Objective: To explore a rehabilitation specialist nurse training system based on Competency-Based Education, aiming to promote the high-quality development of rehabilitation nursing education. Methods: Since 2016, based on national and provincial platforms, the training base set the training goals and the "Five-Classroom" training system tailored for the capacity building of rehabilitation specialist nurses guided by job competency. Through evaluation and assessment, the program promoted systematic competency development and enhanced job adaptability among trainees. Results: The base has completed training for 227 national and provincial rehabilitation specialist nurses, with trainee satisfaction exceeding 99%. The average Objective Structure Clinical Examination score for core skills surpassed 85, showing more than a 20% improvement from baseline. In total, 113 academic papers were published, 53 research projects were initiated, and 19 national patents were granted. Conclusion: The rehabilitation specialist nurse training system effectively aligns cognitive development with job responsibilities, providing a practical model for competency improvement and the standardization of nursing education systems.

Objective: To explore the effects of "Internet+" health coaching technology in cardiac rehabilitation care for patients after Coronary Artery Bypass Grafting (CABG) surgery, and to provide references for improving the quality of cardiac rehabilitation in patients. Methods: A total of 78 patients undergoing CABG in a tertiary grade A hospital in Hefei from January 2023 to June 2024 were selected by convenience sampling. Using a random number table, they were divided into a control group (n=39) and an observation group (n=39). The patients in control group were provided with routine care, while the patients in observation group were provided with "Internet +" health coaching technology. The Adherence of Cardiac Rehabilitation Assessment Scale in Patients with Coronary Heart Disease, the Heart Health Self-Efficacy and Self-Management scale as well as the Short Form 36 Health Survey Questionnaire were used to assess the effects before and after intervention care. Results: After intervention, the observation group (28.78±1.87) demonstrated significantly higher scores in cardiac rehabilitation adherence than that in the control group (26.87±1.36), with differences being statistically significant (P<0.001). Additionally, the observation group exhibited superior self-efficacy, self-management ability in cardiac health, and quality of life compared to the control group, and these differences were also statistically significant (P<0.05). Conclusion: The "Internet +" health coaching technology is valuable and referred for patients undergoing CABG in strengthening postoperative compliance of cardiac rehabilitation, enhancing self-efficacy and self-management as well as improving quality of life.

Objective: To explore the clinical effect of individualized diet table in the care of stroke patients with dysphagia, providing a reference for optimizing the dietary management strategies for patients. Methods: A non-simultaneous control study was conducted. A total of 121 stroke patients with dysphagia hospitalized in the Rehabilitation Center of a tertiary hospital in Xi'an from December 2022 to December 2024 were conveniently selected as the research subjects. The 60 patients admitted before December 2023 were assigned to the control group and received routine care, while the 61 patients admitted after January 2024 were assigned to the intervention group and received care guided by individualized diet table for assessment and measures. The differences in the incidence of dysphagia complications and the accuracy rate of nurses' assessment of dysphagia between the two groups were compared. Results: The incidence of aspiration pneumonia and malnutrition in the intervention group was significantly lower than those in the control group, and the serum prealbumin value in the intervention group were 4.9% and 8.2%, which were lower than those in the control group (30.0%, 18.3%), all differences were statistically significant (P<0.05). The accuracy rate of nurses' assessment of dysphagia in the intervention group was significantly better than that in the control group (P<0.05). Conclusion: The implementation of individualized diet table not only reduces the incidence of complications in stroke patients with dysphagia, improves their nutritional status, but also enhances the assessment ability of clinical nurses for dysphagia in stroke patients.

Objective: To develop and apply a graded pulmonary rehabilitation program for patients with difficult weaning from mechanical ventilation, providing a reference for clinical management of patients. Methods: Based on literature review and two-round correspondence consultation with 20 experts, a program was developed. From January to June 2024, a convenience sample of 200 patients with difficult weaning from mechanical ventilation in five hospitals in Shanxi province were randomly divided into a control group and an intervention group, with 100 cases in each group. The control group received routine nursing care, while the intervention group received a graded pulmonary rehabilitation program. The respiratory function, mechanical ventilation time, and weaning success rate were compared between the two groups. Results: The final graded pulmonary rehabilitation program for patients with difficult weaning encompassed 22 specific measures across three dimensions: pulmonary rehabilitation assessment, pulmonary rehabilitation grading strategy, and safety monitoring during pulmonary rehabilitation. The intervention group had higher diaphragm thickening fraction, diaphragm mobility, maximum inspiratory pressure, maximum expiratory pressure, and weaning success rate than those in the control group, all with statistically significant differences (P<0.05). The mechanical ventilation duration in the intervention group was (18.75±3.04) days, which was shorter than (25.57±3.29) days in the control group, and the difference was statistically significant (P<0.001). Conclusion: The graded pulmonary rehabilitation program for patients with difficult weaning is scientific and clinically applicable. It can effectively improve patients' respiratory function, shorten the duration of mechanical ventilation, and increase the success rate of weaning.

