Objective: To evaluate the practical effectiveness of the "Three Disease Stages and Three Therapeutic Modalities" treatment and rehabilitation nursing program in a TCM preventive care nursing clinic. Methods: With a focus on clinical efficacy, the "Three Disease Stages and Three Therapeutic Modalities" treatment and rehabilitation nursing program was formulated and implemented. The effectiveness of the nursing program was evaluated using indicators such as overall treatment outcomes, patient satisfaction, and comprehensive nurse competence assessment. Results: After implementation of the "Three Disease Stages and Three Therapeutic Modalities" treatment and rehabilitation nursing program, the overall treatment efficacy of the outpatient clinic increased from 65.22% to 93.51% (P<0.001), patient satisfaction significantly increased from 83.62% to 93.92% (P<0.001), and comprehensive nurse competence improved in all dimensions assessed (P<0.001). Conclusion: The "Three Disease Stages and Three Therapeutic Modalities" treatment and rehabilitation nursing program can effectively enhance clinical efficacy, patient satisfaction, and comprehensive nurse competence in TCM preventive care nursing clinics, demonstrating value for promotion.

Objective: To explore a Competency-Based Education (CBE) training model for Traditional Chinese Medicine (TCM) outpatient nurses to promote high-quality talent development. Methods: Guided by CBE and using a TCM nursing outpatient platform, a full-cycle, competency-centered, and closed-loop training system was developed in a tertiary grade A TCM hospital in Henan province. Outcomes before and after implementation were compared. Results: Totally 85 clinical observation nurses and 29 qualified TCM outpatient nurses were trained, including 9 national TCM nursing talents, 8 specialized TCM heritage practitioners, and 2 provincial young nursing stars. After training, the excellence rates of TCM nursing theory and technical operation among the outpatient nurses reached 72.4% and 75.9% respectively. Patient satisfaction reached 98.2%. Initial achievements had been made in scientific research innovation and career development. Conclusion: The CBE model shifts training from time-based to outcome-based, bridges theory-practice gaps, improves talent echelons, and provides a reliable basis for training TCM outpatient nurses.

Objective: To explore the construction practice and methods of a pediatric Traditional Chinese Medicine (TCM) specialized nursing outpatient clinic in a county-level TCM hospital, and to provide a replicable practice pathway for improving pediatric TCM nursing service capacity in grassroots county-level hospitals. Methods: Since launching the pediatric TCM specialized nursing outpatient clinic in 2018, a county-level TCM hospital in Anhui province has continuously refined its management system and operational model. Through the empowerment provided by the renowned nurse studios, a stepped training pathway was established for nurse cultivation. Meanwhile, a one-stop intelligent nursing model was adopted to provide TCM appropriate techniques for children in the county area. Results: From 2020 to 2025, pediatric TCM specialized nursing outpatient clinic has provided 16 types of TCM suitable techniques, such as pediatric massage and acupoint application, with an average annual outpatient volume of 29,300. The patient satisfaction rate increased from 90.10% to 96.70%. Conclusion: The construction of a pediatric TCM specialized nursing outpatient clinic in a county-level hospital, can effectively expand the scope of TCM nursing services, enhance the health service capacity for children at the county level, and provide referable experience for the development of pediatric TCM specialized nursing outpatient clinics at the grassroots level.

Objective: To explore the application efficacy of physician-nurse collaborative model in the management of Traditional Chinese Medicine (TCM) nursing clinic, and provide practical references for standardized and sustainable operation of TCM nursing outpatient services. Methods: Since August 2025, the nursing clinic of a tertiary grade A TCM hospital in Qingdao has implemented a technology-integrated physician-nurse collaboration model. A collaboration team consisting of 1 medical expert and 2 specialized nurses was established, a combined TCM technology intervention protocol for dominant diseases was formulated, and the collaborative service process and quality control system were optimized. Results: As of March 2026, a total of 15,009 patient interventions were performed, with an overall symptom improvement effective rate of 90.6%. Patient satisfaction increased from 88.5% to 99.2%. Conclusion: The physician-nurse collaboration model can effectively integrate medical and nursing resources, improve the operational efficiency, service quality and patient experience of TCM nursing clinic. It is safe, feasible and effective, and can provide practical reference for the standardized operation and management of TCM nursing clinic.

