Benefits of multidisciplinary collaborative care team-based nursing services in treating pressure injury wounds in cerebral infarction patients

BACKGROUND Cerebral infarction patients need to be bedridden for long periods of time often resulting in pressure injuries,which may represent a serious threat to patients'life and health.An effective nursing program should be adopted for timely intervention in patients with pressure wounds.AIM To explore the value of nursing services based on a multidisciplinary collaborative treatment team in patients with pressure injury wounds following cerebral infarction.METHODS Patients with cerebral infarction pressure injury wounds in our hospital from December 2016 to January 2021 were selected and divided into one study group and one control group based on the simple random number table method.The control group was treated with conventional nursing care(CNC),and the study group was treated with care services based on multidisciplinary collaborative care(MDCC).The Pressure Ulcer Scale for Healing(PUSH),healing effect,Self-Perceived Burden Score(SPBS),and satisfaction with the intervention were calculated before and after 2 and 4 wk of intervention in both groups.RESULTS Sixty-two patients were enrolled,and 31 patients were assigned to each group.The results of the interventions were as follows:(1)There was no significant difference between the PUSH scores of the MDCC group(11.19±2.46)and CNC group(12.01±2.79)before the intervention(P>0.05),and the PUSH scores were lower after 2 and 4 wk of intervention in the MDCC group(6.63±1.97 and 3.11±1.04)than in the CNC group(8.78±2.13 and 4.96±1.35 points)(P<0.05);(2)The rate of wound healing in the MDCC group(96.77%)was higher than that in the CNC group(80.65%)(P<0.05);(3)There was no significant difference between the SPBS scores of emotional factors(21.15±3.11),economic factors(9.88±2.15),and physical factors(8.19±2.23)in the two groups before the intervention.The scores of emotional factors(13.51±1.88),economic factors(6.38±1.44),and physical factors(5.37±1.08)were lower in the MDCC group than in the CNC group(16.89±2.05,7.99±1.68 and 7.06±1.19)after 4 wk of intervention(P<0.05);and(4)Satisfaction with the intervention was higher in the MDCC group(93.55%)than in the CNC group(74.19%)(P<0.05).CONCLUSION Interventions for patients with cerebral infarction pressure wounds based on an MDCC treatment team can effectively reduce patients'self-perceived burden,improve pressure wound conditions,facilitate wound healing,and increase patient satisfaction with the intervention.

Effects of nursing team communication and collaboration on treatment outcomes in intensive care unit patients with severe pneumonia

BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.METHODS We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1,2021 and December 31,2023.We compared and analyzed the respiratory mechanical indexes[airway resistance(Raw),mean airway pressure(mPaw),peak pressure(PIP)],blood gas analysis indexes(arterial oxygen saturation,arterial oxygen partial pressure,and oxygenation index),and serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT),cortisol(COR),and high mobility group protein B1(HMGB1)]of all patients before and after treatment.RESULTS Before treatment,there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups(P>0.05).However,after treatment,the respiratory mechanical indexes of patients in both groups were significantly improved,and the improvement of Raw,mPaw,plateau pressure,PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group(P<0.05).The serum CRP and PCT levels of patients were significantly decreased,and the difference was statistically significant compared with that of nursing group alone(P<0.05).The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.CONCLUSION The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators,blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.

An Empirical Study of the Optimum Team Size Requirement in a Collaborative Computer Programming/Learning Environment

Pair programming has been widely acclaimed the best way to go in computer programming. Recently, collaboration involving more subjects has been shown to produce better results in programming environments. However, the optimum group size needed for the collaboration has not been adequately addressed. This paper seeks to inculcate and acquaint the students involved in the study with the spirit of team work in software projects and to empirically determine the effective (optimum) team size that may be desirable in programming/learning real life environments. Two different experiments were organized and conducted. Parameters for determining the optimal team size were formulated. Volunteered participants of different genders were randomly grouped into five parallel teams of different sizes ranging from 1 to 5 in the first experiment. Each team size was replicated six times. The second experiment involved teams of same gender compositions (males or females) in different sizes. The times (efforts) for problem analysis and coding as well as compile-time errors (bugs) were recorded for each team size. The effectiveness was finally analyzed for the teams. The study shows that collaboration is highly beneficial to new learners of computer programming. They easily grasp the programming concepts when the learning is done in the company of others. The study also demonstrates that the optimum team size that may be adopted in a collaborative learning of computer programming is four.

