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Healthcare professionals’perspectives on disclosure of diagnosis and related issues in childhood cancer:A mixed methods systematic review
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作者 Run Xie Xiaoyan Huang +4 位作者 Yiran Du Ying Gu Qiongfang Kang Hongsheng Wang Daqian Zhu 《International Journal of Nursing Sciences》 2026年第1期96-104,I0006,共10页
Objectives This review aimed to systematically synthesize the available research on the disclosure of diagnosis and related issues in childhood cancer from the perspectives of healthcare professionals,with the goal of... Objectives This review aimed to systematically synthesize the available research on the disclosure of diagnosis and related issues in childhood cancer from the perspectives of healthcare professionals,with the goal of informing the optimization of disclosure processes and meeting the communication needs of affected families.Methods In accordance with the Joanna Briggs Institute(JBI)methodology for mixed methods systematic reviews,the convergent segregated approach was used in this review.Articles were retrieved from 11 databases,including PubMed,Web of Science,CINAHL,CENTRAL,Embase,Ovid/Medline,PsycINFO,PsycArticles,Scopus,ERIC,and China National Knowledge Infrastructure(CNKI).The quality of the selected articles was assessed using the Mixed Method Appraisal Tool(MMAT).The review protocol was registered on PROSPERO(CRD42024542746).Results A total of 21 studies from 10 countries were included.Their methodological quality was generally medium to high,with MMAT scores ranging from 60%to 100%.The synthesis yielded three core themes:1)the spectrum of professional and societal attitudes toward disclosure;2)the dynamic practices of navigating disclosure amid uncertainty,including timing and environment,stakeholders,and content of disclosure;and 3)factors influencing disclosure,including children’s,parental,healthcare professionals’,and socio-cultural factors.Conclusions This review synthesized the perspectives and experiences of healthcare professionals regarding disclosure in childhood cancer,highlighting the complexity and multidimensional nature of this process in clinical practice.Future research should further investigate the experiences and needs of children and their parents,explore cultural variations in disclosure practices,develop context-appropriate assessment tools,and construct multidimensional intervention strategies to enhance the humanistic care and professional effectiveness of the disclosure process. 展开更多
关键词 Communication CANCER DISCLOSURE Healthcare professionals mixed methods PEDIATRIC Systematic review
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Influence of After-School Tutoring on Reading Comprehension Skills of Chinese Primary School Students with Dyslexia:A Mixed-Methods Study
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作者 Jin Ma 《Journal of Contemporary Educational Research》 2025年第7期188-196,共9页
This study explores the influence of after-school tutoring on reading comprehension skills of students with dyslexia(DD)in grades 3-5 in China and its participating factors.Using a mixed-methods design,the quantitativ... This study explores the influence of after-school tutoring on reading comprehension skills of students with dyslexia(DD)in grades 3-5 in China and its participating factors.Using a mixed-methods design,the quantitative data(GORT-4 reading test)of 50 public primary school students in Qingdao and their parents’feedback were collected through questionnaires,supplemented by semi-structured interviews with eight parents for qualitative analysis.The findings are as follows:(1)Family socioeconomic status and parents’awareness of DD are the key factors to participate in after-school counseling;(2)The students who participated in the after-school counseling performed significantly better in the GORT-4 comprehension test(P<0.05);(3)Counseling makes up for the lack of classroom learning through personalized strategies(such as multi-sensory teaching and phonological awareness training),but parents’psychological support is the core of successful intervention.The necessity of early targeted intervention was emphasized,and practical enlightenment was provided for the educational support system of DD students in China. 展开更多
关键词 Dyslexia After-school counseling Reading comprehension STUDENTS study on hybrid method Chinese education
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Synthesis of Nano-CuF_(2) with Superior Electrochemical Performances via a Mixed Solvent Coprecipitation Method
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作者 DU Suni YU Zhiyong +5 位作者 JI Erte XU Hanchen ZHAO Yichun LIU Hanxing LAI Caiting YUAN Zhongzhi 《Journal of Wuhan University of Technology(Materials Science)》 2025年第5期1206-1212,共7页
