摘要：
AIMS: This study aims to explore the experiences of rehabilitation specialist nurses in providing bowel care to stroke patients and to identify the factors that either facilitate or hinder their practice. DESIGN: This was a descriptive qualitative design study. METHODS: Between May 2022 and October 2022, we conducted in-depth and semi-structured interviews with 12 rehabilitation specialist nurses from two tertiary hospitals in Changsha, China. Thematic analysis was employed to analyse the interview transcripts. FINDINGS: Three key themes were revealed from our analysis: (1) acceptance of bowel care as a process, (2) high level of recognition improves the experience and (3) challenges stemming from limited knowledge and rights. Acceptance of bowel care as a dynamic process, coupled with a high level of recognition, enabled nurses to prioritize the health and safety of patients over personal feelings and achieve professional accomplishments. However, they encountered challenges in terms of professional development and restricted prescribing rights for bowel care. CONCLUSION: The experiences of rehabilitation specialist nurses in providing bowel care are dynamic. These findings have important implications for healthcare improvement, including the need for collaboration with healthcare professionals and nurturing nurses' self-identity, comprehensive training plans, innovative programs and expanding the scope of rehabilitation specialist nurses' rights. IMPACT: This study enhances our understanding of the challenges faced by rehabilitation specialist nurses caring for stroke patients with neurogenic bowel dysfunction. The findings provide insights into how to enhance bowel care experience and develop further in this field. REPORTING METHOD: This study adhered to the EQUATOR guideline and utilized the COREQ checklist. PATIENT OR PUBLIC CONTRIBUTIONS: This study involved participants who were registered nurses, and there were no contributions from patients or public.
摘要：
AIM: To evaluate and summarize the evidence for prevention and management of enteral feeding intolerance in critically ill patients and provide reference for clinical practice. DESIGN: This study was an evidence summary followed by the evidence summary reporting standard of Fudan University Center for Evidence-based Nursing. METHODS: Current literatures were systematically searched for the best evidence for prevention and management of enteral feeding intolerance in critically ill patients. Literature types included clinical guidelines, best practice information sheets, expert consensuses, systematic reviews, evidence summaries and cohort studies. DATA SOURCES: UpToDate, BMJ Best Practice, Joanna Briggs Institute, Guidelines International Network, National Institute for Health and Care Excellence, Registered Nurses Association of Ontario, Scottish Intercollegiate Guidelines Network, the Cochrane Library, Embase, PubMed, Sinomed, Web of Science, Yi Maitong Guidelines Network, DynaMed, MEDLINE, CNKI, WanFang database, Chinese Medical Journal Full-text Database, European Society for Clinical Nutrition and Metabolism website, the American Society for Parenteral and Enteral Nutrition website were searched from January 2012 to April 2023. RESULTS: We finally identified 18 articles that had high-quality results. We summarized the 24 pieces of best evidence from these articles, covering five aspects: screening and assessment of the risk of enteral nutritional tolerance; formulation of enteral nutrition preparations; enteral nutritional feeding implementation; feeding intolerance symptom prevention and management; and multidisciplinary management. Of these pieces of evidence, 19 were 'strong' and 5 were 'weak', 7 pieces of evidence were recommended in level one and 4 pieces of evidence were recommended in level two. CONCLUSION: The following 24 pieces of evidence for prevention and management of enteral feeding intolerance in critically ill patients were finally recommended. However, as these evidences came from different countries, relevant factors such as the clinical environment should be evaluated before application. Future studies should focus on more specific symptoms of feeding intolerance and more targeted prevention design applications. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: The clinical medical staffs are recommended to take evidence-based recommendations for the implementation of standardized enteral nutrition to improve patient outcomes and decrease gastrointestinal intolerance in critically ill patients. IMPACT: The management of enteral nutrition feeding intolerance has always been a challenge and difficulty in critically ill patients. This study summarizes 24 pieces of the best evidence for prevention and management of enteral nutrition feeding intolerance in critically ill patients. Following and implementing these 24 pieces of evidence is beneficial to the prevention and management of feeding intolerance in clinical practice. The 24 pieces of evidence include five aspects, including screening and assessment of the risk of enteral nutritional tolerance, formulation of enteral nutrition preparations, enteral nutritional feeding implementation, feeding intolerance symptom prevention and management and multidisciplinary management. These five aspects constitute a good implementation process. Screening and assessment of enteral nutritional tolerance throughout intervention are important guarantees for developing a feasible nutrition program in critically ill patients. This study will be benefit to global medical workers in the nutritional management of critically ill patients. REPORTING METHOD: This evidence summary followed the evidence summary reporting specifications of Fudan University Center for Evidence-based Nursing, which were based on the methodological process for the summary of the evidence produced by the Joanna Briggs Institute (JBI). The reporting specifications include problem establishment, literature retrieval, literature screening, literature evaluation, the summary and grading of evidence and the formation of practical suggestions. This study was based on the evidence summary reporting specifications of the Fudan University Center for the Evidence-based Nursing, the register name is 'Best evidence summary for prevention and management of enteral feeding intolerance in critically ill patients', the registration number is 'ES20231823'.
