Cancer survivors are individuals who are diagnosed with cancer but are still alive. People gradually realize that cancer care is not over when treatment is finished, but it must be expanded to long-term health care plans. It will have a positive impact on cancer survivors’ quality of life, psychological conditions, and prognosis, when they receive effective interventions. This article will discuss about definitions of cancer survivor, survivor care plan, care plan outcome, etc., in order to provide guidance and reference for clinical research and practice.

The aims of our project were to improve the treatment as well as the physical and mental rehabilitation outcomes of cancer patients, and enhance the development of oncology nursing. After more than one year of preparation and clinical practice of case management in 817 colorectal cancer patients and breast cancer patients, we achieved seamless management of cancer patients, improved patient retention rate, treatment compliance, quality of life, patient satisfaction and hospital resource utilization rate, and reduced the incidence of medical and nursing disputes. Based on the support of a multidisciplinary team, the case management model is an effective way to realize whole course management of cancer patients and fulfill their demands. It can be used as a reference for case management of other cancer patients and in other hospitals.

Through the literature review, to understand the construction and clinical practice of oncology nursing quality evaluation index system at home and abroad, in order to provide reference for the construction of standardized, specialized and homogeneous tumor nursing quality indicators, to promote the continuous improvement of nursing quality in oncology, to ensure the safety of patients.

In order to make cancer nursing fellows know the current developing situation of home and abroad and to promote the development of cancer nursing in China, this article focuses the research hotspots of cancer nursing and analyses the trend of cancer nursing development which is based on the main themes of 2017 International Conference on Cancer Nursing.

Objective: To evaluate the quality of clinical practice guidelines (CPGs) published relating to pediatric pain management, analyze and summarize the consensus of included recommendations from those guidelines, and to provide a reference for normatively developing pediatric pain management guidelines suitable for Mainland China. Methods: Relative guidelines published internationally from 2006 to 2016 were searched, then the quality of included guidelines was evaluated using AGREE II, and finally recommended levels of guidelines were given, repsectively. Results: A total of 60 guidelines were retrieved, of which 8 met the inclusion criteria. Average AGREE II scores in six domains (Scope and Purpose, Stakeholder Involvement, Rigour of Development, Clarity of Presentation, Applicability and Editorial Independence) were 81.25%, 53.82%, 46.88%, 76.74%, 44.27%, 42.19% separately. No A-class guideline was recommended. 7 guidelines were leveled as B-class (recommended after revise). 1 guideline was not recommended. Conclusion: These included guidelines were of general quality. The methodological rigor and reporting clarity of guidelines development would need further improvement urgently. Researchers need to develop guidelines for pediatric pain management which could include the latest and best evidences, so as to improve clinical practice quality in pediatric pain management.

Objective: To translate the English version of Spiritual Care Competence Scale (SCCS) into Chinese and to test the reliability and validity of the Chinese version of SCCS, and to explore its applicability in China. Methods: After receiving the author's approval, we translated and back-translate the scale, and adjusted the Chinese version of the scale for cultural adaptation. The questionnaire was distributed to 526 nurses in three tertiary hospitals in Changsha, Hunan Province by convenient sampling method. The reliability and validity of the scale were analyzed. Results: Item analysis indicated each item in the critical ratio was significant, and the correlation coefficients between each item and the total scores were higher than 0.5. Exploratory factor analysis (EFA) indicated that Chinese version of SCCS consisted of 2 factors, which explained 77.43% of the total variance. The factor loadings of 22 items were all higher than 0.4. The confirmatory factor analysis showed that 6 factor model was better than the 2 factor model. The Cronbach's α of the whole scale and each dimension were 0.974, 0.939, 0.955, 0.941, 0.902, 0.956, and 0.949. The split-half reliability of the whole scale and each dimension were 0.892, 0.930, 0.928, 0.929, 0.904, 0.941, and 0.950. Conclusion: The Chinese version of SCCS has good reliability and validity and could be used as a tool to measure the spiritual care competence of nurses.

