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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (10): 909-912.   Abstract （453）            Knowledge map    Related Articles | Metrics

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Clinical practice and analysis based on Intrahospital Transport Consensus for Emergency Critical Patients SHI Donglei, LIU Xiaoying, GAO Jian Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (1): 11-16.   Abstract （2004）      PDF（pc） （898KB）（3344）       Knowledge map    Since the release of the Consensus on Intrahospital Transport for Emergency Critical Patients in 2017， it has been widely applied and implemented in China. It provided rules to follow and realized standardized and national consistent transport. Through clinical practice and analysis in the past two years，standardized transport process can guide the clinical work consistently. Based on the general framework of transport，different specific transport modes are developed and applied widely. However，the transport of patients with special groups，such as ECMO patients，critically ill pregnant women，children and infants，needs to be further studied and discussed to meet clinical needs. Therefore，intrahospital transport of emergency critically ill patients needs an effective and systematic standard construction and management for clinical high-risk steps. It is a long-term and frequent clinical practice which needs to be highly emphasized and continuously improved by clinical staff. Related Articles | Metrics

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Implications of nonviolent communication training in improving obstetric nurses' capacity of coping with nurse patient conflict LIAN Yanli Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (4): 376-379.   Abstract （60）      PDF（pc） （814KB）（335）       Knowledge map    Objective ：To explore the effects of nonviolent communication training for improving nuses' capacity of coping with nurse-patient conflict in obstetric wards. Methods A nonviolent communication training program was conducted for 31 nurses in obstetric wards , including theoretical training , scenario-based simulation and communication experience. The level of empathy,the way of conflict coping, the rate of commnication failure and satisfaction of patients with conflict before and after the training were compared. Results The level of empathy was improved significantly after training (P<0.01). The score of integrating style of handling interpersonal conflict was significantly improved , whereas the score of compromising style of handling interpersonal conflict was significantly decreased after the training (P<0.01). The rate of communication failure was decreased significantly (P<0.01 ), and the satisfaction rate of patients with conflict was improved (P<0.01). Conclusion Nonviolent communication training can increase obstetric nurses' empathy level and improve their capacity of handling nurse-patient conflict , decrease the rate of communication failure ，and improve the satisfaction rate of patients with conflict. Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (6): 519-.   Abstract （230）            Knowledge map    Related Articles | Metrics

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Evidence- based nursing practice for the prevention and management of environmental infection in ICU LI Yangyang, SHAO Xiaoping, JIANG Zhuojuan, YU Hehua, ZHANG Dongmei Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (5): 459-462.   Abstract （249）      PDF（pc） （804KB）（1294）       Knowledge map    Objective To apply the best evidence of environmental infection prevention and management into practice in ICU, aiming to improve ICU nurses' knowledge on environmental cleaning and disinfection and compliance with related behaviors. Methods We used evidence-based nursing method to summarize the best evidence ,developed the environmental cleaning and disinfection audit indicators and regulated clinical practice. We trained nursing staff through multiple modes. The knowledge and compliance of nursing staff to the best evidence before and after the practice reform was Compared. Results After the application of the best evidence , the compliance of ICU nurses with the evidence of environmental infection was greatly improved, and the score of ICU nurses’ knowledge on environmental cleaning and disinfection increased from (68.75+8.55) points to (92. 16+6.77) points with statistically significant difference (t=12. 164 ,P<0.001). Conclusion The clinical practice reform based on evidence can effectively promote the prevention and management of ICU environmental infection and improve the theoretical and practical level of nurse in infection control. Related Articles | Metrics

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Qualitative study on influencing factors to implement the best practice of central venous catheter maintenance among emergency nurses ZHANG Mengjie , ZHANG Jianxia, YANG Zhennan Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (4): 298-302.   Abstract （81）      PDF（pc） （831KB）（506）       Knowledge map    Related Articles | Metrics

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Summary and application of the best evidence for central venous catheter maintenance techniques in ICU adult critical patients SHAO Xiaoping, PENG Fei, XING Weijie, LI Yangyang, JIANG Zhuojuan, YU Hehua, LIU Yilin, LI Feifei Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (1): 75-80.   Abstract （327）      PDF（pc） （837KB）（769）       Knowledge map    Objective To apply the best evidence of central venous catheter (CVC)maintenance techniques in ICU adult critical patients，in order to improve ICU nurses’ compliance of evidence practice and reduce infection rate of central line-associated bloodstream infections(CLABSI). Methods Summary the evidences by the method of evidence-based nursing and apply them after indigenization. Nursing records，field observation and questionnaire were used to collect the data. The evidence application time was from February 2019 to August 2019. A total of 312 ICU patients and 62 ICU nurses were included in the study. Two rounds of quality reviews were conducted to analyze the obstacles in the application of evidence and figure out available resources and solutions. The rate of CLABSI of ICU adult critical patients，ICU nurses’ compliance with evidence practice and knowledge of CVC main-tenance were compared before and after the application of evidence. Results After the best evidence application， the CLABSI rate of ICU adult critical patients decreased from 3.71译 to 1.22译. 14 indicators with low compliance in CVC maintenance evidence review were significantly improved (P<0.05). ICU nurses’ knowledge of evidence-based CVC catheter maintenance was statistically improved(P<0.05). Conclusion Applying the best evidence to clinical nursing practice can promote the prevention and control of CLABSI in ICU adult critical patients and re-duce infection rate. It also can improve the nurses’ compliance of evidences and improve the quality of clinical nursing. Related Articles | Metrics

