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.

With the development of Internet technology，micro-credentials，as an innovative competency-based and result-oriented education，are supplementary certification models. It is not only a flexible credentialing of nursing professional competencies，but also can promote the circulation of certificates. Micro-credentials can make up for the shortcomings of traditional education certification models and meet the continuing professional development of the nursing. We summarized the development of micro-credentials and its application in nursing，and further discussed its implications，in order to provide scientific evidence for promoting the application and development of micro-credentials in nursing.

Objective We review the scope of relevant nurse staffing policies at home and abroad，compare and analyze their characteristics，in order to provide references for the nurse staffing in China. Methods We systematically searched pubmed，web of science，CNKI，Wanfang and relevant websites of government，policy and international organization. The retrieval time is from the establishment of the databases to September 30，2021. Results 15 policy papers from 8 countries/regions were eventually included. In terms of configuration reference indexes，China and Northern Ireland adopted the bed-to-nurse ratio，while other countries/regions adopted the nurse-to-patient ratio. The nursing staff skill mix mainly includes registered nurses and non-registered nurses，and the proportion of nursing staff is various in different countries. 3 countries/regions have stipulated the allocation of nurse staffing in the emergency department. The nursing staffing allocation of the emergency department in China is based on the general standard of bed-to-nurse ratio;referring to the nurse-to-patient ratio，California in the US and Victoria in Australia further refine the nursing staffing allocation of emergency departments based on the work area or shifts. 5 countries/regions stipulate the allocation of the nurse staffing in the intensive care unit （ICU）. The reference basis of the allocation is different，and the ratio of nurse to patient in departments of critical care medicine is the highest in China. Conclusion It is necessary to further improve our nursing staffing policy，give full play to the application value of the nursing staff skill mix，continue to improve the allocation plan of emergency and critical care departments，and promote the implementation of the nurse staffing policy.

Emergency cesarean section is a necessary means to ensure the life safety of pregnant women and fetuses with acute and critical illness. In recent years,there are increasing concerns on the mental health issues of parturients undergoing emergency cesarean section. This paper reviewed the overview of the emergency cesarean section,the psychological health problem,influencing factors and countermeasures of parturients after emergency cesarean section,aiming to help clinicians understand the psychological health status of parturients after emergency cesarean section,and provide references for the formulation of prevention and intervention measures.

Objective To conduct a meta-synthesis of the experience of midwives’ participating in traumatic birth and to provide the evidence-based guidance for the development of midwifery. Methods 10 databases（PubMed,CINAHL,Web of Science,Scopus,Embase,SinoMed,CSSCI,CNKI,Wanfang data,VIP） were included to retrieve the literature on the experience of midwives’ participating in traumatic birth from inception until Dec 2021. The quality of included research was evaluated using the JBI Critical Appraisal Tool for qualitative studies from Australia. The results were integrated by a meta-aggregation method. Results A total of 12 studies were included,104 findings were extracted,10 categories were integrated,and 4 synthesis results were summarized. Synthesis result 1：traumatic births have serious physical,mental and professional impacts on midwives. Synthesis result 2：midwives adopt different strategies to deal with traumatic birth. Synthesis result 3：midwifery practices are faced with multiple dilemmas,which affects midwives’ experience of traumatic births. Synthesis result 4：after participating in traumatic birth,midwives are eager for psychological support. Conclusion Traumatic births have serious impacts on midwives. Midwives should face up to the negative emotions and learn to deal with them positively. Medical institutions should rationally allocate obstetric resources to alleviate the difficulties faced by midwifery practice. Managers should pay attention to midwives’ experience of participating in traumatic birth and provide psychological support to promote midwives’ physical and mental health.

During the epidemic of the coronavirus disease（COVID-19）,our hospital has been designated for the treatment of critically ill patients with COVID-19. As a supply department for the aseptic supplies and materials,the sterilization and supply department center has taken various countermeasures in time according to the characteristics of the virus and relevant documents and guidelines issued by the government. The quarantine requirements of the sterilization and supply department center and personnel protection measures in each ward were determined;the work processes was updated; the optimization of human resources and staff training were implemented;the procedure of sterilization,recycling and cleaning of reused medical instruments contaminated with COVID-19 was revised;the coordinating management was practiced through various departments;a mechanism for smooth communication with medical rescue teams was established. These measures have ensured that the work has been progressed smoothly during the epidemic of COVID-19,and qualified aseptic supplies have been provided for the patients and medical staff. The experience hereby is summed up for your references.

The management experience of fever clinics for safe collecting of nasopharyngeal swabs of suspected coronavirus disease 2019（COVID-19） infection in our hospital were summarized. The key points include establishment of individual collection room,strict sterilization of entire environment,training of professional nurses,enhancement of personal protection,standardization of method and procedures in collection and timely and safe submission of samples. More than 11,000 nasopharyngeal swabs were successfully collected by only 8 nurses. There is an average of more than 1,375 collections performed by each nurse without any incidence of infection in the process.