This paper systematically introduces the 30 years' experience of Central Sterile Supply Departments in China. The rules and regulations of the Central Sterile Supply Department and the standards of the health industry were described. This paper expounds the post training project of Central Sterile Supply Department which has been implemented for eight years. It reveals the future development direction and challenges of Central Sterile Supply Department in the new era.

Objective: To construct the sensitive index system for Central Sterile Supply Department (CSSD) quality control, and to provide scientific management basis for the standardized and homogeneous development of CSSD. Methods: The sensitive index system for central sterile supply quality control was established through literature retrieval, quality control tools, group discussion, Delphi expert consultation and other methods, and its reliability and scientificity were analyzed. Results: Both the effective recovery rates of the consultation questionnaire in the two rounds were 100%, the average expert authority coefficient was 0.87, the coordination coefficient was 0.203 (P<0.001), the item validity indexes ranged from 0.833 to 1.000, and the questionnaire validity index was 0.800. The sensitivity index system is composed of 3 first-level items, 11 second-level items and 15 third-level items, and the definition, interpretation and calculation formula of each index were provided. Conclusion: The result of expert consultation is scientific and reliable. The sensitivity index system of central sterile supply quality control can be used as the basis for quality management of CSSD.

Objective: To summarize and apply the evidence to prevent wet packs from autoclave sterilizers so as to improve the awareness of the staff in Central Sterile Supply Department on evidence-based knowledge, increase the implementation rate of evidence application, and reduce the incidence of wet packs. Methods: Based on the "clinical application of evidence" model of the Joanna Briggs Institute (JBI) evidence-based health care center, we obtained best practice evidence and formulated corresponding review indicators. We collected data using on-site observation, interview, measurement, and access to relevant records. Results: After the application of the best evidence, the implementation rate of seven review indicators reached 100%. The incidence rate of wet packs decreased from 0.85% to 0.12%. The pass rate of the staff in the Central Sterile Supply Department on the knowledge of wet pack management increased from 30.8% to 92.3%. The frequency of touches during cooling period decreased from 4.57 to 1 on average. Conclusion: The application of the best evidence of wet pack management can standardize the practice of the Central Sterile Supply Department staff and reduce the incidence of wet packs.

Objective: To evaluate the effects of the whole-process quality traceability information management for rental medical devices. Methods: The rental medical devices were convenient selected and divided into control group (n= 3959) and experimental group (n=3402). The control group adopted the conventional manual traceability management method, and the experimental group adopted the whole-quality traceability information management system. The two groups were compared in terms of the qualified rate of printing labels, the qualified rate of parameter records, the qualified rate of cleaning quality, the time spending on information inquiry and reception. The staff satisfaction of operation room and Central Sterile Supply Department were also investigated. Results: The qualified rate of printing labels, the qualified rate of parameter records, the qualified rate of cleaning quality in the experimental group were significantly higher than those in the control group. The staff satisfaction of nurses from the operation room and Central Sterile Supply Department were 96.75% and 95.00%, respectively. Conclusion: The whole-process quality traceability information management for rental medical devices can not only realize real-time monitoring of quality, but also improve the professional level of disinfection and sterilization, improve the work efficiency, and the satisfaction of staff.

Objective: To evaluate the effects of hierarchical management combined with performance assessment in the management of Central Sterile Supply Department. Methods: All staff in the Central Sterile Supply Department were selected. Routine nursing management model was applied from January 2019 to December 2019 while the hierarchical management combined with performance assessment model was adopted from January 2020 to December 2020. The effects were analyzed between these two models. Results: The qualified rate of instrument cleaning was 99.0%, the qualified rate of the device packaging was 99.8%, the qualified rate of the sterile goods storage and delivery was 100.0%, which was significantly higher than before (92.0%, 93.5%, 96.0%, respectively), and the differences were statistically significant (P<0.05). The nurses' total work satisfaction were 85.7%, which were significantly higher than before (68.6%), and the difference was statistically significant (P<0.05). Conclusion: Hierarchical management combined with performance assessment in the management of Central Sterile Supply Department has outstanding application effects. It can effectively improve the quality of work and nursing satisfaction, has a very good application prospect.