Objective: To evaluate the effect of Advanced Nursing Practice in the airway rehabilitation management program for patients undergoing tracheostomy, providing a reference for promoting the rehabilitation of patients with tracheostomy. Methods: Based on existing issues, evidence was reviewed to develop airway management program. A non-synchronous controlled study was conducted, with 26 patients who underwent tracheostomy at a tertiary grade A hospital in Chengdu from September to December 2022 serving as the control group, and 34 patients from September to December 2023, treated under the Advanced Nursing Practice in airway rehabilitation management program, serving as the intervention group. The success rate of successful extubation, medical expenses, and other aspects between the two groups were compared. Results: The success rate of extubation in the intervention group (32.4%) was higher than that in the control group (3.8%), with a statistically significant difference (P<0.05). However, there was no statistically significant difference between the two groups in terms of the number of days with tracheostomy during hospitalization and the average length of hospital stay (P>0.05). The medical expenses in the intervention group was lower than that in the control group, and the family satisfaction score in the intervention group was higher than that in the control group, all with statistically significant differences (P<0.05). Conclusion: The Advanced Nursing Practice in airway rehabilitation management program for patients undergoing tracheostomy contributes to enhancing the success rate of extubation, facilitating multidisciplinary collaboration and evidence-based nursing practices, and optimizing patient outcomes.

Objective: To explore the motivations and barriers to lifestyle changes in young and middle-aged patients with Type 2 Diabetes Mellitus (T2DM) and inform intervention studies. Methods: In-depth semi-structured interview was conducted with 13 young and middle-aged T2DM inpatients in a tertiary grade A hospital in Tianjin from September to October 2024, purposive sampling method was used to select patients. The phenomenological method and content analysis were applied to analyze the interview data. Results: Three main themes emerged regarding motivations: perceived risk of diabetes, susceptibility to complications, and benefits of a healthy lifestyle. Barriers to lifestyle change were categorized into four themes: difficulties in changing dietary habits, lack of disease symptoms, work-related and dining constraints, and social gatherings leading to relaxed control. Conclusion: Young and middle-aged T2DM patients face specific barriers and facilitators to lifestyle changes. Clinical staff should address these barriers through targeted education to enhance healthy lifestyle adherence.

Objective: To analyze the latent classes of the stigma development trajectory among the family members of patients with first-episode mental disorders, and to analyze the influencing factors, so as to provide references for clinical nursing. Methods: By using the convenience sampling method, 200 family members of patients with first-episode mental disorders who were admitted to a tertiary grade A psychiatric specialized hospital in Shaoxing from January 2021 to December 2023 were prospectively recruited as the research participants. The Perceived Devaluation-Discrimination Scale was used to assess the stigma of the family members of the patients at baseline, 1-month follow-up, 3-month follow-up, and 6-month follow-up. The optimal number of classes was analyzed by the growth mixture model and classes were named, and the independent influencing factors of latent class differences were analyzed by Logistic regression analysis. Results: The stigma development trajectory of the 200 family members of patients with first-episode mental disorders could be divided into four classes, namely, mild stigma aggravation type, mild stigma improvement type, moderate stigma improvement type, and high-level stigma improvement type. Age, educational level, per-capita monthly family income, co-care with others, occupation, social support, and patient disease type were the independent influencing factors for the family members of patients with first-episode mental disorders to form different stigma development trajectories (P<0.05). Conclusion: There is heterogeneity in the stigma development trajectory of the family members of patients with first-episode mental disorders, and it is affected by factors such as age, educational level, per-capita monthly family income, co-care with others, social support, occupation, and patient disease type.

