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Yu X, Ouyang L, Li J, Peng Y, Zhong D, Yang H, Zhou Y. Knowledge, attitude, practice, needs, and implementation status of intensive care unit staff toward continuous renal replacement therapy: a survey of 66 hospitals in central and South China. BMC Nurs 2024; 23:281. [PMID: 38671501 PMCID: PMC11055233 DOI: 10.1186/s12912-024-01953-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 04/19/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND Continuous renal replacement therapy (CRRT) is a commonly utilized form of renal replacement therapy (RRT) in the intensive care unit (ICU). A specialized CRRT team (SCT, composed of physicians and nurses) engage playing pivotal roles in administering CRRT, but there is paucity of evidence-based research on joint training and management strategies. This study armed to evaluate the knowledge, attitude, and practice (KAP) of ICU staff toward CRRT, and to identify education pathways, needs, and the current status of CRRT implementation. METHODS This study was performed from February 6 to March 20, 2023. A self-made structured questionnaire was used for data collection. Descriptive statistics, T-tests, Analysis of variance (ANOVA), multiple linear regression, and Pearson correlation coefficient tests (α = 0.05) were employed. RESULTS A total of 405 ICU staff from 66 hospitals in Central and South China participated in this study, yielding 395 valid questionnaires. The mean knowledge score was 51.46 ± 5.96 (61.8% scored highly). The mean attitude score was 58.71 ± 2.19 (73.9% scored highly). The mean practice score was 18.15 ± 0.98 (85.1% scored highly). Multiple linear regression analysis indicated that gender, age, years of CRRT practice, ICU category, and CRRT specialist panel membership independently affected the knowledge score; Educational level, years of CRRT practice, and CRRT specialist panel membership independently affected the attitude score; Education level and teaching hospital employment independently affected the practice score. The most effective method for ICU staff to undergo training and daily work experience is within the department. CONCLUSION ICU staff exhibit good knowledge, a positive attitude and appropriately practiced CRRT. Extended CRRT practice time in CRRT, further training in a general ICU or teaching hospital, joining a CRRT specialist panel, and upgraded education can improve CRRT professional level. Considering the convenience of training programs will enhance ICU staff participation. Training should focus on basic CRRT principles, liquid management, and alarm handling.
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Affiliation(s)
- Xiaoyan Yu
- Department of Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
- Hunan Provincial Center for Critical Care Medicine and Clinical Research in Smart Healthcare, Changsha, Hunan, China
| | - Lin Ouyang
- Department of Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
- Hunan Provincial Center for Critical Care Medicine and Clinical Research in Smart Healthcare, Changsha, Hunan, China
| | - Jinxiu Li
- Department of Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
- Hunan Provincial Center for Critical Care Medicine and Clinical Research in Smart Healthcare, Changsha, Hunan, China
| | - Ying Peng
- Department of Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
- Hunan Provincial Center for Critical Care Medicine and Clinical Research in Smart Healthcare, Changsha, Hunan, China
| | - Dingming Zhong
- Department of Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
- Hunan Provincial Center for Critical Care Medicine and Clinical Research in Smart Healthcare, Changsha, Hunan, China
| | - Huan Yang
- Blood Purification Center, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China
| | - Yanyan Zhou
- Department of Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
- Hunan Provincial Center for Critical Care Medicine and Clinical Research in Smart Healthcare, Changsha, Hunan, China.
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Wu C, He C, Yan J, Du J, He S, Ji Z, Wang Y, Lang H. Patterns of information literacy and their predictors among emergency department nurses: a latent profile analysis based on the person-context interaction theory. BMC Nurs 2024; 23:71. [PMID: 38279169 PMCID: PMC10811938 DOI: 10.1186/s12912-024-01756-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 01/22/2024] [Indexed: 01/28/2024] Open
Abstract
BACKGROUND With the development of information technology, information has been an important resource in clinical medicine, particularly within the emergency department. Given its role in patient rescue, the emergency department demands a high level of information literacy from nurses to effectively collect, analyze, and apply information due to the urgency and complexity of emergency nursing work. Although prior studies have investigated the information literacy of nursing staff, little has been undertaken in examining the patterns of information literacy and their predictors among emergency department nurses. AIM To clarify the subtypes of information literacy among nurses in the emergency department and explore the factors affecting profile membership. METHODS A cross-sectional study was conducted among a convenience sample of 2490 nurses in the emergency department from April to June 2023. The clinical nurses completed the online self-report questionnaires including the general demographic questionnaire, information literacy scale, self-efficacy scale and social support scale. Data analyses involved the latent profile analysis, variance analysis, Chi-square tests and multivariate logistic regression. RESULTS Four latent profiles were identified: 'Low information literacy (Class 1)', 'Moderate information knowledge (Class 2)', 'High information knowledge and support (Class 3)' and 'High information literacy (Class 4)', accounting for 20.14%, 42.11%, 23.36% and 14.39%, respectively. Each profile displayed unique characteristics representative of different information literacy patterns. Age, years of work, place of residence, hospital grade, title, professional knowledge, using databases, reading medical literature, participating in information literacy training, self-efficacy, and social support significantly predicted information literacy profile membership. CONCLUSIONS Information literacy exhibits different classification features among emergency department nurses, and over half of the nurses surveyed were at the lower or middle level. Identifying sociodemographic and internal-external predictors of profile membership can aid in developing targeted interventions tailored to the needs of emergency department nurses. Nursing managers should actively pay attention to nurses with low information literacy and provide support to improve their information literacy level. RELEVANCE TO CLINICAL PRACTICE Insights from the current study of the latent profile analysis are beneficial to hospital managers in understanding the different types of emergency department nurses' information literacy. These insights serve as a reference for managers to enhance nurses' information literacy levels.
