Nurses play a vital role in health management. In order to provide a reference for the advancement of health management nursing in China, this paper reviews its origin, development, practice and professional status in China, analyzes the current problems and shortages, learns from foreign experience, and discusses the future direction of the high-quality development of health management nursing in China.

As a frontier window and important link for health risk assessment and management, nurses play an important role in the health management. Based on the big health perspective and the trend of digital intelligence, this article summarizes the role of nurses in five aspects: health information collection, health physical examination and information monitoring, health risk factor identification, health risk management implementation and effect evaluation. This article also sorts out the opportunities and challenges faced by nurses in responding to the health risk management needs of the population. It is expected to provide information for nurses engaging in health risk management.

Objective: To investigate the current situation of training transfer among health management specialist nurses and analyze its influencing factors, so as to improve the health management nurses training program. Methods: A total of 196 health management specialist nurses who received specialist nurse training at the Sichuan Province Health Management Specialist Nurse Training Base from November 2021 to November 2023 were investigated by general information questionnaire, Training Transfer Questionnaire for Health Management Specialist Nurses, General Self-efficacy Scale, General Training Climate Scale. Multiple linear regression was used to analyze the influencing factors of the training transfer of health management specialist nurses. Results: The total score of Training Transfer Scale for Health Management Specialist Nurses was 21.49±1.88. The results of multiple linear regression analysis showed that job title, institution type, transfer climate and general self-efficacy were the influencing factors for the training transfer of health management specialist nurses (P<0.05). Conclusion: The training transfer of health management nurses is in the upper middle level, which is affected by many factors. Nurse managers should develop targeted training management programs according to relevant influencing factors, thus, to continuously improve the level of training transfer and improve the quality of training for health management specialist nurses.

Objective: To construct the quality control and evaluation indicators of basic health management nursing techniques, so as to provide a reference for the standardization and homogenization of these techniques. Methods: On the basis of the three-dimensional quality structure theory, we searched literatures and carried out expert group discussions and employed Delphi method to screen the indicators and quantify the dimensions, entries and evaluation indexes at all levels of quality control and evaluation. Results: The index system of basic technology quality control and evaluation system of health management nursing was finally formed, with 3 indexes at the first level, 10 indexes at the second level and 51 indexes at the third level. The effective response rate of the two rounds of expert correspondence questionnaires was 94.4%. The authority coefficient of the correspondence experts was 0.879, and the Kendall's harmony coefficient of the first and second rounds of consultancy was 0.210 and 0.199, respectively, which were all statistically significant (P<0.001). Conclusion: The quality control and evaluation index system of basic health management nursing techniques constructed in this study is scientific, effective, objective and operable to provide reference for standardizing the practice, training and assessment of health management and indicators that can be used by health management organizations to carry out quality control of basic health management nursing techniques.

Objective: To explore the potential barriers and facilitators of the clinical translation of the evidence for the selection of intravenous infusion devices in children, and to provide a basis for formulating reform strategies. Methods: Based on the i-PARIHS Facilitation Checklist, 37 professionals from 10 wards of a tertiary grade A specialized hospital were interviewed for 5 times through focus group interviews, and the data were analyzed by content analysis method. Results: This study analyzed 9 barriers to evidence translation for intravenous infusion devices selection in children. Two at the innovation level, which were lack of guideline-based systems or routines related to intravenous infusion devices selection, and evidence challenging people's way of thinking. Four at the recipients level, which were insufficient motivation for nurses and physicians to change, lack of knowledge and skills of nurses, lack of authority to change of nurses, and lack of human and equipment resources. Three at the context level, which were no clear incentives and supports for change within the organization, change challenges the organization's priority strategies, and lack of effective multidisciplinary collaboration mechanisms. Three facilitators were analyzed, which were high quality of evidence increased benefit to nurses and patients, transformational leadership to drive change, and alignment of change with priority strategies of the health system. Conclusion: This study identified the barriers and facilitators in the knowledge translation for the selection of intravenous infusion devices in children from the three levels of innovation, recipients and context, providing a basis for the formulation of change strategies and the construction of evidence-based practice programs.

