Objective: To construct a digital intelligent nursing quality management system applicable to multi-campus hospitals and evaluate its application effects, providing a reference for improving the standardization and efficiency of nursing quality management across multiple hospital campuses. Methods: A digital intelligent nursing quality management system was developed, encompassing six key components: core system library, nursing indicator library, inspection tasks, inspection results, closed-loop rectification, and statistical analysis. The system was gradually implemented across three hospital campuses from August 2024. The nursing quality control scores and time consumption were compared before and after the system's implementation. Additionally, the nursing quality control scores among the three hospital campuses were analyzed after the application of the system. Results: After system application, nursing quality control score significantly improved, and the time required for quality control checks, data input, statistical analysis, and report formation were reduced by 33.57, 6.57, 26.50, 29.78 minutes each time, respectively, the differences were statistically significant (P<0.05). Following the synchronized application of the system across three hospital campuses, no statistically significant differences were observed in the total nursing quality control scores among the hospital campuses (P>0.05). Conclusion: The implementation of the digital intelligent nursing quality management system enhances the standardization and efficiency of nursing quality control in multiple hospital campuses.

This article introduces the 20-year journey of nursing informatics development at Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University. It highlights the achievements in promoting the construction of a "trinity" smart hospital that integrates electronic medical records, smart services, and smart management. By establishing an organization management system for nursing informatics, conducting specialized nursing informatics, and focusing on the construction of nursing informatics aligned with the "trinity" smart hospital framework, the hospital has enhanced the level of nursing informatics and promoted the smart transformation of public hospitals.

Digital health technology has shown a good application prospect in the field of nursing, and has remarkable effects in improving nursing quality, work efficiency, doctor and patient satisfaction, etc. This paper reviews the concept and clinical practice of digital health technology, analyzes the existing problems and puts forward prospect, in order to provide reference for the cross-practice of digital health technology and nursing discipline in China.

Objective: To construct an intelligent nursing scheduling system that meets the nursing management needs of the operating room for clinical use to improve the work efficiency, safety and quality of the operating room. Methods: The intelligent nursing scheduling system was constructed in September 2023 in the operating room of a tertiary grade A hospital. And then three operating rooms were randomly selected to compare various indicators including the operating room average utilization rate, average surgical turnaround time, and average patients' preoperative waiting time, as well as average waiting time for medical staffs, users' evaluation of system usability, and satisfaction of patients before (from June to July, 2023) and after (from November to December, 2023) the system was applied. Results: After the application of the system, the average usage efficiency of the operating room was significantly improved (P=0.013), with significantly shortened average turnover time (P=0.007), waiting time before patients entering the room (P<0.001) and average waiting time for medical staffs (P=0.014). The average score of each dimension of the Post-Study System Usability Questionnaire among 37 staff members was between 5.98 (satisfied) and 6.08 (quite satisfied). Patients' satisfaction survey showed that patients' evaluation of the overall service in the operating room was significantly improved (P<0.001). Conclusion: The construction and application of the intelligent nursing scheduling system in operating room optimizes and standardizes the behavior of nursing assistants, effectively improves the efficiency of surgical turnover and patients' satisfaction, ensures medical safety, promotes high-quality development of the hospital, and shows its promotion value.

Objective: To analyze the application effects of appointment system for anesthesia recovery patients in Post-Anesthesia Care Unit (PACU), in order to accelerate patients turnover and ensure patients safety. Methods: Based on the hospital anesthesia scheduling system, a PACU appointment system was constructed and used at June 2023. The application effects of the system was evaluated by comparing patient waiting time, appointment content error rate, staff satisfaction between May 2022 to May 2023 and June 2023 to June 2024. Results: One year after the application of the anesthesia appointment system, the average waiting time of patients was shortened from (13.26±3.44) min to (8.89±2.83) min (P<0.05). The error rate of appointment was reduced from 0.84% to 0.37% (P<0.05). The satisfaction of medical staff was improved from 2.70±0.81 to 4.68±0.62 (P<0.05). Conclusion: PACU appointment system can optimize PACU appointment system, ensure patients safety, accelerate patients turnover, improve nursing work efficiency.

