Objective: to explore the application effect of continuous nursing system in the nursing of discharged patients in intravenous infusion port. Methods: from February 2019 to January 2021, 82 patients with implantable i...Objective: to explore the application effect of continuous nursing system in the nursing of discharged patients in intravenous infusion port. Methods: from February 2019 to January 2021, 82 patients with implantable intravenous infusion port were treated in our hospital. According to the parity of admission number, 41 odd cases entered the control group for routine discharge follow-up nursing;An even number of 41 patients entered the experimental group and adopted the continuous nursing system. The maintenance compliance, self-care ability and quality of life of infusion port were compared. Results: the excellent and good rate of maintenance compliance of infusion port in the experimental group was higher than that in the control group (97.56% vs 82.93%);After the intervention, the scores of ESCA and QOL in the experimental group were significantly higher than those in the control group. The test results showed that there was significant difference (P < 0.05). Conclusion: the continuous nursing system for discharged patients in intravenous infusion port can not only improve the maintenance compliance of infusion port, but also improve their self-care ability and quality of life, so it is worth popularizing.展开更多
Objective: to analyze the application value of painless nursing management system in orthopedics. Methods: from February 2020 to September 2021 as the time period of this study, 62 orthopedic patients who received tre...Objective: to analyze the application value of painless nursing management system in orthopedics. Methods: from February 2020 to September 2021 as the time period of this study, 62 orthopedic patients who received treatment in our hospital during this time period were selected as the experimental personnel. According to the random rule, the personnel were divided into 2 groups, 31 cases in each group, the experimental group took conventional treatment, the observation group took painless nursing management theory for treatment. The treatment situation and length of stay of patients in the two groups were compared. Results: the satisfaction of patients in the experimental group was higher than that in the observation group, and the average length of hospital stay in the observation group (6.67 ± 4.73) d were significantly better than that in the control group, the difference was statistically significant (P < 0.05). Conclusion: in the orthopedic nursing link, painless nursing management measures can shorten the time of pain, in order to maximize the degree of improving the quality of nursing, worthy of popularization.展开更多
Objective: carry out responsibility nursing for patients with coronary heart disease, and further explore the quality of responsibility nursing and its significance to patients recovery. Methods: ninety-two patients w...Objective: carry out responsibility nursing for patients with coronary heart disease, and further explore the quality of responsibility nursing and its significance to patients recovery. Methods: ninety-two patients with coronary heart disease were taken as the research subjects, and the acceptance period was from January 2021 to December 2021. Randomly divided by computer, one group received routine nursing as the control group;the other group received responsibility nursing as the observation group, 46 cases in each group. The prognosis recovery [physical activity limitation (PL), angina pectoris attack (AF), stable angina pectoris (AS), disease cognition (DP), treatment satisfaction (TS)], cardiac function indexes [left ventricular ejection fraction (LVEF), left ventricular end diastolic diameter (LEVDD)] and negative emotions [self-rating anxiety scale (SAS)] before and after nursing were compared between the two groups. Results: after nursing, the scores of PL, AF, AS, DP and TS in the observation group were higher than those in the control group, and the difference was statistically significant (P < 0.05). After nursing, the level of LVEF in the observation group was higher than that in the control group, and the level of LEVDD was lower than that in the control group, with statistical significance (P < 0.05). SAS and SDS scores in the observation group were lower than those in the control group, and the difference was statistically significant (P < 0.05). The incidence of adverse cardiovascular events in the observation group was 2.17%, which was lower than that in the control group (21.74%, P < 0.05). The nursing satisfaction scores of the observation group, such as proficiency, nurses sense of responsibility, communication ability, active service, emergency response ability and standardization of nursing writing, were all higher than those of the control group, with statistical significance (P < 0.05). Conclusion: responsibility-based nursing can not only improve the nursing quality of patients with coronary heart disease, but also help patients with coronary heart disease recover as soon as possible and have a good prognosis.展开更多
Objective:To explore the impact of systematic stepwise rehabilitation nursing intervention on the prognosis and disease uncertainty of patients with hypertensive intracerebral hemorrhage,and to provide feasible strate...Objective:To explore the impact of systematic stepwise rehabilitation nursing intervention on the prognosis and disease uncertainty of patients with hypertensive intracerebral hemorrhage,and to provide feasible strategies for clinical nursing.Methods:Eighty patients with hypertensive intracerebral hemorrhage admitted to our hospital from January 2023 to June 2025 were selected and randomly divided into an observation group(n=40,receiving systematic stepwise rehabilitation nursing)and a control group(n=40,receiving conventional nursing).The intervention effects were analyzed by comparing changes in the National Institutes of Health Stroke Scale(NIHSS)scores for neurological recovery,Short Form 36 Health Survey(SF-36)scores for quality of life,Exercise of Self-Care Agency Scale(ESCA)scores for self-management ability,compliance,and the Mishel Uncertainty in Illness Scale(MUIS)scores between the two groups.Results:All scores in the observation group were significantly better than those in the control group after the intervention(p<0.05).Specifically,the NIHSS scores decreased more significantly,the total SF-36 scores increased,the ESCA scores increased significantly,while the MUIS scores decreased significantly,and compliance improved markedly,indicating a reduction in disease uncertainty among patients.Conclusion:Systematic stepwise rehabilitation nursing intervention can significantly improve neurological recovery,quality of life,self-management ability,and compliance in patients with hypertensive intracerebral hemorrhage,while effectively reducing disease uncertainty.It is worthy of clinical promotion and application.展开更多