Objective: To summarize the practical experience of "Internet + Nursing Service" in Shandong province, so as to provide references for promoting the innovative development of nursing service and improving the quality of "Internet + Nursing Service". Methods: A retrospective analysis was conducted on the distribution of "Internet + Nursing Service" medical institutions, service items, quality management and the cost of "Internet + Nursing Service" in 2023. Results: A total of 535 medical institutions carried out "Internet + Nursing Service" on 55 items in 8 categories, with 67292 people. The "Internet + Nursing Service" were more economical and convenient comparing to visiting hospital. Conclusion: "Internet + Nursing Service" strengthens the examination and approval of admission and the supervision of service process, strengthens the nurses' consciousness of practicing according to the law, and standardizes the "Internet + Nursing Service", so as to provide patients with professional, homogeneous, convenient medical services. However, the service model needs to be further improved to benefit more demanders.

Objective: To investigate the status of health information literacy of inpatients and its influencing factors, and analyze its medical health education needs. Methods: A cross-sectional survey was conducted among 447 inpatients with general data questionnaire, Health Information Literacy Self-Rating Scale and Medical Health Education Demand Questionnaire from February to March 2023 by convenience sampling method. Multiple linear regression was used to analyze the influencing factors of health information literacy, and multiple response chi-square goodness-of-fit test and cross-tabular chi-square test were used to analyze the differences in medical health education needs. Results: The total score of health information literacy of inpatients was 103.58±18.06, with the highest scoring rate of health cognition dimension and the lowest scoring rate of health information acquisition dimension. The education level and duration of disease were the main influencing factors of health information literacy (P<0.05). Inpatients had a high demand for medical health education. Inpatients with different levels of health information literacy had different demands for medical health knowledge carriers, medical health education lectures, health knowledge push modes, health education service modes, and health education duration (P <0.05). Conclusion: Inpatients' health information literacy is at a medium level, and the demand for information-based medical health education is the main one. Medical staff need to pay attention to inpatients with low education level and long course of disease, and formulate personalized scheme according to different health information literacy levels of inpatients to carry out accurate health education.

Objective: To investigate the knowledge, attitude, and practice of nurses in selecting anti-tumor drugs, and to provide reference for clinical training. Methods: A questionnaire survey was conducted among 357 nurses from 46 tumor chemotherapy departments in 14 tertiary hospitals in Beijing by convenience sampling. The survey tools were self-designed general data questionnaire and anti-tumor drug infusion set selection knowledge, confidence and practice questionnaire. Results: Among 357 nurses, the knowledge score was 2 (1, 3), with a scoring rate of 37.48%. Totally 166 nurses (46.50%) believed that the selection of infusion set should be carried out by nurses. Attitude: The recognition score was 40 (37, 40) points, the score rate was 94.68%. The overall attitude was positive. Practical behavior: The practical score was 25 (9, 30) points, the score rate was 82.33%. Totally 20 nurses (5.60%) never or rarely paid attention to infusion set knowledge and information related to chemotherapy drugs; Only 142 nurses (39.78%) regularly received infusion set related training. Conclusion: The knowledge level of anti-tumor drug infusion set selection of nurses needs to be improved, the importance of anti-tumor drug infusion set selection attitude is positive, and the practice behavior needs to be strengthened. Nursing managers should pay full attention to the training needs of nurses on anti-tumor drug infusion set, formulate infusion set selection norms and carry out relevant systematic training, so as to improve the practical level of anti-tumor drug infusion set selection.

Objective: To explore the meaning making process of main caregivers of hospitalized patients with hemorrhagic stroke, and to provide references for further interventions. Methods: Purposive sampling was used to select 13 caregivers of hospitalized patients with hemorrhagic stroke in a tertiary grade A hospital in Lianyungang city from December 2022 to March 2023. Semi-structured interviews were conducted according to the interview outline, and the data were analyzed by Braun & Clarke's thematic analysis method. Results: Four main themes and nine sub-themes emerged, including the impact of disease, the upheaval of original meaning, the reshaping of meaning of life, the rediscovery of the meaning of disease, and the positive outcomes of meaning making for individuals. Conclusion: The process of meaning making for caregivers engaging in a complex assessment and coping with the stressors associated with disease care, and ultimately resulting in positive outcomes. This findings can provide reference for clinical nursing staff to formulate interventions, to encourage caregivers to transform the distress into meaningful action, and consequently promoting better patient prognoses.

