摘要：Objective Considering the importance of out-of-hospital services,the emergence of home care nursing,and the need for an ethical framework in nursing practice,the present study aimed to explore the nurses’experience of ethical values of home care *** The data of the study was collected using face-to-face individual *** purposive sampling,20 nurses who worked in the home care centers in four cities of Iran in 2020 were *** shared their experiences of the ethical values of home care ***,the interviews were analyzed based on the content analysis approach and using Graneheim and Lundman *** In the present study,416 codes were *** these codes based on the similarity,seven main themes,and 16 sub-themes were *** themes included perception of the professional identity,respect for the client’s autonomy,respecting privacy,establishing human interaction,maintaining mutual safety,observance of justice,and cultural-religious *** sub-themes included responsibility,development of professional and inter-professional interactions,maintaining the professional status at home,providing the holistic artistic care,patient’s privacy,nurse’s privacy,and maintaining the confidentiality of information,respect for the client’s choice,honestly informing,empathetic interaction,adjusting the power positions,client's safety,nurse’s safety,establishing justice,respect for the religious beliefs at home and cultural *** The participants stated that due to entering the patient’s privacy in the home care cases,the ethical values such as perception of the professional identity,privacy,family interactions’management,mutual security,and cultural-religious competence became doubly important compared to the hospital caring.

摘要：Objectives:This study was conducted to examine the differences between perceptions and practices of family-centered care among Thai pediatric ***:This mixed-methods study consisted of two phases,in the first phase,a descriptive comparative design using the Family-Centered Care Questionnaire-Revised(FCCQ-R)was administered to 142 pediatric nurses from a university hospital in Bangkok,*** the second phase,qualitative interviews were conducted with 16 pediatric nurses to gather complementary information regarding the major findings from the first ***:The results revealed that family strengths and individuality were rated the highest as the most important elements and the most frequent ***/professional collaboration was perceived as the least important element,while the design of the heath care delivery system was rated as the least frequent *** qualitative data revealed that the major reasons for suboptimal implementation included a common perception that family-centered care is a Western concept,nurses'weak attitudes towards their roles,and a shortage of ***:Nurses agreed that the identified elements of family-centered care were necessary but that they did not incorporate the concepts into their daily nursing practice to maintain their endorsement of the family-centered care *** study is needed to explore how family-centered care is understood and operationalized by Thai nurses and how hospital administration and environments can be modified to support this care model.

摘要：Objective:Transformative learning is a learner-centered process of *** are actively engaged through critical reflection and discourse to question assumptions and *** purpose of this article is to describe a model to facilitate transformative learning in nursing ***:A qualitative,exploratory,descriptive and contextual design for theory generation was selected in this study to describe a model to facilitate transformative learning in nursing *** analysis of transformative learning was done in the first stage of the main study using Walker and Avant's eight step approach to clarify the conceptual identification and *** results of concept analysis guided data collection in the second *** individual agenda semi-structured interviews were conducted with nurse educators to explore and describe their perceptions regarding how transformative learning can be facilitated in nursing *** building approach was used to analyse the collected *** third stage constituted the conceptualisation of findings from the second stage using relevant literature within the elements of practice *** fourth stage focused on the description and evaluation of a model to facilitate transformative learning in nursing ***:Four themes and nine sub-themes emerged and were conceptualised within the six elements of practice theory namely the context,agent,recipient,dynamic,process and procedure and ***:The relation statements provided the basis for model *** method was used to describe and evaluate the *** refinement of the model by experts in model development andqualitative research was made.

摘要：Objective:This study aimed to assess the perception of caring behaviors and associated factors among nurses and midwives who provided maternal health care services at Sidama region public hospitals,Hawassa,***:An institutional-based cross-sectional study design was used on a sample of 269 nurses and midwives working in maternity wards in Sidama region public hospitals.A self-administered questionnaire was used to collect *** and multivariable logistic regression analysis was used to identify factors associated with nurses’and midwives’perceptions of caring ***:Totally 261 nurses and midwives participated the *** on the mean score,participants’perception of caring behavior was classified as higher and *** to this study,75.1%(196/261)of nurses and midwives demonstrated a higher perception of caring ***’age,professional satisfaction,personal satisfaction,midwife/nurse-doctor relationship and workload were significantly associated with their perception of caring ***:Assessing the nurses’and midwives’perception of caring behavior and related factors is crucial for providing high-quality nursing and midwifery *** is suggested to create a positive and conducive caring behavior in the organization by reducing excessive workload of nurses and midwives,as well as enhancing nurse/midwife-doctor relationship,and increasing their job satisfaction by providing recognition and reward will improve nurses’and midwives’caring behavior.