Objective: To investigate the status quo and influencing factors of self-care ability of patients with urostomy, so as to provide theoretical basis for clinical intervention. Methods: A cross-sectional study was conducted from February to August 2023 using convenience sampling among 249 urostomy patients from four tertiary grade A hospitals in Yunnan, Guizhou and Chongqing, China. In addition to demographic questions, Ostomy Self-Care Index (OSCI), the Mutuality Scale and the General Self-Efficacy Scale were used for evaluation. Multiple linear stepwise regression analysis was employed to identify the influencing factors of the self-care ability of patients with urostomy. Results: The mean overall OSCI score regarding urostomy patients was 59.94±17.85. The results of multiple linear stepwise regression analysis showed that education level, frequency of stoma appliance replacement, whether patients had stoma problems, general self-efficacy and mutuality were the predictors of self-care ability of urostomy patients (P<0.05). Conclusion: The self-care ability of patients with urostomy is low. Medical staff should pay attention to the self-care ability of patients, and construct a multi-dimensional intervention program based on education level, complication prevention, nursing skills training and social support system to improve the quality of life of patients.

Objective: To construct a symptom assessment platform and to use this intelligent platform to explore the trajectory of the prevalent core symptoms of esophageal cancer patients in the postoperative period, as well as the interactions between symptoms, in order to provide evidence for coordinated and precise management of symptoms. Methods: A symptom assessment platform based on the Ecological Momentary Assessment approach was developed, the five symptoms (pain, sleep disturbance, fatigue, anxiety, and abdominal distension) of 171 patients with esophageal cancer were monitored during one week after the operation. Results: The overall level of the five symptoms of esophageal cancer after the operation was at a medium to low level but displayed diverse dynamic trends at different time points. There were multiple interactions among the symptoms, among which the combined effect of pain and anxiety was particularly significant for fatigue (B=-0.284, P<0.05). Increasing pain increased fatigue over time (B=0.474, P<0.05). The negative effect of anxiety on fatigue decreased over time (B=-0.129, P<0.05). Conclusion: The trajectory characteristics of core symptoms in postoperative esophageal cancer patients exhibit dynamic evolution and diversity, with varying degrees of interaction observed at different time points. Meanwhile, a symptom assessment platform developed based on the ecological momentary assessment approach enables real-time and precise monitoring of patients’ symptoms, providing an important theoretical foundation and technical support for achieving precise intervention and collaborative management of symptoms in the future.

Objective: To explore the metamemory status, types, and influencing factors among family caregivers of hospitalized neurocritical patients, and provide a basis for developing targeted caregiver support programs. Methods: We used convenience sampling to select 300 family caregivers of neurocritical inpatients in a tertiary grade A hospital in Chongqing from November 2023 to April 2024. We conducted a survey using a general information questionnaire, the Multifactorial Memory Questionnaire (MMQ), the Chinese Auditory Verbal Learning Test, the Coping and Adaption Processing Scale, the Zarit Caregiver Burden Interview, and the Hospital Anxiety and Depression Scale. The MMQ's three subscales were used as clustering variables for clustering. Logistic regression analyzed each factor's influence on different types. Results: Caregivers' average metamemory total score was 107.74±27.21. Cluster analysis divided metamemory into three types: global adaptation type (32.3%), strategy activation type (24.3%), and memory compromise type (43.3%). Logistic regression analysis revealed that caregivers' episodic memory, coping adaptability, anxious mood, occupational status, and chronic disease status were influencing factors of metamemory types (P<0.05). Conclusion: Family caregivers of hospitalized neurocritical patients have above-average memory satisfaction and self-evaluation of memory ability, but poor overall memory strategy use. There is high heterogeneity among the three metamemory types based on cluster analysis. Healthcare providers can develop targeted caregiver support programs according to distinct metamemory characteristics.

