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ISSN 1672-9234 CN 11-5289/R
Responsible Institution:China Association for Science and Technology
Publishing:Chinese Nursing Journals Publishing House Co.,Ltd.
Sponsor:Chinese Nursing Association
Source journal for Chinese Science Citation Database
China Academic Journals Full-text Database
China Core Journal Alternative Database
Chinese Science and Technical Journal Database

Table of Content

    15 February 2023, Volume 20 Issue 2 Previous Issue    Next Issue
    Research Paper
    Research on the construction of a hierarchical training program of “double qualified” nursing teachers in higher vocational colleges
    ZHANG Xiangeng, ZHANG Wen, LIU Linfeng, WANG Hongyan, LIANG Xiaoli, SHEN Jun, ZHANG Zeju
    2023, 20 (2):  133-139.  doi: 10.3761/j.issn.1672-9234.2023.02.001
    Abstract ( 281 )   HTML ( 0 )   PDF (958KB) ( 21 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To construct a hierarchical training program of “double qualified” nursing teachers in higher vocational colleges. Methods Through literature review,semi-structured interview and group discussion,the first draft of hierarchical training program of “double qualified” nursing teachers in higher vocational colleges was initially drawn up. Two rounds expert consultations were conducted with 22 experts using Delphi Technique. Results The recovery rates of the two rounds of expert consultations were 100% and 95%,and the second round expert authority coefficient was 0.89. The final hierarchical plan of “double qualified” nursing teachers in higher vocational colleges consisted of primary level,intermediate level,and advanced level. And all the three levels included training content (quality training,knowledge training,ability training),training methods (teaching methods,teaching forms,training credit hours),and training evaluation. Specifically,the primary level included 62 training items(importance score was 4.14~4.86,variation coefficient was 0.07~0.13);the intermediate level includes 43 items (importance score was 4.19~4.86,variation coefficient was 0.07~0.11);the advanced level includes 43 items (importance score was 4.24~4.95,variation coefficient was 0.04~0.11). Conclusion The expert response rate and authority coefficient rate were high,and the constructed hierarchical training program highlights the phased and progressive development of teachers’ career,which can provide reference for the training of “double qualified” nursing teachers in higher vocational colleges.

    Simulation Teaching
    Application of MiniQuest teaching mode in virtual simulation experiment of undergraduate midwifery
    LI Wei, LI Min, LI Fangyun, XUE Songmei
    2023, 20 (2):  140-145.  doi: 10.3761/j.issn.1672-9234.2023.02.002
    Abstract ( 219 )   HTML ( 0 )   PDF (1005KB) ( 16 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To explore the application effect of the MiniQuest teaching mode in the virtual simulation experiment of undergraduate midwifery. Methods MiniQuest teaching framework was employed in teaching in midwifery virtual simulation experiment. The teaching content was integrated into five modules:situation,task,process,achievement and evaluation. Students learned independently,discussed and displayed the achievements,and teachers guided and evaluated. After the teaching,a questionnaire was surveyed on the course participation,learning satisfaction and critical thinking ability among 61 undergraduates in midwifery. Results The average operating time of the virtual simulation platform was 2.51 h. The total score of students’ critical thinking ability and the four dimensions of truth seeking,analytical ability,self-confidence,and curiosity after teaching were significant higher than those before teaching(P<0.05). Among the undergraduates,98% of them believed that their understanding and mastery of theoretical knowledge got deepened,and 90% of the students reported that their ability to analyze and solve problems got improved. Conclusion The MiniQuest teaching mode has a positive teaching effect in the virtual simulation experiment of undergraduate midwifery,which helps to cultivate students’ critical thinking ability.

