Aim To analyse the patient safety competency (PSC) of Chinese nurses with associate degrees (ADNs) and explore factors. Design A cross‐sectional study. Methods A convenience sample of 451 ADNs working in 18 hospitals located in Chongqing city of China was investigated using the Patient Safety Competency Nurse Evaluation Scale (PSCNES). Descriptive and inferential statistics were used to analyse the data. Results ADNs had a moderate level of PSC. In terms of the six dimensions of PSC, ADNs performed well in clinical practice and safety risk management, while they performed poorly in patient‐centred care and patient safety culture. Statistically significant differences were reported in two items. Firstly, ADNs who have participated in patient safety training had a higher level in all dimensions of PSC than those who have not participated in related training. Secondly, ADNs without professional titles had a higher level of patient safety culture than those with professional titles.

Background An outbreak of 2019 novel coronavirus disease(COVID-19) could cause a severe respiratory illness, which may come from Spray or ordinary contact, then pose a great threat to life. Meanwhile, epidemic may trigger excessive stress and have a terrible impact on mental health even health behaviors, especially some special individuals. So this study paved the way for psychological interventions focused on specific groups during the COVID-19 epidemic. Methods An internet survey was conducted on 2,449 residents in 20 provinces including Chongqing, Sichuan and Gansu et al, in order to collect the data of Chinese residents' perceived stress, COVID-19 awareness and health behaviors. SAS9.4 was used to analyze the relationship between health behaviors and perceived stress, and logistic regression was used to explore the influencing factors of health risk stress. Results The residents' perceived stress score was 22.25±7.2(total score was 56), and the incidence of health risk stress was 39.89% (977/2449). As perceived stress increased, the frequency of health behaviors such as washing hands and wearing a mask decreased in turn. Age, cognition of susceptibility to COVID-19, life-threaten level, cognition of the importance of home isolation, and cognition of the difference between common cold and COVID-19 were related to the occurrence of health risk stress. Conclusions There was a negative correlation between residents' health behaviors and perceived stress during the COVID-19 outbreak. It is of great significance to improve the public's awareness of the COVID-19, to provide good social support and psychological intervention for people with health risk stress and to promote their health behaviors.

Purpose To describe the experience and support of Chinese healthcare professionals as second victims of PSIs. Design and Methods A cross‐sectional study with anonymous online self‐report questionnaires was adopted. A total of 1357 Chinese healthcare professionals participated in this study. The Chinese version of the Second Victim Experience and Support Tool (C‐SVEST) was used to evaluate the experience of second victims and the quality of support resources. Descriptive and inferential statistics were employed to analyze the data. Findings This study showed that 350 participants (25.8%) had been involved in PSIs during their careers. The majority of respondents who had experienced PSIs agreed they suffered more from psychological distress, followed by professional self‐efficacy distress, and physical distress. Besides, they regarded colleague support and management support as the most desirable support. Statistically significant differences were reported in some items. First, compared with medical staff without professional titles, staff with professional titles suffered more from psychological distress but gained more support from colleagues. Practice implications The second victim phenomenon deserves further attention. The programs focusing on training qualified colleagues to provide emotional support should be developed, implemented, and evaluated. Moreover, it is necessary to build a better patient safety culture with nonpunitive responses and encourage the disclosure and reporting of PSIs.

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Unplanned intraoperative hypothermia is a complication that can lead to a variety of negative outcomes, such as cardiovascular events. We aimed to develop and validate an intraoperative hypothermia risk prediction nomogram for patients with colorectal cancer undergoing laparoscopic colorectal procedures. We conducted a prospective cohort study with 1,091 patients (ie, 765 in the training cohort, 326 in the validation cohort) from October 2020 to November 2021. We included six predictors in the nomogram model: body mass index, diabetes diagnosis, ambient temperature, ambient humidity, duration of surgery, and use of a forced‐air warmer. The model performed well, and the area under the curve was 0.855. These results, together with an external validation value, mean that health care professionals can use the nomogram to calculate the intraoperative hypothermia risk for patients undergoing laparoscopic colorectal procedures and make clinical decisions based on the results.

Background and Aims The novel coronavirus disease 2019 (COVID‐19) causes severe respiratory illnesses, following exposure to air‐borne droplets or direct contact, posing a great threat to human life. This study aimed to investigate perceived stress and its correlation with the health behaviors of Chinese residents during the COVID‐19 epidemic. Methods An Internet survey was conducted among 2449 residents in 20 provinces of China on residents' perceived stress, perception of COVID‐19, and health behaviors. SAS 9.4 was used to analyze the relationship between health behaviors and perceived stress, and logistic regression was used to explore the factors influencing health risk stress. Results The participants' perceived stress score was 22.25 ± 7.2 (total 56), and the incidence of health risk stress was 39.89% (977/2449). Females, students, and medical staff were at high risk. Health risk stress refers to a level of stress that is hazardous to health (score over 25). Perceived stress increased, while the frequency of health behaviors decreased. Age, perception of susceptibility to COVID‐19, life‐threatening level of COVID‐19, perception of the importance of home isolation, and perception of the difference between a common cold and COVID‐19 were positively related to the occurrence of health risk stress. Conclusions A negative correlation was found between health behaviors and perceived stress. Therefore, it is of great significance to provide psychological interventions for those who are experiencing health risk stress and to promote their health behaviors.

Background: The outbreak of 2019 novel coronavirus disease(COVID-19) caused severe respiratory illnesses, which might be resulted from air-borne droplets or direct contact, posing a great threat to human life. Meanwhile, the epidemic might trigger excessive stresses and produce terrible impacts on mental health even health behaviors, especially of the vulnerable individuals. So this study paved the way for psychological interventions focused on vulnerable groups during the COVID-19 epidemic.Methods: An internet survey was conducted among 2,449 residents in 20 Provinces of China, collecting the data about the perceived stress, the cognition of COVID-19 and the health behaviors. SAS9.4 was used to analyze the relationship between health behaviors and perceived stress, and logistic regression was used to explore the influencing factors of health risk stress.Results: The perceived stress score was 22.25±7.2(total56), and the incidence of health risk stress was 39.89% (977/2449). Perceived stress increased, while the frequency of health behaviors decreased, such as washing hands and wearing masks. Age, cognition of susceptibility to COVID-19, life-threatening level, cognition of the importance of home isolation, and cognition of the difference between common cold and COVID-19 were positively related to the occurrence of health risk stress.Conclusions: A negative correlation was found between health behaviors and perceived stress.Therefore, it is of great significance to improve residents’ knowledge of the COVID-19, to provide good social support and psychological interventions for those how are experiencing health risk stress and to promote their health behaviors.

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