A good talent cultivation model is inseparable from scientific talent classification and evaluation methods.This article depends on the actual needs of talent cultivation in public hospitals and leverages"Internet+"technology and other smart hospital management means.It builds a talent classification and evaluation framework system based on the smart hospital plat-form,achieving scientific,quantifiable,and visual management of health professionals and technicians.This approach is of great research significant value for stimulating the work enthusiasm and creativity of talents,promoting the construction of talent teams and disciplines,and reforming the hospital personnel allocation system.This framework also has great practical significance for further improving the comprehensive management level and competitiveness of hospitals.

Objective To investigate the risk factors and nursing strategies for clinical deterioration during intrahospital transport of critically ill patients in the emergency department. Methods A retrospective study was conducted in critically ill patients admitted to the emergency department from March to December 2023 who required intrahospital transport for diagnostic and therapeutic purposes. Data were collected including risk scores prior to transport, patients'clinical information, qualification of the transporting nurses, preparation time, final care time, and the National Early Warning Scoring (NEWS) score indicating clinical deterioration during transport. Multivariate Logistic regression analysis was performed to identify the risk factors influencing clinical deterioration during intrahospital transport of critically ill patients. Results Among 839 critically ill patients transported within the hospital, the clinical deterioration rate was 28.37%. Multivariate Logistic regression analysis revealed that transport duration ranging from 21 to 25 minutes were significantly associated with clinical deterioration (β=0.133, P=0.027). Patients'symptoms including body part injury, head injury, burns, poisoning (β=0.670, P=0.030), respiratory distress/spasm (β=0.919, P < 0.001), shock/arrhythmia/chest pain/hemorrhage (β=1.134, P < 0.001), coma/changes in mental status/fainting (β=1.343, P < 0.001), and cardiac arrest (β=2.251, P < 0.001) were highly correlated with clinical deterioration. Patients with unstable conditions (β=1.689, P < 0.001), those with pre-transport risk scores of 8 or higher (β=0.625, P < 0.001), and those transported by non-dedicated transport nurses (β=0.495, P < 0.008) were significantly related to increased risk of clinical deterioration. Conclusion The incidence of clinical deterioration during intrahospital transport of critically ill patients is relatively high. Diseases involving the circulatory, respiratory, and nervous systems, unstable clinical conditions, high pre-transport risk scores, transport duration of 21 to 25 minutes, and presence of transport by non-specialized nurses are all associated with higher rates of clinical deterioration.

Objective:To preliminarily establish a measurement model of life stress scale for submariners.Methods:The research hypothesis that the structure of life stress scale for submariners includes four dimensions and 92 items was put forward by literature review，referencing existing stress scales，personal interviews，and expert evaluation. On the basis of the questionnaire survey among 562 submariners，exploratory factor analysis and confirmatory factor analysis were used to test the hypothesis.Results:Exploratory factor analysis showed that the structure of life stress scale for submariners includes six dimensions，i.e.，noise and vibration stress，daily life stress，management stress，family stress，social isolation stress，and self-management stress，and 32 items in total. The results of confirmatory factor analysis showed that the fitness index of the model reached the standard of good after modification（ χ2/df=1.435，GFI=0.849，CFI=0.959，RMSEA=0.045，IFI=0.960，TLI=0.954，NFI=0.878），indicating that the measurement model has a good external quality. Moreover，each latent variable had good component reliability and mean variance extraction（CR：0.854-0.929，AVE：0.500-0.688），indicating that the internal quality of the measurement model and the latent trait of latent variables were good. Conclusion:The structure of life stress scale for submariners includes six dimensions. The correlation among latent variables in the measurement model shows that these six dimensions are a whole of mutual interaction and the structure of the scale is reasonable.

Objective:To preliminarily establish a measurement model of life stress scale for submariners.Methods:The research hypothesis that the structure of life stress scale for submariners includes four dimensions and 92 items was put forward by literature review，referencing existing stress scales，personal interviews，and expert evaluation. On the basis of the questionnaire survey among 562 submariners，exploratory factor analysis and confirmatory factor analysis were used to test the hypothesis.Results:Exploratory factor analysis showed that the structure of life stress scale for submariners includes six dimensions，i.e.，noise and vibration stress，daily life stress，management stress，family stress，social isolation stress，and self-management stress，and 32 items in total. The results of confirmatory factor analysis showed that the fitness index of the model reached the standard of good after modification（ χ2/df=1.435，GFI=0.849，CFI=0.959，RMSEA=0.045，IFI=0.960，TLI=0.954，NFI=0.878），indicating that the measurement model has a good external quality. Moreover，each latent variable had good component reliability and mean variance extraction（CR：0.854-0.929，AVE：0.500-0.688），indicating that the internal quality of the measurement model and the latent trait of latent variables were good. Conclusion:The structure of life stress scale for submariners includes six dimensions. The correlation among latent variables in the measurement model shows that these six dimensions are a whole of mutual interaction and the structure of the scale is reasonable.