Objective: To explore the current status and risk factors of maternal perineal laceration among lying-in women using unprotected perineal delivery technique, and to provide guidance for early prevention and nursing care of the perineal laceration. Methods: Retrospective analysis of the incidence, severity and risk factors of perineal laceration among 563 lying-in women using unprotected perineal delivery technique from November 2015 to April 2016 in our hospital. Results: The incidence of perineal laceration among lying-in women using unprotected perineal delivery technique was 63.9%. The major injury type of perineal laceration is I degree laceration (93.9%) and II degree laceration (6.1%). Logistic regression analysis showed that the independent risk factors of perineal laceration were primipara, fetal weight 3500-3999 g, midvives working years less than 5 years and prenatal perineum edema (P<0.05). Conclusion: Lying-in women using unprotected perineal delivery technique could develop perineal laceration, but the major injury type is I degree laceration. We should conduct comprehensive assessment according to the risk factors before delivery and take corresponding preventive measures to reduce the incidence of perineal laceration.

Objective: To evaluate the reliability and validity of the Chinese version of Simulation Design Scale (SDS). Methods: The SDS was translated and adapted according to Chinese culture. The reliability and validity of the Chinese version of SDS was tested in 306 nursing students. Results: The Cronbach's α coefficient was 0.948 for the total scale and ranged from 0.798 to 0.832 for the subscales. The test-retest reliability was 0.870 for the total scale and ranged from 0.730 to 0.920 for each subscales. The content validity index was above 0.830. Five factors were extracted by factor analysis that could explain 63.26% of the total variance. Conclusion: The Chinese version of SDS is reliable and valid, can be used and evaluate the simulation design to improve education quality.

Objective: To evaluate the anti-infection effects of chlorhexidine and silver sulfadiazine central venous catheters. Methods: The Cochrane Central Register of Controlled Trials, PubMed, Web of Science, EMBASE, CINAHL, CBMdisc, CNKI, Wan Fang database, VIP database and Randomized controlled trials registered websites were searched to collect randomized controlled trials (RCTs) which compared the anti-infection effects between chlorhexidine and silver sulfadiazine central venous catheters and common catheters. Two researchers conducted the data extraction and quality assessment independently, and RevMan 5.2 software was used to analyze the data. Results: Thirty-two RCTs involving 7 765 catheters were included. The results of meta-analyses showed that chlorhexidine and silver sulfadiazine central venous catheters could decrease the catheter-related blood stream infection [RR=0.57, 95%CI (0.51, 0.64), P<0.001] and catheter colonization [RR=0.57, 95%CI (0.51, 0.64), P<0.001] compared with common catheters. Conclusion: Current evidence suggests that chlorhexidine and silver sulfadiazine central venous catheter is effective for prevention of central venous catheter-related blood stream infection and it's suitable for all types of patients. Due to the limitations of the included studies, the quality of the evidence is moderate based on GRADE.

We determined the echelon form of talented nurses reserve bank, developed strict selection criteria, selection process and training rules, implemented multi-level training and use, and established evaluation mechanism. The establishment of talented nurses reserve bank improved nurses’ job satisfaction (P<0.05), increased the nursing teaching frequency and published papers, improved their comprehensive capacity and quality, enhanced their high-level career development. Therefore, it is beneficial to establish high-quality nursing team.

Objective: To explore the effect of clinical nursing leadership competency model applied in the training of new headnurses. Methods: We constructed a training program according to the five parts of clinical nursing leadership competency model to train 31 new headnurses employed in 2015 systematically for 18 months, then assessed and analyzed both quantitative and qualitative indicators comprehensively. Results: The qualification rate of theory examination was 100.00%, and the passing rates of practice assessment were 100.00% and 93.55%, respectively. No significant differences were seen as to performance appraisal between new headnurses and senior headnurses (P>0.05). The average score of comprehensive evaluation of headnurses was 92.93±2.16 and the qualification rate was 100.00%, six (19.35%) of which were excellent.Interview resultsshownthat the training curriculum wasreasonable, and a systematically training couldimprove management of new headnurses and promotetheir role transformation. Conclusion: The clinical nursing leadership competency model could provide a framework to construct the training program for new head nurses, through which their role transformation could be promoted and their management skills as well as the ability to cope with problems would be enhanced.

