Nurse-patient Disputes Research Articles

Identification, Evaluation and Prevention Strategies of Risk Factors in Nursing ICU Critical Patients

Objective: To identify and evaluate the nursing risk factors of critical patients in ICU, and then take effective prevention strategies. M ethods : A total of 130 critical patients admitted to the ICU of our hospital from February 2018 to December 2020 were selected and randomly divided into observation group (taking targeted prevention strategies according to nursing risk factors) and control group (routine care) , with 65 patients in each group. R esults : Compared with the control group, the nursing satisfaction in the observation group (96.92%) was higher, and the incidence of nurse-patient disputes (6.15%) was lower (P<0.05).The scores of each index of nursing quality in observation group were higher than those in control group (P<0.05). Conclusion: According to the nursing risk factors of critica l patients in ICU, effective prevention strategies can improve nursing satisfaction and reduce the occurrence of disputes between the nursing personnel and patient s , which is of great importance in significantly promot ing the nursing quality.

Analysis of influencing factors of nurse-patient disputes based on patient characteristics: A cross-sectional study.

AimTo explore the prevalence of nurse‐patient disputes and the influencing factors based on an analysis of patient characteristics.DesignA cross‐sectional study.MethodsThis study used the convenience sampling method. Three self‐designed questionnaires based on clinical experience and literature review were used to collect the current status of nurse‐patient disputes and to assess patients’ humanistic qualities and patients’ recognition of nursing work. The Big Five personality questionnaire was used to assess the five personality traits of patients.ResultsOf the patients, 9.6% reported having a dispute with nurses. The results of binary logistic regression analysis indicated that patients’ humanistic quality, recognition of nursing work and agreeableness in personality traits had a negative predictive effect on nurse‐patient disputes, while family monthly income and neuroticism in personality traits positively predicted disputes.

The Influence of Humanistic Care on the Mental Health and Behavior of Family Members of Pediatric Patients

The purpose of this paper is to observe and analyze the impact of humanistic care on the mental health and behavior of family members of pediatric patients. The methods used are as follows. A total of 188 hospitalized children (188 cases of family members of children) admitted to the pediatrics department of this hospital (from April 2018 to April 2019) were selected. In accordance with random number table method, they were divided into the control group (using routine nursing methods) and the experimental group (using humanistic care nursing methods on the basis of the control group). There were 94 cases in each group. Statistics was used to analyze the total satisfaction rate, the incidence of nurse-patient disputes, the average hospitalization time of the patients and the anxiety scores of the family members of the children before and after nursing in the two groups. The results were as follows. The anxiety scores of the family members of the two groups of children before nursing were not statistically significant (P&gt; 0.05). After nursing, the anxiety scores of the family members of the experimental group were significantly lower than that of the control group (P &lt;0.05). The total satisfaction rate of the family members of the children in the experimental group was significantly higher than that in the control group (P &lt;0.05). And the incidence of nurse-patient disputes in the experimental group was significantly lower than that in the control group (P &lt;0.05). The average hospitalization time of the children in the experimental group was significantly shorter than that in the control group (P &lt;0.05). The conclusion is that humanistic care has a significant effect on the mental health and behavior of the family members of pediatric patients.

Analysis of the Effect of Clinical Application of Detailed Nursing Measures in Ensuring the Safety of Nursing in Operating Room

To discuss the clinical application effect analysis of detailed nursing measures in ensuring the safety of nursing in the operating room is the objective. 140 patients who were admitted in the operating room of our hospital from December 2018 to December 2020 were randomly selected as the research objects. According to the computer random allocation method, they were divided into the control group and the experimental group, with 70 patients in each group. The control group was given routine nursing care and the intervention group was given detailed nursing care. The two groups were observed and compared the nursing quality scores, the rate of nurse-patient disputes and error rates, self-rating depression scale and self-rating anxiety scale scores, nursing satisfaction rate and complications. The results showed that compared with the control group, the intervention group had higher nursing quality scores, higher nursing satisfaction rate and postoperative self-rating depression scale and self-rating anxiety scale scores, lower nursing-patient disputes and complications and the differences were statistically significant (p<0.05). Detailed nursing measures improve the quality of care, relieve patient’s anxiety and depression, increase patient satisfaction, significantly reduce postoperative complications and provide a guarantee for ensuring the safety of nursing care in the operating room.

