The reporting of nursing adverse events is an important part of hospital management and a key factor affecting patient safety. Based on the establishment and application of the adverse event reporting system based on the hospital information platform, this paper introduces the basic structure and application of the system, summarizes the theoretical basis of the analysis of the causes of adverse events, and probes into the analysis of the adverse event data, the clinical application and the quality control, in order to make a push on the information management of the nursing adverse events.

With the development of hospital nursing informatization, the structured intelligent platform integrating quality control and data integration was developed, connecting clinical nursing and nursing management. Based on this, nursing performance management model was changed, and key performance indicators focused on nursing quality were developed. The organic integration of nursing quality and performance management improved the patients' satisfaction and enhanced nurses' professional happiness.

Objective: To establish an informatized nursing quality management model and explore its application effects. Methods: The 360-Degree Information-Based Management Mode was established from the following aspects, quantifying the problems in quality of care by expert consultations and risk priority numbers (RPN, Risk Priority Number), refining sensitive indicators of nursing quality, and reforming the traditional single-item and periodic inspection of quality. Results: Total 74 nursing quality problems were found, and 37 sensitive indexes of nursing quality were extracted in the process of this model. Compared with the traditional single-item and regular nursing quality management modes, the nurses participation rate in the first-level quality control increased by 37.9%, the time of nurses spent in one to three level quality control was reduced by 126.095, 142.950, 169.359 hours respectively (P<0.001) in this mode. Conclusions: The 360-Degree Information-Based Management Mode is a standardized and normalized quality management mode. It is the specific practice of TQM theory in nursing quality management, and it is benefit for the improvement of overall nursing quality.

Objective: To implement Hospital Information System (HIS) based on HIMSS EMRAM 7 (level 7 of Electronic Medical Records Adoption Model, from Hospital Information and Management System Society) in nursing care of patients undergoing operation. Methods: The information system was developed around the process of surgical patients' information sharing, handover, medication, blood transfusion, pathological specimen handover, sterilization package trace ability, medical waste management and others. Results: The application of the new HIS system realized the high sharing of surgical and nursing information, achieved paperless and seamless process management, improved patient safety and reduced the operating cost of departments. Conclusion: The application of operating room HIS under HIMSS EMRAM 7 evaluation standard can improve the level of patients' safety and care quality management, reduce cost input and improve work efficiency.

Objective: To analyze the effect of medical-care integrated "cloud ward" management on improving the quality of PICC catheter maintenance and self-management ability of breast cancer patients in intermittent chemotherapy. Methods: 160 breast cancer patients receiving postoperative chemotherapy in Tianjin Medical University Cancer Hospital from November 2016 to June 2017 were recruited by convenience, and the samples were randomly divided into experimental group (with medical-care integrated "cloud ward" management of PICC in intermittent chemotherapy) and control group (only with routine telephone follow-up). The PICC catheter self-management ability and the rates of catheter complications of the two groups were compared before intervention and 6 months later. Results: The rate of catheter infection, mechanical phlebitis, catheter herniation and unplanned extubation in the experimental group was significantly lower than that in the control group (P<0.05). The total score and the scores of each dimension with PICC catheter self-management ability in the experimental group were higher than those in the control group (P<0.05). Conclusion: The medical-care integrated "cloud ward" management model was beneficial to improve the quality of PICC catheter maintenance and the patients, self-management ability, and it is worth further promotion and application.

Objective: To analyze the demographic trends of receiving remote care for people in a medical center in recent years, as a reference for the future development of medical institutions. As a result, adopting remote care for the prevention and control of cardiovascular diseases has become a trend, and people's need for such healthcare options has increased. Methods: This study collected data from 1 621 remote care cases monitored by a medical center in Taiwan between July 2013 and May 2018. Results: Most of the case patients were female (n=1 019) and had an average age of 71.0±24.7 years. In addition, most were patients who had undergone a single treatment after community-based screening (69.1%), followed by those who had undergone treatment for <1 year. The average duration of case management was 4.2 months. Most patients had received diagnosis for cardiovascular diseases (n=394; 45%), followed by hypertension (n=308; 35%). Physician interpretation of electrocardiogram readings revealed that the conditions of most of the case patients were diagnosed as normal cardiac rhythm (n=1 315; 71.5%), followed by atrial fibrillation (n=133; 7.2%). The medical center made 1 378 reassurance phone calls (24.1%) to the patients with abnormal values detected and 3 787 regular reassurance phone calls (65.9%) to all patients. Conclusions: The study results determined that remote care effectively assist in identifying patients with sporadic atrial fibrillation for early treatment. Moreover, although reassurance phone calls increase the number of clinical visits by patients, they can also reduce the number of hospital admissions as well as hospital admission risks, thereby yielding economic benefits. This study recommends that the scope of health insurance benefits be extended to remote care to enhance the continuity and quality of care.

