Aim: Clinical learning is a critical component of a nursing curriculum.Student satisfaction in clinical environment is crucial to foster a positive learning experience.Faculty shortages have made clinical teaching mor...Aim: Clinical learning is a critical component of a nursing curriculum.Student satisfaction in clinical environment is crucial to foster a positive learning experience.Faculty shortages have made clinical teaching more challenging;as such,alternate models of clinical teaching must be explored by nursing programs.The purpose of this study was to measure the perception of student satisfaction in regard tothe effectiveness of shared clinical teaching in nursing.Methods: Utilizing Chan's Clinical Learning Environment Inventory (CLEI),this quantitative comparative study examined nursing students' preferred and actual clinical learning environment.The CLEI contains 42 questions in six subscales: Individualization,Innovation,Involvement,Personalization,Task Orientation,and Satisfaction in both the actual and preferred clinical learning environment.The sample consisted of 202 nursing students in two groups: the first group had 91 students who experienced shared clinical teaching with two faculty,whereas the second group had 111 students who experienced the traditional,single faculty model.The results were analyzed using independent sample T-tests.Results: The preferred learning environment was rated highest in all six subscales.Scores of the Satisfaction subscale and the Innovation subscale for Actual Learning Environment,and the score of the Innovation subscale for Preferred Learning Environment of students experiencing shared clinical teaching with two faculty were higher than the scores of students experiencing traditional,single faculty model,with statistically significance (P< 0.05).Conclusion: The results indicated students preferred the shared clinical teaching model with two faculty over the single faculty model.Nursing programs can utilize this model and apply these results to develop and maintain quality clinical teaching.展开更多
The clinical component of undergraduate clinical education is a critical area in nursing programs. Faculty shortages have made recruitment of clinical faculty and clinical teaching more challenging. As such, alternate...The clinical component of undergraduate clinical education is a critical area in nursing programs. Faculty shortages have made recruitment of clinical faculty and clinical teaching more challenging. As such, alternate models of clinical faculty assignments are being explored to address faculty shortages. This article contains an extensive literature review conducted to survey models of clinical education and student satisfaction with the clinical environment. The purpose of this paper is to examine student satisfaction in the clinical learning environment using articles employing the Clinical Learning Envi-ronment Inventory (CLEI) along with examining the use of alternate clinical staffing models in differing levels of undergraduate nursing students. A literature search focusing on studies published between 2002 and 2015 was conducted from 5 electronic databases. Thirty-five articles were reviewed and 22 were selected for this literature review. The studies reviewed concluded that students favored a more positive and favorable clinical environment than they perceived as being actually present. A supportive clinical learning environment is of paramount importance in securing positive teaching learning out-comes. Nurse educators can apply the results of this review in order to develop and maintain quality clinical teaching and to promote a positive, student-centric, clinical learning environment.展开更多
AIM: To examine YouTubeTM videos about bowel preparation procedure to better understand the quality of this information on the Internet. METHODS: YouTubeTM videos related to colonoscopy preparation were identified dur...AIM: To examine YouTubeTM videos about bowel preparation procedure to better understand the quality of this information on the Internet. METHODS: YouTubeTM videos related to colonoscopy preparation were identified during the winter of 2014; only those with ≥ 5000 views were selected for analysis(n = 280). Creator of the video, length, date posted, whether the video was based upon personal experience, and theme was recorded. Bivariate analysis was conducted to examine differences between consumers vs healthcare professionals-created videos. RESULTS: Most videos were based on personal experience. Half were created by consumers and 34% were ≥ 4.5 min long. Healthcare professional videos were viewed more often(> 19400, 59.4% vs 40.8%,P = 0.037, for healthcare professional and consumer, respectively) and more often focused on the purgative type and completing the preparation. Consumer videos received more comments(> 10 comments, 62.2% vs 42.7%, P = 0.001) and more often emphasized the palatability of the purgative, disgust, and hunger during the procedure. Content of colonoscopy bowel preparation YouTube? videos is influenced by who creates the video and may affect views on colon cancer screening. CONCLUSION: The impact of perspectives on the quality of health-related information found on the Internet requires further examination.展开更多
Leadership skills are essential among nurses to address the challenges faced by the nursing profession. This quantitative comparative study examined five components of transformational leadership skills as outlined by...Leadership skills are essential among nurses to address the challenges faced by the nursing profession. This quantitative comparative study examined five components of transformational leadership skills as outlined by Kouzes and Posner among graduating baccalaureate nursing students and practicing nurses [1]. Five leadership components were used to examine if differences existed among the groups studied. The results indicated significant differences for modeling the way, inspiring a shared vision, enabling others to act, and encouraging the heart. The study revealed that nursing students graduating from generic and accelerated programs have inferior leadership skills compared to nurses in clinical practice. The results may be useful in leadership training of nursing students through collaborative practices between practice settings and nursing schools to improve patient safety.展开更多
