Background:Occupational burnout has an important impact on the physical and mental health of nurses, stability of the nursing team, and patient safety. As significant contributors to the effective operation of medical and health institutions, clinical nurses experience high occupational burnout because of the comprehensive effects of many factors, such as family and work pressures. Therefore, it is necessary to fully understand the factors associated with nurses' occupational burnout and their interrelationships, to support the development of targeted interventions to reduce occupational burnout among clinical nurses. Objective:To explore the relationship between work-family conflict, career calling, and occupational burnout among nurses. In addition, we studied whether career calling plays a mediating role between work-family conflict and occupational burnout. Methods:A cross-sectional survey was conducted with 1,145 nurses. Data were collected using a general information questionnaire, Work-Family Behavioral Role Conflict Scale, Career Calling Scale, and Maslach Burnout Inventory. Structural equation models were used to build the model. A STROBE checklist was used to report the results. Results:Nurses' occupational burnout was positively related to work-family conflict but negatively correlated with career calling. Meanwhile, career calling mediates the relationship between work-family conflict and occupational burnout. Conclusion:Nurses' career calling plays a mediating role in the relationship between work-family conflict and occupational burnout. The findings of this study can provide essential information to nursing managers to formulate targeted strategies to reduce occupational burnout among nurses.

BackgroundCurrently, nurses are under great pressure and prone to the effort-reward imbalance and presenteeism, which hinders the development of medical health and has gained insufficient attention. The objective of this study is to investigate the actual situation of the effort-reward imbalance and presenteeism for nurses, alongside the exploration of the relationships between them, which is aimed to provide guidance for the alleviation of presenteeism and improvement of nursing quality.MethodsThis study was a cross-sectional survey. From October to December 2024, a convenience sampling method was used to conduct a survey among 2,095 nurses from four hospitals in Sichuan Province, China. Data were collected through Questionnaire Star. The questionnaire was composed of general data, the effort-reward imbalance scale and the Stanford Presenteeism Scale. Data analysis was conducted using SPSS 26.0 statistical software, including descriptive statistics and Pearson correlation analysis.ResultsThe effort-reward imbalance score of nurses was (55.91 ± 8.32), in which 52.1% of nurses were in the effort-reward imbalance state, and 44.9% of nurses were in the high-overcommitment state. The presenteeism score of nurses was (16.82 ± 5.85). Besides, the presenteeism of nurses under the state of effort-reward imbalance was relatively higher than those with effort-reward balance (t = −43.30, P < 0.001), and the presenteeism of nurses with high-overcommitment was higher than others (t = −41.77, P < 0.001). Overall, effort-reward imbalance and presenteeism were positively correlated (r = 0.340, P < 0.001).ConclusionThe condition of effort-reward imbalance is serious among Chinese nurses, alongside the common presenteeism. Besides, effort-reward imbalance and presenteeism were positively correlated. Overall, it is recommended to alleviate the workload of nurses appropriately, alongside the improvement of their rewards and more attention to their physical and mental health.

BACKGROUND:Previous studies have confirmed the potential effectiveness of peer video feedback in the operational training of health care students. However, an appropriate theoretical framework to support peer video feedback has not been established. The cultural historical activity theory (CHAT) provides a suitable framework. This study evaluated the effectiveness of a peer video feedback activity system, adapted from CHAT, in enhancing operational skills, self-regulated learning abilities, and teaching satisfaction among new nurses. METHOD:A quasi-experimental design was employed, involving 213 new nurses. The experimental group received training through a CHAT-based peer video feedback activity system, and the control group was trained through traditional instructor feedback. Data were collected after seven operational training sessions provided by the nursing department. RESULTS:Posttraining, the CHAT group scored statistically higher in operational examinations, self-regulated learning abilities, and teaching satisfaction compared with the control group (p = .004, p = .004, and p < .001, respectively). CONCLUSION:Operational training with a peer video feedback activity system can significantly enhance the operational skills, self-regulated learning abilities, and teaching satisfaction of new nurses. [J Contin Educ Nurs. 2025;56(1):27-33.].

