Confronting with COVID-19 pandemic, this article analyzed the risks of occupational hazards among health workers, studied the progress and challenges of policies of occupational health for health workers in China. Furthermore, from perspectives of long term mechanism of public health emergencies response, the article provided strategic recommendations of occupational health for health workers in China.

Occupational safety and health is the prevention of occupational injuries and health hazards happened in the workplace, to ensure the staff safety. To cater for the growing expectations, strategic plan was formulated covering the systematic identification of occupational hazards in the hospital. By introducing the international accreditation programme and strengthening the collaborative partnership with the Hong Kong Queen Mary Hospital, the hospital safety management and emergency response systems were established which put great emphasis on addressing the hazards and risks that were identified. This also showed the commitment of hospital management and as a role model of healthcare institutes.

As a sudden public health event, COVID-19 epidemic has increased the risk of psychological stress for nurses on the frontline. Based on the experience of our hospital, this article discussed the construction of long-term mechanism of nurses' mental health protection, and proposed strategies for psychological intervention of nurses in daily, during and post epidemic. Daily psychological construction included occupational psychological training, psychological support network construction, and occupational health nurse reserve. Psychological support during epidemic included strong leadership, standardized training, adequate protective equipment, positive motivation and timely counseling. Post-epidemic included comprehensive support to prevent post-traumatic stress disorder and continuous reflection to summarize lessons learned.

It is well known that occupational hazards affect the health of occupational groups. Nurses play an important role in promoting health, preventing disease, and providing primary health care, but face multiple occupational hazards at work. The health of nurses should be given special attention because it is not only concerned with a nurse as an individual, but also the caring quality and the safety of patients. Researches on nurse cohort have been carried out in foreign countries since the 1970s. There are many aspects to learn in terms of research content, methods, and results, which have enlightening effects on current nurse health studies in China.

Objective: To investigate the status and the influencing factors of breast cancer survivors returning to work. Methods: From July 2018 to September 2019, 306 breast cancer survivors were selected from 4 hospitals using convenience sampling method. The participants were investigated using general information questionnaire, Readiness for Return-To-Work Scale, General Self-Efficacy Scale, Simplified Coping Style Questionnaire to explore the status and the influencing factors of returning to work. Results: Sixty seven (21.9%) breast cancer survivors had returned to work. Age, self-efficacy, time of diagnosis, lymph node dissection and weekly working hours were influencing factors for breast cancer survivors to return to work. Conclusion: The return rate of breast cancer survivors has increased. Medical staff should pay attention to the influencing factors and develop targeted intervention programs to help patients back to work.

Objective: To translate the European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-spiritual well-being 32 (EORTC QLQ-SWB32) into Chinese, and to assess its reliability and validity. Methods: The EORTC QLQ-SWB32 was translated strictly by the steps of cross-cultural adjustment to form the Chinese version of EORTC QLQ-SWB27 scale. A total of 270 patients with advanced cancer meeting the inclusion and exclusion criteria in a tertiary hospital in Shenyang were recruited by convenience sampling and investigated using the Chinese version of EORTC QLQ-SWB27. Results: The Cronbach's alpha coefficient of the Chinese version of EORTC QLQ-SWB27 scale was 0.792, and it was 0.606 to 0.862 for each sub-dimensions. Its test-retest reliability was 0.886; I-CVI was 0.83-1 and S-CVI was 0.97.Four factors with characteristic root >1 were extracted by principal component analysis, and the cumulative contribution rate was 51.7%. Conclusion: The Chinese version of EORTC QLQ-SWB27 scale has good reliability and validity, and can be used as a instrument to measure spiritual health of patients with advanced cancer in the context of Chinese culture.

Objective: To translate and test the psychometric properties of the Chinese version of Death Self-Efficacy Scale (DSES) among oncology nurses. Methods: The Death Self-Efficacy Scale was translated into Chinese according to the guideline of Brislin Translation Model. Then, the translated version was further adapted based on the results of the expert discussion and pilot study. A total of 755 oncology nurses from seven hospitals in China were recruited and the psychometric properties of the Chinese version of the DSES was examined. Results: The Cronbach's α coefficient was 0.942. The item-level content validity index of the Chinese DSES was 0.83-1.00, and the scale-level content validity index/average agreement was 0.98. The split-half coefficient was 0.834, and the test-retest reliability 0.997. Five factors were extracted using exploratory factor analysis which could explain 60.84% of the variance of Death Self-Efficacy. The five factors were named as: daily life and work, being prepared for one's own death,dealing with others' death, caring for dying patients and family members, and physical care around patient death. Conclusion: The Chinese version of DSES showed good validity and reliability, and it can be used among oncology nurses to evaluate their level of the Death Self-Efficacy.

