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Education Programs for Invasive Procedures Involving Nurses: A Scoping Review
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作者 Hiromi Shibuya Akiko Saito +3 位作者 Masumi Mugiyama Noyuri Yamaji Chisato Eto Satoshi Shibuya 《Open Journal of Nursing》 2024年第5期200-224,共25页
Background: Implementing invasive procedures is an important part of patient management by clinical nurses;however, there are gaps between nurses’ actual knowledge and skills and expected professional care capacity. ... Background: Implementing invasive procedures is an important part of patient management by clinical nurses;however, there are gaps between nurses’ actual knowledge and skills and expected professional care capacity. Purpose: This scoping review aimed to map the existing literature related to recent institution-provided educational programs for invasive procedures involving clinical nurses. This study seeks to understand the contents of educational programs and the methods for assessing educational effects. Methods: This scoping review was completed using the following four databases: PubMed (MEDLINE), Embase, Cochrane Library, and Emcare for the period 2000-2022. We included studies that used all forms of educational approaches (e.g., didactic lectures, hands-on training, or on-the-job training). This scoping review considered peer-reviewed publications published in English using quantitative, qualitative, or mixed approaches. A total of 83 studies underwent in the final analysis. Results and Conclusion: A combination of didactic lectures and hands-on training was provided as an educational program in most studies. Contrary to our prediction, educational interventions with advanced technologies such as VR are extremely rare, suggesting that the effectiveness of advanced technologies in learning invasive procedures should be examined to facilitate and retain educational effects more efficiently in future studies. Regarding the assessment of educational effects, nurses’ cognitive (i.e., theoretical knowledge about procedures), psychomotor (i.e., implementing procedures), and psychological aspects (e.g., confidence and self-efficacy in procedures) were evaluated using questionnaires and observational methods. While most studies used a one-group pretest-posttest design, the ratio of randomized controlled trials (RCT) was relatively low. Thus, an RCT design should be introduced in future studies to test the validity of the developed educational program more accurately. 展开更多
关键词 TRAINING EDUCATION Invasive Procedure Nurses ASSESSMENT
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【原创论文】德国东西部睾丸癌后发生第二原发癌的风险关注对侧睾丸癌 被引量:2
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作者 Carsten Rusner Brigitte Streller +5 位作者 Christa Stegmaier Pietro Trocchi Oliver Kuss Katherine A McGlynn Britton Traberts Andreas Stang 《Asian Journal of Andrology》 SCIE CAS CSCD 2014年第2期285-289,I0010,I0011,共7页
上世纪70年代起以顺铂为基础的化疗使睾丸癌的存活率显著提高。然而,化疗和放疗具有潜在的致癌性。本研究的目的是评估德国睾丸癌存活者患第二原发癌(包括原发组织学类型精原细胞瘤和非精原细胞瘤)的风险。我们确认了德国东部地区(1... 上世纪70年代起以顺铂为基础的化疗使睾丸癌的存活率显著提高。然而,化疗和放疗具有潜在的致癌性。本研究的目的是评估德国睾丸癌存活者患第二原发癌(包括原发组织学类型精原细胞瘤和非精原细胞瘤)的风险。我们确认了德国东部地区(1961-1989年和1996-2008年)癌症登记的16990例睾丸癌和德国西部地区萨尔州(1970.2008年)癌症登记的1401例睾丸癌。我们用标准化发病率(SIRs)和95%N信区间(95%CI)估计第二原发癌的风险。我们将估计的年标准化发病率绘制成图以显示趋势。德国东部1961.1989年观察到301例第二原发癌(SIR:1.9;95%CI:1.7-2.1),1996—2008年观察到159例第二原发癌(SIR:1.7:95%CI:1.4~2.0)。两地癌症登记的对侧睾丸癌增加(SIR:萨尔6.0,德国东部13.9)。与其它地区相比,德国东部精原细胞瘤的SIR增加更为显著。数据分析显示对侧睾丸癌的SIR有稳定的趋势。大多数其它癌症(包括组织学特异性肿瘤)的SIRs的估计精度低,可能与样本量较小有关。睾丸癌患者患第二原发癌尤其是对侧睾丸癌的风险增加,因此应进行严密随访。 展开更多
关键词 癌症登记 发病率 肿瘤 第二原发 睾丸肿瘤
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成人手术患者术前尿钠肽浓度的预测价值:系统回顾与荟萃分析
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作者 Giovanna A. Lurati Buse Michael T. Koller +4 位作者 Christoph Burkhart Manfred D. Seeberger Miodrag Filipovic 安博(译) 杜金(校) 《麻醉与镇痛》 2013年第2期17-33,共17页
背景一些研究对术前B型尿钠肽(natriuretic peptides,NPs)用于预测术后死亡率进行了评估,然而,每项研究中死亡例数较少,致使研究效能较差。我们对涉及术前NP水平预测心脏和非心脏手术后死亡的研究进行了系统回顾和荟萃分析。方法... 背景一些研究对术前B型尿钠肽(natriuretic peptides,NPs)用于预测术后死亡率进行了评估,然而,每项研究中死亡例数较少,致使研究效能较差。我们对涉及术前NP水平预测心脏和非心脏手术后死亡的研究进行了系统回顾和荟萃分析。方法我们用“尿钠肽”、“手术或外科手术”检索MEDLINE和EMBASE,与诊断和预测的词有效组合。两名研究人员独立评价研究的入选资格并提取数据。终点为所有≥6个月和≤90天引起死亡的研究。我们使用双变量模型获得预测的精确度和其异质性,用Bayesian Markov chain Monte Carlo法计算混合的阳性预测值(positive predicti vevalue,PPV)和阴性预测值(negative predictive value,NPV)。结果回顾的1558篇文献中,23项研究满足入选标准。心脏手术后,NP对≥6个月死亡的诊断比值比为4.11(95%可信区间,2.22—7.60),PPV为0.17(95%Bayesian可信区间,0.07—0.36),NPV为0.96(0.90—0.98)。非心脏手术后,NP对≥6个月死亡的诊断比值比为4.97(3.06—8.07),相应的PPV为0.24(0.14—0.38),NPV为0.94(0.88—0.97),结果与≤90天死亡的预测值相似。结论术前NP浓度与心脏和非心脏手术后的死亡率相关。NP在两类手术中的NPV均较高,表明术前NP浓度可能有助于术前风险评估分层。 展开更多
关键词 术前风险评估 B型尿钠肽 手术后死亡 预测价值 荟萃分析 系统回顾 浓度 非心脏手术后
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