Objective:To retrieve, evaluate and summarize the best evidence on the use of bedside ultrasound by ICU nurses to assess the lungs of adult critically ill patients, and to provide a reference for clinical practice and the construction of related processes and protocols.Methods:Based on the "6S" pyramid model, a computer-based search was conducted on relevant computer decision support system, guideline networks, professional associations, and domestic and international databases, the search time limit was from the establishment of the database to June 5, 2024. The panel members who had been trained in the evidence-based course evaluated the included literature with corresponding tools, extracted evidence according to the theme.Results:Twenty-five papers were finally included, including 6 guidelines, 8 expert consensus, 2 expert opinion, 3 clinical decision-making, 3 systematic evaluation, and 3 randomized controlled trials. A total of 35 pieces of evidence were formed from 4 aspects, including personnel training, operation specifications, clinical application (including dyspnea screening, intervention implementation, efficacy evaluation, diaphragm function evaluation) and precautions.Conclusions:The best evidence for lung assessment and intervention in adult critically ill patients based on bedside ultrasound can provide a reference for the adjustment and decision-making of nursing measures for adult critically ill patients. In the subsequent process of evidence transformation, attention should be paid to combining clinical practice and the joint cooperation of medical staff.

Objective:To retrieve, evaluate and summarize the best evidence on the use of bedside ultrasound by ICU nurses to assess the lungs of adult critically ill patients, and to provide a reference for clinical practice and the construction of related processes and protocols.Methods:Based on the "6S" pyramid model, a computer-based search was conducted on relevant computer decision support system, guideline networks, professional associations, and domestic and international databases, the search time limit was from the establishment of the database to June 5, 2024. The panel members who had been trained in the evidence-based course evaluated the included literature with corresponding tools, extracted evidence according to the theme.Results:Twenty-five papers were finally included, including 6 guidelines, 8 expert consensus, 2 expert opinion, 3 clinical decision-making, 3 systematic evaluation, and 3 randomized controlled trials. A total of 35 pieces of evidence were formed from 4 aspects, including personnel training, operation specifications, clinical application (including dyspnea screening, intervention implementation, efficacy evaluation, diaphragm function evaluation) and precautions.Conclusions:The best evidence for lung assessment and intervention in adult critically ill patients based on bedside ultrasound can provide a reference for the adjustment and decision-making of nursing measures for adult critically ill patients. In the subsequent process of evidence transformation, attention should be paid to combining clinical practice and the joint cooperation of medical staff.

Objective To analyze the research hotspots in the field of extracorporeal membrane oxygenation (ECMO) patient care at home and abroad in the past 10 years,aiming to provide a reference for related research. Methods Literature related to ECMO nursing collected in CNKI and Web of Science (WOS) databases from January 2013 to July 2023 was searched,journals and key words were visualized by CiteSpace software. Results A total of 192 foreign literatures and 730 Chinese literatures were included. In recent 10 years,the number of papers in the field of ECMO nursing at home and abroad has been on the rise. According to the visual analysis of China's publishing institutions. The visual analysis of key words in the field of nursing showed that the research in the field of ECMO patient care focuses on critical diseases related to the respiratory system and circulatory system. The research focused on acute respiratory distress syndrome (ARDS),coronavirus disease 2019 (COVID-19),prone ventilation,emergency nursing,etc. Conclusions Research hotspots in the field of ECMO patient care in China are changing dynamically with the development of social medicine,but the overall quality of research is low. It is necessary to strengthen the in-depth cooperation between various institutions in the field of ECMO patient care,learn from foreign experience,and promote the quality of ECMO nursing.

Objective:To construct a postoperative nursing plan for liver transplant recipients using the NANDA international, nursing outcomes classification, nursing intervention classification (NANDA-I-NOC-NIC) link (referred to as NNN-link) as the theoretical framework, so as to optimize the nursing process after liver transplantation and improve the quality of nursing.Methods:This study retrospectively collected nursing diagnoses with a postoperative usage rate of over 50% from 300 liver transplant recipients at Shulan (Hangzhou) Hospital from January 2019 to December 2021, and matched nursing outcomes and measures based on the NNN-link theory framework. After two rounds of Delphi expert consultation and group discussion, the entry content was rated, discussed, and modified to form the final version of the postoperative NNN-link for liver transplant recipients.Results:In two rounds of expert consultation, the recovery rates were 96.67% (29/30) and 100.00% (29/29) , respectively. The expert authority coefficients were 0.83 and 0.84, respectively. The Kendall harmony coefficients for the second round were 0.50, 0.38, 0.35. The final postoperative NNN-link for liver transplant recipients included 15 nursing diagnoses, 42 nursing outcomes, and 106 nursing measures.Conclusions:The process of constructing the postoperative NNN-link for liver transplant recipients is scientific and reasonable, and the entries are highly specialized, which can provide reference for clinical nursing after liver transplantation.

Objective To analyze the research hotspots in the field of extracorporeal membrane oxygenation (ECMO) patient care at home and abroad in the past 10 years,aiming to provide a reference for related research. Methods Literature related to ECMO nursing collected in CNKI and Web of Science (WOS) databases from January 2013 to July 2023 was searched,journals and key words were visualized by CiteSpace software. Results A total of 192 foreign literatures and 730 Chinese literatures were included. In recent 10 years,the number of papers in the field of ECMO nursing at home and abroad has been on the rise. According to the visual analysis of China's publishing institutions. The visual analysis of key words in the field of nursing showed that the research in the field of ECMO patient care focuses on critical diseases related to the respiratory system and circulatory system. The research focused on acute respiratory distress syndrome (ARDS),coronavirus disease 2019 (COVID-19),prone ventilation,emergency nursing,etc. Conclusions Research hotspots in the field of ECMO patient care in China are changing dynamically with the development of social medicine,but the overall quality of research is low. It is necessary to strengthen the in-depth cooperation between various institutions in the field of ECMO patient care,learn from foreign experience,and promote the quality of ECMO nursing.

Objective:To evaluate the teaching effectiveness of independent experimental design from students' active learning behavior, and further provide the basis for advancing the reform of functional experimental teaching and teaching quality.Methods:In June 2019, 186 undergraduates (5-year-programme and 8-year-programme) of Xiangya School of Medicine were included in the teaching research. Self-administered questionnaires were applied to characterize students' active learning behavior in independent experimental design education. Spearman rank correlation analysis and Logistic regression analysis were used in the study. SPSS 23.0 was used for descriptive analysis of the data.Results:During the independent experimental design, 85.0%(158/186) of the students thought it was necessary and important to conduct independent experimental design education; 72.6%(135/186) of the students tentatively raised new scientific questions; 97.8%(182/186) of the students actively searched literature; 77.4%(144/186) of the students participated in reply positively. The value of correlation coefficient of actively learning behavior "tentatively raising new science questions" and teaching effectiveness "improving the ability of scientific thinking" was 0.81. And only 42.5%(79/186) of the students agreed that students needed to summarize after reporting.Conclusion:Independent experimental design education is welcomed and widely accepted by students, which has effectively improved the capacity for scientific research and innovation spirit of students. Whether students' active learning behavior can be fully mobilized in the education practice is closely related to the teaching effect. And the cultivation of leadership and leading consciousness still need to be improved.