To explore the nurses' behavioral intentions and influencing factors of using clinical decision support systems,and to construct a corresponding structural equation model.

A theoretical model of behavior intentions in clinical decision support system was initially constructed by adding personality trait factors to the UTAUT model.A convenience sampling method was used to investigate 301 clinical nurses from a tertiary grade A hospital in Guangdong province in June 2025 through the Chinese Big Five Personality Questionnaire,Behavioral Intention for Clinical Nurses in Clinical Decision Support System Questionnaire,and a self-designed survey questionnaire.The data were statistically analyzed by using SPSS 26.0 software.The structural equation modeling analysis was conducted by the lavaan package in R 4.2.2 software.The maximum likelihood estimation method was used to evaluate the model fit and path coefficient significance test.

The nurses' behavioral intentions of using the clinical decision support system was at a moderate to high level.The structural equation model constructed had an overall good fit.Social influence,performance expectations,effort expectations,age,and openness all had a positive impact on behavioral intentions of nurses in clinical decision support systems,with path coefficients of 0.507,0.217,0.205,0.218,and 0.040,respectively(all P<0.05).Extraversion had a positive promoting effect on effort expectations,performance expectations,and social impact,with path coefficients of 0.072,0.171,and 0.083,respectively(all P<0.001),and showed a negative impact on behavioral intention(β=-0.028,P<0.05).Openness had a positive impact on society(β=0.047,P<0.001).

The model constructed in this study could effectively predict the behavioral intentions of nurses in clinical decision support systems.Improving social influence,performance expectations,effort expectations,age growth,and open personality could significantly enhance the nurses' behavioral intentions of using clinical decision support systems.It is recommended that external environmental shaping and individual trait differences should be taken into account when promoting clinical decision support systems.

To explore the change trajectory of dietary quality during chemotherapy in elderly patients with colorectal cancer by using group-based trajectory modeling,and to analyze the influencing factors of different trajectories.

A total of 204 elderly patients with colorectal cancer who underwent their first chemotherapy in three tertiary hospitals from July 2024 to January 2025 were selected from Tangshan city.On the day before the first course of the FOLFOX regimen/the day before the first course of the XELOX regimen(T0),General Information Questionnaire,Chinese Healthy Eating Index,Elderly Nutrition Literacy Scale,Perceived Social Support Scale,Brief Illness Perception Questionnaire were used to baseline survey.Chinese Healthy Diet Index was used to conduct dietary quality tracking survey on the day before the first course of the FOLFOX regimen/the day before the first course of the XELOX regimen(T1),the day before the first course of the FOLFOX regimen/the day before the second course of the XELOX regimen(T2),and the day before the first course of the FOLFOX regimen/the day before the fourth course of the XELOX regimen(T3).The group-based trajectory modeling was used to identify the potential categories of the trajectory changes in dietary quality.Univariate analysis and multiple Logistic regression analysis were used to analyze the influencing factors.

The dietary quality of elderly colorectal cancer patients during chemotherapy were divided into four trajectory changes:low-level continuous group(8.33%),low-level increasing group(35.29%),high-level continuous group(25.49%),and medium-level increasing group(30.88%).Logistic regression analysis results showed that disease perception,main types of work before retirement,medical payment methods,and nutritional literacy were the influencing factors of different trajectories of dietary quality in elderly colorectal cancer patients during chemotherapy(P<0.05).

There is group heterogeneity in the trajectory of dietary quality changes during chemotherapy in elderly patients with colorectal cancer.Attention should be paid to the dynamic assessment of dietary quality for patients who engage in physical labor before retirement and those who are covered by employee medical insurance.At the same time,the predictive role of nutritional literacy and disease perception in the trajectory of dietary quality changes should be emphasized.A dynamic intervention plan should be constructed with the core of improving the nutritional literacy and establishing correct disease perception of elderly patients with colorectal cancer during chemotherapy to improve their dietary quality and nutritional level throughout the chemotherapy process.

To develop an entrustable professional activities(EPAs)-based clinical practicum syllabus for advanced practice nurse(APN)-oriented master of nursing specialist(MNS) students in China,thereby informing the training of advanced practice nursing talents.

A combination of literature review,expert meetings,and a modified Delphi method were used to construct the clinical practicum syllabus for APN-oriented MNS students in China.The feasibility of the syllabus was evaluated by using the CIPP framework.

