The article provides an overview of the progress of wise information technology of nursing since the 18th National Congress of the Communist Party of China, introduces the five parts of nursing clinical information system, nursing management information system, wisdom nursing education, wisdom wards and telecare, and puts forward prospects, aiming to provide reference for promoting nursing information construction.

Nursing care is an important part of medical care. The development of the concept, mode and method of nursing quality control provide a key driver for continuous improvement of nursing quality. This paper reviews and summarizes the progress and achievements of nursing quality management and control in China in the last decade, and analyzes the current status of the quality of nursing care, and discusses the forward direction of further promoting the high-quality development of nursing care in China in the period of "the 14th Five Year Plan period".

In 2022, the Beijing Nursing Association issued the Clinical Practice Standards for Arterial Blood Gas Analysis in Adults, second edition. The new version of standards was revised on the basis of the 2017 edition of the Clinical Practice Standards for Arterial Blood Gas Analysis, and it has made recommendation adjustments and supplemented the key contents of the arterial blood gas collection process in adults, the quality control of arterial blood gas analysis, and the common complications and treatment of arterial blood collection. It is expected to guide clinical medical staff to correctly understand and use the standards, enhance the nursing ability of caring critically ill patients, ensure the safe treatment of patients and the occupational safety of operators. This article summarizes and interprets the content and updated points.

Objective: To evaluate the effects of the mobile data application for pressure injuries in clinical nursing management of primary hospitals. Methods: Totally 60 inpatients from a hospital were selected and divided into experimental group and control group, with 30 subjects in each group. Subjects in the experimental group used the pressure injury mobile data application APP to help with the clinical management of the pressure injuries, while the control group carried out only routine pressure injury care. The accuracy of injury image recognition, the time required for evaluation, record description and the response time of consultation were compared. Results: Compared with the control group, the accuracy of injury image recognition were statistically improved (P<0.05), the time required for wound evaluation, record description and the response time of consultation were significantly reduced (P<0.01). Conclusion: The mobile data application based on the electronic medical record platform is an effective means to prevent and dynamically monitor pressure injuries. It can not only promote the management standardization and informatization but also improve the nursing management efficiency.

Objective: To investigate the current management situation of the foreign surgical instruments. Methods: A survey regarding the management of foreign surgical instruments was conducted in 1166 public hospitals from 27 provinces in China. Results: The management model of foreign surgical instruments in 88.8% of the hospitals was four-level including the equipment department, Central Sterile Supply Department, operating room, and the subspecialty of operating room. The turnover rate of technicians in 34.7% of the hospitals was above 10% and 18.9% of the hospitals had no systematic training and assessment. About 54.5% of the hospitals did not know the information regarding the foreign surgical instrument before surgery, 9.3% of the hospitals did not delivery foreign surgical instruments to Central Sterile Supply Department on time, 83.5% of surgical foreign surgical instruments were sterilized urgently. About 21.6% of the hospitals failed to perform four checks on the quantity and completeness of foreign surgical instruments. Conclusion: A management system for foreign surgical instruments should be established and the regulations should be fully implemented; technicians management should be standardized; the principle of checking the items of foreign surgical instruments should be implemented, the time should be strictly controlled when the instruments are delivered to the Central Sterile Supple Department, and the quality of instrument processing before and after surgery should be improved to maintain the safety of surgical patients.

As an important part of Traditional Chinese Medicine (TCM), TCM nursing is developing and growing with the continuous development of TCM. This paper reviews the development of clinical nursing of TCM in the past ten years from the aspects of policy supports, the development of nursing specialty, the training of nursing personnel, the application and innovation of TCM characteristic technology, and the construction of TCM nursing clinics. It also reflects on the high-quality development of TCM nursing in the future, aiming to recognize the advantages and disadvantages, clear positioning, and seek the sustainable development of TCM nursing to meet the needs of the Healthy China strategy.

