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1.
Shihong Zhao Fengzhe Xie Jinghui Wang Yu Shi Shue Zhang Xuanye Han Zhinan Sun Lei Shi Zhe Li Huitong Mu Xin Liu Wenhui Liu Lei Gao Tao Sun Lihua Fan 《Archives of Psychiatric Nursing》2018,32(2):242-247
OBJECTIVES
The aim of this study to investigate the prevalence of workplace violence (WPV) in nurses in hospitals in China, and its influence on nurses' mental health.METHODS
A cross-sectional, anonymous survey was conducted with 886 nurses (effective response rate: 87.46%) from Heilongjiang Province of China.RESULTS
Findings revealed that 595 of the 886 participating nurses (67.2%) were exposed to different levels of WPV. Further, WPV was correlated positively with nurses' anxiety (r = 0.256, P < 0.01) and depression (r = 0.131, P < 0.01) levels. In addition, this survey demonstrated that service years (r = 0.263, P < 0.01) played a moderating role in the relationship between WPV and anxiety, and gender (r = 0.135, P < 0.01) played a moderating role in the association between WPV and depression.CONCLUSIONS
WPV is an extensive problem in the work setting of nurses and it poses a major threat to Chinese nurses. Chinese nurses encounter hospital workplace violence frequently, and WPV has a considerably negative impact on the mental health and well-being of the nurses. It is critical to establish a more secure working environment for Chinese nursing staff to minimize the health threats caused by the negative outcomes associated with WPV, such as symptoms caused by anxiety and depression. This study also confirmed that new nurses and female nurses were more likely to be affected by WPV. Thus, addressing WPV should be one of the top concerns for both the government and the society. 相似文献2.
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Mariusz Panczyk Magdalena Woynarowska-Sołdan Halina Żmuda-Trzebiatowska Joanna Gotlib 《Collegian (Royal College of Nursing, Australia)》2018,25(3):255-261
Background
Deficiencies in terms of healthy lifestyle may exacerbate the negative characteristics of nursing work, especially those arising from shift work.Aim
The purpose of the study was to examine the frequency of selected health-enhancing behaviours and abstinence from health-risk behaviours among Polish nurses considering their age and performance of shift work.Methods
Cross-sectional survey; study conducted among 1107 nurses (female; average age: 43.2 ± 7.23; 73% working in shifts) who followed a specialty training programme. The data were collected in March–May 2016. An anonymous questionnaire with a Positive Health Behaviours Scale was used (4 subscales: nutrition, physical activity, relaxation and behaviours related to mental health, preventive behaviours). The impact of the age and shift work on the incidence of health-enhancing behaviours was assessed by linear regression.Findings
Out of the 29 recommended health-enhancing behaviours only 3 were practised “always or almost always” by more than 50% of the respondents. The mean score in all subscales on a ten scale was 50 per 100. Most of the nurses (65–82%) abstained from health-risk behaviours. Shift work had a statistically significant negative impact in three domains: nutrition (βstand. = ?0.065), relaxation and behaviours related to mental health (βstand. = ?0.194) and preventive behaviours (βstand. = ?0.092).Conclusions
Deficiencies in terms of a healthy lifestyle (greater in nurses who worked in shifts) influence the health of the nurses, their performance of professional duties and their capacity for modelling of health enhancing behaviours in patients. Health promotion programmes should be introduced at healthcare institutions. 相似文献4.
Tomoko Yamanouchi Mayo Hiroshima Yumiko Takeuchi Yumiko Sawada Makiko Takahashi Manami Amagai 《Archives of Psychiatric Nursing》2018,32(1):103-111
Objective
The aim of this study was to identify factors contributing to the worsening or improved mental health of long-term evacuees over three years following the Great East Japan Earthquake.Method
The Japanese version of the K6 questionnaire was used as a measure of mental health. The first- and third-year survey results were compared and differences in mental health status calculated. Respondents were then divided into two groups according to worsening or improved mental health status. Differences in stress factors, stress relief methods, and demographics were compared between the two groups.Results
Factors associated with exacerbation of poor mental health were the stress factors “Uncertainty about future” (p = 0.048) and “Loss of purpose in life” (p = 0.023). Multivariable analysis identified two factors associated with improved mental health, the stress relief methods “Accepting myself” (odds ratio (OR): 2.15, 95% confidence interval (CI): 1.02–4.51) and “Interactions with others” (OR: 3.34, 95% CI: 1.43–7.79).Conclusion
While motivation and hope of livelihood reconstruction have gradually risen in the three years since the disaster, anxieties about an uncertain future, loss of purpose in life, and disruption of social networks continue adversely to affect the mental health of survivors. 相似文献5.
