Objective: To develop an integrated active health care model for community-dwelling older adults and to apply the model in this population, in order to provide a reference for improving the health of older adults. Methods: Guided by the Integrated Care for Older People (ICOPE): guidelines on person-centred assessment and care pathways in primary care, this study adopted an action research approach to develop an integrated active health care model for community-dwelling older adults in Beijing from the perspective of proactive health management. The model was piloted in seven community health centers across urban, peri-urban, and rural areas of Beijing in June 2024. Iterative refinement and optimization of the model were conducted. The effects of this model was preliminarily evaluated by the number of service recipients and training participants. Results: The model was initially established and implemented in 7 community health centers. To June 2025, 8663 older adults have undergone intrinsic capacity screening, 1697 have received in-depth assessment and integrated health interventions, and approximately 300 community healthcare professionals have been trained. Conclusion: This model has demonstrated strong adaptability and potential. It provides a reference for promoting the localized development and practice of the ICOPE model in China.

With the global trend of population ageing, the World Health Organization (WHO) has introduced the Integrated Care for Older People (ICOPE) model, which emphasizes the maintenance of intrinsic capacity as a core and advocates for the development of a person-centred care system through cross-departmental collaboration. Since 2019, Hong Kong Polytechnic University WHO Collaborating Centre (WHO CC) for Community Health Services has been designated to take a leading role in the implementation and research of the ICOPE model in the Western Pacific Region. Progressing from the investigation of the reliability of the ICOPE screening tool to the implementation of the ICOPE model in community, from the adoption of ICOPE in primary healthcare settings to the preliminary trial in long-term care settings, the Hong Kong WHO CC team continues to explore how to support practitioners and policy makers to agree and accept integrated care. This paper provides a comprehensive account of the adaptation of the ICOPE model in Hong Kong, China, critically examines the challenges encountered throughout the process, and discusses future opportunities for development, with the aim of providing evidence for other nations and regions for consideration when implementing ICOPE in the society.

Objective: To develop a smart integrated care model for older people at home and to verify its effectiveness, providing a reference for optimizing elderly health management and improving home-bound elderly care service systems. Methods: A smart integrated care model was constructed using literature review and expert consultation. Sixteen communities were selected by convenience sampling from January to June 2024 in Hangzhou. These 16 communities were randomly assigned to the intervention group or the control group through a random number table. One hundred and one older adults were further recruited in each group using convenience sampling. Older adults in the control group received traditional home care and community management services, while older adults in the intervention group were managed through the smart integrated care model, both groups were intervened for 3 months. The intrinsic ability, social support and care between the two groups, the differences in gait scores of the intervention group before and after intervention were compared, and the user acceptance of the intelligent management platform was investigated. Results: The smart integrated care model covered the whole process of "screening-assessment-planning-implementation-monitoring-evaluation". After the intervention, older adults in the intervention group showed significantly better cognitive function and motor ability than those of the control group (both P<0.05). The psychological state and gait score of participants in the intervention group were improved after the intervention (both P<0.05). 93.3% of the older adults and 85.0% of the healthcare professionals were satisfied or very satisfied with the platform. Conclusion: The smart integrated care model can improve the intrinsic abilities and gait of the older adults, and has achieved high user acceptance. The model can provide a scientific basis and a practical path for promoting healthy aging.

Objective: To explore the interdimensional characteristics of intrinsic capacity in older adults through network analysis, and to identify the core dimensions, so as to provide a feasible basis for formulating intervention measures for the intrinsic capacity of older adults. Methods: This cross-sectional study used convenience sampling to select 1027 older individuals residing in communities in Beijing from August to November 2024. The general information questionnaire and the digital elderly integrated care assessment tool were used to collect data. The network of each dimension of intrinsic capacity was constructed and the centrality metrics were analyzed. Results: The score of intrinsic capacity of older adults in Beijing was 6.54±1.13. 36.3% of the older adults experienced decreased intrinsic capacity. The network analysis results showed that motor function, cognitive function, psychological function, sensory function (hearing), sensory function (vision), and vitality function were closely related to each other. Among them, the betweenness centralities of motor and cognitive functions were the same and the largest (rB=4.000), the closeness centralities of motor and cognitive functions were the same and the largest (rC=0.025), and the strength centrality of motor function was the largest (rS=0.715). Conclusion: The intrinsic capacity of the older adults in Beijing communities is at a medium level. Motor function is the most important dimension of the intrinsic capacity network, suggesting that medical staffs should pay attention to the motor function of older adults and formulate targeted intervention strategies to delay the decline of their intrinsic capacity.