Objective: To understand the experience of women undergoing abortion with fetal abnormality, establish cognitive response model, and provide baseline data for healthcare and intervention. Methods: A total of 41 interviews were collected before termination, 6 days, 1 month and 3 months after termination. Grounded theory was used for data collection and analysis. Results: A cognitive response model of women with fetal abnormality was established. Four phases (Denial phase, Rechecking phase, Decision-making phase, Recovering phase) were included. Conclusion: This cognitive response model described the cognition, emotion and behavior response of women undergoing abortion with fetal abnormality. It is expected to provide information of healthcare and intervention for women with fatal abnormality in the future.

Objective: To evaluate the effect of Motivational Interviewing on the functional training in postoperative patients with the anterior cruciate ligament reconstruction. Methods: Totally 106 patients with the anterior cruciate ligament reconstruction surgery, who were treated by the same doctor, were divided into two groups. The patients in the control group received the routine functional training education intervention of the anterior cruciate ligament reconstruction surgery; while patients in the experimental group received 4 times motivational Interviewing intervention. GSES, the knee evaluation scale of Lysholm and the functional training compliance were measured before and after intervention at three moments: three days, a week, and one month after the surgery. Results: There were no significant different between two groups in the scores of GSES, the Lysholm score of knee and the functional training compliance after the surgery at 3 days (P>0.05). The GSES and the functional training compliance of the experimental group was improved significantly than that of control group after the surgery at 7 days (P<0.05). The GSES, the Lysholm score of knee and the functional training compliance of the patients of experimental group were significantly improved than those of control group after the surgery at 1 month (P<0.05). Conclusion: Compared to routine education,the motivational Interviewing may improve the GSES, the Lysholm score of knee and the functional training compliance in postoperative patients with the anterior cruciate ligament reconstruction more effectively.

Objective: To translate the Academic Support in the Practicum Scale (EAPAP) into Chinese and evaluate its reliability and validity. Methods: After obtaining authorization from the original authors, the standard procedures of double-back translation and cross-cultural adaptation were conducted. The reliability and validity of the Chinese version of EAPAP were tested in 253 nursing students. Results: The Chinese version of EAPAP included 23 items and factor analysis extracted four common factors, which explained 83.094% of the total variance. Cronbach's α coefficient was 0.958, and Cronbach's α for four dimensions ranged from 0.924 to 0.981. The split-half coefficient was 0.960 (P<0.001). Spearman-Brown coefficients between four dimensions and scale varied from 0.728 to 0.858. Spearman-Brown coefficients of 4 dimensions varied from 0.378 to 0.662. Item-Content Validity Index (I-CVI) ranged from 0.800 to 1.000 and Scale-Content Validity Index (S-CVI) was 0.950. Conclusions: The Chinese version of EAPAP is suggested to be valid and reliable and can be used among Chinese nursing students.

Objective: To investigate the knowledge, attitude, and practice of nurses at geriatric units toward advanced care planning, and analyze the corresponding influencing factors. Methods: 191 nurses working in geriatric wards of 5 tertiary hospitals and a geriatric specialized hospital were investigated by a self-designed questionnaire. Results: The average accuracy of nurses' knowledge about advanced care planning was 84.0%, and those who had experienced bereavement and received related training shown better knowledge (P<0.05). The average score of respondents' attitude toward advanced care planning was (4.16±0.56). The attitudes of those nurses with higher professional titles and nurses who took care of the dying patients were more active (P<0.05). The average score of behaviors of respondents was (2.73±0.90). And nurses who worked in geriatric wards being geriatric specialty training bases and nurses who had received relevant training scored higher in their behaviors. Conclusion: Nurses working in the geriatric wards have a relatively good master of the advanced care planning knowledge, for which, however, further improvement remains necessary. Positive as nurses' attitudes are,fewer advanced care planning behaviors are carried out in their practical work.