Objective:To investigate subjective ranking of factors influencing life and work among submariners in long oceangoing voyage, and to make some exploratory analysis and classification of those factors.Methods:A total of 546 submariners who had taken part in long oceangoing voyage were investigated by the specially designed Questionnaire on the Influence of Various Factors in the Long Oceangoing Voyage of Submariners. The data were analyzed by SPSS 23.0 software. Results:During the long oceangoing voyage, the order of the factors influencing submariners′ life and work from high degree to low degree were as follows: submarine harmful gas, submarine noise, biorhythm disorder, worries about personal health, lack of information, monotonous life, temperature and humidity of post and rest cabin, difficulty in personal hygiene maintenance, worries about parents′ health, food problem, narrow space, pressures from operation on post and learning, seasickness, family economic pressure, limited personal development, effects of color and lighting, relationships with leaders and fellow crew members. These factors constituted two categories of factors: physical and chemical environment factors and psychosocial factors. The physical and chemical environmental factors included loud noise and high pollution, seasickness and visual discomfort, high temperature and humidity, self-hygiene problems and biorhythm disorder; and the psychosocial factors were health concerns, life pressure, monotonous life, interpersonal relationship pressure, and work pressure.Conclusion:The main factors that greatly affect submariners′ work and life in long oceangoing voyage are harmful gas, noise, biorhythm disorder, worries about personal health, lack of information, and monotonous life. Generally speaking, the influence of the physical and chemical environment factors is greater than that of the psychosocial factors, although the latter one cannot be neglected as a major factor. It is necessary to improve the working and living environment of submariners through some targeted work, e. g. optimizing submarine design and providing psychological function care, so as to reduce the influence of various factors on the life and work of submariners.

During these missions, long-time maritime operations impose physical and psychological challenges to the officers and sailors, leading to more mental illness. At present, there is no systematic mental health work plan aimed at those problems of the officers and sailors on long oceangoing missions. Therefore, based on the experience and lessons gained from previous long oceangoing missions and the specific psychological status of the crew at different legs of long oceangoing missions, this paper elaborated the self-capability preparation of mental health providers, summarized the organization and implementation of mental health service throughout the whole mission, and presented a preliminary working outline of mental health service for the officers and sailors on long oceangoing missions, so as to guide the mental health providers to carry out their work effectively, thus improving the mental health of the officers and sailors on long oceangoing missions.

Objective:To investigate subjective ranking of factors influencing life and work among submariners in long oceangoing voyage, and to make some exploratory analysis and classification of those factors.Methods:A total of 546 submariners who had taken part in long oceangoing voyage were investigated by the specially designed Questionnaire on the Influence of Various Factors in the Long Oceangoing Voyage of Submariners. The data were analyzed by SPSS 23.0 software. Results:During the long oceangoing voyage, the order of the factors influencing submariners′ life and work from high degree to low degree were as follows: submarine harmful gas, submarine noise, biorhythm disorder, worries about personal health, lack of information, monotonous life, temperature and humidity of post and rest cabin, difficulty in personal hygiene maintenance, worries about parents′ health, food problem, narrow space, pressures from operation on post and learning, seasickness, family economic pressure, limited personal development, effects of color and lighting, relationships with leaders and fellow crew members. These factors constituted two categories of factors: physical and chemical environment factors and psychosocial factors. The physical and chemical environmental factors included loud noise and high pollution, seasickness and visual discomfort, high temperature and humidity, self-hygiene problems and biorhythm disorder; and the psychosocial factors were health concerns, life pressure, monotonous life, interpersonal relationship pressure, and work pressure.Conclusion:The main factors that greatly affect submariners′ work and life in long oceangoing voyage are harmful gas, noise, biorhythm disorder, worries about personal health, lack of information, and monotonous life. Generally speaking, the influence of the physical and chemical environment factors is greater than that of the psychosocial factors, although the latter one cannot be neglected as a major factor. It is necessary to improve the working and living environment of submariners through some targeted work, e. g. optimizing submarine design and providing psychological function care, so as to reduce the influence of various factors on the life and work of submariners.

