Table of Content

15 April 2024, Volume 21 Issue 4 Previous Issue    Next Issue

Research Paper

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Construction and application of a postpartum follow-up checklist for gestational diabetes mellitus GAI Ying, LI Chang, ZHANG Jimin, GENG Xiaoting, JIANG Hailong, LI Shuying, GUO Yanwei 2024, 21 (4):  389-396.  doi: 10.3761/j.issn.1672-9234.2024.04.001 Abstract ( 547 )   HTML ( 3 )   PDF (1120KB) ( 42 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct a checklist of postpartum follow-up of gestational diabetes mellitus （GDM） parturients，and standardize the content and process of postpartum follow-up of GDM parturients. Methods We developed the first draft postpartum follow-up checklist for gestational diabetes mellitus based on an evidence-based approach. The Delphi method was used to conduct two rounds of correspondence consultation with 18 experts，and the postpartum follow-up checklist of GDM was formed. The follow-up checklist was preliminarily applied，and the final list was formed after the revision. Results The positive coefficients of experts in both rounds of correspondence were 100%；the authority coefficients of experts were 0.914 and 0.919，Kendall harmony coefficients were 0.214 and 0.188，respectively（all P<0.001）.The final list of postpartum follow-up of GDM parturients contained six primary indicators（postpartum glucose and lipid metabolism status，health behavior management status，postpartum psychological status，offspring health status，family social support status，and postpartum health guidance），18 secondary indicators，and 46 tertiary indicators. Meanwhile，a health guidance manual for postpartum care of GDM was formed. Conclusion The content of postpartum follow-up list constructed in this study is scientific and comprehensive，which can provide a basis for postpartum follow-up of pregnant women with gestational diabetes.

Elderly Nursing Education

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The teaching effect of task-driven diversified flipped classroom in Geriatric Nursing LI Anan, HOU Yunying, LI Huiling, WANG Xiaohua, WU Qing, QIAN Hongying, WU Yin, WANG Li, GONG Bingyan 2024, 21 (4):  397-403.  doi: 10.3761/j.issn.1672-9234.2024.04.002 Abstract ( 375 )   HTML ( 0 )   PDF (1197KB) ( 21 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the teaching effect of task-driven diversified flipped classroom teaching method in Geriatric Nursing. Methods The students of grade 2017（n=46） were selected as the control group，and the traditional flipped classroom teaching method was adopted. The students of grade 2019（n=50） were selected as the experimental group，and task-driven diversified flipped classroom teaching method was adopted. The teaching effect was evaluated by course assessment scores，Kogan’s Attitude toward Old People scale（KAOP），Self-evaluation of Competencies to Provide Geriatric Care（SCG）. And evaluation questionnaire of recognition of the teaching method were used to investigate，and students in the experimental group were selected for qualitative interview. Results At the end of the course，the proportion of excellent grades in the experimental group was higher than that in the control group（96% vs. 83%）. The total score of students’ attitude towards the elderly in the experimental group was higher than that in the control group（142.26±14.21 vs. 138.42±15.32），and the self-evaluation score of geriatric nursing ability was higher than that in the control group（78.43±12.28 vs. 66.82±12.60），all the differences were statistically significant（P<0.05）. The scores of each entry of the evaluation questionnaire of recognition of the teaching method by the nursing students were all above 4（basicly agree）. The results of the interviews indicated that the nursing students had good learning experience. Conclusion The task-driven diversified flipped classroom teaching method in Geriatric Nursing can effectively improve nursing students’ attitudes toward the older people，and enhance their geriatric nursing competence，which is approved by nursing students and enables them to have a positive learning experience.

