Table of Content

20 December 2020, Volume 17 Issue 12 Previous Issue    Next Issue

Research Paper

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The effects of narrative pedagogy on professional attitude of nursing undergraduates TAO Ying,LI Li-ping 2020, 17 (12):  1061-1066.  doi: 10.3761/j.issn.1672-9234.2020.12.001 Abstract ( 253 )   HTML ( 0 )   PDF (792KB) ( 3 )   Save References | Related Articles | Metrics Objective To explore the effects and feasibility of narrative pedagogy on professional attitude of nursing undergraduates. Methods The year 3 nursing students were recruited（n=32）,and participated in a narrative education program from September 2018 to March 2019. Three stages were included in this narrative education program：experiences learning of old stories,construction of new stories and dissemination of models’ spirits. Students were allocated to five groups and each group was facilitated by a mentor and a role model expert. Pre- and post-test were applied to evaluate the effectiveness of this narrative education program on professional attitude of these students. At the end of the educational program,11 nursing students were interviewed by semi-structured interviews to explore their professional attitudes. Results The score of professional attitudes of students was（5.87±0.84） after the intervention,which was significantly higher than that before the intervention（5.11±1.01）（P<0.001）. Three major themes and 6 sub-themes emerged from the data including attitude change towards knowledge acquisition（promotion of students’ learning enthusiasm,development of studying interests on traditional Chinese medicine nursing）;bridging gaps between university education and clinical practice（deepening understanding of nursing roles,linking theory with clinical practice）,and developing positive human relationship（establishing positive role model,increasing awareness of teamwork）. Conclusion Narrative pedagogy can improve the active professional attitude of nursing students.

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Development of a continuous nursing program for patients after percutaneous coronary intervention YANG Yi-ting,ZHU Xue-jiao 2020, 17 (12):  1067-1071.  doi: 10.3761/j.issn.1672-9234.2020.12.002 Abstract ( 427 )   HTML ( 0 )   PDF (765KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a mutual-goal based continuous nursing program for patient with coronary heart disease（CHD） after percutaneous coronary intervention（PCI）. Methods Contents of the program were formed preliminarily by the literature review based on the King theory of goal attainment. Expert argumentation was used to demonstrate the scientific nature and feasibility of the program,to develop the mutual-goal based continuous nursing program for CHD after PCI. Results This program included two parts：face-to-face education based on mutual goals,and every 2-week telephone follow-ups,in a total of 12 weeks. Face-to-face education based on mutual goals included health education with the help of a self-management manual,self-management tools and mutual goal contracts. The education was performed on the first day after PCI,lasting about 30~60 mins. The telephone follow-up started from the second week after inclusion,and was conducted once every two weeks for a total of 6 weeks. Each follow-up lasted for 5~10 mins. Both nurse and patients perceived and judged the patients’ implementation of the mutual goals in the past two weeks and took actions,and dynamically adjusted the mutual goals when necessary. Conclusion This developed mutual-goal based continuous nursing program under the guidance of King theory of goal attainment for patients with CHD after PCI has been preliminarily proved feasible and scientific.

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The competency model construction for clinical mentors with master of nursing specialist ZHOU Rong,GUO Hong-hua,ZHANG Cai-hong,WANG Lin-jie,YI Huan-ying,CHEN Xing-xing 2020, 17 (12):  1072-1076.  doi: 10.3761/j.issn.1672-9234.2020.12.003 Abstract ( 242 )   HTML ( 0 )   PDF (746KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct the competency evaluation index system of clinical mentors with master of nursing specialist. Methods Literature review,questionnaire survey,and behavioral event interview were used to initially construct the index system. Delphi method was used to conduct two rounds of expert consultation for 21 experts,and the indicators were screened and modified to determine the competency evaluation index system. Results The positive coefficients of the two rounds of expert consultation were 84.0% and 95.2% respectively. The degree of expert authority was 0.857 and 0.902. The Kendall harmony coefficient was 0.320 and 0.480 respectively（P<0.001）. Finally,6 first level indexes,19 second level indexes and 40 third level indexes were determined. Conclusion The competency evaluation index system of clinical instructors with master of nursing specialist is scientific and reliable,which can provide reference for the selection and training of clinical instructors.

