Objective To examine the reliability and validity of the Connor-Davidson Resilience Scale (CD-RISC) in nurses in China.Methods Item analysis and confirmatory factor analysis of CD-RISC was conducted.A total of 1 084 nurses were randomly divided into 2 groups using random number table.One group was used to revise CD-RISC and the other to evaluate its reliability and validity.Results Confirmatory factor analysis of the original RSA showed thatx2/df,RMSEA,GFI,AGFI,CFI were 6.714,0.103,0.804,0.764,and 0.718,respectively.The number of item was reduced to 21 based on exploratory factor analysis results,including three factors which explained 54.034％ of the total variance.Factor loading ranged from 0.490 to 0.755.Coefficient of internal consistency ranged from 0.688 to 0.930 and the 4 week test-retest reliabilities ranged from 0.825 to 0.917.The factor scores were closely correlated with the total scores with correlation coefficient ranging from 0.683 to 0.943.The factors were closely correlated with each other with correlation coefficient ranging from 0.564 to 0765.The confirmatory factor analysis of the revised CD-RISC showed that x2/df,RMSEA,GFI,AGF,CFI were 3.304,0.065,0.902,0.878,and 0.913 respectively.The total scores and all factors were negatively correlated with depression and anxiety and somatization.Conclusions The revised CD-RISC has good psychometric properties and can be used to measure the resilience of nurses.

Objective To investigate the meridian touching on neonatal hyperbilirubinemia effect of adjuvant therapy.Methods 120 cases of neonatal hyperbilirubinemia were randomly divided into the observation group and the control group,60 cases in the control group were treated with modified simple touch of domestic law,on the basis of modified simple touch,the observation group increased meridian touching,2 times per day,once every 15 min.The nursing effect was compared between two groups.Results The observation group was significantly better than the control group in items such as daily intake of milk,sleep time,meconium drained time,jaundice.Conclusions On the basis of modified simple touch of domestic law,the addition of meridian touching can effectively reduce neonatal hyperbilirubinemia serum bilirubin levels,prevent high bilirubin encephalopathy,and promote the growth and development of newborns.

Objective To explore true thoughts and experience about student-based nursing teaching rounds among vocational college nursing students in Pediatric during the initial stage of clinical practice.Methods Interview was conducted on 27 nursing students of seven focus groups with semi-structured interview.The data was transcribed based on the tape and were analyzed by Giorgi analysis.Results Nursing students held positive attitude to this mode.Three themes were extracted:stimulating nursing students' learning potential,enhancing the comprehensive ability of nursing students; some students had difficulties in case selection,disease analysis and physical examination; suggesting that detailed rounds guideline should be issued to students first,and teaching rounds should be held every two weeks.Conclusions We should strengthen training of the ability of nursing assessment in pediatrics for nursing students,play the role of facilitator and advocate self-directed learning methods.

Objective To explore the measure of the peri-operative care in patients undergoing nephroureterectomy with transvaginal NOTES-assisted hybrid endoscopy.Methods Nursing measures and the effect of 3 patients who underwent transvaginal NOTES-assisted hybrid endoscopy in nephroureterectomy were retrospectively analyzed.Results All procedures were successfully completed.There were no intraoperative or postoperative complications.All patients were cured and discharged.Conclusions For the patients receiving transvnginal NOTES-assisted hybrid endoscopy in nephroureterectomy,good psychological care,adequate preoperative preparation,postoperative care,and health education can reduce postoperative complications and play an important role in the success of the operation.

Objective To investigate the advantage of detaining peripherally inserted central catheter through the veins of lower extremity in neonatal intensive care unit.Methods 165 cases of infants were randomized into veins of lower extremity group (first saphenous veins,then popliteal vein) and veins of upper extremity group (first basilic vein,then median cubital vein,cephalic veins) from January to December 2012.We observed the success rate of detaining,catheter tip location,and complications such as phlebitis in the two groups.Results The success rate of detaining of lower extremity group was higher than that of upper extremity group,and ectopic rate of lower extremity group was lower than that of upper extremity group.There was no significant difference in complications such as phlebitis between two groups.Conclusions Peripherally inserted central catheter through the veins of lower extremity has more advantage over through the veins of upper extremity group.

Objective To investigate the situation of implementation of community home endowment nursing services in Yancheng City to provide basis for developing nursing services for the elderly.Methods Survey was conducted for the 255 elderly in 15 aged-service stations.We used the multistage random sampling by questionnaire and interview.Results There was difference in the need of community home endowment service,the situation of implementation,and in the service evaluation.Conclusions Nursing service for old people in community home endowment is still developing in elementary step.We should establish the normative and exercisable quality specifications and evaluation systems of nursing service for old people,in order to assure quality of nursing service.

Objective To investigate the restricting factors of long-term care of stroke survivors in community.Methods The phenomenological methodology was adopted in the study.Sixteen stroke survivors were interviewed.Data were analyzed by Colaizzi's method.Results Three themes were found,including physical barriers,incorrect attitude towards disease,and defects of community health service.Conclusions On the basis of improving technology and ability,medical workers in community should consider of supporting the patients with information of disease and useful resources in a variety of ways,and improving the patients health literacy.

A comprehensive analysis was carried out about the influencing factors of medication safety in the elderly with multiple chronic diseases,who lived in the community and stayed at their own homes.Applicable and simple preventive countermeasures should be established to ensure the medication safety outside medical agency.We should promote extending service of hospitals,cooperate with community and nursing facility in order to increase life quality of the elderly,and supply reference for professional continuous service model including rapid aging,empty nest with advanced age,disability and dementia and elderly people with chronic diseases.

Objective To explore the effects of task-based language teaching approach on the speaking anxiety and achievements of spoken English for nursing.Methods Two classes of nursing majors in grade 2010 from Youjiang Medical University for Nationalities were chosen as the research respondents,among which Class one (47 students) and Class two (51 students) were set as the experimental and control class respectively.To teach spoken English for nursing,task-based language teaching approach was used in the experimental class and traditional method was used in the control class.The anxiety scale and the proficiency test of the spoken English for nursing were adopted after the experimental teaching in order to compare the significant differences between the two classes.Results The speaking anxiety level of English for nursing in the experimental class was lower than that in the control class,and there was significant difference between the two classes.The total test score of the spoken English for nursing in the experimental class was higher than that in the control class,and the total score,the scores of fluency,vocabulary and grammar in the experimental class were significantly different to those in the control class.Conclusions Task-based language teaching approach could reduce the speaking anxiety of English for nursing,and improve the nursing majors' achievements of spoken English for nursing.

Objective To explore the health education model of cerebral palsy rehabilitation.Methods Forty children with spastic cerebral palsy were screened and randomly divided into the therapy group and the control group.All the children received common health education,but parents of the therapy group were offered new standardized systematic health education whenever their children were in hospital or discharged from hospital by primary nurses.The Improved Ashworth Spasm Evaluation,GMFM evaluation and ADL evaluation were respectively performed in both the therapy and the control groups before the treatment and after six-month rehabilitation.Results There was no significant difference in the index score between both groups before the treatment.After six months,all the above indicators increased in both groups.And notably,significandy more increment was observed compared with the control group.Conclusions The new health education can further improve gross motor function and ADL of cerebral palsy children,which can be popularized and used as a new health education model for cerebral palsy rehabilitation.