Objective: To investigate the effect of standard precautions on Multidrug-Resistant Organism (MDRO) infection in clinical setting. Methods: By analyzing the effects of hand hygiene, isolation measures, cleaning and disinfecting environmental surfaces and equipment on the prevention and control of MDRO infection in patients, summarize the effect of standard precautions on MDRO infection in clinical prevention and control. Results: Hand hygiene is an important means to prevent and control MDRO infection. The proper use of protective equipment can reduce the incidence of MDRO infection. The cleaning and disinfection of environmental objects and medical equipment can effectively cut off the MDRO transmission between patients. Conclusion: Standard precautions can effectively prevent and control MDRO infection, and will play an increasingly important role as healthcare infection prevention and control work deepens.

The prevalence of Multidrug-Resistant Organism (MDRO) brings a severe challenge to medical quality and patient safety. The core measures to prevent and control the spread of MDROs include contact precaution and antibiotic stewardship, in which nurses play an important role. Nursing staff is an important practitioner of infection prevention and control. Nursing staff can effectively reduce MDRO infection and cololnization by implement MDROs prevention and control best practices. Focusing on catheter care, precontact isolation measures, proactive screening, and evidence-based best practice care can further reduce catheter-related infections and effectively reduce MDRO infection and cololnization. In this case, nursing administrators should guide and support nursing staff to give full play to their unique role in prevention and control of MDROs, implement MDRO infection prevention and control measures, actively participate in antibiotic stewardship, implement continuous monitoring to comply with the compliance, evaluation MDRO prevention and control effects, and explore effective strategies to prevent and control MDROs in China.

Multidrug-Resistant Organism (MRDO) is one of the major challenges in the prevention and control of hospital infections in China. Although some MDROs are gradually decreasing, Gram-negative bacilli resistant to key antimicrobial agents such as carbapenem are still rising. In particular, carbapenem-resistant Klebsiella pneumoniae is rapidly increasing in clinical settings. MDROs can cause various infections. Difficulties in treatment often lead to increased patient mortality, prolonged hospital stays, and increased medical costs, posing a major threat to medical safety and public health, and consuming large amounts of medical and social resources. Since the cause of MDROs generation and dissemination has not been removed, MDROs will continue to be a major medical and prevention challenge in the foreseeable future. In addition to the current common Gram-negative bacteria, multi-drug resistant Mycobacterium tuberculosis and fungi such as Candida spp. have the potential to become major public health threats in the future. To tackle MDRO effectively, it is necessary to carry out early identification, joint prevention and control between medical institutions, promotion of non-contact environmental/objective disinfection measures, emphasis on hospital design and re-examination of antimicrobial management. Despite the difficulties, as long as the awareness is raised and the hospital infection prevention and control measures are implemented in parallel, the MDRO infection is generally controllable and preventable.

With the increasing of antibiotics, drug resistance of organism is increasing, the emergence of Multidrug-Resistant Organism (MDRO) has greatly increased the difficulty of clinical treatment of infections and prevention and control of Health-care Associated Infection (HAI). Now the international community has focused on slowing down the development of MDRO and preventing the dissemination and MDRO is a serious challenge for clinical staff and management departments. The government and health administration think highly of the prevention and control of MDRO. Since 2004, more than 20 documents, guidelines and regulations on the management of antimicrobial agents and the prevention and control of MDRO have been issued on the national level, which make specific requirements for the prevention and control of MDRO. Implementing interventions to prevent MDRO is the key to cut off the transmission and prevent the spread in hospitals. Clinical staffs should strictly implement the relevant prevention and control measures with a high sense of responsibility in their daily work.

Objective: To explore the clinical model strategy of multidisciplinary collaborative antimicrobial management. Methods: According to the laws and regulations related to antibacterial drugs, establish and improve the hospital management system, and implement relevant responsibilities at various levels, and improve the management of antimicrobial agents. Results: The utilization rate of antimicrobial agents in hospitalized patients decreased from 41.31% in 2011 to 29.50% in 2018. The detection rate of multi-drug resistant bacteria decreased from 57.46% in 2017 to 54.55% in 2018. The per capita cost of antibacterial drugs has been decreased from 2,398 yuan/inpatient in 2011 to 984.77 yuan/inpatient in 2018, which has greatly reduced the burden of medical treatment of people. Conclusion: The multi-disciplinary collaborative antimicrobial management model can provide effective protection for improving medical quality, ensuring drug safety, reducing drug costs and reducing bacterial resistance.

