Table of Content

20 September 2020, Volume 17 Issue 9 Previous Issue    Next Issue

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The blended teaching in pressure injury care based on the virtual simulation platform WAN Li-hong,PENG Jun-sheng,WEN Ke,LUO Bao-jia,BU Xiu-qing,LIN Xiao-ling,WANG Ruo-jing,ZHANG Mei-fen 2020, 17 (9):  774-778.  doi: 10.3761/j.issn.1672-9234.2020.09.001 Abstract ( 438 )   HTML ( 1 )   PDF (722KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of the blended teaching in pressure injury care based on the virtual simulation platform. Methods The blended teaching based on the virtual simulation platform was applied in teaching of pressure injury care for 50 year-two students. The blended teaching included pre-class virtual training,flipped classroom,simulation practice,and post-class online and offline training & innovation design competition in the second classroom. Students’ feedback was analyzed and questionnaires were used to evaluate the effects of the blended teaching. Another 12 teachers had a discussion meeting and provided feedback. Results Before the blended teaching,the frequency that students used the virtual simulation platform was（2.50±1.44） times per person. After the blended teaching,the achievement degrees of teaching objectives were 94%~96%. The rates that students rated the class as excellent were 78%~96%. The rates that students agreed that blended teaching could facilitate their learning were 94%~96%. The teachers agreed that the blended teaching could improve students’ independent learning ability and the teaching effects of combining theory with practice. Such a method increased the academic challenges,difficulty,and depth of the learning. Conclusion The blended teaching based on the virtual simulation platform can help students master the knowledge and skills and help to cultivate students’ self-learning ability,clinical thinking and innovative ability,which can provide experience for the nursing teaching reform.

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Establishment of training system for hospice care nurses FAN Rong-rong,LI Xu-ying,HUANG Xin-juan,LI Jin-hua,TAN Yan 2020, 17 (9):  779-784.  doi: 10.3761/j.issn.1672-9234.2020.09.002 Abstract ( 1012 )   HTML ( 0 )   PDF (1196KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct standardized and systematic training contents for hospice specialist nurses,so as to provide basis for professional training and assessment in China. Methods The framework of training courses was preliminarily developed on the basis of literature review and interviews. Two rounds of Delphi method were then conducted with 15 hospice nursing experts. According to the experts opinions and suggestions,the training contents of hospice specialist nurses were finally completed. Results The effective response rates of two-round consultation were both 100%.The expert’s authority coefficient was 0.92,and the Kendall’s coordination coefficient of various indicators after two rounds of consultation were 0.250,0.315 and 0.395,respectively.The training contents finally included 6 first-level items,34 second-level items and 81 third-level items. The time for theoretical training,scenario simulation,and clinical practice were 77 hours,56 hours,and 227 hours,respectively with a total number of 360 hours. Conclusion The contents of nursing training course are complete,scientific and reasonable,reliable and authoritative.

Interprofessional Education

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Application of interprofessional collaboration in emergency simulation skill training for undergraduates LI Hua-wei,CUI Ya-nan,LI Yun-fang,WANG Xiao-qi,LIU Li-jun,LI Ze-dong,WANG Guo-ning 2020, 17 (9):  785-789.  doi: 10.3761/j.issn.1672-9234.2020.09.003 Abstract ( 312 )   HTML ( 0 )   PDF (855KB) ( 1 )   Save References | Related Articles | Metrics Objective To explore the effects of interprofessional collaboration in emergency simulation skill training for undergraduates. Methods Fifteen year-four medical students and 14 year-three nursing students took part in the teaching reform voluntarily and they were divided into 5 groups. There were 5 training sessions for interprofessional cooperative simulation emergency skills with 2 hours per session. The emergency cases were given to students two weeks in advance and students were asked to rehearse by themselves. In the class,the instructors introduced the case and randomly selected one group to do the demonstration. Students were guided to do self-evaluation,cross-evaluation,summary,and re-rehearsal. Lastly,all groups took part in the final simulation examination. Results The average score of 29 students was（86.51±9.24）. Among the five aspects of teamwork,the highest score was the team decision-making ability（9.04±1.44）,followed by the interprofessional communication ability（8.75±2.39）. Conclusion The interprofessional emergency simulation teaching can make up the limitations of independent training of each major,stimulate students’ interest in learning,and help medical students and nursing students to clarify the roles and responsibilities of different majors.

