Table of Content

15 January 2022, Volume 19 Issue 1 Previous Issue    Next Issue

Research Paper

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Design and preliminary application of a newborn PICC catheterization operation virtual simulation training assessment system WANG Xue-jun, JIANG Hong, XIAO Shi-qi, FAN Ling 2022, 19 (1):  10-13.  doi: 10.3761/jissn.1672-9234.2022.01.001 Abstract ( 301 )   HTML ( 2 )   PDF (696KB) ( 18 )   Save Figures and Tables | References | Related Articles | Metrics The Shengjing Hospital of China Medical University designed the“newborn PICC catheterization operation virtual simulation training assessment system”. The system created realistic neonatal PICC placement operation scenes by using virtual simulation technology,and fully presented the whole process of the newborn PICC catheterization operation. The system has advanced hands-on operation modes of “Learning Mode”,“Training Mode” and “Exam Mode” and an evaluation function with instant feedback. Preliminary application of the system was conducted among undergraduate nursing students. The cumulative online training time of 58 students was(76.34±29.12) min/person and 98% of the students rated the system as “satisfied” or “very satisfied”. This paper introduced the design,system construction,application process and preliminary application effects of the system. Besides,it also discussed the content selection and design,characteristics,limitations and measures to provide reference for the construction of virtual simulation experiment teaching project for undergraduate nursing students.

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Development of the readability evaluation index system for online health information WANG Lei, LI Xing, WANG Qiu-yi, XIE Lun-fang, YANG Wen-juan 2022, 19 (1):  14-20.  doi: 10.376 1/j.issn.1672 9234.2022.01.002 Abstract ( 210 )   HTML ( 1 )   PDF (949KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct a readability evaluation index system for online health information. Methods Based on the literature,we initially constructed an evaluation index system for the readability of online health information. The Delphi technique was used to conduct three rounds of consultation with 20 experts from the health administration,universities,scientific research institutions. The index weight was determined by the analytic hierarchy process. Results The effective response rates of three rounds of Delphi consultation were 100%(20/20)、90%(18/20) and 89%(16/18),and the experts’ authority coefficients were 0.860,0.855,0.872,respectively. The coordination coefficients of the first-level and second-level indexes in the third round were 0.359 and 0.231(P<0.001 for all). The final readability evaluation index system for online health information included 7 first-level indexes which included literal expression,numerical application,content design,actionability,organizational and layout,typographic design,visual aids,and 33 second-level indexes. Conclusion The readability evaluation index system for online health information constructed in the study is scientific and reliable,which provides scientific reference for health education practitioners to evaluate the readability of online health information and to select and design highly readable online health information.

Special Planning——Geriatric Nursing

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Establishment of a training system for nurses specialized in dementia care LU Shu-ying, GUO Jun, YANG Lin, LIU Ning, CHEN Si-qi 2022, 19 (1):  21-27.  doi: 10.3761/j.issn.1672-9234.2022.01.003 Abstract ( 209 )   HTML ( 0 )   PDF (1145KB) ( 12 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a training system for nurses specialized in dementia care. Methods A research group was established. The expert consultation questionnaire on the training system was developed by literature content analysis and expert meeting. The Delphi method was used to conduct two-rounds expert consultation in 18 experts in dementia care and the training system was then determined. Results The effective recovery rate of the two rounds of expert consultation was 100%. The expert authority coefficient was 0.84 and the Kendall’s W coefficients were 0.125 and 0.148 respectively. The coefficient of variation of the second round of expert consultation was 0.05~0.21. A total of 11 experts proposed their suggestions. Finally,the training system included training objectives,contents,training methods,training teachers and training assessment. Conclusion The training system for nurses specialized in dementia care in this study is reliable and scientific. It can provide reference for the training of nurses specialized in dementia care in China.

