In 2022, the Beijing Nursing Association issued the Clinical Practice Standards for Arterial Blood Gas Analysis in Adults, second edition. The new version of standards was revised on the basis of the 2017 edition of the Clinical Practice Standards for Arterial Blood Gas Analysis, and it has made recommendation adjustments and supplemented the key contents of the arterial blood gas collection process in adults, the quality control of arterial blood gas analysis, and the common complications and treatment of arterial blood collection. It is expected to guide clinical medical staff to correctly understand and use the standards, enhance the nursing ability of caring critically ill patients, ensure the safe treatment of patients and the occupational safety of operators. This article summarizes and interprets the content and updated points.

Objective: To investigate the clinical practice status of the Clinical Practice Standards for Arterial Blood Gas Analysis published in 2017, and to provide reference for further standardizing clinical practice for arterial blood gas analysis in adults. Methods: From April 12 to May 31, 2022, a self-designed questionnaire was used to investigate the practice status of adult arterial blood gas analysis among medical staff from 134 medical institutions in China by convenience sampling. Results: A total of 500 valid questionnaires were collected, and 28.2% respondents preferred 2% chlorhexidine gluconate ethanol solution as skin disinfectant. In clinical arterial blood gas sampling, 90.4% of the preferred site were radial artery, and the needle entry angles were slightly different. Only 15.0% removed three times the dead space volume of mixture blood; 73.8% correctly mixed the specimens after blood collection; 76.2% could complete the test within 30 minutes. There were 8.6% of the respondents who suffered needle injuries due to arterial blood collection operation. Conclusion: There are differences in the disinfection methods of arterial blood gas analysis, puncture sites for blood collection, and needle entry angles among medical staff. The quality control of arterial blood gas sample collection, transportation, and preservation needs to be optimized. The training and examination related to arterial blood gas analysis are insufficient, and the awareness of occupational protection is weak. The success rate of arterial blood collection can be improved by strengthening the training of adult arterial blood gas analysis operation knowledge and skills, and the quality control of the collection process, to ensure the accuracy of test results.

Objective: To investigate the incidence of complications during peripheral arterial catheterization and analyze the influencing factors of puncture-site bleeding in ICU patients. Methods: Patients admitted to ICU in a tertiary grade A hospital in Beijing from January 2021 to July 2022 were selected as the research objects. A self-designed data collection table was used to record patients' basic information, catheterization, complications and infections. The influencing factors of puncture-site bleeding was analyzed by using Logistic regression. Results: A total of 1197 arterial catheters were observed in 1130 patients, 93.8% were radial artery catheterization, 5.3% were brachial artery catheterization, 82.6% were indwelt in operating room, and 40.4% indwelling time was more than 48 hours, 5.6% were removed unplanned due to complications. The common complications were puncture-site bleeding (15.3%), inaccurate waveform (9.9%), pain complaint (6.5%), catheter disrepair (6.2%), etc. The catheter specimens and skin swabs of 329 patients with indwelling for more than 48 hours were routinely collected for microbial examination. The infection rate of colonization was 2.4%. Multivariate analysis showed that the catheter indwelling time and catheterization site were the influencing factors of puncture-site bleeding. Conclusion: The incidence of common complications in ICU patients during indwelling arterial catheter is still high. It is necessary to strengthen the observation of local complications, reduce the poor function of catheter, pay attention to the patient's colonizing bacteria infection and subjective feelings during indwelling, and take targeted preventive measures early.

This paper reviews the research progress of arterial puncture related pain management in children, intervention methods include pharmacological interventions such as the use of local anesthetics; non-pharmaceutical interventions such as cryotherapy, distraction, non-nutritional sucking and using sweeteners, kangaroo care, massage, and other techniques, as well as innovations in puncture technology such as ultrasound-guided puncture, summarizes the existing problems of children artery puncture related pain management, puts forward the future research direction and trend, to provide a reference for standardizing the pain management practice of arterial puncture in children.

