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The psychosomatic experiences of women who had intrauterine foetal death in rural South Africa 南非农村胎儿宫内死亡妇女的身心体验
Q2 Medicine Pub Date : 2022-11-18 DOI: 10.4102/curationis.v45i1.2279
Martha L Kharivhe, M. Maluleke, T. Masutha, Takalani Thabathe, Duppy Manyuma, Ndivhaleni R Lavhelani, Muofheni Nemathaga, M. Ramovha, M. Netshikweta, Mulatedzi P Mulaudzi
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引用次数: 0
Effectiveness of school-based CPR training among adolescents to enhance knowledge and skills in CPR: A systematic review. 以学校为基础的心肺复苏术培训在青少年中提高心肺复苏术知识和技能的有效性:一项系统综述。
Q2 Medicine Pub Date : 2022-11-18 DOI: 10.4102/curationis.v45i1.2325
Nombulelo E Zenani, Bashir Bello, Matsipane Molekodi, Ushotanefe Useh
Background Cardiac arrest is responsible for 5% – 10% of all deaths among children age 5–19 years; therefore, strategies to prevent poor outcomes post cardiac arrest among children are critical within schools. Objectives The purpose of this study was to systematically review the effectiveness of cardiopulmonary resuscitation (CPR) training on CPR knowledge and skills among adolescent school children. Method This systematic review was conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The complete bibliographic databases of PubMed, Cochrane Library, CINAHL and Web of Science were searched from January 2012 to August 2021. Included studies met all the eligibility criteria. The Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies (EPHPP) and Mixed Method Appraisal tool were used to appraise the quality of the included studies. Results Fourteen studies were included in the review, and 5418 participants were found in the databases. The studies were mainly conducted during the last decade, which suggests that the public’s attention has been directed toward training schoolchildren in CPR. The most common interventions were taught in video simulation training courses. They also used subjective assessments to evaluate the participants’ knowledge and skills. Conclusion Findings from this systematic review reveal that CPR training within school settings effectively promoted a change in CPR knowledge and skills among adolescents. Hence, continuous training of CPR among schoolchildren should be encouraged by policymakers, school authorities, parents and teachers to optimise the prompt usage of the skills in any cardiac event. However, a high-quality randomised controlled trial would enhance the strength of evidence in this area.
背景:心脏骤停占5-19岁儿童死亡总数的5% - 10%;因此,预防儿童心脏骤停后不良后果的策略在学校至关重要。目的:本研究的目的是系统地回顾心肺复苏(CPR)培训对青少年学龄儿童心肺复苏知识和技能的效果。方法:本系统评价采用系统评价和荟萃分析首选报告项目(PRISMA)指南进行并报告。检索PubMed、Cochrane Library、CINAHL和Web of Science的完整书目数据库,检索时间为2012年1月至2021年8月。纳入的研究符合所有入选标准。采用定量研究的有效公共卫生实践项目质量评价工具(EPHPP)和混合方法评价工具对纳入研究的质量进行评价。结果:本综述纳入14项研究,数据库共纳入5418名受试者。这些研究主要是在过去十年进行的,这表明公众的注意力已经转向了对小学生进行心肺复苏术的培训。最常见的干预措施是在视频模拟培训课程中教授的。他们还使用主观评估来评估参与者的知识和技能。结论:本系统综述的研究结果表明,学校环境下的心肺复苏术培训有效地促进了青少年心肺复苏术知识和技能的变化。因此,政策制定者、学校当局、家长和教师应该鼓励学童进行心肺复苏术的持续培训,以优化在任何心脏事件中及时使用这项技能。然而,高质量的随机对照试验将增强这一领域的证据强度。
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引用次数: 4
Experiences of family members caring for a sibling with mental illness in Giyani, Limpopo. 林波波省Giyani的家庭成员照顾患有精神疾病的兄弟姐妹的经历。
Q2 Medicine Pub Date : 2022-11-08 DOI: 10.4102/curationis.v45i1.2347
Tintswalo Vukeya, Annie Temane, Marie Poggenpoel

Background:  Mental illness is a serious condition affecting the diagnosed individual and all family members. Family members caring for a sibling with mental illness encounter severe challenges, which, if unresolved, becomes a burden they carry for the rest of their lives.