Objective: To develop an intelligent follow-up information platform for comprehensive maternal-perinatal healthcare and to evaluate its application effects, so as to provide a reference for improving maternal and child health care services. Methods: An intelligent follow-up information platform for comprehensive maternal-perinatal healthcare was developed through literature review and semi-structured interviews. Using a convenience sampling method, a total of 225 pregnant women who completed the entire health management process in a tertiary grade A hospital in Tianjin from April to June 2022 were recruited and assigned to the control group and followed up by a third-party App. Another 245 pregnant women admitted from October to December 2023 were recruited and assigned to the intervention group and followed up through the intelligent follow-up information platform. The duration of the intervention period was 11 months. Compare the health outcome indicators of mothers and infants, quality indicators of antenatal and intrapartum management, and satisfaction rate between the two groups before and after the intervention, and evaluate platform usability. Results: The following outcomes of participants in the intervention group were significantly better than those in the control group: natural delivery rate, pelvic floor function screening rate, knowledge level, coverage rate of high-risk pregnant women under platform management, follow-up rate of pregnancy complications, and satisfaction rate (all P<0.05). Besides, the following outcomes of participants in the intervention group were significantly lower than those in the control group: postpartum hemorrhage, incidence of macrosomia, and follow-up duration (all P<0.05). The platform usability scores of both nursing staff and the intervention group participants were above 70. Conclusion: The application of the intelligent follow-up information platform for comprehensive maternal healthcare has improved the efficiency of perinatal management and service quality. With good usability, it holds significant value for clinical promotion.

Objective: To evaluate the application effects of home withdrawal program in critically ill patients with tube feeding dependence after enteral nutrition treatment, and to provide reference for helping patients with early withdrawal tube feeding. Methods: Through literature review and Delphi expert consultation, a home-based withdrawal program for tube feeding dependence after enteral nutrition therapy in critically ill patients was constructed. From August to November 2024, a total of 31 patients with tube feeding dependence after enteral nutrition therapy in Ward 1 of the Intensive Care Unit at a tertiary grade A hospital in Tianjin were selected as the intervention group and received a home withdrawal plan based on routine follow-up. In Ward 2, a total of 30 patients with tube feeding dependence after enteral nutrition treatment were selected as the control group, and received routine follow-up. Results: The results of repeated measures analysis of variance showed that there were significant differences in the scores of tube feeding dependence symptoms between the two groups at different time points (P<0.001). After 1 month of intervention, the score of tube feeding dependence in the intervention group (34.61±6.01) was lower than that in the control group (50.20±12.79), and the difference was statistically significant (P<0.001). There was significant difference in quality of life between the two groups (P<0.05). The successful cases of tube feeding withdrawal in the intervention group were more than those in the control group, and the cases of aspiration, vomiting, abdominal distension and diarrhea were less than those in the control group, with statistically significant differences (P<0.001). The weight loss of the intervention group was significantly lower than that of the control group, and the difference was statistically significant (P<0.001). Conclusion: The home withdrawal program of tube feeding dependence after enteral nutrition treatment in critically ill patients is scientific, safe and feasible. It has been preliminarily verified in helping patients to restore oral feeding, reduce the symptoms of tube feeding dependence and improve the quality of life.

Objective: To use the evidence to standardize blood culture collection for infants and toddlers with suspected bloodstream infection and assess its clinical effectiveness, in order to promote the translation of evidence into clinical practice. Methods: We selected infants and toddlers with suspected bloodstream infection who met the criteria and 15 nurses involved in the project as subjects. From February to March 2024, 286 patients were in the pre-evidence application group, and from June to July 2024, 165 patients were in the evidence application group. Based on the evidence, we set up clinical audit indicators and used the i-PARIHS framework to analyze implementation barriers and develop strategies for reform. Comparisons were made regarding the execution of audit indicators by nurses before and after the application of the evidence-based protocol, the knowledge level of nurses related to blood culture collection and transportation evidence; the proportion of specimens from collection to loading and incubation and the contamination rate of specimens of infants and toddlers. Results: After applying the evidence, the 15 nurses' knowledge scores on blood culture collection and transportation increased to 90 (80, 90), and the compliance rates of audit indicators rose to 93.9% to 100.0%. The proportion of specimens of infants and toddlers from collection to loading and incubation increased to 93.3%, and the contamination rate dropped to 0, with statistically significant changes (P<0.05). Conclusion: The evidence-based practice project can effectively standardize healthcare providers' practices in blood culture specimen collection, improving the pre-analytical quality of blood culture specimens.

