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Application of PDCA in improving hand hygiene compliance and nosocomial infection quality in orthopedics

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Frontiers of nursing 2024年第3期11卷 327-336页

作者： Ya-Ping Su Rui-Ling Li Yuan-Yuan Wang Yu-Rui Zhang Ya-Jie Ji nursing Teaching and Research Department School of Nursing and HealthHenan UniversityKaifengHenan 475004China Department of Continuing education The First Affiliated Hospital of Henan UniversityKaifengHenan 475000China

Objective:To explore the effect of the Plan-Do-Check-Action(PDCA)cycle on hand hygiene and nosocomial infection quality of or thopedic medical ***:The whole year of 2021 was selected to monitor the quality of hand hygiene and ***-up monitoring and real-time recording during the period of morning shift and medical operation concentration time,and compare the compliance of hand hygiene before and after implementation,and evaluate the quality of nosocomial ***:The hand hygiene compliance of doctors and nurses in stage P was 82%.The compliance of medical staff in stage D was 93%.The compliance of stage C was 94%and that of stage A was 95%.The quality score of hospital self-examination nosocomial infection was also significantly ***:The PDCA management cycle can effectively improve the compliance of hand hygiene and the nosocomial infection quality,which is wor thy of circulatory application in or thopedic nosocomial infection quality control,especially improving the quality of hand hygiene.

关键词： hand hygiene quality improvement PDCA nosocomial infection infection control nursing management

Preparedness,knowledge,and perception of nursing students about climate change and its impact on human health in India

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Regional Sustainability 2024年第1期5卷 107-118页

作者： Ramya Kundayi RAVI Priya BABY Nidhin ELIAS Jisa George THOMAS Kathyayani Bidadi VEERABHADRAIAH Bharat PAREEK College of nursing Medical and Health Sciences UniversityRas Al Khaimah11172United Arab Emirates College of nursing National Institute of Mental Health and Neuro sciencesBangalore560011India College of nursing Amrita Institute of Medical SciencesKochi682041India College of nursing All India Institute of Medical SciencesBhopal462020India Saraswati Professional and Higher education College of nursing Mohali140413India

Higher education plays an important role in all aspects of *** climate change and sustainability into the curriculum is important to prepare future health-care professionals for climate change and sustainability actions to build resilient health *** this study,we evaluated the preparedness,knowledge,and perception regarding climate change and its impact on human health among Indian nursing students.A quantitative descriptive survey was conducted among 644 undergraduate nursing students studying in three institutes in the southern,northern,and western parts of *** used a structured online questionnaire with established validity and reliability to collect *** data were analyzed using Statistical Package for the Social Sciences version 26 *** results showed that more than half of the students reported experiencing excessive increase(362;56.2%)and decrease(374;58.1%)in temperature in recent *** more than three quarters of the students(494;76.7%)accepted the general truth that climate change is mainly caused by human activities,only less than half of the students(309;48.0%)perceived the impact of climate change to be *** quarters of the students(483;75.0%)had a high level of knowledge regarding climate *** students who had a high level of knowledge about climate change exerted a high perceived impact of climate change(χ^(2)=75.47;Pnursing curriculum,and only one sixth of the students(16.1%)were highly confident about engaging in climate change-related conversation with *** of the students who participated in the study had basic knowledge about climate change and its impact on human ***,there is an observed gap between knowledge and their preparedness and confidence to engage in climate change ***,we propose to strengthen the nursing curriculum by integra

关键词： Climate change Curriculum nursing students Human health India

A New Method to Identify the Maximum Time Interval between Individual Events in Compound Rainstorm and Heatwave Events

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International Journal of Disaster Risk Science 2024年第3期15卷 453-466页

作者： Junlin Zhang Wei Xu Yu Qiao Xinli Liao Chenna Meng Qinmei Han Key Laboratory of Environmental Change and Natural Disaster of Ministry of education Faculty of Geographical Science Beijing Normal University Academy of Disaster Reduction and Emergency Management Ministry of Emergency Management and Ministry of Education Beijing Normal University State Key Laboratory of Earth Surface Processes and Resource Ecology Beijing Normal University National Climate Center China Meteorological Administration

