Objective To explore the effects of curriculum provision of nursing risk management in standardized training of new nurses. Methods Totally 140 new recruits nurses from the year 2011 to 2014 were divided into control group and experimental group with 70 cases each. The control group received standardized training. In addition, the experimental group added the curriculum of nursing risk management from different levels in the basis of standardized training. Data were statistically analyzed according to the examination results, incidence of nursing safety events ( adverse events) and post admittance rate of new nurses, in order to evaluate the effects. Results The examination results after standardized training and post admittance rate of the experimental group were higher than those of the control group:(83.61 ±6.90) points vs. (80.13±10.58) points,95.7%(67/70) vs. 82.9% (58/70), and there were significant differences, t=-2.309,χ2=6.05, P<0.05. And the incidence of nursing safety events ( adverse events) of the experimental group was lower than that of the control group in standardized training: 1.4%(1/70) vs.11.4%(8/70 ),and there was significant difference, χ2=4.275, P<0.05. Conclusions The curriculum provision of nursing risk management can enforce the safety consciousness of new nurses , culture them self-conscious and standardized nursing behaviors, reduce the incidence of nursing safety events ( adverse events) and improve the work ability of new nurses.

Objective To apply the feedback closed-loop management systemin the telephone follow-up service for discharged patients to increase patient satisfaction and improve the quality of nursing. Methods From January 2015,telephone return visit to discharged patients were analyzed, a summary of dissatisfaction events, analyze the causes every month. Then,the improvement measures for nursing quality were put forward and the effects were evaluated to form a closed-loop management system. Results After the application of feedback closed-loop management system,there was a significant difference in patients' satisfaction with nursing service between the first half (with the incidence of 91.77%,3657/3985) and the second half (with the incidence of 95.76%,3610/3770) of 2015 (χ2=52.22, P < 0.01). Of the 9 items of dissatisfaction recorded in the questionnaire, significant difference was observed in 8 items, as service attitude, hospitalizing education, personal care, question answering, nurse's operation, health education, respect, clean environment and the discharge instructions. The incidence of each item was 2.11%(84/3985), 0.23%(9/3985), 0.35%(14/3985), 0.33%(13/3985), 0.30%(12/3985), 2.99%(119/3985), 0.33%(13/3985), 0.58%(23/3985), 2.58%(103/3985) in the first half of 2015 respectively, compared to 1.09%(41/3770), 0.05%(2/3770), 0.05%(2/3770), 0.08%(3/3770), 0.21%(8/3770), 0.64%(24/3770), 0.85%(32/3770), 0.21%(8/3770), 1.25%(47/3770) in the second half of 2015 respectively (χ2=4.084-59.088,P<0.01 or 0.05). However, no significant difference was observed in the nurse operational between the first half (0.30%) and the second half (0.21%) in 2015 (χ2=0.596, P>0.05). Conclusions Feedback closed-loop management systemic a scientific management theory. It can increase patient satisfaction with nursing service,improve the quality of nursing,and make quality management more scientific and effective .

Objective? To explore the effects of systematic construction of clinical specialized nursing safety in pressure injury nursing of neurosurgery patients. Methods? The specialized nursing safety system was completed step by step in Beijing Tiantan Hospital, Capital Medical University on January 2018. Totally 174 neurosurgery patients hospitalized between January and October 2018 were selected and included in the observation group, while another 183 neurosurgery patients hospitalized from January to October 2017 (before the systematic construction of specialized nursing safety) was included in the control group. The percent correct in the pressure injury care safety risk scale and the incidence rate of in-hospital pressure injuries were compared between the two groups. Results? After the systematic construction of specialized nursing safety, the percent correct in the pressure injury care safety risk scale of the observation group was 96.6% (168/174), while that of the control group was 90.2% (165/183), (χ2=5.804,P＜ 0.05). The incidence rate of in-hospital pressure injuries of the observation group was 0, whereas that of the control group was 0.5% (1/183),(P＞ 0.05). Conclusions? Systematic construction of clinical specialized nursing safety system can enhance the awareness of nursing safety and improve the percent correct in pressure injury risk assessment among the nursing staff.

Objective To investigate the effects of multiple safety management model on improving the safety compliance of stroke patients. Methods This study used prospective control study. A total of 853 stroke patients collected since May 2013 to February 2014 were divided into control group with 438 cases and observation group with 415 cases according to admission time. The control group used the conventional model, the observation group accepted the multiple safety management model, factors were recorded including pathogenic condition, medicine assessment, safety education and functional training. Comparison of safety compliance, satisfaction and rate of adverse nursing events were made in two groups using prospective case-control study. Results The safety compliance was 49. 75% and 63. 68% in control and observation group respectively(χ2 =21. 19,P=0. 01). Rates of fall, bed-falling, pressure sore and unplanned extubation were 1. 99%, 1. 24%, 3. 23% and 5. 22% in control group and they were 0. 25%, 0. 00%, 0. 25% and 0. 75% in observation group (P<0. 01). In terms of satisfaction, the rates were 77. 63% and 92. 47% in control and observation group (χ2 =30. 06,P<0. 01). Conclusions Multiple safety management model contributes to the improvement of safety compliance, decreases adverse nursing events and increases satisfaction in stroke patients. Considering the advantages and operability, multiple safety managements are worth popularization in clinical nursing.

Objective To explore effect of workshop nursing ward rounds on specialist training for nurse of Neurology Department.Methods Totals of 134 nurses of Neurology Department were randomly divided in two groups, 71 nurses in the intervention group and 63 nurses in the control group. The nurses of intervention group received specialist training based on workshop nursing ward rounds, while the nurse of control group received specialist training of traditional mode. We compared two groups of nurses about disease-related knowledge and patient satisfaction with nursing work.Results The nurses of intervention group have higher scores than the nurses of control group in following aspects: patient's condition (80.8±9.2), implementation of nursing measures (85.9±8.4), and implementation of health education (86.3±8.1) (t=4.015, 7.075, 9.319;P<0.01). The patient's satisfaction in the intervention group was higher than that in the control group (P<0.05).Conclusions Workshop nursing ward rounds in neurology specialist training can make the responsibility system nursing effectively implemented and improve the patient satisfaction.

Tooth enamel is prone to be attacked by injurious factors, leading to a de/remineralization imbalance. To repair demineralized enamel and prevent pulp inflammation caused by biofilm accumulation, measures are needed to promote remineralization and inhibit bacterial adhesion on the tooth surface. An innovative material, poly (aspartic acid)-polyethylene glycol (PASP-PEG), was designed and synthesized to construct a mineralizing and anti-adhesive surface that could be applied to repair demineralized enamel. A cytotoxicity assay revealed the low cytotoxicity of synthesized PASP-PEG. Adsorption results demonstrated that PASP-PEG possesses a high binding affinity to the hydroxyapatite (HA)/tooth surface. In vitro experiments and scanning electron microscopy (SEM) demonstrated a strong capacity of PASP-PEG to induce in situ remineralization and direct the oriented growth of apatite nanocrystals. Energy dispersive X-ray spectroscopy (EDS), X-ray diffraction analysis (XRD) and Vickers hardness tests demonstrated that minerals induced by PASP-PEG were consistent with healthy enamel in Ca/P ratio, crystal form and surface micro-hardness. Contact angle tests and bacterial adhesion experiments demonstrated that PASP-PEG yielded a strong anti-adhesive effect. In summary, PASP-PEG could achieve dual effects for enamel repair and anti-adhesion of bacteria, thereby widening its application in enamel repair.