Table of Content

15 June 2022, Volume 19 Issue 6 Previous Issue    Next Issue

Research Paper

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The development of a midwifery practical skills system in practical curriculum of undergraduate midwifery education YAO Jia-si, LI Xia, XU Xiao-lei, DU Chen-bing, GE Wen-xiu, JI Yi, LIU Chang, CHEN Chun-ning 2022, 19 (6):  485-488.  doi: 10.3761/j.issn.1672-9234.2022.06.001 Abstract ( 265 )   HTML ( 0 )   PDF (579KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a midwifery practical skills system in midwifery practical curriculum of undergraduate midwifery education. Methods The initial system was developed by literature review and then two rounds of Delphi consultation were conducted among 16 experts to modify the system. Results The authority coefficient of experts was 0.95,and the second round Kendall coordination coefficients was 0.54 for first-level indicators and 0.31 for second-level indicators. The midwifery practical skills system consisted of 6 domains （women health care,pregnancy health care,labor health care,postpartum health care,neonate health care,public health care） and 73 items in total. Conclusion Based on the midwifery core competency,the midwifery practical skills system for undergraduate midwifery education is scientific and reliable. The system can provide reference for practical curriculum development in undergraduate education of midwifery.

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Development and application of a nursing training course for response to public health emergencies HU Yun, JIANG Lu-lu, HU Jing-chao, TAO Xing-juan, LI Nan-nan, LIAN Jia-qi, FANG Qiong, YANG Yan 2022, 19 (6):  489-495.  doi: 10.3761/j.issn.1672-9234.2022.06.002 Abstract ( 240 )   HTML ( 1 )   PDF (1010KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a practical,systematic and effective nursing training course to enhance nurses’ response ability to public health emergencies. Methods Development and application of the course was guided by the six-step approach and competency-oriented philosophy. Problems were identified through literature review and needs of learners were investigated. The learning objectives were confirmed by the competency index system through expert consultation. Then targeted teaching strategies were developed（66 hours for classroom teaching）. The blended teaching was implemented. The teaching effects were assessed by the public health emergency knowledge survey,online course evaluation,offline case teaching and exercise evaluation. Results A total of 532 participants completed the training,and the score of 396 participants’ knowledge of public health emergencies was（3.92±0.71）. The mean score of online course assessment was greater than or equal to 84.88. The highest and lowest scores were the psychological stress response and monitoring and reporting of public health emergencies. The overall course feedback was good,and the total mean score of items was（3.92±0.42）. Thirty-nine trainers believed that cultivating teamwork and overall practical ability were well cultivated by case teaching and practice. The feedback mainly included long duration of online courses,lack of attraction,insufficient participation,insufficient sense of substitution,etc. Conclusion The nursing course on response to public health emergencies is developed based on six-step approach. The course meets the needs of public health emergency nurses and is effective to improve their emergency response ability. But the course needs to be further optimized.

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The development of an interventional program on identification ability of online health information in patients with systemic lupus erythematosus XU Liang-mei, WANG Lei, GAO Yu-meng, LI Xing, CHEN Pei-ling, XIE Lun-fang 2022, 19 (6):  496-501.  doi: 10.3761/j.issn.1672-9234.2022.06.003 Abstract ( 192 )   HTML ( 0 )   PDF (912KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop an interventional program for improving identification ability of online health information in patients with systemic lupus erythematosus（SLE）. Methods Based on literature analysis and consultation meetings,the first draft of the interventional program was constructed. Then Delphi method was adopted. Fifteen experts in the related fields were invited to conduct 2 rounds of mail consultations regarding the program contents. Results The final interventional program included 5 online lectures. For the training contents,the effective recovery rates of the two rounds of expert consultations were 100% with the authoritative coefficient was 0.90. After two rounds of expert consultations,the importance values of each item were different from 4.06 to 4.93. The coefficients of variance of each item varied from 0.05 to 0.18. The contents included 4 modules：basic knowledge of SLE,quality of online health information,methods to obtain high-quality online health information,and methods to identify online health information. Conclusion The interventional program for improving online health information identification ability in patients with SLE is scientific,applicable and reliable,which is the foundation for the following pilot study.