Objective: To study the implementation of arterial indwelling catheter blood collection process recommended by Clinical Practice Standards for Arterial Blood Gas Analysis in Children based on Exploration, Preparation, Implementation, Sustainment (EPIS) framework, and to evaluate its practicability and effectiveness. Methods: Before and after the implementation of the practice standard, a total of 652 patients with indwelling peripheral arterial catheters for blood collection and 86 medical staff were included to conduct quality review, analyze the obstacles in the implementation process, and formulate corresponding countermeasures. To compare the compliance, knowledge, attitude and behavior, blood collection effect, indwelling time of arterial catheter and complications of medical staff before and after the implementation in Pediatric Intensive Care Unit of a tertiary grade A children's hospital. Results: After the implementation, 12 of the 22 review indicators with poor compliance were significantly improved (P<0.05); the knowledge, attitude and behavior of medical staff for blood gas analysis with arterial indwelling catheter recommended by the practice standard were significantly improved (P<0.05); blood collection time was shortened (P<0.05), arterial blood gas specimen defect rate and blood exposure rate of medical staff were decreased (P<0.05); the indwelling time of ductus arteriosus was prolonged (P<0.05), and the incidence of catheter blockage was decreased (P<0.05). Conclusion: The implementation of the practice standard can regulate the behavior of medical staff, prolong the indwelling time of peripheral arterial catheter, improve the blood collection effect, and reduce the incidence of complications related to peripheral arterial catheter, which is worthy of clinical application.

Objective: To describe the current characteristics of the care demand for health care services in elderly in Tianjin, and analyze the potential influencing factors, therefore provide references for the construction of a demand-oriented long-term care system in Tianjin. Methods: By using the convenient sampling method, a total of 4713 people who were 60 years of age or older in Tianjin were selected for the survey to analyze the influencing factors of their demand level and to investigate their willingness to provide for the elderly. Results: The elderly have a high demand for health monitoring, psychological and social support, protection and safety. The multivariate analysis showed that age, level of education, the number of hospitalizations due to illness, self-care ability, possession of spouse, use of mobile phones and model of living were influencing factors of demand level of medical care services for the elderly (all P<0.05). Conclusion: At present, the demand for medical care services for the elderly in Tianjin has not been fully met. The elderly who are very elderly, have no spouse, live alone or in an elderly care institution, do not use mobile phones, have been hospitalized for many times due to illness in the past year, and are disabled or semi disabled, whose the highest degree is not junior high school may have a high demand for care. It is recommended to increase the supply of long-term care services.

Objective: To study the safety of no bowel preparation before esophagectomy and its effect on the recovery of patients. Methods: A multicenter randomized controlled study was conducted from June to October 2021. A total of 236 patients from three tertiary Grade A hospitals were randomly divided into experimental group (117 cases) and control group (119 case). Those in the experimental group did not get bowel preparation before operation, and only with preoperative fasting and water deprivation. Those in the control group were orally prepared with compound polyethylene glycol electrolyte powder one day before operation. The incidence of anastomotic leakage and comprehensive complication index within 14 days after operation, perioperative infection, electrolyte balance, as well as postoperative recover indicators were compared. Results: Anastomotic leakage occurred in 6 cases (5.1%) in the experimental group and 9 cases (7.6%) in the control group, and the difference was not statistically significant (P>0.05). The comprehensive complication index was 5.47±9.73 in the experimental group and 7.67±12.17 in the control group, and the difference was not statistically significant (P>0.05). The time of eating, the time of getting out of bed and the length of postoperative hospitalization of those in the experimental group were better than those of the control group (P<0.05). Conclusion: No bowel preparation before esophagectomy is safe for patients with esophageal cancer, and it can accelerate the postoperative recovery of patients.

