BackgroundThe demanding nature of modern healthcare systems is associated with substantial fatigue and stress among clinical nurses; however, the joint associations of mental health promotion and sleep concerns with fatigue and stress among nurses remain to be elucidated.MethodsA multicenter cross-sectional survey was conducted among clinical nurses from three tertiary hospitals in Anhui Province, China. Mental health promotion, sleep concerns, fatigue, and perceived stress were assessed using the Mental Health Promotion Scale, the Anxiety and Preoccupation about Sleep Questionnaire, the Multidimensional Fatigue Inventory, and the Chinese version of the Perceived Stress Scale, respectively. The complex relationships among these variables, and characterizations of different subgroups, were studied using network analysis and latent profile analysis.ResultsAll 352 distributed questionnaires were returned, of which 338 valid questionnaires were included in the analysis. Network analysis showed that certain dimensions of mental health promotion (values, personal development, and friendship) were negatively correlated with both fatigue and stress, while sleep concerns, particularly sleep-related preoccupation, were positively correlated with fatigue and stress. Within the network, values showed the highest strength centrality. Physical fatigue, tension, and sleep-related preoccupation were key bridging nodes connecting different construct communities. Latent profile analysis identified three statistically derived fatigue/stress profiles: low fatigue/low stress (n = 33), moderate fatigue/high stress (n = 241), and high fatigue/high stress (n = 64).ConclusionMental health promotion showed a negative association with fatigue and stress among clinical nurses, with values representing a core dimension of mental health resources. Furthermore, sleep-related preoccupation was observed as a bridging node between psychological and physical dimensions. These findings identify occupational values, physical fatigue, tension, and sleep-related preoccupation as candidate constructs for evaluation in future longitudinal and intervention studies.

To examine whether digital health literacy, chronic disease self-efficacy, and psychological distress mediate the relationship between social support and self-management behavior in older adult patients with chronic diseases. Using convenience sampling, we surveyed 536 older adult patients with chronic illnesses from three tertiary hospitals in Anhui Province between October 2023 and May 2024. Instruments included a demographic questionnaire, Digital Health Literacy Scale, Social Support Rating Scale, Brief Symptom Rating Scale, Chronic Disease Self-Efficacy Scale, Chronic Disease Self-Management Study Scale, and the age-adjusted Charlson Comorbidity Index. The average self-management score was 20.87 ± 10.37. Self-management behavior was positively correlated with social support, digital health literacy, and self-efficacy (r = 0.391, 0.536, 0.423; all P < 0.01), and negatively correlated with psychological distress (r = − 0.265, P < 0.01). Social support had a significant total effect on self-management (P < 0.001; 95

Background:With the rapid aging of the global population and the continuous increase in the incidence of chronic diseases among the older adult, self-management activation has become a key factor in improving patients' quality of life. This study examines the relationship between social support and self-management activation in older adult patients with chronic diseases, with a focus on the mediating roles of illness acceptance and fatigue within this framework. Methods:A convenience sampling method was employed to recruit 317 older adult patients with chronic diseases from three communities in Hefei, Anhui Province, China, between August and November 2023. Data collection involved the use of a general information questionnaire, the Illness Acceptance Scale, the Self-Rating Social Support Scale, the Chinese version of the Multidimensional Fatigue Inventory, and the Public Health Activation Index Scale. The influencing factors were examined through independent t-tests, one-way ANOVA, and Pearson correlation analysis in SPSS 26.0. Additionally, a structural equation model (SEM) in AMOS 26.0 was employed to evaluate the possible mediating roles of acceptance of illness and fatigue in the connection between social support and self-management activation. Results:A strong positive relationship was observed between social support, acceptance of illness, and Self-management activation (r = 0.615 and 0.787, p < 0.01). In contrast, a significant negative correlation was observed between fatigue and self-management activation (r = -0.695, p < 0.01). Further analysis using structural equation modeling (SEM) demonstrated that the model exhibited a good fit (RMSEA = 0.076, p < 0.05). The results indicated that acceptance of illness and fatigue significantly mediate the connection between social support and self-management activation. Mediation effect analysis revealed that the direct impact of social support, acceptance of illness, and fatigue on self-management activation accounted for 24.2% of the overall effect. In comparison, the indirect effects made up 75.8%. Conclusion:This study demonstrates that the Self-management activation of older adult adults with chronic conditions is generally low and may be influenced by various individual and environmental factors. The findings highlight that enhancing acceptance of illness and alleviating fatigue symptoms are crucial intervention strategies to improve Self-management activation, particularly for patients with low levels of social support.

