Attitude, Knowledge, and Practice on Evidence-Based Nursing among Registered Nurses in Traditional Chinese Medicine Hospitals: A Multiple Center Cross-Sectional Survey in China

Objective. This study was to describe RNs’ attitude, knowledge, and practice on evidence-based practice (EBP) in traditional Chinese nursing field and to estimate the related sociodemographic and professional factors. Methods. A multiple institutional cross-sectional survey design with self-reported EBP Questionnaire (EBPQ) and self-designed questionnaires were used. Results. The average scores of the total EBPQ were with a mean of 4.24 (SD = 0.79). The score of attitude was the highest one, followed by the knowledge score, and the lowest one is practice. RNs with longer experience reported stronger EBP knowledge (H=6.64, P<0.05). And RNs under higher working pressure reported less positive attitudes (ρ=0.17, P<0.001), whereas RNs holding negative professional attitude reported lower scores (Spearman’s ρ: 0.12 to 0.15, P<0.001). Significant statistics were found between RNs with research experience and without in attitude (t=-2.40, P<0.05) and knowledge (t=-2.43, P<0.05). Conclusions. Respondents generally viewed EBP positively and their attitudes towards EBP tended to be more positive than knowledge and practice of EBP. Data also showed that longer working experience, having administrative position, research experience, lighter working load, and better professional attitude might facilitate EBP

The Research on Establishment of “Clinical Practice Guide of Blood Specimen Collection, Preservation and Delivery for Clinical Nurse”: Protocol Description

INTRODUCTION AND OBJECTIVE: The correctness of the blood test is closely related to the sample. According to the recent reported data, 80 percentage unsatisfactory results of the clinical test are due to the poor quality of sample, especially the blood sample. Clinical practice guide (CPG) is directly to instruct the clinical nursing practice. And the recommendations in the clinical practice guide are based on the best available study evidences. There is lack of CPG about blood sample specimen collection, preservation and delivery (BSCPD) in China. Additionally, related published clinical studies are accumulated in a great deal. Therefore, establishing a CPG is necessarily and practicable. The detailed objectives are: 1) to describe and analyze the research status of BSCPD in China; 2) to describe and analyze the practice status of BSCPD in China; 3) to systematic appraise the available evidences of BSCPD; 4) to establish the clinical practice guide of BSCPD; 5) to judge the clinical practice guide of BSCPD. METHODS: Objective 1): Bibliometric analysis is applied, the database include China National Knowledge Infrastructure Database (CNKI) and Sino-med and the research period is from the year of 2003 to 2013; Objective 2): Questionnaire survey for all the registered clinical nurses in a grade three hospital; objective 3): Systematic review according to Cochrane collaboration handbook 5.1.0 is applied which includes assessment of risk of bias, data extraction, data analysis; Objective 4) and 5): Using the appraising guidelines research and evaluation (AGREE) to evaluate of the draft of CPG of BSCPD. RESULTS: Bibliometric analysis started in 2013, and search strategies have been established. Questionnaire survey setting and depth interviewees have been identified and communicated. CONCLUSIONS: The CPG of BSCPD will serve as an important resource in instructing and modifying clinical nursing practice. Given this CPG of BSCPD will be a draft version, the applicability and suitability of it will need a further evaluated in the real clinical nursing world

Shared decision-making in healthcare in mainland China: a scoping review

BackgroundShared decision-making (SDM) facilitates the participation of healthcare professionals and patients in treatment decisions. We conducted a scoping review to assess SDM’s current status in mainland China, referencing the Ottawa Decision Support Framework (ODSF).MethodsOur review encompassed extensive searches across six English and four Chinese databases, and various gray literature until April 30, 2021. Results were synthesized using thematic analysis.ResultsOut of the 60 included studies, we identified three key themes based on the ODSF framework: decisional needs, decision support, and decisional outcomes. However, there appears to be a lack of comprehensive understanding of concepts related to decisional needs in China. Only a few studies have delved into feasibility, preference, choice, and outcome factors in the SDM process. Another challenge emerges from an absence of uniform standards for developing patient decision aids (PDAs). Furthermore, regarding health outcome indicators, their predominant focus remains on physiological needs.ConclusionSDM is in its infancy in mainland China. It is important to explore the concept and expression of decisional needs in the context of Chinese culture. Subsequent studies should focus on constructing a scientifically rigorous and systematic approach for the development of PDAs, and considering the adaptation of SDM steps to the clinical context in China during SDM implementation. Concurrently, The focus on health outcomes in Chinese SDM studies, driven by the unique healthcare resource landscape, underscores the necessity of prioritizing basic needs within limited resources.Systematic review registrationhttps://inplasy.com/?s=202130021

Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions

Understanding Household Vulnerability and Relative Poverty in Forestry Transition: A Study on Forestry-Worker Families in China&rsquo;s Greater Khingan Mountains State-Owned Forest Region

China&rsquo;s logging ban policy has profoundly transformed the forestry industry, creating substantial impacts for forestry-worker households. Empirical evidence is needed to examine whether and how severe the transition policy produces vulnerability and relative poverty for the affected households. This paper samples forestry-worker households from the Greater Khingan Mountains state-owned forest region as the study subjects to evaluate their household vulnerabilities with the LVI approach proposed by IPCC. This study computes the relative poverty scores of the families and further identifies the relationships between the selected household&rsquo;s socio-economic factors and the estimated vulnerability and poverty scores with OLS regression. This study derives a sleuth of valuable points. (1) The majority of the forestry-worker households have had to suffer downsized, vulnerable livelihoods with escalated relative poverty due to the policy&rsquo;s impact. (2) Poverty closely connects with vulnerability, where the more impoverished the household, the more vulnerable it is. Poverty is, however, not the only factor affecting household vulnerability. Other factors, particularly of public and social-financial factors, are interconnected with poverty and, thus, compound the vulnerability issue. (3) Factors, e.g., family size, age and gender of household head, bank deposits, and life and job satisfaction, which are typically very beneficial for improving family vulnerability and poverty. (4) Regular financial assistance programs, particularly the commonly-trusted one-off household compensation program, might not provide solid support for addressing long-term household vulnerability and poverty. This study contributes to a broader understanding of household vulnerability and relative poverty for improved policy and program development addressing forestry workers and household vulnerabilities

Posthumous organ donation beliefs of college students: A qualitative study

Objective: To explore the perspectives and beliefs of college students toward posthumous organ donation, and the factors influencing their beliefs. Methods: This was a descriptive phenomenology study conducted with semi-structured in-depth interviews. Nine college students attending three universities in Beijing who agreed to participate in this study were interviewed. Data were analyzed following the guideline suggested by Colaizzi (1978). Briefly, statements identified as noteworthy were coded and organized. A description was then written to formalize their meaning and returned to the participants for validation of the description. Results: In general, the participants exhibited positive attitudes toward posthumous organ donation. However, not all subjects indicated that they would become an organ donor. Based on the provided responses, four main themes emerged: (1) knowledge about organ donation, participants reported a general lack of education or understanding of organ transplantation and donation; (2) core beliefs on organ donation, despite believing it is valuable public service, participants were unwilling to go against the cultural beliefs held by parents and elders; (3) factors influencing beliefs on organ donation, including cultural and peer opinion, posthumous care of the body, legal registration, and publicity; (4) institutional and policy context, lack of guarantee for proper use of organs after donation was a concern. Conclusion: Despite positive attitudes towards posthumous organ donation, college students are hesitant to become donors because of lack of knowledge/publicity; cultural disdain; and lack of governmental assurance