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基于Roy适应理论的分站式模拟案例库在急诊护生带教中的应用
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作者 陈子红 姜泽伟 +2 位作者 朱娟红 张凤萍 郁慧杰 《中华卫生应急电子杂志》 2023年第5期297-300,共4页
目的探讨以Roy适应理论为指导编写的预检分诊-单项技能-团队配合的三站式模拟案例库在急诊护生临床实践教学中的应用效果。方法选取2022年1月至12月在嘉兴市第一医院急诊科实习的72名护生,按照模拟案例库建立前后分为对照组(36名)和观察... 目的探讨以Roy适应理论为指导编写的预检分诊-单项技能-团队配合的三站式模拟案例库在急诊护生临床实践教学中的应用效果。方法选取2022年1月至12月在嘉兴市第一医院急诊科实习的72名护生,按照模拟案例库建立前后分为对照组(36名)和观察组(36名),对照组应用理论教授和单项技能培训等常规教学方式,观察组应用分站式模拟案例库进行教学培训,比较两组学生教学前、后的理论及操作成绩、教学后的综合能力及教学满意度。结果教学结束后,两组护生的理论和操作成绩均明显提高,且观察组高于对照组〔教学后理论成绩(分):90.75±4.05比84.86±5.25,操作成绩(分):94.58±3.42比89.92±5.17〕(P<0.05);观察组护生的综合能力包括急救实践能力、病情观察能力、自主学习能力、沟通协作能力、应急处置能力、临床思维能力均高于对照组(P<0.05);观察组护生对教学的整体满意度评分也高于对照组,差异有统计学意义(P<0.05)。结论以Roy适应理论为指导,以真实世界急诊就诊路线为依据,建立预检分诊-单项技能-团队配合的三站式场景模拟教学,有效提升急诊护生的理论成绩、操作技能水平和临床实践能力,深受广大护生喜欢。 展开更多
关键词 情景模拟 案例库 急诊 护生
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The Poetics of Process Repeated in the Sky
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作者 zewei jiang 《Journal of Foreign Languages and Cultures》 2018年第1期141-154,共14页
关键词 EMILY DICKINSON the POETICS of PROCESS POSSIBILITY pioneering work
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Intensified river salinization alters nitrogen-cycling microbial communities in arid and semi-arid regions of China
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作者 Qingqing Pang Dan Wang +11 位作者 zewei jiang Mohamed Abdalla Lei Xie Xiang Zhu Fuquan Peng Pete Smith Longmian Wang Lingzhan Miao Jun Hou Peng Yu Fei He Bin Xu 《Eco-Environment & Health》 2024年第3期271-280,共10页
Freshwater salinization is receiving increasing global attention due to its profound influence on nitrogen cycling in aquatic ecosystems and the accessibility of water resources.However,a comprehensive understanding o... Freshwater salinization is receiving increasing global attention due to its profound influence on nitrogen cycling in aquatic ecosystems and the accessibility of water resources.However,a comprehensive understanding of the changes in river salinization and the impacts of salinity on nitrogen cycling in arid and semi-arid regions of China is currently lacking.A meta-analysis was first conducted based on previous investigations and found an intensification in river salinization that altered hydrochemical characteristics.To further analyze the impact of salinity on nitrogen metabolism processes,we evaluated rivers with long-term salinity gradients based on in situ observations.The genes and enzymes that were inhibited generally by salinity,especially those involved in nitrogen fixation and nitrification,showed low abundances in three salinity levels.The abundance of genes and enzymes with denitrification and dissimilatory nitrate reduction to ammonium functions still maintained a high proportion,especially for denitrification genes/enzymes that were enriched under medium salinity.Denitrifying bacteria exhibited various relationships with salinity,while dissimilatory nitrate reduction to ammonium bacterium(such as Hydrogenophaga and Curvibacter carrying nirB)were more inhibited by salinity,indicating that diverse denitrifying bacteria could be used to regulate nitrogen concentration.Most genera exhibited symbiotic and mutual relationships,and the highest proportion of significant positive correlations of abundant genera was found under medium salinity.This study emphasizes the role of river salinity on environment characteristics and nitrogen transformation rules,and our results are useful for improving the availability of river water resources in arid and semi-arid regions. 展开更多
关键词 Arid and semi-arid regions Nitrogen cycle Nitrogen transforming functional bacteria River Salinity gradient
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