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主管:国家卫生健康委员会
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Table of Content
15 December 2022, Volume 22 Issue 12
Special Planning
Development process and prospect on nursing quality management and control in China in past decade
YAO Li, MA Xudong, AN Lei, SHANG Wenhan, LI Wei, FENG Jingjing, ZHAN Leilei
Chinese Nursing Management. 2022, 22 (12):  1761-1766.  DOI: 10.3969/j.issn.1672-1756.2022.12.001
Abstract ( 2951 )   PDF (3377KB) ( 288 )  
Nursing care is an important part of medical care. The development of the concept, mode and method of nursing quality control provide a key driver for continuous improvement of nursing quality. This paper reviews and summarizes the progress and achievements of nursing quality management and control in China in the last decade, and analyzes the current status of the quality of nursing care, and discusses the forward direction of further promoting the high-quality development of nursing care in China in the period of "the 14th Five Year Plan period".
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Occupational health protection for health workers in China: progress of policies and legislation in the last decade
ZHANG Min
Chinese Nursing Management. 2022, 22 (12):  1767-1770.  DOI: 10.3969/j.issn.1672-1756.2022.12.002
Abstract ( 1562 )   PDF (2084KB) ( 79 )  
This article summarizes the remarkable progress of relevant policies and legislation on occupational health protection for health workers in the last decade. In terms of policy progress, occupational health standards, national documents for health system reform, and series policies on the protection of essential rights and interests for health workers have been issued by central government. In regard of legislative progress, occupational health protection for health workers has been strengthened by laws, including the Law on Mental Health, the Civil Code, the Law on Basic Healthcare and Health Promotion and the Law on Physician. It is an arduous task and the road is long for occupational health protection for health workers in China in the future.
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Ten years of hard work and a new chapter of palliative care nursing career
CHEN Yongyi, XIAO Yazhou, ZHU Lihui, LI Xuying, LIU Xiangyu, GUO Junchen, XU Xianghua, WU Xinjuan
Chinese Nursing Management. 2022, 22 (12):  1771-1775.  DOI: 10.3969/j.issn.1672-1756.2022.12.003
Abstract ( 1577 )   PDF (2377KB) ( 187 )  
This paper summarizes the achievements of palliative care in China over the past decade in nursing management, clinical care, personnel training and discipline construction, and to provide an outlook on future work, with a view to providing a reference for promoting the high-quality development of palliative care in China.
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Inheritance and innovation, integration and development: development and thinking of Traditional Chinese Medicine clinical nursing in the past decade
ZHANG Suqiu, WANG Xiaohong, FAN Yanmei, ZHANG Linyu, ZHOU Jiaomei
Chinese Nursing Management. 2022, 22 (12):  1775-1779.  DOI: 10.3969/j.issn.1672-1756.2022.12.004
Abstract ( 1664 )   PDF (2417KB) ( 236 )  
As an important part of Traditional Chinese Medicine (TCM), TCM nursing is developing and growing with the continuous development of TCM. This paper reviews the development of clinical nursing of TCM in the past ten years from the aspects of policy supports, the development of nursing specialty, the training of nursing personnel, the application and innovation of TCM characteristic technology, and the construction of TCM nursing clinics. It also reflects on the high-quality development of TCM nursing in the future, aiming to recognize the advantages and disadvantages, clear positioning, and seek the sustainable development of TCM nursing to meet the needs of the Healthy China strategy.
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Research Papers
Latent profile analysis of health information acquisition behaviors in patients with newly diagnosed Type 2 Diabetes Mellitus and its influencing factors
WU Yan, HUANG Qingyin
Chinese Nursing Management. 2022, 22 (12):  1782-1786.  DOI: 10.3969/j.issn.1672-1756.2022.12.006
Abstract ( 175 )   PDF (2639KB) ( 115 )  
Objective: To explore the potential categorization of health information acquisition behaviors in patients with newly diagnosed Type 2 Diabetes Mellitus (T2DM), the population-level heterogeneities and influencing factors of different underlying profiles. Methods: We conducted a survey study from March to September 2021 with 383 newly diagnosed T2DM patients from the endocrinology department of four tertiary hospitals in Guangdong province using a convenience sampling method. We collected data using the general information questionnaire, health information acquisition behavior scale, and health literacy scale. Latent profile analysis was used to explore the potential categorizations; binary logistic regression analysis was used to analyze the influencing factors of different latent profiles. Results: Two potential profiles were identified: low needs-limited sources-high barriers (77.5%) and high needs-multiple sources-high barriers (22.5%), with heterogeneities existing between the two groups. Participation in health education lectures (P<0.05) and critical health literacy (P<0.05) were predictors of health information acquisition behaviors in patients with newly diagnosed T2DM. Conclusion: There are two heterogeneous categories of health information acquisition behaviors in patients with newly diagnosed T2DM. To promote patients to actively acquire health information, healthcare professionals should initiate health education programs based on patients’ health information acquisition characteristics.