    Development of teaching cases of high simulation training of physician-nurse cooperation in Obstetrics and Gynecology Nursing
    JIANG Menghan, SHI Xinping, ZHANG Meng, ZHAO Ruowen, LIN Cuixia, LI Yueping, WEI Qifei
    2023, 20 (2):  146-150.  doi: 10.3761/j.issn.1672-9234.2023.02.003
    Abstract ( 233 )   HTML ( 2 )   PDF (922KB) ( 18 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To explore the feasibility of developing high simulation training cases of physician-nurse cooperation in Obstetrics and Gynecology. Methods The cases were developed through the process of setting up the case preparation team,collecting cases,revising and reviewing cases. After that,five clinical medical students and 13 nursing students were recruited as particiapnts. Two cases of normal delivery and vaginal delivery postpartum hemorrhage were examined in the pilot study. Each practical training course lasted three class hours,with a total of six class hours. Evaluation in the feasibility of the case by understanding students’ views on the case design and teachers’ reflection on the training process. Results The students thought that the training could strengthen and deepen their understanding of roles between majors and enhance their interest in learning. The teachers believed that the design elements in the case could be realized. Conclusion It is feasible to develop and apply the high simulation training case of nursing cooperation in Obstetrics and Gynecology and can provide a reference for cultivating students’ cross-professional cooperation ability in the future.

    Participating experience of virtual reality teaching among nursing undergraduates:a meta synthesis of qualitative studies
    FAN Chunmei, LIANG Xiaocan, SHI Jing, LIU Yuzhao, WU Tinglan, SHENG Yuan, GAO Wei, LI Huili, YANG Shanlan
    2023, 20 (2):  151-157.  doi: 10.3761/j.issn.1672-9234.2023.02.004
    Abstract ( 365 )   HTML ( 0 )   PDF (1014KB) ( 18 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To systematically evaluate the real experience of nursing undergraduates’ participation in virtual reality teaching. Methods A number of databases were searched including PubMed,Web of Science,PsycINFO,CINAHL,Cochrane Library,Scopus,CBM,CNKI,Wanfang and VIP. Qualitative research on the experience of nursing undergraduates participating in virtual reality teaching was retrieved from the date of database establishment to February 28,2022. The quality of the literature was evaluated using the quality evaluation criteria of Australian JBI evidence-based health care centers,and the results were summarized and integrated using the aggregative integration method. Results A total of 10 studies were included,48 results were extracted,eight new categories were summarized and classified into three themes:the unique and positive experience of virtual reality teaching;experience of changing situations and roles;experience of defects on content design and technology in virtual reality teaching. Conclusion Nursing students hold a positive attitude and experience of participating in virtual reality teaching. Such innovative teaching methods and perspective of nurses and patients of different learning experience is helpful for students to get rid of the inherent thinking,promote the development of clinical experience and empathy. Still,further studies are needed to enrich the content design details and optimize the technology of virtual reality experience.

    Design and application of high-simulation situational simulation comprehensive training for pain management
    RUAN Xiaofen, FENG Yan, CHEN Jie, LÜ Bifang, YU Xiaoling, HAN Xiaoxu, YAO Meiqi
    2023, 20 (2):  158-163.  doi: 10.3761/j.issn.1672-9234.2023.02.005
    Abstract ( 229 )   HTML ( 1 )   PDF (978KB) ( 19 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To explore the effect of a comprehensive experimental course of high-simulation situational simulation for pain management among nurses. Methods Following the best practice standards of INACSL,a comprehensive experimental course of high-simulation situational simulation for pain management was developed based on the core competency model. A total of 57 nurses from a tertiary general hospital in Zhejiang Province were selected as participants for this training. The evaluation was carried out using Knowledge and Attitudes Survey Regarding Pain and the California Critical Thinking Disposition Inventory. Results The average number of correct answers on the questionnaire of pain management knowledge and attitude after training (26.61±2.86) was higher than that before training(21.77±3.19),which reached statistical significant(t=8.741,P<0.001). Also,the score of critical thinking ability after training(262.88±22.79) was higher than that before training(244.81±34.02),and the difference was significant statistically(t=4.283,P<0.001). Conclusion The comprehensive training of high-simulation situational simulation for pain management can improve the critical thinking ability and pain management knowledge and attitude of nurses. Meanwhile,the long-term effects and changes in nurses’ pain management practices still need to be further verified.