BACKGROUND:Tele-nursing, which utilizes digital health tools, has the potential to enhance the management of Type 2 Diabetes (T2DM). However, patients' awareness, needs, and barriers to using these services are not well understood. This study employed qualitative interviews to explore the perceptions of patients with T2DM towards tele-nursing and to identify factors influencing their adoption, with the aim of providing tailored strategies for effective service implementation. METHODS:A descriptive qualitative research design was used. From June to August 2023, a purposive sampling method was used to select 20 T2DM patients from a hospital, following the principle of maximum variation. Semi-structured interviews were conducted, and the data were analyzed using thematic analysis. RESULTS:Four main themes were identified: insufficient awareness and willingness to use tele-nursing, the need for tele-nursing services, facilitators of tele-nursing, and barriers to tele-nursing. CONCLUSION:The awareness of tele-nursing among T2DM patients needs significant improvement. Patients expressed clear demands for tele-nursing services, including health education, dietary guidance, blood sugar monitoring, and medication reminders. However, the adoption of tele-nursing is influenced by factors such as service accessibility, scope, technological challenges, and associated costs. Tele-nursing should address the specialized nursing needs of T2DM patients by leveraging remote technology to provide personalized and flexible care options that align with their evolving requirements.

Due to the nature of their work, nurses are increasingly becoming a high-risk group for presenteeism. However, research on the factors influencing nurses’ presenteeism, particularly psychological detachment, remains limited. This study aims to investigate the current status of nurses’ presenteeism in China, based on the theory of effort-recovery, analyze the factors that affect presenteeism, and provide a theoretical foundation for targeted interventions. A cross-sectional online questionnaire survey was conducted among 1647 clinical nurses from 37 hospitals in Sichuan Province, China, between September and November 2024, using a convenience sampling method. The questionnaire included demographic data, the Stanford Presenteeism Scale, and the Psychological Detachment scale. The average presenteeism score among Chinese nurses was (17.01 ± 5.10), with 65.5

Background: Nursing research ability is an important force in improving the quality of nursing care and driving the development of the discipline. As the main force and reserve force of nursing research, master's degree nursing students should have certain research ability. The contributing factors and their relationships that challenge research ability among master's degree nursing students must be fully understood, as this level of knowledge can support the development of strategies and interventions that improve the research ability of master's degree nursing students. Objective: The aim of this study was to examine the relationships among positive psychological capital, research motivation, and research ability by master's degree nursing students. In addition, we investigated whether research motivation mediates the relationship between positive psychological capital and research ability. Design: A descriptive cross-sectional study using an online questionnaire. Setting: The study sampled master's degree nursing students from colleges in Sichuan, Fujian, Hubei, and Tianjin Province, China. Participants: From February 2022 to April 2022, 377 master's degree nursing students were chosen by a convenience sample method. Methods: Data were gathered using a general information questionnaire, the Positive Psychological Capital Questionnaire (PPCQ), the Research Motivation Scale (RMS), and the Nursing Research Ability of Self-Evaluation Questionnaire (NRASQ). Both SPSS 26.0 and Amos 28.0. were used to handle and analyze the data. Descriptive statistics, Pearson correlation analysis, and structural equation modeling were all used in the data analysis process. The reporting followed the STROBE checklist. Results: Positive psychological capital was found to be positively correlated with research ability (P < 0.01). Research motivation was also positively correlated with research ability (P < 0.01), and had a mediating effect on the relationship between positive psychological capital and research ability (P < 0.01). Conclusions: The positive psychological capital and research motivation of master's degree nursing students are positively correlated with research ability. Research motivation significantly mediates the relationship between positive psychological capital and research ability. The findings of this study can inform educational strategies and interventions for the development of research ability of master's degree nursing students.

