OBJECTIVE: To improve the quality of community nursing teaching practice and cultivate undergraduate nursing students who meet the quality accreditation standards of our nursing profession, and to explore the establishment of an undergraduate nurse practice model.
METHODS: Using the methods of literature review, survey, expert consultation, and discussion, we established the steps and contents of community practice teaching for undergraduate nursing students, and implemented them for the students of Grades 2014, 2015, and 2016, and evaluated the \"community-hospital-community\" practice model through various forms, such as student self-evaluation, faculty evaluation, exit examination, and evaluation by certified experts.
RESULTS: A three-stage community nursing practice model of \"community-hospital-community\" was established for undergraduate nursing students. After three stages of practice, nursing undergraduates successfully passed the practical assessments and achieved excellent grades in each stage that met the requirements of the training program. In the first stage (community probation), community probation emphasizes a fundamental understanding of the community, using free clinics, health education, and home visits as entry points to effectively cultivate students\' job competence and proficiency in nursing operations and nurse-patient communication skills. In the second stage (internship in the hospital), through nursing internships in various systems, students are trained to integrate theoretical knowledge with practical skills and consolidate their understanding of fundamental knowledge, theory, and techniques. They are capable of preventing, diagnosing, intervening, and providing health education for common, frequent, urgent and critical complications in various clinical systems. They can formulate nursing plans and implement whole-person care. In the third stage (returning to the community for internship), students can master basic skills such as nursing operations and patient communication skills, and then they can enter the community internship.
CONCLUSIONS: The community nursing practice model of \"community- hospital- community\" for undergraduate nursing students can systematically train undergraduate nursing students\' ability to work in the community.

UNASSIGNED: There is considerable research on China\'s community healthcare, but little examining its delivery from a nurse perspective. This article, set in the context of Shenzhen, elicits community nurses\' views on barriers to healthcare delivery, providing an initial evidence framework to improve community nursing practice at organizational and policy levels.
UNASSIGNED: We used qualitative methods. Data from semi-structured interviews with 42 community nurses in Shenzhen underwent inductive content analysis. Consolidated criteria for reporting qualitative research were consulted to structure our reporting.
UNASSIGNED: Our analysis suggests four elements discouraging community nurses in care delivery: lack of equipment, stressful work environments, staff incompetence, and patient distrust. Centralized means of procurement, management indifference to nurses\' well-being, unsystematic training and reluctance to enter the community healthcare sector, and public prejudices against nursing contributed to these constraints, preventing community nurses from performing patient-centred care, devoting energy to caring, freeing themselves from heavy workloads, and building trust-based care relationships.
UNASSIGNED: Delivery barriers devalued community health services systematically and undermined nurses\' professional advancement and psychological well-being. Targeted management and policy inputs are necessary to reduce caring barriers and enhance the ability of community nursing to safeguard population health.

BACKGROUND: Learning motivation is important for students to master professional knowledge. Teaching strategies play a role in promoting learning motivation and cultivating nursing students\' critical thinking.
OBJECTIVE: To apply the Attention, Relevance, Confidence, and Satisfaction (ARCS) model-based motivational teaching strategies in a community nursing course and evaluate the effects on learning motivation, critical thinking, and self-learning ability.
METHODS: A mixed-methods study using a quasi-experimental design and descriptive qualitative analysis.
METHODS: Thirty-six third-year nursing students were divided into two groups. The experimental group was exposed to motivational teaching strategies based on the ARCS model in the 12-week community nursing course. The control group received traditional teaching. Students\' critical thinking, self-learning ability and academic performance were quantitatively assessed, with t-tests performed to compare learning outcomes. Qualitative outcomes were evaluated through semi-structured interviews, analyzed by using thematic analysis.
RESULTS: Students in the experimental group demonstrated significantly greater critical thinking and higher test scores than those in the control group. The self-learning ability and learning motivation of the students exposed to ARCS were also strengthened, and students reported high levels of satisfaction with the motivational teaching strategies.
CONCLUSIONS: Applying the ARCS model-based motivational teaching strategies in community nursing courses is feasible and associated with improved learning motivation and outcomes among Chinese nursing undergraduates.

暂无摘要。

OBJECTIVE: The study aimed to explore the effect of community nursing based on the Roy adaptation model on postpartum depression and sleep quality of parturients.
METHODS: According to different nursing methods, 96 parturients with postpartum depression were selected and divided into 47 cases in the regular group (undergoing regular nursing) and 49 cases in the combined group (undergoing community nursing based on the Roy adaptation model). The improvement in depression and sleep quality was compared between the two groups.
RESULTS: Comparison of the Hamilton Depression Scale (HAMD), Self-Rating Depression Scale (SDS) and Edinburgh Postpartum Depression Scale (EPDS) scores between the two groups showed that the above mentioned scores at intervention for 3 months < those of intervention for 2 months < those of intervention for 1 month < those of before intervention; showing significant differences (P<0.05). The scores of HAMA, SDS and EPDS in the combined group after intervention for 1, 2 and 3 months were significantly lower than those in the regular group (P<0.05). After intervention, the total score and the scores of all dimensions of Pittsburgh Sleep Quality Index (PSQI) were decreased in the two groups (P<0.05), and the combined group had scores that were significantly lower than the regular group (P<0.05).
CONCLUSIONS: The use of community nursing intervention based on the Roy adaptation model for postpartum depressed parturients can effectively alleviate depression and improve sleep quality.

