Research progress on the mechanism of nursing manpower factors on patients' safe / 中国实用护理杂志

This article reviewed the present situation of the research on the relationship between the number of nursing staff, education level, skill combination and patient safety at home and abroad, as well as the indirect mechanism of nursing manpower factors on patient safety through intermediary factors such as working environment, attendance, nursing lack and so on. In view of the problems existing in domestic research, some suggestions were put forward, such as carrying out longitudinal and intervention research on patient safety, optimizing the allocation of nursing human resources and patient safety indicators, exploring the mechanism of multiple nursing factors and patient safety and conducting empirical analysis. To provide reference for hospital managers to improve nursing quality and ensure patient safety.

The application of nursing scheduling software combined with mobile phone APP in the nursing manpower arrangement in intensive care unit / 中国实用护理杂志

Objective@#To explore the effect of nursing scheduling software combined with mobile phone APP in the nursing manpower arrangement in intensive care unit.@*Methods@#The nursing scheduling software and mobile phone APP were applied to management resources of 82 nurses in ICU, substituted for traditional manual way. The work efficiency, nursing quality and nurse satisfaction were compared before and after implementing in intensive care unit.@*Results@#After implementation of nursing scheduling software combined with mobile phone APP, the average time of scheduling was reduced from (6.49±0.62) h to (4.29±0.44) h, the difference was statistically significant (t=19.97, P<0.01). The nursing quality score was improved from (97.54±1.19) points to (95.16±1.29) points, the difference was statistically significant (t=-4.70, P<0.01). The nurses′ satisfaction about scheduling was improved from 73.2%(60/82) to 96.3%(79/82), the difference was statistically significant (χ2=17.04, P<0.01).@*Conclusions@#The mode of nursing scheduling software combined with mobile phone APP in intensive care unit has a good effect, which can improve the scheduling efficiency, the job satisfaction of nursing staff and the quality of nursing,and promote the nursing information management.

Application of TISS-28 in the management for ICU nursing / 中国医学装备

Objective:To explore the application value of therapeutic intervention scoring system-28(TISS-28) in the management for intensive care unit (ICU) nursing.Methods: 120 elderly patients who received cure in ICU were divided into observation group (60 cases) and control group (60 cases) according to treatment time. Patients of observation group received the nursing method of TISS-28, and patients of control group received traditional nursing method. The average work time of nursing, the satisfactory degree of patients for nursing work and the satisfactory degree of paramedics for the manpower management of nursing of the two groups were compared.Results: The average work time of nursing of observation group was significantly less than that of control group (t=16.886, P<0.05). The satisfactory degrees for nursing work included life care, health education, communication with family member and humanistic care of observation group were significantly higher than that of control group, respectively (x2=5.175,x2=4.183,x2=4.227,x2=5.175;P<0.05). The general satisfactory degree for nursing work of observation group was significantly higher than that of control group (x2=4.227,P<0.05). The satisfactory degrees of doctor and paramedic for the nursing manpower management of observation group were significantly higher than that of control group (x2=4.571,P<0.05).Conclusion: It is benefit for scientific management of nursing that TISS-28 is adopted to manage the nursing of ICU, and it can enhance work efficiency of nursing and quality of nursing, and improve the satisfactory degrees of patients for nursing work and paramedics for the personnel management.

Application of TISS-28 in the management for ICU nursing / 中国医学装备

Objective:To explore the application value of therapeutic intervention scoring system-28(TISS-28) in the management for intensive care unit (ICU) nursing.Methods: 120 elderly patients who received cure in ICU were divided into observation group (60 cases) and control group (60 cases) according to treatment time. Patients of observation group received the nursing method of TISS-28, and patients of control group received traditional nursing method. The average work time of nursing, the satisfactory degree of patients for nursing work and the satisfactory degree of paramedics for the manpower management of nursing of the two groups were compared.Results: The average work time of nursing of observation group was significantly less than that of control group (t=16.886, P<0.05). The satisfactory degrees for nursing work included life care, health education, communication with family member and humanistic care of observation group were significantly higher than that of control group, respectively (x2=5.175,x2=4.183,x2=4.227,x2=5.175;P<0.05). The general satisfactory degree for nursing work of observation group was significantly higher than that of control group (x2=4.227,P<0.05). The satisfactory degrees of doctor and paramedic for the nursing manpower management of observation group were significantly higher than that of control group (x2=4.571,P<0.05).Conclusion: It is benefit for scientific management of nursing that TISS-28 is adopted to manage the nursing of ICU, and it can enhance work efficiency of nursing and quality of nursing, and improve the satisfactory degrees of patients for nursing work and paramedics for the personnel management.

