Objective:To investigate the impact of programmed harmonious nursing combined with hierarchical management on nursing quality and satisfaction in a health management center.Methods:A total of 100 patients who received...Objective:To investigate the impact of programmed harmonious nursing combined with hierarchical management on nursing quality and satisfaction in a health management center.Methods:A total of 100 patients who received care at this health management center from January 2024 to January 2025 were selected as subjects.Using a random number table method,they were divided into an observation group(n=50)and a control group(n=50).The control group followed traditional methods,while the observation group integrated programmed harmonious nursing with hierarchical management.Comparative analysis was conducted on nursing quality scores,adverse event occurrence rates,and patient satisfaction between the two groups.Results:The observation group showed significantly improved nursing quality scores(P<0.05)and markedly reduced incidence of adverse events(P<0.05),with statistically significant differences compared to pre-treatment conditions(P<0.05).Conclusion:The combination of hierarchical management and programmed harmonious nursing demonstrates effectiveness in enhancing medical service quality,reducing adverse reactions,and improving patient satisfaction—a method worthy of promotion.展开更多
Objective:To investigate the application effect of the SECI theoretical model-based training program in enhancing clinical nursing teachers‘information-based teaching capabilities.Methods:A self-control study design ...Objective:To investigate the application effect of the SECI theoretical model-based training program in enhancing clinical nursing teachers‘information-based teaching capabilities.Methods:A self-control study design was adopted,with 124 clinical nursing teachers from a tertiary hospital participating in the SECI training program from January 2024 to June 2025.The program was implemented through four stages:“Establishing Teacher Community(Socialization)”,“Case Teaching(Extravagant)”,“Integration of Discipline and Research(Fusion)”,and“Routine Application of Teaching(Implicit)”.Self-designed questionnaires were used to assess teachers’information-based teaching capabilities before and after training,covering four dimensions:awareness and attitude towards information-based teaching,foundational skills,teaching practice,and professional practice.Data analysis was performed using SPSS 26.0.Results:Post-training,the total score of clinical nursing teachers’information-based teaching capabilities increased from(53.47±15.56)to(78.92±12.34),showing statistically significant differences(t=15.732,P<0.001).Scores in all dimensions also showed significant improvements(P<0.05).Multivariate linear regression analysis revealed that educational background(β=0.198,P=0.026)and professional title(β=0.184,P=0.040)were primary influencing factors for pre-training information-based teaching capabilities,while their impact weakened post-training.Conclusion:The training program based on SECI theory effectively enhances clinical nursing educators’digital teaching capabilities.Its structured,spiral-up knowledge transformation process helps bridge competency gaps among teachers from diverse backgrounds,facilitates the mutual conversion and deep integration of tacit and explicit knowledge,and provides a practical new model for developing digital teaching competencies in clinical nursing education.展开更多
Objective:To monitor the incidence of immune-related adverse events(irAEs)in patients treated with immune checkpoint inhibitors(ICIs)and programmed cell death protein-1(PD-1),and to evaluate the effectiveness of nursi...Objective:To monitor the incidence of immune-related adverse events(irAEs)in patients treated with immune checkpoint inhibitors(ICIs)and programmed cell death protein-1(PD-1),and to evaluate the effectiveness of nursing interventions using a quantitative scoring system.Methods:A retrospective analysis was performed on 65 cancer patients who received PD-1 therapy at the Oncology Department of Baotou Cancer Hospital from December 2023 to December 2024.The study examined the clinical features and blood test results related to irAEs.The National Cancer Institute’s Common Terminology Criteria for Adverse Events(NCI-CTCAE)was used to grade the severity of these events,which were classified into five levels.Based on the NCI-CTCAE scores,appropriate nursing measures were implemented,and a comprehensive risk assessment framework was developed.Results:The study group showed lower complication rates,overall incidence,and average hospital stay compared to the control group(P<0.05).Among the 65 patients,twenty-eight(43.07%)experienced a total of 35 irAEs,with 2(5.71%)being grade 3 or 4.The most frequent irAEs were dermatological conditions(34.29%),particularly rash with itching.The occurrence of irAEs did not correlate with patient gender,age,blood parameters(hemoglobin,white blood cell count,platelet count,etc.),or liver function(P>0.05),but it was associated with tumor type(P<0.05).Conclusion:PD-1 treatment is generally safe,with a low incidence of severe(grade 3 or higher)irAEs.Close monitoring is essential to ensure early detection,intervention,and management of irAEs,thereby maintaining a low level of adverse events and enhancing the safety and efficacy of PD-1 therapy.Implementing a quantitative risk scoring system for nursing care can decrease the rate of complications,enhance patient safety,and potentially reduce hospital stays and medical costs.展开更多
BACKGROUND Cerebral infarction is a local or extensive necrosis of brain tissue.Subsequently,the corresponding neurological deficits appear.The incidence of cerebrovascular diseases in China is increasing gradually.Af...BACKGROUND Cerebral infarction is a local or extensive necrosis of brain tissue.Subsequently,the corresponding neurological deficits appear.The incidence of cerebrovascular diseases in China is increasing gradually.After the onset of cerebrovascular disease,the most common sequelae include movement disorders,language disorders,and cognitive dysfunction.AIM To investigate the effect of early refined nursing program on the prognosis of middle-aged and elderly patients with cerebral infarction combined with cognitive dysfunction.METHODS A retrospective study was conducted to divide 60 patients with cerebral infarction and cognitive impairment into an experimental group(n=32)and a control group(n=28).The experimental group received early intensive care every day,and the control group received daily routine care.The scores of the Mini-Mental State Examination(MMSE)and the Trail Making Test(TMT),as well as the latency and amplitude of the event-related potential P300,were used as main indicators to evaluate changes in cognitive function,and changes in BDNF,TGF-β,and GDNF expression were used as secondary indicators.RESULTS Both groups experienced notable enhancements in MMSE scores,with the experi-mental group demonstrating higher scores than the control group(experimental:28.75±2.31;control:25.84±2.87).Moreover,reductions in TMT-A and TMT-B scores were observed in both groups(experimental:TMT-A 52.36±6.18,TMT-B 98.47±10.23;control:TMT-A 61.48±7.92,TMT-B 112.63±12.55),with the experimental group displaying lower scores.P300 Latency decreased(experimental:270.63 ms±14.28 ms;control:285.72 ms±16.45 ms),while amplitude increased(experimental:7.82μV±1.05μV;control:6.35μV±0.98μV)significantly in both groups,with superior outcomes in the experimental cohort.Additionally,the levels of the growth factors BDNF,TGF-β1,and GDNF surged(experimental:BDNF 48.37 ng/mL±5.62 ng/mL,TGF-β152.14 pg/mL±4.28 pg/mL,GDNF 34.76 ng/mL±3.89 ng/mL;control:BDNF 42.58 ng/mL±4.73 ng/mL,TGF-β146.23 pg/mL±3.94 pg/mL,GDNF 30.25 ng/mL±2.98 ng/mL)in both groups,with higher levels in the experimental group.CONCLUSION For middle-aged and elderly patients with cerebral infarction and cognitive dysfunction,early refined nursing can significantly improve their cognitive function and prognosis.展开更多
