Objective:To analyze the impact of nursing interventions based on quantitative assessment using the Kano model on the quality of rehabilitation in patients with early-stage ovarian cancer following laparoscopic radica...Objective:To analyze the impact of nursing interventions based on quantitative assessment using the Kano model on the quality of rehabilitation in patients with early-stage ovarian cancer following laparoscopic radical surgery.Methods:A prospective clinical study was conducted involving 96 patients with newly diagnosed early-stage ovarian cancer who underwent laparoscopic radical surgery from December 2023 to December 2025.Patients were randomly assigned to groups using a random number table method before surgery.After surgery,the control group(n=48)received routine quantitative assessment nursing interventions,while the observation group(n=48)received nursing interventions based on quantitative assessment using the Kano model.Both groups received continuous nursing care until discharge.Differences between the groups were compared in terms of negative emotions,quality of life scores before and after postoperative intervention,postoperative recovery indicators,and nursing satisfaction evaluations on the day of discharge.Results:After intervention,the observation group had lower scores on the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS),as well as shorter recovery times for gastrointestinal function and food intake,and a shorter hospital stay compared to the control group.Additionally,the observation group had higher scores on the Quality-of-Life Instrument for Cancer Patients-Ovarian Cancer(QLICP-OV)than the control group,with statistically significant differences(p<0.05).The overall satisfaction with nursing care in the observation group was also higher than that in the control group,with a statistically significant difference(p<0.05).Conclusion:Implementing quantitative evaluation nursing interventions based on the Kano model for patients with early-stage ovarian cancer after laparoscopic radical surgery can,by addressing their postoperative basic health,disease awareness,and other intervention content needs to a comprehensive degree,actively promote postoperative recovery and improve their mental health and quality of life.展开更多
Objective:To evaluate the value of rehabilitation nursing based on mind mapping model combined with psychological intervention for patients with nephrotic syndrome(NS).Methods:A total of 60 patients with NS who visite...Objective:To evaluate the value of rehabilitation nursing based on mind mapping model combined with psychological intervention for patients with nephrotic syndrome(NS).Methods:A total of 60 patients with NS who visited our hospital from January 2024 to December 2024 were selected as samples and randomly divided into groups.The observation group received rehabilitation nursing based on the mind mapping model combined with psychological intervention,while the control group received routine intervention.The differences in emotional scores,self-care ability scores,compliance,and complications were compared between the two groups.Results:The anxiety(SAS)and depression(SDS)scores of the observation group were lower than those of the control group,while the self-care ability scale(ESCA)score was higher than that of the control group(P<0.05).The compliance rate of the observation group was higher than that of the control group(P<0.05).The complication rate of NS in the observation group was lower than that in the control group(P<0.05).Conclusion:Rehabilitation nursing based on the mind mapping model combined with psychological intervention can enhance self-care ability,reduce negative emotions,and reduce complications in NS nursing,which is efficient and feasible.展开更多
With the continuous improvement of the medical industry’s requirements for the professional capabilities of nursing talents,traditional nursing teaching models can hardly meet the needs of complex nursing work in neu...With the continuous improvement of the medical industry’s requirements for the professional capabilities of nursing talents,traditional nursing teaching models can hardly meet the needs of complex nursing work in neurology.This paper focuses on nursing education for neurology nursing students and explores the construction of the“one-on-one”teaching model,aiming to achieve a paradigm shift in nursing education.By analyzing the current status of neurology nursing education,this paper identifies the problems in traditional teaching models.Combining the advantages of the“one-on-one”teaching model,it elaborates on the construction path of this model from aspects such as the selection and training of teaching instructors,the design of teaching content,the innovation of teaching methods,and the improvement of the teaching evaluation system.The research shows that the“one-on-one”teaching model can significantly enhance nursing students’mastery of professional knowledge,clinical operation skills,communication skills,and emergency response capabilities,as well as strengthen their professional identity and sense of responsibility.It provides an effective way to cultivate high-quality nursing talents who can meet the needs of neurology nursing work and promotes the innovative development of nursing education.展开更多
Objective:This study aimed to develop a Nursing Retrieval-Augmented Generation(NurRAG)system based on large language models(LLMs)and to evaluate its accuracy and clinical applicability in nursing question answering.Me...Objective:This study aimed to develop a Nursing Retrieval-Augmented Generation(NurRAG)system based on large language models(LLMs)and to evaluate its accuracy and clinical applicability in nursing question answering.Methods:A multidisciplinary team consisting of nursing experts,artificial intelligence researchers,and information engineers collaboratively designed the NurRAG framework following the principles of retrieval-augmented generation.The system included four functional modules:1)construction of a nursing knowledge base through document normalization,embedding,and vector indexing;2)nursing question filtering using a supervised classifier;3)semantic retrieval and re-ranking for evidence selection;and 4)evidence-conditioned language model generation to produce citation-based nursing answers.The system was securely deployed on hospital intranet servers using Docker containers.Performance evaluation was conducted with 1,000 expert-verified nursing question–answer pairs.Semantic fidelity was assessed using Recall Oriented Understudy for Gisting Evaluation–Longest Common Subsequence(ROUGE-L),and clinical correctness was measured using Accuracy.Results:The NurRAG system achieved significant improvements in both semantic fidelity and answer accuracy compared with conventional large language models.For ChatGLM2-6B,ROUGE-L increased from(30.73±1.48)%to(64.27±0.27)%,and accuracy increased from(49.08±0.92)%to(75.83±0.35)%.For LLaMA2-7B,ROUGE-L increased from(28.76±0.89)%to(60.33±0.21)%,and accuracy increased from(43.27±0.83)%to(73.29±0.33)%.All differences were statistically significant(P<0.001).A quantitative case analysis further demonstrated that NurRAG effectively reduced hallucinated outputs and generated evidence-based,guideline-concordant nursing responses.Conclusion:The NurRAG system integrates domain-specific retrieval with LLMs generation to provide accurate,reliable,and traceable evidence-based nursing answers.The findings demonstrate the system’s feasibility and potential to improve the accuracy of clinical knowledge access,support evidence-based nursing decision-making,and promote the safe application of artificial intelligence in nursing practice.展开更多
