Learning from the wisdom and insights of others remains one of the most effective paths to progress.This is the driving force behind our commitment to experience sharing.The March/April issue features three renowned i...Learning from the wisdom and insights of others remains one of the most effective paths to progress.This is the driving force behind our commitment to experience sharing.The March/April issue features three renowned international standardization experts who share their journeys,the strategic"hows and whys"of global participation,and the critical role of stakeholder engagement in shaping the future of the industry.展开更多
We found the qualitative study by Xu et al.on how patients feel about laparoscopic incisions under enhanced recovery after surgery(ERAS)protocols to be very interesting.1 Xu et al.carried out a qualitative study on pa...We found the qualitative study by Xu et al.on how patients feel about laparoscopic incisions under enhanced recovery after surgery(ERAS)protocols to be very interesting.1 Xu et al.carried out a qualitative study on patient experience with laparoscopic incisions under an ERAS protocol to highlight the problem of psychosocial and aesthetic concerns,which are often overlooked when planning surgical operations.This study,which involved semistructured interviews with sixteen people,aimed to narrow perioperative education and the decision-making process for incision site selection,thus making the processes more focused on patient priorities.The study is based on a timely but under-researched subject area;however,it is possible to outline four possible areas of improvement that would allow the study to be more transparent and,at the same time,more applicable to clinical practice.展开更多
As a key carrier for the implementation of the core quality of"aesthetic creativity",the effective realization of the aesthetic value of language textbook illustrations is facing the real problems of practic...As a key carrier for the implementation of the core quality of"aesthetic creativity",the effective realization of the aesthetic value of language textbook illustrations is facing the real problems of practical disconnection and theoretical gap.Based on the theories of semiotics,embodied cognition and cultural reproduction,this paper innovatively puts forward the concept of"transformation mechanism of aesthetic education",constructs a three-phase The study analyzes the dynamic transformation process of illustrations from image symbols to students'aesthetic experience.The study explains the essential characteristics of illustration as a dual symbolic system of"likenessregulation",reveals the cognitive ladder of"perception-cognition-creation"and the path of realization of embodied cognition,and points out that the current aesthetic education of illustration has the problem of instrumentalization,and that the current aesthetic education of illustration has the problem of instrumentalization.The study points out that the current aesthetic education of illustrations is plagued by instrumental alienation,cultural hegemony and aesthetic flattening,and proposes a"three-in-one"education path from the dimensions of teachers,teaching materials and culture,including improving teachers'aesthetic education,reconstructing the principles of teaching materials and dynamic revision mechanism,and constructing classroom aesthetic education communities.The study provides new perspectives and practical guidance for exploring the aesthetic value of language textbook illustrations and bridging the gap between the theories of aesthetics and pedagogy,aiming to promote the return of aesthetic education to the nature of"reconstruction of experience",and to cultivate students'aesthetic literacy and sound personality.展开更多
The development of pattern-based traditional Chinese medicine(TCM)compound preparations constitutes a core domain that represents the principle of pattern differentiation-based treatment,a hallmark of TCM.However,the ...The development of pattern-based traditional Chinese medicine(TCM)compound preparations constitutes a core domain that represents the principle of pattern differentiation-based treatment,a hallmark of TCM.However,the field has long been constrained by scientific and regulatory challenges in animal modeling,efficacy evaluation,and clinical positioning.This article proposes a new research and development(R&D)paradigm strategically based on human use experience(HUE)and centered on the patient as the key to overcoming these bottlenecks and achieving high-quality progress.We systematically dissect the traditional problems in this field and demonstrate the pivotal role of high-quality HUE in enabling precise clinical positioning and optimizing R&D pathways(e.g.,applying for exemptions from non-clinical studies).HUE guides the implementation of the“pattern-symptom integration”model.Furthermore,we detail the implementation of the patient-centered concept throughout the process of clinical trial design,collection of patients’experience data,clinical outcome assessment,and benefit-risk assessment.The integrative application of artificial intelligence in the R&D of pattern-based TCM drugs is also specifically explored.By synthesizing the“TCM theory,HUE,and clinical trials”evidence system,this article aims to provide a systematic strategic framework for establishing an R&D pathway that adheres to the intrinsic principles of TCM while simultaneously meeting modern scientific standards.展开更多
Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nu...Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nurse-led vir tual clinic is challenging for nursing management,par ticularly regarding resources.We aimed to investigate nursing practices and processes and patient experiences in relation to vir tual outpatient clinics.Methods:This was a cross-sectional,descriptive study using mixed data collection methods.Patients(n=324)from 4 specialist clinics completed the Virtual Clinics Patient Satisfaction Questionnaire(VCSQ)survey.Five Nurse Specialists participated in a focus group interview.Results:Most participants(86.3%)reported being satisfied/very satisfied with the virtual clinics,particularly those that were nurse-led.Nurse specialists identified electronic health records(EHRs)and additional IT and administrative support as important for efficiency and effectiveness of the clinics.Conclusions:Nurse-led virtual clinics can be an effective and efficient way to provide care to patients.Nurse managers need to ensure supportive structures are in place,for example,dedicated administrators,IT support and infrastructure,education/training,and relevant policies/procedures.The success of nurse-led virtual services requires key infrastructure to support nursing staff and sustain this service.展开更多
