Objective To investigate the chain mediating effect of job satisfaction and flourishing on the relationship between perception of decent work and turnover intention among junior nurses. Methods A cross-sectional survey was conducted from February to April 2025 using a convenience sampling method. A total of 373 junior nurses from four hospitals in Henan Province were recruited. Participants completed the general demographic questionnaire, the flourishing scale, job satisfaction scale, decent work perception scale, and turnover intention questionaire. A chain mediation model was constructed to analyze the relationships among these variables. Results The mean scores for job satisfaction, flourishing, decent work perception, and turnover intention were 56.22±9.95, 39.87±9.05, 52.23±6.03, and 13.00(10.00,16.00) points, respectively. Perception of decent work, job satisfaction, and flourishing were all significantly negatively correlated with turnover intention (all P<0.01). The total indirect effect of perception of decent work on turnover intention was-0.521. Specifically, the independent mediating effect of job satisfaction accounted for 39.47% of the total effect, the independent mediating effect of flourishing accounted for 19.08%, and the chain mediating effect of job satisfaction and flourishing accounted for 27.14%. Conclusion Job satisfaction and flourishing play a significant chain mediating role in the relationship between perception of decent work and turnover intention among junior nurses. Hospital administrators should focus on enhancing junior nurses′ perception of decent work, which can subsequently improve their job satisfaction and flourishing levels, thereby reducing turnover intention and stabilizing the nursing workforce.

Objective To define the conceptual structure and key characteristics of head nurses′ learning agility using the Rodgers′ evolutionary concept analysis method, clarify its antecedents and consequences, so as to provide theoretical support for scale development, training program formulation and intervention research. Methods Articles related to the learning agility of head nurses were searched in domestic and international guideline websites,databases, and professional platforms, with the time setting between December 1, 2000 and August 9, 2025. Two researchers independently screened out 32 articles. Results The learning agility of a head nurse was a dynamic management ability based on experiential learning, consisting of seven core attributes including metacognitive leadership, strategic adaptability, rapid decision-making capability, reflective management, team empowerment ability, cross-department collaboration ability and innovation capability. Its antecedents encompassed both individual traits and the organizational environment, including perceptual ability, learning engagement, creativity, spontaneity, the clinical setting, leadership support, and work experience. Its consequences were primarily manifested as improved nursing quality, enhanced nursing team collaboration, and reduced team turnover rate. Conclusion Clarifying the concept of learning agility in nurse managers helps establish a theoretical foundation for the development of targeted training programs and assessment tools. Future research should concentrate on the creation and validation of measurement scales, the implementation of concept-based interventions, and the evaluation of their applicability and effectiveness across diverse cultural contexts.

Objective To investigate the impact of workplace ostracism on ego depletion and knowledge hiding behavior among nurses in private hospitals, and to explore the underlying mediating mechanisms. Methods A cross-sectional questionnaire survey was conducted among nurses in private hospitals. Data were collected using a general demographic questionnaire, the workplace ostracism scale, the ego depletion scale, and the knowledge hiding scale. The following statistical analysis was performed using R software (version 4.5.1). Results Workplace ostracism (β=0.733, P<0.001) and ego depletion (β=0.530, P<0.001) were significant positive predictors of knowledge hiding behavior among nurses in private hospitals. Furthermore, ego depletion played a partial mediating role in the relationship between workplace ostracism and knowledge hiding. Conclusion Workplace ostracism in private hospitals may induce knowledge hiding behavior among nurses by exacerbating ego depletion. Hospital administrators should prioritize enhancing organizational support and psychological care to alleviate nurses′ ego depletion, thereby reducing their knowledge hiding behavior and improving overall organizational performance.

Objective To explore the application effect of the artificial intelligence-assisted question-answering system for neonatal home care in the continuous care of newborns. Methods A total of 118 neonates and their primary caregivers admitted to the department of neonatology at The Affiliated Children′s Hospital of Xiangya School of Medicine, Central South University, between January and August 2025 were selected as study participants. Subjects were assigned to groups based on the chronological order of admission. The control group consisted of 59 neonate-caregiver dyads admitted from January to April 2025, while the intervention group comprised 59 ones admitted in the following 4 months. Both groups received standard care, whereas the intervention group additionally underwent the generative AI-assisted neonatal home care question-and-answer system. The primary outcomes measured were the rate of unplanned hospital readmissions for neonates, the caregiving competence of the primary caregivers, and their satisfaction with nursing care. Results The scores for caregiver competence and nursing satisfaction were significantly higher in the intervention group compared to the latter (t=-19.784, P<0.001; χ²=25.949, P<0.001). Furthermore, the rate of unplanned hospital readmissions in the intervention group was significantly lower than that in the control group (χ²=12.907, P<0.001). Conclusion The implementation of a generative AI-assisted system can effectively reduce the rate of unplanned hospital readmissions for neonates and enhance both the caregiving competence and satisfaction of their primary caregivers. This approach holds significant value for clinical promotion and application.

