Table of Content

20 May 2020, Volume 17 Issue 5 Previous Issue    Next Issue

Chronic Disease Management

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Construction of a community based "family-community-hospital" management pathway for COPD KANG Lin-lin,ZHANG Qing 2020, 17 (5):  389-395.  doi: 10.3761/j.issn.1672-9234.2020.05.001 Abstract ( 446 )   HTML ( 2 )   PDF (1521KB) ( 21 )   Save Figures and Tables | References | Related Articles | Metrics Objective A community-based management pathway of "family-community-hospital" was constructed to provide theoretical basis for chronic disease management of COPD. Methods By using "Plan-Do-Check-Act" as the theoretical framework we designed"family-community-hospital" pathway for COPD. Fifteen experts in the field of clinical diagnosis and treatment,clinical nursing,community nursing,nursing management and nursing education in Tianjin were selected and two rounds of questionnaire consultations were conducted. The final pathway was completed by combining expert opinions and the index threshold screening method. Results The authority coefficient of experts was 0.90. The response rates of two rounds consultation were respectively 93.75% and 100%. The optimal management pathway of COPD in family-community-hospital was consisted of 6 first-level indicators and 21 second-level indicators. The first-level indicators included assessment,plan,action,evaluation,variation and feedback. The coordination coefficients were respectively 0.16 and 0.14. The score of the importance was up 3.5 points.The coefficient of variation was among 0.053 and 0.137. Conclusion The optimal management pathway of COPD with"family-community-hospital" has been proved to be scientific.

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The training of professional nurses for chronic respiratory disease management ZHU Yu-fen, MAO Bing-jia, YANG Yuan-yuan, YUAN Yuan 2020, 17 (5):  396-400.  doi: 10.3761/j.issn.1672-9234.2020.05.002 Abstract ( 467 )   HTML ( 0 )   PDF (815KB) ( 23 )   Save References | Related Articles | Metrics The 12 professional nurses were specifically trained to manage and follow up the patients with chronic respiratory disease. Two parts of theoretical training and clinical practice were included in the training which lasted for 3 months. The contents included definition and assessment of asthma and COPD,treatment,medication,physical activity,safety issues,lifestyle,family non-invasive ventilation,and airway clearance therapy. In addition,contents related to health education skills such as powerpoint preparation,teaching skills,preparation of research proposal,instrument development and its psychometric properties evaluation were also covered. The professional nurses were required to be placed in the clinical practice for 6 months and complete management of 50 cases per month. After they were qualified after the training,the hospital presented certificates to them. These nurses joined in the respiratory clinics and wards to provide education of self-management,medication,psychological support,safety,and family oxygen treatment. This approach has achieved certain effects which improved patients' disease self-management level and promoted the development of respiratory specialized nursing.

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Diet management experiences of young and middle-aged patients with type 2 diabetes：a qualitative study LI Guang-qin, HE Cai-yun, YIN Hong-fang, TANG Fang, MOU Hua, XIE Ya-lan, SHI Xiu-lan 2020, 17 (5):  401-405.  doi: 10.3761/j.issn.1672-9234.2020.05.003 Abstract ( 569 )   HTML ( 3 )   PDF (934KB) ( 18 )   Save References | Related Articles | Metrics Objective To explore the diet management experiences of young and middle-aged patients with type 2 diabetes. Methods We conducted semi-structured in-depth interviews among 12 type 2 diabetes patients,and used Colaizzi 7-step analysis method for data analysis. Results Four themes emerged from the data,including multiple negative emotions,being difficult to make diet decisions,feeling the difficulty of insisting on the diabetes diets,and the desire to rebuild confidence and cope positively. Conclusion Young and middle-aged patients with type 2 diabetes generally have many problems in diet management. Their negative experience of diet management can't be ignored. Educators,families and society need to build support networks and provide effective support to help patients overcome difficulties and increase the positive experience of diet management.