Objective:To analyze the impact of the predictive rehabilitation nursing model on the quality of emergency transport and rehabilitation outcomes for patients with acute cerebral hemorrhage(ICH).Methods:A total of 62 p...Objective:To analyze the impact of the predictive rehabilitation nursing model on the quality of emergency transport and rehabilitation outcomes for patients with acute cerebral hemorrhage(ICH).Methods:A total of 62 patients with acute cerebral hemorrhage admitted to the hospital from January 2022 to December 2024 were selected as the study subjects.The observation group(n=31)received conventional nursing combined with the predictive rehabilitation nursing model during the emergency process,while the control group(n=31)received conventional nursing.The recovery conditions(Fuel-Meyer Assessment(FMA)score,Barthel Index(BI)),incidence of complications,nursing satisfaction,and time to regain consciousness were compared between the two groups.Results:After the intervention,the FMA and BI scores of the observation group were significantly higher than those of the control group,with statistically significant differences.The incidence of complications in the observation group was significantly lower than that in the control group.In terms of nursing satisfaction,the scores of various indicators in the observation group were higher than those in the control group,with statistically significant differences.The time to regain consciousness in the observation group was(48.72±11.76)minutes,compared to(64.29±14.58)minutes in the control group,with the observation group regaining consciousness earlier than the control group.Conclusion:The application of the predictive rehabilitation nursing model in the emergency transport process of patients with acute cerebral hemorrhage can reduce the incidence of complications,shorten the duration of consciousness disorder,improve the quality of transport,and enhance functional rehabilitation levels.展开更多
Objective:To explore the connotation of the integrated medical-care-rehabilitation nursing model and its application effect in elderly patients with chronic diseases.Methods:A total of 122 elderly patients with chroni...Objective:To explore the connotation of the integrated medical-care-rehabilitation nursing model and its application effect in elderly patients with chronic diseases.Methods:A total of 122 elderly patients with chronic diseases admitted to our hospital from January 2023 to June 2023 were selected and randomly divided into an observation group(62 cases)and a control group(60 cases).Both groups received routine nursing during hospitalization.After discharge,the control group received conventional continuous nursing,while the observation group was given the integrated medical-care-rehabilitation nursing model.The psychological status of the elderly patients in the two groups was compared before nursing and 6 months after nursing.Assessments were made on their clinical symptoms of mental health,self-care ability,health behaviors,and mastery of knowledge about elderly chronic diseases.Results:Six months after nursing,the scores of self-rated clinical symptoms of mental health and negative coping in both groups were lower than those before nursing(P<0.05).Meanwhile,the scores of negative coping,self-care ability,and health behaviors in both groups were higher than those before nursing(P<0.05).Conclusion:The integrated medical-care-rehabilitation nursing model can not only improve the nursing quality for elderly patients with chronic diseases but also foster their positive mentality,help them understand knowledge about diet and health care related to chronic diseases,enhance their self-care ability and health awareness,and assist them in achieving better recovery[1].展开更多
Objectives:This review aimed to systematically analyze the technological frameworks,application scenarios,and outcomes of large language model-driven agents(LLMDAs)in nursing practice,and to summarize ethical,technolo...Objectives:This review aimed to systematically analyze the technological frameworks,application scenarios,and outcomes of large language model-driven agents(LLMDAs)in nursing practice,and to summarize ethical,technological,and practical challenges,guiding future research and clinical implementation.Methods:This scoping review was conducted following the JBI guidelines.Five databases(PubMed,Embase,Web of Science,APA PsycNet,Cochrane Library)were systematically searched for peer-reviewed English-language studies from inception until September 9,2025.Eligible studies were screened by title and abstract,with full-text assessments conducted independently by two reviewers.Results:Twenty-five studies published between 2023 and 2025 were included,involving nine countries,primarily China(n=9)and the United States(n=9).Technological architectures were categorized into three types:collaborative models for solving complex tasks through multi-agent division of labor;augmentative models to enhance the accuracy of information outputs;and interactive models focusing on natural interactions and robotic task execution.Application scenarios included clinical,home-based,and community care.Studies indicated that LLMDAs can enhance diagnostic accuracy,optimize resource allocation,and improve patient experience.Primary ethical challenges identified included data privacy,reliability of generated content,and ambiguous attribution of responsibility.Conclusions:LLMDAs offer a novel paradigm for intelligent transformation in nursing care through integrative technological frameworks.They demonstrate considerable potential in enhancing clinical decision-making accuracy,efficiency of care delivery,and patient satisfaction.Addressing existing ethical,technical,and practical challenges is essential for facilitating broader clinical adoption.展开更多
Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic edu...Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic education in the traditional teaching model.Methods:120 nursing students who practiced in the operating room from June 2023 to June 2024 were randomly divided into the experimental group and the control group,with 60 students in each group.The control group received routine teaching,while the experimental group applied the ORTCC model on the basis of routine and intervened through setting humanistic literacy goals,formulating behavioral norms,conducting diversified training,implementing two-way assessment,and creating departmental culture.The effect of the intervention was evaluated using the Nurse Humanistic Quality Scale,the Clinical Communication Ability Assessment Scale for Operating Room Nursing Students,and a self-made nursing satisfaction questionnaire.Results:After the intervention,the total score of humanistic literacy in the experimental group(4 weeks of intervention:161.43±10.06 points,12 weeks of intervention:165.71±9.45 points)was significantly higher than that in the control group(139.38±10.95 points,143.31±10.52 points)(all p<0.001);The total score of clinical communication ability in the experimental group(109.69±8.05 points for 4 weeks of intervention,116.90±7.21 points for 12 weeks of intervention)was also significantly better than that in the control group(99.14±9.23 points,103.03±8.78 points)(all p<0.001);The total score of patient care satisfaction in the experimental group(94.2±4.3)was significantly higher than that in the control group(82.6±5.7)(p<0.001).Conclusion:The ORTCC model can systematically enhance the humanistic literacy,clinical communication skills and patient satisfaction of operating room nursing students,providing an effective approach for optimizing clinical teaching in the operating room.展开更多
Objective:To construct a blended teaching model for surgical nursing based on the OBE(Outcome-Based Education)concept and explore its application effect in nursing education.Methods:A total of 220 undergraduate nursin...Objective:To construct a blended teaching model for surgical nursing based on the OBE(Outcome-Based Education)concept and explore its application effect in nursing education.Methods:A total of 220 undergraduate nursing students in the class of 2023 were selected as the main research subjects.The experimental group(110 students)adopted the OBE-based blended teaching model,while the control group(110 students)used conventional teaching methods.The learning effects,skill mastery,and clinical practice performance of the two groups were compared.Results:The experimental group significantly outperformed the control group in theoretical scores,practical skills,clinical application ability,and learning satisfaction,with statistically significant differences(P<0.05).Conclusion:The OBE-based blended teaching model has significant teaching advantages,which can effectively improve the comprehensive quality of undergraduate nursing students,enhance their clinical adaptability and innovative thinking,and is worthy of widespread promotion.展开更多
