To translate the Self-Care Confidence Index for ACHD into Chinese and to test its reliability and validity.

The scale was translated and back-translated based on the modified Brislin translation model.Chinese version of Self-Care Confidence Index for ACHD was conducted by cross-cultural adjustment and pre-investigation.From September 2023 to November 2024,a total of 225 adult patients with congenital heart disease who were recruited at the heart center of a tertiary grade A hospital in Guangzhou city,were selected as the research subjects,to test the reliability and validity of the Chinese version of scale.

The Chinese version of Self-Care Confidence Index for ACHD consisted of 6 items.The scale-level content validity index(S-CVI) was 0.988.The item-level content validity index(I-CVI) ranged from 0.927 to 1.000.The Cronbach's alpha coefficient of the scale was 0.83.The test-retest reliability was 0.95.Rasch model analysis demonstrated favorable validity,reliability,and separation properties of the scale.Confirmatory factor analysis indicated that all fit indices were within normal ranges.

The Chinese version of the Self-Care Confidence Index for ACHD exhibits good reliability and validity and could be used to test self-care confidence in Chinese adults with congenital heart disease.

To develop a physical resilience instrument for puerpera based on the Physical Resilience Instrument for Older Adults and to test its reliability and validity,so as to provide a scientific and effective measurement for the assessment of physical resilience(PR) in puerpera.

The PRIFOR was revised through qualitative interviews,expert consulation,group discussions and pre-survey,and to develop a physical resilience instrument for puerpera.A convenience sampling method was used to select 429 parturient who were hospitalized in obstetrics departments of two tertiary grade A hospitals in Shanxi province from June to September 2025 as the research subjects.The Physical Resilience Instrument for Puerpera was used for investigation to test the reliability and validity of the scale.

The Physical Resilience Instrument for Puerpera included positive thinking, coping with and adjusting lifestyle, beliefs, and a hopeful mindset 3 dimensions and 15 items.The item-level content validity index ranged from 0.857 to 1.000.The scale-level content validity index/universal agreement was 0.990.Exploratory factor analysis extracted 3 common factors,with a cumulative variance contribution rate of 69.432%.The model fitted well after the correction of confirmatory factor analysis.Both convergent validity and composite validity reached good standards.The Cronbach's alpha coefficient of the scale was 0.976.The halving coefficient was 0.966.The test-retest reliability was 0.914.Criterion-related validity results showed that the total score of the scale was negatively correlated with the total score of the Maternal Childbirth Trauma Scale(r=-0.883,P<0.001).

The Physical Resilience Instrument for Puerpera has good reliability and validity.It is suitable for assessing the PR of puerpera.

To translate the Condensed version Modified Geriatric Dehydration Screening Tool into Chinese,and to test its reliability and validity among elderly inpatients in China.

The Brislin translation model was adopted for forward and back translation of the Modified Geriatric Dehydration Screening Tool.On the basis of expert inquiries and pre-surveys,the scale was culturally adapted to form the Chinese version of Condensed Modified Geriatric Dehydration Screening Tool.From January to August 2025,a total of 120 elderly inpatients from a tertiary grade A hospital in Yancheng city were conveniently selected as the research subjects.The Chinese version of Condensed Modified Geriatric Dehydration Screening Tool was used for the investigation to test its reliability and validity.

The Chinese version of Condensed Modified Geriatric Dehydration Screening Tool was a unidimensional scale,with a total of 9 items.The item-level content validity index of the scale ranged from 0.857 to 1.000.The scale-level content validity index/average was 0.984.The scale-level content validity index/universal agreement was 0.889.The Cronbach's alpha coefficient of the scale was 0.877.The test-retest reliability coefficient was 0.892.Exploratory factor analysis extracted one male factor with a cumulative variance contribution rate of 50.693%.

The Chinese version of Condensed Modified Geriatric Dehydration Screening Tool exhibits good reliability and validity,with concise items,and could be used for initial screening of dehydration risk among elderly inpatients in China,providing a reliable instrument for early clinical identification of dehydration in elderly inpatients.