Objective: To describe the current status and characteristics of workplace violence on psychiatric nurses, explore the influencing factors of workplace violence and its influence on the mental health of nurses. Methods: One hundred and forty psychiatric nurses were recruited from a general hospital. They were investigated with the hospital workplace violence questionnaire and symptom checklist-90 (SCL-90). Results: The incidence rate of workplace violence in psychiatric department was 80.7%. Logistic multivariate analysis found that female, low nursing level and younger were the risk factors of hospital violence. Nurses who were exposed to workplace violence were more likely to have mental health problems. Nurses had higher scores in interpersonal sensitivity, depression, anxiety, fear, somatization (P<0.05). Conclusion: The incidence rate of workplace violence was higher in psychiatric nurses and the mental health status of nurses suffering from workplace violence was low. Comprehensive intervention strategies should be taken to reduce the incidence of workplace violence and improve the psychological status of nurses.

Objective: To study the nursing Adverse Events (AE) related to hospitalized surgical patients and explore the main influencing factors of surgical adverse events, in order to promote surgical patient safety. Methods: Nursing adverse event registration charts were sent to tertiary and secondary general hospitals in Chongqing area by convenience sampling, and data were collected by telephone and e-mail. Results: 15 adverse events were reported. These cases were related to instrument counting, labeling, verifying, disinfection, specimen handling, positioning, treatment and medication procedures. Conclusion: Reported cases were less than expected. We should put more efforts on patient safety culture formation, and continue to encourage AE reporting and learn from error. We should also improve the procedures and routines, and focus on resource management, stuff training, spot supervision, and promote team collaboration and communication. It is suggested that patients should be empowered and coordinated with health care professionals to promote surgery safety.

Objective: To explore the effects on self-management capability of patients with COPD in hospital-community integrated transitional care model. Methods: Totally 117 COPD inpatients in department of respiratory medicine from a tertiary general hospital in Nanjing were enrolled by convenient sampling from January to December in the year of 2016, and then were divided into intervention group (n=60) and control group (n=57) by random number table. Patients in the control group accepted routine care during hospitalization period, followed with a health education from clinical nurses when discharge, and a routine telephone follow-up for a week after their discharge. Patients in the intervention group accepted both routine care and the hospital-community integrated transitional care for 3 months. Exercise of Self-care Agency Scale (ESCA) was used to evaluate patients' self-management capability by telephone follow-up or interview within a week before discharge, and 1 month, 3 months, and 6 months after discharge. Results: For total score of self-management capabilities, there was no significant difference between two groups (P>0.05) 1 month after discharge, while there was significant difference when 3 months and 6 months after discharged (P<0.05). And for each dimension score of self-management capabilities, there was significant difference in all dimensions except health knowledge level (P>0.05) between two groups when 1 month, 3 months and in 6 months after discharge. Conclusion: Hospital-community integrated transitional care may improve self-management capability of patients with COPD.

Objective: To explore the application effect of the integrated management model of ward-outpatient-family among patients with Mild Cognitive Impairment (MCI). Methods: Ward-outpatient-family integrated management model was used among 70 patients with MCI, and the patients were evaluated by MMSE, MoCA, and ADL before and after the intervention. Results: The mean scores of MMSE and MoCA of the patients after intervention were higher than those before intervention (P<0.05), and the ADL scores had no significant difference before and after intervention (P>0.05). Conclusions: Ward-outpatient-family integrated management model construction plays an important role in improving the cognitive function of patients with MCI.

With the improvement of the medical skills, there is a growing public awareness of and interest in cancer prevention. Cancer risk assessment and genetic testing have been developed for decades in America and Europe. Depending on family cancer history, genetic testing and cancer genetics, oncology practitioners help high-risk individuals identify cancer risks and take effective strategies. It could be a good reference for Chinese nurses to integrate genetics and genomics in primary and secondary oncology nursing. It will also bring opportunities and challenges to the development of oncology nursing.

Objective: To explore the current status and related factors of social participation among patients with burns. Methods: Totally 213 patients with burns were investigated one month after discharged from hospital. Impact on Participation and Autonomy Questionnaire (IPA), Acceptance of Disability Scale-Revised (ADS-R), Herth Hope Index (HHI), Modified Barthel Index Rating Scale (MBI) and Visual Analogue Scale (VAS) were performed. Results: The total score of IPA of the patients was 53.26±18.44. Acceptance of disability, hope and social participation were correlated (P<0.01). Financial situation, pain reaction, activities of daily living (ADL), acceptance of disability and interconnectedness can explain 75.8% of the variance social participation. Conclusions: The social participation of patients with burns was at the low level. Nursing staff are encouraged to provide proper psychological intervention to patients to enhance their level of social participation, promote patients body function recovery and psychosomatic rehabilitation.

