Abstract:Taking the cultivation of Laotian nursing students at Xishuangbanna Vocational and Technical College as a case study,this research deeply analyzes the current status,challenges,anddevelopment potential of talent cultivation for Laotian students in higher vocational nursing education under the background of the Belt and Road Initiative.It explores optimized cultivation pathways that emphasize feasibility,innovation and localization,and elaborates on the practical application value and regional significance of this localized educational model.

Abstract:Objective To explore the effectiveness of PACACR six-step teaching integrated scenario-based teaching method in improving neonatal resuscitation training outcomes among midwifery students.Methods According to the principle of cluster sampling,105 second-year students majoring in midwifery from Jiangsu Health Vocational College from two classes were enrolled.One class(n=50)received traditional teaching(control group),and the other class(n=55)received the six-step teaching process of PACACR integrated with scenario-based teaching(experimental group).After course completion,theoretical knowledge,seven technical skills of neonatal resuscitation and five behavioral skills were compared between the two groups.Results There was no statistically significant difference in neonatal resuscitation knowledge scores between the two groups(P>0.05).The experimental group achieved higher total scores in neonatal resuscitation technical skills than the control group(P<0.05).Among the seven technical skills,four items(initial resuscitation,positive pressure ventilation,tracheal intubation,drug management)and five behavioral skills(situational awareness,assessment and decision making,effective communication,teamwork,leadership)were significantly better in the experimental group than those in the control group(all P<0.05),while the remaining three—heart rate assessment,chest compressions,and umbilical vein catheterization—showed no significant differences(all P>0.05).Conclusions The PACACR six-step teaching process integrated with scenario-based simulation teaching method has obvious advantages,which can improve the technical skills and behavioral skills of nursing students in newborn resuscitation.

Abstract:Objective To explore the clinical effect of low-frequency electrical stimulation combined with bundled care on gastrointestinal function recovery in post-cesarean section patients.Methods 80 women undergoing their first cesarean section at Hechi First People's Hospital from November to December 2024 were selected and randomly assigned to an observation group and a control group,with 40 cases in each group.The control group received routine care,while the observation group implemented low-frequency electrical stimulation combined with bundled care on the basis of routine care.Results Compared with the control group,the time to first anal flatus,length of hospital stay,time to first bowel movement,and time to milk secretion were all significantly shorter in the observation group,and the incidence of postoperative complications was lower(P<0.05).Conclusions Low-frequency electrical stimulation combined with bundled care effectively promotes gastrointestinal function recovery in post-cesarean section patients,reduces postoperative complications,enhances milk secretion,and shortens hospital stay,showing good clinical application prospects.

Abstract:First aid literacy is a crucial component of health literacy,and first aid education serves as the key to enhancing public first aid competency.The integration of education and training is a vital measure for disseminating first aid knowledge and skills while strengthening the construction of the first aid education system.Based on the strategic requirements outlined in the"Healthy China 2030"blueprint for improving nationwide emergency rescue capabilities,this study adhered to social cognition theory and principles of first aid education.By analyzing the current challenges and shortcomings in first aid education and incorporating practical case studies from Jiangsu College of Nursing,the study constructed a"professional-thinking integration,institution-community collaboration,and digital-real-world fusion"model for first aid education and training.The aim of this research was to provide practical solutions for overcoming the disconnect between education and training,thereby contributing to the advancement of Healthy China.

Abstract:This paper reviews the literature on the teaching practice of integrating curriculum ideologyand politics into the Fundamentals of Nursing course,it provides a summary from four aspects:the theoretical basis,functional objectives,implementation conditions and activity procedures of the teaching mode.The article analyzes the shortcomings of the teaching mode and puts forward suggestions,in order to provide reference for the nursing profession to carry out curriculum ideology and politics in nursing education more effectively.

