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Improving job satisfaction of Chinese nurses: the positive effects of structural empowerment and psychological capital
Xin Dan, Qiao-Mei Zhang, Jun-Jie Shi, Su-Huan Xu, Jing-Ying Liu, Yan-Hui Liu, Hong-Wen Ma
3TMR Integrative Nursing    2018, 2 (4): 169-177.   https://doi.org/10.12032/TMRIN20181014
Abstract ( 429 HTML PDF (949KB) ( 180 )  

Highlights

This paper investigated the status of job satisfaction among Chinese nurses. Few studies have included both personal and organizational factors as predictors of nurses’ job satisfaction in a single study. Therefore, this study selected representative psychological capital and structural empowerment from personal and organizational resources to examine their impact on job satisfaction.

Editor’s summary

China has a large population base, and with the aggravation of aging, the shortage of nurses has become a thorny problem for nursing managers. Improving job satisfaction of nurses can reduce their job burnout and turnover rate. Research has shown that both organizational and personal resources can significantly affect nurses’ job satisfaction.

Abstract

Objectives: This study examined the influence of Chinese nurses’ personal resources (psychological capital) and access to workplace resources (structural empowerment) on their job satisfaction. Method: A cross-sectional study was designed during the period of January to April 2018. An anonymous questionnaire containing demographic characteristics sheet, Minnesota Satisfaction Questionnaire, Conditions for Work Effectiveness Questionnaire-II and psychological capital (PsyCap) was issued to 480 registered nurses in Tianjin, China. A total of 462 respondents became our subjects. Hierarchical regression was performed to explore the factors associated with job satisfaction. Results: The average Minnesota Satisfaction Questionnaire score was 65.68±12.35 in our study population. Hierarchical regression analysis showed that structural empowerment (β = 0.421, P < 0.01), PsyCap (β = 0.227, P < 0.01) and educational level (β = 0.061, P < 0.05) were positively associated with job satisfaction. Conclusion: The job satisfaction of Chinese nurses was at a moderate level. Structural empowerment was the most crucial predictor of job satisfaction, followed by PsyCap. Therefore, nursing administrators should take measures such as building an authorized work environment and improving nurses’ PsyCap in order to promote job satisfaction among Chinese nurses.

Partnership in nursing care: a concept analysis
Si-Yan Yuan, Joan Murphy
3TMR Integrative Nursing    2019, 3 (1): 21-26.   https://doi.org/10.12032/TMRIN20181029
Abstract ( 428 HTML PDF (472KB) ( 202 )  

Highlights

This article critically identified four attributes of partnership in nursing care, namely, capacity, collaboration, trust and confidence in accountability, and empathy. Model and contrary cases were addressed to help readers comprehend what counts or doesn’t count as the defining attributes for partnership. By understanding the concept of partnership in nursing care, nurses can innovate their relationship with their clients and care for people in a more person centered way.

Editor’s summary

As the discipline of nursing continues to evolve, the concept of partnership has been brought into nursing care. In order to promote innovative relationships with clients, nurses should first acknowledge the concept of partnership in nursing care. The purpose of this concept analysis is to inform nurses of the theoretical framework underpinning being a partner in care, and to help them measure the effectiveness of their partnership with their clients.

