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KT: why it should be ‘hotter’ than it is 卡帕:为什么它应该比现在更“热”
Pub Date : 2022-09-16 DOI: 10.1136/ebnurs-2022-103609
M. Barwick
Knowledge translation (KT) is a science and a practice, and despite no longer being nascent, it has never achieved ‘hot’ status among STEM fields. Despite 20 years of growing international policy and research attention on reducing the evidence-practice and policy gap, KT and implementation science are not getting the attention they deserve. The ‘hot’ emerging fields are rooted in discovery, but discovery must translate into things we can understand, apply and use. Evidence-based innovations will not reach their potential unless they are accessible, and we can demonstrate how they can be implemented in real-world contexts. Academia has a longstanding laudatory focus on publication at the expense of application and impact, and shifting to a more balanced view is an uphill battle. Our academic institutions and funders, our governments and service provider organisations must put implementation at the forefront of their efforts if we are to realise optimal benefits from our innovations.
知识翻译(KT)是一门科学和一种实践,尽管它不再是新生事物,但它从未在STEM领域中取得“热门”地位。尽管20年来国际政策和研究越来越关注减少证据-实践和政策差距,但KT和实施科学并没有得到应有的关注。“热门”新兴领域根植于发现,但发现必须转化为我们能够理解、应用和使用的东西。基于证据的创新将无法发挥其潜力,除非它们易于获取,我们可以展示如何在现实环境中实施它们。学术界长期以来一直以牺牲应用和影响为代价,对发表表示赞赏,而转向更平衡的观点是一场艰苦的战斗。如果我们要从创新中获得最佳效益,我们的学术机构和资助者、我们的政府和服务提供商组织必须把实施放在他们努力的最前沿。
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引用次数: 0
Inclusivity in nurse education 护士教育的包容性
Pub Date : 2022-05-24 DOI: 10.1136/ebnurs-2022-103570
C. Moorley, Rosetta West
10.1136/ebnurs-2022-103570 Introduction We operate in a world whose core has been shaken by the effects of the COVID19 pandemic: demonstrations, protest, strike actions and campaigns that seeks to administer social justice. Challenges exist for nursing education to be truly inclusive in approaching how current and future nurses are taught, educated and prepared to work in a world that is socially injust. Social justice in nursing relates to the equity and redistribution of resources for better health outcomes. It focuses on the elimination of social and political barriers that negatively impact on the health of individual or groups in society. In nursing, these include areas that relate to practice, policies and systems that govern care. In this editorial, we explore three areas of nurse education where inclusive practice can lead to social justice and better outcomes for care recipients.
我们所处的世界的核心已被covid - 19大流行的影响所动摇:示威、抗议、罢工行动和旨在维护社会正义的运动。护理教育面临的挑战是,如何在一个社会不公正的世界中教导、教育和准备当前和未来的护士,使其真正具有包容性。护理领域的社会公正关系到资源的公平和再分配,以实现更好的健康结果。它侧重于消除对社会中个人或群体的健康产生负面影响的社会和政治障碍。在护理中,这些包括与实践、政策和管理护理系统相关的领域。在这篇社论中,我们探讨了护士教育的三个领域,在这些领域中,包容性实践可以带来社会公正,并为护理接受者带来更好的结果。
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引用次数: 2
What is Q methodology? Q方法学是什么?
Pub Date : 2022-05-24 DOI: 10.1136/ebnurs-2022-103568
Julie Duncan Millar, H. Mason, Lisa Kidd
10.1136/ebnurs-2022-103568 Introduction Mixed methods research is becoming increasingly popular given the benefit of combining quantitative and qualitative data to explore phenomena. Q methodology combines qualitative and quantitative techniques to study subjectivity. Despite its recent popularity, Q methodology was originally developed in the 1930s by William Stephenson, a physicist and psychologist. Stephenson worked with psychologist and statistician Charles Spearman (of Spearman correlation coefficient and factor analysis fame); Stephenson saw the need to explore the subjective opinion, combining it with the rigour of statistical factor analysis, thus Q methodology was born. Q methodology is being increasingly used to explore views on a range of topics in healthcare from mental healthcare to dentistry. This paper sets out the key characteristics of Q methodology to help nurse researchers better understand the method and terminology, plus we provide practical advice about how to apply Q in nursing and health services research.
