Objective: To evaluate the application effect of intelligent self-management system in patients with Chronic Heart Failure (CHF), so as to provide a theoretical basis for precision self-management in these patients. Methods: We developed an intelligent self-management system. We used convenience sampling method to select CHF patients, patients admitted to a tertiary grade A general hospital in Beijing from October 2023 to June 2024 were divided into control group and intervention group according to their different wards. The control group (91 cases) received routine health education, while intervention group (102 cases) received routine health education combined with intelligent self-management system, including digital health management during hospitalization, personalized health education knowledge push, self-management data upload and monitoring warning, incentive mechanism and compliance promotion, and follow-up arrangements. The differences in relevant evaluation indicators between two groups of patients at 3 months and 6 months after discharge were compared. Results: After 6 months of intervention, the intervention group had better self-care ability, knowledge level of heart failure, and quality of life at 3 months and 6 months after discharge than the control group. The intervention group had better cardiac function grading than the control group at 6 months after discharge, with a readmission rate of 12.7%, which was lower than the control group's 24.2%. The differences were all statistically significant (P<0.05). Conclusion: The application of intelligent self-management system can effectively improve the self-care ability and knowledge level of heart failure, enhance the cardiac function and quality of life, reduce the readmission rate, and promote long-term prognosis in patients with CHF.

Objective: To explore the preferences of elderly patients with Chronic Heart Failure (CHF) for self-management education materials, and to provide a basis for targeted guidance on the production and optimization of these materials. Methods: A purposive sampling method was employed to recruit 18 elderly patients with CHF who were hospitalized in the Geriatrics Department of a tertiary grade A hospital in Changchun from March to May 2024. Semi-structured interviews were conducted using the elements of Checklist for Easy-to-Understand Printed Materials in "Simply Put: a guide for creating easy-to-understand materials" as a framework, and Colaizzi seven-step analysis was used to analyze the data. Results: Four main themes and ten sub-themes of characteristic preferences were identified, including content needs, text expression, layout and design, and information delivery methods. Conclusion: The design of self-management education materials for elderly patients with CHF should focus on the pertinence of the education content, the popularity of the expression, the appropriateness of the presentation form, and the integration of both paper-based and electronic media.

Objective: To investigate the clinical efficacy of evidence on Inspiratory Muscle Training in patients with Chronic Heart Failure, in order to improve patients' respiratory function and enhance their quality of life. Methods: Using evidence-based methods to screen evidence, formulated 25 review indicators. Convenience sampling method was used to select clinical nurses and Chronic Heart Failure patients, from September to December 2023, a baseline review involving 31 nurses and 62 patients was conducted to analyze obstacles and formulate strategies. From January to March 2024, practice changes were implemented, and compliance rates, patient training effects and life quality, nurses' knowledge pass rate were compared. Results: Eighteen indicators showed significant improvement in compliance (P<0.05). Furthermore, patients' respiratory muscle function, exercise endurance and dyspnea index improved (P<0.05), and the quality of life score decreased from 56.85±14.04 to 47.87±9.16 (P<0.05). The nurses' knowledge pass rate increased from 45.16% to 87.10% (P<0.05). Conclusion: Evidence-based Inspiratory Muscle Training enhances clinical compliance and improves respiratory muscle function, exercise endurance, and quality of life in patients with Chronic Heart Failure.

Objective: To investigate the current status of family management for children with Chronic Heart Failure (CHF) and analyze the influencing factors, aiming to provide references for nurses to develop targeted intervention strategies. Methods: Employing the convenience sampling method, 155 parents of children with CHF who were discharged from the department of cardiovascular medicine of a tertiary grade A children's hospital in Chongqing from April 2021 to April 2022 were selected. A general information questionnaire and the Family Management Scale were utilized for the investigation, and multiple stepwise regression was used to analyze the influencing factors. Results: The total score of the Family Management Scale for children with CHF was 156.27±34.92. Regression analysis results showed that whether the children were taking cardiovascular drugs, the cardiac functional classification, residence and whether the parents' jobs had been changed due to the children's disease were the influencing factors of family management (all P<0.05), which explained 45.6% of the total variance. Conclusion: The level of family management in children with CHF needs to be improved. Nurses should strengthen support for families of children with CHF and provide individualized and sustained interventions.

