Objective: To analyze the effect of prenatal guidance on nutrition, exercise and weight control in the first and second trimester of pregnancy on neonatal outcomes. Methods: A retrospective cohort study method of cluster sampling was used. The parturient women who received regular prenatal examinations and delivered single live births in our hospital were recruited in the study. The observational group were the cases who delivered the baby before October 31th 2019 when nutrition, exercise and weight-control class had changed into the first and second trimester, the control group were the cases who delivered the baby in the same months in 2018 when such classes were held in the second and third trimester. The neonatal outcomes of the two groups were compared. Results: Compared with the control group (5.2%), the observation group (3.6%) had significantly lower incidence of macrosomia (P=0.003). For the pregnant women of advanced maternal age, the observation group (5.2%) had significantly lower incidence (P=0.031) of SGA (small for gestational age infant) than the control group (7.5%). The incidence of preterm newborn in the observation group was higher than the control group, but the difference was not statistically significant after controlling for the age (P=0.073). Conclusion: Nutrition, exercise and weight control education in the first and second trimester could reduce the incidence of birth weight abnormalities in newborns.

Objective: To understand the occurrence of urinary incontinence during pregnancy, to establish an early warning model for urinary incontinence during pregnancy, and to test its effectiveness. Methods: A retrospective survey of 707 primiparas was conducted. The primiparas were asked to complete a questionnaire included demographic information, risk factor evaluated scale and the International Consultation on Incontinence Questionnaire Short Form (ICI-Q-SF). Results:① If the primipara have this condition of without urinary incontinence family history, with stretch marks and constipation, the incidence rate of urinary incontinence patients accounted for 63.2% of the node. And when the primiparas have this condition of without urinary incontinence family history, with stretch marks, no constipation, pre-pregnancy BMI ≤ 23.96, pelvic floor muscle exercise during pregnancy (1-2 times per week), who eat fruit 1-3 days or 4-6 days a week, with abortion history, the incidence rate of urinary incontinence patients accounted for 58.8% of the node.②The importance of risk factors were as follows: constipation, pre-pregnancy BMI level, family history of urinary incontinence, weekly fruit consumption, stretch marks, history of abortion, strength of pelvic floor muscle exercise during pregnancy, physical exercise before pregnancy, pelvic floor muscle exercise before pregnancy, vomiting, education level, daily water intake. ③This model has an accuracy of 76.7%, a sensitivity of 84.8%. The area under the ROC curve was 0.767 (95% CI: 0.719-0.814), P<0.001. The risk of cross-validation was estimated at 29.8%, P<0.001. Conclusion: The early warning model of urinary incontinence in pregnancy based on the decision tree algorithm has more accurate predictive ability. Among the population in the region, the overall forecast accuracy is better.

This article reviews the concept and significance of essential competencies for midwifery practice, as well as the research-based development of International Confederation of Midwives Essential Competencies for Midwifery Practice. Its adaptation and utilization in China is also addressed to promote the human resources construction for midwives and the midwifery sustainable development in China.

Objective: To investigate trainees from 10 standardized midwifery training bases across the country to provide a basis for the midwifery education, training and policies. Methods: A self-designed questionnaire was used to investigate the ability improvement and professional identity of trainees participating in the national standardized training from 2016 to 2019. Results: Through the national midwife standardized training, the trainees have significantly improved their basic ability, midwifery professional ability and comprehensive ability. Their evaluation of the superior leader was consistent with their self-evaluation. The trainees have improved their professional cognition, positive professional emotion, professional will, professional identity and professional development goals. Conclusion: The standardized training of midwives has achieved remarkable results across the country. The knowledge, skills and attitudes of the trainees have been improved in a balanced manner, and high training quality has been obtained.