Objective: To describe self-reported fatigue in patients of children with cerebral palsy and identify the impact factors. Methods: A total of 130 parents with cerebral palsy children were enrolled from a hospital in Zhengzhou. The participants were investigated with general information questionnaire, fatigue scale, simplified coping style questionnaire. Results: The mean score of parents’ fatigue was (9.32±2.29); the dimension of physical fatigue was (5.73±1.54) and mental fatigue was (3.59±1.36). Multiple linear regression analysis showed that parents’ gender, education background, marital status, children’s time-to-treatment, coping style were impact factors of fatigue in parents of children with cerebral palsy. Conclusion: In parents of children with cerebral palsy, fatigue is common. Interventions targeting parents’ fatigue should be explored.

Objective: To analyze the effect of white noise interference method in relieving puncture pain of premature infants. Methods: Totally 78 premature infants were recruited in this study, 38 infants in experimental group and 40 infants in control group. White noise interference method was used in experimental group, and posture comfort method was implemented in control group. The Premature Infant Pain Profile (PIPP) and cry incidence after puncture were used to evaluate the effect. Results: There were significant differences in heart rate, oxygen saturation and PIPP scores between experimental group and control group (P<0.05). The cry incidence was higher in control group than that in experimental group (80% vs 65.8%, P<0.05). Conclusion: The white noise interference method could be useful in relieving puncture pain of premature infants.

In this paper, the authors summarized the conception, assessment tools and research progress of spiritual health in China and aboard. It could be helpful to improve the understanding of spiritual health of medical staff in China and provide reference for assessing the patient's spiritual health correctly and implementing spiritual care.

ICU is a place focusing on intensive treatment for critically ill patients. With the explosive growth of the type and quantity of the medical equipment alarm, the alarm prompt tone has become a potential risk factor of life safety and health among medical staff and patients. Alarm management is an important part of hospital safety management. This paper makes a review about the medical equipment alarm management status and the influencing factors of the alarm management, in order to promote safe and reasonable clinical alarm management and to provide scientific referral for hospital managers.

This article mainly elaborates the concept and the source and the research status of the treatment burden and the inspiration to our country, and to provide reference for our country to carry out such study through the analysis of research methods and interventions of the treatment burden.

This paper reviewed and analyzed influencing factors of paternal postpartum depression and its coping strategies. Influencing factors included maternal postpartum depression, obstetrical factors, neonatal factors, psychological factors and social factors. We recommended that education and training of healthcare providers should be enhanced, as well as prenatal education and psychological nursing.

Objective: To explore the application effects of QCC in improving the qualified rate of self-injection of insulin in hospitalized patients with diabetes mellitus in department of endocrinology. Methods: We conducted QCC activities in the department, and analyzed the reasons for the low qualified rate of self-injection of insulin in hospitalized patients with diabetes, then developed and implemented countermeasures. Results: The qualified rate of self-injection of insulin in hospitalized patients with diabetes improved from 20.9% to 63.2%. Conclusion: Through the continuous improvement of the QCC activities, the qualified rate of self-injection of insulin in hospitalized patients with diabetes has significantly improved, and the nurse-patient and doctor-patient relationship become closer.

ICU patients are in high risk of pressure injuries. Using the pressure injury risk assessment scale is important to prevent pressure ulcer. In order to provide reference for appropriate selection of pressure injury risk assessment scale in ICU, the authors reviewed the research progress of the pressure injury risk assessment tools which were designed specially for ICU patients.

Objective: To explore the effect of multidisciplinary treatment in the patient with severe trauma combined with wound infection. Method: The multi-disciplinary team included doctors and nurses from ICU, thoracic surgery, orthopedics, plastic surgery, nutrition department, anesthesiology department and wound care clinic. The nutritional support, sedative analgesia were provided to the patient to maintain the vital sign stable. The wound management included removal of necrotic tissue, controlling of bacterial infection and management of exudate, then the skin graft and dressing. Result: The severe trauma infection wound was healed after surgery with 17-day wound bed preparation. Conclusion: Multidisciplinary team can accelerate the wound bed preparation process and improve the healing of wound.

