Objective To investigate the breastfeeding knowledge of neonatal unit medical staff. Methods A purposefully designed anonymous survey was piloted and then distributed to nurses and doctors working in the neonatal unit. Respondents were required to answer twelve single choice and eight multiple choice questions to assess their level of knowledge of breastfeeding. A total of 180 questionnaires were distributed and 135 were returned. Results The average total score of the questionnaire was (61.11 ± 10.85) points. Item ofhow to deal with the thawed milk with not finished after heatingwas highest right rate ,97.8%(132/135);item ofdrug used during breastfeedingwas lowest right rate, only 1.5%(2/135). Conclusions This project has demonstrated that the medical staff is lack of knowledge towards the practice of breastfeeding in neonatal unit and the education of breastfeeding is urgently needed to help the medical staff and guarantee the security of breastfeeding.

Objective:To construct evaluation index system for the communication effectiveness of nursing WeChat public accounts in hospital, and to provide a scientific and systematic evaluation tool for the communication effectiveness of nursing WeChat public accounts in hospital.Methods:Based on Lasswell′s "5W" communication process model, the evaluation index system for the communication effectiveness of nursing WeChat public accounts in hospital was constructed by applying Delphi expert consultation method and analytic hierarchy process.Results:The the evaluation index system for the communication effect of nursing WeChat public accounts in hospital consists of 5 first-level index, which contained communicator, communication content, communication media, communication audience, communication environment, and 12 second-level index, which contained professional quality, function setting, public trust, using experience, internal environment, etc, and 52 third-level index.Conclusions:The evaluation index system for the communication effectiveness of nursing WeChat public accounts in hospital could provide nursing managers an systematic evaluation tool. It could promote the construction and development of nursing WeChat public accounts and ensure that patients receive the health information which were scientific, authoritative and standard.

Objective To develop clinical practice guidelines for breastfeeding in neonates in hospital conforming to the situation in China by adaptation of existing guidelines.Methods According to ADAPTE methodology and current status of breastfeeding in neonates in hospital,we searched existing guidelines and systematic reviews of breastfeeding,used AGREE Ⅱ to evaluate the guidelines,content analysis method was used to select and integrate the content of the evidence,and feasibility investigation and expert external review were performed for the established guidelines.Results A total of 10 guidelines,3 evidence summaries and 4 systematic reviews were included,and the "Evidence-Based Guideline:Breastfeeding of Neonates in the Hospital" were established,involving 8 aspects:breastfeeding promotion,screening,expression,storage,transport,reception,procedures and quality management,and a total of 83 evidences were recommended,which were practical and recommended by all experts.Conclusion High quality evidence resources provided by the established clinical practice guideline can provide reliable evidence support for clinical practice.

At present, the situation of breast feeding for hospitalized newborns in China is not optimistic. The management of breast feeding involves many aspects, including hospital management, medical staff and chidren families. Breastfeeding and management of hospitalized newborns face many challenges. This study aims to interpret the contents of in-hospital management such as breast milk reception, thawing, feeding and quality control in the "Evidence-based Guideline: Breastfeeding of Neonates in the Hospital" published in 2018, and expects to play a positive role in promoting breast-feeding of newborn in China.

At present, the status quo of breastfeeding for hospitalized neonates in China is not satisfactory. Breastfeeding management involves many aspects, including hospital management, medical staff, and family members. The development and management of breastfeeding for hospitalized neonates face many challenges. This paper tries to interpret the main contents of the outpatient management in "Evidence-Based Guideline:Breastfeeding of Neonates in the Hospital" published in 2018, including breast milk screening, breast milk collection, home storage and transportation with the hope that this paper might play a positive role in promoting breastfeeding for hospitalized neonates in China.

Objective? To further explore the promoting factors and obstructing factors of triage among emergency nurses by qualitative interview. Methods? We interviewed with emergency nurses at four ClassⅢ Grade A hospitals in Shanghai by purposive sampling until interview content was saturated. A total of 26 emergency nurses took part in this interview including 14 nurses of triage and 12 nurses with non-triage. The data were analyzed with the Colaizzi 7-step analysis method. Results? A total of 5 themes on obstructing factors were analyzed involving the nature of work, functional factors, environmental factors, psychological factors and interpersonal relation. There were 3 promoting factors involving the sense of belonging on profession, professional value and professional needs. Conclusions? Nursing managers should perfect triage training system, cultivate the team of triage, improve nursing management model and professional responsibility of triage nurses.

This article summarizes the pulmonary rehabilitation problems in patients with acute exacerbation chronic obstructive pulmonary disease (AECOPD) after discharge from the hospital, and points out the main research progress on exercise content and influencing factors in early pulmonary rehabilitation. This article describes the influencing factors of early pulmonary rehabilitation of AECOPD patients after discharge, in order to provide a reference for the development of early pulmonary rehabilitation after discharge.