Collaborative work model based on peer-to-peer network

In this paper, we incorporated peer-to-peer (P2P) concept with agent technology and put forward a collaborative work model based on peer-to-peer network (P2PCWM) after investigating into business demands of modern enterprises and problems prevailing in mainstream collaborative work systems based on central server. Theoretically, the P2PCWM can effectively overcome the problems in a conventional system with a central server and meet the practical demands of modern businesses. It is distinguished from other systems by its features of equality, openness, promptness, fairness, expandability and convenience.

Practical Exploration of Strengthening Team Communication and Cooperation in Head Nurse Nursing Management

This study explores the practical application of nursing management led by head nurses to enhance team communication and collaboration within clinical settings.By integrating leadership theories with nursing practice,this research adopts a qualitative methodology to examine the effects of strategic communication and teamwork enhancement initiatives.Through interviews,observations,and the analysis of case studies in various hospital departments,the study identifies key barriers to effective team communication and collaboration,including hierarchical structures,lack of standardized communication protocols,and insufficient training.Solutions implemented involve targeted communication skills training,the establishment of interdisciplinary teamwork protocols,and leadership workshops for head nurses.The outcomes indicate significant improvements in team efficiency,patient care quality,and staff satisfaction.This research underscores the importance of head nurses in fostering an environment conducive to open communication and collaborative practice,thereby advancing patient care and team performance.

Evaluation of Attending Medical Teams and Their Impact on the DRG Components of Cholecystectomy

Objective:This study assessed the role of the attending medical team in the cost control of the cholecystectomy DRG components.Methods:The association between team structure,workflow,and treatment outcomes was analyzed using a mixed-methods approach combining quantitative data and qualitative interviews from 628 patients.Results:Inter-professional teamwork significantly affected length of stay,treatment costs,and recurrence rates,with experienced teams performing better in terms of emergency response and collaborative efficiency.Patient satisfaction was generally high,indicating that good teamwork enhances treatment outcomes.Significance:The study highlights the importance of optimizing team configuration to improve the quality,efficiency,and cost control of healthcare.

Exploration of Diversified Talent Training and Collaborative Innovation Models from the Perspective of Scientific Research Team Construction and Collaborative Management Mechanism in Applied Undergraduate Universities

This study is dedicated to exploring the role of scientific research team construction and collaborative management mechanisms in applied undergraduate universities in promoting diversified talent training and collaborative innovation models.By forming an interdisciplinary scientific research team and recording in detail the team’s performance,problems encountered,and solutions during the collaborative innovation process,the study found that interdisciplinary team construction significantly improved scientific research timeliness,which was 29.33%higher than that of traditional single-disciplinary teams.Therefore,the construction of interdisciplinary scientific research teams and collaborative management mechanisms are effective ways for applied undergraduate universities to promote diversified talent training and collaborative innovation.

TeamSTEPPS在结直肠癌手术患者出院准备沟通的应用

目的探讨加强临床表现和医疗安全的团队策略与工具(TeamSTEPPS)在腹腔镜结直肠癌手术患者出院准备沟通中的应用效果。方法选取2019年3~6月48例腹腔镜结直肠癌手术患者为对照组,给予常规出院准备服务;选取2019年7~10月49例患者为研究组,实施基于加强临床表现和医疗安全的团队策略与工具改进的出院准备服务。结果改进后两组床边交班感知得分及医护合作得分比较,差异有统计学意义(P<0.05,P<0.01)。结论基于加强临床表现和医疗安全的团队策略与工具改进的出院准备服务,可改善出院准备服务团队的沟通效率,提高腹腔镜结直肠癌手术患者的满意度。

