Table of Content

10 July 2024, Volume 5 Issue 7 Previous Issue    Next Issue

Special Planning—Emergency Nursing in Public Health Emergencies

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The training path of nursing students‘ ability for responding to public health emergencies：a qualitative study LI Fan, LI Shuya, HUA Xiaoxue, CAI Mengxin, MA Jun, SUN Pengxia 2024, 5 (7):  581-586.  doi: 10.3761/j.issn.2096-7446.2024.07.001 Abstract ( )   PDF (1062KB) ( )   Save Objective To explore the potential problems and restrictive factors in the process of ability training for public health emergencies response from the perspective of nursing interns and emergency clinical teachers,to provide reference for the development of emergency response training path for nursing interns. Methods Semi-structured interviews with nursing interns and clinical nursing teachers were conducted in a tertiary class A hospital in Beijing from December 2022 to October 2023. Colaizzi seven step analysis method was used to retract the themes. Results The training of nursing interns‘ ability for responding to public health emergencies can be summarized into three themes：response and training experiences,ability training and the training strategies. Conclusion Medical school and hospital could cooperate to improve the teachers‘ emergency response ability,and clarify training objectives and ability requirements for nursing interns,and combine with the environment of emergency department practice to form the training path through multiple coordination. References | Related Articles | Metrics

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Construction of evaluation index system for emergency response capacity of nurses in public health emergencies GU Xin, YANG Yanjie, YANG Ling, PENG Hu, ZHANG Li 2024, 5 (7):  587-592.  doi: 10.3761/j.issn.2096-7446.2024.07.002 Abstract ( )   PDF (1121KB) ( )   Save Objective To construct an evaluation index system for emergency response capacity of nurses in public health emergencies. Methods Based on the four-stage model of the life cycle theory of emergencies and the International Council of Nurses（ICN） Global Core Competency Framework for Disaster Nursing for Nurses（2019）,the index system was initially constructed through a literature review and a research group discussion. Two rounds of Delphi consultation were completed by 20 experts from October to December 2023 to determine the final evaluation indexes. Results The positive coefficients of experts in the 2 rounds of consultation were 100%,the authority coefficients were 0.893 and 0.895,the Kendall‘s coefficients ranged from 0.137 to 0.345（P<0.05）. The final version of the evaluation index system of the emergency response capacity of nurses for public health emergencies covered a total of 4 first-level indexes,12 second-level indexes,and 53 third-level indexes. Conclusion The evaluation index system of nurses‘ emergency response capacity for public health emergencies formed in this study is scientific,reasonable and specific,which provides a reference for the evaluation of nurses‘ emergency response capacity,the development of standardized and homogeneous training and the construction of emergency response capacity. References | Related Articles | Metrics

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Construction and application research of a desktop simulation joint practical training plan for public health emergencies QU Jingting, HUANG Shuangxia, ZHONG Juan, LI Jiajia, HOU Lumeng, HUANG Cuiqing, HUANG Chunyan, YANG Li 2024, 5 (7):  593-599.  doi: 10.3761/j.issn.2096-7446.2024.07.003 Abstract ( )   PDF (1392KB) ( )   Save Objective To construct a desktop simulation joint practical training plan for public health emergencies and evaluate its application effectiveness. Methods The desktop simulation joint practical training plan was constructed through literature review and expert meetings. Using convenience sampling,103 emergency nurses who participated in a multi-department joint training for response of emergency public health incidents in Nanning City,Guangxi Province from June to August 2023 were selected as the research subjects. An Emergency Nurses‘ Emergency Response Capability Questionnaire and self-made theoretical emergency knowledge assessment questions were used to evaluate the participants before and after training,and participants‘ satisfaction was investigated. Results After training,emergency nurses showed significant improvement in emergency knowledge,rescue ability,critical thinking ability,communication skills,and organizational and coordination abilities,with statistically significant differences（P<0.05）. The overall training satisfaction score was（58.33±3.04）. Conclusion The desktop simulation joint practical training plan contributes to enhance the emergency response capabilities of emergency nurses in dealing with public health emergencies. References | Related Articles | Metrics

