This paper systematically analyzes the challenges in the field of intravenous therapy in China, based on the latest policies and technological advancements, including the aging population, the promotion of outpatient chemotherapy models, and the diversification of infusion tools. It also explores strategies for addressing these challenges, including the integration of information technology, innovation of interdisciplinary collaboration model, and training of specialized personnel. Through in-depth thinking and analysis, this paper proposes a development path focused on standardization and intelligence, with the aim of providing theoretical references for enhancing the safety and nursing quality of intravenous therapy.

Objective: To investigate the current situation of knowledge of drug extravasation prevention and treatment among geriatric nurses, and to analyze the influencing factors to provide a scientific basis for the development of training courses. Methods: A multi-stage random sampling method was used to construct a questionnaire survey among 1131 geriatric nurses in 15 hospitals nationwide from August to November, 2024 with a general information questionnaire and a questionnaire on the knowledge of the prevention and treatment of drug extravasation. Multiple linear stepwise regression was used to analyze the influencing factors of geriatrics nurses' knowledge on drug extravasation prevention and treatment. Results: A total of 1110 valid questionnaires were collected. The overall score for drug extravasation prevention and treatment knowledge was 76.81±12.94. Multiple linear regression results showed that the influencing factors included the age, educational background, professional title, hospital level, the manage experience of drug extravasation, and the number of training experience on drug extravasation (P<0.05), which accounted for 55.8% of the total variation. Conclusion: Geriatric nurses' knowledge of drug extravasation prevention and treatment is generally good, but it still needs to be improved. Nursing managers should focus on the weak points of the knowledge of drug extravasation prevention and treatment to conduct targeted training.

Objective: To investigate the status of complications in patients with PICC secondary catheterization and analyze the influencing factors, so as to provide a reference for the prevention of catheter-related complications. Methods: A convenience sampling method was used to select 348 patients who underwent PICC secondary catheterization in a tertiary grade A hospital in Beijing from August 2021 to March 2024. Patient general information, the catheter related information and complications during indwelling were collected. The influencing factors of catheter-related complications were analyzed by binary Logistic regression. Results: Totally 98 patients (28.2%) with PICC secondary catheterization developed complications during the indwelling of the catheter. Regression results showed that type of PICC, placement of PICC during the indwelling of central venous catheter, smoke were the influencing factors of complications. Conclusion: The incidence of catheter-related complications in patients with PICC secondary catheterization is high. Clinical staff should pay more attention to this group of patients, fully assess the basic situation before catheterization, select appropriate PICC catheters, strengthen maintenance and health education after catheterization.

Objective: To conduct an investigation into the current status of the implementation and management of tunneled PICC (Peripherally Inserted Central Catheter) insertion in secondary and tertiary medical institutions in Hunan province, aiming to provide references for further promoting the application of the technique. Methods: In January 2025, a convenience sampling method was employed. A self-designed questionnaire dedicated to the implementation and management status of tunneled PICC insertion was utilized to survey 246 medical institutions at or above secondary level in Hunan province. Results: A total of 34 hospitals (13.82%) have carried out the tunneled PICC insertion. Notably, 82.35% (28/34) of these hospitals initiated the utilization of this technique subsequent to 2019. The patients who underwent catheterization with this technique were mainly those with difficult access issues, critically ill patients, and patients with superior vena cava obstruction syndrome. Standard procedures for tunneled PICC insertion were established in 16 hospitals (47.06%), and 24 hospitals (70.59%) had provided training for staffs who implemented this technique. Additionally, 66.04% (140/212) of the hospitals had plans to adopt this technique in the future. Conclusion: The adoption rate of tunneled PICC insertion is relatively low in Hunan province, yet the demand for its implementation is high. There is a need for further improvement in aspects such as formulating standard operational procedures, managing complications, and retraining specialized nurses.

