Most Download articles

    Published in last 1 year | In last 2 years| In last 3 years| All| Most Downloaded in Recent Month | Most Downloaded in Recent Year|

    All
    Please wait a minute...
    For Selected: Toggle Thumbnails
     Standard of nursing care for inpatients with physical restraint
    Nursing Administration Committee of Chinese Nursing Association
    Chinese Journal of Nursing    2020, 55 (supplement): 28-30.  
    Abstract5551)      PDF (465KB)(7519)       Save
    Supplementary Material | Related Articles | Metrics
    Nursing care for adult patients with oxygen therapy
    Internal Medicine Nursing Committee of Chinese Nursing Association
    Chinese Journal of Nursing    2020, 55 (supplement): 5-9.  
    Abstract5828)      PDF (684KB)(7215)       Save
    Supplementary Material | Related Articles | Metrics
    Expert consensus on venous catheter maintenance
    Intravenous Therapy Committee of Chinese Nursing Association , Writing Committee:SUN Hong , CHEN Lifen, GUO Caixia, YANG Qiaofang, LI Xuying, ZHAO Gaiting, MEI Ganhong, CHEN Ying, XING Hong, FENG Bilong, WANG Lei
    Chinese Journal of Nursing    2019, 54 (9): 1334-1342.   DOI: 10.3761/j.issn.0254-1769.2019.09.011
    Abstract6845)   HTML1443)    PDF (1148KB)(6702)       Save

    Objective To standardize the maintenance of clinical venous catheter,so as to reduce the catheter related complications,prolong the service life of catheter and reduce medical cost.Methods The consensus was formed through literature searching,interview with key stakeholders,and repeated expert discussion meetings.Results The consensus summarized the latest evidence in six chapters covering all aspects of catheter maintenance,such as flushing and locking tube,dressing replacement and catheter maintenance,infusion joint,catheter removal,education and training,and infection control.Conclusion Items in this consensus are concise and easy to implement,and the new content can supplement and perfect the existing norms and standards to a certain extent,which is helpful to solve clinical problems and guide clinical practice.

    Reference | Related Articles | Metrics
     

    Expert consensus on clinical application of intravenous midline catheter

    Project Group of Nursing Branch of China Research Hospital Association
    Chinese Journal of Nursing    2020, 55 (supplement): 43-50.  
    Abstract6742)      PDF (1130KB)(4744)       Save
    Related Articles | Metrics
    Chinese Journal of Nursing    2018, 53 (1): 5-5.  
    Abstract4809)      PDF (247KB)(4508)       Save
    Related Articles | Metrics
    Nursing guidelines for intravenous thrombolysis in acute ischemic stroke
    Internal Medicine Nursing Committee of Chinese Nursing Association , Xuanwu Hospital Capital Medical University , Writing Committee:CHANG Hong, ZHANG Su, FAN Kaiting, ZHAO Jie, TIAN Siying)
    Chinese Journal of Nursing    2023, 58 (1): 10-14.   DOI: 10.3761/j.issn.0254-1769.2023.01.001
    Abstract4486)   HTML718)    PDF (963KB)(4037)       Save

    Objective To develop an intravenous thrombolysis nursing guideline for acute ischemic stroke as a guiding tool for the implementation of intravenous thrombolysis for acute ischemic stroke,and to provide a reference for the practice and management of nursing in the standardization of thrombolytic therapy. Methods According to the method of evidence-based nursing practice guidelines,the draft of intravenous thrombolysis nursing guidelines for acute ischemic stroke was constructed. The draft guidelines were reviewed by experts using the catalogue of Clinical Guidelines Research and Evaluation System Ⅱ. According to the results and suggestions of expert review,the guidelines were modified to form the formal guidelines. Results The recommendations included 5 aspects,namely hospital organization management,disease observation,observation and treatment of complications,posture and bed-leaving activities,and quality management. Conclusion The guidelines for intravenous thrombolysis nursing in acute ischemic stroke are evidence-based guidelines based on the best evidence,clinical practice and the judgment of professionals,and can be used as a practical basis for clinical medical staff to make scientific decisions on intravenous thrombolysis therapy in patients with acute ischemic stroke.

    Table and Figures | Reference | Related Articles | Metrics
    Clinical practice guideline for nursing management of iodinated contrast media extravasation
    Internal Medicine Nursing Committee of Chinese Nursing Association, Writing Committee:MAO Yanjun, ZHANG Su, ZHANG Hongmei
    Chinese Journal of Nursing    2021, 56 (7): 1008-1008.   DOI: 10.3761/j.issn.0254-1769.2021.07.008
    Abstract3880)   HTML433)    PDF (1216KB)(3936)       Save

    Objective To develop “clinical practice guideline(CPG) for nursing management of iodinated contrast media extravasation(ICME)” and to provide a reference for reducing the incidence and standardizing the management of ICME. Methods The CPG for nursing management of ICME strictly followed the method of developing evidence-based nursing practice guideline. The draft of this CPG was appraised according to Appraisal of Guidelines Research and Evaluation Ⅱ(AGREE Ⅱ),and then it was finalized based on the results and suggestions of expert reviews. Results Recommendations for the constructed CPG included 4 aspects of risk factors,prevention methods,management principles,and quality improvement in ICME. Conclusion The “CPG for nursing management of ICME” was an evidence-based guideline based on the best evidence,Chinese clinical reality,and professional judg-ment,and it can provide practice bases for scientific clinical decision making by radiology and clinical medical staff.

