ISSN 1672-9234 CN 11-5289/R
Responsible Institution:China Association for Science and Technology
Publishing:Chinese Nursing Journals Publishing House Co.,Ltd.
Sponsor:Chinese Nursing Association
Source journal for Chinese Science Citation Database
China Academic Journals Full-text Database
China Core Journal Alternative Database
Chinese Science and Technical Journal Database
15 March 2024, Volume 21 Issue 3 Previous Issue   
Research Paper
Application of family-centered resourcefulness training in peritoneal dialysis patients
LI Xiumei, ZHANG Hongmei, LI Xiaohan, ZHANG Yali, WU YuanyuanI
2024, 21 (3):  261-268.  doi: 10.3761/j.issn.1672-9234.2024.03.001
Abstract ( 314 )   HTML ( 1 )   PDF (1186KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics
Objective To explore the effect of family-centered resourcefulness training in peritoncal dialysis pa-tients. Methods Based on the construction of a family-centered resourcefulness training intervention program, a to-tal of 106 patienls recevied fixed follow-up in the Department of Nephrology in our hospital were selected by con-venience sampling from January to December 2021. Participants were divided into control group and experimentalgroup by random number table method, with 53 patients in each group. The control group got routine nursing care, while the experimenlal group got routine nursing combined with family-centered resourcefulness training intervention. The levels of resourcefulness, fear of disease progression, and peritoneal dialysis stigma were compared before andafter intervention betwcen the two groups. Results Afier the eighl-week of inlervention, tlhe lotal score of resource-fulness in the experimental group was(85.17±16.48 ), which was higher than that of the control group(73.87±18.45), and the difference was statistically significant(P<0.05 ). Besides, the total score of fear of disease progression in theexperimental group was(33.85+4.72),which was lower than that of the control group(37.1515.36), and the differencewas statistically significant(P<0.05). In addition, the total score of stigma in the experimental group was(56.87±16.66), which was lower than that of the control group (64.09±16.65), and the difference was slatistically significant(P<0.05). Conclusion The family-centered resourcefulness training can effectively improve the resourcefulness level ofpatients with peritoneal dialysis, and reduce the level of fear of disease progression and peritoneal dialysis stigma.
Informationization in Nursing Education
Construction of nursing teaching content for patients with bronchial asthma based on knowledge graph
ZHANG Shan, WU Ying
2024, 21 (3):  269-275.  doi: 10.3761/j.issn.1672-9234.2024.03.002
Abstract ( 742 )   HTML ( 1 )   PDF (1277KB) ( 14 )   Figures and Tables | References | Related Articles | Metrics

With the accelerating pace of updates in medical and nursing knowledge,the knowledge and skills that students need to master are also increasing rapidly. Various online education methods has provided students with diverse and convenient learning resources,but there may also lead to problems such as fragmented knowledge. Knowledge graph can effectively integrate and present knowledge from various fields,providing a more comprehensive and systematic theoretical basis and knowledge support for nursing education. Therefore,this study has undertaken the bronchial asthma chapter in Medical Nursing as an example and constructed a digital teaching model based on a knowledge graph from the aspects of structured teaching content,design of model layer and data layer,knowledge extraction and knowledge storage. This study aims to provide research ideas for solving problems such as fragmented knowledge and provides methodological references for constructing knowledge graphs of medical courses.

