Blockchain technology holds significant promise for driving innovations across diverse industries, businesses, and applications. Recognized as a crucial source of competitive advantage in a fast-evolving environment, ...Blockchain technology holds significant promise for driving innovations across diverse industries, businesses, and applications. Recognized as a crucial source of competitive advantage in a fast-evolving environment, blockchain is anticipated to contribute substantially to sustainable economic and social development. Despite these high expectations, many blockchain projects currently face high failure rates, leading to negative impacts on various aspects of economic and social sustainability, including corporate governance, risk management, financial management, human resources, culture management, and competitiveness. This paper evaluates adoption models, identifying both risk and success factors. It introduces an integrated adoption model designed to operationalize, measure, and manage blockchain-driven business innovation sustainably. An empirical study involving 20 industry sectors and 125 business leaders was conducted to assess the model’s applicability. The findings indicate that the adoption model has the potential to support the sustainable implementation of blockchain technology for business innovations across various industries and applications. Future research and industry activities should continue validating this model through further case studies.展开更多
目的评价态度-定义-开放思维-计划-实施(attitude-definition-openthinking-planning-try it out,ADOPT)问题解决模式延续性护理应用在糖尿病足患者护理中的意义。方法选取2023年4月-2024年3月庄浪县中医医院收治的90例糖尿病足患者为...目的评价态度-定义-开放思维-计划-实施(attitude-definition-openthinking-planning-try it out,ADOPT)问题解决模式延续性护理应用在糖尿病足患者护理中的意义。方法选取2023年4月-2024年3月庄浪县中医医院收治的90例糖尿病足患者为研究对象。根据护理方法的不同分为参照组(n=45,行常规护理)、研究组(n=45,行ADOPT问题解决模式延续性护理)。比较两组护理满意度、糖尿病足不良结局、自我管理能力。结果研究组护理满意度为95.56%(43/45),高于参照组的80.00%(36/45),差异有统计学意义(χ^(2)=5.075,P=0.024)。研究组不良糖尿病足不良结局发生率低于参照组,差异有统计学意义(P<0.05)。研究组自我管理能力评分各维度均高于参考组,差异均有统计学意义(P均<0.05)。结论ADOPT问题解决模式延续性护理的开展,可提高糖尿病足患者自我管理能力。展开更多
目的分析ADOPT[态度(attitude,A)、定义(definition,D)、开放思维(open mind,O)、计划(planning,P)、实施(try it out,T)]模式在妊娠期糖尿病产妇中的应用效果。方法以南通大学附属妇幼保健院于2022年1月至2023年2月收治的120例妊娠期...目的分析ADOPT[态度(attitude,A)、定义(definition,D)、开放思维(open mind,O)、计划(planning,P)、实施(try it out,T)]模式在妊娠期糖尿病产妇中的应用效果。方法以南通大学附属妇幼保健院于2022年1月至2023年2月收治的120例妊娠期糖尿病产妇为研究对象,根据入院顺序将其分为对照组与观察组,每组60例,其中对照组产妇年龄24~35岁[(28.35±5.06)岁],观察组产妇年龄23~36岁[(28.29±5.33)岁],对照组实行常规护理,观察组实行ADOPT模式。比较2组产妇干预前与干预7 d时的心理弹性量表评分、糖尿病自我效能量表评分以及血糖水平,并对比2组产妇不良妊娠结局发生率。结果干预前,2组产妇的心理弹性量表评分、糖尿病自我效能量表评分及血糖水平差异无统计学意义(P>0.05),干预7 d时,观察组产妇心理弹性量表评分、糖尿病自我效能量表评分均高于对照组,且观察组产妇的空腹血糖、餐后2 h血糖水平均低于对照组(P<0.05)。干预后,观察组产妇(6.67%)、新生儿(5.00%)的不良妊娠结局发生率均低于对照组产妇(20.00%)、新生儿(16.67%),差异有统计学意义(P<0.05)。结论ADOPT模式能够改善妊娠期糖尿病产妇的心理弹性,强化自我效能,有效控制其血糖水平,同时降低不良妊娠结局发生率。展开更多
Introduction: Today, information technology is considered as an important national development principle in each country which is applied in different fields. Health care as a whole and the hospitals could be regarded...Introduction: Today, information technology is considered as an important national development principle in each country which is applied in different fields. Health care as a whole and the hospitals could be regarded as a field and organizations with most remarkable IT applications respectively. Although different benchmarks and frameworks have been developed to assess different aspects of Hospital Information Systems (HISs) by various researchers, there is not any suitable reference model yet to benchmark HIS in the world. Electronic Medical Record Adoption Model (EMRAM) has been currently presented and is globally well-known to benchmark the rate of HIS utilization in the hospitals. Notwithstanding, this model has not been introduced in Iran so far. Methods: This research was carried out based on an applied descriptive method