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This study is a cost-benefit analysis examining an urban district's partial school nurse coverage conversion to full-time coverage. Through a partnership with a health care system, the district received funding, resulting in the hiring of full-time nurses to cover all K-8 elementary schools. Researchers compared the cost of nursing services to the savings in teacher, secretary, principal, and parent productivity, reduced medical procedure costs, and grants nurses managed. The year before implementing additional nurses, the return on investment (ROI) to the community for nursing services was calculated to be $1.59 for every dollar invested in schools with full-time coverage and $1.29 for schools with partial coverage. After implementing full-time nurses in each school, there was an ROI of $1.50 during the 2015-2016 school year, $1.64 for 2016-2017, and $1.67 for 2017-2018. The analysis provides evidence that full-time coverage could result in a positive ROI for schools and the community.
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Objective@#To explore the effects of sequential mechanical ventilation on pulmonary function, blood gas analysis, quality of life and patientsundefined satisfaction with nursing care in patients with chronic obstructive pulmonary disease (COPD) and respiratory failure (COPD) treated by sequential mechanical ventilation.@*Methods@#From March 2016 to March 2017, 90 COPD patients with respiratory failure treated by sequential mechanical ventilation were selected and divided into two groups according to the digital random method. 45 patients in the control group were treated with routine nursing. 45 patients in the observation group were treated with intensive care mode. The forced vital capacity (forced vital capacity, FVC), 1s forced expiratory volume (forced expiratory volume in one second, FEV1) was compared between the two groups before intervention (on admission) and after intervention (1 day before discharge). Arterial partial pressure of carbon dioxide (PaCO2) and partial pressure of blood oxygen (PaO2) were different. The quality of life (QOL) was evaluated by using QOL-74 (Generic Quality of Life Inventory-74, GQOL-74 before and after intervention.@*Results@#There was no significant difference in FVC, FEV1, FEV1/FVC, PaCO2, PaO2 between the two groups (P > 0.05). After nursing intervention, the FVC of the patients in the observation group was (2.75±0.62) L and FEV1 was (2.05±0.51) L, respectively. FEV1/FVC was (49.1±5.3)%, PaCO2 was (36.62±2.73) mmHg, PaO2 (94.72±4.57) mmHg, and control group was (2.38±0.74) L, (1.69±0.45) L, (62.6±4.4)%. (48.45±5.36) mmHg, (88.25±4.02) mmHg, t=2.571, t=3.551, t=13.147, t=13.193, t=7.130,group was superior to the control group (P < 0.05). There was no significant difference in cognitive function, somatic function, social function and psychological status between the two groups before nursing (P > 0.05), but the scores of four dimensions in the control group were (66. 4 ±10.5) after nursing. (70.3±12.8), (72.2±13.6), (70.7±11.8), (72.8±9.7), (81.5±15.2), (78.4±12.9), (79.6 ±15.5), t=3.003)、t=3.780、t= 2.219、t= 3.065, P < 0.05. The success rate of rescue was 86.67%in the observation group, the mortality was 6.67%, the average hospitalization time was (12.8±4.2) days, the satisfaction degree for nursing was 94.87%, and the four items in the control group were 68.89% and 26.67%, respectively. (17.1±3.3) d, the satisfaction degree for nursing was 77.42%, P < 0.05. The difference between the two groups was statistically significant (P < 0.05), and there was a significant difference between the two groups (P < 0.05), and the difference between the two groups was statistically significant (P < 0.05), and the difference between the two groups was statistically significant (P < 0.05).@*Conclusion@#COPD patients with respiratory failure can significantly improve the success rate of rescue, promote the recovery of pulmonary function, improve the quality of life, and enhance the recognition of medical services.
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Objective To explore the effect of the model of comprehensive nursing interventions based on time nursing in improving therapeutic effects and prognosis of patients with schizophrenia. Methods A total of 84 cases of patients with schizophrenia were selected and were divide into two groupsby the random number table—an experimental group and a control group , both of which were 42 cases. The model of comprehensive nursing interventions based on time nursing was adopted in the experimental group and routine nursing was given to the control group until their discharge. Before and after the interventions, the Brief Psychiatric Rating Scale(BPRS) was used to evaluate the severity of the disease. The Activities of Daily Living(ADL) and the Social Disability Screening Schedule(SDSS) were used to evaluate the patients′ abilities of daily living and social skills. After the interventions, a satisfaction survey was conducted. Hospitalization time and disease recurrence of the two groups were observed. Results After the interventions,BPRS scales, ADL scales and SDSS scales were (31.50±4.23), (89.37 ± 8.16)、(6.65 ± 2.02) points in experimental group, and (45.43 ± 5.62), (81.03 ± 5.92), (8.96 ± 2.26) points in control group, the differences are statistically significant (t =2.361, 2.047, 2.206,P<0.05).The rates of satisfaction of the two groups was 95.24%(40/42) and 80.95%(34/42), and there was significant difference(χ2=6.892,P<0.05). Hospitalization time was respectively (42.86 ± 6.21)d and (67.49 ± 7.65)d in experimental group and control group, and and there was significant difference(t=2.253,P<0.05). Disease recurrence was respectively4.76%(2/42) and 23.81%(10/42),and there was significant difference(χ2=7.437, P=0.024). Conclusions The model of time nursing, with higher satisfaction level, shorter hospitalization time, and lower recurrence rate, can significantly improve the symptoms of patients with schizophrenia and enhance their self-care and social life abilities. It is worth popularizing in clinical nursing.
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Objective To explore the effect of the model of comprehensive nursing interventions based on time nursing in improving therapeutic effects and prognosis of patients with schizophrenia. Methods A total of 84 cases of patients with schizophrenia were selected and were divide into two groupsby the random number table—an experimental group and a control group , both of which were 42 cases. The model of comprehensive nursing interventions based on time nursing was adopted in the experimental group and routine nursing was given to the control group until their discharge. Before and after the interventions, the Brief Psychiatric Rating Scale(BPRS) was used to evaluate the severity of the disease. The Activities of Daily Living(ADL) and the Social Disability Screening Schedule(SDSS) were used to evaluate the patients′ abilities of daily living and social skills. After the interventions, a satisfaction survey was conducted. Hospitalization time and disease recurrence of the two groups were observed. Results After the interventions,BPRS scales, ADL scales and SDSS scales were (31.50±4.23), (89.37 ± 8.16)、(6.65 ± 2.02) points in experimental group, and (45.43 ± 5.62), (81.03 ± 5.92), (8.96 ± 2.26) points in control group, the differences are statistically significant (t =2.361, 2.047, 2.206,P<0.05).The rates of satisfaction of the two groups was 95.24%(40/42) and 80.95%(34/42), and there was significant difference(χ2=6.892,P<0.05). Hospitalization time was respectively (42.86 ± 6.21)d and (67.49 ± 7.65)d in experimental group and control group, and and there was significant difference(t=2.253,P<0.05). Disease recurrence was respectively4.76%(2/42) and 23.81%(10/42),and there was significant difference(χ2=7.437, P=0.024). Conclusions The model of time nursing, with higher satisfaction level, shorter hospitalization time, and lower recurrence rate, can significantly improve the symptoms of patients with schizophrenia and enhance their self-care and social life abilities. It is worth popularizing in clinical nursing.