Table of Content

20 August 2020, Volume 17 Issue 8 Previous Issue    Next Issue

Special Planning—Specialty Nurses Training

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The training practice of ophthalmic specialty nurses in Chongqing YANG Yu-qiong, SONG Bi-ying, YUAN Hong-feng 2020, 17 (8):  677-680.  doi: 10.3761/j.issn.1672-9234.2020.08.001 Abstract ( 549 )   HTML ( 0 )   PDF (782KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Objective To evaluate the effects of training of ophthalmic specialty nurses in Chongqing.Methods A total of 154 nurses participated in the four training sessions. The theoretical training（1 month） was conducted in a large group with a total of 156 class hours. The contents of theoretical training included five modules of basic ophthalmic theoretical knowledge,basic skills,nursing management,humanistic quality,advanced development and research focus. The clinical practice（2 months）used one-to-one teaching mode and focused on training 25 specialized clinical examinations and usage of instruments,and 20 specialized operational skills. After the training,the score of theoretical examination,skills,instrument usage,and skill mastering were analyzed and compared.Results All the nurses successfully completed their studies. After the training,the theoretical examination scores of nurses is from 81 to 95,and it was 80 to 94 for skitl scores.Conclusion The training of ophthalmic specialty nurses is an effective way to cultivate excellent ophthalmic specialty nurses with excellent skills and comprehensive quality.

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Cultivation and use of specialty nurses based on post competence FENG Hai-xia, LI Guo-hong, XU Cui-rong, FAN Hui 2020, 17 (8):  681-683.  doi: 10.3761/j.issn.1672-9234.2020.08.002 Abstract ( 549 )   HTML ( 1 )   PDF (512KB) ( 13 )   Save References | Related Articles | Metrics To make specialty nurses play a leading role in clinical settings,our hospital developed a series of methods for cultivation and use of these nurses. These methods included signing an training agreement,making detailed methods to choose,cultivate and manage the nurses,setting up outpatient clinics run by the specialty nurses,and starting consultations of nurses. By all these ways,the post competence of specialty nurses was improved. Nurses can play a leading role in their specialty area and thus improve the quality level of nursing as well as the scientific research level.

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Contents construction of neonatal specialty nurses training in Henan province WANG Ling, LI Zhi-rui, WANG Chen-yang, JIANG Fang, ZHAO Chen-jing, HUANG Guo-shuang, HU Su-jun, ZHANG Yan 2020, 17 (8):  684-689.  doi: 10.3761/j.issn.1672-9234.2020.08.003 Abstract ( 347 )   HTML ( 0 )   PDF (961KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct the contents of neonatal specialty nurses training in Henan province.Methods Through literature review and experts interview,the contents of neonatal specialty nurses training was preliminarily developed. Three rounds of expert consultations were carried out through Delphi method.Results The response rates of three round expert consultations were 86%,92% and 100%; the expert authority coefficients were 0.82,0.86 and 0.88,respectively. After expert consultations were completed,the Kendall's W was 0.311. The final contents included 3 primary indicators,11 secondary indicators,and 66 third-level indicators.Conclusion The contents of neonatal specialty nurses training is of higher scientific nature and provides the basis for the training of the neonatal specialty nurses in Henan province.

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Application of standardized patient in skill assessment of specialty nurses in wound ostomy incontinence care ZHOU Yu-jie, FU Xiao-jin, HUO Tian-yi, WANG Ling, PEI Chen, WANG Si-si, DENG Jun, MA Ming 2020, 17 (8):  690-692.  doi: 10.3761/j.issn.1672-9234.2020.08.004 Abstract ( 290 )   HTML ( 0 )   PDF (470KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of standardized patient（SP） in skill assessment of specialty nurses in wound stoma incontinence care.Methods Nurses who have obtained the qualification of specialty nurses for wound stoma incontinence care were screened and trained. They made the assessment cases and acted as the SP in the skill assessment of specialty nurses in wound stoma incontinence care. After the assessment,nurses evaluated this assessment method.Results The mean score of skill assessment was（88.97±5.17）. Most of the nurses accepted SP as the examination tool and agreed that SP could help them find the their limitations during the assessment process.Conclusion SP applied in the skill assessment of specialty nurses in wound stoma incontinence care can help assess the clinical comprehensive ability of the nurses and find their limitations.

