Table of Content

20 June 2019, Volume 16 Issue 6 Previous Issue    Next Issue

Special Planning——Doctoral Education

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Analysis of nursing doctoral dissertations in China Zheng LI,Min YIN,Chen-xi ZHOU,Yu ZHAO,Jia-ning GU,Ying ZHOU,Xiu-xiu SHI,Jing-qi DONG,Shan GAN 2019, 16 (6):  405-412.  doi: 10.3761/j.issn.1672-9234.2019.06.001 Abstract ( 564 )   HTML ( 0 )   PDF (852KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Objective To analyze the status,research hotspots and dynamic trends of nursing doctoral dissertations in China. Methods The contents and methods were analyzed by content analysis. The bibliometric analysis was conducted by Bicomb 2.0 software and SPSS 22.0 to find the research hotspots and trends of the included dissertations. Results Among the 248 doctoral dissertations,the most popular research area was clinical nursing（52.02%）,followed by community nursing（16.94%）. The most prevalent research design was quantitative research（75.40%）,followed by mixed-methods research（18.15%） which showing an upward trend. More than half of the dissertations（64.86%） showed its theoretical basis. Research hotspots were as follows：the construction and validation of models and related research on scales,geriatric care and chronic disease management,care of the patients with breast cancer,and nursing human resources allocation. Conclusion Nursing doctoral dissertations in Mainland China involve a wide range of topics and are highly close to clinical practice. The research designs tend to be scientific,diversified and complicated. This provides direction and reference for the training of doctoral students in nursing in the future. At the same time,the dissertations still need further improvement in the format,research design and content. More empirical research should be encouraged to verify the research results to guide the specific nursing practice. Thus,the development of nursing profession can be promoted.

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Enrollment status of doctor of nursing Kong-jun JIN,Xue-di GE,Hui ZHU 2019, 16 (6):  413-416.  doi: 10.3761/j.issn.1672-9234.2019.06.002 Abstract ( 2321 )   HTML ( 0 )   PDF (786KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To know the enrollment and training status of doctor of nursing in China. Methods Official websites of the colleges with doctoral admissions were searched. Data regarding admission contents,examination method,research area,number of enrollment,and examination contents were analyzed. Results The number of nursing doctoral enrollment university expanded from 28 in 2017 to 30 in 2019,and 10 colleges had part-time positions. Applications for the doctoral entrance were increasing. The areas of nursing research and types of entrance examinations were gradually increasing. Conclusion There is a single training mode for doctoral students in nursing education,the mode of enrollment assessment is gradually diversified and research areas are gradually increasing. It is suggested that more attention should be paid to the comprehensive quality and potentials of the students. Research areas should be refined further. Research-bases and practice-based cultivation should be simultaneously used.

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An introduction to doctorate in nursing and its training model in Australia Frances Lin,Ruth Wei,Bing SONG,Zi-jing WU 2019, 16 (6):  417-420.  doi: 10.3761/j.issn.1672-9234.2019.06.003 Abstract ( 1044 )   HTML ( 0 )   PDF (786KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics This paper introduces and analyses the doctoral programs for nurses in Australia,including the characteristics of doctoral degree in nursing,enrollment requirements,application processes,training mode,assessment and thesis examination,and provides recommendations of the development of nursing doctoral programs in China.

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Implications of the doctor of nursing practice programs in the United States Yan-hong WANG,Jing ZHANG 2019, 16 (6):  421-423.  doi: 10.3761/j.issn.1672-9234.2019.06.004 Abstract ( 349 )   HTML ( 0 )   PDF (779KB) ( 2 )   Save References | Related Articles | Metrics This article briefly introduced the doctor of nursing practice programs in the United States,including its origin and development,educational objectives,core abilities,professional directions,curriculum system,and faculty issue,etc. In addition,this article also discussed its implications for graduate education of nursing specialist in China to prepare qualified nurses.

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Introduction of disaster nursing doctoral program in Japan Qin HU,Ye TAO,Heng WANG,Mashino Sonoe,Xiu-ying HU 2019, 16 (6):  424-426.  doi: 10.3761/j.issn.1672-9234.2019.06.005 Abstract ( 505 )   HTML ( 0 )   PDF (778KB) ( 2 )   Save References | Related Articles | Metrics The paper introduced the Japanese disaster nursing doctoral program named as disaster nursing global leader degree program（DNGL）,which integrates limited disaster nursing resources and provides new perspectives for cultivating disaster nursing doctoral candidates globally. By referring to this innovative cultivation model,the doctoral education of disaster nursing in China will be developed.