Effect of Nursing Quality Management on the Nosocomial Infection Rate and Psychology State of Patients with Burn and Plastic Surgery.

Background:To explore the effect of nursing quality management on the nosocomial infection rate and Psychology State of patients with burn and plastic surgery.Methods:Overall, 92 patients with burn and plastic surgery admitted to Qilu Hospital, Jinan, China from Apr 2017 to Jul 2018 were selected, in which 46 cases were randomly selected as a control group for routine nursing management, and another 46 cases as a research group to strengthen nursing quality management. The incidence of nosocomial infection, nursing satisfaction and nurse-patient disputes were compared. MMAS-8 scale was used to compare the compliance of the two groups. SAS and SDS score were used to compare the psychological status. The recovery and discharge were compared.Results:The incidence of nosocomial infection in the study group was significantly lower than that in the control group (P<0.05). The total satisfaction rate of the study group was significantly higher than that of the control group (P<0.05). The incidence of nurses-patients disputes was significantly lower than that of the control group. The SAS and SDS score of the study group were significantly better than the control group (P<0.05). The healing time, blood circulation recovery time of skin wounds and discharge time in the study group were significantly better than those in the control group.Conclusion:Strengthening nursing quality management can effectively reduce the nosocomial infection rate of burn and plastic surgery. It helps to further accelerate the recovery of patients and make patients ’psychological state better.

Nurse and Patient Dispute Litigation in Independent Nursing Practice

Although medical dispute and other contentious cases involving patients and nurses have risen significantly in recent years, few studies have examined the litigation issues involved in nurse-patient disputes. This study was designed to explore the background, categories, and degrees of harm to patients and the judgments made by the courts. Qualitative research was used. Cases of criminal, written judgments related to nurse practice negligence and recorded in district courts in Taiwan from 2008 to 2017 were selected. Data were analyzed using content analysis. A total of 41 hospitals and 55 nurses were identified. The largest number of cases involved regional hospitals (36.6%), internal medicine departments (31.7%), general wards (46.3%), night shifts (40.0%), and staff nurses (85.5%). Four categories of independent nurse practice negligence were identified, including observation-evaluation, environmental security, physician notification, and nursing records. Negligent homicide (58.2%) was the most common court judgment and ten nurses (18.2%) were found guilty of the charges brought against them. The results of this study highlight for nurses the content of nurse practice negligence and the related judgments by the courts, which hopefully may guide nurses to avoid practice negligence in the future.

Application Value of Comprehensive Nursing in Reducing Nurse-patient Disputes in Emergency Department Nursing

Application Value of Comprehensive Nursing in Reducing Nurse-patient Disputes in Emergency Department Nursing

The value of high quality nursing in improving the quality of outpatient guided care

Objective To explore the application effect of high quality nursing in improving the quality of outpatient guided care. Methods From April 2016 to April 2017, 100 patients were randomly divided into the control group and the observation group to receive routine medical guidance service and high-quality nursing care. The satisfaction, registration and waiting time, and nursing quality of medical guidance in the two groups were compared, and the occurrence of nurse-patient disputes in the two groups were analyzed. Results Compared with the control group, the satisfaction score of the patients in the observation group was significantly higher, and the scores of the guidance group's nursing code of conduct, the quality of the guidance group's triage nursing and the quality of the guidance group's medical service were significantly higher than the control group, with statistically significant differences(P<0.05). The registration time, waiting time and the incidence of nurse-patient disputes were all significantly less, and the differences were statistically significant(P<0.05). Conclusions High quality nursing has a significant effect in improving the quality of outpatient guided care, which is worthy of extensive promotion and implementation. Key words: Outpatient department; Guided care; High quality nursing