ABSTRACT

Objectives: This concept analysis aims to provide a better understanding of the term “partnership” in nursing care. A critical review of empirical studies regarding this area, can lay the groundwork for improving partnership between nurses and clients, as well as person-centered nursing care. Methods: A comprehensive literature search used various “partnership”, “nurse” and “clients” search terms to identify relevant studies published from 2007 to 2017. The selected studies had to focus on partnership and nursing care. Walker and Avant’ (2004) framework was used when synthesizing the evidence from empirical studies in the concept analysis. It helps to distinguish confusing or unclear concepts, and to promote critical thinking through analyzing its attributes, operational definitions, antecedents, consequences, and reference. Results: In nursing care, partnership is the relationship based on collaboration among individuals, who place trust and confidence in accountability, and who have capability and empathy. The antecedents are health problems or requirements, willingness to sign up as partners and ongoing commitment; while the consequences were presented as improvement in quality of service, treatment outcomes, clients’ safety and satisfaction, financial benefit as well as time constraints and professionals’ emotional burden. The Patient Partnership in Care questionnaire can help assess partnership in nursing care. Conclusion: This concept analysis informs the concept of partnership in nursing care by using Walker and Avant’ (2004) framework. By synthesizing the evidence from empirical studies, it provides theoretical and clinical frameworks for nurses to innovate nurse-client relationships - nurses are seen as partners in care instead of experts, which can encourage clients’ self-management and improve person-centered nursing care.

Application of enhanced recovery after surgery program for posterior lumbar decompression and fusion
Ying Ren, Qun-Fei Yu, Xiu-Qing Feng, Yao-Jing Ma, Shao-Ying Shen, Yu-Xiang Xiao, Jun Li
3TMR Integrative Nursing    2019, 3 (1): 35-41.   https://doi.org/10.12032/TMRIN20180304
Abstract ( 307 HTML PDF (415KB) ( 108 )  

Highlights

The rapid rehabilitation optimization procedure in posterior lumbar decompression and fusion with fixation the enhanced recovery after surgery process could reduce the adverse events during perioperative period, promote rehabilitation and shorten the hospitalization time.

Editor’s summary

After surgery process with spinal surgery some omplications and other serious problems would affect the rehabilitation. Therefore, whether the patient’s needs or the development of spinal disciplines enhanced recovery after surgery in spinal surgery is the urgent need to address the issue.

ABSTRACT

Objective: To establish and optimize an enhanced recovery after surgery (ERAS) program, for the classic posterior lumbar decompression and fusion (PLDF). Methods: 1. An ERAS for PLDF procedure during the perioperative period had been designed. 2. A total of 155 patients (73 in the ERAS group and 82 in the traditional health care group) were analyzed, and their clinical outcomes were compared. The evaluation indexes included physiological function, postoperative visual analogue scale (VAS), pain score, postoperative complications. Results: ERAS significantly promoted early food-taking (7.93 ± 2.15 h vs 24.54 ± 5.72 h, P < 0.00), early catheter removal (36.31 ± 8.42 h vs 71.48 ± 13.75 h, P < 0.00), early defecation (3.80 ± 1.3 days vs 5.3 ± 1.41 days, P < 0.00); reduced the incidence of urinary tract infection (2.7% vs 9.7% P = 0.01) and shorter hospital stay (3.80 ± 1.04 days vs 7.29±1.62 days, P < 0.00), while no difference between the two groups in vomiting, lung infection, wound bleeding and infection. Conclusion: ERAS for PLDF can facilitate the recovery of physiological function, reduce postoperative pain, reduce operative complications and morbidity after surgery and contribute to a shorter hospital stay. Further research is needed to optimize the process.

Betty Newman's systematic model and its application in clinical nursing
Hui-Ping Wang, Yan-Qiu Huang, Chang-De Jin
3TMR Integrative Nursing    2019, 3 (4): 113-117.   https://doi.org/10.12032/TMRIN20190429
Abstract ( 280 HTML PDF (313KB) ( 145 )  

Highlights

This paper introduced the development background and basic content of Betty Newman's system model and the current application status of the theory at home and abroad.

Editor’s summary

Betty Newman's system model is a nursing model that uses the holistic and systematic view to explore the effects of stress on individuals, as well as the individual's ability to regulate and rebalance. Its main characteristics are reliability and integrity, which presents a comprehensive and integrated conceptual framework based on a systematic view of care.

