The Corona Virus Disease 2019 (COVID-19) epidemic has swept the world, and our country has taken a series of decisive measures. The prevention and control of the epidemic has achieved major strategic results, and it has turned from an emergency state to a normal state. As the main force in the fight against the epidemic, nurses have made outstanding contributions to winning the fight against the epidemic, and actively shared Chinese nursing experience in fighting the COVID-19 with global nursing colleagues, winning wide praise. However, the current global COVID-19 epidemic is still spreading, due to the need to prevent imported epidemics from abroad and prevent domestic epidemics from rebounding, the situation of our country's epidemic prevention and control is still challenging. After experiencing the challenges of the sudden COVID-19 epidemic, while summing up successful experiences, we also have to consider the professional value of nursing work. This article discusses the aspects of improving nursing emergency management capabilities, strengthening the training of specialist nurses, focusing on the training of nursing students in colleges and universities, improving the nursing research capabilities required for epidemic prevention and control, comprehensively carrying out health science popularization, and vigorously promoting the construction of intelligent nursing, and provides ideas for the development of nursing profession under the situation of normalized COVID-19 prevention and control.

With the increased aging population, changing disease spectrum, growing demand for healthcare needs, shortage of nurse staff, the nursing profession has faced unprecedented challenges worldwide. The development of nurse leadership has become an important strategy to solve these health problems. As a critical part of nursing education, nurse leadership has become a hot topic. This article aimed to compare nurse leadership at home and abroad, identify the direction, and provide references for future nurse leadership education.

With the continuous development of medical and nursing technology, specialized nursing has gradually become the main direction of the development of nursing discipline. This paper briefly introduces the development of nurse specialists at home and abroad, summarizes the talent training and team construction of nurse specialists, discusses roles of nurse specialists in solving difficult problems, innovating teaching and scientific research, devoting to major public health emergencies and other specialized nursing practices, and puts forward future prospects for the development of specialized nursing in China.

This paper summarizes the current situation of "Internet + Nursing Service" at home and abroad and the important role played by nurses in the field of "Internet + Nursing Service" in China, in order to provide theoretical reference for the further construction and development of "Internet + Nursing Service" in China.

Based on the characteristics and trends of the development of the national health management under the background of the implementation of the Healthy China strategy, this paper mainly analyzes and discusses the positive role of nurses in the popularization of health knowledge and science, the health management of patients with chronic diseases and the "Internet +" platform, hoping to provide some reference for the development of nursing work under the national health management.

Objective: To translate and revise the Theory of Planned Behaviour questionnaire to assess critical care nurses' intention to use physical restraints in intubated patients (PR-TPB) into Chinese, then to assess the reliability and validity of the Chinese version of PR-TPB. Methods: The Brislin translation model was used for literal translation and back translation. Six experts were invited to revise the translated scale and evaluate the content validity. Totally 485 critical care nurses from three tertiary grade A general hospitals in Hangzhou were recruited and investigated using general information questionnaire and the Chinese version of PR-TPB by convenient sampling, and its reliability and validity were assessed. Results: The Chinese version of PR-TPB included 4 subscales and 35 items in total. Four common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 65.536%. The I-CVI was 0.83-1.00 and the S-CVI was 0.90. Cronbach's α coefficient was 0.826, 0.934, 0.876 and 0.501 respectively, and the test-retest reliability was 0.935, 0.940, 0.925 and 0.926 respectively (P<0.01). Conclusion: The Chinese version of PR-TPB has good reliability and validity, which can be used as a tool to assess critical care nurses’ intention to use physical restraints in intubated patients.

Objective: To develop and test the implementation intention questionnaire for stroke patients' rehabilitation exercise behaviors. Methods: Based on the concept of implementation intention, we developed the preliminary version through literature analysis, Delphi method and small sample pre-test. A convenience sample of 234 stroke patients were recruited to test the questionnaire. The questionnaire was evaluated using critical ratio method, correlation analysis, exploratory factor analysis, content validity, structural validity, internal consistency reliability, and test-retest reliability. Results: The questionnaire included 19 items. Two factors were extracted by using the exploratory factor analysis, with a cumulative contribution rate of 85.973%. The Cronbach's alpha was 0.980 for the total questionnaire and 0.982, 0.979 for each dimension, respectively. The test-retest reliability was 0.884 for the total questionnaire and 0.885, 0.856 for each dimension, respectively. Conclusion: The questionnaire has good reliability and validity. It can be used as a tool to evaluate the implementation intention of rehabilitation exercise behaviors for stroke patients.