As a super-aged society by 2026, Singapore has proactively addressed the challenges of ageing through various national policies, such as Age Well SG, Healthier SG, Forward SG, and the Action Plan for Successful Ageing 2023. Integrated care remains a core principle of the country's health and social care system in Singapore. Globally, the introduction of the WHO Integrated Care for Older People (ICOPE) framework as one of the assessment tools enables the government, healthcare and social service providers, older adults, and caregivers to better understand the prevalence of intrinsic capacity among seniors and to develop appropriate care plans. This supports continued independence and ageing in place. Through examining the current implementation status of the ICOPE framework in Singapore, this article focuses on analyzing its challenges and development opportunities within the aged care sector, aiming to help other regions develop locally appropriate ICOPE implementation strategies.

Objective: To explore the potential categories and influencing factors of self-management behavior in young patients with Type 2 Diabetes Mellitus (T2DM) based on the intelligent follow-up platform, in order to refine the chronic disease management path of the platform. Methods: From August 2023 to August 2024, a total of 315 young patients with T2DM were investigated with Summary of Diabetes Self Care Activities scale, Self-Efficacy for Exercise Scale, and Generalized Anxiety Disorder scale in a tertiary grade A general hospital in Tianjin by using convenience sampling method. Latent profile analysis was used to establish a potential category model. Disordered multi-classification Logistic regression analysis was used to explore the influencing factors of potential category in T2DM patients. Results: The total score of self-management behavior of young patients with T2DM was 35.62±0.86, and the self-management behavior was divided into three potential categories: low-efficacy (35.2%), moderate-efficacy (30.8%) and high-efficacy (34.0%). Disordered multi-classification Logistic regression analysis showed that patients' gender, educational level, occupation, family income, blood glucose attainment, anxiety and exercise self-efficacy were influencing factors of self-management behavior. Conclusion: The self-management behavior of young patients with T2DM is at an intermediate level, with obvious classification characteristics. Multiple factors affect the level of self-management behavior of this group, suggesting that nursing managers should implement individualized education for this group based on the intelligent follow-up platform to improve the loyalty and stickability of this group to medical services, so as to further improve their self-management level.

Objective: To analyze the development trajectory and influencing factors of Post-Traumatic Stress Disorder (PTSD) symptoms in young and middle-aged patients after first-ever stroke, providing a basis for targeted psychological interventions. Methods: This study recruited young and middle-aged first-ever stroke patients hospitalized in the Neurology Department of a tertiary grade A hospital in Shanghai from March 2022 to March 2023 by using convenience sampling method. Patient data were collected within two weeks of the stroke, included general information and scores from the PTSD screening scale. A 12-month longitudinal follow-up was conducted, and latent class growth model was used to identify PTSD trajectories, with multiple Logistic regression analysis to predict influencing factors. Results: Patients were divided into delayed progression (39.9%) and non-PTSD (62.1%) groups. The former exhibited a "high-low-high" fluctuation, while the latter showed a continuous decline. Multivariate analysis revealed moderate/severe dependence (OR=5.310), severe neurological impairment (OR=4.650), acute stress disorder (OR=2.070), and high recurrent risk perception (OR=1.062) as risk factors for delayed progression, while high psychological resilience (OR=0.907) was protective. Conclusion: Young and middle-aged first-ever stroke patients exhibit two distinct PTSD trajectories. Medical staff can promote post-traumatic growth and prevent PTSD progression by leveraging patients' psychological resources.

