The deep integration of nursing and infection control is essential to enhance healthcare quality and safeguard patient safety. This article explores the necessity and urgency of deepening the integration between nursing and infection control disciplines. Reviewing the development of nosocomial infection management in China, nursing has made significant contributions to basic, evidence-based, and precise infection control, yet faces three major challenges: omission and insufficient compliance of nurses with basic infection control measures, inadequate recognition of the infection control value of basic nursing care, and infection control risks in specialty nursing practice urgently require solutions. Three strategies are proposed: integrating knowledge to update nursing practice guidelines, strengthening process quality control of basic nursing care, and collaborating to innovate specialized infection control solutions.

Objective: To investigate the current status of standardization in blood culture collection practices among clinical nurses in China, provide a basis for developing training and quality improvement strategies. Methods: An questionnaire survey was conducted from December 1 to 9, 2025, using convenience sampling to investigate registered nurses about their knowledge and practices regarding blood culture collection. The questionnaire was designed based on a systematic review of relevant guidelines and literature. Results: A total of 40,125 valid questionnaires were collected. The proportions of nurses whose knowledge of blood culture collection indications and timing was consistent with guidelines or relevant evidence-based results were 32.74% and 11.71%. The proportions of consistency in nurses whose practices for bottle stopper disinfection and adult skin antisepsis were 23.36% and 35.12%. The proportions of consistency in nurses whose knowledge of appropriate blood volume per bottle for adults and children were 66.10% and 32.69%. Awareness rates for precautions related to blood inoculation into culture bottles ranged from 29.94% to 66.87%. The rate of complete specimen information labeling was 36.53%. The proportions of nurses accurately mastering transport time limits and storage conditions were 23.41% and 51.94%. Conclusion: This study reveals significant deficiencies in the consistency of practices among clinical nurses in China with guidelines/evidence-based results across multiple key steps. It is recommended to develop and promote detailed standardized operating procedures, implement systematic training targeting weak links, and establish a multidisciplinary closed-loop quality management system to improve the pre-analytical quality of blood cultures.

Objective: To investigate the current status of Central Venous Catheter maintenance for blood purification nationwide and analyze the influencing factors of Catheter-Related Bloodstream Infection (CRBSI), so as to provide evidence for reducing CRBSI. Methods: Using stratified cluster sampling, nursing managers from blood purification centers in 31 provinces of China were surveyed in May 2025 with a self-designed questionnaire to investigate the current status of catheter maintenance, and Logistic regression was used to analyze its influencing factors. Results: A total of 2388 valid questionnaires were collected. Logistic regression showed that hospital level, nurse-to-patient ratio, dressing maintenance practices (edge curling and detachment), unauthorized replacement of catheter dressing by the patient, and detachment of gauze covering the catheter were influencing factors for CRBSI (P<0.05). Conclusion: Significant heterogeneity exists in the maintenance of Central Venous Catheters for blood purification, which is significantly affect the risk of CRBSI. It is recommended to construct an optimization protocol integrating operational standards, human resources, and workflow to reduce infection risk.

Objective: To investigate nurses' compliance with the infection prevention and control measures associated with traditional Chinese medicine nursing appropriate technology specified in the Guidelines for Infection Prevention and Control of Traditional Chinese Medicine Medical Techniques (Trial), and to provide evidence for standardized management of infection prevention and control measures. Methods: Using convenience sampling, a cross-sectional survey was conducted among traditional Chinese medicine nursing staff from various medical institutions across 15 provinces in China from August 8 to 15, 2025. A compliance questionnaire containing 28 items was designed based on the guidelines, covering infection prevention and control implementation for six categories of techniques: guasha (scraping therapy), cupping therapy, compressing/ironing/fumigation/bathing therapies, traditional Chinese medicine enema, moxibustion, and massage. Results: A total of 3172 valid questionnaires were collected. Overall, 94.58% of nurses reported having received training on the guidelines. Among the 28 survey items, 19 had an implementation rate exceeding 80%, indicating high compliance with various hand hygiene measures (ranging from 86.04% to 89.73%). The compliance rate for the exclusive use of scraping lubricant was the lowest (67.00%), followed by the independent setup of enema treatment rooms (69.45%), the practice of performing non-retention enemas in treatment rooms (71.23%). Conclusion: The overall compliance of infection prevention and control measures for traditional Chinese medicine nursing appropriate technology is satisfactory. However, resource-intensive requirements (independent treatment room establishment, dedicated lubricating oil protocols) remain challenging to implement.

