Undergraduate Nurses’ Attitude Change to Health Technology Implementation

The poster will report upon a longitudinal study exploring the attitudes towards the implementation of health technology into clinical and community nursing practice from the perspective of third year undergraduate students studying adult, child, mental health and learning disability nursing.

Psychometrics of The Physical Health Attitude Scale in Taiwanese Mental Health Nurses: A Validation Study Authors’ Full Names

Background The Physical Health Attitude Scale (PHASe) is a reliable and valid scale for assessing mental health nurses’ attitude towards providing physical healthcare to patients diagnosed with serious mental illness. Aims To psychometrically evaluate the Chinese adaptation of the PHASe. Methods A total of 520 mental health nurses from 11 hospitals across Taiwan participated in this study. Brislin’s translation model was utilized for the validation process. Both exploratory factor analysis and confirmatory factor analysis were used to establish the construct validity of the scale, and Cronbach’s alpha and composite reliability were used to determine reliability. Results The four-factor 17-item Chinese version of the PHASe demonstrated satisfactory fit with significant factor loadings. Each factor had adequate internal consistency (Cronbach's alpha = 0.70 to 0.80). Known-group validity was supported by the significant differences between groups with different attitudes. Conclusions Our findings suggest that the Chinese version of PHASe is acceptable for evaluating nurses’ attitude towards providing physical health care both within culturally Chinese societies and in cross-cultural studies.

Polish Nurses’ Attitude to e-Health Solutions and Self-Assessment of Their IT Competence

In many countries, the implementation and dissemination of e-services for healthcare systems are important aspects of projects and strategies, as they contribute to significantly improving the access to such a system. The aim of the study is to analyze nurses’ opinions on the application of the e-health solutions at work and the self-assessment of their IT competence. A linear stepwise regression allowed for the visualization of independent variables significantly influencing considerably the level of IT competency. Reduced IT competency was found in the group of nurses who rated the impact of the Internet and the new technologies as lower on the health care and general lives of modern people (β = 0.203; p < 0.0001), recommended e-health solutions to a lesser extent (β = 0.175; p < 0.0001), rated e-health solutions lower in relation to the patient (β = 0.149; p < 0.0001), and were older in age (β = 0.095; p = 0.0032). IT competence has become an indispensable requirement for nurses in fulfilling their professional roles. The quality of using new technologies in the work of nurses depends on their IT competence.

