基于计划行为理论视角下的中医院护士医院感染防控意向调查研究

[目的]探讨中医院护士医院感染防控意向与态度、主观规范、感知行为控制之间的相关性。[方法]以计划行为理论为框架自拟问卷,选取哈尔滨市2所三级甲等中医院的242名护士进行问卷调查。[结果]护士的态度、主观规范、感知行为控制与医院感染防控意向呈正相关,相关系数分别为0.35,0.58,0.68,进入回归方程中的决定系数为0.69。[结论]中医院护士的医院感染防控意向与态度、主观规范、感知行为控制有关,可以通过各种途径的培训、学习提高中医院护士医院感染防控的行为意向。     

Intentions of hospital nurses to work with computers: based on the theory of planned behavior

The purpose of this study was to determine registered nurses' attitudes related to intent to use computers in the hospital setting as a predictor of their future behavior. The study was further aimed at identifying the relationship between these attitudes and selected sociological, professional, and personal factors and to describe a research model integrating these various factors. The study was based on the theory of planned behavior. A random sample of 411 registered nurses was selected from a single large medical center in Israel. The study tool was a Likert-style questionnaire. Nine different indices were used: (1) behavioral intention toward computer use; (2) general attitudes toward computer use; (3) nursing attitudes toward computer use; (4) threat involved in computer use; (5) challenge involved in computer use; (6) organizational climate; (7) departmental climate; (8) attraction to technological innovations/innovativeness; (9) self-efficacy, ability to control behavior. Strong significant positive correlations were found between the nurses' attitudes (general attitudes and nursing attitudes), self-efficacy, innovativeness, and intentions to use computers. Higher correlations were found between departmental climate and attitudes than between organizational climate and attitudes. The threat and challenge that are involved in computer use were shown as important mediating variables to the understanding of the process of predicting attitudes and intentions toward using computers.     

有计划变革在老年心血管病病房新护士专科培训的应用

目的总结有计划变革在老年病区新护士专科培训中应用。方法通过分析专科培训的变革原因，科学制定培训目标、选定培训者，根据在变革3个阶段的管理学原理进行专科培训。结果9名护士均取得了护士资质，2名护士获护理部嘉奖、1名护士获护理部技术能手、1名护士考取军队非现役文职干部。结论有计划变革专科培训让专科培训进一步科学化、专业化、系统化，在带教过程中老师和学生教学相长，营造了整个科室的学习氛围。     

The meaning and significance of clinical group supervision and supervised individually planned nursing care as narrated by nurses on a general team psychiatric ward

By interviewing 22 psychiatric nurses, the present study aimed to reveal the meaning and significance of systematic clinical group supervision and supervised individually planned nursing care, using latent content analysis. The interpreted meaning was ‘confronting the complexity of ongoing life in daily nursing care’ and the interpreted significance was ‘strengthening the foundation for nursing care’. Reflection on action and confirmation seemed to be core components in the process of clinical supervision. Focusing on the relational and task aspects in nursing care within a group approach may have contributed to the positive experiences of development that occurred.     

Promoting planned care for patients with indwelling catheters

Indwelling urinary catheters are common among patients in the community. Use of a catheter entails a significant lifestyle adjustment on the part of the patient, who must learn a new regime of self-care. In order to help patients to cope with the new device, it is essential that nurses play an active role in educating patients and involving them in the decision-making process. By empowering patients through knowledge of their condition and care, nurses can encourage greater compliance with care plans and reduce the risk of potentially distressing complications that can arise from indwelling catheters.     

Experiences of young people admitted for planned surgery

BACKGROUND: Despite national and international guidance, young people requiring hospitalisation are still cared for in inappropriate environments and not always encouraged to participate in decision making processes. Much of the research relating to the inpatient experience of young people was conducted over 25 years ago and does not always consult young people directly, an approach which is emphasised in today's health service and professional policies. AIM: To explore the extent young people are consulted and involved in planing their care and whether they have adequate facilities during an inpatient stay in a regional paediatric hospital. METHOD: Seven young people aged 13 to 16 volunteered to participate out of 33 identified from forthhcoming theatre lists. They kept unstructured diaries during their hospitalisation and these were used to aid discussion in exploratory interviews carried out within two weeks after discharge. RESULTS: Framework analysis of interview data identified issues for the young people relating to their pre-operative knowledge, sources of information, consultation with healthcare professionals and facilities available for them. Where separate facilities for young people did exist, they were used to break from the noisy environment of the children's ward and to access appropriate entertainment. Consent and involvement in decision-making were highlighted in the interviews and although several young people had been involved in the decision-making process, some identified barriers to their effective involvement. CONCLUSION: Although conclusions are limited by the small scale of the study, it is evident that young people's views on their social and psychological needs need to be heard, not just their views on the physical environment.