<abstract xmlns="http://www.w3.org/1999/xhtml"><p>A society of advanced age is arriving with the increasing number of elderly patients. Little attention has been paid to the quality of life of elderly patients, which is decreasing gradually. This article aims to study the quality of life among elderly patients and explore the factors influencing it, in addition to exploring effective ways to improve the quality of life of elderly patients.</p></abstract>

Yunnan University of Traditional Chinese Medicine

Study on the quality of life and the factors influencing it in elderly patients

<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_fon-2018-0003_s_008_w2aab3b7b1b1b6b1aab1c17b1Aa"><h3>Objectives</h3><p>The goals of this work were to critically explore the challenges faced by overseas nurses during their working careers in the UK, to critically explore the available support for overseas nurses, and to make recommendations on how to minimize the effects of these challenges, as well as how to provide more support for overseas nurses during their working careers in the UK.</p></sec><sec id="j_fon-2018-0003_s_009_w2aab3b7b1b1b6b1aab1c17b2Aa"><h3>Methods</h3><p>A systematic and comprehensive literature review was conducted to explore the said objectives. A search was conducted in the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Academic Search Complete databases for relevant research. Inclusion and exclusion criteria were used to select the included articles. A total of 8 studies including 6 qualitative studies, 1 quantitative study, and 1 mixed-method study were selected for literature review. The validity and reliability of these 8 studies were analyzed by using 2 appraisal tools.</p></sec><sec id="j_fon-2018-0003_s_010_w2aab3b7b1b1b6b1aab1c17b3Aa"><h3>Results</h3><p>This review reveals 4 challenges, which overseas nurses experience in the past 15 years, including cultural differences, communication issues, unequal opportunities, and de-skilling. These challenges have a negative impact on overseas nurses’ emotions and career development. The formal and informal supports are revealed in this review. Various supports can help overseas nurses to work better.</p></sec><sec id="j_fon-2018-0003_s_011_w2aab3b7b1b1b6b1aab1c17b4Aa"><h3>Conclusions</h3><p>This review reveals 4 challenges faced by overseas nurses, including cultural differences, communication issues, and unequal opportunities and de-skilling. These challenges naturally have a profound negative impact on the emotions and career development of overseas nurses. Additionally, the formal and informal support systems available to these nurses are reviewed. Various support systems can help overseas nurses work more effectively.</p></sec></abstract>

A literature review of research exploring the experiences of overseas nurses in the United Kingdom (2002–2017)

<abstract xmlns="http://www.w3.org/1999/xhtml"><p>At present, with the continuous development of the trend of population aging worldwide, more elderly people are increasingly facing serious life disorders caused by physical and mental disability. In this study, the common symptoms and the nursing practice related to diseases of the disabled elderly are reviewed with reference to the basic concepts of disability care and the current situation of domestic and foreign research, which is expected to provide the basis for the construction of a new model of disability nursing.</p></abstract>

Medical care and clinical practice for disabled elderly

<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_fon-2018-0005_s_005_w2aab3b7b3b1b6b1aab1c18b1Aa"><label></label><h3>Objective</h3><p>This study aimed to explore the 100-year changes in regulations for the Florence Nightingale Medal.</p></sec><sec id="j_fon-2018-0005_s_006_w2aab3b7b3b1b6b1aab1c18b2Aa"><h3>Methods</h3><p>We used the announcements of the Florence Nightingale Medal awards as the research object to analyze – via historical and inductive methods – the regulations for receiving the Florence Nightingale Medal.</p></sec><sec id="j_fon-2018-0005_s_007_w2aab3b7b3b1b6b1aab1c18b3Aa"><h3>Results</h3><p>In the award years, the greatest number of winners per award year was 71 and the lowest was 12. The medal was initially exclusively awarded to living people but evolved to include both living and deceased people. The recipients were balanced among all countries. The gender of the winners showed a changing trend from being limited to only females to including both males and females. There was also a shift from emphasis on only dedication of the recipient to equal emphasis on both dedication and innovation.</p></sec><sec id="j_fon-2018-0005_s_008_w2aab3b7b3b1b6b1aab1c18b4Aa"><h3>Conclusions</h3><p>The selection criteria for recipients of the Florence Nightingale Medal evolved from consideration of those showing only dedication to equal consideration of both dedication and innovation.</p></sec></abstract>

