Nurses In Intervention Group Research Articles

A systematic review and meta-analysis of lifestyle nursing interventions for patients with cardiovascular disease.

The purpose of this study was to compare the clinical efficacy and safety of post-treatment nursing intervention (NI) with routine nursing care (RC) of patients with cardiovascular disease (CVD). PubMed, EMBASE, the Cochrane Library, the China National Knowledge database, and other databases were used to comprehensively evaluate post-treatment NI versus RC for patients with CVD. Review Manager 5.0 was used to assess the impact of the results in the selected articles. Forest map analysis, sensitivity analysis, and bias analysis were performed on the collected data. In total, eight studies met the inclusion criteria. The systolic blood pressure in the RC group was higher than that in the NI group (MD =-3.72, 95% CI: -4.64 to -2.80, P<0.00001, I2=92%). The diastolic blood pressure in the NI group was lower than that in the RC group (MD =-5.36, 95% CI: -6.55 to -4.16, P<0.00001, I2=96%). There was a significant difference in fasting blood glucose levels between the NI group and the RC group (MD =-5.00, 95% CI: -9.47 to -0.52, P=0.03, I2=88%). The total cholesterol in the NI group was lower than that in the RC group (MD =-9.99, 95% CI: -14.52 to -5.45, P<0.0001, I2=85%). The triglyceride value of the NI group was lower than that of the RC group, with significant heterogeneity (MD =-24.24, 95% CI: -26.25 to -22.23, P<0.0001, I2=96%). A sensitivity analysis and funnel plot indicated that the study was reliable and publication bias was limited. The results showed that the efficacy and safety of NI were superior to RC after treatment of CVD. NI is worth popularizing.

Effects of Continuous Nursing Intervention on Exercise Tolerance and Rehospitalization Rate in Patients with Chronic Heart Failure

To observe the effect of continuous nursing intervention on exercise tolerance and rehospitalization rate in patients with chronic heart failure. Methods 134 patients with chronic heart failure admitted to our hospital were divided into two groups, routine nursing intervention group (control group) and continuous nursing intervention group (observation group), with 67 cases in each group. The resting and peak heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the two groups were recorded. The change of 6min walking distance, modified European Heart Failure Self-Care Behavior Scale (EHFSCB-9) and quality of life (SF-36) of the two groups were compared before and after intervention, and moreover, rehospitalization rate of heart failure of two groups 6 months after discharge was compared between the two groups. Results : Before intervention, there was no significant difference between the two groups (P&gt;0.05). After intervention, there was no significant difference in resting and peak HR, SBP and DBP between the two groups and those before intervention (P&gt;0.05). Further comparison between the two groups showed that there was no significant difference in resting and peak HR, SBP and DBP between the observation group and the control group (P&gt;0.05). After intervention, 6min walking distance and SF-36 scale scores (role physical, physiological function, physical pain, energy, health status, social function, mental health and emotional function) were increased in the two groups (P&lt;0.05). Further comparison between the two groups showed that 6min walking distance and SF-36 scale scores (except somatic pain score and role physical score) in the observation group were higher than those in the control group (P&lt;0.05), and the EHFSCB-9 scores in the two groups decreased gradually after intervention (P&lt;0.05). Further comparison between the two groups showed that the EHFSCB-9 scores in the observation group (except low salt diet score and taking medicine based on doctor’s advice score) were lower than those in the control group (P&lt;0.05). The rehospitalization rate of heart failure within 6 months after discharge was 11.91% in the observation group, significantly lower than 25.37% in the control group, and the difference was significant (P&lt;0.05). Conclusion : Continuous nursing intervention can strengthen the self-care ability of patients with chronic heart failure, improve exercise tolerance and quality of life, and reduce the rehospitalization rate to heart failure within 6 months.

The Impact of Multidisciplinary Collaborative Nursing Intervention on Arteriovenous Fistula in Patients Undergoing Hemodialysis.

This study was conducted to evaluate the effect of multidisciplinary collaborative nursing intervention on AVF in patients with chronic kidney disease (CKD) undergoing hemodialysis. Patients (n = 84) with CKD who underwent the first autologous AVF were randomly divided into control group and multidisciplinary collaborative nursing intervention (MCNI) group and they received routine nursing procedure and multidisciplinary collaborative nursing intervention procedure, respectively. The natural blood flow and vessel diameter in MCNI group were higher than that in control group at the fourth week after surgery (p < .05). The vessel diameter in MCNI group at 2 and 4 weeks after operation was significantly larger than that in control group (p < .05).In conclusions, the implementation of multidisciplinary collaborative nursing intervention procedure can significantly promote the maturation of AVF, effectively increase the blood flow of AVF and promote the growth of vessel diameter.

