Table of Content

15 August 2024, Volume 21 Issue 8 Previous Issue    Next Issue

Construction of First-class Majors and First-class Courses

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The construction status and development suggestions of national first-class undergraduate courses in nursing WEN Fule, YUAN Xiaoling, WU Juemin, ZHANG Yaqing 2024, 21 (8):  901-906.  doi: 10.3761/j.issn.1672-9234.2024.08.001 Abstract ( 346 )   HTML ( 3 )   PDF (1643KB) ( 10 )   Save Figures and Tables | References | Related Articles | Metrics With the nursing specialty entering a period of rapid development，the establishment of first-class courses has become a crucial tool for nursing schools nationwide to enhance the quality of undergraduate education. This paper reviews the overall construction of national first-class undergraduate courses in nursing，and a total of 108 nursing courses have been approved as national first-class undergraduate courses，which slightly exceeds the average level of first-level disciplines，and the development is characterized by regional differences，institutional differences，multiple evaluations of classic courses，and clustering of professional courses. And，guided by the principles of national first-class courses construction，this paper puts forward suggestions from the aspects of excavating the advantages of institutions，integrating multidisciplinary resources，optimizing curriculum design，promoting the digital transformation of curriculum，and strengthening policy and institutional guarantees，so as to provide reference for promoting the sustainable development of the nursing profession.

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Analysis on the construction path and effect of national first-class undergraduate midwifery major ZHAO Yang, LUO Chenling, LIU Huan, ZHANG Lili 2024, 21 (8):  907-912.  doi: 10.3761/j.issn.1672-9234.2024.08.002 Abstract ( 218 )   HTML ( 0 )   PDF (1083KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Promoted by the Department of Maternal and Child Health of the National Health Commission of the National Health Council and the Ministry of Education in China，Southern Medical University responded to the current situation of the country’s urgent need for midwifery talents by opening an undergraduate professional direction of midwifery in 2011，and approved as a National first-class undergraduate professional construction site in 2022. In this paper，we focused on the basic ideas and specific measures of Southern Medical University in the process of construction of first-class specialty of midwifery，and to provide a reference for the construction of midwifery specialty in domestic institutions.

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The exploration and effect of national first-class nursing specialty construction in local universities and colleges ZHANG Taotao, Li Yan, CHENG Li 2024, 21 (8):  913-918.  doi: 10.3761/j.issn.1672-9234.2024.08.003 Abstract ( 181 )   HTML ( 0 )   PDF (1369KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics The nursing specialty of Hubei University of Medicine was approved as a national first-class undergraduate specialty construction site in 2021. This study reported the experience of constructing nursing specialty from the aspects of revising the talent training program，strengthening the construction of the teaching team，constructing the four-dimensional education system，and creating multiple teaching and its evaluation model. The aim is to provide a reference for the construction of nursing specialty in local universities and colleges，and to promote the high-quality development of nursing education.

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Practices and outcomes of constructing five categories of nursing national first-class undergraduate curriculum ZHU Shuqin, XU Qin, FANG Ying, DING Yaping, CHEN Mingxia, YANG Yang, LI Xianwen, JI Yan, LI Weiying, TANG Huiting, CUI Yan 2024, 21 (8):  919-925.  doi: 10.3761/j.issn.1672-9234.2024.08.004 Abstract ( 206 )   HTML ( 0 )   PDF (1511KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Establishing first-class undergraduate curriculum is a pivotal measure to enhance the quality of nursing higher education and cultivate highly qualified nursing professionals. School of Nursing of Nanjing Medical University aligns with the comprehensive requirements outlined by the Ministry of Education for constructing first-class undergraduate curriculum. This paper reported the development of online first-class curriculum，offline first-class curriculum，blended online and offline first-class curriculum，virtual simulation experiments as first-class curriculum，and first-class curriculum related to social practices. Covering a multitude of aspects，including transforming educational philosophies，innovating diverse teaching methods，optimizing educational content，enriching teaching resources，and reforming assessment methods，this article articulated the measures taken in the construction of professional curriculum. The aim of this paper is to offer insights and references for the construction of nursing curriculum at other domestic universities.

