Objective:To explore the effect of typical medical dispute cases in nursing safety education for junior nurses.Methods:In January 2022, convenience sampling was used to select 182 junior nurses working in the Emergency General Hospital for special training on nursing safety education. According to the random number table method, the nurses were divided into a control group and an observation group, with 91 in each group. The control group adopted traditional teaching, while the observation group received typical medical dispute case teaching. The training effectiveness was evaluated using the Chinese Safety Attitudes Questionnaire and the Patient Safety Nurse Competency Evaluation Scale.Results:A total of 89 nurses in the control group and 88 nurses in the observation group completed this study. After training, the total scores of nurses' safety attitudes, patient safety competency, and scores of various dimensions in both groups were higher than those before training, and those of observation group were higher than those of control group, with statistical differences ( P<0.05) . Conclusions:The typical medical dispute case teaching in nursing safety education for junior nurses can improve nurses' awareness of safety attitudes and enhance their competence in patient safety.

Objective:To explore the effects of predictive nursing combined with integrated medical and care in the perioperative period of vagal nerve stimulation (VNS) for children with epilepsy.Methods:From January to June 2022, 63 children with epilepsy who received VNS in the Neurosurgery Department of the Emergency General Hospital were selected as the study subject by convenience sampling. According to the random number table method, the children were divided into a control group ( n=31) and an observation group ( n=32). The control group adopted conventional nursing, while the observation group adopted a predictive nursing combined with integrated medical and care on the basis of the control group. We observed the postoperative complications, empowerment of family members of children, and nursing satisfaction in both groups. Results:There was no statistically significant difference in the incidence of postoperative complications between the two groups of children ( P>0.05). Before discharge, the nursing satisfaction score of the family members of the observation group was higher than that of the control group, with a statistically significant difference ( P<0.01). The empowerment of the family members of the observation group was higher than that of the control group, and the difference was statistically significant ( P<0.01) . Conclusions:The predictive nursing combined with integrated medical and care in the perioperative period of VNS for epileptic children can improve the nursing satisfaction and empowerment of family members of children, and it is valuable for application.

Objective:To understand the clinical nurses' cognition of WS/T 431-2013 Nursing Grading (hereinafter referred to as "current nursing grading standard") and its clinical implementation status. Methods:This study was a cross-sectional study. From November 2020 to January 2021, the convenience sampling method was used to select 420 clinical nurses from 10 Class Ⅲ Grade A hospitals in 8 cities including Beijing, Tianjin, Changsha, Nanjing, Taiyuan, Nanning as the research objects. The self-designed Current Nursing Grading Standard Practice Questionnaire was used to investigate them. A total of 420 questionnaires were distributed, 405 valid questionnaires were recovered, and the effective recovery rate was 96.4% (405/420) .Results:Among 405 clinical nurses, 80.7% (327/405) were aware of the current nursing classification standards, 89.6% (363/405) of clinical nurses were relatively or very aware of the contents of the current nursing classification standards, 98.5% (399/405) of clinical nurses were aware of patients' self-care ability, 94.1% (381/405) of clinical nurses were proficient or relatively proficient in scoring patients' self-care ability, 53.3% (216/405) of clinical nurses thought that the subject of patient care level decision in the department should be doctors, 46.7% (189/405) of clinical nurses thought that doctors and nurses should jointly decide the level of patient care in the department, 69.6% (282/405) of the clinical nurses thought that the department would dynamically adjust the energy level of the responsible nurse in time according to the changes of the patients' nursing level, and 30.4% (123/405) of clinical nurses thought that the department occasionally or rarely dynamically adjusted the level of responsible nurses in time according to the changes of patient care level.Conclusions:Clinical nurses have a high level of cognition to the current nursing grading standards. In the clinical implementation of the current nursing grading standard, the status quo of the patient's nursing level in the joint decision-making of doctors and nurses has not yet reached the requirements of the current nursing grading standard and the dynamic adjustment of nurse-patient energy level matching needs to be further improved.

Objective:To explore the status quo of self-transcendence level of clinical nurses and analyze its influencing factors.Methods:From December 2018 to February 2019, a total of 336 clinical nurses from 6 Class Ⅲ Grade A hospitals in Beijing were selected as the research objects by the convenient sampling method. The general information questionnaire, Occupational Benefit Scale for Nurses (OBSF) , Chinese Self-Transcendence Scale (CSTS) and Work-Family Support Scale were used to investigate. Multiple linear regression analysis was used to explore the influencing factors of self-transcendence level of clinical nurses. A total of 336 questionnaires were distributed and 268 valid questionnaires were recovered with an effective recovery rate of 79.76%.Results:The CSTS score of 268 clinical nurses was (45.97±7.29) , with the lowest score of 28 and the highest score of 60. Multiple reproducibility regression analysis showed that professional title, position, monthly average number of night shifts, daily working hours, nature of employment, family support and professional benefits were the influencing factors of self-transcendence level of clinical nurses ( P<0.05) . Conclusions:The self-transcendence of clinical nurses is at a good level, which indicates that nurses have a healthy mental health status.