BACKGROUND Programmed comprehensive nursing was adopted for intensive care unit(ICU)children following severe cardiac surgery to improve respiratory function and delirium incidence.AIM To explore how programmed compre...BACKGROUND Programmed comprehensive nursing was adopted for intensive care unit(ICU)children following severe cardiac surgery to improve respiratory function and delirium incidence.AIM To explore how programmed comprehensive nursing impacts respiratory func-tion and delirium incidence in ICU children post cardiac surgery.METHODS Between January 2022 and January 2024,180 pediatric patients from the Chil-dren’s Hospital of Nanjing were admitted to the ICU after cardiac surgery and randomly grouped.The control group comprised 90 patients and received routine nursing care.The observation group comprised 90 patients and received program-med comprehensive nursing.Both groups received continuous nursing care until discharge.Their respiratory function,incidence of delirium,and clinical outcomes were compared.The memory state and sleep quality of both groups were com-pared.RESULTS The incidence of delirium was 5.56%in the observation group when admitted to ICU,which was lower than that in the control group(20.00%;P<0.05).The observation group demonstrated higher peak expiratory flow rate,respiratory frequency,deep breathing volume,and tidal volume in the ICU compared with the control group.Additionally,the observation group showed higher sleep depth,sleep latency,night awakening,return to sleep,and sleep quality com-pared with the control group(P<0.05).CONCLUSION Programmed comprehensive nursing in ICU patients following severe cardiac surgery can reduce the impact on respiratory function,improve sleep quality,and alleviate postoperative delirium,showing significant promise for clinical application.展开更多
Objective:To explore the construction and application effect of a postoperative nursing intervention program for osteoporotic vertebral compression fractures.Methods:A total of 68 cases of osteoporotic vertebral compr...Objective:To explore the construction and application effect of a postoperative nursing intervention program for osteoporotic vertebral compression fractures.Methods:A total of 68 cases of osteoporotic vertebral compression fractures treated with vertebroplasty in our hospital from March 2023 to April 2024 were selected and randomly divided into the control group and the constructed program group,with 34 cases in each group.The control group received routine postoperative nursing after vertebroplasty,while the constructed program group was provided with a targeted postoperative nursing intervention program based on the control group,which was implemented postoperatively.The postoperative outcomes and thoracolumbar dysfunction of the two groups were compared.Results:The total postoperative efficacy rate in the constructed program group(97.06%,33/34)was significantly higher than that in the control group(76.47%,26/34)(P<0.05).The thoracolumbar dysfunction score in the constructed program group(15.02±1.36)was significantly lower than that in the control group(22.56±2.41)(P<0.05).Conclusion:Constructing a targeted nursing intervention program based on the postoperative nursing requirements for osteoporotic vertebral compression fractures and individual patient characteristics can effectively improve thoracolumbar dysfunction and enhance the postoperative surgical outcome.The clinical application of this program is reliable.展开更多
Objective:The study aims to review and discuss the outcomes of emergency preparedness training programs among nursing students.Methods:A scoping review was conducted based on the guidelines of Arskey and O’Malley.Dat...Objective:The study aims to review and discuss the outcomes of emergency preparedness training programs among nursing students.Methods:A scoping review was conducted based on the guidelines of Arskey and O’Malley.Databases through PubMed,Science Direct,and Google Scholar were used to obtain the relevant articles within the scoping review.Results:The researchers found 1175 articles.After manual review,28 articles were identified and assessed.The review reported that the emergency preparedness training program significantly affects preparedness,knowledge,performance,self-efficacy,learning motivation,self-confidence,satisfaction,critical decision-making,and problem-solving.Conclusions:Emergency training effectively increases knowledge,skills,confidence,satisfaction,and team performance.展开更多
BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynam...BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynamic fluctuation of patients undergoing interventional surgery,which is not conducive to the smooth and safe operation of interventional surgery.Therefore,it is very important to implement effective nursing intervention in the operating room.AIM To explore the intervention effect of motivational psychological nursing combined with programmed nursing on compliance and bad mood of patients in interventional operating room.METHODS A total of 98 patients in the interventional operating room of our hospital from October 2019 to March 2021 were randomly divided into study group(n=49)and control group(n=49).The control group took routine nursing.However,the study group took motivational psychological nursing combined with procedural nursing on the basis of the control group.Statistics were made on rehabilitation compliance,Positive and Negative Affect Schedule of bad mood,Simplified Coping Styles Questionnaire score of coping style and satisfaction of intervention between the two groups before and after intervention.RESULTS The rehabilitation compliance of the study group(95.92%)was higher than that of the control group(81.63%)(P<0.05).After intervention,the scores of upset,fear,irritability,tension and fear in the study group were respectively,which were lower than those in the control group(P<0.05).After intervention,the score of positive coping in the study group was higher than that in the control group.However,the score of negative coping in the study group was lower than that in the control group(P<0.05).The intervention satisfaction of the study group(93.88%)was higher than that of the control group(79.59%)(P<0.05).CONCLUSION The intervention of motivational psychological nursing combined with procedural nursing can improve the rehabilitation compliance,and alleviate the bad mood.In addition,it can change their coping style to the disease,and the patients are more satisfied with the nursing work.展开更多