Objective: To investigate and control the aggregation of Carbapenem-Resistant Klebsiella Pneumoniae (CRKP) infection in a certain ICU, and provide reference for prevention and control of multi-drug resistant organisms infection. Methods: Molecular epidemiological investigation was conducted on 4 cases of clustering of CRKP infections from February 1 to March 31, 2018. Environmental microorganisms were tested to find CRKP in the environment. Rep-PCR typing technique was used to analyze the homology between patients and environmental isolates. Comprehensive control measures were taken to analyze the control effect. Results: The four cases of CRKP infection, including 2 cases of nosocomial infection, and the infection rate was 4.07‰, higher than the same period of 2017, although the difference was not statistically significant (P=0.232). The nosocomial infection rate of CRKP reached the highest level in years, and there was a tendency of aggregation. Rep-PCR homology analysis showed that CRKP isolated from patient A, B, C and bedrail of patient B was the same genotype, and patient D was of other genotypes. Patient A was a community infection, and patient B and C were nosocomial infections, indicating that CRKP has transmitted within the ICU. After taking comprehensive control measures, no cases of secondary infection occurred, which was statistically different from that before the intervention (P=0.021). Conclusion: Molecular epidemiological investigations can identify the source and high risk of infection. In-situ clinical investigation and observation can help to identify the risk of infection. The effective implementation of measures is the key to prevent infection and aggregation.

Objective: To systematically review the falls risk tools for hospitalized elderly patients. Method: The English electronic databases Embase, PsycINFO, CINAHL Complete, ScienceDirect, Wiley Online Library, Web of science, and the Chinese databases CNKI and WANFANG were searched. Two reviewers independently screened the literatures, extracted data, and assessed methodological quality of all included studies. MetaDiSc 1.4 was used for Meta-analysis. Results: Fourteen studies were identified, eight studies were about STRATIFY (St Thomas's Risk Assessment Tool in Falling Elderly Inpatients), and three studies were combined. The pooled sensitivity was 0.81 (95% CI : 0.77-0.85), heterogeneity was 93.5% (χ2=30.8, P<0.001), pooled specificity was 0.65 (95% CI : 0.63-0.67), and heterogeneity was 98.0% (χ2=98.73, P<0.001). There were 5 studies about HIIFRM (The Hendrich Fall Risk Model II), and three of them were combined. The pooled sensitivity was 0.84 (95% CI?: 0.77-0.89), heterogeneity was 70.3% (χ2=10.10, P=0.018), pooled specificity was 0.44 (95% CI?: 0.42-0.47), and heterogeneity was 95.2% (χ2=62.68, P<0.001). There was one study about CS (Conley Scale), the sensitivity was 0.77, and specificity was 0.49. There was one study about VIC-FRAT (Victoria Falls Risk Assessment), the sensitivity was 0.76, and specificity was 0.60. There was one study about MFS (Morse Fall Scale), the sensitivity was 0.32, and specificity was 0.82. Conclusions: The specificity of STRATIFY is better than HIIFRM, and the sensitivity of HIIFRM is better than STRATIFY in assessing the fall risk of hospitalized elderly patients, and STRATIFY is suitable for more clinical departments.

Objective: To investigate the characteristics of intraoperative Pressure Injury among children undergoing liver transplantation and to analyze its influencing factors, so as to provide basis for preventing intraoperative Pressure Injury in liver transplantation. Methods: The relevant data of children undergoing liver transplantation were collected in one children's hospital in Chongqing from 2007 to 2018. Demographic data, intraoperative Pressure Injury information and possible influencing factors were collected and analyzed. Results: A total of 101 children undergoing liver transplantation were recruited, and 20 children developed intraoperative Pressure Injury with an incidence of 19.8%. Intraoperative Pressure Injury was mostly occurred in the head and face (67.8%), and the stage of pressure ulcer was mainly stage 1 (85.7%). Logistic regression analysis indicated that Braden Q score, albumin, hypothermia in non-hepatic stage were the influencing factors of Pressure Injury among children undergoing liver transplantation. Conclusion: Children undergoing liver transplantation were at high risk of intraoperative Pressure Injury. We should pay attention to the Braden Q score and albumin before surgery, and supervise the vital signs of children to find out whether hypotension or hypothermia occurred in an hepatic phase or reperfusion phase,so as to effectively prevent intraoperative Pressure Injury and enhance the quality of nursing.