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Teaching reform of the higher vocational nursing specialty in geriatric nursing under “1+X” certificate system MEI Ping-ping 2022, 19 (1):  28-31.  doi: 10.3761/jissn.1672-9234.2022.01.004 Abstract ( 222 )   HTML ( 0 )   PDF (676KB) ( 7 )   Save References | Related Articles | Metrics To explore the effects of teaching reform of the nursing specialty in geriatric nursing in higher vocational colleges under the “1+X” certificate system. During the process of students training several measures were taken to ensure the talents cultivation. These measures included establishing online teaching resource database,developing integrated academic education program,developing “1+X” innovative integrated teaching materials,adjusting curriculum,optimizing teacher team,developing practice bases,and dual sharing between school and enterprises. The integration of “1+X” care for older adults and “1+X” care for the older adults with dementia can form an integrated teaching which can cultivate more talents for the society. The study can provide a reference for development of nursing specialty in geriatric nursing in the higher vocational colleges under the “1+X” certificate system.

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The evaluation on Chongqing clinical practice base by gerontological advanced practice nurses JIANG Hong, DING Fu, YANG Zi-ying, ZHU Yue-ping, LIU Dun-xiu, YANG Jun 2022, 19 (1):  32-37.  doi: 10.3761jissn.1672-9234.2022.01.005 Abstract ( 183 )   HTML ( 0 )   PDF (1002KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the evaluation on Chongqing clinical practice base by gerontological advanced practice nurses. Methods In December 2020,a focus group interview was conducted with 14 trainees of gerontological advanced practice nurses in Chongqing clinical practice base. Colaizzi 7 data analysis method was used for data sorting and analysis. Results The recording time of the interview was 134 minutes,and the number of transcribed words was 24,297. A total of 3 themes were extracted：teaching feedback(positive feedback,negative feedback),learning gains(systematically updated specialist knowledge,improved clinical practice ability,and changes in scientific research thinking and pattern),teaching suggestions(recommendation of homogenization of outpatient teaching and strengthening teachers’ case management training and assessment). Conclusion The teaching quality and level in Chongqing clinical practice base have been unanimously recognized by the students,and the students have been improved in clinical,teaching,scientific research and management capabilities. However,the level of outpatient teaching and teacher’s case management ability should be strengthened.

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Evidence summary for management of sleep disorders in older patients CHEN Yu-shuang, YANG Si-yu, JIN Meng 2022, 19 (1):  38-43.  doi: 10.3761/j.issn.1672-9234.2022.01.006 Abstract ( 250 )   HTML ( 1 )   PDF (785KB) ( 9 )   Save Figures and Tables | References | Related Articles | Metrics Objective To search and synthesize the best available evidences on management of sleep disorders in older patients. Methods Databases of the Cochrane Library,PubMed,CINAHL,CNKI,Wanfang,ClinicalKey,BMJ Best Practice,Scottish Intercollegiate Guidelines Network and others were searched to collect articles regarding sleep disorders in older patients. Results Sixteen articles including 3 clinical practice guidelines,4 evidence summary,2 expert consensus,2 clinical decision-making,2 position statements and 3 systematic reviews were included. A total of 20 items of best evidences were summarized. The best evidences include general principles of sleep assessment,non-pharmacological intervention strategies and drug management. Conclusion This study summarizes the best evidences for the management of sleep disorders in older patients,which can provide a scientific basis for nurses to prevent and manage sleep disorders in older patients. As the evidence summarized in this study are from many countries,adequate evaluation of clinical environment and other related factors should be carried out before application to promote the improvement of nursing quality.

Nursing Education

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A survey of status and associated factors of willingness to care for people with mental illness among nursing undergraduates GU Li-bin, XIA Hao-zhi, YU Ming-ming 2022, 19 (1):  44-48.  doi: 10.3761/j.issn.1672-9234.2022.01.007 Abstract ( 256 )   HTML ( 1 )   PDF (639KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the status and associated factors of willingness to care for people with mental illness among nursing undergraduates. Methods A questionnaire survey was conducted among 839 undergraduate nursing students in a school in Nanjing using self-designed assessment questions on the willingness of nursing service,assessment methods for the degree of contact with patients with mental illness,mental health knowledge questionnaires,and assessment scale for discriminatory mental illness patients. Results The total score of willingness to care was 5.26±1.91. According to the result of the multiple linear regression analysis,contact level and attitude towards psychiatric patients were the associated factors. The students who were more familiar with psychiatric patients,and had less stigmatizing attitude,had more willingness to care for people with mental illness,which can explain 15.9% of the total variation. Conclusion Willingness to care for people with mental illness among nursing undergraduates is not very strong. In the process of training students,comprehensive intervention measures should be adopted to effectively improve the willingness to care for people with mental illness among nursing undergraduates by increasing contact level and reducing stigmatizing attitude.