Objective:To investigate the impact of precise nursing care based on dynamic nursing quality feedback model on the postoperative recovery of elderly patients undergoing radical resection for colon cancer,with a partic...Objective:To investigate the impact of precise nursing care based on dynamic nursing quality feedback model on the postoperative recovery of elderly patients undergoing radical resection for colon cancer,with a particular focus on its effects on psychological flexibility.Methods:Medical records of 124 elderly patients undergoing radical resection for colon cancer at The First Affiliated Hospital of Baotou Medical College between January 2021 and May 2024 were retrospectively analyzed in this study.Based on the received nursing interventions,the patients were divided into a control group(standard nursing care)and an observation group(precise nursing care based on a dynamic nursing quality feedback model).Results:The observation group exhibited significantly higher levels of hemoglobin,prealbumin,and albumin compared to the control group.Additionally,the observation group had lower scores in somatization,interpersonal sensitivity,depression,anxiety,obsessions-compulsions,hostility,phobic anxiety,psychoticism,and paranoid ideation.The observation group also demonstrated higher scores in active coping,self-efficacy,and the management of emotions,life,and symptoms.Improvements were also observed in nursing quality,perioperative intervention,satisfaction with rehabilitation guidance,and awareness of regular reexaminations,diet intervention,and complication prevention(all with P<0.05).Conclusion:Precise nursing based on a dynamic nursing quality feedback model can improve nutritional status and medical coping style,reduce psychological issues,and enhance self-management abilities in elderly patients following radical resection of colon cancer.Additionally,it increases nursing satisfaction and raises awareness regarding the importance of regular reexaminations and complication prevention.展开更多
Objective:To explore the application value of the extended nursing intervention mode in senile dementia patients.Methods:A total of 60 cases of Alzheimer’s disease patients were selected as the research subjects and ...Objective:To explore the application value of the extended nursing intervention mode in senile dementia patients.Methods:A total of 60 cases of Alzheimer’s disease patients were selected as the research subjects and divided using the random number table method into the control group and the observation group,each with 30 cases.The control group adopted conventional nursing,while the observation group adopted the extended nursing model of this study.The self-care ability,quality of life,cognitive function,and the frequency of unsafe behaviors were compared between the two groups.Results:After 6 months of intervention,the results showed that the scores of all dimensions in the relevant data tables such as the activity of daily living(ADL)scale,simple intelligence scale,and health survey scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of unsafe behaviors in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=5.963,P<0.05).Conclusion:Extended nursing plays a positive role in the nursing of Alzheimer’s patients,including improving their cognitive function and restoring their self-care ability,so as to significantly improve their quality of life and reduce the occurrence of unsafe behaviors.It can be seen that the extended nursing intervention mode can be vigorously promoted in clinical practice.展开更多
Objective:To study the effectiveness of the PDCA cycle model in the nursing management of the disinfection supply room.Method:From March 2022 to February 2024,the hospital adopted the PDCA cycle model to manage the re...Objective:To study the effectiveness of the PDCA cycle model in the nursing management of the disinfection supply room.Method:From March 2022 to February 2024,the hospital adopted the PDCA cycle model to manage the related work of the disinfection supply room.In this study,40 nursing staff were selected as the research subjects.Sixty-five sets of data generated during the implementation of the PDCA model were selected,and 65 sets of similar data before the implementation were also selected.The relevant data information was compared and evaluated to understand the changes in work before and after the implementation of the PDCA cycle model management.Meanwhile,twenty departments in the hospital were selected to investigate the satisfaction before and after the implementation of the PDCA cycle model management.Result:After the implementation of the PDCA cycle model,the completion rates of various tasks were improved,and there was a significant difference compared with those before the implementation(P<0.05).The work quality of each working link has also been improved since the implementation.Compared with that before the implementation of the PDCA cycle model,there are significant changes(P<0.05).It can be learned from the comparison of satisfaction among various departments that the satisfaction of departments has improved after the implementation of PDCA,and there is a significant difference compared with that before the implementation(P<0.05).Conclusion:The application of the PDCA cycle model in the nursing management of the disinfection supply room can effectively improve the working conditions of the disinfection supply room and provide a basic guarantee for hospital treatment.Therefore,the PDCA cycle management model can be actively adopted in the actual work management.展开更多
With the accelerating pace of population aging in China,various issues related to elderly care have emerged one after another,becoming a severe social problem.Especially against the backdrop of increasing economic pre...With the accelerating pace of population aging in China,various issues related to elderly care have emerged one after another,becoming a severe social problem.Especially against the backdrop of increasing economic pressure,the traditional family-based elderly care model is facing significant challenges and can hardly meet the elderly care needs.At present,the geriatric nursing models are relatively backward,which directly affects the quality of daily life,physical health and mental well-being of the elderly.Therefore,it is necessary to explore an appropriate geriatric nursing model to address the aging problem.Based on this,this paper analyzes and studies the current situation of geriatric nursing models under the background of healthy aging,providing references for relevant research and practice.展开更多
Objective: To explore the application effect of optimizing the nursing model in community health centers for elderly health examinations, providing a reference for enhancing the management level of elderly health at t...Objective: To explore the application effect of optimizing the nursing model in community health centers for elderly health examinations, providing a reference for enhancing the management level of elderly health at the grassroots level. Methods: A total of 300 elderly individuals who underwent health examinations at our center from January 2024 to December 2024 were selected as the study subjects. They were randomly divided into a control group and an observation group, with 150 cases in each group. The control group underwent the conventional health examination nursing process, while the observation group adopted an optimized community nursing model, which included stratified education and appointment scheduling before the examination, full-time accompaniment and safety care during the examination, and the establishment of electronic medical records and continuous follow-up after the examination. Differences in health management awareness rates and satisfaction with health examination services between the two groups of elderly individuals were compared. Results: The health management awareness rate in the observation group was 94.67%, significantly higher than that in the control group (78.00%;p < 0.001). The satisfaction rate with health examination services in the observation group was 96.00%, also significantly higher than that in the control group (82.00%;p < 0.001). Conclusion: The optimized community nursing model can effectively enhance the health awareness level and service satisfaction of elderly individuals during health examinations, demonstrating strong practicality and promotion value. It contributes to achieving continuity and precision in grassroots elderly health management.展开更多
