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Table of Content
15 December 2024, Volume 24 Issue 12
Special Planning
Common problems and improvement strategies in knowledge translation research in nursing
LI Xuejing, ZHAO Junqiang, MENG Meiqi, HAO Yufang
Chinese Nursing Management. 2024, 24 (12):  1761-1766.  DOI: 10.3969/j.issn.1672-1756.2024.12.001
Abstract ( 447 )   PDF (2558KB) ( 135 )  
This paper systematically analyzes the common problems in knowledge translation research in the field of nursing in China, focusing on three key research components: evidence summary, evidence-based nursing practice, and quality improvement, which share common issues including insufficient understanding of research nature, inappropriate application of methodology, and lack of scientific theoretical guidance. The paper proposes several strategies for improvement: clarifying the relationships and definitions among the three components, emphasizing collection and evaluation of diverse evidence types, enhancing scientific rigor in context-oriented intervention selection and evaluation, and incorporating adaptive designs. Future directions suggest transitioning toward an "Evidence-based Nursing+" model, advancing evidence-based nursing practice through conceptual updates, methodological innovations, and practical reforms.
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Outcomes evaluation of implementation research for evidence translation and implementation
SHAN Yawei, HAO Yufang
Chinese Nursing Management. 2024, 24 (12):  1766-1770.  DOI: 10.3969/j.issn.1672-1756.2024.12.002
Abstract ( 1992 )   PDF (1908KB) ( 76 )  
Implementation research provides theoretical and methodological support for the translation and implementation of evidence. Numerous misconceptions in outcome evaluation within implementation research have been observed. This study explored the connection between implementation research and traditional health intervention studies to elucidate the distinctions between implementation indicators and those of health intervention outcomes. It also scrutinized the design requirements and demands for outcome evaluation in intricate nursing practice contexts. After introducing classic frameworks for implementation outcome evaluation, the study merged prevalent research paradigms from implementation research. This integration facilitates an analysis of focus areas in implementation outcome evaluations from varied ontological standpoints, thereby offering nursing professionals a valuable reference for accurate comprehension of these evaluations and fostering enhanced nursing practices.
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Consultation strategies for patient involvement in guideline development: the methods and current practice
YAN Lijiao, SUN Meng, LIANG Ning, YU Ke, ZHANG Haili, ZHANG Yujing, HU Ziteng, ZHONG Dongmei, SHI Nannan
Chinese Nursing Management. 2024, 24 (12):  1771-1776.  DOI: 10.3969/j.issn.1672-1756.2024.12.003
Abstract ( 178 )   PDF (1972KB) ( 24 )  
Consultation refers to a one-way collection of patient and public perspectives, which are then considered during the guideline development process. It is a patient involvement strategy particularly suitable for gathering a large number of individual patient views and is key to ensuring that guidelines take patient perspectives into account. Based on existing literature, this article introduced the value of applying consultation strategies in different stages of guideline development, methods for conducting consultations, and analyzed the current application status of consultation strategies in the process of guideline development at home and abroad. It is expected to enhance the patient involvement during guideline development in China.
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Application status of interrupted time series design in evidence translation research
LI Jiamin, HAO Yufang
Chinese Nursing Management. 2024, 24 (12):  1777-1780.  DOI: 10.3969/j.issn.1672-1756.2024.12.004
Abstract ( 208 )   PDF (2273KB) ( 82 )  
In the current evidence translation research, the commonly used study designs for evaluating effects have certain limitations. Interrupted time series design, which measures changes before and after interventions at multiple time points, offers more precise effect evaluation and has gradually gained attention. This paper aims to introduce the principles of interrupted time series design and review its application in both domestic and international contexts, with the goal of promoting its wider use in evidence translation research.
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Research Papers
Key indicators for establishment and operation of a nurse-led diabetes outpatient department
ZHANG Mingxia, ZHAO Fang, YUAN Li, LI Rao, LI Caihong, HUANG Jin, XING Qiuling, MO Yongzhen, XIAO Lingfeng, XU Rong, ZHOU Yingxia, DONG Yingyue
Chinese Nursing Management. 2024, 24 (12):  1781-1785.  DOI: 10.3969/j.issn.1672-1756.2024.12.005
Abstract ( 176 )   PDF (3289KB) ( 18 )  
Objective: To construct a scientific standard index system for a nurse-led diabetes outpatient department. Methods: The first draft of the index system was initially developed based on literature review and panel discussion. Two rounds of expert consultation were conducted in 25 experts by the Delphi expert consultation technique. Results: The expert active coefficient of the two rounds of expert consultation was 100.0%, and the expert authority coefficients were 0.938 and 0.946, respectively. The coordination coefficients were between 0.103 and 0.151 (P<0.05). The final draft of the index system for a nurse-led diabetes outpatient department included 4 indices (post setting, rules and regulations, site and equipment, operation management) on the first level, 9 indices on the second level, and 26 indices on the third level. Conclusion: The index system for the nurse-led diabetes outpatient department is scientific and reasonable, and it can provide guidance for the development of nurse-led diabetes outpatient department nationally.