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Nursing management of on-site treatment and batch transport of earthquake casualties LAN Xuhong, GUO Longfei, ZHANG Zhigang, FU Caihong, WU Yanjun, LA Xiaoyan, ZHENG Futao, YUAN Wenjuan, TANG Xuemei 2024, 5 (7):  599-603.  doi: 10.3761/j.issn.2096-7446.2024.07.004 Abstract ( )   PDF (1001KB) ( )   Save This paper summarizes the nursing experience and organization management points of the nursing support medical team from a tertiary hospital in Gansu Province in the process of on-site treatment and batch transfer of earthquake casualties in Jishishan County,Gansu Province,so as to provide reference for the local treatment,emergency transport and post-transport monitoring of the critically ill injured under actual combat conditions. References | Related Articles | Metrics

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The competency assessment tools for community nurses in emergency response to public health emergencies：a systematic review WENG Aozhou, JIANG Lulu, YI Ran, WANG Xiyi, LIU Yanyan, HU Yun 2024, 5 (7):  604-610.  doi: 10.3761/j.issn.2096-7446.2024.07.005 Abstract ( )   PDF (1173KB) ( )   Save Objective To compare,analyze,and summarize the methodological quality and psychometric properties of assessment tools used to evaluate community nurses‘ competencies in responding to public health emergencies globally,providing researchers with guidance in selecting high-quality assessment tools. Methods A systematic literature search of 9 databases（PubMed、Embase、Web of Science、CINAHL、Cochrane、CNKI、VIP、Wanfang、CBM） was conducted for the literature on the measurement characteristics of competency assessment tools for community nurses in emergency response to public health emergencies,covering the period from the establishment of the database to November 27,2023. Two researchers independently screened and extracted data,analyzed and compared the methodological quality and measurement properties using the COnsensus-based Standards for the selection of health Measurement INstruments（COSMIN） as a guide. Results A total of 10 assessment tools were included,mainly including comprehensive assessment and specific assessment of community nurses‘ competencies responding to public health emergencies. Based on the evaluation results,all assessment tools were rated as B level recommended. Conclusion At present,there are various tools for assessing the competence of community nurses in emergency response to public health emergencies,but there are significant differences in the evaluation content,and the measurement characteristics need to be further verified and improved. In the future,more targeted evaluation tools can be developed under the guidance of the COSMIN guidelines. References | Related Articles | Metrics

Special Planning—Pre-hospital Emergency Nursing

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Development and psychometric test of the Public Behavior Intention Scale for Performing Cardiopulmonary Resuscitation ZHENG Pingjing, HUANG Xianxiong, DU Guoguo, BAI Yang, WANG Yixin 2024, 5 (7):  611-617.  doi: 10.3761/j.issn.2096-7446.2024.07.006 Abstract ( )   PDF (1153KB) ( )   Save Objective To develop a Public Behavior Intention Scale for Performing Cardiopulmonary Resuscitation （CPR）,and to test its reliability and validity. Methods Based on the Theory of Planned Behavior（TPB）,a preliminary scale was developed through literature reviewing,a semi-structured interview and the Delphi method. In April 2023,a face-to-face pre-survey was conducted in a community in Yangpu District,Shanghai,to form a test version of the scale. From May to June 2023,786 WeChat users were surveyed by snowball sampling to screen the items of the scale and test the reliability and validity of the scale. Results The scale finally retained four dimensions,including behavioral intention,behavioral attitude,subjective norm and perceived behavioral control,with a total of 42 items. The item-level content validity index ranged from 0.867 to 1.000,and the scale-level content validity index was 0.844. The exploratory factor analysis extracted 4 common factors with a cumulative variance contribution rate of 80.817%. The results of confirmatory factor analysis showed that the fitting index of the scale structure model was acceptable. The Cronbach‘s alpha coefficient and split-half reliability of the scale were 0.986,0.882 respectively. Conclusion The Public Behavior Intention Scale for Performing CPR has good reliability and validity,and can be used as a tool for scientific evaluation of public CPR rescue intention and targeted intervention research. References | Related Articles | Metrics

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Role positioning and reshaping of nursing manpower in medical emergency security service of large-scale sports events ZHAN Yue, QI Jianjiang, JIANG Huiquan, YANG Minfei, JIN Jingfen 2024, 5 (7):  618-622.  doi: 10.3761/j.issn.2096-7446.2024.07.007 Abstract ( )   PDF (991KB) ( )   Save To summarize the advantages and roles of the nursing team in the medical emergency security service of the 19th Asian Games in Hangzhou,and expound its role positioning and role remodeling in the security activities,so as to put forward thoughts and prospects for the training of nursing talents. References | Related Articles | Metrics

