Objective:This study aimed to investigate the key factors influencing HPV vaccination behavior among nurses in Chongqing, China, based on the 5C psychological antecedents model. Methods:A cross-sectional survey was conducted among 550 nurses from public hospitals in Chongqing between April 2024 and July 2024 via an online questionnaire. A combination of convenience and snowball sampling was employed. The instrument gathered demographic data, HPV vaccination status, and responses to the 5C scale (Confidence, Complacency, Constraints, Calculation, and Collective Responsibility). Results:The HPV vaccination rate among nurses was 52.7%. Hierarchical binary logistic regression analysis revealed that age (OR = 0.939, 95% CI: 0.895-0.985), influence from friends and colleagues (OR = 3.821, 95% CI: 2.634-5.542), and constraints (OR = 0.870, 95% CI: 0.811-0.933) were significant predictors of vaccination status. In contrast, confidence, complacency, calculation and collective responsibility were not statistically significant in the final model. Conclusion:The HPV vaccination behavior of nurses in Chongqing is significantly influenced by age, social influence and structural barriers. To improve vaccination coverage, interventions should focus on leveraging peer influence, fostering a supportive vaccination climate, and systematically reducing constraints through convenient access and financial support. These findings contribute to understanding vaccine hesitancy among healthcare workers and inform strategies to achieve cervical cancer elimination goals in China.

Background Nursing interns are particularly vulnerable to workplace negative behaviors during their clinical practicum, which can critically shape their professional development and the quality of patient care. However, the psychological mechanisms underlying this relationship remain inadequately explained within comprehensive theoretical frameworks. Methods In this cross-sectional study, 234 undergraduate nursing interns were recruited from two tertiary hospitals in Southwest China. Participants completed validated measures including the Negative Acts Questionnaire-Revised, Self-Rating Anxiety Scale, Self-Rating Depression Scale, and Simplified Coping Style Questionnaire. Data analysis employed Spearman's correlation and multiple linear regression. Results The mean scores indicated moderate exposure to workplace negative behavior (28.71 ± 6.10), with anxiety (44.02 ± 9.99) and depression (47.01 ± 10.69) levels approaching clinical significance. Regression analysis revealed that depression (β = 0.442, p < 0.001), anxiety (β = 0.229, p = 0.001), and positive coping strategies (β = 0.218, p = 0.002) were significant predictors, collectively explaining 34.3% of the variance. Professional attitude demonstrated the strongest correlation with exposure to workplace negative behavior (r = 0.399, p < 0.001). Conclusion The impact of workplace negative behaviors on nursing interns is substantially mediated through psychological distress, while coping strategies and professional attitude serve as important moderating factors. These findings suggest that healthcare institutions should implement integrated support systems incorporating mental health screening, resilience training, and professional identity development to mitigate adverse effects and promote successful transition to professional practice. Clinical trial number : not applicable.

AIMS:This study explores how workplace violence influences community nurses' job burnout, specifically identifying the chain-mediating role of perceived stress and job satisfaction in this relationship. BACKGROUND:Existing research highlights the negative impacts of workplace violence on nurses' physical health, mental well-being, and job attitudes. However, community nurses remain understudied, particularly regarding the sequential mediating roles of perceived stress and job satisfaction between workplace violence and burnout. METHODS:This cross-sectional study followed STROBE guidelines and recruited 814 community nurses from 75 communities in southwest China. Data were collected via Questionnaire Star using five validated instruments to assess job burnout, job satisfaction, workplace violence exposure, and perceived stress. Descriptive statistics and Pearson's correlations were analyzed using SPSS 26.0, while structural equation modeling tested the chain-mediating effects of perceived stress and job satisfaction in the workplace violence-burnout relationship among community nurses. RESULTS:Workplace violence was positively correlated with job burnout. Perceived stress and job satisfaction partially mediated this relationship and functioned as sequential mediators in the violence-burnout pathway. CONCLUSION:Workplace violence exacerbates community nurses' job burnout through a chain-mediating pathway involving elevated perceived stress and subsequent diminished job satisfaction. IMPLICATIONS FOR NURSING AND NURSING POLICY:Managers should prioritize workplace violence against community nurses by enhancing violence prevention training to improve staff's risk assessment and emergency response skills. Additionally, standardized violence reporting systems, trauma assessment protocols, workplace environment improvements, and psychological support mechanisms should be established to create a comprehensive prevention-response framework.