Objective: To explore the incidence of aberrant motor behavior and its influencing factors among the elderly with dementia in nursing homes, providing a scientific foundation for formulating effective intervention measures. Methods: From December 2023 to May 2024, 248 cases of senior dementia patients in 5 nursing homes in Nanning were selected by convenience sampling method to collect the general information questionnaire, Aberrant Motor Behavior Subscale of the Neuropsychiatric Inventory and the Mini-Mental State Examination. Univariate and multivariate analysis were performed using chi-square tests and binary Logistic regression analysis. Results: The incidence of aberrant motor behavior in this population was 58.87%, and the overall severity score of aberrant motor behavior was 6.00 (4.00, 12.00). Logistic regression analysis results showed that being widowed, vascular dementia, caregivers having not received relevant training and no easily understandable calendars, schedules, or directional signs in the environment were the risk factors of aberrant motor behavior (P<0.05). Conclusion: The incidence and overall severity of aberrant motor behavior among the elderly with dementia in nursing homes are relatively high. Thus in the future, it is imperative to strengthen the assessment of this high-risk population and formulate visual signs-related environmental intervention strategies to mitigate the risk of aberrant motor behavior.

Objective: To understand the current development status of nuclear medicine nursing in China and provide reference for promoting the scientific and standardized development of nuclear medicine nursing profession. Methods: Convenience sampling method was used to conduct a survey on the current situation of nuclear medicine nurses in 134 hospitals in 27 provinces (municipalities, autonomous regions) of China from August to October 2024 using a self-designed questionnaire. Results: There were 124 public hospitals (92.54%), 132 tertiary hospitals (98.51%), and nuclear medicine nursing committees were established in 11 provinces. The service of the department of nuclear medicine mainly included single photon imaging, positron imaging, nuclide therapy, radioimmunoassay, radiofrequency ablation, etc. A total of 1050 nuclear medicine nurses were investigated, the number of nurses with master's degree accounted for 4.28%. The work contents of nuclear medicine nurses included radiopharma injection, examination appointment and registration, assisting patients with iodine-131 treatment, regular patient follow-up, scientific research and popularization, clinical teaching, etc. The number of nurses in nuclear medicine departments of hospitals varied greatly. Conclusion: Nuclear medicine nursing in China is still in the initial stage of development, there are few high-level talents, lack of scientific research ability and other problems. The on-the-job training and continuing education of nuclear medicine nurses can be strengthened to improve their scientific research quality, and the exchanges and cooperation between hospitals can be strengthened through the establishment of nuclear medicine nursing committees in various provinces.

Objective: To explore the latent categories of self-regulatory fatigue and medical coping in Maintenance Hemodialysis patients and analyze their influencing factors to inform personalized nursing interventions. Methods: From August to October 2023, a convenience sampling method was used to recruit 259 Maintenance Hemodialysis patients from six tertiary hospitals in Jiangsu province. Self-regulatory fatigue and medical coping were assessed using the respective scales, and latent class analysis was applied to identify patient subgroups. A disordered multi-classification Logistic regression model was used to analyze influencing factors. Results: Maintenance Hemodialysis patients were categorized into three groups: "severe regulatory fatigue—passive coping group" (21.62%), "moderate regulatory fatigue—conventional coping group" (59.07%), and "mild regulatory fatigue—active coping group" (19.31%). Independent influencing factors included renal anemia, exercise frequency, sleep quality, marital status, and depressive symptoms (all P<0.05). Conclusion: Significant heterogeneity exists in self-regulatory fatigue and medical coping among Maintenance Hemodialysis patients. Tailored nursing interventions should be employed to improve patients' self-regulatory fatigue and medical coping, enhancing their quality of life.

