Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires improvement.The purpose of this study was to ...Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires improvement.The purpose of this study was to determine the effect of using tailored,multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community hospital.Methods Guided by the Knowledge to Action framework,the tailored,multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study design.These strategies consisted of training intervention,policy intervention,and audit and feedback intervention.Nurses’level of knowledge and adherence,were collected in March 2019 and again in January 2020.Patients’quality of life and satisfaction were evaluated during the pre-intervention period(between February 2019 and April 2019)and the post-intervention period(between November 2019 and January 2020).Results A total of 55 patients with post-stroke dysphagia(28 in the pre-intervention period and 27 in the post-intervention period)and 17 registered nurses were recruited.Following implementation,there were statistically significant improvements in patients’outcomes(quality of life and satisfaction)and nurses’outcomes(level of knowledge and adherence).Conclusions This study assists in closing the research-practice gap by using tailored,multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.展开更多
In recent years, China＇s employment problem of the college graduates has become a hot topic in the communities. Each year there are a large number of the graduating students, but few can find the job suitable for the...In recent years, China＇s employment problem of the college graduates has become a hot topic in the communities. Each year there are a large number of the graduating students, but few can find the job suitable for their own professional direction in colleges and universities. The employment problems have plagued the university graduates, and also have brought the unnecessary trouble to some students in the colleges. The college students have just entered the society, and they do not understand a lot of the social status very well, and have very little experience in the employment. In order to reduce the pressure of the employment of the university students, and help the graduate students bettor get employed, also to make the college students have a better planning for their future, in this paper, the author carried out the investigation and analysis of the job-hunting intentions and the employment orientations of the students majored in nursing, hoping to hclp the employment of the college students in some aspects, and do a good job in the planning of their career.展开更多
An earlier baseline study （Jellason et al. in preparation） has identified some of the key challenges faced by farmers and from that, appropriate Good Agricultural Practices （GAPs） have been selected for the enviro...An earlier baseline study （Jellason et al. in preparation） has identified some of the key challenges faced by farmers and from that, appropriate Good Agricultural Practices （GAPs） have been selected for the environment the farmers find themselves in and based on a review of available literature. Farmer action plans for enhancing smallholder resilience, GHGs emission mitigation and food security for these dry lands were developed. Expert opinions on the applicability of the selected GAPs to inform farmer co-learning and to validate the suitability of these practices in a dry land context were sought through the Delphi study. Experts were also invited to offer suggestions for improvement of the training action plan. Two rounds of a modified Delphi survey were carried out with experts from diverse backgrounds and locations across the globe to solicit their opinion. Results show that experts＇ agreement was reached on most of the action plan items. The results and opinions obtained from the survey were reviewed and adapted into the action plan leading to the development of GAPs for the co-learning exercise.展开更多
Rapidly emerged creative industries receive increasing attention from a variety of disciplines. However, the space features of creative industries and its association with local socio-cultural contexts have not been f...Rapidly emerged creative industries receive increasing attention from a variety of disciplines. However, the space features of creative industries and its association with local socio-cultural contexts have not been fully understood, especially at a micro-city level. This study attempts to understand the agglomeration of creative industries in Shanghai from the sociology perspective. For this study, this paper utilizes primarily a questionnaire survey to explain the space features of creative industries in Shanghai. The results indicate an extensive socio-cultural embeddedness of the agglomeration of creative industries in Shanghai. First, strong emphasis on face-to-face contacts by creative professionals makes geographical agglomeration necessary for creative industries. Second, the reason why inner city of Shanghai is popular among creative professionals and enterprises lies in the diversity of cultures and special environment of the former colonial zones of Shanghai. Additionally, highly concentrated dining and entertainment facilities in the central city of Shanghai offer creative workers social networking places and nightlife venues. Third, as the educational attainment of local citizens and the protection of intellectual property are highly stressed by creative professionals, research and design specialized creative industries are more likely located near universities and research institutes.展开更多