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The development and validation of BP neural network-based risk prediction model for deterioration in patients after craniotomy
XU Laiyu, PENG Lingli, XU Huilan, TANG Yunhong, ZHOU Fangyi, CAO Langping
Chinese Nursing Management. 2022, 22 (12):  1787-1792.  DOI: 10.3969/j.issn.1672-1756.2022.12.007
Abstract ( 140 )   PDF (3358KB) ( 87 )  
Objective: To explore the predictors of deterioration in patients after craniotomy and to construct a risk prediction model. Methods: A total of 1,576 eligible patients were selected at three tertiary grade A hospitals in Hunan province from January 2018 to March 2020. The research samples were randomly divided into the training set (n=1,106) and the verification set (n=470) according to the ratio of 7:3, and the BP neural network was used to construct the prediction model. The predictive effect of the model was verified. Results: In the BP neural network variable importance score, intracranial hematoma on CT within 24 h after craniotomy and SpO2 contributed more to the model classification. The sensitivity of the prediction model was 77.1%, the specificity was 91.7%, the accuracy was 86.8%, the positive predictive value was 82.3%, and the negative predictive value was 88.9%. Conclusion: The prediction model based on the BP neural network algorithm has good predictive effects, which might provide a scientific and objective reference for clinical staff to predict the risk of patients' deterioration after craniotomy.
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Effects of a multi-model Supervised Exercise Training program in patients with arteriosclerosis obliterans after interventional surgery
LU Ying, GAN Hongyan, YANG Yujin, ZHENG Chunyan, YUAN Yanyan, BAI Liping, ZOU Zhuanfang
Chinese Nursing Management. 2022, 22 (12):  1792-1797.  DOI: 10.3969/j.issn.1672-1756.2022.12.008
Abstract ( 149 )   PDF (2715KB) ( 76 )  
Objective: To investigate the effects of a multi-model Supervised Exercise Training (SET) program in patients with Arteriosclerosis Obliterans (ASO) after interventional surgery. Methods: A total of eighty-five patients with ASO were conveniently selected in the vascular surgery department of a tertiary grade A hospital in Nanchang from October 2020 to November 2021. Participants were randomly assigned into the experimental group (43 cases) or the control group (42 cases). Patients in the control group received routine care, and patients in the experimental group received 3-month multi-model SET on the basis of routine care. The 6-Minute Walking Distance (6MWD), Pain-Free Walking Distance (PFWD), Short Physical Performance Battery (SPPB), Chinese version of Self-Efficacy for Exercise Scale (SEES) and Vascular Quality of Life questionnaire (VascuQoL) scores of the two groups were compared before the intervention, and 1 month and 3 months after the intervention. Results: The 6MWD, PFWD, SPPB, Chinese version of SEES and VascuQoL scores were significantly higher in the experimental group than those in the control group at 1 month and 3 months after the intervention (P<0.05). Conclusion: Multi-model SET can effectively improve walking ability and limb function, exercise self-efficacy and quality of life of patients with ASO after interventional surgery.
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Reliability and validity of the Chinese version of Nursing Incivility Scale
WANG Jiewen, SUN Yanxia, YAN Jin
Chinese Nursing Management. 2022, 22 (12):  1798-1804.  DOI: 10.3969/j.issn.1672-1756.2022.12.009
Abstract ( 148 )   PDF (3917KB) ( 98 )  
Objective: To translate the Nursing Incivility Scale (NIS) into Chinese, and test its reliability and validity. Methods: Based on the Brislin translation model, NIS was localized through the process of forward and backward translation, cultural adjustment and preliminary investigation. Totally 473 clinical nurses from 3 tertiary grade A hospitals in Zaozhuang and Changsha were investigated through convenience sampling for test the reliability and validity of Chinese version of NIS. Results: The Chinese version of NIS consisted of 5 dimensions and 43 items. The items analysis indicated that the critical ratio was more than 3.0 and the correlation coefficients between the items and the total score were 0.357-0.805 (P<0.01). Seven common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 76.881%. The confirmatory factor analysis showed that χ2/df=1.656, RMSEA=0.054, RMR=0.063, CFI=0.942, TLI=0.936, IFI=0.942 and SRMR=0.051. The average content validity of the Chinese version of NIS was 0.969, the content validity of each item ranged from 0.778 to 1.000. The Cronbach's alpha coefficient for the overall scale was 0.972, with ranging from 0.885-0.962 for each dimension. The test-retest reliability was 0.933, and the split-half reliability was 0.909. Conclusion: The Chinese version of NIS is a good reliable and valid tool to measure workplace incivility experienced in Chinese nurses.