The subject matter of this paper is the thesis on the underdetermination of theory by experience,in the local account due to Duhem and in the global version due to Quine.This thesis has significant implications concer...The subject matter of this paper is the thesis on the underdetermination of theory by experience,in the local account due to Duhem and in the global version due to Quine.This thesis has significant implications concerning some epistemic uncertainty about the accuracy of the tested predictions of theories.We find this thesis plausible,though more feasible,limited to physical theories,as in Duhem’s approach.We examine the thesis of the impossibility of crucial experiments that Duhem finds implied by his thesis on empirical indeterminacy,as well as the thesis of the possibility of empirically equivalent theories that are logically incompatible,which Quine also finds linked to his thesis on empirical indeterminacy.From a conceptualist approach that acknowledges the abstract character of physical concepts and the idealized nature of physical laws,and assuming Hanson’s thesis on the theory laden of scientific observation,we conclude that the anterior Duhem’s thesis is sound,although the preceding Quine’s thesis does not seem viable.展开更多
Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more ...Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more rational“Internet Nursing Service”model.Methods A systematic search in PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Database,and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’experiences with“Internet Nursing Service,”with a retrieval time limit from December 2019 to June 2024.Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes,organization of codes into descriptive themes,and development of analytical themes.Results A total of 19 studies were included,one study was rated as Grade A in quality evaluation,and the remaining studies were rated as Grade B.Collectively synthesized into three integrated results:Harvest and growth,Difficulties and challenges,and Expectations and support.Harvest and growth,include 1)manifestation of self-value,2)enhancing nursing capabilities,3)optimizing nursing resources;Difficulties and challenges,include 1)lack of safety guarantee,2)role conflict;Expectations and support include,1)expectation for professional knowledge and skill training,2)expectations for service platform optimization,3)expectation for reasonable charges,4)expectation for related policy support.Conclusion“Internet Nursing Service”model benefits both nurses and patients,but still full of challenges.It aids in the decentralization of medical resources.Management departments still need to encourage nurses to actively invest in“Internet Nursing Service”while ensuring their safety and interests.展开更多
Objectives Nurses’clinical research activities have contributed to optimizing the care process and improving patient outcomes,and generative artificial intelligence(GAI)may help clinical nurses strengthen their resea...Objectives Nurses’clinical research activities have contributed to optimizing the care process and improving patient outcomes,and generative artificial intelligence(GAI)may help clinical nurses strengthen their research skills.To support research,this study aimed to explore the Chinese nurses’perceptions and experiences of GAI training.Methods This study used a descriptive qualitative design.The China Nurses Network conducted a three-day training session on“GAI for Nursing Research”theme,we selected 23 nurses by a convenience sampling method among participating in the training.The researchers conducted three focus group interviews at the end of each day.All focus groups were interviewed face-to-face to facilitate interaction,data collection,and observation.The data were analyzed using conventional content analysis and coded manually.Results The results showed that nurses’use of GAI to support scientific research was dynamic and characterized by evolving perceptions and practices.Four themes and 11 sub-themes emerged from the analysis:1)utilization efficacy:cope with research ability,affected by many factors;2)booster research:growth and challenges go hand in hand;3)role reversal:from GAI-dominated to nurse-dominated;4)beautiful dream:more features on research,more assistants on clinical care.Conclusions The effectiveness of GAI in supporting clinical nurses in conducting research is mainly limited by differences in personal research literacy,lack of ethical regulation,and information accuracy.In the future,it is necessary to improve nurses’relevant skills through specialized training and promote the standardization of technical regulations to ensure the appropriate application of GAI in nursing research.展开更多
Duangsamorn Wattanapathitiwong—usually called by her Chinese name Wang Ximei these days—never expected a Chinese television drama to lead her to a life in China,a marriage rooted in cross-cultural understanding,and ...Duangsamorn Wattanapathitiwong—usually called by her Chinese name Wang Ximei these days—never expected a Chinese television drama to lead her to a life in China,a marriage rooted in cross-cultural understanding,and a profession that now bridges two nations.From a university student in Thailand puzzled by Chinese dialogue to a Thai language lecturer in China influencing the next generation of Thailand-China communicators,Wang’s journey is a story of resilience,romance,and responsibility.展开更多
BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain d...BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain during IAHIs and the role of preinjection local anesthesia in pain modulation remains unclear.AIM To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.METHODS This prospective study enrolled 60 patients undergoing IAHI,30 receiving pre-injection superficial local anesthesia and 30 serving as a control group without pre-injection local anesthesia.Pain levels were assessed using numeric rating scales.RESULTS Patients significantly overestimated anticipated pain compared to experienced pain(6.43±2.48 vs 3.68±2.37,P<0.001).Pre-injection local anesthesia did not significantly reduce experienced pain(3.19±2.38 vs 4.20±2.29,P=0.130).CONCLUSION Patients overestimate anticipated pain during IAHIs.Pre-injection local anesthesia does not reduce experienced pain.展开更多