    Reference | Related Articles | Metrics
    Expert consensus on pulmonary rehabilitation nursing of chronic respiratory diseases
    GONG Yucui, CHEN Jieya, LI Pingdong, ZHANG Guolong, ZENG Qiuxuan, LI Jiaying
    Chinese Journal of Nursing    2020, 55 (5): 709-709.   DOI: 10.3761/j.issn.0254-1769.2020.05.013
    Abstract4233)   HTML556)    PDF (1240KB)(3844)       Save

    Objective To standardize an expert consensus on pulmonary rehabilitation nursing of chronic respiratory diseases. Methods On the basis of literature review,5 experts were interviewed and 19 experts were consulted to establish the primary and secondary themes. 10 nursing experts in this field were invited to conduct peer review on the draft consensus to modify and improve the consensus content. Results After expert consultations,14 first-level themes and 40 second-level themes were established. The value of Ca(judgment coefficient),Cs(familiarity coefficient) and Cr(authority coefficient) were 0.895,0.839 and 0.867,which indicated the expert consultation have high authority and credibility. The Kendall coefficients of first-round expert consultation were 0.121 and 0.151,and they were 0.205 and 0.149 in the second round(P<0.05). In the first-round expert consultation,the coefficients of variation of the first and second themes were 0.197 and 0.200,and in the second round,they were 0.202 and 0.237. They were all less than 0.25,indicating that the expert’s judgment results were relatively consistent. Conclusion As this consensus was developed based on 19 clinical nursing professionals from across the country,it is scientific and authoritative. This consensus can not only benefit to clinical nursing practice,but also lay the foundation for the development of guideline,and it still needs further theoretical and empirical research verification.

    Reference | Related Articles | Metrics
      Prevention and treatment of pressure ulcers/injuries : clinical practice guideline 2019( Chinese version )
    Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline Translation Group
    Chinese Journal of Nursing    2020, 55 (supplement): 176-182.  
    Abstract4803)      PDF (904KB)(3687)       Save
    Related Articles | Metrics
    Expert consensus on safety management of transfusion connection devices for vascular access
    Hospital Infection Management Committee of Chinese Nursing Association , Intravenous Therapy Committee of Chinese Nursing Association , Written by WANG Xia, SUN Zhong, ZHAO Lu, WANG Pei, MA Jingmiao, HOU Xiufeng, ZHANG Kaili, YUAN Xiaoning, WANG Lei, SUN Wenyan, GAO Fengli, WANG Huafen, SUN Hong, CAI Meng
    Chinese Journal of Nursing    2022, 57 (23): 2821-2824.   DOI: 10.3761/j.issn.0254-1769.2022.23.001
    Abstract3777)   HTML879)    PDF (744KB)(3546)       Save

    Objective The aim is to establish an expert consensus(hereinafter referred to as "Consensus")on safety management of transfusion connection and port protection devices for vascular access,to prevent catheter related bloodstream infection and provide patients with safe,effective and standardized intravenous therapy. Methods Using evidence-based methods,according to the level of evidence,the evidence in this field was searched,evaluated and summarized,and relevant recommendations and research conclusions were extracted,and then the first draft of consensus was formed. Through a round of Delphi expert consultation and 2 rounds of expert meetings,opinions from domestic experts in many fields and disciplines were sought and integrated;the content was adjusted and the consensus was reached. Results The positive coefficient is 100%;the authoritative coefficient is 0.92;the average value of each index is more than 4;the coefficient of variation is less than 0.22. The Kendall’s harmony coefficient of the expert’s opinion is 0.35( χ2=144.44,P<0.001). A consensus recommendation on the classification and maintenance of infusion connection devices was reached. Conclusion The Consensus is scientific,which can provide a reference for the safety management of transfusion connection and port protection devices in China,and provide a basis for clinical decision-making to prevent catheter related bloodstream infection.

    Table and Figures | Reference | Related Articles | Metrics
    Chinese Journal of Nursing    2020, 55 (supplement): 15-19.  
    Abstract3258)      PDF (801KB)(3483)       Save
    Supplementary Material | Related Articles | Metrics
    Expert consensus on risk assessment and prevention of venous thromboembolism in general surgical patients
    The Surgical Nursing Committee of Chinese Nursing Association, The Nursing Group of Chinese Society of Surgery of Chinese Medical Associaton, (Writing Committee:MA Yufen, XU Yuan, WANG Xiaojie, DENG Haibo, WANG Lei, SUN Jianhua, LIU Ge, GUO Yaping, GENG Qian, WANG Yu, ZHU Liyun, LU Qiaodan, AN Ranxun)
    Chinese Journal of Nursing    2022, 57 (4): 444-448.   DOI: 10.3761/j.issn.0254-1769.2022.04.009
    Abstract3960)   HTML483)    PDF (755KB)(2986)       Save

    Objective To explore the expert consensus on risk assessment and preventive nursing of venous thromboembolism(VTE) in general surgical patients. Methods This consensus was drafted through a systemic literature review on VTE prevention and the interviews of nursing experts. The draft was thereafter reviewed by a total of experts in related fields,and it was finalized after 2 rounds of expert consultation. Results 4 domains with 26 components were established through a modified Delphi method. The effective recovery of the ques-tionnaire was 100%;the expert judgment coefficient was 0.960;the familiarity was 0.912;the authority coefficient was 0.936. The Kendall coefficients of the first and second level topics in the 2 rounds were 0.149 and 0.261,and 0.122 and 0.203,respectively,with statistically significant differences(P<0.05). The consensus includes risk factors for VTE in general surgical patients,risk assessment,risk response,education and quality control,and it is applicable to perioperative patients of general surgery. Conclusion The consensus was based on the recommendations of 25 clinical nursing experts. The results are scientific,rigorous and authoritative,and can provide guidance for clinical nursing staff in the prevention and control of VTE in general surgical patients.

