Objective To understand the cultural competence of ICU nurses by adopting an explanatory sequential mixed-methods design, and to analyze its influencing factors, so as to provide directions for improving the cultural competence of ICU nurses. In July 2025, 238 ICU registered nurses from three comprehensive tertiary hospitals in Shanghai were enrolled using cluster sampling. Data were collected using a general information questionnaire, the Cultural Intelligence Scale (CQS), and the revised Inventory for Assessing the Process of Cultural Competency (IAPCC-R). A total of 204 nurses completed valid questionnaires, with an effective response rate of 85.71

BACKGROUND:Out-of-hospital cardiac arrest (OHCA) is a major public health burden worldwide. Promoting bystander cardiopulmonary resuscitation (B-CPR) is a key element in improving the survival rate of OHCA. The security guard is a specific population in China that plays a significant role as bystanders in public settings. However, less is known about their experiences regarding B-CPR intention and performance. This study aimed to explore the experiences and perspectives of Chinese security guards regarding B-CPR and identify barriers to its performance. METHODS:Fifteen in-depth interviews were conducted with security guards in various public settings, including hospitals, residential living areas, office buildings, and public transportation stations. All interviews were audio recorded. Two researchers independently analyzed the transcripts through deductive and inductive content analysis. Informed by the "Intention-focused" model of B-CPR performance, deductive content analysis was initially performed to identify categories that align with the theoretical framework and thereby validate the theory. Subsequently, inductive content analysis was applied to code newly discovered content, therefore enriching the theory. RESULTS:An "intention & performance-focused" model of B-CPR was developed. It was revealed that security personnel were more inclined to perform CPR without hesitation when the victim was a trusted individual. However, when faced with unfamiliar individuals, they tended to shrink back due to various barriers. Specifically, four layers of barriers to CPR performance were identified, encompassing security personnel factors, victim-related factors, organizational factors, and societal factors. Participants also shared their perspectives on the desired CPR training, including trainers, training contents, training formats, and training incentives. CONCLUSION:Security guards should receive comprehensive CPR training to maximize their occupational value. In addition to strengthening CPR-related training, which includes theoretical knowledge and hands-on practice, psychological coping skills for managing overwhelming emotions and understanding relevant laws are also essential training elements that cannot be overlooked. When developing relevant intervention strategies, policies, and regulations, it's critical to consider the country's context and the cooperation of the organization where the security guard is employed. The model developed in this study can provide a reference for designing interventions and policy to improve the B-CPR intention and performance for other specific groups.

This was a non-blinded, single-centre, randomized, controlled clinical trial that compared the effectiveness of direct observation of procedural skills (DOPSs)with traditional assessment methods in pressure injury (PI) care skills. The study population included 82 nursing professionals randomly assigned to the study group (n = 41) and the control group (n = 41). Both groups of nurses underwent a 6-month training in PI care skills and were subsequently evaluated. The main outcome variables were the PI skill operation scores and theoretical scores. Secondary outcome variables included satisfaction and critical thinking abilities. Independent sample t-tests and chi-square tests were used to assess differences between the two groups of nurses. The results showed no statistically significant difference in PI skill operation scores between the two groups of nurses (p > 0.05). When comparing the PI theoretical scores, the study group scored higher than the control group, and this difference was statistically significant (p < 0.05). In terms of satisfaction assessment, the study group and the control group showed differences in improving self-directed learning, enhancing communication skills with patients, improving learning outcomes and increasing flexibility in clinical application (p < 0.05). When comparing critical thinking abilities between the two groups of nurses, there was no statistically significant difference at the beginning of the training, but after 3 months following the training, there was a statistically significant difference between the two groups (p < 0.01).The results indicated that the DOPS was effective in improving PI theoretical scores, increasing nurse satisfaction with the training and enhancing critical thinking abilities among nurses.

心源性猝死是一项重要的全球性公共安全卫生问题.目前,我国心源性猝死的死亡人数仍位居世界首位,呈逐年上升且年轻化趋势.其中院外心脏骤停患者心肺复苏(Cardiopulmonary resuscitation,CPR)实施率低于5％,成功率低于1％.在院外突发紧急情况下,我国专业急救人员无法在短短的4分钟黄金时间内及时赶到施救.如果现场目击者能在第一时间内紧急施救将可以挽救患者的生命.国内专家呼吁,应在公共场所执勤的警察、保安等特殊人群中率先普及心肺复苏等急救知识和技能,使其在突发事件现场能在第一时间内实施有效的心肺复苏.保安人员由于其工作的特殊性,需要在公共场所24小时值守,常常成为心脏骤停事发现场的第一目击者之一,往往也是第一时间的发现者和施救者.如果他们掌握急救知识与技能,拥有积极的信念和态度,能够在第一时间及时实施心肺复苏,将有效提高患者的抢救成功率和生存率,降低患者死亡率.然而,目前国内保安人员这一特殊群体心肺复苏的相关研究鲜见报道.对保安人员心肺复苏相关研究做如下综述,为我国开展针对性的保安人员心肺复苏培训普及提供参考与借鉴.