Objective: To establish the core competence evaluation index of breast cancer surgical nurses in surgical decision aids. Methods: Based on literature review, theoretical analysis and qualitative interviews, the core competence indicators were initially formulated. Totally 18 experts were consulted for two rounds using Delphi methods, and the weights of indicators at all levels were determined. Results: The evaluation indexes of the core competence of breast cancer surgical nurses in surgical decision aids were formed, including 6 first-level indexes, 14 second-level indexes, and 46 third-level indexes. The effective response rates of the two rounds of expert consultations were both 100.0%, and the expert authority coefficients were both 0.897. The Kendall coordination coefficients of the first and second round were 0.112 and 0.125 respectively, which were all significantly different (P<0.001). Conclusion: The core competence evaluation index of breast cancer surgical nurses in surgical decision aids is scientific, comprehensive and clinical meaningful, which can provide references for the standardized training of nurses and the formulation of standardized workflows, and can also promote the development of Shared Decision Making in various hospitals.

Objective: To explore the reasons why patients with advanced cancer refuse or accept Life-Sustaining Treatments, and to provide a theoretical basis for death education. Methods: A total of 18 patients with advanced cancer admitted to a cancer hospital from July 2021 to January 2022 were recruited in this phenomenological research. Semi-structured interviews were conducted. Data were collated and analyzed using Colaizzi's method. Results: We identified the reasons for refusing or accepting Life-Sustaining Treatments in patients with advanced cancer. The six sub-themes for refusing life-sustaining treatments included reluctancy to aggravate financial, care, and mental burden on family members, pursuit of quality of life, maintenance of self-dignity, relief of life (transcendence of death), and completed outstanding matters. The two sub-themes of accepting life-sustaining treatments included attachment to family and reverence for life. Conclusion: Medical staff should guide patients with advanced cancer to comprehensively understand Life-Sustaining Treatments, take positive measures to promote dignified care for terminally ill patients, and improve patients' quality of life.

Objective: To understand the experience of children's caregivers during hospitalization in parent-child ward of COVID-19 designated hospital. Methods: Using phenomenological research method in qualitative study, semi-structured interviews were conducted among 24 families living in the parent-child wards of designated hospital. Data were transcribed and analyzed by the software Nvivo based on Colaizzi's method. Results: A total of 5 categories were extracted: expectation for the parent-child ward in the designated hospital; positive attitude; appreciation of parent-child ward; unmet needs; concerns on back to the society. Conclusion: The patient-child wards in the COVID-19 designated hospital are conducive to meet the needs of children and their families during treatment, which reflects positive inpatient experience. Meanwhile, nurses need to provide more multi-dimensional health guidance for caregivers.

Objective: To investigate the problems existing in cleaning of phacoemulsification handle and propose some suggestions for improvement. Methods: A questionnaire was used from June to October 2021 to investigate the current situation of phacoemulsification handle cleaning management in 64 hospitals. Results: Management system: 25.0% (n=16) of the hospitals did not establish standardized operation procedures for phacoemulsification handles, and the utilization rate of surgical instrument traceability system in secondary hospitals was lower than that in tertiary hospitals (P=0.004). Recovery and transfer: The protection of phacoemulsification handles in secondary hospitals was weaker than that in tertiary hospitals (P1=0.033, P2<0.001). Cleaning equipment configuration: Only 12.5% (n=8) hospitals were equipped with cleaning machines suitable for phacoemulsification handles. Random inspection and monitoring of cleaning quality: Only 78.1% (n=50) hospitals checked the cleaning quality of phacoemulsification handles, of which the utilization rate of quantitative testing method was only 48.0% (n=24). The sampling monitoring frequency of 42.0% (n=21) hospitals did not meet the regulations, and 44.0% (n=22) hospitals did not have a comprehensive monitoring site. Personnel training: 25.0% (n=16) of the hospitals did not train the cleaning staff in specialized theoretical knowledge. Conclusion: There are still many problems in the management of ultrasonic emulsification handle cleaning, such as imperfect system construction, insufficient protection of ultrasonic emulsification handle function in secondary hospitals during recovery and transfer, low configuration rate of special cleaning machine, non-standard sampling and monitoring of cleaning quality, and inadequate training of ophthalmological cleaning personnel. It is suggested that the relevant departments should further improve the system, standardize the process and strengthen personnel training so as to improve the cleaning management quality of phacoemulsification handle.

