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Bloodletting puncture in the treatment of acute ischemic stroke:protocol for a mixed-method study of a multi-center randomized controlled trial and focus group

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Journal of Traditional Chinese Medicine 2023年第6期43卷 1259-1267页

作者： DAI Zeqi LIAO Xing GUAN Yueyue ZENG Zixiu TANG Jun HU Jing Center for Evidence Based Chinese Medicine Institute of Basic Research in Clinical MedicineChina Academy of Chinese Medical SciencesBeijing 100700China Department of Encephalopathy Chongqing Hospital of Traditional Chinese MedicineChongqing 400021China Evidence-based Medicine Center Beijing Hospital of Traditional Chinese MedicineCapital Medical UniversityBeijing Institute of Traditional Chinese MedicineBeijing 100010China

This study is to investigate the effectiveness and safety of bloodletting puncture(BP)for acute ischemic stroke(AIS)when used in combination with standard treatment,as well as the patients'feelings and attitudes toward the *** is a mixed method research which includes a multi-center,superiority,randomized controlled clinical trial,and focus group interview.A total of 360 AIS participants will be *** will be randomized into one of the following two groups for 7 d:(a)BP with standard treatment group(n=180);(b)standard treatment group(n=180).The primary outcome will be National Institute of Health stroke scale(NIHSS)score at day 7 after *** outcomes will be changes of Glasgow Coma Scale score,NIHSS score,mRS and Traditional Chinese Medicine syndrome score from baseline to 7,14,and 30 d after treatment,recurrence rate and all-cause mortality rate within 30 d,and the safety *** focus group will be conducted with a purposive sample of 1-2 acupuncturists and 1-2 patients respectively at each center at 7 and 30 d after *** designed a mixed method study to evaluate the effect of BP,an acupuncture therapy for patients with *** the findings of this study confirm the effectiveness of BP to reduce the NIHSS score and other related outcomes and patients are willing to accept the therapy,we believe this study will help the implementation of this therapy in clinical practice,and provide new evidence for the treatment of AIS.

关键词： bloodletting punctures ischemic stroke equivalence trial randomized controlled trial focus groups clinical protocols

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Towards designing telepresence robot navigation for people with disabilities

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International Journal of Intelligent Computing and Cybernetics 2014年第3期7卷 307-344页

作者： Katherine M.Tsui Eric McCann Amelia McHugh Mikhail Medvedev Holly A.Yanco David Kontak Jill L.Drury Department of Computer Science University of Massachusetts LowellLowellMassachusettsUSA Assistive Technology Services Crotched Mountain Rehabilitation CenterGreenfieldNew HampshireUSA Multimedia and Collaboration Department The MITRE CorporationBedfordMassachusettsUSA

Purpose–The authors believe that people with cognitive and motor impairments may benefit from using of telepresence robots to engage in social *** date,these systems have not been designed for use by people with disabilities as the robot *** paper aims to discuss these ***/methodology/approach–The authors conducted two formative evaluations using a participatory action design ***,the authors conducted a focus group(n¼5)to investigate how members of the target audience would want to direct a telepresence robot in a remote environment using *** authors then conducted a follow-on experiment in which participants(n¼12)used a telepresence robot or directed a human in a scavenger hunt ***–The authors collected a corpus of 312 utterances(first hand as opposed to speculative)relating to spatial ***,the analysis of the corpus supported several speculations put forth during the focus ***,it showed few statistically significant differences between speech used in the human and robot agent conditions;thus,the authors believe that,for the task of directing a telepresence robot’s movements in a remote environment,people will speak to the robot in a manner similar to speaking to another *** implications–Based upon the two formative evaluations,the authors present four guidelines for designing speech-based interfaces for telepresence ***/value–Robot systems designed for general use do not typically consider people with *** work is a first step towards having our target population take the active role of the telepresence robot operator.