Objective To evaluate the effectiveness of applying a smart bedside electronic screen information system in a cardiology ward. Methods A total of 200 patients admitted to the department of cardiology at the First People′s Hospital of Lyuliang between March and October 2025 were enrolled. Using a non-randomized controlled design based on admission periods, 100 patients admitted between March and June 2025 served as the control group(receiving routine care), while 100 patients admitted in the following two months constituted the intervention group(utilizing the smart bedside system). The timeliness of infusion replacement and skin test observation, scores for medication safety behaviors, and patient satisfaction were compared between the two groups. Results The intervention group demonstrated significantly higher timeliness rates for both infusion replacement and skin test observation compared to the control group(χ²=199.599,P＜0.001;χ²=20.148,P＜0.001). Furthermore, scores for medication safety behavior and patient satisfaction were significantly superior in the intervention group(t=-19.559,P＜0.001;t=-23.007,P＜0.001). Conclusion The implementation of an smart bedside electronic screen information system effectively improves the timeliness of nursing interventions such as infusion and skin test monitoring, enhances patient engagement in medication safety behaviors, and increases overall inpatient satisfaction.

Objective To evaluate the effectiveness of a training model combining multidisciplinary collaboration and video-based teaching for dental nurses. Methods A total of 24 nursing staff members from the department of endodontics and cariology at the Stomatological Hospital of Southern Medical University were selected in year 2023 and 2024. They underwent a training intervention involving multidisciplinary collaboration and video-based teaching. Pre-and post-intervention comparisons were made regarding theoretical knowledge scores, practical operation assessment scores, the integrity rate of dental instruments, and the qualified rate of instrument disposal. Results After the intervention, the nursing staff demonstrated significantly higher scores in both theoretical knowledge (t=7.121, P<0.001) and practical operations (t=4.948, P<0.001) compared to pre-intervention levels. Additionally, the qualified rate of instrument disposal and the integrity rate of dental instruments showed significant improvement (χ²=13.260, P<0.001; χ²=10.190, P<0.001). Conclusion The training mode integrating multidisciplinary collaboration with video-based teaching effectively enhances the theoretical knowledge and operational proficiency of dental nurses. It also improves the management quality of dental instruments and overall work performance, suggesting it is a valuable approach for nursing education.

Objective To identify the influencing factors of parenting concerns in cancer patients through a Meta-analysis, and to provide an evidence-based basis for clinical interventions. Methods Literature regarding the influencing factors of parenting concerns in cancer patients was systematically retrieved from Chinese and English databases, including China National Knowledge Infrastructure(CNKI), Wanfang, VIP, China Biomedical Literature Service System (CBM), PubMed, Web of Science, Cochrane Library, Embase, and CINAHL, from their inception to December 31, 2025. RevMan 5.3 software was used for data analysis. Results A total of 12 studies involving 2 648 participants were included, and 14 influencing factors were extracted. The Meta-analysis results indicated that marital status[MD=-14.80, 95%CI(-21.28, -8.33)], illness perception [β=0.21, 95%CI(0.13,0.29)], tumor stage[β=-0.86, 95%CI(-1.11, -0.61)], number of minor children[MD=-6.26, 95%CI(-9.66, -2.86)], education level [SMD=0.58, 95%CI(0.43, 0.74)], parenting sense of competence [β=-0.28, 95%CI(-0.44, -0.12)], marital cancer-related communication problems[β=0.59, 95%CI(0.12, 1.06)], family resilience [β=-0.18, 95%CI(-0.19, -0.17)], economic toxicity[β=-0.27, 95%CI(-0.41, -0.12)], and social support [β=-0.22, 95%CI(-0.38,-0.06)] were significant influencing factors of parenting concerns in cancer patients. Conclusion Parenting concerns in cancer patients are influenced by multidimensional factors, including disease-related, family, and psychosocial dimensions. Clinical interventions should comprehensively target modifiable factors such as illness perception, parenting sense of competence, marital cancer-related communication problems, family resilience, economic toxicity, and social support, to accurately reduce patients' levels of parenting concerns.