Cultivation of Creative Ability

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The development and application of the innovative ability course for master of nursing specialist HUANG Di,LUO Wei-xiang,PENG Yue-ming,ZHANG Wei-wei,PENG Wei-si,FAN Yi,JIANG Zhi-xia 2022, 19 (6):  502-507.  doi: 10.3761/j.issn.1672-9234.2022.06.004 Abstract ( 239 )   HTML ( 2 )   PDF (962KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct the innovative course for master of nursing specialist（MNS）,and to explore its effects. Methods Based on the literature analysis,interviews,and group discussion,the expert consultation questionnaire was initially developed. The Delphi technique was used for two-round expert consultation with 20 experts in nursing postgraduate education to construct the innovative ability course. A total of 31 students with MNS in year-one attended the course. The Williams Creativity Tendency Scale was used to evaluate students’ innovative ability before and after the course. Results After 2 rounds of expert consultation,the recovery rate of the questionnaires was 100%,the expert authority coefficient was 0.845 and the Kendall coordination coefficiency（W） was 0.506 and 0.793 respectively. The finalized innovative ability course included 10 contents and the duration of this course was one year. The score of Williams Creativity Tendency Scale and the scores of each dimension of students were higher than those before the course（P<0.05）. Conclusion The innovative course is scientific and reasonable,which is helpful to cultivate the innovation ability of students with MNS.

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Construction and development of the Innovation and Creative Thinking course for nursing undergraduates YANG Zhi, CHUNG Wai-yee, ZHOU Ying, YANG Yun-hua, WONG Kwok-shing 2022, 19 (6):  508-512.  doi: 10.3761/j.issn.1672-9234.2022.06.005 Abstract ( 205 )   HTML ( 2 )   PDF (766KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Developing innovative personal capacity is a systematic and complex process. The Innovation and Creative Thinking course was designed to improve nursing students’ creativity by combining with Challenge Based Learning （CBL）. CBL encourages students working as a team to explore problems independently and self-directly,and its learning activities are expanded from classroom to local community in order to solve a real-world problem in a creative way. Our research team firstly applied this new method in mainland China to foster the ability to think creatively among nursing students in 2015. Furthermore,we adopted various types of evaluation approaches to support the continuous quality improvement in the course. This paper summarized the entire development process,based on the perceived learning opportunities and experiences by students,together with their changes on minds,attitudes and emotions. Students’ creative thinking process was investigated,which would provide valuable references for curriculum reform and students’ development on creative thinking..

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The development and effects evaluation of the Nursing Innovation and Entrepreneurship Social Practice course REN Li-hua, CHEN Hua, SUN Hong-yu, HOU Shu-xiao, LI Hong-yue, CHEN Jie-ru 2022, 19 (6):  513-517.  doi: 10.3761/j.issn.1672-9234.2022.06.006 Abstract ( 225 )   HTML ( 1 )   PDF (796KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics Objective To preliminarily develop the Nursing Innovation and Entrepreneurship Social Practice course and to evaluate its effects. Methods The course framework was developed based on the literature review and expert consultation. The course,a specialized elective course for nursing undergraduates,was divided into 11 lessons with 28 credit hours in total（8 for theory and 20 for practice）. In the second semester of the 2020 academic year and the first semester of the 2021 academic year,small-scale teaching was conducted to undergraduates. Course effects were evaluated through innovation and entrepreneurship outputs,examination score,online evaluation and student interviews. Results Twenty-six students took the course. Students submitted 9 innovative designs. Students got a course score of（88.48±1.98）. The course effects score was（92.88±8.87）. Twenty-six students participated in the interview and 4 themes were extracted which were “broaden horizon”“ providing a way to dreams”“power of role models of innovation and entrepreneurship”“improving students’ abilities of innovation and entrepreneurship”. Conclusion This course has improved students’ abilities of innovation and entrepreneurship practice,with a positive evaluation from students,and is worthy of promotion.

