ABSTRACT
<b>Purpose</b> : The objective of this qualitative study was to clarify rewarding and positive aspects of comprehensive community care practices by clinic nurses.<br><b>Methods</b> : Semi-structured interviews were conducted for six nurses who had been working for more than five years at community-based clinics in the surrounding areas of Tokyo. Responses were analyzed using the Modified Grounded Theory Approach proposed by Kinoshita. Concept diagrams were drawn from the themes.<br><b>Results</b> : Nurses regarded the integrated care of individual patients, their family and community as meaningful and rewarding because they were able to provide truly holistic care. They were also satisfied with “value of individual experiences of nurses”, “frontier spirit of community nurses providing pathless integrated care”, “appropriate work-life balance”, “independent position in the clinic” and “community-based team approach including medicine, health and welfare”.<br><b>Conclusion</b> : Nurses felt easier providing their psychosocial intervention in a community-based clinic as part of a medical system. Nurses obtained rewards by using their holistic care ability. Since nurses and family physicians have similar perspectives with respect to patient-centered care, some nurses felt conflicts with their physicians, because patient-centeredness is not the only strength of such nurses.
ABSTRACT
Objective To explore the feeling of nurses after needle stick injuries and analyze the cause and impact of needle stick injuries,so as to explore protection measures.Methods The phenomenological methodology was used in the study to analyze the main causes of needle stick injuries,handling method and report reasons.Results The main causes of needle stick injuries were violation of the operation sequence and the weakness of protection awareness.The main reactions of nurses to needle stick injuries were fear and worry.The report circuit was complex.Conclusions It is suggested to pay attention to the analysis and discussion of needle stick injuries and make standardized the operation sequence,improve self-protection awareness,and perfect the support system after needle stick injuries,then bring it into the routine management work.
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Objective To construct an index system of the performance appraisal to clinic nurses.Methods According to the BSC,KPI and SMART principal,we constructed the primary evaluation indexes.And then two rounds of Delphi consultation were conducted.Results An index system of the performance appraisal to clinic nurses was composed of 5 level-1 indexes,including 22 indexes.Conclusions The index system has high scientific nature and reliability to provide a theoretical basis for the performance appraisal to clinic nurses.
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Objective To study the prevention care of vagus nerve reflex after cardiac intervention operation.The reflection happens fast,progress quickly and high danger ously.Take effective care for a sick person could reduce the incidence of vagal reflex.Methods The methods inclucled psychological preparation for surgery,training emiction in the bed,fasting four hours,monitor of vital signs after surgery,drinking more water,fix somato.Results The complicatlons had been effective controled.Conclusion Applying certain preventional measures could reduce the incidence of vagal reflex.
ABSTRACT
OBJECTIVE To explore the condition of hand-washing compliance among clinic nurses,find the factors which influence the nurses hand-washing compliance,and discuss the countermeasures.METHODS Their behavior of hand-washing compliance among 119 clinic nurses was investigated randomly,78 clinic nurses were adopted hand-washing technical examination.RESULTS The hand-washing compliance rate before medical activities was 5.9%,but after medical activities was 29.4%.The hand-washing accurate rate was 56.0%.CONCLUSIONS Administrative personnel should adopt essential intervention,and enhance management and supervision of the hand-washing behavior to improve the hand-washing compliance and its quality.