The Gua Sha special technique of Traditional Chinese Medicine nursing clinic of a tertiary grade A TCM hospital in Jiangsu province followed the development philosophy of "building solid foundations, studying classics, following renowned mentors, engaging in clinical practice, and prioritizing scientific research". Targeting seven common conditions such as perimenopausal syndrome and insomnia, the application scheme of meridian scraping technology was formulated, the information management module was built, and the three-level quality control framework and the talent training path of "combination of training and application" were established. As of 31 December 2025, the Gua Sha special technique of TCM nursing clinic served nearly 30,000 patients annually, the overall treatment effective rate was >85%, and the nursing satisfaction was >98%. It can provide a practical model that can be implemented and promoted for TCM institutions at all levels.

Objective: To develop a comprehensive intervention program in the TCM nursing clinic for patients with mild-to-moderate Non-Alcoholic Fatty Liver Disease (NAFLD) and to evaluate its clinical efficacy, with the aim of providing a standardized practice pathway for the TCM outpatient management of chronic diseases. Methods: A comprehensive intervention program in the TCM nursing clinic for patients with mild to moderate NAFLD was developed through evidence synthesis and Delphi expert consultation. Patients with mild to moderate NAFLD who visited the TCM nursing clinic in a tertiary grade A hospital in Shanghai between June 2025 and January 2026 were recruited as study participants by using convenient sampling method. The intervention period lasted 8 weeks. The control group (n=42) received routine nursing care, while the intervention group (n=48) received comprehensive TCM nursing program in addition to routine care. Liver fat accumulation, body composition, blood pressure, liver enzymes, blood lipids, nursing compliance, and satisfaction were compared between the two groups before and after the intervention. Results: The overall effective rate for improvement in liver fat in the intervention group was 47.92%, significantly higher than the 14.29% in the control group (P<0.01). The intervention group showed significant improvements in body mass index, waist-to-hip ratio, blood pressure, and liver enzyme levels (ALT and AST) compared to the control group (P<0.01). The overall nursing compliance rate and satisfaction rate in the intervention group were higher than those of the control group (P<0.05). Conclusion: The comprehensive TCM nursing intervention model is safe, feasible, and highly practical. It can effectively improve hepatic steatosis, body composition, and hepatocyte damage in patients with mild to moderate NAFLD, while enhancing nursing compliance and service satisfaction.

Objective: To explore the application effects of Traditional Chinese Medicine (TCM) nursing clinic in continuing care for patients following Percutaneous Coronary Intervention (PCI), so as to provide references for the construction of TCM nursing clinic. Methods: A tertiary grade A TCM hospital in Shaanxi province initiated TCM nursing clinic services for patients discharged after PCI in June 2025. The services included individualized prescriptions and health education based on TCM syndrome differentiation assessment, appropriate techniques, traditional Chinese exercises, emotional care, and dietary therapy based on syndrome differentiation. Changes in physical fitness, psychological status, Pittsburgh Sleep Quality Index (PSQI), and TCM syndrome scores of patients at 3 months after discharge were compared between the pre-implementation (June to December, 2024) and the post-implementation (June to December, 2025). Results: At 3 months after discharge, patients in the post-implementation group showed significantly better outcomes in upper limb strength, lower limb strength, flexibility, and balance than those in the pre-implementation group (all P<0.05). Additionally, they had lower PSQI scores (4.84±0.67), GAD-7 scores (3.15±0.95), PHQ-9 scores (3.06±0.93) and TCM syndrome scores compared with those in the pre-implementation group. Conclusion: The TCM nursing clinic can improve sleep quality and psychological status, promote the recovery of cardiac function classification, and enhance physical fitness in patients.