ABSTRACT

Introducing the development background and essential aspects of Betty Newman's system model, and exploring the application status of the theory all over the worldwide. This review points out that combining the theoretical model with nursing practice can effectively improve patients' disease self-management ability and improve the quality of life. At the same time, the theory has certain similarities with traditional Chinese medicine nursing, and can provide reference for the development of Chinese medicine nursing theory.

Research progress of traditional Chinese medicine nursing techniques for the management of postoperative complications in mixed hemorrhoids
Yu Leng, Wei Xie, Zhi Li
3TMR Integrative Nursing    2018, 2 (4): 148-152.   https://doi.org/10.12032/TMRIN20181203
Abstract ( 271 HTML PDF (854KB) ( 147 )  

Highlights

Mixed hemorrhoids refer to the internal and external iliac veins in the same direction, which communicate with each other, so that the inner and outer iliac crests form an integral ridge. This paper summarized the evidences of TCM for the prevention and treatment of mixed hemorrhoids.

Editor’s summary

Although the application of traditional Chinese medicine nursing techniques in preventing and treating postoperative complications of mixed hemorrhoid has good and unique clinical effect, few reviews systematically documented all evidences of investigated the potential of TCM nursing techniques for this condition.

Abstract

Mixed hemorrhoids, especially ring-shaped mixed hemorrhoid, is still a headache for anorectal surgeons due to its post-operative complications. In recent years, clinicians have been studying and exploring to avoid and alleviate these complications. In the Chinese medicine industry, the application of traditional Chinese medicine nursing technology has good and unique effect in prevent local pain, perianal edema, promote wound healing, relieve urinary retention, improve constipation, relieve anxiety, and so on. This article summarized the evidences of investigated the role of traditional Chinese medicine nursing technique in preventing and treating mixed hemorrhoid so that practitioners can make decision based on the best available evidences.

Universal precaution practice and barriers to compliance among nurses in Aseer public Hospitals, Saudi Arabia
Manal Banaser, Abdulah Alshehari, Abdulrahman Albukhodaah, Sami Alqahtani
3TMR Integrative Nursing    2019, 3 (5): 181-188.   https://doi.org/10.12032/TMRIN20190729
Abstract ( 267 HTML PDF (539KB) ( 102 )  

Highlights

This article showed that perception of nurses toward compliance with universal precautions in Aseer region hospitals, Sau-di Arabia and factors that may hinder the nurses from complying with those standards. Despite the availability of custom provisions, it is widely recommended that nurses should take precautions, regardless of whether there is a risk of infection or not.

Editor’s summary

Blood borne pathogens are considered as an important occupational risk for nurses. Nursing staff must take a multiplicity of factors, including training on how to prevent and control infections, and how to protect themselves through the use protective clothing.

Abstract

Background: Studies have shown that for every 100 hospitalized patients at any given time, 10 in developing, and 7 in the developed countries would eventually develop at least one episode of healthcare associated infections. This highlights the imperativeness of adherence to Universal Precautions (Ups) for prevention of infections. Proper compliance with standard would lead to a decrease in rate of HAI. Aim: The aim of the study is to determine the perception of nurses toward compliance with universal precautions in Aseer region hospitals, Saudi Arabia and factors that may hinder the nurses from complying with those standards. Methods: A cross sectional study was performed. Data collected using validated questionnaire of universal precautions from convenience sample of 302 respondents’ nurses across four public hospitals in Aseer region. Analysis was performed through descriptive statistics and chi square tests of association. Results: The overall compliance toward universal precautions among nurses was high at 88%. The results reveal that all constructs that define the actions of the nurses to have a statistically significant association at 99% with the extent to which nurses utilized the universal precautions. Discussion: The results indicate that nursing staff adhere to the universal precautions for prevention of infection. However, the hospitals should solve the main barriers including lack of personal protective clothing, challenges during emergencies, and lack of training on how to use.