The main goal of the paper is to interpret the concept of organizational change in the perspective of critical management studies, by analyzing both the discourses and the control practices used by management. We aim ...The main goal of the paper is to interpret the concept of organizational change in the perspective of critical management studies, by analyzing both the discourses and the control practices used by management. We aim at denaturalize the concept of change related to transition from a bureaucratic model to a professional （post-bureaucratic） model of the call centers organizational design, showing how these discourses and practices reproduce control systems. For this purpose, two cases study of call center outsourced industry are presented. On one hand, we emphasize the bureaucratic nature of call center A associated with standardization of processes and products and where work is highly controlled and routinised. On the other hand, we observe a different image of call center： call center B can be described as a place where work is customized, workers are considered key resources with higher competences and skills that are able to give customers unique solutions and to give answer to complex questions. We suggest that these ＂new practices＂ and ＂new organizational approaches＂ are merely illusions of change. We argue that in professional model （call center B）, control institutionalized through technology is strengthened and deepened by the use of post-bureaucratic control in shaping organizational behaviors, reproducing a Panopticon structure both in terms of electronic surveillance and in terms of behavioral （self） regulation and discipline展开更多
This paper treats metaphors and terminology or the discourse of tasawwuf Having in mind that tasawwuf is a discipline developed in the scope of Islamic tradition and that its focus is on the esoteric dimension of the ...This paper treats metaphors and terminology or the discourse of tasawwuf Having in mind that tasawwuf is a discipline developed in the scope of Islamic tradition and that its focus is on the esoteric dimension of the Qur＇an （ta wil）, which relates to the cognition of the highest rank, an approach to such a discourse needs special effort, both intellectual and spiritual. The language of literature belonging to either theoretical or practical tasawwuf is highly symbolic： theoretical tasawwuf deals with ontology and discusses God, world, and human being, while pragmatic tasawwuftries, just as the ethics, to change human being, that is, to ennoble him. Because of its specific way of presentation and its specific discourse, a communication with that discourse is determined by the knowledge of its symbolism, its terminology and, generally, its professional terminology.展开更多
Objective： To understand the situation of nursing students was stabbed by sharp instrument,in order to provide a scientific basis to take protective measures.Method：By using a self-designed questionnaire.The 100 nur...Objective： To understand the situation of nursing students was stabbed by sharp instrument,in order to provide a scientific basis to take protective measures.Method：By using a self-designed questionnaire.The 100 nursing students were randomly selected from a hospital for retrospective investigation.There are 98 valid data.Results： The data shows that sharp instrument injury is more common in nursing students. Nursing students＇ protection consciousness is low, and protective ability is poor.Conclusion： Nursing students awareness of self- protection to sharp instrument injury is not enough,in order to avoid the risk of infection of nursing students occupation.When they entered the clinics, practice of systematic pre occupation safety education is very necessary;and the school and the hospital should actively implement the management standardized operation regulations;and put up student occupation injury management regulations;to improve the safety performance of nursing equipment.展开更多
Teachers in the colleges and universities bear the responsibility to cultivate high-level expertises with innovative awareness and practical ability. The application of multimedia technology in teaching plays a very i...Teachers in the colleges and universities bear the responsibility to cultivate high-level expertises with innovative awareness and practical ability. The application of multimedia technology in teaching plays a very important role in the knowledge teaching and capacity building. Teachers should not only thoroughly understand the advantages of multimedia in teaching, but also aware its drawbacks. Only in that case, multimedia technology can be applied correctly to improve their teaching skills and to better serve students and society.展开更多
基金This work was supported by the Postgraduate Independent Project of Beijing University of Chinese Medicine(No.2017-JYB-XS-085).
文摘Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires improvement.The purpose of this study was to determine the effect of using tailored,multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community hospital.Methods Guided by the Knowledge to Action framework,the tailored,multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study design.These strategies consisted of training intervention,policy intervention,and audit and feedback intervention.Nurses’level of knowledge and adherence,were collected in March 2019 and again in January 2020.Patients’quality of life and satisfaction were evaluated during the pre-intervention period(between February 2019 and April 2019)and the post-intervention period(between November 2019 and January 2020).Results A total of 55 patients with post-stroke dysphagia(28 in the pre-intervention period and 27 in the post-intervention period)and 17 registered nurses were recruited.Following implementation,there were statistically significant improvements in patients’outcomes(quality of life and satisfaction)and nurses’outcomes(level of knowledge and adherence).Conclusions This study assists in closing the research-practice gap by using tailored,multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.
文摘In recent years, China＇s employment problem of the college graduates has become a hot topic in the communities. Each year there are a large number of the graduating students, but few can find the job suitable for their own professional direction in colleges and universities. The employment problems have plagued the university graduates, and also have brought the unnecessary trouble to some students in the colleges. The college students have just entered the society, and they do not understand a lot of the social status very well, and have very little experience in the employment. In order to reduce the pressure of the employment of the university students, and help the graduate students bettor get employed, also to make the college students have a better planning for their future, in this paper, the author carried out the investigation and analysis of the job-hunting intentions and the employment orientations of the students majored in nursing, hoping to hclp the employment of the college students in some aspects, and do a good job in the planning of their career.