BackgroundLateral violence is a global social problem that has attracted considerable attention in the field of public health. This has seriously affected the quality of care, the safety of patients' lives and the career development of nurses.ObjectiveTo systematically evaluate the factors influencing of nursing lateral violence and provide evidence for preventing and reducing inter-nursing lateral violence.MethodsA systematic review of qualitative study was performed in accordance with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines. We collected qualitative studies on the factors influencing of inter-nursing lateral violence by searching PubMed, EMbase, The Cochrane Library, Web of Science, CINAHL, Science Direct, WanFang Data, China National Knowledge Infrastructure (CNKI), Chinese Scientific Journal Database (VIP) and Chinese Biomedical Literature Database (CBM). Data from inception to September 2023. Literature screening and data extraction were independently conducted by two reviewers. The Critical Appraisal Skills Program (CASP) scale was employed to assess the quality of the studies, including objectives, methodologies, designs, results and contributions.ResultsA total of 25 studies involving 882 participants were included. The results of the thematic analysis indicated that inter-nursing lateral violence was influenced by hospital management, perpetrators, victims and sociodemographic factors.ConclusionInter-nursing lateral violence was influenced by multidimensional factors. To reduce the occurrence of horizontal violence among nurses, hospitals need to explore the establishment and improvement of a horizontal violence resolution mechanism, and schools should pay attention to the joint support and education of nursing students, create a good working environment and harmonious nursing culture, and promote mutual respect among nurses.Relevance to Clinical PracticeThis review emphasises the importance of the influencing factors of horizontal violence among nurses, analyses the importance of influencing factors from different perspectives, and proposes corresponding measures to reduce inter-nursing lateral violence.No Patient or Public ContributionThis study was mostly a literature review; neither patients nor pertinent staff were involved in either the design or conduct of the investigation.

OBJECTIVES:Exploring the effect of resilience and self-efficacy in mediating the chain between fatigue and quality of life(QOL) in patients with rheumatoid arthritis (RA). METHODS:From June 2022 to November 2022, 423 RA patients were chosen by a convenience sample method from two tertiary care facilities in Chengdu, Sichuan Province. General Information Questionnaire, Bristol Multidimensional Scale of Fatigue in Patients with Rheumatoid Arthritis, SF-12 Health Survey Short Form, Chinese version of the ten-item psychological Resilience Scale, and Chinese-language Arthritis Self-Efficacy Scale, an 8-element version, were among the questionnaires used. RESULTS:In the physical component summary( PCS), self-efficacy, psychological resilience, and self-efficacy were all significantly mediated by fatigue (total effect mediated 8.88%). In the mental component summary (MCS), fatigue (total effect mediated 10.79%), self-efficacy (total effect mediated 8.99%), psychological resilience, and self-efficacy (total effect mediated 2.01%) were all significantly mediated by fatigue. CONCLUSION:Fatigue in RA patients can affect the quality of life both directly and indirectly through the mediating effects of psychological resilience, self-efficacy, and the chain mediating effect of psychological resilience-self-efficacy.

To investigate the latent class of psychological resilience in patients with rheumatoid arthritis (RA) and examine the factors influencing various latent types. A cross-sectional survey design was used in this study. A total of 480 patients with RA were enrolled from two tertiary care institutions in Chengdu, Sichuan Province, between May and November 2023, using the convenience sample approach. The General Information Questionnaire, CD-RISC-10, SSRS, ASES-8, and BRAF-MDQ were used to analyze the latent classes of psychological resilience in the respondents, and the factors influencing the latent classes were explored using one-way analysis of variance, analysis of variance, and multi-categorical logistic regression analysis. Overall, 423 valid questionnaires were returned, indicating an 88.13

目的 构建基于微信小程序的二级库房服务云平台,探讨其在临床中的应用效果.方法 由护理部和信息部共同设计构建二级库房服务云平台,使二级库房逐步实现专人管理和信息化管理;并于二级库房服务云平台实施前后分别对急诊科医用耗材管理中耗材的入库时间、盘点时间、操作前物品准备时间、溢库率、错账率、过期率、短缺率、物品合理摆放率和管理方式满意度进行综合评价.结果 二级库房服务云平台实施后,急诊科医用耗材管理中的入库时间、盘点时间、操作前物品准备时间、溢库率、错账率、过期率、短缺率较实施前均减少或降低(P＜0.01),物品合理摆放率和管理方式满意度明显提升(P＜0.01).结论 借助信息化手段对二级库房进行科学、规范管理,可通过减少入库时间、盘点时间等途径以降低科室护理成本和提高护理质量,为二级库房服务云平台在急诊科医用耗材护理信息化管理中的应用与推广提供了科学依据.