Background:Cardiac rehabilitation (CR) interventions for patients with coronary heart disease are increasingly adopted. However, research on the integration of digital health technologies into CR for patients with unstable angina (UA) undergoing percutaneous coronary intervention (PCI) remains limited. Objective:This study assessed the effectiveness of a multidimensional digital CR program for patients with UA undergoing PCI. Methods:This prospective study enrolled 164 patients with UA who underwent PCI between April and June 2022. Patients were assigned to either the usual care group (April-May 2022) or the multidimensional digital CR intervention group (May-June 2022). The intervention group received rehabilitation through a nurse-led, multidisciplinary team, using a customized digital CR program. This program encompassed 7 key rehabilitation components: exercise, medication management, nutritional guidance, psychological support, sleep management, health education, and smoking cessation assistance. The usual care group received standardized treatment and routine nursing care. To minimize selection bias, propensity score matching was applied between the 2 groups. The primary outcomes included changes in the 6-minute walk test (6MWT), 12-item Short Form Health Survey (SF-12) scores, and frailty phenotype scores at 3 months. Secondary outcomes assessed differences in gait speed, 30-second chair stand test (30-s CST), grip strength, waist circumference (WC), BMI, and lipid profiles at 3 months. Results:A total of 136 patients were included in the final analysis. At 3 months, the intervention group demonstrated significant improvements in frailty status compared to the control group. The proportion of prefrail patients decreased from 100% (68 patients) to 75% (51 patients), while nonfrail patients increased from 0% to 25% (17 patients; P<.001). Regarding physical fitness, the intervention group exhibited improvements in 6MWT: from 347.06 (SD 32.43) to 375.22 (SD 29.71) m (P<.001); gait speed: from 0.87 (SD 0.17) to 1.05 (SD 0.14) m/s (P<.001); and 30-s CST: from 10.0 (SD 1.89) to 12.71 (SD 1.97; P<.001). Grip strength, BMI, and WC improved significantly in the intervention group. Grip strength increased from 16.64 (SD 6.57) to 20.74 (SD 5.37; P<.001). BMI decreased from 25.74 (SD 3.05) to 23.88 (SD 2.14; P<.001), and WC decreased from 94.98 (SD 7.87) to 89.91 (SD 7.50) cm (P<.001). The intervention group achieved greater improvements in lipid profiles, with significant reductions in total cholesterol (P<.001), triglycerides (P<.001), and low-density lipoprotein cholesterol (P<.001), while high-density lipoprotein cholesterol remained stable (P=.45). Conclusions:This study demonstrates that a novel multidimensional digital CR program is acceptable and effective in improving functional status and health-related quality of life in patients with UA undergoing PCI within a short timeframe.

PURPOSE:Breast cancer has become a stressful event that endangers the physical and mental health of women and their families. Post-traumatic growth refers to the positive psychological changes individuals experience as a result of coping with breast cancer. It can help individuals alleviate negative emotions, reduce physical and psychological stress, and increase self-confidence. The purpose of this study is to explore the influencing factors in the post-traumatic growth journey of couples where one partner has breast cancer and to provide reference information for the clinical development of dyadic interventions for couples. METHODS:Using phenomenological research, semi-structured interviews were conducted with 13 pairs of breast cancer patients and their spouses through a purposive sampling method, and the Colaizzi 7-step analysis approach was used to analyze the transcribed materials. RESULTS:A total of three themes and nine subthemes were distilled. The most significant facilitators of post-traumatic growth included multiple support systems, psychological adjustment in social interaction, and personal strength enhancement. Additional adaptive regulatory factors for post-traumatic growth included reconstruction of healthy behaviors and selective avoidance of negative information. The key obstacle factors of post-traumatic growth included multiple pressure challenges, family and social alienation, insufficient health literacy related to cancer, and distressing chemotherapy-related symptoms. CONCLUSIONS:The post-traumatic growth of breast cancer patients and their spouses is dynamically interacted with and influenced by facilitator factors, obstacle factors, and adaptive regulatory factors. Medical staff can formulate dyadic intervention strategies for the post-traumatic growth of couples based on influencing factors, aiming to improve the physical and mental health of both.