Nursing Education

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The perspectives and experiences of nursing educator with caring：a meta-synthesis CHEN Rui,TENG Jun-yan,JIA Hong-ying,LIAO Yu-feng,PENG Xiao,LIU Yi-lan 2020, 17 (12):  1077-1084.  doi: 10.3761/j.issn.1672-9234.2020.12.004 Abstract ( 256 )   HTML ( 0 )   PDF (1051KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To systematically evaluate the perspectives and experiences of nursing educator with caring. Methods According to the ENTREQ guideline,both Chinese and English databases were searched from inception to January 31,2020,to search the qualitative studies on perspectives and experiences of nursing educator with caring. The quality of included studies was evaluated according to JBI Qualitative Assessment and Review Instrument. A thematic synthesis was undertaken to develop descriptive themes. Results A total of 9 articles were included and 10 new categories were formed. Three integrated findings were obtained as follows：the importance and influencing factors of caring ability of nursing educator;the caring experienced by educator from themselves,colleagues,students,and organizations;and caring forms of nursing educator. Conclusion Institutions should pay attention to the caring experience of nursing educator,and take action to improve the caring experience of nursing educator so that they can provide better caring education for nursing students.

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Constrution strategy of a mentor team of nursing postgraduates in Western China SHI Guo-feng,WANG Tian-lan,ZHANG Lu-jiao,XIE Yun-hui,ZHAO Qing,CUI Jin 2020, 17 (12):  1085-1088.  doi: 10.3761/j.issn.1672-9234.2020.12.005 Abstract ( 254 )   HTML ( 0 )   PDF (573KB) ( 1 )   Save References | Related Articles | Metrics This paper introduces the challenges,strategies and effects of the construction of a mentor team of nursing graduate students in Nursing College of Guizhou University of Traditional Chinese Medicine,so as to provide reference for the construction and development of nursing graduate mentor team in Western China. Among them,the main strategies include establishing a team of full-time and part-time nursing mentor with guaranteed quantity,determining the research direction of integrated traditional Chinese and Western medicine,improving the academic level of the mentor team,cultivating the scientific research ability of the mentor team,improving the core competence and academic influence of the mentor team.

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The status of enrollment and course setting of master of nursing specialist in 75 colleges WANG Jia-yin,WEI Zheng-xin,JIN Xiao-yan,HOU Luo-ya 2020, 17 (12):  1089-1092.  doi: 10.3761/j.issn.1672-9234.2020.12.006 Abstract ( 329 )   HTML ( 0 )   PDF (505KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the enrollment and course setting of master of nursing specialist in China. Methods A questionnaire survey was used to investigate the enrollment and course setting of master of nursing specialist in 75 colleges from 2017 to 2019. Results In 2019,57（76%）colleges had more than 10 students enrolled. The total credits of core courses in 20（27%） colleges met the requirements of “Guide of training program for master of nursing specialist（trial implementation）”,of which only one in western region. The core curriculum content of 44（59%） colleges met the requirements of the program,and 1（1%） college did not offer six core courses. The total number of teachers in 44（59%）colleges and universities met the “Basic conditions for granting master’s degree in nursing”;the proportion of teachers with master’s degree or above in 65（87%） colleges met the basic conditions;the proportion of teachers with the title of deputy senior or above in 69（92%） colleges met the basic conditions. Conclusion The postgraduate education of master of nursing specialist in China is developing rapidly,and the number of student enrollment is increasing year by year. However,the faculty and core curriculum system need to be gradually improved,so as to lay the foundation for training clinical nursing professionals in the future.