由于将定量和定性数据结合起来探索现象的好处,混合方法研究正变得越来越流行。Q方法论结合定性和定量技术来研究主体性。尽管Q方法论最近很流行,但它最初是由物理学家兼心理学家威廉·斯蒂芬森(William Stephenson)在20世纪30年代开发的。斯蒂芬森曾与心理学家和统计学家查尔斯·斯皮尔曼(因斯皮尔曼相关系数和因子分析而闻名)合作;斯蒂芬森看到了探索主观意见的必要性,并将其与统计因素分析的严谨性相结合,于是Q方法论诞生了。Q方法学正越来越多地用于探索从精神保健到牙科的一系列医疗保健主题的观点。本文阐述了Q方法论的关键特征,以帮助护理研究者更好地理解方法和术语,并就如何在护理和卫生服务研究中应用Q提供了实用建议。
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引用次数: 2
Quality of care in the delivery hospital contributes to racial disparities in outcomes for low-risk newborns 分娩医院的护理质量导致低风险新生儿结局的种族差异
Pub Date : 2022-03-17 DOI: 10.1136/ebnurs-2021-103483
Kristine Schmitz, L. Kleinman
Methods Using 2010–2014 vital statistics and discharge data, Glazer et al identified births at low risk for complications. Various logistic regression models estimated adjusted ORs and calculated standardised rates, accounting for hospital fixed effects, individual (eg, sociodemographic, mother’s health) and hospital (eg, delivery volume, per cent of deliveries publicly insured) characteristics. Outcomes include moderate and severe unexpected newborn complications, using the Joint Commission metric. Hospitals were ranked by outcomes (ratio of expected to observed complications multiplied by overall average rate). The sophisticated analysis assessed sensitivity to choice of outcomes (all, moderate, severe) and considered disparities across all hospitals and within tertiles of quality rank.
方法利用2010-2014年生命统计数据和出院数据,Glazer等确定低并发症风险新生儿。考虑到医院的固定影响、个人(如社会人口统计学、母亲健康)和医院(如产生量、公共保险分娩的百分比)的特点,各种逻辑回归模型估计了调整后的ORs并计算了标准化比率。使用联合委员会的指标,结果包括中度和严重的意外新生儿并发症。根据结果(预期并发症与观察到的并发症之比乘以总体平均发生率)对医院进行排名。这项复杂的分析评估了对选择结果(全部、中度、重度)的敏感性,并考虑了所有医院之间和质量等级五分位数内的差异。
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引用次数: 0
In the room where it happens: in-person or remote data collection in qualitative research? 在发生的房间里:在定性研究中亲自收集还是远程收集数据?
Pub Date : 2022-03-03 DOI: 10.1136/ebnurs-2022-103535
J. Wray, D. Barrett
10.1136/ebnurs-2022-103535 Introduction Qualitative research is founded on the collection of rich data through methods such as onetoone interviews and focus groups, and usually with all parties together in the same place (referred to thereafter as the ‘inperson’ approach). However, since the onset of the COVID19 pandemic in early 2020, access to health and social care settings has been restricted and many researchers have been subjected to ‘workathome’ orders. Consequently, there has been a rapid transition to many interactions and meetings taking place remotely, using technologies such as videoconferencing platforms. This has impacted substantially on opportunities for inperson data collection. But has the pandemic damaged the ability to gather rich qualitative data, or has it served as a catalyst for more effective, efficient and pragmatic approach to qualitative data collection? In this paper, we explore the arguments for and against remote data collection in qualitative research, focusing specifically on the use of the telephone and Videomediated communication .
定性研究是建立在通过一对一访谈和焦点小组等方法收集丰富数据的基础上的,通常是将所有各方聚集在同一个地方(后来称为“面对面”方法)。然而,自2019冠状病毒病大流行于2020年初爆发以来,获得卫生和社会护理环境的机会受到限制,许多研究人员受到“工作场所”的命令。因此,使用视频会议平台等技术,已经迅速过渡到远程进行的许多互动和会议。这极大地影响了个人数据收集的机会。但是,大流行是否损害了收集丰富定性数据的能力,还是促进了对定性数据收集采取更有效、高效和务实的方法?在本文中,我们探讨了定性研究中支持和反对远程数据收集的论点,特别关注电话和视频中介通信的使用。
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引用次数: 3
Predictors of nursing staff’s mental health and the effect of social support on preventing the impact of workplace bullying on mental health 护理人员心理健康的预测因素及社会支持在预防职场欺凌对心理健康影响中的作用
Pub Date : 2022-03-02 DOI: 10.1136/ebnurs-2021-103455
N. Izadi
Context Bullying has a negative effect on mental and physical health. Workplace bullying of nursing staff not only causes health problems but also leads to interrupting the efficient health service in hospitals. The study conducted by Fang Li explored the effect of workplace bullying, personality traits and social support on mental health and also evaluated the effect of social support in modifying workplace bullying.
