Current situation and influencing factors of the nursing practice environment in five tertiary general hospitals in Shenzhen: a cross-sectional study

Status and related factors of professional growth among young nursing talents: a cross-sectional study in China

BACKGROUND

The shortage of nurses has been a global human resources problem. A good professional growth environment is essential to developing potential nursing students and attracting nurses to join, and it has great significance in reducing nurse turnover. However, nurses' comprehensive perceptions of professional growth have not yet been examined.

METHODS

A cluster sampling method was used to conduct a professional growth questionnaire survey on young nursing talents from a large Chinese public tertiary A hospital in March 2022.

RESULTS

The score of professional growth among 243 young nursing talents was 57.92 ± 9.607, with a scoring rate of 77.23%. The scores for dimensions of professional growth, from lowest to highest, were rehabilitation growth, promotion speed, professional goal progress, and professional ability development. Attitudes towards participating in training, service as the quality manager or clinical teacher, self-efficacy, professional title, work-family support, education, and organizational commitment of young nursing talents were significantly associated with professional growth.

CONCLUSION

The professional growth of young nursing talents was at a moderate level and needed to be strengthened. Nursing leaders and managers are expected to develop management practices to enhance young nursing talents' professional growth in combination with the related factors.

Exploring the relationship between compassion, the practice environment, and quality of care as perceived by paediatric nurses

PURPOSE

To (1) explore associations between paediatric nurses' perceptions of their own compassion, the practice environment, and quality of care, and (2) identify factors that influence perceived quality of care.

DESIGN AND METHODS

Cross-sectional survey of paediatric nurses (n = 113) from a hospital network in Melbourne, Australia. The survey included the Compassion Scale, Practice Environment Scale of the Nurse Work Index (PES-NWI), a single quality of care item, and demographic items. Hierarchical regression was used to explore factors that predicted perceived care quality.

RESULTS

There were moderate positive correlations between perceived care quality and both compassion (rho = 0.36, p < .001) and practice environment (i.e., total PES-NWI: rho = 0.45, p < .001). There were significant differences in perceived care quality based on nurses' work area (i.e., critical care vs medical/surgical wards). The final hierarchical regression analysis included compassion (Step 2) and four of five PES-NWI subscales (Step 3), controlling for work area (Step 1). The model was statistically significant and explained 44% of variance in perceived quality; compassion and PES-NWI subscale 2 (Nursing foundations for quality of care) were statistically significant predictors.

CONCLUSIONS

Paediatric nurses' perceptions of quality were influenced by their own compassion for others and elements of the practice environment, particularly nursing foundations for care quality, which is characterised by a clear nursing philosophy and model of care, with programs and processes to support practice.

PRACTICE IMPLICATIONS

The findings offer insights into potentially modifiable individual and workplace factors that contribute to paediatric nurses' perceptions of care quality.

The Current Situation and Innovation of News Communication under the Environment of Financial Media

In order to solve the problem of news communication innovation in the financial media environment, meet the update needs of news communication in the financial media environment, and make up for the shortcomings of the application of emerging media technologies in news communication, it is necessary to improve people's attention to news communication. With the advent of the era of integrated media, the application of emerging media technologies such as data news and robot news to the field of news communication has shaken the status of TV news in communication and affected its news production mode, but it will not replace traditional news, become the "forced mechanism" of traditional news production reform, and boost its reform and promotion. According to the social survey of 100 people, it is found that 88 people believe that under this competition mode, the development and challenges of TV livelihood news coexist. As Yu Guoming, a professor at Renmin University of China, said, "people's livelihood news is in the process of becoming a butterfly." TV people's livelihood news practitioners should reshape their news ideals and establish Internet thinking to face the ever-changing communication ecological environment. From channel expansion to content integration, from serving users to public opinion guidance, we are committed to building a new mainstream media with the guidance of traditional TV media, content advantages, equal communication, real-time interaction, and distinctive personality of new media. Only in this way can we obtain enough voice and influence in the highly competitive media environment.

Factors associated with nursing needs and nursing hours in acute care hospital settings: A cross-sectional study

AIM

To identify the patient and hospital characteristics related to nursing needs and nursing hours in acute hospital settings.

BACKGROUND

To determine appropriate staffing levels, accumulating empirical data through direct observation and surveys reflecting the actual situation is necessary.

METHODS

In this cross-sectional study, we conducted direct observations of nurses in acute care hospitals from May 1 to August 31, 2020. Twenty-six hospitals in five cities participated, and 747 nursing personnel collected 1,681 patients' data while performing nursing activities. The data of 1,605 individuals were analyzed using descriptive statistics, t-tests, analysis of variance, and linear regression.

RESULTS

Hospital size, admission day, patients' dependence level, high fall risk, and disease diagnoses were variables associated with nursing needs (F = 73.49, P < 0.001) and nursing hours (F = 57.7, P < 0.001). Comparing the correlates of nursing needs and nursing hours revealed that, unlike nursing needs, nursing hours were not significantly associated with surgery and certain diagnoses.

CONCLUSION

This study confirmed the variables associated with nursing needs and nursing hours in acute hospitals; based on this, determining appropriate staffing levels, which is an important step in improving inpatients' health outcomes, is necessary.

IMPLICATIONS FOR NURSING MANAGEMENT

In acute hospitals, an increased number of nurse staffing should be employed based on the number of newly hospitalized patients, patients with high dependence levels and specific diagnoses, and those at high risk of falling.