Seniority Nurses Research Articles

The influence of family nurses' cooperation on the puncture success rate of intravenous infusion indwelling needle in children

Objective To explore the effect of family nurses' cooperation on the puncture success rate of intravenous infusion indwelling needle in children. Methods A total of 100 pediatric patients receiving intravenous infusion in the First Hospital of Wuhan from March 2016 to March 2017 were selected and were divided into Group A (nurse single operation) and Group B(family nurse collaboration) with 50 cases each according to the random number table.The success rate of one-time catheterization, compliance, pain, satisfaction of family members and occurrence of adverse reactions were compared between the two groups. Results The success rate (94%), compliance (74%) and family satisfaction (94%) of the children in Group B were significantly higher than those in Group A (64%, 46% and 78%), and the pain level (47 patients with grade 3 and below) in Group B was significantly lower than that in Group A (40 patients with grade 3 and below), with statistically significant differences (P 0.05). Conclusions The participation of family members can improve the success rate of intravenous infusion indwelling needle puncture, relieve the pain, improve the compliance, reduce adverse reactions and improve the satisfaction of family members on the quality of nursing. Key words: Family involvement; Low seniority nurses; Intravenous indwelling needle in children; Puncture success rate

Influenza related knowledge and defensive behavior of low seniority nurses in respiratory related departments

Objective To investigate the awareness of influenza knowledge, personal protection consciousness and among young nurses in respiratory related departments. Methods One hundred and eight young nurses in respiratory related departments were investigated and analyzed by using the self-designed questionnaire of influenza related knowledge and protective behavior . Results The score of influenza related knowledge and of young nurses was relatively low. The compliance rate of wearing masks was 95.37%. The accuracy of wearing masks was 79.63%. The compliance rate of hand hygiene was 47.54%. The percentage of young nurses accepting influenza vaccine was 32.40%. Conclusions The awareness rate of influenza related knowledge and of young nurses is relatively low. Personal protective consciousness and need to be further improved. Hospitals need to strengthen the training of influenza related knowledge for young nurses and provide timely and effective protection. Key words: Influenza; Young nurses; Investigation and analysis

Application of low seniority nurses safety training in health-safety-environment management system

Objective To explore the effective nursing and long-term safety training mode, early intervention on safety awareness of junior nurses, regulate the safety behavior, ensure patient safety. Methods The ideas and methods of HSE management system (health, safety and environment trinity management system) were introduced, from training needs research, safety courses design, safety behavior training, training process management,safety knowledge clinical application and training quality control implementation of systematic management.From 2013 to 2014 low seniority nurses safety training for 2 years, including new hospital nurse per year.Taking the self contrast before and after experimental design, safety knowledge to master the situation, the nurse's satisfaction and quality of care and safety management before and after training were compared. Results The actual class qualified rate and safety knowledge awareness and the excellent and good rate of safety skills assessment after training were 80.10%(157/196), 92.34% (181/196),96.43% (189/196), which were higher than those of 65.30% (128/196), 81.63% (160/196), 88.78% (174/196) before training, and the differences were statistically significant,χ2=10.81,9.94,7.07,P< 0.01. The overall satisfaction of the nurses for safety training was 92.35%(181/196)after training, which was higher than that of 80.61% (158/196)before training, the difference was statistically significant,χ2=16.37, P < 0.01.The qualified rate of nursing quality for the critically ill patients after training was 90.13%(210/233), which was higher than that of 81.48%(176/216) before training, the difference was statistically significant, χ2= 6.94,P < 0.01. The patient safety and quality, the quality of nursing records were 95.81% (206/215), 95.29%(688/722) after training, respectively, which were higher than those of 89.60%(181/202), 85.10%(577/678) before training, the differences were significant, χ2=5.98,4.17,P<0.05. Conclusions Improved safety training is normative, practicability and maneuverability, safety behavior norms, improve the risk identification and emergency handling ability, reduce nursing risk, close to the clinical need for safety management, safety training for nurses to provide the basis for sustainable development. Key words: Safety; Education, professional, retraining; Junior nurse; Management; Health-safety-environment management system

Effect analysis of rotated training for low seniority nurses in Psychiatric Department

Objective To Explore low seniority psychiatric nurses′ system, standard, professional training effect, improve the overall level of psychiatric nursing team. Methods A total of 68 healthy nurses, who recruited from October 2011 to June 2013, were selected and randomly divided into experimental group (n=34) and control group (n=34). Experimental group members had rotated training who went to different departments (each departments for 3 months and 1 year totally) including male ward, female ward, open ward and MECT room with specific teaching and counseling. The control group nurses given routine training. We compared the result of training by specialized theory knowledge assessment of psychiatric, technical operation evaluation, emergency ability and comprehensive quality assessment, nursing staff discussion, job satisfaction surveys and daily work of observation and measurement before and behind training. Results After Low seniority nurses rotated training, nurses in the experimental group compared with before training, specialized subject theoretical level, operation skill, emergency ability and comprehensive quality significant difference (t=-11.677, -3.049, -10.717, -12.581; P<0.01). The experimental group compared with control group, specialized subject theoretical level, comprehensive quality difference was statistically significant (t=3.916, 4.511; P<0.01), while operating skills, emergency ability (t=3.916, 4.511, P<0.01). After implementing of rotated training, nurses′ satisfaction was 94.12%, beyond 61.76% before the implementation, and the difference was statistically significant (χ2=10.350, P<0.01). Conclusions Implementation of rotated training can effectively improve psychiatric low qualification nurses specialized theoretical level and the comprehensive quality of the psychiatric clinical practical ability, communication and cooperation ability and the improvement of humanistic quality, etc. Key words: Nurses; Low seniority; Psychiatric Department; Rotated training