关键词： focus groups User studies Computer-mediated communication Design guidelines Human-robot interaction Spatial navigation command

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A Comparative Study of Pre-Service Teachers’ Views on Ethical Issues in Classroom Assessment in China and the United States

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Frontiers of Education in China 2019年第2期14卷 309-332页

作者： Xumei FAN Robert JOHNSON Jin LIU Xuegang ZHANG Xiumei LIU Tiejun ZHANG Department of Educational Studies University of South CarolinaColumbiaSC 29208USA Department of English Qingdao UniversityQingdao 266071China School of Law and Humanities China University of Mining and TechnologyBeijing 100083China

The purpose of this study was to compare pre-service teachers’views of ethical issues in assessment practices in the US and *** group interviews were conducted among 16 pre-service teachers from the US and 15 pre-service teachers from *** indicated that the inclusion of effort in grading is a key issue for the pre-service teachers in both the US and *** pre-service teachers have more consistent views with experts regarding using multiple assessment methods and communications about ***-service teachers in both countries appeared to have consistent views with experts regarding the confidentiality and standardized test *** findings of this study can help build guidelines regarding ethical issues in classroom assessment.

关键词： pre-service teachers ethical issues classroom assessment focus groups

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Working experiences of nursing aides in nursing homes:A qualitative study

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International Journal of Nursing Sciences 2015年第4期2卷 371-377页

作者： Yan-ping Wei Hong Li Ping Chen Jing Li Huiying Chen Li-Li Chen Clinical Medical College of Fujian Provincial Hospital Fujian Medical UniversityNo 134East StreetFuzhou CityFujian ProvinceChina Fujian Provincial Hospital No 134East StreetFuzhou CityFujian ProvinceChina Nursing School of Fujian Medical University No 1 Xueyuan RoadShangjie TownMinhou CountyFuzhouFujianChina

Objective:To examine how nursing aides in nursing homes perceived their caring ***:Twenty-four nursing aides from one public and one private nursing home in Fuzhou,Fujian Province,China were selected and interviewed in focus *** analysis was ***:Two themes(positive and negative working experiences)and six sub-themes were drawn:companionship,happiness,trust,achievement,hard work,and ***:A reasonable work arrangement,positive psychological intervention,and the strengthening of professional,medical and social supports are recommended to improve the work quality and satisfaction of nursing aides in elderly homes.

关键词： focus groups Interviews Nursing aides Nursing homes Qualitative research

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Identification of a detailed function list for public health emergency management using three qualitative methods

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Chinese Medical Journal 2007年第21期120卷 1908-1913页

作者： HU Guo-qing RAO Ke-qin SUN Zhen-qiu Department of Epidemiology and Health Statistics School of Public Health Central South University Changsha 410078 China Centre for Health Statistics and Information Ministry of Health of China Beijing 100044 China

Background At present, many administrators lack a theoretica health emergencies. This study developed a detailed function building the management systems scientifically. guide to build management systems to cope with public list for public health emergency management to help Methods The five steps in this study including literature review, semistructured interviews with experts, focus group, Delphi study and focus group were conducted to develop the detailed list of functions. Results An initial list of 25 functions with 188 items was formed through literature review. The list was reduced to 10 functions with 57 items by semistructured interviews with experts and focus group. Next, all these 57 items reached the consensus through one-round Delphi study. Some revisions of the consensus were done by the same focus group. Conclusion The final 10 functions with 57 items could be used as a guide for most countries during their building of a public health emergency management system.

关键词： public health emergencies interview focus groups Delphi technique

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Nursing Staff’s Experiences of Providing Toilet Assistance to Elderly Nursing Home Residents with Urinary Incontinence

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Open Journal of Nursing 2017年第2期7卷 145-157页

作者： Doris Hagglund Emma Momats Tiffany Mooney Department of Nursing School of EducationHealth and Social StudiesDalarna UniversityFalunSweden Mora Emergency Ward MoraSweden Leksand Primary Health Care Clinic LeksandSweden

