Objective: To translate the women′s attitudes towards birth questionnaire (WATBQ) into Chinese, and evaluate its reliability and validity in order to provide our country with a more convenient and effective tool for measuring female childbirth attitudes. Methods: Based on the Brislin translation model, the original questionnaire was forward-translated and back-translated. After expert committee review and pre-test, the Chinese version of WATBQ was formed. The Chinese version of the WATBQ instrument was tested for reliability and validity using a convenience sample of 472 pregnant women during the third trimester of pregnancy in Hangzhou. Results: The Chinese version of WATBQ was consisted of 5 dimensions and 22 entries. Five common factors were extracted from exploratory factor analysis, and the cumulative variance contribution rate was 64.274%. The item-level content validity index of the questionnaire ranged from 0.83 to 1.00, and the content validity index at the questionnaire level was 0.96. The Cronbach′s alpha coefficient for the total scale was 0.890, and the Cronbach′s alpha coefficients for the dimensions ranged from 0.804 to 0.923. The re-test reliability of the total scale was 0.824, and its split-half reliability was 0.798. Conclusion: The Chinese version of WATBQ has good reliability and validity. It can be used as an assessment tool for pregnant women′s childbirth attitudes in our country.

Objective: To explore the realistic dilemmas of implementing humanistic caring among nursing students in higher vocational colleges during the clinical clerkship phase, and to provide a reference for the development of a humanistic caring capability cultivation system. Methods: Using the phenomenological research method in qualitative research, purposive sampling was used and 14 nursing students with over 5 months of clinical clerkship experience were included for semi-structured interviews. Colaizzi′s seven-step analysis method was utilized to organize and analyze the data. Results: Barriers to the implementation of humanistic caring were categorized into three main themes involving educational system factors (including insufficient humanistic caring training, inappropriate teaching methods, and educators′ deficiency in humanistic care), occupational environment factors (including heavy workload, lack of caring atmosphere, negative patient feedback, and incomplete evaluation system), and personal quality factors (including insufficient individual abilities and differences in personality characteristics). Conclusion: Nursing education should undergo a reform geared towards caring and nursing focusing on humanistic caring ability training. Hospitals and schools should collaborate to establish a feasible training system which could integrate humanistic quality education with professional content. Additionally, improvements in the occupational environment should be explored, and targeted educational strategies should be developed basing on the characteristics of nursing students to enhance their humanistic caring abilities.

Objective: To explore the experience and demands of patients after resection for lung cancer undergoing analgesia with virtual reality (VR) technology, and to provide reference for the development of relevant nursing protocols. Methods: A purposive sampling method was used to select 26 patients after resection for lung cancer who participated in VR-based analgesia. From June to September 2023, face-to-face semi-structured interviews were conducted, and Colaizzi′s phenomenological analysis was used to analyze the interview data. Results: The experience and demands of patients after resection for lung cancer using VR analgesia were summarized into 3 themes, including VR analgesia positive experience (recognition of VR analgesia effect and promotion of mood improvement), VR negative experience of analgesia (fear of experiencing new technology and discomfort during use), postoperative needs for VR analgesia (desire for enriched VR content and enhanced VR technology, the demand for VR operation guidance, the demand for a quiet environment and safety concerns, communication needs). Conclusion: VR analgesia presents positive analgesia effect and experience for patients after lung cancer resection. However, there are still some unmet service needs. Healthcare providers should explore coping strategies according to patients′ demands and perfect the nursing of VR analgesia for patients after resection for lung cancer.

The history of nursing in Finland spans over 200 years. In 1816 midwifery education originated in Turku，and in 1883 the first non-religious nursing school was established in Helsinki，which laid the foundation for the nursing profession. Through multiple reforms，the Finnish nursing education system has gradually evolved into a multi-tiered model，ranging from vocational institutions to universities of applied sciences，offering diverse programs such as general nursing，public health nursing，emergency care nursing，and midwifery. Finnish nurses are internationally renowned for their high-level professional skills and ethical standards. Today，Finland′s nursing profession is highly internationalized，maintaining close collaborations with numerous countries worldwide，and has become one of the significant centers for nursing education in the Nordic region.

Objective: To apply the best evidence for pulmonary rehabilitation training for patients receiving high -flow nasal cannula oxygen therapy in health service and evaluate the effectiveness. Methods: An evidence-based team was formed guided by the i-PARIHS framework, and the evidence was converted and applied according to five steps including evidence acquisition, baseline review, obstacle analysis, evidence application, and effect evaluation. Using cluster sampling method, 45 nurses and 120 patients with chronic respiratory diseases who applied HFNC were included. Thepromotion and obstacle factors of the review indicators with a clinical implementation rate of<90% were evaluated and action strategies were developed. Clinical standard implementation rate of nurses and the 6-minute walking distance of patients before and after implementing interventions based on comparative evidence were compared. Results: Thirteen best evidences were included finally and 14 review indicators were developed. The implementation rate of the review indicators to improve the best evidence-based practice of pulmonary rehabilitation training was more than 90%, and the implementation rate of 14 indicators was improved after intervention. In addition, the 6-min walking distance of patients in the evidence application stage was better than that in the baseline review stage ( P<0.05). Conclusion: Through the evidence -based practice of pulmonary rehabilitation based on i-PARIHS framework, the effect of pulmonary rehabilitation training on HFNC patients was effectively improved and the activity endurance of patients was enhanced.

