Table of Content

20 October 2019, Volume 16 Issue 10 Previous Issue    Next Issue

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Structured on-the-job training for new nurses LI Na, PENG Wen-tao 2019, 16 (10):  725-728.  Abstract ( 263 )   PDF (787KB) ( 6 )   Save Related Articles | Metrics Structured on-the-job training included deciding whether to use the structured training program，analyzing the training contents，training instructors，developing the struc-tured modes袁implementing the training，and evaluating the training as well as solving the problems. Advantages and limitations of the training were analyzed and summarized. Measures of improving the training were proposed to further increase the training quality and training effects.

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The effects of a training program oriented by two-way demands for new nurses QI Xiang-xiu, LI Ke, CHENG Xian-juan, ZHAO Bin, FAN Ling 2019, 16 (10):  729-732.  Abstract ( 239 )   PDF (782KB) ( 2 )   Save Related Articles | Metrics Objective To the effects of a training program oriented by two-way demands on core competence and professional identity of new nurses. Methods The nursing department developed the “General Principles for New Nurses Training” based on the “Guidelines for new nurses training”. A total number of 81 new nurses recruited in 2016 were assigned to the control group and trained according to the General Principles. Another 99 new nurses recruited in 2017 were assigned to the experimental group and they were trained by the training program oriented by two-way demands. The management system of new nurses was improved. The training program was developed based on the two-way training needs assessment. The training contents，innovative training and examination methods were adjusted according to the results of the needs assessment. After the training,nurses' professional identity and core competence were measured by the Nurses' Professional Identity Scale and the Chinese Registered Nurses' Core Competence Scale. Results After completing the first-year training in the two groups,the core competence and pro- fessional identity of new nurses in the experimental group were significantly higher than those in the control group (P<0.05). Conclusion The training program oriented by two-way demands can improve new nurses' core compe- tence and professional identity effectively.

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Development and implementation of a training program for new nurses in Qinghai Province #br# PAN Shi-qin, LI Xiao-fang, ZHAO Sheng-xiu, LI Yue-mei, LIU Shou-hong, XU Yuan-yuan 2019, 16 (10):  733-738.  Abstract ( 231 )   PDF (862KB) ( 3 )   Save Related Articles | Metrics Objective To design a training program for new nurses in Qinghai Province and to examine the effects of the program on basic competence and core competence of new nurses. Methods A total of 130 new nurses were recruited in August 2016 from Qinghai Provincial People’s Hospital，Xining First People’s Hospital，and Xining Second People’s Hospital. For this program，we formed an expert team，developed the training plans，and choose the instruc-tors. The new nurses had been trained for two years. Results The scores of basic ability，core competence and each dimensional ability were statistically different before and after the training （P<0.05）. The scores of paper examination and skill tests were improved compared with those before the training （P<0.05）. Conclusion The new nurse training program in Qinghai Province can improve the basic ability and core competence of the new nurses.

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Quality evaluation of training for new nurses JIAO Jing, WU Xin-juan 2019, 16 (10):  739-742.  Abstract ( 279 )   PDF (781KB) ( 3 )   Save Related Articles | Metrics Standardized training of new nurses is the basic step to build a high-quality nurses team. Through quality evaluation of training，we can fully understand whether the training achieves the teaching objectives，whether the training content is practical，and whether the training methods and arrangements are reasonable. Through quality evaluation，it can provide evidence for the development and revi-sion of training plans. The application of Kirkpatrick Model is conducive to ensure the integrity of training quality evaluation. Based on the characteristics of clinical work，selecting suitable quality evaluation tools for new nurses training is still to be discussed in the future.

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The application of blended learning in training of new nurses in ICU WANG Qing, LIN Yan-juan, HU Rong, LIN Jian-long 2019, 16 (10):  742-745.  Abstract ( 211 )   PDF (798KB) ( 1 )   Save Related Articles | Metrics Objective To explore the effects of blended learning in training of new nurses in ICU. Methods A number of 18 new nurses in 2016 were selected and treated as the control group. Another 24 new nurses in 2017 were selected and assigned to the experimental group. Traditional training was used in the control group while blended learning with online and offline mode was used in the experimental group. Results The scores of paper examination and skill examination in the experimental group were significantly higher than those in the control group（P<0.05）. New nurses in the experimental group had higher autonomous learning ability than that before the train-ing （P<0.05）. The score of satisfaction with the training in the experimental group was higher than that of the control group（t=2.225，P=0.032）. Conclusion The blended learning can be used to train the new nurses and it is helpful to cultivate the ability of autonomous learning of new nurses.