摘要：The purpose of this article is to describe recommendations towards the design and direction of development for Humanoid nursing Robots (HNRs) from the standpoint of researchers of nursing care practice. Efforts to introduce robot technologies in nursing practice and to use them in elderly and high-tech healthcare environments have begun in developed countries like Japan. Companies are developing various types of robots, although their types and functionalities continue to require a clear identification and definition. Regardless, robot developments for health care purposes are progressing well to meet universal technological demands. While human caring has been a human-to-human relationship, in a nonhuman-to-human relationship in the case of HNRs, it is essential to consider ethical concerns and human safety. If HNRs are to support patients directly, they must be required to have the same level of comprehensive judgment ability and responsiveness as that of human nurses. This includes abilities to genuinely observe, judge, rapidly respond, and conduct human caring practice emphasizing individuality. If HNRs support patients independently, abilities which are much like those of humans will be required of them in addition to the appropriate intelligence and skillfulness to do so. A low level robot nurse exerts work that should be called non-nursing or as a medical aid assistant no matter who thinks and what these technologies can do. Similarly, a higher level HNR with higher level artificial intelligence is expected to exceed the capabilities of human beings. As such, current discourse and debate also include the concern that HNRs may now become one’s superior or rather that the HNR is a subordinate thereby requiring human management.

摘要：Objectives:Somatosensory Interaction Technology(SIT)is used in various aspects of geriatric *** aimed to conduct a bibliometric analysis to summarize relevant publications and visualize publication characteristics,current hotspots,and development trends,thereby inspiring subsequent ***:We searched theWeb of Science Core Collection database for publications on the application of SIT in geriatric *** visualization and clustering analysis were performed using VOSviewer V1.6.18 Software,while keywords burst detection analysis was conducted with CiteSpace 6.1.R6 ***:After screening,a total of 1,019 publications were *** number of publications on SIT in geriatric care is gradually increasing,exhibiting a rapid growth *** United States,Canada,and Australia led in terms of publication *** clustering analysis identified major research hotspots:crisis warning,somatic abilities,rehabilitation training and psychosocial *** studies primarily explored themes such as recovery,movement,systems,and later shifted towards gait analysis,muscle strength,parameters,and home-based *** recently,research themes have evolved to dementia,machine learning,and ***:SIT is innovative for promoting active aging,advancing intelligent healthcare,and elevating the daily quality of life for older adults in clinical and domestic *** of SIT can be categorized into early warning systems for crises,detailed analyses of physical conditions,rehabilitation enhancement,and support for psychosocial *** trends have transitioned from whole-body recognition to precise feedback,from a focus on physical health to mental health,and from technical feasibility to *** research should focus on developing accessible and user-friendly devices,fostering interdisciplinary collaborations for innovation,expanding research to address both the physical and mental health

摘要：目的调查护士对有喂养困难的唇腭裂患儿所采用的临床奶瓶喂养技术现状。方法采用质性描述性研究设计。于2021年12月至2022年1月,向日本1109所设有产科、新生儿科或小儿牙科病房的医院分别发放匿名问卷。参与者是具有5年以上唇腭裂患儿护理工作经验的护士。问卷包括喂养技术4个方面的开放式问题,包括:奶瓶喂养前的准备、乳头插入方法、吸吮帮助和停止奶瓶喂养的标准。根据意义相似性对资料进行分类和分析。结果共获得410份有效问卷。资料分析结果显示,奶瓶喂养前的准备工作分为7个类别(如,改善患儿的口腔运动、保持患儿平稳呼吸),27个子类别;在乳头插入方法中,分为4个类别(如,用乳头在口腔内形成负压封闭裂口、插入乳头时不接触裂口),11个子类别;在吸吮帮助中,分为5个类别(如,促进觉醒、口腔产生负压),13个子类别;在停止奶瓶喂养的标准中,分为5个类别(如,觉醒水平降低、生命体征变差),16个子类别。96.0%护士希望学习唇腭裂患儿的奶瓶喂养技术。结论本研究确定了多项用于唇腭裂喂养困难患儿的奶瓶喂养技术。然而,这些技术之间存在相互矛盾,方法的有效性也未得到评估。未来需要进行干预研究,以确定各项技术的益处或潜在的危害。

