Table of Content

15 July 2022, Volume 19 Issue 7 Previous Issue    Next Issue

Research Paper

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The effects of a self-oriented training for cardiopulmonary resuscitation and defibrillation YANG Yu-chen,GUI Li,WANG Yi-xin 2022, 19 (7):  581-586.  doi: 10.3761/j.issn.1672-9234.2022.07.001 Abstract ( 274 )   HTML ( 2 )   PDF (930KB) ( 8 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a self-oriented training of cardiopulmonary resuscitation and defibrillation （CPR-D）. The effects of the training were examined by a randomized controlled study to provide references to promote the popularization of cardiopulmonary resuscitation in public. Methods Guided by the educational strategy proposed by the American Heart Association and drew by the modern "kiosk" self-service concept,the CPR-D self-oriented training model was constructed,which mainly included setting up self-service training venues,making teaching videos,establishing feedback models,and formulating management mechanisms. The effects of the training model were evaluated by a randomized controlled trial among students. The main outcome was the performance of chest compressions. The secondary outcomes included the performance of the other skills,CPR-D knowledge and the total training time. The evaluation of participants on the self-oriented training was investigated by interviews. Results A total of 119 students were finally included in the study with 53 in the experimental group and 66 in the control group. There were no significant differences in the percentage of the correct rate,adequate depth,correct hand position and the total score of chest compressions between the two groups（P>0.05）. As to the percentage of full chest rebound,the experimental group displayed superior to the control group（92.09%±18.35%,73.36%±29.20%,t=4.266,P<0.001）. The experimental group scored lower on the knowledge level than the control group（11.92±1.64,13.12±1.22,t=4.420,P<0.001）. The duration of training in the experimental group was less than that in the control group[（37.49±4.61） min,（63.44±2.24） min,t=37.568,P<0.001]. The results showed that 19 participants in the experimental group gave some suggestions on the teaching videos and venue facilities,etc. Twenty-three students gave a positive evaluation to the self-oriented training. Conclusion Self-oriented training is helpful to promote and popularize hands-only CPR,and it can get the similar effect with the instructor-oriented training. The configuration of software and hardware according to local conditions is conducive to give full play to the effectiveness of self-help training. It is necessary to optimize the self-oriented training and promote its related researches.

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The design and implementation of the national blended first-class course of Fundamental of Nursing LI Yan,WANG Jin-na,XU Lan-lan,XIAO Juan,CAO Qiong-ya 2022, 19 (7):  587-591.  doi: 10.3761/j.issn.1672-9234.2022.07.002 Abstract ( 249 )   HTML ( 2 )   PDF (812KB) ( 7 )   Save References | Related Articles | Metrics The Fundamental of Nursing has been identified as the first group of the national blended first-class course in Hubei University of Medicine. The blended teaching method with the combination of online MOOC and offline task-driven flipped classroom was used. This paper introduced the course contents,blended teaching method,assessment method,course effects and experiences based on the characteristics of the course and course objectives. We hope to distribute the experiences of course construction and promote the concept updating and educational reform in nursing professional education.

Interdisciplinary Education

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An exploratory study on the necessity of postgraduate cultivation with inter-professional background of nursing,information and engineering WANG Yi-dan,ZHOU Ying,WANG Zheng,LI Zheng 2022, 19 (7):  592-596.  doi: 10.3761/j.issn.1672-9234.2022.07.003 Abstract ( 177 )   HTML ( 0 )   PDF (1182KB) ( 9 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the necessity and implementation requirements of cultivation of postgraduates with interprofessional background of nursing,information and engineering in China. Methods Purposive sampling was used to select experts engaged in different fields to conduct semi-structured interviews. Content analysis was used to summarize and analyze the attitudes and opinions of experts. Results A total of 15 experts were interviewed for 579 minutes and 66 387 words were transcribed. Experts believed that： interdisciplinary training is an inevitable trend,but there are certain challenges;it is necessary to obtain policy and financial support,carry out reforms and be recognized by the industry;interdisciplinary training has high feasibility,and overcoming shortcomings is of significance;and multi-party joint cultivation is the key method. Conclusion The cultivation of postgraduates with interprofessional background in nursing,information and engineering should be guaranteed by national policies and based on social needs. As the main body,colleges should set up nursing information,engineering practice base,to provide broad platform ensuring employment,promote enterprise joint cooperation projects,to shape interdisciplinary thinking as the goal,and to explore multi-party linkage,industry recognized cultivating mode.