AimTo retrieve, analyse and summarize the relevant evidence on the prevention and management of bladder dysfunction in patients with cervical ancer after radical hysterectomy.DesignOverview of systematic reviews.Methods11 databases were searched for relevant studies from top to bottom according to the '6S' model of evidence-based resources. Two independent reviewers selected the articles, extracted the data and appraised the quality of the included reviews based on different types of evaluation tools.ResultsA total of 13 studies were identified, including four clinical consultants, four guidelines, four systematic reviews and one randomized controlled trial. 29 best evidence were summarized from five aspects, including definition, risk factors, assessment, prevention and management.

Objectives: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) and transumbilical laparoendoscopic single -site surgery (LESS) have shown the prospection as minimally invasive procedures. Here we aimed to compare ovarian cystectomy assisted by vNOTES and by LESS for ovarian mature cystic teratoma (OMCT). Material and methods: A total of 81 premenopausal women with OMCT were randomized to undergo ovarian cystectomy assisted by either vNOTES (n = 41) or LESS (n = 40). The main outcome was the operative time. Secondary outcomes included the length of hospital stay, visual analog scale (VAS) pain scores, abdominal contamination by teratoma contents, and intraoperative and postoperative complications. Results: There were no intergroup differences in age, body mass index, tumor size, or bilaterality of tumor. The operative time for the vNOTES group was significantly shorter than that for the LESS group (68.41 +/- 20.92 min vs 85.05 +/- 32.94 min, p = 0.008). The highest VAS pain score 24 hours postoperatively was 1.21 +/- 0.48 in the vNOTES group and 2.43 +/- 0.57 in the LESS group (p < 0.001). Twenty-four of the 40 patients in the LESS group experienced teratoma rupture intraoperatively, leading to abdominal contamination by the teratoma content, while 5 abdominal contamination was observed in the vNOTES group (p = 0.005). No significant differences between the two groups were observed in the other outcomes. Conclusions: vNOTES assisted ovarian cystectomy has short operative time, fast recovery, no scarring, less pain, and low rate of abdominal contamination. Consequently, vNOTES might be superior to LESS for treating OMCTs.

Background: Although workplace violence is prevalent in the healthcare system, the relationship between workplace violence, job satisfaction, and burnout among healthcare workers (HCWs) in mobile cabin hospitals in China during the COVID-19 pandemic has not yet been investigated. This study analyzes the mediating effects of perceived stress and work environment in the relationship between workplace violence, job satisfaction, and burnout. Methods: A cross-sectional study was conducted in December 2022 on 1,199 frontline HCWs working in mobile cabin hospitals in Chongqing, China, during the COVID-19 pandemic. Multiple linear regression and mediation analysis were performed. Results: A positive correlation was observed between workplace violence and burnout (r = 0.420, P < 0.01) and perceived stress (r = 0.524, P < 0.01), and a negative correlation was observed with job satisfaction (r = -0.254, P < 0.01). The perceived stress was positively correlated with burnout (r = 0.528, P < 0.01) and negatively with job satisfaction (r = -0.397, P < 0.01). Job satisfaction was negatively correlated with burnout (r = -0.300, P < 0.01). Perceived stress plays a significant mediating role between workplace violence and job burnout and between workplace violence and job satisfaction. The work environment has a significant moderating effect between workplace violence and job burnout and between workplace violence and job satisfaction. Conclusion: To reduce burnout among HCWs, hospital administrators should focus on reducing the incidence of workplace violence and perceived stress from work and on improving the work environment and job satisfaction.

