Methods Through literature review,expert interviews,the index items and evaluation time points and methods of each dimension of the evaluation system were preliminarily established. Two rounds of consultation were conducted among 18 experts in nursing management,clinical nursing teaching management and college nursing education by Delphi method. There were 16 second-level indicators and 48 third-level indicators. Conclusion The degree of coordination and consensus of experts was high. The evaluation system of standardized training effect for new nurses is scientific and reliable.
Methods The consensus was formed through literature searching,interview with key stakeholders,and repeated expert discussion meetings. Inthe international nursing shortage was also highlighted in the International Council of Nurses Asia Workforce Forum and Asia Nurses Association in which retention of nurses was a primary issue. Objective To establish an evaluation index system for quality of parenteral Ting nurse association nursing for hospitalized patients,to ensure the safe implementation of parenteral nutrition and promote health of patients. Australian Digital Health Agency. The incidence and severity of CRT in finger exercise group was lower than the other two groups. Results The incidence of hypothermia in this study was Sponsored by the Chinese nursing association, public offerings at home and abroad, mainly reported the Print models network in the field of nursing scientific research and clinical experience, and has guiding effect to nursing clinical nursing theory research Quick Search Adv Search. Queensland Health. The aim of this study was to identify predictors of nurses' Ting nurse association to stay at their current jobs.
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The aim of this study was to identify predictors of nurses' intent to stay at their current jobs.
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The aim of this study was to identify predictors of nurses' intent to stay at their current jobs. The results showed nurses' intent to stay was significantly related to age, marital status, working years, clinical ladder, working unit, choice of working in the current hospital, and organizational climate.
Positive organizational climate, personal choice of working at their hospital, and age were positive predictors; working in an intensive care unit was a negative predictor of nurses' intent to stay. Nurse managers could improve nurses' intent to stay by enhancing human resource management, hiring nurses committed to working at their current hospitals, and boosting organizational commitment. Healthcare leaders should construct supportive organizational climates to increase nurses' intent to stay.
The implementation of the National Health Insurance system in Taiwan, which is a contributor to the rising cost of hospital operations, has led to a high patient-to-nurse ratio. Liang, Chen, Lee, and Huang found the patientto-nurse ratio was significantly associated with patient mortality.
In , the World Health Organization reported the human resource crisis in health care was a significant global crisis and the shortage of nurses was specifically addressed. In , the international nursing shortage was also highlighted in the International Council of Nurses Asia Workforce Forum and Asia Nurses Association in which retention of nurses was a primary issue.
Health Workforce provides Australia's first major, long-term, national projections for nurses and presents the best available planning information on the future health workforce. Nurses provide frontline medical services and have the most frequent contact with patients; therefore, they are an essential human resource.
However, there were only , employed nurses among the , licensed nurses in Taiwan Department of Health, Executive Yuan, Taiwan, The turnover rate of nursing staff is a key performance indicator for hospital human resources North et al.
In , the turnover rate in Taiwan was The turnover rates were particularly high among hospital nursing staff, who had only years of clinical experience Huang, A high turnover rate can result in low morale and unstable organizational structure, which Date: Sept. From: Nursing Economics Vol. Publisher: Jannetti Publications, Inc.
Document Type: Report. Length: 4, words. Executive Summary The aim of this study was to identify predictors of nurses' intent to stay at their current jobs. Background Nurses provide frontline medical services and have the most frequent contact with patients; therefore, they are an essential human resource.
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Methods Through literature review,expert interviews,the index items and evaluation time points and methods of each dimension of the evaluation system were preliminarily established. Two rounds of consultation were conducted among 18 experts in nursing management,clinical nursing teaching management and college nursing education by Delphi method. There were 16 second-level indicators and 48 third-level indicators. Conclusion The degree of coordination and consensus of experts was high.
The evaluation system of standardized training effect for new nurses is scientific and reliable. It can provide scientific basis for hospital nursing managers to evaluate the training effect of new nurses and improve the training program. Objective To establish an evaluation index system for quality of parenteral nutrition nursing for hospitalized patients,to ensure the safe implementation of parenteral nutrition and promote health of patients. All studies were screened and evaluated strictly.
The initial questionnaire was developed combining the best evidence,and clinical data analysis of our hospital in the past two years.
Two rounds of Delphi survey were conducted among 30 experts to determine the content and importance of each indicator. Analytic hierarchy process was used to determine the weight of each indicator.