Objective: To explore the categories and influencing factors of self-management behavior in patients with rheumatoid arthritis based on the common-sense model of self-regulation, and to provide a basis for precise intervention. Methods: Convenience sampling was used to recruit 298 patients with rheumatoid arthritis who visited the outpatient department of a tertiary grade A general hospital in Shandong province from March to August 2024. The survey instruments included a general information questionnaire, the Self-management Behavior Scale for Patients with Rheumatoid Arthritis, the Brief Illness Perception Questionnaire, and the Medical Coping Modes Questionnaire. Cluster analysis was used to classify the categories of patient's self-management portraits, and the characteristics of the different categories of portraits were visualized in combination with Python's Wordcloud toolkit. Univariate analysis and multiple logistic regression were used to analyze the influencing factors. Results: The self-management behaviors of rheumatoid arthritis patients were divided into 3 categories: low management-free neglect group (23.5%), medium management-partial neglect group (56.7%), and high management-full autonomy group (19.8%). Age, occupation, family per capita monthly income, illness perception, and medical coping modes were the factors influencing the self-management behaviors of patients with rheumatoid arthritis (P<0.05). Conclusion: The self-management behaviors of patients with rheumatoid arthritis exhibit significant heterogeneity. Healthcare professionals should develop precise nursing intervention programs according to the characteristics of each portrait category to enhance patients' self-management behaviors.

Objective: To gain a deeper understanding of the real experience of home rehabilitation within one month of discharge for patients with esophageal cancer after surgery, and provide reference for targeted intervention measures and follow-up plans. Methods: Using purposive sampling method, 17 home-based patients with esophageal cancer who were discharged within one month after surgery were selected for face-to-face semi-structured in-depth interviews. Content analysis method was used to analyze the data. Results: Four themes covering 16 categories were extracted: physical symptom distress, negative emotional distress, unmet expectations and needs, struggling to adapt to a new life. Conclusion: It is suggested that medical staff should pay attention to the physical symptoms and psychological experience of patients after surgery, provide professional health education, and establish a comprehensive social support system, in order to improve the rehabilitation experience and life quality of those home-based patients.

Objective: To construct a decision-making assistance program for Fertility Preservation (FP) in patients with lymphoma of childbearing age and to explore the effects of this program, aiming to provide references for clinical practice. Methods: Through evidence summary and expert meeting, the decision-making assistance program for FP in lymphoma patients was developed under the Ottawa Decision Support Framework. Using the convenience sampling method, a total of 30 patients who received treatment in a tertiary grade A tumor specialized hospital in Zhejiang province from July to September 2023 were selected as the control group and received routine nursing care. Another 30 patients who received treatment from October to December 2023 were selected as the intervention group and were applied with the FP decision-making assistance program for male or female versions. The adoption rate of FP, decision-making dilemma, post-cancer fertility concerns and fertility preservation-related knowledge were compared between the two groups. Results: At discharge after the first treatment, the adoption rate of FP in intervention group and control group were 10.0% and 3.3%, respectively, but without statistically significant difference between the groups (χ2=1.071, P=0.301). At six months after the first treatment, the proportion of patients with effective decision-making in the intervention group was higher than that in the control group, and the difference was statistically significant (P<0.05). At discharge after the first treatment and at 6 months after the first treatment, the scores of post-cancer fertility concerns in the intervention group were lower than those in the control group, and the scores of fertility preservation-related knowledge were higher than those in the control group, with statistically significant differences (all P<0.001). Conclusion: The decision-making assistance program for patients with lymphoma of childbearing age constructed in this study reduces the decision-making dilemma and post-cancer fertility concerns of patients, and improves their understanding of fertility preservation-related knowledge.

Objective: To apply evidence-based oral care for critically ill children and evaluate its effectiveness, in order to provide a reference for improving the quality of oral care. Methods: Evidence-based nursing methods were adopted to obtain the best available evidence, develop review indicators for oral care in critically ill pediatric patients, analyze obstacles, and formulate policies based on clinical conditions. The nurses' knowledge of oral care of critically ill children, the oral condition of critically ill children, and the implementation of audit indicators by nurses were compared before and after the application of evidence-based practice. Results: After the evidence-based nursing practice, nurses' knowledge scores on oral care increased from 27.21±6.71 to 40.87±16.53, the implementation rate of 11 review indicators increased from 0-51.02% to 42.85%-100.00% (P<0.05), and the oral condition score of critically ill children was improved (P<0.05). Conclusion: Evidence-based nursing practice, grounded in the available evidence, can enhance nurses' knowledge and standardize their behaviors, thereby improving the oral health condition of critically ill children.

