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Decision-Makers Weighting in Fuzzy Multiple Attributes Group Decision-Making 被引量:1
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作者 Fatemeh Ghaemi-Nasab Mohsen Rostamy-Malkhalifeh Razieh Mehrjoo 《通讯和计算机(中英文版)》 2011年第4期247-251,共5页
关键词 多属性群决策 决策者 模糊 加权 现实世界 可靠性 决策方法 决策过程
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Optimal Distribution of N-Team Interacting Decision Makers with Hierarchical Command Inputs That Are Predicated on Order Statistics
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作者 Michael Olatunji Oladejo Uchenwa Linus Okafor +1 位作者 Darius Tienhua Chinyio Celestine Ozoemena Uwa 《Open Journal of Optimization》 2019年第1期1-14,共14页
The spectral analysis of simulated N-team of interacting decision makers with bounded rationality constraints of Oladejo, which assumes triangular probability density function of command inputs is hereby restructured ... The spectral analysis of simulated N-team of interacting decision makers with bounded rationality constraints of Oladejo, which assumes triangular probability density function of command inputs is hereby restructured and analysed, to have hierarchical command inputs that are predicated on order statistics distributions. The results give optimal distributions. 展开更多
关键词 decision maker COMMAND and Control Bounded RATIONALITY Constraints HIERARCHICAL CONDITIONAL Probability Density Function Situation Report Computational Intelligence and Information Management
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A Curriculum Report on Teachers as Decision-maker
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作者 李婷婷 《海外英语》 2012年第10X期105-106,130,共3页
Curriculum design is an aspect of education profession which focuses on developing curricula for students.Educators will take many factors in consideration when design a curriculum.In practical teaching,teacher as dec... Curriculum design is an aspect of education profession which focuses on developing curricula for students.Educators will take many factors in consideration when design a curriculum.In practical teaching,teacher as decision makers to design an appropriate curricu lum and teaching activities play an important part in the whole teaching and learning.Many classroom teachers are working with students of different levels of ability,and they need to be able to adjust the curriculum to keep all of the students engaged and learning.It may also be necessary to change the pace of a curriculum to deal with problems as they arise.The essay analyse five parts in designing the curriculum as a teacher decision maker and get a conclusion according to the whole analysis course. 展开更多
关键词 CURRICULUM design TEACHER AS decision maker evalua
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Hierarchical Decision Maker in Hybrid Control Systems
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作者 He Weidong Hao Jiankang Zhang Minglian & Chen Zongji(305, Dept. of Automatic Control, Beijing Uni. of Aero. & Astro., Beijing 100083, P. R. China) 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 1996年第4期65-84,共20页
A hybrid control system is composed of three boxes which are analogous box, digital time box and decision maker box. A hierarchical structure of decision maker in hybrid control systems is presented in this paper, whi... A hybrid control system is composed of three boxes which are analogous box, digital time box and decision maker box. A hierarchical structure of decision maker in hybrid control systems is presented in this paper, which is that decision maker consists of two components, i.e., policy decision and coordination. Policy decision can design coordination and digital time box. And policy decision consists of two parts, i.e., steady policy decision and transient policy decision. In general,steady policy decision corresponds to steady requirements and transient policy decision corresponds to transient requirements in systems. A chemical concentration control system severs an illustrative example to show the features of the hierarchical decision maker. 展开更多
关键词 decision maker Hybrid control sysems.
