In recent years, the effective use and scientific management of specialist nurses has become an important strategy for the sustainable development of specialized nursing and the progress of the nursing industry in China, and it is a new topic facing nursing managers in the new era. This article reviews the research progress on the use and management of specialist nurses at home and abroad, in order to provide a theoretical basis and reference for the formulation of a system for the use and management of specialist nurses in China.

Objective:To investigate the use and management of intensive care nurse specialists in ClassⅡ and ClassⅢ hospitals in Jiangsu Province.Methods:From July to August 2021, convenience sampling was used to select 421 intensive care nurse specialists in Class Ⅱ and Class Ⅲ hospitals in Jiangsu Province as the research object. A self-designed Jiangsu Provincial Intensive Care Nurse Specialists Use and Management Questionnaire was used for investigation. A total of 421 questionnaires were distributed, and 414 valid questionnaires were recovered, with a valid recovery rate of 98.3%.Results:Among 414 intensive care nurse specialists, 65.7% (272/414) of nurses still worked in their original positions after obtaining the specialist certificate, and 47.8% (198/414) of the nurses had slightly different job content after obtaining the specialist certificate than before obtaining the certificate. In terms of salary, only 31.6% (131/414) of nurses had increased their salary after obtaining the specialist certificate. In terms of retraining and scientific research, 56.5% (234/414) of the nurses had not participated in intensive specialist nursing retraining after obtaining the specialist certificate, and 65.5% (271/414) of the nurses had not undertaken nursing research projects. In terms of recertification, 50.7% (210/414) of nurses did not recertify after earning a specialist certificate. In terms of core competency training needs, nurses had the strongest need for scientific research and innovation ability training (81.4%, 337/414) .Conclusions:The roles and responsibilities of intensive care nurse specialists in Jiangsu Province need to be clarified, the scientific research ability of nurses needs to be improved, and the salary and qualification re-certification system needs to be further improved. Nursing managers should establish a standardized management system to promote the professional development of intensive care nurse specialists.

Objective: To explore the safety, feasibility and advantages of Da Vinci robot "3+ 2" mode in radical gastrectomy. Methods: Clinical data of 30 patients received radical gastrectomy at our department under the "3+ 2" mode of Da Vinci robot from Jan. 2018 to Oct. 2018 were retrospectively analyzed. 30 patients who received classical robot mode in the same period were randomly selected as control group. Results: Compared with the control group, the observation group had a shorter operative time (174±16)min vs.(197±19)min, t=-3.275, P<0.01) , a lower operation costs[(22 794±3 660)yuan vs.(29 307±3 220)yuan, t=-3.316, P<0.01; and inhospital costs (70 910±6 399)yuan vs.(78 180±6 636)yuan), t=-7.316, P<0.01]. Conclusion The "3+ 2" mode of Da Vinci robot in radical gastrectomy is beneficial to enhance the exposure of the surgical field, improve the cooperation of assistants, reduce the costs of surgery, shorten the operative time and the learning curves. In addition, it has similar clinical efficacy to radical gastrectomy under the classical robot mode.