Table of Content

20 July 2020, Volume 17 Issue 7 Previous Issue    Next Issue

Special Planning—Training of New Nurses

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The correlation between information literacy and self-learning ability of new nurses LI Jing,CAI Wei-xin,GUO Cui-hua,XING Ya-na 2020, 17 (7):  581-585.  doi: 10.3761/j.issn.1672-9234.2020.07.001 Abstract ( 409 )   HTML ( 0 )   PDF (904KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate and analyze the current status of information literacy and self-learning ability of new nurses and to explore the correlation between them. Methods A survey was conducted among 133 new nurses in a tertiary hospital in Beijing in 2019 by using the Information Literacy Questionnaire and the Self-learning Ability Evaluation Scale of Nursing Staff. Results The total score of information literacy and self-learning ability was（80.30±9.88） and（130.94±22.15） respectively. The total score and each dimension of the information literacy were positively correlated with the self-regulated learning ability（r=0.321~0.531,P<0.01）. Conclusion The information literacy and the ability of self-learning of new nurses needs to be improved. Nursing managers should strengthen the information literacy education of the nurses,and actively guide them to establish the awareness of self-learning and lifelong learning,so as to meet the requirements of training for new nurses.

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The effects of a case-based assessment on core competence evaluation of new nurses GU Jing-rong,MA Li-xia,LIU Chuan-hong,CHEN Ling-zhi,LI Xing 2020, 17 (7):  586-589.  doi: 10.3761/j.issn.1672-9234.2020.07.002 Abstract ( 347 )   HTML ( 0 )   PDF (819KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the effects of a case-based assessment on core competence evaluation of new nurses. Methods A total of 508 nurses who completed standardized training were assessed for their core competence. The assessment scores of nurses and their satisfaction level were recorded. Results The total rate of satisfaction of nurses was 95.5%. The score of comprehensive assessment was(79.87±3.28). The score of theoretical knowledge was(35.74±6.15)and the score of clinical skill was(44.14±2.13). Conclusion The case-based assessment can comprehensively assess the core competence of new nurses and provide targeted training direction for nursing managers. It can also help new nurses recognize their advantages and shortcomings of their core competence.

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Application of high simulation teaching in the practice of first aid ability training for new nurses WEI Li-juan,YANG Kai-xin,YIN Cai-xin,LIU Li-ying 2020, 17 (7):  590-594.  doi: 10.3761/j.issn.1672-9234.2020.07.003 Abstract ( 320 )   HTML ( 0 )   PDF (754KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the application effect of high simulation teaching in the first aid ability training of new nurses.Methods A total of 208 new nurses in 2019 were selected to carry out high simulation teaching training based on clinical real cases（children with wheezing attack）. After the training,Simulation Design Scale （SDS）,Educational Practices in Simulation Scale（EPSS）,Student Satisfaction and Self-confidence in Learning（SSS） were used to evaluate the training effects,and the feelings and suggestions of the new nurses were collected. Results After the training,the comprehensive score of 208 new nurses was（89.67±4.39）,and the qualified rate was 100%. The scores of SDS,EPSS and SSS were 95.5（80,100）,79（67,80）,20（20,25）,32（32,36） respectively. Conclusion The application of high simulation teaching in the training of the first aid ability of new nurses is effective,which is helpful to cultivate the first aid ability of new nurses.

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The effects of recovery action on communication ability of new nurses CHEN Chun-Xia,WANG Gui-ling,WANG Jin-Jin,LIU Fang,HU Su-qin 2020, 17 (7):  595-598.  doi: 10.3761/j.issn.1672-9234.2020.07.004 Abstract ( 319 )   HTML ( 0 )   PDF (642KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the effects of recovery action on community ability of new nurses. Methods A total of 109 new nurses in our hospital recruited in 2016 were selected and assigned to the experimental group. Recovery action was used to train the communication ability of nurses in the experimental group. Another 131 new nurses recruited in 2015 were selected and assigned to the control group. Traditional training method was used in the control group. One year after their recruitment,the adverse events of nurse-patient communication and the communication ability of new nurses were evaluated. Results The communication ability of nurses in the experimental group was better than that of the nurses in the control group（P<0.05）;the adverse events in the experimental group were less than those in the control group. Conclusion Recovery action can help nurses identify their gaps of thinking areas and significantly improve their communication abilities.

