Table of Content

15 June 2025, Volume 22 Issue 6 Previous Issue   

Ideological and Political Theory Education

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Construction of the training paradigm of “advanced professional development and dual track resonance” for nursing degree graduates CHEN Ouying, TANG Siyuan, PENG Qinghua, ZHANG Jingping, WANG Honghong, CHEN Yan, LUO Yaoyue 2025, 22 (6):  645-648.  doi: 10.3761/j.issn.1672-9234.2025.06.001 Abstract ( 83 )   HTML ( 0 )   PDF (1136KB) ( 0 )   Save References | Related Articles | Metrics Based on the needs of social development and the practice of the university education philosophy of “red and professional，comprehensive development”，this project takes nursing professional degree postgraduates as the cultivation target，and creates “four kinds of” strengthening mechanisms，strengthening ideological and political guidance，curriculum education，professional dedication，moral subjecting，and strengthening curriculum ideological and political construction. A “five-level” progressive ladder was created：the theoretical learning stage，the integration stage of theory and practice，the clinical practice stage，the ability formation stage，and the ability improvement stage，so as to enhance the in-depth development of ability. The innovation “six forces” dual-track resonance，enhance the internal drive of talents，competitiveness，scientific research ability，entrepreneurial ability，leadership and influence，and strengthen the synergy of colleges and universities. The teaching results of “red specialty development and dual-track resonance” have been developed，which has won the national teaching achievement award.

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Research on the design and implementation of a three-stage progressive ideological and political education curriculum in Surgical Nursing course LIU Dun, ZHANG Jincheng, LIN Jianbin, GAO Ji, SONG Jihong, ZHONG Fuxiu, LU Weiyan 2025, 22 (6):  649-655.  doi: 10.3761/j.issn.1672-9234.2025.06.002 Abstract ( 50 )   HTML ( 0 )   PDF (1248KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the design and practical effectiveness of a three-stage progressive ideological and political teaching model in Surgical Nursing course based on the Community of Inquiry（COI） model. Methods The teaching presence，cognitive presence，and social presence of COI were used as core elements to construct a three-stage progressive ideological and political teaching path：pre-class knowledge initiation（online），in-depth understanding during class （offline），and post-class knowledge internalization （offline）. Video cases，game-based teaching，and reflective diaries were integrated into ideological and political education. The effectiveness of the course’s ideological and political construction was evaluated from both student feedback and peer assessment，involving 165 full-time nursing undergraduates from the 2022 grade. Results Students generally gave high evaluations to the ideological and political teaching reform. The course deepened students’ understanding of the value of the nursing profession，prompted them to reconsider the essence of surgical nursing work，positively shifted their employment intentions，and significantly improved learning outcomes. Students also provided insights on the limitations of online second classroom construction. The course was recognized as a university-level ideological and political demonstration course and a provincial-level first-class online and offline course. Conclusion The three-stage progressive ideological and political teaching model in surgical nursing based on COI has achieved significant results，demonstrating a synergistic effect in course-based education. Further integration of online ideological and political resources with offline cases is recommended to enhance student learning interest.

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The design and application of microfilm for teaching cases of Geriatric Nursing course with integration of ideology and politics ZHOU Xue, LI Hongmei, FENG Jibo, GAO Huanling, DENG Rui 2025, 22 (6):  656-661.  doi: 10.3761/j.issn.1672-9234.2025.06.003 Abstract ( 66 )   HTML ( 0 )   PDF (1005KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To design the teaching case micro films and explore its application effect in undergraduate Geriatric Nursing course. Methods The research team combined the micro-film teaching method with case teaching，built a total of 11 teaching case micro-films，and applied them to offline teaching. After class，176 students were surveyed on course satisfaction，and semi-structured interviews were conducted with students and teachers respectively. Results A total of 167（95%） students believed that micro-film cases were conducive to enhancing learning interest，88% of the students believed that micro-film cases were conducive to understanding and mastering knowledge，79% thought and political elements were naturally appropriate. However，16% perceived the pre-class online preparation tasks as burdensome，while 91% were satisfied with the overall implementation of case teaching. Interviews revealed that students viewed the case-based microfilms not only stimulated their desire to actively explore knowledge but also helped them quickly recall relevant information when facing patients. Teachers noted that after adopting the case-based microfilm teaching method，student participation in class significantly improved. However，they also mentioned that tasks such as scriptwriting，filming，and post-production required a substantial amount of effort，significantly increased their workload. Conclusion Teaching case micro-film can stimulate students’ learning interest，promote knowledge understanding，help improve teachers’ classroom guidance ability，and provide reference for the integration of ideological and political elements in Geriatric Nursing curriculum.