During these missions, long-time maritime operations impose physical and psychological challenges to the officers and sailors, leading to more mental illness. At present, there is no systematic mental health work plan aimed at those problems of the officers and sailors on long oceangoing missions. Therefore, based on the experience and lessons gained from previous long oceangoing missions and the specific psychological status of the crew at different legs of long oceangoing missions, this paper elaborated the self-capability preparation of mental health providers, summarized the organization and implementation of mental health service throughout the whole mission, and presented a preliminary working outline of mental health service for the officers and sailors on long oceangoing missions, so as to guide the mental health providers to carry out their work effectively, thus improving the mental health of the officers and sailors on long oceangoing missions.

Objective To develop a self-rating scale of sensitivity of seasickness ( SSSS ) in navy recruits, and also to detect the reliability and validity of the scale. Methods A theoretical model and created entry pool were constructed on the basis of literature review and individual interviews. In the preliminary test, we first investigated 214 naval veterans from the Shantou Coast Guard of the South China Sea Fleet, and then an initial scale was formed following related analysis and exploratory factor analysis. For the large sample test, the initial scale was used to investigate 940 veterans from some of the 3 naval fleets, and then data analysis and exploratory factor analysis were used to form the final formal scale. During the validation test, confirmatory factor analysis and reliability and validity test were performed using the formal scale to investigate 742 recruits from the 3 fleets. Calibration was made by using symptoms and signs of Graybiel motion sickness. In addition, 37 undergraduate students from the Naval Medical Department of the Second Military Medical University of 2016 were tested and a retest was made after a month. Results The formal scale contained 7 factors encompassing 36 items or entries, the cumulative contribution of variance was as high as 72. 031％. The results of confirmatory factor analysis showed that the model fitted well (χ2 =935. 993, df=465,χ2/df=2. 013, GFI=0. 934, AGFI=0. 905, TLI=0. 969, CFI=0. 977, IFI=0. 977 and RMSEA=0. 038). There was a significant positive correlation between the scores of each factor, as well as the scores of each factor and total scores of the scale( r=0. 313-0. 713, P<0. 01;r=0. 529-0. 884, P<0. 01). The total scores and each factor scores of the scale were positively correlated to the scores of the symptoms and signs of Graybiel motion sickness(r=0. 730, P<0. 01;r=0. 365-0699, P<0. 01). The Cronbach'sαof the total scale was 0. 952 and those of various factors were from 0. 797 to 0. 945. The retest reliability of the total scale was 0. 875 and the retest reliability of the 7 factors was from 0. 488 to 0. 837. Conclusion Various indexes of the self-rating scale for the detection of seasickness sensitivity in navy recruits were quite reliable and were suitable for the evaluation of seasickness susceptibility in naval recruits.

Objective To investigate the features of negative automatic thinking among military personnel stationed on the island and also to analyze related influencial factors.Methods Assessment was performed among the military personnel stationed on the island and ashore by using automatic thinking scale,perceived social support scale and social stress scale,then,the relationship between negative automatic thinking and perceived social support and psychological stress was analyzed in the study.Results The detection rates of automatic thinking,perceived social support and psychological stress among the military personnel stationed on the island were all obviously higher than those of the military personnel working ashore.(P ＜ 0.05 or P ＜ 0.01).The total scores of automatic thinking and stress in the military personnel working on the island were all higher than those of the people working ashore (P ＜ 0.05).There were significant differences in total scores of various scales,when comparisons were made between commissioned officers of the 2 groups (P ＜ 0.05).Differences could only be seen in external family support and stress scores among commissioned officers.Total scores of internal family support and perceived social support of commissioned officers were all lower than those of the non-commissioned officers,but the scores of automatic thinking were higher than those of the non-commissioned officers (P ＜ 0.05).Pearson analysis showed that negative automatic thinking was positively correlated with psychological stress (r =0.292,P ＜ 0.05),however the scores of perceived social support were negatively correlated with the scores of various dimensions (r =-0.540 -0.672,P ＜ 0.05).Stepwise regression analysis indicated that perceived social support partially mediated the relationship between psychological stress and negative automatic thinking,and the mediating effect accounted for 30.9％ of the total effect.Conclusion Negative automatic thinking among the military personnel stationed on the island was on the whole not optimistic,and its influential factors included psychological stress and low social support.Psychological stress could affect negative automatic thinking of the military personnel stationed on the island directly or indirectly by mediating effect.Active and effective family and social support,rational psychological counseling and training were beneficial to the alleviation of negative thinking and the improvement of the physical and mental health of the military personnel stationed on the island.