Through the method of literature review，this study analyzed the century-long evolution of the Nightingale Award criteria from 1920 to 2023. It reveals that the criteria have expanded from a singular focus on the nursing field to encompass specialization and diversity，with the spiritual connotation extending from traditional dedication to a comprehensive embodiment of innovative capabilities and professional values. The implications of this transformation for nursing education are as following：to promote the spirit of Nightingale and cultivate nursing talents who possess both a spirit of dedication and innovative abilities；to advance the specialization and diversification of nursing education，thereby enhancing professional value；and to adhere to the principle of maintaining integrity while fostering innovation，thus promoting the sustainable development of nursing education.

Objective To construct a humanistic competence training program for nurses，thereby providing a reference for the implementation of humanistic nursing training. Methods Based on literature review，prior exploratory experience，and expert consultations，a preliminary draft of the humanistic competence training program was developed. A two-round Delphi method was employed to consult 24 experts in relevant fields. Results The valid response rate for two rounds of expert consultation was 100%. The authority coefficients of experts was 0.923 and 0.920，respectively. Kendall’s coefficients of concordance was 0.137（χ²=402.236，P<0.001） and 0.115（χ²=315.579，P<0.001），respectively. The finalized training program for nurses’ humanistic practice competence consisted of four first-level components（training objectives，training content，training methods，and training effects evaluation），16 second-level components，and 92 third-level components. Conclusion The constructed humanistic competence training program is scientific，reliable，and systematic. It can serve as a standardized reference for nurse humanistic competence training in China，addressing fragmentation and inconsistency in current training practices.

Objective To explore the path of integrating cultural competence intervention programs into Thinking and Communication course，and evaluate their effect in enhancing cross-cultural communication skills among nursing undergraduate students. Methods From September 2023 to January 2024，third-year nursing undergraduates who participated in the course of Thinking and Communication in a university of Anhui Province，were selected as the participants. Students were randomly divided into experimental group（n=68） and control group（n=71）. The experimental group was intervened with the cultural competence intervention program，while the control group was undertaken the traditional teaching. The scores of cultural competence and communication competence were compared in two groups before and after intervention. Results The score of cultural competence in the experimental group and the control group was（69.19±6.28） and（66.21±5.72），respectively，after the intervention，which difference reached statistically significant（P<0.05）. The score of communication competence in the experimental group and the control group was（90.82±9.25） and（86.37±9.13），respectively，and the difference was also statistically significant（P<0.05）. Conclusion The cultural competence intervention based on Campinha-Bacote Cultural Competence Model can effectively improve nursing undergraduates’ cultural competence and communication competence.

Objective To evaluate the teaching practice of a Comprehensive Humanistic Nursing Competency Training course based on authentic learning. Methods A teaching design was developed for the Comprehensive Humanistic Nursing Competency Training course based on authentic learning，including clarifying teaching objectives，determining teaching themes，designing teaching implementation，constructing teaching resources，and establishing teaching evaluation. The course was implemented from April to June 2023 among 397 undergraduate nursing students（class of 2020）. Students' humanistic care ability was assessed using the Caring Ability Inventory（CAI） before and after the course. Post-course evaluations included students' reflection diaries to assess teaching effects，teaching satisfaction surveys，and students' feedback. Results After the course，the total score of CAI and scores in the understanding and patience dimensions significantly increased compared to pre-course levels（P<0.001）. Taking the “empathy” theme as an example，analysis of reflection diaries revealed four key themes namely understanding the connotation of empathy，clarifying the role of empathy，strengthening the belief in practicing empathy，and summarizing the implementation methods of empathy. The satisfaction rates reached 99.2%（377/380）for teaching quality and 98.7%（375/380） for instructional design. Students suggested ways for further improvements including enhancing feedback on reflection diaries，increasing challenge levels in role-playing and real-case scenarios，and diversifying assessment methods. Conclusion The authentic learning-based Comprehensive Humanistic Nursing Competency Training course can effectively enhance nursing undergraduates' humanistic care abilities with high student satisfaction. Further optimizations should incorporate students'suggestions for improvement.

