ISSN 1672-9234 CN 10-1655/R
主管:中国科协技术协会
主办:中华护理学会

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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.  
    Abstract214)      PDF(pc) (810KB)(3474)      
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (10): 909-912.  
    Abstract453)           
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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.  
    Abstract2004)      PDF(pc) (898KB)(3346)      
    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.
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (6): 519-.  
    Abstract230)           
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    Nursing care of a patient with cerebral infarction to dissolve esophageal obstruction by nasal feeding with yogurt

    ZHAO Xijun, LI Jieting
    Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (6): 561-563.  
    Abstract599)      PDF(pc) (855KB)(1467)      
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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.  
    Abstract249)      PDF(pc) (804KB)(1294)      

    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 nursesknowledge 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.

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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.  
    Abstract1164)      PDF(pc) (939KB)(1183)      
    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.
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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.  
    Abstract471)      PDF(pc) (890KB)(730)      
    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.
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (1): 17-21.  
    Abstract199)      PDF(pc) (531KB)(555)      
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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.  
    Abstract60)      PDF(pc) (814KB)(337)      

    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.

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    The development of intra-hospital transport checklist for critically ill patients in e-mergency department
    MA Li, WANG Zhiwen, GE Baolan, MA Qingbian, GE Hongxia, DU Lanfang, LU Ying
    Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (1): 37-44.  
    Abstract292)      PDF(pc) (1127KB)(695)      
    Objective To develop an intra-hospital transport(IHT)checklist for critically ill patients in emergency department which is suitable for China. Methods Firstly,the evidences were integrated through the literature re-search. Then,Delphi method was used to evaluate the importance of the indicators through two-rounds of expert consultation among 36 experts. At last,the inter-rater reliability and the content validity were tested. Results The response rates in 2 rounds of expert consultation were 100.0%,the authority coefficient of experts were all 0.96,and the coordination coefficients were 0.197 and 0.204(P<0.001). The final pre-IHT checklist consisted of 8 parts and 35 items. The Kappa values of the checklist were 0.727~1.000,average value was 0.880;the content validity index (S-CVI) was 0.912,and the item-level CVI (I-CVI) was 0.806~1.000. Conclusion The developed checklist based on literature research and expert argumentation is reliable,detailed and also operative for clinical application.
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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.  
    Abstract370)      PDF(pc) (944KB)(579)      
    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.
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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.  
    Abstract129)      PDF(pc) (947KB)(337)      
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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.  
    Abstract327)      PDF(pc) (837KB)(770)      
    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.
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    Development and application of handover sheet for ICU patient condition management

    ZHANG Yan, WANG Fengzhen, LU Yufeng, XIE Hongying
    Chinese Journal of Emergency and Critical Care Nursing    2021, 2 (1): 7-13.  
    Abstract525)      PDF(pc) (550KB)(1534)      
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    The construction of out-of-hospital cardiac arrest database
    LI Shuang, GUO Zijjan, WANG Xuren, CHEN Chulin, GUI Li
    Chinese Journal of Emergency and Critical Care Nursing    2020, 1 (3): 197-202.  
    Abstract200)      PDF(pc) (831KB)(319)      
    Objective To construet the out-of hospital cardiac arrest (OHCA) database based on Utstein style for standardizing the ollection of data and evaluation of the efct of cardiopulmonary resuscitation,so as to ffctively improve the quality of cardiopulmonary resuscitation and the survival rate of OHCA patients. Methods Based on, AHA guidelines , European Resuscitation Council guidelines and OHCA databases , we collected OHCA emergency medical records from January 2012 to July 2017 in Pudong New Area and the OHCA database based on Utstein style was constructed with the use of MySQL software and under the guidance of E-R model as well as the third paradigm. The database table structure was determined by expert group meetings. Results The OHCA database was constructed based on Utstein style , which consisted of five modules , namely basic data table , cardiac arrest data table , resuscitation table , outcome table and important time table. The database had the functions of input , export , inquiry and management and included 16 122 medical records. It standardized the input and expression of OHCA data. It has clear structure detailed content and convenient operation , which can provide a template for the routine OHCA registration in Pre-hospital Emergency Center. Conclusion The OHCA database based on Utstein style establishes the OHCA data collection standard in line with the characteristics of our country and provides an accurate management platform of OHCA information. It is not only laying the foundation for the future accurate research of OHCA,but also provides a scientific basis for the formulation of policies related to OHCA treatment.
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    Best evidence summary of early drinking management strategy after surgery with general anesthesia in Adults

    WEI Xiaolong , ZHU Wenmin
    Chinese Journal of Emergency and Critical Care Nursing    2021, 2 (6): 535-541.  
    Abstract237)      PDF(pc) (934KB)(1033)      
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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.  
    Abstract97)      PDF(pc) (804KB)(306)      

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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (3): 232-238.  
    Abstract102)      PDF(pc) (6390KB)(311)    PDF(mobile) (6390KB)(23)   
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    Nursing status and thinking of emergency percutaneous coronary intervention

    LI Qingyin, LIU Yuwen, HAO Yunxia, ZHANG Yanjuan, ZHAO Rui, PANG Ran
    Chinese Journal of Emergency and Critical Care Nursing    2021, 2 (1): 32-36.  
    Abstract954)      PDF(pc) (749KB)(1584)      
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