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Case development of physician-nurse cooperation simulation-based learning for master of nursing specialist students CHENG Huan,WU Li-ping 2020, 17 (9):  790-793.  doi: 10.3761/j.issn.1672-9234.2020.09.004 Abstract ( 345 )   HTML ( 1 )   PDF (642KB) ( 3 )   Save References | Related Articles | Metrics This paper mainly introduced the main process of the case development of physician-nurse cooperation simulation-based learning for master of nursing specialist students in our school,including the establishment of a case preparation team,collection of clinical cases,set teaching goals,case editing,and formation of scripts and application. And the cases are set up for medical students and nursing students,as well as medical and nursing cooperation. It is pointed out that when preparing cases,attention should be paid to meeting the needs of different professions,and reflecting the cooperation of medical and nursing care. Besides,trying to choose real cases as the source of cases is also suggested. The degree of difficulty of cases should be compatible with the students’ theoretical and practical level.

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Investigation on the current situation of interprofessional cooperative learning readiness among undergraduate nursing interns TIAN Yu-tong,ZHANG Yan,ZHAO Jing,DU Can-can,LI Hong-jie,LIU Zhen,JIN Li-yuan,XU Bing,CHENG Qing-yun 2020, 17 (9):  794-798.  doi: 10.3761/j.issn.1672-9234.2020.09.005 Abstract ( 615 )   HTML ( 0 )   PDF (696KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the interprofessional cooperative learning readiness of undergraduate nursing interns and provide reference for colleges to carry out interprofessional education. Methods A total of 290 undergraduate nursing interns in 2015 were selected and investigated by using Chinese version of Readiness of Interprofessional Learning Scale. Results The total score of undergraduate nursing inters’ interprofessional cooperative learning readiness was（72.79±9.32）. The school type,home location,willingness to engage in nursing after graduation and interprofessional cooperative learning were the influencing factors of the undergraduate nursing inters’ inter- professional cooperative learning readiness（P<0.05）,accounting for 26.9% of total variance. Conclusion Undergraduate nursing interns have a good readiness towards interprofessional cooperation. However,its understanding of the role and responsibilities of nurses needs to be clarified. It’s suggested that colleges should combine the characteristics of undergraduate education to carry out pre-employment and post-employment interprofessional education to enhance their interprofessional collaboration capabilities.

Health Education

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Application of the group prenatal care combined with pregnant women school for high-aged primiparous women DAI Ya-duan,LIN Li-yuan,GUO Jin-hua,LIN Jin-feng 2020, 17 (9):  803-808.  doi: 10.3761/j.issn.1672-9234.2020.09.007 Abstract ( 335 )   HTML ( 0 )   PDF (1177KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the effects of group prenatal care combined with pregnant women school on health education of high-aged primiparous women. Methods A total of 120 high-aged primiparous women who were first registered in the obstetrics clinic of our hospital from January to November 2019 were randomly divided into the experimental group（n=60）and the control group（n=60）. Women in the experimental group received a new model of group prenatal care with pregnant women school,while women in the control group received the traditional prenatal care. The pregnancy pressure,delivery self-efficacy and delivery rate between the two groups were compared after 6 months of interventions. Results The pregnancy pressure in the experimental group was lower than that in the control group（P<0.05）.The self-efficacy and natural birth rate were higher than those of the control group（P<0.05）. Conclusion The group prenatal care combined with pregnant women school for high-aged primi-parous women can reduce the pressure of pregnancy,improve the self-efficacy of delivery and the rate of delivery.