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The online blended teaching model for training in new nurses SUN Chi,HU Xiao-ying,GUO Ting 2020, 17 (7):  599-602.  doi: 10.3761/j.issn.1672-9234.2020.07.005 Abstract ( 241 )   HTML ( 0 )   PDF (702KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of online blended teaching model for training in new nurses. Methods A total of 302 new nurses recruited in 2019 from the second affiliated hospital of Nanchang university were assigned to the experimental group and received online blended teaching model. Another 270 new nurses recruited in 2018 were assigned to the control group and received the traditional training. After the training,the theoretical score,skills score,nursing staff autonomous learning ability and adult learning satisfaction level were assessed. Results The scores of theory examination,skill examination,independent learning ability and learning satisfaction of the new nurses in the experimental group were higher than those in the control group（P<0.05）.Conclusion The online blended teaching model for skill training is worth to be promoted among new nurses.

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The effects of solution-focused training on role shift of new nurses CHEN Lan,NI Jing-yu,YE Yun,HUANG Ya-juan,QIAN Hui-yu,WU Wen-jun 2020, 17 (7):  603-606.  doi: 10.3761/j.issn.1672-9234.2020.07.006 Abstract ( 177 )   HTML ( 0 )   PDF (1005KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective This study aimed to explore the effects of solution-focused training on role shift of new nurses. Methods A total of 95 new nurses recruited in 2018 were enrolled as the interventional group and solution-focused training was provided. Sixty-five new nurses in our hospital recruited in 2017 were enrolled as the control group and received routine training. One year after the clinical rotation,the role shift and core competence were compared between the two groups. Results The scores of transition shock in the interventional group were significantly lower than those in the control group（P<0.01）. The score of clinical nursing abilities of the new nurses in the interventional group was significantly higher than those in the control group（P<0.01）. Conclusion Solution- focused training for new nurses can effectively help with the role shift and improve the clinical nursing core competence.

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Design and application of nutrition screening training for new nurses ZHANG Jing,HUANG Qing-qing 2020, 17 (7):  607-610.  doi: 10.3761/j.issn.1672-9234.2020.07.007 Abstract ( 323 )   HTML ( 0 )   PDF (640KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the design method and implementation effects of nutrition screening training for new nurses. Methods A total of 60 nurses from Huashan Hospital Affiliated to Fudan University were selected. The form of online teaching and offline group cooperation was adopted. The teaching contents included the background and current situation of nutrition screening,commonly used clinical nutrition treatment steps,the introduction of related scales,the importance of nutrition screening,etc. Before and after the training,the theoretical achievement,nutrition screening knowledge,attitude and behavior of new nurses were evaluated. Results The scores of theory,nutrition screening knowledge,attitude and behavior of new nurses after training were higher than those before training（P<0.05）. Conclusion The nutritional screening training of new nurses has good effects and can be promoted.

Ideological and Political Theory Education

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The practice of Ideological and Political Theory Education in undergraduate Medical Nursing ZHANG Ling-hua,JIA Jian-fang 2020, 17 (7):  611-615.  doi: 10.3761/j.issn.1672-9234.2020.07.008 Abstract ( 1172 )   HTML ( 0 )   PDF (1162KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of ideological and political education in undergraduate Medical Nursing. Methods Ideological and Political Theory Education was incorporated into the course of Medical Nursing among undergraduate students of grade 2017. It included strengthening the construction of teachers,optimizing teaching contents,enriching teaching methods and building teaching resources. Students’ feedback was investigated after this course. Results A total of 114 students proposed their suggestions on ideological and political teaching contents,teaching methods,assessment methods and practical teaching. Some students agreed that the instructors held careful attitude,high spirit,and appropriate political views. Various teaching methods were used which could make the class alive and increase the learning interests. Conclusion We suggest that curriculum ideology and politics should be incorporated in the Medical Nursing,refine the moral education elements,and implement professional teaching and value-leading peers.

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The design and practice of Ideological and Political Theory Education in Acute and Emergency Nursing LI Mu,LIU Lu-hua,YU Si-si,ZHANG Xiao,LI Cheng 2020, 17 (7):  616-620.  doi: 10.3761/j.issn.1672-9234.2020.07.009 Abstract ( 1663 )   HTML ( 0 )   PDF (872KB) ( 1 )   Save References | Related Articles | Metrics In order to accomplish the task of “cultivating students with appropriate moral values”,we introduced the collaborative teaching of Ideological and Political Theory Education from the following three aspects：the determination of moral educational objectives,teaching design,the effects of teachings with Acute and Emergency Nursing as an example. We combined the guidance of professional values and the teaching of professional knowledge to promote the early achievements of the “great ideological and political pattern.”