    Review of the teaching evaluation of virtual simulation experiment teaching and its implications to nursing education
    PANG Bing, WANG Xiuhong, WANG Yunyun, XU Wanying, LI Ting
    2023, 20 (2):  164-168.  doi: 10.3761/j.issn.1672-9234.2023.02.006
    Abstract ( 275 )   HTML ( 2 )   PDF (736KB) ( 20 )   Save References | Related Articles | Metrics

    As an emerging teaching method,virtual simulation experimental teaching is still in its infancy in nursing education in China,and teaching evaluation is the key link to give full play to the greatest advantages of virtual simulation experimental teaching and ensure the quality of teaching. This paper summarized the current situation of virtual simulation experimental teaching evaluation in various disciplines at domestic and foreign from the aspects of theoretical basis,the content,and methods of teaching evaluation,and put forward suggestions for the further improvement of virtual simulation experiment teaching evaluation in domestic nursing experimental teaching.

    Nursing Education
    Application effect of SPOC combined seminar teaching in Advanced Nursing Practice course for postgraduates of master of nursing specialist
    XIAN Xuemei, QIAO Shina, ZHAO Linfang, HU Beibei, HU Hongyang, YUAN Hongdi, QIAN Ying, JIANG Xiaofang, YE Zhihong
    2023, 20 (2):  169-173.  doi: 10.3761/j.issn.1672-9234.2023.02.007
    Abstract ( 175 )   HTML ( 1 )   PDF (625KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To explore the application effect of SPOC combined seminar teaching in the Advanced Nursing Practice course for postgraduates of master of nursing specialist(MNS). Methods The MNS students were divided into the control group(n=33) and the experimental group(n=29) according to their class. The experimental group employed SPOC combined seminar teaching,while the control group used traditional teaching. The critical thinking ability of the two groups was evaluated by the Critical Thinking Disposition Inventory before and after the teaching respectively. Besides,the theoretical test and comprehensive report scores,teaching quality evaluation and teaching satisfaction were compared between the two groups. Results After teaching,the critical thinking ability score of the experimental group(300.97±26.45) was higher than that of the control group(283.67±17.39),and the difference was statistically significant(P<0.05). Similarly,the score on the comprehensive report and the evaluation of teaching quality of the experimental group was higher than that of the control group(P<0.05). In addition,the satisfaction of the experimental group in the two aspects of “helping to improve clinical problem analysis ability” and “helping to improve clinical nursing ability” was significantly higher than that of the control group(P<0.05). Conclusion The application of SPOC combined seminar teaching method in Advanced Nursing Practice courses can effectively improve the critical thinking ability among postgraduates of MNS,and enhance the learning effect,teaching quality as well as students’ satisfaction toward teaching.

    Design and practice of ideological and political theory education in Geriatric Nursing based on blending teaching
    ZHOU Xue, FENG Jibo, GAO Huanling, LI Linjie, LI Hongmei
    2023, 20 (2):  174-178.  doi: 10.3761/j.issn.1672-9234.2023.02.008
    Abstract ( 249 )   HTML ( 0 )   PDF (683KB) ( 12 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To design a ideological and political blending teaching program for undergraduate Geriatric Nursing and to explore its effect. Methods A total of 122 third year nursing undergraduates in a university were recuited as participants. Firstly,according to the professional content of each teaching theme and the ideological material,the ideological objectives and embodiment methods of the corresponding theme were formulated respectively. Afterward,the pre-class online task list,classroom teaching steps and post-class online ideological garden content of each knowledge point were designed. In classroom teaching,common concern and theme discussion,case teaching,fine reading and tribute to exemplars were used. After implementation,effect of the teaching reform was evaluated by students’ usual grades,presentation of elderly health assessment scenario drama and course satisfaction questionnaire. Results Students’ online learning initiative got improved,with a mean score of 43.3 out of 50 for the usual grade. Besides,the sitcom presentation was well prepared,with a mean score of 41.5 out of 50. In addition,94.26% of the students were satisfied with the design and implementation of the ideological and political education. Conclusion The design of the blended teaching enriches the content and methods of curriculum ideological and political education,and improves students’ interest in learning while contributing to students’ value leadership.

