Objective? To explore the application effect of multi-form training assessment in clinical training of geriatric nursing specialties. Methods? By convenience sampling, a total of 34 nurses under training from 14 hospitals in Beijing were selected in December 2018, and divided into experimental group(n=17) and control group(n=17) randomly. The control group adopted the traditional teaching method. A practical demand-oriented training course based on the characteristics of geriatric nursing specialties was established, and various forms of training were used, multi-station assessment of the training effect was conducted in the experimental group. The training lasted for one month in both groups. The assessment scores and satisfaction degree were compared between the groups. Results? In the experimental group, the student nurses＇ elderly patient management test score (95.0±7.5), the elderly patients specialist nursing test station test score(97.0±6.7), and the emergency response test station test score (99.0±4.5) were all higher than the control group with (86.0±8.8), (80.0±10.5), (88.0±7.6) respectively, and the differences were statistically significant (P＜0.01); the difference between the two groups of student nurses in satisfaction degree towards trainers was not statistically significant (P＞0.05); there were statistical differences between the two groups in teaching curriculum, teaching method, teaching contents, and assessment forms in both of the groups (P＜ 0.01); the overall satisfaction degree was 97.6%(83/85) in the experimental group, higher than the control group with 62.3%(53/85) and the difference was statistically significant (χ2=38.594,P＜0.001). Conclusions? Multi-form training is suitable for teaching nurses in clinical geriatric specialty. It can improve the test scores and learning satisfaction of the student nurses. Scientific curriculum, multi-form teaching methods and multi-station assessment are the key in the improvement of training quality.

Objective To explore the feasibility and guiding value of point-of-care ultrasound (PoCUS) in evaluating gastric residual volume (GRV) in the course of implementing enteral nutrition (EN) in patients with neurological critical illness. Methods Ninety patients with critical neurological diseases necessary for EN were admitted to the Department of Intensive Care Unit (ICU) of Taizhou Hospital of Integrated Traditional Chinese and Western Medicine from March 1, 2017 to September 30, 2018 were selected, and they were randomly divided into a GRV extraction group (control group) and a PoCUS GRV group (study group), 45 patients in each group. Both groups were fed with Ruidai nutrient solution by nasogastric pump at a rate of 18 hours per day to persistently administer the target feeding volume for consecutive 7 days. The differences in tolerance of EN, the incidence of feeding interruption, the daily volume of EN fluid, the ratio of reaching total enteral nutrition (TEN) and the levels of serum albumin (Alb), prealbumin (PA) and prognosis were compared between the two groups. Results The incidences of reflux and wrong aspiration in the study group were significantly lower than those in the control group [8.9% (4/45) vs. 24.4% (11/45) and 4.4% (2/45) vs. 17.8% (8/45), both P < 0.05]. The EN liquid volume, ratio of reaching TEN, Alb and PA levels in the study group were significantly higher than those in the control group [EN liquid volume (mL/d): 944.6±277.1 vs. 783.7±230.5, the ratio of TEN: 86.7% (39/45) vs. 68.9% (31/45), Alb (g/L): 30.6±3.0 vs. 29.4±2.4, PA (g/L): 280.5±31.8 vs. 267.7±28.4, all P < 0.05]. The incidence of diarrhea [15.6% (7/45) vs. 13.3% (6/45)], the incidence of feeding interruption [8.9% (4/45) vs. 13.3% (6/45)], the length of stay in ICU (days: 10.4±6.2 vs. 8.3 ±5.4), the mortality [8.9% (4/45) vs. 13.3% (6/45)] had no significant differences between the two groups (all P > 0.05). Conclusion Evaluating GRV by PoCUS to adjust EN implementation plan can reduce the incidences of reflux and wrong aspiration and increase the EN intake.