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Cross-cultural adaptation of the Person-Centered Practice Inventory-Staff
WANG Shanshan, LI Tong, WU Lin, LIU Xue, JI Wenwen, LI Yiman, WANG Yan
Chinese Nursing Management. 2024, 24 (12):  1785-1791.  DOI: 10.3969/j.issn.1672-1756.2024.12.006
Abstract ( 75 )   PDF (4700KB) ( 8 )  
Objective: To conduct a cross-cultural adaptation of the Person-Centered Practice Inventory-Staff (PCPI-S) scale, so as to use it in a comprehensive assessment of the quality of Person-Centered Care in elderly care practice in China. Methods: According to the guideline recommended by the American Academy of Orthopaedic Surgeons, we conducted forward-translation, synthesis, back-translation, equivalence-evaluation of expert committee, and pilot testing. A questionnaire was distributed to 410 eligible staff of elderly care institutions from November 2022 to March 2023 via convenience sampling to test the reliability and validity of the scale. Results: The Chinese version of the PCPI-S had three subscales including prerequisites, care environment and care process, with 15 dimensions and 59 items. The content validity index was 0.915, and the cumulative variance contribution rates of the three subscales were 60.431%, 68.564%, and 73.298%, respectively. Cronbach's α coefficient for the total scale was 0.948, and the test-retest reliability was 0.952. Conclusion: The cross-culturally adapted PCPI-S scale has high reliability and validity. It can be used to evaluate the service quality of Person-Centered Care in elderly care institutions.
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Construction of early exercise rehabilitation program for patients with kinesophobia after PCI
LI Wenxin, TU Hui, GUO Ting, ZHANG Na, CHEN Yihui, XIE Lili, YU Langqin
Chinese Nursing Management. 2024, 24 (12):  1792-1797.  DOI: 10.3969/j.issn.1672-1756.2024.12.007
Abstract ( 114 )   PDF (3908KB) ( 16 )  
Objective: To construct an early exercise rehabilitation program for patients with kinesiophobia after Percutaneous Coronary Intervention (PCI) based on Acceptance Commitment Therapy (ACT), so as to provide a basis for the implement of rehabilitation strategies for patients with kinesophobia. Methods: Literature on exercise rehabilitation for patients with kinesophobia after PCI was systematically searched in the relevant database from inception to January 31, 2023 to extract key intervention information. Under the guidance of Relational Framework Theory and fear-avoidance model, the draft of early exercise rehabilitation program for patients with kinesiophobia after PCI based on ACT was developed. Using Delphi method, the final program was formulated by two rounds of correspondence with 15 experts. Results: A total of 17 studies were included. The effective recovery rates of the 2 rounds of the expert correspondence were 100.0%, the coefficients of expert authority were 0.875 and 0.935, the Kendall coordination coefficients were 0.213 and 0.318 (all P<0.001), and the coefficient of variation ranged from 0 to 0.17 and 0 to 0.14, respectively. The final program included 4 stages, 10 projects, and 27 specific measures. Conclusion: The early exercise rehabilitation program for patients with kinesiophobia after PCI based on ACT is scientific, reliable, and comprehensive, and it can provide reference for early clinical intervention for patients with kinesiophobia.
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Application of decision support tools in intravenous chemotherapy pathways for patients with gynecological malignant tumors
ZHAO Yi, LIN Meng, WANG Sinong, ZHANG Hui
Chinese Nursing Management. 2024, 24 (12):  1798-1803.  DOI: 10.3969/j.issn.1672-1756.2024.12.008
Abstract ( 105 )   PDF (4080KB) ( 10 )  
Objective: To construct a decision-making aid tool for intravenous chemotherapy in patients with gynecologic malignant tumor and evaluate its effects, so as to provide reference for developing decision-making aids. Methods: Based on the Ottawa Decision Support Framework, a mixed research method was used to construct a decision-making aid tool for intravenous access to chemotherapy in patients with gynecological malignant tumor. Totally 144 patients with gynecological malignant tumors admitted to a tertiary grade A hospital in Beijing from October 2021 to September 2022 were selected by convenience sampling method for the clinical application of the tool, and they were randomly divided into control group and experimental group. The patients' willingness to participate in treatment decision-making and actual questionnaires, decision-making dilemma scale and other indicators were used for evaluation. Results: The decision-making support tools included a list of questions, a selection table of intravenous chemotherapy access devices, and a decision-making assistance manual. The actual participation, decision-making satisfaction and central venous catheterization rate of the experimental group were better than those of the control group (P<0.05), and the degree of decision-making dilemma was lower than that of the control group after the application of decision-making aid tool (P<0.05). Conclusion: The decision-making aid tool is scientific and practical, which can promote patients' participation in clinical decision-making and reduce decision-making dilemmas.
