目的:通过文献回顾分析慢性病自我管理的概念定义、属性、前因、后果、测评工具,明确慢性病自我管理的概念。方法:系统检索PubMed、CINAHL、Web of Science、中国知网、万方数据库中慢性病自我管理相关文献,采用Walker and Avant概念分...目的:通过文献回顾分析慢性病自我管理的概念定义、属性、前因、后果、测评工具,明确慢性病自我管理的概念。方法:系统检索PubMed、CINAHL、Web of Science、中国知网、万方数据库中慢性病自我管理相关文献,采用Walker and Avant概念分析法进行分析。结果:分析相关文献,归纳出慢性病自我管理的概念属性为病人积极主动参与护理过程;存在病人与保健提供者的互动;借助一定的健康管理手段;目的是维护慢性病病人的健康状况和日常生活能力。结论:明确了慢性非传染性疾病背景下的自我管理概念,有助于促进慢性病自我管理在临床工作中的推广应用。展开更多
Objective:This paper aims to clarify the concept of occupational burnout(OB)as well as develop appropriate methods to relieve or prevent OB in the nursing profession.Methods:Walker and Avant's eight-step approach ...Objective:This paper aims to clarify the concept of occupational burnout(OB)as well as develop appropriate methods to relieve or prevent OB in the nursing profession.Methods:Walker and Avant's eight-step approach of concept analysis was applied.Results:OB was defined as a chronic form of work-related stress.Accurately,it was characterized by emotional exhaustion,depersonalization/cynicism,and reduced personal accomplishment/inefficacy.Antecedents of burnout included(a)demographic characteristics;(b)chronic exposure to work-related stressors;(c)quantitative and qualitative job demands;(d)lack of job resources;and(e)personality traits.Consequences involved(a)individual’s unfavorable quality of life;(b)negative impact on the organization;and(c)poor services quality.Although the Maslach Burnout Inventory(MBI)is perceived as an ideal tool to measure burnout and hence,it is used worldwide,whether this instrument fits to measure this concept for nurses has still not yet been verified and thus further research is needed.Conclusions:By proposing a comprehensive definition of the concept,this analysis contributes to recognition of the process of OB of nurses.All nurses are vulnerable to OB.Hence,burnout in nursing needs to be recognized as a critical factor in the delivery of safe patient care.It proposes that the prevention of OB would be achieved through team communication training,mindfulness group,education,etc.展开更多
In order to promote the nursing discipline to developindependently and scientifically, nursing practice shouldbe guided by nursing theory instead of intuition andexperience of nurses [1]. Nursing theory can assist nur...In order to promote the nursing discipline to developindependently and scientifically, nursing practice shouldbe guided by nursing theory instead of intuition andexperience of nurses [1]. Nursing theory can assist nursesto deliver individual patient’s care and help to improveobservation and recognition of specific patient need, be itbiological, psychological or social [2]. Nursing theory hasdeveloped quickly and successfully in recent decadesinternationally; however, it is still in the early stage ofdevelopment in China.展开更多
目的:分析并阐明口腔衰弱的概念内涵。方法:系统检索PubMed、Web of Science、ProQuest、中国知网、万方数据知识服务平台、CBM数据库与口腔衰弱相关的研究,检索时限为2013年1月1日~2024年2月23日,依据纳排标准选取文献,应用Walker and ...目的:分析并阐明口腔衰弱的概念内涵。方法:系统检索PubMed、Web of Science、ProQuest、中国知网、万方数据知识服务平台、CBM数据库与口腔衰弱相关的研究,检索时限为2013年1月1日~2024年2月23日,依据纳排标准选取文献,应用Walker and Avant概念分析法分析文献。结果:共纳入44篇文献,口腔衰弱包括3项定义属性:可逆性、多维性和可预测性。前因包括社会人口学因素、疾病史和多重用药史、不良饮食习惯;后果包括躯体衰弱、不良健康结局风险增加、营养不良、生活质量下降。结论:通过概念分析明确了口腔衰弱的概念属性,为后续开展相关研究提供了参考依据。未来研究可结合口腔衰弱的概念内涵,开发适合我国人群的口腔衰弱评估工具,促进口腔衰弱研究在我国的发展。展开更多
A phase one design of a new free energy nano reactor is presented. The design is based on a basically topological interpretation of the Casimir effect as a natural intrinsic property of the geometrical topological str...A phase one design of a new free energy nano reactor is presented. The design is based on a basically topological interpretation of the Casimir effect as a natural intrinsic property of the geometrical topological structure of the quantum-Cantorian micro spacetime. In particular we view dark energy, Hawking negative energy, Unruh temperature and zero point vacuum energy as being different sides of the same multi-dimensional coin. This new interpretation compliments the earlier conventional interpretation as vacuum fluctuation or as a Schwinger source and links the Casimir energy to