Objective: To understand the factors affecting the selection of breast feeding of HBV positive pregnant women. Methods: Phenomenological research method was performed. Totally 16 HBV positive pregnant women were interviewed with semi-structured questionnaire. Colaizzi phenomenological 7-step analysis was applied to analyze the data. Results: Nine (56.3%) pregnant women were willing to breast feeding. The influencing factors could be divided into four themes: the stress of transmission the disease to the baby, the attitude of the medical staff and family members to breast feeding, the lack of knowledge of breast-feeding and the advertisement of milk powder, and the influence of breastfeeding to the role change. Conclusion: Health education of HBeAg-positive pregnant women with HBV infection should be strengthened. Individualized professional guidance on breast feeding can be given to pregnant women in order to improve the willingness of breast feeding.

Objective: To investigate the current status of Anticipatory Grief (AG) and its influencing factors of family caregivers of patients with cancer. Methods: A convenience sample of 154 family caregivers was selected from a tertiary grade A hospital in Guangzhou from December 2018 to April 2019. The participants were surveyed by a questionnaire composed of demographic information, Chinese version of Anticipatory Grief Scale (AGS) and Zarit Caregiver Burden Interview. Results: The median score of AGS was 71.00 (63.00,82.00), with the lowest score of 38.00 and the highest score of 111.00. The AG of family caregivers of patients with cancer was positively correlated with caregiver burden. Multiple stepwise regression analysis showed that caregiver burden, family financial condition and patients' compliance with treatment were the influencing factors. Conclusion: Family caregivers of patient with cancer showed obvious AG. It is suggested that medical staff identify caregivers' AG precisely and take effective measures to improve their mental state according to different influencing factors.

Objective: To explore the effects of speech training combined with peer education on speech ability and social adaptation of patients with total laryngectomy. Methods: Peer educators with total laryngectomy and medical professionals in head and neck surgery conducted speech training and peer education for 26 patients with total laryngectomy. The effects of repronunciation and social adaptability after training were evaluated. Results: At the 5th day after the training, 11 patients (42.3%) were able to have 2 consecutive burps, 5 (19.2%) were able to pronounce vowels, and 3 (11.5%) were able to pronounce monosyllables. At the following 1st month and 2nd month, the patients' repronunciation ability was better than at the end of training (P<0.05). The patients' social adaptability was significantly improved at the 2nd month after training than at the end of the training (P<0.05). Conclusion: The model of speech training combined with peer education can promote the rehabilitation of speech function of patients with total laryngectomy. Repronunciation training can improve the social adaptability of patients with total laryngectomy. The benefits of peer education of patients worth further studied in the future.

To summarize the nursing human resource management when coping with COVID-19 in the fever clinic and to provide references for emergency deployment of nursing staff during public health emergencies. We have given full play to the functions of nursing department to perfect the emergency organization, allocate nursing staff scientifically and effectively, offer intensive training and pay attention to the logistics departments and humanistic care, through which the efficiency and stability of nurses have been improved to support the work to fight COVID-19.

This paper summarizes the experience of the nursing practice during the emergent reconstruction of isolated wards for COVID-19. The key points include description of regional management, human resources management, emergency information communication and relevant administrative experience. At present, the hospital is running well as a whole and has obtained good results in treatment.

Objective: To investigate the sleep quality and psychological status of frontline nurses fighting Corona Virus Disease 2019(COVID-19), analyze its relationship with the working environment, and propose measures for improvement. Methods: A questionnaire survey was conducted among the frontline nurses fighting COVID-19 in four hospitals of Wuhan using the Practice Environment Scale (PES), the Pittsburgh Sleep Quality Index (PSQI) scale, and the Self-rating Anxiety Scale (SAS).Results: The total score of PSQI for frontline nurses was (7.26±2.30) and the total score of SAS was (52.36±9.05), both of which were higher than the domestic norms. The total score of nursing work environment was (94.36±14.48), which was at the upper-middle level, and the sleep quality and anxiety level had significant negative correlation with the nursing work environment (r=-0.319, P<0.001; r=-0.220, P=0.010). Conclusion: Frontline nurses generally have different levels of sleep and anxiety problems and are negatively related to their work environment. Managers should take active measures to improve the nursing work environment, strengthen communication, and offer corresponding support or establish reward policies to reduce the anxiety levels of nursing staff, improve the sleep quality as well as the nursing efficiency and quality.