Objective: To investigate the Fear of Cancer Recurrence (FCR) in patients with hematological malignancy after Hematopoietic Stem Cell Transplantation (HSCT) and their spouses, and construct the Actor-Partner Interdependence Mode extended to Mediation of intimate relationship on dyadic coping and FCR, providing theoretical guidance for clinical staff to develop scientifically effective dyadic intervention measures. Methods: By using convenient sampling method, from May to December 2021, a total of 249 hospitalized and reexamined patients after HSCT and their spouses were investigated with general information questionnaire, Fear of Progression Questionnaire-Short Form, Fear of Progression Questionnaire-Short Form/Partner, Dyadic Coping Inventory, the Lock-Wallace Marriage Relationship Adjustment Scale. Results: In terms of actor mediating effect, patients' positive dyadic coping and negative dyadic coping could affect their FCR through the intimate relationship on themselves' and their spouses', the spouse's negative dyadic coping could only affect their FCR through their own intimate relationship; in terms of partner mediating effect, patients' positive dyadic coping and negative dyadic coping could affect their spouse's FCR through their spouse's intimate relationship, spouse's negative dyadic coping could affect the patient's FCR through the intimate relationship on themselves' and their spouses'. Conclusion: The dyadic coping of patients after HSCT and their spouse can affect their own or their spouse's FCR through the intimate relationship between the husband and wife, which suggest that medical staff should carry out dyadic intervention on the patient and spouse as a whole, improving the intimate relationship and reducing the FCR.

Objective: The Job Demand-Control-Support (JDCS) model was used as a theoretical framework to develop the structural equation model for strain of care for delirium in ICU nurses and explore its current status and influencing factors. Methods: A total of 268 ICU nurses from three tertiary grade A hospitals in Anhui province were selected by convenient sampling from February to August 2023. The Moral Distress Scale, the Psychological Empowerment Scale, the Perceived Organizational Support Scale, and the Strain of Care for Delirium Index were used to collect data. The structural equation model was used to establish and revise the strain of care for delirium model. Results: The strain of care for delirium of the participants was 56.32±14.68. The structural equation model fitted well (χ2/df=2.497, CFI=0.953, GFI=0.914, RMSEA=0.075, NFI=0.925, TLI=0.939, IFI=0.954). Nurses' moral distress had a direct positive influence on the strain of care for delirium (β=0.336). Psychological empowerment had a direct negative impact on the strain of care for delirium (β=-0.276), while psychological empowerment also indirectly affected the strain of care for delirium by influencing moral distress (β=-0.078, 95%CI:-0.171, -0.025). Organizational support had a direct negative effect on the strain of care for delirium (β=-0.195), while organizational support indirectly affected the strain of care for delirium through psychological empowerment and moral distress (β=-0.254, 95%CI: -0.382, -0.151). Conclusion: The strain of care for delirium among ICU nurses is at a high level. Nursing managers can reduce their moral distress by strengthening nurses' organizational support and psychological empowerment level, which is an effective way to cope with the strain of care for delirium.

Objective: To explore the influencing factors of health-related work efficiency in young and middle-aged patients with coronary heart disease after returning to work, and to provide basis for improving work ability in young and middle-aged patients with coronary heart disease. Methods: From December 2022 to June 2023, 518 young and middle-aged patients with coronary heart disease who returned to work in the department of cardiovascular medicine of two tertiary grade A hospitals in Suzhou were selected by convenient sampling. General data questionnaire, Patient Reported Outcomes Scale for Coronary Heart Disease, Stanford Attendance Scale and Perceived Health Ability Scale were used to investigate them, and analyzed the influencing factors of patients' health-related work efficiency. Results: The health-related work efficiency score of young and middle-aged patients with coronary heart disease was 16.10±5.22, 246 cases (47.5%) had high work efficiency loss, and 272 cases (52.5%) had low work efficiency loss. Binary Logistic regression model showed that age, time to return to work, working time, the number of children, the level of N-Terminal Pro-Brain Natriuretic Peptide, number of implanted stents, self-reported outcome and perceived health ability were influencing factors of health-related work efficiency in young and middle-aged patients with coronary heart disease (P<0.05). Conclusion: The health-related work efficiency level of young and middle-aged patients returning to work with coronary heart disease needs to be improved. Medical staff should pay attention to patients' perceived health and outcome reporting, and formulate interventions, so as to reduce their health-related work efficiency loss.

