High-quality Nursing Service Research Articles

Effect of "head nurse responsibility" on the nursing quality of night shift in department of pediatrics

Objective To explore the effectiveness of head nurse in night shift in department of pediatrics.Methods Head nurse responsibility was implemented in night shift since July,2011.One head nurse was entirely responsible for the treatment and nursing in patients' night shift,and ensured that highly qualified and experienced nurses were available at clinic.Self-designed questionnaire on satisfaction was used to investigate 120 patients,30 doctors and 30 nurses before head nurse from July to December 2010 and after head nurse from July to December 2011.Conventional nursing was carried out before the implementation of head nurse responsibility,and head nurse was added after the implementation.Scores in night shift nursing quality,changes and observation of patient' s condition,rescuer operating skills,health education,nurses' responsibility,guide ability,cooperation ability,attitude,overall evaluation of night shift quality,and satisfaction of patients,doctors and nurses were compare between two groups.Results The score of comprehensive night shift nursing quality was obviously better after head nurse than before [(93.45 ± 4.72) vs (86.93 ± 4.69)],and the difference was statistically significant (t =1.989,P ＜ 0.01).The score of satisfaction of parents of patients in overall evaluation of night shift quality were higher after head nurse than before [(4.70 ± 0.31) vs (3.73 ± 0.69)],and the difference was statistically significant (t =2.01,P ＜ 0.01).Satisfaction of patients,nurses and doctors improved respectively from 88.24％ to 98.51％,88.47％ to 99.43％ and 86.27％ to 98.56％ after the implementation,and the differences were statistically significant (x2 =9.64,4.32,4.28,respectively; P ＜ 0.05).Conclusions Head nurse responsibility can guarantee the safety of night shift nursing in department of pediatrics,as well as improve the nursing quality and patients' satisfaction,which is beneficial to improve the quality of night shift nursing in high-quality nursing service of the children' s ward. Key words: Nurse; Night shift; Nursing quality; Head nurse

Effect evaluation of developing high quality nursing service in nursing field

Objective To analyze the effect of nursing field carrying out high-quality care.Methods Combined the pre-job training with stage training,ensured the nursing staff certificates,standardized management,used the same control method,then,compared patients with nursing satisfaction and errors occur frequently in hospital before and after high quality nursing service carried out.Results After carrying out highquality care,patients on the overall satisfaction of nursing field was increased from 93.00％ to 99.33％,specimen errors and transport accident rate was decreased from 1.35％ to 0.09％,0.52％ to 0.02％,respectively,and the difference was statistically significant (P ＜ 0.05).Conclusions High quality nursing service can promotes the development of the standard training and management of nursing field staff,improves the nurse's sense of responsibility and achievement,improves patients' satisfaction. Key words: Patient satisfaction; Nursing field; High quality of nursing service

Application of the high-quality nursing service on the hospitalized patients with schizophrenia

Objective To explore the application effect of the high-quality nursing service on the patients with schizophrenia.Methods From 2012 January to 2012 December in our hospital 68 patients with schizophrenia were randomly divided into high-quality group and control group,34 cases in each group.Patients in control group were taken routine nursing,patients in high-quality group were taken high-quality nursing care.Clinical symptom score,treatment compliance,the degree of health knowledge and satisfaction of patients were compared between two groups.Results The scores of activation,thought disorder,depression,paranoia and aggression of clinical symptoms scale in high-quality groups were significantly lower than those in control group,there were significant differences (P ＜ 0.05) ;treatment compliance,the degree of health knowledge and satisfaction of patients in high-quality group were significantly better than those in control group,there were significant differences (P ＜ 0.05).Conclusions High-quality nursing service on the hospitalized patients with schizophrenia can improve clinical symptoms,increase patient compliance,improve patients' satisfaction.It is worthy of clinical application and promotion. Key words: High-quality nursing service; Schizophrenia; Application

The effect of nursing intervention under the guidance of high-quality nursing service model on patients with anal itching treated with red light High quality nursing service model under the nursing intervention on

Objective To explore the effect of nursing intervention under the guidance of high-quality nursing service model on patients with anal itching treated with red light.Methods According whether implementing high-quality nursing service or not,from 2010May to 2012 June in our hospital 88 patients with anal itching were divided into control group and observation group.Two groups were compared with anxiety and depression,basic nursing qualification rate and patients satisfaction with nursing service.Results After 3 weeks,the standard score of anxiety and depression of the patients in the observation group was significantly lower than that of control group,there was significant difference (P ＜ 0.05),in the observation group based nursing qualification rate and patients'satisfaction with nursing service were significantly higher than those in the control group,there were significant differences (P ＜ 0.05).Conclusion High-quality care activities can obviously improve the anxiety and depression emotion of patients with anal itching treated with red light,the quality of basic nursing qualification rate and patients' satisfaction with nursing service. Key words: High-quality nursing service; Red light therapy; Anal itching; Nursing quality