Objective: To describe the subgroups of multiple symptom distress and analyze the influencing factors of different potential subgroups in patients with esophageal cancer, in order to formulate tailored interventions. Methods: From September 2022 to March 2023, the convenience sampling method was used to recruit 452 patients with esophageal cancer, who had undergone esophagectomies in three cancer hospitals. The questionnaires including General Information Questionnaire and the MD Anderson Symptom Inventory Gastrointestinal Cancer Module (MDASI-GI), etc. Latent profile analysis was used to explore subgroups of symptom distress in patients. Logistic regression model was used to analyze the influencing factors. Results: The symptom distress subgroups in postoperative esophageal cancer patients could be classified into: C1 (high incidence group on both physical symptoms and psychological symptoms, 62.4%); C2 (physical symptoms with high incidence group but psychological symptoms with low incidence group, 25.4%); and C3 (low incidence group on both physical symptoms and psychological symptoms, 12.2%). Age, self-efficacy, perceived stress, comorbid chronic disease, and receiving chemotherapy or immunotherapy before operation were main influencing factors of classification of different subgroups of patients with esophageal cancer (P<0.05). Conclusion: Symptom distress in postoperative esophageal cancer patients can be categorized into three distinct subgroups, with the "high incidence group on both physical symptoms and psychological symptoms" subgroup accounting for the highest proportion and exhibiting significant heterogeneity. Healthcare professionals should identify characteristics and influencing factors of different subgroups, and then formulate tailored interventions to promote the precise symptom management.

Objective: To analyze the consistency between self-reported quality of life and parent-reported quality of life in children with rheumatic diseases aged 8-12 years, aiming to provide evidence for formulating targeted intervention strategies. Methods: From January to June 2024, a convenience sample of 202 children with rheumatic diseases and their parents from a tertiary grade A pediatric hospital in Anhui province were surveyed by using a general information questionnaire and Pediatric Quality of Life InventoryTM 3.0-Rheumatology Module (PedsQLTM 3.0-RM). The Intraclass Correlation Coefficient (ICC) was used to analyze the consistency between self-reported and parent-reported on the PedsQLTM 3.0-RM. Results: The scores of the PedsQLTM 3.0-RM reported by the children and parents were 66.00±8.82 and 67.96±7.17, respectively. The overall consistency was moderate (ICC=0.493, P<0.001). Consistency in the pain dimension was fair (ICC=0.701, P<0.001), while in the treatment dimension, it was moderate (ICC=0.542, P<0.001). In the dimensions of daily activities (ICC=0.376, P<0.001), worry (ICC=0.169, P=0.008), and communication (ICC=0.253, P<0.001), the consistency was low. Conclusion: The quality of life in children with rheumatic diseases aged 8 to 12 years was low. The consistency between self-reports and parent-reports was moderately low, and the children's internal experiences were easily overlooked by parents. It is suggested that clinical attention should be given to the reports of children in this age group, and medical staff should develop family-centered dyadic intervention strategies to improve the children's quality of life.

Objective: To translate and test the reliability and validity of the Hazardous Drug Handling Questionnaire (HDHQ), in order to provide a scientific and reliable measurement tool for the assessment of nurses' occupational protection against hazardous drugs in China. Methods: Following Brislin's translation model, HDHQ was translated, back-translated, culturally adapted and pre-investigated to form its Chinese version. From March to April 2024, a total of 406 nurses in Beijing were selected by convenience sampling method to conduct a questionnaire survey to test the reliability and validity of the questionnaire. Results: The Cronbach's α coefficient of the Chinese version of HDHQ was 0.892, and the test-retest reliability test showed that the ICC was 0.782. Besides, the Cronbach's α coefficient of the influencing factors was 0.742-0.971 with the ICC being 0.536-0.823. The I-CVI and S-CVI of Chinese version of HDHQ was 0.80-1.00 and 0.90-1.00, respectively. Nurses who had received protection training scored higher in terms of using hazardous drugs safety protection measures than those who had not received training, and the difference was statistically significant (P<0.05). Nurses' score of hazardous drug safety measures was positively correlated with the total score of Competency Inventory for Registered Nurses (r=0.334, P<0.05), showing good model fit. Conclusion: The Chinese version of HDHQ has good reliability and validity thus can be used as an assessment tool for the current situation of occupational protection against hazardous drugs in nursing staff.

