This aim is to clarify thinking process of nursing students’ clinical judgment, i.e., how nursing students act and think and what influences this thinking process of identifying approaches necessary for the children ...This aim is to clarify thinking process of nursing students’ clinical judgment, i.e., how nursing students act and think and what influences this thinking process of identifying approaches necessary for the children under their care in pediatric nursing practicum. By the analysis of M-GTA, students concurrently performed “A: Analytically contemplating the state of this child’s body” and “B: Contextually contemplating this child’s?individuality”. As a result, they acquired “C: Understandingof this child as a familiar existence.” This allows students to enable them to “D: Identify the necessary approach using judgment criteria for this child.” Furthermore, as situations that promote thinking by relating to all processes of thinking, students experienced “E: Attempts to solve problems through various measures” and “F: Encouragement of thinking through reflection.” Meanwhile, “G: Stagnation of thinking because of concerning matters” inhibited the progress of thinking. We found a need for education after grasping the process of student thought.展开更多
There is a need and opportunity for China to develop education and practice innovations given that advance practice nurses (APNs) improve health care and outcomes.The China Medical Board (CMB)China Nursing Network (CC...There is a need and opportunity for China to develop education and practice innovations given that advance practice nurses (APNs) improve health care and outcomes.The China Medical Board (CMB)China Nursing Network (CCNN) began planning for an Advanced Nursing Practice Program for education and career development that will facilitate CCNN's contributions to meeting national nursing policy priorities.This paper presents the discussion,recommendations and action plans developed at the inaugural planning meeting on June 26,2015 at Fudan University in Shanghai.The recommendations are:Develop standards for advanced nursing practice;Develop Master's level curricula based on the standards;Commence pilot projects across a number of University affiliated hospitals;and Prepare clinical tutors and faculty.The strategic directions and actions are: Develop a clinical career ladder system;Expand the nursing role from hospital to community;and Build a specialty nurse accreditation system.展开更多
This study is aimed to evaluate the quality of life （QOL） for individuals living with human immunodeficiency virus （HIV）/acquired immunodeficiency syndrome （AIDS） in Hubei province-central China by using WHOQOL-...This study is aimed to evaluate the quality of life （QOL） for individuals living with human immunodeficiency virus （HIV）/acquired immunodeficiency syndrome （AIDS） in Hubei province-central China by using WHOQOL-BREF instrument （Chinese version）. One hundred and thirty six respondents （HIV/AIDS individuals） attending out-patient department of Chinese Center for Disease Control and Prevention （Chinese CDC） were administered a structured questionnaire developed by investigators. QOL was evaluated by using WHOQOL-BREF instrument （Chinese version）. The results showed that the mean score of overall QOL on a scale of 0-100 was 25.8. The mean scores in 4 domains of QOL on a scale of 0-100 were 82.9 （social domain）, 27.5 （psychological domain）, 17.7 （physical domain） and 11.65 （environmental domain）. The significant difference of QOL was noted in the score of physical domain between asymptomatic （14.6） and early symptomatic individuals （12） （P=0.014）, and between patients with early symptoms （12） and those with AIDS （10.43） （P〈0.001）. QOL in psychological domain was significantly lower in early symptomatic （12.1） （P〈0.05） and AIDS patients （12.4） （P〈0.006） than in asymptomatic individuals （14.2）. The difference in QOL scores in the psychological domain was significant with respect to the income of patients （P〈0.048） and educational status （P〈0.037）. Significantly better QOL scores in the physical domain （P〈0.040） and environmental domain （P〈0.017） were noted with respect to the occupation of the patients. Patients with family support had better QOL scores in environmental domain. In our research, QOL for HIV/AIDS individuals was associated with education, occupation, income, family support and clinical categories of the patients. It was concluded that WHOQOL-BREF Chinese version was successfully used in the evaluation of QOL of HIV/AIDS individuals in Chinese population and proved to be a reliable and useful tool.展开更多
Probiotics are live microorganisms that,when administered in adequate amounts,confer a health benefit to the host.Specific probiotics or probiotic foods can be used to reduce the risk of diseases associated with aberr...Probiotics are live microorganisms that,when administered in adequate amounts,confer a health benefit to the host.Specific probiotics or probiotic foods can be used to reduce the risk of diseases associated with aberrant gut microbiota composition.The incidence of gestational diabetes mellitus(GDM)has increased annually with the proportion of overweight and obese people.Overweight or obese pregnant women are at high risk of GDM and have obvious changes in gut microbiota compared with normal-weight pregnant women.Specific probiotics or probiotic foods may alter gut microbiota in overweight or obese pregnant women and inhibit the expression of inflammatory factors,consequently resulting in weight loss and reduced insulin resistance.This review discusses the mechanism of probiotics on GDM,as well as the dose,method and duration of probiotics use,and summarizes current evidence on probiotics in improving glucose metabolism and other maternal and infant outcomes in overweight/obese pregnant women.展开更多
文摘This aim is to clarify thinking process of nursing students’ clinical judgment, i.e., how nursing students act and think and what influences this thinking process of identifying approaches necessary for the children under their care in pediatric nursing practicum. By the analysis of M-GTA, students concurrently performed “A: Analytically contemplating the state of this child’s body” and “B: Contextually contemplating this child’s?individuality”. As a result, they acquired “C: Understandingof this child as a familiar existence.” This allows students to enable them to “D: Identify the necessary approach using judgment criteria for this child.” Furthermore, as situations that promote thinking by relating to all processes of thinking, students experienced “E: Attempts to solve problems through various measures” and “F: Encouragement of thinking through reflection.” Meanwhile, “G: Stagnation of thinking because of concerning matters” inhibited the progress of thinking. We found a need for education after grasping the process of student thought.