Objective: To evaluate the effect of standardized cleaning and disinfection procedures without self-cleaning time in sequential Operating Rooms (ORs), and to provide a reference for controlling hospital infections and improving operational efficiency. Methods: A total of 537 sequential operations performed in clean ORs were enrolled from December 2025 to January 2026 across 11 tertiary hospitals in Beijing, Shanghai and Zhejiang by convenience sampling method. Through unified training and assessment, implement a standardized cleaning and disinfection procedures with no self-cleaning time. On-site observations documented operation time and step completion, while environmental surface sampling was performed according to "hygienic standard for disinfection in hospitals". Healthcare worker satisfaction was surveyed. Results: After implementing standardized cleaning and disinfection procedures without self-cleaning time, the overall compliance rate for total bacterial colony counts on environmental surfaces was 95.44%. The complete execution rate for key cleaning and disinfection steps reached 97.30%. The median duration of cleaning and disinfection was 4.80 minutes. Class 1,000 ORs demonstrated the shortest cleaning time (3.00 minutes) and highest compliance rate (96.18%). The median turnover time was 14.30 minutes. The overall satisfaction rate among surgical team members was 95.23%. Conclusion: The standardized cleaning and disinfection procedures without self-cleaning time can effectively control environmental microbial contamination and demonstrates excellent applicability across different air purification levels in ORs. This protocol successfully balances hospital infection control with operational efficiency and offers a replicable solution for ORs management optimization, worthy of popularization.

Postoperative surgical site infection is a common complication that affects patient prognosis and increases the burden of healthcare. In recent years, Artificial Intelligence (AI) has provided novel solutions for surgical site infection management. This article reviews the applications of AI in this field, with a focus on its use in preoperative risk prediction and intelligent monitoring, real-time intraoperative monitoring and intervention, early postoperative warning and decision support. The current challenges are analyzed, such as data quality and algorithmic interpretability. These findings aim to provide theoretical and practical guidance for enhancing the precision and intelligence of surgical site infection management.

Objective: To analyze the latent profile characteristics of physical resilience in older adults with ischemic stroke, and to explore its influencing factors, in order to provide a reference for development of personalized intervention strategies. Methods: A total of 287 older adults with ischemic stroke in a tertiary grade A hospital in Hefei from November 2024 to July 2025 were enrolled through convenience sampling. The general information questionnaire, the Physical Resilience Instrument for Older Adults, the Short Physical Performance Battery, the Chronic Disease Self Efficacy Scale, and the Multidimensional Scale of Perceived Social Support were used for data collection. Latent profile analysis was used to identify the latent profiles of physical resilience, and multinomial Logistic regression was used to analyze the influencing factors. Results: The physical resilience score among older adults with ischemic stroke was 53.00±11.23, indicating an overall moderate level. Patients were categorized into three latent profiles: high resilience-positive belief integration (23.3%), moderate resilience-passive adaptation adjustment (44.3%), and low resilience-weak belief and coping (32.4%). Age, educational background, number of comorbidities, self-efficacy for chronic disease management, perceived social support, and simplified physical condition were identified as significant factors influencing physical resilience in older adults with ischemic stroke (all P<0.05). Conclusion: Significant group heterogeneity exists in physical resilience among older adults with ischemic stroke and the profiles are influenced by multiple factors. Healthcare providers can identify patients' resilience categories early to develop targeted, stratified intervention strategies, thereby enhancing overall resilience levels of the patients.