    Clinical Teaching
    Application of 3D printing model in the teaching of spinal surgery nursing interns
    YANG Sa, ZHANG Junjuan, JIA Man, WANG Huaixi, ZHANG Shaohua, CHAI Sen, YU Wenjing
    2023, 20 (2):  179-181.  doi: 10.3761/j.issn.1672-9234.2023.02.009
    Abstract ( 170 )   HTML ( 0 )   PDF (781KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To explore the application effect of 3D printing model in spinal surgery clinical nursing teaching. Methods In this study,convenience sampling method was adopted and 110 nursing interns who were admitted to the department of spine surgery in a tertiary first-class hospital from July 2019 to April 2020 were selected as the control group,and conventional clinical teaching methods were carried out. Another 129 nursing interns who entered the department from July 2020 to April 2021 were selected as the experimental group,and the 3D printing model was used in conjunction with conventional clinical teaching methods. Theoretical knowledge assessment,objective structure clinical examination result,performance of ward rounds in nursing teaching,and satisfaction with teaching survey were used to evaluate the training effect. Results The scores of theoretical knowledge assessment,objective structure clinical examination result,nursing ward rounds,and satisfaction with teaching in the experimental group were higher than those in the control group(P<0.05). Conclusion The application of 3D printing spine model in the spinal surgery clinical nursing teaching improved the teaching effect and promoted students’ satisfaction with teaching.

    The reliability and validity of the Chinese version of the Patient Privacy Scale among nursing interns
    ZHANG Jing, SHI Meixia, CHEN Bin, LI Tian
    2023, 20 (2):  182-186.  doi: 10.3761/j.issn.1672-9234.2023.02.010
    Abstract ( 245 )   HTML ( 2 )   PDF (640KB) ( 17 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To translate the Patient Privacy Scale(PPS) and examine its reliability and validity among nursing interns,so as to provide an evaluation tool for investigating the current situation from protection of patients’ privacy by nursing interns in China. Methods After obtaining the authorization from the author of the original scale,literal translation,back translation was carried out and expert consultation was conducted afterward. By convenient sampling,200 nursing students from three medical colleges in Shanxi Province were investigated,and six experts were invited to test and evaluate the reliability and validity of the scale. Results The Chinese version of Patient Privacy Scale contains a total of five dimensions with 25 items. The correlation coefficients between each item and the total score were ranged from 0.763 to 0.917,and ranged from 0.479 to 0.760 for each item. Through exploratory factor analysis,the KMO value was 0.855,and χ2 of Bartlett’s test of sphericity was 5 219.120(P<0.001),and the cumulative variance explained rate was 80.028%. For each item,the range was 0.83~1.00 for I-CVI and 0.96 for total scale S-CVI. Besides,Cronbach’s α of the whole scale was 0.967,and Cronbach’s α for five dimensions was ranged from 0.891 to 0.974. The test-retest reliability was 0.868. Conclusion The Chinese version of Patient Privacy Scale has good reliability and validity,which can be adopted as a tool for evaluating ability of nursing interns to protect patients’ privacy in our country.

    Continuing Education
    The construction of a training system for maternal and infant specialty nurse in Henan Province
    ZHENG Guoyan, GUO Ying, ZHANG Lingling, ZHANG Xiaobai, HUANG Dandan
    2023, 20 (2):  187-193.  doi: 10.3761/j.issn.1672-9234.2023.02.011
    Abstract ( 199 )   HTML ( 0 )   PDF (889KB) ( 16 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To construct a scientific and practical training system for specialty nurse of maternal and infant nursing,and to provide a theoretical basis for the training of these nurses. Methods A correspondence questionnaire on the training system for maternal and infant specialty nurse was developed through literature analysis,interviews with tutors,and group discussions,and two rounds of consultation were conducted with 18 experts in maternal and infant medical care,nursing education,and nursing management by Delphi technique. Results The effective recovery rate of the questionnaire reached 100% in two rounds of expert inquiry. The authority coefficient of the experts in both rounds was 0.88. The training system for maternal and infant specialty nurse was consisted of three parts,namely training objectives,training process,and training contents. The training objectives include seven items;the training process includes six items at the first level and 23 items at the second level. The content of training includes five items at the first level,16 items at the second level and 84 items at the third level. Conclusion The constructed training system for maternal and infant specialty nurse based on job competency is scientific and practical,which can provide reference for training institutions to carry out training for maternal and infant specialty nurse.