Background
Poor sleep quality and depressive symptoms are common among college nursing students, and may be associated with each other. However, the mechanism for this association has not been well understood.Purpose
The study is to examine the potential mediating role of coping styles in the association between sleep quality and depressive symptoms among college nursing students.Methods
242 undergraduate nursing students at a public university in the northeast United States completed an online survey delivered through SurveyMonkey® with self-reports of sleep quality, coping styles, and depressive symptoms from October to November 2015.Results
Multivariate linear regression models suggested that poor sleep quality was significantly associated with depressive symptoms (β = 1.00, p < 0.01) in nursing students. The four coping styles (problem engagement, emotion engagement, problem disengagement, and emotion disengagement) together reduced the strength of the association between sleep quality and depressive symptoms by 41%. Specifically, emotion disengagement coping plays an important mediating role in this association.Conclusions
In addition to sleep promotion, effective interventions to facilitate the development of appropriate coping strategies among nursing students are needed to enhance their mental health and well-being. 相似文献6.
Virginia Esperanza Fernández-Ruiz José Antonio Paniagua-Urbano María Solé-Agustí Alfonso Ruiz-Sánchez José Gómez-Marín David Armero-Barranco 《Archives of Psychiatric Nursing》2018,32(2):268-277
Objective
Obesity is an entity of highly prevalent multifactorial origin with associated metabolic and psychological comorbidity, causing a negative impact on the quality of life of those who suffer from it. The objective is to evaluate the impact of an interdisciplinary program for nurse-led obesity on quality of life related to health and anxiety.Methods
Randomized controlled clinical trial with a sample of 74 subjects diagnosed with obesity (EG: n = 37; CG: n = 37). The intervention consisted of a 12-month interdisciplinary program (with pre-test, 12 month and 24 month follow-up) coordinated by nurses.Results
The anxiety analysis shows that there is no effect of the intervention on S-STAI (F2; 144 = 0.246; p = 0.782), which has increased in both groups. However, there is an effect on T-STAI (F2; 144 = 8872; p < 0.001), which only increases in the control group. The interdisciplinary program has significantly improved health-related quality of life (SF-36), both in physical health parameters as well as in mental health.Conclusion
The interdisciplinary program led by nursing professionals has improved the quality of life related to health and has prevented the increase of anxiety-trait in participants, maintaining the long-term effects. 相似文献7.
Background
Compassion satisfaction and compassion fatigue influence nurses’ intention to stay or leave nursing. Identification of compassion satisfaction or fatigue in critical care nurses is important in this high turnover workforce.Objectives
The aim of this study was to examine factors predicting and contributing to compassion satisfaction and compassion fatigue experienced by critical care nurses in Australian intensive care units.Methods
A self-reported cross-sectional survey using an established tool collected data from critical care nurses of two adult Australian intensive care units.Results
Overall, these critical care nurses reported what Professional Quality of Life Scale guidelines designated as ‘average’ levels of compassion satisfaction and burnout, and ‘low’ levels of Secondary Traumatic Stress (STS). Compared to Site B, nurses at Site A had significantly higher compassion satisfaction (p = 0.008) and lower STS scores (p = 0.025), with site significantly predictive for compassion satisfaction (p < 0.024) and STS (p < 0.002). Nurses with postgraduate qualifications had significantly higher compassion satisfaction scores (p = 0.027), and compassion satisfaction significantly increased with increasing duration of practice (p = 0.042) as a nurse and in their current ICU (p = 0.038). Burnout scores significantly reduced with increasing age, years of tenure and practice; burnout was predicted by lower years of tenure (p < 0.016).Conclusion
These critical care nurses revealed profiles that, whilst not in crisis, fell short of the ideal high compassion satisfaction and moderate/low fatigue. More recent tenure flags those potentially at higher risk of compassion fatigue, whilst the better scores associated with postgraduate education and from one site need further exploration. Further research should develop understanding and interventions to enhance compassion satisfaction and support retention of this crucial nursing workforce. 相似文献8.
