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Open Journa. of Nursing 2016年第5期6卷 412-425页

作者： a.ne Lise holm Elisa.eth Severinsson Depa.tment of Hea.th Science Stord/Haugesund University College Stord Norway Centre for Women’s Family and Child Health Faculty of Health Sciences University College of Southeast Norway Kongsberg Norway

The a.m of this systema.ic review wa. to illumina.e intuition in clinica. nursing. Frequently described a. a.defining cha.a.teristic of professiona. expertise, intuition is ga.ning a.cepta.ce a. a.legitima.e form of knowledge in clinica. nursing. a.tota. of 352 a.stra.ts were rea. a.d eight qua.tita.ive studies included. a.thema.ic a.a.ysis wa. performed to one ma.n theme, two themes, a.d four sub-themes emerged. The ma.n theme wa.: Sensing a. unconscious a.d conscious sta.e of mind, a.d the two themes were: a.sudden emotiona. a.a.eness a.d reflection, a.d a.ousa. of conscious thought processes. The first theme included two sub-themes: Sensing spiritua. connections with pa.ients a.d experiencing physica. sensa.ions;worrying a.d rea.suring feelings. The second theme comprised two sub-themes: Willingness to a.t on persona., interpersona., a.d clinica. experiences;the influence of ma.urity a.d socia. support in clinica. decision-ma.ing. a. implica.ion for clinica. nursing wa. the need to develop sensitivity a. a.key to understa.ding the pa.ient’s illness. In conclusion, lea.ership a.d ma.a.ement could fa.ilita.e discussions a.out intuition a. a.legitima.e method of processing informa.ion a.d ma.ing decisions a.out pa.ient ca.e.

关键词： Clinica. Nursing Conscious Emotiona. a.a.eness Knowledge Unconscious

Ma.hine-lea.ned intera.omic potentia.s by a.tive lea.ning:a.orphous a.d liquid ha.nium dioxide

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npj Computa.iona. Ma.eria.s 2020年第1期6卷 803-810页

作者： Ga.esh Siva.a.a. a.a.d Na.a.a.a. Krishna.oorthy Ma.thia. Ba.r Christia. holm Ma.ius Sta. Gábor Csányi Chris Benmore Álva.o Vázquez-Ma.a.oitia Lea.ership Computing Fa.ility Argonne National LaboratoryArgonneIL 60439USA Institute for Computa.iona. Physics Universität StuttgartAllmandring 3Stuttgart 70569Germany Helmholtz-Institute Münster:Ionics in Energy Stora.e(IEK-12) Forschungszentrum Jülich GmbHCorrensstrasse 46Münster 48149Germany a.plied Ma.eria.s Division Argonne National LaboratoryArgonneIL 60439USA Depa.tment of Engineering University of CambridgeTrumpington StreetCambridge CB21PZUK X-ra. Science Division Argonne National LaboratoryArgonneIL 60439USA Computa.iona. Science Division Argonne National LaboratoryArgonneIL 60439USA

We propose a. a.tive lea.ning scheme for a.toma.ica.ly sa.pling a.minimum number of uncorrela.ed configura.ions for fitting the Ga.ssia. a.proxima.ion Potentia.(Ga.).Our a.tive lea.ning scheme consists of a. unsupervised ma.hine lea.ning(ML)scheme coupled with a.Ba.esia. optimiza.ion technique tha. eva.ua.es the Ga. *** a.ply this scheme to a.Ha.nium dioxide(HfO2)da.a.et genera.ed from a.melt-quench”a. initio molecula. dyna.ics(a.MD)*** results show tha. the a.tive lea.ning scheme,with no prior knowledge of the da.a.et,is a.le to extra.t a.configura.ion tha. rea.hes the required energy fit ***,molecula. dyna.ics(MD)simula.ions performed using this a.tive lea.ned Ga. model on 6144 a.om systems of a.orphous a.d liquid sta.e elucida.e the structura. properties of HfO2 with nea. a. initio precision a.d quench ra.es(i.e.,1.0 K/ps)not a.cessible via.*** melt a.d a.orphous X-ra. structura. fa.tors genera.ed from our simula.ion a.e in good a.reement with *** a.dition,the ca.cula.ed diffusion consta.ts a.e in good a.reement with previous a. initio studies.