Investigation and research on the digital transformation status of nursing education in vocational colleges
DUAN Kaixuan, WEN Meng, LI Jin, LOU Yan, HUANG Hao, LI Ruiming, JIN Xiaofeng
2024, 21 (3):  276-281.  doi: 10.3761/j.issn.1672-9234.2024.03.003
Abstract ( 180 )   HTML ( 0 )   PDF (969KB) ( 8 )   Figures and Tables | References | Related Articles | Metrics
Objective To understand the current situation and influencing factors of the construction and application of digital software and hardware and resources in higher vocational nursing education in China,so as to provide reference for the teaching reform of higher vocational nursing digital education. Methods A total of 339 higher vocational nursing teachers from 30 provinces(autonomous regions and municipalities directly under the central government) were selected as the research objects by convenience sampling and snowball sampling. The general information questionnaire,the status quo of construction and application of digital software,hardware and resources questionnaire were used to investigate. Results More than 65% of the nursing teachers indicated their schools had achieved Wifi coverage throughout the school(230,67.8%),with smart classrooms(254,74.9%),recording and broadcasting classrooms(259,76.4%),and virtual simulation training rooms(222,65.5%);More than 60% teachers indicated their schools had established school level high-quality online courses(245,72.3%),provincial-level high-quality online courses(268,79.1%),and exam question banks(205,60.5%);The most commonly used digital hardware and teaching modes were multimedia classrooms(334,98.5%) and conventional teaching modes supported by multimedia(327,96.5%),respectively;There are differences in the satisfaction of teachers with digital software and hardware construction and/or application among teachers with different professional titles,regions,universities approved for the Double High Plan,and High-level Professional Groups approved for their universities(P<0.05). Conclusion At present,the construction of digital hardware in China is generally good,but there are obvious differences in resource construction between regions. The application mode of digital software and hardware in the teaching process is more conventional. It is necessary to strengthen support at all levels and the effective investment of schools to promote the digital transformation of nursing education.
SWOT analysis of the application of GAI to the development of cross-professional communication skills in nursing
ZHONG Wenxi, MAO Xianjun, CHENG Jing, MA Li, CHEN Yanhua, HU Weili
2024, 21 (3):  282-288.  doi: 10.3761/j.issn.1672-9234.2024.03.004
Abstract ( 135 )   HTML ( 0 )   PDF (1224KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics

The birth of GAI has created great opportunities for the reform of nursing education,as well as serious challenges. This papaer summarized the application progress of GAI in the training of nursing cross-professional communication skills. SWOT analysis was carried out on the use of GAI to cultivate nursing cross-professional communication skills. Through analysis,it was concluded that GAI had advantages such as providing personalized learning and real-time feedback,but also had disadvantages such as clinical language limitations. The national level attached great importance to the use of artificial intelligence to promote medical education reform,providing a new opportunity for GAI. The main challenge in regulating the use of GAI lies in the inadequacy of legislation in emerging areas. In order to ensure reasonable use of GAI and improve the effectiveness of nursing cross-professional communication skills training,the management department should formulate relevant legal framework and supervision mechanism,provide financial support for technical research and development. Schools should improve the relevant curriculum and education plan,strengthen the construction of teachers. Educators should mobilize the enthusiasm of professional training and continuing education,and explore the construction of industry standards and evaluation systems.

High-fidelity simulation teaching experience of undergraduate nursing students:a meta synthesis of qualitative studies
ZHOU Wenlu, SHI Wen, WANG Junjie, WANG Rui
2024, 21 (3):  289-294.  doi: 10.3761/j.issn.1672-9234.2024.03.005
Abstract ( 149 )   HTML ( 0 )   PDF (1158KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics
Objective To systematically evaluate and integrate the experience of nursing undergraduates about high-fidelity simulation teaching in order to provide references for improving the nursing teaching methods. Methods Databases were searched for qualitative studies on the experience of nursing undergraduates about high-fidelity simulation teaching including PubMed, Cochrane Library, Web of Science, Embase, CINAHL, PsycINFO, CNKI, Wanfang, VIP and SinoMed. The time limit was set from databases inception to June 2023. Results A total of nine studies were included, and 40 results were extracted. Results were summarized into seven categories and integrated into three synthesized findings:learning benefits and growth experience, the experience of role transformation, the negative experience in the teaching process. Conclusion Nursing undergraduates have a positive attitude and experience of high-fidelity simulation teaching. A safe, realistic teaching environment and learning experience for different roles is helpful for students to build up knowledge, promote the improvement of clinical comprehensive ability and improve nursing professional quality. While, the case operation and teaching content are still need to be improved.
Nursing Education
Thoughts and practice on the construction of online and offline hybrid Golden Course of Medical Nursing in colleges and universities of Traditional Chinese Medicine
LI Mu, YU Sisi, LI Cheng, ZHANG Xiao, YANG Fang
2024, 21 (3):  295-299.  doi: 10.3761/j.issn.1672-9234.2024.03.006
Abstract ( 87 )   HTML ( 0 )   PDF (846KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics

The Medical Nursing course of Nursing School of Jiangxi University of Chinese Medicine was rated as the provincial first-class undergraduate blended course. This paper introduced the concept of the curriculum building of Golden Course in Medical Nursing,described the teaching content,resources,forms and practice of the course,as well as course evaluation methods. At the same time,the preliminary results of the teaching reform were demonstrated,in order to provide feasible strategies for the construction of the Golden Course of Medical Nursing in Traditional Chinese Medicine universities.

