Due to the particularity of vascular structure, it is difficult to collect venous blood sample from elderly patients, which would directly affect their clinical treatment. This study analyzed and summarized the research progress of venous blood sample collection in elderly patients from the characteristics of their venous blood vessels, venous blood sample collection process and secure management strategies, in order to provide a basis for the standardized management of venous blood sample collection and reference to ensure more successful and safe blood collection in the elderly.

Objective: To compare and evaluate the safety and cost-benefit of the manual and intelligent venous blood collection in outpatient area. Methods: The hospital selected had two branches with the outpatient area in Branch A using manual venous blood sampling as the control group and the outpatient area in Branch B using intelligent venous blood sampling as the experimental group. From January to December 2022, both the financial data and data collected from the Business Intelligence (BI) integration platform were calculated and analyzed to test the differences between manual and intelligent venous blood sampling in terms of operation time, safety quality, cost-benefit and service efficiency through on-site investigation, insider interview and project cost method. Results: Compared with manual venous blood sampling, the registration [(10.83±4.54) s vs (31.68±14.36) s], sorting [(3.78±1.28) s vs (12.60±10.12) s] and total time of intelligent venous blood collection [(61.34±17.79) s vs (90.54±37.20) s] were less, the total cost of the project was higher [(26.77±4.93) yuan/case vs (23.95±4.72) yuan/case], the labor cost was lower [(4.76±0.20) yuan/case vs (5.71±0.35) yuan/case], and the differences were statistically significant (P<0.05). The rate of barcode, collection and submission quality problems of manual blood sampling is higher than that of intelligent blood sampling, the service efficiency of nurses applying intelligent venous blood sampling system was as high as 112.07%, and the cost-benefit of both venous blood sampling methods were negative. Conclusion: Intelligent venous blood sampling project is more optimized with shorter operation time, less blood sample quality problems and higher nursing service efficiency. However, the current charging standard is lower than the cost of venous blood sampling. It is thus suggested to appropriately increase the charging standard of venous blood sampling to promote a positive incentive mechanism focusing on realizing the value of technical services.

Objective: To evaluate the effects of nursing intervention based on the concept of healing environment on anxiety, fear, and puncture compliance of outpatient children undergoing venous blood collection. Methods: This was a historical control study with children who underwent outpatient venous blood collection in a tertiary grade A children's hospital in Zhengzhou, Henan Province being divided into the control group (admitted from May 1 to June 1, 2022) (n=63) and the intervention group (admitted from July 1 to August 1, 2022) (n=65). Routine blood collection was applied in the control group, while nursing intervention based on the concept of healing environment was adopted in the intervention group. Anxiety, fear, puncture compliance and other indicators were compared between the two groups before and after blood collection. Results: The score of anxiety (t=5.212, P<0.05) and incidence of fear in the intervention group (χ2=7.459, P<0.05) were significantly lower than those in the control group, while the puncture compliance (Z=7.441, P<0.05) and success rate (χ2=4.863, P<0.05) were found higher in the intervention group. Conclusion: Nursing intervention based on the concept of healing environment can alleviate the anxiety and fear of outpatient children undergoing venous blood collection and improve their puncture compliance to ensure more successful puncture.

Objective: To explore the effect of information management in the whole process of blood sampling in emergency department to ensure patient safety. Methods: Purpose sampling was used to select 874 patients admitted to the emergency department for resuscitation and their data were collected for statistical analysis. Patients who visited the resuscitation area in the fourth quarter of 2021 were designated as the control group (n=438), and patients who visited in the fourth quarter of 2022 were designated as the experiment group (n=436). Before the implementation, the group adopted routine blood collection process management, and after the implementation, the group adopted whole-process blood collection information management. The daily number of patients receiving resuscitation and the incidence of adverse events, the timeliness of the delivery of blood samples for blood routine, blood type and blood biochemistry and the delayed specimen delivery rate of the two groups were gathered and compared. Results: After the application of the information management, shorter detention time between patient admission and sample delivery, and a lower rate of delayed specimen delivery. Besides, the experiment group also showed faster results than the control group. All of the differences between the two groups were found to be statistically significant (P<0.05). Conclusion: The whole process information management mode in the emergency department can effectively improve the efficiency of tests, reduce the incidence of adverse events and ensure patient safety.