    Table and Figures | Reference | Related Articles | Metrics
    Chinese Journal of Nursing    2020, 55 (5): 766-768.   DOI: 10.3761/j.issn.0254-1769.2020.05.0027
    Abstract3980)   HTML1102)    PDF (516KB)(2503)       Save
    Reference | Related Articles | Metrics
    Expert consensus on the discharge planning for hospitalized elderly patients(version 2019)
    SUN Chao, XI Huan, LI Zheng, LUAN Xiaorong, WANG Aiping, ZHAO Jing, DENG Baofeng, HU Huixiu
    Chinese Journal of Nursing    2020, 55 (2): 220-227.   DOI: 10.3761/j.issn.0254-1769.2020.02.011
    Abstract2850)   HTML330)    PDF (1161KB)(2378)       Save

    Objective To establish an expert consensus on discharge planning for hospitalized elderly patients. Methods Studies were retrieved,evaluated and collected by the evidence-based nursing method. Revelent recommendations and research results were selected to form the expert consensus draft. Experts were invited to complete 2 rounds of Delphi expert consultation and 2 rounds of expert meeting. Each item was revised and adjusted considering objective evidence and expert opinions. Results The positive coefficients of experts in 2 rounds of Delphi expert consultation were all 100%,and the degrees of expert authority were all 0.83. The average importance value of each item was higher than 3.5;the variation coefficent of each item was less than 0.25;the Kendall’s W were 0.234 and 0.253 respectively(all P<0.001). At last,experts agreed on 5 dimensions of discharge planning for elderly patients. Conclusion The consensus can not only provide guidance for the clinical practice,but also promote the development of the discharge planning for hospitalized elderly patients in China.

    Table and Figures | Reference | Related Articles | Metrics
      2020 Guideline for prevention of device-related pressure injury
    Stoma, Wound, and Incontinence Nursing Committee of Chinese Nursing Association
    Chinese Journal of Nursing    2020, 55 (supplement): 115-121.  
    Abstract3904)      PDF (933KB)(2258)       Save
    Related Articles | Metrics
    Expert consensus on enteral feeding nursing for patients with severe neurological diseases
    Intensive Care Committee of Chinese Nursing Association, Beijing Society of Parenteral and Enteral Nutrition Nursing Group, (Writing Committee: LIU Fang, GAO Lan, WANG Xiaoying, WANG Yujiao, DENG Qiuxia, MIAO Fengru, ZHANG Xiaomei, SUN Rui, SUN Hong, GUO Shuli)
    Chinese Journal of Nursing    2022, 57 (3): 261-264.   DOI: 10.3761/j.issn.0254-1769.2022.03.001
    Abstract2732)   HTML308)    PDF (751KB)(2015)       Save

    Objective To form an expert consensus of enteral feeding and nursing care for patients with severe neurological diseases,and to promote the standardized,safe and effective implementation of enteral feeding by neuro intensive nursing personnel,so as to provide effective nutritional support for patients. Methods The evidence in this field was searched,evaluated and summarized to extract the recommendations related to enteral feeding in patients with severe neurological diseases. The first draft of consensus was formed. Through 2 rounds of Delphi expert consultations and expert demonstration meetings,the expert suggestions were analyzed,modified and improved to form the final draft of consensus. Results The positive coefficient of inquiry experts was 100%;the coefficient of expert judgment was 0.93;the degree of familiarity was 0.88;the coefficient of authority was 0.91. The concordance coefficient of Kendall was 0.256~0.278,which was statistically significant(P<0.05). The final consensus included the evaluation of enteral feeding care for patients with several neurological illness,selection of feeding methods,nutrient solution infusion,identification and care of complications,and indicators for terminating tube feeding. Conclusion This consensus provides guidance for clinical nursing practice and quality control of enteral feeding in critically ill patients.

    Reference | Related Articles | Metrics
    Consensus on medical protocol prescription for blood glucose monitoring in adult inpatients with hyperglycemia
    MO Yongzhen, ZHAO Fang, YUAN Li, XING Qiuling, ZHANG Mingxia, ZHAO Chunyan
    Chinese Journal of Nursing    2019, 54 (8): 1142-1146.   DOI: 10.3761/j.issn.0254-1769.2019.08.004
    Abstract2249)   HTML326)    PDF (2094KB)(1945)       Save

    Objective To establish expert consensus on medical protocol prescription for blood glucose monitoring in hospitalized adult patients with hyperglycemia. Methods Targeting key issues in blood glucose monitoring among hospitalized adult patients with hyperglycemia,literatures at home and abroad were retrieved,and clinical experience of medical and nursing experts were taken into consideration,to design expert questionnaire. Each item was revised and improved through two rounds of Delphi expert consultation and expert meeting. Results Consensus on medical protocol prescription included four aspects:prescription for blood glucose monitoring,glycemic control goals,health education for blood glucose monitoring,and quality control for blood glucose monitoring. Conclusion The consensus has strong reliability and practicability,which is helpful to guide development of clinical systematic and standardized monitoring program,improve quality of clinical management,lay a solid foundation for the development of nurses’ prescription in China.