Research Paper

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The development and application of the specialized stroke care training based on quality indicators TANG Qi-lan, XU Yan-hua, WANG Ai-xia, HUANG Lei, DING Chun-ge 2020, 17 (8):  702-706.  doi: 10.3761/j.issn.1672-9234.2020.08.007 Abstract ( 263 )   HTML ( 0 )   PDF (874KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop the specialized stroke care training program and to evaluate the programme effects in training junior nurses. Methods We established a research team and the quality indicators of specialized stroke care were confirmed through literature search,group discussion,expert interview,and Delphi method. According to the indicators and papers published,the specialized stroke care training program was developed. In June 2019,thirty-five junior nurses were trained through classroom teaching,skills demonstration,scenario simulation and ward rounds. After the training,the effects were evaluated through assessing the results of theoretical examination,skills,case analysis,and the sensitive indicators. Results After the training,the scores of theory examination,skill examination and case analysis were higher than those before the training（P<0.05）. The specialized care quality were significantly improved after the training（P<0.05）. Conclusion The specialized stroke care training based on quality indicators can achieve the expected effects and it provides reference for the training of junior nurses in specialized nursing ability.

Nursing Education

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The effects of incorporating human anatomy practice into the skills practice of Fundamental of Nursing in a higher vocational college ZHANG Wen-qing, SONG Pei-shan, XU Yong-chao, LI Fang 2020, 17 (8):  707-711.  doi: 10.3761/j.issn.1672-9234.2020.08.008 Abstract ( 316 )   HTML ( 0 )   PDF (675KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of incorporating human anatomy practice into the skills practice of Fundamentals of Nursing in a higher vocational college.Methods Students in four classes of three-year higher vocational nursing program were selected with two classes of grade 2016 being assigned to the control group and the other two classes of grade 2017 being assigned to the experimental group. The traditional basic nursing teaching model was adopted in the control group while human anatomy practice was incorporated into the skills practice of Fundamentals of Nursing. The performance of final examination,skills examination,and class participation were evaluated. Besides,students' evaluations on such a teaching method were also recorded.Results The mean final exam score of the experimental group was（78.59±6.22） and the skills examination score was（82.55±7.62）,all of them were significantly higher than those of the control group（P<0.05）. The positive participation rate on answering questions was 45.60%. The evaluation score of the course is（3.88±0.79）.Conclusion The incorporation of human anatomy into the skills practice of Fundamentals of Nursing can strengthen students' understanding of nursing skills and improve their skills level and clinical competence. It is worth of further promotion.

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Application of an interdisciplinary technology innovation platform in cultivating the innovation ability of master of nursing students TANG Xiang, TIAN Wen-jie, DU Yan-ying, XUE Zhao, YUAN Li-rong, LÜ Yi 2020, 17 (8):  712-715.  doi: 10.3761/j.issn.1672-9234.2020.08.009 Abstract ( 353 )   HTML ( 0 )   PDF (635KB) ( 1 )   Save References | Related Articles | Metrics This research analyzed the problems existing in nursing master's degree training,explained the importance of in cultivating the innovation ability of nursing master graduate students,and elaborated the composition and function of an interdisciplinary technological innovation platform as well as cultivation of innovation ability and innovation achievements of graduate nursing students based on this platform. These results are expected to promote mutual exchanges and references with major universities,and help them progress together,thereby improve the innovation level of nursing masters.

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Practice of medical Chinese teaching reform for international students in a higher vocational college XU Zhi-ping, XIA Li-ping, ZHU Bei, WEN Chun 2020, 17 (8):  716-720.  doi: 10.3761/j.issn.1672-9234.2020.08.010 Abstract ( 256 )   HTML ( 0 )   PDF (754KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the methods and effects of medical Chinese teaching reform for international students in a higher vocational college. Methods The 31 international nursing students recruited in 2017 was assigned to the experimental group.The teaching reform was implemented in the experimental group involving integration of theory and practice,increasing the high-frequency professional vocabulary,sentences,and contents related to clinical nursing settings,and adopting the process and final evaluation.Another 30 students of Grade 2016 were assigned to the control group and traditional teaching method was used in this group. The outcomes evaluated included the score of medical Chinese proficiency test,and the satisfaction level students in the experimental group had towards the reform. Results The scores of medical Chinese proficiency test in the experimental group were significantly higher than those in the control group（P<0.01）. Students themselves,instructors and course observers were all satisfied with the teaching methods. Conclusion The medical Chinese teaching reform can effectively improve the language application ability of international students in the higher vocational college and promote their clinical communication ability.