Objective: To compare and evaluate the safety and cost-benefit of the manual and intelligent venous blood collection in outpatient area. Methods: The hospital selected had two branches with the outpatient area in Branch A using manual venous blood sampling as the control group and the outpatient area in Branch B using intelligent venous blood sampling as the experimental group. From January to December 2022, both the financial data and data collected from the Business Intelligence (BI) integration platform were calculated and analyzed to test the differences between manual and intelligent venous blood sampling in terms of operation time, safety quality, cost-benefit and service efficiency through on-site investigation, insider interview and project cost method. Results: Compared with manual venous blood sampling, the registration [(10.83±4.54) s vs (31.68±14.36) s], sorting [(3.78±1.28) s vs (12.60±10.12) s] and total time of intelligent venous blood collection [(61.34±17.79) s vs (90.54±37.20) s] were less, the total cost of the project was higher [(26.77±4.93) yuan/case vs (23.95±4.72) yuan/case], the labor cost was lower [(4.76±0.20) yuan/case vs (5.71±0.35) yuan/case], and the differences were statistically significant (P<0.05). The rate of barcode, collection and submission quality problems of manual blood sampling is higher than that of intelligent blood sampling, the service efficiency of nurses applying intelligent venous blood sampling system was as high as 112.07%, and the cost-benefit of both venous blood sampling methods were negative. Conclusion: Intelligent venous blood sampling project is more optimized with shorter operation time, less blood sample quality problems and higher nursing service efficiency. However, the current charging standard is lower than the cost of venous blood sampling. It is thus suggested to appropriately increase the charging standard of venous blood sampling to promote a positive incentive mechanism focusing on realizing the value of technical services.

Objective: To meet the needs and improve the compliance of patients with Stress Urinary Incontinence for Pelvic Floor Muscle Treatment, and improve the symptoms of urinary incontinence, design and develop an intelligent pelvic floor rehabilitation APP and evaluate its application effect. Methods: Through literature review, the APP designed and developed by widely soliciting from clinical medical staff, patients and nursing teachers in colleges. From September 2020 to December 2021, 81 elderly female patients with Stress Urinary Incontinence in a tertiary hospital in Beijing were investigated by convenient sampling method. The acceptability of the intelligent pelvic floor rehabilitation APP was evaluated, and the compliance of Pelvic Floor Muscle Treatment and urinary incontinence before and after the use of the intelligent pelvic floor rehabilitation APP were evaluated. Results: The APP contains knowledge learning, exercise reminding, personalized courses, vibration mode, exercise interest, visual exercise feedback, exercise data statistics, interactive platform 8 modules. The overall acceptance score of 81 patients using intelligent pelvic floor rehabilitation APP was 141.27±11.37. After using intelligent pelvic floor rehabilitation APP for 7 weeks, the compliance of Pelvic Floor Muscle Treatment and urinary incontinence were significantly improved (P<0.05). Conclusion: Patients have a high acceptance of intelligent pelvic floor rehabilitation APP. The application of this APP can enhance the enthusiasm and compliance of patients' Pelvic Floor Muscle Treatment, and improve urinary incontinence, which is worth popularizing.

This paper summarizes the achievements of palliative care in China over the past decade in nursing management, clinical care, personnel training and discipline construction, and to provide an outlook on future work, with a view to providing a reference for promoting the high-quality development of palliative care in China.

This article summarizes the remarkable progress of relevant policies and legislation on occupational health protection for health workers in the last decade. In terms of policy progress, occupational health standards, national documents for health system reform, and series policies on the protection of essential rights and interests for health workers have been issued by central government. In regard of legislative progress, occupational health protection for health workers has been strengthened by laws, including the Law on Mental Health, the Civil Code, the Law on Basic Healthcare and Health Promotion and the Law on Physician. It is an arduous task and the road is long for occupational health protection for health workers in China in the future.

Objective: To evaluate the effect of cognitive combined sucking dual task training on orofacial function and swallowing function in stroke patients. Methods: Stroke patients who were hospitalized in the Department of Neurology in a tertiary grade A hospital in Hangzhou from August 2020 to February 2022 were divided into control group (n=57) and experiment group (n=58) randomly by using random number table method. Patients in the control group received standard care, while the experiment group received cognitive combined sucking dual task training for four weeks in addition to standard care. The score of orofacial function, the swallowing function, the sucking force and the incidence of aspiration pneumonia were compared before and after the intervention for both groups. Results: The orofacial function, the swallowing function, the sucking force were all better in the experiment group than those in the control group, the incidence of aspiration pneumonia was lower in the experiment group than in the control group, and the differences were statistically significant (P<0.05). Conclusion: Cognitive combined sucking dual task training can help stroke patients improve their orofacial function and swallowing function, reduce the incidence of aspiration pneumonia, and promote targeted rehabilitation for stroke patients with swallowing disorder.

