The Journal of practical nursing最新文献

{"title":"Nurse-led evidence-based nursing practice of reducing pulmonary complications among patients after thoracic surgery","authors":"Zhang Xueyan, Wang Na, Y. Zhou, Fei-fei Li, Sun Yong-guang, Xiaoyan Xu, Dongmei Li","doi":"10.3760/CMA.J.CN211501-20190809-02260","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190809-02260","url":null,"abstract":"Objective \u0000To carry out nurse-led evidence-based practices to reduce the incidence of pulmonary complications of patients after thoracic surgery. \u0000 \u0000 \u0000Methods \u0000A multidisciplinary team was set up. The best evidence-based interventions were obtained by adopting evidence-based nursing procedures and were implemented in the clinical practice after localization. Based on the evidence, examination standards were established, and obstacles and promoting factors in the implementation process were evaluated. Then action strategies were formulated to regulate medical staff′s clinical practice. The patients′ incidence of pulmonary complications, pulmonary function indicators, patient satisfaction and pulmonary rehabilitation knowledge and medical staff′s compliance with examination standards were compared before and after the application of the best evidence. \u0000 \u0000 \u0000Results \u0000After the application of the best evidence, the incidence of pulmonary complications decreased from 18.2%(6/33) to 0 (χ2 value was 4.264, P < 0.05). The pulmonary indicators of FEV1/FVC, breath holding test and six minute walking test were (76.1±3.3)%, (27.2±1.5) s and (522.6±13.0) m before the application of best evidence, respectively, and (82.7±2.8)%, (31.0±5.3) s and (561.5±16.4) m after the application of best evidence, respectively. The differences were all statistically significant (t value was -8.600, -3.007, 10.542, P < 0.01). Meanwhile the medical staff′s compliance with the 10 examination standards were all increased to over 85% after the implementation of the best evidence (χ2 value was 16.834-64.000, P<0.01). Patients′ pulmonary rehabilitation knowledge was 24.2%(8/33) and 83.9% (26/31) respectively before and after the application of the best evidence, the difference was statistically significant (χ2 value was 22.823, P<0.01). Patients′ satisfaction improved. \u0000 \u0000 \u0000Conclusions \u0000By applying the best evidence, nurse-led multidisciplinary team can reduce the incidence of pulmonary complications and improve the care quality for patients after thoracic surgery. \u0000 \u0000 \u0000Key words: \u0000Nurse-led; Multidisciplinary team; Evidence-based nursing; Pulmonary complications","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"21 1","pages":"728-735"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82811193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study to Determine Learning Style Preferences Among Nursing Students at Selected College of Nursing, Ratnagiri, Maharastra","authors":"Meenaxi R Devangamath","doi":"10.21088/ijpn.2347.7083.8120.4","DOIUrl":"https://doi.org/10.21088/ijpn.2347.7083.8120.4","url":null,"abstract":"","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"54 1","pages":"25-28"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84685821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of post-abortion care in the immediate contraception after the induced abortion","authors":"Xinbo Liu","doi":"10.3760/CMA.J.CN211501-20190514-01331","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190514-01331","url":null,"abstract":"Objective \u0000To discuss the influence of post-abortion care (PAC) in the long-term immediate contraception after the induced abortion. \u0000 \u0000 \u0000Methods \u0000A total of 9 025 child-bearing women of receiving the induced abortion and conventional nursing care from January 2017 to December 2017 in Dalian Maternal and Child Health Hospital were selected as control group and 9 048 child-bearing women of receiving the induced abortion and PAC from January 2018 to December 2018 were selected as study group. The contraception conditions and repeated abortion rate were compared. \u0000 \u0000 \u0000Results \u0000Before surgery, the contraception conditions between two groups was not significantly different (P>0.05). After surgery, the request rate of contraception in study group (76.65%, 6 935/9 048) was higher than that of control group (55.63%, 5 021/9 025), the difference was significant (χ2 value was 9.865, P<0.05). After 6 months of surgery, the non-contraception rate in study group (12.04%, 1 089/9 048) was lower than before surgery(58.74%, 5 315/9 048); the non-contraception rate in control group (35.66%, 3218/9 025) was lower than before surgery(61.21%, 5 524/9 025); there was significant difference after 6 months between two groups (χ2 value was 16.453, P<0.05). After 3 months and 6 months of surgery, the repeated abortion rate in study group was 0.11% (10/9 048) and 0.46% (42/9 048), which was significantly lower than control group (3.97%, 358/9 025 and 5.06%, 457/9 025), the difference was significant (χ2 value was 3.728, 3.942, P<0.05). \u0000 \u0000 \u0000Conclusions \u0000PAC has high application value, which can improve their self-protection awareness, reduce the repeated abortion rate and guarantee the reproductive health. It