    Training and effectiveness of PICC maintenance in Guangdong Province
    CHEN Lifen, LI Jinyan, YANG Yuhong, ZHOU Xuemei, WANG Haiying
    2023, 20 (2):  194-198.  doi: 10.3761/j.issn.1672-9234.2023.02.012
    Abstract ( 207 )   HTML ( 2 )   PDF (703KB) ( 12 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To describe the methods and explore the effect of basic venous catheter maintenance training in primary nurses in Guangdong Province. Methods From 2018 to 2020,Intravenous Therapy Professional Committee of Guangdong Nursing Society has constructed a three-level linkage support structure of “provincial-city-local”,which integrated the teaching and training resources of static therapy specialty of municipal institutes and local hospitals. Training of venous catheter maintenance was carried out among 2 139 primary nurses in Guangdong Province. Before and after the training,the nurses who participated in the training were evaluated in theory and operation. After training,nurses’ satisfaction with training was investigated. The PICC-related complications and patients’ transportation costs were surveyed within one year after training. Results After training,the level of theoretical knowledge and operational skills of primary nurses improved compared with that before training(P<0.05),and more than 97% of the nurses were satisfied with training. One year after the training,the overall incidence of PICC-related complications reported by 12 county-level people’s hospitals decreased from 4.08% to 1.98%(χ2=9.206,P=0.002). The average transportation cost of primary patients with catheter to and from hospital for catheter maintenance decreased from(380.00±16.35) yuan to(180.00±10.18) yuan(t=214.479,P<0.001),and their satisfaction rate with maintenance service was above 95%. Conclusion The three-level linkage promoted PICC maintenance training for primary nurses,and improved the theory,operation level and clinical service level of primary nurses on PICC.

    The effects of objective structured clinical examination on the transport competence for critical patients of nurses in cardiovascular departments
    FENG Jiehui, XU Jianning, ZHOU Xinghui, YU Chao, LI Xufang, PAN Ying, FAN Ning, ZHU Xujing
    2023, 20 (2):  199-204.  doi: 10.3761/j.issn.1672-9234.2023.02.013
    Abstract ( 155 )   HTML ( 1 )   PDF (803KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To explore the effect of the objective structured clinical examination(OSCE) on evaluating the transport ability of critically ill patients of nurses in cardiovascular departments. Methods The OSCE training program was designed through Delphi technique based on the evaluation of nurses’ transport ability of critically ill patients,the transport practice process as the main line,and the transport cases bank as the basis. Six examination stations were established including pretransport assessment and grading,pretransport communication and preparation,dynamic monitoring during transport,emergency disposal during transport,standardized handover after transport,feedback and evaluation. The examination was conducted in 36 nurses in department of cardiovascular surgery and department of cardiovascular medicine. Results In terms of evaluation experience,nurses had a high degree of recognition for the effect of the OSCE. In terms of OSCE program quality evaluation,the average score was (73.25±4.29),with normal distribution. The difficulty coefficients of each station ranged from 0.60 to 0.83,with an average of 0.73. The Cronbach’s α coefficient of test scores was 0.79,indicating good internal consistency. In terms of clinical effectiveness,the transport ability of nurses was improved after OSCE assessment:the accuracy of assessment and grading before transport,the efficiency of communication before transport,the qualified rate of preparation before transport,the rate of compliance with monitoring and treatment during transport,and the standard rate of handover after transport were statistically significant compared with those before OSCE(P<0.05).Conclusion The OSCE evaluated the transport capacity of nurses in cardiovascular departments comprehensively and scientifically,which could provide a reference for the teaching and assessment of the transport of critically ill patients.

