Objective: To develop a patient version of guidelines (PVG) for rehabilitation nursing (RN) in stroke patients with limb dysfunction, aiming to enhance patients' awareness, self-management skills, and adherence to rehabilitation programs.
Methods: This guideline was developed based on the cultural and healthcare context of China, and was guided on the Minimum standards for the Development Process, Content and Governance of Patient-Directed Knowledge Tools and the PVG tool book of the Guidelines International Network. The guideline was constructed through a normative process involving clarifying priority questions, assessing and integrating evidence, detailing and contextualizing recommendations, and evaluating the prototype of PVG.
This commentary explores how Confucian values influence shared decision-making (SDM) in Chinese healthcare, particularly in oncology. It highlights two key cultural foundations: , which underscore the deep-rooted involvement of families in medical decision-making, often prioritizing collective decisions over individual autonomy; and , which explains the cultural roots of power imbalances in healthcare relationships, where patients typically defer to the authority of doctors, and the role of nurses in SDM is limited. The paper argues that for SDM to be effectively integrated into Chinese healthcare, strategies must be adapted to align with cultural norms while encouraging patient empowerment.
View Article and Find Full Text PDFIntroduction: Non-pharmacological interventions are the preferred treatment for constipation; however, health care professionals in clinical settings tend to focus more on pharmacological treatments.
Objectives: This best practice implementation project aimed to integrate the best evidence on non-pharmacological interventions for elderly patients with constipation in clinical care practice and to promote the use of non-pharmacological interventions for such patients in the hospital setting.
Methods: This project is based on the JBI Evidence Implementation Framework, which follows three stages.
Background: Sedentary behavior (SB) is deeply ingrained in the daily lives of community-dwelling older adults with type 2 diabetes mellitus (T2DM). However, the specific underlying mechanisms of the determinants associated with SB remain elusive. We aimed to explore the determinants of SB based on the behavior change wheel framework as well as a literature review.
View Article and Find Full Text PDFFront Public Health
October 2023
Background: Shared decision-making (SDM) facilitates the participation of healthcare professionals and patients in treatment decisions. We conducted a scoping review to assess SDM's current status in mainland China, referencing the Ottawa Decision Support Framework (ODSF).
Methods: Our review encompassed extensive searches across six English and four Chinese databases, and various gray literature until April 30, 2021.
Organic aerosols (OA) have recently been shown to be the dominant contributor to the oxidative potential of airborne particulate matter in northeastern Spain. We collected PM filter samples every fourth day from January 2017 to March 2018 at two sampling stations located in Barcelona city and Montseny Natural Park, representing urban and rural areas, respectively. The chemical composition of PM was analyzed offline using a broad set of analytical instruments, including high-resolution time-of-flight mass spectrometry (HR-ToF-AMS), a total organic carbon analyzer (TCA), inductively coupled plasma atomic emission spectrometry (ICP-AES), inductively coupled plasma mass spectrometry (ICP-MS), ion chromatography (IC), and thermal-optical carbon analyzer.
View Article and Find Full Text PDFObjective: This study aimed at culturally adapting pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) Cancer-related fatigue (CRF) Practice Guide to enable its use in China. This article focuses on presenting the key cultural adaptation step: supplementing traditional Chinese medicine (TCM) nursing recommendations for CRF symptom management according to evidence.
Methods: Guided by A Guideline Adaptation and Implementation Planning Resource (CAN-IMPLEMENT), the process for cultural adaptation of the CRF guide in the COSTaRS project included translation, expert committee review, acceptability and feasibility assessment, and targeted adaptation to include TCM nursing techniques for CRF management via the Delphi method.
Background: Technological advancements and ease of Internet access have increased the number of digital behavior change interventions (DBCIs). This systematic review and meta-analysis aimed to assess the effectiveness of DBCIs in reducing sedentary behavior (SB) and promoting physical activity (PA) in adults with diabetes.
