Objective:To investigate the current status and its influencing factors of spiritual care competence of nurses in reproductive center.Methods:Totally 524 nurses in reproductive center were recruited by stratified cluster sampling from 53 reproductive center in 26 provinces. They were investigated by using self-designed questionnaires and the Chinese version of Spiritual Care Competence Scale (SCCS).Results:The total SCCS score of the 524 nurses in reproductive center was 68.76±10.98. Among the six dimensions, communication ability got the highest score (3.58±0.81), while ability of professional development and quality improvement got the lowest score (2.90±0.76). The result of multiple regression analysis indicated that the influencing factors of spiritual care competency were spiritual care training and clinical teacher( P <0.01 or 0.05). Conclusions:The level of spiritual care competence of nurses in reproductive center is in the middle at a low level, with a great promotion space. Nursing managers in reproductive centers should actively create spiritual education and training opportunities for nurses to improve their spiritual care competence.

Objective:To summarize the best evidence of psychological intervention for patients receiving assisted reproductive technology (ART).Methods:All evidence on psychological interventions for patients receiving ART was searched in UpToDate, BMJ Best Practice, Joanna Briggs Institute, GIN, NICE, NGC, SIGN, CMA Infobase, Cochrane Library, PubMed, Web of Science, CINHAL, Embase, psycINFO, China Guideline Clearinghouse (CGC), guides in medlive.cn, CNKI, Wanfang Data, SinoMed, and VIP databases. The evidence retrieved included clinical practice, recommendations, guidelines, expert opinions, consensus, systematic reviews and meta-analyses, and the search time limit was from the establishment of the database to January 2023. Two researchers conducted evidence extraction, aggregation, and quality evaluation.Results:A total of 797 references were obtained at the initial retrieval, and 27 papers were finally included, including 1 clinical best practice, 2 guidelines, 1 recommended practice, and 23 systematic evaluations. The evidence summary summarized 16 best evidences, including four aspects of psychological assessment, psychological intervention, drug treatment and personnel training for ART patients, of which 50% were class 1 evidences and 87.5% of the evidences were recommended with strength A.Conclusions:Enhanced personnel training in assisted reproduction facilities and early identification of the psychological state of infertile patients by medical staff and targeted psychological intervention or medication are the key to improving the psychological status of ART patients.