Objective: To investigate the leadership status of the nurse managers among the secondary and tertiary hospitals in Zhejiang province. Methods: The Nurse Managers' Leadership Assessment Questionnaire (NMLAQ) was performed. Totally 2 226 nurse managers from 11 regions of Zhejiang province were investigated. Results: The total score of NMLAQ was 186.12±35.90. The highest score among the dimensions was the decisiveness (4.33±0.82), while the lowest score was prospective (4.09±0.95). There was no significant difference of the total score of NMLAQ between the different demographic characteristics (P>0.05), but there were significant differences in the prospective dimension among nurses' marriage status, professional title, departments and length of service (P<0.05) respectively. Conclusion: The nursing department can provide various training programs to prospective nursing managers to improve their leadership capabilities.

Objective: To describe the professional quality of life and the perceived organizational support among critical care nurses, and to explore the relationship between them. Methods: Totally 317 nurses in five tertiary grade A hospitals in Qingdao were included. The professional quality of life scale the perceived organizational support scale and a self-designed demographic questionnaire were used for data collection. Results: The original score of compassion satisfaction, burnout, secondary traumatic stress were 31.21±5.62, 25.87±4.90 and 25.50±4.97 respectively. The score of emotional support was 3.12±0.75, and the score of instrument support was 3.53±0.73. The compassion satisfaction was positively related with the perceived organizational support. The burnout and secondary traumatic stress were negatively related with the perceived organizational support respectively. Conclusions: The perceived organizational support has significant influence on nurses' professional quality of life. To enhance the organizational support of nurses will benefit the professional quality of life, the stability of nursing team and the quality of nursing care.

Objective: To analyze the mediating and moderating effects of mindfulness between occupational stress and life satisfaction in psychiatric nurses based on structural equation. Methods: A total of 216 psychiatric nurses were investigated with the mindfulness scale, the occupational stress scale of nurses and the life satisfaction scale. Results: The mean score of mindfulness, occupational stress and life satisfaction were 65.26±5.80, 68.57±12.12, and 22.38±4.30 respectively. The mindfulness was negatively correlated with the occupation pressure (r=-0.427, P<0.01), and it was positively correlated with life satisfaction (r=0.554, P<0.01). The occupation stress and life satisfaction were negatively correlated (r=-0.556, P<0.01). The mindfulness plays a partial mediating role between occupation stress and life satisfaction, the mediating effect was -0.15, and it's 25% of the total effects. The mindfulness plays a moderating role between the occupation and life satisfaction (ΔR2=0.013, P<0.05). Conclusions: It's need to pay attention to the relationship of occupational stress and life satisfaction in psychiatric nurses. Affective measures to reduce occupational stress and to improve mindfulness will be benefit to improve life satisfaction in psychiatric nurses.

Objective: To investigate the status and influencing factors of nurses' job satisfaction in provincial hospitals in Zhejiang province. Methods: The self-designed questionnaire was used to investigate 1 210 nurses from 16 tertiary grade A provincial hospitals. The influencing factors of nurses' job satisfaction were analyzed by non-conditional Logistic regression. Results: The average score of nurses' job satisfaction was 4.15±0.61, the working atmosphere and employee relationship dimension scored the highest, and the job content and performance evaluation dimension scored the lowest. Analysis of influence factors found that women had higher satisfaction than men. The longer working years, the higher satisfaction level. The formal nurses had higher satisfaction than the contract nurses. Nurses working in the hospital of traditional Chinese medicine had higher job satisfaction than nurses from other types of hospital. Conclusion: The nurses' job satisfaction in Zhejiang provincial hospitals was at a high level. Nurse management department should pay more attention to young, short working years, low professional titles, and contract nurses, and improve nurses' remuneration and job satisfaction.