BACKGROUND Older patients often experience thirst after general anesthesia for gastrointestinal surgery,particularly during the post-anesthesia care unit(PACU)phase.Thirst not only compromises patient comfort but also...BACKGROUND Older patients often experience thirst after general anesthesia for gastrointestinal surgery,particularly during the post-anesthesia care unit(PACU)phase.Thirst not only compromises patient comfort but also induces anxiety,which may hinder recovery.Although previous studies have addressed postoperative thirst,research specifically examining thirst experiences and nursing needs in older patients remains limited.AIM To explore thirst experiences and nursing needs of older PACU patients following gastrointestinal surgery,aiming to inform targeted interventions.METHODS This study employed a phenomenological approach within a qualitative research framework.A purposeful sampling method was used to select 12 older patients who underwent gastrointestinal surgery under general anesthesia at a tertiary hospital in Shanghai between November and December 2024.Data were collected through semi-structured interviews and analyzed using Colaizzi’s seven-step method.Themes were extracted from the interview data.RESULTS Analysis of the interview data identified four main themes and eight subthemes:(1)Intense sensations of thirst post-surgery(subjective experience of thirst and duration of thirst);(2)Emotional experiences of thirst-related discomfort(anxiety,irritability,and helplessness);(3)Practical challenges in relieving thirst(limitations of current interventions and nursing response time);and(4)Patient expectations of nursing care(desire for more timely interventions and expectation for more proactive attention from nursing staff).CONCLUSION Older patients frequently experience substantial thirst discomfort after gastrointestinal surgery under general anesthesia.A multidisciplinary perioperative intervention plan is essential to alleviate these symptoms and enhance postoperative comfort.展开更多
Objective:To explore symptom experiences and self-coping patterns during the early and late stages of chemotherapy in these patients to provide a basis for developing targeted symptom management strategies.Methods:A t...Objective:To explore symptom experiences and self-coping patterns during the early and late stages of chemotherapy in these patients to provide a basis for developing targeted symptom management strategies.Methods:A total of 27 patients with pancreatic cancer undergoing chemotherapy at two medical institutions were recruited between November 2023 and August 2024.Semi-structured interviews were conducted in person or over the phone.Data were analyzed using traditional content and thematic analyses.Results:Three themes were identified:symptom experience,self-coping patterns,and existing obstacles.During the early stages of chemotherapy,patients reported a higher frequency of unpleasant symptoms and recognized these symptoms earlier in the treatment course.Patients in the early stages primarily relied on external support to cope with symptoms,while those in the later stages adopted self-care strategies.Several challenges related to unpleasant symptoms were observed,which appeared to correlate with the self-coping patterns employed.Conclusion:Patients with pancreatic cancer undergoing chemotherapy experience a complex and diverse range of symptoms,with varying coping patterns at different stages of treatment.Symptom management during chemotherapy presents significant challenges.Healthcare providers should improve the ongoing monitoring of symptoms post-chemotherapy.By linking patients’symptom experiences and self-coping patterns at different stages of chemotherapy to their specific challenges,personalized symptom management strategies can be developed to enhance care quality.展开更多
Objective:The day surgery mode has significantly reduced preoperative waiting time for patients.However,this mode also led to brief and sometimes abrupt interactions between patients with vision loss and nursing staff...Objective:The day surgery mode has significantly reduced preoperative waiting time for patients.However,this mode also led to brief and sometimes abrupt interactions between patients with vision loss and nursing staff during the preoperative visits.Additionally,patients may experience negative emotions.The aim of this study was to describe the preoperative experiences and identify related stressful factors among patients waiting vitreo-retinal day surgery.Methods:This study was guided by an interpretive approach.Semi-structured,face-to-face,in-depth interviews were conducted with patients from August 2021 to October 2024.Inductive content analysis and research software were used to analyze the data.Results:Twenty-seven patients agreed to participate the interviews.Their ages ranged from 19 to 70 years old.The waiting time before hospitalization varied from 7 to 90 days.Three main categories emerged from patients’complaints:day surgery procedures,concerns about eye conditions and supports.Conclusions:The findings underscore the importance of preoperative care services.It is suggested that providing accurate preoperative information and effective support can significantly enhance the quality of preoperative care service.展开更多
Objective:To explore in depth the psychological perceptions and meaning construction of older adult patients with diabetes during the dietary management process,and to provide a theoretical reference for developing in...Objective:To explore in depth the psychological perceptions and meaning construction of older adult patients with diabetes during the dietary management process,and to provide a theoretical reference for developing individualized clinical nursing care.Methods:A purposive sampling method was used to select 13 older adult patients with diabetes for semi-structured in-depth interviews.The interview data were collated and analyzed using Van Manen’s analysis method.Results:The psychological experience of dietary management in older adult patients with diabetes included four core themes:(1)Information fog and cognitive shock at initial diagnosis;(2)Self-struggle during the habit reshaping stage;(3)Alternating cycle of hope and frustration in long-term management;(4)Reconstructing normality and searching for meaning in life.Conclusion:Dietary management is an important process for older adult patients with diabetes to reconstruct the meaning of life.Clinical nursing should focus on patients’psychological experiences and value needs,providing more humanistic and individualized support.展开更多
Amidst lush mountains and lucid waters,a British educator discovers inner balance and peace,embraced by the hospitality of local people and the profound Huizhou culture.