Objective: To construct a periodontal tissue health intervention program for adult orthodontic patients with periodontitis, providing a reference for clinical practice. Methods: Based on the Health Action Process Approach, a periodontal tissue health intervention program for adult orthodontic patients with periodontitis was constructed by literature review, group discussion, and expert consultation from February to March in 2024. The Delphi method was used to consult 15 experts, and the relevant items were revised based on the experts' opinions to form the final program. Results: The authority coefficient of two rounds of expert consultation was 0.829. The positive coefficient was 100%, the coefficient of variation was 0.091-0.532 and 0.044-0.196, and the Kendall harmony coefficients were 0.246 and 0.293 (P<0.01). The final intervention program included three stages of pre-intention stage, intention stage, and action stage, and a total of 17 specific intervention measures. Conclusion: The intervention program constructed in this study is scientific, reliable and practical. It has the characteristics of stomatological nursing and is easy to be promoted in clinical practice, which can provide references for the clinical practice of stomatological health education.

Objective: To develop a decision support tool for fertility preservation in female of reproductive age with cancer and evaluate its application effects, aiming to provide clinical guidance for fertility preservation in those patients. Methods: This study utilized literature analysis, qualitative interviews, and expert consultations to develop the decision support tool. Fifty female cancer patients of reproductive age admitted to the oncology department of a tertiary grade A hospital in Hunan province from November 2023 to January 2024 were selected by convenient sampling method, and they were randomly divided into the control group and the intervention group using a random number table, with 25 cases in each group. The control group received routine fertility protection decision-making process, while the intervention group utilized the fertility preservation decision support tool. Scores of fertility preservation knowledge questionnaire, decision self-efficacy scale, and decision conflict scale were compared between the two groups. After the intervention, subjects' acceptance and evaluation of the tool were collected. Results: Compared to the control group, patients in the intervention group scored higher on the fertility preservation knowledge questionnaire and the decision self-efficacy scale, and lower on the decision conflict scale, all with statistically significant differences (P<0.05). The user acceptance score for the intervention group was 16.84±1.49, indicating a high level of acceptance for the fertility preservation decision support tool among female cancer patients of reproductive age. Conclusion: Patients show a high level of acceptance for the fertility preservation decision support tool for female cancer patients of reproductive age. This tool can effectively enhance patients' knowledge of fertility preservation and their decision self-efficacy, while reducing decision conflict.

Objective: To construct a home care program for children with bronchopulmonary dysplasia and provide guidance on home care for families of children with bronchopulmonary dysplasia. Methods: Using the Omaha system theory as a guiding framework, the first draft of the home care program for children with bronchopulmonary dysplasia was developed through literature analysis and semi-structured interviews, and the final program was finalized during September to November 2022 through 2 rounds of Delphi expert correspondence. Results: A total of 17 experts completed 2 rounds of Delphi expert consultations, all with an authority coefficient of >0.8. The final constructed home care program for children with bronchopulmonary dysplasia included three parts: assessment, intervention and evaluation. The assessment component has 4 primary indicators, 13 secondary indicators and 40 tertiary indicators; the intervention component has 2 primary indicators and 9 secondary indicators; and the evaluation component has 1 primary indicator and 2 secondary indicators. Conclusion: The home care program for children with bronchopulmonary dysplasia is constructed to be more scientific, comprehensive and easy to operate, providing a theoretical basis and practical guidance for nursing caregivers and family caregivers.