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Nurses' innovative behavior and its influencing factors of 5 tertiary grade A hospitals in Xi'an
XIANG Dan, XU Yan, CHEN Li, ZHANG Jing, YAN Lei, ZHANG Jingna, WANG Xiaofang
Chinese Nursing Management. 2024, 24 (12):  1804-1808.  DOI: 10.3969/j.issn.1672-1756.2024.12.009
Abstract ( 95 )   PDF (2519KB) ( 20 )  
Objective: To describe the nurses' innovative behavior, and to explore the effects of head nurses empowering behavior and research innovation leadership on it, so as to provide reference for cultivating nurses' innovative ability. Methods: A total of 905 clinical nurses from 5 tertiary grade A hospitals in Xi'an were selected by convenience sampling from October to December 2023. General data questionnaire, nurses' innovative behavior scale, head nurses' empowering behavior scale and head nurses' scientific research innovation leadership scale were used to collect data. Results: The total score of nurses' innovative behavior was 32.18±6.28. The results of regression analysis showed that empowering behavior and research innovation leadership of head nurses, education background of nurses were the main influencing factors of nurses' innovative behavior (P<0.05), which accounted for 53.5% of the total variation. Conclusion: The innovative behavior of nurses was at the medium level. The head nurse can further enhance the innovative behavior of nurses by more empowerment and improving the leadership in scientific research and innovation of themselves.
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Analysis on the current situation of nursing management of diabetes in secondary and above general hospitals in Hunan province
LI Chengcheng, SUN Xin, ZENG Shiye, XU Rong, DUAN Xin, LI Juan, ZHANG Yan, HUANG Jin
Chinese Nursing Management. 2024, 24 (12):  1808-1813.  DOI: 10.3969/j.issn.1672-1756.2024.12.010
Abstract ( 2276 )   PDF (3112KB) ( 19 )  
Objective: To investigate the construction of diabetes nursing specialty and the current status of diabetes care quality management in non-endocrine care units in secondary and above hospital in Hunan province. Methods: Two-stage stratified random sampling was used to conduct a survey of 137 secondary and above general hospitals in Hunan province from August 15 to October 15, 2023. Results: Among the 137 hospitals surveyed, 58.39% of the hospitals had established diabetes care teams, 43.80% had set up diabetes education or diabetes care clinics, and 48.91% had implemented hospital-wide blood glucose management. The number of diabetes specialist nurses in the hospital was a factor influencing the construction of diabetes specialties (P<0.05). The score for diabetes care quality management in non-endocrinology departments was (87.20±11.36) points. The dimension with the highest score was insulin injection, and the lowest was health education. The score for diabetes care quality in hospitals that had established diabetes care teams was higher than that in hospitals without such teams (P<0.05). Conclusion: The construction of diabetes care specialties is in its initial stage. The overall level of diabetes care quality management in non-endocrinology departments is good, but there is still a need to pay attention to the management of operational details. In the future, it is necessary to accelerate the speed of constructing diabetes care specialties in hospitals, strengthen the training, management and utilization of diabetes specialist nurses, and promote the high-quality development of diabetes care in hospitals.
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Nursing Education
Comparison of the construction of textbook of Geriatric Nursing for undergraduates between China and the United States
SONG Hongdan, YANG Yufan, YU Mingming
Chinese Nursing Management. 2024, 24 (12):  1814-1818.  DOI: 10.3969/j.issn.1672-1756.2024.12.011
Abstract ( 72 )   PDF (2518KB) ( 6 )  
Objective: To systematically compare the similarities and differences of the undergraduate textbook of Geriatric Nursing between China and the United States. Methods: Two textbooks of Geriatric Nursing in China and the United States were selected. A comparative framework was developed based on the literature review and expert consultations, and a comprehensive and in-depth comparison was carried out based on the pre-determined framework. Results: There were similarities in philosophy, structures and contents between the two textbooks. For example, both of the two books were guided by holistic nursing and they both follow the logic arrangement of contents from population aging to individual aging, from general to specialist, from physiology, psychology, environment to society, and from illness to dying. The difference was that Chinese textbook was with clear and measurable learning objectives while American textbook emphasized more on cultivation of humanities ability and introduction of the updated research findings. Conclusion: Geriatric Nursing textbooks in China and the United States have their own advantages, and the textbook in American can be used as reference. It is suggested that Geriatric Nursing textbooks in China could adjust the structure, use units sharing cases, promote intelligent teaching, enrich the content elements of localization and humanistic care, improve the presentation, and update writing ideas in time to further improve the textbook while maintaining its own advantages. This study is of great significance to discipline development and further promoting the process of active aging in China.