    Health Education
    Development and validation of the Knowledge-attitude-practice Scale for Sarcopenia Prevention and Control for Older Adults in Community
    HUANG Qian, XU Huiping, LIU Yanjin, ZHANG Yan, WANG Yanyan, GUO Yuanli, CAI Libai, GUO Lina, LI Huijing
    2023, 20 (2):  205-209.  doi: 10.3761/j.issn.1672-9234.2023.02.014
    Abstract ( 175 )   HTML ( 0 )   PDF (665KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To develop and validate the Knowledge-attitude-practice Scale for Sarcopenia Prevention and Control for Older Adults in Community. Methods The primary item pool was constructed according to the literature analysis and findings of semi-structured interviews with 16 older adults in community. In two rounds of Delphi technique,16 experts were consulted by letter,and the contents of the scale were adjusted according to the experts’ opinions to form the first draft. Revision was further made by a pilot survey with 30 community older adults. A total of 336 elderly people from 5 communities in Zhengzhou were recruited to test the reliability and validity of the questionnaire. A total of 40 community older adults were invited to complete the questionnaire for the second time at two weeks after their first completion. Results The developed scale consists of 25 items in three dimensions:knowledge,attitude and practice. The cumulative contribution rate was 66.027%,the S-CVI of the scale was 0.933,the total Cronbach’s coefficient was 0.825,the retest reliability was 0.917. Conclusion The questionnaire has good reliability and validity and can be used to evaluate the knowledge-attitude-practice of sarcopenia prevention and control among older adults in community.

    Best evidence summary of cardiac rehabilitation health education for patients after PCI
    LIU Jiawen, TU Hui, LI Xin, XIAO Dan, CHEN Hua, XU Wenjun, YI Fengyi, WEI Wenting, XIONG Xiaoyun
    2023, 20 (2):  210-216.  doi: 10.3761/j.issn.1672-9234.2023.02.015
    Abstract ( 199 )   HTML ( 0 )   PDF (919KB) ( 15 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To search and summarize the evidence of cardiac rehabilitation health education for patients after percutaneous coronary intervention. Methods We searched related evidence in BMJ Best Practice,UpToDate,Cochrane Library,JBI EBP Database,CNKI,Wanfang,and other databases and professional websites,including clinical decision-making,evidence-based guidelines,expert consensus,and quality evaluation and evidence extraction. Results A total of 12 literatures were listed,including five guidelines,three clinical decisions,three expert consensus and one evidence summary. Forty-five pieces of best evidence were summarized in seven aspects,namely recommendation and education,medication,exercise,nutrition,psychology,smoking cessation,and risk factor management. Conclusion This study summarized the best evidence of cardiac rehabilitation health education for patients after percutaneous coronary intervention,which provided nurses about how to carry out comprehensive and specific health education.

    Summary of the best evidence for medication management in elderly patients with polypharmacy
    CHENG Ting, TU Hui, GUO Ting, LI Xin, XU Wenjun, PENG Ying, ZHANG Na
    2023, 20 (2):  217-222.  doi: 10.3761/j.issn.1672-9234.2023.02.016
    Abstract ( 223 )   HTML ( 4 )   PDF (725KB) ( 15 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To summarize the best evidence of medication management in elderly patients with polypharmacy and provide reference for management of multi-drug administration for elderly patients. Methods Relevant evidence on medication management in elderly patients with polypharmacy was retrieved,including BMJ Best Practice,UpToDate,National Guideline Clearinghouse,National Institute for Health and Care Excellence,Registered Nurses Association of Ontario,Medive,Joanna Briggs Institute Library,Cochrane Library,PubMed,CNKI,Wanfang,etc.. The time limit was set from the establishment of the database to February,2022. The quality assessment and classification were conducted by researchers using the quality evaluation standard and evidence grading system of JBI evidence-based health care center. Results A total of eight references were enrolled,including two guidelines,four expert consensus reports,two systematic reviews. Nineteen pieces of evidence were obtained,including safety assessment,management support,education and self-management.Conclusion The process of evidence production is specific,comprehensive and scientific. Clinical healthcare professionals should select the best evidence for clinical application in combination with actual situation of the hospital,clinical context and individual condition of patients to standardize the practice of patients’ medication management and ensure medication safety.

