Objective:To investigate the current situation and correlation between organizational climate perception, professional identity, self-disclosure and transformation impact of new nurses in oncology department, and explore the chain mediating effect between organizational climate perception and professional identity between self-disclosure and transformation shock, so as to provide basis for further formulating the intervention plan of transformation impact.Methods:This study was a cross-sectional survey. From August 2021 to April 2022, a total of 252 newly graduated nurses in oncology department from nine Class ⅢGrade A hospitals in Henan Province were selected as the research objects by the convenient sampling method. General Information Questionnaire, Transformation of New Nurses Impact Evaluation Questionnaire, Distress Disclosure Index, Nursing Organization Climate Perception Scale, Professional Identity Scale were used for survey. Pearson correlation analysis was performed, and AMOS26.0 software was used to build a chain intermediary model, and the model was tested by Bootstrap method.Results:The total score of the transformation impact of new nurses in the oncology department was (96.51 ± 13.04); the total score of the Distress Disclosure Index was (33.84 ± 7.18); the total score of Nursing Organizational Climate Perception Scale was (99.16 ± 12.97); the total score of the Professional Identity Scale was (91.23 ± 19.92). Self-disclosure, organizational climate perception and professional identity were negatively correlated with transformation impact ( r = - 0.743, - 0.684, -0.631, all P<0.05). The indirect effect of self-disclosure on transformation impact was true, and the total indirect effect was 0.435. The specific mediating effect of nursing organizational climate perception accounted for 51.5% (22.4/43.5) of the total indirect effect and that of professional identity 15.9%(6.9/43.5) of the total indirect effect. The organizational climate and professional identity accounted for 32.4%(14.1/43.5) of the total indirect effects. Conclusions:Self-disclosure, organizational climate perception and professional identity of new nurses in oncology department was negatively correlated with transformation impact. Self-disclosure is positively correlated with organizational climate perception and professional identity, organizational climate perception and professional identity play a chain mediating effect between self-disclosure and transformation impact. It is suggested that managers should adopt positive and effective self-disclosure intervention programs and develop relevant training programs to improve the organizational climate perception and professional identity level of new nurses in oncology department, so as to reduce their transformation impact.

Objective To explore the influences of Balint group training on occupational stress and coping style of nurses in cancer hospital.Methods During January 2014 to December 2015, 60 nurses were recruited in a voluntary manner, who were divided into 5 batches attended closed Balint group training, each batch with training 8 times. Nurses stress source scale and simple coping style scale were used to evaluate the training effect before and after training for comparing training effects.Results After the training, the total score of work stressors in nurses decreased from (494.97±198.75) to (420.03±159.70); the positive coping style score was (26.57± 4.37) compared the score of (23.43 ± 4.57)before training (t=3.25, -5.31;P<0.01). Conclusions Balint group training can improve the positive coping style of nurses in cancer hospital, and relieve the occupational stress.

Objective:To explore the effects of professional perception based empathy training on clinical communication competency, perceived professional benefits and self-efficacy of junior nurses.Methods:The study was designed with the quasi-experimental study. From March to September 2018, a total of 67 junior nurses with low levels of self-efficacy at Henan Cancer Hospital were recruited as subjects with the way of voluntary registration. All of nurses were divided into 5 groups, 12 to 15 nurses in each group. This study carried out the face-to face empathy training taking professional perception as the main content5 times for 5 weeks. The effects were evaluated with the Nurses' Clinic Communication Competency Scale, Nurses' Perceived Profession Benefits Questionnaire and the General Self-efficacy Scale (GSES) before and after training. SPSS 22.0 statistical software was used in statistical analysis.Results:There were three nurses quitting the training and 64 nurses completed the training. Among 64 nurses, the total average scores of clinic communication competency, perceived professional benefits and general self-efficacy after training were (3.75±0.66) , (4.65±0.40) and (2.53±0.20) respectively higher than those before training with statistical differences ( t=5.058, 7.911, 25.979; P<0.01) . Conclusions:Professional perception based empathy training can improve clinical communication competency, perceived professional benefits and self-efficacy of junior nurses which could be further expanded and applied in nurses.

Objective To explore the influence of spiritual care training program on nurses' spiritual well-being and spiritual care competency. Methods From March to September 2018,a total of 80 nurses working in a provincial cancer hospital were recruited by voluntary registration to participate in this study. They were randomly divided into experimental group(n=40)and control group(n=40)by random number table. The experimental group received the specially designed spiritual care training twice a month for 6 consecutive months on the basis of regular vocational studies. The main forms included expert lectures,group interventions, providing spiritual care for cancer patients,and clinical case reporting. The control group participated in the vocational study organized by the hospital for 6 consecutive months. Before and after the training,the Nurses' Spiritual Health Scale and the Spiritual Care Cognitive Scale were used to investigate and test the nurses in two groups,and the implementation effect was compared. Results After 6 months of training, the total scores of Nurses' Spiritual Health Scale and the Spiritual Care Cognitive Scale in the experimental group were (106.30±8.72)and(185.75±16.53), which were higher than those in the control group, and the differences were statistically significant(t=5.38,4.52;P< 0.01);the scores in each dimension were also higher than those in the control group, and the differences were statistically significant(t=2.22-5.22,P< 0.05). And in the experimental group the total scores and scores in each dimension of Nurses' Spiritual Health Scale and the Spiritual Care Cognitive Scale after the intervention were higher than before the intervention, and the differences were statistically significant(t=3.18-8.99,P<0.01). Conclusions The spiritual care training program based on the concept of self-growth with patients can improve nurses' spiritual well-being and nurses' perceptions of spiritual care.