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Innovation design and practice of ideological and political education in the Fundamentals of Nursing course XU Ershan, PU Yan, HUANG Ruirui, HUANG Lijuan 2025, 22 (6):  662-667.  doi: 10.3761/j.issn.1672-9234.2025.06.004 Abstract ( 94 )   HTML ( 0 )   PDF (1441KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of integrating the O-AMAS（Objective，Activation，Multi-learning，Assessment，and Summary） Effective Teaching Model with Case-Based Learning（CBL） in ideological and political education within the Fundamentals of Nursing course. Methods A design for ideological and political education in the Fundamentals of Nursing course was formulated，which mainly included determining ideological and political objectives and elements，designing an integration plan for “course” and “ideological and political”，planning teaching implementation，and constructing teaching resources. The ideological and political education was conducted in the Fundamentals of Nursing course for 344 full-time undergraduate nursing students of the 2022 cohort at a medical college. The teaching effects were evaluated through course grades，the results of Professional Identity Questionnaire for Nursing Students，the Questionnaire on Ideological and Political Education in Professional Nursing Courses for Undergraduates，and student interviews. Results The course scores of the 344 students were（78.92±7.13） points；the mean score for the items on professional identity was（3.38±0.61） points；and the mean score for the items on the evaluation of ideological and political education in the Fundamentals of Nursing course was（4.53±0.61） points. Three themes were extracted from the interview with 14 students：transformed cognition；enhanced abilities；cultivated professional qualities. Conclusion The O-AMAS Effective Teaching Model combined with CBL demonstrated positive outcomes in ideological education for Fundamentals of Nursing，with high student satisfaction. This study can provide valuable references for course reform and construction in Fundamentals of Nursing.

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Innovative exploration and practical application of ideological-political teaching in nursing major YIN Hang, OUYANG Guolian, YANG Lili, MENG Minna, YU Hongrun 2025, 22 (6):  668-673.  doi: 10.3761/j.issn.1672-9234.2025.06.005 Abstract ( 64 )   HTML ( 0 )   PDF (1121KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics To address the challenges of ideological and political education being disconnected from professional education，insufficient cross-course collaboration in ideological and political teaching，and outdated evaluation methods for assessing the effectiveness of ideological and political education，the Clinical Medical School of Tianjin University implemented a comprehensive nursing education reform through the following innovative approaches：establishing a “management-department-team” multi-dimensional collaborative mechanism；constructing a high-level curriculum objective framework centered on knowledge transfer，ability cultivation，and value shaping；creating a cross-course integrated case library covering admission assessment，specialized nursing，and health education；implementing a three-phase progressive teaching method consisting of online case preview，in-class group exploration，and clinical scenario simulation training；innovating dynamic competency assessment through hybridized ObjectiveStructured Clinical Examination（OSCE） and nursing skills competitions. These comprehensive reform have resulted in a well-integrated ideological and political teaching model in nursing courses，which covers the entire process of “theory，practice，and evaluation”. This holistic approach has achieved positive outcomes，with high recognition from students and peers both within the university.