Objective: To explore the efficacy of multidisciplinary home nutrition management for maintenance hemodialysis patient. Methods: A total of 67 patients who received hemodialysis in the Department of Nephrology from December 2019 to April 2020 in a hospital in Hangzhou were enrolled and randomly divided into intervention group (33 cases) and control group (34 cases). Those in the control group were with regular diet, while those in the experimental group were with home nutrition management based on multidisciplinary cooperation besides regular diet. The nutritional indicators were compared between the two groups before and after intervention. Results: After the intervention, the levels of hemoglobin and albumin in the experimental group were significantly higher than those in the control group (P<0.05), the rate of good nutrition in the experimental group was significantly higher and the rate of severe malnutrition was significantly lower than that in the control group (P<0.05). The levels of serum phosphorus and iPTH, weight change, the changes of gastrointestinal symptoms, dietary changes, muscle consumption score and total score, and the score of malnutrition and inflammation in the experimental group were significantly lower than those in the control group (P<0.05). Conclusion: Home nutrition management based on multidisciplinary cooperation has a significant effect on improving the nutritional status, calcium and phosphorus metabolism and microinflammation status of maintenance hemodialysis patient, and reducing the incidence of malnutrition.

Objective: Summarize the available evidence on inter-hospital transport of critically ill children. Methods: We searched websites and databases to obtain evidence. The eligible types of evidence include clinical decision support, clinical practice guidelines, best practice recommendations, systematic reviews, evidence summary and expert consensus. Results: Totally 10 references were retrieved according to the inclusion criteria, including nine guidelines and one expert opinion. Fifty-one items of evidence were summarized into the following 8 categories: transport initiation and response, pre-transport preparation, stabilization and assessment, handover and communication, organization of transport, monitoring and intervention during transport, family support, evaluation and recording. Conclusion: This study summarized the best evidence for inter-hospital transport of critically ill children, which provided a reference basis for its implementation. Medical institutions should develop standardized, efficient and organized procedures for inter-hospital transport of critically ill children within the local context to improve patient safety.

Objective: To summarize the evidence of sleep quality management in adult ICU patients, evaluate and summarize the evidence, and provide scientific and reasonable management plan for improving the sleep quality of adult ICU patients. Methods: According to the top-down principle of evidence resource "6S" model, the computer retrieval content involved the treatment, nursing and management guidelines, expert consensus, best practice, clinical decision-making, evidence summary, systematic evaluation of ICU patients' sleep, and the retrieval period was from January 1, 2017 to February 28, 2021. The researchers independently evaluated the literature quality, extracted relevant evidence and summarized it. Results: A total of 12 articles were included, including 2 guidelines, 9 systematic reviews, and 1 evidence summary. Finally, a total of 4 evidence themes were formed: risk factors, sleep assessment tools, sleep management programs, education for ICU patients; and a total of 17 evidentiary opinions. Conclusion: Medical staff should pay attention to the sleep quality of adult ICU patients, and fully consider the possibility of drug intervention in patients' sleep and the feasibility of non-drug intervention measures, prudently apply evidence to existing work, and promote the transformation of evidence into clinical practice.

Objective: To describe the feelings of nurses with occupational low back pain, and to explore their work motivation and concerns. Methods: A descriptive phenomenological research method was used in the present study. Fourteen nurses with occupational low back pain in a hospital in Shanghai were interviewed in depth individually. The interview data were analyzed by Colaizzi's 7-step analysis method. Results: Categories regarding the working motivation of nurses with occupational low back pain included: positive team environment, peer support, preposition of patients' needs, and maintainance of income stability. Categories related to concerns included: being lack of family roles and affecting promotion. Conclusion: It is suggested that organizational influence should be fully exerted and human resources should be reasonably allocated; management of nurses' occupational low back pain should be strengthened, prevention and nursing guidelines should be formulated; and specific full-time positions should be set up. These measures are hopefully to improve nurses' work motivation and help nurses reduce the loss caused by occupational low back pain.