Objective: To analysis the latent categories of Intrinsic Capacity (IC) in elderly cancer patients undergoing chemotherapy, analyze the controllable influencing factors for each category, and provide targets for personalized intervention measures tailored to populations with distinct characteristics. Methods: A convenience sampling method was used to recruit 330 elderly cancer patients undergoing chemotherapy as research participants in a tertiary grade A hospital in Jiangsu province from September 2023 to June 2024. Questionnaire investigation was conducted using the General Information Questionnaire, Health Literacy Assessment Scale, Ageing Perceptions Questionnaire, and Intrinsic Capacity Assessment Tool. Latent categories of patients' IC were analyzed, and the influencing factors of latent categories of IC in elderly cancer patients undergoing chemotherapy were explored using multiple Logistic regression. Results: The IC of elderly cancer patients undergoing chemotherapy were divided into three latent categories, namely, "IC relatively high" (22.15%), "low sensory-low motion" (31.51%), and "low cognition-low psychological" (43.33%). Multiple Logistic regression analysis showed that smoking history, age, education level, number of chemotherapy, health literacy, and self-perceived aging were influencing factors of the latent class of IC (P<0.05). Conclusion: The decline of IC in elderly cancer patients undergoing chemotherapy has obvious category characteristics. Healthcare professionals should formulate targeted and personalized nursing measures according to the interventionable influencing factors of different groups to improve the IC level of patients.

Objective: To investigate the postoperative self-management activation and its influencing factors in young and middle-aged oral cancer patients with free flap transplantation, so as to provide reference for taking nursing measures to improve patients' self-management activation. Methods: A total of 258 young and middle-aged oral cancer patients with free flap transplantation admitted in a tertiary grade A specialized hospital in Nanjing from February 2022 to February 2024 were selected. The general information questionnaire, the Patient Activation Measure, the Social Impact Scale, the Acceptance of Illness Scale, and the Strategies Used by People to Promote Health were used for investigation. Univariate analysis and Mutiple linear regression were used to analyze the influencing factors. Results: The postoperative self-management activation score was 54.79±16.74 in young and middle-aged oral cancer patients with free flap transplant. Multiple linear regression analysis result showed that the education level, stigma, disease acceptance, and self-management efficacy were the influencing factors of self-management activation. Conclusion: The postoperative self-management activation of young and middle-aged oral cancer patients with flap transplantation patients is at a low to medium level. Healthcare professionals can formulate effective nursing interventions according to the influencing factors to improve patients' self-management activation.

Objective: To search, evaluate and summarize the evidence of promoting breastfeeding in mothers separated from their babies to provide reference for clinical work. Methods: Based on the "6S" pyramid evidence model, a systematic search of relevant websites and databases was conducted to obtain relevant literature on promoting breastfeeding in mothers who were separated with their babies from January 1, 2014 to July 31, 2024. Researchers trained in systematic evidence-based nursing evaluated the methodological quality of the included literature and collected the evidence after data extraction. Results: A total of 13 articles were included, including 3 clinical decisions, 2 guidelines, 2 systematic reviews, 1 expert consensus, 1 expert opinion, 1 evidence summary, and 3 RCTs. Finally, 29 pieces of evidence were formed, containing 6 topics: training and education, lactation initiation, lactation maintenance, breast milk collection, breast milk storage and use, and follow-up education. Conclusion: The evidence summarized in this study to promote breastfeeding in mothers separated from their babies is scientific and practical, and can provide a basis for medical staff to carry out breastfeeding.

Objective: To summarize the evidence on management of polypharmacy in frail older adults, in order to provide a basis for scientific medication management. Methods: We systematically searched relevant evidence on polypharmacy management in frail elderly in professional websites and databases at home and abroad from the database's inception to February 29, 2024. Researchers independently evaluated the quality of the literature, extracted and summarized the evidence that met the quality standards. Results: Totally 16 articles were included, including 1 clinical decision-making, 4 guidelines, 4 expert consensus, 4 systematic reviews, 2 randomized controlled trials, and 1 cohort study. Totally 20 pieces of evidence were summarized on the polypharmacy management of frail older adults from 6 aspects: risk assessment, medication adjustment strategy, individualized intervention, precision medicine, supporting and follow-up, and education and training. Conclusion: The evidence from this study can provide evidence-based evidence for medical staff, nursing staff, and family caregivers to manage multiple drug use in frail older adults. Medical staff can combine the wishes of the frail elderly and the specific clinical situation from the six aspects above and use the evidence to improve the problem of polypharmacy in frail older adults.

