Over the past decade, nursing in China has developed rapidly, with the nursing workforce achieving rapid progress in terms of size, structure, and service models, and the policy focus shifting from scale expansion toward quality optimization. However, challenges remain, including mismatches between workforce growth and rising healthcare demands, insufficient professional attractiveness, gap between training and clinical practice, and imbalances in regional and specialty distribution. Due to deepening population aging and the technological revolution, severe challenges regarding the nursing workforce need to be considered. In the future, it is imperative to transform from a scale-driven model toward high-quality sustainable development, and to systematically shape a new landscape for the nursing workforce through refined governance, incentive reform, educational innovation, and primary care empowerment.

In the context of the global nursing workforce agenda and the Healthy China strategy, the economic value of nursing human resources has become a critical pillar for medical resource allocation, the control of social health costs, and the development of health industry. While the total number of nursing staff in China has grown steadily, challenges such as insufficient value realization, and structural imbalances constrain the effective transformation of professional value into economic value. Based on a life-cycle population health perspective, this paper proposes three core orientations for the economic value of nursing, and puts forward development strategies including creating a pricing incentive mechanism that reflects the value of nursing technical services, establishing a tiered and classified nursing talent training system, and promoting deep integration between nursing and innovative technology, thereby providing an implementation pathway for unlocking the high-quality economic value of nursing human resources.

Within the framework of the Healthy China Strategy, the high-quality development of the nursing workforce has become a key initiative to deepen healthcare reform and enhance the capacity of medical services. Drawing on Benner's "From Novice to Expert" theory of skill acquisition and Kanter's theory of structural empowerment, this article systematically elaborated the practical pathways and application outcomes of the "Precise Empowerment and Progressive Growth" concept in nursing workforce development, thereby providing theoretical references and practical insights for establishing a scientific and sustainable mechanism for the high-quality development of nursing workforce.

Objective: To construct and apply a "hierarchical multidimensional" specialist nurse training and management plan guided by clinical needs, to provide a reference for the construction of specialist nurse teams. Methods: A hierarchical advancement mechanism based on core competencies was established at primary, intermediate, and advanced levels. Concurrently, multi-dimensional promotion pathways were set up across clinical, managerial, and educational tracks. Specialty nursing clinics, multidisciplinary collaboration, and subspecialty nursing practices were implemented. Specialty nursing teams were formed to achieve "networked" re-training of specialist nurses throughout the hospital. Results: After 4 years of implementation, the clinical practice (4.41±0.51 vs 4.81±0.38), management (4.62±0.62 vs 4.69±0.55), and professional development (4.71±0.31 vs 4.86±0.32) dimensions scores of specialist nurses were all improved (P<0.05). At present, there are 694 specialist nurses in 41 nursing specialties in the hospital, with an average of over 50000 online consultations per year for patients. By 2024, the total number of consultations in the hospital has reached 7031. Conclusion: The echelon construction and management scheme of "hierarchical multidimensional" for specialist nurses has effectively improved their core specialized competencies, reflected the refined and professional value of nursing, and is worthy of clinical promotion.

Objective: To explore the supply-demand spatial distribution and resource structure differences of "Internet+ Nursing Service" in Zhejiang province, providing evidence for the development of such services in China. Methods: Data on "Internet+ Nursing Service" in Zhejiang province from 2023 to 2025 were extracted. Agglomeration and disparity indices were used to analyze the spatial equity of supply and demand, while elasticity coefficients and structure variation were applied to examine human resource structure differences. Results: From 2023 to 2025, the "Internet+ Nursing Service" platform in Zhejiang province expanded rapidly. Spatial equity analysis showed that nurse resource agglomeration was relatively balanced, while service order agglomeration varied across regions. The Gini coefficient for nurse density was 0.18 (highly balanced), and for service density was 0.30 (relatively balanced). The Theil index decomposition indicated that intra-regional disparities were the main source of imbalance (96%). Elasticity analysis showed that the number of nurses had a significant positive effect on service volume (coefficient: 0.852, P<0.001), while the number of institutions did not (P>0.05). The degree of structure variation in nurse age decreased from 0.141 to 0.051, with the contribution rate of nurses aged ≤30 increasing from 20.737% to 33.810%. Conclusion: "Internet+ Nursing Service" in Zhejiang province have grown rapidly, but spatial imbalances exist within regions. Nurse staffing is the core driver of service growth, with young nurses becoming the main force in structural optimization.

