The proposed scale can be used to assess health education competency for college nursing students and practising nurses. Furthermore, it can provide educators with valuable insight into the minimum competencies required for entry-level nurses to deliver quality health care to clients and can guide them in the practice of client-based teaching.

Severe anxiety symptoms were not associated with time proximity to death per se but were related to factors modifiable by high-quality EOL care. Clinicians may decrease the likelihood of severe anxiety symptoms at EOL by adequately managing physical and depressive symptoms and lightening perceived burden to others for patients strongly connected with their social network to improve their psychological well-being.

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Objective: Children are susceptible to sentiment because their physiology, psychology, comprehension and language expression has not yet matured. Therefore, when they have to undergo an operation there will be resistance because of fear of the unknown. Methods: This study was conducted from September 2015 to March 2016. Pre-school children who underwent outpatient surgeries were the subjects of the study. The research methods were actual observation and questionnaire survey. The “Pre-school Children’s Preoperative Fear Response Observation Record” was used as the survey tool. Mann-Whitney U Test was used to compare the children’s responsive behaviors before and after intervention. Results: A total of 11 subjects were included in the study. Only 13.3% of pre-school children were willing to cooperate, while 67.8% of pre-school children feel fear before the operation. In order to reduce their fear, this study used clinical care teaching, development of care guidelines for pre-school preoperative fear, the layout of surgery waiting area for outpatient and operating room, providing touch medical equipment and selective medical treatment, use of modeling balloons, use of games in tablets and stickers as a care auxiliary as intervention. Using these, they not only were willing to cooperate but also have reduced their fear. The degree of coordination increased from 13.3% to 76.7%, the extent of fear cut down from 67.8% to 10.3%, and 98% of the family members were satisfied. Conclusion: Throughout the operation, professional nursing care that also focuses on the children’s emotion by establishing good relationship were established. Through teamwork, the group provided the pre-school children with a wide range of care, thereby reducing the preschool children's preoperative fear and family members became more satisfied. Keywords: Outpatient Surgery, Pre-school Children, Children’s Fear