Development of Self-Rated Nursing Record Frequency for Delirium Care of Nurses in Acute Care Hospitals (NRDC-Acute)

Background: Nursing records play an important role in multidisciplinary collaborations in delirium care. This study aims to develop a self-rated nursing record frequency scale for delirium care among nurses in acute care hospitals (NRDC-Acute). Methods: A draft of the scale was developed after a literature review and meeting with researchers with experience in delirium care, and a master’s or doctoral degree in nursing. We identified 25 items on a 5-point Likert scale. Subsequently, an anonymous self-administered questionnaire survey was administered to 520 nurses from 41 acute care hospitals in Japan, and the reliability and validity of the scale were examined. Results: There were 232 (44.6%) respondents and 218 (41.9%) valid responses. The mean duration of clinical experience was 15.2 years (SD = 8.8). Exploratory factor analysis extracted 4 factors and 13 items for this scale. The model fit indices were GFI = 0.991, AGFI = 0.986, and SRMR = 0.046. The Cronbach’s alpha coefficient for the entire scale was .888. The four factors were named “Record of Pharmacological Delirium Care on Pro Re Nata (PRN)”, “Record of Non-Pharmacological Delirium Care”, “Record of Pharmacological Delirium Care on Regular Medication”, and “Record of Collaboration for Delirium Care”. Conclusion: The scale was relatively reliable and valid. Nurses in acute care hospitals can use this scale to identify and address issues related to the documentation of nursing records for delirium care.

Exploration of Teaching Development Strategies for Double-Qualified Teachers in University- Affiliated Hospitals Based on Role Conflict Theory

This study draws on the classic theories and research achievements of university teacher development,and from the perspective of role conflict in social psychology,proposes policy recommendations for the development of clinical teachers in medical colleges,including following different stages of teacher development and designing teaching development strategies at different levels;designing the content and form of teaching development activities to meet the temporal and spatial needs of clinical teachers;and building an academic community for clinical teachers to promote the creation of teaching development behaviors.

The Integration of Modern Electronic Technology and E-Commerce:the Driving Force of Innovation Development

In the 21st century,which is known as the age of information,the integration of electronic technology and e-commerce has become an irreversible trend in the field of business.This trend not only promotes the innovative development of e-commerce,but also brings unprecedented opportunities and challenges for enterprises.With the continuous development and popularization of Internet technology,more and more people choose to carry out shopping,payment and other consumption activities through e-commerce platforms,which also provides merchants with a broader market space and more sales channels.At the same time,e-commerce also brings more convenience and choice to consumers,making it easier for consumers to obtain the goods and services they need.However,the development of e-commerce has also brought some new challenges,such as how to ensure the quality of goods,how to protect consumer privacy and so on.Therefore,enterprises and government departments need to strengthen the supervision and management of e-commerce to ensure its healthy and orderly development.In general,the integration of electronic technology and e-commerce has become an important trend in today’s business field,which brings both opportunities and challenges to enterprises.

The Characteristics, Values and Importance of Leading Talents in the Hospital Innovation Team

Leading talents and innovation team are the key to build an innovative hospital. It is necessary and practical to recognize the importance, characteristics and value of leading talents and innovative teams. This paper summarizes some characteristics, values and importance of leading talents and innovative teams in China’s General hospitals (General hospitals with complete medical specialties and advanced equipment) for reference.

Knowledge-Based Platform for Collaborative Innovation Development of Products

The platform of distributed design and resource sharing is important for medium-sized and small companies in developing products to improve competitiveness. As a background of creative product design, a knowledge model based on product collaborative innovation development of products (CIDP) is proposed. Characteristics of CIDP are analyzed, and the framework and key technologies of the CIDP-platform based knowledge studied. Through integration of existing system and interface designs, a development platform has been built to support the PCID within knowledge-based engineering (KBE). An example is presented, indicating that the prototype system is maneuverable and practical.

Applying a Process- and Dialogue-Centered Approach in Management Development at Loimaa Hospital

Management development has become a crucial element in the organizations function, and in the lives of their personnel, while working, learning. and developing have become more and more intimately interlinked. In a development-oriented working environment, there is a constant pressure to become ＂better＂, and this necessitates planned, strategic development programs. This paper examines the development of a process- and dialogue-centered approach and its implementation in a hospital environment. The production of information, learning, and professional expertise are seen as strongly dialogic and context-bound processes. During 2010-2011, a project to promote a patient-centered approach in nursing care and organizational reform was carried out at Loimaa Hospital, funded both from the Hospital＇s own resources and with the aid of a grant from the Finnish Work Environment Fund. The goals of the development process were： to reinforce the restructuring of services provision in the Hospital＇s departments; to support the spontaneously launched peer networking among charge nurses and assistant charge nurses; to model a patient-centered approach by means of mentoring; and to reinforce dialogic team working in pairs on the wards. This paper summarises the project＇s findings and describes the principles of the process-centered development.

