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Interventions to improve communication between nurses and physicians in the intensive care unit: An integrative literature review

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International Journal of Nursing Sciences 2018年第1期5卷 81-88页

作者： Ya-Ya Wang Qiao-Qin Wan frances lin Wei-Jiao Zhou Shao-Mei Shang School of Nursing Peking UniversityBeijingPeople's Republic of China School of Nursing and Midwifery Menzies Health Institute QueenslandGriffith UniversityQueenslandAustralia

Effective communication among healthcare professionals in the intensive care unit (ICU) is a particular imperative,with accurate and efficient interdisciplinary communication being a critical prerequisite for high-quality *** and physicians are highly important parts of the healthcare system ***,identifying strategies that would improve communication between these two groups can provide evidence for practical improvement in the ICU,which will ultimately improve patient *** integrative literature review aimed to identify interventions that improve communication between nurses and physicians in *** databases (Medline,CINAHL,and Science Direct) were searched between September 2014 and June 2016 using 11 search terms,namely,nurse,doctor,physician,resident,clinician,ICU,intensive care unit,communication,teamwork,collaboration,and relationship.A manual search of the reference lists of found papers was also *** articles met the inclusion *** studies reported on the use of communication tools/checklists,team training,multidisciplinary structured work shift evaluation,and electronic situation-background-assessment -recommendation documentation templates to improve *** which intervention strategies are most effective remains unclear,this review suggests that these strategies improve communication to some *** studies should be rigorously designed and outcome measures should be specific and validated to capture and reflect the effects of effective communication.

关键词： Communication Intervention Intensive care units Nurses and physicians

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Lived experiences of the disease journey among patients with idiopathic pulmonary fibrosis

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International Journal of Nursing Sciences 2021年第2期8卷 175-180,I0003页

作者： Yang Lyu Yanrui Jia Fengli Gao Ya-ling Huang frances lin Department of Emergency Medicine Beijing Chao-Yang HospitalBeijingChina Department of Respiratory and Critical Care Medicine Beijing Chao-Yang HospitalBeijingChina Department of Nursing Beijing Chao-Yang HospitalBeijingChina Department of Emergency Medicine Gold Coast Hospital and Health ServiceGold Coast University HospitalQueenslandAustralia Department of Respiratory Medicine Gold Coast Hospital and Health ServiceGold Coast University HospitalQueenslandAustralia School of Nursing Midwifery and ParamedicineUniversity of the Sunshine CoastQueenslandAustralia Sunshine Coast Health Institute QueenslandAustralia

Objective:This study aimed to explore the lived experiences of the disease journey and patients'care needs with idiopathic pulmonary fibrosis(IPF).Methods:Face-to-face semi-structured interviews were conducted with a purposive sampling of IPF patients admitted to the department of respiratory medicine in a tertiary hospital in *** data were analyzed using the thematic analysis *** the end,16 patients were ***:Four themes emerged from the qualitative data included the long and confusing journey to reach a diagnosis,living with the disease,understanding the disease and treatment and desire for continuity of care.A series of subthemes were also identified,including uncertainty of diagnosis,delaying the process,living with physical symptoms,living with emotional distress,loss of independence,uncertainty with the prognosis,questioning the cause of the disease,concerning the side effects of treatments,lacking continuity of care,and wanting a better quality ofhealthcare in community ***:Based on the findings,there is an urgent need to improve the care delivery to this vulnerable population in *** meet their health needs,it is of paramount importance to develop effective education programs for health professionals and IPF patients and improve care models of healthcare systems,especially in remote areas,to enhance care continuity in the communities.

关键词： Health services needs and demand Idiopathic pulmonary fibrosis Patients Qualitative research

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The "five senses of success" in nursing students: Assessing first-year support engagement

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International Journal of Nursing Sciences 2019年第3期6卷 322-328页

作者： Peta-Anne Zimmerman Rebecca Eaton Lynne Brown Valda Frommolt Creina Mitchell Elizabeth Elder frances lin School of Nursing and Midwifery Griffith UniversitySouthportAustralia Gold Coast Hospital and Health Service Australia Menzies Health Institute Queensland Griffith UniversityAustralia LaTrobe University MelbourneAustralia