is worthy of clinical promotion. \u0000 \u0000 \u0000Key words: \u0000Post-abortion care; Outpatient clinics; Induced abortion; Contraception","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"71 5 1","pages":"765-768"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90719677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The establishment of ICU transitional care program","authors":"Rui Tai, Fang Fang, Fu Yang, R. Tao, Zheng Jia","doi":"10.3760/CMA.J.CN211501-20190911-02591","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190911-02591","url":null,"abstract":"Objective \u0000To establish ICU transitional care program. \u0000 \u0000 \u0000Methods \u0000Delphi method was used to interview 25 experts and two rounds of mailing interview were taken. \u0000 \u0000 \u0000Results \u0000The returning rates of two rounds of mailing were both 100%. The authority coefficient of the experts was 0.808, and coordination coefficient of experts′ opinion was 0.179. The program included 7 first level indexes, 8 second level indexes, and 40 third level indexes, including purpose, nursing object, implementer, time point, place, nursing content and evaluation indicators. According to different time points, it was divided to three phases: before, during, and after transfer from the ICU to a general ward. \u0000 \u0000 \u0000Conclusions \u0000The program developed in this study is scientific and reliable, which can provide some reference for the practice and research of ICU transitional care in China. \u0000 \u0000 \u0000Key words: \u0000Intensive care units; Transitional care; Delphi method","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"1 1","pages":"769-773"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91325596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of early predictive factors for invalidity of high flow nasal catheter oxygen therapy","authors":"Mingming Zhang, Yan Wang, Huichao Zhu, X. Zhang, Jun Lyu","doi":"10.3760/CMA.J.CN211501-20190820-02373","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190820-02373","url":null,"abstract":"Objective \u0000High-flow nasal cannula (HFNC) is a new method to treat adult respiratory distress. This study aims to explore the early predictors of the inefficiency of HFNC in patients with respiratory distress. \u0000 \u0000 \u0000Methods \u0000A total of 162 patients with respiratory distress were treated with HFNC oxygen therapy in the Department of Respiratory and Critical Care Medicine, Emergency and Critical Care Medicine. The age, sex, weight, history, diagnosis, vital signs, blood oxygen saturation/inhaled oxygen concentration (SpO2/FiO2, SF) ratio, and modified respiratory distress score (mRDAI) , duration of HFNC oxygen therapy, replacement of advanced oxygen therapy support time, adverse reactions and other data were extracted from the medical electronic medical records. \u0000 \u0000 \u0000Results \u0000A total of 154 valid samples were included, with a median age of 55 (inter-quartile range 47-72), including 59 patients (38.3%) with acute bronchiolitis, 64 patients (41.6%) with bacterial pneumonia, 31 patients (20.1%) with atypical or viral pneumonia; 129 patients (83.8%) with effective HFNC oxygen therapy and 25 patients (16.2%) with ineffective HFNC oxygen therapy. SF ratio in ineffective HFNC oxygen therapy patients at admission was lower, pH value was lower, partial pressure of carbon dioxide was higher (P values were 0.008, 0.012, 0.001). RR, mRDAI score and SF ratio in the first hour of effective HFNC oxygen therapy patients improved significantly (t values were 1.732, 9.783, 37.591, P<0.05 or 0.01). SF ratio in the first hour of HFNC was lower than 195 (area under curve 0.842, 95%CI 0.743-0.942, P<0.01). It was the critical value for the ineffectiveness of oxygen therapy. \u0000 \u0000 \u0000Conclusions \u0000When patients with respiratory distress are supported by HFNC oxygen therapy, the lower initial fingertip oxygen saturation, higher blood gas arterial partial pressure of carbon dioxide and lower SF ratio are the early predictors of failure of HFNC oxygen therapy. \u0000 \u0000 \u0000Key words: \u0000Respiratory distress; High flow oxygen therapy; Blood oxygen saturation/inhaled oxygen concentration ratio; Predictors","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"9 1","pages":"721-727"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87363171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intervention effect of three-line relaxation method on the fear of childbirth and pregnancy outcome in primipara","authors":"J. Shen","doi":"10.3760/CMA.J.CN211501-20191010-02844","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20191010-02844","url":null,"abstract":"Objective \u0000To investigate the effect of three-line relaxation method on the fear of childbirth and pregnancy outcome in primipara, to explore the useful method to prevent childbirth fear of primipara. \u0000 \u0000 \u0000Methods \u0000A total of 94 cases of primipara who had regular prenatal care at Rizhao Maternal and Child Health Care Hospital from June 2017 to June 2018 were divided into study group and control group with 47 cases each by random number table method. Participants in the control group received routine nursing, while the study group carried out Lamaze