Objective: To investigate the level and influencing factors of fear-avoidance belief in ICU nurses with Occupational Low Back Pain (OLBP). Methods: A total of 351 ICU nurses with OLBP from twenty-six hospitals including tertiary hospitals and secondary hospitals in Fujian provinces were enrolled and investigated using the Chinese version of the Fear-Avoidance Beliefs Questionnaire. Results: The median of the OLBP courses of the subjects was four years, and pain score was (4.58±2.36). The pain onset frequency as accidental, frequent and persistent were 51.6%, 37.6%, 10.8%, respectively. The mean score of fear avoidance belief was (69.47±21.36). Age, hospital grade, personality type, professional title level and working years were the main factors influencing the scores of fear-avoidance beliefs of ICU nurses with OLBP (P<0.05), which explained 85.4% of the variation. Conclusion: The frequency of pain, the degree of pain and the level of fear-avoidance belief in ICU nurses with OLBP are relatively high. It calls for paying attention to the level of fear-avoidance belief. The nurses are encouraged to explore positive intervention strategies, reduce their negative emotional experience, and improve their quality of life.

Objective: To analyze the effect of intervention based on transtheoretical model for home enteral nutrition through gastrointestinal intubation in patients with Crohn's Disease. Methods: Totally 136 patients with Crohn's Disease were divided into control group (68 cases) and intervention group (68 cases) by convenience sampling method. The control group was given traditional education, while the intervention group was given home enteral nutrition intervention based on transtheoretical model. Compared the compliance of enteral nutrition, quality of life, self-efficacy and clinical nutritional indicators before and after intervention. Results: After 6 months of intervention, the scores of enteral nutrition compliance, quality of life and self-efficacy in the intervention group were higher than those in the control group with statistical significance (P<0.05). BMI, albumin, hemoglobin, upper arm circumference, triceps brachii skin fold thickness in the intervention group were better than those in the control group with statistical significance (P<0.05). Conclusions: Intervention based on transtheoretical model for home enteral nutrition through gastrointestinal intubation in patients with Crohn's Disease can improve patients' enteral nutrition compliance, quality of life, self-efficacy and nutritional status.

Based on the SWOT-PEST matrix, the internal and external environment of the pediatric integrated health care system were comprehensively stated and a plan for the collaborative development of pediatrics nursing resources was designed. By analyzing and summarizing the coordinated development of regional management practice and exploration of our integrated health care system in the past four years, as well as the preliminary achievements obtained, we considered and discussed the existing problems in the development of pediatric integrated health care system to provide references for better development of pediatric integrated health care system and nursing management in other areas.

Relying on chairman unit plat form of the lymphedema professional committee of Hunan Nursing Association, our hospital set up a "Hunan International School of lymphedema therapist" by international cooperation with Lymphoedema Training Academy (LTA) of the UK. Through these 4 aspects (teacher selection, student qualification requirements, theory and practice training, and assessment requirements), we built a relatively complete training system of lymphedema Complex Decongestion Therapy (CDT) nurse. Twenty eight nurses of the first phase have completed the training and evaluation successfully, with high overall satisfaction.

Objective: To design a checklist of Continuous Renal Replacement Therapy (CRRT) treatment parameters for ICU patients and apply it in clinical practice. Methods: Through reviewing the guidelines and literature, combined with the department's situation, the CRRT treatment parameters checklist for ICU patients was designed, and then was applied in the process of setting, adjustment and handover of CRRT treatment parameters. And the condition of operation and communication among medical staff were compared before and after the use of the checklist. Results: The checklist of CRRT treatment parameters for ICU patients reduced the operation time of nurses and improved the accuracy of parameter execution, improved the satisfaction of communication among medical staff during the implementation of CRRT treatment parameters, and increased the willingness of medical staff to use the checklist in different time periods. Conclusion: The checklist of CRRT treatment parameters for ICU patients in the process of setting, adjustment and handover of CRRT treatment parameters is helpful to the standardization of CRRT treatment process, so as to improve the working efficiency and quality of nursing work, facilitate the handover process and verification of CRRT treatment parameters , promote the cooperation among medical staff and thus ensure the safety of patients.

