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Investigation on professional attitude of undergraduate nursing students in Xinjiang

Hualian PEI ; Li LI ; Jianhong XI ; Guihua CHEN

Chinese Journal of Modern Nursing.2016;22(28):4112-4115. doi:10.3760/cma.j.issn.1674-2907.2016.28.030

Objective To analyze the influencing factors of undergraduate nursing students′professional attitude in Xinjiang, so as to provide references for the educational guidance and decision-making management of nursing students′ professional attitude. Methods A questionnaire survey about professional attitude was conducted among 218 students of 2010-2013 full-time nursing students from Xinjiang Medical University and Shihezi University by convenience sampling method. Results The average score of nursing students′professional attitude was (3.80±0.67), which was in the “general” level. Univariate analysis showed that the professional attitude scores were significantly different among students with different gender, different choice, different parents′ education level, as well as whether they belong to one-child family ( P<0. 05 ) . Conclusions The professional attitude score of undergraduate nursing students was low. Nursing educators and administrators should implement targeted professional education, correct nursing students′ professional attitude, and keep the nursing team stable. Meanwhile, we also should retain talents and make good use of talents, so that to promote the sustainable development of nursing career.

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Applications of “1+3” mode in continuous quality management of operating room equipment

Weihong LIN ; Fengyan ZHENG ; Dongdong CAI ; Qiong YANG ; Liansheng XIE ; Min XU

Chinese Journal of Modern Nursing.2016;22(28):4116-4119. doi:10.3760/cma.j.issn.1674-2907.2016.28.031

Objective To investigate the application effect of continuous quality improvement of multi-sectoral cooperation in the operating room equipment management.Methods The operating room equipments were divided into the control group ( from June to December 2011, n=128) and the observation group ( from January to June 2012, n=137) according to time period. Equipments in the control group were managed by conventional equipment management process, while equipments in the observation group were managed by the PDCA cycle method and“3+1” training mode. The usage rate, maintenance rate, failure reported loss rate of equipment in two groups were compared. Nurses′equipment operation examination in the Operating Room and physician satisfaction rate before and after the quality management were compared between two groups. Results The equipment usage rate in the observation group was significantly higher and the maintenance rate was significantly lower than that in the control group ( P<0.01);for the reported failure rate of equipment, the observation group was relatively lower compared to the control group, but there was no significant difference (P>0.05). The data in the observation group significantly increased compared to the control group in nurses′equipment operation examination rate and physician satisfaction rate in Operating Room (P<0.01).Conclusions The use of PDCA cycle method in equipment management can effectively mobilize multi-sectoral coordination and management efficiency, improve the comprehensive capacity of nursing equipment management and improve the quality of nursing in the Operating Room.

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Application of queuing theory model combined with the dynamic allocation of nursing staff in the management of blood collection room in outpatient

Yuhong LIU ; Jiying SUN ; Caiyan WANG ; Xiangying SHEN ; Yanjun YUAN ; Xiyan LYU

Chinese Journal of Modern Nursing.2016;22(28):4120-4122,4123. doi:10.3760/cma.j.issn.1674-2907.2016.28.032

Objective To explore the use of queuing theory model combined with the dynamic allocation of nursing staff in the management of blood collection room in outpatient. Methods Queuing theory model combined with dynamic allocation of nursing staff were applied to scientifically allocate nurses in blood collection room. Three months before and after allocation, nursing staff, inspection personnel and patients were investigated through satisfaction questionnaire and the management effect was evaluated. Results Patients′satisfaction degree toward blood collection staff was increased from 80% to 95%; inspection personnel′s satisfaction degree toward blood collection staff was increased from 62.5% to 87.5%;nurses′satisfaction degree toward themselves was increased from 70% to 95% (χ2=20.571,13.333,5.22;P<0.05) . Patients′waiting time before blood collection was shorten to 20 min from 30 min. Conclusions The application of queuing theory model combined with dynamic allocation of nursing personnel can improve the rational use of blood collection personnel in outpatient and nursing quality, and it also can improve the satisfaction of inspection personnel to nurses, of patients and nurses to themselves.

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Application and assessment of blended bilingual teaching in internal medical nursing teaching

Yinghua LI ; Chunmei ZHANG ; Changde JIN

Chinese Journal of Modern Nursing.2016;22(28):4123-4126. doi:10.3760/cma.j.issn.1674-2907.2016.28.033

Objective To explore the teaching effect and influencing factors of blended bilingual teaching in medical nursing. Methods The blended bilingual teaching model was designed and applied in 97 undergraduate nursing students of class 2013 from October to November 2015. After the course, a test and a self-design questionnaire were used to assess the teaching effect of blended bilingual teaching, and the multiple linear regression was also used to the analyze influencing factors.Results Students′ test score were (82.64 ±9.08) points, 1 student did not participate in the examination; as for the cognitive attitude, 62. 89% of the students were satisfied with the teaching model; during the learning process, students spent 1. 56 hours on average on preview and 2. 22 hours on review. Multiple linear regression showed that English level and classroom participation affect test scores significantly (P<0.05).Conclusions Blended bilingual teaching is an effective and feasible teaching model. Strengthening the training of public English and encouraging students to participate in teaching activities are important strategies to improve the teaching effect of bilingual teaching.