Two Delphi rounds were completed by 22 experts,with response rates of 81.48% and 100.00% and authority coefficients of 0.862 and 0.891.A 20-EPA-based clinical practicum syllabus was developed,featuring a progressive semester-by-semester structure that integrates theory,practice,and EPAs,along with a combined formative and summative evaluation system.

The developed clinical practicum syllabus demonstrates strong scientific validity,systematic coherence,and practical operability,and could serve as a reference for APN-oriented MNS training in China.

To explore the potential categories of kinesiophobia in patients undergoing coronary artery bypass grafting(CABG) and to conduct symptom network analysis to identify core symptoms in different categories symptom networks.

Using convenience sampling,patients who underwent coronary artery bypass grafting in the cardiovascular surgery department of the Affiliated Hospital of Qingdao University from January 2024 to April 2025 were selected as the research subjects.The General Information Questionnaire,Kinesiophobia Heart(TSK-SV Heart),and Revised Symptom Questionnaire for Post-patients undergoing coronary artery bypass grafting were used for investigation.Latent profile analysis was employed to explore potential categories of kinesiophobia.R language was used to construct symptom networks for each category,and network centrality indices were analyzed to determine core symptoms.

A total of 487 patients undergoing coronary artery bypass grafting were included,with a kinesiophobia incidence of 87.89%.Two potential categories were identified in total:low-fear-exercise-avoidance group(29.4%) and high-fear-exercise-fear group(70.6%).In the low-fear-exercise-avoidance group network,fatigue(r_s=1.99) had the highest strength and was the core symptom;in the high-fear-exercise-fear group network,surgical incision pain had the highest strength(r_s=1.46),compactness(r_c=0.005 57),and betweenness(r_b=16),serving as the core symptom.There were no significant differences in symptom network structure(M=0.29) and overall connection strength(S=3.27) between the low-fear-exercise-avoidance group and the high-fear-exercise-fear group.

Patients undergoing coronary artery bypass grafting have a high incidence of kinesiophobia with significant group heterogeneity,which could be divided into two categories:the low-fear-exercise-avoidance group and the high-fear-exercise-fear group.Fatigue and surgical incision pain are the core symptoms of the low-fear-exercise-avoidance group and high-fear-exercise-fear group,respectively.It is recommended that healthcare providers implement precise intervention strategies targeting the core symptoms of different subgroups to reduce patients' kinesiophobia levels.

To explore the status of nursing human resource allocation in Shandong province and to provide a theoretical basis for its rational distribution.

The relevant data were organized from the Shandong Statistical Yearbook 2024,and use rank sum ratio and close value methods to comprehensively analyze the number of registered nurses per thousand population,bed nurse ratio,medical staff ratio,and the proportion of registered nurses to health technicians in Shandong Province.Relevant data from the Shandong Statistical Yearbook 2024 were compiled.Comprehensive analysis of the number of registered nurses per 1 000 population,nurse-to-bed ratio,nurse-to-physician ratio,and proportion of registered nurses among health technical personnel was conducted by using the rank sum ratio(RSR) method and the osculation value method.

The rank sum ratio method categorized nursing human resource allocation in Shandong province into four levels(low,relatively low,high,relatively high).Dezhou city had the least nursing human resources,while Jinan city,Dongying city had the most nursing human resources.The osculation value method ranked the cities based on the quantity of nursing human resources allocated,with Jinan city,Zaozhuang city,Qingdao city,and Dongying city having the highest quantities.Dezhou city,Linyi city having the lowest quantities.

Nursing human resources in Shandong province are relatively deficient,with significant disparities in allocation among cities and a mismatch with medical resource distribution.Therefore,it is recommended that relevant departments adopt a holistic approach,implementing tailored nursing human resource allocation strategies for each city while also focusing on coordinating nursing resources with overall medical resource distribution.

To construct a multidisciplinary perioperative nursing pathway for cesarean section in pregnant women with intracerebral hemorrhage based on chain management theory.

The preliminary pathway was developed with chain management theory as the framework,combined with literature analysis and case review,and structured around hospitalization days.Two rounds of expert consultation were conducted using the Delphi method among 15 experts.Expert opinions were analyzed and integrated to form the final clinical nursing pathway.