摘要：
Atherosclerosis is the major pathophysiological basis of a variety of cardiovascular diseases and has been recognized as a lipid-driven chronic inflammatory disease. Gelsolin (GSN) is a member of the GSN family. The main function of GSN is to cut and seal actin filaments to regulate the cytoskeleton and participate in a variety of biological functions, such as cell movement, morphological changes, metabolism, apoptosis and phagocytosis. Recently, more and more evidences have demonstrated that GSN is Closely related to atherosclerosis, involving lipid metabolism, inflammation, cell proliferation, migration and thrombosis. This article reviews the role of GSN in atherosclerosis from inflammation, apoptosis, angiogenesis and thrombosis.
作者：
Qiu, Tingting;Jiang, Zhiming;Chen, Xuancai;Dai, Yehua;Zhao, Hong
期刊：
International Journal of Hypertension,2023年2023:9619388 ISSN：2090-0384
通讯作者：
Zhao, H;Dai, YH
作者机构：
[Zhao, Hong; Qiu, Tingting] Univ South China, Sch Nursing, Hengyang Med Sch, Hengyang 421001, Hunan, Peoples R China.;[Qiu, Tingting] Univ South China, Cent Hosp Changsha City, Hengyang Med Sch, Changsha 410000, Hunan, Peoples R China.;[Jiang, Zhiming] Fourth Hosp Changsha, Dept Cardiol, Changsha 410006, Hunan, Peoples R China.;[Chen, Xuancai] Univ South China, Nanhua Hosp, Urinary Surg, Hengyang 421002, Peoples R China.;[Dai, Yehua] Univ Xiangnan, Nursing Coll, Chenzhou 423000, Hunan, Peoples R China.
通讯机构：
[Zhao, H ; Dai, YH ] U;Univ South China, Sch Nursing, Hengyang Med Sch, Hengyang 421001, Hunan, Peoples R China.;Univ Xiangnan, Nursing Coll, Chenzhou 423000, Hunan, Peoples R China.
