Core competencies and perceived training needs of nurses in the background of Internet plus nursing service:a qualitative descriptive study

Background:The Internet plus nursing service program is being piloted in China,which has become a new home nursing service model led by nurses.To enable safe and effective homecare service delivery,nurses working in the program need a high level of competency.However,the content of these core competencies and the training needs of nurses for Internet plus nursing services are still unknown.Aim:To describe nurses’perceptions of core competencies and training needs to work in the Internet plus nursing service program,thereby providing a reference for the development of training programs.Methods:A qualitative descriptive study using semi-structured interviews was conducted on 15 nurses with experience of working in the Internet plus nursing service program.Interviews were audio-recorded and transcribed verbatim,and the data were analyzed using thematic analysis.Results:Core competencies involved comprehensive assessment competence,direct care practice competence,health education and consulting competence,risk estimation and response competence,and communication competence.Training needs involved complex operational items,knowledge of chronic disease management,professional communication,risk identification and response,nursing standards,norms,and procedures,and utilization of information technology.Conclusions:The training system may be developed based on nurses’core competencies and their training needs to promote professional development of the Internet plus nursing service.

Analysis of the Current Situation of“Internet Plus Nursing Service”

In the era of“Internet Plus,”technologies like big data,the Internet of Things,and cloud computing have revitalized nursing services in China,leading to the emergence of the“Internet Plus Nursing Services”model.This model facilitates on-site nursing care for discharged patients and special groups with mobility challenges,further advancing the construction of a Healthy China and enabling more people to access high-quality and continuous nursing services.Governments at all levels should actively improve the systems related to“Internet Plus Nursing Services”and simplify the appointment and operation processes.It is also essential to standardize the medical waste disposal process to ensure the quality of on-site nursing services,protect the legitimate rights and interests of both caregivers and patients and safeguard patient privacy and security.Additionally,building a robust“Internet Plus”platform to promote“online appointment of nurses”services,integrate nursing resources,and foster the healthy development of“Internet Plus Nursing Services”is crucial.

LinuxDirector: A Connection Director for Scalable Internet Services

LinuxDirector is a connection director that supports load balancing among multiple Internet servers, which can be used to build scalable Internet services based on clusters of servers. LinuxDirector extends the TCP/IP stack of Linux kernel to support three IP load balancing techniques, VS/NAT, VS/TUN and VS/DR. Four scheduling algorithms have been implemented to assign connections to different servers. Scalability is achieved by transparently adding or removing a node in the cluster. High availability is provided by detecting node or daemon failures and reconfiguring the system appropriately. This paper describes the design and implementation of LinuxDirector and presents several of its features including scalability, high availability and connection affinity.

Strategic Thinking of the Internet of Things and M2M Services

Editor＇s Desk：The Internet of Things is an important part of the emerging high-tech industry and has been recognized as one of the important technologies for addressing global financial crisis and revitalizing the economy. Therefore, at the beginning of the new year, we are honored to have invited Mr. Samuel Qi （Qi Qingzhong）, a famous Chinese communication technology expert and GM of Shanghai Symphony Telecommunications Co., Ltd., to give his views on the development strategy of the Internet of Things and Machine to Machine （M2M） Communications.

Effect of Internet+continuous midwifery service model on psychological mood and pregnancy outcomes for women with highrisk pregnancies

BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal management from prenatal to postpartum,in-hospital to out-of-hospital,and offline to online,thereby improving maternal and infant outcomes.Applying the Internet+continuous midwifery service management model to manage women with highrisk pregnancies(HRP)can improve their psycho-emotional opinion and,in turn,minimize the risk of adverse maternal and/or fetal outcomes.AIM To explore the effectiveness of a midwife-led Internet+continuous midwifery service model for women with HRP.METHODS We retrospectively analyzed the clinical data of 439 women with HRP who underwent prenatal examination and delivered at Shanghai Sixth People's Hospital(affiliated to the Shanghai Jiao Tong University School of Medicine)from April to December 2022.Among them,239 pregnant women underwent routine obstetric management,and 200 pregnant women underwent Internet+continuous midwifery service mode management.We used the State-Trait Anxiety Inventory,Edinburgh Postnatal Depression Scale,and analysis of delivery outcomes to compare psychological mood and the incidence of adverse delivery outcomes between the two groups.RESULTS The data showed that in early pregnancy,the anxiety and depression levels of the two groups were similar;the levels gradually decreased as pregnancy progressed,and the decrease in the continuous group was more significant[31.00(29.00,34.00)vs 34.00(32.00,37.00),8.00(6.00,9.00)vs 12.00(10.00,13.00),P<0.05].The maternal self-efficacy level and strategy for weight gain management were better in the continuous group than in the traditional group,and the effective rate of midwifery service intervention in the continuous group was significantly higher than in the control group[267.50(242.25,284.75)vs 256.00(233.00,278.00),74.00(69.00,78.00)vs 71.00(63.00,78.00),P<0.05].The incidence of adverse delivery outcomes in pregnant women and newborns and fear of maternal childbirth were lower in the continuous group than in the traditional group,and nursing satisfaction was higher[10.50%vs 18.83%,8.50%vs 15.90%,24.00%vs 42.68%,89.50%vs 76.15%,P<0.05].CONCLUSION The Internet+continuous midwifery service model promotes innovation through integration and is of great significance for improving and promoting maternal and child health in HRP.

Pervasive Services in New-generation Internet:Mechanisms and Key Technologies

The original infrastructure of the Internet can no longer meet personalized and diversified demands of current increasing network subscribers. It has exposed many defects and shortcomings. For examples, the mechanism of using ports to distinguish services is inflexible and dangerous with the emergence of various services; the current Internet architecture does not make use of the close relationship between network resources and services, but simultaneously maintains two processing systems for the resources and services respectively, wasting both subscribers’ time and network resources; the Internet class of services granularity is not fine enough, failing to meet personalized and diversified user demands. In order to solve these problems, this paper discusses the mechanisms and key technologies for pervasive services in the new-generation Internet. The paper focuses on the definition, classification and identifier design of personalized and diversified user services. The service identifier design fulfills the unified identifier and processing of various network services, discovers the close relationship between services and resources, and can offer personalized and diversified services according to users’ demands.

A framework for Internet service evolution based on active object

The wide use of Internet Service in distributed computing and e-business has made the evolution of Internet Service to be one of the most prevalent research fields in software development domain. Traditional methods for software development cannot adapt to the challenge of Internet Service oriented software development. In this paper, we propose a new paradigm for the evolution of Internet Service with active objects from the characteristics of Intemet Service and principles of active objects. The paradigm uses an automatic monitoring mechanism of active object to detect and process evolution requirement in system based on Internet Service.

Discussion of Mobile Internet Service Development

With the enforcement of 3G network capabilities in the future, the mobile Internet will greatly change the service modes of traditional Internet, rather than simply combine the Internet with mobile networks. The development of new technologies such as Mashup and mobile widgets will enable better service for users and new business models, bringing benefits for the industrial chain members including operators, vendors, Content Providers/Service Providers (CPs/SPs) and Internet application providers. The mobile Internet and the traditional Internet not only compete for contents and services, but also cooperate with each other; and the mobile Internet services should focus on mobile applications to avoid the homogenization with traditional Internet service.

Technology Transforms Politics:Internet + Government Services and the Transformation of the Grassroots Power Structure

Since the rise of the Internet in China,China’s local governments have actively used Internet technology to facilitate public administration and public services.What impact,then,have different types of social media had on local governance?This paper,based on years of investigation of J Town and L Sub-district in Shanghai(2012-2018),finds that Internet technology has profoundly transformed the grassroots power structure.Before the rise of the Internet,the grassroots power structure included local government,activists and the masses;in the age of Weibo and home owners forums,grassroots opinion leaders rose,becoming an impressive social force that local government could not afford to ignore;in the age of WeChat,however,the influence of grassroots opinion leaders declined,as local government can interact directly with the masses through WeChat public accounts and WeChat group chats,with the network technology becoming a tool for micromanagement.These three stages correspond to three types of government characterized by limited mobilization,consultation,and user-friendliness,respectively.

