Analysis on influencing factors of patients experience in community health centers of Shenzhen,China

Objective To investigate the patients experience in community health centers( CHCs) and explore its associated factors. Methods A cross-sectional study was conducted among 330 patients who visited CHCs in Shenzhen,China from January to March 2018. Dependent variable was patient experience. Key descriptive variables were age,gender,marital status,working status groups,visits frequency for the past 6 months,whether patients had signed a family doctor,whether trusted in family doctor,whether had chronic diseases. Results Questionnaires for 300 patients were assessed. In the univariate analysis,patients experience total score was significantly associated with marital status( P < 0. 1),working status groups( P < 0. 1),frequency of visit for the past 6 months( P < 0. 05),whether had signed a family doctor( P < 0. 05),whether trusted in family doctor( P < 0. 05),whether had chronic diseases( P < 0. 05). The multivariate analysis showed that unmarried patients( P = 0. 011,OR = 2. 96,95% CI: 1. 24-5. 43) and had signed a family doctor( P = 0. 023,OR = 0. 44,95% CI: 0. 22-0. 85) were more likely to get a higher score. Conclusions Findings of this study showed a medium-level score of patients experience in the community. Patients had a quite good experience and more interventions should be focused upon the influence factors to improve patients experience.

The lived experience of a 24-hour support center for persons with psychiatric disabilities: Making me feel almost like an ordinary person

This study illuminates nine psychiatric disabled persons’ lived experience of a newly established community-based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in a Swedish community to better match and facilitate the disabled persons’ needs. In order to illuminate the disabled person’s experiences individual interview was performed. A phenomenological-hermeneutical method inspired by Paul Ricoeur was used to interpret the texts. After a naive reading, a structural analysis revealed two themes: 1), becoming aware of myself as a person, and 2) having a lifeline and belongingness. The comprehensive understanding was interpreted as meaning “Making me feel almost like an ordinary person”, which incorporated the person’s past with their present together with a direction for the future and hope for a more fulfilling life.

A single center experience of combined liver and kidney transplantation

Objective To summarize the experience of treating the end stage of liver disease complicated with renal failure using combined liver - kidney transplantation. Methods The clinical data of 28 cases receiving combined liver - kidney transplantation were retrospectively ana-

辛智科“脾胃中心”理论及其在杂病中的应用

辛智科在五十年临床实践工作中总结出“脾胃中心”理论,“脾胃中心”理论有着深厚的学术积淀和历史来源,具有很高的学术价值和临床指导意义。辛智科认为应从整体看待疾病,各科病证在理论渊源上有着千丝万缕的联系,脾胃作为后天之本、气机升降之枢纽,占据五脏六腑之中心、具有沟通上下内外的重要地位和作用。本文浅析辛智科“脾胃中心”理论渊源、中医内涵及在临床各种杂病中的应用经验,进一步阐明“脾胃中心”理论的临床实用性。

Views and Experience on Patient Engagement in Healthcare Professionals and Patients—How Are They Different?

A patient-centered approach is used to build a therapeutic alliance between patients and the healthcare professionals in care process which should be supported by a good engagement of both parties. The study aimed to explore the gap between healthcare professionals and patients on patient engagement in hospital. It was a cross-sectional survey. 2774 doctors and nurses from Department of Medicine of public hospitals completed the self-administered questionnaire and 1042 patients discharged from corresponding wards completed the telephone interviews. Participants were interviewed using structural questionnaires. The Mann-Whitney test or Pearson’s chi-square test was used to analyze the agreement between health-care professionals and patients on the views and experiences of patient engagement. A difference was considered to be statistically significant when the p-value was <0.05. Although both groups valued the importance of patient engagement, there was a discrepancy on understanding, views and experiences. More healthcare professionals particularly in nursing were concerned about the possible negative impact of the engagement. The majority of healthcare professionals reported that they engaged well with patients, and perceived more difficulties than patients did. The findings highlighted the mutual understanding of patient engagement, involvement and challenges encountered by both groups in Department of Medicine, which was crucial in efforts to provide meaningful patient engagement in regards to jurisdictions, health system, specialty, discipline and background of patients. It provided insight that a collaborative strategy involving both healthcare professional and patients might be an alternative approach to improving patient engagement.