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The development and application of a virtual simulation experiment program based on the concept of interprofessional education YANG Yang,YUAN Yi-biao,CAO Heng-chang,XU Qin 2022, 19 (7):  597-603.  doi: 10.3761/j.issn.1672-9234.2022.07.004 Abstract ( 197 )   HTML ( 0 )   PDF (2299KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a multi-role collaborative training virtual simulation experimental program based on an immersive trauma emergency scene and to test the stability and feasibility of the program. Methods The experimental program was designed according to the real clinical cases and developed by using Unity3D technology and game engine. Fifteen undergraduates in medicine and nursing were recruited online to form 5 interprofessional cooperative learning groups and complete at least 3 experiments. Semi-structured interviews were conducted to understand students’ learning experiences,effects and suggestions. Results The highest score among the 5 groups was 92 and the lowest score was 71. No technical failure in the preliminary test was found indicating a good stability. Students showed positive willingness to learn in the program. They recognized the effect of virtual simulation experiment in learning the operation,strengthening the sense of mission and teamwork,and promoting the understanding among different professions. Students also suggested to have teachers present in the learning process to help understand the knowledge and skills of different professions. Conclusion The virtual simulation experimental program provides high-quality interprofessional learning experience and strengthens students’ cognition of the core competence of interprofessional cooperative practice. It has some values in promoting the interprofessional education and is worth of further promotion.

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SWOT analysis of the interprofessional education for master of nursing specialist FAN Bo,ZHONG Qing-ling,YAN Hong-yan,JIANG Si-yi,YU Yi,XU Yao,XU Jia-xue,MAO Lin,CUI Li-mei 2022, 19 (7):  604-608.  doi: 10.3761/j.issn.1672-9234.2022.07.005 Abstract ( 184 )   HTML ( 2 )   PDF (797KB) ( 3 )   Save References | Related Articles | Metrics The interprofessional education which is the innovative way to cultivate high-level complex nursing professionals provides a new direction and faces new challenges for the cultivation mode of nursing master’s degree postgraduates. This paper summarized the purpose and development form of interprofessional education,and the strengths,weaknesses,opportunities and threats（SWOT） in cultivation of nursing master’s degree postgraduates in order to provide reference for the development of interprofessional education for nursing master’s degree postgraduates.

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Research progress on interprofessional collaborative learning for nursing students LEI Yan-yuan,CUI Xiang-shu 2022, 19 (7):  609-614.  doi: 10.3761/j.issn.1672-9234.2022.07.006 Abstract ( 291 )   HTML ( 0 )   PDF (986KB) ( 4 )   Save References | Related Articles | Metrics This paper introduced the concept,related theoretical foundations,instrument,influencing factors and forms of interprofessional collaborative learning for nursing students. Problems and solutions were pointed out of interprofessional collaborative learning in the nursing field in China to provide theoretical references for interprofessional education,intervention strategies development and enhancement of the interprofessional collaborative learning ability of nursing students in the future.

Nursing Education

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Effects of the two different grouping methods on team-based learning in Community Health Nursing ZHUANG Jia-yuan,ZHANG Yan-yan,WANG Zhu-zhu,SHEN Ling 2022, 19 (7):  615-620.  doi: 10.3761/j.issn.1672-9234.2022.07.007 Abstract ( 169 )   HTML ( 0 )   PDF (735KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of the two-different grouping methods on team-based learning（TBL） in Community Health Nursing. Methods The year 3 nursing undergraduates of two classes in a medical university from Fujian Province were selected by cluster sampling. The coin-tossing method was used to randomly divide the two classes into the experimental group（n=143） and the control group（n=135）. Two groups were both taught in TBL. Students in the experimental group were divided into small groups based on students’ grade-point average （GPA） following the“homogeneity between groups,heterogeneity within groups” principle. Students in the control group were divided into small groups based on their own willing. The differences in academic performance and teamwork and self-directed learning between the two groups before and after TBL application were compared. After the course,the evaluation of each group on the other group was collected. Results The academic performance of students in the experimental group（84.74±5.92） were significantly higher than that in the control group（82.10±6.39）（t=3.541,P<0.001）. The score of teamwork in the experimental group（24.09±8.77） was significantly lower than that in the control group（26.72±11.76） after TBL teaching（t=2.088,P=0.037）. The interpersonal communication dimen-sion of self-directed learning in experimental group（14.86±2.39） was significantly lower than that in the control group（15.70±2.07） after TBL teaching（t=3.093,P=0.002）. Conclusion “Homogeneity between groups,heterogeneity within groups” is more effective in enhancing students’ academic performance and improving their ability of self-discipline.