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Practice of teaching reform on Obstetrics and Gynecology Nursing Training driven by the professional certification GAO Qing-qing,LIN Na-jia,TIAN Xin-yu,HUANG Hai-chao 2020, 17 (12):  1093-1096.  doi: 10.3761/j.issn.1672-9234.2020.12.007 Abstract ( 247 )   HTML ( 0 )   PDF (583KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of teaching reform on Obstetrics and Gynecology Nursing Training driven by professional certification. Methods The Obstetrics and Gynecology Nursing Training was reformed and practiced in the following aspects：curriculum setting,teaching mode,assessment,and laboratory development. The examination performance was compared between the students of grade 2015（before reform） and those of grade 2016 （after reform）. Besides,a questionnaire regarding satisfaction with the teaching was used to examine the satisfaction level of students in grade 2016. Results The score of the skill performance was（95.45±2.32） for the students of grade 2016 while it was（83.50±5.67） for the students of grade 2015. The scores of the two groups were statistically different（t=38.244,P<0.001）. The satisfaction score of the students was（49.21±6.58）. Conclusion The teaching reform of Obstetrics and Gynecology Nursing Training can promote students’ skills. Nursing students have higher satisfaction level with the teaching.

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The influence of career decision making self-efficacy and professional identification on career decision-making difficulty of nursing undergraduates WANG Xue 2020, 17 (12):  1097-1100.  doi: 10.3761/j.issn.1672-9234.2020.12.008 Abstract ( 289 )   HTML ( 0 )   PDF (497KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the influence of career decision making self-efficacy and professional identification on their career decision-making difficulty. Methods There were 239 nursing undergraduates from two universities in Chongqing who were selected in November 2019. The Career Decision-making Difficulties Questionnaire of Universities,Career Decision Making Self-Efficacy and the Professional Identification Questionnare were used to investigate the nursing undergraduates’ career decision difficulty,career decision making self-efficacy and professional identification. Results The average score of career decision-making difficulty was（3.08±0.57）,career decision making self-efficacy was（3.19±0.58）and professional identification was（3.43±0.57）. Career decision-making difficulty was negatively correlated with career decision making self-efficacy（r=-0.224,P<0.001） and professional identification（r=-0.331,P<0.001）. The two independent variables could explain 10.8% of career decision-making difficulty. Conclusion The career decision-making difficulty of nursing undergraduates is in the middle level,which is negatively correlated with career selection efficacy and professional identity. Nursing educators can improve students’ professional recognition and career self-confidence by building a perfect curriculum system of nursing vocational education,so as to reduce the career decision-making difficulties of nursing undergraduates.

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Application of a visual arts training in master of nursing specialist ZHONG Qin-yi,TANG Ying,QIN Xiao-fen,LUO Jia-xin,GUO Jia 2020, 17 (12):  1101-1105.  doi: 10.3761/j.issn.1672-9234.2020.12.009 Abstract ( 265 )   HTML ( 0 )   PDF (696KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To compare the effectiveness of a visual art training based on Chinese oil paintings versus usual training on observational skills and diagnostic skills among master of nursing specialist. Methods A total of 106 master of nursing specialist in Xiangya Nursing School of Central South University were recruited and randomized to either the experimental group（n=53,visual art training plus usual training）or the control group（n=53,usual training）. Data were collected and compared on observational and diagnostic skills by clinical image test for both groups before and after the visual art training. The experimental group was asked to complete the self-reported satisfaction questionnaire after the visual art training.At the same time,comments from instructors were also collected. Results The score of observational skills of students in the experimental group was higher compared with that of the control group after the visual art training（P<0.05）,while there was no statistical difference between the two groups in scores of diagnostic skills（P>0.05）. The overall satisfaction score of the experimental group was（4.5±0.6）. The instructors commented that after the application of Chinese oil paintings in visual arts training,students were more active,more engaged,and able to interpret the painting in more detail. Conclusion The visual art training based on Chinese oil paintings is well accepted and feasible,and it can improve the observational skills of Chinese master of nursing specialist students.