Objective: To develop a prevention and control program for lymphedema in breast cancer patients based on Timing It Right theory and evaluate the implementation effects, providing a reference for clinical prevention and management. Methods: A lymphedema prevention and control program based on Timing It Right theory was constructed through semi-structured interviews, literature review, and the Delphi method expert consultation. Using convenience sampling, 52 breast cancer patients admitted to the Breast and Thyroid Surgery Department of a tertiary grade A hospital in Jilin province from June to December 2024 were recruited as the control group and received routine nursing care. Another 52 breast cancer patients admitted from January to March 2025 were recruited as the intervention group, who received routine nursing care plus the aforementioned prevention and control program. The lymphedema prevention compliance scores, upper limb function scores, and incidence of lymphedema of the two groups were compared at 1, 3, and 6 months after discharge. Results: At 1, 3, and 6 months after discharge, the patients in the intervention group had higher scores in lymphedema prevention compliance and upper limb function compared to the control group. The incidence of lymphedema in the intervention group was 3.85% at 6 months after discharge, which was lower than that in the control group (23.08%), and the difference was statistically significant (P<0.05). Conclusion: The lymphedema prevention and control program based on Timing It Right theory can improve patients' adherence to preventive behaviors, enhance upper limb function, and effectively reduce the incidence of lymphedema in breast cancer patients.

Objective: To explore family caregivers' perceptions and care experiences of children with Somatic Symptom Disorder (SSD), and to provide references for developing family caregivers' support strategies. Methods: Using a phenomenological research approach, semi-structured in-depth interviews were conducted with 11 family caregivers of children with SSD from June 2024 to February 2025. Data were analyzed and themes were extracted using Colaizzi's 7-step analysis method. Results: A total of 5 themes and 11 subthemes were identified: insufficient disease knowledge and recognition barriers; "temporary relief" after multiple examinations and misattribution; heightened perception of disease threat and urgent "decoding" of symptom nature; post-diagnosis regret and coping difficulties; desire for more disease knowledge and supports. Conclusion: Family caregivers of children with SSD have insufficient knowledge of the disease and face numerous challenges in recognition and management. It is recommended that healthcare professionals strengthen related training and publicity to gradually reduce family caregivers' neglect and resistance toward children's mental health issues, thereby promoting timely attention and treatment for children with SSD.

Objective: To develop a questionnaire on the psychological driving factors of physical activity for the older adults, and test its reliability and validity, provide an effective tool for the systematic assessment of the psychological driving factors of physical activity in the older adults, and further offer references for the precise formulation of older adults health promotion programs. Methods: Using the Theory of Planned Behavior as the framework, an initial questionnaire item pool was formed through literature review, expert consultation, and pre-survey. From January to June 2024, 413 older adults from 8 communities in Xinxiang, Henan province were conveniently recruited as research participants for questionnaire item analysis, reliability testing, and validity testing. Results: The final questionnaire comprised 17 items. The average content validity of the questionnaire was 0.905, and the content validity at the item level ranged from 0.870 to 1.000. Exploratory factor analysis extracted 4 common factors, with a cumulative variance contribution rate of 73.734%. Results of confirmatory factor analysis showed that χ2/df=2.828, RMSEA=0.078, SRMR=0.056, IFI=0.928, TLI=0.913, and CFI=0.928, indicating a good model fit. The overall Cronbach's α coefficient of the questionnaire was 0.939, split-half reliability was 0.830, and test-retest reliability was 0.877. Conclusion: This questionnaire has good reliability and validity, and can effectively assess the psychological driving factors of physical activity in older adults, providing reliable tool support for clinical medical staff and community health workers to formulate targeted older adults health promotion strategies.

