More and more clinical research projects are carried out in research hospitals.Through the multi-angle and whole-process quality control of the clinical research conducted by the research hospitals,including pre-project establishment,implementation,and post-completion,it can timely identify risks or potential risk factors in the clinical research,evaluate and solve quality problems in real-time,and avoid the possibility of major clinical research problems.Through whole-process quality control,research hospitals identify problems timely and proactively,establish coordination mechanisms,optimize the communication process,reduce the occurrence of research project quality problems,continuously improve the quality management systems of clinical research,ensure that research is compliant,data is complete and accurate,as well as improve the reliability of research conclusions.

Medical ethics ward rounds truly embody the behavior of respecting human nature and providing humanistic care for patients, which is conducive to the unity of medical scientific judgment and decision-making with medical ethical judgment and decision-making, and the integration of medical ethics and medical skills. Medical ethics ward rounds focus on both doctors and patients. Through reviewing medical records and medical-related documents, interviewing medical staff as well as patients, observing doctor-patient communication, the ward environment and facilities, etc., the medical ethics ward round team conducted comprehensive ethical ward rounds on the clinical departments of the hospital, and evaluated the actual situation of them in terms of patients’ informed consent, privacy protection, application of new clinical technologies, medical quality, ward environment and facilities, professional dedication of medical staff, and so on. The respect of medical staff for the rights and interests of patients is not only the respect for the basic personality of patients, but also the external embodiment of bioethics. Medical ethics ward rounds combined with the PDCA cycle can understand the pain points and difficulties in diagnosis and treatment, as well as the experience of patients in the process of medical treatment, and construct a harmonious doctor-patient relationship through the joint efforts of both doctors and patients.

OBJECTIVE：To establish the eva luation criteria for the rationality of tumor nutritional standardized treatment ，and to provide reference for nutritional standardized treatment in tumer patients . METHODS ：Based on domestic and foreign guidelines or expert consensus ，the rationality evaluation standard of tumor nutritional standardized treatmentwas formulated in our hospital （Bozhou Municipal People ’s Hospital ）. 50 nutritional treatment medical records in our hospital from Jan. to Jun. 2019 were evaluated by weighted TOPSIS ；according to the evaluation results ，nutritional intervention was carried out ，and 50 nutritional treatment medical records （group B ）from Aug. to Dec. 2019 were re-evaluated by the same method after intervention. RESULTS ： The established evaluation criteria for the rationality of tumor nutritional standardized treatment in our hospital included 18 indicators，such as malnutrition diagnosis ，description of the nature of malnutrition ，nutrition screening and evaluation ，etc. After analysis ，the rational rate of nutritional treatment was only 18％ in group A （Ci of ideal solution with 9 medical records≥0.6），and 78％ in group B （Ci of ideal solution with59 medical records ≥0.6）. There was statistical significance in the rationality of nutritional treatment before and after nutritional intervention （Ci≥0.6）（P＜0.05）. CONCLUSIONS ：The established rational evaluation method of tumor nutritional standardized treatment is feasible ，and the evaluation results are intuitive and reasonable. Nutrition intervention is helpful to reduce the irrational rate of nutritional treatment.

Objective:To understand the status quo and problems of clinical nursing fund paper publication in China from 2015 to 2018.Methods:The clinical nursing fund papers published in 12 core nursing journals and published by Chinese Authors in WOS database were analyzed by using bibliometrics methodology. Information analyzed including year distribution, number of authors, regional distribution, the number of institutions, research nature, research type, statistical application, specialty distribution and research content.Results:From 2015 to 2018, the proportion of clinical nursing fund papers was increasing, the proportion of funded papers in Chinese and WOS was 44.06% and 51.46% respectively, the main funding sources of each project came from provinces or direct-controlled municipalities level(42.02% in Chinese and 33.06% in WOS). Chinese fund papers were mainly co-authored by four people (20.18%) and mostly from the same institution (67.83%), the fund papers collected by WOS were mainly co-authored by six people (21.14%) and mainly produced by two institutions (40.65%). Clinical trials (26.64%) were the main research types of Chinese funded papers, and statistical inference (73.15%) was the main application of statistical methods. Jiangsu (14.58%) produced the most Chinese fund papers, and the first authors of the fund papers collected by WOS mostly came from Taiwan (43.90%); the main research topics were oncology nursing (16.65% in Chinese and 22.49% in WOS) and disease and symptom nursing (23.57% in Chinese and 23.04% in WOS).Conclusions:The number of papers on clinical nursing fund was increasing year by year, the application of statistics is basically stable, the sources of fund funding were increasingly diversified, and the trend of scientific research cooperation was increasing. Economically developed areas were the main force of scientific research output. The focus of clinical nursing research was oncology nursing and disease and symptom nursing.