Analysis of Call Drop Problem for Remote Access Server on Server Side

Call drop is one of the most common problems encountered by ISP with PSTN access. In this pacer several reasons on server side that cause modem disconnection are analyzed. In the last part of this paper, some solutions are Put forward to reduce call drop rate.

网络考试系统的开发应用

应公司团委的需要，开发了此网上考试系统。此系统的目的和用途是实现多人一起参加考试，题目是随机抽取，不同的卷纸内容不重复，系统自动计时，可以随时提交，时间到了之后强制提交，交完卷纸之后马上可以看到考试成绩。这个系统利用的是Access数据库，使用ASP编程语言编写程序。通过局域网的联网功能，以本地机器作为服务器，启动ⅡS服务，实现网上考试。用户只需要输入IP地址或者网络名即可进入考试系统的登陆界面。

Development trend of urban community elderly care service industry in the era of＂Intemet ＋＂

March 5, 2015 the morning of the second session of the Third Session of the NPC, Li keqiang in his government work report first proposed the ＂Internet ＋＂ action plan. This is the ＂Internet ＋＂ for the first time into the national economy, top-level design, it is of great significance to the entire Intemet industry, as well as innovation and development of Chinese economy and society. This paper analyzes the ＂Internet ＋＂ status and problems of urban community elderly care service industry, focused on the use of ＂Intemet ＋＂ Endowment way to explore more suitable for the elderly living in multi-party collaboration governments, communities, organizations, the promotion of urban community care services development to meet their social pension service needs, provide better services for the elderly.

BOUNDARY OF CRIMINAL RESPONSIBILITY OF INTERNET SERVICE PROVIDERS -- A LESSON FROM THE QVOD CASE

The Qvod case in 2016, in which the Chinese video-sharing site Qvod was convicted of the crime of disseminating pornographic materials for profits, provoked heated debates regarding the criminal responsibility of internet service providers （ISPs） in China. Using the Qvod case as an example, this paper first discusses the definition and the legal obligations of ISPs, and argues that we should decide the criminal responsibility of ISPs according to their functions and the content of their services. This paper further analyzes four major issues associated with the criminal responsibility of ISPs, including accomplice responsibility, accessory with neutral conduct, perpetrator by action or omission and ideal concurrence （Idealkonkurrenz）.

Jurisprudential Foundation of the Alogithmic Enforcement and Regulation of Law in an Intelligent Society:Taking the Automated Copyright Infringement Monitoring of the Online Content Sharing Platform as an Example

cyber-space has become increasingly important for human activities,and intelligent algorithms are widely used in cyber-space,we are rapidly entering an intelligent society.Now,algorithmic enforcement and regulations of law have posed non-negligible issues.As algorithmic enforcement of copyright law was introduced earlier than that of other laws,it provides a helpful observation perspective.The worldwide practice of copyright enforcement has gradually departed from traditional"safe harbor provisions,"and has emphasized prior examination of shared contents uploaded by Internet service providers'(ISPs)users through the following three dimensions:automated infringement detection algorithms voluntarily used by the ISPs,heavier judicial liability of ISPs,and updated legislation principles.Thus,innovations and development have stimulated new mechanisms and regulations for enforcing copyright in cyberspace.Algorithmic enforcement of copyright law in an intelligent society is essential and meaningful.The copyright regulation mechanisms should be guided by jurisprudential principles and concepts featuring the principles of(a)legitimate and efficient flow of information,(b)balance between and among algorithmic power,public power and private rights,(c)boosting the sharing economy and the new gig economy,and(d)promoting social governance philosophy of"coconstruction,co-governance and sharing."These principles are meaningful for creation of a new mechanism for balancing interests between ISPs and their users,and for introducing the pluralistic co-governance mechanism beyond simply practicing"filtering obligations."In addition,these principles are significant for improving a certification with credibility of copyright status and ownership,and for advancing a mechanism for onlinecollegiate-panel dispute resolution.