Objective: To understand the self-protection compliance and satisfaction towards self-protection behaviors among medical staff during the outbreak of COVID-19. Methods: A convenience sample of 623 medical staff was selected from a Third Level Grade A hospital in Beijing during the epidemic period. Participants were surveyed by using self-designed questionnaires via Wechat program. Results: During the epidemic period of COVID-19, self-protection compliance rate at work among medical staff was more than 60.00%. The self-protection compliance rate in daily life among medical staff who rescued Wuhan was significantly higher than that among medical staff who worked in Beijing (P<0.05). The overall satisfaction rate towards self-protection behaviors was 95.83%. The satisfaction rate among medical staff who rescued Wuhan was significantly higher than that among medical staff who worked in Beijing (P<0.001). Conclusion: During the epidemic period of COVID-19, medical staff are able to follow the principle of two-way protection and perform self-protection behaviors properly to ensure the health service for patients.

Objective: To evaluate the effects of Tai Chi on cognitive and psychological outcomes in older adults with Mild Cognitive Impairment. Methods: A computerized search was performed through PubMed, Embase, CENTRAL, CINAHL, Web of Science, the Chinese Biomedical Database, the China National Knowledge Infrastructure, VIP Journal Integration Platform, and Wanfang Med Online for Randomized Controlled Trials (RCTs) which studied the effects of Tai Chi on older patients with Mild Cognitive Impairment. Meta-analysis was performed by using RevMan 5.3 software. Results: Seven RCTs were included. Comparing to regular exercise or usual care, the memory [MD=0.37, 95%CI (0.13, 0.61), P<0.01], visuospatial function [SMD=0.57, 95%CI (0.23, 0.91), P<0.01] were improved in the aged with Tai Chi intervention. Conclusion: Tai Chi is efficacious in improving memory and visuospatial function in the aged with mild cognitive impairment, but cannot significant improve global cognitive functions, executive function, verbal fluency and depression.

Objective: To identify the risk factors for urinary incontinence in older adults by systematic literature review and meta-analysis. Methods: Databases including PubMed, the Cochrane Library, Web of Science, EMbase, CBM, CNKI, and Wanfang Data were accessed and searched for eligible studies on risk factors of urinary incontinence from inception to June 2019. Two reviewers worked independently in screening the literature, extracting data and assessing the quality and risk of bias on included studies according to the inclusion and exclusion criteria. Meta-analysis was performed using RevMan 5.3. Results: As a result, a total of twenty-one studies were included in the final analysis involving 147 003 patients. The advanced age, female, cognitive dysfunction, physical dysfunction, anxiety and depression, low activities of daily living, arthritis, urinary tract infection, stroke and diabetes were risk factors for elderly patients with urinary incontinence. Conclusion: The study suggests that patients who presented with such risk factors are more likely to have urinary incontinence, therefore needed more attention. However, because the studies included in the current analysis are with insufficient evidence, and inconsistent evaluation methods for urinary incontinence were used with sample sizes varied in a great extent among studies. More strictly designed original studies should be conducted to identify the risk factors for urinary incontinence in older adults in the future.

Objective: To explore the influence of Computerized Cognitive Training on depression and anxiety among cognitively healthy adults and elderly in order to provide evidence for clinical practice. Methods: Cochrane Library, PubMed MEDLINE, Web of Science, Elsevier, EBSCO ASP&BSP, Lippincontt Williams& Wilkins, EMBASE, CBM, CNKI, Wanfang Data and VIP were searched to collect randomized controlled trials (RCTs). The quality of RCTs was critically appraised and data were extracted by 2 reviewers independently. Meta-analysis was conducted for eligible RCTs. Results: Seven RCTs with417 subjects were included. Through Meta-analysis significant differences were observed in depression [SMD=?-0.43, 95% CI (-0.63, -0.23), P<0.05] and anxiety [SMD=?-0.73, 95% CI (-1.46,-0.01), P=0.05] between the Computerized Cognitive Training group and the control group. Conclusion: Computerized Cognitive Training has an advantage in reducing the depression and anxiety among cognitively healthy adults and elderly. Because of the difference among indicators, the settings of the control group, and frequency of interventions, studies with larger sample size and higher quality are needed in future.