Objective: To adapt the Atrial Fibrillation Knowledge Assessment Tool (AFKAT) to China and test its reliability and validity. Methods: Three hundred and forty members of the general public were surveyed with the translated and revised Chinese version of AFKAT, and the reliability and validity of the tool were analyzed. Results: The overall Cronbach's alpha coefficient of the Chinese version of AFKAT was 0.822. Four common factors were extracted by exploratory factor analysis, and the cumulative contribution rate was 53.256%. Confirmatory factor analysis showed that the factor model of Chinese version of AFKAT fitted the data well (CMIN/DF=2.019, CFI=0.909, RMSEA=0.055). Conclusion: The Chinese version of AFKAT retains 21 items of the original scale and has good reliability and validity. It can be used as a reliable tool to evaluate the knowledge level of atrial fibrillation in the general population.

Objective: To explore the level and influencing factors of post-traumatic growth of pediatric cancer survivors. Methods: A total of 64 pediatric cancer survivors were investigated with the general information questionnaire, the General Self-efficacy Scale, the Simplified Coping Style Questionnaire, the Social Support Questionnaire and the Post-Traumatic Growth Scale. Results: The post-traumatic growth score of pediatric cancer survivors was (53.30±20.22). Pearson correlation analysis showed that post-traumatic growth of pediatric cancer survivors was positively correlated with self-efficacy (r=0.561, P<0.001), positive coping style (r=0.635, P<0.001), affirmation and support (r=0.356, P=0.004), companionship and intimacy (r=0.360, P=0.003), satisfaction (r=0.290, P=0.020), and negatively correlated with negative coping style (r=-0.439, P<0.001). Multiple linear regression analysis showed that post-traumatic growth of pediatric cancer survivors was associated with age, place of residence, self-efficacy, positive coping style, negative coping style, companionship and intimacy dimensions. Conclusion: The post-traumatic growth level of pediatric cancer survivors is at a moderate level. In clinical practice, we should pay attention to children's age, residence, self-efficacy, coping style and social support, so as to improve the level of post-traumatic growth.

Objective: To develop core competence questionnaire for oncology nurses in hospice care and test its reliability and validity. Methods: The formal questionnaire was formed after the literature review, consultation of 12 experts and the pretest of 136 oncology nurses. The reliability and validity of the final questionnaire were tested among 452 oncology nurses. Results: Six factors were identified and the cumulative contribution of variance was 70.3%. The overall content validity index S-CVI/Ave of the questionnaire was 0.967. The correlation coefficients between each factor and the total score of the questionnaire were higher than the correlation coefficients among six factors (P<0.001). The median score of the group with professional certificate of palliative care were higher than that of the group without certificate (P<0.001). The median score of the group participating in the training of knowledge related to palliative care was higher than that of the group not participating (P<0.001). There was statistically significant difference between higher-score group and lower-score group in terms of the median score (P<0.001). The Cronbach's α coefficient and split-half coefficient for the whole scale were 0.971 and 0.908, respectively. Conclusion: The questionnaire has good reliability and validity which could be used to assess the core competence of oncology nurses in hospice care.