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The teaching design and practice of the national offline first-class undergraduate course of Community Nursing ZHUANG Jiayuan, SHEN Ling, HU Rong, WANG Zhuzhu, WANG Yan 2024, 21 (8):  926-931.  doi: 10.3761/j.issn.1672-9234.2024.08.005 Abstract ( 191 )   HTML ( 0 )   PDF (1080KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics The Community Nursing course of Fujian Medical University has been recognized as a national-level offline first-class undergraduate course in 2023. This article introduces the process of Community Nursing course design，implementation and evaluation by the teaching team. They not only carried out the teaching design based on the "analysis-design-development-implement-evaluate"（ADDIE） model，but also on the basis of fully analyzing the learning situation and teaching environment，combined with the teaching objectives and followed the education principles. At the same time，it introduced the initial achievements of course construction from the three aspects：students，teachers，and course，aiming to promote the construction experience of national first-class offline undergraduate courses and the educational ecosystem where "students enjoy learning，teachers are good at teaching，and teachers and students grow together"，promote the high-quality development of Community Nursing teaching，and provide references for the construction and reform of similar courses. It is recommended to select appropriate teaching models as guidance when designing course teaching to enhance the scientificity and systematicness of teaching design and implementation and ensure the achievement of teaching objectives.

Nursing Education

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Design and practice of micro-major teaching in Lifecycle Health Management CHENG Haoyang, LI Huiling, SHANG Xuan, WEN Xi, ZHANG Taomei, TIAN Li, ZHANG Xuekun 2024, 21 (8):  932-937.  doi: 10.3761/j.issn.1672-9234.2024.08.006 Abstract ( 151 )   HTML ( 0 )   PDF (835KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To design a micro-major teaching program in Lifecycle Health Management and explore its application effect. Methods A micro-major teaching program in Lifecycle Health Management was developed，with major steps including setting teaching objectives，clarifying teaching content and methods，building a teaching resource library，and designing a teaching implementation plan. From September 2022 to June 2023，13 undergraduate students from a university，including sophomores and above，were enrolled in the micro-major program in Lifecycle Health Management for two semesters. The teaching effect was evaluated through course grades and satisfaction surveys. Results The average score of the six courses among the 13 students was（89.2±3.9） points. Among the 13 students，12 expressed "great satisfaction" with the micro-major in Lifecycle Health Management. The top three reasons for the attractiveness of this micro-major were its practicality（13 students），interestingness （10 students），and the teaching by renowned teachers（10 students）. All 13 students indicated that the micro-major courses broadened their horizons and enhanced their related professional knowledge，abilities，and qualities. In addition，11 students believed that the micro-major courses improved their problem-solving abilities and broadened their problem-solving approaches. Besides，9 students found the micro-major was very helpful to their major. Conclusion The micro-major in Lifecycle Health Management achieves good teaching results with high student satisfaction. This study can provide a reference for the implementation of micro-majors in health management in medical colleges and universities.