Correlation of occupational stress and job burnout in low seniority nurses of hematopoietic stem cell transplantation of laminar flow ward

Objective To investigate the correlation of occupational stress and job burnout in low seniority nurses of hematopoietic stem cell transplantation of laminar flow ward .Methods Using the general situation questionnaire and the Maslach burnout inventory , we surveyed 62 low seniority nurses from the hematopoietic stem cell transplantation of laminar flow ward .The nurses ’ occupational stress and job burnout were analyzed for their correlation .Results The scores of job burnout , alienation, lack of the sense of achievement were （17.79 ±6.85）, （13.25 ±9.65） and （32.69 ±7.42）.No significant differences were found in these aspects （F=0.83, 0.69, 1.56, respectively;P〉0.05）.The scores of job burnout in nurses with different cultural degree had significant difference （F=10.32,P〈0.05）.The top 5 pressure sources are worry about working mistakes , maximum workload , unsatisfied salary , poor working environment , lack the understanding and support from nursing managers .The results of pressure sources were associated with emotional exhaustion （r=0.202, 0.325, 0.205, 0.207, 0.243, respectively;P〈0.05）.Lack the understanding and support from nursing managers were related to alienation , lack of the sense of achievement （ r =0.321,-0.159, respectively;P〈0.05）.Conclusions The occupation pressure existed in the low seniority nurses from the hematopoietic stem cell transplantation of laminar flow ward should not be ignored .Nursing managers should strengthen the management of human resources , improve the acknowledgement of work tolerance , create a good working environment , and improve the quality and social status of nurses . Key words: Nurse; Pressure source; Job burnout; Hematopoietic stem cell transplantation of laminar flow ward

The effects of project management on the quality of nursing management in the operating room

Objective To use the theory and method of project management system to improve the quality of nursing management in the operation room,guide department nursing quality management work into the standardization,institutionalized track.Methods The existing problems were summarized in the department through using the method of questionnaire investigation,by detailed classification for operation room,public knowledge,knowledge of each specialty problems,public knowledge of each problem set clear who is in charge of the project,special operation process,special equipment,precision instruments and so on.College leader,deputy leader of project management for the responsible person were in charge of the project stricdy repeated training,unified norms or standards,assessment,monitoring and evaluation of the implementation process and evaluated the final effects.Results Before and after the implementation of project management,operation with the satisfaction degree increased from 81.15％ to 93.58％.Conclusions Project management division of content and implementation process can accelerate the growth of low seniority nurses ; people management responsibility thinning problem as every moment every corner ooeration room have monitors in monitoring their behavior,and to make up the defect brought by machine monitor.It is an effective means to promote quality management. Key words: Project management ; Operation room ; Quality of nursing management ;

Influence of personal feature on nurses' professional identity in military hospital

Objective To understand the influence of personal feature on nurses' professional identity.Methods Nurses of 6 military hospitals were assessed and analyzed by general data questionnaire,Nursing Professional Identity Scale.Results Nurses' professional identity in military hospital was on the moderate level.Nursing age,department,monthly income,position,gender entered into the regression equation of nurses' occupation,which affected positively nursing professional identity.Conclusions The military nursing managers should raise the income of nurses appropriately,especially pay attention to training of professional identity of seniority nurses and local recruitment nurses,and enhance master concept in order to increase their understanding and recognition of their occupation. Key words: Military hospital nurses; Professional identity; Working time; Monthly income

Research of the training stages and content in low service seniority nurses

Objective To determine initially the training stages and content for low service seniority nurses,which providing reference for the establishment of standardized training system of low service seniority nurses.Methods The training content framework of low service seniority nurses was formulated based on literature review and the core competency framework of nurse.Eight nurses were selected for the focus group interview to determine the training stages and training content in each stage.R~ults The training of low service seniority nurses was divided into four stages:pre-post training,the first year training,the second year training and the third year training.The training content included two parts of theory and operation skills trainings,with a total of 76 items.The theory training consisted of nine aspects:essential-qualities-oriented (EQO) education,law and ethics,interpersonal communication,nursing regulation and system,nosocomial infection control,clinical nursing,prevention and treatment of adverse events and emergencies,first aid nursing and tubes nursing.The operation training included five aspects:cleaning and nursing,safety and comfort,nutrition and excretion,application of medical equipment,treatment and first aid.Conclusions The training content of low service seniority nurses is formed based on clinical needs and the combination of comprehensive and pertinence,which can better help the low service seniority nurses change their role and make them qualified for clinical work. Key words: Inservice training ; Low service seniority nurses ; Training stages ; Training content ; Focus group interview