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Study on the influence of nursing working environment on missed nursing care
MEI Aiying, LI Qiuping, HAN Binru
Chinese Nursing Management. 2022, 22 (12):  1804-1809.  DOI: 10.3969/j.issn.1672-1756.2022.12.010
Abstract ( 158 )   PDF (3083KB) ( 75 )  
Objective: To investigate the status of missed nursing care and analyze the influence of nurses' general information and their working environment on missed nursing care. Methods: The convenience sampling method was used to select the clinical nurses working in grade A tertiary hospital in Beijing from September 2020 to March 2021 as subjects, who were given the general data questionnaire, the Practice Environment Scale of the Nursing Work Index and MISSCARE Survey (Part A) for investigation. And the influencing factors of missed nursing care were analyzed by Logistic regression. Results: The incidence of missed nursing care was 40.1%. The regression analysis results showed that nurses' highest educational background, their weekly overtime work and job satisfaction, sufficient manpower and material resources in the nursing work environment and nurses' participation in hospital affairs were the influencing factors of missed nursing care (P<0.05). Conclusion: The incidence of missed nursing care is high and nurses with bachelor degree, more weekly overtime work and less work satisfaction are more likely to have missed nursing care. However, it is beneficial to reduce the level of missed nursing care if sufficient manpower and material resources are provided with nurses being encouraged to participate more in hospital affairs.
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A comparative study on knowledge of Venous Thromboembolism prevention among nurses in surgical departments and non-surgical departments in Tibet Autonomous Region
WANG Xiaojie, GA Duo, ZHU Lijun, XU Yuan, MENG Yanling, HUANG Ping, WANG Yu, GUO Hailing, DENG Haibo, WANG Lei, MA Yufen
Chinese Nursing Management. 2022, 22 (12):  1810-1813.  DOI: 10.3969/j.issn.1672-1756.2022.12.011
Abstract ( 92 )   PDF (3012KB) ( 84 )  
Objective: To compare the difference of Venous Thromboembolism prevention knowledge between nurses in surgical departments and non-surgical departments in Tibet Autonomous Region, and provide guidance for the targeted VTE preventive care. Methods: We conducted a questionnaire survey among 1,117 nurses from 59 hospitals in 7 cities (regions) of Tibet Autonomous Region from November to December 2019 by convenient sampling method. Results: There was no difference in the overall knowledge of VTE between surgical departments and non-surgical departments, but the basic knowledge level of nurses in surgical departments was better than that in non-surgical departments (P<0.05). The standardized VTE prevention process in the surgical departments was significantly better than that in the non-surgical departments (P<0.05). Conclusion: The knowledge of VTE prevention and care of nurses in surgical departments in Tibet Autonomous Region are better than those in non-surgical departments. Managers should pay attention to the development of VTE prevention in different departments, develop a training mode suitable for Tibet Autonomous Region, provide continuous and high-quality training for nurses, improve the knowledge level of nurses, improve the nursing quality of clinical VTE prevention, and improve patient outcomes.
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Construction of sarcopenia risk prediction model for elderly patients with chronic diseases in a community
LIU Yanping, TAN Mingyang, XU Chaoqiang, LI Hongyu
Chinese Nursing Management. 2022, 22 (12):  1814-1819.  DOI: 10.3969/j.issn.1672-1756.2022.12.012
Abstract ( 182 )   PDF (3074KB) ( 131 )  
Objective: To analyze the influencing factors of sarcopenia for elderly patients with chronic diseases in a community, establish a sarcopenia risk prediction model, and verify it. Methods: A total of 460 elderly people with chronic diseases in a community in Linghe District, Jinzhou City from September 2021 to February 2022 were conveniently selected and enrolled. The general information questionnaire, Mini Nutritional Assessment–Short Form (MNA-SF), the self-rated Fall Risk Questionnaire (self-rated FRQ), the Chalder Fatigue Scale (CFS) and the Sarcopenia Five-item Scale were utilized for assessment, and the influencing factors were determined by binary logistic regression analysis. The risk prediction model of sarcopenia was established by R software, and the discrimination and calibration degree of the model were evaluated by ROC curve and calibration curve. Results: The incidence of sarcopenia in elderly patients with chronic diseases in the community was 31.5%. Binary Logistic regression analysis showed that age, exercise habits, number of illnesses, malnutrition, risk of falling and fatigue were independent risk factors for sarcopenia (P<0.05) and a nomogram based on the above risk factors were obtained. The area under the ROC curve was 0.955 (95%CI: 0.937-0.973), Hosmer-Lemeshow test showed that χ2=1.951 (P=0.377). Conclusion: The incidence of sarcopenia in elderly patients with chronic diseases in the community is high, which is affected by age, exercise habits, number of illnesses, malnutrition, risk of falling and fatigue. The prediction model has a certain predictive effect and provides a reference for early screening and intervention.
