Table of Content

20 February 2019, Volume 16 Issue 2 Previous Issue    Next Issue

Research Paper

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Standardization degree of 23 nursing skills in clinical settings Xiu-xiu HUANG, Yi-si LIU, Bi-teng HUANG, Yan-ling WANG 2019, 16 (2):  85-89.  doi: 10.3761/j.issn.1672-9234.2019.02.001 Abstract ( 731 )   HTML ( 3 )   PDF (709KB) ( 22 )   PDF（mobile） (709KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Objective To evaluate the standardization degree of 23 frequently-used nursing skills in clinical settings.Methods The participant observation was carried out among 40 nurses from four tertiary hospitals in Beijing to understand the standardization degree of 23 common nursing skills.Self-designed record and evaluation form were used to evaluate the standardization degree.Results The general standardization degree of 23 nursing skills was 66.30%±13.55%,according to the standardized operation procedures provided by hospitals.The standardization degree of aseptic operations was higher than that of non-aseptic operations（P<0.01）. Four general problems were found during the evaluation including lack of assessment and explanation（34.78%±6.15%）,lack of health education after the procedure（52.17%±6.15%）,poor implementation of double-checking（38.04%±2.17%） and non-standard medication preparation（100%）.Conclusion There are differences between actual nursing operation procedures in clinical settings and the standardized operation procedures provided by hospitals. Clinical nursing administrators should provide training to improve the standardization degree of nursing operations and revise nursing operation standardization regularly according to the development of nursing discipline.

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The effects of the crude salt thermotherapy on lipohypertrophy caused by insulin injection in elderly patients with type 2 diabetes Gui-zhi XIONG, Ai-min WANG 2019, 16 (2):  90-93.  doi: 10.3761/j.issn.1672-9234.2019.02.002 Abstract ( 773 )   HTML ( 6 )   PDF (750KB) ( 5 )   PDF（mobile） (750KB) ( 7 )   Save Figures and Tables | References | Related Articles | Metrics Objective To observe the effects of crude salt thermotherapy on lipohypertrophy caused by insulin injection in elderly patients with type 2 diabetes.Methods The change of temperature of self-made crude salt package heated by microwave oven for 2 minutes was observed dynamically at first and the appropriate temperature was selected based on the initial observation. The lipohypertrophy caused by insulin injection in 34 elderly patients with type 2 diabetes was identified in the study. On the basis of routine diabetes health education,crude salt thermotherapy was used to alleviate the severity of lipohypertrophy. The duration of the intervention lasted for 2 weeks. The diameter of patient’s lipohypertrophy was measured and analyzed before and after the intervention. Besides,patients’ comfor-table level was also assessed.Results After the thermotherapy,the diameter of lipohypertrophy was（12.78±4.21） mm,which was significantly smaller than that of（5.36±4.17） mm before the intervention（P<0.01）. The total effective rates was 88.2%（30/34）. During the procedure,94.1% of the subjects reported the process of thermotherapy was comfortable while discomfort experience was also received from 5.9% participants.Conclusion The crude salt thermotherapy is convenient and easy. It can improve patients’,comfortable experience and alleviate the size of lipohypertrophy caused by insulin injection in elderly patients with type 2 diabetes.

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The effects of peer assisted learning based on learning style on the core competence of freshman nursing undergraduates Yuan-yuan LIANG, Xiu MA, Lei-lei WU, Jing XU, Zhi-xia JIANG 2019, 16 (2):  94-97.  doi: 10.3761/j.issn.1672-9234.2019.02.003 Abstract ( 523 )   HTML ( 0 )   PDF (600KB) ( 7 )   PDF（mobile） (600KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To discuss the effects of peer assisted learning（PAL） based on learning style on the core competence of freshman nursing undergraduates.Methods Freshman nursing students were divided into two groups. The control group adopted traditional teaching,and the experimental group adopted PAL based on learning style. After one year of teaching implementation,the core competence score and course assessment scores of the two groups were compared.Results The total score and scores of each dimension of core competence were all higher than those in control group（P<0.05）. The results of two courses’ examination of experimental group were higher than those of control group（P<0.05）.Conclusion The teaching mode of PAL based on learning style can significantly improve the core competence of freshman nursing students and advance their mastery of professional knowledge,and is an effective teaching mode adapted to modern education.