    Clinical Practice
    Evidence summary on management of neonatal umbilical catheterization in the neonatal intensive care unit
    LI Xiaowen, HU Yanling, WAN Xingli, SHI Zeyao
    2023, 20 (2):  223-228.  doi: 10.3761/j.issn.1672-9234.2023.02.017
    Abstract ( 152 )   HTML ( 0 )   PDF (696KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To retrieve the evidence for the management of neonatal umbilical catheterization,and to evaluate and summarize the best evidence. Methods According to“6S model”,we systema-tically searched the CNKI,Wanfang,PubMed,Cochrane Library,UpToDate,National Guideline Clearinghouse and other websites regarding all the evidence on the management of neonatal umbilical catheterization in neonatal intensive care unit(NICU). The search time limit was from the inception of the databases till November 1,2021. Two researchers evaluated the quality of the included literature,and extracted evidence from the literature that met the quality standards. Results We searched 12 articles,including 5 guidelines,5 systematic reviews and 2 clinical decisions. Eighteen best evidences were collected from 4 aspects,including relevant technology of umbilical catheterization,catheter device management,catheter removal timing,and prevention of complications. Conclusion This study provides clinical medical staff with evidence-based evidence for the operation and management of umbilical catheterization and promotes the management of the catheterization site. Incidence of catheter-related complications will be reduced accordingly.

    Summary of the best evidence for the prevention of tracheostomy-related pressure injury in adults
    XIANG Lijun, WANG Yuan, LUO Yansi, GONG Lihong, CAO Meng, SONG Xuemei, CUI Yanli, CHEN Jian, ZHANG Xiaomei
    2023, 20 (2):  229-239.  doi: 10.3761/j.issn.1672-9234.2023.02.018
    Abstract ( 227 )   HTML ( 1 )   PDF (976KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To evaluate and summarize the relevant evidence of the prevention of tracheostomy-related pressure injury(TRPI) in adults,and to provide references for clinical practice. Methods We searched for clinical decisions,guidelines,recommended practices,evidence summaries,expert consensuses and other evidence on the prevention of TRPI in the UpToDate,BMJ Best Practice,Joanna Briggs Institute Library,Guidelines International Network,National Guideline Clearinghouse,Registered Nurses’ Association of Ontario,Society of Critical Care Medicine,European Pressure Ulcer Advisory Panel,National Pressure Injury Advisory Panel,Cochrane Library,PubMed,CNKI,Wanfang Data etc. Results A total of 15 articles were incorporated,including 2 clinical decisions, 8 guidelines,2 evidence summaries,1 recommended practice,2 expert consensuses. Thirty-two pieces of the best evidence were summarized in 7 aspects,namely risk assessment,skin assessment,selection and application of tracheal cannula and tapes,selection and application of preventive dressings,skin care,nutrition assessment and support,organization management and education training. Conclusion Clinical institutions and medical staffs should evaluate factors such as the medical environment,cost of consumables,and patients’ willingness,and combine with the best evidence to implement preventive strategies in a standardized manner,and ultimately reduce the occurrence of TRPI.

    The current status of subsyndromal delirium in elderly patients after hip replacement
    LI Chunhong, LI Taoxingzi, FU Lifang, LI Shan, HAN Shan, LU Xuezhen, ZHANG Yaqin
    2023, 20 (2):  237-239.  doi: 10.3761/j.issn.1672-9234.2023.02.019
    Abstract ( 158 )   HTML ( 0 )   PDF (415KB) ( 16 )   Save Figures and Tables | References | Related Articles | Metrics