Objective: To construct the surgical specimen chain management scheme based on the link color block in the operating room and analyze its clinical effects. Methods: A total of 9470 surgical specimens from the operating room were enrolled by convenience sampling from a tertiary grade A hospital in Hangzhou from January 2020 to December 2021. And 4470 surgical specimens from January to December 2020 were selected as the control group with routine specimens management, 5000 surgical specimens from January to December 2021 were selected as the intervention group with routine specimens management and chain management based on link color block. The qualification rate of the specimens and the satisfaction of surgeons and nurses were used to evaluate the effects of chain management scheme. Results: In experimental group, the correct rate of the placement, specimen containers, specimen fixative, placement method of routine pathological specimens and the qualification rate of total specimens were significantly higher than those of the control group (P<0.05). The surgeons and nurses satisfaction of the experimental group was higher than that of the control group (P<0.05). Conclusion: The chain management scheme based on link color block can make the specimen management of the operating room specific and refined, which can significantly reduce the failure rate of specimen handling and improve the satisfaction of surgeons and nurses.

Objective: To explore the effect of information management in the whole process of blood sampling in emergency department to ensure patient safety. Methods: Purpose sampling was used to select 874 patients admitted to the emergency department for resuscitation and their data were collected for statistical analysis. Patients who visited the resuscitation area in the fourth quarter of 2021 were designated as the control group (n=438), and patients who visited in the fourth quarter of 2022 were designated as the experiment group (n=436). Before the implementation, the group adopted routine blood collection process management, and after the implementation, the group adopted whole-process blood collection information management. The daily number of patients receiving resuscitation and the incidence of adverse events, the timeliness of the delivery of blood samples for blood routine, blood type and blood biochemistry and the delayed specimen delivery rate of the two groups were gathered and compared. Results: After the application of the information management, shorter detention time between patient admission and sample delivery, and a lower rate of delayed specimen delivery. Besides, the experiment group also showed faster results than the control group. All of the differences between the two groups were found to be statistically significant (P<0.05). Conclusion: The whole process information management mode in the emergency department can effectively improve the efficiency of tests, reduce the incidence of adverse events and ensure patient safety.

Objective: To explore the effects of a standardized nursing education for family members on on psychological status of patients and family members, and quality of life of patients undergoing robotic pancreaticoduodenectomy. Methods: A total of 60 cases of patients with pancreatic cancer undergoing robotic pancreaticoduodenectomy and their accompanying family members from Faculty of Hepato-Pancreato-Biliary Surgery of a tertiary grade A hospital in Beijing between December 2019 and December 2020 were enrolled in this study. These participants were evenly assigned to the experimental group or the control group according to the odevity of their admission order number. Patients of both groups received routine care. While the family members of patients in the control group and those in the experimental group were given traditional education and standardized education, respectively. The scores of anxiety and depression, quality of life, incidence of nursing adverse events and postoperative rehabilitation indexes of both groups were compared. Results: The anxiety and depression scores of patients and their family members in the study group were decreased significantly compared with those in the control group (P<0.05). The quality of life score of patients increased significantly in the experimental group compared with those in the control group (P<0.05). Conclusion: Anxiety and depression are common in patients undergoing pancreaticoduodenectomy and their family members. Standardized nursing education could effectively reduce the anxiety and depression of patients and their family members, and improve the quality of care, and improve the quality of life of patients. The standardized nursing education for patients' family members is worthy of promotion in clinical settings.

Objective: To explore the application effects of empowerment education program in caregivers of children with congenital megacolon enterostomy. Methods: Totally 56 children with congenital megacolon who underwent enterostomy and their caregivers in our hospital from January 2019 to December 2021 were randomly divided into experimental group and control group, with 28 cases in each group. The control group received routine health education during hospitalization, and the experimental group received empowerment education on this basis. The care ability scores of the main caregivers of the two groups and the incidence of postoperative complications were compared. Results: After 3 months of intervention, the scores of five dimensions of main caregivers in the experimental group were significantly lower than those in the control group (P<0.05). The incidence of postoperative complications was significantly lower than that in the control group (P<0.05). Conclusion: Empowerment education is helpful to enhance the care ability of caregivers of children with congenital megacolon enterostomy, promote them to deal with problems in a positive way, reduce the occurrence of postoperative complications, and then improve the health outcome of children.

The number of elderly patients is rising which brings heavy medical and economic burden to the society. This article summarizes the application of nursing informatization in the health management for older patients, including application forms, effects and limitations, in order to provide reference for the application and related research of health management for elderly patients in the future.

