Nursing Management Mode Research Articles

Study on the Application of Integrated Medical and Nursing Care Model in the Postoperative Period of Patients with Sclerotherapy for Esophageal Varicose Veins

Objective: To explore the application effect of medical and nursing integration management mode in the postoperative period of patients treated with sclerotherapy for esophageal varices. Methods: Randomly divided 64 cases of esophageal varices patients admitted to our hospital from October 2022 to October 2023 who underwent surgical treatment into two groups, and gave 32 cases of patients in the control group postoperative implementation of basic nursing care, and 32 cases of patients in the research group postoperative implementation of healthcare integration management mode, and compared the effect of the nursing care of the two groups of patients. Results: There are differences in nursing satisfaction, incidence of postoperative rebleeding, complication rate, and patients’ knowledge of disease-related common grip scores between the two groups of patients with esophageal varices after nursing care (P < 0.05), which is statistically significant. Conclusion: The implementation of integrated medical and nursing management mode for postoperative patients with sclerotherapy for esophageal varices has a significant effect on the prognosis of patients, reduces the occurrence of complications, and shortens the length of hospital stay.

Observation on the Effect of Rapid Rehabilitation Nursing with Integrated Medical Care in Perioperative Period of Laparoscopic Appendicitis in Children.

Acute appendicitis is one of the most common causes of acute abdomen in pediatric surgery. The purpose of this study was to observe the effects of integrated rapid rehabilitation nursing in children with laparoscopic appendectomy (LA) during the perioperative period. A total of 200 children with appendicitis who underwent LA in our hospital from January 2022 to January 2023 were retrospectively selected as the study subjects. According to the nursing mode, they were divided into a control group (n = 100) and an observation group (n = 100). The control group was treated with routine nursing intervention, and the observation group was treated with an integrated rapid rehabilitation nursing intervention. Perioperative indices (operation time, first postoperative exhaust time, length of hospital stay) were recorded and compared between the two groups. The visual analog scale (VAS) was used to score the two groups at 6 h, 12 h, 24 h, and 48 h after surgery, and the pain degree of the children was quantitatively evaluated. The levels of serum stress response indices (cortisol (Cor), norepinephrine (NE), and adrenocorticotropic hormone (ACTH)) in the two groups were measured. The incidence of postoperative complications, improvement of postoperative quality of life, and nursing satisfaction were compared between the two groups. The operation time, first postoperative exhaust time, and hospitalization time in the observation group were significantly shorter than those in the control group (p < 0.05), and the VAS scores of the patients in the observation group were lower than those in the control group at each time point of 6 h, 12 h, 24 h, and 48 h after surgery (p < 0.05). One hour after surgery, the serum Cor, NE, and ACTH levels of the two groups of patients were significantly higher than those before surgery, and the levels for the observation group were significantly lower than those of the control group (p < 0.05). After treatment, the quality of life scores of patients in both groups was significantly higher than before treatment, and the quality of life scores of patients in the observation group was significantly higher than that of the control group (p < 0.05). The postoperative complication rate of the observation group was 3.00% (3/100), which was significantly lower than that of the control group (13.00% (13/100)) (χ2 = 6.793, p = 0.009). The nursing satisfaction of the observation group was 95.00% (95/100), which was significantly higher than that of the control group (79.00% (79/100)) (χ2 = 11.317, p = 0.001). The integrated rapid rehabilitation nursing management mode is an intervention that can effectively alleviate the effects of LA on stress reactions and pain in children with appendicitis. It can effectively reduce the incidence of postoperative complications and improve the patient's nursing satisfaction, allowing children with appendicitis to recover as soon as possible after surgery, and can improve patients' quality of life. It helps to improve the overall clinical efficacy, and the treatment process is simple to operate, relatively safe and reliable, has high use value, and is worthy of further promotion in clinical treatment.

Exploration and Application of the Peri-anesthesia Nursing Management Mode of the Five-Sphere Integrated Plan.

Objectives: The objective of this research was to test the application of peri-anesthesia nursing management (anesthesia preparation room, operating room, recovery room, post anesthesia visit, and anesthesia general management) on hospital services. Methods: We used a quantitative research design to collect data from 311 nurses, with structural equation modeling used for data analysis. Results: The application of the peri- anesthesia nursing management mode of the five-sphere integrated plan impacted hospital services for patients. Conclusion: The practice of the five-sphere integrated mode not only highlighted the professional characteristics of anesthesia nursing, but also ensured the quality of medical treatment of patients during peri-anesthesia, and provided new ideas and references for nursing management of other specialties.

The Impact of 3S2E Nursing Management on the Psychological Status of Respiratory Function and Quality of Life of Patients with Severe Pneumonia in the ICU.