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The application of blended teaching in theoretical training of new nurses LI Ying-chun, GAO Jing, YANG Li, DUAN Yan, TANG Shu-rong, SHAO Qing 2019, 16 (10):  746-750.  Abstract ( 191 )   PDF (790KB) ( 2 )   Save Related Articles | Metrics Objective To explore the effects of the blended teaching in theoretical training of new nurses. Methods Sixty-five new nurses recruited in 2018 were selected as the experimental group. The blended teaching based on “Rain Classroom” was applied in this group. Sixty-two nurses recruited in 2017 were treated as the control group. The Self-Rating Scale for Self-Directed Learning （SRSSDL） and the training satisfaction questionnaire were used to evaluate the self-directed learning ability and their satisfaction with the teaching of new nurses respectively. Results The scores of the examination performance and self-directed learning ability in the experimental group were higher than those of the control group （P<0.05）. The level of satisfaction with the teaching were significantly higher than that of the control group （P<0.05）. Conclusion The blended teaching can improve nurses’examination performance，self-directed learning ability and their satisfaction level with the training. It can be promoted for the training of new nurses.

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The clinical skill assessment applied in appraisal of new nurses XIE Ling, GENG Li, LUO Jian, HU De-ying, ZENG Li, ZHANG Zhuo-ya 2019, 16 (10):  750-753.  Abstract ( 217 )   PDF (786KB) ( 2 )   Save Related Articles | Metrics Objective To explore the effects of clinical skill assessment applied in appraisal of new nurses.Methods The clinical ability of 113 new nurses recruited in 2017 was evaluated by the clinical skill assessments.Results The mean time of assessment was （32.45 ±4.34） min and the mean feedback time was （15.00±3.45） min.The total clinical competence of new nurses was （6.11±0.64）. Conclusion The clinical skill assessment can be usedto assess the clinical ability of new nurses. It is suggested that ability training of “knowing hospital rules and regulations” and “integrating knowledge and practice” should be strengthened among new nurses.

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Co-word analysis of literature on new nurses training ZHANG Pei-jia, PENG Wen-tao, LIAO Xin 2019, 16 (10):  754-758.  Abstract ( 153 )   PDF (797KB) ( 2 )   Save Related Articles | Metrics Objective The co-word analysis was used to analyze literature in recent 3 years on new nurse training. Methods We retrieved all the papers in the databases of CNKI，Wanfang，CQVIP and CBM with the keywords “new nurse” or “newly recruited nurse” and “training”. Those papers which met the inclusion criteria were imported into Bicomb 2.0 software for keyword extraction and word frequency analysis to generate the co-occurrence matrix of high-frequency words. A co-occurrence analysis diagram was drawn. Results A total of 1 159 articles were included in the study and 36 high-frequency keywords were extracted. The research in this field focused on teaching methods，ability cultivation，training quality，training model of some special clinical areas and nurses’ occupational psychological status. Conclusion At present，there are many researches on the teaching methods and modes，ability cultivation，and occupational mental health of new nurses. In the future，we can further explore how to establish a diversified，personalized and humane standardized training and supervision system.

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Design and practice of communication ability training for new community nurses ZHOU Xue, FENG Ji-bo, XUE Dong-yan 2019, 16 (10):  758-762.  Abstract ( 285 )   PDF (796KB) ( 1 )   Save Related Articles | Metrics Objective To explore the effects of communication ability training for new community nurses. Methods A total of 46 newly recruited nurses from 8 community health service institutions in 2018 were selected. The training was lasted for 4 weeks and contents of the training included family visits，health care，hospice care and medication knowledge. Before and after the training，the SEGUE scale was used to evaluate the communication ability of nurses. Results The qualified rate increased from 39.13% to 93.48% after the training. Scores of all dimensions of the SEGUE scale after the training were higher than those before the training（P<0.05）. Conclusion The communication ability training is helpful to improve the communication ability of new community nurses.