Objective: To investigate the current status and explore the influencing factors of self-management behavior in cancer patients with implantable venous access ports, providing reference for improving the self-management behavior. Methods: From October 2022 to October 2023, a convenience sample of 812 cancer patients with implantable venous access ports from 19 hospitals in 8 provinces or autonomous regions was investigated by the tumor patients with implantable venous access ports self-management behavior assessment scale. Multiple linear regression analysis was used to identify influencing factors. Results: The score of self-management behavior for implantable venous access ports was 122.90±19.16, with the lowest scoring dimension being "access to maintenance information" (scoring rate was 71.9%). The regression results revealed that the factors influencing self-management behavior in cancer patients with implantable venous access ports included primary disease diagnosis, education level, marital status, family residence, duration of placement, involvement in the selection of port placement site, concerns about damage to the port, impact of the port on social activities, perception of the benefits to port, and satisfaction with the port (P<0.05). Conclusion: Overall, cancer patients has a relatively high level of self-management behavior for implantable venous access ports, but there is still room for improvement in terms of access to maintenance information. Healthcare providers should encourage patient participate in implanting decision-making, enhance patients' awareness of the benefits of ports and improve their satisfaction, so as to promote their self-management behavior.

Standard nursing techniques are an important guarantee for the safe use of implantable venous access ports. In 2023, the Chinese Nursing Association released the association standard of nursing care for implantable venous access ports, which standardizes the core processes and key points of implantable venous access ports nursing techniques. This article provides a brief interpretation of the core points in this association standard, in order to promote the homogenization of the techniques and advance the professionalization of intravenous therapy.

The idleness of Central Venous Catheters (CVC) is easily overlooked in clinical practice. This article clarifies the concept of CVC idleness through searching, organizing, analyzing, and summarizing domestic and international literature related to idleness of CVC and discusses four influencing factors: patient characteristics and preferences, treatment regimens, healthcare personnel, and management systems. Furthermore, it proposes countermeasures and research directions, providing a reference for the standardized management of CVC, thereby reducing the catheter-related complications to ensure patient safety.

Objective: To explore the potential categories of Inhaled Corticosteroids (ICS) adherence in adults with asthma, so as to provide a reference for targeted intervention to improve ICS adherence in patients with asthma. Methods: We conducted a questionnaire survey on the medication adherence, medication belief and depression status of 399 patients enrolled by convenience sampling in a tertiary grade A hospital in Shenyang from October 2020 to October 2021. Then latent class analysis was used to classify the ICS adherence. We also employed disordered multi-classification Logistic regression analysis to determine the associated factors of each class. Results: The adherence of ICS in asthma patients could be divided into three potential classes, namely "good overall adherence-unintentional non-adherence tendency type" (52.1%), "moderate overall adherence-mixed non-adherence type" (26.6%) and "poor overall adherence-intentional non-adherence tendency type" (21.3%). Depressive symptoms (P<0.001), necessity beliefs (P=0.024) and concerns beliefs (P=0.005) were the influencing factors of ICS adherence categories. Conclusion: There is significant group heterogeneity in the medication adherence of asthma patients with depressive symptoms and medication beliefs being the influencing factors of adherence categories. Healthcare professionals should evaluate the adherence categories and psychological status of asthma patients, understand the patients' perspectives of their diseases and treatment to carry out targeted interventions.

Objective: To investigate the current status of oral frailty in elderly patients with Type 2 Diabetes Mellitus (T2DM) and to explore its influencing factors, so as to provide a reference for early identification of high-risk groups and delay or reduce the occurrence of oral frailty. Methods: From January to July 2024, a total of 207 elderly patients with T2DM in the Department of Endocrinology of tertiary grade A general hospital in Sichuan province were recruited as the research participants by the convenient sampling method. The Oral Frailty Index-8 scale and the Geriatric Self-efficacy Scale for Oral Health were used for investigation. Binary Logistic regression analysis were used to explore the influencing factors of oral frailty. Results: The incidence of oral frailty in elderly patients with T2DM was 45.9%. The influencing factors of oral frailty in elderly patients with T2DM included age, education level, number of natural teeth, type of chronic disease, duration of diabetes mellitus, glycosylated hemoglobin and oral health-related self-efficacy (P<0.05). Conclusion: The incidence of oral frailty in elderly patients with T2DM is high. Medical personnel should focus on high-risk groups, and develope the health education and targeted intervention measures.