Objective: To explore the decision-making experience of cancer patients facing different Central Vascular Access Devices (CVAD), and to provide a theoretical basis for constructing a clinical decision support program. Methods: Using purposive sampling method, 16 cancer patients with CVAD implantation, who attended a tertiary grade A general hospital in Zhejiang province from April to August 2023 were recruited as the study participants. Semi-structured interviews were conducted. The interview data were organized by Nvivo software, and the data were analyzed by Colaizzi 7-step analysis method. Results: The decision-making experience of cancer patients facing different CVAD was grouped into three thematic clusters: ①decision-making needs, including the need for knowledge and information, the need for communication between healthcare professionals and patients, the need for decision time, etc;②decision-making support, including the support of healthcare resources and the support of the family and society; and③decision-making outcomes, including active patient participation, shared patients participation with healthcare professionals, and passive patient participation in the decision-making process. Conclusion: There are multiple decision-making needs during the decision-making of cancer patients with CVAD, and their decision-making participation is individualized, but there are limitations in the existing decision-making support, so healthcare professionals should consciously assess the extent to which cancer patients expect to participate in decision-making about CVAD, and provide corresponding decision-making support to meet their decision-making needs.

Objective: To investigate the current status of caregiver guilt among family caregivers of old aged dementia patients, analyze the potential characteristic differences among different profiles, and inform the development of targeted guilt management strategies. Methods: A cross-sectional study using convenience sampling recruited 697 family old aged dementia patients in Nanning from May 2023 to June 2024. Data were collected using Caregiver Guilt Questionnaire. Latent Profile Analysis was conducted to classify caregiver guilt profile, while multinomial Logistic regression analysis were employed to analyze differences in demographic characteristics across the profiles. Results: Caregiver guilt among family caregivers was categorized into three profiles: "low guilt-positive coping group" (29.70%), "moderate guilt-ambivalent group" (40.32%), and "high guilt-ineffective coping group" (29.99%). Factors influencing the latent guilt profiles included the patient's place of residence, whether caregiver has been hired, and the caregiver's gender, category, and educational level. Conclusion: Caregiver guilt among family caregivers of old aged dementia patients exhibits distinct classification patients. Community healthcare providers should accurately identify caregivers in the "high guilt-ineffective coping group" profile and develop targeted interventions to reduce guilt and improve the quality of home-based care.

Objective: To sort out the ways of nursing managers in identifying problems in the on-site supervision of nursing quality, so as to provide reference for scientific and reasonable clinical nursing quality supervision. Methods: Literature analysis, semi-structured interviews, and questionnaires were used to summarize the perspectives and ways of problems identification in the on-site supervision of nursing quality. Focus group discussions were used to form an item pool regarding the models of problems identification in nursing quality on-site supervision. The Delphi method was used and 35 experts were invited for two rounds consultation to finalized the model of problems identification in nursing quality on-site supervision. The finalized model of problems identification was preliminarily applied in practice in July 2024, and the difference in the self-efficacy of head nurses during cross-departmental quality supervision before and after the application of the model was compared. Results: The effective recovery rates of the two rounds of expert consultations were 88.6% and 93.5%, respectively. The coefficients of the degree of authority were 0.88 and 0.92, respectively. The coefficients of Kendall's concordance were 0.20 and 0.26, respectively (both P<0.05). The three perspectives of problem identification in nursing quality on-site supervision were clarified as direct acquisition, comparative discovery, and in-depth exploration. Six ways of problem identification were listening, looking, asking, checking, visiting, and tracking. The timing of applying each perspective and the specific contents of the six ways of problem identification were clarified. After the application of the model, the self-efficacy of the head nurses in problems identification was significantly higher than that before the application (P<0.001). Conclusion: The model of problems identification in on-site supervision of nursing quality is scientifically developed, reliable, and can be used as a guideline for scientific and reasonable nursing quality supervision.