Background: Bladder dysfunction is a common complication following radical hysterectomy, affecting patients' QOL. Exploring interventions, particularly IC continuity care, is crucial for identifying strategies to enhance postoperative outcomes. This study aimed to assess the impact of continuous intermittent catheterization (IC) care on bladder function recovery and quality of life (QOL) in patients undergoing radical hysterectomy for cervical cancer. Methods: The primary outcome measured was the time to bladder function recovery, with secondary outcomes comprising EORTC QLQ-C30 assessments at 3 and 6 months post-surgery, as well as EORTC QLQ-CX24 evaluations. Meanwhile, urinary complications, readmissions, and outpatient follow-up were also compared. Results: Among the 128 participants, with 64 in each group, indwelling catheterization durations were similar. However, the IC continuity care group exhibited significantly shorter IC duration and bladder recovery time. This group demonstrated superior QOL, lower occurrence rates post -IC, reduced urethral injuries, and higher readmission and outpatient follow-up rates. Conclusion: This study underscores continuous IC care emerges as a beneficial intervention, facilitating accelerated bladder function recovery and improved QOL in patients following radical hysterectomy for cervical cancer.

To investigate the classification of anxiety based on potential category analysis in gestational diabetes mellitus (GDM) patients and the associated factors. This questionnaire-based, cross-sectional study was conducted on GDM patients admitted to a Grade III-A general hospital using convenience sampling between March and November 2021. Latent class analysis was utilized for classification. Multivariate logistic regression analysis was performed to identify factors associated with anxiety. A total of 215 valid questionnaires were collected, yielding a response rate of 99%. GDM patients were classified into 4 potential categories: low anxiety (54%), high anxiety (21%), worried about the fetus (11%), and worried about delivery (14%). Multivariate logistic regression analysis showed that, compared with low anxiety, education level, family history of diabetes, blood glucose changes, delivery mode schedule, knowledge score of GDM, and marital relationship scale score were independently associated with anxiety (P < .05). The number of births, education level, blood glucose changes, delivery mode schedule, and marital relationship scale score were independently associated with being worried about the fetus (P < .05). Education level, family history of diabetes, blood glucose changes, delivery mode schedule, knowledge score of GDM, and marital relationship scale score were independently associated with being worried about delivery (P < .05). Anxiety in GDM patients was categorized by latent class analysis into low anxiety (54%), high anxiety (21%), worried about the fetus (11%), and worried about delivery (14%). Education level, family history of diabetes, blood glucose changes, delivery mode schedule, GDM knowledge score, and marital relationship scale score might be associated with anxiety.

Objective:To construct the evaluation index system of core competence of specialized gynecological nurses, and to provide reference for the curriculum setting and effect evaluation of standardized training for specialized gynecological nurses.Methods:The draft evaluation index system was prepared through literature research and group discussion. From May to June 2021, two rounds of Delphi letter consultation was used among 18 experts, to complete the selection and modification of evaluation index, and to determine the index weight.Results:The effective response rate of the two rounds of Delphi expert consultation was 100%, the expert authority coefficient was 0.938, and the Kendall harmony coefficient of the two rounds of expert letter consultation was 0.117 and 0.304, respectively (both P<0.01). Finally, the evaluation index system of core competence of specialized gynecological nurses was formed, including 4 first-level indexes, 11 second-level indexes and 48 third-level indexes. Conclusions:The evaluation index system of core competence of specialized gynecological nurses established in this study is scientific and reliable, which can provide reference for the curriculum setting and effect evaluation of standardized training for specialized gynecological nurses.

Background The number of people living with HIV (PWH) aged 50 and above is increasing. The question of care among older PWH (aged ≥ 50 years) is an increasing concern. Understanding the care preference of older people can better provide care services for them. The purpose of this study was to investigate the care preference (home-based care, self-care, institutional care, community-based care, and mutual-aid care) among older PWH and identify the factors affecting their care preference. Methods A cross-sectional survey was conducted among older PWH (aged ≥ 50 years) about care preference from May to November 2021. We enrolled 319 participants using convenience sampling. We designed a questionnaire to assess the care preference of older PWH. The Chi-square test and Fisher’s exact test were used to conduct univariate analysis of care preference. Multinomial logistic regression was used to identify factors influencing care preference. Results Most older PWH (72.7%) preferred home-based care, and few (15.7%) preferred self-care. Fewer older PWH preferred community-based care (5.3%), institutional care (5.0%) and mutual-aid care (1.3%). Multivariate analysis showed that older PWH with a house, spouse and more children were more inclined to choose home-based care ( p < .05). Older PWH living alone, having higher monthly income and higher HIV stigma preferred to choose self-care ( p < .05). Conclusion Home-based care was the most preferred model of older PWH, and self-care ranked second. The number of those who preferred institutional care, community-based care and mutual-aid care were few. Nation and government should take measures to allocate care resources for older adults reasonably to better meet the care needs of older PWH. It is important to strengthen social security, reduce internalized HIV stigma, improve social support, and explore diversified care models for improving the quality of life of older PWH.