关键词： a.orphous dioxide scheme

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乡村旅游与小城镇发展

旅游学刊 2011年第12期26卷 5-7页

作者： Erik holm-Petersen Grontmijl Ca.l Bro咨询集团丹麦格洛斯楚普

在全世界，旅游业是发展最快的经济产业。本文探讨“乡村旅游”的本质及其对小城镇发展的作用。

关键词：小城镇发展乡村旅游城乡统筹旅游发展中国经济产业旅游业

Surgica. a.ga. score predicts ea.ly complica.ion in tra.sfemora. a.putees:Retrospective study of 170 ma.or a.puta.ions

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World Journa. of Orthopedics 2016年第12期7卷 832-838页

作者： Christia. Wied Nicola. B Foss Morten T Kristensen Gitte holm Thoma. Ka.lemose a.ders Troelsen Depa.tment of Orthopedic Surgery Copenhagen University Hospital Hvidovre Depa.tment of a.esthesiology a.d Intensive Ca.e Copenhagen University Hospital Hvidovre Physica. Medicine a.d Reha.ilita.ion Resea.ch-Copenha.en Department of Physical TherapyCopenhagen University Hospital Hvidovre Clinica. Resea.ch Centre Copenhagen University Hospital Hvidovre

a.M To a.sess whether the surgica. a.ga. score(Sa.) is a.prognostic tool ca.a.le of identifying pa.ients a. risk of ma.or complica.ions following lower extremity a.puta.ions *** This wa. a.single-center,retrospective observa.iona. cohort study conducted between Ja.ua.y 2013 a.d a.ril 2015. a.l pa.ients who ha. either a.prima.y tra.stibia. a.puta.ion(TTa. or tra.sfemora. a.puta.ion(TFa. conducted a. our institution during the study period were a.sessed for inclusion. a.l TTa.pa.ients underwent a.sta.da.dized one-sta.e opera.ive procedure(a. modum Persson a.puta.ion) performed a.proxima.ely 10 cm below the knee joint. a.l TTa.procedures were performedwith sa.itta. fla.s. TFa.procedures were performed in one sta.e with a.puta.ion a.proxima.ely 10 cm a.ove the knee joint,performed with a.terior/posterior fla.s. Tra.ned residents or senior consulta.ts performed the surgica. procedures. The Sa. is ba.ed on intra.pera.ive hea.t ra.e,blood pressure a.d blood loss. Intra.pera.ive pa.a.eters of interest were collected by revising electronic hea.th records. The first a.thor of this study ca.cula.ed the Sa.. Da.a.rega.ding ma.or complica.ions were not revea.ed to the a.thor until a.ter the ca.cula.ion of Sa.. The Sa. results were a.ra.ged into four groups(Sa. 0-4,Sa. 5-6,Sa. 7-8 a.d Sa. 9-10). The cohort wa. then divided into two groups representing low-risk(Sa. ≥ 7) a.d highrisk pa.ients(Sa. a.previously esta.lished threshold. The outcome of interest wa. the occurrence of ma.or complica.ions a.d dea.h within 30-d of *** a.logistic regression model with Sa. 9-10 a. a.reference showed a.significa.t linea. a.socia.ion between lower Sa. a.d more postopera.ive complica.ions [a.l pa.ients: OR = 2.00(1.33-3.03),P = 0.001]. This effect wa. pronounced for TFa.[OR = 2.61(1.52-4.47),P a.significa.t increa.e wa. observed for the high-risk group compa.ed to the low-risk group for a.l pa.ients [OR = 2.80(1.40-5.61),P = 0.004] a.d for the TFa.sub-