Intra-hospital organ and tissue donation coordination project: cost-effectiveness and social benefits / Projeto de coordenação intra-hospitalar de doação de órgãos: custo-efetividade e benefícios sociais

OBJECTIVE To evaluate the viability of a professional specialist in intra-hospital committees of organ and tissue donation for transplantation. METHODS Epidemiological, retrospective and cross-sectional study (2003-2011 and 2008-2012), which was performed using organ donation for transplants data in the state of Sao Paulo, Southeastern Brazil. Nine hospitals were evaluated (hospitals 1 to 9). Logistic regression was used to evaluate the differences in the number of brain death referrals and actual donors (dependent variables) after the professional specialist started work (independent variable) at the intra-hospital committee of organ and tissue donation for transplantation. To evaluate the hospital invoicing, the hourly wage of the doctor and registered nurse, according to the legislation of the Consolidation of Labor Laws, were calculated, as were the investment return and the time elapsed to do so. RESULTS Following the nursing specialist commencement on the committee, brain death referrals and the number of actual donors increased at hospital 2 (4.17 and 1.52, respectively). At hospital 7, the number of actual donors also increased from 0.005 to 1.54. In addition, after the nurse started working, hospital revenues increased by 190.0% (ranging 40.0% to 1.955%). The monthly cost for the nurse working 20 hours was US$397.97 while the doctor would cost US$3,526.67. The return on investment was 275% over the short term (0.36 years). CONCLUSIONS This paper showed that including a professional specialist in intra-hospital committees for organ and tissue donation for transplantation proved to be cost-effective. Further economic research in the area could contribute to the efficient public policy implementation of this organ and tissue harvesting model.

OBJETIVO Avaliar a viabilidade de profissional especialista em comissões intra-hospitalares de doação de órgãos e tecidos para transplantes. MÉTODOS Estudo epidemiológico, retrospectivo e transversal (2003 a 2011 e 2008 a 2012), realizado com dados de doação de órgãos para transplantes no estado de São Paulo. Foram avaliados nove hospitais (hospitais 1 a 9). Foram avaliadas, por regressão logística, diferenças em número de notificações de morte encefálica e doadores efetivos (variáveis dependentes) após a entrada do profissional especialista (variável independente) na comissão intra-hospitalar de doação de órgãos e tecidos para transplantes. Para avaliação do faturamento hospitalar, foram calculados o salário-hora de médico e enfermeiro, conforme legislação da Consolidação das Leis do Trabalho, o retorno e o prazo do retorno do investimento. RESULTADOS Após a entrada de enfermeiro especialista na comissão, as notificações de morte encefálica e o número de doadores efetivos aumentaram no hospital 2 (4,17 e 1,52, respectivamente). No hospital 7, o número de doadores efetivos também aumentou de 0,005 para 1,54. E, após entrada de enfermeiro especialista, o faturamento hospitalar aumentou em 190,0% (variação de 40,0% a 1.955%). O custo mensal para 20 horas semanais do enfermeiro foi R$940,00 e, do médico, R$8.330,00. O retorno do investimento foi de 275%, em curto prazo (0,36 anos). CONCLUSÕES A inserção de profissional especialista nas comissões intra-hospitalares para captação de doação de órgãos e tecidos para transplantes mostra-se custo-efetiva. Novos estudos econômicos na área podem contribuir com uma política pública eficiente de implantação desse modelo de captação de órgãos e tecidos para transplantes.

Research on the nursing dynamic management according to TISS-28 in the elderly ICU / 中国实用护理杂志

Objective To measure the daily nursing workload by simplified therapeutic intervention scoring system and provide information for reasonable dynamic management of nursing manpower and improving nursing service satisfaction of patients in elderly ICU.Methods 113 patients in elderly ICU were selected from July 2012 to June 2013.The Therapeutic Intervention Scoring System 28(TISS-28) was used to measure the nursing workload,reasonably arranged the nursing staff according to the daily total nursing workload.The average daily working time and service satisfaction were compared before and after the application of dynamic management of nursing manpower.Results After the application of dynamic management of nursing manpower,the average daily working time of nurses decreased,satisfactory degree of patients with nursing service increased,and satisfactory degree of medical workers with nursing manpower management also increased.Conclusions Measurement of nursing workload by TISS-28 can provide the basis for the dynamic management of nursing manpower in elderly ICU and improve satisfaction degree of medical workers.