Curriculum, Teaching Materials, Teaching Methods

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Design and implementation of Digital Health across the Lifespan Course for foreign medical students in China LIANG Wei, YANG Rumei, YANG Yang, MENG Yao, LI Xiuhan, LI Liang, XU Qin 2025, 22 (6):  674-680.  doi: 10.3761/j.issn.1672-9234.2025.06.006 Abstract ( 35 )   HTML ( 0 )   PDF (1077KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop Digital Health across the Lifespan Course for foreign medical students in China and explore its implementation effects. Methods Based on Tyler’s curriculum model and social constructivism，Digital Health across the Lifespan Course was developed by literature analysis，student investigation，and expert consultation. A total of 25 students attended the course. A self-designed questionnaire was used to investigate students’ understanding of the course knowledge and confidence in applying digital health. Evaluation of students’ satisfaction with the course and analysis of students’ learning experience were conducted. Results The pass rate（≥60 points） of the course was 96%. After course implementation，students’ knowledge understanding and confidence levels were higher than baseline（P<0.05）. Students’ satisfaction with the course was relatively high. Thematic analysis revealed that students had a good learning experience and achieved the learning goals，reflecting the educational effects of the course. Conclusion The design of Digital Health across the Lifespan Course for foreign medical students in China is relatively scientific and reasonable，which can broaden students’ knowledge and horizons in promoting the application of digital health in health management across the lifespan.

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The mediating effect of learning motivation between imposter phenomenon and academic burnout of nursing graduate students CHEN Xueshuang, QING Xia, FANG Qingmei, XUE Fengwang, ZHAO Xiaolei, GUO Shengmin 2025, 22 (6):  681-686.  doi: 10.3761/j.issn.1672-9234.2025.06.007 Abstract ( 39 )   HTML ( 0 )   PDF (885KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the mediating role of learning motivation between imposter phenomenon and academic burnout among nursing graduate students. Methods From November 2024 to December 2024，nursing postgraduates from four universities in Southwest China were investigated with the general information questionnaire，Academic Burnout Scale for Postgraduates，Learning Motivation Scale and the Clance Impostor Phenomenon Scale. Results The scores of academic burnout，imposter phenomenon，and learning motivation of 434 nursing graduate students were 57.27 ± 15.05，52.00（43.75，60.00），and 56.50（48.75，67.00），respectively. Correlation analysis showed that learning motivation was negatively correlated with imposter phenomenon and academic burnout（r=-0.541，P<0.001；r=-0.609，P<0.001），while imposter phenomenon was positively correlated with academic burnout（r=0.600，P<0.001）. The structural equation model indicated that imposter phenomenon could directly affect academic burnout（direct effect value was 0.407，95%CI：0.250-0.579），and could also indirectly influence academic burnout through learning motivation（indirect effect value was 0.312，95%CI：0.212-0.446），accounting for 43.4% of the total effect. Conclusion Learning motivation plays a partial mediating role between imposter phenomenon and academic burnout among nursing graduate students. Nursing educators and managers can start from adjusting learning motivation and reducing imposter phenomenon to ultimately lower the academic burnout of nursing graduate students.

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The influence of perceived teacher support on online learning adaptability among nursing students in Xizang secondary vocational schools JIANG He, HE Chunyan, ZHUOMA Kangzhu, CHEN Xuejie, GESANG Zhandui 2025, 22 (6):  687-692.  doi: 10.3761/j.issn.1672-9234.2025.06.008 Abstract ( 39 )   HTML ( 0 )   PDF (861KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate the current status of perceived teacher support and online learning adaptability among secondary vocational nursing students in Xizang，and to analyze the impact of perceived teacher support on their online learning adaptability. Methods Using convenience sampling，nursing students from four secondary vocational schools in Xizang were selected as survey participants. Data were collected via a general information questionnaire，the Teacher Support Questionnaire in the Context of Online Learning，and the Online Learning Adaptability Questionnaire. Results The mean score for perceived teacher support among 651 participants was（4.03±0.72），while the mean score for online learning adaptability was（3.33±0.45）. A significant positive correlation was observed between perceived teacher support and online learning adaptability（r=0.340，P<0.001）. Hierarchical regression analysis revealed that perceived teacher support explained 9.9% of the variance in online learning adaptability among secondary vocational nursing students in Xizang. Conclusion The perceived teacher support and online learning adaptability of secondary vocational nursing students in Xizang are at moderately high and moderate levels，respectively. Furthermore，perceived teacher support demonstrates a positive predictive effect on their online learning adaptability. Educators and administrators in Tibetan nursing vocational education should strengthen teacher support measures during online learning to enhance students’ adaptability and learning outcomes.