关键词：
Introduction;Materials and Methods;Results;Discussion;Conclusion;Abstract;Data Availability;Additional Points;Ethical Approval;Consent;Disclosure;Conflicts of Interests;Authors’ Contributions;Funding Statement;Acknowledgements;Acknowledgments;Supplementary Materials;Reference;Dataset Description;Dataset Files;Abstract;Introduction;Introduction and Materials;Introduction and Methods;Materials;Materials and Methods;Methods;Results;Discussion;Results and Discussion;Discussion and Conclusion;Results and Conclusion;Conclusion;Conclusions;Data Availability;Additional Points;Ethical Approval;Consent;Disclosure;Conflicts of Interest;Authors’ Contributions;Funding Statement;Acknowledgements;Supplementary Materials;References;Appendix;Abbreviations;Preliminaries;Introduction and Preliminaries;Notation;Proof of Theorem;Proofs;Analysis of Results;Examples;Numerical Example;Applications;Numerical Simulation;Model;Model Formulation;Systematic Palaeontology;Nomenclatural Acts;Taxonomic Implications;Experimental;Synthesis;Overview;Characterization;Background;Experimental;Theories;Calculations;Model Verification;Model Implementation;Geographic location;Study Area;Geological setting;Data Collection;Field Testing;Data and Sampling;Dataset;Literature Review;Related Works;Related Work;System Model;Methods and Data;Experimental Results;Results and Analysis;Evaluation;Implementation;Case Presentation;Case Report;Search Terms;Case Description;Case Series;Background;Limitations;Additional Points;Case;Case 1;Case 2 etc.;Concern Details;Retraction Details;Copyright;Related Articles
摘要：
Anxiety is more common in patients with hypertension, and these two conditions frequently coexist. Recently, more emphasis has been placed on determining etiology in patients with comorbid hypertension and anxiety. This review focuses on the common risk factors and potential mechanisms of comorbid hypertension and anxiety. Firstly, we analyze the common risk factors of comorbid hypertension and anxiety including age, smoking, alcohol abuse, obesity, lead, and traffic noise. The specific mechanisms underlying hypertension and anxiety were subsequently discussed, including interleukin (IL)-6 (IL-6), IL-17, reactive oxygen species (ROS), and gut dysbiosis. Increased IL-6, IL-17, and ROS accelerate the development of hypertension and anxiety. Gut dysbiosis leads to hypertension and anxiety by reducing short-chain fatty acids, vitamin D, and 5-hydroxytryptamine (5-HT), and increasing trimethylamine N-oxide (TAMO) and MYC. These shared risk factors and potential mechanisms may provide an effective strategy for treating and preventing hypertension and comorbid anxiety.
摘要：
BACKGROUND: The pathogenesis of Chlamydia trachomatis (C. trachomatis) is associated with the induction of the host inflammatory response; however, the precise underlying molecular mechanisms remain poorly understood. METHODS: CT622, a T3SS effector protein, has an important role in the pathogenesis of C. trachomatis; however, little is understood as to whether CT622 can induce a host inflammatory response. Our findings demonstrate that CT622 induces the expression of interleukin-6 (IL-6) and interleukin-8 (IL-8). Mechanistically, these effects involved the activation of the mitogen-activated protein kinases (MAPKs) and nuclear factor-kappa B (NF-κB) signaling pathways. RESULTS: Interestingly, we also demonstrated that the suppression of toll-like receptor 4 (TLR4) using small interfering RNA (siRNA) markedly reduced the phosphorylation of ERK, p38, JNK, and IκBα, concomitant with a significant decrease in IL-6 and IL-8 secretion. Conversely, disruption of Toll-like receptor 2 (TLR2) abrogated the CT622-induced upregulation of IL-8 and ERK activation, whereas IL-6 expression and p38, JNK, and IκBα phosphorylation were unaffected. CONCLUSIONS: Taken together, these results indicate that CT622 contributes to the inflammatory response through the TLR2/TLR4-mediated MAPKs/NF-κB pathway, which provides insight into the molecular pathology of Chlamydia trachomatis infection.
作者机构：
[Xu, Xiaofeng; Li, Wanying; Qiao, Ximin; Xu, Chan] Xianyang Cent Hosp, Clin Med Res Ctr, Xianyang, Peoples R China.;[Zhou, Qian] First Peoples Hosp Chong Qing Liang Jiang New Area, Dept Resp & Crit Care Med, Chongqing, Peoples R China.;[Liu, Wencai] Nanchang Univ, Affiliated Hosp 1, Dept Orthopaed Surg, Nanchang, Peoples R China.;[Li, Wenle] Xiamen Univ, Mol Imaging & Translat Med Res Ctr, State Key Lab Mol Vaccinol & Mol Diagnost, Xiamen, Peoples R China.;[Dong, Shengtao] Dalian Med Univ, Affiliated Hosp 2, Dept Spine Surg, Dalian 116000, Peoples R China.
