Loading...
ISSN 2096-7446 CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Table of Content

    10 January 2020, Volume 1 Issue 1    Next Issue
    Let is sail into the wind and set off to a brighter future
    2020, 1 (1):  5-5. 
    Abstract ( 317 )   PDF (628KB) ( 182 )   Save
    Related Articles | Metrics
    The role of nurses in the construction and development of chest pain centers
    CHEN Yuguo, ZHANG Min, WANG Wenjun, LI Ping, ZHAO Ming
    2020, 1 (1):  7-10. 
    Abstract ( 645 )   PDF (740KB) ( 838 )   Save
    Related Articles | Metrics
    Clinical practice and analysis based on Intrahospital Transport Consensus for Emergency Critical Patients
    SHI Donglei, LIU Xiaoying, GAO Jian
    2020, 1 (1):  11-16. 
    Abstract ( 2202 )   PDF (898KB) ( 3805 )   Save
    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
    Multivariate study of pre-hospital time in patients with acute aortic dissection
    HUANG Sufang, XIAO Yaru, WANG Hui, YAN Li, ZHOU Yanrong, DENG Juan, LI Miqi, ZHOU Quan
    2020, 1 (1):  17-23. 
    Abstract ( 318 )   PDF (977KB) ( 233 )   Save
    Objective To investigate the status and influencing factors of pre-hospital time in patients with acute aortic dissection and to analyze the effect of prehospital time on the outcome at discharge. Methods A total of 251 patients with acute aortic dissection were recruited from March 2018 to May 2019 in the department of car-diac macrovascular surgery of a tertiary first-class hospital in Wuhan by convenient sampling,and those patients were all transferred from other hospitals. The self-designed demographic data collection table and pre-hospital time questionnaire were used to collect data and logistic regression was used to explore the influencing factors of pre-hospital time. Results The median prehospital time was 568.00 minutes,and multiple factors regression analysis showed that the symptoms of sweating,whether it was persistent pain,the reaction of bystander,the first hospital the patient reached,whether there was confirmed diagnosis before referral,the way of admission,the number of hospitals the patients were treated and referral distance were the factors influencing prehospital time of acute aortic dissec-tion patients(P<0.05). Conclusion If the patients had symptoms of sweating and/or persistent pain,bystander re-action was accessing medical treatment,the first hospital was a tertiary hospital,the patients were diagnosed before the referral,admitted directly to the cardiovascular surgery department,then the pre-hospital time was relatively short. In addition,the more hospitals the patient was treated and the longer the referral distance,the longer the pre-hospital time. It is necessary to increase the identification ability of diseases in medical institutions and make early diagnosis,reduce the number of hospitals the patient was transferred. It is suggested that patients should be directly referred to the final department to reduce the pre-hospital time,and improve the outcome.
    Related Articles | Metrics
    Effects of physical restraint reduction interventions based on 6 Core Strategies among patients in ICU
    CUI Nianqi, GAN Xiuni, JIN Jingfen, ZHANG Chuanlai, ZHOU Shiqun, XIONG Guiqing, JIANG Lian
    2020, 1 (1):  24-30. 
    Abstract ( 274 )   PDF (1004KB) ( 325 )   Save
    Objective To apply physical restraint reduction interventions based on 6 Core Strategies in order to reduce the utilization rate of physical restraint among patients in ICU. Methods A total of 426 patients admitted to ICU of the hospital from January to December 2018 were selected as the subjects, of which 208 patients admitted from January to June were the control group and 218 patients admitted from July to December 2018 were the experimental group, who were treated with the physical restraint reduction intervention. We recorded the changes in the utilization rate of physical restraint,the duration of the physicalrestraint, and the rate of unplanned extubation between two groups. Results After applying the physical restraint reduction interventions in experimental group,the utilization rate of physical restraint decreased significantly from 31.25% to 20.18%(P<0.05). The duration of physical restraint among patients in ICU decreased from 25.00 (11.00,118.25) h to 10.50 (5.00,18.75) h,the difference was statistically significant(P<0.05).Meanwhile, the rate of unplanned extubation decreased from 5.29% to 4.13%,but the difference was not significant(P>0.05). Conclusion The physical restraint reduction interventions based on 6 Core Strategies reduce the utilization rate of physical restraint and the duration of the physical restraint among patients in ICU but do not increase the rate of unplanned extubation.
