Nurses' roles in direct nursing care delivery in China

Jiang, Hui; Li, Hongxia; Ma, Lili; Gu, Ying

doi:10.1016/j.apnr.2014.09.003

Cited by 17 publications

(17 citation statements)

References 21 publications

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“…The third important factor is the staffing adequacy. Although shortage of nurses is a global problem, it is more serious in Chinese hospitals due to the large population of 1.3 billion people and the congested ED 11. Nursing shortage has been associated with increased nurse workload, longer hours, inadequate breaks and more sick days 16 17.…”

Section: Discussionmentioning

confidence: 99%

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Satisfaction, burnout and intention to stay of emergency nurses in Shanghai

Jiang

Gao

et al. 2017

Emerg Med J

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Section: Discussionmentioning

confidence: 99%

“…Post-graduation, Chinese nurses are given one of five academic titles in accordance with their educational background, ability in nursing service and experience with nursing practice 11. In China, all hospitals are classified into three grades based on the facility, equipment and staffing.…”

Section: Methodsmentioning

confidence: 99%

Satisfaction, burnout and intention to stay of emergency nurses in Shanghai

Jiang

Gao

et al. 2017

Emerg Med J

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“…In less developed countries such as China, nursing care focuses on prevention, health care, life cultivation and rehabilitation rather than administration of medications and invasive procedures and interventions (Hao, Liu, Yue, & Liu, 2011). In China nurses spend the greatest percentage of their time focused on elimination issues for patients (22% of time), nutrition (21% of time) and nursing procedures (17% of time) (Jiang, Li, Ma, & Gu, 2015). Medication administration includes just 8% of nursing time and rehabilitation exercise involves 3% of nursing time.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Efficacy of Function-Focused Care for Orthopedic Trauma Patients

Wells

Galik

Holtzman

et al. 2016

Journal of Trauma Nursing

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To overcome challenges associated with optimizing function and physical activity among hospitalized older adults we developed Function Focused Care for Acute Care (FFC-AC). The purpose of this study was to test the feasibility and preliminary effectiveness of this intervention. We hypothesized that hospitalized trauma patients exposed to FFC-AC would: (1) maintain or improve function, spend more time in physical activity and have fewer adverse events between admission and discharge; and (2) maintain or improve function, have less fear of falling, fewer depressive symptoms, less pain, be more physically resilient and be less likely to experience adverse events at one month post discharge compared to those exposed to FFC-Education Only (EO). FFC-AC was implemented by a Research Function Focused Care Nurse who worked on the participating units for 20 hours a week for 16 months to implement the three components of FFC-AC. The sample included 89 older orthopedic trauma patients the majority of whom were female (N=59, 66%), white (N= 82, 92%) and not married (N=53, 59%). At discharge and/or 30 days post discharge participants in the treatment site showed greater improvement in function, less fear of falling and better physical resilience when compared to those in the FFC-EO site. Future research is needed to continue to work on engaging staff in function focused care approaches and optimizing the hospital environment and policies to support nurses in this type of care approach.

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“…Similar to other western country, the Chinese registered nurse work in direct care of patients; assessing patients' needs and making decisions on nursing interventions [30]. However, evidence suggests that nurses in China are still facing a number of significant challenge in utilization and implementation of Evidence based practice [31].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China

Tolera¹

2017

AJNS

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Abstract:Background: Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide the best and more effective quality patient care. However, little studies are available across china on registered nurses' attitude, skills and utilization of knowledge source for implementation of evidence based practice. Due to this the extent to which evidence based practice being utilized and implemented in nursing practice is still in its infancy across China. Objectives: The aim of this study was to assess the attitude, skills and source of knowledge on implementation of EBP among registered nurses working at selected teaching hospitals. Method: A descriptive institutional based cross-sectional study was conducted to assess nurses' attitude, skills and utilization of knowledge source for implementation of EBP. A total of 366 RN were participated in filling self-administered questionnaire. The descriptive and inferential statistical analysis was performed by using SPSS version 20. The cut point for level of statistical significance was set at < 0.05 and all tests were 2-sided. Result: Overall, registered nurses who were participated in this study had a positive attitudes towards utilization of evidence based practice (M = 3.53, SD = 0.97). However, the level of skill in performing different EBP activities (M = 2.82 SD = 1.34) and the use of knowledge source to support daily care practice (M = 3.01, SD = 0.98) were found to be low. Similarly, participants indicated that they use more human and printed resources than electronic resources for supporting their practice (mean = 3.69, SD = 1.01; mean = 2.88, SD = 0.80; and mean = 2.57, SD = 1.05) respectively. Conclusion: It is recommended that organizational and nursing educational support were needed to improve this gap through providing training, creating awareness, and enhancing nurses' abilities for utilization and implementation of evidence based practice. Additionally, it is recommended that further research is needed to identify the influence of individual and organizational factors on implementation of evidence based nursing practice.

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Nurses' roles in direct nursing care delivery in China

Cited by 17 publications

References 21 publications

Satisfaction, burnout and intention to stay of emergency nurses in Shanghai

Satisfaction, burnout and intention to stay of emergency nurses in Shanghai

Feasibility and Efficacy of Function-Focused Care for Orthopedic Trauma Patients

Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China

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