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
Within contemporary healthcare systems, professional identity among specialized nurses serves as a pivotal intrinsic factor influencing the development of their core competencies. This review synthesizes existing rese...Within contemporary healthcare systems, professional identity among specialized nurses serves as a pivotal intrinsic factor influencing the development of their core competencies. This review synthesizes existing research, revealing that professional identity positively impacts the development of core competencies through multiple pathways, including psychological drive, behavioral facilitation, teamwork, and career stability. Building on this analysis, this paper proposes systematic enhancement strategies from four dimensions: education and training, organizational environment, cultural development, and individual growth, aiming to provide a reference for nursing practice and professional development.展开更多
Professional learning communities(PLCs)offer essential contextual support for the development of foreign language teachers in higher education.The book Building Professional Learning Communities of Foreign Language Te...Professional learning communities(PLCs)offer essential contextual support for the development of foreign language teachers in higher education.The book Building Professional Learning Communities of Foreign Language Teachers in Higher Education,co-authored by Wen et al.(2021)systematically examines the necessity,practical measures,theoretical construction,and outcomes associated with building PLCs for university foreign language teachers.Notably,it introduces a research methodology rooted in local teacher education practices with Chinese characteristics—the dialectical research paradigm(DRP).This review introduces the content of the book,evaluates its contributions to teacher development,and explores its implications for future practice and research.展开更多
Remarkable progress has been made in infection prevention and control(IPC)in many countries,but some gaps emerged in the context of the coronavirus disease 2019(COVID-19)pandemic.Core capabilities such as standard cli...Remarkable progress has been made in infection prevention and control(IPC)in many countries,but some gaps emerged in the context of the coronavirus disease 2019(COVID-19)pandemic.Core capabilities such as standard clinical precautions and tracing the source of infection were the focus of IPC in medical institutions during the pandemic.Therefore,the core competences of IPC professionals during the pandemic,and how these contributed to successful prevention and control of the epidemic,should be studied.To investigate,using a systematic review and cluster analysis,fundamental improvements in the competences of infection control and prevention professionals that may be emphasized in light of the COVID-19 pandemic.We searched the PubMed,Embase,Cochrane Library,Web of Science,CNKI,WanFang Data,and CBM databases for original articles exploring core competencies of IPC professionals during the COVID-19 pandemic(from January 1,2020 to February 7,2023).Weiciyun software was used for data extraction and the Donohue formula was followed to distinguish high-frequency technical terms.Cluster analysis was performed using the within-group linkage method and squared Euclidean distance as the metric to determine the priority competencies for development.We identified 46 studies with 29 high-frequency technical terms.The most common term was“infection prevention and control training”(184 times,17.3%),followed by“hand hygiene”(172 times,16.2%).“Infection prevention and control in clinical practice”was the most-reported core competency(367 times,34.5%),followed by“microbiology and surveillance”(292 times,27.5%).Cluster analysis showed two key areas of competence:Category 1(program management and leadership,patient safety and occupational health,education and microbiology and surveillance)and Category 2(IPC in clinical practice).During the COVID-19 pandemic,IPC program management and leadership,microbiology and surveillance,education,patient safety,and occupational health were the most important focus of development and should be given due consideration by IPC professionals.展开更多
There is a variety of PDSs （project delivery systems） in today＇s construction industry. This leads to confusion when it comes to selecting the most suitable PDS for a specific project. The wrong selection decision ...There is a variety of PDSs （project delivery systems） in today＇s construction industry. This leads to confusion when it comes to selecting the most suitable PDS for a specific project. The wrong selection decision might lead eventually to reduced profit margins or perhaps financial losses to PSFs （professional service firms）. This research proposes a conceptual framework that helps PSFs in the selection of one or more suitable PDSs for their construction operations. The framework uses SWOT （strengths, weaknesses, opportunities and threats） analysis as a tool for assessing each PDS considered in this research. The PDSs included in the framework are design-bid-build, design-build, construction management agency, public-private partnerships and integrated project delivery. The main aim of this research framework is to enhance decision-making efficiency in PDS selection for PSF operations.展开更多