Results Nine studies were included,including 2 clinical decisions,1 evidence summary,2 guidelines and 4 expert consensuses. Methods The clinical data of patients with stress hyperglycemia who underwent CABG in a tertiary hospital from January to October were collected. Peripheral blood glucose was measured within 72 hours after surgery,once every 4 hours. In particular,GLI 1 can prompt early intervention in blood glucose fluctuation,to reduce the occurrence of complications.
Methods Following steps of practical application of clinical evidence system developed by Joanna Briggs Institute,based on best evidence obtained from previous studies,we constructed audit indicators and then performed clinical audits.
We analyzed obstacles and facilitators and formulated strategies. Awareness of nurses towards prevention and management of IPH,incidence of IPH among patients,implementation of audit indicators among nurses were compared before and after application. The incidence of IPH among patients were Before application,implementation rate of audit indicator No.
After application,implementation rates of audit indicators No. Objective To construct a predictive model to assess the risk of intraoperative hypothermia during laparoscopic surgery,and to provide technical support for screening patients with high risk of intraoperative hypothermia during laparoscopic surgery. The goodness of fit of the model was verified by Hosmer-Lemeshow test.
From January to December , patients were recruited for application of the model. Results The incidence of hypothermia in this study was The accuracy of the model was Conclusion The predictive model constructed in this study can predict the risk of intraoperative hypothermia in patients undergoing laparoscopic surgery,and thus can provide a reference for clinical screening of high-risk patients.
Objective In order to enable patients to participate in exercise actively and optimistically,promote the recovery of the patients.
Methods A rehabilitation program integrating exercise and entertainment was designed and implemented in stages,including preoperative recreational exercise,early post-operative recreational exercise,and recreational exercise within 2 weeks after discharge.
Results Among 30 lung cancer patients in this group,no exercise related severe adverse event occurred. The rates of reaching recreational exercise standards before operation,after operation and after discharge were The postoperative complication rate was 6. Conclusion Recreation exercise program is good to the recovery of the patients.
Objective To explore the application of nursing project management on reducing complications after stereotactic electroencephalographic surgery. Methods Since February ,our institute started to implement the nursing project management together with routine nursing,through analyzing nature and reasons of complications as well as providing improvement measures.
A total of epilepsy patients who underwent stereotactic electroencephalographic surgery in Beijing Institute of Functional Neurosurgery from January to January were assigned into the control group,and they were given routine nursing care; after the implementation of nursing project management,from February to January , epilepsy patients who underwent stereotactic electroencephalographic surgery were assigned into the intervention group.
The incidence of complications between two groups was compared. Conclusion Nursing project management can reduce the occurrence of nursing-related complications of stereotactic electroencephalographic surgery. Objective To standardize the maintenance of clinical venous catheter,so as to reduce the catheter related complications,prolong the service life of catheter and reduce medical cost.
Methods The consensus was formed through literature searching,interview with key stakeholders,and repeated expert discussion meetings. Results The consensus summarized the latest evidence in six chapters covering all aspects of catheter maintenance,such as flushing and locking tube,dressing replacement and catheter maintenance,infusion joint,catheter removal,education and training,and infection control. Conclusion Items in this consensus are concise and easy to implement,and the new content can supplement and perfect the existing norms and standards to a certain extent,which is helpful to solve clinical problems and guide clinical practice.
Objective To explore the intervention effects of fracture liaison service in elderly patients with hip fragility fractures. Methods Totally patients with hip fragility fractures were selected in a tertiary hospital from March to July The patients were numbered according to the admission order. The experimental group was given fracture liaison service on the basis of routine nursing and the control group was given routine nursing. Results After 3 months of intervention,the scores of physiological and psychological frailty dimensions in the experimental group were lower than those in the control group.
Objective To investigate the status of hyperglycemia during enteral nutrition therapy in non-diabetic ICU patients and explore the related risk factors. Methods Relevant information of non-diabetic patients who received enteral nutrition from January to September in two ICUs of a tertiary hospital in Qingdao was retrospectively analyzed adopting case control study design.
Results Thirty-seven patients developed hyperglycemia,and the incidence was Objective To investigate the level of the antenatal depressive symptoms and its relationship with family function and pregnancy life events among second child pregnant women in their third trimesters. Results The prevalence of antenatal depressive symptoms among second child pregnant women was Regression analysis indicated that lower education level,pregnancy complications,family intimacy,subjective events and objective events of OE3 were influencing factors of antenatal depressive symptoms.
Conclusion The prevalence of antenatal depressive symptoms among second child pregnant women in their third trimesters is common,especially the women with lower education level,having pregnancy complications,poor family intimacy and occurring severe pregnancy life events are prone to suffer depressive symptoms. Therefore,health care worker should take effective measures to decrease the occurrence of antenatal depressive symptoms. After 42 days of induced labor,participants were interviewed and assessed with the Psychological Scale.