This research aimed to summarize the evidence-based practice of wound care in a patient with Leukocytoclastic Vasculitis. We clarified main problems of this patient, and searched 9 databases both domestic and abroad, including CNKI, Wanfang Data, SinoMed, PubMed, Cochrane Library, MEDLINE, EBSCO, SCI and National Guideline Clearinghouse. After searching for related literatures and evaluating the level of each evidence summarized from these literatures, the best clinical evidence of wound care for such a patient was determined. The patient was then cared combing the actual situation with the best clinical evidence summarized, and 50 days later the wound healed completely.

We utilized wet dressing and physiotherapy combining with holistic intervention to treat a patient with multiple lower-extremity venous ulcers . The wounds healed on 32 days with no recurrence within 3 months. The method was proved to be effective and worth clinical application.

Objective: The purpose of this case report is to present experience of continuity care of an un-stageable pressure injury patient. Methods: The patient received a comprehensive assessment of overall condition and the wound. The factors that would influence wound healing were identified, and the patient-centered nursing program was developed based on moist wound healing theory. Caregivers’ family self-care skills were improved by health education, focused on knowledge, attitude and practice (KAP). Results: The patient’s nutritional status and family self-care ability were improved, and pressure injury healed. Conclusion: The continuity of wound care benefits patients. Nurses should take proper strategies to improve wound healing and nutrition, increase family self-care ability.

This paper mainly introduced the process and experience of wound dressing treatment for a systemic lupus erythematosus patient with Stevens-Johnson Syndrome. The patient was a critically ill patient with basic diseases, poor economic conditions, around 80% body skin injury, a large amount of nutrient loss, and severe pain. We communicated with the patient gradually and got informed consent, applied wet healing concept, used enzyme fungicide spraying disinfection method combined with a series of functional dressings, and achieved good effect.

In order to clarify the definition of Evidence-Based Practice and understand the latest progress of existing Evidence-Based Nursing models, and to promote Evidence-Based Nursing practice more scientifically and effectively, this paper introduced and compared the four Evidence-Based Nursing models, namely i-PARIHS framework, ARCC model, JBI model and Johns Hopkins model, which concerned with the essence of Evidence-Based Practice. We explained the connotations and characteristics of the application of each model and provided a reference for the clinical health care personnel to select an appropriate evidence-based model to guide their Evidence-Based Practice.

Background: There is a clear relationship between evidence-based post resuscitation care and survival and functional status at hospital discharge. The Australian Resuscitation Council (ARC) recommends protocol driven care to enhance chance of survival following cardiac arrest. Healthcare providers have an obligation to ensure protocol driven post resuscitation care is timely and evidence based. Objective: The aim of this study was to examine adherence to best practice guidelines for post resuscitation care in the first 24 h from Return of Spontaneous Circulation for patients admitted to the intensive care unit from the emergency department having suffered out of hospital or emergency department cardiac arrest and survived initial resuscitation. Methods: A retrospective audit of medical records of patients who met the criteria for survivors of cardiac arrest was conducted at two health services in Melbourne, Australia. Criteria audited were: primary cardiac arrest characteristics, oxygenation & ventilation management, cardiovascular care, neurological care and patient outcomes. Results: The four major findings were: (i) use of fraction of inspired oxygen (FIO2) of 1.0 and hyperoxia was common during the first 24 h of post resuscitation management, (ii) there was variability in cardiac care, with timely 12 lead Electrocardiograph and majority of patients achieving systolic blood pressure (SBP) greater than 100 mmHg, but delays in transfer to cardiac catheterisation laboratory, (iii) neurological care was suboptimal with a high incidence of hyperglycaemia and failure to provide therapeutic hypothermia in almost 50% of patients and (iv) there was an association between in-hospital mortality and specific elements of post resuscitation care during the first 24 h of hospital admission. Conclusion: Evidence-based context-specific guidelines for post resuscitation care that span the whole patient journey are needed. Reliance on national guidelines does not necessarily translate to evidence based care at a local level, so strategies to ensure effective guideline implementation are urgently required.