Objective: To evaluate the effects of the structured narrative therapy on preoperative anxiety and psychological adjustment in children undergoing urological surgery, and to provide a reference for perioperative psychological care in this population. Methods: A total of 86 children who underwent elective urological surgery in the pediatric urology department of a tertiary grade A hospital in Beijing from January 2024 to January 2025 were enrolled and randomly assigned into a narrative group and a control group, with 43 cases in each group. The control group received routine perioperative nursing care, while the narrative group received an additional 7 session structured narrative therapy intervention throughout the perioperative period. The primary outcome was preoperative anxiety assessed by the modified Yale Preoperative Anxiety Scale (m-YPAS). Secondary outcomes including coping style, emotional state, and parents' satisfaction with nursing care were evaluated before discharge. Results: After the intervention, the m-YPAS score in the narrative group (25.82±2.00) was significantly lower than that in the control group (40.78±2.68) (P<0.001). They also showed higher confrontation coping, positive emotion, and family care experience scores, and lower avoidance/resignation coping and negative emotion scores (all P<0.05). Parents' satisfaction with nursing care was higher in the narrative group (P<0.05). Conclusion: Nurse-led structured narrative therapy effectively reduces preoperative anxiety, improves emotional state and coping, and enhances family care experience in children undergoing urological surgery, representing a valuable clinical intervention.

Objective: To translate the Modified Information Security Behavior Measurement Scale, and to verify its reliability and validity among nurses in China, so as to provide a tool for assessing information security behavior of Chinese nurses. Methods: After obtaining the authorization from the author of the original scale, the translation, back-translation, cross-cultural adaptation and pre-survey were completed based on the Brislin translation model. The validity and reliability of the Chinese version of the scale was assessed among 823 nurses from 8 hospitals in Shandong province and Henan province through convenience sampling from October to December 2024. Results: The Chinese version of the Modified Information Security Behavior Measurement Scale has three dimensions with 18 items. The I-CVI of the scale ranged from 0.875 to 1.000, and S-CVI was 0.973. Exploratory factor analysis extracted 4 common factors, with a cumulative variance contribution rate of 57.353%. The final model fit indices of confirmatory factor analysis were as follows: χ2/df=3.881, RMSEA=0.084, CFI=0.904, NFI=0.876, GFI=0.880. The Cronbach's α coefficient of the total scale was 0.854, the test-retest reliability was 0.983, and the split-half reliability was 0.754. Conclusion: The Chinese version of the Modified Information Security Behavior Measurement Scale has good reliability and validity, and can be used as an effective tool for evaluating the information security behavior of nurses in China.

Objective: To identify behavioral patterns, emotional experiences, and challenges in pregnant women receiving intrauterine fetal therapy by drawing journey map, thereby providing evidence for optimizing maternal care. Methods: From January to April 2025, 12 pregnant women who had successfully received intrauterine therapy at a tertiary grade A hospital in Shanghai were recruited through purposive sampling. Semi-structured interviews were conducted and the data were analyzed by content analysis to draw a journey map. Results: A total of 21 themes were extracted across three dimensions: tasks, emotions, and pain points. Specifically, 8 themes emerged during the diagnosis confirmation phase, 6 in the treatment decision-making phase, and 7 in the treatment and recovery phase. The findings comprehensively presented the behaviors, emotions, and challenges faced by pregnant women at each stage. Conclusion: The treatment journey of pregnant women receiving intrauterine fetal therapy is complex. It is recommended to enhance psychological support, optimize information communication, and improve the coordination of medical resources to meet their health needs.

Objective: To cross-culturally adapt the Nurse-Doctor Professional Communication Questionnaire (NDPCQ) into Chinese and test its reliability and validity, so as to provide an evaluation tool for the professional communication atmosphere of medical staff in operating room in China. Methods: The English version of NDPCQ was translated according to the Brislin principle, and the content validity of the Chinese version of NDPCQ was evaluated by eight experts. From October 2023 to February 2025, 1142 operating room medical staff were surveyed using the Chinese version of NDPCQ to test its reliability and validity. The random splitting method was adopted, with 450 questionnaires utilized for exploratory factor analysis and 692 questionnaires for confirmatory factor analysis. Results: The Chinese version of NDPCQ consisted of 4 dimensions and 33 items. The content validity index I-CVI of each item was 0.875-1.000, and the S-CVI/Ave was 0.968. The results of confirmatory factor analysis showed that χ2/df=3.399, RMSEA=0.059, CFI=0.926, TLI=0.919, IFI =0.926, and GFI=0.863. The Cronbach's α coefficient of the total scale was 0.945, the split-half reliability was 0.817, and the test-retest reliability was 0.855. Conclusion: The Chinese version of NDPCQ demonstrates adequate reliability and validity, and can be used as an effective tool to evaluate the professional communication atmosphere of medical staff in operating rooms in China.