Objective: To capture ward head nurses' operational management experience under the Diagnosis-Related Groups (DRG) payment system in order to provide decision-making references for ward head nurses to enhance the precision management of nursing quality and cost control capabilities. Methods: The constructivist paradigm was followed and a descriptive phenomenological research design was used. A total of 12 head nurses were recruited through purposive sampling from five tertiary grade A hospitals in Zhejiang province. Semi-structured interviews were conducted from February to April 2025 and data were analyzed using Colaizzi's seven-step method. Results: Three themes were extracted: the expansion of the head nurses' job roles, the growth in operational management practice, and the eagerness for digital-intelligent management capabilities under the DRG payment system. Conclusion: The DRG payment system has reshaped the connotation of head nurses' roles, requiring them to uphold the principle of prioritizing quality and achieve dynamic balance between cost and quality through multidimensional initiatives to improving the operational management level of medical institutions.

Objective: Based on the actor-partner interdependence model, this study aims to explore the relationships between self-efficacy, resilience, social support, and Quality of Life (QOL) among elderly patients following hip fracture surgery and their family caregivers, so as to provide a theoretical basis for clinical interventions. Methods: From July to December 2024, 221 pairs of elderly patients who had undergone hip fracture surgery and their caregivers, who were conveniently selected from the outpatient clinics of three tertiary grade A hospitals in Qingdao for reexamination, were surveyed by using the General Information Questionnaire, the Self-Efficacy for Rehabilitation Exercise Scale, the General Self-Efficacy Scale, the Social Support Rating Scale, the 10-item Connor-Davidson Resilience Scale, and the Short Form 12 Health Survey. An actor-partner interdependence model was constructed to analyze actor effects and partner effects at the dyadic level. Results: In terms of the actor effect, both the self-efficacy (β=0.697; β=0.536), psychological resilience (β=0.441; β=0.599), and social support (β=0.628; β=0.613) of patients and caregivers influenced their own QOL (all P<0.05). In terms of the partner effect, the QOL of patients was affected by the psychological resilience (β=0.300) and social support (β=0.309) of caregivers (all P<0.05), while the QOL of caregivers was influenced by the psychological resilience (β=0.711) and social support (β=0.336) of patients (all P<0.05). Conclusion: The QOL of elderly patients after hip fracture surgery and their caregivers has an interactive influence on the psychological resilience and social support of both. This indicates that nurses can conduct interventions based on a dyadic perspective, taking into account the psychological resilience and social support of patients and their caregivers, so as to effectively enhance the QOL of both parties.

Objective: To explore the real experience during the nutritional care process of caregivers of infants and young children after high jejunostomy, and to provide a basis for developing systematic and individualized nutritional support strategies. Methods: A descriptive qualitative study design was adopted. Using purposive sampling, 15 family caregivers of infants and young children after high jejunostomy from a pediatric medicine department in Beijing were selected for semi-structured interviews between January 2024 and January 2025. The ABC-X model served as the theoretical framework to develop the interview guide. Directed content analysis was employed to collate and analyze the data. Results: Four themes were extracted based on the ABC-X model. Stressor (A): Faced multiple burdens including physiological, psychological, and economic strains. Resources (B): Support channels were limited, with a strong need for external professional assistance. Cognition (C): Nutritional care cognition varied among caregivers, and translating knowledge into practice was challenging. Outcome (X): Practical abilities in nutritional care and nutritional outcomes of the children differed significantly. Conclusion: Family caregivers of infants and young children after high enterostomy face multifaceted pressure during the nutritional care process, characterized by insufficient available resources and barriers in translating knowledge into practice. These challenges ultimately lead to significant variations in caregivers' caregiving competence and the nutritional outcomes of the children.