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Public welfare training effects evaluation of children’s emergency and care LIN Xiao-yan,HUANG Xiang-hui,LI Wan-ting 2020, 17 (9):  809-811.  doi: 10.3761/j.issn.1672-9234.2020.09.008 Abstract ( 248 )   HTML ( 1 )   PDF (688KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of public welfare training on family first aid ability for children based on the information platform independently developed by the study hospital and the multidisciplinary healthcare team. Methods The training team was consisted of healthcare professionals from departments of emergency,surgery,orthopaedics,otorhinolaryngology,ophthalmology,children growth and development,nutrition and infection in a children’s hospital. Public welfare training activities on children’s emergency and care were conducted with the help of the information platform. A questionnaire was used to investigate participants’ satisfaction with the training. The platform usage was also compared in the past three years. Results The numbers of training kept increasing year by year. A total of 10,788 participants completed the satisfaction questionnaire with the satisfaction rate of 100%. Conclusion The information platform makes a connection between healthcare professionals and the public and the advantages of the children’s hospital are fully made use of. The training is well accepted by the public.

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The effects of health education based on problem classification for postoperative gastric cancer patients with home nutrition support ZHOU Yu-ling,FAN Zu-yan,CHEN Miao-xia,ZHOU Xue-ling 2020, 17 (9):  812-816.  doi: 10.3761/j.issn.1672-9234.2020.09.009 Abstract ( 222 )   HTML ( 0 )   PDF (845KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the application effects of problem-based health education on family nutrition support for patients with gastric cancer after surgery. Methods A total of 84 postoperative gastric cancer patients were randomly divided into the control group（n=42） and the interventional group（n=42）. Patients in the control group received routine care while patients in the experimental group received health education based on problem classification. The problem classification included problem identification,problem summary,problem categorization,and problem solving. After the intervention,the two groups’ dietary health knowledge,nutritional indicators,nutritional scores and incidence of complications were compared. Results The score of diet knowledge in the interventional group was higher than that in control group（P<0.05）. The weight,albumin,prealbumin,transferrin,retinol binding protein,globulin and lymphocyte index in interventional group were all higher than those in the control group. The Nutrition Risk Screening 2002 and Patient-Generated Subjective Global Assessment were improved,and the complication rate was lower than that in control group. All comparisons were statistically different（P<0.05）. Conclusion The health education based on problem classification can significantly improve the level of dietary health knowledge and nutritional indicators of postoperative gastric cancer patients and reduce complication rate.

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Application of PRECEDE-PROCEED model in health education for young and middle-aged patients with lumbar disc herniation HE Li-fang,WU Meng-wen,WU Xiu-qing,XIAO Chun-xiu,GAN Xiang,CHEN Jun-yu 2020, 17 (9):  817-822.  doi: 10.3761/j.issn.1672-9234.2020.09.010 Abstract ( 358 )   HTML ( 0 )   PDF (990KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the influence of PRECEDE-PROCEED model health management on the level of knowledge,self-care behavior and dysfunction in young and middle-aged patients with lumbar disc herniation（LDH）. Methods A total of 205 nonsurgical young and middle-aged patients with LDH from the orthopaedic clinic in two tertiary hospitals in Fuzhou and Putian were divided into the interventional group（n=103） and the control group（n=102）. Patients in both groups received the health education by using mind map combined with micro-video during hospitalization. Besides,patients in the interventional group received PRECEDE-PROCEED model health management intervention provided by the research team after dischareged,that is to intervene separately for tendency factors,promoting factors and strengthening factors,while patients in the control group received WeChat communication for routine counseling. The knowledge of LDH score,level of self-care behavior score and Oswestry Disability Index were compared before the intervention,and 2 months,4 months,and 6 months. Results Patients’ disease cognition level,self-care behavior of lumbar disc level,and the dysfunction were improved in both groups. However,those effects in the interventional group were significantly better than those in the control group（P<0.001）. Conclusion Mind map combined with micro-video health education can enhance the disease cognition level of young and middle-aged patients with LDH,improve their self-care behavior of lumbar disc level,and promote their dysfunction recovery. Besides,the effect will be better by combining out-of-hospital PRECEDE-PROCEED model health management intervention.

