Search

Objective To analyze the influencing factors and improvement paths of the service capacity of standardized township health centers in Guangxi under the background of "high-quality service at the grassroots level", providing useful reference for further deepening reform and promoting the healthy development of rural medical and health systems. Methods By the end of 2021, township health centers that have reached the recommended standard of "quality service primary line" service ability were selected as the research samples, and the coupled coordination degree model was combined with fuzzy set qualitative comparative analysis method to carry out empirical analysis. Results Single factors cannot constitute a necessary condition for improving or decreasing the service capacity of township health centers. There are a total of four configuration paths for improving the service capacity of township health centers in Guangxi, among which the core sufficient conditions for playing a leading role are the number of high-level practicing (assistant) physicians, the number of registered nurses, and coupling coordination scheduling. The overall consistency of the solution is 0.920 (≥0.8), and the model has strong explanatory power. Conclusion The improvement of service capacity in township health centers in Guangxi is facilitated by the synergistic effect of multiple factors both internally and externally. The optimization and expansion of grassroots talent teams is the core combination element for the improvement of service capacity in township health centers, and the coupling and coordinated development of medical resource allocation and economy is the key element for the improvement of service capacity. [ABSTRACT FROM AUTHOR]

Objective To evaluate the marginal effects of inputs on hospital outputs and the impacts of Integrated County Medical Community on hospital efficiency. Methods A stochastic frontier model was employed to estimate the production frontier and efficiency of each hospital, and a difference-in-difference method was utilized to identify the net effect of Integrated County Medical Community on hospital efficiency, including a heterogeneity analysis of this effect. Results Our findings revealed that, in contrast to investments in fixed assets and equipment, hospital output exhibited a heightened elasticity in response to investments in beds, practicing physicians, and registered nurses. From 2016 to 2022, hospitals in Sichuan Province demonstrated an augmented level of efficiency, with a more conspicuous improvement observed subsequent to the initiation of Integrated County Medical Community. The net positive effect of this policy on hospital efficiency in was approximately 1.17 percentage points (P < 0.001), where for-profit hospitals exhibited a greater sensitivity to this effect (P < 0.05). Conclusion The Integrated County Medical Community pilot in Sichuan Province significantly improved the overall efficiency of hospitals, with a notably greater improvement observed in for-profit hospitals. [ABSTRACT FROM AUTHOR]

Objective: To understand the emotional experiences of Intensive Care Unit (ICU) nurses facing patient deaths, particularly those exhibiting signs of vicarious trauma. Methods: Employing a descriptive phenomenological research design, sixteen ICU nurses with signs of vicarious trauma (scores above the theoretical median on the Disaster Responders Vicarious Trauma Questionnaire) were selected for in-depth interviews. The interviews focused on their reference frameworks, self-capacities, resources, psychological needs, cognitive schemas, and imagery. Data were analyzed using Colaizzi's seven-step methodology. Results: The emotional experiences of ICU nurses in the face of patient deaths were categorized into two themes, namely self-defense mechanisms under stress and emotional exhaustion following prolonged exposure. The first theme includes unconscious temporary closures and personalized emotional reactions. The latter encompasses mirroring emotions of patients and their families, the sense of finality triggered by handling deceased bodies, feelings of helplessness in comforting families, unavoidable responsibility, diminished sense of professional belonging, and strained family relationships. Conclusion: This study highlights the two-fold emotional impact on ICU nurses dealing with patient deaths, namely self-defense under stress and emotional exhaustion following prolonged immersion. [ABSTRACT FROM AUTHOR]

Objective To investigate the prevalence of work-related musculoskeletal disorders (WMSDs) in different parts of the lower back and lower limbs among nurses in tertiary hospitals and to analyze the association between ergonomics risk factors and the risk of WMSDs in these body parts. Methods Using stratified cluster sampling, 3 060 nurses from 15 tertiary hospitals were selected as the research subjects from 2018 to 2020. The electronic questionnaire system of the Chinese Version Musculoskeletal Disorders Questionnaire was used to collect information on the prevalence of WMSDs and related risk factors among these nurses. Logistic regression models were employed to analyze the association between ergonomic risk factors and the risk of WMSDs in different parts of the lower back and lower limbs. Results The prevalence of lower back WMSDs was the highest among nurses, at 29.1%; the prevalence of leg, foot, or ankle WMSDs was 21.6% and 19.6%, respectively; and the prevalence of knee WMSDs was the lowest, at 15.3%. Multifactorial logistic regression analysis revealed that working more than 40 hours per week, having a total working time of more than 10 years, working with long bent knees, manual handling of heavy loads, working in uncomfortable postures, repetitive operations, completing tasks in the same location, and having a bachelor's degree or higher increased the risk of lower back WMSDs (OR = 1.20 - 2.26, P < 0.05). Physical exercise reduced the risk (OR = 0.64 - 0.75, P < 0.05). Working more than 40 hours per week, working with long bent knees, and having frequent communication with patients increased the risk of WMSDs in various parts of the lower limbs (OR = 1.30 - 2.36, P < 0.05). Prolonged standing, working in uncomfortable postures, and performing the same tasks daily increased the risk of leg WMSDs (OR = 1.82 - 2.05, P < 0.05). Manual handling of heavy loads, working in uncomfortable postures, and performing the same tasks daily increased the risk of foot or ankle WMSDs (OR = 1.35 - 1.90, P < 0.05). Being aged ≥ 30 years and manual handling of heavy loads increased the risk of knee WMSDs (OR = 1.36,1.36, P < 0.05). Prolonged seated work reduced the risk of leg, knee, and foot or ankle WMSDs (OR = 0.60 - 0.70, P < 0.05). Conclusions Nurses in tertiary hospitals had different degrees of risk for WMSDs in different parts of the lower back and lower limbs. Improvements can be made through enhanced education and training, the establishment of relevant systems, and the provision of appropriate operational tools. [ABSTRACT FROM AUTHOR]

Objective To investigate the current status and influencing factors of the core competencies of emergency specialty nurses in Beijing. Methods From July to December 2021, a survey was conducted among emergency specialty nurses in Beijing using tools including the basic information questionnaire, the Registered Nurse Core Competency Scale, the Psychological Resilience Scale, and the Minnesota Satisfaction Questionnaire. Single-factor analysis and multi-factor logistic regression analysis were used to explore the influencing factors of core competencies. Results A total of 224 emergency specialty nurses were surveyed, and 213 valid questionnaires were collected, with an effective recovery rate of 95.09%. The total score of core competencies of emergency specialty nurses was (206.15 ± 13.64) points, and the item average score was (3.55 ± 0.24) points. The logistic regression analysis showed that age, education, professional title, professional interest, hospital level, and job satisfaction were six variables that influenced the core competencies of emergency specialty nurses (P < 0.05). Comparing the latter with the former, such as the nurses aged ≤25 years old vs. those aged > 25 years old, with the college degree vs. the bachelor' s degree or higher, with the title of nurse vs. the title of nurse in charge or above, with low interest in the specialty vs. a certain interest, working in a second-class hospital vs. a tertiary hospital, with dissatisfied job satisfaction vs. basically satisfied or above, the latter has a higher level of core competencies than the former, and the risk ratios varied from 1.178 to 1.672 (P < 0.05). Conclusions The core competencies of emergency specialty nurses in Beijing were at a high level and influenced by factors such as age, education, title, professional interest, hospital level, and job satisfaction. Relevant departments should provide continuous professional training and development opportunities for newly recruited emergency specialty nurses, improve the working environment of the emergency department, and enhance the professional interest and internal satisfaction of emergency specialty nurses. [ABSTRACT FROM AUTHOR]

