Background: Nurses can often be key frontline healthcare professionals working in remote and rural settings due to resource constraints including an acute shortage of medical practitioners. The provision of regular an...Background: Nurses can often be key frontline healthcare professionals working in remote and rural settings due to resource constraints including an acute shortage of medical practitioners. The provision of regular and appropriate Continuing Professional Development (CPD) to support nurses to be able to provide effective health care therefore becomes even more significant in these settings. Engagement and “buy in” from relevant stakeholders at an organisational level is a critical step to ensure CPD provision for nurses. Objectives: The overall aim was to achieve consensus on CPD for registered nurses working in remote and rural settings among key stakeholders using the Nominal Group Technique (NGT). The objectives were to identify stakeholders’ perspectives on the priorities for CPD training for registered nurses;the preferred modes of delivery for CPD and perceived barriers and facilitators for CPD access. Methods: NGT was used as a qualitative method with key organisational stakeholders in several iterative stages in the form of a workshop. Results: 22 senior healthcare professionals involved in medical and nursing education representing north, northeast, central India and the state of Karnataka in South India participated in the workshop. Three key findings emerged from this study: priorities of CPD;preferred modes of CPD delivery;barriers and facilitators to CPD access. Conclusion: Engagement with key stakeholders to identify CPD priorities can help facilitate strategic planning and provision of relevant and accessible CPD programmes for nurses working within remote and rural health care contexts in India.展开更多
The trust plays an extremely important role in online shopping. In order to make online shopping trusty, this paper puts foreword a new trust model in e-commerce environment GIR-TM (Groups’ Internal Recommendation Tr...The trust plays an extremely important role in online shopping. In order to make online shopping trusty, this paper puts foreword a new trust model in e-commerce environment GIR-TM (Groups’ Internal Recommendation Trust Model). First, it regarded the network as a combination of groups, and then did the internal recommendation based on these groups. The GIR-TM, in the process of recommendation, distinguished clearly between the trust degrees of recommen-dation node and the trust degrees of recommended node, and then calculated the integrated credibility value of the recommended node according to the weight of recommendation node in the group, the partial trust degree and the de-gree of recommendation when the recommendation node recommends the recommended node, and the overall credibil-ity value of recommended node as well. Lastly through listing the experimental data and comparing with the HHRB-TM (History and Honest Recommendation Based Trust Model) on the same condition, it is verified that GIR-TM is feasible and effective.展开更多
文摘Background: Nurses can often be key frontline healthcare professionals working in remote and rural settings due to resource constraints including an acute shortage of medical practitioners. The provision of regular and appropriate Continuing Professional Development (CPD) to support nurses to be able to provide effective health care therefore becomes even more significant in these settings. Engagement and “buy in” from relevant stakeholders at an organisational level is a critical step to ensure CPD provision for nurses. Objectives: The overall aim was to achieve consensus on CPD for registered nurses working in remote and rural settings among key stakeholders using the Nominal Group Technique (NGT). The objectives were to identify stakeholders’ perspectives on the priorities for CPD training for registered nurses;the preferred modes of delivery for CPD and perceived barriers and facilitators for CPD access. Methods: NGT was used as a qualitative method with key organisational stakeholders in several iterative stages in the form of a workshop. Results: 22 senior healthcare professionals involved in medical and nursing education representing north, northeast, central India and the state of Karnataka in South India participated in the workshop. Three key findings emerged from this study: priorities of CPD;preferred modes of CPD delivery;barriers and facilitators to CPD access. Conclusion: Engagement with key stakeholders to identify CPD priorities can help facilitate strategic planning and provision of relevant and accessible CPD programmes for nurses working within remote and rural health care contexts in India.
文摘The trust plays an extremely important role in online shopping. In order to make online shopping trusty, this paper puts foreword a new trust model in e-commerce environment GIR-TM (Groups’ Internal Recommendation Trust Model). First, it regarded the network as a combination of groups, and then did the internal recommendation based on these groups. The GIR-TM, in the process of recommendation, distinguished clearly between the trust degrees of recommen-dation node and the trust degrees of recommended node, and then calculated the integrated credibility value of the recommended node according to the weight of recommendation node in the group, the partial trust degree and the de-gree of recommendation when the recommendation node recommends the recommended node, and the overall credibil-ity value of recommended node as well. Lastly through listing the experimental data and comparing with the HHRB-TM (History and Honest Recommendation Based Trust Model) on the same condition, it is verified that GIR-TM is feasible and effective.