目的评估基于岗位胜任力与直接观察操作技能(direct observation of procedural skills,DOPS)考评的基层医学影像人才培养模式在城乡卫生一体化发展中的作用。方法选取2020年1月—2024年6月首都医科大学附属北京安贞医院南充医院影像科...目的评估基于岗位胜任力与直接观察操作技能(direct observation of procedural skills,DOPS)考评的基层医学影像人才培养模式在城乡卫生一体化发展中的作用。方法选取2020年1月—2024年6月首都医科大学附属北京安贞医院南充医院影像科的46名来自县级、区级医共体卫生医疗机构的进修生为研究对象,根据随机数字表法分为两组,各23名。对照组实施传统带教方式,研究组采用基于岗位胜任力联合DOPS考评为导向的基层医学影像人才培养模式,比较两组学员的理论知识及实践能力测试成绩、培训满意度及自我效能感评分。结果教学后,研究组的理论知识与实践能力测试成绩均高于对照组,差异均有统计学意义(P均<0.05)。研究组满意度评分为(48.22±1.54)分,高于对照组的(42.22±1.24)分,差异有统计学意义(t=14.554,P<0.05)。教学后,研究组自我效能得分均高于对照组,差异均有统计学意义(P均<0.05)。结论基于岗位胜任力联合DOPS教学模式的医学影像人才培养模式在提升人才质量、增强学习者满意度和自我效能方面均表现出显著优势,为城乡卫生一体化发展提供了有力的人才保障。展开更多
Land use and precipitation are two major factors affecting phosphorus(P)pollution of watershed runoff.However,molecular characterization of dissolved organic phosphorus(DOP)in runoff under the joint influences of land...Land use and precipitation are two major factors affecting phosphorus(P)pollution of watershed runoff.However,molecular characterization of dissolved organic phosphorus(DOP)in runoff under the joint influences of land use and precipitation remains limited.This study used Fourier transform ion cyclotron resonance mass spectrometry(FT-ICR-MS)to study the molecular characteristics of DOP in a typical P-polluted watershed with spatially variable land use and precipitation.The results showed that low precipitation and intense human activity,including phosphate mining and associated industries,resulted in the accumulation of aliphatic DOP compounds in the upper reaches,characterized by low aromaticity and low biological stability.Higher precipitation and widespread agriculture in the middle and lower reaches resulted in highly unsaturated DOP compounds with high biological stability constituting a higher proportion,compared to in the upper reaches.While,under similar precipitation,more aliphatic DOP compounds characterized by lower aromaticity and higher saturation were enriched in the lower reaches due to more influence from urban runoff relative to the middle reaches.Photochemical and/or microbial processes did result in changes in the characteristics of DOP compounds during runoff processes due to the prevalence of low molecular weight and low O/C bioavailable aliphatic DOP molecules in the upper reaches,which were increasingly transformed into refractory compounds from the upper tomiddle reaches.The results of this study can increase the understanding of the joint impacts of land use and precipitation on DOP compounds in watershed runoff.展开更多
With the continuous development of the nursing discipline,standardized nurse training has always been a crucial link in the development of nursing science and plays an irreplaceable role in talent cultivation.However,...With the continuous development of the nursing discipline,standardized nurse training has always been a crucial link in the development of nursing science and plays an irreplaceable role in talent cultivation.However,in the current standardized training for some nurses,there are problems such as the simplification of nursing skill evaluation models and insufficient post competence of nurses.Therefore,optimizing the training model for nursing talents has become an inevitable measure.The problem-based learning(PBL)method and the Direct Observation of Procedural Skills(DOPS)evaluation model provide new directions and guidance for the development of training.Against this background,this paper explores effective approaches for standardized nurse training,starting from basic concepts and gradually delving into specific practical paths,aiming to improve the quality of talent cultivation and provide valuable references for other researchers.展开更多
文摘目的评估基于岗位胜任力与直接观察操作技能(direct observation of procedural skills,DOPS)考评的基层医学影像人才培养模式在城乡卫生一体化发展中的作用。方法选取2020年1月—2024年6月首都医科大学附属北京安贞医院南充医院影像科的46名来自县级、区级医共体卫生医疗机构的进修生为研究对象,根据随机数字表法分为两组,各23名。对照组实施传统带教方式,研究组采用基于岗位胜任力联合DOPS考评为导向的基层医学影像人才培养模式,比较两组学员的理论知识及实践能力测试成绩、培训满意度及自我效能感评分。结果教学后,研究组的理论知识与实践能力测试成绩均高于对照组,差异均有统计学意义(P均<0.05)。研究组满意度评分为(48.22±1.54)分,高于对照组的(42.22±1.24)分,差异有统计学意义(t=14.554,P<0.05)。教学后,研究组自我效能得分均高于对照组,差异均有统计学意义(P均<0.05)。结论基于岗位胜任力联合DOPS教学模式的医学影像人才培养模式在提升人才质量、增强学习者满意度和自我效能方面均表现出显著优势,为城乡卫生一体化发展提供了有力的人才保障。
基金supported by the Three Gorges Corporation (No.HBHB2023018)the Project of Hubei Provincial Key Research and Development (No.2022BCA074)the National Key Research and Development Program of China (No.2022YFC3705002).
文摘Land use and precipitation are two major factors affecting phosphorus(P)pollution of watershed runoff.However,molecular characterization of dissolved organic phosphorus(DOP)in runoff under the joint influences of land use and precipitation remains limited.This study used Fourier transform ion cyclotron resonance mass spectrometry(FT-ICR-MS)to study the molecular characteristics of DOP in a typical P-polluted watershed with spatially variable land use and precipitation.The results showed that low precipitation and intense human activity,including phosphate mining and associated industries,resulted in the accumulation of aliphatic DOP compounds in the upper reaches,characterized by low aromaticity and low biological stability.Higher precipitation and widespread agriculture in the middle and lower reaches resulted in highly unsaturated DOP compounds with high biological stability constituting a higher proportion,compared to in the upper reaches.While,under similar precipitation,more aliphatic DOP compounds characterized by lower aromaticity and higher saturation were enriched in the lower reaches due to more influence from urban runoff relative to the middle reaches.Photochemical and/or microbial processes did result in changes in the characteristics of DOP compounds during runoff processes due to the prevalence of low molecular weight and low O/C bioavailable aliphatic DOP molecules in the upper reaches,which were increasingly transformed into refractory compounds from the upper tomiddle reaches.The results of this study can increase the understanding of the joint impacts of land use and precipitation on DOP compounds in watershed runoff.
文摘With the continuous development of the nursing discipline,standardized nurse training has always been a crucial link in the development of nursing science and plays an irreplaceable role in talent cultivation.However,in the current standardized training for some nurses,there are problems such as the simplification of nursing skill evaluation models and insufficient post competence of nurses.Therefore,optimizing the training model for nursing talents has become an inevitable measure.The problem-based learning(PBL)method and the Direct Observation of Procedural Skills(DOPS)evaluation model provide new directions and guidance for the development of training.Against this background,this paper explores effective approaches for standardized nurse training,starting from basic concepts and gradually delving into specific practical paths,aiming to improve the quality of talent cultivation and provide valuable references for other researchers.