Objective: To construct an informatics competency measurement system for newly recruited nurses. Methods: Literature review and group discussion were adopted to form the item pool based on the Technology Informatics Guiding Educational Reform (TIGER) initiative. Later the informatics competency measurement system was established after 2 rounds of expert consultation. Results: The new information competency measurement system for newly recruited nurses including 3 first-level indicators, 13 second-level indicators, and 58 third-level indicators was set up after two rounds of expert consultation with the coefficient variation of all indicators ranging from 0 to 0.18 and the coordination coefficient W being 0.23 (χ2 = 441.20, P<0.001). Conclusion: The informatics competency measurement system for newly recruited nurses built in the study proves to be scientific and practical, which can provide references for evaluation and training of informatics competency for new nurses.

Objective: To construct the minimum data set of quality control in the key links of nursing, with a view to the application of quality control effects in the process of nursing quality control informatization. Methods: By consulting literature and national standards, expert correspondence and based on the third normal form theory of database, the minimum data set of quality control in key links of nursing was developed and applied to the practice of nursing quality control informatization. The changes of nursing quality control time and nursing quality indexes before and after application were compared. Results: The minimum data set of quality control for key links of nursing included 38 items in 6 categories, namely 2 items of personnel management, 2 items of medication management, 12 items of clinical nursing and safety management, 9 items of nursing document management, 8 items of health education management and 5 items of quality management data. After application, the cumulative time of quality control information input, feedback and statistics was significantly shortened (P<0.001), the effective rate of patient identification, the qualified rate of nursing document writing, the qualified rate of overall nursing of responsibility system, the awareness rate of patient health education, and the follow-up rate of discharged patients have increased (P<0.05), and the incidence of falls in hospitalized patients decreased significantly (P<0.05). Conclusion: The application of the minimum data set of quality control in the key links of nursing effectively promoted the informatization, standard processing and rapid feedback of quality control data, and improved the evaluation efficiency of nursing quality control and clinical nursing quality.

Objective: To construct an information system for early warning of Venous Thromboembolism (VTE) in hospitalized patients, so as to improve medical staff?'s awareness and ability of prevention and treatment of VTE to offer timely intervention to high-risk patients. Methods: By setting up a multidisciplinary VTE prevention and treatment working group, the information-based VTE early warning system was built to connect medical and nursing electronic record systems, thus ensure automatic risk assessment and early warning, hierarchical prevention and treatment assisted decision-making, VTE quality control and other functions, which altogether guaranteed the steady implementation of clinical VTE prevention and treatment both efficiently and conveniently. Results: Since the application of the VTE early warning information system, VTE risk assessment had been given to all the hospitalized patients with the assessment rate reaching 100.00%. The prevention rates of basic, physical and drug preventive measures in high-risk patients increased significantly (P<0.001). Among the four dimensions of user experience evaluation of the information system, the dimension of early and timely warning scored the highest (9.16±2.79). Conclusion: The establishment and application of the VTE early warning information system for inpatients can booster effective and high-quality prevention and treatment of VTE in hospital to improve patients' outcomes and better safeguard their safety and upgrade healthcare.

Objective: To develop the symptom management module in the support APP for parents of children with leukemia, and evaluate its usability. Methods: The parents and medical staff of children with leukemia were interviewed to understand the symptom management items suitable for parents to participate in, patients' need of support when participating in symptom management, and their expectation for functions of the module in the support APP. Later a knowledge base of images and texts pertaining to the symptom management module was constructed to set up the symptom management module in cooperation with software engineers to realize the corresponding functions, after which formative usability evaluation and summative usability evaluation were carried out for the module. Results: The knowledge base relevant to 41 physiological symptoms and 6 psychological symptoms was formed to establish the symptom management module of the support APP for parents of children with leukemia, offering not only active search and browsing of symptom management information, but also symptom management information recommendation based on self-reported symptom assessment results and symptom management information recommendation based on hybrid recommendation. The usability evaluation of the symptom management module demonstrated satisfying results. Conclusion: This study has developed the symptom management module in the support APP for parents of children with leukemia, whose functions meet well the needs of those parents. The module with good usability can provide support for parents to participate in the symptom management of their children.