Objective To explore the composition of symptom clusters in patients with acute coronary syndrome (ACS), construct a symptom network, and identify core symptoms, thereby providing a theoretical basis for developing targeted symptom management strategies. Methods By using the convenience sampling method, 351 patients with acute coronary syndrome admitted to the department of cardiology of the General Hospital of Ningxia Medical University from April 2024 to April 2025 were selected as the research subjects. The general information questionnaire and the McSweeney acute and prodromal myocardial infarction symptom survey were used for the investigation. Symptom clusters were extracted through exploratory factor analysis, symptom networks were constructed using R language, and the centrality index was calculated. Results A total of three symptom clusters were extracted, namely the myocardial ischemia-radiating pain symptom cluster, the cardiogenic dyspnea-fatigue symptom cluster, and the neuropsychological symptom cluster. The cumulative variance contribution rate was 57.687%. The top three symptom incidences in ACS patients were extreme fatigue(71.8%), left chest pain (63.8%), and shortness of breath (62.1%) in sequence. The top three symptoms in terms of intensity centrality were upper chest pain (r_s=4.290), total chest pain (r_s=4.110), and acromial pain (r_s=4.000). Conclusion Patients with ACS experience multiple co-occurring, interrelated symptoms that form distinct clusters. Upper chest pain was identified as the most central symptom. Healthcare professionals should prioritize core symptoms and symptom incidence rates when formulating scientific and precise management strategies to implement targeted interventions.

Objective To compare the predictive performance of the national early warning score (NEWS), modified early warning score (MEWS), and rapid emergency medicine score (REMS) for prognosis in patients with severe pneumonia complicated by respiratory failure. Methods Clinical and nursing records of 258 patients with severe pneumonia complicated with respiratory failure admitted to the emergency intensive care unit (EICU) of our hospital from January 2023 to December 2025 were retrospectively analyzed. Receiver operating characteristic (ROC) curves were used to evaluate the predictive efficacy of the three scores for 28-day mortality, and mechanical ventilation rates were compared across different score intervals. Results ROC curve analysis showed that the areas under the ROC curve (AUC) of NEWS, MEWS, and REMS for predicting prognosis in these patients were 0.908 (95%CI:0.843~0.973), 0.827 (95%CI:0.706~0.948), and 0.792(95%CI:0.667~0.918), respectively. When NEWS≥7, MEWS≥5, and REMS≥17, the 28-day mortality rate was significantly elevated, and the corresponding mechanical ventilation rate was notably increased. Conclusion NEWS demonstrates superior predictive performance for 28-day mortality in patients with severe pneumonia complicated with respiratory failure compared with MEWS and REMS, and high scores are consistently associated with increased mechanical ventilation rates in the EICU. It can serve as a preferred tool for prognostic assessment and respiratory support triage in this patient population.

With the accelerating aging process in China, the geriatric capacity assessor has emerged as a vital new profession, playing a pivotal role in policy implementation, medical risk management, and multidisciplinary collaboration. However, assessors in general hospitals currently face significant challenges, including workforce shortages, limited professional competency, and inadequate institutional mechanisms. To address these issues, this paper proposes establishing a tiered assessment system with dedicated positions, developing a cross-disciplinary training and consultation framework, and constructing a "policy-payment-performance" tripartite support network. Through these systematic interventions, the current predicaments can be resolved, allowing the core value of geriatric capacity assessors to be fully realized. Ultimately, this will promote precise assessments, optimize resource allocation, and drive the high-quality development of medical services for the elderly.

Objective To conduct a comprehensive review of the application of therapeutic games in children with cancer, providing references for clinical practice and future research. Methods According to the scope review framework, studies related to the application of therapeutic games in children with cancer were systematically retrieved from PubMed, Embase, CINAHL, Web of Science, Cochrane Library, CNKI, Wanfang database and VIP database, with the time setting from inception to April 2025. Two researchers conducted data extraction and summary analysis. Results A total of 17 articles were screened out, including 16 randomized controlled trials and 1 quasi-experimental study. Therapeutic games were mainly divided into two categories: traditional offline games and video games, while the intervention implementers included psychologists, medical staff and volunteers. Moreover, the outcome indicators covered physiological functions, psychological emotions, social functions and quality of life. Conclusion The therapeutic games has positive effects on children with cancer, but its theoretical application, implementation standardization and long-term effect evaluation still need perfecting. Therefore, Medical staff should optimize therapeutic games in such intervention through multidisciplinary collaboration.

This case report summarizes the nursing experience of a pediatric patient with idiopathic pulmonary hemosiderosis (IPH) complicated by acute respiratory failure who underwent extracorporeal membrane oxygenation (ECMO). Key nursing interventions included: meticulous management of the ECMO cannula; ensuring safety during inter-hospital transfer while on ECMO support; optimizing the connection and switching protocols for pipelines involving ECMO, continuous renal replacement therapy (CRRT), and plasma exchange to prevent pipeline-related complications; implementing individualized anticoagulation based on coagulation parameters to balance hemostasis and thrombosis prevention; coordinating bronchoscopic lavage and providing comprehensive airway care to improve pulmonary oxygenation; and standardizing pulse glucocorticoid therapy while strictly monitoring for adverse drug reactions. Following meticulous treatment and care by a multidisciplinary team, the patient was successfully weaned from ECMO on day 5 after admission. The tracheal tube was removed on day 8, CRRT was discontinued on day 9, and the patient was transferred to a general ward for rehabilitation on day 11. The patient was discharged in stable condition on day 28.