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Implementation of Objective Structured Clinical Examination in the standardized training of newly hired nurses at Traditional Chinese Medicine hospitals
LI Songmei, GUO Jing, LI Jiazhen, MENG Xin, ZHOU Jiaomei
Chinese Nursing Management. 2024, 24 (12):  1819-1823.  DOI: 10.3969/j.issn.1672-1756.2024.12.012
Abstract ( 59 )   PDF (3389KB) ( 12 )  
Objective: To explore the application effect of Objective Structured Clinical Examination (OSCE) in the standardized training of newly hired nurses in Traditional Chinese Medicine hospitals, so as to effectively evaluate the comprehensive nursing ability of nurses in Traditional Chinese Medicine hospitals. Methods: A total of 46 newly hired nurses from a tertiary grade A Traditional Chinese Medicine hospital in Beijing in September 2020 were selected as the control group and 45 newly hired nurses in September 2021 as the experimental group by convenience sampling method. The assessment time of both groups is the completion assessment after completing two years of standardized training. The control group was evaluated by traditional assessment mode, while the experimental group was evaluated by OSCE assessment mode. The scores of the two groups were compared, as well as their overall ability evaluation. The satisfaction of the experimental participants and the examiners with the OSCE assessment mode was also evaluated. Results: The comprehensive ability evaluation of the experimental group was higher than that of the control group, and the assessment scores of syndrome differentiation nursing and syndrome differentiation teaching of the experimental group were lower than those of the control group (P<0.05). The satisfaction of the participants in the experimental group with the OSCE assessment mode was 96.2%, and the satisfaction of the examiners was 92.9%. Conclusion: The OSCE can fully evaluate the clinical nursing ability of newly hired nurses in Traditional Chinese Medicine hospitals, and reflect the deficiencies in the training process, so as to provide a reference for optimizing the training of newly hired nurses in Traditional Chinese Medicine hospitals.
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Development of a progressive training program for nurse specialists of Traditional Chinese Medicine in Jiangsu province
ZHANG Yuanyuan, LI Yan, WANG Xiaoqing, ZHAO Ruqin, SU Jie, DUAN Peibei
Chinese Nursing Management. 2024, 24 (12):  1824-1830.  DOI: 10.3969/j.issn.1672-1756.2024.12.013
Abstract ( 104 )   PDF (3946KB) ( 6 )  
Objective: To develop a scientifically, effective, and rational training program for nurse specialists of Traditional Chinese Medicine (TCM) in Jiangsu province, grounded in the theory of learning progression, and to explore a staged training model for TCM specialist nurses. Methods: A preliminary framework for the staged training program of TCM specialist nurses in Jiangsu province was established through semi-structured interviews and literature review. The Delphi method was utilized to conduct two rounds of expert consultations with 20 TCM experts, during which core indicators were identified, refined, and weighted. Results: After two rounds of expert consultations, the training program for TCM specialist nurses in Jiangsu province was established, which includes two stages: professionalization and specialization, with 6 primary indicators, 29 secondary indicators, and 84 tertiary indicators covering training objectives, admission criteria, core knowledge points, training methods, training duration, and assessment forms. The response rate for both rounds of consultations was 100%, with an expert authority coefficient of 0.925. The coordination coefficients for the tertiary indicators were 0.654, 0.250, and 0.879, respectively. Conclusion: The construction of a scientifically validated and effective staged training program for TCM specialist nurses offers valuable insights for the development of a training model for TCM specialist nurses.
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Topical Issues
Evidence summary for exercise interventions in mildly disabled elderly
MA Li, MA Pin, YAO Hui, ZHAO Lili, CHEN Qin, LI Haixia
Chinese Nursing Management. 2024, 24 (12):  1830-1835.  DOI: 10.3969/j.issn.1672-1756.2024.12.014
Abstract ( 91 )   PDF (3857KB) ( 20 )  
Objective: To retrieve and summarize the relevant evidence of exercise interventions for the mildly disabled elderly, and to provide evidence-based basis for medical staff and the mildly disabled elderly's families to guide exercise. Methods: The relevant literature on exercise interventions for disabled elderly in domestic and foreign databases was systematically retrieved. The retrieval time limit was from the establishment of the databases to August 5, 2024. The quality evaluation of the included literature was carried out, and the evidence was extracted and summarized. Results: A total of 13 articles were included, including 2 clinical decision-making, 2 guidelines, 2 expert consensus, 3 systematic reviews, and 4 RCT studies. A total of 26 pieces of evidence were summarized in 5 aspects: pre-exercise evaluation, exercise mode, exercise frequency and time, exercise intensity, precautions. Conclusion: This study summarizes the evidence for exercise interventions for the mildly disabled elderly. In the application of evidence, it is necessary to fully combine the clinical situation and carry out personalized exercise practice to delay the development of disability and improve the quality of life of the disabled elderly.