Objective: To translate and culturally adapt the Bereavement Risk Assessment Tool (BRAT) into Chinese, and evaluate the validity and reliability of the Chinese version of BRAT. Methods: Brislin's two-way translation method was used for translation. Experts were invited to evaluate the content validity of the Chinese version of the BRAT and re-assign each item. The bereavement risk cutoff of BRAT-C was reclassified according to the Public Health Approach to Bereavement Support Services Model. Results: BRAT-C included 39 items and 11 subscales. The content validity index of the scale was 0.97, and the content validity index of each item was 0.60-1.00. The total ICC of the inter-rater reliability index scale was 0.952 (95 %CI: 0.894-0.979). The total score of the scale ≤0, 1-26, and >26 indicated that the patient/dead’s family members were at low, medium, and high bereavement risk levels, respectively. Conclusion: The Chinese version of BRAT is comprehensive in content and scientific in the introduction process. It is expected to help screen high-risk bereavement groups and lay a foundation for the construction of bereavement support strategies based on risk assessment.

Objective: To establish a management plan for lower extremity Deep Vein Thrombosis (DVT) in renal transplant patients. Methods: From January to June 2022, literature analysis and Delphi method were used to determine the management plan of lower limb DVT in renal transplant patients, and the weight of each item was set. Results: A total of 25 experts were interviewed by correspondence for two rounds. The effective recovery rate of the questionnaire was 100.0%. The authority coefficients of the experts in the two rounds were 0.906 and 0.898, respectively. The coordination coefficients of the experts in the two rounds were 0.236 and 0.181, respectively. All the P values were <0.001. Finally, the management scheme of lower limb DVT in renal transplant patients was formed with three first level items, 12 second level items and 38 third level items. Conclusion: The management scheme of lower extremity DVT in renal transplant patients is scientific and reliable, which provides a valuable reference for the prevention of lower extremity DVT in renal transplant patients.

Objective: To investigate the barriers of the weight management of re-pregnant women with Gestational Diabetes Mellitus (GDM) and overweight pre-conception, and to provide references for improving the weight management of this population. Methods: Phenomenological research method in qualitative research was used to collect the data. From June to July 2021, re-pregnant women with gestational diabetes mellitus in the Obstetrics Department of a hospital of Guilin were selected, semi-structured interviews were conducted, and Colaizzi 7-step analysis method was used to analyze the data. Results: Three themes were extracted: cognitive factors (inadequate awareness of the relationship between body weight and fetal growth and development, insufficient awareness of insulin in pregnant women who use insulin), low self-efficacy in GDM weight management, social factors (lack of family support, working time constraints,and non-professional experiences). Conclusion: It's necessary to correct the misconceptions of re-pregnant women with gestational diabetes and overweight before pregnancy at the early stage, improve their level of self-efficacy, and make full use of family support to improve their compliance with weight management, to improve the clinical outcomes.

Objective: To design a checklist for indwelling tracheal intubation in neonates and evaluate its application outcomes. Methods: A research group was set up to design the checklist through literature review and group discussion. Two rounds of expert consultation were conducted in the form of face-to-face or online questionnaires. The final draft of the checklist for neonatal endotracheal intubation was developed after discussion and modification according to expert opinions. We recruited 34 children with endotracheal intubation in the neonatal care unit of a tertiary A hospital in Jilin Province from January to December 2020 to the control group, and 34 children from January to October 2021 to the experimental group. The control group used routine tracheal intubation nursing as the intervention, and the experimental group used the checklist and routine tracheal intubation nursing as interventions. The incidence of trachea intubation related complications in the two groups and nurses' cognitive and behavioral scores on the checklist were evaluated. Results: The incidence of Ventilator-Associated Pneumonia, tracheal tube displacement and iatrogenic skin injury in the experimental group were lower than those in the control group (P<0.05). Nurses had higher scores on risk perception and behavior of endotracheal intubation after using the checklist (P<0.05). Conclusion: The application of neonatal endotracheal intubation checklist can effectively reduce the incidence of complications and improve nurses' risk awareness and behavior.