Objective: To explore the application effects of whole-course health education program in home nursing safety management of patients with laryngeal cancer after artificial airway operation. Methods: Seventy-five patients who met the inclusion criteria from January 2015 to December 2016 were selected as the control group and given routine nursing. Seventy-five patients who met the inclusion criteria from January 2017 to December 2018 were selected as the experimental group, and the health education program was applied. At the same time, the mobile terminal information exchange tool was used for extended management after the patients were discharged from the hospital. Results: The incidence of adverse events of home care in the experimental group was significantly lower than that in the control group within three months after discharge (5.3% vs 33.3%, P<0.05). The results of the questionnaire showed that there was no significant statistical difference between the two groups regarding the demands for discharging guidance content (P>0.05). There were significant differences in the content of discharging guidance the two groups received and the effects and skills of nurses' guidance between the two groups (P<0.01). Conclusion: The whole-course education program, combined with the use of mobile terminal information exchange tools, can effectively reduce the incidence of adverse events in home care of patients with laryngeal cancer after artificial airway surgery, ensure patient safety and improve the quality of discharge guidance.

Objectives: To investigate the needs of family members of critical patients with heart disease after operation, and to analyze the relationships among needs, anxiety and depression in the family members of critical patients with heart disease after operation. Methods: A total of 196 family members of critical patients with heart disease after operation were recruited by convenience sampling from the Cardiac Intensive Care Unit in a tertiary hospital of Hunan province from January to December 2018. Each family member was asked to complete the General Status Questionnaire, Critical Care Family Needs Inventory (CCFNI), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS). Results: The most important need identified by the family members was the assurance of patient's condition (3.45±0.56), followed by information acquisition (3.32±0.57), being close to patients (3.20±0.57), supports from healthcare professionals (2.74±0.58), and their own comfortable feeling (2.59±0.73). "Ensuring the best treatment for patients" is on the top list, while "hoping the permission to cry out loudly sometimes" is on the bottom of the list. There are differences in needs of family members with different age, level of education, disease diagnosis, and family relationship. The supports of healthcare professionals, information acquisition, and assurance of patient's conditions were positively correlated with the anxiety and depression level of these family members. Conclusion: The most important need is assurance of patient's condition, and then the information acquisition and being close to the patients. This finding provides references for the health professionals to provide support and care to patients and their family members. Thus we can promote effective communication and build up good relationship between health professionals and patients. In the future, the anxiety and depression level of family members can be decreased by meeting their needs.

Objective: To explore the application effect of "Internet +" nursing mode intervention on lymphedema among postoperative breast cancer patients. Methods: A total of 294 patients who underwent radical mastectomy of breast cancer from April to December 2018 were recruited and divided into the control group (from April to June) and the intervention group (from October to December). Patients in the control group received routine rehabilitation guidance after surgery, while the patients in the intervention group received the “Internet +” nursing mode based on the routine rehabilitation. We collected the data of the parameters of lymphedema symptoms at 1 day before surgery and 1, 3, 6, 12 months after sugery, separately, and then related indicators such as edema appearance and related distress. We also compared the difference in peripheral limb diameters between the two groups and conducted the early monitoring of lymphedema. Results: The difference of the peripheral limbs between the two groups was statistically significant at 1 month after operation (P<0.05). The patients in the intervention group did not develop breast cancer related upper extremity lymphedema within 12 months after surgery, but two patients in the control group developed lymphedema. The results of repeated measures analysis of variance showed statistically significant differences in the edema appearance, symptom distress, and symptom experience between the two groups over time and between groups (P<0.05). Conclusion: In order to prevent lymphedema among postoperative breast cancer patients, the "Internet+" nursing mode can play a significant role and has great potential for clinical application.

Objective: To improve the air rescue ability of flight nurse, and to develop the core-knowledge system for the air rescue of flight nurse. Methods: Totally 4 clinical nursing experts, 3 clinical medical experts and 3 flight management experts were investigated by self-designed questionnaire using Delphi expert consultation method. Results: Expert familiar coefficient (Cs) was 0.835. The judgment coefficient (Ca) was 0.856. The authority coefficient (Cr) was 0.725.The questionnaire Cronbach’s α was 0.975 and validity analysis was 0.924. After two rounds of expert consultation, the core-knowledge system of air rescue for flight nurse was finally established, including 6 first-level indicators, 23 second-level indicators and 65 third-level indicators. Conclusion: A scientific and effective core knowledge system of air rescue for flight nurse has been established. The results could provide references for core competence evaluation, training, assessment, and access for flight nurse.