ObjectiveTo explore latent profiles of self-management behaviors in older adult patients with chronic diseases and identify the factors that influence different profiles, guiding targeted interventions.MethodsThis study used convenience sampling to recruit 536 older adult patients with chronic diseases from three tertiary hospitals in Anhui Province between October 2023 and May 2024. Data were collected using a general information questionnaire, the age-adjusted Charlson Comorbidity Index (aCCI), the Chronic Disease Self-Management Behavior Scale, the Chronic Disease Management Self-Efficacy Scale, the Psychological Status Scale, the Digital Health Literacy Scale, and the Social Support Scale. Latent profile analysis was conducted using Mplus 8.3, and univariate and multivariate logistic regression analyses were performed using SPSS 26.0.ResultsThree profiles of self-management behaviors emerged: “Low Self-Management” (50.2%), “High Exercise and Cognitive Management” (8.6%), and “Moderate Management with Enhanced Communication” (41.2%). Multivariate logistic regression revealed that residence, aCCI, number of digital devices used, perceived usefulness of digital health information, digital health literacy, social support, chronic disease management self-efficacy, and psychological status were significant factors affecting self-management profiles (all p < 0.05).ConclusionSelf-management behaviors in older adult patients with chronic diseases were generally low, with substantial heterogeneity across profiles. Healthcare providers should tailor interventions based on the characteristics of each group to enhance self-management in digital health contexts.

The prevalence of aortic valve stenosis is on the rise, primarily due to an aging population. Transcatheter Aortic Valve Replacement (TAVR) has emerged as an effective treatment option, especially for patients at high surgical risk. However, the variation in post-TAVR quality of life across patient groups warrants further examination to understand the contributing factors. This study aims to evaluate the quality of life in patients post-TAVR, characterize distinct patient group profiles, and identify key factors that influence their quality of life. From July 2023 to September 2024, 215 TAVR patients were recruited via convenience sampling. Data on sociodemographics and quality of life were gathered using the TAVR-specific quality of life scale. Latent variable growth modeling helped identify quality of life categories and predict influencing factors. Three categories of TAVR patients were identified based on quality of life: the “High quality of life—high health status” group, the “Medium quality of life—intermediate health” group, and the “Low quality of life—low health status” group. Logistic regression analysis revealed that sleep quality, self-efficacy, and performance on the 30-s chair sit-to-stand test were significant predictors of quality of life. There is considerable variability in the quality of life among TAVR patients. Tailored health management strategies based on specific patient profiles can potentially improve outcomes in these populations.

IntroductionPost-traumatic growth is the positive psychological changes that an individual may undergo after coping with traumatic events. It can help individuals alleviate negative emotions, reduce physical and mental stress, and enhance self-efficacy. This study aims to characterize the latent profiles of spouses’ post-traumatic growth and to explore the related factors for each subgroup based on the ABC-X model.Methods210 breast cancer couples participated in the survey through convenience sampling and completed the General Information Questionnaire, Post-Traumatic Growth Inventory, Dyadic Coping Inventory, and Resilience Scales.ResultsLatent profile analysis revealed three distinct post-traumatic growth profiles among breast cancer patients’ spouses: low growth-emerging edge group (30.9%), medium growth-moderate progress group (48.7%), and high growth-transcending self group (20.3%). Multivariate logistic regression showed that factors influencing post-traumatic growth in spouses with breast cancer include type of place of residence, resilience, negative coping styles, the number of chemotherapy treatments for the patient, and cancer stage.ConclusionThere is significant heterogeneity in post-traumatic growth among spouses. Future research could utilize precise psychological interventions to improve post-traumatic growth based on the diverse psychological profiles of spouses, thereby enhancing the mental health of the spousal population.

Aim. To explore potential resilience and psychological flexibility patterns in nurses and analyze the effects of related factors such as growth mindset and professional recognition of categories. Background. Resilience and psychological flexibility can help nurses resist occupational pressure and play essential roles in promoting personal growth and professional development. Methods. A latent category approach was used to examine the patterns of heterogeneity in resilience and flexibility among 805 nurses. Differences in the influences related to resilience and flexibility were analyzed using univariate and multivariate logistic regressions, with demographic information, growth mindset, and career recognition as covariates. Results. Participants were divided into three potential categories: toughness-flexible (32.8%), power-deficit-emotional (23.1%), and toughness-rigid (44.1%). The results of multivariate logistic regression analysis showed that monthly income, mode of employment, growth mindset, and professional identity were influential factors in the potential categories of nurse resilience and flexibility. Conclusion. One cohort of nurses had high resilience and low flexibility, and psychological rigidity was related to the fact that the monthly income was less than RMB 5,000 and the contractual mode of employment. An excellent growth mindset and a high professional identity indicate that nurses are resilient and flexible. Implications for Nursing Management. Hospitals and nursing managers should pay attention to nurses’ different career development needs and implement appropriate safeguards.

