Objective To systematically review the shared decision-making experience of elderly patients with end-stage renal disease. Methods We searched databases including PsycINFO,PubMed,Embase,CINAHL and CNKI,CBM,WanFang Data from the inception to June 2021. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. The results were integrated by integrating methods. Results A total of 13 studies were included. 36 complete findings were grouped into 8 categories according to their similarities. These categories resulted in 3 synthesized findings：sharing decision-making information support and communication practices,the patient’s decision-making dilemma and psychological trajectory,risk-return competition decision and influencing factors. Conclusion Medical staff should pay attention to the decision-making experience of elderly patients with end-stage renal disease,fully consider their goals,values,and preferences,in order to promote patient-centered shared decision-making.

Objective We conducted a scoping review to systematically review the literature reporting discharge planning,and identify the quality evaluation indicators and its collection time,along with related tools. Then the differences between the quality evaluation indicators for discharge planning at home and abroad were explored. Methods Focusing on the quality evaluation indicators for discharge planning,we systematically searched the relevant databases,guidelines and government websites. The information,including research topic,research type,the first author/institution,year of publication,country,evaluation indicator,participants,collection time and method,evaluation tool,were also extracted and summarized. Results The quality evaluation indicators for discharge planning were divided into 3 dimensions,namely patient-related indicators,medical institution-related indicators,and caregiver-related indicators. A total of 167 papers were included and 26 indicators were extracted. There were 12 patient-related indicators,and the top 5 were readmission rate,patient satisfaction,quality of life,self-care ability and mortality. There were 9 medical institution-related indicators,and the top 3 were length of stay in hospital,frequency of outpatient/emergency visits,and medical expenditure. There were 5 caregiver-related indicators,the most common of which is caregiver satisfaction. The readmission rate,quality of life,self-care ability,frequency of outpatient/emergency visits,and activities of daily living had statistically significant differences among the top 10 evaluation indicators for discharge planning at home and abroad. Conclusion The medical institutions should not only monitor patient outcome indicators,but also audit related indicators of medical institutions and caregivers. The researchers should also unify core evaluation indicators and corresponding measurement tools,select sensitivity indicators,develop indicators that can be extracted by using Electronic Information System in the future.

Objective To select,evaluate and summarize the best available evidence for key tasks of discharge planning in all hospitalized patients,so as to provide references for clinical practice of discharge planning.Methods We searched National Institute for Health and Clinical Excellence,New Zealand Guidelines Group,Scottish Intercollegegiate Guidelines Network,National Guideline Clearinghouse,Guidelines International Network,Joanna Briggs Institute,Registered Nurses’ Association of Ontario,Centers for Medicare Medicaid Services,Health Service Executive,medlive,UpToDate,Cochrane library,CINAHL,Pubmed,CNKI,Wanfang Database,CBM,CQVIP,to collect literature of discharge planning,including standards,guidelines,expert consensuses,government documents,best/recommended practices,summary of evidence,systematic evaluation,systematic reviews. 3 researchers independently evaluated quality of literature and extracted the evidence that met the quality standards.Results 19 articles were enrolled,including 3 standards,5 guidelines,3 expert consensuses,1 expert opinion,2 government documents,1 recommended practice toolkit,1 evidence summary,1 clinical decision,and 2 systematic reviews. Totally 33 pieces of evidence were selected from admission to discharge based on 5 periods of the timeline,including in 24 hours after admission,during hospitalization,in 24 hours before discharge,on discharge day and after discharge.Conclusion This study summarized the best evidence for key tasks of discharge planning for inpatients,and hospitals can develop personalized discharge plans for various diseases to promote safe and effective discharge of patients.

The outbreak of coronavirus disease 2019（COVID-19） brought severe challenges to the management of large general hospitals. The Nursing Service Department of our hospital fully executed its functional authority to establish a three-level echelon of sustainable support,allocate the human recourses dynamically,organize pre-service training,supervise the key working steps,formulate positive incentive methods,use and deploy medical supplies scientifically and so on. By taking these strategies,our hospital effectively improved the coping capacity of the nursing team and played a positive role in the prevention and treatment of COVID-19. However,there were still several deficiencies such as insufficient predictive ability and strategic awareness of preparation for emergencies,ineffective reserve system of adequate medical materials,and a lack of specialized emergency nursing teams. The deficiencies indicated that the hospital needs to establish an efficient emergency management system,and pay attention to the practice of nursing emergency plans to enhance coping capacities in public health emergencies.

Objective To integrate the relevant research,guidelines and government documents on the practice tools of discharge planning in inpatients by taking scoping reviews. Methods Focusing on the practical tools of discharge planning,we systematically searched the relevant databases,guidelines and government websites,extracted the information including author,year,country,name,applicable object,content introduction,using time and the purpose of the tools. Results Along the time line from admission to discharge of a patient,the discharge planning practice tools were divided into 5 categories：admission - evaluation,hospitalization - implementation,24 hours before discharge - verification,on discharge - referral,and after discharge - follow-up,with a total of 29 tools to promote the smooth implementation of the discharge plan. Conclusion Health care personnel should formulate and develop suitable practice tools of discharge planning based on national conditions and medical environment,so as to effectively promote the implementation of discharge plans with standardized tools,optimize the outcomes of patients,and promote the continuity of medical care services for patients.