关键词： Surgica. a.ga. score Morta.ity Tra.sfemora. a.puta.ion Post-opera.ive complica.ion Lower extremity a.puta.ion

Preva.ence of Cha.les Bonnet syndrome in low vision:a.systema.ic review a.d meta.a.a.ysis

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a.na.s of Eye Science 2022年第2期7卷 80-92页

作者： Yousif Subhi Ma.s a.senholt Nielsen Da.iel a.drew Richa.d Scott La.s Morten holm a.a.deep Singh Depa.tment of Ophtha.mology RigshospitaletGlostrupDenmark Depa.tment of Clinica. Resea.ch University of Southern DenmarkOdenseDenmark Fa.ulty of Hea.th a.d Medica. Sciences University of CopenhagenKøbenhavnDenmark Depa.tment of Ophtha.mology Waikato District Health BoardHamiltonNew Zealand

Ba.kground:Cha.les Bonnet syndrome(CBS)is cha.a.terized by vivid lifelike visua. ha.lucina.ions a.d is typica.ly seen in individua.s with visua. *** this systema.ic review,we summa.ize current knowledge on the preva.ence of CBS in pa.ients with low ***:We sea.ched 11 litera.ure da.a.a.es on 21 a.ril 2021 for studies on the preva.ence of CBS in low vision *** protocol wa. registered in the PROSPERO da.a.a.e(***42021255021).Eligible studies were defined a. those on a.popula.ion of low vision pa.ients wherein the preva.ence of CBS wa. eva.ua.ed(without a.y further restriction on the method for dia.nosis of CBS).No restriction wa. enforced on study design,but we expected observa.iona. cross-sectiona. studies due to the na.ure of our resea.ch *** a.thors independently extra.ted da.a.a.d eva.ua.ed risk of bia. of individua. studies using the a.ency for Hea.thca.e Resea.ch a.d Qua.ity checklist for cross-sectiona. *** underwent qua.ita.ive review in the text a.d qua.tita.ively in a.preva.ence meta.a.a.ysis using the ra.dom-effects *** a.a.ysis wa. ma.e to eva.ua.e the robustness of the summa.y ***:We identified 11 studies,which summa.ized da.a.on 4,521 individua.s with visua. *** of CBS wa. ba.ed on screening questions or interviews,which in positive ca.es often wa. explored in more deta.l with follow-up questions or *** studies either ha. norma. menta. sta.e a. a.pa.ticipa.t eligibility criterion or a. a.pa.t of the dia.nosis of *** pooled preva.ence of CBS in low vision pa.ients a.ed≥40 yea.s wa. 19.7%(95%CI:13.8%to 26.4%).The sensitivity a.a.ysis showed certa.n robustness in the summa.y preva.ence estima.e wherein preva.ence estima.es ra.ged from 16.9%to 22.5%.Conclusions:CBS is a.preva.ent condition in pa.ients with low vision a. a.ra.e of a.proxima.ely one in five *** tha. a. estima.ed 239 million individua.s ha.e modera.e visua. im

关键词： Cha.les Bonnet syndrome(CBS) visua. ha.lucina.ions low vision

Implementa.ion Stra.egies for Improving the Ca.e of Depressed Elderly Persons—Summa.y of a. Interna.iona. Workshop

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Open Journa. of Nursing 2014年第11期4卷 715-723页

作者： Elisa.eth Severinsson a.ne Lise holm Centre for Women’s Family and Child Health Faculty of Health Sciences Buskerud & Vestfold University College Kongsberg Norway

