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Objective:To use the methods of Health Care Failure Mode and Effects Analysis to reduce the paediatric wards noise pollution, Ensure the physical and mental health of medical staff and children, and maintain a good medical environment.Methods:The sampling method is adopted, noise investigation questionnaire was used in our study and we use the noise instrument to monitor the sound, and the focus source, the key time period and the key section of the room noise are obtained, then the HFMEA is carried out, we listed the work flow of the pediatric ward, and the flow is analyzed and discussed, calculate the Risk Priority Number (RPN). Then, some improvement measures were carried out aimed at the failure mode ,the noise survey questionnaire were used for evaluation.Results:After the implemented the HFMEA , The RPN value was significantly decreased ( P < 0.05). the degree of noise interference of children and their families decreased from 38 to 29, the difference was statistically significant ( χ2 value was 21.82, P<0.05) , and the satisfaction with control noise was improved from 18 to 30, the difference was statistically significant ( χ2 value was 36.28, P<0.05) .The intensity of noise key areas, The intensity of noise source and intensity in each period of the day were significantly improved and the difference was statistically significant ( P < 0.05), and the critical value was significantly decreased. Conclusion:Applying HFMEA can reduce ward noise pollution, improve patient satisfaction, ensure the physical and mental health of medical staff and children, and create a good medical environment.
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Objective@#To discuss the application effect of Nursing-Mini-Clinical Evaluation Exercise (Nursing-Mini-CEX) based on the theory of extended skill circle to construct and implemented the clinical practice teaching scheme.@*Methods@#Applied convenient sampling in a hospital in Dalian and taked 42 grade 2012 undergraduates as control group, which will be given Nursing-Mini-CEX teaching model. 47 students of grade 2013 undergraduates as observation group, given on the Nursing-Mini-CEX teaching model based on extended skill circle theory, At the end of the clinical practice, we used the Nursing-Mini-CEX tools and the Teaching ability of Clinical Teaching Teachers questionnaire and the satisfaction scale of Nursing students' practice to evaluate the effect of the Nursing-Mini-CEX teaching model based on extended skill circle theory.@*Results@#The score of control group in Special care, nursing examination, nursing diagnosis, humanistic care, organizational effectiveness and overall evaluation were (6.26±1.01) 、(6.40±1.00) 、(6.37±1.11) 、(6.77±1.03) 、(6.37±1.17) 、(7.06±1.11) 、(6.89±1.11) , The experimental group students′ performance was higher than the control group in the Special care, nursing examination, nursing diagnosis, humanistic care, organizational effectiveness and overall evaluation, The scores were(7.10±1.14), (6.90±0.81), (7.19±0.86), (7.12±0.97), (7.43±0.91), (7.43±0.91), (7.43±0.80), with significant differences (t=1.523~3.640, P˂0.05) . The scores of clinical teachers′ teaching ability were higher than that of the control group (80.27 ± 13.90) ,the score was (86.68 ± 12.21) , With significant differences (t=3.83,P˂0.05) ,and the satisfaction degree of the experimental group was higher than that of the control group, With significant differences (t=0.827,P˂0.05) .@*Conclusion@#Nursing-Mini-CEX teaching model based on extended skill circle theory made the clinical teaching more systematic and standardized. It can improve clinical teaching quality and the nursing students′ clinical ablity, and it is well worth to apply in clinical.
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Objective To discuss the application effect of Nursing-Mini-Clinical Evaluation Exercise (Nursing-Mini-CEX) based on the theory of extended skill circle to construct and implemented the clinical practice teaching scheme. Methods Applied convenient sampling in a hospital in Dalian and taked 42 grade 2012 undergraduates as control group, which will be given Nursing-Mini-CEX teaching model. 47 students of grade 2013 undergraduates as observation group, given on the Nursing-Mini-CEX teaching model based on extended skill circle theory, At the end of the clinical practice, we used the Nursing-Mini-CEX tools and the Teaching ability of Clinical Teaching Teachers questionnaire and the satisfaction scale of Nursing students' practice to evaluate the effect of the Nursing-Mini-CEX teaching model based on extended skill circle theory. Results The score of control group in Special care, nursing examination, nursing diagnosis, humanistic care, organizational effectiveness and overall evaluation were(6.26±1.01)、(6.40±1.00)、(6.37±1.11)、(6.77±1.03)、(6.37±1.17)、(7.06±1.11)、(6.89 ± 1.11), The experimental group students′performance was higher than the control group in the Special care, nursing examination, nursing diagnosis, humanistic care, organizational effectiveness and overall evaluation , The scores were(7.10±1.14), (6.90±0.81), (7.19±0.86), (7.12±0.97), (7.43±0.91), (7.43± 0.91), (7.43±0.80), with significant differences(t=1.523~3.640, P?0.05). The scores of clinical teachers′teaching ability were higher than that of the control group(80.27±13.90),the score was(86.68±12.21), With significant differences(t=3.83,P?0.05),and the satisfaction degree of the experimental group was higher than that of the control group, With significant differences(t=0.827,P?0.05). Conclusion Nursing-Mini-CEX teaching model based on extended skill circle theory made the clinical teaching more systematic and standardized. It can improve clinical teaching quality and the nursing students′ clinical ablity, and it is well worth to apply in clinical.
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Objective To describe the status quo of readiness for hospital discharge of liver cancer patients accepted transcatheter arterial chemoembolization(TACE)treatment and to explore its influencing factors. Methods A cross-sectional survey was conducted. A self-designed general information questionnaire and the Readiness for Hospital Discharge Scale were delivered to 113 liver cancer patients accepted TACE from the Second Hospital of Dalian Medical University. Results The score of readiness for hospital discharge of liver cancer patients accepted TACE treatment was(171.73±14.71)points,and each item was divided into (7.81±0.67) points. Multiple linear regression analysis showed that age and education level were important factors influencing the degree of readiness for hospital discharge(t=-5.591,5.982,P<0.05). Conclusions The level of readiness for hospital discharge of liver cancer patients accepted TACE treatment is relatively satisfactory. Medical staff should provide targeted health education and intervention measures to improve their discharge readiness and ensure their safety after discharge.