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Development of nurse manager's core competence evaluation indicator system about hospital infection prevention and control
HUANG Chunmei, FENG Zhixian, SHEN Huajuan, WU Wei, JIANG Shuqing
Chinese Nursing Management. 2022, 22 (12):  1820-1825.  DOI: 10.3969/j.issn.1672-1756.2022.12.013
Abstract ( 118 )   PDF (4672KB) ( 91 )  
Objective: To develop a nurse manager's core competence indicator system about hospital infection prevention and control. Methods: According to the core competence theory of Prahalad and Hamel, combined with the role characteristics of nurse managers in hospital infection management, a semi-structured interview form was developed. The final indicators were determined by 20 specialists through two rounds of expert consultation. Results: The authority coefficient of the two rounds of expert consultation were 0.875 and 0.861 respectively. The variation coefficient of the importance of the second round of expert consultation was 0-0.19, and the variation coefficient of the operability was 0.08-0.24. The nurse manager's core competence evaluation indicator system included 6 first-level indicators, 18 second-level indicators and 60 third-level indicators. Conclusion: The nurse manager's core competence evaluation indicator system about hospital infection prevention and control has been developed using Delphi method. It is expected to provide information for the training of nurse managers. It can be applied as a scientific assessment tool for the evaluation of the nurse manager's core competence about hospital infection prevention and control.
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Evidence-based Nursing
Experience of patients with liver cirrhosis: a Meta-integration
SHENG Guixiao, MEI Binbin, CHEN Rong, YANG Liping
Chinese Nursing Management. 2022, 22 (12):  1826-1831.  DOI: 10.3969/j.issn.1672-1756.2022.12.014
Abstract ( 108 )   PDF (3315KB) ( 133 )  
Objective: To systematically evaluate and integrate qualitative studies on the disease experience of patients with liver cirrhosis, so as to provide evidence for targeted care programme and continuous care. Methods: We searched databases including PubMed, Embase, CINAHL, PsycINFO, Wanfang Data, CNKI, VIP, CBM, from inception to March 2022, to collect qualitative studies exploring the experience of patients with liver cirrhosis. After evaluating the quality of studies and information extraction, the integrating methods was applied to integrate the results. Results: A total of 10 studies were included, 46 findings were grouped and 9 categories were summarized. Four integration results were synthesized: frailty in physical, psychological and social functions; insufficient ability of disease management and expected to be supported by relatives, friends and health professionals; stigma; the coping style of patients with liver cirrhosis was very different. Conclusion: Based on trajectory of liver cirrhosis, health professionals should assess the multi-dimensional frailty of the patients timely and provide patients with continuous, dynamic support and intervention, cooperate with family members, so as to guide patients to actively cope with the disease and reduce their stigma.
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Quality appraisal of guidelines for physical activity: based on AGREE II and AGREE-REX tools
YANG Shulan, JIANG Biyan, LIU Caixia, JIN Xiaoqing, YU Wanqi, WONG Frances Kam Yuet, WONG Arkers Kwan Ching
Chinese Nursing Management. 2022, 22 (12):  1832-1837.  DOI: 10.3969/j.issn.1672-1756.2022.12.015
Abstract ( 158 )   PDF (3196KB) ( 64 )  
Objective: To critically appraise the quality of guideline for physical activity and its recommendation. Methods: Both Chinese and English databases were systematically searched, in order to collect clinical practice guidelines for physical activity. Guidelines were recruited according to the inclusion and exclusion criteria. All included guidelines were then evaluated by the Appraisal of Guidelines for Research and Evaluation II (AGREE II) and the Appraisal of Guidelines for Research and Evaluation Recommendation Excellence (AGREE-REX). The intraclass correlation coefficients were tested to detect the consistency among different assessors. Results: A total of six guidelines were included in the study. There were 4 guidelines in grade A, and 2 guidelines in grade B. Only one guideline was high quality in recommendation excellency and the rest guidelines were in medium quality. Conclusion: The clinical practice guidelines for physical activity included in this study are from oversea countries or international authorities, and all the guidelines are in good quality with solid evidence base and reliable methodology. The creating of clinical practice guidelines in China are still in the developing stage. In the future, international experiences of how to critically develop and actively promote guideline are very helpful. Guidelines with solid evidence are providing high-quality reference for front line clinical staffs, the target population, service providers and policy makers.
