护理高级实践杂志

Background: Nurse practice environment has been identified as an important factor in improving the quality and safety of hospital care. However, there are few studies that assess the characteristics of the hospital work environment and its impact on patient outcomes.

The aim of the study: To evaluate the characteristics of the nurse’s practice environment regarding the quality of patient care as perceived by staff nurses.

Subject and methods: Research design, quantitative design, non-experimental descriptive was utilized.

Setting: This research was carried out in four governmental hospitals in Port Said city. Subjects included (300) of staff nurses who are working at previous hospitals to participate in research study dealing with characteristics of nurse’s practice environment regarding the quality of patient care. The tool of data collection: the one tool was used to collect data which aimed to measures eight characteristics of the work environment and quality of patient care.

Results: It revealed that the highest level of agreement score (75.7%) for characteristics of the nursing practice environment scale on the unit level was for supportive nurse manager relationships, followed by working with other nurses who are clinically competent while 17.5% of studied nurses reported agreement regarding support for education in nursing work environment.

Conclusion: There were the means differences between characteristics of practice environment tool and demographic variables as well as quality patient care at units’ levels from nurse’s perceptions. Overall response mean scores for the nurse was a very high quality of patient care as perceived by staff nurses.

Recommendation: Implement continuous training for nurse’s managers about enhancing effective communication by creating an environment which permits to express ideas empower and encourage staff nurses to participate in decision-making and problem-solving process.

Introduction: Great investments are made in new hospital buildings all in favour of single bedrooms for patients. Conclusions regarding the impact of single bedrooms versus multi bedrooms vary. Method: We performed semi-structured interviews with patients undergoing surgery for rectal cancer about their preferences and experiences regarding hospitalization in a single bedroom or a multi bedroom. The data were collected during 2016. Results: The company of fellow patients seems to be of great importance. Patients find the company healing and it contributed to feeling safer. Disturbances like sound and too much activity in a four bedroom is a problem. Most patients preferred single bedrooms when talking to visitors and when they felt very sick. Conclusion: Many patients preferred four bedrooms over single bedrooms because of the company from fellow patients. This conflicts with the tendency in modern hospital design which favors all single bedrooms.

It is well known that Helicobacter pylori (H. Pylori) is a major cause of chronic active gastritis in both children and adults. There are a variety of tests for detection of H. pylori infection, however, in medicine, the only way to diagnose the existence of H. pylori microbe is doing endoscopy which is painful and insufferable for young children [1]. To solve this problem, some machine learning classifiers have been used here to diagnose the existence of this infection. As we will see, using machine learning classifier for diagnose the existence of H. pylori is an alternative method to avoid painful endoscopy. One hundred patient related data has been used from previous published study. There are twenty features in this dataset, such as: abdominal pain and nausea. We have further investigated the contribution of each single feature by using leave-one-feature-out model, where in each experiment one feature was removed from all features model. This model can help us to see how the features interact and how the most and the least informative features can be found, respectively.

Provision of universal health coverage has drawn attention across the globe. Attaining equity in service provision while sustaining the health system has become the major challenge. As limited resources become a barrier to achieve both at the same time, short term measures dominate policy cycles based on options and interests of individuals and groups than hard evidence. Taking Sri Lankan health system as an example this paper discusses the importance of evidence based decisions to achieve both equity and sustainability of services in low resource settings.

Background: Peripheral intravenous catheterization is a common invasive nursing procedure performed in healthcare institutions. It is a technique which involves insertion of a needle into the peripheral veins for various reasons. As one of the commonest nursing procedures being performed, it also brought significant risks to patients resulting to prolong hospital stay and delay in recovery period if not properly executed.

Objectives: The study primarily aims to determine the incidence rate of peripheral intravenous cannula related local complications in the hospital.

Design: The study is a descriptive type of research since it mainly deals with identifying the incident rate of phlebitis, infiltration, extravasation and hematoma and its underlying causes.

Settings: Study was conducted in one of the Ministry of Health hospitals in Jazan, Saudi Arabia.

Participants: All the patients admitted in the hospital during the data gathering period was included regardless of their demographic status. A total of 406 patients, with 458 peripheral cannula were assessed.

Methods: The study is quantitative type of research since it mainly sought to find out the number of phlebitis, infiltration, extravasation and hematoma cases in the above mentioned healthcare institution.

Result: The findings show that the rate of phlebitis, infiltration, extravasation and hematoma are 21, 7, 3.5, 12 percent respectively.

Conclusions: There were high incidence of intravenous cannula related complications in the hospital which needs to be reduced or completely eradicated in order to improve overall patient's health outcome.