Methods: A comprehensive search of seven databases-PubMed, Embase, PsycINFO, Cochrane Library, CINAHL, Web of Science, and Sedentary Behavior Research Database-was performed.
Environ Sci Pollut Res Int
June 2023
The concentration of ozone has been in a rising crescendo in the last decade while the fine particles (PM) is gradually decreasing but still at a high level in central China. Volatile organic compounds (VOCs) are the vital precursors of ozone and PM. A total of 101 VOC species were measured in four seasons at five sites from 2019 to 2021 in Kaifeng.
View Article and Find Full Text PDFChina suffered from serious and elevated ozone (O) pollution during 2014-2020. O exposure increased with W126, a biologically based cumulative exposure index, at a rate of 1.738 ppm-hr yr.
View Article and Find Full Text PDFObjectives: 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.
Introduction And Aims: Much attention has been paid to scaling-up evidence-based interventions (EBIs) in previous implementation science studies. However, there is limited research on how stakeholders perceive factors of the scaling-up of EBIs. This study aimed to identify the barriers and facilitators of scaling-up the nurse-led evidence-based practice of post-stroke dysphagia identification and management (EBP-PSDIM) from the stakeholders' perspective, and to assess their importance and feasibility.
View Article and Find Full Text PDFPatient Prefer Adherence
December 2021
For most breast cancer (BC) patients who have undergone a mastectomy, the decision whether to proceed with breast reconstruction (BR) is complicated and requires deliberation. Shared decision-making (SDM) helps to address those needs and promote informed value-based decisions. However, little is known about the SDM status for BR in BC patients.
View Article and Find Full Text PDFTo understand the characteristics and sources of carbonaceous aerosols, one-year PM samples were analyzed for their organic carbon (OC) and elemental carbon (EC) content, following the thermal/optical transmission protocol in three cities[Deyang (DY), Chengdu (CD), and Meishan (MS)] in the Chengdu Plain. The observed annual average concentrations (μg·m) were in the following order:MS (15.8±9.
View Article and Find Full Text PDFTrace metals in atmospheric particulate matter (PM) are a serious threat to public health. Although pollution from toxic metals has been investigated in many Chinese cities, the spatial and temporal patterns in PM remain largely unknown. Long-term PM field sampling in 11 cities, combined with a systemic literature survey covering 51 cities, provides the first comprehensive database of 21 PM-bound trace metals in China.
View Article and Find Full Text PDFAimed at evaluating the impacts of coal-fired power plants on urban air quality and human health, a one-month intensive observation campaign was conducted in a typical polluted city located in the 2 + 26 city cluster (Beijing, Tianjin and 26 other cities) of the North China Plain in December 2017. The observation results illustrated that the coal-fired power plant in this city increased the monthly average fine particulate matter (PM) concentration by ~5% at the city scale. The impacts differed under various diffusion conditions.
View Article and Find Full Text PDFIdentifying and quantifying the major sources of atmospheric particulate matter (PM) is essential for the development of pollution mitigation strategies to protect public health. However, urban PM is affected by local primary emissions, transport, and secondary formation; therefore, advanced methods are needed to elucidate the complex sources and transport patterns. Here, an improved source apportionment method was developed by incorporating the receptor model, Lagrangian simulation, and emissions inventories to quantify PM sources for an industrial city in China.
View Article and Find Full Text PDFOrganic carbon (OC) and elemental carbon (EC) were measured in 24 h fine particulate matter (PM) samples collected from May 2015 to April 2016 at urban and rural sites in Nanchong, a rapidly urbanized but low-level industrialized city in the Sichuan Basin, China. The annual average PM, OC, and EC concentrations at urban sites were 45.6-55.
View Article and Find Full Text PDFCarbonaceous aerosols are linked to severe haze and health effects, while its origins remain still unclear over China. PM samples covering four seasons from Jan. 2016 to Jan.
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