Lijun Li

Background: Nursing interruptions during medication administration (NIMA) occur frequently, often leading to medication errors and workflow delays that threaten patient safety. While previous studies primarily focused on preventive interventions, many interruptions remain unavoidable in dynamic clinical environments. Nurses' active capacity to cope with these unavoidable events is critical, yet it lacks a clear conceptual definition. Aim: To develop a conceptual definition of nurses' coping capacity for NIMA. Methods: Walker and Avant's eight‐step approach to concept analysis was used to identify the defining attributes, antecedents, consequences and empirical referents of nurses' coping capacity for NIMA. Eight databases, including PubMed, Web of Science, the Cochrane Library, Embase, CNKI, Wanfang, VIP and SinoMed, were searched from inception to May 2026. Ultimately, 46 publications met the inclusion criteria. Results: Five defining attributes were identified: anticipatory preparation, cognitive appraisal, emotion regulation, strategy selection and task recovery. Coping capacity for NIMA was defined as a dynamic professional ability to prepare for and appraise interruptions, regulate emotions, select responses and safely resume medication tasks. Antecedents included work environment, organizational support, medication‐task characteristics, interruption‐event characteristics and individual nurse factors. Potential consequences included medication‐task continuity, medication safety and nurses' personal states. Candidate empirical referents and possible assessment approaches were proposed, drawing on self‐report measures, behavioural observation, performance assessment and qualitative inquiry. Conclusions: This concept analysis clarifies coping capacity for NIMA, providing a theoretical foundation for subsequent operationalisation and the development of dedicated measurement instruments, simulation‐based training programmes and medication‐safety management strategies. Implications for Clinical Nursing Practice: This framework clarifies how nurses can anticipate, appraise, regulate, respond to and recover from unavoidable medication‐administration interruptions. It may guide competency development, task‐recovery support and team‐based practices to maintain medication continuity and patient safety in routine care. Patient or Public Contribution: No patient or public contribution was part of this review.

Aims and Objective: To explore the effectiveness of dyadic intervention on the psychological distress of cancer patients and their partners.Background: Cancer patients and their partners demonstrated high levels of psychological distress. However, the effects of dyadic intervention on psychological distress were unclear.Design: A systematic review and meta‐analysis of randomised controlled trials was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses Statement.Methods: A systematic search on couple‐based dyadic intervention for cancer patients and their partners was carried out across eight databases. Our review adhered to the Cochrane risk‐of‐bias tool as its foundational framework, and data extraction and analysis followed standardised checklists for quantitative research studies.Results: No statistically significant effects were reported on patients' anxiety, depressive symptoms, or cancer‐related distress. However, subgroup analysis revealed that interventions lasting 6 or 12 weeks had positive effects on patients' cancer‐related distress. Significant reductions in cancer‐related distress scores were only observed when interventions included communication and support (CS) and skill building (SB) components, however. Additionally, patients experienced higher distress levels with less than six interventions or session durations shorter than 6 h. For partners, couple‐based dyadic interventions significantly reduced their anxiety and depressive symptom levels.Conclusions: Couple‐based dyadic interventions, with either 6‐ or 12‐week durations, or encompassing both CS and SB components, demonstrated significantly positive effectiveness on patients' psychological distress. Couple‐based dyadic interventions also exhibited a propensity for alleviating psychological distress in both cancer patients and their partners, with a more pronounced impact observed among partners.Relevance to Clinical Practice: This meta‐analysis highlights the effectiveness of dyadic interventions in reducing psychological distress in cancer patients and their partners. Healthcare professionals should incorporate these interventions into their care practices.No Patient or Public Contribution: Direct contributions from patients or the public were not included in this review.Trial Registration: PROSPERO number: CRD42023418978; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=418978

Shift work is a recognized work pattern for nurses worldwide. The disruption of shift workers' biological clocks usually leads to sleep disorders and affects their awareness at work. Eveningness and occupational stress might be effective in causing burnout syndrome. Therefore, this study aimed to evaluate the chronotype, job burnout and perceived stress among Chinese tertiary hospital nurses, and understand the predictors of circadian rhythm in this group. Between July and September 2020, 23 hospitals were randomly selected from 113 tertiary hospitals in Hunan Province. Twenty-five percent of the nurses working in each hospital were targeted for selection. 28.1% and 17.6% of nurses reported eveningness type and morningness type, respectively. The scores for emotional exhaustion, depersonalization, and perceived stress of eveningness nurses were higher than those of morningness counterparts. Eveningness nurses also reported a lower sense of personal accomplishment. Risk factors of eveningness included being under 30 years old, never exercising, having the stressors of late-night shifts and career development, higher levels of emotional exhaustion, sleep latency, sleep duration, and hypnotic use. Shifts may be unavoidable for nurses, nevertheless, understanding the predictors and related factors of chronotype for nurses is necessary for nursing educators and managers to develop a reasonable shift system and appropriate measures to assist nurses in adjusting their work.

