Objective: To understand the situation and feelings of clinical nurses facing time pressure in their work,and to provide reference for coping with time pressure in nursing work and improving nurses’ happiness at work. Methods:A descriptive phenomenological research method was adopted. Purposive sampling and maximum difference sampling led to the inclusion of 14 nurses of 3 tertiary grade A hospitals in Suzhou from January to April 2022. Data were collected using semi-structured in-depth interviews and analyzed by the Colaizzi 7-step method. Results: Four themes were extracted through the analysis: time pressure in clinical nurses is ubiquitous, time pressure is negatively related to the quality of nursing and nurses’ physical and mental health, time pressure is positively related to creativity and job engagement, poorly individual strategies to cope with time pressure. Conclusion: Working under time pressure leads to various challenges to nurses. Time pressure has a double-edged effect, and nursing managers should establish appropriate time pressure, so as to promote more positive effects.
Objective: To explore the implementation effects of a training program that was developed for newly employed nurses based on the nurse core competency framework using the 360-degree feedback evaluation system. Methods:The training program was designed based on the results of a literature review and expert consultation. We trained the 2021newly employed nurses following this training program in a multi-phased and multi-mode way. We compared the preand post-training effects based on the 360-degree feedback evaluation system. Results: After the training, the 2021 newly employed nurses scored higher than the 2020 ones in five dimensions of clinical nurses’ core competencies, namely legal and ethical practice, interpersonal relations, professional development, critical thinking, and scientific research. The difference was statistically significant（P＜0.05）. Conclusion: The training program based on the nurse core competency framework is systematic and comprehensive. The multi-phased and multi-mode training method is scientific and practical. The reformation of the training program is conducive to increasing newly employed nurses’ core competencies and is worthy of clinical application.
时间银行能够极大地动员公众参与社会职务,当前时间银行在我国的发展主要集中于互助养老领域,在实践中取得了一定效果.文章旨在综述公众参与时间银行对其健康结局产生影响的相关文献,为时间银行在我国的本土化发展及在大健康政策背景下的精准定位与利用提供证据支持.
目的:调查我国医院疼痛护理管理现状,为促进疼痛护理管理工作的进一步开展提供参考依据.方法:于 2023 年 6月采用便利抽样方法,选取全国145家医院,使用自行设计的疼痛护理管理调查问卷进行调查.结果:138家(95.17%)医院建立了疼痛护理管理制度,53 家(36.55%)医院设立了疼痛护理门诊或疼痛医护联合门诊.开展门诊、急诊及住院患者疼痛评估工作的医院分别有 92 家(63.45%)、92 家(63.45%)、128 家(88.28%).91家(62.76%)医院所在的13 个省护理学会成立了疼痛护理专业委员会,其中10 个省护理学会疼痛专业委员会开展了疼痛专科护士培训.118 家(81.38%)医院开展全院疼痛护理在职培训.结论:全国医院疼痛护理管理制度的建立及住院患者疼痛护理工作的不断推进,但是探索以护士为主体的门诊工作模式,进一步完善疼痛评估的规范性,落实疼痛专科护士的培养及使用细则,加强护士在职培训等方面仍然有待加强.
中心静脉导管相关性血栓一旦脱落可能导致致死性肺栓塞,血栓形成初期患者常无明显临床症状,因此,早期识别其高危人群至关重要.文章聚集 3 类中心静脉导管相关性血栓高危人群,从风险预测模型的构建过程、评价指标及应用效果等方面进行综述,分析现存预测模型的特点及局限性,旨在为临床医护人员识别中心静脉导管相关性血栓高危患者提供借鉴.