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Clinical characteristics and research progress of secondary malposition of peripherally inserted central venous catheter in neonates FAN Xinqi Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (5): 463-467.   Abstract （75）      PDF（pc） （823KB）（289）       Knowledge map    Intensive Care，Neonatal; Catheterization , Central V enous ;Secondary Malposition;Review     Related Articles | Metrics

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Review on cost-effectiveness analysis of nursing methods for incontinence- associated dermatitis in critically ill patients HUANG Qionglei, JIN Ying Chinese Journal of Emergency and Critical Care Nursing    2021, 2 (2): 167-170.   Abstract （214）      PDF（pc） （810KB）（3474）       Knowledge map    Related Articles | Metrics

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Obstetric Emergency Triage Scale and interpretation XU Lingyan, FENG Suwen, WANG Zhengping, HU Wen sheng , JIN Jingfen , XIANG Zhenzhen , LIU Genhong , WANG Hong Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (2): 151-155.   Abstract （471）      PDF（pc） （890KB）（729）       Knowledge map    The pregnant and maternal women are the special group and the  adult emergency triage  scale can't be directly applied for them. It is highly necessary to establish an obstetric-specific emergency triage scale which is suitable for the  pregnant and  maternal  women.  The  obstetric  emergency  triage  scale  is  a part  of the  emergency triage  scale organized  by the  National  Health  Commission of the  People's  Republic  of  China and  drafted  by the leading of the Second Affiliated Hospital of Zhejiang University School of Medicine. The scale includes the most of common obstetric emergency conditions and details the classification indicators of each level of obstetric conditions.It provides an objective,quantitative and reliable standards for clinical triage nurses. Related Articles | Metrics

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The construction and clinical application of nursing quality evaluation index system for intrahospital trans-port of critically ill patients WANG Huifang, SONG Lei, XIU Lulu, NIAN Wenjun, LI Ran, LIU Di, WU Guixia, GAO Yufang Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (1): 31-36.   Abstract （369）      PDF（pc） （944KB）（579）       Knowledge map    Objective To construct and apply the nursing quality evaluation index system for intrahospital trans-port of critically ill patients，in order to provide standard and quantitative basis for the nursing quality of intrahos-pital transport of critically ill patients. Methods The index system was established based on Delphi method. In addition，the patient risk assessment accuracy rate and readiness qualified rate before transport were used to man-age the transport quality of critical patients in emergency department. Continuous quality improvement was per-formed based on indicator data. Results The final evaluation index system included 3 level indicators，13 secondary indicators，43 tertiary indicators. In July and October 2019，62.4%（241/379） and 91.4%（454/497） of patients re-ceived correct risk assessment，and 71.6%（453/632） and 87.3%（774/881） of patients were qualified for transport.Data extracted from the hospital information system showed that the incidence of adverse events related to transport equipment decreased from 32.12% to 12.79%. Conclusion The nursing quality evaluation index system for intra-hospital transport of critically ill patients is scientific and reasonable，which can be used to evaluate the nursing quality of intrahospital transport in critically ill patients. Related Articles | Metrics

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Efects of different subglottic negative pressure suction methods on ventilator- -associated pneumonia: a systematic review and meta-analysis LI Jiangmin, LIU Huogen, WANG Yanfen, TANG Oufeng, SHI Yundi, ZHENG Wenjiao, ZHENG Lihua, GU Ling Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (5): 439-447.   Abstract （129）      PDF（pc） （947KB）（336）       Knowledge map    Related Articles | Metrics

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Risk factors of delirium in cardiac surgery ICU adults: a review GAO Wen, JIN Jingfen Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (3): 231-233.   Abstract （97）      PDF（pc） （804KB）（306）       Knowledge map    Related Articles | Metrics

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Review on hospice care in neonatal intensive care units LI Mengting, CHEN Shuohui , CHEN Xiaofei Chinese Journal of Emergency and Critical Care Nursing    2021, 2 (2): 156-161.   Abstract （149）      PDF（pc） （856KB）（234）       Knowledge map    Related Articles | Metrics

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Application of modified prone position ventilation in patients with acute respiratory distress syndrome LIU Yan, ZHANG Rumei, LIU Tiantian, ZHANG Yuling, WANG Yuanyuan, LIU Jinggang Chinese Journal of Emergency and Critical Care Nursing    2021, 2 (2): 112-116.   Abstract （291）      PDF（pc） （530KB）（722）       Knowledge map    Related Articles | Metrics