欺凌对心理和身体健康都有负面影响。护理人员的职场欺凌不仅会造成健康问题,还会导致医院高效的医疗服务中断。方丽的研究探讨了职场欺凌、人格特质和社会支持对心理健康的影响,并评估了社会支持对职场欺凌的调节作用。
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引用次数: 2
Understanding the wider impact of patient safety incidents 了解患者安全事件的更广泛影响
Pub Date : 2022-03-02 DOI: 10.1136/ebnurs-2021-103493
J. McPeake, M. Bateson
Methods The study used a descriptive correlational design to examine the relationship between involvement in a patient safety incident and subsequent job moves, intention to leave the profession and suicidal behaviour in nurses. The researchers recruited nurses from New York and Oregon who had been working in a clinical setting within the past 5 years and who had been involved in a patient safety incident. This study used the Suicidal Behaviours Questionnaire–Revised, a fouritem questionnaire which assesses lifetime suicide ideation, frequency of suicidal ideation over the past 12 months, assessment of the threat of a suicide attempt and the selfreported likelihood of future suicidal behaviour. Information on the type of safety incident, alongside career intention data, was also obtained.
方法本研究采用描述性相关设计来检验护士参与病人安全事件与随后的工作调动、离职意向和自杀行为之间的关系。研究人员招募了来自纽约和俄勒冈州的护士,这些护士在过去的5年里一直在临床环境中工作,并且参与了患者安全事件。这项研究使用了自杀行为调查问卷-修订版,这是一份包含四项内容的调查问卷,评估终生自杀意念、过去12个月内自杀意念的频率、评估自杀企图的威胁以及自我报告的未来自杀行为的可能性。除了职业意向数据外,还获得了有关安全事故类型的信息。
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引用次数: 0
Comprehensive nursing assessment of physio-psychosocial factors associated with pain, anxiety and sleep problems and their interactions may improve nursing care 综合护理评估与疼痛、焦虑和睡眠问题相关的生理-社会心理因素及其相互作用可以改善护理
Pub Date : 2022-03-02 DOI: 10.1136/ebnurs-2021-103497
Sumeeta Kapoor, Lynn Acheson
et al . Sleep problems in pain patients The
等等。疼痛患者的睡眠问题
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引用次数: 0
Education curricula should support the development of environmentally literate nurses 教育课程应支持培养具有环境素养的护士
Pub Date : 2022-03-01 DOI: 10.1136/ebnurs-2021-103507
Ann G. Mills
Context Changes in the climate system as a direct consequence of human activities cause severe weather conditions, which adversely impact on human health. Nurses are the largest healthcare profession in the world and have the potential to significantly address the effects of climate change, in multiple ways, including reducing the world’s healthcare footprint, currently ‘4.4% of global net emissions’. Incorporating formal education within nursing curricula, on the health impact of climate change, is key to raising social awareness and developing evidenced actions to mitigate climate change.
气候系统的变化是人类活动的直接后果,造成恶劣天气条件,对人类健康产生不利影响。护士是世界上最大的医疗保健职业,有潜力以多种方式显著应对气候变化的影响,包括减少世界医疗保健足迹,目前占全球净排放量的4.4%。在护理课程中纳入关于气候变化对健康影响的正规教育,是提高社会认识和制定减缓气候变化的实证行动的关键。
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引用次数: 0
Analgesic medicines not administered to those with dementia in residential settings despite awareness of undertreatment of and susceptibility to severe pain 尽管意识到治疗不足和对剧烈疼痛的易感性,但没有给居住环境中的痴呆症患者使用止痛药物
Pub Date : 2022-03-01 DOI: 10.1136/ebnurs-2021-103439
M. Harris, Gurpreet Kaur
A
一个
{"title":"Analgesic medicines not administered to those with dementia in residential settings despite awareness of undertreatment of and susceptibility to severe pain","authors":"M. Harris, Gurpreet Kaur","doi":"10.1136/ebnurs-2021-103439","DOIUrl":"https://doi.org/10.1136/ebnurs-2021-103439","url":null,"abstract":"A","PeriodicalId":12178,"journal":{"name":"Evidence Based Journals","volume":"14 1","pages":"84 - 84"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78437428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Evidence Based Journals
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