BACKGROUND:Intrahospital transport of critically ill patients is a common practice in intensive care units (ICUs), where patients' safety is constantly challenged in high-intensity and dynamic environments. While Intrahospital Transport Safety Scale (IHTSS) is widely used internationally to evaluate the intrahospital transport safety, it has not been introduced in China.OBJECTIVES:This study aimed to assess the reliability and validity of the Chinese version of the IHTSS scale among critical care nurses in China.METHODS:A cross-sectional study was conducted using a cluster sampling method. A total of 544 critical care nurses from 25 ICUs in 10 tertiary hospitals were recruited. We employed exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to examine the questionnaire's underlying factor structure, ensuring construct validity. Additionally, internal consistency was assessed using Cronbach's alpha coefficient, test-retest reliability, and corrected item-total correlation.RESULTS:The Chinese version of the scale displayed robust psychometric properties, with a Cronbach's α coefficient of 0.976, a split-half reliability of 0.906, and a test-retest reliability of 0.856. EFA revealed a robust four-factor model that accounted for 75.970% of the variance, with the factor loadings of the items ranging from 0.433 to 0.951. CFA indicated a strong model fit, with a chi-square to degrees of freedom ratio (CMIN/DF) of 2.765, comparative fit index (CFI) of 0.943, incremental fit index (IFI) of 0.943, and goodness-of-fit index (GFI) of 0.845, supporting the efficacy of the four-factor model in assessing intrahospital transport safety for critically ill patients.CONCLUSION:The Chinese version of the IHTSS demonstrated favourable reliability and validity among critical care nurses in China, making it a suitable tool for measuring the level of intrahospital transport safety for critically ill patients.

Background Intrahospital transport of critically ill patients is a common occurrence in intensive care units, where the challenging nature of high-intensity work and dynamic environments often poses patient safety risks. The Intrahospital Transport Safety Scale is a favorable self-report measurement tool utilized to evaluate the safety of Intrahospital transport, but it has not been used in China before. Objectives This study aimed to validate the reliability and validity of the scale among critical care nurses in China. Methods A cross-sectional design employing cluster random sampling was used, involving a total of 544 critical care nurses. The reliability and validity of the Chinese version of the Intrahospital Transport Safety Scale were examined. Results The Chinese version of the scale displayed robust psychometric properties, with Cronbach's α coefficient of 0.976, a split-half reliability of 0.906, and a test-retest reliability of 0.856. Exploratory factor analysis revealed a four-factor model that explained 75.970% of the variance. The factor loadings of the items ranged from 0.433 to 0.951. Confirmatory factor analysis indicated a strong model fit, with a chi-square to degrees of freedom ratio (CMIN/DF) of 2.765, comparative fit index (CFI) of 0.943, incremental fit index (IFI) of 0.943, and goodness-of-fit index (GFI) of 0.845, supporting the efficacy of the four-factor model in assessing intrahospital transport safety for critically ill patients. Conclusion The Chinese version of the Intrahospital Transport Safety Scale demonstrated favorable reliability and validity among critical care nurses in China, making it a suitable tool for measuring the level of Intrahospital transport safety for critically ill patients.

OBJECTIVE: This study aimed to investigate the factors associated with behavioral problems in children with congenital pseudarthrosis of the tibia. METHODS: Random sampling is utilized to obtain a sample of 90 patients. The behavioral problems of the patients are detected by Achenbach Children's Behavior Scale. Parental emotional problems are investigated by the Self-Rating Depression Scale and Self-Rating Anxiety Scale. RESULTS: The results demonstrate that the detection rate of behavioral problems in children with congenital pseudarthrosis of the tibia is 53.3% (48/90). Among these behavioral problems, an abnormal rate is higher in the four dimensions: thinking, violation of discipline, social interaction, and aggression. The anxiety and depression scores of caregivers are statistically higher in the abnormal group than in the normal group. The results of the multivariate analysis show that the anxiety degree of the parents had a significant impact on the behavior of the children. CONCLUSIONS: Children with congenital pseudarthrosis of the tibia are facing the issues of high rates of behavioral problems. Parents of children with congenital pseudarthrosis of the tibia had higher levels of anxiety and depression than parents of normal children. The anxiety and depressive state of mind of parents or caregivers had a significant impact on the behavior of children with congenital pseudarthrosis of the tibia.