Objective: To establish a secondary storeroom management system for medical low-value consumables overflow warehouse, and to evaluate its application effect. Methods: We analyzed the status and causes of overflow of medical low-value consumables and set up standardized secondary storeroom management system and compare the overflow rate. Results: After the secondary storeroom management of the medical low-value consumables, the overflow rate of insulin syringes, 5 mL syringes, 20 mL syringes and blood glucose test strips decreased significantly. The absolute values of 1 mL syringes, 2 mL syringes, 10 mL syringes, insulin needles, precision infusion sets, blood gas suits, insulin pump consumables, transparent dressing, and disposable nasal catheterization were all decreased, and the differences were statistically significant (P<0.05). Conclusion: The secondary storeroom management of the medical low-value consumables overflow warehouse could effectively save medical resources, improve the management quality of the consumables of the departments, and reduce the burden of medical expenses.

Objective: Standard emergency nursing procedures were employed to standardize pediatric nurses' emergency care behaviors and improve their rescue quality for the sake of guaranteeing safety of children. Methods: Totally 402 children admitted to the Pediatric Emergency Department of the hospital during July to December in 2016 were recruited into the control group, and another 396 children admitted to the department from January to June in 2017 were recruited into the observation group. Children in the control group were given traditional emergency care, while children in the observation group received emergency care based on standard emergency nursing procedures with continuous quality control. Indicators including rescue room retention rate, rate of delayed medical advice execution, accuracy rate of treatment and incidence of adverse events were compared between the two groups. Results: The observation group had less rescue room retention, less delayed execution of medical advice and less adverse events compared to the control group (P<0.05), and the accuracy rate of treatment was higher (P<0.05). Conclusion: It's useful to standardize pediatric nurses' emergency care behaviors to improve emergency nursing by adopting standard emergency nursing procedures, which is worth application and popularization.

Objective: To explore the effect of hospital-community-family nursing intervention on cognitive function, ADL and depressive mood among patients with Mild Cognitive Impairment. Methods: Totally 116 patients with Mild Cognitive Impairment were recruited and intervened using before-after self-controlled methods. Each patient received hospital-community-family intervention besides routine nursing and drug treatment, and the cognitive score, ADL and depression score of patients before and after intervention were compared. Results: The scores of MoCA and MMSE in patients with Mild Cognitive Impairment were significantly higher after the hospital-community-family intervention and ADL and depression scores were both improved. Conclusion: The nursing intervention of hospital-community-family interface interaction has a significant and good effect on cognition, ADL and depression among patients with Mild Cognitive Impairment.

Objective: To investigate the effect of continuous nursing based on 'Internet plus' in patients with coronary artery disease after coronary stent implantation. Methods: Totally 104 patients with coronary artery disease after the first coronary stent implantation were included, and they were randomly divided into the intervention group (n=52) and the control group (n=52) by a random number table. The control group were treated with traditional nursing, and the intervention group were treated with continuous nursing combined with 'Internet plus' besides traditional nursing. The compliance of rehabilitation and medication, the knowledge of disease were observed after 1 month, 3 months and 6 months respectively. Results: The patients followed on time in the intervention group after 1 month, 3 months and 6 months were 42, 37, and 39, while the patients in the control group were 33, 26, and 24 (P<0.05). The score of medication compliance in the intervention group at dischage, after 1 month, 3 months and 6 months were 4.15±0.89, 6.12±0.84, 6.21±0.89, and 6.49±0.80, while the score of the control group were 4.19±0.87, 5.52±0.75, 5.73±0.77, and 5.77±0.73 (P<0.05). The score of disease knowledge in the intervention group on admission, after 1 month, 3 months and 6 months were 64.85±5.41, 70.91±7.53, 80.75±5.83, and 88.87±6.17, while the score in the control group were 64.37±6.22, 69.11±7.28, 70.39±5.50, and 71.41±5.70 (P<0.05). Conclusions: The continuous nursing based on 'Internet plus' is benefit for the rehabilitation of patients with coronary artery disease after coronary stent implantation.