Objective: To investigate the current status of family resilience among parents of adolescents with emotional disorders, analyze its influencing factors, and provide a theoretical basis for designing targeted, family-centered intervention programs. Methods: A total of 327 parents (fathers or mothers) of adolescents with emotional disorders who were followed up in the outpatient department of a tertiary grade A mental health hospital in Shanghai from January to October 2024 were recruited through convenience sampling. The Shortened Chinese version of the Family Resilience Assessment Scale, the Simplified Coping Style Questionnaire, parent-child communication questionnaire, Dyadic Adjustment Scale, etc were used for investigation. Multiple linear stepwise regression analysis was used to identify influencing factors of family resilience. Results: The total score of family resilience among parents of adolescents with emotional disorders was 95.09±9.90. Regression analysis showed that disease duration, positive coping, parent-child communication, marital conflict, perceived stigma, and social support were the influencing factors, explaining 37.6% of the total variance. Conclusion: Family resilience levels among parents of adolescents with emotional disorders require further improvement. Healthcare professionals can develop targeted nursing intervention strategies based on these factors to empower families and promote patient recovery.

Objective: To understand the peristomal skin conditions after enterostomy and analyze its influencing factors, so as to provide a basis for medical staff to formulate intervention strategies. Methods: By using the convenience sampling method, 263 patients who underwent enterostomy in 4 tertiary grade A hospitals in Qingdao from January to June 2025 were recruited as the survey participants. The survey was conducted using the general information questionnaire, The Ostomy Skin Tool 2.0, the Ostomy Adjustment Scale, and the questionnaire on the execution intention of self-care behaviors of enterostomy patients. Multivariate ordinal Logistic regression analysis were used to analyze the influencing factors of Peristomal Skin Complications (PSCs). Results: Among 263 patients, there were 112 cases (42.59%) in the no treatment group, 64 cases (24.33%) in the mild PSCs group, 64 cases (24.33%) in the moderate PSCs group, and 23 cases (8.75%) in the severe PSCs group. The results of multivariate ordinal Logistic regression analysis showed that age, BMI, stoma type, stoma replacement frequency, perioperative adjuvant therapy, psychological adaptation level, and execution intention of self-care were the influencing factors of peristomal skin complications (P<0.05). Conclusion: The incidence of peristomal skin complications is high and influenced by multiple factors. Clinically, individualized nursing strategies should be integrated to optimize stoma management. By dynamically assessing the patient's skin condition, risk factors should be identified at an early stage, and precise skin protection plans should be formulated.

Objective: To identify the latent profiles of decision fatigue in Colorectal Cancer patients with enterostomy and explore their influencing factors, so as to provide a basis for developing targeted management strategies. Methods: Using a convenience sampling method, 269 Colorectal Cancer patients with enterostomy from the stoma outpatient clinics of two tertiary hospitals in Jiangsu province were recruited from January 2023 to May 2025. Data were collected using a general information questionnaire, the Decision Fatigue Scale, the Self-Perceived Burden Scale, the Social Support Rating Scale, and the Hospital Anxiety and Depression Scale. Latent profile analysis was used to identify distinct subgroups of decision fatigue, and multivariate Logistic regression analysis was applied to explore the influencing factors. Results: Decision fatigue in Colorectal Cancer patients with enterostomy was categorized into three latent profiles: the "low decision fatigue-lack of confidence"(17.8%), the "moderate decision fatigue-cognitive blockage"(38.7%), and the "high decision fatigue-decision avoidance" (43.5%). Gender, age, stoma duration, self-perceived burden, anxiety, depression, and social support were identified as significant influencing factors (P<0.05). Conclusion: Decision fatigue among Colorectal Cancer patients with enterostomy exhibits population heterogeneity and is influenced by multiple factors. Healthcare staff should identify the specific profiles early and implement stratified intervention strategies to precisely alleviate patients' decision-making burden.