The effect of the nursing intervention under the guidance of high-quality nursing service mode on the life quality of patients with spinal surgery

Objective To explore the effect of the nursing intervention under the guidance of high quality nursing service mode on the life quality of patients with spinal surgery.Methods A total of 117 patients with spinal fracture were selected in our hospital from April 2010 to May 20t2 and divided into group A and group B with 54 cases and 63 cases respectively.The patients of group A were treated with perioperative routine nursing.Group B received nursing intervention that was decided according to the idea of high-quality nursing service.The life qualities of two groups were compared.Results The scores of indexes such as somatic health,bodily pain,social function,emotional function,general health and total dimension in the SF-36 scale of group B were higher than those of group A.Conclusion the nursing intervention under the guidance of high-quality nursing service mode can obviously improve the life quality of patients and the prognosis. Key words: High-quality nursing service; Spinal surgery; Life quality

Application of responsibility system for holistic nursing in high-quality nursing service in the department of respiratory medicine

Objective To evaluate the application efficacy of responsibility system for holistic nursing system in high-quality nursing service in the department of respiratory medicine.Methods Department of respiratory medicine unit which was the quality nursing service demonstrated unit in our hospital was selected.The nursing responsibility-bound grouping system was first performed and the nurse-incharge would provide the patients with whole and continuous nursing service.Before and 6 months after the application,the nursing job satisfaction was conducted and the nursing grouping system satisfaction was also evaluated among nurses and doctors.Results Six months after the application of nursing responsibility-bound grouping system,the patient satisfaction with nursing job was raised obviously in the unit.Conclusions The application of responsibility-bound grouping system can not only promote the activity but also mobilize the enthusiasm of nurses,and then high-quality nursing service was resulted.So the service system was worthy of clinical application. Key words: Department of respiratory medicine; High-quality nursing service; Whole and continuous nursing service; Responsibility-bound grouping system; Nursing group leader

Implementing effects of nursing model of line style' in demonstration ward of high-quality nursing service

Objective To explore the implementing effects of nursing model of line style'in demonstration ward of high - quality nursing service.Methods The data about the patients'satisfaction,nurses'satisfaction,doctors'satisfaction and ward chaperonage rate were collected before and after implement of nursing model of line style'so as to form two groups of data.Two groups of data were analyzed and compared with the software of SPSS11.0. Results The result showed that after implement of nursing model of line style'all indexes of nursing were improved greatly,there was statistical difference between two groups. Conclusions The nursing model of (i)ne style'can improve the quality and efficiency of nursing,make patients gain benefit and make doctor get help and support.It makes the relationship of patients -nurse and doctor- nurse more harmonious.The patients'satisfaction is significantly increased,and ward chaperonage rate is obviously deceased. Key words: High -quality nursing service; Nursing model of line style'; Nursing

SimBaby 시뮬레이션 학습 시나리오의 개발 및 평가 -응급실 내원 발열환아를 중심으로-

간호 실무 능력의 개발을 위해서는 임상 환경에서의 지속적인 경험이 중요하지만 간호학생의 임상 경험의 기회는 줄어들었고 모든 학생들이 충분히 임상 경험을 한다는 것은 현실적으로 어렵다. 이러한 문제를 해결할 수 있는 방안으로 시뮬레이션 학습을 생각해 볼 수 있는데, 성인대상의 간호 시나리오 개발이 주로 이루어졌고 아동대상의 시나리오 개발은 거의 없는 실정이여서 아동간호와 관련된 시뮬레이션 시나리오 학습내용을 개발하고자 시도되었다. 시나리오의 내용은 응급실 내원 발열환아 간호과정을 중심으로 구성하였다. 시뮬레이션 학습 시나리오 적용 결과, 학생들은 실습에 대한 자기효능감, 수업태도와 수업에 대한 만족도가 증가하였다. 따라서 더욱 다양한 사례의 아동관련 시뮬레이션 시나리오를 개발하여, 아동간호와 관련된 실제와 유사한 임상 상황들을 학생들에게 적용한다면 아동과 그 가족에 대한 질 높은 간호를 제공할 수 있을 것이다. Nursing college students' continuous clinical experiences play an important part in the development of their nursing competency. In reality, it is difficult all of students to have enough clinical experiences. We can think of simulation learning as a solution to this problem. This research attempted to develop learning contents of simulation scenario regarding pediatric nursing. We organized the contents focusing on nursing process. The application of simulation scenario showed that the educational effect. In conclusion, this research suggests that nursing college students can supply high-quality nursing services to children and their families by developing and application of simulation scenario with various cases.