In response to current issues in basic nursing course instruction,this article proposes a teaching model reform based on the OBE(outcome-based education)concept.By resetting course objectives,innovating teaching metho...In response to current issues in basic nursing course instruction,this article proposes a teaching model reform based on the OBE(outcome-based education)concept.By resetting course objectives,innovating teaching methods and content,reforming the assessment and evaluation system,as well as conducting practical explorations and case studies,the aim is to enhance teaching quality and cultivate students’practical abilities and comprehensive qualities.The article elaborates on the application of the OBE concept in nursing education and its effectiveness evaluation,providing a valuable reference for nursing education reform.展开更多
Objective:To explore the application value of a new empowerment teaching method based on Kirkpatrick’s evaluation model in teaching Chinese medicine nursing in otorhinolaryngology.Methods:60 nurses who practiced in t...Objective:To explore the application value of a new empowerment teaching method based on Kirkpatrick’s evaluation model in teaching Chinese medicine nursing in otorhinolaryngology.Methods:60 nurses who practiced in the otolaryngology department of our hospital from June 2022 to October 2024 were included in the study and equally divided into two groups using a convenient sampling method.30 nurses who chose traditional Chinese medicine skill teaching management were included in the control group,and 30 nurses who chose the new empowerment teaching method based on Kirkpatrick’s evaluation model were included in the observation group.Relevant indicators such as clinical teaching environment perception,theoretical knowledge scores of Chinese medicine nursing,and excellent rate of practical operation assessment were compared.Results:The nurses in the observation group had higher scores for clinical teaching environment perception than the control group(P<0.05).However,the midterm and final exam scores for theoretical knowledge of Chinese medicine nursing were higher in the observation group than in the control group(P<0.05).Compared with the control group,the observation group had a higher excellent rate of practical operation assessment(93.33%>73.33%)and a higher Chinese medicine nursing ability score[(215.69±19.73)points>(184.87±15.66)points](P<0.05).Conclusion:Applying the new empowerment teaching method based on Kirkpatrick’s evaluation model to Chinese medicine nursing teaching in otolaryngology can help nurses understand the theoretical knowledge of Chinese medicine nursing and optimize the clinical teaching environment,thereby promoting their practical skills and Chinese medicine nursing abilities.展开更多
Objective:To investigate the impact of health education nursing based on the Transtheoretical Model of Behavior Change on self-efficacy in osteoporosis patients with low bone mass.Methods:A total of 91 osteoporosis pa...Objective:To investigate the impact of health education nursing based on the Transtheoretical Model of Behavior Change on self-efficacy in osteoporosis patients with low bone mass.Methods:A total of 91 osteoporosis patients with low bone mass admitted to our hospital from June 2000 to the end of June 2023 were selected and randomly divided into an observation group and a control group using the envelope method,with 46 and 45 cases in each group,respectively.The control group received routine nursing care,while the observation group received health education nursing based on the Transtheoretical Model of Behavior Change.Bone mineral density(lumbar spine L1-L4,femoral neck),disease awareness(Osteoporosis Knowledge Test Questionnaire,OKT-Q),and self-efficacy(Adult Health Self-Management Skills Rating Scale,AHSMSRS)were compared between the two groups.Results:After the intervention,bone mineral density levels,disease awareness levels,and self-efficacy levels significantly increased in both groups,with the observation group showing greater improvements in all indicators compared to the control group(p<0.05).Conclusion:Interventions based on the Transtheoretical Model of Behavior Change effectively enhance patient self-efficacy and bone health by precisely matching behavioral stages,strengthening social support,and regulating neurobehavioral factors.展开更多
Objective:To explore the effect of implementing a time-sensitive incentive model combined with specialized rehabilitation nursing in patients with severe pneumonia and respiratory failure.Methods:Seventy-eight patient...Objective:To explore the effect of implementing a time-sensitive incentive model combined with specialized rehabilitation nursing in patients with severe pneumonia and respiratory failure.Methods:Seventy-eight patients with severe pneumonia and respiratory failure admitted from January 2024 to February 2025 were selected and randomly divided into two groups using a computer-based random drawing method.The control group(39 patients)received routine nursing,while the observation group(39 patients)received a time-sensitive incentive model combined with specialized rehabilitation nursing.Lung function and adverse emotional states were compared between the two groups.Results:After 2 weeks of nursing,the lung function of the observation group was higher than that of the control group(P<0.05),and the adverse emotional states of the observation group were lower than those of the control group(P<0.05).Conclusion:Implementing a time-sensitive incentive model combined with specialized rehabilitation nursing in patients with severe pneumonia and respiratory failure can improve lung function and emotional state.展开更多
Objective: To explore the effects of self-directed learning readiness and learning attitude on problem-solving ability among Chinese undergraduate nursing students. Methods: A convenience sampling of 460 undergraduate...Objective: To explore the effects of self-directed learning readiness and learning attitude on problem-solving ability among Chinese undergraduate nursing students. Methods: A convenience sampling of 460 undergraduate nursing students was surveyed in Tianjin, China. Students who participated in the study completed a questionnaire that included social demographic questionnaire, Self-directed Learning Readiness Scale, Attitude to Learning Scale, and Social Problem-Solving Inventory. Pearson’s correlation analysis was performed to test the correlations among problem-solving ability, self-directed learning readiness, and learning attitude. Hierarchical linear regression analyses were performed to explore the mediating role of learning attitude. Results: The results showed that learning attitude (r=0.338, P<0.01) and self-directed learning readiness (r=0.493, P<0.01) were positively correlated with problem-solving ability. Learning attitude played a partial intermediary role between self-directed learning readiness and problem-solving ability (F=74.227, P<0.01). Conclusions: It is concluded that nursing educators should pay attention on students’ individual differences and take proper actions to inspire students’ self-directed learning readiness and learning attitude.展开更多