Objective: To investigate the current status of proactive health behaviours in patients with hypertension and to analyze the influencing factors, aiming to provide a basis for the development of hypertension health management programs. Methods: Convenience sampling was used to select hypertensive patients in five tertiary grade A hospitals in Zhengzhou, Henan province from December 2023 to April 2024. The general information questionnaire, the Active Health Behaviour Scale for hypertensive patients, the Cardiovascular Disease Risk Perception Assessment Tool, and the Therapeutic Adherence Scale for Hypertensive Patients were used in this study. Results: The Active Health Behaviour Scale score for hypertensive patients was 109.88±6.82. The results of multiple linear regression analysis showed that age, duration of hypertension, hyperlipidaemia, score of perceived risk of cardiovascular disease entry, and score of adherence to treatment for hypertensive patients were the factors influencing their active health behaviours (P<0.05), which together explained 91.8% of the total variance. Conclusion: Active health behaviours are at a moderate level in hypertensive patients. The behaviors are better in those hypertensive patients with younger ages, shorter duration of illness, and no hyperlipidaemia. Improved absolute risk perception of cardiovascular disease and adherence to treatment are conducive to the promotion of active health behaviours, control of blood pressure levels and reduction of complications in hypertensive patients.

Objective: To explore the barriers and needs of medical staff in assisting breast cancer patients in fertility preservation decision-making, to provide reference for the medical system to construct targeted solutions. Methods: This was a descriptive qualitative study. From January to March 2024, 16 medical staff were selected for one-to-one semi-structured interviews using the purposive sampling method in a tertiary grade A hospital in Baoding, Hebei province. Traditional content analysis methods were used to organize and analyze the interview materials. Results: Two themes and nine sub-themes were extracted. Barrier factors: including the barrier factors in medical staff (insufficient awareness of fertility preservation, lack of professional ability of fertility preservation, and limited consultation time of fertility preservation) and the barrier factors in organizational policy (poor accessibility of medical resources for fertility preservation, lack of interdisciplinary collaboration mechanisms for fertility preservation, fertility preservation support policies need to be improved). Support needs: decision-aid support tools, training professional personnel, improving decision-making environment facilities. Conclusion: Medical staff are faced with barrier factors in the process of assisting breast cancer patients in making fertility preservation decision-making. It is necessary to meet the diverse support needs of medical staff to assist patients in making fertility preservation decision-making.

Objective: To explore the heterogeneity and influencing factors of thriving at work among specialist nurses, providing references for nursing managers to take measures to improve the thriving at work of specialist nurses. Methods: A questionnaire survey was conducted from June to August 2023, including 758 specialist nurses from 30 hospitals of varying levels in Henan province. The latent profile analysis was used to explore the characteristics of thriving at work among specialist nurses, and univariate analysis and unordered multinomial Logistic regression analysis were used to investigate the influencing factors of different latent profiles. Results: Thriving at work among specialist nurses was divided into 4 latent profiles, including a high thriving at work group (27.8%), a moderate learning low vitality group (20.8%), a broadly moderate thriving at work group (35.6%), and a low thriving at work group (15.8%). Unordered multinomial Logistic regression analysis showed that organizational support score, task load score, resilience score, age, number of children, hospital grade, years of work experience, and monthly income level were influencing factors of the latent profiles of thriving at work (all P<0.05). Conclusion: There is heterogeneity in the characteristics of thriving at work among specialist nurses. Nursing managers can take targeted measures based on the different thriving at work characteristics and influencing factors of specialist nurses to improve their thriving at work and the quality of nursing services.

Objective: To systematically review the literature and integrate the generation process, antecedents, and consequences of nurses' voice behavior, so as to provide reference for promoting nurses' voice behavior. Methods: Domestic and foreign databases were searched, and qualitative studies related to nurses' voice behavior were included. The search time limit was from the establishment of the database to December 31, 2024. After evaluating the literature quality, the collection synthesis method was used for Meta synthesis, and the research results were compared, analyzed, summarized, interpreted, and synthesized. Results: A total of 10 articles were included, and 28 research findings were extracted. These were categorized into 9 categories and consolidated into 3 integrated results, encompassing nurses' multiple-factor consideration of whether to take voice behavior, internal game affecting the voice behavior environment, and the multi-factor effects of nurses' voice behavior. Conclusion: Nurses' voice behavior is conducive to the continuous improvement and development of the organization, and enhance the discourse power of nurses and promote nursing reform. Therefore, in order to better implement voice behavior of nurses, the organization needs to establish smooth voice behavior channels. Nursing managers should listen to nurses' voice and give feedback; and provide training and education about voice behavior for nurses.