    Objective To investigate the current status of subsyndromal delirium in elderly patients after hip arthroplasty. Methods One hundred and two patients with hip arthroplasty who were admitted to the orthopaedic ward of a tertiary first-class hospital in Zhengzhou City were selected from May to December 2021. The Age-Adjusted Charlson Comorbidity Index(ACCI) and the Chinese version of the 3-minute Diagnostic Interview for CAM were investigated. Meanwhile,the fracture site,preoperative fasting and water prohibition time,preoperative bed rest time,and the duration of surgery were recorded. Results Seventy-five patients developed subsyndromal delirium after operation. Compared with the non-subdelirium group,the subdelirium group had a greater proportion of women,higher ACCI,and longer preoperative bed rest,fasting,and water deprivation(all P<0.05). Conclusion The incidence of subsyndromal delirium in elderly patients after hip arthroplasty is high,and medical staffs should pay attention to the female patients,and patients with high ACCI,preoperative bed rest,preoperative fasting,and prolonged water deprivation.

    Review
    Application of cognitive load theory in teaching design of medical curriculum
    ZHANG Shan, WU Ying
    2023, 20 (2):  240-244.  doi: 10.3761/j.issn.1672-9234.2023.02.020
    Abstract ( 216 )   HTML ( 0 )   PDF (593KB) ( 13 )   Save References | Related Articles | Metrics

    The study task of medical students is quite heavy,which will lead to mental fatigue,high cognitive load,and ultimately affect the effect of learning. The cognitive load theory holds that the intrinsic cognitive load should be optimized by matching learning tasks with students’ previous knowledge and experience. Then,the extraneous cognitive load should be reduced by simplifying the presentation of learning content,and students can devote more cognitive resource to the tasks that really need to be completed. Therefore,this paper reviewed the medical curriculum teaching studies using cognitive load theory,including reducing the intrinsic cognitive load,decreasing the external cognitive load and increasing the germane cognitive load,and the measurement methods of cognitive load. Hopefully,this paper will provide more ideas and theoretical basis for the design of medical education curriculum in China.

    Exploration and Debate
    The underlying logics of post-graduate education of nurse practitioner in China
    LU Yue, SHANG Shaomei, JIANG Hua, WEI Zhengxin, LI Mingzi, DUAN Liping
    2023, 20 (2):  245-247.  doi: 10.3761/j.issn.1672-9234.2023.02.021
    Abstract ( 155 )   HTML ( 0 )   PDF (451KB) ( 12 )   Save References | Related Articles | Metrics

    Although the training of nurse practitioner has been explored in some regions in China,the post-graduate education of nurse practitioner is still not established in its infant stage,because of lacking of standardization and localization. In this study,we explored the underlying logics of post-graduate education of nurse practitioner in four aspects step by step,including the specialized conception,the necessity and feasibility,the goals and the educational philosophy,which will provide a convinced and localized theorelical basis for the post-graduate education of nurse practitioner.

    Overseas Knowledge
    The development status and enlightenment of pediatric nurse practitioners in the United States
    CHEN Junqing, YE Xian, XU Hongzhen
    2023, 20 (2):  248-252.  doi: 10.3761/j.issn.1672-9234.2023.02.022
    Abstract ( 159 )   HTML ( 0 )   PDF (624KB) ( 13 )   Save References | Related Articles | Metrics

    Pediatric nurse practitioner,a kind of advanced practice registered nurse in the United States,is relatively mature in development. This review introduces the role,certification,practice setting and responsibility of pediatric nurse practitioners in the United States,aiming to provide a reference for exploring the cultivation and practice program of pediatric nurse practitioners in China.

    Application progress of rapid cycle deliberate practice in nurse professional skills training
    TANG Jiaying, SHAO Qingmei, GUO Zhiting, REN Siqi, HUANG Xiaoxia
    2023, 20 (2):  253-256.  doi: 10.3761/j.issn.1672-9234.2023.02.023
    Abstract ( 228 )   HTML ( 2 )   PDF (513KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics

    Rapid cycle deliberate practice is a type of training method based on simulation exercises,which can improve trainees’ memory abilities of knowledge and key points of skills in a short period of time,which is conducive to the maintenance of long-term training effects. This paper summarized the concept,content,implementation principles,effect evaluation and limitations of rapid cycle deliberate practice,providing reference for improving the inservice training program of nurses and improving and maintaining the training effect in the future.