Home Table of Contents
25 May 2024, Volume 31 Issue 10
-
Select all|
-
Journal of Nursing. 2024, 31(10): 1-7. https://doi.org/10.16460/j.issn1008-9969.2024.10.001Objective To construct a prediction model of non-alcoholic fatty liver disease in non-obese population based on lifestyle-related indicators. Methods A prospective cohort study was conducted to select 992 non-obese subjects who participated in physical examination in a tertiary grade-A hospital in Shanghai from April to October 2021 and were followed up until October 2023. The subjects were confirmed whether they had developed non-alcoholic fatty liver disease through abdominal ultrasound during the follow-up and then they were divided into non-occurrence group (n=834) and occurrence group (n=158). General information, results of physical examination and laboratory examination and lifestyle-related indicators were compared between the two groups. LASSO regression and logistic regression were used to analyze the influencing factors and build a prediction model, and a nomogram was drawn. Results Through multi-factor analysis, male (OR=2.375), age (OR=1.044), high income level (OR=0.512), body mass index of 24.0~27.9(OR=3.556), intake of eggs (OR=1.008), vegetable (OR=0.998) and sugar-sweetened beverage (OR=1.002), sitting time (OR=1.199) and sleep time (OR=0.661) were used to construct the prediction model. The area under ROC curve of the model was 0.846, and the area under ROC curve of internal validation was 0.819. The Hosmer-Lemeshow test results of χ2=7.478, P=0.486 indicated good fit. Calibration curve and decision curve analysis showed that the model had good calibration degree and was clinically applicable. Conclusion The prediction model constructed in this study is scientific and practical, with good prediction efficiency, and can easily and effectively predict the risk of non-alcoholic fatty liver disease in non-obese population.
-
Journal of Nursing. 2024, 31(10): 8-12. https://doi.org/10.16460/j.issn1008-9969.2024.10.008Objective To explore the mediating effect of new nurses' perceptions of patient safety culture between moral sensitivity and safety behaviors. Methods Convenient sampling was used to select 302 new nurses from 7 tertiary grade-A hospitals in Shenyang City from November to December 2022, and they were surveyed using the General Information Questionnaire, the Nurse Safety Behavior Questionnaire, the Patient Safety Culture Assessment Questionnaire, and the Moral Sensitivity Questionnaire. Results The total score of new nurses' safety behavior, perceptions of patient safety culture, and moral sensitivity was 55.95±4.54, 97.10±6.12, and 46.74±5.69, respectively. In this group, the total score of new nurses' safety behavior was positively correlated with that of perceptions of patient safety culture and moral sensitivity (r=0.634, 0.472, both P<0.001), and the total score of perceptions of patient safety culture and that of moral sensitivity were positively correlated (r=0.564, P<0.001). New nurses' perceptions of patient safety culture played a partial mediating role between moral sensitivity and safety behaviors, with a mediating effect of 67.2%. Conclusion Moral sensitivity of new nurses can indirectly influence their safety behaviors by enhancing their perceptions of patient safety culture. It is recommended that nursing managers should strengthen and pay attention to the moral education of new nurses and improve their moral sensitivity, so as to enhance the awareness of patient safety culture, standardize safety behaviors, and ensure patient safety.
