Objective To investigate health care professionals′attitude of patient involvement in patient safety and analyze its influencing factors. Methods A convenience sample of 946 health care professionals recruited from twelve hospitals in Shanghai was employed for a cross-sectional survey. Results The general attitudes of patient involvement in patient safety scored 3.86 ±0.56, the perception of the content of patient involvement scored 3.97±0.54, the average score of caring involvement (4.12±0.59) was larger than the average score of decisive involvement (3.88±0.58), the average score of complaining involvement was the least (3.39±0.81), the difference had statistical significance (F=583.797, P<0.01). The regression analysis showed that identity, professional title, hospital grade influenced health care professionals′general attitude of patient involvement in patient safety and that identity, hospital grade influenced health care professionals′attitude of the content of patient involvement. Conclusions In health care professionals′opinion, patient involvement in patient safety has both advantages and disadvantages. They preferred to caring involvement, followed by decisive involvement, then complaining involvement. So, hospital managers should view patient involvement in patient safety discriminately and construct rational involvement model ofpatients willing, medical support, promote interaction and harmony build.

Objective To investigate nursing care needs of elderly nursing homes residents in Fuzhou, to help to improve nursing care quality provided by elderly nursing homes. Methods A total of 120 elderly residents from 10 elderly nursing homes in Fuzhou were investigated with a self-developed questionnaire focusing on nursing care needs of elderly nursing home residents. The questionnaire included the following two parts: the general information of the elderly residents and the needs of disease care, basic nursing care, daily life care as well as psychological care. Results The retrieving rate was 95.8%(115/120). The overall nursing care needs of elderly nursing home residents was at the middle level (2.59 ±0.80), the highest demand for nursing care was disease care (3.34±1.07), followed by psychological care (2.56±0.93), basic nursing care (2.20±1.15) and daily life care (2.23±0.97). The single living elderly residents got lower scores than the couple living elderly residents in disease care, basic nursing care 3.19±1.07, 2.06±1.10 vs. 3.78±0.96, 2.62±1.20 (t=2.656, t=2.311, P<0.05). Over 90 years old age groups got lower scores than the other age groups in the disease care, 2.25 ±0.69, 3.80 ±0.72, 3.35 ±1.09, which showed significant difference (F=7.10, P < 0.05). The elderly suffering from hypertension, diabetes, cardiovascular disease varied in the demand for different care. Conclusions The overall nursing care needs of elderly nursing home residents was at the middle level. Staying with spouse, age, disease state are the influencing factors of nursing care needs of elderly nursing home residents.

Objeetive To develop decision-making training system in fundamentals of nursing for nursing students and evaluate its application effect.Methods The training contents and level requirements were determined first.Then based on the five steps of clinical decision-making theory (put forward questions,determine goals,make decisions,implement and evaluate),the simulated training cases were designed and integrated into software of the training system.And 28 nursing students used the training system.Results Most of the nursing students liked this learning method.They thought it was very interesting,challenging,and useful.It could help increase the enthusiasm learning and the participation of students.Using it the students could integrate the theoretical knowledge into the practice.So it was helpful to train the capacity of solving clinical problems and clinical decision-making of students.The results of the open-ended question showed that the comprehensive training system could help students grasp the knowledge,test and consolidate the knowledge.It contributed to the combination of theory and practice,the cultivation the capacities of basic nursing skills,teamwork,self-learning,and solving clinical problems.Conclusions The comprehensive training system could help nursing students develop the ability to solve clinical problems and improve the clinical decision-making ability.It can be applied in the related fields.

Objective:To understand the research power distribution, development trends and research hotspots of researches on mental workload of medical staff.Methods:CiteSpace V (5.5.R2) was used to conduct bibliometric analysis of literatures related to mental workload of medical staff published from 1992 to 2018 with Web of Science core database as the search source, and network map of scientific research cooperation, literature co-citation, keyword co-occurrence was drawn.Results:A total of 158 literatures were retrieved, and the amount of published papers on mental workload of medical staff showed an overall upward trend. The United States was at the core position in this field. The cooperative relationships between different institutions were not obvious and most of it was cooperation between different scholars within the institution. The current research hotspots of mental workload of medical staff mainly focused on measurement methods, influencing factors, intervention strategies and other aspects of mental workload. In addition, more attention should be paid to the effect of new technologies such as information technology on the mental workload of medical staff.Conclusions:The research on mental workload of medical staff in China started late. It is necessary to strengthen the scientific cooperation with the United States and other countries. Besides, it is necessary to pay more attention to research hotspots such as measurement methods, influencing factors and intervention strategies of mental workload and conduct multidisciplinary integrated exploration research.

