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Methodological exploration on the construction of a traditional Chinese medicine nursing expert consensus based on evidence--taking stroke as an example

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Journal of Traditional Chinese Medical Sciences 2022年第2期9卷 128-134页

作者： Xuejing Li Ke Peng Meiqi Meng Liu Han Dan Yang Junqiang Zhao yufang hao School of Nursing Beijing University of Chinese MedicineBeijing102488China Beijing University of Chinese Medicine Collaborating Center of Joanna Briggs Institute Beijing102488China Beijing University of Chinese Medicine Best Practice Spotlight Organization Beijing102488China Department of Nursing Beijing University of Chinese Medicine Third Affiliated HospitalBeijing100029China School of Nursing University of OttawaOttawaOntarioK1N 6N5Canada Center for Research on Health and Nursing University of OttawaOttawaOntarioK1N 6N5Canada

Objective: To explore the methodology of the evidence-based expert consensus formulation process of traditional Chinese medicine(TCM) nursing taking stroke as an ***: First, preliminary and comprehensive presentation of all stroke-related symptoms and corresponding TCM nursing techniques involved were revealed through bibliometric analysis. Then, selection of stroke symptoms and TCM nursing techniques for inclusion in the consensus was performed using an expert consultation method. Next, we determined the search strategy for a precise evidence search;conducted an evaluation of evidence quality and the grade of the evidence;and completed evidence extraction, evidence analysis, and evidence synthesis based on the included symptoms and TCM nursing techniques. The Delphi method was then applied to determine the strength of each recommendation and the choice of nursing care points by referring to the Grading of Recommendations, Assessment, Development, and Evaluations grid. Finally, we conducted an external expert validation of the Delphi results to form an expert consensus ***: Through the bibliometric analysis, 22 stroke symptoms and 18 TCM nursing techniques were identified in the literature. Then, after expert consultation, 22 symptoms and 111 pairs of symptoms combined with TCM nursing techniques were selected for the evidence search. Evidence integration yielded 10 stroke symptoms corresponding to 29 bodies of evidence;these 10 symptoms were retained through the Delphi consultation, and recommendation strength results for 26 recommendations were obtained. A total of 9 symptoms were further retained for expert external validation to form 24 recommendations, with a recommendation process score range of 7.64-9.99 points and a more scientific and standardized recommendation-formation ***: Owing to the current limited conditions of evidence-based resources for TCM nursing, the present consensus-building process represents only a

关键词： Traditional Chinese medicine nursing Evidence Stroke Hemiplegia Expert consensus Delphi method

Differentiation between two healthcare concepts:Person-centered and patient-centered care

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International Journal of Nursing Sciences 2016年第4期3卷 398-402页

作者： Junqiang Zhao Shangqian Gao Jinfang Wang Xinjuan Liu yufang hao School of Nursing Beijing University of Chinese MedicineBeijingChina

*** Engel's biopsychosocial model,which was constructed in 1977,was considered a momentous breakthrough from the traditional biomedical model of medicine that regards the person as a disease-carrier requiring diagnosis and treatment[1]towards recognition of the whole person and furnish customized *** model argues that health should not be considered solely on biological factors but on a combination of biological,psychological,and social factors[2].This idea of considering individuals as a whole and respecting their rights to self-determination has led to a shift in the care model from disease-centered care to patient-centered or person-centered *** latter two care models are both abbreviated as *** that people are involved in and central to the healthcare process is now recognized as a key component in developing high-quality *** have revealed that both concepts of care can help improve people's health condition and lower health service ***,countries and healthcare organizations have been paying close attention to the patients'*** National Health Service in England has made person-centered care as one of its seven core principles[3].

关键词： centered Service service

Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management:A before-andafter study

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International Journal of Nursing Sciences 2022年第3期9卷 295-302,I0001页

作者： Xiaoyan Zhang Junqiang Zhao Liping Zheng Xuejing Li yufang hao School of Traditional Chinese Medicine Beijing University of Chinese MedicineBeijingChina School of Nursing Faculty of Health SciencesUniversity of OttawaOntarioCanada Department of Neurosurgery Dongzhimen Hospital Affiliated to Beijing University of Chinese MedicineBeijingChina School of Nursing Beijing University of Chinese MedicineBeijingChina

Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires *** purpose of this study was to determine the effect of using tailored,multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community *** Guided by the Knowledge to Action framework,the tailored,multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study *** strategies consisted of training intervention,policy intervention,and audit and feedback ***’level of knowledge and adherence,were collected in March 2019 and again in January ***’quality of life and satisfaction were evaluated during the pre-intervention period(between February 2019 and April 2019)and the post-intervention period(between November 2019 and January 2020).Results A total of 55 patients with post-stroke dysphagia(28 in the pre-intervention period and 27 in the post-intervention period)and 17 registered nurses were *** implementation,there were statistically significant improvements in patients’outcomes(quality of life and satisfaction)and nurses’outcomes(level of knowledge and adherence).Conclusions This study assists in closing the research-practice gap by using tailored,multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.

关键词： Deglutition disorders Evidence-based practice Implementation science Nurses Patient satisfaction Professional practice gaps Stroke

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脓毒症中介质的最新研究进展

中华危重病急救医学 2016年第2期28卷 188-192页

作者：郝昱芳耿立霞内蒙古科技大学包头医学院第一附属医院重症医学科内蒙古自治区包头014010

脓毒症和脓毒性休克是全球重症加强治疗病房（ICU）中导致患者死亡的主要原因。大量关于脓毒症病理生理学的研究发现，炎症网络失衡导致了组织损伤和器官衰竭，最终死亡，其中各种黏附分子、趋化因子、细胞因子、蛋白酶、脂质介质、血... 详细信息

脓毒症和脓毒性休克是全球重症加强治疗病房（ICU）中导致患者死亡的主要原因。大量关于脓毒症病理生理学的研究发现，炎症网络失衡导致了组织损伤和器官衰竭，最终死亡，其中各种黏附分子、趋化因子、细胞因子、蛋白酶、脂质介质、血管活性肽和细胞应激标志物在脓毒症的病理生理过程中起到重要作用。虽然抗炎介质能抵消促炎介质的作用，但持久的免疫调节可能导致宿主并发感染，因此寻求对抗脓毒症的有效治疗方法具有很大的挑战。充分了解脓毒症中促炎介质和抗炎介质之间复杂的相互作用，以及它们在脓毒症信号转导和免疫调节中的相互协同作用，对防控脓毒症具有重要意义。总结近年来国内外关于脓毒症与固有免疫和适应性免疫系统间相联系的介质的最新发现，阐述其对脓毒症的影响，可能在未来会使许多未知的问题得到解答。

关键词：脓毒症炎症先天免疫适应性免疫细胞因子

Thoughts on the Construction of Evidence-based Nursing Standard Plan for Dominant Diseases in Traditional Chinese Medicine

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World Journal of Integrated Traditional and Western Medicine 2018年第4期4卷 37-43页

作者： Li Xuejing Yan Lijiao Ma Jingya Qv Chang Wang Dou Wang Jinfang hao yufang School of Nursing Beijing University of Chinese Medicine Canadian Ontario Nurses Association BPSO Branch JBI Excellence Cooperation Center

The evidence-based Traditional Chinese Medicine(TCM) nursing in standard plan is to be constructed by a combination of evidence-based thinking and expert consensus.(1) The symptoms of diseases with better curative effect in TCM and the nursing techniques of TCM based on scientific evidence can be preliminarily presented through bibliometric analysis.(2) Expert consultation letters can be developed based on bibliometric results, and symptoms of dominant diseases in TCM and TCM nursing techniques can be selected through those letters.(3) Based on the selected symptoms and TCM nursing techniques, the PICO can be determined, and then evidence search, evidence extraction, evidence analysis can be conducted and synthesized, and recommendations would be chosen.(4) The recommendation grade of each recommendation can be determined by applying the Delphi method and referring to GRADE.(5) The plan will be determined through discussions of experts. The construction of TCM nursing plan would make sure that TCM nursing is scientific, and internationalize TCM nursing.

