Objective:To understand changes in psychological resilience of nurses rushing to ICU in Wuhan under COVID-19 epidemics, and provide a theoretical basis for the psychological adjustment and psychological intervention of nurses in public health emergencies.Methods:Using phenomenological research method, the first batch of nurses from Nursing Department of Taizhou People's Hospital to assist Wuhan medical team in February 2020 were selected as the research objects based on Richardson psychological resilience model by the purposive sampling method. The diaries of 9 nurses who assisted Wuhan ICU were used as the original data, and the data collection time was based on the principle of data saturation. The data reached saturation after 18 days of rushing to Wuhan. A total of 9 nurses all completed the diary writing, with a total of approximately 28 452 words. The Colaizzi method was used to analyze the data and extract the topic.Results:A total of 3 first-level themes and 8 second-level themes were extracted, namely the stress period (intrusive thoughts, physical challenges, psychological distress) , buffer zone (psychological capital mobilization, team resilience stimulation, comprehension of social support) and restructuring period (balance restoration, self-transcendence) .Conclusions:Psychological resilience is not a constant psychological feature, but a constantly changing process in the game of destruction and reorganization. The psychological resilience of nurses rushing to ICU in Wuhan is in a dynamic process of stress-buffer zone-reorganization period, while enhancing team resilience and external support is conducive to the healthy development of the balance of psychological resilience of nurses who rushed to wuhan.

bjective? To explore the proportion between peripherally inserted central catheter (PICC) vein and catheter on hemorrhage and plugging among hematologic tumor patients. Methods? From February 2016 to February 2018, we selected 105 patients of department of hematology in Wuxi Second People's Hospital of Nanjing Medical University as subjects. Before PICC, vein diameter was measured with the portable color doppler ultrasound system to obtain the proportion between catheterization vein and catheter diameter. Among 105 PICC catheterization cases of hematologic tumor patients, proportions between catheterization vein and catheter diameter were divided into three groups including ＜2,2 to 3,＞3,35 cases in each group. We observed the incidences of hemorrhage and plugging at different proportions of catheterization. Results? There was no statistical difference in the amount of bleeding of hematologic tumor patients among three groups after catheter (P＞0.05). There was a statistical difference in the incidence of plugging (P＜0.05). Conclusions? The incidence of hemorrhage and plugging of hematologic tumor patients after PICC cannot be ignored. The proportion between catheterization vein and catheter diameter has no obvious effect on hemorrhage after catheter, but it can affect the incidence of catheter plugging. Therefore, we should apply visual assessment instrument to exactly measure the internal diameter of vein and select appropriate catheter to reduce the complications after catheterization.

Objective To investigate the effects of companion support on oral medication compliance and anxiety in tumor patients.Methods A total of 78 cases of tumor patients with pain were randomly divided into intervention group (n=39) and control group (n=39) and investigated using randomized controlled study. Patients in control group received routine analgesic care, while patients in intervention group received additional 3-month companion support intervention. Treatment compliance and anxiety of patients were compared between two groups.Results After the intervention, patients′ treatment and medication compliance including number of oral medication, medication time, dosage, adherence to continuous medication in intervention group were better than patients in control group. The differences were statistically significant (t=6.366, 2.646, 3.552, 2.588, 3.551;P<0.05). The scores of anxiety of the patients in intervention group were significantly lower than that in control group (t=-2.542,P<0.05).Conclusions Companion support intervention can increase oral medication compliance and improve the anxiety of tumor patients.

Objective To explore the application of SBAR communication culture in emergency department,so as to promote the effective communication between doctors and nurses and ensure the safety of patients.Methods From July 2015 to June 2016,by setting up an emergency SBAR studio, training, implementation and monitoring of the SBAR communication model for medical staff were carried out, and compared the effect of SBAR communication mode before and after the implementation of the medical cooperative attitude scale,the safety attitude scale and the self-made communication satisfaction scale, and counted the incidence of adverse events caused by communication barriers.Results After the SBAR communication mode,the attitude of nursing cooperation (52.06±4.52) score, and the satisfaction of medical staff (65.62±3.84) were significantly improved compared with before (t=10.905, 6.676;P<0.05),due to communication barriers caused by adverse events and hidden trouble from the previous 50% to decline after the development of the 14.29% (χ2=4.453,P<0.05).Conclusions SBAR communication mode improves the standardization, accuracy and effectiveness of information in emergency medical communication, and has a significant effect on improving the team cooperation and promoting the safety of patients.

Objective To analyze the changes of the three-party satisfaction (physicians, nurses and patients) after the implementation of situation-background-assessment-recommendation (SBAR) communication mode.Methods The SBAR work group was established in one hospital and implemented SBAR communication based the question direction in Department of Neurosurgery, Neurology, Intensive Care Unit, Orthopedics, EICU and Cardiology Department of one hospital. The comparison of the differences in satisfaction and the incidence of adverse medical care events were carried out among the doctors, nurses and patients before and after the implementation of the SBAR communication model.Results After the implementation of SBAR communication mode, the satisfactions in doctors, nurses and patients were 94.0%, 96.0% and 98.2%, that all were better than traditional communication before the implementation (Z=1.700,2.000,2.974;P<0.05). The medical incidence of adverse events declined from 0.38% to 0.13% (χ2=6.276,P<0.05).Conclusions SBAR communication mode plays an important role in continuously improving the quality of medical care, promoting effective communication and ensuring the safety of patients, and deserves clinical application.