Research in effect of comprehensive case-style training methods for improving nursing skills of low age and service seniority nurses

Objective To improve the nursing skills of low age and service seniority nurses and meet the needs of clinical nurses,in order to serve patients better and improve the quality of cave.Methods According to knowledge tests 50 points for nurse job-related skill issued by Chinese Ministry of Health,our hospital selected 12 commonly used basic operation skills and designed comprehensive cases through integration and reformation.We trained and examined nurses with undergraduate degree came to our hospistal in 2008.Results After training,the score of clinical nursing skill reached 91.81,86 nurses reached the standard and the effective compliance rate was 95%.Conclusions It proved to be an effective method to improve the nursing skills of low-age and service seniority nurses by carrying out the comprehensive casestyle training methods. Key words: Low-age and service seniority nurses; Nursing technology; Comprehensive casestyle training method

Observation in effect of simulation training of vocational protection among nurses with lower age and services seniority in trauma surgery department

Objective To discuss on the effect of simulation training of vocational protection among nurses with lower age and services seniority in trauma surgery department. Methods The training of vocational protection was divided into the curricula content and simulation training, 37 nurses were trained with the method of combining theory with practice,the items before and after the training were tested with t test. Results The mastering degree of occupational exposure knowledge after the training significantly improved compared with that before training. After simulation training various protection technique greatly alleviated. Each score of comprehensive clinical evaluation after the training also increased. Conclusions We should strengthen occupational protection in clinical work in order to prevent nosocomial infection.Detail education and situational education should be paid attention to during the training according to their ability,so that satisfactory results can be achieved. Key words: Trauma surgery; Low seniority nurses; Occupational protection; Simulation training

Investigation on neurosurgical nurses' consent to health education and its influential factor

Objective To investigate on neurosurgical nurses' consent to health education and its influential factor , in order to adopt eligible healthy education and decline the influential factors which affect the effectiveness of healthy education. Methods Ninety neurosurgical nurses in grade three A hospital were investigated with self-designed questionnaire. Results 74.44%~82. 22% nurses ratified face to face or using instruction handbook to do the healthy education for neurosurgical patients. There was different attitude between higher seniority and lower seniority nurses (x2=9. 61,P=0.002) for health education, and between nurses with different educational background(x2=8.773, P=0.003.87.78% nurses thought that deficiency of the nursing human resources was the main factor which affected the effectiveness of health education. Conclusions From nurses' point of view, there is some difficulty to carry out health instruction for patients in neurosurgery department. It is more suitable to adopt face to face instruction and select materials with the characteristics of repeated reading or convenient for looking up. Insufficience of nursing human resources is still the main factor which affects the effectiveness of health education. Key words: Neurosurgery; Nurse; Pattern of health instruction; Influencing factor

Problems existed in the obsevation of illness process by low seniority nurses and their solving method

Objective To approach the problems existed in the obsevation of illness process by low seniority nurses and their solving method. Methods The obversation ability for illness of 42 registered nurses who has worked within 3 years were evaluated.The contents included:Whether the observation was comprehensive,whether the physical checkup was correct,whether the nursing care was complete,whether the recognition of existing and potential nursing problems was in time and the mastering of important points of special medication. Results There existed common problems in the contents of illness observation,special nursing checkup,application and evaluaiton of nursing care and mastering of important points of special medication. Conclusion The illness observation ability of low seniority nurses needed improvement.Study of specialized knowledge is a premise and strengthened training is a pivotal tache. Key words: Nurse; Illness observation; Problem; Countermeasure

The epidemiology of back injuries in nurses at a large Canadian tertiary care hospital: implications for prevention.

Two years of prospective data on 416 back injuries were gathered at a 1100-bed acute and tertiary care hospital to assist target prevention efforts. The rate of injury among 1645 nurses was found to be highest for those working on orthopaedic, medicine, neurology, spinal and surgery wards, indicating priorities for prevention. In fact, 51% of the orthopaedic nurses sustained at least one back injury during the two-year period. Gender did not significantly affect the risk of back injury; however, injuries were slightly more common in nurses with less seniority and younger nurses were found to be at significantly increased risk of back injury. Almost 63% of the back injuries which occurred in nurses working 8 h shifts on the high-risk wards occurred during the first two hours of the shift. Lifting and transferring patients with assistance were the two most common mechanisms for back injury (22.6% and 23.3%, respectively). In total, injured nurses attributed 52.3% of their injuries to inadequate training; inadequate staffing was given as the primary reason for 13.8% of the injuries. The results suggest that training in the indications for and use of mechanical devices for lifting/transferring patients requires intensification, and a 'warm-up' period should also be considered in the face of injuries occurring early in the shift if work activities cannot be evenly planned.