-
Journal of Nursing. 2024, 31(10): 13-16. https://doi.org/10.16460/j.issn1008-9969.2024.10.013Objective To explore the current situation of nursing informatics curriculum setting in higher vocational colleges in China, and to provide reference for optimizing the curriculum setting and improving informatics capability of nursing students. Methods The research team conducted an online survey to study the current status of nursing informatics curriculum setting in the three-year nursing program of higher vocational colleges in China. Results A total of 126 three-year nursing programs from higher vocational colleges were included in the study. These programs offered a total of 189 nursing informatics courses, with 104 being compulsory courses and 85 being elective courses. On average, each college offered (1.51±0.32) courses, with an average of (45.86±15.28) hours per course. The compulsory nursing informatics courses had an average duration of (56.01±11.42) hours, with theoretical and practical components accounting for 42.8% and 57.2% of the total hours, respectively. Furthermore, 96.0% of the three-year nursing programs in higher vocational colleges mentioned the requirement for nursing informatics skills in their "training specifications," and all programs included nursing informatics courses. Based on the course content, these courses can be categorized into four major types: "computer technology," "information literacy," "informatics," and "trends in nursing informatics." Conclusion Nursing informatics capability have been incorporated into the training for higher vocational nursing talents. However, the workload of nursing informatics courses is not high, and there is still no consensus on the content of these courses.
-
Journal of Nursing. 2024, 31(10): 17-20. https://doi.org/10.16460/j.issn1008-9969.2024.10.017Objective To explore the training effect of BOPPPS combined with situational simulation on the prevention and control ability of nosocomial infection among nursing students. Methods Cluster random sampling was used to select students from two nursing classes in grade 2021, and they were divided into experimental group and control group. BOPPPS combined with situational simulation and conventional teaching were used in experiment group and control group respectively. Theoretical test results and clinical comprehensive ability assessment of nursing students in the two groups were compared. Results The theoretical score of the experimental group was slightly higher than that in the control group, but not statistically significant (P>0.05). The assessment score of aseptic awareness and skill, occupational protection awareness and skill, and effective communication ability of the experimental group was superior to that of the control group, with statistically significance (P<0.05). Conclusion BOPPPS combined with situational simulation is helpful for nursing students to apply their knowledge, skills, and literacy in clinical practice, promote their independent learning, improve their awareness of nosocomial infection prevention and control, and lay a solid foundation for safe clinical practice.
-
Journal of Nursing. 2024, 31(10): 21-24. https://doi.org/10.16460/j.issn1008-9969.2024.10.021Objective To explore the methods and effect of implementing a new teaching innovation system of “Dual-drive Approach of Theory and Practice Combined with Triple Linkage of Theoretical, Practical and Social Class” in the course of Emergency and Critical Care Nursing. Methods Among 40 nursing undergraduates in grade 2020, a teaching reform called " Dual-drive Approach of Theory and Practice Combined with Triple Linkage of Theoretical, Practical and Social Class” was implemented in the course of Emergency and Critical Care Nursing. The teaching content was reconstructed through modularization of “Dual-drive Approach of Theory and Practice” and the teaching process was implemented in a multi-dimensional manner of “Triple Linkage of Theoretical, Practical and Social Class”. By analyzing students' course grades and surveying their evaluation and satisfaction with the course reform, the teaching effectiveness can be determined. Results The course score of the students in grade 2020 was 87.85±2.98, which was higher than that 82.44±6.21 of the students in grade 2019 before the reform and the difference was statistically significant (t=5.023, P<0.001). In the evaluation of teaching effectiveness, students' self-assessment of clinical practice ability, research and innovation ability, critical thinking ability, etc. have shown improvement. The overall satisfaction rate with the course was 92%. Conclusion The implementation teaching reform called “Dual-drive Approach of Theory and Practice Combined with Triple Linkage of Theoretical, Practical and Social Class” in the course of Emergency and Critical Care Nursing has greatly improved the teaching effectiveness.