Objective:To explore the self-management experiences and outpatient nursing needs of intestinal stoma patients during the post-discharge transition period,in order to provide a basis for scientific decision-making in ...Objective:To explore the self-management experiences and outpatient nursing needs of intestinal stoma patients during the post-discharge transition period,in order to provide a basis for scientific decision-making in patient self-care and improvements in specialized stoma outpatient services.Methods:Using purposive sampling,13 colorectal cancer patients in the post-discharge transition period who had undergone intestinal stoma surgery were selected from a tertiary hospital in Shandong Province between November 2024 and March 2025.Semi-structured interviews were conducted,and data were analyzed using Colaizzi’s seven-step method to extract themes.Results:Three core themes were identified:challenges in self-management during the transition period,outpatient nursing needs during the transition period,and gaps in doctor-patient information continuity.Conclusion:Future efforts should focus on high-risk groups of stoma patients during the transition period by building intelligent and systematic outpatient guidance and support systems to improve their quality of life.展开更多
With the advancement of globalization,South Korea has become a key destination for international students.However,these students often face challenges in adapting to daily life,particularly when using mobile banking a...With the advancement of globalization,South Korea has become a key destination for international students.However,these students often face challenges in adapting to daily life,particularly when using mobile banking applications,due to insufficient language support,cultural differences,and complex operational procedures.This study focuses on Chinese international students and analyzes the UI/UX design of mobile banking applications offered by Kookmin Bank and Hana Bank.Through literature reviews and surveys,the study identifies limitations in language adaptability,functionality layout,user interaction,and cultural adaptation,proposing concrete design improvements.The findings indicate that optimizing UI/UX design can significantly enhance international students’user experience and strengthen the global competitiveness of South Korean mobile banking services.This research provides reference material for designing for multicultural user groups and aims to promote research and practice in cross-cultural UI/UX design.展开更多
How exhibitions of revolutionary cultural relics affect and enhance the audience’s comprehensive experiences was discussed from aspects of bodily perception,spatial interaction,emotional resonance,and value identific...How exhibitions of revolutionary cultural relics affect and enhance the audience’s comprehensive experiences was discussed from aspects of bodily perception,spatial interaction,emotional resonance,and value identification,and the experience design of exhibitions of revolutionary cultural relics was further studied to better carry and convey the spirit of the revolution.Guided by embodied theory,this study was provided with methodological support from various perspectives,and analyzed the current development and existing problems of exhibitions of revolutionary cultural relics through field investigations.Currently,embodied theory is gradually being applied in exhibition design,and the focus of exhibitions is shifted from“objects”to“people”.By collecting direct feelings and feedback from the audience on the exhibitions of revolutionary cultural relics,and theoretical construction and practical application for the experience design of these exhibitions are solidly supported.The needs for emotional and inspirational awakening,education and learning,participation and interaction were revealed.Based on the audience’s behavior,a four-step design method was proposed:enhancing the sense of place,enriching sensory experience,strengthening interactive experiences,and fostering a sense of belonging.Through the application of experiential design in these four dimensions,it aims to reshape the methods of exhibitions of revolutionary cultural relics and promote a deep integration between the exhibitions and embodied theory.展开更多
Background Exploring how immersive technologies can simulate and assess user experiences in designed environments is an important topic in architectural research.In this study,a multisensory virtual reality(VR)system ...Background Exploring how immersive technologies can simulate and assess user experiences in designed environments is an important topic in architectural research.In this study,a multisensory virtual reality(VR)system developed to support the study of human-built environment interactions under multimodal conditions(visual,olfactory,and auditory)was evaluated.Methods The effectiveness of the system was tested by conducting in-depth user studies using a mixed-method approach to provide quantitative and qualitative evidence.The results of the case study were discussed,key features of the proposed prototype were assessed,and limitations and opportunities for future studies were identified.Results Findings showed that multisensory elements can deepen participants’sense of presence,increase engagement levels,and enrich overall user experience in immersive environments.Integrating olfactory stimuli into virtual representations of architectural spaces revealed how multisensory feedback informs spatial perception and supports the development of more responsive and human-centered design strategies.Conclusions This study contributes to the emerging field of sensory architecture,aiming to move beyond visual simulation toward a richer embodied understanding of space.The proposed approach provides valuable insights into the development of multisensory VR environments in architecture,enabling future research and immersive research methodologies in wider fields.展开更多
文摘Learning from the wisdom and insights of others remains one of the most effective paths to progress.This is the driving force behind our commitment to experience sharing.The March/April issue features three renowned international standardization experts who share their journeys,the strategic"hows and whys"of global participation,and the critical role of stakeholder engagement in shaping the future of the industry.
