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Objective:To analyze the application value of health education based on knowledge, attitude and practice (KAP) in patients before gastrointestinal endoscopy in the Department of Gastroenterology.Methods:Three hundred and fifty patients underwent gastrointestinal endoscopy in the Department of Gastroenterology of Jingqiao Health Center of Nanjing Lishui District from January 2019 to October 2020 were selected and divided into the control group ( n=175) and the observation group ( n=175) according to the random number table method. Patients in the control group chose regular health education, and patients in the observation group adopted health education in the KAP model. The gastrointestinal cleanliness before the examination, the Self-rating Anxiety Scale (SAS) score before and after the examination, the awareness rate of medical knowledge, the examination compliance rate, the diet compliance rate and the nursing satisfaction rate were compared between the two groups of patients. Results:Patients of gastrointestinal cleanliness level 1, 2, 3, and 4 in the observation group accounted for 83.43% (146/175), 13.14% (23/175), 3.43% (6/175) and 0, respectively, and those in the control group were 49.71% (87/175), 35.43% (62/175), 9.14% (17/175) and 4.57% (8/175) ( Z value was 6.743, P<0.001). The SAS scores of the observation group after the examination was 42.30±4.77, and 50.17±5.12 in the control group. There was significant difference between the two groups after the examination ( t value was 14.878, P<0.05). The medical-related knowledge awareness rate, the inspection compliance rate, and the diet compliance rate of the observation group were 100.00%(175/175), 98.29% (172/175) and 97.71%(171/175), and those rates of the control group were 90.29%(158/175), 83.43% (146/175), and 79.43%(139/175), respectively ( χ2 value was 17.867, 23.250, 28.903, all P<0.05). Conclusions:The knowledge-attitude-practice model-based health education can reduce the preoperative anxiety of patients undergoing gastrointestinal endoscopy, and improve their compliance and satisfaction with nursing.
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In this article, the author pointed out the challenges for evidence-based practice in hospitals, and supplied advice for promoting.
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ObjectiveTo investigate the current status of knowledge， attitude and practice of nurses in mental health hospitals on the prevention and control of nosocomial infections， and to analyze the influencing factors. MethodsFrom June to August 2020， 402 clinical nurses from 8 mental health hospitals in a city were enrolled using simple random sampling method， and were assessed using a self-compiled knowledge-attitude-practice questionnaire related to the nosocomial infection prevention and control， thereafter， the influencing factors were screened. ResultsThe scores of knowledge， attitude and practice dimensions in relation to the nosocomial infection prevention and control among the nurses were （8.43±1.84）， （76.01±5.70） and （57.42±3.75）， respectively. Univariate analysis showed that the knowledge dimension score demonstrated significant difference among nurses of different types of hospital， grades of hospital， professional titles， education levels， and emphasis degrees of hospital and individual on nosocomial infection （P<0.05 or 0.01）. The attitude dimension scores yielded significant difference among nurses of different types of hospital， position， grades of hospital， and emphasis degrees of hospital and individual on nosocomial infection （P<0.05 or 0.01）. The practice dimension scores manifested significant difference among nurses of different types of hospital， grades of hospital， professional titles， emphasis degrees of hospital and individual on nosocomial infection， and training frequency （P<0.05 or 0.01）. Multiple linear regression analysis showed that professional titles and individual emphasis on nosocomial infection entered the regression model of nurses' knowledge dimension of nosocomial infection prevention and control （P<0.05 or 0.01）. Individual emphasis on nosocomial infection， hospital types and position entered the regression model of attitude dimension （P<0.05 or 0.01）. Individual emphasis on nosocomial infection， hospital types， professional titles， and hospital emphasis on nosocomial infection entered the regression model of practice dimension （P<0.05 or 0.01）. ConclusionNurses in mental health hospital have a positive attitude towards nosocomial infection prevention and control， but their knowledge base needs to be strengthened.
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Objective To construct practice ability index system of TCM prevention health major degree; To provide references for building of related postgraduate training mode. Methods Literature research and research group comments were comprehensively collected, to formulate practice ability index system of TCM prevention health major degree. Deplhi method was used to conduct two rounds of expert consultation to finalize the screening standard of practice index system and evaluate expert level of enthusiasm, authority degree and coordination degree. Results A total of 30 experts from top three hospitals in different regions and TCM colleges and universities attended the 2 rounds of consultation. Two rounds of effective questionnaires for recycling were 30 and 26 respectively. The effective recovery rates were 100.00% and 86.67%. After collecting, summarizing and analyzing the opinions of experts, a set of practical ability index system including 6 first-level indicators, 22 second-level indicators and 125 third-level indicators was constructed. Conclusion This study builds a reliable practice ability index system of TCM prevention health major degree.