Objective: To explore the construction and effects of the training base for rehabilitation specialty nurses in the training base, so as to provide experience and reference for promoting the standardization of training bases for rehabilitation nursing specialties. Methods: From September 2020 to June 2024, the training work was carried out in the training base of rehabilitation specialist nurses of a tertiary grade A hospital in Shanghai, and the theoretical training system of rehabilitation was used as a guide to train the trainees in the base with a combination of theory and practical exercises. The theoretical and practical scores of the trainees before and after the training were compared. Additionally, the degree of the satisfaction and rehabilitation nursing technique promotion were obtained from the follow-up visits. Results: After the training, totally 90 trainees' mastery of the rehabilitation theory and practical skills were significantly improved (P<0.05), and the trainees' average satisfaction with the training base was high. Besides, the technique promotion rate of the trainees who returned to their original department was 71.33%. Conclusion: Through the training in the practical training base, the level of rehabilitation theory and skills of the trainees is significantly improved, their satisfaction is high, and the rehabilitation nursing technique is promoted.

Objective: To explore the application value of Diagnosis Related Groups (DRG) related indicators in nursing workload measurement, aiming to construct a scientific nursing workload evaluation model. Methods: A retrospective analysis was conducted on the data of 11 nursing workload evaluation indicators in 31 departments of a tertiary hospital in Beijing in 2023. The entropy weight method was used to assign weight to each index, and the rank sum ratio method was used to construct DRG and non-DRG workload evaluation models. Compare the advantages and disadvantages of conventional formula, DRG model and non-DRG model for nursing workload evaluation. Results: The weights of the three indicators, namely the number of nurses, the number of discharged patients, and the number of bed turnovers, were the same in both DRG model and non-DRG model. The indicator with the highest weight was the number of transfers in/out, followed by the number of critical patient-days in both models. The relative weight, Case Mix Index (CMI), and In were in the eighth, fifth and tenth position, and CMI value was an important index that cannot be ignored in the model. The department classification results of DRG model and non-DRG model show that there were 5 departments in excellent level (16%), 22 departments in good level (71%), and 4 departments in general level (13%), and the difference in grading results was statistically significant (P<0.05). Conclusion: The workload evaluation model built based on the entropy weight rank and ratio method of DRG related indicators can better reflect the differences among different departments, and has certain reference significance for the measurement of nursing workload, and can provide scientific and effective basis for nursing management decision-making.

Objective: To summarize both domestic and international research on the factors influencing nurses' organizational citizenship behavior, and to provide insights for managers to enhance nurses' work enthusiasm and improve organizational performance. Methods: A systematic search was conducted by searching domestic and international databases to identify studies on nurses' organizational citizenship behavior. The search covered the period from the establishment of the databases up to April 1, 2024. Two researchers independently screened the literature and extracted the relevant data. Results: A total of 53 articles were included, 39 in English and 14 in Chinese, published from 2011 to 2024, all of which were cross-sectional surveys. The results of the inclusion showed that nurses' organizational citizenship behavior were influenced by a variety of factors, could be summarized into six aspects: sociodemographic factors, psychological factors, work related factors, organizational factors, leadership related factors and social factors. Conclusion: Understanding the multi-level influencing factors is crucial for enhancing nurses' organizational citizenship behavior and improving the work environment. It is necessary to explore the dynamic relationships among various influencing factors in depth to identify key driving factors and develop more effective management strategies.

