ABSTRACT
Objective To explore the problems and solving countermeasures in application of nursing vertical management,and provide references for nursing post management reform.Methods Through purposive sampling method,nursing administers,clinical nurses,heads of clinical departments and performance directors from five hospitals were interviewed by semi-structured interview method.Data were analyzed using 7-step Colaizzi's phenomenological analysis method.Results Four themes were formed about the problems in application of nursing vertical management,including:affecting department management and doctor-nurse collaboration,insufficient scientificity and fairness of performance evaluation,significant issues regarding post setting of senior nurses,competence and sense of belonging of temporarily deployed nurses.Four themes were formed about the solving countermeasures in application of nursing vertical management,including:improving participation of clinical departments in nursing management,making performance system to public and asking advices of nurses,providing career development for senior nurses,and conducting standardized training and establishing reserve nurses tank.Conclusion The main problems in application of nursing vertical management consisted of affecting department management and doctor-nurse collaboration,insufficient scientificity and fairness of performance evaluation,post setting of senior nurses,and competence and sense of belonging of temporarily deployed nurses.We suggested to better apply nursing vertical management by improving participation of clinical department in nursing management,making performance system to public and asking advices of nurses,providing career development for senior nurses,and conducting standardized training and establishing reserve nurses tank.
ABSTRACT
ObjectiveTo understand the status of knowledge,attitude,behaviors about stroke prevention among the high risk population,so as to provide scientific basis for health education. MethodsA selfdesigned questionnaire about knowledge,attitude,behaviors of stroke prevention was used to investigate 106 cases from clinics and communities.The contents included general data,risk of cerebral stroke,score of related knowledge,attitude,behaviors about stroke prevention. ResultsThe mean scores of knowledge,attitude,and behaviors about stroke prevention were(46.96±10.07),(70.71±12.37) and (64.29±16.23),individually.Correlation analysis showed there was significant positive correlation among the scores of knowledge,attitude,and behaviors and their age,educational levels and residence,but was not significantly correlated with sex and risk score of cerebral stroke. ConclusionsPrimary prevention about stroke should focus on the high risk population with lower educational levels,ages under 60 years old,living in suburbs,lack of stroke prevention knowledge.
ABSTRACT
Objective To assess the reliability and validity of summary of diabetes self-care activities for type 2 diabetes patients in China.Methods We selected 80 patients with type 2 diabetes to carry out our investigation and chose 10 of them to retest 2 weeks later.Results The general Cronbach's α was 0.62 with a reliability coefficient of 0.83(P<0.01).We got 8 factors with an accumulation contribution of 0.92 by main-ingredient and variance analysis.The factor loading was more than 0.80. Conclusion The Chinese version of SDSCA had good reliability and validity to evaluate the self-care activities of type 2 diabetes patients.