Objective: To explore the status and explore the influencing factors of Developmental Supportive Care (DSC) behavior among NICU nurses. Methods: Totally 358 NICU nurses were recruited into this study from 13 tertiary hospitals at Guangdong province. Self-designed general questionnaire, Chinese version of Developmental Supportive Care Behavior self review checklists, and Developmental Supportive Care Reognition and Attitude questionnaire were applied to collect information. Results: The average score of DSC behavior among NICU nurses was 36~91 (72.18±14.78). Observing the suggestive behavior of premature infants and providing family-centered care had the lowest score. The multivariate regression analysis results showed that DSC recognition, DSC attitude, Marital status, whether or not to be the neonatal specialized nurse and Nurse-bed ratio in NICU were the important influencing factors of implementing the DSC among NICU nurses. Conclusion: The overall situation of DSC behavior among NICU nurses is not optimistic. Nursing managers should strengthen the attention on the behaviors among NICU nurses, explore training models suitable for clinical practice and provide timely intervention and training support to enhance the clinical implementation of the developmental supportive care in NICU.

Objective: To investigate the current status of defeat and its influencing factors in female infertility patients with In Vitro Fertilization-Embryo Transfer (IVF-ET). Methods: A total of 284 female infertility patients with IVF-ET at a reproductive medicine center in Changsha from July 2019 to November 2019 were enrolled in the survey using the General Information Questionnaire, the Chinese version of the Defeat Scale, Patient Health Questionnaire (PHQ-9), and Locke-Wollance Marriage Adjustment Test (MAT). Results: The score of defeat of 284 female infertility patients was 26.10±6.31. The multiple linear stepwise regression analysis showed that the main influencing factors of the defeat in female infertility patients with IVF-ET were the years of infertility, depression, total number of IVF-ET treatments and the marital adjustment of the couple (P<0.05), explaining 83.2% of the total variation. Conclusion: The level of defeat is high in female infertility patients with IVF-ET. Medical professionals should focus on targeted psychological interventions for the high psychological defeat of female infertility patients who are in the treatment phase to improve their treatment confidence and status.

Objective: To discuss the effect of sandplay therapy on the patients' stigma and coping style after head and neck cancer operation. Methods: Totally 95 postoperative patients with head and neck cancer were divided into control group (n=47) and intervention group (n=48). Patients in the control group were given routine discharge education and psychological nursing, and patients in the intervention group were treated with sand table hand swimming therapy on the basis of routine discharge education. The total score of stigma and the scores of face, avoidance and surrender dimensions in the medical coping scale of the two groups at different time points were analyzed by repeated analysis of variance. Results: There were significant differences in the group main effect, time main effect and interaction effect of stigma, face, avoidance and surrender dimensions between the two groups (P<0.05). The results of simple effect analysis showed that the score of stigma, face and surrender dimensions were significantly different between the two groups after 1, 2 and 4 months, and avoidance dimension after 2 and 4 months (P<0.05). Among them, the scores of stigma, avoidance and surrender of the sand table mobile therapy group were lower than those of the control group, while the score of face dimension was higher than those of the control group. Conclusion: Sandplay therapy can significantly reduce the stigma level of patients with head and neck cancer, improve their coping style, and has a satisfactory effect.

Objective: To investigate the current status of vicarious traumatization and its influencing factors among medical staff fighting against COVID-19. Methods: A convenience sample of 165 medical staff from eight tertiary grade A hospitals in Henan Province were selected between January and March, 2020. A questionnaire including demographic data, Vicarious Traumatization Questionnaire (VTQ), Chinese version of Toronto Alexithymia Scale (TAS-20) and Perceived Social Support Scale were used to collect the data. Results: The average score of VTQ was 75.36 ±19.85 and the incidence rate of vicarious traumatization was 4.2%. Multiple regression analysis showed that years of work experience, education level, average daily working hours, whether the aid of Hubei, whether to have worked for patients with SARS, and alexithymia scores could affect the level of vicarious traumatization among medical staff fighting against COVID-19, which could explain 55.6% variance of VTQ. Conclusion: There is a certain proportion of vicarious traumatization among medical staff fighting against COVID-19. Managers should pay attention to the identification and evaluation of vicarious traumatization among medical staff.