Atribuições do enfermeiro do trabalho na prevenção de riscos ocupacionais / Attributions of the nurse of the work in the prevention of occupational risks

Objetivo - O tema em estudo retrata os profissionais atuantes em estabelecimentos de saúde que estão expostos a diversos agentes/fatores de riscos ocupacionais. Método - Realizou-se uma pesquisa de campo do tipo qualitativa no município de Santos no Departamento de Medicina Ocupacional e Departamento de Saúde do Trabalhador, participaram Enfermeiros Pós-Graduados em Enfermagem do Trabalho/ Saúde do Trabalhador. Resultados - Foram analisadas as atribuições do enfermeiro do trabalho que atua na prevenção das patologias e riscos ocupacionais, sendo utilizado para tal um questionário do tipo estruturado composto por sete questões no método qualitativo, pois se acredita que a percepção das instituições com a saúde do trabalhador é insuficiente. Conclusão - Percebeu-se que a educação continuada e permanente é de suma importância para a conscientização e adesão dos trabalhadores sobre a prevenção dos riscos ocupacionais a que estão expostos.

Objective - The subject in study portraies the operating professionals in health establishments that are displayed the diverse agents/factors of occupational risks. Method - It carried through a research of of the qualitative type in the city of Santos in the Department of Occupational Medicine and Department of Worker's Health, had participated graduate nurses in Nursing Work/Worker's Health. Results - It was analyzed the attributions of the nurse of the work that acts in the prevention of the pathologies and occupational risks, being used for such a questionnaire of the type structuralized composed for seven questions in the qualitative method, therefore it gives credit that the perception of the institutions with the health of the worker is insufficient. Conclusion - It perceived that the continued and permanent education is utmost importance for the awareness and adhesion of the workers on the prevention of the occupational risks to that they are displayed.

Analysis and countermeasure research on configuration of orthopedic nursing manpower resource in grade-Ⅲ general hospital in Shanghai / 中国实用护理杂志

Objective To understand and analyze the situation of orthopedic nursing manpower resources in grade- Ⅲ general hospital in Shanghai and provide empirical evidence for appropriate allocation and exploitation of nursing manpower resources. Methods Data were collected by questionnaire and then underwent analysis. Results In 2009,the number of authorized beds was 1866,the actual number of open beds was 2007.The number of nurses was 595 (2 male).The ratio of ward bed and nurse were 1:0.319 and 1:0.296, calculated by the authorized beds and authorized beds, respectively.The average age of head nurses was (37.53±6.11 ) years old, average working life span was (17.87 ± 6.16) years; college degree or above accounted for 95.56%; middle professional titles accounted for 62.22%. College degree or above accounted for 75.13% in nurses, junior professional titles accounted for 92.1%; age group is mostly concentrated in the 20 to 29 years of age, accounted for 67.06%; working life span concentrated within 10 years, accounted foi 73.11%. The education level mainly is primary school in the care workers (carer), accounted for 45.83%; concentrated in the 40 to 49 years of age, accounted for 60.42%; working life span concentrated in more than 6 years, accounted for 55.21%. Conclusions There are shortage of orthopedic nursing manpower resources, unreasonable allocated structure, lack of male nurses in grade- Ⅲ general hospital in Shanghai. The management of the care workers should be standardized.

The Discussing about The Classification of Patients in Hospital and Personnel Arrangement of Nursing Staff / 中国实用护理杂志

Objective Survey the classification on diseases of patients in hospital. Discuss personnel arrange-ment of nursing staff. Methods Survey and star sickbed number,CD rate/month,nurse number accounted on nursing level and sickbed-nurse ratio in 2007, discuss personnel arrangement of nursing staff. Results It is different that the nurse number accounted by two means, Z=2.234,P=0.025. The correlation about CD rate and nurse number in theories: r=0.782,p=0.004, nurse number in theories= CD ratex0.51-17.11, F=16.543,p=0.003.Conclusion CD rate should be reasonable personnel arrangement of nursing staff.

Using the Orem self-care model in the nursing manpower management of pediatrics / 中国实用护理杂志

Objective To study the feasibility of using the Orem self-care model in the nursing manpower management of pediatrics,and then summarized the experiences of nursing.Methods Analyzed the nursing points when using the Orem self-care model in the nursing manpower management of pediatrics,evaluated the limitation of children′s self-care,and then allocated nurses reasonable.Results The Orem self-care model was the key in the course of advance the quality of life for children,which can ameliorate the communication between the nurses and the children.Conclusion Using the Orem self-care model in the nursing manpower management of pediatrics can effective advance the nursing efficiency.