关键词：
Introduction;Materials and Methods;Results;Discussion;Conclusion;Abstract;Data Availability;Additional Points;Ethical Approval;Consent;Disclosure;Conflicts of Interests;Authors’ Contributions;Funding Statement;Acknowledgements;Acknowledgments;Supplementary Materials;Reference;Dataset Description;Dataset Files;Abstract;Introduction;Introduction and Materials;Introduction and Methods;Materials;Materials and Methods;Methods;Results;Discussion;Results and Discussion;Discussion and Conclusion;Results and Conclusion;Conclusion;Conclusions;Data Availability;Additional Points;Ethical Approval;Consent;Disclosure;Conflicts of Interest;Authors’ Contributions;Funding Statement;Acknowledgements;Supplementary Materials;References;Appendix;Abbreviations;Preliminaries;Introduction and Preliminaries;Notation;Proof of Theorem;Proofs;Analysis of Results;Examples;Numerical Example;Applications;Numerical Simulation;Model;Model Formulation;Systematic Palaeontology;Nomenclatural Acts;Taxonomic Implications;Experimental;Synthesis;Overview;Characterization;Background;Experimental;Theories;Calculations;Model Verification;Model Implementation;Geographic location;Study Area;Geological setting;Data Collection;Field Testing;Data and Sampling;Dataset;Literature Review;Related Works;Related Work;System Model;Methods and Data;Experimental Results;Results and Analysis;Evaluation;Implementation;Case Presentation;Case Report;Search Terms;Case Description;Case Series;Background;Limitations;Additional Points;Case;Case 1;Case 2 etc.;Concern Details;Retraction Details;Copyright;Related Articles
摘要：
OBJECTIVE: To establish and verify the clinical prediction model of lung metastasis in renal cancer patients. METHOD: Kidney cancer patients from January 1, 2010, to December 31, 2017, in the SEER database were enrolled in this study. In the first section, LASSO method was adopted to select variables. Independent influencing factors were identified after multivariate logistic regression analysis. In the second section, machine learning (ML) algorithms were implemented to establish models and 10-foldcross-validation was used to train the models. Finally, receiver operating characteristic curves, probability density functions, and clinical utility curve were applied to estimate model's performance. The final model was shown by a website calculator. RESULT: Lung metastasis was confirmed in 7.43% (3171 out of 42650) of study population. In multivariate logistic regression, bone metastasis, brain metastasis, grade, liver metastasis, N stage, T stage, and tumor size were independent risk factors of lung metastasis in renal cancer patients. Primary site and sequence number were independent protection factors of LM in renal cancer patients. The above 9 impact factors were used to develop the prediction models, which included random forest (RF), naive Bayes classifier (NBC), decision tree (DT), xgboost (XGB), gradient boosting machine (GBM), and logistic regression (LR). In 10-foldcross-validation, the average area under curve (AUC) ranked from 0.907 to 0.934. In ROC curve analysis, AUC ranged from 0.879-0.922. We found that the XGB model performed best, and a Web-based calculator was done according to XGB model. CONCLUSION: This study provided preliminary evidence that the ML algorithm can be used to predict lung metastases in patients with kidney cancer. This low cost, noninvasive and easy to implement diagnostic method is useful for clinical work. Of course this model still needs to undergo more real-world validation.
作者机构：
[Ma, Q.; Liu, H.; Liu, Y.; Guo, Z.] Univ South China, Sch Nursing, Hengyang, Peoples R China.;[Guo, Z.] Univ South China, Inst Pharm & Pharmacol, Hengyang, Peoples R China.
