Development and validation of the questionnaire to analyze the communication of nurses in nurse-patient therapeutic communication

ObjectiveThe purpose of this study was to develop and analyze the psychometric properties of an instrument that could analyze the communication of nursing professionals in nurse-patient therapeutic communication.MethodsA literature review and a panel of experts were used (N = 10) to develop the questionnaire to analyze the communication of nurses in nurse-patient therapeutic communication. The final version of the questionnaire was composed of 49 items and applied to a convenience sample of 370 nurses.ResultsThe construct validity was assessed by an exploratory factor analysis (EFA) and the reliability using Cronbach’s Alpha. Three dimensions were identified that determine therapeutic communication: professional, contextual and/or situational and patient. The Cronbach’s α total coefficient was 0.90, ranging from 0.71 to 0.81 for the dimensions.ConclusionThe questionnaire to analyze the communication of nurses in nurse-patient therapeutic communication represents a valid and reliable questionnaire to measure nurses’ communication with patients in the clinical setting.Implications for practiceThe use of the questionnaire enables the analysis of elements that interfere with effective communication. This can assist in developing interventions to improve nurses’ therapeutic communication with patients.     

基于危险预知训练模式的护理不良事件风险管理成效

目的 探讨危险预知训练模式在护理不良事件风险管理中的应用效果。方法 采取前瞻性类实验研究设计，2022年1-6月收治患者13 346例纳入干预前组，2022年7-12月收治患者11 520例纳入干预后组。干预前组采用常规护理不良事件管理方法，干预后组采用基于危险预知训练模式的护理不良事件风险管理。比较干预前后护士安全行为得分，以及2组患者不良事件、投诉纠纷发生率。结果 干预后护士安全行为得分较干预前显著提高(P<0.05);干预后组患者用药错误、跌倒、非计划性拔管类不良事件、投诉纠纷发生率显著低于干预前组(均P<0.05)。结论 基于危险预知训练模式的护理不良事件风险管理能够有效提高护士的安全行为，降低不良事件、投诉纠纷的发生率。     

医疗美容的法律纠纷及其防范

随着我国经济的发展，医疗美容的需求呈现不断增加的趋势，而由于医疗美容行业的特殊性及 相关法律法规尚未完善、健全等原因，有关医美方面的法律纠纷也呈现逐年增多的迹象。法律纠纷的增多 不仅对患者及医生个人的工作及生活产生一定影响，频繁的医疗纠纷同时也会对医疗美容行业及相关学科 的发展产生不良影响，因此本文着重介绍医疗美容的相关法律法规，以期对规避及处理医疗美容法律纠纷 提出建议。