Objective: To explore the experience of ICU patients participating in delirium prevention through Virtual Reality (VR), and provide references for the prevention of delirium in ICU. Methods: The present study was a descriptive qualitative study. A total of 16 ICU patients were recruited by purposive sampling from May to July 2024. The semi-structured interview guideline was used for interviews and content analysis were adopted for data analysis to refine the themes. Results: There were 4 themes and 11 sub-themes emerging from the data. The four themes were perception of the inner positive experiences, perception of executive effectiveness, perception of positive relationships, and perception of obstacles. Conclusion: The benefits of VR technology used in delirium prevention in ICU patients include better understanding of positive experiences and the benefits of physical function recovery. Additionally, it serves to mitigate external stressors and stimulate patients' rehabilitation beliefs.

Objective: To develop an intelligent platform-based perioperative management program for patients with Type A Aortic Dissection (TAAD) and evaluate its effects, in order to improve patient outcomes. Methods: The perioperative management program based on an informatization platform for patients with TAAD was first constructed based on evidence and expert consultation. Then from January 2022 to January 2024, patients with TAAD who underwent surgery in a tertiary grade A hospital in Zhejiang province were included by convenience sampling method. The intervention group (n=56) was treated with the perioperative management program based on an informatization platform during February 2023 to January 2024, while the control group (n=53) received routine nursing program from January to November, 2022. We compared indicators including time needed for preoperative preparation, length of postoperative mechanical ventilation and ICU stay, as well as the number of times circulating nurses went out during operation. Besides, the usability of the platform was evaluated by the Usefulness, Satisfaction, and Ease of Use (USE) Questionnaire. Results: The results showed that the time needed for preoperative preparation, time of postoperative mechanical ventilation and the length of patients' ICU stay were all shortened and the number of times circulating nurses went out of the operating room was also reduced (P<0.001). The score of the USE Questionnaire was 6.34±0.29. Conclusion: The perioperative management program based on an informatization platform shows good usablity and can shorten the preparation time for TAAD surgery, reduce the duration of postoperative mechanical ventilation and ICU stay, as well as the number of times circulating nurses leaving the operating room to ultimately improve patient outcomes.

Objective: To explore the experience of maternal and infant care professionals in using Generative Artificial Intelligence (GAI), and provide reference for the standardized and reasonable use of GAI by maternal and infant care professionals. Methods: A purposive sampling method was adopted to select 16 maternal and infant care professionals from a tertiary grade A hospital in Beijing as research subjects from March to May 2024. Semi-structured interviews were conducted, and content analysis was used to analyze the data. Results: The experience of maternal and infant care professionals in using GAI can be summarized into three themes: the sense of positive effects of use (assisting in creative work, efficiently providing rich maternal and infant medical information, driving the enhancement of professional strengths and comprehensive quality); constraints of use (demand driven willingness to use, doubts about authenticity and professionalism, concerns about privacy and security issues, excessive dependence and weakened ability to think independently, insufficient popularity and support, actual effect experience affecting the depth of use); needs and expectations for use (conducting relevant training, maternal and infant personnel participating in professional GAI development and improvement, reform of maternal and infant care personnel training). Conclusion: It is necessary to guide maternal and infant personnel establish appropriate use concepts and break down information cocoon. At the same time, multi-disciplinary forces should be integrated into the development and training process of GAI, prevent technical risks, so that GAI can become a reasonable assistant for maternal and infant care work and for serving maternal and infant health.

Objective: To construct a nursing decision support system for Intraoperative Acquired Pressure Injury (IAPI) and evaluate its effectiveness in improving nursing decisions, reducing IAPI incidence. Methods: Based on the clinical guidelines, expert consensus, group standard recommendations, IAPI risk assessment and prevention knowledge base was established. The system was designed based on the knowledge base. The system was applied in the operating room of a tertiary grade A hospital in Anhui province in October 2023. Convenience sampling method was used to select 5423 patients from January to March 2023 as the pre application group and 5515 patients from October to December 2023 as the post application group. The incidence of IAPI was compared between the two groups. Additionally, random number table was used to randomly select 200 patients from each group to assess the accuracy of IAPI risk assessment and the completion rates of preventive measures. A survey was conducted among 104 operating room nurses to evaluate their satisfaction with the system. Results: The implementation of the system led to a significant decrease in IAPI incidence from 0.129% to 0.018% (P<0.05). The accuracy of IAPI risk assessments, and the completion rates of IAPI preventive measures showed significant improvement (P<0.05). Nurse satisfaction with the system was high, with an average score of 96.73±1.96. Conclusion: The IAPI nursing decision support system effectively aids nursing decision, reduces the occurrence of IAPI, and improves the quality of IAPI nursing care.