Objective: To develop the Entrustable Professional Activities (EPAs)-based evaluation indicators system for novice nurses in the hemodialysis department, providing a scientific basis for job training and competency assessment. Methods: An initial set of evaluation indicators was developed through literature review and group discussions. From July to August 2025, a Delphi survey was conducted among 22 experts to refine and finalize the EPAs evaluation indicators system for novice nurses in the hemodialysis department. Results: The response rates for both rounds of the Delphi survey were 100.0%. Kendall's W values were 0.133 and 0.093, respectively (P<0.05). The final evaluation system comprised 15 EPAs, covering key professional behaviors including vascular access assessment and care, routine and special blood purification procedures, and many other essential items. The expected entrustment levels at different stages, the required duration to achieve independent practice, and the corresponding core competencies for novice nurses were clearly defined. Conclusion: The EPAs-based evaluation indicators system developed in this study is scientifically sound and reliable, demonstrating comprehensive coverage and specialty relevance. It can serve as a reference for the training and assessment of novice nurses in the hemodialysis department.

Objective: To analyze the effectiveness of a "doctor-nurse-healthcare assistant" collaborative management protocol for critically ill neurological patients in unaccompanied wards of the rehabilitation department, so as to provide references for improving the quality of care for such patients. Methods: A collaborative management protocol was developed through literature review and expert meetings. Eighty-six patients admitted to the neurological rehabilitation department of a tertiary grade A hospital in Hunan province and their family caregivers were conveniently selected as study subjects. They were divided into a control group (n=42) and an intervention group (n=44) according to admission time. The control group received conventional unaccompanied care, while the intervention group received the collaborative management intervention. Differences between the two groups were compared in terms of patients' hospital satisfaction, incidence of adverse events, activities of daily living, and anxiety levels of family caregivers. Results: Following the intervention, the hospital satisfaction score of patients in the intervention group was 36.84±4.20, which was higher than that of the control group (32.43±6.98), and the difference was statistically significant (P<0.05). The score of activities of daily living in the intervention group was higher than that in the control group, while the incidence of adverse events and the anxiety score of patients' family caregivers were lower than those in the control group, with all differences statistically significant (P<0.05). Conclusion: The doctor-nurse-healthcare assistant collaborative management protocol can not only effectively improve patients' hospital satisfaction and ability of activities of daily living, but also reduce the incidence of adverse events, and alleviate family caregivers anxiety, demonstrating high value for further clinical promotion.

Chronic Obstructive Pulmonary Disease (COPD) has a high prevalence and imposes a significant disease burden. Exercise rehabilitation is a key non-pharmacological intervention. In recent years, digital and intelligent intervention technology utilizing the Internet of Things, wearable devices, and artificial intelligence has made it possible to carry out precise assessment, intelligent monitoring, and personalized guidance and optimization in COPD rehabilitation. This review summarizes the latest advancements and challenges in digital and intelligent interventions for COPD rehabilitation, providing a reference for medical professionals in promoting digital rehabilitation management.

Objective: To retrieve, summarize and evaluate the relevant evidence on rehabilitation measures for patients with Low Anterior Resection Syndrome (LARS) after rectal cancer surgery, and provide evidence-based support for clinical rehabilitation practice. Methods: Following the "5S" pyramid evidence model, evidence on rehabilitation measures for patients with LARS after rectal cancer surgery was retrieved, including clinical decisions, guidelines, systematic reviews, expert consensus, etc. The search period was from the establishment of the database to December 31, 2025. The quality of the literature was evaluated, and evidence was extracted from the literature that met the quality standards. Results: A total of 11 articles were included, including 2 clinical decisions, 1 guideline, 3 expert consensus, 2 evidence summaries, and 3 systematic reviews. Ultimately, 18 pieces of evidence were summarized from six aspects: preparatory work, functional training, intestinal irrigation, traditional Chinese medicine therapy, medication support, and educational management. Conclusion: The evidence on rehabilitation measures for patients with LARS after rectal cancer surgery is scientific and comprehensive, and can provide evidence-based reference for healthcare professionals to carry out relevant rehabilitation interventions.