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Summary of the best evidence for vasoactive drug infusion in adult patients WANG Fang, ZHANG Shuzeng, NIE Anliu, SU Xiangfen Chinese Journal of Emergency and Critical Care Nursing    2024, 5 (3): 275-282.   DOI: 10.3761/j.issn.2096-7446.2024.03.016 Abstract （117）            Knowledge map    Objective To summarize the best evidence for safe infusion of vasoactive drugs in adult patients，and to provide evidence support for clinical nursing work. Methods We searched UpToDate，BMJ Best Practice，Joanna Briggs Institute library，Cochrane Library，National Guideline Clearinghouse，Centers for Disease Control and Preven- tion，National Institute for Health and Care Excellence，Guideline International Network，CINAHL，Embase，Registered Nurses’ Association of Ontario，UK Intensive Care Society，American Intravenous Nurses Society，PubMed，Web of Science，CNKI，Wanfang Database，VIP，Chinese Nursing Association，SinoMed，Yimaitong to collect guidelines，expert consensuses，group standards，systematic reviews，evidence summaries and original study on vasoactive drug infusionin adult patients. The retrial limit was from January 1，2013 to March 10，2023.Literature quality evaluation and ev- idence screening were conducted independently by two researchers with evidence-based nursing research back- ground，and the evidence was classified and integrated by the team after summary. Results A total of 12 litera- tures were included，and 29 pieces of evidence were summarized from five dimensions：training and education，evalu- ation，vascular access selection，infusion scheme and complications management. Conclusion This study summarizes the best evidence of vasoactive drug infusion in adult patients，which can provide medical staff with scientific infu- sion regimen，ensure patient safety and improve the quality of care. Related Articles | Metrics

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Emergency Triage Scale（Adult part） Emergency Nursing Committee of Chinese Nursing Association, Emergency Medical Quality Control Center of Zhejiang Province（Writing Committee）JIN Jingfen, CHEN Yuguo, ZHU Huadong, ZHANG Mao, LIU Yingqing, LI Baohua, HUANG Sufang, GAN Xiuni, LU Lianghua, CHEN Shuihong, YANG Minfei, SHEN Xiaoling, LOU Qiuying, WANG Yuwei, GUO Zhiting） Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (1): 45-48.   Abstract （1164）      PDF（pc） （939KB）（1183）       Knowledge map    Emergency triage is the first gateway for emergency patients. The quality of triage is often related to the treatment outcome of patients. There is no unified and detailed emergency triage standard in our country since now. Triage is still based on the subjective experience of emergency department nurses in the most of hospitals.National Health Commission of the People’s Republic of China organized this project，and the Second Affiliated Hospital of Zhejiang University School of Medicine took the lead in drafting the standard of emergency triage，which established a detailed and reliable emergency triage scale for emergency nurses in 2018. This is the adult part of the emergency triage scale. Related Articles | Metrics

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Emergency nursing care of extr acor poreal cardiopulmonary resuscitation for a patient with diabetic ketoacidosis ZHANG Yi, WANG Jianning, HUANG Qiuxia , DONG Tingting , CHEN Jie, ZHENG Ruchun Chinese Journal of Emergency and Critical Care Nursing    2021, 2 (2): 175-177.   Abstract （177）      PDF（pc） （779KB）（341）       Knowledge map    Related Articles | Metrics

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Application of airway clearance therapy in pediatric patients with ineffective airway clearance: a review KE Jian, LIU Yu, YUE Xiao Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (1): 86-90.   Abstract （303）      PDF（pc） （741KB）（513）       Knowledge map    Related Articles | Metrics

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Continuous versus intermittent aspiration of subglottic secretion for preventing ventilator-associated pneumonia：a meta-analysis PANG Xuelian, CAI Tiantian, ZHU Chaoqi Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (2): 167-174.   Abstract （234）      PDF（pc） （2585KB）（417）       Knowledge map     Objective  To compare the effectiveness between continuous aspiration of subglottic  secretion(CASS) and intermittent aspiration of subglottic secretion (IASS)  in mechanical ventilation patients for preventing ventilator- associated pneumonia  (VAP). Methods  Randomized controlled trials published from July  1994 to July 2019 were identified  by  searching  CochraneLibrary,PubMed,MEDLINE,EMBASE,Web  of  Science,China  Biology  Medicine database, CNKI, Wangfa and VIP Database. Two reviewers independently  screened the  studies according to the inelusive and exclusive criteria,assessed the quality and extracted the data. Then RevMan 5.3  software was used for Meta-analysis. Results  Eighteen studies enrolling a total of  1951  patients met the inclusion criteria. Meta-analysis showed no significant difference between two groups for the incidence of VAP,time to VAP occurrence,the aspirated  secretion  volume,duration  of  mechanical  ventilafion,length  of  ICU  stay  (P>0.05).  The  positive rate  of  occult blood test in CASS group was higher (P<0.01).Conclusion  The results indicate no significant differences between the two groups for preventing VAP. But the risk of tracheal wall injury in CASS is higher than that in IASS. Related Articles | Metrics