Objective: To explore the risk factors of neonatal hypothermia in intra-hospital transfer and to establish a predictive model. Methods: A retrospective study was conducted to collect the data, and 4200 newborn infants in one hospital in Shanghai from April 2020 to April 2021 were included in this study. The Logistic regression analysis was used to identify the hypothermia-related risk factors, and a nomogram prediction model for neonatal hypothermia risks in intra-hospital transport was established and verified based on risk factors. Results: A total of 2368 newborn infants (56.4%)were observed hypothermia in intra-hospital transfer. The 12 neonatal-related factors with hypothermia in intra-hospital transportation included the gestational age, birth weight, 5-minute Apgar score, whether with skin-to-skin contact, head caps, wiping and drying, early breastfeeding, transport incubators, tracheal intubation, cardiopulmonary resuscitation and asphyxia, and the bathing time; the 4 obstetric related factors included the gestational hypertension, time of delivery, type of delivery and chorioamnionitis. The discrimination (C-statistic=0.930) and calibration (Hosmer-Lemeshow goodness-of-fit test, χ2=6.542) of the model were indicated well. Conclusion: The incidence of neonatal hypothermia in intra-hospital transportation is high. This nomogram for neonatal hypothermia in-hospital transport has good predictive ability and discrimination, which can be used for early detection of high-risk newborns with hypothermia in intra-hospital transport.

Objective: To investigate the self-efficacy and knowledge-sharing behavior of pressure injury management among nurses in operating rooms and to analyze the influencing factors of self-efficacy. Methods: From May to July 2022, a total of 591 nurses in operating rooms were selected from 25 hospitals in 13 provinces including Henan, Hunan and Jiangxi by convenience sampling. The general information questionnaire, the Nurse Stress Injury Management Self-efficacy Scale and the Clinical Nurse Knowledge- Sharing Behavior Scale were used. Results: Among 591 nurses, the average score of self-efficacy in pressure injury management was (3.73±0.81), and the average score of knowledge-sharing behavior was (2.82±0.88). The score of self-efficacy was significantly positively correlated with the score of knowledge-sharing behavior (r=0.515, P<0.001). The results of multiple linear regression analysis showed that the influencing factors of self-efficacy were hospital level, the total number of pressure injury knowledge training, the establishment of pressure injury group and knowledge-sharing behavior (all P<0.05). Conclusion: The self-efficacy of pressure injury of nurses in operating room is above the medium level, and the knowledge-sharing level is at the medium level. The higher the self-efficacy level, the stronger the knowledge-sharing level will be. It is suggested that nurse managers in operating rooms should carry out targeted intervention according to its influencing factors to improve the self-efficacy and knowledge-sharing behavior of nurses in the management of pressure injury. By this way, the incidence of perioperative pressure injury will be reduced and the quality of nursing will be improved.

Objective: To construct a diet management program for the patients with Maintenance Hemodialysis (MHD) and evaluate its effects during dialysis. Methods: The Ottawa Model of Research is used as a guidance, the promotions factors and obstacles were determined according to the on-site review, and the evidence-based practice program was constructed from three aspects: evidence -based changes, potential adopters and practice environment. The Diet management program for patients with MHD during dialysis was improved and the effects were evaluated by two rounds of evidence-based practice. Results: After two rounds of practice of clinical evidence translation, a multidisciplinary collaborative team has been formed, the diet management implementation has improved, and the incidence of hypotension and other complications decreased, nutritional indexes increased and blood phosphorus decreased during dialysis. Conclusion: The application of dietary management program in MHD patients during dialysis is beneficial to reduce the incidence of hypotension, improve calcium and phosphorus metabolism and nutritional status, and this program has clinical application value.

Objective: To develop a risk prediction model of demoralization syndrome, and to provide a basis for its prevention. Methods: A total of 376 inpatients with cancer were included from the oncology department of a tertiary grade A hospital in Dalian from November 2021 to June 2022 by convenience sampling, multivariate Logistic regression analysis was used to analyze the risk factors of demoralization syndrome, a nomogram was constructed for visual display, and a receiver operating characteristic curve was used to test the prediction effects of the model. Results: The incidence of demoralization syndrome in cancer patients was 44.9%, and a total of 6 independent risk factors were screened for demoralization syndrome by multivariate Logistic regression analysis. The area under the predicted ROC curve was 0.973 (P<0.001). The maximum Youden index was 0.850, the sensitivity was 0.891, the specificity was 0.959, the slope of the drawn calibration curve was close to 1, and the predicted value of the model was in good agreement with the actual observed value consistency. Conclusion: The constructed model in this study is with good differentiation and accuracy, which can provide evidence for medical staff in oncology department to identify patients with demoralization syndrome in an early stage.