impacting quality of life.This study aimed to identify technological nursing interventions that promote self-care and improve the nutritional status of middle-aged and older adults undergoing hemodialysis.Methods:A sy...impacting quality of life.This study aimed to identify technological nursing interventions that promote self-care and improve the nutritional status of middle-aged and older adults undergoing hemodialysis.Methods:A systematic literature review was conducted in accordance with the Joanna Briggs Institute(JBI)and PRISMA guidelines.Searches were conducted in Medline,CINAHL,the Cochrane Library,Scopus,Web of Science,and grey literature,Studies published between 2018 and 2024,involving patients aged 40 years or more undergoing regular hemodialysis,and available in Portuguese,English,or Spanish,were included.JBI's critical appraisal tools were used to conduct a rigorous analysis and methodological quality assessment of the articles.Results:Out of a total of 738 articles,10 were included for analysis.Five key dimensions of technologydriven self-care interventions were established.1)Mobile applications and digital platforms with features like nutritional databases,food logging,and personalized feedback;2)E-learning and virtual education using social media and chat-based communication;3)Telenursing employing a hybrid follow-up model of face-to-face,telephone,and SMS contact;4)Educational strategies focused on nutritional status,utilizing methods such as teach-back and pictorial learning within a multidisciplinary team;and 5)Comprehensive assessment tools evaluating treatment adherence(hemodialysis,medication,diet,fluid)and laboratory markers.Significant improvements were reported across several outcomes:eight studies showed enhanced biochemical markers(e.g.,phosphorus,sodium,potassium,calcium,iron,albumin,urea,and hemoglobin)and nutritional status,three demonstrated increased selfefficacy,and two reported improved quality of life.Conclusion:Integrating technology and face-to-face education enhances nutritional status,highlighting the importance of comprehensive strategies to improve treatment adherence and prevent malnutrition in hemodialysis patients.展开更多
Objective:This study aims to outline the background of advanced nursing practice(ANP),potential issues,and the prospects for its establishment in the Moroccan health care system.Methods:A review was performed with dat...Objective:This study aims to outline the background of advanced nursing practice(ANP),potential issues,and the prospects for its establishment in the Moroccan health care system.Methods:A review was performed with databases that included articles published between 2016 and 2023.Results:The study found 14 articles agreeing that ANP is a solution to the shortage of medical and nursing staff.Moreover,its establishment in the Moroccan health care system is subject to many challenges,which require an in-depth study.Conclusions:The training of advanced practice nurse(APN)is needed to meet the requirements of the national health care system.It can be incorporated if the context is examined,considering all the challenges that may arise when implementing this program.展开更多
BACKGROUND Diabetes mellitus has become one of the major pandemics of the 21st century.In this scenario,nursing interventions are essential for improving self-care and quality of life in patients with type 2 diabetes ...BACKGROUND Diabetes mellitus has become one of the major pandemics of the 21st century.In this scenario,nursing interventions are essential for improving self-care and quality of life in patients with type 2 diabetes mellitus.Nursing interventions are crucial for managing the disease and preventing complications.AIM To analyse nursing interventions in recent years through a systematic review and meta-analysis and to propose improvements in care plans.METHODS This study conducted a systematic review and meta-analysis of the impact of nursing interventions on quantitative glycaemic variables,such as glycated haemoglobin and fasting plasma glucose.RESULTS After confirming that the combined effect of all studies from the past 5 years positively impacts quantitative variables,a descriptive analysis of the studies with the most significant changes was conducted.Based on this,an improvement in diabetic patient care protocols has been proposed through follow-up plans tailored to the patient’s technological skills.CONCLUSION The combined results obtained and the proposal for improvement developed in this manuscript could help to improve the quality of life of many people around the world.展开更多
Objective:To assess the method of empathy intervention in nursing students in relation to the three dimensions of empathy:cognitive,affective,and behavioral.Methods:A systematic literature review was conducted followi...Objective:To assess the method of empathy intervention in nursing students in relation to the three dimensions of empathy:cognitive,affective,and behavioral.Methods:A systematic literature review was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis(PRISMA)2020 guideline.A search for articles in two databases(ScienceDirect and Taylor&Francis)revealed 99 articles.One author independently assessed articles for inclusion,resulting in 10 articles that met the inclusion criteria.Results:Based on a review of ten extracted journal articles,nine interventions showed increases in empathy,while one intervention did not show such outcomes.Four studies(the simulation-based empathic communication training intervention,the situated teaching program,high-fidelity simulation[HFS]training,and the structured empathy educational model[EEM])discussed the impact of interventions on the empathy dimension,while the remaining five only explained the impact of the intervention on empathy in general.Conclusions:The result of this study highlight the need for future research to design empathy interventions for nursing students that effectively target both the affective and behavioral dimensions of empathy.展开更多
Objective:To analyze the value of systematic nursing care received by patients with knee osteoarthritis(OA).Methods:Eighty-two OA patients who visited the hospital from August 2023 to August 2024 were selected as samp...Objective:To analyze the value of systematic nursing care received by patients with knee osteoarthritis(OA).Methods:Eighty-two OA patients who visited the hospital from August 2023 to August 2024 were selected as samples and divided into groups by drawing.Group A received systematic nursing,while Group B received routine nursing.Emotional scores,pain scores,knee joint assessments,quality of life scores,and adverse reactions were compared.Results:After 3 weeks of nursing,Group A had lower scores for anxiety(SAS),depression(SDS),and visual analog scale(VAS)compared to Group B,with P<0.05.At 1 week,2 weeks,and 3 weeks of nursing,Group A had higher scores on the American Hospital for Special Surgery(HHS)scale compared to Group B,with P<0.05.After 3 weeks of nursing,Group A had higher scores for quality of life(SF-36)compared to Group B,with P<0.05.The adverse reaction rate in Group A was lower than that in Group B,with P<0.05.Conclusion:Systematic nursing care for OA patients results in improved knee function,pain relief,emotional stability,and improved quality of life,making it highly effective and feasible.展开更多
Objective: To explore the effect of a whole-course nursing objective management system on disease control and quality of life in patients with type 2 diabetes, and to propose strategies for constructing such a system ...Objective: To explore the effect of a whole-course nursing objective management system on disease control and quality of life in patients with type 2 diabetes, and to propose strategies for constructing such a system for these patients. Methods: Ninety patients with type 2 diabetes admitted to the Department of Endocrinology of the hospital from January 2024 to June 2024 were selected. The control group (n = 45) received routine nursing care, while the observation group (n = 45) received whole-course nursing. Indicators such as glucose metabolism and compliance behavior were measured before and after care, and the health and quality of life of patients in both groups were evaluated. Results: A comparison of blood glucose levels and compliance behavior showed that the observation group had lower blood glucose levels than the control group (P < 0.05). Additionally, the compliance behavior score of the observation group was higher than that of the control group (P < 0.05). Conclusion: The holistic nursing model demonstrates significant nursing effects for patients with type 2 diabetes. This approach not only assists in blood sugar control, prevents disease progression, and reduces complications, but also enhances patients’ knowledge of health management, aiding in their recovery.展开更多
