The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings

The purpose of this study was to investigate perceptions of barriers to safe administration of medicines in mental health settings. A cross‐sectional survey was used, and 70 mental health nurses and 41 students were recruited from a mental health trust and a university in Yorkshire, UK. Respondents completed a questionnaire comprising closed‐ and open‐response questions. One item, which contained seven sub‐items, addressed barriers to safe administration of medication. Seven themes—five nurse‐ and prescriber‐focused and two service user‐focused—were abstracted from the data, depicting a range of barriers to safe administration of medicines. Nurse‐ and prescriber‐focused themes included environmental distractions, insufficient pharmacological knowledge, poorly written and incomplete medication documentation, inability to calculate medication dosage correctly, and work‐related pressure. Service user‐focused themes comprised poor adherence to medication regimens, and cultural and linguistic communication barriers with service users. Tackling medication administration error is predominantly an organizational rather than individual practitioner responsibility.     

Relationships among structural empowerment,psychological empowerment,intent to stay and burnout in nursing field in mainland China—based on a cross‐sectional questionnaire research

The aim of the study was to explore the relationship among perceived structural empowerment, psychological empowerment, burnout and intent to stay by nurses in mainland China.With the shortage of nurses in many countries, including China, intent to stay is a dominant factor to influence the quality of care. Also, burnout is identified to negatively affect the quality of care. Empowered clinical nurse practical environment is related to intent to stay and burnout. In the current literature, there is a lack of data based on empowering environment discussing the relationship between burnout and intent to stay. The study used an anonymous questionnaire, filled voluntarily by 219 nurses from different sections in a city in mainland China, 2012.Structural equation modelling (SEM) was used to test the proposed hypotheses. Based on the SEM model, structural empowerment and psychological empowerment had significant positive effects on intent to stay of nurses and negative effects on burnout. Burnout had a significant negative effect on intent to stay. The final modified models yielded χ² = 58.580, P > 0.05, χ²/df = 1.046, root mean square error of approximation = 0.015, Tucker–Lewis Index = 0.996, comparative fit index = 0.998,which indicated good fit indices. Creating a positive empowering workplace can encourage nurses to stay long and prevent burnout. Therefore, higher level of empowering environment is required.     

How do Clostridium difficile infections affect nurses’ everyday hospital work: A qualitative study

This qualitative study explored the impact of Clostridium difficile infections on nurses’ everyday work in the hospital. Twelve nurses (six in France and six in the United States) were interviewed in depth using a semi‐structured interview guide. Thematic analysis of the interviews was performed. Managing diarrhoea and taking precautionary measures for infection control were the two most inconvenient aspects nurses reported with C. difficile patient management. Precautions included contact isolation, hand hygiene and reorganization/coordination of nursing care and ward. Precautions were time consuming and significantly increased nurses’ workload when combined with caring for patients with uncontrollable, frequent bouts of diarrhoea. Management of C. difficile infection is extremely burdensome for nurses in their everyday work and disruptive to hospital organizations as a whole. Prevention of C. difficile infections, together with coordinated team work and communication, would therefore contribute to decreasing nurses’ workload and the burden to health‐care facilities associated with caring for these patients.     

品管圈活动降低精神科护士遭受工作场所暴力行为发生率

目的探讨品管圈活动对降低精神科护士遭受工作场所暴力行为发生率的作用。方法成立品管圈活动小组,圈名为"彩虹圈",活动主题为"降低精神科护士遭受工作场所暴力行为发生率"。在现状调查及要因分析的基础上拟定活动目标、实施对策。结果精神科护士遭受暴力行为由43起降低至18起,较预期目标值19.8更低。品管圈活动前后护士能力比较有显著性差异(P0.05)。结论开展品管圈活动不仅降低精神科护士遭受工作场所暴力行为的发生率,同时提高护士的专业技能和个人素质、增强团队凝聚力;但现行的防攻击学习远远不能满足临床需要,应采取有效的防范措施,以确保医护人员的安全。     

英国护士的老年态度模型构建研究

目的:探索英国护士对老年人的态度,并构建态度模型,为进一步的干预提供信息及依据。方法:对英国伦敦某护理学院参加继续教育课程的730名注册护士进行问卷调查,调查内容包括护士基本资料、是否喜欢护理老年患者、老年知识和对老年人态度等。结果:共收回有效问卷580份,有效回收率为79.5%。本研究构建的态度模型中,纳入的因素能解释43.6%的预测变量,包括对变老的焦虑水平、对老年人使用健康资源的态度、老年知识、喜欢护理老年患者、教育与年龄的交互效应。结论:纳入的因素能较好地解释态度,提示应该制定相关的干预措施,高校及教育机构应该逐步增加老年人方面的教育内容。本研究肯定了干预措施的重要性,对老年人的健康服务提供具有重要意义。     

护理人员组织公平感与工作满意度的相关性研究

目的调查护理人员的组织公平感、工作满意度的状况,分析两者的相关性。方法采用组织公平感量表和护士工作满意度量表,对14所医院525名护理人员进行调查。结果护理人员组织公平感总均分为(3.53±0.79)分;护理人员工作满意度总均分为(3.24±0.44)分;护士工作满意度总分及各因子得分与组织公平感总分及各因子得分均呈正相关(P0.01或P0.05)。结论提高护理人员组织公平感对提升护理人员工作满意度具有积极意义,医院应针对组织公平管理中的不足之处,采取有效措施,以提高护理人员的工作满意度,促进护理事业的发展。     

四位一体的分层级专科护士管理实践

目的通过四位一体的分层级专科护士管理,进行专科护理人才梯队建设。方法依据护士的年资、学历等分为初级、中级、高级专科护士,并对每层护士分别实行"培训-考核-认证-使用"四位一体的管理模式。结果培养专科护士223名,他们在护理门诊、护理会诊、解决专科疑难问题以及护理科研工作中发挥了重要作用。结论在专科护士管理中,应结合实际,进行分层级精细化、多样化岗位管理,保证其成长,促进其发展。     

社区护理人员护理不良事件上报情况调查分析

目的探讨社区护理工作中护理不良事件管理现状以及影响上报的原因。方法采用一般资料问卷、护理不良事件上报调查问卷对北京市海淀区183名社区护士进行调查。结果社区护士对护理不良事件正确判断知识缺乏;仅38.80%的社区护士所在社区卫生服务机构建立了匿名上报制度;32.79%的社区护士担心上报后会扣奖金;31.69%的社区护士担心影响评选先进和职称晋升;34.43%的社区护士担心上报后受到批评处分。结论社区卫生服务机构不良事件上报管理不规范,社区护士对护理不良事件判断知识缺乏,担心上报后影响晋升等,应加强相关知识的培训,建立科学规范匿名无责上报管理制度,确保社区患者就医安全。     

临床护士口服降糖药物知识掌握情况的调查分析

目的了解某医院临床护士对口服降糖药物知识的掌握情况。方法运用一般资料调查表、临床护士口服降糖药物知识掌握情况调查问卷对北京市某三级甲等医院195例临床护士进行调查。结果临床护士口服降糖药物知识掌握情况得分为(44.89±4.29)分。不同职称、不同参加糖尿病培训的意愿,降糖药物知识掌握情况不同(P0.05)。年龄、工作时间与口服降糖药物知识掌握情况有明显的相关性(P0.05)。结论临床护士对口服降糖药物知识的掌握情况处于中等水平;建议护理管理者加强对临床护士的继续教育管理,通过各种方法改善临床护士因工作时间、年龄增长等所致的职业倦怠感,促进临床护士知识的积累及临床护理质量的提高。