The a.m of the study wa. to identify the most importa.t resea.ch priorities a. well a. future stra.egies for promoting a.d implementing evidence-ba.ed ca.e of depressed elderly persons. a. interdisciplina.y workshop wa. orga.ized using a.focus group forma. a.d the tra.script of the discussion wa. interpreted by mea.s of the qua.ita.ive content a.a.ysis. The most importa.t resea.ch priorities for improving the ca.e of depressed elderly persons, implementa.ion levels, theoretica. a.proa.hes a. well a. possible outcomes were a.a.ysed on individua. consumer, hea.thca.e system, a.d policy level. a.wide ra.ge of theories a.d methods a.e necessa.y to identify a.d expla.n implementa.ion processes a.d results. Qua.ita.ive a.d qua.tita.ive methodologies in combina.ion with knowledge synthesis were discussed. In a.dition, the need to summa.ize the litera.ure in terms of specific issues wa. empha.ized. In conclusion, the implementa.ion stra.egies for improving the ca.e of depressed elderly persons should be a.dressed on three levels: individua. consumer, hea.thca.e system a.d policy. a.though some a.pects of the implementa.ion model ma. need to be enha.ced, the fa.t tha. it includes conditions on individua. level, i.e. self-ma.a.ement support, is of importa.ce. The expa.sion a.d ma.ntena.ce of evidence-ba.ed ca.e genera.e potentia. for cha.ge in menta. hea.thca.e, thus improving outcomes for individua. elderly pa.ients. a.ea. tha. require further resea.ch a.e orga.iza.ion, cost a.d lea.ership. The use of mixed methods could strengthen future studies. Implementa.ion resea.chers need a.broa. repertoire in order to pla. a.d perform evidence-ba.ed resea.ch. To improve pra.tice, implementa.ion stra.egies should be developed in clinica. a.d community guidelines.

关键词： Implementa.ion Resea.ch Depression Elderly Professiona. Guidelines Workshop

Pa.ients’ Role in Their Own Sa.ety—a.Systema.ic Review of Pa.ient Involvement in Sa.ety

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Open Journa. of Nursing 2015年第7期5卷 642-653页

作者： Elisa.eth Severinsson a.ne Lise holm Centre for Women’s Family and Child Health Faculty of Health Sciences Buskerud & Vestfold University College Kongsberg Norway Depa.tment of Hea.th Science Stord/Haugesund University College Stord Norway

It is necessa.y to eva.ua.e progress in the a.ea.of pa.ient sa.ety. However, a.though there ha. been a. increa.e in number of qua.ity a.d sa.ety rela.ed studies ha.e increa.ed, the topics of pa.ient involvement a.d pa.ient sa.ety a.e not a.toma.ica.ly linked. The a.m of this systema.ic review wa. to identify a.d eva.ua.e the evidence contributed by studies of pa.ient involvement in the provision of sa.e ca.e. Inclusion criteria.were studies underta.en to promote involvement in sa.ety, covering pa.ients’ a.titudes, unsa.e a.d sa.e ca.e, risk reduction a.d ha.dover pra.tices during discha.ge from hospita. to prima.y ca.e. The results revea.ed three themes: sa.isfa.tion with a.d need for knowledge a.out hea.thca.e a.d the hea.th system, sha.ing responsibility a.d a.counta.ility for sa.ety a.d the need to overcome la.gua.e ba.riers to prevent ha.m a.d error. In conclusion, there is a. increa.ed focus on the role of the pa.ient in the provision of sa.e ca.e. Existing evidence is rela.ed to medica.ion ra.her tha. pa.ients’ ca.a.ility a.d willingness to be involved. It is recommended tha. pa.ient pa.ticipa.ion in the provision of sa.e ca.e should be explored in rela.ion to phenomena.such a. trust, responsibility, sha.ed decision-ma.ing a.d powerlessness. It is a.so importa.t to investiga.e the pa.ient’s role with respect to pa.ient rights.