Special Topics on Oncology Nursing

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A survey of standardization of cancer pain assessment by nurses in good pain management ward Ya-mei DENG,Hui-yu LUO,Xiao-hua HE,Xi KE,Hong-yu ZHU 2019, 16 (2):  98-100.  doi: 10.3761/j.issn.1672-9234.2019.02.004 Abstract ( 603 )   HTML ( 0 )   PDF (453KB) ( 5 )   PDF（mobile） (423KB) ( 16 )   Save References | Related Articles | Metrics Objective To investigate the current status of standardization of cancer pain assessment by nurses in good pain management ward. Methods Totally 479 medical records from June to September 2017 were selected from the good pain management ward of 6 hospitals from Fujian,Jiangsu,Zhejiang,Henan provinces and Guangxi Zhuang Autonomous Region. The self-developed questionnaire entitled “Evaluation Form of Cancer Pain Assess-ment” was used to evaluate the standardization of pain assessment recorded in those medical records. Results Among 479 medical records,410（85.59%）recorded standardized pain assessment satisfactorily. However,69（14.41%） records did not meet the standardization criteria. The standardization scores of each dimension were 98.80±8.85 for regular assessment,99.48±5.09 for quantitative assessment,93.57±14.12 for comprehensive assessment,and 92.41±16.15 for dynamic assessment. Nurses with different education degrees,titles,and working years had significantly different assessment qualification rates（P<0.05）. Conclusion Nurses in the good pain management ward have a higher standardization rate of cancer pain assessment.Nurses’ ability of assessing the pain comprehensively and dynamically should be improved. Those nurses with higher education degree（bachelor or above）,titles,and working years can perform more standardized pain assessment for cancer patients.

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The correlation between positive psychological quality and the quality of life among oral cancer patients Yu-qin GAO,Lu-lu YUAN,Xu-jie ZHANG,Si-yao CHEN 2019, 16 (2):  101-104.  doi: 10.3761/j.issn.1672-9234.2019.02.005 Abstract ( 498 )   HTML ( 1 )   PDF (558KB) ( 5 )   PDF（mobile） (524KB) ( 11 )   Save References | Related Articles | Metrics Objective To identify the relationship between positive psychological quality and the quality of life among oral cancer patients. Methods A total of 230 oral cancer patients meeting the inclusion criteria was recruited. General situation questionnaire,Resilience Scale,Hearth Hope Scale,Revised Life Orientation Test,Perceived Social Support Scale and the Quality of Life Scale were used to investigate the participants’ positive psychological quality and the level of life quality. Pearson correlation was used to test the relationship. Results The score quality of life was （93.70±21.39）. The relationships between resilience level（r=0.570,P<0.01）,the hope level（r=0.688,P<0.01）,life orientation level（r=0.511,P<0.01）,perceived social support level（r=0.557,P<0.01） and quality of life were positive. Conclusion The positive psychological quality can improve the quality of life among oral cancer patients. More psychological interventions are needed to improve the quality of life of oral cancer patients.

Nursing Education

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The effectiveness of narrative pedagogy applied in the course of obstetrics and gynecology on caring ability of nursing undergraduates Ping-ping QIU,Rong-fang HU,Xiao-yun LIN,Xiao-yan WANG 2019, 16 (2):  114-118.  doi: 10.3761/j.issn.1672-9234.2019.02.008 Abstract ( 612 )   HTML ( 0 )   PDF (1135KB) ( 4 )   PDF（mobile） (1094KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Objective To evaluate the effectiveness of the narrative pedagogy applied in the course of Obstetrics and Gynecology on caring ability of nursing undergraduates. Methods A total of 252 nursing undergraduates was recruited in the study. Narrative pedagogy was used in practice sessions of Obstetrics and Gynecology course. Caring Ability Inventory（CAI）and self-designed questionnaires were used to evaluate caring ability and feedback of students. Results After the implementation of the narrative course,score of courage subscale was higher than that before the course（P<0.05）. However,the scores of the CAI and other subscales were not statistically different before and after the implementation of the course（P>0.05）. 80.3% students believed that narrative pedagogy was helpful to cultivate their humanistic care ability. Conclusion Narrative pedagogy has positive effects on caring ability of nursing students and can be promoted in nursing education.