Objective: Problem-solving should be a fundamental component of nursing education because It is a core ability for professional nurses. For more effective learning, nursing students must understand the relationship be...Objective: Problem-solving should be a fundamental component of nursing education because It is a core ability for professional nurses. For more effective learning, nursing students must understand the relationship between self-directed learning readiness and problem-solving ability. The aim of this study was to investigate the relationships among self-directed learning readiness, problemsolving ability, and academic self-efficacy among undergraduate nursing students.Methods: From November to December 2016, research was conducted among 500 nursing undergraduate students in Tianjin, China,using a self-directed learning readiness scale, an academic self-efficacy scale, a questionnaire related to problem-solving, and selfdesigned demographics. The response rate was 85.8%.Results: For Chinese nursing students, self-directed learning readiness and academic self-efficacy reached a medium-to-high level,while problem-solving abilities were at a low level. There were significant positive correlations among the students' self-directed learning readiness, academic self-efficacy, and problem-solving ability. Furthermore, academic self-efficacy demonstrated a mediating effect on the relationship between the students' self-directed learning readiness and problem-solving ability.Conclusions: To enhance students' problem-solving ability, nursing educators should pay more attention to the positive impact of self-directed learning readiness and self-efficacy in nursing students' education.展开更多
文摘Objective:To analyze the impact of nursing interventions based on quantitative assessment using the Kano model on the quality of rehabilitation in patients with early-stage ovarian cancer following laparoscopic radical surgery.Methods:A prospective clinical study was conducted involving 96 patients with newly diagnosed early-stage ovarian cancer who underwent laparoscopic radical surgery from December 2023 to December 2025.Patients were randomly assigned to groups using a random number table method before surgery.After surgery,the control group(n=48)received routine quantitative assessment nursing interventions,while the observation group(n=48)received nursing interventions based on quantitative assessment using the Kano model.Both groups received continuous nursing care until discharge.Differences between the groups were compared in terms of negative emotions,quality of life scores before and after postoperative intervention,postoperative recovery indicators,and nursing satisfaction evaluations on the day of discharge.Results:After intervention,the observation group had lower scores on the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS),as well as shorter recovery times for gastrointestinal function and food intake,and a shorter hospital stay compared to the control group.Additionally,the observation group had higher scores on the Quality-of-Life Instrument for Cancer Patients-Ovarian Cancer(QLICP-OV)than the control group,with statistically significant differences(p<0.05).The overall satisfaction with nursing care in the observation group was also higher than that in the control group,with a statistically significant difference(p<0.05).Conclusion:Implementing quantitative evaluation nursing interventions based on the Kano model for patients with early-stage ovarian cancer after laparoscopic radical surgery can,by addressing their postoperative basic health,disease awareness,and other intervention content needs to a comprehensive degree,actively promote postoperative recovery and improve their mental health and quality of life.
文摘Objective:To evaluate the value of rehabilitation nursing based on mind mapping model combined with psychological intervention for patients with nephrotic syndrome(NS).Methods:A total of 60 patients with NS who visited our hospital from January 2024 to December 2024 were selected as samples and randomly divided into groups.The observation group received rehabilitation nursing based on the mind mapping model combined with psychological intervention,while the control group received routine intervention.The differences in emotional scores,self-care ability scores,compliance,and complications were compared between the two groups.Results:The anxiety(SAS)and depression(SDS)scores of the observation group were lower than those of the control group,while the self-care ability scale(ESCA)score was higher than that of the control group(P<0.05).The compliance rate of the observation group was higher than that of the control group(P<0.05).The complication rate of NS in the observation group was lower than that in the control group(P<0.05).Conclusion:Rehabilitation nursing based on the mind mapping model combined with psychological intervention can enhance self-care ability,reduce negative emotions,and reduce complications in NS nursing,which is efficient and feasible.
文摘With the continuous improvement of the medical industry’s requirements for the professional capabilities of nursing talents,traditional nursing teaching models can hardly meet the needs of complex nursing work in neurology.This paper focuses on nursing education for neurology nursing students and explores the construction of the“one-on-one”teaching model,aiming to achieve a paradigm shift in nursing education.By analyzing the current status of neurology nursing education,this paper identifies the problems in traditional teaching models.Combining the advantages of the“one-on-one”teaching model,it elaborates on the construction path of this model from aspects such as the selection and training of teaching instructors,the design of teaching content,the innovation of teaching methods,and the improvement of the teaching evaluation system.The research shows that the“one-on-one”teaching model can significantly enhance nursing students’mastery of professional knowledge,clinical operation skills,communication skills,and emergency response capabilities,as well as strengthen their professional identity and sense of responsibility.It provides an effective way to cultivate high-quality nursing talents who can meet the needs of neurology nursing work and promotes the innovative development of nursing education.
基金supported by the Young and Middle-aged Research Fund Project of Shenzhen People's Hospital(Grant No.SYHL2024-N0010)the Shenzhen Basic Research Program(General Program,Grant No.JCYJ20240813104409013)。
文摘Objective:This study aimed to develop a Nursing Retrieval-Augmented Generation(NurRAG)system based on large language models(LLMs)and to evaluate its accuracy and clinical applicability in nursing question answering.Methods:A multidisciplinary team consisting of nursing experts,artificial intelligence researchers,and information engineers collaboratively designed the NurRAG framework following the principles of retrieval-augmented generation.The system included four functional modules:1)construction of a nursing knowledge base through document normalization,embedding,and vector indexing;2)nursing question filtering using a supervised classifier;3)semantic retrieval and re-ranking for evidence selection;and 4)evidence-conditioned language model generation to produce citation-based nursing answers.The system was securely deployed on hospital intranet servers using Docker containers.Performance evaluation was conducted with 1,000 expert-verified nursing question–answer pairs.Semantic fidelity was assessed using Recall Oriented Understudy for Gisting Evaluation–Longest Common Subsequence(ROUGE-L),and clinical correctness was measured using Accuracy.Results:The NurRAG system achieved significant improvements in both semantic fidelity and answer accuracy compared with conventional large language models.For ChatGLM2-6B,ROUGE-L increased from(30.73±1.48)%to(64.27±0.27)%,and accuracy increased from(49.08±0.92)%to(75.83±0.35)%.For LLaMA2-7B,ROUGE-L increased from(28.76±0.89)%to(60.33±0.21)%,and accuracy increased from(43.27±0.83)%to(73.29±0.33)%.All differences were statistically significant(P<0.001).A quantitative case analysis further demonstrated that NurRAG effectively reduced hallucinated outputs and generated evidence-based,guideline-concordant nursing responses.Conclusion:The NurRAG system integrates domain-specific retrieval with LLMs generation to provide accurate,reliable,and traceable evidence-based nursing answers.The findings demonstrate the system’s feasibility and potential to improve the accuracy of clinical knowledge access,support evidence-based nursing decision-making,and promote the safe application of artificial intelligence in nursing practice.