Objective: To identify distinct frailty classes among middle-aged and older adults with atrial fibrillation and to analyze their associated factors, in order to inform the development of personalized care strategies. Methods: A total of 431 middle-aged and older adults with atrial fibrillation were recruited through convenience sampling in a tertiary grade A hospital in Nanning from February 2024 to February 2025. Frailty was assessed using the Fatigue, Resistance, Ambulation, Illness, Loss of weight scale. Data on cognitive function, psychological status, and nutritional status were collected. Latent class analysis was employed to identify frailty subgroups, and multinomial Logistic regression was used to analyze the associated factors. Results: Latent class analysis identified three distinct frailty classes, "Fatigue-Function-Limited" (39.4%), "High Reserve-Low Risk" (53.4%), and "Comorbid-Cachectic" (7.2%). Multinomial Logistic regression analysis revealed that mild cognitive impairment, hypertension, malnutrition, depressive symptoms, persistent atrial fibrillation, and anxiety symptoms were identified as independent associated factors for membership in the latent frailty classes. Conclusion: Frailty in middle-aged and older adults with atrial fibrillation exhibits significant heterogeneity. Healthcare professionals should formulate targeted and personalized stratified nursing interventions based on the unique characteristics and associated factors of each class to prevent or mitigate the progression of frailty.

Objective: To construct specialist nurse-led homogeneous management strategies for Continuous Renal Replacement Therapy (CRRT), evaluate the application effect, to improve patient treatment outcomes. Methods: A specialized nursing team was established and standardized training was implemented to enhance competencies. Standardized clinical procedures and quality control measures were applied, alongside structured nursing documentation and information-based support systems. In addition, a multidisciplinary bedside rounding mechanism involving physicians, nurses, and technicians was established. The strategy was implemented in a tertiary grade A hospital in Beijing, with patients treated from January to December 2023 were selected by convenience sampling as the control group, and those treated from January to December 2024 as the intervention group. Outcomes including delivered dose achievement rate, incidence of unplanned interruptions, and incidence of central venous catheter dysfunction were compared between the two groups. Results: A total of 788 CRRT sessions were performed, including 356 in the control group and 432 in the observation group. Compared with the control group, the observation group showed an improvement in delivered dose achievement rate from 89.33% to 95.14% (P=0.002), a reduction in the incidence of unplanned treatment interruptions from 16.57% to 9.49% (P=0.003), and a decrease in the incidence of central venous catheter dysfunction from 3.51% to 2.03% (P=0.001). Conclusion: The implementation of these strategies was associated with improved treatment outcomes and promoted the standardization and professionalization of nursing practice, providing a scalable practical pathway for homogeneous management in specialized nursing.

Objective: To explore barriers to implementing evidence-based guidelines for Radiation-Induced Oral Mucositis (RIOM) among healthcare professionals, providing insights for guideline implementation and promotion. Methods: This descriptive qualitative study employed semi-structured interviews guided by the Theoretical Domains Framework. Fourteen healthcare professionals from oncology department across four tertiary grade A hospitals in Hunan province were purposively sampled in May 2025. Framework content analysis was used for data analysis. Results: Seven barrier factors and 19 sub-themes were extracted from 9 theoretical domains (knowledge, skills, beliefs about capabilities, motivation and goals, memory/attention and decision processes, environmental context and resources, social influences, emotion, and behavioural norms). The seven identified barriers included: insufficient professional knowledge reserves and gaps in translating external evidence; low self-efficacy, lack of motivation, and unclear goals; delayed intervention timing, low patient engagement, and insufficient family support; lack of resources and environmental constraints; inadequate top-down support systems and insufficient interdisciplinary collaboration; emotional exhaustion and negative implementation experiences of medical professions; and abstract workflows and lack of concrete measures. Conclusion: Healthcare professionals encounter multifaceted barriers at individual, organizational, and societal levels in implementing evidence-based RIOM guidelines. Multi-level, systematic intervention strategies are needed to advance evidence-based RIOM management.

