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To assess the competence level and latent profiles of nursing interns regarding their management of workplace violence (WPV).
Workplace violence may have adverse effects on the physical and mental health, clinical practice behaviours and career plan of nursing interns. Besides, the competence of WPV management contributed to a sense of career security for nursing interns. However, few studies have focused on the current status of the competence of WPV management for nursing interns.
A cross-sectional self-report design that followed STROBE guidelines.
A total of 379 Chinese nursing interns were invited from three tertiary hospitals in Chengdu city by convenience sampling in this cross-sectional study. Data were collected using the Sociodemographic Characteristics Questionnaire, the Management of Workplace Violence Competence Scale (MWVCS) and the Chinese version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Latent profile analysis and logistic regression were performed.
The mean score of nursing interns' management competence of WPV was 152.87 (SD = 25.67). The best latent profile model was identified as three profiles, namely the ‘low management competence of WPV subgroup’ (19.5%), ‘medium management competence of WPV subgroup’ (64.1%) and ‘high management competence of WPV subgroup’ (16.4%), respectively. Multiple logistic regression showed that attending the violence prevention training, interest in the nursing profession and resilience were protective factors of management competence of WPV for nursing interns.
The majority of nursing interns perform at a medium level with noted heterogeneous characteristics, which contribute to identifying different nursing interns' perceptions of competence to manage WPV. Therefore, nursing managers can provide targeted intervention strategies to further promote the competence of WPV management for nursing interns.
Nursing educators and managers could conduct systematic training on the competence of WPV management based on individual different characteristics, which can be used as pre-internship training programmes for nursing interns, and provide resilience support plans.
No patients or public contribution.
To investigate the association between the New Early Warning Score (NEWS) and 28-day mortality in patients with severe fever with thrombocytopenia syndrome (SFTS).
A cross-sectional derivation and validation study.
A total of 382 SFTS patients were included in retrospective and prospective studies. The primary outcome was short-term (28-day) mortality. Cox regression, receiver operating characteristic (ROC), and Kaplan–Meier analysis were utilised in the retrospective study to assess the association between NEWS and mortality. The prospective study assessed the applicability of the NEWS.
This study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.
Among 219 SFTS patients in the retrospective study, 27 (12.3%) died within 28 days. NEWS was significantly higher in non-survivors than in survivors (4.00 [1.00, 5.00] vs. 1.00 [1.00, 2.00]). The ROC curve for MEWS predicting 28-day mortality showed an area under the curve (AUC) of 0.757 (95% confidence interval: 0.65–0.87), with a cut-off of 3.5 (sensitivity: 90.6%; specificity: 55.6%). SFTS patients were stratified into low (NEWS < 4), medium (NEWS 4–6), and high (NEWS > 6) risk groups. Kaplan–Meier analysis showed significantly lower survival rates in medium and high risk groups compared to the low risk group. The prospective study included 63 SFTS patients, of whom 11 (17.5%) died. 28-day mortality significantly increased across NEWS categories: [low risk (4/50, 8.0%), medium risk (4/8, 50.0%), high risk (3/5, 60.0%)].
NEWS was a quicker, simpler, and valuable parameter to identify SFTS patients at risk of 28-day mortality.
An elevated NEWS at admission is associated with a higher risk of poor short-term prognosis in SFTS patients. Incorporating NEWS into emergency nursing practice may aid in the early identification of SFTS patients at risk of adverse prognosis.
Emergency nurses performed the NEWS for the SFTS patients at admission.
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