How Advanced Practice Nurses Can Be Better Managed in Hospitals: A Multi-Case Study

Wan, Jia; Xia, Haiou

doi:10.3390/healthcare11060780

Cited by 6 publications

(7 citation statements)

References 23 publications

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“…On the other hand, it is noteworthy that leadership is the primary competency dimension among intermediate-level CNSs, standing out above all other roles. Leadership is essential for clinical practice, especially for teamwork collaboration, and multidisciplinary collaboration can further provide better clinical care to suit patients' needs and contribute to clinical research promotion (39). Only through effective management can the full value of resources be realized, ultimately leading to the greatest professional development and clinical outcome.…”

Section: Discussionmentioning

confidence: 99%

Core competencies of different-level clinical nurse specialists: A comparative study between two years

Zhao,

Lai,

Zheng

et al. 2024

Preprint

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Background: To promote the collaborative development of CNSs at different levels, it is necessary to have a targeted understanding of the current core capabilities of CNSs at different levels. The study aims to describe and compare the core competencies of clinical nurse specialist (CNS) between two years in China and investigate the differences among three levels of expertise of CNSs: primary, intermediate, and advanced. Methods: This is a cross-sectional study. An online survey was conducted in 5 November, 2021 and 7 November, 2023. The study was conducted in a grade 3A hospital in China. A population sample of clinical nurse specialists from China was recruited. Core competency was assessed through a self-evaluation strategy, and the assessment instrument included five first-level domains and 35 items. The data were analysed based on their level and survey year. Results: A total of 483 clinical nurse specialists, classified into primary, intermediate, and advanced levels of expertise, participated in the study. The average CNS competency scores increased after two years (P=.002). Among the primary-level CNSs, the scores for all five core competencies significantly differed from 2021 to 2023 (P= .032, .009, .031, .006, .047). The competency of intermediate-level CNSs improved throughout the two years, and their scores for ‘consulting and teaching’ and ‘management and leadership’ were significantly different (P< .001). For advanced-level CNSs, self-assessment scores all increased but were not significantly different. Conclusion: After two years of working at the clinic and receiving further education, the overall core abilities of specialized nurses improved. The performance improvement of intermediate specialized nurses is particularly outstanding, and they are the most popular among colleagues in clinical practice and can provide effective care for patients. The core abilities of primary and intermediate clinical nurse specialists need to be further improved to meet the more urgent needs of hospitals and patients in difficult clinical problems, team management, and professional development.

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Section: Discussionmentioning

confidence: 99%

Core competencies of different-level clinical nurse specialists: A comparative study between two years

Zhao,

Lai,

Zheng

et al. 2024

Preprint

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“…Furthermore, a study from Poland showed that besides financial stability, the flow of information was a significant predictor of WHO-5, PHQ-9, and ISI scores [45]. According to Wan and Xia, "It is crucial to accumulate, bind, and effectively utilize human resources" [46]. However, in a recent study, "occupational stress was more closely related to perceptions of lack of distributive justice than to perceptions of procedural, informational, and interpersonal justice" [47].…”

Section: Information Channelsmentioning

confidence: 99%

Locating Medical Information during an Infodemic: Information Seeking Behavior and Strategies of Health-Care Workers in Germany

et al. 2023

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Background: The COVID-19 pandemic has led to a flood of—often contradictory—evidence. HCWs had to develop strategies to locate information that supported their work. We investigated the information-seeking of different HCW groups in Germany. Methods: In December 2020, we conducted online surveys on COVID-19 information sources, strategies, assigned trustworthiness, and barriers—and in February 2021, on COVID-19 vaccination information sources. Results were analyzed descriptively; group comparisons were performed using χ2-tests. Results: For general COVID-19-related medical information (413 participants), non-physicians most often selected official websites (57%), TV (57%), and e-mail/newsletters (46%) as preferred information sources—physicians chose official websites (63%), e-mail/newsletters (56%), and professional journals (55%). Non-physician HCWs used Facebook/YouTube more frequently. The main barriers were insufficient time and access issues. Non-physicians chose abstracts (66%), videos (45%), and webinars (40%) as preferred information strategy; physicians: overviews with algorithms (66%), abstracts (62%), webinars (48%). Information seeking on COVID-19 vaccination (2700 participants) was quite similar, however, with newspapers being more often used by non-physicians (63%) vs. physician HCWs (70%). Conclusion: Non-physician HCWs more often consulted public information sources. Employers/institutions should ensure the supply of professional, targeted COVID-19 information for different HCW groups.