Objective:To analyze the author and institutional cooperation of clinical nursing foundation-papers in recent years, and to explore the research hotspots and fronts so as to provide a reference for future research in this field.Methods:This study took 11 998 clinical nursing foundation-papers as subjects published in 12 nursing core journals from 2012 to 2018. The information visualization software, CiteSpace Ⅴ, was used to analyze the authors, institutions and key words.Results:The main collaborative team composed of Hu Yan, Jiang Qixia, Shen Yongyi, Wang Weili and Niu Meie was formed in clinical nursing research areas. Intensity of institutional cooperation needed to be strengthened; institutional cooperation of the same region was the mainstream; inter-regional cooperation began to take shape. The research hotspots focused on disease and nursing intervention; research fronts developed around the chronic disease and cluster nursing.Conclusions:Clinical nursing researches have the rich diversity of content; hotspots and fronts reflect the modern social and people's needs. We should further strengthen the cross-team, interdisciplinary, interagency and inter-regional cooperation to realize a diversity of cooperative mode so as to promote the development of clinical nursing research.

Objective The statistics of nursing management zero-cited papers published in 12 nursing core journals were analyzed ,and the reasons were analyzed to provide reference for further improvement of the academic quality of nursing man-agement class papers and reducing zero cited rate .Methods The nursing management zero-cited papers published in 12 nursing core journals from 2015 to 2017 were searched in Wanfang Database ,and the amount of documents issued ,funded status ,num-ber of authors ,academic qualifications and titles ,and themes were analyzed .Results There were 2492 articles of zero cited papers of nursing management during 2015-2017 ,accounted for 46 .65％ of the total number of nursing management thesis ,a-mong which there were 1172 papers of zero cited papers and 1320 papers of non-funds ,which showed an increasing trend year by year .The lowest cited rate was 33 .67％ in the Chinese Journal of Nursing .The zero cited fund of nursing management was the most subsidized by provincial (municipality) level ,accounted for 42 .83％ .The zero cited rates of qualitative research ,sur-vey research and application statistical description were the highest ,which were 51 .44％ ,50 .87％ and 47 .03％ .More than 70％ of the zero cited papers are divided into 4 aspects :nursing human resource management ,nursing quality management , nursing management mode and management psychology research .Nursing human resource management was more concerned with the training of nurses ,core competencies ,job management ,job stress ,and job satisfaction .The research content of nurs-ing quality management focused on quality control circle ,nursing quality assessment ,continuous quality improvement ,and ad-verse event management .Conclusions The zero cited rate of nursing management papers is high ,suggesting that the training of nursing management personnel's scientific research ability should be strengthened ,so that they can grasp the hot spots or fo-cus issues in the field of nursing management to select topics and promote the clinical application of nursing management re-sults .