Objective: To analyze the barrier factors for exercise management in patients with Inflammatory Bowel Disease (IBD), and to formulate coping strategies, providing a basis for clinical practice. Methods: Using the knowledge transformation framework as the theoretical framework, review indicators were developed and review methods were determined based on evidence. A review was conducted on 154 inpatients with IBD, 34 nurses, 2 physicians, and 2 exercise prescription therapists from gastroenterology department of a tertiary grade A hospital in Zhenjiang between September 1 and December 31, 2023, to identify gaps between clinical practice and the evidence. Guided by the social cognitive theory, interviews were conducted with 17 patients and 8 healthcare professionals. Directed content analysis method was used to analyze the barrier and facilitating factors of introducing evidence into clinical practice, and then corresponding strategies were formulated. Results: A total of 20 audit indicators were formulated, of which 18 had a compliance rate less than 60%. Barriers analysis showed that patients mainly had behavioral dilemma of "fear of exercise, knowing but not doing", error outcome expectation, insufficient self-efficacy, weak self-regulation ability and lack of social support. At the medical staff level, there is a lack of system and insufficient training. The formed strategies for implementation included forming a multidisciplinary team, optimizing the venue and conducting training, formulating individualized prescriptions and conducting follow-ups; enhancing patient compliance through diversified education, home monitoring, family and group support. Conclusion: There is a big gap between the clinical status and the best evidence of exercise management in IBD patients. Nurses should implement coping strategies to facilitate the implementation of exercise management, thereby improving patient outcomes.

Objective: To examine the implementation effects of Beijing's policies for elderly care services, and to provide evidence for policy optimization and evidence-based decisionmaking. Methods: A system dynamics model was constructed and calibrated using data from the Beijing Statistical Yearbook (2015-2025). Simulations of policy trends from 2026 to 2035 were performed using Vensim PLE software. Four intervention scenarios were designed—namely, optimized financial investment, nursing workforce development, long-term care insurance enhancement, and a composite performance index—and the simulation outcomes under these scenarios were compared. Results: The model demonstrated goodness of fit and robustness, with relative errors below 5%. Simulation results indicated that optimized financial investment alone cannot resolve the nursing workforce shortage; nursing workforce development alone cannot correct resource misallocation; and even after long-term care insurance enhancement, workforce gaps and resource misallocation remain prominent. Furthermore, the composite performance index was found to be correlated with the supply-demand ratio, population gap, individual financial burden, and fiscal sustainability. Conclusion: The elderly care service system in Beijing exhibits complex bidirectional feedback among population demand, service supply, and fiscal investment. No single policy instrument is sufficient to overcome the structural contradictions; therefore, stronger coordination among multiple policy instruments is essential.

Objective: To explore the heterogeneous trajectories of oral frailty and their influencing factors in older adults with stroke from the acute to recovery phase Methods: Through convenience sampling, 243 older stroke patients hospitalized in the neurology department of a tertiary grade A hospital in Wenzhou were recruited from August to December 2024. Oral frailty was assessed at admission and at 1, 3, and 6 months after discharge. Data were analyzed using a latent class growth model and multinomial Logistic regression. Results: A total of 218 patients completed the full survey. Three oral frailty trajectories from the acute to recovery phase were identified: "severe frailty-improving" (13.3%), "moderate frailty-improving" (46.8%), and "non-frail stable" (39.9%). Age, National Institutes of Health Stroke Scale score, comorbid chronic diseases, and nutritional status were associated with the trajectory of oral frailty changes in elderly stroke patients (P<0.05). Conclusion: Older adults with stroke exhibit three distinct oral frailty trajectories from the acute to recovery phase. Healthcare providers should implement stratified oral care interventions tailored to trajectory characteristics to improve oral function and overall outcomes.