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“…First, the long queuing times for seeing a doctor is a key problem in the pediatric outpatient medical service of Xinhua Hospital. According to the data released by Xinhua Hospital (as of September 2021), the average daily outpatient volume of pediatric outpatient clinics is around 400, and the average monthly outpatient volume is about 10,000 [88,89]. Especially in some specific periods, the number of patients increased dramatically, such as during the summer vacation and winter vacation [63,81,[90][91][92][93][94][95].…”

Section: Current Situation Of Pediatric Outpatient Clinic In Shanghaf...mentioning

confidence: 99%

“…Sustainability 2023, 15, x FOR PEER REVIEW 5 of 47 pediatric outpatient clinics is around 400, and the average monthly outpatient volume is about 10,000 [88,89]. Especially in some specific periods, the number of patients increased dramatically, such as during the summer vacation and winter vacation [63,81,[90][91][92][93][94][95].…”

Section: Current Situation Of Pediatric Outpatient Clinic In Shanghaf...mentioning

confidence: 99%

Research on the Experience of Influencing Elements and the Strategy Model of Children’s Outpatient Medical Services under the Guidance of Design Thinking

2023

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Faced with the generally poor experience in pediatric outpatient in China, under the guidance of design thinking, based on the analysis and research of the main elements affecting child outpatients’ medical service experiences, this study proposes a set of strategic models that can improve child outpatients’ medical service experiences. Specifically, this study takes Shanghai Xinhua Hospital as a research case, combined with SPSS data statistics software, and comprehensively uses preliminary field research methods, questionnaire descriptive analysis methods, questionnaire satisfaction analysis methods, and questionnaire principal component analysis (PCA) methods as well as the structured interview method; thus, the main elements affecting child outpatients’ medical service experiences were obtained. Then, according to the main elements, a set of child outpatient medical service strategy models is proposed to improve child outpatients’ medical service experiences. Finally, the effectiveness of the strategy model is tested through satisfaction analysis and simulation case verification. The model is a people-centered, sustainable strategic model. With the support of design thinking, the strategic model takes the experience of children as the core improvement point, which is able to fully protect the rights and demands of child patients. At the same time, this strategy model can also reduce the workload of doctors, improve the operational efficiency of hospitals, promote a more equal distribution of medical resources, and reduce medical service costs. More importantly, it also encourages patients and their families to communicate and express their opinions to medical professionals, which can greatly reduce the tension between doctors and patients and effectively avoid doctor–patient conflicts. This has important implications for the sustainability of healthcare. However, this strategy model is only a guiding strategy for improving outpatient care for children. It does not provide detailed solutions around certain specific issues and specific implementations. At the same time, it is not a complex engineering design system but only provides a reference for improving children’s medical services in terms of strategic logic.

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How Advanced Practice Nurses Can Be Better Managed in Hospitals: A Multi-Case Study

Cited by 6 publications

References 23 publications

Core competencies of different-level clinical nurse specialists: A comparative study between two years

Core competencies of different-level clinical nurse specialists: A comparative study between two years

Locating Medical Information during an Infodemic: Information Seeking Behavior and Strategies of Health-Care Workers in Germany

Research on the Experience of Influencing Elements and the Strategy Model of Children’s Outpatient Medical Services under the Guidance of Design Thinking

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