A hálapénzzel kapcsolatos szokások a magyar egészségügyi szakdolgozók körében

Összefoglaló. Bevezetés: Magyarországon 2021. január 1-jétől a hálapénz minden formájának adása és elfogadása bűncselekmény, kivéve a legföljebb a minimálbér 5%-át (8370 forintot) elérő ajándékot. Míg a tilalmat az orvosok esetében jelentős béremelés kompenzálja, addig a szakdolgozók korábban is kevéssé vizsgált hálapénzjuttatásának helyzetére és megváltozására vonatkozóan alig vannak adatok. Célkitűzés: A szakdolgozói hálapénz 2020 végi kiinduló helyzetének feltárása és az új jogszabályi előírások becsülhető hatásainak vizsgálata a szakdolgozók által nyújtott információ alapján. Módszer: 2020 őszén 167 egészségügyi szakdolgozó kérdőíves felmérése történt meg a Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központjában a hálapénzadás motivációinak, formáinak és körülményeinek, valamint összegének megismerése érdekében. Az eredményeket elsősorban leíró statisztikai formában elemeztük, különös tekintettel a műtéti, a belgyógyászati és a gyermekgyógyászati szakterületek között mutatkozó különbségekre; és összevetettük az új törvény hatására várható változásokkal. Eredmények: A 167 válaszadóból 93-an műtéti/operatív területen, 54-en belgyógyászati jellegű területen, 18-an pedig a gyermek/ifjúsági ellátásban dolgoznak. Mindegyik szakterületen megjelent a hála mellett a korrupciós célú juttatás, de ezzel és a hálapénzjelenséggel legkevésbé a gyermekgyógyászati terület volt érintett. A nagyobb értékű ajándék ritka, de a kisebb értékű rendszeresen alkalmazott juttatás. Egy hét benntartózkodás esetén a válaszadók átlagosan 10 851 forintot (36 USD) kaptak hálapénzként, míg egy-egy alkalommal 5326 forintot (18 USD). Az összegek – hasonlóan az orvosi hálapénzhez – jelentős eltérést mutattak az egyes területek között, a műtéti szakmákban pedig meghaladták az új törvényi korlátot. A magánellátásban kapott hálapénz kisebb arányú, a munkahelyen kívül átadott juttatás pedig kifejezetten ritka. Következtetés: A korrupciós célú hálapénz az egészségügyi szakdolgozói szférában ugyan jelen van, de nem jellemző. A szakdolgozóknak juttatott hálapénz büntetőjogi szankcionálását nem kompenzálja az orvosokéhoz hasonló béremelés. A pénzbeli juttatás ajándéktárgy formájában történő juttatása minden területen jelent veszteséget, a műtéti területen az értékben kifejezett veszteség is jelentősebb lehet. A büntetőeljárási fenyegetettség nem elegendő a magyarországi hálapénzrendszer megszüntetéséhez, további társadalompolitikai intézkedések szükségesek az egészségügyi dolgozók és a betegek attitűdjének megváltoztatásához. Orv Hetil. 2021; 162(41): 1658–1668. Summary. Introduction: In Hungary, since January 1st, 2021, the giving and acceptance of all forms of informal payments constitute a crime, except for gifts of a value of no more than 5% of the minimal monthly salary. While in the case of physicians, a pay rise compensates the loss of revenue, we hardly have data on the nurses’ attitude in relation to the acceptance of informal payments. Objective: We intend to uncover the situation of informal payments at the end of 2020 and to examine the effects of the new legal regulation, based on information from nurses. Method: In the fall of 2020, we questioned 167 nurses in the Albert Szent-Györgyi Health Center of the University of Szeged, Hungary, in order to highlight the motivations, forms, circumstances, and sums of informal payments. We analyzed the results by means of descriptive statistical methods, with special regard to the differences among surgical, internal medical and pediatric fields. We analyzed the results with a view to the new legal regulations. Results: Out of 167 respondents, 93 work in operative field, 54 in internal medical care, and 18 in pediatric care. Besides gratitude, corruption appeared in all the three fields, however, pediatric care was the least touched by corruption. Gifts of a higher value are rare, however, small gifts are common. The respondents received 10 851 HUF (i.e., 36 USD) as informal payment from in-patients after one week, while, occasionally, 5326 HUF (i.e., 18 USD). The sums – similarly to informal payments to physicians – vary from field to field in healthcare. In the surgical field, the sums surpassed the new legal limit. Informal payments are given in private healthcare more rarely than in public healthcare. Informal payments given outside the workplace hardly ever occur. Conclusion: The informal payment with the goal of corruption is present in the sphere of nurses, however, it is not typical. The criminal sanctioning of informal payments to nurses is not compensated by a pay rise similar to that of physicians. The fact that informal payments are substituted by gifts results in loss of revenue in all fields of healthcare, however, this loss is the most salient in the surgical field. The criminal sanctioning is not sufficient to eliminate informal payments in Hungary; further socio-political measures are to be taken with the goal to change the attitude of healthcare workers and patients. Orv Hetil. 2021; 162(41): 1658–1668.