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The application of the Kirkpatrick’s evaluation model in the training of new nurses in ICU SONG Lei, JIANG Wen-bin, ZHAO Lin, FANG Wei, LIU Xia, HUANG Xia 2019, 16 (10):  763-767.  Abstract ( 164 )   PDF (786KB) ( 2 )   Save Related Articles | Metrics Objective To evaluate the effects of the Kirkpatrick’s evaluation model in training of new nurses in ICU，so as to provide reference for further improving the standardized training of new nurses in ICU. Methods From July 2016 to June 2018，59 nurses from the affiliated hospital of Qingdao University were selected. Those new nurses were divided into three groups and completed the new nurses training in the ICU. The training plan was revised according to the results of the Kirkpatrick’s evaluation model. The effects in four layers of the Kirk-patrick’s evaluation model named reaction，learning，behavior，and result were compared among the three groups. Results After adjusting the training program according to results of the first group，the results of the second and third groups in the four layers were much better than those in the first group（P<0.05）. Conclusion Based on the Kirkpatrick’s evaluation model，the training of new nurses in ICU can promote the level of nurses’ knowledge and skills.

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The effects of “Five Ones” training and “stationed assessment” of the comprehensive cases on ability of clinical problem solving of new nurses CHENG Shou-zhen, YAN Feng-jiao, ZHANG Xiao-yan, CHEN Li-fen, CHEN Yu-ying, KE Cai-xia, HUANG Yan-mei 2019, 16 (10):  768-771.  Abstract ( 155 )   PDF (774KB) ( 2 )   Save Related Articles | Metrics Objective To explore the effects of “Five Ones” and “stationed assessment” of the comprehensive cases on ability of clinical problem solving of new nurses. Methods “Five Ones” training measures were developed for the new nurses. The “Five Ones” included “one training plan for one nurse”“one instructor team only responsible for one series of skills”“mastering care of patients with one disease”“one examination every week” and“one comprehensive case examination”. The examination performance and abilities of new nurses were assessed after the training and 2 years after the training was totally completed. Results After two years training and comprehensive cases assessment袁the new nurses had better examination performance，skill，and comprehensive ability. After 2 years training，98.1% of the new nurses recruited in 2016 agreed that they can easily cope with their current jobs. 72.1%~83.7% of them showed significant improvement in knowledge，skill and soft ability.Conclusion The “Five Ones” training and “stationed assessment” of the comprehensive cases can effectively improve the new nurses’ knowledge，skill，and soft ability. They can also improve the new nurses’ comprehensive ability to solve clin-ical nursing problems，and make it easier to cope with their jobs.

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The effects of narrative ability training on the empathy ability of new nurses KUANG Xu-huan, ZENG Man-ping, LI Zhi-xiang, PENG Li-hua 2019, 16 (10):  772-774.  Abstract ( 200 )   PDF (782KB) ( 1 )   Save Related Articles | Metrics Objective To explore the effects of narrative ability training on the empathy ability of new nurses. Methods Eighty-four new nurses recruited in July 2018 were selected. Both online and offline learning were used. Nurses empathy ability was cultivated through lecture，video education，situational simulation，reading salons，writing with no specific topics，and experience sharing. Results The empathy ability of new nurses was generally low be-fore the training. The total score of empathy ability of new nurses （118.53±5.15） was higher than the score before the training （106.14±4.21） and the score 3 months after the training （112.26±4.43） （P<0.05）. Conclusion It is feasible to include narrative nursing into the routine training for new nurses. However，the empathy ability of nurses decreased 3 months after the training and this should be paid adequate attention by those nursing managers.

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Construction of a training system for new nurses CHENG Qiu-hong, ZHANG Hong-mei, LI Li-ming, SONG Bao-yun, ZHANG Pan-pan, GUO Rui, ZHANG Qin 2019, 16 (10):  775-778.  Abstract ( 401 )   PDF (810KB) ( 2 )   Save Related Articles | Metrics Higher requirements for basic quality and professional ability are proposed for nurses due to the “Health China Strategy”，reform of public hospitals，and the various demands people have. Training of new nurses is an import part of the continuing education system. It is also the effective way to help new nurses cultivate core competency，adapt to new working environments，and complete the role transition. The Henan Provincial People Hospital set up a series of systems for new nurses including training management system，rules and regulations devel-opment system，training guarantee system，rules management system，teacher management system，and quality control system. All these systems were put into practice. References are provided for construction and implementation of training model of new nurses for other hospitals.

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The effects of safety training on safety culture of new nurses rotating in ICU YU Ping, CHENG Xiao-hong, YANG Zheng-yu 2019, 16 (10):  779-782.  Abstract ( 210 )   PDF (764KB) ( 1 )   Save Related Articles | Metrics Objective To explore the effects of safety training on safety culture of new nurses rotating in ICU. Methods Safety training was conducted for 22 new nurses rotating in ICU from August 2017 to December 2018. Contents of the training included fire safety，patient safety，control of infection，staff safety，and safety management. Results After the training，the new nurses rotating in ICU had higher perceived safety culture level than that before the training. The satisfaction rate among the nurses was beyond 95%. Conclusion The safety training can effectively improve the perceived safety culture level of new nurses rotating in ICU.