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Distributed blackboard decision-making framework for collaborative planning based on nested genetic algorithm 被引量:4
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作者 Yaozhong Zhang Lei Zhang Zhiqiang Du 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2015年第6期1236-1243,共8页
A distributed blackboard decision-making framework for collaborative planning based on nested genetic algorithm (NGA) is proposed. By using blackboard-based communication paradigm and shared data structure, multiple... A distributed blackboard decision-making framework for collaborative planning based on nested genetic algorithm (NGA) is proposed. By using blackboard-based communication paradigm and shared data structure, multiple decision-makers (DMs) can collaboratively solve the tasks-platforms allocation scheduling problems dynamically through the coordinator. This methodo- logy combined with NGA maximizes tasks execution accuracy, also minimizes the weighted total workload of the DM which is measured in terms of intra-DM and inter-DM coordination. The intra-DM employs an optimization-based scheduling algorithm to match the tasks-platforms assignment request with its own platforms. The inter-DM coordinates the exchange of collaborative request information and platforms among DMs using the blackboard architecture. The numerical result shows that the proposed black- board DM framework based on NGA can obtain a near-optimal solution for the tasks-platforms collaborative planning problem. The assignment of platforms-tasks and the patterns of coordination can achieve a nice trade-off between intra-DM and inter-DM coordination workload. 展开更多
关键词 distributed collaborative planning BLACKBOARD decision maker (DM) nested genetic algorithm (NGA).
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Effect of Normative and Socioeconomic Power Bases on Japanese Marital Decision-Making Authority
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作者 Zsolt Varga Wirawan Dony Dahana Sotaro Katsumata 《Management Studies》 2019年第2期139-148,共10页
According to normative-resource theory,the balance of marital power is influenced by the effect of socioeconomic resources and subcultural expectations.The purpose of our study is to empirically test the effects of Ja... According to normative-resource theory,the balance of marital power is influenced by the effect of socioeconomic resources and subcultural expectations.The purpose of our study is to empirically test the effects of Japanese married individuals’comparative socioeconomic variables—education,age,occupation status,personal income,family income,urban/rural living area,years married,and the presence/number of children;and normative resources—the four dimensions of sex role orientation—on decision-making authority across the stages of automobile purchasing.The data of 500 demographically heterogeneous married individuals are analyzed by using a Lasso(least absolute shrinkage and selection