Global trends in international research collaboration, 1980-2021

Purpose:The aim of this study is to analyze the evolution of international research collaboration from 1980 to 2021.The study examines the main global patterns as well as those specific to individual countries,country groups,and different areas of research.Design/methodology/approach:The study is based on the Web of Science Core collection database.More than 50 million publications are analyzed using co-authorship data.International collaboration is defined as publications having authors affiliated with institutions located in more than one country.Findings:At the global level,the share of publications representing international collaboration has gradually increased from 4.7%in 1980 to 25.7%in 2021.The proportion of such publications within each country is higher and,in 2021,varied from less than 30%to more than 90%.There are notable disparities in the temporal trends,indicating that the process of internationalization has impacted countries in different ways.Several factors such as country size,income level,and geopolitics may explain the variance.Research limitations:Not all international research collaboration results in joint co-authored scientific publications.International co-authorship is a partial indicator of such collaboration.Another limitation is that the applied full counting method does not take into account the number of authors representing in each country in the publication.Practical implications:The study provides global averages,indicators,and concepts that can provide a useful framework of reference for further comparative studies of international research collaboration.Originality/value:Long-term macro-level studies of international collaboration are rare,and as a novelty,this study includes an analysis by the World Bank’s division of countries into four income groups.

A Review of the Clinical Interdisciplinary Collaboration among Nurses and Physicians

Background: Care is a team effort that its continuity is not possible by a person alone. Nurses and physicians should have collaboration with other professions to solve care complex problems. Aim: We conducted a review of the literature to evaluate clinical nurses collaboration with other disciplines examined by qualitative approach. Method: We searched all articles that published from 1995 to 2014 in both English and Persian which had been performed interdisciplinary collaboration processes in the clinical nursing. These articles were done with qualitative approach for nurse’s collaboration with other disciplines. We searched using databases of Proquest, Scopus, pub Med, Science Direct, and Iranian databases of Sid, Magiran, Iran Medex. This review was performed using keywords matching with MESH terms such as interdisciplinary relations, nurse-physician relations, care team, collaboration, and their Persian equivalents at the first separately and then with AND/OR as combination. In most studies, the main structure was three components of collaboration process, context of collaboration and consequences that they were emphasized. Results & Conclusions: However context and processes were different but most studies reported outcomes similarity of interdisciplinary collaboration. Thus to achieve common goals between different disciplines working together is essential for effective care in clinical settings.

支持学习反思的ReFlex和TeamUp应用程序设计

在学习过程中,特别是在合作学习以及基于项目的学习过程中,反思至关重要。为了使应用程序更好地支持学生在课堂环境下进行高层次的学习反思,文章采用基于设计的定性研究方法,设计了两个应用程序——用于个体学习反思的Re Flex和用于小组合作学习的TeamUp。文章的研究结果表明:Re Flex和TeamUp可以促使学生的学习反思达到更高水平;同时,它们拥有比较强大的移动计算功能,能有效支持学生进行学习反思。

Using an Interprofessional Lens to Analyze Serious Adverse Events in a Teaching Hospital: An Analysis with the TeamSTEPPS® Framework

This paper explores the contribution of teamwork skills in serious adverse events, using the TeamSTEPPS® framework. Adverse events are the undesirable events that are not due to the natural course of a disease;they are considered serious when they prolong a hospital stay, lead to a physical disability or to death. Failures in teamwork, particularly with interprofessional teams, can lead to potential risks to patient safety. Using a dataset of de-identified reports of serious adverse events in 2016 in a tertiary teaching hospital, we explored the contribution of teamwork skills according to the TeamSTEPPS® framework to these adverse events. We found that 61% of the 41 analyzed events involved failures in teamwork skills, with 80% of these involving communication, 52% in situation monitoring and team structure, 44% in mutual support and 40% in leadership. Sixty-four percent of the events involved more than one teamwork component. Our findings emphasize the need to improve teamwork training in healthcare, focusing not only on communication, but also on other teamwork skills as they often contribute together in adverse events. Future analyses of serious adverse events should include a focus on teamwork competencies, to guide the development of future quality and safety training programs.

