Table of Content

20 November 2021, Volume 18 Issue 11 Previous Issue    Next Issue

Research Paper

Select

A survey of debriefing used in simulation teaching by nursing teachers GUAN Jing,JIN Xiao-yan,DONG Xu,YANG Cong-ying,WANG Zhi-wen 2021, 18 (11):  965-971.  doi: 10.3761/j.issn.1672-9234.2021.11.001 Abstract ( 239 )   HTML ( 0 )   PDF (980KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the current status of debriefing used in simulation teaching by nursing colleges and clinical teachers in China,and to analyze the influencing factors. Methods Questionnaires were developed based on INACSL simulation best practice standards and Debriefing Assessment for Simulation in Healthcare,etc. By convenience sampling,133 nursing teachers from nursing schools and clinical hospitals who had experience of debriefing in nursing simulation teaching were investigated. Results Thirty-four nursing teachers（25.6%）thought they were competent in debriefing. Nursing teachers encountered more difficulties in implementing debriefing and these difficulties included “some students talked too little or kept silent”（72.9%）,“making students actively participate in debriefing”（67.7%）,and “students did not prepare for the class in advance（materials,assignments,skill exercises,etc.）”（63.9%）. The score of the questionnaire on implementation quality of debriefing ranged from 1 to 22（14.32±4.45）. The item “recording the performance of student or team during the scenario” had the highest accuracy rate（96.2%）.The item “introducing the arrangement and objectives of debriefing to students before running the scenario” had the lowest accuracy rate of 38.3%. Multiple linear regression analysis showed that age（β=-0.293）,time to conduct debriefing（β=0.177）,familiarity with INACSL simulation best practice standards（β=0.341）,time of participating in nursing teaching（β=0.197）and participation in training（β=0.254）were the influencing factors of the quality of debriefing implementation（Adjusted R2=0.388,F=14.933,P<0.001）. Conclusion The quality of debriefing practices needs to be improved. Nursing teachers have insufficient debriefing training and face the challenges of insufficient participation of students. Specific training should be strengthened based on simulation best practice standards to improve the quality of debriefing practices.

Select

Development and application of a Virtual Patient Nursing Inquiry Teaching System HE Huan,DU Jing-rong,WANG Zi-wen,WANG Juan,ZHAO Juan-juan,LI Kun 2021, 18 (11):  972-977.  doi: 10.3761/j.issn.1672-9234.2021.11.002 Abstract ( 197 )   HTML ( 2 )   PDF (1583KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a Virtual Patient Nursing Inquiry Teaching System and evaluate its effects. Methods Based on the Functional Health Pattern,the framework of virtual case design in nursing consultation was constructed,including 17 projects. Twenty-one virtual cases were designed and optimized to establish the final Virtual Patient Nursing Inquiry Teaching System. A total of 46 nursing students from July to December 2017 in a hospital were recruited as the control group and routine practice schedule was used in this group. Another 44 nursing students from July to December 2018 were assigned to the experimental group. Besides routine practice schedule,the Virtual Patient Nursing Inquiry Teaching System was also used in the experimental group. Students’ ability of inquiry and critical thinking,and the experiences of students in the experimental group were all collected. Results There were statistically significant differences in ability of inquiry scores and critical thinking scores between the two groups（Z=-4.234,P<0.001;Z=-2.588,P=0.010）. 90.9% of the nursing students thought that the virtual cases of the system were consistent with the real clinical scenarios,and 93.2% of nursing students thought that the system could improve their interest and enthusiasm in nursing inquiry and help them adapt to clinical practice as soon as possible. Conclusion The Virtual Patient Nursing Inquiry Teaching System can effectively improve students’ nursing inquiry and critical thinking ability,and has a good feasibility.