摘要：目的旨在调查老年缺血性脑卒中住院患者口腔健康现状并分析影响因素,为制订该人群口腔健康管理策略提供参考依据。方法采用横断面调查,于2022年1一6月选取重庆市2所三级甲等医院的350例老年缺血性脑卒中患者,采用巴氏指数(Barthel Index,BI)、进食评估工具(Eating Assessment Tool-10,EAT-10)和口腔健康评估量表(Oral Health Assessment Tool,OHAT)分别调查研究对象的自理程度、吞咽功能和口腔健康状况,采用自行设计的调查表调查人口统计学、疾病相关信息及口腔健康行为。采用二元logistic回归分析进行相关影响因素分析。结果共纳人346例老年缺血性脑卒中患者,其中男性199例,女性147例。0HAT总得分中位数为5分(总得分范围0~16分)。龋齿(91.7%,278/303)和口腔清洁不良(92.2%,319/346)为该人群主要的口腔健康问题。二元logistic回归分析结果显示,性别、血脂水平、脑卒中发生次数和严重程度、口腔健康行为、自理程度为该人群口腔健康的影响因素(P<0.05)。结论医务人员应加强老年缺血性脑卒中患者口腔健康评估,并针对高危人群的特点实施个性化的健康教育和管理措施,促进其口腔健康。

摘要：目的研究针对脑卒中患者及其家属的家庭干预方案的有效性。方法采用整群随机对照试验设计。2021年10月至2022年6月在泰国中部猜纳省抽取6个地区,分为实验组(3个地区)和对照组(3个地区),各招募了31个家庭,即31例新发脑卒中患者及家属(家庭照顾者和家庭成员)。以纽曼系统模型为框架,构建包含压力评估和基于家庭干预措施的脑卒中患者家庭干预方案。实验组实施脑卒中患者家庭干预方案,对照组接受常规护理。在基线、4周和12周后,分别对脑卒中后患者的功能状态、抑郁和并发症,家庭照顾者的护理负担和压力,以及家庭照顾者和家庭成员的家庭功能进行了评估。统计方法采用描述性统计、χ^(2)检验和重复测量方差分析等。结果实施家庭干预方案12周后,与对照组相比,脑卒中患者的功能状态改善,抑郁症状减轻,照顾者负担和压力减轻,家庭功能改善,差异均有统计学意义(P<0.05)。实验组有3例患者出现并发症,对照组有7例出现并发症。结论基于纽曼系统模型构建的脑卒中患者家庭干预方案对于改善泰国社区脑卒中患者状况、减轻家庭照顾者负担及改善其家庭功能有重要作用。可考虑延长该干预方案的持续时间,并评估其持续效果。

摘要：目的本研究旨在调查组合锻炼项目对居住在长期养老院的老年人的健康相关生活质量和抑郁症状的影响。方法采用类实验研究设计。在西班牙北部巴斯克地区最大的长期养老院中便利选取41名老年人,并分为干预组(21名)和对照组(20名)。干预组接受50 min中等强度的组合锻炼干预课程(力量和平衡,每周3次,为期3个月)。对照组继续进行他们在长期疗养院中的常规活动。在干预前(基线时)、干预后(12周后)采用健康调查简表(the Short Form Health Survey,SF-36)和简版老年抑郁量表(Geriatric Depression Scale,GDS)对老年人的健康相关生活质量和抑郁症状进行调查,并比较两组的干预效果。结果共38名老年人完成研究(每组19例)。干预组中,干预后老年人身体功能得分比干预前增加11.06分(增加17.2%);角色情感方面得分比干预前提高5.27分(增加29.1%)(P0.05)。结论尽管本研究结果中组合锻炼对养老院院老年人健康相关的生活质量和抑郁症状的改善没有显示统计学意义,但增加样本量可能证实其有效性。这些结果有助于为未来的研究设计提供信息。