Design and practice of ideological and political teaching method of Pediatric Nursing course
ZHANG Yongjing, WANG Juan, SHEN Huaping, WANG Yuxiang
2024, 21 (3):  300-305.  doi: 10.3761/j.issn.1672-9234.2024.03.007
Abstract ( 103 )   HTML ( 0 )   PDF (1006KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics
Objective To design and implement an integrated ideological and political teaching method of Pediatric Nursing courses,and evaluate its effect. Methods An "online + offline,in-class + extracurricular" teaching method was designed for ideological and political teaching scheme in Pediatric Nursing course. Then the teaching methods was carried out among 196 undergraduate nursing students of grade 2020,and 16 students and 6 teachers (including clinical teaching) were randomly selected for interviews after class. Results Two themes were extracted from the interviews with students,namely benefits,deficiency and expectation of curriculum ideology and politics. Another two themes were extracted from the interviews with teachers,including enhancement of teachers’ consciousness and teaching ability of curriculum ideological and political education,and the reflection and improvement of curriculum ideological and political teaching. Conclusion The ideological and political teaching of Pediatric Nursing course has been proved to have good teaching effect,which is helpful to improve the cultivation of students’ comprehensive quality,and can improve teachers’ teaching ability. In the future,further exploration of the ideological and political elements of the curriculum,the integration methods,teaching methods,and scientific student assessment methods are necessary.
Design and practice of an effective teaching method to promote the deep learning ability of nursing undergraduates in Fundamentals of Nursing
LAN Jiaqing, ZHANG Bei, DUAN Aixu, LI Weimei, ZHU Zhuangyan
2024, 21 (3):  306-311.  doi: 10.3761/j.issn.1672-9234.2024.03.008
Abstract ( 93 )   HTML ( 0 )   PDF (946KB) ( 9 )   Figures and Tables | References | Related Articles | Metrics
Objective To explore the effects of O-AMAS effective teaching model that applied in blended teaching of Fundamentals of Nursing. Methods The nursing undergraduates enrolled in 2019 of our school were identified as the control group(n=86), and the traditional flipped classroom teaching method in Fundamentals of Nursing was applied. While the students enrolled in 2020 were identified as the experimental group(n=87), and the blended teaching based on O-AMAS effective teaching model was implemented. The teaching model included five elements:objective, activation, multi-learning, assessment, and summary. After the course, academic performance, deep learning abilities, and learning engagement of the two groups of students were compared. Results The scores of academic performance, various dimensions of deep learning abilities, as well as the overall scores, behavioral engagement, emotional engagement, and learning engagement of the students in the experimental group were significantly higher than those in the control group(all P<0.05). Conclusion The blended teaching based on the O-AMAS effective teaching model in Fundamentals of Nursing is helpful to improve teaching effectiveness and learning engagement, and can promote students’ deep learning ability.
Teaching practice of ideological and political theory education in the course of Introduction to Nursing
GAO Jing, LI Chun, LI Yu, GU Shimin, GAO Wendong, LI Yingyi, XIANG Jiagen
2024, 21 (3):  312-318.  doi: 10.3761.j.issn.1672-9234.2024.03.009
Abstract ( 175 )   HTML ( 0 )   PDF (1063KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics
Objective To design the ideological and political teaching in the course of Introduction to Nursing and explore its practical effect. Methods The ideological and political teaching of Introduction to Nursing was designed, and the main steps included setting the ideological and political goals of the course, exploring the ideological and political elements, integrating the course content with the ideological and political elements, and designing the characteristic teaching links of the ideological and political teaching of the course. A total of 162 first-year nursing undergraduates in Guangzhou University of Chinese Medicine in 2022 were selected as the participants, and the ideological and political teaching of Introduction to Nursing was implemented. After the course, students were invited to evaluate their satisfaction with the course, the characteristic teaching links of the ideological and political teaching of the course, as well as beneficial or impressive characteristic teaching links of the ideological and political teaching of the course, and other related factors. Results The course satisfaction score of 162 students was(92.46±7.90). All students were satisfied with each characteristic teaching link of the ideological and political teaching of the course. Besides, 57.4%(93/162) of the students regarded that “teacher-student seminars” was the most beneficial or most impressive characteristic teaching link of the ideological and political teaching of the course. In addition, 89.5%(145/162), 81.5%(132/162), and 80.2%(130/162) of the students respectively rated that through the course, their professional values of nursing became clearer, with simulated sense of professional mission to fight for the nursing career. Also, their initiative in learning nursing professional courses got improved. The first section in the first chapter of this course was awarded as the demonstration project of ideological and political reform in Guangdong Province. Conclusion The ideological and political teaching of Introduction to Nursing is recognized by students and peers, which helps students to establish a clear nursing professional value, enhance their identification with the profession, and enhance their learning initiative.