respiratory delivery-based three-line relaxation method. The fear of childbirth was investigated by Wijma Delivery Expectancy Questionnaire (W-DEQ-A) before intervention, 4 weeks of intervention and before delivery, the anxiety was assessed by Pregnancy-Related Anxiety Questionnaire (PAQ). Meanwhile, the pregnancy and neonatal outcome was also compared between two groups. \u0000 \u0000 \u0000Results \u0000After 4 weeks of intervention and before delivery, the W-DEQ-A scores were (74.73±7.48) and (80.32±9.25) points in the study group, lower than in the control group (83.11±12.19) and (87.11±10.22) pionts; the PAQ scores were (20.79±4.04) and (18.68±4.09) points, also lower than in the control group (24.74±4.69) and (23.22±4.11) points, the difference was statistically significant (t value was 3.301-5.246, P<0.01). The duration of labor and the rate of caesarean section were (11.66±3.71) h, 6.82% (3/44) and (15.39±4.27) h, 21.74% (10/46) in the study group and control group, respectively, the difference was statistically significant (t value was 4.417, χ2 value was 4.051, P<0.01 or 0.05). \u0000 \u0000 \u0000Conclusions \u0000Lamaze respiratory delivery-based three-line relaxation method can reduce anxiety and childbirth fear and improve pregnancy outcome of primipara, which is worthy of popularization and application. \u0000 \u0000 \u0000Key words: \u0000Three-line relaxation method; Lamaze respiratory care; Fear of childbirth; Pregnancy outcome; Primipara","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"25 1","pages":"741-746"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79707270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of warming carbon dioxide pneumoperitoneum on the prognosis of patients undergoing pancreaticoduodenectomy by Da Vinci robot","authors":"Yuan Chen, Jiefang Shen, Qianjian Qian, Wang Wei, Gong Rujie","doi":"10.3760/CMA.J.CN211501-20190514-01325","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190514-01325","url":null,"abstract":"Objective \u0000To study the effect of heated carbon dioxide pneumoperitoneum on the prognosis of patients undergoing pancreaticoduodenectomy by Da Vinci robot. \u0000 \u0000 \u0000Methods \u0000A total of 307 patients who underwent pancreaticoduodenectomy by Da Vinci robot from January 2016 to December 2018 were selected as subjects. 140 patients who underwent pancreaticoduodenectomy from January 2016 to April 2017 were selected as the control group, and room temperature carbon dioxide pneumoperitoneum was used. From May 2017 to December 2018, 167 patients were set as the intervention group, and heated carbon dioxide pneumoperitoneum was used. Body temperature, heart rate and blood oxygen saturation of the two groups were compared after entering the operating room, before anesthesia, before the establishment of carbon dioxide pneumoperitoneum and after the closure of carbon dioxide pneumoperitoneum, and the duration of operation, intraoperative blood loss, postoperative anesthesia recovery time, hospitalization time and postoperative complication rate were recorded. \u0000 \u0000 \u0000Results \u0000There was no significant difference in body temperature after entering the operating room, before the establishment of carbon dioxide pneumoperitoneum between the two groups (P>0.05). After the closure of carbon dioxide pneumoperitoneum, the decline range of the body temperature of the control group was(1.24±2.36) ℃, which was significantly higher than that of the intervention group (0.60±0.25) ℃, and the difference was statistically significant (t value was 6.892, P 0.05). The intraoperative blood loss, resuscitation time, drainage time was (291.08±265.42) ml, (27.04±10.89) min, (8.69±6.64) d in the intervention group and (364.29±309.28) ml, (32.60±12.17) min, (10.76±6.25) d in the control group, and the difference was statistically significant (t value was 2.232, 7.294, 2.789, P<0.05 or 0.01). There was statistically significant difference in The incidence of pancreatic fistula and biliary fistula, and length of hospital stay was 20 cases, 7 cases, (27.62±17.30) d in the intervention group, and 31 cases, 15 cases, (32.38±12.22) d in the control group, and the difference was statistically significant (χ2 value was 4.653, 4.870, t value was 6.284, P<0.05). \u0000 \u0000 \u0000Conclusions \u0000Warming carbon dioxide pneumoperitoneum can reduce the incidence of perioperative hypothermia and improve the prognosis of patients undergoing pancreaticoduodenectomy by Da Vinci robot. \u0000 \u0000 \u0000Key words: \u0000Warming carbon dioxide pneumoperitoneum; Da Vinci robot; Pancreaticod-uodenectomy; Prognosis; Hypothermia","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"20 1","pages":"761-764"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90391918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A status survey on clinical teaching towards postgraduates of master of nursing specialist in China","authors":"J. Jiao, Yanjun Chen, Jing Cao, Yu Wang, D. Shang, Yule Li, Xinjuan Wu","doi":"10.3760/CMA.J.CN211501-20190927-02753","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190927-02753","url":null,"abstract":"Objective \u0000To investigate the current status of clinical teaching towards postgraduates of master of nursing specialist(MNS) in