Objectives: This study aimed to identify School and University support services available and accessed by nursing students transitioning into a university environment as many struggle to adjust to competing demands of personal commitments and expectations at ***: A mixed methods design was used,based on activity theory and Lizzio's Five Senses of Success frameworks as exploratory *** study was conducted amongst the first year cohort at one campus of the Bachelor of Nursing (BN) program in Queensland,*** initial baseline assessment of what University and School-based support services were on offer for students,and how the students interacted with the support services was *** was followed by a survey to identify awareness and access to support *** groups were then conducted to clarify the previous results and to determine engagement with these support ***: A randomly selected number of students (n =150) in the first-year 2014 cohort of the BN program (n =300) were included in this *** survey was completed by 54 students and three semistructured focus groups were *** analysis indicated that the support services in place were successful in reaching the majority of students and contributed to their sense of success at university,Specifically students identified that a whole cohort approach to support enhanced their transition to ***: Identifying lesser known services early in the first year will ensure that students are supported and encouraged to use all services,contributing to their sense of success at university.

关键词： Engagement First year experience Nursing student Supports Retention University transition

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Early mobilization implementation for critical ill patients:A cross-sectional multi-center survey about knowledge,attitudes,and perceptions of critical care nurses

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International Journal of Nursing Sciences 2022年第1期9卷 49-55,I0003页

作者： Hui Zhang Huaping Liu Zunzhu Li Qi Li Xiaoyan Chu Xinyi Zhou Binglu Wang Yiqian Lyu frances lin School of Nursing Peking Union Medical CollegeBeijingChina Department of Critical Care Medicine Peking Union Medical College HospitalBeijingChina School of Nursing Midwifery and ParamedicineUniversity of the Sunshine CoastQueenslandAustralia Sunshine Coast Health Institute QueenslandAustralia

Objective To explore critical care clinicians’knowledge,attitudes and perceptions toward early mobilization of critically ill patients in *** A cross-sectional national survey was *** January to August 2020,ICU nurses in 11 hospitals were surveyed by using a questionnaire on the knowledge,attitudes and perceptions of ICU early *** Totally 512 nurses completed the *** respondents’mean score for knowledge of early mobilization was 6.89±*** level of knowledge was good in 2.5%(13/512),fair in 52.3%(268/512).The attitudes toward early mobilization were positive in 31.4%(161/512).In terms of perceived implementation of ICU early mobilization,42.9%(220/512)of nurses did not believe that this should be a top priority in intensive *** attitudes of nurses from different ICUs were significantly different(F=3.58,P<0.05).The knowledge(7.34±2.78 vs.6.49±2.97,t=3.37,P<0.001)and attitudes(3.82±0.58 vs.3.52±0.56,t=5.63,P<0.001)of nurses who had early mobilization related training were higher than those of nurses who had no *** The importance of early ICU early mobilization is increasingly recognized by critical care ***,there is still a gap in the knowledge,attitudes and perceptions of ICU early mobilization among *** future studies,it is necessary to further systematically identify the reasons leading to the gaps in these aspects and implement targeted interventions around these ***,more nurses should be encouraged to participate in decision-making to ensure the efficient and quality implementation of ICU early mobilization practices.

关键词： Attitude Barriers Critical illness Early ambulation Intensive care units Knowledge Nurses Perception

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2019版《压力性损伤的预防和治疗:临床实践指南》更新解读

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中国护理管理 2020年第12期20卷 1849-1854页

作者：杨龙飞宋冰倪翠萍刘宇林凤芝中国医科大学护理学院沈阳市110122 澳大利亚昆士兰州阳光海岸大学护理、助产士及救护学院

压力性损伤是全世界常见的健康问题,常使患者处于疼痛、不适、焦虑状态,高昂的医疗费用给患者带来负面影响。2019年11月,由欧洲压疮咨询委员会、美国国家压力性损伤咨询委员会及泛太平洋压力性损伤联盟联合制定的第3版《压力性损伤的预... 详细信息

压力性损伤是全世界常见的健康问题,常使患者处于疼痛、不适、焦虑状态,高昂的医疗费用给患者带来负面影响。2019年11月,由欧洲压疮咨询委员会、美国国家压力性损伤咨询委员会及泛太平洋压力性损伤联盟联合制定的第3版《压力性损伤的预防和治疗:临床实践指南》正式发布。2019版指南与2014版的研究相结合,更新了方法学,扩大了指南纳入研究的范围,并提出反映最新证据的建议。本文将总结介绍2019版指南的主要内容,解读其中更新的内容,以帮助医务人员、患者、照顾者等相关人员了解最新指南的更新内容,促进本指南在压力性损伤预防和治疗方面的临床应用,更好地提升临床实践质量。