Objective: To explore the factors affecting rehabilitation exercise behavior during postoperative hospitalization, in order to provide guidance for medical staff to formulate targeted intervention measures, improve patients' compliance with postoperative rehabilitation exercise. Methods: Using purposeful sampling, 25 patients after joint replacement were selected for a semi-structured interview, and the interview data were analyzed by Colaizzi seven-step analysis. Results: The factors that influenced the exercise behavior of rehabilitation during the postoperative hospitalization can be classified into 4 themes and 11 subthemes: physiopathological factors, psychological factors, social support factors and rehabilitation nursing factors. Conclusion: Physiopathological factors, psychological factors, social support factors and rehabilitation nursing factors affect joint replacement patients with postoperative rehabilitation behavior. Multiple measures can be taken to control pain and fatigue, enhance self-efficacy, utilize modern information means to meet the demand of patients rehabilitation knowledge, actualize ward flexible management to improve patients' compliance with rehabilitation exercise.

Objective: To extract and summarize the relevant evidence on discharge preparation services for diabetic patients both domestically and internationally, in order to provide evidence-based basis for the implementation of hospital discharge preparation services for diabetic patients in China. Methods: We systematically searched the literature on hospital discharge preparation services for diabetic patients from domestic and foreign guideline websites, professional society websites, and databases, and evaluated the quality of the literature, and extracted evidence from the literature that met the quality standards. The search period spanned from the inception of the database to March 27, 2023. Results: Twelve studies were included, and a total of 28 pieces of evidence were synthesized, including the significance of discharge planning, process optimization, intervention objects, intervention principles, hospital services, pre-discharge connection and post-discharge follow-up. Conclusion: Medical staff should emphasize the key role of in-hospital health guidance, strengthen multi-link communication, and transform evidence into practical and feasible individualized diabetes discharge preparation service plans based on clinical situations.

Objective: To summarize the best evidence for the postpartum follow-up management of patients with gestational diabetes. Methods: We systematically searched the computer decision-making system, websites of major guidelines and professional institutes, evidence-based literature repositories, and major databases to collect relevant clinical decisions, guidelines, systematic reviews, evidence summaries, expert consensuses and original articles published from January 2010 to December 2023. Two researchers independently evaluated the quality of the included literature to extract and summarize the best evidence. Results: A total of 18 articles were included, including 3 clinical decisions, 8 guidelines, 5 systematic reviews, 1 randomized controlled trial, 1 expert consensuses to obtain 20 pieces of best evidence from 4 aspects, including the necessity of follow-up, the content of follow-up management, the barriers to implement follow-up, and ways to promote follow-up. Conclusion: This study summarizes the best evidence on postpartum follow-up of patients with gestational diabetes to provide a scientific and standardized basis for the follow-up management of these patients.

Objective: To summarize the evidence of postpartum diastasis recti abdominalis rehabilitation management, in order to provide reference and guidance for clinical practice. Methods: Literature of postpartum diastasis recti abdominalis rehabilitation management, were searched from domestic and foreign websites and databases. The search time limit was from database inception to May, 2023. Four researchers independently evaluated and summarized the quality of the literature. Results: A total of 9 articles were included, including two guidelines, one systematic reviews, one expert consensus and five randomized controlled trials. A total of 21 pieces of evidence were summarized, including the influencing factors, diagnosis, manage and health education. Conclusion: Through evidence-based methods, the evidence summarized in this study will provide scientific and detailed management suggestions for postpartum rehabilitation of recti abdominalis dissociation, reduce the adverse effects caused by neglect of management of recti abdominalis disscoiation for partuients, and further improve the quality of life of parturients. At the same time, it is suggested that clinical staff should pay more attention to the separation and rehabilitation management of the postpartum rectus abdominis muscle. In the process of learning from this study, it is necessary to combine the clinical situation of the department and the personal will of the pregnant women to practice.