operator)regression to select variables and to improve the accuracy of prediction and interpretation.The findings reveal that wives’authority is significantly influenced across all stages by their personal income and specific dimensions of their sex role orientation.On the other hand,husbands’authority is not affected by their perception of role norms,but only by their age.Contrary to expectations,the effects of education,occupation,and employment status are not significant in any of the cases,opening a discussion for cross-cultural comparison.The findings are interpreted and transformed into actionable items for managerial implications. 展开更多
关键词 family PURCHASE decision consumer behavior SEX role orientation durable product
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The Distribution of Power Among Group Decision Makers 被引量:3
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作者 YANG Lei XI Youmin Management School Xi’an Jiaotong University, Xi’an 710049 《Systems Science and Systems Engineering》 CSCD 1997年第3期68-74,共7页
The study of power distribution is the core of the study of group decision making processes.It is evident that the ability to diagnose power distributions in group decision making is important. In this paper, we cl... The study of power distribution is the core of the study of group decision making processes.It is evident that the ability to diagnose power distributions in group decision making is important. In this paper, we clarify two major power indices the Shapley Shubik index and the Banzhaf index; the concepts of power in organization and in group decision making are discussed. Based on the concept of the entropy of information as supplied and defined by Shannon, an index of power is proposed which measures the distribution of power among decision makers (in this paper). By using this index, moreover, we can examine how decision maker can increase its power. 展开更多
关键词 POWER decision DISTRIBUTION GROUP makers AMONG
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The effect of individual factors on user behaviour and the moderating role of trust: an empirical investigation of consumers’ acceptance of electronic banking in the Kurdistan Region of Iraq 被引量:1
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作者 Yadgar Taha M.Hamakhan 《Financial Innovation》 2020年第1期703-731,共29页
The popularity of self-service technologies,particularly in the banking industry,more precisely with electronic banking channel services,has undergone a major change as individuals’lifestyles develop.This change has ... The popularity of self-service technologies,particularly in the banking industry,more precisely with electronic banking channel services,has undergone a major change as individuals’lifestyles develop.This change has affected individuals’decisions about accepting any new Information Technology,and Information Communications Technology services that are electronically mediated,for example,E-Banking channel services.This study investigates the effect of