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The effects of a home-based management platform for patients with chronic obstructive pulmonary disease LIU Dan-dan, DUAN Juan, CAI Tian-pei, HE Yi-jun, WANG Xiao-dong, ZHANG Ju-hong 2020, 17 (5):  406-410.  doi: 10.3761/j.issn.1672-9234.2020.05.004 Abstract ( 309 )   HTML ( 3 )   PDF (812KB) ( 19 )   Save References | Related Articles | Metrics Objective To explore the application of a home management platform in patients with chronic obstructive pulmonary disease and the effect of health management intervention. Methods A total of 80 patients admitted to the department of respiratory medicine of a third-level first-class hospital in zhengzhou from February 2018 to January 2019, who were in stable condition after treatment and discharged to the community, were selected as the study subjects, and were divided into the experimental group and the control group according to the time sequence of discharge, with 40 patients in each group. The control group adopted routine follow-up management, while the experimental group adopted home management platform for home management. COPD Assessment Test（CAT） was used to compare the health status of patients in the two groups. The chronic self-management behavior scale was used to compare the self-management behavior of the two groups after 2 months of follow-up. The disease-related knowledge of COPD patients was compared between the two groups. Results The total score of health status of COPD patients in the experimental group was lower than that in the control group. After 2 months of intervention, the total scores of self-management behavior scale and all dimensions in the experimental group were higher than those in the control group. The mastery of disease-related knowledge was higher than that of the control group and the difference were statistically significant（P<0.05）. Conclusion The application of family management platform in the family management of COPD patients is conducive to improving the self-management behavior of patients,and improving the quality of life and health status of patients.

Nursing Education

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The implication of clinical skills competition for "Golden Course” of nursing skills teaching SHI Rui-fen, JIANG Xiao-ying 2020, 17 (5):  427-430.  doi: 10.3761/j.issn.1672-9234.2020.05.009 Abstract ( 370 )   HTML ( 3 )   PDF (782KB) ( 32 )   Save References | Related Articles | Metrics To improve the quality of clinical nursing skills,national clinical nursing skill competition for teachers in nursing colleges was held. Totally 276 full-time and part-time teachers from 92 universities in 29 provinces participated in the competition. This article introduced the competition design guided by modern nursing concepts and advanced education concepts. We also analyzed the existing problems found in the competition involving insufficiencies of training in human care competencies,holistic care,clinical thinking,nursing communication,collaboration and theory application. In view of the existing problems,the author proposed measures of teaching reform of clinical nursing skills based on "Golden Course” proposed by the Ministry of Education.

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Practice of ideological and political theory education in the fundamentals of Traditional Chinese Medicine Nursing YANG Liu, GE Li, LIU Jie, DAI Yan-ling 2020, 17 (5):  431-434.  doi: 10.3761/j.issn.1672-9234.2020.05.010 Abstract ( 1152 )   HTML ( 7 )   PDF (723KB) ( 48 )   Save References | Related Articles | Metrics Under the reform of ideological and political theory education,we designed the concrete plans by combing the characteristics of TCM. We implemented the plan actively to improve students' ideological and moral quality and shape students' vocational morality and values.

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The reliability and validity of the Chinese version of the Assessment of Interprofessional Team Collaboration in Student Learning Scale SHI Yi-wen, ZHU Zhuo-fei, HU Yun 2020, 17 (5):  435-438.  doi: 10.3761/j.issn.1672-9234.2020.05.011 Abstract ( 492 )   HTML ( 4 )   PDF (574KB) ( 33 )   Save References | Related Articles | Metrics Objective To develop the Chinese version of the Assessment of Interprofessional Team Collaboration in Student Learning Scale and test its reliability and validity. Methods The English version of AITCS-II Student was translated into Chinese,back translated and modified for cultural adaptation according to the Brislin's guideline. A total of 325 full-time undergraduate medical students in a Shanghai medical university were investigated using the Chinese version of AITCS-II Student to test its reliability and validity. Results The Chinese version of AITCS-II Student had 17 items. Four factors were selected in factor analysis based on the dimension of the original scale：cooperation,partnership,team working and coordination. The cumulative contribution rate is 77.57%. The Cronbach's α coefficients of the total scale and range of 4 factors were 0.961,and 0.719~0.938 respectively.Conclusion The Chinese version of AITCS-II Student has good reliability and validity,which is suitable for the evaluation of interprofessional cooperative learning ability of nursing and other medical students in China.

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The interprofessional collaboration practical teaching for undergraduates in the operating room LI Shan-shan, GAO Li-li, NING Mei, GONG Ye-qin, LANG Yu-ling, ZHANG Shu-min, LI Mei, ZHI Xi-he, YE Qian 2020, 17 (5):  439-442.  doi: 10.3761/j.issn.1672-9234.2020.05.012 Abstract ( 444 )   HTML ( 0 )   PDF (576KB) ( 16 )   Save References | Related Articles | Metrics Objective To explore the effects of interprofessional collaboration practical teaching for undergraduates in the operating room. Methods In the operating room,students with different majors including nursing,medicine,and anesthesiology together received the interdisciplinary collaboration practical teaching. Contents of the collaboration teaching involved joint patients visiting before operation,completing the animal simulation operation,and joint follow-up after the operation. The interdisciplinary preparation scale was used to investigate the preparation of these students. Results A total of 250（98.04%） students got a score of more than 57 in their cross professional cooperation attitude,255（100%） students had a score of more than 27 in their team cooperation dimension,248（97.25%） students had a score of more than 21 in their professional identity dimension,and 225（88.24%）students had a score of more than 9 in their role and responsibility dimension. Conclusion Students have high enthusiasm for interprofessional cooperation,active team work,good professional identity. They can cope with their own roles and occupations more actively. The application of interdisciplinary collaboration practical teaching is well accepted by students.