Aim: To examine the experiences of health care professional (HCP)-patient interactions in Multiple Sclerosis (MS), identifying factors that can influence these interactions. Methods: A three-stage systematic review an...Aim: To examine the experiences of health care professional (HCP)-patient interactions in Multiple Sclerosis (MS), identifying factors that can influence these interactions. Methods: A three-stage systematic review and thematic synthesis of qualitative and quantitative research was undertaken. Stage 1: the systematic literature search;Stage 2: methodological appraisal of the qualitative papers;Stage 3: thematic synthesis of all qualitative papers and the integration of quantitative findings into the synthesis. Results: Forty-nine qualitative studies were identified. This included 1014 individuals with MS (244 male, 755 female and 15 unknown) and 106 carers and 86 HCPs. Seventeen quantitative studies were identified which included 7680 (2008 male, 5812 females, and 40 unknown) participants as well as 224 carers. Two themes are discussed: 1) The expectations, experiences and perceptions of interactions with HCPs, and 2) The factors that influenced interactions and relationships. Discussion: There is need for improvement in the content and provision of information to patients with MS from HCPs. Specific strategies are suggested and implications for patients and health care providers are considered.展开更多
本文主要介绍可以帮助大家准备CISSP（Certified Information Systems Security Professional，信息系统安全认证专业人员）考试的工具，这是一个受到安全专业人士欢迎的认证程序。过去几年中，其它有竞争力的证书也在逐渐流行开来，但...本文主要介绍可以帮助大家准备CISSP（Certified Information Systems Security Professional，信息系统安全认证专业人员）考试的工具，这是一个受到安全专业人士欢迎的认证程序。过去几年中，其它有竞争力的证书也在逐渐流行开来，但在类似Monster之类的地方用关键字CISSP搜索工作职位，你会发现许多雇主都比较看重CISSP证书。展开更多
In order to adapt to the needs of globalization and cultivate compound business English talents, business English courses in colleges and universities should carry out corresponding reforms in terms of course module s...In order to adapt to the needs of globalization and cultivate compound business English talents, business English courses in colleges and universities should carry out corresponding reforms in terms of course module settings, improving students' language learning and professional knowledge and skills training, and increasing practical training courses. Meet the changing employment environment and market demand.展开更多
In the process of reform of state-owned enterprises, new requirements are put forward for the formulation of the objectives of the modern system. Professional manager system is the basic component of the enterprise sy...In the process of reform of state-owned enterprises, new requirements are put forward for the formulation of the objectives of the modern system. Professional manager system is the basic component of the enterprise system and has become an important thinking in the process of innovation and development of state-owned enterprises at this stage. In order to solve the problems of state-owned enterprise governance and to effectively implement the professional manager system, it is necessary to guarantee the characteristics of the professional manager system, and gradually abandon the administrative appointment and administrative levels of professional managers. Through the gradual addition of market-oriented selection mechanism, the party should adhere to the correct leadership of state-owned enterprises, and ensure the effective implementation of the professional manager system of state-owned enterprises under the influence of perfect governance institutions and market mechanisms.展开更多
This article discusses the connotation of the evaluation of educational literacy of physics students in normal universities,provides the evaluation criteria for students’teaching ability,improves the evaluation compo...This article discusses the connotation of the evaluation of educational literacy of physics students in normal universities,provides the evaluation criteria for students’teaching ability,improves the evaluation composition of educational literacy of physics students in normal universities,and provides the score distribution of the 10 items in educational literacy,in hope to improve the training quality of university students.展开更多
BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are es...BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.AIM To evaluate the knowledge,attitude and practice(KAP)of healthcare professionals regarding IBD.METHODS This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.RESULTS A total of 315 valid questionnaires were analyzed,with 215 participants(68.25%)being female.The mean KAP scores were 17.55±5.35(range:0-24),27.65±2.77(range:8-40),and 18.88±4.23(range:6-30),respectively.Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge:Age 26-35 years(β=2.80,95%CI:0.31-5.30,P=0.028),professional title(β=2.66,95%CI:0.91-4.41,P=0.003),position(β=-3.78,95%CI:-5.45 to-2.11,P<0.001),participation in IBD-related training(β=3.45,95%CI:2.39-4.51,P<0.001),and admission of more than five IBD cases in the past month(β=3.25,95%CI:1.58-4.92,P<0.001).Attitude was independently associated with knowledge(β=0.20,95%CI:0.15-0.26,P<0.001)and being a nurse or nursing supervisor(β=-1.30,95%CI:-2.16 to-0.40,P=0.003).Practice was independently associated with knowledge(β=0.20,95%CI:0.10-0.30,P<0.001)and attitude(β=0.24,95%CI:0.06-0.42,P=0.007).Structural equation modeling demonstrated direct effects of knowledge on attitude(β=0.24,P<0.001)and practice(β=0.26,P<0.001),as well as of attitude on practice(β=0.22,P=0.012).CONCLUSION Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD.Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.展开更多
Since its founding in 1985, China’s Post-doc system has cultivated a total of 13,100 high-level professionals, a national conference of postdocs revealed recently. The program’s establishment was given the green lig...Since its founding in 1985, China’s Post-doc system has cultivated a total of 13,100 high-level professionals, a national conference of postdocs revealed recently. The program’s establishment was given the green light by Deng Xiaoping in 1985 in response to a suggestion by Prof. Tsung Dao Lee, a Nobel physics prize laureate. Starting from scratch, so far 798 programs for postdocs have been established, to be distributed in展开更多