Objective: To construct the quality evaluation index system for transitional care of pediatric patients with chronic diseases. Methods: Literature review and semi-structured interview were performed to form the initial quality indicators, the Donabedian structure-process-outcome quality of care model was used to organize those quality indicators to form the questionnaire for Delphi expert inquiry. Then two rounds of Delphi experts survey were performed to evaluate the importance and clarity of each indicators. At last, administrative experts from government, hospital, and patient family represents were gathered together to evaluate the comprehensibility of each indicator and the value of outcome indicators in socioeconomic areas to form the final evaluation index system. Results: 22 experts finished the expert inquiry. The effective recovery rate of the two rounds were 91.67% and 100.00%, respectively, expert authority coefficients were 0.866 and 0.877, Kendall coordination coefficient were 0.156 and 0.176 (P<0.01). Expert demonstrated and adjusted the indicators one by one. The final evaluation index system for transitional care quality of pediatric including 3 first-level indicators, 12 secondary-level indicators and 56 third-level indicators. Conclusion: The evaluation index system for transitional care quality of pediatric is a scientific, comprehensive and practical evaluation tool.

Objective: To investigate the current implementation status of the Nursing Practice Standards for Intravenous Therapy in the tertiary grade A hospitals in China, in order to provide a reference for promoting the implementation of the standards. Methods: The stratified convenient sampling method was used, the persons in charge of implementing the intravenous therapy standards in the nursing departments of 30 tertiary grade A hospitals in 17 provinces/autonomous regions/municipalities directly under the Central Government in China were included, and questionnaires were self-developed and conducted in the form of electronic questionnaires from July to December in 2021. Results: All 30 hospitals formulated standard implementation plans, which were organized by the intravenous therapy professional team to implement throughout the hospital, and the relevant systems, norms and standards of intravenous treatment care in the hospital were established or revised according to the standard. Standard training was provided in all hospitals and 12 (40.00%) hospitals trained the doctors. There were no significant differences in the incidence of central venous catheter-associated bloodstream infections, phlebitis, exudation/extravasation, and the number of acupuncture injuries between 2019 and 2020 (P>0.05). Conclusion: This standard has been fully implemented in the tertiary grade A hospitals. It is recommended that the professional group of intravenous therapy play a leadership role in implementing standards, the doctors and nurses receive train jointly and implement the standard in cooperation. The accurate and continuous monitoring of the implementation effects of the standard is needed to promote the implementation of the standard.

Objective: To develop a nursing quality sensitive indicators for respiratory infection prevention and management of patients with hematology tumor. Methods: Though literature evidence-based analysis, the nursing quality sensitive indicators were initially constructed. Then Delphi method was used to revise and evaluate the quality of the indicators. Results: The nursing quality sensitive indicators of the prevention and management of the respiratory infection in patients with hematology tumor including 3 first-level indicators, 14 secondary-level indicators, 45 third-level indicators. The active coefficients of the two-round expert consultation were 93.75% and 100.00%. The authority coefficients were 0.841 and 0.847. The expert coordination coefficient were 0.272 and 0.220. Conclusion: Nursing quality sensitive indicators for respiratory infection prevention and management of patients with hematology tumor have a specialized feature to provide a basis for the comprehensive assessment of clinical nursing quality.

Objective: To analyze the application value of Donabedian quality theory in improving the quality of duodenoscope cleaning. Methods: A total of 420 duodenoscopes contaminated after the treatment of biliary and pancreatic diseases were selected from March to October 2021 in the Digestive Endoscopy Center of a tertiary grade A hospital in Nanjing as the intervention object. From March to June, routine visual inspection was used to manage the quality of duodenoscope cleaning. From July to October, Donabedian quality theory was used to establish three-dimensional indicators of structure-process-results, to improve the quality of duodenoscope cleaning. Eighty duodenoscopes before and after the intervention were checked to monitor the outcome indicators randomly. Results: After intervention, the duodenoscope cleaning standard was clarified, and the daily cleaning number of endoscopes per employee was decreased. The rate of correct pretreatment at the bedside, the rate of hand hygiene, the rate of correct cleaning of the apex cap, the rate of correct cleaning of the clamp lifter cavity, and the rate of correct cleaning of the apex increased, and the differences were statistically significant (all P<0.05). The forceps lifter Relative Light Unit cleaning rate, the biopsy lumen Relative Light Unit cleaning rate were significantly improved, which were statistically significant (all P<0.05). Conclusion: Donabedian quality theory can standardize the cleaning process of duodenoscope and improve the cleaning quality, and is worthy of promotion.

