临床护理人员对护理成本认知状况的调查分析

目的 了解目前护理人员护理成本理念认知状况.方法 采用自行设计调查表对168名临床护理人员进行调查.结果 中、高级职称护理人员对护理成本认知状况明显优于初级职称护理人员(P<0.001),有54.76%的护理人员认为控制护理成本很有必要,有45.24%的护理人员认为控制护理成本没有必要.结论 护理人员要更新护理服务理念,加强护理成本管理的学习,合理使用护理资源,减少护理资源浪费和不足共存的现象,以适应护理学科现代化的发展.     

护理人员院内感染防护意识及教育需求调查

[目的]了解护理人员院内感染防护现状和相关教育需求。[方法]采用问卷调查法对某市50所医院61名拟从事ICU护理工作的护士防护意识及教育需求进行调查分析。[结果]拟从事ICU护士防护意识薄弱,渴求相关知识,100%的护士认为对护理人员开展职业暴露防护教育非常必要。[结论]护理人员应加强职业防护,预防院内感染。     

护理人员院内感染防护意识及教育需求调查

[目的]了解护理人员院内感染防护现状和相关教育需求.[方法]采用问卷调查法对某市50所医院61名拟从事ICU护理工作的护士防护意识及教育需求进行调查分析.[结果]拟从事ICU护士防护意识薄弱,渴求相关知识,100%的护士认为对护理人员开展职业暴露防护教育非常必要.[结论]护理人员应加强职业防护,预防院内感染.     

临床护理人员对护理成本认知状况的调查分析

目的 了解目前护理人员护理成本理念认知状况.方法 采用自行设计调查表对168名临床护理人员进行调查.结果 中、高级职称护理人员对护理成本认知状况明显优于初级职称护理人员(P<0.001),有54.76%的护理人员认为控制护理成本很有必要,有45.24%的护理人员认为控制护理成本没有必要.结论 护理人员要更新护理服务理念,加强护理成本管理的学习,合理使用护理资源,减少护理资源浪费和不足共存的现象,以适应护理学科现代化的发展.     

临床护理人员对护理成本认知状况的调查分析

目的 了解目前护理人员护理成本理念认知状况.方法 采用自行设计调查表对168名临床护理人员进行调查.结果 中、高级职称护理人员对护理成本认知状况明显优于初级职称护理人员(P<0.001),有54.76%的护理人员认为控制护理成本很有必要,有45.24%的护理人员认为控制护理成本没有必要.结论 护理人员要更新护理服务理念,加强护理成本管理的学习,合理使用护理资源,减少护理资源浪费和不足共存的现象,以适应护理学科现代化的发展.     

临床护理人员对护理成本认知状况的调查分析

目的 了解目前护理人员护理成本理念认知状况.方法 采用自行设计调查表对168名临床护理人员进行调查.结果 中、高级职称护理人员对护理成本认知状况明显优于初级职称护理人员(P<0.001),有54.76%的护理人员认为控制护理成本很有必要,有45.24%的护理人员认为控制护理成本没有必要.结论 护理人员要更新护理服务理念,加强护理成本管理的学习,合理使用护理资源,减少护理资源浪费和不足共存的现象,以适应护理学科现代化的发展.     

临床护理人员对护理成本认知状况的调查分析

目的 了解目前护理人员护理成本理念认知状况.方法 采用自行设计调查表对168名临床护理人员进行调查.结果 中、高级职称护理人员对护理成本认知状况明显优于初级职称护理人员(P<0.001),有54.76%的护理人员认为控制护理成本很有必要,有45.24%的护理人员认为控制护理成本没有必要.结论 护理人员要更新护理服务理念,加强护理成本管理的学习,合理使用护理资源,减少护理资源浪费和不足共存的现象,以适应护理学科现代化的发展.     

临床护理人员对护理成本认知状况的调查分析

目的 了解目前护理人员护理成本理念认知状况.方法 采用自行设计调查表对168名临床护理人员进行调查.结果 中、高级职称护理人员对护理成本认知状况明显优于初级职称护理人员(P<0.001),有54.76%的护理人员认为控制护理成本很有必要,有45.24%的护理人员认为控制护理成本没有必要.结论 护理人员要更新护理服务理念,加强护理成本管理的学习,合理使用护理资源,减少护理资源浪费和不足共存的现象,以适应护理学科现代化的发展.     

临床护理人员对护理成本认知状况的调查分析

目的 了解目前护理人员护理成本理念认知状况.方法 采用自行设计调查表对168名临床护理人员进行调查.结果 中、高级职称护理人员对护理成本认知状况明显优于初级职称护理人员(P<0.001),有54.76%的护理人员认为控制护理成本很有必要,有45.24%的护理人员认为控制护理成本没有必要.结论 护理人员要更新护理服务理念,加强护理成本管理的学习,合理使用护理资源,减少护理资源浪费和不足共存的现象,以适应护理学科现代化的发展.     