Ideological and Political Theory Education

Select

Design and application of the progressive Ideological and Political Theory Education in Nursing Manage-ment REN Ran,REN Hui 2021, 18 (11):  978-982.  doi: 10.3761/j.issn.1672-9234.2021.11.003 Abstract ( 388 )   HTML ( 1 )   PDF (836KB) ( 10 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the implementation path and effects of the progressive Ideological and Political Theory Education in Nursing Management course. Methods Based on the progressive characteristics of Bloom’s educational goal classification theory,the Ideological and Political Theory Education of Nursing Management was designed and carried out in the order of “truth-belief-practice”. Semi-structured interviews and questionnaire survey were used to evaluate the teaching effects of the course from the perspectives of experts,fellow teachers and students. Results Experts and teachers believed that the progressive Ideological and Political Theory Education design conformed to the law of teaching and ideology,the selection of cases were appropriate,the way of presentation was flexible,students’ participation was high,the teaching effect was good. 92.3% of students thought that they had learned a lot from the progressive Ideological and Political Theory Education. 100% of students preferred the ideological and political elements of social hotspot interpretation and clinical cases,while 76.9% of students preferred video clips,animations or slide shows.The satisfactory rate was 92.3%. Conclusion The progressive Ideological and Political Theory Education in Nursing Management has good teaching effects,which can help promote students to establish correct management awareness and improve professionalism.

Select

The design and implementation of the heuristic teaching reform with the theme of “alerting to original aspiration” in Introduction of Nursing LI Xian-hong,ZHOU Qi-di,CHEN Jia,WANG Hong-hong,ZENG Hui,YANG Min,LI Xu-ying 2021, 18 (11):  983-988.  doi: 10.3761/j.issn.1672-9234.2021.11.004 Abstract ( 234 )   HTML ( 1 )   PDF (913KB) ( 12 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of the heuristic teaching of “alerting to original aspiration” in the curriculum reform of Introduction of Nursing. Methods The teaching reform of the Introduction of Nursing course with the theme of “alerting to original aspiration” was carried out among 79 nursing freshmen. The self-developed nursing professional identity survey questionnaire and group focus interview method were used to evaluate students’ professional identity and teaching experience of students. Results After teaching,students’ total scores of professional identification and professional cognition,professional emotion,professional value,and professional future dimension scores were higher than those before teaching（P<0.05）. The group focus interview showed that the teaching on the theme of “alerting to original aspiration” helped to enhance the nursing freshmen’s sense of identity with the nursing profession,and strengthened their professional beliefs and professional pride. Conclusion The heuristic teaching with the theme of “alerting to original aspiration” helps to cultivate the professional identity and professional feelings of nursing freshmen.

Select

The design and practice of the Ideological and Political Theory Education in Gynecology and Obstetrics Nursing in a vocational college FENG Rong,XU Hong,XIA Li-ping 2021, 18 (11):  989-993.  doi: 10.3761/j.issn.1672-9234.2021.11.005 Abstract ( 490 )   HTML ( 1 )   PDF (856KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Under the background of medicine and education collaboration,Jiangsu Medical Vocational College actively explored the path of integrating Ideological and Political Theory Education with teaching（ie. classroom theory,practical training,bedside observation and social activity participation）to accomplish the task of “cultivating students with appropriate moral value”. This paper took the Gynecology and Obstetrics Nursing as an example and illustrated the design and practice regarding the faculty,ideological and political goals,ideological and political elements,ideological and political resources,and integration paths. Such a course design effectively improved the teaching effects,promoted the integration of “knowledge imparting” and “value leading”,and provided references for the exploration of Ideological and Political Theory Education in medical colleges.

Select

A qualitative study on the experience of participating in the Ideological and Political Theory Education in clinical practice among nursing students YU Xiao-yan,LI Zhi-yin,TANG Li,ZHAO Yu-xin,LI Ya-min 2021, 18 (11):  994-999.  doi: 10.3761/j.issn.1672-9234.2021.11.006 Abstract ( 281 )   HTML ( 2 )   PDF (1000KB) ( 19 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the experience of participating in Ideological and Political Theory Education in clinical practice among nursing students. Methods Purposive sampling was used to recruit 15 nursing students who participated in the Ideological and Political Theory Education in clinical practice. In-depth interviews were conducted among these students. Colaizzi phenomenology was used for data analysis. Results Fifteen interviews were conducted with 425 min and 63,526 words. Three themes emerged from the data including establishment of correct values,firmness of ideals and beliefs,and cultivation of medical ethics. Conclusion Nursing students have good experiences in participating in the Ideological and Political Theory Education in clinical practice. Besides,ways and means of deep integration of professional education and Ideological and Political Theory Education should be explored further in order to form a mature and effective Ideological and Political Theory Education programs in clinical practice.