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Relationships among social support, self-efficacy, and frailty in disabled older adults and their family caregivers: the actor-partner interdependence analysis
WANG Jingyi, KONG Xiaoqian, WANG Li, JIANG Yifan, LIU Yiping, SHI Yan
Chinese Nursing Management. 2024, 24 (12):  1836-1841.  DOI: 10.3969/j.issn.1672-1756.2024.12.015
Abstract ( 1845 )   PDF (2824KB) ( 42 )  
Objective: To examine the relationships among frailty, social support, and self-efficacy in disabled older individuals and their family caregivers with the objective of providing a foundation for the development of empowerment intervention plans tailored for clinical and community workers. Methods: Based on the actor-partner interdependence model, a convenience sample of 402 disabled older adults-caregiver dyads from 10 communities in Shanghai were surveyed using a general information questionnaire, the Tilburg Frailty Indicator, the General Self-Efficacy Scale, and the Social Support Rating Scale. Correlational analyses were conducted and an actor-partner interdependence model was established. Results: The incidence of frailty among the disabled older adults was 92.8%, significantly higher than the 52.5% incidence among caregivers (P<0.05). The social support scores were (32.69±11.55) for the older adults and (35.54±8.42) for the caregivers. The general self-efficacy scores were (23.50±5.63) and (26.14±7.23) for older adults and their caregivers respectively. Regarding the subject effect, both social support and self-efficacy in disabled older adults and their caregivers had negative impacts on their own frailty levels. As for the object effect, the social support level and self efficacy among disabled older adults moderately influenced the caregiver's frailty, while the caregiver's social support and self-efficacy similarly had negative impacts on disabled older adutls. Significant subject-object effects were observed. Conclusion: The study shows bidirectional interactions among social support, self-efficacy, and frailty in disabled older adults and their caregivers, suggesting that disabled older adults and their caregivers should be considered as a whole. The implementation of dual health empowerment is vital to enhance self-efficacy and social support for both parties to decelerate the progression of frailty.
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Advances in research on the application of serious games in elderly patients with chronic pain
ZHENG Man, LI Wenting, YUE Kehuan, ZHANG Linlin, GAO Yaping, ZHAI Yan
Chinese Nursing Management. 2024, 24 (12):  1841-1845.  DOI: 10.3969/j.issn.1672-1756.2024.12.016
Abstract ( 97 )   PDF (1815KB) ( 10 )  
This paper aims to review the advantages of serious games in elderly patients with chronic pain through elaborating on its definition, types, and mechanisms. It then analyzes the challenges of serious games in terms of technical limitations, privacy and security, and promotion, and provides corresponding suggestions, in order to provide reference for pain management in elderly patients with chronic pain.
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Construction and application of perioperative resilience management program for the primary caregiver of children with epilepsy
LI Meng, JI Fan, WANG Huijuan, YU Tao, ZHANG Yan, XU Dong, TIAN Xin, ZHANG Jiadai
Chinese Nursing Management. 2024, 24 (12):  1846-1851.  DOI: 10.3969/j.issn.1672-1756.2024.12.017
Abstract ( 2130 )   PDF (3775KB) ( 17 )  
Objective: To construct and implement the perioperative resilience management program for the primary caregiver of children with refractory epilepsy, and evaluate its effectiveness, to make up a standard and scientific practice. Methods: The literature analysis, group discussion and expert consultation methods were used to construct the perioperative resilience management program for the primary caregiver of children with refractory epilepsy based on cognitive behavior therapy. The primary caregivers of children with refractory epilepsy from Oct 2022 to Sep 2023 were enrolled in this study using convenient sampling method, who were divided into the control group and the observation group based on the date of surgery for the patient, with 80 cases in each group. In order to avoid inter-group interference, the two groups were alternated into the study every 2 months. In the control group, routine resilience nursing was conducted. The observation group was treated with perioperative resilience management program. The intervention duration for both groups is from admission of the patient to one month after discharge. The differences in negative emotions, resilience, care burden and life satisfaction between the two groups were compared. Results: On the day of subsequent visit, the scores of the Self-Rating Anxiety Scale, Self-Rating Depression Scale, and Zarit Burden Interview were lower than those of the control group. The scores of various dimensions of the Connor-Davidson Resilience Scale and Life Satisfaction Index A were higher than those of the control group, and the differences were statistically significant (P<0.05). Conclusion: Perioperative resilience management program for the primary caregiver of children with refractory epilepsy based on cognitive behavior therapy can improve resilience of primary caregivers.