Interpretation of Chinese expert consensus on quality control of insulin pump in hospital nursing
XU Rong, LIU Fang, ZHANG Yan, LI Juan, HUANG Jin
2024, 21 (3):  319-323.  doi: 10.3761/j.issn.1672-9234.2024.03.010
Abstract ( 169 )   HTML ( 0 )   PDF (766KB) ( 8 )   References | Related Articles | Metrics

This article interprets the “Consensus of Quality Control Experts on Insulin Pump in Hospital Care in China”,which mainly includes eight aspects:organizational structure,system,equipment and consumables,personnel training and assessment,document management,pump management,health education,and effect evaluation. The aim of this article is to enhance the in-depth understanding of this consensus for clinical nursing staff and implement it effectively in clinical practice to ensure the therapeutic effect of the application of insulin pumps in hospital setting.

Continuing Education
Design and practice of nursing emergency team regular training
SHEN Lihua, ZHOU Yan, SUI Weijing, LI Sijia, ZHUANG Yiyu
2024, 21 (3):  324-329.  doi: 10.3761/j.issn.1672-9234.2024.03.011
Abstract ( 145 )   HTML ( 0 )   PDF (943KB) ( 8 )   Figures and Tables | References | Related Articles | Metrics

In the context of the frequent occurrence of global public health emergencies and the requirement of the National Health Commission to strengthen the training of health emergency personnel,Sir Run Shaw Hospital affiliated to Zhejiang University School of Medicine conducted regular training program for nursing emergency teams. Through the establishment of nursing emergency personnel requirements,modular training contents,the application of online and offline training and comprehensive assessment,230 team members were trained for eight months firstly and two years of regular training and practice subsequently. Results were assessed after the first training in 2020. The average score of infectious disease knowledge module and hospital infection management module was 95.80 and 98.30 points respectively. The average score of critical care module and emergency trauma module reached 95.12 and 95.02 points respectively. Besides,the average score of physical and mental empowerment module was 92.45 points. A total of 12 class hours of emergency drill assessment have been completed,with a pass rate of 100%. The nursing emergency team has become the main force to deal with public health emergencies inside and outside the hospital rescue,and has also become the first echelon members of the emergency group incident response.

Study on nurses’ experience of participating in “Internet + nursing service” in county hospitals
TIAN Yutong, ZHANG Yan, MA Guirui, LIU Baofang, YAN Yuwen, GAO Mengke, LI Xizheng
2024, 21 (3):  330-335.  doi: 10.3761/j.issn.1672-9234.2024.03.012
Abstract ( 183 )   HTML ( 0 )   PDF (973KB) ( 9 )   Figures and Tables | References | Related Articles | Metrics
Objective To deeply understand the experience of nurses in county-level hospitals participating in “Internet + nursing service”. Methods From June to July 2022,a purposive sampling method was used to invite 18 nurses from county-level hospitals for interview. Participants were divided into two groups for focus group interviews. Colaizzi’s 7-step analysis method was used to analyze the data and summarize the interview topics. Results The results extracted three themes and nine sub themes:satisfaction brought by participation(income gain,self-worth,professional identity),burden bearing(increased work burden,inconvenience in travel,difficulty in using service platforms),and the sense of loss(the sense of loss caused by the narrow scope of service,the insufficient travel security equipment,and the imperfect charging standards and support mechanism). Conclusion The participation experience of nurses in county-level hospitals in “Internet + nursing service” is complex. It is recommended that hospital managers should optimize human resource allocation,service platforms,service charge standards,etc. to promote “Internet + nursing service” smooth operation.