Effects of Continuous Nursing Intervention on Exercise Tolerance and Rehospitalization Rate in Patients with Chronic Heart Failure

Objective To observe the effect of continuous nursing intervention on exercise tolerance and rehospitalization rate in patients with chronic heart failure. Methods 134 patients with chronic heart failure admitted to our hospital were divided into two groups, routine nursing intervention group (control group) and continuous nursing intervention group (observation group), with 67 cases in each group. The resting and peak heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the two groups were recorded. The change of 6min walking distance, modified European Heart Failure Self-Care Behavior Scale (EHFSCB-9) and quality of life (SF-36) of the two groups were compared before and after intervention, and moreover, rehospitalization rate of heart failure of two groups 6 months after discharge was compared between the two groups. Results: Before intervention, there was no significant difference between the two groups (P&gt;0.05). After intervention, there was no significant difference in resting and peak HR, SBP and DBP between the two groups and those before intervention (P&gt;0.05). Further comparison between the two groups showed that there was no significant difference in resting and peak HR, SBP and DBP between the observation group and the control group (P&gt;0.05). After intervention, 6min walking distance and SF-36 scale scores (role physical, physiological function, physical pain, energy, health status, social function, mental health and emotional function) were increased in the two groups (P&lt;0.05). Further comparison between the two groups showed that 6min walking distance and SF-36 scale scores (except somatic pain score and role physical score) in the observation group were higher than those in the control group (P&lt;0.05), and the EHFSCB-9 scores in the two groups decreased gradually after intervention (P&lt;0.05). Further comparison between the two groups showed that the EHFSCB-9 scores in the observation group (except low salt diet score and taking medicine based on doctor's advice score) were lower than those in the control group (P&lt;0.05). The rehospitalization rate of heart failure within 6 months after discharge was 11.91% in the observation group, significantly lower than 25.37% in the control group, and the difference was significant (P&lt;0.05). Conclusion: Continuous nursing intervention can strengthen the self-care ability of patients with chronic heart failure, improve exercise tolerance and quality of life, and reduce the rehospitalization rate to heart failure within 6 months.

Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study

A fall prevention program based on King’s goal attainment theory was developed to verify its effect on those in long-term care hospitals. The experiment was conducted at K Long-Term Care Hospital in S city for eight weeks. The study employed 57 elderly patients and 58 nurses. The program comprised an individual training conducted in a ward and hospital room for 20–30 min and a group training held in a conference room for 60 min. Significance levels were analyzed at p < 0.05 via frequency analysis, descriptive statistics, independent sample t-test, χ2-test, Mann–Whitney’s U test, Wilcoxon code rank test, and Cronbach’s α, and the clinical trial number was KCT0005908. In the patient intervention group, fall prevention behavior and knowledge increased, and the fear of falling decreased. Fall prevention behavior and knowledge increased in the nurse intervention group. Patient and nurse interaction satisfaction also increased. In contrast, the number of falls and nurses’ burden did not decrease. The fall prevention program was verified via the interaction of personal, interpersonal, and social systems. Thus, the patient’s fear of falling was reduced. Moreover, the program was effective for the fall knowledge, interaction satisfaction, and fall prevention behavior of both the patient and nurse.

Can an individualized adherence education program delivered by nurses improve therapeutic adherence in elderly people with acute myocardial infarction?: A randomized controlled study