-
Journal of Nursing. 2024, 31(10): 37-42. https://doi.org/10.16460/j.issn1008-9969.2024.10.037Objective To form a written document of "Expert consensus on perioperative protective restraint in interventional therapy for severe stroke patients", to provide clinical guidance for the implementation and removal of perioperative protective restraints in interventional therapy for severe stroke patients. Methods By conducting literature review and interviews, we extracted recommendations and research findings on the implementation and removal of protective restraints for patients undergoing interventional therapy in the perioperative period of severe ischemic stroke to form a consensus draft. Following two rounds of expert consultation, we created the final consensus after adjusting , modifying, and refining the draft in accordance with expert opinions. Results The effective recovery rate of the two-round questionnaire was 96% and 91%, respectively. The authority coefficient of the two rounds of correspondence consulting was 0.896 and 0.933, respectively. The mean value of importance assignment of each indicator was > 3.5, and the coefficient of variation was < 0.25. The Kendall harmony coefficient of experts was 0.160 and 0.299 respectively. The final consensus consisted of five parts, namely, the key point of restraint implementation evaluation, restraint prevention and alternative measures, the selection of restraint tools and their duration, the key point of restraint implementation, and the key point of restraint removal. Conclusion This consensus provides guidance for and standardize the implementation and removal of protective restraints in severe stroke patients undergoing interventional therapy.
-
Journal of Nursing. 2024, 31(10): 59-63. https://doi.org/10.16460/j.issn1008-9969.2024.10.059Objective To investigate the current status of aneurysmal dilatation at the puncture segment of arteriovenous fistula in 306 maintenance hemodialysis patients and to analyze its influencing factors. Methods Using convenience sampling, 306 maintenance hemodialysis patients were selected from three tertiary grade-A hospitals in Guangzhou from September 2022 to March 2023. They were divided into aneurysmal dilatation group (n=37) and non-aneurysmal dilatation group (n=269) according to whether aneurysmal dilatation occurred in the puncture segment of arteriovenous fistula. The binary logistic regression was used to analyze the risk factors of aneurysmal dilatation of puncture segment. Results The incidence of aneurysmal dilatation at the puncture segment of arteriovenous fistula was 12.1% in 306 maintenance hemodialysis patients. Binary logistic regression analysis showed that fistula duration longer than 32 months, a history of area puncture, brachial artery flow greater than 1200 ml/min and anastomotic diameter greater than 4mm were risk factors for aneurysmal dilatation at the puncture segment of arteriovenous fistula in maintenance hemodialysis patients（P<0.05）. Conclusion Longer fistula duration, the history of area puncture, higher blood flow of brachial artery and larger anastomotic diameter are major risk factors for aneurysmal dilatation at the puncture segment of arteriovenous fistula. It is suggested that blood purification nurses should avoid area puncture, focus on the fistula with long duration of use, high brachial artery blood flow and large anastomotic diameter, and take targeted preventive or reactive measures to delay the development of aneurysmal dilatation at the puncture segment.
-
Journal of Nursing. 2024, 31(10): 64-69. https://doi.org/10.16460/j.issn1008-9969.2024.10.064Objective To develop a questionnaire of attitude of pediatric nurses to transitional nursing of children with chronic diseases and to test its reliability and validity. Methods Guided by attitude theory, after literature review, expert consultation and pilot survey, the initial questionnaire was developed. A total of 299 pediatric nurses in a tertiary grade-A hospital in Wuhan from October 2022 to November 2022 were conveniently sampled and investigated. SPSS and AMOS were used for factor analysis and reliability and validity test respectively. Results The final version of the questionnaire consisted of 29 items in 3 dimensions of cognition, affect and behavior tendency. Cronbach's α coefficient of the questionnaire was 0.973 and split-half reliability 0.971. Content validity index of the scale was 0.984, and that of the items ranged from 0.875 to 1.000. Exploratory factor analysis extracted 3 common factors, and the cumulative variance contribution rate was 89.472%. Confirmatory factor analysis showed that the model fit well (χ2/df=2.845,χ2=1063.937,df=374,P<0.001,RMSEA=0.077),indicating stable factor structure of the questionnaire. Conclusion The Questionnaire of Attitude of Pediatric Nurses to Transitional Nursing of Children with Chronic Diseases in this study has good reliability and validity, and it can be used as a tool to access the attitude of pediatric nurses toward transitional nursing of children with chronic diseases, and to provide reference for transitional nursing of children with chronic diseases.