Nursing Education

Select

Application of the guided reflection log in online teaching of Community Nursing CAI Yan-fang,FENG Dong-jie,SHEN Yong-qing 2021, 18 (11):  1000-1003.  doi: 10.3761/j.issn.1672-9234.2021.11.007 Abstract ( 209 )   HTML ( 0 )   PDF (528KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of the guided reflection log in online teaching of Community Nursing. Methods During the period of “class suspension with learning uninterrupted”,thirty students of grade 2017 were selected. The teaching methods were online teaching and the reflection log. Students completed their reflection log according to the guiding questions in their free time. Students’ reflection level was evaluated by log framework analysis. The teaching effects were evaluated by the examination scores and the questionnaire survey. Results All the 30 students completed the online learning and the log completion rate was 96.0%. Students’ reflective ability was gradually improved,and the critical reflection rate reached more than half in the last three chapters. The mean score of Community Nursing was（85.78±6.28）. 93.3% of the students thought that the reflection log was conducive for learning. Conclusion The guided reflection log can effectively cultivate students’ reflection ability and improve the teaching effects. The students agree that such a method is effective and acceptable.

Select

Introduction of the experience of teaching reform in the higher vocational nursing speciality DENG hui,ZUO Feng-lin,WANG Cui-ying 2021, 18 (11):  1004-1007.  doi: 10.3761/j.issn.1672-9234.2021.11.008 Abstract ( 172 )   HTML ( 0 )   PDF (563KB) ( 1 )   Save References | Related Articles | Metrics This paper introduced the experience of teaching reform in Chongqing Three Gorges Medical College. The objective of the teaching reform was to improve the training quality of nursing students in higher vocational colleges. The reform was carried out based on the Three Gorges Reservoir Area Medical Education Collaborative Vocational education group platform and met the needs of different nursing posts for students’ ability training and professional quality. The reform met with the clinical practice,nursing posts requirements and industry standard. It combined the actual situation of the college and made the nursing practice as the start. The reform improved the talent cultivation mechanism of medical combined with education,paid attention to the cultivation of humanistic quality,used multiple assessment ways,and implemented the characteristic talent training model.

Continuing Education

Select

The design and practice of the training on clinical nursing instructors YANG Zhao-rong,CHEN Meng-yun,XIE Man,ZHOU Yan,ZENG Wei-lian 2021, 18 (11):  1008-1013.  doi: 10.3761/j.issn.1672-9234.2021.11.009 Abstract ( 317 )   HTML ( 0 )   PDF (685KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of designed training in clinical nursing instructors. Methods The training program for clinical nursing instructors was designed through assessment of nurses’ training needs and literature review. The program included theoretical training（the theory of nursing education,teaching methods,teaching skills,and basic knowledge of nursing research）with 44 hours and practice for 1 year. The evaluation method of the training program was further designed based on Kirkpatrick’s model,including the reaction level（satisfaction on the training）,learning level（teaching plan presentation and teaching activity demonstration）,behavioral level（giving a lecture and skills demonstration）and result level（evaluation of core competence and clinical teaching quality）. The training was implemented from September 2018 to November 2019 among 45 clinical nursing instructors. The training effects were further evaluated according to the evaluation method. Results Reaction level：instructors’ overall satisfaction on the training was 91%. Learning level：the qualified rate of teaching plan presentation and teaching activity demonstration were both 100%. Behavior level：the score of giving a lecture and skills demonstration were both significantly higher than those before the training（P<0.05）. Result level：one year after the training,the scores of core competence in each dimension and the scores of clinical teaching quality were all significantly higher than those before the training（P<0.05）. Conclusion The training program has good effects and gains satisfaction of nursing instructors,which can be the reference for the standardized training of clinical nursing instructors.