Aiming at the violence of psychotic patients and the current situation of domestic medical staff coping with violence, this paper elaborated the research progress of three kinds of de-escalation technology models dealing with violence in foreign countries through the analysis of relevant literature. This article provided references for domestic research on violence de-escalation technology and evidence-based support for clinical work.

Objective: To investigate the nurses' perception of patient safety culture in central and western China and its influencing factors. Methods: A convenient sampling method was adopted to select 3996 nurses from 6 general hospitals in 3 provinces in central and western China. The survey was conducted by using the Hospital Patient Safety Culture Questionnaire developed by the US Healthcare Research and Quality Organization. Results: The overall positive rate of the Hospital Patient Safety Culture Questionnaire was 66.6%. The positive rate of each dimension was 39.4%-86.2%. The positive rate of patient safety grade was 79.8%, and the reporting rate of adverse events within one year was 30.0%. Supervisor/Manager Expectations and Actions Promoting Patient Safety, Management Support for Patient Safety, Staffing, Organizational Learning and Continuous Improvement, Non-punitive Response to Error and other factors could influence the nurses' overall perception of patient safety, which could explain 51.2% variation of nurses' overall perception of patient safety. Conclusion: The perception of nurses' patient safety culture is at a medium level, which is affected by many factors. Nursing managers should pay attention to non-punitive response to error, staffing configuration, improvement of incidents reporting frequency, objectively understanding of the influence of patient safety culture on nurses' perception, and continuous improvement of nursing management to promote patient safety.

Objective: To investigate the artificial airway stability in interhospital referral patients, and to analyze its influencing factors, so as to provide reference for the management of artificial airway in patients with hospital referral. Methods: A self-designed questionnaire was used to investigate the information of 183 patients with artificial airway who was transferred to the emergency department of our hospital from March 2015 to March 2018. Univariate analysis and multiple regression analysis were used to analyze the influencing factors of artificial airway stability in hospital referral patients. Results: Totally 31 patients (16.9%) occurred artificial airway catheter displacement. Multivariate logistic regression analysis showed that patient with consciousness, the catheter size smaller than that of the patient, and the trachea catheter was fixed only with tie-wraps or tape, the use of simple stretcher were influential factors of artificial airway stability in patients with hospital referral (P<0.05). Conclusion: Some patients occur artificial airway catheter displacement during hospital referral. Hospital referral medical staff should understand the influencing factors of artificial airway stability and take targeted measures to improve the safety of patients with artificial airway referral.

Objective: To analyze the effects of whole-process risk assessment and early warning intervention in the prevention management of patients' loss in psychiatric departments. Methods: In 2017, the missing risk early warning assessment record form was used for inpatients' loss risk assessment, and the specific patients loss prevention management strategy in the psychiatric department was employed, including risk assessment in the whole process, early warning interventions, immediate evaluation of intervention effects and monitoring the risk-prone section closely. The incidence of patients' loss in 2017 was compared with that in 2016 when there was no preventive intervention. Results: After the application, the total incidence of psychiatric inpatients' loss was significantly reduced (P<0.01), especial the incidence of loss in the blocking wards was reduced significantly (P<0.05). The nurses' satisfaction with the missing risk early warning assessment record forms was increased significantly (P<0.001). Conclusion: The whole-process risk assessment, the early warning interventions and timely assessment of intervention effects make the risk management coherent, and the interventions effectively reduce the initiative loss of psychiatric inpatients and improve the nurses' working efficiency.

Objective: To explore the lived experience and needs of home rehabilitation among discharged patients after esophageal cancer surgery, so as to provide targeted services for them. Methods: Totally 13 discharged patients after esophageal cancer surgery were recuited by purposive sampling method and interviewed in Shanghai. Content analysis method was used to analyze the data and extract the themes. Results: Three themes were extracted: postoperative disease management, hypersensitivity emotions, and the advantages and disadvantages of social support. Conclusion: We should pay attention to the evaluation of patients' symptoms and psychological state, strengthening the professional support outside the hospital, training follow-up nurse specialists at the same time, providing standardized rehabilitation medical services, so as to improve the effect of surgical treatment and the quality of life among these patients.