Objective: To evaluate the effects of a home-based rehabilitation nursing integrating traditional Chinese and Western medicine based on mobile healthcare for stroke patients to provide reference for promoting the home-based rehabilitation for those patients. Methods: Using convenience sampling, stroke patients visiting the neurology department of a tertiary grade A hospital in Hangzhou were selected as the research subjects. According to the time of visit, 54 patients admitted from June to August 2024 were assigned to the control group and received conventional rehabilitation nursing, while 54 patients admitted from September to November 2024 were assigned to the experimental group and received a home-based rehabilitation nursing integrating traditional Chinese and Western medicine based on mobile healthcare aside from routine care. The self-management ability and quality of life of the two groups were compared, and the system usability evaluation of the "ZheLi Nursing" platform was collected from the experimental group. Results: After the intervention, the self-management and quality of life scores of the experimental group were significantly better than those of the control group (P<0.05). Additionally, 85.19% of the patients in the experimental group considered the system usability of the optimized "ZheLi Nursing" platform to be "good". Conclusion: The home-based rehabilitation nursing integrating traditional Chinese and Western medicine based on mobile healthcare can effectively improve the self-management ability and life quality of stroke patients. Moreover, it is feasible to use the "ZheLi Nursing" platform as a mobile healthcare carrier for intervention to provide a reference for clinical nursing practice.

Objective: To systematically evaluate and analyze the barriers to the use of mobile health tools by patients with heart failure, thereby providing evidence-based recommendations for enhancing mobile health management services for this population. Methods: A comprehensive computerized literature search was conducted to identify qualitative studies on the application of mobile health tools among patients with heart failure globally. The search timeframe spanned from database inception to November 30, 2025. The quality of the literature was evaluated according to the qualitative research quality evaluation criteria of the Joanna Briggs Institute (JBI) of Australia, and the literature was integrated using the convergent integration method. Results: A total of 13 articles were included, from which 21 themes were extracted and categorized into 8 classification. These were further synthesized into three integrated findings: patients' poor physical and mental status, patient's unfavorable usage experience, and unreasonable design of mobile health tools. Conclusion: The use of mobile health tools among patients with heart failure is influenced by multiple factors. It is recommended that healthcare professionals and research & development personnel pay attention to patients' physical and psychological well-being, prioritize their user experience and mobile device needs, and explore innovative management models for mobile health for patients with heart failure.

Objective: To develop an evidence-based clinical protocol for non-pharmacological interventions for children with Functional Abdominal Pain (FAP) and evaluate its clinical application effects, thereby providing a basis for nursing care. Methods: Evidence for non-pharmacological interventions for FAP was identified through literature screening, evaluation, and synthesis. Evidence-based practice was implemented in the gastroenterology department of a tertiary grade A hospital in Guangdong province from June 2024 to January 2025. Based on the evidence summary, audit criteria were developed. The Ottawa Model was used to assess potential barriers and formulate corresponding strategies. Comparisons were made before and after the practice regarding nurses' implementation rates, the knowledge levels of medical staff and family members, and the improvement in children's pain. Results: After the application of evidence, nurses' implementation rates for various audit criteria were higher than those before the practice. The family members' knowledge score for FAP increased from 59.67±8.31 to 81.18±8.06, the medical staff's knowledge score for FAP increased from 69.83±5.92 to 88.28±6.43. The children's abdominal pain intensity decreased from 3.82±1.05 to 2.13±0.87, and the frequency of episodes decreased from 4.50±1.20 to 2.80±0.90 times per day. These differences were statistically significant (all P<0.05). Conclusion: The multidisciplinary collaborative non-pharmacological intervention model can effectively improve nursing quality on children with FAP, enhance family members' capabilities, and alleviate children's symptoms, demonstrating good value for clinical application.

Objective: Based on the Ottawa Model for Research Use, a long-term oral anticoagulation management protocol for patients with atrial fibrillation was constructed, aiming to ensure the safety of anticoagulant therapy. Methods: Evidence-based methods were used to search and synthesize evidence, and 24 audit criteria were formulated. From August 2022 to June 2023, nurses and patients with atrial fibrillation from the department of cardiology in a tertiary grade A hospital in Zhenjiang were selected by convenience sampling. A baseline audit was conducted to analyze barrier and facilitating factors, a protocol of "high-quality nursing upgrade + tripartite collaborative management" was constructed and implemented. The changes in evaluation indicators were compared before and after the implementation of the protocol. Results: After the implementation of the protocol, nurses' anticoagulation knowledge score increased from 63.85±9.12 to 88.27±6.34, and the compliance rate of 20 audit criteria improved, excluding 4 indicators with a 100.00% baseline review rate. Patients' medication adherence improved at 6 and 12 months after the implementation of the protocol. The incidence of falls decreased from 21.65% to 11.21%, and the incidence of bleeding decreased from 30.93% to 18.97%, with all differences statistically significant (P<0.05). There was no statistically significant difference in the incidence of stroke (P>0.05). Conclusion: The evidence-based practice can standardize the management process, enhance nurses' compliance with audit criteria and patients' medication adherence, reduce the risks of falls and bleeding, and ensure the safety of anticoagulant therapy.