Objective: To develop an intelligent precision feeding management platform and to evaluate its effects, so as to enhance the feeding outcomes of these children. Methods: The platform was designed and developed through a literature review and extensive consultations from clinical professionals and children parents. From March to April 2023, 66 primary caregivers of children with congenital heart disease were recruited from a tertiary grade A hospital in Beijing for a survey regarding their platform acceptance. From May to July 2023, 69 pairs of children with congenital heart disease and their primary caregivers were investigated about the Positive Aspects of Caregiving of caregivers and the Infant and Child Feeding Index of children before and after using the platform. Results: The platform included multiple modules such as total 24-hour intake calculation, cumulative intake and output records, growth development monitoring, medication database, infant feeding educational courses, and data statistics. The 66 primary caregivers had a relatively high overall acceptance of the platform with a score of 97.64±10.09. One month after the platform application, the score of primary caregivers' Positive Aspects of Caregiving increased significantly, and the Infant and Child Feeding Index of children was improved (P<0.05). Conclusion: Primary caregivers of children with congenital heart disease have a relatively high acceptance of the intelligent precision feeding management platform. The application of this platform can enhance their positive feelings, and increase the feeding qualification rate.

Objective: To search and summarize the relevant evidence for the non-pharmacological management of overweight or obesity in women during perimenopause in order to provide evidence-based evidence for clinical practice. Methods: Articles regarding the non-pharmacological management of overweight or obesity in women during perimenopausal period was systematically searched from databases, guideline websites and professional association websites until November 30, 2024.Researchers trained in systematic evidence-based nursing evaluated methodological quality of the included articles and collected the evidence after data extraction. Results: A total of seven articles were included, including two guidelines, two expert consensus and three systematic reviews or Meta-analysis, and 20 pieces of evidence were formed with 5 categories of assessment and planning, diet intervention, exercise intervention, other therapies and health education and follow-up. Conclusion: This study summarizes evidence for the non-pharmacological management of overweight or obesity in women during perimenopause, which provides a reference for clinical practice. It is suggested that personalized management programs should be developed according to patients' own conditions and habits when applying this evidence.

Objective: To understand the current status of patient journey map in management of cancer patients, so as to provide references for further improving the health management strategies for tumor patients. Methods: Using the JBI 2020 edition of the scoping review guidelines as the methodological framework, Chinese and English databases such as PubMed were systematically searched from the establishment of the database to February 28, 2025. Researchers screened the literature and extracted data to conduct a scoping review. Results: A total of 14 articles were included with 12 English papers and two Chinese papers. Nine were qualitative studies and 5 were mixed-method studies. The contexts of patient journey map for cancer patients could be classified into six categories, such as providing information for healthcare system improvement. Three types of patient journey map were included in this study mainly with visualized flowcharts. Conclusion: Patient journey map has been widely used in health management of cancer patients out of China. Their application contexts are constantly expanding, and there are various study types and visualization methods. However, their research methods and reporting guidelines are not standardized. In the future, diversified patient journey map studies can be conducted in multiple cancer types to enhance the quality of health management.

Objective: To analyze the risk factors for neonatal hypothermia at admission and provide references for clinical prevention and interventions. Methods: A comprehensive search was conducted in both domestic and international databases for cohort studies, case-control studies, and cross-sectional studies related to factors influencing neonatal hypothermia at admission. The search period covered the inception of the databases up to February 28, 2025. Meta-analysis was performed using RevMan 5.4 to calculate the pooled Odds Ratios (OR) for each influencing factor. Results: A total of 12 studies were included in the systematic review, including 3 case-control studies, 7 cohort studies, and 2 cross-sectional studies. The case group consisted of 7096 cases, and the control group consisted of 4367 cases in the control group. The Meta-analysis showed that the main factors influencing neonatal hypothermia at admission were: 5-minute Apgar score ≥7 (OR=0.57), prenatal corticosteroid use (OR=0.47), birth weight <2500 g (OR=3.61), resuscitation experience (OR=3.14), cesarean section (OR=1.39), delayed breastfeeding (OR=2.79), asphyxia experience (OR=3.97), 1-minute Apgar score ≥7 (OR=0.48), multiple pregnancies (OR=1.67), maternal obstetric complications (OR=5.26), and transport in cold season (OR=2.31). Conclusion: The occurrence of neonatal hypothermia at admission is influenced by multiple factors. Therefore, targeted preventive measures should be implemented for neonates at admission to reduce the incidence of neonatal hypothermia.