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Affiliation(s)
- Chao Wu
- Department of Nursing, Fourth Military Medical University, No.169 Changle West Road, Shaanxi, Shaanxi, 710032, China
| | - Chunyan He
- Department of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Hubei, China
| | - Jiaran Yan
- Department of Nursing, The Air Force Hospital of Northern Theater PLA, Shenyang, China
| | - Juan Du
- Department of Nursing, Fourth Military Medical University, No.169 Changle West Road, Shaanxi, Shaanxi, 710032, China
| | - Shizhe He
- Department of Nursing, Fourth Military Medical University, No.169 Changle West Road, Shaanxi, Shaanxi, 710032, China
| | - Zhaohua Ji
- Department of Epidemiology, Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, School of Public Health, Fourth Military Medical University, No.169 Changle West Road, Shaanxi, Shaanxi, 710032, China.
| | - Yifei Wang
- Department of Military Medical Psychology, Fourth Military Medical University, No.169 Changle West Road, Shaanxi, Shaanxi, 710032, China.
| | - Hongjuan Lang
- Department of Nursing, Fourth Military Medical University, No.169 Changle West Road, Shaanxi, Shaanxi, 710032, China.
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Wu C, Cheng S, Wu J, Zhang Y, Lin Y, Li L, Du J, Zhang Y, Lang H. Factors influencing work engagement among male nurses: A structural equation model. Nurs Open 2023; 10:7749-7758. [PMID: 37794567 PMCID: PMC10643843 DOI: 10.1002/nop2.2016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 02/07/2023] [Accepted: 09/17/2023] [Indexed: 10/06/2023] Open
Abstract
AIM To investigate the male nurses' engagement in nursing work and the influencing factors. DESIGN A cross-sectional study. METHODS A cross-sectional survey was conducted in 13 hospitals in China to collect data from 328 male nurses from August to October 2021. A structural equation model design was tested with validated measurement instruments. RESULTS The work engagement of male nurses in China was at a medium level. There was a high correlation of the male nurses' work engagement with career identity (r = 0.764, p < 0.01), career success (r = 0.735, p < 0.01) and social support (r = 0.477, p < 0.01). The linear multivariate regression analysis showed that career satisfaction (β = 0.393), career identity (β = 0.392) and subjective support (β = 0.116) entered regression equation of male nurses' work engagement (all p < 0.05). The structural equation model results showed that career identity and social support were the influencing factors of the male nurses' work engagement and the model explained variation of 66.4% variables. CONCLUSION To know the male nurses' work engagement and influencing factors in China has certain enlightening significance for male nurses themselves and nursing manager. On the one hand, it is necessary to enhance the male nurses' career recognition to nursing work. On the other hand, the society should provide more aid and support to the male nurses. Therefore, the male nurses could devote more into nursing work and promote the nursing development.