Objective: To construct a four-level linkage care model based on the "Internet+" Specialized Nursing Alliance and evaluate its application effects, providing a reference for improving the nursing service capabilities of primary hospitals. Methods: A four-level linkage care model with the participation of multiple subjects, including "provincial hospital, county/city hospital, district hospital, and community health service center" was established. A four-level linkage teleconsultation information platform was designed, and a specialist alliance was formed. Teleconsultation, specialist nurse training, specialized nursing service guidance on clinical and home nursing work were implemented through a mobile mini-program. Results: Up to April 2025, the specialized nursing alliance guided 577 nurses from 183 medical institutions across 21 provinces and cities nationwide, comprising 136 institutions within Zhejiang province and 47 outside the province. There was 1 provincial hospital, 108 county-level hospitals (with 352 nurses), 49 district-level hospitals (with 172 nurses), and 25 community health service centers (with 53 nurses). A total of 120 online video consultations for complex cases were assisted for primary specialized nurses. Both the overall satisfaction and the satisfaction of patients with expert services were 100%. After the teleconsultation, the wound, stomas or PICC complication healing rate among patients was 81.19%, the improvement rate was 18.80%, and no nursing adverse events occurred. Conclusion: The four-level linkage care model based on the "Internet+" Specialized Nursing Alliance can empower primary care nurses, enhance their capabilities in clinical nursing and home care service.

Objective: To apply the evidence on non-pharmacological prevention and management of Cancer-Related Fatigue (CRF) in adult cancer patients into clinical practice using the Stetler Model of Research Utilization and assess its effectiveness, in order to promote the translation of evidence into clinical practice. Methods: Relevant literature was systematically retrieved. From April to September 2024, five tumor-related departments in a tertiary grade A hospital in Guangdong were selected using a stepped-wedge cluster randomized sampling method. Differences in the implementation rate of CRF non-pharmacological management measures and the incidence of CRF before and after evidence-based practice were compared. Results: Through evidence-based practice, the incidence of CRF decreased from 51.4% to 49.1%. The proportion of CRF patients receiving drug treatment decreased from 68.4% to 34.8%. The cross-incidence rate of other treatment-related adverse reactions and the implementation rate of non-pharmacological management measures were superior to those of patients in the pre-evidence-based practice period (P<0.05). Conclusion: Applying the Stetler Model to non-pharmacological prevention and management of CRF in cancer patients promotes nurses' standardized implementation of CRF measures, reduces CRF incidence, and provides a basis for clinical use of non-pharmacological management programs to improve CRF.

Objective: To develop and analyze the effectiveness of a whole-course management model for colonoscopy patients based on the WeChat platform, aiming to improve the nursing quality for colonoscopy patients. Methods: Integrate the WeChat platform into the standardized workflow of the digestive endoscopy nursing clinic to realize the whole-process management of colonoscopy patients, including the pre-diagnosis risk screening and assessment of colonoscopy patients, the whole process of standard-compliant publicity and education guidance, the management of the colonoscopy process during diagnosis, and post-diagnosis follow-up. The average daily surgical volume of colonoscopy operations, the rate of adequate bowel preparation, the detection rate of polyps, and patient satisfaction before the implementation (data in 2021) and after the implementation (data in 2022) of the whole-process management model were compared. Results: After the application of the whole process management mode based on the WeChat platform, the average daily surgical volume of colonoscopy operations increased from 102 to 136, an increase of 33.33%. The rate of adequate bowel preparation increased from 79.20% to 88.90% (P<0.001). The detection rate of polyps increased from 17.48% to 21.56% (P<0.001). Patient satisfaction increased from 94.24% to 95.62%. Conclusion: The application of a whole-course management model based on the WeChat platform for patients undergoing colonoscopy improves the quality of preoperative preparation for colonoscopy, increases the rate of adequate bowel preparation, and ensures the quality of colonoscopic diagnosis and treatment.