Objective: To conduct a systematic search and summarize the relevant evidence regarding the improved fall risk perception in inpatients. Methods: Literature on the improvement of inpatients' fall risk perception ability was systematically searched from domestic and foreign guideline websites, professional association websites, and Chinese and English databases. The search period was from the establishment of the databases until October 30, 2024. Quality evaluation and data extraction were carried out for the included papers. Evidence was extracted and integrated according to the principle of evidence summarization. Results: A total of 11 papers were included, including 1 clinical decision, 4 guidelines, 1 evidence summary, 4 systematic reviews and 1 randomized controlled trial. Finally 22 pieces of evidence were formed from 5 aspects: organizational management, risk perception and assessment, individualized intervention, health education, informatization and visualization. Conclusion: The study of the evidence of the improvement of inpatients' fall risk perception are beneficial to clinical nursing practice. The application of the evidence-based information for clinical nursing staff can be promoted.

Objective: To implement evidence-based practice and evaluate its effectiveness based on the evidence of alarm management of ECG monitor, so as to provide reference for improving alarm management strategies. Methods: Using the continuous quality improvement model of evidence as a theoretical framework, evidence-based practice was applied to the pediatric emergency department of a tertiary grade A specialized hospital in Guangzhou from March to December 2023 according to the process of evidence acquisition, current status review, evidence introduction, and effect evaluation. The differences of ECG monitor alarms occurrence, nurses' alarm fatigue level, nurses' alarm response time, and review indicators implementation rate before and after the evidence-based practice were compared. Results: Fifteen pieces of evidence were ultimately included and translated into 15 review indicators. After evidence-based practice, the incidence of ECG monitor false alarms decreased from 75.99% to 44.27%. Nurses' alarm fatigue scores decreased from 20.97±5.22 to 16.67±8.28 (P<0.05). Nurses' response time to ECG monitor alarm was shortened from (396.95±109.06) seconds to (352.18±124.84) seconds (P<0.01). Among the 15 review indicators, the implementation rate of 14 review indicators had improved. Conclusion: Applying the evidence of ECG monitor alarm management to clinical nursing practice can help reduce the incidence of invalid alarms, alleviate nurses' alarm fatigue, and improve alarm management.

Objective: To retrieve, evaluate, and summarize relevant evidence on exercise management for patients with Lower Extremity Arteriosclerosis Obliterans (LEASO) receiving endovascular treatment, to provide an evidence-based basis for clinical decision-making. Methods: We searched domestic and international websites and databases for literature on exercise management for LEASO patients undergoing endovascular treatment from the inception of the database to July 31, 2024. Two researchers with evidence-based nursing research background independently evaluated the quality of the literatures and extracted evidence to sort them out and analyze them. Results: Totally 32 articles were included, forming 32 relevant evidence of movement management, covering 10 aspects: multidisciplinary management, timing of exercise, places for exercise and other aspects. Conclusion: The evidence of patient exercise management after LEASO summarized in this study is more scientific and comprehensive, which can provide evidence-based basis for medical staff to guide patient exercise management after endovascular treatment and help patients improve their prognosis.

