Table of Content

20 April 2019, Volume 16 Issue 4 Previous Issue    Next Issue

Special Topics——Educational Informatization

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The effects of WeChat on rehabilitation of patients with ischemic stroke after discharge YANG Ming-ying,WANG Hui-xiao,HE Yin,WU Guang-liu,ZHAO Xi-juan 2019, 16 (4):  245-249.  doi: 10.3761/j.issn.1672-9234.2019.04.001 Abstract ( 482 )   HTML ( 0 )   PDF (777KB) ( 3 )   Save References | Related Articles | Metrics Objective To explore the effects of WeChat on rehabilitation of patients with ischemic stroke after discharge.Methods A total of 87 patients with ischemic stroke were recruited in the study. Forty-five patients who can receive the intervention through Wechat platform were assigned to the experimental group and other 42 patients were in the control group. The control group was followed up by telephone after discharge. On the basis of telephone follow-up,the experimental group applied the WeChat platform after discharge. Patients were investigated by the Self-efficacy Scale for Chronic and the Modified Barthel Index. Besides,the platform usage was also recorded.Results At 3-month and 6-month,the scores of self-efficacy of chronic disease management and activities of daily living in the experimental group were higher than those in the control group,and the difference was statistically significant. The top three contents patients were interested in were disease-related knowledge,rehabilitation training in convalescence and flaccid paralysis period. The top three contents consulted frequently were rehabilitation training,disease prevention knowledge and risk factors,and emergency coping.Conclusion Rehabilitation after discharge based on WeChat platform improves the self-efficacy and activities of daily living for patients with ischemic stroke.

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The massive open online course of Fundamentals of Nursing：development and practice WANG Juan,WANG Xi-mei 2019, 16 (4):  250-253.  doi: 10.3761/j.issn.1672-9234.2019.04.002 Abstract ( 562 )   HTML ( 0 )   PDF (771KB) ( 2 )   Save References | Related Articles | Metrics Henan Medical College identified the audience based on the previous investigation and expert suggestions. Contents were chosen according to the demands of position,characteristics of knowledge framework,key and difficult elements. Contents of the massive open online course（MOOC） included the formation and development of nursing science,nursing process,hospital environment and bed making,hospital admission and discharge care for patients and transportation,hygiene of patients,vital signs observation,excretion care,medication administration,intravenous infusion,cold and heat therapy,condition observation and rescue of patients,which involved 11 chapters and 39 key points. The online course was used and students of Grade 2016 were taught simultaneously. After the end of the course,the use of MOOC was investigated,and the experience of using MOOC was summarized.

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The effects of blended teaching applied in the Fundamentals of Nursing YANG Hui-min,MA Li-li,CHEN Zhi-lan,WANG Chao-juan,LI Chun-xiang,CUI Meng-yuan 2019, 16 (4):  254-257.  doi: 10.3761/j.issn.1672-9234.2019.04.003 Abstract ( 374 )   HTML ( 0 )   PDF (762KB) ( 2 )   Save References | Related Articles | Metrics Objective To explore the effects of blended teaching applied in the course of Fundamentals of Nursing.Methods Part of chapters in Fundamentals of Nursing was selected for blended teaching and 105 nursing students took part in the study. The preview and review materials designed by teachers were sent to the students through online platform. Students were guided to self-learn and discuss online. During the classroom teaching,the key and difficult points were explained in detail by teachers. Discussions and presentations were also conducted during the classroom time. Outcomes included students’; participation of the course,academic performance in the class,examination results and their evaluation of the new teaching method.Results The nursing students were highly involved in the course learning. The average of classroom academic performance was 83.17±6.92 and the average examination result of all the students was 73.77±7.61. There were 98.1% students having high degree of recognition and satisfaction of the blended teaching.Conclusion Blended learning is beneficial to cultivate nursing students’; comprehensive ability,and could effectively increase the students learning effects and their participation and interest in Fundamentals of Nursing.