文摘We found the qualitative study by Xu et al.on how patients feel about laparoscopic incisions under enhanced recovery after surgery(ERAS)protocols to be very interesting.1 Xu et al.carried out a qualitative study on patient experience with laparoscopic incisions under an ERAS protocol to highlight the problem of psychosocial and aesthetic concerns,which are often overlooked when planning surgical operations.This study,which involved semistructured interviews with sixteen people,aimed to narrow perioperative education and the decision-making process for incision site selection,thus making the processes more focused on patient priorities.The study is based on a timely but under-researched subject area;however,it is possible to outline four possible areas of improvement that would allow the study to be more transparent and,at the same time,more applicable to clinical practice.
基金The 2026 Annual Project for the Improvement of Educational and Research Capabilities of Primary and Secondary School Teachers in Guangdong Province titled"Breaking Boundaries,Integration,and Empowerment:Innovative Practice Research on Teacher Training Courses for the Synergy of Aesthetic Education and Moral Education"(Host:Wenjiang Zhang)。
文摘As a key carrier for the implementation of the core quality of"aesthetic creativity",the effective realization of the aesthetic value of language textbook illustrations is facing the real problems of practical disconnection and theoretical gap.Based on the theories of semiotics,embodied cognition and cultural reproduction,this paper innovatively puts forward the concept of"transformation mechanism of aesthetic education",constructs a three-phase The study analyzes the dynamic transformation process of illustrations from image symbols to students'aesthetic experience.The study explains the essential characteristics of illustration as a dual symbolic system of"likenessregulation",reveals the cognitive ladder of"perception-cognition-creation"and the path of realization of embodied cognition,and points out that the current aesthetic education of illustration has the problem of instrumentalization,and that the current aesthetic education of illustration has the problem of instrumentalization.The study points out that the current aesthetic education of illustrations is plagued by instrumental alienation,cultural hegemony and aesthetic flattening,and proposes a"three-in-one"education path from the dimensions of teachers,teaching materials and culture,including improving teachers'aesthetic education,reconstructing the principles of teaching materials and dynamic revision mechanism,and constructing classroom aesthetic education communities.The study provides new perspectives and practical guidance for exploring the aesthetic value of language textbook illustrations and bridging the gap between the theories of aesthetics and pedagogy,aiming to promote the return of aesthetic education to the nature of"reconstruction of experience",and to cultivate students'aesthetic literacy and sound personality.
基金supported by the Key Laboratory of Clinical Evaluation Technology for Human Experience with Chinese Medicine,Science and Technology Innovation Project of Guangdong Provincial Medical Products Administration(2022ZDB06)the Jointly Funded Project by Guangzhou Science and Technology Bureau,Research Institutes and Enterprises(2024A03j0355)+1 种基金the State Key Laboratory of Traditional Chinese Medicine Syndrome"Unveiling the List and Taking on Leadership"Project(SKLKY2025C0013)the National Key Research and Development Program of China(2025YFC3507902).
文摘The development of pattern-based traditional Chinese medicine(TCM)compound preparations constitutes a core domain that represents the principle of pattern differentiation-based treatment,a hallmark of TCM.However,the field has long been constrained by scientific and regulatory challenges in animal modeling,efficacy evaluation,and clinical positioning.This article proposes a new research and development(R&D)paradigm strategically based on human use experience(HUE)and centered on the patient as the key to overcoming these bottlenecks and achieving high-quality progress.We systematically dissect the traditional problems in this field and demonstrate the pivotal role of high-quality HUE in enabling precise clinical positioning and optimizing R&D pathways(e.g.,applying for exemptions from non-clinical studies).HUE guides the implementation of the“pattern-symptom integration”model.Furthermore,we detail the implementation of the patient-centered concept throughout the process of clinical trial design,collection of patients’experience data,clinical outcome assessment,and benefit-risk assessment.The integrative application of artificial intelligence in the R&D of pattern-based TCM drugs is also specifically explored.By synthesizing the“TCM theory,HUE,and clinical trials”evidence system,this article aims to provide a systematic strategic framework for establishing an R&D pathway that adheres to the intrinsic principles of TCM while simultaneously meeting modern scientific standards.