Objective: To analyze the implementation status of the Action Plan for Improving Nursing Services in Shanghai medical institutions from 2023 to 2024, providing reference for optimizing nursing services. Methods: A self-designed questionnaire was used to investigate the implementation of the nursing services improvement plan in 105 secondary grade A and tertiary hospitals in Shanghai in both 2023 and 2024. Results: Compared with 2023, nurse-to-bed and ward bed-to-nurse ratio increased in 2024, while the nurse turnover rate of nurses decreased by 0.89%; the implementation of responsibility-based nursing and basic nursing services showed good progress, and the coverage of humanistic care wards increased significantly from 47.62% to 90.48%, though only 29.52% of hospitals conducted quality evaluation; the proportion of multidisciplinary joint ward rounds and nurse participation in death case discussions exceeded 90%. Additionally, 97.14% of hospitals provided specialized nursing training, and the number of specialized nursing clinics increased by 21.90%. The implementation of continuous nursing services reached 98.10%, while 26.67% of hospitals introduced Internet-based home nursing services, both showing substantial growth. Over 90% of hospitals established nursing management information systems and nursing document systems. However, the adoption of Personal Digital Assistant, mobile nursing carts, and inpatient appointment systems still required further improvement. Conclusion: In 2024, significant progress was observed in nursing service improvements across secondary grade A and tertiary hospitals in Shanghai. However, further efforts are needed to strengthen the nursing workforce, enhance quality evaluation in humanistic care, expand nursing service offerings, and advance intelligent nursing system.

Objective: To systematically review the domestic and foreign research on unmet needs of patients with Chronic Heart Failure (CHF), and thus to provide reference for reducing those unmet needs. Methods: We searched related database from their inception to February 5, 2025. The data-based convergence and integration design was adopted to analyze the unmet needs of patients diagnosed with CHF. Results: A total of 15 studies were included, comprising 1,525 CHF patients. Notably, over 60% of the CHF patients experienced two or more unmet needs post-diagnosis. The final integration results showed 16 unmet needs in CHF patients, referring to physiological needs, activities of daily living, psychological problems, disease-related knowledge and skills defiency, mental problems; economic problems, lack of government support, lack of family support; decreased self-control in life, lack of medical staff support, shared decision-making with medical staff, transitional self-care program learning, discharge preparation, information need, mobile health, exploration of psychosomatic medicine and continuous nursing. Conclusion: Due to the long course and complex conditions of CHF, patients tend to suffer low quality of life. Since there are still many unmet needs that have not been solved, future in-depth researches are needed to construct more targeted CHF nursing intervention programs according to their unmet needs.

Objective: To summarize the evidence on psychological evaluation and intervention of patients undergoing Metabolic and Bariatric Surgery, and provide reference for medical staff. Methods: The evidence on perioperative psychological assessment and intervention of Metabolic and Bariatric Surgery patients was searched in line with the "6S" pyramid evidence model, which covered clinical decisions, guidelines, systematic reviews, and expert consensus. The search time was from the database inception to December 7, 2024. The literature quality was evaluated, and evidence was extracted from the literature meeting the set quality criteria. Results: A total of 18 literature were included, consisting of 6 guidelines, 2 expert consensus articles, and 10 systematic reviews. Nineteen evidences were summarized, falling into 3 categories: evaluation intervention team, psychological assessment, and psychological intervention. Conclusion: This study offers evidence-based proof for the psychological care of Metabolic and Bariatric Surgery patients, helping clinical medical staff to assess and address patients' psychological problems.

