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171.
Alwyn W Neadley RMN RNMS Dip Ad Ed AMTTD Don C Kendrick BA DipPsychol PhD CPsychol FBPsS Ron Brown RMN 《Journal of advanced nursing》1995,21(4):646-651
One hundred and forty people over the age of 50 randomly sampled from a single-handed British general practice were screened for dementia using the Kendrick Cognitive Tests for the Elderly The tests results were compared with actuarial data concerning health and health services provision The results indicate that there are clear interrelations between low but non-dementing scores in memory and speed performance with the use of services, mobility levels and chronic disorders 相似文献
172.
Preventing child maltreatment through community nursing 总被引:2,自引:0,他引:2
Kevin Browne PhD MSc BSc CBiol CPsychol 《Journal of advanced nursing》1995,21(1):57-63
The role of community nurses, such as health visitors, in the prevention of child abuse and neglect by home visits is reviewed The paper evaluates the potential of community nurses for predicting and identifying families at high risk for child maltreatment in order to support them through the promotion of positive parental knowledge, attitudes, skills and behaviour The success of health visitor interventions to prevent family problems is also evaluated The review concludes that accurate prediction of child-maltreating families requires more than one screening procedure to reduce the number of false alarms, and suggests that health visitors might be trained in the objective assessment of parent-child interaction Few health visitor interventions were deemed a success, indicating that greater support and training is required for community nurses if they are to be used to prevent child abuse and neglect However, recent changes in the community nursing services and the purchaser-provider split in health care has reduced this possibility 相似文献
173.
A focus group study exploring student nurse's experiences of an educational intervention focused on working with people with a diagnosis of personality disorder 下载免费PDF全文
174.
C. O'Brien MSc MPhil P. Gardner‐Sood BA MSc S. K. Corlett FFPH MSc MBChB K. Ismail BA Hons BM BCh MRCP MRCPsych MSc PhD S. Smith FRCPsych FRSM CUBS MD Z. Atakan FRCPsych MD K. Greenwood PhD DClinPsy CPsychol C. Joseph BSc MSc F. Gaughran MB BCh BAO FRCPI FRCP FRCPsych MD 《Journal of psychiatric and mental health nursing》2014,21(2):121-127
175.
176.
Lisa Robinet MSc CPM Alexis Jeffredo MSc BSc Christophe Clesse PhD MSc MRes BSc CPsychol 《Journal of Midwifery & Women's Health》2023,68(2):265-286
Introduction
The objective of this article is to identify the factors that influence the choice of contraceptive methods in the postpartum period.Methods
We conducted a qualitative systematic review including articles published between 2000 and 2021 on postpartum contraception and its related influential factors. Relying on Preferred Reporting Items for Systematic Reviews and Meta-Analyses and synthesis without meta-analysis checklists, the search strategy relied on a combination of 2 lists of keywords applied to 9 databases. A bias assessment was carried out with the help of the Cochrane's randomized controlled trial tool, the checklist from Downs and Black, and Consolidated criteria for reporting qualitative research (CoreQ). A thematic analysis was performed to identify categories of influential factors.Results
A total of 34 studies met our inclusion criteria and enabled us to isolate 4 categories of factors: (1) demographic and economic factors (geographic and ethnic origin, age, living environment, education/wealth), (2) clinical elements (parity, evolution of pregnancy, childbirth and afterwards, contraception used previously and its mechanism, pregnancy planning), (3) health care delivery (pregnancy monitoring, sessions about contraception, health care system, place of delivery), and (4) sociocultural factors (knowledge and beliefs about contraception, religion, the influence of family and society). The decision process related to postpartum contraception is influenced by a combination of socioenvironmental factors and clinical elements.Discussion
The main influential factors (parity, level of education, knowledge and beliefs about contraception, and influence of family) need to be addressed by clinicians during consultations. Further multivariate research should provide quantitative data on this topic. 相似文献177.