Objectives:Competence motivates newly employed nurses to provide high-quality care,which leads to appropriate patient care and satisfaction.A nursing orientation program can have a positive impact on new nurses who ar...Objectives:Competence motivates newly employed nurses to provide high-quality care,which leads to appropriate patient care and satisfaction.A nursing orientation program can have a positive impact on new nurses who are joining healthcare organizations.The research examined the orientation program for new nurses in a multicultural setting to redesign the program.Methods:The study was carried out in a multicultural tertiary setting.Action research was used as a research strategy with qualitative content analysis and quantitative evaluation.Seventy nurses were part of the orientation program.The competence of the nurses was assessed using the Nurse Competence Scale.Focus-group discussions were also conducted to find the views of the beneficiaries about the program.Results:The study revealed that the overall competence was high,and there was an overall gain in the competence score(5.48%)among the nurses.Among their competence in different dimensions,new nurses had a maximum gain in competence for the dimension of ensuring quality.However,they showed low competence gain in teaching coaching.The results show that the difference in the overall pre-and post-test scores was statistically significant(P<0.05)in all dimensions except teaching coaching and managing situations,and the program was effective.However,a few challenges were identified in the program.Conclusions:New nurses were found to be competent,and the orientation program had a significant impact on the competence of the nurses.The findings emphasized the need for modification of some content and strategy for future programs.The strategies developed from the findings were presented.This helps hospitals to consider examining specific aspects of the orientation program and redesigning it so it can enrich the experiences of new nurses.展开更多
Objective: Venous leg ulceration(VLU) is one of the complications of lower extremity venous reflux and reflux disorder of severe diseases, with many adverse effects on patient’s work and life. Nowadays, more and more...Objective: Venous leg ulceration(VLU) is one of the complications of lower extremity venous reflux and reflux disorder of severe diseases, with many adverse effects on patient’s work and life. Nowadays, more and more patients with VLU accept wound care in community setting. Clinical nurses generally take care of the patients based on their own experiences. Healing in VLU is an incredibly complex process, which puzzles even experts. The majority of general nurses do not have this level of expertise, especially those nurses serving in community. Function is the basis of nursing activities. Patients always show different clinical manifestations and selfcare abilities due to various function states, which cannot be reflected completely by the existing nursing practice. How to describe nursing practice standardized in order to demonstrate the effectiveness of interventions and facilitate interdisciplinary communication is another urgent problem. Therefore, the aim of this project is to develop an accurate nursing program based on function in chronic venous leg ulcers, which can both satisfy the needs of patients and promote nursing revolution.Methods: This study will use International Classification of Functioning Disability and Health as a framework to choose suitable functions and to filter function classification standards of chronic venous leg ulcers through evidence-based systematic research.Nursing interventions related to VLU are selected based on Nursing Interventions Classification, adding other nursing activities by methods of evidence-based systematic review and clinical observation. Then, nursing interventions and function status are matched through steering committee. Finally, the Delphi survey method is adopted to make nursing program native and scientific.Conclusions: This study is expected to be very significant and meaningful in using standardized nursing terminology. The nursing program established could better meet the needs of both patients with chronic venous leg ulcers and clinical nurses, promoting the development of wound specialist and standardized nursing language.展开更多
This report introduced and summarized the nursing care experience for a senior patient with lung cancer and developed programmed cell death protein 1(PD-1)immunotherapy-related myocarditis combined with coronary heart...This report introduced and summarized the nursing care experience for a senior patient with lung cancer and developed programmed cell death protein 1(PD-1)immunotherapy-related myocarditis combined with coronary heart disease(CHD)after receiving said treatment.In this case,immune myocarditis with CHD occurred shortly after implementing the PD-1 immunotherapy,yet the patient presented no clinical symptoms.Frequent nursing attention and close observation are so required for monitoring the patient’s status and updating the physicians for a swift control of the myocarditis.For this case,nursing care procedures vital for the successful recovery of the patient included condition observation,position management,pre-and postcoronary angiography care,infection prevention,hemorrhage prevention,venous access port maintenance,pain care,trachea care,psychological care,diet care,environment management,and health education.After receiving effective,successful treatment and care,the patient was discharged after 13 days of treatment with generally satisfying overall conditions.展开更多
This study focused on the development and evaluation of the implementation of a preceptorship program adapted to ICU practice in the Ab.-T.region to provide preceptors with tools to support novice nurses.This action r...This study focused on the development and evaluation of the implementation of a preceptorship program adapted to ICU practice in the Ab.-T.region to provide preceptors with tools to support novice nurses.This action research was made possible with the involvement of the centers,preceptors,and novice nurses throughout the development and implementation of the program.This approach enabled participants to take ownership of the training content and fully utilize various tools.The program was implemented throughout the CISSS,where this study was subsequently carried out.Several novices mentioned that the program reinforced their sense of security and made them feel more equipped to handle complex care situations.The preceptors said they were better equipped to offer clinical support and novices were better prepared to work in the ICU.It is important to evaluate the development of the novice nurses’skills following their participation in this program and the long-term impact of this preceptorship.展开更多
Objective: This study aimed to clarify the possible use of and points to improve a home-visit nursing interventional lymphedema care program (plan) we developed. Methods: The subjects were visiting nurses with at leas...Objective: This study aimed to clarify the possible use of and points to improve a home-visit nursing interventional lymphedema care program (plan) we developed. Methods: The subjects were visiting nurses with at least three years of home-visit nursing experience and experience with lymphedema care for the elderly at home. Semi-structured interviews were conducted, and the collected opinions were aggregated and summarized. Results: Based on interviews with nine subjects, opinions regarding the use of the program, such as “The assessment perspective at the time of introduction helps to grasp the needs for a wide variety of subjects”, and regarding points to improve, such as “It is necessary to set the duration and timing of the section considering the frequency of visits and degree of edema at the time of introduction” and “It is necessary to have a perspective concerning efforts to maintain motivation for care of the elderly and their families”, were aggregated. Discussion: The results of the interviews were generally useful for the structure and development of the program, care methods and content, and interventions for influencing factors. Consideration of setting the timing according to the degree of lymphedema, modification of the program’s development, development of a program that fully considers the degree of edema at the time of introduction and the acceptance of edema among the elderly, and the need to consider the care content that should be given priority were suggested as points for improvement.展开更多
