Background: Examination anxiety is a concern for educational policymakers because of the impact it can have on the overall outcome of the performance of the candidates who partake in such examinations. Aim: The aim of this study is to determine the examination anxiety level of students of Nursing and Midwifery College, Agogo, and Presbyterian University College and to evaluate the factors affecting them. Materials and Methods: A total of 160 undergraduate nursing students comprising 80 degree and 80 diploma students were conveniently sampled for the study. The study was conducted in September 2019 using a descriptive cross-sectional design. The Westside Test Anxiety Scale was used to measure examination anxiety among the participants. A researcher-designed questionnaire in which participants responded to a three-point Likert scale was used to assess factors influencing examination anxiety. Results: The findings of the study showed that test anxiety was higher among the diploma candidates (M = 3.60) than the degree candidates (M = 2.95) and the difference was statistically significant (P = 0.024). Demographic characteristics such as age (P = 0.009), sex (P = 0.003), study hours per day (P = 0.001) were found to be significantly associated with test anxiety. The factors found to influence examination anxiety among students were volume of materials to study (P = 0.044), level of preparation (P = 0.005) perceived difficulty of the questions (P = 0.033) and myth about examinations (P = 0.000). The perceived importance of the examination (P = 0.057) and schedule of the exams (P = 0.68) did not influence examination anxiety. Conclusion: Candidates for the licensure examination organized by the Nursing and Midwifery Council of Ghana should be assessed for test anxiety and offered the necessary psychological support where necessary.

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Objective: The objective of the study was to identify musculoskeletal problems (MSPs) among nursing officers. Materials and Methods: A nonexperimental research design was used. Two hundred and seventy nursing officers were selected by purposive sampling technique. The standardized Nordic questionnaire was used to assess the MSPs and self-structured three-point rating scale was used to assess expressed practice of body mechanics of nursing officers. Results: The study findings revealed that 64.4% of nursing officers suffered from MSP such as ache, pain, and discomfort during the past 12 months and 43.7% during the past 7 days. The problem in the low back and the neck were highest 45.1% and 22.2%, respectively. This was followed by MSP of the upper back (14.0%), ankles (13.7%), knees (10.7%), shoulder (10.3%), hip/thighs (5.9%), wrists (4.4%), and elbows (3.3%). Around 49.2% complained that MSPs limit their work. There was significant association of MSP with selected personal variables like body mass index (P = 0.001) and family history (P = 0.02). There were also significant association of expressed practices of body mechanics with gender (P = 0.01), area of current work (P = 0.00), professional experience (P = 0.03) and physical activity (P = 0.00). Conclusion: The study indicates the large number of nursing officers had MSPs with the two most common sites being the lower back and the neck. This creates a need for prompt hospital education programs aimed to create awareness among nursing officers on the prevalence of MSPs.

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Objective: The aim of this study was to evaluate the effect of the Traditional Chinese Medicine (TCM) theory-based mobile app on improving symptoms in patients with type 2 diabetes mellitus (T2DM) in China. Materials and Methods: A randomized controlled trial was conducted. Ninety-seven patients with T2DM were enrolled and they were randomized into the control group and the experimental group. The control group was given usual diabetes education and follow-up with telephone call, while the experimental group was followed up by using the TCM theory-based mobile app. After 6-month intervention, the diabetic symptom scores, the blood glucose levels, and self-management ability of the two groups were compared. Results: Compared with intervention before, the levels of fasting blood glucose (FBG), 2-h postprandial blood glucose (2hPG), and glycated hemoglobin (HbA_1c) decreased in the control group (9.28 ± 3.05 vs. 8.26 ± 2.73 mmol/L, 12.65 ± 4.18 vs. 10.65 ± 3.79 mmol/L, and 8.78% ±1.76% vs. 7.96% ±1.47%, respectively, all P < 0.05) and also decreased in the experimental group (8.36 ± 2.64 vs. 7.35 ± 2.45 mmol/L, 11.50 ± 4.29 vs. 9.85 ± 2.71 mmol/L, and 8.64% ±2.04% vs. 7.29% ±1.56%, respectively, all P < 0.05) after 6-month intervention, while the summary of diabetes self-care activities (SDSCAs) scale scores after 6-month intervention increased significantly in the control group (35.20 ± 14.68 vs. 44.78 ± 10.21, P < 0.05) and the experimental group (32.16 ± 13.21 vs. 50.37 ± 10.06, P < 0.05). After 6-month intervention, the diabetic symptom scores (18.16 ± 2.74 vs. 22.18 ± 4.77) and HbA_1c (7.29 ± 1.56% vs. 7.96% ±1.47%) were lower, and SDSCA scale scores (50.37 ± 10.06 vs. 44.78 ± 10.21) were higher in the experimental group than the control group (all P < 0.05). Conclusion: The mobile app based on TCM theory can effectively improve diabetes-related symptoms in patients with T2DM and help control their blood glucose as well as enhance their self-management ability.