基金The Hospital-level Project of Shiyan Taihe Hospital(Project No.:2022JJXM144)Hubei Provincial Health Commission Scientific Research Project(Project No.:WJ2021M058)。
文摘Objective:To analyze the impact of the predictive rehabilitation nursing model on the quality of emergency transport and rehabilitation outcomes for patients with acute cerebral hemorrhage(ICH).Methods:A total of 62 patients with acute cerebral hemorrhage admitted to the hospital from January 2022 to December 2024 were selected as the study subjects.The observation group(n=31)received conventional nursing combined with the predictive rehabilitation nursing model during the emergency process,while the control group(n=31)received conventional nursing.The recovery conditions(Fuel-Meyer Assessment(FMA)score,Barthel Index(BI)),incidence of complications,nursing satisfaction,and time to regain consciousness were compared between the two groups.Results:After the intervention,the FMA and BI scores of the observation group were significantly higher than those of the control group,with statistically significant differences.The incidence of complications in the observation group was significantly lower than that in the control group.In terms of nursing satisfaction,the scores of various indicators in the observation group were higher than those in the control group,with statistically significant differences.The time to regain consciousness in the observation group was(48.72±11.76)minutes,compared to(64.29±14.58)minutes in the control group,with the observation group regaining consciousness earlier than the control group.Conclusion:The application of the predictive rehabilitation nursing model in the emergency transport process of patients with acute cerebral hemorrhage can reduce the incidence of complications,shorten the duration of consciousness disorder,improve the quality of transport,and enhance functional rehabilitation levels.
文摘Objective:To explore the connotation of the integrated medical-care-rehabilitation nursing model and its application effect in elderly patients with chronic diseases.Methods:A total of 122 elderly patients with chronic diseases admitted to our hospital from January 2023 to June 2023 were selected and randomly divided into an observation group(62 cases)and a control group(60 cases).Both groups received routine nursing during hospitalization.After discharge,the control group received conventional continuous nursing,while the observation group was given the integrated medical-care-rehabilitation nursing model.The psychological status of the elderly patients in the two groups was compared before nursing and 6 months after nursing.Assessments were made on their clinical symptoms of mental health,self-care ability,health behaviors,and mastery of knowledge about elderly chronic diseases.Results:Six months after nursing,the scores of self-rated clinical symptoms of mental health and negative coping in both groups were lower than those before nursing(P<0.05).Meanwhile,the scores of negative coping,self-care ability,and health behaviors in both groups were higher than those before nursing(P<0.05).Conclusion:The integrated medical-care-rehabilitation nursing model can not only improve the nursing quality for elderly patients with chronic diseases but also foster their positive mentality,help them understand knowledge about diet and health care related to chronic diseases,enhance their self-care ability and health awareness,and assist them in achieving better recovery[1].
文摘Objectives:This review aimed to systematically analyze the technological frameworks,application scenarios,and outcomes of large language model-driven agents(LLMDAs)in nursing practice,and to summarize ethical,technological,and practical challenges,guiding future research and clinical implementation.Methods:This scoping review was conducted following the JBI guidelines.Five databases(PubMed,Embase,Web of Science,APA PsycNet,Cochrane Library)were systematically searched for peer-reviewed English-language studies from inception until September 9,2025.Eligible studies were screened by title and abstract,with full-text assessments conducted independently by two reviewers.Results:Twenty-five studies published between 2023 and 2025 were included,involving nine countries,primarily China(n=9)and the United States(n=9).Technological architectures were categorized into three types:collaborative models for solving complex tasks through multi-agent division of labor;augmentative models to enhance the accuracy of information outputs;and interactive models focusing on natural interactions and robotic task execution.Application scenarios included clinical,home-based,and community care.Studies indicated that LLMDAs can enhance diagnostic accuracy,optimize resource allocation,and improve patient experience.Primary ethical challenges identified included data privacy,reliability of generated content,and ambiguous attribution of responsibility.Conclusions:LLMDAs offer a novel paradigm for intelligent transformation in nursing care through integrative technological frameworks.They demonstrate considerable potential in enhancing clinical decision-making accuracy,efficiency of care delivery,and patient satisfaction.Addressing existing ethical,technical,and practical challenges is essential for facilitating broader clinical adoption.
文摘Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic education in the traditional teaching model.Methods:120 nursing students who practiced in the operating room from June 2023 to June 2024 were randomly divided into the experimental group and the control group,with 60 students in each group.The control group received routine teaching,while the experimental group applied the ORTCC model on the basis of routine and intervened through setting humanistic literacy goals,formulating behavioral norms,conducting diversified training,implementing two-way assessment,and creating departmental culture.The effect of the intervention was evaluated using the Nurse Humanistic Quality Scale,the Clinical Communication Ability Assessment Scale for Operating Room Nursing Students,and a self-made nursing satisfaction questionnaire.Results:After the intervention,the total score of humanistic literacy in the experimental group(4 weeks of intervention:161.43±10.06 points,12 weeks of intervention:165.71±9.45 points)was significantly higher than that in the control group(139.38±10.95 points,143.31±10.52 points)(all p<0.001);The total score of clinical communication ability in the experimental group(109.69±8.05 points for 4 weeks of intervention,116.90±7.21 points for 12 weeks of intervention)was also significantly better than that in the control group(99.14±9.23 points,103.03±8.78 points)(all p<0.001);The total score of patient care satisfaction in the experimental group(94.2±4.3)was significantly higher than that in the control group(82.6±5.7)(p<0.001).Conclusion:The ORTCC model can systematically enhance the humanistic literacy,clinical communication skills and patient satisfaction of operating room nursing students,providing an effective approach for optimizing clinical teaching in the operating room.