Clinical decision-making involves ethical issues that become more and more complex. Nurse interns must be more skilled in making rational and timely decisions when facing ethical dilemmas. The contributing factors and their relationships that challenge ethical decision-making among nurse interns must be fully understood, as this level of knowledge can support the development of strategies and interventions that improve the ethical decision-making ability of nurse interns. This study examined the relationships between moral courage, moral sensitivity, and ethical decision-making by nurse interns. In addition, we investigated whether moral sensitivity mediates the relationship between moral courage and ethical decision-making. A descriptive cross-sectional study using an online questionnaire. The study sampled nurse interns from Class iii Grade A general hospitals in Sichuan Province, China. A convenience sampling method was used to select 1334 nurse interns from March 2022 to May 2022. A general information questionnaire, the Nurses’ Moral Courage Scale (NMCS), the Chinese Moral Sensitivity Questionnaire (MSQ), and the Judgement About Nursing Decision (JAND) were used for data collection. Data was processed and analysed using SPSS 26.0 and Amos 28.0. Data analysis included descriptive statistics, Pearson correlation analysis, and structural equation modelling. Moral courage was found to be positively correlated with ethical decision-making (P < 0.01). Moral sensitivity was also positively correlated with ethical decision-making (P < 0.01) and had a mediating effect on the relationship between moral courage and ethical decision-making (P < 0.01). The moral courage and moral sensitivity of nurse interns are positively correlated with ethical decision-making ability. Moral sensitivity significantly mediates the relationship between moral courage and ethical decision-making ability. The knowledge gained from this study can inform educational strategies and interventions in supporting the development of nurse interns’ ethical decision-making ability.

以中国知网(CNKI)为检索来源数据库,高级检索主题为"糖尿病/DM""互联网+护理服务/网约护士/上门护士",检索时间为2004年1月—2021年11月,使用文献计量学软件CiteSpace 5.8.R2对纳入文献进行数据分析和可视化分析,以分析"互联网+护理服务"在我国糖尿病患者中应用的研究现状和发展趋势.结果显示,"互联网+护理服务"在糖尿病患者中的应用逐渐受到研究者关注,建议注重跨机构、跨区域间多元化的科研合作交流,以深化该领域研究的横向与纵向发展.

Acupuncture is widely accepted as a therapeutic option for managing depression. However, evidence from clinical trials remains controversial. This review aims to synthesize the best available evidence on the efficacy and safety of acupuncture in managing depression. The review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. Five databases and the relevant trial registries were searched from the inception to October 2021. Randomized clinical trials of acupuncture for managing depression, published in English, were selected for inclusion. The quality of included studies was assessed using the Cochrane risk of bias tool. Netmeta and dmetar of R packages were used to conduct a network meta-analysis. Twenty-two trials with 2391 participants were eligible and included in the analysis. This review found evidence that electroacupuncture (EA) plus antidepressant achieved superior outcomes compared with the waitlist (standardized mean difference = -8.86, 95% confidence interval: -14.78 to -2.93). The treatment ranking of different interventions in improving depression symptoms indicated that EA plus antidepressant with a probability of 0.8294, followed by manual acupuncture (MA) plus antidepressant (0.6470) and MA (0.5232). Acupuncture, either in isolation or as an adjunct to pharmacological treatment, has clinical benefits and can be considered a safe option for managing depression.