Introduction: Urinary incontinence is a common condition among elderly. It affects their daily life and quality of life. Toilet assistance may decrease urinary incontinence episodes among elderly. Many nursing home residents do not receive the available evidence-based toilet assistance they need. Aim: The aim of the present study was to describe nursing staff members’ experiences of providing toilet assistance to elderly nursing home residents with urinary incontinence. Design: A descriptive design with a qualitative content analysis method was used. Method: Four nurses and seven auxiliary nurses were interviewed in three homogenous focus groups. Data were collected during spring 2015. Results: The most essential opportunity factor for good toilet assistance was the nursing staff’s attitude and behavior regarding the elderly’s need to visit the lavatory. This resulted in individual toilet assistance in which the elderly’s integrity and needs were cared for. Functioning routines and sufficient staff availability were crucial in determining whether the elderly could visit the lavatory. Other enabling factors for good toilet assistance were information and education of staff. The main obstructing factors for good toilet assistance were the elderly’s decreased cognitive ability, negative attitudes toward receiving toilet assistance and lack of communication and co-operation between professionals with regard to prescribing and fastening individual incontinence aids. Conclusion: Providing toilet assistance is a considerable nursing intervention for elderly to help them regain continence or contain incontinence, whenever possible. Person-centered incontinence care is important for developing and adjusting toilet assistance based on each older person’s individual needs.

关键词： focus groups Nursing Staff Nursing Home Residents Toilet Assistance Urinary Incontinence

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Vegetables, Herbs and Spices: The Importance of Family and Tasting

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Health 2016年第14期8卷 1554-1565页

作者： Pamela A. Heinrichs Cassandra J. Nikolaus Brenna Ellison Sharon M. Nickols-Richardson Karen Chapman-Novakofski University of Illinois at Urbana-Champaign Champaign IL USA Currently Address: The Hersey Company Hershey PA USA

Objective: To explore why and how consumers utilize vegetables, herbs and spices. Methods: focus groups were conducted with adult participants (n = 54) to determine attitudes, self-efficacy, and behaviors related to liking and usage of vegetables, herbs and spices as well as strategies to increase vegetable intake. Results: Seasonal availability, and family-centered memories and practices were motivation for vegetable intake. A diverse number of vegetables (n = 39) were listed as favorites based on taste and versatility, but seasonings were not commonly included in responses regarding preparation. Participants felt that vegetable dish names should reflect ingredients explicitly;that seasonings enhanced vegetable flavors;and that salt and pepper were most commonly used seasonings. The preferred strategy to increase vegetable consumption was through tasting or sampling opportunities;seasoning use was not mentioned. However, participants perceived that suggestions or demonstrations on how to prepare vegetables at home would be helpful. Personal gardens were mentioned frequently, but were not connected to strategies for increasing intake. Conclusions and Implications: Vegetable intake has a family focus that should be emphasized to increase intake. Efforts to increase intake could emphasize flavor and versatile preparation methods through tasting opportunities or educational demonstrations.

关键词： Dietary Habits focus groups Vegetables Spices Herbs

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Development and validation of a rapid psychosocial well-being screening tool in patients with metastatic breast cancer

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International Journal of Nursing Sciences 2022年第3期9卷 303-312,I0002页

作者： Bhumipat Thanasansomboon Songphan Choemprayong Napa Parinyanitikul Uthai Tanlamai Manika Wisessathorn Yupin Patarapongsant Technopreneurship and Innovation Management Graduate SchoolChulalongkorn UniversityBangkokThailand Department of Library Science Faculty of ArtsChulalongkorn UniversityBangkokThailand Behavioral Research and Informatics in Social Science Research Unit Sasin Graduate Institute of Business AdministrationChulalongkorn UniversityBangkokThailand Division of Therapeutic Radiology and Oncology Faculty of MedicineChulalongkorn UniversityBangkokThailand Department of Accountancy Chulalongkorn Business SchoolChulalongkorn UniversityBangkokThailand Department of Psychology Faculty of EducationRamkhamhaeng UniversityBangkokThailand

Objective The aim of this study was to develop and validate a rapid psychosocial well-being screening tool for metastatic breast cancer patients(MBC-PsySoc-Well-being).Methods Applying a mixed method approach,the study was conducted in two *** 1,a focus group method was employed for item development,and three focus group sessions were conducted,with patients,caregivers,and medical professionals,*** 2,validity and reliability testing were *** experts reviewed items for content *** validity,criterion-related validity,internal consistency,and test-retest reliability were conducted among a sample of 53 patients with metastatic breast *** Six themes were qualitatively analyzed based on focus group participants’*** items were then developed based on these *** index of Item-Objective Congruence scored by the experts ranged from 0.6 to *** exploratory factor analysis yielded three factors:Being curious and active in information seeking,Enthusiasm to return to a normal life,and Adjusting to positive *** total scores of MBC-PsySoc-Well-being and the European Organization for Research and Treatment of Cancer’s Quality of Life Core Questionnaire(EORTC QLQ-C30)were moderately correlated(r=0.404,P=0.003).Cronbach’sαcoefficient of the overall scale was *** correlation coefficients of items between two tests within 14-day ranged from 0.410 to *** This study represents an initiative to develop a rapid psychosocial well-being screening tool for patients with metastatic breast *** results from validity and reliability testing indicate that the scale is moderately suitable for application to patients with metastatic breast ***,a larger scale study should be further administered to confirm the validity and reliability of the measurement.

