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Quality and Safety Education for Nurses:Making progress in patient safety,learning from COVID-19

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International Journal of Nursing Sciences 2021年第3期8卷 249-251页

作者： gwen sherwood University of North Carolina at Chapel Hill School of Nursing Carrington HallChapel HillNC 27599USA

The past year of global COVID-19 pandemic renewed the attention on the inherent quality and safety risks in *** in delivery services,poor coordination across transitions in care,and ineffective communication among providers and patients were magnified as healthcare delivery underwent sudden pivots to address unprecedented healthcare *** scope of unknown vulnerabilities to system safety and quality,the demands of processing the explosion of new information,and the complexity of managing safety risks to patients and workers were only some of the sudden threats as the virus spread across boundaries.

关键词： sudden COV safety

Measuring the influence of a mutual support educational intervention within a nursing team

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International Journal of Nursing Sciences 2014年第1期1卷 15-22页

作者： Rene´e Bridges gwen sherwood Carol Durham University of North Carolina at Chapel Hill School of NursingChapel HillNCUnited States Rex Healthcare RaleighNCUnited States

Background:Teamwork is essential to provide the highest quality of care for *** supported within a nursing unit is a significant factor in nursing satisfaction,intention to remain in the job,and the capacity to provide safe patient care by Aiken et al[1].Purpose:This study examined mutual support among a nursing team to measure the influence of an educational intervention focusing on Mutual Support from the Team STEPPS curriculum by Agency for Healthcare Research and Quality,AHRQ[2].Methods:The study design used a Likert scale survey,the Nursing Teamwork Survey,before and following an education intervention adapted from the Team STEPPS curriculum on Mutual *** data from the 41 participants were analyzed for impact on educational background,roles and responsibilities,age,and other ***:Pre-Post education intervention results varied among the survey items,although scores demonstrated heightened awareness of teamwork following the educational *** subscale of Backup illustrated the strongest ***:The study demonstrates that education can have an impact on perceptions and awareness of mutual support among nursing team *** survey instrument can be used effectively to inform leadership areas for improvement and staff development in the effort to improve team coordination and mutual support.

关键词： Mutual support Nursing teams Team STEPPS Teamwork Safety

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护士的二级解决问题行为:从接近失误中学习

International Journal of Nursing Sciences 2021年第4期8卷 444-452,I0006页

作者：杨依刘华平 gwen sherwood Peking Union Medical College School of NursingChina The University of North Carolina at Chapel Hill School of NursingNCUSA

目的接近失误比实际差错发生更为频繁,且在未造成任何伤害的情况下突显了系统漏洞,这为组织学习提供了安全空间。二级问题解决行为提供了一个新的视角,以更好地理解护士如何促进从接近失误中学习以改善组织结局。本研究旨在了解临床护... 详细信息

目的接近失误比实际差错发生更为频繁,且在未造成任何伤害的情况下突显了系统漏洞,这为组织学习提供了安全空间。二级问题解决行为提供了一个新的视角,以更好地理解护士如何促进从接近失误中学习以改善组织结局。本研究旨在了解临床护士对采用二级解决问题行为从接近失误中学习的观点和感受,为进一步制订患者安全管理策略提供参考。方法采用半结构访谈法,对北京市3所三级综合医院的19名临床一线护士进行访谈。以Crossan的4I[直觉(intuiting),解释(interpreting),整合(integrating),制度化(institutionalizing)]组织学习模型为框架,采用内容分析法对资料进行分析。结果基于“4I组织学习模型”,共提炼出4个主题。护士认为二级解决问题行为是:充当带头人,主动并鼓励他人报告接近失误;利用有限的个人能力及职权尽可能推动对接近失误原因的探究;在关于接近失误的质量改进项目中,既要主动参与,又不逾越自身的职责权限;在正视自身话语权有限的事实下,对质量改进措施进行效果反馈并提出完善建议。结论基于4I组织学习框架,可引导临床护士在推动组织层面从接近失误中学习的过程中发挥作用。本研究中,通过二级问题解决行为,临床护士在推动组织从接近失误中学习的过程中起到了重要作用。但护士需要额外的知识、技能和支持,在意识到接近失误时能最大限度运用二级解决问题方式,以促进患者安全。

