OBJECTIVE:To analyze the regularity and characteristics of adverse drug reactions (ADR) occurred in our hospital. METHODS:A total of 208 ADR cases (207 cases were valid) reported by clinical departments of our hospital were analyzed statistically in respect of patients' age and sex,routes of administration,causal relationship assessment and extent of ADR,ADR types and clinical manifestations,etc. RESULTS:Of the 207 valid ADR cases,38.65% of them aged between 30 and 49; intravenous route accounted for 87.92% in terms of the incidence rate of ADR; anti-infective drug accounted for 53.62%. The most common clinical manifestations of ADR were the lesions of skin and its appendants,which accounted for 59.91%. CONCLUSION:Anti-infective drugs and intravenously injected drugs should be used rationally to reduce the incidence of ADR.

Objective To explore the working experiences of rehabilitation specialized nurses and provide references for the development of rehabilitation nursing. Methods Through phenomenological study of qualitative research, 8 rehabilitation specialized nurses in our hospital were selected by purpose sampling method in September 2015, and were interviewed about the current status of work and existing problems. Interview data was analyzed by Colaizzi method. Results Interview results showed that: working experiences with positive effect were mainly reflected in the following themes:change of cognition of rehabilitation concept, improvement of rehabilitation nursing ability,increased job satisfaction,a more clear role. On the contrary, the negative aspects were:difficulties of patient′s evaluation,lack of time engaging in rehabilitation nursing, difficulty of charge,weak strength of rehabilitation team.Conclusions Nursing managers should attach great importance to the cultivation and use of rehabilitation specialist nurses, modify the related system, and promote the development of rehabilitation nursing. Nursing managers also should pay attention to nurses′emotional experience; provide development platform for rehabilitation specialist nurses; and provide interventions and support in many aspects to perfect the related system, so as to promote the development of rehabilitation nursing.

Objective To explore the effects of maternal posturing and utilization of auxiliary facilities at early first stage of labor on primiparas′birth progress, pain degree and delivery mode. Methods Primiparas before delivery were randomly divided into control group and observation group. The primiparas in control group took free positions and received routine nursing care. Maternal posturing and auxiliary facilities were provided for the patients in observation group before first stage of labor. The birth progress, pain degree and delivery mode were compared between the two groups. Results The first, second and third stage of labor in observation group were significantly shorter than those of the control group, the differences were statistically significant ( P <0. 05). The difference of pain degree between two groups was statistically significant (P<0. 05). The natural delivery rate, the incidence of postpartum hemorrhage and asphyxia neonatorum were 78. 75%,8. 75% and 7. 50% in control group, while the natural delivery rate was 95. 00% and no postpartum hemorrhage or asphyxia neonatorum in observation group, and the differences were statistically significant (χ2 =9. 285 7,7. 179 5,6. 233 8, respectively;P<0. 05). Conclusions Early maternal posturing and utilization of auxiliary facilities can shorten the birth progress, relieve labor pain, improve the natural delivery rate and reduce adverse pregnancy outcome of primiparas.

Objective To investigate inner experience of junior nurses after a serious adverse event.Methods A total of 7 junior nurses undergoing a serious adverse event were interviewed from June to August 2016, using the phenomenological approach in qualitative research. The interview was analyzed by phenomenological methodology. The information was dealt with Colaizz 7 steps analysis method.Results The perception of junior nurses experiencing a serious adverse event could be classified into 3 themes: emotional changes in different periods, family attitude having an impact, the pursuit of nursing work having some changes. Conclusions The interview of junior nurses can help them undergoing a serious adverse event to express inner feelings, which shorten the time of mental health and provide the basis for the research on nursing adverse event management system.

Objective To comprehend neonatal fathers′views on breastfeeding and their experience engaging in and supporting breastfeeding,so as to provide theoretical basis for fathers′playing better roles in breastfeeding and promoting breastfeeding.Methods Using phenomenology method,in-depth interviews were conducted to 1 2 neonatal fathers about their experience in their wives′breastfeeding period.Using content analysis method,data were settled,concluded and analyzed.Results In neonatal fathers′experience in breastfeeding period,five themes were extracted,including fuzzy understanding of breastfeeding,tortuous breastfeeding experience,father′s important role in breastfeeding,ways of fathers involving in breastfeeding and professional support fathers required.Conclusions Health professionals in Obstetrical Departments should attach more importance to fathers′role in breastfeeding,give them effective help and professional guidance,so as to strengthen their participation and support in breastfeeding.