Practice and experience of "high-quality nursing services demonstration project" activities

Objective To carry out high-quality nursing services demonstration project, fully fulfill duties of nursing staff to provide quality care. Methods The high-quality nursing services demonstration project was first carried out in 4 pilot ward. The pilot ward studied and discussed carefully, receiving standard training, changing concepts, reasonable adjusting schedule mode, carrying out level use of nurses,responsibility to the group and responsibility to the people, and using nursing records in table format, freeing nurses from complex care record, returning the time to nurses and to patients. Results Nursing quality dramatically improved than before. Conclusions To strengthen basic nursing, make nurses change ideas,improve service consciousness, enhance the sense of responsibility, so that the nursing measures can be put in place to promote nurse-patient communication and improve patient satisfaction significantly. Key words: Basic nursing; High quality care; Nursing quality; Satisfaction degree

Nurses' Experience of Career Ladder Programs in a General Hospital

The purpose of this study was to identify and describe nurses' experience of a career ladder program (CLP) in a general hospital in Korea. The data were collected from 15 nurses who participated in the CLP. Each nurse completed individual in-depth interviews, for which the main interview question was "How do you describe your experience of CLP?". All interview data were transcribed and were analyzed using the grounded theory method. The core category of the experience of CLP was identified as "challenging to rebirth as an expert". The participants used five action/interaction strategies such as "taking some time for introspection", "appreciating the essence of nursing", "making use of feedback positively", "throwing away doubts about their own capabilities", "exerting themselves with confidence". The consequence of the process of adjusting to CLP was "positioning a differentiated expert." The results of this study show that participants recognized CLP as a powerful resource which leads them to professional growth and development. Thus, CLP could be utilized as a clinical career-promoting program and ultimately as a program for providing high-quality nursing services.

Review of homecare packages for paediatric HPN patients

This study explored the existing nursing homecare packages required by children who receive home parenteral nutrition and their families, in order to evaluate the effectiveness of the support required. The study forms the basis for ongoing financial discussions with PCTs to ensure high-quality nursing services are available and meet the needs of families. Families' views about homecare packages developed in response to the needs of care for parenterally fed children were explored. Findings indicated three emergent themes that families face: physical, psychological and burden of care. Homecare packages developed in response to family needs were highlighted as being essential. A 24-hour on-call service with expert paediatric nursing staff was a key factor for families to feel secure. It was felt that the individualized homecare packages supported the vulnerable patient group. Families felt that nursing their child at home was a major advantage in the homecare package, but improved delivery of social and medical care was necessary to meet individual child and family needs.

Present Situation of Korean Nursing

This thesis explores the actual circumstances of Korean nursing by investigating its present situations. Ultimately, the intent of this study aims to establish a future direction of Korean Nursing. As such, the current conditions of Korean nursing is analyzed in the following categories: education, practice, research, nursing policy, expansion of nursing field, and entrepreneurship. In the final conclusion, an appropriate orientation of the future of Korean nursing is discussed. There are two primary Nursing programs, a three-year(63) and a four-year(53), in Korean Nursing education. Master's programs are available at 32 nursing schools or 32 professional graduate schools. A total of 15 nursing schools have a doctoral program in Korea. The ratio of graduates between the three-year and four year programs is 76:24. Hence, it is highly encouraged to expand four-year nursing programs, because it will help raise the social status of nursing professionals as well as the quality of nursing. In the clinical nursing field, independency and self regulation are critical. As such, organizational change, implementation of a standardized nursing m information system, appropriate workforce, and improvement of the reimbursement system in nursing is recommended. In community nursing, the following should be resolved to provide better nursing services: improvement of working condition and benefits, establishment of a law enforcing the hiring of nurses, and providing continuing education. The number of nursing research has increased and nursing studies are in great quantity. However, research in practices and theories are more in demanded. Hence, research that integrates theories and practices are very significant. Ultimately, it is critical to support nursing studies that will influence nursing policy. The Korean Nurses Association(KNA) is an organization that supervises the nation's nursing policy. The primary focus of KNA is to combine the three and four year undergraduate education systems into 4 years and to establish the Nursing Practice Act. The Ministry of Health and Welfare has adapted a system to educate and certify nurse specialists in 10 nursing areas in 21 nursing graduate schools expecting high-quality nursing services and a decrease of cost. The government also allowed nurses to operate facilities for health management or welfare agencies.

Factors influencing scope of practice in nursing centers.

During the past 20 years, models of autonomous nursing practice, referred to as nursing centers or nurse-managed centers (NMC), have been reported with increasing frequency in the literature. This review of the NMC literature focused on five factors influencing the scope of practice in these settings. Scope of practice was influenced by the purpose of the NMC, whether for faculty practice, community service, or as a setting for specialty nursing practice. A majority of NMCs appear to include nurses in advanced practice, although registered nurses do fulfill a variety of roles. Although the relationship an NMC maintains with the medical community is ideally characterized by collaboration and mutual acceptance, issues of competition arise. NMCs typically target underserved populations or candidates for specialty nursing care such as geriatric or cardiac rehabilitation patients. Finally, the scope of practice defined by an NMC is affected by the center's need to generate income. A survival strategy for NMCs would appear to require (1) provision of high-quality nursing services; (2) public and community support; (3) healthy, collaborative relationships with other health care providers; and (4) documentation of patient outcomes through NMC-based nursing research.