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The application of two-dimensional bar code in emergency equipment management QIU Xiao-ying,SHI Ze-ya,CHEN Hua-li,XU Hui,QIN Yue-lan,YANG Ji-ping 2019, 16 (4):  258-262.  doi: 10.3761/j.issn.1672-9234.2019.04.004 Abstract ( 547 )   HTML ( 0 )   PDF (786KB) ( 3 )   Save References | Related Articles | Metrics Objective To explore the effects of emergency equipment training and management system for new nurses based on two-dimensional bar code technology.Methods The scenario simulation video and information of nine kinds of emergency equipment were made. The application pages were generated into QR codes together with electronic check-in and my user function module. A total of 80 new nurses in the first hospital was selected as the experimental group. Two-dimensional bar code system on the basis of traditional training model was used to train the nurses in the experimental group. Another 77 new nurses in the second hospital were trained by the traditional training model. The training effects and nurses’ satisfaction were evaluated through questionnaire survey.Results The scores regarding knowledge,equipment operation,and problem solving in the experimental group were higher than those in the control group（P<0.05）. The number of adverse events related to equipment in the experimental group within 6 months was 2,while it was 9 in the control group. The number of maintenance of the equipment in the experimental group was 8,while it was 21 in the control group. The maintenance cost in the experimental group was 50,000 RMB,and it was 130,000 RMB in the control group. Nurses in the experimental group had higher satisfaction rate toward training.Conclusion The training and management system based on two-dimensional bar code helps to improve the operational skills of the new nurses on the emergency equipment,reduces the number of operation failures,decreases the maintenance cost,and reduces the adverse events. It can ensure safety and nursing quality,and nurses has high satisfaction rate towards it.

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Teaching network platform construction for Surgical Nursing in a higher vocational college HU Bi-mei 2019, 16 (4):  263-266.  doi: 10.3761/j.issn.1672-9234.2019.04.005 Abstract ( 423 )   HTML ( 0 )   PDF (758KB) ( 3 )   Save References | Related Articles | Metrics Objective To construct the teaching network platform for Surgical Nursing based on the cooperation between school and hospital and to evaluate the effects of the platform.Methods The platform construction was completed through consulting experts and reviewing related materials. Students of grade 2015 were recruited in the study and the new developed platform was used. After the course,students’ examination performance,classroom participation,teaching quality and platform usage were all assessed.Results Compared with students of grade 2014,students of grade 2015 had better examination performance and classroom participation. The teaching quality was improved and platform usage was good.Conclusion The network platform of Surgical Nursing can improve the teaching quality and promote the development of teaching staff. Besides,it can improve students’ self-learning ability.

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Blended teaching model applied in the course of Nursing Management for undergraduate nursing students WANG Lin,ZHU Zhuo-fei,ZHANG Ya-qing 2019, 16 (4):  267-269.  doi: 10.3761/j.issn.1672-9234.2019.04.006 Abstract ( 549 )   HTML ( 0 )   PDF (1521KB) ( 4 )   Save References | Related Articles | Metrics Objective To explore the effects of blended teaching model applied in the course of Nursing Managementfor undergraduate nursing students.Methods Fifty-one senior undergraduate nursing students were recruited. The blended teaching model was adopted in the course of Nursing Management. Small private online courses were used for online teaching. Fliped classroom which included group debate,group competition,and scenario simulation was used for the offline teaching. At the end of the course,students’ evaluation of the teaching effects was analyzed through their experience diary.Results Five themes of students’ evaluation were extracted including promoting the close integration of knowledge and practice,improving students’ communication ability and teamwork ability,cultivating students’ learning consciousness and initiative,enhancing students’ critical thinking ability and creativity,and setting higher requirements for students’ learning autonomy.Conclusion Good results have been achieved through application of blended teaching in Nursing Management. Students’ autonomous learning ability should be paid attention to when online teaching.Personalized learning model should be added for the course platform.

