Objective To describe the scope and breadth of primary research regarding the implementation of the Safewards Model and its interventions in psychiatric wards. Methods A comprehensive search of the electronic databases，such as PubMed，Embase，CINAHL，PsycINFO，Web of Science，Scopus，Cochrane Library，JBI Evidence-Based Practice，JBI Evidence Synthesis，CNKI，WANFANG，VIP，and SinoMed，from database inception to August 2022，has been conducted to retrieve all the potentially relevant articles. 2 researchers independently screened and extracted information for the retrieved literature，and the evidence was then synthesized and summarized. Results The included 19 articles comprehensively evaluated 14 safewards implementation studies in terms of its effectiveness，intervention fidelity，and feasibility. Conclusion The safewards interventions，if implemented with high fidelity，can effectively reduce the incidence of conflict events in psychiatric wards and the use of restrictive practices，and improve the ward atmosphere. Safewards provide an opportunity and platform by which trauma-informed and recovery-oriented practices in psychiatric setting can be achieved. For the future implementation of safewards，it is necessary to strengthen the training of staff，to help staff develop positive attitudes and beliefs toward safewards，and to seek support from hospital management level.

Objective To conduct a meta-synthesis of the experience of dementia patients and their relatives in advance care planning（ACP） and provide evidence-based guidance for the development and implementation of ACP in dementia patients. Methods 8 databases（Web of science,PubMed,EBSCO,The Cochrane Library,Embase,CNKI,CBM,Wan Fang） were included to retrieve the literature on the experience of dementia patients and their relatives about ACP intervention from inception until August 2021. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. Meta-aggregation was used to conduct the synthesis. Results 41 findings were extracted from 11 qualified studies and they were integrated into 9 categories. 4 synthesis results were summarized,including attitude of dementia patients and their families to participate in ACP,the perceived benefits of dementia patients and their families to participate in ACP,the perceived barriers of dementia patients and their families to participate in ACP,and the perceived reactions of dementia patients and their families to participate in ACP. Conclusion The successful implementation of ACP requires continuous focus on the attitude of dementia patients and their families for participation. At the same time,facing the difficulties of dementia patients participating in ACP,we should alleviate the negative influence of family members’ participation and attach importance to patient preferences and enrich the content and form of ACP to promote the development and improvement of ACP.

Objective To investigate the current status of cognition and attitude of community residents for advance care planning（ACP） in Zhengzhou and its influencing factors. Methods A multi-stage random sampling was used through a questionnaire survey on 342 residents from 4 communities in Zhengzhou. The factors influencing positive attitude of community residents were analyzed by logistic regression. Results The cognition of community residents to ACP in Zhengzhou was scored 0~5 [0（0,1）];the total score of attitude is 15~62 [40（26,49）]. Logistic regression analysis showed that age,the previous experience of caring for family or friends in hospital and the experience of family or friends receiving life support treatment were the influencing factors of positive attitude of community residents to ACP in Zhengzhou（P<0.05）. Conclusion The cognition of community residents to ACP is at a low level,while the overall attitude is positive. Senior residents,residents with experience of caring for relatives and friends in hospitals and experience of family or friends receiving life-sustaining treatment have a more positive attitude towards ACP. Health care workers should work with relevant organizations to promote the popularization and acceptance of ACP,and should also provide targeted education and services for different groups in order to promote ACP.