Individual Factors on User Behaviour,and the moderating role of Trust in the relationship between Individual Factors,and User Behaviour based on the Unified Theory of Acceptance and Use of Technology.This research proposes a model,with a second-order components research framework.It improves current explanations of the acceptance of electronic banking channel services.Furthermore,this study highlights the role of trust on the acceptance of electronic banking channel services,which is the most crucial consideration in customers’decisions to accept electronic banking channels services.Thus,trust is the spine of the system in the Kurdistan Region of Iraq.Data were collected using an online questionnaire that received 476 valid responses from academic staff who work at the University of Sulaimani.The model tested data using the Partial Least Squares-Structural Equation Modelling approach.The results show that Individual Factors have a positive effect on User Behaviour.Besides,results show that trust moderates the relationship between Individual Factors and User Behaviour. 展开更多
关键词 Cash society Offline banking Technology acceptance model decision makers PLSpredict
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Global Community of Disaster Risk Reduction Scientists and Decision Makers Endorse a Science and Technology Partnership to Support the Implementation of the Sendai Framework for Disaster Risk Reduction 2015–2030 被引量:5
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作者 Chloe Dickinson Amina Aitsi-Selmi +2 位作者 Pedro Basabe Chadia Wannous Virginia Murray 《International Journal of Disaster Risk Science》 SCIE CSCD 2016年第1期108-109,共2页
At the first gathering of its kind on the role of science in implementing the Sendai Framework for Disaster Risk Reduction 2015–2030,over 750 scientists,policymakers,business people,and practitioners met in Geneva fr... At the first gathering of its kind on the role of science in implementing the Sendai Framework for Disaster Risk Reduction 2015–2030,over 750 scientists,policymakers,business people,and practitioners met in Geneva from January 27–29,2016.The UNISDR Science and Technology Conference on the Implementation of the Sendai Framework for Disaster Risk Reduction 2015–2030 fea- 展开更多
关键词 work Global Community of Disaster Risk Reduction Scientists and decision makers Endorse a Science and Technology Partnership to Support the Implementation of the Sendai Framework for Disaster Risk Reduction 2015
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DIP-MOEA:a double-grid interactive preference based multi-ob jective evolutionary algorithm for formalizing preferences of decision makers
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作者 Luda ZHAO Bin WANG +2 位作者 Xiaoping JIANG Yicheng LU Yihua HU 《Frontiers of Information Technology & Electronic Engineering》 SCIE EI CSCD 2022年第11期1714-1732,共19页
