Explore the vast range of titles available.

To assess the effect of telemedicine on stoma‐related complications in adults with enterostomy, we conducted a meta‐analysis to evaluate the effects of the telemedicine group compared to the usual group. Literature searches were performed in PubMed, Embase, Web of Science, The Cochrane Library, China Biology Medicine (CBM), China National Knowledge Infrastructure (CNKI), WanFang and VIP databases from their inception up to October 2023. Two authors independently screened and extracted data from the included and excluded literature according to predetermined criteria. Data collected were subjected to meta‐analysis using Review Manager 5.3 software. The final analysis included a total of 22 articles, encompassing 2237 patients (telemedicine group: 1125 patients, usual group: 1112 patients). The meta‐analysis results demonstrated that, compared to the usual group, the telemedicine group significantly reduced the overall occurrence of stoma‐related complications, with an odds ratio (OR) of 0.22 (95% CI = 0.15–0.32, p < 0.00001). Furthermore, it resulted in a decrease in stoma complications (OR = 0.27, 95% CI = 0.15–0.47, p < 0.00001) and peristomal complications (OR = 0.25, 95% CI = 0.19–0.34, p < 0.00001). Therefore, the existing evidence suggests that the application of telemedicine can reduce the incidence of stoma and peristomal complications, making it a valuable clinical recommendation.

Aim To examine the status quo and influencing factors of sleep quality and work engagement of nurses participating in COVID‐19 during the post‐epidemic era and to study the relationship between them. Design We conducted a cross‐sectional survey and correlational and predictive logic to determine the association between sleep quality and work engagement among nurses in Shanghai during the post‐epidemic era. Methods This design involved 1060 frontline nurses in Shanghai. The Pittsburgh Sleep Quality Index questionnaire and the Utrecht Work Engagement Scale‐9 scales were used for data collection. Results This study found that the sleep quality of frontline nurses was impaired and the nurses with poor sleep accounted for 48.20% during the post‐epidemic era. The work engagement of frontline nurses was at the medium level. Factors affecting nurses' sleep quality were the number of nurse night shifts, family support and nurse health. The factors affecting the nurse work engagement were monthly income, profession title, family support and self‐health status. There was a positive correlation between nurses' sleep quality and work engagement.

This was a non‐blinded, single‐centre, randomized, controlled clinical trial that compared the effectiveness of direct observation of procedural skills (DOPSs)with traditional assessment methods in pressure injury (PI) care skills. The study population included 82 nursing professionals randomly assigned to the study group (n = 41) and the control group (n = 41). Both groups of nurses underwent a 6‐month training in PI care skills and were subsequently evaluated. The main outcome variables were the PI skill operation scores and theoretical scores. Secondary outcome variables included satisfaction and critical thinking abilities. Independent sample t‐tests and chi‐square tests were used to assess differences between the two groups of nurses. The results showed no statistically significant difference in PI skill operation scores between the two groups of nurses (p > 0.05). When comparing the PI theoretical scores, the study group scored higher than the control group, and this difference was statistically significant (p < 0.05). In terms of satisfaction assessment, the study group and the control group showed differences in improving self‐directed learning, enhancing communication skills with patients, improving learning outcomes and increasing flexibility in clinical application (p < 0.05). When comparing critical thinking abilities between the two groups of nurses, there was no statistically significant difference at the beginning of the training, but after 3 months following the training, there was a statistically significant difference between the two groups (p < 0.01).The results indicated that the DOPS was effective in improving PI theoretical scores, increasing nurse satisfaction with the training and enhancing critical thinking abilities among nurses.

NOABSTRACTThis paper presents an analysis of the concept of patient outcomes.The present study conducted searches on various databases, including Wanfang, Sinomed, CNKI, PubMed, Cochrane Library, Embase, Web of Science, and Ovid. The paper followed the Walker and Avant concept-analysis approach.Initially, 899 pieces of literature were identified through the search process, and after screening, 41 of them were ultimately included in the analysis. The identified attributes of the concept included (1) capability, (2) decision making, and (3) action. These antecedents were shaped by factors such as illness perception, self-efficacy, and family and social. The consequences included (1) physiological effects, (2) psychological effects, and (3) social influence.The concept analysis of self-management in patients with diabetic foot ulcers (DFUs) not only aids in clinical practice and supports interventions, but also contributes to the development of self-management theory. The common goal of clinical medical staff is to assist DFU patients in improving cognitive ability, making correct self-management decisions, and enhancing self-management behavior.