Objective: To investigate current status of transitional care for stroke patients among 76 community hospitals in Shanghai, and to provide reference for improving transitional care service. Methods: Totally 76 community hospitals in 14 municipal districts of Shanghai were recruited and the directors of nursing departments were investigated the current status, contents and development factors and inhibitors of transional care for stroke patients in their hospitals. Results: Among 76 community hospitals, 9 hospitals did not carry out transitional care for stroke patients. Among the 67 hospitals with transitional care, only 9 (13.4%) community hospitals indicated that transitional care for stroke patients was well developed with 40 (59.7%) not well developed and 18 (26.9%) poor. Most of the transitional care projects for stroke patients in community hospitals were incomplete. "Blood pressure control instruction", "blood glucose control instruction" and "smoking cessation guidance" were better than other aspects, while "rehabilitation psychological nursing (depression and anxiety)", "health education on risk factors of stroke" and "observation of stroke condition" were poor. Conclusion: At present, transitional care service for stroke patients has been implemented in most community hospitals, but there are some deficiencies in service content, form and management. Community hospitals should further improve the single chronic disease nursing projects, strengthen management, form a standardized nursing quality system and improve the nursing service capacity of primary hospitals under the favorable conditions of regional linkage "hospital-community"and sinking of high-quality resources.

Based on the comparative analysis of the source, structure and content, along with the assessment instrument of domestic and global lists of long-term care insurance service, this paper puts forward some reasonable suggestions on the establishment of long-term care insurance service list in China. It is expected to provide information for the formulation of long-term care insurance policy.

This paper analyzed and summarized the relevant studies of mobile internet technology in the self-management of the obese patients undergoing bariatric surgery, including application methods, effects evaluation and future application strategies, and to provide references for the self-management of obese patients with bariatric surgery in China.

Objective: To understand the incidence and severity of Medical Device Related Pressure Ulcers (MDRPU) in adult patients of Emergency Intensive Care Units (EICU) so as to provide references for the prevention and better nursing of MDRPU. Methods: Adult patients admitted to EICUs of three grade-A hospitals in Beijing from September 2017 to February 2018 were surveyed to collect information on their demographics, diseases, and medical device disposal they received and the way to assess pressure ulcers. Results: The incidence of MDRPU in adult EICU patients mainly occurred in the first stage of pressure score (18 patients, 56.3%) and mostly in the head (34 sites, 82.93%). The initial diagnosis for admission, pressure ulcer risk patients, their respiratory patterns, surgery and the number of medical equipment used on them were the influencing factors of MDRPU. Conclusion: The incidence of MDRPU in adult EICU patients is relatively high. It is recommended that more attention should be attached to MDRPU in the future nursing work and special protection be offered to population with high-risks in order to reduce the suffering of patients, and improve the quality of medical services.

Objective: To investigate the effects of Mindfulness-Based Cognitive Therapy (MBCT) on psychological distress, post-traumatic growth and post-traumatic stress disorder of patients with cervical cancer during chemotherapy after surgery. Methods: Seventy-two patients with cervical cancer undergoing chemotherapy post operation were recruited and randomly divided into two groups: control group (n=34) and observation group (n=31). The control group received routine nursing care, while the observation group received mindfulness-based cognitive therapy aside from routine care. Repeated measurement variance analysis was used before intervention, at the end of intervention and three months after intervention to compare and analyze the difference of psychological distress, post-traumatic growth and post-traumatic stress disorder between the two groups. Results: Significant differences were observed in psychological distress, the time effect of post-traumatic growth and post-traumatic stress disorder scores, the group effect and the interaction of time factors and group factors between the two groups (P<0.05). Conclusion: MBCT could relieve psychological distress and post-traumatic stress disorder of patients with cervical cancer receiving chemotherapy after surgery and improve their post-traumatic growth effectively.

Objective: To evaluate the effect of the EENT health education by specialist nurses. Methods: EENT specialist nurses were selected to build up a nursing volunteer education team. EENT health knowledge was delivered to the residents in the communities among four districts in Shanghai. Totally 556 residents were involved in 14 lectures respectively. The questionnaire survey was conducted before and after the lectures. Results: The total score of the questionnaire was 60. The overall average score of the pre-lecture assessment was 20(10, 36), while the overall average score was 60(45, 60) after the lecture. The residents’ knowledge about EENT was significantly improved after the lectures (P<0.01). Conclusion: The specialist nurses can provide health education to the community residents effectively, which can improve the residents, knowledge about health.