Objective: To develop evidence-based nursing practices for the prevention and management of intraoperative hypothermia in liver transplant recipients, and provide a reference for hypothermia prevention and management in this patient population. Methods: Guided by the JBI Evidence-Based Healthcare Model, an evidence-based protocol for preventing and managing intraoperative hypothermia in liver transplant recipients was constructed through evidence retrieval, current practice review, and evidence implementation. A convenience sample of 52 liver transplant recipients and 52 members of the liver transplant team at a tertiary hospital in Ningbo. The incidence, duration, and grading of hypothermia, the implementation rates of relevant review indicators, and changes in the transplant team’s knowledge level about hypothermia were compared between the pre-evidence-implementation period (from May to September 2023) and post-evidence-implementation period (from October 2023 to February 2024). Results: After evidence implementation, the incidence of hypothermia (P=0.013), duration of hypothermia (P=0.024), and hypothermia grading (P=0.038) in the evidence-based practice group significantly improved. The implementation rates of all relevant review indicators and the team’s knowledge level about hypothermia were higher than those before implementation, with statistically significant differences (P<0.001). Conclusion: The evidence-based protocol for preventing and managing intraoperative hypothermia in liver transplant recipients is clinically feasible. It effectively enhances the implementation of clinical management behaviors by the liver transplant team and is of great significance for reducing the incidence, shortening the duration, and decreasing the grading of intraoperative hypothermia in liver transplant recipients.

Objective: To develop a Triangle hierarchical management scheme for patients with Post-Stroke Dysphagia (PSD) and to evaluate the effects of this scheme in home-bound patients, aiming to provide a basis for clinical intervention. Methods: A total of 86 PSD patients from a tertiary grade A hospital in Taiyuan from August 2023 to April 2024 were selected by the convenience sampling method. These patients were assigned into the control group (43 patients) and the intervention group (43 patients) through random number table. Patients in the control group received routine care, while patients in the intervention group received the measures based on the Triangle hierarchical management scheme. The levels of swallowing function, nutritional status, compliance with swallowing functional exercise, and quality of life of the two groups of patients were compared before the intervention and 1 month and 3 months after the intervention. Results: Totally 40 patients in the intervention group and 39 patients in the control group completed the study. The results of repeated measures analysis of variance showed that there were statistically significant time effects, group effects, and time-by-group interaction effects when comparing the levels of swallowing function, nutritional status, compliance with swallowing function exercise, and quality of life levels of the two groups of patients at different time points (all P<0.05). The results of simple effect analysis showed that at 1 month and 3 months after the intervention, the levels of swallowing function, nutritional status, compliance with swallowing function exercise, and quality of life levels in the intervention group were higher than those in the control group (all P<0.05). Conclusion: The Triangle hierarchical management scheme can effectively improve the swallowing function and nutritional status of of home-bound patients with PSD, and improve their compliance with swallowing functional exercise and quality of life. It is worthy of clinical promotion.

Objective: To evaluate the effectiveness of specialist oral nursing clinic in improving the healthcare experience of patients from Hong Kong and Macao, providing insights into addressing inefficiencies and complexities in cross-border medical services. Methods: In April 2023, a tertiary hospital in Shenzhen established specialist oral nursing clinic staffed by advanced practice nurses with prescribing authority. An innovative "hub-and-spoke" referral model was implemented, integrating resources from the central oral medical center and community health clinics to optimize care delivery. Key metrics including Hong Kong and Macao patient volume, waiting time, treatment completion rate, and satisfaction were compared at pre-intervention (January to March 2023) and post-intervention (January to March 2024) periods. Results: Post-intervention, the proportion of Hong Kong and Macao patients increased from 2.0% to 6.8%; median waiting time decreased from 40.16±17.39 minutes to 33.19±15.61 minutes; the treatment completion rate improved from 83.6% to 90.1%; patient satisfaction rose from 90.9% to 96.9%. The differences were statistically significant (all P<0.01). Conclusion: The specialist oral nursing clinic couples with the "hub-and-spoke" model streamlines cross-border care processes, enhances operational efficiency, and elevates patient satisfaction. This approach demonstrates innovation, scientific rigor, and replicability, offering a practical framework for collaborative healthcare resource utilization in the Guangdong-Hong Kong-Macao Greater Bay Area.