Study on the Changes of Medical Income Structure in Governmentrun Hospitals of Traditional Chinese Medicine from 2012 to 2021

Objective To study the changing characteristics and trend of medical income structure in the government-run hospitals of traditional Chinese medicine(TCM),evaluate the effects of relevant reform measures,and to put forward corresponding suggestions for further optimizing their income structure.Methods The data related to the average medical income of government-run hospitals of TCM from 2012 to 2021 were sorted out.Then,descriptive analysis method was used to analyze the changes of related indicators.Besides,structural change method was applied to investigate the changes of outpatient income and inpatient income.Results and Conclusion From 2012 to 2021,the growth of medical income in government-run hospitals of TCM tended to be stable,and the proportion of medical service income increased from 22.62%(2012)to 29.38%(2021),but the average annual growth rate was only 0.68%.The main items that caused the change of outpatient income structure were medicine revenue,laboratory tests,diagnosis and treatment,and the cumulative contribution rate was 89.15%.The main items that caused the change of inpatient income structure were medicine revenue,sanitary materials,and auxiliary examinations income,with a cumulative contribution rate of 80.04%.However,the contribution rate of registration,diagnosis,treatment,surgery and nursing income reflecting the value of medical personnel’s technical labor was relatively small.The medical income structure of government-run hospitals of TCM underwent great changes and gradually became reasonable,but the medical service income increased slowly,and not all indicators achieved the expectations.To promote the sustainable development of public hospitals of TCM and enable them to provide high-quality and efficient TCM medical and health services,it is necessary to further improve the relevant policy mechanism.

State Restructuring and Urban Innovation Development in Post-re­form China:Shanghai’s Innovation Action in Review

Given the ample evidences from present studies on national-level innovation policies evolution and mechanisms,this paper contributes to a city-level understanding towards innovation-related state restructuring,the consequent innovation policy change and its relational performance with urban development in post-reform Shanghai,China from an input-output perspective.It unfolds that state restructuring relinquishing state power to the market has revived non-government innovation activities and a synchronous,though a bit backward,firms-oriented transition towards innovation development in Shanghai throughout 1990s has been observed.Though scholars are reluctant to label the party-state in post-reform China as a developmental state due to dysfunctionality of state intervention in corporate sectors,in the field of technological upgrading,such top-down,elite driven and state-sponsored mode giving priority to innovation competitiveness well captures the developmental state model at local level,thus exhibits elements of local developmental state.Impacts of this restructuring and policy change are substantial,which can be observed in the soaring increase of science and technology expenditures and patents applications in Shanghai.Additional analysis further unveils that in most circumstances,innovation growth kept paces with urban development,yet its synergy with economic development and permanent residents is more significant than with other aspects.

Research on the Coupling Mechanism of Creative Spirit Cultivation and Scientific and Technological Innovation Development

Migration and innovation is the driving force of scientific and technological development.By analyzing the coupling relationship between the two,this paper finds out the common elements shared by the two factors,and constructs the coupling guarantee mechanism between them,so as to provide suggestions for the coordination,win-win and synchronous benign development of the spirit of makers and the development of scientific and technological innovation,and promote the sustainable development of the national innovation system.

Measuring the Success of Hospital Information System across Multispecialty Hospitals in Bahrain

Purpose： The aim of this paper is to measure the success of HISs （hospital information systems） in Bahrain from their end user’s perspectives. Methodology： a quantitative design using a questionnaire based on the DeLone and McLean Information System Success Model （2003） was employed to examine the key determinants comprise of SQ （system quality）, IQ （information quality）, SerQ （service quality） as the independent variables and their effect on the US （user satisfaction）, U （system use） and the perceived NB （net benefits） as the success measures. There are 324 respondents consisting of doctors, nurses, technicians, pharmacists and admin staff of hospitals. Data were analyzed using SPSS. Findings： SQ, IQ and SerQ are significantly positively related to US and U, and the two later are in turns significantly positively related to the perceived NB out of the system to both users and organizations. Research implications： the research reflects the experience of using innovative healthcare technologies in the Middle East and its results show the importance of improving the systems technical quality to ensure more satisfied users, more utilized technologies and to reach the optimal purpose of implementing these systems and reap out their prospected benefits. Moreover, sufficient training and full dependency on the systems are required to get more confident users and reduce the daily work load.

