Objective To explore the clinical competence of nursing master of professional degree and give some suggestions for their postgraduate education. Methods A total of 19 samples of nursing masters of professional degree, nursing managers, nursing experts and clinical teachers were selected by using purpose sampling method, and semi- structured interview was adopted and the results were finally described and classified. Results The competence of the masters of professional degree came from the following five aspects: professional quality, practical ability, research ability, education ability and professional development ability. Conclusions A good professional quality is the premise of qualified for clinical work, flexible ability of practice is the basis of clinical work, solid scientific research background and the education ability is the core competitiveness, multi- dimensional professional development ability is the key to self-improvement, nursing professional degree graduate student should enhance their own comprehensive quality from the above five aspects, to be better qualified for clinical nursing work.

Objective To understand the current status and influencing factors of nursing safety management of geriatric care institutions in Shanghai. Methods Adopted questionnaire and experts spot-supervision to survey 25 geriatric nursing hospitals and 12 community health care centers which had more than 200 beds. The questionnaire had four parts including nature of institutions, general information of the managers, nursing risk management status and nursing safety quality status. Results The average score of nursing safety quality was (14.12 ± 2.03) points, there was no statistical significance in nature of institution, size of the institutions, age, education background, professional title, managerial experience, effect of nursing risk report and assessment and contingency plan (P> 0.05), but there was statistical significance in nurse managers′ knowledge about nursing risks, nursing risk management maturity and nurses training(F=2.818, 7.768, 3.555, P<0.05 or 0.01). Multiple linear regression showed that nurse managers′ knowledge about nursing risks, nursing risk management maturity and nurses training were the influence factors of nursing safety quality, and they account for 82.1%, and the regression equation was Y=7.988+0.365X1-0.380X2+0.350X3. Conclusions Strength the construction of nursing management team, perfect nursing management system, regular training could improve nursing safety quality of geriatric institutions in Shanghai.

Objective To explore the current research status and existing problems in severe burn nursing by reviewing relevant literature of severe burn nursing published in 6 kinds of nursing core journals. Methods Search 6 kinds of nursing core journals using the following key words: severe burn critical burn serious burn large area burn intensive burn and nursing. Applying bibliometrics to conduct descriptive analysis of the external and internal characteristics of these papers. Results Two hundred and nine papers were included;the main literature research type of thess articles was clinical experience summary, the content of these literature was extensive. Conclusions Severe burn nursing research focus on clinical symptomatic nursing; clinical nurse scientific research ability needs to be strengthened, and subject aspects should be paid more attention to children, the elderly, and clinical nurse physical and psychological conditions.

The rise of advanced nursing practice in the developed countries promotes the development of nursing science, nursing postgraduate education arises at the historic moment. Professional nursing postgraduate education started late in our country and its development is not mature, there exists some problems in the training plan and professional positioning, such as training process not realizing the training objectives, unreasonable curriculum setting and evaluation system, unclear professional direction, disconnection of vocational orientation and the professional qualification and specialist nurse certification. Therefore, nursing professional degree graduate education mode needs further exploration and unity.

Objective To explore the effect of nursing quality control program on geriatric post-stroke patients. Methods Retrospective control research method was adopted to conduct this research in Shanghai Zhongyuan Nursing Home. Forty eight stroke patients who were admitted and discharged between November 2016 and February 2017 were enrolled in the experimental group, implemented nursing quality control program, and 35 stroke patients who were admitted and discharged between July 2016 and October 2016 were enrolled in the control group. The self-care ability improvement, limb function improve degree, hospitalization days and hospitalization expenses when they were discharged from the hospital were compared between the two groups. Results When the patients were discharged from the nursing home, the score of activity of daily living of patients in the experimental group was (6.15 ± 3.14) points, which was higher than that of the control group (0.28 ± 0.17) points, and the difference was statistically significant(t =-10.516, P <0.05). Seven patients in the experimental group had a better function of limb, the limb function of the rest 41 patients kept unchanged, while the limb function of all the 35 patients in the control group kept unchanged , and the difference between the two groups was statistically significant (x2=5.574, P< 0.05). The length of hospitalization in the experimental group was (90.73 ± 12.25) days, shorter than that in the control group (98.69 ± 15.72) days, and the difference was statistically significant(t=2.592, P<0.05). There was no significant difference in the total hospitalization expenses per capita between the two groups(t=0.750, P >0.05).The average daily nursing cost for the experimental group patients was (25.16 ± 3.68) yuan, lower than control group nursing fee (27.18 ± 4.54) yuan, and the difference was statistically significant (t=0.455, P<0.05). Conclusions Nursing quality control program for post-stroke patients can effectively improve their self-care ability and physical function, shorten the days of hospitalization, and reduce the nursing cost.