Objective: To systematically review the effect of exercise intervention on reducing fatigue in pregnant women. Methods: We searched the literature in PubMed, Web of Science, Embase, CINAHL, The Cochrane Library, CNKI, Wanfang Data, VIP Science, and Chinese Biomedical Literature Database from the inception to August 2023. Data extraction, quality evaluation, and result analysis were carried out by two researchers independently. Meta-analysis was performed using RevMan 5.3 software. Results: Seven studies were entered into Meta-analysis with a total of 643 pregnant women. The results showed that exercise interventions during pregnancy were significant for the improvement of fatigue in pregnant women [SMD=-0.39, 95%CI (-0.67, -0.11), P=0.007], and the types of exercise included yoga, resistance exercise, and breathing training, among which yoga could reduce the fatigue symptoms of pregnant women [SMD=-0.71, 95%CI (-1.34, -0.08), P=0.030], intervention duration more than eight weeks improved fatigue symptoms [SMD=-0.75, 95%CI (-1.29, -0.21), P=0.006], and exercise intensity was not statistically significant in improving fatigue symptoms. Full offline supervision improved fatigue symptoms in pregnant women [SMD=-0.27, 95%CI (-0.49, -0.05), P=0.020]. Conclusion: Exercise during pregnancy can help ease fatigue symptoms in pregnant women. So future studies should focus on further standardization of intervention program strategies to promote exercise safety and compliance.

Objective: To systematically review the risk prediction model for functional decline in older hospitalized patients. Methods: Studies of multivariate models for predicting the risk of functional decline in older hospitalized patients were searched in Chinese and English databases from their inception to August 31, 2023. Two researchers screened the articles, extracted the data, and evaluated the risk of bias and applicability of the included studies. Results: A total of 15 studies involving 9 prediction models were included. The area under the Receiver Operating characteristic Curve or C-index ranged from 0.650 to 0.801, and 8 models were greater than 0.7. The most common predictors were age, cognitive impairment, impairment in instrumental Activities of Daily Living before admission, and history of falls. Fourteen studies were at high risk of bias, one was unclear, and all had good applicability. Conclusion: The overall performance of the risk prediction models for functional decline in older hospitalized patients is good, but the risk of bias is high. It provides a basis for future clinical selection of models or development of new models.

Objective: To apply the evidence of promoting direct breastfeeding in infants with Congenital Heart Disease (CHD) after surgery to clinical practice and evaluate its effectiveness, and to provide ideas for nursing staff to carry out evidence-based practice, evidence application, and clinical transformation. Methods: Following the "evidence clinical transformation model" of the Evidence based Nursing Center of Fudan University, we summarized the evidence on promoting direct breastfeeding of infants with CHD after surgery, formulated the corresponding clinical review indicators, reviewed and analyzed the obstacles one by one, constructed the implementation strategy and carried out practical reform. Results: Compared with the baseline review, nurses' awareness of the implementation rate and evidence related knowledge of the review indicators, maintenance rate of direct breastfeeding, maintenance rate of exclusive breastfeeding and breastfeeding (including exclusive breastfeeding and mixed feeding), and maternal breastfeeding confidence score were significantly improved (P<0.01). Conclusion: The application of evidence to promote direct breastfeeding in infants with CHD after surgery has clinical significance in regulating the behavior of nurses, improving their mastery of evidence-based knowledge, improving the maintenance rate of direct breastfeeding in infants with CHD after surgery, the maintenance rate of pure breastfeeding and breastfeeding, and maternal breastfeeding confidence.