System for the Management of the Continuity of Use of Medical Devices in Hospitals

The Technical Services and the Medical Administration of the Hospitals of Trieste have been working for years to ensure the optimal functioning of the Surgery, Intensive Care, Diagnostics and Research Services offered to the Patients and to the University in an 800-bed hospital complex, transforming and innovating the buildings and support installations. We have dedicated special attention to the technologies necessary to guarantee the continuity of the power supply to the electromedical devices, increasingly numerous in highly specialized hospitals. We report the power of the generator sets and the UPS and our opinion that their power must be related to the overall consumption of the hospital, with a reserve margin.

AI-Powered Innovations in High-Tech Research and Development: From Theory to Practice

This comparative review explores the dynamic and evolving landscape of artificial intelligence(AI)-powered innovations within high-tech research and development(R&D).It delves into both theoreticalmodels and practical applications across a broad range of industries,including biotechnology,automotive,aerospace,and telecom-munications.By examining critical advancements in AI algorithms,machine learning,deep learning models,simulations,and predictive analytics,the review underscores the transformative role AI has played in advancing theoretical research and shaping cutting-edge technologies.The review integrates both qualitative and quantitative data derived from academic studies,industry reports,and real-world case studies to showcase the tangible impacts of AI on product innovation,process optimization,and strategic decision-making.Notably,it discusses the challenges of integrating AI within complex industrial systems,such as ethical concerns,technical limitations,and the need for regulatory oversight.The findings reveal a mixed landscape where AI has significantly accelerated R&D processes,reduced costs,and enabled more precise simulations and predictions,but also highlighted gaps in knowledge transfer,skills adaptation,and cross-industry standardization.By bridging the gap between AI theory and practice,the review offers insights into the effectiveness,successes,and obstacles faced by organizations as they implement AI-driven solutions.Concluding with a forward-looking perspective,the review identifies emerging trends,future challenges,and promising opportunities inAI-poweredR&D,such as the rise of autonomous systems,AI-driven drug discovery,and sustainable energy solutions.It offers a holistic understanding of how AI is shaping the future of technological innovation and provides actionable insights for researchers,engineers,and policymakers involved in high-tech Research and Development(R&D).

Innovation and Development Trends in ASEAN Marketing Models in the Digital Age

The digital wave is reshaping the global economic landscape with unprecedented force,especially in the dynamic and promising ASEAN region.Southeast Asia,a multicultural gathering place composed of ten countries,is experiencing profound changes due to the digital revolution,and its marketing model is also displaying new vitality.With soaring internet penetration,widespread use of smartphones,and the booming rise of social media,ASEAN markets have become at the forefront of global digital marketing innovation.This transformation is not only about the application of technology but also involves a comprehensive shift in thinking,consumer behavior,and business strategy.The purpose of this paper is to explore in depth how ASEAN marketing models are innovating in this era and to identify future trends,with a view to providing insights for companies to help them remain competitive in the rapidly changing market.

An Exploration of Organizational Development in the Process of Innovation and Transformation of Pharmaceutical Enterprises-Taking X Pharmaceutical Enterprise as an Example

Objective To study how to promote the smooth innovation and transformation of enterprises and enhance the market competitiveness of enterprises from the perspective of human resources organization development.In the wave of pharmaceutical industry reform,some entrepreneurs realize the importance of innovation and technology in the future.However,domestic pharmaceutical enterprises are still in the production-oriented stage.In the process of transformative innovation,pharmaceutical enterprises should not only rely on the support of scientific and technological and economic forces,but also need a suitable organizational change and many excellent talents as the source of development.Methods Through retrieving relevant literature and combined with the organizational development practice of X pharmaceutical enterprise,the organizational development model was explored in this paper.Results and Conclusion By forming a system of strategy,organization,talent,culture and mechanism,and building an organizational development model,we can improve the organizational atmosphere and organizational efficiency in the process of enterprise innovation and transformation,so as to enhance the competitiveness of enterprises in the market.