Objective Analyze the distribution of high-cited papers on nursing management from 2015 to 2017,understand the research hotspots of nursing management in recent years,provide further reference for nurses to conduct research in this field in the future.Methods Bibliometrics method and visualization techniques were used to analyze the distribution of journals,fund support,thematic distribution,regional distribution of nursing management highly cited papers published in 12 nursing core journals.Results There were 422 highly cited papers in nursing management from 2015 to 2017,and the total cited frequency was 4 709 times,and the average cited frequency was 11.16 times.Among them,187 papers were funded,and the frequency of citation is 11.63 times.There are 235 non-fund articles,and the average frequency of citation is 10.79 times.The highest number of highly cited papers published in the "Nursing Research" was 63,followed by 61 articles in the “Chinese Journal of Nursing” and the “Journal of Nursing Science”.The research focuses on nursing human resource management,nursing quality management,nursing safety management and so on.The high cited papers were funded by provincial (municipality)level,and the average fund paper ratio was 44.31％.The authors are distributed in 28 regions.Conclusions Nursing personnel caught the attention of the hot spots of clinical research and paid attention to teamwork,which played an active role in promoting the overall level of nursing management.

Objective To explore the zero cited fund papers in clinical nursing in China,in order to provide evidence for improving the academic quality and cite rate of nursing papers.Methods Bibliometric statistical analysis was used to summarize zero cited papers published in 12 nursing core journals from 2012 to 2014.Indicators collected including the distribution of time,journals,funding number,funding sources,research methods,research design type,statistics method,number of cooperative people,nature of the authors' organizations,as well as the conditions of cited papers and the distribution of themes.Results The overall zero cited rate of clinical nursing zero cited fund papers was 74.64％.Affiliated hospital of colleges account for a large proportion of 42.53％,and the zero cited rate in the national disease research center and the affiliated hospital of army colleges was the highest (100.00％ and 80.52％).The oncology nursing,disease and symptoms care proportion was 13.94％ and 23.10％.The output of TCM care and rehabilitation care fund paper accounted only 3 and 8 respectively,and none was cited.The zero cited rates of social support,care coordination,treatment and care attitude and evidence-based research were 96.3％,94.12％,91.67％,90.32％.Strengthened their awareness of research applications,managers focused on research papers in the number of outputs at the same time and paid attention to the paper quality,and promoted scientific research into nursing,and promoted the development of nursing discipline.Conclusions The current paper-citing situation in clinical nursing was not optimistic,nursing research personnel should correct the attitude of scientific research,strengthen their own sense of scientific achievement applications.The management personnel should pay more attention to the paper quality,and promote nursing research outcome transformation,promote the development of nursing discipline.

Objective To describe the situation of citation on clinical nursing fund-sponsored theses and to reflect the academic level in this field and authors' capability to using literature.Methods The way of search combining printed journal and database was used to clinical nursing fund-sponsored theses published in 12 nursing core journals from 2015 to 2016. Statistical analysis was conducted on the numbers, languages, subject resources and types of citations.Results There were total 3590 clinical nursing fund-sponsored theses from 2015 to 2016. The citation rate was 99.78% with 14.58 per paper for the average number of citation. The languages of citations were main in Chinese accounting for 60.75%. The subject resources of citations mainly included nursing (55.36%) with clinical medicine and other subjects increasing. The types of citations of Chinese and foreign language primarily contained journals accounting for 87.33% and 96.33% respectively. Conclusions The numbers of citations and the average number of citations per paper increase year by year. The nurses' capability to absorb information grows continually. However, diversified investment funds for scientific research should be strengthened and resources sharing should be promoted in the future.

Objective To investigate the habits that literatures using by nursing staffs during 2010 to 2012 in China.Methods The publication from Chinese Journal of Nursing, Nursing Research, Chinese Journal of Practical Nursing, Journal of Nurses Training and Journal of Nursing Science from year of 2010 to 2012 were statistically analyzed using literature metrology method.The statistics results were compared with data from 2007 to 2009.Results In past 3 years, the quantity,quantity of papers with citations, average number of citations, citations of theses with citations published in-mentioned above five periodicals increased year by year.In 2010 to 2012, the average number of citations and citations rate of papers also improved compared with 2007 to 2009.The type citation is mainly from Journals,and the language was mainly in Chinese.Conclusions In the past 3 years, the nursing staff's literature utilization was improved.However, in the situation of using references with foreign language, nursing staff was poor comparing with medical personnel.On the scientific research ability of nursing personnel training should be strengthened,and the application of new technology and new theory in domestic and international should be strengthened as well..