Experimental and Practical Teaching and Learning

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Construction and implementation of a virtual simulation nursing teaching platform for fall risk assessment of the elderly YAN Xu, ZHANG Man, XU Nana, WAN Qiaoqin 2025, 22 (6):  693-698.  doi: 10.3761/j.issn.1672-9234.2025.06.009 Abstract ( 47 )   HTML ( 0 )   PDF (3524KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective Aiming at the comprehensiveness and complexity of traditional fall risk assessment for the elderly，the diversity of assessment scenarios，and the risk that the assessment process may bring to the elderly，a virtual simulation teaching platform for fall risk assessment for the elderly was developed. Methods A multidisciplinary team developed and applied a multi-scenario experimental platform based on virtual reality（VR） technology. This platform incorporates structured evaluation processes and content，integrates structured case libraries，real-time data feedback，and self-editing functions，and enables dynamic case reconstruction and adaptive teaching strategies. Results The platform was composed of dual modules of teaching guidance and risk assessment，and provided two modes of training and assessment，covering four core domains：general assessment，physical function evaluation，professional evaluation and home environment assessment. It integrated 13 high-risk diseases across five systems，four sensory-perceptual disorders，nine common medications and two high-risk gait disorders，supporting dynamic case and process reconstruction. In addition， a data-driven learning behavior tracking system and dynamic evaluation mechanism were established，enabling multidimensional risk assessment and precise teaching adaptation. Conclusion Through interdisciplinary collaboration and technological innovation，the platform offers a flexible and safe pathway for nursing practice teaching.

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The mediating role of clinical internship adaptation between role stress and mental health among undergraduate nursing interns ZHANG Yue, LIU Haiying, GUO Xueqi, FANG Qianna, HUANG Dongxue, SHEN Yuehao 2025, 22 (6):  699-704.  doi: 10.3761/j.issn.1672-9234.2025.06.010 Abstract ( 48 )   HTML ( 0 )   PDF (876KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the mediating effect of clinical internship adaptation on the relationship between role stress and mental health among undergraduate nursing interns. Methods A convenience sampling method was used to select 450 undergraduate nursing interns from medical colleges in Tianjin City as the participants. They were surveyed using the Nursing Students Clinical Practice Maladjustment Scale，the Role Stress Scale，and the Kessler Psycholigical Distress Scale. Results The clinical internship adaptation score of the 450 undergraduate nursing interns was 43.00（41.00，46.00） points，the role stress score was 103.00（101.00，105.00） points，and the mental health score was 45.00（43.00，46.00） points. The role stress scores of undergraduate nursing interns were negatively correlated with their clinical internship adaptation scores（r=-0.425，P<0.001） and positively correlated with their mental health scores（r=0.528，P<0.001）. Additionally，their clinical internship adaptation scores were negatively correlated with mental health scores（r=-0.449，P<0.001）.The partial least squares structural equation model（PLS-SEM） showed that clinical internship adaptation played a partial mediating role between role stress and mental health among undergraduate nursing interns，accounting for 79.18% of the total effect. Conclusion Role stress not only directly affects the mental health level of undergraduate nursing interns but also influences their mental health by affecting their clinical internship adaptation. Hospitals and colleges should pay attention to the role stress of undergraduate nursing interns，effectively guide them to actively change their cognitive structures，enhance their coping abilities and social support levels，thereby improving their mental health.

