Relationship among core competency, self-efficacy and transition shock in Chinese newly graduated nurses: a cross-sectional study.

OBJECTIVES: To investigate how core competency and self-efficacy of newly graduated nurses affect their experience of transition shock, and to determine the relationship between these factors. DESIGN: A cross-sectional study. METHODS: 262 newly graduated nurses participated in a cross-sectional study by using demographic data, the transition shock scale, the competency inventory for registered nurses scale and the self-efficacy scale. RESULTS: Among newly graduated nurses, the score of transition shock was 77.641±24.140, the score of core competency was 125 (109.5, 163.5) and the score of self-efficacy was 2.5 (2,3), all of which were at a moderate level. The core competency and self-efficacy of the newly graduated nurses had a negative impact on the transition shock (ß=-0.151, p=0.026; ß=-0.379, p<0.001). Additionally, self-efficacy played a mediating role in the relationship between core competency and transition shock, with a mediating effect accounting for 57.34% of the total effect. CONCLUSIONS: The transition shock of newly graduated nurses was at a moderate level, with the highest level of transition shock occurring within the first year of employment. Self-efficacy plays a mediating role in the relationship between core competency and transition shock. Nursing managers should create standardised training for newly graduated nurses within the first year of employment to reduce their transition shock. This will help improve newly graduated nurses' core competency, enhance self-efficacy and support the graduates. This will alleviate the impact of transition shock on newly graduated nurses, helping them transition smoothly and successfully.

The effect of training orthopedic nurse specialists in Jiangsu Province of China.

BACKGROUND: The training of orthopedic nurse specialists is gradually increasing in China, but the effect of the training, namely the specialized nursing work carried out by them upon returning to work after training, is unknown. This study aimed to further our understanding of the effect of training orthopedic nurse specialists and provide a basis for improving the training program. METHODS: A total of 201 clinical nurse specialists who graduated from the training base of orthopedic nurse specialists in the Jiangsu Province were interviewed via a self-made questionnaire. RESULTS: All orthopedic nurse specialists completed a series of specialized nursing work after returning to their posts. In particular, the clinical nurse specialists with senior professional titles participated in more specialized nursing work projects, such as continuous improvement of orthopedic nursing quality, and so on. The influence of having attained different educational levels on the specialized nursing work of orthopedic nurse specialists was not significant. CONCLUSIONS: The orthopedic nurse specialists carried out a series of specialized nursing work after returning to their posts, which not only helps to improve the quality of orthopedic nursing, but also assists in promoting the popularization and homogenization of new knowledge and skills in orthopedic nursing in the Jiangsu Province.

The effectiveness of extended care based on Internet and home care platform for orthopaedics after hip replacement surgery in China.

AIMS AND OBJECTIVES: To evaluate the effect of an Internet-based home orthopaedic care platform on patients' functional joint recovery, quality of life and activities of daily living after hip replacement. BACKGROUND: Most of the functional exercises after arthroplasty are performed outside the hospital. At present, the WeChat platform is used mainly in the inland of China for continuous nursing of patients with chronic disease in the Department of Orthopedics. DESIGN: An experimental design was applied. METHODS: Four hundred patients who had undergone hip replacement from April to October 2016 were selected from 18 hospitals with nurse specialists in clinical orthopaedics. These patients were randomised into control and intervention groups (n = 200 per group). In the control group, only routine nursing care was carried out after discharge. In the intervention group, continuous intervention was performed via the Internet-based orthopaedic care platform. The patients in the two groups were compared in terms of functional recovery (Harris hip score), quality-of-life score (MOS SF-36) and activities of daily living (Barthel index) at 3 and 6 months after discharge. RESULTS: In total, 389 patients were enrolled in this study. There were no significant differences in the baseline data between the two groups. After 6 months of continuous intervention, the mean MOS SF-36 score, Barthel index and Harris hip score in the intervention group were significantly higher than those in the control group. CONCLUSION: The study gives full play to the role of clinical nurse specialists and provides professional home care services to patients in the region after hip replacement through home care orthopaedic platform. The platform guides the patients to master the correct disease knowledge and rehabilitation exercise methods, promotes the recovery of joint function, improves the activity of daily living, elevates the quality of life and meets the need of long-term management. RELEVANCE TO CLINICAL PRACTICE: Internet and home care orthopaedic platform is a nursing system designed specifically for extended care management outside of the hospital, which is helpful for patients who undergone hip replacement to obtain effective home care services after discharge, improving patients' quality of life and rehabilitation efficacy.

Management of the first confirmed case of avian influenza A H7N9.

In March 2013, the first patient infected with the avian influenza A H7N9 virus was identified in China. The infection progressed rapidly, and the patient died of ARDS. During hospitalization, the patient was suspected of having an infectious respiratory disease, and contingency plans for public health emergencies were promptly started. When the viral infection was identified, strict procedures for disinfection and protection were carried out. None of the health care workers involved in the management of the patient were infected.