Objective: To explore the current status of stoma odor and distress disclosure in enterostomy patients, analyze the correlation between them and provide evidence for clinical intervention. Methods: From March 2024 to March 2025, 223 enterostomy patients in the ostomy clinic of a tertiary grade A hospital in Shaanxi province were recruited by convenience sampling method. The general data questionnaire, the ostomy odor rating scale, the Distress Disclosure Index, and the Multidimensional Scale of Perceived Social Support were used to investigate. Multiple linear regression analysis was used to analyze the influencing factors of distress disclosure. Results: The stoma odor in enterostomy patients were mainly grade 3 and grade 4, while the total average distress disclosure score was (35.70±5.93) points. Multiple linear regression showed stoma leakage frequency, peristomal skin complication frequency, stoma odor level, and perceived social support level significantly affected distress disclosure (P<0.05). Conclusion: Stoma odor negatively impacts distress disclosure in enterostomy patients, and distress disclosure is influenced by multiple factors. Healthcare professionals can enhance patients' stoma care ability through precise preoperative stoma siting and postoperative stoma-specific health education, thereby reducing stoma odor. Furthermore, they can guide patients in adopting effective distress disclosure strategies to alleviate psychological burden and facilitate postoperative recovery.

Objective: To systematically review risk prediction models for the progression from prediabetes to diabetes mellitus, and to provide references for clinical practice. Methods: Related literature was retrieved from Chinese and English databases, with the search period ranging from the establishment of each database to January 2025. Two researchers independently performed literature screening and data extraction. The Prediction model Risk Of Bias Assessment Tool (PROBAST) was used to evaluate the risk of bias and applicability of the included studies. Meta-analysis of the area under the receiver operating characteristic curve (AUC) was conducted using MedCalc software. Results: A total of 23 articles comprising 41 risk prediction models were included. AUC value ranged from 0.643 to 0.925. Twenty-two studies were rated as having a high risk of bias, one had an unclear risk of bias, and six were rated as having low applicability. Meta-analysis showed a pooled AUC value of 0.768 (95%CI: 0.732-0.804). Frequently reported predictors included fasting blood glucose, body mass index, age, glycated hemoglobin, and triglycerides, etc. Conclusion: Risk prediction models for progression from prediabetes to diabetes mellitus generally demonstrate good predictive performance. However, most studies have a high risk of bias. Future research should focus on improving model development methods to create higher-quality risk prediction models.

Objective: To retrieve, appraise, and summarize the evidence on the management of abnormal eating behaviors in patients with dementia, in order to provide a reference for clinical practice. Methods: Based on the "5S" evidence model, the evidence related to the management of abnormal eating behaviors in dementia patients was systematically retrieved from domestic and foreign databases, including clinical decisions, recommended practices, guidelines, evidence summaries, systematic reviews/Meta-analyses and expert consensus. The search period was from the establishment of the database to October 23, 2025. The quality assessment of the literature and evidence integration were independently conducted by researchers. Results: A total of 25 articles were included, including 1 clinical decision, 6 recommended practices, 2 guidelines, 3 evidence summaries, 10 systematic reviews, and 3 expert consensuses. The 29 pieces of evidence were summarized from six aspects: assessment and monitoring, adjustment of dining environment, nutrition and diet, management of the eating process, training and education, and support and decision-making. Conclusion: This study summarizes the evidence for managing abnormal eating behaviors in patients with dementia, providing a foundation for clinical healthcare professionals to develop management and intervention plans, improve care quality.

Objective: To classify and organize the relevant evidence on the intervention of cognitive frailty in patients with atrial fibrillation, and provide a reference for clinical practice. Methods: According to the "6S" pyramid, we searched for literature on the intervention of cognitive frailty in patients with atrial fibrillation in Chinese and English databases from the establishment of the database to May 10, 2025. The quality of the included literature was evaluated, and the evidence was extracted and summarized. Results: A total of 13 articles were included, including 1 clinical decision, 2 guidelines, 3 expert consensus, 1 systematic reviews, and 6 randomized controlled studies. There were 21 pieces of evidence in total, covering 8 core themes: drug and interventional therapy, cognitive training, risk monitoring and assessment, exercise intervention, nutritional intervention, comorbidities and complications, family support, and internet support. Conclusion: This study summarizes the evidence on the intervention of cognitive frailty in patients with atrial fibrillation, providing scientific evidence-based basis for clinical medical staff.

