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Objective:To provide basis for carrying out standardized training courses of intravenous therapy nursing technology for community nurses and improving the level of intravenous therapy for community nurses.Methods:This was a quasi experimental study. From May to July 2020, 260 nurses from 20 community health service institutions in Dalian were investigated with the convenient sampling method and self-designed evaluation scale for venous treatment nursing skills of community nurses and were given standardized training. The changes of venous treatment nursing skills of community nurses before and after training were compared.Results:The scores of theoretical knowledge, skill operation, complication nursing and health education of the intravenous therapy nursing skill evaluation scale for community nurses after training were (15.32 ± 1.67), (18.26 ± 2.46), (19.32 ± 1.57) and (16.33 ± 1.02) points, which were higher than (10.23 ± 2.43), (12.35 ± 3.42), (14.36 ± 2.48) and (12.31 ± 1.47) points before training. The difference was statistically significant ( t values were 1.32-2.46, all P<0.05). After the training, the total score of the evaluation scale of community nurses' intravenous treatment nursing skills was (77.41 ± 1.21)points, which was higher than that before the training (55.38 ± 1.35) points, with a statistically significant difference ( t=2.38, P<0.05). Conclusions:Higher medical institutions should construct venous treatment training group, strengthen the training of community nurses on intravenous therapy, improve the quality of community intravenous therapy services, and promote the better functioning of community health service institutions.
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Objective:To develop Nursing Skill Rating Scale of Intravenous Therapy for Community Nurses and to test its reliability and validity.Methods:Refer to the 2019 Infusion Nursing Society Infusion Therapy Standards of Practice, Nursing Technical Operation Specification of Intravenous Therapy, through literature review, expert group meeting and pre-survey, the Nursing Skill Rating Scale of Intravenous Therapy for Community Nurses was formed, and 260 community nurses of 20 communities in Dalian were investigated by convenience sampling method from May to June 2020 to test the reliability and validity. Results:The Nursing Skill Rating Scale of Intravenous Therapy for Community Nurses included five dimensions (theoretical knowledge, skill operation, management ability, complication treatment, health education) with 18 items, cumulative variance contribution rate was 50.510%. The scale-content validity index was 0.92. The item-level content validity index were from 0.76 to 1.00. The total Cronbach α coefficient of questionnaire was 0.857. The test-retest reliability was 0.948. Conclusions:The Nursing Skill Rating Scale of Intravenous Therapy for Community Nurses has good reliability, validity and strong applicability. It could be applied for the nursing skill level of intravenous therapy for community nurses.
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Based on the requirements of the standardized training for the community nurses, this study constructs an informatization platform on the overall design, and improves the content modules of the platform. The standardized training mode of community nurses has been constructed through team building and division of labors. After application of the platform, the participation rate, assessment of theoretical knowledge and operational skills and professional identity of standardized training for community nurses have been improved. The standardized training platform for community nurses has optimized the teaching resources and improved the teaching effect, worthy of application and promotion.
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Objective:To explore the barrier factors perceived by community nurses in evidence-based nursing practice.Methods:A cross-sectional survey of perceived barriers in 769 community nurses of China was conducted by using the Barriers to Research Utilization Scale from October 2017 to April 2018. In a semi-structured interview, a total of 15 community nurses were selected by purpose sampling for deeply exploring details of perceived barriers, the influencing of barriers and the needed supports for overcoming the barriers in evidence-based practice. The interview data were transcribed to text and analyzed by using thematic analysis in Nvivo 11.0.Results:Community nurses faced barriers including insufficient resources, support and ability of evidence-based practice of community nurses. The results of interview provided the details of these barriers which had negative impacts on community nurses. To overcome these barriers, evidence-based related training, enhanced supporting resources were needed.Conclusions:Community nurses are facing multiple barriers in evidence-based practice. To promote the ability of evidence-based practice of community nurses, it is necessary to strengthen the support from organization, personnel, resources, and improve the ability of community nurses in evidence-based practice.
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Objective To explore the contents and modes of community nursing training and improve community care quality.Methods The training course and assessment standard were worked out according to practical work in community health service centers,including basic nursing skills,community first aid skills,hospital infection control skills,preventive health care skills and community document management skills.Toally 58 nurses from 11 community health service centers were trained for 36 hours from January to June,2016 and tested before and after training to assess the effect of training.Result After training,the scores on all skills were significantly higher than those before training (all P＜0.01).Conclusion Regular and practical training and management are the guarantee for the improvement of the community care quality.
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Objective To explore job satisfaction degrees and the influencing factors among community nurses. Method General information questionnaire and the revised job satisfaction questionnaire were adopted in the investigation among 124 nurses from 28 community health service centers in Nanchong City between February to October 2016. Results The total score was (119.62 ± 15.37), at the moderate to high level. Of the eight dimensions, relationship with colleagues was scored the highest, and personal growth was the lowest. The influencing factors of the nurse's job satisfaction were found to be employment type, work positions, service duration in the community and whether they have been trained on community nursing position (all P<0.05). Conclusions The job satisfaction degree of community nurses is generally at middle level. Therefore, measures should be taken to improve the job satisfaction for the development of community nursing services.