Nano-scale CuF_(2) with superior electrochemical activity was successfully prepared by a mixed solvent co-precipitation method.The SEM and TEM analyses demonstrated that the methanol concentration had a pronounced eff... Nano-scale CuF_(2) with superior electrochemical activity was successfully prepared by a mixed solvent co-precipitation method.The SEM and TEM analyses demonstrated that the methanol concentration had a pronounced effect on both the particle size and the extent of agglomeration.With the increase in methanol content,the particle size and agglomeration of CuF_(2) decreased first and then increased.When the volume ratio of methanol to deionized water was 1:1,the CuF_(2) particles exhibited the smallest size and the lowest degree of agglomeration.CuF_(2) synthesized with 50%methanol exhibited superior electrochemical performances with a voltage plateau above 3 V and a 1st discharge capacity of 525.8 mAh·g^(-1) at 0.01 C due to the synergistic influence of the particle size and dispersion.The analysis results using electrochemical impedance spectroscopy(EIS)and constant current intermittent titration technique(GITT)affirmed the addition of methanol was beneficial for promoting Li+diffusion and accelerating electrochemical reaction kinetics of CuF_(2). 展开更多
关键词 CuF_(2) lithium-ion battery mixed solvent co-precipitation method electrochemical performances
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A two-field mixed formulation with scattered pressure node distribution in element-free Galerkin method for alleviating volumetric locking in hyperelastic materials
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作者 S.Sai Kumar Albert Shaji Nelson Muthu 《Acta Mechanica Sinica》 2025年第10期115-131,共17页
Rubber-like materials that are commonly used in structural applications are modelled using hyperelastic material models.Most of the hyperelastic materials are nearly incompressible,which poses challenges,i.e.,volumetr... Rubber-like materials that are commonly used in structural applications are modelled using hyperelastic material models.Most of the hyperelastic materials are nearly incompressible,which poses challenges,i.e.,volumetric locking during numerical modelling.There exist many formulations in the context of the finite element method,among which the mixed displacementpressure formulation is robust.However,such a displacement-pressure formulation is less explored in meshfree methods,which mitigates the problem associated with mesh distortion during large deformation.This work addresses this issue of alleviating volumetric locking in the element-free Galerkin method(EFGM),which is one of the popular meshfree methods.A two-field mixed variational formulation using the perturbed Lagrangian approach within the EFGM framework is proposed for modelling nearly incompressible hyperelastic material models,such as Neo-Hookean and Mooney-Rivlin.Taking advantage of the meshless nature of the EFGM,this work introduces a unique approach by randomly distributing pressure nodes across the geometry,following specific guidelines.A wide spectrum of problems involving bending,tension,compression,and contact is solved using two approaches of the proposed displacement-pressure node formulation involving regular and irregular pressure node distribution.It is observed that both approaches give accurate results compared to the reference results,though the latter offers flexibility in the pressure nodal distribution. 展开更多
关键词 Volumetric locking mixed displacement-pressure formulation EFG method Irregular pressure node distribution Hyperelastic materials
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A MIXED FINITE ELEMENT AND UPWIND MIXED FINITE ELEMENT MULTI-STEP METHOD FOR THE THREE-DIMENSIONAL POSITIVE SEMI-DEFINITE DARCY-FORCHHEIMER MISCIBLE DISPLACEMENT PROBLEM
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作者 Yirang YUAN Changfeng LI +1 位作者 Huailing SONG Tongjun SUN 《Acta Mathematica Scientia》 2025年第2期715-736,共22页
In this paper,a composite numerical scheme is proposed to solve the threedimensional Darcy-Forchheimer miscible displacement problem with positive semi-definite assumptions.A mixed finite element is used for the fow e... In this paper,a composite numerical scheme is proposed to solve the threedimensional Darcy-Forchheimer miscible displacement problem with positive semi-definite assumptions.A mixed finite element is used for the fow equation.The velocity and pressure are computed simultaneously.The accuracy of velocity is improved one order.The concentration equation is solved by using mixed finite element,multi-step difference and upwind approximation.A multi-step method is used to approximate time derivative for improving the accuracy.The upwind approximation and an expanded mixed finite element are adopted to solve the convection and diffusion,respectively.The composite method could compute the diffusion flux and its gradient.It possibly becomes an eficient tool for solving convection-dominated diffusion problems.Firstly,the conservation of mass holds.Secondly,the multi-step method has high accuracy.Thirdly,the upwind approximation could avoid numerical dispersion.Using numerical analysis of a priori estimates and special techniques of differential equations,we give an error estimates for a positive definite problem.Numerical experiments illustrate its computational efficiency and feasibility of application. 展开更多
关键词 Darcy-Forchheimer fow three-dimensional positive semi-definite problem upwind mixed finite element multi-step method conservation of mass convergence analysis
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Factors Related to Engaging in Physical Activity: A Mixed Methods Study of Female University Students 被引量:2