Application of traditional Chinese medicine nursing technique in hypertension with insomnia: A literature review
Wen-Wen Zhao, Jie-Hong Li, Yu Li, Xue-Ling Ma, Jia-Jia Zhou, Pei-Yao Li, Chun-Hua Zhang, Chun-Guang Yu
3TMR Integrative Nursing    2019, 3 (1): 1-6.   https://doi.org/10.12032/TMRIN20181211
Abstract ( 266 HTML PDF (381KB) ( 80 )  

Highlights

This article reviewed the application of traditional Chinese medicine nursing technique in hypertension patients with insomnia from three aspects: single, two kinds of and a variety of traditional Chinese medicine nursing technology, providing reference for the treatment of hypertensive with insomnia.

Editor’s summary

Hypertension has become one of the main diseases causing death and disability worldwide. At present, insomnia has been one of the main reasons for seeking medical care of hypertension patients, which seriously affects the quality of life of them. the application of traditional Chinese medicine nursing technology can help to reduce the level of blood pressure and improve the symptoms of insomnia at the same time.

ABSTRACT

At present, unified and effective treatment for hypertension with insomnia is still lacking, traditional Chinese medicine (TCM) nursing technology can improve insomnia symptoms, reduce blood pressure, alleviate fatigue, improve anxiety, depression, improve the quality of life for patients with hypertension and insomnia. There is not only the application of the single TCM nursing technology, such as acupoint massage, acupoint application, ear acupoint pressure beans and so on, but also the application of two or a variety of TCM nursing techniques in hypertension with insomnia. In this article, the results of TCM nursing technology on hypertension with insomnia in recent years are reviewed in order to provide reference for the treatment of hypertensive with insomnia.

Design and application of automatic constant temperature moxibustion box
Wei Xie, Yu Leng, Ping Li, Ping Liu, Hai-Bo Li, Hua-Qian Dong, Wan-Feng Yang
3TMR Integrative Nursing    2018, 2 (4): 160-164.   https://doi.org/10.12032/TMRIN20181201
Abstract ( 224 HTML PDF (878KB) ( 74 )  

Highlights

Moxibustion was applied in clinical practice thousands of years ago. However, the application of this method is rather limited and easy hurt the patients with scald. This paper objectively analyzed the effects and safety of a novel automatic constant temperature moxibustion box in practice.

Editor’s summary

As the most common of traditional Chinese medicine techniques, moxibustion has been used to treat all kinds of conditions, for example chronic pain. It is noted that, however, it is not convenience to apply this method. Considering this, the authors listed in the present paper designed a novel automatic constant temperature moxibustion box, and found that this box is effective and safe to use in clinical practice.

Abstract

Objective: To explore the clinical application effect of self-designed automatic constant temperature moxibustion box. Methods: From June 2016 to January 2017, 150 patients with neck, shoulder, back and leg pain admitted to our hospital were treated with moxibustion under the informed consent of the patients. The patients were randomly divided into control group and observation group, 75 cases each. The group used traditional moxibustion box for moxibustion treatment, and the observation group used automatic constant temperature moxibustion box for moxibustion treatment for 15 days. After the treatment, the patient's safety, comfort, satisfaction and adverse reactions were compared, and the results were analyzed using SPSS 20 statistical software. Results: The comfort and satisfaction in study group were all superior to that of control group, with statistically significant difference (P < 0.01). For patient's safety, the ratio of patients suffered from scald in study and control groups was 5.3 /100 and 0, respectively. Conclusions: It is of great significance for improving clinical efficacy and preventing medical risks. It is worthy of clinical application.

Jinhuang powder for the treatment of diabetic foot ulcers: an updated meta -analysis with power analysis and trial sequential analysis
Li Ma, Li-Juan Yi, Xu Tian
3TMR Integrative Nursing    2018, 2 (4): 178-185.   https://doi.org/10.12032/TMRIN20180808
Abstract ( 221 HTML PDF (994KB) ( 97 )  

Highlights

This work comprehensively investigated the potential of Jinhuang powder in treating diabetic foot ulcers by using head to head meta-analysis and trial sequential analysis techniques.

