Objective To identify the current status and associated factors of graduate nurses’ work readiness.Methods We recruited 628 nursing graduates by convenience sampling. A demographic questionnaire and the Chinese version of Work Readiness Scale for Graduate Nurses were utilized to collect data. Results The average work readiness score of graduated nurses was 262.20 ±44.97. Multiple linear regression analysis confirmed 6significant associated factors,including gender,education background,campus learning atmosphere,student cadre experience,voluntary choice of nursing profession,and changes in nurses’ professional identity,explaining 20.0% of the total variance. Conclusion The work readiness of graduate nurses needs to be strengthened,especially in the dimension of personal work characteristics. Nursing educators and hospital managers should pay attention to these associated factors to cultivate and recruit graduate nurses who have potentials for better career development.

Aims This study aimed to identify determinants of work readiness and to assess the influences of work readiness on work-related outcomes in graduate nurses. Background Higher work readiness facilitates smoother role transitions of new graduate nurses. However, determinants of work readiness had not been fully examined. In addition, the relationships between work readiness and work-related outcomes, such as coping self-efficacy and occupational commitment, are also crucial but had not been assessed. Methods We recruited 794 graduate nurses and assessed their work readiness before working as nurses. After they commenced their work, we assessed their occupational commitment, coping self-efficacy and intention to remain. All assessments were conducted online. Results There were 728 (92%) female respondents. The mean scores and standard deviation (SD) of work readiness, coping self-efficacy, occupational commitment and intention to remain were 261.51 (SD: 45.40), 30.30 (SD: 6.13), 81.65 (SD: 11.56) and 11.01 (SD: 2.36), respectively. Based on a regression analysis, determinants of work readiness were positive school climate, student leadership experience, nursing as the primary choice of discipline and perceived influences of COVID-19 on the honorability of being a nurse and the willingness to be a nurse (p < .001). Moreover, after adjusted by all demographics and characteristics variables, higher work readiness would result in higher coping self-efficacy (estimated coefficient = 0.06, p < .001), occupational commitment (estimated coefficient = 0.06, p < .001) and intention to remain (estimated coefficient = 0.01, p = .002). Conclusion Work readiness is a composite concept affected by psychosocial and environmental factors, which can predict new graduate nurses' future self-efficacy, occupational commitment and intention to remain. Implications for Nursing Management The management of new graduate nurses when they begin to work could target their work readiness. Transition programmes that consider our identified determinants can be provided to those who show lower work readiness.

Objective:To construct the global competency evaluation index system for nursing undergraduates of traditional Chinese medicine (TCM) specialty, so as to provide a theoretical basis for the training of nursing undergraduates of TCM specialty in colleges and universities in the future.Methods:Based on the program for international student assessment (PISA) global competency framework, 17 experts in related fields were selected, and the content and weight of evaluation indicators were determined through two rounds of Delphi expert consultation and analytic hierarchy process.Results:In two rounds of consultation, the positive coefficients of experts were all 100%, the authority coefficients were 0.888 and 0.882, respectively, and the Kendall's W were 0.429 and 0.454, respectively, and the differences were statistically significant ( P<0.001) . The final global competency evaluation index system of nursing undergraduates of TCM specialty included five first-level indicators, 15 second-level indicators, and 40 third-level indicators. Conclusions:The global competency evaluation index system of nursing undergraduates of TCM specialty is scientific, reasonable and highly reliable, provides a theoretical basis for future university training and curriculum settings, so as to adapt to the changing global health situation in the future.

Functional diarrhea (FD) is a common type of chronic diarrhea in children. Recurrent diarrhea can negatively impact children's quality of life and raise healthcare costs significantly. However, conventional treatments are ineffective and limited. Moreover, children with chronic conditions have poor medication compliance. Therefore, non-pharmacological and complementary treatments are urgently needed. In China, abdominal massage is widely used to treat diarrhea in children. Numerous clinical studies have verified its usefulness in treating gastrointestinal disorders as well. Nevertheless, its intrinsic mechanisms are still unclear, and the impact of massage direction on treatment effects has received less attention. In our study, we found that FD was not associated with pathogen infection. A dysbiosis of the intestinal microbiota and disruption of the intestinal barrier are most likely to cause FD. Moreover, this study also substantiates that abdominal massage can mitigate functional diarrhea by altering the intestinal microbiota structure and decreasing the number of bacteria that damage intestinal mucosal barriers. The reduction of Ruminococcus_torques_group and Clostridium_innocuum_group at the genus level potentially mediated the beneficial effects of abdominal massage on alleviating diarrhea. Furthermore, massaging from two different directions, clockwise (CW) and counter-clockwise (CCW) massage, would not significantly influence the effect of the massage on intestinal microbiota or tight junction proteins. In summary, abdominal massage is an effective complementary therapy for children suffering from functional diarrhea.

