ObjectiveTo examine the relationship between workplace violence (WPV) and professional identity among Chinese psychiatric nurses and the mediating effects of psychological capital (PsyCap) from this association.SettingSeven public tertiary psychiatric hospitals in Liaoning Province, China.ParticipantsA total of 952 psychiatric nurses were recruited for this study. Registered nurses who have been engaged in psychiatric nursing for more than 1 year were eligible as participants in this investigation.Outcome measuresQuestionnaires consisting of the Workplace Violence Scale, the Occupational Identity Scale, the Psychological Capital Questionnaire and a demographic data sheet were used to collect participant information. We used hierarchical multiple regression and asymptotic and resampling strategies to examine the mediating role of PsyCap in the relationship between WPV and professional identity.ResultsWPV was negatively associated with professional identity after controlling for demographic factors (β=−0.353; p<0.001). PsyCap mediated the relationship between WPV and professional identity, according to the mediation analysis (a×b=−0.150, bias-corrected and accelerated 95% CI (BCa 95% CI) (−0.185 to −0.115); p<0.001). In addition, two dimensions of PsyCap: hope (a×b=−0.075, BCa 95% CI (−0.104 to −0.049); p<0.001) and resilience (a×b=−0.064, BCa 95% CI (−0.090 to −0.039); p<0.001) mediated the association between WPV and professional identity. For professional identity, hope, resilience and PsyCap mediation accounted for 21.6%, 18.1% and 42.4%, respectively.ConclusionsBased on these findings, PsyCap could partially mediate the relationship between WPV and professional identity. Therefore, hospital administrators should implement measures to prevent and reduce WPV and provide nurses with skills training programmes to improve the PsyCap such as hope and resilience.

ObjectiveThis systematic review and network meta-analysis sought to determine the efficacy of different intensities of transcranial direct current stimulation (tDCS) in patients with dysphagia after stroke to improve swallowing function.MethodsRandomized-controlled trials (RCTs) of tDCS in post-stroke dysphagia were searched from Pubmed, EMBASE, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Service System (SinoMed), Wanfang database, and Chinese Scientific Journals Database (VIP) from databases' inception to June 22, 2022. Article screening, data extraction, and article quality evaluation were completed by 2 independent researchers. Network meta-analysis was performed using Stata.ResultsA final total of 20 studies involving 838 stroke patients were included. The included control interventions were sham tDCS and conventional therapy (CT). Network meta-analysis showed that 20 min of 1.2, 1.4, 1.5, 1.6, and 2 mA anodal tDCS and 30 min of 2 mA anodal tDCS significantly improved post-stroke dysphagia compared with CT (all P &lt; 0.05). In addition, 20 min of 1, 1.4, 1.6, and 2 mA anodal tDCS also significantly improved post-stroke dysphagia compared with sham tDCS (all P &lt; 0.05). Our results demonstrated that 20 min of stimulation at 1.4 mA was the optimal parameters for anodal tDCS and exhibited superior efficacy to CT [SMD = 1.08, 95% CI (0.46, 1.69)] and sham tDCS [SMD = 1.45, 95% CI (0.54, 2.36)].ConclusionDifferent durations and intensities of anodal tDCS are effective in improving post-stroke dysphagia. However, 20 min of tDCS at 1.4 mA may be the optimal regimen.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/#recordDetails, identifier CRD42022342506.

Objective: To construct a nursing quality evaluation index system for kidney transplant patients after. Background:At present, there is no scientific, sensitive, practical, and targeted nursing quality evaluation index system for kidney transplant patients in China. Methods:Based on the "structure-process-outcome" three-dimensional quality model, a first draft of the nursing quality evaluation index system for renal transplant patients was developed through literature review, theoretical references, and semi-structured interviews, followed by a combination of Delphi and analytic hierarchy process to derive an authoritative index system and the weight of each level index. Results:A total of 30 experts from 11 provinces participated in this study. Two rounds of the Delphi questionnaire resulted in a recovery rate of 100 % and 95.8%. The expert authority coefficient was 0.846 and 0.852. The Kendall coefficient was 0.281, 0.296. Furthermore, a total of 3 first-level indicators, 11 second-level indicators, and 65 third-level indicators were obtained. The results of the weighted calculation showed that the index “Qualification rate of skills and knowledge training related to renal transplantation” (0.0926) was the highest, followed by “Implementation rate of medication guidance” (0.0655), “Development and update of the specific training program for renal transplantation” (0.0589), and “Implementation rate of postoperative dietary guidance” (0.0496). Conclusion:By constructing a nursing quality evaluation index system for renal transplant patients, specific and targeted evaluation criteria for the quality of care in the renal transplantation department are proposed, which can more efficiently respond to nursing care errors and provide promotion value. Implications for nursing management: As one of the tools to evaluate the quality of nursing, the nursing quality indicators for renal transplantation play a guiding role in nursing management and can determine the direction of nursing behavior adjustment, directly affecting the nursing quality. Establishing a scientific, sensitive, and practical nursing quality evaluation index can provide a reliable basis for evaluating hospital nursing quality.