Hubungan sikap perawat dengan penerapan patient safety pada masa pandemi Covid 19

Clinical nurses' attitude toward patient safety: application and results during Covid 19 pandemicBackground: Patient safety is an effort to reduce unnecessary injuries associated with health care to the minimum acceptable level. Patient safety incident report in Indonesia in 2009 were 114, 103 incident in 2010, 34 incident in 2011. The number of adverse events was 10.5% and a near miss incident was 6.15%.Purpose: known that relationship between nurses' attitude with patient safety application during the Covid-19 pandemic at public health center Pesawaran district in 2020.Method: A quantitative study by survey analytical with cross-sectional design. The sampling technique using a questionnaire and taken by total sampling. The respondents of 40 clinical nurses at public health centre.Results: Respondents who had positive attitudes were 32 (80%), and who had negative attitudes was 8 (20%). Respondents who had behavior of patient safety standard application with good categories were of 20 (50%), and respondent with a poor category was of 20 (50%) and based on the statistical result of (p value 0,008; OR=15,000).Conclusion: There are relationship between clinical nurses' attitude toward patient safety: application and results during COVID-19 pandemic at the health center. Suggestions for health centre management to pay attention for patient during covid-19 pandemic and all staff nurses to follow the health protocol for Covid.Keyword : Clinical nurses; Attitude; Patient safety; Application; Covid-19 pandemicPendahuluan: Keselamatan pasien merupakan sebuah upaya menurunkan cedera yang tidak perlu yang berhubungan dengan pelayanan kesehatan hingga ke tingkat minimum yang dapat diterima. Laporan insiden keselamatan pasien di Indonesia tahun 2009 sebanyak 114, tahun 2010 sebanyak 103, tahun 2011 sebanyak 34. Angka Kejadian Tidak Diharapkan (KTD) sebesar 10,5% dan Kejadian Nyaris Cedera (KNC) sebesar 6,15%.Tujuan: Diketahui hubungan sikap perawat dengan penerapan patient safety pada masa pandemic covid 19 di UPT Puskesmas Rawat Inap Kabupaten Pesawaran Tahun 2020.Metode: Penelitian ini menggunakan desain penelitian Survey Analitik dengan menggunakan rancangan cross-sectional. Teknik pengambilan sampel dalam penelitian ini menggunakan lembar kuesioner. Populasi dalam penelitian ini adalah seluruh perawat puskesmas rawat inap yang berjumlah 40 responden.Hasil: Responden yang mempunyai sikap positif sejumlah 32 (80%) dan responden dengan sikap negatif sejumlah 8 (20%). Responden yang mempunyai perilaku penerapan standar keselamatan pasien dengan kategori baik sejumlah 20 (50%) dan responden dengan tingkat perilaku tidak baik sejumlah 20 (50%). Uji penelitian yang dilakukan menggunakan uji chi square dengan hasil (p value 0,008; OR=15,000).Simpulan: Ada hubungan sikap dengan penerapan patient safety pada masa pandemi covid 19 di UPT Puskesmas Rawat Inap Kabupaten Pesawaran tahun 2020. Saran dari peneliti ini diharapkan untuk selalu menerapkan standar keselamatan pasien dalam pelayanan.

Attitude and practice toward physical restraint among psychiatric nurses in Guangdong, China: a cross-sectional survey†

Objective To explore the correlation between nurses’ attitude and practice toward physical restraint (PR) in psychiatric settings and identify the factors that influence the use of PR. Methods A cross-sectional survey was conducted. A self-designed questionnaire containing a PR scale was used to assess the attitude and practice of registered psychiatric nurses in Guangdong, China, from November 1, 2018 to December 31, 2018. Descriptive statistics, the Mann–Whitney U test, the Kruskal–Wallis test, and ordinal regression analysis were used to analyze the data. Results The response rate was 74.6%. The nurses’ responses showed neutral attitude and a moderate level of practice regarding the use of PR. Factors such as age, gender, marital status, professional position, nightshift, and the frequency of training programs on PR showed a significant association with nurses’ attitude and practice concerning PR (P < 0.05). In addition to these factors, this study found that the practice of PR was associated with nurses’ attitude toward it (P < 0.05). Our results showed that nurses with a largely negative attitude toward PR were more likely to use it (OR = 1.91, P < 0.001). Conclusions Clinically, psychiatric nurses with negative attitude are more likely to practice PR. Training and education programs are highly recommended for nursing managers to change the nursing staff’s attitude, since their attitude may have an impact on the PR what they practice.