the so-called missing dark energy density of the cosmos. We start with a general outline of the theoretical principle and basic design concepts of a proposed Casimir dark energy nano reactor. In a nutshell the theory and consequently the actual design depend crucially upon the equivalence between the dark energy density of the cosmos and the faint local Casimir effect produced by two sides boundary condition quantum waves. This Casimir effect is then colossally amplified as a one internal quantum wave representing a Hartle-Hawking state vector of the universe pushing from the inside against the boundary of the universe with nothing balancing it from the non-existent outside. This strange situation becomes completely natural and logical when we remember that the boundary of the universe is a one sided Möbius like manifold. In view of the present theory, this is essentially what leads to the observed accelerated expansion of the cosmos. As in any reactor, the basic principle in the present design is to produce a gradient so that the excess energy on one side flows to the other side. Thus in principle we will restructure the local topology of space using material nanoscience technology to create an artificial local high dimensionality with a Dvoretzky theorem like 96 percent volume measure concentration. Without going into the intricate nonlinear dynamics and technological detail, it is fair to say that this would lead us to pure, clean, free energy obtained directly from the topology of spacetime via an artificial singularity. Needless to say, the entire design is based completely on the theory of quantum wave dark energy proposed by the present author for the first time in 2011 in a conference held in the Bibliotheca Alexandrina, Egypt and a little later in Shanghai, Republic of China. The quintessence of the present theory is easily explained as the Φ3 intrinsic Casimir topological energy where Φ=?(√5-1)/2 is produced from the zero set Φ of the quantum particle when we extract the empty set quantum wave Φ2 from it and find Φ-Φ2=Φ3 by restructuring space via conducting but uncharged plates similar to that of the classical Casimir experiments. Our proposed preliminary design of this Casimir-spacetime artificial singularity reactor follows in a natural way from the above.展开更多
文摘目的:通过文献回顾分析慢性病自我管理的概念定义、属性、前因、后果、测评工具,明确慢性病自我管理的概念。方法:系统检索PubMed、CINAHL、Web of Science、中国知网、万方数据库中慢性病自我管理相关文献,采用Walker and Avant概念分析法进行分析。结果:分析相关文献,归纳出慢性病自我管理的概念属性为病人积极主动参与护理过程;存在病人与保健提供者的互动;借助一定的健康管理手段;目的是维护慢性病病人的健康状况和日常生活能力。结论:明确了慢性非传染性疾病背景下的自我管理概念,有助于促进慢性病自我管理在临床工作中的推广应用。
基金This project was supported by Medical Research Fund of Guangdong Province(No.A2018440).
文摘Objective:This paper aims to clarify the concept of occupational burnout(OB)as well as develop appropriate methods to relieve or prevent OB in the nursing profession.Methods:Walker and Avant's eight-step approach of concept analysis was applied.Results:OB was defined as a chronic form of work-related stress.Accurately,it was characterized by emotional exhaustion,depersonalization/cynicism,and reduced personal accomplishment/inefficacy.Antecedents of burnout included(a)demographic characteristics;(b)chronic exposure to work-related stressors;(c)quantitative and qualitative job demands;(d)lack of job resources;and(e)personality traits.Consequences involved(a)individual’s unfavorable quality of life;(b)negative impact on the organization;and(c)poor services quality.Although the Maslach Burnout Inventory(MBI)is perceived as an ideal tool to measure burnout and hence,it is used worldwide,whether this instrument fits to measure this concept for nurses has still not yet been verified and thus further research is needed.Conclusions:By proposing a comprehensive definition of the concept,this analysis contributes to recognition of the process of OB of nurses.All nurses are vulnerable to OB.Hence,burnout in nursing needs to be recognized as a critical factor in the delivery of safe patient care.It proposes that the prevention of OB would be achieved through team communication training,mindfulness group,education,etc.