文摘An earlier baseline study （Jellason et al. in preparation） has identified some of the key challenges faced by farmers and from that, appropriate Good Agricultural Practices （GAPs） have been selected for the environment the farmers find themselves in and based on a review of available literature. Farmer action plans for enhancing smallholder resilience, GHGs emission mitigation and food security for these dry lands were developed. Expert opinions on the applicability of the selected GAPs to inform farmer co-learning and to validate the suitability of these practices in a dry land context were sought through the Delphi study. Experts were also invited to offer suggestions for improvement of the training action plan. Two rounds of a modified Delphi survey were carried out with experts from diverse backgrounds and locations across the globe to solicit their opinion. Results show that experts＇ agreement was reached on most of the action plan items. The results and opinions obtained from the survey were reviewed and adapted into the action plan leading to the development of GAPs for the co-learning exercise.
文摘Rapidly emerged creative industries receive increasing attention from a variety of disciplines. However, the space features of creative industries and its association with local socio-cultural contexts have not been fully understood, especially at a micro-city level. This study attempts to understand the agglomeration of creative industries in Shanghai from the sociology perspective. For this study, this paper utilizes primarily a questionnaire survey to explain the space features of creative industries in Shanghai. The results indicate an extensive socio-cultural embeddedness of the agglomeration of creative industries in Shanghai. First, strong emphasis on face-to-face contacts by creative professionals makes geographical agglomeration necessary for creative industries. Second, the reason why inner city of Shanghai is popular among creative professionals and enterprises lies in the diversity of cultures and special environment of the former colonial zones of Shanghai. Additionally, highly concentrated dining and entertainment facilities in the central city of Shanghai offer creative workers social networking places and nightlife venues. Third, as the educational attainment of local citizens and the protection of intellectual property are highly stressed by creative professionals, research and design specialized creative industries are more likely located near universities and research institutes.
文摘The main goal of the paper is to interpret the concept of organizational change in the perspective of critical management studies, by analyzing both the discourses and the control practices used by management. We aim at denaturalize the concept of change related to transition from a bureaucratic model to a professional （post-bureaucratic） model of the call centers organizational design, showing how these discourses and practices reproduce control systems. For this purpose, two cases study of call center outsourced industry are presented. On one hand, we emphasize the bureaucratic nature of call center A associated with standardization of processes and products and where work is highly controlled and routinised. On the other hand, we observe a different image of call center： call center B can be described as a place where work is customized, workers are considered key resources with higher competences and skills that are able to give customers unique solutions and to give answer to complex questions. We suggest that these ＂new practices＂ and ＂new organizational approaches＂ are merely illusions of change. We argue that in professional model （call center B）, control institutionalized through technology is strengthened and deepened by the use of post-bureaucratic control in shaping organizational behaviors, reproducing a Panopticon structure both in terms of electronic surveillance and in terms of behavioral （self） regulation and discipline
文摘This paper treats metaphors and terminology or the discourse of tasawwuf Having in mind that tasawwuf is a discipline developed in the scope of Islamic tradition and that its focus is on the esoteric dimension of the Qur＇an （ta wil）, which relates to the cognition of the highest rank, an approach to such a discourse needs special effort, both intellectual and spiritual. The language of literature belonging to either theoretical or practical tasawwuf is highly symbolic： theoretical tasawwuf deals with ontology and discusses God, world, and human being, while pragmatic tasawwuftries, just as the ethics, to change human being, that is, to ennoble him. Because of its specific way of presentation and its specific discourse, a communication with that discourse is determined by the knowledge of its symbolism, its terminology and, generally, its professional terminology.
文摘Objective： To understand the situation of nursing students was stabbed by sharp instrument,in order to provide a scientific basis to take protective measures.Method：By using a self-designed questionnaire.The 100 nursing students were randomly selected from a hospital for retrospective investigation.There are 98 valid data.Results： The data shows that sharp instrument injury is more common in nursing students. Nursing students＇ protection consciousness is low, and protective ability is poor.Conclusion： Nursing students awareness of self- protection to sharp instrument injury is not enough,in order to avoid the risk of infection of nursing students occupation.When they entered the clinics, practice of systematic pre occupation safety education is very necessary;and the school and the hospital should actively implement the management standardized operation regulations;and put up student occupation injury management regulations;to improve the safety performance of nursing equipment.
文摘Teachers in the colleges and universities bear the responsibility to cultivate high-level expertises with innovative awareness and practical ability. The application of multimedia technology in teaching plays a very important role in the knowledge teaching and capacity building. Teachers should not only thoroughly understand the advantages of multimedia in teaching, but also aware its drawbacks. Only in that case, multimedia technology can be applied correctly to improve their teaching skills and to better serve students and society.