Giancarlo Cicolini Carlo Della Pelle Valentina Simonetti Dania Comparcini Gianna Sepede Francesco Cipollone 《Archives of Psychiatric Nursing》2018,32(2):305-309
Purpose
To investigate the role of psychiatric dimensions, behavioral or substance addictions and demographical variables as determinants of pathological gambling among nursing students.Design
Multicenter cross-sectional study.Methods
From June to October 2015 a survey was carried out among Italian Nursing students. Data were collected using a six-section tool.Findings
Nursing students who completed the survey numbered 1083, 902 (83.3%) had some problems with gambling and 29 (2.7%) showed pathological gambling. Percentage of pathological gambling was significantly associate with illicit drug/alcohol use (65.5%; p = 0.001) and with male gender (58.6%) comparing to student nurse with non-pathological gambling (20%) and those with some problem (24.2%). Significant main effect was observed for IAT score (Beta = 0.119, t = 3.28, p = 0.001): higher IAT scores were associated with higher SOGS scores.Conclusions
Italian nursing students have some problems with gambling and pathological gambling problem, and males are those who have more problems. Results might be useful for faculties of health professionals to identify students at risk in an early stage, to direct prevention tailored interventions.Clinical relevance
Nursing faculties should be aware of the prevalence of Gambling among students.Prevention interventions should be planned to minimize the risk of gambling behavior in the future nurses' health care workers. 相似文献9.
Matthew J. Binks Rhys S. Holyoak Thomas M. Melhuish Ruan Vlok Elyse Bond Leigh D. White 《The American journal of emergency medicine》2017,35(10):1542-1546
Background
Hypoxemia increases the risk of intubation markedly. Such concerns are multiplied in the emergency department (ED) and during retrieval where patients may be unstable, preparation or preoxygenation time limited and the environment uncontrolled. Apneic oxygenation is a promising means of preventing hypoxemia in this setting.Aim
To test the hypothesis that apnoeic oxygenation reduces the incidence of hypoxemia during endotracheal intubation in the ED and during retrieval.Methods
We undertook a systematic review of six databases for all relevant studies published up to November 2016. Included studies evaluated apneic oxygenation during intubation in the ED and during retrieval. There were no exemptions based on study design. All studies were assessed for level of evidence and risk of bias. The Review Manager 5.3 software was used to perform meta-analysis of the pooled data.Results
Six trials and a total 1822 cases were included for analysis. The study found a significant reduction in the incidence of desaturation (RR = 0.76, p = 0.002) and critical desaturation (RR = 0.51, p = 0.01) when apneic oxygenation was implemented. There was also a significant improvement in first pass intubation success rate (RR = 1.09, p = 0.004).Conclusion
Apneic oxygenation may reduce patient hypoxemia during intubation performed in the ED and during retrieval. It also improves intubation first-pass success rate in this setting. 相似文献10.
11.
Jennica Siddle Peter S. Pang Christopher Weaver Elizabeth Weinstein Daniel O&#x;Donnell Thomas P. Arkins Charles Miramonti 《The American journal of emergency medicine》2018,36(5):843-845
Background
Mobile Integrated Health (MIH) leverages specially trained paramedics outside of emergency response to bridge gaps in local health care delivery.Study objective
To evaluate the efficacy of a MIH led transitional care strategy to reduce acute care utilization.Methods
This was a retrospective cohort analysis of a quality improvement pilot of patients from an urban, single county EMS, MIH transitional care initiative. We utilized a paramedic/social worker (or social care coordinator) dyad to provide in home assessments, medication review, care coordination, and improve access to care. The primary outcome compared acute care utilization (ED visits, observation stays, inpatient visits) 90 days before MIH intervention to 90 days after.Results
Of the 203 patients seen by MIH teams, inpatient utilization decreased significantly from 140 hospitalizations pre-MIH to 26 post-MIH (83% reduction, p = 0.00). ED and observation stays, however, increased numerically, but neither was significant. (ED 18 to 19 stays, p = 0.98; observation stays 95 to 106, p = 0.30) Primary care visits increased 15% (p = 0.11).Conclusion
In this pilot before/after study, MIH significantly reduces acute care hospitalizations. 相似文献12.
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14.