Abstract:Objective To explore the experience and needs of parturient who experienced trembling during cesarean section,providing a reference for developing targeted interventions to improve intraoperative maternal experience.Methods A descriptive phenomenological research method was adopted.Fifteen parturients who underwent transabdominal lower uterine segment cesarean section and experienced intraoperative shivering were selected from Zhongshan People's Hospital between December 2023 and December 2024.Semi-structured in-depth interviews were conducted,and data were analyzed using Colaizzi seven-step method.Results Four main themes and thirteen sub-themes were identified:weak cognition of shivering(insufficient knowledge,limited access to information,inadequate attention,and cognitive misconceptions);adverse physiological experiences(extreme cold sensation,uncontrollable shivering);adverse psychological experiences(feeling of unfamiliarity and helplessness,exacerbation of negative emotions,dual concerns);coping needs for shivering(multi-dimensional informational support,professional intervention measures,desire for psychological support,and expectation of family accompaniment).Conclusions Healthcare providers should pay more attention to intraoperative shivering in parturients.In addition to focusing on cold-induced shivering,non-cold-induced trembling should also be given significant attention.Multi-dimensional intervention strategies,including temperature management,psychological intervention,pharmacological treatment,and Chinese massage,should be implemented to achieve more precise control of intraoperative shivering,thereby enhancing the overall childbirth experience of parturients.

Abstract:Objective To deepen the understanding of the real experience of self-management and needs of patients with inflammatory bowel disease(IBD)during the hospital-family transition period.Methods A phenomenological approach was used.Semi-structured interviews were conducted with 14 patients dignosed with IBD.Data were analyzed using Colaizzi seven-step method to extract key themes.Results Three major themes were identified:insufficientdisease-related knowledge in the hospital-family transition period;diverse needs for health education;an urgent need of professional team scientific guidance.Conclusions Patients with IBD have insufficient disease knowledge during the transition period,and the need for health education is urgent.Conclusions guidance from professional groups is urgently needed to facilitate effective self-management during this critical period.

Abstract:Objective To explore the application of the multidisciplinary joint training mode in the in-hospital prevention and control of venous thromboembolism(VTE).Methods A multidisciplinary VTE training team was established within the hospital,consisting of teaching backbones from the Medical Affairs Department,Nursing Department,Vascular Surgery Department,Pharmacy Department,and Rehabilitation Medicine Department.VTE-related training was carried out for various levels and types of personnel in all departments of the hospital.A total of 705 nurses in the inpatient department of Zhongshan People's Hospital from February to April 2023 were selected.The mastery level of VTE-related knowledge among nurses,the implementation rate of VTE prophylaxis measures for inpatients,and the incidence rate of VTE were compared before and after the multidisciplinary joint training.Results After the training and guidance,the mastery level of VTE-related knowledge among nursing staff increased from 30.14±4.90 to 31.71±4.50(P<0.01).The qualification rate of basic VTE prevention measures increased from 82.60%to 99.00%,for mechanical prophylaxis,from 85.70%to 97.06%,for pharmacological prophylaxis,from 87.59%to 100.00%,and for VTE nursing quality management,from 89.55%to 100.00%.The in-hospital incidence rate of VTE decreased from 0.05%to 0.02%.Conclusions Multidisciplinary joint training can systematically enhance nurses'knowledge of VTE and guide to the correct implementation of prevention measures,thereby significantly reducing the incidence of VTE in hospitalized patients.

Abstract:With the coordinated advancement of the Healthy China and the Education Powerhouse strategies,the integration of Healthy Ideological and Political Education across primary,secondary,and higher vocational medical institutions represents not only an innovative practice in the coordinated development of ideological and political education at all educational stages,but also a demonstration of vocational education's distinctive strengths and its commitment to serving regional development.Addressing structural contradictions such as disciplinary fragmentation,coordination barriers,and educational stage barriers in current education,Jiangsu Health Vocational College has leveraged its institutional advantages and collaborated with governments,primary and secondary schools,industries,and communities to establish a holistic model of Healthy Ideological and Political Education characterized by unified planning,dual-core and three-dimensional,and multi-level,multi-dimensional integration.This model achieves value congruence between personal health consciousness and national strategic responsibility,providing theoretical and practical guidance for the coordinated implementation of the Healthy China and Education Powerhouse strategies.