Objective: To investigate the current situation of infectious disease risks associated with occupational exposure of healthcare workers, analyze its influencing factors, and provide a basis for hierarchical control and management of occupational infections. Methods: Using the convenience sampling method, 4 tertiary public hospitals at the county level in Shihezi and Suzhou were selected as sample hospitals, and the data of occupational infections reported by them from January 2018 to December 2022 were adopted for retrospective study. The second-order clustering analysis and the decision tree model were employed to categorize the population with occupational exposure and form the criteria to decide their risk for occupational exposure. Disordered multiclassification logistic regression was utilized to analyze the influencing factors. Results: In the four hospitals, a total of 637 cases of occupational exposure were reported. Which were mainly caused by sharp instrument injuries (87.6%). As to the exposure sources of HBV, HCV, HIV and syphilis, 51.3% were tested to be positive. According to the second-order clustering analysis, the risk of occupational exposure were classified into three categories ranging from high, medium to low in light with the results of the decision tree model. The results of Logistic regression showed that compared with low-level risk, length of service and being supporting staff were risk factors for medium-level risk, while working in the operating room, outpatient and emergency department were protective factors for medium-level risk, while being nurses, and supporting staff, working in outpatient and emergency department, other places, and hands were protective factors for high-level risk. Conclusion: Occupational exposure is mainly associated with sharp instrument injuries, and the risk is at a high level. Management departments should promote the construction of the monitoring and follow-up system for occupational exposure, identify the risk of of health workers and carry out hierarchical management.

Objective: To explore the spatial distribution differences and dynamic evolution of nursing human resources in Traditional Chinese Medicine (TCM) hospitals, and provide scientific basis for the optimization of nursing human resources in TCM hospitals. Methods: We collected and extracted the nursing human resources data of TCM hospitals from 31 provinces, municipalities and autonomous regions in China from 2012 to 2022 to explore the spatial differences in the distribution of nursing human resources in those hospitals in China and its dynamic evolution based on agglomeration degree and Kernel density estimation. Results: The average annual growth rate of TCM nursing human resources in the western region was the highest, at 10.70%. The HRAD of 8 provinces, municipalities and autonomous regions including Heilongjiang was less than 1, while the HRAD of other provinces, municipalities and autonomous regions was greater than or equal to 1. The highest PAD was 27.145 in Shanghai, and the lowest was 0.020 in Xizang. 15 provinces, municipalities and autonomous regions including Beijing had HRAD/PAD ratios greater than 1. Conclusion: The allocation of nursing human resources in TCM hospitals increases year by year, but the fairness is still insufficient. In terms of spatial distribution, low agglomeration degree is observed in the central and western China for a long time, with an apparent gap between high agglomeration degree cities and low agglomeration degree cities. Although recently the overall allocation level has been greatly improved, the regional differences are still obvious.

Objective: To investigate the status and influencing factors of ICU nurses' ability to communicate bad news. Methods: From July to September 2023, a total of 358 ICU nurses from 8 county-level and above hospitals in Hunan province were selected by convenient sampling method. They were investigated by general data questionnaire, communicating bad news ability scale, emotional intelligence scale and death attitude description scale. Results: The total score of the ICU nurses' ability of communicating bad news was 72.57±15.12. The results of multiple linear regression analysis showed that emotional intelligence, years of working, discussion of death related issues, and death education were included in the regression equation model (P<0.05), which accounted for 33.9% of the total variation. Conclusion: The ability of ICU nurses to communicate bad news was at a good level. Nursing managers should develop the corresponding regulations and interventions according to ICU characteristics and appropriately strengthen the training of death education. Nursing staff should further improve their emotional intelligence to increase the ability to communicate bad news and promote the development of excellent nursing.

Objective: To analyze the application effects of a multidisciplinary collaborative intervention program on readiness level of adolescents with epilepsy for the transitional to adulthood, aiming to provide references for promoting clinical practice. Methods: A quasi-experimental study was conducted using convenience sampling to select 76 adolescents with epilepsy treated at a tertiary grade A hospital in Baise from June to December 2023. They were divided into two groups according to the admission ward, with 38 cases in each group. The control group received routine treatment and care, while the intervention group received a multidisciplinary collaborative intervention in addition to routine care. The scores of transition readiness, medication adherence, quality of life, frequency and duration of epileptic seizures within 3 months between the two groups were compared. Results: Scores of the Epilepsy Transition Readiness Assessment Questionnaire, Epilepsy Medication Adherence Scale, and Adolescent Epilepsy Quality of Life Questionnaire were significantly higher in the intervention group compared to the control group (all P<0.05). The intervention group had fewer seizure occurrences than the control group (P<0.05), but there were no statistically significant differences between the two groups in seizure duration and electroencephalography improvement (P>0.05). Conclusion: The multidisciplinary collaborative intervention program can effectively enhance epilepsy transition readiness, medication adherence, quality of life, and reduces seizure frequency in adolescents, providing valuable insights for supporting transitional care in clinical settings for adolescents with epilepsy.