Objective This study examines the effects of the 3S2E nursing management mode on patients with severe pneumonia in the intensive care unit's respiratory function, psychological status, and quality of life (ICU). Methods According to a random number table, 82 ICU patients with severe pneumonia who were admitted between March 2021 and March 2022 were enrolled and assigned to the control and observation class (n = 41, respectively) in a 1 : 1 ratio. The observation class added 3S2E manner in addition to ordinary breastfeeding, whereas the control class received treatment in the usual nursing mode. The two groups' preintervention and postintervention times for mechanical ventilation, white blood cell count (WBC) recovery, duration of hospital stay, problems, respiratory function, psychological state, and living quality were compared. Results Fever time abatement, mechanical ventilation time, WBC recovery time, and length of hospital stay in the observation category were found to be shorter in comparison with the control class (P < 0.05). In contrast to the other group, the observation group had fewer issues (P < 0.05). Both teams' oxygenation indices and SaO2 were higher after the intervention (P < 0.05), with the observation team's index being higher than the control group's index. The total SAS and SDS scores of the two groups were less in the postintervention period than in the preintervention period, with the observational class having lower postintervention SAS and SDS ratings than the comparison group (P < 0.05). The postintervention ratings in the observation class were higher than those in the control, and the World Health Organization Quality of Life (WHOQOL) scale scores in the 2 categories were greater after the intervention than they were before (P < 0.05). Conclusion 3S2E nursing management model improves respiratory function, alleviates negative emotions, and improves living quality in ICU patients with severe pneumonia.

The influencing factors of clinical nurses’ problem solving dilemma: a qualitative study

ABSTRACT Purpose Problem solving has been defined as “a goal-directed sequence of cognitive and affective operations as well as behavioural responses to adapting to internal or external demands or challenges. Studies have shown that some nurses lack rational thinking and decision-making ability to identify patients’ health problems and make clinical judgements, and have poor cognition and response to some clinical problems, easy to fall into problem-solving dilemma. This study aimed to understand the influencing factors of clinical nurses’ problem solving dilemma, to provide a basis for developing training strategies and improving the ability of clinical nurses in problem solving. Methods A qualitative research was conducted using in-depth interviews from August 2020 to December 2020. A total of 14 participants from a tertiary hospital in Shanghai, China were recruited through purposive sampling combined with a maximum variation strategy. Data were analysed with the conventional content analysis method. Results Three themes and seven subthemes were extracted: nurse’s own factors (differences in knowledge structure and thinking, differences in professional values, poor strain capacity); improper nursing management (low sense of organizational support, contradiction between large workload and insufficient manpower allocation); patient factors (the concept of emphasizing medicine and neglecting to nurse, individual differences of patients). Conclusion The influencing factors of clinical nurses’ problem-solving dilemma are diverse. Hospital managers and nursing educators should pay attention to the problem-solving of clinical nurses, carry out a series of training and counselling of nurses by using the method of situational simulation, optimize the nursing management mode, learn to use new media technology to improve the credibility of nurses to provide guarantee for effective problem-solving of clinical nurses.

Analysis of the integrated nursing management mode of grid responsibility system in improving the quality of nursing in the hospital.

article: Analysis of the integrated nursing management mode of grid responsibility system in improving the quality of nursing in the hospital - Panminerva Medica 2022 Sep 14 - Minerva Medica - Journals

The Application of Nurse Stratified Management in Nursing Management.

Objective To explore the application value of nurse stratified management in nursing management. Methods One hundred nurses who worked in our hospital from June 2019 to September 2021 were recruited and assigned via the random number table method to an observation group (n = 50) and the control group (n = 50). The control group received routine nursing management, and the experimental group received stratified nursing management. The nursing quality, practice happiness, error rate, patient complaint, and patient satisfaction were compared between the two groups. Results The experimental group showed a significantly higher nursing quality than the control group (P < 0.05). The experimental group had significantly higher practice happiness among nurses than the control group (P < 0.05). Stratified nursing management mode resulted in a significantly lower error rate and patient complaint versus routine nursing management mode (P < 0.05). Patients were more satisfied with stratified nursing management than with the routine nursing management (P < 0.05). Conclusion The nurse stratified management method effectively improves the nursing quality and practice happiness of nurses, reduces the error rate of nursing and patient complaint, and increases nursing satisfaction.

Application of Integrated Nursing Management Mode in Elderly Acute Left Heart Failure Combined with Ventilator-related Pneumonia

Application of Integrated Nursing Management Mode in Elderly Acute Left Heart Failure Combined with Ventilator-related Pneumonia

Observation of the Effect of High-quality Nursing Management Mode Applied in Nursing Management of Nephrology Department

Observation of the Effect of High-quality Nursing Management Mode Applied in Nursing Management of Nephrology Department

The Effect of MDT Collaborative Nursing Combined with Hierarchical Nursing Management Model on the Quality of Life and Comfort of Patients with Gallbladder Stones Combined with Acute Cholecystitis after Surgery.