Objective: To explore the role and effect of setting up nurse positions in discharge planning. Methods: We set up a post of discharge planning nurse in our hospital with clarified entry qualifications, incentive policies and standards for assessment and promotion. Nurses enrolled were given standardized training and had started to work in discharge planning since March 2020. Results: From March 2020 to November 2021, discharge planning nurses had participated in the formulation of 10 workflows, revision of 12 items of standard operating procedures, defect analysis and improvement of 38 business processes. A total of 745 cases were eligible according to the acceptance criteria, of which 280 were included and offered discharge planning service with 230 cases being closed. Of all the subjects qualified, 700 cases received telephone follow-up and 26 cases home visits with the high-risk screening coverage and accuracy reaching 100.0% and 97.2%, respectively. Besides, 96.0% of the subjects showed awareness to health education and 99.0% were satisfied with the discharge planning service. All the subjects' discharge planning records were full with a 100.0% complete discharge referral case tracking. When compared with those patients not included, patients enrolled demonstrated shorter hospital stay and less unplanned emergency visits within 24 hours of discharge and unplanned hospital admission within 72 hours of discharge with the differences being statistically significant (P<0.05). Conclusion: The establishment, management and implementation of nurse positions for discharge planning have played an important role in the process of discharge planning, which provides not only continuous nursing services for patients, but also broadens the working scope of nurses and offers reference for further improving the training of discharge planning nurses in the future.

At present, ventricular arrhythmia is still one of the main factors of morbidity and mortality in patients with cardiovascular diseases. Nurses, as a member of multidisciplinary team, play an important role in the management of patients with ventricular arrhythmia. This paper reviews the current situation of multidisciplinary management team management for ventricular arrhythmia, and nurses' role in the team, its research progress as well as the future development direction, in order to provide reference for the development of relevant fields in China.

Objective: To develop Venous Thromboembolism (VTE) prevention and control information platform and evaluate its application effects. Methods: The nursing department together with the medical quality management department and the information department jointly designed the VTE prevention and control information platform, which was composed of risk screening and evaluation module, hierarchical prevention knowledge base module, inspection quality control module and information reporting statistical analysis module. The application effect of the platform was evaluated by selected 10 departments in 2 hospital districts of a tertiary grade A hospital for 6 months. Results: After the test of the platform was completed, VTE risk evaluation accuracy and dynamic evaluation rate were improved (P<0.001). The waiting time for ultrasound examination and the prevention start time for medium and high-risk patients were shortened (P<0.001). Nurses' specialized knowledge of VTE was improved (P<0.001), and the incidence of VTE was decreased from 9.95‰ to 7.62‰ (P=0.006). Nurses' satisfaction for the platform was 90.00%. Conclusion: The platform could help timely and dynamically assess the risk of VTE, effectively implement the prevention measures, reduce VTE incidence, which is an effective tool platform for VTE nursing safety and quality management.

Objective: To do a scoping review of studies regarding mobile health management among chronic heart failure patients. Methods: According to the methodological framework of scoping review, 12 databases and websites were systematically searched from the inception to 30th November, 2021. Results: A total of 84 studies from 20 countries were included, most of which were intervention studies. Patients could be provided health monitoring, health education, social support, self-management follow-up and reminder, mainly via remote monitoring system, applications, websites and social platforms. Clinical outcomes, quality of life, health status, self-management, resource cost and patient experience were primary outcomes. Conclusion: Mobile health has been widely used in the management of chronic heart failure, with multiple functions and diversified evaluation indexes. Future research should pay more attention to the effective interaction between health care professionals and patients, the management of mental health, the cost-effectiveness, feasibility and sustainability evaluation, and the development of clinical decision support system.