Objective: To investigate the effects of mindfulness-based stress reduction (MBSR) using Tencent Meeting on anxiety and depression of isolated patients with COVID-19. Methods: A total of 63 confirmed patients admitted to the isolation ward of COVID-19 in Nanjing Public Health Medical Center from January 2020 to February 2020 were selected as the research objects, and they were randomly divided into the control group and the experimental group, with 30 cases in each. The control group received routine psychological care, and the experimental group received MBSR through Tencent Meeting. After 4 weeks of intervention, the changes of anxiety (SAS) and depression (SDS) self-rating scores as well as the differences in hospital satisfaction were compared between the two groups. Results: The scores of anxiety and depression in the experimental group were significantly lower than those before the intervention, and the difference was statistically significant (P<0.05). There was no significant change in the scores of anxiety and depression in the control group before and after the intervention (P>0.05). Hospitalization satisfaction was higher in the intervention group (P<0.05). Conclusion: MBSR using Tencent Meeting can effectively relieve anxiety and depression of isolated patients with COVID-19 and improve their satisfaction with hospitalization.

Objective: To explore the experience of post-traumatic growth of nurses with COVID-19. Methods: A total of 14 cases of nurses with COVID-19 were interviewed in depth using phenomenological research methods in qualitative research. The results were analyzed with Colaizzi's phenomenon data 7-step analysis method, and the themes were analyzed and refined. Results: The post traumatic growth of the nurses can be summarized into 3 categories: the emotional experience after COVID-19 infection, the post-traumatic growth promoting factors, and the post-traumatic growth experience. Conclusion: Nurses infected with COVID-19 have obvious post-traumatic growth. Effective response and social support play a very important role to promote post-traumatic growth. It is suggested that medical managers should pay attention to the training of nurses' coping ability, and providing more social support when they experience traumatic events.

This paper summarized the management of the physical examination for getting back to work in a physical examination center of a large general hospital in Wuhan during the late period of COVID-19 epidemic. We took the following measures: 1) establishing a team to be responsible for the environment, materials and personnel preparation and to develop the workflow and work responsibilities; 2) doing physical examination by appointment, disinfecting the working area, improving the accurate rate of nucleic acid positive test, and preventing nosocomial infection; and 3) allocating nurses for post-examination management, for caring of these people who had positive testing results, and for psychological consultation to alleviate the pressure put on individuals as well as their affiliations. Form March 25 to May 6 in 2020, the center totally completed 11267 physical examinations. Among these physical examinations, eight were positive for nucleic acid and the positive detection rate was 0.7‰, and sixty-three patients were IgM antibody positive or IgM and IgG double positive, and the positive detection rate was 5.6‰. The number of infected health professionals who participated in the physical examinations was 0. Only by making full preparation before the physical examination can guarantee that the samplecollection was carried out in order. It is also important to give feedback, deal with problems in time, and check and fill management gaps.

Objective: To systematically search and synthesize the evidence of non-surgical prevention strategies for breast cancer related lymphedema to provide references for prevention of lymphedema related to breast cancer. Methods: The evidence integration process was guided by the Johns Hopkins evidence practice model, which including systematically reference search, quality appraisal and evidence formulation. Results: Totally 23 articles were finally included. Six dimensional evidence was synthesized including quality and requirements of medical staff, roles of patients and their care givers, risks identification, symptoms reorganization, regular monitoring, and prevention strategies implementation. Conclusion: The prevention strategies were synthesized based on evidence, which can be the references for the clinical decision-making, prevention strategies, and clinical practice. However, health professionals should make their own judgements when using the evidence. Hopefully the best evidence can be used to prevent the lymphedema related to breast cancer.