The historical evolution of the regulations for the Florence Nightingale Medal

<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_fon-2018-0011_s_006_w2aab3b7b9b1b6b1aab1c18b1Aa"><h3>Objective</h3><p>Problem-solving should be a fundamental component of nursing education because it is a core ability for professional nurses. For more effective learning, nursing students must understand the relationship between self-directed learning readiness and problem-solving ability. The aim of this study was to investigate the relationships among self-directed learning readiness, problem-solving ability, and academic self-efficacy among undergraduate nursing students.</p></sec><sec id="j_fon-2018-0011_s_007_w2aab3b7b9b1b6b1aab1c18b2Aa"><h3>Methods</h3><p>From November to December 2016, research was conducted among 500 nursing undergraduate students in Tianjin, China, using a self-directed learning readiness scale, an academic self-efficacy scale, a questionnaire related to problem-solving, and self-designed demographics. The response rate was 85.8%.</p></sec><sec id="j_fon-2018-0011_s_008_w2aab3b7b9b1b6b1aab1c18b3Aa"><h3>Results</h3><p>For Chinese nursing students, self-directed learning readiness and academic self-efficacy reached a medium-to-high level, while problem-solving abilities were at a low level. There were significant positive correlations among the students’ self-directed learning readiness, academic self-efficacy, and problem-solving ability. Furthermore, academic self-efficacy demonstrated a mediating effect on the relationship between the students’ self-directed learning readiness and problem-solving ability.</p></sec><sec id="j_fon-2018-0011_s_009_w2aab3b7b9b1b6b1aab1c18b4Aa"><h3>Conclusions</h3><p>To enhance students’ problem-solving ability, nursing educators should pay more attention to the positive impact of self-directed learning readiness and self-efficacy in nursing students’ education.</p></sec></abstract>

Role of academic self-efficacy in the relationship between self-directed learning readiness and problem-solving ability among nursing students

<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_fon-2018-0010_s_006_w2aab3b7b8b1b6b1aab1c17b1Aa"><h3>Objective</h3><p>We aimed to explore the effect of a new health education model on continuous nursing care in elderly patients with diabetes mellitus who had undergone an operation for fracture.</p></sec><sec id="j_fon-2018-0010_s_007_w2aab3b7b8b1b6b1aab1c17b2Aa"><h3>Methods</h3><p>Convenience sampling was used to select 59 elderly patients with diabetes mellitus and fracture. New health education methods were used, and patient parameters were evaluated before and after the intervention.</p></sec><sec id="j_fon-2018-0010_s_008_w2aab3b7b8b1b6b1aab1c17b3Aa"><h3>Results</h3><p>Evaluation of medication, reasonable diet, regular exercise, blood glucose monitoring, and regular follow-up compliance were significantly improved in the experimental group compared to the control group (<italic>P</italic> &lt; 0.05). There were also significant differences between groups in fasting blood glucose, 2-hour postprandial blood glucose, triglyceride, high-density lipoprotein, and low-density lipoprotein levels (<italic>P</italic> &lt; 0.05); however, the differences between groups in terms of glycosylated hemoglobin and total cholesterol levels were not statistically significant (<italic>P</italic> > 0.05). Finally, the functional recovery and mental health of the experimental group were significantly better than those of the control group (<italic>P</italic> &lt; 0.05).</p></sec><sec id="j_fon-2018-0010_s_009_w2aab3b7b8b1b6b1aab1c17b4Aa"><h3>Conclusions</h3><p>The implementation of a menu of voluntary services in community-based continuous nursing provided standardized nursing care for elderly patients with fracture and diabetes mellitus and improved their quality of life.</p></sec></abstract>

Effect of a new health education model on continuous nursing in elderly patients with
diabetes mellitus