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The design and practice of Ideological and Political Theory Education in Fundamentals of Nursing REN Liu,SHEN Jun,JIAN Ping,HE Qing-li 2020, 17 (7):  621-624.  doi: 10.3761/j.issn.1672-9234.2020.07.010 Abstract ( 1005 )   HTML ( 0 )   PDF (649KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics This paper introduced the practice and effects of Ideological and Political Theory Education in the Fundamentals of Nursing in higher vocational colleges. Under the guidance of ten ideological and political elements involving medical history,patriotic feelings,scientific spirit,humanistic thoughts,philosophical principles,Chinese culture,aesthetic quality,ethics,critical thinking and great health view,combining ideological and political elements with professional knowledge,Ideological and Political Theory Education was carried out with video/case study,focus events sharing,special topics,scene experience,classic recitation,and literary thoughts.The implementation of Ideological and Political Theory Education has effectively improved the classroom teaching effects and promoted the students’ recognition and confidence in the nursing profession.

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Application of the Ideological and Political Theory Education based on the Book of Filial Piety in Geriatric Nursing in a secondary vocational school PENG Ai-xia,LU Qing-hui,LUO Qiu-ting,PENG Jing 2020, 17 (7):  625-629.  doi: 10.3761/j.issn.1672-9234.2020.07.011 Abstract ( 497 )   HTML ( 1 )   PDF (718KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of applying Ideological and Political Theory Education based on the Book of Filial Piety in Geriatric Nursing in a secondary vocational school. Methods A total of 532 secondary vocational nursing students admitted in 2017 were assigned to the experimental group and another 489 students admitted in 2016 were assigned to the control group. Students in the experimental group received Ideological and Political Theory Education based on the Book of Filial Piety in Geriatric Nursing and students in the control group received the routine education. The scores of Kogan’s Attitude Toward Older People Scale(KAOP),the knowledge of geriatric nursing and the intention of providing care to older adults were evaluated and compared when the course was finished. Results After the course was finished,the scores of KAOP and the knowledge of geriatric nursing in the experimental group were all better than those of students in the control group(P<0.05). There was no significant difference between the two groups in the intention of providing care to older adults(P>0.05) Conclusion The application of the Ideological and Political Theory Education based on the Book of Filial Piety in senior nursing teaching in secondary vocational school has a good effect. It can achieve the curriculum goal of combining knowledge teaching and value guidance,and help to improve the attitude of senior nursing students.

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The practice of Ideological and Political Theory Education in the course of Theoretical and Culture of Traditional Chinese Medicine WANG Ya-xin,YANG Qiao-ju,DU Jiang-yan 2020, 17 (7):  630-633.  doi: 10.3761/j.issn.1672-9234.2020.07.012 Abstract ( 622 )   HTML ( 0 )   PDF (729KB) ( 1 )   Save References | Related Articles | Metrics Under the pattern of “great ideological and political”,in order to achieve the organic unity of “knowledge imparting” and “value leading”,the fundamental task of education is to “establish morality and cultivate people”. This paper introduces the practical experience of Ideological and Political Theory Education of Theoretical and Culture of Traditional Chinese Medicine,dedicates to cultivating nursing talents with good professional ethics and confidence in traditional Chinese medicine national culture,and provides references for the exploration and innovation of curriculum ideology and politics in medical colleges.

Research Paper

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The practice of specialty group construction on the maternal and child health and geriatric health GONG Hai-rong,CHEN Ting-yu,ZHUANG Hai-lin 2020, 17 (7):  634-637.  doi: 10.3761/j.issn.1672-9234.2020.07.013 Abstract ( 316 )   HTML ( 0 )   PDF (688KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics With the changes of health care needs and the implementation of “double high plans”,Fujian Health College explored and constructed the path of building specialty group of maternal and child health and geriatric health by optimizing specialty structure,focusing on training talents,integrating resources,and setting course system. The practice experience and thoughts are summarized and concluded to provide reference for high-level and high-quality specialty group in the future.

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The application of the mind map in the scenario simulation of basic nursing skills ZHU Bai-lu,WANG Miao,ZHU Wei,WANG Fang-fang,LI Yuan-zhen,MA Shao-yong 2020, 17 (7):  638-642.  doi: 10.3761/j.issn.1672-9234.2020.07.014 Abstract ( 555 )   HTML ( 0 )   PDF (1231KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of the mind mapping in the scenario simulation of basic nursing skills. Methods Ten classes of nursing undergraduates in a school were selected. Five classes were assigned to the experimental group（n=116）and the other five classes were in the control group（n=120） by drawing lots. Students in the experimental group adopted the scenario simulation based on standardized patients combined with the mind map teaching method while students in the control group received the scenario simulation based on standardized patients teaching method. The teaching effects was evaluated through classroom scenario simulation assessment,performance of case analysis,and the feedback of the mind map from students in the experimental group. Results The scenario simulation score and case analysis score of the experimental group were higher than those of the control group（P<0.05）. Most students in the experimental group（more than 72%）confirmed the advantages of mind mapping. A few students thought that mind mapping was time-consuming（37.5%） and difficult to learn（15.2%）. They worried that their mind mapping was wrong（25.9%） and hoped teachers would directly display mind mapping in the classroom. Conclusion The combined use of mind mapping and scenario simulation is helpful to improve the teaching effects of basic nursing skills.