Acute pancreatitis has complex causes, and traditional Chinese medicine plays a significant role in its treatment. However, there is a lack of standardized protocols and a comprehensive best evidence summary for rhubarb administration in acute pancreatitis, leading to inconsistent clinical practice. This study aimed to retrieve and summarize the best evidence on the administration of rhubarb in the treatment of acute pancreatitis and to provide a theoretical reference for the development of clinical practice. A systematic search was performed from database inception to 31 October, 2025 across multiple electronic databases and guideline repositories, including the UK National Institute for Health and Care Excellence, the US Agency for Healthcare Research and Quality, Cochrane Library, PubMed, EMbase, China biomedical, CNKI, Wanfang, and VIP. Eligible evidence comprised clinical practice guidelines, expert consensus statements, and systematic reviews focusing on rhubarb administration in adult patients with acute pancreatitis. The methodological quality of included studies was independently evaluated using the AGREE II, JBI, and AMSTAR 2.0 tools. A total of 15 documents were included, including 3 clinical guidelines, 3 expert consensus, and 9 systematic evaluations. Twenty-seven pieces of evidence related to rhubarb administration in patients with acute pancreatitis were extracted and summarized into four themes: mechanism of action, feasibility, evaluation, and clinical implementation. Healthcare providers may apply the best evidence for rhubarb administration in acute pancreatitis to improve intestinal function recovery. However, recommendations should be interpreted cautiously, as all evidence comes from Chinese studies with limited generalizability and some low-level findings. This study is in accordance with the evidence summary reporting specifications of the Fudan University Center for the Evidence-based Nursing, and the registration number is \"ES20246947\".

Effective teamwork can provide safe and effective care in various medical systems. Thus, there is increasing recognition of the value of interprofessional collaborative practice. The Attitudes Toward Interprofessional Health Care Teams Scale (ATIHCTS) has been applied to a wide variety of health professions for evaluating attitudes toward health care teams. The ATIHCTS has been widely used internationally, but no Chinese version has been developed. The aim of this study was to adapt a Chinese version of the ATIHCTS among Chinese health care professionals and to test its validity. The English version of the ATIHCTS was translated into Chinese, back-translated, and modified for cultural adaptation according to Brislin's guideline. A total of 306 health professionals in a Shanghai tertiary hospital were investigated using the Chinese version of the ATIHCTS to test its validity. The Chinese version of the ATIHCTS was adjusted based on expert review and pilot testing. According to expert opinions, the text that did not conform to the Chinese language habits and the Chinese medical environment was adjusted. A total of five adjustments were made. After the pilot testing, minor corrections were made to improve the sentence structure of the scale instructions to make it easier to understand. Factor analysis was subsequently conducted with 306 respondents. The Chinese version of the ATIHCTS had 14 items. Exploratory factor analysis extracted two common factors, quality of care and time constraints, with the cumulative variance contribution rate reaching 70.011% and the load value of each entry on its common factor > 0.4. In addition, for scale confirmatory factor analysis (CFA), the chi-square/degrees of freedom ratio (X /df) was 1.46, the normed fit index (NFI) was 0.97, the Tucker-Lewis index (TLI) was 0.99, the incremental fit index (IFI) was 0.99, the comparative fit index (CFI) was 0.99, and the root mean square error of approximation (RMSEA) was 0.04. The fitting values all met the judgment criteria, and the scale had good structural validity. Cronbach's α of the Chinese version of the ATIHCTS was 0.861, and the Cronbach's α values of each factor were 0.949 and 0.838, respectively. The split-half reliability was 0.644, and the Guttman split-half coefficients of each factor were 0.904 and 0.779, respectively. The Chinese version of the ATIHCTS has good validity. It is a valuable tool for evaluating attitudes toward interprofessional health care teams among the health care professionals in China.