<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_fon-2018-0009_s_006_w2aab3b7b7b1b6b1aab1c17b1Aa"><h3>Objective</h3><p>This meta-analysis aims to evaluate the effects of traditional Chinese medicine (TCM) nursing combined with conventional nursing in patients with chronic obstructive pulmonary disease (COPD).</p></sec><sec id="j_fon-2018-0009_s_007_w2aab3b7b7b1b6b1aab1c17b2Aa"><h3>Methods</h3><p>Data were collected from the databases of PubMed, Embase, the Cochrane Library, Web of Science, Google Scholar, China National Knowledge Infrastructure (CNKI), WanFang Data (WF) and VIP Database, including literature regarding the effects of TCM nursing combined with conventional nursing in patients with COPD published before January 2017. The Jadad scale was used to assess the quality of the eligible literature. The weighted mean differences and odds ratios were used to analyze St. George’s Respiratory Questionnaire (SGRQ) scores, pulmonary function, hospital stay, and clinical efficacy.</p></sec><sec id="j_fon-2018-0009_s_008_w2aab3b7b7b1b6b1aab1c17b3Aa"><h3>Results</h3><p>Twenty-three randomized controlled trials comprising 3116 cases (TCM nursing combined with the conventional nursing group: 1559; conventional nursing group: 1557) met the inclusion criteria. TCM nursing combined with conventional nursing was associated with a lower SGRQ score, higher forced expiratory volume in 1 second (FEV1) value, higher FEV1/forced vital capacity (FVC) value, higher FEV1% value, higher FEV1 predicted value, shorter hospital stay, and preferable clinical efficacy.</p></sec><sec id="j_fon-2018-0009_s_009_w2aab3b7b7b1b6b1aab1c17b4Aa"><h3>Conclusions</h3><p>TCM nursing combined with conventional nursing emphasized that dialectical nursing can be performed preferably in patients with COPD.</p></sec></abstract>

Effects of traditional Chinese medicine nursing combined with conventional nursing in patients with chronic obstructive pulmonary disease: a meta-analysis

<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_fon-2018-0008_s_006_w2aab3b7b6b1b6b1aab1c17b1Aa"><h3>Objective</h3><p>This study aimed to explore the experiences of women in the process of formula feeding their infants. The World Health Organization has emphasized the importance of breastfeeding for infant health. After decades of breastfeeding promotions, breastfeeding rates in Hong Kong have been rising consistently; however, the low continuation rate is alarming. This study explores women’s experiences with formula feeding their infants, including factors affecting their decision to do so.</p></sec><sec id="j_fon-2018-0008_s_007_w2aab3b7b6b1b6b1aab1c17b2Aa"><h3>Methods</h3><p>A qualitative approach using an interpretative phenomenological analysis (IPA) was adopted as the study design. Data were collected from 2014 to 2015 through individual in-depth unstructured interviews with 16 women, conducted between 3 and 12 months after the birth of their infant. Data were analyzed using IPA.</p></sec><sec id="j_fon-2018-0008_s_008_w2aab3b7b6b1b6b1aab1c17b3Aa"><h3>Results</h3><p>Three main themes emerged as follows: (1) self-struggle, with the subthemes of feeling like a milk cow and feeling trapped; (2) family conflict, with the subtheme of sharing the spotlight; and (3) interpersonal tensions, with the subthemes of embarrassment, staring, and innocence. Many mothers suffered various stressors and frustrations during breastfeeding. These findings suggest a number of pertinent areas that need to be considered in preparing an infant feeding campaign.</p></sec><sec id="j_fon-2018-0008_s_009_w2aab3b7b6b1b6b1aab1c17b4Aa"><h3>Conclusions</h3><p>The findings of this study reinforce our knowledge of women’s struggles with multiple sources of pressure, such as career demands, childcare demands, and family life after giving birth. All mothers should be given assistance in making informed decisions about the optimal approach to feeding their babies given their individual situation and be provided with support to pursue their chosen feeding method.</p></sec></abstract>

Women’s experiences of formula feeding their infants: an interpretative phenomenological study

<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_fon-2018-0007_s_006_w2aab3b7b5b1b6b1aab1c18b1Aa"><h3>Objective</h3><p>The aim of this study was to explore whether positive emotion mediates the relationship between job burnout and turnover intentions among Chinese nurses.</p></sec><sec id="j_fon-2018-0007_s_007_w2aab3b7b5b1b6b1aab1c18b2Aa"><h3>Methods</h3><p>A cross-sectional survey was conducted in the present study. Full-time registered nurses (n = 150) from Grade A hospitals in Tianjin were surveyed. Pearson correlation, hierarchical regression analyses, and the Sobel test were used in the study.</p></sec><sec id="j_fon-2018-0007_s_008_w2aab3b7b5b1b6b1aab1c18b3Aa"><h3>Results</h3><p>The results illustrated that positive emotion mediated the relationship between burnout and nurses’ turnover intention.</p></sec><sec id="j_fon-2018-0007_s_009_w2aab3b7b5b1b6b1aab1c18b4Aa"><h3>Conclusions</h3><p>Nursing administrators should pay more attention to the benefits of positive emotions on working motivation. It is helpful to relieve burnout in the working process so that nurses are willing to remain in their current employment.</p></sec></abstract>