Objective: To investigate the current status of nursing quality management and the needs of clinical nurses in 22 medical institutions in Dongcheng district, Beijing. Methods: This cross-sectional study surveyed 22 nursing managers and 3221 clinical nurses from 22 medical institutions in Dongcheng district using a self-designed questionnaire. Results: Half of medical institutions investigated had adopted the 3-level nursing quality management organization system. 90.9% had set up their own nursing quality committees or teams, but only 59.1% had multi-department participation. More than 90% had established evaluation criteria for basic nursing and nursing management quality with only 63.6% having the evaluation criteria referring to specialist nursing quality. 72.7% had developed incentive systems for active reporting of adverse events, yet only 63.6% would analyze early warning cases. 81.8% of the institutions linked the results of supervision to nurses' performance. As to nurses' needs, more training in specific nursing skills (60.3%) and emergency technique (62.1%) were anticipated. 43.0% of the nurses welcomed such training once a quarter, and 89.9% of them prefered online teaching. Conclusion: Nursing managers need to further improve the evaluation criteria of specialist nursing practice quality and adverse event management. In order to promote the continuous improvement of nursing quality, more heed should be paid to the needs of clinical nurses to develop targeted training plans and supervision methods.

Objective: To construct the framework of a nursing standards system in China. Methods: Based on Donabedian three-dimensional quality theory and literature retrieval, the framework of the nursing standard system in China was preliminarily developed. Twenty-two experts were consulted by two rounds of email letters using Delphi method from December 2020 to March 2021. Results: The recovery rates of the two rounds of consultation were 88.0% and 100.0%, respectively. The expert authority coefficients were 0.845 and 0.845, and Kendall coordination coefficients were 0.175-0.194, 0.189-0.194, respectively. After 2 rounds of expert consultation, the nursing standard system framework with 3 first-level indicators, 12 second-level indicators and 26 third-level indicators was finally determined. Conclusion: The "nursing standards system framework " constructed in this study is scientific, reliable, and operable. Experts have a high consensus on indicators at all levels, which can provide references for the development of nursing standards in China.

Objective: To establish the evaluation index system for breastfeeding nursing quality to provide basis for further improvement of pure breastfeeding rate in China. Methods: Based on the three-dimensional quality structure model including structure, process and outcome proposed by Donabedian, a American scholar, the evaluation system for breastfeeding nursing quality was built through literature retrieval, Delphi method and analytic hierarchy process. Results: The recovery rates of the two rounds of questionnaires were 93.94% and 100.00%, respectively, with the expert authority coefficient being 0.964. The Kendall harmony coefficients of the secondary and tertiary indicators of the second round were 0.147 and 0.152, respectively (P<0.01). The final evaluation index system of breastfeeding nursing quality included 3 primary indicators, 11 secondary indicators and 59 tertiary indicators. Conclusion: The evaluation index system of breastfeeding nursing quality constructed in this study has demonstrated high reliability, scientificity, comprehensiveness and practicability, which is conducive to better breastfeeding nursing quality.

Objective: To construct the "Internet+" home nursing quality evaluation index system, in order to provide evidences for the standardization and homogeneity development of "Internet+" home-based nursing. Methods: Based on the structure-process-outcome three-dimension quality assessment model, the draft of "Internet+" home nursing quality index was prepared by combing through relevant policies, analyzing literature papers, semi-structured interview and consulting experts. Finally the "Internet+" home nursing quality index system was established through three rounds of expert letter consultation and analytic hierarchy process. Results: Three rounds of correspondence consultation were conducted from September to October, 2021. The effective recovery rate of the questionnaires during the three rounds were 100.00% (21/21), 90.48% (19/21) and 95.24% (20/21), respectively. The expert authority coefficients were 0.88, 0.87 and 0.92 and the Kendall harmony coefficients were 0.195, 0.211 and 0.219 (P<0.01). The final "Internet+" home nursing quality evaluation index system includes 3 first-level indicators, 8 second-level indicators and 40 third-level indicators. Conclusion: The "Internet+" home nursing quality evaluation index is scientific and reliable to provide reference for "Internet+" home nursing quality evaluation and monitoring.