Nursing Education

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Evaluation index system of clinical thinking ability for master of nursing specialist based on nursing process ZHENG Miao,LIAO Jian-mei,ZHANG Kuo-liang,WANG Li-hua 2020, 17 (9):  823-826.  doi: 10.3761/j.issn.1672-9234.2020.09.011 Abstract ( 294 )   HTML ( 0 )   PDF (581KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct an evaluation index system of clinical thinking ability for master of nursing specialist based on nursing process. Methods An expert consultation questionnaire was developed through literature review and group discussions. The two-round Delphi method was used to consult 35 experts. Results The response rates in two-round expert consultations were 94.3% and 100%,respectively. The authority coefficient（Cr）was 0.91. The evaluation index system included 5 first-level indicators（clinical thinking ability of nursing assessment,diagnosis,planning,implementation and evaluation） and 35 second-level indicators,and means ranged from 4.52 to 5.00 and from 3.85 to 4.94. The Kendall’s W coefficient was 0.262 and 0.304. Conclusion The process of this study is scientific and rigorous. Experts have high authority,good response and consistent opinions. The system are closely integrated with practice and has great feasibility.

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Application of a situational simulation in the skill training of oral medication administration for nursing undergraduates WANG Bing-fei,ZHAO Yan-yan,CHEN Chun-ning,JIANG Rui,ZHAO Yan,CHEN Hai-ying 2020, 17 (9):  827-830.  doi: 10.3761/j.issn.1672-9234.2020.09.012 Abstract ( 257 )   HTML ( 0 )   PDF (723KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of a situational simulation in the skill training of oral medication administration. Methods A total of 37 year-two nursing undergraduates of two classes in a university were recruited by convenience sampling. The situational simulation was used in the skill training of oral medication administration in Fundamentals of Nursing. Four cases were designed including anti-fever medicine for a patient with high body temperature,digoxin for a patient with nasal feeding,cough medicine for a child,and iron supplement for an anemia woman during puerperal period. Students were divided into several groups with 4 to 5 students in each group and each group completed a case. Teachers observed the medication administration process and gave their comments and corrected their problems. After class,a questionnaire was used to investigate students’ feedback on the simulation. Besides,students were invited to write down their learning experiences and opinions. Results The majority of students agreed that situational simulation was beneficial for their learning motivation（36/37）,clinical skills（36/37）,learning community（37/37）,and theoretical knowledge（34/37）. Students indicated that situational simulation could strengthen memory,cultivate empathy,strengthen cooperation,and arouse their interests. Conclusion The situational simulation teaching helps students better grasp the knowledge and skills of oral medication administration. The problems emerging in situational simulations also provide a basis for teaching reform.

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Analysis and thoughts on the performance of comprehensive skills competition for nursing undergraduates in Hunan province XIAO Li-yan,TAN Ling-ling,JIANG Dan-dan,ZHOU Xin-lian,HE Ping-ping,WAN Hui-juan,LIU Jing,ZHANG Xiu-feng 2020, 17 (9):  831-835.  doi: 10.3761/j.issn.1672-9234.2020.09.013 Abstract ( 320 )   HTML ( 3 )   PDF (955KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics We introduced the first comprehensive nursing skill competition for college students in Hunan Province from the aspects of participating colleges and contestants,competition contents and scoring standards,competition organization and implementation. There were 12 colleges participated in the competition. The competition evaluated 21 common nursing operation techniques and related knowledge,focusing on the comprehensive evaluation of students’ clinical thinking capacity,clinical operation skills,humanistic care,nurse-patient communication and teamwork. The competition was divided into quarter-finals,semi-finals and finals. Through the analysis of the results and deduction points of each stage,we found the current deficiencies in the practice teaching of nursing skills. Suggestions are proposed including strengthening the relationship between theory and practice,focusing on training of students’ clinical thinking,nursing safety awareness and nursing humanistic quality.