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Nursing management and practice in medical emergency support of large-scale sports events LÜ Kai, JIANG Xinwei, QI Jianjiang, JIANG Huiquan, ZHU Li, HUANG Ganying, ZHAN Yue, LÜ Lin, YANG Yue, ZHU Aiai, ZHAO Zeyang 2024, 5 (7):  623-626.  doi: 10.3761/j.issn.2096-7446.2024.07.008 Abstract ( )   PDF (797KB) ( )   Save Objective To summarize and analyze the allocation and operation of nursing staff in the medical emergency support during the 19th Asian Games in Hangzhou,and to explore nursing management experience for large-scale sports events,aiming to provide valuable insights for future nursing management of medical support in similar events. Methods The retrospective analysis encompassed the selection process,training protocols,duty specifications,drill testing of nursing staff in order to establish a comprehensive nursing security scheme. Results The Hangzhou Asian Games allocated 531 nursing staff for venues,58.76% of whom had senior professional titles. The focus was on strengthening the nursing force in the polyclinic,and 26 nursing staff were arranged. During the Asian Games,a total of 11,658 person-times were treated,and nursing staff played an extremely important role in the medical security services. Conclusion In the medical security of large-scale sports events,it is necessary to configure a reasonable structure of nursing staff,clarify job responsibilities and process specifications,improve the security ability of nursing staff through training drills and simulation testing,and apply multicultural nursing to meet the needs of patients to the greatest extent. References | Related Articles | Metrics

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Practice and enlightenment of intercultural nursing in medical emergency support for large-scale sports events ZHU Li, ZHAN Yue, JIANG Xinwei, WU Yafen, QI Jianjiang, YANG Yue, LÜ Lin, JIANG Zhen, ZHU Aiai 2024, 5 (7):  627-631.  doi: 10.3761/j.issn.2096-7446.2024.07.009 Abstract ( )   PDF (1011KB) ( )   Save To summarize the management experience of cross-cultural nursing in emergency care in Hangzhou Asian Games. We conducted multicultural training,organized emergency drills for first aid support,built an international medical environment,compiled medical service manuals,simplified the claim settlement process for athletes‘ medical insurance,so as to provide high-quality and efficient medical security services for the operation of the competition,and improve medical satisfaction. It is recommended to further improve the English speaking and medical professional English proficiency of medical staff,fully leverage the characteristics of traditional Chinese medicine nursing,and promote multicultural exchange. References | Related Articles | Metrics

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Construction and practice of the whole process emergency nursing security system for large-scale sports events JIANG Xinwei, ZHU Li, WU Yafen, QI Jianjiang, ZHAN Yue, YANG Yue, LÜ Lin, ZHU Aiai, JIANG Zhen, ZHAO Zeyang 2024, 5 (7):  632-637.  doi: 10.3761/j.issn.2096-7446.2024.07.010 Abstract ( )   PDF (1296KB) ( )   Save To review and analyze the construction of nursing security system in the medical emergency support of the 19th Asian Games,Hangzhou. Nursing work is one of the important links in the medical security system of large-scale sports events and provides a solid foundation for the smooth operation of the events,this paper systematically summarizes the key points and main practices of the whole process nursing security in medical emergency security,focusing on the selection and training of nursing personnel,exercise and assessment,and provides reference for medical emergency nursing work in large-scale sports events in the future. References | Related Articles | Metrics

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Construction and practice of multi-dimensional rescue program for stadiums of large-scale sports events YANG Minfei, XU Shanxiang, ZHAN Yue, QI Jianjiang, GUAN Weihua, YAO Xiaoyue, FENG Jia, CHEN Xi, LAN Meijuan 2024, 5 (7):  637-641.  doi: 10.3761/j.issn.2096-7446.2024.07.011 Abstract ( )   PDF (1019KB) ( )   Save Objective To explore the construction of emergency rescue plan for medical support in stadiums of large-scale event activities,analyze its effect and summarize the practical experience for providing reference for the medical support in the stadiums of the same scale event activities. Methods Through in-depth analysis of the environmental and spatial layout of the stadiums in June 2023,the research team formulated a three-dimensional medical rescue plan for large stadiums and completed high simulation tests,medical emergency team in the Asian Games during the event relying on the grandstand medical special elevator to “up and down interspersed running position” three-dimensional method of care. Results All medical security staff during the opening and closing ceremonies of the Asian Games were able to arrive at the place of the incident to perform the emergency medical security services within 2 minutes,and for critically ill patients who need to be transported to realize 3~8min transfer to the pre-hospital first aid guarantee ambulance,and transfer the patients to the Asian Games designated guarantee hospital within 10 min. Conclusion The adoption of multi-dimensional rescue plan for medical support in large stadiums can expand the rescue radius of medical personnel and shorten the response time,which has achieved successful results in the medical support of the Asian Games. References | Related Articles | Metrics