Objective: To apply the best evidences of indwelling and removing of urinary catheters in children to clinical practices in order that nurses' compliance with the application of those best evidences as well as children's outcomes and finally the systematic procedure of urinary catheter usage would be improved. Methods: Databases at home and abroad were retrieved and eventually a summary of evidences and a guideline were recruited. The application model of clinical evidence proposed by JBI Evidence-based Nursing Center was adopted, including in the baseline review before application and the re-examination of effects of changes after application, the analysis of obstacles during application to find out available resources and solutions and comparison of indicators before and after application. Results: The standardized procedure of indwelling urinary catheters in PICU was established. After the application of the best evidences, 6 of the 7 indicators with poor compliance were significantly improved (P<0.01). Besides, the insertion rate of urinary catheters in PICU decreased (62.83% vs 71.07%) with the time of catheter usage shortened [(6.38±2.08) d vs (8.42±5.26) d] as well as the incidence of Catheter-Associated Urinary Tract Infection (CAUTI) (0 vs 7.23‰). The difference was statistically significant (P<0.05). Conclusion: Reminder cards and videos of standardized caring procedures for indwelling urinary catheters are developed on the basis of the best evidences for indwelling and removing of urinary catheters in children, which can help establish and perfect the systematic caring procedure and effectively standardize nurses' behavior and improve their compliance, and prevent CAUTI as well as improve children's outcomes.

Objective: To improve the quality of blood samples of pediatric inpatients before the laboratory experiment. Methods: Based on the DMAIC method of lean management, the issues related to the pre-experimental quality of blood samples in hospitalized children were defined. The issues were examined and analyzed through value flow chart, fish bone map, literature search, and multidisciplinary team. The methods of blood sample collection of the pediatric inpatients were optimized, the relevant nursing protocols were updated , the systematic training were provided, and the effects were evaluated. Results: After the lean management, the untimely rate of the blood samples and the unqualified rate of the specimens in the pediatric inpatients were lower than previous value, and the differences were statistically significant (P<0.05). Conclusion: Lean management can improve the pre-experimental quality of blood samples of pediatric inpatients. It can be helpful to the more efficient operation of the hospital's overall resources.

This paper summarized the concept, element composition and research progress on SHEL Modeling in nursing safety management at home and abroad. The application value of this model was expounded from guarantee of patients' safety, occupational exposure prevention, medical equipment management. It is expected to provide basic information for later research.

The definition and meaning, the origin and the application form,the application methods and effects of tele-health in the secondary prevention of coronary heart disease were reviewed, and the existed problems and some suggestions also were discussed in the paper. It aimed to provided references for the further application of tele-health in clinic and in the secondary prevention of coronary heart disease.

Pulmonary rehabilitation is one of the main disease management methods of Chronic Obstructive Pulmonary Disease (COPD). Now the effect of home-based pulmonary rehabilitation has been confirmed. However, its use is still limited by time, space and other factors. The application of telerehabilitation technology could provide a solution to above issues. This article summarized the research progress of using telerehabilitation technology to assist home-based pulmonary rehabilitation for patients with COPD, mainly including the forms of using telerehabilitation technology to assist home-based pulmonary rehabilitation and the impacts on the outcome for patients. It could provide references for better implementation of pulmonary rehabilitation programs for patients with COPD, thus, to ultimately improve the clinical outcomes of patients.

Objective: To explore the application of Clinical Care Classification (CCC) system in orthopedic nursing practice. Methods: The data of the nursing care records using the CCC Full Intelligent Care Information System from March 2019 to July 2019 were analyzed with a total of 263,402 nursing document entries. Results: The data from the CCC system showed that in the nursing diagnosis, the physiological factors accounting for 59.99%, the functional factors accounting for 26.41%, the healthy behavior factors accounting for 9.32%, and the psychological factors accounting for 4.28%. The care measures involved in the integrity of the skin among the nursing elements were the highest (25.47%), followed by the active category (22.25%), the safety category (15.58%) and the body regulation category (14.16%), of which the assessment monitoring category accounted for more than half of the total care measures (50.88%). Nursing implementation measures accounted for 27.43%, while teaching guidance and management referral category measures accounted for 12.03% and 9.66%, respectively; There were significant statistical differences between the expected goal of nursing and the actual outcome. Conclusion: The CCC can be used to record nursing data and write electronic medical records in intensive care unit practice, and can provide personalized care for patients, analyze frequency of each care content, and reduce the amount of work recorded by clinical nurses in nursing documents. It is beneficial to the establishment and analysis of big data in nursing. The application of CCC can promote the clinical practice of orthopedic nursing and the development of nursing research.