When trying to fit data to functions of the eigensystem of a pde-eigenvalue problem, such as Maxwell’s equation, numerical differentiation is ineffective and analytic gradients must be supplied. In our motivating exa...When trying to fit data to functions of the eigensystem of a pde-eigenvalue problem, such as Maxwell’s equation, numerical differentiation is ineffective and analytic gradients must be supplied. In our motivating example of trying to determine the chemical composition of the layers of specialty optical fibers, the function involved fitting the higher order derivatives with respect to frequency of the positive eigenvalues. The computation of the gradient was the most time consuming part of the minimization problem. It was realized that if one interchanged the order of differentiation, and differentiated first with respect to the design parameters, fewer derivatives of the eigenvectors would be required and one could take full advantage that each grid point was affected by only a few variables. As the model was expanded to cover a fiber wrapped around a spool, the bandwidth of the linearized symmetric eigenvalue problem increased. At the heart of each of the iterative methods used to find the few positive eigenvalues was a symmetric, banded, indefinite matrix. Here we present an algorithm for this problem which reduces a symmetric banded matrix to a block diagonal matrix of 1 x 1 and 2 x 2 blocks. Fillin outside the band because of pivoting for stability is prevented by a sequence of planar transformations. Computationally the algorithm is compared to the block unsymmetric banded solver and the block positive definite symmetric band solver in LAPACK.展开更多
To enumerate isomers of the fluxional molecules, some theorems for maturity and the integer-valued characters of finite groups were introduced by S. Fujita and first author. The full non-rigid group of hexamethylethan...To enumerate isomers of the fluxional molecules, some theorems for maturity and the integer-valued characters of finite groups were introduced by S. Fujita and first author. The full non-rigid group of hexamethylethane is the semi-direct product of the direct products of six copies of the cyclic group Z3 by the dihedral group of order 12 (see, Asian J. Chem. (2010) 22 (3), 1966-1972). In this paper, we continue our study on finite groups (see Int. J. Theo. Physics, Group Theory, and Nonlinear Optics (2013), 17) and all the integer-valued characters of the above molecule are successfully derived.展开更多
A copper-catalyzed decarboxylative oxidative coupling of α,β-unsaturated carboxylic acids with non-cyclic ethers is developed.This method provides a new approach for C(sp^3)–H bond functionalization of non-cyclic e...A copper-catalyzed decarboxylative oxidative coupling of α,β-unsaturated carboxylic acids with non-cyclic ethers is developed.This method provides a new approach for C(sp^3)–H bond functionalization of non-cyclic ethers. Mechanism study shows the reaction involves a radical process.展开更多
In this study,I explore smoking behavior among pregnant U.S.women using the 1979 cohort of the National Longitudinal Survey of Youth.The key aspect of this study is the availability of smoking participation data befor...In this study,I explore smoking behavior among pregnant U.S.women using the 1979 cohort of the National Longitudinal Survey of Youth.The key aspect of this study is the availability of smoking participation data before and during pregnancy.I consider the probabilities of smoking cessation while pregnant as the outcome.I find that pregnant women who smoke are less responsive to price changes when they are more future-oriented.Women who are more present-oriented are more likely to smoke and consume more cigarettes given that they smoke more than those who are future-oriented.Moreover,those who discount the future more heavily are more sensitive to the money price of cigarettes than those who are more future-oriented.I focus on the role of time preference and the interaction between time preference and price in determining these outcomes.展开更多
The optical absorption of semiconducting AgBr nanocubes is significantly increased by up to 5 times in the measured spectral range when they are bonded to the surface of dielectric SiO2 nanospheres through electrostat...The optical absorption of semiconducting AgBr nanocubes is significantly increased by up to 5 times in the measured spectral range when they are bonded to the surface of dielectric SiO2 nanospheres through electrostatic interaction. The absorption enhancement factor depends on the wavelength and the size of the SiO2 nanoparticles (NPs). Finite-difference time-domain calculations provide the nearfield intensity mapping of a heterostructure that is composed of a AgBr nanocube in close contact with a SiO2 nanosphere. The electric-field distributions indicate the field enhancement near the SiO2/AgBr interface due to light scattering and absorption enhancement in the AgBr nanocube, implying that the enhanced scattering nearfield increases the absorption cross section of the AgBr nanocube. The absorption cross-section spectra calculated using Mie theory agree with the experimental observations. This discovery sheds light on the utilization of dielectric spherical particles to increase the absorption in semiconductor NPs, thus improving the light-harvesting efficiency for solar-energy conversion.展开更多
