Shared decision-making has been described as allowing patients to gain more control over their life situation and feel less helpless. The aim of this systematic review was to describe the involvement of older patients...Shared decision-making has been described as allowing patients to gain more control over their life situation and feel less helpless. The aim of this systematic review was to describe the involvement of older patients in shared decision-making in community settings. In accordance with the systematic review method, a total of 2468 abstracts were read, after which nine quantitative studies were included. A qualitative thematic analysis was performed and two themes emerged;increased understanding of self-management and a desire to strengthen one’s position in relationship with professionals, both of which were essential for empowering older patients to participate in shared decision-making. Older patients’ shared decision-making was seen as a struggle to maintain their autonomy in different areas of everyday life. Emotional and psychological problems made their position more difficult. In order to empower them in relationships with healthcare professionals, older patients require more knowledge (self-efficacy) and information about their illness, which could strengthen their position in the decision-making process. They also need a greater awareness of decisional conflicts that may arise. Age, gender and health status influence older patients’ chance of being respected and taken seriously in relationship with professionals.展开更多
Based on experience of meteorological service at county-level meteorological station in recent 20 years,status quo of decision-making meteorological service,main influence factors of decision-making meteorological ser...Based on experience of meteorological service at county-level meteorological station in recent 20 years,status quo of decision-making meteorological service,main influence factors of decision-making meteorological service and writing of decision-making meteorological service materials are analyzed,and measures and suggestions of improving decision-making meteorological service level are proposed. The research aims to improve public meteorological service level at grass-roots level,provide scientific decision-making basis for government departments preventing and reducing disaster,and reduce loss of life and property of the country and people caused by meteorological disasters to the maximum extent.展开更多
Understanding the dynamics of decision making in the right way is an important problem for the management of organizations.In today’s business life organizations are becoming more complex,and the environments they ar...Understanding the dynamics of decision making in the right way is an important problem for the management of organizations.In today’s business life organizations are becoming more complex,and the environments they are operating in,are becoming increasingly uncertain.The aim of this paper is to contribute to the understanding of the dynamics of managerial decision-making process in complex internal and external environments by sharing the results of an empirical study(Onuk,2009).While taking the levels of the organizational structure as one of the important dimensions of complex internal environment,complex external environment is reflected within the study as economic crisis.Using the survey tool developed by Onuk(2009),the empirical study realized in the Turkish organization of a large global company investigated decision-making process to understand how decision-making authority for different types of decisions,identified as strategic,tactical,and operational level decisions,was distributed throughout the organization levels,and how this distribution was impacted by economic crisis.The results of the study confirmed the following common expectations:(1)Strategic decisions are mostly taken at upper hierarchical levels of the organizational structure;(2)during times of economic crisis strategic decision making is centralized;and(3)during times of economic crisis distribution of decision-making authority is concentrated at upper management levels.展开更多
In order to accurately predict and control the aging process of dams, new information should be collected continuously to renew the quantitative evaluation of dam safety levels. Owing to the complex structural charact...In order to accurately predict and control the aging process of dams, new information should be collected continuously to renew the quantitative evaluation of dam safety levels. Owing to the complex structural characteristics of dams, it is quite difficult to predict the time-varying factors affecting their safety levels. It is not feasible to employ dynamic reliability indices to evaluate the actual safety levels of dams. Based on the relevant regulations for dam safety classification in China, a dynamic probability description of dam safety levels was developed. Using the Bayesian approach and effective information mining, as well as real-time information, this study achieved more rational evaluation and prediction of dam safety levels. With the Bayesian expression of discrete stochastic variables, the a priori probabilities of the dam safety levels determined by experts were combined wfth the likelihood probability of the real-time check information, and the probability information for the evaluation of dam safety levels was renewed. The probability index was then applied to dam rehabilitation decision-making. This method helps reduce the difficulty and uncertainty of the evaluation of dam safety levels and complies with the current safe decision-making regulations for dams in China. It also enhances the application of current risk analysis methods for dam safety levels.展开更多
Supply chain management is an essential part of an organisation's sustainable programme.Understanding the concentration of natural environment,public,and economic influence and feasibility of your suppliers and pu...Supply chain management is an essential part of an organisation's sustainable programme.Understanding the concentration of natural environment,public,and economic influence and feasibility of your suppliers and purchasers is becoming progressively familiar as all industries are moving towards a massive sustainable potential.To handle such sort of developments in supply chain management the involvement of fuzzy settings and their generalisations is playing an important role.Keeping in mind this role,the aim of this study is to analyse the role and involvement of complex q-rung orthopair normal fuzzy(CQRONF)information in supply chain management.The major impact of this theory is to analyse the notion of confidence CQRONF weighted averaging,confidence CQRONF ordered weighted averaging,confidence CQRONF hybrid averaging,confidence CQRONF weighted geometric,confidence CQRONF ordered weighted geometric,confidence CQRONF hybrid geometric operators and try to diagnose various properties and results.Furthermore,with the help of the CRITIC and VIKOR models,we diagnosed the novel theory of the CQRONF-CRITIC-VIKOR model to check the sensitivity analysis of the initiated method.Moreover,in the availability of diagnosed operators,we constructed a multi-attribute decision-making tool for finding a beneficial sustainable supplier to handle complex dilemmas.Finally,the initiated operator's efficiency is proved by comparative analysis.展开更多
文摘Shared decision-making has been described as allowing patients to gain more control over their life situation and feel less helpless. The aim of this systematic review was to describe the involvement of older patients in shared decision-making in community settings. In accordance with the systematic review method, a total of 2468 abstracts were read, after which nine quantitative studies were included. A qualitative thematic analysis was performed and two themes emerged;increased understanding of self-management and a desire to strengthen one’s position in relationship with professionals, both of which were essential for empowering older patients to participate in shared decision-making. Older patients’ shared decision-making was seen as a struggle to maintain their autonomy in different areas of everyday life. Emotional and psychological problems made their position more difficult. In order to empower them in relationships with healthcare professionals, older patients require more knowledge (self-efficacy) and information about their illness, which could strengthen their position in the decision-making process. They also need a greater awareness of decisional conflicts that may arise. Age, gender and health status influence older patients’ chance of being respected and taken seriously in relationship with professionals.
