患者和家属参与患者安全的概念演变及临床意义

运用Rodgers演化概念分析法对患者和家属参与患者安全概念的演化、替代术语和相关术语、前因变量、结果、概念属性、定义、典型案例进行分析。概念属性包含过程、行为及环境3个领域,4个重要特征分别为个性化、获取、投入及治疗联盟,其前因变量为患者的疾病、健康信息或护理协调的混乱、新政策号召的尝试。结果包括保障患者安全、减少医疗费用和确定最佳做法。澄清患者和家属参与患者安全的概念有助于提高医护人员对其的重视与了解,为临床的实践和研究提供参考和理论依据。

     

新时代农村公共卫生政策的量化分析研究

基于“供给−需求−环境”分析模型,对中国2013年～2022年出台的242份农村公共卫生政策文件进行量化分析后发现,地区差异明显,东部、中部地区较东北部、西部地区的相关政策更多;从模型看制定供给端政策最多,需求端次之,环境端最少。从公共伦理学视角进行原因分析,提出农村公共卫生政策的公平正义有待提高、农村居民的公共利益应得到更充分维护、政策制定要符合中国式现代化可持续发展要求等政策建议,以不断完善我国农村公共卫生政策、推进农村公共卫生事业发展。

     

我国公立医疗机构转型政策量化分析

分析我国城市一二级公立医院转型为康复医院、老年护理院等接续性医疗机构政策的内外部特征,为后续政策的制定与完善提供参考。通过构建政策工具、政策利益相关者、政策力度三维政策分析框架,对相关政策进行多维分类分析。得出相关政策发文量呈波动增长趋势;环境型政策工具使用过溢,供给型政策工具内部结构配置失衡,需求型政策工具应用匮乏;对不同政策利益相关方的关注度存在差异;政策顶层设计欠缺,整体政策效力不高。建议优化政策工具使用,平衡各利益相关方需求,完善政策体系内容。

     

Effect size,statistical power,and sample size for assessing interactions between categorical and continuous variables

The reporting and interpretation of effect size estimates are widely advocated in many academic journals of psychology and related disciplines. However, such concern has not been adequately addressed for analyses involving interactions between categorical and continuous variables. For the purpose of improving current practice, this article presents fundamental features and theoretical developments for the variance of standardized slopes as a desirable standardized effect size measure for the degree of disparity between several slope coefficients. To estimate the effect size, a consistent and nearly unbiased estimator is described and a simple refinement is emphasized for extreme situations whenever appropriate. The essential problems of power and sample size calculations for testing the equality of slope coefficients are also considered. According to the analytic justification and empirical assessment, the exact approach has a clear advantage over the approximate methods. Both SAS and R computer codes are provided to facilitate practical accessibility of the proposed techniques in interaction studies.     

‘Would it not be better to get someone out workin?’: ‘Safe prejudice’ against Polish workers

One recurring criticism of immigrant groups is their alleged failure to be employed and contribute to the host society. Here we examine how speakers mobilise a criticism that has attracted less research attention: that through their economic activity immigrant groups usurp others’ employment entitlements. Discourse analysis of data from seven focus group discussions about pre-Brexit Polish immigration into the UK, involving 31 UK nationals, shows that participants accomplish exclusionary outcomes in two divergent ways. The first attributes qualities to Polish workers but also makes explicit the consequences of these attributions for UK nationals, rendering speakers’ investment in such claims visible. The second relies on the production of category pairs, within which claims can be made for the category that excludes Polish workers. This use of categories comprises ‘safe prejudice’, a form of prejudice not previously identified but which is less open to challenge than other forms of prejudiced talk.     

Quantitative assessment of drawing tests in children with dyslexia and dysgraphia

Drawing tests in children diagnosed with dyslexia and dysgraphia were quantitatively compared. Fourteen children with dysgraphia, 19 with dyslexia and 13 normally developing were asked to copy 3 figures: a circle, a square and a cross. An optoelectronic system allowed the acquisition of the drawing track in three-dimensions. The participants’ head position and upper limb movements were measured as well. A set of parameters including movement duration, velocity, length of the trace, Range of Motion of the upper limb, was computed and compared among the 3 groups. Children with dyslexia traced the circle faster than the other groups. In the cross test, dyslexic participants showed a reduced execution time and increased velocity while drawing the horizontal line. Children with dyslexia were also faster in drawing certain sides of square with respect to the other groups.     

Publication standards in infancy research: Three ways to make Violation-of-Expectation studies more reliable

The Violation-of-Expectation paradigm is a widespread paradigm in infancy research that relies on looking time as an index of surprise. This methodological review aims to increase the reliability of future VoE studies by proposing to standardize reporting practices in this literature. I review 15 VoE studies on false-belief reasoning, which used a variety of experimental parameters. An analysis of the distribution of p-values across experiments suggests an absence of p-hacking. However, there are potential concerns with the accuracy of their measures of infants’ attention, as well as with the lack of a consensus on the parameters that should be used to set up VoE studies. I propose that (i) future VoE studies ought to report not only looking times (as a measure of attention) but also looking-away times (as an equally important measure of distraction); (ii) VoE studies must offer theoretical justification for the parameters they use, and (iii) when parameters are selected through piloting, pilot data must be reported in order to understand how parameters were selected. Future VoE studies ought to maximize the accuracy of their measures of infants’ attention since the reliability of their results and the validity of their conclusions both depend on the accuracy of their measures.     

Keeping the Result in Sight and Mind: General Cognitive Principles and Language‐Specific Influences in the Perception and Memory of Resultative Events

We study how people attend to and memorize endings of events that differ in the degree to which objects in them are affected by an action: Resultative events show objects that undergo a visually salient change in state during the course of the event (peeling a potato), and non‐resultative events involve objects that undergo no, or only partial state change (stirring in a pan). We investigate general cognitive principles, and potential language‐specific influences, in verbal and nonverbal event encoding and memory, across two experiments with Dutch and Estonian participants. Estonian marks a viewer's perspective on an event's result obligatorily via grammatical case on direct object nouns: Objects undergoing a partial/full change in state in an event are marked with partitive/accusative case, respectively. Therefore, we hypothesized increased saliency of object states and event results in Estonian speakers, as compared to speakers of Dutch. Findings show (a) a general cognitive principle of attending carefully to endings of resultative events, implying cognitive saliency of object states in event processing; (b) a language‐specific boost on attention and memory of event results under verbal task demands in Estonian speakers. Results are discussed in relation to theories of event cognition, linguistic relativity, and thinking for speaking.