Objective: To understand the current status of organizational silence among oncology nurses and to analyze its influencing factors, in order to provide references for reducing the level of organizational silence among oncology nurses. Methods: From February to March 2025, using a convenience sampling method, 310 oncology nurses from 18 tertiary hospitals in Foshan were selected as the research subjects. Questionnaires used in this study were the general information questionnaire, the Nurse Organizational Silence Evaluation Questionnaire, and the Nurses' Affective Domain Ability Scale. The multiple linear regression analysis was employed to explore the influencing factors of nurses' organizational silence. Results: The score of organizational silence of nurses in oncology departments was 58.26±8.68. Affective domain ability, age, professional title and working years were the influencing factors of organizational silence among nurses in oncology departments (all P<0.05). Conclusion: The level of organizational silence among oncology nurses is moderate. Managers may enhance the individual affective domain capabilities of nurses and create an open organizational environment. They should also prioritize training younger nurses with lower ranks and shorter working years to encourage them to express their opinions freely, thereby reducing the organizational silence level among oncology nurses.

Objective: To investigate the current status and influencing factors of clinical nurses' Knowledge, Attitude, and Practice (KAP) regarding Shared Decision-Making (SDM) and to provide a basis for the development of SDM implementation strategies. Methods: A convergent mixed-methods design was adopted. Using convenience sampling, a total of 898 nurses from 13 hospitals in Ningxia Hui Autonomous Region were surveyed in July 2024 with a general information questionnaire and the SDM Questionnaire. Simultaneously, a descriptive qualitative study was conducted, in which 10 nurses were selected through purposive sampling for semi-structured interviews. Results: The score of nurses' SDM-KAP was 97.00 (96.00, 117.00), with a scoring rate of 80.8%. Generalized linear model analysis showed that nurses' age, professional position, hospital level, city of hospital location, and awareness of patient decision aids were significant factors influencing SDM-KAP levels (all P<0.05). Qualitative analysis yielded two themes and six subthemes regarding the cognitive and implementation attitudes of clinical nurses towards shared decision-making, as well as the constraints on nurses' participation in shared decision-making. Conclusion: The overall level of SDM-KAP among clinical nurses in this region was moderately high, and was influenced by multiple factors, including individual characteristics, environmental conditions, and tool support.

Objective: To investigate the current situation of nurses' time management disposition and analyze the interrelationships among influencing factors, providing a reference for formulating intervention plans to enhance nurses' time management capabilities. Methods: A total of 529 nurses from three tertiary grade A hospitals in Suzhou from March to September 2024 were conveniently recruited as research participants. Questionnaires were used to collect data, including a general information survey, Time Management Disposition Scale, Job Demands-Resources Scale, Emotional Intelligence Scale, and Organizational Support Scale. The multi-group structural equation analysis was employed to examine the path regulatory differences among different variable structural models. Results: The average score of each item of the nurses' time management disposition was 3.53±0.46. The structural equation model showed that job demands (β=-0.253) and job resources (β=0.273) directly affected the time management tendency, while emotional intelligence (β=-0.255) and organizational support (β=0.187) indirectly influenced the time management tendency (all P<0.001). The mediating effect of emotional intelligence remained stable among nurses with different working years (44.85% for ≤5 years, 46.43% for >5 years), while organizational support decreased with the increase in working years (53.05% for ≤5 years, 29.75% for >5 years). Conclusion: The nurses' time management disposition are generally at a medium level. Managers should continuously pay attention and fully utilize the buffering effect of emotional intelligence. In the early stage of nurses' career development, they should fully exert the beneficial role of organizational support, help clinical nurses improve their time management skills as soon as possible.