Objective: To investigate the current status of eye operation site identification for ophthalmic patients. Method: A questionnaire survey was conducted. Totally 30 tertiary grade A hospitals from 21 provinces of China were selected by convenient sampling method. Results: Among the 30 hospitals, 29 (96.7%) hospitals had implementation standards for operation identification marking, 21 hospitals (70.0%) chose the marking time on the morning of operation, 29 hospitals (96.7%) required to check the mark twice before surgery, 24 hospitals (80.0%) had the marking site above the eyebrow of the operation eye. There was no uniform logo pattern. 86.7% of the hospitals gave health education to patients about operation site identification. Conclusion: There are no agreed clinical standards for eye operation site identification in ophthalmology department. To improve the patient safety, it is necessary to refine the procedure or criteria on identifying operation sites, and implement the marking and checking process strictly.

This paper reviewed the concept, assessment tools, main prevention methods and practice quality improvement frameworks of ICU (Intensive Care Unit) pediatric delirium. It is expected to provide evidence and reference for the management of ICU pediatric delirium effectively.

Mothers with preterm infants had low rates of exclusive breastfeeding in the early stage. The main reason was delayed onset of lactogenesis. This paper analyzed the related literatures on delayed onset of lactogenesis and influencing factors. The purpose was to explore the relationship between maternal and infant factors, family support, lactation intervention and delayed onset of lactogenesis, and to provide information for medical staff who is in charge of breastfeeding management of mothers with delayed lactation. It is expected to reduce the incidence of delayed onset of lactogenesis, increase the rate of exclusive breastfeeding, and promote maternal and child health.

This paper reviewed the concept, formulation process and clinical application status about the follow-up checklist with relevant literatures at home and abroad, aiming to help medical staff provide better follw-up services for patients with chronic diseases after discharge.

This paper provides a comprehensive review of the literature on the life quality assessing scales for Diabetic Peripheral Neuropathy patients in foreign countries, and to provide references for the development of life quality scale for Diabetic Peripheral Neuropathy patients suitable for Chinese social and culture background.

This article summarizes the non-pharmacological interventions for sarcopenia in the elderly, including exercise interventions, nutritional interventions and sports accompanied by nutrition interventions, in order to improve the quality of life of elderly patients with sarcopenia, and to provide a basis for developing more rationalized, standardized methods of intervention of sarcopenia for the future.

Advanced Directives are about decisions on the end-of-life treatment made by patients when they have the ability to express themselves. It is a respect for patients' medical autonomy and a significant progress in the development of the medical treatment and legal system. Having been made legal and put to practice in countries throughout the world, Advanced Directives are still new to China. Although the concept has been known to several places in China, including Taiwan, Hong Kong and Beijing, problems regarding the confusion about the concept itself and researches mainly focusing on attitudes of doctors, nurses and patients remain to be solved. Besides, legislation about Advanced Directives in China still needs to take a further step, which is of vital importance. In this paper, the concept of Advanced Directives and its development including legislation and medical practice at home and abroad are described and discussed as well as the possible difficulties and problems of it being implemented in China and the feasibility of legislation under present circumstances.

Regulation on the Prevention and Handling of Medical Disputes (the "Regulations") have detailed provisions on the prevention, treatment and legal responsibilities of medical disputes, and have been officially implemented. The Neonatal Intensive Care Unit (NICU) is a high-risk area for medical disputes. This article is based on the NICU nursing work experience and discussed the relevant contents of the Regulations from seven aspects: humanistic care, ethics, notification and communication, standardized management, evidence preservation, illegal liability and rights maintenance. The content was discussed to provide reference for the implementation of the Regulations in the NICU nursing work.

This study elaborated the concept of communication ability between nurses and patients, and introduced the evaluation scale of communication ability between nurses and patients at home and abroad. It provided a strategy for practical evaluation of communication ability of nurses and patients, and provide a more scientific and comprehensive approach for training new nurses in hospitals to evaluate their communication skills. It also can work as a reference for training clinical nurses to improve their communication skills and thus improve the relationship between nurses and patients.

This paper summarizes the application status of Identification Situation Background Assessment Recommendation (ISBAR) communication mode in medical institutions, including the origins, framework, application strategies, advantages of ISBAR communication mode, so as to make it more widely used in nursing and improve the quality of nursing.