Nursing Education

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Cross-cultural adaptation and psychometric properties testing of the Chinese version of the Maastricht Clinical Teaching Questionnaire YU Jian,CHEN Lu,XU Bin,XIE Li-li,FENG Jian-ping,LIN Zheng,XU Jing-jing 2020, 17 (7):  643-647.  doi: 10.3761/j.issn.1672-9234.2020.07.015 Abstract ( 367 )   HTML ( 0 )   PDF (645KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective This study was to translate the Maastricht Clinical Teaching Questionnaire（MCTQ） into Chinese and to evaluate the reliability and validity of the Chinese version of MCTQ. Methods After the translation,re-translation and cultural adjustment of the MCTQ,the Chinese version of MCTQ was obtained. A total of 426 nursing interns were surveyed by the Chinese version of the MCTQ questionnaire. Among them,30 students were retested after 2 weeks. Eight experts were invited to evaluate the content validity of the Chinese version of MCTQ. Results Exploratory factor analysis showed that there were 4 factors of the Chinese version of MCTQ, including modeling, coaching, expression exploration, and learning environment. The Cronbach’s α coefficient of the overall scale was 0.912. The test-retest reliability of the scale was 0.862. Its content validity was 0.960. Conclusion The Chinese version of MCTQ has a rigorous theoretical basis and high reliability and validity in the context of Chinese culture. It can be used as an effective tool to evaluate the clinical teaching quality for nursing students.

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Design and practice of a teaching method combining classroom and practice together in Gynecology Nursing in a higher vocational college ZHANG Yu-hong,LIAO Wen-mei,WANG Yun,HE Shu-zhi 2020, 17 (7):  648-652.  doi: 10.3761/j.issn.1672-9234.2020.07.016 Abstract ( 221 )   HTML ( 0 )   PDF (739KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of a teaching method combing classroom and practice together in Gynecology Nursing in a higher vocational college.Methods A total of 98 vocational students majoring in midwifery recruited in 2017 were selected. The integration of classroom and practice in gynecology was carried out. The cooperation was strengthened between school and enterprise. We introduced the SBAR（situation,background,assessment and recommendation）communication model in the classroom teaching. The theoretical teaching（18 class hours）was conducted by using flipped classroom,case analysis,situational simulation and other methods. The self-made simple SBAR nursing record sheet and group discussion were used for practical teaching（4 class hours） and clinical observation（14 class hours）. Students’ usual performance,final examination score,critical thinking ability and teaching evaluation were evaluated. Results The average usual score of students was（86.27±5.93）,the final examination score was（90.11±4.13）,and the total score was（88.58±2.59）.The critical thinking ability of students was significantly improved（P<0.05）. The overall satisfaction rate of students with teaching was 100%. Conclusion The combination of classroom and practice in Gynecological Nursing course is helpful to improve students’ academic performance,critical thinking ability and teaching satisfaction,and lay a foundation for the practice stage.

Clinical Practice

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The mindfulness-based cancer recovery for patients with breast cancer during chemotherapy LI Wen-jing,KANG Feng-ying,TIAN Wei,CAO Wen-qian 2020, 17 (7):  653-657.  doi: 10.3761/j.issn.1672-9234.2020.07.017 Abstract ( 262 )   HTML ( 0 )   PDF (813KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of mindfulness-based cancer recovery for patients with breast cancer during chemotherapy. Methods A total of 86 patients with breast cancer during chemotherapy in the Department of Breast Surgery of two general tertiary hospitals were selected by convenience sampling. These patients were randomly assigned to the experimental group or the control group by tossing a coin. Patients in the experimental group received eight-week mindfulness-based cancer recovery besides routine care while patients in the control group received routine care provided by hospitals. The Post-traumatic Growth Inventory（PTGI） and Five Facet Mindfulness Questionnaire（FFMQ） was used to evaluate the effects of mindfulness-based cancer recovery on patients.Results Before the intervention implementation,there were no statistically significant differences between the two groups in the score of PTGI and FFMQ（P>0.05）. After the intervention implementation,the score of PTGI and FFMQ in the experimental group were higher than those in the control group（P<0.05）.Conclusion Mindfulness-based cancer recovery can effectively promote post-traumatic growth of breast cancer patients during chemotherapy and improve their mindfulness level.