Effects of nursing process optimization on reducing accidental risks of emergency infusion in children

Objective To explore the effects of nursing process optimization on reducing accidental risks of Emergency Department infusion in children. Methods By convenient sampling, totally 220 children admitted in Beijing Tiantan Hospital, Capital Medical University between June and September 2018 were selected into the control group by convenient sampling, who received routine nursing process, while another 220 children admitted from October 2018 to January 2019 were selected into the observation group, who received optimized nursing process. The success rate of one-time puncture of intravenous infusion, the incidence of risk events during the infusion, waiting time for infusion, consultation time, puncture time, needle extraction time, the rate of nursing satisfaction and the cases of nursing complaints and incidents of nurse-patient disputes between the two groups were compared. Results The one-time success rate of puncture among the children in the observation group was higher than that in the control group; the incidence of risk events during infusion was significantly lower than that in the control group, and the differences were statistically significant (P<0.05) . The waiting time, admission time, puncture time, and needle extraction time in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05) . The rate of nursing satisfaction and the parents of the children in the observation group was higher than that in the control group; the cases of medical tangles and complaints about nursing work were lower than those in the control group, and the differences were statistically significant (P<0.05) . Conclusions Optimizing the nursing process can effectively reduce the accidental risks of emergency infusion in children, improve the one-time success rate of puncture, reduce the pain of children, improve the experience of seeking medical service, ensure the safety of children, and increase parents' satisfaction with the medical service industry, thus creating a positive image of the hospital. Key words: Child; Emergency service, hospital; Nursing process; Infusion; Accident

Application of hierarchical management system based on ICNSS in traumatic brain injury patients

Objective To explore application effect of hierarchical management based on Intensive Care Nursing Scoring System (ICNSS) in intensive care unit (ICU) patients with brain injury. Methods A total of 65 ICU patients with brain injury from June 2013 to May 2014 were treated as control group; another 60 cases of ICU patients with brain injury from June 2014 to May 2015 were treated as observation group. Patients in the control group were implemented with routine nursing, while the observation group with hierarchical management based on ICNSS system. Prognosis, complications, nurse-patient disputes events, nursing risk events, and patient satisfaction of two groups were compared. Results In observation group, plant survival rate (3.33%), incidence of complications(6.67%), nurse dispute event rate(3.33%), incidence of nursing risk events (5.00%) were lower than those of the control group(χ2=4.296, 4.720, 4.296, 5.354; P<0.05). Among patient satisfaction of the observation group, scores of health education(3.85±0.45)points, medical environment(3.79±0.53)points, psychological nursing(3.65±0.78)points, service attitude(3.38±0.56)points, operational care(3.49±0.29)points were higher than those of the control group (t=40.821, 36.362, 23.801, 24.972, 43.465; P<0.01). Conclusions Based on the ICNSS, hierarchical management model can allocate human resources in ICU reasonably and effectively, improve quality of care for patients with traumatic brain in ICU, reduce the incidence nursing risk events and elevate patient and family satisfaction. Key words: Intensive Care Nursing Scoring System; Intensive care unit; Brain injury; Prognosis; Satisfaction

逆向静脉穿刺技术静脉输液在中国内地临床护理中的应用回顾研究

As a conventional alternative of intravenous infusion, reverse puncture is a nursing method that can perform infusion relative to traditional consequent centripetal puncture technique.According to the literature review, the reverse puncture is not only to improve the distal venous utilization and to raise the success rate of the intravenous, but also reduce repeated puncture pain, to reduce medical expenses, to reduce nurse-patient disputes, this technology can timely solve puncture problems in emergency situation in clinical first line for nursing staff, as well as to regain people’s attention .It has clinical spread value.