Objective: To conduct a scoping review of the application of Artificial Intelligence in nursing education, understand the current situation, and provide references for future practical research. Methods: Following the framework of a scoping review, we systematically searched relevant studies in Chinese and English databases from their inception to February 28, 2025, and summarized and analyzed the included literature. Results: A total of 21 studies were included in the review. The application modalities of Artificial Intelligence in nursing education encompass machine learning, natural language processing, computer vision, and robotics. The primary application contexts include intelligent educational environments, support for intelligent learning processes, intelligent educational assessment, and intelligent teaching assistants. The evaluation criteria primarily focus on effectiveness and feasibility. Conclusion: Artificial Intelligence technologies have demonstrated significant potential and positive outcomes across various aspects of nursing education. Future research should focus on further optimizing teaching content, improving evaluation index systems, and conducting high-quality long-term effectiveness tracking studies. These efforts are essential to advancing intelligent education systems and enhancing the quality of nursing education and training.

Objective: To construct an index system of nursing risk assessment for pregnant patients in dental clinics to provide reference for related risk assessment. Methods: Through literature analysis, semi-structured interview and Delphi method, the nursing risk assessment index system for pregnant patients in dental clinics was established. And the weight of indicators was determined by analytic hierarchy process. Results: The effective questionnaire response rates for three rounds of expert inquiry were 100%, 100% and 94.74%, respectively, with the expert authority coefficients being 0.842, 0.842 and 0.832, respectively. After three rounds of inquiry, the Kendall harmony coefficients of the first, second and third level indicators were 0.467, 0.286, and 0.193, respectively (P<0.01). The final evaluation index system included 3 first-level indicators, 11 second-level indicators and 40 third-level indicators. Conclusion: The risk assessment index system for pregnant patients in dental clinics constructed in this study is comprehensive, scientific, and professional to provide reference for clinical nursing staff to accurately and effectively evaluate the nursing risks of pregnant patients in dental clinics.

Objective: To analyze the influencing factors of Intraoperative Acquired Pressure Injuries (IAPI) in patients undergoing posterior spinal surgery and construct a risk prediction model, aiming to provide a screening tool for such patients. Methods: A total of 435 patients who underwent posterior spinal surgery from November 2022 to March 2023 at a tertiary hospital in Nanchang were enrolled. Their clinical data were collected. Univariate and Logistic regression analysis were used to identify risk factors and construct a risk prediction model, followed by the creation of a nomogram. Results: IAPI occurred in 66 patients, with an incidence rate of 15.17%. Logistic regression analysis showed that age (OR=1.052), diabetes (OR=3.310), BMI (OR=2.977), spinal cord injury (OR=3.106), surgical duration (OR=1.027), and serum albumin (OR=0.874) were influencing factors for IAPI (P<0.05). The nomogram model had an AUC of 0.864 (95% CI: 0.820, 0.908), indicating good discrimination. The Hosmer-Lemeshow test showed χ2=3.004 and P=0.934, suggesting good model fit. The calibration curve demonstrated good agreement between predicted and observed probabilities of IAPI. Conclusion: The constructed risk prediction model for IAPI in patients undergoing posterior spinal surgery shows good predictive performance and holds clinical application value.

Objective: To analyze the latent categories and characteristics of clinical nurses' innovative behaviors and explore the influencing factors of these categories, thereby providing a basis for nursing managers to take interventions to stimulate nurses' innovative behaviors. Methods: Using a convenience sampling method, 1050 nurses from five tertiary general hospitals in Jining city were selected as survey participants from November to December 2023. A questionnaire survey was conducted using General Information Survey, Nurse Innovative Behavior Scale, Paradoxical Leader Behavior Scale, and Psychological Empowerment Scale. Then latent profile analysis was adopted to determine the potential categories of nurses' innovative behaviors, and univariate analysis and Logistic regression analysis were used to identify the influencing factors of the latent categories. Results: The score for nurses' innovative behaviors was 33.12±6.62. Nurses' innovative behaviors could be divided into three latent profiles: high creativity-positive (28.86%), low support-negative (16.38%), and moderate level (54.76%). Logistic regression analysis and model fitting results consistently showed that age, job title, psychological empowerment, and paradoxical leadership were influencing factors of the latent classes of nurses' innovative behaviors. Conclusion: Though individual heterogeneity exists when analyzing nurses' innovative behaviors, nursing managers can classify nurses based on the influencing factors of different latent classes of innovative behaviors to implement targeted interventions to improve their innovative behaviors.