The quality of care and treatment can be impacted by a number of factors, including the rate of missed care. The present study was conducted with the aim to evaluate missed nursing care (MNC) and its association with ...The quality of care and treatment can be impacted by a number of factors, including the rate of missed care. The present study was conducted with the aim to evaluate missed nursing care (MNC) and its association with patient safety culture in the emergency department (ED). Until September 2024, the international databases MEDLINE (PubMed and Ovid), Embase and Cochrane, Scopus, Wiley Online Library, Web of Science, Cochrane Central Register of Controlled Trials, EBSCO, ISI, Elsevier, and Google Scholar were searched using the search terms including patient safety culture and MNC. A total of eight articles were reviewed. In the fixed-effect model with low heterogeneity (I^(2) = 0%, P = 1), the mean score of overall MNC was 2.07 (ES, 2.97;95% confidence interval: −2.21-6.35). According to meta-regression analyses, MNC significantly inversely correlated with patient safety culture, age, and work experience (P < 0.01). By improving the working conditions of ED nurses and providing training related to patient safety, the amount of lost nursing care will decrease.展开更多
Frontiers of Nursing is a nursing academic journal,CN 14-1395/R,ISSN 2097-5368.Size A4,quarterly publication,color printing,public offerings at home and abroad which is managed by the First Hospital of Shanxi Medical ...Frontiers of Nursing is a nursing academic journal,CN 14-1395/R,ISSN 2097-5368.Size A4,quarterly publication,color printing,public offerings at home and abroad which is managed by the First Hospital of Shanxi Medical University,sponsored by Shanxi Nursing Association and Shanxi Medical Periodical Press Co.,Ltd.Frontiers of Nursing has been indexed by databases including Scopus,Google Scholar,DOAJ,Baidu Scholar,CNKI,VIP,Wanfang,Chaoxing,and so on.展开更多
Objective:To explore the impact of evidence-based predictive nursing intervention on psychological stress and physiological indicator stability of elderly cataract patients during the perioperative period(1 day before...Objective:To explore the impact of evidence-based predictive nursing intervention on psychological stress and physiological indicator stability of elderly cataract patients during the perioperative period(1 day before surgery to 1 day after surgery),and to provide a basis for optimizing clinical nursing plans for elderly cataract surgery.Methods:A retrospective selection of 90 elderly patients(aged≥60 years)who underwent cataract surgery in the Ophthalmology Department of our hospital from August 2024 to December 2024 was conducted.They were divided into an observation group(n=45)and a control group(n=45)using a random number table method.The control group received routine nursing for cataract surgery,while the observation group implemented evidence-based predictive nursing intervention(including the establishment of a multidisciplinary evidence-based team,hierarchical psychological intervention,perioperative environment optimization,intraoperative personalized cooperation,and video-based health education).Psychological stress indicators[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),General Self-Efficacy Scale(GSES)]on the 1st day before surgery and 1st day after surgery,and fluctuations of physiological indicators[Heart Rate(HR),Systolic Blood Pressure(SBP),Diastolic Blood Pressure(DBP)]on the 1st day before surgery and during surgery were compared between the two groups.Results:Before intervention,there were no statistically significant differences in SAS,SDS,GSES scores,HR,SBP,or DBP between the two groups(p>0.05);after intervention,the SAS score(33.62±5.72)and SDS score(32.14±4.86)of the observation group on the 1st day after surgery were significantly lower than those of the control group[(41.05±5.56),(43.59±4.75)],and the GSES score(31.15±3.28)was significantly higher than that of the control group(24.84±3.52)(all p<0.05);during surgery,the fluctuations of HR(74.0±6.0)beats/min,SBP(127.0±15.8)mmHg,and DBP(75.0±5.9)mmHg in the observation group were significantly smaller than those in the control group(all p<0.05).Conclusion:Evidence-based predictive nursing intervention can effectively alleviate anxiety and depression in elderly cataract patients during the perioperative period,improve self-efficacy,stabilize intraoperative physiological status,and enhance surgical cooperation,which is worthy of clinical promotion.展开更多
Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitio...Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitioning from classroom learning to clinical practice.Through this reflection,the authors hope to inspire and empower future nursing leaders to champion innovation,resilience,and excellence in healthcare.Methods:By integrating evidence-based leadership principles,the authors reflect on their personal experiences,challenges,and successes in implementing these guidelines in real-world settings.Results:The paper highlights the significance of leadership in fostering healthy work environments and improving patient outcomes,emphasizing the role of nursing students as emerging leaders.Practical strategies for applying BPG,the RNAO BPG suggests leadership skills on professional development,and recommendations for embedding leadership principles into nursing education and practice are discussed.Conclusions:Implementing nursing leadership from the beginning of a nursing student's journey is vital for shaping the next generation of healthcare leaders.By integrating leadership principles early in nursing education,students can develop the skills needed to navigate clinical challenges,collaborate effectively with healthcare teams,and advocate for positive change.Starting with leadership guidelines in nursing school ensures that future nurses are equipped to foster supportive work environments,improve patient outcomes,and drive innovation from the very start of their careers,making leadership an inherent part of their professional identity.展开更多
Recently,inflammatory cytokine profiles have been linked to suicide risk in adolescents with non-suicidal self-injury,highlighting a promising biological dimension of suicide risk assessment.Clinical translation of th...Recently,inflammatory cytokine profiles have been linked to suicide risk in adolescents with non-suicidal self-injury,highlighting a promising biological dimension of suicide risk assessment.Clinical translation of the cytokine profiles into practice will require frontline engagement of the workforce.Mental health nurses are frequently the most accessible professionals in schools,communities,and low-resource settings and are prime candidates to bridge this gap.By integrating psychosocial evaluation with emerging biomarker data,they can deliver systematic risk assessment,continuous monitoring,and timely intervention.This role would not replace psychiatric expertise;it would extend the reach of psychiatric services,embedding suicide prevention across the continuum of care.For health systems,nurse-led integration may enhance capacity,equity,and resilience in responding to adolescent suicide risk.This editorial demonstrates that empowering nurses to operationalize biomarker-informed strategies is needed for advancing effective and sustainable suicide prevention in this vulnerable population.展开更多