688 drugs incompatibility document analysis and preventive measures

Objective To investigate the clinical condition of incompatibility of common intravenous drug use,investigate variation of drug compatibility and promote rational drug use,reduce nurse-patient disputes and adverse drug reactions occurrence,ensure patient medication safety.Methods To search articles about drug incompatibility by retrieving the Articles Database such as Chinese Journal of Nursing,Chinese Journal of Modern Nursing,Chinese Journal of Practical Nursing from 2000 to 2013.The reported clinical drug incompatibility in the literature,involving the number of periodicals dealt with incompatibility,the type of drug compatibility,change of compatibility type,and other circumstances affecting patients were analyzed.Results In a total of 925 issued periodicals,688 articles reported incompatibility,which involved 700 types of drugs,compatibility of drug B involving 824 kinds.The common reported drugs were sodium fusidate,ambroxol injection,pantoprazole sodium omeprazole sodium,vinpocetine.The major compatibility changes were color reaction,turbidity,there-floe or precipitate,bubbles,etc.The incompatibility did not affect the patients generally.Conclusions The incompatibility of many drugs showed certain regular pattern.We should pay attention to the rational confect and clinical use.Nurses should master related knowledge and compatibility variation of the drugs,take effective measures to avoid the occurrence of changes in physical and chemical properties,and effectively promote clinical safety. Key words: Intravenous infusion; Compatibility of Medicine; Contraindication; Literature analysis; Prevention

Application of integration model of operation and nurse-patient communication in department of otolaryngology

Objective To explore the effect of integration model of operation and nurse-patient communication on preventing nurse-patient disputes in department of otolaryngology.Methods Totals of 84 patients were randomly divided into the observation group who received integration model care of operation and nurse-patient communication,and the control group who received usual care only.Then,the satisfaction rate and dispute rate between the two groups were observed and compared.Results The satisfaction rate and dispute rate (92.86％ and 0) of observation group were significandy different with those (78.57％ and 7.14％) of control group (x2 =72.45,56.59 ;P ＜ 0.05).Conclusions The application of integration model of operation and nurse-patient communication in department of otolaryngology can effectively prevent disputes between nurses and patients happening in ENT. Key words: Otolaryngology; Nursing; Integration model of operation and nurse-patient communication; Disputes; Patients' satisfaction

Application of indwelling needles in infusion for infants at pediatric clinics

Objective To investigate the application effect of indwelling needles in infusion for infants at clinics.Methods The indwelling needles were used for infusion in infants who needed continuous infusions twice daily for longer than 3 days,with poor venous condition,crying,irritation,or infusion duration ≥4 hours.Results The use of indwelling needles for infusion was 409 person/time,successful completion of course with indwelling needles was 381 person/time,and failure of indwelling was 28 person/time.No infections occurred.Conclusions In pediatric clinics,uses of indwelling needles for infusion in pediatric patients who meet the application standards can relieve the pain induced by repeated punctures,reduce swelling caused by infusion leaking in infants with restlessness.By strengthened management of risks,accidental needle removal,tube plugging,exudation,infection or nurse-patient disputes can be avoided.So it is a safe and effective method for infusion. Key words: Indwelling needles; Infants; Infusion

Causes of nurse-patient disputes at the department of obstetrics and gynecology in primary hospitals and the precaution measures

Objective To explore the causes of nurse-patient disputes in the department of obstetrics and gynecology and to establish preventive measures.Methods 21 cases of nurse-patient disputes happened at the department of obstetrics and gynecology in our hospital during the period of January 2009 to July 2012 were retrospectively analyzed.The major causes of nurse-patient disputes were analyzed and the reform measures for nursing were established.Results 12 of the 21 cases of nurse-patient disputes were due to poor communication skills in nurses,four were caused by lack of legal awareness in nurses,four were due to poor professional skills,and the remaining one was caused by an intern nurse.Conclusions There various causes of nurse-patient disputes in the department of obstetrics and gynecology.Nurses shoult strengthen legal awareness,improve service attitude and professional level; and intern management of intern nurses needs to be regulated. Key words: Department of obstetrics and gynecology; Nurse-patient disputes; Prevention

