Nurses In Observation Group Research Articles

Rapid Rehabilitation in Urological Surgery with Psychological and Preoperative Care

Urological surgery patients will be studied to see whether a combination of rapid recovery surgery and psychological nursing might help them recover more quickly. Methods There were 74 patients identified and treated in our urological surgery department between April 2020 to April 2022, and they were separated into two groups: the control group and the observation group, with 37 cases in each. During the preoperative period, the control group received regular nursing care, whereas the observation group was exposed to the quick recovery surgical concept in conjunction with psychological nursing care. In the end, here's what happened: Patients in the observation group spent less time getting out of bed and tiring themselves during the first hour after insertion of the drainage tube than those in the control group (P0.05). A larger percentage of the observation group's nurses were satisfied with their work than the control group's nurses, at 94.59 percent (P0.05), while the observation group's complication rate was lower than the control group's (at 18.91 percent) at 8.11 percent (P0.05). Fast recovery surgery coupled with psychological nursing may help patients recover from surgery, minimize the time it takes for them to get out of bed and indwell the drainage tube, enhance their psychological condition, and lower their risk of problems. As a nursing intervention strategy, it is both effective and practical.

Intervention of Balint group on the emotional labor and job burnout of nurses in cardiology

Objective: To explore the effect of Balint group on the emotional labor and job burnout of nurses in cardiology, to provide a reference for improving the mental health of nurses in cardiology. Methods: A total of 78 pediatric nurses were randomly divided into observation group and control group by the random number table, 39 observation group nurses were received general nursing training and the intervention of 8- week Balint group, 39 control group nurses were not received anything intervention. Before and after the intervention of 8 weeks, The Emotional Labor Scale(ELS) and Maslach Burnout Inventory(MBI) were used to evaluate the emotional labor and job burnout of nurses. Results: The age of the nurses in the observation group was(26.3±2.7) years old, with 13 undergraduates and 26 specialists; the age of the nurses in the control group was (25.8±2.1) years old, with 14 undergraduates and 25 specialists. After 8 weeks intervention, the surface action score of ELS of observation group was significantly lower than the control group, the deep action and emotional display requirement scores of ELS of observation group were significantly higher than the control group, the differences were statistically significant (P<0.05). The emotional exhaustion and depersonalization factor scores of MBI of observation group were significantly lower than the control group, the personal accomplishment factor score of MBI of observation group was significantly higher than the control group, the differences were statistically significant (P<0.05). Conclusion: The use of Balint group may have contributed to improving emotional lab and job burnout of nurses in cardiology in a large degree.

Effects of magnetic hospital concept in nursing management of Operating Room

Objective To explore the effects of magnetic hospital concept in nursing management of Operating Room. Methods From January to December 2018, this study selected 60 nurses in Department of Anesthesia Operation of Maoming People's Hospital of Guangdong Province by cluster sampling. All of nurse were divided into control group and observation group with the method of random number table, 30 cases in each group. Control group carried out the routine management model of Operating Room, while observation group implemented the nursing management model of Operating Room based on magnetic hospital concept. Working satisfaction and working pressure of nurses between two groups were compared. Results The working satisfaction of nurses in observation group was higher than that in control group; the scores of working pressure of nurses in observation group were lower than those in control group with statistical differences (P<0.05) . Conclusions The magnetic hospital concept-based nursing management model of Operating Room can reduce nurses' working pressure and improve their working satisfaction which is worthy of popularization. Key words: Operating Room; Nursing administration; Magnetic hospital; Working pressure; Satisfaction

The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy

Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor’s advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P< 0. 05). There is also a significant difference in the occurrence of constipation between the two groups with 6 cases in control group but 0 in observation group (χ2=4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ2=5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients’ comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.