Objective: To construct a closed-loop management module for Stroke-Associated Pneumonia (SAP) based on the Clinical Decision Support System (CDSS), so as to improve the level of SAP prevention and control and optimize patients' prognosis. Methods: A multidisciplinary team was established to build a SAP management knowledge base and a closed-loop management module, which was piloted and optimized after testing. Forty patients with acute stroke were selected respectively before and after the module application to compare the SAP incidence rate, length of hospital stay, time to first prevention and control measures, accuracy of nursing records, pass rate of nurses' knowledge on SAP prevention and control, and nurses' satisfaction with the module. Results: After the application, the SAP incidence rate of the observation group was 5.0%, which was significantly lower than 25.0% of the control group; the length of hospital stay and the time to first SAP prevention and control measures of the observation group were both shorter than those of the control group; the accuracy of nursing records of the observation group was 94.12%, higher than 71.43% of the control group. The nurses' score on SAP prevention and control knowledge increased from 80.50±10.37 to 89.65±6.64, and the average score of nurses' satisfaction with the system in all dimensions was over 4 points. Statistically significant differences were observed in all the above indicators (P<0.05). Conclusion: The CDSS-based closed-loop management module for SAP can effectively reduce the SAP incidence rate, shorten the length of hospital stay and the time to first prevention and control measures, improve the nursing quality and nurses' satisfaction, which plays a positive role in enhancing the management level of SAP.

Objective: To investigate the application effect of an intelligent early warning system in patients with Severe Acute Pancreatitis (SAP) complicated by intra-abdominal hypertension, and to provide a reference for the precise management of enteral nutrition in such patients. Methods: Sixty patients with SAP admitted to the general surgery ICU of a tertiary grade A hospital in Nanjing from July 2024 to April 2025 were selected by convenience sampling and randomly divided into a control group and an observation group using a randomized block design according to the month of admission, with 30 cases in each group. The control group received traditional manual intra-abdominal pressure monitoring, while the observation group received enteral nutrition guided by a dynamic intra-abdominal pressure intelligent early warning system. The feeding conditions, nutritional indicators and inflammatory indicators were compared between the two groups. Results: After intervention, the time to reach feeding targets [(5.67±1.27) days vs. (7.87±2.96) days], the feeding achievement rate on day 7 (90.00% vs. 53.33%), the feeding interruption rate (30.00% vs. 60.00%), and the incidence of feeding intolerance (23.33% vs. 53.33%) in the observation group were better than those in the control group (P<0.05). On day 7 after intervention, the total protein level was higher and the white blood cell count was lower in the observation group than those in the control group (P<0.05). Conclusion: The intelligent early warning system can improve the nutritional status and immune function of SAP patients with intra-abdominal hypertension, reduce the incidence of feeding intolerance, and improve the feeding effect.

Objective: To analyze the effects of information-based teaching management among clinical nursing interns, aiming to provide a reference for optimizing the clinical nursing education management system and promoting the information construction of education. Methods: A convenience sampling was used to recruit nursing interns and preceptors from A and B campuses of a tertiary grade A hospital in Qingdao from September to October 2024. A total of 168 interns from campus A were assigned to the intervention group and received information-based teaching management, while 155 interns from campus B served as the control group and received traditional teaching. The pre- and post-rotation theoretical and practical skill assessment scores, case analysis ability, teaching satisfaction of nursing students, workload of preceptors were compared between the two groups, and system usability were evaluated by intervention group. Results: At rotation end, theoretical and practical examination scores of nursing interns in the intervention group were 77.08±6.67 and 81.86±5.69, respectively, which were significantly higher than the control group's scores of 73.74±5.70 and 78.63±4.88, with statistically significant differences (P<0.05). Both the case analysis abilities and teaching satisfaction levels in the intervention group were higher than those in the control group (P<0.05). The usability evaluation scores from preceptors and nursing interns were 75.81±7.10 and 81.15±7.33, respectively, indicating good usability of the platform. Furthermore, the workload score for preceptors in the intervention group was 9.63±2.54, which was significantly lower than that of the control group (19.86±2.14) (P<0.05). Conclusion: Information-based teaching management enhances nursing interns' foundational knowledge, skills, problem-solving abilities, and management efficiency, thus provides new perspectives for the reform of clinical nursing teaching.

Hospital accreditation standards play an important role in standardizing hospital management, guiding development directions, and enhancing medical quality and safety. The Tertiary Hospital Accreditation Standard (2025 Edition) drives the transformation of the accreditation model toward a data-driven approach centered on "online review combined with routine data monitoring," presenting new opportunities and challenges for nursing quality and safety management. This paper analyzes the core changes in the new standards, particularly regarding the evaluation model, and examines the primary challenges nursing quality and safety management face during this transition. Accordingly, optimization strategies are proposed to promote continuous improvement in nursing quality and ensure patient safety effectively.