Building teams：reaching beyond medical libraries for inspiration

Research model in our UCLA Library has also transformed into collaborative and interdisciplinary as a research community. The most successful units within the library work in this cooperative way. However,most of the public service units still work in their own silo. Building research and service teams to achieve the library ＇ s development strategic plan that paves the way for a reorganization of the public service units in the library is the most effective and proper way. In order to address this accomplishment,the User Engagement division of UCLA Library has launched. This article demonstrates the reason why UCLA Library need to build the team and the way in which UCLA Library use to build the team in order to bring about the goal of reaching beyond medical libraries for inspiration.

多机协同智能发展战略研究

多个自主智能系统通过信息、行为交互构成的多机协同智能,代表着未来智能系统的必然发展趋势,是我国新一代人工智能规划部署的主攻方向,也是支撑国防、社会安全的核心技术和推动制造业由大到强的必由之路。开展突破多机协同智能技术发展研究,对于推动我国军事智能、智能产业高质量发展、加快工业转型升级具有重要意义。本文基于多机协同智能系统当前面临的难以适应复杂任务这一挑战,从基础理论和核心关键技术两个层面出发,系统地梳理了多机协同智能的研究现状,分析了制约基础理论与关键技术发展的主要瓶颈性问题,并以多机协同智能制造为典型应用,剖析理论与技术发展中存在的问题。研究认为,多机协同智能将朝着人机群组智能的方向发展,为抢占发展先机,需及早布局人机群组智能的基础理论探索,加速核心技术突破,并加快应用示范。

高校思政课教师团队构建的背景审视、逻辑理路及其协同路径

团队作为社会生活中无所不在的思维与行动单位,它本身所蕴含的行动的力量对于我们审视高校思政课既存叙事主体的叙事逻辑和组织逻辑具有重要意义。在新的历史时期,有必要对高校思政课教师团队的存在样态进行反思,推进高效能思政课教师团队的模式建构,打造高质量发展、高效率运行的思政课教师团队。基于此,从运行主体上需要实现思政课教师队伍从个体叙事向团队叙事的转向,从构建路向上需要基于差异性分层学习共同体的优势来聚焦思政课的主题,从组织保障上需要以民主型、包容性和自治性的机制来协同整合。

人机协作下的共享心智模型研究

人机协调共生是当下人类面临的重要问题,但智能技术内部“黑箱”效应带来的透明度低、可控性低等问题使人机协作时常产生冲突和矛盾。在此背景下,共享心智模型成为引导人机协作团队成员相互理解、协调的关键概念。基于此,文章首先梳理了共享心智模型的发展历程与经典的测量与评估方法。随后,文章以共享心智模型为基础引入“扩展思维”这一概念,设计了人机协作下的共享心智模型;同时,结合共享心智模型的经典计算与测量方法,文章提出了人机协作下共享心智模型的计算框架与测量思路。最后,文章通过应用案例分析,发现人机协作下的共享心智模型能有效促进团队合作和任务绩效,由此验证了人机协作下共享心智模型的可行性与有效性。文章提出的人机协作下的共享心智模型可为教育领域人机协作的良性互动提供理论支持,并为辅助人机协同学习与教师教育决策提供借鉴。