Objective To explore the application effect of internalization theory-based experiential teaching in humanities course for undergraduate nursing students. Methods An experiential teaching based on internalization theory was designed，with key steps including：identifying teaching themes，content，and arrangements；designing teaching implementation；and establishing teaching resource databases. The control group consisted of 269 nursing students from the grade of 2018，who receiving conventional teaching. Meanwhile the experimental group included 157 nursing students from the grade of 2022 who undertaking a three-phase experiential teaching process：foundation level-transformation level-sublimation level. Post-course evaluations included a self-designed questionnaire assessing course satisfaction in the experimental group，along with Caring Ability Inventory and Emotional Experience Scale measurements to compare humanistic caring competence and emotional awareness between two groups. Results After the course，94.9%（149/157） students in experimental group rated their overall satisfaction with the nursing humanities course as “very satisfied/satisfied”. Comparing to the control group，the experimental group demonstrated significantly higher scores in the patience dimension of caring ability（t=2.177，P=0.030） and emotional breadth dimension of emotional awareness（t=3.421，P=0.001）. Conclusion The internalization theory-based experiential teaching achieves favorable educational outcomes in nursing humanities courses，effectively enhancing students' humanistic literacy，stimulating learning interest，and improving learning experiences.

Objective In order to solve the problems in the traditional teaching of Nursing Ethics，the course team innovated the teaching design，for providing useful reference for other colleges. Methods Facing three teaching pain points including insufficient depth of ethical cognition，lack of opportunities for ethical practice，and incomplete stimulation of ethical emotions，a trinity teaching innovation model of ‘knowledge · ability · emotion’ was constructed. Results The model included three system initiatives namely 1）Through inquiry learning to strengthen students’ cognition of nursing ethics；2）Strengthen students’ nursing ethical behavior；3）Through curriculum ideological and political to cultivate their ethical emotions. Conclusion This model can effectively improve students’ ethical knowledge，decision-making ability and moral cultivation，and stimulate students’ independent learning ability.

Objective To investigate nursing undergraduates’ perceptions and learning experiences regarding an interdisciplinary frontier course integrating radiological medicine engineering and nursing，aiming to provide insights for educational reform in nursing cross-disciplinary studies. Methods Semi-structured interviews were conducted in March 2024 involving 28 nursing undergraduates enrolled in the elective course Frontiers of Radiological Medicine and Nursing. Interview data were coded and analyzed using thematic analysis. Results Students enrolled in the course motivated by an exploratory spirit and growth mindset，reporting that it sparked their research interests，cultivated interdisciplinary thinking，and reinforced exploratory attitudes. They perceived the curriculum as cutting-edge and practical，engaging deeply in the integration of high-quality theoretical and practical instruction. While experiencing learning challenges，students expressed a strong desire for further in-depth exploration. Conclusion The interdisciplinary integration curriculum of radiological medicine engineering and nursing provides students with opportunities to expand their knowledge systems and strengthen cross-disciplinary thinking，equipping them to address complex nursing challenges using frontier interdisciplinary knowledge. While student acceptance and recognition were high，further improvements are needed in course content，duration，and learning materials. These findings offer practical implications for advancing interdisciplinary nursing education.

With the improvement of national living standards and the acceleration of population aging，health-care has become a major strategic issue related to national economy and people’s livelihood. Cultivating high-quality nursing and health talents is particularly crucial. The integration of industry and education can promote the organic integration of the education chain，talent chain，innovation chain，and industry chain，thereby cultivating high-quality applied talents that meet social needs. Taking the construction of a high-level professional group as an opportunity，this study gathered the advantageous resources of “government，school，industry，and enterprise”，built a large health technology skill industry-education integration base. Through methods such as questionnaire surveys and expert interviews，we systematically constructed a talent cultivation curriculum system for industry education integration through the steps of “research，exploration，analysis，sequence，and activity”，created an international high-level nursing and health care project，established a sustainable and virtuous cycle model for nursing and health care talent cultivation.

Objective To analyze the factors influencing the nursing employment intentions of undergraduate nursing interns and use the Antagonistic Interpretive Structural Modeling（AISM）to classify these factors hierarchically and evaluate their internal relationships，providing a basis for enhancing the employment intention in nursing of undergraduate nursing interns. Methods Using convenience sampling，235 undergraduate nursing interns from 10 tertiary grade A comprehensive teaching hospitals in Wuhan were selected as survey participants between January 2023 and June 2023. The survey was conducted using a general information questionnaire，the Chinese version of Nursing Career Choice Scale on Nursing Students，and the College Students Speciality Identity Questionnaire. After screening the influencing factors of nursing employment intentions among undergraduate nursing interns through univariate Logistic regression，AISM was employed to establish a model and derive the hierarchical levels of these factors and their relationships. Results The reasons for choosing the nursing major，family residence，current engagement in clinical activities and social influence were identified as root-level influencing factors. Appropriateness was categorized as an intermediate-level factor，while behavioral aspects，emotional aspects，and whether one is an only child were superficial-level factors. Conclusion The factors influencing the nursing employment intentions of undergraduate nursing interns are diverse and belong to different hierarchical levels，with complex interactions among them. The findings of this study can provide targeted insight and perspectives for nursing educators and administrators to formulate targeted interventions to strengthen the nursing workforce.