文摘In order to promote the nursing discipline to developindependently and scientifically, nursing practice shouldbe guided by nursing theory instead of intuition andexperience of nurses [1]. Nursing theory can assist nursesto deliver individual patient’s care and help to improveobservation and recognition of specific patient need, be itbiological, psychological or social [2]. Nursing theory hasdeveloped quickly and successfully in recent decadesinternationally; however, it is still in the early stage ofdevelopment in China.
文摘目的:分析并阐明口腔衰弱的概念内涵。方法:系统检索PubMed、Web of Science、ProQuest、中国知网、万方数据知识服务平台、CBM数据库与口腔衰弱相关的研究,检索时限为2013年1月1日~2024年2月23日,依据纳排标准选取文献,应用Walker and Avant概念分析法分析文献。结果:共纳入44篇文献,口腔衰弱包括3项定义属性:可逆性、多维性和可预测性。前因包括社会人口学因素、疾病史和多重用药史、不良饮食习惯;后果包括躯体衰弱、不良健康结局风险增加、营养不良、生活质量下降。结论:通过概念分析明确了口腔衰弱的概念属性,为后续开展相关研究提供了参考依据。未来研究可结合口腔衰弱的概念内涵,开发适合我国人群的口腔衰弱评估工具,促进口腔衰弱研究在我国的发展。
文摘A phase one design of a new free energy nano reactor is presented. The design is based on a basically topological interpretation of the Casimir effect as a natural intrinsic property of the geometrical topological structure of the quantum-Cantorian micro spacetime. In particular we view dark energy, Hawking negative energy, Unruh temperature and zero point vacuum energy as being different sides of the same multi-dimensional coin. This new interpretation compliments the earlier conventional interpretation as vacuum fluctuation or as a Schwinger source and links the Casimir energy to the so-called missing dark energy density of the cosmos. We start with a general outline of the theoretical principle and basic design concepts of a proposed Casimir dark energy nano reactor. In a nutshell the theory and consequently the actual design depend crucially upon the equivalence between the dark energy density of the cosmos and the faint local Casimir effect produced by two sides boundary condition quantum waves. This Casimir effect is then colossally amplified as a one internal quantum wave representing a Hartle-Hawking state vector of the universe pushing from the inside against the boundary of the universe with nothing balancing it from the non-existent outside. This strange situation becomes completely natural and logical when we remember that the boundary of the universe is a one sided Möbius like manifold. In view of the present theory, this is essentially what leads to the observed accelerated expansion of the cosmos. As in any reactor, the basic principle in the present design is to produce a gradient so that the excess energy on one side flows to the other side. Thus in principle we will restructure the local topology of space using material nanoscience technology to create an artificial local high dimensionality with a Dvoretzky theorem like 96 percent volume measure concentration. Without going into the intricate nonlinear dynamics and technological detail, it is fair to say that this would lead us to pure, clean, free energy obtained directly from the topology of spacetime via an artificial singularity. Needless to say, the entire design is based completely on the theory of quantum wave dark energy proposed by the present author for the first time in 2011 in a conference held in the Bibliotheca Alexandrina, Egypt and a little later in Shanghai, Republic of China. The quintessence of the present theory is easily explained as the Φ3 intrinsic Casimir topological energy where Φ=?(√5-1)/2 is produced from the zero set Φ of the quantum particle when we extract the empty set quantum wave Φ2 from it and find Φ-Φ2=Φ3 by restructuring space via conducting but uncharged plates similar to that of the classical Casimir experiments. Our proposed preliminary design of this Casimir-spacetime artificial singularity reactor follows in a natural way from the above.