Select

Application of narrative nursing training in community nurses ZHOU Xue,FENG Ji-bo,SHI Hong-rui,GAO Huan-ling 2021, 18 (11):  1014-1017.  doi: 10.3761/j.issn.1672-9234.2021.11.010 Abstract ( 172 )   HTML ( 0 )   PDF (552KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of narrative nursing training in community nurses. Methods From September to October 2020,a total of 96 community nurses from 8 community health centers were given 8 weeks of narrative nursing training. Narrative nursing training was carried out from four aspects：narrative nursing overview,implementation steps,common techniques and practice report. Before and after the training,narrative nursing scene play and Knowledge,Attitude and Practice（KAP）Questionnaire of Nurses on Narrative Nursing were used for effects evaluation. Results The scores of narrative nursing scene play before and after training were（64.26±6.35） and（81.86±7.64）respectively（t=35.247,P<0.001）. After training,the scores of each dimension and the total scores of KAP Questionnaire of Nurses on Narrative Nursing were higher than those before the training（P<0.001）. Conclusion Narrative nursing training is helpful to improve the KAP of community nurses in narrative nursing. The narrative ability of community nurses can also be improved.

Select

Improvement and effects evaluation of the information system of nursing hierarchy management SUN Li-li,LOU Xiao-ping,YU Zhen,CHENG Yan-ru,HAN Xian-hong 2021, 18 (11):  1018-1022.  doi: 10.3761/j.issn.1672-9234.2021.11.011 Abstract ( 202 )   HTML ( 0 )   PDF (543KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the improvement method of the information system of nursing hierarchy management and to examine its application effects. Methods A group was established for the improvement of nursing hierarchy management information system. The system contains hierarachy declaration module,management-assessment module,and three-level management of nurse manager-department nurse manager-nursing department director. Sheets in the system was structured,which is connected with the hospital nursing management system and used in the whole hospital. The average time of nursing hierarchy management,the satisfaction of nurses and managers on the information system were compared before and after the implementation of the improved information system. Results The average hierarchy managing time of nurses decreased from（475.38±39.62）s to（303.69±32.87）s after implementing the improved nursing hierarchical management information system. The average hierarchy managing time of managers decreased from（578.58±55.52）s to（399.00±41.63）s. The satisfaction of nurses and managers on the improved information system both increased（P<0.05）. Conclusion The improvement of the nursing hierarchy management information system can improve the efficiency of nursing staff hierarchy management effectively,and increase the satisfaction of nursing staff.

Select

The correlation between the new nurses’ transition shock and the perception of structural empowerment ZENG Wei-ke,PAN Xiao-yan,NI Juan,ZHANG Wei-lin,CAI Zhe-yi 2021, 18 (11):  1023-1026.  doi: 10.3761/j.issn.1672-9234.2021.11.012 Abstract ( 170 )   HTML ( 0 )   PDF (509KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To know the current status of new nurses’ transition shock and the perception of structural empowerment,and to explore the correlation between them. Methods From June to July 2020,a total of 308 new nurses were selected. The Transition Shock of Newly Graduated Nurses Scale and Conditions of Work Effectiveness Questionnaire-Ⅱ were used to conduct a cross-sectional survey. The Pearson correlation was used to analyze the relationship between the transition shock impact of new nurses and the perception of structural empowerment. Results The score of new nurses’ transition shock was 3.13±0.72 and the scoring rate was 62.6%. The score of new nurses’ structural empowerment perception was 3.01±0.63 and the scoring rate was 60.2%. Correlation analysis showed that the transition shock scores of new nurses were negatively correlated with the structural empowerment perception scores（r=-0.461,P<0.01）. Conclusion The level of new nurses’ transition shock is above the middle level,and the level of structural empowerment perception is average. The transition shock is negatively related to structural empowerment perception. It is recommended that managers provide new nurses with physical,psychological and social support to help them successfully complete the role transition.