Study on the current situation about ICU nurses’ knowledge,attitude and practice of acute skin failure and its influencing factors
ZHANG Jian, JING Jie, GAI Yubiao, XUE Xue, LIU Qingwei, WEI Lili, ZHANG Yuchen, LI Zunzhu, SUN Jianhua, LIU Yanyan, LUO Hongbo
2024, 21 (3):  336-341.  doi: 10.3761/j.issn.1672-9234.2024.03.013
Abstract ( 216 )   HTML ( 2 )   PDF (835KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics
Objective To investigate the status quo and influencing factors of ICU nurses’ knowledge and practice of acute skin failure,and to provide evidence for education and training. Methods From January 2023 to March 2023,280 ICU nurses from four tertiary Grade A hospitals in Shandong Province and Beijing were conveniently selected as the research subjects,and a self-designed questionnaire on ICU nurses’ knowledge,belief,and practice in acute skin failure nursing was used to investigated. Results A total of 272 valid questionnaires were collected. The score of knowledge dimension was(29.09±7.55),the score of attitude dimension was(37.65±5.89),and the score of behavior dimension was(34.62±8.77). Multiple linear regression analysis showed that wound specialist nurses,had received training in acute skin failure and had cared for patients with acute skin failure were independent influencing factors for ICU nurses’ knowledge and behavior of acute skin failure(P<0.05),and the education level was an influencing factor on nursing behavior of ICU nurses with acute skin failure. Conclusion ICU nurses had positive attitude toward acute skin failure,but their knowledge and behavior scores were low. Nursing managers should establish and improve the training system of acute skin failure according to nurse’ characteristics,strengthen relevant training,and improve their knowledge and practice level of acute skin failure,so as to improve the quality of acute skin failure care for ICU patients.
Health Education
Study on promoting and hindering factors of tube feeding in head and neck cancer patients with radiotherapy
ZHANG Lichuan, LU Qian, PANG Dong, ZHANG Tong, SHEN Aomei, WANG Yujie, ZHANG Yaru
2024, 21 (3):  342-347.  doi: 10.3761/j.issn.1672-9234.2024.03.014
Abstract ( 158 )   HTML ( 0 )   PDF (945KB) ( 14 )   Figures and Tables | References | Related Articles | Metrics
Objective To identify the promoting and hindering factors of enteral feeding in patients with head and neck cancer receiving radiotherapy,and provide evidence for increasing the rate of enteral feeding. Methods We used purposive sampling to select patients,caregivers,and healthcare providers who were relevant to the study objectives for semi-structured interviews. Directed content analysis was used,combined with the Health Belief Model,to extract data. Results Twenty participates included in the study. Three promoting factors(perception of severe symptoms in the future,knowledge of the benefits of enteral feeding,and receiving prompting factors) and four hindering factors(perception of low threat,perception of barriers,lack of self-efficacy,and lack of relevant knowledge) were identified. Conclusion To increase patients’ willingness to accept enteral feeding,it is necessary to establish their correct health beliefs,strengthen relevant knowledge training,and enhance their self-efficacy.
A study on the impact of social support on quality of life of women of childbearing age in ethnic areas of Sichuan Province
XIE Yuqing, ZHANG Xiangeng, WANG Yuting, WANG Hongyan, YANG Shenbi, GUO Qin
2024, 21 (3):  348-352.  doi: 10.3761/j.issn.1672-9234.2024.03.015
Abstract ( 66 )   HTML ( 0 )   PDF (819KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics
Objective To understand the current situation of the quality of life of women of childbearing age in ethnic areas of Sichuan Province,and to explore the impact of social support levels on it. Methods A total of 393 women of childbearing age were selected from three counties in Aba Prefecture,Sichuan Province,namely Ruoergai County,Mao County and Zamthang County,by convenient sampling method from January 2023 to May 2023. The general questionnaire,the MOS item Short From health survey(SF-36) and the Social Support Rate Scale(SSRS) were used to investigate. Results The total score of quality of life for women of childbearing age in ethnic regions was(102.94±9.85);The total score of social support was(34.39±5.78). Hierarchical Multiple Regression showed that social support was the factor affecting the quality of life of women of childbearing age in ethnic minority areas of Sichuan Province,accounting for 43.5% of the total variation. Conclusion The quality of life and social support of women of childbearing age in ethnic minority areas of Sichuan Province are at a moderate level,and the level of social support positively affects their quality of life. In addition,improving the social support level of women of childbearing age in ethnic minority areas can improve their quality of life.