While the nursing community generally agrees that the Doctorate of Nursing Practice (DNP) degree will strengthen nursing as an academic discipline, there is little known about students’ perceptions of the advanced de...While the nursing community generally agrees that the Doctorate of Nursing Practice (DNP) degree will strengthen nursing as an academic discipline, there is little known about students’ perceptions of the advanced degree. Nursing students enrolled in an accelerated master’s program in nursing (N = 45) were surveyed to assess their knowledge of the DNP degree while also identifying the perceived effect a DNP might have on their careers, on nursing as a discipline, and on public perceptions of nursing practice. In this study, 51% of participants supported the transition to the DNP as the standard degree for practice nursing while 29% were opposed. The majority of participants (71%) planned to pursue an advanced practice nursing degree/certification with 81% of this group signifying that they would do so even if a DNP is required. The majority of participants agreed that the DNP will improve public perception of advanced practice nursing, but 71% thought the title of “doctor” would confuse patients. While current nursing students are generally informed of the upcoming DNP transition, there is disagreement regarding its implications for their careers and for the extent of public understanding.展开更多
<strong>Background:</strong> To ensure quality and relevance of Postgraduate Programs are a commitment of the National Quality Postgraduate Programs (PNPC), and those from UNAM. Then, the self-evaluation o...<strong>Background:</strong> To ensure quality and relevance of Postgraduate Programs are a commitment of the National Quality Postgraduate Programs (PNPC), and those from UNAM. Then, the self-evaluation of the Masters in Nursing Program (PME) is necessary for it to be part of the PNPC. This study focuses on self-evaluation of implementation mechanisms to assure effective communication and collaboration with and among graduated alumni. <strong>Methods:</strong> The research was qualitative, exploratory and descriptive. An informed consent was signed by four informants, graduated from the seventeenth generation of PME. Data collection from a focal group and descriptive data analysis by atlas.ti from guidance questions that were contrasted with the scale value from PME curriculum. <strong>Results:</strong> Four categories emerged from PME graduated alumni: Category <strong>I</strong>, Professional academic performance, Category<strong> II</strong>, International activities attendance, Category <strong>III</strong>, Academic networks, and Category <strong>IV</strong>, Higher satisfaction of international activities.<strong> Conclusions:</strong> It is concluded that self-evaluation shows a graduate’s vision of conditions and networks where PME develops. Masters in Nursing Program fulfills graduates expectancy to create networks, which will contribute to knowledge and recognition of professional practice, as well as on the area’ opportunities opening for better contributions.展开更多
Objective: To assess the effectiveness of the created program in enhancing the knowledge of emergency room (ER) nurses in the emergency management of cardiovascular diseases (CVD). Methods: This study used a quasi-exp...Objective: To assess the effectiveness of the created program in enhancing the knowledge of emergency room (ER) nurses in the emergency management of cardiovascular diseases (CVD). Methods: This study used a quasi-experimental design with a one-group pretest-posttest research design to identify the knowledge and skills of emergency department (ED) nurses in managing CVD. There were 16 participants in this study. The mean, standard deviation (SD), and t-test were used to analyze the data. Results: Before the participants undergo the program, they have a mean (SD) score of 17.63 (5.19). After the completion of the didactic part of the program, they garnered a mean (SD) score of 19.94 (5.22). Moreover, after completion of the practicum part of the program, the mean (SD) score was 21.94 (5.04). Comparing the scores before the program and after finishing the didactic part of the program, the t-test scored (t (15) = -3.87, P = 0.001). Further, comparing the scores before the program and after finishing the didactic and practicum parts of the program, the t-test scored (t (15) = -5.57, P = 0.001). Conclusions: Based on the study’s results, the researchers conclude that the respondents had acceptable knowledge regarding the emergency management of CVD before the program. However, the Cardiac Enhancement Program for Emergency Cardiac Care boosted their knowledge. Also, the program is effective in enhancing the participants’ knowledge of the emergency management of CVD.展开更多
With the promulgation of the traditional Chinese medicine(TCM)nursing program for advantaged diseases,its application in the clinic has drawn wide attention.TCM nursing program can actively promote the clinical develo...With the promulgation of the traditional Chinese medicine(TCM)nursing program for advantaged diseases,its application in the clinic has drawn wide attention.TCM nursing program can actively promote the clinical development of TCM syndrome differentiation and nursing.This article introduces the implementation status quo of the TCM nursing program for advantaged diseases in clinical practice,summarize the existing problems in the implementation and put forward measures to promote its perfection.Finally,the article discusses and looks forward to the TCM nursing program for advantaged diseases.Provide theoretical basis and reference for medical workers to effectively promote the application and implementation of TCM nursing programs for advantaged disease.展开更多
Objective: to explore the application effect of programmed sedation nursing in ICU patients with mechanical ventilation. Methods: 128 mechanical ventilation patients in ICU of our hospital from May 2018 to May 2020 we...Objective: to explore the application effect of programmed sedation nursing in ICU patients with mechanical ventilation. Methods: 128 mechanical ventilation patients in ICU of our hospital from May 2018 to May 2020 were randomly divided into control group (routine sedation nursing) and program group (programmed sedation nursing). The sedation effect and sedation adverse reactions of the two groups were observed. Results: after the programmed sedation nursing, the sedative dosage of the program group was significantly less than that of the control group, and the mechanical ventilation time and ICU treatment time of the program group were significantly shorter than those of the control group, P < 0.05. The incidence of sedation adverse reactions in the program group was significantly lower than that in the control group, P < 0.05. Conclusion: programmed sedation nursing for ICU patients with mechanical ventilation can effectively improve the sedation effect and reduce the occurrence of sedation adverse reactions, which is worthy of promotion.展开更多