通讯机构：
[Z. Guo] S;School of Nursing, University of South China, Hengyang, China<&wdkj&>Institute of Pharmacy and Pharmacology, University of South China, Hengyang, China
摘要：
Objective: This study aimed to systematically clarify attitudes and influencing factors of the public toward COVID-19 vaccination for children or adolescents. Study design: This was a scoping review. Methods: This scoping review screened, included, sorted, and analyzed relevant studies on COVID-19 vaccination for children or adolescents before December 31, 2021, in databases, including PubMed, Elsevier, Web of Science, Cochrane Library, and Wiley. Results: A total of 34 studies were included. The results showed that the public's acceptance rate toward COVID-19 vaccination for children or adolescents ranged from 4.9% (southeast Nigerian mothers) to 91% (Brazilian parents). Parents' or adolescents' age, gender, education level, and cognition and behavior characteristics for the vaccines were the central factors affecting vaccination. The vaccine's safety, effectiveness, and potential side-effects were the main reasons affecting vaccination. Conclusions: Realizing current public attitudes of COVID-19 vaccination for adolescents or children can effectively develop intervention measures and control the pandemic as soon as possible through herd immunity. (c) 2022 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
摘要：
Objectives: This study aimed to construct a model based on different N6-methyladenosine (m6A) regulatory factors involved in reducing the risk of the development of cardiovascular diseases under conditions of aerobic exercise. Methods: We screened for significantly different expressions of m6A regulators from the GSE66175 data -set. Five candidate m6A regulators were identified using the random forest model to predict aerobic exercise -mediated fat loss and reduction of the risk of cardiovascular disease. A nomogram model was established for analysis, and the consensus clustering method was used to distinguish between the two m6A clusters (clusters A and B). The single-sample gene set-enrichment analysis method was used to assess the abundance of immune cells in the samples related to cardiovascular anomalies. We determined the relationship between the functions of 29 immune cells and m6A clusters. Results: Twelve significantly and differentially expressed m6A regulators in the control and aerobic exercise groups were screened out, and it was observed that METTL13 correlated positively with the expression levels of the YTH domain containing 1 (YTHDC1), YTH N (6)-methyl adenosine RNA binding protein 1, and leucine-rich pentatricopeptide repeat-containing. The fat mass and obesity-associated gene negatively correlated with YTHDC1 and the fragile X mental retardation 1 protein. The random forest and support vector machine models were used to screen the ELAV-like RNA binding protein 1 (ELAVL1), RNA binding motif protein 15B (RBM15B), insulin-like growth factor binding protein 1 (IGFBP1), Wilms tumor 1-associated protein (WTAP), and zinc finger CCCH-type containing 13 (ZC3H13) genes. Analysis of the line graph model and the results obtained using decision curve analysis revealed the efficiency of the model. Gene ontology enrichment analysis was used to analyze the m6A regulatory gene model, and the results suggested that it was associated with RNA splicing. The results obtained using the Kyoto Encyclopedia of Genes and Genomes enrichment analysis method suggests that the genes were associated with Alzheimer's disease and neurodegeneration pathways associated with multiple diseases. The m6A regulatory gene model was associated with most of the immune cells infiltrating tumors and was also closely related to genes associated with lipid metabolism. Conclusions: The m6A regulatory factor plays an important role in reducing the risk of cardiovascular disease under conditions of aerobic exercise-assisted weight loss. It is also associated with the metabolic pathways of low-density lipoprotein, high-density lipoprotein, and triglyceride.
作者机构：
[Zhang, Xin; Feng, Tingting; Liu, Huaping] Chinese Acad Med Sci & Peking Union Med Coll, Sch Nursing, 33 Ba Chu Rd, Beijing 100144, Peoples R China.;[Tan, Lingling] Univ South China, Dept Nursing, Affiliated Hosp 2, Hengyang, Hunan, Peoples R China.;[Su, Yuanyuan] Univ South China, Sch Nursing, Hengyang, Hunan, Peoples R China.
通讯机构：
[Liu, Huaping] S;School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, 33 Ba Da Chu Rd. Shijingshan District, 100144, Beijing, China.
