ABSTRACT
Objective To explore the effect of nursing quality control program on geriatric post-stroke patients. Methods Retrospective control research method was adopted to conduct this research in Shanghai Zhongyuan Nursing Home. Forty eight stroke patients who were admitted and discharged between November 2016 and February 2017 were enrolled in the experimental group, implemented nursing quality control program, and 35 stroke patients who were admitted and discharged between July 2016 and October 2016 were enrolled in the control group. The self-care ability improvement, limb function improve degree, hospitalization days and hospitalization expenses when they were discharged from the hospital were compared between the two groups. Results When the patients were discharged from the nursing home, the score of activity of daily living of patients in the experimental group was (6.15 ± 3.14) points, which was higher than that of the control group (0.28 ± 0.17) points, and the difference was statistically significant(t =-10.516, P <0.05). Seven patients in the experimental group had a better function of limb, the limb function of the rest 41 patients kept unchanged, while the limb function of all the 35 patients in the control group kept unchanged , and the difference between the two groups was statistically significant (x2=5.574, P< 0.05). The length of hospitalization in the experimental group was (90.73 ± 12.25) days, shorter than that in the control group (98.69 ± 15.72) days, and the difference was statistically significant(t=2.592, P<0.05). There was no significant difference in the total hospitalization expenses per capita between the two groups(t=0.750, P >0.05).The average daily nursing cost for the experimental group patients was (25.16 ± 3.68) yuan, lower than control group nursing fee (27.18 ± 4.54) yuan, and the difference was statistically significant (t=0.455, P<0.05). Conclusions Nursing quality control program for post-stroke patients can effectively improve their self-care ability and physical function, shorten the days of hospitalization, and reduce the nursing cost.
ABSTRACT
Objective To understand the current status and influencing factors of nursing safety management of geriatric care institutions in Shanghai. Methods Adopted questionnaire and experts spot-supervision to survey 25 geriatric nursing hospitals and 12 community health care centers which had more than 200 beds. The questionnaire had four parts including nature of institutions, general information of the managers, nursing risk management status and nursing safety quality status. Results The average score of nursing safety quality was (14.12 ± 2.03) points, there was no statistical significance in nature of institution, size of the institutions, age, education background, professional title, managerial experience, effect of nursing risk report and assessment and contingency plan (P> 0.05), but there was statistical significance in nurse managers′ knowledge about nursing risks, nursing risk management maturity and nurses training(F=2.818, 7.768, 3.555, P<0.05 or 0.01). Multiple linear regression showed that nurse managers′ knowledge about nursing risks, nursing risk management maturity and nurses training were the influence factors of nursing safety quality, and they account for 82.1%, and the regression equation was Y=7.988+0.365X1-0.380X2+0.350X3. Conclusions Strength the construction of nursing management team, perfect nursing management system, regular training could improve nursing safety quality of geriatric institutions in Shanghai.
ABSTRACT
The rise of advanced nursing practice in the developed countries promotes the development of nursing science, nursing postgraduate education arises at the historic moment. Professional nursing postgraduate education started late in our country and its development is not mature, there exists some problems in the training plan and professional positioning, such as training process not realizing the training objectives, unreasonable curriculum setting and evaluation system, unclear professional direction, disconnection of vocational orientation and the professional qualification and specialist nurse certification. Therefore, nursing professional degree graduate education mode needs further exploration and unity.
ABSTRACT
Objective To explore the current research status and existing problems in severe burn nursing by reviewing relevant literature of severe burn nursing published in 6 kinds of nursing core journals. Methods Search 6 kinds of nursing core journals using the following key words: severe burn critical burn serious burn large area burn intensive burn and nursing. Applying bibliometrics to conduct descriptive analysis of the external and internal characteristics of these papers. Results Two hundred and nine papers were included;the main literature research type of thess articles was clinical experience summary, the content of these literature was extensive. Conclusions Severe burn nursing research focus on clinical symptomatic nursing; clinical nurse scientific research ability needs to be strengthened, and subject aspects should be paid more attention to children, the elderly, and clinical nurse physical and psychological conditions.
ABSTRACT
Objective To explore the clinical competence of nursing master of professional degree and give some suggestions for their postgraduate education. Methods A total of 19 samples of nursing masters of professional degree, nursing managers, nursing experts and clinical teachers were selected by using purpose sampling method, and semi- structured interview was adopted and the results were finally described and classified. Results The competence of the masters of professional degree came from the following five aspects: professional quality, practical ability, research ability, education ability and professional development ability. Conclusions A good professional quality is the premise of qualified for clinical work, flexible ability of practice is the basis of clinical work, solid scientific research background and the education ability is the core competitiveness, multi- dimensional professional development ability is the key to self-improvement, nursing professional degree graduate student should enhance their own comprehensive quality from the above five aspects, to be better qualified for clinical nursing work.