Clinical Practice

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Psychometric properties of the Knowledge-Attitude-Practice of Healthcare Associated Infection Control in Ward in Healthcare Setting LI Lei,LU Gui-zhi,LI Jing,GAO Ya-ni,XU Jie 2020, 17 (9):  836-841.  doi: 10.3761/j.issn.1672-9234.2020.09.014 Abstract ( 309 )   HTML ( 1 )   PDF (830KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a questionnaire of Knowledge-Attitude-Practice of Ward Hospital Infection Management and to test its validity and reliability. Methods Based on Regulation for Healthcare Associated Infection Control in Ward in Healthcare Setting,a variety of guidelines and the knowledge-attitude-practice model,items pool was formed. The first version of the questionnaire was developed by Delphi and pre-investigation.A questionnaire survey was conducted among 2 300 medical and nursing staff to test its reliability and validity. Results The formal questionnaire consisted of 3 dimensions and 52 items.The Cronbach’s α coefficient was 0.978,and the test-retest reliability was 0.928 after 2 weeks. 6 common factors were obtained, and the cumulative variance contribution rate was 76.23%. Conclusion The questionnaire has good reliability and validity,and can be used as a tool to evaluate the knowledge,belief and behavior level of hospital infection management of medical staff in general wards.

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The effects of different types of diet and time on quality of bowel preparation and comforts of patients ZHOU Liang-yun, YU Ya-ping, LU Qun, JIANG Xin 2020, 17 (9):  842-844.  doi: 10.3761/j.issn.1672-9234.2020.09.015 Abstract ( 321 )   HTML ( 0 )   PDF (2587KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the effects of different types of diet and time on quality of bowel preparation and comforts of patients. Methods A total of 600 patients undergoing colonoscopy in the center of digestive endoscopy of a hospital were recruited in the study. They were randomly and evenly divided into 3 groups. For patients in Group A,they were administered a non-slag or low-slag semi-liquid diet for 3 days before the examination and the liquid diet 1 day before the examination. For patients in Group B,a low-residue diet was administered to them for 3 days before the examination. For patients in Group C,a low-residue diet for one day was administered before the examination. Compound polyethylene glycol electrolyte powder was used as bowel cleaner in all 3 groups. The differences in bowel preparation,comforts and satisfaction of patients in three groups were compared. Results The quality of bowel preparation in 3 groups were similar（P>0.05）. Patients in both group B and C showed better outcomes than patients in group A in comfort level（hunger,fatigue and bowel discomfort）（P<0.05）. Conclusion Several kinds of diet commonly used in clinical settings can achieve satisfactory bowel preparation quality. Eating low-residue diet one day before the examination can improve patients’ comforts.

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The influence of non-violent communication on nurse-patient relationship in a psychiatric department XIANG Yan-qi,LI Xiao-juan,CHEN Qiong-ni 2020, 17 (9):  845-848.  doi: 10.3761/j.issn.1672-9234.2020.09.016 Abstract ( 888 )   HTML ( 0 )   PDF (616KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of non-violent communication in the relationship between nurses and patients in a psychiatric department. Methods The nurses in a psychiatric ward were trained to use the non-violent communication skills. After the training,they were required to use the skills to communicate with patients. The outcomes evaluated included satisfaction level and complaint of patients. Results The overall satisfaction level of patients from June to December 2018（94.27±10.18） were higher than those from June to December 2017（89.32±9.73）（t=7.304,P<0.05）. The patient complaint rate dropped from 6.63% to 2.55%（χ2=8.315,P<0.05）. Conclusion The non-violent communication skills in the psychiatric department can effectively improve the satisfaction of patients,reduce the complaint rate.

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The association between eHealth literacy and health promoting lifestyle in high risk population of type 2 diabetes XU Zi-du,ZHANG Shuai,GENG Ji,LI Jing 2020, 17 (9):  849-852.  doi: 10.3761/j.issn.1672-9234.2020.09.017 Abstract ( 303 )   HTML ( 0 )   PDF (694KB) ( 2 )   Save References | Related Articles | Metrics Objective To investigate the current status eHealth literacy and health promoting lifestyle in high risk population of diabetes,and to explore the association between them. Methods A total of 200 individuals at high risk of diabetes mellitus were investigated with the eHealth Literacy Scale（eHEALS） and Health Promoting Lifestyle Profile-Ⅱ（HPLP-Ⅱ）. Results The average score of eHEALS of these individuals was 25（18,32）. The average score of HPLP-Ⅱ was（142.52±19.05）.There was a positive correlation between electronic health literacy and health promoting lifestyle（r=0.369,P<0.001）. Conclusion The level of health promoting lifestyle of high risk population of diabetes is good. However,the level of eHealth literacy is general. The eHealth literacy is positively related to health promoting lifestyle.