Abstract:Against the backdrop of China's"Artificial Intelligence+"national strategy,the intelligent transformation of pharmacology teaching in higher vocational education(HVE)holds significant value.The author systematically explores the necessity of teaching reform int this context,focusing on aligning with industrial demands,innovating teaching methods,and improving evaluation systems.It elaborates on the current applications of artificial intelligence(AI)in pharmacology education,including knowledge graphs for intelligent integration of teaching resources,virtual simulation for reconstructing the spatiotemporal dimensions of experimental teaching,AI-based virtual patients to promote digital transformation of pharmaceutical care training,and AI learning analytics to support process-oriented evaluation.Finally,the paper envisions the advanced path for integrating AI with HVE pharmacology teaching,proposing the construction of a full-chain AI teaching resource library relying on the national education digitalization strategy,exploration of innovative paradigms,promotion of interdisciplinary integration,and the formation of a collaborative teaching model of"precise AI technology assistance+in-depth teacher guidance"to support the cultivation of compound talents adapted to the intelligent transformation of the pharmaceutical industry.

Abstract:Opioids serve as critical medications for managing cancer pain and postoperative analgesia,yet the clinical incidence of opioid-induced nausea and vomiting(OINV)remains notably high.This condition not only significantly impairs patients'quality of life and reduces their treatment adherence but also exacerbates the medical burden.Although pharmacological antiemetic therapy currently yields a certain therapeutic effect,it is associated with adverse reactions and limitations;thus,non-pharmacological interventions have gradually gained clinical attention.This study reviewed the pathogenesis,grading,assessment,non-pharmacological intervention methods,and comprehensive intervention strategies of OINV,and put forward relevant suggestions.It aimed to provide a theoretical basis for formulating targeted,scientific,and reasonable OINV management protocols in the future.

Abstract:Objective To develop and implement a palliative care training program aimed at improving the palliative care abilities of vocational nursing students and preparing qualified nursing personnel for an aging society.Methods Literature review,questionnaire survey,semi-structured interview,and Delphi expert consultation were used to develop indicators of knowledge and ability in palliative care.Based on these,a"Palliative Care Training Program for Vocational Nursing Students"was formulated;In April 2024,a convenience sampling method was used to select 50 second year nursing students(before production internship)from Jiangsu Nursing Vocational College majoring in 2022 as the research objects.An improved"Nursing Student Palliative Care Knowledge and Behavior Survey Questionnaire"was used to evaluate the palliative care knowledge and ability of nursing students before and after the training for four weeks.Results After the training,the overall scores of nursing students'knowledge and behavioral abilities in palliative care were higher than before(P<0.05).Conclusions A scientifically grounded and practical palliative care training can significantly improve the palliative care literacy and professional abilities of nursing students.

Abstract:Objective To explore the relationship between body mass index(BMI)and mild cognitive impairment(MCI)in community-dwelling elderly people,and further explore the relationship between BMI and memory in elderly people with MCI,so as to provide reference for preserving or improving the memory of the elderly and delaying the progression to dementia.Methods From July 2023 to August 2024,convenience sampling method was used to screen for MCI among elderly people in a community in Zhengzhou city.The chi-square test and Logistic regression method were used to analyze the influencing factors of MCI occurrence,and then Logistic regression was used to analyze the impact of significant variables in the multifactor analysis on memory impairment in elderly people with mild cognitive impairment.Results Abnormal weight was found to be an independent factor affecting the occurrence of MCI(P<0.05).Specifically,underweight was an independent risk factor for mild and significant memory impairment(P<0.05);while overweight or obesity was a risk factor for mild memory impairment(P<0.05),but not for significant memory impairment(P>0.05).Conclusions Low body weight is an independent risk factor for the progressive deterioration of memory impairment in elderly individuals with MCI.Monitoring weight changes may help identify high-risk populations in the early stages of MCI for early intervention,protecting their memory abilities,and preventing or delaying the onset of dementia.