Growing evidence indicates that extreme heat and rain may occur in succession within short time periods and cause greater impacts than individual events separated in time and space. Therefore, many studies have examined the impacts of compound hazard events on the social-ecological system at various scales. The definition of compound events is fundamental for such research. However, there are no existing studies that support the determination of time interval between individual events of a compound rainstorm and heatwave(CRH) event, which consists of two or more potentially qualifying component heatwave and rainstorm events. To address the deficiency in defining what individual events can constitute a CRH event, this study proposed a novel method to determine the maximum time interval for CRH events through the change in CRH event frequency with increasing time interval between individual events, using southern China as a case study. The results show that the threshold identified by the proposed method is reasonable. For more than 90% of the meteorological stations, the frequency of CRH events has reached a maximum when the time interval is less than or equal to the threshold. This study can aid in time interval selection, which is an important step for subsequent study of CRH events.

关键词： Compound extreme weather event Rainstorm and heatwave Southern China Threshold Time interval

Evaluating the influence of a structured nursing protocol on targeted outcomes in rheumatoid arthritis patients

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Journal of Integrative nursing 2024年第1期6卷 22-28页

作者： Mohammed Elsayed ZAKY Shimaa Magdi FARGHALY Osama Mohamed Elsayed RAMADAN Rehab M.ABDELKADER Mostafa SHABAN Department of Medical Surgical nursing Faculty of Nursing Cairo UniversityCairoEgypt Department of Medical Surgical nursing College of NursingJouf UniversitySakakaAljawfSaudi Arabia Faculty of nursing Cairo University CairoEgypt Department of Geriatric nursing Faculty of Nursing Cairo UniversityCairoEgypt

Objective:Rheumatoid arthritis(RA)requires comprehensive *** nursing protocols may enhance outcomes,but evidence is *** study evaluated the effect of a structured nursing protocol on RA *** and Methods:In this one-group pre-post study,30 Egyptian RA patients completed assessments before and after a 12-week nursing protocol comprising education,psychosocial support,and self-management *** included clinical evaluation of joint counts,erythrocyte sedimentation rate(ESR),and C-reactive protein(CRP)and patient-reported Arthritis Self-Efficacy Scale(ASES),Health Assessment Questionnaire(HAQ),Visual Analog Scale(VAS)for pain,and Hospital Anxiety and Depression Scale(HADS).Results:The study demonstrated significant improvements in both clinical-and patient-reported *** count decreased from 18.4±4.2 to 14.2±3.8(Pnursing protocol significantly improved clinical disease activity,physical functioning,pain,self-efficacy,and emotional well-being in RA patients.A multifaceted nursing intervention appears beneficial for optimizing RA outcomes.

关键词： nursing care patient education quality of life rheumatoid arthritis self‑management

Association of spiritual well-being with quality of life among undergraduate nursing students

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Journal of Integrative nursing 2024年第1期6卷 49-54页

作者： Ahmad SHAHID Hina HUSSAIN Nazia SHUAIB Ahmad RASOOL Fatima YOUNIS Zoya NASAB Department of nursing Professional College of Nursing and Health SciencesIslamabadPakistan Department of nursing Rawal Institute of Health SciencesIslamabadPakistan Department of nursing Rawal College of NursingIslamabadPakistan School of nursing and Health Zhengzhou UniversityZhengzhouChina