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The mediating effects of achievement motivation and knowledge sharing on the growth needs strength and innovation capability of nursing undergraduate interns ZHANG Duo, ZHOU Yan-rong, LIU Juan, HU Kai-li, ZHU Li-si, WU Qian-sheng 2022, 19 (6):  518-522.  doi: 10.3761/j.issn.1672-9234.2022.06.007 Abstract ( 190 )   HTML ( 0 )   PDF (692KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the mediating roles of achievement motivation and knowledge sharing between the growth needs strength and innovation ability of undergraduate nursing interns. Methods A survey was conducted on 213 undergraduate nursing interns from a tertiary hospital in Hubei Province by the general information questionnaire,the Growth-need Strength,the Achievement Motive Scale,the Knowledge Sharing Scale,and the Innovation Capability Scale. A structural equation model was constructed using Mplus 8.0 to analyze the relationship between the growth needs strength,achievement motivation,knowledge sharing behavior,and innovation capatility of nursing students. Results The intensity of growth needs strength of students was scored as（29.40±3.41）,achievement motivation was scored as（7.20±1.80）,knowledge sharing was scored as（42.34±5.28）,and innovation capability was scored as（35.90±4.55）. There were positive correlations among the four（P<0.001）. The mediation model revealed that the direct effect of growth needs strength on innovativeness was significant（β=0.323,P<0.001）. Besides,growth needs strength could also affect innovativeness through three pathways：the independent mediating effect of achievement motivation（β=0.109,P=0.007）,the independent mediating effect of knowledge sharing（β=0.197,P<0.001）,and the chain mediating effect of achievement motivation and knowledge sharing（β=0.022,P=0.008）,with the mediating effects accounting for 50.38% of the total effects. Conclusion Achievement motivation and knowledge sharing play a mediating role between undergraduate nursing interns’ growth needs strength and innovation capability,and their innovation capability can be improved by guiding undergraduate nursing interns’ achievement motivation and providing knowledge sharing conditions.

Nursing Education

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Reform of the Fundamentals of Nursing based on the Gold Course standards YAO Xiu-yu, SHENG Yu, ZHANG Hui, ZHANG Xin, LIANG Tao 2022, 19 (6):  523-526.  doi: 10.3761/j.issn.1672-9234.2022.06.008 Abstract ( 223 )   HTML ( 1 )   PDF (537KB) ( 5 )   Save Figures and Tables | References | Related Articles | Metrics Under the background of Gold Course construction,this paper introduced the teaching reform of the Fundamentals of Nursing based on the Gold Course standards. The detailed information regarding the curriculum design were presented. The implementation effects were reported in students of “4+2” outstanding undergraduate program. Taking the Fundamentals of Nursing as an example,the curricular reform of “online and offline mixed” and “theory and practice integration” based on Gold Course standards is carried out. It provides references for promoting the construction of Gold Course in nursing discipline.

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The application of a flipped classroom based on mind map in teaching of Obstetrics and Gynecology Nursing in higher vocational colleges ZHANG Fan, DAI Mei-ling, WANG Chu 2022, 19 (6):  527-530.  doi: 10.3761/j.issn.1672-9234.2022.06.009 Abstract ( 229 )   HTML ( 0 )   PDF (545KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of a flipped classroom based on mind map in teaching of Obstetrics and Gynecology Nursing in higher vocational colleges. Methods Two classes of a five-year nursing program in a higher vocational college in Shanxi Province in 2017 were conveniently selected,and they were divided into a interventional group and a control group by the lottery method,with 75 students in each group. The students in the experimental group were taught in a flipped classroom based on mind map,while the control group was taught by the traditional teaching method. At the end of the course,the online learning data of the experimental group were extracted,and their satisfaction with the teaching method was investigated. The final theory examination scores of the two groups were compared. Results The total online learning time of the students in the experimental group was（11.91~21.13） hours. There were 26 discussion topics in the discussion board of the online teaching platform,with（78.04±10.50） posts per topic and（68.50±4.26） participations. The score of pre-course quick test was（7.84±0.82）. The students in the experimental group were satisfied with the new teaching method. The scores of the final theory examination and intervention chapter in the experimental group were higher than that in the control group（P<0.05）. Conclusion The implementation of the flipped classroom based on mind map in the Obstetrics and Gynecology Nursing helps improve students’ theoretical learning performance,and enhance the teaching effects.

