{"id":"https://openalex.org/W7049065166","doi":null,"title":"A Multi-Center Study on the Implementation and Challenges of Nursing Three-Level Ward Rounds in Tertiary Hospitals in Shanxi Province","display_name":"A Multi-Center Study on the Implementation and Challenges of Nursing Three-Level Ward Rounds in Tertiary Hospitals in Shanxi Province","publication_year":2024,"publication_date":"2024-09-01","ids":{"openalex":"https://openalex.org/W7049065166"},"language":"en","primary_location":{"id":"pmh:oai:doaj.org/article:b34c2117f2894517913ce7731e95d035","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/b34c2117f2894517913ce7731e95d035","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Multidisciplinary Healthcare, Vol Volume 17, Pp 4441-4452 (2024)","raw_type":"article"},"volume":null,"type":"article","indexed_in":["doaj"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doaj.org/article/b34c2117f2894517913ce7731e95d035","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Shao Y","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shao Y","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Li Q","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Li Q","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Bian M","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bian M","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Wang Y","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wang Y","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":null,"display_name":"Zhang X","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhang X","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.50193365,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":true,"primary_topic":{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.36160001158714294,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.36160001158714294,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.3244999945163727,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.14489999413490295,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nursing-care-quality","display_name":"nursing care quality","score":0.5289999842643738},{"id":"https://openalex.org/keywords/tertiary-hospital","display_name":"tertiary care hospital","score":0.7950000166893005},{"id":"https://openalex.org/keywords/hospital-quality-measurement","display_name":"hospital quality assessment","score":0.41499999165534973},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.546999990940094},{"id":"https://openalex.org/keywords/nursing-management","display_name":"nursing management","score":0.45500001311302185},{"id":"https://openalex.org/keywords/shanxi","display_name":"Shanxi Province","score":0.6660000085830688},{"id":"https://openalex.org/keywords/ophthalmic-nursing","display_name":"ophthalmic nursing","score":0.6549999713897705}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6287000179290771},{"id":"https://openalex.org/C191935318","wikidata":"https://www.wikidata.org/wiki/Q148","display_name":"China","level":2,"score":0.5160999894142151},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.48669999837875366},{"id":"https://openalex.org/C2776034101","wikidata":"https://www.wikidata.org/wiki/Q1509347","display_name":"Commission","level":2,"score":0.483599990606308},{"id":"https://openalex.org/C2780210234","wikidata":"https://www.wikidata.org/wiki/Q422638","display_name":"Action plan","level":2,"score":0.3919999897480011},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.3758000135421753},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33390000462532043},{"id":"https://openalex.org/C2982822547","wikidata":"https://www.wikidata.org/wiki/Q179661","display_name":"Medical treatment","level":2,"score":0.3262999951839447},{"id":"https://openalex.org/C152212766","wikidata":"https://www.wikidata.org/wiki/Q3625645","display_name":"The