Objective: To identify the trajectory of Fear of Progression (FoP) in patients with cervical cancer and to analyze the influencing factors of different trajectories. Methods: A total of 254 patients with cervical cancer were included in the department of gynecology of a hospital in Shijiazhuang from May 2018 to December 2021, the Simplified Fear of Disease Progression Scale was used to collected the data at the time of presurgery, prechemotherapy, after the first chemotherapy, the middle of chemotherapy, at the end of chemotherapy and 3 months after chemotherapy. The growth mixture model was used to identify the trajectory of FoP. Results: A total of four tracks of the FoP in patients with cervical cancer were identified as "continuous decline group" (22.8%), "rise first and then decline group" (32.3%), "zigzag decline group" (29.5%) and "continuous rise group" (15.4%). According to the results of Logistic regression analysis, stage of cancer, depression, anxiety, personality type and coping style were influencing factors for FoP (P<0.05). Conclusion: The FoP in cervical cancer patients showed different tracks. Corresponding intervention should be carried out according to the characteristics of the track of FoP and the time from diagnosis, surgery, chemotherapy and continuous treatment after chemotherapy to reduce the level of FoP.

Objective: To explore the symptom subgroups of postoperative chemotherapy patients with gastric cancer and analyze the relationship between each subgroup and unmet needs. Methods: Totally 249 postoperative patients with gastric cancer who received chemotherapy in the oncology department of two hospitals in Zhenjiang city from August to December 2021 were selected as the research objects by convenient sampling method. The general data questionnaire, the symptom evaluation questionnaire of postoperative chemotherapy patients with gastric cancer and the unmet needs scale of cancer patients were used for investigation. Results: The incidence and severity of fatigue in postoperative chemotherapy patients with gastric cancer were the highest, and the score of unmet needs was 49.10 ± 14.12. The symptoms of patients were divided into four groups: mild symptoms, high psychological symptoms and low physical symptoms, high physical symptoms and low psychological symptoms, and severe symptoms. Chemotherapy cycle, operation mode and malnutrition risk could predict the subgroup classification (all P<0.05). There was significant difference in the scores of unmet needs among different symptom subgroups (P<0.05). The score of severe symptoms group was the highest, followed by high psychological symptoms and low physical symptoms, the third was high physical symptoms and low psychological symptoms, and the lowest was mild symptoms group. Conclusion: The symptom characteristics of postoperative chemotherapy patients with gastric cancer have four subgroups, which are closely related to unmet needs, suggesting that targeted interventions should be formulated for different subgroups to alleviate symptom distress, so as to meet the individual needs of patients.

Objective: To comprehensively search, summarize, and analyze summaries of the best evidence for risk assessment of Chemotherapy-Induced Nausea and Vomiting. Methods: Computerized systematic searches of clinical decision websites, major guideline websites, professional association websites, evidence-based literature repositories, and major literature databases for clinical decisions, guidelines, expert consensus, evidence summaries, and systematic reviews on Chemotherapy-Induced Nausea and Vomiting and risk factor assessment in China and abroad were conducted, and methodological quality evaluations were performed and summarized to extract evidence with professional judgment and clinical context. Results: A total of 22 papers were included, including 5 clinical decisions, 8 guidelines, 4 expert consensus, and 5 systematic reviews. A total of 12 pieces of evidence were summarized from 5 directions: symptom assessment, risk factors, assessment timing, assessment tools and assessors. Conclusion: Evidence summaries provide an evidence-based basis for improving the accuracy of risk assessment for Chemotherapy-Induced Nausea and Vomiting, and healthcare providers should establish a Chemotherapy-Induced Nausea and Vomiting risk assessment form, assessment process, and practice standards. Healthcare professionals should apply the evidence in a rational manner, taking into account clinical situations and professional judgment, in order to accurately assess their associated risks.