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The construction and application of MOOC for Nursing Research WU Xiao-ru, WANG Bing-han, YAN Qiao-yuan, PAN Lu-chen, ZHU Qin 2022, 19 (1):  49-51.  doi: 10.3761/j.issn.1672-9234.2022.01.008 Abstract ( 180 )   HTML ( 0 )   PDF (443KB) ( 5 )   Save References | Related Articles | Metrics Huazhong University of Science and Technology made MOOC for Nursing Research through building a team,designing and recording videos. A total of 46 videos(409 minutes),46 presentations,231 animations,158 pictures,10 reference materials,and 32 extracurricular resources were all finished. Since the course opened in 2017,nearly 50,000 people have registered in 7 rounds teaching. This paper summarized the construction process of MOOC for Nursing Research and proposed the future direction. We aimed to provide experience and references in MOOC construction in colleges and universities.

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The effects of serious games in nursing education：a systematic review GUO Juan, WANG Cong, LIU Shan-shan, ZOU Jin-mei, CHEN Yu-zhen, JIANG Yan 2022, 19 (1):  52-58.  doi: 10.3761/j.issn.1672-9234.2022.01.009 Abstract ( 228 )   HTML ( 0 )   PDF (962KB) ( 8 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of serious games in nursing education. Methods Databases including PubMed,Embase,CINAHL,The Cochrane Library,CBM,Wanfang Database,CNKI,VIP were searched systematically. Randomized controlled trials which explored the effects of serious games in nursing education were collected. The retrieval period was from the establishment of the database to May 5,2021. Two researchers independently screened studies,extracted data and evaluated the risk of bias of the included studies. Review Manager 5.4 and Stata 15.1 software were used for meta-analysis. Results Thirteen studies with a total of 1 896 subjects were included. The control group adopts traditional teaching methods,and the experimental group adopts serious game teaching methods. The results of meta-analysis showed that the theoretical score of the experimental group[SMD=2.62,95%CI(1.70,3.35),Z=5.55,P<0.05],satisfaction level[SMD=5.48,95%CI(1.63,9.33),Z=2.79,P<0.05] and self-efficacy[SMD=3.47,95%CI(0.16,6.78),Z=2.05,P<0.05] were higher than those of the control group. However,there was no statistical significance in the skill performance of students in experimental group and control group[SMD=1.03,95%CI(-1.02,3.07),Z=0.99,P>0.05]. Conclusion The use of serious game teaching method can improve the theoretical performance of nursing students,increase students’ satisfaction and self-efficacy,but such a method cannot improve students’ skills. Teachers can use the teaching method of serious games to improve the overall effects in the theoretical teaching. It is not recommended that serious games completely replace the traditional teaching in the practical training class.