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Meta-integration of the qualitative studies on fertility counseling experience in breast cancer patients of childbearing age
XIAO Yuqiao, LI Jinhua, LEI Jing, WEI Tao, QI Yi, ZHAO Jiao, LI Xuying, CHEN Jiejun
Chinese Nursing Management. 2022, 22 (12):  1837-1843.  DOI: 10.3969/j.issn.1672-1756.2022.12.016
Abstract ( 110 )   PDF (3366KB) ( 47 )  
Objective: To systematically evaluate the actual experience of fertility counseling in breast cancer patients of childbearing age, so as to provide reference for formulating fertility counseling interventional programs. Methods: The databases were searched for qualitative studies on fertility counseling experience of breast cancer patients from their inception to April 2022. The quality of the articles was evaluated by the qualitative research quality evaluation standard of Australian Joanna Briggs Institute (JBI) Evidence-based Health Care Center, and the results were integrated by Meta-integration method. Results: A total of 11 articles were included, 36 research results were extracted, similar results were summarized and combined to form 3 integrated results and 7 categories. Integrated results: patients suffered from double pressure of cancer itself and fertility problems; patients faced decision-making dilemma; and positive fertility support factors. Conclusion: Breast cancer patients of childbearing age lack fertility counseling, and patients have reproductive decision-making conflicts. Medical staff should pay attention to patients' cognition and experience, and provide professional fertility counseling to help patients reduce their fertility worries and improve their quality of life.
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Bone safety management in breast cancer survivors: an evidence summary
CHEN Lu, LIU Jun'e, ZHAO Fuyun, LI Ruolin, LIU Yu
Chinese Nursing Management. 2022, 22 (12):  1844-1848.  DOI: 10.3969/j.issn.1672-1756.2022.12.017
Abstract ( 131 )   PDF (3457KB) ( 54 )  
Objective: To retrieve, appraise and summarize the evidence of bone safety management in breast cancer survivors. Methods: We searched guideline networks, databases and related websites based on the evidence pyramid model from the inception of databases to November 2021. Two researchers evaluated the quality of studies and level of evidence independently. Results: A total of 17 articles were included, including 5 guidelines, 8 systematic reviews and 4 expert consensus documents. A total of 24 evidence items were summarized from six aspects: bone safety assessment, lifestyle adjustments, bone health supplements, exercise interventions, drug interventions and pain management. Conclusion: Healthcare professionals should consider the characteristics of clinical environment and breast cancer survivors to select appropriate bone safety assessment methods and implement bone safety management interventions timely.
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Information Management
Application of self-management intervention based on mobile health platform in glaucoma patients undergoing day surgery
DENG Shiyi, XU Xiaoye, ZHENG Weixin, YANG Chunyan, LI Xinyan, ZHENG Lingling, HUANG Wenmin
Chinese Nursing Management. 2022, 22 (12):  1849-1855.  DOI: 10.3969/j.issn.1672-1756.2022.12.018
Abstract ( 138 )   PDF (3592KB) ( 74 )  
Objective: To analyze the application effect of self-management intervention based on mobile health platform in glaucoma patients undergoing day surgery. Methods: A mobile health platform for glaucoma patients which consists 4 modules of self-management education, self-management feedback, physician-patient communication and outpatient follow-up was constructed. A total of 80 glaucoma patients were randomized assigned into control group and intervention group, receiving either usual care or self-management intervention based on mobile health platform. The disease cognition and self-management behavior were compared before and at the end of 1 month and 3 months after the intervention. Results: The scores of disease cognition in the intervention group after 1 month and 3 months were significantly higher than those in the control group (P<0.05). The total score of self-management behavior in the intervention group after 1 month was significantly higher than those in the control group (P<0.05), while the scores of life adjustment after 1 month and 3 months were significantly higher than those in the control group (P<0.05). The results of generalized linear mixed model showed that the total scores of disease cognition in the two groups were statistically significant in time effect, grouping effect and interaction effect (P<0.05), the total scores of self-management behavior in the two groups were statistically significant in grouping effect (P<0.05). Conclusion: The self-management intervention based on mobile health platform can effectively improve patients' disease cognition and self-management.
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Time series analysis of number of patients in emergency department
LI Xiaowan, XIONG Lijuan, WANG Yumei, XIANG Li, DENG Xianfeng, FENG Xia, HE Jia
Chinese Nursing Management. 2022, 22 (12):  1855-1859.  DOI: 10.3969/j.issn.1672-1756.2022.12.019
Abstract ( 153 )   PDF (2428KB) ( 63 )  
Objective: To analyze the time distribution of emergency visits, aiming to provide decision-making basis for nursing managers to dynamically allocate of nursing human resources. Methods: Data of the number of visits in the emergency department of a tertiary Grade A hospital in Wuhan from January 2015 to December 2018 was retrospectively collected. Time series analysis method was used to analyze the annual, seasonal, monthly and daily changes of the number of visits and predict the annual visits. Results: The annual number of visits of emergency department increased year by year, with obvious low and peak seasons. The daily average number of patients was about 300, 9:00 and 20:00 were the peak hours. Conclusion: There is a regularity in the time distribution of emergency visits, which can be used as the basis for scientific, rational, efficient and dynamic allocation of nursing human resources.