Objective:To explore the effects of career cognition evaluation-based empathy ability training in nurses with moderate and severe level of job burnout.Methods:This study belonged to quasi-experimental study with comparison before and after intervention. From August 2018 to January 2019, a total of 58 nurses with moderate and severe level of job burnout volunteered as subjects in Henan Cancer Hospital.All of the 58 nurses were divided into four groups, 12 to 15 cases in each group. The face to face career cognition-based empathy ability training was carried out for 6 times within 6 weeks. The training effects were compared with the Maslach Burnout Inventory-general Survey (MBI-GS) , General Well-being Schedule (GWB) and Professional Identity Scale before and after training.Results:The score of job burnout of nurses decreased from (11.50±1.13) before training to (7.87±1.87) after training; the total score of general well-being increased from (65.52±10.84) to (77.00±9.49) ; the score of professional identity raised from (30.22±7.90) to (38.03±8.59) with statistical differences ( t=12.864, -6.351, 7.972; P<0.01) . Conclusions:Careercognition-based empathy ability training can alleviate the burnout of nurses with moderate and severe level of job burnout, improve nurses' professional identity and happiness index.

Objective To discuss the influences of reading therapy on empathy and communication skills of nurses in cancer hospital. Methods From January 2016 to January 2017, a total of 60 nurses were recruited voluntarily in 3 phases to participate in reading therapy training, and there were 16 times of training in each course. Before and after training,Jefferson Scale of Empathy-Health Professionals and Nurses' Clinical Communication Competency Scale were used to evaluate the nurses' empathy and communication skills and compare the effects of reading therapy. Results After the training, the total score of nurses' empathy increased from (110.43±13.53) to (118.68±11.93), the score of nurses' clinical communication competency increased from (3.81±0.37) to (4.09±0.38). The differences were statistically significant (t=-3.54,-3.60;P< 0.05). Conclusions Reading therapy can improve the level of empathy and communication skills of nurses in cancer hospitals and promote the harmony of nurses and patients.

Objective To eplore the influences of reading therapy on self-efficacy and coping style of nurses in cancer hospitals. Methods From January 2016 to January 2017, a total of 60 nurses were recruited to attend reading therapy training by purposive sampling method. All the participants were assessed by General Self-efficacy Scale and Coping Style Questionnaire before and after the training. Results After the training, the scores of self-efficacy of the nurses increased from (2.57±0.51) to (2.78±0.44), and the difference was statistically significant (t=-2.415, P=0.017). The scores of solving-problem, seeking for help and fantasy sub-scales after reading therapy training were (0.84±0.11), (0.78±0.13) and (0.38±0.20), and those before training were (0.73±0.18), (0.63±0.19) and (0.47±0.14), the differences were statistically significant (t=-4.039, -5.047, 2.856; P<0.01). Conclusions Reading therapy can significantly improve the self-efficacy and mature coping style of nurses in cancer hospitals, and promote the development of mental health.

Objective To explore the effects of clinical psychic care on the physical and mental state of the elderly patients with advanced gastric cancer.Methods From June 2016 to June 2017,a total of 90 cases of elderly inpatients with advanced gastric cancer in the Affiliated Tumor Hospital of Zhengzhou University were selected by convenience sampling method.According to the random number table,all the research subjects were divided into the observation group and the control group,with 45 cases in each.The control group was given routine nursing,while the observation group was given clinical psychic care on the basis of the control group.The negative emotions(anxiety,depression,fear),physical state and quality of life of the patients were compared with Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Visual Analogue Scale for Fear(FAVS),Karnofsky Performance Status(KPS),Performance Status(PS)and Cancer 30-item Quality of Life(QLQ-C30)between the two groups.Results There was no statistical significance in the difference of negative emotion,physical state and quality of life between the two groups before intervention(P > 0.05).After the intervention,the scores of HAMA,HAMD and FAVS of the two groups were lower than those before the intervention.In addition,the scores of the observation group was lower than those of the control group,with statistical difference(P < 0.05).The KPS score of the two groups was higher than that before the intervention,and the PS score was lower than that beforethe intervention.The KPS score of the observation group was higher than that of the control group,while PS score was lower in the control group.All the differences were statistically significant(P < 0.05).After intervention,the scores of general health status,physical function,emotional function and social function in the observation group were higher than those in the control group,while the scores of pain,nausea and vomiting,fatigue,loss of appetite and insomnia in the observation group were lower than those in the control group(P<0.05).Conclusions The use of clinical psychic care in elderly patients with advanced gastric cancer can obviously improve the mental state,physical state and quality of life of the patients,which is worthy of clinical promotion.

Objective:To explore the influencing factors of postoperative coping style of patients with esophageal cancer.Methods:This study was a cross-sectional study. From July 2018 to July 2020, convenience sampling was used to select 65 patients with esophageal cancer who underwent radical surgery for esophageal cancer in a ClassⅢ Grade A hospital in Henan Province as the research object. The General Information Questionnaire and the Chinese version of the Medical Coping Modes Questionnaire (MCMQ) were used to investigate the patients one day before the patients were discharged. Single factor analysis was used to analyze influencing factors. A total of 65 questionnaires were distributed and 65 valid questionnaires were returned with the valid response rate of 100%.Results:The results of single factor analysis showed that there were statistically significant differences in the confrontation dimension scores of patients with different ages, education levels, and family monthly income per capita ( P<0.05) . There were statistically significant differences in the avoidance dimension scores of patients with different genders and ages ( P<0.05) . There were statistically significant differences in the resignation dimension scores of patients with different ages, occupational status, and family monthly income per capita ( P<0.05) . Conclusions:Age, gender, occupational status, education level, and family monthly income per capita are the influencing factors of postoperative coping style of patients with esophageal cancer. Medical and nursing staff can take targeted intervention measures based on their influencing factors and guide patients to adopt a positive coping style to face the disease.