关键词： Thoughts on the Construction of Evidence-based Nursing Standard Plan for Dominant Diseases in Traditional Chinese Medicine TCM

Quality Evaluation on Traditional Chinese Medicine Nursing Plan for Stroke in Acute and Recovery Phases

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World Journal of Integrated Traditional and Western Medicine 2018年第3期4卷 33-39页

作者： Li Xuejing Zhang Xiaoyan Ma Jingya Yan Lijiao Wang Dou Wang Jinfang hao yufang School of Nursing Beijing University of Chinese Medicine Canadian Ontario Nurses Association BPSO Branch JBI Excellence Cooperation Center

OBJECTIVE: To formulate the quality evaluation questionnaire of Traditional Chinese Medicine(TCM) nursing plan for stroke in acute and recovery phases, and to evaluate the quality of TCM nursing plan for stroke by clinical nurses. METHODS: The questionnaire was designed by referring to the Applicability Questionnaire of TCM Clinical Diagnosis and Treatment Guideline, and the expert consultation was used to assess the content validity. In addition, the results of the questionnaire were processed and analyzed with SPSS20.0 software. RESULTS: The content validity of the self-designed questionnaire was 0.94 for the S-CVI/Ave score. The results of the questionnaire demonstrated that the overall content of the plan was "better than the original routine nursing plan"(59.18%); the recognition degree of "common symptoms"(36.70%) and "syndrome classification"(36.70%) of the plan was the lowest. CONCLUSION: The plan is supposed to be further improved in the future in order to be coincident with clinical reality.

关键词： Stroke Traditional Chinese medicine nursing plan Questionnaire Quality evaluation Clinical application status

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低价值护理“去实施”策略的范围综述

中华护理杂志 2024年第14期59卷 1777-1786页

作者：李加敏郝玉芳吴欣娟中国医学科学院北京协和医院护理部北京市100730 北京中医药大学护理学院

目的对低价值护理“去实施”策略的相关研究进行范围综述,总结低价值护理“去实施”的策略及具体要素。方法计算机检索PubMed、ProQuest、CINAHL、中国生物医学文献数据库、中国知网、万方数据库和维普数据库,检索时限为建库至2023年5... 详细信息

目的对低价值护理“去实施”策略的相关研究进行范围综述,总结低价值护理“去实施”的策略及具体要素。方法计算机检索PubMed、ProQuest、CINAHL、中国生物医学文献数据库、中国知网、万方数据库和维普数据库,检索时限为建库至2023年5月10日。筛选低价值护理“去实施”策略的文献,对文献中“去实施”策略及策略的具体要素,即执行者/制订者、操作性定义、时间性、强度、目标、受影响的结局指标和理由进行资料提取。结果共纳入20篇文献,其中18篇使用了多种策略结合应用的方式,2篇使用了单一策略。共65个策略被提取,教育培训策略被应用15次,评估和反馈策略被应用14次,仅3个策略的具体要素被完整描述。结论评估和反馈、教育培训策略是低价值护理“去实施”研究中常被应用的策略,未来研究应清晰描述“去实施”策略的具体要素,以促进策略的复制、改进和临床应用。

关键词：低价值护理去实施策略范围综述

Traditional Chinese medicine and nursing care

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International Journal of Nursing Sciences 2017年第3期4卷 328-329页

作者： yufang hao Jing Jiang Xiaohong Gu Beijing University of Chinese Medicine China

Traditional Chinese medicine(TCM)is an important part of Chinese traditional *** outstanding spiritual and material achievements made during the development of TCM are the embodiment of Chinese people's view on life,disease and health[1,2].With a long history;TCM boasts a complete system of medical theories,rich clinical experience and unique therapeutic techniques.

关键词：护理中医整体观

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概念图在证据转化与应用项目中的研究进展

中华护理杂志 2022年第13期57卷 1649-1654页

作者：张小艳尹依依郑莉萍郝玉芳北京中医药大学中医学院北京市102448 北京中医药大学护理学院北京市102448 北京中医药大学东直门医院脑病科

如何识别利益相关者观点一直是证据转化与临床应用的重要议题,概念图为解决利益相关者相关研究问题提供了框架。该文介绍了概念图的概念、实施步骤及其在证据转化与应用项目中的应用方向,包括明确研究问题和需求,探索证据实施的障碍和... 详细信息

如何识别利益相关者观点一直是证据转化与临床应用的重要议题,概念图为解决利益相关者相关研究问题提供了框架。该文介绍了概念图的概念、实施步骤及其在证据转化与应用项目中的应用方向,包括明确研究问题和需求,探索证据实施的障碍和促进因素,选择和剪裁实施策略,开发概念框架和测量工具等方面,总结了概念图的应用前景,以期促进概念图在国内证据转化研究中的应用。

关键词：利益相关者概念图证据转化循证护理综述