Critical Care Research

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Perioperative nursing care of a patient with scabies infection undergoing coronary artery bypass grafting SUN Xiumei, SHEN Yanling 2024, 5 (7):  642-645.  doi: 10.3761/j.issn.2096-7446.2024.07.012 Abstract ( )   PDF (844KB) ( )   Save To summarize the perioperative nursing experience of coronary artery bypass grafting in a patient with scabies infection. In view of the problems of surgical treatment in the infection period of scabies infection,lack of protection experience of medical staff,common susceptibility of the severe patient,and difficulty of infection prevention and control,a multidisciplinary prevention and control team and a special nursing team were established to improve the ability of scabies prevention and control. We strictly controlled the three links of scabies infection to prevent the occurrence of nosocomial infection,took good measures of scabies medication and skin management. After 17 days of active treatment and careful care,the patient‘s symptoms and signs improved,local spatula eggs were negative,and no nosocomial infection occurred. After the isolation was released,the patient was transferred to the general ward for further treatment,and was discharged successfully on the 28th day after surgery. References | Related Articles | Metrics

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Nursing care of a patient with pulmonary fibrosis after COVID-19 undergoing lung transplantation complicated with viral encephalopathy GUO Luyao, ZENG Fei, LIANG Jiangshuyuan, CAI Lingyun, GU Peipei 2024, 5 (7):  645-648.  doi: 10.3761/j.issn.2096-7446.2024.07.013 Abstract ( )   PDF (780KB) ( )   Save To summarize the nursing experience of a patient with pulmonary fibrosis after COVID-19 undergoing lung transplantation complicated with viral encephalopathy. In view of the complex condition,prominent encephalopathy symptoms,high bleeding risk and other problems,we adopted early warning of viral encephalopathy after lung transplantation,passive-active progressive pulmonary rehabilitation training,the platelet count orientated anti-coagulation management,dynamic immunosuppressive drugs management,and auditory verbal feedback cognitive training. After 58 days of treatment and nursing,the patient‘s condition was stable and discharged from hospital,and the patient was in good condition during 2 months of follow-up after discharge. References | Related Articles | Metrics

Quality and Safety

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Quality improvement strategies for the prevention of ventilator-associated pneumonia in ICU patients through multidisciplinary and multi-stage approaches QIN Wei, WANG Wenchao, YAO Wenjie, GU Yue, LANG Qin, Xu Xiaolan 2024, 5 (7):  649-655.  doi: 10.3761/j.issn.2096-7446.2024.07.014 Abstract ( )   PDF (986KB) ( )   Save Objective To explore the impact of multidisciplinary and multi-stage quality improvement strategies for the prevention of ventilator-associated pneumonia（VAP） on the occurrence of VAP in Intensive Care Unit（ICU） patients. Methods This study was conducted in the ICU of a tertiary comprehensive hospital in Bazhou,Xinjiang. Patients with invasive mechanical ventilation were included in the study. The study period was from January 2020 to December 2023,with each year considered as a study period. By integrating evidence-based nursing and implementing scientific methodologies,the quality improvement strategy was developed,with targeted interventions designed for each study period. Results Over the period from 2021 to 2023,the incidence of VAP was consistently lower than the hospital‘s warning line,and the implementation rate of the VAP prevention comprehensive intervention strategy in 2023 showed a significant improvement compared to the baseline（P<0.05）. There were no unplanned extubation cases among all enrolled patients,and the average days of mechanical ventilation in 2023 were lower than in 2020,with a statistically significant difference（W=6786,P=0.008）. Conclusion The quality improvement strategies can effectively reduce the occurrence of VAP in ICU patients and promote the effective advancement of clinical medical and nursing quality. References | Related Articles | Metrics