Objective:The study was conducted with the aim of determining the spiritual well-being(SWB)of nursing students and its association with quality of life(QOL).Materials and Methods:A cross-sectional analytical study was conducted with a sample size of 504 nursing students collected from January 2023 to March 2023 in the nursing institutes of Khyber Pakhtunkhwa,Pakistan,using convenient sampling techniques.A Spiritual Health and Life-Orientation Measure(SHALOM)questionnaire for SWB and K-27 QOL(K-27 QOL)instrument were used for data collection that contains three ***:The number of female participants was in the majority(50.4%)compared to male nurses(49.6%).The overall mean score of SWB of the students was 3.79±0.48,while the mean K-27 QOL score was 3.73±*** were significant differences between the groups of gender(P=0.001),while no significant difference within the groups of semester(P=0.061)and college status(0.285).In QOL,there were significant differences within the groups of semester(P=0.000)and college status(P=0.036)while no significant difference in gender category(P=0.480).SHALOM score is positively and moderately correlated with QOL score(r=0.597,P<0.05).Conclusion:Spiritual practices are one of the important factors that are associated positively with QOL,therefore to enhance the QOL,it will require spiritual practices.

关键词： nursing education nursing student quality of life spiritual nursing care spirituality well‑being

Mindfulness Facets and Psychological Well-Being among Meditators:Serenity as a Mediating Process

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International Journal of Mental Health Promotion 2024年第3期26卷 177-187页

作者： Rebecca Y.M.Cheung Iris Yili Wang Elsa Ngar-Sze Lau School of Psychology and Clinical Language Sciences University of ReadingReadingUK Department of Special education and Counselling The Education University of Hong KongHong KongChina Department of educational administration and Policy The Chinese University of Hong KongHong KongChina

Guided by the theoretical processes of mindfulness and psychological well-being,this study examined serenity as a mediator between mindfulness facets and psychological well-being,as indexed by depressive symptoms and life *** were 133 mindfulness practitioners who took part in a 3-day transnational meditation event in Hong *** informed consent,participants completed a self-report *** findings from structural equation modeling showed that serenity mediated the relation between two facets of mindfulness,including describing and nonreacting to inner experience,and life *** also mediated the relation between the mindfulness facet of describing and depressive *** associations were indicated between two mindfulness facets,including observing and nonjudging of inner experience,and depressive *** together,the findings revealed mindfulness facets as major correlates of serenity and psychological outcomes among Chinese meditation *** foster psychological well-being,researchers,educators,and practitioners should pay attention to the role of serenity,describing,and nonreacting to inner experience in mental health.

关键词： Depressive symptoms mindfulness mindfulness practitioners satisfaction with life serenity

Defining soft skills in nursing:a concept analysis

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Frontiers of nursing 2024年第3期11卷 243-252页

作者： Luke Laari Oboshie Anim-Boamah Margaret Nyame Department of Public Health nursing School of Nursing and MidwiferyCollege of Health SciencesUniversity of GhanaLegonAccraGhana Department of Research Education and AdministrationSchool of Nursing and MidwiferyCollege of Health SciencesUniversity of GhanaLegonAccraGhana Emergency Unit Holy Family HospitalNkawkawEastern RegionGhana

Objective:To define soft skills in ***:This is a concept analysis using the Walker and Avant *** electronic databases in the English language including CINAHL,Science Direct,MEDLINE on EBSCOhost,and Scopus were ***:Soft skills in nursing include the intrapersonal attributes,interpersonal skills,and creativity of the nurse,which,when combined with professionalism,teamwork,and effective communication skills,improve the quality of nursing care and client ***:Although hard and soft skills are compatible and synergetic,soft skills are to be prioritized for the success of nursing care in the healthcare *** concept analysis adds to the body of knowledge by identifying the attributes of soft skills in nursing and revealing that a good nurse needs more than just good grades to be successful.

关键词： communication hard skills individual creativity interpersonal skills intrapersonal traits nursing care soft skills

Scientific Advances and Weather Services of the China Meteorological administration’s National Forecasting Systems during the Beijing 2022 Winter Olympics

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Advances in Atmospheric Sciences 2024年第5期41卷 767-776页