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Teaching of Medical Nursing based on the forgetting rule in a vocational college Lei GUO,Yan CHEN,Rong-zhao YUE 2019, 16 (2):  119-122.  doi: 10.3761/j.issn.1672-9234.2019.02.009 Abstract ( 503 )   HTML ( 0 )   PDF (579KB) ( 5 )   PDF（mobile） (545KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To examine the effects of teaching based on the forgetting rule in the course of Medical Nursing in a vocational college. Methods Class 7 and class 8 of grade 2015 in a vocational college were selected. They were randomly divided into the experimental group（n=52） and the control group（n=52） by drawing lots. The experimental group received repeated reviews based on the forgetting rule. The control group still use the traditional teaching method. The scores of the usual tests,mid-term exam and final exam were compared. Besides,a questionnaire survey was conducted in the experimental group. Results The test scores,the mid-term exam and the final exam of the experimental group were all higher than those of the control group（P<0.05）. The experimental group agreed that the method of strengthening memory by repeated reviews can improve learning initiative（82.7%）,learning efficiency（88.5%）,long-term memory（78.8%）,and help master key contents（88.5%）and knowledge systematically（82.7%）. Conclusion Teaching method based on forgetting rule can increase students’ long-term knowledge,improve their examination performance,and help students master Medical Nursing systematically.

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The effects of “1+1” helping model of Han-Tibetan in teaching of Fundamentals of Nursing Jiao XU 2019, 16 (2):  123-125.  doi: 10.3761/j.issn.1672-9234.2019.02.010 Abstract ( 776 )   HTML ( 0 )   PDF (605KB) ( 2 )   PDF（mobile） (404KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of “1+1” helping model of Han-Tibetan in teaching of Fundamentals of Nursing. Methods Sixty-three Tibetan students who were enrolled in 2017 were selected and randomly divided into the experimental group（33 students）and the control group（30 students）. The experimental group received “1+1” helping model while the control group was treated with traditional teaching method. Final-term theoretical examinations and operational examinations scores were compared. Besides,questionnaire survey was conducted to know the students evaluation of the model. Results The scores of theoretical examinations and operational examinations in the experimental group were higher than these of the control groups（P<0.05）. Students in the experimental group highly appreciated the model. Conclusion The teaching effects of “1+1” helping model in teaching of Fundamentals of Nursing were positive. It can be a reference for the teaching of other courses in the Han-Tibetan classes.

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Cultivation of nursing master students:an innovation model Jun YAN,Jun-e ZHANG,Qing LI,Li-hong WAN 2019, 16 (2):  126-129.  doi: 10.3761/j.issn.1672-9234.2019.02.011 Abstract ( 416 )   HTML ( 0 )   PDF (638KB) ( 4 )   PDF（mobile） (604KB) ( 3 )   Save References | Related Articles | Metrics This paper reviewed and analyzed the current status of the training model for nursing master’s degree in Sun Yat-sen University. Innovative measures of the cultivation model were summarized as follows:establishing an excellent faculty team,cultivating outstanding individuals,improving scientific research level,achieving breakthroughs in key areas,building up a mechanism with social organizations involved,and promoting international exchanges and collaborations.

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Teaching method exploration of Traditional Chinese Medicine（TCM） nursing in TCM colleges and universities：taking “Treatise on Febrile Diseases”as an example Xue-ling MA,Jing LIU,Hui JU,Wen-wen ZHAO,Chun-guang YU,Ling TANG,Yu-fang HAO 2019, 16 (2):  130-132.  doi: 10.3761/j.issn.1672-9234.2019.02.012 Abstract ( 461 )   HTML ( 0 )   PDF（mobile） (477KB) ( 4 )   Save References | Related Articles | Metrics TCM treatment had combined “medicine and nursing” since the ancient times. TCM classical treatises contain rich nursing contents. Learning TCM nursing also needs to learn those classical treatises. Classical treatises are the main soul of inheriting and developing TCM nursing and essential teaching contents of TCM nursing. The development of TCM nursing must follow the way of inheritance and innovation. This article takes the Treatise on Febrile Diseases as an example to explore the teaching methods of TCM nursing in TCM colleges and universities.