Ever since the publication in 1977 of Preston M. Torbert's The Ch'ing Imperial Household Department: A Study of lts Organization and Principal Functions, 1662-1796, there have been few book-length studies on the Im...Ever since the publication in 1977 of Preston M. Torbert's The Ch'ing Imperial Household Department: A Study of lts Organization and Principal Functions, 1662-1796, there have been few book-length studies on the Imperial Household Department of the Qing dynasty, although numerous articles have been published,展开更多
文摘Aim: Clinical learning is a critical component of a nursing curriculum.Student satisfaction in clinical environment is crucial to foster a positive learning experience.Faculty shortages have made clinical teaching more challenging;as such,alternate models of clinical teaching must be explored by nursing programs.The purpose of this study was to measure the perception of student satisfaction in regard tothe effectiveness of shared clinical teaching in nursing.Methods: Utilizing Chan's Clinical Learning Environment Inventory (CLEI),this quantitative comparative study examined nursing students' preferred and actual clinical learning environment.The CLEI contains 42 questions in six subscales: Individualization,Innovation,Involvement,Personalization,Task Orientation,and Satisfaction in both the actual and preferred clinical learning environment.The sample consisted of 202 nursing students in two groups: the first group had 91 students who experienced shared clinical teaching with two faculty,whereas the second group had 111 students who experienced the traditional,single faculty model.The results were analyzed using independent sample T-tests.Results: The preferred learning environment was rated highest in all six subscales.Scores of the Satisfaction subscale and the Innovation subscale for Actual Learning Environment,and the score of the Innovation subscale for Preferred Learning Environment of students experiencing shared clinical teaching with two faculty were higher than the scores of students experiencing traditional,single faculty model,with statistically significance (P< 0.05).Conclusion: The results indicated students preferred the shared clinical teaching model with two faculty over the single faculty model.Nursing programs can utilize this model and apply these results to develop and maintain quality clinical teaching.
文摘The clinical component of undergraduate clinical education is a critical area in nursing programs. Faculty shortages have made recruitment of clinical faculty and clinical teaching more challenging. As such, alternate models of clinical faculty assignments are being explored to address faculty shortages. This article contains an extensive literature review conducted to survey models of clinical education and student satisfaction with the clinical environment. The purpose of this paper is to examine student satisfaction in the clinical learning environment using articles employing the Clinical Learning Envi-ronment Inventory (CLEI) along with examining the use of alternate clinical staffing models in differing levels of undergraduate nursing students. A literature search focusing on studies published between 2002 and 2015 was conducted from 5 electronic databases. Thirty-five articles were reviewed and 22 were selected for this literature review. The studies reviewed concluded that students favored a more positive and favorable clinical environment than they perceived as being actually present. A supportive clinical learning environment is of paramount importance in securing positive teaching learning out-comes. Nurse educators can apply the results of this review in order to develop and maintain quality clinical teaching and to promote a positive, student-centric, clinical learning environment.
文摘AIM: To examine YouTubeTM videos about bowel preparation procedure to better understand the quality of this information on the Internet. METHODS: YouTubeTM videos related to colonoscopy preparation were identified during the winter of 2014; only those with ≥ 5000 views were selected for analysis(n = 280). Creator of the video, length, date posted, whether the video was based upon personal experience, and theme was recorded. Bivariate analysis was conducted to examine differences between consumers vs healthcare professionals-created videos. RESULTS: Most videos were based on personal experience. Half were created by consumers and 34% were ≥ 4.5 min long. Healthcare professional videos were viewed more often(> 19400, 59.4% vs 40.8%,P = 0.037, for healthcare professional and consumer, respectively) and more often focused on the purgative type and completing the preparation. Consumer videos received more comments(> 10 comments, 62.2% vs 42.7%, P = 0.001) and more often emphasized the palatability of the purgative, disgust, and hunger during the procedure. Content of colonoscopy bowel preparation YouTube? videos is influenced by who creates the video and may affect views on colon cancer screening. CONCLUSION: The impact of perspectives on the quality of health-related information found on the Internet requires further examination.
文摘Leadership skills are essential among nurses to address the challenges faced by the nursing profession. This quantitative comparative study examined five components of transformational leadership skills as outlined by Kouzes and Posner among graduating baccalaureate nursing students and practicing nurses [1]. Five leadership components were used to examine if differences existed among the groups studied. The results indicated significant differences for modeling the way, inspiring a shared vision, enabling others to act, and encouraging the heart. The study revealed that nursing students graduating from generic and accelerated programs have inferior leadership skills compared to nurses in clinical practice. The results may be useful in leadership training of nursing students through collaborative practices between practice settings and nursing schools to improve patient safety.
