Effect of interesting games on relief of preoperative anxiety in preschool children

Purpose:To evaluate the effect of interesting games on reducing preoperative anxiety and improving compliance with anaesthesia in children.Methods:Ninety preschool-aged children undergoing elective surgery were randomly assigned to two groups.The children in the control group were admitted to a general preoperative room with one parent for 15e20 min,and were then taken into the anaesthesia room.During anaesthetic induction,the nurse attracted the children’s attention using an interesting game with encouragement and attention diversion.The children’s anxiety was assessed using the Modified Yale Preoperative Anxiety Scale(mYPAS)when they entered the operating room,while they were waiting to undergo s0urgery,and during anaesthetic induction.Moreover,the children’s compliance with anaesthetic induction was assessed using the Induction Compliance Checklist(ICC).Results:No statistically significant differences in the mYPAS scores were observed between the two groups upon entering the operating room(p>0.05).The mYPAS scores were significantly lower in the experimental group than in the control group while waiting for surgery and during anaesthetic induction(p<0.05),while there were no significant differences in the mYPAS scores upon entering the operating room.The children’s compliance with anaesthetic induction was significantly higher in the experimental group than in the control group(p<0.05).Conclusion:Engagement in an interesting game can reduce preschool-aged children’s preoperative anxiety and improve their compliance with anaesthetic induction.

Construction of competency evaluation measures for operating room nurses

Objective： To develop a scientific and reasonable competency evaluation index system for operating room nurses （ORN） in order to provide a tool for selecting, training and evaluating operating room nurses in China. Methods： A multiple-method approach including in-depth interviews and the Delphi and Analytic Hi- erarchy Process （AHP） was used. Eighteen interviews were undertaken to explore the components of ORN competencies, and then 30 operating room experts were consulted to gain consensus. Finally, the AHP was adopted to determine the relative weights of competency elements, thus increasing the ac- curacy of the results. Results： Results of the interviews suggested that there were 32 items of ORN core competency. Results of the DHP （Delphi and AHP） revealed 22 ORN core competencies in four dimensions, such as specialized knowledge, professional ability, personality and self-motivation. The weights of these four dimensions were 0.477, 0.138, 0.256, and 0.128, respectively. Condu.~ions： The construction of an ORN core competency evaluation index system in this study con- tained not only explicit competence but also implicit competence, which reflected the requirements for operating room nurses comprehensively in China. In particular, as the system presented the specialized features of an operating room, it would be of great importance for both nurses and hospitals.

DMAP-Catalyzed C-N Bond Formation for Diverse Synthesis of lmidazo[1,2-a]pyrimidine and Pyrimido[1,2-a]benzimidazole Derivatives

of main observation and conclusion A DMAP(2-dimethylaminopyridine)-catalyzed condensation reactions for the successful direct construction of pyrimidoll^-ajbenzimidazole or imidazoll^-ojpyrim idine has been developed.The method utilizes readily available a-bromocinnamaldehydes with 2-aminobenzimidazole or 2-aminoimidazole as starting materials in the presence of 2-DMAP/TBHP.In the process,two C-N bonds were successfully constructed to synthesize target compounds.The current method features wide substrate scope,product diversification,and metal-free conditions.