BackgroundThe ageing of the population is leading to an increase in the number of elderly patients with acute myocardial infarction. These patients are at higher risk for complications and poor medication adherence, which in turn are associated with higher healthcare resource expenditures. Nursing programmes might help to improve adherence in these complex patients. ObjectiveThe objective of this study was to assess the impact of a nursing intervention on therapeutic adherence in elderly patients after myocardial infarction compared to a control group. DesignA single-blind, randomized controlled trial. SettingsHeart disease institute of a tertiary care hospital. ParticipantsPatients aged ≥75 years with myocardial infarction undergoing percutaneous coronary intervention. MethodsA comprehensive geriatric assessment was performed during the admission in all patients (N=143). Patients were randomly allocated to a nursing intervention group (n=68) or a usual care group (n=75). In patients from the intervention group, a nursing intervention programme was performed 3 months after admission based on education support and patient monitoring to improve therapeutic adherence. The main outcome measured was 12-months therapeutic adherence, as defined by a combination of measurement tools (Morisky-Green and Hayness-Sacket scales, attendance at visits and withdrawal of medication from the pharmacy). Therapeutic adherence was assessed by nurses blinded to the assignment group. ResultsThe mean age was 82.2 years. The proportion of comorbidities was significant (diabetes mellitus 51/143 (35.7%), hypertension 110/143 (76.9%), prior stroke 22/143 (15.4%)). Likewise, the proportion of geriatric syndromes was noticeable (frailty 26/143 (18.2%), risk of malnutrition 38/143 (26.6%), cognitive impairment 28/143 (19.6%)). Most patients (92.3%) had a low educational level.A total of 119 patients achieved 12-month assessment adherence. Among these patients, the proportions of adherence were as follows: Morisky-Green test: 76/119 (63.9%), Haynes-Sackett test 99/119 (83.2%), medical visits compliance 95/119 (79.8%), and correct acquisition of drugs in the pharmacy 74/119 (62.2%). A total of 42/119 patients (35.3%) were adherent as defined by the combination of the 4 measures. Therapeutic adherence at 12 months was achieved in a significantly higher proportion of patients from the nursing intervention group (51.9% vs 21.5%, p<0.001). ConclusionA significant proportion of elderly patients with myocardial infarction were non-adherent at 12 months. The proportion of adherent patients was highly variable according to the different tools used. A structured nursing intervention was independently associated with a higher adherence rate, as assessed by a multidimensional measurement, in this subset of complex high-risk elderly patients with myocardial infarction.Trial registration: Registered with www.clinicaltrials.gov (NCT04662762)

Application Effect of Humanized Nursing in the Perioperative Period of Gastrointestinal Tumor

To observe the effect of humanized nursing in the perioperative period of gastrointestinal tumor. A total of 118 cases of gastrointestinal tumor patients treated in our hospital from March 2021 to May 2021 were selected. Patients were randomly assigned to the routine care control group or humanized nursing intervention group according to their willingness. The gastrointestinal function, psychological status, postoperative complications and nursing satisfaction status of the two groups were compared after intervention. The recovery rate of gastrointestinal function was faster in the study group, that is, the time of initial anal exhaust and initial defecation was lower in the study group than in the control group, and the incidence of abdominal distension was lower in the study group (P<0.05). The psychological status of the study group was significantly better than that of the control group, that is, the scores of all items of the Symptom Checklist-90 (SCL-90) in the study group were lower than those in the control group (P<0.05). Compared with the control group, the incidence of postoperative complications in the study group was lower and the nursing satisfaction was better (P < 0.05). The findings demonstrate application of humanized nursing for patients in the perioperative period of gastrointestinal tumor not only effectively promote the recovery process of patients, but also alleviate the adverse mood of patients and improve the quality of hospital nursing work, which has clinical application usefulness.

Nonsynostotic Plagiocephaly: Prevention Strategies in Child Health Care.

The dissertation, comprising a clinical intervention and three supporting studies, aimed to assess if it is possible to prevent nonsynostotic plagiocephaly while promoting safe infant sleeping practices. Five individuals were trained to assess cranial asymmetry and then reliability-tested; the interpreted results indicate substantial strength of rater-agreement. Intervention participants were allocated to group. Only intervention group nurses participated in the continuing education on plagiocephaly developed for nurses. A survey compared information intervention and control group parents received from nurses; intervention group parents were significantly more aware of recommendations than the controls. Nurse education was evaluated by asking intervention and control group nurses and parents two open-ended questions; the intervention group reported new re-positioning strategies. The effect of the intervention on cranial shape was evaluated by assessing asymmetry at 2, 4, and 12 months (176 intervention group; 92 controls). It was nine times more common that cranial asymmetry at two months reversed by four months when parents were aware of written recommendations from their nurse (OR = 9.09 [0.02; 0.48], p = 0.004) when adjusted for group. An infant’s risk of asymmetry persisting until 12 months was significantly reduced in the intervention group (RR = 0.35 [0.13; 0.94], p = 0.03). Preventing brachycephaly was difficult. Conclusions: the assessors were considered reliable; educating nurses promoted the integration of new recommendations in practice; the intervention was associated with early reversal of nonsynostotic plagiocephaly.