Objective: To explore the internal association among gestational weight management behaviors and their influencing factors, and to provide evidence for interventions targeting weight management during pregnancy. Methods: A total of 578 pregnant women attending an obstetric outpatient clinic in a tertiary grade A hospital in Wuhan from March to June 2025 were recruited by convenience sampling. Data were collected through questionnaires including the demographic information form, Depression Anxiety Stress Scale-21, the Perceived Social Support Scale, and the Weight Management Behavior Scale. Multiple linear regression analysis were used to analyze the influencing factors of gestational weight management behaviors, and network models were constructed, including network relationship analysis of gestational weight management behaviors and mixed network analysis of behaviors and influencing factors. Results: The mean weight management behavior score was 55.75±13.47, indicating a moderate level. Network analysis of gestational weight management behaviors showed that persistent exercise was the core node, while making exercise plans and checking implementation status as well as dietary control were bridge nodes. Mixed network analysis demonstrated that higher educational level was directly and positively associated with measuring and recording body weight once a week, reducing the intake of fried/high-fat foods and sugar-sweetened beverages, and not storing high-calorie or favorite foods at home. Non-employment status was directly and negatively associated with continuing to work and doing light household chores as usual during pregnancy. Depressive symptoms were directly and negatively associated with reducing the intake of fried/high-fat foods and sugar-sweetened beverages, whereas higher social support was directly and positively associated with continuing to exercise even without access to a gym or exercise equipment. Conclusion: Based on the analysis, a structured pattern of associations exists among gestational weight management behaviors and the related factors. Active persistence in exercise, making exercise plans and checking implementation status, and dietary control may serve as potential targets for interventions on gestational weight management.

Objective: To gain a thorough understanding of the emotional experience of adolescents with eating disorders, in order to provide references for formulating targeted emotional interventions. Methods: A descriptive phenomenological approach was used. The semi-structured in-depth interviews were conducted in 19 adolescents with eating disorders between November 2023 and December 2024. The interview data were analysed using Colaizzi's seven-step analysis. Results: Three core themes emerged including attention to emotions (lack of positive emotions, intense and persistent negative emotions, emotional sensitivity with significant fluctuations), emotional clarity (limited range of positive emotional experiences, rich variety of negative emotional experiences), and emotional repair (frequent use of harmful coping mechanisms, insufficient resources for benign repair). Conclusion: Adolescents with eating disorders experience complex and difficult-to-regulate negative emotions and frequently resort to maladaptive coping strategies. This suggests that healthcare professionals should pay attention to emotional problems of adolescents with eating disorders and strengthen training in their emotional regulation skills.

Objective: To analyze the current status and influencing factors of Health-Related Productivity Loss (HRPL) among postpartum nurses returning to work, in order to provide a basis for formulating targeted intervention strategies. Methods: A convenience sampling method was used to recruit 450 postpartum nurses returning to work from four general hospitals in Qingdao between September 2024 and September 2025. Data were collected using a general information questionnaire, the Work Pressure Scale for the Postpartum Nurses returning to work, the Essentials of Magnetism II Scale, the Medical Outcomes Study 36-Item Short Form Health Survey, the Intrinsic Work Motivation Scale, and the Work Productivity and Activity Impairment Questionnaire. Partial least squares structural equation modeling was employed to analyze the pathways among the variables. Results: The incidence of HRPL among postpartum nurses returning to work was 64.4%, with a median score of 20.00 (0, 40.00). Partial least squares structural equation modeling revealed that health status partially mediated the relationship between work stress and HRPL (P<0.001), and hospital magnetic level had a direct negative effect on HRPL (P=0.007). Conclusion: Postpartum nurses returning to work experience a relatively high incidence of HRPL. Nursing managers can protect their health-related productivity by optimizing human resource allocation, providing health resources, and enhancing magnet hospital attributes.

Objective: To analyze the clinical efficacy of the Family Integrated Tiered Care (FITC) program in premature infants with Bronchopulmonary Dysplasia (BPD), to improve their health outcomes. Methods: Preterm infants with BPD in the Neonatal Intensive Care Unit of a tertiary grade A hospital in Hubei province between March and November 2025 were selected by convenience sampling, and randomly assigned to a control group (30 cases) and an intervention group (29 cases). The control group received nursing care in accordance with the guidelines for Family Integrated Care of neonates, while the intervention group was implemented with the FITC program. The two groups were compared in terms of unplanned readmission rates, time to weaning from oxygen, growth and developmental indicators at follow-up, discharge readiness, and satisfaction with family-participatory wards. Results: Compared with the control group, the intervention group showed a lower rate of unplanned readmission (26.67% vs 17.24%) and a shorter oxygen weaning time, which decreased from (30.43±12.97) days to (16.30±9.80) days; additionally, its growth and developmental indicators were closer to standard values. Statistically significant differences were observed between groups in discharge readiness, satisfaction scores increased after implementation (P<0.05). Conclusion: The FITC program demonstrates significant clinical efficacy, effectively improving the short-term prognosis of preterm infants with BPD while enhancing caregiver's satisfaction and discharge readiness.

