Aims: The purpose of this study was to clarify the thought processes of nurses in performing nursing assessment. Methods: The participants comprised 20 nurses working in a surgery ward. Patient information on a case, ...Aims: The purpose of this study was to clarify the thought processes of nurses in performing nursing assessment. Methods: The participants comprised 20 nurses working in a surgery ward. Patient information on a case, including presenting illness, vital signs, and other findings from admission until 09:00 on the day after surgery, was shown to the participants. After reading the case report, the nurses presented their assessments. Based on these assessments, nursing problems, patient strengths, and patient information were identified. Nursing problems and patient strengths were described by various words and sentences, and were classified according to similar content. Results: The number of nursing problems ranged from 1 to 8 and patient strengths from 0 to 6 for each nurse. The mean number of nursing problems was 4.7 ± 1.8, and the mean number of patient strengths was 2.2 ± 1.4. The main nursing problems were respiratory complications, postoperative wound pain, and anxiety, and the main patient strength was family cooperation. Patient information as evidence of respiratory complications included history of smoking, chest radiography results, postoperative vital signs, sputum color and properties. Patient information as evidence of postoperative wound pain included complaints of pain, epidural anesthesia, use of patient-controlled anesthesia and its effect. Patient information indicating family cooperation included family structure, preoperative visits by family, and presence of family while providing informed consent. Significant differences were seen in the number of nursing problems and patient strengths according to cognitive style. Conclusions: Postoperative complications were the nursing problems most commonly extracted by nurses. To clarify nursing problems and patient strengths, the nurses made assessments on the basis of information such as patient complaints, vital signs, and test results. However, extracted nursing problems and patient strengths were diverse, suggesting that nursing problems and patient strengths as determined by nurses differed between individual nurses.展开更多
This paper elaborates on some of Saussure’s reflections on the structure of signs,and the role these signs play in the constitution of conscious thought.In the notes of La double essence,Saussure argued that the sign...This paper elaborates on some of Saussure’s reflections on the structure of signs,and the role these signs play in the constitution of conscious thought.In the notes of La double essence,Saussure argued that the sign “creates” and “guides” thought,but as part of a reflection that is both complex and hesitant.To clarify this position and examine its relevance,we first analyze the general conception of the status of signs and semiotics,that Saussure developed in his Course II.We then examine the way in which,in the twentieth century,the problem of how human thought is constituted was tackled by Piaget and Vygotsky.Finally,drawing on the notes of La double Essence,we try to highlight the arguments that led Saussure to adopt the position quoted below,and we will show how Saussure’s approach provides decisive arguments in support of the social interactionist position inherited from Vygotsky.展开更多
The operational environment of today's smart grids is becoming more complicated than ever before. A number of factors, including renewable penetration, marketization, cyber security, and hazards of nature, bring c...The operational environment of today's smart grids is becoming more complicated than ever before. A number of factors, including renewable penetration, marketization, cyber security, and hazards of nature, bring challenges and even threats to control centers. New techniques are anticipated to help dispatchers become aware of the accurate situations as they manipulate and navigate the situations as quickly as possible. To address the issues, we first introduce the background for this topic as well as the emerging technical demands of situational awareness in the dispatcher's environment. The general concepts and technical requirements of situational awareness are then summarized, aimed at offering an overview for readers to understand the state-of-the-art progress in this area. In addition, we discuss the importance of integrating the architecture of support tools in accordance with the dispatcher's thought process, which in fact guides correct and swift reactions in real-time operations. Finally, the prospects for situational awareness architecture are investigated with the goal of presenting situational awareness modules in an advanced and visualized manner.展开更多
文摘Aims: The purpose of this study was to clarify the thought processes of nurses in performing nursing assessment. Methods: The participants comprised 20 nurses working in a surgery ward. Patient information on a case, including presenting illness, vital signs, and other findings from admission until 09:00 on the day after surgery, was shown to the participants. After reading the case report, the nurses presented their assessments. Based on these assessments, nursing problems, patient strengths, and patient information were identified. Nursing problems and patient strengths were described by various words and sentences, and were classified according to similar content. Results: The number of nursing problems ranged from 1 to 8 and patient strengths from 0 to 6 for each nurse. The mean number of nursing problems was 4.7 ± 1.8, and the mean number of patient strengths was 2.2 ± 1.4. The main nursing problems were respiratory complications, postoperative wound pain, and anxiety, and the main patient strength was family cooperation. Patient information as evidence of respiratory complications included history of smoking, chest radiography results, postoperative vital signs, sputum color and properties. Patient information as evidence of postoperative wound pain included complaints of pain, epidural anesthesia, use of patient-controlled anesthesia and its effect. Patient information indicating family cooperation included family structure, preoperative visits by family, and presence of family while providing informed consent. Significant differences were seen in the number of nursing problems and patient strengths according to cognitive style. Conclusions: Postoperative complications were the nursing problems most commonly extracted by nurses. To clarify nursing problems and patient strengths, the nurses made assessments on the basis of information such as patient complaints, vital signs, and test results. However, extracted nursing problems and patient strengths were diverse, suggesting that nursing problems and patient strengths as determined by nurses differed between individual nurses.
文摘This paper elaborates on some of Saussure’s reflections on the structure of signs,and the role these signs play in the constitution of conscious thought.In the notes of La double essence,Saussure argued that the sign “creates” and “guides” thought,but as part of a reflection that is both complex and hesitant.To clarify this position and examine its relevance,we first analyze the general conception of the status of signs and semiotics,that Saussure developed in his Course II.We then examine the way in which,in the twentieth century,the problem of how human thought is constituted was tackled by Piaget and Vygotsky.Finally,drawing on the notes of La double Essence,we try to highlight the arguments that led Saussure to adopt the position quoted below,and we will show how Saussure’s approach provides decisive arguments in support of the social interactionist position inherited from Vygotsky.
基金the National Natural Science Foundation of China(No.51437003)
文摘The operational environment of today's smart grids is becoming more complicated than ever before. A number of factors, including renewable penetration, marketization, cyber security, and hazards of nature, bring challenges and even threats to control centers. New techniques are anticipated to help dispatchers become aware of the accurate situations as they manipulate and navigate the situations as quickly as possible. To address the issues, we first introduce the background for this topic as well as the emerging technical demands of situational awareness in the dispatcher's environment. The general concepts and technical requirements of situational awareness are then summarized, aimed at offering an overview for readers to understand the state-of-the-art progress in this area. In addition, we discuss the importance of integrating the architecture of support tools in accordance with the dispatcher's thought process, which in fact guides correct and swift reactions in real-time operations. Finally, the prospects for situational awareness architecture are investigated with the goal of presenting situational awareness modules in an advanced and visualized manner.
