1.Current situation of Shanghai community patients receiving appropriate technical services for implementing TCM nursing at home
Miaomiao MA ; Chengjue WANG ; Huifang HONG ; Gendi LU
Chinese Journal of Modern Nursing 2022;28(2):148-154
Objective:To investigate the current situation of the patients receiving the appropriate technical service of Traditional Chinese Medicine (TCM) nursing at home in Shanghai community health service centers, so as to provide reference for the supervision, management and policy making of health administrative departments.Methods:This study is a cross-sectional survey. The convenient sampling method was used to select 700 patients who were treated in 9 community health service centers in Shanghai from October 2020 to January 2021. The self-developed questionnaire on the Status of Home Care Services with Suitable Chinese Medical Care Technology (patient version) was used to investigate patients. A total of 700 questionnaires were sent out and 688 were effectively received, with the effective recovery of 98.3% (688/700) .Results:Among the 688 patients, 39.2% (270/688) of the patients knew that home care services could provide suitable TCM care technology, 1.7% (12/688) of patients had received TCM care suitable technology home care services; 66.0% (454/668) of patients had a higher willingness to receive home care services with appropriate technologies for TCM nursing. Service price and service quality were the main concerns of patients receiving home nursing service with suitable technology of TCM nursing.Conclusions:Home nursing service with appropriate technology of TCM nursing is still in its infancy, so it is necessary to further strengthen the promotion of home nursing service with appropriate technology of TCM nursing and improve nurses' ability of TCM nursing service to ensure patient safety and medical quality.
2.Research Progress on the Ethical Dilemmas of Nurses in the Epidemics Prevention and Control of Major Infectious Diseases
Huifang HONG ; Gendi LU ; Chengjue WANG
Chinese Medical Ethics 2023;36(11):1266-1272
Ethical dilemmas commonly exist among nurses during the epidemic prevention and control of major infectious diseases, which can affect their physical and mental health and nursing quality. This paper reviewed the ethical dilemmas of nurses in the epidemic prevention and control of major infectious diseases from four aspects, including concepts, current situation, evaluation tools, and influencing factors, with a view to raising the attention of nurses, nursing administrators, and health management organizations to the ethical dilemmas of nurses in the epidemic prevention and control of major infectious diseases, and providing theoretical references for further formulating strategies. In terms of ethical dilemmas research of nurses during the prevention and control of major infectious diseases, domestic and foreign studies mostly used scales and qualitative interviews to investigate. Research has found that the ethical dilemmas of nurses during the period include the ethical dilemma of visiting restrictions, the ethical dilemma of fair allocation of scarce resources, and the ethical dilemma of nurses’ rights and obligations. The main influencing factors include demographic factors, psychological factors, risk perception, and social support. It is recommended to develop suitable assessment tools from the perspective of ethical in the future, timely grasp the current situation of ethical dilemmas of nurses during the prevention and control of major infectious diseases, and deeply explore influencing factors.