临床护理人员对护理成本认知状况的调查分析

目的 了解目前护理人员护理成本理念认知状况.方法 采用自行设计调查表对168名临床护理人员进行调查.结果 中、高级职称护理人员对护理成本认知状况明显优于初级职称护理人员(P<0.001),有54.76%的护理人员认为控制护理成本很有必要,有45.24%的护理人员认为控制护理成本没有必要.结论 护理人员要更新护理服务理念,加强护理成本管理的学习,合理使用护理资源,减少护理资源浪费和不足共存的现象,以适应护理学科现代化的发展.     

早期护理干预对预防早产儿高胆红素血症的效果研究

目的探讨早期护理干预对预防早产儿高胆红素血症的效果。方法将转入NICU的110例早产儿作为研究对象，随机分为观察组（早期护理干预组）55例和对照组（非干预组）55例。观察组在转入NICU 6h内给予温生理盐水洗肠通便，然后给予母乳胃肠内营养及抚触护理。对照组按传统的方法实施常规护理，对生后48h内不能哺乳、未排胎便者给予针对性对症护理。比较2组患儿腹胀情况、体重增长情况及高胆红素血症的发生率。结果观察组患儿黄疸持续时间、消退时间显著短于对照组（P〈0．01），观察组高胆红素血症发生率显著低于对照组（P〈0．01）。结论早期护理干预对预防早产儿高胆红素血症效果显著。     

Exploring the views of nurse prescribing among Macmillan nurses

Nurse prescribing is a key government initiative which aims to enhance patient care. The aim of this study was to investigate the prescribing practice of specialist nurses working in cancer and palliative care and to explore the benefits of and barriers to uptake of nurse prescribing training. A national postal survey of 2252 Macmillan nurses was undertaken using a structured questionnaire with open-ended questions. Data were analyzed using thematic content analysis for 1575 respondents (70% response rate). Only 13% (203) had undergone prescribing training and of these 105 provided responses to the open questions concerning training and of the 87% (1372) who had not undergone the training, 423 provided details on barriers to nurse prescribing training. The data presented in this paper draw from this data. The findings indicate that those who prescribed gave the prospect of improving care as the main reason for undertaking nurse prescribing training. The main reasons why these specialist nurses did not undertake training were: resource issues particularly with respect to backfill while training, lack of medical support and mentorship, concerns about the relevance of prescribing as a nursing role and prioritizing other courses. If nurse prescribing is to be more widely available for cancer and palliative care patients it is important in both primary and secondary care to address the resource and support issues.     

Patient approaches to clinical conversations in the palliative care setting

AIM: The aim of this paper is to report a study exploring patients' understanding of their discussions about end-of-life care with nurses in a palliative care setting. BACKGROUND: It is assumed that nurses are central players in patients' major decisions about their care, yet minimal information is available about the complexity of patient-nurse interaction in palliative care, and patients' views of the impact of such interactions on decisions that are made. METHOD: A modified version of grounded theory was used to collect and analyse interview data collected in 2001-2002 with a convenience sample of 11 patients in a palliative care setting. Interviews focused on each patient's selection of two decisions they had made in the past 6 months that had involved nurses in the decision-making process. FINDINGS: Processes were identified between nurses and patients that facilitated or blocked open discussion and discernment of patients' preferences for care. Six approaches that patients used in their conversations with nurses about their care: wait and see, quiet acceptance, active acceptance, tolerating bossiness, negotiation and being adamant. These approaches are described in terms of how they assisted or impeded autonomous decision-making. CONCLUSION: Palliative care patients often adopt passive roles and tend not to engage in important decision-making, for various reasons. Professionals need to be made aware of this, and should facilitate an open, trusting relationship with patients in order to ensure that important information passes freely in both directions. Professionals should learn to prioritize patient participation and negotiation in their work. With further research, it should be possible to identify the factors that will allow patients to take a more pro-active role in making decisions about their care, where desired.     

Critical caring. Promoting good end-of-life care in the intensive care unit.

Changing the culture in the ICU to include palliative care interventions along with curative interventions is already underway. Further work is needed, however. This is a role for the critical care nurse. Critical care nurses can be involved in research and education to enhance their future practice in end-of-life care. Research to establish evidence-based protocols for use in patients who require palliative care in the ICU needs to be done. Critical care nurses can prepare themselves for carrying or dying patients by attending palliative care seminars and continuing education courses or by taking a short clinical sabbatical or internship in a local hospice to observe and help give end-of-life care. Hospice nurses can be invited to the ICU to give inservice sessions and to help nurses and other staff understand the transition to dying, including the services that need to be offered to the patient and the family. Nurses from the hospital palliative care team can consult and be available for follow-up. Promoting good end-of-life care should be a goal for all intensive care nurses and critical care units. This goal is reached one patient at a time.     

