Hu li za zhi The journal of nursing
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Pressure ulcers were an increasingly significant problem among patients in the authors' ward. The eight patients diagnosed with pressure ulcers (0.42% of all inpatients) during the first half of 2009 represented a 140% increase over the first half of 2008 (0.28% of all inpatients). ⋯ Results demonstrate the effectiveness of using the proposed methods to reduce pressure ulcer incidence and enhance nursing care quality.
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Some nurses do not have the skills necessary to evaluate general ICU patient condition and the meaning of laboratory data adequately. This can influence nursing care quality and patient safety. Between October 16th and 29th, 2009, this project employed a checklist to evaluate nursing assessment accuracy in medical and surgical ICUs. The unexpectedly low accuracy rate of two-thirds (63.4 percent) was caused by factors including poor nursing assessment cognizance, lack of experience performing nursing assessments, nursing assessment skills taught only to experienced nursing staff, and a lack of nursing assessment guidelines. ⋯ This project effectively improved nursing assessment accuracy and may be considered and referenced by relevant medical organizations.
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This study explores critical research issues in nursing policy and management in Taiwan from a healthcare system perspective that considers resources, programmes and organisations, service delivery, policy and management, and economic support. Findings suggest the following: In terms of resources, priority issues include quantity planning, active surveillance, planning methodology, and estimation of work life expectancies for nursing manpower. ⋯ In terms of policy/management and economic support, priority issues included minimum nursing manpower requirements by law or medical institution standards and the relationship between the social insurance payment system and development of the nursing profession. The last section of this paper makes suggestions on practical ways to improve nursing policy and management research in Taiwan.