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作者 Afnan H. Saaty Debra B. Reed +1 位作者 Weiwu Zhang Mallory Boylan 《Open Journal of Preventive Medicine》 2015年第10期416-425,共10页
Objective: As a needs assessment for intervention, quantitative and qualitative methods were used to examine attitude, subjective norms, perceived behavioral control, intention, knowledge, and weight control status re... Objective: As a needs assessment for intervention, quantitative and qualitative methods were used to examine attitude, subjective norms, perceived behavioral control, intention, knowledge, and weight control status related to physical activity in female university students within the Theory of Planned Behavior (TPB). Methods: A two-phase mixed method design was used. In Phase I, 362 students participated in an online survey, and in Phase II, 33 students participated in five focus group discussions. Ages of participants ranged from 18 to 45 years old, with 18 - 25 year olds making up over 74% of the sample. Results: Attitude, subjective norms, and perceived behavioral control, along with weight control status of trying to lose weight, were found to be significant predictors of intention to follow physical activity recommendations, which in turn were the strongest predictor of physical activity. Knowledge was not found to be significant. Group discussions revealed barriers to meeting physical activity recommendations, which included lack of companionship and social support, lack of motivation, time and cost restrictions, and lack of privacy in the gym. Social norms exerted both positive and negative influences. Conclusion: The mixed method approach provided a deeper insight into the influential factors pertaining to physical activity among female students, and results could be used in further research to develop effective interventions. 展开更多
关键词 Physical Activity Theory of PLANNED Behavior FEMALE UNIVERSITY STUDENTS mixed methods
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Adolescents’ perspectives on a school-based physical activity intervention:A mixed method study 被引量:1
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作者 Stephanie T.Jong Caroline H.D.Croxson +8 位作者 Cornelia Guell Emma R.Lawlor Campbell Foubister Helen E.Brown Emma K.Wells Paul Wilkinson Anna Vignoles Esther M.F.van Sluijs Kirsten Corder 《Journal of Sport and Health Science》 SCIE 2020年第1期28-40,F0003,共14页
Purpose'. To examine adolescent experiences and perspectives of the GoActive intervention (ISRCTN31583496) using mixed methods processevaluation to determine satisfaction with intervention components and interpret... Purpose'. To examine adolescent experiences and perspectives of the GoActive intervention (ISRCTN31583496) using mixed methods processevaluation to determine satisfaction with intervention components and interpret a*dolescents experiences of the intervention process in order toprovide insights for future intervention design.Methods'. Participants (n = 1542;13.2 土 0.4 years, mean 土 SD) provided questionnaire data at baseline (shyness, activity level) and post-intervention(intervention acceptability, satisfaction with components). Between-group differences (boys vs. girls and shy/inactive vs. others) weretested with linear regression models, accounting for school clustering. Data from 16 individual interviews (shy/inactive) and 11 focus groupswith 48 participants (mean = 4;range 2—7) were thematically coded. Qualitative and quantitative data were merged in an integrative mixedmethods convergence matrix, which denoted convergence and dissonance across datasets.Results'. Effect sizes for quantitative results were small and may not represent substantial between-group differences. Boys (vs. girls) preferredclass-based sessions (0 = 0.2, 95% confidence interval (CI): 0.1—0.3);qualitative data suggested that this was because boys preferred competition,which was supported quantitatively (0 = 0.2, 95%CI: 0.1-0.3). Shy/inactive students did not enjoy the competition (0 = -0.3, 95%CI:—0.5 to —0.1). Boys enjoyed trying new activities more (0 = 0.1, 95%CI: 0.1 -0.2);qualitative data indicated a desire to try new activities acrossall subgroups but identified barriers to choosing unfamiliar activities with self-imposed choice restriction leading to boredom. Qualitative datahighlighted critique of mentorship;adolescents liked the idea, but older mentors did not meet expectations.Conclusion. We interpreted adolescent perspectives of intervention components and implementation to provide insights into future complexinterventions aimed at increasing young people's physical activity in school-based settings. The intervention component mentorship was liked inprinciple, but implementation issues undesirably impacted satisfaction;competition was disliked by girls and shy/inactive students. The resultshighlight the importance of considering gender differences in preference of competition and extensive mentorship training. 展开更多
关键词 ADOLESCENT INTERVENTION mixed methods Physical activity Process evaluation
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Testing a mobile app for child abuse treatment: A mixed methods study 被引量:1
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作者 Shuhong Luo Ann S.Botash 《International Journal of Nursing Sciences》 CSCD 2020年第3期320-329,共10页