31省份儿科护士安宁疗护知识与态度现状调查

目的 调查31个省份儿科护士安宁疗护知识与态度现状,为培养儿科安宁疗护专科护士提供依据.方法 2020年10月,选取31个省份74所医院的儿科护士370名为研究对象,采用安宁疗护知识及态度问卷对其进行调查,并分析其影响因素.结果 儿科护士安宁疗护知识和态度得分分别为54.55(39.77,81.82)分和72.44(6...     

The importance of funding palliative care education: a look to the future

This article outlines the position statement agreed by the Midlands Palliative Care Teachers' Professional Forum. Written by a member of the group, it includes suggestions from other members and was submitted for publication before the recent announcement of funds being available for palliative education for district nurses. The article highlights the challenges facing the adequate funding of specialist palliative care education and, in particular, for education departments within independent hospices. The statement recognizes the sensitive nature of subjects that ought to be included in palliative care education. Emphasis is placed on the provision of holistic multiprofessional and uniprofessional courses dedicated to enhancing the quality of palliative care. The article confirms the commitment of palliative care educationalists to this end and looks to continued commitment of adequate funding from NHS trusts and regions in supporting existing palliative care education and its ongoing development in response to clinical need.     

Nurses' attitudes to palliative care in nursing homes in Western Australia

Nursing homes are one of the care settings in Western Australia where older people may spend their final years. Residents should be able to receive palliative care where appropriate, but this type of care is not always available at some nursing homes in the state. This study investigated nurses' attitudes to palliative care in nursing homes by examining their cognitive, affective and behavioural information. A sample of 228 nurses working in nursing homes completed a questionnaire, using a free response methodology. Results showed that participants had either a positive or negative attitude to palliative care. Cognitive and affective information significantly and independently predicted the attitudes of nurse, whereas knowledge of palliative care did not contribute significantly to these attitudes. Nurses currently working in palliative care were more positively disposed towards such care, but this disappeared when they ceased working in the area. There is an emphasis on education in the literature which does not take into account the beliefs and emotions of the nurse. Therefore, there is a need to consider these in undergraduate and postgraduate training for nurses. Current experience is also important in palliative care education. The results obtained from nurses in this study should be incorporated into policy for introducing palliative care into nursing homes and used to provide support and assistance to nurses working in this field.     

Effects of a postqualification course in palliative care

AIM: This paper reports a study to determine the effectiveness of a postqualification course in palliative care in terms of increased knowledge, insight and self-efficacy among Registered and Licensed Practical Nurses. BACKGROUND: The importance of measuring the effectiveness of postqualification courses in palliative care for nurses is widely recognized. The benefits of such courses are often merely described in terms of satisfaction of the course participants. METHOD: A convenience sample of nurses was studied. The effect measurement comprised a pretest/post-test quasi-experimental design. Two instruments were used: a comprehensive variant of the Palliative Care Quiz for Nurses and an especially developed domain specific self-efficacy instrument for palliative care. These were used before and after the course. FINDINGS: The course had a positive effect on knowledge and insight level as well as on level of self-efficacy. The main improvements were related to pain and symptom management. Participants seemed to be able to increase the effects of the course by implementing certain products on the wards, such as clinical lessons, a pain assessment scale and relaxation massage. CONCLUSIONS: Palliative care courses can make a significant contribution to nurses' knowledge and insight, as well as their self-efficacy in providing palliative care.     

"Pain talk" in hospice and palliative care team meetings: an ethnography

BACKGROUND: Specialist palliative care nurses have considerable expertise in pain management and this expertise can contribute to tension in the boundary between specialist nurses and non-specialist doctors. OBJECTIVES: This article reports on how specialist palliative care nurses contribute to team talk about pain and the rhetorical strategies they use to develop their reputation and credibility in pain management. DESIGN AND SETTINGS: This is an ethnographic study involving the collection of naturally occurring data from eight palliative care team meetings. The study is concerned with team meetings in hospice, community and hospital palliative care settings. METHODS: Data was collected by audio recording eight team meetings in hospice, hospital and community palliative care settings. The data were analysed using a grounded theory approach followed by application of the tools of discourse and conversation analysis. RESULTS: The findings indicate that specialist palliative care nurses use rhetorical strategies such as contrastive rhetoric, telling atrocity stories, veiled criticism and neutralism as a platform for building a reputation in managing pain. Furthermore they situate their expertise in pain management by direct contrast with problems related to non-specialist practice in pain management. CONCLUSIONS: The team meetings are a safe place, a collegial setting for specialist nurses to challenge non-specialist medical practice and to manage the specialist/non-specialist boundary. The findings have implications for further research related to the specialist nurse/non-specialist doctor boundary and for education of specialist nurses and GPs.