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Nursing Safety
Standard Operating Procedure in the management of patient preoperative handover and transfer process
DUAN Hongxia, WANG Xiumei, GUO Yue, YANG Rongzhuo, MA Jiachu, PEI Yuquan
Chinese Nursing Management. 2022, 22 (12):  1860-1865.  DOI: 10.3969/j.issn.1672-1756.2022.12.020
Abstract ( 190 )   PDF (4417KB) ( 94 )  
Objective: To analyze the application effect of Standard Operating Procedure (SOP) in the management of patient preoperative handover and transfer process. Methods: The quality control group found out the main problems existing in the preoperative handover and transfer process and established the SOP project team for the preoperative handover and transfer of surgical patients. Then the team compiled project codes, collected data, drew the preoperative handover and transfer flow chart, used the 4W1H form to formulate the operation steps, drew up an implementation plan, organized the implementation, and evaluated the effect. Results: After the application of SOP, the implementation rate of patient identity confirmation norms and double handover norms increased significantly (P<0.05). The defect rate of preoperative preparation by responsible nurses and the incidence of missing items decreased significantly (P<0.05). Conclusion: The application of SOP can ensure that all staff involved in this work process standardize their work according to the SOP workbook, avoid wrongly accepting patients for surgery, and ensure patient safety. It also makes sure that the preoperative preparations are complete and items are handed over without missing items. As a result, it improves the quality of work.
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Root Cause Analysis in the improvement of identification process of day surgery patients
LU Zhenling, YANG Xinyu, MA Bing, WANG Bingzheng, YUAN Li, PEI Yuquan
Chinese Nursing Management. 2022, 22 (12):  1866-1871.  DOI: 10.3969/j.issn.1672-1756.2022.12.021
Abstract ( 155 )   PDF (3606KB) ( 60 )  
Objective: To analyze the effects of Root Cause Analysis (RCA) applied in improving the identification process of day surgery patients. Methods: Established an RCA group to collect event-related information, restored the event process through the time sequence list, found the proximal cause, analyzed and determined the root cause by the problem tree and fishbone diagram, performed barrier assays, formulated and implemented improvement action schedule, then evaluated the effects. Results: After the implement of improvement action, the incidence of irregular identity verification for the preoperative patients decreased significantly (P<0.05). The temporary adjustment rate of operating table also significantly decreased (P<0.05). The ratio of paying outpatient examination fee during pre-hospitalization with health insurance, completion rate of relevant personnel day surgery operation process training, usage rate of electronic surgery notice, correct rate of sign placement and accuracy rate of patient identification all achieved 100%. Conclusion: Applicating RCA to analyze the surgical patient identification error can better help identify system defects in the operating room workflow, identify root cause, formulate action improvement plan, improve medical quality, and ensure patient safety.
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Human Resource
Mediating effect of perceived organizational support between character strengths and occupational well-being among nurses
GU Tianpei, WANG Rong, GONG Liangwen, JING Xin
Chinese Nursing Management. 2022, 22 (12):  1872-1876.  DOI: 10.3969/j.issn.1672-1756.2022.12.022
Abstract ( 794 )   PDF (2838KB) ( 69 )  
Objective: To explore the mediating effect of organizational support between character strengths and occupational well-being of nurses. Methods: From September to December 2021, a total of 388 nurses were investigated by using the General Information Questionnaire, Three-Dimensional Inventory of Character Strengths, Perceived Organizational Support Scale and Occupational Well-Being Scale for medical workers. Results: Nurses' character strengths had a positive impact on occupational well-being (r=0.399, P<0.001). The character strengths could affect occupational well-being through the mediating factor of nurses' perceived organizational support, with a mediating effect of 70.96%. Conclusion: Perceived organizational support is a mediating variable between character strengths and occupational well-being of nurses. Nursing managers should strengthen perceived organizational support to improve the level of occupational well-being.
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Mediating effect of nurses' second victim experience and support between hospital patients' safety culture and job burnout
ZHU Keke, XUE Huiyuan, ZHANG Fen, SONG Ke, DU Liping, WANG He
Chinese Nursing Management. 2022, 22 (12):  1877-1882.  DOI: 10.3969/j.issn.1672-1756.2022.12.023
Abstract ( 147 )   PDF (3079KB) ( 142 )  
Objective: To explore the mediating role of nurses' second victim experience and support between hospital patients' safety culture and job burnout. Methods: Totally 1 084 clinical nurses were recruited convenient sampling method. They were investigated by the general information questionnaire, the Hospital Survey on Patient Safety Culture, the Second Victim Experience and Support Tool, and the Maslach Burnout Inventory. Pearson correlation analysis was used to study the correlation among the three factors, and the journey model was used to examine the influence path of hospital patients' safety culture, nurses' second victim experience and support on job burnout. Results: The score of Hospital Survey on Patient Safety Culture was (150.04±16.39), the score of Second Victim Experience and Support Tool was (79.51±13.43), and the score of Maslach Burnout Inventory was (39.66±22.93). The experience and support of the second victim of nurses had a partial mediating effect between the safety culture and job burnout of hospital patients (all P<0.05), accounting for 33.3% of the total effect. Conclusion: Hospitals and nursing managers should take various methods to create a positive patient safety culture, to provide emotional and organizational support to nurses as second victims, so as to reduce their job burnout and promote the healthy development of clinical nursing talent.
