Aim: The purpose of this study was to explore the relationship among kinesiophobia, self‐efficacy and self‐management behaviour related to physical activity (SMBPA) in Chinese patients with coronary heart disease(CHD) and the mediating role of self‐efficacy between kinesiophobia and SMBPA in Chinese patients with CHD.Design: A cross‐sectional study.Methods: From March to July 2021, 540 Chinese patients with CHD were investigated with three scales using convenient sampling method. The data were analysed with Pearson correlation, univariate analysis, multivariate linear regression and the PROCESS macro.Results: 509 valid questionnaires were collected (effective response rate: 94.2%). Low kinesiophobia and high self‐efficacy were related to high‐levels of SMBPA (all p < .01). Besides, the effect of kinesiophobia on SMBPA was partially mediated by self‐efficacy, and the mediation effect accounted for 35.59% of the total effect.

Nurses’ professional attitudes, as a key component of nursing professionalism, profoundly influences its development. However, empirical studies examining the influence of nursing managers on nurses’ professional attitudes are lacking, and studies exploring how different leadership management styles—through the lens of Balance theory—affect these attitudes remain scarce. To investigate the relationship between nurses’ professional attitudes and nursing managers’ authentic, destructive, and transformational leadership styles, based on the Balance theory. A questionnaire survey was conducted using convenience sampling among 1,154 clinical nurses from 11 hospitals in Tianjin, China. Data from the returned questionnaires were analysed using one-way analysis, correlation analysis, and multiple linear regression to identify factors influencing nurses’ professional attitudes. Nurses’ professional attitudes were positively correlated with authentic and transformational leadership (p < 0.01) and negatively correlated with destructive leadership (p < 0.01). Multiple linear regression analysis identified nine influencing factors: gender, monthly income, hospital level, hospital type, whether or not the nurses were specialists, working in obstetrics and gynaecology, authentic leadership, transformational leadership, and destructive leadership (R2 = 69.7%). Nurses’ professional attitudes are influenced by the degree to which nursing managers exhibit transformational, authentic, or destructive leadership styles. Not applicable.

Aim: To translate and assess the psychometric characteristics of the Chinese version of the Professional Attitude Scale for Nurses (PASN‐C) and utilise it to investigate the present status and associated factors of professional attitude among Chinese nurses.Background: Assessing professional attitude is a crucial aspect of nursing professionalism. However, there is a significant gap in the field as no reliable instrument exists in China to assess nurses' professional attitudes.Methods: The PASN‐C was created by adapting the Brislin translation model. The participants hailed from 11 hospitals in Tianjin, China. Two cross‐sectional studies were performed, in which a convenience sampling method was used to survey 877 participants (first study) to assess the validity and reliability of the PASN‐C; furthermore, 1154 participants (second study) were surveyed to analyse the current status and associated factors of the professional attitudes of Chinese nurses.Results: The PASN‐C maintained 38 items and 8 factors, which explained 60.540% of the variance. The item‐level content validity index (0.860–1.000), dimension‐total score correlation coefficient (0.622–0.766), and Cronbach's alpha coefficient (0.943) indicated PASN‐C had good validity and reliability. The score of PASN‐C was 136.16 ± 15.48. Male, tertiary hospitals, specialty hospitals, high‐income, obstetric nurses and specialist nurses were associated with a higher professional attitude.Conclusions: The PASN‐C is a reliable and valid instrument that can be utilised to assess Chinese nurses' professional attitudes. Furthermore, this study suggests that more attention should be paid to associated factors to improve nurses' professional attitudes.Implications for the Profession: The PASN‐C can be an effective tool to assess the professional attitude of Chinese nurses. Furthermore, nursing administrators, educators and clinical nursing practitioners could strengthen training in the dimensions of ‘autonomy of clinical judgment’, ‘work‐related independence’ and ‘enhancement of nursing education’ to improve the professional attitude of nurses.Reporting Method: This study followed and reported according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guidelines.Public Contribution: Researchers received the data from the managers of each participating hospital after distributing the electronic survey to the participants.