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Training and application of standardized patients in nursing SONG Li-juan, DU Miao, MA Jing, ZHU Ai-yong 2022, 19 (6):  531-534.  doi: 10.3761/j.issn.1672-9234.2022.06.010 Abstract ( 180 )   HTML ( 1 )   PDF (554KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics This paper summarized the experience and achievements in the application and research of standardized patients（SP） in Shanghai University of Medicine & Health Sciences from the following aspects：build SP trainer team,recruitment,training and assessment of SP,and the application of SP in nursing. Besides,analysis and reflection on the advantages and disadvantages of SP training and application were also reported. We aimed to provide reference for the teaching reform of nursing with equal emphasis on humanistic and practical ability,and to improve the training quality of nursing professionals.

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The influence of online learning readiness on online learning engagement of nursing students：the mediating role of online self-regulated learning YANG Yan-qing, WU Ming, LIN Yan-qin, HONG Xia 2022, 19 (6):  535-538.  doi: 10.3761/j.issn.1672-9234.2022.06.011 Abstract ( 189 )   HTML ( 0 )   PDF (500KB) ( 8 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the current situation of online learning engagement of nursing students in a higher vocational college,and to explore the influencing path of online learning readiness and online self-regulated learning on online learning engagement. Methods A total of 676 nursing students were investigated by the General Information Questionnaire,the Distance Learning Readiness Scale,the Online Self-regulated Learning Questionnaire and the Student Engagement in Distance Education Scale. Results The online learning engagement score was（54.09±7.74）. Online self-regulating learning had a mediating effect between online learning readiness and online learning engagement,accounting for 77.33% of the total effects. Conclusion The online learning engagement of nursing students is at a medium level. Teachers can improve students’ online learning engagement by promoting students’ online learning readiness and self-regulating learning ability.

Clinical Teaching

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The application of the failure mode and effect analysis on sharp instrument injury management in nursing interns ZHANG Si-yu, CHEN Yuan-yuan 2022, 19 (6):  539-542.  doi: 10.3761/j.issn.1672-9234.2022.06.012 Abstract ( 166 )   HTML ( 0 )   PDF (536KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of the failure mode and effect analysis on management of sharp instrument injury in nursing interns. Methods Under the guidance of the failure mode and effect analysis theory,this study identified the factors that may lead to the failure of sharps injury protection for interns through information collection and brainstorming. Assessment of these risk factors were carried out. Then those items that need to be improved were identified and improvement strategies were formulated accordingly,including standardizing training related to sharp instrument injury protection and strengthening clinical teaching and strengthening the psychological quality of interns. The incidence of sharps injuries among interns before and after the improvement strategies were compared. Results After the strategy improvement,the incidence rate of sharp instrument injury among interns was 1.16%（2/173）,which was lower than 5.38%（10/186） before the strategy improvement（P<0.05）. Conclusion The management strategy formulated by the failure mode and effect analysis can effectively reduce the risk of sharp instrument injury among nursing interns and reduce the incidence of sharp instrument injury.