Effect evaluation on influence of outpatient guidence training on communication and listening skills of newly graduated nurses

Objective To evaluate the effect on communication and listening ability of newly graduated nurses while outpatient guidence training. Method According to the ratio of 1:1, a total of 102 new nurses who were recruited from 2015 to 2016 and met the criteria were divided into observation group and the control group by envelope method. Nurses in the two groups were rotated into the guiding post and clinical department, and all nurses participated in the training for 12 months. Evaluated the communication and listening ability of the two groups nurses before and after the training. Results After the training, the total scores of communication and listening ability of nurses were 93.36±9.00 and 78.66±7.26 respectively in observation group, 86.84±9.67, 71.38±8.48 respectively in control group, the differences between the two groups were significant(t=3.61, 4.60, all P=0.00). After the training, correlation analysis showed that communication ability of observation group nurses was correlated with age, only-child and nursing professional attitude in the general situation factors (r=0.20-0.24, P<0.05). Conclusions The rotational training of guidance post can significantly improve the communication and listening abilities of nurses, and it will be helpful to the future career path of these nurses. Through training, we can understand the main factors that affect the communication and listening ability of nurses by the two training methods, and provide useful reference for future training. Key words: Outpatient guidance; Newly graduated nurses; Communication ability; Listening ability

Application of comprehensive nursing care in enhanced CT scan

Objective To explore the effects of comprehensive nursing care on adverse reactions of contrast media in enhanced CT scan. Methods From November to December 2016, we selected 4 413 patients with enhanced CT scan in Cancer Hospital of Peking Union Medical College. All of the patients were divided into control group and observation group with the random number table. There were 2 010 cases in control group with routine nursing, while there were 2 403 patients in observation group with comprehensive nursing. We observed the adverse reactions and satisfaction with nursing among patients with enhanced CT scan between two groups. Results The incidence of adverse reactions of observation group was lower than that of control group; the patients' satisfaction with nursing of observation group was higher than that of control group; the differences were all statistical (P<0.05) . Conclusions Comprehensive nursing care can reduce the incidence of adverse reactions of contrast media and improve satisfaction with nursing among patients with enhanced CT scan. Key words: Nursing care; Adverse reactions; Enhanced CT scan; Contrast media; Nursing satisfaction

The Influence of Stratified Training with Post Obligation as the Core on the Comprehensive Ability of Junior Nurses

Objective: To explore the effect of stratified training with post obligation as the core to improve the comprehensive ability of junior nurses. Methods: 565 nurses with low seniority were divided into two groups: observation group and control group. 283 participants adopted the hierarchical training model with post obligation as the core.To determine the post responsibilities of nursing staff with low seniority on the basis of post setting and post access. According to the job responsibilities of nurses with low seniority to determine the training content of nurses with low seniority, refined comprehensive quantitative assessment standards.The assessment is taken as an important basis to test the training effect and the completion of the post responsibilities of the nursing staff with low seniority. Form a trinity of job responsibilities, training content and assessment standards training mode. The training effects of the two groups were compared. Results: The evaluation results, patient satisfaction and training satisfaction of nurses in observation group were all higher than those in control group. There were statistically significant differences between the two groups (all p &lt; 0.05). Conclusion: Stratified training based on post obligation as the core can combine the post demand of junior nurses, improve the learning enthusiasm and post competence, and thus improve the quality of service.

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

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

Effect of clinical nursing pathway in peri-operation period for patients with common bile duct stones undergoing endoscopic retrograde cholangio-pancreatography

Objective To investigate the effect of clinical nursing pathway in peri-operation nursing for patients with common bile duct stones undergoing endoscopic retrograde cholangio-pancreatography (ERCP) . Methods A total of 80 patients with common bile duct stones admitted from April 2016 to April 2017 were randomly divided into control group (n=40) and observation group (n=40) in Endoscopy Center of Neijiang First People's Hospital. Patients in the control group were given routine nursing while patients in the observation group were treated with clinical nursing pathway care during peri-operation period. Clinical indexes, medical expense, clinical events, psychological emotion, pain, comfort, postoperative complications and nursing satisfaction of two groups were compared. Results For the observation group, incision healing time was (6.31±0.86) d; initial off bed time was (2.09±0.67) d; hospital stays was (7.91±0.90) d; and medical expense was (3 526.15±875.26) yuan which were shorter and lower than those of the control group (t=8.280, 9.307, 7.334, 6.963; P<0.01) . Incidence rate of complication of the observation after operation was lower than that of the control group (12.5% vs. 40.0%, χ2=7.813, P<0.01) . There were more people who were satisfied with nursing of observation group than that of control group (17 vs. 8, Z=-2.889, P<0.01) . Conclusions The clinical nursing pathway has significant clinical effect in treatment of patients with common bile duct stones undergoing ERCP, which can improve the recovery efficiency, patients' comfort, reduce complication incidence rate, and enhance the nursing satisfaction as well. Key words: Perioperative nursing; Clinical nursing pathways; Endoscopic retrograde cholangio-pancreatography; Common bile duct stones