Nurse Growth and Career Development

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Application of surgical nursing scene segmentation video combined with reflection method in the training of newly recruited nurses YU Xiaofen, DING Xiaoyan, CAI Minyi, SHEN Feiyan 2025, 22 (6):  705-711.  doi: 10.3761/j.issn.1672-9234.2025.06.011 Abstract ( 37 )   HTML ( 0 )   PDF (1064KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effect of surgical nursing scene segmentation video combined with ALACT reflection model in the training of newly recruited in the operating room. Methods Using convenience sampling，31 new nurses who rotated in the operating room from August 2018 to July 2020 were enrolled as the control group，while 33 newly recruited nurses rotating from August 2021 to August 2023 were assigned to the experimental group. The control group received routine orientation training，whereas the experimental group received training that integrated surgical nursing scene segmentation video with the ALACT reflection model，in addition to the standard orientation program. The two groups were compared in terms of training processes，final theoretical and practical assessment scores，nurses’ core competencies，and the operating room team’s satisfaction with their performance. Results The experimental group had better training process and final theoretical and practical assessment scores than the control group（P<0.05），and the mean item scores of each dimension of self-rated and other-rated core competencies were higher in the experimental group than those in the control group（P<0.05）；the satisfaction scores of surgeons and anesthesiologists were higher in the experimental group than those for the control group（P<0.05）. Conclusion The training of surgical nursing scene segmentation video combined with ALACT reflection model helps to consolidate newly recruited nurses’ specialist knowledge and operational skills，improve core competencies，and enhance the satisfaction of the surgical team.

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Establishment of a nutrition support specialty nurse position in the ICU and its impact on nutritional management of critically ill patients LI Hao, XU Yulin, LIN Hongzhen, REN Ting, LI Chunpeng, JIANG Qiuhuan, LI Liming, WEI Xiaojing, JING Mengjuan 2025, 22 (6):  712-717.  doi: 10.3761/j.issn.1672-9234.2025.06.012 Abstract ( 53 )   HTML ( 0 )   PDF (1142KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the effects of establishing a nutrition support specialty nurse position in the intensive care unit（ICU） on the nutritional management of critically ill patients. Methods A nutrition support specialty nurse position was established in the ICU，with clear admission criteria，performance，and assessment standards. The work practice content was determined based on the core competence framework for advanced practice nurses. Using convenience sampling，ICU patients who received enteral nutrition from August 2023 to September 2023 were selected as the control group，and those who received enteral nutrition from May 2024 to June 2024 were selected as the experimental group. The control group received nutritional management provided by the responsible nurses，while the experimental group received nutritional management jointly provided by the specialized position nutrition support specialty nurse and the responsible nurses. The incidence of feeding complications，the time to achieve feeding goals，blood glucose levels，and the length of ICU stay were compared between the two groups. Results The incidence of feeding complications in the experimental group was lower than that in the control group（ χ2=13.050，P<0.001），and the time to achieve feeding goals was shorter（t=2.823，P=0.005）. The blood glucose level in the experimental group was better than that in the control group（t=2.995，P=0.003）. There were no statistically significant differences in the coefficient of variation of blood glucose（Z=-1.392，P=0.164） or the length of ICU stay （t=0.688，P=0.493） between the two groups. Conclusion The establishment and practice of a nutrition support specialty nurse position in the ICU can reduce the incidence of feeding complications in critically ill patients，shorten the time to achieve feeding goals，and improve blood glucose management，but it has no significant impact on the length of ICU stay. In the future，the management model for specialty nurses should be further optimized to strengthen their role in nutritional support for critically ill patients，thereby improving the overall quality of care and prognosis for patients.