Objective: To explore the experience of medication safety management participation among hospitalized older adults with Cardiometabolic Multimorbidity, in order to inform the development of a patient-centered medication safety management model. Methods: A purposive sampling approach was employed to conduct a descriptive qualitative study. Semi-structured face-to-face in-depth interviews were carried out from June to October 2024 with 16 hospitalized older adults with Cardiometabolic Multimorbidity in a tertiary grade A hospital in Jiangsu province. The collected data were analyzed using directed content analysis based on the Capability, Opportunity, Motivation-Behavior model. Results: A total of 2 themes and 9 sub-themes were identified, including facilitating experiences (efficient medication self-management skills, accurate medication beliefs, and diversified social support) and hindering experiences (physical function decline, lack of medication knowledge, negative medication-related emotions, lack of sense of responsibility in health management, barriers in hospital systems and operational models, and lack of authoritative information). Conclusion: The involvement of hospitalized older adults with Cardiometabolic Multimorbidity in medication safety management presents a complex characteristic of coexisting facilitating and hindering experiences. It is essential to strengthen the facilitating experiences while systematically addressing the hindering experiences, so as to enhance patient participation and ensure medication safety.

Medication interruptions are frequently observed in nursing practice, posing a significant threat to both patient safety and nursing quality. This review aims to summarize the definition, research status, influencing factors of medication interruptions as well as the current management strategies, providing a basis for developing more proper coping strategies.

Objective: To explore the research and development of a multimodal decision-support system for physical restraint and evaluate its clinical application effects, so as to standardize clinical restraint assessment and promote the standardized implementation of physical restraint. Methods: A multimodal decision-support system for physical restraint was constructed by integrating multi-source heterogeneous data and intelligent algorithms, and homogeneous training on the system was conducted. Neurological critical care patients were divided into a control group (62 cases) and an observation group (61 cases) according to the order of admission. The control group received routine physical restraint management, while the observation group implemented restraint management in accordance with the multimodal hierarchical physical restraint scheme by applying the multimodal decision-support system. The physical restraint rate, incidence of delirium and unplanned extubation rate were compared between the two groups. The scores of nurses' knowledge and behaviors related to physical restraint before and after training, as well as nurses' satisfaction scores with the restraint management system were also analyzed. Results: The unplanned extubation rate was 0 in the observation group and 1.6% in the control group, with no statistically significant difference between the two groups (P>0.05). The physical restraint rate (14.8%) and incidence of delirium (3.3%) in the observation group were significantly lower than those in the control group (27.4% and 14.5%), with statistically significant differences (P<0.05). After training, nurses' total score of knowledge related to physical restraint increased from 10.83±0.47 to 15.17±0.53, and the total score of physical restraint behaviors increased from 49.79±2.85 to 68.65±3.00, with statistically significant differences before and after training (P<0.05). The average satisfaction score of 31 nurses with the system was 4.62±0.36, indicating a high level of satisfaction. Conclusion: The implementation of body restraint management through the auxiliary multimodal decision-making information platform can reduce the body restraint rate of patients with neurological disorders, as well as the incidence of delirium, and is conducive to the standard execution of body restraint by nurses, ensuring patients' safety and comfort.

The rapid development of machine learning in healthcare has provided new tools for accurate and personalized prediction of Chronic Post-Surgical Pain in orthopedics. This article outlines the advantages and related types of machine learning, reviews the state of research and applications in predicting Chronic Post-Surgical Pain in orthopedics, discusses the implications for nursing practice, and analyzes the major challenges and countermeasures. The goal is to support the translation of these technologies into clinical use.