Objective:To explore the interventional room nursing and its application effects in patients with ischemic stroke treated with tirofiban combined with direct thrombectomy.Methods:A total of 61 patients with ischemic s...Objective:To explore the interventional room nursing and its application effects in patients with ischemic stroke treated with tirofiban combined with direct thrombectomy.Methods:A total of 61 patients with ischemic stroke admitted to our hospital from June 2024 to June 2025 were selected and divided into two groups using the red and blue ball method:the control group(n=30,receiving routine interventional room nursing)and the observation group(n=31,receiving additional tirofiban medication-specific nursing+individualized interventional nursing on the basis of routine nursing).The cerebral hemodynamic indicators,adverse reactions,effectiveness of complication nursing,and nursing satisfaction were compared between the two groups.Results:After 7 days of treatment,the observation group had lower cerebrovascular peripheral resistance and higher mean blood flow velocity and mean blood flow volume compared to the control group(all p<0.05).The observation group had a higher effectiveness rate of complication nursing than the control group,with a statistically significant difference(p<0.05).The nursing satisfaction in the observation group(96.77%)was higher than that in the control group(80.00%),with a statistically significant difference(χ^(2)=4.223,p=0.040<0.05).Conclusion:Tirofiban combined with direct thrombectomy can significantly improve cerebral hemodynamics,enhance the effectiveness of complication nursing,and increase patient satisfaction in patients with ischemic stroke.展开更多
Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nu...Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nurse-led vir tual clinic is challenging for nursing management,par ticularly regarding resources.We aimed to investigate nursing practices and processes and patient experiences in relation to vir tual outpatient clinics.Methods:This was a cross-sectional,descriptive study using mixed data collection methods.Patients(n=324)from 4 specialist clinics completed the Virtual Clinics Patient Satisfaction Questionnaire(VCSQ)survey.Five Nurse Specialists participated in a focus group interview.Results:Most participants(86.3%)reported being satisfied/very satisfied with the virtual clinics,particularly those that were nurse-led.Nurse specialists identified electronic health records(EHRs)and additional IT and administrative support as important for efficiency and effectiveness of the clinics.Conclusions:Nurse-led virtual clinics can be an effective and efficient way to provide care to patients.Nurse managers need to ensure supportive structures are in place,for example,dedicated administrators,IT support and infrastructure,education/training,and relevant policies/procedures.The success of nurse-led virtual services requires key infrastructure to support nursing staff and sustain this service.展开更多
Objective:To analyze the application effectiveness of the integrated medical-nursing comprehensive care model in cases of cerebral infarction and clarify its clinical practical value for the patient rehabilitation pro...Objective:To analyze the application effectiveness of the integrated medical-nursing comprehensive care model in cases of cerebral infarction and clarify its clinical practical value for the patient rehabilitation process.Methods:A total of 60 patients with cerebral infarction admitted from June 2024 to December 2024 were selected as the research subjects and randomly divided into a control group and a research group,with 30 cases in each group.Patients in the control group received routine clinical nursing measures,while those in the study group underwent collaborative healthcare intervention in addition to routine nursing.The intervention included joint disease assessment,personalized rehabilitation training guidance,psychological counseling,and continuous nursing services after discharge.A comparative study was conducted by evaluating indicators such as the scores on adverse emotion scales,the extent of neurological recovery,the effectiveness rate of clinical rehabilitation treatment,and the level of satisfaction with nursing services between the two groups.Results:After the intervention,the scores on the Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS)in the study group decreased to(40.12±5.01)and(41.36±5.20),respectively,both significantly lower than those in the control group,which were(47.36±5.82)and(48.95±5.63),respectively.The differences between the two groups were statistically significant(p<0.05).The improvement in the neurological deficit scores of patients in the study group reached(9.18±2.04),higher than that in the control group,which was(5.17±1.82)(p<0.05).The overall clinical rehabilitation effectiveness rate in the study group was 93.3%,significantly higher than that in the control group,which was 73.3%.The satisfaction rate with nursing services in the study group reached 96.7%,also higher than that in the control group,which was 83.3%.The differences between the two groups were statistically significant(p<0.05).Conclusion:The integrated healthcare nursing model can effectively alleviate adverse emotional states in patients with cerebral infarction,facilitate the repair and reconstruction of neurological function,improve the effectiveness of clinical rehabilitation treatment and satisfaction with nursing services,and thus holds high value for clinical promotion and application.展开更多
MASLD in China:an under-recognized public health problem Epidemic characteristics of metabolic dysfunction-associated steatotic liver disease(MASLD)in China As one of the most common chronic non-infectious liver disea...MASLD in China:an under-recognized public health problem Epidemic characteristics of metabolic dysfunction-associated steatotic liver disease(MASLD)in China As one of the most common chronic non-infectious liver diseases,metabolic dysfunction-associated steatotic liver disease(MASLD),previously known as non-alcoholic fatty liver disease(NAFLD),affects one quarter of the world’s population,is closely related to diabetes and obesity[1,2].展开更多