Objective: To construct a scientific, reliable and operable set of Intraoperative Hypothermia (IH) nursing quality index system, in order to provide a reference for nursing managers to evaluate the IH nursing quality. Methods: Donabedian's "structure-process-outcome" three-dimensional quality structure model was used to preliminarily construct IH nursing quality indicators through evidence-based literature analysis and group discussion, and 26 experts were consulted by Delphi method, and the index weights at each level were determined by the preferential sequence diagram method. Results: There were 3 first-level indicators, 4 second-level indicators and 12 third-level indicators of the index system. The positive coefficients of experts in the two rounds consultation were 100.0% and 96.3%, the coefficients of expert authority were 0.92 and 0.93 respectively, and the Kendall harmony coefficients were from 0.12 to 0.23 (P<0.05). Conclusion: The IH nursing quality index constructed in this study has specialized characteristics, and the research results are scientific and reliable, which has certain guiding significance for quantifying the clinical IH nursing quality.

Objective: To investigate the status and management of ambulatory surgery in medical institutions. Methods: Based on literature review and expert consultation, a self-developed questionnaire was developed. The survey was conducted regarding the institutions, departments, diseases, management model, limiting factors, and indicator monitoring of daytime surgery in medical institutions in China. Results: Of the 380 hospitals that conducted day surgerys, 25.3% (96) were the institutions of China Ambulatory Surgery Alliance, 51.6% (196) defined by the length of stay within 24 hours, and 48.4% (184) were defined by within 48 hours of hospitalization. Ambulatory surgery was performed in 15 clinical specialties, including general surgery (275, 72.4%). The largest number of specialties for day surgery in the surveyed hospitals were 3 (13.9%). The top five diseases of day surgery were cataract (36.3%), breast tumor (35.0%), inguinal hernia (21.6%), body surface tumor (19.0%), and uterine tumor (13.9%).Regarding the management model, 45.5% (173) used mixed model, 41.8% (159) used decentralized management. Among the 7 ambulatory surgery safety and quality control evaluation indicators, the indicators of unplanned readmission rate within 7 days of ambulatory surgery (97.1%), unplanned readmission rate within 30 days of surgery (96.8%) and the number of deaths within 30 days of ambulatory surgery (96.8%) had a detection rate of more than 96.0%, and the remaining indicators had relatively low detection rates. The top 3 factors limiting the performance of ambulatory surgery were high risk of ambulatory surgery (60.3%), lack of support from hospital decision-making level (44.2%), and irrational allocation of performance appraisal (43.2%). Conclusion: The proportion of day surgery carried out in medical institutions is low, and the number of specialties that have day surgery is limited, the diseases are relatively easy to be solved by ambulatory surgery, the quality control is weak, the management model is vague, and the safety needs to be improved. In the future, it is necessary to strengthen the construction of the ambulatory surgery system in medical institutions, the supply side support of medical insurance and management norms, and build a safe, homogeneous and scientific ambulatory surgery diagnosis and treatment environment, constantly improve the technical level and service capacity of ambulatory surgery.

Objective: To design a checklist for safe infusion of enteral nutrition tubes and apply it to clinical practice, in order to improve the safety and efficiency of enteral nutrition infusion. Methods: Based on literature review, group discussion and expert consultation, a checklist for safe enteral nutrition infusion was designed, and the nutritional status, incidence of adverse events including tube blockage, tube slippage, aspiration, abnormal blood glucose and incidence of enteral nutrition intolerance were compared before and after the checklist was applied in practice. Results: After the application of the checklist, the incidence of adverse events, including tube blockage, pipeline slippage, abnormal blood glucose, and the incidence of enteral nutritional intolerance were significantly lower than those of control group (P<0.05). The nutritional status of the patients at discharge was better than that of control group (P<0.05). Conclusion: The application of the checklist for the safe of enteral nutrition infusion can standardize the enteral nutrition infusion process, improve nurses' compliance and decision-making ability, improve the nutritional status of patients, effectively reduce the incidence of enteral malnutrition and the rate of enteral nutrition intolerance, thereby improving the safety of enteral nutrition infusion.