自主探究性实验课程的教学模式探讨

基于多年实践并辅以学生调查问卷,讨论了3种模式,即教师主导、研究生主导与本科生主导模式的适应性及其优缺点,提出“本科生为中心、教师为辅、研究生支持3种模式综合运用”的多层次实验教学体系与教学思路,并通过引入学生互评因子优化了考核体系。结果表明,该体系丰富了实验实践类课程教学模式,不仅有利于自主探究类创新实验的教学,又能充分利用实验室资源,且最大程度以本科生为中心,提升其创新思维以及动手、团体合作等能力。

高校图书馆未来学习中心用户体验关键影响因素识别研究

研究用户体验关键影响因素有助于提升高校图书馆未来学习中心的服务水平,为未来学习中心的建设提供思路。本研究首先从预约体验、环境体验、技术体验、服务体验、学习体验5个维度提炼影响用户体验的14个因素,然后根据因素之间的关系构建未来学习中心用户体验模型,最后利用DEMATEL方法识别出影响用户体验的关键因素。研究发现,群体环境、技术交互性、学习愉悦度、学习满意度、学习成长感、服务可得性、技术新颖性、场景布局是影响未来学习中心用户体验的关键因素,并结合关键影响因素从环境体验、技术体验、服务体验和学习体验视角提出未来学习中心的建设和发展建议。

多效并举建设化学实验中心,服务高质量实验教学

在多年的实践过程中,针对本科化学实验教学面临的种种挑战,郑州大学化学实验教学中心多效并举,形成了一系列特色鲜明的教学管理方法,有效服务了高质量化学实验教学工作的开展。本文介绍了郑州大学化学实验教学中心建设中的一些举措和取得的成效,希望能为高校化学实验教学工作和管理服务提供有益的参考借鉴。

Patient Experience during Hospital Stay: A Pilot Survey

Introduction: Hospital inpatient care is provided to individuals who have a condition that requires them to stay in hospital. Patient experience is an important aspect of high-quality patient-centered care. Aim: With this pilot survey we aimed to obtain patient feedback on their experiences during their hospital stay, highlight areas of best practice and areas for improvement and provide a basis for a hospital-wide inpatient experience survey. Patients and Methods: Anonymous patient experience questionnaires were given to patients who were discharged from hospital during the month of May 2016. Patients were asked to answer 45 questions concerning their experience during hospital stay using the five-point Likert scale, and hand back the questionnaire before leaving the hospital. A suggestion box was provided for comments and suggestions for improvement. Results: Fifty-six questionnaires were handed out and 50 (from 27 males, 17 females and 6 patients who did not specify their gender) questionnaires were returned (89% response rate). Most of the responses fell within the “agree” to “strongly agree” range indicating a positive patient experience for most of the items addressed. Patients also provided useful comments and suggestions. Conclusion: Results of this survey indicate that patients generally had a positive experience during their hospital stay. This survey has revealed areas for improvement, and highlights the importance of patient experience when assessing a patient-centered service.

九论以用户为中心的设计:智能时代的“用户体验3.0”范式

基于“以用户为中心设计”理念的用户体验(UX)领域正在迈向智能时代,但是现有的UX范式主要针对非智能系统,缺乏针对智能系统UX的系统化方法。纵观UX的发展历程,UX范式呈现出跨技术时代的演进特征。当前,智能时代对UX范式提出了新要求。为此,本文从UX范式出发,提出智能时代的“UX 3.0”范式框架以及相应的方法体系。“UX 3.0”范式框架包括五大类UX方法:生态化体验、创新赋能体验、AI赋能体验、人智交互体验、人智协同合作体验方法,其中每一类方法都包括相应的UX范式取向。“UX 3.0”范式的提出有助于提升现有UX方法,为智能系统UX研究和应用提供方法论支持。最后,本文展望“UX 3.0”范式今后的研究和应用。

新时代背景下的化学实验教学示范中心建设

化学国家级实验教学示范中心(南开大学)是2006年首批入选的国家级示范中心。十几年来,在“强化基础、注重综合、突出创新、培养能力、提高素质”的方针指导下,坚持以学生发展为中心,致力于培养具有扎实化学基础知识、精通化学实验技能、勤于思考善于创新的高水平化学人才。本文介绍该中心近五年来在实验教学体系建设、师资队伍教学能力提升及开放交流方面的改革举措,为高等院校实验教学提供参考。

湖南大学化学化工实验教学中心的建设与实践

本文以国家级实验教学示范中心阶段性评估为契机,全面总结了2018–2022年间化学国家级实验教学示范中心(湖南大学)在管理制度和安全责任体系建设、教学条件改善、实验教学体系构建、实验课程与教材建设、人才培养成效、教学团队建设和引领示范作用等方面的建设经验,并从示范中心承载能力、实验教学体系优化和实验项目开发、实验数字化建设、教学队伍建设、发挥示范辐射作用等方面制定了下一阶段建设规划,以期更好地支撑我校化学、化工、应化国家一流本科专业的建设,促进化学化工高质量人才培养。