Objective: To systematically review the diagnostic value of trauma team activation criteria for patients with severe trauma in the emergency department triage. Methods: We searched databases including PubMed, Embase, The Cochrane Library, etc, to collect studies about trauma team activation criteria for patients with severe trauma and Meta-analysis was performed. Results: A total of 13 studies were included, with a total of 16 827 patients. The results of the Meta-analysis showed that the pooled sensitivity (Sen), specificity (Spe), positive likelihood ratio (+LR), negative likelihood ratio (–LR) and diagnostic odds ratio (DOR) of the two-step trauma team activation criteria for patients with severe trauma were 0.69 [95% CI (0.54, 0.80)], 0.87 [95% CI (0.74, 0.94)], 5.3 [95% CI (2.6, 10.8)], 0.36 [95% CI (0.24, 0.53)], 15[95% CI (6, 35)], respectively; and 0.85 [95% CI (0.81, 0.89)], 0.61 [95% CI (0.44, 0.75)], 2.2 [95% CI (1.4, 3.3)], 0.24 [95% CI (0.15, 0.38)], 9 [95% CI (4, 21)] respectively for the three-step criteria. The two-step and three-step activation criteria predicted the area under the SROC curve AUC of severe trauma patients to be 0.8508 and 0.8231, respectively, and the difference between the two was not statistically significant (P>0.05). The results of the subgroup analysis showed that different evaluation initiators and reference standards could have an impact on the evaluation and implementation of the accuracy of the activation criteria. Conclusion: The two-step and three-step trauma team activation criteria have similar diagnostic values in identifying severe trauma patients in the emergency triage. In order to ensure that patients with severe trauma receive the best treatment in time while reducing the waste of medical resources, it is recommended that the trauma team be launched in layers. Limited by the quality and quantity of included studies, the above conclusion still need more high-quality studies to verify.

Objective: To summarize the relevant evidence of exercise training for lung transplant patients, so as to provide references for clinical implementation of pulmonary rehabilitation. Methods: Evidence-based nursing methods were used. Clinical questions in relation to exercise training in lung transplant patients were raised. Relevant literature was retrieved. Evaluation tools of JBI Evidence-Based Health Care Center were used in quality evaluation, evidence extraction and synthesis. Results: Six studies were included, including one clinical practice guidelines and five randomized controlled trials. The studies were synthesized into 4 dimensions with 16 pieces of best evidence, including evaluation of exercise training, raining form, training intensity and duration, and effect evaluation. Conclusion: The best evidence summary of exercise training for lung transplant patients can provide references for clinical nurses, nursing managers, and rehabilitation therapists. The quality of nursing can be improved by scientifically carrying out the physical rehabilitation in accordance with the best evidence in lung transplant patients.

Objective: To evaluate the efficacy of unfolding case simulation in undergraduate teaching for stroke nursing. Methods: All the 113 nursing undergraduates in Grade three were recruited by cluster sampling. Self-designed questionnaires were used to evaluate the effects of unfolding case simulation teaching. Results: Both the students in simulation groups and observation groups were very satisfied with the unfolding case simulation teaching, and they scored very high in the following items: "simulation is quite different from common study model" "I worry about that my misjudgment or misconduct would harm my patients in simulation" "debriefing and discussion after simulation are big inspirations for me". Conclusion: The application of unfolding case simulation teaching in stroke nursing improves the undergraduates' experience of the whole process for caring stroke patients with a strong sense of real clinical scene experience, and enhance their comprehensive ability in nursing.

Objective: To evaluate the efficiency of nursing human resources in ten tertiary grade-A hospitals in Guangdong province. Methods: By convenience sampling, we collected data from cardiovascular departments in ten tertiary grade-A hospitals in Guangdong province in 2018 between January and December. The data included three nursing input indicators (the number of nurses and the average time that nurses caring for patients per day, the number of beds), and two nursing output indicators (the number of critically ill patients, the number of in-patients per year). Moreover, the data were analyzed by Data Envelopment Analysis (DEA) model. Results: In 2018, the overall efficiency in ten hospitals was 0.917, and 4 units (40%) in overall efficiency=1; pure technical efficiency score was 0.977, and 7 units (70%) of pure technical efficiency=1; total scale efficiency was 0.939, and 4 units (40%) of scale efficiency=1. Conclusion: The overall efficiency of nursing human resources in cardiology department of these tertiary grade-A hospitals is not high, and there are problems such as input redundancy or insufficient output, etc. Managers could optimize the allocation of nursing human resources and improve nursing efficiency by strengthening scientific post management, establishing scientific performance appraisal system and training system.

This article reviews the development history, role functions and access qualifications of hemodialysis vascular access coordinators in foreign countries, and discusses the feasibility and future development direction of vascular access coordinators, in order to provide reference for the cultivation of vascular access coordinators in China.