Objective: To develop a temperature management program for patients undergoing shoulder arthroscopic surgery based on the medical quality management model of "one power and three cycles", and to evaluate the effect of this program, aiming to provide a reference for temperature management of shoulder arthroscopic surgery patients. Methods: Convenience sampling method was employed to recruit 118 patients undergoing shoulder arthroscopic rotator cuff repair under general anesthesia in a tertiary grade A hospital in Xuzhou from May to December 2023. Fifty-nine patients enrolled from May to August 2023 were assigned to the control group and received the conventional thermal insulation countermeasures. Another 59 patients enrolled from September to December 2023 were assigned to the intervention group and received the body temperature management program based on the "one power and three cycles" medical quality management model. The incidence of Inadvertent Perioperative Hypothermia (IPH), Heart Rate (HR), Mean Arterial Pressure (MAP), recovery time and postoperative complications were compared between the two groups. Results: The incidence of IPH, recovery time, and the number of cases of chills and restlessness during resuscitation in the intervention group were all lower than those in the control group (all P<0.001). At 60 minutes and 80 minutes after the start of the operation and during the recovery period, the HR of patients in the intervention group was higher than that of patients in the control group (all P<0.001). At 80 minutes after the start of the operation and during the recovery period, the MAP of patients in the intervention group was higher than that of patients in the control group (all P<0.001). Conclusion: The "one power and three cycles" medical quality management model can reduce the incidence of IPH, shorten the recovery time, maintain hemodynamic stability, decrease the occurrence of complications such as shivering and restlessness in patients undergoing shoulder arthroscopic surgery during the resuscitation period, and promote the accelerated recovery of patients.

Objective: To design and develop a mobile health management platform for weight management in breast cancer patients and to test its usability, aiming to provide support for remote exercise rehabilitation of breast cancer patients. Methods: Based on a 12-week weight management exercise intervention program for breast cancer patients, "Breast Health Guardian" mobile health management platform was developed to realize remote management of exercise rehabilitation of breast cancer. Using purposive sampling method, 13 patients were enrolled for a three-month trial of the App to assess usability through questionnaires and open-ended questions. Results: The "Breast Health Guardian" mobile health management platform was developed, consisting of a mobile application and a computer-based data management system. The App includes a patient interface and a nurse interface. The main function is to provide personalized exercise prescription and dynamic exercise monitoring for breast cancer patients. The usability evaluation was positive, with the mean score and 95% CI of the usability evaluation questionnaire score was 2.12 (1.49-2.76). Conclusion: The mobile health management platform for weight management in breast cancer patients can achieve efficient implementation of weight management and exercise interventions. It offers a good user experience and has good usability.

Objective: To explore the impact of the hyper-Enhanced Recovery After Surgery (hyper-ERAS) care model on postoperative recovery in colorectal cancer surgery patients in order to provide a reference for optimizing perioperative management and accelerate patient recovery. Methods: Convenience sampling was used to enroll 69 eligible colorectal cancer surgery patients from January to March 2023 as the ERAS group, who received ERAS perioperative care; from April to August 2023, 72 patients were enrolled as the hyper-ERAS group, who received hyper-ERAS perioperative care. The postoperative rehabilitation status and the incidence rates of postoperative complications of the two groups were compared. Results: The hyper-ERAS group had a significantly shorter time to first flatus [17.21 (11.80, 36.00) h], first defecation [37.61 (25.48, 56.33) h], and postoperative hospital stay [(2.11±0.98) days], and lower treatment cost [7.60 (6.71, 8.25) ten thousand yuan] compared with the ERAS group [53.89 (32.21, 60.21) h, 75.30 (55.67, 100.88) h, (6.24 ± 2.20) days, and 9.06 (8.26, 9.71) ten thousand yuan, respectively] (all P<0.001). There was no statistically significant difference in incidence rates of postoperative complications between the two groups (all P>0.05). Conclusion: The application of the hyper-ERAS care model in the perioperative period of colorectal cancer patients has a good clinical effect. This model can promote early recovery, shorten hospital stay, and save hospitalization costs.

Objective: To search and summarize the relevant evidence on the prevention and management of Obstructive Sleep Apnea (OSA) in pregnant women, and to provide a scientific basis for medical staff to practice for this population. Methods: According to the "6S" evidence model, the relevant literature was systematically searched in computerized decision-making support systems, domestic and international guideline networks, websites of related academic societies and databases from the inception of databases to November 1st, 2024. Researchers trained in evidence-based nursing evaluated the methodological quality of the included literature and collected the evidence after data extraction. Results: A total of 16 literature was included, including five clinical decision-making documents, one guideline, six systematic reviews, two expert consensus statements, one best practice recommendation and one randomized controlled trial. Twenty-three pieces of evidence in five areas were summarized and extracted, including timing of screening, risk identification, assessment and diagnosis, pregnancy management and health education support. Conclusion: The evidence summarized in this study can provide a basis for clinical healthcare professionals in the development of management protocols and practice for pregnant women. However, the application of the evidence should be tailored to the specific clinical context.

