The purpose of this study was to analyze and synthesize a concept of caring in nursing professionals. The Ethnographic Delphi Future Research (EDFR) contained two phases: Phase 1: The analysis and synthesis of the...The purpose of this study was to analyze and synthesize a concept of caring in nursing professionals. The Ethnographic Delphi Future Research (EDFR) contained two phases: Phase 1: The analysis and synthesis of the concept of caring theory in nursing professionals from the literature, research and interviews. The participants were an expert in education, two nurses, two patients and two members of the patients' families. The research instrument was a semi-structural questionnaire. The data were analyzed by content analysis and categorized; and Phase 2: The selection of the expressions of caring behavior and guidelines for promotion of caring behavior in new nurses. The participants were two experts in education, eight experts in nursing administration and eight experts in nursing practice. The research instruments were three questionnaires. The data from the first Delphi technique were analyzed by the experts' recommendations. The data from the second and third Delphi technique were analyzed by the median and interquartile range of each behavior and consensus. The findings showed the main contents of caring that contained six components as follows: kindness, understanding worth and showing respect, professional relationship, professional competency, professional ethics, and holistic care. The training was a method for promotion of caring behavior. Additionally, in the the first Delphi technique, the experts approved all of the components of caring behavior and the guidelines for promotion of caring behavior as identified in the researchers' concepts. However, the researchers' concepts were developed 54 caring behaviors while the experts' opinion were 50 caring behaviors. In the second and third Delphi technique, all items of caring behaviors get consensus shown by interquartile range not more than 1.5 and the median since 3.5.展开更多
An ADS (automated dispensing system) was implemented in our hospital pharmacy in 2008 to optimize and secure the medication process. The main objective of this study was to compare the projected and the real ROI (r...An ADS (automated dispensing system) was implemented in our hospital pharmacy in 2008 to optimize and secure the medication process. The main objective of this study was to compare the projected and the real ROI (return on investment), after seven years of use. ROI was calculated annually (from 2008 to 2015), by deducting the cost of investment (ADS buying and implementation, maintenance, repairs and ADS upgrade) from the cost saving (drugs stock reduction and decrease of pharmacy staff dedicated to global dispensing). In 2015, total costs saving (+$1,141,987) were divided between decreasing drug stock value and reduction of pharmacy staff. Total costs of investment (-$978,656) were acquisition, maintenance, repairs and an unplanned upgrade costs. Finally, the real ROI was +$163,331 after seven years of use. In 2008, projected ROI was +$410,786. The real payback period has been increased by approximately two years (six years of use, instead of four years as expected). Despite their cost, ADSs are a worthwhile investment, leading to a ROI within a few years. These economic considerations should be put into perspective with optimization of drugs stock management, greater efficiency of the global dispensing process, securitization of medication process and redeployment of pharmacy staff.展开更多
Revision is an important part of writing process but it often baffles the researchers due to the difficulties in recording the revision process of students. Based on a self-made questionnaire and the online record of ...Revision is an important part of writing process but it often baffles the researchers due to the difficulties in recording the revision process of students. Based on a self-made questionnaire and the online record of the revision process, this study describes the English learners' revision behaviors and process in their second semester of a two-year writing course. The analysis indicates that the English learners hold a positive attitude towards revision and but passive in resorting to outside sources for help. The source of the feedback has a great influence on their motivation of revision. On the other hand, although they use all types of revision operations, they concentrate on surface changes and simple operations.展开更多
Scientific research archives are important parts of the archival management in colleges and universities. Scientific research archives are the direct, harsh but factual historical materials for recording the research ...Scientific research archives are important parts of the archival management in colleges and universities. Scientific research archives are the direct, harsh but factual historical materials for recording the research process of researchers. A scientific and effective management of archives is helpful for promoting the development and progress of science and technology in colleges and universities. The archives can be better managed only if the train of thought for scientific research archives management ideas is known well.展开更多