Objective: To systematically integrate the return to school experiences of pediatric brain tumor survivors, and to inform their quick adaptation to return to school life. Methods: A comprehensive search of domestic and foreign databases on the experience of pediatric brain tumor survivors returning to school was conducted from inception to February 19, 2025. The quality of the included literature was evaluated according to the quality assessment criteria for qualitative research of the Australian JBI Centre for Evidence-Based Health Care, and the pooled integration method was used to integrate and analyze the included literature. Results: A total of 8 articles were included, 28 research results were extracted and categorized into 10 new categories, and synthesized into 3 integrative results, namely, the complexity of the psychological experience of return to school with both positive experiences and negative experiences, the multiple challenges of return to school, and the expectation of long-term diversified support for the process of return to school. Conclusion: Healthcare professionals should pay full attention to the life experience and social needs of pediatric brain tumor survivors in the process of adapting to return to school, construct long-term diversified interventions to support their return to school, improve the academic security system for pediatric brain tumor survivors, and promote their return to school and reintegration into society.

Objective: To investigate the current status of socialized service quality management in regional Central Sterile Supply Departments (CSSDs) and to provide evidence for the continuous improvement of regional CSSDs in China. Methods: In May 2024, a convenience sampling method was employed to select 103 regional CSSDs providing socialized disinfection supply services and 94 hospitals outsourcing instrument cleaning and sterilization tasks in the Sichuan-Chongqing region. Self-designed Questionnaires were used to collect data. Results: A total of 12 regional CSSDs (11.65%) did not establish quality standards for receiving contaminated instruments, 8 regional CSSDs (7.77%) failed to disinfect contaminated transportation tools, 10 regional CSSDs (9.71%) had personnel who did not perform hand hygiene during transport, and 11 regional CSSDs (10.68%) did not trace sterile packages. Additionally, 18 regional CSSDs (17.48%), 28 regional CSSDs (27.18%), and 23 regional CSSDs (22.33%) did not provide instrument training, on-site guidance, or solicit feedback from the served hospitals. In the management of the served hospitals, 64 hospitals (68.09%) stored contaminated instruments together with sterile items in the same room, 90 hospitals (95.74%) delivered contaminated instruments to the regional CSSD within 2-7 days, 5 hospitals (5.32%) did not separate clean and contaminated transportation tools, and 55 hospitals (58.51%) did not disinfect their transport vehicles. Conclusion: The management of regional CSSDs towards the served hospitals is relatively weak, and improvements are still needed in the management of contaminated instruments and sterile items. The overall management level of served hospitals, especially in the handling of contaminated instruments, sterile items, and facilities, requires urgent enhancement.

Objective: To develop an intelligent cardiovascular nursing quality control centralized system, aiming to improve the quality of cardiovascular nursing. Methods: Based on the Key Performance Indicators system research method, a "five-dimensional" cardiovascular nursing quality monitoring index system was established, including nursing workload, work difficulty, nursing professional medical quality control index, nursing core system, and specialized nursing quality control index. An intelligent nursing quality control centralized system for hierarchical management (nursing department-head nurses-nurses) was developed with real-time monitoring of nursing data and automatic generation of reports. Results: After the application of this system, the core nursing system indicators were steadily improved. The completion rate of inpatient escort admission assessments increased from 79.35% to 93.11%, and the execution rate of barcode scanning for intravenous blood collection rose from 93.59% to 99.03%. The incidence of cardiovascular-related nursing adverse events decreased, with the incidence of falls dropping by 20.78% and the incidence of unplanned extubation decreasing by 30.36%. The proportion of on-site inspection indicators was decreased from 92.0% to 37.4%, which has enhanced the efficiency of quality control work and increased the participation of all staff in safety management. Conclusion: The intelligent cardiovascular nursing quality control centralized system promotes the transformation of quality management into a refined quality control model that integrates data monitoring, analysis, and feedback. This system drives the continuous improvement of nursing quality.

Objective: To gain an in-depth understanding of the real experiences of occupational psychological trauma among nurses in the mental health department of community health service centers, thereby providing a basis for enhancing their mental well-being. Methods: A descriptive qualitative study was conducted from January to March 2024. It involved in-depth interviews with 10 nurses from the mental health department of 10 community health service centers, with content analysis applied to the interview data. Results: Three main themes emerged: patient violence inflicts psychological trauma, attitude of patient's family member impacts nurses' professional identity, and insufficient organizational support undermines nurses' self-efficacy. Conclusion: The psychological trauma experienced by nurses in the mental health department of community health service centers comes from various difficulties. Managers should address these issues, implement measures to alleviate nurses' emotional stress, and enhance their mental health.