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The flow experience of nursing simulation trainings in undergraduate students LIANG Tao-yun,JIA Jing-jing,SHI Gen-ya,SHI Tie-ying 2022, 19 (7):  621-626.  doi: 10.3761/j.issn.1672-9234.2022.07.008 Abstract ( 173 )   HTML ( 0 )   PDF (775KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the current status of flow experience of nursing simulation trainings in undergraduate students. Methods A cross-sectional survey was conducted among 715 nursing undergraduates in a medical college by the Skill Operation Process Fluency Psychological State Evaluation Scale,the Student Satisfaction and Self-confidence in Learning Scale,and the Simulation Design Scale. Results The score of flow experience of nursing undergraduates during nursing simulation training was（130.53±22.73）. Multiple linear regression analysis showed that grade,preferred learning style,satisfaction and self-confidence,teaching information and objectives of the course and students’ problem solving ability were the influencing factors of flow experience of students during nursing simulation training（P<0.05）,which could explain 37.9% of the total variation. Conclusion The flow experience of nursing undergraduates during nursing simulation training is at a medium level. According to the ability and interest of nursing undergraduates,optimizing the curriculum design of basic nursing simulation training and increasing nursing students’ satisfaction and self-confidence are helpful to improve their flow experience.

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The current status and influencing factors of intercultural communication competence of nursing students WU Tong,LOU Ling-jie,ZHOU Hong-ting,LIN Jia-li,CAO Mei-juan 2022, 19 (7):  626-630.  doi: 10.3761/j.issn.1672-9234.2022.07.009 Abstract ( 176 )   HTML ( 0 )   PDF (618KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the intercultural communication competence of nursing students and to analyze its influencing factors. Methods From May to July in 2021,a total of 476 nursing students were surveyed on their intercultural communication competence by general information questionnaire and medical situational intercultural communication competence questionnaire. Results The total score of intercultural communication competence of nursing students was（137.6±28.8）. Gender,educational level,professional English and humanities courses,desire for cross-cultural communication courses and communicate with foreign students were the main influencing factors of intercultural communication competence of nursing students（all P<0.05）,which could explain 37.3% of total variation. Conclusion The intercultural communication competence of nursing students needs to be improved. Colleges and universities should explore effective teaching methods and strategies for nursing students with different characteristics to improve the intercultural communication competence.

Continuing Education

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The mediating effect of clinical sense of belonging between perception of academic support and stress in nursing interns LIU Feng,GUI Tao-hua,ZHENG Kai-feng,ZHENG Si-lin,XU Fen 2022, 19 (7):  631-635.  doi: 10.3761/j.issn.1672-9234.2022.07.010 Abstract ( 255 )   HTML ( 0 )   PDF (648KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the mediating effect of clinical sense of belonging between perception of academic support and stress in nursing interns. Methods A total of 553 nursing interns were recruited and investigated with the Belongingness Scale-Clinical Placement Experience,the Academic Support in the Practicum Scale and the Student Nurse Stress Index Scale. Results The scores of clinical sense of belonging,perception of academic support and stress were（3.56±0.49）,（6.61±1.60） and （3.74±0.59） respectively. There was a negative correlation between perception of academic support and stress（r=-0.801）,and a positive correlation between perception of academic support and clinical sense of belonging（r=0.673）. There was a negative correlation between stress and clinical sense of belonging（r=-0.743）. The mediating effect of clinical sense of belonging between perception of academic support and stress of nursing interns was -0.088,accounting for 31.3% of the total effects. Conclusion Clinical sense of belonging plays a mediating role between perception of academic support and stress in nursing interns,which can provide new ideas for relieving and reducing stress of nursing interns.

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The mediating role of work engagement in the relationship between nurses’ self-worth and work well-being LIU Rui,LI Xue,FANG Xiao-xia,XIE Meng-yao,CHANG Hong-juan 2022, 19 (7):  636-639.  doi: 10.3761/j.issn.1672-9234.2022.07.011 Abstract ( 223 )   HTML ( 1 )   PDF (695KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the mediating role of work engagement in the relationship between nurses’ self-worth and work well-being. Methods From March to June 2021,a total of 1 177 nurses in a tertiary hospital in Henan province were surveyed by the general information questionnaire,the Adult Self-worth Questionnaire,the Nurses’ Work Well-being Scale and the Utrecht Work Engagement Scale. AMOS 21.0 software was used to test the mediating relationships among work well-being,self-worth and work engagement. Results The overall score of work well-being was（83.63±12.19）. Correlation analysis showed that work engagement was positively correlated with self-worth（r=0.564,P<0.001） and work well-being was positively correlated with self-worth（r=0.369,P<0.001）. There was a positively correlation between work well-being and work engagement（r=0.411,P<0.001）. The structural model showed that work engagement played a partial mediating role between nurses’ self-worth and work well-being,and the mediating effect value accounted for 49.77% of the total effects. Conclusion Nurses’ work well-being is in the middle level. Nurse managers can take effective measures to improve nurses’ sense of self-worth,increase work engagement and improve nurses’ work well-being.