Cultivation metaphors that compare teachers and students to gardeners and plants,respectively,have a long presence in the field of education.While such metaphors can be used to represent learner-centered pedagogies in...Cultivation metaphors that compare teachers and students to gardeners and plants,respectively,have a long presence in the field of education.While such metaphors can be used to represent learner-centered pedagogies in which a teacher fosters the growth of their students,there is also a darker side to cultivation metaphors.For instance,Zipory(2020)argues that characteristics of agriculture’s grain economy-like repetitiveness,coercion,and lack of diversity-can be imposed onto education.Following Zipory’s call for the forest to serve as a more apt metaphorical trajectory for education,I propose using the forest garden as a middle ground between the traditional garden and the natural forest.To highlight the potential usefulness of the forest garden metaphor in education,I explore its application as related to teacher professional development(PD),specifically content and language integrated learning(CLIL)PD.By reflecting on the design and outcomes of Project SCILLA,a CLIL PD program for Kazakhstani university instructors,as well as CLIL PD more broadly,I demonstrate how the forest garden metaphor conceptualizes the relationships and power dynamics between and across various stakeholders in education in response to global rhetoric,national and local policies,and interpersonal interactions.By emulating the sustainable forest garden’s principles of planning and intentionality,localization,interconnectedness,diversity,creativity,and growth from decay,stakeholders can(re)shape the policies and practices of multilingual,multicultural education systems.In addition,education researchers can use a metaphorical forest garden lens to better appreciate the complexities at play within dynamic educational landscapes.展开更多
BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk a...BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk and competence,hindering policy implementation.AIM To investigate the current status of the attitudes of oncology specialist nurses toward having prescribing authority,specifically concerning symptom management and supportive care in oncology practice,and we conducted a path analysis of their influencing factors.METHODS As participants in the survey,oncology specialist nurses working in hospitals of different grades in Jiangsu Province were selected from March 2025 to May 2025 using a stratified sampling method.The questionnaires were administered using the general information questionnaire,the beliefs and attitudes about nurses'prescriptive authority scale,the nurses'professional identity scale,and the selfefficacy scale.Pearson’s method was used to analyze the correlation between beliefs and attitudes about the prescriptive authority,professional identity,and self-efficacy of nurses.Multiple linear regression was performed to analyze the factors influencing the beliefs and attitudes of nurses’prescriptive authority.The Amos plug-in was used to construct structural equation models to analyze the influencing pathways.RESULTS A total of 329 questionnaires were distributed,and 328 valid questionnaires were returned(effective recovery rate:99.70%).The total score of the 328 oncology nurses on the beliefs and attitudes about nurses'prescriptive authority scale was 101.88±15.13,indicating a moderately high level.Univariate analysis revealed that gender and hospital grade were associated with this score(P<0.05).The Pearson correlation analysis revealed that self-efficacy was positively correlated with the scores of the beliefs and attitudes about nurses’prescriptive authority scale and the nurses’professional identity scale(r=0.4999,P<0.0001 and r=0.7048,P<0.05,respectively),whereas occupational identity was positively correlated only with the former(r=0.6209,P<0.05).Multiple linear regression analysis revealed occupational identity and self-efficacy as the factors influencing the scores of the beliefs and attitudes about nurses’prescriptive authority scale(P<0.05).The results of the path analysis revealed that selfefficacy significantly positively affected nurses’occupational identity and their beliefs and attitudes about having prescriptive authority;occupational identity played a mediating role between the two,with a mediating effect accounting for 54.46% of the total effect,and the structural equation model was well-fitted.CONCLUSION Oncology nurses have more positive attitudes toward prescriptive authority.In addition,self-efficacy positively and indirectly affects nurses’attitudes toward prescriptive authority through the mediating effect of occupational identity.This can be used as a basis for clinical practice to take targeted measures to improve nurses’self-efficacy and occupational identity,thus creating favorable conditions for effectively implementing the policy of prescriptive authority.展开更多