Objective: To develop a clinical nursing decision support system for pressure injury and explore its application in managing pressure injury in postoperative cardiac surgery patients. Methods: A multidisciplinary research team was formed to develop a clinical nursing decision support system. Key indicators, including wound assessment accuracy, wound treatment accuracy, pressure injury healing rate, pressure injury incidence, and defect rates in nursing records, were compared before and after the clinical nursing decision support system utilization. Count data were described using frequency and composition ratio (%), and comparisons were made using the chi-square test or Fisher's exact probability method. Measurement data following a normal distribution were described by mean and standard deviation, while non-normally distributed data were described by median and interquartile range. Independent sample t-tests and rank-sum tests were used for between-group comparisons. A significance level of α = 0.05 was set, with results considered statistically significant if P < 0.05. Results: The clinical nursing decision support system implements an intelligent decision-making engine and interactive dashboard for human–computer interaction, enabling intelligent assessment and decision-making, re-evaluation reminders, interactive modules, intelligent auditing, and a three-level quality control system for pressure injury. After applying the clinical nursing decision support system, the pressure injury incidence in postoperative cardiac surgery patients decreased from 14.8% to 12.8%, with no statistically significant difference (P > 0.05). The pressure injury healing rate increased from 89.1% to 97.2%, wound assessment accuracy improved from 90.8% to 97.2%, and wound treatment accuracy increased from 88.3% to 96.5%. The defect rate in nursing records decreased from 15.3% to 7.7%, with all differences being statistically significant (P < 0.05). Conclusion: This study successfully developed and implemented a clinical nursing decision support system for pressure injury management in postoperative cardiac surgery patients. These results confirm the system's clinical utility in standardizing pressure injury care, optimizing nursing workflows, and elevating documentation quality. The clinical nursing decision support system provides an effective tool for enabling evidence-based, personalized interventions and strengthening closed-loop quality control in pressure injury management.

Background: Lung cancer patients often have poor oral health due to treatment toxicities, increasing risks of oral mucositis, and pulmonary infection. Oral health literacy (OHL) is a key determinant, and psychosocial factors such as anxiety and family support also play roles. However, prior studies examined only single dimensions, not underlying mechanisms. This study aims to build a mediation model linking OHL, psychosocial factors, and oral health status in lung cancer patients, providing exploratory evidence for potential targets (i.e., OHL and psychosocial factors) that may warrant attention during antitumor therapy. Methods: This study recruited 250 lung cancer patients from a tertiary hospital in China to participate in a questionnaire survey. The study was conducted on a voluntary, anonymous basis, assessing patients’ general demographic information, relevant risk factor scales, the HeLD-14, oral health (BOAS, HBS, and OHIP-14), and psychosocial factors (PSS-Fa, SAS, and C-SUPPH). Finally, structural equation modeling was used to explore the interaction pathways among these three factors. Results: The oral health status score for lung cancer patients was (9.14 ± 1.94) points, the oral health literacy score was (28.07 ± 5.39) points. Notably, oral health status among lung cancer patients was significantly positively correlated with both oral health literacy ( r = 0.389, p < 0.001) and psychosocial factors ( r = 0.402, p < 0.001). Furthermore, psychosocial factors were significantly positively correlated with oral health literacy ( r = 0.333, p < 0.001). Importantly, psychosocial factors partially mediated the relationship between oral health literacy and oral health status in lung cancer patients, with an indirect effect size of 0.264 (95% CI : 0.106–0.351), accounting for 49.70% of the total effect. Conclusion: Psychosocial factors partially mediate the relationship between oral health literacy and oral health status. These findings suggest a potential pathway linking OHL to oral health status through psychosocial factors. From a clinical perspective, addressing both OHL and psychosocial factors may be a reasonable strategy to support oral health in lung cancer patients, although the cross-sectional design warrants cautious interpretation. Prospective studies are needed to confirm these relationships before firm clinical recommendations can be made.