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Objective: The objective of the study was to compare the application effects of in-vial exhaust method and conventional exhaust method in the process of coronavirus disease 2019 vaccine injection. Materials and Methods: Using convenient sampling method, 102 vaccines were selected as experiment group during the process of vaccine injection, and the in-vial exhaust method was used. One hundred and five vaccines were selected as the control group and the conventional exhaust method was adopted. The incidence of vaccine solution spillage and exhausting time in the two groups during exhaust were observed. Results: The incidence of solution spillage in the experiment group was lower than that in the control group (0 vs. 6.67%, P < 0.05). The exhausting time of the experiment group was shorter than that of the control group ([15.12 ± 4.43] s vs. [22.74 ± 6.53] s, P < 0.05). Conclusion: Implementing the in-vial exhaust method in the vaccine injection can effectively reduce the incidence of solution spillage, reduce nucleic acid contamination, and ensure that the vaccine is injected at the prescribed dose. Moreover, the operation is simple and easy, which improves the nurse's vaccination efficiency, and has a higher promotion and application value.

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Objective: The objective of this study is to investigate the correlation between psychological resilience and burnout levels of female employees in a shopping mall. Materials and Methods: A convenience sampling method was used to select 213 female employees of a shopping mall in Xi Xian New District, Shaanxi Province, in October 2020, who were surveyed using general condition questionnaire, Connor-Davidson Resilience Scale, and burnout scale. Results: The psychological resilience score of 213 female employees was 60.52 ± 10.12 and the burnout score was 52.44 ± 10.76. The differences were statistically significant in psychological resilience scores regarding female employees' different age (F = 46.715, P = 0.000), educational level (F = 3.955, P = 0.021), and whether they suffered from polycystic ovary syndrome (PCOS) (F = −11.660, P < 0.01). The differences in burnout scores were statistically significant among female employees' different age (F = 19.805, P < 0.01), years of work (F = 53.277, P < 0.01), and whether they suffered from PCOS (F = 16.119, P < 0.01). There was a negative correlation between psychological resilience and burnout (r = −0.787, P < 0.01). Conclusion: The psychological resilience score of female employees was generally low, and they suffered from a certain level of burnout. The mall managers should take corresponding measures for female employees to improve their psychological resilience level and reduce the degree of burnout.

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Objective: The objective of this study is to investigate the current status of comfort with touch among nursing staff in the rehabilitation department and analyze its influencing factors. Materials and Methods: The convenience sampling method was used to select 131 nursing staff in the rehabilitation department of 3A-level hospitals in Yunnan Province, China, from March to June 2020 to conduct a questionnaire survey. Results: The nurses' comfort with touch score of 131 clinical nurses in the rehabilitation department was 58.82 ± 4.85. Multivariate regression analysis showed that compassion fatigue (t = ‒2.968, P < 0.01) and occupational social support (t = 2.767, P < 0.01) were the influencing factors of the physical comfort of nursing staff; average monthly income (t = ‒2.160, P < 0.05), occupational cognitive evaluation (t = 4.924, P < 0.01), and secondary traumatic stress (t = 2.833, P < 0.01) were the influencing factors of task-oriented contact among nursing staff; marital status (t = 2.656, P < 0.01) and occupational social support (t = 2.078, P < 0.05) were the influencing factors for private nursing comfort of nurses. Conclusion: The comfort with touch among nurses in the rehabilitation department is at a medium level. Nursing managers should pay attention to their comfort with touch. In order to promote the development of medical service, hospitals should constantly improve the security and social support of nursing practitioners from the aspects of system, management, and salary performance.

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The guidelines for nutritional screening of head-and-neck cancer patients were systematically searched and screened from BMJ Best Practice, National Comprehensive Cancer Network, Britain's National Institute for Health and Clinical Excellence, National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, Guidelines International Network, New Zealand Guidelines Group, Australian National Health and Medical Research Council, Medlive, PubMed, Embase, CINAHL, China Biology Medicine, VIP, Chinese National Knowledge Infrastructure, and Wanfang. Four researchers evaluated the quality of the included literature and extracted evidence from the literature that met the quality standards. Finally, a total of six guidelines were included and ten best evidences were concluded. As only one guideline in this study is from China, and the rest are from other countries, the applicability and effectiveness of some evidence in the Chinese population still need to be further explored and studied. Therefore, when using evidence, medical staff should make appraisal on working environment in their hospital, factors that facilitate or hinder the use of evidence, and willingness of patients, and thus scientifically provide the best evidence for the management of clinical nutrition for head-and-neck cancer patients and provide a reference for the establishment of the standard process of nutritional screening for head-and-neck cancer patients.

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