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Objective To develop nursing professional practice model and explore its effects on magnet hospital construction.Methods The core team was established,and nursing professional practice model was developed based on standard of International Magnet Recognition Program.Nursing practices were guided by the developed model:leading clinical nurses to participate in nursing management and decision making,implementing primary holistic nursing,encouraging multidisciplinary collaboration,developing healthy work environment,promoting nursing professionalism,and fostering nursing culture.Results After two years' implementation,employment rate of interior interns was increased from 50.20％ to 72.30％(x2=22.879,P＜0.05).Nursing adverse events,nurses' job satisfaction,patient satisfaction met standard of magnet recognition.Conclusion Nursing professional practice model can increase employment rate of interior interns,decrease nursing adverse events,improve nurses' and patients' satisfaction,which has positive impacts on magnet hospital construction.
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Objective To construct a neonatal intensive care unit (NICU) nurses′humanistic care ability evaluation index system based on knowledge, attitude, belief, practice model, thus to provide quantitative basis for the NICU nurses′ ability of humanistic care evaluation. Methods Through semi-structured interviews summed up the nursing care behavior item pool based on the knowledge, attitude, belief, practice model, used Delphi method to construct the NICU nurses′ humanistic care ability index system. Results The recovery rate of the two rounds were 87.5% (28/32) and 100.0% (32/32) respectively. The humanistic care ability included knowledge, belief, caring behavior and caring sense,11 secondary indicators and 30 level 3 indicators. The variation coefficient was 0.094-0.286. Conclusions This study scientificly and reliablly establish NICU nurses′humanistic ability index system, which can be used to evaluate and to study the status of NICU nurses′ humanistic care ability, and to strengthen the humanity quality education, to reduce the dispute of nurses and patients has important significance.
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Objective To develop nursing professional practice model and explore its effects on magnet hospital construction.Methods The core team was established,and nursing professional practice model was developed based on standard of International Magnet Recognition Program.Nursing practices were guided by the developed model:leading clinical nurses to participate in nursing management and decision making,implementing primary holistic nursing,encouraging multidisciplinary collaboration,developing healthy work environment,promoting nursing professionalism,and fostering nursing culture.Results After two years' implementation,employment rate of interior interns was increased from 50.20％ to 72.30％(x2=22.879,P＜0.05).Nursing adverse events,nurses' job satisfaction,patient satisfaction met standard of magnet recognition.Conclusion Nursing professional practice model can increase employment rate of interior interns,decrease nursing adverse events,improve nurses' and patients' satisfaction,which has positive impacts on magnet hospital construction.
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Objective To construct a neonatal intensive care unit (NICU) nurses′humanistic care ability evaluation index system based on knowledge, attitude, belief, practice model, thus to provide quantitative basis for the NICU nurses′ ability of humanistic care evaluation. Methods Through semi-structured interviews summed up the nursing care behavior item pool based on the knowledge, attitude, belief, practice model, used Delphi method to construct the NICU nurses′ humanistic care ability index system. Results The recovery rate of the two rounds were 87.5% (28/32) and 100.0% (32/32) respectively. The humanistic care ability included knowledge, belief, caring behavior and caring sense,11 secondary indicators and 30 level 3 indicators. The variation coefficient was 0.094-0.286. Conclusions This study scientificly and reliablly establish NICU nurses′humanistic ability index system, which can be used to evaluate and to study the status of NICU nurses′ humanistic care ability, and to strengthen the humanity quality education, to reduce the dispute of nurses and patients has important significance.
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Objective:The objective of this study was to evaluate and compare the core attributes of the four general practice models in Guangzhou, Dongguan and Shenzhen, and to provide the suggestions for strengthening the general practice functions. Methods: We used the two stage sampling method in this study. Firstly, three CHCs in Guangzhou, two in Dongguan and two in Shenzhen, and the general medical outpatient department in the Shenzhen Hospital of the University of Hong Kong were selected. Secondly, we used the convenience sam-pling method to perform investigation. A PCAT-AE modified Chinese edition was adapted to measure the patients’ primary care experience. A total of 1 712 patients participated in the questionnaire survey, the number of which 1 645 copies were valid. Results: Generally, the general practice core attributes’ total scores from that hospital were higher than those from Guangzhou communities (55. 3 vs. 45. 9, P<0. 05), Dongguan commu-nities (55. 3 vs. 49. 2, P<0. 05) and the Shenzhen communities (55. 3vs. 51. 7, P<0. 05). Conclusion:The primary care implementation was different in accordance with the characteristics of regions, and the general practice core attributes had different characteristics in different models. It could constantly improve the primary care services to each model’s specific circumstances.