Objective:This study provides a preliminary evaluation of the usability and acceptability of a mobile application(sexual assault care algorithm,SACA).Methods:An explanatory sequential mixed methods research was used.A... Objective:This study provides a preliminary evaluation of the usability and acceptability of a mobile application(sexual assault care algorithm,SACA).Methods:An explanatory sequential mixed methods research was used.A quantitative survey was followed up by a qualitative study.A convenience sample of participants(n=4)was recruited.The research was conducted on a one-on-one basis.In the quantitative phase,a random assignment technique was used to divide four participants into two groups of two participants each.Post-Study System Usability Questionnaire(PSSUQ)and Acceptability e-Scale were used to collect quantitative data.In the qualitative phase,interview,observation,and documentation were used to collect qualitative data.Data were analyzed both quantitative and qualitatively.The qualitative data were linked with the initial quantitative data to determine how the follow-up qualitative data helped explain the initial quantitative results.Results:The quantitative results suggested that SACA has high usability(5.05±1.83)and acceptability(3.81±1.22).The qualitative results further indicate that the participants thought SACA was easy to use and useful,and most of them would recommend it to others.Areas of improvement include adding features that would calculate and validate the elapsed time since the sexual assault,adding explanations to some buttons,and providing training.Conclusions:Our findings highlight the value of using a mixed methods research design to conduct a usability and acceptability test.Nurses are more likely to adopt a new technology for their evidencebased practice when the technology is easy to use and useful and requires less time to find the right piece of guideline evidence.Individualized training needs to be designed based on users'characteristics. 展开更多
关键词 ACCEPTABILITY Child sexual assault Clinical guideline mixed methods research design Mobile application Technology USABILITY
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Sense of Coherence in Persons with Dementia and Their Next of Kin—A Mixed-Method Study
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作者 Annika Kjallman Alm Per Hagglund +1 位作者 Norbergh Karl-Gustaf Hellzen Ove 《Open Journal of Nursing》 2015年第5期490-499,共10页
Indications of dementia disease include deterioration of memory, thinking, behaviour, and the ability to perform everyday activities. Any of these symptoms can lead to stress and difficulties organizing everyday life.... Indications of dementia disease include deterioration of memory, thinking, behaviour, and the ability to perform everyday activities. Any of these symptoms can lead to stress and difficulties organizing everyday life. As a way to view factors that support human health and well-being despite stressful situations, Antonovsky introduced a salutogenic model. This model proposes that sense of coherence primarily determines physical and mental health i.e. psychological well-being. Having a sense of coherence in everyday life can reduce the impact of stress on the individual in everyday life. The study’s aim of this study was to explore how participants in existing support groups scored on the Sense of Coherence Scale (SOC), and what they perceived as contributory factors to a meaningful, manageable, and comprehensible everyday life in the presence of dementia using a mixed method. Persons with dementia had the highest scores on the SOC scale and their partners the lowest. Persons with dementia expressed that being with others who understood them made their everyday life comprehensible and manageable. Their partners expressed that learning about dementia was helpful in managing and comprehending everyday situations. The adult children expressed that it was meaningful to care for their parents and they scored slightly higher than the partners on the SOC scale. Long-term ongoing support supplemented with information and social support can contribute to the sense of coherence in persons with dementia and their next of kin. 展开更多
关键词 DEMENTIA Next of KIN Nursing mixed method SENSE of COHERENCE Support Groups
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Emerging HIV Epidemic in the North-Eastern State of Assam, India: An Exploratory Study Using Mixed-Methods Approach
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作者 Chiranjeev Bhattacharjya Giridhar Pathak +4 位作者 Tulika Goswami Mahanta Y. Manihar Singh Ranjanjyoti Deka Mitali Sen Alok Kr. Deb 《World Journal of AIDS》 2018年第1期21-36,共16页