Research Paper

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The effects of revised mindfulness-based stress reduction in postoperative breast cancer patients Min QU,Xiao-xiang WU,Fei-hong CHEN,Min-min QIAO,Xun LU 2019, 16 (6):  427-431.  doi: 10.3761/j.issn.1672-9234.2019.06.006 Abstract ( 585 )   HTML ( 0 )   PDF (788KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the effects of mindfulness-based stress reduction（MBSR） on mindfulness level and quality of life in postoperative breast cancer patients. Methods The breast cancer patients who met the various inclusion criteria from January 2017 to September 2018 were recruited by convenience sampling and divided into the control group and the experimental group with 23 patients in each group. Patients in the control group received routine care while patients in the experimental group received MBSR. Seven weeks after the intervention,mindfulness level and quality of life of patients in both groups were compared. Results After the intervention,the levels of mindfulness of patients in the experimental group and the control group were（64.43±5.71）and（55.61±5.93）respectively. The mindfulness differences were statistically significant（P<0.05）. Quality of life in the experimental group was（96.48±5.83）while it was（84.83±4.82）for the control group,and the differences were also statistically significant（P<0.05）. Conclusion Revised MBSR can improve the level of mindfulness in breast cancer patients and improve their quality of life.

Clinical Teaching

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Development of clinical teaching framework of nursing management for undergraduate nursing students Xian ZHANG,Xin-yue DONG,Xiao-hua XU,Fei-xin LU,Wei LIANG,Jun-qiao WANG,Hui-hua ZHAO 2019, 16 (6):  432-436.  doi: 10.3761/j.issn.1672-9234.2019.06.007 Abstract ( 399 )   HTML ( 0 )   PDF (805KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To establish a clinical teaching framework of nursing management for undergraduate by using Delphi method. Methods Based on the contents of authoritative nursing management textbooks in and out of China and two-round consultations of 15 experts in the field of nursing management,the final teaching content framework was revised and determined. Results The active coefficients of the experts in the two rounds of inquiry were 100%,and the authority coefficients were 0.87 and 0.91 respectively. The expert coordination coefficient was 0.24（P<0.01）. The teaching framework included 4 first-level indicators,10 second-level indicators,and 29 third-level indicators. Conclusion The clinical practice teaching content framework of nursing management established in this study is scientific,and provides important theoretical support for the implementation of undergraduate nursing management practice in the future.

Clinical Practice

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Three-stage case management for stroke patients Lei WANG,Ying-rui ZHANG 2019, 16 (6):  437-441.  doi: 10.3761/j.issn.1672-9234.2019.06.008 Abstract ( 568 )   HTML ( 0 )   PDF (796KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of three-stage case management model for stroke patients. Methods According to the different stages of stroke,the three-stage case management of emergency department,ward and community was selected. One hundred and forty cases of stroke patients who met the inclusion criteria from September 2017 to September 2018 were assigned to the experimental group. Intervention provided to the experimental group included time management during emergency phase,medication and psychotherapy during ward phase,and community-based continuous care. A total of 129 stroke patients who met the inclusion criteria from September 2016 to August 2017 were assigned to the control group,and the clinical routine care was provided to them including routine health education from nurses in the ward and telephone follow-up after discharge. The door-to-needle time（DNT）,average length of stay in hospital,deficit of neurological function,and daily living ability were compared between the two groups. Results The follow-up rate in the experimental group was 100%. The DNT time and average length of stay in hospital the experimental group were shorter than those of the control group,and the neurological function and quality of life were improved. The differences were statistically significant（P<0.05）. Conclusion The three-stage case management model for stroke patients helps to maximize resources,provide continuous care for patients and their families,promote the recovery of neurological function in stroke patients,shorten the average hospitalization day,and improve quality of life.

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The status and influencing factors of transition shock of newly recruited nurses in cancer hospitals Fu-rong LIU,Ping GONG 2019, 16 (6):  442-445.  doi: 10.3761/j.issn.1672-9234.2019.06.009 Abstract ( 491 )   HTML ( 0 )   PDF (787KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the current situation of the transition impact on new nurses in cancer hospitals,and to analyze the problems in the process of transition. Methods The Transition Shock of Newly Graduated Nurses Scale was used to investigate the transition impact on 530 new nurses who were recruited by snowball sampling. Results The overall score of transition impact of new nurses in cancer hospitals was（113.63±8.24）,and scoring rate was 84.17%. The scoring rate range of four dimensions was from 72.03% to 96.23%. Age,educational background,work experience and acquaintance were the factors which influenced the transition of new graduate nurses in cancer hospitals. Conclusion The transition shock especially the score of psychological aspects of the new nurses in cancer hospitals is at a higher level. Managers should pay more attention to the phenomenon and interventions are needed to alleviate the shock.

