Job rotation approach among nurses: a comparative study / Rotatividade no trabalho de enfermeiras: um estudo comparativo / Enfoque de rotación de trabajo en enfermeras: un estudio comparativo

ABSTRACT Objectives: to compare the perceived levels of job rotation, job satisfaction, and job conflict between two groups of nurses in Jordan, and to explore the differences between them. Moreover, several demographic factors were examined to investigate their association with job rotation approach in nurses who previously had job rotation experience. Method: a cross-sectional design with a total of 244 nurses: 122 nurses had experienced job rotation while 122 nurses never had experienced job rotation. The study was examined between January and February in the year of 2020. Job rotation scale, job satisfaction scale, and job conflict scale were used to assess the three variables. Independent t-test and one-way analysis of variance test were used to analyze significant differences between both selected groups. Results: statistical analysis indicated that nurses who underwent job rotation had significantly higher perceived levels of job rotation, job satisfaction, and lower level of job conflict compared to other nurses who did not experience job rotation. Moreover, gender, experience, and educational level were significantly associated with the perceived level of job rotation among nurses who had job rotation experience in Jordan. Job rotation was not found to be associated with marital status. Conclusions: job rotation approach is necessary to improve job satisfaction and reduce job conflict. Nursing directors should cooperate to apply nurses' rotation approach at hospitals in order to increase job satisfaction and decrease the level of job conflict.

RESUMO Objetivos: comparar a rotatividade no trabalho, o nível de satisfação e de conflito entre dois grupos de enfermeiros na Jordânia e explorar as diferenças entre eles. Vários fatores demográficos foram examinados para investigar a associação de conflito e satisfação com a rotatividade no trabalho. Método: delineamento transversal com um total de 244 enfermeiros: 122 enfermeiros experimentaram rodízio de funções e 122 enfermeiros nunca experimentaram rodízio de funções. O estudo foi examinado entre janeiro e fevereiro do ano de 2020. Escala de rotação de trabalho, escala de satisfação no trabalho e escala de conflito de trabalho foram utilizadas para avaliar as três variáveis. O teste t independente e o teste de análise de variância unilateral foram usados para analisar diferenças significativas entre os dois grupos selecionados. Resultados: a análise estatística indicou que os enfermeiros que realizaram rodízio de trabalho apresentaram níveis percebidos de rotação de trabalho, satisfação no trabalho e menor nível de conflito de trabalho significativamente maiores em comparação com outros enfermeiros que não passaram por rodízio de trabalho. Além disso, gênero, experiência e nível educacional foram significativamente associados ao nível percebido de rotação de empregos entre enfermeiros que tiveram experiência de rotação de empregos na Jordânia. A rotação de funções não foi associada ao estado civil Conclusões: a abordagem de rotação de trabalho é necessária para melhorar a satisfação no trabalho e reduzir os conflitos de trabalho. Os diretores de enfermagem devem cooperar para aplicar a abordagem de rotação dos enfermeiros nos hospitais, a fim de aumentar a satisfação no trabalho e diminuir o nível de conflito de trabalho.

RESUMEN Objetivos: comparar los niveles percibidos de rotación laboral, satisfacción laboral y conflicto laboral entre dos grupos de enfermeros en Jordania y explorar las diferencias entre ellos. Además, se examinaron varios factores demográficos para investigar su asociación con el enfoque de rotación laboral en enfermeros que anteriormente tenían experiencia en rotación laboral. Método: diseño transversal que contó con un total de 244 enfermeros: 122 enfermeros habían experimentado rotación laboral mientras que 122 enfermeros nunca habían experimentado rotación laboral. El estudio se examinó entre enero y febrero del año 2020. Se utilizaron la escala de rotación laboral, la escala de satisfacción laboral y la escala de conflicto laboral para evaluar las tres variables. Se utilizaron la prueba t independiente y la prueba de análisis de varianza unidireccional para analizar las diferencias significativas entre ambos grupos seleccionados. Resultados: el análisis estadístico indicó que las enfermeros que se sometieron a rotación laboral tenían niveles significativamente más altos de rotación laboral, satisfacción laboral y menor nivel de conflicto laboral en comparación con otras enfermeras que no experimentaron rotación laboral. Además, el género, la experiencia y el nivel educativo se asociaron significativamente con el nivel percibido de rotación laboral entre los enfermeros que tenían experiencia en rotación laboral en Jordania. No se encontró que la rotación de trabajos estuviera asociada con el estado civil. Conclusiones: el enfoque de rotación laboral es necesario para mejorar la satisfacción laboral y reducir los conflictos laborales. Los directores de enfermería deben cooperar para aplicar el enfoque de rotación de enfermeros en los hospitales a fin de aumentar la satisfacción laboral y disminuir el nivel de conflicto laboral.