Background: Low-diversity diets and sedentary status are risk factors for depressive symptoms, while knowledge workers were ignored before. The purpose of this current study was to examine the relationship between dietary diversity, sedentary time spent outside of work, and depressive symptoms among knowledge workers. Study design and methods: This was a multicenter and cross‐sectional design that included 118,723 knowledge workers. Participants self-reported online between January 2018 and December 2020. Demographic information, the Dietary Diversity Scale, the Patient Health Questionnaire-9, dietary habits (which included eating three meals on time, midnight snacking, overeating, social engagement, coffee consumption, sugary drink consumption, smoking and alcohol use), sedentary time spent outside of work and physical activity were investigated. Results: The relationships between demographic information, dietary habits and dietary diversity, and depressive symptoms were estimated. Compared with the first and second levels of dietary diversity, the third level of dietary diversity (OR: 0.91; 95% CI: 0.84–0.98) reduced the risk of depressive symptoms. Knowledge workers with different degrees of sedentary status (2–4 h (OR: 1.11; 95% CI: 1.07–1.14), 4–6 h (OR: 1.21; 95% CI: 1.17–1.26), and > 6 h (OR: 1.49; 95% CI: 1.43–1.56), presented a progressively higher risk of depressive symptoms. Conclusion: High amounts of sedentary time spent after work and low levels of dietary diversity are risk factors for depressive symptoms. In addition, an irregular diet and overeating are also major risk factors for knowledge workers.

Background Over the last two decades, global continuous efforts have been devoted to improving nursing research capacity. However, it is currently at a low to medium level in China and the training measures still have shortcomings such as lack of theoretical guidance, single content, short time and poor learning effect. To design a training programme about research capacity based on the ADDIE(analysis, design, development, implementation, and evaluation, ADDIE) model and the tutor system for clinical nurses and evaluate its effect through before-and-after control. Methods A quasi-experimental, one-group, self-control, and pretest-posttest design study. From July 2020 to June 2021, forty-five clinical nurses from a hospital were enrolled and underwent the training programme based on ADDIE model, which included five stages. By special scales, the nurses’ levels of research capacity, self-efficacy and professional values were evaluated on a six months of theory training, a six months of practice training, and a follow-up six months after the training. Finally, forty nurses completed this study. SPSS25.0 software was used for analysis. Results The score of research capacity before training was 43.42 ± 22.50. The total scores of research capacity and its all dimensions, total scores of general self-efficacy and nurses professional values differed significantly in before, immediately after training and six months after training (P < 0.001). Six months after training, the numbers of application for scientific research projects, papers published and patent applications, were higher than those pre-training (P < 0.05). Conclusions The research capacity of clinical nurses was at a medium level. The tutorial training programme based on ADDIE model is beneficial to improve research capacity, self-efficacy and professional values of clinical nurses, and promote the output of research and innovation projects.

Introduction: New nurses struggled with time management, which was a prominent theme in safety care for patients. However, the transition training of time management for new nurses was complicated and ignored by clinical managers. The purpose of this study was to understand the level of new nurses’ TMD from a nationwide perspective and detect the influencing factors of the TMD.Materials and methods: A cross-sectional study design with a stratified sampling method was sampled in China. Six hundred and seventy new nurses within the first year of employment were recruited. New nurses’ time management disposition, job stressors, self-efficacy, clinical communication competence, and safety behavior were measured by corresponding scales.Results: New nurses showed the best sense of time’s value, followed by the sense of time efficacy and time monitoring view for time management disposition. The related factors of time management disposition were communication skills, safety behavior, job stressors, and being without a preceptor. New nurses’ time management disposition was at a moderate level and they performed worse in time allocation. The highest education, with or without a preceptor, the experience of part-time jobs, and class cadre were significantly influencing the time management disposition of new nurses.Conclusion: Nursing managers should pay attention to new nurses’ time management disposition. Reducing the job stressors, improving communication ability, and safe behavior were important measures to improve the time management disposition.