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Objective To investigate the current situation of community nurses′practice environment and work engagement, and to analyze the impact of practice environment on work engagement. Methods Totally 380 community nurses in 26 community health service institutions were investigated with Practice Environment Scale of the Nursing Work Index (PES-NWI) and Utrecht Work Engagement Scale (UWES). Results The effective questionnaires rate was 88.95%(338/380). The total of PES-NWI was 50-120 (90.542±12.095) scores, the different dimension from high to low were medical cooperation,nursing managers' ability and leadership style, high quality nursing service basis, nurses in hospital affairs, staffing and resource adequacy:(3.213 ±0.510), (3.048 ±0.404), (3.015 ±0.419), (2.739 ±0.494), (2.693 ±0.549) scores. The total of UWES was 17-88 (52.189±19.610) scores,the different dimension from high to low were activity, focus, dedication:(3.556±1.380), (3.493±1.389), (3.346±1.475) scores.Nurse practice environment ofnurses in hospital affairs and high quality nursing service basis had significant prediction effect on community nurses′work engagement, P<0.01. Conclusions It exists closely correlation between professional practice environment and work engagement. Community hospital managers should reasonable allocation of personnel and materials, provide equal participations in hospital affairs platform, meet the needs of nurses in different levels of education and learning, and perfecting the community nurses performance appraisal, in order to enhance community nurses' work engagement degree.
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Objective Explore the effective way to improve the research capacity of community nurses and to enhance their knowledge of scientific research.Methods Questionnaires were given to 10 community health service centers in Shanghai Qingpu District and 346 community nurses, who represent 93.51％ of the total community nurses, the results have been statistically analyzed which involves timely intervention.Results The effective ways to improve the research capacity of community nurses are listed as follows in proper order: organize scientific workshops;increase the support for nursing research;build a platform for access to literature;strengthen community care research tracking guidance.Conclusions Effective ways and means should be applied when carrying out community nursing researches in order to accelerate the scientific research ability of community nurses.
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Objective To investigate the level and influencing factors of community nurses' quality of work life,and supply reference for improvement of community nursing management quality.Methods Totally 193 community nurses from 11 community health service center in Changchun were investigated with Chinese Version of Quality of Nurse Work Life Scale (QNWL).Results The total score of QWL was (165.00±22.19).The scores of work family balance,workload,work environment,social environment were (25.18±5.65),(39.30±5.07),(82.79±11.88) and (17.73±3.56).Multiple linear regression analysis showed that work like degree were influencing factors of community nurse' quality of work life,professional titles followed.Conclusions Community nurses' quality of work life need to be further improved.Nursing educators and managers should take measures to improve community nurse' quality of work life aimed at the influencing factors.
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Objective To survey the working situation of community nurses and care needs of the residents in a prefecture-level city.Method One hundred and thirty-five community nurses and 338 residents were selected and investigated by self-designed questionnaire.Results Community nurses still focused on the area of nursing and treatment rather than prevention,rehabilitation, health care,health education and family planning,which need to be paid more attention to.The needs of residents on community nursing service shift from disease treatment to disease prevention and health promotion.The current community nursing service cannot satisfy residents’care needs.Conclusion Community nurses should provide demand-oriented community care to the residents, strengthen the concept of disease prevention and health promotion,and set up community health centers to be a blend of prevention, health care,rehabilitation,health education and family planning as soon as possible.
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Objective To understand the work content of community nurses in general practitioners team model in Chongqing.Methods A questionnaire was carried out among 210 community nurses from 12 communityhealth service centers in Chongqing city.Results The work content of community nurses most often did in general practitioners team model were health management,health care of elderly people,health education,chronic disease management and basic medical service.However,the work content of women's health care and inquiry of death cause were relatively done less.Conclusions There are both basic medical service and public health service in the work content of community nurses in Chongqing.The “Six in One” function of community nursing is gradually improved.
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Objective To understand the influencing factors of job satisfaction degree among community nurses in Qiqihar city.Methods Using stratified systematic cluster sampling method,we conducted self-administered questionnaire,results were subsequently analyzed.Results Logistic regression analysis was introduced,influencing factors of job satisfaction degree included work location,age,marital status,professional title,properties of jobs,monthly income and work length.Conclusions The government should pay attention to community health care services,gasp the situation of job satisfaction degree of community nurses timely,take innovative measures,improve job satisfaction degree of community nurses,stabilize community nursing teams and promote the development of community health services.
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Objective To improve the comprehensive nursing abilities in the practice process in the practice base, to adapt to the needs of the development of community nursing. Methods Convenient sampling was adopted, 83 nurses were divided into the experimental group (43 nurses) and the control group (40 nurses),who interned in the practice base in the years 2008 and 2009, the control group received con-ventional teachings, and the experimental group was given the teaching method and modes which were targeted at and focusing on the training of ability. The practice result was compared between the two groups.- Results Based on the teachers, the assessment and mixed capability were higher in the experimental group, by the employers' evaluation, all of the indicators were higher than the control group, and it is statistically significant. Conclusions It can improve various nursing abilities of the community nurses by the teaching method and modes which are targeted and focusing on the training of capability.
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Objective:To understand the status quo of community care in Chongqing city in 2006. Methods:To know the basic state of community care by observation and data collection in 9 community health service centers and 18 service stations that located in urban area,we investigated 104 nurses and 62 patients in communities by questionnaire. Results:The average community nurses are older than hospital nurses;98% community nurses are below the university academic career;some service items such as home nursing,health care,rehabilitation nursing and hospitalpice are not totally completed;there are manifest differences in community service among nurses with different educational background and different professional titles(P﹤0.05). Conclusion:An alternate institution may be established between general hospitals and community health centers(station). The finance support to community medical and training of community nurse should be guaranteed and service range of community care should be expanded.
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In the implementation of community health service,the working efficiency of the community nurses becomes increasingly important to the overall service standards of the service centers as the local residents have begun to take it into consideration when evaluating the service quality.By illustrating the roles of nurses in all the six major functions played by the community health service,this paper intends to arouse the attention from the concerning authorities to the training of the nurses so that the nurses can be developed in an all-round way and provide better services for the community.