Objective To explore the interrelationships among learning burnout，mobile phone addiction，self-control，learning motivation，and recessive truancy behavior of nursing undergraduates. Methods A convenience sampling method was used to recruit 392 nursing undergraduates from a medical university in Northeast China as the study participants. The Recessive Truancy Scale for College Students，the Learning Motivation Scale，the Learning Burnout Scale，the Mobile Phone Addiction Index，and the College Student Self-Control Scale was applied in data collection. A sparse factor network model was constructed using R 4.4.1 software to analyze the correlations among variables，node strength，betweenness centrality，and closeness centrality among variables，identifying core and bridging factors. Network stability was also assessed. Results Recessive truancy showed significant positive correlations with learning burnout（r=0.40） and mobile phone addiction（r=0.27）. The predictability of recessive truancy was 46.1%，and the intensity of learning burnout was 1.90. Learning motivation acted as a bridging factor，exhibiting the highest betweenness centrality of 3.00，significantly surpassing other variables. Recessive truancy and mobile phone addiction demonstrated higher closeness centrality with the index of 0.69 and 0.71，respectively. The correlation stability（CS） coefficient was 0.75. Conclusion Learning burnout is the central driver of recessive truancy among nursing undergraduates，while learning motivation serves as a critical bridging factor. Nursing educators should develop and implement targeted interventions focusing on learning burnout and motivation to effectively reduce recessive truancy behaviors in this population.

Objective To explore the mediating effect of job crafting between work environment and training transfer of stroke specialty nurses，so as to provide reference for the training and use of stroke specialty nurses. Methods A total of 448 stroke specialty nurses from 12 hospitals in Henan Province were investigated from November to December 2023. General information questionnaire，Stroke Specialist Nurse Training Transfer Scale，Nursing Work Environment Scale and Job Crafting Questionnaire were applied in the survey. Results A total of 430 valid questionnaires were collected. The average scores of stroke specialty nurse training transfer，nursing work environment and job crafting were（4.31±0.44） points，（5.15±0.61） points and（4.02±0.35） points respectively. The results of multivariate linear regression showed that nursing work environment and job remodeling exert a positive impact on the training transfer of stroke specialty nurses（β=0.701、0.226，P<0.001）. In addition，the results of this study found that job crafting played a partial mediating role between work environment and training transfer，with a mediating effect value of 0.21，accounting for 23.8% of the total effect. Conclusion Job crafting is an intermediary variable of working environment and training transfer. Nursing administers should continuously improve the working environment，create a positive transfer atmosphere，and promote the training transfer of stroke specialty nurses.

Objective To explore the application effects of a physical restraint training program for nurses in neurosurgical intensive care unit（NICU） based on Miller's Pyramid design. Methods A physical restraint training program for NICU nurses was designed based on Miller's Pyramid，which incorporating findings from on-site observations，questioning，and semi-structured interviews. Nurses working in the NICU of a tertiary hospital were divided into an experimental or a control group（19 nurses each） based on their actual patient assignments. The control group received routine physical restraint training，while the experimental group underwent physical restraint training designed based on Miller's Pyramid. A total of 139 patients managed by each group from January to March 2024 were selected as observation participants through convenience sampling. The correct application rate of physical restraints，along with the incidence rates of physical restraint use，unplanned extubation，and skin injuries among patients cared for by both groups，were collected and compared. Results The experimental group demonstrated a higher correct application rate of physical restraints and lower physical restraint application rates compared to the control group（P<0.05）. Besides，no statistically significant differences were observed in the incidence rates of unplanned extubation and skin injuries between the two groups（P>0.05）. Conclusion Physical restraint training based on Miller's Pyramid can improve the correct application rate of restraints by NICU nurses and reduce physical restraint usage in patients without increasing adverse event rates，making it suitable for further implementation.