Clinical Practice

Select

The effects of standardized management of chassis leakage for patients with enterostomy WEI Di,ZHU Xiao-mei,LI Xu-ying,CHEN Yong-yi,CHEN Yu-pan,LIU Hua-yun 2021, 18 (11):  1027-1031.  doi: 10.3761/j.issn.1672-9234.2021.11.013 Abstract ( 191 )   HTML ( 0 )   PDF (825KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To examine the effects of standardized management of chassis leakage for patients with enterostomy. Methods The patients were included in the control group from September 2019 to February 2020,and the team member of a non-leakage ward construction group investigated the baseline incidence of chassis leakage and analyzed the causes of leakage through fishbone diagram. Intervention measures were then developed. The patients were included in the experimental group from March to August 2020,and improvements were made including stoma location,health education and continuation management. Patients’ stoma care knowledge and skills level,chassis leakage incidence,and patient satisfaction were compared between the two groups. Results The score of knowledge and skills of patients were（80.04±7.43）and（96.25±6.53）between the two groups（t=11.115,P<0.001）. Fourteen patients had chassis leakage in the control group,but no chassis leakage was found in the experimental group implementation（χ2=16.042,P<0.001）. The score of satisfaction of patients was（39.07±6.53） and （46.39±5.82） between the two groups（t=6.206,P<0.001）. Conclusion The non-leakage ward improves the knowledge and skills of ostomy patients,reduces the incidence of chassis leakage and improves the satisfaction level of patients.

Select

Silver ion dressing combined with negative pressure drainage for the treatment of infectious wounds：a systematic review ZHOU Ling-han,KANG Li-ping,KANG Liang-qi,LU Shu-ting,LAI Ying-tao,CHEN Lei-lei 2021, 18 (11):  1032-1039.  doi: 10.3761/j.issn.1672-9234.2021.11.014 Abstract ( 222 )   HTML ( 0 )   PDF (1452KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the effectiveness of silver ion dressing combined with negative pressure drainage in the treatment of infectious wounds. Methods A comprehensive literature search was conducted in the Cochrane Library,PubMed,Embase,Web of Science,SinoMed,CNKI,Wanfang Data Platform,VIP datebase and other databases for randomized controlled trials of silver ion dressing combined with negative pressure drainage to treat infectious wound. Two researchers conducted data extraction and quality evaluation,and used RevMan 5.4 software for meta-analysis. Results A total of 9 articles were included,with a sample size of 690. Patients in the experimental group were treated with silver ion dressing combined with negative pressure drainage therapy,and patients in the control group were treated with silver ion dressing,negative pressure drainage therapy or conventional dressing change. Meta analysis results showed that the silver ion dressing combined with negative pressure drainage therapy can reduce the Pressure Ulcer Scale for Healing score[MD=-1.44,95%CI（-2.49,-0.39）,Z=2.70,P=0.007],positive rate of bacteria[OR=0.37,95%CI（0.27,0.50）,Z=6.16,P<0.001],wound healing time [MD=-6.70,95%CI（-9.00,-4.40）,Z=5.71,P<0.001],and improve the wound healing rate[OR=3.32,95%CI（1.72,6.40）,Z=3.58,P<0.001]. Conclusion Silver ion dressing combined with negative pressure drainage therapy can effectively promote the healing of infectious wounds.

Select

Evidence summary of diet management for patients with gestational diabetes mellitus CAO Ya-nan,ZHU Yan-ni,WANG Na-na,ZHONG Sai-qiong,LU Yan-ying,ZHONG Li-ling,DONG Lan-ju,ZHAI Yan-zhen 2021, 18 (11):  1040-1045.  doi: 10.3761/j.issn.1672-9234.2021.11.015 Abstract ( 203 )   HTML ( 1 )   PDF (713KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To search and evaluate the relevant evidence of diet management for pregnant women with gestational diabetes mellitus（GDM）. Methods We searched the literatures on the diet management for pregnant women with GDM in the following databases：BMJ Best Practice,JBI,UpToDate,Cochrane Library,GIN,CNKI,and Medlive from their inception to February 2021. Two researchers used AGREE Ⅱ,AMSTAR and JBI Evidence-based Health Care Center evaluate standards（2016） and expert concensus for quality evaluation and conducted data extraction. Results Totally 13 papers were selected,including 8 clinical practice guidelines,3 systematic reviews,1 clinical decision and 1 expert consensus. A total of 27 items of best evidence were summarized from 6 aspects including diet management goal,evaluation,BMI management,nutrient,diet structure and health education. Conclusion This study summarizes the best evidence of dietary management for pregnant women with GDM. As evidence summarized in this study from several countries,nurses should fully evaluate the clinical situation and formulate individualized diet management schedule for pregnant women with GDM with the consideration of their eating habits and preferences.