文摘When trying to fit data to functions of the eigensystem of a pde-eigenvalue problem, such as Maxwell’s equation, numerical differentiation is ineffective and analytic gradients must be supplied. In our motivating example of trying to determine the chemical composition of the layers of specialty optical fibers, the function involved fitting the higher order derivatives with respect to frequency of the positive eigenvalues. The computation of the gradient was the most time consuming part of the minimization problem. It was realized that if one interchanged the order of differentiation, and differentiated first with respect to the design parameters, fewer derivatives of the eigenvectors would be required and one could take full advantage that each grid point was affected by only a few variables. As the model was expanded to cover a fiber wrapped around a spool, the bandwidth of the linearized symmetric eigenvalue problem increased. At the heart of each of the iterative methods used to find the few positive eigenvalues was a symmetric, banded, indefinite matrix. Here we present an algorithm for this problem which reduces a symmetric banded matrix to a block diagonal matrix of 1 x 1 and 2 x 2 blocks. Fillin outside the band because of pivoting for stability is prevented by a sequence of planar transformations. Computationally the algorithm is compared to the block unsymmetric banded solver and the block positive definite symmetric band solver in LAPACK.
文摘To enumerate isomers of the fluxional molecules, some theorems for maturity and the integer-valued characters of finite groups were introduced by S. Fujita and first author. The full non-rigid group of hexamethylethane is the semi-direct product of the direct products of six copies of the cyclic group Z3 by the dihedral group of order 12 (see, Asian J. Chem. (2010) 22 (3), 1966-1972). In this paper, we continue our study on finite groups (see Int. J. Theo. Physics, Group Theory, and Nonlinear Optics (2013), 17) and all the integer-valued characters of the above molecule are successfully derived.
基金supported by the National Natural Science Foundation of China (21572240)
文摘A copper-catalyzed decarboxylative oxidative coupling of α,β-unsaturated carboxylic acids with non-cyclic ethers is developed.This method provides a new approach for C(sp^3)–H bond functionalization of non-cyclic ethers. Mechanism study shows the reaction involves a radical process.
文摘In this study,I explore smoking behavior among pregnant U.S.women using the 1979 cohort of the National Longitudinal Survey of Youth.The key aspect of this study is the availability of smoking participation data before and during pregnancy.I consider the probabilities of smoking cessation while pregnant as the outcome.I find that pregnant women who smoke are less responsive to price changes when they are more future-oriented.Women who are more present-oriented are more likely to smoke and consume more cigarettes given that they smoke more than those who are future-oriented.Moreover,those who discount the future more heavily are more sensitive to the money price of cigarettes than those who are more future-oriented.I focus on the role of time preference and the interaction between time preference and price in determining these outcomes.
文摘The optical absorption of semiconducting AgBr nanocubes is significantly increased by up to 5 times in the measured spectral range when they are bonded to the surface of dielectric SiO2 nanospheres through electrostatic interaction. The absorption enhancement factor depends on the wavelength and the size of the SiO2 nanoparticles (NPs). Finite-difference time-domain calculations provide the nearfield intensity mapping of a heterostructure that is composed of a AgBr nanocube in close contact with a SiO2 nanosphere. The electric-field distributions indicate the field enhancement near the SiO2/AgBr interface due to light scattering and absorption enhancement in the AgBr nanocube, implying that the enhanced scattering nearfield increases the absorption cross section of the AgBr nanocube. The absorption cross-section spectra calculated using Mie theory agree with the experimental observations. This discovery sheds light on the utilization of dielectric spherical particles to increase the absorption in semiconductor NPs, thus improving the light-harvesting efficiency for solar-energy conversion.
文摘Ever since the publication in 1977 of Preston M. Torbert's The Ch'ing Imperial Household Department: A Study of lts Organization and Principal Functions, 1662-1796, there have been few book-length studies on the Imperial Household Department of the Qing dynasty, although numerous articles have been published,
基金funding from the ERC Advanced Project MONOSTAR (Ad G 882727)funding from Sust ES: adaptation strategies for sustainable ecosystem services and food security under adverse environmental conditions (CZ.02.1.01/0.0/0.0/16_0 19/0000797)+11 种基金funding from the Fritz & Elisabeth Schweingruber Foundation. Duncan A. Christie and Carlos Le Quesne received funding from the ANID (FONDECYT 1201411, 1221307, FONDAP 15110009, BASAL FB210018)funding from the Russian Science Foundation grant (RSF 21-17-00006)funding from NSF Arctic Social Science 2112314NSF Arctic Natural Science 2124885the NSF P2C2 (Paleo Perspectives on Climatic Change) program (various grants)funding from the Russian Science Foundation grant (RSF 21-1400330)funding from the Russian Science Foundation grant (RSF 18-14-00072P)supported by the Swedish Research Council (201801272)funding from the Swiss National Science Foundation through the SNSF Sinergia CALDERA project (CRSII5 183571)funding from the National Science Foundation’s P2C2 Program (1902625 and 1203749)the Malcolm H.Wiener Foundationfunded through NSF P2C2 Program (2002454)