Effect Of Nursing Management Research Articles

Effectiveness of Nurse Managers’ Political Skills on Preparedness and Response Activities during Coronavirus Disease 2019 Outbreak

Background: The pandemic of coronavirus disease 2019 placed multifaceted challenges for nurse managers’ achievement of their roles’ activities efficiently. Political skills are the essential tool for communicating successfully, influencing nursing staff’s work, and responding to emergency events and obstacles during crises. Aim: This study aimed to determine the effectiveness of nurse managers’ political skills on preparedness and response activities during coronavirus disease 2019 outbreak. Design: It was utilized a comparative, correlational design. Setting: It was conducted at El Mahalla El Kobra General Hospital in Intensive Care Units, operation, isolation, and inpatient wards. Subjects: It involved all nurse managers (51) and 203 nursing staff. Tools: The study’s questionnaire consisted of three parts; involving demographic data, assessment of preparedness and response activities of COVID-19, and political skills inventory. Results: The majority of NMs had high levels of political skills and were satisfied with their activities during the preparedness and response of Covid-19. Furthermore, the nursing staff was satisfied with nurse managers’ activities of communication & information sharing and education, ethical and legal practice, incident management, and intervention, but not with the activities of preparation and planning, safety & security, and psychological support. Conclusion: Nurse Managers need to possess strong political skills to have the social power of attaining their roles’ activities during the COVID-19 crisis. Recommendations: Developing a periodic in-service training program on political skills, as well preparedness, responses, recovery, and evaluation of disasters.

Application of nursing management under the guidance of Omaha system in patients with primary liver cancer

Objective To explore the effect of nursing management under the guidance of Omaha system in patients with primary hepatocellular carcinoma (HCC). Methods A total of 214 HCC patients admitted to Xianning Central Hospital from May 2013 to May 2018 were selected as study subjects.1 case was lost in the middle of the test, 2 cases were transferred to another hospital, 1 case was withdrawn without authorization, 4 cases were lost in the later period, and 206 cases finally met the standard.A total of 206 HCC patients who planned to undergo hepatic arterial interventional chemoembolization (TACE) were randomly divided into control group and observation group, each with 103 patients.The control group was given routine care, and the observation group was given nursing management under the guidance of the Omaha system.Changes in quality of life at admission and 3 months after discharge were compared. Results After discharge, the self-management behaviors of the observation group included diet management, daily life management, medication management and disease detection management scores, which were significantly higher than those of the control group on admission and after discharge, with statistically significant differences(P<0.05). After discharge, the 17 items of Hamilton Depression Scale(HAMD-17) score and Hamilton Anxiety Scale(HAMA) score in the two groups were significantly decreased, and the Social Support Rating Scale(SSQ) score and Numeric Rating Scale(NRS) score were significantly improved, and the changes in observation group were significantly greater than those in control group, and the differences were statistically significant(P<0.05). At 3 months after discharge, the scores of four items of physical function, psychological function, social function and material life status of Generic Quality of Life Inventory(GQOLI-7) in the two groups were significantly increased(P<0.05), and the increases in observation group were significantly higher than those in control group, and the differences were statistically significant(P<0.05). Conclusions The application of nursing management under the guidance of Omaha system to HCC patients undergoing TACE treatment can promote the development of good self-management behaviors, correct their negative emotions, improve their level of social support, alleviate their pain, and improve their quality of life. Key words: Primary hepatocellular carcinoma; Omaha system; Nursing management

Analysis of the effect of nursing management based on Focus-PDCA procedure during gastrointestinal decompression in patients with intestinal obstruction

目的 观察基于Focus-PDCA的护理管理在肠梗阻患者胃肠减压期间的效果，探讨该护理管理模式对患者胃肠减压相关舒适度以及护理满意度的影响。 方法 选取2017年1－12月在丽水市人民医院治疗的肠梗阻行胃肠减压的患者150例为研究对象，按照入院时间分为两组，1－6月入院患者74例为对照组，7－12月入院患者76例为观察组。比较分析两组患者的胃肠减压相关不良事件和并发症的发生率、胃肠减压相关舒适度以及对护理服务的满意度情况。 结果 Focus-PDCA程序实施后，观察组患者的胃肠减压相关不良事件发生率(3.95%)显著低于对照组(33.78%)，并发症发生率(1.32%)亦显著低于对照组(20.27%)，差异均有统计学意义(均P<0.05)。观察组患者的整体舒适度得分高于对照组(t=3.477，P=0.001)，其他方面均低于对照组，两组差异均有统计学意义(均P<0.05)。观察组患者的护理满意度(78.95%)显著高于对照组(31.08%)，差异有统计学意义(χ2=34.757，P<0.05)。 结论 对肠梗阻胃肠减压患者采用基于Focus-PDCA的护理管理，能够有效降低胃肠减压相关不良事件及并发症的发生率，能够提高患者的舒适度，增强患者对护理服务的满意度。

Effects of nursing management based on plan-do-check-action in acute leukemia patients with chemotherapy