Select

The effects of yoga on physical and mental health of menopausal women：a systematic review YANG Na,WANG Ying,WU Li-li 2021, 18 (11):  1046-1052.  doi: 10.3761/j.issn.1672-9234.2021.11.016 Abstract ( 140 )   HTML ( 0 )   PDF (859KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To systematically evaluate the effectiveness of yoga on physical and mental health of menopausal women by meta-analysis. Methods We performed a systematic search in PubMed,Embase,Cochrane Library,CNKI,Wanfang to collect studies about effects of yoga on the mental and physical health of menopausal women published from inception to February 2021. Meta-analysis was performed using RevMan 5.2 software after two independent reviewers finished literature screening,data extraction,and literature quality evaluation. The GRADE Profiler 3.6.1 software was used for evidence quality evaluation. Results Eleven studies were recruited,including 923 participants. The quality of all included studies was rated as B level. The results of meta-analysis showed that the sympathetic autonomic nerve system score[SMD=-0.89,95%CI（-1.35,-0.44）,P<0.001],orthopedic system score [SMD=-1.07,95%CI（-1.44,-0.70）,P<0.001],and genitourinary system score[SMD=-0.68,95%CI（-1.17,-0.18）,P=0.007] of the yoga group were significantly improved. However,there was no statistically significant differences of psychological and spiritual symptom score between the two groups[SMD=-0.51,95%CI（-1.26,0.24）,P=0.190]. The results of descriptive analysis showed that yoga can improve menopausal women’s blood pressure,but the results on the improvement of BMI were inconsistent. The evidences were all of low quality in the GRADE system. Conclusion Yoga can improve the sympathetic autonomic nerve system,orthopedic system,genitourinary system and blood pressure of menopausal women. However,the psychological symptoms and BMI of women with menopausal syndrome need to be verified by more studies. It still needs a larger sample size,longer time of higher quality research in the future to prove the effectiveness of yoga for the physical and mental health of menopausal women.

Select

The association between health literacy and self-management of arteriovenous fistula for young and middle-aged patients with maintenance hemodialysis ZHANG Lin,KOU Jie,MENG Xin,LI Yu-ping,HU Jun-kai,DU Xiao-ning,LIU Xiao-hui,ZHANG Hong-mei 2021, 18 (11):  1053-1056.  doi: 10.3761/j.issn.1672-9234.2021.11.017 Abstract ( 164 )   HTML ( 0 )   PDF (547KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the status and correlation of self-management of arteriovenous fistula and health literacy for young and middle-aged patients with maintenance hemodialysis. Methods A total of 188 young and middle-aged patients with maintenance hemodialysis from two tertiary hospitals in Zhengzhou were investigated by using general information questionnaire,Self-management Scale of Arteriovenous Fistula in Maintenance Hemodia-lysis Patients,and Health Literacy Management Scale. Results The mean total score of health literacy was （108.37±10.84）. The mean total score of self-management of arteriovenous fistula was（101.68±12.03）. The health literacy and self-management of arteriovenous fistula showed a positive correlation（r=0.474,P<0.001）. Conclusion The health literacy of young and middle-aged hemodialysis patients and the self-management of arteriovenous fistula are in good condition, and they are related. Suggesting that medical staff can strengthen self-management of arteriovenous fistula by improving patients’ health literacy,and adopt individualized management.