Objective To explore the current situation of nurses’emergency response ability of public health emergencies and analyze its influencing factors in Yunnan province, so as to provide empirical basis for the construction of emergency response ability training system in the future. Methods A total of 4 821 clinical nurses from 43 hospitals in Yunnan province were selected by convenience sampling. A cross-sectional survey was conducted using the general information questionnaire, Nurses' Public Health Emergency response Capacity Scale and Nurses’Emergency attitude scale. The influencing factors were analyzed by stepwise multiple linear regression. Results The total score of public health emergency response ability of clinical nurses in Yunnan Province was (70.35±14.08), and the total score of public health emergency response attitude was (42.26±6.14). Gender, department, hospital level, working years, whether to participate in public health emergency training, whether to experience rescue activities in public health emergencies, and attitude towards public health emergencies were the influencing factors of nurses’public health emergency response ability (P < 0.05), which explained 29.0% of the total variation. Conclusions The ability of clinical nurses to respond to public health emergencies in Yunnan Province is generally above the medium level, but there is still a significant shortage in emergency knowledge. Targeted training is needed. Nursing management should build targeted layered training programs combined with influencing factors to enhance nurses’ability to respond to public health emergencies. [ABSTRACT FROM AUTHOR]

Background Compared with absenteeism, health-related productivity loss has a long-lasting negative effect, and poses a greater harm and loss. The health-related productivity loss is mediated by self-efficacy, and perceived social support has been shown to have an impact on health-related productivity loss, whereas the interaction mechanism among the three remains unclear. Objective To investigate the status of perceived social support, occupational coping self-efficacy and health-related productivity loss among ICU nurses, and to test the mediation role of perceived social support in the relationship between occupational coping self-efficacy and health-related productivity loss. Methods From September to November, 2021, purposive sampling technique was adopted to select 468 ICU nurses in 8 tertiary hospitals in Sichuan Province. Subjects were assessed using self-made general information questionnaire, Perceived Social Support Scale (PSSS), Occupational Coping Self Efficacy Scale for Nurses (OCSE-N) and Stanford Presenteeism Scale-6(SPS-6). Pearson correlation analysis was used to examine the correlation among variables. Amos 24. 0 was utilized to test the mediation role of perceived social support in the relationship between occupational coping self-efficacy and health-related productivity loss. Results A total of 415 ICU nurses completed the valid questionnaire survey. ICU nurses scored (63. 13±11. 62) on PSSS, (22. 24±6. 15) on OCSE-N, and (16. 83±4. 24) on SPS-6. Health-related productivity loss was detected in 279 ICU nurses (67. 23%). Correlation analysis denoted that PSSS total score was positively correlated with OCSE-N total score (r=0. 348, P<0. 05), and negatively correlated with SPS-6 total score (r=-0. 274, P<0. 05). OCSE-N total score was negatively correlated with SPS-6 total score (r=-0. 421, P<0. 05). The direct effect value of occupational coping self-efficacy on health-related productivity loss was -0. 401, and perceived social support showed a mediation role in the relationship between occupational coping self-efficacy and health-related productivity loss (the indirect effect value was -0. 052, accounting for 11. 48% of the total effect). Conclusion The occupational coping self-efficacy of ICU nurses may affect the healthrelated productivity loss through the action path of perceived social support. [ABSTRACT FROM AUTHOR]

Objective To construct a risk prediction model for lower extremity varicose veins in operating room nurses, and to verify the prediction effect of the model. Methods A total of 512 operating room nurses from nine tertiary hospitals and seven secondary hospitals in Lanzhou City from January to May 2022 were selected and randomly assigned to the modeling group and the validation group in a ratio of 7∶3. A univariate, multivariate logistic regression was used to screen the independent factors influencing the development of lower extremity varicose veins in operating room nurses. A random forest algorithm was used to rank the importance of the influencing factors. The R software was used to establish a nomogram model and make it into a dynamic nomogram web page format. Results In the modeling group, 337 operating room nurses were included, and 167 patients had lower extremity varicose veins, with a prevalence of 49. 6%. Nursing age, education, standing time ≥ 4 hours, work nature, and the number of days of wearing varicose stockings per week ≥3 days were the influencing factors of lower extremity varicose veins in operating room nurses. The ranking results on the importance of influence were as follows: Nursing age＞education ＞ work nature ＞ wearing varicose stockings ≥ three days per week ＞ standing time. The area under the ROC curve of internal verification AUC value was 0. 696,and the curve in the calibration chart was close to the diagonal line. The AUC value of the area under the external validation ROC curve is 0. 683,and the curve in the calibration chart was nearly close to the diagonal line. Conclusion The nomogram model has good consistency and distinction, and the dynamic nomogram web page is simple and easy to use, which can quickly evaluate their own risk scores and screen high-risk groups, and can be used as the basis for the implementation of individualized preventive programs, as well as providing a reference basis for rational scheduling for nursing managers in the operating room. [ABSTRACT FROM AUTHOR]

Objective To understand the situation of nursing human resources allocation in medical and health institutions in western China, to explore the fairness of allocation and predict the allocation demand, so as to provide; basis for optimizing the; allocation of nursing human resources. Methods Gini coefficient and agglomeration degree were used to evaluate the; allocation and equity of nursing human resources in medical and health institutions in western China during the; 13th Five - Year Plan period from two dimensions of population and gc;ographic;al area, and health resource; density index was used to predict the demand. Results From 2016 to 2020, the number of registered nurses in mc;dical and health institutions in western China increaser! from 937 300 to 1 320 800, with an average growth rate of 8. 95%, and the; actual shortage rate; was still as high as 57. 17%. The; number of registered nurses in urban areas was higher than that in rural areas, anel there; wen; also differences in allocation among provinces. Lack anel redundancy coexist. The; Gini coefficient of nursing human resource; allocation by population ranger! from 0.035 to 0.061, while; the; Gini coefficient of nursing human resource; allocation by geographical area ranger! from 0. 643 to 0. 650. Compared with the; allocation by population, the; agglomeration ele;grce; erf nursing human resources allocation by geographical area was quite; different among provinces. Conclusion The; tertal allocation of nursing human resources in medical anel health institutions in western China has been increasing crmtinuously, but the; acrtual demand gap is still large;. There; were; significant differences in nursing human resources between urban anel rural areas anel be;twe;e;n provinces, anel the; equity erf population allocation was significantly be;tte;r than that erf geographical area alloesation. It is suggested that the; balance; erf geographical distribution erf nursing human resources should be; improver! by establishing collaborative; de;ve'lopme;nt mechanism, innovating nursing service; mode; and implementing talent training project. [ABSTRACT FROM AUTHOR]

[Objective] The present experiment aimed to investigate the difference of the reproductive performances of Saba and its hybrid sows with different dietary crude fiber levels. [Method] Pregnant sows of parity 2 to 6 of 180 Saba (SB), 90 Duroc x Saba (DS) and 90 Landrace x Saba (LS) were selected for experiment. The sows of the same breed or hybridized combination were randomly divided into 3 groups according to the initial conditions of the sow's family, parity and historical reproductive performance. During the pregnancy and lactation periods, the 3 groups sows were fed different diets with 3.5%, 6.5% and 9.5% crude fiber (CF) levels, respectively. The differences of 11 reproductive performance indexes among 3 groups were analyzed by least square model. [Result] When the dietary crude fiber levels increased from 3.5% to 6.5% and 9.5%, the farrowing progress (FP) of SB sows were significantly shortened by 15.97 min (P<0.05) and 26.64 min (P<0.05), the FP of DS sows were significantly shortened by 10.94 min (P<0.05) and 9.60 min (P<0.05), and the FP of LS sows were significantly shortened by 59. 36 min (P<0.05) and 24. 82 min (P<0.05), respectively. However, there was no significant difference between the sow FP with the dietary crude fiber levels of 6.5% and 9.5% (P>0.05). The litter weight at 21 days (LW21D) of piglets of SB sows significantly increased by 3.75 kg (P<0.05) and 4.49 kg (P<0.01); The number of piglets at 21 days of the DS sows significantly increased by 1. 16 (P<0.05) and 2.06 (P<0.05), LW21D increased by 6. 28 kg (P<0.05) and 15.30 kg (P<0.01), number weaned increased by 1. 12 and 1.88 (P<0.05), and litter weight at weaning (LWW) increased by 11.55 and 19.57 kg (P<0.05); The LW21D of LS sows significantly increased by 8.78 kg (P<0.05) and 10.64 kg (P<0.01), and LWW increased by 8.78 and 14.87 kg (P<0.05), respectively. [Conclusion] The results of the study indicated that the sows of SB, DS and LS had good resistances to crude feed. For different pig breeds (hybridized combinations), the high level of crude fiber diet could improve the nursing performance of DS and LS sows more than that of DS sows. The reproductive performance of SB, DS and LS sows was not reduced but improved when fed with a moderate high crude fiber diet. [ABSTRACT FROM AUTHOR]