Background:The effective delivery of nursing care is crucial in hospital settings because it directly affects patient outcomes.However,nursing care can be missed because of various factors,including inadequate teamwor...Background:The effective delivery of nursing care is crucial in hospital settings because it directly affects patient outcomes.However,nursing care can be missed because of various factors,including inadequate teamwork among nursing staff.Understanding the interplay between missed nursing care and nursing teamwork is essential for enhancing care quality in inpatient settings.This study therefore explored the relationship between missed nursing care and nursing teamwork among registered nurses in hospital inpatient units.Methods:A descriptive,correlational,cross-sectional study was conducted,involving 375 registered nurses from four hospitals in three healthcare sectors in Jordan.Missed nursing care and nursing teamwork were measured using the Missed Nursing Care Survey and the Nursing Teamwork Survey.Data collection occurred between September and October 2024,with con-venience sampling used for participant recruitment.Descriptive and inferential statistics,including mean,standard deviation,percentage,frequency,and Pearson's r correlation coefficient,were used to analyze the data.Results:The overall average missed nursing care score was 2.35 out of 5,suggesting that nursing care is rarely missed.The most frequently missed care activities reported by registered nurses included attending interdisciplinary care conferences,providing mouth care,and ambulating patients three times daily or as ordered.Activities least often missed included medi-cation administration within 30 min of the scheduled time,assessing vital signs as ordered,and performing patient assessments each shift.The overall mean score for nursing teamwork was 3.5 out of 5(standard deviation=1.06).There was a moderate but significant negative correlation between missed nursing care and nursing teamwork(r=−0.310,p<0.001).Conclusions:The results underscore the urgent need for targeted interventions to enhance resource allocation and teamwork,ultimately reducing missed nursing care and improving patient outcomes.Addressing these areas will foster a more effective healthcare system and enable nursing professionals to consistently deliver high-quality care.展开更多
文摘Objective: to explore the application effect of continuous nursing system in the nursing of discharged patients in intravenous infusion port. Methods: from February 2019 to January 2021, 82 patients with implantable intravenous infusion port were treated in our hospital. According to the parity of admission number, 41 odd cases entered the control group for routine discharge follow-up nursing;An even number of 41 patients entered the experimental group and adopted the continuous nursing system. The maintenance compliance, self-care ability and quality of life of infusion port were compared. Results: the excellent and good rate of maintenance compliance of infusion port in the experimental group was higher than that in the control group (97.56% vs 82.93%);After the intervention, the scores of ESCA and QOL in the experimental group were significantly higher than those in the control group. The test results showed that there was significant difference (P < 0.05). Conclusion: the continuous nursing system for discharged patients in intravenous infusion port can not only improve the maintenance compliance of infusion port, but also improve their self-care ability and quality of life, so it is worth popularizing.
文摘Objective: to analyze the application value of painless nursing management system in orthopedics. Methods: from February 2020 to September 2021 as the time period of this study, 62 orthopedic patients who received treatment in our hospital during this time period were selected as the experimental personnel. According to the random rule, the personnel were divided into 2 groups, 31 cases in each group, the experimental group took conventional treatment, the observation group took painless nursing management theory for treatment. The treatment situation and length of stay of patients in the two groups were compared. Results: the satisfaction of patients in the experimental group was higher than that in the observation group, and the average length of hospital stay in the observation group (6.67 ± 4.73) d were significantly better than that in the control group, the difference was statistically significant (P < 0.05). Conclusion: in the orthopedic nursing link, painless nursing management measures can shorten the time of pain, in order to maximize the degree of improving the quality of nursing, worthy of popularization.
文摘Objective: carry out responsibility nursing for patients with coronary heart disease, and further explore the quality of responsibility nursing and its significance to patients recovery. Methods: ninety-two patients with coronary heart disease were taken as the research subjects, and the acceptance period was from January 2021 to December 2021. Randomly divided by computer, one group received routine nursing as the control group;the other group received responsibility nursing as the observation group, 46 cases in each group. The prognosis recovery [physical activity limitation (PL), angina pectoris attack (AF), stable angina pectoris (AS), disease cognition (DP), treatment satisfaction (TS)], cardiac function indexes [left ventricular ejection fraction (LVEF), left ventricular end diastolic diameter (LEVDD)] and negative emotions [self-rating anxiety scale (SAS)] before and after nursing were compared between the two groups. Results: after nursing, the scores of PL, AF, AS, DP and TS in the observation group were higher than those in the control group, and the difference was statistically significant (P < 0.05). After nursing, the level of LVEF in the observation group was higher than that in the control group, and the level of LEVDD was lower than that in the control group, with statistical significance (P < 0.05). SAS and SDS scores in the observation group were lower than those in the control group, and the difference was statistically significant (P < 0.05). The incidence of adverse cardiovascular events in the observation group was 2.17%, which was lower than that in the control group (21.74%, P < 0.05). The nursing satisfaction scores of the observation group, such as proficiency, nurses sense of responsibility, communication ability, active service, emergency response ability and standardization of nursing writing, were all higher than those of the control group, with statistical significance (P < 0.05). Conclusion: responsibility-based nursing can not only improve the nursing quality of patients with coronary heart disease, but also help patients with coronary heart disease recover as soon as possible and have a good prognosis.
文摘Objective:To explore the impact of systematic stepwise rehabilitation nursing intervention on the prognosis and disease uncertainty of patients with hypertensive intracerebral hemorrhage,and to provide feasible strategies for clinical nursing.Methods:Eighty patients with hypertensive intracerebral hemorrhage admitted to our hospital from January 2023 to June 2025 were selected and randomly divided into an observation group(n=40,receiving systematic stepwise rehabilitation nursing)and a control group(n=40,receiving conventional nursing).The intervention effects were analyzed by comparing changes in the National Institutes of Health Stroke Scale(NIHSS)scores for neurological recovery,Short Form 36 Health Survey(SF-36)scores for quality of life,Exercise of Self-Care Agency Scale(ESCA)scores for self-management ability,compliance,and the Mishel Uncertainty in Illness Scale(MUIS)scores between the two groups.Results:All scores in the observation group were significantly better than those in the control group after the intervention(p<0.05).Specifically,the NIHSS scores decreased more significantly,the total SF-36 scores increased,the ESCA scores increased significantly,while the MUIS scores decreased significantly,and compliance improved markedly,indicating a reduction in disease uncertainty among patients.Conclusion:Systematic stepwise rehabilitation nursing intervention can significantly improve neurological recovery,quality of life,self-management ability,and compliance in patients with hypertensive intracerebral hemorrhage,while effectively reducing disease uncertainty.It is worthy of clinical promotion and application.