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Online multi-dimension training platform for new nurses LIU Ping, LIANG Shan-shan, GE Xiao-hua, JIANG Li-ping 2019, 16 (10):  782-784.  Abstract ( 184 )   PDF (745KB) ( 4 )   Save Related Articles | Metrics

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Tibetan language training for new nurses in Lhasa YAN Ling-li, YANG Li-jun, SHANG Xue-hui 2019, 16 (10):  785-786.  Abstract ( 172 )   PDF (728KB) ( 1 )   Save Related Articles | Metrics

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The effects of the narrative therapy on health promoting behaviors of patients with coronary heart disease GAO Qian, LI Xiao-min, SUN Wang-le-xian, HUO Ming-yan, LIU Hai-ning 2019, 16 (10):  787-791.  Abstract ( 255 )   PDF (770KB) ( 1 )   Save Related Articles | Metrics Objective To explore the effects of the narrative therapy on health promoting behaviors of patients with coronary heart disease. Methods A total of 164 patients with coronary heart disease were selected and divided into the control group(n=82) and the experimental group(n=82) according to their wards in the department of cardiology of a hospital in Chengde city from January to September,2018. The traditional psychological care was provided to the patients in the control group. The narrative therapy was given to the experimental group with a frequency of 2~3 times per week. The duration of each narrative therapy lasted for 20~30 min/time and a total of 6 times of narrative therapy were completed. The health promoting lifestyle profile-Ⅱ (HPLP-Ⅱ) was used to eval-uate the effects between the groups. Results After the intervention,the total score and each dimension score of patients in the experimental group were significantly higher than those of patients in the control group (P<0.05).The total score and each dimension score after the intervention were higher than those before the intervention in the experimental group (P<0.05). The total score and scores of health responsibility,nutrition,and physical activity after the intervention were higher than those before the intervention in the control group (P<0.05). Conclusion The narrative therapy can effectively improve the health promotion behaviors of patients with coronary heart disease. However,the therapy has high requirements for time and technical skills and its promotion is highly limited.

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Training of standardized patient and its application in the course of Fundamentals of Nursing SI Lian-jing, MA Jiao, ZHEN Yi, LIU Si-min, ZHU Cheng-fei 2019, 16 (10):  792-794.  Abstract ( 176 )   PDF (735KB) ( 3 )   Save Related Articles | Metrics This paper introduced the standardized patient （SP）recruitment，training，management，and application in teaching of nursing skills in Ningxia Medical University. Besides，advantages and limitation of SP were analyzed and introduced. It is proved that SP can improve the teaching quality of skill training for nursing students.

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The development and application of assistant devices for venous puncture in infants and children PANG Hai-yan 2019, 16 (10):  795-797.  Abstract ( 220 )   PDF (801KB) ( 3 )   Save Related Articles | Metrics Objective To evaluate the effects of assistant devices for venous puncture for infants and children.Methods The problems during the vein puncture process were analyzed. To solve the problem，four patents were invented including the scalp venipuncture table，the multifunctional scalp venipuncture console for infants and children，the multi-functional dressing for indwelling needle，and multi-functional infusion pad. All those devices we in-vented were put in the clinical work. The repeated puncture rate was compared before and after the invented devices used. Results After the assisted devices were used,the repeated venous puncture rate was 6.33%[96/(1 421+96)],which was much lower than that before the devices used (18.41%[383/(1 697+383)], χ2=148.741,P<0.001).Conclusion The infant venipuncture assistant devices can effectively reduce the rate of repeated venous puncture in infants and children. All the devices can be promoted in the clinical settings.

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Treatment and care of a pregnant woman with severe influenza A (H1N1) LEI Zhao-ni, CHEN Li-hua 2019, 16 (10):  797-800.  Abstract ( 234 )   PDF (758KB) ( 2 )   Save Related Articles | Metrics To summarize the treatment process and nursing measures of a pregnant woman with severe influenza A （H1N1）. Extracorporeal membrane oxygenation (ECMO) was used to rescue the patients. At the same time,the patients and fetuses were closely monitored. The nursing work includes circulation system monitoring,protection and isolation,prevention of bleeding,improvement of ventilation,early rehabilitation exercise,nutritional care,radiation protection of pregnant women and fetuses and psychological care. Eventually,the patient recovered and returned to the local hospital for further treatment.