The correlation between psychological adaptation of first-episode stroke patients’ caregivers and their family resilience
ZHAO Shihong, SUN Xiaowei, TAO Xiuxiu, XIAO Jiangqin
2024, 21 (3):  353-357.  doi: 10.3761/j.issn.1672-9234.2024.03.016
Abstract ( 153 )   HTML ( 0 )   PDF (700KB) ( 9 )   Figures and Tables | References | Related Articles | Metrics
Objective To understand the current situation of psychological adaptation and family resilience of first stroke-episode patients’ caregivers and explore their correlation. Methods A total of 276 caregivers of patients with first stroke-episode stroke were selected as survey participants from June 2022 to January 2023 by convenience sampling. The general information questionnaire,the Chinese version of Psychological Adaptation Scale and the Shortened Chinese version of Family Resilience Assessment Scale were used to investigate. Results A total of 268 valid questionnaires were collected. The psychological adaptation score of caregivers of first-episode stroke patients was(47.46±7.38),and the family resilience score was(90.82±7.97). Pearson correlation analysis showed a positive correlation between psychological adaptation and family resilience among caregivers of patients with first-episode stroke(r=0.627,P<0.05). Conclusion The psychological adaptation of caregivers of first-episode stroke patients is at a moderate to lower level(compared to the median score of 60),and the family resilience is at a moderate level(compared to the median score of 80),and they are closely related. This study provides a new perspective for medical staffs to better understand the psychological adaptation of caregivers of first-episode stroke patients.
Clinical Practice
Evidence summary for cardiopulmonary resuscitation in the prone position with invasive mechanical ventilation
JIN Ziheng, SONG Jie, ZHANG Shuxiang, JIANG Shumin, YU Wanhui, LI Ruzhao, LIU Yue
2024, 21 (3):  358-364.  doi: 10.3761/j.issn.1672-9234.2024.03.017
Abstract ( 109 )   HTML ( 0 )   PDF (1034KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics
Objective To summarize the best evidence on cardiopulmonary resuscitation(CPR) in the prone position with invasive mechanical ventilation. Methods A systematic literature search was conducted in both domestic and foreign clinical decision support systems, databases as well as relevant professional or guideline websites for clinical decision-making, evidence summaries,guidelines, expert consensuses,and systematic reviews on CPR in the prone position with invasive mechanical ventilation. The time limit of searching was set from the date of database’s inception to November 2023. The researchers screened the literature,extracted the data, evaluated the quality of the included literature,and afterward,extracted, integrated,and graded the evidence. Results A total of eight studies were included, consisting of four guidelines, one systematic reviews, and three expert consensuses. In addition, 18 pieces of evidence were synthesized into five categories, which including position selection, resuscitation preparation, compression points,defibrillation preparation,and resuscitation monitoring. Conclusion This study summarizes the best evidence for performing CPR in the prone position with invasive mechanical ventilation. Medical staff should carefully select and apply evidence and carry out clinical practice based on clinical situation and professional judgment.