Objective To investigate critical care specialty nurses’ expectations and perceptions regarding the teaching services in clinical practice training bases，and analyze the gaps between them. Methods Using convenience sampling method，203 critical care specialty nurses from 27 provinces who completed the clinical practice training program organized by the Chinese Nursing Association and obtained certification of critical care specialty nurses between 2023 and 2024 were surveyed from July to September 2024. A demographic questionnaire and a questionnaire on expectations and perceptions of teaching services for ICU specialty nurses’ clinical practice were applied in data collection. Results Statistically significant differences（P<0.05） were observed in both expectation and perception scores across different genders，age groups，years of critical care experience，educational level，and professional title. The mean discrepancy between perception and expectation scores was -0.047，with statistically significant gaps identified in four specific service items（P<0.05）. Conclusion The current perception level of teaching services in clinical practice training bases falls below ICU critical care specialty nurses’ expectations. Quality improvement should focus on trainees’ individual characteristics，prioritizing implementation of services with highest expectations，optimizing services with lowest perceived performance，and making targeted improvements in services demonstrating significant perception-expectation gaps，thereby promoting high-quality development of clinical practice training.

Objective To understand the current status and influencing factors of knowledge，attitude and practice （KAP） of transitional care of nurses working in cardiovascular nursing field in Fujian Province. Methods A convenience sampling was used to recruit 447 nurses working in cardiovascular nursing field in 60 hospitals of Fujian Province. The nurses were investigated by the General Information Questionnaire，the Transitional Care Knowledge，Attitude and Practice Scale and the Influencing Factors of Transitional Care Practice. Results The total score of KAP of the 447 cardiovascular nurses was （146.96±22.13），with a mean item score of （3.95±0.80）. Subscale scores included knowledge（3.72±0.88），attitudes（4.08±0.72），and practices（3.77±0.99）. Significant differences regarding the total KAP scores were observed across age，professional title，position，hospital level，and whether the nurse held a specialized certification（all P<0.05）. The main factors that affected the practice of transitional care included the presence of transitional care system and procedures，clearly defined roles and responsibilities，and information sharing and collaboration between the hospital and other referral agencies. Conclusion The level of KAP of transitional care among nurses working in cardiovascular nursing field in Fujian Province requires further improvement. Managers ought to further improve the appropriate systems and processes for transitional care，and strengthen cooperation between disciplines and between healthcare organizations，and promote the high quality transitional care services.

Objective To develop a scientific and standardized follow-up checklist for elderly patients with hip fractures after surgery，providing a reliable tool for the follow-up work for elderly patients with hip fractures after surgery. Methods The preliminary follow-up list of elderly patients with hip fractures after surgery was formulated through literature review，and semi-structured interviews. Through Delphi method，two rounds of expert consultations with 13 experts was conducted to collect their opinions to form the final version of follow-up list. A total of 12 elderly patients who underwent hip surgery in a tertiary Grade A hospital in Shandong Province in May 2024 were selected as the research participants using convenience sampling method. Nurses with follow-up experience were trained uniformly，and postoperative follow-up checklists were applied，and the formulated follow-up checklists were evaluated. Results The expert authority coefficients was 0.88 and 0.91，respectively. The final follow-up list of elderly patients with hip fractures after surgery included four primary indicators （physiological assessment and daily life support，information support，psychological support，and social support），12 secondary indicators，and 32 tertiary indicators. After initial application，both patients and nurses believed that the follow-up list was detailed and held high professional and clinical application value. Conclusion The follow-up list for elderly patients with hip fractures after surgery owns a reasonable structure，comprehensive content. It can provide scientific and standardized tool support for the follow-up of elderly patients with hip fractures after discharge.

Objective To analyze and elaborate the conceptual connotation of physical resilience in older adults，providing a reference for further research and the development of intervention strategies to enhance physical resilience in this population. Methods A systematic searching was conducted in databases for literature related to physical resilience in older adults including CNKI，Wanfang，VIP，SinoMed，PubMed，Web of Science，Cochrane Library，CINAHL，and Embase. Walker and Avant’s concept analysis method was employed to define and analyze the concept. Results A total of 48 articles were included. Physical resilience in older adults encompassed three core attributes：physiological reserve consumption，active coping with stressors，and dynamic recovery. Antecedent factors included individual factors，disease-related factors，psychological factors，and social factors. Consequences involved improved quality of life，enhanced physical recovery，maintained mental health，and promotion of successful aging. Applicable assessment tools included the Physical Resilience Scale and the Physical Resilience Instrument for Older Adults. Conclusion Physical resilience in older adults is a multidimensional and complex dynamic construction with diverse antecedents and outcomes. Accessable assessment tools remain limited. Future efforts should focus on developing scientific measurement instruments and implementing targeted strategies to optimize physical resilience in older adults，thereby advancing successful aging.