Objective: To systematically integrate the findings of qualitative research about experience of using digital technology in medication adherence behavior among patients with chronic diseases, so as to provide a reference for intervention research on improving medication adherence. Methods: Qualitative studies on experience of using digital technology in medication adherence behavior in Chinese and English databases were searched from the inception of database to December 31st, 2024. The quality of the literature was evaluated, and the results were integrated by the method of aggregation and integration. Results: A total of 15 studies were included, 46 themes were extracted, and 11 categories were summarized. Finally, three integrated results were formed, including the benefits, obstacles, needs and advice of using digital technology in medication adherence behavior. Conclusion: Digital technology is beneficial to improving medication adherence behavior among patients with chronic disease, but there are still many barriers. In the future, we should satisfy patients' individual needs, provide professional technical supports, strengthen information feedback, stimulate patients' long-term use motivation.

Objective: To extract and summarize the evidence on nursing care for Artificial Liver Plasma Exchange (ALPE) in patients with liver failure, providing a reference for clinical nursing practice. Methods: Domestic and international clinical decision support systems, relevant guideline websites, nursing-related professional association websites, government websites and databases were systematically searched for evidence including clinical decisions, standards, guidelines, expert consensus and systematic reviews related to ALPE, and the retrieval period was from the inception of databases to December 31, 2024. Researchers conducted quality assessment and data extraction on the included literature, and extracted and integrated the evidence according to the principles of evidence synthesis. Results: A total of 17 articles were included, comprising 2 clinical decision documents, 2 standards, 5 guidelines, 4 expert consensus and 4 systematic reviews. Twenty-eight items of evidence were synthesized into the following 6 domains: preparation for plasma exchange, selection, volume, and storage of replacement fluids, application of anticoagulants, equipment monitoring, prevention and management of complications, and off-machine management. Conclusion: The evidence summarized in this study for ALPE nursing care in patients with liver failure is scientific and practical, and can provide a reference for nursing practice.

Objective: To retrieve, evaluate, and summarize the evidence on skin and wound management in neonates with Epidermolysis Bullosa (EB) to provide a reference for clinical practice. Methods: According to the "6S" evidence resource pyramid model, clinical decisions, best practices, guidelines, evidence summaries, expert consensus, expert opinions, systematic reviews, and randomized controlled trials on skin and wound management of neonates with EB were systematically searched in relevant websites as well as Chinese and English databases from January 1, 2014 to September 30, 2024. The quality of the included papers was evaluated and the evidence was extracted and summarized. Results: A total of 9 articles were finally included, among which there were 2 clinical decisions, 1 guideline, 5 expert consensus and 1 best practice. Finally 31 pieces of evidence for skin and wound management in neonates with EB were formed from 3 aspects, including skin management, wound management, and pain management. Conclusion: The evidence of skin and wound management in neonates with EB can provide an evidence-based basis for the clinical practice of medical staff.

Objective: To search, evaluate and summarize the evidence for puncture management during the initiation period of Autologous Arteriovenous Fistula (AVF) in patients with Maintenance Hemodialysis (MHD). Methods: Following the "6S" evidence pyramid model, a systematic search was conducted in relevant websites, professional association guideline platforms, and domestic and international databases for evidence on AVF puncture management in MHD patients from January 1, 2015, to December 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: Fourteen documents were included, comprising 1 clinical decision-making document, 5 guidelines, 4 policy texts, 2 evidence summaries, 1 evidence-based practice article, and 1 Meta-analysis. Twenty-five pieces of evidence were summarized from nine aspects: team management, puncture timing assessment, pre-puncture preparation, puncture method, puncture fixation, needle removal management, pain management, puncture failure management, and health education. Conclusion: The evidence for puncture management during the initiation period of AVF in patients with MHD summarized in this study is scientific and practical, and can provide a basis for medical staff to improve puncture management during the initiation period of AVF in MHD patients and the quality of care.