Objective: To investigate the current situation of PICC-related thrombosis prevention in oncology nurses, with a view to improving nurses' preventive competence. Methods: A convenience sample of 1787 oncology nurses from 11 provinces was surveyed in May, 2023 using a general information questionnaire and a PICC-Related Thrombosis Prevention Knowledge, Attitude, and Practice Questionnaire. Multiple linear regression analysis was used to analyze the influencing factors. Results: The standardized scores for knowledge, attitude, and practice of PICC-related thrombosis prevention in oncology nurses were 75(65, 85), 100(100, 100), and 92(80, 100), respectively. Years of working experience, familiarity with PICC-related knowledge, involvement in PICC clinical teaching, patient risk assessment for PICC-related thrombosis, use of thrombosis risk assessment tools, attendance forms at PICC-related training programs, knowledge scores, and attitude scores were significant predictors of preventive behavior (P<0.05), accounting for 21.1% of the variance. Conclusion: Oncology nurses generally hold positive attitudes toward PICC-related thrombosis prevention, but there is room for improvement in knowledge and practice. Nursing managers should attach importance to the professional training of oncology nurses in PICC-related thrombosis prevention knowledge, and promote the transmission of experience through clinical teaching, to improve the overall quality of nursing for patients with PICC catheterization.

Objective: To investigate the current status of organ transplant department nurses' specialized knowledge, attitudes, practices, and training needs, in order to provide a reference for the implementation of in-service education and the optimization of specialized nurse training programs. Methods: Using a convenience sampling method, 214 organ transplant department nurses from 10 hospitals across the country were selected as participants from May to June 2024. And data were collected employing a self-designed questionnaire focusing on their specialized knowledge, attitude, practice, and training needs. Results: The scores for organ transplant department nurses' specialized knowledge in knowledge, attitude, and behavior were 88.56±14.41, 27.20±3.55 and 53.41±10.80, with corresponding score rates of 77.01%, 90.67%, and 76.30%, respectively. According to the results, 85.5% of nurses were willing to participate in organ transplant specialist nurse training, with a training content demand score rate ranging from 88.60% to 90.60%. The preferred duration for theoretical training was 2-4 weeks (32.7%). And for practical training, 25.2% of the nurses chose 2-4 weeks, while 24.8% of them preferred >8-12 weeks. Preferred training methods mainly included direct teaching (76.2%), case-based learning (79.0%), operational demonstration (86.9%), and situational simulation (80.4%). The desired instructors were primarily experienced clinical specialist nurses (91.6%). Conclusion: Organ transplant department nurses exhibit a positive attitude toward learning specialized knowledge; however, their knowledge and practice levels still require improvement. Managers should improve the training programs of specialized nurses in light with their training needs to strengthen their theoretical knowledge and practical behavior training to achieve better training effects.

Objective: To understand the experience of using mobile health technology in the older adults with cognitive frailty in the community, so as to provide a reference for the promotion and usage of mobile health technology in the cognitive frailty population. Methods: From November 2023 to January 2024, based on the phenomenological research design, we adpoted the purposive sampling method according to the principle of maximum differentiation to enroll, 16 seniors with cognitive frailty from 3 communities in Beijing. Then semi-structured one-on-one in-depth interviews were conducted to collect data, which was analyzed by means of Colaizzi's seven-step method. Results: The participants' experience of using mobile health technology in the community was summarized into 3 themes which could be classified into 9 sub-themes: actively embracing new technology (enjoying technological well-being, conforming to current life, and placing health demands); harvesting emotional gains (maintaining independence, strengthening health beliefs and a sense of gains, positive feedback of family support); technology application gap (technology alienation, lack of elderly-oriented technology design, privacy concerns). Conclusion: Community-dwelling older adults with cognitive frailty have a positive willingness to use mobile health technologies, but there is a technological application gap that needs to be bridged. Medical workers and related health technology developers should pay more heed to elderly-oriented design in the process of development and promotion of such technology, so as to cater more to the actual living situations of the target population.