Objectives:  The purpose of the study was to describe family members' experiences caring for a sibling with mental illness in Giyani.

Method:  A qualitative, exploratory, descriptive and contextual research design was used. Eight family members caring for a sibling with mental illness were purposively sampled. Data were collected through in-depth phenomenological interviews, and data were analysed using thematic coding, and an external coder was consulted.

Results:  The study's findings revealed that family members caring for a sibling with mental illness experienced significant challenges. The three themes that emerged after data analysis were the following: caring for a sibling with mental illness was an overwhelming experience; family members experience emotional instability as a result of caring for their sibling with mental illness and family members need support in caring for their sibling with mental illness.

Conclusion:  The findings indicated that family members need support in caring for a sibling with mental illness. Family members would cope better with support from extended family, healthcare professionals in mental health and the community; this will reduce the burden of caring for a sibling with mental for family members. Furthermore, the availability of resources can assist in facilitating family members' mental health.Contribution: This study could make an impact in psychiatric nursing practice, nursing education in promotion of support for family members for a sibling with mental illness.

背景:精神疾病是一种影响被诊断个体和所有家庭成员的严重疾病。照顾患有精神疾病的兄弟姐妹的家庭成员会遇到严峻的挑战,如果没有解决,就会成为他们余生的负担。目的:本研究的目的是描述家庭成员在吉亚尼照顾患有精神疾病的兄弟姐妹的经历。方法:采用定性、探索性、描述性和情境性研究设计。有针对性地选取了8位照顾患有精神疾病的兄弟姐妹的家庭成员。通过深入的现象学访谈收集数据,使用主题编码对数据进行分析,并咨询外部编码器。结果:研究结果显示,照顾患有精神疾病的兄弟姐妹的家庭成员面临着重大挑战。数据分析后出现的三个主题是:照顾患有精神疾病的兄弟姐妹是一种压倒性的经历;家庭成员因照顾患有精神疾病的兄弟姐妹而经历情绪不稳定,家庭成员在照顾患有精神疾病的兄弟姐妹时需要支持。结论:研究结果表明,家庭成员在照顾患有精神疾病的兄弟姐妹时需要支持。家庭成员在大家庭、精神健康专业医护人员和社区的支持下,会更能应付;这将减轻家庭成员照顾患有精神疾病的兄弟姐妹的负担。此外,可利用的资源有助于促进家庭成员的心理健康。贡献:本研究对精神科护理实践、护理教育在促进家庭成员对兄弟姐妹精神疾病的支持方面有一定的影响。
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引用次数: 1
COP27 Climate Change Conference: Urgent action needed for Africa and the world. COP27气候变化会议:非洲和世界需要采取紧急行动。
Q2 Medicine Pub Date : 2022-11-04 DOI: 10.4102/curationis.v45i1.2428
Lukoye Atwoli, Gregory E Erhabor, Aiah A Gbakima, Abraham Haileamlak, Jean-Marie Kayembe Ntumba, James Kigera, Laurie Laybourn-Langton, Robert Mash, Joy Muhia, Fhumulani M Mulaudzi, David Ofori-Adjei, Friday Okonofua, Arash Rashidian, Maha El-Adawy, Siaka Sidibé, Abdelmadjid Snouber, James Tumwine, Sahar Yassien Mohammad, Paul Yonga, Lilia Zakhama, Chris Zielinski

No abstract available.

没有摘要。
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引用次数: 0
Conceptual framework for support of caregivers of children diagnosed with intellectual disabilities in Gauteng. 支持豪登省被诊断为智力残疾儿童的照料者的概念框架。
Q2 Medicine Pub Date : 2022-10-28 DOI: 10.4102/curationis.v45i1.2316
Lebogang L Molefe, Leepile A Sehularo, Daleen M Koen

children. Their needs are not met. There is lack of support for caregivers and no existing conceptual framework of support. There was therefore a need to develop a conceptual framework of support for caregivers.

Objectives:  The purpose of this study was to develop a conceptual framework of support for caregivers of children diagnosed with intellectual disabilities in the Gauteng province.

Method:  Three phases were followed: an empirical phase, a classification of concepts and a development phase. A conceptual framework was developed based on the results of the empirical phase, after concepts were classified.

