Abstract：Objective: To explore the application effect of scenario simulation teaching in the training of core emergency response capabilities for gynecological nurses, and to provide empirical evidence for optimizing thetraining model of gynecological nurses. Methods: A total of 20 in-service gynecological nurses in the gynecologydepartment of our hospital from January 2024 to January 2025 were selected and randomly divided into a controlgroup (10 nurses, receiving traditional lecture-based training) and an observation group (10 nurses, receiving scenariosimulation teaching training). The theoretical scores of emergency response, operational assessment scores, andemergency response capability scores of the two groups were compared before and after training, and the nurses'satisfaction with the teaching model was counted after training. Results: After training, the theoretical score (89.6±5.2points) and operational score (91.3±4.8 points) of the observation group were significantly higher than those of thecontrol group (78.5±6.1 points, 80.2±5.5 points), with statistically significant differences (P<0.05); the scores of theobservation group in the dimensions of "rapid assessment", "decision-making", and "teamwork" in emergencyresponse capability were better than those of the control group (P<0.05); the satisfaction of the observation groupwith the training model (90.00%) was higher than that of the control group (40.00%). Conclusion: Scenariosimulation teaching can significantly improve the core emergency response capabilities of gynecological nurses,enhance the effectiveness of training and nurses' satisfaction, and is worthy of promotion and application in theemergency training of gynecological nurses.

Abstract：Objective: This study aims to explore the effect evaluation and impact deepening of implementing process optimization strategies in the nursing practice for critically ill trauma patients.Methods: A total of 100 critically illtrauma patients facing severe life challenges, admitted to the hospital from October 2021 to August 2023, wereselected as the research subjects. These patients were divided into a control group and an observation group accordingto the emergency nursing mode they received, with 50 patients in each group. The control group received routinenursing services based on the traditional framework to meet basic medical needs, while the observation groupbenefited from the optimized nursing process. The core of this study was to comprehensively examine and comparethe efficiency of the two groups in multiple key treatment links, including admission response speed, ability to quicklyestablish intravenous access, accuracy and timeliness of condition assessment, implementation efficiency ofcardiopulmonary resuscitation (CPR), adequacy and speed of surgical preparation, and guarantee of timely oxygensupply.Results: In the comparative analysis, the observation group showed a significant reduction in all key treatmenttime indicators—admission time, time to establish intravenous access, condition assessment time, CPR time, surgicalpreparation time, and oxygen inhalation time—compared with the control group, and this difference was highlystatistically significant (P<0.05), demonstrating the remarkable effect of the optimized nursing process in improvingtreatment efficiency. At the same time, the incidence of adverse reactions in the observation group during theprognosis period was significantly lower than that in the control group, which further confirmed the significantadvantage of the optimized nursing process in reducing the risk of complications and promoting patient recovery,with a significant difference (P<0.05). Finally, in terms of patient satisfaction, the satisfaction of the observationgroup was significantly higher than that of the control group, and this difference also reached statistical significance(P<0.05), fully illustrating the important role of the optimized nursing process in improving patients’ medicalexperience and enhancing doctor-patient trust.Conclusion: The implementation of optimized emergency nursingstrategies in the field of trauma emergency can significantly improve the success rate of rescue and effectivelypromote the positive improvement of patients’ prognosis.

Abstract: This article retrospectively analyzes the clinical data and nursing process of a 77-year-old patient with postoperative left lung mucinous adenocarcinoma complicated by intrapulmonary metastasis and bone metastasis.Upon admission, the patient presented with clinical symptoms including general soreness, nausea and vomiting, chesttightness, and fatigue, along with comorbidities such as chronic renal insufficiency and hypertension. During thenursing period, the nursing team developed a nursing plan focusing on pain management, symptom care, complicationprevention, psychological support, and discharge guidance based on a comprehensive assessment. After 12 days ofnursing intervention, the patient achieved well-controlled pain, relieved infection, and improved symptoms beforebeing discharged. This case provides a reference for the nursing of patients with advanced lung cancer metastasis,contributing to enhancing the nursing quality and quality of life for similar patients.

Abstract：Objective: To study the effect of Kangaroo Mother Care (KMC) combined with tactile massage in nursing intervention for premature infants and analyze the improvement of infants’ sleep quality.Methods: A total of 80 prematureinfants admitted to our hospital from July 2024 to July 2025 were selected and randomly divided into a control group andan observation group, with 40 cases in each group. The control group received conventional nursing intervention, whilethe observation group was additionally given KMC combined with tactile massage intervention. Differences in sleepquality and nursing effect between the two groups were observed.Results: The nursing satisfaction of the observationgroup was higher than that of the control group, and the incidence of adverse reactions was lower than that of the controlgroup. The observation group had longer sleep duration, fewer number of awakenings, and shorter awakening durationthan the control group. After nursing, the observation group showed higher scores in parents’ care ability, height, weight,daily milk intake, and Neonatal Behavioral Neurological Assessment (NBNA) scale, while the score of the Chinese InfantSleep Assessment Scale (ISAS) was lower than that of the control group. All differences were statistically significant (P＜0.05).Conclusion: Due to immature intrauterine development, premature infants have slow postnatal growth anddevelopment and sleep disorders. Conventional nursing can only ensure the infants’ life safety but has poor effects inimproving their growth and development and sleep quality. The implementation of KMC combined with tactile massageintervention has a better effect, which can help infants restore normal feeding tolerance and sleep quality as soon aspossible and ensure their growth and development. This intervention is worthy of clinical attention.

Abstract：Objective: To analyze the application effect of operating room detailed nursing. Methods: Eighty adolescent patients with appendicitis who underwent laparoscopic surgery from January 2021 to December 2023were selected and randomly divided into two groups. The control group received routine nursing, while theobservation group received operating room detailed nursing. The differences in postoperative prognostic indicatorsbetween the two groups were compared; the changes in anxiety, depression scores and stress indicators before andafter nursing were observed; and the differences in nursing satisfaction between the two groups were compared.Results: Compared with the control group, the observation group had better postoperative prognostic indicators, witha statistically significant difference (P＜0.05); after nursing, the observation group had lower anxiety and depressionscores, with a statistically significant difference (P＜0.05); after nursing, the levels of epinephrine and norepinephrinein the observation group were lower, with a statistically significant difference (P＜0.05); the observation group hadhigher nursing satisfaction, with a statistically significant difference (P＜0.05).Conclusion: The implementation ofoperating room detailed nursing helps improve patients' postoperative prognosis and promotes early discharge ofpatients, which is worthy of promotion and application.

Abstract：Objective: To explore the application value of individualized nursing in uremic patients undergoing blood purification therapy.Methods: A total of 100 uremic patients who received blood purification therapy in our hospitalfrom February 2024 to February 2025 were divided into two groups (control group and experimental group) usingthe random number table method. The control group was given routine nursing, while the experimental group receivedindividualized nursing. The effects of the two nursing modes were compared.Results: After intervention, theexperimental group (with individualized nursing) showed significant advantages in uremic patients’ emotional state,Pittsburgh Sleep Quality Index (PSQI) score, total effective rate, complication rate, and nursing satisfaction (all P <0.05).Conclusion: Individualized nursing has a definite effect during blood purification therapy for uremic patientsand is worthy of clinical promotion.