Based on a dyadic perspective, the interaction between two variables of dyadic coping and post-traumatic growth in couples with breast cancer is explored, which facilitates an empirical basis for healthcare professionals to develop an intervention program to improve psychological care and quality of life for breast cancer couples. Two hundred ten pairs of breast cancer couples attending the department of surgical oncology of a hospital affiliated with Bengbu Medical University from July to December 2023 were surveyed through a cross-sectional method. Both breast cancer couples’ completed questionnaire data were investigated using the General Information Questionnaire, the Dyadic Coping Inventory, and the Post-Traumatic Growth Inventory. Investigating the connection between post-traumatic growth and dyadic coping in patients and partners using an actor-partner interdependence model. Breast cancer patients had higher dyadic coping scores (118.32 ± 12.10) than their spouses (117.76 ± 11.93); post-traumatic growth scores (65.30 ± 10.24) were significantly higher than their spouses (62.11 ± 10.30). In breast cancer couples, positive dyadic coping positively predicted post-traumatic growth in both themselves and their partners (P < 0.001). Patients’ and spouses’ negative dyadic coping had a negative effect on their post-traumatic growth. Dyadic coping is an important correlate of post-traumatic growth in spouses and patients with breast cancer. Accordingly, healthcare professionals can incorporate dyadic coping into family-wide dyadic interventions that enhance the couple's post-traumatic growth and life quality.

目的:选取蚌埠市3 所三级甲等医院护士为研究对象,探讨应对方式在反刍思维与工作压力中的中介作用.方法:采用线上问卷调查的方法,使用一般资料调查表、护士工作压力源量表、简易应对方式问卷(SCSQ)、反刍思维量表(RRS)对蚌埠市3 所三级甲等医院的532 名护士进行问卷调查,最终回收500 份有效问卷.结果:临床护士反刍思维、积极应对方式、消极应对方式及工作压力量表平均得分分别为(42.87±9.65)分、(35.56±7.29)分、(18.72±4.25)分、(64.41±19.68)分.护士反刍思维总分与工作压力总分呈正相关(r =0.482,P<0.01),与应对方式中积极应对维度得分呈负相关(r =-0.206,P<0.01),与消极应对维度得分呈正相关(r =0.413,P<0.01);工作压力总分与积极应对维度得分呈负相关(r =-0.204,P<0.01),与消极应对方式维度得分呈正相关(r =0.271,P<0.01).反刍思维能直接作用于护士工作压力(β = 0.431,P<0.01),也可通过积极应对方式和消极应对方式作用于工作压力(β =0.031、0.060,P<0.01).结论:护士反刍思维与工作压力呈正相关,可增加护士工作压力,应对方式在反刍思维与工作压力间起中介作用.

目的:探讨三甲医院临床护士情绪智力和反刍思维之间的关系.方法:采用整群抽样的方法,选取护士情绪智力量表和反刍思维量表对蚌埠市两所三甲医院 811 名临床护士进行问卷调查.结果:811 名临床护士情绪智力总均分为(4.926±0.900)分,整体水平较高,反刍思维总均分为(1.938±0.541)分,整体水平中等偏下,情绪智力及其维度评分与反刍思维及其维度评分之间均呈负相关(P<0.01),自我情绪评价和情绪控制能够解释反刍思维7.5%的变异性.结论:临床护士情绪智力越高,反刍思维水平越低,反刍思维可以由自我情绪评价和情绪控制来进行预测.