Objective: To investigate the effects of the precise volume management in care of patients with acute exacerbation of Chronic Heart Failure. Methods: Sixty patients with acute exacerbation of Chronic Heart Failure hospitalized in the Cardiology Department of a tertiary grade A hospital in Beijing, were selected by convenience sampling method, and randomly assigned to either the control or experimental group from September 2022 to March 2023. Patients in the control group received conventional treatment and routine cardiology care, while patients in the experimental group received the precise volume management besides the routine care. The length of stay in hospital, the N-terminal pro-Brain Natriuretic Peptide (NT-proBNP) levels, the Minnesota Living with Heart Failure Questionnaire (MLHFQ) scores, and the readmission rate due to heart failure at three months were all collected and compared between the two groups. Results: Patients in the experimental group had significantly shorter length of stay in hospital than those in the control group (P=0.024). During the hospitalization, patients in the experimental group showed superior reductions in NT-proBNP levels compared to their counterparts in the control group (P=0.025). Two weeks after the intervention, MLHFQ scores in the experimental group were significantly lower than those in the control group (P=0.048). However, there was no statistically significant difference in the three-month readmission rate between the experimental and the control group (P=0.731). Conclusion: The precise volume management is a feasible and effective approach that can significantly reduce length of stay in hospital and enhances the quality of life in patients with acute exacerbation of Chronic Heart Failure.

Objective: To develop the nursing handover index for patients undergoing hip/knee arthroplasty with downward referral in order to ensure the comprehensive and scientific contents of the handover, and to optimize the referral process. Methods: Guided by the ISBAR communication model, the index system and the weight of each index were determined by literature review, Delphi method and analytic hierarchy process. Results: The recovery rates for the first and second rounds of the study were 96.7% and 92.3%, respectively. The expert judgment coefficient was 0.98, the expert familiarity was 0.86, and the expert authority was 0.92, respectively. Finally, the index system for downward referral of hip/knee replacement patients included 5 first-level indicators, 17 second-level indicators and 59 third-level indicators. Conclusion: The nursing handover index of downward referral for hip/knee arthroplasty patients established in this study can provide scientific and comprehensive downward referral reference for clinical nurses, and provide theoretical basis for the construction of a referral platform for outpatients.

At present, Lower Limb Lymphedema cannot be cured. Home care is the key to maintain long-term rehabilitation effect, prevent recurrence and aggravation of Lower Limb Lymphedema patients after gynecological malignant tumor surgery. However, there is no standard home care for Lower Limb Lymphedema. This paper introduces the research status and safeguard measures of home care for patients with Lower Limb Lymphedema after gynecological malignant tumor surgery, summarizes and analyzes the main points of home care, with the aim of improving the self-care efficacy of postoperative Lower Limb Lymphedema patients with gynecological malignant tumor, and promoting long-term rehabilitation, so as to provide references for future studies.

Objective: To investigate the establishment and operation status of outpatient specialized nursing studios in Beijing municipal hospitals, so as to provide information for improving management. Methods: A convenient sampling of 40 outpatient specialized nursing studios approved in 2019 and 2020 was surveyed using a self-designed questionnaire, covering 22 municipal hospitals in Beijing. Results: The 40 nursing studios involved in the survey can be divided into three major categories: therapeutic treatment, health consulting and rehabilitation training. About 15.0% of their leaders had master's degrees and 22.5% had full-time jobs. There were 35 nursing studios with interdisciplinary cooperation, and nutrition medicine, psychological medicine, pharmacy are the top three. Up to now, 75.0% of the leaders and visiting nurses still did not have performance bonus, but 70.0% of leaders called for corresponding medical service fees to be charged. In addition, the operational effectiveness of the studio was remarkable on the workload, talent training, teaching achievements and scientific research output. Conclusion: The studio has rich professional categories, distinctive features and remarkable advantages in operation mechanism, which has a good prospect. However, it still needs further improvement in performance assessment, personnel assessment, benefit evaluation, service extension and other fields.

