在职护士分层次培训实践探索

护理人员在职培训是护理专业技术人员不断进行知识技能的补充、更新、拓宽和提高的一种继续教育。为了适应医学科学发展需要,为患者提供更安全、高效的护理,建立一支业务素质高、结构合理的护理专业技术队伍非常重要。因此必须加强不同层次在职护士培训。结合临床实际建立完善的在职护士分层次培训方案;加强分层培训管理、确保培训计划的执行落实;选择成人学习为特点的培训,保证培训效果是关键。在职护士分层培训使护士既快又安全地获得专业训练,提高了综合素质,降低了职业风险,同时利于不同层次的护士向着护士成长规范化、专业化方向发展。     

Nurse managers’ perceptions of barriers to the mentoring of early career nurses

ABSTRACT

Mentoring is a unique educative workplace relationship which holds the potential to support the skill, knowledge, social and emotional needs of both new and experienced staff members. As promotion of mentoring in the nursing workplace can improve workforce retention and cohesion, understanding of nurse managers’ perceptions of the barriers to the mentoring of early career researchers in hospitals can offer insights that enhance the efficacy of mentoring in these dynamic contexts. In-depth interviews with 20 nurse managers were conducted to identify these barriers, with interpersonal conflict, competing priorities for time and financial resources, and lack of training emerging as recurring themes raised by participants. We explore how these barriers can be mitigated to strengthen the contemporary mentoring quality and opportunity in acute care hospitals.     

Taking the Pulse of the University of Tennessee Medical Center’s Health Literacy Knowledge

Low health literacy is well documented in East Tennessee. Before addressing the issue, librarians at the Preston Medical Library, University of Tennessee Medical Center in Knoxville, Tennessee, conducted a needs assessment of hospital staff to determine their knowledge of health literacy and the need for training. As a follow-up, library staff conducted training sessions for nurses through classes, small group meetings, and staff huddles. The result is an increased dialogue of health literacy at the hospital, along with new research projects, a forum, and a summit meeting.     

English as a second language nurses in the United States: culture,communication, and needs for continuing education

The purpose of the study was to understand the role of culture in English as a Second Language (ESL) nurses’ clinical communication experiences in the United States, and how these experiences demonstrate the need for continuing education for ESL nurses. Five Taiwanese nurses who worked in U.S. health care contexts were recruited in the study. Data were collected through focus group and individual interviews, and data were analyzed using narrative and thematic analyses. Findings indicate that cultural differences in clinical settings complicated ESL nurses’ communication experiences, including linguistic and cultural diversity, the independent role of nurses, patient-centered care, and choice of speech registers. Findings further show that comprehensive on-the-job, vocational training in English for Nursing Purposes (ENP) is essential in order to assist ESL nurses’ transit between home and host country cultures. In other words, familiarising nurses with patient-centered care and different discourse patterns, developing critical thinking skills, and enhancing cultural competence should be emphasised in ESL nurses’ continuing education.     

浅谈临床护理教学质量的影响因素及对策

临床实习是学校护理教育的深化和延续,要为护理队伍培养出品德高尚、心理素质好、业务精的接班人,就必须不断提高护理临床教学质量,去除不良影响因素。     

An Information Needs Assessment of School Nurses in a Metropolitan County

ABSTRACT

School nurses are an integral though often underserved population within the health care and education professions. To develop an effective outreach program for this group, an academic health sciences library conducted an information needs assessment of public school nurses in Tulsa County, Oklahoma. An online survey collected perceptions regarding information needs and behaviors, and a focus group session further explored the survey results. The assessment revealed that school nurses frequently require specific types of information to perform their responsibilities and face challenges accessing and integrating research into their daily practice. This article presents the implications and results of this assessment.     

Variation in prevention of child maltreatment by Dutch child healthcare professionals

Child maltreatment (CM) is a common condition with a large impact on the victim and society. In the Netherlands, the preventive child healthcare (CHC) aims to protect children against such threats. However, several studies indicate that the efficacy in this area may be suboptimal for many CHC professionals. Therefore, this study aims to map the practice variation in the primary and secondary prevention of CM, by CHC physicians and nurses. This mixed-methods study used interviews to identify relevant topics and develop an online questionnaire. All CHC organizations in the Netherlands (n = 45) were asked to forward this questionnaire to their professionals. Practice variation was described with domain scores and item response distributions. Multi-level analysis was used to assess case mix-corrected variance between organizations. Interview participants (n = 11) expected suboptimal care in 35 topics which they considered important for prevention of CM, resulting in a 15 min questionnaire. Nearly two-thirds of the organizations (n = 29) agreed to forward the questionnaire to their employees. The response rate was 42% (n = 1104). Suboptimal care and practice variation was found in all domains (i.e. communication, medical expertise, collaboration, involvement in prevention of CM, and improvement opportunities), mostly caused by intra-organization variance. Significant inter-organization variance was found for collaboration (variance partition coefficient 6–7%) and involvement (2–3%). Furthermore, the majority of the respondents (96%) reported fear in acting upon suspicions of CM. Substantial suboptimal care and practice variation in prevention of CM warrant action from authorities, CHC training institutes, CHC organizations, and professionals.     

‘We are the ones that talk about difficult subjects’: nurses in schools working to support young people’s mental health

As health professionals in an educational setting, nurses in schools occupy a unique place in the spectrum of children’s services. Yet the service is often overlooked and has been described as invisible. This paper draws on findings from a study, funded by the Scottish Government’s National Programme for Improving Mental Health and Well‐being, which explored the role of school nurses in promoting and supporting the mental health of children and young people. The school nursing service throughout the United Kingdom is at a pivotal point as its role is being redefined to align with moves across the National Health Service towards a public health model. This paper therefore offers a timely overview of the mental health work of school nurses, and raises key issues for future work. Interviews were conducted with 25 school nurse managers across Scotland. Interviewees claimed that the contribution of nurses in schools was distinctive, owing to the quality and consistency of relationship that they could offer, and the autonomy that the service allowed young people. However, significant challenges were reported in making this contribution, and tensions were evident in the conceptualisation of their role. The framework of resilience is used to discuss the findings on the significance of building relationships in promoting mental health.