基金supported by Nursing and Midwifery Practice Development Unit(NMPDU),Dublin South,Kildare,and Wicklow,Nurses preparedness for end of life conversations(No.P210537)。
文摘Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nurse-led vir tual clinic is challenging for nursing management,par ticularly regarding resources.We aimed to investigate nursing practices and processes and patient experiences in relation to vir tual outpatient clinics.Methods:This was a cross-sectional,descriptive study using mixed data collection methods.Patients(n=324)from 4 specialist clinics completed the Virtual Clinics Patient Satisfaction Questionnaire(VCSQ)survey.Five Nurse Specialists participated in a focus group interview.Results:Most participants(86.3%)reported being satisfied/very satisfied with the virtual clinics,particularly those that were nurse-led.Nurse specialists identified electronic health records(EHRs)and additional IT and administrative support as important for efficiency and effectiveness of the clinics.Conclusions:Nurse-led virtual clinics can be an effective and efficient way to provide care to patients.Nurse managers need to ensure supportive structures are in place,for example,dedicated administrators,IT support and infrastructure,education/training,and relevant policies/procedures.The success of nurse-led virtual services requires key infrastructure to support nursing staff and sustain this service.
文摘The subject matter of this paper is the thesis on the underdetermination of theory by experience,in the local account due to Duhem and in the global version due to Quine.This thesis has significant implications concerning some epistemic uncertainty about the accuracy of the tested predictions of theories.We find this thesis plausible,though more feasible,limited to physical theories,as in Duhem’s approach.We examine the thesis of the impossibility of crucial experiments that Duhem finds implied by his thesis on empirical indeterminacy,as well as the thesis of the possibility of empirically equivalent theories that are logically incompatible,which Quine also finds linked to his thesis on empirical indeterminacy.From a conceptualist approach that acknowledges the abstract character of physical concepts and the idealized nature of physical laws,and assuming Hanson’s thesis on the theory laden of scientific observation,we conclude that the anterior Duhem’s thesis is sound,although the preceding Quine’s thesis does not seem viable.
基金supported by the General Project of the Cultivation Project of the Chinese Hospital Reform and Development Research Institute of Nanjing University(NDYG2022072)。
文摘Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more rational“Internet Nursing Service”model.Methods A systematic search in PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Database,and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’experiences with“Internet Nursing Service,”with a retrieval time limit from December 2019 to June 2024.Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes,organization of codes into descriptive themes,and development of analytical themes.Results A total of 19 studies were included,one study was rated as Grade A in quality evaluation,and the remaining studies were rated as Grade B.Collectively synthesized into three integrated results:Harvest and growth,Difficulties and challenges,and Expectations and support.Harvest and growth,include 1)manifestation of self-value,2)enhancing nursing capabilities,3)optimizing nursing resources;Difficulties and challenges,include 1)lack of safety guarantee,2)role conflict;Expectations and support include,1)expectation for professional knowledge and skill training,2)expectations for service platform optimization,3)expectation for reasonable charges,4)expectation for related policy support.Conclusion“Internet Nursing Service”model benefits both nurses and patients,but still full of challenges.It aids in the decentralization of medical resources.Management departments still need to encourage nurses to actively invest in“Internet Nursing Service”while ensuring their safety and interests.
基金supported by a grant from the National Natural Science Foundation of China(No.72174130)。
文摘Objectives Nurses’clinical research activities have contributed to optimizing the care process and improving patient outcomes,and generative artificial intelligence(GAI)may help clinical nurses strengthen their research skills.To support research,this study aimed to explore the Chinese nurses’perceptions and experiences of GAI training.Methods This study used a descriptive qualitative design.The China Nurses Network conducted a three-day training session on“GAI for Nursing Research”theme,we selected 23 nurses by a convenience sampling method among participating in the training.The researchers conducted three focus group interviews at the end of each day.All focus groups were interviewed face-to-face to facilitate interaction,data collection,and observation.The data were analyzed using conventional content analysis and coded manually.Results The results showed that nurses’use of GAI to support scientific research was dynamic and characterized by evolving perceptions and practices.Four themes and 11 sub-themes emerged from the analysis:1)utilization efficacy:cope with research ability,affected by many factors;2)booster research:growth and challenges go hand in hand;3)role reversal:from GAI-dominated to nurse-dominated;4)beautiful dream:more features on research,more assistants on clinical care.Conclusions The effectiveness of GAI in supporting clinical nurses in conducting research is mainly limited by differences in personal research literacy,lack of ethical regulation,and information accuracy.In the future,it is necessary to improve nurses’relevant skills through specialized training and promote the standardization of technical regulations to ensure the appropriate application of GAI in nursing research.
文摘Duangsamorn Wattanapathitiwong—usually called by her Chinese name Wang Ximei these days—never expected a Chinese television drama to lead her to a life in China,a marriage rooted in cross-cultural understanding,and a profession that now bridges two nations.From a university student in Thailand puzzled by Chinese dialogue to a Thai language lecturer in China influencing the next generation of Thailand-China communicators,Wang’s journey is a story of resilience,romance,and responsibility.
基金approved by the Medical Ethics Committee of the Tel Aviv Sourasky Medical Center Institutional Review Board,approval No.TLV-0674-21.