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Construction and application of a virtual simulation experimental teaching platform for placental abruption based on Jeffries’ nursing simulation teaching theory XIANG Zhenzhen, XU Beini, CHEN Yafang, FENG Suwen 2024, 21 (8):  938-944.  doi: 10.3761/j.issn.1672-9234.2024.08.007 Abstract ( 159 )   HTML ( 0 )   PDF (1586KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct a virtual simulation teaching platform of placental abruption based on Jeffries’ nursing simulation teaching theory and implement it in nursing students to explore the effect. Methods A research team was formed，and the expert group discussion method was used to construct a virtual simulation experimental teaching program based on a typical case of placental abruption. Taking into full consideration of the factors of teachers and students，the platform started from three aspects，including simulation teaching design features，teaching practice activities and expected results. Using the convenience sampling method，54 nursing undergraduates of the class of 2019 in an institution were selected as the participants，and the placental abruption virtual simulation experimental teaching platform was applied in the practice and assessment of Obstetrics and Gynecology Nursing course，and data on the use of the teaching platform，the professional knowledge and skills assessment scores，and the evaluation of the students were collected. Results The experimental teaching platform built for premature placental abruption consisted of three parts，including practice training，knowledge mastery assessment and evaluation feedback，with 12 training modules and 20 assessment modules，in which humanistic care content was integrated into several modules. The average time consumed for the whole experiment was 43.39±6.91 min. The average score of the assessment results in the platform was 82.68±10.31 points. The scores for the dimensions of professional theoretical knowledge，operational skills，and humanistic care assessment of students were 4.03±0.64，4.20±0.70，and 4.30±1.13，respectively. A total of 54 questionnaires were issued for evaluation and 52 valid questionnaires were recovered. The scores of nursing students’ satisfaction with the use of the platform，self-confidence，and critical thinking ability were 4.27±0.61，3.89±0.52，3.92±0.59 points respectively. Conclusion Establishing a virtual simulation laboratory teaching platform based on Jeffries’ nursing simulation teaching theory and placental abruption learning syllabus can enrich the laboratory teaching resources for nursing students. Besides，the platform holds advantages in improving the professional skill level of nursing students，cultivating the ability of critical thinking，improving self-confidence in learning，and humanistic care.

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Research on curriculum design and practice of Labor Education in Nursing from the perspective of collaborative development XING Ying, YANG Yang, WANG Jing, XU Qin, DING Yaping 2024, 21 (8):  945-949.  doi: 10.3761/j.issn.1672-9234.2024.08.008 Abstract ( 170 )   HTML ( 0 )   PDF (911KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To design and examine practical effect of labor education courses for nursing undergraduates. Methods The teaching practice of labor education courses was carried out among 390 nursing undergraduates of grade 2021 and 2022. Comprehensive evaluation was carried out through course grades，College Student Professional Identity Scale，Psychological Contract Scale-Student Subscale，and achievement of learning expectations. Results The passing rate of students was 100%，and the excellent rate was 48.46%（189/390）. After teaching，the scores of students’ professional identity and the development responsibility dimension of the student subscale of the Psychological Contract Scale got improved，and the differences were statistically significant（P<0.05）. More than 95% of students believed that the course had meet or fully meet their learning expectations in all aspects. Conclusion The collaborative integration of labor education and professional education helps nursing students to enhance their professional identity and psychological contract，improve their labor literacy and practical skills，and lay the foundation for their growth into versatile talents.

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Design and preliminary application of knowledge graph for the Introduction to Nursing course SONG Lijuan, DU Miao, CAI Yuke, DONG Jingjing, CHEN Rongfeng, ZHU Aiyong 2024, 21 (8):  950-955.  doi: 10.3761/j.issn.1672-9234.2024.08.009 Abstract ( 294 )   HTML ( 0 )   PDF (970KB) ( 5 )   Save Figures and Tables | References | Supplementary Material | Related Articles | Metrics Objective To develop and preliminarily apply a knowledge graph for the Introduction to Nursing. Methods To address the issue of integrating and constructing the knowledge system of the Introduction to Nursing，with the support of knowledge graph technology，we designed and constructed a knowledge graph for the Introduction to Nursing course. We initially applied it to the teaching of 298 undergraduate nursing students，and evaluated its effectiveness based on the total time per student spent on learning knowledge points，the degree of mastery of completed content，and course satisfaction and theoretical scores. Results The knowledge graph of the Introduction to Nursing course constructed included a total of 90 knowledge topics，covering 5 knowledge learning relationships. The total learning time per capita of 298 students was 20.8 h，84.9% of students met the standard for content mastery，90.3% of students rated the course knowledge graph as very satisfactory overall，88.6% of students rated the presentation of knowledge graph course content as very satisfactory，79.9% of students were very satisfied with the learning methods and forms of knowledge graphs. The theoretical assessment scores of students in 2022 were significantly higher than those of students in 2020（P<0.05）. Conclusion The curriculum knowledge map provides strong support for the online-offline teaching model，as it facilitates the enhancement of the student-centered teaching form，assists students in building a comprehensive curriculum knowledge system，and optimizes the teaching process.