Objective: To observe the effects of multidimensional teaching methods in the training diabetes liaison nurses. Methods: Multidimensional teaching methods were applied to the training of health education ability of diabetes liaison nurses. According to the current situation of health education ability of liaison nurses, we organize the learning of specialist theory, the training to improve the subjective initiative, thinking management ability and communication skills, so as to improve the educational ability of liaison nurses. Results: After one year's application, the theoretical knowledge of diabetic liaison nurses in the hospital was improved, and there were significant differences before and after the change (P<0.05). The scores of assessment, plan, implementation and evaluation in the health education ability scale of nursing staff were significantly improved, and the patients' satisfaction and self-management compliance were improved as well. Conclusion: Multidimensional teaching methods have significant effects not only on improving the health education ability of diabetes liaison nurses, but also on improving patient satisfaction and self-management compliance.

Objective: To construct evaluation index system of nursing informatics competencies for clinical nurses. Methods: After the item pool was selected through literature research method and nominal group technology, 12 experts involving nursing management, nursing education, clinical nursing and medical informatics were invited to expert consultation group to establish the evaluation indicators. Results: Experts familiar coefficient, judgment coefficient and authority coefficient was 0.86, 0.82 and 0.84, respectively. In the second round, the index system included 3 first level indexes and 45 second level indexes. The variation coefficients of each item was 0.00~0.24, and Kendall's W was 0.536. Conclusion: The entrenched assessment indicator system was scientific and reliable. It can provide evidence for the training and evaluation of nursing informatics talents.

Objective: To explore the process and needs of clinical nurses to implement exercise rehabilitation guidance, and to provide references for improving and enhancing the quality of exercise rehabilitation guidance. Methods: Semi-structured interviews were conducted with 19 clinical nurses, and the data were analyzed by using Colaizzi's seven-step method. Results: Four themes were refined: responsibility and motivation coexist; individualization and diversity; teamwork and recognition; need for self-growth and external support. Conclusion: Strengthening professional training, increasing professional standards, and further clarifying nurses' responsibilities, powers, and benefits can help to motivate nurses to work and improve their effectiveness.

This paper introduces the current status of physical restraint in ICU patients at home and abroad, and analyzes the influencing factors of nurses' physical restraint decision making from the aspects of nurses, doctors, patients and their family members, and management. Furthermore, it provides references for the development of guidelines and norms for physical restraints in ICU patients in China and regularizes physical restraints, thus, to reduce the use of clinical physical restraints and the harm to patients due to physical restraints.

Objective: To explore the effects of a family-based intervention on self-management of stable patients with Chronic Obstructive Pulmonary Disease (COPD). Methods: Patients with COPD in the Respiratory Department of Hefei First People's Hospital from December 2017 to June 2018 were selected and randomly divided into the control group and the experimental group using the table of random digit. Routine care was given to the patients in the control group. Besides routine care, family members of the patients in the experimental group were invited to join in the rehabilitation plan and follow-up visits after discharge. The outcomes we evaluated included 6-Minute Walking Distance (6MWD), dyspnea score (manufacturing Management Research Center, mMRC) and subjective fatigue scale (Borg), quality of life (CAT questionnaire), and daily self-care ability score (ADL). Results: For patients in the experimental group, the 6MWD [(332.64±40.53) m vs (350.72±48.88) m], mMRC [(2.33±0.86) vs (1.14±0.83)], Brog [(2.42±1.03) vs (1.19±1.17)], CAT [(20.17±4.29) vs (16.27±4.87)] and ADL [(87.50±10.99) vs (94.31±7.19)] were all significantly improved before discharge and 6 months after discharge (P<0.05). The similar effects were also observed in the control group with 6MWD [(331.36±60.94) m vs (340.86±72.59) m], mMRC [(2.47±0.91) vs (1.94±1.04)], Brog [(2.72±0.95) vs (2.32±1.12)], CAT [(19.94±3.16) vs (17.39±4.05)] and ADL [(80.56 ±16.25) vs (83.47±16.68)] all improved before discharge and 6 months after discharge (P<0.05). The 6MWD [(18.06±15.96) m vs (9.50±18.52) m], mMRC [(1.19±0.58) vs -(0.53±0.61)], Brog [(2.72±0.95) vs -(0.40±0.68)], CAT [-(3.89±2.73) vs -(2.56±1.80)], and ADL [(6.81±7.67) vs (2.92±6.02)] between the two groups were significantly different with better outcomes found in the experimental group (P<0.05). Conclusion: The family-based intervention can effectively improve the self-management ability of patients with COPD, improve the degree of dyspnea, improve their self-care abilities, and enhance their endurance of activity.