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Reliability and validity assessment of the Chinese version of the Pediatric Quality of Life Inventory for infants aged 1-12 months
XU Jianing, XIAO Yuyin, SHI Jiaqi, JIANG Fan, LI Guohong
Chinese Nursing Management. 2024, 24 (12):  1852-1856.  DOI: 10.3969/j.issn.1672-1756.2024.12.018
Abstract ( 44 )   PDF (3638KB) ( 112 )  
Objective: To evaluate the reliability and validity of the Chinese version of the Pediatric Quality of Life Inventory Infant Scales (PedsQLTM Infant Scales), and to provide a tool for the assessment of infant quality of life in China. Methods: A total of 578 infants aged 1-12 months who received outpatient pediatric healthcare services from December 2023 to January 2024 in 29 community health service centers in Shanghai were selected by multi-stage probability sampling method. The caregivers of infants were surveyed using the Chinese version of the PedsQLTM Infant Scales. Results: The correlation coefficients between the scores of each item and the total score of the Chinese version of the PedsQLTM Infant Scales ranged from 0.544 to 0.799 (P<0.05). There were statistically significant differences in the critical values of each item between high and low groups (P<0.05). The overall Cronbach’s α coefficient for the scale was 0.967, and the split-half reliability coefficient was 0.888. The cumulative variance of exploratory factor analysis was 71.017%. Confirmatory factor analysis result demonstrated a good fit for the model. Conclusion: The Chinese version of the PedsQLTM Infant Scales for infants aged 1-12 months exhibits good reliability and validity, and it provides a scientifically reliable tool for the evaluation of infant quality of life in China.
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Evidence summary for early pulmonary rehabilitation in children with invasive mechanical ventilation
CAI Wenqian, WANG Jianan, LI Meng, LI Chengcheng, ZUO Yahui, LI Mei
Chinese Nursing Management. 2024, 24 (12):  1857-1863.  DOI: 10.3969/j.issn.1672-1756.2024.12.019
Abstract ( 68 )   PDF (4544KB) ( 12 )  
Objective: To retrieve and summarize the evidence on early pulmonary rehabilitation in children with invasive mechanical ventilation, and to offer evidence-based recommendations for clinical practice. Methods: We systematically searched the literature related to early pulmonary rehabilitation in children with invasive mechanical ventilation in databases, and the search time was from the establishment of the databases to June 10, 2024. The included studies and extracted evidence were evaluated. Results: A total of 18 articles were included, including 5 expert consensuses, 1 evidence summary, 2 systematic reviews, 3 Randomized Controlled Trials, and 7 quasi-experimental studies. This paper summarized 31 pieces of evidence from 5 aspects: organizational environment, rehabilitation assessment, modalities, dose, and risk management. Conclusion: The evidence summarized in this study provides evidence-based recommendations for implementing early pulmonary rehabilitation in children with invasive mechanical ventilation. Before applying the evidence, medical staff should evaluate the clinical scenario and obstacle factors, and fully consider the physical condition of the child to formulate a personalized early pulmonary rehabilitation plan.
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Application progress on Virtual Reality in Child Life
JIN Zhizhi, WANG Runping, WANG Yajing, CHEN Aiwu, ZHENG Huan
Chinese Nursing Management. 2024, 24 (12):  1863-1867.  DOI: 10.3969/j.issn.1672-1756.2024.12.020
Abstract ( 106 )   PDF (1844KB) ( 15 )  
Virtual Reality (VR) technology has manifested its great potential in Child Life. Therefore, this paper introduces the application of VR technology in the research of Child Life. The main focus of this paper is to display the significant effects of VR to reduce children's pain and anxiety, promote health education and rehabilitation training, and show the vital roles played by VR in Child Life so as to provide basis and references for both research and clinical practice in future.
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Evidence-based Nursing
Evidence summary for the prevention and management of perioperative lower limb swelling after total knee arthroplasty
SU Zhou, ZHEN Qiyun, DAI Tingting, QU Huiwu, CUI Lili, WANG Jiawei
Chinese Nursing Management. 2024, 24 (12):  1868-1874.  DOI: 10.3969/j.issn.1672-1756.2024.12.021
Abstract ( 86 )   PDF (3816KB) ( 8 )  
Objective: To summarize the evidence for the prevention and management of perioperative lower limb swelling in patients undergoing total knee arthroplasty. Methods: A comprehensive search was conducted for relevant articles on the prevention and management of perioperative lower limb swelling after total knee arthroplasty, including clinical practice guidelines, clinical decision-making, expert consensus, systematic review, evidence summary and related original research. Sources were guideline websites, orthopedic association websites, and databases. The search time limit was from the establishment of the database to September 30, 2024. The included articles were independently selected by two researchers to evaluate their quality and extract evidence. Results: A total of 16 articles were included, including 3 guidelines, 1 clinical decision-making, 5 systematic reviews, 5 expert consensus and 2 randomized controlled studies. Totally 18 pieces of evidence were summarized from 5 aspects, including preoperative pretreatment, blood loss prevention strategy, rehabilitation exercise management, lower limb swelling care and continuous care. Conclusion: The summary of the evidence for the prevention and management of perioperative lower limb swelling after total knee arthroplasty can guide professionals to formulate corresponding intervention programs according to the clinical situation and improve the rehabilitation outcomes of patients.