Objective: To offer an elective course in Nursing Innovation Practice at a university and explore its effect on students' ability of innovation. Methods: Totally, 64 undergraduate nursing students from 5-year program enrolled in 2017 was asked to choose Nursing Innovation Practice course voluntarily. Those voluntary students were divided into different groups and required to take a online questionnaire survey after the 12-hours course ended. Results: Overall, 98.4% students were willing to innovate in future work and study, and 98.4% students were satisfied with the assessment methods; 95.3% students thought that it was necessary to open this course; 95.3% students were interested in the content of this course; 95.3% students were satisfied with teaching methods; and 92.2% students thought it was important for the nursing work. Furthermore, three innovations by students have been recognized by experts in the Chinese National Patent Office. Conclusion: The elective course could reform the nursing practice teaching. The course can not only cultivate students' innovation spirit and ability, but also can improve students' cooperation ability.

Objective: To optimize the intra-hospital transportation process of critical patients in ICU, reduce the incidence of adverse events and improve the safety. Methods: Before the optimization of the process, the patients were evaluated and items were prepared according to the experience of doctors and nurses. Application" the ICU transferc decision checklist", the first part is the risk assessment of critical patients. The second part is the self-designed pre-transfer checklist, which mainly includes patient preparation, goods preparation, personnel preparation, relevant department confirmation and medical observation record sheet. Results: Before the optimization of the process, six adverse events occurred before the transportation decision-making checklists. The incidence was 15.0%, including 2 cases of condition changing events, 1 case of falls, 1 case of instrument and equipment failure, 1 cases of insufficient oxygen supply in the oxygen bottle and 1 cases of insufficient power of the micro pump. The rate of transferring with complete first-aid kits achieved 93.0%. After the optimization, 3 cases of adverse events occurred during intra-hospital transportation of critically ill patients, whose incidence was 6.7%, including 1 cases of condition changing events, 1 cases of instrument failure and 1 cases of insufficient oxygen supply in the oxygen bottle. The rate of transferring with complete first-aid kits achieved 98.0%. Conclusion: Optimization the intra-hospital transportation process of critically ill patients can help reduce the incidence of adverse events and improve safety of critically ill patients.

Objective: To study the risk of intra-hospital transport in emergency patients and its related factors. Methods: A total of 1 025 adult patients admitted to the emergency room from April 2017 to May 2017 were enrolled. We recorded patients' diagnosis, vasoactive medication use, mechanical ventilation status, transit time, and specialty destinations. Meanwhile, we observed the changes of vital signs and consciousness before and after transport. NEWS risk level increased or single item score increased to 3 points after transport was defined as the criteria of patients' condition change, then we stratified the transport risk for all patients. Results: There were 15.0% of patients who experienced changes in the conditions severity after transport. Changes in respiration and oxygen saturation were obvious. Patients transferring to ICU have higher risk of condition change than others. Those with respiratory disorders and multiple organ failure had the highest risk of transports. The transport risks in patients with one and two kinds of vasoactive drugs were 1.587 times and 4.343 times of that in patients without vasoactive drugs. Conclusion: Transport risk does exist in the emergency patients' transit, in which the respiration and oxygen saturation are most likely to change. The severity of the disease, the use of vasoactive drugs and the type of disease are closely related to the risk of transit in emergency patients.

This paper summarized research progress on discharge readiness assessment tools, including the general scales and specific scales. The development, structure and research of several scales, were reviewed in this paper. It could provide reference for us to develop more suitable local discharge readiness assessment tools.

Objective: To investigate the level and related factors of mother's care needs in NICU. Methods: A total of 110 mothers from the NICU in a level 3 hospital in Zunyi city were investigated with general information questionnaire and Chinese version of NICU-FNI. Results: The mean score of mother's needs was 107.30±8.03, and it was at a moderate level. Multiple linear regression analysis showed that the fertilization way, whether with regular birth inspection, age of admission, the diagnosis, and the severity of disease of children were the main related factors of the mother's needs (P<0.05). Conclusions: The mother's needs were generally at a moderate level, and the specific needs changed depending on the delivery process and the health of the children. Assessing the needs of mothers objectively, and providing individualized nursing care are important to improve the supports of mothers to the children's treatment, and to improve the family-centered care service model for children in NICU.