Results:  The conceptual framework of support for caregivers of children diagnosed with intellectual disabilities in the Gauteng province was developed, consisting of six components, namely agents, recipients, context, procedures, dynamics and terminus.

Conclusion:  A framework will guide all stakeholders on how to support caregivers of children diagnosed with intellectual disabilities in the Gauteng province.Contribution: The framework serves as a guide for future studies aiming at developing support programmes and models for caregivers, and further provide guidance on how caregivers can effectively be supported when used in mental healthcare institutions.

的孩子。他们的需求没有得到满足。缺乏对护理人员的支持,也没有现有的支持概念框架。因此,有必要制定一个支助照顾者的概念框架。目的:本研究的目的是开发一个概念框架,以支持豪登省被诊断为智力残疾儿童的照顾者。方法:研究分为三个阶段:经验阶段、概念分类阶段和发展阶段。在概念分类之后,根据实证阶段的结果制定了概念框架。结果:建立了豪登省智力残疾儿童照料者支持的概念框架,包括六个组成部分,即代理人、接受者、情境、程序、动态和终点。结论:一个框架将指导所有利益攸关方如何支持豪登省被诊断为智障儿童的照料者。贡献:该框架可作为未来研究的指南,旨在为护理人员制定支持方案和模式,并进一步提供指导,说明如何在精神卫生保健机构中有效地支持护理人员。
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引用次数: 0
Recommendations for online learning challenges in nursing education during the COVID-19 pandemic. COVID-19大流行期间护理教育在线学习挑战的建议
Q2 Medicine Pub Date : 2022-10-27 DOI: 10.4102/curationis.v45i1.2360
Boitumelo J Molato, Leepile A Sehularo
Background Nursing education institutions have had to change from face-to-face to online learning because of the coronavirus disease 2019 (COVID-19) pandemic. The online learning mode, however, had several challenges. Objectives To explore and describe recommendations made to address the online learning challenges in nursing education during the COVID-19 pandemic. Method This study adopted a narrative literature review to achieve its objectives. The search for the relevant literature used Google Scholar, ScienceDirect, African Journal (previously SAePublications), EBSCOhost, EBSCO Discovery Service and Scopus databases. Results There were four findings identified from the literature search: provision of adequate resources, monitoring of academic dishonesty, provision of technical support and revision of the curriculum. Conclusion More work in nursing education is necessary to address the challenges of adopting online learning during and after the COVID-19 pandemic. To meet the issues of online learning in nursing education, thorough preparations and safeguards are necessary. Contribution The outcomes of this study will benefit nursing education by incorporating recommendations from many studies to overcome online learning issues in nursing education during the COVID-19 pandemic.
背景:由于2019冠状病毒病(COVID-19)大流行,护理教育机构不得不从面对面学习转向在线学习。然而,在线学习模式面临着一些挑战。目的:探讨和描述为应对COVID-19大流行期间护理教育在线学习挑战而提出的建议。方法:本研究采用叙述性文献综述的方法来达到研究目的。相关文献的检索使用了Google Scholar、ScienceDirect、African Journal(以前的SAePublications)、EBSCOhost、EBSCO Discovery Service和Scopus数据库。结果:从文献检索中确定了四个发现:提供足够的资源,监测学术不诚实,提供技术支持和修改课程。结论:在COVID-19大流行期间和之后,需要在护理教育方面做更多的工作,以应对采用在线学习的挑战。为了解决护理教育在线学习的问题,必须做好充分的准备和保障。贡献:本研究的结果将通过纳入许多研究的建议来克服COVID-19大流行期间护理教育中的在线学习问题,从而使护理教育受益。
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引用次数: 4
Preceptor support during the COVID-19 pandemic: Recommendations for continuing development. COVID-19大流行期间的导师支持:关于继续发展的建议
Q2 Medicine Pub Date : 2022-10-27 DOI: 10.4102/curationis.v45i1.2370
Lizemari Hugo-Van Dyk, Champion N Nyoni, Margaret Williams, Benjamin S Botha

Background:  Mentally fit preceptors may be more capable and flexible in providing students with system, emotional and cognitive support in the clinical learning environment (CLE) in the face of any life-threatening outbreaks. Existing professional development programmes for preceptors emphasise the development of preceptor competence in a normal CLE with minimal focus on their ability to engage with adverse events that challenge their mental health.