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Development and implementation of a virtual simulation experiment for age-friendly living environments LIN Yan, ZHANG Xuan, XIAO Huimin 2024, 21 (4):  404-409.  doi: 10.3761/j.issn.1672-9234.2024.04.003 Abstract ( 237 )   HTML ( 2 )   PDF (2009KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a virtual simulation experiment for creating age-friendly living environments and explore its application effects. Methods Based on virtual simulation technology and the knowledge of age-friendly environmental care，a virtual simulation experiment for creating age-friendly living environments was constructed，including two modes of “transformation learning and independent creation” and four links of “evaluation，identification，transformation，and creation”. It was applied to the experimental teaching of “daily life care” for 179 undergraduate nursing students in the class of 2020 majoring in Geriatric Nursing. After the end of the teaching project，the students’ training time，system visit frequency，scores in the two modes were analyzed. The students were invited to evaluate the usability of the system and the recognition of the teaching project. Results The login frequency of 179 students was 5（3，9） times；the online learning duration was 81（58，105） minutes；the score of the transformation learning mode was（93.28±8.82） points；the score of the independently created works was（89.35±4.17） points；the score for the usability of the system was（69.62±13.34） points. Meanwhile，98.3%（176/179） of the students indicated that the overall arrangement of the teaching project was good and feasible，97.8%（175/179） of the students indicated that the teaching project was conducive to mastering the knowledge and skills of age-friendly environmental care，and 98.9%（177/179） of the students indicated that the teaching project was conducive to improving their ability and awareness level of innovating the age-friendly environments. Conclusion The recognition of this experiment by students is relatively high. This experiment helps students master the knowledge and skills of age-friendly environmental care and improves their ability to innovate the age-friendly environments. It has certain usability and is worth promoting and applying.

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Application of immersion experience teaching in undergraduate Geriatric Nursing course ZHANG Meng, FENG Dongmei, REN Jing, CHUN Xueli, ZHANG Xuemei 2024, 21 (4):  410-414.  doi: 10.3761/j.issn.1672-9234.2024.04.004 Abstract ( 240 )   HTML ( 0 )   PDF (926KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the impact of immersive simulation experience teaching on improving nursing undergraduates’ experience of Geriatric Nursing. Methods The convenience sampling method was used to select undergraduate nursing students，the students enrolled in 2018 were set as the control group（n=76），and the students enrolled in 2019 were set as the experimental group（n=76）. The control group received the traditional simulation experience course teaching，while the experimental group received the immersion geriatric simulation experience course teaching. After teaching，the scores of the simulated experience course were compared，and the simulation experience reports of the experimental group students were analyzed by text analysis. Results The average score of the experimental group was（9.52±0.26），and the average score of the control group was（7.53±1.10）. There was a significant difference between these two groups（t=15.391，P<0.001）. According to the simulation experience reports，the following three themes were extracted：understanding the causes of special behaviors of the elderly，forming a positive attitude towards the elderly，and thinking deeply about the development of geriatric care. Conclusion Immersive geriatric simulation experience course can improve the geriatric nursing simulation experience of nursing undergraduates，promote their understanding of the elderly，improve their attitude towards the elderly，and trigger in-depth thinking on geriatric nursing.

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Application of narrative teaching method combined with project-driven teaching method in Geriatric Nursing in higher vocational colleges XIAO Le, DAI Lei, PENG Xuyun, HUANG Feiyan 2024, 21 (4):  415-420.  doi: 10.3761/j.issn.1672-9234.2024.04.005 Abstract ( 199 )   HTML ( 0 )   PDF (1133KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the application effect of narrative teaching method combined with project-driven teaching method in the teaching of geriatric nursing in higher vocational colleges. Methods The teaching design of geriatric nursing courses was improved by formulating teaching objectives，determining project tasks，clarifying narrative materials，and formulating narrative strategies. A total of 112 students from two parallel classes of nursing majors in grade 2021 in a higher vocational college were selected as the research subjects，and narrative teaching combined with project-driven teaching was implemented. After the end of the course，the teaching effect was evaluated using the geriatric nursing teaching evaluation form，final theoretical and skill assessment results，the Chinese version of the Facts on Aging Quiz Scale，and Chinese version of Kogan’s Attitude toward Older People Scale. Results After the implementation of the course，84.82%（95/112） of the students liked the current teaching method of geriatric nursing，89.29%（100/112） of the students said the teaching method was appropriate，reflecting the principle of individualized teaching and could stimulate students’ interest in learning，and 83.04%（93/112） of the students could accept engaging in geriatric nursing work after learning the course；the average scores of the final theory and skill assessments were 81.25 and 83.54，respectively，and the pass rates were 95.54%（107/112） and 99.11% （111/112），respectively；the scores of aging knowledge were higher than those before learning the course（P<0.001）；the scores of positive attitudes towards older adults，negative attitudes，and total attitudes were all higher than those before learning the course（P<0.001）. Conclusion The application of narrative teaching method combined with project-driven teaching method in the teaching of geriatric nursing in higher vocational colleges can help improve students’ learning interest，enhance their learning effect and aging knowledge level，and improve their attitude towards older adults.