Objective: To analyze the application effect of specialist nurse-led remote online rehabilitation training on home-based care for children with limb fractures, in order to inform the rehabilitation of pediatric patients with limb fractures. Methods: A total of 156 children with limb fractures and their primary caregivers admitted between June 2023 and June 2024 in a tertiary grade A hospital in Wuhan were enrolled by convenient sampling and randomly assigned to an intervention group (78 cases) or a control group (78 cases) using a random number table method. The control group received routine discharge nursing guidance and follow-up, while the intervention group additionally received a specialist nurse-led remote online rehabilitation training program. Outcomes compared between the two groups included home-based functional exercise adherence, the incidence of complications, fracture healing time, and caregiver satisfaction. Results: After the intervention, the temporal trends of home-based functional exercise adherence were different between two groups (P<0.001), and the adherence scores in the intervention group were consistently higher than those in the control group at 3,6, and 9 weeks after surgery (P<0.001). The incidence of complications in the intervention group was 5.1%, which was significantly lower than the 25.6% in the control group (P<0.001). Fracture healing time was significantly shorter in the intervention group than in the control group (P<0.001). Moreover, caregiver satisfaction was significantly higher in the intervention group (P<0.001). Conclusion: Specialist nurse-led remote online rehabilitation training can improve functional exercise adherence, reduce complications incidence, shorten fracture healing time, and enhance caregiver satisfaction in children with limb fractures, supporting its clinical application.

Objective: To conduct a scoping review on the application of Virtual Reality (VR) technology in the symptom management of children with cancer, providing references for future research in this field. Methods: We systematically searched the domestic and international databases from their inception to July 1, 2025 for relevant literature. The included literature was then summarized and analyzed. Results: A total of 16 articles were enrolled, containing 11 randomized controlled trials and 5 quasi-experimental studies. According to the studies, the intervention elements included pre-intervention preparation, location, frequency, and duration. Nine studies conducted interventions through VR immersive scene experiences, and seven studies implemented interventions through VR games. Evaluation indicators referred to four aspects: mental health status, quality of life, physiological indicators, and feasibility. Conclusion: VR technology has demonstrated positive effects on symptom management in children with cancer, but the sample sizes are small and strategies to mitigate adverse reactions to VR interventions are lacking. Large sample, multicenter randomized controlled trials are required to confirm the effects of VR interventions on symptom management in children with cancer.

Objective: To explore the effects of Problem-Based Learning (PBL) combined with simulation teaching among medical undergraduates' internship in neonatal department, providing evidence and references for optimizing medical internship teaching in the neonatal department. Methods: A total of 71 nursing undergraduates who interned in the neonatal department of a tertiary grade A hospital in Beijing from August 2024 to April 2025 were recruited as the participants. They were randomly divided into the experimental group (n=36) and the control group (n=35). The control group adopted the traditional teaching mode, and the experimental group additionally adopted the PBL combined with simulation teaching. The teaching effectiveness was evaluated when students completed their neonatology internship. Results: After the intervention, the theoretical scores, self-efficacy, critical thinking ability and communication ability scores of the experimental group were (81.94±9.88), (32.22±4.76), (13.25±3.49) and (90.06±12.03) points, respectively, all significantly higher than those of the control group (76.71±7.95), (27.69±6.56), (9.89±4.21) and (83.03±13.63) points (all P<0.05). Conclusion: The PBL combined with simulation teaching can effectively enhance the theoretical knowledge, self-efficacy, critical thinking, and communication abilities of undergraduate medical students in neonatal nursing. It is an effective strategy for cultivating high-quality, practical pediatric nursing talents of medical undergraduates.