Higher education is at the top of the educational hierarchy.With the booming development of the economy and society in China,its scale is also expanding greatly.Professional course teaching is a key component of highe...Higher education is at the top of the educational hierarchy.With the booming development of the economy and society in China,its scale is also expanding greatly.Professional course teaching is a key component of higher education,and it plays a vital role in cultivating professionalism and even the overall level of students.According to several problems existing in the current teaching practice of professional courses at our universities,in order to improve the teaching quality to meet the requirements in the emerging engineering era,related strategies and approaches for teaching reform are proposed as follows.Firstly,we advance the traditional classroom teaching into the modern one with equal double-subjects of teachers and students to cultivate the active and comprehensive learning ability of students.Secondly,the scientific research practice-oriented teaching method is introduced,and it contributes to connecting theory with engineering practice for students.Thirdly,the diversified course assessment system is explored,and a closed-loop quality control strategy is discussed on the basis of a questionnaire survey and face-to-face interview.By questionnaires and final assessments,it is clear that teaching qualities of related professional courses are satisfactory in recent years,and the methods and strategies can be widely applied to the teaching practice of other courses.展开更多
This study investigates the effects of AI-mediated communication (AMC) on trust-building and negotiation outcomes in professional remote collaboration settings. Through a mixed-methods approach combining experimental ...This study investigates the effects of AI-mediated communication (AMC) on trust-building and negotiation outcomes in professional remote collaboration settings. Through a mixed-methods approach combining experimental design and qualitative analysis (N = 120), we examine how AI intermediaries influence communication dynamics, relationship building, and decision-making processes. Results indicate that while AMC initially creates barriers to trust formation, it ultimately leads to enhanced communication outcomes and stronger professional relationships when implemented with appropriate transparency and support. The study revealed a 31% improvement in cross-cultural understanding and a 24% increase in negotiation satisfaction rates when using AI-mediated channels with proper transparency measures. These findings contribute to the theoretical understanding of technology-mediated communication and practical applications for organizations implementing AI communication tools.展开更多
This study examined the relationships among workplace spirituality,mindfulness,mental well-being,and organizational commitment in professional female dancers.A total of 424 dancers from the United States participated ...This study examined the relationships among workplace spirituality,mindfulness,mental well-being,and organizational commitment in professional female dancers.A total of 424 dancers from the United States participated in the survey.Structural equation modeling indicated that workplace spirituality was positively associated with both mental well-being and organizational commitment,whereas mindfulness was significantly related only to organizational commitment.Mental well-being was a significant predictor of organizational commitment and mediated the relationship between workplace spirituality and organizational commitment,but not between mindfulness and commitment.These results suggest that workplace spirituality functions as a psychological resource that enhances emotional health and strengthens organizational engagement.Thesefindings are consistent with self-determination theory,highlighting the role of value congruence and intrinsic purpose in sustaining motivation in high-performance contexts.Moreover,the studyfindings underscore the importance of fostering spiritually supportive work environments to promote psychological well-being and long-term organizational commitment.展开更多
Objective:To clarify the preferences and core demands of professional Master’s students in Tuina at Yunnan University of Chinese Medicine regarding“concentrated”versus“dispersed”rotation schedules in the Tuina de...Objective:To clarify the preferences and core demands of professional Master’s students in Tuina at Yunnan University of Chinese Medicine regarding“concentrated”versus“dispersed”rotation schedules in the Tuina department,as well as their preferred year for primary rotation,providing evidence for optimizing rotation programs and improving the quality of standardized training.Methods:Paper questionnaires,including two multiple-choice questions and one open-ended question,were distributed to 30 professional Tuina Master’s students,completed on site,and collected immediately.Descriptive statistics were used to analyze preference distributions.Results:A total of 30 questionnaires were distributed and 30 valid responses were collected,achieving a 100%response rate.Among them,23 students(76.7%)supported“concentrated training,”while seven students(23.3%)preferred“dispersed training.”Regarding rotation year preference,18 students(60.0%)selected the second year for concentrated Tuina rotations,eight students(26.7%)selected the third year,and four students(13.3%)selected the first year.The core demands supporting concentrated training were“skill continuity,deep involvement in diagnosis and treatment,and smooth mentorship transition,”whereas those supporting dispersed training were“integration of multi-department knowledge,coordination of research time,and avoidance of fatigue from a single department.”Conclusion:Most professional Tuina Master’s students prefer concentrated Tuina rotations in the second year.It is recommended that institutions adopt a“second-year core department concentrated+auxiliary department flexible dispersed”model and establish flexible coordination and feedback mechanisms to balance clinical skill development with individualized growth needs.展开更多
基金supported by the Fuxing Nursing Research Foundation of Fudan University[FNF202352].