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Implementation status and suggestions on the “double tutorial system” for master of nursing specialist students ZHOU Xinxin, SHI Yan, CHEN Qin, JIANG Lili, WANG Jingjing 2024, 21 (8):  956-961.  doi: 10.3761/j.issn.1672-9234.2024.08.010 Abstract ( 178 )   HTML ( 0 )   PDF (775KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the current implementation status of the “double tutorial system” for master of nursing specialist（MNS） students. Methods From March to April 2023，a convenient sampling method was used to select 195 MNS students as survey participants. A self-designed questionnaire on the implementation of the “double tutorial system” for MNS students and a satisfaction scale for graduate students towards their mentors were issued for the investigation. Results A total of 179 valid questionnaires were collected，with a valid recovery rate of 91.8%. Among the 179 MNS students，the most popular choice for the “double mentor” guidance mode was “guidance on demand”，with 64 students（35.8%）. Meanwhile，the least popular choice was “regular segmented guidance”，with 20 students（11.2%）. More than 90% of MNS students agreed that the “double mentors” jointly guided them in developing personalized training plans，reading literature，writing reviews，and selecting topics based on their research directions；and jointly participated in the proposal presentation，mid-term assessment（as well as pre-defense and defense sessions）. Specifically，the satisfaction scores of MNS students towards their first mentors were higher than those towards their second mentors[5.00（4.66，5.00） vs. 5.00（4.34，5.00）；Z=-2.491，P=0.013]. There were statistically significant differences in the satisfaction scores of MNS students receiving different forms of guidance towards their first and second mentors（P<0.05）. Conclusion The guidance form of “double tutorial” for MNS students varies greatly. Although the performance of “double mentors” in fulfilling their duties is relatively good，there is still room for improvement. MNS students hold a high level of satisfaction with the “double mentor”. Universities and colleges should strive to establish a standardized and efficient “double mentor” guidance model for MNS students，clearly define the responsibilities and roles of “double mentors”，create a regulatory mechanism as well as an incentive mechanism and regularly understand students’ opinions and feedback，eventually enhancing the effect of the “double tutorial system” and cultivation quality of the MNS students.

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Current situation and development suggestions for the cultivation of master of nursing specialist students LI Shumin, WEI Zhengxin, SHANG Shaomei, HOU Shuxiao 2024, 21 (8):  962-967.  doi: 10.3761/j.issn.1672-9234.2024.08.011 Abstract ( 219 )   HTML ( 0 )   PDF (968KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To understand the training status of master of nursing specialist （MNS） in universities and colleges in China，and analyze the existing problems in the training of master of nursing specialist（MNS） and professional qualification of specialist nursing industry，so as to promote MNS education in China. Methods A self-designed questionnaire was used to investigate the cultivation status of master of nursing specialist in 30 authorization points of master of nursing specialist in the eastern，central and western regions of China. Results A total of 17（56.7%） nursing schools enrolled full-time master of nursing specialist only，and the scale of part-time enrollment was much smaller than that of full-time enrollment. Another 28（93.3%） colleges had a general training direction，and still took clinical nursing as the training direction of master of nursing specialist. Besides，15 colleges （50.0%） would integrate specialist nurse curriculum into the training program of professional degree postgraduates. A total of 130（65.7%） MNS graduate supervisors and 23（76.7%） MNS teaching managers expressed that the university intended to connect MNS graduate training with industry practice qualifications for specialized training in the future，and the ways of connection were mainly from the aspects of enrollment conditions，curriculum setting，clinical practice，certificate award，etc. Conclusion The education of master of nursing specialist in domestic colleges has a trend of specialized development，therefore，it is imperative to promote the connection between the training of master of nursing specialist and industry practice qualification. Relevant departments should cooperate with each other to improve the training program and connection system.