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Evidence summary for preventive care of ocular complications in patients with mechanical ventilation in prone position
CHEN Juan, MAO Xiaorong, TANG Xiaohan, WEN Qing, WANG Li, YANG Xiaojuan
Chinese Nursing Management. 2024, 24 (12):  1874-1879.  DOI: 10.3969/j.issn.1672-1756.2024.12.022
Abstract ( 870 )   PDF (3650KB) ( 17 )  
Objective: To summarize the evidence of preventive care of ocular complications in patients with mechanical ventilation in prone position, so as to provide reference for the nursing practice. Methods: Literature on the preventive care of ocular complications in patients with mechanical ventilation in prone position in domestic and foreign databases and professional websites were systematically searched from October 10, 2013 to June 22, 2024. The quality of the included literature was evaluated, and evidence was extracted and integrated. Results: A total of 12 literature was included, including 1 clinical decision, 3 guidelines, 4 expert consensus, 1 recommended practice, 1 evidence summary, and 2 systematic reviews. Finally, a total of 21 pieces of evidence were formed, including 5 aspects of organization and management, risk assessment, eye care, posture management, and infection prevention and control. Conclusion: The evidence summary for preventive care for ocular complications in patients with mechanical ventilation in prone position can provide evidence-based basis for medical staff in intensive care unit.
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Evidence summary for prevention and control of catheter infection in maintenance hemodialysis
MA Xueqian, SU Chunyan, JIN Weiyi, LIU Yue, ZHANG Huizhi
Chinese Nursing Management. 2024, 24 (12):  1880-1886.  DOI: 10.3969/j.issn.1672-1756.2024.12.023
Abstract ( 640 )   PDF (4544KB) ( 4 )  
Objective: To search, evaluate and summarize the evidence of prevention and control of catheter infection in maintenance hemodialysis, and provide reference for clinical practice. Methods: The databases and other related websites were systematically searched for the evidence about prevention of catheter-related infection in maintenance hemodialysis patients, including guidelines, expert consensus, evidence summary and so on. The search period was from January 1, 2018 to March 15, 2024. Results: A total of 16 articles were included, including 10 guidelines, 3 expert consensus, 1 standard, 1 standard operating procedure and 1 evidence summary. We summarized 32 items of best evidence for prevention and control of catheter infection in maintenance hemodialysis, including three aspects: organization management, catheter installation and catheter maintenance. Conclusion: This study summarized the evidence around the key links of organization management and infection prevention and control, and provided evidence-based basis for the prevention and control of catheter infection in maintenance hemodialysis.
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Evidence summary for percutaneous cable wound care in patients with implanted Left Ventricular Assist Device
XIAO Xingmi, PENG Linmin, TU Hui, LIU Jian, YOU Mingchun, ZENG Zhihua, FU Xianlan, LI Tenglong
Chinese Nursing Management. 2024, 24 (12):  1886-1891.  DOI: 10.3969/j.issn.1672-1756.2024.12.024
Abstract ( 58 )   PDF (3664KB) ( 12 )  
Objective: To summarize the evidence of percutaneous cable wound care after Left Ventricular Assist Device (LVAD) implantation in order to provide evidence-based basis for clinical practice. Methods: The related guidelines, systematic reviews, clinical decisions, expert consensus, randomized controlled trials, evidence summary, and best practices of percutaneous wound care after LVAD implantation were systematically searched in domestic and foreign databases. The search period was from the database establishment to February 1, 2024. Evidence was aggregated by subject classification. Results: A total of 11 articles were included, including 3 guidelines, 3 expert consensus, 4 systematic reviews, and 1 randomized controlled trial. Combined with expert judgment, 20 pieces of evidence were summarized, including 5 aspects: multidisciplinary teamwork, wound assessment, wound maintenance, wound infection prevention and treatment, and education and training. Conclusion: This study comprehensively summarizes the evidence of percutaneous cable wound care in patients after LVAD implantation, and provides a basis for clinical personnel to standardize percutaneous cable wound management. We suggest that clinical personnel should transform the evidence according to the clinical situation, following the individualization principles, and obtaining patients' wishes.