Mauro Giordano Tiziana Ciarambino Pietro Castellino Lorenzo Malatino Alessandro Cataliotti Luca Rinaldi Giuseppe Paolisso Luigi Elio Adinolfi 《The American journal of emergency medicine》2017,35(5):749-752
Study objective
We investigated seasonal prevalence of hyponatremia in the emergency department (ED).Design
A cross-sectional study using clinical chart review.Setting
University Hospital ED, with approximately 28 000 patient visits a year.Type of participants
We reviewed 15 049 patients, subdivided in 2 groups: the adult group consisting of 9822 patients aged between 18 and 64 years old and the elderly group consisting of 5227 patients aged over 65 years presenting to the ED between January 1st, 2014 and December 31st, 2015.Intervention
Emergency patients were evaluated for the presence of hyponatremia by clinical chart review.Measurements and main results
Hyponatremia was defined as a serum sodium level < 135 mmol/l. Mean monthly prevalence of hyponatremia was of 3.74 ± 0.5% in the adult group and it was significantly increased to 10.3 ± 0.7% in the elderly group (p < 0.05 vs adults). During the summer, hyponatremia prevalence was of 4.14 ± 0.2% in adult and markedly increased to 12.52 ± 0.7% (zenith) in elderly patients (p < 0.01 vs adult group; p < 0.05 vs other seasons in elderly group). In the elderly group, we reported a significant correlation between weather temperature and hyponatremia prevalence (r: 0.491; p < 0.05).Conclusion
We observed a major influence of climate on the prevalence of hyponatremia in the elderly in the ED. Decline in renal function, salt loss, reduced salt intake and increased water ingestion could all contribute to developing hyponatremia in elderly patients during the summer. These data could be useful for emergency physicians to prevent hot weather-induced hyponatremia in the elderly. 相似文献15.
Di Zhang Jun Zhang Quan Gan Qiaoling Wang Nian Fan Rong Zhang Yayun Song 《Archives of Psychiatric Nursing》2018,32(1):57-61
Background
Perinatal posttraumatic stress disorder (PPTSD) is a common stress-induced mental disorder worldwide. The Perinatal Posttraumatic Stress Disorder Questionnaire (PPQ) is an excellent questionnaire that measures the symptoms of PPTSD, but has not been translated into Chinese yet.Objectives
The aims of this study were to develop a translated Chinese version of the (PPQ) and validate the psychometric characteristics of the PPQ in a Chinese context.Methods
After translation, back-translation, and expert discussion, 280 mothers at 1 to 18 months postpartum filled out the questionnaires through the Internet. Then the reliability and validity of the translated questionnaire were tested.Results
The Chinese version of PPQ (PPQ-C) was composed of 14 items. Cronbach's α coefficient was 0.84, test-retest reliability was 0.88, and the content validity was 0.99. Exploratory factor analysis extracted three factors (representing “arousal”, “avoidance” and “intrusion”) accounted for 53.30% of the variance. The established 3 factors model was well fitted with the collected data (χ2 = 76.40, p < 0.05).Implications for practice
The PPQ-C is a short, reliable, and valid instrument that measures the symptoms of PPTSD, and it is recommend for clinical screening.Implications for research
Further research could involve diverse participants, as well as better adapt the PPQ-C to Chinese culture. 相似文献16.
Hsing-Yi Yu Jiunn-Horng Lou Cheng-Joo Eng Cheng-I Yang Li-Hung Lee 《Collegian (Royal College of Nursing, Australia)》2018,25(1):19-26
Background
Women engage in organizational citizenship behaviour more frequently than men. Little research has investigated organizational citizenship behaviour in men and male nurses, especially from a career development stage perspective.Aim
To investigate work-related factors and organizational citizenship behaviour status as well as predictors of organizational citizenship behaviour of male nurses at different career stages.Method
A total of 167 male nurses were selected by random sampling to complete a mailed questionnaire. Nurses were divided into the following career stages: exploration (clinical seniority < 2 years), establishment (clinical seniority = 2–5 years), and maintenance (clinical seniority > 5 years).Findings
Of the 167 male nurses who agreed to participate, 139 returned completed questionnaires, resulting in a response rate of 83.2%. The stage with the highest percentage of male nurses was the establishment stage. Nurses in the maintenance stage had the highest salaries, educational level, hospital position, organizational support, organizational identification, and organizational citizenship behaviour. Organizational identification was the only significant predictor of organizational citizenship behaviour for the three career stages.Conclusions
Hospital management should promote organizational citizenship behaviour for male nurses by increasing organizational identification, especially during the establishment stage. 相似文献17.