关键词：压力性损伤预防治疗指南解读

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知识转化的概念及理论框架

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中国护理管理 2016年第9期16卷 1161-1164页

作者：林凤芝于书慧李晶格里菲斯大学护理助产士学院北京大学第一医院泌尿外科北京大学第一医院普通外科

知识转化是将临床研究证据或以研究证据为依据的临床实践指南运用于临床实践当中,改善临床实践,促进执行者行为改变,提高患者服务质量。知识转化在国外发展迅速,而国内对知识转化的认识刚起步。为了促进知识转化在我国的发展,本文将重... 详细信息

知识转化是将临床研究证据或以研究证据为依据的临床实践指南运用于临床实践当中,改善临床实践,促进执行者行为改变,提高患者服务质量。知识转化在国外发展迅速,而国内对知识转化的认识刚起步。为了促进知识转化在我国的发展,本文将重点阐述知识转化的概念及理论框架等内容,探讨其对临床实践的重要价值。

关键词：知识转化行为改变临床情境理论框架

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护士临床应用导尿管固定装置依从性的障碍因素分析:一项基于理论域框架的质性研究

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中华现代护理杂志 2020年第24期26卷 3268-3273页

作者：于书慧庞冬车新艳黄燕波张萌贯华李晶丁炎明刘霞 frances lin 北京大学第一医院泌尿外科北京100034 北京大学护理学院北京大学医学部循证护理研究中心北京100083 北京大学第一医院护理部北京100034 格里菲斯大学护理助产士学院澳大利亚昆士兰州黄金海岸4222

目的:根据导尿管固定装置应用的临床情景,找出其在临床应用中的障碍因素。方法:于2018年9—10月,便利选取北京大学第一医院泌尿外科病房工作的19名护士进行半结构访谈,基于理论域框架制订访谈提纲并进行内容分析,并再次提取主题。结果:... 详细信息

目的:根据导尿管固定装置应用的临床情景,找出其在临床应用中的障碍因素。方法:于2018年9—10月,便利选取北京大学第一医院泌尿外科病房工作的19名护士进行半结构访谈,基于理论域框架制订访谈提纲并进行内容分析,并再次提取主题。结果:本研究找出了与理论域框架5个领域有关的障碍因素,分别为"知识、社会/职业角色及认同、动力和目标、环境因素、社会影响"。再次提取主题,分别为"证据实施的系统层面(组织因素、培训、产品种类)有待优化;证据实施的使用者(患者)意愿水平有待提高及证据应用的持续性需要加强"。结论:影响导尿管固定装置临床应用的因素是多重的,今后研究需要根据找出的障碍因素,基于证据制订针对性的干预方案。

关键词：导尿管固定理论域框架半结构访谈障碍因素知识转化

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导尿管清洁最佳证据在临床应用中的障碍因素分析——一项基于理论域框架的质性研究

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中华现代护理杂志 2019年第36期25卷 4729-4733页

作者：于书慧庞冬黄燕波张萌贯华李晶丁炎明刘霞车新艳 frances lin 北京大学第一医院泌尿外科北京100034 北京大学护理学院北京大学医学部循证护理研究中心100083 北京大学第一医院护理部北京100043 格里菲斯大学护理助产士学院澳大利亚昆士兰州黄金海岸4222

目的探讨导尿管清洁最佳证据在临床应用中的障碍因素。方法2018年9—10月,基于理论域框架(Theoretical Domains Framework,TDF)制订访谈提纲,便利选取北京大学第一医院泌尿外科病房的19名护士进行半结构访谈,依据访谈结果进行内容分析... 详细信息

目的探讨导尿管清洁最佳证据在临床应用中的障碍因素。方法2018年9—10月,基于理论域框架(Theoretical Domains Framework,TDF)制订访谈提纲,便利选取北京大学第一医院泌尿外科病房的19名护士进行半结构访谈,依据访谈结果进行内容分析。结果本研究总结了与理论域框架4个领域有关的障碍因素,分别为社会/职业角色及认同、对结果的信心、环境因素和资源和社会影响。再次提取主题,分别为科室缺乏知识转化的流程及规范、患者自我管理能力欠佳、导尿管清洁资源不充足。结论影响导尿管清洁最佳证据临床应用中的因素是多样的,包括系统层面、患者层面和资源供给。需要科室探索建立知识转化的规范,提高术后患者自我管理能力,提供充足的导尿管清洁的资源,推进最佳导尿管清洁证据的临床应用。