The Development Trend of Enterprise Business Administration and the Innovation of Management Mode

In the context of the new period,the continuous growth of social and economic levels and the rapid update of information technology have significantly impacted the business management of Chinese enterprises,presenting substantial challenges.The intensification of market competition exerts development pressure on many enterprises,and coupled with the unstable strength of some businesses,numerous problems in business management arise.These issues hinder the smooth execution of various business activities.Therefore,it is crucial to ensure effective business administration to conduct different business activities in an orderly manner,promptly avoid adverse risks,and strengthen control over multiple factors.The innovation and improvement of business administration are of great significance for enhancing the management level and market competitiveness of modern enterprises,accelerating their healthy development,and creating numerous opportunities.Consequently,this paper analyzes and explores the development trends of enterprise business administration and the innovation of management models for reference.

Differentiated Paths of Regional Green Development Driven by Industrial Enterprise Innovation

A fundamental shift in the regional development pattern is crucial to achieving a comprehensive green transformation in China.Currently,innovation-driven green development is a significant strategic option for regional development.As the main body of innovation and the basic unit of regional composition,enterprises have a profound impact on the development of regional economy,society,ecology,and other aspects.However,considering China’s vast territory and significant regional differences in natural environment and industrial structure,it’s necessary to further explore the specific impact paths of regional green development driven by enterprise innovation.Therefore,taking industrial enterprises as an example,based on the panel data of 30 provinces in China from 2016 to 2020,this study verifies the impact of industrial enterprise innovation on the regional green development level by constructing a parallel multiple mediating effect model and dividing the economy into eastern,central,and western regions to discuss the specific impact paths.The results show that industrial enterprise innovation has a significant positive effect on regional green development level,via different influencing paths in each region:(1)The eastern region improves the regional green development level by narrowing the urban-rural income gap;(2)The central region improves the regional green development level by reducing resource dependence;and(3)The western region raises the regional green development level by improving the rationalization of industrial structure.

National Innovation Development Index: A Cross-country Comparison of Innovation Development Performance

Innovation development has received increasingly more attention from academia and policymakers. The policy-making for promoting it heavily relies on evidence provided by measuring national innovation development. This study tries to build a bridge between innovation development measurement and policy-making. The literature shows that there is very limited theoretical and methodological research on measuring national innovation development. This paper proposes a national innovation development index(NIDI) for measuring the performance of national innovation development by integrating the definition of innovation from five perspectives and the definition of development from four perspectives. The NIDI consists of five sub-indexes, science and technology development sub-index, innovation condition development sub-index, industrial innovation development sub-index, social innovation development sub-index, and green & low-carbon development sub-index, which is measured by the composite sub-index approach. This paper uses the NIDI methodology to investigate 40 countries based on the panel data from 2006 to 2015, which helps classify countries into three categories including leading, advanced and catching-up countries. The cross-analysis between sub-indexes of the NIDI brings new insights into the competitive advantage and disadvantage, which helps governments to choose more specific policies to overcome shortcomings resulted in the poor performance of sub-indexes of the NIDI so as to improve their innovation development performance systematically. Besides, the findings in this article indicate that the level of economic development in a country is to a large extent determined by the level of national innovation development.

Status quo, Problems and Development Strategies of Crop Scientific and Technical Innovation in Hunan Province

Based on status quo and existing problems of Hunan crop science and technology innovation, the research proposed ＂three orientations＂, including seeking, grasping and highlighting orientations, and ＂six projects＂ for solving the issues. It is recommended to improve multiple cropping index.

A Study on Innovation Mode of Tourism Development in Minority Village

It was of vital significance for sustainable development of tourism in minority village to explore tourism development mode suitable for minority village.Based on comparison of development,characteristics,advantages and disadvantages of three modes which were Suoga mode,Shenzhen folk village mode and Langdeshang Village mode,it was considered that the contradiction between development of minority village economy,protection of national traditional culture and guarantee of villagers' benefits hadn't been radically eliminated in the three modes.In view of this,5Cs mode had been proposed which were culture,company,characteristics,community and concord;and running mechanism of 5Cs mode had been constructed,that is,environmental protection and cultural inheritance;government's guidance and company's leading;theme positioning and characteristic highlighting;community power-increasing and villagers' profit-obtaining;economic development and community harmony.

Development strategy for hospital preparations from a management view

With the development of medical environment, the development of hospital preparations is facing more and more difficulties, and the number of preparations is gradually shrinking. In this article, the authors reviewed the advantages of hospital preparations and analyzed the reasons that reduce hospital preparations from three aspects： the characteristics of hospital preparations, the innovation capacity and human resources and the quality of the preparations. Then the authors took a deep thought about the development strategy on current hospital preparations from the perspective of management. The purpose is to survey the developing trend of hospital preparations in China, and to serve the people＇s health wholeheartedly.