Objective: To develop a health education program for improving the lifestyles of patients with Polycystic Ovary Syndrome (PCOS), and evaluate its impact on the lifestyle and Knowledge, Attitude, and Practices (KAP) of those patients, serving as a clinical reference for health promotion. Methods: Based on the transtheoretical model, we searched literature and conducted expert correspondence to construct a health education program. From March 2023 to February 2024, 106 patients with PCOS were recruited by convenience sampling from a gynecology outpatient clinic of a tertiary hospital in Lanzhou City for a randomized controlled trial. Using a random number table, patients were selected into the control group (n=53) receiving traditional health education, and the experimental group (n=53) receiving health education that was based on the transtheoretical model. Changes in health promotion lifestyle, KAP, and quality of life were compared between the two groups of patients before the intervention, at the third month and sixth month after the intervention. Results: Totally 45 patients in the control group and 46 in the experimental group completed the trial. At the third month and sixth month after the intervention, both groups experienced significant changes in health promotion lifestyle (interaction effect F=13.284, P<0.001; time effect F=42.271, P<0.001), KAP (interaction effect F=6.461, P=0.005; time effect F=29.470, P<0.001; between-group effect F=4.231, P=0.043), and quality of life (interaction effect F=13.113, P<0.001; time effect F=14.415, P<0.001). Conclusion: Health education based on the transtheoretical model can help PCOS patients change their unhealthy lifestyles, improve their KAP and life quality.

Objective: To analyze the effect of relaxation nursing intervention in supporting breastfeeding of fathers of low-weight preterm infants, to provide a reference for clinical intervention. Methods: A total of 72 low-weight preterm infants and their fathers who met the inclusion criteria and were admitted to the neonatal department of a tertiary grade A hospital in Tianjin from September 2023 to January 2024 were selected by convenience sampling. The random number table method was used to divide cases into intervention and control groups, with 36 cases in each group. The intervention group received a relaxation nursing intervention program, and the control group received routine nursing. Self-rating Anxiety Scale and Father Support Breastfeeding Self-Efficacy Scale-Short Form were used before discharge, 4 weeks, 8 weeks, and 12 weeks after discharge, and the weight and exclusive breastfeeding rate of low-weight preterm infants were compared. Results: At 4 weeks, 8 weeks, and 12 weeks after discharge, the anxiety level of the fathers in the intervention group of low-weight preterm infants was lower than that of the control group, and the rate of exclusive breastfeeding was higher than that of the control group (69.4% vs 44.4%, 61.1% vs 36.1%, 58.3% vs 33.3%). At 8 weeks and 12 weeks after discharge, the self-efficacy of the fathers in supporting breastfeeding was better than that of the control group. At 12 weeks after discharge, the weight of preterm infants was higher than that of the control group, the differences were statistically significant (all P<0.05). Conclusion: Relaxation nursing intervention can effectively improve the anxiety level of fathers of low-weight preterm infants, enhance the confidence of breastfeeding support for fathers of low-weight preterm infants, increase the rate of exclusive breastfeeding, and indirectly promote the weight gain of low-weight preterm infants.

Objective: To conduct a scoping review of the research on the palliative care needs of Persons Living with HIV/AIDS (PLWHA), in order to provide references for future research. Methods: Focusing on the palliative care for PLWHA, using scoping review as the framework, the relevant literature in Chinese and English databases was systematically searched from January 1, 1981 to May 15, 2024. After screening, the included literature was summarized and analyzed. Results: A total of 23 articles were included, and the results showed that there were significant differences in the level of understanding of palliative care among PLWHA at home and abroad. The palliative care needs of PLWHA involve medical care, financial support, psychological and spiritual care, social interaction, access to knowledge, family and other hospice care needs. The main influencing factors include socio-demographic factors, disease and psychological factors, and social and family environmental factors. Conclusion: The palliative care needs of PLWHA are diverse and complex. Healthcare professionals should pay attention to the dynamic and individualized assessment, and work together to meet the needs of patients and their families in a timely and effective manner, thereby improving their quality of life.