Objective: To establish an "internet+" health education management mode based on mobile APP in lung cancer patients at day surgery ward in perioperative period. Methods: A total of 2885 patients with lung cancer who received thoracoscopic radical resection from a tertiary grade A hospital in Hangzhou were enrolled by convenience sampling from February to September 2022. Among them, 1324 patients from February to May 2022 were selected as control group with receiving the health education in routine way, and 1561 patients from June to September 2022 were selected as observation group with receiving the health education provided by APP. Patients' satisfaction, awareness rate of health education, cancellation rate of same-day operation and hospitalization were compared. Results: Cancellation rate of same-day operation of observation group was lower than that of control group (P<0.05). There were no statistically significant difference in patients' satisfaction, awareness rate of health education and hospitalzation cancellation rate between the two groups. Conclusion: "Internet+" health education mode for lung cancer patients at day surgery ward can benefits patients by providing comprehensive accurate health education from pre-admission to post-discharge.

This article summarized the application of mobile health technology in cancer pain management, introduced the mobile pain managment team, management form,content and effects. It also analysed its shortcomings and proposed improvement strategies. It is expected to provide information for the optimization of mobile health technology in cancer pain management in China.

Objective: To analyze the feasibility of the key information technique related to the safety of intravenous doses in pediatric patients to enhance safe administration of intravenous doses in children. Methods: The key information technique related to safe administration of intravenous drugs in children was developed. Convenience sampling was then used to include 30 nurses in a tertiary grade A hospital to offer 150 intravenous administration (dose extraction, dose calculation, dose setting) utilizing the new technique method and the traditional method, respectively to compare their accuracy. The usability of the new technique was evaluated by the Usefulness, Satisfaction, and Ease of Use Questionnaire (USE), and the cognitive load of nurses was evaluated by the National Aeronautics and Space Administration Task Load Index (NASA-TLX). Results: The accuracy of dose extraction, dose calculation and dose setting of the traditional method was 94.0%, 88.7%, 96.0%, respectively, while the accuracy of this new technique was 100.0% with the difference being statistically significant (P<0.05). The score of the USE questionnaire was (6.30±0.55) points in new technique method; Compared with the traditional method (45.39±15.42), the new technique method (31.94±7.87) scored lower on the NASA-TLX questionnaire (P<0.05). Conclusion: The application of the key information technique related to safe intravenous doses in pediatric patients can improve nurses’ competence in dealing with dosage calculation. Moreover, the system developed in this study show good usability and cause less cognitive load for nurses, which is conducive to the safety of intravenous administration in children.

Objective: To develop a nursing-sensitive quality indicators system for perioperative patients with cardiac implantable electronic devices. Methods: Based on the Donabedian's three-dimensional model of "structure-process-result", the relevant indicators, their calculation formulas and data collection methods were preliminarily developed by literature review and group discussion. Then the nursing-sensitive quality indicators system of perioperative patients with cardiac implantable electronic devices was finally established through two rounds of expert consultation and expert interviews. Results: A nursing-sensitive quality indicators system of perioperative patients with cardiac implantable electronic device was established, including 3 first level indicators, 8 second level indicators and 20 third level indicators. The expert authority coefficients of the two rounds of correspondence were 0.916 and 0.921 respectively, and the Kendall harmony coefficients were from 0.190 to 0.223. Conclusion: The nursing-sensitive quality indicators system of perioperative patients with cardiac implantable electronic devices has strong specialty characteristics. Each indicator is scientific and practical, which is conducive to the improvement of perioperative nursing quality of patients with cardiac implantable electronic devices.

Objective: Design a remote management APP for mental health of pregnant women with fetal abnormalities during pregnancy termination, and evaluate its usability and application effect, in order to provide continuous psychological and social support and alleviate their negative emotions. Methods: Based on psychosocial intervention program for women undergoing termination of pregnancy for fetal abnormalities, the psychological, social, and information support in the intervention program was transformed into an APP. Formative and summative usability evaluations were conducted by using focus group discussion and System Usability Scale. Measure the levels of depression and social support of the intervention group and control group. Results: The main parts of the APP include stage assessment, psychological support, peer support, and information support. The summative usability evaluation is good, and the levels of depression and social support in the intervention group after using the APP were significantly improved than the control group (P<0.05). Conclusion: The APP is user centered, and realizes intelligent continuous care, which helps to effectively reduce pregnant women's depression, improve social support level, and promote the mental health management of pregnant women with fetal abnormalities during pregnancy termination.