目的 探索基于格林模式的糖尿病管理教育项目对提高实习护生糖尿病管理能力的效果.方法 采用便利抽样法抽取2020年8月—2021年12月在某医院实习的180名护生,采用随机数字表法将实习护生分为格林组和对照组,每组各90人,格林组采用以格林模式为框架构建的培训方案,对照组采用常规的路径式培训方案,对2组实习护生进行糖尿病相关知识以及技能的培训.比较培训前和培训1个月后2组实习护生的糖尿病理论知识、一般自我效能、血糖监测技能、胰岛素注射技能的得分情况.结果 培训1个月后2组实习护生的糖尿病理论知识、一般自我效能、血糖监测技能、胰岛素注射技能得分均较培训前提高(均P＜0.01),格林组实习护生得分高于对照组[糖尿病理论知识得分:(86.91±4.45)分vs.(75.24±7.09)分;一般自我效能得分:(3.14±0.41)分vs.(2.81±0.47)分;血糖监测技能得分:(95.81±1.87)分vs.(92.62±2.95)分;胰岛素注射技能得分:(93.69± 4.11)分vs.(90.23±3.90)分],差异有统计学意义(均P＜0.01).结论 以格林模式为理论框架的糖尿病管理教育项目提高了实习护生的糖尿病理论知识和自我效能水平,规范了血糖监测和胰岛素注射行为,提高了糖尿病管理能力.

目的:探讨协同护理指导下积极心理干预联合渐进性肌肉松弛训练在甲状腺肿瘤病人围手术期中的应用.方法:采用非同期对照研究,便利选取淮北市某三级公立医院普外科2020年12月至2021年7月收治甲状腺肿瘤病人85例为观察组,2020年4-11月甲状腺肿瘤病人86例为对照组.其中观察组病人在协同护理指导下实施积极心理干预联合渐进性肌肉松弛训练,对照组实施普外科常规护理.比较2组病人并发症发生率,并采用心境状态量表评价2组病人干预前后心境状态,采用满意度问卷评价2组病人满意度.结果:观察组手术后并发症总发生率为7.06％(6/85),明显低于对照组的25.58％(22/86)(P<0.01).干预后观察组病人心境状态量表评分中紧张、愤怒、疲劳、抑郁、慌乱维度得分均明显低于对照组(P<0.01),而精力、自尊感维度得分均明显高于对照组(P<0.01).观察组病人的护理满意度明显高于对照组(P<0.01).结论:协同护理指导下积极心理干预联合渐进性肌肉松弛训练有助于减少甲状腺肿瘤病人术后并发症发生,改善病人不良心境状态,提高护理满意度.

AIM:We aim to explore the status of nurses' ethical behaviours in clinical practice and what contributes to nurses' unethical behaviours.BACKGROUND:Nurses' ethical behaviours strongly impact the nurse-patient relationship and the quality of nursing services. Therefore, we must understand the status of clinical nurses' ethical behaviours and the causes of nurses' unethical behaviours.METHODS:Focus group and in-depth semistructured interviews were conducted with 21 head nurses and nine nurses, respectively. The data were analysed by content analysis.RESULTS:The analysis revealed seven themes: lack of awareness of the protection of patients' privacy; violation of patients' autonomy; improper communication; failure to protect the patient's best interests; lack of moral emotion; lack of psychological care for special patients; and causes of unethical behaviour.CONCLUSIONS:The present situation of ethical nursing behaviour is not optimistic, and there are still many unethical nursing behaviours in clinical work. There are many reasons for unethical behaviours. Efforts should be made related to nurses, patients, workload, the ethical climate and rules and regulations to improve the situation.IMPLICATIONS FOR NURSING MANAGEMENT:Nursing managers can improve ethical behaviour by strengthening nurses' ethics studies, enhancing nurses' professional identity and social status, optimizing the allocation of nursing human resources, creating a good ethical climate and improving relevant rules and regulations.

目的:探讨"钉钉+MOOC+课堂教学混合教学模式"下医学生自主学习对混合学习满意度的影响机制.方法:构建"钉钉+MOOC+课堂教学混合教学模式"进行9周教学.教学任务完成后采用一般情况调查表、自主学习量表、混合学习交互量表、混合学习任务价值量表和混合学习满意度量表对236名医学生进行测量.结果:医学生自主学习及维度、混合学习交互及维度、混合学习任务价值和混合学习满意度等两两研究变量之问均呈正相关关系(r=0.388～0.982,P<0.01).结构方程模型结果显示,研究变量混合学习交互和混合学习任务价值在自主学习和混合学习满意度之问起到链式中介作用,拟合指数χ2/df=2.671,RMSEA=0.091,CFI=0.96,TLI=0.94,SRMR=0.041.在中介变量混合学习交互和混合学习任务价值的作用下,自主学习对学习满意度的直接效应值为0.208,总效应值为0.390,问接效应值0.182,问接效应占总效应比例为46.67％.结论:"钉钉+MOOC+课堂教学混合教学模式"在《社区卫生服务管理》教学中取得了较好的教学绩效,构建了影响混合学习满意度的结构方程模型,可在其他相关课程中推广.