Health Education

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Evidence summary of exercise therapy in patients with diabetic foot GENG Yi-dan,TIAN Jian-li,HU Jia-qi,ZHANG Xi,WANG Nai 2022, 19 (7):  640-645.  doi: 10.3761/j.issn.1672-9234.2022.07.012 Abstract ( 181 )   HTML ( 0 )   PDF (761KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To search and obtain the evidence on exercise therapy of diabetic foot,and to summarize the best available evidence. Methods The databases of JBI,UpToDate,BMJ Best Practice,the Cochrane Library,International Working Group on the Diabetic Foot,International Diabetes Federation,NICE,PubMed,Embase,China Guide Network,CNKI,Wanfang Date,and SinoMed were searched from their inception to July 2021. Two researchers independently assessed the quality of the literature and extracted data. Results A total of 10 papers were selected,including 4 guidelines,2 expert consensus statements,2 systematic reviews and 2 randomized controlled trails. Totally 21 pieces of best evidence were summarized from 6 aspects：necessity and effectiveness,points for attention,quality control,contraindication,exercise mode and exercise time. Conclusion This study summarized best evidence on exercise therapy in patients with diabetic foot and provide decision-makers and visitors with evidence-based management of patients with diabetic foot movement. Medical workers should combine the practice process with clinical situation,fully evaluate the promotors and obstacles to ensure the evidence can be applied to clinical settings.

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The reliability and validity of the Chinese version of the Nurses’ Health Education Ability Scale WANG Si-yao,WEI Li-li,SHAN Xin-zhi,SHANG Quan-wei,ZHU Yong-jie,ZHU Fu-xiang,LIU Cui 2022, 19 (7):  646-651.  doi: 10.3761/j.issn.1672-9234.2022.07.013 Abstract ( 276 )   HTML ( 3 )   PDF (824KB) ( 7 )   Save Figures and Tables | References | Related Articles | Metrics Objective To translate the Spanish version of the Nurse Health Education Competence Instrument （I-CEpSE） into Chinese and to test its reliability and validity. Methods The Brislin two-person translation-back translation model was used to translate the original scale. After cross-cultural adaption and pilot-investigation,the Chinese version of I-CEpSE was finalized. The Chinese version of the I-CEpSE was used to evaluate 546 nurses in a tertiary hospital of Qingdao city. Results The Chinese version of the I-CEpSE kept 58 items of the original scale,and the S-CVI/Ave was 0.90. After exploratory factor analysis,a total of 3 common factors with characteristic roots ≥ 1 were extracted,and the cumulative variance contribution rate was 53.387%. The confirmatory factor analysis results showed that χ2/df=1.283,RMSEA=0.032,SRMR=0.047,IFI=0.952,TLI=0.950,CFI=0.951,and the scale model was basically adapted. The total Cronbach’s α coefficient of the Chinese version of the I-CEpSE was 0.958. The test-retest reliability was 0.954. Conclusion The Chinese version of I-CEpSE has good reliability and validity and can be used to evaluate nurses’ health education ability under the cultural background in China. With this scale,nurses’ own health education capabilities and learning needs can be identified.

Clinical Practice

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A longitudinal study on the change trajectory and influencing factors of wound symptom distress in patients with malignant fungating wounds LIU Xin,LIN Hua,ZHANG Ting,SHEN Ling 2022, 19 (7):  652-656.  doi: 10.3761/j.issn.1672-9234.2022.07.014 Abstract ( 277 )   HTML ( 0 )   PDF (792KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the change trajectory and influencing factors of wound symptom distress at different times after the diagnosis of malignant tumor wound. Methods A longitudinal study design was used to evaluate patients’ wound symptom distress at the time of pathological diagnosis （T1）,1 month after diagnosis （T2）,3 months after diagnosis（T3）,and 6 months after diagnosis （T4）. The distress in different periods was compared and the influencing factors of symptom distress were analyzed. Results The wound Symptom Intrusiveness score：T1 （49.20±13.78）,T2 （57.71±13.47）,T3 （45.58±13.69）,and T4 （43.79±12.98）. Treatment stage,gender,wound exudation,wound odor,wound pruritus and dressing change frequency were the influencing factors of wound symptoms distress. Conclusion The trajectory of wound symptom distress in patients with malignant fungating wounds firstly going high then becoming low. Early evaluation,continuous follow-up and whole process symptom management of patients with malignant fungating wounds should be strengthened to reduce wound symptoms and improve the quality of life of patients.