678 community medical staffs from 75 community health service centers in the main urban area of Chongqing City were investigated by convenience sampling method and self-designed questionnaire on the ability of community medical personnel to respond to public health emergencies.The survey shows that the emergency rescue abilities of community medical personnel in response to public health emergency need to be improved.Community health service center managers and relevant departments should develop scientific,reasonable,and effective response strategies to improve the overall emergency rescue abilities of community health service centers,thereby reducing the losses and casualties caused by public health emergency to the country and community residents.

Objective:To investigate the emergency rescue ability of community nurses in the network information age,analyze the reasons and put forward countermeasures.Methods:The convenience sampling method and self-de-signed questionnaire were used to investigate 531 community nurses in 75 community health service centers in Chongqing.Results:The total score of emergency rescue ability of community nurses was(142.37±6.84)points.The scores of the four dimensions from high to low are professional quality,emergency response ability,professional ability and emergency response knowledge.The results of linear regression analysis showed that education background,pro-fessional title,working years and whether to participate in the emergency rescue training of public health emergencies were the factors affecting the emergency rescue ability of community nurses in response to public health emergencies.Conclusion:The emergency rescue ability of community nurses in the network information age is at a medium level.The management department of community hospital should combine modern network information technology to formulate systematic,comprehensive and practical countermeasures.In order to improve the overall emergency rescue ability of community nurses,reduce the loss and casualties of public health emergencies to community residents and the country.

目的 了解疫情常态化期间护工在照护老年人过程中的真实体验和心理感受,为进一步规范护工照护行为,改善现状、提升照护能力提供依据.方法 2020年7月1日至8月15日依据诠释性现象学研究方法对重庆市某三甲综合医院老年病科9名护工进行半结构式访谈,采用Van Manen分析方法进行分析.结果 针对护工照护老年住院患者的工作体验和感受提炼出矛盾的真实体验和感受、多重角色的调和、职业发展需求3个主题,第1个主题包含负性体验、积极照护感受2个亚主题;第2个主题包含与医务人员的互补关系、与患者家属的雇佣关系、与老年患者的陪伴关系、与家人的亲情关系4个亚主题;第3个主题包含加强培训、优化管理模式2个亚主题.结论 护工这个特殊的群体是介于医务人员、老年人及患者家属之间的照护力量,医疗机构应规范护工的管理制度,明确准入标准,加强培训,为老年护理事业的发展提供保障.

目的 分析间歇导尿相关研究现状与热点.方法 计算机检索 web of science 核心合集和中国知网中的间歇导尿相关文献,检索时间为 1999 年 1 月 1 日-2022 年 8 月 20 日.采用Cite Space 6.1.3 R 1 对检索结果进行分析.结果 经筛选共纳入间歇导尿相关文献 1 792 篇,其中,中文文献 1 010 篇,英文文献 782 篇,近 10 年来,间歇导尿相关研究文献发文量呈递进式上升.国内外研究热点主要为间歇导尿的膀胱管理,并发症管理和间歇导尿的康复管理.结论 间歇导尿相关研究已受到越来越多的学者关注,并形成多个研究热点,但仍具有很大的研究前景,间歇导尿的延续性管理是近年来国内外学者的研究热点.我国护理研究者可在前期研究基础上进一步探讨,加强跨领域跨机构间的交流与合作,从而优化和完善间歇导尿的相关研究,为临床提供借鉴.