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The correlation between career decision-making difficulties and social support for undergraduate nursing students Qian YIN,Cai-mei DONG 2019, 16 (2):  133-136.  doi: 10.3761/j.issn.1672-9234.2019.02.013 Abstract ( 566 )   HTML ( 0 )   PDF (717KB) ( 3 )   PDF（mobile） (516KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Objective To know the current situation of undergraduate nursing students’ career decision-making difficulties,and to analyze the correlation of career decision-making difficulties and professional social support. Methods A total of 169 undergraduate nursing interns from two universities were selected by convenient sampling. Career decision-making questionnaire and career-related social support scale were used to investigate the career decision and the occupational social support of nursing undergraduates. Results The total score of occupational decision-making difficulties of undergraduate nursing interns was（2.76±0.47）,and the total score of occupation-related social support items of undergraduate nursing interns was（3.47±0.50）. Occupational decision-making difficulties and occupation-related social support were negative correlation moderately（r=-0.417,P<0.05）. Multiple linear regression analysis showed that the occupation-related social support entered the regression equation（P<0.05）. Conclusion Undergraduate nursing interns have a medium level in career decision-making difficulties,and career decision-making difficulties is closely related to the career-related social support. Therefore,schools,hospitals,and family members should be encouraged to take corresponding measures to improve occupation-related social support and to reduce the career decision-making difficulties in order to promote the professional development of undergraduate nursing students and steady the professional team.

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A survey of humanistic care ability of nursing postgraduate students Xia LI,Lin MO,Ping ZHANG,Qi-yao WANG,Xian-qiao HUANG 2019, 16 (2):  137-140.  doi: 10.3761/j.issn.1672-9234.2019.02.014 Abstract ( 594 )   HTML ( 0 )   PDF (533KB) ( 3 )   PDF（mobile） (500KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the status of humanistic care ability of nursing postgraduate students. Methods A general information questionnaire and nursing students’ humanistic care quality questionnaire surveys was conducted among 118 nursing postgraduate students in 34 universities. Results The score of humanistic care ability of nursing postgraduate students was 3.98±0.14. The main influencing factors of humanistic care ability were the relationship with peers and interests with nursing. Conclusion The ability of nursing postgraduate students in humanities care needs to be improved. Universities and hospitals should focus on the combination of humanistic knowledge and practice training,and pay attention to their attitude towards nursing and interpersonal relationship,to promote their humanistic care ability.

Continuing Education

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Development and application of a micro-video regarding infant incubator cleaning and disinfection Jun WANG,Hui-ping LIU,Ming-li JIANG,Fu-lai ZHANG,Ya-kun LU,Xiao-ping QIN 2019, 16 (2):  141-144.  doi: 10.3761/j.issn.1672-9234.2019.02.015 Abstract ( 357 )   HTML ( 0 )   PDF (808KB) ( 3 )   PDF（mobile） (593KB) ( 9 )   Save Figures and Tables | References | Related Articles | Metrics Objective To evaluate the effects of infant incubator cleaning and disinfection micro-video on training of neonatal nurses. Methods A research team was formed to develop a micro video regarding infant incubator clearning and disinfedion. A total of 126 nurses from the neonatal disease center of a tertiary children’s hospital were selected. WeChat groups were established to carry out micro-video training. At the end of the training,nurses were assessed on the knowledge and practical operation of cleaning and disinfection of infant incubator. Nurse’s examination performance before and after the training and the cleaning quality of the infant incubator were compared. Results The nurses’ learning attitude was very active and they were highly involved in the micro-video training. After the micro-video training,the performances both in examination and practical operations of nurses in were better than those before the training（P<0.05）. The cleanliness and hygiene quality of infant incubator were better than those before the training（P<0.05）. Conclusion Micro-video training can improve the knowledge level and operational ability of nurses,stimulate learning interest,and improve the effects of nursing training.

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The development of pain management training curriculum system Rui LI,Yu-ping LIU,Jing WANG,Feng GU,Qian HAN,Yu-qin WANG 2019, 16 (2):  145-149.  doi: 10.3761/j.issn.1672-9234.2019.02.016 Abstract ( 794 )   HTML ( 0 )   PDF (698KB) ( 5 )   PDF（mobile） (658KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop the pain management training curriculum system,and to provide references for the training of nurses. Methods The Delphi method based on literature review and group-discussion was applied for 2 rounds experts consultation among 21 experts. The mean value,coefficient and weight of each indicator were analyzed. The pain curriculum system was developed according to the screening results of the consultations. Results The pain management training curriculum system was made up of 7 first-level and 24 second-level indicators after 2 rounds consultations. The response rates were 92.00% and 91.30%,respectively. The expert authority coefficients were 0.83 and 0.88,respectively. Conclusion The contents of pain management training curriculum system were reasonably set up. The degree of expert consistency was high. The system can provide guidance and reference for training pain specific nurses.