Objective:To understand the attitude of clinical nurses in a ClassⅢ Grade A hospital in Shanghai towards the implementation of the advance fixed scheduling model and to explore the influencing factors of whether nurses are willing to try the advance fixed scheduling model, so as to lay the foundation for later development in clinical practice.Methods:Mixed design was used to study. In the quantitative study, a cross-sectional survey of 1 326 nurses in a comprehensive Class Ⅲ Grade A hospital in Shanghai was conducted with a self-made questionnaire from September to October 2018 with cluster sampling method. And multivariate Logistic regression was used to analyze the influencing factors of the willingness of nurses to try the advance fixed scheduling model. A total of 1 326 questionnaires were distributed and 1 326 were effectively collected, with an effective recovery rate of 100.0%. In the qualitative study, 12 nurses from a comprehensive Class Ⅲ Grade A hospital in Shanghai from September to December 2018 were selected for semi-structured in-depth interviews with the purposive sampling method, so as to deeply understand the attitude and reasons of clinical nurses towards the implementation of the advance fixed scheduling model. And Colaizzi phenomenological analysis method was used to collate and analyze the interview data.Results:A total of 49.2% (653/1 326) of the nurses heard of the advance fixed scheduling model and 67.5% (896/1 326) of the nurses expressed their willingness to try the advance fixed scheduling model. The results of multivariate Logistic regression analysis showed that non-emergency department, whether they had children, whether they heard of the advance scheduling model and whether they believed that shifts had a great effect on life were influencing factors of the willingness of nurses to try the advance fixed scheduling model ( P<0.05) . The results of qualitative interviews showed that some nurses supported the advance fixed scheduling model and looked forward to a more reasonable arrangement of their study and life under the new work model, while some nurses feared change, and worried about their competence, fairness issues and non-support from their family members. Conclusions:Clinical nurses have a general attitude towards the advanced fixed scheduling model. In clinical practice in the future, some nurses who are willing to try can be recruited to implement the advance fixed scheduling model and their working status, satisfaction and quality of work can be dynamically monitored to provide an empirical basis for the new nursing manpower management model.

Objective:To explore the knowledge and attitude of cardiopulmonary resuscitation (CPR) in community residents in Shanghai and analyze the influencing factors.Methods:The residents in 16 communities in Shanghai were selected by convenient sampling and investigated from November 2018 to June 2019, and a total of 714 valid questionnaires were recovered. The residents' CPR knowledge and attitude were analyzed descriptively, and multiple linear regression was used to analyze the influencing factors.Results:The total score of CPR knowledge among the 714 community residents in Shanghai was (24.58±7.80) , with a passing rate of 36.13% (258/714) , and the passing rate of "artificial respiration knowledge" was the lowest, which was 38.66% (276/714) . The total score of the residents' CPR attitude was (40.95±5.18) , and the average scores of "attitude to learning CPR" and "attitude to implementing CPR" were (3.60±0.45) and (3.22±0.50) , respectively. Analysis of the influencing factors showed that gender, age, education level, conscious health status, whether they have heard of CPR, whether they have received CPR training, and whether they have encountered emergency rescue communities were the influencing factors to the community residents' CPR knowledge and attitude ( P < 0.05) . Conclusions:The overall CPR knowledge level of the community residents in Shanghai is relatively low, and the residents prefer to learn CPR and implement CPR for their relatives and friends, rather than strangers. Younger, better conscious health status, and having heard of CPR can help the residents improve their CPR knowledge and attitude, while women, higher education level, and residents who have encountered emergency rescue communities have better CPR knowledge. The CPR training has a positive effect on the residents' attitude to learning and implementing CPR. Future CPR training needs to increase the training intensity and duration, and help the residents to improve the level of CPR knowledge and attitude.

Objective: To explore the application effect of triage-registration information systems in emergency patients. Methods: A total of 18 964 emergency patients from 1 December 2016 to 31 December 2016 in Zhongshan Hospital of Fudan University Emergency Department were selected as control group and 18798 emergency patients as experimental group from March 1, 2017 to March 31, 2017. In the control group, the patients were used traditional mode of triage-registration and registration office respectively line. In the experimental group, the patients were used triage-registration information systems in line once. The emergency waiting time, patient satisfaction and medical staff satisfaction were compared between the two groups before and after the application of triage-registration information systems. Results: The waiting time in the experimental group was significantly shorter than that in the control group, median (P₂₅, P₇₅) : 11 (6-28) min vs. 10 (4, 27) min, The difference between both groups was statistically significant (Z=-14.5433, P=0.000) . The patient satisfaction in the experimental group were better than those in the control group, (2.89±0.41 vs. 2.98±0.13), and with statistical difference (Z=-10.317, P<0.05) . And the acceptance of the medical staff in the experimental group were better than those in the control group, (2.90±0.35 VS 2.97±0.16), and with statistical difference (Z=-5.527, P < 0.05). Conclusions The development and application of the triage-registration information system can effectively shorten the waiting time of patients, improve the experience of emergency patients, improve the satisfaction of medical staff, and realize the optimization of the process of seeking medical treatment.