Objective To investigate the status quo and influencing factors of psychological anxiety among nurses in grade A tertiary hospitals in Chongqing, and to provide evidence for preventing anxiety and improving the quality of nursing care.Methods From September 2020 to March 2021, the convenience sampling method was used to conduct a online survey on grade A tertiary hospitals in Chongqing.The self-rating anxiety scale (SAS) was used to evaluate the psychological anxiety status.The self-designed anxiety cause questionnaire was used to investigate the influencing factors of the psychological anxiety status of the sample personnel.The risk factors of psychological anxiety of nurses in Chongqing were analyzed by single factor test and multivariate logistic regression.Results A total of 901 valid questionnaires were included.Overall, the incidence of anxiety was 23.97% (216/901), of which the incidence of mild, moderate and severe anxiety was 18.31%, 4.43% and 1.22%, respectively.Multivariate analysis showed that income level, administrative position, self-conscious pressure, overtime, and sleep quality were the independent risk factors for anxiety of nursing staff in Chongqing (P <0.05), and the impact of income level was nonlinear, and the anxiety sources were mainly related to hospital examinations and work.Conclusion The investigation shows that the incidence of anxiety is relatively high in Chongqing, and appropriate intervention methods should be adopted to reduce the incidence of anxiety according to its influencing factors. [ABSTRACT FROM AUTHOR]

Objectives: The objective of this article is to integrate and explore the effects of aromatherapy on relieving job stress of nurses by systematic literature review and meta-analysis. Methods: The searched database included electronic databases published before May, 2023 in PubMed, CINAHL, Cochrane Library, Index to Taiwan Periodical Literature System, and Taiwan Journal Paper Index system. Meta-Analysis was used by RevMan 5.4 software to examine the effects of the exercise interventions on depression in the elderly. Results: There were 9 articles (9 samples) included in the analysis. 523 subjects (exercise: 262; control: 261) with 95% CI [-0.75, -0.40], Z = 6.38, p < 0.00001, showed a combined effects of -0.57 (95% CI: -0.75, -0.40), indicating that aromatherapy intervention could moderately improve the work stress degree among nurses. According to the subgroup analysis, the use of aromatherapy is to “inhale” the “rose” or “lavender” essential oil, and the essential oil concentration should be “greater than or equal to 40%”, which can effectively relieve the work pressure of nurses. Conclusions: It is recommended that hospital managers provide nurses with “rose” or “lavender” essential oil to be placed in the lounge, the concentration of which should be “greater than or at least equal to 40% and the nursing staff should bring their own essential oil bottles and add 0.5 c.c. essential oil to the bottle twice a day during the rest time to “inhale” to relieve work stress. In the future, it is hoped that more empirical studies will be included to analyze the type, concentration, single use time, frequency and duration of aromatherapy interventions, so as to propose more complete solutions for aromatherapy interventions to improve the work stress of nurses. [ABSTRACT FROM AUTHOR]

Objective: To explore the status of effort-reward imbalance and its related factors among nurses in emergency department in central China. Methods: A total of 3614 emergency nurses in six provinces of central China was investigated by using structured questionnaire, the revised positive and negative affect scale and the effort-reward imbalance questionnaire. The generalized linear regression was used to explore the related factors of effort-reward imbalance. Results: Those who were male, had monthly income less than 2500 yuan or between 2500 and 4000 yuan, felt perceived shortage of nurses, and had higher negative affect score had higher risk of effort-reward imbalance (β=0.17, 0.12, 0.05, 0.19, 0.24). Those who worked less than one year, suffered no or 1-3 times verbal violence in the past year, suffered no physical violence in the past year, and had high score of positive affect had lower risk of effort-reward imbalance (β=-0.08, -0.18, -0.13, -0.12, -0.14). Conclusion: The effort-reward imbalance of emergency nurses in central China is related to gender, perceived nurse shortage, length of service, monthly income, workplace violence, positive affect and negative affect. [ABSTRACT FROM AUTHOR]

Objective To investigate the difference of self-assessment ability of hospital-acquired infection risk among nurses in wards before and after the implementation of the infection control inspector system, by using the infection control inspector to supervise and intervene the self-assessment ability of hospital-acquired infection risk of nursing staff in wards, so as to provide reference for improving the self-assessment ability of hospital-acquired risk among nursing staff. Methods From May 20 to November 20, 2020, a total of 295 nursing staff in wards were selected proportively to assess the self-assessment ability of hospital-acquired infection risk of nursing staff by self-made questionnaire, and the differences of self-assessment ability of different types of nursing staff before and after the implementation of the system of infection control inspector in the hospital were compared. Results It is no statistically significant in the self-assessment ability of hospital-acquired infection risk among nurses of different genders (P＞0. 05). It is statistically significant in nursing staff of different age groups and professional title groups (P＜0. 05). The ability of self-assessment of hospital-acquired infection risk of primary professional and technical position nurses was significantly lower than that of middle and senior professional and technical position nurses, and the intermediate professional and technical position nurses was significantly lower than that of senior professional and technical position nurses, with statistical differences (P＜0. 05). Conclusion The ability of self-assessment of hospital-acquired infection risk of male and female nurses was basically the same. The promotion of professional and technical posts is conducive to the increase of nursing staff's self-assessment ability of hospital-acquired infection risk. According to the working characteristics of nursing staff, the medical institutions should combine daily work with the improvement of self-assessment ability of hospital-acquired infection risk, and improve the self-assessment ability of nursing staff through the infection control inspector system. [ABSTRACT FROM AUTHOR]

A brief description of the concepts of competency and nurse competency was given in this review. The research progress of nursing staff competency research in public health emergencies at home and abroad was summarized in two aspects: the competency index system and the competency model. The limitations of current nursing staff competency research in public health emergencies were pointed out, and an outlook on constructing nursing staff competency research during major infectious disease epidemics was proposed, aiming to provide a scientific basis for nursing managers to accurately understand, describe, analyze, and evaluate the competency level of front-line nursing staff and scientifically implement the allocation, training, and use of human resources. [ABSTRACT FROM AUTHOR]

Ambulatory laparoscopic cholecystectomy（ALC） is one of the most important day surgery at home and abroad.Compared with traditional inpatient surgery, ALC has higher requirements for medical safety, postoperative rehabilitation speed and postoperative rehabilitation quality.Medical safety is an important indicator to evaluate the quality of day surgery, and it is necessary for nurses in charge of the day surgery ward to change traditional concepts, reserve professional knowledge and improve nursing strategies.This paper reviewed the development status and nursing strategies of ALC in order to provide reference for nurses in charge of the day surgery ward. [ABSTRACT FROM AUTHOR]