Background: The national HIV scenario in India has improved impressively during past two decades. Contrastingly, the State-level HIV sentinel surveil-lance and routine programme data from various testing facilities in... Background: The national HIV scenario in India has improved impressively during past two decades. Contrastingly, the State-level HIV sentinel surveil-lance and routine programme data from various testing facilities indicated an increasing HIV prevalence among antenatal clinic attendees and female sex workers (FSWs) in three districts of Assam. Objectives: 1) To explore the reasons behind increasing adult HIV prevalence and 2) To understand the role of FSW and Migrants/long distance truckers as drivers of the HIV epi-demic in these districts. Methodology: Three sources of data were utilized in this concurrent mixed methods study—1) existing programme data for past three years;2) questionnaire-based data for a case-control study, where dur-ing past six months at designated testing facilities HIV(+) married women were “cases” and age-matched HIV(?) women from the same district were “controls”. Spouses of these women were also interviewed separately;and 3) a qualitative study, where focus group discussions were conducted among FSWs, outgoing male migrant labourers and long-distance truckers. Results: The study revealed high levels of unsafe sexual practices among the FSWs. Sometimes in poverty-struck areas, women, not identifying themselves as sex workers, sold sex on a part-time basis to earn extra money for financial sup-port and often remained invisible to the programme. The clients of the sex workers, male migrants and truckers also revealed various risk behaviours for contracting and transmitting HIV infection. Conclusion: Population and context specific programme strategies are required to halt the rising trend of HIV infection in the general population in Assam. 展开更多
关键词 HIV ASSAM mixed methods
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Determinants of Risky Sexual Behaviour among Inmates in Katsina Correctional Service: A Mixed Methods Study
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作者 Asma’u Usman Aishatu Yusha’u Armiya’u Zubairu Iliyasu 《Advances in Sexual Medicine》 2021年第2期17-37,共21页
<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Incarceration does not vitiate sexual desire. Therefore, sexual activit... <b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Incarceration does not vitiate sexual desire. Therefore, sexual activities occur behind bars, regardless of the stringent rules in correctional institutions. However, little has been documented about risky sexual behaviors, determinants, and experiences among inmates of correctional institutions in Katsina State, Nigeria. The study determined the sexual practices, prevalence, and determinants of risky sexual behaviors among prison inmates in Katsina. <b></b></span><b><b><span style="font-family:Verdana;">Methodology:</span></b><span style="font-family:Verdana;"></span></b> A descriptive cross-sectional design with concurrent mixed methods of data collection was used to interview 216 inmates using a semi-structured questionnaire supplemented with 22 in-depth interviews. <b><b><span style="font-family:Verdana;">Result:</span></b><span style="font-family:Verdana;"></span></b> Most (94%) respondents were male, almost half (44.4%) had secondary education, more than half (55.1%) were engaged in business or trading before incarceration, and the majority (75.9%) were awaiting trial. Nearly all inmates (98.6%) reported having sexual desire. Drug use (80.1%) and unprotected sex (79.2%) were quite common but sexual violence was low (7.4%). The number of sexual partners of respondents remained a significant predictor of sexual activity. Inmates who had one (1) or no sexual partner were 64% less likely to engage in risky sexual activity within the confines of the prison (AOR = 0.36, 95% CI = 0.20 <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-size:10.0pt;font-family:;" "=""><span style="white-space:nowrap;"><span style="white-space:nowrap;">&#45</span></span></span></span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;"> 0.63, p = 0.01). Qualitative interviews revealed the denial of occurrence of sexual activity in prison despite sexual desire felt by inmates;loneliness, poverty, and curiosity as motives for sexual relations;denial of occurrence of sexual violence in prison;and drug use and use of unsterilized sharps as risky sexual behaviors. <b></b></span><b><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"></span></b> Despite the disciplinary action meted out on inmates, prisoners still engaged in a range of risky sexual behaviors. Conjugal visitations for married inmates could be considered to reduce sexually deviant and risky alternatives of relieving sexual desire among prisoners.</span></span></span> 展开更多
关键词 INMATES Correctional Service Sexual Practices mixed method NIGERIA
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Study and promotion of safety culture using mixed methods research
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作者 Daiane Brigo Alves Elisiane Lorenzini +2 位作者 Nelly Oelke Anthony John Onwuegbuzie Adriane Cristina Bernat Kolankiewicz 《Frontiers of Nursing》 2021年第2期129-139,共11页
