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Registered Nurses’ Experiences with Clinical Teaching Environment in Malawi 被引量:7
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作者 Thokozani Bvumbwe atupele malema Mep Chipeta 《Open Journal of Nursing》 2015年第10期927-934,共8页
Clinical practice remains an integral part of nursing curriculum because clinical practice provides students with an opportunity to achieve professional competence. Creating a conducive learning environment for studen... Clinical practice remains an integral part of nursing curriculum because clinical practice provides students with an opportunity to achieve professional competence. Creating a conducive learning environment for students is responsibility of academic staff, clinical nurses and students alike. However, studies in Malawi have reported poor clinical learning environment for students. This study therefore aimed at exploring nurses’ experiences of clinical teaching environment in Malawi. The study used a qualitative research design utilizing a descriptive phenomenological approach. Participants were randomly identified from teaching hospitals across Malawi by nursing managers to attend a six week clinical preceptorship training at one University nursing college. Immediately before commencement of the training, participants were invited to voluntarily participate in a focus group discussion pertaining to their experiences with clinical environment. We conducted focus group discussions with 9 trainees in 2013 and 12 trainees in 2014 training cohorts. Findings reveal that nurses meet a number of challenges in teaching students in the clinical area. Four themes emerged from the study, namely, inadequate faculty support, poor clinical teaching environment, poor competence among nurses and unsupportive working conditions. Nurses require support from academic staff and their managers to ensure a conducive clinical teaching environment. 展开更多
关键词 Preceptors’ Experiences CLINICAL LEARNING ENVIRONMENT CLINICAL TEACHING
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职业和健康相关行为与高同型半胱氨酸血症的相关性 被引量:5
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作者 atupele malema 崔淑衡 +8 位作者 赵琦 王娜 张越 丘云 周晓燕 郁雨婷 王瑞平 姜永根 赵根明 《环境与职业医学》 CAS CSCD 北大核心 2020年第12期1188-1193,共6页
[背景]高同型半胱氨酸血症(HHcy)与高血压、糖尿病等多种慢性病存在关联。健康相关行为如吸烟、饮酒、缺乏锻炼等是心脑血管疾病、二型糖尿病和某些癌症等慢性非传染性疾病发生的重要原因。[目的]了解上海市松江区新桥社区成年人血浆总... [背景]高同型半胱氨酸血症(HHcy)与高血压、糖尿病等多种慢性病存在关联。健康相关行为如吸烟、饮酒、缺乏锻炼等是心脑血管疾病、二型糖尿病和某些癌症等慢性非传染性疾病发生的重要原因。[目的]了解上海市松江区新桥社区成年人血浆总同型半胱氨酸(Hcy)的人群分布特征和HHcy的罹患情况,并探究职业因素和健康相关行为与HHcy的关系。[方法]采用随机整群抽样的方法抽取上海市松江区新桥社区20~74周岁的常住居民进行横断面调查,描述Hcy的人群分布特征,采用多因素logistic回归分析HHcy与职业和健康相关行为之间的关联。[结果]共纳入研究对象8207名,Hcy均值为(15.29±7.33)μmol·L^(-1),男性高于女性[男性(18.09±9.42)μmol·L^(-1),女性(13.34±4.48)μmol·L^(-1),P<0.001];HHcy罹患率为32.47%(2665/8207),男性罹患率为52.64%(1172/3366),女性为18.45%(893/4841),男性高于女性(P<0.001),轻度罹患者多于中重度罹患者(轻度2418人,中重度247人,P<0.001)。多因素logistic回归分析显示,调整性别、年龄、体重指数、血清肌酐和慢性病患病后,与脑力劳动相比,从事体力脑力结合或体力劳动为主的职业与HHcy呈正相关,OR(95%CI)为1.19(1.03~1.38)、1.29(1.07~1.56);体育锻炼与HHcy呈负相关,OR(95%CI)为0.88(0.79~0.99);吸烟与HHcy呈正相关,OR(95%CI)为1.48(1.29~1.71)。[结论]上海市松江区新桥社区成年人HHcy罹患率较高。从事体力脑力结合或体力劳动为主的职业以及吸烟可能会促进HHcy的发生,体育锻炼可能会预防HHcy的发生。 展开更多
关键词 同型半胱氨酸 高同型半胱氨酸血症 职业 健康相关行为 横断面研究
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