ABSTRACT
Objective To Investigate the willingness of nurses on multiple-sites practice in Shenyang city and their motivations and concerns on multiple-sites practice, and to provide reference for the implementation of nurses' multiple-sites practice policy. Methods A convenient sampling method was used to conduct a questionnaire survey of 845 registered nurses in Shenyang city. Results 82.13％(694/845) nurses indicated that they were in favor of nurses on multiple-sites practice, and 79.05％(668/845) nurses expressed their willingness to engage in multiple-sites practice. The differences in the age, job title, working hours, monthly income of nurses and whether specialist nurses were statistically different from their willingness to multiple-sites practice (χ2=10.73-96.40, all P<0.01), and whether Chinese medicine nurse (χ2=6.42, P<0.05) was also different in their willingness to multiple-sites practice. Raising their own economic income and worrying about their overworked workload were the biggest drivers (89.37％,597/668) and concerns of nurses practicing multiple points respectively(88.14％,156/177). 82.04％(548/668) and 70.21％(496/668) of nurses believed that multi-practice practice was conducive to improve their self-worth and enhance nursing work skills. The lack of protection of rights and security (70.01％, 124/177) and the unclear medical risk of practice (53.12％, 94/177) were important factors restricting nurses′ multi-practice practice. In addition, nurses believed that the state should improve relevant laws and regulations (83.31％, 704/845) and protect the legal rights of nurses (88.64％, 745/845). Conclusions Nurses are generally optimistic about multiple-sites practice. Under the premise of sufficient energy and perfect legal protection, nurses multiple-sites practice is a practical and effective measure, which can increase the economic and social value of nurses, and at the same time classify the country′s practice. The medical treatment system provides protection of medical resources.
ABSTRACT
The accreditation of Proficiency Testing Provider ( PTP) has gone through more than a decade in China.Over the past ten years, from nonexistence to existence, the domestic PTPs in the area of laboratory medicine have gradually standardized and developed.By reviewing the international and domestic practice, this paper gives an outline of the present status of the accreditation of PTP in the area of laboratory medicine, explores the difference with other countries, the main problems and some suggestions for improvement, and makes a prospect of the development of the accreditation of PTP in the area of laboratory medicine in China.
ABSTRACT
Objective To study the correlation between pain, lower limb strength and physical function in patients with primary osteoporosis. Methods Fifty-seven female patients diagnosed with menopause-related low bone mass or primary osteoporosis using a GE calcaneus bone density detector were involved in this study. The muscle strength of their lower limbs was tested with a Biodex system 4 machine. Pain was assessed with a visual analogue scale, and physical function (PF) with the SF-36 instrument. Results Low back pain was significantly correlated with PF, and so was leg pain. Leg pain was also significantly correlated with the strength of the extensors of the dominant leg during low velocity and medium velocity movement. Leg pain was not, however, significantly correlated with the strength of the flexors of the dominant leg during low and medium velocity movement. Conclusions Pain predicts poor physical function in patients with primary osteoporosis or low bone density. During low and medium velocity movement, leg pain significantly predicts poor muscle strength in the extensors of the dominant lower leg, but it has no correlation with the muscle strength of the flexors.