Objective: To develop an evidence-based practice protocol for minimizing physical restraints in ICU children and evaluate its application effect, aiming to reduce the rate of physical restraint in ICU children and decrease related complications. Methods: Guided by the i-PARIHS framework, an evidence-based nursing plan was constructed through evidence acquisition, current situation review, and evidence introduction. From March to May 2025, this practice was applied in a tertiary grade A children's hospital in Beijing. The differences in outcome indicators such as the knowledge, attitude and practice score of physical restraint among nurses, the implementation rate of review indicators, the restraint rate, complication incidence, restraint alternative rate, and the average number of restraints before and after the practice were compared. Results: After implementing evidence-based practice, the implementation rate of the indicators and the total score of the knowledge, attitude and practice questionnaire of the nurses increased; the restraint rate decreased from 71.2% to 61.8%, the incidence of restraint complications decreased from 1.3% to 0.3%, and the substitution rate of restraint increased from 0.5% to 4.0%, and all the differences were statistically significant (P<0.05). Conclusion: The evidence-based practice of minimizing physical restraints for children in the ICU standardizes the assessment, operation and behavior of physical restraint care, reduces the restraint rate, and improves the comfort level and outcome indicators of the children.

Objective: To carry out evidence-based nursing practice for the prevention and management of non-suicidal self-injury in hospitalized adolescents with mood disorders, so as to promote the transformation of evidence into practice. Methods: Evidence-based method was used to screen and include 13 pieces of evidence, which were transformed into 15 review indicators. Convenient sampling method was used to select hospitalized adolescents with mood disorders and medical staff in the ward of a tertiary grade A hospital in Nanjing, and baseline review was conducted from September to December 2023 to identify the obstacle factors and formulate prevention and management strategies. From May to July 2024, evidence-based practice was carried out and re-examined, and the implementation rates of review indicators, patients' self-harm and anxiety and depression scores were compared before and after evidence application. Results: After apply the evidence, the implementation rates of 14 indicators were improved (P<0.05). The score of adolescents self-harm scale decreased from 13 (11,18) to 3(1,4), the score of anxiety decreased from 55.74±14.09 to 32.54±6.52, and the score of depression decreased from 62.94±14.68 to 36.77±10.11, all differences were statistically significant (P<0.05). Conclusion: Evidence-based practice of prevention and management of non-suicidal self-injury in hospitalized adolescents with mood disorders can help to reduce non-suicidal self-injury in clinical patients, improve depression and anxiety, improve nursing quality and promote safety management in psychiatric wards.

Objective: To develop a pressure injury prevention program for patients in Post-Anesthesia Care Unit (PACU) based on risk assessment and to evaluate its clinical effectiveness, providing evidence for skin management in PACU. Methods: A pressure injury prevention program for PACU patients was developed through literature review, semi-structured interviews, and Delphi expert consultation, and implemented from May 2025 at a tertiary grade A hospital in Nanjing. Patients were conveniently selected, with 100 patients admitted from March to April 2025 serving as the pre-implementation group and 100 patients from May to June 2025 as the post-implementation group. The nursing handover performance, risk identification ability, incidence of pressure injury, and nursing satisfaction were compared between the two groups. Results: In the post-implementation group, the handover completion rate was 86.0%, the risk identification rate was 89.0%, and the nursing satisfaction rate was 98.0%, all significantly higher than those in the pre-implementation group. Besides, the incidence of pressure injury was 2.0% in the post-implementation group, significantly lower than that in the pre-implementation group (P<0.05). Conclusion: The pressure injury prevention program for PACU patients improves the nursing handover completion rate and risk identification rate, reduces the incidence of pressure injuries, and enhances nursing satisfaction. Therefore, the program demonstrates strong clinical applicability and promotion value.

Objective: To develop a mini program for the management of heart failure and evaluate its usability, so as to provide a feasible disease management tools for patients at different stages of heart failure. Methods: Guided by the patient-centered design concept, we explored in depth the disease management demands of patients at different stages of heart failure through interviews, and then determined the core modules and functions of the mini program. Using purposive sampling, 12 inpatients at different stages of heart failure from a tertiary grade A hospital in Beijing were enrolled for usability evaluation from August to December 2025. Results: A mini program named Quanxin Zhiguan was developed with the integration of virtual digital human technology. The test results showed that all participants completed 5 typical tasks with a 100% completion rate, an average completion time of less than 5 minutes. The score of the Post-Study System Usability Questionnaire was 22.56±4.72, indicating good usability and user experience. Conclusion: The mini program demonstrates comprehensive functionality and content. It can provide stage-specific disease management guidance for patients with heart failure based on their needs, and is worthy of clinical application and promotion.