Objective To investigate hospitalized patients' attitude to participate in patient's safety,to explore its influencing factors,and to provide scientific suggestions to encourage patients' involvement in medical safety.Methods A convenience sample containing 140 patients from a level three class A hospital and 108 patients from a level two class A hospital in Shanghai were investigated using " Questionnaire of Perceived Effectiveness and the likelihood of Petients' Participation in Medical Safety",which was designed by Hibbard JH and had been cross-culturally Chinesized in this research.Results Total score and average score of patients' willingness for involvement in patient safety were 0-66 (full score 66) and (58.60 ± 8.71).Relative factor is patients' satisfaction of the safe surroundings provided by hospital (r =0.149,P ＜ 0.05).Total score and average score of patients'perceived effectiveness of involvement in patient safety was 20-66(full score 66),and (59.53 ± 7.98).Relative factor was patients' satisfaction of the safe surroundings provided by hospital (r =0.174,P ＜ 0.05).Patients' willingness for involvement was positively correlated withperceived effectiveness (r=0.781,P ＜ 0.01).Conclusions Most of the patients are motivated in patient's safety,yet they have different attitudes to various participant modes.Medical staff should enhance patient-safety education so as to make patients become real cooperator in medical activities.

Objective:To explore the effect of OH cards based group counseling on decompression for chief resident nurses.Methods:In November 2019, a total of 60 chief resident nurses were recruited from two districts of a ClassⅢ Grade A specialized hospital in Shanghai by the convenient sampling method. A total of 58 chief resident nurses participated and completed the questionnaires in the whole process, and they were given OH cards-based decompression group psychological counseling. Before the group psychological counseling, Chinese Version Perceived Stress Scale (CPSS) was used to measure the chief resident nurses' stress. Before and after the group counseling, the Self-made Stress Visual Simulation Score, Self-made Positive and Negative Emotion Visual Simulation Score, State Anxiety Inventory (S-AI) in Chinese version of State-trait Anxiety Inventory (STAI) and Nurses Coping Style Questionnaire were used to evaluate the changes of the chief resident nurses' stress, positive and negative emotion, state anxiety and coping style.Results:Before group psychological counseling, the total CPSS score of 58 chief resident nurses was (30.03±7.10) , which was at a relatively high level. After OH card-based decompression group psychological counseling, the Self-made Stress Visual Simulation Score and the score of negative emotion dimension in S-AI of 58 chief resident nurses were reduced. The Self-made Positive and Negative Emotion Visual Simulation Score and scores of problem solving, avoidance and self-blame, seeking social support and behavior disengagement of Nurses Coping Style Questionnaire were all increased, while the score of alleviating emotional distress dimension was decreased. Compared with those before group psychological counseling, the differences were all statistically significant ( P<0.05) . Conclusions:Group psychological counseling based on OH cards can effectively reduce the pressure of chief resident nurses, reduce negative emotions and state anxiety and improve their coping styles.

Objective:To explore the current situation of empathy for pain in medical students and analyze its influencing factors.Methods:This study was a cross-sectional study. From June 2018 to January 2019, convenience sampling was used to select 768 undergraduate students from 4 medical universities in Shanghai, Jiangsu Province and Zhejiang Province as the research subject. The General Information Questionnaire, the Chinese version of the Empathy for Pain Scale (EPS) , and the Chinese version of the Interpersonal Reactivity Index (IRI-C) were used for investigation. Multiple linear regression was used to analyze the influencing factors.Results:Among 768 medical students, the total score of EPS was (2.56±0.66) , of which the physical and mental discomfort reaction dimension score was (2.28±0.74) , and the empathy reaction dimension score was (3.39±0.79) . The results of multiple linear regression analysis showed that major, being the only child or not, often watching violent movies or not, and personal distress were the influencing factors of medical students' physical and mental discomfort reaction with a statistical difference ( P<0.05) , explaining 20.1% of the variation in total. Gender, grade, clinical learning experience, viewpoint selection, empathic attention and imagination were the influencing factors of the empathy reaction of medical students also with a statistical difference ( P<0.05) , explaining 19.7% of the variation in total. Conclusions:The empathy for pain of medical students is at a moderate level and is affected by many factors. Medical education should strengthen the cultivation of empathy behavior practice ability, and multi-dimensionally cultivate and evaluate students' empathy ability in combination with patients' evaluation.