文摘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.
文摘Within contemporary healthcare systems, professional identity among specialized nurses serves as a pivotal intrinsic factor influencing the development of their core competencies. This review synthesizes existing research, revealing that professional identity positively impacts the development of core competencies through multiple pathways, including psychological drive, behavioral facilitation, teamwork, and career stability. Building on this analysis, this paper proposes systematic enhancement strategies from four dimensions: education and training, organizational environment, cultural development, and individual growth, aiming to provide a reference for nursing practice and professional development.
文摘Professional learning communities(PLCs)offer essential contextual support for the development of foreign language teachers in higher education.The book Building Professional Learning Communities of Foreign Language Teachers in Higher Education,co-authored by Wen et al.(2021)systematically examines the necessity,practical measures,theoretical construction,and outcomes associated with building PLCs for university foreign language teachers.Notably,it introduces a research methodology rooted in local teacher education practices with Chinese characteristics—the dialectical research paradigm(DRP).This review introduces the content of the book,evaluates its contributions to teacher development,and explores its implications for future practice and research.
基金The National Natural Science Foundation of China,Grant/Award Number:52178080Major Research Project of the Hospital Management Research Institute of the National Health Commission,Grant/Award Number:GY2023011National Institute of Hospital Administration Management of China,Grant/Award Number:GY2023049。
文摘Remarkable progress has been made in infection prevention and control(IPC)in many countries,but some gaps emerged in the context of the coronavirus disease 2019(COVID-19)pandemic.Core capabilities such as standard clinical precautions and tracing the source of infection were the focus of IPC in medical institutions during the pandemic.Therefore,the core competences of IPC professionals during the pandemic,and how these contributed to successful prevention and control of the epidemic,should be studied.To investigate,using a systematic review and cluster analysis,fundamental improvements in the competences of infection control and prevention professionals that may be emphasized in light of the COVID-19 pandemic.We searched the PubMed,Embase,Cochrane Library,Web of Science,CNKI,WanFang Data,and CBM databases for original articles exploring core competencies of IPC professionals during the COVID-19 pandemic(from January 1,2020 to February 7,2023).Weiciyun software was used for data extraction and the Donohue formula was followed to distinguish high-frequency technical terms.Cluster analysis was performed using the within-group linkage method and squared Euclidean distance as the metric to determine the priority competencies for development.We identified 46 studies with 29 high-frequency technical terms.The most common term was“infection prevention and control training”(184 times,17.3%),followed by“hand hygiene”(172 times,16.2%).“Infection prevention and control in clinical practice”was the most-reported core competency(367 times,34.5%),followed by“microbiology and surveillance”(292 times,27.5%).Cluster analysis showed two key areas of competence:Category 1(program management and leadership,patient safety and occupational health,education and microbiology and surveillance)and Category 2(IPC in clinical practice).During the COVID-19 pandemic,IPC program management and leadership,microbiology and surveillance,education,patient safety,and occupational health were the most important focus of development and should be given due consideration by IPC professionals.
文摘There is a variety of PDSs （project delivery systems） in today＇s construction industry. This leads to confusion when it comes to selecting the most suitable PDS for a specific project. The wrong selection decision might lead eventually to reduced profit margins or perhaps financial losses to PSFs （professional service firms）. This research proposes a conceptual framework that helps PSFs in the selection of one or more suitable PDSs for their construction operations. The framework uses SWOT （strengths, weaknesses, opportunities and threats） analysis as a tool for assessing each PDS considered in this research. The PDSs included in the framework are design-bid-build, design-build, construction management agency, public-private partnerships and integrated project delivery. The main aim of this research framework is to enhance decision-making efficiency in PDS selection for PSF operations.