Continuing Education

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Effects of the module teaching on ability of syndrome differentiation and treatment among new nurses in a traditional Chinese hospital WANG Min, CHEN Gui-lan, QU Yan, DAI Xiu-juan 2022, 19 (1):  59-63.  doi: 10.3761/j.issn.1672-9234.2022.01.010 Abstract ( 198 )   HTML ( 0 )   PDF (697KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the effects of the module teaching on ability of syndrome differentiation and treatment among new nurses in a traditional Chinese hospital. Methods New nurses recruited in the year 2017 and 2018 in the Nantong Traditional Chinese Hospital were assigned to the control group,and those recruited in the year 2019 to 2020 were assigned to the experimental group. Nurses in the control group received the traditional training. Nurses in the experimental group were trained through the modular teaching,including the modules of bridge-in,objective,pre-assessment,participatory learning,post-assessment and summary. After 6-month training,nurses in both groups were assessed for their knowledge of Chinese medicine,their ability of syndrome differentiation and treatment,and satisfaction level. Results After 6 months training,the knowledge score of nurses in the experimental group was 93.0(91.5,94.5) which was higher than that 85.0(82.5,87.5) of nurses in the control group(Z=11.309,P<0.001). The OSCE score of nurses in the experimental was 94.0(92.5,95.5),higher than that 93.0(92.0,94.0) of nurses in the control group(Z=3.063,P=0.002). The satisfaction level of nurses in the experimental group 85.0(81.5,88.5) was higher than that 67.0(63.0,71.0) of nurses in the control group(Z=11.541,P<0.001). Conclusion The module teaching can significantly improve new nurses’ ability of syndrome differentiation and treatment and satisfaction level. The training method is worthy to be promoted among new nurses.

Clinical Practice

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Bibliometric analysis of relevant literature on hospital nursing information system in China WANG Yu-tan, CHEN Yan-ru, SU Wen-li, LI Si-jun, ZHANG Yuan-yuan, MA Yu-xia 2022, 19 (1):  64-69.  doi: 10.3761/j.issn.1672-9234.2022.01.011 Abstract ( 189 )   HTML ( 0 )   PDF (941KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To analyze the research hotspots of nursing information system in China and to understand the research status and development trend in this field. Methods The relevant literatures of nursing information system included in CNKI,Wanfang database,VIP and CBM database were systematically searched and screened,and the retrieval time was limited from the establishment of database to December 2020. COOC and Bicomb 2.0 software were used for bibliometric analysis,and SPSS 25.0 software was used to generate high frequency keyword clustering analysis tree graph. Results A total of 1 492 relevant references were included,and 35 high frequency keywords were obtained. Four research hotspots were obtained by co-word clustering analysis：the construction and application of specialized nursing information system in intensive care unit,the construction and application of hospital nursing knowledge base and decision support system,the application of nursing information system in nursing safety and adverse event management,and the effect evaluation and satisfaction of mobile nursing information system and factors influencing system use. Conclusion The research contents of nursing information system are widely diversified. In the future,we need to build standardized nursing terminology suitable for our own national conditions,and build related theoretical models and evaluation systems to support and guide the construction of standardized and convenient nursing information system.

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The effects of supporting devices placed in a standard way on pressure reduction in two positions ZHOU Yu-jie, PIAO Yu-fen, PEI Chen, LU Qian, LI Hui-jie, YANG Cong-ying 2022, 19 (1):  70-74.  doi: 10.3761/j.issn.1672-9234.2022.01.012 Abstract ( 201 )   HTML ( 0 )   PDF (760KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To evaluate the effects of support devices placed in a standard way on pressure reduction in supine position and lateral decubitus. Methods The study adopted a self-control study design. Forty healthy participants were placed in the supine position and the lateral decubitus respectively with the supporting devices placed in two methods：the standard placement based on the guideline and the routine placement. The average peak pressure and pressure of the main body parts (occipital posterior,auricle,scapula,hip,sacral tail,knee and heel) were measured. Results Routine placement of supporting devices in both positions could produce greater mean peak pressure than the standard placement of supporting devices(P<0.001). Besides,pressure produced by routine placement of supporting devices in both positions was also higher than that of the standard placement of supporting devices (P<0.05). Conclusion The standard placement of supporting devices based on guideline can reduce the pressure of compression body parts. However,some compression parts still need to be paid attention to.