Objective To explore the influencing factors of peristomal moisture-associated skin damage（PMASD） in patients with colorectal cancer and predict the probability of PMASD occurrence using an artificial intelligence health assistant consulting software based on these factors. Methods Clinical data from 300 patients with colostomy were analyzed to identify PMASD influencing factors. Data of 200 patients were randomly selected as the training set for pre-training the artificial intelligence health assistant consulting software，while the remaining 100 cases served as the testing set. The software predicted the probability of PMASD occurrence for the 100 test cases，and the accuracy of the results was evaluated through manual verification. Results The incidence of PMASD was 56.3%（169/300）. Logistic regression analysis revealed that comorbidities，stoma height，peristomal skin folds，stool consistency，enterostomy type，application of leak-proof products，and frequency of stoma bag replacement were significant influencing factors for PMASD. The artificial intelligence health assistant consulting software achieved a prediction accuracy rate of 92%. Conclusion Through identifying high-risk factors for PMASD and integrating predictions from the artificial intelligence health assistant consulting software，healthcare professionals can effectively anticipate PMASD incidence，therefore enabling the formulation of targeted interventions to reduce its occurrence.

Objective To identify the incidence and influencing factors of cancer-related cognitive impairment by systematic review. Methods Databases were searched for all literatures on the influencing factors of cancer-related cognitive impairment from the establishment of the database to December 2024 including PubMed，Embase，Web of Science，Cochrane Library，SinoMed，CNKI，Wanfang Database and VIP. After that，two evaluators independently screened the literature according to the criteria，extracted the data，and evaluated the quality of the literature. Meta-analysis was performed using Stata 16 software. Results A total of 20 articles were included. The results of meta-analysis showed that the incidence of cancer-related cognitive impairment was 31%. In addition，age，education，sleep，chemotherapy，radiotherapy，diabetes，depression and anxiety were the influencing factors of cancer-related cognitive impairment. Conclusion The incidence of cancer-related cognitive impairment is high，and its occurrence is affected by social demographic character，lifestyle，clinical factors and psychological factors. Medical staff should identify high-risk groups of cancer-related cognitive impairment early，and reduce the occurrence of cancer-related cognitive impairment and cancer by formulating and implementing targeted intervention measures.

As an important branch of health economics，nursing economics plays an active role in the reform of medical and health system. Its research and application are significant important for optimizing resource allocation，improving professional value and enhancing economic benefit. This paper reviewed the related concepts，development status and educational challenges of nursing economics. It is proposed that the development of the discipline of nursing economics education in China should focus on three aspects：offering nursing economics courses in universities，improving the teaching content and methods of nursing economics，and building an interdisciplinary teaching staff，aiming at improving the level of nursing economics education in China，optimizing the allocation of human resources and enhancing service economic benefits.

Objective To review the competence of nurses in community and home palliative care and their relationship with service quality systematically，providing reference for future research. Methods Synthesizing the methodology for implementation in accordance with the scope，a systematic searching of databases was undertaken firstly to identify and refine the competence of nurses in community and home hospice care including PubMed，Embase，CINAHL，Web of Science，Cochrane Library，China Knowledge Network，Wanfang，VIP Database and China Biomedical Literature Database. The literature qualified following the PRISMA-ScR statement，and the time limit was set from the date of databases’ establishment to January 30，2024. Results A total of 12 articles were ultimately included，leading to the identification of 17 competencies required for nurses in community and home-based palliative care practice，categorized into five domains：knowledge，practical skills，professional abilities，professional ethics，and personal traits. These competencies influenced the quality through both direct and indirect pathways. Conclusion The scoping review points out that competency research focuses on professional competence，while practical skills focus on pain management and care planning，though there is insufficient research on knowledge，professional ethics，and personal traits. Nurse competence is the key to ensuring service quality，and in the future，training should be strengthened to optimize services.