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10 February 2020, Volume 27 Issue 3
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Journal of Nursing. 2020, 27(3): 1-4. https://doi.org/10.16460/j.issn1008-9969.2020.03.001Objective To understand the willingness of the elderly in nursing homes to try horticultural therapy, and to provide reference for the implementation of horticultural therapy in nursing homes. Methods A convenient sampling method was used to survey 181 elderly people in the nursing homes in Panyu, Haizhu, Liwan and Yuexiu District of Guangzhou City by using a general information questionnaire, Activity of Daily Living Scale (ADL), and elderly people's willingness to try horticultural therapy and the suggestions. Single factor analysis and two-category logistic regression analysis were used to analyze the influence factors. Results Of the total, 43.2% of the elderly were willing to have a try for horticultural therapy and 56.8% of the elderly were reluctant. Single factor analysis showed that ten factors including farming experience, experience of growing vegetables, self-care ability, etc. were factors affecting the willingness of the elderly in the nursing home. Logistic regression analysis showed that poor physical condition, inadequate knowledge of growing vegetables, self-care ability, and farming experience were four risk factors that affected the willingness of the elderly in the nursing home, with OR value of 33.790, 4.973, 3.538 and 3.407, respectively (P<0.05). Conclusion The elderly in Guangzhou's nursing homes are more willing to have a try for horticultural therapy than other common entertainments such as chess and cards since it can satisfy the needs of belongings and love, and self-realization; for those old people that are reluctant to have a try, the main influence factors are poor physical conditions and farming experience.
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Journal of Nursing. 2020, 27(3): 5-9. https://doi.org/10.16460/j.issn1008-9969.2020.03.005Objective To evaluate the effectiveness of formative assessment based on electronic portfolio in skill training of Nursing Open Laboratory. Methods Totally 94 nursing undergraduates in Grade 2017 were randomly divided into experimental group with formative assessment based on electronic portfolio and control group with normal formative assessment in skill training of Nursing Open Laboratory. At the end of the course, students in the two groups were investigated by using self-directed learning ability scale, and students' performance in theoretical and operation skill test of the two groups were compared. Results The scores of theoretical and operation skill test in the experimental group were higher than those in the control group (both P<0.05). Moreover, the total score of self-directed learning ability scale and the score of each dimension in the experimental group were significantly higher than those of the control group (P<0.05) and 83% to 96% of the students in experimental group thought highly of the electronic portfolio assessment. Conclusion Formative assessment based on electronic portfolio helps students to consolidate theoretical knowledge and to improve the self-directed learning ability. It is worth to be promoted in skill training of Open Laboratory Training.
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Journal of Nursing. 2020, 27(3): 14-17. https://doi.org/10.16460/j.issn1008-9969.2020.03.014Objective To investigate the effect of closed-loop infusion monitoring system on safety management of clinical infusion, so as to provide scientific reference for clinical nursing. Methods A total of 418 infusion patients admitted to endocrinology department of our hospital from January to March 2019 were divided into control group and observation group. The control group included 210 patients admitted from January 1 to February 15, and the observation group 208 patients admitted from February 16 to March 31. The control group adopted traditional infusion monitoring, and the observation group implemented the closed-loop infusion monitoring system then infusion safety of the two groups was compared. Results In the observation group, there were lower incidence of transfusion risk except phlebitis and lower incidence of nurse-patient dispute due to infusion, less average number of rings and shorter average length for nurses to handle the abnormality of infusion, which indicated statistical significance (P<0.05). Statistical analysis showed that alarm accuracy of closed-loop infusion monitor system in the observation group was 98.7%, and the incidence of equipment failure rate 1.0%. Conclusion Closed-loop infusion monitoring system is effective in clinical infusion since it can promote infusion safety in wards, and it is worthy of clinical promotion.