Objective: To culturally adapt and test the reliability and validity of the Chinese version Areas of Worklife Scale (AWS). Methods: The AWS was translated and adapted according to the standard forward-back translation techniques. Five-hundred nurses from three tertiary hospitals in Qingdao were selected to finish the scale. Item analysis and reliability and validity test were carried out. Results: The critical ratios of all items were between 11.958 and 42.776. The correlation coefficient were between 0.561 and 0.819. Internal consistency of the whole scale was confirmed by Cronbach's α coefficient of 0.894. The Cronbach's α of six subscales were between 0.715 and 0.922. The split-half reliability was 0.738 for the whole scale and 0.702-0.948 for its subscales. The test-retest reliability was 0.850 for the whole scale and 0.710-0.900 for its subscales. The content validity index was 0.933 for the whole scale. Six factors were extracted from the scale by exploratory factor analysis. The cumulative variance contribution rate was 65.979%. The results of confirmatory factor analysis showed that the model fit was good. Conclusion: The Chinese version of AWS shows good reliability and validity, and can be used as a valid tool to assess the areas of worklife of nurses in China.

Objective: Based on the information transmission model, a new nursing information management plan for the prevention and control of the COVID-19 was established to improve information transmission. Methods: Four working groups were set up as the sources of information by the nursing department on the platform of corporate WeChat to meet the need of information releasing for better prevention and control management. As the first and secondary receivers of information, respectively, nursing units and nurses were supposed to effectively manage the key nodes of 'information sending, disseminating, receiving and feedback' and conduct closed-loop quality control. Results: From January 21 to February 8, 2020, the nursing department had released a total of 3076 messages with the reception rate being 100.0% and the time-effective work of nursing management had all been completed on time. The natural language processing system of Baidu AI open platform was used to carry out a sentiment analysis of messages released in the four working groups and the positive sentiment analysis result of the text information released by the 'Important Notification Group' and 'Nurse Staff Communication Group' was 83.3% and 100.0%, respectively. Conclusion: Establishing a scientific nursing management information transmission scheme for emergency based on the information transmission theory model can help to ensure better information transmission and build a correct direction of public opinion.

The Radiology Department of our hospital, under this circumstance, received an instruction from the superior to start the emergency response. We established a three-leveled prevention and control team for emergency integrating physicians, nurses and medical technicians, who were then immediately offered training and tests on knowledge about the COVID-19 and relevant prevention and care skills. The Radiology Department was reasonably divided into different parts according to the level of protection. Besides, standard examination procedures and emergency plans were formulated, and sufficient follow-up to promote the protection management of staff and patients was implemented. The emergency team of the Radiology Department has played an important role in the diagnosis and treatment of COVID-19 through developing relatively comprehensive emergency plans and standard procedures for the prevention and control of hospital infections caused by the novel virus, which has not only increased the protection awareness and skills of the medical staff but also normalized their clinical operation and accelerated the speed of examinations. So far, no infection has been detected among the medical staff.

Objective: To explore the method of constructing an emergency nursing management system in the dental clinic under the circumstance of COVID-19. Methods: By using the theories and methods of modern emergency management, combined with the actual needs of emergency work, five management teams, including human resources, material support, infection prevention and control, patient management, and information management were set up. The management teams had worked independently and also cooperated closely with other administrative and clinical departments. Results: During the period of epidemic prevention and control, a total of 35 nurses were urgently deployed to strengthen the implementation of pre-examination, triage and emergency at each entrance. The material were planed and supplied in order. More than 1?400 patients were successfully admitted without cross-infection, and the information was collected and released on time. Conclusion: The construction of the emergency nursing management system in the dental clinic plays an important role in the prevention and control of the epidemic, which makes the work organized and implemented orderly. The nursing team was highly disciplined and efficient, and the effect of emergency management is evident. This study provides a reference for oral medical institutions to organize diagnosis and treatment work in an orderly manner, manage personnel effectively and prevent cross-infection when fighting the epidemic caused by COVID-19.