    Table and Figures | Reference | Related Articles | Metrics
    Work guideline for needle-free insulin injection to diabetics
    Diabetes Nursing Committee of Chinese Nursing Association, Writing Commitee:ZHAO Fang, ZHANG Mingxia, WU Quanying
    Chinese Journal of Nursing    2020, 55 (5): 722-722.   DOI: 10.3761/j.issn.0254-1769.2020.05.017
    Abstract2456)   HTML388)    PDF (1042KB)(1891)       Save

    Objective To establish a nursing guideline for needle-free injection to diabetics. Methods The nursing problems in the needle-free insulin injection process were listed based on systematic literature research and references to experts’ clinical experience. A questionnaire to experts was designed. Based on Delphi Technique and expert meeting results,each item was modified and improved after objective evidence and expert opinions were summarized. Results A consensus was reached on 4 major themes: needle-free injection procedure,common problems and solutions,quality control and management,and health education. Conclusion Work guidelines for needle-free insulin injection to diabetics can provide the clinical nursing staff with some references on implementation of needle-free insulin injections.

    Reference | Related Articles | Metrics
    Consistency study of self-reports and nursing notes in adjuvant chemotherapy-related side effects among patients with breast cancer
    WU Bing,ZHANG Liuliu,ZHU Ping,WU Suya,LIU Jianhong,MENG Aifeng
    Chinese Journal of Nursing    2019, 54 (2): 165-169.   DOI: 10.3761/j.issn.0254-1769.2019.02.001
    Abstract3899)   HTML537)    PDF (972KB)(1729)       Save

    Objective To investigate and analyze the consistency between self-reports and nursing notes in adjuvant chemotherapy-related side effects among patients with breast cancer. Methods During July 2017 to July 2018,a total of 128 patients with first-time adjuvant chemotherapy after breast cancer surgery who were treated in a tertiary cancer hospital in Jiangsu Province were enrolled by convenience sampling method. Patients were investigated by general information questionnaire and self-reported questionnaire about chemotherapy-related side effects of breast cancer. At the same time,side effects information was also extracted from the electronic nursing notes to be compared with patient-reported data. Results The frequency and severity of chemotherapy-related side effects were consistently greater in patient-reported data than nurse-noted data(P<0.05). In addition to the side effect of “vomiting”,the consistency between patients and nurses was general,the consistency of other items was low. Conclusion Nurses tended to underreport or underestimate side effects,including several symptoms that may cause serious complications. In the future,patient-reported outcomes should be considered for integration into clinical practice in order to facilitate patient participation in decision-making and improve the medical experience.

    Table and Figures | Reference | Related Articles | Metrics
    Expert consensus on the implementation and removal of protective restraints in psychiatry
    Mental Health Professional Committee of Chinese Nursing Association, Writing Committee:CAI Zhuang, XU Dongmei, GAO Jing, GU Jianing, ZHANG Mengqian, LUO Wei, LI Xiaoyu, CHEN Yangjie, ZHANG Weidong, GAO Dongfang, YUAN Mingshun
    Chinese Journal of Nursing    2022, 57 (2): 146-150.   DOI: 10.3761/j.issn.0254-1769.2022.02.003
    Abstract2966)   HTML289)    PDF (742KB)(1674)       Save

    Objective To form an expert consensus on the implementation and removal of psychiatric protective restraints,and to standardize the related contents of the implementation and removal of psychiatric protective restraints. Methods According to the level of evidence,the evidence-based method was used to retrieve,evaluate and summarize the evidence in the field. The recommendations and research conclusions for the implementation and removal of the psychiatric medical protective restraints were extracted,and the rough consensus was formed. Through 2 rounds of enquiry and 2 experts discussion meetings,the final version of the consensus was formed by combining with the expert opinions,adjusting,modifying and perfecting the first draft. Results The positive coefficients of experts in the 2 rounds of correspondence consultation were 100%;the degree of authority of experts was 0.90;the mean value of importance of each index was>3.5,and the coefficient of variation was less than 0.25,and the expert Kendall harmony coefficient was 0.146 and 0.166,respectively (all P<0.01). Finally,a consensus was reached on the recommendation of 10 parts,including the application group of psychiatric restraints,premise and principle,objective,key points of assessment,basic requirements,record sheet,flow chart,intervention strategies in the implementation process,ethical issues and risks,and suggestions. Conclusion The consensus provides guidance for the practice of psychiatric protective restraints and makes psychiatric restraints more standardized.