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Advanced Nursing Practice
The application and enlightenment of genomic nursing science in oncology precision nursing
ZHANG Ge, LI Yan, SUN Shengnan, ZHANG Jing, LIANG Xinyue
Chinese Nursing Management. 2022, 22 (12):  1883-1887.  DOI: 10.3969/j.issn.1672-1756.2022.12.024
Abstract ( 132 )   PDF (1993KB) ( 97 )  
This paper reviewed the development of genomic nursing science and its application in the field of oncology precision nursing. In response to the development difference at home and abroad, we put forward the enlightenment of oncology precision nursing in China. It is expected to provide information for training oncology nurses with genomic nursing ability, expanding the research area of oncology precision nursing, and integrating genomic nursing science into the field of oncology precision nursing.
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Investigation of the relationship between position and indwelling time of PICC catheter tip and complications in extremely/very low birth weight infants
CHEN Xiaochun, MIN Yuxiao, CHEN Qiong, YING Lehui
Chinese Nursing Management. 2022, 22 (12):  1887-1892.  DOI: 10.3969/j.issn.1672-1756.2022.12.025
Abstract ( 100 )   PDF (2772KB) ( 56 )  
Objective: To investigate the relationship between position and indwelling time of PICC catheter tip and complications in extremely/very low birth weight infants. Methods: By convenience sampling, extremely/very low birth weight infants with successful PICC catheterization in neonatology department of a tertiary hospital in Wenzhou, Zhejiang province were selected from March 2019 to August 2021. The PICC indwelling time, complication rate and catheter secondary displacement of PICC in different limbs and tip positions were analyzed. Results: The indwelling time of PICC in lower extremity, T5-T6 group and T8-T9 group was significantly longer than that in upper extremity, T4-T5 group and T9-T10 group, respectively (P<0.01). The complication rate in T8-T9 group was significantly lower than that in T9-T10 group, and there was no significant difference among the other groups. The time point of secondary displacement and the rates of PICC catheter at different tip positions were different (P<0.05). Conclusion: Lower limbs PICC is recommended as the first choice for extremely/very low birth weight infants. The prevention way of PICC complications with different tip positions is different. The possible secondary displacement time can be predicted according to the first X-ray tip positioning, and timely positioning and tracking were suggested to do early detection and treatment.
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Outcomes to gynecological Enhanced Recovery After Surgery protocol: a scoping review
LIU Xiaoxia, GE Lina, YE Huihui, LI Mengna, HU Shuang
Chinese Nursing Management. 2022, 22 (12):  1893-1898.  DOI: 10.3969/j.issn.1672-1756.2022.12.026
Abstract ( 103 )   PDF (4018KB) ( 55 )  
Objective: To clarify the literature distribution, outcome indicators and the application of evaluation content of the gynecological Enhanced Recovery After Surgery (ERAS) protocol. Methods: Focusing on the outcome indicators for the gynecological ERAS protocol, we systematically searched relevant databases. The extracted contents included: literature characteristics, literature sources, research types, countries, years, research objects, outcome indicators, evaluation timing, evaluation content and collection methods. The search period was from 15, December 2016 to 15, December 2021. Results: A total of 93 articles were included, and 32 outcome indicators were summarized. Among them, there were 27 patient-related items, and the top 5 outcome indicators of high frequency were: complication rate, postoperative gastrointestinal function recovery, postoperative pain score, postoperative activity, and readmission rate. There were 5 hospital-related outcomes, the most common of which was length of stay. Conclusion: The medical staff should further promote the application scope of gynecological ERAS protocol, and at the same time monitor not only patient-related outcome indicators, but also caregivers and hospital-related outcome indicators, and select specific and sensitive gynecological ERAS protocol outcome indicators to promote the improvement and effective implementation of gynecological ERAS protocol.