Objective: To investigate the psychological status and stressors of nurses in the geriatric ward of a designated hospital in the early stage of COVID-19 epidemic, and provide basis for the early psychological intervention for reserve nurses on the frontline. Methods: From January 29 to 31, 2020, a convenience sampling method was used to recruit and enroll 136 nurses in the geriatric ward of a designated hospital for the treatment of critically ill patients with COVID-19 in Wuhan. The general information questionnair, the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7), Lonely and Fear Numerical Rating Scale (NRS), and nurses' stress source scale were used for investigation. Results: Depression were observed to in 45 nurses (33.1%), anxiety in 59 (43.4%), loneliness in 102 (75.0%), and fear in 131 (96.3%) within one week. The overall nurse stressors score was (2.28±0.76), and issues concerning patient care were the main source of stress for those nurses. Conclusion: Attention should be paid to the psychological stress response and stressors of the nurses in the geriatric ward. Nursing leaders are supposed to actively supply strong social support to nurses, offer psychological counseling and hospital infection prevention and control training to improve physical and mental health of nurses, and ensure the quality of care and patient safety.

This paper summarizes the management of the isolated wards established by a tertiary and first-class hospital for COVID-19. It reflects the management ability of the hospital and the nursing department in coping with public-health-related emergencies. The construction of the isolated ward, manpower allocation, material reserve and distribution, management of hospital infection and publicity are carried out to provide support for the hospital to make an all-round response to the emergency of COVID-19.

Objective: To explore the incidence and prevalence of Medical Device-Related Pressure Injuries(MDRPI) in hospitalized adult patients by meta-analysis. Methods: A comprehensive electronic literature search of PubMed, Embase, The Cochrane Library, CINAHL, Web of Science, CNKI, Wanfang Data, VIP and SinoMed databases was conducted from inception to 31st January, 2019. Studies that reported the prevalence or incidence of MDRPI were included in the review. Results: A total of 21 articles were included in the meta-analysis. The total sample size was 193,456, and 1,406 patients were developed MDRPI. About 9 articles reported the incidence of MDRPI in hospitalized adult patients, and 11 articles reported the prevalence of MDRPI in hospitalized adult patients, 4 articles reported the prevalence of MDR-HAPI in hospitalized adult patients. Meta-analysis showed that the incidence of MDRPI in adult hospitalized patients was 10.3%[95%CI(6.4%-14.2%)], and the prevalence was 6.1% [95%CI(5.0%-7.1%)]. The prevalence of MDR-HAPI was 1.1% [95% CI (0.5%~1.7%)]. Subgroup analysis showed that prospective studies (16%) have a higher incidence of MDRPI than that in retrospective studies (4%); The prevalence of MDRPI in adult patients increased in 5 recent years; the incidence and the prevalence of ICU and trauma center were the highest in all the departments; MDRPI is concentrated in stage 1, stage 2 and mucosal injury, with head, face and neck being common sites. MDRPI is associated with the use of respiratory support and preventive devices. Conclusion: The incidence of MDRPI in adult patients is high. Among them, ICU and trauma center patients are in high risk and need to be paid more attention. It is more important in clinical setting to prevent Stage 1, Stage 2 and mucosal injury. Head, face and neck area are common sites for MDRPI. It is necessary to check this related compression areas of respiratory support and preventive devices. We should investigate the MDRPI prevalence every year to obtain the current status of MDRPI and provide a reference for clinical nursing work.

Objective: To evaluate and summarize the best-practice evidence on physical activity for cancer survivors. Methods: We systematically searched websites of professional organizations, websites of clinical practice guidelines and databases for guidelines, evidence summary, recommended practice, systematic review and expert consensus on physical activity for cancer survivors. Data retrieval included all related materials up to December 31, 2019. Three authors independently evaluated the quality of literatures and extracted data. Results: Ten references were included for final synthesis, which included twoguidelines, one evidence summary, one expert consensus and six systematic reviews. Six categories were concluded for current evidence on physical activity, which included the benefits of physical activity, physical activity assessment, the volume, type, intensity, frequency and duration of physical activity, safety of physical activity and strategies for promoting physical activity, with a total of 10 summarized items of evidence to be recommended for cancer survivors. Conclusion: The evidence in this field is rather comprehensive. Medical institutions and clinical healthcare providers can refer to these evidences and transform, apply them in daily practice by considering the actual environment and adapting physical activity practice to current practice, and establishing physical activity programs for cancer survivors to improve their level of physical activity and quality of life.