Taking 592 nurses from the tertiary hospitals in the Anhui Province as the survey objects, this paper explored the effect of organizational climate perception on nurses’job satisfaction and the mediating effect of job burnout through a questionnaire survey. The results showed that the job burnout of nurses in the tertiary hospitals in Anhui Province was more prominent among young and unmarried nurses, with relatively low job satisfaction. Nurses with longer working life, high professional titles, and formal establishment have higher job satisfaction. The better the perceived organizational climate leads to lower incidence of job burnout and higher the job satisfaction. Job burnout partially mediates organizational climate perception and job satisfaction, accounting for 46.13%. The results of this study suggest that we should pay attention to the physical and mental health as well as job satisfaction of nurses；creating a good workplace climate of trust, communication, emotion and fairness, while offering nurses a positive working environment with organizational support to alleviate their job burnout, improve their job satisfaction, and stabilize and develop the nursing team. [ABSTRACT FROM AUTHOR]

Objective: To explore the relationship between exposure to workplace psychological violence among colleagues and empathic competence in nurses. Methods: A total of 1954 nurses from 4 tertiary hospitals in Shandong province were selected, and 1202 ( 601 pairs) nurses were included in the analysis after propensity score matching. The Self-compiled General Information Questionnaire, Workplace Psychologically Violent Behaviors Instrument (WPVB) and Jefferson Scale of Empathy-Health Professionals (JSE-HP) were used for investigation. In addition, the mean score of WPVB total item ~ 1 was considered positive for psychological violence. Results: The positive detection rate of workplace psychological violence in these nurses was 31. 3%, and the score of JSE-HP after propensity score matching was (104. 4 ± 19. 2). The scores of empathy ability and various dimensions were lower in the positive group than in the negative group ( Ps < 0. 05) . The results of linear regression showed that workplace psychological violence was negatively correlated with the scores of empathy ability (/3 = - 0. 37, - 0. 15, - 0. 36, - 0. 37). Conclusion: It suggests that the workplace psychological violence suffered by nurses is closely related to their empathy ability, and the higher the level of workplace psychological violence suffered, the lower their empathy ability. [ABSTRACT FROM AUTHOR]

Objective To investigate the status quo of nurses' knowledge, beliefs, and behaviors (hereinafter referred to as knowledge, beliefs, and behaviors) about patients' early activities in the intensive care unit (ICU) and the related factors. Training needs, and analyze its influencing factors, to provide reference for nursing managers to formulate intervention measures. Methods General information questionnaire, ICU Questionnaire on knowledge, belief, behavior and training needs of nurses on patients' early activities. conduct an investigation. Results ICU nurses scored (8.25 ± 1.86) points for knowledge of patients' early activities, (31.46 ± 3.72) points for belief, and (31.46 ± 3.72) points for behavior. The score was (21.90±5.90) ​​points. Bedside teaching, knowledge training courses, and the guidance of personnel in the rehabilitation department are the main training methods expected by nursing staff. polyline Sexual regression analysis showed that received training and training willingness were the influencing factors of ICU nurses' knowledge and belief in patients' early activities (P<0.01); Hospital, received training, willingness to train, norms related to early mobility, and multidisciplinary rounds are the influencing factors of ICU nurses on patients' early mobility behavior. (P<0.01). Conclusion Managers should formulate targeted training plans, learn from the management model of teaching hospitals, pay attention to the communication and connection between disciplines, encourage Encourage multidisciplinary ward rounds to promote the safe and standardized early activities of ICU patients. [ABSTRACT FROM AUTHOR]

Objective: To investigate the relationship between mental workload and work-family balance among nurses, and examine the moderating effect of different sources of social support on its relationships. Methods: A total of 377 nurses were selected from 3 tertiary hospitals in Jinan city, Shandong Province. The Work-family Balance Scale (WFBS), National Aeronautics and Space Administration-Task Load Index (NASA-TLX), Perceived Organizational Support Scale (POSS), Perceived Work Support Questionnaire (PWSQ) and Family Support Subscale of Perceived Social Support Scale (PSSS) were used. Results: The total average score of WFBS was (18. 4 ± 3. 8). The WFBS scores were negatively correlated with the NASA-TLX scores ( r = - 0. 26, P < 0. 01) and positively correlated with the scores of POSS, PWSQ and family support ( r = 0. 38 - 0. 41, Ps < 0. 05). The multiple linear regression analysis showed that the POSS scores (β = 0. 09, P < 0. 01) and family support scores (β = 0. 08, P < 0. 01) could moderate the relationships between NASA-TLX scores and WFBS scores (ΔR² = 0. 06). Conclusion: It suggests that the organizational support and family support could buffer the negative effect of mental workload on work-family balance in nurses. [ABSTRACT FROM AUTHOR]

Objective To understand the disaster preparedness of emergency reserve nurses at all levels in a district of Chongqing and provide a reference basis for improving the disaster preparedness of emergency reserve nurses. Methods A total of 146 emergency reserve nurses were selected from hospitals at all levels (tertiary, secondary, primary, and unclassified hospitals) in a district of Chongqing in June,2021.The Disaster Preparedness Evaluation Tool (DPET) was used to conduct the cross-sectional survey. A total of 146 questionnaires were sent out,129 were returned,2 incomplete questionnaires were removed,127 valid questionnaires were received with effective recovery of 86.99%.Results The mean disaster preparedness score of the 127 emergency reserve nurses was 4.48±1.10,which was in the medium level. The DPET scores of the three dimensions were disaster knowledge, post-disaster management, disaster technology in descending order. The DPET score of nurses in tertiary hospitals were higher than that in secondary hospitals, the DPET score of nurses in secondary hospitals were lower than that in primary hospitals and unclassified hospitals, the DPET score of nurse practitioners higher than supervising nurse practitioner, with statistical significance (P <0.05). Conclusion Medical institutions at all levels should establish a reasonable emergency reserve nursing team, encourage emergency reserve nurses to participate in the development of various disaster plans, clarify the role of nurses in disasters, thoroughly assess the capacity and needs of emergency reserve nurses, and provide disaster capacity building activities to improve their disaster preparedness. [ABSTRACT FROM AUTHOR]

Objective To investigate the status of occupational low back pain among the clinical nurses in the general hospitals in Chongqing, and analyze the associated influencing factors, so as to provide a scientific basis for further effective protection and intervention measures. Methods A total of 1 064 clinical nurses in the different departments from 33 secondary and above general hospitals in Chongqing were investigated by the self-made questionnaire. Results A total of 911 nurses(85.6%) had occupational low back pain in the past year. The results of multivariate analysis showed that gender, use of low back strength and sleep quality in the past year were the independent influencing factors for nurses' occupational low back pain(P <0. 05), and the protection training was the protective factor(P <0.05). Conclusion The incidence of occupational low back pain among the nurses in Chongqing general hospitals is high, and most nurses lack the knowledge and training on protection. Intervention measures should be proposed according to the relevant influencing factors to transfer the protection of related knowledge, in order to reduce the occurrence of occupational low back pain in the nurses. [ABSTRACT FROM AUTHOR]

Objective To understand and evaluate the level of knowledge among nursing staff about « Mental Health Law of the People's Republic of China» (here in after referred to as «Mental Health Law») promulgated and implemented on May 1, 2013 in Zunyi area, and to explore how to improve the nursing staff's knowledge of «Mental Health Law». Methods A self-mad e knowledge scale of « Mental Health Law» was adopted, which was randomly distributed to nurses in 16 hospitals in Zunyi city. The qualified rate of the questionnaire was used as the index of popularity to understand the knowledge of « Mental Health Law» in different hospitals. A total of 1.033 questionnaires were collected, and 9:31 we re effectively recovered with an effective recovery of 90.13%, excluding l 02 invalid questionnaires. Results The total correct rate of 9:31 nurses' scores on the questionnaire of awareness rate of «Mental Health Law» was 64.34 % (599/9:31), and the passing rate was 52.42% (488/9:31). The score of nursing staff in psychiatric department and senior professional and technical posts was higher, and the differences were statistically significant (P<0.05). Conclusion Effective measures should be taken to imp rove the popularization of «Mental Health Law» among nursing staff in Zunyi city. [ABSTRACT FROM AUTHOR]