Objective To explore the work experience and responding measures of the second-line on duty senior nurses in night shift rescue.Methods In-depth interviews were conducted in 11 nurses and the interview data were collected and analyzed by phenomenological research method.Results The work experience of the second-line on duty senior nurses in night shift rescue was divided into three stages and eight topics. Before rescue: the influence of working environment on sleep; concerns over the incompetence of the emergency work because of the unfamiliarity of the specialty; the invisible pressure from their responsibility. During the rescue: the ability of quick adjustment into new environment and rescue state; timely detection and suppression of potential security risks of nursing; the perception of lack of knowledge in night shift nurses and themselves. After the rescue: occupational pride gained from emergency rescue; and the desire for knowledge. Conclusions Nursing managers should pay attention to the work experience of the senior nurses who are on the duty of second-line and take effective interventions to better play the role of senior nurses, at the same time, improve the working ability of night duty nurses to ensure the quality and safety of night nursing work.

Objective To explore the real life experience of family caregivers among mild cognitive impairment (MCI) patients during health care so as to provide a reference for reducing family caregivers burden.Methods From March 2017 to March 2018,we selected 18 family caregivers of community MCI patients in Department of Neurology,rehabilitation and memory outpatient at the Affiliated Hospital of Medical School of Ningbo University as subjects by purposive sampling.Semi-structured interview,a phenomenological approach of qualitative research,was used to collect data,and Colazzi analysis was used to sort out,analyze data and refine theme.Results A total of four themes in real life experience of family caregivers of community MCI patients were extracted including family caregivers lacking knowledge about disease (fear,worry and stigma),family caregivers being with high pressure during health care,compromising and confronting actively,expecting to seek more social supports (eager to learn disease-related knowledge,hope to get relatives' understanding and help,gain community supports and environmental supports).Conclusions Community MCI health care brings negative influences on life of family caregivers.Medical staff,family members and community organization need to provide multi-path support to reduce mental pressure and social economic burden of family caregivers of community MCI patients so as to improve their quality of life.

This article reviews the application of patient-reported outcome measures in symptom measurement, quality of life measurement, adverse event reporting and clinical decision-making in breast cancer patients, so as to provide a reference for the application and development of related measures.

As a new type of medical service project, "Internet + nursing service" has become a new trend in the development of nursing. Ningbo area started the exploration of "Internet + nursing service" as early as the end of 2015, and gradually formed the Ningbo model of "government-led, regionalized layout, and online and offline collaborative services, medical professional support, market-based operation". And made the innovative practice of "medical insurance pay at home". By the end of December 2021, there were 6 200 registered nurses on the platform, and a total of 20 993 door-to-door services were provided. 197 medical institutions settled on the platform and carried out 49 home service projects. This paper introduced the exploration experience and practical results of "Internet + nursing service" in Ningbo, and provided reference and reference for the advancement of this work.

Objective To explore the effect of fall risk assessment software in electronic medical record system used by junior nurses. Methods By retrospective study, the fall events reported by electronic medical record system between 2014 and 2015 were analyzed. The prediction rate for high risk falls and the incidence of falls related to junior nurses were compared before and after using fall risk assessment software, and the effect of fall risk assessment software on cognition and safety attitude of junior nurses was analyzed by revised report cognitive questionnaire and patient safety culture assessing scale about clinical nurse. Results After using fall risk assessment software, the prediction rate for high risk falls of junior nurses was higher than before (54.9% vs 25. 9%), and the difference was statistically significant (P<0.01). The incidence of falls related to junior nurses reduced to 40%, and the difference was statistically significant ( P<0. 05 ) . The cognition of nursing adverse event report improved significantly. The total score of patient safety culture assessing scale and the scores of all dimensions were increased. The differences were statistically significant (P<0.05).Conclusions Fall risk assessment software in electronic medical record system can improve the junior nurses′ ability of preventing adverse events, strengthen their security beliefs, and ensure the safety of care.