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Investigation and research on the current situation and related factors of the transfer of traditional Chinese medicine specialty nurse training WANG Qiuting, LIN Meizhen, WEI Lin, LIN Lijun, LIN Jingxia, LIU Yang-chen, LIU Zhuyun 2025, 22 (6):  718-724.  doi: 10.3761/j.issn.1672-9234.2025.06.013 Abstract ( 45 )   HTML ( 0 )   PDF (1000KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To investigate and analyze the current situation of job competency in the transfer process of training for traditional Chinese medicine（TCM） specialty nurses in China，and provide reference for further carrying out qualification certification training and job management for TCM specialty nurses. Methods A self-made survey questionnaire was used to conduct a survey among nurses who obtained the training certificate for TCM specialty nurses in Guangdong Province. Results A total of 401 TCM specialty nurses in China were surve-yed. The training transfer of TCM specialty nurses was related to personal characteristics（job competence，welfare and benefits，self-efficacy，training transfer motivation），organizational management（organizational support，working conditions），training system（practical gains，training guidance）. Multiple response analysis showed that the lack of TCM nursing human resources，lack of organizational and policy support，lack of TCM nursing technical charging standards，and lack of supporting facilities and equipment were the obstacles to the development of TCM nursing work. Conclusion The training transfer for TCM specialty nurses is related to various factors. Currently，there is a lack of a scientific and effective management system of training transfer for TCM speciality nurses，and problems such as unclear job appointments，welfare benefits，and career development channels exist. At the management level of departments，hospitals，and government departments，attention should be paid to the degree and stage of training transfer for TCM specialty nurses，and management strategies should be improved to promote the occurrence of training transfer behavior and enhance the effectiveness of training transfer，and promote the professional development of nurses.

Health Education and Health Promotion

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Construction and application of a knowledge graph for diabetic foot LI Lingyan, XU Liwei, SHI Junfang, ZHAO Han, LI Zeyu, MA Peifen 2025, 22 (6):  725-731.  doi: 10.3761/j.issn.1672-9234.2025.06.014 Abstract ( 43 )   HTML ( 0 )   PDF (1616KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To construct a knowledge graph for diabetic foot（DF） and assess its usability and acceptability. Methods Evidence was extracted from DF-related guidelines retrieved from guideline networks，professional association websites，and domestic/international databases to establish the initial content framework and foundational knowledge of the DF knowledge graph. Following two rounds of expert panel discussions，the final version was developed；and a web-based DF knowledge graph was developed. From November 2023 to December 2023，15 clinical nurses specializing in diabetes/DF care at a tertiary grade A hospital in Lanzhou City and 15 DF patients were invited to trial the DF knowledge graph for two weeks. Evaluations were conducted using the System Usability Scale（SUS） and the DF Knowledge Graph Experience Questionnaire，with participants also providing feedback on limitations and suggestions. Results The DF knowledge graph comprised 539 nodes，49 relationship types，and 523 inter-node links，with functionalities including knowledge query，search，and interactive Q&A. The usability scores of the DF knowledge graph were（86.00±8.33） points for nurses and（80.83±7.42） points for DF patients. In terms of user experience，nurses and DF patients scored[9（8，10）] points for usage intention，while their recommendation intention scores were 4（3，5） points and 4（4，5） points respectively. A total of six nurses and two patients provided feedback on limitations and suggestions. Conclusion The DF knowledge graph demonstrated good usability and high acceptability，serving as an effective auxiliary tool for nurses in health educationand a reliable health information platform for DF patients.