文摘Objective:To construct a blended teaching model for surgical nursing based on the OBE(Outcome-Based Education)concept and explore its application effect in nursing education.Methods:A total of 220 undergraduate nursing students in the class of 2023 were selected as the main research subjects.The experimental group(110 students)adopted the OBE-based blended teaching model,while the control group(110 students)used conventional teaching methods.The learning effects,skill mastery,and clinical practice performance of the two groups were compared.Results:The experimental group significantly outperformed the control group in theoretical scores,practical skills,clinical application ability,and learning satisfaction,with statistically significant differences(P<0.05).Conclusion:The OBE-based blended teaching model has significant teaching advantages,which can effectively improve the comprehensive quality of undergraduate nursing students,enhance their clinical adaptability and innovative thinking,and is worthy of widespread promotion.
文摘Objective:To investigate the impact of precise nursing care based on dynamic nursing quality feedback model on the postoperative recovery of elderly patients undergoing radical resection for colon cancer,with a particular focus on its effects on psychological flexibility.Methods:Medical records of 124 elderly patients undergoing radical resection for colon cancer at The First Affiliated Hospital of Baotou Medical College between January 2021 and May 2024 were retrospectively analyzed in this study.Based on the received nursing interventions,the patients were divided into a control group(standard nursing care)and an observation group(precise nursing care based on a dynamic nursing quality feedback model).Results:The observation group exhibited significantly higher levels of hemoglobin,prealbumin,and albumin compared to the control group.Additionally,the observation group had lower scores in somatization,interpersonal sensitivity,depression,anxiety,obsessions-compulsions,hostility,phobic anxiety,psychoticism,and paranoid ideation.The observation group also demonstrated higher scores in active coping,self-efficacy,and the management of emotions,life,and symptoms.Improvements were also observed in nursing quality,perioperative intervention,satisfaction with rehabilitation guidance,and awareness of regular reexaminations,diet intervention,and complication prevention(all with P<0.05).Conclusion:Precise nursing based on a dynamic nursing quality feedback model can improve nutritional status and medical coping style,reduce psychological issues,and enhance self-management abilities in elderly patients following radical resection of colon cancer.Additionally,it increases nursing satisfaction and raises awareness regarding the importance of regular reexaminations and complication prevention.
文摘Objective:To explore the application value of the extended nursing intervention mode in senile dementia patients.Methods:A total of 60 cases of Alzheimer’s disease patients were selected as the research subjects and divided using the random number table method into the control group and the observation group,each with 30 cases.The control group adopted conventional nursing,while the observation group adopted the extended nursing model of this study.The self-care ability,quality of life,cognitive function,and the frequency of unsafe behaviors were compared between the two groups.Results:After 6 months of intervention,the results showed that the scores of all dimensions in the relevant data tables such as the activity of daily living(ADL)scale,simple intelligence scale,and health survey scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of unsafe behaviors in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=5.963,P<0.05).Conclusion:Extended nursing plays a positive role in the nursing of Alzheimer’s patients,including improving their cognitive function and restoring their self-care ability,so as to significantly improve their quality of life and reduce the occurrence of unsafe behaviors.It can be seen that the extended nursing intervention mode can be vigorously promoted in clinical practice.
文摘Objective:To study the effectiveness of the PDCA cycle model in the nursing management of the disinfection supply room.Method:From March 2022 to February 2024,the hospital adopted the PDCA cycle model to manage the related work of the disinfection supply room.In this study,40 nursing staff were selected as the research subjects.Sixty-five sets of data generated during the implementation of the PDCA model were selected,and 65 sets of similar data before the implementation were also selected.The relevant data information was compared and evaluated to understand the changes in work before and after the implementation of the PDCA cycle model management.Meanwhile,twenty departments in the hospital were selected to investigate the satisfaction before and after the implementation of the PDCA cycle model management.Result:After the implementation of the PDCA cycle model,the completion rates of various tasks were improved,and there was a significant difference compared with those before the implementation(P<0.05).The work quality of each working link has also been improved since the implementation.Compared with that before the implementation of the PDCA cycle model,there are significant changes(P<0.05).It can be learned from the comparison of satisfaction among various departments that the satisfaction of departments has improved after the implementation of PDCA,and there is a significant difference compared with that before the implementation(P<0.05).Conclusion:The application of the PDCA cycle model in the nursing management of the disinfection supply room can effectively improve the working conditions of the disinfection supply room and provide a basic guarantee for hospital treatment.Therefore,the PDCA cycle management model can be actively adopted in the actual work management.
文摘With the accelerating pace of population aging in China,various issues related to elderly care have emerged one after another,becoming a severe social problem.Especially against the backdrop of increasing economic pressure,the traditional family-based elderly care model is facing significant challenges and can hardly meet the elderly care needs.At present,the geriatric nursing models are relatively backward,which directly affects the quality of daily life,physical health and mental well-being of the elderly.Therefore,it is necessary to explore an appropriate geriatric nursing model to address the aging problem.Based on this,this paper analyzes and studies the current situation of geriatric nursing models under the background of healthy aging,providing references for relevant research and practice.
文摘Objective: To explore the application effect of optimizing the nursing model in community health centers for elderly health examinations, providing a reference for enhancing the management level of elderly health at the grassroots level. Methods: A total of 300 elderly individuals who underwent health examinations at our center from January 2024 to December 2024 were selected as the study subjects. They were randomly divided into a control group and an observation group, with 150 cases in each group. The control group underwent the conventional health examination nursing process, while the observation group adopted an optimized community nursing model, which included stratified education and appointment scheduling before the examination, full-time accompaniment and safety care during the examination, and the establishment of electronic medical records and continuous follow-up after the examination. Differences in health management awareness rates and satisfaction with health examination services between the two groups of elderly individuals were compared. Results: The health management awareness rate in the observation group was 94.67%, significantly higher than that in the control group (78.00%;p < 0.001). The satisfaction rate with health examination services in the observation group was 96.00%, also significantly higher than that in the control group (82.00%;p < 0.001). Conclusion: The optimized community nursing model can effectively enhance the health awareness level and service satisfaction of elderly individuals during health examinations, demonstrating strong practicality and promotion value. It contributes to achieving continuity and precision in grassroots elderly health management.