To investigate the current status and potential categories of clinical leadership abilities among specialty nurses in tertiary hospitals,and to analyze the influencing factors of clinical leadership abilities in different categories of specialty nurses.

A survey was conducted among 867 specialty nurses in tertiary hospitals in Changzhou city by using the General Information Questionnaires,Clinical Leadership Survey,Specialty Nurse Work Engagement Scale,and Change Fatigue Scale.Univariate factors analysis and multivariate Logistic regression analysis were used to analyze the influencing factors of potential categories of clinical leadership abilities among specialty nurses in tertiary hospitals.

The clinical leadership abilities of specialty nurses were divided into three categories:negative(3.11%),balanced(29.07%),and positive(67.82%).Multivariate Logistic regression analysis results showed that work attitude,work motivation,whether or not to serve as a specialist outpatient department,and whether or not to serve as a nurse manager were influencing factors of categories of clinical leadership abilities among specialty nurses in tertiary hospitals(P<0.05).

There is group heterogeneity in the clinical leadership abilities of specialty nurses in tertiary hospitals,which could be categorized into three categories:negative,balanced,and positive.Individualized stratified interventions could be carried out for specialty nurses of different clinical leadership abilities categories based on the influencing factors of different potential profiles to enhance their clinical leadership level.

To explore the occurrence and influencing factors of cognitive decline among empty nest elderly in the community,and to provide scientific basis for developing precise community cognitive health intervention strategies.

Using convenience sampling method,a total of 260 empty nest elderly people aged 65 and above from 6 communities in Taiyuan city from October to November 2023 were selected as the research subjects.A General Information Questionnaire,the Center for Epidemiological Studies Depression Scale(CES-D),and a composite cognitive function assessment tool were used to investigate.Univariate analysis and multivariate Logistic regression analysis were used to explore the influencing factors of cognitive decline in empty nest elderly.

The incidence of cognitive decline among empty nest elderly was 31.97%.Logistic regression analysis results showed that listening,social activities,digital device use,and sleep time were the influencing factors of cognitive decline in empty nest elderly in the community(all P<0.05).

Community empty nest elderly were at a high-risk of cognitive decline.Cognitive decline were influenced by multiple factors such as listening,social activities,digital device use,and sleep time.It is suggested that the community should develop targeted plans based on relevant influencing factors to provide theoretical basis for delaying the cognitive decline of empty nest elderly.

To identify multi-dimensional needs in the decision-making process of coronary heart disease patients regarding interventional treatment based on decision journey map,providing reference for developing nurse-led decision aids.

A descriptive qualitative study was conducted from March to May 2025.A total of fourteen coronary heart disease patients participating in interventional treatment decisions were selected for semi-structured interviews.Directed content analysis was employed for data analysis and patient decision journey mapping.

According to the clinical timeline,the decision-making process for interventional treatment in coronary heart disease patients was divided into diagnostic decision-making period,PCI decision-making period,and postoperative rehabilitation period.And it was categorized into 33 themes across three dimensions:tasks,pain points,and emotions,including symptom recognition and diagnosis confirmation,surgical risk assessment,ultimately forming a comprehensive journey map.

The decision-making process for interventional treatment in coronary heart disease patients is lengthy and complex,exhibiting staged characteristics and differentiated needs.Journey mapping should be utilized to construct and refine nurse-led decision support tools with family caregiver participation from the patient perspective to meet patients' decision-making needs and enhance decision quality.

To systematically analyze the influencing factors of doctor-patient decision-making for terminally ill patients in the intensive care unit(ICU) based on the consolidated framework for implementation research(CFIR),so as to provide a basis for constructing localized nursing practice strategies.

Using purposive sampling method,a total of 28 medical staff in the intensive care unit and 12 family members of terminally ill patients from a tertiary grade A hospital in Sichuan province were selected for semi-structured interviews from March to June 2024.Directed content analysis combined with CFIR was used for coding analysis and rating.