Objective: To understand the current situation of wound and stoma outpatient departments in Hunan Province, and to provide reference for the management and the formulation of relevant policies. Methods: From November to December 2022, a self-designed questionnaire was used to investigate the operation status, facilities, resources, nursing staff and difficulties met in the development of these wound and stoma outpatient departments in 53 medical institutions in Hunan Province. Results: A total of 53 such outpatient departments and 127 staff nurses were surveyed. According to the survey, 36 (67.92%) outpatient departments belonged to tertiary Grade A hospitals and 17 (32.08%) belonged to tertiary Grade B hospitals and below. Statistically significant differences were observed when comparing the operation status such as out-hospital consultation and specialist nurse training, facilities such as continuous nursing platform construction and resources such as hydrophilic dressing (P<0.05) among wound and stoma outpatient departments at different levels. Nurses working in tertiary Grade A hospitals had longer professional working years, richer learning experience outside the province, and more papers published (P<0.05). 50 (94.34%) departments complained about that the low price of wound and stoma care, and 48 (90.57%) departments thought that granting the prescription right to specialist nurses could promote their development. Conclusion: The wound and stoma care departments in Hunan Province have developed steadily, which have achieved certain results in meeting the health needs of patients and training specialized nursing personnel. In the future, we should invest more in hardware and software facilities, optimize the allocation of nursing resources and improve relevant support policies, so as to promote the sustainable development of the wound and stoma care departments.

Objective: To understand the the job responsibility and needs of Infection Control Link Nurses (ICLN) in public hospitals in Zhejiang Province, so as to provide a basis for the subsequent inclusion, training, assessment and certification of ICLN. Methods: From May 13 to June 7, 2022, led by the Infection Prevention Committee of Zhejiang Nursing Association, an online survey was conducted among ICLN from 37 public hospitals in 11 cities within the association using a self-designed job responsibility questionnaire for clinical infection control nurses. Results: A total of 1938 questionnaires were distributed, and the recovery rate and effective rate were both 100%. The participation rate of ICLN in antibiotic management (24.4%) and the subjective approval rate (39.4%) were low. Totally 86.9% of the clinical infection control nurses hoped that the hospitals would give them regular scheduling support, and 91.6% of ICLN thought that it was necessary to strengthen the training of professional knowledge and skills related to hospital infection. Conclusion: The job responsibility of ICLN in Zhejiang province is not clear. It is necessary to establish a systematic training and certification system, optimize the post standard, and promote the specialization of the post.

Machine learning can personalized predict the risk of adverse outcomes such as postoperative complications in patients, assisting medical staff in personalized treatment and care. In this review, the overview of machine learning, the application of machine learning in predicting adverse outcomes of patients undergoing Transcatheter Aortic Valve Replacement, and the outlook and revelation are presented in order to provide reference for the postoperative precision care of patients undergoing Transcatheter Aortic Valve Replacement in China.

The transitional period of adolescents to adults is an important stage for patients with Congenital Heart Disease (CHD) to achieve self-management of the disease. Providing comprehensive and perfect transitional care for adolescents with CHD can ensure the continuity of care, improve their self-management ability and their cardiac function. This article reviews the research on the current development, nursing needs and nursing programs of transitional nursing for adolescents with CHD, and puts forward relevant suggestions, in order to provide reference for the practice of transitional nursing for this population in China.

The present state of digital health interventions demonstrates a considerable range in quality, marked by concerns such as inadequate appeal and usability, insufficient user involvement, poor retention rates, and an overall deficiency in intervention effectiveness. The utilization of the Person-Based Approach holds substantial importance in establishing a standardized development process for digital health interventions and improving their quality and effectiveness. This article provides an overview of the Person-Based Approach, including its general concept, specific processes and implementation steps in digital health interventions, application effects, challenges faced, and insights and recommendations. The aim is to offer insights for improving the development process of digital health intervention programs and enhancing their quality and effectiveness.

Nurses play an important role in the Advance Care Planning, their knowledge, attitude and behavior towards the Advance Care Planning influence the implementation of the Advance Care Planning. This paper reviews the status, evaluation instruments and influencing factors of Advance Care Planning for nurses, to improve the participation of nurses in Advance Care Planning and provide reference for further developing intervention measures.