目的 编制疫情常态化防控时期护士工作压力源量表,并检验其信效度.方法 通过质性访谈结合文献和已有量表形成条目池,经课题组逐条讨论形成初始量表.选取临床在职护士进行量表的测试,第一次测试数据(n=369)进行项目分析(使用了极端值法、相关系数法和内部一致性分析)和探索性因素分析(主成分最大变异法),第二次测试数据(n=851)进行验证性因素分析(构建结构方程模型)和信度检验.结果 疫情常态化防控时期护士工作压力源量表共保留70个条目,包含11个维度:工作要求、领导特点、经济因素、同事关系、职业发展、角色要求、个性特点、医护关系、医院环境、护患关系、家庭因素.各条目因素负荷量在0.536～0.821之间,累积方差贡献率为75.997％.验证性因素分析结果表明量表建构拟合度良好(x2/df=2.348,RMR=0.029,RMSEA=0.040,CFI=0.950,TLI=0.947,PGFI=0.767).总量表的 Cronbach's α 系数为 0.982,11 个维度的 Cronbach's α 系数在 0.774～0.968之间.结论 疫情常态化防控时期护士工作压力源量表具有良好的信度和效度,可用于测量常态化防控期间护士的工作压力水平.

目的:探讨伤口评估三角联合湿性敷料治疗结肠造口病人皮肤黏膜分离的临床效果.方法:选取Miles术后并发肠造口皮肤黏膜分离的病人70例,采用随机数字表法将其分为观察组34,对照组36例.对照组病人采取造口常规护理并且皮肤黏膜分离创面使用油纱条敷料填塞,观察组病人应用伤口评估三角联合湿性愈合敷料处理分离处伤口.比较2组病人的伤口愈合时间、平均换药次数、造口狭窄和造口周围皮炎的发生率,以及2组病人生活质量评分和对护理满意度的影响.结果:观察组病人伤口愈合时间显著短于对照组病人(P<0.01);伤口平均换药次数少于对照组(P<0.01);造口狭窄发生率低于对照组(P<0.01);造口周围皮炎发生率低于对照组(P<0.01);生活质量评分高于对照组(P<0.01);护理满意度高于对照组(P<0.05).结论:伤口评估三角联合湿性愈合敷料可以加速肠造口皮肤黏膜分离处创面的愈合,减少换药次数、减少医护工作量,减少造口狭窄和周围皮炎发生率,提高病人生活质量及满意度.

我国一直以来都是农业大国,有调查显示[1],在我国,急性农药中毒的发生率在所有急性中毒中排第2位,在我国三级医院救治的急性中毒病例中农药中毒排第1位.有机磷农药在我国农业生产中应用最为广泛,因此急性农药中毒又以急性有机磷农药中毒(acute organophosphorus pesticide poisoning,AOPP)居首位.有机磷农药毒性较大,发生急性中毒的患者如不及时救治,可危及生命,尽管近年来随着医疗技术的进步,AOPP患者病死率有所下降,但有报道显示某地区AOPP患者的病死率仍高达9.0％[2].科学合理的救护是AOPP患者生命安全的保障,现就当前AOPP患者的救治与护理现状进行综述,以为临床以及相关研究提供一些参考.

AIM:To explore the experiences of nurses' work stress related to COVID-19 regular epidemic prevention and control in China.BACKGROUND:The global COVID-19 epidemic is still severe, and China's ongoing regular epidemic prevention and control still cannot be relaxed, which places demands on nurses.METHODS:Thirty nurses and eight nurse managers were interviewed using semistructured in-depth interviews, and the data were analysed by the Colaizzi seven-step analysis method.RESULTS:Four themes were extracted as follows: environmental factors, organizational factors, personal factors and positive factors in coping with stress.CONCLUSIONS:Nursing managers should pay attention to construction of the first-line departments of regular epidemic prevention and control. The shortage of nurses' human resources and the increase of nurse-patient conflicts are problems that need to be solved urgently. In addition, this research also emphasizes the importance of promoting nurses' stress-related growth and thinking about the possibility of reform.IMPLICATIONS FOR NURSING MANAGEMENT:The construction of the hospital environment and increasing the resilience of nursing teams require attention. We should attach importance to the training of nurses' communication skills and provide sufficient organizational support and economic guarantees for nurses. Finally, perhaps we should also consider whether it is necessary to reform the relevant hospital systems and how to reform them.