Objective: To understand the current situation of human resource and external service of the Gansu Provincial regional Central Sterile Supply Departments (CSSD). Methods: Using on-site inspection and questionnaire survey, the current situation of human resource and external service in 78 CSSD in Gansu province was investigated and analyzed. Results: The ratio of nurses to non-nurses was 7.4?:?1 in the 689 professionals. Among the nurses, 38.90 percent staff were younger than 30 years old, and 62.55 percent of them working time were no more than 5 years. Junior professional titles accounted for 74.02%, college degree or above accounted for 81.71%, participated in provincial and out-of-province training less than one time per year accounted for 94.05% and 98.11%, respectively. The main obstacles to external business were long distance, inconvenient transportation, and the other medical institution was unwilling to send for disinfection, accounted for 42.31% and 46.15%, respectively. Conclusion: The human resources for regional CSSD in Gansu province needs-to be futher optimized. We suggest carrying out targeted professional job training according to the staff's educational level and job requirements. In addition, we suggest improving the external service management system to realize the sharing of medical resources, give play to the role of regional CSSD, and ensure medical quality and safety.

Objective: To identify the internal characteristics of fatigue related symptom cluster in patients with acute stroke, and to analyze the indicators for patients with high symptoms. Methods: A cross-sectional study was used to investigate the general information, fatigue, pain, sleep status, anxiety and depression, social support, self-efficacy, and quality of life in 660 patients with acute stroke in a tertiary hospital in Zhengzhou City, and the Mplus7.4 software was used to fit the latent class of symptom clusters. Results: The fatigue related symptom cluster of patients with acute stroke were divided into three groups as "high symptom class", "high psychological disorder class" and "low symptom class" according to the symptom characteristics. Patients in the "high symptom class" were characterized by significantly younger age (OR=1.505, P=0.029), lower level of self-efficacy (OR=0.728, P=0.010) and lower level of perceived social support (OR=0.643, P=0.016). Conclusion: The quality of life in patients with high-risk symptoms needs to be improved, and how to improve social support and self-efficacy are the key intervention target to improve the management of fatigue related symptom cluster in patients with acute stroke.

Objective: To investigate the chemotherapy-induced taste alterations and analyze its influencing factors in breast cancer patients. Methods: A cross-sectional study was adopted. From April to May 2019, the general information questionnaire and the Chemotherapy-induced Taste Alteration Scale (CiTAS) was used to investigate 202 breast cancer chemotherapy patients in 6 tertiary grade A hospitals in Beijing through purposive sampling. Results: The total score of CiTAS was 4.00-14.07, the median score was 5.70, and 82.2% patients suffered from taste alteration. The scores of CiTAS differed among patients with different chemotherapy regimens (P<0.05). More than 80.0% of patients indicated that the taste changes appeared in the first course of treatment and could be basically recovered before the start of the next course. Xerostomia, tongue coating changes, oral ulcers and nausea were influencing factors of taste alterations. Conclusion: The taste alterations of breast cancer patients undergoing chemotherapy are affected by multiple factors. Medical staff can provide targeted and effective interventions to improve taste alterations based on the chemotherapy regimen, the symptoms and time characteristics of chemotherapy-induced taste alteration, and the accompanying symptoms during chemotherapy.

Objective: To explore the influences of a multidisciplinary cognition intervention program on kinesiophobia in patients with chronic low back pain. Methods: A total of 150 chronic low back pain patients with kinesiophobia treated in the Spine Surgery Clinic of Nantong First People's Hospital from March 2018 to October 2018 were recruited, and randomly assigned into the observation group (n=75) and the control group (n=75). Conventional treatment and health education were applied in the control group while the multidisciplinary cognition intervention program involving nurses, spine surgeons, therapists and psychiatrists was applied in the observation group. Indicators including pain, kinesiophobia and dysfunction were assessed 1 week, 3 weeks, 3 months and 6 months after treatment. Compliance behaviors and revisit rate were compared 6 months after treatment between groups. Results: (1) The scores of pain and dysfunction (ODI score) at 3 weeks and 3 months in the observation group were significantly lower than those of the control group (P<0.05) and the scores of Tampa Scale For Kinesiophobia (TSK) were significantly lower in the observation group at all the indicated time points than the control group (P<0.05). (2) A higher rate of compliance behaviors and lower revisit rate were detected in the observation group at 6 months compared with those of the control group (P<0.05). Conclusion: The multidisciplinary cognition intervention program is beneficial to alleviate kinesiophobia, promote recovery of lumbar function, enhance compliance behaviors and reduce revisit rate in patients with chronic low back pain.