Objective: To evaluate the impact of Virtual Reality (VR) technology on Post-Intensive Care Syndrome (PICS) in critically ill patients. Methods: PubMed, Embase, Cochrane Library, Web of Science, EBSCO, SinoMed, CNKI and WanFang Data were searched for randomized controlled trials or quasi-experimental studies about VR technology among critically ill patients. Meta-analysis was implemented with RevMan 5.4. Results: Nine studies involving 616 patients were included. Meta-analysis indicated that VR technology reduced anxiety, depression, post-traumatic stress disorder and pain, and enhanced the quality of life in critically ill patients. The effects on sleep quality and cognitive function were unclear. Moreover, there was a paucity of intervention studies on the impact of VR technology on the physiological function of critically ill patients. Conclusion: VR technology plays a positive role in critically ill patients with PICS. Due to the limited number of included studies, more high-quality studies with a large sample are needed in the future.

Objective: To construct the minimum data set of quality control in the key links of nursing, with a view to the application of quality control effects in the process of nursing quality control informatization. Methods: By consulting literature and national standards, expert correspondence and based on the third normal form theory of database, the minimum data set of quality control in key links of nursing was developed and applied to the practice of nursing quality control informatization. The changes of nursing quality control time and nursing quality indexes before and after application were compared. Results: The minimum data set of quality control for key links of nursing included 38 items in 6 categories, namely 2 items of personnel management, 2 items of medication management, 12 items of clinical nursing and safety management, 9 items of nursing document management, 8 items of health education management and 5 items of quality management data. After application, the cumulative time of quality control information input, feedback and statistics was significantly shortened (P<0.001), the effective rate of patient identification, the qualified rate of nursing document writing, the qualified rate of overall nursing of responsibility system, the awareness rate of patient health education, and the follow-up rate of discharged patients have increased (P<0.05), and the incidence of falls in hospitalized patients decreased significantly (P<0.05). Conclusion: The application of the minimum data set of quality control in the key links of nursing effectively promoted the informatization, standard processing and rapid feedback of quality control data, and improved the evaluation efficiency of nursing quality control and clinical nursing quality.

Objective: To analyze the risk factors of Catheter-Related Bloodstream Infection (CRBSI) in cancer patients during PICC retention, and to establish a prediction model. Methods: Totally 11901 cancer patients who underwent PICC insertion, maintenance and removal in the vascular access nursing clinic of a tertiary grade A hospital in Shanghai from January 2017 to December 2019 were retrospectively analyzed. Logistic regression were used to analyze the independent risk factors of CRBSI. Based on the risk factors, a nomogram prediction model was established, and bootstrap method was used for internal validation. Results: The incidence of CRBSI during PICC retention was 0.39%. Multivariate analysis results showed that dermatitis, catheter-related thrombosis, local infection and exudation were independent risk factors for CRBSI. The trend of the prediction curve was close to the standard curve, and the consistency index was 0.825 (95%CI: 0.78-0.91). The ROC curve had an area under the curve of 0.950 (95%CI: 0.917-0.996), and the trend of the prediction curve of the validation group is close to the standard curve. Conclusion: Dermatitis, catheter-related thrombosis, local infection and exudation during PICC retention were independent risk factors for CRBSI. The nomogram model established in this study has good predictive ability and differentiation, which is conducive to clinical screening of high-risk patients.

Objective: To construct the "Internet+" home nursing quality evaluation index system, in order to provide evidences for the standardization and homogeneity development of "Internet+" home-based nursing. Methods: Based on the structure-process-outcome three-dimension quality assessment model, the draft of "Internet+" home nursing quality index was prepared by combing through relevant policies, analyzing literature papers, semi-structured interview and consulting experts. Finally the "Internet+" home nursing quality index system was established through three rounds of expert letter consultation and analytic hierarchy process. Results: Three rounds of correspondence consultation were conducted from September to October, 2021. The effective recovery rate of the questionnaires during the three rounds were 100.00% (21/21), 90.48% (19/21) and 95.24% (20/21), respectively. The expert authority coefficients were 0.88, 0.87 and 0.92 and the Kendall harmony coefficients were 0.195, 0.211 and 0.219 (P<0.01). The final "Internet+" home nursing quality evaluation index system includes 3 first-level indicators, 8 second-level indicators and 40 third-level indicators. Conclusion: The "Internet+" home nursing quality evaluation index is scientific and reliable to provide reference for "Internet+" home nursing quality evaluation and monitoring.