Abstract:Objective To explore the application effect of ideological and political education in the introduction course of specialized nursing based on the OBE concept.Methods From September 2023 to January 2024,a total of 212 nursing students from six classes of 2023 in Hefei Technology College were selected using cluster sampling method.104 nursing students from three classes were randomly selected as the experimental group.The OBE based ideological and political teaching mode was applied in the introduction to nursing course.While 108 nursing students from three classes were selected as the control group,and used traditional teaching methods.After the course was completed,process assessment,summative assessment,ideological and political education effect of the course,professional identity,and learning attitude were compared.Results The experimental group's process assessment score was(90.42±7.47)and summative assessment score was(85.28±9.36),which were higher than the control group's process assessment score(85.26±8.52)and summative assessment score(82.42±10.74)(P<0.05).The experimental group's evaluation of the effectiveness of ideological and political education in the curriculum includes four items:respecting life(94.23%),improving professional ethics(96.15%),cultivating scientific spirit(84.62%),and enhancing legal awareness(98.08%).The percentage of students who believe that the effect was significant was significantly higher than that of the control group(79.63%,85.19%,70.37%,90.74%,respectively)(all P<0.05).The experimental group's scores for professional identity and learning attitude were(70.79±8.54)and(67.52±8.34),which were higher than the control group's scores for professional identity(67.37±10.59)and learning attitude(64.78±10.28)(P<0.05).Conclusions The adoption of an ideological and political teaching model based on the OBE concept in the introduction to nursing course has improved teaching quality,cultivated good learning attitudes among nursing students,enhanced their sense of professional identity and educational effectiveness,and is worth promoting.

Abstract:Objective To investigate the effectiveness of the six-step high-efficiency cycle management model on continuously improving nursing quality in patients receiving intravitreal injections at a one-stop service center.Methods A total of 320 patients receiving their first intravitreal injection at Nanjing Medical University Affiliated Ophthalmology Hospital in March and June 2023 were selected and randomly divided into a control group and an observation group,with 160 patients in each group.The control group received routine clinical nursing care,while the observation group adopted the six-step high-efficiency cycle management model.This model was implemented through the hospital's one-stop intravitreal injection day-surgery center and integrated nursing service station,focusing on systematic,standardized,and streamlined nursing processes.Results Compared with the control group,the observation group showed a significantly higher health education awareness rate(95.0%vs.70.0%)and higher patient satisfaction(97.5%vs.90.0%).The average appointment waiting time for injections in the observation group was reduced to within 24 hours,significantly shorter than 72 hours in the control group.Conclusions The six-step high-efficiency cycle management model effectively integrates medical resources and mobilizes multi-departmental collaboration within the hospital,significantly improving nursing efficiency,reducing medical costs,and enhancing patient satisfaction.

Abstract:The dual high construction of vocational education requires vocational colleges to closely integrate the process of school operation with industry needs.With adjustments in the venues and content of the elderly care service system,a professional cluster has been established with elderly health care and management as the core to meet the needs of cultivating composite elderly care professionals,with a focus on addressing the issue of student vocational recognition.By establishing a professional cluster course ideological and political education organization based on integration,professionalism,and modularity,which comprehensively serving the elderly care service system,and building a construction mechanism for teaching organizations through diverse collaborative efforts,we aim to establish an integrated curriculum ideological and political education community through school cooperation,school-enterprise cooperation,and multi-professional cooperation.We will take innovative measures in teaching and research activities,professional cluster culture,curriculum ideological and political system,curriculum education strategies,and curriculum ideological and political resources to better empower the construction of professional cluster.