文摘BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain during IAHIs and the role of preinjection local anesthesia in pain modulation remains unclear.AIM To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.METHODS This prospective study enrolled 60 patients undergoing IAHI,30 receiving pre-injection superficial local anesthesia and 30 serving as a control group without pre-injection local anesthesia.Pain levels were assessed using numeric rating scales.RESULTS Patients significantly overestimated anticipated pain compared to experienced pain(6.43±2.48 vs 3.68±2.37,P<0.001).Pre-injection local anesthesia did not significantly reduce experienced pain(3.19±2.38 vs 4.20±2.29,P=0.130).CONCLUSION Patients overestimate anticipated pain during IAHIs.Pre-injection local anesthesia does not reduce experienced pain.
文摘BACKGROUND Older patients often experience thirst after general anesthesia for gastrointestinal surgery,particularly during the post-anesthesia care unit(PACU)phase.Thirst not only compromises patient comfort but also induces anxiety,which may hinder recovery.Although previous studies have addressed postoperative thirst,research specifically examining thirst experiences and nursing needs in older patients remains limited.AIM To explore thirst experiences and nursing needs of older PACU patients following gastrointestinal surgery,aiming to inform targeted interventions.METHODS This study employed a phenomenological approach within a qualitative research framework.A purposeful sampling method was used to select 12 older patients who underwent gastrointestinal surgery under general anesthesia at a tertiary hospital in Shanghai between November and December 2024.Data were collected through semi-structured interviews and analyzed using Colaizzi’s seven-step method.Themes were extracted from the interview data.RESULTS Analysis of the interview data identified four main themes and eight subthemes:(1)Intense sensations of thirst post-surgery(subjective experience of thirst and duration of thirst);(2)Emotional experiences of thirst-related discomfort(anxiety,irritability,and helplessness);(3)Practical challenges in relieving thirst(limitations of current interventions and nursing response time);and(4)Patient expectations of nursing care(desire for more timely interventions and expectation for more proactive attention from nursing staff).CONCLUSION Older patients frequently experience substantial thirst discomfort after gastrointestinal surgery under general anesthesia.A multidisciplinary perioperative intervention plan is essential to alleviate these symptoms and enhance postoperative comfort.
基金supported by the State Key Laboratory of Ultrasonic Medical Engineering/the Chongqing Science and Technology Bureau(Project No.2022KFKT7011)the Postdoctoral Fellowship Program of CPSF(GZC20233357)+1 种基金the Health Commission of Sichuan Province Medical Science and Technology Program(24QNMP007)the Medical Research Program of Health Commission of Chengdu(2023535).
文摘Objective:To explore symptom experiences and self-coping patterns during the early and late stages of chemotherapy in these patients to provide a basis for developing targeted symptom management strategies.Methods:A total of 27 patients with pancreatic cancer undergoing chemotherapy at two medical institutions were recruited between November 2023 and August 2024.Semi-structured interviews were conducted in person or over the phone.Data were analyzed using traditional content and thematic analyses.Results:Three themes were identified:symptom experience,self-coping patterns,and existing obstacles.During the early stages of chemotherapy,patients reported a higher frequency of unpleasant symptoms and recognized these symptoms earlier in the treatment course.Patients in the early stages primarily relied on external support to cope with symptoms,while those in the later stages adopted self-care strategies.Several challenges related to unpleasant symptoms were observed,which appeared to correlate with the self-coping patterns employed.Conclusion:Patients with pancreatic cancer undergoing chemotherapy experience a complex and diverse range of symptoms,with varying coping patterns at different stages of treatment.Symptom management during chemotherapy presents significant challenges.Healthcare providers should improve the ongoing monitoring of symptoms post-chemotherapy.By linking patients’symptom experiences and self-coping patterns at different stages of chemotherapy to their specific challenges,personalized symptom management strategies can be developed to enhance care quality.
基金supported by the Nursing Innovation and Development Research Project of the Lingnan Nightingale Nursing Research Institute and Nursing Association,Guangdong Province(GDHLYJYB202403,GDHLYJYM202417)Research Project on Party Building Theory and Practice at Zhongshan Ophthalmic Center in 2024,Research Project on Standardized Management of Day Medical Services by the Institute of Hospital Management,National Health Commission(DSQ20251016)Medical Science and Technology Foundation of Guangdong Province(A2021088).
文摘Objective:The day surgery mode has significantly reduced preoperative waiting time for patients.However,this mode also led to brief and sometimes abrupt interactions between patients with vision loss and nursing staff during the preoperative visits.Additionally,patients may experience negative emotions.The aim of this study was to describe the preoperative experiences and identify related stressful factors among patients waiting vitreo-retinal day surgery.Methods:This study was guided by an interpretive approach.Semi-structured,face-to-face,in-depth interviews were conducted with patients from August 2021 to October 2024.Inductive content analysis and research software were used to analyze the data.Results:Twenty-seven patients agreed to participate the interviews.Their ages ranged from 19 to 70 years old.The waiting time before hospitalization varied from 7 to 90 days.Three main categories emerged from patients’complaints:day surgery procedures,concerns about eye conditions and supports.Conclusions:The findings underscore the importance of preoperative care services.It is suggested that providing accurate preoperative information and effective support can significantly enhance the quality of preoperative care service.