Objective:To translate the Home Healthcare Robot Adoption Intention and Its Determinants Questionnaire into Chinese and test its reliability and validity.Methods:After translation, back translation, semantic analysis, expert consultation, and cultural adaptation, a preliminary Home Healthcare Robot Adoption Intention and Its Determinants Questionnaire was determined. From February 25 to November 30, 2022, convenience sampling was used to select middle-aged and elderly individuals from communities in Shanghai city, Zhejiang, Jiangsu and Shanxi provinces as research subjects for reliability and validity testing of the questionnaire.Results:A total of 280 questionnaires were distributed, and 231 valid questionnaires were collected. The content validity index of the questionnaire level was 0.97. The total Cronbach's α coefficient of the questionnaire was 0.912, and the split half reliability coefficient was 0.848. Using principal component analysis and maximum variance rotation method to extract common factors with eigenvalue > 1, five common factors were extracted, with a cumulative variance contribution rate of 74.921%. The final Chinese version of the Home Healthcare Robot Adoption Intention and Its Determinants Questionnaire consisted of 5 dimensions and 29 items, named as the usage intention, social influence, ethical and legal concern, privacy concern, and performance expectancy.Conclusions:The Chinese version of the Home Healthcare Robot Adoption Intention and Its Determinants Questionnaire includes 5 dimensions and 29 items. It is an effective and reliable tool for evaluating the intention to use home healthcare robots, and can be used to survey the public's intention to use home healthcare robots.

Objective:To understand the psychological load status of nurses in psychological nursing work and to explore its correlation with stress perception and mental health.Methods:Using the convenient sampling method, a total of 260 nurses who participated in vocational education and training in Naval Medical University were selected as the research objects from November to December 2021. A questionnaire survey was conducted using National Aeronautics and Space Administration-Task Load Index, Perceived Stress Scale and World Health Organization Five-Item Well-Being Index. Using the Process plugin to analyze the relationship between psychological load in nurses' psychological nursing work, stress perception, and mental health.Results:A total of 260 questionnaires were distributed in this study and 248 valid questionnaires were collected, with a questionnaire effective rate of 95.38%. The total score of psychological load and the score of load perception dimension in nurses' psychological nursing work were lower than those in their daily nursing work. The results of the mediating effect model showed that there was a mediating effect between the self-evaluation dimension of psychological load in nurses' psychological nursing work and mental health . The total effect of self-evaluation dimension on mental health was -0.150 7.Conclusions:The level of psychological load in nurses' psychological nursing work is lower than that in daily nursing work. The self-evaluation of psychological load in psychological nursing work can not only directly affect the mental health of nurses, but also indirectly affect their mental health through stress perception. Relevant departments should strengthen the cultivation of nurses' psychological nursing abilities and promote their professional mental health.

Objective:To deeply understand the views of nurses on nursing robots, so as to provide reference for standardizing the application of nursing robots and promoting innovation in smart nursing service models.Methods:From March to June 2023, purposive sampling was used to select 15 registered nurses from two ClassⅢ general hospitals in Shanghai as research subjects for semi-structured interviews. Colaizzi 7-step analysis method was used to analyze interview data.Results:Three themes were extracted, including the perceived multiple benefits of nursing robots (obtaining work assistants, facilitating nursing safety, and promoting professional value recognition), the perceived multiple risks of nursing robots affecting patients (concerns about affecting patient safety, concerns about triggering negative emotions in patients, and concerns about functional limitations), and the perceived multiple dilemmas in the application of nursing robots (concerns about academic burden, concerns about changes in work patterns, concerns about unclear responsibilities, and concerns about affecting nursing positions) .Conclusions:Although nurses hold a positive attitude towards nursing robots and expect them to reduce their workload, nurses are also concerned that they may not be able to fully adapt to the clinical environment, pose potential risks to the physical and mental health of patients, and pose new challenges to nursing staff and work models. In the face of intelligent nursing, efforts should be made to strengthen professional training for nurses in information technology, improve nursing work models and processes, and perfect the rules and regulations for the application of intelligent products. Multiple parties should cooperate to create a smart nursing application ecosystem.