Abstract:Objective Taking comprehensive pharmacy practice training course at Xuzhou Medical and Pharmaceutical Branch,Jiangsu Union Technical Institute as an example,this study focuses on the development,application,and effectiveness evaluation of practical course resources based on the five-dimensional integration model of"Post-Course-Competition-Certification-Reflection"(PCCCR).Methods The course resource development process was elaborated through in-depth analysis of job requirements,integrated design of course content,resource development,and teaching model reform.A quasi-experimental study was conducted among two parallel classes of students enrolled in 2020 in the pharmacy program to assess the impact of the new resources on learning outcomes.Results Students in the experimental group received instruction with PCCCR-integrated practical course resources,and outperformed the control group(traditional teaching methods)in final exam scores,average teaching quality ratings,vocational literacy assessments,vocational skill certification pass rates,and competition awards(P<0.05).Conclusions The PCCCR-integrated practical course resources can effectively enhance students'professional skills and comprehensive competence,improve teachers'instructional capabilities.This approach holds important value for cultivating high-quality technical talent in pharmacy education.

Abstract:During the War of Resistance Against Japanese Aggression,the lives and health of maternal and child faced unprecedented threats.Protecting the"new generation"of the nation became an urgent task to sustain the national vitality.As a pioneer of modern Chinese maternal and child health care,Doctor Yang Chongrui was a loyal patriot dedicated to the well-being of the people.She defined maternal and child health work as"an important measure to strengthen national defense and strive for the victory of the War of Resistance".Despite extremely harsh wartime conditions,she took charge of midwifery education,and trained midwifery personnel urgently needed during the war.She enlightened the awakening of young people and cultivated new talents who love the country and the people.She also served as a medical consultant of the Wartime Children's Care Association in the face of crisis,secretly sent teaching materials to the areas where the New Fourth Army was stationed,helped local maternal and child health institutions to promote and popularize maternal and child health care knowledge.Doctor Yang made important contributions to the victory of the War of Resistance and also promoted the progress of public health in modern China.This profound history permeated with the feelings of family and country serves as a source of strength for medical education to inherit the spiritual heritage and fulfill the mission of educating people in the new era.

Abstract:Prognosis disclosure for patients with terminal illness is the basis of hospice care development,but there are still great challenges in the communication between healthcare providers and patients.A significant portion of patients confronting a poor prognosis lack adequate information to participate in hospice care decision-making.Applying a prognosis disclosure training model can effectively improve healthcare providers'serious disease prognosis disclosure ability,help patients establish correct prognosis awareness,and improve the acceptance of hospice care.Therefore,this article summarizes the origin,content,application status,advantages and disadvantages of different prognosis disclosure training models,and also offers reflections and perspectives on current prognosis disclosure training in China,providing a reference for further training on adverse prognosis disclosure and the clinical practice of hospice care.

Abstract:Objective To clarify the current status and influencing factors of the primary caregivers'perception of hospice care in advanced cancer patients,providing a reference to promote the application of hospice care in advanced cancer patients.Methods A phenomenological research method was adopted.From December 2023 to January 2024,12 primary caregivers of patients with advanced cancer who attended the Oncology Department of Nanjing Drum Tower Hospital were recruited for semi-structured interviews.Data were analyzed using Colaizzi's seven-step method.Results Three themes and six sub-themes were extracted:The current status of cognition of hospice care,including lack of understanding of the concept and cognitive bias;the factors influencing hospice care decision-making,including facilitating factors(the expectation of alleviating the patient's pain,the desire to reduce the burden on the family,and the sense of disease benefit)and hindering factors(high economic burden,and the inadequacy of hospice care policies);and the preferred approaches for promoting hospice care,including desires for hospice care knowledge,preference for electronic media advertising.Conclusions Knowledge of hospice care among primary caregivers of patients with advanced cancer is still insufficient.Healthcare professionals and society should enhance the dissemination of hospice care knowledge and provide targeted caregiver decision-making support to promote the implementation of hospice care.