我国护理教育面临的困境及对策研究

梳理了目前国内外护理教育发展的基本情况,从满足我国护理事业发展需求、充分考虑现代护理学的学科特点、明确护理高等教育不同层次的培养目标等方面分析了护理教育发展的主要思路,并提出具体的建议和措施,力图通过加强护理学教育来进一步推动我国护理事业的发展。     

转化医学模式对临床医学八年制教学改革的启示

近年来我国部分重点医学院校陆续推出精英教育培养模式,以八年制医学生的培养为代表.临床医学八年制的培养更需要基础医学与临床医学之间相互整合,是完善“八年一贯,本博融通”培养模式的关键.转化医学的出现,为消除基础与临床的屏障,提高八年制医学生基础医学研究水平,加强临床思维培养提供了新的平台和途径.     

国外护理硕士教育与临床实践效果的研究现状

通过文献分析法,一方面探讨美国、英国、日本、泰国护理硕士研究生的招收条件、培养目标与课程设置、综合评定考核方法等,了解国外护理硕士培养机制;另一方面分析国外护理硕士课程对临床护理的影响,以及毕业后从事临床护理的实践效果和临床工作中面临的挑战,以期为我国护理硕士教育的发展提供借鉴.     

生物制剂治疗克罗恩病进展

克罗恩病是一种以累及消化道为主的复发性炎性疾病.生物制剂的使用为克罗恩病的治疗提供了新的方向.大量临床研究已证实生物治疗主要是抗TNF α单抗对诱导及维持克罗恩病临床缓解、预防并发症的发生有效.目前临床指南多建议对克罗恩病采取递增方案治疗,对重度患者可及早采取更为有效的包括生物治疗在内的治疗方式,但递减治疗方案在临床中的应用尤其是针对初次诊断者也越来越受到重视.目前早期及长期应用生物治疗的安全性及其是否能改变克罗恩病的自然病程证据尚不充分.应针对患者的不同情况,根据风险/效益研究来确定更合适的治疗方案.     

Dialectical thinking and health behaviors: The effects of theory of planned behavior

The primary purpose of this study was to investigate whether the theory of planned behavior (TPB) mediated the relationship between dialectical thinking and health behaviors. A sample of 285 undergraduates was tested with a dialectical thinking styles scale, health promoting lifestyle profiles, and TPB questionnaires. Structural equation modeling was used for data analysis. Results indicated that all the three dimensions of thinking styles (belief in the connection, acceptance of change, and acceptance of contradiction) exerted significant effects on TPB constructs. Specifically, the connection and the change dimensions had positive effects on health behaviors mediated by TPB, whereas the contradiction dimension had a negative effect. Model 2 showed a satisfactory fit, demonstrating the influential pathways between dialectical thinking and health behaviors. Implications in issues of health promotion and future research are discussed.     

社会认同对集体行动的作用：群体情绪与效能路径*

为探究多元社会认同如何通过群体情绪、自我和群体效能路径,影响现实或网络集体行动参与,研究者分别以中日撞船事件、利比亚事件和就业性别歧视现象为背景蓝本,开展问卷调查和实验研究,结果发现：群体愤怒情绪主要对现实集体行动有显著影响,效能感对现实和网络集体行动皆有显著影响;与事件相关的、更大范畴的社会类别认同,通过情绪路径或效能路径影响集体行动参与,与集体行动组织方的认同则只通过效能路径影响集体行动参与;两类社会认同与两条路径之间是调节而非中介关系。不同事件背景与不同行动场域下的综合分析表明网络集体行动参与决策更具工具理性特征。     

对信息源的正向跟随倾向对决策效果的影响*

采用实验研究的方法,检验了二元选择情形下高准确率信息源(准确率x >50%)和低准确率信息源(准确率为1?x)对决策者预测效果的影响。尽管从逻辑上二者从准确率层面具有完全相等的信息价值,然而研究结果显示,决策者更倾向于采用正向跟随而非逆向跟随的方式处理来自信息源的信息。这导致低准确信息源的价值未能得以充分利用。学习和信息源的规范性对该信息处理倾向起到调节作用。     

公交行业一线员工人格特质对工作绩效影响的实证分析--以工作态度作为调节变量

通过问卷调查法,探讨在工作态度调节下大五人格特质与工作绩效的关联。对1277名公交行业一线员工的研究结果表明：(1)人格特质与工作绩效有显著的相关,工作态度在这一关系中起到调节作用。在高工作态度中,人格特质与任务绩效联系较为紧密,工作绩效的良好预测指标是尽责性和外向性;在低工作态度中,人格特质与关系绩效联系较为紧密,工作绩效的良好预测指标是宜人性和外向性。(2)在高工作态度的环境中,人们更看重工作的完成;在低工作态度的环境中,人们更看重关系的协调。工作态度调节着人格特质对工作绩效的影响。     

How benefits of expressive writing vary as a function of writing instructions,ethnicity and ambivalence over emotional expression

Written emotional disclosure has been reported to confer a variety of benefits on physical and psychological well-being. However, variable findings suggest that outcomes may vary systematically as a function of specific parameters of the experimental design. This study aims to investigate the unique and combined effects of disclosure instructions focusing on emotional expression and instructions facilitating cognitive reappraisal and to examine how ambivalence over emotional expression and ethnicity moderate the effects of these writing instructions. Seventy-one Asian and 59 Caucasian undergraduates (N = 130) with at least minimal physical or depressive symptoms were randomly assigned to one of the four writing conditions: emotional disclosure (ED), cognitive reappraisal (COG), the combination of ED and COG, or a control condition. Self-reported physical symptoms, positive affect (PA) and negative affect were assessed at baseline and three follow-ups spanning 4 months. Mixed linear models revealed that COG writing reduced physical symptoms, ED buffered a decrease in PA over time, and the combination of ED and COG (i.e. self-regulation; SR) was most effective. Asians and highly ambivalent participants benefited most from expressive writing. Findings contribute to the development of a SR moderator model and carry implications for designing expressive disclosure studies, particularly for ethnic minorities.     

Electropulsing-induced strengthening of steel at high temperature

Electropulsing usually promotes a metastable phase to evolve towards its equilibrium state. This work reports an alternative case, where electropulsing promotes the decomposition of the stable δ-phase in duplex stainless steel at high temperature. This decomposition enables both the γ-phase and the σ-phase in the steel to survive and hence to strengthen it at high temperature. The hardness of the quenched sample with electropulsing treatment is 49.4% higher than that without electropulsing treatment. A fundamental understanding of the observation is developed.