Objective To explore the effect of advanced hierarchical training based on Benner theory on nurses' core competence and post competency. Methods A total of 499 nurses were selected to participat in the training from January 2016 to December 2017. They were divided into before-training group and after- training group, the training method was based on the advanced hierarchical training model of energy level under the guidance of Benner′ s theory.The nurse′ s core competence, post competency, and nursing satisfaction were compared. Results The ratings of nurses′ critical thinking and research, clinical nursing, ethics and legal practice, professional development and education consultation (34.21±4.56), (30.12±5.25), (27.12±5.24), (25.46±4.52), (26.24±4.21), (20.21±3.56), (23.12± 5.24) points in after-training group were significantly higher than in before-training group (28.36±4.12), (26.45±4.52), (26.72±4.52), (25.12±4.12), (24.50±3.25), (18.65±3.12), (20.24±4.65) points (t=7.308-21.264, P<0.05 or 0.01). The scores of nurses' professional knowledge, professional skills, professional ability, and overall quality (72.32 ± 9.21),(93.24 ± 12.35), (43.34 ± 4.12), (54.20 ± 4.23) points were significantly higher than before training (68.25±8.32), (86.42±10.21), (41.05±5.24), (52.12±5.25) points (t=6.892-9.507, P<0.05 or 0.01), and patient satisfaction 92.67％(12164/13126) was significantly higher than before training 88.68％ (11106/12524) (χ2=121.409, P<0.01). Conclusion The advanced level-stratified training model based on Benner theory is helpful to promote the development of nurses′ core competence and post competency, and improve patient satisfaction.

Objective? To expLore the resourcefuLness of chronic heart faiLure (CHF) patients and its infLuencing factors. Methods? From January 2017 to December 2017, we seLected 210 CHF inpatients in cardiovascuLar department at the PeopLe's HospitaL of Danyang as subjects by convenience sampLing. ALL of them were investigated with the generaL information questionnaire and ResourcefuLness ScaLe (RS). MuLtipLe Linear regression was used to infLuencing factors anaLysis. In this study, a totaL of 210 questionnaires were sent out and 198 vaLid questionnaires were coLLected. ResuLts? Among 198 CHF patients, the totaL score of RS was (70.86±16.03). SimpLe correLation showed that there were statisticaL differences in the scores of RS among CHF patients with different ages, education LeveLs, famiLy monthLy earning, Living styLe, cardiac functionaL grading, duration and cLasses of oraL drugs (P＜ 0.05). MuLtipLe Linear regression indicated that the infLuencing factors of resourcefuLness of CHF patients incLuded ages, education LeveLs, cardiac functionaL grading and cLasses of oraL drugs (P＜0.05). ConcLusions? ResourcefuLness of CHF patients is in the middLe LeveL and is affected by many factors. MedicaL staff shouLd pay attention to this condition and make targeted measures based on patients' specific conditions to improve resourcefuLness of CHF patients.

Objective? To investigate the effect of Team collaboration management program on the metabolic syndrome in schizophrenic patients. Methods? From March 2017 to March 2018, the schizophrenic patients with metabolic syndrome who were admitted in Shanghai Mental Health Center Affiliated to Shanghai Jiao Tong University School of Medicine were selected as the participants of this study and divided into observation group (n=45) and control group (n=47) according to the time of admission. The two groups were both given routine treatment and nursing care in psychiatric department. Besides of that, the team collaboration management program was implemented in the observation group. Assessments were done before intervention and 16 weeks after intervention using related metabolic parameters, the Brief Scale of World Health Organization Quality of Life (WHOQOL-BREF) and the Positive and Negative Symptoms Scale (PANSS). Results? There was no significant difference in metabolic parameters, WHOQOL-BREF and PANSS scores between the two groups before intervention (P＞0.05). After 16 weeks of intervention, patients' fasting blood sugar level, body weight, waist circumference, triglyceride, high density lipoprotein and systolic pressure in the observation group were lower than those in the control group, and the difference was statistically significant (P＜0.05). The scores of"physical health" and "psychological function" in WHOQOL-BREF in the observation group were higher than those in the control group, meanwhile, the scores of "positive and general pathological symptoms" in PANSS in the observation group were lower than those in the control group, both with statistical significance (P＜0.05). Conclusions? Team collaboration management program can help controlling the related metabolic parameters of the schizophrenic patients with metabolic syndrome effectively, improve their quality of life and promote recovery from their mental symptoms.

Objective:To Chinesize and revise Wilson-Sims Psychiatric Fall Risk Assessment Tool (WSFRAT) and test its reliability and validity.Methods:According to the modified translation principle for scale of Brislin, WSFRAT-M was formed through expert consultation after the Chinesization of the scale. Using the convenient sampling method, a total of 182 inpatients in Shanghai Mental Health Center Affiliated to Shanghai Jiao Tong University School of Medicine in January 2020 were selected as the research objects. The structural validity, inter-evaluator reliability and predictive reliability of the scale were evaluated.Results:The final WSFRAT-M had 15 items, which were divided into 5 factors through exploratory factor analysis, with a contribution rate of 65.558%. The inter-evaluator reliability of the scale was 0.98. The area under the ROC curve was 0.818. When the segmentation point was 7.5, the sensitivity and specificity were 83.3% and 78.4%.Conclusions:The predictive reliability of WSFRAT-M is good, but the structural validity is general. To some extent, WSFRAT-M is worthy of clinical application in psychiatry.