Objective: To investigate the potential categories and influencing factors of social avoidance and distress in breast cancer patients. Methods: Using convenience sampling method to select 169 cases of breast cancer patients from two tertiary grade A hospitals in Hunan province. The general data questionnaire, Social Avoidance and Distress Scale, Spiritual Attitude and Involvement List, Acceptance and Action Questionnaire-2nd Edition, and Cognitive Fusion Questionnaire were used in this study. Latent Profile Analysis was used to analyze the classification of breast cancer patients' social avoidance and distress. A robust three-step polynomial Logistic regression analysis was used to explore the influencing factors of social avoidance and distress in breast cancer patients. Results: The results of Latent Profile Analysis supported two potential models, which were defined as "mild avoidance and distress type" (59.17%) and "severe avoidance and distress type" (40.83%). Age, education background, employment status, residence, family per capita monthly income, self-care status, knowledge of disease, payment method of medical expenses, spiritual level and psychological flexibility had predictive effects on the potential profile classification of social avoidance and distress in breast cancer patients. Conclusion: There are two potential categories of social avoidance and distress in breast cancer patients, and the levels of social avoidance and distress in breast cancer patients of different categories have individual differences, which suggesting that medical practitioners should take targeted psychological intervention measures to promote the recovery of social function in breast cancer patients.

Objective: To systematically evaluate the real experience and needs of caregivers of children with Autism Spectrum Disorder (ASD). Methods: Web of Science, PubMed, CINAHL, PsycINFO, Embase, CBM, CNKI, Wanfang, and VIP journal databases were searched for qualitative studies on the experience of caregivers of children with ASD. The results were integrated by the Meta-synthesis method. Results: In the end, 12 studies were included, and 32 research results were extracted, which were summarized into 12 categories and integrated into 4 results: heavy burden, changes in the roles of family members, self-growth, lack of knowledge and support. Conclusion: ASD is lifelong, and caregivers face great pressure in the long-term care process. Relevant people in society should give more care to families of children with ASD, pay attention to the real experience and needs of the caregivers, provide psychological counseling and necessary support, make them accept and adapt to their roles as soon as possible, and promote the growth of children with ASD.

Objective: To systematically review the machine learning models for risk prediction of Pressure Injury (PI). Methods: A search was performed on the machine learning models for PI risk prediction in PubMed, Embase, Cochrane Library, CBM, CNKI and Wanfang databases from the establishment of the database to March 1, 2022. Two researchers independently screened literature, extracted data and evaluated the quality of the included studies based on PROBAST. Results: Totally 17 studies were included, including 4 development studies and 13 development and validation studies. The area under the subject operating characteristic curve ranged from 0.790 to 0.897. The overall applicability of the study was good, but there was a certain bias, mainly because blind method was not adopted or reported, the missing data processing method was not reported or improper, sample size was insufficient, independent variable processing was inappropriate, and model performance and fitting situation were not considered. Conclusion: The development of PI risk prediction machine learning models is still in the developing stage, and the extrapolation needs to be further discussed. In the future, attention should be paid to study design and clinical data processing, and the development of models suitable for the Chinese population.

Objective: To analyze the experience of patients with Hypertensive Disorders of Pregnancy (HDP). Methods: A total of eight databases (PubMed, EMBASE, Cochrane Library, Web of Science, CNKI, WanFang Data, SinoMed, VIP) were comprehensively searched for the qualitative studies from their inception to January, 2022. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research was used to critically assess the included studies. Qualitative data were extracted, summarized, and Meta-synthesized by two researchers independently and disagreements were discussed with a third researcher. Results: A total of 13 studies were included, 51 original themes were extracted, and 4 overarching themes and 8 categories were integrated. The overarching themes were as follows: being lack of disease related knowledge and hoping to obtain appropriate disease information; double discomforts in patients' physiology and psychology; seeking emotional and medical professional support; getting rid of the trouble and taking active measures after the diagnosis. Conclusion: HDP patients generally lack disease-related knowledge, are eager to learn about the disease development, the knowledge of HDP and their own/fetal status. Nurses should pay attention to their psychological condition and provide health education, and mobilize patients' families to help them recover from the disease.