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The effects of WeChat on cultivating scientific research ability of undergraduate nursing students LIU Meng-hao,DU Pan-pan,YU Ming-lu,GAN Lu,CHEN Pan-jun,ZHANG Rui-xing 2019, 16 (4):  270-272.  doi: 10.3761/j.issn.1672-9234.2019.04.007 Abstract ( 362 )   HTML ( 0 )   PDF (767KB) ( 3 )   Save References | Related Articles | Metrics This paper explores the effects of WeChat platform on cultivating scientific research ability of undergraduate nursing students. A WeChat platform including three sections of research sharing，literature search，and interaction community was built up. The advantages and limitations of the platform were analyzed. Suggestions were made for further platform improvement. Implications was summarized for improving the scientific research ability of undergraduate nursing students.

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Application of cloud platform in caring of patients with permanent vascular access surgery ZHANG Yao,ZHANG Chun-xiu,WU De-fang,LI Jin,FENG Hui 2019, 16 (4):  273-275.  doi: 10.3761/j.issn.1672-9234.2019.04.008 Abstract ( 279 )   HTML ( 0 )   PDF (748KB) ( 2 )   Save References | Related Articles | Metrics Objective To explore the effects of cloud platform applied in caring of patients with permanent vascular access（Arteriovenous fistula） surgery.Methods According to the admission time,202 patients with permanent vascular access surgery were divided into two groups. One hundred and two patients admitted from July 2017 to March 2018 were in the experimental group and cloud platform was used in this group. Patients’ documents were managed through cloud platform. Online communication was conducted between patients and medical team. Patients were actively involved in the management of fistula. One hundred patients were in the control group（October 2016-June 2017）and routine care was provided to them. Postoperative complication rates and satisfaction of the two groups were compared.Results The incidence of postoperative complications in the experimental group was lower than that in the control group（χ2=7.526,P=0.006）. The satisfaction of the patients in the experimental group was higher than that in the control group（χ2=6.852,P=0.009）.Conclusion The cloud platform can reduce the incidence of postoperative complications of patients with permanent vascular access（Arteriovenous fistula）surgery,ensure the effect of dialysis,and improve patient’s satisfaction.

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Design and implementation of informationalized teaching of children scalp intravenous infusion SUN Wen-jie,LI Lei 2019, 16 (4):  276-278.  doi: 10.3761/j.issn.1672-9234.2019.04.009 Abstract ( 500 )   HTML ( 0 )   PDF (745KB) ( 2 )   Save References | Related Articles | Metrics Training the nursing students to have the philosophy of patient-centered care and make them know the basic nursing skills better are the objectives of Fundamentals of Nursing. In the present study,students of year two were recruited. Informative teaching in Fundamentals of Nursing was designed based on the informative support. Teaching in the classroom was also reasonably conducted. We took scalp intravenous infusion for children as an example to show how to design and implement informative teaching. The effects of such teaching are good and will be promoted to other parts teaching of Fundamentals of Nursing. Teaching of scalp intravenous infusion for children was an example to design and apply the teaching process. It has achieved good application effect and is planned to be promoted to the teaching process of other contents of this course.

Research Paper

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Design and application of OSCE in evaluating clinical abilities of nurses CHENG Shou-zhen,CHEN Yu-ying,ZHU Ying,KE Cai-xia,CHEN Li-fen,ZHANG Xiao-yan,TANG Chun-yuan 2019, 16 (4):  286-289.  doi: 10.3761/j.issn.1672-9234.2019.04.012 Abstract ( 392 )   HTML ( 0 )   PDF (760KB) ( 6 )   Save References | Related Articles | Metrics The First Affiliated Hospital of Sun Yat-sen University applied OSCE to evaluate the clinical ability of nurses in 2017. This paper introduces the design of OSCE from objectives,case selection,station setup and standardized patient use. Taking the application of OSCE assessment of 72 nursing skill contestants in 2017 and 2018 as an example,the implementation methods and effects of OSCE were described. By rationally designing OSCE and applying it to the evaluation of nurses’ clinical ability,it can not only evaluate nurses’ abilities comprehensively,objectively,and flexibly but also can help nursing managers and educators realize the shortcomings in the current training process of nurses. This will definitely drive changes in the training methods of clinical nurses and improve the clinical working abilities of nurses.