关键词：接近失误护士护士作用患者安全解决问题三级医疗中心 4I组织学习模型

手术后患者疼痛控制满意度状况及影响因素的研究

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中华护理杂志 2007年第3期42卷 197-202页

作者：沈曲李峥 gwen sherwood Jeanette A.McNeill 厦门大学医学院护理系厦门市361005 中国协和医科大学护理学院北京市100730 美国北卡罗莱纳大学护理学院美国因卡奈特.伍德大学

目的描述手术后患者对疼痛控制的满意度状况,探讨影响疼痛控制满意度的因素。方法采用多阶段抽样方法,随机抽取北京地区5家综合性三级甲等医院,对符合入选标准的304例手术后第2天的住院疼痛患者进行了调查,问卷由休斯顿疼痛情况调查表... 详细信息

目的描述手术后患者对疼痛控制的满意度状况,探讨影响疼痛控制满意度的因素。方法采用多阶段抽样方法,随机抽取北京地区5家综合性三级甲等医院,对符合入选标准的304例手术后第2天的住院疼痛患者进行了调查,问卷由休斯顿疼痛情况调查表、疼痛治疗指数和病历资料核查表3个部分组成。结果术后患者对疼痛控制总体满意度平均评分为7.3。疼痛控制教育、医生对疼痛的处理、疼痛减轻、患者受到的所有针对疼痛的照料、医生或护士是否告诉患者要优先有效地控制疼痛以及手术次数共6个因素进入回归方程,是影响疼痛控制满意度的主要因素。结论患者对术后疼痛控制较为满意;疼痛控制服务因素是影响手术后患者疼痛控制满意度的主要因素。建议制订术后疼痛控制制度和标准,采取针对性措施,改善术后疼痛控制质量,提高术后患者对疼痛控制的满意度。

关键词：疼痛,手术后疼痛控制病人满意度

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发展以角色为基础的护理研究生教育

中华护理教育 2005年第1期2卷 29-32页

作者： gwen sherwood 刘华平徐丽华美国德州大学休斯顿护理学院中国协和医科大学护理学院世界健康基金会(Project HOPE)

虽然大多数护士在临床一线工作,但卫生事业的发展要求护理专业能具有不同角色的专业人才,如教育者、高级实践者和管理者.护理教育和实践发展的密切结合才可加速护理专业的发展.发展以角色为基础的护理研究生教育可促使护理专业角色的发... 详细信息

虽然大多数护士在临床一线工作,但卫生事业的发展要求护理专业能具有不同角色的专业人才,如教育者、高级实践者和管理者.护理教育和实践发展的密切结合才可加速护理专业的发展.发展以角色为基础的护理研究生教育可促使护理专业角色的发展.教师需要掌握教育理论和方法以提高教学质量,高级实践护士需要掌握以实证为基础的临床知识和技能来提高护理质量,管理者必须了解如何与大环境协调及卫生保健的重点以确保优质服务.本文的目的是介绍美国以角色为基础的研究生课程设置包括护理教育、高级护理实践和护理管理.

关键词：研究生教育高级实践护士高级护理实践护理专业护理教育临床一线专业人才卫生事业专业角色教学质量教育理论护理质量临床知识优质服务卫生保健课程设置护理管理管理者大环境

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本科护理教育自我评价的思路与方法

中华护理教育 2005年第4期2卷 167-168页

作者：陈京立刘华平何仲李峥 gwen．sherwood Lillian Eriksen 中国协和医科大学护理学院中国协和医科大学护理学院 100041北京市

目的通过对本科护理教育自我评价思路和方法的描述,以形成在本科护理教育中自我评价的可行性方案.方法采用描述性方法, 阐述了护理教育自评方法和思路.结果明确了本科护理评价的过程和由课程、教师及学生组成的课程评价过程中的3个... 详细信息

目的通过对本科护理教育自我评价思路和方法的描述,以形成在本科护理教育中自我评价的可行性方案.方法采用描述性方法, 阐述了护理教育自评方法和思路.结果明确了本科护理评价的过程和由课程、教师及学生组成的课程评价过程中的3个重要组成部分.