The final solution set given by almost all existing preference-based multi-objective evolutionary algorithms(MOEAs)lies a certain distance away from the decision makers’preference information region.Therefore,we prop... The final solution set given by almost all existing preference-based multi-objective evolutionary algorithms(MOEAs)lies a certain distance away from the decision makers’preference information region.Therefore,we propose a multi-ob jective optimization algorithm,referred to as the double-grid interactive preference based MOEA(DIPMOEA),which explicitly takes the preferences of decision makers(DMs)into account.First,according to the optimization ob jective of the practical multi-ob jective optimization problems and the preferences of DMs,the membership functions are mapped to generate a decision preference grid and a preference error grid.Then,we put forward two dominant modes of population,preference degree dominance and preference error dominance,and use this advantageous scheme to update the population in these two grids.Finally,the populations in these two grids are combined with the DMs’preference interaction information,and the preference multi-ob jective optimization interaction is performed.To verify the performance of DIP-MOEA,we test it on two kinds of problems,i.e.,the basic DTLZ series functions and the multi-ob jective knapsack problems,and compare it with several different popular preference-based MOEAs.Experimental results show that DIP-MOEA expresses the preference information of DMs well and provides a solution set that meets the preferences of DMs,quickly provides the test results,and has better performance in the distribution of the Pareto front solution set. 展开更多
关键词 Multi-objective evolutionary algorithm(MOEA) Formalizing preference of decision makers Population renewal strategy Preference interaction
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情报产品模糊性的塑造机理研究 被引量:1
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作者 刘杰 《情报杂志》 CSSCI 北大核心 2024年第2期63-67,94,共6页
[研究目的]情报产品用语含糊现象并不鲜见,其与情报产品质量标准,如“准确、客观”等要求背道而驰,不加以规制将影响到情报的决策辅助功能。[研究方法]该文首先对模糊性及相关概念进行了界定与区分,阐明了该议题研究的重要意义。在此基... [研究目的]情报产品用语含糊现象并不鲜见,其与情报产品质量标准,如“准确、客观”等要求背道而驰,不加以规制将影响到情报的决策辅助功能。[研究方法]该文首先对模糊性及相关概念进行了界定与区分,阐明了该议题研究的重要意义。在此基础上,重点从三个方面剖析了情报产品模糊性的塑造机理。[研究结论]情报产品模糊性有其主客观原因。其中情报分析人员的角色模糊、情报工作的目标模糊、决策者的战略性模糊构成了情报产品模糊性的主要发生机理。缓解的思路在于,密切情报人员与决策者之间的交流,弥合两者之间因可能存在的“地位”差异而导致的服务妥协;强化情报生产过程的精细度和透明度等等。 展开更多
关键词 情报产品 情报分析人员 模糊性 角色模糊 目标模糊 战略性模糊 决策者
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考虑市场影响的风电厂与储能运营商联合调度策略研究 被引量:1
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作者 刘健 孙心玥 +3 位作者 戴卓妮 欧盟 刘焰焰 张娜 《管理工程学报》 CSSCI CSCD 北大核心 2024年第2期206-220,共15页
本文基于拥有风力发电厂与电力储能设备的电力运营商视角,考虑运营商参与电力交易会对市场电价产生影响的基础上,通过动态规划,以利润最大化为目标,研究其最优联合调度策略。研究表明:在考虑充放电效率以及运营成本时,存在三个最优参考... 本文基于拥有风力发电厂与电力储能设备的电力运营商视角,考虑运营商参与电力交易会对市场电价产生影响的基础上,通过动态规划,以利润最大化为目标,研究其最优联合调度策略。研究表明:在考虑充放电效率以及运营成本时,存在三个最优参考点将储能设备中的可用库存空间分为四个区域,进而对应四个不同的决策活动:将风电和从市场上购买的电力全部存入储能系统;将部分风电存入储能系统并将剩余部分销售到市场;售出全部风电不向储能设备中存入电量;将所有的风电和储能系统中的部分电量销售至电力市场。运营商可根据当前时刻风力发电量和储能设备中的电量与最优参考点之间的大小关系,得到相应的最优电力调度策略及其交易量。此外,本文研究发现随着市场影响强度的增大,运营商的利润随之减小,因此运营商应在其市场影响强度与最优电力交易量之间做好权衡。本研究对运营商的电力调度具有重要的指导意义和实际应用价值。 展开更多