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The application of an experiential teaching in the course of Nursing Ethics SUN Rui-yang, YANG Xiao-wei, SU Chun-xiang, WEN Xiao-jing, CUI Xin-ya, HAO Yu-fang 2020, 17 (5):  443-446.  doi: 10.3761/j.issn.1672-9234.2020.05.013 Abstract ( 295 )   HTML ( 0 )   PDF (592KB) ( 18 )   Save References | Related Articles | Metrics Objective To explore the effects of a experiential teaching in the course of Nursing Ethics. Methods The teaching was carried out through the five parts of perception,experience,sharing and communication,integration and application in the experiential teaching model of Caret. A satisfaction questionnaire was used to investigate the satisfaction level of 107 nursing undergraduates to experiential teaching.Fifteen students were interviewed to understand their experience in joining in the experiential teaching. Results The overall evaluation score for teaching effect was（4.37±0.71）. Interviewees accepted the experiential teaching well. They agreed that such a teaching could improve students' professional confidence and sense of responsibility,increase their learning enthusiasm and learning effects,and enhance their teamwork ability. Conclusion The application of experiential teaching in Nursing Ethics is helpful to cultivate students' comprehensive ability,which has been recognized by students.

Clinical Teaching

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The correlation between the hospital care atmosphere perception and clinical communication competence of nursing interns CHEN Yang, HUA Yan, XU Zhong-rui, ZHANG Li-ping, ZHU Qi-xia, NI Chun-ping 2020, 17 (5):  447-450.  doi: 10.3761/j.issn.1672-9234.2020.05.014 Abstract ( 357 )   HTML ( 4 )   PDF (588KB) ( 22 )   Save References | Related Articles | Metrics Objective To investigate and analyze the status of hospital care atmosphere perception and clinical communication competence among nursing interns,and to explore their correlations. Methods A total of 654 nursing students in clinical practice were investigated with the questionnaire of Nursing Students' Perception of Hospital Caring Environment Scale and Clinical Communication Competence Scale. Results The total score of nursing interns' perception of hospital caring environment was（4.07±0.75）,among which the lowest score was the dimension of caring perception given by teachers（3.96±0.95）. The overall score of clinical communication competence was（3.09±0.38）. There was a positive correlation between nursing interns' perception of hospital caring environment perception and clinical communication competence（r=0.526,P<0.05）. Conclusion The perception of nursing interns' perception of hospital caring environment and their clinical communication competence were all above average level. Paying attention to the hospital care of nursing interns is helpful to improve their communication competence.

Continuing Education

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Application of the defect situational teaching method in training of new nurses in the operating room ZHANG Shu-li, LI Sheng-yun, LI Ling, CHEN Ya-li, LIU Hui 2020, 17 (5):  451-455.  doi: 10.3761/j.issn.1672-9234.2020.05.015 Abstract ( 369 )   HTML ( 0 )   PDF (738KB) ( 19 )   Save References | Related Articles | Metrics Objective To evaluate the effects of the defect situational teaching method in training of new nurses in the operating room. Methods Forty-four new nurses in the operating room from 2017 to 2018 were trained.Twenty-three new nurses recruited in 2017 were assigned into the control group. The traditional training method was used in the control group including knowledge learning,video watching,and clinical practice. Twenty-one nurses recruited in 2018 were assigned into the experimental group and the defect situational teaching method was used. The work efficiency and accuracy of handover contents of the two groups were compared. Besides,the evaluation of the teaching method was investigated among the experimental group. Results The work efficiency and accuracy of handover contents of new nurses in the experimental group were higher than those in the control group（P<0.05）. Nineteen new nurses in the experimental group were satisfied with the teaching method. Conclusion The defective situation teaching can promote the learning initiative and enthusiasm of the new nurses. It can help to improve the new nurses' safe handover process in operating room.