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Construction of the major cluster of nursing in higher vocational colleges XUE Mei, WANG Bo-qiao, HAI Run-ling, MA Lian-di, CHU Yuan-yuan, CHEN Jing, ZHANG Meng, LU Di 2020, 17 (8):  721-723.  doi: 10.3761/j.issn.1672-9234.2020.08.011 Abstract ( 337 )   HTML ( 0 )   PDF (746KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics The construction of major cluster is the key of the “double high” development of health vocational education,the focus to improve the quality of talent cultivation and improve the level of social services and contributions. It is also the facilitator to strengthen the school-hospital cooperation and teaching collaboration. Based on the features of higher vocational nursing profession development,Tianjin Medical College proposed the following measures to improve the level of nursing major cluster including platform building of production and education,innovation of the model of talents cultivation,curriculum system reform and innovation,improving ability of “Double-qualified Teachers”,teaching materials reform,certification system of the “1+X” skill level,and improving international level.

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The level and related factors of core competency among midwifery graduated students JI Ya-xin, GU Rui-rui, WU Li-ping 2020, 17 (8):  724-728.  doi: 10.3761/j.issn.1672-9234.2020.08.012 Abstract ( 313 )   HTML ( 0 )   PDF (713KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the current situation of core competency among midwifery graduated students in China. Methods A total of 214 midwifery graduated students from 17 provinces were recruited by convenience sampling from May to July 2019 and the Midwifery Core Competency Scale was used. Results The average score of midwifery core competency were（3.70±0.68）.The scores of vocational literacy was the highest（4.29±0.56）.The scores of health care skills during labor was the lowest（3.35±0.85）. Educational level,the intention to engage in midwifery after graduation and the intention to engage in midwifery for life were related to their core competence（P<0.05）. Conclusion The core competence of midwifery graduated students is generally at the medium level. The midwifery education should meet the clinical needs to cultivate midwifery talents,accelerate the establishment of China's higher midwifery education system,and improve the professional identity of midwifery students. Through these measures,the core competency of midwifery graduated students can be improved.

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A survey of perception of patients' safety ability and its influencing factors among nursing undergraduates YUAN Xiao-huan, YANG Si-yu, WEI Yu-meng, YU Tian-tian, CHEN Jun-xian, HUANG Fei-fei 2020, 17 (8):  729-733.  doi: 10.3761/j.issn.1672-9234.2020.08.013 Abstract ( 359 )   HTML ( 0 )   PDF (649KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the current status of perception of patients' safety ability and its influencing factors among undergraduate nursing undergraduates.Methods A total of 732 undergraduates from seven regions of China were selected by convenience sampling and the Health Professional Education in Patient Safety Survey（H-PEPSS）was used for investigation.Results The total score of H-PEPSS of nursing undergraduates was（61.20±9.63）and（64.09±9.09） in the classroom and clinical practice versions,respectively. There was a significant difference between them（t=2.61,P<0.001）.Multivariate linear regression analysis showed that self-evaluation ability of patient safety,patient safety training courses participation,whether making mistakes during practice were the influencing factors of patient safety ability level perceived by undergraduates in classroom and clinical practice which accounted for 13.0% of the total variance.Conclusion The low level of perception of patient safety ability of undergraduates,which needs to be further improved. There is a gap between the students' perception of patients' safety ability in classroom and clinical practice. In the classroom and clinical teaching,nursing educators should pay attention to the cultivation of patient safety knowledge,skills and self-confidence,and focus on students who have made mistakes.

Clinical Teaching

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A survey on the status of ego identity of nursing interns HUANG Jing, ZHAO Wen, WANG Shu-hong, LI Jing, ZHONG Ping 2020, 17 (8):  734-738.  doi: 10.3761/j.issn.1672-9234.2020.08.014 Abstract ( 368 )   HTML ( 0 )   PDF (674KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the status and problems of self-identity of nursing interns.Methods A questionnaire survey was conducted on 490 nursing interns in a hospital in Hunan Province using the ego-identity scale.Results At the beginning of clinical practice,the current self-investment dimension score was 20(18,23),the future self-investment dimension score was 20(18,23),and the past crisis dimension score was 16(14,19). There were 44(9.0%) students with identity achiever status,195(39.8%) with identity achiever—foreclosure status,48(9.8%)with foreclosure status,62(12.7%) with moratorium status,5(1.0%) with moratorium—identity diffusion status,and 136(27.8%)with identity diffusion status.Conclusion Most of the nursing interns have not reached the status of identity formation. Clinical nursing educators should help them carry out professional exploration,improve their understanding of nursing specialty,and establish correct professional outlook and values.