基于角色合作的TBL教学法在心内科护理实习教学中的应用

目的 探究基于角色合作的以团队为基础的学习(team-based learning,TBL)教学法在心内科护理实习教学中的应用效果。方法 选取2022年7月-11月在重庆医科大学附属第二医院心内科实习的31名心内科护理本科学生为对照组,2022年12月-2023年4月在重庆医科大学附属第二医院心内科实习的31名心内科护理本科学生为试验组。对照组采用传统教学模式,试验组采用基于角色合作的TBL教学法。教学活动结束后,对2组学生的带教效果、管床效果、教学满意度进行对比分析。结果 试验组平均理论成绩为(95.94±2.08)分,操作成绩为(96.13±1.36)分、护理质量评分(95.71±1.72)分,对照组分别为(91.00±2.70)分、(90.03±3.09)分、(90.39±2.39)分,试验组高于对照组,差异有统计学意义(P <0.001)。在出科考核中,试验组护理缺陷发生率为0,低于对照组的9.68%,差异有统计学意义(P<0.05)。试验组患者满意度为100%,高于对照组的80.65%,差异有统计学意义(P <0.05)。在学生的教学评价中,试验组的教学态度、教学形式、教学氛围、教学形式方面观察指标数据均优于对照组,差异有统计学意义(P <0.001)。结论 基于角色合作的TBL教学法可以提高学生的理论成绩、操作成绩及护理质量评分,降低护理缺陷发生率,提升学生教学评价满意度。

MDT-CBL教学方法在血液肿瘤临床教学中的应用研究

目的:探讨血液肿瘤教学中联合应用MDT和CBL教学方法的教学效果。方法:将2020年5月至2021年2月在血液科轮科的住院医师规范化培训学员共43人随机分为试验组(23人)和对照组(20人),试验组采用MDT-CBL教学方法,对照组采用LBL教学法,通过比较出科考核成绩和对带教老师的问卷调查比较两组的教学效果。结果:试验组学员在临床病例分析、实践技能及出科考核总成绩均优于对照组学员(P<0.05)。问卷调查表明,试验组学员在学习积极性、知识掌握程度、文献查阅能力、理论联系实际能力、临床思维能力、团队协作方面优于对照组学员(P<0.05)。结论:MDT-CBL教学方法能有效提高血液肿瘤的临床教学效果,全面提高学员的综合能力。

基于产教融合的职业教育教学创新团队建设

教学创新团队是基于产教融合的新型团队,要起到示范作用,将校企与校际协作共同体、示范性产业学院、创新型实验或实践教学中心等作为团队的依托。教学创新团队的运行需要进行团队成员的分工与协作、团队教师的考核与评价、团队的制度建设。教学创新团队需要建立协同工作机制,包括建立多层次贯通的人才培养模式、约束制度、教研和科研管理制度、专业建设制度等,加强专业带头人、“双师型”教师、青年教师、企业兼职教师能力培养。校企与校际合作的方式包括共建教师发展中心,共同制订人才培养方案,按工作岗位的能力要求制订课程标准,基于工作过程构建课程体系等。教学创新团队建设是一项重要任务,需要众多院校、企业的深度参与,加强创新和探索。

教师联合同伴反馈的实践合作学习模式在创伤护士救护技能培训中的应用

目的 探索基于实践合作学习模式的教师反馈联合同伴反馈在创伤护士救护技能培训中的应用效果。方法 按培训时间将创伤护士分为两组,2023年6-9月参加中国创伤救治培训护理版课程培训的护士514人为对照组,7-10月参加培训的护士510人为试验组。对照组按常规进行创伤救护技能培训,试验组实施基于实践合作学习模式的教师反馈联合同伴反馈的培训方法。培训结束后,对参加培训的创伤护士进行创伤救护知识考核,对试验组进行创伤急救团队配合技能考核,对28名学员进行课后座谈以了解应用效果。结果 试验组创伤救护知识考核成绩显著高于对照组(P<0.05);试验组创伤急救团队配合技能考核总分为85.41±8.68;座谈显示,学员认为此培训形式新颖,可使成员熟悉并掌握创伤急救团队配合流程,团队配合顺畅,但感觉培训压力较大。结论 基于实践合作学习模式的教师反馈联合同伴反馈的创伤救护技能培训,能提高创伤护士创伤救护知识,更好地掌握团队配合技能。