Career Development of Nurses

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Study on the status quo and influencing factors of coping ability with death among nursing interns in emergency department ZHANG Qianqian, TANG Naifu, ZHANG Li, ZANG Ge, WANG Lei, LI Bo 2024, 5 (7):  656-661.  doi: 10.3761/j.issn.2096-7446.2024.07.015 Abstract ( )   PDF (858KB) ( )   Save Objective To investigate the current situation and to analyze the influencing factors of coping ability with death among nursing interns in emergency department. Methods A total of 217 nursing interns who practiced in the emergency department of a Grade III hospital in Henan Province,Shaanxi Province and Gansu Province from August 2022 to April 2023 were selected as the study objects by convenience sampling method. Nursing interns were investigated by the Meaning in Life Questionnaire,Coping with Death-Short Version Scale and Chinese version of Death Attitude Profile-Revised. Results 93.5% of the valid questionnaires were collected. The score of coping ability with death among the nursing interns in emergency department was（37.99±8.50） points. The ability of emergency nursing interns to cope with death was in the lower middle level. The results of multiple linear regression analysis showed that whether the school provided death education or hospice course,whether supported living will,sense of life meaning,and approach acceptance were the influencing factors for the coping ability with death of nurse interns in emergency department（P<0.05）. It explained 29.8% of the total variation. Conclusion The coping ability with death of nursing interns in emergency department needs to be improved. Clinical teaching should make up for the relative deficiency of death education in schools,guide them to think deeply about death events and cultivate a positive attitude toward death,and explore the sense of meaning of life based on traditional Chinese culture,so as to improve their coping ability with death. References | Related Articles | Metrics

Evidence Synthsis Research

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Evidence summary for fluid resuscitation in adults with sepsis ZHANG Hao, DAI Min, YANG Liu, LI Ningxiang, JIANG Jingyuan, GAO Yongli 2024, 5 (7):  662-668.  doi: 10.3761/j.issn.2096-7446.2024.07.016 Abstract ( )   PDF (979KB) ( )   Save Objective To systematically summarize the best evidence for fluid resuscitation in adult patients with sepsis to provide a reference for clinical practice. Methods We comprehensively searched BMJ Best Practice,Up To Date,JBI Evidence-Based Health Care Centre database,National Institute for Health and Clinical Excellence in the UK,Scottish Intercollegiate Guidelines Network,National Guideline Clearinghouse,Registered Nurses‘ Association of Ontario,National Health and Medical Research Council in Australia,New Zealand Guidelines Collaboration Network,World Health Organization Guidelines Network,International Guidelines Collaboration Network,Medlive,The Cochrane Library,PubMed,Embase,Web of Science,CINAHL,CNKI,Wanfang,VIP,SinoMed,and the Chinese Medical Association Journal Full Text Database for clinical guidelines,best practices,expert consensus,systematic reviews,and evidence summaries related to fluid resuscitation in sepsis and randomized controlled trials related to this study. The literature was screened according to the inclusion and exclusion criteria and evaluated for quality,extraction and summarization of evidence were performed. The search limit was from the time of database establishment to April 20,2023. Results A total of 11 literature were included,including 2 guidelines,7 expert consensuses,and 2 systematic reviews. Seventeen pieces of evidence were summarized in 3 aspects：early screening and recognition of sepsis,fluid resuscitation management measures,and volume response monitoring. Conclusion This study summarizes the best evidence summary for fluid resuscitation in adult patients with sepsis and provides a reference point for clinical providers to implement the overall process of fluid resuscitation in adult patients with sepsis. References | Related Articles | Metrics

Review

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Research progress on the clinical application of portable three-dimensional wound assessment tools LIN Hong 2024, 5 (7):  669-672.  doi: 10.3761/j.issn.2096-7446.2024.07.017 Abstract ( )   PDF (622KB) ( )   Save With the rapid development of information technology and artificial intelligence,portable three-dimensional（3D） wound assessment tools may become the most promising wound assessment method. This article reviews portable 3D wound assessment tools with different measurement principles,summarizes the technical principles,evaluation methods,and clinical application status of these assessment tools,analyzes the advantages and limitations of different assessment tools,providing reference for the clinical application and promotion of portable 3D wound assessment tools in the future. However,research on such tools in China is still in its early stage,and further evidence-based accumulation is needed. At the same time,functional optimization is needed to improve the measurement accuracy of special wounds. References | Related Articles | Metrics