Objective: To systematically review the relevant studies on risk prediction models for Post-intensive Care Syndrome (PICS). Methods: We searched Chinese and English databases for the eligible studies, which included prediction models or tools about post-ICU physical, psychological and cognitive impairment. The literature retrieval date was limited from 1st January, 2010 to 8th March, 2022. Two researchers independently screened the literature and extracted information. Then risk of bias and applicability were assessed by using the Prediction Model Risk of Bias Assessment Tool. Results: Of 2336 screened studies, ten studies met inclusion. The AUC of ten models were 0.68-0.91. The applicability of all studies was good, but there was some risk of bias. Conclusion: The research on prediction for PICS is still in the preliminary stage of development. There are several suggestions for future studies, including externally verifying the existing model, introducing and localizing the risk prediction models in the domain of physical and psychological.

Objective: To systematically review the service needs among the elderly in long-term care facilities in Chinese mainland, and provide a reference for service provision in long-term care facilities. Methods: We searched databases for qualitative studies on this topic from database inception to May 2022. The Joanna Briggs Institute Critical Appraisal Tool for qualitative studies (2020) was used to evaluate the quality of included studies. These studies were synthesized using the meta-synthesis method. Results: A total of 13 studies were included. We extracted 53 items of service needs among the elderly, which were categorized into seven subthemes and further synthesized into three themes: Demands for integration of medical treatment and convalesce; Demands for humanistic care; Demands on the physical and social environment. Conclusion: The elderly in long-term care facilities have high demands for various services, such as daily care, health care, social function, psychology and spirit, individual value and dignity, and the "hardware and software" environment of the facilities. It is suggested that the government, long-term care facilities, and elderly family members should make joint efforts to meet the diversified and individualized needs of the elderly.

Objective: To summarize the evidence for prenatal glucose management of Gestational Diabetes Mellitus. Methods: All the evidence related to prenatal blood glucose management of Gestational Diabetes Mellitus was retrieved from the databases, guideline networks and professional association websites in Chinese and English from the establishment of database to April 2022 were searched. Quality evaluation, evidence extraction and summary of the included literature were carried out to evaluate the quality and extract evidence. Results: A total of thirteen literatures were included, including one clinical decision, six clinical guidelines, three expert consensus, two evidence summaries and one systematic review. Thirty-five items were formed from six dimensions, including evaluation and screening, blood glucose monitoring, non-pharmacological intervention, pharmacological therapy, glycemic control objectives and systematic management. Conclusion: In order to improve pregnancy outcomes and ensure the safety of mother and child, health care providers should provide personalized blood glucose management programs based on the clinical evidence of prenatal blood glucose management in gestational diabetes mellitus, and combining the individual situation and needs of pregnant women.

Objective: To construct a nursing safety evaluation index system for inpatients in unaccompanied hospitals, and to provide reference standards for the evaluation of nursing safety management in unaccompanied hospitals. Methods: Based on the Wuli-Shili-Renli (WSR) system approach, through literature review, semi-structured interviews, focus group meetings and Delphi method, a nursing safety evaluation index system for inpatients in unaccompanied hospitals was established. The final indicators weight were analyzed by analytic hierarchy process. Results: The effective recovery rates of the two rounds of expert letter questionnaires were both 100%, the expert authority coefficients were 0.926 and 0.938, and the Kendall harmony coefficients were 0.194 and 0.237 (P<0.001). The final nursing safety evaluation index system for inpatients in unaccompanied hospitals includes 3 first-level indicators, 13 second-level indicators, and 39 third-level indicators. Conclusion: The established nursing safety evaluation index system for inpatients in unaccompanied hospitals is scientific and practical, and the content is comprehensive. It can provide reference for the nursing safety management of inpatients in unaccompanied hospitals, and provide nursing safety guarantee for promoting the development of unaccompanied hospitals.