Republic","level":2,"score":0.3059000074863434},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.296099990606308}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:doaj.org/article:b34c2117f2894517913ce7731e95d035","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/b34c2117f2894517913ce7731e95d035","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Multidisciplinary Healthcare, Vol Volume 17, Pp 4441-4452 (2024)","raw_type":"article"}],"best_oa_location":{"id":"pmh:oai:doaj.org/article:b34c2117f2894517913ce7731e95d035","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/b34c2117f2894517913ce7731e95d035","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Multidisciplinary Healthcare, Vol Volume 17, Pp 4441-4452 (2024)","raw_type":"article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Ying":[0],"Shao,1,*":[1],"Qianfei":[2],"Li,2,*":[3],"Meirong":[4],"Bian,3":[5],"Yue":[6],"Wang,1":[7],"Xiaohong":[8,100],"Zhang4":[9],"1Department":[10],"of":[11,18,26,33,36,44,53,61,68,74,83,92,106,115,131,140,144,163,189,235,259,270,274,278,296,299,314,350,364,370,408,432,452,458,461,472,475,482,489,506,528,543,593,609,621,640,659,688,696,711,730],"Ophthalmology,":[12],"Shanxi":[13,16,22,27,38,48,51,57,62,75,78,81,87,107,110,113,119,337,578],"Bethune":[14,49,79,111],"Hospital,":[15,23,50,58,88,112,120],"Academy":[17,52,114],"Medical":[19,28,39,54,63,108,116,145,223,279],"Sciences,":[20,55,117],"Tongji":[21,56,86,118],"Third":[24,59,72,104],"Hospital":[25,60,105],"University,":[29,40,64,109],"Taiyuan,":[30,41,65,89,127],"People\u2019s":[31,42,66,90,129],"Republic":[32,43,67,91,130],"China;":[34,45,69],"2College":[35],"Nursing,":[37],"3Nursing":[46],"Department,":[47,71,103],"4Nursing":[70],"hospital":[73,366,410,434,463,642],"medical":[76,84],"university,":[77],"hospital,":[80],"academy":[82],"sciences,":[85],"China*These":[93],"authors":[94],"contributed":[95],"equally":[96],"to":[97,151,178,212,231,254,283,293,448,500,707],"this":[98],"workCorrespondence:":[99],"Zhang,":[101],"Nursing":[102,351,652,654],"NO.":[121],"99,":[122],"Longcheng":[123],"Street,":[124],"Xiaodian":[125],"District,":[126],"030032,":[128],"China,":[132,200],"Tel":[133],"+86-13453443366,":[134],"Email":[135],"zxhxb2013@126.comBackground:":[136],"The":[137,358,470,540,618,702],"\u201cKey":[138,154,214,272,466,566,649],"Points":[139,273],"the":[141,153,159,179,190,213,217,229,233,256,268,271,275,297,304,312,319,336,344,348,361,365,368,371,400,405,409,414,429,440,450,456,459,462,465,473,476,487,490,507,525,538,544,557,565,577,590,594,622,630,635,638,641,648,660,671,677,686,689,693,697,712,718],"Core":[142,276],"System":[143,277],"Quality":[146,224,280],"and":[147,186,281,286,310,367,376,388,395,484,531,616,664,669,679,699],"Safety\u201d":[148,282],"(hereinafter":[149,446],"referred":[150,447],"as":[152,292,449],"Points\u201d)":[155],"was":[156,325,355,468,562],"promulgated":[157],"by":[158,393,537,629],"National":[160],"Health":[161],"Commission":[162],"China":[164],"in":[165,199,264,303,318,327,335,413,480,524,536,550,560,576,607,620,645,666,674,681,715],"2018,":[166],"requiring":[167],"that":[168,202,411,596,709],"nursing":[169,203,260,515,585,599,623,720],"ward":[170,181,204,237,262,301,316,382,420,517,533,548,587,601,610,625,722,731],"rounds":[171,205,263,378,421,534,549,602,626],"should":[172,206,656,691,704],"be":[173,207,657,700,705],"carried":[174,208,356,424,513,583,597,627],"out":[175,209,514,584,598,628],"with":[176,210,417,439,464,556,564,634,647,676,717],"reference":[177,211],"three-level":[180,236,261,315,372,419,516,586,600,624,721],"round":[182,383,611],"system;":[183],"In":[184],"2020":[185],"2022":[187],"editions":[188],"\u201cEvaluation":[191,305],"Standards":