Effects of solution-focused brief therapy in clinical nurses

Objective To explore the effect of solution-focused brief therapy (SFBT) method on the psychological resilience of clinical nurses. Methods By convenience sampling, 80 nurses from internal medicine department in a ClassⅢ hospital in Shanghai who volunteered to participate in the research were enrolled in the study and divided into control group (n=40) and intervention group (n=40) according to random number table. Routine professional training was adopted in the control group. The SFBT techniques was adopted in the intervention group, group psychological training was carried out once a week for four weeks. The Connor-Davidson Resilience Scale (CD-RISC) , Chinese Version of the Social Problem-Solving Inventory (C-SPSI) , Simplified Coping Style Questionnaire (SCSQ) were used before the first intervention, the last intervention, and one month after intervention in the assessment. Results After intervention, the total scores of CD-RISC and each dimensions, C-SPSI and each dimensions, and coping tendency in SCSQ in the intervention group were higher than those in the control group with statistical significance (P<0.05) . The total scores of CD-RISC of nurses in the two groups were influenced by time and grouping, the interactive effect was significant (P<0.05) . The total scores of CD-RISC and dimensions of nurses in intervention group were higher than those before intervention, and the difference was statistically significant (P<0.05) . Conclusions SFBT group psychological training for clinical nurses can significantly improve the level of psychological resilience of nurses, and has the same effect on nurses' problem-solving ability and positive coping and is worth popularizing. Key words: Nurses; Psychological resilience; Coping style; Solution-focused brief therapy; Problem-solving

Effects of preoperative cardiac rehabilitation nursing intervention for patients with advanced valvular heart disease on cardiac function and quality of life

Objective To explore the feasibility and safety of preoperative cardiac rehabilitation (CR) nursing intervention in patients with severe valvular disease, and to evaluate the effect of preoperative exercise-mediated cardiac rehabilitation nursing on the clinical outcomes of patients after operation. Methods From January to December of 2017, 108 patients with advanced valvular heart disease (AVHD) admitted in Department of Cardiothoracic Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School were selected based on the diagnostic standard for AVHD. The AVHD patients should not be younger than 18 years old, left ventricular ejection fraction (LVEF) less than 40%, and need repair of interventricular septal perforation, resection of ventricular aneurysm and radiofrequency ablation of surgical atrial fibrillation simultaneously. Random number method was used to divide the patients into control group and cardiac rehabilitation nursing intervention group (CR group) . Mitral and aortic valve lesions were the main types of valvular lesions in the two groups, and the principles of preoperative treatment were the same. Patients in the control group received routine nursing after admission. The patients in the observation group were evaluated by 6 minute walking test (6MWT) after admission. According to the distance of 6MWT, MOTO Med nursing intervention was carried out in gradeⅠ andⅡ. Frequency was once a day, 30 minutes each time, the first movement resistance was 1 kg, and was adjusted appropriately according to the individual situation. Exercise training and aerobic training were carried out for gradeⅢ andⅣ, with emphasis on lower limb muscles, abdominal muscles and ectopectoralis once a day for 20 minutes each time. Results There was no significant difference in hospital stay, ICU stay time and mechanical ventilation time between the two groups (P>0.05) . The LVEF value of CR group was significantly higher than that of control group at the early stage after operation[ (42.5±6.2) vs . (31.0±4.5) , P 0.05) . Conclusions Preoperative cardiac rehabilitation nursing intervention can effectively improve the cardiac function of patients with severe valvular disease early after operation, increase the early exercise tolerance of patients after operation, improve the early self-care ability of patients after operation, and help patients recover better and faster. Key words: Advanced valvular heart disease; Cardiac function; Quality of life; Preoperative cardiac rehabilitation nursing

Effect of rehabilitation therapy and nursing intervention on postoperative recovery of patients with hypertensive intracerebral hemorrhage.