关键词 电力存储 风力发电 市场影响 价格制定者 最优调度决策
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ICU患者代理决策者决策冲突现状及影响因素分析
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作者 贾秀丽 张艳洪 +1 位作者 尤琦 张丽敏 《护理学杂志》 CSCD 北大核心 2024年第22期92-97,共6页
目的调查ICU患者代理决策者决策冲突现状并分析其影响因素。方法采用便利抽样法,选取390名ICU患者代理决策者为研究对象。采用一般资料调查表、决策冲突量表、决策准备量表、决策参与量表及维克森林医师信任量表进行调查。结果ICU患者... 目的调查ICU患者代理决策者决策冲突现状并分析其影响因素。方法采用便利抽样法,选取390名ICU患者代理决策者为研究对象。采用一般资料调查表、决策冲突量表、决策准备量表、决策参与量表及维克森林医师信任量表进行调查。结果ICU患者代理决策者决策冲突得分为(43.33±7.25)分,决策准备得分为(30.62±6.81)分,决策参与得分为(64.46±10.37)分,医师信任得分为(37.95±6.35)分;Pearson相关分析显示,ICU患者代理决策者决策冲突总分与决策准备、决策参与及医师信任总分均呈负相关(均P<0.05);多元线性回归分析显示,是否了解该疾病、代理决策者年龄、决策参与、决策准备、医师信任是ICU代理决策者决策冲突得分的主要影响因素(均P<0.05),可解释总变异的43.1%。结论ICU患者代理决策者决策冲突处于较高水平。建议护理管理者应对决策冲突水平较高的代理决策者进行干预,以减轻其决策困境,提高决策质量,实现患者利益最大化。 展开更多
关键词 重症监护病房 代理决策者 决策冲突 决策准备 决策参与 医师信任 患者利益 影响因素
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心力衰竭患者ICD植入治疗替代决策者决策困境现状及影响因素
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作者 段娟 王颖 《河南医学研究》 CAS 2024年第15期2705-2711,共7页
目的调查心力衰竭患者植入型心律转复除颤器(ICD)植入治疗替代决策者的决策困境现状及影响因素。方法选取2020年4月至2023年3月在郑州大学第一附属医院心力衰竭中心就诊的ICD植入治疗患者及其替代决策者为调查对象,收集患者及代理决策... 目的调查心力衰竭患者植入型心律转复除颤器(ICD)植入治疗替代决策者的决策困境现状及影响因素。方法选取2020年4月至2023年3月在郑州大学第一附属医院心力衰竭中心就诊的ICD植入治疗患者及其替代决策者为调查对象,收集患者及代理决策者的社会人口学资料及患者疾病相关资料,由研究者代理患者填写中文简化版堪萨斯城心肌病问卷(KCCQ),由替代决策者填写决策困境量表、决策参与期待量表、维克森林医师信任量表、领悟社会支持量表和状态焦虑问卷,分析状态焦虑得分、维克森林医师信任得分、领悟社会支持得分、心力衰竭患者健康状况与决策困境的相关性,分析人口学特征与疾病特征与决策困境的关系,通过多重线性回归分析决策困境的影响因素。结果共纳入148例心力衰竭ICD植入治疗患者的替代决策者,决策者决策困境得分为(36.03±8.79)分,70.95%的替代决策者得分≥25分,存在决策困境;单因素分析结果显示决策困境的影响因素包括替代决策者年龄、受教育程度、婚姻、月收入、替代决策者角色、与患者关系、疾病了解程度、患者医疗保险类型、是否参与决策、病程等(P<0.05)。相关性分析结果显示:患者健康水平(KCCQ得分)、替代决策者焦虑水平、对医生的信任水平、社会支持水平与决策困境相关(P<0.05)。多重线性回归结果显示决策困境的影响因素包括替代决策者焦虑水平、对医生的信任水平、社会支持水平、月收入及患者病程。结论大多数心力衰竭患者ICD植入治疗替代决策者存在决策困境,医护人员在进行ICD植入手术知情同意沟通时应关注替代决策者的心理特征、调动决策者的社会支持力量,采用适当的沟通技巧,必要时采取决策辅助工具进行决策辅助。 展开更多
关键词 心力衰竭 植入型心律转复除颤器 替代决策者 决策困境
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晚期癌症患者替代决策者安宁疗护问题提示列表的构建 被引量:4
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作者 刘亚菲 罗蕾 +2 位作者 刘昌林 李蕊 刘茂 《护理学杂志》 CSCD 北大核心 2024年第10期12-15,25,共5页
目的构建安宁疗护问题提示列表,为晚期癌症患者替代决策者主动获取安宁疗护相关信息提供参考。方法2023年1-8月,在文献回顾和半结构式访谈基础上归纳整理晚期癌症患者替代决策者的信息需求主题及相应条目,通过专家函询和预调查优化问题... 目的构建安宁疗护问题提示列表,为晚期癌症患者替代决策者主动获取安宁疗护相关信息提供参考。方法2023年1-8月,在文献回顾和半结构式访谈基础上归纳整理晚期癌症患者替代决策者的信息需求主题及相应条目,通过专家函询和预调查优化问题提示列表内容。结果构建的晚期癌症患者替代决策者安宁疗护问题提示列表包括7个一级条目、44个二级条目,主题涵盖安宁疗护、治疗决策、症状管理、临终准备、决策辅助、心理及情感支持、社会支持7个方面。结论构建的安宁疗护问题提示列表内容全面、可靠,有助于替代决策者向医护人员获取关于安宁疗护和决策所需信息,减少其在安宁疗护决策过程中可能面临的决策冲突及延迟情况。 展开更多
关键词 晚期癌症 替代决策者 问题提示列表 决策辅助 决策冲突 决策延迟 社会支持 安宁疗护
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晚期肺癌患者代理决策者无法忍受不确定性现状及其对决策冲突的影响 被引量:1
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作者 赵晓华 胡玉守 +2 位作者 常志红 秦瑞玲 张苇 《河南医学研究》 CAS 2024年第7期1184-1188,共5页
目的探讨晚期肺癌患者代理决策者无法忍受不确定性现状及其对决策冲突的影响。方法采用一般资料调查表、简版无法忍受不确定性量表、决策冲突量表对233例晚期肺癌患者代理决策者进行调查。结果简版无法忍受不确定性量表总分为(32.20... 目的探讨晚期肺癌患者代理决策者无法忍受不确定性现状及其对决策冲突的影响。方法采用一般资料调查表、简版无法忍受不确定性量表、决策冲突量表对233例晚期肺癌患者代理决策者进行调查。结果简版无法忍受不确定性量表总分为(32.20±5.74)分,决策冲突量表总分为(26.96±8.86)分,Pearson相关分析显示,无法忍受不确定性总分与决策冲突总分呈正相关(r=0.468,P<0.01),分层回归分析结果显示,无法忍受不确定性是晚期肺癌患者代理决策者决策冲突的重要预测因子,可独立解释决策冲突17.2%的变异。结论无法忍受不确定性是晚期肺癌患者代理决策者决策冲突的重要影响因素,无法忍受不确定性程度越高的患者其决策冲突水平越高。 展开更多