Talent portrait is an information technology based on big data analysis and artificial intelligence, which empowers us to accurately depict and effectively predict the characteristics, abilities, and potential of specific positions or occupational collectives. By utilizing talent portrait technology, we can identify specialized personnel with greater accuracy. This paper provides an overview of talent portrait, the construction processes, technical challenges, and the enlightenment of nursing talent portraits for post management, aiming to offer a reference for the management of nursing talents.

Objective: To investigate the training needs of interventional nurses in Jiangsu province, and to provide a foundation for developing scientifically and rational training programs. Methods: A total of 325 interventional nurses from 13 hospitals in Jiangsu province were recruited by convenience sampling method from November to December 2023, and a self-designed questionnaire was used to investigate the specialized training needs of these nurses. Results: Totally 97.54% of interventional nurses considered it necessary to conduct specialized training, and 92.00% of interventional nurses were willing to participate in interventional training. There was statistical significance in the scores of interventional knowledge, complication prevention and treatment and emergency nursing between nurses in interventional operating room and nurses in interventional ward (P<0.05). Different types of interventional nurses had different training requirements. Conclusion: The survey of 13 hospitals in Jiangsu province indicates a high demand for specialized training among interventional nurses. It is suggested to strengthen the specialized training of interventional nurses at different levels, formulate systematic, comprehensive, scientific and personalized training programs, improve the core quality of interventional nurses, and promote the sustainable development of interventional nursing.

Objective: To analyze the behavior of evidence-based nursing and the influencing factors among nurses in tertiary hospitals, in order to provide a basis and reference for the scientific and effective implementation of training on the evidence-based nursing research capabilities of nurses. Methods: A total of 866 nurses were recruited from tertiary hospitals from October to December 2024 through convenience sampling. Questionnaires used in this study were the Evidence-based Practice Questionnaire, the Barriers to Research Utilization Scale, and the Facilitators of Research Utilization Scale. Besides, participants' demographic characteristics were also collected. Multiple linear regression was used to analyze the influencing factors of evidence-based practice behavior. Results: The mean scores of behaviors, attitudes, and knowledge towards evidence-based nursing were 4.77±1.44, 4.87±1.36, and 4.50±1.18, respectively. Age, nurses' knowledge and attitudes of evidence-based nursing were the influencing factors of behaviors of evidence-based nursing. The greatest barrier to research utilization was the communication factors. The top two factors that could facilitate research utilization were leaders' support and encouragement and a capable nurse as the group leader. Conclusion: The level of behaviors of evidence-based nursing among nurses in tertiary hospitals remains to be improved. Nurses' age, knowledge and attitudes of evidence-based nursing were the influencing factors of behaviors of evidence-based nursing. Continuing education and training are expected to improve the knowledge, attitudes, and behaviors of evidence-based practice among nurses.

Objective: To develop a community-linked peer support program for family caregivers of patients with dementia based on peer support program development guide, so as to provide guidance and reference for the community to carry out family caregiver support for patients with dementia. Methods: Through literature research, analysis of Wechat group chat messages, semi-structured interviews and expert group meetings, the first draft of the peer support program for family caregivers of patients with dementia was constructed. After two rounds of Delphi expert consultations, the final version of the program was formed. Results: The effective return rates of questionnaires in two rounds were 85.0% and 100.0%, respectively. Both of the expert authority coefficient were 0.875. The Kendall's coefficient of concordance for importance and feasibility in the first round of expert consultation were 0.097 and 0.098, respectively, and in the second round were 0.083 and 0.115, respectively, all of which were statistically significant (all P<0.05). The final version of the program consisted of 4 first-level items, 15 second-level items and 51 third-level items. Conclusion: The community-linked peer support program for family caregivers of patients with dementia is scientific, reliable, comprehensive and operable, and can provide guidance for the community to support family caregivers of patients with dementia.

