Background: This study investigated the impact of applying the anchored teaching mode with nursing interns on the cardiac surgery intensive care unit (CSICU). Method: A total of 110 interns were divided into a control group (taught through traditional methods) and an experimental group (taught using the anchored teaching mode). The anchored mode, emphasizing studentcentered learning, included creating scenarios, identifying problems, using self-directed and collaborative learning, and evaluating outcomes. Results: Our study found that the experimental group showed significantly higher scores in emergency response ability, nursing skills, and teaching effectiveness compared with the control group at graduation. Conclusion: The findings suggest that implementing the anchored teaching mode can effectively enhance the education of nursing interns on the CSICU, emphasizing the need for further research across different departments and types of hospitals. [ J Contin Educ Nurs. 2024;55(7):359-364.]

Background Fatigue is a common symptom of long COVID syndrome. Compared to male survivors, females have a higher incidence of post-COVID fatigue. Therefore, long-term follow-up is necessary to understand which groups of females are more vulnerable to post-COVID fatigue. Methods This is a nested case–control study of female COVID-19 survivors who were discharged from two designated hospitals in Wuhan, China in 2020, and received 2-year follow-up from March 1 to April 6, 2022. All patients completed the Checklist Individual Strength-subscale subjective fatigue (CIS-fatigue), a chronic obstructive pulmonary disease (COPD) assessment test (CAT), and the Hospital Anxiety and Depression Scale (HADS; including the HADS-Anxiety [HADS-A] and the HADS-Depression [HADS-D]). Individuals with CIS-fatigue scores of 27 or higher were classified as cases. The risk factors for fatigue was analysed with multivariable logistic regression analysis. Results A total of 899 female COVID-19 survivors were enrolled for analysis, including 47 cases and 852 controls. Compared with controls, cases had higher CAT, HADS-A and HADS-D scores, and showed a higher prevalence of symptoms, including anxiety (cases vs. controls, 44.7% vs. 4.0%, p < 0.001), chest tightness (21.2% vs. 2.3%, p < 0.001), dyspnoea (19.1% vs. 0.8%, p < 0.001) and so on. In multivariable logistic regression analysis, age (OR, 1.03; 95% CI, 1.01–1.06; p = 0.02) and cerebrovascular disease (OR, 11.32; 95% CI, 2.87–43.00; p < 0.001) were risk factors for fatigue. Fatigue had a statistically significant moderate correlation with depression ( r = 0.44, p < 0.001), but not with CAT ≥ 10. Conclusion Female COVID-19 patients who had cerebrovascular disease and older age have higher risk of fatigue. Patients with fatigue have higher CAT scores, and are more likely to have concurrent depression.

Objective: Our aim was to explore the influence of humanistic care based on Carolina care model on postoperative recovery and quality of life in patients with ovarian cancer (OC). Methods: In this prospective study, we selected 85 OC patients and randomly divided them into the Carolina group (n = 43) given humanistic care based on Carolina care model and the control group (n = 42) given routine nursing intervention. The postoperative recovery and Functional Assessment of Cancer Therapy-Ovary Cancer (FACT-O) scores were compared between the two groups. Results: After intervention, the time of first flatus and defecation after surgery, the time of first ambulation and the length of average postoperative hospital stay were much shorter, and the pain score, total complication rate, self-rating anxiety scale and self-rating depression scale scores as well as Cortisol, C-reactive protein and fasting blood glucose levels at 48 hours postoperatively were significantly lower in the Carolina group than in the control group. The nursing satisfaction in the Carolina group was markedly higher than that in the control group (97.67% vs. 78.57%, P<0.01). After 3 months of follow-up, the Carolina group showed higher dimension scores of FACT-O than the control group (all P<0.001). Conclusion: Humanistic nursing care based on Carolina care model can significantly ameliorate the recovery of OC patients, reduce the physical and psychologic stress response, and effectively enhance the nursing satisfaction and quality of life.

PURPOSETo study the application of the Carolina Care Model to improve nurses' humanistic care abilities in the Department of Obstetrics and Gynecology.METHODSFrom December 2019 to April 2020, 40 nursing staff and 80 patients in the Department of Obstetrics and Gynecology in our hospital were recruited as the study cohort and randomly placed in an intervention group or a control group. The intervention group underwent the Carolina Care Model to complete the clinical nursing work. The control group underwent hospital routines to complete clinical nursing work.RESULTSAfter the training, the humanistic care ability scores and the scores of various dimensions in the intervention group were significantly higher than the scores in the control group (P<0.05). The patient care perception scores in the intervention group were higher than they were in the control group (P<0.05). The patients' nursing satisfaction scores in the intervention group were significantly higher than they were in the control group (P<0.05).CONCLUSIONCarrying out a humanistic care nursing practice based on the Carolina Care Model can improve the humanistic care abilities of the nurses in the Department of Obstetrics and Gynecology, patient care perception and satisfaction, and the quality of the nursing service.

Objective To comparatively analyze the cognition and feelings of professional self-con-cept of nurse (PSCN) between nursing students and nursing staff and and to propose recommendations for the education of nursing students. Methods Professional self-concept of nurses instrument (PSCNI) scale was used to investigate the self evaluation of nursing students and nursing staff in the aspects of nursing skills, leadership, flexibility,satisfaction degree and communication skills. SPSS 19.0 was used to analyze the total scores and scores of each aspects; F test and t test were used to analyze the difference between two groups. Results Total score for nursing students and nursing staff were (81.27±7.40) points (67.7%) and (85.00±7.96) points (70.0%), with significant differences between the two groups (P=0.003). Scores in as-pects of nurturing skills, communication, flexibility were higher in nursing staff than in nursing students, with significant differences between the two groups (P<0.05). Conclusion The cognition and feeling of nursing staff is better than nursing students in aspects of nurturing skills, communication, flexibility. Nursing teaching can correspondingly improved based on the differences between the two groups.

The health care department of county-level Maternal and Child Health care Hospital is an important part of maternal and children health care institutions, constructing a set of scientific and standard of performance appraisal index for the health care department is a prerequisite for improving the service objectives of county-level maternal and children health care institutions. This article designed a set of scientific and practical performance evaluation index system for the health care department of county-level Maternal and Child Health care Hospital through literature analysis, in-depth interviews, key performance indicators and Delphy law. The pertinence of evaluation index selection, the distribution rationality of each index weight coefficient and the better operability with scientifically designed evaluation index system could provide a useful reference for the performance appraisal of the health care department of county-level Maternal and Child Health care Hospital.