Construction and effect evaluation of training and assessment system for new nurses in the internet age

Objective To establish a standardized training and assessment system for new nurses in the internet age and investigate the application effect of the system on the standardized training of new nurses. Methods From March 2015 to March 2017, a standardized training program was formulated based on national training program for new nurses. Nursing training massive open online courses (MOOC) were constructed in the cooperation with software company. A scientific and efficient system for the management, training and assessment of new nurses was established depended on nursing management system and educational network platform. A number of 97 nurses recruited in 2014 were served as control group and trained with traditional training methods between March 2015 and March 2016. Another 96 nurses recruited in 2015 were acted as observation group and treated with standardized training based on the new system in the internet age between March 2016 and March 2017. The training and assessment effects of new nurses were compared between two groups. Results The perfect rate of personal information and participation rate of training of nurses in the observation group were 97.83% and 100.00%, which were significantly higher than those in the control group (χ2=7.158, 7.034; P<0.01) . The training time of nurses in the observation group was (21.45±2.87) h, which was shorter than the control group's (35.12±3.75) h (t=28.479, P<0.01) . The excellent and good rates for the theoretical exam of new nurses in the observation group were 17.39% and 56.52% and the excellent and good rates for operation examination and clinical practice ability examination of new nurses in observation group were 11.96% and 69.56%, which were significantly higher than those of the control group (Z=-3.736, -4.000; P<0.01) . The satisfaction rate of new nurses to the training and assessment in the observation group was 97.82%, which was higher than that of the control group (82.47%) . The difference was statistically significant (χ2=14.808, P<0.01) . Conclusions The standardized training and assessment system using MOOC for new nurses in the internet age could improve the effectiveness of standardized training and satisfaction for new nurses, which is beneficial to the improvement of the nursing training quality and management benefit. Key words: Inservice training; Internet; New nurse; Massive open online course; Assessment

Application of whole-process standardized health education management mode in patients with hematopoietic stem cell transplantation

Objective To explore the effect of whole-process standardized health education management mode in patients with hematopoietic stem cell transplantation. Methods A total of 80 cases of patients aged 16 and above who had been transplanted from the department of hematopoietic stem cell transplantation from April 2013 to August 2014 were selected as the study subjects, and were divided into observation group and control group, 40 cases of each group.The control group adopted the traditional education model of health.The observation group combined with the psychological test, according to the scheme of hematopoietic stem cell transplantation table, the transplant process analysis the characteristic of each period, make the standardization, targeted health education content, timely implementation of health education to patients, and the evaluation of the effect.The results of education quality control standard and patients' satisfaction table of education were evaluated. Results The observation group's nurses were able to follow the standardized health education process and time to health education.Its health education effect and patients' satisfaction with health education were higher than those in the control group, and the differences were statistically significant(P<0.01). Conclusion According to the standard healthy education process, the health education time and content can be accurately grasped, which promotes the complete, continuous and standardized implementation of education, improve the rate and effect of education health and improve the patient's satisfaction. Key words: Whole-process standardized; Health education management mode; Hematopoietic stem cell transplantation

Application of video ward rounds based on WeChat in the training of junior nurses in Operation Room

Objective To explore the effect of video ward rounds based on WeChat in the cultivation of junior nurses in Operation Room. Methods From January 2016 to January 2017, 50 nurses who work for less than 5 years in the Operation Room of Taizhou Central Hospital of Zhejiang Province were selected as the research object by convenient sampling method. They were randomly divided into the observation group and the control group, each with 25 nurses. Nurses in the control group received the traditional teaching method, while nurses in the control group were given the teaching method of video ward rounds based on WeChat. We compared the theoretical scores, scores of operating performance and the scores of emergency ability between the nurses of two groups. Results The theoretical scores of the nurses in the observation group were (84.33±6.21) points, and the control group was (82.38±5.76) points, and the difference was not statistically significant (t=1.507, P=0.297) ; The scores of operating performance and the scores of emergency ability of the nurses in the observation group nurses were (92.19±3.16) and (92.33±3.85) points, they were higher than the control group[ (87.81±4.13) and (88.86±3.65) points], the difference was statistically significant (t=3.862, 3.002; P<0.05) . Conclusions The video ward rounds based on WeChat can improve the performance of operation and emergency handling ability among junior nurses, and it is worth popularizing. Key words: Nurses; Operation rooms; WeChat; Video; Ward rounds; Junior

