Objective To improve quality of wearable nurse call system producing the best possible results,and to provide safe,high quality nursing service.Methods The improvement plan was designed through team building,baseline assessment and defect analysis.Effective measures were formulated and implemented,and the outcomes were followed up.Results Average call response time was reduced from 49.23±5.71 s to 16.62±3.83s.Patient satisfaction of response time was increased from 75％ to 93.6％.No nursing defects or accidents such as patient falls occurred.Conclusion Quality improvement of wearable nurse call system can shorten nurse's response time and increase patient satisfaction.

Objective To explore the effects of Six-Step standardized communication procedure in improving the communication ability of nurses.Methods C-I-CARE communication procedure was converted into Chinese.The Chinese version of Six-Step standardized communication procedure was Yi Kan,Er Yin,San Gaozhi,Si Wen,Wu Da,Liu Zaijian.The procedure was propagandized by making posters,setting up computer desktop,training nurses by lectures,video and role play.The effects were evaluated by pre and post self-control test among 100 nurses.Results The average score of communication behavior of 100 nurses after applying standardized communication procedure increased from 2.55±0.67 to 4.44±0.59 (t=-23.174,P＜0.001).In 2015,the nursing department received 622 silk banners and commendatory letters for appreciating nursing work,increased by 18.9％ compared to 2014.The discharged patient satisfaction increased from 94.2％ to 96.93％.The satisfaction of doctors to nurses' collaboration was 99.86％.There was no nursing complaint or dispute caused by bad communication.Conclusion The application of procedure and standardized communication method can improve the communication ability of nurses,optimize the relationship between nurses and patients and increase patient satisfaction.

Objective To explore the time characteristics and neural mechanism of processing vertical spatial metaphor after the activation of moral disgust,by applying event-related potential technique (ERPs) and semantic priming paradigm.Methods Totally 22 healthy college or graduate students were randomly selected from a university in Henan Province.A dual word priming paradigm was used to present priming words (moral disgust words and non moral disgust words).Then the target words (neutral words above or on the bottom of the screen) were presented,and the subjects were asked to judge the font structure of the target words.Processing feature was explored by investigating the differences in EEG indexes of different combinations.Results The interaction between the starting stimulation of the correct rate and the target stimulation in the behavior data was significant (F=20.40,P＜0.01).In EEG data,compared with immoral aversion stimuli (P2:(0.81 ± 0.45) μV,N400:(-4.43 ± 0.58) μV),after the onset of moral abuses (P2:(-1.31 ± 0.40) μV,N400:(-5.04 ± 0.60) μV),the larger P2 (F =3.96,P＜ 0.05) and larger N400 (F =10.73,P＜0.01) amplitudes were induced in the related brain regions after the emergence of neutral words at the bottom of the screen.Conclusion The analysis of behavior and EEG data indicates that,compared with immoral disgust,moral abuses show a higher semantic connection with metaphorical moral,and metaphorical immoral shows lower semantic connection.The individual is more inclined to metaphorical morality to relieve and release the feeling of disgust and maintain a good self-moral image.