Objective: To explore the relationship between functional somatic symptom and burnout in nurses. Methods: By multi-stage stratified random sampling, 760 nurses from 4 tertiary hospitals in Shandong were recruited and evaluated twice with an interval of one year（T1 and T2）. The Somatic Complaints of Subhealth Status Questionnaire and Chinese Maslach Burnout Inventory were used to evaluate functional somatic symptom and burnout, respectively. Multiple linear regression was used to explore the unique (types and severity) and cumulative relation of functional somatic symptom to burnout. Results: Fatigue（β=0.07） in T1 was significantly associated with burnout in T2. Compared with nurses with no fatigue symptom in T1, those who had serious fatigue experienced a higher level of burnout (β=0.09) in T2. Compared with nurses who did not have any serious functional somatic symptom in T1, those who two or more kinds of functional somatic symptom experienced a higher level of burnout (β=0.08) in T2. Conclusion: It suggests that specific type, severity of each type, and the cumulative number of functional somatic symptom may be associated with burnout in nurses. [ABSTRACT FROM AUTHOR]

Objective To investigate the emotional characteristics, work psychological stress and social support of the nurses during the epidemic period of novel coronavirus (SARS-CoV-2) infection so as to pro-vide basic data and scientific support for the population-based psychological intervention in public health emergencies. Methods From May to June 2020, a total of 248 nurses were selected from the first-line departments of three tertiary and first-class hospitals in Sichuan Province as subjects by using convenient sampling method. The network questionnaire was used to investigate the risk perception and coping style of SARS-CoV-2 infection, negative emotion, psychological load of work, perceived social support and so on. The correlation between nurses' psychological negative emotion and nurses' workload/social support were also analyzed. Results The negative emotion degree and positive rate of the 248 nurses in front-line department significantly increased, and the differences were statistically significant (P<0. 05). Fear was the most common negative e-motion[91. 1% (226/248)]. The total level of psychological load, physical requirements, self-expression and frustration of the nurses in close contact with SARS-CoV-2 infection were significantly higher than those of the nurses in other positions, the differences were statistically significant (P <0. 05). The social support received by the nurses in front-line departments mainly came from their families. Social support was negatively correlated with depression, anxiety/obsessive-compulsive and hypochondriac emotions in negative emotions (r= —0. 206, —0. 185, —0. 234 f P<0. 05). Nurses' work psychological load was positively correlated with de-pression, neurasthenia and anxiety/obsessive-compulsive emotion in negative emotion (r = 0. 251, 0. 242, 0. 231, P <0. 05). Conclusion The nurses in front-line departments experienced different levels of psychological crisis and work pressure during the SARS-CoV-2 epidemic. The psychological guidance of nurses in close contact should be strengthened. So it is particularly important to to seek family and social emotional support for the nurses. [ABSTRACT FROM AUTHOR]

Objective: To explore the relationship between the emotion of the first line nurses against the epidemic and psychological resilience in the early stage of novel coronavirus pneumonia(COVID 19) epidemic to provide the theoretical basis for the formulation of nurses psychological intervention plan in responding to public health emergencies. Methods: One hundred frontline nurses of a designated military hospital receiving and treating novel coronavirus pneumonia in Zhengzhou City from February to March 2020 were selected as the research subjects. The general data questionnaire, Chinese edition of PANAS and CD RISC were used to conduct the investigation. Results: The positive and negative emotions score had statistical difference between different sexes of nurses and among the nurses with different post risk grades (P < 0.05). The psychological resilience score had statistical differences among the nurses with different genders, marital statuses and post risks (P< 0.05). The positive emotion had the significantly positive correlation with the psychological resilience (r = 0.885, P <0. 05), and the negative emotion had the significantly negative correlation with the total score of psychological resilience (r = - 0.722, P< 0.05). The psychological esilience was an important influencing factor of negative emotion in the frontline nurses against the epidemic. Conclusion: In the early stage of anti epidemic, the emotional distress of the frontline nurses is closely correlated with the psychological resilience. Should strengthen the psychological selection and psychological resilience cultivation, and pay attention to the selection and use of male nurses in the special posts. [ABSTRACT FROM AUTHOR]

Objective To develop the knowledge attitude practice questionnaire of advance directives suitable for Chinese nurses. Methods The preliminary survey questionnaire was formed based on the documentary method and focus group discussion. A total of 308 nurses selected from a class 3A hospital of Chongqing City in November 2019 served as the participants. The reliability and validity of the questionnaire were tested. Results The questionnaire was consisted of 33 items and 8 dimensions, the Cronbach' s a of the questionaire was 0. 848, the Cronbach' s a coefficient of each dimension ranged 0. 603- 0. 923. The test retest reliability was 0. 996. The factor analysis extracted 8 common factors,and the cumulative contribution rate was 70. 831 %. Conclu sion The compiled questionnaire of nurses' knowledge attitude practice about advance directive has good reliability and validity, and can be used in the survey research of nurse kowledge attitude practice of advance directive. [ABSTRACT FROM AUTHOR]

Objective To understand the mental, sleep and post traumatic stress disorder status of first line nurses participating in fighting against the epidemic situation of coronavirus disease 2019 (COVID 19) to provide reference for perfecting the construction mechanism of nursing emergency team for public health emergencies in Bishan area. Methods From March to April 2020, the self designed general data questionnaire, self rating psychiatric symptoms scale(SCL 90), pittsburgh sleep quality index scale (PSQD and post traumatic stress disorder checklist civilian version(PCL C) were adopted to conduct the survey and analysis on 109 first line nurses of Bishan District directly participating in fighting against the COVID 19 epidemic situation. Results The total SCL 90 scores in 109 nurses were (120.25 ± 43.31) points, in which 24 nurses (22. 0%) appear ed the mental problems; the total PSQI s cores were (7.97± 3.15) points, in which 71 nurses (65.1 %) had the total scores >7 points; the total PCL C scores were (24.32 ± 9.74) points, in which 23 nurses ( 21.1%) were the posttraumatic stress disorder positive. Conclusion The systematic support plays a significant role in reducing the psychological pressure and post traumatic stress disorder in the firs t line nurses for fighting against the epidemic situation of COVID 19, but it has no obvious effect on the improvement of sleep quality. Therefore, the hospital administrators should further strengthen the psychological and sleep intervention on them, at the same time, perfect the nursing emergency team building mechanism for public health emergencies events. [ABSTRACT FROM AUTHOR]

Objective: Salivary amylase could be used as a physiological indicator of psychological stress. This study evaluated the salivary amylase levels of nurses in different shifts and different time shifts, and initially explored the psychological stress of nurses after different shifts. Methods: The saliva amylase concentration of 280 nurses in a third-grade hospital in Jinan were measured to explore the stress degree of nurses in different shifts (two- shift, three-shift, day-shift) and different time shifts (two shifts at 17:00, 20:00, and three shifts at 23:00, 24:00 and 01:00). Results: The salivary amylase concentration of nurses in the two-shift was higher than that of nurses in the three-shift (158 vs. 107, P < 0.01), and higher than that of nurses in the day-shift (158 vs. 92, P <0.01). The saliva amylase concentration of the nurses on the two-shift at 20:00 was higher than that at 17: 00 (208 vs. 136, P < 0.01), and that of the nurses on three-shift at 01:00 was higher than that at 23:00 (138 vs. 87, P <0.01). Conclusion: It suggests that nurses who take on shift work may suffer more stress when the shift time is later at night. [ABSTRACT FROM AUTHOR]