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Affiliation(s)
- Chao Wu
- Department of NursingFourth Military Medical UniversityShaanxiChina
| | - Si‐zhe Cheng
- Department of Military Medical PsychologyFourth Military Medical UniversityShaanxiChina
| | - Jing Wu
- Department of NursingFourth Military Medical UniversityShaanxiChina
| | - Yin‐juan Zhang
- Department of NursingFourth Military Medical UniversityShaanxiChina
| | - Ya‐wei Lin
- Department of NursingFourth Military Medical UniversityShaanxiChina
| | - Lu Li
- Department of Anesthesia Intensive Care UnitThe Second Affiliated Hospital, Fourth Military Medical UniversityShaanxiChina
| | - Juan Du
- Department of NursingFourth Military Medical UniversityShaanxiChina
| | - Yu‐hai Zhang
- Department of Health Statistics, School of Preventive MedicineFourth Military Medical UniversityShaanxiChina
| | - Hong‐juan Lang
- Department of NursingFourth Military Medical UniversityShaanxiChina
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Yin X, Chu ZJ, Ni YY, Li HW, Li HY. The Influence of PRO-SELF Cancer Pain Control Programme on Patients' Self-Management Ability. Int J Integr Care 2023; 23:8. [PMID: 37928205 PMCID: PMC10624132 DOI: 10.5334/ijic.7543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 10/12/2023] [Indexed: 11/07/2023] Open
Abstract
Objective Recently, cancer patients have challenges with self-management. This study aims to improve symptoms of chronic pain, and anxiety and depression associated with cancer by PRO-SELF nursing intervention. Methods Sixty-four patients were randomly assigned to an intervention and a control group from Jan 2016 to Dec 2019, 34 usable cases in the intervention group and 30 cases in the control group were collected. The control group received a routine cancer pain nursing intervention, whereas the intervention group received a PRO-SELF based multidisciplinary collaborative cancer pain nursing intervention. After three months of intervention, the Numeric Rating Scale (NRS), Medication Compliance Questionnaire (MCQ), Social Support Rating Scale (SSRS), Self-rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS), Quality of Life Scale (FACT-G Chinese version) and Chronic Pain Self-efficacy Scale were resent to compare the differences in the observation indicators included evaluation of patients' social support degree, anxiety and depression score, quality of life scores and self-efficacy scores between two groups. The t-test and rank-sum test were used for statistic analysis. Results No significant differences were found between groups for pain and medication compliance (P > 0.05). However, significant differences were found between groups in social support, life quality, chronic pain self-efficacy, and self-rating anxiety and depression index scores (P < 0.001). The intervention group report more social support, pain self-efficacy and less anxiety and depression (P < 0.001). Conclusion The PRO-SELF pain symptoms in patients with a cancer pain management programme improved degree of social support, life quality, self-efficacy, anxiety, depression which is worthy of clinical application.
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Affiliation(s)
- Xin Yin
- Department of Nursing, The First Hospital of Jilin University, Changchun 130021, China
| | - Zi-Jing Chu
- Department of Hepatology, The First Hospital of Jilin University, Changchun 130021, China
| | - Yuan-Yuan Ni
- Department of Infirmary, WuXi Institute of Technology, WuXi, 214000, China
| | - Hong-Wei Li
- Department of Oncology, The First Hospital of Jilin University, Changchun 130021, China
| | - Hong-Yan Li
- Dean Office, The First Hospital of Jilin University, No. 1 of Xinmin Street, Chaoyang District, Changchun 130021, China
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Wu C, Fu MM, Cheng SZ, Lin YW, Yan JR, Wu J, Zhang XY, Cao BH, Du J, Lang HJ. Career Identity and Career Success among Chinese male nurses: The mediating role of Work Engagement. J Nurs Manag 2022; 30:3350-3359. [PMID: 36056581 PMCID: PMC10087454 DOI: 10.1111/jonm.13782] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 06/26/2022] [Accepted: 08/29/2022] [Indexed: 11/29/2022]
Abstract
AIM This study aimed to investigate the effect of career identity on career success among Chinese male nurses and to examine the mediating role of work engagement in this relationship. BACKGROUND Recently, with the development of the nursing career, male nurses take up a higher share and play a more important role in the nursing team. With its own particularity and advantages, this group's stability closely relates to the future of the nursing team. Therefore, promoting the career success of the male nurses is essential to the nursing team development. METHODS The data were collected in China. A sample of 557 male nurses completed measures of career identity, work engagement and career success scale. Structural equation model was adopted to verify the research hypotheses. RESULTS Career identity was significantly and positively related to male nurses' work engagement and career success (p< .01). And work engagement partially mediated the association between career identity and career success. CONCLUSION Career identity are critical to predicting and enhancing male nurses' career success. Work engagement plays an intervening mechanism explaining how career identity promotes career success among male nurses. IMPLICATIONS FOR NURSING MANAGEMENT Nursing management should minimize the impact of the traditional concept, implement the gender equality and provide moderate care for male nurses to facilitate balanced development of gender by upgrading the management system. The administrators should carry out skill training based on male nurses' features and the need of the department. Given full play to their respective advantages, male nurses will make great progress in professional development and achieve greater career identity and work engagement. Meanwhile, the further exploration of better incentive mechanism also makes sense in improving career identity and work engagement by the reform of performance appraisal mechanism and salary adjustment according to their ability.
