Objective To investigate the occurrence of alarm of dialysis machine, and analyze the cause of alarm, so as to reduce the frequency of alarm.Methods The quality control circle (QCC) was established in March 2015 and then we managed alarm events of dialysis machine effectively according to the steps of QCC with professional tools and methods. The intangible andtangibleoutcomes before and after activities were compared.Results The frequency of alarm reduced from 0.249 times per hour to 0.120 times per hour after QCC, the alarming frequency of pressure alarm and balance alarming before and after the implementation of intervention were significantly different (χ2= 4.898,7.339;P<0.05).Conclusions The alarming frequency of dialysis machine can be effectively reduced by cluster intervention measures. The team cohesive force and the ability of team members with scientific methods to solve practical problems can be improved by QCC management.

Objective? To explore the effects of direct operation skill observation in nurses' operation training for continuous renal replacement therapy (CRRT). Methods? Totally 44 nurses who needed to receive CRRT operation training in Peking University First University between January and December 2016 were selected by convenient sampling and divided into the control group (n=21) and the observation group (n=23) according to the random number table. Nurses in the control group were trained using conventional methods, while nurses in the observation group were trained by direct operation skill observation on this basis. The operational performance and satisfaction with training methods were compared between the two groups. Results? The machine operation and catheter change scores of the control group were (92.76±3.79) and (92.28±3.45), respectively, while those of the observation group were (96.32±2.41) and (96.40±2.19), respectively (P＜0.05). The satisfaction with training methods scored (41.05±1.53) in the control group and (50.35±2.21) in the observation group (t=16.08,P＜ 0.05). Conclusions? Direct operation skill observation can improve the operation skills of CRRT nurses and enhance their comprehensive competence, which provides a reference for developing formative evaluation methods in clinical nursing training in the future.

Objective:To understand the current situation of use and management of wound, ostomy and continence specialist nurses in China, and provide a basis for further improving the use and management of specialist nurses.Methods:Using the convenient sampling method, a questionnaire survey was conducted among 1 020 wound, ostomy and continence specialist nurses trained by 21 provincial nursing societies and 12 international enterostomal therapist schools across China from December 2018 to January 2019. On the basis of literature review, we designed the Questionnaire of Work Status of Specialist Nurses of Wound Ostomy Incontinence, which was divided into three parts: general information, work status and hospital management with 33 items in total. The research group communicated with the leaders of 12 international stomatological therapists schools and the chairman of the professional committee of wound stomatological incontinence of 21 provincial nursing societies in China. After informed consent was obtained, the electronic questionnaire link was pushed and sent to the corresponding specialist nurses by the leaders and chairman of each school.Results:In this survey, 1 020 questionnaires were collected and invalid questionnaires were eliminated. A total of 885 valid questionnaires were collected. 81.5% (721/885) of nurses were engaged in specialized work part-time, among which clinical specialized nursing, nursing consultation, difficult case discussion and nursing ward round were the main work undertaken by specialist nurses. In terms of education, specialized nurses mainly undertake the work of health education for patients, teaching of continuing education projects and training and teaching of in-hospital specialized nurses. In terms of scientific research, 40.8% (361/885) of specialized nurses undertook scientific research projects and 41.2% (365/885) of specialized nurses published papers as the first author or corresponding author. In terms of specialist consultation, other nursing staff , patients or family members and doctors consulted specialist nurses for specialist questions. In terms of professional promotion, specialist nurses organized specialist studies, participated in standard setting and served on professional committees. Wound, ostomy and continence specialist nurses had difficulties in management support and lack of knowledge and skills. The hospitals where 37.1% (328/885) specialized nurses worked had no relevant rules and regulations for wound, ostomy and continence specialist nurses.Conclusions:Wound, ostomy and continence specialist nurses play an important role in many aspects and their role development is restricted. It is necessary to give more time, space, training and management support to specialist nurses. It is urgent to improve the job management of specialist nurses, improve relevant rules and regulations and promote the professional development of wound, ostomy and continence specialist nurses.