关键词：导尿管清洁理论域框架半结构访谈障碍因素知识转化

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A general strategy for bimetallic Pt-based nano-branched structures as highly active and stable oxygen reduction and methanol oxidation bifunctional catalysts

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Nano Research 2020年第3期13卷 638-645页

作者： Wenjuan Lei Menggang Li lin He Xun Meng Zijie Mu Yongsheng Yu frances MRoss Weiwei Yang Key Laboratory of Functional Materials Physics and Chemistry of the Ministry of Education Jilin Normal UniversityChangchun 130103China Ministry of Industry and Information Technology Key Laboratory of Critical Materials Technology for New Energy Conversion and StorageSchool of Chemistry and Chemical Engineering Harbin Institute of TechnologyHarbin 150001China Key Laboratory of Bioelectrochemistry&Environmental Analysis of Gansu Province College cf Chemistry&Chemical EngineeringNorthwest Normal UniversityLanzhou 730070China Department of Materials Science and Engineering Massachusetts Institute cf TechnologyCambridgeMA 02139USA

The morphology and size of Pt-based bimetallic alloys are known to determine their electrocatalytic performance in reactions relevant to fuel ***,we report a general approach for preparing Pt-M(M=Fe,Co and Ni)bimetallic nano-branched structure(NBs)by a simple high temperature solution-phase ***-prepared Pt-M NBs show a polycrystalline structure and are rich in steps and kinks on the surface,which promote them favorable bifunctional catalytic properties in acidic electrolytes,specifically in terms of the oxygen reduction reaction(ORR)and methanol oxidation reaction(MOR).Specially,Pt-Co NBs/C catalyst shows 6.1 and 5.3 times higher in specific activity(SA)and mass activity(MA)for ORR than state-of-the-art commercial Pt/C catalysts,***,it exhibits a loss of 4.0%in SA and 14.4%in MA after 10,000 cycles of accelerated durability tests(ADTs)compared with the initial *** addition,we also confirmed the superior MOR activity of Pt-Co NBs/C catalyst in acidic *** Pt-M NBs with other alloying metals,the ORR and MOR activities are both higher than commercial catalysts and are in the sequence of Pt-Co/C>Pt-Fe/C>Pt-Ni/C>commercial Pt/C(or PtRu/C).The improved activities and durability can benefit from the morphological and compositional *** synthesis approach may be applied to develop bifunctional catalysts with enhanced ORR and MOR properties for future fuel cells designs.

关键词： Pt-based bimetallic alloy nano-branched structure electrocatalysts,oxygen reduction reaction methanol oxidation reaction

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ADAM8 inactivation retards intervertebral disc degeneration in mice

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Genes & Diseases 2024年第3期11卷 91-94页

作者： Zuozhen Tian frances S.Shofer Mingyue Fan Alec Z.Sandroni Lutian Yao lin Han ling Qin Motomi Enomoto-lwamoto Yejia Zhang Department of Physical Medicine&Rehabilitation Perelman School of MedicineUniversity of PennsylvaniaPhiladelphiaPA19146USA Department of Emergency Medicine Perelman School of MedicineUniversity of PennsylvaniaPhiladelphiaPA 19104USA Department of Orthopedic Surgery Perelman School of MedicineUniversity of PennsylvaniaPhiladelphiaPA 19104USA School of Biomedical Engineering Science&Health SystemsDrexel UniversityPhiladelphiaPA 19104USA Department of Orthopedics/Sports Medicine and Joint Surgery the First Hospital of China Medical UniversityShenyangLiaoning 110001China Department of Orthopedics University of Maryland School ofMedicineBaltimoreMD21201USA Section of Rehabilitation Medicine Corporal Michael J.Crescenz Veterans Affairs Medical CenterPhiladelphiaPA 19104USA

ADAM8 has been identified as the fibronectin-cleaving enzyme in human degenerative intervertebral disc(IVD)tissues.^(1)Increase of the active form of ADAM8 and its cleavage product,fibronectin fragment,correlated with an increased degree of IVD degeneration.1 Furthermore,fibronectin fragments have been shown to accelerate the progression of IVD degeneration.^(2)These findings suggest that ADAM8 may play a role in degenerative disc disease,a clinical problem with tremendous socioeconomic burdens in the United States.

关键词： ADAM8 degeneration intervertebral

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