    Related Articles | Metrics
    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
    2020, 1 (1):  31-36. 
    Abstract ( 439 )   PDF (944KB) ( 882 )   Save
    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
    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
    2020, 1 (1):  37-44. 
    Abstract ( 345 )   PDF (1127KB) ( 843 )   Save
    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.
    Related Articles | Metrics
    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)
    2020, 1 (1):  45-48. 
    Abstract ( 1394 )   PDF (939KB) ( 1308 )   Save
    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
    Interpretation for Emergency Triage Scale
    JIN Jingfen
    2020, 1 (1):  49-52. 
    Abstract ( 892 )   PDF (957KB) ( 771 )   Save
    In order to help emergency medical staff to better understand and accurately apply emergency triage scale,promote emergency nurses’ triage ability to identify emergency and critical patients and ensure patient safety,ensure the smooth implementation of this standard,the standard interpretation was specially prepared. The emergency triage principle,triage level and standard,triage nurse requirements were interpreted to guide the emergency triage for nu ses in China and provide basis for triage training and management.
    Related Articles | Metrics
    Effect of volume-based enteral nutrition feeding in critical patients
    LU Yanxia, MA Liang
    2020, 1 (1):  53-57. 
    Abstract ( 293 )   PDF (671KB) ( 313 )   Save
    Objectives To compare the effects of volume-based feeding and rate-based feeding for critical pa- tients.Methods 56 patients in ICU were recruited from February 2018 to February 2019. They were divided into the control group (n=28) and the experimental group (n=28) by random number table method. The patients in the experimental group were given volume-based feeding and control group were given rate-based feeding. We record the nutritional indicators and incidence of complications. Results After 7 days of enteral nutrition treatment,there were statistically significant differences between the two groups in actual daily caloric intake and pre-albumin index (P<0.05). Conclusion Volume-based feeding can effectively improve nutritional status and immune function of patients in ICU.
    Related Articles | Metrics
    Construction of evidence-based practice program of enteral feeding implementation process for critically ill patients
    ZAN Tao, CONG Yue, TANG Jing, GUAN Baoxing, GAO Yan, LI Xue
    2020, 1 (1):  57-63. 
    Abstract ( 373 )   PDF (957KB) ( 283 )   Save
    Objectives To construct evidence-based practice program of enteral feeding implementation process for critically ill patients based on guidelines in order to ensure the effective implementation of the guidelines in clinical practice,promote the scientific and standardized implementation process of enteral feeding and nursing for critically ill patients. Methods In this study,we used the Johns Hopkins evidence-based nursing implementation and transformation model as a guide.Baseline survey was performed to establish clinical issues and an evidence- based practice team was built to retrieve,screen,appraise guidelines and review criteria and methods. Obstacles to implementation of guidelines were analyzed based on review results after baseline review and the corresponding action strategy was formulated and made concretely. Eventually the evidence-based practice strategy was developed and fit for clinical situations. Results This study included 5 guidelines,and the program contents included evaluation of the risk of enteral feeding and nutritional status in critically illpatients,etc. Conclusion Constructing an evidence-based practice program based on guidelines can provide reference for standardizing the enteral feeding process of critically ill patients. It is the premise and guarantee for the clinical transformation and application of evidence.
    Related Articles | Metrics
    Practice of standardized process management for early exercise in patients with mechanical ventilation
    DAI Xuemei, DOU Yingru, PAN Chunfang, ZHU Qingjie, GUO Lingxiang, SHI Tian, SHAN Xueqin, LIU Yong- bing, LIU Lin
    2020, 1 (1):  64-69. 
