Journal of Medical and Clinical Nursing Studies最新文献

Personalized and Precision Medicine (PPM) as a Unique Healthcare Model of the Next Step Generation: The role of a Nurses and Nursing Practice in Transdisciplinary Care Team: The Future of Nursing Services 个性化和精准医疗（PPM）是下一代独特的医疗保健模式：跨学科护理团队中护士和护理实践的作用：护理服务的未来

Journal of Medical and Clinical Nursing Studies Pub Date : 2024-03-31 DOI: 10.61440/jmcns.2024.v2.38

Sergey Suchkov, Daniel Scherman

引用次数: 0

How Language Implementation Neurally and Basis of Semantics? 语言是如何通过神经系统实现的？

Journal of Medical and Clinical Nursing Studies Pub Date : 2024-03-31 DOI: 10.61440/jmcns.2024.v2.39

Kunal Joon

引用次数: 0

Reduction in Central Line Days, Central Line Utilization Ratio, and Central Line Associated Blood Stream Infections Through Hospital Based Intensivist Program 通过医院重症监护计划减少中心静脉输液天数、中心静脉使用率和中心静脉相关血流感染

Journal of Medical and Clinical Nursing Studies Pub Date : 2024-03-31 DOI: 10.61440/jmcns.2024.v2.42

Michael Wilson

{"title":"Reduction in Central Line Days, Central Line Utilization Ratio, and Central Line Associated Blood Stream Infections Through Hospital Based Intensivist Program","authors":"Michael Wilson","doi":"10.61440/jmcns.2024.v2.42","DOIUrl":"https://doi.org/10.61440/jmcns.2024.v2.42","url":null,"abstract":"Purpose: We tracked the effect that a newly implemented intensivist program following a restrictive venous access policy emphasizing mid-lines and peripheral IVs over central lines had on central line days, central line utilization ratio, and central line associated blood stream infections in a non-academic hospital. Methods: Prior to June 2021, Mobile Infirmary’s intensive care units (ICU) were open units staffed with physicians with combined ICU, ward, and outpatient responsibilities. In June of 2021, an intensivist program was started to transition the hospital to a closed ICU model with intensivists whose sole responsibility was the ICU. Concurrently, a policy was implemented that emphasized avoidance of central lines unless indicated by defined criteria (MICAR Criteria). We tracked central line days (CLD), central line utilization ratio (CLUR) and central line associated blood stream infections (CLABSI) rates and compared it to these same unit for the 2 years prior to the start of the program. Results: There was a reduction in CLD from 628 per month to 425 per month (RRR of 32%), a reduction in CLUR from 0.62 to 0.46 (RRR of 26%), and a reduction in CLABSI rate from 1.65 to 0.78 (RRR of 51%). When looking at the number of central line infections per expected line days, there was a reduction from 20.2 to 6.6 (P=0.04). The central line infection rate relative to patient days showed a reduction from 10.3 to 3.6 (P=0.04). Conclusions: Over utilization of central lines and the subsequent increase in central line infections represents a major complication of ICU care. By combining an intensivist program with a venous access policy designed to reduce dependence on central lines, we showed a clinically significant reduction in central line infections and a reduction in central line days and central line utilization ratio without any significant increase in IV extravasations.","PeriodicalId":514537,"journal":{"name":"Journal of Medical and Clinical Nursing Studies","volume":"119 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140359866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Toxic Encephalopathy After Dioxin Effects Preceding Clinical and Lethal Breast Cancer or Tumours of Secretory Organs as Pertinent Hazard Following Lacking Prevention? 二恶英作用后的中毒性脑病先于临床致命乳腺癌或分泌器官肿瘤，是缺乏预防后的相关危害？

Journal of Medical and Clinical Nursing Studies Pub Date : 2024-03-31 DOI: 10.61440/jmcns.2024.v2.37

Rainer Frentzel-Beyme

引用次数: 0

Nurses’ Perceptions of the Factors Which Cause Violence and Ways of Preventions in the Emergency Department: A Qualitative Study 护士对导致急诊科暴力的因素和预防方法的看法：定性研究