The effective response rates of the two rounds of expert consultation were both 100%.The authority coefficients of experts were 0.852 and 0.920.The Kendall's coefficients of concordance were 0.11 and 0.21(both P<0.05),respectively.The final clinical nursing pathway was organized into five phases:the first day of hospitalization,day 2 to preoperative day,day of cesarean section,postoperative days 1-3,and postoperative day 4 to discharge.Under this framework,there were 48 primary indicators and 196 secondary indicators.

The multidisciplinary perioperative nursing pathway for cesarean section in pregnant women with intracerebral hemorrhage constructed in this study based on chain management theory clarifies the core contents and collaborative processes of maternal and neonatal care during each perioperative stage,standardizes the multidisciplinary management of high-risk pregnant women,and has good scientific rigor and clinical application value.It could provide reference for relevant nursing practice.

To construct an evaluation index system for clinical nurses' ability to conduct age-friendly health science popularization through short videos,to provide reference for objectively evaluating their ability and conducting targeted science popularization training.

Based on the Lasswell "5W" communication model and the digital media usage characteristics of the elderly,the evaluation index system was initially constructed through theoretical analysis,literature review,and focus group discussions.The Delphi method was used for two rounds of expert consultation to screen and revise the index items.The analytic hierarchy process was used to determine the weights of each level of indicators.

A total of 23 experts were included.The positive coefficient for both rounds of expert consultation were all 100%.The expert authority coefficients were 0.952 and 0.961,respectively.The Kendall's coefficient of concordance were 0.182-0.289 and 0.110-0.329.The final evaluation index system included 5 first-level indicators,14 second-level indicators,and 51 third-level indicators.

The constructed evaluation index system for clinical nurses' ability to conduct age-friendly health science popularization through short videos has good scientificity and practicability.It could be used to objectively evaluate the ability of clinical nurses in elderly short video health science popularization.

To explore the latent classes of post-traumatic growth in patients with endometrial cancer,and to analyze the influencing factors of different categories.

Convenience sampling method was used to select 263 patients with endometrial cancer hospitalized from June 2022 to June 2024 in our hospital.The General Information Questionnaire,Posttraumatic Growth Inventory(PTGI),Chinese version of Event Related Rumination Inventory(C-ERRI),Patient Health Questionnaire-9(PHQ-9) were used to investigate. Latent class analysis was used to identify categories of post-traumatic growth in patients with endometrial cancer.Logistic regression was used to analyze the influencing factors of posttraumatic growth in patients with different categories of endometrial cancer.

The post-traumatic growth of endometrial cancer were characterized by negative coping,psychological smoothness,and positive growth.Logistic regression analyses results showed that BMI,level of purposeful rumination,and depressive symptoms were the influencing factors of post-traumatic growth in patients with different categories of endometrial cancer.

Clinical staff should carry out stratified interventions based on different category characteristics to optimize patient psychological outcomes.Clinical staff should implement precise management of patients based on the influencing factors of different categories of post-traumatic growth,combine with the specificity of post-traumatic growth patterns,improve mental health outcomes of patients.

To systematically evaluate the effectiveness of mobile health technology in the outpatient colonoscopy examination population.

Randomized controlled trials on the application of mobile health technology in the outpatient colonoscopy examination population were retrieved from databases such as CNKI,VIP,CBM,WanFang Database,Web of Science,PubMed,Cochrane Library,EMbase,and ScienceDirect.The search period was from the establishment of the databases to December 30,2025.Two researchers independently screened the literature,extracted the data,and evaluated the quality of the included studies by using the Cochrane 5.1.0 manual.Meta-analysis was conducted by using RevMan 5.3 software.

A total of 9 studies were included,involving 2 954 outpatient colonoscopy examination people.Meta-analysis results showed that interventions based on mobile health technology could improve the quality of bowel preparation for outpatient colonoscopy examination population(SMD=0.78,95%CI 0.70-0.85,P<0.000 1),the success rate of cecal intubation(OR=2.66,95%CI 1.31-5.44,P=0.007),polyp detection rate(OR=1.44,95%CI 1.20-1.72,P<0.000 1),adenoma detection rate(OR=1.71,95%CI 1.24-2.35,P=0.001),adherence to laxatives(OR=1.87,95%CI 1.24-2.84,P=0.003) and dietary adherence(OR=2.41,95%CI 1.57-3.72,P<0.000 1).

The intervention based on mobile health technology could improve the quality of bowel preparation,the success rate of cecal intubation,the detection rate of adenomas and polyps,as well as the compliance with laxative administration and diet.