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The development and application of standardized nursing program for closed thoracic drainage Xiao-yun HUANG,Heng-xiu LUO,Bing-zhen JIANG,Ying CHEN,Mei LIU 2019, 16 (6):  446-449.  doi: 10.3761/j.issn.1672-9234.2019.06.010 Abstract ( 732 )   HTML ( 0 )   PDF (792KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of standardized nursing program for patients with closed thoracic drainage. Methods The closed thoracic drainage quality control group was established and care of drainage tube was continuously improved according to the clinical problems. Therefore,a standardized nursing program for patients with closed thoracic drainage was gradually formed. Nurses were trained according to this program. The drainage nursing qualities between pre-implementation group（416 patients from January 2015 to October 2016） and post-implementation group（385 patients from November 2016 to July 2018）were compared. Results After the implementation of standardized nursing program,the rate of loose line,rate of drainage tube dropping off,rate of drainage tube fix,skin integrity,and knowledge were all significantly improved when compared with those before the program（P<0.05）. Conclusion The standardized nursing program can solve the problems and effectively improve the care quality of chest drainage tube.

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The correlation between occupational identity and retention intention of nurses born in the 90s Xue-yan YIN,Fei LI,Peng YU,Ye LIU 2019, 16 (6):  450-452.  doi: 10.3761/j.issn.1672-9234.2019.06.011 Abstract ( 730 )   HTML ( 0 )   PDF (777KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the status of professional identity and retention intention of clinical nurses born in the 90s and to know the correlation between them. Methods Convenience sampling was used to recruit 258 nurses from five hospitals in Qingdao and the nurses were investigated with Nurse Occupational Approval Rating Scale and Retention Intention Scale. Results The mean scores of occupational identity and retention intention were（3.30±0.42） and（3.46±0.53） respectively. Pearson correlation analysis showed that occupational identify was positively correlated with retention intention（r=0.474,P<0.01）. Conclusion The occupational identity has a positive predictive effect on retention intention of nurses born in 90s. Nursing managers should develop relevant intervention strategies to enhance nurses’ willingness to stay in the position and to stabilize the nurses team.

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Self-evaluation of spiritual caring by oncology nurses Yu-li YANG,Syou Gyoku Go,Chun-yan BAO,Hannko Katada,Kyouko Tateyama 2019, 16 (6):  453-456.  doi: 10.3761/j.issn.1672-9234.2019.06.012 Abstract ( 662 )   HTML ( 0 )   PDF (782KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To know the self-evaluation of spiritual care by oncology nurses themselves. Methods The Japanese version of Spiritual Care Assessment Scale was translated into Chinese revision. Totally 211 oncology nurses were selected by convenience sampling. The nurses were asked to complete general information questionnaire and Chinese revision Spiritual Care Assessment Scale. Results The total scores for spiritual caring was 76.74±14.36. Nurses with different working years and educational background had significantly different spiritual caring score（P<0.05）. Conclusion The spiritual caring provided by the nurse is in the middle level. Different interventions should be taken referring to working years and educational background of different nurses to improve their spiritual level.

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Clinical application of enhanced recovery after surgery for patients with total knee arthroplasty Xiao-yun YAN,Yu-wei LI,Yan WEN 2019, 16 (6):  457-460.  doi: 10.3761/j.issn.1672-9234.2019.06.013 Abstract ( 498 )   HTML ( 0 )   PDF (788KB) ( 2 )   Save References | Related Articles | Metrics Objective To explore the effects of enhanced recovery care on safety,recovery time and satisfaction of patients after unilateral total knee arthroplasty（TKA）. Methods By reviewing relevant literature published,we referred to the evidence from clinical randomized controlled trials,and optimized the accelerated rehabilitation process based on current literature evidence. The enhanced recovery program was developed. Fifty-eight patients who received unilateral total knee arthroplasty from January 2015 to January 2017 were cared of according to the developed enhanced recovery program. Patients’ length of stay in hospital,satisfaction score,and range of motion at the time of discharge was recorded. Results The length of stay in hospital was 2 to 6 days,with an average of 2.73±1.14 days. Patients’ satisfaction score was 7~10 points,with an average of 9.68±0.32 points. The range of motion was 84.87°±22.62°. There was no complications such as infection,pneumonia,thrombosis,reoperation and re-admission. Conclusion The application of enhanced rehabilitation care can shorten the length of stay in hospital,reduce the incidence of complications,enable patients quickly recover to daily activities,and improve patient satisfaction level.