关键词： Pa.ient Involvement Pa.ient Sa.ety Systema.ic Review

Eva.ua.ing Improvement in the Ca.e of Depressed Elderly Pa.ients: a. Empirica. a.proa.h to the WHO Pa.ient Sa.ety Model

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Open Journa. of Nursing 2015年第5期5卷 397-406页

Depression a.ong the elderly is a.public hea.th issue. This pa.er demonstra.es the va.ue of pa.ient sa.ety resea.ch for future stra.egies in this a.ea. The a.m of the present study wa. to a.a.yse the rela.ionship between the World Hea.th Orga.iza.ion (WHO) Pa.ient Sa.ety (PS) Model a.d empirica. resea.ch on depressed elderly pa.ients’ experiences of qua.ity a.d sa.e ca.e. The resea.ch question wa.: Which pa.ients’ experiences could be linked to qua.ity a.d sa.e ca.e a. recommended by the WHO? We a.opted a. implementa.ion a.proa.h a. the sta.ting point for this interdisciplina.y project. a.tota. of 29 individua. na.ra.ive-ba.ed, in-depth interviews were performed to explore pa.ients’ experiences a.d two hea.thca.e tea.s pa.ticipa.ed in the focus group interviews. Interpreta.ion of the results revea.ed tha. the 23 components of the PS model were linked to elderly pa.ients’ experiences of qua.ity a.d tha. sa.e ca.e wa. not a.hieved. There wa. evidence of low qua.ity a.d la.k of sa.e ca.e due to psychologica. distress, stress a.d fa.igue, the a.sence of involvement in decision-ma.ing, misdia.nosis, sleep problems a. a.result of ha.m from medica. error a.d a.poor physica. sta.e. Pa.ients’ experiences of loneliness ga.e rise to suicida. thoughts. In conclusion, qua.ity improvement is necessa.y in a.l components of the WHO PS model. We recommend structura., process a.d outcome improvements, more specifica.ly: a.tive involvement, sha.ed decision-ma.ing a.d increa.ed self-ma.a.ement.

关键词： Chronic Ca.e Ma.a.ement Implementa.ion Pa.ient Sa.ety Model WHO

Understa.ding a.d Improving Qua.ity of Ca.e in the Context of Depressed Elderly Persons Living in Norwa.

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Open Journa. of Nursing 2014年第12期4卷 809-817页

作者： Elisa.eth Severinsson a.ne Lise holm The Centre for Women’s Family and Child Health Faculty of Health Sciences Buskerud & Vestfold University College Kongsberg Norway

Effective lea.ership pla.s a. importa.t role in sa.e pa.ient ca.e. The a.m of this pa.er wa. to understa.d a.d improve the implementa.ion outcomes identified by empirica. studies ba.ed on Proctors et a..’s key concepts, a.cepta.ility a.propria.eness, fea.ibility a.d fidelity, a.d to propose recommenda.ions for further resea.ch. Methods: a. interdisciplina.y a.proa.h using mixed methods. Results: a.tota. of twenty pa.ers ba.ed on da.a.from this interdisciplina.y study ha.e been published. Overa.l, our published empirica. studies revea.ed tha. the CCM intervention ha. positive results due to sta.f members’ enga.ement to improve ca.e, their a.a.eness of the need for colla.ora.ion a.d willingness to a.sume responsibility for pa.ient ca.e. From the perspective of the depressed elderly persons the results of the resea.ch project indica.ed their need for support to increa.e self-ma.a.ement. In conclusion, a. improved understa.ding of the implementa.ion outcomes will ha.e a. impa.t on best pra.tice for depressed elderly persons a.d dissemina.ion purposes. Qua.ity ma.a.ement a.d highly a.tion-oriented involvement a.e necessa.y in implementa.ion resea.ch. These will a.so a.fect the professiona. development of interdisciplina.y tea.s a. well a. constitute a.ba.is for further resea.ch on understa.ding a.d improving the ca.e of depressed elderly individua.s.

关键词： Depression Effective Lea.ership Elderly Implementa.ion