Background: Burnout is common among nurses and is related to negative outcomes of medical care. This study aimed to explore the effectiveness of Balint group activities in burnout reduction among nurse leaders in a Chinese hospital. Methods: This was a randomised controlled trial with a pre- and post-test. A total of 80 nurse leaders were randomly assigned to either a Balint group (n=40) or a non-Balint group (n=40). Participants in the Balint group completed Balint training for a period of three months. Participants in both groups completed the Maslach Burnout Inventory-Human Services Survey (MBI) and the General Self-Efficacy Scale (GSES) at the beginning and end of the study. Balint group members also completed the Group Climate Questionnaire-Short Form. Results: In the Balint group, 33 participants attended all sessions of the Balint intervention, and in the non-Balint group, all 40 participants completed the study. Analysis of variance with repeated measures demonstrated a statistically significant difference on the MBI subscale of personal accomplishment (F=9.598, p=0.003) between the Balint and non-Balint groups. However, there were no significant differences between the groups on the MBI subscales of emotional exhaustion (F=0.110, p=0.740) and depersonalization (F=0.75, p=0.387), and the GSES (F=0.709, p=0.403). Conclusions: Balint group helped reduce burnout among nurse leaders, especially to personal accomplishment.
Background Deep vein thrombosis (DVT) is a common complication in orthopedic patients. Previous studies have focused on major orthopedic surgery.There are few studies with multiple trauma. We aimed to describe the prevalence of DVT and compare the predictive power of the different risk assessment scales in patients with multiple trauma.Methods This prospective cohort study involved multiple trauma patients admitted to our hospital between October 2021 and December 2022. Data were prospectively collected for thrombotic risk assessments using the Risk Assessment Profile for thromboembolism(RAPT), the DVT risk assessment score (DRAS), and the Trauma Embolic Scoring System (TESS), respectively. The receiver operation characteristic (ROC) curve and the area under the curve (AUC) were evaluated to compare the predictive power. Doppler ultrasound was used to determine DVT incidence.Results A total of 210 patients were included, and the incidence of DVT was 26.19%. Distal DVT accounted for 87.27%; postoperative DVT, 72.73%; and bilateral lower extremity thrombosis, 30.91%. There were significant differences in age, education degree, pelvic fracture, surgery, ISS, D-dimmer level, length of hospital stay and ICU stay between the thrombosis group and the non-thrombosis group. The AUCs for RAPT, DRAS, and TESS were 0.737, 0.710, and 0.683, respectively. The RAPT had better predictive value, but there were no significant differences between the three ROC curves.Conclusions The incidence of DVT was relatively high during hospitalization. We prospectively validated the tests to predict risk of DVT among patients with multiple trauma to help trauma surgeons in the clinical administration of DVT prophylaxis.
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