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Design and application of improving the awareness and friendliness of dementia among Macao College students TAN Meijing, LIAO Yueling, LIU Xiaoyi, LIANG Baoyu, LI Letong, WU Jianwei 2024, 21 (4):  421-426.  doi: 10.3761/j.issn.1672-9234.2024.04.006 Abstract ( 195 )   HTML ( 0 )   PDF (939KB) ( 13 )   Save Figures and Tables | References | Related Articles | Metrics Objective To design the “Education program to enhance the awareness and friendliness of dementia among Macao college students” and explore its application effect. Methods The “Education program to enhance the awareness and friendliness of dementia among Macao college students” was designed through literature analysis. From November 4，2022 to December 16，2022，a 6-week intervention lasting a total of 12 hours was conducted for 30 college students at higher education institutions in Macao based on the "Problem Solving for Better Health" project for undergraduates of Kiang Wu Nursing College of Macau. The levels of dementia knowledge，attitude，and willingness to help suspected dementia patients before and after the intervention were compared. Results After the intervention，the score of dementia knowledge was（31.23±7.60），which was higher than that before the intervention（25.17±7.81）（P<0.001）；the score of dementia attitude was（29.47±5.51），which was not significantly different from that before the intervention（29.83±4.39）（P=0.610）；the score of willingness to help suspected dementia patients was 4（4，4），which was higher than that before the interven-tion 4（3，4）（P=0.026）. Conclusion The “Education program to enhance the awareness and friendliness of dementia among Macao college students” can effectively improve the level of dementia knowledge and willingness to help suspected dementia patients among college students.

Nursing Education

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Construction and practice of Nursing Economics course program for master students in nursing JIAO Taofang, ZHANG Guoyan, WANG Kexin, HE Xinyu, LI Li 2024, 21 (4):  427-433.  doi: 10.3761/j.issn.1672-9234.2024.04.007 Abstract ( 220 )   HTML ( 2 )   PDF (1007KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct a nursing economics course program for master students in nursing and evaluate its effects，so as to expand students’ economic thinking. Methods Based on literature review，personal interviews and expert consultation，the course was constructed and was considered a professional elective course，with a total of 38 class hours，including 22 theoretical class hours and 16 practical class hours. Nursing graduate students enrolled in 2022 were taught in small class sizes. Course effectiveness evaluation was carried out through student assessment results，students’ overall evaluation of the course，and interviews. Results The student’s course mean score was（83.17±5.65）. The diagnostic evaluation score was（8.71±0.53）. In the formative evaluation，the score of seminar combined case teaching and PBL teaching was（17.44±0.81），the score of guided teaching（17.29±0.87），the score of clinical investigation was（8.21±0.56），the summative evaluation score was（31.53±4.67），and the evaluation score conferred upon the course by the students was（92.58±1.93）. In terms of the interviews，four predominant themes emerged，namely "cultivating analytical and problem-solving skills"，"improving vocational skills"，"changing the way of thinking" and "improving management and decision-making skills". Conclusion The constructed course can improve the clinical economic thinking and innovation ability of nursing postgraduates which is worth popularizing.