This paper reviews the influencing factors and intervention measures of the couples communication in breast cancer patients, aiming at promoting the implementation of clinical interventions of the couples communication in breast cancer patients through the summary of theoretical basis.

Objective: To establish a standard support and management mode of breastfeeding under the background of medical consortium to improve the rates of breastfeeding within the first six months after children's birth. Methods: Totally 98 mothers were recruited to the experiment group to receive support and management under the background of the medical consortium to promote breastfeeding within the first 6 months after children's birth through developing a transfer sheet of continuous caring for standard breastfeeding and setting up standard training process and supervising network combining both hospitals and communities to help normalize the management over breastfeeding by the medical consortium. And then the effect of the support and management mode on the breastfeeding rates would be compared with that of the previous routine care offered to the control group. Results: After the implementation of the mode under the background of the medical consortium, exclusive breastfeeding rate (51.0% vs 34.3%), satisfaction of home visits [(22.86±3.59) vs (21.37±2.75)] as well as scores of mothers' breastfeeding knowledge [(7.23±0.77) vs (6.98±0.76)] and the Breastfeeding Self-Efficacy Scale (BSES) [(55.33±4.68) vs (54.21±2.91)] were all higher than those of the control group, and the differences were statistically significant (P<0.05). Conclusion: The breastfeeding management under the background of medical consortium can effectively improve the efficacy of breastfeeding and increase the rate of exclusive breastfeeding within the first 6 months after children's birth.

Objective: To explore the management model of chemotherapy-induced nausea and vomiting symptoms in gynecological cancer patients. Methods: A special management team was set up to manage the chemotherapy-induced nausea and vomiting symptoms of patients. Totally 484 gynecological cancer patients with chemotherapy was included from July to December, 2018, and standardized symptom management measures combining drug therapy and non-drug intervention was implemented. Results: After intervention, the risk of chemotherapy-induced nausea and vomiting in patients was lower (P<0.05), the incidence of moderate and severe nausea and vomiting was lower (P<0.05), and the satisfaction of patients was improved than before (P<0.05). Conclusion: Standardized management measures of chemotherapy-induced nausea and vomiting symptoms was benefit to improve the experience of gynecological cancer patients during chemotherapy.

Sleep disorder is a common problem for patients discharged from ICUs, which may cause adverse effects on patients' physical and psychological well-being as well as prognosis in the long run. This article reviews the research progress on sleep disorder in post-ICU patients, including the research status, relevant assessment tools and influencing factors to provide evidences for the correct selection of assessment tools and references for developing personalized rehabilitation strategies for these patients.

Objective: To explore the effect of stroke emergency nurses on the treatment of patients with acute ischemic stroke. Methods: A total of 107 patients with acute ischemic stroke receiving green channel treated in emergency from July 1, 2017 to July 26, 2018 were selected as the control group. Another 87 patients with acute ischemic stroke receiving green channel treated in emergency from July 27, 2018 to January 31, 2019 were selected as the experimental group. The control group received the conventional green channel process of acute ischemic stroke, while the experimental group used the stroke emergency mode in which the stroke emergency nurse participated. We compared the difference of rescue efficiency and key quality indicators between the two groups. Results: The median of Door-to-Needle-Time (DNT) in the experimental group was shortened from 52 min to 35.5 min (Z=-4.819, P<0.001); The median of Door-to-Puncture-Time (DPT) reduced from 87 min to 68.5 min (Z=-4.406, P<0.001); The median of Imaging-to-Needle-Time (INT) reduced from 33 min to 14 min (Z=-6.922, P<0.001); The median of Imaging-to-Puncture-Time (IPT) reduced from 73 min to 55 min (Z=-4.586, P<0.001); The DNT compliance rate of the experimental group and the control group was 95.2% and 84.7% (χ2=8.993, P=0.003), respectively; The DPT compliance rate was 95.8% and 65.7% (χ2=7.518, P=0.006), respectively. The proportion of Modified Rankin Scale (MRS) scores ≤2 at the time of discharge and 3 months after onset in the experimental group was significantly higher than that in the control group (P<0.05). Conclusion: Stroke emergency nurses can significantly improve stroke treatment efficiency and key quality indicators.