    Abstract ( 278 )   PDF (880KB) ( 272 )   Save
    Objective To explore the effect of standardized process management for early exercise in patients receiving mechanical ventilation. Methods An early multidisciplinary cooperative exercise management team was established to develop standardized early exercise programs,organize training,and implement early exercise according to the process. Results After the implementation of early exercise standardization process management,the me-chanical ventilation time,ICU length of stay,VAP incidence rate,delirium incidence rate,incidence of exercise-relat-ed adverse events,and early exercise unplanned interruption rate were all decreased,and the differences were sta-tistically significant (P<0.05). Conclusion It is very important to implement standardized process management for early exercise of mechanical ventilation patients,which can effectively improve exercise efficiency and ensure patient safety.
    Related Articles | Metrics
    Construction of continuous nursing quality indicators after percutaneous coronary intervention in patients with acute myocardial infarction
    LIU Xuemei, YU Hongjing, GU Yuqin, LING Donglan, LI Wanting, LU Qingyun
    2020, 1 (1):  69-74. 
    Abstract ( 209 )   PDF (843KB) ( 185 )   Save
    Objective To establish the quality index system of continuous nursing after percutaneous coronary in-tervention in patients with acute myocardial infarction. Methods With the support of the Cardiovascular Nursing Committee of Guangzhou Nursing Society,we used literature analysis,Delphi method and analytic hierarchy process to determine the quality indicators of continuing nursing after percutaneous coronary intervention in patients with acute myocardial infarction and indicator weights. Results In the two rounds of inquiries,the questionnaire recov-ery rate was 100% and 95.83%,the effective rate was 100%,and the expert authority coefficient was 0.866 and 0.891,respectively. The Kendall Harmony Coefficient of expert opinion was 0.241 and 0.235袁respecti ely. Finally,the index system of continuing nursing quality after percutaneous coronary intervention in patients with acute my-ocardial infarction was established,including three first-level indicators,eight second-level indicators and 32 third-level indicators,and the weight of each indicator was determined. Conclusion Continuous nursing quality index system for patients with acute myocardial infarction after percutaneous coronary intervention is reliable.
    Related Articles | Metrics
    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
    2020, 1 (1):  75-80. 
    Abstract ( 423 )   PDF (837KB) ( 1162 )   Save
    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
    Survey on the perceived career success and working environment of critical care specialist nurses in Shan-dong Province
    HAN Jing, ZHOU Min, XUE Min
    2020, 1 (1):  80-85. 
    Abstract ( 219 )   PDF (781KB) ( 128 )   Save
    Objective To investigate the working environment and perceived career success of critical care spe- cialist nurses in Shandong province,and to analyze the influence of nursing working environment on the career success. Methods A total of 180 critical care specialist nurses were investigated with nursing work environment scale and nurse career success scale. Results The total score of nursing working environment was 113.08±17.08, and the total score of career success was 33.89±7.60. Regression analysis showed that nursing work environment could independently predict 46.7% of the perceived career success of critical care specialist nurses after controlling general factors. And occupational development and sufficient manpower entered the regression equation. Conclusion The career success and the nursing working environment of critical care specialist nurses are at the medium level, and the nursing working environment affects their career success,especially in the aspect of career development and sufficient manpower. Nursing managers can improve the career success level of critical care specialist nurses by op-timizing the nursing working environment.
    Related Articles | Metrics
    Design and application of gastric lavage restraint device
    WANG Mingming, GUO Fan, ZOU Shengqiang
    2020, 1 (1):  91-93. 
    Abstract ( 254 )   PDF (674KB) ( 298 )   Save
    Related Articles | Metrics
    Postoperative infection prevention and nursing for a multivisceral transplant patient: a case report
    LI Juanjuan, XING Xingmin, FENG Bo
    2020, 1 (1):  94-95. 
    Abstract ( 334 )   PDF (360KB) ( 569 )   Save
    Related Articles | Metrics