文摘There is a need and opportunity for China to develop education and practice innovations given that advance practice nurses (APNs) improve health care and outcomes.The China Medical Board (CMB)China Nursing Network (CCNN) began planning for an Advanced Nursing Practice Program for education and career development that will facilitate CCNN's contributions to meeting national nursing policy priorities.This paper presents the discussion,recommendations and action plans developed at the inaugural planning meeting on June 26,2015 at Fudan University in Shanghai.The recommendations are:Develop standards for advanced nursing practice;Develop Master's level curricula based on the standards;Commence pilot projects across a number of University affiliated hospitals;and Prepare clinical tutors and faculty.The strategic directions and actions are: Develop a clinical career ladder system;Expand the nursing role from hospital to community;and Build a specialty nurse accreditation system.
文摘This study is aimed to evaluate the quality of life （QOL） for individuals living with human immunodeficiency virus （HIV）/acquired immunodeficiency syndrome （AIDS） in Hubei province-central China by using WHOQOL-BREF instrument （Chinese version）. One hundred and thirty six respondents （HIV/AIDS individuals） attending out-patient department of Chinese Center for Disease Control and Prevention （Chinese CDC） were administered a structured questionnaire developed by investigators. QOL was evaluated by using WHOQOL-BREF instrument （Chinese version）. The results showed that the mean score of overall QOL on a scale of 0-100 was 25.8. The mean scores in 4 domains of QOL on a scale of 0-100 were 82.9 （social domain）, 27.5 （psychological domain）, 17.7 （physical domain） and 11.65 （environmental domain）. The significant difference of QOL was noted in the score of physical domain between asymptomatic （14.6） and early symptomatic individuals （12） （P=0.014）, and between patients with early symptoms （12） and those with AIDS （10.43） （P〈0.001）. QOL in psychological domain was significantly lower in early symptomatic （12.1） （P〈0.05） and AIDS patients （12.4） （P〈0.006） than in asymptomatic individuals （14.2）. The difference in QOL scores in the psychological domain was significant with respect to the income of patients （P〈0.048） and educational status （P〈0.037）. Significantly better QOL scores in the physical domain （P〈0.040） and environmental domain （P〈0.017） were noted with respect to the occupation of the patients. Patients with family support had better QOL scores in environmental domain. In our research, QOL for HIV/AIDS individuals was associated with education, occupation, income, family support and clinical categories of the patients. It was concluded that WHOQOL-BREF Chinese version was successfully used in the evaluation of QOL of HIV/AIDS individuals in Chinese population and proved to be a reliable and useful tool.
文摘Probiotics are live microorganisms that,when administered in adequate amounts,confer a health benefit to the host.Specific probiotics or probiotic foods can be used to reduce the risk of diseases associated with aberrant gut microbiota composition.The incidence of gestational diabetes mellitus(GDM)has increased annually with the proportion of overweight and obese people.Overweight or obese pregnant women are at high risk of GDM and have obvious changes in gut microbiota compared with normal-weight pregnant women.Specific probiotics or probiotic foods may alter gut microbiota in overweight or obese pregnant women and inhibit the expression of inflammatory factors,consequently resulting in weight loss and reduced insulin resistance.This review discusses the mechanism of probiotics on GDM,as well as the dose,method and duration of probiotics use,and summarizes current evidence on probiotics in improving glucose metabolism and other maternal and infant outcomes in overweight/obese pregnant women.