Objective: To analysis the psychological resilience and its influencing factors in parents of children with brain tumor. Methods: A convenient sampling method was used to conduct a questionnaire survey on the parents of 200 children with brain tumor admitted to the neurosurgery department of a children hospital. Results: The parents' psychological resilience score was lower than the Chinese norm (P<0.05). The depression, anxiety and stress of the parents of children with brain tumor were negatively correlated with psychological resilience. The social support was positively correlated with psychological resilience. The gender, age, residence, depression and social support score of the parents were the influencing factors affecting the psychological resilience of the parents (ΔR2=0.664). Conclusion: Nurses should pay attention to the psychological state of the parents of children with brain tumor, and comprehensively evaluate the social support of parents, to mobilize their effective social support, and improve their psychological resilience, so as to increase the survival rate of children with brain tumor.

Objective: To explore facilitators and barriers to implementing person-centered care among patients with moderate to severe dementia in long-term care facilities. Methods: It is a descriptive qualitative study. We conducted semi-structured interviews with 11 caregivers who participated in the person-centered care in two long-term care facilities. Content analysis method was used to analyze the transcript. Results: Three major themes emerged for facilitators, which were factors related to care plans, organization and implementation, and external support. Two major themes emerged for barriers, which were patient factors as well as factors related to organization and implementation. Conclusion: Developing care plans which are adapted to patients through discussions of multidisciplinary team, arranging caregivers who are acquaintant with patients to help them take part in group activities and having the joined support from managers, caregivers, and family members, are facilitators to implementing person-centered care.

Objective: To translate and verify the validity and reliability of the short form of the Questionnaire Quality from the Patient’s Perspective for Palliative Care (QPP-PC). Methods: Standard forward-back translation techniques, including translation, back translation and cross-cultural adaptation, were used in the translation of the QPP-PC according to the Brislin translation model. Reliability and validity were tested with QPP-PC data collected from 420 subjects in two pilot hospice care hospitals and one hospice care ward in Henan Province by convenience sampling. Results: The Chinese version of QPP-PC included 4 dimensions: Medical-technical competence (2 items), Physical-technical conditions (3 items), Identity-oriented approach (9 items), Sociocultural atmosphere (6 items) and 5 single items. Each item needs to be answered in terms of both Subjective Importance (SI) and Perceived reality (PR). The Cronbach’s α coefficient of SI subscale is 0.918, the retest reliability is 0.901, and the half reliability is 0.751. The Cronbach’s α coefficient of PR subscale is 0.900, the retest reliability is 0.887, and the half-fold reliability is 0.779. Conclusion: The Chinese version QPP-PC shows high validity and reliability to be used in assessing the quality of palliative care.

Objective: The purpose of this study was to translate the Nursing Workplace Satisfaction Questionnaire (NWSQ) into Chinese, and test its reliability and validity among clinical nurses. Methods: A total of 412 nurses from the First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning province participated in the study. The NWSQ was first translated into Chinese, and went through back translation and culture adaptation, before it was admitted among Chinese nurses between September and October, 2019. Results: The Content Validity Index (CVI) of the Chinese version of the NWSQ was shown at 0.948. Exploratory Factor Analysis (EFA) indicated three factors, and they explained 74.851% of the total variances on workplace satisfaction among nurses. The Cronbach's α of the NWSQ Chinese version was 0.950; the split-half reliability Guttman coefficient was 0.819, with the test-retest reliability being 0.896 in the current study. Conclusion: The NWSQ Chinese version included 16 items, it demonstrated acceptable reliability and validity in assessing workplace satisfaction among nurses in China.

Objective: To study the effect of "Dancing for Birth" on postpartum depression in multiparous women with advanced maternal age. Methods: Convenience sampling was used in this study. Totally 206 multiparous women with advanced maternal age were randomly divided into two groups, 100 participants were assigned to experimental group, and 106 participants in the control group. The participants in the control group were with ordinary health education, routine labor process and postpartum follow-up. Those in the experimental group participated in the birth dance course from the 28th week of pregnancy to 6 weeks after delivery. The Edinburgh postpartum depression scale was used to assess the depression of participants at the 10th day and the 6th week after delivery. Results: The score and incidence of depression for those in the experimental group were lower than that of the control group (P<0.05). Conclusion: The "Dancing for Birth" is benefit to decrease the postpartum depression in multiparous women with advanced maternal age, and it is worthy of clinical application.