Objective: To explore the status quo and influencing factors of unplanned ICU readmission in patients undergoing intracranial tumor surgery so as to establish a prediction model and validate it, in order to provide a basis for clinical intervention. Methods: A total of 2383 patients undergoing intracranial tumor surgery admitted to the neurosurgery ICU of a tertiary grade A hospital in Beijing from December 2019 to September 2022 were enrolled by convenience sampling method. Propensity Score (PSM) was used to match 420 cases at 1:4, with the first 300 cases as the training set and the last 120 cases as the validation set. Univariate and multivariate logistic regression models were used to evaluate the independent influencing factors of unplanned readmission to ICU in patients undergoing intracranial tumor surgery, and the prediction model was constructed and validated. Results: The incidence of unplanned readmission to ICU in patients with intracranial tumor surgery was 3.52%(84/2383). A total of 420 cases were included in the analysis after PSM, of which 84 cases were included in the ICU readmission group, and 336 cases were included in the non-readmission group. Regression analysis showed that tracheal intubation, duration of mechanical ventilation, and the GCS score before ICU discharge were the influencing factors (P<0.05). The Area Under the ROC Curve (AUC) of the model established by the training set was 0.834 with the sensitivity being 81.2%, the specificity being 77.0%, and the best critical value being 0.206. The AUC value of the model established in the external validation set was 0.854 with a sensitivity of 81.4% and a specificity of 82.6%. Conclusion: The risk prediction model established in this study for patients with craniocerebral tumor who are not scheduled to return to ICU after surgery is scientific and reasonable, with good prediction effect, which is suitable for clinical screening, and can provide reference for medical staff to identify high-risk groups early to take targeted intervention measures.

Objective: To explore the impact of bedside nursing program based on linear visual flow on nurses' cognitive and behavioral perceptions of nursing safety in the Neonatal Intensive Care Unit (NICU), and to provide evidence for promoting nurses' clinical nursing safety. Methods: Twenty-nine patients admitted from December 2022 to February 2023 were recruited in the control group, while 32 patients admitted from March 2022 to May 2023 were assigned to the observational group by convenience sampling method, and the control group used the linear visual inspection supervision scheme. A linear visual diagram and a linear visual inspection checklist were drawn up for critically ill patients, and basic knowledge training and practical training were conducted to, while the control group was on routine bedside rounds, evaluate the differences in safety cognition and behavior, as well as the incidence of adverse events in infants before and after the training of NICU nurses. Results: After the implementation of bedside nursing program based on the linear visual process, the knowledge and scores of safety competence of nurses were higher than those before the training (P<0.05). The incidences of pressure injury and infusion extravasation in critically infants in the observational group were lower than those in the control group (P<0.05). Conclusion: Bedside nursing program based on linear visual process can effectively improve nurses' cognitive and behavior of safety, reduce the incidence of pressure injury, infusion extravasation and unplanned extubation in NICU critically infants, improve nursing quality management, and ensure clinical safety.

Objective: To investigate the psychiatric nursing staff's understanding and practice of Standard for Nursing Classification WS/T 431-2023, a national standard for health services, so as to provide a basis for further improvement of psychiatric nursing classification. Methods: From March to April 2024, 6925 psychiatric nurses in 308 psychiatric institutions at different levels in 31 provinces and regions were surveyed on their perception of Standard for Nursing Classification. Results: Totally 89.86% of psychiatric nurses knew the Standard for Nursing Classification, but grasped the nursing grading standard, among which the correct rate of primary and secondary nursing grading was only 61.42% and 66.76%, respectively. According to 44.98% of the psychiatric nurses surveyed, the standard was very suitable for psychiatric department, while 47.49% of the nurses thought that the current nursing classification used in their hospitals was very proper for clinical practice. There were differences in the knowledge and grasp of standards between nursing managers and clinical nurses (P<0.05). The evaluation of nursing classification was determined jointly by doctors and nurses, accounting for 54.11%, and the basis for issuing medical orders for nursing classification was dominated by doctors, accounting for 88.14%. Conclusion: Standard for Nursing Classification WS/T 431-2023 is well known in psychiatric institutions yet with limitations in clinical practice. It is necessary to explore more suitable methods for psychiatric nursing classification and constantly improve the evaluation basis of psychiatric nursing classification.