Objective To understand the awareness rate and mastering degree of operating room nurses on the knowl- edge of multidrug resistant（MDR）bacterial infection，in order to provide the targeted related guidance and training for clinic， and scientific and clinical practical basis for the health department management. Methods The hospitals in Bishan District of Chongqing City conducted the stratified cluster sampling by using the questionnaire investigation mode from January to May 2017.One hundred and twenty on-the-job operating room nurses in secondary and primary hospitals were investigated. The awareness and mastering situation of MDR bacterial infection knowledge was collected and statistically analyzed by using the SPSS19.0 statistical software. Results Among 120 operating room nurses，43 respondents（35.8%）got the full marks of 15 items in MDR bacterial infection knowledge and 29 respondents（24.2%）got below 9 points. In 15 items，the awareness rate of operating room nurses on MDR bacterial infection knowledge in 4 items was more than 80.0%，which of hand hygiene signifi- cance，6-step hand washing method and hand washing indication was the highest[91.7%（110/120），90.0%（108/120）]；in 15 items，the awareness rate of operating room nurses on MDR bacterial infection knowledge was less than 75.0% in 8 items，the awareness rate of operating room nurses on MDR bacterial infection types was the lowest [66.7%（80/120）].The awareness of MDR bacterial infection knowledge had no statistical differences between different sexes and among different education levels （P>0.05）；the awareness rates of operating room nurses on MDR bacterial infection knowledge had statistical differences among different nursing ages，professional and technical positions，post positions，hospital levels，whether teaching students， times of joining MDR bacterial infection knowledge training（P<0.05）. Conclusion Partial operating room nurses are poor in mastering the knowledge of MDR bacterial infection.It is needed to strengthen the guidance，and carry out the hospital infection knowledge training，education and assessment，meanwhile the relevant management departments should also adopt correspond- ing measures to conduct the management. [ABSTRACT FROM AUTHOR]

Objective To assess the current stage of awareness and knowledge of Clinical Application Guide of Blood Glucose Monitoring in China (Edition 2015) among community nurses, hereby to provide a basis for carrying out standardized blood glucose monitoring training for community nurses. Methods A total of 415 clinical nurses were elected with cluster sampling method from community health service centers on May 30, 2017, including 198 nurses, 185 senior nurses, 30 supervisor nurses and more than 2 associate chief nurses. The data were collected and integrated into the database, categorical data is represented by the constituent ratio (%),variance analysis was used for comparison between groups. Results Analysis total of 241 community nurses were lack of awareness of the guidelines and did not often recommend self-monitoring blood glucose (SMBG) prescriptions for patients, accounting for 58.08%. A smaller portion of responders (178 cases, 42.8%) fully disclosed SMBG related information A total number of 228 cases (54.94%) areaware of 6 self blood glucose monitoring programs recommended by the guide and their impact on diabetes management, accounting for. nurses from different department have varying cognitive scores on the guideline. Among them, general department nurses had the highest score [(20.26±3.00) points]. The differences among departments were statistically significant (F=8.631, P<0.05). Nurses with different working years had different cognitive scores on the guidelines. Among them, the scores of nurses working 11- 15 years were the highest [(21.21±3.65) points]. The difference among groups was statistically significant (F=7.689, P<0.05).The average score of blood glucose monitoring was (20.21±3.90) points, 180 cases 43.37%. Scored either good or pass 235 cases (56.63%) failed. 172 cases (46.36%) of non-titled nurses achieved good or pass, 8 cases (18.18%) of titled nurses got good or pass. Conclusion The study results indicate that there is a definite gap in knowledge of of blood glucose monitoring applications amongst tcommunity nurses. [ABSTRACT FROM AUTHOR]

Objective: To explore the status quo of presenteeism in nurses and the mediating effect of presenteeism on relationships among work family conflict, psychological symptom, and job satisfaction. Methods: A sample of 349 female nurses from a third-level hospital in Henan Province were assessed with the Sickness Presenteeism Questionnaire( SPQ) , Work-Family Conflict Scale (WFCS, includes 2 dimensions of work-family conflict and family-work conflict), 12-item General Health Questionnaire (GHQ-12) and Job Satisfaction Scale (JSS). Bootstrap was used to test the mediating effect. Results: The mean of SPQ was (3. 3 ±0. 7) in this sample, and the mean of SPQ was higher in married nurses than in those not married [(3. 3 ±0. 7)vs. (3. 1±- 0. 7), P <0. 01]. The scores of work-family conflict, family-work conflict and SPQ total scores were positively correlated with the GHQ-12 total scores (β =0. 25, 0. 17, 0. 12). The scores of SPQ and work-family conflict total scores were negatively correlated with the J SS total scores (β = -0. 14, -0. 13). Bootstrap test showed that presenteeism partially mediated the relationship between work-family conflict and psychological symptom, and the mediating effect was 12%. Presenteeism partially mediated the relationship between work-family conflict and job satisfaction, and the mediating effect was 24%. Conclusion: The frequency of presenteeism is higher in nurses, presenteeism may have a partial mediating effect among work family conflict and psychological symptom, job satisfaction in nurses. [ABSTRACT FROM AUTHOR]

Objective To investigate the status of cognition of pressure ulcer among nurses in hospitals of different grade.Methods A survey was conducted by a self-designed questionnaire in 331 nurses from 6 tertiary hospitals,5 secondary hospitals,4 community health service centers(primary hospitals)in Chongqing main city zone to understand their cognition of pressure ulcer. Results There was a significant difference in the correct rate among nurses in hospitals of different grade. The correct rates of knowledge of pressure ulcer in tertiary hospitals,secondary hospitals,community health service centers were 41.81%,35.57%and 35.09%,respectively. Conclusion Nurses′ knowledge of pressure ulcer in hospitals of different grade needs to be improved.It is necessary to strengthen the training and learning for nurses to increase the quality of prevention and treatment of pressure ulcer. [ABSTRACT FROM AUTHOR]

Objective To research the core competence among new nurses and influencing factors，and to put forward the opinions and suggestions for regular training of new nurses and nursing students education. Methods The cross-sectional survey was performed on the new nurses in a class 3A hospital of Chongqing City during 2016. The Core Competency Inventory of New Nurses(CCINN) was used as the research tool. One hundred and thirty questionnaires were issued and 122 effective questionnaires were recovered with the recovery rate of 93.85%. Results The mean score of new nurses was(3.92±0.48) points. The dimensional scores from high to low were in turn ：ethics accomplishment(4.31 ±0.69)points，fulfill responsibilities(4.31±0.66) points， communication and cooperation(4.06±0.73) points，caring(4.03±0.76) points，lifelong learning(3.84±0.84) points，critical thinking (3.82±0.76)points, general clinical nursing skills (3.69±0.72) points and basic biomedical knowledge (3.18±0.69) points. The differentiated analysis revealed that interest in nursing， what institution most wanting to work after graduation， career planning after graduation， whether participating in the school activities， whether holding the class and grade positions， whether having effort to complete homework assignments and preparing for examinations and whether having active learning were the influence factors of core competence in the research subjects (P<0.05). Strongly interesting in nursing，wanting to devote to the nursing work after graduation and often actively learning were the significantly influence factors of core competence in new nurses (P<0.05). Conclusion Effectively assessing the core competence in new nurses by using CCINN can guide the nursing standardized training and nurse undergraduate education and specialized education curriculum planning，at the same time provides a reference for hospital selecting nurse talents in the future. [ABSTRACT FROM AUTHOR]

Objective To investigate the status quo of post core competency among ICU nurses and to understand its influencing factors to formulate the corresponding interventional strategy and provide the scientific basis for better elevating the nursing service quality. Methods Totally 96 ICU nurses in the class 3A hospitals were investigated by questionnaire in January 2015. Results The total score of ICU nurses core competency was (3.75±0.59) points, which were related with the educational background, ICU working years, marital status and common work shift, and the differences were statistically significant (P<0.05). Conclusion The core competency of ICU nurses is in the upper level, which is affected by the educational background, ICU working years, marital status and common work shift. Therefore taking effective measures according to the main influencing factors not only can improve the nurse core competency, but also increases the nursing quality and treatment success rate of critically ill patients. [ABSTRACT FROM AUTHOR]