Rehabilitation therapy combined with nursing intervention in postoperative recovery of patients with hypertensive intracerebral hemorrhage was investigated. Retrospective analysis was carried out in 78 patients with severe HICH hematoma evacuation after treatment in Xuzhou No. 1 People's Hospital, Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University from March 2014 to July 2017. The 28 patients who received routine treatment and nursing care were regarded as the control group, the 27 patients who underwent rehabilitation training based with routine treatment and nursing care were the rehabilitation training group. Moreover, the 23 patients who underwent rehabilitation training and nursing intervention based on routine treatment were regarded as the nursing intervention group. Systolic blood pressure, diastolic blood pressure, and Fugl-Meyer scores were compared immediately after surgery (T1), 4 weeks after treatment (T2) and 12 weeks after treatment (T3). During the period of T3, the total effective rate and adverse reactions were compared among the three groups of patients. The systolic blood pressure and diastolic blood pressure at T3 among the three groups were significantly lower than both T2 and T1, and the systolic and diastolic blood pressure of T2 was lower than T1 (P<0.05). Among the three groups of patients, the Fugl-Meyer score at T3 was significantly higher than both the T2 and T1, and the Fugl-Meyer score at T2 was higher than T1 (P<0.050). In the control group, the number of patients with shoulder-hand syndrome, hemorrhoids, and depression was significantly higher than both the rehabilitation training group and the nursing intervention group (P<0.050). The number of people with depression in the rehabilitation training group was significantly higher than the nursing intervention group (P<0.050). Rehabilitation therapy and nursing intervention are better than routine treatment and nursing for postoperative recovery of HICH patients, and has a lower adverse reaction rates after surgery, it is worthy of promotion clinically.

Nonsynostotic plagiocephaly: a child health care intervention in Skaraborg, Sweden

BackgroundThe aim was to evaluate the intervention’s effect on prevention and reversal of nonsynostotic plagiocephaly.MethodsThirty-eight intervention group nurses were educated about nonsynostotic plagiocephaly and asked to follow guidelines; 18 control group nurses were not. In a longitudinal single-blinded clinical intervention, parents brought infants to well-child visits according to the national schedule. Cranial shape was assessed in 176 intervention and 92 control group infants at 2-, 4-, and 12-month visits.ResultsAsymmetry at two months reversed by four months four times more often in intervention than control subgroup infants (OR = 4.07, p = 0.02) when adjusted for parent awareness of written information from their nurse. Asymmetry at two months reversed by 12 months fivefold when parents were aware of written information (OR = 0.19, p = 0.04). The risk for persistent asymmetry at 12 months was lower for intervention than control group infants (RR = 0.35, p = 0.03). Of infants with no asymmetry at two months, 25% in intervention and 22% in control group developed brachycephaly.ConclusionsThe intervention contributed to early reversal and reducing infants’ risk for persistent asymmetry. Parents’ awareness of written information contributed to reversal. Preventing brachycephaly was difficult. Further research is needed.

Effect of psychosocial nursing intervention on analgesic efficacy of labour analgesia in parturients

Objective To evaluate the effect of psychosocial nursing intervention on the analgesic efficacy of labour analgesia in parturients. Methods A total of 160 parturients, aged 18-35 yr, with a singleton fetus in vertex presentation at 38-41 week gestation, who required labor analgesia voluntarily, were divided into 2 groups (n=80 each) using a random number table: control group (group C) and psychosocial nursing intervention group (group I). The epidural catheter was placed at L2, 3 interspace when the cervical dilation was 3 cm, and 0.1% ropivacaine 12 ml was injected.And then patient-controlled epidural analgesia (PCEA) was performed.The solution for PCEA contained 0.1% ropivacaine and hydromorphone hydrochlorid 2.5 μg/ml(diluted to 160 ml in 0.9% normal saline). The catheter was connected to a PCEA pump programmed to deliver 6 ml with a lockout interval of 12 min, background infusion at 0.1 ml/h and limit dose of 30 ml/h.After the initial administration of ropivacaine, parturients were only informed of the usages and notice items of the PCEA pump in group C, and in addition psychological nursing intervention was carried out, and the peak effect of drugs and principle of PCEA pump were also introduced in group I. The intensity of pain was assessed using visual analogue scale score before labour analgesia and at 15, 30, 60, 120, 180 and 240 min after labour analgesia.The development of adverse reactions such as lower extremity numbness, motor nerve block, nausea and vomiting, pruritus, urinary retention and hypotension after labour analgesia was recorded.Parturient′s satisfaction with labour analgesia was evaluated at 24 h after the end of delivery, and the rate of satisfactory analgesia was calculated. Results Compared with group C, visual analogue scale scores were significantly decreased at 60, 120, 180 and 240 min after labour analgesia, and the rate of satisfactory analgesia was increased in group I (P<0.05). One patient developed motor nerve block at 30 min after labour analgesia in group C, and no patient developed motor nerve block after labour analgesia in group I. No adverse reactions such as lower extremity numbness, nausea and vomiting, pruritus, urinary retention or hypotension were found in the two groups. Conclusion Psychosocial nursing intervention can raise the analgesic efficacy of labour analgesia in parturients. Key words: Labor pain; Analgesia, epidural; Propaganda and education