Construction of a cross-field practice system for clinical, prevention, and management students and analysis of training effect of health management talents: TOPSIS model / 中华健康管理学杂志

Objective@#This study aimed to investigate and analyze the application effect of cross-field training of clinical, prevention, and management in health management talent training.@*Methods@#The simple random sampling method was used. 30 clinical, prevention, and management students were randomly selected as the cross-training group from 2013 to 2017 in the Second Affiliated Hospital of Dalian Medical University, and 30 students in the same class were randomly selected as the control group. The cross-training group conducted case analysis teaching, symposium, and scientific research ability training practice. After the internship, subjective practice effect and health management knowledge test were conducted for each group. TOPSIS method was adopted to evaluate the subjective effect of cross-teaching and routine practice training.@*Results@#The cross-training group had higher scientific research ability, development, satisfaction, and flexibility scores than the management group[3.0（3.0，3.0） vs 2.0（2.0，3.0）, （2.8±0.6） vs （2.4±0.5）, 3.0（3.0，3.3） vs 2.0（2.0，3.0）, 3.0（3.0，3.0） vs 2.0（2.0，3.0）, respectively]; higher participation, communication ability, development scores than the prevention group[（2.8±0.7） vs （2.4±0.6）, （3.1±0.6） vs （2.6±0.5）, （2.8±0.6） vs （2.4±0.5）, respectively]; and higher suitability degree and strain ability score than the clinical group[（2.9±0.6） vs （2.5±0.7）, 3.0（3.0，3.0） vs 3.0（2.0，3.0）, respectively]. Health management test scores of cross-training students were significantly higher than the clinical group[（7.1±1.3分） vs （6.1±1.9分）]. Differences were statistically significant (P<0.05). After TOPSIS model evaluation, the results of comprehensive subjective evaluation in the cross-group ranked first, followed by the prevention group, clinical group, and management group.@*Conclusion@#The cross-field of clinical, prevention, and management is better than conventional practice training, which is beneficial for promoting the training of health management talents to meet the needs of social health.

Effects of Neuromuscular Electrical Stimulation on the Muscle Hypertrophy and Cross Training Effect

OBJECTIVE: To evaluate the effect of electrical stimulation on muscle strength, muscle bulk and envelope amplitude. METHOD: Twenty right handed healthy men and women (8 : 12) volunteered to be subjects whose mean age were 25.5+/-2.8 years. Left thenar muscle was stimulated at 40 Hz frequency for 20 minutes, every weekday for 2 weeks. Maximal tip pinch power of first and second finger, and cross sectional area of abductor pollicis brevis were assessed before and after electrical stimulation in both hands. RESULTS: Maximal tip pinch power increased in bilateral hands. The thickness and cross sectional area of both thenar muscles were increased, but they were significant only in left side. Envelope amplitude increased significantly in left thenar muscle at maximal voluntary contraction, and showed a tendency to increase in right side at each percent of 10, 30, 50, 100 and in left side at 10, 30, 50% maximal voluntary contractions. CONCLUSION: The electrical stimulation on unilateral muscle induced the increment of bilateral muscular strength. The neural factor and muscle hypertrophy are responsible for the increased strength of the stimulated muscle and the increase in the nonstimulated muscle strength is related to the cross-training effect and adaptation effect.

Cross Training Effect Following Unilateral Leg Strengthening Exercise

OBJECTIVE: To examine the effects of unilateral leg exercise on the contralateral leg and the cross training effect according to the training intensity. METHOD: Nineteen healthy males volunteered to be subjects for this investigation and were divided into a training group (N=13) and a control group (N=6). One leg of each subject in the training group was randomly assigned to a six week, three day/week isokinetic strengthening training program for concentric knee extension-flexion performed at 60 degrees/second (group A, N=6) and 180 degrees/second (group B, N=7). The control group did not train for six weeks. The strength of the knee extensor and flexor was tested before and after the six week period training by Cybex 770 dynamometer. RESULTS: In both groups A and B, the training resulted in significant increase of knee extensor strength in trained limb compared to control group. However, the strength increment of untrained limb was not significant compared to control group. CONCLUSION: There was no significant cross training effect following unilateral leg strength exercise.