基金funded by national funds through the Foundation for Science and Technology,under the project UIDB/04923。
文摘impacting quality of life.This study aimed to identify technological nursing interventions that promote self-care and improve the nutritional status of middle-aged and older adults undergoing hemodialysis.Methods:A systematic literature review was conducted in accordance with the Joanna Briggs Institute(JBI)and PRISMA guidelines.Searches were conducted in Medline,CINAHL,the Cochrane Library,Scopus,Web of Science,and grey literature,Studies published between 2018 and 2024,involving patients aged 40 years or more undergoing regular hemodialysis,and available in Portuguese,English,or Spanish,were included.JBI's critical appraisal tools were used to conduct a rigorous analysis and methodological quality assessment of the articles.Results:Out of a total of 738 articles,10 were included for analysis.Five key dimensions of technologydriven self-care interventions were established.1)Mobile applications and digital platforms with features like nutritional databases,food logging,and personalized feedback;2)E-learning and virtual education using social media and chat-based communication;3)Telenursing employing a hybrid follow-up model of face-to-face,telephone,and SMS contact;4)Educational strategies focused on nutritional status,utilizing methods such as teach-back and pictorial learning within a multidisciplinary team;and 5)Comprehensive assessment tools evaluating treatment adherence(hemodialysis,medication,diet,fluid)and laboratory markers.Significant improvements were reported across several outcomes:eight studies showed enhanced biochemical markers(e.g.,phosphorus,sodium,potassium,calcium,iron,albumin,urea,and hemoglobin)and nutritional status,three demonstrated increased selfefficacy,and two reported improved quality of life.Conclusion:Integrating technology and face-to-face education enhances nutritional status,highlighting the importance of comprehensive strategies to improve treatment adherence and prevent malnutrition in hemodialysis patients.
文摘Objective:This study aims to outline the background of advanced nursing practice(ANP),potential issues,and the prospects for its establishment in the Moroccan health care system.Methods:A review was performed with databases that included articles published between 2016 and 2023.Results:The study found 14 articles agreeing that ANP is a solution to the shortage of medical and nursing staff.Moreover,its establishment in the Moroccan health care system is subject to many challenges,which require an in-depth study.Conclusions:The training of advanced practice nurse(APN)is needed to meet the requirements of the national health care system.It can be incorporated if the context is examined,considering all the challenges that may arise when implementing this program.
文摘BACKGROUND Diabetes mellitus has become one of the major pandemics of the 21st century.In this scenario,nursing interventions are essential for improving self-care and quality of life in patients with type 2 diabetes mellitus.Nursing interventions are crucial for managing the disease and preventing complications.AIM To analyse nursing interventions in recent years through a systematic review and meta-analysis and to propose improvements in care plans.METHODS This study conducted a systematic review and meta-analysis of the impact of nursing interventions on quantitative glycaemic variables,such as glycated haemoglobin and fasting plasma glucose.RESULTS After confirming that the combined effect of all studies from the past 5 years positively impacts quantitative variables,a descriptive analysis of the studies with the most significant changes was conducted.Based on this,an improvement in diabetic patient care protocols has been proposed through follow-up plans tailored to the patient’s technological skills.CONCLUSION The combined results obtained and the proposal for improvement developed in this manuscript could help to improve the quality of life of many people around the world.
文摘Objective:To assess the method of empathy intervention in nursing students in relation to the three dimensions of empathy:cognitive,affective,and behavioral.Methods:A systematic literature review was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis(PRISMA)2020 guideline.A search for articles in two databases(ScienceDirect and Taylor&Francis)revealed 99 articles.One author independently assessed articles for inclusion,resulting in 10 articles that met the inclusion criteria.Results:Based on a review of ten extracted journal articles,nine interventions showed increases in empathy,while one intervention did not show such outcomes.Four studies(the simulation-based empathic communication training intervention,the situated teaching program,high-fidelity simulation[HFS]training,and the structured empathy educational model[EEM])discussed the impact of interventions on the empathy dimension,while the remaining five only explained the impact of the intervention on empathy in general.Conclusions:The result of this study highlight the need for future research to design empathy interventions for nursing students that effectively target both the affective and behavioral dimensions of empathy.
文摘Objective:To analyze the value of systematic nursing care received by patients with knee osteoarthritis(OA).Methods:Eighty-two OA patients who visited the hospital from August 2023 to August 2024 were selected as samples and divided into groups by drawing.Group A received systematic nursing,while Group B received routine nursing.Emotional scores,pain scores,knee joint assessments,quality of life scores,and adverse reactions were compared.Results:After 3 weeks of nursing,Group A had lower scores for anxiety(SAS),depression(SDS),and visual analog scale(VAS)compared to Group B,with P<0.05.At 1 week,2 weeks,and 3 weeks of nursing,Group A had higher scores on the American Hospital for Special Surgery(HHS)scale compared to Group B,with P<0.05.After 3 weeks of nursing,Group A had higher scores for quality of life(SF-36)compared to Group B,with P<0.05.The adverse reaction rate in Group A was lower than that in Group B,with P<0.05.Conclusion:Systematic nursing care for OA patients results in improved knee function,pain relief,emotional stability,and improved quality of life,making it highly effective and feasible.
文摘Objective: To explore the effect of a whole-course nursing objective management system on disease control and quality of life in patients with type 2 diabetes, and to propose strategies for constructing such a system for these patients. Methods: Ninety patients with type 2 diabetes admitted to the Department of Endocrinology of the hospital from January 2024 to June 2024 were selected. The control group (n = 45) received routine nursing care, while the observation group (n = 45) received whole-course nursing. Indicators such as glucose metabolism and compliance behavior were measured before and after care, and the health and quality of life of patients in both groups were evaluated. Results: A comparison of blood glucose levels and compliance behavior showed that the observation group had lower blood glucose levels than the control group (P < 0.05). Additionally, the compliance behavior score of the observation group was higher than that of the control group (P < 0.05). Conclusion: The holistic nursing model demonstrates significant nursing effects for patients with type 2 diabetes. This approach not only assists in blood sugar control, prevents disease progression, and reduces complications, but also enhances patients’ knowledge of health management, aiding in their recovery.