Nursing Education

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Video assignment applied in the extracurricular practice of Fundamentals of Nursing WANG Hua-ling,LIU Bing-bing,JIANG Hong,FU Yuan-yuan 2019, 16 (4):  290-292.  doi: 10.3761/j.issn.1672-9234.2019.04.013 Abstract ( 384 )   HTML ( 0 )   PDF (735KB) ( 2 )   Save References | Related Articles | Metrics Objective To explore the methods and effects of video assignment in the extracurricular practice of fundamentals of nursing.Methods Students of grade 2015 in class 1 and 2 were assigned to the experimental group while students in class 3 and 4 were assigned to the control group. Students in the experimental group were required to practice and make video work. Students in the control group were asked to practice by themselves and submit written report. Skill examination scores between two groups were compared. Besides,students’ attitude towards video assignment was investigated with a self-designed questionnaire.Results The four skill examination scores in the experimental group were significantly higher than those in control group. In the experimental group,93.9% students considered video assignment increased their motivation of practices,97.0% students considered that the abilities of hands-on were improved,91.9% students agreed video assignment improve their group cooperation,97.0% considered that video assignment can improve their communication ability,and 92.4% students considered their nursing practice improved the practice effects.Conclusion Video assignment is an effective method to improve the nursing students’ skills and abilities.

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The effects of scenario simulation teaching in Community Health Nursing HE Shan,KONG Ling-na,JIANG Xue-mei,LI Zi-qiong,HUANG Ke-ce,FAN Yi-lin 2019, 16 (4):  293-297.  doi: 10.3761/j.issn.1672-9234.2019.04.014 Abstract ( 380 )   HTML ( 0 )   PDF (754KB) ( 3 )   Save References | Related Articles | Metrics Objective To implement scenario simulation teaching in community health education and to evaluate its effects.Methods Cases were developed based on the health problems of chronic disease management,health management of older adults,child safety education and peri-menopausal health care in the community. Scenario simulation teaching was delivered to 713 nursing undergraduates. Instructors’ and students’ satisfaction with the teaching method were evaluated. Moreover,the effects of the simulation were evaluated through Community Practice Evaluation Form.Results Instructors and students were highly satisfied with the teaching method. The average score of each item from high to low was preparation,plan,evaluation,assessment,diagnosis and implementation. Students were capable of applying nursing process to community health education.Conclusion The scenario simulation teaching achieves the desired effects in community health education.

Continuing Education

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Chinese medicine basic knowledge and skill training of new nurses in hospitals of traditional Chinese medicine ZHENG Lian-xue,QIN Yuan-mei,SUN Rui-min,ZHONG Yuan,LIU Shu 2019, 16 (4):  298-300.  doi: 10.3761/j.issn.1672-9234.2019.04.015 Abstract ( 674 )   HTML ( 1 )   PDF (735KB) ( 8 )   Save References | Related Articles | Metrics New enrolled nurses in 2018 were trained of Chinese medicine basic knowledge and skill operation in the First Affiliated Hospital of Henan University of TCM. Basic Chinese theory training consisted of 9 contents including yin-yang and five elements theory,“cang xiang”,etiology and pathogenesis,diagnosis and syndrome differentiation,therapeutic principle,meridian,acupoints and acupuncture therapy,basic theoretical knowledge of traditional Chinese medicine and medication nursing,diet therapy and nursing,health care in Chinese medicine. They were conducted through class teaching,WeChat consolidation learning and specific cases sharing. The main skill operation trainings were ear acupuncture,cupping method,moxibustion with moxa sticks,acupoint massage,scrape therapy,wet dressing therapy,perfrication,and fumigation method. The skills were mainly taught by demonstration,workshop,video display,and WeChat. All new nurses passed the exam by training,and most of them were satisfied with the main teaching contents（89.1%）,training methods（92.1%）,schedule（88.1%）and teacher arrangements（93.1%）. Part of theoretical knowledge of TCM and relevant skills based on the knowledge of meridian and acupoint are still needed to be mastered step by step in clinical practice.

