2013) What is the process of a comprehensive mental health nursing assessment? Results from a qualitative study. International Nursing Review 60 , 96–102 Background: It is a truism that nursing care must be informed by assessment, otherwise how can one know what care is required or that it has been successfully delivered? Yet, little is known about the process of comprehensive mental health nursing assessment in practice. If the education of mental health nurses is to be effective, it is essential that the key content of, and the processes involved in carrying out a mental health nursing assessment in practice are able to be articulated to learners. Aim: To identify the processes of assessment that occur in mental health nursing practice based on interviews with mental health nurses working in clinical and management roles in clinical areas. Method: Interviews were undertaken with 18 nurses who worked in inpatient and community mental health settings either as clinicians or managers. The nurses ranged from new graduates to those with more than 20 years of experience. Findings and discussion: Clear processes were reported to be involved in undertaking a comprehensive mental health nursing assessment in practice, with three main themes emerging during analysis. First is the importance of engaging the patient; second is tell me what the problem is? with one subtheme reconcile inconsistencies; and finally, the ongoing nature of the assessment process. Conclusion: Common processes emerged when the nurses described their individual approaches to undertaking comprehensive mental health assessment. The results have important policy implications for the educational preparation of mental health nurses, their ongoing supervision and further research into contemporary mental health nursing practice.     

建立和落实"质量缺陷月报制"是护理质量持续改进的有效途径

目的通过“质量缺陷月报制”的实施,达到护理质量的持续改进。方法护士长自查上报护理质量缺陷,医院护理质量管理委员会对报表项目内容进行分析修正,护士长会议讲评和反馈,落实计划,监控评价。结果推行“质量缺陷月报制”1年,护理质量显著提高,并始终呈平稳上升趋势。结论建立和落实“质量缺陷月报制”是护理质量持续改进的有效途径。     

非惩罚护理失误登记表在提升护理质量中的应用

目的:探讨非惩罚护理失误登记表在提升护理质量中的应用效果。方法:设计并利用非惩罚护理失误登记表,培训护理人员接受护理失误人性化处理方式,将其作为缺陷资源共享,制定有效整改措施,使用追踪法进行持续质量改进。结果:护士对护理管理工作满意度提高。结论:采用非惩罚护理失误登记表实施人性化管理,有效提高护理质量。     

专科护理小组在护理质量控制中的作用

目的探讨专科护理小组实施持续质量督导对提高护理质量的效果。方法自2008年开始,在运行院二级护理质量控制模式的基础上,成立6个专科护理小组,对各病区护理工作实施持续质量督导,比较实施前后的护理质量。结果与实施前比较,病区管理、基础护理、危重症护理、健康教育、消毒隔离、急救质量、护士操作技能、患者健康知晓率及满意度均有提高,差异均有统计学意义（t分别为2．025,2．498,2．320,2．159,2．639,2．765;x^2分别为14．38,10．57;P〈0．05或P〈0．01）。结论成立专科护理小组实施持续质量督导,保证护理质量与安全,控制护理质量影响因素,提高护理质量。     

124例护理不良事件的分析与启示

目的：探讨减少护理不良事件发生的对策及相应的防范措施。方法将124例护理不良事件的案例从原因、类型、人群、时间段等方面进行分析。结果发现不良事件易发生的人群是工龄在5年以下的年轻护理人员;易发生的类别是药物治疗尤其是注射药物治疗;不良事件易发生的主要原因是未落实“查对”制度;易发生的时间段主要集中工作日的白班时间段。结论提高护理人员的综合素质和安全意识水平、加强对护理人员安全工作的相关培训与教育、改革排班模式、制定详实的临床护理操作流程、规范护理人员的行为准则是护理工作中减少与杜绝护理不良事件发生的保障。