摘要：
In this study, we focused on measuring levels of nurse burnout and job dissatisfaction in the daily practice of nurses in Hunan province, China, analyzed factors related to nurse burnout and job dissatisfaction, and explored the relationship between them. Previous studies have shown a high level of burnout and job dissatisfaction among nurses worldwide. A cross‐sectional survey of 1100 nurses was conducted. The nurses worked at 20 hospitals in 11 cities and counties throughout China's Hunan province. Nurse burnout was measured by the Maslach Burnout Inventory. Nurse‐rated job dissatisfaction was described using a four point scale, and work environment was measured using the Nursing Work Index – Practice Environment Scale. The results showed that nurses had high burnout scores and were dissatisfied with their jobs. Staffing, work environment, and work hours were all significantly associated with nurse burnout and job dissatisfaction. Adequate staffing, improved work environment, and reasonable work hours are related to decreasing nurse burnout and job dissatisfaction.
期刊：
Applied nursing research : ANR,2014年27(3):186-191 ISSN：0897-1897
通讯作者：
Yang, Jinhua
作者机构：
[YanhuiLiuPhD] School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China, 300193;[JinhuaYangMSN, RN] School of Nursing, Hunan University of Chinese Medicine, Hanpu science park, Changsha, Hunan, China, 410208. Electronic address: jinhua_master@163.com;[XiaoyanPanMSN; YanChenPhD] School of Nursing, Hunan University of Chinese Medicine, Hunan, China
通讯机构：
[Yang, Jinhua] Hunan Univ Chinese Med, Sch Nursing, Hanpu Sci Pk, Changsha 410208, Hunan, Peoples R China.
摘要：
Purposes: The purposes of this study were (1) to examine the level of structural empowerment, organizational commitment and job satisfaction in Chinese nurses; and (2) to investigate the relationships among the three variables. Background: A high turnover rate was identified in Chinese staff nurses, and it was highly correlated with lower job satisfaction. Structural empowerment and organizational commitment have been positively related to job satisfaction in western countries. Methods: A cross-sectional survey design was employed. Data analysis included descriptive statistics and multiple step-wise regression to test the hypothesized model. Results: Moderate levels of the three variables were found in this study. Both empowerment and commitment were found to be significantly associated with job satisfaction (r = 0.722, r = 0.693, p < 0.01, respectively). The variables of work objectives, resources, support and informal power, normative and ideal commitment were significant predictors of job satisfaction. Conclusions: Support for an expanded model of Kanter's structural empowerment was achieved in this study. (C) 2014 Elsevier Inc. All rights reserved.
作者：
Ji, Binbin;Sun, Mei;Yi, Rongfang;Tang, Siyuan*
期刊：
ARCHIVES OF PSYCHIATRIC NURSING,2014年28(5):319-326 ISSN：0883-9417
通讯作者：
Tang, Siyuan
作者机构：
[Ji, Binbin] School of Nursing, Hunan University of Chinese Medicine, Changsha, China;[Ji, Binbin] School of Nursing, Central South University, Changsha, China. Electronic address: ji04binbin@163.com;[Sun, Mei] School of Nursing, Central South University, Changsha, China. Electronic address: 767951031@qq.com;[Tang, Siyuan] School of Nursing, Central South University, Changsha, China. Electronic address: tangsyuan@126.com;[Yi, Rongfang] The second Xiangya hospital of Central South University, Changsha, China. Electronic address: 524027589@qq.com
通讯机构：
[Tang, Siyuan] Cent S Univ, Sch Nursing, Changsha, Hunan, Peoples R China.
摘要：
This quasi-experimental study aimed to determine the effectiveness of a multidisciplinary parent education program focused on improving health-related quality of life (HRQOL) for caregivers of children with autism spectrum disorders (ASD). This study included 42 participants (22 intervention, 20 wait-list control) who were the main caregivers of children with ASD. Data were collected at baseline and post-intervention. At the end of the multidisciplinary parent education program, significant improvements were observed in the mental HRQOL, family functioning, self-efficacy and positive coping style. The results indicate that a multidisciplinary parent education program, designed for caregivers of children with ASD, may have positive effects on caregivers' mental health-related quality of life, while having little effect on their physical health-related quality of life.
期刊：
Iranian journal of public health,2017年46(9):1223-1230 ISSN：2251-6085
通讯作者：
He, Guoping
作者机构：
[Zhang, Yinhua] Dept. of Community Nursing, School of Nursing, Central South University, Changsha, P.R. China;[Zhang, Yinhua; Yuan, Qun; Yi, Xia; Liu, Honghua; Pan, Xiaoyan; Xu, Yi; Chen, Yang; He, Guoping] Dept. of Fundamentals of Nursing, School of Nursing, Hunan University Traditional Chinese Medicine, Changsha, P.R. China;[Liu, Jingwei] Medical Insurance Bureau of Hunan Province, Changsha, P.R. China
通讯机构：
[He, Guoping] Hunan Univ Tradit Chinese Med, Sch Nursing, Dept Fundamentals Nursing, Changsha, Hunan, Peoples R China.
关键词：
Antimicrobial;Prescription;Inpatient;China
摘要：
BACKGROUND: China had implemented policies to limit antimicrobials prescription since 2004; we conducted this study to reflect the effect of these national policies by analyzing antimicrobial prescription trends of medical insurance in patients from 2003 to 2014 in Changsha city, China. METHODS: The participants were inpatients of the medical insurance of urban workers (UEBMI). Data were extracted from medical insurance information system of Changsha Medical Insurance Institution, which directly connects with hospitals information systems. RESULTS: Trend analysis showed great changes in antimicrobial prescription and inpatients' cost on antimicrobials over the study period. Antimicrobial prescription rates gradually declined over the study period from 79.0% in 2003 to 43.5% in 2014 (adjusted OR0.205; 95%CI 0.198 to 0.213). There was a quicker decline from 2011 to 2014 (with implementing national antimicrobial stewardship action plan) than the period from 2003 to 2010 (with implementing antimicrobials use education and self-management strategies). The proportion of inpatients used one antimicrobial increased significantly from 25.6% in 2003 to 46.7% in 2014, while the proportion of inpatients used three or more antimicrobials gradually decreased. Bacterial culture rate increased from 20.4% in 2003 to 36.6% in 2014 (adjusted OR 2.248; 95% CI 2.149 to 2.352). The average costs on antimicrobials decreased significantly, from 277.43 US Dollar in 2003 to 91.05 US Dollar in 2014. CONCLUSION: National efforts to promote rational use of antimicrobials in clinical practice have had a positive effect over the past decade in China.