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Application analysis on the use of Clinical Care Classification System for nursing undergraduates about medical records of Alzheimer’s disease LIU Min, FEI Yinxia, DA Miao, ZHANG Na, QIAN Li 2024, 21 (4):  434-439.  doi: 10.3761/j.issn.1672-9234.2024.04.008 Abstract ( 176 )   HTML ( 0 )   PDF (948KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the application analysis on the use of clinical care classification system for nursing undergraduates about medical records of Alzheimer’s disease. Methods Two teachers collected medical records and developed standardized terminology reference criteria in advance，after pre-experiments，medical records were distributed by drawing lots. Based on the clinical care classification，116 full-time nursing undergraduate students enrolled in 2022 analyzed the patient’s medical records and coded relevant nursing diagnosis，nursing measures and nursing outcomes，the correct rate of coding and the error distribution of coding were counted. Meanwhile，semi-structured interview was conducted with students to understand their experience in using clinical care classification. Results A total of 9 502 nursing terms were coded and analyzed by 116 students，including 1 276 nursing diagnoses，6 950 nursing measures，and 1 276 nursing outcomes. The highest coding accuracy rate of students was 100%，the lowest correct rate was 58.82%，and the average correct rate was 88.18%. The coding errors in nursing diagnosis were mainly concentrated in thought processes alteration，cerebral alteration，injury risk，etc.，while the coding errors in nursing measures were mainly concentrated in categories of nursing measures such as activity，physical regulation and safety. Students believed that clinical care classification could reflect the steps and content of nursing procedures and could cover the care behavior of most Alzheimer’s disease patients. There were certain difficulties in mapping and analyzing clinical care classification in the medical records，but theoretical and clinical exploration could promote the learning and application. Conclusion Undergraduate nursing students are generally able to understand and apply the clinical care classification system，analyze and apply it in the medical records of Alzheimer’s disease patients. This study provides certain reference value for the teaching of standardized nursing terminology.

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Construction and practice of ideological and political education in nursing courses in universities based on the belief of “three lives with faith” YU Xiang, DING Yuemin, WANG Qiaoqiao 2024, 21 (4):  440-443.  doi: 10.3761/j.issn.1672-9234.2024.04.009 Abstract ( 162 )   HTML ( 0 )   PDF (919KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics In order to implement the spirit of ideological and political construction of higher education curriculum issued by the Ministry of Education and the requirements of the guidance documents such as the Teaching Guidelines for Ideological and Political Education of Nursing Professional Courses，Hangzhou City University actively promoted the ideological and political education teaching system of nursing professional courses based on the “three lives with faith”. Based on the training objectives and professional requirements of nursing professionals，the ideological and political connotations of exploring the mysteries of life，safeguarding life and health，and pursuing life value，namely the “three lives”，was fully integrated into professional courses to cultivate nursing talents with faith，belief，and trustworthiness. The satisfaction with ideological and political education among internal students was 99%. One year after graduating，all the indicators of the Zhejiang Provincial Education Examination Institute was infront of the province.

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Application of reflection prompt card in scenario simulation training for nursing undergraduates YANG Nana, ZENG Hui, ZHOU Jing, LI Changxiu, SUN Lingxia, WU Min, CHENG Chuanli, LIU Rong, LUO Luwen 2024, 21 (4):  444-448.  doi: 10.3761/j.issn.1672-9234.2024.04.010 Abstract ( 177 )   HTML ( 1 )   PDF (786KB) ( 17 )   Save Figures and Tables | References | Related Articles | Metrics Objective To apply the reflective reminder cards in the situational simulation training of nursing undergraduates，and to understand their learning experience. Methods The reflective reminder cards were translated and revised，and then applied to the situational simulation teaching of Introduction to Nursing. The students’ learning experience，gains and suggestions were analyzed through their reflective diaries and after-class interviews. Results A total of 164 valid reflective diaries were obtained，and seven students who completed their diaries and eight students who did not completed their diaries were selected to interviewed. Students believed that the use of reflective reminder cards in situational simulation teaching could promote the integration of theory with practice and knowledge transformation，reflect on personal ability from situational simulation，establish nursing professional identity，and expect continuous improvement of the course. Conclusion The application of reflective reminder cards in the situational simulation training of nursing undergraduates can help students transform，consolidate and internalize knowledge，and the students have a better experience，which can provide new ideas and methods for teachers to improve the situational simulation teaching.