Objective: To summarize the best evidence of early rehabilitation exercise for adult patients with mechanical ventilation in ICU. Methods: The published clinical guidelines, systematic review, expert consensus and evidence summary were retrieved according to the pyramid "6S" model. A quality review was conducted with AGREE II and JBI 2015. The experts in the field of critical illness were invited to evaluate the summary evidence based on FAME principle. Results: The final review included 8 papers, including 2 guidelines, 3 systematic reviews, 2 expert consensuses, and 1 clinical practice with evidence summary. Totally 24 best evidences of early rehabilitation exercise for adult patients with mechanical ventilation in ICU were summarized, including identification of rehabilitation exercise needs, formulation of plans, start time of exercise, the interventions before and during exercise, exercise way, exercise duration and safety monitoring standards. The passing rates were more than 70% for all the evidence passed according to FAME evaluation, and 23 evidences were included in clinical practice at last. Conclusion: Totally 24 best evidences of early rehabilitation exercise were summarized, and 23 of them were recommended to clinical practice. The recommended evidence should be used according to the specificity of clinical scenarios.

Objective: To provide evidences for clinical practice by searching, evaluating and summarizing the relevant evidence of prevention and management of venous thromboembolism in ambulatory cancer patients receiving chemotherapy. Methods: The method of PIPOST was used to propose the evidence-based problem and relevant researches were retrieved by computer search. JBI evidence appraisal and recommendation system were used to evaluate the quality of studies and level of evidence. Results: A total of 14 literatures were included in this study, and 19 pieces of evidence were summarized covering 6 aspects including risk screening, evaluation and diagnosis, mechanical prevention, drug prevention, management strategy and health education of ambulatory cancer patients receiving chemotherapy. Conclusion: The evidence-based method provides clinical staff with a reliable practical basis for the prevention and management of venous thromboembolism in ambulatory cancer patients receiving chemotherapy.

Objective: To investigate the risk factors for catheter-related infection in cancer patients. Methods: Articles on risk factors for catheter-related infection in cancer patients were retrieved from PubMed, Cochrane Library, Web of Science, EBSCO, CBM, CNKI and Wanfang databases. A Meta-analysis was performed after the combination of outcome indicators. Sensitivity analysis and publication bias was checked. Results: In the 19 articles, a total of 11,672 patients were included, 957 patients were infected, with an incidence rate of 8.2%. Twenty-six risk factors were involved. Excluding the risk factors mentioned in only one article, the remaining 14 risk factors were analyzed. Age (>60 years), comorbidities, hematological tumor, puncture times (>2 times), indwelling time (>7 months), right arm, catheter adjustment, chemotherapy (>6 times), low immune function, TPN infusion, summer catheterization associated with central venous catheter-related infections were statistically significant (P<0.05). Conclusion: Catheter-related infection in cancer patients is affected by multiple factors, and it is important to regulate nursing techniques to reduce the risk and prevent catheter-related infection.

Objective: To systematically review and synthesize the experience of Professional caregivers in order to provide evidence for improving the quality of dying and death of patients at the end of life. Methods: We searched the databases including PubMed, CINAHL Complete, PsycINFO, Embase, CBM, CNKI, Wanfang Data, and VIP to collect qualitative studies about experience of good death of professional caregivers, The JBI Critical Appraisal Tool for qualitative studies (2017 edition)was used to evaluate the quality of studies. Meta-synthesis was applied to integrate the results. Results: Totally 16 studies containing 88 findings were included. Then 16 new categories were generated and finally 4 synthesized results were obtained:patients receive whole-person care;patients and their families had preparation for death; appropriate care environment for death; multidisciplinary teams provide care. Conclusion: There are similarities and differences between eastern and western cultures in understanding a good death. Professional caregivers should fully assess the needs of end-stage patients and their families, and take targeted measures to help patients achieve a good death.