Objective To explore the effect of MDT (multidisciplinary team) collaborative nursing combined with hierarchical nursing management mode on the quality of life and comfort of patients with gallbladder stones combined with acute cholecystitis after surgery. Methods A total of 120 patients with gallbladder stones and acute cholecystitis who were treated in our hospital from March 2019 to March 2021 were selected as prospective research objects. According to the order of care, they were divided into control group and observation group with 60 cases each. Among them, the control group implements a hierarchical nursing management model, and the observation group implements MDT collaborative nursing based on this and compares the impact of the two groups on patient's quality of life scores, daily self-care ability, nursing satisfaction, and comfort after nursing. Results Before nursing, the comparison of the quality of life score, nursing comfort, and nursing ability of the two groups of patients was not statistically significant (P > 0.05). After nursing, the mental vitality score, social interaction score, emotional restriction score, and mental status of the observation group were significantly higher than those of the control group. Statistics showed that the difference was statistically significant (P < 0.05). After nursing, the scores of social comfort, physical comfort, and psychological comfort of the observation group were significantly higher than those of the control group, and statistics showed that the difference was statistically significant (P < 0.05). The health knowledge level, self-care skills, self-care responsibility, and self-concept of the observation group after nursing were higher than those of the control group, while the score of depression and mood disorder was significantly lower than that of the control group. Statistics showed that this difference was statistically significant (P < 0.05). After nursing, patients in the observation group had higher operating technique scores, service attitude scores, health education scores, psychological intervention scores, and nursing quality scores than those of the control group. Statistics showed that the difference was statistically significant (P < 0.05). Conclusion MDT collaborative nursing combined with hierarchical nursing management mode can effectively improve the self-care ability of patients with gallbladder stones complicated with acute cholecystitis, effectively improve the quality of life of patients, and improve the satisfaction and comfort of patients with nursing care. The postnursing care of patients after inflammation has a certain reference value.

Analysis of Application Effect of Pain Nursing Management Mode in Spinal Orthopedic Ward

Analysis of Application Effect of Pain Nursing Management Mode in Spinal Orthopedic Ward

Effect Analysis of Hospital Nursing Management Based on Informatization

Objective: To explore the effect of hospital nursing management based on informatization. Methods: 167 inpatients from different departments in our hospital from June 2020 to November 2019 were randomly selected and divided into control group and observation group.83 cases in the control group were treated with traditional nursing management mode; 87 cases in the observation group used modern nursing information management system for information-based nursing management, and then compared the two groups in terms of nursing management efficiency, patient basic nursing, ward management, specialized nursing and nursing satisfaction, so as to verify the clinical application effect of information-based nursing management. Results: After the application of information-based nursing management mode, the construction and application of information management system made the nursing management process more standardized and accurate. Therefore, the clinical nursing efficiency, basic nursing, ward management, specialized nursing and nursing satisfaction of the observation group were better than those of the control group. Conclusion: In the practice of hospital inpatient nursing management, the scientific use of information technology and information management system can significantly improve the efficiency of patient nursing management and nursing satisfaction, and play a key role in improving the prognosis of patients. Therefore, it is worth popularizing and applying in the whole hospital and even the national grass-roots hospitals.

Effect of Safety Nursing Management Mode on Hospitalization Safety and Complications of Senile Dementia Patients

Effect of Safety Nursing Management Mode on Hospitalization Safety and Complications of Senile Dementia Patients

Influence of Standardized Nursing Management of Hospital Based on Smart Electronic Medical Blockchain on Nursing Quality of Digestive Endoscopy Room.

With the increase of the incidence rate of digestive system diseases, digestive endoscopy has become an essential measure. The nursing quality of digestive endoscopy room will have a direct impact on the examination results and treatment effect, so improving the nursing quality of digestive endoscopy room has always been the focus of attention. In this paper, the smart electronic medical blockchain technology and hospital standardized nursing management mode are combined to develop the smart medical standardized nursing management mode. Firstly, 88 patients with digestive endoscopy in a hospital from October 2018 to October 2019 were selected as the experimental subjects: 44 cases in the control group and 44 cases in the experimental group. The control group implemented the traditional management mode of digestive endoscopy room, and the experimental group implemented the standardized nursing management mode of smart medicine. The blood pressure level before and after nursing and the probability of adverse reactions in the process of nursing were counted. After nursing, the patients were asked to fill in the nursing satisfaction questionnaire, evaluate the nursing quality of nursing staff, and make statistics and comparison on the occurrence of safety events in digestive endoscopy room. After nursing, the systolic pressure drop of the experimental group was 125.36 ± 7.27 mmhg, diastolic pressure drop was 73.24 ± 4.21 mmhg, and the incidence of adverse reactions was 11.36%. The satisfaction rate of the experimental group was 15%, 29.55%, and 22.73% higher than that of the control group. The average scores of nursing skills, operation level, and examination results of nursing staff in the experimental group were 94.49, 95.12, and 95.89, respectively; the qualified rate of disinfection of digestive endoscopy room in the experimental group was 100%, the degree of cooperation between doctors and nurses was 100%, the timely rate of emergency measures was 95.45%, and the incidence of accidents was 0%. This shows that, under the standardized nursing of smart medicine, the blood pressure of patients is more stable, the incidence of adverse reactions is lower, the nursing satisfaction is higher, and the nursing quality of nursing staff and the safety of digestive endoscopy room are also improved.