Continuing Education

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Research on the construction of competency oriented clinical nurse respiratory therapy training objectives and content JIANG Yuanyuan, CAO Yingjuan, GUAN Xiangyun, ZHANG Jinxin, WANG Meijuan, LI Li 2024, 21 (8):  968-975.  doi: 10.3761/j.issn.1672-9234.2024.08.012 Abstract ( 210 )   HTML ( 0 )   PDF (1045KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective For the shortage of respiratory therapists in hospitals，this study aims to explore the training of nurses for respiratory therapists，and construct the objectives and contents of respiratory therapy training for nurses. Methods Based on KSAO model，literature review，semi-structured interviews，and Delphi method were used to determine the goals and contents of respiratory therapy nursing training. Results The effective recovery rate of the two rounds of expert letter inquiries was 95%（20/21）and 100%（20/20），respectively. The authoritative coefficient of the second round of letter inquiries to experts was 0.912. The training objectives included three first-level indicators and 24 second-level indicators while the training content included four first-level indicators （respiratory professional theoretical knowledge，respiratory treatment skills，professional abilities and qualities，respiratory treatment quality control and improvement），16 second-level indicators and 81 three-level indicators. Conclusion This study constructs a practical，scientific，and in line with the needs of clinical situations training objectives and contents for respiratory therapy specialist nurses，which can provide a reference for the training and work of respiratory therapy training for nurses.

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Construction of clinical first aid ability training program for junior nurses in cardiovascular department JIA Shuxian, LI Ya, LI Linlin, ZHANG Jingli, ZHAO Qinrong, YANG Chunling 2024, 21 (8):  976-980.  doi: 10.3761/j.issn.1672-9234.2024.08.013 Abstract ( 267 )   HTML ( 0 )   PDF (713KB) ( 4 )   Save Figures and Tables | References | Related Articles | Metrics Objective To establish a training program for junior nurses in cardiovascular medicine department in their clinical first aid ability. Methods Based on the competency iceberg model，a preliminary draft of the clinical emergency training program for young cardiovascular nurses was developed using literature review，questionnaire survey，and semi-structured interview methods. Two rounds of expert consultations were conducted with 28 cardiovascular nursing experts using the Delphi method to construct the clinical emergency training program for junior cardiovascular nurses. Results The positive coefficients of the two rounds of inquiry experts were both 100%，the authority coefficient of the experts was 0.847，and the Kendall coordination coefficients were 0.274 and 0.395. The clinical emergency training program for young nurses in the cardiovascular department consisted of six parts：training content（professional theoretical knowledge，operational skills，emergency rescue ability，communication and coordination ability，and professional characteristics），training methods，training hours arrangement，training teachers，and assessment methods. Conclusion The training program for clinical first aid abilities of young nurses in the cardiovascular department constructed is scientific and reliable，which can provide references and practical ideas for the standardized training of clinical first aid abilities for young nurses in the cardiovascular department of various hospitals.

Health Education

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Application of prehospital management platform in health education for patients undergoing urinary stone surgery LU Di, WANG Lu, LI Baohua, QIAO Haiqin, LI Li, XUE Xiaolu, LIU Chunxia 2024, 21 (8):  981-985.  doi: 10.3761/j.issn.1672-9234.2024.08.014 Abstract ( 168 )   HTML ( 0 )   PDF (691KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the methods and effects of health education for urolithiasis surgery patients through the pre-hospital management platform，so as to provide references for improving the effect of health education for patients with short hospitalization time. Methods Patients admitted to a tertiary-level A hospital for upper urinary tract stones who were scheduled to undergo ureteroscopy/flexible ureteroscopy surgery and had a hospital stay of ≤3 days from August 2022 to December 2022 were selected as the study subjects. Among them，patients admitted through the hospital’s pre-hospital management platform were assigned to the experimental group，while those directly admitted through the outpatient department were assigned to the control group. All patients received routine health education upon admission；the experimental group underwent one systematic health education session at the pre-hospital management center. The disease knowledge level and specific lifestyle adherence of the two groups were compared one month after discharge from the hospital. Results Patients in the test group had higher disease knowledge scores than those in the control group [17（16，18） vs 12.5（10.5，14），Z=10.162，P<0.001]，and higher idiosyncratic lifestyle adherence scores than those in the control group[22（20，24） vs 17（15，20），Z=8.026，P<0.001]. Conclusion Health education through the prehospital management platform helps urolithiasis surgery patients with short hospitalization time to acquire disease-related knowledge and improve their lifestyle.