Editor’s summary

Diabetic foot ulcers remain an intractable problem in clinical practice. The value of modern medical technologies is limited for diabetic foot ulcers (DFUs), however traditional medicine has potential of treating it.

Abstract

Background: Traditional Chinese Medicines (TCM) had been indicated to benefit for the chronic non-infectious diseases, such as cancers, hypertension, primary dysmenorrheal, etc. Although randomized controlled trials (RCTs) had been conducted, there was still the controversy on the efficacy of Jinhuang powder for diabetic foot ulcers (DFUs). Objective: This systematic review aimed to objectively evaluate the potential of Jinhuang powder for DFUs. Methods: Seven databases (CNKI, Chongqing VIP, Wanfang database, CBM, the Cochrane Library, PubMed and Web of Science) were searched to retrieve RCTs up to December, 2016; and the relevant references of the eligible studies were screened. According to the eligible criteria, the literature was screened; data were extracted; and then the methodological quality was assessed. The meta-analysis, power analysis and trial sequential analysis (TSA) were performed by using Meta analyst software (version beta 3.13), Stata 12.0, Power and Precision statistical software package (Biostat) and TSA software (version 0.9), respectively. Results: Finally, three RCTs with 198 participants were included. The results of meta-analysis showed that there were statistically significant differences between groups in (1) the cure rate (RR, 1.25; 95% CI. 1.10 to 1.41; P = 0.00) and (2) the wound healing time (SMD, -3.404; 95% CI, -5.821 to -0.987; P = 0.00). Three trials presented more than 80% power with 0.05 α-errors in both outcomes and the power of two meta-analyses to pool different outcomes presented more than 95%. The TSA showed that the summary results were certain. Conclusion: The external application with Jinhuang powder was an effective and cost-effective therapy for DFUs. The power analysis and TSA showed that the efficacy of Jinhuang powder dressing for the treatment of DFUs is conclusive.

Advances in research of traditional Chinese medicine nursing techniques in promoting lactation after childbirth
Tian Tian
3TMR Integrative Nursing    2018, 2 (4): 153-159.   https://doi.org/10.12032/TMRIN20181205
Abstract ( 210 HTML PDF (421KB) ( 251 )  

Highlights

This article analyzed the causes of postpartum milk deficiency from both Chinese and Western medicine, and introduced the research progress of Chinese and Western medicine to promote lactation. The article put forward the important role of acupoint massage in promoting postpartum lactation in pregnant women.

Editor’s summary

Breastfeeding is the most ideal feeding method for new-borns. It is also an important factor in promoting children's physical development and mental development. Acupoint massage is an important part of the motherland medicine, which can improve the blood circulation of breast local tissue, facilitate milk secretion and discharge, early lactation, Increase the amount of milk.

Abstract

Breastfeeding is the best way to feed newborns. It plays an important role in children's physical development and mental development. The material basis for breastfeeding is sufficient milk production. Due to the special nature of childbirth, maternal physiological and psychological changes, coupled with excessive physical exertion, lack of breastfeeding experience, partial maternal postpartum lactation dysfunction, easy to produce insufficient milk secretion after production. If the maternal postpartum lactation is insufficient, it is not conducive to the growth and development of infants and young children, which is not conducive to maternal postpartum recovery and the establishment of infant immune mechanisms. Related studies have found that 80% of women face different levels of breastfeeding problems after childbirth. In addition to the above, it is also related to the lack of breastfeeding confidence. Clinical practice shows that using the correct lactation method to effectively stimulate the breast, speed up blood circulation, is conducive to milk discharge, thereby reducing breast milk deposition, adjusting breast stiffness, relieving breast pain, helping to improve maternal comfort and exclusive breastfeeding rate. This article reviews the literature on post-partum promotion of lactation.

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