关键词：
Near-miss;Organizational learning;Nursing organization;Mixed methods study
摘要：
BACKGROUND: Near-miss organizational learning is important for perspective and proactive risk management. Although nursing organizations are the largest component of the healthcare system and act as the final safety barrier, there is little research about the current status of near-miss organizational learning. Thus, we conducted this study to explore near-miss organizational learning in a Chinese nursing organization and offer suggestions for future improvement. METHODS: This was a mixed methods study with an explanatory sequence. It was conducted in a Chinese nursing organization of a tertiary hospital under the guidance of the 4I Framework of Organizational Learning. The quantitative study surveyed 600 nurses by simple random sampling. Then, we applied purposive sampling to recruit 16 nurses across managerial levels from low-, middle- and high-scored nursing units and conducted semi-structured interviews. Descriptive statistics, structured equation modelling and content analysis were applied in the data analysis. The Good Reporting of A Mixed Methods Study (GRAMMS) checklist was used to report this study. RESULTS: Only 33% of participants correctly recognized near-misses, and 4% of participants always reported near-misses. The 4I Framework of Organizational Learning was verified in the surveyed nursing organization (χ(2) = 0.775, p = 0.379, RMSEA < 0.01). The current organizational learning behaviour was not conducive to near-miss organizational learning due to poor group-level learning (β(GG) = 0.284) and poor learning absorption (β(Misalignment)= -0.339). In addition, the researchers developed 13 codes, 9 categories and 5 themes to depict near-miss organizational learning, which were characterized by nurses' unfamiliarity with near-misses, preferences and the dominance of first-order problem-solving behaviour, the suspension of near-miss learning at the group level and poor learning absorption. CONCLUSION: The performance of near-miss organizational learning is unsatisfactory across all levels in surveyed nursing organization, especially with regard to group-level learning and poor learning absorption. Our research findings offer a scientific and comprehensive description of near-miss organizational learning and shed light on how to measure and improve near-miss organizational learning in the future.
摘要：
The uterus is the core place for breeding new life. The balance and imbalance of uterine microecology can directly affect or even dominate the female reproductive health. Emerging data demonstrate that endometrial microbiota, endometrium and immunity play an irreplaceable role in regulating uterine microecology, forming a dynamic iron triangle relationship. Up to nowadays, it remains unclear how the three factors affect and interact with each other, which is also a frontier topic in the emerging field of reproductive tract microecology. From this new perspective, we aim to clarify the relationship and mechanism of the interaction of these three factors, especially their pairwise interactions. Finally, the limitations and future perspectives of the current studies are summarized. In general, these three factors have a dynamic relationship of mutual dependence, promotion and restriction under the physiological or pathological conditions of uterus, among which the regulatory mechanism of microbiota and immunity plays a role of bridge. These findings can provide new insights and measures for the regulation of uterine microecology, the prevention and treatment of endometrial diseases, and the further multi-disciplinary integration between microbiology, immunology and reproductive medicine.
作者机构：
[Liu, Xiao-Min; Zhou, Jun; Zhu, Hong; Zeng, Ying; Xiao, Shuai; Huang, Guo; Cao, Deliang; Zeng, Xi; Zeng, Wei-Hong] Univ South China, Canc Res Inst, Hengyang Med Sch, Hunan Prov Key Lab Tumor Cellular & Mol Pathol, Hengyang 421001, Hunan, Peoples R China.;[Zeng, Ying] Univ South China, Sch Nursing, Hengyang Med Sch, Dept Int & Humanist Nursing, Hengyang 421001, Hunan, Peoples R China.;[Liu, Xiao-Min; Zhou, Jun; Zhu, Hong; Xiao, Shuai; Huang, Guo; Cao, Deliang; Zeng, Xi; Zeng, Wei-Hong] Univ South China, Affiliated Hosp 1, Hengyang Med Sch, Dept pathol, Hengyang 421001, Hunan, Peoples R China.
通讯机构：
[Zeng, Y.; Cao, D.] H;Hunan Province Key Laboratory of Tumor Cellular & Molecular Pathology, Hunan, China
关键词：
NP-40;Western blot;agarose beads;co-immunoprecipitation;cytoplasmic and nuclear protein extraction;nonspecific binding proteins;nuclear proteins;osmotic pressure;preclear;protein–protein interactions
摘要：
METHOD SUMMARYCo-immunoprecipitation is a common method for investigation of protein-protein interactions. However, according to published protocols, it is unclear whether the protein samples should be pretreated with the beads to remove nonspecific binding proteins. The authors investigated the effects of bead types, ion concentrations, NP-40 and pretreatment steps on nonspecifically bound proteins to minimize false positives. Whether protein samples should be pretreated to remove nonspecific binding proteins in co-immunoprecipitation (CO-IP) is controversial. In this work, nonspecific binding of proteins to agarose beads was found to be greater than that to magnetic beads. The nonspecific binding was increased with the decrease of ion concentrations but reduced by Nonidet P40. Western blot indicated that p65 and beta-actin were present as nonspecifically bound protein to the beads. p53 and beta-actin were present in the CO-IP precipitates of nuclear proteins but pretreatment cleared the nonspecifically pulled down p53 and beta-actin. These data suggest that magnetic beads are better for CO-IP, but preclearing is necessary to minimize false positive regardless of which bead is used, particularly for nuclear proteins.