Objective:  The study sought insight from preceptors' experiences during the coronavirus disease 2019 (COVID-19) pandemic to identify their professional development programme needs while providing support to students during accompaniment.

Method:  A mixed methods convergent parallel design was used to collect data from 24 preceptors at a nursing education institution (NEI). Eleven preceptors responded to the survey that included the coronavirus disease 2019 (COVID-19) Stress Scale (CSS) and Burnout Assessment Tool (BAT) to collect quantitative data. Semistructured interviews were conducted with five purposively selected preceptors to collect qualitative data regarding their experiences while accompanying students during the COVID-19 pandemic.

Results:  Subscales within the CSS and BAT instruments were mapped against an existing preceptor support framework. Overall CSS data for each subscale indicated an average score varying from no stress to moderate stress, while BAT data shows that respondents rarely experienced burnout. However, some respondents experienced very high levels of stress and burnout. Qualitative data supplemented results.

Conclusion:  The COVID-19 pandemic influenced preceptors' role in supporting students and reflecting that they amended their functioning role. Existing preceptor professional development programmes should be reviewed to ensure that the necessary concepts that foster resilience are integrated to enhance the functional role of preceptors in adversity.Contribution: Existing preceptor professional development programmes should be reviewed to ensure that the necessary concepts that foster resilience are integrated to enhance the functional role of preceptors in adversity.

背景:心理健康的教师在临床学习环境(CLE)中面对任何危及生命的突发事件时,可能更有能力和灵活地为学生提供系统、情感和认知支持。现有的辅导员专业发展方案强调在正常的CLE中发展辅导员的能力,而很少关注他们处理挑战其心理健康的不良事件的能力。目的:通过对辅导员在2019冠状病毒病(COVID-19)大流行期间的经验的分析,确定其专业发展计划需求,并在陪伴期间为学生提供支持。方法:采用混合方法趋同平行设计对某护理教育机构24名辅导员进行资料收集。11名教师对调查做出了回应,其中包括2019年冠状病毒病(COVID-19)压力量表(CSS)和倦怠评估工具(BAT),以收集定量数据。对五名有目的地选择的导师进行了半结构化访谈,以收集有关他们在COVID-19大流行期间陪同学生的经历的定性数据。结果:CSS和BAT工具中的子量表被映射到现有的感知器支持框架。每个子量表的总体CSS数据显示平均得分从无压力到中度压力不等,而BAT数据显示受访者很少经历过倦怠。然而,一些受访者经历了非常高的压力和倦怠。定性数据补充结果。结论:新冠肺炎疫情影响了辅导员对学生的支持作用,反映了辅导员职能角色的转变。应审查现有的训导员专业发展方案,以确保将培养复原力的必要概念纳入其中,以加强训导员在逆境中的职能作用。贡献:应审查现有的训导员专业发展方案,以确保整合培养复原力的必要概念,以增强训导员在逆境中的职能作用。
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引用次数: 0
Strategies to enhance resilience to cope with workplace adversities post-COVID-19 among ICU nurses. 加强ICU护士应对covid -19后职场逆境的韧性策略。
Q2 Medicine Pub Date : 2022-10-24 DOI: 10.4102/curationis.v45i1.2345
Nombulelo E Zenani, Gopolang Gause, Leepile Sehularo

Background:  It is critical for intensive care unit (ICU) nurses to develop resilient coping strategies to cope with workplace adversities. The coping strategies will mitigate the development of maladaptive psychological disorders prone to working in a stressful environment.

Objectives:  The aim of this study is to analyse previous literature conducted on strategies that enhance resilience in ICU nurses to cope with workplace adversities beyond the coronavirus disease 2019 (COVID-19) pandemic. The study was conducted by examining all available global literature in the context of the aim of the study.

Method:  An integrative literature review was chosen for the study. Purposive sampling method was used to select the relevant databases to answer the review question, namely Google Scholar, EBSCOhost, Medline and Nursing/Academic Edition. The search terms used were 'strategies', 'resilience', 'intensive care unit nurses', 'coping', 'workplace adversities', 'beyond COVID-19' and post 'COVID-19'.