Objective: To evaluate the effects of sequential lateral positioning in mechanically ventilated patients with Stroke-Associated Pneumonia (SAP), aiming to provide a reference for promoting pulmonary rehabilitation in stroke patients. Methods: A total of 74 mechanically ventilated patients with SAP admitted to a tertiary grade A hospital in Nanchang from June to December 2024 were recruited using the convenience sampling method and randomly divided into a control group (n=37) and an observation group (n=37). The control group received routine mechanical ventilation care and regular body-turning, while the observation group received additional sequential lateral positioning, and both groups were intervened for 7 consecutive days. The arterial blood gas indicators, Clinical Pulmonary Infection Score (CPIS), mechanical ventilation time, vital signs, and adverse events between the two groups were compared before and on the 3rd and 7th days of the intervention. Results: On the 7th day of the intervention, the PaO2/FiO2 in the observation group was higher than that in the control group, and the CPIS score was lower (both P<0.05). The mechanical ventilation time of observation group was 5(4,8) days, which was significantly shorter than that of 7(6, 16) days in the control group (P<0.05). There were no statistically significant differences in pH, PaCO2, and vital signs between the two groups (all P>0.05). There were no adverse events such as aspiration or pressure injury during the intervention period in both groups. Conclusion: Sequential lateral positioning can effectively improve oxygenation and pulmonary infection in mechanically ventilated patients with SAP, potentially shortening the duration of mechanical ventilation.

Objective: To design a structured nursing documentation form for Continuous Renal Replacement Therapy (CRRT), and analyze its application effects, thereby providing a reference for further improving the nursing quality of patients undergoing CRRT. Method: Based on the clinical requirements of CRRT, a preliminary draft of the structured nursing record sheet for CRRT was designed. The draft was discussed and revised through expert meetings to form the final version. The structured nursing record sheet was embedded into the CRRT information platform and applied in clinical practice. A total of 226 patients of a tertiary grade A hospital in Beijing from July to December 2024 served as pre-application group, and 327 patients from January to June 2025 as the post-application group. Comparisons were made between pre- and post-implementation regarding the time required for completing CRRT nursing documentation, the compliance rate with nursing documentation standards, the incidence of unplanned discontinuation, and the achievement rate of ultrafiltration dose. Additionally, healthcare providers' satisfaction with the form was evaluated after the implementation. Results: The structured CRRT nursing documentation form included six core modules: patient demographic information; treatment-related clinical data; pre-treatment assessment; treatment monitoring; post-treatment evaluation, and treatment summary. After the implementation, the average time to complete CRRT nursing documentation form decreased from 22 (18, 25) minutes to 13 (11, 15) minutes (P<0.001). The nursing documentation compliance rate increased from 96.9% to 100.0% (P=0.002). The incidence of unplanned discontinuation decreased from 17.7% to 9.8% (P=0.009), and the achievement rate of ultrafiltration dose improved from 85.4% to 91.1% (P=0.001). The overall user satisfaction score among healthcare providers was 71.57±4.70. Conclusion: The implementation of the structured CRRT nursing documentation form based on the information platform has enhanced the efficiency and quality of nursing documentation, and further improved the quality of specialized CRRT nursing care, as well as the treatment effects.

Objective: To analyze the predictive value of obesity-related anthropometric indices for Peristomal Moisture-associated Skin Dermatitis (PMASD), so as to provide a reference for clinical nursing. Methods: A total of 1000 inpatients/outpatients with enterostomy from a tertiary grade A hospital in Zhejiang province between September 2024 and June 2025 were conveniently selected as the study subjects. Data were collected using a general information questionnaire, the Ostomy Skin Tool, and obesity-related anthropometric measurements. Binary Logistic regression was used to analyze the associations, and the Receiver Operating Characteristic curve (ROC) was employed to evaluate the predictive performance of the obesity-related anthropometric indices and determine the optimal cut-off values. Results: The incidence of PMASD among patients with enterostomy was 56.9%. The Areas Under the ROC Curve (AUC) for body roundness index , weight-waist index, a body shape index, and BMI were 0.825, 0.754, 0.714, and 0.643, respectively, with all indices showing predictive value (P<0.05). The AUC of the body roundness index was significantly superior to the other three obesity-related anthropometric indices (all P<0.008 3), with an optimal cut-off value of 4.105 (sensitivity 82.3%, specificity 79.6%). Conclusion: Patients with enterostomy have a high risk of developing PMASD. Obesity-related anthropometric indices show good predictive performance, with the body roundness index being the most effective. Clinical practice should strengthen the dynamic monitoring of these indices and implement targeted interventions to reduce the risk of PMASD.