目的:构建科学并实用的耳鼻咽喉科病人围术期护理质量敏感指标,为专科护理质量监测提供依据.方法:以"结构-过程-结果"质量管理模式为指导,采用文献分析、德尔菲(Delphi)专家咨询与层次分析法(AHP)形成指标体系的关键内容、测量公式及指标权重.结果:2轮专家积极系数均为100％,权威系数(Cr)分别为0.923,0.933,肯德尔协调系数分别为0.122,0.153(P＜0.01).指标体系包含3个一级、12个二级和36个三级指标.结论:本研究制订的耳鼻咽喉科病人围术期护理质量指标体系设置合理,构建过程科学.

Chronic pancreatitis (CP) is a chronic fibroinflammatory pancreatic disease that severely impacts patients’ quality of life (QoL). The Pancreatitis Quality of Life Instrument (PANQOLI) is an 18-item measure specifically designed to assess QoL amongst patients with CP. This study aimed to develop a Chinese version of PANQOLI and assess its reliability and validity in the Chinese CP cohort. Translation was performed according to forward-backwards translation steps and transcultural adaptation. Five hundred Mandarin Chinese-speaking patients with CP were enrolled, 250 for the exploratory factor analysis (EFA) and 250 for the confirmatory factor analysis (CFA). Item analysis, reliability analysis (internal consistency, split-half reliability, test–retest reliability), and validity analysis (content validity, construct validity, and convergent validity) were performed. Item analysis of the Chinese version of PANQOLI revealed that the absolute t values of all items were > 3. Reliability analysis showed that Cronbach’s α coefficient was 0.868, split-half coefficient was 0.934, and intraclass correlation coefficient was 0.859, demonstrating excellent reliability. For content validity, item level content validity index (I-CVI) ranged from 0.8 to 1.0, and average of I-CVI scores across all items (S-CVI/Ave) was 0.91. In construct validity analysis, EFA produced four dimensions after rotation, and results of CFA showed χ2/df = 2.346, comparative fit index (CFI) = 0.929, Tucker–Lewis index (TLI) = 0.915, and root-mean-square error of approximation (RMSEA) = 0.074. The analysis of convergent validity indicated that the Chinese version of PANQOLI was moderately correlated with the physical (r = 0.436, P < 0.001) and mental component summary (r = 0.518, P < 0.001) of the 36-Item Short Form Health Survey. The Chinese version of PANQOLI appears to be culturally appropriate, reliable, and valid for assessing the QoL amongst Chinese patients with CP.

目的 汉化健康循证实践量表,并检验其在上海市临床护士中应用的信效度.方法 用Brislin翻译-回译模式翻译健康循证实践量表,经文化调适,形成初试版量表,以便利抽样法对上海市6所医院的临床护士进行2次正式调查(第1次200名,第2次502名),检验量表信效度.结果 探索性因子分析提取5个公因子(信念态度、科学研究结果、循证决策能力、效果评价,阻碍/促进因素),累积方差贡献率为85.087％.量表内容效度为0.950.量表Cronbach's α系数为0.994,分半信度为0.910,量表重测信度为0.823.验证性因子分析构建的5维度量表结构拟合指标良好(x2/df=2.993.RMSEA=0.078,CFI=0.901,IFI=0.902).结论 中文版健康循证实践量表信效度良好,可用于临床护士循证实践能力及循证实践实施效果的测量工具.

