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Objective To investigate the status of social support and job satisfaction of community nurses and their relationship in Wuhan. Methods A total of 230 community nurses from 20 community health service centers in Wuhan were investigated by general information questionnaire, job satisfaction scale of community nurse and social support scale. Results The total score of job satisfaction was (96.14±14.76) points, the highest score of dimension was leadership and management (23.64±4.60) points, and the lowest was pay and welfare (10.83±3.00) points. The total score of social support was (37.17±7.05) points, the highest score of dimension was perceived social support (20.15 ± 4.48) points, the lowest was availability (8.05±1.57) points. There was a positive association between community nurses′social support and job satisfaction (r=0.248, P<0.05). Conclusions Social support is one of the predictors of job satisfaction. In order to make sure the sustainable development of community health services, it is necessary to know the status and take corresponding measures to improve the levels of social support and job satisfaction.
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Objective To explore the roles and functions of the community nurses in community health service centers and their main work content in Xi′an. Methods A total of 320 community nurses in Xi′an were investigated by General Information Questionnaire and revision of Community Nurses′Roles and Functions Questionnaire. Results The work often undertaken by community nurses were: health education, community prevention, providing direct care and chronic disease management, however, the hospice care, care for people with mental disorders, family planning guidance and rehabilitation nursing were seldom involved. The scores of each role from high to low were as follows:the organizers and managers, coordinators and partners, health educators, caregivers, observer and researcher and spokesman with(2.56±0.99),(2.43±0.97), (2.38±0.84),(2.34±0.87),(2.29±0.10),(2.07±0.99) points. Conclusions The job of community nurses in Xi′an includes the medical service, disease prevention, healthcare, rehabilitation and health education etc. However, the well done jobs only are limited to some of simple functions, such as health education and health guidance are done well. The work of hospice care and mental care which need more professional abilities and interpersonal cooperation need to be promoted.
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Objective We aimed to investigate the community nurses' awareness of health policy,related behaviors and paths of learning.Methods A total of 150 community nurses were enrolled in this study by answering a self-completion questionnaire.The survey contents included general conditions of nurses,awareness,related behaviors and paths of learning of community health policy.Results 91.7％ of the respondents believed that heahh policy was important or very important,but only 10.4％ of the respondents understood health policy fully.71.5％ said that they would lecture patients health policy actively and 70.8％ would lecture their colleagues actively.51.4％ respondents would like to take part in policy-making if they were allowed.Education background,professional title and the awareness of health policy were factors of community nurses' policy related behaviors.They learned health policy by working meeting,training and documents.Conclusions It is necessary to improve their school record and adjust their professional title,to strengthen the publicity of health policy by broaden channels of publicity.By these,community nurses' awareness of health policy would be improved,their policy related behaviors would be promoted.Further,the health policy would be well delivered and implemented.
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The article describes the current situation of training mode of community nurses in community health service institutions in Hubei province from several aspects,including training object,training target,training base,teaching staff,training organization and government,training method and time,training curriculum,training effect evaluation and certification.The article suggests a multitude of factors influencing the training quality,such as formal training,dominant job training,and monotonous community training content and less training time.Overall,the government should be done something to increase government support and funding and accelerate the community nursing services and community nursing education.It is also essential to establish community nursing personnel training mechanism,improve and perfect the community health personnel training system,increase the construction of community nursing practice base and facilities and strengthen clinical practice skills.
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Objective To explore the way of continuing education training of standardized management of community nurses in Tianjin.Methods A survey was conducted with self-designed questionnaires for 462 community nurses who attended the continuing education training,and behavioral event interview was carried out for 6 directors of district health bureau who participated in the continuing education.Results The acquirements and problems of continuing education training of standardized management in Tianjin community nurses were concluded from the data analysis.Conclusions It is necessary to give continuing education training of standardized management for Tianjin community nurses.We should improve the evaluation and feedback system,attach importance to management of teaching time and teaching manner.
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Objective To evaluate the effect of team-based rehabilitation education on daily life ability of old patients having undergone operations on hip fractures.Methods Sixty elderly reconvalescents from operations on hip fractures were equally assigned into the intervention and control groups according to admission sequence:The intervention group received rehabilitation education by community nurses at months 1,3 and 6 and the control group were managed with convalesce at home.The two groups were compared in terms of daily life ability at the three time points. Result The daily life ability of the intervention group was better than that of the control group at all the three time points(P<0.05). Conclusion The team-based rehabilitation education is effective for the enhancement of daily life ability of old patients having undergone operations on hip fractures.
