Measurement of professional identity in Chinese nursing students

Objectives:Chinese nurses continue to display low professional identity.It is becoming an emergent issue in China how to help nurse students develop their positive professional identity.This paper is to develop the Professional Identity Scale for Nursing Students(PISNS).Methods:Literature review,and interviews with students and experts were adopted to develop initial item.Reliability and validity of the scale were respectively examined by computing internal consistency coefficient alpha and split-half Spearman Brown for equal length,and Exploratory Principle Component Factor Analysis.Results:Five factors with 17-item were obtained explaining 58.9%of the total variance.Cronbach’s alpha,and split-half reliability was 0.83 and 0.84 respectively.Conclusions:Given its high reliability and validity,PISNS could be used as a measurement tool for educators to evaluate the developing level of professional identity in nursing students and assess the effectiveness of corresponding interventions and strategies.

Insights on the development of TCM nursing

Background:Traditional Chinese medicine nursing(TCM nursing)is one of the highlights of nursing profession in China,which plays a significant role in Chinese healthcare system.However,bottlenecks exist in TCM nursing development.It’s necessary to explore the discipline connotation and advantages of TCM nursing in nursing education and clinical practice and introduce modern nursing concepts.Methods:We analysis the connotations of TCM nursing,the bottlenecks it faces,and strategies to facilitate TCM nursing development.Results:Qualitative research method and evidence-based nursing concepts are key strategies to solve the dilemma TCM nursing confronts with and are quite essential in TCM nursing development.Conclusion:We should embed qualitative research method and evidence-based nursing concepts into TCM nursing advancement so as to facilitate the advancement of TCM nursing and promote its globalization.

Analysis of Adaptation Process of Evidence-Based Interventions by Taking Post-Stroke Dysphagia Screening As an Example--Based on a Series of Empirical Studies

Background:Evidence-based interventions(EBIs)are frequently adapted or modified during the implementation process to meet the needs of the target context,public health professionals,or health practitioners.However,little is known about how the EBIs of the same clinical problem at a different time(sustainability)and a different setting(scalability)should be adapted to facilitate implementation.To address this gap,this research aims to analyze the adaptations process of EBIs by taking post-stroke dysphagia screening as an example based on a series of empirical studies.Methods:We reviewed three best practice implementation projects of post-stroke dysphagia identification and management in China's Mainland,and conducted a comparative analysis of three projects of dysphagia screening practical decision-making according to core elements of evidence-based nursing(EBN).Results:We identified the core elements of EBN that influence decision-making in each best practice implementation project.The decision-making of screening time and tool for dysphagia in the three projects varied.Project 1:Post-stroke dysphagia was screened using Water Swallow Test(WST)before the first intake of liquid or food.Project 2:A sustainability study based on project 1,post-stroke dysphagia was screened using Standardized Swallowing Assessment(SSA)before the first intake of liquid or food,within 24 hours of admission.Project 3:A community scalability study based on project 2,post-stroke dysphagia was screened using Water Swallow Test(WST)before the first intake of liquid or food,within 24 hours after referral.Conclusions:Adaption of EBIs needs to fully consider the best available external evidence from systematic research,clinical expertise,patient preferences,as well as context.

Chinese Herbal Medicine in Treatment of Polyhydramnios:a Meta-analysis and Systematic Review

Objective To compare the efficacy of Chinese herbal medicine （therapy A） or Chinese herbal medicine plus indomethacin （therapy B） with that of indomethacin alone （therapy C） in treating polyhydramnios. Methods Literatures published up to April 2012 were retrieved from PubMed, Embase and Cochrane library, Chinese National Knowledge Infrastructure （CNKI）, Chinese Scientific and Technological Periodical Database （VIP）, Wangfang, and Traditional Chinese Medicine online. Two researchers collected data independently. The assessment of methodological quality was based on Cochrane handbook and the materials were analyzed with software RevMan 5.1.2. The outcome measure index was relative risk or difference of mean value （95% confidence interval）. The following outcomes were evaluated： （1） general clinical improvement rate; （2） maximum vertical pocket depth; （3） amniotic fluid index （AH） value; （4） rate of fetal ductus arteriosus constriction; （5） incidence of adverse events. Results Based on the search strategy, 5 trails involving 1017 patients were finally included. Compared with therapy C, therapy A decreased the rate of fetal ductus arteriosus constriction （P〈0.01）. Therapy B was more effective than therapy C in general clinical improvement and decrease of AH for polyhydramnios （P〈 0.01 ）. No serious adverse events were reported in therapy A and therapy B. Conclusions Compared with therapy C, therapy A and therapy B may appear to be more effective for polyhydramnios. However, the exact effect needs to be confirmed with well-designed large-scale clinical trials.

Research spot and trend of integrative nursing in breast diseases based on data mining

Objective:To explore the development status,research hotspots and future development trend of traditional Chinese medicine nursing in the field of breast diseases by the bibliometric method.Methods:using CNKI,Wanfang,VIP and SINOMED databases as data sources,the literature related to breast traditional Chinese medicine nursing were obtained by keyword search,and BICOMB 2.01 was used to extract and count the information such as publication year,keywords and so on,and the word matrix was formed.SPSS 21.0 was used to cluster the extracted keywords.Results:a total of 839 articles were included,which came from 348 journals and 48 high-frequency words.Four main research topics were formed by keyword clustering:TCM nursing of breast cancer,TCM nursing of breast abscess/mass,TCM nursing of postpartum breast,TCM nursing of acute mastitis.Conclusion:the TCM nursing literature in the field of breast disease is increasing rapidly,but theoverall quality of the published literature is low,so more scientific and standardized TCM nursing original research is urgently needed.

External application of Chinese medicine formula combined with analgesic drugs to treat lung squamous cell carcinoma pain： A case study with mixed methods

Objective： To investigate the effectiveness of the external application of Chinese medicine combined with analgesicdrugs to treat lung squamous cell carcinoma pain. Methods： A 54-year-old patient with upper lobe of the left lungsquamous cell carcinoma was studied, who suffered from severe cancer pain with the initial numeric rating scale （NRS）7 point when admitted. Exterior-use formula was applied to pain spot to relieve the pain. Mixed methods approachcomprising NRS, Short-form of McGill Pain Questionnaire, quality of life scale, times of breakout pain, records ofadverse reactions and semi-structured interviews were utilized to evaluate the effect. Results： With the combination useof the formula and analgesic drugs, the patient’s NRS score dropped from 7 to 3 point. Quality of life scale scoreimproved from 33 to 42 point. Times of breakout pain reduced from twice to none. The amount of oxycodone decreasedfrom 30 mg Bid to 10 mg Bid. No adverse effect appeared. The patient’s felt more energetic with good sleep and appetite.Conclusion： This formula is effective and safe for pain relief when combined with analgesic drugs, and may be a goodoption in dealing with local cancer pain. Future randomized, controlled studies are needed to better evaluate the efficacy.

A brief introduction of the pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) project

Because of the Iong-term and phased nature of tumor's treatment,most tumor patients need to survive with can cer for a long time.The remote man ageme nt of tumor-related symptoms has become a problem that needs to be solved urgently in the clinic.However,due to the lack of releva nt guida nce and specificati ons,the remote man ageme nt of tumor symptoms in Chi na still faces many obstacles.Learning from mature and successful tumor symptom remote man ageme nt projects abroad is the only way to improve Chi na's remote man ageme nt n orms.Therefore,this article will introduce the Canadian tumor symptom remote management project and its constipation symptom management guide,and provide a guide for the development of tumor symptom remote management projects in China reference.