Job burnout and turnover intention among nurses in China: the mediating effects of positive emotion

<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_fon-2018-0006_s_006_w2aab3b7b4b1b6b1aab1c18b1Aa"><h3>Objective</h3><p>The purpose of this empirical study was to investigate the evaluation indexes of nursing research results and to provide references for the optimization of nursing research results and their clinical applications.</p></sec><sec id="j_fon-2018-0006_s_007_w2aab3b7b4b1b6b1aab1c18b2Aa"><h3>Methods</h3><p>A total of 150 clinical nursing studies were randomly selected, the clinical applications of their results were investigated, and the results were evaluated using the evaluation indexes of nursing research achievements.</p></sec><sec id="j_fon-2018-0006_s_008_w2aab3b7b4b1b6b1aab1c18b3Aa"><h3>Results</h3><p>The results of 101 clinical nursing studies were promoted through their application, accounting for 82.79%, but they were mostly promoted and applied in small areas. When the evaluation indexes of nursing research results were used to evaluate the results, the scores for the applied results were higher than those of unapplied results, and the difference was statistically significant (<italic>P</italic>&lt; 0.05). Considering the levels of the results, the scores of the results of studies at the national level were higher than those of studies at the municipal and hospital levels; the scores of the results of studies at the provincial level were higher than those at the hospital level; and the scores of the results of originally innovative studies were higher than those of partially innovative studies. The differences were statistically significant (<italic>P</italic> &lt; 0.05). In terms of overall scores, the scores of the results at the provincial level were higher than those at the hospital level, and the difference was statistically significant (<italic>P</italic> &lt; 0.05).</p></sec><sec id="j_fon-2018-0006_s_009_w2aab3b7b4b1b6b1aab1c18b4Aa"><h3>Conclusions</h3><p>The evaluation indexes of nursing research results in this study can scientifically and effectively evaluate the level, value, and effectiveness of the nursing research results and can promote the clinical application of the optimized results.</p></sec></abstract>

An empirical study on evaluation indexes of scientific research achievements in nursing

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Frontiers of Nursing

Frontiers of Nursing - the first English nursing academic journal which achieved not only CN but ISSN in China.  Frontiers of Nursing is the official peer-review research journal and an international platform of nursing academic exchange. This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed research report, academic papers, review articles and clinical research, to reflect nursing academic trends, scientific research and clinical practice experience, to promote the development of nursing science and the international influence of nursing research. This journal covers a wide range of nursing topics such as nursing basic researches, scientific researches, research reviews, and expert review etc. FON publishes 4 issues per year in Mar/Jun/Sep/Dec. FON intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. The journal publishes high quality full nursing research papers for rapid publication, and in-depth review articles. All papers are subjected to a fair peer-review process, and will immediately appear online available.   Why subscribe and read   to learn what was happening at the cutting edge in nursing field  to know famous experts and scholars in this field.   Why submit   fair and constructive double-blind peer review  The journal offers Open Access, free readership rights immediately upon publication, and follows CC BY NC ND (authors do not possess commercial rights).  The journal does not have article processing charges (APCs) nor article submission charges.     Archiving  Sciendo archives the contents of this journal in Portico - digital long-term preservation service of scholarly books, journals and collections.  Plagiarism Policy  The editorial board is participating in a growing community of Similarity Check System's users in order to ensure that the content published is original and trustworthy. Similarity Check is a medium that allows for comprehensive manuscripts screening, aimed to eliminate plagiarism and provide a high standard and quality peer-review process.

Frontiers of Nursing

Volume 5 (2018): Issue 1 (March 2018)

Review article

Study on the quality of life and the factors influencing it in elderly patients

A literature review of research exploring the experiences of overseas nurses in the United Kingdom (2002–2017)

Medical care and clinical practice for disabled elderly

The historical evolution of the regulations for the Florence Nightingale Medal

Original article

Role of academic self-efficacy in the relationship between self-directed learning readiness and problem-solving ability among nursing students

Effect of a new health education model on continuous nursing in elderly patients with diabetes mellitus

Effects of traditional Chinese medicine nursing combined with conventional nursing in patients with chronic obstructive pulmonary disease: a meta-analysis

Women’s experiences of formula feeding their infants: an interpretative phenomenological study

Job burnout and turnover intention among nurses in China: the mediating effects of positive emotion

An empirical study on evaluation indexes of scientific research achievements in nursing

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