Continuing Education

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A survey of the effects of standardized training for new nurses in Beijing JIA Yan-ping, GONG Wen-tao, DONG Si-xin, ZHU Ya-jie 2022, 19 (6):  543-547.  doi: 10.3761/j.issn.1672-9234.2022.06.013 Abstract ( 162 )   HTML ( 0 )   PDF (679KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the effects of standardized training for new nurses in Beijing from the perspectives of learners. Methods Data from 2 167 new nurses who completed standardized training from 2013 to 2018 in 10 hospitals in Beijing were collected through a self-designed questionnaire. Contents of the questionnaire mainly included satisfaction with the training,improvement of core competence and feedback on the training. Results The response rate was 100%. 77.7% respondents were very satisfied with the standardized training. The score of self-evaluation of core competence improvement was 200（185,200）. However,there were statistically signi-ficant differences in core competence improvement scores in nurses with employment types,degree of interest in nursing,prospect of nursing,the pressure during training,and intention to resign during training （P<0.05）. The main suggestion of 137 nurses made was “finalizing the departments where they will work as early as possible to increase the sense of belonging”. Conclusion New nurses are satisfied with the training for new nurses carried out by Beijing Hospital Management Center. Most nurses believe that their core competence has been greatly improved after the training. We suggest that the education managers should pay more attention to the training status of nurses with different employment types in the future,and timely assess their pressure to understand the interests and doubts of nurses,conduct career planning guidance regularly,and improve the training program for new nurses.

Health Education

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Experience of participating in the pulmonary rehabilitation in patients with chronic obstructive pulmonary disease：a qualitative meta-synthesis QU Rui-jie, LI Hao, CHENG Qiu-hong, XI Fang, WANG Liang, WANG Hai-bo 2022, 19 (6):  548-554.  doi: 10.3761/j.issn.1672-9234.2022.06.014 Abstract ( 184 )   HTML ( 0 )   PDF (975KB) ( 8 )   Save Figures and Tables | References | Related Articles | Metrics Objective To comprehensively review the experience of patients with chronic obstructive pulmonary disease participating in the pulmonary rehabilitation. Methods A comprehensive search was conducted in the Cochrane Library,PsycINFO,PubMed,EBSCO,Web of Science,CNKI,Wanfang,VIP,and the SinoMed from their inception to June,2021. The papers focused on the experience of patients with chronic obstructive pulmonary disease participating in the pulmonary rehabilitation. Australian JBI Evidence-based Health Care Center Qualitative Research Quality Evaluation Standard was used to evaluate the quality of literatures. Meta-synthesis was used to analyze the results. Results A total of 12 articles were included,including 214 participants. Twenty-seven results were extracted and grouped into 5 new categories. Two integrated results were obtained. ①Disease progression,social support,and rehabilitation environment influence patients’ participation in pulmonary rehabilitation（patients suffer from physical and mental pain,and their awareness of pulmonary rehabilitation is weak;social support enhances patients’ self-confidence in pulmonary rehabilitation;the rehabilitation environment is limited）. ②Par-ticipation in pulmonary rehabilitation can enhance the patient’s sense of benefit and look forward to the optimization and perfection of the rehabilitation program（the sense of benefit will be enhanced after participating in pulmonary rehabilitation;expectation of pulmonary rehabilitation）. Conclusion Medical staff should pay attention to patients’ experience of participation in pulmonary rehabilitation,and build a new form of pulmonary rehabilitation based on the needs of patients. Besides,it is necessary to enhance the application of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease in China.

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Summary of the best evidence of self-management in patients with chronic heart failure WANG Meng,ZHANG Ling-ling,WANG Chun-hua,ZHANG Yan-hong,SUN Li 2022, 19 (6):  555-561.  doi: 10.3761/j.issn.1672-9234.2022.06.015 Abstract ( 179 )   HTML ( 0 )   PDF (820KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To evaluate and integrate the best evidence of self-management in patients with chronic heart failure. Methods We searched for relevant evidence on self-management of patients with chronic heart failure in BMJ Best Practice,UpToDate,Guidelines International Network,Scottish Intercollegiate Guidelines Network,Registered Nurses Association of Ontario,Cochrane Library,PubMed,CINAHL,CNKI,Wanfang,etc. Practice,evidence summary,guidelines,expert consensus and systematic evaluation were all eligible. The quality assessment was conducted by researchers using AGREE Ⅱ for guidelines and JBI evidence-based health care center evaluate standards for systematic review,expert consensus,randomized controlled trials. Results A total of 17 articles were enrolled,including 1 clinical decision,5 guidelines,4 evidence summaries,5 systematic reviews,and 2 expert consensus. Finally,22 pieces of evidence were extracted and integrated into 5 dimensions,including objective,principle,evaluation,guiding contents,and promotion strategies. Conclusion Clinical medical and nursing staff should select the best evidence for clinical application in combination with hospital reality,clinical situation and patient willingness,so as to standardize clinical practice behaviors,improve patients’ self-management ability and ultimately improve patient outcomes.

