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Objective:To investigate the status of shift nurses′ circadian rhythm, sleep quality and job burnout in 3A-level hospitals, and analyze the influence of circadian rhythm and sleep quality on job burnout, so as to provide theoretical basis for reducing the level of job burnout of shift nurses.Methods:A total of 491 shift nurses were investigated with General Information Questionnaire, Circadian Type Questionnaire(CTI-11), Pittsburgh Sleep Quality Index (PSQI) and Maslach Burnout Inventory General Survey(MBI-GS).Results:The Flexibility or Rigidity score of shift nurses was 10.64±4.14, the Languid or Vigorous score was 17.67±4.80, the PSQI score was 7.47±3.66, the MBI-GS score was 51.14±15.11. The results of multiple regression analysis showed that flexibility or rigidity, languid or vigorous, sleep quality were the influencing factors of emotional exhaustion( t value was 7.415, - 5.281, 7.153, P<0.01); flexibility or rigidity, languid or vigorous, sleep quality were the influencing factors of depersonalization ( t value was 4.828, - 4.079, 4.959, P<0.01); flexibility or rigidity was the influencing factors of professional efficacy( t value was - 3.887, P<0.01). Conclusions:The job burnout of shift nurses in Tianjin 3A-level hospitals were serious. The circadian rhythm and sleep quality are the important factors that affect the job burnout of shift nurses. According to the type of circadian rhythm and sleep quality of nurses, nursing managers can take personalized measures to reduce their level of job burnout.
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The Kirkpatrick Model has been widely used in nursing staff training. This paper reviews the development, content and application of Coriolis evaluation model in nursing training, in order to provide reference for improving nursing training methods and improving the professional quality of nursing staff.
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Objective:To understand the current status of the disaster rescue core capabilities of emergency nurses in Tianjin, analyze the correlation between nurses' core capabilities in disaster rescue and disaster preparedness and self-efficacy, and establish a multiple regression model to explore the impact of emergency nurses' disaster preparedness and self-efficacy on core capabilities of disaster rescue.Methods:A survey of 491 emergency nurses in 12 hospitals of Tianjin was conducted using the general data questionnaire, disaster rescue core competency questionnaire, nurse disaster preparedness scale, and general self-efficacy scale.Results:The total score of disaster rescue core competence of emergency nurses was at a medium level (69.98±17.85) points, the total disaster preparedness score was (186.46±44.24) points, and the general self-efficacy score was (29.04±4.86) points. Disaster readiness ( r=0.783, P<0.001) and general self-efficacy ( r=0.515, P<0.001) were positively related to the core competence of disaster rescue, which together accounted for 61.9% of the total variation in core capacity of disaster rescue. Conclusion:Nursing managers should start with nurses' own factors to improve nurses' self-efficacy. At the same time, they should pay attention to and strengthen nurses' disaster rescue nursing training, improve nurses' disaster preparedness, so as to improve emergency nurses' emergency rescue ability.
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Objective To assess medication literacy status of outpatients and analyze the effect of medication literacy on medication adherence. Methods Outpatients were investigated with Medication Literacy Assessment scale and Medication Adherence Scale in Tianjin Chest Hospital, Tianjin Huanhu Hospital and the Second Hospital of Tianjin Medical University in August 2017. Results The average score of Medication literacy scale of 200 outpatients was 7.60 ± 2.98. There were significant differences among the scores of Medication Literacy Assessment scale of different ages(F=9.444, P＜0.05) and education levels(F=26.682, P＜0.05). Logistic regression analysis showed that medication literacy had an impact on medication adherence in outpatients (P＜0.05). The medication compliance of outpatients with high medication literacy was 2.336 times as high as who with medium medication literacy and 18.529 times as high as who with low medication literacy, and the medication compliance of outpatients with medium medication literacy was 7.925 times as high as who with low medication literacy. Conclusion The medication literacy of outpatients was at the middle level, and most of the outpatients were poor in adherence. The higher the medication literacy level was, the better the medication adherence was; the lower medication literacy level was, the poorer medication adherence was. The medical staff could improve the medication adherence by improving the medication literacy to ensure the health of outpatients.