Objective:With a positive safety culture,institutions offer the best quality and safe care to their patients.The objective of this study was to analyze patient safety culture from the perspective of the multidisciplin... Objective:With a positive safety culture,institutions offer the best quality and safe care to their patients.The objective of this study was to analyze patient safety culture from the perspective of the multidisciplinary team,to identify factors that influence patient safety culture,and to create/promote-jointly with the study participants-strategies for improving processes of change.Methods:The study design represented a mixed methods research approach,with a sequential explanatory design.A multidisciplinary team of workers at a general hospital was eligible for the study.To collect quantitative data,we administered the Safety Attitudes Questionnaire(SAQ).The qualitative phase was accomplished via focus groups(FGs),with participants from the first phase of the study using the principles of deliberative dialogue(DD)as a knowledge-translation strategy.The STROBE guideline was used to develop the study.Results:The overall SAQ score was positive(75.1±10.4).Negative scores were found in the fields of Safety Climate,Working Conditions,and Stress Recognition.Focus group discussions identified the aspects that create a negative impact on safety culture,such as ineffective communication,punitive approach in the event of errors,the lack of commitment and adherence to the protocols,and the non-recognition of the stress and the mistakes.Actions for the promotion of safety culture were developed and implemented during the study.Conclusions:The use of the principles of DD as a strategy for knowledge translation(KT)made it possible to identify and plan for joint actions to generate improvements in safety culture. 展开更多
关键词 deliberative dialogue knowledge translation mixed methods organizational culture patient safety
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External application of Chinese medicine formula combined with analgesic drugs to treat lung squamous cell carcinoma pain: A case study with mixed methods
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作者 Hong Chen Jun-Qiang Zhao +2 位作者 Yun-Lan Jiao Dou Wang Yu-Fang Hao 《TMR Modern Herbal Medicine》 2018年第1期29-34,共6页
Objective: To investigate the effectiveness of the external application of Chinese medicine combined with analgesicdrugs to treat lung squamous cell carcinoma pain. Methods: A 54-year-old patient with upper lobe of ... Objective: To investigate the effectiveness of the external application of Chinese medicine combined with analgesicdrugs to treat lung squamous cell carcinoma pain. Methods: A 54-year-old patient with upper lobe of the left lungsquamous cell carcinoma was studied, who suffered from severe cancer pain with the initial numeric rating scale (NRS)7 point when admitted. Exterior-use formula was applied to pain spot to relieve the pain. Mixed methods approachcomprising NRS, Short-form of McGill Pain Questionnaire, quality of life scale, times of breakout pain, records ofadverse reactions and semi-structured interviews were utilized to evaluate the effect. Results: With the combination useof the formula and analgesic drugs, the patient’s NRS score dropped from 7 to 3 point. Quality of life scale scoreimproved from 33 to 42 point. Times of breakout pain reduced from twice to none. The amount of oxycodone decreasedfrom 30 mg Bid to 10 mg Bid. No adverse effect appeared. The patient’s felt more energetic with good sleep and appetite.Conclusion: This formula is effective and safe for pain relief when combined with analgesic drugs, and may be a goodoption in dealing with local cancer pain. Future randomized, controlled studies are needed to better evaluate the efficacy. 展开更多
关键词 Cancer pain Chinese medicine Case study mixed methods
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Critical care nurses and their clinical reasoning for customizing monitor alarms:a mixed-method study
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作者 Mohamad Al Nakhal Mirna Fawaz +3 位作者 Karim Khabaz Ahmad Rayan Salam Bani Hani Mohammed ALBashtawy 《Frontiers of Nursing》 2024年第4期457-468,共12页
Objective:To explore the clinical rationale of critical care nurses for personalizing monitor alarms.One of the most crucial jobs assigned to critical care nurses is monitoring patients'physiological indicators an... Objective:To explore the clinical rationale of critical care nurses for personalizing monitor alarms.One of the most crucial jobs assigned to critical care nurses is monitoring patients'physiological indicators and carrying out the necessary associated interventions.Successful use of equipment in the nursing practice environment will be improved by a thorough understanding of the nurse's approach to alarm configuration.Methods:A mixed-method design integrating quantitative and qualitative components was used.The sample of this study recruited a convenience sample of 60 nurses who have worked in critical care areas.This study took place at Lebanese American University Medical Center Rizk Hospital,utilizing a semi-structured interview with participants.Results:The study demonstrated the high incidence of nuisance alarms and the desensitization of critical care nurses to vital ones.According to the nurses,frequent false alarms and a shortage of staff are the 2 main causes of alarm desensitization.Age was significantly associated with the perception of Smart alarms,according to the data(P=0.03).Four interconnected themes and subcategories that reflect the clinical reasoning process for alarm customization were developed as a result of the study's qualitative component:(1)unit alarm environment;(2)nursing style;(3)motivation to customize;and(4)clinical and technological customization.Conclusions:According to this study,nurses believe that alarms are valuable.However,a qualitative analysis of the experiences revealed that customization has been severely limited since the healthcare team depends on nurses to complete these tasks independently.Additionally,a staffing shortage and lack of technical training at the start of placement have also hindered customization. 展开更多