Objective: To investigate the effect of AR somatosensory acupoint massage on symptom group in patients with breast cancer. Methods: Totally 180 patients with breast cancer after operation were divided into AR somatosensory Acupoint Massage (AR-AM) group, pressing Acupoint Massage (AM) group and Fake Acupuncture Massage (FAM) group with a ratio of 1:1:1. Patients accepted AR somatosensory acupoint massage, pressing acupoint massage and fake acupoint massage, five times a week. The brief Fatigue Inventory (BFI), The brief Pain Inventory (BPI), Pittsburgh Sleep Quality Index (PSQI) scale, Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were used for scoring at the baseline, 4 weeks, 8 weeks (treatment end) and 12 weeks (end of the elution period). The Generalized Linear Mixed Models was used to evaluate fatigue, pain, sleep disorder, anxiety, and depression of the patients. Results: Among the 180 participants, 170 cases completed autonomous rehabilitation interventions, including 58 of AR-AM group, 56 of AM group, and 56 of FAM group. Compare the mean values of scores of fatigue, pain, sleep disorder, and depression between groups, the decline levels of AR-AM vs AM, AR-AM vs FAM and AM vs FAM have statistical difference after the 4th, 8th, and 12th weeks (P<0.001). Scores of fatigue, pain, sleep disorder and depression in the AR-AM group decreased the most, followed by the AM group, and no significantly changes in the FAM group. Anxiety was compared between groups. There was statistical difference in decline level of anxiety between AR-AM vs AM and AR-AM vs FAM at each time point (P<0.001). There was no statistical difference (P=0.164) on the 4th week, whereas there was statistical difference on the 8th week (P<0.05) and 12th week (P=0.053). The variables of fatigue, pain, sleep disorder, anxiety and depression were statistically significant between the two groups at 4th, 8th, and 12th weeks of intervention, and different interaction methods change significantly in accordance with different time period (P<0.001). Conclusion: AR somatosensory exercise acupoint massage can effectively relieve the fatigue, pain, sleep disorder, anxiety and depression symptoms of patients with breast cancer, and improve their quality of life.

Objective: To construct a nursing handover checklist for critically ill patients, so as to improve the quality of nursing handover process and ensure the safety of patients. Methods: The methods of field observation, literature review and expert panels were used to confirm the information items of the nursing handover checklist. The checklist was embedded into the intensive care system as a form, included 6 categories and 41 items, which were 16 items regarding patient information, 8 items regarding treatment interventions, 8 items regarding nursing assessment, 1 item regarding specialized nursing, 3 items regarding nursing safety events, and 5 items regarding notes. The number of errors or omissions during nursing handover, the bedside handover time, the number of adverse events caused by the defect of handover information, the time of writing nursing handover checklist were collected before and after the application of the checklist. Nurses were interviewed at the same time to evaluate the application effects of the checklist. Results: After the application of the nursing handover checklist for critically ill patients, the numbers of mistakes and omissions of nurses, numbers of adverse events caused by the defect of handover information were significantly reduced, the time for nurses to write handover reports was significantly shortened (P<0.05). At the same time, nurses expressed positive experience using the checklist in the interview. Conclusion: The nursing handover checklist for critically ill patients can achieve information sharing with the help of information system. It can change the inherent mode of clinical nursing work, and improve the quality of nursing care.

Objective: To construct a continuing education course on clinical nurses' coping with death competence. Methods: Qualitative interviews were conducted among clinical nurses to know their challenges and needs during the process of coping with death. Findings from the interviews were the basis for the course construction. Literature review was then carried out to explore the detailed objectives and contents of the course and the preliminary course was developed. Delphi expert consultation was used to finalize the objectives and contents of the course. Results: The formed course has 18 course objectives, 10 first-level titles, and 57 second-level titles. The kendall coefficient of concordance for course objective and content were 0.235 (P<0.001) and 0.138 (P<0.001), respectively. The scores of importance for course objective and content were both beyond 3.5 indicating the relative importance of them. Conclusion: The construction of continuing education course on coping with death competence is conducted through various research methods. The course is practical, in line with the needs of clinical situations, and scientific and reliable. The course can provide a theoretical basis for continuing education of nurses' coping with death competence.