Objective To explore the effects of nursing management based on plan-do-check-action (PDCA) on side effects and life quality after peripherally inserted central catheter (PICC) in acute leukemia patients with chemotherapy. Methods From January 2017 to January 2018, we selected 96 acute leukemia patients in Hematology Department of He'nan Provincial People's Hospital as subjects by convenience sampling. All of the patients were divided into observation group and control group with the random number table, 48 cases in each group. Control group carried out routine nursing care, while observation group received nursing management based on PDCA. And then, we recorded and compared the indwelling time of PICC, hospital stay, complications and the incidence of side effects of patients between two groups. The Self-Rating Anxiety Scale (SAS) , Self-Rating Depression Scale (SDS) and Quality of Life Index (QLI) were used to evaluated patients' anxiety, depression and life quality three days before intervention and one month after intervention. The self-designed questionnaire was used to assess the quality of special nursing in two groups. Results The indwelling time of PICC and hospital stay of observation group were shorter than those of control group with statistical differences (P 0.05) . After intervention, the scores of SAS and SDS of observation group were lower than those of control group; and the scores of QLI and dimension scores of the quality of special nursing of observation group were higher than those of control group; the differences were all statistical (P<0.01) . The incidences of complications and side effects of observation group were statistically lower than those of control group (P<0.05) . Conclusions Nursing management based on PDCA can effectively decrease the occurrence risk of side effects and complications after PICC among acute leukemia patients with chemotherapy, improve patients' life quality and emotional state which has clinical application and promotion value. Key words: Leukemia; Quality of life; Adverse effects; Peripherally inserted central catheter; Plan-do-check-action

Application effects of bedside settlement based on human factors theory in hospitalized patients

Objective To investigate the application effects of bedside billing integration based on human factors integration theory in hospitalized patients. Methods Selected 322 patients from November 2012 to February 2016 the department of our hospital, according to the hospital bedside settlement time they were divided into observation group (March 2014-February 2016, settle account at bedside) and control group (November 2012-February 2014, settle account regularly), and the effects of nursing management, discharge waiting time, nurse′s satisfaction and patient′s satisfaction were compared. Results In observation group, nurse-patient relationship, nursing responsibility, and up-to-date hospital information were significantly better than that of control group; however, the discharge waiting time was significantly lower than that of control group (P<0.05). In 37 nurses, the work environment satisfaction, level of business satisfaction, interpersonal satisfaction, and nursing error rate were 91.89%, 86.49%, 89.19%, 0.00% in observation group, while in 46 nurses of control group, they were 76.09%, 76.09%, 67.39%, 4.35%. A total of 162 patients in observation group, discharged flow satisfaction, satisfaction with the quality of care, care attitude satisfaction and complaint rates were 98.15%, 93.83%, 91.98%, 0.00%, they were 88.13%, 81.88%, 78.13%, 2.50% in 160 patients of control group. Conclusions Bedside billing integration based on human factors theory can obviously improve nurse′s and patient′s satisfaction, shorten the hospital waiting times, optimize discharge processes, so it is worthy of promotion. Key words: Human factors; Bedside billing integration; Satisfaction; Discharge waiting time

Research and practice of management of preoperative examination based on quality control circle

Objective To investigate the effect of implementation of QCC (quality control circle) in management of preoperative examination.Methods Through analysis of the common factors of patients' preoperative examination,the QCC was used to manage every parts of preoperative examination,and the nursing process of preoperative examination for resident patients was formulated.The effect of nursing management of preoperative examination before and after the implementation of QCC was investigated and compared.Results The result showed that the degree of satisfaction was significantly higher than before,and the risk incident was significantly lower than before.Conclusions To carry out QCC could improve the efficiency of preoperative examination and the patients' safety,as well as enhance the awareness of the nursing management. Key words: QCC; Resident patients; Preoperative examination; Efficiency; Safety

The effect of nursing management of electing employed nurse to head nurse

Objective To explore the effect of nursing management of electing employed nurse to head nurse.Methods The well political,ideological,professional and technical employed nurses were elected to be head nurse by fair competing.Results Both the employed head nurse and unemployed head nurse were good leadership in the nurse team.Conclusions It will be use full to stabilize the nurse team and improve the quality of medical nursing,recognize the role of employed nurse and prove a platform to employed nurses. Key words: Employed nurse; Head nurse

Classification management at the grassrods level management of the operating room

Objective To study the effect of the classiflcation management in the operating room.Methods Based on the characteristics of working in the operating room and their professional titles and their abilities,the system of classification management can be rationally divided into three classes-the head nurse,the nursing Leader and the team leader.So they were scientifically managed according to the classification management,with the results analyzed and evaluated constantly.Results There were statistical differences between the pre-and post-implementation of classification management in nursing quality and nursing service quality(P<0.05).Conclusions The classification management can let people take their responsibility at various classes.It can optimize the effect of nursing management and stimulate the individual potential of nurses of all classes,achieving the transformation from passive management to active management.It can improve the quality nursing service and is worth popularizing clinically. Key words: Operating room; Classification management; Nursing management