Clinical Ladder Programs is to develop different training programs according to different levels of nurses’management.The purpose is to improve nurses’sense of professional identity,professional and technical capabi...Clinical Ladder Programs is to develop different training programs according to different levels of nurses’management.The purpose is to improve nurses’sense of professional identity,professional and technical capabilities,and determine salary levels,so as to fully mobilize nurses’enthusiasm.This article reviews the current status of the application of Clinical Ladder Programs in clinical nursing around the world,and understands the obstacles and facilitating factors that affect the implementation of Clinical Ladder Programs,in order to provide a reference for establishing a perfect hierarchical nurse training model in China.展开更多
Objective: to explore the effect of programmed nursing in endoscopic mucosal dissection. Methods: from January 2020 to December 2020, 64 patients were randomly selected from patients undergoing endoscopic mucosal diss...Objective: to explore the effect of programmed nursing in endoscopic mucosal dissection. Methods: from January 2020 to December 2020, 64 patients were randomly selected from patients undergoing endoscopic mucosal dissection in our hospital as the case of this study. 64 patients were randomly divided into two groups: the control group and the observation group, with 32 cases in each group. In this study, the selected patients were given differentiated nursing, in which the control group was given conventional nursing measures and the observation group was given programmed nursing measures. When the patient is cured and discharged from hospital, the time of operation, the success rate of operation and the incidence of complications are investigated. Results: the solitary spherical lesion in the lung could be detected by CT and X-ray, but the detection rate by CT was 97%, which was significantly higher than that by X-ray. The data between the two groups had a large difference (P < 0.05). Conclusion: compared with routine nursing care, programmed nursing care for patients during the perioperative period of digestive endoscopic mucosal dissection can effectively shorten the operation time of patients and improve the success rate of surgery.展开更多
文摘Objective:To investigate the impact of programmed harmonious nursing combined with hierarchical management on nursing quality and satisfaction in a health management center.Methods:A total of 100 patients who received care at this health management center from January 2024 to January 2025 were selected as subjects.Using a random number table method,they were divided into an observation group(n=50)and a control group(n=50).The control group followed traditional methods,while the observation group integrated programmed harmonious nursing with hierarchical management.Comparative analysis was conducted on nursing quality scores,adverse event occurrence rates,and patient satisfaction between the two groups.Results:The observation group showed significantly improved nursing quality scores(P<0.05)and markedly reduced incidence of adverse events(P<0.05),with statistically significant differences compared to pre-treatment conditions(P<0.05).Conclusion:The combination of hierarchical management and programmed harmonious nursing demonstrates effectiveness in enhancing medical service quality,reducing adverse reactions,and improving patient satisfaction—a method worthy of promotion.
基金2023 Southwest Medical University Higher Education Teaching Reform and Research Project(Project No.:JG2023jdyb032)2023 Chengdu Medical College School-level Undergraduate Educational Reform Project(Project No.:JG2023057)-Context of“New Medical Science”。
文摘Objective:To investigate the application effect of the SECI theoretical model-based training program in enhancing clinical nursing teachers‘information-based teaching capabilities.Methods:A self-control study design was adopted,with 124 clinical nursing teachers from a tertiary hospital participating in the SECI training program from January 2024 to June 2025.The program was implemented through four stages:“Establishing Teacher Community(Socialization)”,“Case Teaching(Extravagant)”,“Integration of Discipline and Research(Fusion)”,and“Routine Application of Teaching(Implicit)”.Self-designed questionnaires were used to assess teachers’information-based teaching capabilities before and after training,covering four dimensions:awareness and attitude towards information-based teaching,foundational skills,teaching practice,and professional practice.Data analysis was performed using SPSS 26.0.Results:Post-training,the total score of clinical nursing teachers’information-based teaching capabilities increased from(53.47±15.56)to(78.92±12.34),showing statistically significant differences(t=15.732,P<0.001).Scores in all dimensions also showed significant improvements(P<0.05).Multivariate linear regression analysis revealed that educational background(β=0.198,P=0.026)and professional title(β=0.184,P=0.040)were primary influencing factors for pre-training information-based teaching capabilities,while their impact weakened post-training.Conclusion:The training program based on SECI theory effectively enhances clinical nursing educators’digital teaching capabilities.Its structured,spiral-up knowledge transformation process helps bridge competency gaps among teachers from diverse backgrounds,facilitates the mutual conversion and deep integration of tacit and explicit knowledge,and provides a practical new model for developing digital teaching competencies in clinical nursing education.
基金Baotou City Health Science and Technology Plan(Project No.:2023wsjkkj109)。
文摘Objective:To monitor the incidence of immune-related adverse events(irAEs)in patients treated with immune checkpoint inhibitors(ICIs)and programmed cell death protein-1(PD-1),and to evaluate the effectiveness of nursing interventions using a quantitative scoring system.Methods:A retrospective analysis was performed on 65 cancer patients who received PD-1 therapy at the Oncology Department of Baotou Cancer Hospital from December 2023 to December 2024.The study examined the clinical features and blood test results related to irAEs.The National Cancer Institute’s Common Terminology Criteria for Adverse Events(NCI-CTCAE)was used to grade the severity of these events,which were classified into five levels.Based on the NCI-CTCAE scores,appropriate nursing measures were implemented,and a comprehensive risk assessment framework was developed.Results:The study group showed lower complication rates,overall incidence,and average hospital stay compared to the control group(P<0.05).Among the 65 patients,twenty-eight(43.07%)experienced a total of 35 irAEs,with 2(5.71%)being grade 3 or 4.The most frequent irAEs were dermatological conditions(34.29%),particularly rash with itching.The occurrence of irAEs did not correlate with patient gender,age,blood parameters(hemoglobin,white blood cell count,platelet count,etc.),or liver function(P>0.05),but it was associated with tumor type(P<0.05).Conclusion:PD-1 treatment is generally safe,with a low incidence of severe(grade 3 or higher)irAEs.Close monitoring is essential to ensure early detection,intervention,and management of irAEs,thereby maintaining a low level of adverse events and enhancing the safety and efficacy of PD-1 therapy.Implementing a quantitative risk scoring system for nursing care can decrease the rate of complications,enhance patient safety,and potentially reduce hospital stays and medical costs.