Objective: To conduct a scoping review on the specific contents, evaluation indicators, and application effects of digital empowerment in the motor interventions for Multiple Sclerosis patients, and to provide references for improving motor intervention strategies in Multiple Sclerosis patients. Methods: Guided by the JBI scoping review guidelines, a systematic search was conducted in 9 Chinese and English databases from their inception to November 19, 2025. The included studies were analyzed and summarized. Results: A total of 18 articles were included. The application medium of digitally empowered motor intervention for Multiple Sclerosis patients included video games, virtual reality technology, robot-assisted devices, and digital communication. The intervention contents involved upper limb function training, lower limb function training, and balance training. Totally three indicators were involved including physical function, psychological and health, and feasibility indicators. In terms of application effects, digitally empowered motor interventions improved patients' upper limb coordination, lower limb function, balance ability, and mental health, with no serious adverse effects observed. Conclusion: Digital empowerment exhibits promising application potential in motor interventions for patients with Multiple Sclerosis. In the future, high-quality randomized controlled trials should be conducted to compare the application effects of different intervention mediums in motor interventions for Multiple Sclerosis patients in order to provide standardized intervention plans for their functional rehabilitation.

Objective: To conduct a scoping review of studies on digital technology for adolescent mental health interventions, aiming to provide an evidence-based reference for nursing professionals to participate in adolescent mental health services. Methods: A systematic search for relevant literature on digital technology interventions for adolescent mental health was conducted in both Chinese and English databases from inception to September 1, 2025. Included literature was summarized and analyzed. Results: A total of 21 articles were included. Technologies included mobile applications and web platforms, conversational agents (chatbots), virtual reality, and text messaging interventions. The content covered psychoeducation, Cognitive Behavioral Therapy (CBT), emotional intervention, social interaction, and daily life reminders. CBT-based mobile Apps, online social support platforms, and virtual reality demonstrated positive effects on depression, anxiety, insomnia, and self-harm reduction. Conclusion: Digital technology can effectively improve adolescent mental health, but challenges remain regarding user adherence and long-term effectiveness. Nursing professionals can assume roles in screening and assessment, intervention delivery, therapeutic alliance maintenance, and multidisciplinary coordination within digital mental health services. Future research should focus on longer-term follow-ups, exploring intervention mechanisms, developing culturally adapted strategies, and advancing implementation science.

This study reviewed the application of photovoice, a participatory action research method, in various fields of nursing, including nursing education, mental health care, clinical nursing practice and nursing management to better understand patients' experience. It aims to discuss the advantages of photovoice in nursing and the potential areas of health care for improvement, offering insights for nursing researchers to address relevant research questions through photovoice.

Effective end-of-life communication can not only alleviate the psychological distress (such as anxiety, sense of loss) experienced by terminally ill patients, but also help family caregivers cope with bereavement grief. This article reviews the current status of communication between primary caregivers and terminally ill patients regarding illness and death preparation in the family context, including communication experiences and their impacts. It also summarizes the research progress on influencing factors, so as to provide a reference for subsequent interventions to improve the quality of end-of-life communication.

Based on the Donabedian's Structure-Process-Outcome Quality Framework, this study summarized the operational practices and outcomes of patient safety and nursing quality improvement in Stanford Health Care through field observation and literature review. The findings indicate that the institution strengthened its structural foundation through a value equation and multi-level governance system, optimized nursing processes through a professional practice model, career development support, and evidence-based translation, and enhanced outcome feedback through multidimensional quality indicators, patient experience evaluation, and employee engagement assessment, thereby establishing a closed-loop mechanism for continuous improvement of patient safety and nursing quality. These practices may provide references for the continuous improvement of nursing quality and the enhancement of the patient experience in China.