Objective: To construct an In Situ Simulation (ISS) emergency training courses for anesthesia recovery nursing, and evaluate the quality and effects of its application. Methods: Based on the“standards of best practice” for simulation teaching developed by the International Nursing Association for Clinical Simulation and Learning (INACSL), the ISS emergency training courses were constructed and were applied in the training of anesthesiology nurses in a tertiary hospital in Hubei Province from September to December 2020. The Simulation Effectiveness Tool Modified (SET-M) was used to assess the quality of courses, and the nurses' comprehensive emergency ability was compared before and after the training. Results: A total of eight ISS emergency training courses for anesthesia recovery nursing were constructed. After the training, the nurses got the scores above 2 points in each item of SET-M, and with the increase of training times, the scores of SET-M were improved significantly (P<0.05). The comprehensive emergency ability of nurses was also improved after the training (P<0.05). Conclusion: The ISS emergency training courses for anesthesia recovery nursing, which were based on the "standards of best practice" for simulation teaching by INACSL, are with a relative high quality, and the application of the courses is beneficial to improve the comprehensive emergency ability of anesthesiology nurses. The course can provide reference for the training of anesthesiology nurses.

Objective: To explore the influence of full-time posts setting on the practice performance of specialist nurses. Methods: A total of 612 specialist nurses from 16 hospitals in Shanghai were included in this survey. The Propensity Score Matching (PSM) was applied to control the confounding factors. The influence of different posts setting on the practice performance of specialist nurses was explored. Results: The proportion of specialist nurses with full-time posts was 9.5%. The specialist nurses were distributed mainly in tertiary hospitals, general hospitals, internal medicine, surgery and intensive care units. The specialist nurses with full-time posts were significantly older and had longer working years and higher proportion of nurse-in-charge titles than those with part-time posts (P<0.05). There was no significant difference in the practice performance of clinical practice and coordination ability between the specialist nurses with full-time posts and those with part-time posts (P>0.05). The practice performance of the specialist nurses with full-time posts were significantly higher in systems optimization, education, research and leadership than that of the specialist nurses with part-time posts (P<0.05). Conclusion: The proportion of specialist nurses with full-time posts in Shanghai is relatively small. They are mainly distributed in tertiary general hospitals, and work in the departments of internal medicine, surgery and intensive care units. The specialist nurses with more work experiences and higher professional titles are easier to get full-time posts than the others. The establishment of full-time posts can help specialist nurses to improve their practice performance in nursing.

This literature review compares the practice status of senior nurses in China and abroad, analyzes the potential value of senior nurses and the factors that hinder their value realization, and critically summarizes the exploration of human resource management for senior nurses, so as to provide reference for the effective management and further research of senior nursing human resources in China.

Objective: To analyze the turnover intention and influencing factors of nurses. Methods: A total of 63 947 nurses were selected by convenience sampling method and surveyed by the Turnover Intention Questionnaires. Results: The score of nurses' turnover intention was 13.93±4.21. Over 50% of nurses have a high turnover intention. The influencing factors were education, kind and level of hospital, job title, nursing history, working hours per week, the number of night shifts per month, the form of night shift and department were the impact factors of nurses’ turnover intention, which could explain 35.4% of the total variation. The Nurses suggested to improve their salaries, provide them more respects and reduce their workloads. Conclusion: The turnover intention of nurses is at a high level, especially in the nurses with young age, working in intensive care unit or emergency department, and working at low level hospitals which are undergoing transformation. It is suggested that nurse managers pay more attention to the nurses, and take effective measures to enhance nurses' satisfaction and minimize the turnover of nurses.

Objective: To construct an information intelligent prevention decision support system for prevent Incontinence Associated Dermatitis (IAD), and explore the application effect. Methods: A research team was established to develop IAD information intelligent prevention decision support system by using human-computer interaction techniques. The system includes six modules, namely IAD risk assessment, IAD prevention and nursing measures, IAD prevention and nursing effect evaluation, nursing record, intelligent warning system and IAD nursing quality management, in order to realize intelligent assessment, early warning, and automatic push closed-loop management functions. In January 2020, the system was officially put into clinical application. The implementation rate of IAD preventive nursing measures, the incidence rate of IAD and the statistical time-consuming of IAD nursing quality data were compared before and after the application. Results: After applying the system, the incidence of IAD decreased by 15.7% to 6.5%, and the implementation rate of IAD preventive nursing measures increased by 72.9% to 90.7%, which has statistically significant differences before application (P<0.05). One-click extraction of IAD care quality data was realized. Conclusion: IAD information intelligent prevention decision support system can reduce the incidence of IAD, provides the best decision-making for clinical nurses, and improves the quality of care and management efficiency of incontinence.

