Objective To develop a set of quality indicators for hip replacement transitional care, and to provide reference for objective evaluation and standardization of transitional care in hip replacement. Methods Based on the"structure-process-outcome"model and the current practice of transitional care in hip replacement and patients'need,we developed an item pool dor assessing quality of transitional care by using literature review. Then a 2-round Delphi study was conducted among 16 experts to collect their opinions about these indicators. Results Aftertwo rounds expert advisory,the effective response rates were 17/17, 16/17; Cr coefficients were 0.865,0.855;Wcoefficients were 0.206-0.284, 0.135-0.253, and P values were all less than 0.01. The index system consisted of 3 first-level indicators, 12 second-level indicators,and 64 third-level indicators. Conclusions The constructed nursing quality indicator system in transitional care for hip replacement can provide references for evaluating transitional care in hip replacement qualityof care in a scientific and rational way.

Objective To test the reliability and validity of the Chinese version of Insomnia Severity Index(ISI-C) in patients with insomnia. Methods One hundred and twenty patients with insomnia were selected from Zhongshan Hospital Affiliated to Dalian University. The subjects had completed the ISI-C scale and Pittsburgh Sleep quality Index(PSQI) scale, Epworth Sleepiness Scale(ESS) at the same time. The reliability and validity of the scale were tested by Cronbach α coefficient, item correlation analysis, exploratory factor analysis and ROC curve test. Results The Cronbach α coefficient of the ISI-C was 0.804,the test-retest reliability was 0.887 (P<0.01). The items of ISI-C scale were correlated with the corresponding items of PSQI (r=0.831, P<0.01), ESS(r =0.218, P<0.05). Two common factors were extracted by factor analysis including the severity of insomnia and the influence of insomnia, and the cumulative contribution rate was 63.117% (P<0.01).When the cutting point was 10.5 points, the sensitivity and specificity were 84.0% and 92.3%, respectively (P<0.01). Conclusions ISI-C scale is a reliable and valid instrument. It can be used to measure the insomnia of patients in hospitals.

Objective: To investigate the current status and influencing factors of basis of the replacement of short peripheral intravenous catheters for clinical nurses and explore the obstruction of the latest guide promoted in practice. Methods: The qualitative research method was adopted, and semistructured interviews were used to interview 11 clinical nurses. Data were analyzed by the method of category analysis. Results: Although the clinical nurses mainly used the national standards to do practical operation, they preferred to carry out catheter replacement according to clinical indications. The difference between the latest guide and the national standards was the main obstruction in the practical promotion of the latest guide. Conclusions The removal of short peripheral intravenous catheters according to clinical indications is more suitable for clinical practice. Further improving the standards of intravenous therapy in China has become a fundamental measure to solve the contradictions of work of clinical nurses, improve patients′ medical experience and save medical resources.