关键词 CUSTOMIZATION critical care unit equipment mixed method monitor alarm MOTIVATION nurse’s perception practice environment
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Facebook and Diagnosis of Depression: A Mixed Methods Study
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作者 Jason L. Skues Robert F. Banagan Lisa Z. Wise 《Social Networking》 2014年第4期187-195,共9页
A mixed-methods research design was employed to investigate the association between depression and Facebook use. An online questionnaire was completed by 135 participants from a medium-sized Australian university. Fol... A mixed-methods research design was employed to investigate the association between depression and Facebook use. An online questionnaire was completed by 135 participants from a medium-sized Australian university. Follow-up semi-structured interviews were conducted with 4 of 10 participants who volunteered to be interviewed. Although 25% of students were identified as at-risk for depression, quantitative analyses revealed no significant differences in Facebook use for at-risk versus not at-risk participants. None of the 5 at-risk students who volunteered to be interviewed actually responded to repeated attempts to make an interview time, whereas 4/5 not-at-risk students were interviewed. Notably, discrepancies in Facebook use reported in self- report questionnaire and interview data were revealed, which have implications for researchers when interpreting self-report Facebook usage data. 展开更多
关键词 Assessment DEPRESSION FACEBOOK MEDIATED COMMUNICATION mixed-methodS
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Health-Related Internet Information Both Strengthens and Weakens Parents’ Potential for Self-Care—A Mixed-Methods Study on Parents’ Search Patterns
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作者 Lotha Valan Lisbeth Kristiansen +1 位作者 Karin Sundin Mats Jong 《Open Journal of Nursing》 2018年第10期731-745,共15页
Background: Today’s parents belong to the digital generation and regularly use the Internet as a source of information. Parents’ quests for health-related online information comprise an effort to manage symptoms of ... Background: Today’s parents belong to the digital generation and regularly use the Internet as a source of information. Parents’ quests for health-related online information comprise an effort to manage symptoms of illness or address questions about child development which may be an expression of self-management or self-care. Purpose: This study aims to describe health and child development related Internet search patterns used by parents of children ages zero to six, and further, how the obtained information was used in contacts with Child Health Care. Design and Methods: A two-step mixed- method approach is used in this study, comprising both a quantitative and a qualitative approach. First, a questionnaire was distributed to parents (n = 800) at 13 health centers in a medium sized county in Sweden. Second, one narrative interview with two parents total was conducted. Descriptive and non-parametric statistics were calculated, and qualitative manifest content analyses were performed. Results: A total of 687 completed the questionnaire, which corresponds to a response rate of 86%. The results show that 97% used the Internet for health-related and developmental child issues. The results show that parents often look at basic tips and the Internet is seen as a fast and accessible forum to obtain information. Parents often initiated their Internet searches using Google search for the specific subject, but the most common and most used website (used by 95% of parents), was the Swedish health site 1177.se. 98.4% of parents evaluated the general information searches they made on the Internet as reliable despite only 31% of the parents checking to see if the websites they used were scientifically based. Parents (81.7%) stated that they wanted their Child Health Nurses (CHN) to give them recommendations for valid websites. Conclusions: The results in this study show that, on the one hand, the Internet could strengthen parental knowledge (support self-care capacity), but, on the other hand, the found information could worry them and increase their anxiety—negatively affected self-care capacity. The parents suggested that the information should be double-checked to establish trust and develop self-care knowledge. Having a good resource to rely on, such as personal contact with a CHN, or using reliable websites seems to strengthen and reassure parents. 展开更多
关键词 Health LITERACY Internet Advice mixed-method PARENTING SELF-CARE
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Solving Navier-Stokes equation by mixed interpolation method 被引量:1
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作者 万水 Mogens Peter Nielsen 《Journal of Southeast University(English Edition)》 EI CAS 2006年第1期93-95,共3页