Objective: To construct a training program for compassion skills among clinical nurses and evaluate its application effect, so as to provide theoretical and practical support for improving nurses' professional competence. Methods: A compassion training program for clinical nurses based on the compassion power model was constructed through literature analysis, qualitative research, and expert consultation. Selecting clinical nurses who worked in a tertiary grade A hospital in Zhejiang province from May to June 2023 as the research subjects by convenience sampling method, nurses were randomly assigned to experimental group (n=30) or control group (n=30) using a random number table. The control group received standardized compassion training, while the intervention group participated in a four-week compassion training program based on the Compassion Strength Model. Pre- and post-intervention assessments were conducted to compare compassion competence, psychological resilience, and professional quality of life between the two groups. Results: Finally, 29 nurses in both groups completed the course training. After the intervention, the experimental group showed significant improvements compared to the control group in total compassion competence (7.414, 95% CI: 3.297 to 11.531), psychological resilience (6.655, 95% CI: 2.874 to 10.436), compassion satisfaction (-7.897, 95% CI: -9.511 to -6.282). Additionally, burnout (-4.621, 95% CI: -6.291 to -2.954) and secondary traumatic stress (-3.014, 95% CI: -4.130 to -2.210) were significantly reduced. All differences were statistically significant (P<0.05). Conclusion: The compassion training program developed in this study is scientifically rigorous and comprehensive. It effectively enhances nurses' compassion competence, psychological resilience, and overall quality of life.

Hospital ethical climate, as an informal system for effectively resolving ethical issues, serves as a crucial basis for organizational members to make ethical decisions and can influence their work attitudes, work behaviors, and occupational health. This paper reviews the conceptual connotation, measurement tools, current status, influencing factors, and application effects in the nursing field of hospital ethical climate, and puts forward research implications, aiming to provide references for constructing a positive hospital ethical climate.

Objective: To conduct a scoping review on home-based exercise rehabilitation for patients with coronary heart disease, aiming to understand the current status of outcome indicators in related research and provide references for future clinical studies and the formulation of outcome indicator guidelines. Methods: Computer-assisted manual systematic search was conducted in domestic and foreign databases for relevant literature on home-based exercise rehabilitation for patients with coronary heart disease. The search period was from January 1, 2019 to January 31, 2025. Data were extracted from the included literature, and the outcome indicators were classified according to the outcome indicator framework published by Susanna Dodda review and COMET Manual. Results: A total of 92 studies were finally included, and the outcomes were classified into 5 core domains and 22 node domains. The 5 core domains included physiological/clinical, life impact, adverse events, mortality, and resource use. Conclusion: The studies on home-based exercise rehabilitation for patients with coronary heart disease show significant heterogeneity in outcome indicators, measurement time span, and unclear primary and secondary outcome indicators. In the future, a core indicator set for the effectiveness of home-based exercise rehabilitation for patients with coronary heart disease can be constructed.

Objective: To summarize the studies related to the use of digital storytelling in cancer patients, and to provide insights on further promotion of digital storytelling in the cancer field. Methods: Using the JBI scope review guidelines as a methodological framework, a systematic search of Chinese and English databases for literature related to the use of digital storytelling in oncology patients was conducted from the inception of the database to October 30, 2024, and the included literature was summarized and analyzed. Results: A total of 13 papers were included, the digital storytelling was applied in a variety of forms and for a wide range of oncology patients, mostly practiced in hospitals, and the outcome indicators included mental health, quality of life, and social adjustment, which were assessed using scales and interviews. Conclusion: Digital storytelling, as a narrative tool, holds a promising future for application in oncology. However, there are challenges in terms of technical aspects, ethical support, and long-term effects. Future studies should validate the long-term effects of digital storytelling and combine it with multiple interventions to maximize care outcomes.