Background: More than 80% of adolescent and young adult cancer patients (AYACPs) experienced psychological distress. Physical activity and behavioral activation are effective to relieve the psychological distress in AYACPs.Methods: Participants aged 15–39 years diagnosed with malignant tumors were included. A total of 143 eligible AYACPs were randomly assigned to three groups. The treatment‐as‐usual group (N = 48) received routine care, the physical activity group (N = 47) received 8 weeks of physical activity program based on intelligent wearable devices, and the behavioral activation group (N = 48) received an internet‐based modified behavioral activation program for 8 weeks. Objective outcome measures included salivary cortisol and testosterone.Results: Linear mixed‐model analyses showed significant differences between treatment‐as‐usual, physical activity and behavioral activation in salivary cortisol, as well as total scores on depression and anxiety, physical activity, self‐efficacy, and social support. Significantly stronger effect sizes for physical activity group compared with behavioral activation group were found on physical activity (d = 0.53) (1 week after intervention), moderate activity (d = 0.61), and walking activity (d = 0.57) (3‐month follow‐up).Conclusions: Intelligent, wearable, device‐based physical activity program is more effective in alleviating anxiety and depression, reducing saliva cortisol, and improving physical activity in AYACPs than internet‐based modified behavioral activation program. Intelligent, wearable, device‐based physical activity program can reduce the time cost of AYACPs to ensure that the intervention is carried out.

Young nurses’ safety behavior and interrupted coping behavior affect patient safety. A stepped, interactive and situated training program should be evaluated to assist young nurses in improving themselves. This study aimed to evaluate the effect of the stepwise interactive situated training program on safety behavior and practice ability with respect to nursing interruptions for young nurses and its influencing factors. This was a quasi-experimental, one-group, self-control and pretest–post-test design study. Six hundred young nurses in two provinces were included. The participants underwent a stepwise interactive situated training program from March to August 2019. The program was delivered by designated head nurses and consisted of five themes: mobilization, theoretical training, operational training, specialized training and self-improvement. Five hundred and sixty-two young nurses completed this study. The safety behavior and the practice of nursing interruption were significantly higher after intervention than before. Professional titles, age and occupational time were the influence factors. The stepwise interactive situated training program was effective at improving young nurses’ safety behavior and interrupted coping behavior. Nurses with higher professional titles performed better with regard to the safety behavior and the practice of nursing interruption.

Carotid atherosclerosis is a common arterial wall lesion that causes narrowing and occlusion of the arteries and is the basis of cardiovascular events. Dietary habits, lifestyle, and lipid metabolism should be considered integrally in the context of carotid atherosclerosis (CAS). However, this area has been investigated less often in China. To understand the prevalence of CAS in China and the impact of dietary diversity and habits, lifestyle, and lipid metabolism on CAS as well as its predictive factors, a cross-sectional study was performed in two northern and southern Chinese tertiary hospitals from 2017 to 2019. Included participants underwent carotid artery color Doppler ultrasonography, blood lipid examination and dietary evaluation. In total, 11,601 CAS patients and 27,041 individuals without carotid artery lesions were included. The prevalence of CAS was 30.0% in this group. High BMI (OR: 1.685, 95% CI [1.315–2.160]), current (1.148 [1.077–1.224]) or ex-smoking (1.349 [1.190–1.529]), abstinence from alcohol ((1.223 [1.026–1.459]), social engagement (1.122 [1.050–1.198]), hypertension (1.828 [1.718–1.945]), and total cholesterol (1.438 [1.298–1.594]) were risk factors for CAS, while higher dietary diversity according to DDS-2 (0.891 [0.805–0.989]), HDL-C (0.558 [0.487–0.639]), sugar-sweetened beverages (0.734 [0.696–0.774]), and no midnight snack consumption (0.846 [0.792–0.903]) were protective factors. This current study demonstrated that higher dietary diversity was a protective factor against CAS in a healthy population. In addition, current recommendations of healthy lifestyle and dietary habits for preventing CAS should be strengthened. In addition, dietary diversity should concentrate on food attributes and dietary balance, rather than increased quantities.