This article reviewed the risk factors and risk assessment scales of Intraoperative Acquired Pressure Injury in children. It is expected to help nurses understand the research progress and provide reference for future researches.

Objective: To construct the multidisciplinary care model during ICU-Rehabilitation Transitional period for stroke patients and explore its application effect. Methods: The ICU-Rehabilitation Transitional Care Model was built from five aspects: multidisciplinary team formation, working environment, working mode, personnel training, and quality control. The specific implementation contents of multidisciplinary care during the transition period was formulated. The indicators of multidisciplinary teamwork efficiency, functional outcome and quality and safety management level were used to evaluate the application effect. Results: The ICU-Rehabilitation Transitional Care Model not only improved the efficiency of multidisciplinary teamwork, and significantly improved motor, lung, gastrointestinal, and bladder function in stroke patients, but also reduced adverse event rates, ICU readmission rates, and average length of stay, and ultimately improved patient satisfaction. Conclusion: Through the implementation of the ICU-Rehabilitation Transitional Care Model, we have solved the problem of coordination and continuity of healthcare and improved the functional outcome and quality of life of stroke patients. It has also accumulated a lot for exploring transitional care models suitable for the national conditions.

This paper summarized the P wave introduction method using the Intracardiac Electrocardiogram positioning method during the process of Central Venous Access Devices insertion, the basic principles of positioning, different observation indicators, its clinical application status, and application limitations for particular populations. This paper also clarified the evidence basis for positioning and relevant precautions. Through this paper, we aim to provide a practice reference for clinicians and promote the technological advancement of Intracardiac Electrocardiogram positioning.

This paper introduces the related concepts of smart healthcare, the importance of transitional care for patients receiving daytime chemotherapy, and summarizes the application effects of smart healthcare on transitional care of patients undergoing daytime chemotherapy, in order to provide reference for making sure that daytime chemotherapy care in China become more scientific, informational and intelligent.

The concept, terminology, assessment and management strategies of skin failure at the end of life are reviewed to promote the understanding and research in the related field of healthcare professionals in China, as well as to provide references for exploring the skin care model based on the synergy model of palliative care at the end of life.

Objective: To conduct a scoping review of studies on the application of physical rehabilitation in breast cancer survivors to provide a basis for future physical rehabilitation. Methods: Using the Joanna Briggs Institute scoping review guidelines as a methodological framework, eight English and Chinese databases were searched from the establishment of the database to February 1, 2022. Results: Twenty papers were included to comprehensively summarize the type, time, frequency, intervention period, intensity and monitoring modalities, interventionists, and adherence support measures for physical rehabilitation. Outcome indicators mainly involved physiological indicators, negative emotions and quality of life. Conclusion: Physical rehabilitation has a positive impact on breast cancer survivors. Future studies need to explore strategies for individualized physical rehabilitation based on the physical condition and exercise preference of breast cancer survivors, adopt supportive measures to improve survivors' compliance and evaluate the effects of exercise using a comprehensive scientific index system.

Objective: To review the length of neonatal urethral catheter insertion and provide a reference for clinical practice and related research. Methods: We followed the JBI scoping review methodology for this study. Websites and databases were searched to obtain literature on the length of neonatal urethral catheter insertion. Two researchers then screened the literature and extracted data independently using a standardized data extraction form. We performed descriptive analysis for the extracted data. Results: A total of 10 papers were included. "Urine outflow" was reported as a standard indicator for the length of catheter insertion in most literature; a few hospitals used a fixed length as the standard; some literature suggested that we should insert the catheter a further distance after the urine flows out. Conclusion: At present, there is no consensus on the length of neonatal urethral catheterization in the literature. Multi-center and large-sample studies are needed to establish the specification of neonatal urethral catheter insertion length.