Using a Framework to Enhance Clinician Well-Being

To support decreasing burnout and stress, health care organizations must prioritize improving clinician well-being. Adopting and utilizing a well-being framework can enable health care systems to define well-being, prioritize the internal and external factors that affect well-being, and guide interventions that support their employees. This article describes how a large health system created and implemented a well-being framework, based on national evidence, to support the advancement of clinician well-being.     

An Instrument to Measure Professional Nursing Values

Purpose: To describe the Nursing Professional Values Scale (NPVS), its development, reliability and validity, and its derivation from the Code of Ethics of the American Nurses Association.
Design: The NPVS was tested on 599 subjects, including baccalaureate and masters' students and practicing nurses. The students were enrolled in one of 25 programs selected at random from all NLN accredited programs in the United States. Practicing nurses were randomly selected from a State Board of Nursing list.
Method: A 44-item, norm-referenced instrument with a Likert-scale format was tested. The responses of participants to this instrument were subjected to principal axis factor analysis with varimax rotation.
Findings: Eight factors were identified, accounting for 58% of the total variance. The two major factors were Caregiving and Activism.
Conclusions: Initial results showed a high level of reliability and validity for the NPVS. The NPVS is a useful instrument for measuring professional nursing values and enhancing professional socialization.     

Rehabilitation Professionals' Satisfaction With Continuing Education Delivered at a Distance Using Different Technologies

This paper examines learner satisfaction with technologies used for distance delivery of continuing education across 10 Canadian sites: nine within the province of Alberta and one in Nunavut Territory. The technologies were satellite (or videotapes of) broadcasts, videoconferencing, and web-based technology. Learner satisfaction was evaluated using questionnaires. A survey on general issues related to continuing education was developed and mailed to random samples of health professionals and a convenience sample of stakeholders. The learners (n = 1.141) represented 20 types of health service providers who had attended at least one session delivered via satellite, videotape, or videoconferencing. Seven individuals completed the web-based course. Overall, the majority of participants were satisfied or very satisfied. In general, satellite delivery was received more favorably compared with videotapes of the same content. A total of 350 (33% response rate) health professionals and 37 (50% response rate) stakeholders returned the surveys. Nearly 50% of health professionals thought that clinical case presentations (rounds) were valuable to them, but over half of the stakeholders perceived that videotapes, rounds, and research seminars were valuable to health professionals. Ratings for the web-based course varied, indicating different learner characteristics. We conclude that it is possible to utilize multiple technologies to meet the continuing education needs of an interdisciplinary group of health service providers, but future research is needed to develop a framework for evaluating the usability of multiple existing and emerging technologies for distance education.     

Collaboration With Advanced Practice Registered Nurses to Improve Patient Satisfaction in Outpatient Clinic

Patient satisfaction has become an indicator for measuring quality and is linked to clinical outcomes, patient retention, and patient-centered care. A vascular surgery division in a tertiary care referral center found that the increase in the volume of patients necessitated the addition of advanced practice registered nurses (APRNs) to assist in the care of these patients. The Press Ganey Medical Practice Survey was used to track patient satisfaction scores before and after integration of an APRN into the outpatient clinic and showed that having the APRN increased patient satisfaction scores.     

Increasing Follow-Up Rates at a Free Clinic

This project aimed to increase the follow-up visit rates at a free medical clinic and evaluate the effects of SMS messaging on follow-up adherence, regardless of whether patients scheduled their follow-up appointments prior to leaving the clinic or if they received paper reminder cards. The use of the SMS application increased overall follow-up rate by 7%. This project supports that patients who received reminder messages via the SMS application kept their follow-up appointments consistently.     

个性化优质护理服务在门诊换药室患者中的应用

目的:探讨个性化优质护理服务在门诊换药室患者中的应用效果。方法:选取2019年10月1日~12月31日在某三甲医院门诊换药室换药的226例患者作为研究对象,随机分为对照组114例和观察组112例,对照组采取常规护理干预及常规换药方案,观察组在对照组基础上给予个体化优质护理服务;比较不同时间两组生命体征监测指标(包括呼吸、脉搏、收缩压、舒张压等),比较两组疼痛感、焦虑、抑郁情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]及护理满意度。结果:观察组更换敷料时、清理创面时、涂药包扎时、换药10 min后呼吸、脉搏、收缩压、舒张压优于对照组(P<0.01),且其波动幅度小于对照组(P<0.01);两组疼痛感比较差异无统计学意义(P>0.05);观察组SAS、SDS评分低于对照组(P<0.01),焦虑、抑郁程度优于对照组(P<0.01);观察组护理满意度优于对照组(P<0.01)。结论:个性化优质护理服务在门诊换药室具有良好的应有效果,能改善患者换药体验,稳定心理状态,提高其护理满意度,值得临床推广应用。