Objective:To evaluate the quality of life (QoL) of Chinese chronic pancreatitis (CP) patients based on the Chinese version of the pancreatitis quality of life Instrument (PANQOLI) and explore its impact factors.Methods:404 patients with CP admitted to the Department of Gastroenterology of the First Affiliated Hospital of Naval Medical University between September 2021 and January 2022 were enrolled. The Chinese version of PANQOLI was used for questionnaire survey on QoL of CP patients. Univariate analysis and multiple linear regression analysis were used to explore the impact factors for QoL of CP patients.Results:The total score of QoL of 404 Chinese CP patients was 28-94(72.47±13.61), which declined by 29.64% compared to the highest total score (103) in the Chinese version of PANQOLI. Score of physical function, role function, emotional function, and self-worth domain was 25.63±4.84, 13.86±2.78, 16.98±6.21 and 16.00±4.65, respectively. Compared to the highest scores (30, 25, 24 and 24), the scores of aforementioned four domains declined by 14.57%, 44.56%, 29.25% and 33.33%, respectively. Univariate analysis showed that sex, age, employment status, smoking, alcohol consumption, and frequency of pancreatitis recurrence were significantly associated with QoL of CP patients. Multiple linear regression analysis indicated that older age (coefficient=-0.127), unemployment status (coefficient=-0.106), smoking (coefficient=-0.176), and high frequency of pancreatitis recurrence (coefficient=-0.123) were independent factors for QoL of CP patients (all P value <0.05). Conclusions:The Chinese version of PANQOLI could be effectively applied to Chinese CP patients. Older age, unemployment, smoking, and pancreatitis attacks were risk factors for QoL of CP patients, indicating that the formulation of personalized intervention measures may help to improve QoL of CP patients.

目的 了解保安人员心肺复苏(CPR)知识现状及其影响因素,为制定保安人员CPR培训方案提供参考.方法 采用方便采样法,对上海市2家三甲医院、1个机场、16个商务楼,10个大卖场和14个社区的保安人员共600例进行调查,采用自行编制保安人员心肺复苏调查问卷,用单因素和多因素分析法分析影响保安人员CPR知识的影响因素.结果 共完成600例保安人员的调查,保安人员CPR知识得分(25.72±12.31)分,处于低水平;单因素分析显示,年龄、文化程度、婚姻状况、月收入、自身健康状况、保安职业分类、职称等级、既往职业、是否听说过CPR、是否会CPR操作、是否接受过CPR培训、有无CPR抢救经历、学习CPR的途径以及是否配备AED对保安人员CPR知识得分的影响有统计学意义(P<0.05);多元线性回归分析进一步显示,年龄、月收入、保安职业分类、既往职业、是否听说过CPR、是否接受过CPR培训、是否配备AED为保安人员CPR知识的影响因素.结论 保安人员CPR知识水平不容乐观,其中年龄、月收入、保安职业分类、既往职业、是否听说过CPR、是否接受过CPR培训、是否配备AED为保安人员CPR知识的影响因素,应从这几方面着手,重点加强不同职业分类保安人员的培训,以提升保安人员CPR知识水平.

Introduction: Self-management is essential for treating heart failure (HF). Culture influences the ability to cope, negotiate, and adopt self-management behaviors. However, current HF self-management interventions for Chinese patients do not take culture into consideration. The aim of this article is to describe the development of a situation-specific nurse-led culturally tailored self-management theory for Chinese patients with HF. Methodology: An integrative approach was used as theory development strategy for the situation-specific theory. Results: Based on theoretical and empirical evidence, and theorists’ experiences from research and practice, a nurse-led culturally tailored self-management theory for Chinese patients with HF was developed. Discussion: Researchers addressing health phenomena often have difficulty defining, conceptualizing, and operationalizing culture. The situation-specific theory developed in this study has the potential to increase specificity (i.e., logical adequacy and usefulness) of existing theories while informing the application to nursing practice. Further critique and testing of the situation-specific theory is warranted.

Objective:To test the reliability and validity of the Self-management Demand Questionnaire for Elderly Patients with Chronic Heart Failure.Methods:In October 2019, convenience sampling was used to select 425 elderly patients with chronic heart failure from 11 general hospitals in Shanghai and Jiangxi Province for pre-survey. Formal questionnaires were formed through item analysis and exploratory factor analysis. In December 2019, 494 elderly patients with chronic heart failure from 11 general hospitals in Shanghai and Jiangxi Province were selected for a formal survey. Confirmatory factor analysis and reliability test were used to evaluate the reliability and validity of the questionnaire.Results:In the first phase of the survey, a total of 425 questionnaires were distributed, and 387 valid questionnaires were recovered. In the second phase of the survey, a total of 494 questionnaires were distributed, and 484 valid questionnaires were recovered. The formal questionnaire included 42 items in 5 dimensions. Five common factors were extracted by exploratory factor analysis, and their cumulative variance contribution rate was 75.538%. The Cronbach's α coefficient of the questionnaire was 0.982, the split-half reliability was 0.871, and the content validity index was 0.891. Confirmatory factor analysis showed that the model fit was good.Conclusions:The Self-management Demand Questionnaire for Elderly Patients with Chronic Heart Failure has good reliability and validity, and can be used as a tool to evaluate the self-management needs of elderly patients with chronic heart failure in China.