in three private hospitals of Isfahan—one of the most important provinces of Iran—in the year 2015. The purpose of this study was to investigate IT utilization stage in three selected private hospitals. Conclusion: The findings revealed that HIS is not at the center of concern in studied hospitals and is in the first maturity stage in accordance with EMRAM. However, hospital managers are enforced and under the pressure of different beneficiaries including insurance companies to improve their HIS. Therefore, it could be concluded that these types of hospitals are still far away from desirable conditions and need to enhance their IT utilization stage significantly.展开更多
文摘Blockchain technology holds significant promise for driving innovations across diverse industries, businesses, and applications. Recognized as a crucial source of competitive advantage in a fast-evolving environment, blockchain is anticipated to contribute substantially to sustainable economic and social development. Despite these high expectations, many blockchain projects currently face high failure rates, leading to negative impacts on various aspects of economic and social sustainability, including corporate governance, risk management, financial management, human resources, culture management, and competitiveness. This paper evaluates adoption models, identifying both risk and success factors. It introduces an integrated adoption model designed to operationalize, measure, and manage blockchain-driven business innovation sustainably. An empirical study involving 20 industry sectors and 125 business leaders was conducted to assess the model’s applicability. The findings indicate that the adoption model has the potential to support the sustainable implementation of blockchain technology for business innovations across various industries and applications. Future research and industry activities should continue validating this model through further case studies.
文摘目的评价态度-定义-开放思维-计划-实施(attitude-definition-openthinking-planning-try it out,ADOPT)问题解决模式延续性护理应用在糖尿病足患者护理中的意义。方法选取2023年4月-2024年3月庄浪县中医医院收治的90例糖尿病足患者为研究对象。根据护理方法的不同分为参照组(n=45,行常规护理)、研究组(n=45,行ADOPT问题解决模式延续性护理)。比较两组护理满意度、糖尿病足不良结局、自我管理能力。结果研究组护理满意度为95.56%(43/45),高于参照组的80.00%(36/45),差异有统计学意义(χ^(2)=5.075,P=0.024)。研究组不良糖尿病足不良结局发生率低于参照组,差异有统计学意义(P<0.05)。研究组自我管理能力评分各维度均高于参考组,差异均有统计学意义(P均<0.05)。结论ADOPT问题解决模式延续性护理的开展,可提高糖尿病足患者自我管理能力。
文摘Introduction: Today, information technology is considered as an important national development principle in each country which is applied in different fields. Health care as a whole and the hospitals could be regarded as a field and organizations with most remarkable IT applications respectively. Although different benchmarks and frameworks have been developed to assess different aspects of Hospital Information Systems (HISs) by various researchers, there is not any suitable reference model yet to benchmark HIS in the world. Electronic Medical Record Adoption Model (EMRAM) has been currently presented and is globally well-known to benchmark the rate of HIS utilization in the hospitals. Notwithstanding, this model has not been introduced in Iran so far. Methods: This research was carried out based on an applied descriptive method in three private hospitals of Isfahan—one of the most important provinces of Iran—in the year 2015. The purpose of this study was to investigate IT utilization stage in three selected private hospitals. Conclusion: The findings revealed that HIS is not at the center of concern in studied hospitals and is in the first maturity stage in accordance with EMRAM. However, hospital managers are enforced and under the pressure of different beneficiaries including insurance companies to improve their HIS. Therefore, it could be concluded that these types of hospitals are still far away from desirable conditions and need to enhance their IT utilization stage significantly.