作者： Guo DENG Xueshun SHEN Jun DU Jiandong GONG Hua TONG Liantang DENG Zhifang XU Jing CHEN Jian SUN Yong WANG Jiangkai HU Jianjie WANG Mingxuan CHEN Huiling YUAN Yutao ZHANG Hongqi LI Yuanzhe WANG Li GAO Li SHENG Da LI Li LI Hao WANG Ying ZHAO Yinglin LI Zhili LIU Wenhua GUO China Meteorological administration Earth System Modeling and Prediction Centre Beijing 100081China State Key Laboratory of Severe Weather China Meteorological AdministrationBeijing 100081China Key Laboratory of Earth System Modeling and Prediction China Meteorological AdministrationBeijing 100081China National Meteorological Center China Meteorological AdministrationBeijing 100081China Environmental Modeling Center/NCEP/NWS/NOAA College ParkMD 20740USA Nanjing University of Information Science and Technology Nanjing 210044China Institute of Urban Meteorology China Meteorological AdministrationBeijing 100089China School of Atmospheric Sciences and Key Laboratory of Mesoscale Severe Weather/Ministry of education Nanjing UniversityNanjing 210023China Tsinghua University Beijing 100084China

Since the Beijing 2022 Winter Olympics was the first Winter Olympics in history held in continental winter monsoon climate conditions across complex terrain areas,there is a deficiency of relevant research,operational techniques,and *** made providing meteorological services for this event particularly *** China Meteorological administration(CMA)Earth System Modeling and Prediction Centre,achieved breakthroughs in research on short-and medium-term deterministic and ensemble numerical *** key technologies crucial for precise winter weather services during the Winter Olympics were developed.A comprehensive framework,known as the Operational System for High-Precision Weather Forecasting for the Winter Olympics,was *** of these advancements represent the highest level of capabilities currently available in *** meteorological service provided to the Beijing 2022 Games also exceeded previous Winter Olympic Games in both variety and *** included achievements such as the“100-meter level,minute level”downscaled spatiotemporal resolution and forecasts spanning 1 to 15 *** 30 new technologies and over 60 kinds of products that align with the requirements of the Winter Olympics Organizing Committee were developed,and many of these techniques have since been integrated into the CMA’s operational national forecasting *** accomplishments were facilitated by a dedicated weather forecasting and research initiative,in conjunction with the preexisting real-time operational forecasting systems of the *** program represents one of the five subprograms of the WMO’s high-impact weather forecasting demonstration project(SMART2022),and continues to play an important role in their Regional Association(RA)II Research Development Project(Hangzhou RDP).Therefore,the research accomplishments and meteorological service experiences from this program will be carried forward into forthcoming highimpact weather

关键词： Beijing Winter Olympic Games CMA national forecasting system data assimilation ensemble forecast bias correction and downscaling machine learning-based fusion methods

The impact of foot reflexology on fatigue and sleep quality in school-aged children undergoing hemodialysis

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Journal of Integrative nursing 2024年第2期6卷 76-82页

作者： Amal Hashem MOHAMED Mostafa SHABAN Huda Hamdy MOHAMMED Randa Mohamed ABOBAKER Salman Hamdan ALSAQRI Rania Abd-Elnaby Mohammed ALLAM Faculty of nursing Minia UniversityMinyaEgypt College of nursing Jouf UniversitySakakaSaudi Arabia Faculty of nursing Cairo UniversityGizaEgypt Northern College of nursing ARARSaudi Arabia College of nursing University of HailHailSaudi Arabia

Objective:This study aimed to evaluate the effects of foot reflexology on fatigue and sleep quality in school-aged children receiving ***:A quasi-experimental pretest-posttest design was *** children of ages 6-12 undergoing in-center hemodialysis were *** Pittsburgh Sleep Quality Index(PSQI)and Inventory of Fatigue Symptom(IFS)scales were administered at *** then received 30 min of foot reflexology massage before hemodialysis sessions 3 days per week for 12 *** administration of the sleep and fatigue scales occurred after the intervention ***:Reflexology massage led to significant improvements in sleep quality components,including duration(0%-30%normal sleepers),efficiency(0%-50%>85%),latency(50%-0%>60 min),disturbances,and daytime *** mean PSQI score decreased from 18.2 to 9.7(Pnursing intervention for reducing fatigue and improving sleep quality in children on hemodialysis,warranting integration into routine care.

关键词： Fatigue hemodialysis massage pediatric reflexology sleep