Journal of Medical and Clinical Nursing Studies Pub Date : 2024-03-31 DOI: 10.61440/jmcns.2024.v2.44

Bayan Najdi, Asma Imam

{"title":"Nurses’ Perceptions of the Factors Which Cause Violence and Ways of Preventions in the Emergency Department: A Qualitative Study","authors":"Bayan Najdi, Asma Imam","doi":"10.61440/jmcns.2024.v2.44","DOIUrl":"https://doi.org/10.61440/jmcns.2024.v2.44","url":null,"abstract":"Background: Violence has been increasing worldwide. The prevalence of violence in the healthcare sector is continuously rising, and the most vulnerable places for violence is emergency departments due to the critical nature of the workplace environment. Aims: To explore the factors that contribute to violence experienced by nurses, the impact of workplace violence on nurses, and the preventive methods. understanding these issues could enhance the workplace environment and quality of healthcare. Method: A qualitative approach was used with purposive sampling of 15 emergency department nurses at hospitals in Palestine who experienced or witnessed workplace violence. Semi-structured, face-to-face individual interviews were conducted to gain in-depth information about nurses’ experience in relation to workplace violence at emergency departments. All the interviews were transcribed verbatim for thematic analysis. Results: Three major themes were found to present the factors that contribute to violence experienced by nurses. These themes are: Knowledge and attitude related-issues, External-related factors and System-related issues. Four major themes emerged relating to the staff feelings, which are: Feeling overwhelmed, feeling distressed, feeling indignity and feeling helpless and fearful. Study participants offered some prevention methods to decrease workplace violence, and some suggestions to handle violence. Conclusion: Numerous factors contribute to the prevalence of workplace violence in emergency departments. Hospital administrations have to ensure the safety of all employees by using suitable precautions. There is an extensive need for psychological support after violent. In addition, universities have to develop communication, violence and stress management-training courses.","PeriodicalId":514537,"journal":{"name":"Journal of Medical and Clinical Nursing Studies","volume":"23 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140359918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Educational Methods Used to Teach Infection Prevention and Control in Nurse Training: Survey of French Training Institutes 在护士培训中教授感染预防和控制的教育方法：法国培训机构调查

Journal of Medical and Clinical Nursing Studies Pub Date : 2024-03-31 DOI: 10.61440/jmcns.2024.v2.43

Stephanie Bouget Mohammedi, Claire Dinh, Caroline Landelle

{"title":"Educational Methods Used to Teach Infection Prevention and Control in Nurse Training: Survey of French Training Institutes","authors":"Stephanie Bouget Mohammedi, Claire Dinh, Caroline Landelle","doi":"10.61440/jmcns.2024.v2.43","DOIUrl":"https://doi.org/10.61440/jmcns.2024.v2.43","url":null,"abstract":"Context: French nursing students attend classes in Infectiology and Infection Prevention and Control (IPC) during their first semester of training. Objectives: The aim of this study was to describe the educational techniques used in nurse training to teach IPC and evaluate which factors contribute towards successful exams. Method: A study was conducted in October 2021 on 320 nurse training institutes in France. An online questionnaire was developed. Factors predicting student success during exams were researched. Results: In total, 169 institutes took part in the survey, representing 52.8% of all institutes. In these establishments, 91.73% of students passed their IPC examination and the average score was 12.32 out of 20. The exam success rate was significantly linked to the North-West region (Odds Ratio (OR)=1.060, Confidence Interval 95% [CI95%, 1.006-1.117]) and to a number of students higher than 93 (OR=1.034, CI95% [1.004-1.065]) adjusted to the number of educational techniques used. The educational methods applied were varied. There were significant differences in the number of lectures attended and the assessment methods used. Conclusion: The exam success rate was highly satisfactory but the average score achieved on the exam was not very high.","PeriodicalId":514537,"journal":{"name":"Journal of Medical and Clinical Nursing Studies","volume":"22 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140360724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0