Objective: Effective teamwork can provide safe and effective care in various medical systems. Thus, there is increasing recognition of the value of interprofessional collaborative practice. The Attitudes Toward Interprofessional Health Care Teams Scale (ATIHCTS) has been applied to a wide variety of health professions for evaluating attitudes toward health care teams. The ATIHCTS has been widely used internationally, but no Chinese version has been developed. The aim of this study was to adapt a Chinese version of the ATIHCTS among Chinese health care professionals and to test its validity. Methods: The English version of the ATIHCTS was translated into Chinese, back- translated, and modified for cultural adaptation according to Brislin's guideline. A total of 306 health professionals in a Shanghai tertiary hospital were investigated using the Chinese version of the ATIHCTS to test its validity. Results: The Chinese version of the ATIHCTS was adjusted based on expert review and pilot testing. According to expert opinions, the text that did not conform to the Chinese language habits and the Chinese medical environment was adjusted. A total of five adjustments were made. After the pilot testing, minor corrections were made to improve the sentence structure of the scale instructions to make it easier to understand. Factor analysis was subsequently conducted with 306 respondents. The Chinese version of the ATIHCTS had 14 items. Exploratory factor analysis extracted two common factors, quality of care and time constraints, with the cumulative variance contribution rate reaching 70.011% and the load value of each entry on its common factor > 0.4. In addition, for scale confirmatory factor analysis (CFA), the chi-square/degrees of freedom ratio ([CHI SQUARE]/df) was 1.46, the normed fit index (NFI) was 0.97, the Tucker-Lewis index (TLI) was 0.99, the incremental fit index (IFI) was 0.99, the comparative fit index (CFI) was 0.99, and the root mean square error of approximation (RMSEA) was 0.04. The fitting values all met the judgment criteria, and the scale had good structural validity. Cronbach's [alpha] of the Chinese version of the ATIHCTS was 0.861, and the Cronbach's [alpha] values of each factor were 0.949 and 0.838, respectively. The split-half reliability was 0.644, and the Guttman split-half coefficients of each factor were 0.904 and 0.779, respectively. Conclusion: The Chinese version of the ATIHCTS has good validity. It is a valuable tool for evaluating attitudes toward interprofessional health care teams among the health care professionals in China. Keywords: interprofessional health care teams, attitudes, reliability, validity

Intra-atomic orbital hybridization and interatomic bond formation are the two fundamental processes when real atoms are condensed to form matter 1 , 2 . Artificial atoms mimic real atoms by demonstrating discrete energy levels attributable to quantum confinement 3 , 4 , 5 , 6 , 7 – 8 . As such, they offer a solid-state analogue for simulating intra-atomic orbital hybridization and interatomic bond formation. Signatures of interatomic bond formation have been extensively observed in various artificial atoms 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 – 17 . However, direct evidence of the intra-atomic orbital hybridization in the artificial atoms remains to be experimentally demonstrated. Here we realize the orbital hybridization in artificial atoms by altering the shape of the artificial atoms. The anisotropy of the confining potential gives rise to the hybridization between quasibound states with different orbital quantum numbers within the artificial atom. These hybridized orbits are directly visualized in real space in our experiment and are well reproduced by both numerical calculations and analytical derivations. Our study opens an avenue for designing artificial matter that cannot be accessed on real atoms through experiments. Moreover, the results obtained inspire the progressive control of quantum states in diverse systems. Orbital hybridization in artificial atoms is achieved by altering their shape, and the anisotropy of the confining potential gives rise to the hybridization between quasibound states with different orbital quantum numbers within the artificial atom.

Bound states in the continuum (BICs) are localized states within the radiative continuum that exhibit high quality-factor (Q-factor) resonance, which significantly boosts light–matter interactions. However, out-of-plane radiation losses can arise from inherent material absorption and inevitable technological imperfections during fabrication process. Merging BICs have been introduced as a solution to address the issue of out-of-plane radiation losses. By merging BICs, it is possible to expand the area of high Q-factor resonance in momentum space, thereby enhancing the system’s robustness against external perturbations. However, achieving this enhancement is contingent upon altering the geometrical parameters of the structure, which inherently restricts its dynamic tunability. Here, we propose an emerging approach that integrates phase change materials (PCMs) into photonic crystal slabs (PCs) metasurface, enabling dynamically tuning of merged BICs. By utilizing low-loss Sb as a tunable PCMs, we demonstrate that altering its phase state can merge BICs, leading to a substantial increase in the high Q-factor across an extended range of wave vectors space. Furthermore, this study validates the universality and robustness of merging BICs against common unit-cell topology fabrication defects. Additionally, by twisting the square holes to break in-plane symmetry, asymmetric merging and inversion of topological charge at the -point are achieved. This approach leverages phase-transition states of PCMs to enable reconfigurable polarization distribution of radiation field without scale and parameter changes, which is tunable and offers promising potential applications in optical vortices and nano-lasers.