关键词 肺癌 晚期 代理决策者 无法忍受不确定性 决策冲突 影响因素
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基于改进区间直觉模糊多属性群决策的在线知识付费产品评价方法研究 被引量:1
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作者 苏加福 王丹 +2 位作者 徐保健 樊兢 张凤婷 《计算机集成制造系统》 EI CSCD 北大核心 2024年第7期2516-2525,共10页
针对在线知识付费产品评价与优选问题,从知识付费产品和知识生产者两个维度设计评价属性,提出一种改进的区间直觉模糊多属性群决策方法。首先,考虑决策者的专业性,确定每一属性的决策者权重;其次,构建一种基于信息和知识交流的共识达成... 针对在线知识付费产品评价与优选问题,从知识付费产品和知识生产者两个维度设计评价属性,提出一种改进的区间直觉模糊多属性群决策方法。首先,考虑决策者的专业性,确定每一属性的决策者权重;其次,构建一种基于信息和知识交流的共识达成模型,使关键性决策信息和知识不会被修改;然后,为了更准确地刻画决策者的心理偏好,提出一种改进前景理论的价值函数;最后,利用一个案例研究,验证了所提方法的有效性,并通过与现有决策方法的对比分析,证实了所提方法的创新性。本研究不仅能从产品质量评价视角为研究在线知识付费产品提供新的研究思路,还能帮助在线知识付费平台评价在线知识付费产品,进而督促知识生产者提高产品质量。 展开更多
关键词 在线知识付费产品 区间直觉模糊集 共识达成 属性的决策权重 前景理论
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主动脉夹层手术决策辅助工具的构建与应用研究
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作者 张舵 周雁荣 +9 位作者 吴前胜 潘友民 郑智 查正彪 刘娟 王萧萧 朱利思 胡凯利 李碧稳 梅凌寒 《护理学杂志》 CSCD 北大核心 2024年第3期31-35,共5页
目的构建主动脉夹层手术决策辅助工具,提高主动脉夹层患方决策者的决策质量。方法通过文献分析、专家函询、用户调适等形成主动脉夹层决策辅助工具,于2022年8-10月将心脏大血管外科主动脉夹层手术的患方决策者按病区分为对照组和干预组... 目的构建主动脉夹层手术决策辅助工具,提高主动脉夹层患方决策者的决策质量。方法通过文献分析、专家函询、用户调适等形成主动脉夹层决策辅助工具,于2022年8-10月将心脏大血管外科主动脉夹层手术的患方决策者按病区分为对照组和干预组各35例。对照组行常规健康宣教及术前谈话,干预组在此基础上使用决策辅助工具。比较两组出院前决策冲突、决策准备度、决策满意度。结果主动脉夹层决策辅助工具包含4项一级指标,9项二级指标,31项三级指标。干预组决策冲突得分显著低于对照组,决策准备度及满意度得分显著高于对照组(均P<0.05)。结论主动脉夹层手术决策辅助工具具有科学性和实用性,可以减轻患方决策者决策冲突,提高决策质量,实现医患共享决策。 展开更多
关键词 主动脉夹层 手术 决策者 决策辅助 决策准备度 决策冲突 共享决策 心外科护理
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急性白血病病人替代决策者的化疗决策困境的质性研究 被引量:1
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作者 吴迪 钱利 +1 位作者 方艳秋 吴倩 《全科护理》 2024年第2期374-378,共5页
目的:了解急性白血病(AL)病人替代决策者的化疗决策困境,为医护人员开发决策辅助工具提供参考。方法:采用目的抽样法,选取15例AL病人的替代决策者进行半结构式访谈,采用Colaizzi 7步法对访谈资料进行分析。结果:AL病人的替代决策者在化... 目的:了解急性白血病(AL)病人替代决策者的化疗决策困境,为医护人员开发决策辅助工具提供参考。方法:采用目的抽样法,选取15例AL病人的替代决策者进行半结构式访谈,采用Colaizzi 7步法对访谈资料进行分析。结果:AL病人的替代决策者在化疗决策中主要有决策能力困境(低健康素养导致决策能力不足、价值观不明确导致的不确定感)、医患沟通困境(无法理解医学专业术语、医患沟通时间不足)及心理困境(健康信念缺乏导致决策态度消极、决策压力大导致负性情绪、实际治疗效果与期望不符导致心理落差)三大困境。结论:血液科医护人员应提高AL病人替代决策者的健康素养、积极推广预立医疗照护计划(ACP)、加强决策支持、提高自身沟通能力并开展心理干预,提高替代决策者的决策意识和能力,改善其化疗决策困境。 展开更多
关键词 急性白血病 替代决策者 化疗 决策困境 质性研究
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重症患者代理决策者生命支持决策体验质性研究的Meta整合
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作者 崔梦娇 黄萍 +4 位作者 王芳 刘凡 刘才艳 陈敬灏 陈璐 《护理学杂志》 CSCD 北大核心 2024年第23期87-92,共6页
目的整合危重症患者代理决策者决策体验的质性研究,揭示代理决策者共性体验,为开展针对性护理干预提供参考。方法系统检索国内外数据库有关危重症患者代理决策者生命支持治疗决策体验的质性研究,检索时限为建库至2023年11月。对纳入文... 目的整合危重症患者代理决策者决策体验的质性研究,揭示代理决策者共性体验,为开展针对性护理干预提供参考。方法系统检索国内外数据库有关危重症患者代理决策者生命支持治疗决策体验的质性研究,检索时限为建库至2023年11月。对纳入文献进行质量评价,应用汇集性整合方法对提取结果进行整合。结果共纳入12篇文献,提炼42个主要结果,归纳为11个类别,最终形成4个整合结果:艰难的决策过程,复杂的情感体验,多样的决策需求,生命末期的综合考量。结论危重症患者代理决策者面临多元决策挑战,建议医护人员增加对代理决策者的关注,制订综合支持策略,增强代理决策者在生命支持决策中的应对能力,减轻代理决策的情感压力。 展开更多
关键词 危重症 代理决策者 替代决策 决策体验 决策冲突 质性研究 生命支持 机械通气
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