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Availability and quality of Emergency Obstetric care, an Alternative Strategy to Reduce Maternal Mortality: Experience of Tongji Hospital, Wuhan, China

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2012年第2期32卷 151-158页

作者： BANGOURA Ismael Fatou 胡坚龚勋王绚璇魏晶晶张文斌张翔方鹏骞 Department of Health Management School of Medicine Tongji Medical College Huazhong University of Science and Technology Bayer Healthcare Company Kaiser-Wilhelm-Allee Bldg.E3951368 Leverkusen Germany Department of Chronic Disease Hubei Provincial Academy of Preventive Medicine Hubei Provincial Center for Disease Control and Prevention Management School of Hubei University of Chinese Medicine School of Public Health Xinjiang Medical University

The burden of maternal mortality (MM) and morbidity is especially high in ***,China has made significant progress in reducing MM over the past two decades,and hence maternal death rate has declined considerably in last decade,To analyze availability and quality of emergency obstetric care (EmOC) received by women at Tongji Hospital,Wuhan,China,this study retrospectively analyzed various pregnancy-related complications at the hospital from 2000 to *** baseline periods of equal length were used for the comparison of variables.A total of 11 223 obstetric complications leading to MM were identified on a total of 15 730 hospitalizations,either 71.35％ of all *** maternal death was *** age of women was 29.31 years with a wide range of 14-52 *** 96.26％ of women had higher levels of schooling,university degrees and above and received the education of secondary school or *** 3.74％ received primary education at period two (P2) from 2005 to 2009,which was significantly higher than that of period one (P1) from 2000 to 2004 (P＜0.05) (OR:0.586; 95％ CI:0.442 to 0.776).About 65.69％ were employed as skilled or professional workers at P2,which was significantly higher than that of P1 (P＜0.05).About 34.31％ were unskilled workers at P2,which was significantly higher than that of P1 (P＜0.05).Caesarean section was performed for 9,930 women (88.48％) and the percentage of the procedure increased significantly from 19.25％ at P1 to 69.23％ at P2 (P＜0.05).We were led to conclude that,despite the progress,significant gaps in the performance of maternal health services between rural and urban areas ***,MM reduction can be achieved in *** must include,but not limited to the following:secondary healthcare development,health policy and management,strengthening primary healthcare services.

关键词： emergency obstetric care maternal mortality quality care hospital, Wuhan China

Effects of high-quality neurosurgical nursing care on improving clinical nursing quality

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World Journal of Clinical Cases 2024年第22期12卷 4999-5007页

作者： Xiu-Rong Li Qing-Lian Luo Department of Neurosurgery The Affiliated Hospital of Southwest Medical UniversityLuzhou 646000Sichuan ProvinceChina

BACKGROUND With continuous advancements in medical technology,neurosurgical nursing is constantly developing and improving to provide higher-quality nursing *** To explore the effects of different types of high-quality nursing care on clinical nursing quality and patient satisfaction in neurosurgical *** Eighty patients who received neurosurgical treatment in the Affiliated Hospital of Southwest Medical University from June to December 2020 were selected as study participants and categorised into study and control *** study group comprised 40 patients who received 4 different types of high-quality nursing care,whereas the control group comprised 40 patients who received conventional nursing *** a specific period,nursing satisfaction levels and adverse event and complication rates were compared between the two *** Satisfaction with high-quality care was higher than that with conventional care,and high-quality health services and regional services showed the highest satisfaction levels,with an average score of 12 on the Glasgow *** satisfaction levels of the study and control groups were 75%and 57%,respectively,with a statistically significant difference(t=7.314,Pquality nursing methods can effectively reduce adverse event and complication rates in patients,thereby improving the quality of nursing care and increasing clinical nursing value.

关键词： High-quality nursing Neurosurgery quality care Adverse event Complication

Factors Influencing Patient-Centered care in the Primary Health care Settings: The Impact of the Pandemic Crisis and Nurses’ Experience

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Open Journal of Nursing 2022年第3期12卷 220-233页

作者： Adepeju Lateef Euphemia Mbali Mhlongo Department of Nursing Osun State University Osogbo Nigeria School of Nursing & Public Health University of KwaZulu-Natal Durban South Africa