Objective: To evaluate the application effects of the informative transfer system in the safety management of surgical patient. Methods: A total of 104 patients who needed hepatobiliary surgery were recruited in the quasi-experimental study. The nurse's informed time, the time of consecutive operation patients accessing to the operating room, the accuracy of the patient information, the surgical item carrying complete qualified rate and the error rate of the wrong surgical patient were compared before and after the informative transfer system was used. Results: The nurse's informed time, the time of consecutive operation patients accessing to the operating room and the error rate of wrong surgical patient in the informative transfer system group were significantly lower than that of the traditional manual transfer management group (P<0.05). The accuracy of patient information and the surgical item carrying complete qualified rate were higher (P<0.05). Conclusion: The application of informative transfer system can reduce the occurrence of adverse events, improve the qualified rate of carrying complete surgical items, increase the accuracy of patient information and ensure the safety of surgical patients.

Objective: During the COVID-19 epidemic, try the medical team resource management rescue model for patients with emergency myocardial infarction and evaluate its effect. Methods: From January 2020 to January 2021, a total of 125 patients with acute myocardial infarction admitted in a tertiary hospital in Beijing were managed by the Team Resource Management model. Outcomes in this study included duration of emergency stay, success rate of rescue, time from the first Door to Balloon (Time from the patient entering the emergency department to the completion of balloon dilatation), and the medical staff?'s attitude towards patients' safety. Results: During the epidemic period, the duration of emergency stay and time of D2B of patients with acute myocardial infarction were not prolonged. The medical staff's attitude towards to patient safety was very positive. There was no significant difference in rescue success rate. Conclusion: The medical team resource management and rescue model plays an important role in the treatment of patients with acute myocardial infarction during the epidemic period. The model can improve the quality of rescue of patients and ensure patients safety during the epidemic period.

To summarize the type of acute adverse events in rehabilitation exercise of cardiovascular population and the influencing factors, introduce the existing exercise risk assessment tools, in order to improve the safety and efficacy of rehabilitation exercise in cardiovascular population.

The research progress of the life quality of survivors of cardiac arrest was reviewed from four aspects, including assessment tools, current situation, influencing factors and intervention measures, in order to provide references for promoting clinical researches and practice and improving the quality of life of survivors of cardiac arrest.

This paper reviews the current development statues of early mobilization of patients admitted to Intensive Care Units (ICUs), and analyzes the influencing factors of early mobilization from the aspects of ICU team, nurses, and patients, their families, early mobilization plans, and management protocols. Furthermore, the authors then put out four recommendations on the basis of the research outcomes for the development of early mobilization in ICUs.

This article reviews the possible potential mechanisms of cognitive dysfunction in patients with Atrial Fibrillation, and describes possible risk factors from socio-demographic factors, lifestyle, psychological factors, disease factors, and therapeutic factors, in order to prevent or delay the cognitive dysfunction in patients with Atrial Fibrillation.

This paper focused on the interpretation of the update and new content of International Ostomy Guideline 2nd edition. It is expected to provide a scientific basis for professional training of ostomy and nursing care of ostomy patients in China, so as to improve the quality of specialist nursing and the quality of life of ostomy patients and their families.

This article reviews the concepts, influencing factors and methods, of scheduling in the operating room at home and abroad, and analyze the current situation of scheduling in the operating room management and propose a theoretical model. In order to provide references for rational use of operating room resources and improve operating room efficiency.  

This paper introduced the translation and introduction of seven Standardized Nursing Terminologies recognized by American Nursing Association, summarized the applicability evaluation results of these terminologies, discussed the differences between international standardized nursing terminologies and Chinese nursing practice, and put forward suggestions. It is expected to provide reference for promoting the development and application of Standardized Nursing Terminologies in China.

Objective: Systematic analysis of the concepts, frameworks and influencing factors related to the scaling-up Best Practice Evidences (BPEs), in order to provide references for the future implementation of scientific evidence scaling-up. Methods: Based on the scoping review framework modified by Daudt, a systematic search was conducted to collect literature focusing on concepts, frameworks, and factors of BPEs scaling-up. Data were extracted by two researchers independently, and literature was analyzed by descriptive and thematic analysis. Results: A total of 28 articles were included. There is no accepted definition of scaling-up. Ten scaling-up frameworks, 5 scaling-up primary factors (including BPEs, user organizations, resource teams, environment, and scaling-up strategies), and 28 scaling-up secondary factors were identified. Conclusion: This study comprehensively integrated the relevant concepts, framework and influencing factors of BPEs scaling-up, which could provide practical information for evidence-based practice.