Objective: To investigate and analysis the current maternal hospital discharge readiness and its influencing factors in hospitals in Hunan province, in order to improve maternal discharge readiness. Methods: Three hundred and ninety maternity patients were investigated with a general questionnaire and a discharge readiness questionnaire. Results: The total score of readiness was (155.87±28.05). Multiple linear regression analysis results showed that studied in pregnant women school, received health education by nurses in hospital, plenty of maternal milk, and healthy baby were main influencing factors (P<0.05), which could explain 51.5% variation of the maternal hospital discharge readiness. Conclusion: The maternal discharge readiness in Hunan province was at a high level. But maternity patients' knowledge of disease and perception of their own health conditions were not ideal. Nurses should pay attention to these influencing factors and take relevant measures, in order to further improve the maternal hospital discharge readiness.

This article summarized the current status and the process of breast milk sharing and factors related to breast milk donation. It is expected to provide information for the development of the breast milk donation programs.

In order to improve the rescue success rate of sepsis and septic shock patients, we established Sepsis Rapid Response Team (SRRT) in 2015. The sepsis early warning standard, responsibility of SRRT, emergency rescue process were formulated at the same time. From January 2016 to December 2017, a total of 247 rescuing patients with sepsis and septic shock were included. After the SRRT's work, the compliance of sepsis cluster treatment in the golden 3 hours increased from 33.3% to 100.0%, the rescue success rate increased from 90.7% to 99.2%, and the 28 days survival rate of patients with sepsis increased from 71.3% to 77.3%. In conclusion, the SRRT is important to the rescue the sepsis and septic shock patients.

This article is a review of cancer symptom clusters, including the relevant concepts, theoretical basis, identification methods, as well as the deficiencies and prospects of the methods, proposing that nursing managers and researchers in China are supposed to explore and discover cancer symptom clusters with clinical census through mature theory as the basis and using scientific identification methods and to promote management of cancer symptoms in future clinical practice so as to truly relieve the symptom burden of cancer patients.

Objective: To investigate the status of patients' readiness for hospital discharge after lumbar spine surgery and to explore its influencing factors. Methods: A total of 210 patients after lumbar surgery were investigated by the Readiness for Hospital Discharge Scale (RHDS) and the Quality of Discharge Teaching Scale (QDTS). Results: The total score of RHDS was 92.54±11.23, The average scores of each dimension of RHDS from high to low order were expected support, personal status and coping ability after discharge. The multiple linear regression analysis revealed that the quality of discharge guidance, gender, cause of discharge, complication, and lower limb muscle strength were influencing factors of readiness for hospital discharge. Conclusion: The level of discharge preparation of patients after lumbar surgery needs improvement. Health care staff should provide specific interventions according to patients' needs, and develop a detailed rehabilitation plan and a diversified follow-up model, in order to improve the readiness for hospital discharge and promote patients' rehabilitation.

The Netherlands has a perfect elderly care security system and innovative elderly care institution, such as the "Life Apartment". The life apartment has four core advanced concepts which are the culture of "YES" "use it or lose it" "family", and "be your own master". The four concepts of life apartment achieved the breakthrough of the pension culture, and created "happy paradise" for the elderly. Suggestions are puts forward finally on the basis of the characteristics of life apartment in Netherlands, combined with the current status of the pension market in China.

The development of overseas pre-anesthesia assessment clinics has been more perfect, especially nurses' participation in pre-anesthesia assessment, which provides safer and better perioperative service for operation. This paper introduced the way of setting up the pre-anesthesia assessment clinics, and explored the role of nurses in these clinics. Combined with the current situation of pre-anesthesia assessment in China, we provide some suggestions about that Chinese nurses take part in pre-anesthesia assessment in the future.

The social participation level is related with the quality of life of the elderly in community. Currently, most relevant studies mainly focused on the connotation and its influencing factors of social participation, and some studies are about the types of activities and their effects on the elderly. This paper mainly summarizes the concept of social participation, the social participation and its influencing factors of the elderly in community at home and abroad.