Aim: To investigate the status of the family resilience score of caregivers of children with congenital pseudarthrosis of the tibia (CPT) and analyse its influencing factors to provide a reference and basis for clinical formulation of a family resilience intervention programme. Methods: A total of 379 families of children with CPT were included in this study, which used a combination questionnaire to investigate the families of children with CPT. The researchers sent a link to the questionnaire to all eligible subjects to conduct a survey on the characteristics of families of children with CPT. Single factor analysis was used to compare the total scores of family resilience. Multiple linear regression was used to determine meaningful variables for single factor analysis. Results: The average family resilience score was 151.79 +/- 30.79, the lowest score was 20 and the highest score was 231. The CPT usually occurred in unilateral limbs (37.63%). The payment methods of medical expenses were through a rural cooperative medical system (44.85%). The caregivers were mostly the mothers (62.80%) and caregivers were 31-40 years old (62.27%). Most caregivers were farmers (30.34%). The average monthly income of the families in the past year was 1000-5000 yuan (54.09%). There were significant differences in family resilience scores between caregivers' working conditions (P = 0.039) and average monthly incomes in the past year (P = 0.008). The working conditions of caregivers and the average monthly income of families in the past year were the main factors affecting the family resilience of caregivers of children with CPT. Conclusion: The caregivers' working conditions and the average monthly income of families were the influencing factors in the family resilience score.

Objective:To explore the family resilience resources in parents of children with congenital pseudarthrosis of the tibia (CPT) , so as to provide a reference for formulating nursing intervention to improve their family resilience.Methods:From December 2020 to January 2021, purposive sampling was used to select 13 father or mother of children with CPT in the Department of Orthopedics of Hunan Children's Hospital as the research object. Semi-structured interviews were conducted with parents of children with CPT using the phenomenological method in qualitative research. Colaizzi 7-step method was used to organize, summarize, analyze and refine the data.Results:The family resilience resources of parents of children with CPT were reflected in three aspects, namely, personal resources, family resources and social resources.Conclusions:Family resilience interventions should make full use of their own resources when implemented in parents of children with CPT. Individualized continuous intervention should be provided by taking into account the learning ability and psychological state of the children's parents and in combination with specific needs. The intervention target should include as many family members as possible, and strengthen the establishment of a diversified support system to help parents of children with a large number of social resources.

目的 深入了解先天性胫骨假关节(congenital pseudarthrosis of the tibia,CPT)Ilizarov固定期间患儿照顾者对功能锻炼的认知及行为现状.方法 采用目的抽样法,选取2021年8月至9月在湖南省某三级甲等儿童专科医院住院治疗的CPT患儿的13名照顾者为研究对象,进行半结构访谈,采用Colaizzi现象学分析法对资料进行编码、分析、整理和归纳.结果 最终提取了CPT患儿Ilizarov固定期间,患儿照顾者功能锻炼认知及行为的6个主题,包括重视功能锻炼、相关知识储备薄弱、现有功能锻炼知识难掌握;依从性差、存在运动恐惧、积极应对并发症或意外伤害但行为不当.结论 CPT患儿Ilizarov固定期间,其照顾者在功能锻炼认知及行为方面具有积极和消极两方面,医护人员要及早识别其不良认知和错误行为,提供针对性的护理干预措施并完善健康教育内容,提高照顾者功能锻炼认知和行为,以促进患儿康复.

目的 研究分析儿科护士护理危重患儿的工作质量现状.方法 选取2021年1—3月在湖南省12所医院护理危重患儿的875名儿科护士作为研究对象,用量表进行现场评估护理工作质量.结果 共填写有效评估量表841份,评估量表总得分为97.90(90.00,100.00)分,各维度得分排在后3位的是病情观察、基础护理以及文件书写.职称为"护士"及工龄≤3年的儿科护士在护理工作质量评价中总得分低(P<0.05);内科护士的基础护理、文件书写得分低于外科与急危重症科,但治疗处置得分及并发症护理得分高(P<0.05);儿科护士在16:01～20:00文件书写得分高,但在基础护理及健康教育方面,08:00～16:00工作的护士得分高(P<0.05);患儿住院日为22～28 d组并发症护理得分低,>28 d组治疗处置得分低,15～21 d组文件书写得分低(P<0.05).结论 儿科护士护理危重患儿的护理工作质量总体水平良好,病情观察、基础护理以及文件书写执行仍有待改进,管理者应结合护士个体和工作环境制订培训方案,提高护理工作质量.