Researchers hope that establishing a notion of proximity using topology will help to clarify the biological processes underlying the evolution of living organisms. The simple model presented here, using RNA shapes, ca...Researchers hope that establishing a notion of proximity using topology will help to clarify the biological processes underlying the evolution of living organisms. The simple model presented here, using RNA shapes, can carry over to more general and complex genotype-phenotype systems. Proximity is an important component of continuity, in both real-world and topological terms. Consequently, phenotype spaces provide an appropriate setting for modeling and investigating continuous and discontinuous evolutionary change.展开更多
文摘The purpose of this study was to analyze and synthesize a concept of caring in nursing professionals. The Ethnographic Delphi Future Research (EDFR) contained two phases: Phase 1: The analysis and synthesis of the concept of caring theory in nursing professionals from the literature, research and interviews. The participants were an expert in education, two nurses, two patients and two members of the patients' families. The research instrument was a semi-structural questionnaire. The data were analyzed by content analysis and categorized; and Phase 2: The selection of the expressions of caring behavior and guidelines for promotion of caring behavior in new nurses. The participants were two experts in education, eight experts in nursing administration and eight experts in nursing practice. The research instruments were three questionnaires. The data from the first Delphi technique were analyzed by the experts' recommendations. The data from the second and third Delphi technique were analyzed by the median and interquartile range of each behavior and consensus. The findings showed the main contents of caring that contained six components as follows: kindness, understanding worth and showing respect, professional relationship, professional competency, professional ethics, and holistic care. The training was a method for promotion of caring behavior. Additionally, in the the first Delphi technique, the experts approved all of the components of caring behavior and the guidelines for promotion of caring behavior as identified in the researchers' concepts. However, the researchers' concepts were developed 54 caring behaviors while the experts' opinion were 50 caring behaviors. In the second and third Delphi technique, all items of caring behaviors get consensus shown by interquartile range not more than 1.5 and the median since 3.5.
文摘An ADS (automated dispensing system) was implemented in our hospital pharmacy in 2008 to optimize and secure the medication process. The main objective of this study was to compare the projected and the real ROI (return on investment), after seven years of use. ROI was calculated annually (from 2008 to 2015), by deducting the cost of investment (ADS buying and implementation, maintenance, repairs and ADS upgrade) from the cost saving (drugs stock reduction and decrease of pharmacy staff dedicated to global dispensing). In 2015, total costs saving (+$1,141,987) were divided between decreasing drug stock value and reduction of pharmacy staff. Total costs of investment (-$978,656) were acquisition, maintenance, repairs and an unplanned upgrade costs. Finally, the real ROI was +$163,331 after seven years of use. In 2008, projected ROI was +$410,786. The real payback period has been increased by approximately two years (six years of use, instead of four years as expected). Despite their cost, ADSs are a worthwhile investment, leading to a ROI within a few years. These economic considerations should be put into perspective with optimization of drugs stock management, greater efficiency of the global dispensing process, securitization of medication process and redeployment of pharmacy staff.
文摘Revision is an important part of writing process but it often baffles the researchers due to the difficulties in recording the revision process of students. Based on a self-made questionnaire and the online record of the revision process, this study describes the English learners' revision behaviors and process in their second semester of a two-year writing course. The analysis indicates that the English learners hold a positive attitude towards revision and but passive in resorting to outside sources for help. The source of the feedback has a great influence on their motivation of revision. On the other hand, although they use all types of revision operations, they concentrate on surface changes and simple operations.
文摘Scientific research archives are important parts of the archival management in colleges and universities. Scientific research archives are the direct, harsh but factual historical materials for recording the research process of researchers. A scientific and effective management of archives is helpful for promoting the development and progress of science and technology in colleges and universities. The archives can be better managed only if the train of thought for scientific research archives management ideas is known well.
文摘Researchers hope that establishing a notion of proximity using topology will help to clarify the biological processes underlying the evolution of living organisms. The simple model presented here, using RNA shapes, can carry over to more general and complex genotype-phenotype systems. Proximity is an important component of continuity, in both real-world and topological terms. Consequently, phenotype spaces provide an appropriate setting for modeling and investigating continuous and discontinuous evolutionary change.