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Journal of Nursing. 2020, 27(3): 18-21. https://doi.org/10.16460/j.issn1008-9969.2020.03.018Objective To explore the effect of communication mode of Situation- Background-Assessment-Recommendation (SBAR) in the management of nursing excellent events and to promote the quality of nursing safety management. Methods The 65,355 inpatients admitted from January to December 2016 were pre-implementation clinical data in sharing and learning management of nursing excellent events. While those of 145,747 inpatients from January 2017 to December 2018 were post-implementation clinical data in sharing and learning management of nursing excellent events. Meanwhile, SBAR communication mode was applied in the reporting and learning of nursing excellent events. The incidence of nursing adverse events, the reporting rate of nursing excellent events, and the patient satisfaction with nursing safety management before and after implementation of SBAR mode were compared. Results The incidence of nursing adverse events after the implementation was decreased significantly (P<0.05). The reporting rate of nursing excellent events was significantly higher and patients were more satisfied with nursing safety management (P<0.05). Conclusion The management of nursing excellent events based on SBAR communication mode is effective for decreasing the incidence of nursing adverse events, but increasing the reporting rate of nursing excellent events and patients' satisfaction with nursing safety management, and improving the ability of nurses to observe clinical conditions of patients, and further promoting the management of the nursing safety quality.
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Journal of Nursing. 2020, 27(3): 31-36. https://doi.org/10.16460/j.issn1008-9969.2020.03.031Objective To search and obtain relevant evidence of management of hypoglycaemia in neonates of mother with gestational diabetes mellitus (GDM) and to provide reference for clinical practice to improve early recognition rate, standardize the management process and improve the nursing quality of neonatal hypoglycemia. Methods The method of evidence-based nursing was adopted to put forward evidence-based problems to the management of hypoglycemia in neonates of mothers with GDM. JBI evidence appraisal and recommendation system were used to evaluate the quality of the studies and rate the evidence. Results Totally 11 articles were selected, including 2 of clinical decision-making, 1 evidence summary, 7 guidelines and 1 systematic assessment and 20 evidences were summarized out including prevention of hypoglycemia, detection methods and timing of blood glucose, treatment and transfer of hypoglycemia, discharge and follow-up, health guidance and systematic support. Conclusion This study summarizes the best evidence for management of hypoglycemia in neonates of mother with GDM, and provides some evidence-based basis for clinical nurses and nursing administrators. Ultimately through adapting the best evidence, it is beneficial to the scientific management of hypoglycemia in neonates of mother with GDM, and the improvement of quality of nursing.
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Journal of Nursing. 2020, 27(3): 37-42. https://doi.org/10.16460/j.issn1008-9969.2020.03.037
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Journal of Nursing. 2020, 27(3): 58-61. https://doi.org/10.16460/j.issn1008-9969.2020.03.058
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Journal of Nursing. 2020, 27(3): 62-65. https://doi.org/10.16460/j.issn1008-9969.2020.03.062Objective To analyze the influence of different sample size on phenomenon interpretation of qualitative research, improve the research ideas and the quality of health research report. Methods The subjects were divided into purpose sampling group and open sampling group and the number of subjects in the two groups was different. The interviews were conducted in full accordance with the qualitative research norms. The research was supervised by clinical experts and the final reports were evaluated and discussed. Results The same topic was extracted in the two groups, but the experience of the objective sampling group are easy to lead to misunderstanding, confusion or lack. There was close relationship between the experience of the interviewees and its meaning in open sampling group and the results were more serious and prominent in clinical significance, while in purpose sampling group, it is easy to misunderstand or confuse the experience. Conclusion Comparatively speaking, purposive sampling is not conducive to the full explanation of the phenomenon and exerts negative influence on the search for complexity and the proposal of new problems, resulting in the popularization of the results. The purposive sampling is recommended for qualitative research with high homogeneity, and open sampling is for qualitative research with high heterogeneity.
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Journal of Nursing. 2020, 27(3): 73-75. https://doi.org/10.16460/j.issn1008-9969.2020.03.073
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Journal of Nursing. 2020, 27(3): 76-78. https://doi.org/10.16460/j.issn1008-9969.2020.03.076