    Table and Figures | Reference | Related Articles | Metrics
    Chinese Journal of Nursing    2021, 56 (12): 1911-1920.  
    Abstract750)      PDF (1747KB)(1525)       Save
    Related Articles | Metrics
    Chinese Journal of Nursing    2020, 55 (5): 762-765.   DOI: 10.3761/j.issn.0254-1769.2020.05.0026
    Abstract2554)   HTML705)    PDF (704KB)(1519)       Save
    Table and Figures | Reference | Related Articles | Metrics
    Experts consensus on the nursing practice for incontinence-related dermatitis in adults
    Experts Consensus on the Nursing Practice for Incontinence related Dermatitis in Adults Group
    Chinese Journal of Nursing    2020, 55 (supplement): 100-105.  
    Abstract1958)      PDF (819KB)(1461)       Save
    Related Articles | Metrics
    Expert consensus on diaper dermatitis nursing care for infants and toddlers/Pediatric Nursing Profressional Committee,Beijing Nursing Association
    ZHANG Linqi, LI Yang, SONG Nan, YANG Qin, MENG Jingwen, SUN Jing, JIN Huiyu
    Chinese Journal of Nursing    2020, 55 (8): 1169-1169.   DOI: 10.3761/j.issn.0254-1769.2020.08.008
    Abstract2312)   HTML245)    PDF (973KB)(1428)       Save

    Objective To formulate an expert consensus on diaper dermatitis nursing care for infants and toddlers,and to standardize the clinical nursing practice. Methods Literature searching/reviews and expert discussion meetings were used to formulate the main contents of the consensus. The consensus was then revised by 2 rounds of Delphi expert consultations and expert meetings. Results The final expert consensus on diaper dermatitis nursing care for infants and toddlers included 3 aspects of diaper dermatitis nursing care(evaluation,prevention/nursing care,treatment of infection),and a total of 31 items. Conclusion Items in expert consensus on diaper dermatitis nursing care for infants and toddlers are concise and easy to implement,and the consensus is helpful to guide clinical practice of diaper dermatitis nursing care.

    Reference | Related Articles | Metrics
    Construction of the evaluation system for the effects of standardized training of new nurses
    JIAO Jing, XU Kepei, YING Qiaoyan, LI Zhenghong, WANG Wei, WU Xinjuan
    Chinese Journal of Nursing    2019, 54 (9): 1285-1290.   DOI: 10.3761/j.issn.0254-1769.2019.09.001
    Abstract2100)   HTML422)    PDF (992KB)(1417)       Save

    Objective To construct the evaluation system for standardized training effects of new nurses based on Koch’s four-level evaluation model.Methods Through literature review,expert interviews,the index items and evaluation time points and methods of each dimension of the evaluation system were preliminarily established. Two rounds of consultation were conducted among 18 experts in nursing management,clinical nursing teaching management and college nursing education by Delphi method.Results In this study,the evaluation system included four first-level indicators:response level,learning level,behavior level and result level. There were 16 second-level indicators and 48 third-level indicators.Conclusion The degree of coordination and consensus of experts was high. The evaluation system of standardized training effect for new nurses is scientific and reliable. It can provide scientific basis for hospital nursing managers to evaluate the training effect of new nurses and improve the training program.

    Reference | Related Articles | Metrics
    Chinese Journal of Nursing    2018, 53 (1): 6-7.  
    Abstract1699)      PDF (1051KB)(1400)       Save
    Related Articles | Metrics
    Expert consensus on clinical practice of allergen skin prick test in children
    Pediatric RespiratoryGroup of Pediatric Nursing Alliance of National Children Medical Center, Writing Committee: WANG Zijuan, LIU Yulin, LIU Enmei
    Chinese Journal of Nursing    2020, 55 (10): 1520-1520.   DOI: 10.3761/j.issn.0254-1769.2020.10.013
    Abstract1318)   HTML116)    PDF (841KB)(1373)       Save

    Objective Skin Prick Test (SPT) is widely used in clinical practice,however,standard guidelines still remain blank. The establishment of an expert consensus of clinical practice in children can fill the gap of clinical practice guidelines to some extent,and provide references for the clinical operation of SPT in China. Methods In this study,we formulated clinical problems through the literature review and experts experience. The clinical problems were revised and improved through consensus meetings. Results The final consensus was formulated on indications,contraindications,applicable population,operation steps,interpretation of results,clinical manifestations and treatment measures of allergic reactions,frequently asked questions of SPT operation,etc. It is recommended that children’s allergen SPT is suitable for people aged 0-18 years. If children are suspected to be sensitized to one or several allergens,the allergen SPT can be conducted on one or both forearms due to different skin areas of children at different ages. Conclusion The consensus is highly operable with certain clinical value.

    Reference | Related Articles | Metrics
    An expert consensus on high-risk nursing procedures and protection from aerosol-generated respiratory infectious diseases
    Nursing Department of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Nursing Department of Peking Union Medical College Hospital, Surgery Nursing Committee of Chinese Nursing Association(Writing Committee:WANG Hui, WU Xinjuan, MA Yufen, HU Luhong)
    Chinese Journal of Nursing    2020, 55 (12): 1784-1784.   DOI: 10.3761/j.issn.0254-1769.2020.12.004
    Abstract1737)   HTML169)    PDF (806KB)(1226)       Save

    Objective To establish a consensus on the protection of high-risk nursing procedures of aerosol transmission in respiratory infectious diseases. Methods The consensus was preliminarily formed through combining relevant literature and the work experience of clinical nursing experts,and it was eventually confirmed by 2 rounds of Delphi expert consultations and expert meetings. Results The consensus included basic requirements for protec-tion and highlights of protection on 6 nursing procedures of high risk of aerosol transmission in respiratory infec-tious diseases. The basic requirements contained 3 aspects,including environmental control,personal protection,mana-gement and control. 6 nursing procedures were listed as following:oxygen inhalation,mechanical ventilation,sputum suction,atomization inhalation,throat swab collection,and cardiopulmonary resuscitation. Conclusion This scientific consensus was conducive to provide clinical guidance for the protection of aerosol-generating nursing procedures.