Research on the effect of cooperative learning model on nursing skills of practice nurses and standardized training of newly-recruited nurses

Objective: To investigate the value of cooperative learning model in the nursing skills of practice nurses and standardized training for newly-recruited nurses. Methods: 130 practice nurses and 80 newly-recruited nurses from two Grade-three hospitals in Hunan Province were selected as objects of study, and randomly divided into two groups. The practice nurses and newly-recruited nurses in control group received traditional clinical nursing teaching and training, and those in intervention group receive clinical nursing teaching and training under cooperative learning model, the score, self-learning ability and patient satisfaction in the two groups were compared. Results: After 1 month of learning, the theoretical scores and skill scores of practice nurses and newlyrecruited nurses in intervention group were significantly higher than those in control group (P<0.05). The practice nurses and newly-recruited nurses in intervention group recognized that the training model improved their learning initiative, awareness of cooperation, ability to think, communication skills and comprehensive ability compared with those in control group (P<0.05). Conclusion: Cooperative learning model can improve the effectiveness of training for practice nurses and newly-recruited nurses, which not only promotes nurses' theoretical knowledge and nursing skills, but also trains the ability of cooperation, thinking and communication, so it is conducive to practice nurses and newly-recruited nurses in the new post.

The application effect of vodia hot comphess therapy on nonspecific low back pain of nurses

Objective To observe the clinical efficacy of vodia hot comphess on nonspecific low back pain of nurses. Methods A total of 40 qualified nurses in our hospital were chosen and were randomly divided into intervention and control group, 20 nures in each group.The intervention group nurses adopted vodia hot comphess therapy for 6 weeks, while the control group nurses maintained the routine life style.All of the nurses of the two group were investigated by Visual Analogue Scale and Japanese Orthopedic Association.The change of the dysfunction of the low back before intervention, and the 3rd week and 6th week after intervention of the research objects of the two groups were discussed. Results Before intervention, the scores of the various indexes of the Scales of the control group were compared and the differences were not statistically significant(P>0.05), which showed that there was no significant change in terms of the degree of pain and dysfunction of the subjects before and after intervention.There was obvious change in terms of the scores of VAS and JOA of the experiment group before and after the intervention, the scores of various evaluation index were higher than that before the intervention, and the differences were statistically significant(P<0.05 ), which showed that the intervention had a better effect. Conclusions The vodia hot comphess therapy can effectively improve the nonspecific low back pain of nurses and the body function, which is a good method to treat the nonspecific low back pain of nurses.Hence, it is worthy to be popularized. Key words: Vodia hot comphess; Nonspecific low back pain; Nurse

Effect of nursing ethics re-education for ethical cognitive and decision-making ability in practice nursing students

Objective To discuss the impact of nursing ethics reeducation for the level of ethical cognitive and decision-making ability in practice nursing students. Methods A total of 72 cases of practice nursing students from July 2015 were selected as intervention group and 68 cases of practice nursing students from July 2016 were as control group. The nurses in intervention group participated in two months, a total of 8 times of nursing ethics continuing education courses. The forms of course included flip classroom, case discussion, and scene simulation. The control group accepted routine nursing clinical teaching. The level of ethical cognitive and decision-making ability before and after the intervention were measured in the two groups. Results After the intervention, the scores of ethical cognitive of intervention group were (3.74±0.41) points, higher than the control group (3.20±0.45) points, the difference was significant (t=-7.440, P=0.000); and decision-making ability of intervention group were (283.58±30.38) points, higher than the control group (270.88±29.51) points, the difference was significant (t=-2.507, P=0.013). Conclusions The nursing ethics re-education can improve the cognition of practice nursing students in nursing ethics, at the same time improving the ability of making nursing ethical decisions, helping nursing students making nursing ethical decisions in clinical better. Key words: Students, nursing; Nursing care; Ethics; Education

Gamification and Microlearning for Engagement With Quality Improvement (GAMEQI): A Bundled Digital Intervention for the Prevention of Central Line-Associated Bloodstream Infection.