关键词： Breast neoplasms focus groups Information seeking behavior Measurement Psychosocial functioning Quality of life

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Perceptions and barriers that influence the ability to provide appropriate incontinence care in nursing home residents: Statements from nursing staff

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Open Journal of Nursing 2013年第6期3卷 437-444页

作者： Liv Heidi Skotnes Ove Hellzen Esther Kuhry Department of Medicine Division of GeriatricsNord-Trondelag HealthTrustNamsosNorway Nord-Trondelag University College NamsosNorway Department of Health Sciences Mid-Sweden UniversityOstersundSweden Department of Surgery St.Olavs HospitalTrondheimNorway

Urinary incontinence is a common medical condition among nursing home residents. Urinary incontinence in older people has a multifactorial etiology and is therefore more difficult to assess and treat than urinary incontinence in younger people. Previous research has shown that incontinence care in nursing home residents often is inadequate and little systematized. The aim of this study was to identify perceptions and barriers that influence the ability of the nursing staff to provide appropriate incontinence care. This was a qualitative study using focus-group methodology. Data were collected from three focus-group interviews with 15 members of the nursing staff from six different units in a nursing home. The focus-group interviews were recorded on tape, transcribed verbatim and analyzed according to qualitative content analysis. Three topics and eight categories were identified. The first topic, Perceptions and barriers associated with residents, consisted of one category: “physical and cognitive problems”. The second topic, Perceptions and barriers associated with nursing staff, consisted of three categories: “lack of knowledge”, “attitudes and beliefs” and “lack of accessibility”. The third topic, Perceptions and barriers associated with organizational culture, consisted of four categories: “rigid routines”, “lack of resource”, “lack of documentation” and “lack of leadership”. The findings from this study show that there are many barriers that might influence the possibilities of nursing staff to provide appropriate incontinence care to residents in nursing homes. However, it can nevertheless seem like opinions and the attitude of nursing staff, together with a lack of knowledge about UI, are the most important barriers to provide appropriate incontinence care.

关键词： Content Analysis focus groups Incontinence Care Nursing Homes Urinary Incontinence

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Expectations of survivors towards disaster nurses in Indonesia:A qualitative study

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International Journal of Nursing Sciences 2019年第4期6卷 392-398页

作者： Herni Susanti Achir Yani S.Hamid Sigit Mulyono Arcellia F.Putri Yudi A.Chandra Faculty of Nursing Universitas Indonesia Indonesia Indonesian Emergency and Disaster Nurses Association Indonesia

Objective: This study aims to explore the expectations of survivors towards disaster ***: The study used qualitative content *** were collected in 2017 through three focus group discussions with 21 survivors and in-depth interviews with three community leaders;the respondents had experienced one of the following events: a) an earthquake in Padang 2009,b) a volcanic eruption in Yogyakarta 2010,and c) flooding in Jakarta ***: Four themes represented survivors' expectations of what nurses can do in responding to a disaster,including: a) provision of direct nursing care,b) provision of information of health service access,c) provision of resources through cross-sector coordination,and d) disaster preparedness activities for the ***: This study suggests the importance of disaster nurses having the competency to update information regarding healthcare access,particularly the utilization of health insurance and providing culturally competent care to the *** nurses are also expected to be able to train the community and families about preparedness-related ***,these disaster nurses should improve their competency in disaster risk *** broadly,such nurses should have the ability to advocate and coordinate with the local government and other stakeholders regarding access to healthcare services and continuous rapid assessment,so that survivors receive immediate and appropriate treatment.

关键词： Disasters focus groups Health services accessibility Indonesia Nurses Professional competence Survivors

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