文摘BACKGROUND Cerebral infarction is a local or extensive necrosis of brain tissue.Subsequently,the corresponding neurological deficits appear.The incidence of cerebrovascular diseases in China is increasing gradually.After the onset of cerebrovascular disease,the most common sequelae include movement disorders,language disorders,and cognitive dysfunction.AIM To investigate the effect of early refined nursing program on the prognosis of middle-aged and elderly patients with cerebral infarction combined with cognitive dysfunction.METHODS A retrospective study was conducted to divide 60 patients with cerebral infarction and cognitive impairment into an experimental group(n=32)and a control group(n=28).The experimental group received early intensive care every day,and the control group received daily routine care.The scores of the Mini-Mental State Examination(MMSE)and the Trail Making Test(TMT),as well as the latency and amplitude of the event-related potential P300,were used as main indicators to evaluate changes in cognitive function,and changes in BDNF,TGF-β,and GDNF expression were used as secondary indicators.RESULTS Both groups experienced notable enhancements in MMSE scores,with the experi-mental group demonstrating higher scores than the control group(experimental:28.75±2.31;control:25.84±2.87).Moreover,reductions in TMT-A and TMT-B scores were observed in both groups(experimental:TMT-A 52.36±6.18,TMT-B 98.47±10.23;control:TMT-A 61.48±7.92,TMT-B 112.63±12.55),with the experimental group displaying lower scores.P300 Latency decreased(experimental:270.63 ms±14.28 ms;control:285.72 ms±16.45 ms),while amplitude increased(experimental:7.82μV±1.05μV;control:6.35μV±0.98μV)significantly in both groups,with superior outcomes in the experimental cohort.Additionally,the levels of the growth factors BDNF,TGF-β1,and GDNF surged(experimental:BDNF 48.37 ng/mL±5.62 ng/mL,TGF-β152.14 pg/mL±4.28 pg/mL,GDNF 34.76 ng/mL±3.89 ng/mL;control:BDNF 42.58 ng/mL±4.73 ng/mL,TGF-β146.23 pg/mL±3.94 pg/mL,GDNF 30.25 ng/mL±2.98 ng/mL)in both groups,with higher levels in the experimental group.CONCLUSION For middle-aged and elderly patients with cerebral infarction and cognitive dysfunction,early refined nursing can significantly improve their cognitive function and prognosis.
文摘BACKGROUND Programmed comprehensive nursing was adopted for intensive care unit(ICU)children following severe cardiac surgery to improve respiratory function and delirium incidence.AIM To explore how programmed comprehensive nursing impacts respiratory func-tion and delirium incidence in ICU children post cardiac surgery.METHODS Between January 2022 and January 2024,180 pediatric patients from the Chil-dren’s Hospital of Nanjing were admitted to the ICU after cardiac surgery and randomly grouped.The control group comprised 90 patients and received routine nursing care.The observation group comprised 90 patients and received program-med comprehensive nursing.Both groups received continuous nursing care until discharge.Their respiratory function,incidence of delirium,and clinical outcomes were compared.The memory state and sleep quality of both groups were com-pared.RESULTS The incidence of delirium was 5.56%in the observation group when admitted to ICU,which was lower than that in the control group(20.00%;P<0.05).The observation group demonstrated higher peak expiratory flow rate,respiratory frequency,deep breathing volume,and tidal volume in the ICU compared with the control group.Additionally,the observation group showed higher sleep depth,sleep latency,night awakening,return to sleep,and sleep quality com-pared with the control group(P<0.05).CONCLUSION Programmed comprehensive nursing in ICU patients following severe cardiac surgery can reduce the impact on respiratory function,improve sleep quality,and alleviate postoperative delirium,showing significant promise for clinical application.
文摘Objective:To explore the construction and application effect of a postoperative nursing intervention program for osteoporotic vertebral compression fractures.Methods:A total of 68 cases of osteoporotic vertebral compression fractures treated with vertebroplasty in our hospital from March 2023 to April 2024 were selected and randomly divided into the control group and the constructed program group,with 34 cases in each group.The control group received routine postoperative nursing after vertebroplasty,while the constructed program group was provided with a targeted postoperative nursing intervention program based on the control group,which was implemented postoperatively.The postoperative outcomes and thoracolumbar dysfunction of the two groups were compared.Results:The total postoperative efficacy rate in the constructed program group(97.06%,33/34)was significantly higher than that in the control group(76.47%,26/34)(P<0.05).The thoracolumbar dysfunction score in the constructed program group(15.02±1.36)was significantly lower than that in the control group(22.56±2.41)(P<0.05).Conclusion:Constructing a targeted nursing intervention program based on the postoperative nursing requirements for osteoporotic vertebral compression fractures and individual patient characteristics can effectively improve thoracolumbar dysfunction and enhance the postoperative surgical outcome.The clinical application of this program is reliable.
文摘Objective:The study aims to review and discuss the outcomes of emergency preparedness training programs among nursing students.Methods:A scoping review was conducted based on the guidelines of Arskey and O’Malley.Databases through PubMed,Science Direct,and Google Scholar were used to obtain the relevant articles within the scoping review.Results:The researchers found 1175 articles.After manual review,28 articles were identified and assessed.The review reported that the emergency preparedness training program significantly affects preparedness,knowledge,performance,self-efficacy,learning motivation,self-confidence,satisfaction,critical decision-making,and problem-solving.Conclusions:Emergency training effectively increases knowledge,skills,confidence,satisfaction,and team performance.
文摘BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynamic fluctuation of patients undergoing interventional surgery,which is not conducive to the smooth and safe operation of interventional surgery.Therefore,it is very important to implement effective nursing intervention in the operating room.AIM To explore the intervention effect of motivational psychological nursing combined with programmed nursing on compliance and bad mood of patients in interventional operating room.METHODS A total of 98 patients in the interventional operating room of our hospital from October 2019 to March 2021 were randomly divided into study group(n=49)and control group(n=49).The control group took routine nursing.However,the study group took motivational psychological nursing combined with procedural nursing on the basis of the control group.Statistics were made on rehabilitation compliance,Positive and Negative Affect Schedule of bad mood,Simplified Coping Styles Questionnaire score of coping style and satisfaction of intervention between the two groups before and after intervention.RESULTS The rehabilitation compliance of the study group(95.92%)was higher than that of the control group(81.63%)(P<0.05).After intervention,the scores of upset,fear,irritability,tension and fear in the study group were respectively,which were lower than those in the control group(P<0.05).After intervention,the score of positive coping in the study group was higher than that in the control group.However,the score of negative coping in the study group was lower than that in the control group(P<0.05).The intervention satisfaction of the study group(93.88%)was higher than that of the control group(79.59%)(P<0.05).CONCLUSION The intervention of motivational psychological nursing combined with procedural nursing can improve the rehabilitation compliance,and alleviate the bad mood.In addition,it can change their coping style to the disease,and the patients are more satisfied with the nursing work.