The operator splitting method is used to deal with the Navier-Stokes equation, in which the physical process described by the equation is decomposed into two processes: a diffusion process and a convection process; a... The operator splitting method is used to deal with the Navier-Stokes equation, in which the physical process described by the equation is decomposed into two processes: a diffusion process and a convection process; and the finite element equation is established. The velocity field in the element is described by the shape function of the isoparametric element with nine nodes and the pressure field is described by the interpolation function of the four nodes at the vertex of the isoparametric element with nine nodes. The subroutine of the element and the integrated finite element code are generated by the Finite Element Program Generator (FEPG) successfully. The numerical simulation about the incompressible viscous liquid flowing over a cylinder is carded out. The solution agrees with the experimental results very well. 展开更多
关键词 Navier-Stokes equation finite element method incompressible viscous flow mixed interpolation method
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Error estimates of H^1-Galerkin mixed finite element method for Schrdinger equation 被引量:28
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作者 LIU Yang LI Hong WANG Jin-feng 《Applied Mathematics(A Journal of Chinese Universities)》 SCIE CSCD 2009年第1期83-89,共7页
An H^1-Galerkin mixed finite element method is discussed for a class of second order SchrSdinger equation. Optimal error estimates of semidiscrete schemes are derived for problems in one space dimension. At the same t... An H^1-Galerkin mixed finite element method is discussed for a class of second order SchrSdinger equation. Optimal error estimates of semidiscrete schemes are derived for problems in one space dimension. At the same time, optimal error estimates are derived for fully discrete schemes. And it is showed that the H1-Galerkin mixed finite element approximations have the same rate of convergence as in the classical mixed finite element methods without requiring the LBB consistency condition. 展开更多
关键词 H1-Galerkin mixed finite element method Schrdinger equation LBB condition optimal error estimates
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Synthesis and luminescent properties of Ce^(3+) doped LuAG nano-sized powders by mixed solvo-thermal method 被引量:12
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作者 王林香 尹民 +1 位作者 郭常新 张慰萍 《Journal of Rare Earths》 SCIE EI CAS CSCD 2010年第1期-,共6页
Polycrystalline LuAG:Ce3+(cerium3+-doped lutetium aluminum garnet) powders were prepared by mixed solvo-thermal method.Fourier-transform IR spectroscopy(FTIR) and X-ray diffraction(XRD) measurements showed that the pr... Polycrystalline LuAG:Ce3+(cerium3+-doped lutetium aluminum garnet) powders were prepared by mixed solvo-thermal method.Fourier-transform IR spectroscopy(FTIR) and X-ray diffraction(XRD) measurements showed that the precursors were ethanol derivatives AlO(OH) crystal with hydroxyl and carbonate group.XRD results showed that phase of Lu2O3 disappeared with the precursors were annealed at 400 °C,cubic phase LuAG:Ce3+ appeared but only one diffraction peaks of LuAP(LuAlO3) at calcination temperature to 700 °C,a... 展开更多
关键词 LuAG:Ce3+ phosphors HYDROTHERMAL mixed solvo-thermal method photoluminescence rare earths
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Influence of dysprosium substitution on magnetic and mechanical properties of high intrinsic coercivity Nd-Fe-B magnets prepared by double-alloy powder mixed method 被引量:12
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作者 胡志华 瞿海锦 +2 位作者 马冬威 罗成 王会杰 《Journal of Rare Earths》 SCIE EI CAS CSCD 2016年第7期689-694,共6页
The double-alloy powder mixed method is very proper for developing new small-mass products by changing the composi- tion of sintered Nd-Fe-B magnets, and there is little research on this aspect. The variation on magne... The double-alloy powder mixed method is very proper for developing new small-mass products by changing the composi- tion of sintered Nd-Fe-B magnets, and there is little research on this aspect. The variation on magnetic and mechanical properties of high intrinsic coercivity Nd-Fe-B magnets prepared by double-alloy powder mixed method was discussed, which is a method blend- ing two-type main phase alloy powders with different components. The results showed that the intrinsic coercivity and density of sin- tered Nd-Fe-B magnets increased gradually with the increase in Dy content, and the double-alloy powder mixed method could obtain high intrinsic coercivity Nd-Fe-B magnets with good crystallographic alignment and microstructure. The bending strength of sintered Nd-Fe-B magnets declined, and the Rockwell hardness of sintered Nd-Fe-B magnets first declined, and then increased with the in- crease in Dy content. The microstructure showed that there existed the phenomenon that the Dy element diffused into main phase dur- ing sintering process, and the distribution of Dy content in main phase had some variation in homogeneity as a result of incomplete reaction between the double-alloy powder types. 展开更多
关键词 Nd-Fe-B magnets intrinsic coercivity magnetic properties mechanical properties double-alloy powder mixed method rare earths
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