Continuing Education

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A study on the influence factors of job engagement in nurses who participated in nutrition support specialist nurse training WANG Meijie, WANG Linna, GUO Yingying, REN Yun, LI Yuanyuan, MA Huan, CHEN Jia, SONG Hongxia 2024, 21 (4):  449-453.  doi: 10.3761/j.issn.1672-9234.2024.04.011 Abstract ( 226 )   HTML ( 2 )   PDF (726KB) ( 16 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the current situation of job engagement of nurses who participated in nutrition support specialist nurse training，and to explore the impact of role conflict and role ambiguity on job involvement，so as to provide reference for the management of nurses in hospitals. Methods General data questionnaire，Nurse’s Role Conflict and Ambiguity Scale，and Specialty Nurse Work Engagement Scale were used to investigate 440 nurses who participated in nutrition support specialist nurse training in Henan province. Results The scores of role conflict dimension，role ambiguity and job engagement were（33.05±7.24），（21.69±5.57） and （108.22±36.82），respectively. The results of correlation analysis showed that role conflict，role ambiguity and job engagement were negatively correlated（r=-0.556，r=-0.376，P<0.001）. The results of hierarchical regression analysis showed that role ambiguity and role conflict had a negative effect on the job involvement level of nurses who participated in nutrition support specialist nurse training，which could explain 20.6% of the total variation. Conclusion The job engagement of nurses who participated in nutrition support specialist nurse training is at a moderate level，and managers should further clarify the clinical roles and division of labor of nutrition support specialist nurses，eliminate their role conflicts and ambiguity，and promote the development of nutrition support specialist nurses in China.

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The influence of resilience on posttraumatic growth of midwives via the chain mediating effects ZHENG Yu, WANG Xin, DENG Yuan, WANG Jia 2024, 21 (4):  454-460.  doi: 10.3761/j.issn.1672-9234.2024.04.012 Abstract ( 171 )   HTML ( 0 )   PDF (984KB) ( 10 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the chain mediating effect of perceived stress and positive coping strategies on the psychological resilience and post-traumatic growth of midwives. Methods Convenience sampling method was used with 349 midwives surveyed from 24 tertiary hospitals in Sichuan Province. General information questionnaire，Simplified Chinese version of Posttraumatic Growth Inventory，Chinese version of Connor Davidson Resilience Scale，Chinese version of Perceived Stress Scale，and Simplified Coping Style Questionnaire were employed in investigation. Results A total of 320 midwives were finally included. The midwives’ psychological resilience score（87.18±7.35），perceived stress score（20.31±3.12），positive coping style score（28.64±3.93），and post-traumatic growth score（76.09±9.42） were all correlated to each other（all P<0.05）. The mediation effect results showed that psychological resilience has a significant direct effect on post-traumatic growth，with an effect value of 0.341. Besides，stress perception and positive coping styles not only played a significant individual mediating role between psychological resilience and post-traumatic growth，with effect values of 0.103 and 0.122，respectively，but also played a significant chain mediating role. The effect value was 0.037，and the mediating effect accounted for 43.4% of the total effect. Conclusion The psychological resilience of midwives can directly affect post-traumatic growth，and also indirectly affect post-traumatic growth through the individual and chain mediating effects of stress perception and positive coping strategies. Nursing managers should help to improve the psychological resilience of midwives and to reduce individual stress perception，enhance coping abilities to achieve positive growth.

