Current Issue : October-December Volume : 2026 Issue Number : 4 Articles : 5 Articles
Hypothesis: An integrated training model incorporating theory, case-based discussion and hands-on practice can significantly improve the theoretical knowledge of Intensive Care Unit (ICU) specialist nurses in inferior vena cava (IVC) and lung ultrasound (LUS), with a statistically significant increase in their post-training theoretical assessment scores compared with pre-training scores. Primary Outcome: The median pre-training theoretical score of ICU specialist nurses in IVC and LUS was 30 points (Interquartile Range [IQR]: 15 - 44), which increased significantly to 65.5 points (IQR: 49.5 - 73.5) after training (Z = −6.214, P < 0.001), with the pass rate rising from 6.4% to 95.7%. Background: As bedside techniques for volume management in critically ill patients, IVC and LUS offer the advantages of non-invasiveness, convenience and real-time monitoring, and are recommended in multiple clinical guidelines for disease assessment and treatment decision-making. The application of ultrasound technology in the nursing field is expanding, and in particular, the participation of ICU specialist nurses in point-of-care ultrasound (POCUS) has become a development trend. However, most ICU nurses in China lack systematic specialized training, resulting in inadequate theoretical knowledge and operational skills to meet clinical demands. Objective: To evaluate the effectiveness of an integrated training model of theory, case-based discussion and hands-on practice in improving ICU specialist nurses’ proficiency in IVC and LUS, and to provide evidence-based evidence for optimizing the ultrasound training system for specialist nurses. Methods: A self-controlled before-andafter study design was adopted with convenience sampling. A total of 47 ICU specialist nurses from 45 hospitals in 29 cities across 15 provinces in China were enrolled to receive a 2-day intensive training program. Theoretical knowledge was assessed via closed-book examinations before and after the training. Post-training assessments included basic ultrasound operation, LUS operation and IVC ultrasound operation on human models in accordance with standardized operating procedures. Statistical analysis was performed using SPSS 26.0 software. Results: The median pre-training theoretical score was 30 points (IQR: 15 - 44), with only 3 participants (6.4%) scoring over 60 points; the median post-training theoretical score reached 65.5 points (IQR: 49.5 - 73.5), with a pass rate of 95.7% (Z = −6.214, P < 0.001). The mean post-training scores for basic ultrasound operation, LUS operation and IVC operation were 78.3 ± 4.2, 76.5 ± 3.8 and 77.2 ± 3.5, respectively. The pass rate (≥60 points) for all three operational assessments exceeded 95%, while the excellent rate (≥80 points) was 29.3%, 24.4% and 26.8%, respectively. Conclusion: Targeted specialized ultrasound training can significantly improve the theoretical knowledge and operational skills of ICU specialist nurses, and this training model has strong feasibility and promotional value. It is recommended to establish a long-term mechanism combining basic training, clinical practice and regular retraining, integrated with simulation teaching and clinical supervision, to continuously improve the standardization and proficiency of nurses’ ultrasound operations....
Self-efficacy is a person’s belief in their ability to perform a task effectively despite difficulties and predicts future willingness to undertake similar tasks. The study’s aim was to determine the extent to which undergraduate nursing students develop their clinical performance self-efficacy beliefs throughout their degree. Using a cross-sectional survey design, Year 1, 2 and 3 students from a three-year undergraduate nursing program completed a clinical performance self-efficacy scale, comprising the domains of assessment, planning, implementation and evaluation. Welch’s one-way ANOVA and Games–Howell post hoc analyses compared self-efficacy scores across year levels. Self-efficacy predictors were identified with multiple linear regression. Descriptive statistics determined students’ confidence with clinical activities. Participants’ self-efficacy scores increased significantly from Year 1 to 2 and Year 2 to 3. Year level of study was the only unique positive predictor of scores. Over the years, participants were most confident implementing care and least confident planning and evaluating care. Given that clinical placement frequency was not a unique significant predictor of self-efficacy, but rather weakly correlated, future studies should examine if other learning activities such as high-fidelity simulation may play a greater role in its development. The lower confidence with planning and evaluation underscores the need for curricula that scaffold higher-order skills like critical thinking and reflection....