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Affiliation(s)
- Chao Wu
- Department of Nursing, Fourth Military Medical University, Shaanxi, China
| | - Mi-Mi Fu
- Department of pharmacy, Sanya Rehabilitation center, Hainan, China
| | - Si-Zhe Cheng
- Department of Military Medical Psychology, Fourth Military Medical University, Shaanxi, China
| | - Ya-Wei Lin
- Department of Nursing, Fourth Military Medical University, Shaanxi, China
| | - Jia-Ran Yan
- Department of Nursing, Fourth Military Medical University, Shaanxi, China
| | - Jing Wu
- Department of Nursing, Fourth Military Medical University, Shaanxi, China
| | - Xin-Yan Zhang
- Department of engineer, Army 75 Group Military Hospital, Kunming, China
| | - Bao-Hua Cao
- Department of Nursing, Fourth Military Medical University, Shaanxi, China
| | - Juan Du
- Department of Nursing, Fourth Military Medical University, Shaanxi, China
| | - Hong-Juan Lang
- Department of Nursing, Fourth Military Medical University, Shaanxi, China
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Xue H, Si X, Wang H, Song X, Zhu K, Liu X, Zhang F. Psychological Resilience and Career Success of Female Nurses in Central China: The Mediating Role of Craftsmanship. Front Psychol 2022; 13:915479. [PMID: 35846639 PMCID: PMC9278649 DOI: 10.3389/fpsyg.2022.915479] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 06/13/2022] [Indexed: 11/14/2022] Open
Abstract
Background Nurses’ career success is an important factor affecting the quality of nursing services and the stability of the nursing workforce, and enhancing nurses’ career success level is of key significance to the development of the nursing discipline. As psychological resilience and craftsmanship are important spiritual traits in the process of nurses’ career development, it is important to understand the mechanism of their effects on nurses’ career success level. Objective To explore the current situation of craftsmanship, psychological resilience and career success levels of female nurses in central China, and to verify the mediating role of craftsmanship between psychological resilience and female career success using structural equation model. Methods A cross-sectional study was conducted among 2359 female nurses from three hospitals in central China through an online questionnaire, including craftsmanship, psychological resilience and career success scale. The data were analyzed by Z-test and Spearman rank correlation with SPSS 23.0 statistical software, and the mechanism of the effect of craftsmanship and psychological resilience on career success was completed by AMOS 23.0 statistical software. Results The scores of career success, psychological resilience, and craftsmanship of female nurses in central China were 68.00 (61.00, 75.00), 74.00 (64.00, 84.00), and 83.00 (79.00, 95.25). Spearman rank correlation analysis showed that Chinese female nurses’ career success was positively correlated with craftsmanship (r = 0.511, P < 0.01) and psychological resilience (r = 0.595, P < 0.01). Craftsmanship played a mediating role between psychological resilience and career success, accounting for 39.3% of the total effect ratio. Conclusion The scores of career success and psychological resilience of female nurses in central China are at a moderate level, and craftsmanship plays a mediating role between psychological resilience and career success. It is suggested that nursing managers should pay attention to the importance of career success to nurses’ self-development and nursing team stability, and improve their sense of career success by effectively improving nurses’ psychological resilience and craftsmanship.
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Affiliation(s)
- Huiyuan Xue
- Department of Neurology, People's Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China
| | - Xiaona Si
- Department of Neurology, People's Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China
| | - He Wang
- Nursing Department of People's Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China
| | - Xiaoren Song
- Department of Neurology, People's Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China
| | - Keke Zhu
- Nursing Department of People's Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China
| | - Xiaoli Liu
- Nursing Department of People's Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China
| | - Fen Zhang
- Nursing Department of People's Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, China
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Shan B, Pu Y, Chen B, Lu S. New Technologies' Commercialization: The Roles of the Leader's Emotion and Incubation Support. Front Psychol 2021; 12:710122. [PMID: 34489813 PMCID: PMC8418227 DOI: 10.3389/fpsyg.2021.710122] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Accepted: 06/21/2021] [Indexed: 11/13/2022] Open
Abstract
New technologies, such as brain-computer interfaces technology, advanced artificial intelligence, cloud computing, and virtual reality technology, have a strong influence on our daily activities. The application and commercialization of these technologies are prevailing globally, such as distance education, health monitoring, smart home devices, and robots. However, we still know little about the roles of individual emotion and the external environment on the commercialization of these new technologies. Therefore, we focus on the emotional factor of the leader, which is their passion for work, and discuss its effect on technology commercialization. We also analyzed the moderating role of incubation support in the relationship between the leader's emotion and technology commercialization. The results contribute to the application of emotion in improving the commercialization of new technologies.
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Affiliation(s)
- Biaoan Shan
- School of Management, Jilin University, Changchun, China
| | - Yi Pu
- School of Management, Jilin University, Changchun, China
| | - Biao Chen
- School of Business, Zhengzhou University, Zhengzhou, China
| | - Shan Lu
- School of Management, Jilin University, Changchun, China
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