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The mediating effect of reflective ability between occupational attitude and leisure crafting among junior nurses ZHOU Huabo, SONG Yuanxing, WU Mingming, YANG Li, YANG Jiajia 2024, 21 (4):  461-465.  doi: 10.3761/j.issn.1672-9234.2024.04.013 Abstract ( 227 )   HTML ( 3 )   PDF (723KB) ( 15 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the mediating effect of reflective ability on the occupational attitude and leisure crafting of junior nurses. Methods From April to May 2023，a convenience sampling method was used to select 343 junior nurses from three tertiary hospitals in Zhengzhou City as the research participants. A questionnaire survey was conducted using the Nursing Occupational Attitude Scale，Leisure Crafting Scale，and Clinical Nurses’ Reflective Ability Scale. Results The scores on leisure crafting，occupational attitude，and reflective ability of junior nurses were 28（21，34） points，96（84，106） points，and 69（58，78） points，respectively. Relevant analysis showed that occupational attitude was positively correlated with leisure crafting and reflective ability（r=0.588，P<0.001；r=0.712，P<0.001），and leisure crafting was also positively correlated with reflective ability （r=0.626，P<0.001）. The structural equation model showed that occupational attitude could directly affect leisure crafting（direct effect value was 0.226，95%CI：0.096~0.348），and could also indirectly affect leisure crafting through reflective ability（indirect effect value was 0.297，95%CI：0.223~0.382），accounting for 56.68% of the total effect. Conclusion Reflective ability plays a partial mediating role between the occupational attitude and leisure crafting of junior nurses. Nursing managers can take effective measures to enhance the occupational attitude and reflective ability of junior nurses，thereby promoting their leisure crafting behavior.

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The experience of nursing staffs in narrative nursing：a meta-synthesis of qualitative research WANG Yuqing, SUN Xuhan, ZHANG Yuxi 2024, 21 (4):  466-472.  doi: 10.3761/j.issn.1672-9234.2024.04.014 Abstract ( 239 )   HTML ( 0 )   PDF (1039KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics Objective To conduct a meta-synthesis of the experience of nursing staffs in narrative nursing，to provide theoretical basis to develop narrative nursing. Methods We searched databases including PubMed，Embase，Cochrane Library，CINAHL，Web of Science，CNKI，WanFang database，VIP and CBM from the establishment of the databases to January 2024，to collect qualitative studies on the experience of nursing staffs in narrative nursing. The JBI critical appraisal tool for qualitative studies was used to evaluate the quality of the included research，and the meta aggregation was used to conduct the synthesis. Results A total of 10 studies were included，and 45 results were extracted and summarized into 10 categories，which were synthesized into 3 integrated results：nursing staff benefit from participating in narrative nursing，challenges and obstacles of nursing staff to participate in narrative nursing，unmet diversity needs of nursing staff engaged in narrative nursing. Conclusion Nursing managers should have an in-depth understanding of the real experience of nursing staff participating in narrative nursing，build a narrative nursing training and evaluation system in line with China’s national conditions，train and manage nursing staff according to the actual situation，increasing self-efficacy of nursing staff to engage in narrative nursing，and improve the narrative nursing support system，so as to contribute to the comprehensive and effective implementation of narrative nursing practice.

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Reliability and validity of the Chinese version of Therapeutic Relationship Assessment Scale-Nurse（TRAS-N）among mental health nurses LI Yan, ZHOU Jing, XU Hongjiao, FAN Yuxia, LI Na, LIU Meihong, LIN Jing 2024, 21 (4):  473-477.  doi: 10.3761/j.issn.1672-9234.2024.04.015 Abstract ( 119 )   HTML ( 0 )   PDF (961KB) ( 11 )   Save Figures and Tables | References | Related Articles | Metrics Objective To translate the Therapeutic Relationship Assessment Scale-Nurse（TRAS-N） and test its reliability and validity among mental health nurses. Methods According to the Brislin translation model，the Portuguese and English versions of the scale were translated and back translated. A preliminary experiment was conducted to test the Chinese version of the scale. A total of 10 psychiatric experts were invited to evaluate the content validity of the scale. A survey was conducted on 360 clinical nurses from two mental health centers in Qingdao and Rizhao for reliability and validity analysis. Results The CR values of each item in the Chinese version of the scale ranged from 6.313 to 17.359，the correlation coefficient range from 0.429 to 0.766，the I-CVI was 0.800~1.000，and the S-CVI was 0.942. Structural equation model fitting index was as following： χ2/df=2.297，RMSEA=0.074，IFI=0.914，TLI=0.903，CFI=0.913，RMR=0.041. The convergence validity of the scale was 0.348，while Cronbach’s α coefficient was 0.940 and the retest reliability was 0.884. Conclusion The Chinese version of Therapeutic Relationship Assessment Scale-Nurse has good reliability and validity，and can be used to evaluate the current status of therapeutic relationship among mental health nurses in China.