Clinical Practice

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Application of enhanced recovery after surgery in patients during the perioperative period of pituitary tumor resection by transsphenoidal approach YE Lin,DI Rui-qing,ZHAO Yu-lin,ZHANG Wen-jing,YUE Gao-jie 2019, 16 (4):  301-305.  doi: 10.3761/j.issn.1672-9234.2019.04.016 Abstract ( 528 )   HTML ( 0 )   PDF (767KB) ( 2 )   Save References | Related Articles | Metrics Objective To explore the effects of enhanced recovery after surgery（ERAS） in patients during the perioperative period of pituitary tumor resection by transsphenoidal approach.Methods A total of 103 patients who were admitted from April 2014 to November 2016 were assigned to the control group. Another 105 patients admitted from December 2016 to August 2018 were assigned to the experimental group. Patients in the control group received routine care during perioperative period,while patients in the experimental group received ERAS. The outcomes compared between the two groups included the first time that patients are out of bed,length of stay in hospital,cost,anxiety,pain 48 hours after operation,and complications.Results The first time that patients were out of bed for activity in experimental group was earlier than that of the control group. The length of study in hospital and cost in the experimental group were less than that of the control group. The anxiety level in the experimental group was lower than that of the control group. The number of pain cases and complications in the experimental group were less than that of control group. All difference was statistically significant（P＜0.05）.Conclusion It is safe and effective to apply ERAS in patients undergoing pituitary adenoma resection by transsphenoidal approach. It can effectively alleviate the pain and anxiety level of the patients 48 hours after operation,make patients get out of bed early,reduce length of stay in hospital,total cost and the occurrence of postoperative complications,and promote the early recovery of the patients.

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Correlation between error aversion culture and nurses’ voice behavior LIU Shi-qing,WANG Ye-hua 2019, 16 (4):  306-308.  doi: 10.3761/j.issn.1672-9234.2019.04.017 Abstract ( 593 )   HTML ( 0 )   PDF (734KB) ( 2 )   Save References | Related Articles | Metrics Objective To investigate the status of perceived error aversion culture and voice behavior of nurses,and to explore the correlation between them.Methods From March to July 2018,the convenience sampling method was used to conduct a questionnaire survey on 327 clinical nurses in a tertiary hospital in Zhengzhou City using the Error Aversion Culture Scale and Voice Behavior Scale.Results The mean score of error aversion culture was（2.81±0.63）,and the mean score of voice behavior was（3.84 ±0.67）. Educational background,years of work and error aversion culture were the influencing factors of nurses’ voice behavior（P<0.05）.Conclusion The lower the perception of nurses’ error aversion culture,the more prominent the voice behavior. Nursing managers should deal with clinical errors reasonably and reduce nurses’ perception of error aversion cultural,so as to stimulate nurses’ enthusiasm to make suggestions.

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Head nurses’ post competency in Henan maternal and child health institutions ZHANG Jin-yan,CUI Hui-zhen,YANG Xiao-yu,JIA Meng 2019, 16 (4):  309-313.  doi: 10.3761/j.issn.1672-9234.2019.04.018 Abstract ( 306 )   HTML ( 0 )   PDF (769KB) ( 2 )   Save References | Related Articles | Metrics Objective To investigate the status and influencing factors of head nurses’ post competency in Henan maternal and child health institutions.Methods From May to June 2018,a total of 263 head nurses were selected from the Women’s and Children’s medical alliance of Henan Province using stratified cluster sampling,and surveyed with General Data Questionnaire,Head Nurse’s Post Competency Table,Wallace Self-Concept Scale,Professional Identity Scale,Learning Organization Scale.Results The score of head nurse’s post competency was（4.20±0.63）. Hospital level,training participation,self-concept,professional identity,and learning organization were important factors influencing the head nurse’s post competency level.（P<0.001）.Conclusion The head nurse’s post competency of maternal and child health institutions is at a relatively high level,but there is still room for improvement. Managers can be committed to strengthening training and improving the concept of self-concept,professional identity and learning organization to enhance the head nurse’s post competency.