This article reviewed the intension and current status of knowledge translation in health care and analyzed the existing problems including a lack of nursing evidence summary, low quality of nursing evidence, nurses with low ability in evidence-based and insufficient evidence-based atmosphere. It is recommended that knowledge translation researchers of the institutions and clinical knowledge translation practitioners should work closely together to carry out integrated knowledge translation research, and should produce more best evidence summary and knowledge translation tools close to clinical needs, accelerate the cultivation of evidence-based nursing talents at all levels, and use a variety of incentives to support evidence-based practice,apply the concepts and methods of knowledge translation to improve the quality of nursing and promote the development of nursing science.

Objective To explore the effects of application and management of the standardized training system for newly graduated registered nurses. Methods A total of 238 newly graduated nurses in Peking University First Hospital were selected by purposive sampling method. The 138 nurses who were enrolled in August 2015 were assigned into control group, adopting the traditional training program for new nurses. The 100 newly enrolled nurses in August 2016 were assigned into observation group, adopting the new standardized training program for new nurses. After training, the nurses of both groups were evaluated with the Transition Shock of Newly Graduated Nurses Scale (TSNGNS), the New Nurse Standardized Training Satisfaction Questionnaire, and the comprehensive examination paper. Results The total scores of TSNGNS, physical dimension, psychological dimension, social culture and development of nurses in the observation group were lower than those in the control group after training, and the differences were statistically significant (P＜0.01). After training, the total score and each dimension score of nurse satisfaction questionnaire in the observation group were higher than those in the control group, and the differences were statistically significant (P＜0.05). After the training, the comprehensive examination score of the nurses in the observation group was higher than that in the control group, and the difference was statistically significant (P＜ 0.01). Conclusions The implementation of the new training scheme can effectively relieve the new nurses' transition shock and improve their satisfaction and comprehensive evaluation score during training.

Objective:To explore new head nurses' demands of training and construct the theoretical framework of training demands of new head nurses. In order to provide reference for management department about making training plans and improving the competence of new head nurses.Methods:From November 2018 to March 2019, semi-structured in-depth interviews were conducted with 15 new head nurses in a ClassⅢ Grade A hospital in Beijing by using the objective sampling method. The data were sorted out and analyzed by the grounded theory, the themes were separated out and then the training model is built.Results:34 concepts, 13 categories and 4 main categories were extracted. The core categories including external-driven, self-development, training needs and key elements of training. Eventually, the theoretical framework of training demands in new head nurses was developed.Conclusions:Under the role of external drive and self-development, the new head nurse has a strong desire for training. The management department should formulate training strategies according to the specific needs of the new head nurse to meet their training intentions, help them adapt to the working environment as soon as possible and promote the development of their own education.

Objective:To explore the status quo and influencing factors of nursing staff's nursing informatics competencies and provide reference for the relevant departments of the hospital and nursing managers to cultivate their informatics competencies.Methods:In this cross-sectional study, from July 31 to August 12, 2019, totally 982 nurses from Peking University First Hospital were selected by convenient sampling and investigated with the General Informatics Questionnaire and Nursing Informatics Competency Scale. Multiple linear regression analysis was used to analyze the influencing factors of nursing informatics competencies. A total of 982 questionnaires were distributed in this study, and 982 valid questionnaires were recovered, with an effective recovery rate of 100%.Results:The total score of nursing informatics competencies of the 982 nurses was (125.61±22.79) , including (45.70±9.74) for informatics management ability, (31.83±6.08) for computer operation ability, (20.16±4.07) for computer software management ability, (15.54±3.23) for nursing informatics awareness, and (12.37±2.49) for nursing informatics operation ability. The multiple linear regression analysis showed that age, education, department and whether they had received informatics-related training were the main factors affecting their nursing informatics competencies ( P<0.05) . Conclusions:The nursing informatics competencies of the nursing staff of Peking University First Hospital is satisfactory. Age, education, department and whether they have received informatics-related training may affect their nursing informatics competencies. It is suggested that hospital managers and relevant departments should provide more individualized training for personnel of different age groups, different educational backgrounds and different departments.