Four core themes are identified:the characteristics of shared decision-making sources of shared decision-making,relative advantages of shared decision-making,complexity of shared decision-making,costs of shared decision-making),external factor domains(local perspectives,local conditions,policies and regulations,external pressures),internal factor domains(structural features,culture,innovation incentive mechanisms,available resources,knowledge and information acquisition),and individual characteristics(needs,capabilities,opportunities,motivation).The rating identified 13 barrier factors,3 facilitating factors,and 1 neutral factor.

The implementation of shared decision-making is influenced by multiple dimensions,such as culture,policies,resources,and capabilities.It is urgent to establish localized shared decision-making implementation strategies,develop decision-support tools for family members,and jointly reform medical insurance,ethics,and legal policies to improve the quality of end-of-life decision-making.

To explore the real experience of the main caregivers of children with chronic kidney disease in the process of diet management,and to provide basis for the formulation of targeted diet management programs.

A phenomenological qualitative research method was adopted for 12 main caregivers of children 3 years old and above with chronic kidney disease admitted to the department of nephrology and immunology of a tertiary grade A hospital in Suzhou city in March 2025 were selected by purposive sampling for semi-structured interviews.The Colaizzi analysis method was used to extract themes.

A total of 3 themes and 6 sub-themes were extracted,including lack of knowledge and information about renal diet(lack of disease-related dietary knowledge,lack of information on renal diet),general and unclear dietary management education and individual differences(dietary management education is too general,individual differences exist in dietary management),and coexistence of insufficient dietary management ability of caregivers and low compliance of children(insufficient dietary management ability of caregivers,low compliance of children).

Medical staff should enhance the primary caregivers' understanding of dietary management for children with chronic kidney disease,improve children's compliance with dietary management,and formulate targeted dietary management plans to enhance the effectiveness of dietary management.

To analyze the status quo and influencing factors of professional psychological help-seeking stigma of infertility patients.

From January to May 2025,a total of 346 infertility patients admitted to Fujian Maternal and Child Health Hospital were selected as the research objects by convenient sampling method.The General Information Questionnaire,Questionnaire of Stigma for Seeking Professional Psychological Help(SSPPH),Self-Rating Depression Scale(SDS),Self-Esteem Scale(SES) and Multiple Mental Health Literacy Measure(MMHLM) were used to investigate.Univariate analysis,correlation analysis,and linear regression analysis were used to analyze the influencing factors of professional psychological help-seeking stigma of infertility patients.

The total score of Questionnaire of Stigma for Seeking Professional Psychological Help of 346 infertility patients was 23.14±8.66.The correlation analysis results showed that professional psychological help-seeking stigma was positively correlated with depression and self-esteem(P<0.05),and negatively correlated with mental health literacy(P<0.05).Linear regression analysis results showed that depression,self-esteem,education level and mental health literacy were the influencing factors of professional psychological help-seeking stigma of infertility patients(P<0.05).

The professional psychological help-seeking stigma of infertility patients was at a medium to low level.Collaborative intervention from individuals,families,and medical staff is needed to improve their stigmatization and to promote the physical and mental health of infertility patients.

To analyze the practical dilemma of the supply of long-term care insurance care services in China.To analyze the key factors that restrict the effectiveness of multi-party collaborative governance.And to put forward countermeasures and suggestions to optimize the supply system of care services.

From the perspective of SFIC model,analyze and judge the subject relationship,operation mechanism and constraint conditions in the supply of long-term care insurance care services in China.

There was a prominent problem of insufficient coordination among the government, social institutions and families in the supply of long-term care insurance services in China.Differences in resource endowments and goals of multiple subjects,the absence of catalytic leadership,imperfect institutional design,and the lack of evaluation and feedback mechanisms were key factors that restricted the efficiency of collaborative governance.

To solve the dilemma of long-term care service supply,it is necessary to take collaborative governance as the path.The government should change its role and build a cross-sectoral coordination mechanism,optimize the supply of social institutions and stimulate market vitality,strengthen family care capacity building,to play a complementary role,so as to improve the supply system of long-term care insurance care services by enhancing multi-party synergies.