AIMS AND OBJECTIVES:This study aimed to determine the relationship between the demand for telenursing and the chronic illness resources available to patients with type 2 diabetes mellitus (T2DM), as well as the factors that affect this requirement.DESIGN:Cross-sectional.METHODS:This study included 586 participants with T2DM. A telenursing needs questionnaire developed by the research team was used to assess the telenursing needs of patients with T2DM, and the Chinese version of the Chronic Illness Resources Survey was used to assess the participants' community chronic disease resources. A one-way ANOVA and multiple regression analysis were used to determine the factors influencing the demand for telenursing and to estimate the relationship between chronic illness resources and the need for telenursing. The STROBE checklist was followed.RESULTS:The patients' telenursing needs, ranked from high to low, are as follows: individualized skills and safety; basic disease care; psychological and spiritual needs; respect and social support; and high-level health management. The chronic disease resource score was 3.47 ± .02, which suggested that patients with T2DM have relatively rich disease resources. Multiple regression analyses showed that resources for chronic diseases, the course of diabetes and complications, family income and other chronic diseases accounted for 79.6% of the variance in T2DM patients' telenursing needs.CONCLUSIONS:The telenursing needs of patients with T2DM are prominent, and primarily focus on basic nursing needs for the disease. To some extent, chronic disease resources affect the telenursing needs of patients with T2DM.RELEVANCE TO CLINICAL PRACTICE:It is crucial to pay attention to research on telenursing for T2DM patients from the patients' perspective. Enhancing resources for chronic diseases may help meet the telenursing needs of T2DM patients.PATIENT OR PUBLIC CONTRIBUTION:Parents and diabetes management specialists participated in designing the telenursing needs questionnaire.

目的:探讨基于柯氏模型评价思维导图教学法在规培护士临床思维培训中的应用效果.方法:整群抽样我院2019-2020年入职的143名规培护士,将符合纳入标准的142名规培护士随机分为对照组(72名)及试验组(70名).对照组采用传统多媒体教学进行集中授课培训;试验组在传统多媒体教学的基础上增加思维导图教学,培训后通过柯氏模型进行4个层级的评估.结果:试验组对思维导图教学法接受度高,护理案例考核成绩、临床护理技能操作考核成绩、临床思维能力总分均高于对照组(P＜0.001).结论:在规培护士临床思维培训中运用思维导图的方法可以有效提高其临床思维能力.

目的:探讨薯蓣粥对2型糖尿病大鼠胰岛β细胞自噬功能及胰岛素抵抗(IR)的影响,为阐明薯蓣粥的降糖机制及推广应用提供科学依据.方法:将48只SPF级Wistar雄性大鼠按随机数表法分为空白组8只(普通饲料喂养)和造模组40只(高脂高糖饲料喂养).6周后,造模组腹腔注射链脲佐菌素.以连续非同日2次空腹血糖(FBG)≥11.1 mmol/L为糖尿病大鼠成模标准.32只成模大鼠随机分为模型组、薯蓣粥组(薯蓣粥)、联合治疗组(薯蓣粥和二甲双胍)、二甲双胍组(二甲双胍),每组8只.灌胃干预6周后检测大鼠FBG、血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、空腹胰岛素(FINS)的变化,计算胰岛素抵抗指数(HOMA-IR).HE染色观察胰岛β细胞腺形态结构;Western blot检测AMPK、LC3-Ⅱ、p62蛋白表达.结果:HE染色结果显示:薯蓣粥组、联合治疗组以及二甲双胍组胰岛β细胞形态结构较模型组有不同程度的改善.与空白组比较,模型组大鼠FBG、TC、LDL-C、FINS、HOMA-IR水平显著升高(P＜0.01),AMPK、LC3-Ⅱ蛋白表达显著下降(P＜0.05),p62蛋白表达显著增加(P＜0.05).与模型组比较,薯蓣粥组、联合治疗组、二甲双胍组FBG、TC、LDL-C、FINS、HOMA-IR水平显著下降(P＜0.01),AMPK、LC3蛋白表达显著升高(P＜0.05,P＜0.01);薯蓣粥组LC3-Ⅱ蛋白表达显著升高(P＜0.01);薯蓣粥组与二甲双胍组p62蛋白表达显著下降(P＜0.05).结论:薯蓣粥能调节糖尿病大鼠糖脂代谢,改善其IR及胰岛β细胞功能,其机制可能与薯蓣粥以AMPK为作用靶点,激活胰岛β细胞自噬有关.