Objective:To explore the mediating effect of self-management efficacy between social support and self-management behavior in cancer patients treated with proton-heavy ions.Methods:From April 2020 to April 2021, convenience sampling was used to select 674 cancer patients in Shanghai Proton and Heavy Ion Center as the research subject. The patients were investigated with the General Information Questionnaire, Chronic Disease Self-Management Study Measures (CDSMS) , Chinese-version Strategies Used by People to Promote Health (C-SUPPH) , and Medical Outcome Study Social Support Survey (MOS-SSS) . Statistical analysis was performed using SPSS 24.0 and AMOS 24.0 software. Pearson correlation was used to calculate the correlation between variables, and a structural equation model was constructed to test the relationship between variables. A total of 674 questionnaires were distributed, 610 valid questionnaires were recovered, and the valid recovery rate was 90.5% (610/674) .Results:The total scores of self-management behavior, self-management efficacy, and social support in 610 cancer patients treated with proton heavy ions were (18.38±7.64) , (94.30±22.72) and (73.97±13.94) , respectively. Pearson correlation analysis showed that except for the dimension of life support with dimension of exercise, all the other dimension scores and the total score of patients' social support were positively correlated with all the dimension scores and the total score of self-management behaviors ( P<0.05) ; the dimension scores and the total score of patients' social support were positively correlated with the dimension scores and the total score of self-management efficacy ( P<0.05) ; the dimension scores and the total score of patients' self-management efficacy were positively correlated with the dimension scores and the total score of self-management behavior ( P<0.05) . Self-management efficacy had a partial mediating effect between social support and medical staff communication behavior, with an effect value of 23.4% ( P<0.05) . Conclusions:Cancer patients treated with proton-heavy ions have poor levels of self-management behavior. Nurses can improve the patients' self-efficacy and enhance the impact of social support on the patients' self-management behavior, so as to promote the precise realization and timely completion of proton heavy ion therapy.

目的 调查新护士团队合作认知与态度现状并进行影响因素分析,为出台提升新护士团队合作能力的政策提供参考依据,助力患者安全.方法 采取整群抽样法,选取来自上海市4所三级医院的270名新护士作为研究对象,采用中文版团队合作认知与态度问卷对新护士开展调查.结果 270名新护士团队合作认知与态度得分分别为(116.27±20.87)分、(104.60±17.37)分,团队合作认知与态度呈显著正相关(P＜0.01).不同性别、学历和科室的新护士团队合作认知与态度得分比较差异有统计学意义(P＜0.01).结论 新护士团队合作认知处于中等偏下水平,团队合作态度处于中等水平,护理管理者应采取针对性的培训和管理措施,以提升其团队合作认知与态度水平.

目的 探究将普通住院大楼快速改建成新型冠状病毒肺炎医学隔离观察点管理方案的科学、规范及有效性,为应对突发公共事件提供借鉴.方法 根据新冠肺炎国家防控隔离要求,制定医学隔离观察点管理方案,对尚未使用的普通住院大楼实施区域重新划分、人力资源调配、人员紧急培训、物资集中调配、后勤保障供给等管理举措.结果 5 d内,将普通住院大楼的9层288个房间改建成具有工作人员、隔离观察者及污物独立三通道和清洁区、半污染区、污染区、缓冲区四区结构的新冠肺炎医学隔离观察点.结论 普通住院大楼通过科学、规范的改建,可实现新冠肺炎医学隔离观察点的功能,该管理方案科学、安全、快速、人性、有效.

目的 了解上海市松江区居民应急救护知识现状,分析其影响因素,为制定和开展有效的居民培训提供依据.方法 采用分层抽样的方法对松江区乡镇街道的常住居民进行调查,了解松江区居民应急救护知识现状,分析其影响因素.结果 740例调查对象的应急救护知识平均知晓率为62.60％,具备基本应急救护知识的调查对象占60.00％.知晓率前3位的依次是急救电话号码120(97.57％)、火灾逃生(95.41％)、煤气中毒(93.65％)的应急处理.知晓率后2位的是急救电话正确拨打(10.00％)和他人晕倒在地施救第一步(20.68％).全部回答正确者仅占(0.27％),其中心肺复苏实施第一步知晓率低(38.24％).多因素Logistic回归分析显示,文化程度是影响松江区居民基本应急救护知识水平的重要因素,初中及以下(OR=2.233,95％CI:1.166～4.278)居民的应急救护知识水平较低.调查对象中有36.08％接受过应急救护相关培训.97.46％的社区居民认为应该掌握常见的急救知识与技能;74.46％的居民完全愿意在突发情况时给予伤员施救.结论 松江区居民心肺复苏知识与技能知晓率低,文化程度是影响松江区居民急救应急救护能力的因素,应设计适合居民学习的培训方案,促进居民应急救护能力的提高.