Results:  Three themes emerged from the study, namely promoting personal attributes, effective relational support and active psychological support.

Conclusion:  Enhancing resilience among ICU nurses requires both intentional individualised care from the ICU nurses and a systematic approach by nursing management that will meet the psychological needs of ICU nurses when working in a stressful ICU environment.Contribution: The findings of the review have highlighted specific strategies of improving resilience in ICU nurses, which can ultimately create a safe working environment in the ICU.

背景:重症监护病房(ICU)护士制定弹性应对策略来应对工作场所的逆境是至关重要的。这些应对策略将减轻在压力环境中工作时产生的适应不良心理障碍。目的:本研究的目的是分析以往关于增强ICU护士应对2019冠状病毒病(COVID-19)大流行后工作逆境的应变能力策略的文献。这项研究是在研究目的的背景下通过审查所有可用的全球文献进行的。方法:采用综合文献法进行研究。采用有目的抽样方法选择相关数据库回答综述问题,分别为Google Scholar、EBSCOhost、Medline和Nursing/Academic Edition。搜索词包括“策略”、“韧性”、“重症监护室护士”、“应对”、“职场逆境”、“超越COVID-19”和“后COVID-19”。结果:研究呈现出三个主题,即提升个人属性、有效的关系支持和积极的心理支持。结论:增强ICU护士的心理弹性既需要ICU护士有针对性的个性化护理,也需要护理管理的系统化方法,以满足ICU护士在压力大的ICU环境中工作时的心理需求。贡献:本综述的研究结果强调了提高ICU护士适应能力的具体策略,这最终可以在ICU创造一个安全的工作环境。
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引用次数: 1
Viral suppression among adolescents on HIV treatment in the Sedibeng District, Gauteng province. 豪登省塞迪本地区接受艾滋病毒治疗的青少年的病毒抑制情况。
Q2 Medicine Pub Date : 2022-09-27 DOI: 10.4102/curationis.v45i1.2312
Sibongile Mabizela, Brian Van Wyk

Background:  Progress has been made to increase access to antiretroviral therapy (ART) for adolescents living with HIV (ALHIV) to improve their survival, but ALHIV still have worse treatment adherence and viral suppression compared to adults and children.

Objective:  To determine the prevalence of viral suppression and the associated factors among adolescents aged 10-19 years on ART at an urban public primary healthcare facility in the Sedibeng district, Gauteng.

Method:  A cross-sectional survey was conducted among 192 adolescents who were on ART for at least six months between 2015 and 2018. A self-developed data extraction tool was used to collect data from the Tier.Net electronic database and clinical folders. Data were captured on Microsoft Excel, and descriptive and inferential analyses were performed using SPSS 27 statistical software.

Results:  The median age at ART initiation of adolescents was 9.0 years (interquartile range [IQR]: 5.0-12.0), and the median duration on ART was 70.5 (IQR: 30.25-105.5) months. The prevalence of viral suppression ( 1000 copies/mL) among adolescents on ART was 74%, with 41% achieving full suppression ( 50 copies/mL). Those adolescents who reported optimal ART adherence were more likely to be virally suppressed compared to those who reported poor adherence (98.1% vs 25.0%; p ≤ 0.001).

Conclusion:  Adolescent viral suppression of 74% is higher than in comparable sites, but still way too short of the UNAIDS target of 90%. We recommend adherence support for adolescents to achieve viral suppression.Contribution: The study highlights the urgent need for targeted adherence support interventions for adolescents living with HIV on antiretroviral therapy to improve rates of viral suppression to meet UNAIDS target of 95%.