Continuing Education

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The mediating role of work values on the association of perceived social support and job performance of nurses WU Peng, LIANG Yu-meng, BAI Hua, MA Shu-yun 2020, 17 (8):  739-742.  doi: 10.3761/j.issn.1672-9234.2020.08.015 Abstract ( 326 )   HTML ( 0 )   PDF (557KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To know the job performance of nurses and to analyze the influence of perceived social support on job performance and the mediating role of work values. Methods A questionnaire survey was conducted among 989 clinical nurses with the job performance scale,the work value scale,and the perceived social support scale. Results The mean score of job performance was（4.09±0.28）. The mediating effect test showed that work values played a mediating role partly between perceived social support and job performance（0.110）,accounting for 32.2% of the total effects. Conclusion The job performance is on the middle level,but it still needs to be improved. Nursing managers should cultivate the positive values of nursing workers,enhance nurses' subjective feelings of the social support system,and further improve their job performance.

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Training of anesthesia nurses based on core competence TAN Yan, LI Xu-ying, LI Jin-hua, WEI Tao, HUANG Xin-juan, PENG Si-yi, LI Xing-feng, FAN Rong-rong 2020, 17 (8):  743-746.  doi: 10.3761/j.issn.1672-9234.2020.08.016 Abstract ( 291 )   HTML ( 0 )   PDF (585KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of anesthesia nurses training.Methods A total of 101 trainees from 48 medical consortiums in our province were trained based on the core competence,contents of the training included knowledge education and clinical practice. The effectiveness of the training was evaluated by the score of core competence,theoretical knowledge,and operational skills.Results The scores of the 101 anesthesiologists were（125.57±4.80）before the training and（156.45±4.39）after the training（P<0.05）. The average scores of the theoretical knowledge and skills were（88.76±2.34）and（86.68±3.46）respectively. The satisfaction score of trainees with the training system was（4.89±0.34）.Conclusion Through the training of anesthesia nurses,the core competence of anesthesia nurses has been improved,and the theoretical knowledge and clinical skills of trainees have been consolidated.

Clinical Practice

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Practice of optimizing management of cataract day ward based on patient experience MA Yu-lu, HUANG Ran-ran, JIN Xiao-xiao, MA Wei-na 2020, 17 (8):  747-750.  doi: 10.3761/j.issn.1672-9234.2020.08.017 Abstract ( 196 )   HTML ( 0 )   PDF (652KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Twelve nurses took turns to experience the process from admission to discharge by acting as the cataract patients. After the experience,they reported their feelings as a cataract patient. Problems were analyzed and measures were proposed. The proposed measures included optimizing the treatment process and health education contents,and strengthening the humanistic care. The waiting time and satisfaction level of 100 patients were compared before and after the optimizing measures. The optimal management can reduce the waiting time of patients and improve their satisfaction level.

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The experience of life reconstruction of older bladder cancer patients with urinary stoma：a qualitative study CHANG Yan, ZHOU Hong, DANG Hui, LU Hong-yan 2020, 17 (8):  751-755.  doi: 10.3761/j.issn.1672-9234.2020.08.018 Abstract ( 323 )   HTML ( 0 )   PDF (823KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the experience of life reconstruction of older bladder cancer patients with urinary stoma. Methods Ten older patients with urinary stoma were interviewed with semi-structured questions. Colaizzi analysis was used to analyze the data and summarize the themes. Results The experience of older adults with urinary stoma was summarized as five main themes：Negative psychological period（sense of fear,loneliness,and burden）;awakening period（change brought by chance）;desiring period（life recognition）;adaptation period （psychosocial adaptation）;stable period（post-traumatic growth）. Conclusion The older patients with urinary stoma have serious psychological pressure in the process of life reconstruction. Nurses can explore and provide tailored continuous care according to patients' physiological and mental state and needs in different stages,so as to help patients complete life reconstruction as soon as possible.