Can Civility Norms Boost Positive Effects of Management Commitment to Safety?

We proposed that civility norms would strengthen relationships between management commitment to safety and workers' safety motivation, safety behaviors, and injuries. Survey data were obtained from working adults in hazardous jobs—those for which physical labor is required and/or a realistic possibility of physical injury is present (N = 290). Results showed that management commitment positively related to workers' safety motivation, safety participation, and safety compliance, and negatively related to minor injuries. Furthermore, management commitment to safety displayed a stronger positive relationship with safety motivation and safety participation, and a stronger negative relationship with minor worker injuries when civility norms were high (versus low). The results confirm existing known relationships between management commitment to safety and worker safety motivation and behavior; furthermore, civility norms facilitate the relationships between management commitment to safety and various outcomes important to worker safety. In order to promote an optimally safe working environment, managers should demonstrate a commitment to worker safety and promote positive norms for interpersonal treatment between workers in their units.     

女护士生性教育现状及需求的调查分析

本研究以大连某卫校女护士生为研究对象,采用自编式问卷对女护士生的性教育现状及需求进行了调查分析.结果表明:卫校女生在性知识、性态度、性行为方面发展的主流是好的、健康的,但也有少数女护士生对自身正常的性生理、性心理现象不了解而产生心理困惑和压力,女护士生渴望从学校得到正规的性教育.为了使女护士生身心得到健康发展,学校必须开展以性道德教育为核心的正规的性教育.     

优秀护士"Y-G人格测验"特异性指标的研究

采用“Y-G人格测验”问卷及自制职业自评、他评调查表,分析比较了优秀护士与一般护士的人格特质、性格类型的差异。结果表明：优秀护士与一般护士在2种性格类型、7个人格特质上存在显著差异或差异趋势;提示从“Y-G人格测验”中提取护士人格特异性指标具有可行性;优秀护士人格特质的特异性指标可折射其性格类型、对开发护士职业心理素质研究的应用工具有一定价值。     

护理执行用药医嘱的伦理学思考

护理人员在医疗机构推行临床合理用药的过程中承担着十分重要的任务。加强护理人员的道德教育,提高护理人员的素质,提高药物使用业务知识水平,提高与药物临床使用相关的护理技能,真正体现医疗机构推行的"以人为本"的护理理念,为患者的健康、康复负责。     

护理观察在临床决策中的作用

在临床护理过程中,护士应充分利用护理工作的独特优势,从护理常规观察入手,使用望闻问切等观察手段,注重多向思维及病人的个性化特征,对病人实施全程观察,适时准确的观察患者细微的重要症状与体征变化,为及时正确的临床诊疗提供充分的、有效的信息,使护理观察能够在临床决策中发挥重要作用。     

PREVENTING BACK INJURIES IN HOSPITAL SETTINGS: THE EFFECTS OF VIDEO MODELING ON SAFE PATIENT LIFTING BY NURSES

This study evaluated video scoring and feedback about scoring as a safety intervention among 6 nursing staff. The dependent variable was safety behavior on one‐person transfers. Following baseline, 5 nursing staff participated in an information phase. A video scoring phase was then introduced for all 6. A feedback phase was added for 2 participants. All participants experienced treatment withdrawal. Information resulted in improvements for all 5 participants who received it. Further improvements were observed during video scoring for the 5 participants who improved following information. No improvements were observed for the participant who received only video scoring. Safety feedback further improved safety for the 2 participants who received it. However, participants' behavior returned to video scoring levels during withdrawal.     

Affordances after spinal cord injury

Spinal cord injury can cause cognitive impairments even when no cerebral lesion is appreciable. As patients are forced to explore the environment in a non-canonical position (i.e., seated on a wheelchair), a modified relation with space can explain motor-related cognitive differences compared to non-injured individuals. Peripersonal space is encoded in motor terms, that is, in relation to the representation of action abilities and is strictly related to the affordance of reachability. In turn, affordances, the action possibilities suggested by relevant properties of the environment, are related to the perceiver's peripersonal space and motor abilities. One might suppose that these motor-related cognitive abilities are compromised when an individual loses the ability to move. We shed light on this issue in 10 patients with paraplegia and 20 matched controls. All have been administered an affordances-related reachability judgement task adapted from Costantini, Ambrosini, Tieri, Sinigaglia, and Committeri (2010, Experimental Brain Research, 207, 95) and neuropsychological tests. Our findings demonstrate that patients and controls show the same level of accuracy in estimating the location of their peripersonal space boundaries, but only controls show the typical overestimation of reaching range. Secondly, patients show a higher variability in their judgements than controls. Importantly, this finding is related to the patients’ ability to perform everyday tasks. Finally, patients are not faster in making their judgements on reachability in peripersonal space, while controls are. Our results suggest that not moving freely or as usual in the environment impact decoding of action-related properties even when the upper limbs are not compromised.     

锦州市三级甲等综合性医院护士终身学习意向调查分析

了解三甲医院·临床护士终身学习意向,并初探其制约因素。使用《杰弗逊终身学习意向量表》和《临床终身学习制约因素调查表》对437名护士进行调查。方差分析显示工作负荷过大等存在统计学上的差异,多元逐步回归分析后有5个变量进入方程,共解释总变量28．1％。护士终身学习意向偏低,应采取有针对性的管理措施改善终身学习能力。     

ICU医护沟通与协作的现状与思考

许多研究表明ICU医护之间的沟通与协作存在重大问题,特别是在临终决策中存在分歧。护士的作用经常被忽视。加强医护之间的沟通与协作有助于提高医疗质量并改善医护、患者及家庭满意度。许多旨在改善沟通与协作的措施已经证实有效并可应用于临床实践,并应对此进行更深一步的研究。     

Characteristics Predicting Effective Outcomes After Coping Effectiveness Training for Patients With Spinal Cord Injuries

Coping effectiveness training (CET), based on R. S. Lazarus and S. Folkmans (1984) theory of stress and coping, teaches appraisal and coping skills. It has been adapted for use with people with spinal cord injuries and the effect of this intervention on coping, anxiety and depression and self perception has been investigated. Using data from P. Kennedy, J. Duff, M. Evans, and A. Beedies (2003) study, the psychological characteristics of people who benefited from CET (no increase in depression and anxiety at the end of CET and 6 weeks after) were compared with those who did not benefit. Coping strategies were not predictive factors but differences in some self-perception items were found between the two groups. Age, gender, level, and type of injury were not shown to be predictive but time since injury was, suggesting that the effectiveness of a CET programme could be maximized by reducing the time between onset of injury and the start of CET.