基金The study was supported by a grant from the research center at King Fahad Medical City under RFA:018—049,and this did not influence the results of the study.
文摘Objectives:Competence motivates newly employed nurses to provide high-quality care,which leads to appropriate patient care and satisfaction.A nursing orientation program can have a positive impact on new nurses who are joining healthcare organizations.The research examined the orientation program for new nurses in a multicultural setting to redesign the program.Methods:The study was carried out in a multicultural tertiary setting.Action research was used as a research strategy with qualitative content analysis and quantitative evaluation.Seventy nurses were part of the orientation program.The competence of the nurses was assessed using the Nurse Competence Scale.Focus-group discussions were also conducted to find the views of the beneficiaries about the program.Results:The study revealed that the overall competence was high,and there was an overall gain in the competence score(5.48%)among the nurses.Among their competence in different dimensions,new nurses had a maximum gain in competence for the dimension of ensuring quality.However,they showed low competence gain in teaching coaching.The results show that the difference in the overall pre-and post-test scores was statistically significant(P<0.05)in all dimensions except teaching coaching and managing situations,and the program was effective.However,a few challenges were identified in the program.Conclusions:New nurses were found to be competent,and the orientation program had a significant impact on the competence of the nurses.The findings emphasized the need for modification of some content and strategy for future programs.The strategies developed from the findings were presented.This helps hospitals to consider examining specific aspects of the orientation program and redesigning it so it can enrich the experiences of new nurses.
基金supported by Innovative Research Team in Jiangsu Province(Suwei Kejiao [2016]22)Jiangsu University Brand Professional Construction Project of Nursing(Sujiaogao [2015]11)
文摘Objective: Venous leg ulceration(VLU) is one of the complications of lower extremity venous reflux and reflux disorder of severe diseases, with many adverse effects on patient’s work and life. Nowadays, more and more patients with VLU accept wound care in community setting. Clinical nurses generally take care of the patients based on their own experiences. Healing in VLU is an incredibly complex process, which puzzles even experts. The majority of general nurses do not have this level of expertise, especially those nurses serving in community. Function is the basis of nursing activities. Patients always show different clinical manifestations and selfcare abilities due to various function states, which cannot be reflected completely by the existing nursing practice. How to describe nursing practice standardized in order to demonstrate the effectiveness of interventions and facilitate interdisciplinary communication is another urgent problem. Therefore, the aim of this project is to develop an accurate nursing program based on function in chronic venous leg ulcers, which can both satisfy the needs of patients and promote nursing revolution.Methods: This study will use International Classification of Functioning Disability and Health as a framework to choose suitable functions and to filter function classification standards of chronic venous leg ulcers through evidence-based systematic research.Nursing interventions related to VLU are selected based on Nursing Interventions Classification, adding other nursing activities by methods of evidence-based systematic review and clinical observation. Then, nursing interventions and function status are matched through steering committee. Finally, the Delphi survey method is adopted to make nursing program native and scientific.Conclusions: This study is expected to be very significant and meaningful in using standardized nursing terminology. The nursing program established could better meet the needs of both patients with chronic venous leg ulcers and clinical nurses, promoting the development of wound specialist and standardized nursing language.
文摘This report introduced and summarized the nursing care experience for a senior patient with lung cancer and developed programmed cell death protein 1(PD-1)immunotherapy-related myocarditis combined with coronary heart disease(CHD)after receiving said treatment.In this case,immune myocarditis with CHD occurred shortly after implementing the PD-1 immunotherapy,yet the patient presented no clinical symptoms.Frequent nursing attention and close observation are so required for monitoring the patient’s status and updating the physicians for a swift control of the myocarditis.For this case,nursing care procedures vital for the successful recovery of the patient included condition observation,position management,pre-and postcoronary angiography care,infection prevention,hemorrhage prevention,venous access port maintenance,pain care,trachea care,psychological care,diet care,environment management,and health education.After receiving effective,successful treatment and care,the patient was discharged after 13 days of treatment with generally satisfying overall conditions.
文摘This study focused on the development and evaluation of the implementation of a preceptorship program adapted to ICU practice in the Ab.-T.region to provide preceptors with tools to support novice nurses.This action research was made possible with the involvement of the centers,preceptors,and novice nurses throughout the development and implementation of the program.This approach enabled participants to take ownership of the training content and fully utilize various tools.The program was implemented throughout the CISSS,where this study was subsequently carried out.Several novices mentioned that the program reinforced their sense of security and made them feel more equipped to handle complex care situations.The preceptors said they were better equipped to offer clinical support and novices were better prepared to work in the ICU.It is important to evaluate the development of the novice nurses’skills following their participation in this program and the long-term impact of this preceptorship.
文摘Objective: This study aimed to clarify the possible use of and points to improve a home-visit nursing interventional lymphedema care program (plan) we developed. Methods: The subjects were visiting nurses with at least three years of home-visit nursing experience and experience with lymphedema care for the elderly at home. Semi-structured interviews were conducted, and the collected opinions were aggregated and summarized. Results: Based on interviews with nine subjects, opinions regarding the use of the program, such as “The assessment perspective at the time of introduction helps to grasp the needs for a wide variety of subjects”, and regarding points to improve, such as “It is necessary to set the duration and timing of the section considering the frequency of visits and degree of edema at the time of introduction” and “It is necessary to have a perspective concerning efforts to maintain motivation for care of the elderly and their families”, were aggregated. Discussion: The results of the interviews were generally useful for the structure and development of the program, care methods and content, and interventions for influencing factors. Consideration of setting the timing according to the degree of lymphedema, modification of the program’s development, development of a program that fully considers the degree of edema at the time of introduction and the acceptance of edema among the elderly, and the need to consider the care content that should be given priority were suggested as points for improvement.