Objective: To explore the influencing factors of the job security of medical staff, and to provide basis for improving their sense of security. Methods: The phenomenological research method was used to carry out the study. A total of 26 medical staff from a general hospital were recruited by convenience sampling and were given semi-structured interviews. The data collected were then analyzed and summarized to define themes. Results: Through sorting out and analyzing, three themes affecting the security sense of medical staff were extracted, namely, personal factors, organizational factors and social factors. Conclusion: It is necessary to correctly identify the influencing factors of the security sense of the medical staff, so as to take targeted measures to improve their sense of security, reduce turnover intention, and stabilize the hospital talent team.

Alarm management has become a significant challenge of patient safety at home and abroad. The alarm event rate of multi-parameter monitors was one of the highest among clinical instruments. It is important to develop evidence-based guidelines for alarm management of multi-parameter monitors in China. In order to provide guidance and decision-making basis for hospital administrators and medical staff in China, this guideline provides evidence-based recommendations in 12 clinical alarm issues based on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach, and followed the Reporting Items for Practice Guidelines in Healthcare (RIGHT). It aims to promote alarm management standardization of multi-parameter monitor, ensure patient safety, and reduce the burden of medical staff.

This article reviewed and summarized the concept, current situation, influencing factors and the impact on health of Motoric Cognitive Risk syndrome in the elderly, in order to increase the attention of medical staff to the elderly Motoric Cognitive Risk syndrome and actively carry out targeted research, and provide reference for relevant research on Motoric Cognitive Risk syndrome.

Nurses are at high-risk for developing low back pain. The occurrence of low back pain not only threatens the physical and mental health of nurses, increases nurses' turnover rate, but also challenges the quality, safety of nursing care activities, as well as the retention and stable professional growth of the nursing workforce. This paper reviewed the status and treatment interventions for low back pain in nurses and analyzed the problems existed in managing low back pain in nurses. The result of the review provides a theoretical basis for securing nurses' occupational safety, and ensures better care delivered in clinical nursing practice, therefore, further promotes quality of care.

This article reviewed the application of mobile health in Home-Based Cardiac Rehabilitation nursing, including significance, overview, implementation feasibility, implementation methods and existing problems and challenges of Home-Based Cardiac Rehabilitation, in order to promote the development of Home-Based Cardiac Rehabilitation nursing model in China.

Cardiovascular disease is one of the main causes that threaten the human life worldwide. It can also increase the economic burden of medical care and society on the basis of affecting the physiology and psychology of patients. Cardiac rehabilitation can reduce the risk factors of cardiovascular disease, enhance the physical fitness of patients, and reduce the possibility of readmission. However, due to many factors, patients after cardiac surgery have poor compliance with cardiac rehabilitation. Therefore, this paper will present the status quo and influencing factors of cardiac rehabilitation compliance of patients after cardiac surgery, so as to provide the basis for improving the compliance of cardiac rehabilitation.

This paper reviewed progress of kinesiophobia in patients with heart diseases,including the related definition,research status, assessment tools,influencing factors and intervention strategies. It is expected to provide reference for improving patients' exercise compliance and rehabilitation effect.

This article introduces the related concept of Non-Technical Skills (NTS), elaborates the basic characteristics and application status of NTS assessment tools for emergency and critical care teams. The characteristics of evaluation scales are compared and analyzed the problems related to the development and application of NTS scales. We aim to provide suitable tools for the evaluation of NTS in intensive care/emergency teams in China, and provide references for the development of NTS in China.

This paper summarizes the application and prospect of decision aids in breast reconstruction, including the concept of decision aids and the influences of different forms of decision aids on patients' decision-making for breast reconstruction, and gives suggestions regarding the development of decision aids for breast reconstruction in China, in order to enhance patients' active participation in the decision-making process of breast reconstruction and promote shared decision-making in breast reconstruction.

In this paper, we analyze the current situation and shortage of our national public health emergency supplies support systems, and then we propose some suggestions to improve the ability to respond emergency of public health, such as enhance our capacity to provide sanitation supplies, raise our management level on the emergency sanitation supplies by legalized, standardized and pluralized.