ObjectiveTo analyze the influencing factors of the perimenopausal syndrome in clinical nurses，construct a risk prediction model，and provide a tool for early prediction of the risk of the perimenopausal syndrome in clinical nurses.MethodsA total of 933 clinical nurses from primary，secondary，and tertiary hospitals in Chongqing were selected from August to December 2020 as the research subjects by using the stratified random sampling method.The Logistic regression model was used to screen out the independent influencing factors of the perimenopausal syndrome；R software was used to establish a histographic model and validate it.ResultsThe incidence of perimenopausal syndrome among clinical nurses was 70.95%.The Logistic regression model showed that age，chronic disease，weekly exercise，menopause，family function，basic security，and sufficient manpower were independent influencing factors of the perimenopausal syndrome.According to the 10⁃fold cross⁃validation，the prediction accuracy of the training set and validation set were 69.04% and 68.65%，respectively，and the model was relatively stable.The C⁃index of nomogram model in predicting perimenopausal syndrome was 0.712，which had good discrimination.ConclusionsThe clinical nurses' perimenopausal syndrome risk prediction model could better predict the risk of clinical nurses' perimenopausal syndrome and provide a more accurate decision⁃making basis for early prevention.

目的:分析临床护士发生围绝经期综合征的影响因素,构建风险预测模型,为早期预测临床护士围绝经期综合征的发生风险提供工具.方法:采用分层随机抽样方法,于2020年8月—12月抽取重庆市一级医院、二级医院、三级医院共933名临床护士,作为研究对象,通过Logistic回归模型筛选围绝经期综合征的影响因素,运用R软件建立列线图模型并验证.结果:临床护士围绝经期综合征发生率为70.95％.Logistic回归模型显示,年龄、是否患有慢性病、每周运动情况、绝经、家庭功能、基本保障情况、充足的人力是围绝经期综合征的独立影响因素.十折交叉验证显示,训练集和验证集的预测准确率分别为69.04％和68.65％,模型较稳定;列线图模型预测围绝经期综合征的C-index为0.712,区分度较好.结论:临床护士围绝经期综合征风险预测模型能较好地预测临床护士围绝经期综合征的发生风险,为早期预防提供较为准确的决策依据.

目的:构建线上线下相结合的妇科专科护士培养方案,为我国妇科专科护士的培养提供参考.方法:以岗位胜任力为理论基础,运用文献研究法、专家会议法和专家函询法,确立妇科专科护士的培养内容、方式以及学时数.结果:两轮专家函询的有效问卷回收率分别为94.74％和100.00％,专家权威系数为0.938和0.957,肯德尔协调系数分别为0.199和0.226,最终确定的妇科专科护士培训课程内容包括专业知识、专业技能、专业能力和职业特质4项一级条目、17项二级条目、43项三级条目,共127学时.培养方式包括学习形式、教学形式和考核形式.结论:本研究所构建的妇科专科护士培训方案科学、可靠,可为我国妇科专科护士的培养提供参考.

针对两例典型的胰岛素注射液用药错误不良事件进行根本原因分析并予以改进.通过实施基于Team-STEPPS建立的胰岛素模块化教学体系,优化医嘱处理流程,将皮下注射的胰岛素按高警示药品监管,对患者加强健康教育及效果评价等,类似不良事件未再次发生.

Objective:To explore the application of mixed teaching mode based on small private online course (SPOC) and interactive tool in course of obstetric and gynecological nursing bilingual education.Methods:Nursing undergraduates from Batch 2018 of Chongqing Medical University were recruited in the study, with 336 students in the intervention group and 332 students in the control group. Mixed teaching method based on the SPOC and interactive tool was used for teaching in the intervention group, and traditional teaching methods were used in the control group. At the end of the course, formative evaluation indicators, such as students' academic performance, online study and students' classroom performance were compared between the two groups. SPSS 26.0 was used to perform t test and chi-square test of the data. Results:The final scores of the intervention group were (67.84±8.65) points, compared with the control group [(66.50±7.29) points]; the bilingual section scores of the intervention group were (5.32±1.90) points, compared with the control group [(4.95±1.92) points], with statistically significant differences between the two groups ( P<0.05). The online study and students' classroom performances of the intervention group were better than those of the control group ( P<0.05). Most students of the intervention group believed the mixed teaching method based on the SPOC and interactive tool could develop the ability of autonomous learning, improve the professional achievement and enhance the level of English. Conclusion:The mixed teaching method based on the SPOC and interactive tool can develop the students' ability of autonomous learning and enhance the teaching effect.