文摘In response to current issues in basic nursing course instruction,this article proposes a teaching model reform based on the OBE(outcome-based education)concept.By resetting course objectives,innovating teaching methods and content,reforming the assessment and evaluation system,as well as conducting practical explorations and case studies,the aim is to enhance teaching quality and cultivate students’practical abilities and comprehensive qualities.The article elaborates on the application of the OBE concept in nursing education and its effectiveness evaluation,providing a valuable reference for nursing education reform.
文摘Objective:To explore the application value of a new empowerment teaching method based on Kirkpatrick’s evaluation model in teaching Chinese medicine nursing in otorhinolaryngology.Methods:60 nurses who practiced in the otolaryngology department of our hospital from June 2022 to October 2024 were included in the study and equally divided into two groups using a convenient sampling method.30 nurses who chose traditional Chinese medicine skill teaching management were included in the control group,and 30 nurses who chose the new empowerment teaching method based on Kirkpatrick’s evaluation model were included in the observation group.Relevant indicators such as clinical teaching environment perception,theoretical knowledge scores of Chinese medicine nursing,and excellent rate of practical operation assessment were compared.Results:The nurses in the observation group had higher scores for clinical teaching environment perception than the control group(P<0.05).However,the midterm and final exam scores for theoretical knowledge of Chinese medicine nursing were higher in the observation group than in the control group(P<0.05).Compared with the control group,the observation group had a higher excellent rate of practical operation assessment(93.33%>73.33%)and a higher Chinese medicine nursing ability score[(215.69±19.73)points>(184.87±15.66)points](P<0.05).Conclusion:Applying the new empowerment teaching method based on Kirkpatrick’s evaluation model to Chinese medicine nursing teaching in otolaryngology can help nurses understand the theoretical knowledge of Chinese medicine nursing and optimize the clinical teaching environment,thereby promoting their practical skills and Chinese medicine nursing abilities.
基金National Key Research and Development Program of China(Project No.:2020YFC2004900)。
文摘Objective:To investigate the impact of health education nursing based on the Transtheoretical Model of Behavior Change on self-efficacy in osteoporosis patients with low bone mass.Methods:A total of 91 osteoporosis patients with low bone mass admitted to our hospital from June 2000 to the end of June 2023 were selected and randomly divided into an observation group and a control group using the envelope method,with 46 and 45 cases in each group,respectively.The control group received routine nursing care,while the observation group received health education nursing based on the Transtheoretical Model of Behavior Change.Bone mineral density(lumbar spine L1-L4,femoral neck),disease awareness(Osteoporosis Knowledge Test Questionnaire,OKT-Q),and self-efficacy(Adult Health Self-Management Skills Rating Scale,AHSMSRS)were compared between the two groups.Results:After the intervention,bone mineral density levels,disease awareness levels,and self-efficacy levels significantly increased in both groups,with the observation group showing greater improvements in all indicators compared to the control group(p<0.05).Conclusion:Interventions based on the Transtheoretical Model of Behavior Change effectively enhance patient self-efficacy and bone health by precisely matching behavioral stages,strengthening social support,and regulating neurobehavioral factors.
文摘Objective:To explore the effect of implementing a time-sensitive incentive model combined with specialized rehabilitation nursing in patients with severe pneumonia and respiratory failure.Methods:Seventy-eight patients with severe pneumonia and respiratory failure admitted from January 2024 to February 2025 were selected and randomly divided into two groups using a computer-based random drawing method.The control group(39 patients)received routine nursing,while the observation group(39 patients)received a time-sensitive incentive model combined with specialized rehabilitation nursing.Lung function and adverse emotional states were compared between the two groups.Results:After 2 weeks of nursing,the lung function of the observation group was higher than that of the control group(P<0.05),and the adverse emotional states of the observation group were lower than those of the control group(P<0.05).Conclusion:Implementing a time-sensitive incentive model combined with specialized rehabilitation nursing in patients with severe pneumonia and respiratory failure can improve lung function and emotional state.
文摘Objective: To explore the effects of self-directed learning readiness and learning attitude on problem-solving ability among Chinese undergraduate nursing students. Methods: A convenience sampling of 460 undergraduate nursing students was surveyed in Tianjin, China. Students who participated in the study completed a questionnaire that included social demographic questionnaire, Self-directed Learning Readiness Scale, Attitude to Learning Scale, and Social Problem-Solving Inventory. Pearson’s correlation analysis was performed to test the correlations among problem-solving ability, self-directed learning readiness, and learning attitude. Hierarchical linear regression analyses were performed to explore the mediating role of learning attitude. Results: The results showed that learning attitude (r=0.338, P<0.01) and self-directed learning readiness (r=0.493, P<0.01) were positively correlated with problem-solving ability. Learning attitude played a partial intermediary role between self-directed learning readiness and problem-solving ability (F=74.227, P<0.01). Conclusions: It is concluded that nursing educators should pay attention on students’ individual differences and take proper actions to inspire students’ self-directed learning readiness and learning attitude.
文摘Objective: Problem-solving should be a fundamental component of nursing education because It is a core ability for professional nurses. For more effective learning, nursing students must understand the relationship between self-directed learning readiness and problem-solving ability. The aim of this study was to investigate the relationships among self-directed learning readiness, problemsolving ability, and academic self-efficacy among undergraduate nursing students.Methods: From November to December 2016, research was conducted among 500 nursing undergraduate students in Tianjin, China,using a self-directed learning readiness scale, an academic self-efficacy scale, a questionnaire related to problem-solving, and selfdesigned demographics. The response rate was 85.8%.Results: For Chinese nursing students, self-directed learning readiness and academic self-efficacy reached a medium-to-high level,while problem-solving abilities were at a low level. There were significant positive correlations among the students' self-directed learning readiness, academic self-efficacy, and problem-solving ability. Furthermore, academic self-efficacy demonstrated a mediating effect on the relationship between the students' self-directed learning readiness and problem-solving ability.Conclusions: To enhance students' problem-solving ability, nursing educators should pay more attention to the positive impact of self-directed learning readiness and self-efficacy in nursing students' education.
