ObjectiveTo translate the Nurse Artificial Intelligence Ethical Awareness Scale into Chinese and to test its reliability and validity within the Chinese nursing context.MethodsThe scale was translated following the modified Brislin translation model.The Chinese version of the Nurse Artificial Intelligence Ethical Awareness Scale was developed after cultural adaptation.In October 2025,a convenience sampling method was used to select 384 clinical nurses from a tertiary grade A hospital in Henan province as the study subjects for a questionnaire survey to test the reliability and validity of the scale.ResultsThe Chinese version of the Nurse Artificial Intelligence Ethical Awareness Scale consisted of 6 dimensions(data privacy and confidentiality,informed consent and autonomy,transparency and accountability,bias and fairness,safety and professional integrity,and education and sustainability) with a total of 21 items.The scale⁃level content validity index was 0.905,and the item⁃level content validity index ranged from 0.833 to 1.000.Exploratory factor analysis extracted 6 common factors with eigenvalues>1,and the cumulative variance contribution rate was 88.946%.Confirmatory factor analysis showed that all fit indices reached ideal standards.The overall Cronbach's α coefficient of the scale was 0.861,and the test⁃retest reliability was 0.950.ConclusionsThe Chinese version of the Nurse Artificial Intelligence Ethical Awareness Scale demonstrates good reliability and validity.The scale could be used to assess the level of ethical awareness among Chinese clinical nurses in the application of artificial intelligence.
ObjectiveTo translate the Nurse⁃Patient Therapeutic Interaction Scale into Chinese and to evaluate its psychometric properties.MethodsThe Nurse⁃Patient Therapeutic Interaction Scale was translated based on the modified Brislin translation model.The Chinese version of the Nurse⁃Patient Therapeutic Interaction Scale was culturally adapted and preliminary survey before formal validation.A total of 549 clinical nurses were selected from tertiary grade A hospitals in Jiangsu province from September to October 2025 using the convenience sampling method.Classical test theory was adopted to examine the reliability and validity of the scale.Multi⁃dimensional item response theory was further applied to analyze the item discrimination parameters,item difficulty parameters,and item information functions,to comprehensively evaluate the psychometric performance of the scale.ResultsDuring cultural adaptation,the item⁃content validity index of the Chinese version of the Nurse⁃Patient Therapeutic Interaction Scale ranged from 0.667 to 1.000.The scale⁃content validity index/average was 0.908.Exploratory factor analysis extracted 3 common factors consisting 17 items in total,with a cumulative variance contribution rate of 74.503%.After removing one item,the results of multi⁃dimensional item response theory showed that the item discrimination parameters ranged from 2.516 to 21.805.The item difficulty parameters ranged from -3.217 to 0.401.The scale provided sufficient measurement information in the low⁃to⁃medium range of therapeutic interaction levels.After multi⁃dimensional item response theory analysis,the overall Cronbach's α coefficient of the scale was 0.981.The split⁃half reliability coefficient was 0.972.Confirmatory factor analysis revealed an excellent fit of the external verification model.ConclusionsThe Chinese version of the Nurse⁃Patient Therapeutic Interaction Scale has excellent discrimination,reliability,validity,and relatively low item difficulty.The scale could effectively measure the level of therapeutic interaction among clinical nurses.
The dual nature of the biological functions of vitamin D was summarized.The molecular mechanisms of vitamin D against breast cancer,the potential mechanisms by which vitamin D promotes breast cancer progression,the clinical associations with breast cancer,and the challenges in the prevention and treatment of breast cancer were reviewed.Future research directions were also proposed.
ObjectiveTo analyze the smart health care service demands of postoperative thyroid cancer patients based on the Kano model.MethodsA convenience sampling method was adopted.A total of 280 postoperative thyroid cancer patients in our hospital were selected as study subjects from May 2022 to June 2025.The patients were surveyed using a self⁃designed Kano model demand attribute questionnaire for postoperative thyroid cancer patients.Kano model demand attribute classification, better coefficient⁃worse coefficient analysis,two⁃dimensional matrix analysis,and sensitivity analysis were performed.ResultsA total of 15 demands fell into the priority improvement area,including 4 must⁃be attributes(26.67%),5 attractive attributes(33.33%),and 6 one-dimensional attributes(40.00%).Sensitivity analysis of the demands was conducted.The highest sensitivity value was 0.327,and the lowest was 0.062.The items "remote alert for hypocalcemia","reminder push for follow⁃up visits",and "swallowing function rehabilitation guidance" showed relatively high sensitivity.ConclusionsBased on the analysis results of smart health care service demands of postoperative thyroid cancer patients,nursing workers could focus on remote alert for hypocalcemia,reminder push for follow-up visits,and swallowing function rehabilitation guidance and so on to develop higher⁃quality nursing plans.
ObjectiveTo explore the developmental trajectory of wound healing after cesarean section in parturients with scarred uterus and to analyze its influencing factors.MethodsA total of 200 parturients who underwent cesarean section in our hospital from July 2023 to March 2025 were selected as the study subjects.Basic patient data were collected,and wound healing status was assessed.The latent class growth model was used to identify the developmental trajectories of wound healing after cesarean section in parturients with scarred uterus.Logistic regression analysis was employed to explore the influencing factors of different developmental trajectories.ResultsA total of three distinct developmental trajectories of wound healing after cesarean section in parturients with scarred uterus were identified,namely normal healing group(80 cases),slow healing group(52 cases),and keloid tendency group(68 cases).Logistic regression analysis showed that prenatal fibrinogen level,total intraoperative and postoperative blood loss,duration of the current cesarean section,and neonatal birth weight were influencing factors for the classification of the developmental trajectories of wound healing after cesarean section in parturients with scarred uterus(P<0.05).ConclusionsThe developmental trajectory of wound healing after cesarean section in parturients with scarred uterus exhibits group heterogeneity.A full⁃cycle intervention system covering the prenatal,intraoperative,and postoperative periods could be constructed based on the identified influencing factors.