文摘The quality of care and treatment can be impacted by a number of factors, including the rate of missed care. The present study was conducted with the aim to evaluate missed nursing care (MNC) and its association with patient safety culture in the emergency department (ED). Until September 2024, the international databases MEDLINE (PubMed and Ovid), Embase and Cochrane, Scopus, Wiley Online Library, Web of Science, Cochrane Central Register of Controlled Trials, EBSCO, ISI, Elsevier, and Google Scholar were searched using the search terms including patient safety culture and MNC. A total of eight articles were reviewed. In the fixed-effect model with low heterogeneity (I^(2) = 0%, P = 1), the mean score of overall MNC was 2.07 (ES, 2.97;95% confidence interval: −2.21-6.35). According to meta-regression analyses, MNC significantly inversely correlated with patient safety culture, age, and work experience (P < 0.01). By improving the working conditions of ED nurses and providing training related to patient safety, the amount of lost nursing care will decrease.
文摘Frontiers of Nursing is a nursing academic journal,CN 14-1395/R,ISSN 2097-5368.Size A4,quarterly publication,color printing,public offerings at home and abroad which is managed by the First Hospital of Shanxi Medical University,sponsored by Shanxi Nursing Association and Shanxi Medical Periodical Press Co.,Ltd.Frontiers of Nursing has been indexed by databases including Scopus,Google Scholar,DOAJ,Baidu Scholar,CNKI,VIP,Wanfang,Chaoxing,and so on.
基金Hospital Quality Management Research Fund Project of China Medical Quality Management Association(Project No.:YLZG202511)。
文摘Objective:To explore the impact of evidence-based predictive nursing intervention on psychological stress and physiological indicator stability of elderly cataract patients during the perioperative period(1 day before surgery to 1 day after surgery),and to provide a basis for optimizing clinical nursing plans for elderly cataract surgery.Methods:A retrospective selection of 90 elderly patients(aged≥60 years)who underwent cataract surgery in the Ophthalmology Department of our hospital from August 2024 to December 2024 was conducted.They were divided into an observation group(n=45)and a control group(n=45)using a random number table method.The control group received routine nursing for cataract surgery,while the observation group implemented evidence-based predictive nursing intervention(including the establishment of a multidisciplinary evidence-based team,hierarchical psychological intervention,perioperative environment optimization,intraoperative personalized cooperation,and video-based health education).Psychological stress indicators[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),General Self-Efficacy Scale(GSES)]on the 1st day before surgery and 1st day after surgery,and fluctuations of physiological indicators[Heart Rate(HR),Systolic Blood Pressure(SBP),Diastolic Blood Pressure(DBP)]on the 1st day before surgery and during surgery were compared between the two groups.Results:Before intervention,there were no statistically significant differences in SAS,SDS,GSES scores,HR,SBP,or DBP between the two groups(p>0.05);after intervention,the SAS score(33.62±5.72)and SDS score(32.14±4.86)of the observation group on the 1st day after surgery were significantly lower than those of the control group[(41.05±5.56),(43.59±4.75)],and the GSES score(31.15±3.28)was significantly higher than that of the control group(24.84±3.52)(all p<0.05);during surgery,the fluctuations of HR(74.0±6.0)beats/min,SBP(127.0±15.8)mmHg,and DBP(75.0±5.9)mmHg in the observation group were significantly smaller than those in the control group(all p<0.05).Conclusion:Evidence-based predictive nursing intervention can effectively alleviate anxiety and depression in elderly cataract patients during the perioperative period,improve self-efficacy,stabilize intraoperative physiological status,and enhance surgical cooperation,which is worthy of clinical promotion.
文摘Objective:To explore the application of the Registered Nurses'Association of Ontario(RNAO)Best Practice Guideline(BPG)for Developing and Sustaining Nursing Leadership through the lens of nursing students transitioning from classroom learning to clinical practice.Through this reflection,the authors hope to inspire and empower future nursing leaders to champion innovation,resilience,and excellence in healthcare.Methods:By integrating evidence-based leadership principles,the authors reflect on their personal experiences,challenges,and successes in implementing these guidelines in real-world settings.Results:The paper highlights the significance of leadership in fostering healthy work environments and improving patient outcomes,emphasizing the role of nursing students as emerging leaders.Practical strategies for applying BPG,the RNAO BPG suggests leadership skills on professional development,and recommendations for embedding leadership principles into nursing education and practice are discussed.Conclusions:Implementing nursing leadership from the beginning of a nursing student's journey is vital for shaping the next generation of healthcare leaders.By integrating leadership principles early in nursing education,students can develop the skills needed to navigate clinical challenges,collaborate effectively with healthcare teams,and advocate for positive change.Starting with leadership guidelines in nursing school ensures that future nurses are equipped to foster supportive work environments,improve patient outcomes,and drive innovation from the very start of their careers,making leadership an inherent part of their professional identity.
文摘Recently,inflammatory cytokine profiles have been linked to suicide risk in adolescents with non-suicidal self-injury,highlighting a promising biological dimension of suicide risk assessment.Clinical translation of the cytokine profiles into practice will require frontline engagement of the workforce.Mental health nurses are frequently the most accessible professionals in schools,communities,and low-resource settings and are prime candidates to bridge this gap.By integrating psychosocial evaluation with emerging biomarker data,they can deliver systematic risk assessment,continuous monitoring,and timely intervention.This role would not replace psychiatric expertise;it would extend the reach of psychiatric services,embedding suicide prevention across the continuum of care.For health systems,nurse-led integration may enhance capacity,equity,and resilience in responding to adolescent suicide risk.This editorial demonstrates that empowering nurses to operationalize biomarker-informed strategies is needed for advancing effective and sustainable suicide prevention in this vulnerable population.