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The class management model for new nurses TAN Yu-ling, BAI Gui-fang, FANG Fang, PENG Xi-xi 2020, 17 (5):  456-458.  doi: 10.3761/j.issn.1672-9234.2020.05.016 Abstract ( 410 )   HTML ( 0 )   PDF (447KB) ( 14 )   Save References | Related Articles | Metrics Objective s To explore the effects of class management model for new nurses. Methods The class management model was used in teaching and training of new nurses. The excellent head nurse was selected as the head of the class. Nurses who were responsible for education in the hospital were responsible for the class teaching. New nurses took their responsibilities by completing the specific role in the class. One year after the training,the core competence and job satisfaction were evaluated. Results Nurses' core competence and job satisfaction were better than those before the training（P<0.05）. Conclusion The application of class management model can improve the core competence and job satisfaction of new nurses.

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The clinical teaching behaviors and its influencing factors of clinical nursing instructors in Lanzhou ZUO Ya-mei, SU Qian, YUN Bei, LIU Jia, CHEN Lian, HAN Lin 2020, 17 (5):  459-463.  doi: 10.3761/j.issn.1672-9234.2020.05.017 Abstract ( 307 )   HTML ( 1 )   PDF (713KB) ( 19 )   Save References | Related Articles | Metrics Objective To investigate the teaching behaviors for new nurses and its influencing factors of clinical nursing instructors in Lanzhou. Methods The Clinical Teaching Behavior Inventory（CTBI-23） was used to investigate the teaching behaviors among 1 754 clinical nursing instructors from 9 tertiary hospitals in Lanzhou. Results The total score of clinical teaching behaviors of nursing instructors was（98.14±12.28） with a score percentage of 85.3%. The main influencing factors of clinical teaching behaviors included marital status,training of teaching knowledge,experience of teaching competition,experience of scientific research,and professional identity,accounting for 37.3% of total variance. Conclusion Clinical instructors have better self-evaluation on the teaching behaviors for new nurses. However,it needs to be further strengthened in showing concern and support for new nurses and creating learning atmosphere.

Clinical Practice

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Application of health education based on question classification in patients with Parkinson's disease WANG Xiu-ling, CUI Ying, LIU Li 2020, 17 (5):  464-468.  doi: 10.3761/j.issn.1672-9234.2020.05.018 Abstract ( 189 )   HTML ( 3 )   PDF (758KB) ( 30 )   Save References | Related Articles | Metrics Objective To explore the effects of health education based on question classification of inpatients with Parkinson's disease. Methods Eighty patients with Parkinson's disease admitted in a Neurology Department of a tertiary hospital from January 2017 to January 2018 were recruited and divided into the control group and the experimental group. Patients in the control group received routine health education. Patients in the experimental group received health education based on question classification. After intervention,the disease uncertainty,anxiety,depression and quality of life were compared between the two groups. Results After the intervention,the scores of disease uncertainty,anxiety and depression of patients in the experimental group were lower than those in the control group（P< 0.05）. The quality of life score in the experimental group were higher than those in the control group（P< 0.05）. Conclusion The health education based on question classification effectively improve the uncertainty of disease,anxiety,depression and quality of life of patients with Parkinson's disease during hospitalization.

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The status and influencing factors of evidence-based practice ability among emergency nurses JIANG Yun, CUI Miao-ling, YING Yan-ping, YANG Li, HUANG Shuang-xia, ZHONG Juan 2020, 17 (5):  469-472.  doi: 10.3761/j.issn.1672-9234.2020.05.019 Abstract ( 383 )   HTML ( 0 )   PDF (562KB) ( 18 )   Save References | Related Articles | Metrics Objective To understand the status of evidence-based practice ability of emergency nurses,and to explore its possible influencing factors. Methods By convenience sampling,a cross-sectional survey of 236 nurses from 46 hospitals in Guangxi was conducted using the Chinese version of Evidence Based Practice Evaluation Competence Questionnaire（EBP-COQ）. Results The total average score of EBP-COQ of emergency nurses was（3.43±0.35）,and the average scores of all dimensions were（3.77±0.37） for total,（3.34±0.49） for knowledge,and（3.17±0.47） for skill. Multiple linear regression analysis showed that educational background had significant effect on the total score of the EBP-COQ;educational background,and whether there was a certificate of emergency specialist nurses affected evidence-based practice attitudes;age affected evidence-based practice knowledge. In recent 5 years,the number of papers published as first author or corresponding author affected evidence-based practical skills. Conclusion At present,emergency nurses in Guangxi can treat the practice of evidence-based nursing positively,but the whole level of evidence-based practice ability needs to be improved. According to the weakness of evidence-based practice ability,the training plan can be formulated to improve the evidence-based practice ability of emergency nurses,and promote evidence-based practice in clinical practice all-round development.