文摘Aim: To examine the experiences of health care professional (HCP)-patient interactions in Multiple Sclerosis (MS), identifying factors that can influence these interactions. Methods: A three-stage systematic review and thematic synthesis of qualitative and quantitative research was undertaken. Stage 1: the systematic literature search;Stage 2: methodological appraisal of the qualitative papers;Stage 3: thematic synthesis of all qualitative papers and the integration of quantitative findings into the synthesis. Results: Forty-nine qualitative studies were identified. This included 1014 individuals with MS (244 male, 755 female and 15 unknown) and 106 carers and 86 HCPs. Seventeen quantitative studies were identified which included 7680 (2008 male, 5812 females, and 40 unknown) participants as well as 224 carers. Two themes are discussed: 1) The expectations, experiences and perceptions of interactions with HCPs, and 2) The factors that influenced interactions and relationships. Discussion: There is need for improvement in the content and provision of information to patients with MS from HCPs. Specific strategies are suggested and implications for patients and health care providers are considered.
文摘本文主要介绍可以帮助大家准备CISSP（Certified Information Systems Security Professional，信息系统安全认证专业人员）考试的工具，这是一个受到安全专业人士欢迎的认证程序。过去几年中，其它有竞争力的证书也在逐渐流行开来，但在类似Monster之类的地方用关键字CISSP搜索工作职位，你会发现许多雇主都比较看重CISSP证书。
文摘In order to adapt to the needs of globalization and cultivate compound business English talents, business English courses in colleges and universities should carry out corresponding reforms in terms of course module settings, improving students' language learning and professional knowledge and skills training, and increasing practical training courses. Meet the changing employment environment and market demand.
文摘In the process of reform of state-owned enterprises, new requirements are put forward for the formulation of the objectives of the modern system. Professional manager system is the basic component of the enterprise system and has become an important thinking in the process of innovation and development of state-owned enterprises at this stage. In order to solve the problems of state-owned enterprise governance and to effectively implement the professional manager system, it is necessary to guarantee the characteristics of the professional manager system, and gradually abandon the administrative appointment and administrative levels of professional managers. Through the gradual addition of market-oriented selection mechanism, the party should adhere to the correct leadership of state-owned enterprises, and ensure the effective implementation of the professional manager system of state-owned enterprises under the influence of perfect governance institutions and market mechanisms.
基金The Research Project of“Research on Innovation and Entrepreneurship Practice Mode of Science and Engineering College Students”(Project Number:XJYT201703).
文摘This article discusses the connotation of the evaluation of educational literacy of physics students in normal universities,provides the evaluation criteria for students’teaching ability,improves the evaluation composition of educational literacy of physics students in normal universities,and provides the score distribution of the 10 items in educational literacy,in hope to improve the training quality of university students.
文摘BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.AIM To evaluate the knowledge,attitude and practice(KAP)of healthcare professionals regarding IBD.METHODS This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.RESULTS A total of 315 valid questionnaires were analyzed,with 215 participants(68.25%)being female.The mean KAP scores were 17.55±5.35(range:0-24),27.65±2.77(range:8-40),and 18.88±4.23(range:6-30),respectively.Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge:Age 26-35 years(β=2.80,95%CI:0.31-5.30,P=0.028),professional title(β=2.66,95%CI:0.91-4.41,P=0.003),position(β=-3.78,95%CI:-5.45 to-2.11,P<0.001),participation in IBD-related training(β=3.45,95%CI:2.39-4.51,P<0.001),and admission of more than five IBD cases in the past month(β=3.25,95%CI:1.58-4.92,P<0.001).Attitude was independently associated with knowledge(β=0.20,95%CI:0.15-0.26,P<0.001)and being a nurse or nursing supervisor(β=-1.30,95%CI:-2.16 to-0.40,P=0.003).Practice was independently associated with knowledge(β=0.20,95%CI:0.10-0.30,P<0.001)and attitude(β=0.24,95%CI:0.06-0.42,P=0.007).Structural equation modeling demonstrated direct effects of knowledge on attitude(β=0.24,P<0.001)and practice(β=0.26,P<0.001),as well as of attitude on practice(β=0.22,P=0.012).CONCLUSION Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD.Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.