Health Education

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Development of popular science works on catheter care for community-dwelling elderly with disabilities TANG Xumeng, HU Jili, ZHAO Qinghua 2024, 21 (4):  478-485.  doi: 10.3761/j.issn.1672-9234.2024.04.016 Abstract ( 363 )   HTML ( 8 )   PDF (1627KB) ( 24 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop and evaluate of a series of popular science works for catheter care of community-dwelling elderly with disabilities. Methods Through semi-structured interviews and evidence summaries，the content of catheter care popular science works for community-dwelling elderly with disabilities was clarified. After that，the popular science works were designed and produced. From May 5，2023 to June 5，2023，the popular science works were promoted through a combination of online and offline channels. A community-dwelling elderly with disabilities satisfaction survey questionnaire on catheter care popular science works was used to understand their satisfaction and opinions on the popular science works. Results A framework for popular science content was established，encompassing three aspects——daily care of indwelling catheters，prevention and management of emergency situations，as well as prevention and treatment of complications. Finally，a popular science manual containing 19 pages，a popular science video with a duration of 4 minutes and 43 seconds，and a popular science interactive video containing 4 plot lines and 20 plot modules were developed. The average satisfaction score of content evaluation，design evaluation and overall evaluation score of the 88 popular science audience members were 4.30，4.48 and 4.48，respectively. Conclusion The method of developing popular science works for catheter care of community-dwelling elderly with disabilities is scientific. The popular science works have diversified forms，pay attention to user-friendliness，and are highly recognized by the subjects，which can provide reference for the development of other popular science works.

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Evidence summary for prevention and nursing of mucocutaneous separation in patients with enterostomy ZHANG Jie, LI Xiuchuan, LIU Chunfang, TANG Qi, JIANG Jie, HUO Rui, JI Hongmin 2024, 21 (4):  486-491.  doi: 10.3761/j.issn.1672-9234.2024.04.017 Abstract ( 246 )   HTML ( 0 )   PDF (885KB) ( 14 )   Save Figures and Tables | References | Related Articles | Metrics Objective To summarize the relevant evidence of prevention and nursing on mucocutaneous separation in patients with enterostomy，in order to provide evidence-based basis of mucocutaneous separation for clinical nursing practice. Methods Based on the PIPOST model，relevant expert consensus，guidelines，systematic review，and summary of evidence，etc. were retrieved in UpToDate，Cochrane Library，JBI，PubMed，CNKI，WCET and WOCN，etc. The retrieval time limit was set from establishment of the databases to November，2022. Through systematic literature search，screening，literature evaluation，and evidence integration，a summary of evidence on the prevention and care of skin and mucous membrane separation in patients with enterostomy has been formed. Results A total of ten literatures were included，including four guidelines，three consensuses，two systematic reviews，one evidence summary，18 pieces of relevant evidence were identified，including assessment，colostomy site marking，mucocutaneous separation nursing and health education. Conclusion This study summarized the evidence for the prevention and care of stomal mucocutaneous separation，and provided standardized management and improve nursing quality for clinical medical staffs to prevent and treat the complication of mucocutaneous separation after surgery.