Objective To explore the application and the effect of the situation-background-assessment-recommendation (SBAR) communication mode in the transfer and the handover of surgical patients. Methods One hundred patients who had orthopedic surgeries from June 2015 to December 2015 were included into the control group. They were managed with the traditional method for the surgical transfer and handover. One hundred patients who had orthopedic surgeries from January 2016 to June 2016 were included into the research group. They were managed with the SBAR communication mode for the surgical transfer and handover. The success rate of the surgical transfer and handover, the satisfaction of medical workers, the incidence of adverse events and the average time of the surgical transfer and handover in the patients in the 2 groups were compared. Results In the surgical transfer and handover, the incidence of adverse events such as falling down from bed, the pipeline disconnection, the fluid extravasation, the disease exacerbation in the research group was 2.0%, which was significantly less compared to the control group (20.0%)(χ2=2.020,P<0.05). The average time of the surgical transfer and handover in the research group was (8.5±5.5)min, which was significantly shorter compared to the control group (11.7±8.5)min(t=3.025,P<0.05).Conclusions The application of the SBAR communication mode in the transfer and handover in surgical departments can effectively reduce adverse events and shorten the time of the surgical transfer and handover. It also improves the efficiency of the surgical transfer and handover, ensures patients' safety and promotes the satisfaction.

Objective To investigate the implementation effect of the situation-background-assessment-recommendation (SBAR) communication mode in hospital surgical teams from the elaborate perspective. Methods Since 2015, the surgical teams of Wuxi No.2 People's Hospital, Affiliated to Nanjing Medical University combined the elaborate management with the SBAR communication mode. The elaborate SBAR report mode was established in the surgeries. Security check reports were carried out in the surgeries. The quality of the nurses' shifting of duty, the incidence of adverse events and the satisfaction of patients after the implementation of the mode were compared to before the implementation.Results The time of the nurses' shifting of duty was shortened from (13.1±4.5)min to(7.4±2.1)min significantly (t=10.737,P<0.01). The incidence of adverse events due to poor communication decreased from 50% to 13.33% significantly (χ2=4.950,P<0.05). The patients' satisfaction on the work of operating rooms increased from 84.44% to 95.74% significantly (χ2=6.652, P<0.05).Conclusions The implementation of the hospital surgical team SBAR communication mode in operating rooms from the elaborate perspective effectively upgrades the meaning of specialist care, optimizes the service procedure and reduces the incidence of adverse events due to poor communication, which guarantees the safety of surgical patients.

Objective To evaluate the application effect of the situation-background-assessment-recommendation(SBAR) communication mode in the intensive care unit in the department of neurosurgery (NSICU).Methods From January 2015, the SBAR communication mode was carried out in the shifting of duty for the nurses in the intensive care unit in the department of neurosurgery. The SBAR communication standard of patients' condition was initiated in the communication between nurses and doctors. The implementation effect of the mode was evaluated by the comparisons of the time of the nurses' shifting of duty, the incidence of adverse events, the average hospital stay of patients, the satisfaction of patients between before the implementation (the year of 2014) and after the implementation(the year of 2015).Results After implementing the SBAR communication mode, the incidence of pressure sores decreased from 2.64% to 0.39% significantly (χ2=4.252, P<0.05). The incidence of extubation decreased from 1.76% to 0% significantly (χ2=4.531,P<0.05). The satisfaction of patients increased from 91.4% to 97.7% significantly (χ2=4.714,P<0.05). The handover time of the nurses was shortened from (8.7±2.1)min every time to(6.1±1.9)min every time significantly (t=2.045, P<0.05). The average hospital stay in the NSICU was shortened from (13.2±2.5)day to(10.5±2.1)day significantly (t=2.057,P<0.05).Conclusions The implementation of the SBAR communication mode is helpful to standardize the shifting of duty and the communication process of doctors and nurses, ensure the safety of patients and improve the satisfaction, which is worth promotion and reference.

Objective To explore the application value of the situation-background-assessment-recommendation(SBAR) communication mode in the patients with acute myocardial infarction (AMI).Methods Ninety-four cases of AMI patients who were hospitalized in the department of cardiology in Wuxi No.2 People's Hospital of Nanjing Medical University were included and were randomly divided into the conventional group and the SBAR group. There were 47 cases in each group. The patients in the conventional group were given the routine care; the patient in the SBAR group was given the SBAR communication mode. The nursing satisfaction and the incidence of adverse events in the 2 groups were compared.Results The nursing satisfaction in the SBAR group was 95.74%, which was significantly higher compared to the conventional group (70.21%,P<0.05). The total incidence of adverse events in the SBAR group was 4.25%; in the conventional group the incidence was 25.53%. The difference between the 2 group was significant (χ2=6.42,P<0.05).Conclusions The SBAR communication model can effectively improve the quality of the nurses' disease observation and the nursing satisfaction and reduce the incidence of clinical adverse events, which was worth clinical promotion.

Effective communication and team work are the keys to improve medical quality and guarantee patient safety. The establishment of effective communication mechanism to improve physician-nurse communication has become important among the national and international hospital accreditation standards of patient's safety goals. This article summarizes the application of situation-background-assessment-recommendation (SBAR) communication mode in team cooperation between physicians and nurses in order to achieve better reference and guidance in further research.