Working together as a team: adolescent transplant recipients and nurse practitioners

Nurse practitioners are a critical part of the transplant team, enhancing the quality of patient care with their knowledge and skill with respect to disease-specific populations of patients. Adolescent transplant recipients are a vulnerable population and require specific considerations. Nurse practitioners can successfully tailor care to the adolescent developmental stages in order to promote quality of life, adherence to the medical regimen, and successful transition to adult transplant centers and to minimize risk-taking behaviors. Teamwork between the patient's family and the entire transplant team is important to optimize not only the patient's health but also to ensure quality of life after transplant. Adolescents can be especially challenging after transplant, given their complex and evolving psychosocial and cognitive development. Nurse practitioners are in a unique position to be central in adolescents' successful adaptation to their medical condition. Facilitating identification and management of medication-related side effects, awareness of emotional health and quality of life, adherence to the medical regimen, and eventual transition to adult caregivers all remain critically important steps in care that are ideally suited for advance practice leadership.     

骨科个性化护患比的探索与实践

目的探索适应骨科护理特点的最佳护患比和最低护患比限制,为临床护理人力资源分配提供参考。 方法采用护理服务质量评价量表（SERVQUAL）中文版、患者对护理工作满意度调查表、工作倦怠量表（CMBI）对不同护患比状态下的护理质量、患者满意度和护士工作倦怠比例进行问卷调查,分析护患比对上述指标的影响,分别应用函数模型拟合相关关系,预测最佳护患比和最低护患比限制。 结果护患比与护理质量评分、患者满意度、护士工作倦怠比例有一定的相关性,骨科最佳护患比配置0.28,最低护患比限制0.17。 结论临床实践中骨科护理人力资源配置可参考这一比值。