    Reference | Related Articles | Metrics
    Expert consensus on clinical application of disposable absorbent care products for adults with incontinence
    GAO Yanhong, WU Xinjuan
    Chinese Journal of Nursing    2019, 54 (8): 1165-1169.   DOI: 10.3761/j.issn.0254-1769.2019.08.009
    Abstract1337)   HTML166)    PDF (1052KB)(1163)       Save

    Objective To form an expert consensus on the clinical application of disposable absorbent care products for adult incontinent patients. Methods Through systematically reviewing domestic and foreign literatures as well as combining with laboratory results,domestic experts were invited for evaluation,expert meeting method and Delphi expert consultation method were used to form the consensus combined with laboratory data and expert opinions,and all items were modified and improved. Results A total of 20 items were agreed on the index requirements and clinical application on disposable absorbent care products for adults with incontinence. Conclusion The established consensus can provide guidance on assessment,utilization,and evaluation of disposable absorbent care products for adult incontinent patients during hospitalization,and can provide clinical standardized guide for skin environmental protection for hospitalized incontinent patients.

    Reference | Related Articles | Metrics
    Expert consensus on nursing management of coronavirus disease 2019 patients with mechanical ventilation
    XIANYU Yunyan, ZHANG Zhixia, ZHANG Meifang, HUANG Zheng, XIONG Furong, LU Li, LIU Wei, LU Xiaoqing, WEN Li, LIU Yu, BAI Jingshuang, GUO Shuming, TIAN Jiali, ZHANG Su
    Chinese Journal of Nursing    2020, 55 (8): 1179-1179.   DOI: 10.3761/j.issn.0254-1769.2020.08.011
    Abstract1626)   HTML139)    PDF (1062KB)(1156)       Save

    Objective To standardize nursing management of coronavirus disease 2019(COVID-19) patients with mechanical ventilation. Methods The literature on COVID-19 and the occurrence and prevalence of infectious diseases in the past through databases such as Pubmed,Embase and CNKI were searched and collected by 14 nursing experts from 5 medical institutions in China. 2850 papers were screened and classified by the level of evidence quality. The first draft of the expert consensus was formed. Through 6 rounds of expert consultations and 6 online conference discussions,the items were adjusted and revised,and the final consensus was formed. Results The consensus constructed a mechanical ventilation nursing management system in COVID-19 patients,summarized the latest 9 items with 3 dimensions,including non-invasive positive pressure ventilation management,invasive mechanical ventilation management,infection control points. Conclusion This consensus covers all aspects of mechanical ventilation nursing management of COVID-19 patients. This consensus provides references and guidance for mechanical ventilation nursing management in COVID-19 patients,which is practical and scientific.

    Reference | Related Articles | Metrics
      Expert consensus on PICC insertion technology under ultrasound guidance
    Intravenous Infusion Professional Committee of Shanghai Nursing Association
    Chinese Journal of Nursing    2020, 55 (supplement): 143-149.  
    Abstract1678)      PDF (2175KB)(1128)       Save
    Related Articles | Metrics
    Application of nurse-led early activity procedure in patients with mechanical ventilation
    WEI Lili, HAN Binru
    Chinese Journal of Nursing    2019, 54 (12): 1765-1770.   DOI: 10.3761/j.issn.0254-1769.2019.12.001
    Abstract2361)   HTML511)    PDF (1018KB)(1077)       Save

    Objective To analyze the safety,compliance and effect of nurses-led early activity procedure in mechanically ventilated patients with severe neurological diseases. Methods Totally 158 patients from January to March 2019 were selected as the experimental group,and the early activity procedure led by nurses was implemented;147 ICU patients with mechanical ventilation in a tertiary hospital from October to December 2018 were selected as the control group and given routine nursing of mechanical ventilation. The safety and compliance of the experimental group were observed. Recovery and complication rate were compared between the two groups. Results There were no significant differences in intracranial pressure,heart rate and oxygen saturation before exercise(5 min,10 min),during exercise(5 min,10 min) and after exercise(5 min,10 min) between the experimental group and the control group(P>0.05),but there was significant difference in mean arterial pressure(P<0.05). Compliance was 98.1% in the experimental group and 74.8% in the control group. There was significant difference between the two groups (P<0.05). Length of mechanical ventilation,length of ICU stay and overall length of hospital stay in the experimental group were significantly lower than those in the control group(P<0.05),and the scores of daily living ability of the experimental group were significantly higher than those of the control group(P<0.05). The incidence of ventilator-associated pneumonia and deep venous thrombosis in the experimental group was significantly lower than that in the control group(P<0.05). There was no significant difference in the incidence of delirium in ICU between the two groups(P>0.05). Conclusion Nurse-led early activity procedure for mechanical ventilated patients with severe neurological diseases has high safety and compliance,which can improve the recovery of patients,reduce complications and promote early rehabilitation of patients.