Clinical Teaching

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The correlation between social capital and pressure of nursing interns in a vocational college DING Jiu-hong,TANG Yong 2020, 17 (12):  1106-1109.  doi: 10.3761/j.issn.1672-9234.2020.12.010 Abstract ( 327 )   HTML ( 0 )   PDF (530KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the social capital,stress status and the correlation between social capital and stress of nursing interns. Methods Six of the 2019 internship classes in a vocational and technical college in hunan province were randomly selected. The general data questionnaire,Pressure Source Questionaire and Social Capital Questionnaire were selected,and 278 valid questionnaires were collected. Results The stress score of nursing interns was（97.12±23.89） and the social capital score was（19.21±2.48）. The total score of social capital and the scores of each dimension（P<0.05）. Conclusion The interns are encouraged to integrate social resources and coordinate social relations by participating in various activities,accumulate rich social capital,and adjust the pressure level by mobilizing their own social network resources when facing pressure.

Continuing Education

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The development of a competence model for cardiovascular specialty nurses CHANG Yu-lan,GUO Shu-jie,YANG Qiao-fang,SONG Bao-yun,LI Zhuo-ran,ZHAO Ping-fan 2020, 17 (12):  1110-1114.  doi: 10.3761/j.issn.1672-9234.2020.12.011 Abstract ( 384 )   HTML ( 0 )   PDF (721KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To establish the competency model for cardiovascular specialty nurses. Methods Related studies of the competency of specialty nurses were searched and summarized. Interviews were conducted among 5 cardiovascular experts,5 excellent nurses,and 5 general nurses in the cardiovascular department. A consultation questionnaire was prepared and 2 rounds of letter consultation was conducted among 20 experts. Results The effective response rate of the first round of questionnaire consultation was 95%. In the second round,the effective response rate was 100%. The established competency model consisted of 4 first-level indicators including professional knowledge,professional skills,relevant professional abilities,and professional traits,and 18 second-level indicators（12 of them are benchmark competency characteristics and 6 of them are identification competency characteristics）. The expert authority coefficient was 0.88. The coefficient of variation of primary index was 0~0.11 and that of secondary index was 0~0.17. Conclusion The competency model is reliable and it can distinguish the basic competency characteristics and identify the competency characteristics. It can provide scientific basis for the selection,training,assessment,and certification of cardiovascular nurses.

Clinical Practice

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The effects of an eye movement training on stepping accuracy in older people/ CHEN Jian-xin, ZHANG Rui-li, LI Yu-zhi, ZHANG Hui-xin 2020, 17 (12):  1115-1118.  doi: 10.3761/j.issn.1672-9234.2020.12.012 Abstract ( 318 )   HTML ( 0 )   PDF (509KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of eye movement training on stepping accuracy in older people.Methods A total of 26 participants received the training twice a week with 20~30 minutes each time and the training lasted for 4 weeks.Before and after the intervention,the Multitarget stepping task（MTST） was used to measure the stepping accuracy of the older people. Results The performance of the participants in MTST was improved after the intervention. The performance time（Z=3.022,P=0.003）and number of steps（Z=2.865,P=0.004）were reduced. The numbers of avoidance failures（Z=3.700,P<0.001） and stepping failures（Z=2.673,P=0.008）decreased. Conclusion Eye movement training can improve the stepping accuracy of older people.

