Objective To explore the barriers in the clinical use of evidence-based deep vein thrombosis prevention after joint replacement,and to provide bases for clinical measures. Methods The interview outline was developed based on the Theoretical Domains Framework（TDF） from July to August 2020. Totally 16 nurses working in the department of orthopedic at a tertiary A hospital in Beijing were selected for semi-structured interviews by convenient sampling,and the content analysis was conducted based on the results. The content of the transcribed text is analyzed,and specific topics and codes are classified according to the relevant fields of TDF. Results In clinical practice,the department has used the HIS system to assess DVT risks,but the nurses do not have a good grasp of the assessment scale,and the case information need to be retrieved,which has caused certain obstacles to the development of the assessment work. Nurses have the awareness to carry out health education and nursing prevention,but due to the lack of auxiliary tools,it is difficult to attract patients’ attention,and thus they lose the will to act,and hold doubts about the prevention effects. Nurses master health education related content and can implement physical and drug prevention,and the department has carried out prevention effect evaluation. However,due to the lack of relevant procedures,there are differences in behaviors among nurses. Combined with TDF,the above obstacles are classified into 5 domains：knowledge,environmental factor,motivation and target,result expectation,and code of conduct. Conclusion There is a variety of obstacles that affect the prevention of deep vein thrombosis after joint replacement in clinical application. It is necessary for the department to carry out the reform of evidence-based nursing practice on the basis of obstacles and promote the clinical application of the best evidence for the prevention of deep vein thrombosis after joint replacement.

Objective To carry out evidence-based nursing for the prevention of deep vein thrombosis（DVT） in patients after joint replacement，to formulate review indicators，to analyze the obstacles and promoting factors in the practice of evidence-based nursing，and to formulate action strategies. Methods Based on the Knowledge to Action framework as the theoretical guidance，a total of 24 pieces of evidence for DVT prevention nursing in patients after joint replacement in suitable clinical situations were included；6 examination criteria and 33 examination indexes were formulated；the preventive behavior of nurses was observed on-site with patients as a unit. Furthermore，based on the results of the baseline review，brainstorming was used to analyze the barriers and facilitators in evidence-based practice，and action strategies were formulated. Results Totally 24 pieces of best evidence were included. According to the best evidence，33 examination indexes and 6 examination criteria were established. The clinical compliance rate of the 6 examination criteria ranges from 0% to 100%. Among them，there is room for improvement in health education（0），mechanical prevention（62%），pharmacological prevention（81%） and quality control（21%）. Obstacle factors include the lack of tools and nursing processes，lack of knowledge，insufficient attention，busy work，as well as low understanding and low participation. Facilitating factors include strong organizational leadership，medical team cooperation，sufficient equipment，etc. Accordingly，corresponding action strategies have been formulated. Conclusion Based on evidence and clinical experience，we formulated the scientific，appropriate and maneuverable indicators. At present，there is a certain gap between the evidence for the prevention of deep vein thrombosis in patients after joint replacement，and we should fully utilize these facilitating factors，overcome obstacles，implement improving measures，and promote the effective application of evidence.

Objective To systematically review and synthesize the experience of nurses participating in robotic surgery，so as to provide recommendations for clinical practice. Methods The computer retrieval was performed in PubMed，CINAHL（EBSCO），Embase，Web of Science，Scopus，ProQuest Dissertations and Theses，SinoMed，CNKI，Wanfang Data and VIP database from January 1，2000 to November 26，2021，to collect qualitative studies in the experience of nurses participating in robotic surgery. This qualitative systematic review was conducted under the Joanna Briggs Institute guideline. This paper was written according to the enhancing transparency in reporting the synthesis of qualitative research（ENTREQ）. Results A total of 6 qualitative studies were included，and 39 findings were extracted，which were summarized into 8 categories and integrated into 3 synthesized findings. Findings included that nurses play a coordinating role in teamwork and gain a sense of achievement;nurses face multiple challenges and pressures in their work;nurses lack professional knowledge and need technical support and team training. Conclusion The communication and cooperation among members of the robotic surgical team should be strengthened;the management of operation time，operating room space，equipment failure and patient safety should be strengthened;the operation process should be standardized;the legal responsibilities of nurses should be clarified;professional team training and technical support should be provided for nurses.

Objective To comprehensively retrieve and analyze evidence related to deep vein thrombosis（DVT）prevention after joint replacement and to summarize the best evidence. Methods We systematically searched for evidence on DVT prevention after joint replacement in BMJ Best Practice,UpToDate,JBI,YiMaiTong,GIN,NGC,NZGG,NICE,SIGN,NHMRC,CPG Infobase,CINAHL,EMBASE,PubMed,WOS,Wanfang and CNKI databases to collect relevant clinical decisions,evidence summaries,clinical guidelines and expert consensuses. The timeframe of data search ran from January 2015 to November 2020. 2 researchers independently evaluated the quality of the articles,and classified the evidence according to the Joanna Briggs Institute evidence-based pre-grading system（2014 edition）. Results A total of 13 articles were included,including 3 clinical decisions,2 evidence summaries,4 guidelines and 4 expert consensuses. Combined with professional judgment,16 pieces of best evidence in 6 aspects were summarized,including risk assessment,health education,preventive measures of nursing care,mechanical prophylaxis,pharmacological prophylaxis,and promotion of clinical implementation of preventive measures. Conclusion The best evidence summarized on the prevention of DVT in patients after joint replacement can provide evidence for clinical nursing work.

Objective To investigate the knowledge,attitude and practice(KAP) on simulation teaching among nursing teachers from colleges and universities of China. Methods Self-designed E-questionnaires of KAP about simulation teaching were delivered to 201 nursing teachers from 38 colleges and universities all over the country by conventional sampling. Results The mean scores on knowledge and attitude of all teachers were(60.85±12.78) and(74.61±10.82)respectively. 146(72.6%) teachers have carried out simulation teaching and their mean scores of behavior was(65.36±17.56). Factor analysis showed that education was the influencing factor of nursing teachers' knowledge score,and institution classification was the influencing factor of nursing teachers' attitude and behavior scores. --Conclusions-- Nursing teachers had a low level of knowledge on simulation teaching. Their attitudes towards it were positive,while their behaviors were still insufficient. It is suggested that the standardized training of nursing teachers' knowledge about simulation teaching scores on should be strengthened,and the training of attitude should not be ignored,so as to improve the quality of simulation teaching.

Objective To apply the best evidence for the management of peristomal irritant dermatitis in patients with urostomies into practice,so as to improve the quality of ostomy nursing care. Methods Guided by the Knowledge to Action Framework（KTA）,the appropriate evidence for the management of peristomal irritant dermatitis in patients with urostomies was selected and adjusted based on opinions of stakeholders. An evidence-based nursing plan was developed and applied into the clinical practice by education and training, quality monitoring, enriching resources,et al. Implementation rates of review indicators, the knowledge of nurses and patients,and incidence of peristomal irritant dermatitis were compared before and after the application of the plan. Results After application of the evidence-based practice plan, the implementation rates of the 6 review indicators were improved from 0~96.00% to 77.03%~100%. The knowledge scores of nurses increased from 57.86±11.49 to 69.17±11.21,and the accuracy of knowledge of patients increased from 0~96.00% to 72.00%~100%（all P<0.05）. The incidence of peristomal irritant dermatitis reduced from 32.00% to 12.00%（P>0.05）. Conclusion The application of the best evidence for the management of peristomal irritant dermatitis can standardize behaviors of nurses,increase the knowledge of nurses and patients,and reduce the incidence of peristomal irritant dermatitis.