Objective To understand the feelings and experiences of nurses in family medical team in the process of implementing contracted services，in order to provide a reference for effectively exerting the function of nursing in contracted services，and promoting and optimizing the contracted services in China. Methods Using phenomenological research methods，14 team nurses from 3 community health service centers in Beijing were interviewed with semi-structured interviews. The content analysis method was used to analyze the data. Results 3 themes were extracted in the nurses’ experiences and feelings during the implementation of the contracted services，personal growth and benefit，and the need to optimize the work. 3 sub-themes were extracted in work experiences and feelings，namely sense of optimization of nursing philosophy，sense of changing focus of nursing，improvement of nurse and patient bond. 4 sub-themes were extracted in personal growth and benefits，namely increasing job responsibility and accomplishment，forming a sense of teamwork，greater understanding and respecting for patients. 5 sub-themes were extracted in the optimization of contracted service needs，namely clarifying the position of team nurses，improving the bidirectional referrals，improving the contracted team management and assessment mechanisms，strengthening the support of the policy on home care，and providing opportunities for continuing education and training. Conclusion In practicing contracted services，team nurses have gained recognition of their profession and continuous self-growth. The government should continue to improve the support of contracting-related policies to meet the needs of team nurses’ career development，optimize contracted services，and attract more nurses into the practice of contracted services.

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.