1.Construction and operation of the evidence-based nursing team in the hospital
Meiyun ZHANG ; Zhixian FENG ; Lewen SHAO ; Lihua HUANG
Chinese Journal of Hospital Administration 2014;(10):768-770
The building and operation of the evidence-based nursing team of the hospital follow the elite,task-oriented,and team-based model,which is promoted from points to area.This paper described the organizational framework,selection of training contents and training methods of the team in the hospital.It also covered the outcomes achieved for the past year, and analyzed the focal points, difficulties and future emphasis during the team's construction and operation.
2.Research progress on transitional care handover of ICU transferred patients
Lingling GUO ; Lewen SHAO ; Fangfang HUANG
Chinese Journal of Nursing 2024;59(21):2678-2683
Transitional care handover of ICU transferred patients affects patient safety and continuity of care.This article reviews the current situation of transitional care handover for ICU transferred patients at home and abroad,and discusses in depth the problems,influencing factors and intervention strategies in the handover process.It aims to provide references for the improvement of the transitional care handover process of ICU transferred patients in China,development of intervention strategies based on meeting the needs of all parties and centred on patients and families,and enhance the quality of ICU transferred transitional care and patient safety.
3.Identification and repositioning of catheter malposition during PICC insertion in 113 cancer patients
Lewen SHAO ; Xiaorong HU ; Aiyun JIN ; Qiaofen LIAO ; Weiming LU
Chinese Journal of Nursing 2018;53(4):454-456
This paper summarized identification and reposition strategies of catheter malposition in 113 cancer patients with peripherally inserted central catheters(PICCs) during catheterization.In the process of PICC catheterization,catheter malposition was identified by ultrasound and ECG in a real-time manner.A series of timely and effective reposition procedures were performed by internal jugular vein blocking,breathing combined with anterior segment wire withdrawal Overall,111 cases were successfully repositioned,the success rate was 98.23%,and 2 cases failed because of other reasons such as diseases.
4.Evidence summary of blood flow restriction training for elder patients with sarcopenia
Xin WANG ; Nuo LI ; Shiyu LIANG ; Chenyang LI ; Lewen SHAO
Chinese Journal of Nursing 2024;59(10):1187-1194
Objective To search,evaluate,and summarize the relevant evidence of blood flow restriction training in elderly patients with sarcopenia,and provide references for medical staff to guide elderly patients to carry out blood flow restriction training to prevent and treat sarcopenia.Methods Computer systems were used to search domestic and foreign databases,relevant guide websites,and professional association websites for guidelines,expert consensuses,expert opinions,clinical decisions,system reviews,recommended practice,and evidence summaries on blood flow restriction training for elderly patients with sarcopenia.The retrieval period was from the inception of databases to March 2023.There were 2 researchers who independently conducted literature quality evaluation,evidence extraction,and integration.Results A total of 14 articles were finally included,including 1 guideline,12 systematic reviews,and 1 expert opinion.A total of 27 pieces of best evidence were summarized from 7 aspects:exercise assessment,exercise mode,pressure parameters,exercise parameters,exercise effects,exercise safety,and evaluation methods.Conclusion This study summarized the best evidence for blood flow restriction training in elderly patients with sarcopenia.It is recommended that medical staff fully consider clinical practice when applying evidence,and develop personalized blood flow restriction training programs based on the exercise preferences and actual situations of the elderly to prevent and treat sarcopenia.