Objective To investigate the training needs and suggestions of advanced practice nurses in medical institutions in China,and to provide references for the formulation of training programs for advanced practice nurses.Methods By a convenient sampling method,from May to July in 2023,the heads of nursing nurses in medical institutions in 29 provinces,autonomous regions and municipalities directly under the Central Government were investigated,and the self-designed questionnaires were distributed in the form of electronic questionnaire.Results 1 287 medical institutions participated in the survey,with tertiary hospitals accounting for 65.50％.93.16％of medical institutions had the use needs of advanced practice nurses,and the top 3 professional fields hoping to prioritize in the APN training were in the order of critical illness,emergency treatment and intravenous treatment.Among the APN core competence,the most important one was direct clinical practice(92.77％),followed by professional development(89.43％)and scientific research and evidence-based practice(86.40％).71.72％of medical institutions suggested that the theoretical training time is 4 weeks,combining online and offline training(50.35％),and the clinical practice time should not be less than 12 weeks(97.66％).Theoretical learning course assignment(92.93％),case report(90.83％)and clinical practice reflection diary(88.19％)were the main process evaluation methods,while 1 case study with the completion of the report and defense(87.65％)and 1 evidence-based nursing practice research plan with the completion of a report and defense(77.93％)were the main final evaluation methods.Conclusion Advanced practice nurses are important roles in the process of nursing professional development,and medical institutions in our country have a high demand for the training of advanced practice nurses.It is imperative to carry out the training of advanced practice nurses.The suggestions of medical institutions on the training content and methods focus more on the training of core competence.On this basis,the admission conditions should be clarified,and the training program of advanced practice nurses for China's national conditions should be explored.

Objective:To explore design of an intelligent teaching platform based on the training path of medical education and its application in clinical nursing teaching and management.Methods:Starting from three stages of medical education in colleges and universities, post-graduation education, continuing education and teacher development and training, combining the whole process of nursing teaching, relying on the nursing management information platform, the intelligent nursing teaching platform was designed and developed by using the front and rear separation design framework and the whole station HTTPS encrypted connection. The platform included teaching plans, teaching training, exam management, teaching feedback, teaching resources and system management modules. Among them, the teaching training module was divided into six sub-modules, such as college education, post-graduation education, continuing education, teacher development, advanced training and base training. The intelligent teaching platform was applied to clinical nursing teaching and management.Results:The use of the platform improved the quality of nursing teaching, provided independent learning environment for nurses and helped the hospital save time and labor costs.Conclusions:The application of intelligent nursing teaching platform effectively saves nursing labor cost and teaching management cost and promotes the development of nursing teaching training assessment and management towards the direction of informatization, which is a training management platform worthy of wide application by nursing teaching managers.

Objective To investigate effect of the integrated care model based on patients′demand in in-charge patients with chronic kidney disease ( CKD) .Methods Established CKD integrated care team , and a questionnaire survey about knowledge and disease management was conducted in hospitalized CKD patients from January to May, 2013, and established the CKD care referral model in hospital .Results A total of 150 cases of hospitalized patients with CKD received a questionnaire .The scores of patients′awareness of CKD was (4.41 ± 1.11), and the knowledge about kidney disease was (3.21 ±0.84), and the degree of concern for knowledge of disease was (2.75 ±1.30), and disease self-care technology mastery was (1.39 ±0.83).88.67% and 60.00%patients considered disease knowledge received from healthcare professionals , but there were still a large number of patients received knowledge from the media , friends, etc.105 patients (70.00%) hoped to get nursing care of outpatient follow up and education .The integrated care referral pattern in hospital was initially established after team discussion which could provide targeted patients pre-referral care and education , coordinated with one by one referral patterns with one transfer form , post-referral care and education .There were 81 nurses joined the post-referral care and gave their suggestions .Conclusions CKD patients need long-term, continuous, complete and individualized health care and education .Establishment of integrated CKD care referral patterns may be an appropriate way to solve this issue .