Clinical Practice

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Co-word cluster analysis of research hotspots for maternal psychological birth trauma WEN Yongxia, SUN Hai, LI Tong, WANG Qinghua, ZHANG Caihong, GUO Honghua 2024, 21 (4):  492-497.  doi: 10.3761/j.issn.1672-9234.2024.04.018 Abstract ( 256 )   HTML ( 0 )   PDF (2222KB) ( 12 )   Save Figures and Tables | References | Related Articles | Metrics Objective To analyze the research hotspots and development trend of maternal psychological birth trauma at home and abroad，and to provide references for subsequent research. Methods We searched the relevant literature on maternal psychological birth trauma in the CNKI，Wanfang Database，SinoMed，PubMed，and Web of Science Core database，with the search time limit from the establishment of the database to September 20，2023，and used CiteSpace 6.2.4 software to conduct the visualization analysis. Results A total of 412 articles of foreign and 82 articles of domestic were included in the search. The number of articles published on maternal psychological birth trauma at home and abroad showed an overall increasing trend，with the United States（n=98） in the first place and China（n=82） in the second place；the clustering results showed that the common research hotspots of scholars at home and abroad were influencing factors and intervention research，and the development trend of foreign research was "influencing factors-disease manifestation-disease intervention"，which focused on exploring the manifestation of trauma. The domestic research showed the development trend of "diversification and refinement"，which was more concerned with the development of specific assessment tools. Conclusion The research on maternal birth trauma has gradually increased，but the interventional research is still insufficient，and there is a big gap between domestic and foreign research progress. In the future，domestic scholars should strengthen localized research，expand the application of specific assessment tools，and carry out high-quality interventional research in order to promote the development of this field.

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Real experience of economic toxicity in cancer patients：a qualitative meta-synthesis XIONG Yi, ZHANG Liuyi, WANG Lichun, HU Qiqi, WANG Li 2024, 21 (4):  498-505.  doi: 10.3761/j.issn.1672-9234.2024.04.019 Abstract ( 170 )   HTML ( 1 )   PDF (1179KB) ( 9 )   Save Figures and Tables | References | Related Articles | Metrics Objective To systematically review the qualitative research on coping strategies and real experience of cancer patients with economic toxicity，so as to provide a basis for better clinical nursing practice. Methods The Cochrane Library，PubMed，Web of Science，CINAHL，Embase，Scopus，CNKI，Wanfang Database，China Biology Medicine Disc，VIP database were searched. Qualitative studies on the coping strategies and real experience of cancer patients with economic toxicity were retrieved. The search time limit was from the establishment of the database to March 20，2023. The quality of the included literature was evaluated using the 2016 JBI Evidence-based Health Care Center Qualitative Research Quality evaluation criteria，and the research results were integrated using the Meta synthesis method. Results A total of ten studies were included，all quality grade of which were graded B. Forty-two pieces of results were extracted，and the similar results were summarized and combined into eight new categories，which were integrated into three new results，including cancer patients have complex emotional experience and coping styles，cancer patients have difficulty coping with the economic toxicity，and cancer patients lack social support and are eager to get outside support and help. Conclusion Medical staffs should pay more attention to the feelings and experiences of cancer patients experiencing economic toxicity. Based on the needs of patients，it is necessary to combine the national conditions of China and the health care environment in different regions to explore systematic strategies for the prevention and treatment of economic toxicity，so as to improve the treatment effect and quality of life of cancer patients.

Review

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Application progress on in situ simulation in nurse airway management training ZOU Ying, XU Mengqi, RUAN Tiantian, DING Yuan, ZHU Lingyan 2024, 21 (4):  506-512.  doi: 10.3761/j.issn.1672-9234.2024.04.020 Abstract ( 286 )   HTML ( 0 )   PDF (960KB) ( 11 )   Save References | Related Articles | Metrics Nurses play an indispensable role in patient airway management, and the effectiveness of nurse airway management training is crucial for patient safety. In recent years, more and more scholars have introduced in situ simulation teaching methods into airway management training to compensate for the shortcomings of traditional simulation teaching methods. Through comprehensive review of the current status，roles，challenges and strategies for in situ simulation in nurse airway management training，this article aims to offer valuable insights for the enhanced application of in situ simulation in nurse airway management training.