    Table and Figures | Reference | Related Articles | Metrics
    Nursing practice guideline for multiple myeloma
    Internal Medicine Nursing Committee of Chinese Nursing Association, Writing Committee:WEI Lili, WU Xinjuan
    Chinese Journal of Nursing    2020, 55 (5): 721-721.   DOI: 10.3761/j.issn.0254-1769.2020.05.016
    Abstract1316)   HTML151)    PDF (1140KB)(1063)       Save

    Objective To develop evidence-based clinical practice guideline(CPG) for multiple myeloma patients,and to provide references for improving clinical practice and promote the clinical outcome of patients. Methods Based on the theoretical framework of JBI evidence-based health care model,this guideline was formulated strictly in accordance with the methodology of developing evidence-based CPG. After a draft guideline was developed,it was appraised according to AGREE(Appraisal of Guidelines Research and Evaluation) Instrument. Then the CPG was finalized based on evaluation results and the advice of experts. Results The recommendations of the CPG involved the care for patients with anemia and bleeding,kidney injury,bone injury,infection prevention,chemotherapy toxicity,hematopoietic stem cell transplantation,amyloidosis,hyperviscosity and so on. Conclusion This nursing practice guideline for multiple myeloma was constructed on the basis of best evidence,Chinese clinical practice and professional judgments,which can provide valuable references for nursing decision-making on multiple myeloma patients care.

    Reference | Related Articles | Metrics
    Chinese expert consensus on cardiac rehabilitation nursing care
    Geriatric Nursing Committee of Chinese Nursing Association, Committee of Cardiac Rehabilitation and Prevention of Chinese Association of Rehabi-litation Medicine, Organ Rehabilitation Committee of Chinese Elder Health Care Association, Writing Committee: SHEN Lin, MENG Xiaoping, CHEN Xiaoming, ZHU Liyue, WANG Mei, CAO Yingjuan
    Chinese Journal of Nursing    2022, 57 (16): 1937-1941.   DOI: 10.3761/j.issn.0254-1769.2022.16.003
    Abstract2095)   HTML119)    PDF (843KB)(985)       Save

    Objective To form the Chinese expert consensus on cardiac rehabilitation nursing care,so as to standardize the work related to cardiac rehabilitation nursing. Methods The first draft was initially formed,based on a comprehensive review of domestic and foreign cardiac rehabilitation guidelines,expert consensuses,systematic reviews,original research and other literature,as well as related disease diagnosis and treatment plans,management consensuses and related literature. Results The draft was thereafter reviewed by a total of 37 experts in related fields. This consensus was finalized after 3 rounds of discussions and modifications. The expert consensus covers the following 4 topics,namely the work goals of cardiac rehabilitation nursing care,the qualifications,training,core competencies and responsibilities of cardiac rehabilitation nursing care,the components of cardiac rehabilitation nursing care,and quality control of cardiac rehabilitation nursing care,and the safety management of cardiac rehabilitation patients. Conclusion The consensus was formed on the basis of comprehensive expert opinions and relevant guidelines,consensuses and clinical research on cardiac rehabilitation,which can provide guidance for medical institutions to carry out cardiac rehabilitation nursing practice.

    Reference | Related Articles | Metrics
    Construction of early motor rehabilitation nursing program based on Modified Barthel Index grading for stroke patients
    JIN Jingfen, LI Mei, CHEN Yuanyuan, CHEN Jinhua, WANG Jianmiao, ZHANG Yuping, YANG Hongyan
    Chinese Journal of Nursing    2020, 55 (9): 1360-1365.   DOI: 10.3761/j.issn.0254-1769.2020.09.016
    Abstract1853)   HTML194)    PDF (784KB)(952)       Save

    Objective An early motor rehabilitation nursing program for stroke patients based on Modified Barthel Index(MBI) grading was constructed to guide clinical nurses to perform precise early motor rehabilitation for stroke patients,in order to provide a basis for developing guidelines for rehabilitation nursing care of stroke patients.Methods Based on literature review and expert meetings,a draft of motor rehabilitation nursing program for stroke patients was constructed. The Delphi method was used to conduct 2 rounds of expert consultations to determine the early rehabilitation nursing program for stroke patients.Results In the first round,17 experts were consulted,and the response rate was 94.12%;in the second round,16 experts were consulted,and the response rate was 100%. The expert authority coefficient was 0.90. After 2 rounds,the coefficient of variation of items was 0 to 0.24,Kendall’s coefficient was 0.226(P<0.001) and the importance value was 4.13 to 5.00. Finally,an early motor rehabilitation nursing program classified by MBI was formed,including 5 first-level indicators(fully dependent,heavily dependent,moderately dependent,mildly dependent and basic self-care) and 47 second-level indicators(rehabilitation).Conclusion The nursing program constructed in this study is reliable and scientific,and it can provide references for the research and practice of rehabilitation training for stroke patients.