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Construction of a peritoneal dialysis peer educator training content checklist HU Sihong, WANG Qin, WANG Mingzhu, LI Shanshan, TAO Yanling 2024, 21 (8):  986-992.  doi: 10.3761/j.issn.1672-9234.2024.08.015 Abstract ( 189 )   HTML ( 0 )   PDF (967KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a training content checklist for peer educators in peritoneal dialysis. Methods Through literature review and interviews with medical staffs in nephrology departments and patients undergoing peritoneal dialysis，a preliminary training content checklist for peer educators in peritoneal dialysis was initially formulated. Fifteen experts from eight provinces were selected as the subjects for correspondence consultation，and two rounds of consultation were conducted with them from September 2023 to November 2023. Eventually，the training content checklist for peer educators of peritoneal dialysis was finalized. Results The effective response rate of the two rounds of expert correspondence consultation were both 100%. The expert authority coefficients were 0.92 and 0.95，respectively. The Kendall’s coefficients of concordance were 0.357 and 0.384（P<0.001），respectively. The finalized training content checklist for peer educators in peritoneal dialysis comprised three first-level items，14 second-level items，and 66 third-level items. Conclusion The training content checklist for peer educators in peritoneal dialysis constructed in this study possesses good scientific rigor and reliability，and can provide a valuable reference for the development of training programs for peer educators in peritoneal dialysis.

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Development and examination of drug literacy scale for patients after percutaneous coronary intervention ZHANG Ziying, DING Wen, WANG Ru, ZENG Meiling, PAN Ting, MENG Haoying 2024, 21 (8):  993-999.  doi: 10.3761/j.issn.1672-9234.2024.08.016 Abstract ( 167 )   HTML ( 0 )   PDF (973KB) ( 2 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a self-rating scale for drug literacy of patients after percutaneous coronary intervention，and to provide an evaluation tool for evaluating the level of drug literacy of patients after percutaneous coronary intervention. Methods From May to October 2023，the scale items were preliminarily constructed through literature analysis and qualitative interviews based on the conceptual model of drug literacy. The first draft of the scale was formed by two rounds of consultation with 25 experts through the Delphi method. After that，the expression of scale items was improved with the pre-survey of 50 patients after PCI，and 568 patients after PCI in investigation. Then，the scale items were screened and their reliability and validity were tested to form the final version. Results The positive coefficients of the two rounds of expert consultation were 93%（25/27） and 100%（25/25），the expert authority coefficients were 0.906 and 0.944，and the Kendall harmony coefficients were 0.35 and 0.39，respectively. A total of five common factors were extracted by exploratory factor analysis，and the cumulative variance contribution rate reached 77.730%. Confirmatory factor analysis showed a well fit model with χ2/df=2.848，RMSEA=0.076，CFI=0.927，IFI=0.927，and TLI=0.916. The final drug literacy scale for patients after percutaneous coronary intervention included 25 items in five dimensions，including drug belief，functional drug literacy，interactive drug literacy，evaluative drug literacy，and behavioral drug literacy. The content validity index at the item level was 0.880-1.000，and the content validity index at the scale level was 0.917. The Cronbach’s α coefficient，half-fold reliability and test-retest reliability of the total scale were 0.951，0.865 and 0.933，respectively. Conclusion The drug literacy assessment scale of patients after percutaneous coronary intervention holds good reliability and validity，and can be used in the evaluation of drug literacy level of patients after percutaneous coronary intervention.