背景: 为提高青少年艾滋病病毒感染者(ALHIV)的生存率,增加他们接受抗逆转录病毒疗法(ART)的机会取得了进展,但与成人和儿童相比,青少年艾滋病病毒感染者的治疗依从性和病毒抑制情况仍然较差: 目的:在豪滕省塞迪本地区的一家城市公立初级医疗机构中,确定接受抗逆转录病毒疗法的 10-19 岁青少年的病毒抑制率及相关因素: 对2015年至2018年期间接受抗逆转录病毒疗法至少6个月的192名青少年进行了横断面调查。使用自行开发的数据提取工具从Tier.Net电子数据库和临床文件夹中收集数据。数据用 Microsoft Excel 采集,并用 SPSS 27 统计软件进行描述性和推论性分析: 青少年开始接受抗逆转录病毒疗法的中位年龄为 9.0 岁(四分位距[IQR]:5.0-12.0),接受抗逆转录病毒疗法的中位持续时间为 70.5 个月(四分位距[IQR]:30.25-105.5)。接受抗逆转录病毒疗法的青少年中,病毒抑制率(1000 拷贝/毫升)为 74%,其中 41% 实现了完全抑制(50 拷贝/毫升)。与坚持抗逆转录病毒疗法效果不佳的青少年相比,坚持抗逆转录病毒疗法效果最佳的青少年更有可能实现病毒抑制(98.1% vs 25.0%; p ≤ 0.001): 青少年的病毒抑制率为 74%,高于同类地区,但与联合国艾滋病规划署设定的 90% 的目标仍相差甚远。我们建议为青少年提供依从性支持,以实现病毒抑制:该研究强调,迫切需要为接受抗逆转录病毒疗法的艾滋病青少年提供有针对性的依从性支持干预,以提高病毒抑制率,实现联合国艾滋病规划署设定的 95% 的目标。
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引用次数: 0
Navigating postgraduate research during the COVID-19 pandemic: A scoping review. 在COVID-19大流行期间指导研究生研究:范围审查。
Q2 Medicine Pub Date : 2022-09-21 DOI: 10.4102/curationis.v45i1.2373
Patricia Y Mudzi, Witness Mudzi

Background:  The worldwide coronavirus disease 2019 (COVID-19) pandemic compelled higher education institutions and postgraduate students (master's and PhD) to rethink their research designs, as alert level restrictions affected data collection.

Objectives:  To identify and map out the breadth of evidence available on the challenges and opportunities for conducting postgraduate research during the COVID-19 pandemic.

Method:  A scoping review was conducted in CINAHL, MEDLINE (EBSCO), SCOPUS and PubMed databases. The authors independently began by screening the titles, the abstracts and full texts. Duplications were removed during the title and abstract screening by exporting them into EndNote.

Results:  The search identified 463 documents, and 12 were included in the final review. The documents were studies commentaries, letters (n = 1) from India and guidelines from countries across the globe. The common themes that were reported on the challenges of conducting postgraduate research were the inability to collect data, the digital divide and changes in study designs.

Conclusion:  The review reports on the opportunities and challenges in conducting postgraduate research during the COVID-19 pandemic. Despite the limited evidence on the opportunities of conducting postgraduate research, most postgraduate research stalled because of COVID-19 restrictions. There is a need for more literature to explore further postgraduate research opportunities during COVID-19 and beyond.Contribution: The focus on the challenges and opportunities in conducting postgraduate research during the COVID-19 pandemic may assist in the development of strategies needed to mitigate the effects of this and future pandemics.

背景:全球范围内的2019冠状病毒病(COVID-19)大流行迫使高等教育机构和研究生(硕士和博士)重新考虑他们的研究设计,因为警报级别限制影响了数据收集。目标:确定和绘制有关2019冠状病毒病大流行期间开展研究生研究的挑战和机遇的现有证据的广度。方法:对CINAHL、MEDLINE (EBSCO)、SCOPUS和PubMed数据库进行文献综述。作者独立地从筛选标题、摘要和全文开始。在标题和摘要筛选过程中,通过将它们导出到EndNote来删除重复。结果:检索到463篇文献,其中12篇纳入终审稿。这些文件包括研究评论、来自印度的信件(n = 1)和来自全球各国的指导方针。关于开展研究生研究的挑战,报告的共同主题是无法收集数据、数字鸿沟和研究设计的变化。结论:综述报告了新冠肺炎大流行期间开展研究生科研的机遇与挑战。尽管关于开展研究生研究机会的证据有限,但由于COVID-19的限制,大多数研究生研究停滞不前。需要更多的文献来探索COVID-19期间及以后的研究生进一步研究机会。贡献:关注2019冠状病毒病大流行期间开展研究生研究的挑战和机遇,可能有助于制定减轻本次和未来大流行影响所需的战略。
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引用次数: 0
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