Application of kindred-like nursing in the AIDS ward

Objective To investigate the effect of kindred-like nursing on aids patients,so as to provide theory for high quality nursing wards development.Methods Totals of 140 AIDS patients admitted to our hospital from January 2010 to December 2011 were randomly divided into observation group (n =70) and control group (n =70).Patients in observation group were given kindred-like nursing during hospitalization,while patients in control group received routine nursing.Results Compared with the patients in control group,patients in observation group scored significantly better with regard to total nursing quality in disinfection and isolation,ward management,basic nursing,intensive care,nursing safety management,health education,nursing document writing,and nursing manipulation.(t =17.13,34.45,34.43,18.52,15.78,34.39,10.58,21.16,respectively;P ＜ 0.05).Also,patients and their relatives in observation group were more satisfied with nursing care (100.00％ vs 88.58％) and less incidence of nurse-patient disputes (0.00％ vs 14.28％) than that in control group(x2 =6.49,8.72; P ＜ 0.05).Conclusions The kindred-like nursing can improve the quality of nursing care,improve patients' satisfaction toward nursing,and decrease nurse-patient disputes. Key words: Acquired immunodeficiency syndrome; Health knowledge, attitudes, practice ; Family nursing mode

The cultivation of the ability of nurse interns' nurse-patient communication in emergency department

The article analyzes the problems of nurse-patient communication in nurse interns,and proposes the strategies of cultivating nurse-patient communication ability to reduce nurse-patient disputes and improve the overall quality of nursing students. Key words: Emergency department; Nurse-patient communication; Ability cultivation

The use of patient feedback to improve patient care and management of clinic transfusion area

Objective To explore the use of feedback to improve patient care and effectiveness of clinic infusion area management. Methods A survey on demand for nursing services was conducted by questionnaires in 600 patients at clinic infusion area. Phone interview was conducted one week later. Patient feedback was collected to develop improvement programs including training of standard speech for nurses,increase in services based on various demands, increase in health education, and establishment of a system to improve the infusion environment by regular check ups. Results Each quarter, the nursing quality such as organizational management, environmental management, professional management, safety management,and article management met the standards. The patient satisfaction rate increased to 94% from 86%. The number of complaints against nurses and nurse-patient disputes declined to 2-3/year from 6-8/year. No significant nursing accidents occurred. Conclusions Prompt feedback of patient demand for nursing in clinic infusion area and proper measures are of important significance in improving the quality of care and raising patient satisfaction. Key words: Clinic infusion; Information feedback; Quality of care

The surveys of nurse mental health status and influencing factors in nurse-patient disputes

Objective To study the mental health status of nurses after nurse-patient dispute and its relevant factors. Methods After the nurse-patient dispute one week later, a case control study on 36 nurses in dispute group and some in normal control group was performed. The following three questionnaires are administered by each subject: the symptom sheck list 90 (SCL-90), the simplified coping style questionnaire (SCSQ) , the social support rating scale (SSRS). Results The total scores, the average value of the total scores in dispute group were significantly higher than those for the Chinese adult norm and the control group (P <0. 05 and P <0. 01). Coping style and social support were significantly associated with the status of the mental health (P <0. 05 and P <0.01). Conclusions The mental health levels of nurse in dispute group were obviously lower than common group, and obviously effected by coping style and social support. Key words: Nurse-patient relations; Social support; Questionnaires; Mental health; Adaptation; psychological

The latent nurse-patient disputes existed in the return visit to the patients out of hospital and the preventive measures

目的 探讨出院患者回访工作中潜在的护患纠纷问题和防范措施,防止和减少纠纷的发生.方法通过对近3年38 569例患者的回访过程中出现的一些问题和回访工作进行分析,找出可能发生纠纷的环节和原因,提出5项防范对策并落实.结果有效地防范了护患纠纷的发生.结论增强法律意识,认真细致地做好回访中的各项工作,可以防范护患纠纷的发生。