Aim: The purpose of the study was to ascertain how a blended learning intervention affected nursing students' strategies for preventing bullying at work. Method: An educational intervention for workplace bullying was conducted with 400 undergraduate nursing students. The intervention process included two phases: an online course and an in-lab bullying simulation. The targeted online course on bullying was given to the nursing students two weeks before the planned simulation. An awareness and knowledge survey on workplace bullying was conducted before and after. After that, the students finished a clinical simulation in which they saw acts akin to bullying. Students completed a reflection survey after the simulation. To assess the bullying simulation's effectiveness as an active learning technique, the data were qualitatively coded into themes. Results: 220 nursing students agreed that their learning data could be used for research analysis. The mean awareness scores differed significantly between precourse and postcourse (t=21.66, p<0.001). Similarly, mean knowledge scores increased between precourse and postcourse (t= 14.26, p<0.00 1). The quantitative results were supported by qualitative information from the reflection survey. The themes identified in the study were personal response, enhanced learning, bullying behaviors in simulation, and impact. Students responded well to the course design and said they were more prepared to deal with workplace bullying. Conclusion: Blended learning scenarios provided the students with useful methods to deal with workplace bullying. (c) 2024 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Introduction: To investigate the nature and scope of bullying as reported by senior nursing students during their clinical placement. Method: The questionnaire used for this study was uploaded to an online survey provider at https://www. wenjuan.com/. The revised survey (the Student Experience of Bullying During Clinical Placement survey) was conducted at a central China university. Descriptive statistics were applied. Results: Four hundred nine of the 624 individuals reported being bullied while undergoing clinical practice. The sources of the upsetting experience included patients, patients' families, nursing staff, and clinical nursing teachers. The individuals who were being bullied acknowledged considering quitting as nurses. They claimed that throughout their clinical placement, bullying at work had a detrimental effect on their feelings. Because of the perception that bullying is typical in clinical settings and the fear of reprisals, bullying was seldom reported. Discussion: In the clinical placement, bullying of nursing students was common. Academic institutions must be proactive in developing students' ability to address bullying. Healthcare organizations need to take the initiative towards workplace bullying policies to reduce the phenomenon. (c) 2024 The Authors. Published by Elsevier Inc. on behalf of Organization for Associate Degree Nursing. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

实习护生工作场所暴力在临床学习环境中广泛存在，对护生产生不良影响。尽管有研究尝试减少护生工作场所暴力，但具体的干预方案尚不完善。本篇将对实习护生工作场所暴力教育干预进行综述，收集有效教育干预信息，为临床暴力实践干预提供指导。

随着全球人口老龄化程度加剧，增龄相关的肌肉骨骼系统疾病成为国内外研究的热点，膝关节骨性关节炎（Knee osteoarthritis，KOA）是一种多因素导致的全关节疾病，其发生与年龄、肥胖、炎症、创伤及遗传因素等有关，是导致老年人残疾最常见的退行性疾病之一。膝关节骨性关节炎患者随着年龄的增长及肌肉的衰老发展历程，疾病相关的疼痛和残疾会加重其活动受限及肌肉流失等的发生，成为肌少症（Sarcopenia，SP）发生的关键因素。目前，膝关节骨性关节炎患病率呈逐年上升趋势，膝关节骨性关节炎患者肌少症逐渐成为国内外研究的热点，因此，研究就当下慢性病发展趋势，综述了膝关节骨性关节炎与肌少症的流行病学现状与研究现状，对疾病相关性进行总结阐述，以供国内外临床及科学研究参考，为后续加强膝关节骨性关节炎患者肌少症高危人群筛查及提早干预提供依据，从而延缓疾病发展，改善肌少症相关症状。

对抗逆力概念与评估工具、护生抗逆力的研究现状与影响因素进行综述，从个人层面、学校层面、医院层面阐述提升护生抗逆力水平的应对策略，为探寻科学、有效的护生抗逆力培养模式提供参考。

医务人员处在医疗环境当中,与各种可能有害健康的因素接触密切,进而导致医务人员群体增加职业暴露风险.一旦出现职业暴露将严重影响医疗工作正常进行,同时也给医务工作人员带来身体和心理上的双重创伤.因此本文对近年来医务人员职业暴露现状进行总结,了解医务人员职业暴露的类别,以及职业防护措施的实施情况,为相关管理者和医务工作者从多角度加强职业防护提出相关建议,以期为减少相关职业暴露及后续研究提供参考.

