Objective To investigate the level and influencing factors of self-efficacy among nurses with needlestick injuries and explore effective strategies to improve self-efficacy.Methods 713 clinical nurses with needlestick injuries had been enrolled by convenience and stratified sampling method to comphte the investigation using the self-designed demographic questionnaire and General Self-Efficacy Scale.Results The average score of the self-efficacy was (2.70 ±0.52) points.69.1％ of the needlestick injury nurses had the sclf-efficacy score at the middle level; only 19.1％ of them had a higher level score on self-efficacy.Gender,title,section,initiative report,work environment,and occupational safety training were identified as the influencing factors of the self-efficiency.Conclusions Even though more than half of the nurses with needlestick injuries had a middle level self-efficacy,they need further improvement.Other influencing factors should be explored in future in order to develop the corresponding management intervention which can strengthen the self-efficacy of nurses with needlestick injuries.

Objective To investigate the incidence of falls in elderly people in a community of Suzhou during the past year and to provide evidence of preventive interventions. Methods The study collected 1 342 elderly people aged 60 and above, from a community of Suzhou using the method of cluster sampling. The participants were face-to-face interviewed their falling experiences during last year. Results A total of 223 people of the participants had falling experiences and occurred 392 times of falling during last year, and the falling incidence was 16. 62%. Among these cases, 650 (22. 62%) were female;692 (10. 98%) were male;the incidence of female was higher than the male (χ2 =32. 734,P<0. 01). The falling incidence rates of age 60-69, 70-79, 80 -89 and over 90 were 11. 33%, 16. 40%, 18. 52%, 26. 67%; falling incidence was increased with the age (χ2 =11. 261,P<0. 01). In 223 falling cases, only 5. 38% had not injured;72. 65%had soft tissue injury;18. 39% were bruised; 3. 59% had fractures and 62. 50% of them were hip fracture. 75. 35% of the people who had falling experience were afraid of second-time falling, while 32. 74% had limited the activities because of falling. Conclusions The falling incidence is very high in this community and falling experiences have negative effects on both physical and psychological health in elderly people. For this reason, effective preventive interventions are urged for these groups.

Objective To evaluate the effectiveness of trans-theoretical model ( TTM ) based intervention for patients with hypertension to promote physical activity. Methods A total of 118 patients were selected and randomly divided into experimental group (n=56) and control group (n=62) by random number table. The patients of the experimental group received the TTM-based intervention while the patients of the control group received the conventional intervention. The results of two groups were compared. Results The score of behavior changing stage and motor behavior of different follow-up time in two groups had significant differences (F=46. 37,50. 44;P <0. 01). The systolic pressure was (124. 93 ± 10. 29) mmHg, diastolic pressure (78.32 ±8.42) mmHg in the experimental group that were lower than (133. 24 ± 11. 87), (83. 02 ± 7.97)mmHginthecontrolgroup(t= -4.05, -3.11; P<0.01).Conclusions TTMbasedinterventionis effective for patients with hypertension to promote physical activity.

Objective:To explore the application effect of BOPPPS teaching(bridge-in, objective, pre-assessment, participatory learning, post-assessment, summary) model based on comprehensive surgical nursing cases in higher vocational nursing students.Methods:The nursing students of three-year higher vocational nursing in a vocational college in Jiangsu province were involved in the study. Two classes were randomly selected and divided into observation group (54 students) and control group (53 students). Students in the observation group were taught with BOPPPS teaching model that required comprehensive case resources of surgical nursing, while students in the control group were taught with traditional case-based learning. At the end of the course, the differences of students' comprehensive assessment scores, learning feelings and teachers' teaching skills evaluation were compared between the two groups. SPSS 20.0 was used for t test. Results:The comprehensive curriculum assessment results of nursing students in the observation group were higher than those of the control group [(65.20±10.08) scores vs. (60.97±10.41) scores], with statistical significance in the differences ( t=2.141, P=0.035). The total learning feeling scores of the observation group was higher than those of the control group [(77.50±4.93) scores vs. (72.21±7.15)], with statistical significance in the differences ( t=4.45, P<0.001). The scores of teachers' introduction, demonstration, questioning, change, organization, strengthening and ending skills in the observation group were higher than those in the control group, with significant differences ( P<0.05). Conclusion:BOPPPS teaching model based on comprehensive surgical nursing cases can optimize teaching design, improve teaching effect, and promote learning and teaching interactively.

Objective To explore the reliability and validity of Chinese version Family Caregiver Task Inventory( FCTI ) in the relatives of acute myocardial infarction patients .Methods Totals of two class-A hospitals were selected in Suzhou by convenience sampling method , 195 cases of acute myocardial infarction patients′relatives were surveyed .Results The Cronbach′sαof FCTI was 0.867.The Cronbach′sαof the five branch scales was 0.617 -0.694.The split-half reliability was 0.900.The split-half reliability of the five branch scales was 0.605-0.750.The results of the factor analysis showed that there were seven main factors , which showed a cumulative variance rate of 57.384%.Each factors had a load capacity of 0.484 -0.796, which was all over 0.04.Conclusions The Chinese version FCTI has a great reliability and validity , so it fits to evaluate the care ability of acute myocardial infarction patients′relatives .

Objective:To explore the correlation among resilience, self-management and fear of progression in patients with inflammatory bowel disease, so as to provide a reference for clinical treatment and nursing of patients.Methods:From January 2020 to December 2021, 141 patients with inflammatory bowel disease who were hospitalized in the Department of Gastroenterology, the Affiliated Huaian First People's Hospital of Nanjing Medical University, were selected by convenience sampling as the research object. Questionnaires were conducted on the patients using the General Information Questionnaire, the Self-Management Behavior Scale for Patients with Inflammatory Bowel Disease, Connor-Davidson resilience scale (CD-RISC) , and the Fear of Progression Questionnaire-Short Form (FoP-Q-SF) .Results:Among 141 patients with inflammatory bowel disease, the total scores of the Self-Management Behavior Scale for Patients with Inflammatory Bowel Disease, CD-RISC, and FoP-Q-SF were (126.69±26.67) , (67.65±12.52) , and (30.25±9.23) , respectively. Pearson correlation analysis showed that the total score of the CD-RISC in patients with inflammatory bowel disease was negatively correlated with the total score of the FoP-Q-SF ( r=-0.68, P<0.05) . The total score of the Self-Management Behavior Scale for Patients with Inflammatory Bowel Disease was negatively correlated with the total score of the FoP-Q-SF ( r=-0.52, P<0.05) , and the total score of the CD-RISC was positively correlated with the total score of the Self-Management Behavior Scale for Patients with Inflammatory Bowel Disease ( r=0.72, P<0.05) . Conclusions:Both resilience and self-management in patients with inflammatory bowel disease were negatively correlated with fear of progression. Medical and nursing staff can enhance the resilience of patients and improve their disease self-management by formulating relevant intervention strategies, thereby effectively reducing their fear of progression.