关键词：教育,护理学士自我评价方案

Periodic Addition of Glucose Suppressed Cyanobacterial Abundance in Additive Lake Water Samples during the Entire Bloom Season

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Journal of Water Resource and Protection 2024年第2期16卷 140-155页

作者： David Linz Ian Struewing Nathan Sienkiewicz Alan David Steinman Charlyn gwen Partridge Kyle McIntosh Joel Allen Jingrang Lu Stephen Vesper United States Environmental Protection Agency Cincinnati Ohio USA Annis Water Resources Institute Grand Valley State University Muskegon USA Oak Ridge Institute for Science and Education Oak Ridge Tennessee USA

Previously, we showed that prophylactic addition of glucose to Harsha Lake water samples could inhibit cyanobacteria growth, at least for a short period of time. The current study tested cyanobacterial control with glucose for the entire Harsha Lake bloom season. Water samples (1000 ml) were collected weekly from Harsha Lake during the algal-bloom season starting June 9 and lasting until August 24, 2022. To each of two 7-liter polypropylene containers, 500 ml of Harsha Lake water was added, and the containers were placed in a controlled environment chamber. To one container labeled “Treated,” 0.15 g of glucose was added, and nothing was added to the container labeled “Control.” After that, three 25 ml samples from each container were collected and used for 16S rRNA gene sequencing each week. Then 1000 ml of Harsha Lake water was newly collected each week, with 500 ml added to each container, along with the addition of 0.15 g glucose to the “Treated” container. Sequencing data were used to examine differences in the composition of bacterial communities between Treated and Control containers. Treatment with glucose altered the microbial communities by 1) reducing taxonomic diversity, 2) largely eliminating cyanobacterial taxa, and 3) increasing the relative abundance of subsets of non-cyanobacterial taxa (such as Proteobacteria and Actinobacteriota). These effects were observed across time despite weekly inputs derived directly from Lake water. The addition of glucose to a container receiving weekly additions of Lake water suppressed the cyanobacterial populations during the entire summer bloom season. The glucose appears to stimulate the diversity of certain bacterial taxa at the expense of the cyanobacteria.

关键词： Glucose Cyanobacteria 16S Amplicon Sequencing Microbial Community

Psychometric Evaluation of the Patient Outcome Questionnaire Patients Revised American Pain Society （APS-POQ-R） in Postoperative

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麻醉与监护论坛 2013年第4期20卷 285-291页

作者： Hui Wang gwen sherwood Zhi-yi Gong Hua-ping Liu School of Nursing Peking Union Medical College Hospital 100144 University of North Carolina at Chapel Hill Department of Anesthesiology Peking Union Medical College Hospital 100144

Background:Poor postoperative pain management has posed a pervasive clinical problem to professionals in medical practice. The effective measurement of pain management outcome is one of the essential parts to improve the pain management quality. The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) fully reflects the pain management quality, while its reliability and validity has not been verified in the operation. Objectives:To verify the reliability and validity of APS-POQ-R in postoperative patients and to discuss the relationship between pain degree and other outcomes of pain management. Methods:To randomly select 244hospitalized adult patients of 5 surgical departments in a hospital in North Carolina, US. To measure the pain management result of the patients with the use of APS-POQ-R in the first postoperative day and the average pain degree in postoperative 24hours respectively. Meanwhile, it needs to get the general demographic information and surgical information of the patients by the means of checking the cases or the patients self-reports. Results:The total internal consistency of the questionnaire (Cronbach's alpha) is 0.770. Factor analysis testifies the five subscales of the original chart:effects of pain on the sleep, effects of pain on emotions, adverse effects of pain treatment, effects of pain on activities and the perception of pain service, accounting for 61.41% of the total variation. The total internal consistency in the perception of pain service is much low (0.510), which probably related with the sample homogeneity; the total internal consistency of other dimensions is 0.647-0.797. According to the regression analysis, the average and largest pain degree could explain effects of pain on activities is 18.6 of the variation, the percentage of time and average pain degree in severe pain respectively explain 28.9% and 16.8% of the variation of pain on sleep and emotions. The 17.9% variation of patients' satisfaction with pa

关键词：疼痛患者美国心理评价协会修订 APS 管理质量

护士的二级解决问题行为:从接近失误中学习（英文）

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International Journal of Nursing Sciences 2021年第4期 444-452页

作者：杨依刘华平 gwen sherwood Peking Union Medical College School of Nursing The University of North Carolina at Chapel Hill School of Nursing

关键词：接近失误护士护士作用患者安全解决问题三级医疗中心 4I组织学习模型