以人为本理念下基础化学实验室安全建设模式探究——以分析化学实验室为例

实验室安全建设是实验室高效有序运行的保障。大学生作为基础教学实验室运行的主力,他们的安全素养直接影响着实验室的安全状况。在实验教学过程中构建注重安全素养培养的“实验室管理人员、教师、学生——全员、全时三位一体实验教学模式”,并在分析化学实验教学中进行了具体实践。新的实验教学模式加强了实验室管理员、教师与学生之间的沟通,通过COOP与7S实验教学方案,使学生在学习的同时沉浸式参与实验环境维护及建设、根植安全理念。利用Partial Eta Squared(η2)检验和多元Logistic回归模型分析发现,实验过程操作规范性和操作区有序度对学生安全素养影响明显。实践证明,该模式有助于培养学生良好的实验习惯和安全素养,增加学生在实验室中的责任感和获得感,实现管教增质、教学相长、安全铸魂的教学目标,使实验室人员可以把安全时刻掌握在自己手中,实验室安全运行水平有效提升。

教育数字化背景下国家级化学实验教学示范中心建设与实践

大连理工大学化学国家级实验教学示范中心秉承“注重基础、培养能力、塑造人格”的育人宗旨、以学生发展为中心的育人理念,充分发挥人才培养的主战场作用,在实验教学体系构建、教学资源建设、实验室管理与师资队伍建设等方面进行了深层次的探索与研究。经过5年的建设实践,构建了“四位一体”的实验教学体系和“一体化”的安全教育新范式,打造了“系列化、数字化、多模态”的实验教学资源,建成了一流的实验室环境和制度保障,形成了“名师化”引领的实验教学团队,促进了学生自主探究、创新实践、防护应急处理等方面能力的提升。

高校科普资源助推“双减”工作的实践与探索

介绍了南京大学在“双减”政策背景下与中小学深度合作开展科普工作的具体做法。科普基地确立了“弘扬科学精神、科普活动与课内教育深度融合、以学生为中心”的原则,所有的科普教育活动都根据这些原则来设计。总结了在资源开放、师资供给、课程开发等方面的一些经验。

“新医科”背景下大学化学实验课程改革的探索与实践

聚焦“新医科”人才培养目标,针对医学院校传统大学化学实验课程教学普遍存在的问题,从教育理念、教学内容、教学模式和评价体系四个方面对实验课程进行改革实践,创建学生主动学习、合作学习和探究学习的新模式,强调课堂内外的深度融合,探索建立中国特色的大学化学基础课程支持医学人才培养的新模式。

基于幸福劳动的环境工程专业实验教学设计

劳动教育是中国特色社会主义教育制度的重要内容,“以劳树德”是其重要特征。为落实立德树人根本任务,把劳动教育纳入环境工程专业实验课程。本文分析了劳动教育的思政化趋势及其存在的问题,叙述了幸福劳动的含义和特征,初步探索了以学生的需要为中心的幸福劳动融于《环境工程专业实验》的课程思政教学设计。该教学设计既考虑了学生的物质、精神和交往的需要,又能承接历史,面向未来,并让学生在劳动中建立彼此之间的信任感和幸福感,在劳动中弘扬开拓创新、坚韧不拔的时代精神。

“以学为中心”推动大学理科实验“教”和“学”多元改革

文章剖析了实验教学目标设定、教学效果考量等要素建设多以“教”为主的深层次原因,结合厦门大学等高校的理科实验教学改革实践,提出“以学为中心”推进实验教学改革的系统框架和多元路径,介绍了实验教学目标重构、实验教学体系搭建、模块化教学大纲设定、自搭建仪器教学和开放式问题牵引“先做后教”等在激发学习热情,培养学生创新思维和自主学习能力方面的系列举措,以期为国内外其他高校的实验教学改革提供参考。

新工科背景下“以学生为主体”的电路实验教学改革

在“以学生为主体”的教学理念下,内蒙古工业大学针对电路实验课程进行了改革。通过校园网络教学平台自建的实验资源库,结合雨课堂智慧教学工具,实现了对学生课前、课中、课后的闭环式实验监管。实验教学模式设计更注重探索式学习,通过提问的方式引导学生逐步开展实践操作。实验考核加入过程考核及激励评价机制,可以更全面准确地量化学生的学习效果。