Background: Sleep disturbances are linked to adverse outcomes in postpartum women. While behavioral interventions can potentially improve sleep, research in this area during the postpartum period is limited. This study aims to evaluate the effect of a behavioral education program on sleep quality among postpartum women. Methods: A quasi-experimental design with a pretest–posttest approach was employed, including a control group for comparative analysis. The research was conducted at the Maternal and Child Health Center in Egypt, focusing on the sleep disturbances experienced by postpartum women. The study involved 280 postpartum women (140 in the study group and 140 in the control group) who had given birth within the last two months. Results: Post-intervention, the study group demonstrated significant improvements in all components of sleep quality, with p-values < 0.001. Conversely, the control group experienced a deterioration in sleep quality, with 77.9% reporting poor sleep quality post-intervention. Conclusion: The behavioral education program significantly enhanced sleep quality among postpartum women, suggesting that such interventions should be integrated into maternal healthcare practices to improve postpartum sleep management....
Background: Erectile dysfunction (ED) is a common complication of type 2 diabetes and obesity and significantly affects patients’ quality of life. Nursing care for patients with metabolic multimorbidity requires a holistic, structured approach. The International Classification for Nursing Practice (ICNP®) enables standardized formulation of nursing diagnoses, interventions, and outcomes and supports structured and individualized ICNP®- based care planning. Aim: This study aimed to develop and present an ICNP®-based nursing care plan for a patient with erectile dysfunction associated with type 2 diabetes and obesity and to demonstrate the applicability of ICNP® in holistic nursing management of chronic disease. Methods: A descriptive single-case study was conducted in 2025 in a cardiology ward in Poland. Data were collected using a nursing interview, observation, medical documentation analysis, and standardized tools (IIEF-5, SF-36v2). Based on a comprehensive assessment of physical, psychological, and social status, nursing diagnoses, interventions, and expected outcomes were formulated according to ICNP® terminology. Results: The patient presented with poorly controlled diabetes, class I obesity, moderate erectile dysfunction, reduced testosterone levels, and decreased quality of life, particularly in psychosocial domains. Key ICNP® nursing diagnoses included erectile dysfunction, deficient knowledge, obesity, disturbed psychological status, impaired endocrine function, impaired cardiovascular function, and impaired adaptation. Individualized ICNP®-based interventions focused on metabolic control, lifestyle modification, sexual health support, education, and psychosocial support. Implementation of the care plan was associated with improvements in health behaviors, disease knowledge, and psychological well-being. Conclusions: ICNP® provides a useful framework for structured and comprehensive nursing care in patients with diabetes-related erectile dysfunction and multimorbidity. Casebased ICNP® care planning supports holistic management, interdisciplinary collaboration, and quality improvement in chronic disease nursing....
To investigate the effectiveness of a clinical nursing intervention combined with a risk prevention and control model in the transport of critically-ill emergency patients, a total of 220 critically-ill patients admitted to the Emergency Department of Deyang People’s Hospital (a city-based tertiary hospital in southwestern China) between February and July 2025 who required intra-hospital or inter-hospital transport were selected as study subjects. Using a random number table, they were evenly divided into a control group and an observation group, with 110 patients in each one. The control group received traditional emergency transport care, while the observation group received care based on the clinical nursing intervention combined with a risk prevention and control model. The study compared the effects of the two transport care interventions on the incidence of transport-related complications, the incidence of transport-related adverse events, and nursing satisfaction among critically-ill emergency patients. Results showed that both the incidence of transport-related complications and the incidence of transport-related adverse events in the observation group were significantly lower than those in the control group (P < 0.05); and patient satisfaction in the observation group was significantly higher than that in the control group (P < 0.05). In conclusion, the combination of clinical nursing interventions and a risk prevention and control model could accurately identify high-risk factors for transport, significantly reduce the incidence of complications and adverse events during transport, such as hypotension, tube dislodgement, and falls, and effectively mitigate transport safety risks. At the same time, through refined nursing services, efficient emergency response, and standardized handover procedures, it could also substantially improve nursing satisfaction among patients and their families, making it worthy of clinical promotion and application....
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