The application of PDCA cycle in the hierarchical training of the nurses

Objective To explore the effect of the application of PDCA cycle in the hierarchical training of the nurses in our hospital. Methods The nurses who were trained in the hospital in 2013 and 2014 were chosen as the research objects and were divided into control group and observation group.The nurses in the control group adopted the traditional platform training mode, and the observation group nurses were intervened by the PDCA cycle method.The pass rates of sanki theory knowledge, closed intravenous infusion technology, CPR skill and simple respirator application technology, defibrillation technology, and the average score of core capacity of nurses at different level were compared. Results The pass rates of sanki theory knowledge, closed intravenous infusion technology, CPR skill and simple respirator application technology, defibrillation technology of the observation group was all significantly higher than that of the control group.And the average score of core capacity of nurses at different level of the observation group was all significantly higher than that of the control group.And all these differences were statistically significant (P< 0.05). Conclusion PDCA management method applied to the nurse training work can significantly improve the nurses' theory knowledge, skills and core competencies. Key words: PDCA cycle; Stratified training for nurses

Effect evaluation of meta-mood ability training on improvement of job satisfaction degree of nurses

Objective To explore the effect of meta-mood ability training for improving job satisfaction of nurses.Methods A total of 120 nurses were randomized into the observation group and the control group (60 cases in each group).The observation group received meta-mood ability training,while the control group was given routine training.The meta-mood ability and job satisfaction degree were investigated.Results After the intervention,job satisfaction degree and the meta-mood ability level of the observation group nurses were improved than that of the control group.Conclusions The meta-mood ability training is effective in improvement of job satisfaction degree of nurses,as well as increase clinical service quality of nurses. Key words: Meta-mood; Nurses; Job satisfaction degree

Application of bedside observation hint card in postoperative care of renal transplantation patients

Objective To explore the effect of the bedside observation hint card on the postoperative care of renal transplantation patients.Methods Based on the condition changing characteristic of renal transplantation patients and designed the bedside observation hint card.Totals of 120 patients were divided into observation group( n =60 ) which used the bedside observation hint card,and control group (n =60 ) used traditional bedside oral Shift.The patients' satisfactions were investigated after the patents discharged from ICU.Results There was 59 paients in observation group showed satisfaction,and that of the control group was 56,and the difference was statistically significant ( x2 =46.285 7,P ＜ 0.05 ).The number of nurses who were praised by patients,negative opinions on nursing of observation group was significantly better than that of the control group ( x2 =4.760 0,37.515 6,respectively; P ＜ 0.05 ).Conclusions Application of the bedside observation hint card in postoperative care of renal transplantation patients can improve patients' satisfactions and it can be used widely in Intensive Care Unit. Key words: Kidney transplantation; Nursing; Bedside observation hint card

Application and Research of APACHE II and FIM Score on Nursing of critical patients

目的 探讨APACHEⅡ评分法(第二代急性生理学和慢性健康状况评分)及FIM(功能独立性测定)在制定危重病人护理措施中的应用效果.方法 将120例危重病人随机分为观察组(60例)和对照组(60例).观察组每天进行APACHEⅡ及入院和出院时FIM评分,并根据评分结果进行护理人员配置和实施护理对策;对照组按护理级别及疾病种类实施常规护理.比较两组危重病人住院时间、医疗费用的差异及住院期间并发症发生率护士对护理资源配置的满意度和患者家属对护理工作的满意度.结果 观察组住院时间、医疗费用、并发症发生率均显著低于对照组(均雅<0.05):患者对护理工作的满意度以及护士对护理资源配置的满意度均显著高于对照组(P值<0.05,P值<0.01).结论 APACHEⅡ及FIM评分的应用可指导护理人力的合理调配,有利于护士对疾病严重程度评估,并提高对病情预后的预见性,实施相应的护理措施,提高护理质量及患者满意度。