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The mediating effect of hope level in stigma and social dysfunction in patients with schizophrenia XIANG Ting-ting,JIANG Xiao-jian,LI Mei-zhi,LIU Juan,WANG Wei-yue,WANG Li-yi 2022, 19 (7):  657-661.  doi: 10.3761/j.issn.1672-9234.2022.07.015 Abstract ( 143 )   HTML ( 0 )   PDF (612KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the mediating role of hope level between stigma and social dysfunction in patients with schizophrenia. Methods The inpatients with schizophrenia in a tertiary hospital in Hunan province from January to June 2021 were selected by convenience sampling. The Schizophrenia Hope Scale（SHS）,Perceived Devaluation-Discrimination Scale（PDD）,and the Social Disability Screening Schedule（SDSS） were used. Results The PDD score of 217 schizophrenic patients was（29.25±3.40）. The SHS score was（9.41±1.85）. The SDSS score was（6.64±3.37）. Hope level had a partial mediating effect between stigma and social dysfunction in schizophrenia patients,accounting for 38.4% of the total effect. Conclusion Stigma can indirectly affect social functioning deficits in patients with schizophrenia through hope levels. During treatment and rehabilitation,both medical staff and patients’ family members should focus on the patient’s stigma and hope level,strengthen the patient’s self-affirmation training,reduce the patient’s social function deficit,and promote the patient’s return to society.

Review

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Inappropriate sexual behaviors in older patients with dementia：a scoping review WU Chun-tao,MA Ke,QI Jing-han,YANG Long-fei,NI Cui-ping,LIU Yu 2022, 19 (7):  662-667.  doi: 10.3761/j.issn.1672-9234.2022.07.016 Abstract ( 215 )   HTML ( 1 )   PDF (689KB) ( 18 )   Save Figures and Tables | References | Related Articles | Metrics Objective To systematically review the concept,types and manifestations,influencing factors,and coping strategies of inappropriate sexual behaviors in older patients with dementia. Methods According to the research method of scope review,a comprehensive search was conducted in PubMed,OVID,Embase,EBSCO,CINAHL,Web of Science Core Collection,PsyINFOP,Proquest and Scopus,CNKI,Wanfang,and CBM databases for studies on inappropriate sexual behaviors in older patients with dementia. Literature screening,data extraction,and summarization were performed. Results A total of 23 articles were included. The concept of inappropriate sexual behaviors in older patients with dementia defined by different researchers was diverse. The inappropriate sexual behaviors in older patients with dementia was usually divided into four categories：inappropriate sexual talk,inappropriate sexual behavior,latent sexual behavior,false accusation or abuse. It could also be divided into three categories：inappropriate sexual behavior with non-contact with others,inappropriate sexual behavior in contact with others,and verbal sexual behavior. Influencing factors included disease,psychological factors,social factors and medication. Coping strategies for inappropriate sexual behavior in older patients with dementia included assessing symptom and risk factors,improving institutional environment,providing corresponding interventions for inappropriate sexual behaviors,and strengthening the management and training of nursing staff. Conclusion The concept and classification of inappropriate sexual behavior in older patients with dementia has not been unified,and the definition of inappropriate sexual behavior in dementia patients in Chinese culture needs to be developed. In the future,it is necessary to continue to explore the coping strategies of inappropriate sexual behavior in older patients with dementia.

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A review of supportive needs of family caregivers of children with traumatic brain injury ZHANG Jie,FU Qin 2022, 19 (7):  668-672.  doi: 10.3761/j.issn.1672-9234.2022.07.017 Abstract ( 158 )   HTML ( 0 )   PDF (573KB) ( 2 )   Save References | Related Articles | Metrics This paper illustrated the concept of family caregivers and supportive needs,introduced the tools for assessing the needs of caregivers of children with brain injury,described and analyzed the supportive needs of caregivers of children with brain injury from the aspects of symptom management,rehabilitation services,follow-up,hospital-school transition,and the family caregivers’ own psychology. Besides,the paper summarized the intervention and effects based on the hospital,community and family to provide references for relevant researches.