Objective: To investigate the cognition of the Nursing Classification among nurses nationally and to know the problems during implementation of the Nursing Classification. Methods: A questionnaire survey was conducted among nurses in 31 provinces (municipalities and autonomous regions) across the country. A total of 143941 nurses were included by convenience sampling. Data were analyzed regarding nurses' understanding of the Nursing Classification, and their opinions and suggestions for the Nursing Classification. Results: More than 99.71% of nurses believed that contents of the Nursing Classification were clear. 99.48% of the nurses believed that the current Nursing Classification was suitable for clinical practice. 99.18% of the nurses believed that Barthel index rating scale was applicable. The cognition of the Nursing Classification between nursing managers and nurses was different (P<0.05). The assessment of patient classification was mainly determined by doctors and nurses (51.25%). Doctors were the main person to make the prescription regarding the classification (94.57%). The problems were as follows: insufficient understanding of the Nursing Classification, limitation of the Nursing Classification in some particular clinical settings, subjective judgement of patients' condition, and insufficient cooperation between physicians and nurses. Conclusion: The Nursing Classification is clear and definite, and it has good applicability in China. However, it is still necessary to strengthen training of medical staff and promote medical cooperation. At the same time, more objective grading methods and professional grading basis should be explored further. Nursing classification standards should be constantly improved.

Objective: To explore the application effect of home frailty management program based on the intelligent follow-up platform in elderly patients after surgery. Methods: The home frailty management program based on the intelligent follow-up platform in elderly patients after surgery was constructed by literature research and Delphi method. A total of 82 postoperative patients admitted to a tertiary grade A hospital in Tianjin from February to April 2022 were included by convenience sampling method, and 41 patients admitted from February 1 to March 15, 2022 were in the control group, 41 patients admitted from March 16 to April 30, 2022 were in the intervention group. Those in the control group adopted the conventional frailty management scheme, and those in the intervention group adopted the home frailty management program based on the intelligent follow-up platform, and the intervention period was 6 months. The differences in health behavior ability, frailty, hand grip strength, gait speed, physical function and quality of life were compared between the two groups. Results: The frailty score of the intervention group was lower than that of the control group (P<0.05). The health behavior ability score, grip strength, gait speed, physical function and quality of life of the intervention group were higher than those of the control group (P<0.05). Conclusion: The home frailty management program based on the intelligent follow-up platform has positive effects on improving health behavior ability, frailty, and quality of life of elderly patients after operation with great clinical application value.

The application of mobile health(mHealth) in nursing care of chronic airway diseases is more and more extensive. This article reviews the application forms, influences and limitations of mHealth in compliance management of chronic airway diseases, in order to provide reference for the application of mobile health in inhalation therapy management, thereby improving the compliance of patients and achieving the purpose of disease control.

This paper introduces the main content and progress of the domestic and foreign standards concerning Central Sterile Supply Department (CSSD), which mainly focuses on the five aspects of domestic hospital infection control standards, pharmaceutical industry standards and international CSSD standards including: quality management, product instructions, cleaning technology, packaging technology and sterilization technology. It is emphasized that in order to guarantee the safety and quality of the reprocessing of reusable medical devices, CSSD should take the initiative to better ensure their quality control and management according to the both fast updated and highly technical standards.

Objective: To understand the current situation and problems of the centralized management mode in Central Sterile Supply Department (CSSD), so as to provide reference for promoting centralized management. Methods: A questionnaire survey using Wenjuanxing was conducted in 2625 hospitals with CSSD from 28 provinces (including autonomous regions and municipalities) in 2021. Results: Among the 2621 CSSD that completed the effective questionnaire, 2132 (81.3%) had implemented the centralized management. Tertiary hospitals had the highest rate of centralized management (87.4%). Insufficient employees, equipment and area were the top three reasons restricting centralized management. The instrument with the lowest rate of centralized management was flexible endoscopy (27.1%), followed by oral instruments (69.3%). Conclusion: Changing concept, increasing investment of both manpower and equipments in CSSD and improving centralized management of instruments can further improve the implementation of centralized management.

Competency (competence) and core competency (core competence) of nurses refer to two interrelated but different concepts. Although the two have been widely studied in China, there are still many objections to their definitions, evaluation index systems and application connotation from different scholars. This article reviews the concept description, evaluation index construction and application status of competency (competence) and core competency (core competence) in the nursing field, analyzes their objections and reasons to provide thinking and reference for the further development and application of the two concepts in nursing.