ABSTRACT
Objective To improve fresh nurses′ implementation rate of standard clinical administration checking by applying situational simulation method, and enhancetheir ability of identifying hidden perils in nursing. Methods Totally 75 fresh nurses who graduated in 2016 were enrolled and divided into two groups (36 in control group and 39 in experimental group) according to randomized digital table method. Situational simulation method was applied in the experimental group, while the control group applied traditional nursing safety check training method. Then both groups′ satisfaction rate of lessons and self-confidence after training were recorded. Besides, their clinical administration checking behaviors after 3 months, the errors, hidden perilsand examining situations related to administration checking after 6 months,were also evaluated. Results Significant statistical differences were shown in satisfaction score (23.62 ± 2.02 in experimental group vs. 21.39 ± 1.98 in control group, t=4.818, P<0.01) and self-confidential evaluating score (35.67±2.02 in experimental group vs. 21.39±1.98 in control group, t=2.768, P<0.01). Observation of clinical administration checking behaviors 3 months after training had indicated significant differences in the number of nurses who check drug concentration (33 vs. 8, χ2=29.406, P<0.05) and executing time (30vs. 12, χ2=14.436, P<0.05).Statistical differences (χ2= 5.080-29.545, P< 0.01 or < 0.05) were also observed in the number of nurses checking bed number, patient name, drug name, dose, drug concentration and methods in and after operation. The potential nursing perils identified, and the number of nurses who identify hidden nursing perils 3 months and 6 months after training were significantly larger (χ2=50.591, 23.658, 3.914, P<0.05) in experimental group (33, 2, 10) than in control group (18, 1, 3),and there were no significant differences in the rate of potential perils and nursing error between both groups. Conclusion Situational method of administration, which is applied for fresh nurses in their initial working phase, transforms the basic and core checking system into clinical real-situation cases. It also shows an advantage of boosting their self-confidence of learning, improving the implementation rate of standard clinical administration checking and the ability of avoiding potential nursing perils.
ABSTRACT
Objective To understand present status and coping strategies on lateral violence among emergency department nurses, and to analyze relevant reasons. Methods This study adopted a questionnaire designed by ourselves based on literatures analysis to investigate the present situation of occurrence, coping strategies, negative effects, reasons and improvement measures. Overall sampling methodology was used for 125 emergency department nurses from a grade Class A hospital in Shanghai. Results Occurrence of lateral violence among emergency department nurses during the latest three months was 56.6％(60/106). Lateral violence led to physical discomfort including insomnia 51.67％(31/60), fatigue 56.67％ (34/60) and mental discomfort including anxiety 58.33％ (35/60), subjective discomfort 51.67％(31/60) , and also enthusiasm declined by 75.00％(45/60), leaving 21.67％(13/60), or even turnover 33.33％ (20/60). Most emergency nurses considered "the person's personality problem"78.30％ (83/106) and job factors including "work rhythm fast" 66.04％ (70/106), "lack of manpower"63.21％(67/106),"poor working environment" 53.77％(57/106) as the primary cause of lateral violence. Accordingly, rational human resources management (86.79％, 92/106) and improved working environment (64.15％, 68/106) were selected as the most important measures to reduce lateral violence. Conclusions Lateral violence is exist among emergency nurses. Factors of individuals, working, management and society may leads to occurrence of lateral violence. Scientific human resource management, rational working environment, support and coping system and education may reduce emergency lateral violence.
ABSTRACT
Objective From knowledge,attitude,practice,and environment dimensions to investigate the status of oral health self-management in adolescents receiving fixed orthodontics and analyze its influencing factors.Methods A self-designed questionnaire developed from an evaluation index system for adolescents receiving fixed orthodontics was used to investigate 300 adolescent orthodontic patients in a stonatological hospital in Shanghai,who were 11 to 17 years old,receiving fixed orthodontics for more than three months.Results For adolescents receiving fixed orthodontics,self-management knowledge score was 0.99-±0.18,attitude score was 0.92±0.13,practice score was 1.11±0.21,and environment score was 0.66±0.15.The scores of oral health self-management knowledge,attitude,practice,and environment were significantly different between boys and girls(P＜0.01).There was significant difference in the scores of oral health self-management practice in adolescents with different age(P＜0.05).The scores of oral health selfmanagement were significantly different for adolescents with different stages of receiving fixed orthodontics(P＜0.05).Multiple stepwise regression analysis showed that oral health self-management status was affected by gender and age.Conclusion The oral health self-management status of adolescents receiving fixed orthodontics needs to be further improved.Female adolescents have better oral health self-management status than male adolescents.The increasing of age cannot necessarily improve self-management status.Orthodontic time has the greatest influence on oral health self-management practice.Medical staffs can provide targeted health education and guidance based on the status and influencing factors for adolescent orthodontic patients in order to improve their oral health self-management status.