To develop a scale for the metacognitive ability of operating room nurses and test its reliability and validity,so as to provide an effective tool for the assessment of the metacognitive abilities of operating room nurses.

Based on metacognitive theory,a metacognitive ability scale for operating room nurses was developed through literature review,qualitative interviews,expert inquiries,and pre surveys.From October to November 2024,a convenience sampling method was used to select 618 operating room nurses from Shanghai city and Sichuan province as the research subjects.The Metacognitive Ability Scale for Operating Room Nurses was used for investigation to test its reliability and validity.

The Cronbach's α coefficient of the scale was 0.948.The split-half reliability was 0.868.The test-retest reliability was 0.952.Exploratory factor analysis extracted 3 common factors,with a cumulative variance contribution rate of 60.075%.Confirmatory factor analysis results showed a good model fit.The scale-level content validity index/average was 0.953.The item-level content validity index ranged from 0.870 to 1.000.

The Metacognitive Ability Scale for Operating Room Nurses has good reliability and validity,and could be used to measure the metacognitive ability level of operating room nurses.

To construct a scientific and standardized evaluation index system for digital resilience in nursing undergraduates.

Utilizing the conceptual model of digital resilience as a theoretical foundation,the initial framework for the index system was developed through literature review and semi-structured interviews.Delphi method and the analytic hierarchy process were employed to finalize the evaluation index system for digital resilience among nursing undergraduates.

Two rounds of expert inquiry were conducted,with effective questionnaire response rates of 100% and 95%,expert opinion submission rates of 42.11% and 33.33%,expert authority coefficients of 0.875 and 0.900,coefficients of variation of 0.060-0.225 and 0.000-0.155,and Kendall's harmony coefficients of 0.171 and 0.248,respectively(all P<0.001).The final evaluation index system included 5 primary indicators(perceived digital risks,cognitive coping strategies,learning knowledge and skills,overcoming digital pressure,and adapting to the digital environment),20 secondary indicators,and 46 tertiary indicators.

The evaluation index system for digital resilience in nursing undergraduates is scientific,practical,and highly operable,which could provide reference for evaluating the performance and adaptability of nursing undergraduate students in digital learning environments.

To explore the application of BOPPPS teaching model based on artificial intelligence combined with scenario simulation teaching method in clinical practice of joint surgery intern nursing students.

A total of 94 intern nursing students who rotated in joint surgery in two tertiary grade A hospitals from March 2023 to December 2024 were selected as the research subjects.They were randomly divided into control group and test group by random number table method,47 students each.The control group was taught by using traditional mentoring program.The test group was taught by using BOPPPS teaching model based on ChatGPT and Doubao combined with situational simulation teaching method.The theoretical knowledge and practical operation ability,critical thinking,communication ability,self-learning ability,and teaching satisfaction of the two groups of intern nursing students were compared.

The scores of practical operation ability,critical thinking,communication ability,self-learning ability,and teaching satisfaction of the intern nursing students in the test group were all higher than those in the control group.There were significant differences between the two groups(P<0.05).

The application of BOPPPS teaching model based on artificial intelligence combined with scenario simulation teaching method in clinical teaching of joint surgery intern nursing students could effectively improve their practical ability,communication ability,and self-learning ability,promote the formation of critical thinking,and enhance their satisfaction with clinical teaching.

To analyze the typology and characteristics of self-management behaviors among young hypertensive patients and provide evidence for developing and carrying out targeted precision nursing interventions.

A descriptive qualitative research design was employed.Semi-structured interviews were conducted with 18 young hypertensive patients selected through purposive sampling.Content analysis was applied to systematically analyze the interview data,extract and categorize self-management labels,and construct user personas.

Four distinct user personas of self-management among young hypertensive patients were identified:procrastinating type with knowledge-action gap,proactive adaptive type,medication-dependent simplified type,and externally constrained type.These personas demonstrated significant differences across multiple dimensions,including disease cognition and knowledge acquisition,self-management practice(medication adherence,dietary control,physical activity),psychological state and behavioral motivation,social network support,and environmental influences.

Self-management patterns among young hypertensive patients exhibit considerable diversity.Healthcare professionals should comprehensively assess patients' self-management characteristics,facilitators,and barriers based on these user personas.Individualized precision nursing interventions with persona-matched support strategies and resources should be designed and implemented to enhance self-management efficacy,health behavior adherence,and blood pressure control in this population.

To explore the true thoughts of young Chinese parents on the application of intergenerational programs in the elderly population with mild cognitive impairment,and to provide reference for health education strategies and clinical practices.

Using purposive sampling method,a total of 22 parents of children aged 0-14 who received treatment in the pediatric ward of a tertiary grade A hospital in Jiangsu province from November to December 2024 were selected.Based on the theory of knowledge,attitude,and practice theoretical model,data were collected through semi-structured interviews.Colaizzi 7-step analysis method was used to analyze.

A total of 4 themes and 10 sub-themes were extracted:understanding and attitude towards mild cognitive impairment in the elderly(mainly based on life experience,diverse but insufficient professional channels of understanding,attitude and ideas for improving cognitive impairment),understanding and attitude towards intergenerational programs(vague concept,high support rate and core motivation,implementation concerns),current situation of interaction between family and society(limitations of family interaction,diverse forms of community activities),community and institutional demands(resource support,institutional innovation).

Promoting intergenerational programs requires strengthening the popularization of professional knowledge,constructing practical models for families and communities,and promoting institutional optimization and innovation.

To conduct a scope review of the research on the application of music therapy in respiratory training of spinal cord injury,in order to analyze the screening of intervention subjects in the application of music therapy in respiratory training for spinal cord injury,identify the form and specific content,evaluation indicators and application effects of music therapy in respiratory training for spinal cord injury,so as to provide reference for medical staff to carry out relevant interventions and research.

Based on the Joanna Briggs Institute(JBI) scope review guide as the methodological framework,relevant studies in CNKI,WanFang database,VIP database,Chinese Biomedical Literature database,PubMed,Web of Science,EMbase,CINAHL were searched.The search was conducted by combining subject words,free words and Boolean logical conjunctive words.The retrieval period spanned from the establishment of the database to March 30,2025.The included literature was summarized and analyzed.

A total of 6 papers were included,including 5 randomized controlled trials and 1 quasi-experimental study.The inclusion criteria for patients with spinal cord injury before music therapy were formulated from five aspects:age,injury level,injury degree,activity ability and disease duration,and the exclusion criteria were formulated from three aspects:cognitive level,music learning situation and disease history.The elements of music therapy include oral motor respiratory exercise(OMREX),therapeutic singing(TS),vocal intonation therapy(VIT),and vocal respiratory training(VRT).The intervention frequency was at least 3-5 times per week,the intervention intensity was 30-60 minutes per time,and the intervention duration was mostly 12 weeks.The application of music therapy in respiratory training for spinal cord injury has shown good effects,which can improve the respiratory function,respiratory neural plasticity,auxiliary respiratory muscle activity,sound quality,and health-related quality of life and psychological state of patients.

Music therapy has a positive effect on the rehabilitation of respiratory function in patients with spinal cord injury.Future research should enhance interdisciplinary collaboration,integrate artificial intelligence and virtual simulation technologies,and explore personalized music therapy strategies under the background of "Internet+nursing services",providing a more comprehensive solution for the overall rehabilitation of patients with spinal cord injuries.