目的 深入了解护理实习生经历横向暴力的现状,分析影响此现象发生的因素,为针对性干预提供参考.方法 运用质性研究中现象学研究方法,对9名护理实习生进行半结构访谈,采用Colaizzi七步分析法对访谈内容进行分析.结果 自身因素、组织管理因素、职业因素是护理实习生经历横向暴力的3个原因.结论 社会各界应高度关注这一问题,制定针对性措施减少横向暴力的发生,提高护理实习质量,稳定护理队伍.

综述国内外护理人员工作场所欺凌的相关研究,对护理人员工作场所欺凌的概念及特征、新入职护士工作场所欺凌的发生现状及应对方法进行了梳理,以期为深入研究制定有效政策制度和干预策略提供参考.

对护生遭受工作场所欺凌的现状及影响因素进行总结,并介绍护生应对工作场所欺凌的状况,旨在进一步探讨科学有效的应对策略,为后续研究及干预提供参考.

目的 探讨移动终端APP+多媒体教学模式在护生临床实习阶段教学培训中的应用效果.方法 选择来自河南省内外10余所高校586名护生作为研究对象,应用传统面授课堂教育形式结合多媒体+护理助手软件学习形式对其进行临床实习阶段教学培训.对比2种教育模式下护生的学习态度、教学实践效果、培训工作效率、师生满意度等.结果 2种教育模式对比,实施后护生出勤率与学习态度明显提高,带教教师批改试卷、分析数据用时明显缩短,师生满意度均明显提高.结论 移动终端APP+多媒体教学模式可有效改善护生在临床实习阶段教学培训中的学习效率和质量,提高临床带教工作效率和师生满意度.

目的 系统评价自我管理项目对膝骨性关节炎患者健康的影响.方法 检索PubMed、Web of Science、Cochrane Library、CNKI、万方、VIP、CBM数据库公开发表的中、英文自我管理项目对膝骨性关节炎患者健康状况影响的随机或半随机对照研究,采用RevMan5.3软件进行Meta分析.结果 共纳入14篇研究,1706例患者.Meta分析显示:自我管理项目可改善关节功能[WMD=-10.85,95％CI(-18.46,-3.24),P<0.01]、缓解疼痛[WMD=-2.52,95％CI(-2.62,-2.43),P<0.01]、提高自我效能[WMD=2.98,95％CI(1.70,4.27),P<0.01]、改善生活质量[SMD=2.13,95％CI(0.73,3.52),P<0.01].结论 自我管理项目对膝骨性关节炎患者的健康具有正向意义,可有效预防疾病,提高患者自我效能感,整合医疗资源,改善患者生活质量.

Horizontal violence generally exists in clinical practice nursing students and has far-reaching influence. Paper summarized the current situation, causes and coping strategies of horizontal violence suffered by clinical practice nursing students at home and abroad, so as to explore and find effective methods to prevent horizontal violence and promote the healthy development of nursing profession.

Objective To explore the evaluation from the perspective of nursing students on introduction of nursing science in order to provide the basis for improving course teaching. Methods The method of content analysis was used in the study. The practice diary of 345 nursing students who had finished clinical practice on introduction of nursing science was analyzed. Results The nursing students had a positive attitude on role adaptation, professional experience and professional gain. Conclusion Clinical practice has positive influence on nursing students. However, something should be improved in order to gain better results.

目的 描述和比较护生、临床护理教师对临床环境的认知,比较认知差异,从而找出临床学习环境中促进或妨碍学生学习的因素.方法 调查一所三级甲等教学医院的132名本科实习护生和62名临床护理教师.使用结构式自陈问卷收集数据,问卷包括5个维度30个条目.结果 研究对象对临床环境的认知整体表现是积极的,虽然5个维度之中的4个维度2组人群都有显著性差异.对于护生和临床教师来说,临床环境中最重要的是临床教师的指导.临床教师认为学习者的态度更重要.结论 有效临床学习环境包含许多因素,从多种角度来了解临床学习环境可以有效改善学生的临床学习经历.建设一个支持性的临床学习环境需要学校和医院共同合作,在护理教育中制定相应策略进行积极应对.

目的 探讨中医院校开展护理情景模拟教学的应用效果及存在的问题.方法 采用情景模拟教学代替传统护理教学,使用问卷了解学生对于情景模拟教学的评价,总结反思当前存在的问题.结果 学生对开展情景模拟教学持肯定态度,学习积极性提高.通过模拟后反馈,有助于教师反思自身教学,持续改进教学活动.但也存在中医特色不明显的问题.结论 在中医院校开展护理情景模拟教学效果良好,值得推广,但也应注意与中医护理知识技能结合,体现中医特色.