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Construction and effects evaluation of a discharge preparation service program for patients with systemic lupus erythematosus LIU Shuting, HAO Min, CHEN Peiling, XIA Xueying, SONG Zicheng, HU Jiajia, ZHAO Wei 2025, 22 (6):  732-739.  doi: 10.3761/j.issn.1672-9234.2025.06.015 Abstract ( 35 )   HTML ( 0 )   PDF (1286KB) ( 1 )   Save Figures and Tables | References | Related Articles | Metrics Objective To develop a discharge preparation service program for patients with systemic lupus erythematosus（SLE） and initially verify its effects. Methods Based on the best evidence for discharge preparation services for SLE patients，semi-structured interviews，experts consultation，and research group discussion were conducted to establish the discharge preparation service program for SLE patients. A total of 43 SLE patients admitted to a tertiary hospital in Hefei City were recruited by convenience sampling. Among them，23 patients admitted from March 2024 to April 2024 were assigned to the control group and received routine care. The remaining 20 patients admitted between May 2024 and June 2024 were assigned to the experimental group and received the SLE discharge preparation service program in addition to routine care. The readiness for hospital discharge and quality of discharge instructions were compared between the two groups. Results The scores of readiness for hospital discharge and quality of discharge instructions in the experimental group were higher than those in the control group（P<0.001）. Conclusion The developed discharge preparation service program for SLE patients can effectively improve patients’ readiness for hospital discharge and the quality of discharge instructions.

Professional Practice

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Construction and preliminary application of ultrasound-guided arteriovenous fistula puncture process XUE Xiaoling, YUE Xiaohong, WANG Ruimin, WANG Yan, WANG Pei, DENG Ya’nan 2025, 22 (6):  740-745.  doi: 10.3761/j.issn.1672-9234.2025.06.016 Abstract ( 43 )   HTML ( 0 )   PDF (955KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To establish a real-time ultrasound-guided arteriovenous fistula puncture process and to provide guidance for improving the safety and quality of nursing operations and teaching. Methods From April 2024 to June 2024，the first draft of ultrasound-guided arteriovenous fistula puncture procedure was prepared through literature review and group decision making. Delphi expert letter consultation was used to determine the final draft of ultrasound-guided arteriovenous fistula puncture process. After receiving corresponding training，nurses applied this process in clinical practice for puncture of internal venous fistulas. Results Two rounds of expert consultation were carried out. The effective recovery rate of the first round was 94%（15/16），and that of the second round was 100%（15/15）. The expert authority coefficient of the second round was 0.930， the Kendall harmony coefficient was 0.140 and the coefficient of variation was 0~0.166. In the end，an ultrasound-guided arteriovenous fistula puncture process with nine primary steps and 35 secondary steps was formed. The average importance score of each step was 4.47~5.00. Ten nurses used this procedure to perform ultrasound-guided puncture 98 times，and the success rate of one puncture was 95%. Conclusion The established process of ultrasound-guided arteriovenous fistula puncture is scientific，and its feasibility and practicability have been confirmed in the preliminary clinical application，which provides a reference for the homogenization of ultrasound-guided puncture operation of arteriovenous fistula in hemodialysis patients.

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Investigation on the practice of urinary catheterization in neonatal nursing units of 54 tertiary hospitals YANG Qin, HEI Mingyan, ZHANG Qi, HU Xiaojing, CHI Wei 2025, 22 (6):  746-750.  doi: 10.3761/j.issn.1672-9234.2025.06.017 Abstract ( 29 )   HTML ( 0 )   PDF (723KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To describe the practice status of neonatal catheterization and provide better clinical practice evidence. Methods The convenience sampling method was adopted to select the neonatal care unit as the research object for investigation. The investigation was conducted online using a self-designed questionnaire on the current situation of neonatal catheterization practice. The contents of the questionnaire include the basic situation of the nursing unit，the implementation of catheterization，the selection of urinary catheters，the situation of operators，the current maintenance status，urine culture collection，relevant norms and standards for catheterization and training situations，and the status of complications，etc. Results A total of 70 effective questionnaires were obtained. Only 58 wards carried out urethral catheterization，which from 54 hospitals. In 71% of the nursing units（41/58），there were norms for neonatal catheterization operations, and there were significant differences among the nursing units. 60%（35/58） had standards for 6F balloon water injection volume. All the 58 wards regularly changed urine drainage bags，but the period was different from ward to ward. Conclusion There is a lack of standard neonatal catheterization norms，and the standard of procedure needs to be further improved.