文摘Since its founding in 1985, China’s Post-doc system has cultivated a total of 13,100 high-level professionals, a national conference of postdocs revealed recently. The program’s establishment was given the green light by Deng Xiaoping in 1985 in response to a suggestion by Prof. Tsung Dao Lee, a Nobel physics prize laureate. Starting from scratch, so far 798 programs for postdocs have been established, to be distributed in
基金funding from the U.S.-Kazakhstan University Partnerships program funded by the U.S.Mission to Kazakhstan and administered by American Councils[Award number SKZ100-19-CA-0149].
文摘Cultivation metaphors that compare teachers and students to gardeners and plants,respectively,have a long presence in the field of education.While such metaphors can be used to represent learner-centered pedagogies in which a teacher fosters the growth of their students,there is also a darker side to cultivation metaphors.For instance,Zipory(2020)argues that characteristics of agriculture’s grain economy-like repetitiveness,coercion,and lack of diversity-can be imposed onto education.Following Zipory’s call for the forest to serve as a more apt metaphorical trajectory for education,I propose using the forest garden as a middle ground between the traditional garden and the natural forest.To highlight the potential usefulness of the forest garden metaphor in education,I explore its application as related to teacher professional development(PD),specifically content and language integrated learning(CLIL)PD.By reflecting on the design and outcomes of Project SCILLA,a CLIL PD program for Kazakhstani university instructors,as well as CLIL PD more broadly,I demonstrate how the forest garden metaphor conceptualizes the relationships and power dynamics between and across various stakeholders in education in response to global rhetoric,national and local policies,and interpersonal interactions.By emulating the sustainable forest garden’s principles of planning and intentionality,localization,interconnectedness,diversity,creativity,and growth from decay,stakeholders can(re)shape the policies and practices of multilingual,multicultural education systems.In addition,education researchers can use a metaphorical forest garden lens to better appreciate the complexities at play within dynamic educational landscapes.
文摘BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk and competence,hindering policy implementation.AIM To investigate the current status of the attitudes of oncology specialist nurses toward having prescribing authority,specifically concerning symptom management and supportive care in oncology practice,and we conducted a path analysis of their influencing factors.METHODS As participants in the survey,oncology specialist nurses working in hospitals of different grades in Jiangsu Province were selected from March 2025 to May 2025 using a stratified sampling method.The questionnaires were administered using the general information questionnaire,the beliefs and attitudes about nurses'prescriptive authority scale,the nurses'professional identity scale,and the selfefficacy scale.Pearson’s method was used to analyze the correlation between beliefs and attitudes about the prescriptive authority,professional identity,and self-efficacy of nurses.Multiple linear regression was performed to analyze the factors influencing the beliefs and attitudes of nurses’prescriptive authority.The Amos plug-in was used to construct structural equation models to analyze the influencing pathways.RESULTS A total of 329 questionnaires were distributed,and 328 valid questionnaires were returned(effective recovery rate:99.70%).The total score of the 328 oncology nurses on the beliefs and attitudes about nurses'prescriptive authority scale was 101.88±15.13,indicating a moderately high level.Univariate analysis revealed that gender and hospital grade were associated with this score(P<0.05).The Pearson correlation analysis revealed that self-efficacy was positively correlated with the scores of the beliefs and attitudes about nurses’prescriptive authority scale and the nurses’professional identity scale(r=0.4999,P<0.0001 and r=0.7048,P<0.05,respectively),whereas occupational identity was positively correlated only with the former(r=0.6209,P<0.05).Multiple linear regression analysis revealed occupational identity and self-efficacy as the factors influencing the scores of the beliefs and attitudes about nurses’prescriptive authority scale(P<0.05).The results of the path analysis revealed that selfefficacy significantly positively affected nurses’occupational identity and their beliefs and attitudes about having prescriptive authority;occupational identity played a mediating role between the two,with a mediating effect accounting for 54.46% of the total effect,and the structural equation model was well-fitted.CONCLUSION Oncology nurses have more positive attitudes toward prescriptive authority.In addition,self-efficacy positively and indirectly affects nurses’attitudes toward prescriptive authority through the mediating effect of occupational identity.This can be used as a basis for clinical practice to take targeted measures to improve nurses’self-efficacy and occupational identity,thus creating favorable conditions for effectively implementing the policy of prescriptive authority.