文摘Objective:To explore the interventional room nursing and its application effects in patients with ischemic stroke treated with tirofiban combined with direct thrombectomy.Methods:A total of 61 patients with ischemic stroke admitted to our hospital from June 2024 to June 2025 were selected and divided into two groups using the red and blue ball method:the control group(n=30,receiving routine interventional room nursing)and the observation group(n=31,receiving additional tirofiban medication-specific nursing+individualized interventional nursing on the basis of routine nursing).The cerebral hemodynamic indicators,adverse reactions,effectiveness of complication nursing,and nursing satisfaction were compared between the two groups.Results:After 7 days of treatment,the observation group had lower cerebrovascular peripheral resistance and higher mean blood flow velocity and mean blood flow volume compared to the control group(all p<0.05).The observation group had a higher effectiveness rate of complication nursing than the control group,with a statistically significant difference(p<0.05).The nursing satisfaction in the observation group(96.77%)was higher than that in the control group(80.00%),with a statistically significant difference(χ^(2)=4.223,p=0.040<0.05).Conclusion:Tirofiban combined with direct thrombectomy can significantly improve cerebral hemodynamics,enhance the effectiveness of complication nursing,and increase patient satisfaction in patients with ischemic stroke.
基金supported by Nursing and Midwifery Practice Development Unit(NMPDU),Dublin South,Kildare,and Wicklow,Nurses preparedness for end of life conversations(No.P210537)。
文摘Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nurse-led vir tual clinic is challenging for nursing management,par ticularly regarding resources.We aimed to investigate nursing practices and processes and patient experiences in relation to vir tual outpatient clinics.Methods:This was a cross-sectional,descriptive study using mixed data collection methods.Patients(n=324)from 4 specialist clinics completed the Virtual Clinics Patient Satisfaction Questionnaire(VCSQ)survey.Five Nurse Specialists participated in a focus group interview.Results:Most participants(86.3%)reported being satisfied/very satisfied with the virtual clinics,particularly those that were nurse-led.Nurse specialists identified electronic health records(EHRs)and additional IT and administrative support as important for efficiency and effectiveness of the clinics.Conclusions:Nurse-led virtual clinics can be an effective and efficient way to provide care to patients.Nurse managers need to ensure supportive structures are in place,for example,dedicated administrators,IT support and infrastructure,education/training,and relevant policies/procedures.The success of nurse-led virtual services requires key infrastructure to support nursing staff and sustain this service.
基金Science and Technology Support Program Project of Baoding City,Hebei Province(Project No.:2541ZF107)。
文摘Objective:To analyze the application effectiveness of the integrated medical-nursing comprehensive care model in cases of cerebral infarction and clarify its clinical practical value for the patient rehabilitation process.Methods:A total of 60 patients with cerebral infarction admitted from June 2024 to December 2024 were selected as the research subjects and randomly divided into a control group and a research group,with 30 cases in each group.Patients in the control group received routine clinical nursing measures,while those in the study group underwent collaborative healthcare intervention in addition to routine nursing.The intervention included joint disease assessment,personalized rehabilitation training guidance,psychological counseling,and continuous nursing services after discharge.A comparative study was conducted by evaluating indicators such as the scores on adverse emotion scales,the extent of neurological recovery,the effectiveness rate of clinical rehabilitation treatment,and the level of satisfaction with nursing services between the two groups.Results:After the intervention,the scores on the Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS)in the study group decreased to(40.12±5.01)and(41.36±5.20),respectively,both significantly lower than those in the control group,which were(47.36±5.82)and(48.95±5.63),respectively.The differences between the two groups were statistically significant(p<0.05).The improvement in the neurological deficit scores of patients in the study group reached(9.18±2.04),higher than that in the control group,which was(5.17±1.82)(p<0.05).The overall clinical rehabilitation effectiveness rate in the study group was 93.3%,significantly higher than that in the control group,which was 73.3%.The satisfaction rate with nursing services in the study group reached 96.7%,also higher than that in the control group,which was 83.3%.The differences between the two groups were statistically significant(p<0.05).Conclusion:The integrated healthcare nursing model can effectively alleviate adverse emotional states in patients with cerebral infarction,facilitate the repair and reconstruction of neurological function,improve the effectiveness of clinical rehabilitation treatment and satisfaction with nursing services,and thus holds high value for clinical promotion and application.
基金funded by the Program of China Scholarships Council(No.202206785007)“Four New”Experimental Teaching Curriculum Reform Project of Jinan University in China(SYJG202235),the Teaching QualityTeaching Reform Project of Undergraduate University of Guangdong in China(2020).
文摘MASLD in China:an under-recognized public health problem Epidemic characteristics of metabolic dysfunction-associated steatotic liver disease(MASLD)in China As one of the most common chronic non-infectious liver diseases,metabolic dysfunction-associated steatotic liver disease(MASLD),previously known as non-alcoholic fatty liver disease(NAFLD),affects one quarter of the world’s population,is closely related to diabetes and obesity[1,2].
文摘Background:The effective delivery of nursing care is crucial in hospital settings because it directly affects patient outcomes.However,nursing care can be missed because of various factors,including inadequate teamwork among nursing staff.Understanding the interplay between missed nursing care and nursing teamwork is essential for enhancing care quality in inpatient settings.This study therefore explored the relationship between missed nursing care and nursing teamwork among registered nurses in hospital inpatient units.Methods:A descriptive,correlational,cross-sectional study was conducted,involving 375 registered nurses from four hospitals in three healthcare sectors in Jordan.Missed nursing care and nursing teamwork were measured using the Missed Nursing Care Survey and the Nursing Teamwork Survey.Data collection occurred between September and October 2024,with con-venience sampling used for participant recruitment.Descriptive and inferential statistics,including mean,standard deviation,percentage,frequency,and Pearson's r correlation coefficient,were used to analyze the data.Results:The overall average missed nursing care score was 2.35 out of 5,suggesting that nursing care is rarely missed.The most frequently missed care activities reported by registered nurses included attending interdisciplinary care conferences,providing mouth care,and ambulating patients three times daily or as ordered.Activities least often missed included medi-cation administration within 30 min of the scheduled time,assessing vital signs as ordered,and performing patient assessments each shift.The overall mean score for nursing teamwork was 3.5 out of 5(standard deviation=1.06).There was a moderate but significant negative correlation between missed nursing care and nursing teamwork(r=−0.310,p<0.001).Conclusions:The results underscore the urgent need for targeted interventions to enhance resource allocation and teamwork,ultimately reducing missed nursing care and improving patient outcomes.Addressing these areas will foster a more effective healthcare system and enable nursing professionals to consistently deliver high-quality care.