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Construction and validation of a risk prediction model for nosocomial infection in children with malignant tumor after chemotherapy WANG Huiping, GAO Feng, XU Hui, XIANG Mingli 2025, 22 (6):  751-757.  doi: 10.3761/j.issn.1672-9234.2025.06.018 Abstract ( 39 )   HTML ( 0 )   PDF (1238KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics Objective To explore the influencing factors of nosocomial infection in children with malignant tumor after chemotherapy，and to develop a nomogram model to predict these risks. Methods A retrospective study design was adopted. A total of 320 children undergoing chemotherapy for malignant tumors were conveniently selected as the modeling group between June 2023 and May 2024 in a tertiary A hospital in Zhengzhou. Data were collected through the electronic medical record system. Then，a prospective study design was used to select 140 children with malignant tumors undergoing chemotherapy from June 2024 to November 2024 as the validation group. Logistic regression analysis was used to determine the risk factors of nosocomial infection. A nomogram was developed by R4.3.3 software and validated to predict the risk of nosocomial infection in children with malignant tumor after chemotherapy. Results Logistic regression analysis showed that hospital stays≥11 d，white blood cell count≤4 × 109/L，neutrophil count≤2 × 109/L，serum albumin<35 g/L were independent risk factors of nosocomial infection in children with malignant tumor after chemotherapy（P<0.05）. The Hosmer-Lemeshow test of the model was P=0.943，the area under the ROC curve was 0.868，the best cutoff value was 0.400，the sensitivity was 0.902，the specificity was 0.697. The model validation results showed that the area under the ROC curve was 0.873，reflecting a good fitting effect of the risk prediction model. Conclusion The risk prediction model constructed in this study has good discrimination and accuracy. It can be used to predict the risk of nosocomial infection in children with malignant tumor after chemotherapy，providing the reference for management and preventative intervention strategies for high-risk children.

Review

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Progress in the application of virtual reality technology in obstetric nursing education BI Lixia, HU Linhua, CHEN Guoxia, HUANG Hongying 2025, 22 (6):  758-763.  doi: 10.3761/j.issn.1672-9234.2025.06.019 Abstract ( 46 )   HTML ( 0 )   PDF (883KB) ( 0 )   Save References | Related Articles | Metrics As an advanced information technology，virtual reality（VR） technology effectively enhances clinical skills，strengthens thinking and non-technical abilities in nursing education. In obstetric nursing teaching，abstract concepts such as pelvic measurement，fetal position and the second stage of labor require students to have spatial imagination，theoretical foundation and practical ability. This article expounds the application of VR technology in obstetric nursing education and explores its application effect in obstetric education. At the same time，in view of the challenges faced by VR technology，it puts forward countermeasures，aiming to provide reference for the innovative development of obstetric nursing education in China.

Overseas Knowledge

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Experience and enlightenment of the training workshop of Nordic critical care simulation facilitator MOU Baohua, LENG Jiali, QIAN Xin, WANG Zhenyu, XU Zheng 2025, 22 (6):  764-769.  doi: 10.3761/j.issn.1672-9234.2025.06.020 Abstract ( 37 )   HTML ( 0 )   PDF (982KB) ( 0 )   Save Figures and Tables | References | Related Articles | Metrics The Nordic SAFER Medical Simulation Center aims to ensure patient safety and improve medical quality，and has developed the SimBegin Emergency and Critical Care Simulation Teacher Certification Course and promoted it globally. This article takes the SimBegin Emergency and Critical Care Simulation Mentor Training Workshop as an example to comprehensively introduce the course objectives，teaching content and design，course implementation and assessment methods. Based on the experience and insights of the trainees participating in the workshop，suggestions are proposed to provide inspiration and reference for the training and professional development of nursing simulation mentors in China.