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The effects of a family participatory clown care in children with tumor during PICC catheterization and maintenance LI Rong, CHEN Wei-bo, WANG Ran-ran, LI Na, BAO Jun-tao 2022, 19 (1):  75-80.  doi: 10.3761/j.issn.1672-9234.2022.01.013 Abstract ( 350 )   HTML ( 0 )   PDF (1429KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of a family participatory clown care in children with tumor during PICC catheterization and maintenance. Methods A convenience sampling was used to recruit children with tumor who were to be treated for PICC in the Henan Provincial People’s Hospital from December 2020 to February 2021 and these children were assigned to the control group. Another group of children from March to May 2021 was assigned to the interventional group. There were 60 children in each group. Children in the control group received the routine PICC catheterization process and care. Children in the interventional group received a family-participatory clown care model based on routine care. The pain level,catheter maintenance compliance,parental PICC knowledge and behavior,and satisfaction were compared between the two groups. Results The pain degree of catheterization in the interventional group was lower than that of the control group(P<0.05). The compliance of catheter maintenance,the level of parental PICC knowledge and behavior,and satisfaction level in the interventional group were higher than those in the control group(P<0.05). Conclusion The family-participatory clown care model can alleviate the pain of PICC catheterization in children,improve the compliance of catheter maintenance,increase parents’ PICC knowledge,belief and behavior,and their satisfaction level.

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Effects of the heath coaching on knowledge level and self-management of patients with first stroke ZHOU Xin-xin, HUANG Ya-lian, FANG Yan-chun, YAN Mei-fang, LIN Shi-shi, OUYANG Juan 2022, 19 (1):  81-85.  doi: 10.3761/j.issn.1672-9234.2022.01.014 Abstract ( 169 )   HTML ( 0 )   PDF (717KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of the health coaching on knowledge level and self-management of patients with first stroke. Methods Seventy patients who experienced stoke the first time in a tertiary hospital in Shaoyang were randomly divided into the control group and the experimental group,with 35 cases in each group. Patients in the control group received regular education. Patients in the experimental group received health coaching including contact,observe,affirm,clarify,help,inspire,nurture,and guide. The scores of stroke knowledge and self-management behavior were compared before and after 6 months of the intervention. Results After 6 months of the intervention,the scores of stroke knowledge and self-management behavior of patients in the experimental group were(32.0±3.1) and (172.9±14.5) respectively,both of which were higher than those of patients in the control group(25.9±4.7) and (154.9±19.1),respectively(t=6.380,4.433,P<0.001). Conclusion Heath coaching can effectively improve the knowledge level and self-management behavior of patients with first stroke.

Review

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Research progress on game education in advance care planning for end-of-life patients YAN Yi-xia, SHEN Bo-yong, LI Sha-ping, WANG Ying, CHEN Yong-yi 2022, 19 (1):  86-91.  doi: 10.3761/j.issn.1672-9234.2022.01.015 Abstract ( 204 )   HTML ( 0 )   PDF (757KB) ( 5 )   Save References | Related Articles | Metrics Advance care planning is a process that supports individuals in understanding and sharing their personal values,life goals,and preferences regarding future medical care when they are conscious and have the ability to make behavioral decisions. The goal of advance care planning is to help ensure that people receive medical care that is consistent with their values,goals and preferences when conditions get worse. This article summarized the contents,tools,steps,and precautions of game education in advance care planning for the end-of-life patients,so as to provide reference for doctors and nurses to formulate the implementation strategies of advance care planning and carry out related researches.

Overseas Knowledge

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Introduction and implications of the construction methods of middle-range and situation-specific nursing theories out of China XU Jia-min,YING Bi-he,LIAN Zheng-mei,Azadeh T STARK 2022, 19 (1):  92-96.  doi: 10.3761/j.issn.1672-9234.2022.01.016 Abstract ( 334 )   HTML ( 1 )   PDF (622KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics The development of nursing theories has the value of nursing as an independent scientific discipline. Theory construction in nursing has been focused on the development of middle-range theories and situation-specific theories in recent years and these theories are closer to and have more practical guidance on nursing practice. Previous publications are limited to the discussion on the clarification and development of individual theory elements(such as concepts);there is a lack of an illustration on methods and contents of theory construction from a wholistic perspective. This article summarized the commonly used approaches for theory construction of middle-range and situation-specific nursing theories. Cases were introduced to illustrate the theory development. The aim of this review is to provide implications on the methodology of theory construction to nursing theorists in China.