Objective: To investigate the status quo of clinical nurses' safety behavior and analyze its influencing factors, so as to provide a basis for standardizing and improving clinical nurses' safety behavior and ensuring patients' safety. Methods: A total of 540 nurses from five hospitals in Beijing were selected by using convenience sampling method in June 2022. The survey tools included a self-designed general information questionnaire, Nurse Safety Behavior Questionnaire and Patient Safety Culture Assessment Scale. Results: The score of nurses' safety behavior was 55.13±4.32, and the average score of items was 4.59±0.36, all of which were above the medium level. Multiple linear regression analysis showed that nursing age, hospital grade, whether to undertake teaching work and safety culture perception were the main influencing factors of nurses' safety behavior (P<0.05). Conclusion: Nursing managers should focus on the safety behavior of junior nurses, standardize their safety behavior, create a harmonious and safe cultural atmosphere, and ensure the safety of patients.

Objective: To explore the mediating role of general self-efficacy in the relationship between perceived nursing work environment and compassion fatigue among nurses in outpatient departments. Methods: A questionnaire survey was conducted among 290 nurses in outpatient departments of four tertiary grade A hospitals from April 15 to 30, 2022. The instruments included the general information sheet, the Chinese version of the Compassion Fatigue Scale, Chinese Version of Perceived Nursing Work Environment, and General Self-Efficacy Scale. Results: More than half (51.4%) of the participants experienced moderate level of burnout, and the incidence of secondary traumatic stress was 72.8%. In the perception of work environment, the score of staffing and resource adequacy was the lowest (3.18±0.71), and the general self-efficacy score was (2.82±0.62). Perceived nursing work environment had a positive effect on general self-efficacy and compassion satisfaction, and general self-efficacy was a mediator in the relationship between perceived nursing work environment and nurses' compassion fatigue. Conclusion: The compassion fatigue among outpatient nurses needs to be further improved. Hospital managers should pay more attention to increasing staff number and their salaries, and use effective strategies to increase nurses' general self-efficacy.

Objective: To analyze the relationship between psychological resilience, emergency response capability and work-related quality of life in nurses at fever clinics. Methods: From November 2021 to June 2022, 180 nurses at fever clinics of 5 hospitals in Hainan were recruited by convenience sampling. The interested variables included emergency capability (Public Health Emergency Capability Scale), resilience (Connor-Davidson Resilience Scale, CD-RISC), and work-related quality of life (Quality of Work Life, QWL). The relationships among emergency response capability score, CD-RISC score and QWL score of nurses were investigated. The mediating effect of psychological resilience between emergency response capability and work-related quality of life of nurses was analyzed by using the structural equation modeling. Results: The average score of emergency response capability was 62.65±5.44, the average score of CD-RISC was 68.22±4.48, and the average score of QWL was 105.65±6.33. Pearson correlation analysis showed that the emergency response capability score of nurses was positively correlated with CD-RISC score (P<0.001), emergency response capability score was positively correlated with QWL score (P<0.001), CD-RISC score was positively correlated with QWL score (P<0.001). Psychological resilience plays a partial mediating effect between emergency response capability and work-related quality of life. Conclusion: There is a positive correlation among emergency response capability, psychological resilience and work-related quality of life of nurses at fever clinics. Emergency response capability affects work-related quality of life by adjusting psychological resilience.

Objective: To explore the implementation effects of a training program that was developed for newly employed nurses based on the nurse core competency framework using the 360-degree feedback evaluation system. Methods: The training program was designed based on the results of a literature review and expert consultation. We trained the 2021 newly employed nurses following this training program in a multi-phased and multi-mode way. We compared the pre- and post-training effects based on the 360-degree feedback evaluation system. Results: After the training, the 2021 newly employed nurses scored higher than the 2020 ones in five dimensions of clinical nurses' core competencies, namely legal and ethical practice, interpersonal relations, professional development, critical thinking, and scientific research. The difference was statistically significant (P<0.05). Conclusion: The training program based on the nurse core competency framework is systematic and comprehensive. The multi-phased and multi-mode training method is scientific and practical. The reformation of the training program is conducive to increasing newly employed nurses' core competencies and is worthy of clinical application.

Improving and maintaining the intrinsic capacity of the elderly is the core of improving their functional ability and promoting healthy ageing. This article reviews the concept of intrinsic capacity, the tools of Integrated Care for Older People, the measurement tools and scoring methods of intrinsic capacity including cognition, vitality, locomotion, psychology and sensory domains. This article aims to provide reference and basis for subsequent researches.