Objective: To explore potential categories of characteristics of family caregivers′ perceived benefit for young and middle-aged stroke patients, and to analyze differences in caregiver characteristics across categories and the factors that influence them. Methods: A convenience sampling method was used to select family caregivers of young and middle-aged stroke patients hospitalized at a grade Ⅲ and first-class neurological hospital in Tianjin from October 2023 to April 2024. The Stroke Caregiver Benefit Scale(CBS) was used for data collection. The potential categories of family caregivers were analyzed, and unordered multinomial logistic regression was used to analyze the relevant influencing factors. Results: The perceived benefit characteristics of family caregivers were categorized into 3 categories, including the "Low benefit-Lack of personal and family growth" (39.4%), "Moderate benefit-High self-transcendence" (32.9%), and "High benefit-Moderate self-transcendence" (27.7%). The results of unordered multinomial logistic regression analyses showed that coping style, social support levels, presence of a co-caregiver, caregiver burden levels, frequency of stroke events, and employment status were the factors influencing the perception of benefit for family caregivers of young and middle aged stroke patients. Conclusion: There are obvious categorical characteristics of family caregivers in young and middle aged stroke patients. It is recommended that medical staff take targeted interventions according to different types of perceived benefit characteristics to enhance the caregivers′ sense of benefit.

Objective: To explore the current status of cardiac exercise rehabilitation health beliefs in patients with acute coronary syndrome after PCI, and to analyze the influencing factors. Methods: A total of 214 patients with acute coronary syndrome after PCI were included from the department of cardiology by convenience sampling method. The general data questionnaire, questionnaire on health belief of exercise rehabilitation, cardiac exercise rehabilitation health belief questionnaire and perceived social support questionnaire were used to investigate the patients with acute coronary syndrome after PCI. Univariate analysis, Pearson correlation analysis and multiple linear regression analysis were used to analyze the influencing factors of cardiac exercise rehabilitation health belief in patients with acute coronary syndrome after PCI. Results: The total score of cardiac exercise rehabilitation health belief of patients with acute coronary syndrome after PCI was 126.57 ±11.17. Multiple linear regression analysis showed that age, marriage, education, rehabilitation anxiety, autonomy, and social support were the influencing factors affecting the level of health belief in cardiac exercise rehabilitation( P<0.01). Conclusion: Patients with acute coronary syndrome after PCI had a moderate level of health belief in cardiac exercise rehabilitation. Medical staff can implement targeted intervention measures to improve patients′ health belief level, so as to improve the cardiac rehabilitation compliance of patients.

Objective: To explore the real experience and to understand the needs, dilemmas, experiences and gains of oncology nurses as family members of cancer patients, providing reference for better balance between clinical work and family life. Methods: A total of 17 clinical nurses which had family members with cancer patients were selected through purposive sampling. The data were collected via a semi-structured interviews and analyzed by using Colaizzi′s 7-step phenomenological method from March 2019 to October 2022 in a cancer hospital in Tianjin, China. The organizing of interview data was performed by Nvivo 10.0. Results: Three themes were summarized from the real experience of oncology nurses as family members with cancer patients, including self-emotional experience(pain and sorrow, self-reproach and remorse, and calm and positive confrontation), increased burden of life (increased financial pressure, insufficient caregiving manpower, fertility worries, and changes in lifestyle and social activities), and sense of professional benefits(professional perception, professional resources, professional identity, and self -growth). Conclusion: The great pressure generated among oncology nurses which had dual role as nursing staff and family members with cancer patients. It′s indicated that support from work, family, society and many other aspects should be provided, to promote their well-developed both in mind and body.

Objective: To investigate the current status and influencing factors of professional career success among oncology nurses, and to provide a basis for career management of oncology nurses. Methods: A total of 360 oncology nurses from 23 provinces and cities across the country were included by convenience sampling method. A cross-sectional survey was conducted using a general information questionnaire, career success scale, and job-esteem scale for nurses in hospital and decent work perception scale. Single factor and multiple linear regression were used to analyze the influencing factors of oncology nurses′ professional career success. Results: The total score of career success for oncology nurses was 34.06±5.12, the total score of job-esteem was 100.44±15.31, and the total score of decent work was 53.05±9.89. Multiple linear regression analysis showed that marital status, position, income satisfaction, night shift frequency (times/month), job-esteem, and sense of decent work were all significant influencing factors for the career success of oncology nurses ( P<0.05), accounting for 43.9% of the total variance. Conclusion: The career success of oncology nurses is at a moderate level, which can be improved from the perspectives of increasing salary income, reasonable scheduling, and improving professional respect to stabilize the nursing team.

Objective: To analyze the expectations and current situation of cultivating core competencies for undergraduate students majoring in midwifery from the perspective of clinics, so as to propose suggestions for training. Methods: Semi-structured interviews were conducted with 13 midwives and the data was analyzed by using the inductive thematic analysis method in descriptive research. Results: A total of 13 interviews were conducted, with a recording time of approximately 263 minutes and transcribed text of approximately 63 334 words. A total of 3 themes were extracted in the study, including core competencies that should be possessed, current status of core competency levels, and suggestions for improving the core competency. Conclusion: Undergraduate students majoring in midwifery had good theoretical knowledge and scientific research quality, but their clinical operation ability and emergency response ability were poor. Moreover, some undergraduate students have problems such as lack of self-confidence, low levels of professional identity, poor communication skills, weak active learning abilities, and insufficient adaptability. It is necessary to further improve the undergraduate training system for midwifery majors, increase professional identity, improve adaptability, and cultivate comprehensive midwifery talents guided by core competencies in the subsequent undergraduate education of midwifery.