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Evidence summary of prevention and management of venous thrombosis in patients with ischemic stroke MA Ke-ke,YANG Cai-xia,WANG Ai-xia,GUO Yuan-li 2020, 17 (7):  658-663.  doi: 10.3761/j.issn.1672-9234.2020.07.018 Abstract ( 220 )   HTML ( 0 )   PDF (655KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To summarize and evaluate the evidence for the prevention and management of venous thromboembolism in patients with ischemic stroke. Methods We searched evidence in UpToDate,BMJ best practice,the Cochrane,Scottish Intercollegiate Guidelines Network,China Biology Medicine disc,and Wanfang database from inception to December 5,2019. The quality assessment was conducted by two researchers using AGREEⅡ and JBI evidence-based health care center（2016） evaluate standards for systematic review. Results A total of 18 articles were included in this study,including 15 guidelines,2 systematic reviews and 1 evidence summary. Thirty pieces of the best evidence were extracted,including the risk assessment of venous thrombosis in patients with ischemic stroke,intermittent pneumatic compression prevention,anticoagulant prevention and other preventive and treatment measures. Conclusion This study summarized the evidence of the vein thrombosis prevention and management of patients with ischemic stroke and it can provide reference for clinical practice. In order to promote nursing quality,clinical environment and other related factors should be assessed before application due to the evidence from various countries.

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The current status and equity of nursing human resources allocation in Fujian province CHENG Shu-dong,DU Ji-wei,WANG Qiang 2020, 17 (7):  664-667.  doi: 10.3761/j.issn.1672-9234.2020.07.019 Abstract ( 310 )   HTML ( 0 )   PDF (1696KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the current status and equity of nursing human resource allocation in Fujian province in 2018. Methods Descriptive analysis was conducted according to the Fujian statistics yearbook-2019,statistics yearbook-2019 for all cities of Fujian and China health statistics yearbook-2019. Both Lorenz curve and Gini coefficient were adopted to assess the current status and equity of nursing human resource allocation. Results In 2018,the nurses registered in Fujian province was accounted for 44.20% of the total health workers. The bed-to-nurse ratio（1∶0.57）,doctor-to-nurse ratio（1 ∶ 1.20）,number of nurses per thousand population（2.77） were all lower than the average level of the nation and east China. The number of nurses per square kilometer（0.88） was higher than the average national level and lower than the level of east China.The Gini coefficients of nursing human resources in population and area distributions were 0.071 and 0.347 respectively. Conclusion The number of nursing human resources in Fujian province is not adequate.The allocation of nursing human resources is relatively fair. The equity of demographic distribution is superior to that of geographical distribution. The equity of geographical distribution should be strengthened.

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The professional life quality and its influencing factors of hospice nurses in nursing facilities YAN Li-xia,SHEN Hai-yan,QING Li-min,LI Pan 2020, 17 (7):  668-672.  doi: 10.3761/j.issn.1672-9234.2020.07.020 Abstract ( 356 )   HTML ( 0 )   PDF (613KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the professional life quality of hospice nurses in nursing facilities,and to analyze its influencing factors.Methods A total of 216 hospice nurses in 25 nursing facilities were investigated by questionnaires including general demographic information sheet,Professional Quality of Life Scale and the 10-item Connor-Davidon Resilieme Scale. Results The scores of sympathy satisfaction,burnout and secondary trauma were（35.81±6.09）,（28.62±5.38）and（24.94±5.06） respectively. Nurses’ marriage status,receiving hospice training or not,implementing group psychological counseling or not,whether their work was recognized,and the psychological resilience were the influencing factors of sympathy satisfaction（R2=0.592,F=22.527,P<0.001）. The influencing factors of secondary trauma included different highest educational background,marriage status,implementing group psychological counseling or not,heavy workload,and psychological resilience（R2=0.257,F=12.066,P<0.001）. Marriage status,overwork and psychological resilience were the influencing factors of burnout（R2=0.272,F=8.545,P<0.001）. Conclusion The quality of professional life of hospice nurses is low. Hospice nursing managers can improve the professional life quality of nurses by enhancing their psychological resilience,reducing their workload,culturing cooperative environment,and carrying out group psychological counselling.