期刊：
BMC Medical Education,2022年22(1):1-9 ISSN：1472-6920
通讯作者：
Liu, Y.;Liao, L.
作者机构：
[Su, Yinhua; Liao, Li; Zhao, Ling] Univ South China, Sch Nursing, West Changsheng Rd 28, Hengyang 421001, Hunan, Peoples R China.;[Jiang, Na; Zhou, Fanhua] Xiangnan Univ, Sch Nursing, Chenzhou, Hunan, Peoples R China.;[Liu, Yannan] Hunan Univ Med, Sch Nursing, Huaihua, Hunan, Peoples R China.
通讯机构：
[Liao, L.] U;[Liu, Y.] S;School of Nursing, Hunan Province, China;University of South China School of Nursing, West Changsheng Road #28, Hunan Province, China
关键词：
Professional commitment;Perceived stress;Internship;Nursing students;Clinical instructors
期刊：
FRONTIERS IN SURGERY,2022年9:899033 ISSN：2296-875X
通讯作者：
Zhang, J.
作者机构：
[Yu, Yizhi; Xia, You] First Hosp Changsha, Nursing Dept, Changsha, Peoples R China.;[Fan, Xiaoyan] First Hosp Changsha, Internet Hosp Off, Changsha, Peoples R China.;[Chen, Yong] Hunan Canc Hosp, Early Clin Res Ctr, Changsha, Peoples R China.;[Li, Chengjuan] Univ South China, Sch Nursing, Hengyang, Peoples R China.;[Zhang, Jing] Hunan Canc Hosp, Dept Thorac Med 2, Changsha, Peoples R China.
通讯机构：
[Zhang, J.] S;Second Department of Thoracic Medicine, Hunan Cancer Hospital, Changsha City, China
关键词：
lung cancer radical operation;psychological nursing procedure;negative emotion;stress state;Quality of Life;nursing satisfaction
作者机构：
[Gong, Youwen] Univ South China, Sch Nursing, Hengyang Med Sch, Hengyang, Hunan, Peoples R China.;[Chen, Yongyi; Yang, Renting; Yan, Yixia; Zheng, Hongling; Cheng, Qinqin] Hunan Canc Hosp, Dept Nursing, Changsha, Hunan, Peoples R China.;[Xu, Xianghua] Hunan Canc Hosp, Dept Hlth Serv Ctr, Changsha, Hunan, Peoples R China.
通讯机构：
[Xu, Xianghua; Chen, Yongyi] D;Department of Nursing, Hunan Cancer Hospital, Changsha, Hunan, China 16962508@qq.com;Department of Health Service Center, Hunan Cancer Hospital, Changsha, Hunan, China 16962508@qq.com
期刊：
Risk Management and Healthcare Policy,2022年15:1473-1481 ISSN：1179-1594
通讯作者：
Jingfang Chen
作者机构：
[Gui, Min; Chen, Jingfang; Liu, Linlin; Jiang, Youli] Univ South China, Hengyang Med Sch, Sch Nursing, Hengyang, Peoples R China.;[Luo, Lan; Zhang, Peize; Lin, Yi; Deng, Guofang] Third Peoples Hosp Shenzhen, Dept Pulm Med & TB, Shenzhen, Peoples R China.;[Luo, Lan; Chen, Jingfang; Zhang, Peize; Lin, Yi; Deng, Guofang] Southern Univ Sci & Technol, Peoples Hosp Shenzhen 3, Natl Clin Res Ctr Infect Dis, Affiliated Hosp 2, Shenzhen, Peoples R China.
通讯机构：
[Jingfang Chen] H;Hengyang Medical School, School of Nursing, University of South China, Hengyang, People’s Republic of China<&wdkj&>National Clinical Research Center for Infectious Diseases, The Third People’s Hospital of Shenzhen, The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, People’s Republic of China
关键词：
tuberculosis;diagnosis;delay;patient delay;health system delay