OBJECTIVE: Using an integrated model of health literacy, we discuss the importance of health literacy among foreign domestic workers in the provision of informal caregiving during outbreaks of communicable diseases. COVID-19 pandemic is used as an example.
BACKGROUND: Adequate health literacy in the population is known to be important for the prevention of communicable diseases. Foreign domestic workers, a group of marginalised caregivers in private households, are generally presumed to have limited health literacy because of numerous socio-cultural disadvantages. To date, there is limited evidence that these informal healthcare providers receive support from community-based nurses.
METHODS: A discursive paper.
CONCLUSIONS: Foreign domestic workers, with varying levels of health literacy, may be viewed either as a resource to break the chain of infection or as a potential reservoir of communicable diseases in the community. Meanwhile, restrictions imposed in response to diseases transmissions (e.g. stay-at-home measures for COVID-19) may directly exacerbate the social support received by these foreign domestic works and their ability to access health-related information. There are also concerns about their ability to appraise and evaluate information related to communicable diseases at a time when fake news and misinformation are being disseminated through social media. Language and cultural barriers are important issues that need to be addressed to ensure that foreign domestic workers are in a position to follow public health recommendations.
CONCLUSIONS: Nurses hold an important position in empowering foreign domestic workers with adequate health literacy, by engaging groups of foreign domestic workers in the community and their consulates in planning educational programmes and effectively disseminating information. At a time of global pandemic, an assessment of the health literacy levels of foreign domestic workers in places like Hong Kong is urgently required.

To determine the pattern of relationships among social support network, social support, self-efficacy, health-promoting behavior and healthy aging in older adults.
Totally, 485 community-dwelling participants aged 60 years and older were recruited from four districts of Beijing, China. Data were obtained from July to November, 2017 using a questionnaire containing general information items, the Lubben Social Network Scale-18, the Medical Outcomes Study Social Support Survey-Chinese version, the Self-rated Abilities for Health Practices Scale, the Health-Promoting Lifestyle Profile II and a Healthy Aging Instrument. Path analysis was applied to examine the pattern of relationships between one\'s social support network and healthy aging.
The influence of a neighbor network on healthy aging was stronger than that of a family and friend network. Friend network had greater impact than family network on health-promoting behavior and self-efficacy. However, support from family members had a stronger effect than friend support and neighbor support on health-promoting behavior, self-efficacy and healthy aging. Furthermore, the finding revealed that self-efficacy had the stronger effect on healthy aging than that of health-promoting behavior.
These findings demonstrate that one\'s social support network plays an important role in promoting healthy aging. In China, medical and human resources for community healthcare systems are often limited. We propose that community nurses, as the \"gatekeepers\" to the healthcare system, should actively collaborate with older adults\' social network resources to promote healthy aging. Moreover, nurses should develop efficient programs which focus on the ways of improving self-efficacy.

OBJECTIVE: China is reforming its health care system, which aimed to strengthen primary health care through building community health centers (stations) and assigning a \"gate-keeper\" role to primary care providers. Community nurses play a key role in the reform. Little is known about the level of job stress among community nurses. Thus, this study aims to explore the level of perceived job stress and its influencing factors among community nurses.
METHODS: A cross-sectional design was used to conduct a survey with 1015 nurses from 56 community health centers in Sichuan province. Job stress was measured by the Community Nurses Stress Scale. Data were collected between March and November 2015.
RESULTS: Community health nurses in China perceived high levels of job stress. The job stress was related to nurses\' individual characteristics and work environments. Permanently employed nurses, shift workers, and those older than 45 years age and with less training related to community nursing and involvement in childcare were more likely to experience high levels of stress.
CONCLUSIONS: Reform is required of the community nursing personnel system, and development of continuing education programs and stress-alleviating measures to reduce community nurses\' job stress. The results of this study favour future advanced practice community health nursing practice and education.

Low fall efficacy can lead to activity restriction and loss of independence, which may cause severe adverse consequences. The purpose of this study was to explore fall efficacy among elders with knee osteoarthritis and influential factors in three communities in Beijing, China. A correlational descriptive study design was used with a sample of 117 participants from July 2014 to November 2014. Results showed that participants had low fall efficacy and that fall efficacy correlated with age, gender, body mass index, marital status, education, disease duration, frequency of falls, number of co-morbidities, pain, stiffness, physical function, depression, lower-extremity muscle strength and balance (r = -0.594 to 0.234, P < 0.05 to 0.001). Multiple regression analysis revealed that 52% of variance in fall efficacy was explained by fall frequency, age, body mass index, gender, pain and balance function. Findings suggest that strategies to prevent falls, reduce body weight, improve effective pain management and enhance balance function may improve fall efficacy in this population.