Objective: To establish an evaluation index system for health behaviors among patients with Gestational Diabetes Mellitus (GDM). Methods: Based on the socio-ecological model of health-related behaviors, the study used literature review, semi-structured interviews, Delphi expert consultation and analytic hierarchy process to determine the contents of the index system and the weight of each index. The evaluation index system was converted into a questionnaire. Using the convenience sampling method, a total of 105 patients with GDM were selected for investigation from July to August 2024 to test the reliability and validity of the questionnaire. Results: The response rates of the 2 rounds of expert consultation were 93.3% and 100.0%. The expert authority coefficients were 0.931 and 0.938, respectively. The variation coefficients of each item ranged from 0.11 to 0.20 and from 0.04 to 0.18. The Kendall harmony coefficients were 0.178 and 0.197 (all P<0.001). The evaluation index system of health behaviors for patients with GDM consisted of 3 first-level indexes, 10 second-level indexes and 29 third-level indexes. The Cronbach's α coefficient of the questionnaire was 0.963 and the content validity index was 0.892, indicating that the content of the index system has good reliability and validity. Conclusion: The evaluation index system constructed for GDM patients was scientific and specialized, which can evaluate the health behavior of GDM patients from multiple dimensions and at multiple levels.

Objective: To explore clinical application protocol and preliminary effect of magnetic navigation combined with Intracardiac Electrocardiogram (IC-ECG) tip confirming technique for PICC insertion in China, provide reference for the development of this technique. Methods: According to previous studies and relevant domestic standards, formulated the clinical application protocol of this technique. Applied this technique to insert PICCs for 10 patients with cancer according to the protocol. Observed the PICC insertion process; analyzed the PICC tip magnetic navigation, IC-ECG and X-ray; recorded actual time spent on X-ray and medical costs; observed symptoms/signs of catheter-related venous thrombosis, infection (intravenous site infection and Central Line-Associated Bloodstream Infection) during the 28-day observation period; investigated operator feedback. Results: Successfully inserted PICCs on first-attempt for 10 patients. Real-time magnetic navigation facilitated continuous tip tracking during insertion, enabling immediate correction of 2 primary tip malposition cases. Characteristic P-wave amplitude maximization was observed in all IC-ECG recordings, with subsequent radiographic confirmation of tip location in the mid-to-distal superior vena cava or Cavoatrial Junction in 100% of cases. The actual time spend on X-ray was 20.1±4.8 min, and the medical cost was 91.5 CNY/pts. No catheter-related venous thrombosis or infection were documented during the 28-day observation period. Operator feedback indicated the technique can reduce the occurrence of malposition with unanimous willingness for continued technique adoption. Conclusion: This preliminary study suggests that integrated magnetic navigation with IC-ECG guidance can correct the tip malposition during PICC insertion process. The technique demonstrates high operator acceptance and procedural feasibility. However, it is necessary to further explore the application effect in China.

Objective: To summarize and analyze the oral health assessment instruments employed for ICU patients both domestically and internationally, aiming to provide a reference for clinical nurses in selecting appropriate tools for evaluating the oral health of ICU patients. Methods: According to the research methodology of the scoping review, a systematic search was conducted on relevant literature in Chinese and English databases up to November 30, 2024. A screening process was carried out to identify oral health assessment tools for ICU patients that met the inclusion criteria, and the tools were summarized and analyzed. Results: A total of 16 studies were included, encompassing 14 oral health assessment tools. These tools evaluated a range of factors, including age, oral condition, voice, pain, swallowing function, respiratory support, nutritional support, ect. Conclusion: The effectiveness of the current oral health assessment tools for ICU patients remains unclear, and their clinical application is limited, which requires further validation and improvement.

Objective: To investigate the current status of perioperative pain management practice among medical staff caring for patients undergoing Total Knee Arthroplasty (TKA), and analyze its influencing factors, in order to provide a basis for optimizing TKA pain management strategies. Methods: Guided by the Theory of Planned Behavior, we developed the perioperative pain management behavior questionnaire for TKA medical staff. From March to April 2024, we surveyed 307 doctors and nurses involved in the diagnosis and care of TKA patients by convenience sampling method. Single-factor analysis and multiple stepwise linear regression were employed to identify influencing factors. Results: The overall score for perioperative pain management behavior among medical staff was 77.42±10.59, corresponding to a scoring rate of 86.0%. Influencing factors included self-evaluation, personnel category (operating room and orthopedic nurses), age, learning of TKA pain management during school years, explained 22.1% of the total variation. Conclusion: While medical staff demonstrate a generally positive attitude toward TKA perioperative pain management, a gap remains between their attitudes and actual clinical practices. Variations in subjective norms were observed, with non-standardized pain management documentation being a prevalent issue.