Objective: To explore the latent profiles of distress disclosure among patients with enterostomy and to analyze its influencing factors, to provide a reference for formulating intervention protocols for patients with enterostomy. Methods: Convenience sampling was used to include 218 colorectal cancer patients with enterostomy for1 month at a tertiary grade A hospital in Xi'an between October 2023 and May 2025. The Distress Disclosure Index, Ostomy Adjustment Inventory-20, and Perceived Social Support Scale were used for evaluation. Latent profile analysis was performed using Mplus 8.3 software, and multiple Logistic regression analysis was conducted to identify influencing factors. Results: Distress disclosure can be divided into three potential profiles: low distress disclosure (18.3%), moderate distress disclosure (61.9%), and high distress disclosure (19.7%). The results of multiple factor analysis showed that social support, stoma adaptation ability, average monthly household income, leakage frequency and stoma time were factors affecting the willingness of distress disclosure (P<0.05). Conclusion: There is significant group heterogeneity in distress disclosure among patients with enterostomy. Personalized intervention measures based on the characteristics of different types of enterostomy patients should be developed to enhance their willingness for distress disclosure and improve their quality of life.

Objective: To systematically analyze the hospice care needs of elderly end-of-life patients, so as to provide evidence for optimizing hospice care services for this population. Methods: A comprehensive search of relevant literature was conducted across multiple databases, from inception to December 31, 2025. A scoping method was used to summarize and analyze the hospice care needs of elderly end-of-life patients. Results: Thirteen articles were included. The findings revealed that elderly end-of-life patients have multidimensional needs encompassing physiological, psychological, healthcare service, informational and social. Key influencing factors included patient age, disease type, family support, healthcare provider awareness, and policy coordination. Conclusion: Current research predominantly focuses on cancer patients, with insufficient attention to non-cancer chronic conditions. There is also a lack of standardized assessment tools tailored to the elderly population. Future studies should explore the dynamic changes in hospice care needs among elderly end-of-life patients and develop comprehensive, precise assessment systems to enhance the targeting and effectiveness of hospice care services.

Patients with colorectal cancer, inflammatory bowel disease, and other conditions often face the challenge of leakage following ostomy surgery. Leakage primarily results from a mismatch between the peristomal body profile and the ostomy product. The peristomal body profile assessment tool is designed to facilitate precise selection of ostomy products and accessories for patients through a structured evaluation process. This article reviews the types, assessment procedures, combined nursing interventions, and application effects of peristomal body profile assessment tools in ostomy care to provide evidence for clinical practice and enhance the prognosis of ostomy patients.

Perinatal loss is a devastating and traumatic event for mothers and their partners, causing severe negative impacts on their mental health and posing life-threatening risks in severe cases. This study reviews psychological assessment tools, influencing factors, and interventional measures related to perinatal loss. It aims to enhance healthcare professionals' awareness of the mental health needs of pregnant women and their spouses who experience perinatal loss, develop risk prediction models, and provide a reference framework for establishing early personalized psychosocial intervention systems.

Under the strategic background of comprehensively promoting healthy aging, enhancing the physical resilience of community-dwelling older adults is crucial for maintaining their functional independence and resisting health risks. Based on the perspective of community practice, this study reviews the conceptual connotation of physical resilience among community-dwelling older adults, and synthesizes research progress on its assessment methods, current characteristics, influencing factors, and intervention strategies. Future research directions are proposed to provide reference for constructing a support system for the physical resilience of community-dwelling older adults integrated with community resources.