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ObjectiveTo investigate the related things of community nurse post training, so that training can be carried out accordingly. Methods160 trainees of Suining and Neijiang in 2009 were investigated anonymously with self-designed questionnaire. ResultsTrainees mainly came from the 1st and.2nd grade public hospitals and community health service centers. 68.7％ of trainees were engaged in clinical nursing in hospitals before training, and 51.5％ trainees went in for community nursing after the training. Trainees were generally clear about the category, related knowledge and skill requirements of community nursing. ConclusionThe present post training time is relatively short. Continuing education of community nursing and exploration on training model of community nursing specialists are suggested.
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Objective To understand the comprehensive quality status of community nurses in Chongqing and seek the development strategy of community nursing education. Methods Related infor-marion was collected through questionnaire investigation in 104 community nurses from 9 community health service center and 18 community health station. Results The mastering degree of various community nursing knowledge was different among nurses with different education background and different profession-al titles (P ＜ 0.05).More than 80% nurses considered it necessary to cultivate comprehensive technique of special courses ,the ability to cope with community emergencies and self-development in their work.78.9% nurses thought they should reinforce the ability in predicting potential problems in community and solving problems by theirselves, Conclusions We need to strengthen the work belief of community nurses,perfect training conditions,optimize course contents and cultivate nurses' comprehensive ability purposely.
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Este artículo es derivado del trabajo de investigación El cuidado a la familia: ¿qué significa para las Enfermeras comunitarias? que para obtener el grado de Maestría en Enfermería se realizó en el 2003. Es un estudio de corte cualitativo que rescata el sentido que las Enfermeras comunitarias le otorgan al cuidado con enfoque familiar. Participaron 4 Enfermeras comunitarias del Estado de México, con un perfil muy homogéneo, seleccionadas mediante muestreo teórico. Para la recolección de información se utilizó la entrevista semiestructurada y el análisis de la información se realizó a través de codificación abierta, axial y selectiva. La interpretación de los hallazgos se hizo alrededor de los conceptos de campo, habitus y capital cultural que el mismo gremio de Enfermería impone al ingresar al campo laboral. Esto permitió el anclaje teórico, confirmando y comprendiendo lo que informaron las Enfermeras. En la realidad social, la práctica del cuidado queda integrada, como una consideración global al momento de ofrecer la interacción Enfermera-persona cuidada. Las Enfermeras en su práctica, manifiestan una paradoja entre lo que es trabajo profesional de Enfermería y el deber ser, pues el campo, el habitus y los capitales que se distribuyen en dicha práctica, están en lógicas diferentes y por tanto estratificadas y desniveladas. Como conclusión, el cuidado y la familia demandan la reflexión disciplinar, que reconozca la necesidad del carácter científico constitutivo de los mismos, la explicación de los fenómenos relacionados y mayor deliberación acerca de los códigos de lenguaje con el que se construyen dichas explicaciones.
This article is derived from the investigation The family's care: what means for the communitarian nurses? that to choose for degree of Mastery in Nursing it was realized in 2003. This qualitative-type study, rescues the sense communitarian nurses give to care with familiar approach. It was performed with four communitarian nurses from the state of Mexico participated, who have a very homogeneous profile and were selected through theoretical sampling. For data collection was used a semi-structured interview, and open axial and selecting coding performed data analysis. Finding was interpreted around cultural field, habitus and capital that nurses guild itself imposes when entering the laboral market. This allowed the theoretical anchoring, assuring and understanding what nurses informed. Within social reality, care practice gets integrated as a global consideration at the moment when the cared person-nurse interaction is offered. Nurses manifest a paradox between what the social nurses doing are and what it must be, because, the field, habitat and capitals distributed are within different logics, and therefore, they are stratified and uneven. Concluding, care and family, demand disciplinary reflection that acknowledges the need for the scientific nature that constitutes it, the explanation of phenomena related to care, and mayor reflection about the language codices with which such explanation of the phenomena related to care are constructed.
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Humanos , Femenino , Atención de Enfermería , Enfermería en Salud Comunitaria , Familia , Práctica de Salud PúblicaRESUMEN
Objective To explore the development trends in community nursing. Methods The current situation of community nursing in Shanghai was analyzed by means of questionnaire surveys and literature review. Subjects A total of 3 173 questionnaires were distributed to community nurses, hospital nurses, community residents, and hospitalized patients and 2 942 of them were retrieved, the rate of retrieval being 93.8%. Results The demand for community nursing was not satisfied, the number of community nurses was insufficient and their general quality was low. Conclusion The scope of services in community nursing needs to be expanded with demand as a guide, more community nurses need to be cultivated, and the quality of the nursing contingent needs to be enhanced.