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Experience of postoperative psychosocial adaptation in permanent colostomy patients: a Meta-synthesis
XIAN Hongtao, XU Yan, LIU Yuhua, YANG Yang, WANG Xinran, HAN Binru
Chinese Nursing Management. 2024, 24 (12):  1892-1898.  DOI: 10.3969/j.issn.1672-1756.2024.12.025
Abstract ( 863 )   PDF (3349KB) ( 15 )  
Objective: To systematically evaluate the experience of psychosocial adaptation in patients with permanent colostomy at home after surgery, and to provide basis and guidance for clinical medical staff. Methods: The qualitative studies on psychosocial adaptation of enterostomy patients were searched in Chinese and English databases, and the search time was from the establishment of the databases to November 17, 2023, using JBI The Evidence-Based Health Care Center's Qualitative Research Evaluation Tool (2016 Edition) evaluated the quality of the included literature, and the results were synthesized using the Meta-integration method. Results: A total of 10 articles were included, and 40 research results were extracted, which were summarized into 9 new categories and integrated into 3 results: complex emotional reactions, difficult psychological adaptation, and achieving psychosocial adaptation. Conclusion: Patients with permanent colostomy often experience psychosocial maladjustment after surgery, and clinical medical staff should provide personalized psychological intervention and effective health education for the psychosocial problems of patients.
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Evidence summary for self-management interventions for adolescents with Inflammatory Bowel Disease
ZHU Yangfan, HU Jinjiu, SHEN Qiao, LU Qiufan, WAN Xin, ZHENG Xianlan
Chinese Nursing Management. 2024, 24 (12):  1898-1904.  DOI: 10.3969/j.issn.1672-1756.2024.12.026
Abstract ( 69 )   PDF (4693KB) ( 10 )  
Objective: To evaluate and summarize the evidence related to self-management interventions for adolescents with Inflammatory Bowel Disease (IBD) with the aim of providing a basis for clinical practice. Methods: A systematic search was conducted for domestic and international guidelines, clinical decisions, expert consensus, recommended practices, evidence summaries, systematic reviews, and randomized controlled trials, on improving self-management in adolescents with IBD, and the quality of the included literature was evaluated and evidence was extracted, the content of the evidence was refined and the strength of the evidence recommendation was determined through an expert meeting. Results: Totally 21 literatures were included, including 4 guidelines, 2 clinical decisions, 4 expert consensus, 8 systematic reviews, 3 randomized controlled studies, and 31 pieces of evidence were summarized in 4 areas: principles of intervention, role management, disease management, and psychological management. Conclusion: The evidence for self-management interventions for adolescents with IBD summarized in this study can help clinical providers take a comprehensive and effective approach to improving their ability of self-management.
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Research progress on nurses' voice behavior
XU Yan, LIU Yuhua, HAN Binru
Chinese Nursing Management. 2024, 24 (12):  1905-1910.  DOI: 10.3969/j.issn.1672-1756.2024.12.027
Abstract ( 128 )   PDF (1933KB) ( 9 )  
Voice behavior of nurses is a proactive behavior that promotes enhancement of nursing quality and the subjective initiative of nurses. This paper reviewed literature on voice behavior of nurses by summarizing its evaluation indicators, influencing factors and effects. Besides, the research status on voice behavior was summarized and analyzed to provide references for future studies. It is expected to promote the voice behaviors of nurses and improve the studies on nursing management.
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Research progress on knowledge graph application in nursing field
ZHENG Xintong, LI Yan, PANG Jianmei, LIU Junling, ZHAO Yingnan
Chinese Nursing Management. 2024, 24 (12):  1910-1913.  DOI: 10.3969/j.issn.1672-1756.2024.12.028
Abstract ( 270 )   PDF (1793KB) ( 26 )  
As a new way of knowledge representation and organization, knowledge graph provides the possibility for the intelligent and personalized development of nursing field. This paper introduces the concept of knowledge graph and its development background, analyzes the application status of knowledge graph in nursing practice, and shows its positive role in improving nursing efficiency and optimizing clinical decision-making. At the same time, this paper also points out the challenges facing the development of knowledge graph, looks forward to the future development of knowledge graph, and provides a valuable reference for the further application of knowledge graph in the field of nursing.
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Research progress on medication reconciliation in medication discrepancy management in nursing
KANG Baihe, ZHANG Junmei, HUANG Zhihong, WANG Yanping, XIE Zheng, LIU Wendi
Chinese Nursing Management. 2024, 24 (12):  1914-1918.  DOI: 10.3969/j.issn.1672-1756.2024.12.029
Abstract ( 2524 )   PDF (1847KB) ( 17 )  
By searching, combing, analyzing and summarizing the domestic and foreign literature related to medication reconciliation in nursing, this paper elaborates the connotation and basic steps of medication reconciliation. The research perspectives of medication reconciliation were introduced from the three aspects of admission transition period, hospitalization period and hospital-family transition period to discuss and explore its guiding significance for medication discrepancy management and propose the future development direction so as to provide reference for medical and nursing staff to implement medication reconciliation.
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