目的 探讨护理服务标准作业程序(SOP)对临床护士沟通能力和人文关怀能力的影响.方法 基于SOP理论和方法 ,围绕服务用语及行为的规范化、服务流程的标准化、服务注意事项编制护理服务SOP手册,使护理服务更加规范化和精细化,并于护理服务SOP实施前后分别对临床护士沟通能力和人文关怀能力、住院患者满意度进行评价.结果 护理服务SOP实施后,护士沟通能力量表和关怀能力量表得分较实施前均显著提高(P<0.05),住院患者满意度明显提升(P<0.05).结论 护理服务SOP能有效提高临床护士沟通能力和人文关怀能力,提升住院患者满意度.

目的:探讨薯蓣粥对2型糖尿病（type 2 diabetes mellitus,T2DM）大鼠肠道微生物、短链脂肪酸（shortchain fatty acids,SCFAs）血糖、胰岛素分泌的影响。方法:将60只SPF级Wister大鼠随机抽取10只为空白组,剩余50只腹部注射链脲佐菌素（STZ）制作T2DM模型,成模后大鼠随机分为模型组、薯蓣粥组、二甲双胍组、联合组;空白组和模型组每日用生理盐水灌胃5 mL,薯蓣粥组每日用薯蓣粥灌胃5 mL,二甲双胍组每日用二甲双胍水溶液灌胃,联合组用薯蓣粥+二甲双胍灌胃,共干预6周;干预期间每周检测大鼠空腹血糖（FBG）,干预后检测大鼠肠道菌群构成以及FBG、空腹胰岛素（FINS）水平、粪便内SCFAs的含量。结果:与空白组相比,模型组大鼠空腹血糖、空腹胰岛素含量、胰岛素抵抗指数均升高（P＜0.05）,粪便中乙酸、丙酸、丁酸含量,以及OTUs（Operational Taxonomic Units）、Chao1指数、Shannon指数明显降低（P＜0.05）,厚壁菌门、疣微菌门、颤螺菌、阿克曼氏菌、梭菌的相对丰度降低（P＜0.05）,变形菌门相对丰度增加（P＜0.05）。干预4周,薯蓣粥组大鼠空腹血糖出现明显降低（P＜0.05）。干预结束后薯蓣粥组大鼠的空腹血糖、空腹胰岛素含量、胰岛素抵抗指数均低于模型组（P＜0.01）,空腹胰岛素含量、胰岛素抵抗指数与二甲双胍组、联合组相比没有统计学差异（P＞0.05）。薯蓣粥组与模型组相比,粪便中乙酸、丙酸、丁酸的含量均升高（P＜0.01）;OTUs指数升高,厚壁菌门、疣微菌门、阿克曼氏菌、梭菌的相对丰度升高,变形菌门的相对丰度降低（P＜0.05）。结论:薯蓣粥可能通过改善T2DM大鼠肠道微生物失调,增加SCFAs含量,从而改善胰岛素抵抗,降低血糖。

目的 了解社区中老年居民对中医护理技术接受情况.方法 以技术接受模型为理论框架,自行设计社区中老年居民中医护理技术接受情况调查表,便利抽取社区中老年居民进行调查.结果 541名社区中老年居民中医护理技术接受情况的条目均分为(3.55±0.45)分,使用顾虑维度的得分最低,为(2.98±0.60)分,感知有用性维度的得分最高,为(4.08±0.64)分;不同年龄、文化程度、居住地、是否接受过中医护理技术的社区中老年居民对中医护理技术接受情况的得分差异有统计学意义(P<0.05).结论 社区中老年居民对于中医护理技术的认可度和接受程度较好,但存在使用顾虑和使用难度.社区应积极改进工作,为社区居民提供便利、优质的中医护理技术服务.