This work analyzed and summarized the opportunities and challenges for the development of traditional Chinese medicine nursing under the new healthcare reform.
TCM nursing as a young subject is in the primary stage of development, simultaneously also entered the reform and professional development new time.
Based on the “Opinions on Deepening the Reform of Medicine and Health”, “Strategic planning outline of the development of Traditional Chinese Medicine (2016-2030)” and the other relevant polices announced by State Administration of Traditional Chinese Medicine of the People’s Republic of China, this paper analyzes and summarizes the opportunities and challenges for the development of Traditional Chinese Medicine nursing (TCM nursing) under the new healthcare reform, in order to provide reference and thinking for the professional development of TCM nursing.
Objective: To explore and clarify the concept of self-management in the context of cancer patients’ home-based rehabilitation. This concept analysis will provide a theoretical lens for nurses to help cancer patients to develop self-management strategies and enables them to improve their ability in symptom self-management of home-based rehabilitation. Method: Walker and Avant’s framework (2011) was used to analyse the concept of self-management. Results: Self-management is defined as a dynamic process that involves perception of one’s needs, resource utilisation, problem solving and active participation. Antecedents of self-management include self-efficacy, disease knowledge and social support. Improving cancer patients’ ability in symptom self-management can improve their health outcomes and quality of life and reduce healthcare expenditures. Although Strategy and Effectiveness of Symptom Self-Management scale is perceived as an ideal instrument to measure self-management and thus it is used worldwide, whether this instrument fits to measure this concept for cancer patients in Chinese context has still not yet been verified and thus further research is needed. Conclusion: According to the concept analysis, nurses should encourage cancer patients to involve actively in making a home-based rehabilitation plan and promote their ability in symptom self-management of home-based rehabilitation so as to improve their health outcomes and reduce healthcare expenditures.
This article introduced the concept of stigma level, the related theory of stigma, measuring tools, the effect of stigma on the rehabilitation and the basic strategies for reducing the stigma of urinary incontinence in women.
Stigma seriously affects the quality of life and mental health of women with urinary incontinence. It should be enough attention.
In recent years, stigma has become a social problem because it seriously affects the quality of life and mental health of women with urinary incontinence. This article reviews stigma of urinary incontinence in women and its influencing factors. We also introduced the concept of stigma level, the related theory of stigma, measuring tools, the effect of stigma on the rehabilitation and the basic strategies for reducing the stigma of urinary incontinence in women to provide clinical workers the relevant basis for research on the stigma of urinary incontinence.
Objective: To explore and identify the concept of adherence in the context of cardiac rehabilitation. This concept analysis will provide a framework for clinical decision-making and intervention to improve patients’ adherence to cardiac rehabilitation programme. Method: Walker and Avant’s framework was used to analysis the concept of adherence. Results: Adherence is defined as patients collaboration with health care provider, active involvement in the treatment regimen, and persistence in practice characterized by self-efficacy and relapse-prevention. Defining Attributes of adherence include collaboration relationship; self-efficacy promotion and relapse-prevention. Antecedents of adherence include health care provider’s prescription, illness perceptions, social-economic and environmental factors. Patients adherence to cardiac rehabilitation programme can improve clinical outcomes. However, there is no standard instrument to measure adherence. Conclusion:Based on the concept analysis, in order to improve patients’ adherence to cardiac rehabilitation, health care provider should invite patients active involvement in making rehabilitation plan and promote patients’ self-efficacy and prevention relapse.
This paper analyzed a misdiagnosed case with sudden elevation of blood pressure resulting from syndrome differentiation faults of traditional Chinese medicine.
This study proposed the usage note of Fuzi (Radix Aconiti Carmichaeli）in clinic use.
A 71-year-old woman suffered the pains from her finger joints, arms, shoulders and neck. The first prescription was the add and subtract of Guizhishaoyaozhimu decoction, which could warm Yang via Fuzi (Radix Aconiti Carmichaeli). After three oral doses of medication, she felt sleepy with a blood pressure of 180/60 mmHg. The second prescription was the add of Shengmai Powder which could nourish Yin. The next day, her blood pressure was reduced to 130/65 mmHg.
Nursing teachers had a positive performance towards critical thinking emotional tendency, but not strong positive.
The managers of universities should lay stress on the importance of critical thinking, and provide the development space to enhance the nursing teachers’ critical thinking ability.
Critical thinking (CT) is an important content of nursing education. It is also the important symbol of the improvement of overall quality of nursing teachers. In recent years, educational circles pay more and more attention to the cultivation of students’ CT ability, take CT and solve the problem as two basic skills of thinking. In the early 1980s, critical society theory was led into the nursing field. After years of development, CT has become one of research hotspots in today’s international nursing. Numerous studies had confirmed that the CT played a significant role in nursing education, clinical practice and nursing scientific research. The paper studied the whole status and characteristics of CT emotional tendency of college nursing teachers, and analyzed potential cause and discussed deeply on the corresponding factors of how to improve college nursing teachers’ teaching ability and scientific ability. This research adopted random sampling method, in which questionnaires were distributed among some nursing teachers in six universities and 97 nursing teachers. The statistical results indicated that nursing teachers had a positive performance towards CT emotional tendency, but not strong positive, and there were statistical significance among nursing teachers with different age, different length of service and reading habit (all P<0.05). In a conclusion, the managers of universities should lay stress on the importance of critical thinking, and provide the development space to enhance the nursing teachers’ CT ability and offer better services for nursing student.