目的 了解类风湿关节炎(RA)患者电子健康素养与服药依从性的现状及其相关性,为制定提高患者服药依从性的干预措施提供理论依据.方法 采用风湿病用药依从性问卷和电子健康素养量表对2020年11月至2021年4月在广州中医药大学第一附属医院住院的167例RA患者进行调查.结果 64.1％的RA患者改善病情抗风湿药物(DMARDs)服药依从性高,35.9％患者服药依从性差;患者电子健康素养得分为(14.57±10.05)分;文化程度、医疗费用支付形式、病程时间、对RA疾病的重视程度均对服药依从性有影响(P＜0.05).Pearson相关性分析显示,患者电子健康素养总分与服药依从性总分呈正相关(r=0.26,P＜0.01).多元线性回归分析显示,患者服药依从性的主要影响因素是电子健康素养、病程时间、对疾病重视程度(P＜0.05,P＜0.01).结论 RA患者服药依从性和电子健康素养均较低,应加强对患者服药方面的健康教育,增强患者对疾病的重视程度,提高其电子健康素养水平,从而提高患者的服药依从性.

AIM:We aim to determine workplace bullying in relation to the professional quality of life of nurses and the mediating role of resilience between workplace bullying and the professional quality of life.BACKGROUND:Workplace bullying is an increasingly serious problem worldwide and deleteriously affects the occupational health and quality of life of nurses. However, it has not attracted adequate managerial attention.METHOD:A cross-sectional study was conducted using a sample of 493 clinical nurses from two tertiary grade A hospitals in Guangzhou, China. Data were collected through an online questionnaire survey in July 2020 and analysed with structural equation modelling.RESULTS:Workplace bullying had negative and direct effects on the professional quality of life of nurses. Resilience mediated the relationship between workplace bullying and the professional quality of life.CONCLUSION:Resilience is a protective factor that helps nurses cope with workplace bullying. Managers can improve the professional quality of life of nurses by reducing workplace bullying and strengthening the resilience of nurses.IMPLICATIONS FOR NURSING MANAGEMENT:Managers must take measures to prevent the workplace bullying of nurses. In addition, nurse supervisors should pay attention to the resilience of nurses and strengthen resilience training to help nurses withstand the pressure of workplace bullying and improve their professional quality of life.

Purpose: This study aimed to evaluate the global scientific output of research on pain catastrophizing and explore the hotspots and frontiers from 2010 to 2020 using bibliometric methods.Methods: Publications regarding pain catastrophizing published from 2010 to 2020 were extracted from the Web of Science Core Collection. CiteSpace was used to analyze the number of publications, countries, institutions, journals, authors, cited references, and keywords using standard bibliometric indicators.Results: A total of 1,576 publications on pain catastrophizing were retrieved from 2010 to December 31, 2020. The number and rate of the annual publications gradually increased totally. Pain (130) was the most productive journal. Meanwhile, Pain ranked first in the frequency (1,432) and centrality (0.31) of the cited journals. The most productive country and institution in this frequency field were the United States (642) and the University of Washington (73), respectively. Jensen MP (34) was the most prolific author, and Sullivan MJL (1,196) ranked first among the cited authors. In the ranking of frequency in the cited references, the first article was a critical review about pain catastrophizing published by Quartana (100). The keyword "Low back pain" had the highest frequency (556). "Total hip" was identified as a frontier research item for 2016-2020.Conclusion: The findings of this bibliometric study provide the current status and trends in the clinical research of pain catastrophizing and may help researchers to identify hot topics and explore new research directions in this field.

在中医饮食调护的"课程思政"的建设过程中,立足中医药优势特色,紧紧把握"立德树人"的中心环节,以树立学生家国情怀、坚定学生文化自信、孕育学生民族精神、培养学生感恩意识为出发点,把思想政治工作贯穿教育教学全过程,实现全程育人、全方位育人.

[目的]了解广东省农村老年脑卒中高危人群健康行为的影响因素.[方法]采用现象学研究法,对25例广东农村脑卒中高危人群进行深入访谈,进行归纳、演绎、提炼主题.[结果]提炼出家庭内部支持、以媒体为主的健康知识来源、不良体验、良好遵医行为4个促进因素,认知水平、畏惧心理、民俗文化、不信任社区健康教育4个阻碍因素.[结论]广东农村老年脑卒中高危人群健康行为受病人、家庭、基层医院、社会文化等多因素影响,研制适合农村地区文化的脑卒中宣教为研究重点.

[目的]了解农村居民脑卒中知信行现状并探讨其影响因素.[方法]采用方便取样法,自行设计问卷,对广东省农村居民的脑卒中知信行情况进行横断面调查,采用SPSS 22.0统计软件进行统计分析.[结果]共收集1065份有效问卷,广东省农村居民脑卒中知信行总分为(47.73±17.61)分,得分率为48.70％,处于中等水平.多重线性回归分析显示,性别、职业、学历、人均月收入及居住地是知信行总分的影响因素.[结论]广东省农村居民脑卒中知信行水平有待提高,特别是有关危险因素和发病征兆的知识;应进一步深入研究社会文化因素对农村居民脑卒中一级预防的影响机制,制定更有针对性的健康教育方案.