Objective: To establish a tuberculosis health management nursing studio and evaluate its work and effectiveness, so as to provide a reference for the exploration of advanced nursing practice of tuberculosis care. Methods: In 2021, a tuberculosis health management nursing studio with nursing staff as the main body was established to provide patients with professional and systematic care services. The nursing studio was also served as a platform for talent cultivation and scientific research innovation programs. Results: Over the past three years, the studio has received 599 tuberculosis patients and established health records. A total of 410 "Internet+" nursing graphic and text consultations and 13 online video consultations were conducted. Compared to patients in regular outpatient department, patients managed by the nursing studio showed significantly higher follow-up compliance (χ2=113.358, P<0.001). The satisfaction of patients and health care workers has been improved significantly (P<0.05). Additionally, the academic influence and the quantity of scientific research output of nursing professionals have been increased significantly. Conclusion: The tuberculosis health management nursing studio provides specialized, systematic, and scientific nursing services for tuberculosis patients to meet their needs. It also establishes a good platform for the development of nursing talents and scientific research innovation, and has the value of promotion.

Objective: To construct a core competency evaluation index system for tuberculosis specialist nurses, in order to provide references and basis for their training, assessment, evaluation and management. Methods: Based on the Onion Model as the theoretical framework, a preliminary draft of the core competency evaluation index for tuberculosis specialist nurses was developed through literature review and semi-structured interviews. From March to May 2024, the core competency index system for tuberculosis specialist nurses was established by the Delphi method for expert consultation. Results: A total of 23 experts from 9 provinces were included in two rounds of expert consultation. The effective response rates of the questionnaire were all 100%. The expert authority coefficient was 0.93, the variation coefficients of two rounds of expert consultation were 0-0.239 and 0-0.206, and the Kendall's harmony coefficients were 0.135-0.170 and 0.116-0.184. The final evaluation index system of core competency of tuberculosis specialist nurses includes 5 first-level indicators, 13 second-level indicators and 69 third-level indicators. Conclusion: The core competency evaluation index system of tuberculosis specialist nurses is scientific and reasonable, which reflects the characteristics of tuberculosis specialist nursing, and can provide references for the evaluation of tuberculosis specialist nurses and lay the foundation for the training and development of tuberculosis specialist nurses in the future.

The application of digital technology in clinical nursing has become increasingly extensive, which has promoted the transformation of nursing services to the direction of individuation and precision to effectively improve the quality and efficiency of clinical nursing. This paper summarizes the basic concepts of digital technology and its application in clinical nursing decision support, patient safety management, patient health management, personalized nursing and nursing process control. It also discusses the challenges faced by digital technology and its future prospects in order to provide reference for the development of digital technology in clinical nursing in China.

With the rapid development of information technology, digital health intervention provides a new approach for oral health management. This paper introduces the application forms and effects of the digital health intervention in oral health management, and summarizes the shortcomings of existing research and the prospects for the future to provide reference and basis for better oral health management in China in the future.

Postoperative lung tissue damage and decreased lung function are the main factors affecting the recovery process of lung cancer patients. Scientific and effective lung rehabilitation management is an important measure to promote patient disease recovery, and digital health technology provides a new model for postoperative lung rehabilitation management of lung cancer patients. This article reviews the relevant concepts of digital health technology and its current application advantages of training, signs monitoring, pulmonary function assessment, health education and psychological support in postoperative lung rehabilitation management of lung cancer patients. At the same time, it summarizes the challenges faced in the application process and puts forward prospects, in order to provide reference for the application of digital health technology in postoperative lung rehabilitation management of lung cancer patients.

Patients in Intensive Care Units (ICU) are at high risk for critical illness, delirium and sleep disorders. A healing environment layout centered on human care philosophy contributes to promoting the physical and mental recovery of patients and has a positive impact on healthcare providers. This paper reviews the development of the concept of a healing environment, theoretical mechanisms and the current situation of the practice of ICU healing environment and puts forward the prospect, in order to provide reference for the optimization of the environment layout of hospital ICU.