Clinical Practice

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Evidence-based nursing practice for diabetic foot assessment ZHANG Peiying, LU Qian, PANG Dong, GUAN Hui, LI Huijuan, LIU Jin, DING Yanming 2024, 21 (8):  1000-1005.  doi: 10.3761/j.issn.1672-9234.2024.08.017 Abstract ( 297 )   HTML ( 0 )   PDF (831KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop evidence-based practice based on the best evidence of diabetic foot assessment and evaluate its effectiveness. Methods Guided by the Knowledge-action model，on the basis of the evidence summary of diabetic foot assessment，the clinical applicability of the evidence was evaluated，the evidence items suitability for clinical implementation were screened，and the review indicators were developed. Baseline reviews were conducted，and obstacle factors were analyzed to develop interventions. Before and after the application of evidence，the nurses’ knowledge of diabetic foot assessment，the implementation of review indicators and the change of wound area were compared. Results After the application of the best evidence，the implementation rate of 24 of the 36 review items was higher than before the implementation（P<0.05），and three review items changed from non-existence to existence of relevant tools. Nurses’ knowledge of diabetic foot assessment was significantly improved（P<0.05），but the wound area at 4 weeks and 12 weeks did not change significantly（P>0.05）. Conclusion Evidence-based practice based on the best evidence of the diabetic foot assessment can improve the knowledge level of diabetic foot assessment and implementation rate of evidence，and can standardize the nursing practice of diabetic foot assessment.

Review

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Research progress and nursing inspiration of three-talk model in shared decision-making CHENG Lü, CHENG Yue, LI Yan 2024, 21 (8):  1006-1011.  doi: 10.3761/j.issn.1672-9234.2024.08.018 Abstract ( 202 )   HTML ( 0 )   PDF (811KB) ( 3 )   Save Figures and Tables | References | Related Articles | Metrics Shared decision-making is a crucial embodiment of "patient-centered care" and an important approach to realize "value-based health care". The three-talk model is a framework that guide the implementation of shared decision-making in clinical settings. This article provides a comprehensive review of the main content and current application status of the three-talk model，and offers prospects for its future development，aiming to provide references for the promotion and application of the three-talk model in the nursing field，thereby driving the advancement of research in the field of shared decision-making.

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Application progress on fundamentals of care framework LING Zheyi, CAO Meijuan, LI Fang, CHEN Qi 2024, 21 (8):  1012-1017.  doi: 10.3761/j.issn.1672-9234.2024.08.019 Abstract ( 219 )   HTML ( 1 )   PDF (1050KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics The fundamentals of care framework（FOC），as a theoretical foundation and practice guideline，is based on realizing the goal of patient-centered care，and plays a guiding role in promoting the development of high-quality primary care from the perspective of three dimensions：nurse-patient relationship，integrative care，and care environment. This article introduces the main content of FOC，the measurement of related elements，the theoretical methods guiding its application，and its application in nursing education，clinical care，and nursing management，in order to provide a reference for the development and application of FOC in the field of nursing in China.

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Progress for research and application of machine learning in the patient-reported outcomes of cancer patients LÜ Jianxia, WANG Aiping 2024, 21 (8):  1018-1024.  doi: 10.3761/j.issn.1672-9234.2024.08.020 Abstract ( 264 )   HTML ( 0 )   PDF (872KB) ( 3 )   Save References | Related Articles | Metrics In recent years，patient self-reported outcomes in the field of cancer research has gradually deepened，with a large number of patient self-reported outcomes data meet the advantages of machine learning to deal with a large amount of data. Machine learning in the field of self-reported outcomes of cancer patients has been initially applied，and the performance of the relevant machine learning models is good. This paper reviewed the application of machine learning in predicting complications，survival and mortality after anticancer treatment，longitudinal monitoring of health-related quality of life changes in cancer patients，and assisting in cancer treatment decision-making，which can asssist clinical care practice in the areas of symptom prediction，outcome prediction，quality-of-life monitoring，and rational clinical treatment decision-making in cancer patients.