Background
Effective interpersonal skills are essential for head nurses in governing and managing their work units. Therefore, an active learning strategy could be the key to enhance the interpersonal competences of head nurses.Purpose
This study aimed to investigate the effects of Peplau's theoretical approach of active learning on the improvement of head nurses’ interpersonal skills.Method
This study used a pre-experimental design with one group having pretests and posttests, without control group. A total sample of 25 head nurses from inpatient units of a wellknown private hospital in Jakarta was involved in the study. Data were analyzed using the paired t-test.Results
The results showed a significant increase in head nurses’ knowledge following the training to strengthen their interpersonal roles (P = .003). The results also revealed significant increases in the head nurses’ skills in playing the roles of leader (P = .006), guardian (P = .014), and teacher/speaker (P = .015). Nonetheless, the results showed no significant increases in the head nurses’ skills in playing the roles of counselor (P = .092) and stranger (P = .182).Conclusions and recommendations
Training in strengthening the interpersonal roles of head nurses significantly increased the head nurses’ knowledge and skills. The results of the study suggested the continuation of active learning strategies to improve the interpersonal abilities of head nurses. Furthermore, these strategies could be used to build the abilities of head nurses in other managerial fields. 相似文献18.
Martin Hulldin Jonas Kängström Magnus Andersson Hagiwara Andreas Claesson 《The American journal of emergency medicine》2018,36(6):1040-1044
Background
Emergency medical services (EMS) facilitate out of hospital care in a wide variety of settings on a daily basis. Stretcher-related adverse events and long term musculoskeletal injuries are commonly reported. Novel stretcher mechanisms may facilitate enhanced movement of patients and reduce workload for EMS personnel.Aim
To describe EMS personnel's perceived exertion using two different stretcher systems.Methods
The methodology of this explorative simulation study included enrolling twenty (n = 20) registered nurses and paramedics who worked in ten pairs (n = 10) to transport a conscious, 165 lb. (75 kg) patient using two different EMS stretcher systems: the Pensi stretcher labeled A and the ALLFA stretcher labeled B. The ten pairs (n = 10) were randomized to use either an A stretcher or a B stretcher with subsequent crossover. The pairs performed six identical tasks with each stretcher, including conveying stretchers from an ambulance up to the first floor of a building via a staircase, loading a patient on to the stretcher, and using the stretcher to transport the patient back to the ambulance. The subjective Rating of Perceived Exertion (RPE) survey (Borg scale) was used to measure perceived exertion at predefined intervals during transport.Results
No significant differences in workload were seen between stretcher groups A and B regarding unloading the stretcher (7.4 vs 8.2 p = 0.3), transporting up a stairway (13.7 vs 12.5 p = 0.06), lateral lift (12.1 vs 11.2 p = 0.5), or flat ground transportation (10.4 vs 11.1 p = 0.13). Pairs using stretcher A showed significantly less workload with regards to transporting down a stairway (11.0 vs 14.5 p < 0.001) and loading into ambulance (11.1 vs 13.0 p < 0.001).Conclusion
A structured methodology may be used for testing the exertion levels experienced while using different stretcher systems. The use of supporting stretcher system mechanisms may reduce perceived exertion in EMS personnel mainly during transports down stairs and during loading into ambulance vehicles. 相似文献19.
Mofiyinfolu Sokoya Justin Eagles Tyler Okland Dylan Coughlin Hannah Dauber Christopher Greenlee Andrew A. Winkler 《The American journal of emergency medicine》2018,36(5):780-783
Introduction
The effect of marijuana on human health has been studied extensively. Marijuana intoxication has been shown to affect performance, attention span, and reaction time. The public health relationship between trauma and cannabis use has also been studied, with mixed conclusions. In this report, the effect of marijuana legalization on many aspects of facial trauma at two hospitals in Denver, Colorado is examined.Methods
A retrospective review of the electronic medical records was undertaken. Mann-Whitney U tests were used to compare age of patients before and after legalization, and chi squared analyses were used to compare mechanism of injury, and fracture types before and after recreational marijuana legalization in Denver, Colorado. Geographical location of patients was also considered.Results
No significant increase was found in race before and after marijuana legalization (p = 0.19). A significant increase in age was found before (M = 39.54, SD = 16.37), and after (M = 41.38, SD = 16.66) legalization (p < 0.01). Maxillary and skull base fracture proportions significantly increased following legalization (p < 0.001 and p < 0.001 respectively). No significant differences were seen in the proportion of patients who lived in urban and rural counties before and after legalization (p > 0.05).Conclusion
Public health efforts should be directed towards educating residents and visitors of Colorado on the effects and toxicology of marijuana. More epidemiologic studies are needed for further assessment of the long-term effects of the legalization of marijuana on the population. 相似文献20.
Chun Tat Lui Oi Fung Wong Kwok Leung Tsui Chak Wah Kam Siu Man Li Mina Cheng Ka Kit Gilberto Leung 《The American journal of emergency medicine》2018,36(8):1444-1450