Clinical Practice

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Application of the neonatal breast crawling in women with natural delivery CHENG Gui-zhi, NI Qian-qian, XIN You-di, ZHOU Yan, ZHANG Yi-ni, ZHOU Li-hua, CHEN An 2022, 19 (6):  562-565.  doi: 10.3761/j.issn.1672-9234.2022.06.016 Abstract ( 221 )   HTML ( 0 )   PDF (557KB) ( 6 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of neonatal breast crawling on postpartum lactation and early breastfeeding among women with natural delivery. Methods Women with natural delivery in a class A hospital of Anhui Province from February 1 to May 31,2021 were divided into experimental group（February 1 to March 31,n=68） and the control group（April 1 to May 31,n=62）. The neonatal breast crawling and actively seeking breast sucking was adopted in the experimental group while passive sucking was used in the control group. Serum prolactin,estradiol and progesterone were detected the next morning after the delivery. The first breastfeeding time,lactation initiation time and delay of lactation initiation were recorded. Results During the study,9 cases were excluded from the experimental group and 3 cases were excluded from the control group,with 59 participants in both groups. The serum PRL concentration in the experimental group was higher than that in the control group （Z=2.822,P=0.005）. The serum E2 was lower than that of the control group（Z=2.056,P=0.040）. The first breastfeeding time was longer than that of the control group（Z=4.154,P<0.001）,the lactation start time was earlier than that of the control group（Z=2.987,P=0.003）,and the lactation start delay rate was lower than that of the control group（ χ2=4.196,P=0.041）. Conclusion The new-born breast crawling can promote postpartum lactation and early breastfeeding.

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The mild cognitive dysfunction and its influencing factors in community dwelling older patients with hypertension in Nanning CHEN Ling, YANG Lian-zhao, LU Jing-yu, GAO Hui 2022, 19 (6):  566-571.  doi: 10.3761/j.issn.1672-9234.2022.06.017 Abstract ( 142 )   HTML ( 1 )   PDF (753KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the status and influencing factors of mild cognitive impairment（MCI） in community dwelling older patients with hypertension in Nanning. Methods The random sampling method was used and 738 older patients with hypertension were selected in 3 communities in Nanning. Patients’ general demographic characteristics,cognitive function,disease-related information,lifestyle and social psychological factors were investigated. Results Out of 738 older patients with hypertension,prevalence of MCI was 53.8%. Multifactor logistic regression analysis showed that hypertension classification,diabetes,duration of hypertension,stress history within one year,smoking,depression,and sleep disorders were risk factors of MCI（P<0.05）. Higher educational level,regular meat consumption,regular exercise,reading,higher medication compliance,and social support were protective factors of MCI（P<0.05）. Conclusion The high incidence of MCI in older patients with hypertension suggests that community medical professionals should pay attention to the cognitive function assessment of older patients with hypertension. Targeted measures of prevention and delay of the occurrence and development of MCI according to their risk factors and protective factors are needed. By these ways,MCI can be avoided or slowed and quality of life of older adults can be improved.

Review

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A review of the health education board game in nursing SU Yi-dong, MO Yi-han, DONG Xin, WANG Xiu-hua 2022, 19 (6):  572-576.  doi: 10.3761/j.issn.1672-9234.2022.06.018 Abstract ( 270 )   HTML ( 0 )   PDF (629KB) ( 3 )   Save References | Related Articles | Metrics The health education board game is a combination of board games and disease health education with entertainment attributes,which has attracted attention of health educators and related scholars. This paper introduced the theoretical basis,design,application effects,existing problems and challenges of health education board game. We aimed to provide reference for the development and application of health education board games in China.