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Effect observation of two endotracheal-tube methods

Jiamei ZHENG ; Hairong JIN ; Yunna XUE

Chinese Journal of Modern Nursing.2016;22(28):4127-4130. doi:10.3760/cma.j.issn.1674-2907.2016.28.034

Objective To observe the effect of two endotracheal-tube methods and to seek better endotracheal-tube method. Methods Totally 60 orotracheal intubation patients from September to December 2015 in neurology intensive care unit ( NICU) were randomly divided into the experimental group and the control group. Patients in the experimental group were given new type endotracheal intubation fixed bracket, while patients in the control group were given tape fixed method. We compared the condition of facial skin allergy and injury, effect of tracheal intubation fixed method, and the incidence of ventilator associated pneumonia of patients in two groups. Results In the experimental group, the incidence rate of facial skin irritation and damage was 6.7%;the incidence rate of displacement of endotracheal tube was 6.7%, and they were both lower than the data in the control group (χ2=35.749,28.081;P<0.05). The incidence rate of ventilator-associated pneumonia in the experimental group was 10.0%, and in the control group was 20.0% (χ2=1.176,P>0.05). Conclusions The new type of endotracheal intubation fixed method can significantly reduce the incidence rate of facial allergy and damage. It is safe and effective, and it also can increase the patient′s oral comfort. It is worthy of clinical promotion.

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Research progress of TCM external therapy in hepatic encephalopathy

Weiwei LOU ; Yuping XU ; Yali ZHANG

Chinese Journal of Modern Nursing.2016;22(28):4134-4137. doi:10.3760/cma.j.issn.1674-2907.2016.28.037

This article summarized from 4 aspects which includes the definition, etiology and pathogenesis of hepatic encephalopathy and traditional Chinese medicine ( TCM ) external therapy, and put forward the characteristics of TCM nursing with simple operation, good curative effect and little side effects, but at the same time, it also had shortcomings such as little study samples, unclear long-term effect etc. So the application of design and optimization in the TCM clinical nursing operation will be the problem that should be solved.

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Quality of life of patients with rectal cancer after low anterior resection

Yue WANG ; Min CHEN

Chinese Journal of Modern Nursing.2016;22(28):4138-4140. doi:10.3760/cma.j.issn.1674-2907.2016.28.038

Most patients may experience different degrees of anterior resection syndrome after low anterior resection for rectal cancer. Changes in physiology bring pain to patients and changes in psychology easily make patients develop depression so as to have serious influences on quality of life of patients. Measures taken in clinic to improve the quality of life of patients mostly focus on physical therapy, traditional medicine, biofeedback and so on. That needs patients′good compliance and continuous interventions from medical staff. At present, there are many instruments for the evaluation of quality of life of postoperative patients. However, there is a lack of a specificity evaluation method for the quality of life after anterior resection for rectal cancer. Instruments for the evaluation of quality of life of anterior resection syndrome mainly use symptoms-related adaptive scales at home and abroad. But quality of life of postoperative patients may be influenced by different degrees, so it is significant to seek effective evaluation and treatment methods for improving quality of life of patients.

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Application progress of mindfulness therapy in psychosomatic symptoms nursing of cancer patients

Shaoguang ZHOU

Chinese Journal of Modern Nursing.2016;22(28):4141-4144. doi:10.3760/cma.j.issn.1674-2907.2016.28.039

Objective From diagnosis to treatment, cancer patients usually suffered from a series of somatic symptoms( pain, fatigue) and psychologicalsymptoms( depression, anxiety). This article summarized the meaning of mindfulness therapy, the application and effect of mindfulness therapy in psychosomatic symptoms nursing of cancer patients;pointed out the existing problems, and put forward the corresponding suggestions, in order to further popularize the application of mindfulness therapy in clinical nursing of cancer patients.

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Development prospect of gerontological nursing in China

Xing XI ; Guifang GUO

Chinese Journal of Modern Nursing.2016;22(29):4145-4150. doi:10.3760/cma.j.issn.1674-2907.2016.29.001

Population aging in our country has caused sustained impact on the economy development, social insurance and family structure, and it also bring serious challenge to medical and health service. In the complex health and health situation, how to make the development of gerontological nursing adapt to the over-all situation, grasp the era opportunity and challenge, find the opportunities brought about by population aging, and promote a healthy China strategy, are the issues we should consider about. The article will put forward some ideas about the future development of gerontological nursing, and provide references for nursing staff.

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Effects of personal follow-up guidance based on case management on functional outcome and treatment compliance of elderly stroke patients

Cun ZHANG ; Xiaoqing LIU ; Xianliang LIU ; Li WANG ; Lin ZHANG ; Tian TIAN ; Yan SHI ; Aiping JIN

Chinese Journal of Modern Nursing.2016;22(29):4151-4155. doi:10.3760/cma.j.issn.1674-2907.2016.29.002

Objective To explore the effects of personal follow-up guidance based on case management on functional outcome and treatment compliance of elderly stroke patients, and lay the foundation of stroke case management ( CM ) work. Methods Totally 169 elderly stroke patients were randomly divided into the the experimental group(n=83)and the control group (n=86). Patients in the control group were given routine follow-up guidance, while patients in the experimental group were given the personal follow-up guidance based on case management. The activities of daily living and functional outcome of patients in two groups were evaluated by modified Barthel index ( MBI) and modified Rankin scale( MRS) at the time of joining the group, 1 month, 3 months, and 6 months after discharge. The compliance was evaluated by self-designed compliance questionnaire.Results There was no significant difference in MBI and MRS score between the experimental and the control group when joining the study and 1 month after discharge ( P>0. 05 ) . The MBI score of the experimental group was significantly higher and the MRS score of the experimental group was significantly lower than that in the control group at 3 months and 6 months after discharge (P<0.05). There was no significant difference in compliance score between two groups at 1 month after discharge(P>0.05), and was significantly different besides balanced diet at 3 months after discharge (P<0.05). There was no significant difference in rehospitalization rate between the experimental and the control group at 6 months after discharge (P>0.05). Conclusions The personal follow-up guidance based on the case management model can improve the activities, functional outcome and compliance of elderly stroke patients.

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