基金Guangdong Lingnan Nightingale Nursing Research Institute Project(Project No.:GDHLYJYB202442)。
文摘Objective:To explore in depth the psychological perceptions and meaning construction of older adult patients with diabetes during the dietary management process,and to provide a theoretical reference for developing individualized clinical nursing care.Methods:A purposive sampling method was used to select 13 older adult patients with diabetes for semi-structured in-depth interviews.The interview data were collated and analyzed using Van Manen’s analysis method.Results:The psychological experience of dietary management in older adult patients with diabetes included four core themes:(1)Information fog and cognitive shock at initial diagnosis;(2)Self-struggle during the habit reshaping stage;(3)Alternating cycle of hope and frustration in long-term management;(4)Reconstructing normality and searching for meaning in life.Conclusion:Dietary management is an important process for older adult patients with diabetes to reconstruct the meaning of life.Clinical nursing should focus on patients’psychological experiences and value needs,providing more humanistic and individualized support.
文摘Amidst lush mountains and lucid waters,a British educator discovers inner balance and peace,embraced by the hospitality of local people and the profound Huizhou culture.
文摘Objective:To explore the self-management experiences and outpatient nursing needs of intestinal stoma patients during the post-discharge transition period,in order to provide a basis for scientific decision-making in patient self-care and improvements in specialized stoma outpatient services.Methods:Using purposive sampling,13 colorectal cancer patients in the post-discharge transition period who had undergone intestinal stoma surgery were selected from a tertiary hospital in Shandong Province between November 2024 and March 2025.Semi-structured interviews were conducted,and data were analyzed using Colaizzi’s seven-step method to extract themes.Results:Three core themes were identified:challenges in self-management during the transition period,outpatient nursing needs during the transition period,and gaps in doctor-patient information continuity.Conclusion:Future efforts should focus on high-risk groups of stoma patients during the transition period by building intelligent and systematic outpatient guidance and support systems to improve their quality of life.
文摘With the advancement of globalization,South Korea has become a key destination for international students.However,these students often face challenges in adapting to daily life,particularly when using mobile banking applications,due to insufficient language support,cultural differences,and complex operational procedures.This study focuses on Chinese international students and analyzes the UI/UX design of mobile banking applications offered by Kookmin Bank and Hana Bank.Through literature reviews and surveys,the study identifies limitations in language adaptability,functionality layout,user interaction,and cultural adaptation,proposing concrete design improvements.The findings indicate that optimizing UI/UX design can significantly enhance international students’user experience and strengthen the global competitiveness of South Korean mobile banking services.This research provides reference material for designing for multicultural user groups and aims to promote research and practice in cross-cultural UI/UX design.
基金Sponsored by the Spacial Project of Research on Revolutionary Cultural Relics for College Students in 2024(2024DXSGMWW50)Innovation Fund Project for Postgraduates of Jiangxi Provincial Department of Education(YC2024-S228).
文摘How exhibitions of revolutionary cultural relics affect and enhance the audience’s comprehensive experiences was discussed from aspects of bodily perception,spatial interaction,emotional resonance,and value identification,and the experience design of exhibitions of revolutionary cultural relics was further studied to better carry and convey the spirit of the revolution.Guided by embodied theory,this study was provided with methodological support from various perspectives,and analyzed the current development and existing problems of exhibitions of revolutionary cultural relics through field investigations.Currently,embodied theory is gradually being applied in exhibition design,and the focus of exhibitions is shifted from“objects”to“people”.By collecting direct feelings and feedback from the audience on the exhibitions of revolutionary cultural relics,and theoretical construction and practical application for the experience design of these exhibitions are solidly supported.The needs for emotional and inspirational awakening,education and learning,participation and interaction were revealed.Based on the audience’s behavior,a four-step design method was proposed:enhancing the sense of place,enriching sensory experience,strengthening interactive experiences,and fostering a sense of belonging.Through the application of experiential design in these four dimensions,it aims to reshape the methods of exhibitions of revolutionary cultural relics and promote a deep integration between the exhibitions and embodied theory.
文摘Background Exploring how immersive technologies can simulate and assess user experiences in designed environments is an important topic in architectural research.In this study,a multisensory virtual reality(VR)system developed to support the study of human-built environment interactions under multimodal conditions(visual,olfactory,and auditory)was evaluated.Methods The effectiveness of the system was tested by conducting in-depth user studies using a mixed-method approach to provide quantitative and qualitative evidence.The results of the case study were discussed,key features of the proposed prototype were assessed,and limitations and opportunities for future studies were identified.Results Findings showed that multisensory elements can deepen participants’sense of presence,increase engagement levels,and enrich overall user experience in immersive environments.Integrating olfactory stimuli into virtual representations of architectural spaces revealed how multisensory feedback informs spatial perception and supports the development of more responsive and human-centered design strategies.Conclusions This study contributes to the emerging field of sensory architecture,aiming to move beyond visual simulation toward a richer embodied understanding of space.The proposed approach provides valuable insights into the development of multisensory VR environments in architecture,enabling future research and immersive research methodologies in wider fields.