Objective: To investigate the current status of postoperative supportive care needs in lung cancer patients, and analyze the attributes of these needs based on the Kano model, so as to provide a basis for optimizing postoperative nursing services and developing personalized intervention plans. Methods: A mixed methods research was employed from January to June 2025. A modified Kano model-based supportive care needs questionnaire for postoperative lung cancer patients was used to survey 200 convenience-sampled patients undergoing lung cancer surgery at a tertiary grade A hospital in Hunan province. Additionally, 15 patients were selected from the survey patients by purposive sampling for semi-structured interviews. Results: Among the 34 supportive care needs, 4(11.76%) were essential attributes, which involved pain management, fatigue alleviation, symptom relief, and family care guidance; 8(23.53%) were expected attributes, mainly focusing on medical information support and timely medical response; 18(52.95%) were attractive attributes, covering personalized rehabilitation plans, psychosocial support, and access to high-quality medical resources; and 4(11.76%) were undifferentiated attributes, primarily related to sexual health support. The findings from interview corroborated the survey results. Conclusion: The postoperative supportive care needs of lung cancer patients present multi-level and multi-dimensional characteristics. The Kano model can effectively identify different types of needs and clarify their priorities, providing a basis for nursing staff to develop precise and stratified care intervention strategies.

Objective: To develop a risk communication preference questionnaire among individuals at high risk of cardiovascular diseases and to explore the characteristics of risk communication in order to provide a reference for precise risk communication. Methods: Based on literature review and the Delphi method, attributes and levels of cardiovascular disease risk communication were integrated. A risk communication preference questionnaire was developed using the Best–Worst Scaling method, and its reliability and validity were evaluated. From February to July 2024, a convenience sampling was used to recruit 430 individuals at high risk of cardiovascular disease from relevant departments of a tertiary grade A hospital and community healthcare centers in Hangzhou. The cardiovascular disease risk communication preference questionnaire was administered to the patients to analyze their preference characteristics regarding risk communication. Results: The developed questionnaire contained 8 attributes and 16 levels, with good reliability and validity. The order of preference for risk communication attributes among individuals at high risk of cardiovascular disease (from highest to lowest) was: risk concept, decision-making model, communicators, time frame, communication channel, communication institution, communication medium, and presentation style. Preferences for levels within each attribute were: absolute risk, shared decision-making, physicians and/or nurses, 10-year risk, offline format, large hospitals, oral communication, and active encouragement. Conclusion: Nurses can develop targeted risk communication strategies based on the characteristics of risk communication preference among individuals at high risk of cardiovascular disease, thereby improving communication effectiveness.

As a novel model in which professional nursing teams assume the role of family members in providing holistic care throughout patients' stay, the effectiveness of its management directly impacts medical safety and patient satisfaction. Grounded in the Social-Ecological Systems theory, this paper systematically reviews the research progress on factors influencing the management of no-attendant care wards in China from macro, meso, and micro levels. The aim is to offer theoretical insights and practical references for establishing a standardized, professional, and sustainable management system for those wards.

Objective: To systematically evaluate the literature on thirst management interventions for ICU patients, providing evidence-based recommendations to guide nurses in selecting appropriate interventions for managing thirst in this patient population. Methods: The review followed the methodological framework for scoping reviews outlined by the Joanna Briggs Institute. A comprehensive search was conducted across multiple Chinese and English databases, covering the period from database inception to October 30, 2025. Results: A total of 4 quasi-experimental studies and 19 randomized controlled trials were included. The nursing interventions covered four categories: cold stimulation therapy, salivary substitute products, moisturization, and acupoint stimulation therapy, with intervention frequency varying depending on the study objectives. Assessment tools included subjective measures such as the Visual Analogue Scale and the Numerical Rating Scale, as well as objective measures including resting salivary flow rate and pH value. The patients' thirst levels showed significant improvement after the interventions. Conclusion: Thirst management interventions for ICU patients are diverse, but the overall effectiveness needs further clinical validation. A comprehensive, standardized, and multidimensional intervention plan should be developed and tailored to individual patient needs.