Objective:To study the current situation and demand degree of laws and regulations education for clinical nurses.Methods:From December 2018 to February 2019, a total of 430 nurses from 8 tertiary general hospitals in Beijing, Shijiazhuang, Taiyuan, Changsha and Binzhou were selected as the survey subjects by the convenient sampling method. A self-designed questionnaire on the current situation and demand degree of law and regulation education for clinical nurses was used to investigate them. A total of 430 questionnaires were distributed, and 405 valid questionnaires were recovered.Results:89.6% (363/405) of nurses agreed that there were legal issues at every stage of nursing. 88.9% (360/405) nurses received education or training in laws and regulations and 90.4% (366/405) nurses' units had education or training in relevant laws and regulations. 97.0% (393/405) of clinical nurses indicated that they still extremely needed or needed knowledge about health laws and regulations and 86.6% (351/405) nurses believed that re-education of laws and regulations was very important or important. Clinical nurses expected that the most way to obtain the knowledge of laws and regulations was hospital continuing education.Conclusions:Clinical nurses have a relatively high level of legal awareness and they generally have received education and training in laws and regulations, but their education degree is not enough. Clinical nurses have a higher awareness degree of the importance and demand for continuing education of laws and regulations, so they should actively carry out legal knowledge education and training in hospitals.

Objective:To understand the subjective sensation of professional status of nurses in the ward so as to provide a basis for nursing managers.Methods:From December 2018 to February 2019, convenience sampling was used to select 410 nurses from 8 Class Ⅲ Grade A hospitals in 5 cities, including Beijing, Shijiazhuang, Taiyuan and Changsha, etc. A self-designed Subjective Sensation of Ward Nurses' Professional Status Questionnaire was used to investigate nurses.Results:Among 410 nurses, 68.0% (279/410) of nurses experienced workplace violence in the past year; 55.4% (227/410) of nurses were satisfied or very satisfied with their current work; 71.2% (292/410) of nurses had no plans to change jobs in the near future. 37.1% (152/410) of nurses would recommend others to study or work in nursing.Conclusions:The subjective sensation of professional status of nurses in the ward need to be improved. Nurses' exposure to workplace violence cannot be ignored, and satisfaction needs to be further improved, and the profession identity still needs to be strengthened.

Objective To explore the intervention of improving nursing students'humanistic care ability. Methods We selected 36 internship nursing students between May 2012 and April 2013 as control group ( routine clinical teaching model ) and 34 internship nursing students between May 2013 and April 2014 as intervention group ( improved clinical teaching model that emphasizes the humanistic care ) . We compared the nursing students' humanistic care ability and the patients' satisfaction with them before and after intervention. Results There were no significant differences in the total score and the score of all dimensions of humanistic care ability between the intervention group and the control group before intervention (P>0. 05). After the intervention, the total score and the dimension score of cognition, patience, encouragement in the intervention group was all higher than that in the control group (P <0. 05). And patients' satisfaction with nursing students' overall quality and humanistic care was higher than that of the control group (P<0. 05). Conclusions Strengthening the humanistic nursing education and training can improve the humanistic care ability, deepens the"Patient centered" concept and provides the higher quality nursing service.

Objective To study the current situation about cognition and utilization of nursing literatures by clinical nurses.Methods Self-made questionnaire was used to investigate cognition and utilization of nursing literatures. Four aspects were involved, cognition on importance of nursing research, recognition on value of nursing literatures, acquisition and utilization of nursing literatures. There were 12 questions. A total of 288 nurses of six Class-three Grade-A hospitals in Beijing were enrolled in the study by convenience sampling. Results 61% of nurses thought that nursing researches were important. 43.4% of them recognized the value of nursing literatures. 48. 2% of them thought that nursing literatures were important to clinic nursing. 23. 3% of them thought that it was difficult to acquire nursing literatures. None nursing journal was subscribed by 27.4% of nurses′departments. 31.2% of nurses consulted and reviewed literatures once or twice a month. The objective of literatures review was to prepare lectures or ward round in 39. 5% of nurses. 80. 6% nurses consulted and reviewed literatures during breaks. 80. 6% of nurses had no requirements about nursing literatures. Conclusions There is a lack of cognition on importance and value of nursing literatures by nurses. Utilization on nursing literatures is insufficient. It is important to improve information literacy of nurses, promote literatures utilization and improve quality of nursing.

Objective To investigate the cognition and attitude of nursing students for violence in workplace.Methods The status of cognition and attitudeof 152 nursing students for violence in workplace from three Hospitals in Beijing city were investigated by questionnaire.Results Among 152 nursing students, 38.2%of them had never heard of violence in workplace, 88. 4% of them thought that the job training should include the prevention strategies of violence in workplace, and 95.4% of them wanted to take part in. Nursing students thought the main strategies to prevent or reduce violencein workplace were legislation related to violence in workplace ( 96. 0%) , correct media guidance ( 90. 1%) , improve the skill of communication, strengthen ability of dealing with violence in workplace ( 88. 8%) . Conclusions Nursing schools and hospitals should positively constructthe prevention strategies for violence workplace and provide training for nursing students,so as to improve their cognition degree and skills, and prevent or reduce the incidence of violence in workplace.

Objective To investigate current status of workplace violence and professional identity of nursing students, and explore the effect of workplace violence on professional identity of nursing students. Methods Totally 130 nursing students were investigated by questionnaire about their professional identity. The differences of professional identity were compared between two groups with and without workplace violence. Results The results showed that within nursing students who suffered workplace violence, 69. 2% nursing students once suffered with workplace violence, and in which psychological violence accounted for 81.1%, and physical violence accounted for 18.9%. 73.1% of nursing students suffered workplace violence more than once. The scores of professional identity in violence group were significantly lower than that in the non-violence group [(61.65±9.42) vs (57.16±9.14),P<0.05)]. There was significant difference in the total score of nursing students professional identity between the psychological violence group and physical violence group [ ( 55. 16 ± 10.08) vs (57.46±7.79),t=3.118,P<0.05)].Conclusions The incidence rate of workplace violence is high, and the professional identity of nursing students suffered workplace violence are low. Nursing schools and hospitals should positively provide prevention strategies and training of workplace violence for nursing students, and the education of professional identity and attitude should be enhanced.