Objective To learn about current status of knowledge,attitude and practice of humanistic care in Chinese nurses and their influencing factors,so as to provide references to the mangers to accordingly improve their knowledge,attitude and practice. Methods From July to August,2022,a general information questionnaire and a clinical nurse questionnaire of knowledge,attitude and practice were sent out and filled by 15 727 nurses from 107 hospitals in 27 provincial administrative regions of China. Results 15,653 nurses completed the investigation. The total score of knowledge-attitude-practice was 84.19±12.98. The scores of knowledge,belief or attitude,and standard score of practice were 80.22±15.61,83.55±15.17,and 87.92±12.70,respectively. The influencing factors were gender,title,department,satisfaction degree with work,emphasis degree of self-care,received training of humanistic care or not,supporting degree from family to their work,relationship with colleagues,satisfaction degree with salary,and having worked or not in a trial ward of humanistic care(P<0.001). Conclusion The overall humanistic care of Chinese nurses currently stands at medium level. The knowledge of humanistic care is relatively inadequate. The managers should strength nurse humanistic care training,give organizational support,build a better department atmosphere,and improve nurses’ satisfactions to their work,salaries,and relationship with colleagues,so as to improve nurses’ humanistic care of knowledge,attitude and practice.
Objective To construct an individualized management scheme of fluid intake for patients with chronic heart failure(CHF) and discuss its application effect. Methods Based on the previous results of “maximum cumulative fluid balance and number of days for CHF patients with safe volume load” and overhydration(OH) value at the time of entry,an individualized management scheme of fluid intake for patients with CHF was developed. Using the convenience sampling method,278 patients with CHF admitted to a tertiary first-class hospital in Jiangsu Province from May to October 2020 were selected. By the random number table method,the patients were randomly divided into an experimental group (139 cases) and a control group (139 cases). The experimental group adopts an individualized management scheme of fluid intake,and the control group adopts the department’s routine fluid management strategies and we evaluated the effect of the intervention. Results After the intervention,OH value,estimated plasma volume status,Clinical Congestion Scale,Thirst Distress Scale-Heart Failure,the Minnesota Living with Heart Failure Questionnaire,3-and 6-month post-discharge readmission rates in the experimental group were lower than those in the control group(P<0.05). There was no significant difference between 2 groups in 3- and 6-month post-discharge cardiac mortality (P>0.05). Conclusion The individualized management scheme of fluid intake for patients with CHF can improve volume status and quality of life,providing a basis for management of fluid intake for patients with CHF.
Objective This paper summarizes the experience of establishing nursing emergency personnel reserve bank based on information network technology in large general hospitals during the epidemic of coronavirus disease 2019(COVID-19). Methods It Includes adjustment of organizational structure system,establishment and management of nursing emergency personnel reserve bank. The personnel reserve bank was constructed based on the formation principles and procedures;the maintenance of emergency personnel’s basic information,the training of COVID-19 knowledge and related skills,and the multi-dimensional psychological support and humanistic care were implemented based on the hospital information platform. Results As of February 15,2020,a total of 553 nurses had been admitted to the reserve bank,of whom 260 were on standby and 293 were involved in the frontline epidemic prevention and control. Conclusion Nursing emergency personnel reserve bank based on information network technology in our hospital ensured efficient manpower dispatch and dynamic personnel management during the epidemic,which accumulated experience for the follow-up disaster aid.
Objective To explore the effects of application of personality colors compass in communication between nurses and patients in breast surgery.Methods Four-colors Personality Analysis was analyzed to study and design a color compass that could quickly and easily distinguish the personality characteristics of patients. Fifty cases of breast cancer patients admitted to the breast department of a tertiary hospital from January to March 2019 were selected as the experimental group,and 50 cases of breast cancer patients admitted to the department from October to December 2018 were selected as the control group. After admission,the experimental group tested their personality and got their own personality analysis by scanning QR codes. Nurses obtained the patients’ personality analysis through the back-stage management,identified corresponding character traits and communicating strategies found in the compass,then communicated with the patients. For the control group,nurses communicated with patients using routine way. Patients’ anxiety and depression scores,nursing work satisfaction,the communication ability of nurses before and after the application of Personality Colors Compass were compared between two groups.Results Anxiety score at discharge of cases in the experimental group was 5.75±1.73,depression score was 5.42±1.59. The total score of patients’ satisfaction with nursing services was 44.56±2.54. Anxiety score at discharge of cases in the control group was 9.22±2.58,depression score was 8.71±1.87. The total score of patients’ satisfaction with nursing services was 34.29±3.83(t=-7.794,-9.342,15.593,P<0.05). After the application of Personality Colors Compass,the average communication score of nurses increased from 20.25±1.06 to 26.81±1.60(t=-13.672,P<0.05).Conclusion The Personality Colors Compass reduces breast cancer patients’ anxiety and depression effectively,improves patients’ satisfaction with nursing services,and improves nurses’ communication skills.