    Table and Figures | Reference | Supplementary Material | Related Articles | Metrics
    Chinese Journal of Nursing    2018, 53 (2): 133-138.  
    Abstract3059)      PDF (888KB)(942)       Save
    Related Articles | Metrics
    Construction of Nursing Practice Guideline for Emergency Percutaneous Coronary Intervention
    National Center for Cardiovascular Diseases, Cardialvascular Committee of Chinese Nursing Assossiation, Cardialvas-cular Committee of Beijing Nursing Assossiation, Research Center of Nursing Theory and Practice Chinese Academy of Medical Sciences&Peking Union Medical College, Evidence-based Medical Center of Lanzhou University (Writing Committee: HAO Yunxia, LI Qingyin)
    Chinese Journal of Nursing    2019, 54 (1): 36-41.  
    Abstract2655)      PDF (913KB)(933)       Save
    Objective To develop Nursing Practice Guideline for Emergency Percutaneous Coronary Intervention so as to provide guidance for nursing of emergency percutaneous coronary intervention. Methods Based on World Health Organization Handbook for Guideline Development,the recommendations were established according to best evidence and expert consensus. Appraisal of Guidelines for Research and Evaluation (AGREE) and Reporting Items for Practice Guidelines in Healthcare (RIGHT) were used to finalize full text of the guideline. Results The guideline contained 20 recommendations for 7 clinical questions about identification and assessment,condition monitoring and assessment,oxygen inhalation,safe transport,rehabilitation,skin preparation,and iodine allergy test. Conclusion This guideline based on best evidence and expert consensus can provide guidance and reference for nursing of emergency percutaneous coronary intervention.
    Related Articles | Metrics
    Airway care for non-mechanically ventilated patients with tracheotomy
    Otorhinolaryngology Nursing Committee of Chinese Nursing Association
    Chinese Journal of Nursing    2020, 55 (supplement): 10-14.  
    Abstract1262)      PDF (677KB)(900)       Save
    Related Articles | Metrics
    The effects of narrative therapy on stigma of patients with permanent stoma
    ZHANG Kuanxin, QU Qing-rong, SHI Peiyu, WANG Bixuan
    Chinese Journal of Nursing    2019, 54 (8): 1125-1129.   DOI: 10.3761/j.issn.0254-1769.2019.08.001
    Abstract1597)   HTML297)    PDF (1054KB)(879)       Save

    Objective To explore the effects of narrative therapy on stigma in permanent stoma patients. Methods A total of 47 patients with permanent stoma were recruited from April 2018 to November 2018 in the department of gastroenterology and colorectal surgery,and were given narrative therapy:totally 8 times,30 to 45 mins for each time,once per week,through one-on-one,face-to-face or video call. Social Impact Scale(SIS) and Ostomy Adjustment Inventory-20 were used to evaluate the effects of intervention. Results At the times of one day before discharge,after intervention and one month after intervention,the scores of SIS were 59.64±6.62,53.87±8.78,and 47.98±8.47,the time effect of stigma level in permanent stoma patients were statistically significant,F=179.078,P<0.001. The scores of OAI-20 were 40.49±7.13,45.68±6.87,and 46.70±7.11,and the differences were statistically significant,F=75.295,P<0.001. Conclusion Narrative therapy can reduce the stigma level in permanent stoma patients and improve the level of psycho-social adaptation.

    Table and Figures | Reference | Related Articles | Metrics
    Expert consensus on parenteral nutrition safety infusion
    Chinese Medical Association of Parenteral and Enteral Nutrition Nursing Group, (Writing Committee:LI Suyun, SHAO Xiaoping, TANG Xiaoli, YE Xiang-hong, CHEN Yongyi, YAN Rong, LIU Yunfang, KONG Shanshan, XIONG Zhaoyu, XIONG Ziwei, MI Yuan-yuan, HUANG Haiyan, SHI Wenjia, WU Beiwen)
    Chinese Journal of Nursing    2022, 57 (12): 1421-1426.   DOI: 10.376/j.issn.0254-1769.2022.12.002
    Abstract4917)   HTML179)    PDF (969KB)(850)       Save

    Objective To form an expert consensus on parenteral nutrition safety infusion, and standardize the operation process of clinical parenteral nutrition safety infusion,so as to reduce the parenteral nutrition complications. Methods On the basis of the evidence-based method,we searched the high level evidence about the parenteral nutrition safety infusion in databases such as UpToDate,BMJ Best Practice,National Institute for Health and Care Excellence,Guidelines International Network,National Guideline Clearinghouse,Registered Nurses' Association of Ontario,Scottish Intercollegiate Guidelines Network,European Society for Clinical Nutrition and Metabolism,American Society for Parenteral and Enteral Nutrition,Chinese Society for Parenteral and Enteral Nutrition,China Guide Network,Joanna Briggs Institute,China Biomedical Literature Network,VIP,Wanfang,CNKI,PubMed,Web of Science,Scopus,Embase. The retrieval period is from the establishment of the databases to January 2021. Studies were evaluated and collected; relevant recommendations and research results were selected to form the draft of the expert consensus. Experts were invited to complete 2 rounds of Delphi expert consultations and 2 rounds of expert meetings. Each item was revised and improved through 2 rounds of Delphi expert consultations and expert meetings,and the final draft of the consensus was formed. Results The positive coefficient of experts in the 2 rounds of correspondence consultations were 100%; the expert authority coefficients were 81.00% and 89.50% respectively,and the coordination coefficients of expert opinions were 0.13 and 0.15 respectively. Finally,the consensus summarizes the latest evidence on 4 aspects of multidisciplinary team formation,evaluation,operation norms,and complication management. Conclusion The establishment of the consensus can provide a reference for the standardization of safe infusion of parenteral nutrition in clinical practice to ensure patient safety and improve service quality.

    Table and Figures | Reference | Related Articles | Metrics