Meta analysis of influencing factors of frailty in maintenance hemodialysis patients
WANG Lijuan, ZHANG Miao, ZHANG Xin, LI Juanjuan, XIAO Wenyi, GE Yurong
2024, 21 (3):  365-371.  doi: 10.3761/j.issn.1672-9234.2024.03.018
Abstract ( 145 )   HTML ( 0 )   PDF (1037KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics
Objective To update the systematic review of the influencing factors of frailty in maintenance hemodialysis patients,and to provide references for early identification and intervention of frailty in maintenance hemodialysis patients. Methods Databases were searched incuding CNKI,Wanfang,VIP,SinoMed,PubMed,Cochrane Library,Web of Science,CINAHL,and Embase. The time limit was set from the date of database’s establishment to November 22,2023. All studies and references about the influencing factors of frailty in maintenance hemodialysis patients were searched. After that,two researchers independently screened,extracted and evaluated the literature according to the criteria. Stata 15.0 software was employed for analysis. Results A total of 23 literature were included,with a sample size of 8 644 cases. The results of meta-analysis showed that age,sex,diabetes,peripheral vascular disease,heart disease,cerebrovascular disease,comorbidities,smoking history,diabetic nephropathy,fall history,depression,sleep quality score,nutrition score and hemoglobin are risk factors for frailty;Serum albumin,daily activity score,grip strength and body size were protective factors for frailty(P<0.05). Meanwhile,underweight,exercise,parathyroid hormone and dialysis adequacy were not associated with frailty(P>0.05). Conclusion There are many factors influencing frailty in maintenance hemodialysis patients. Future studies can refer to the results of this study,identify the high-risk groups of faltering early,formulate faltering intervention programs,and intervene early to improve the clinical outcomes of patients,so as to improve the quality of life of patients.
Exploration and Debate
Professional socialization of nursing students:a scoping review
LI Yao, HUAI Panpan, YANG Hui
2024, 21 (3):  372-377.  doi: 10.3761/j.issn.1672-9234.2024.03.019
Abstract ( 127 )   HTML ( 0 )   PDF (787KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics
Objective To review the researches related to the professional socialization of nursing students,and to explore the concepts,influencing factors,and major assessment tools of professional socialization among nursing students so as to facilitate the transformation of nursing students’ professional roles and promote the steady growth of the nursing workforce. Methods Following the scoping review writing framework proposed by Arksey,et al,a comprehensive search was conducted in databases including PubMed,Embase,Cochrane Library,CINAHL,Web of Science Core Collection,CNKI,Wanfang database,and VIP. The time limit was set from database’s establishment to January,2023. Studies related to professional socialization of nursing students were selected based on inclusion and exclusion criteria. Relevant information were extracted,summarized and analyzed for the included literature. Results A total of 17 articles were included,and scholars have conducted comprehensive researches on the professional socialization of nursing students,but there were still shortcomings. The concept has been increasingly improving with the supplementation of scholars from various countries,while lacked a systematic understanding in China. The influencing factors have been comprehensively explored,though lacked of objectivity. Also,the evaluation tools currently lacked of specificity. Conclusion The professional socialization of nursing students is crucial for the successful transition of nursing students’ professional roles,and Chinese scholars can conduct more in-depth discussions based on the nursing cultural background in China.
Review
Application of mixed methods study in cancer care in China:a scoping review
LI Junting, ZHUANG Jiayuan, ZHANG Yanyan, WANG Yan
2024, 21 (3):  378-384.  doi: 10.3761/j.issn.1672-9234.2024.03.020
Abstract ( 207 )   HTML ( 0 )   PDF (1032KB) ( 7 )   Figures and Tables | References | Related Articles | Metrics
Objective To review the current status and shortcomings of the application of mixed-methods research in the field of cancer patient care in China,and to provide a reference for standardized design,effective implementation,and complete reporting of mixed-methods research. Methods Based on the framework of Arksey and O’Malley scoping review method,nine databases were systematically searched,including CNKI,Wanfang,SinoMed,VIP,PubMed,Embase,Web of Science,Cochrane Library,and CINAHL. Time limit was set from the date of library construction to October 18,2023. Literature was screened,extracted,and analyzed. Results A total of 30 literatures were included,with the study design dominated by explanatory sequential mixed studies (4);and the disease type dominated by breast cancer(14). The topics of the studies were gradually expanded from quality of life and psychological experience to supportive care,post-traumatic growth,and physical condition. In addition,the content of the studies involved various aspects such as analysis of the current situation and its influencing factors or subjective experience,construction of the scales or protocols,and evaluation of the effect of the interventions. While,most of the included literature reported more standardized in sampling,data collection and analysis methods,the study design and outcome stages were generally underreported. Conclusion Mixed-methods research has been gradually increased in the application of cancer care in China. The research object is dominated by breast cancer patients,and the research topic and research content are gradually enriched,though with limited quality of the research report. It is recommended that researchers should be familiar with the reporting standards for mixed method researches,refer to the reporting standards during the research design,implementation phase,and reporting of research results. In addition,scholars should consider the suitability and implementation details of mixed method research to improve the quality of mixed method research further.