Objective:To translate the English version of Collaborative Practice Assessment Tool (CPAT) into Chinese and test the reliability and validity of the Chinese version.Methods:In accordance with Brislin translation principles, two rounds of expert consultation were used for cross-cultural adaption, and the Chinese version of CPAT was formed. Using the random cluster sampling, a total of 620 medical staff from 8 tertiary hospitals in Shanghai were selected from April to July 2020 to conduct a survey to measure reliability and validity of the scale.Results:The Chinese version of CPAT consisted of 56 items in 8 dimensions. Exploratory factor analysis extracted a total of 8 common factors and the cumulative variance contribution rate was 82.473%. The Cronbach's α coefficient of the total scale was 0.984 and the Cronbach's α coefficients of each dimension were 0.934 to 0.971. The split-half reliability was 0.869, and the test retest reliability was 0.857. The content validity index at the item level of the scale was from 0.80 to 1.00 and the content validity index at the scale level was 0.96.Conclusions:The Chinese version of CPAT has good reliability and validity, which can be used as an evaluation tool for the domestic interprofessional medical team collaboration practice level.

Objective:To construct a scientific and practical micro-course content framework of cross-cultural nursing hospice care from the perspective of attention, relevance, confidence and satisfaction (ARCS) model.Methods:The research team was established in November 2018. Using Delphi method, 16 experts in cross-cultural nursing, hospice care, nursing management, nursing education and other fields were consulted for 3 rounds of correspondence. According to scores of experts, the index weights were calculated to form micro-course content framework of cross-cultural nursing hospice care from the perspective of ARCS model.Results:The positive coefficient of experts surveyed by the questionnaire was 100%, the average value of expert authority coefficient was 0.81. The determined importance values of the first and second level indexes were all greater than 4.00. The coefficient of variation was 0 to 0.12, which were all less than 0.25 and met the requirements. In the end, a content framework containing 3 first-level indexes of professional concepts, professional knowledge and professional skills and 19 second-level micro-course content framework of cross-cultural nursing hospice care were formed.Conclusions:Based on the perspective of ARCS model, the construction process of content framework of the cross-cultural nursing hospice care micro-course is scientific and the setting is reasonable, which has a good guiding significance for the development of training for hospice care nurses.

Objective:To construct a cross-cultural nursing quality sensitive indicator system, so as to provide a basis for the hospital's cross-cultural nursing quality evaluation and monitoring.Methods:Based on the Donabedian model and the sunrise model, this study adopted the literature analysis method and the research team discussed preliminary screening indicators. From May to June 2020, 15 nursing and medical experts from a university hospital in Shanghai were selected as the subject of the consultation by using the method of convenience sampling. The Delphi method was used to conduct two rounds of expert consultations to determine the content of sensitive indicators of cross-cultural nursing quality.Results:The positive coefficients of the two rounds of consultations were 100%, and the authority coefficients were 0.883 and 0.893. The constructed cross-cultural nursing quality sensitive indicators included 3 first-level indicators and 20 second-level indicators.Conclusions:The cross-cultural nursing quality sensitive indicator constructed based on the Delphi method is scientific and representative, which can provide a reference for nursing quality evaluation and continuous quality improvement evaluation.

目的:汉化洗手护士非技术技能行为(SPLINTS)量表并分析其信度、效度.方法:获得授权后采用Brislin模式对SPLINTS量表进行翻译、回译及文化调适,确定中文版量表的维度和条目;采用整群抽样法选取上海市4家三级甲等医院的118名洗手护士进行调查,采用IBM SPSS 20.0和AMOS 24.0对调查结果进行统计分析以检验量表的信度、效度.结果:中文版SPLINTS量表包含9个条目,86个典型行为;探索性因子分析抽取3个公因子,累积方差贡献率为62.479％,验证性因子分析结果显示模型拟合良好;量表水平的平均内容效度指数(S-CVI/Ave)为0.93,条目水平内容效度指数(I-CVI)为0.87～1.00;量表总体Cronbach'sα系数为0.743,各维度的Cronbach'sα系数为0.632～0.757.结论:中文版SPLINTS量表具有较好的信度和效度,可用于测评洗手护士手术过程中的非技术技能行为水平.