Patient-centered care has over the past decades, been recognized worldwide as an important component of the health system giving a wider dimension to high-quality healthcare and service delivery. The impact on healthcare and services to the patient is the nurses’ ability to create a friendly rapport with the patients. Yet, the majority in the rural Primary Health care facilities are still facing many challenges in demonstrating patient-centeredness services to the community. Thus, the objective of this study is to explore and describe the factors influencing patient-centered care provision and nurses’ experience in Primary Health care facilities. An exploratory qualitative approach with purposive sampling was used to gather data. Individual interviews with 35 nurses were conducted using a semi-structure interview guide question in the Primary Health care settings in Nigeria. Each of the interviews with the nurses lasted for 25 minutes to one hour. All interviews were audio-taped, and transcribed verbatim using Microsoft Word. The transcripts were read and re-read, coded using NVivo version 12 software to organize the relevant information and categorized them into themes and sub-themes. Thematic analysis guided this study. The findings revealed three themes and sub-themes. The impact of environmental factors with two subthemes—suitable working environment and coordinated care;resources—shortage of staff and inadequate resources as sub-themes, and lastly, cultural sensitivity and religious influence—communication. Poor implementation of PCC strategies in most of the PHC facilities could lead to poor patient care and a lack of job satisfaction among nurses. This study identified that nurses have both negative and positive experience in providing patient-centered care health services. Providing patient-centered care in the Primary Health care setting promotes the goal of achieving universal health coverage in Nigeria if the government would prioritize nurses’ pay, emplo

关键词： Healthcare Service Nursing quality care Improvement Work Environment Patient-Centered care And Primary Health care

Research progress in nursing subspecialization

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Chinese Nursing Research 2016年第3期3卷 121-124页

作者： Fang Wang Li Yuan Zhen-Zhen Xiong Rao Li Division of Endocrinology and Metabolism West China Hospital of Sichuan University

With the rapid development of medical departments in recent years, nursing subspecialization has increased in prominence and performance. This highly subspecialized division of labor system not only improves the quality of nursing care but also promotes the development of nursing science. Today,developing nursing subspecialization has become the direction and strategy for the development of clinical nursing practice in many countries.

关键词： Nursing Science Subspecialty quality care Clinical practice

Effect and Value of quality Nursing Intervention in Breastfeeding after Cesarean Section among Primigravid Women

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Journal of Clinical and Nursing Research 2024年第6期8卷 284-289页

作者： Qi Li Beijing Yanqing Maternal and Child Health Center Beijing 102199China

Objective:To analyze the effect of using quality nursing care for primigravid women undergoing cesarean ***:A total of 80 cases of primigravid women undergoing cesarean section from June 2022 to June 2023 were randomly *** were divided into two groups:Group A(40 cases)received routine care and Group B(40 cases)received quality *** division was done using a computerized randomization *** effects of the nursing care received in the two groups were ***:quality nursing care for primigravid women undergoing cesarean section can enhance breastfeeding rates,alleviate maternal anxiety,improve feeding practices,and enhance breastfeeding self-efficacy.

关键词： quality care Primigravida Cesarean section Breastfeeding

An assessment of racial differences in epidemiological, clinical and psychosocial factors among head and neck cancer patients at the time of surgery

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2020年第1期6卷 41-48页

作者： Anvesh Kompelli Kathleen B.Cartmell Katherine R.Sterba Anthony J.Alberg Christopher C.Xiao Amit J.Sood Elizabeth Garrett-Mayer Shai J.White-Gilbertson Steven A.Rosenzweig Terry A.Day Department of Otoloryngology-Head and Neck Surgery Medical University of South Carolina(MUSC)CharlestonSC29425USA College of Nursing MUSCCharlestonSC29425USA Hollings Cancer Center MUSCCharlestonSC29425USA Department of Public Health Sciences MUSCCharlestonSC29425USA Cancer Resistry Hollings Cancer CenterMUSCCharlestonSC29425USA Department of Pharmacology MUSCCharlestonSC29425USA

Objective:Racial disparities have been well characterized and African American(AA)patients have 30%lower 5-year survival rates than European Americans(EAs)for head and neck squamous carcinoma(HNSCC).This poorer survival can be attributed to a myriad of different *** purpose of this study was to characterize AA-EA similarities and differences in sociodemographic,lifestyle,clinical,and psychosocial characteristics in HNSCC patients near the time of ***:Setting:Single tertiary care ***:Thirty-nine newly diagnosed,untreated HNSCC patients(n=24 EAs,n=15 AAs)who were to undergo surgery were *** Design:Cross-sectional study Sociodemographic,lifestyle factors,and disease factors(cancer site,AJCC clinical and pathologic stage,and HPV status)were *** factors,leisure time,quality of life and social support were also assessed using validated ***:EA and AA patients were similar in the majority of sociodemographic factors *** had a higher trend toward pathologically later stage disease compared to EAs and significantly increased time to ***:EA and AA patients were similar in the majority of sociodemographic factors *** had a higher trend toward pathologically later stage disease compared to *** also had significantly increased time to treatment(P=0.05).The majority of AA patients(62%)had later stage pathologic *** were less likely to complete high school or college(P=0.01)than their EA ***,AAs were more likely to report having a gap in health insurance during the past decade(37%vs.15%).Conclusions:This preliminary study demonstrates a similar profile of demographics,clinical and psychosocial characteristics preoperatively for AAs and *** differences were AAs tending to have later pathologic stage disease,educational status,delays in treatment initiation,and gaps in health insurance.

关键词： Head and neck cancer Healthcare disparities Treatment delay Health services quality care HPV