文摘Based on experience of meteorological service at county-level meteorological station in recent 20 years,status quo of decision-making meteorological service,main influence factors of decision-making meteorological service and writing of decision-making meteorological service materials are analyzed,and measures and suggestions of improving decision-making meteorological service level are proposed. The research aims to improve public meteorological service level at grass-roots level,provide scientific decision-making basis for government departments preventing and reducing disaster,and reduce loss of life and property of the country and people caused by meteorological disasters to the maximum extent.
文摘Understanding the dynamics of decision making in the right way is an important problem for the management of organizations.In today’s business life organizations are becoming more complex,and the environments they are operating in,are becoming increasingly uncertain.The aim of this paper is to contribute to the understanding of the dynamics of managerial decision-making process in complex internal and external environments by sharing the results of an empirical study(Onuk,2009).While taking the levels of the organizational structure as one of the important dimensions of complex internal environment,complex external environment is reflected within the study as economic crisis.Using the survey tool developed by Onuk(2009),the empirical study realized in the Turkish organization of a large global company investigated decision-making process to understand how decision-making authority for different types of decisions,identified as strategic,tactical,and operational level decisions,was distributed throughout the organization levels,and how this distribution was impacted by economic crisis.The results of the study confirmed the following common expectations:(1)Strategic decisions are mostly taken at upper hierarchical levels of the organizational structure;(2)during times of economic crisis strategic decision making is centralized;and(3)during times of economic crisis distribution of decision-making authority is concentrated at upper management levels.
基金supported by the National Science and Technology Support Program of China (Program for the Eleventh Five-Year Plan, Grant No. 2006BAC14B03 and 2006BAC05B03)the National Natural Science Foundation of China (Grant No. 50679043)
文摘In order to accurately predict and control the aging process of dams, new information should be collected continuously to renew the quantitative evaluation of dam safety levels. Owing to the complex structural characteristics of dams, it is quite difficult to predict the time-varying factors affecting their safety levels. It is not feasible to employ dynamic reliability indices to evaluate the actual safety levels of dams. Based on the relevant regulations for dam safety classification in China, a dynamic probability description of dam safety levels was developed. Using the Bayesian approach and effective information mining, as well as real-time information, this study achieved more rational evaluation and prediction of dam safety levels. With the Bayesian expression of discrete stochastic variables, the a priori probabilities of the dam safety levels determined by experts were combined wfth the likelihood probability of the real-time check information, and the probability information for the evaluation of dam safety levels was renewed. The probability index was then applied to dam rehabilitation decision-making. This method helps reduce the difficulty and uncertainty of the evaluation of dam safety levels and complies with the current safe decision-making regulations for dams in China. It also enhances the application of current risk analysis methods for dam safety levels.
文摘Supply chain management is an essential part of an organisation's sustainable programme.Understanding the concentration of natural environment,public,and economic influence and feasibility of your suppliers and purchasers is becoming progressively familiar as all industries are moving towards a massive sustainable potential.To handle such sort of developments in supply chain management the involvement of fuzzy settings and their generalisations is playing an important role.Keeping in mind this role,the aim of this study is to analyse the role and involvement of complex q-rung orthopair normal fuzzy(CQRONF)information in supply chain management.The major impact of this theory is to analyse the notion of confidence CQRONF weighted averaging,confidence CQRONF ordered weighted averaging,confidence CQRONF hybrid averaging,confidence CQRONF weighted geometric,confidence CQRONF ordered weighted geometric,confidence CQRONF hybrid geometric operators and try to diagnose various properties and results.Furthermore,with the help of the CRITIC and VIKOR models,we diagnosed the novel theory of the CQRONF-CRITIC-VIKOR model to check the sensitivity analysis of the initiated method.Moreover,in the availability of diagnosed operators,we constructed a multi-attribute decision-making tool for finding a beneficial sustainable supplier to handle complex dilemmas.Finally,the initiated operator's efficiency is proved by comparative analysis.