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Este estudo mapeou os Serviços de Psicologia das Instituições de Educação Superior brasileiras e o trabalho realizado pelos psicólogos escolares. Nos 87 Serviços identificados, a maioria dos psicólogos escolares integra uma equipe multiprofissional. Suas ações estão principalmente direcionadas aos estudantes, identificando-se algumas intervenções com outros atores educacionais. Junto ao tradicional trabalho de orientação e encaminhamento dos alunos, há também práticas emergentes, como recepção aos calouros, apoio a coordenadores de curso, realização de workshops formativos, acompanhamento aos egressos e avaliação institucional. O conjunto diversificado de ações evidencia que o trabalho dos psicólogos escolares está se deslocando de um modelo clínico-terapêutico para um mais preventivo-institucional. Um modelo de atuação que oriente a estruturação e funcionamento dos Serviços de Psicologia pode garantir maior coerência nas intervenções diferenciadas que vêm sendo implementadas.
This study mapped the Psychology Services of Brazilian Higher Education Institutions and the work performed by school psychologists. In all 87 identified services, most school psychologists belong to a multidisciplinary team. They aim their actions mainly at students, eventually interacting with other educational agents. Alongside traditional practices of counseling and referring students, there are also emerging practices such as welcoming freshmen, supporting course coordinators, hosting formative workshops, keeping up with former graduates and performing institutional assessment. The diversified set of practices shows that school psychologists' activities are shifting from a clinical-therapeutic model to a more preventive and institutional one in nature. A practice model capable of guiding the structuring and functioning of Psychology Services may ensure greater consistency in the implementation of different interventions.
Este estudio describe los Servicios de Psicología de las Instituciones de Educación Superior de Brasil y el trabajo realizado por los psicólogos escolares. En 87 servicios identificados, la mayoría de los psicólogos escolares integra un equipo multidisciplinario. Sus acciones están dirigidas principalmente a los estudiantes, identificando algunas intervenciones con otros agentes educativos. Junto con el trabajo tradicional de orientación de los estudiantes hay acciones emergentes como la bienvenida a estudiantes de primer año, apoyo a los coordinadores de cursos, la realización de talleres de capacitación y seguimiento de egresados. La diversidad de acciones muestra que las actividades de los psicólogos escolares están cambiando de un modelo clínico-terapéutico a un más institucional y preventivo. Un modelo de actuación para guiar la estructuración y funcionamiento de los Servicios de Psicología puede asegurar una mayor coherencia en las diferentes intervenciones que se han implementado.
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Universities , Psychology, Educational/trendsABSTRACT
Objective To investigating knowledge,attitudes,current behavior among primary school students on nutrition and food safety in two State-level poverty-stricken counties,and to explore the best educational model on nutrition and food safety.Methods 478 pupils at 4-6 grades were selected,using the method of stratified cluster sampling and questionnairs.Results The average score on knowledge was 18.66 ± 3.75,with the qualified rate as 61.09％ (the highest was 60.6％).The average score in the section of attitude was 5.82 ± 1.50.More than 97％ of the students agreed that it was necessary to receive knowledge on nutrition and food safety.The average score of behavior was 8.52 ± 2.56.Conclusion Rate of awareness on knowledge of nutrition and food safety had greatly improved among the students under study.Their habit tended to be more regular.However,we also noticed the gap between knowledge and behavior on this issue.
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PURPOSE: Behavioral symptoms in dementia (BSD) are one of the most disturbing behaviors to caregivers and a major reason for nursing home placement. Behavioral symptoms are often treated with psychotropic drugs (PD), however, the effect of such drugs for the frail elderly dementia patient is not certain because of their critical adverse effects. Theoretical model applicable to nursing practice for BSD in nursing homes, which is essential in guiding and evaluating such interventions, is absent. This article presents the process of developing a theoretical model of BSD in nursing homes. METHOD: Using Walker and Avants' theory synthesis method, three behavior models and two system models were incorporated into the proposed model to provide the theoretical and analytical explanation of the relationships between PD usage, its determinants, and BSD. RESULTS: Resident variables and nursing home variables related to the two focal concepts (i.e., PD usage and BSD) were identified. Resident variables include demographical characteristics such as age and gender, and dementia-compromised functions such as cognitive and functional impairment. Nursing home variables include facility characteristics such as ownership type and size, and physical and psychosocial environment. CONCLUSION: The proposed model suggests that fulfillment of resident unmet needs through improvement of physical and psychosocial environment may produce better health outcomes of nursing home residents with BSD. Assessment and intervening environmental triggers of such behaviors are also suggested to be prior to the PD usage.