文摘While the nursing community generally agrees that the Doctorate of Nursing Practice (DNP) degree will strengthen nursing as an academic discipline, there is little known about students’ perceptions of the advanced degree. Nursing students enrolled in an accelerated master’s program in nursing (N = 45) were surveyed to assess their knowledge of the DNP degree while also identifying the perceived effect a DNP might have on their careers, on nursing as a discipline, and on public perceptions of nursing practice. In this study, 51% of participants supported the transition to the DNP as the standard degree for practice nursing while 29% were opposed. The majority of participants (71%) planned to pursue an advanced practice nursing degree/certification with 81% of this group signifying that they would do so even if a DNP is required. The majority of participants agreed that the DNP will improve public perception of advanced practice nursing, but 71% thought the title of “doctor” would confuse patients. While current nursing students are generally informed of the upcoming DNP transition, there is disagreement regarding its implications for their careers and for the extent of public understanding.
文摘<strong>Background:</strong> To ensure quality and relevance of Postgraduate Programs are a commitment of the National Quality Postgraduate Programs (PNPC), and those from UNAM. Then, the self-evaluation of the Masters in Nursing Program (PME) is necessary for it to be part of the PNPC. This study focuses on self-evaluation of implementation mechanisms to assure effective communication and collaboration with and among graduated alumni. <strong>Methods:</strong> The research was qualitative, exploratory and descriptive. An informed consent was signed by four informants, graduated from the seventeenth generation of PME. Data collection from a focal group and descriptive data analysis by atlas.ti from guidance questions that were contrasted with the scale value from PME curriculum. <strong>Results:</strong> Four categories emerged from PME graduated alumni: Category <strong>I</strong>, Professional academic performance, Category<strong> II</strong>, International activities attendance, Category <strong>III</strong>, Academic networks, and Category <strong>IV</strong>, Higher satisfaction of international activities.<strong> Conclusions:</strong> It is concluded that self-evaluation shows a graduate’s vision of conditions and networks where PME develops. Masters in Nursing Program fulfills graduates expectancy to create networks, which will contribute to knowledge and recognition of professional practice, as well as on the area’ opportunities opening for better contributions.
文摘Objective: To assess the effectiveness of the created program in enhancing the knowledge of emergency room (ER) nurses in the emergency management of cardiovascular diseases (CVD). Methods: This study used a quasi-experimental design with a one-group pretest-posttest research design to identify the knowledge and skills of emergency department (ED) nurses in managing CVD. There were 16 participants in this study. The mean, standard deviation (SD), and t-test were used to analyze the data. Results: Before the participants undergo the program, they have a mean (SD) score of 17.63 (5.19). After the completion of the didactic part of the program, they garnered a mean (SD) score of 19.94 (5.22). Moreover, after completion of the practicum part of the program, the mean (SD) score was 21.94 (5.04). Comparing the scores before the program and after finishing the didactic part of the program, the t-test scored (t (15) = -3.87, P = 0.001). Further, comparing the scores before the program and after finishing the didactic and practicum parts of the program, the t-test scored (t (15) = -5.57, P = 0.001). Conclusions: Based on the study’s results, the researchers conclude that the respondents had acceptable knowledge regarding the emergency management of CVD before the program. However, the Cardiac Enhancement Program for Emergency Cardiac Care boosted their knowledge. Also, the program is effective in enhancing the participants’ knowledge of the emergency management of CVD.
文摘With the promulgation of the traditional Chinese medicine(TCM)nursing program for advantaged diseases,its application in the clinic has drawn wide attention.TCM nursing program can actively promote the clinical development of TCM syndrome differentiation and nursing.This article introduces the implementation status quo of the TCM nursing program for advantaged diseases in clinical practice,summarize the existing problems in the implementation and put forward measures to promote its perfection.Finally,the article discusses and looks forward to the TCM nursing program for advantaged diseases.Provide theoretical basis and reference for medical workers to effectively promote the application and implementation of TCM nursing programs for advantaged disease.
文摘Objective: to explore the application effect of programmed sedation nursing in ICU patients with mechanical ventilation. Methods: 128 mechanical ventilation patients in ICU of our hospital from May 2018 to May 2020 were randomly divided into control group (routine sedation nursing) and program group (programmed sedation nursing). The sedation effect and sedation adverse reactions of the two groups were observed. Results: after the programmed sedation nursing, the sedative dosage of the program group was significantly less than that of the control group, and the mechanical ventilation time and ICU treatment time of the program group were significantly shorter than those of the control group, P < 0.05. The incidence of sedation adverse reactions in the program group was significantly lower than that in the control group, P < 0.05. Conclusion: programmed sedation nursing for ICU patients with mechanical ventilation can effectively improve the sedation effect and reduce the occurrence of sedation adverse reactions, which is worthy of promotion.
基金This research was supported by Yunnan Province Science and Technology Project(No.2017FE467(-204)).
文摘Clinical Ladder Programs is to develop different training programs according to different levels of nurses’management.The purpose is to improve nurses’sense of professional identity,professional and technical capabilities,and determine salary levels,so as to fully mobilize nurses’enthusiasm.This article reviews the current status of the application of Clinical Ladder Programs in clinical nursing around the world,and understands the obstacles and facilitating factors that affect the implementation of Clinical Ladder Programs,in order to provide a reference for establishing a perfect hierarchical nurse training model in China.
文摘Objective: to explore the effect of programmed nursing in endoscopic mucosal dissection. Methods: from January 2020 to December 2020, 64 patients were randomly selected from patients undergoing endoscopic mucosal dissection in our hospital as the case of this study. 64 patients were randomly divided into two groups: the control group and the observation group, with 32 cases in each group. In this study, the selected patients were given differentiated nursing, in which the control group was given conventional nursing measures and the observation group was given programmed nursing measures. When the patient is cured and discharged from hospital, the time of operation, the success rate of operation and the incidence of complications are investigated. Results: the solitary spherical lesion in the lung could be detected by CT and X-ray, but the detection rate by CT was 97%, which was significantly higher than that by X-ray. The data between the two groups had a large difference (P < 0.05). Conclusion: compared with routine nursing care, programmed nursing care for patients during the perioperative period of digestive endoscopic mucosal dissection can effectively shorten the operation time of patients and improve the success rate of surgery.