Objective: To analyze the effectiveness of nursing staff training program developed according to magnet designation standard. Methods: Based on the analysis of magnet designation standard for hospital staff training program, combined with the hospital and nursing strategic plan, nursing quality indicators, and learning needs of nurses at all levels and posts, we developed the nursing staff training program. So that the nursing department and the nursing units closely combined to implement and evaluate teaching projects according to different needs. Results: We constructed our staff development program based on thorough assessment of learning needs and clinical needs. Nurses' satisfaction rate with training programs reached ≥95%. Nurses' satisfaction rate with overall staff training programs exceeded the average of National Database of Nursing Quality Indicators. Patients' satisfaction with nursing skill and nurses' explanation exceeded the average of National Database of Nursing Satisfaction Survey. Nurses' knowledge level of electrocardiogram was improved, patients' fall rate with injuries decreased. Conclusion: The nursing staff training program based on clinical outcomes can effectively improve nurses' learning effect and satisfaction, also improves patient satisfaction.

Objective: To analyze the application effect of The Surgical Nursing micro-curriculum combined with Case-Based Learning (CBL) in clinical nursing probation of vocational nursing students. Methods: By a convenient sampling method, the grade 2016 and 2017 nursing students of a medical school were selected as the study subjects, and divided into the control group (n=30) and the intervention group (n=30). During the clinical practice, the control group adopted the CBL mode, while the intervention group adopted micro-curriculum combined with CBL. After the intervention, the self-directed learning ability, the probationary results, the final theoretical test scores and the students' attitude with the teaching model of two groups were assessed. Results: The total scores of SRSSDL scale (206.37±13.59) and the score of each dimension (excluding interpersonal skills) in the intervention group were higher than those (194.14±12.34) of the control group. The probationary result of the intervention group (94.97±1.75) was higher than that of the control group (93.93±1.39), and the final theoretical test score of the intervention group was (90.73±4.45) higher than the control group (86.00±4.99). The difference between the two groups was statistically significant (P<0.05). The intervention group showed positive attitude towards The Surgical Nursing micro-curriculum combined with CBL. Conclusion: The Surgical Nursing micro-curriculum combined with CBL can improve the surgical nursing clinical practice effect of vocational nursing students. It improved the self-directed learning ability and learning interest of vocational nursing students, and can be further generlized.

In order to improve the efficiency of the information system of operating room, ensure medical safety and improve management level, the informatics nurse position has been set in our operating room since 2014. Through defining the working contents and responsibilities, formulating corresponding management and evaluation system, we gradually explore the informatics nurse's leading role in operating room, the function design and development mode of information system closely cooperated by technicians. Since the establishment of information nurse role, the satisfaction of operating room nurses in using information system has reached 96%. Our department has successively designed, developed and launched six information systems. Therefore, the establishment of informatics nurse position plays an active role in promoting the construction of operating room informatization.

This paper summarized the concept, connotation and principle of Appreciative Inquiry and its application in nursing management. On this basis, it puts forward change proposals for the nursing management model and aims to provide a reference for the theory and method of change and development of nursing organization management in China.

Objective: To investigate the career success and the related factors of cardiovascular specialized nurses. Methods: A survey was conducted in 298 cardiovascular specialized nurses by using the Chinese version of Career Success Scale (CCSS). Results: The total score of the CCSS was 32.25±6.59. Multivariate regression analysis showed that job position, salary satisfaction, with experience in undertaking specialist nurse education and training programme and continue education programme were the independent influencing factors of career success. Conclusion: The career success of cardiovascular specialized nurses need improvement. It is suggested that the establishment and improvement of proprietary management system for cardiovascular specialist nurses, better professional autonomy are benefit to stimulate the work enthusiasm.

This article reviews the research progress of prediction methods of nursing workload at home and abroad, in order to provide reference for clinical nurses in China to choose scientific, reasonable and simple prediction methods of nursing workload.