Objective? To analyze the relevant literature of the research on the evaluation of the training quality of professional degree postgraduates in China, explore the current situation and development trend of the research, and provide a reference for the research on the evaluation system of the training quality of nursing professional degree postgraduates. Methods? The documents related to the quality evaluation of professional degree postgraduate training included in CNKI, VIP and Wanfang academic journal database were retrieved. The retrieval time limit was from the establishment of each database to 12nd May, 2019. This paper analyzed the annual change, regional distribution, periodical distribution and research methods of literature. Results? A total of 106 related literatures were included. The number of literatures was increasing year by year. Totally 90.91% of the authors came from schools, and only 39.62% of the literatures were monographs. Most of the research methods used were analytic hierarchy process, and the clinical medicine specialty paid more attention to the related research. Conclusions? The research on the quality evaluation of professional degree postgraduate training in China has been carried out gradually. It is urgent to build a scientific and unified quality evaluation system focusing on the characteristics of nursing specialty, ensuring the internal and external quality.

[Abstract]? Objective? To explore medical staff's attitude towards in-hospital treatment mode among patients with acute ischemic stroke(AIS),and the optimizable factors of the mode,so as to provide reference for further optimization of the treatment mode. Methods? From November of 2017 to January of 2018, 15 medical staff from the AIS team in Changhai Hospital Affiliated to the Second Military Medical University were selected by purposive sampling and interviewed by semi-structured interviewing method. Data was collected in the way of handwriting and recording. Colaizzi data analysis was used to analyze the materials. Results? The experience of medical staff in optimizing the treatment mode of AIS hospital included five themes: (1)the treatment mode of AIS hospital was basically reasonable; (2)the need for early warning of neurointerventional treatment team;(3)the need for the construction of specialist nursing team for the emergency treatment of stroke; (4)the need for supervision of the treatment process of AIS by information technology; (5)the need for pre-hospital warning. Conclusions? It is necessary to make preparations in advance for invasive treatment team, construct the specialist stroke first aid nursing team for the whole process guiding and quality control, promote the integration of pre-hospital and in-hospital treatment so as to activate the in-hospital treatment system as soon as possible, improve the construction of AIS treatment informatization in order to assist the supervision of treatment efficiency, and further shorten the time of in-hospital treatment of AIS.

?? [Abstract]? Acute ischemic stroke is the main type of stroke and its treatment highly relies on time. Thus how to conduct treatment effectively is the current research hotpot. This article summarizes the treatment methods, treatment modes and specialized nursing of acute ischemic stroke aiming to provide some references for the treatment of ischemic stroke in China.

Objective To analyze the research status and existing problems on physical restraints in China, and to discuss the future research focus and direction, so as to provide reference for clinical research and practice in this field. Methods We search literatures using "body restraint OR restraint belts OR physical constraint" as the subject or key words from the database of CNKI, Wanfang database and VIP, using "physical restraint OR restraint" as the main title or key words from the database of PubMed and Web of Science database from the beginning to August 19, 2019. NoteExpress and Excel software were used to analyze the annual distribution, geographical distribution, fund support, journal distribution, literature type, research object and research content of the included literatures from 2009 to 2019. Results A total of 492 valid literatures have been retrieved. The annual distribution has been increasing year by year. According to the first author, literatures have a wide geographical distribution. The top three are Jiangsu, Hubei and Guangdong province. There are 31 literatures which have received 17 funds. Peking University Chinese core journals and Chinese scientific and technological papers have counted 155 literatures, accounting for 31.50%. The design and application of constraint tools is the most common content of research, for 264. 122 literatures have been conducted on patients in intensive care unit. Conclusions The research on physical restraints is developing rapidly in China, but the quality of the literatures needs to be improved. It is suggested use the published guidelines and evidence-based researches abroad for reference, combining Chinese national conditions and the characteristics of medical institutions and patients, develop management programs and guidelines to minimize physical restraints and promote patient safety.

The aging of the population has led to a sharp increase in the demand of the elderly for long-term care services. How to ensure the quality of long-term care services is a hot topic of widespread concern in society. In developed countries, long-term care services have been carried out early, a perfect service quality evaluation system has been formed, and the evaluation results have been effectively used. Long-term care services in China started late, there is no unified evaluation standard for the quality of long-term care services, and the evaluation indicators are diversified. It is necessary to explore a long-term care service quality evaluation system with Chinese characteristics based on foreign experience, covering the whole process of long-term care services. In addition, core indicators need to be selected to reflect the quality of long-term care services, strengthen the application of evaluation results, improve the effectiveness of long-term care service quality evaluation, and promote the sustainable development of long-term care in China.