Central line-associated bloodstream infections (CLABSIs) cause major patient harm, preventable through attention to line care best practice standards. The objective was to determine if a digital self-assessment application (CLABSI App), bundling line care best practices with social gamification and in-context microlearning, could engage nurses in CLABSI prevention. Nurses caring for children with indwelling central venous catheters in 3 high-risk units were eligible to participate. All other units served as controls. The intervention was a 12-month nonrandomized quality improvement study of CLABSI App implementation with interunit competitions. Compared to the preceding year, the intervention group (9886 line days) CLABSI rate decreased by 48% ( P = .03). Controls (7879 line days) did not change significantly. In all, 105 unique intervention group nurses completed 673 self-assessments. Competitions were associated with increased engagement as measured by self-assessments and unique participants. This model could be extended to other health care-associated infections, and more broadly to process improvement within and across health care systems.

The pilot study of radiology nursing intervention in abdominal 3-T Magnetic Resonance examination.

The aim of this study was to investigate the effect of radiology nursing intervention in abdominal examination at 3-T MRI. 60 patients with abdominal diseases were divided into two groups randomly: MR nursing intervention group and control group. All the patients underwent abdominal MR examination at 3-T. The MR nursing interventions were performed in nursing intervention group. The outcomes, including one-time success rate, the ratio of diagnosable MR images and the points of image quality, were compared between these two groups. The one-time success rates in control group and MR nursing intervention group were 66.67% and 96.67% with significant difference ( χ2 =9.017, P<0.05). The ratios of diagnosable images in the two groups were 76.67% and 96.67% with significant difference (χ2 =5.192, P<0.05). The points of MR image quality in the two groups were 1.87±0.86 and 2.33±0.55, respectively. There was significant difference between these two groups (t=-2.508, P<0.05). The effective nursing intervention can make the patients cooperation better in abdominal MR examination and improve the image quality significantly.

Active Intervention Can Decrease Burnout In Ed Nurses

This study was carried out in the emergency departments of 3 hospitals randomly selected from 8 comprehensive high-level hospitals in Jinan, China. A total of 102 nurses were enrolled and randomly divided into control and intervention groups. For 6 months, nurses in intervention groups were treated with ordinary treatment plus comprehensive management, whereas nurses in the control group were treated with ordinary management, respectively. Questionnaires were sent and collected at baseline and at the end of the study. The Student t test was used to evaluate the effect of comprehensive management in decreasing burnout. All ED nurses showed symptoms of job burnout at different levels. Our data indicated that comprehensive management significantly decreased emotional exhaustion and depersonalization (P < .01). The findings suggest that active intervention with comprehensive management may effectively reduce job burnout in ED nurses and contribute to relieving work-related stress and may further protect against potential mental health problems.

A Randomised Controlled Trial on the Effect of Nurse-Led Educational Intervention at the Time of Catheter Ablation for Atrial Fibrillation on Quality of Life, Symptom Severity and Rehospitalisation.

Atrial Fibrillation (AF) is a common condition associated with impaired quality of life (QOL) and recurrent hospitalisation. Catheter ablation for AF is a well-established treatment for symptomatic patients despite medical therapy. We sought to examine the effect of point specific nurse-led education on QOL, AF symptomatology and readmission rate post AF ablation. Forty-one patients undergoing AF ablation were randomised to Nurse Intervention (NI) versus Control (C), n=22 vs. 19. Both groups were well matched with respect to age, sex and AF subtype. All patients completed SF36 and AF Symptom Checklist, Frequency and Severity Scale questionnaires at baseline and six months post ablation. The NI group underwent nurse education on admission, prior to discharge, and with telephone contact. Baseline SF-36 and AF Symptom Checklist, Frequency and Severity scores were similar. The NI group showed significant differences compared to Control with respect to higher QOL on the SF-36 score of Physical Functioning and Vitality at six months. There were significant improvements in seven components of the AF Symptom Checklist, Frequency and Severity at six months in the NI group with a trend in a further seven. There was no difference in AF related hospital readmissions at six months between C and NI groups (10.5% vs. 13.6%, p=ns). Nurse-led education at time of AF ablation is associated with improved QOL and reduced symptom frequency and severity compared to usual care.