Application of Closed-Loop Nursing Management Mode in Neurology Department

Application of Closed-Loop Nursing Management Mode in Neurology Department

Application effect of high-quality nursing management mode in outpatient treatment of chronic laryngopharyngitis by atomization inhalation.

Application effect of high-quality nursing management mode in outpatient treatment of chronic laryngopharyngitis by atomization inhalation.

The evaluation of meticulous and humanized nursing management mode on patient's physiology, psychology and comfort level as well as the incidence of adverse events in operating room.

article: The evaluation of meticulous and humanized nursing management mode on patient’s physiology, psychology and comfort level as well as the incidence of adverse events in operating room - Panminerva Medica 2020 May 14 - Minerva Medica - Journals

Practice and effectiveness of improving nursing quality in primary hospitals under the model of overall trusteeship

Objective To explore the application effect of high quality nursing resources sinking in primary hospitals nursing quality management under the model of overall trusteeship. Methods In January 2017, through the establishment of a nursing custody assistance team, high-quality nursing resources were integrated to sink to the primary hospitals (Ningbo Daxie Development Zone Hospital) , improving the nursing management system and nursing quality control three-level system, strengthening nursing quality supervision, performance assessment and diversified training of nursing talents. The quality of care, nurse bedside comprehensive ability, nurse job satisfaction, professional identity, and patient satisfaction before and after trusteeship for 2 years were observed and compared. Results After 2 years of trusteeship, the scores of nursing quality in all dimensions and total score were significantly higher than those before the trusteeship, and the differences were statistically significant (P<0.05) . After 2 years of trusteeship, nurse bedside comprehensive ability and job satisfaction of the nurses were significantly higher than those before the trusteeship (χ2=16.97, 40.08; P<0.01) . After 2 years of trusteeship, the scores of professional identity in all dimensions and total score were higher than those before the trusteeship, and the differences were statistically significant (P<0.01) . After 2 years of trusteeship, the patient satisfaction was higher than that before the trusteeship, and the difference was statistically significant (χ2=30.40, P<0.01) . Conclusions Under the overall trusteeship mode, high-quality nursing resources are sunk into primary hospitals, and scientific nursing management and talent training innovation mode are implemented, which effectively improve the nursing quality of the trusteeship hospital, improve the job satisfaction of nurses and patients' satisfaction, and promote the sustainable development of the trusteeship hospital. Key words: Nursing administration research; Nursing quality; Trusteeship hospital; Professional identity; Job satisfaction

Application of Nursing Quality Index Management in Reducing the Infection of Tunnel-Cuffed Hemodialysis Catheter

Objective: To explore how the nursing quality management reduces the infection of tunneled-cuffed hemodialysis catheter (TCC). Methods: The TCC infection rate from January 1st to December 31th was used as the baseline data, and the TCC infection rate from January 2014 to December 2017 was used for annual comparison. Through the nursing quality index management mode, the TCC infection rate was compared quarterly, annually and year by year by taking the measures of joint ward checking, optimizing nursing process, analyzing the root cause of infection cases and formulating countermeasures. Results: The Centre has been implementing the management of nursing quality indicators since 2014. TCC infection rate is an important part of Quality of Nursing Index Management. The comparison between 2013 and 2014 (X2 = 4.20, P = 0.04) was P < 0.05, which was statistically significant. TCC infection rate dropped from 1.19‰ in 2013 to 0.51‰ in 2017. The number of TCC patients and indwelling catheter days increased year by year from 2013 to 2017, but the rate of TCC infection decreased year by year. Conclusion: The nursing quality index management can effectively reduce the incidence of TCC infection.

Nursing emergency management practice of COVID-19 in a traditional Chinese medicine hospital

Nursing work is an integral part of hospital work. Under the challenge of the COVID-19 epidemic, it is particularly important to establish a timely and efficient nursing management system. The nursing department of our hospital used the theory and method of feedforward control to formulate the emergency plan for epidemic prevention and control and to conduct drills. The plan includes the establishment of the emergency management system for epidemic nursing and key prevention and control positions, rational allocation of human resources, and strengthening personnel training, so as to ensure the efficient operation of nursing epidemic prevention and control work and provide a reference for nursing management mode during the epidemic.