Objective To survey the present situation of professional values among nursing interns and in-service nurses in a university affiliated hospital and to explore the factors affecting their professional values in order to provide the basis for further conducting the nursing education. Methods By adopting the stratified cluster sampling method, the two groups of nursing interns and in-service nurses in a university affiliated hospital were conducted a questionnaire survey. Results The professional values score of the in-service nurses were higher than those of the nursing interns, the difference was statistically significant (P<0.05); the total score of professional values in the nursing interns had statistical differences among different ages, education back-grounds and practical periods (P<0.05); the total score of professional values in the in-service nurses had statistical differences among political status, technical post titles and working years (P<0.05); age, education background and practical period were the influencing factors of nursing professional values in nursing interns; the political status, post title and working years were the influencing factors of nursing professional values in the in-service nurses. Conclusion The difference in total identification of nursing professional value exists between the nursing interns and in-service nurses, therefore the nursing education and administrators should adopt various measures to promote the increase of professional values level according to the characteristics of professional values in different nursing groups. [ABSTRACT FROM AUTHOR]

This systematic review evaluated the workplace violence in nursing. Thirty-seven studies that met the criteria were included, reviewed, and analyzed. The one-year prevalence rates of physical violence ranged from 6-74%, sexual harassment 33.7-34.9%, while nurses experienced nonphysical violence including 15.2-97.6% verbal violence and 11.6-47.6% bullying behavior. Verbal violence is more common than physical violence. The later is commonly happened in emergency room or psychiatry department. The common perpetrators of these types of violence included the patients, family members, visitors and hospital staff. The nurses were apt to affected by these type of violence not only physically and psychologically, but also damaging the nursing profession and the whole hospital organization. Workplace violence victims have several coping strategies including physical mental support and promote self dignity. Unreported violence in nursing ranged from 40-80%, because violence victims believed that they were capable to handle and solve the problems or didn't trust the reported system. Based on these, the most priority are provide the mutual feedback and communication pathway, and In conclusion, various types of violence in nursing are prevalent. It is a great challenge to establish a safe and healthy nursing environment with zero tolerance of workplace violence. Nursing education deserves courses and strategies to enable nursing professionals in handling the workplace violence with confidence and to promote their professional contribution. [ABSTRACT FROM AUTHOR]

Objective To apply the PDCA circulation in the management of junior nurses in ICU for improving the work quality. Methods The PDCA circulation was applied to conduct the management of junior nurses in ICU, the causes and influence factors producing the quality problems were analyzed according to the working situation of ICU junior nurses and by combining with the problems existing in the work quality, then the measures and plans were formulated and implemented; the effects and checks were followed up, the effectiveness of measures and plans were increased; the check results were summarized, and the success experiences were affirmed, after that, the unsettled problems were provided for transferring into next PDCA circulation. The incidence situation of nursing adverse events and patients′ satisfaction during January to October 2014 were performed the statistics. Results The incidence rate of nurse adverse events was gradually decreased and the patients′ satisfaction was gradually increased. Conclusion Applying the PDCA circulation for conducting the management on ICU junior nurses,reinforcing the training and strengthening the supervision reduces the occurrence of nursing adverse events,increases the working quality and patients′ satisfaction. [ABSTRACT FROM AUTHOR]

Objective To apply the PDCA circulation in the management of junior nurses in ICU for improving the work quality. Methods The PDCA circulation was applied to conduct the management of junior nurses in ICU, the causes and influence factors producing the quality problems were analyzed according to the working situation of ICU junior nurses and by combining with the problems existing in the work quality, then the measures and plans were formulated and implemented; the effects and checks were followed up, the effectiveness of measures and plans were increased; the check results were summarized, and the success experiences were affirmed, after that, the unsettled problems were provided for transferring into next PDCA circulation. The incidence situation of nursing adverse events and patients′ satisfaction during January to October 2014 were performed the statistics. Results The incidence rate of nurse adverse events was gradually decreased and the patient′ satisfaction was gradually increased. Conclusion Applying the PDCA circulation for conducting the management on ICU junior nurses, reinforcing the training and strengthening the supervision reduces the occurrence of nursing adverse events, increases the working quality and patients′satisfaction. [ABSTRACT FROM AUTHOR]

Objective To investigate and analyze the allocation situation of nursing human resources in Chongqing civil mental health institutions，and to discuss the reasonable allocation strategy of nursing human resources in order to provide a scientific basis for relevant departments developing and rationally allocating nursing human resources. Methods A questionnaire survey was conducted in 5 civil mental health institutions in Chongqing，the contents included the hospital basic situation and basic situation of whole on-post nurses（excluding nursing assistants and nursing workers）. Results The quantity of nurses in 5 civil mental health institutions was seriously insufficient and the bed-nurse ratio was substandard；the proportion of contract nurses was on the high side；the nurse team became younger ；and the team construction did not form a rational echelon structure. Conclusion The nursing human resource allocation of 5 civil mental health institutions in Chongqing is not reasonable，and a serious shortage exists. Safeguarding reasonable allocation of nursing human resources and establishing the incentive mechanism for talent growth are the objective requirement of scientific development of civil mental health service. [ABSTRACT FROM AUTHOR]

Objectives: Nurses are at an especially high risk for metabolic syndrome (MS) because of their heavy workload and frequent rotating shifts. We investigated nurses' annual physical check-up data and distributed questionnaires regarding lifestyle and work patterns in order to identify the relationship between prevalence of MS indicators and nurses' lifestyles. Methods: In this cross-sectional study, nurses from a medical center in central Taiwan were recruited and 1,129 completed this study. The diagnostic criteria for MS were set by the Bureau of Health Promotion, Taiwan. Results: The prevalence of MS was 5.0%. Older nurses (OR=1.11), and those with a family history of MS (OR=1.93), a history of chronic diseases (OR=6.56), administrative work (OR=5.22) or fixed night-shifts (OR=14.15) had a higher risk of MS. Those who drank beverages with 88-175 grams of sugar per week had a higher risk of MS than those who drank beverages without sugar (OR= 3.81), and those who consumed fewer dairy products (0-1 cups / day) compared with those who consumed more (1.5-2 cups / day) had a lower risk of MS (OR = 0.32). Conclusions: The prevalence of metabolic syndrome was associated with the type of shift work and pattern of diet, especially the night shift, sugary beverages, and dairy products in nurses who rotated shifts. Implications for physical check-ups and health management, shift policy and the eating environment are emphasized in our study. [ABSTRACT FROM AUTHOR]

Objectives: Health service organizations strive to develop employees' ability to innovate in order to mantain business in a highly competitive market. Few previous studies have explored the work performance of innovative employees. The aim of this study was to explore the work performance of innovative nurses from the perspectives of innovative nurses themselves, nurse managers and customers. Methods: A qualitative research method was utilized in this study; in-depth interviews were used to collect data. Samples were selected by a purposive sampling method in three accredited regional hospitals in southern Taiwan. Innovative nurses, nurse managers and hospital customers were interviewed. Results: Innovative nurses and nurse managers both agreed that employee innovation positively affected employees' work performance. The positive effects included: good work efficiency and quality care, increased utilization of healthcare resources, positive team interaction, and self-growth. Customers also thought that innovative nurses provided a higher quality of service. Conclusions: Overall, nurse managers and customers both thought that innovative nurses performed well. Advantages of nurse innovation are seen at individual, team, organizational, and customer levels. Managers should strive to enhance employees' motivation for innovative behaviors and let employees actively participate and share innovative ideas. A sound rewards system and support from managers are also important factors in strengthening employee innovation. [ABSTRACT FROM AUTHOR]