基金Undergraduate Education Reform Project of Dalian Maritime University(BJG-C2024072)Postgraduate Education Reform Project of Liaoning Province([2022]249-209)+1 种基金Education Reform Project of Dalian Minzu University(YB202547,YJS2024JG55,B2109)First-Class Undergraduate Courses of Liaoning Province([2022]302-1433,[2022]302-1452)。
文摘Higher education is at the top of the educational hierarchy.With the booming development of the economy and society in China,its scale is also expanding greatly.Professional course teaching is a key component of higher education,and it plays a vital role in cultivating professionalism and even the overall level of students.According to several problems existing in the current teaching practice of professional courses at our universities,in order to improve the teaching quality to meet the requirements in the emerging engineering era,related strategies and approaches for teaching reform are proposed as follows.Firstly,we advance the traditional classroom teaching into the modern one with equal double-subjects of teachers and students to cultivate the active and comprehensive learning ability of students.Secondly,the scientific research practice-oriented teaching method is introduced,and it contributes to connecting theory with engineering practice for students.Thirdly,the diversified course assessment system is explored,and a closed-loop quality control strategy is discussed on the basis of a questionnaire survey and face-to-face interview.By questionnaires and final assessments,it is clear that teaching qualities of related professional courses are satisfactory in recent years,and the methods and strategies can be widely applied to the teaching practice of other courses.
文摘This study investigates the effects of AI-mediated communication (AMC) on trust-building and negotiation outcomes in professional remote collaboration settings. Through a mixed-methods approach combining experimental design and qualitative analysis (N = 120), we examine how AI intermediaries influence communication dynamics, relationship building, and decision-making processes. Results indicate that while AMC initially creates barriers to trust formation, it ultimately leads to enhanced communication outcomes and stronger professional relationships when implemented with appropriate transparency and support. The study revealed a 31% improvement in cross-cultural understanding and a 24% increase in negotiation satisfaction rates when using AI-mediated channels with proper transparency measures. These findings contribute to the theoretical understanding of technology-mediated communication and practical applications for organizations implementing AI communication tools.
文摘This study examined the relationships among workplace spirituality,mindfulness,mental well-being,and organizational commitment in professional female dancers.A total of 424 dancers from the United States participated in the survey.Structural equation modeling indicated that workplace spirituality was positively associated with both mental well-being and organizational commitment,whereas mindfulness was significantly related only to organizational commitment.Mental well-being was a significant predictor of organizational commitment and mediated the relationship between workplace spirituality and organizational commitment,but not between mindfulness and commitment.These results suggest that workplace spirituality functions as a psychological resource that enhances emotional health and strengthens organizational engagement.Thesefindings are consistent with self-determination theory,highlighting the role of value congruence and intrinsic purpose in sustaining motivation in high-performance contexts.Moreover,the studyfindings underscore the importance of fostering spiritually supportive work environments to promote psychological well-being and long-term organizational commitment.
文摘Objective:To clarify the preferences and core demands of professional Master’s students in Tuina at Yunnan University of Chinese Medicine regarding“concentrated”versus“dispersed”rotation schedules in the Tuina department,as well as their preferred year for primary rotation,providing evidence for optimizing rotation programs and improving the quality of standardized training.Methods:Paper questionnaires,including two multiple-choice questions and one open-ended question,were distributed to 30 professional Tuina Master’s students,completed on site,and collected immediately.Descriptive statistics were used to analyze preference distributions.Results:A total of 30 questionnaires were distributed and 30 valid responses were collected,achieving a 100%response rate.Among them,23 students(76.7%)supported“concentrated training,”while seven students(23.3%)preferred“dispersed training.”Regarding rotation year preference,18 students(60.0%)selected the second year for concentrated Tuina rotations,eight students(26.7%)selected the third year,and four students(13.3%)selected the first year.The core demands supporting concentrated training were“skill continuity,deep involvement in diagnosis and treatment,and smooth mentorship transition,”whereas those supporting dispersed training were“integration of multi-department knowledge,coordination of research time,and avoidance of fatigue from a single department.”Conclusion:Most professional Tuina Master’s students prefer concentrated Tuina rotations in the second year.It is recommended that institutions adopt a“second-year core department concentrated+auxiliary department flexible dispersed”model and establish flexible coordination and feedback mechanisms to balance clinical skill development with individualized growth needs.