Objective: To map the dietary management journey of hemodialysis patients, and to dynamically identify their multidimensional needs and experiences, in order to provide a reference for improvement of the whole process of dietary management. Methods: A descriptive study was used and 14 hemodialysis patients from the Blood Purification Center of a tertiary grade A hospital in Leshan were interviewed by the semi-structured questions from March to May 2024. The traditional content analysis method was used to integrate the data. A patient journey map was developed. Results: Across the three phases of hemodialysis- preparation, transition, and maintenance, the dietary management journey of patients was reflected through four dimensions (tasks, emotions, challenges, and needs) revealing 28 themes including symptom management, information barriers, emotional conflicts, shared decision-making, social adaptation, and continuous care, etc. Conclusion: The dietary management journey of hemodialysis patients is complex and dynamic, and it is recommended to develop dialysis dietary support tools based on patients' dietary preferences, cooperating with multi-stakeholders. It is expected to meet the changes in dietary management needs in different dialysis periods, and promote their social reintegration.

Objective: To construct a salt-control behavior intervention program for middle-aged and young hypertensive patients based on the Easy, Attractive, Social and Timely (EAST) behavioral intervention principles and nudge theory and provide references for further improving salt-control behavior of middle-aged and young hypertension patients. Methods: The first draft of the salt-control behavior intervention program was constructed through literature review and qualitative interviews. Totally 2 rounds of expert consultations with 12 experts were performed by Delphi method to establish the final salt-control behavior intervention program for middle-aged and young hypertension patients from July to November 2024. Results: The effective response rates of 2 rounds of the questionnaire were 92% and 100%, respectively; the experts authority coefficients were 0.850, 0.884, respectively; the Kendall's concordance coefficients of the importance and the feasibility of each item in the 2 rounds were 0.267, 0.204 and 0.275, 0.210, respectively (all P<0.05); the variation coefficients for importance and feasibility were 0.06-0.40, 0.10-0.45 and 0-0.22, 0-0.20, respectively. The final program included 4 first-level items (Easy, Attractive, Social and Timely), 11 second-level items and 15 third-level items. Conclusion: The constructed salt-control behavior intervention program for middle-aged and young hypertensive patients in the study is scientific, specific, which provides references for nursing measures of salt-control behavior management in middle-aged and young hypertension patients.

Objective: To construct a dual-task training program for the elderly with subjective cognitive decline and to provide a reference for the research on improving their cognitive function. Methods: The intervention program was developed based on the brain plasticity theory, cognitive reserve theory, and cognition-exercise mutual enhancement concept. The first draft of intervention program was formed by literature research, and subsequently revised by two rounds of expert consultation from March to May 2024. Results: Totally 14 experts were included. The recovery rates of two rounds of questionnaire were 100.0% and 93.3%, respectively. The expert authority coefficient was 0.87. The Kendall harmony coefficient for the second round were 0.295 (P<0.001), and the variation coefficients of each item ranged from 0 to 0.166. The main contents of the final constructed program include knowledge education on subjective cognitive decline, introduction to dual-task training, learning and familiarity with training movements, mastery and practice of training movements, and maintenance of training effects. Conclusion: The dual-task training program for the elderly with subjective cognitive decline is scientifically feasible and can provide a reference for related research on delaying cognitive decline in the preclinical stage.

Objective: To investigate the current status of decisional conflicts among family members of patients before initiating Extracorporeal Membrane Oxygenation (ECMO) therapy and to analyze its influencing factors, in order to provide a basis for intervention development to alleviate their decisional conflicts and improve decision quality. Methods: Using a convenience sampling method, A total of 169 family members of patients scheduled to undergo ECMO treatment in the ICU of a tertiary grade A hospital were recruited from January 2023 to April 2025 in Nanchang. Questionnaires used in this study included the general information questionnaire, the Decisional Conflict Scale, the Preparation for Decision Making Scale, the Decisional Fatigue Scale, the Multidimentional Scale of Perceived Social Support, and the Wake Forest Physician Trust Scale. Binary Logistic regression analysis was employed to identify the influencing factors. Results: The incidence of decisional conflicts among family members of ECMO patients was 63.3%. Binary Logistic regression analysis revealed that decision fatigue, understanding of the patient's disease status and ECMO treatment information, decision preparedness, physician trust, and awareness of social support were the influencing factors of the decisional conflicts (all P<0.05). Conclusion: The level of decisional conflicts among family members of ECMO patients is high. Nursing managers can implement interventions according to the influencing factors targeting at family members experiencing high levels of decisional conflicts to alleviate their decisional difficulties and improve their decision quality.