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The effects of disposable diaper and elimination communication on daytime urination incontinence in children aged 2 to 3 years YANG Jing, XING Dong, WEN Jian-guo, WANG Yi-he, LI Yi-dong, WANG Qing-wei, WANG Yan, HU Hui-jie, LIANG Yu, SONG Cui-ping, ZHAO Bei-bei, LOU Xiao-ping 2020, 17 (12):  1119-1123.  doi: 10.3761/j.issn.1672-9234.2020.12.013 Abstract ( 305 )   HTML ( 0 )   PDF (623KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the current situation of the usage of disposable diaper and elimination communication（EC）,as well as their effects on daytime urinaty incontinence（DUI） in children aged 2 to 3 years. Methods A cross-sectional study was performed by distributing 2 297 questionnaires to parents. The questionnaires included questions regarding disposable diaper usage,starting time of EC,and children’s DUI. Results The overall prevalence of DUI was 8.45%（194/2 297）in children aged 2 to 3 years old. With prolonged disposable diaper usage,the proportion of EC decreased（ χ2=10.086,P=0.001） and the DUI prevalence increased（ χ2=11.166,P<0.001） significantly. With the delay of EC,the DUI prevalence increased significantly（ χ2=13.760,P<0.001）. The results of logistic regression analysis showed that the prolonged disposable diaper usage was a risk factor of DUC. Starting EC before 1 year of age in children was a protective factor against DUI. Conclusion The prevalence of DUI in 2 to 3 years old child is high. The prolonged usage of disposable diaper and delayed EC might be risk factors for DUI in children aged 2 to 3 years. Early EC can help to reduce the prevalence of DUI and enable children to obtain DUC as early as possible.

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Practice and effect analysis of the psychiatric nursing management under magnetic hospital culture ZHANG Yan-ping, YAN Fang, LI Shuan-rong 2020, 17 (12):  1124-1128.  doi: 10.3761/j.issn.1672-9234.2020.12.014 Abstract ( 245 )   HTML ( 0 )   PDF (708KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To draw lessons from the management concept of magnetic hospitals,carry out activities to create magnetic wards,and promote the sustainable development of high-quality nursing services in mental health specialist hospitals. Methods From the aspects of improving nursing management,optimizing working environment,enhancing nursing professional ability,and improving patient satisfaction,a two-year “magnetic ward” creation activity was implemented. Essentials of Magnetism ToolⅡ,McClosky Mueller Satisfaction Scale and Patient Satisfaction Questionnaire were used to evaluate the effects. Results After the implementation of the magnetic ward creation activity,the scores of the Essentials of Magnetism Tool,McClosky Mueller Satisfaction Scale and Patient Satisfaction Questionnaire were higher than before the implementation（P<0.05）. Conclusion The high-quality nursing service based on the concept of magnetic management has effectively improved the nurse’s evaluation of the magnetic nursing work environment and nursing job satisfaction,and improved patient satisfaction.

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A pathway analysis of impact of chemotherapy-induced peripheral neuropathy and its predictors on quality of life among cancer patients REN Li-ping, WANG Yong-fang, JIAO Jun-bo, REN Mei, ZHANG Chuan-kun, GAO Dong-qin 2020, 17 (12):  1129-1133.  doi: 10.3761/j.issn.1672-9234.2020.12.015 Abstract ( 248 )   HTML ( 0 )   PDF (692KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the impact of chemotherapy-induced peripheral neuropathy and its predictors on psychological well-being among cancer patients based on the Theory of Unpleasant Symptoms. Methods A cross-sectional survey was conducted with 302 cancer patients from one tertiary hospitals. Patients were assessed with questionnaires of Patient Health Questionnaire-9,Perceived Social Support Scale,Chemotherapy-induced Peripheral Neuropathy Assessment Tool,and Functional Assessment of Cancer Therapy-General from July 2018 to July 2019. Results Cancer stage（β=0.09,P=0.016）,depression（β=0.70,P<0.001）and social support（β=-0.11,P<0.001）had a direct effect on chemotherapy-induced peripheral neuropathy,and chemotherapy-induced peripheral neuropathy had a direct effect on quality of life（β=-0.83,P<0.001）. Cancer stage,depressionand social support had significant indirect effects on quality of life. Conclusion Cancer stage,depression and social support are the main factors affecting the chemotherapy-induced peripheral neuropathy,and these predictors have significant indirect impact on quality of life among cancer patients,which is of great significance for controlling the incidence of chemotherapy-induced peripheral neuropathy and improving the quality of life of cancer patients.