目的:分析近年来罗伊适应模式在我国护理领域应用的现状、发展趋势及存在的问题.方法:采用文献计量学方法,对2000～2016年收录在CNKI、CBM和万方数据库的罗伊适应模式相关的护理文献进行统计分析.结果:共纳入文献364篇,分别发表在150种期刊上.近年来,我国发表的罗伊适应模式有关文献总体呈上升趋势,但地区分布存在差异,第一作者来自30个不同省、直辖市、自治区,以广东省发文量最多,只有32.42％发表于统计源期刊,说明文献研究领域有限.结论:国内有关罗伊适应模式的文献逐年增长,但是整体质量不高,需加强有关理论知识的学习,不断提高文献质量水平.

目的:探讨运用脐灸治疗促进术后胃肠道蠕动的临床疗效.方法:2016年9月-2017年6月收集腹部手术患者80例,男27例,女53例,年龄39~62岁,平均49.5岁.以入院时间先后为序,应用电脑软件将其随机分为对照组(A组)和试验组(B组),对照组采用术后常规护理,试验组采用脐灸结合常规护理,每组各40例.于术后6h开始给予脐灸治疗,每隔1h对患者进行腹部听诊1次,每次3min,听到肠鸣音为肠蠕动恢复时间,肛门排气时间以患者自述时间为准,分别记录、分析两组患者术后胃肠道蠕动恢复时间、首次排气时间、首次排便时间.结果:80例患者均得到有效临床观察,试验组患者术后胃肠道蠕动恢复时间、首次排气时间、首次排便时间与对照组相比,差异均有统计学意义(P<0.05),术后试验组临床观察,结果显效33例,有效38例,无效2例,显效率为82.5%;总有效率为95.0%.结论:脐部灸法可促进腹部术后胃肠道功能恢复,见效快、操作简单,患者可以较早下地活动,减少并发症的发生,提高患者生活质量.

Objective? To integrate relevant qualitative studies and to evaluate the experience of chemotherapy-induced peripheral neuropathy (CIPN) systematically in cancer patients. Methods? Relevant qualitative studies were retrieved from PubMed, Embase, Web of Science, Science Direct, PsycINFO and Chinese databases such as CNKI, Wanfang, VIP and SinoMed from when they were founded to July 31, 2018. The Joanna Briggs Institute (JBI)'s qualitative study quality evaluation standards was used to evaluate the literature, and the converging integration method was used to integrate the results. Results? Totally 6 studies were included, and they boiled down to 19 results, 8 types and 4 integration results. Integration result 1:CIPN was an indefinite symptom experience, which was complex and mainly reflected by unclear CIPN symptoms, lack of information support for patients and low reporting rates. Integration result 2: CIPN was misunderstood by patients as an unimportant risk which was mainly reflected as patients' low risk awareness of CIPN, lack of attention to CIPN from medical workers and thus low evaluation rates of CIPN. Integration result 3:CIPN affected patients' quality of life severely, as reflected by its effects on patients' daily life and emotional disturbance. Integration result 4: CIPN was a characteristic of cancer survivors as reflected by uncertainty of drug treatment in patients and their adaptation to the symptoms when the symptoms were mitigated or controlled. Conclusions? The symptoms of CIPN is complex. Medical workers' evaluation capacity and patients' self- management shall be enhanced so as to mitigate CIPN symptoms and improve the overall quality of life of patients.

目的 观察耳穴贴压配合艾条脐灸对缓解腹部手术后疼痛的效果.方法 将80例腹部外科手术后患者随机分为两组,观察组给予耳穴贴压配合艾条脐灸,对照组给予常规术后护理,两组其余围手术期护理相同,比较两组术后疼痛程度.结果 观察组术后第1d、第3d术后疼痛程度低于对照组,患者舒适度明显增加.结论 耳穴贴压配合艾条脐灸明显减轻腹部外科术后疼痛,促进患者康复.

目的 探讨护生视角下的临床学习环境,为改善临床学习效果提供参考依据.方法 运用质性研究中Van Manen诠释现象学的研究法,将50名实习后护生分为8组,进行焦点小组访谈及深度个人访谈.结果 从访谈资料中提炼出3个主题:实习目标具体化;临床教师教学行为的重要性;护生重视参与及归属感.结论 学校和医院加强沟通,制定具体可行并具有建设性的实习目标,重视实习质量的评价和监督;加强临床教师教学行为的培训,建立激励机制;给护生提供全方位参与临床实践的机会,提高其归属感.