China. \u0000 \u0000 \u0000Methods \u0000Objective sampling was used to invest 390 MNS clinical nursing teachers in 36 hospitals across the country. The survey included the admission and evaluation criteria of teachers, the MNS postgraduates′ clinical teaching plan and implementation, and the assessment of MNS postgraduate′s clinical practice ability, etc. \u0000 \u0000 \u0000Results \u0000Among the criteria for clinical teachers for MNS postgraduates, 79.49% of departments required bachelor′s degree or above, and 67.18% of departments requested medium-grade professional title or above; 47.44% of the departments demanded that clinical teachers had the research experience, 58.21% departments asked for the experience of articles publication. The main method of selecting clinical teaching teachers was examination (50%), while 31.28% departments had no definite criteria. The evaluation indicators of clinical teachers mainly depended on the results of students′ clinical practice capability assessment (81.79%) and students′ satisfaction (80%). Only 49.23% of the study objects knew the training objectives of MNS. The pivotal abilities of MNS graduate students were the ability of clinical nursing practice (91.79%) and clinical research (82.82%). The MNS postgraduate teaching plan of each department was mainly derived from the requirements of tutors and colleges (87.69%). The mode of clinical teaching was that one student was guided by a fixed clinical teacher (87.18%). Clinical practice assessment methods of MNS mainly included theoretical knowledge assessment (88.46%) and the performance of section lectures (82.56%). The assessment personnel were mainly clinical teachers (95.40%) and head nurses (83.51%). The self-assessment of clinical teachers was rated at the medium level about their performance on the postgraduate MNS students′ clinical teaching. \u0000 \u0000 \u0000Conclusions \u0000The homogenization and standardization of the construction of MNS clinical teaching base needs to be improved in China. In the field of defining the criteria of clinical teaching teachers, strengthening the construction of clinical faculty, perfecting the clinical teaching plan and evaluation system according to the cultivation objectives and specialist characteristics, and elevating the comprehensive medical education combined with clinical education and college education, further exploration is indispensable. \u0000 \u0000 \u0000Key words: \u0000Master of nursing specialist; Clinical teaching; Status survey","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"51 3 1","pages":"784-790"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83846919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing care of patients with cardiogenic shock combined with acute respiratory distress syndrome treated by extracorporeal membrane oxygenation and transferred outer-hospital in long distance","authors":"Wei-zhong Wang, Hongli Ma, Zhijuan Wang, Yaoying Zhou, Jiandi Yu, Chun-Yan Wu","doi":"10.3760/CMA.J.CN211501-20190512-01302","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190512-01302","url":null,"abstract":"Objective \u0000To summarize the nursing experience in 2 patients with cardiogenic shock combined with acute respiratory distress syndrome(ARDS) treated by extracorporeal membrane oxygenation (ECMO) and transferred outer-hospital in long distance. \u0000 \u0000 \u0000Methods \u0000There were many risk factors in this transport: high parameters of ECMO included V-A mode, 100% oxygen, and a flow of oxygen from 6 L/min to 10 L/min. High ventilator parameters included oxygen concentration of 100% and positive end-expiratory pressure of 15-17 cmH2O(1 cmH2O=0.098 kPa). Transport distance was up to 196 km. And the transport time was up to 2 h 36 min. In this regard, we carried out adequate preparations before transport and professional cares during transport. The main points were as follows: setted up a professional transport team; prepared adequate power and oxygen supply; reduced the number of interruption of ECMO and ventilator support during transport; provided the reasonable remedial actions when ECMO and ventilator support were interrupted. \u0000 \u0000 \u0000Results \u0000Two patients arrived at the destination safely. \u0000 \u0000 \u0000Conclusions \u0000Adequate preparations before transport and professional cares during transport could effectively avoid and respond to the occurrence of adverse events, and it is feasible and safe to patients supported by ECMO for long distance outer-hospital transport. \u0000 \u0000 \u0000Key words: \u0000Extracorporeal membrane oxygenation; Cardiogenic shock; Acute respiratory distress syndrome; Patient transfer","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"32 1","pages":"774-777"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77255047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge & Awareness of Student Nurses’ Regarding Hospital Infection Control Policies","authors":"Neera Bansal","doi":"10.21088/ijpn.2347.7083.8120.2","DOIUrl":"https://doi.org/10.21088/ijpn.2347.7083.8120.2","url":null,"abstract":"","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"111 1","pages":"13-16"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76675024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}