Search

Background Lymphoma has become 1 of the 10 most common cancers with increased prevalence in young- and middle-aged adults in China. This poses a tremendous burden on patients and their families and brings great challenges to maintaining the balance of family functioning in young- and middle-aged patients. Objective This cross-sectional study aimed to analyse the influence of resourcefulness on the family functioning of Chinese young- and middle-aged lymphoma patients. Methods A total of 172 Chinese young- and middle-aged patients with lymphoma were recruited from the oncology departments of two tertiary hospitals in Zhengzhou, Henan, China. They were invited to complete a survey that included a demographic questionnaire, the Resourcefulness Scale and the Chinese Version Family Adaptability and Cohesion Scale II. Multiple linear regression was used to analyse the related factors for family functioning. Results The multiple regression analysis revealed that the main influencing factors of family cohesion were resourcefulness (β  = 0.338, 95% CI (0.072, 0.173)), spouse caregiver (β  = 0.376, 95% CI (1.938, 10.395)), and cancer stage (β  = –0.274, 95% CI (–3.219, –1.047)). Resourcefulness (β  = 0.438, 95% CI (0.096, 0.181)), spouse caregiver (β  = 0.340, 95% CI (1.348, 8.363)), and family per capita monthly income (β  = 0.157, 95% CI (0.066, 2.243)) were the influencing factors of family adaptability. Conclusions Healthcare professionals and family scholars should value young- and middle-aged lymphoma patients' family functioning throughout the cancer treatment process, and family interventions should be designed by healthcare providers based on patients' resourcefulness. Moreover, healthcare providers need to pay attention to the risk factors of patients' family cohesion and adaptability, such as low family per capita monthly income, and consider employing corresponding measures to help them. [ABSTRACT FROM AUTHOR]

Background and purpose: Accessibility to health care services remains a global challenge, and this has affected the quality of services delivered. This has affected the quality of health care services. Poor accessibility to health care services in Tanzania has hindered the achievements of health care system goals. The development of the nurse practitioner (NP) role has not yet received enough attention to resolve current existing and emerging problems facing the Tanzanian health care system. This study assessed the health care system changes that support the development of the NP role in Tanzania. Methods: A descriptive, cross-sectional study design was used to collect quantitative data. Purposive and convenience sampling techniques were used to collect data from 237 health care providers using a semi-structured questionnaire. Data were entered into SPSS version 20 and analyzed using descriptive statistics and Chi-square test for independence (Pearson Chi-square, [chi]2). Conclusions: Although the government of Tanzania has made some improvements in access to health care services, the rural health care facilities still suffer from an extreme shortage of skilled health care providers. This has forced the government to allow medical attendants to treat patients when they are not licensed to do so. The development of the NP role should be able to address the shortage of skilled health care providers in rural health care facilities. Implications for practice: The development of the NP role will improve the accessibility to health care services in rural primary health care facilities. [ABSTRACT FROM AUTHOR]

Aim: To examine first‐line nurse managers’ perceptions of safety culture and explore relationships between their safety attitudes and safety factors in Henan Province, China. Background: Health providers’ perceptions of patient safety culture have been studied widely, but little is known about first‐line nurse managers’ safety attitudes. Methods: A cross‐sectional survey was conducted with a convenience sample of 823 first‐line nurse managers in 216 hospitals across Henan Province, China. The Safety Attitudes Questionnaire (Chinese version) was distributed to first‐line nurse managers during training meetings; responses were returned in a sealed envelope in person or by mail. ANOVAs were used to analyse the differences in Safety Attitudes Questionnaire (Chinese version) scores between first‐line nurse managers’ attitudes and safety factors. Results: The mean scores across the six domains of Safety Attitudes Questionnaire (Chinese version) ranged from 56.6 to 79.4 on a 100‐point scale. First‐line nurse managers: ≥45 years of age perceived better safety climate (p < .05); those with higher professional ranks and medical centre positions reported higher mean scores for teamwork climate (p < .01) and stress recognition (p < .01); and those with baccalaureate degrees or higher had significantly higher mean scores for stress recognition (p < .01). Conclusion: First‐line nurse managers’ safety attitudes were not satisfactory and there is great potential to improve patient safety culture. Age, hospital level, educational background and professional rank are positively related to first‐line nurse managers’ attitudes. Implications for Nursing Management: Hospital administrators and nurse directors should focus on the safety factors identified in this study and enact a variety of strategies to create a strong patient safety culture in China. [ABSTRACT FROM AUTHOR]