[192,306],"for":[193,220,307,437],"Tertiary":[194,308],"Hospitals\u201d,":[195],"which":[196,390],"were":[197,426,435,493,520,553,603],"implemented":[198],"required":[201],"Points\u201d.":[215],"Additionally,":[216,685],"Action":[218],"Plan":[219],"Comprehensively":[221],"Improving":[222],"(2023\u2013":[225],"2025)":[226],"also":[227],"mentions":[228],"need":[230],"improve":[232],"quality":[234,313],"rounds.":[238,518,588],"However,":[239],"there":[240],"are":[241,478],"no":[242],"detailed":[243],"guidelines":[244,287],"regarding":[245,288],"implementing":[246],"\u201cNursing":[247,441],"Three-level":[248,352,442],"Ward":[249,353,443],"Rounds\u201d.Purpose:":[250],"This":[251],"study":[252,324],"aimed":[253],"investigate":[255],"current":[257,728],"situation":[258],"tertiary":[265,332,509,573,724],"hospitals":[266,334,511,552,575,595,631],"after":[267],"promulgation":[269],"provide":[284],"insights":[285],"relevant":[289,672],"standards,":[290],"so":[291],"better":[294],"implement":[295],"requirements":[298,665,680,695],"\u201cnursing":[300,418],"rounds\u201d":[302,317],"Hospitals\u201d":[309],"\u201cimproving":[311],"\u201cAction":[320],"Plan\u201d.Methods:":[321],"A":[322,340],"multi-center":[323,733],"conducted":[326],"February":[328],"2024,":[329],"including":[330],"all":[331,572,582],"public":[333,510,574],"Province,":[338],"China.":[339],"questionnaire":[341,359,415],"survey":[342,416],"using":[343,495],"self-designed":[345],"\u201cQuestionnaire":[346],"on":[347,651],"Implementation":[349],"Rounds\u201d":[354],"out.":[357],"included":[360],"basic":[362],"information":[363],"implementation":[369,713],"(namely":[373],"I,":[374,529,545],"II,":[375,530,546],"III)":[377],"(including":[379],"\u201cfive":[380,406],"aspects\u201d:":[381],"personnel,":[384,612],"object,":[385,613],"content,":[386,614],"frequency,":[387,615],"record),":[389],"is":[391,399,632,643,714],"expressed":[392,479],"quantity":[394,483],"composition":[396,485],"ratio.":[397],"Next":[398],"text":[401],"analysis":[402,474],"method.":[403],"First,":[404],"aspects\u201d":[407],"filled":[412,535],"have":[422,580],"been":[423],"out\u201d":[425],"assessed.":[427,469],"Second,":[428],"five":[430,526,541,591],"aspects":[431,527,542,592],"each":[433],"assessed":[436],"consistency":[438,457],"Rounds":[444],"System\u201d":[445],"\u201cSystem\u201d)":[451],"their":[453,667],"respective":[454,636],"hospitals.Third,":[455],"\u201cSystem\u201d":[460,639],"Points\u201d":[467,567],"results":[471,488],"former":[477],"terms":[481,608],"ratio;":[486],"latter":[491],"two":[492],"analyzed":[494],"Fisher\u2019s":[496],"exact":[497],"test":[498],"method":[499],"compare":[501],"any":[502],"differences.Results:":[503],"Notably,":[504],"14":[505,551],"67":[508],"(20.9%)":[512],"There":[519],"4\u2013":[521],"10":[522],"situations":[523],"III":[532,547],"hospitals.":[539],"significantly":[554],"comparable":[555,563],"\u201cSystem\u201d,":[558],"which,":[559],"turn,":[561],"(P":[568],"<":[569],"0.05).Conclusion:":[570],"Not":[571],"Province":[579],"not":[581,604,644],"Furthermore,":[589],"entirely":[605],"consistent":[606],"record.":[617],"filling":[619],"inconsistent":[633],"\u201cSystem\u201d;":[637],"line":[646],"Points\u201d.Impact":[650],"Work:":[653],"administrators":[655],"aware":[658],"newly":[661],"issued":[662],"norms":[663,678,698],"workplace,":[668],"revise":[670],"systems":[673],"accordance":[675,716],"a":[682],"timely":[683],"manner.":[684],"revision":[687],"system":[690,703],"cover":[692],"core":[694,726],"practicable.":[701],"supervised":[706],"ensure":[708],"100%":[710],"system.Keywords:":[719],"rounds,":[723],"hospitals,":[725],"system,":[727],"status":[729],"round,":[732]},"counts_by_year":[],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2025-10-10T00:00:00"}