Objective To investigate the awareness of ADR among the medical personnel in Kunming, and to provide references for promoting and improving the ADR report and monitoring sytem. Methods By using the way of questionnaire, we made an investigation in partial medical staffs in Kunming 3A--grade hospital, undertaking sampling survey. The collected data were statistically analyzed by using spss17.0 software. Results The medical personnel in Kunming had a basic knowledge of ADR and how to handle it. However, there were still some problems, for instance, the understanding of the reporting procedures was not enough and consciousness was faint. At the same time, the low overall awareness of nurses and pharmacists didn't reflect their professional advantages. Conclusions We should reinforce the propaganda and the training of ADR, not only improve the awareness of ADR among the medical personnel in Kunming, but also enhance the consciousness of ADR monitoring. At the same time, we should perfect the ADR monitoring system in order to ensure the public safety. [ABSTRACT FROM AUTHOR]

Objective To analyze the nurse qualification examination qualified rate,influencing factors and propose a countermeasure of Guilin city. Methods Retrospectively analyzed the number, education backgrounds and source distributions of students taking the nurse qualification examination in Guilin city from 2013 to 2015. Results The qualified rates of nurse practitioner qualification examination in Guilin city during 2013 -2015 were 56.75%, 49.46% and 46.00% respectively. The difference on qualified rates among nurses with different academic background had statistical significance (x2=46.03 ,P<0.05), further pairwise comparison showed that the qualified rate of nurses with technical secondary background was higher than that of nurses with college and university background with statistically significant difference (P<0.017) ,but difference on qualified rate between the nurse with college background and university background had no statistical significance (P>0.017). The difference on qualified rates among nurses from different regions had statistical significance (x2=55.14 ,P<0.05 )； further pairwise comparison suggested that the qualified rate of nurses with probation period in municipal medical institutions was higher than that of nurses with probation period in county medical institutions and village-town medical institutions with statistically significant difference (P<0.017) ； while the difference between that nurses with probation period in county medical institutions and village-town medical institutions had no statistical significance(P>0.017). Conclusion A sound system should be established for nursing students with different education levels, especially for the highly educated nursing students, so as to play a guiding role of nurse qualifica­tion examination in medical education；in order to enhance the scientific and objective of cultivation and selection for nurse,im- prove the qualified rate of nurse qualification examination, the government should make policies focusing on nursing the high-degree education and training. [ABSTRACT FROM AUTHOR]

Objective To investigate the status quo and influencing factors of professional identity of male nurses in the operation room of the class 2A general hospitals. Methods Four grade 2 class A hospitals in Banan District of Chongqing City were selected. The professional identity in 40 male nurses was investigated by using the Nurses Professional Identity Rating Seale (2009) and the influencing factors were analyzed by single factor and multiple factor analysis. Results The occupation identity score in 40 male nurses of operation room was in the middle level. Tin; dimensional scores of cognitive evaluation and sociability were higher, while, but the two dimensional scores of social support identity and self-reflection were poor. The working years,daily working hours and monthly income were the main factors influencing the professional identity of male nurses in operation room, the difference was statistically significant (P<0.05 ). Conclusion The professional identity of male nurses in the operation room of the grade 2 class A general hospitals is entirely in the middle level, it is necessary to strengthen the intervention to male nurses with long working years, long daily working hours and less monthly income in order to improve the overall professional identity. [ABSTRACT FROM AUTHOR]

Objective To understand the working pressure source of obstetric nurses in Kunming through a sample survey study, so as to provide a reference for obstetric nurses to adjust self-psychology and for clinical managers to relieve working pressure on obstetric nurses. Methods We gave a sampling survey on 249 obstetric nurses in provincial, municipal and private hospitals, and used "Chinese nurse job stress scale" to collect the data for statistical analysis. Results Kunming obstetric nurses' working pressure mainly came from the workload and time allocation. The ten stressors with highest score of pressure were frequent highest score, too much work, low welfare benefits, too much useless paperwork, low social status, worry about mistakes at work, too high expectation of patients, too much non-nursing work, nursing work is not accepted by patients and their families, few nurses to work. Age, title and nature of the preparation had no effect on work stress. Public hospital nurses' working pressure was significantly greater than private hospitals. Conclusion Working pressure sources of obstetric nurses in Kunming are too much night shift, too much work, welfare benefits useless paperwork, social status, mistakes at work, patients expectation work is not accepted and staffing Hospital management and nursing managers should deploy rationally human resources on obstetric area, reasonable scheduling. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to compare perception on bionursing and satisfaction and importance about bionursing subjects of clinical nurses with that of professors using a coorientation model. Methods: Subjects for this study consisted of 135 clinical nurses at a tertiary hospital and 114 nursing professors. Questionnaire for perception on bionursing consisted of competency of professor, linkage with clinical practice and research of bionursing. Perceptions on bionursing education and research, satisfaction and importance about subjects of bionursing were measured. The data were analyzed by t-test. Results: Perception of clinical nurses on research of bionursing was more positive than professors. Perception of professors on research of bionursing was significantly less than that of professors estimated by clinical nurses. Perception of clinical nurses on linkage with clinical practice and research of bionursing estimated by nursing professor was significantly less than that of clinical nurses. Satisfaction of clinical nurses with the subjects of bionursing was significantly less than that of professors. Clinical nurses perceived anatomy the most important while professors perceived physiology the most important. Conclusion: Perceptions of clinical nurses on bionursing as well as satisfaction and importance about subjects of bionursing were identified to be different from those of professors. [ABSTRACT FROM AUTHOR]

Objective To investigate the current situation of occupational exposure among the practicing nurses in second class or more hospitals in various districts and counties of Chongqing City, to analyze the influence factors of occupational exposure and to offer the corresponding proposals. Methods The survey was performed on 200 randomly extracted practicing nurses by the occupational exposure risk factors questionnaires. The results with 80 nurses on job were performed the comparative analysis. Results The awareness rate of occupational exposure related knowledge in the practicing nurses with educational background under bachelor degree was lower, and the occupational exposure proportion in the practicing nurses of the surgical and infectious departments was higher than that of the other departments. The occupational exposure harms were mainly caused by returning syringe needle, needle cap, transmitting blade, ampoule-hurt, and so on. The self-assessment scores of clinical processing ability, clinical protective ability and health educational ability in the practicing nurses were significantly lower than those in the nurses on job,the differences were statistically significant. Conclusion The practicing nurses relatively lack the knowledge of occupational exposure knowledge in practical operations, their awareness of occupational safe protection is weak, which needs to strengthen the cultivating and educating of specialized knowledge. [ABSTRACT FROM AUTHOR]

Objective To explore the risk awareness of intravenous infusion and the demand degree of intravenous infusion related knowledge training in junior nurses to provide the basis for junior nurses training in future. Methods The self-designed questionnaire was applied to conduct the questionnaire investigation on 200 junior nurses with more than 1-3 working years recruited by our hospital during 2011-2013. Results Junior nurses with the education background of bachelor degree thought that the risk of the intravenous infusion was higher and had strong demand of intravenous infusion related knowledge training, while those with the education background of junior college thought that the intravenous infusion had less risk and had weak training need, the differences between them were statistically significant (χ2=24.790, 16.022, P=0.000), but there was no statistically significant difference in the aspects of the intravenous infusion risk and intravenous infusion related knowledge training demand among different professional and technical posts of junior nurses (χ2=2.363、1.664, P=0.124, 0.197). Conclusion Junior nurses with the educational background of junior college have weak training demand. Therefore, the intravenous infusion related knowledge training in junior nurses should be strengthened and the risk awareness of intravenous infusion in junior nurse with the educational background of junior college should be increased. [ABSTRACT FROM AUTHOR]