Conclusion Psychological experience of women underwent termination of pregnancy due to fetal anomaly during the postpartum period is not optimistic,which should attract attention of hospitals,communities and families. Conclusion SLE patients treated with long-term glucocorticoid maintenance therapy have multiple burdens and demands in physical,psychological and social aspects. Methods From July 1st,,to December 31st,,a self-designed questionnaire was used to collect incidence and distribution of iatrogenic skin injury in infants in NICU from a tertiary hospital,and related factors were analyzed.
Results The incidence of iatrogenic skin injury in infants was The causes of iatrogenic skin injury in infants included peeling of adhesive tape,continuous positive airway pressure,nasal skin pressure by tracheal intubation,skin pressure by percutaneous oxygen saturation probe,and diaper dermatitis. Conclusion The incidence of iatrogenic skin injury in infants is high.
Infants with less birth weight,less gestational weeks,and longer length of hospitalization,are more likely to develop iatrogenic skin injury. Methods Using convenience sampling method, emergency department and ICU nurses from 22 hospitals in Beijing were investigated from September to December Self-designed questionnaire was used to collection data on general characteristics of nurses and their cognition and practice of TTM for cardiac arrest patients.
Among these nurses, Only 6. Only 4 of 32 departments,5. Main reasons for no implementation of TH were absence of TH in department and lack of relevant knowledge. For those had performed TTM,TH was reported to be conducted with using cold intravenous fluid infusion and ice bag,ice cap,and ice blanket more frequently,whereas external advanced surface cooling gel pads and intravascular cooling were rarely used.
The knowledge and practice of TTM among nurses in Beijing are insufficient and needed to be further improved. Objective To develop a scale for measuring geriatric nursing competence of Chinese clinical nurses and to test its reliability and validity. Methods Based on TEMA model of geriatric care competence,through literature analysis and Delphi method combined with small sample pilot test,the geriatric nursing competence scale for clinical nurses was preliminarily developed.
A total of nurses were recruited for pilot investigation to screen items,and 1, nurses were selected for formal investigation to test the reliability and validity.
Results The Geriatric Nursing Competence Scale for Clinical Nurses consisted of 3 first-level items,10 second-level items,and 43 third-level items. Exploratory factor analysis extracted three factors that explained Confirmatory factor analysis showed the scale had good construct validity. It can be used as a tool to measure geriatric nursing competence in Chinese clinical nurses. Objective To explore classification model of care services for the aged,based on measurement of length of care and analysis of its influencing factors.
Methods Using convenience sampling method, elderly people in a pension institution in Tianjin were surveyed in May ,including capacity assessment of the elderly,care services and their frequency. Results The ability of daily living,mental state,perception and communication of the aged were influencing factors of the length of care. On the basis of these four factors,the elderly care services were divided into six levels by decision tree model analysis,which explained The classification of service level will provide the basis for the classification of the elderly care services in different modes,and it is also the basis for reasonable pricing and resource allocation of elderly care services.
Methods The cancer patients with PICC in our tumor ward from November to December were divided into three groups-the handgrip exercise group,the grip functional exercise group,the finger exercise group. The incidence and severity of CRT were observed and compared among the three groups within three months after catheterization.
Results Within three months after catheterization,the incidence of CRT in the three groups was The incidence and severity of CRT in finger exercise group was lower than the other two groups. The finger exercise method is simple and easy to implement without increasing costs,and patients are willing to accept it. Objective To compare the effects of dual-task training and single-task training on gait and balance performance in healthy older adults.
Randomized controlled trails that assess the effects of dual-task training and single-task training in healthy older adults were included. Meta-analysis was conducted using Revman 5. Results Totally 18 studies with a population of were reviewed and pooled for meta-analysis. Conclusion Compared with the traditional single-task training,the dual-task training can better improve the gait speed and step length of the elderly.
The effects of dual-task training on the balance performance needs further discussion. Obiective To select and obtain the best evidence of nutritional risk screening and assessment for hospitalized tuberculosis patients,and summarize the best available evidence. Results Totally 8 articles were selected,including 3 guidelines,1 systematic review,and 4 diagnostic studies.
Finally,7 items of best evidences were summarized. Conclusion Clinically,doctors and nurses should select appropriate nutritional risk screening tools and nutritional assessment indicators for tuberculosis patients in contact with them. When applying evidence,it is necessary to select evidence according to hospital characteristics and clinical environment,and establish nutritional risk screening and assessment system,work flow and practice standards for tuberculosis patients.