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Best evidence summary of decision making in inter-hospital transfer of critically ill patients
LI Shuya, SUN Pengxia, HUA Xiaoxue, GAO Jian, CAI Mengxin, LI Fan
Chinese Journal of Nursing    2023, 58 (19): 2416-2421.   DOI: 10.3761/j.issn.0254-1769.2023.19.017
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Objective To search,evaluate and integrate the best evidence of decision making in inter-hospital transfer of critically ill patients. Methods We searched the evidence about the decision making in inter-hospital transfer of critically ill patients in Guidelines International Network,National Guideline Clearinghouse,Canadian Medical Association CPG Infobase,Scottish Intercollegiate Guidelines Network,National Institute for Health and Care Excellence,Intensive Care Society,Registered Nurses’ Association of Ontario,and Cochrane Library,PubMed,Embase,CINAHL,Web of Science,BMJ,UpToDate、CKNI,Wanfang,and other databases. The retrieval time limit is from the establishment of the databases to June 30,2022. Literature quality assessment and data extraction were performed by 2 researchers. Results A total of 6 articles were included in this study,including 4 guidelines and 2 expert consensuses,which summarized 25 pieces of evidence involving 6 categories,namely necessity assessment,benefit and risk assessment,feasibility related factors,decision-maker,informed consent,medical records. Conclusion This study summarizes the best evidence of decision making in inter-hospital transfer of critically ill patients,and suggests that the inter-hospital transfer system should be standardized,and the outcome,existing problems should be monitored,and normative assessment tools,informed consent and medical record templates should be formed to guide the decision-making.

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Construction of a nursing quality evaluation index system for inter-hospital transfer of emergency critically ill patients
SUN Pengxia, LI Shuya, HUA Xiaoxue, GAO Jian, CAI Mengxin, LI Fan
Chinese Journal of Nursing    2023, 58 (15): 1831-1837.   DOI: 10.3761/j.issn.0254-1769.2023.15.007
Abstract355)   HTML1)    PDF (837KB)(16)       Save

Objective To construct a quality evaluation index system for inter-hospital transfer of emergency critically ill patients,so as to evaluate the quality of inter-hospital transfer of emergency critically ill patients. Methods Based on structure-process-outcome theory and the “expert consensus on inter-hospital transfer of critically ill patients”,the index definition and weight were identified and the quality evaluation index was constructed by literature review,panel interviews,Delphi method and Hierarchy analysis. Results The effective recovery rates of questionnaires in the first and second round of expert consultations were 85.0%(17/20) and 100% (17/17);the expert authority coefficients were 0.900,0.897;the Kendall harmony coefficients were 0.193(χ2=316.295,P<0.001),0.159(χ2=257.103,P<0.001),respectively. The finalized evaluation index included 3 first-level indicators,17 second-level indicators and 81 third-level indicators. Conclusion The constructed evaluation index is scientific,reliable,reasonable,comprehensive,and clinically practical. It can provide continuous scientific evaluation for inter-hospital transfer of emergency critically ill patients.

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Reliability and validity of Chinese version of the Work-Family Behavioral Role Conflict Scale
SUN Weiling, WU Yan, GAO Jian, GUO Chengyao
Chinese Journal of Nursing    2023, 58 (14): 1787-1793.   DOI: 10.3761/j.issn.0254-1769.2023.14.017
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Objective To translate the Work-family Behavioral Role Conflict Scale (WFBRCS) and test its reliability and validity. Methods The WFBRCS was translated and back translated according to the Brislin translation model,and the Chinese version of WFBRCS was formed after the cultural adjustment by the expert consultation and cognitive interview. 301 clinical nurses were investigated by convenience sampling method in a tertiary hospital in Shanghai to evaluate the reliability and validity of the scale from August to September 2022. Results A total of 268 nurses completed the survey. The Chinese version of WFBRCS included 2 dimensions with a total of 30 items. The content validity index of each item was 0.800~1.000,and the content validity index of the total scale was 0.980. Exploratory factor analysis resulted in a 2-factor structure,explaining 63.902% of the total variance. The Cronbach’s α coefficient of the total scale was 0.958,and the Cronbach’s α coefficients of the 2 dimensions both were 0.951. The retest reliability for the total scale was 0.849,and the retest reliability of the 2 dimensions were 0.856 and 0.813. Conclusion The Chinese version of WFBRCS has good reliability and validity,which can be used to evaluate the level of work-family behavior role conflict of nurses in Chinese cultural background.

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Research progress on fear of cancer recurrence among family caregivers for patients with cancer
GAO Jia, SUN Yefei
Chinese Journal of Nursing    2022, 57 (7): 887-891.   DOI: 10.3761/j.issn.0254-1769.2022.07.019
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Fear of cancer recurrence(FCR) commonly exists among family caregivers of cancer patients,while severe fear will affect their quality of life. However,FCR of caregivers is easily ignored by clinical staff. This paper reviews the related concept,current situation,assessment tools,influencing factors and intervention measures of family caregivers’ fear of cancer recurrence,aiming to arouse the attention of clinical staff on FCR of this population,and to provide references for further study.

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The development and validation of a risk prediction model for peristomal moisture-associated skin damage
LIU Yingge, WU Yan, CAO Qiujun, QIU Qun, LÜ Guifen, XU Honglian, GAO Jian
Chinese Journal of Nursing    2021, 56 (11): 1612-1617.   DOI: 10.3761/j.issn.0254-1769.2021.11.002
Abstract930)   HTML6)    PDF (844KB)(32)       Save

Objective To develop a risk prediction model of peristomal moisture-associated skin damage(PMASD),and to apply to clinical practice to validate its prediction performance. Methods The prospective study design and the convenience sampling method were adopted. A total of 329 patients from 4 hospitals in Shanghai were enrolled from November 2019 to September 2020,and predictors between the complication group(141 cases)and the non-complication group(188 cases) were compared using Logistic regression based on Lasso selection for model development. The goodness of fit of the model was verified by Hosmer-Lemeshow test. The discrimination was evaluated by the area under the ROC curve(AUC). The Bootstrap resampling was used for internal validation. From October to November 2020,109 patients were recruited for external validation. Results The incidence of complication in the development cohort was 42.9%(141/329),and 37.6%(41/109) in the validation cohort. The predictors that ultimately entered the prediction model were gender(OR=0.497),type of stoma(OR=4.338),height of stoma(OR=0.304),surgical wound in plate area(OR=3.479),plate attachment(OR=2.399),soft diet(OR=3.155),and semi-fluid diet(OR=3.325). The H-L test P=0.274;the AUC was 0.812. The Youden index was 0.500,with the sensiti-vity of 0.688 and the specificity of 0.798. While the external validation H-L test P=0.515,the AUC was 0.860 with the sensitivity of 0.610 and the specificity of 0.882. Conclusion The prediction model developed in this study has a good performance,which can provide a reference for clinical screening of high-risk patients with PMASD.

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