Objective: To investigate the current status and influencing factors of sarcopenia in patients with Total Hip Arthroplasty before operation. Methods: A convenience sampling was used to recruit 170 patients who underwent Total Hip Arthroplasty surgery in a tertiary grade A hospital in Henan Province from January 2023 to June 2023. Within 24 hours of admission, the patients were surveyed using a general information questionnaire, a long version of the International Physical Activity Questionnaire, and Nutritional Risk Screening 2022. The occurrence of sarcopenia was diagnosed according to the diagnostic criteria of the 2019 Asian Working Group on Myopenia. Results: The incidence of preoperative sarcopenia in 170 patients with Total Hip Arthroplasty surgery was 20.6%. The results of Logistic regression analysis showed that BMI (OR=0.485), duration of pain OR dysfunction (OR=25.037), level of C-reactive protein (OR=1.064), white blood cells Count (OR=2.511) and preoperative high intensity physical activity level (OR=0.998) were the factors influencing the occurrence of preoperative sarcopenia in patients with Total Hip Arthroplasty (all P<0.05). Conclusion: The incidence of preoperative sarcopenia in patients undergoing Total Hip Arthroplasty is relatively high. Clinical healthcare professionals need to strengthen early assessment and identify high-risk groups for sarcopenia, and timely take targeted measures based on influencing factors to prevent or slow down the occurrence and development of sarcopenia in patients with Total Hip Arthroplasty.

The difficulty evaluation of nursing practice technology includes the evaluation of the difficulties and complexities, which is of great significance as a part of the comprehensive evaluation of nursing professional technology. This paper reviewed the concept and origin of the technical difficulty of nursing practice, the research status, research methods and application progress at home and abroad, and suggestions were put forward to provide reference for the assessment of nursing workload and performance and the hierarchical management.

Objective: To review the relevant studies regarding physical exercise in the rehabilitation of adult liver transplant patients, hope to provide reference for the development and implementation of standardized exercise plans for them. Methods: According to the method of scope review, the relevant studies were comprehensively searched in the relevant databases from their establishment to September 30 2024. Data were independently screened and extracted by two researchers. Results: A total of 16 articles were included, including 7 randomized controlled trials and 9 quasi-experimental studies. The subjects were patients waiting for transplantation or patients after transplantation. The main types of physical exercise included aerobic exercise, resistance exercise, and flexibility exercise. The frequency of exercise was usually 2 or 3 times per week. The duration of exercise each time was usually within 30-60 minutes and the length of exercise intervention was usually 8-12 weeks. Physical exercise can improve the physical function, body composition, psychological status, and quality of life of adult liver transplant patients to a certain extent. These exercises were also safety and patients had accepted compliance with these physical exercise programs. Conclusion: The physical exercise in adult liver transplant patients is integral, diversified, safe, and effective. In the future, relying on the power of mobile medical platforms and multidisciplinary teams, we can further optimize the contents of exercise, standardize the evaluation system, and develop and implement scientific, reasonable, and effective intervention plans to promote disease recovery.

Training is essential to improve the core competence of nurses and ensure the safety of patients. It is also an important basis for promoting the sustainable and healthy development of "Internet Plus Nursing Service". This article provides an overview of the construction basis, outline design, training content, assessment forms and effects of on-site service training for nurses providing "Internet Plus Nursing Service" in China, analyzes the challenges of on-site service training and proposes corresponding strategies, in order to provide reference for the development of systematic on-site service training programs for nurses providing "Internet Plus Nursing Service" in the future.