This article reviewed the concept of Virtual Reality and its application in the cognitive rehabilitation of patients with traumatic brain injury. The article can provide reference for development of Virtual Reality for patients with traumatic brain injury under the Chinese culture background.

This review introduced the concept, construction method and interdisciplinary application value of "User Profile". This review also summarized the application of "User Profile" in the improvement of patient experience. Then the concept of "Patient Profile" was put forward and the prospect of "Patient Profile" in promoting patient experience was discussed, the challenges of "Patient Profile" was introduced. It is expected to provide information in interdisciplinary research for relevant scholars and promote the innovative practice of patient experience improvement.

Objective: To investigate the effects of Health Failure Mode and Effect Analysis (HFMEA) on preventing violent behaviors in schizophrenic patients in hospital. Methods: Patients with schizophrenia from four wards of a third grade specialized hospital in Jiangsu Province were recruited using convenient sampling method. 953 patients admitted from January to December 2016 before the implementation of HFMEA were recruited as the control group, and 884 patients admitted from January to December 2017 after the implementation of HFMEA were selected as the experimental group. The HFMEA mode was used to analyze the process of schizophrenia-related violence to find out the main failure modes and related causes of potential risks, and measures to solve problems with top priority were improved and evaluated. Results: The incidence of violence decreased from 40.50% to 32.58% after the implementation of HFMEA, and the difference between the two groups was statistically significant (χ2=12.398, P<0.001). The risk value of violent behaviors significantly decreased with a statistical significance (P<0.05). Conclusion: HFMEA can be used to prospectively evaluate the risk of violent behaviors in schizophrenic patients in hospital to prevent the occurrence of such behaviors, which will effectively reduce the incidence of violent incidents.

Objective: To analyze the effect on shortening Door-to-Needle Time (DNT) and improving the quality of ischemic stroke treatment by optimizing the “one-stop multi-modal” CT examination process. Methods: 145 patients admitted to a tertiary grade A hospital from December 2015 to March 2018 were divided into control group and experimental group. The experimental group carried out process optimization, adopted "parallel mode" and cut the time-consuming parts. The time of different steps, DNT, patient prognosis and nursing satisfaction were compared before and after process optimization. Results: After the process optimization, the Door-to-CT time and DNT was significantly shorter in the experimental group than the control group (P<0.001). The nursing satisfaction was significantly improved (P<0.05), and hospital stay was significantly shortened (P<0.001). Conclusion: "One-stop multi-modal" CT examination process optimization improves the quality of ischemic stroke treatment, shortens DNT, and improves patient nursing satisfaction.

Objective: To analyze the effect of preoperative waiting time on the anxiety level of pre-school children, and to provide a theoretical basis for clinical intervention. Methods: Pre-school children who would undergo elective surgery at a hospital in Ningbo from January to June 2019 were sampled. The Chinese version of the modified Yale Preoperative Anxiety Scale (Cm-YPAS) was utilized to evaluate their anxiety level at entering the preoperative preparation room, leaving the preoperative preparation room, and entering the operating room. The anesthesia induction period cooperation scale (ICC) was used to evaluate the degree of cooperation during the anesthesia induction period. The participants were divided into three groups according to the preoperative waiting time: <15 minutes (T1 group), 15-30 minutes (T2 group), and >30 minutes (T3 group), 85 patients in each group. The degree of anxiety and cooperation during anesthesia induction are compared among the groups. Results: The Cm-YPAS scores of the children leaving the preoperative preparation room and entering the operating room are: T20.05). Conclusion: Unlike adults, the anxiety level of children is the lowest when waiting time was 15-30 minutes, and cooperate better during anesthesia induction. After 30 minutes, the anxiety level increase significantly.

This paper summarized the research status of Health Locus of Control of chronic diseases patients from the measurement tools, current status, influencing factors, impacts on chronic diseases, and intervention measures. It is expected to provide reference for the research on Health Locus of Control of chronic diseases in China, and provide new ideas and new paths for the clinical development of psychological care for patients with chronic diseases.