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A longitudinal study of Cancer-Induced Fatigue and its influencing factors in lung cancer patients undergoing chemotherapy for the first time
YAO Li, WU Yan, JIN Shurui, TANG Li, YUAN Yang, TAO Xueqin
Chinese Nursing Management. 2022, 22 (12):  1899-1903.  DOI: 10.3969/j.issn.1672-1756.2022.12.027
Abstract ( 166 )   PDF (2629KB) ( 131 )  
Objective: To investigate the incidence of Cancer-Induced Fatigue in lung cancer patients with chemotherapy at different stages of treatment, and to analyze the factors related to the occurrence of Cancer-Induced Fatigue. Methods: The general data questionnaire and the cancer fatigue scale were used to evaluate the cancer fatigue status of 249 patients in a hospital in Shanghai from December 2020 to December 2021 before the first chemotherapy and the first to six chemotherapy at seven-time points, and the influencing factors of cancer fatigue were analyzed by multivariate logistic regression. Results: The incidence of Cancer-Induced Fatigue in lung cancer patients undergoing chemotherapy was 44.9% to 50.4% for the first time. The degree of fatigue was mainly mild, and the degree of fatigue showed an upward trend with chemotherapy. The degree of fatigue was the most severe after the fourth chemotherapy. Occupation, mode of residence, household per capital monthly income, BMI index, chronic diseases (stroke, hypertension), cough, vomiting, and red blood cell count were factors influencing cancer fatigue in lung cancer patients at different stages of chemotherapy (P<0.05). Conclusion: The influencing factors of Cancer-Induced Fatigue in different treatment periods of lung cancer chemotherapy patients are different, and clinically patients should be given different attention and interventions from physiological, psychological and social dimensions at different treatment periods, and gradually promote patient recovery.
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A cross-sectional investigation on vascular access cannulation among hemodialysis nurses in Beijing
FAN Xiaoxia, SU Mo, HOU Shuxiao
Chinese Nursing Management. 2022, 22 (12):  1904-1909.  DOI: 10.3969/j.issn.1672-1756.2022.12.028
Abstract ( 138 )   PDF (3026KB) ( 128 )  
Objective: To describe the characteristics of vascular access cannulation among clinical nurses in hemodialysis centers in Beijing based on the best evidence, therefore to identify the gap between clinical practice and the best practice of vascular access cannulation, and provide evidence for future improvement. Methods: Following convenient sampling, eligible nurses from the hemodialysis centers of study hospitals were included in the current study. Using questionnaire which was designed based on the evidence-based practice, clinical guidelines and expert consensus, the characteristics and influencing factors of vascular access cannulation among clinical nurses were examined. Results: A total of 542 valid questionnaires were collected and analyzed. Among these nurses, the average score for the standardized operation was 4.64 (0.62), which was related to the nurse's professional title, position, received training on puncture and ultrasound application. Meanwhile, the score on handling puncture complications was significantly lower than the scores on both assessment before puncture and the puncture process (P<0.001). The proportion of nurses who assessed the maturity of AVF and AVG at the time of puncture according to the best evidence was 46.3% and 12.3%, and the proportion of nurses who adopted "rope-ladder cannulation", "buttonhole cannulation" and "area cannulation" in AVF/AVG were 96.5%/93.9%, 27.3%/13.5% and 26.9%/19.9%, respectively. Conclusion: There are potential needs to standardize nurses' cannulation process, especially those related to the handling of puncture complications. The time assessing maturity and cannulation of the initial arteriovenous fistula is not consistent, the cannulation methods needs to be improved. The overall nursing management of vascular access is significantly related to the standardization of nurses' cannulation in hemodialysis centers.
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Reviews
Research progress on validation therapy in patients with dementia
LI Cuicui, CUI Xiaowen, PAN Weiwei, ZHAO Yarui, ZHU Yun
Chinese Nursing Management. 2022, 22 (12):  1909-1913.  DOI: 10.3969/j.issn.1672-1756.2022.12.029
Abstract ( 156 )   PDF (1817KB) ( 64 )  
This paper reviews the origin, implementation process and application effect of validation therapy in patients with dementia, and introduces the training and certification of implementers, implementation skills and forms, and matters needing attention in detail, to provide reference for the development of validation therapy in China and theoretical basis for clinical practices, so as to improve the quality of life of patients with dementia.
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The contribution of family caregiver to self-care for patients with chronic illness: a review
HUANG Zhuo'er, SUN Mengyuan, FU Yaqian, TANG Binmi, LIU Birong, YAN Jin, YI Qifeng, HUANG Hui, LIU Jia
Chinese Nursing Management. 2022, 22 (12):  1914-1918.  DOI: 10.3969/j.issn.1672-1756.2022.12.030
Abstract ( 218 )   PDF (1903KB) ( 188 )  
This paper reviews the assessment tools, influencing factors and current status of family caregivers' contribution to self-care. It is recommended to provide informational support for family caregivers to improve their self-efficacy and care preparation, confirm family caregiver needs and priorities to reduce the burden on caregivers and enhance mutuality in the patient-caregiver dyad to promote participation so as to provide a reference for improving the quality of family caregivers' contribution to self-care for patients with chronic illness.
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