Alison Croft MA CPsychol Karen Lascelles MSc Fiona Brand RMN PG Cert Anne Carbonnier MRCPsych Rachel Gibbons MBBS BSc MRCPsych Gislene Wolfart DPsych Keith Hawton FMedSci 《International journal of mental health nursing》2023,32(1):245-276
In the UK, at least a quarter of suicides occurs in patients whilst under the care of mental health services. This study investigated the effects of such deaths on non-medical mental health clinicians. An online survey was conducted within a single NHS mental health Trust to elicit both quantitative and qualitative responses from staff across a range of professions. The survey focused on personal and professional impacts and available support. Participants reported significant negative emotional and professional effects that were long-lasting for some. These included mental health difficulties, loss of confidence regarding clinical responsibilities, and actual or contemplated career change. However, there was also some evidence of positive effects and professional growth. Support from colleagues and line managers is clearly important following deaths of patients by suicide. Clinicians' experiences of the support they had received in the workplace were polarized, suggesting that there is no single nor ideal approach that will meet everyone's needs. Participants made recommendations for the types of support that may be helpful. Most commonly, clinicians desired opportunities for focused reflection and support and help with the formal processes following the death. Sensitivity around how clinicians are notified about the death was highlighted as being particularly important. Conclusions are drawn as to how training institutions and employers can help staff to be better prepared for the potential occurrence of patient suicides and the formal processes that follow, with a view to mitigating risks of more serious harm to staff and hence indirectly to patients, and potential loss of highly trained clinicians to the workforce. 相似文献
178.
Fathima L. Marikar Bawa PhD BMBS BMedSci Stewart W. Mercer PhD MSc BSc MBChB Jane W. Sutton PhD CPsychol AFPPsS Christine M. Bond PhD Med BPharm 《Health expectations》2023,26(3):1287-1307
Introduction
Chronic pain is a common, multifactorial condition and pharmacological treatments have limited benefits. Mindfulness is a holistic approach that might be of value in the management of chronic pain. However, attrition rates from mindfulness-based interventions are high and factors affecting engagement are unknown. The aim of this study was to inform the design of a mindfulness programme that would be accessible and acceptable for people with chronic pain.Methods
Interpretative phenomenological analysis of interview data from people with chronic pain who had taken part in an 8-week mindfulness programme based on mindfulness-based stress reduction revealed factors affecting engagement with and suggestions for tailoring the programme. Factors were grouped into physical, psychological and social domains. Further suggestions for tailoring the programme to address these factors were generated through a nominal group of healthcare professionals and a focus group with service users who had chronic pain.Findings
Physical factors included disability and discomfort with some practices; psychological factors included expectations of the mindfulness programme and understanding the relationship between mindfulness and pain; and social factors included loneliness and support from others. The proposed modifications to the mindfulness programme supported by healthcare professionals and/or service users to address these are described in this paper.Public Contribution
This study involved public contributions at a number of stages. The University of Aberdeen Division of Applied Health Sciences Service User Group (who were members of the public with chronic pain) was involved in the design of the study. Patients with chronic pain recruited from general medical practice who took part in the mindfulness programme were interviewed on their experience of the programme. Patients with chronic pain who attended the mindfulness programme, and healthcare professionals with expertise in chronic pain and/or mindfulness, attended meetings to design a tailored mindfulness programme for people with chronic pain. 相似文献179.
Claire Surr BA PGDip PhD Anne Marie Mork Rokstad RN PhD Josep Vila Miravent MSc Elena Fernandez MSc MBA Aukje Post Carol Fusek Dawn Brooker CPsychol AFBPsS PhD 《International journal of older people nursing》2023,18(5):e12555
Background
Observational tools can support the understanding of the complex needs of older people with dementia and aid delivery of person-centred care. However, existing tools are complex and resource intensive to use.Objectives
To develop and evaluate the acceptability and feasibility of a low-resource, observational tool to support staff reflection and practice development.Methods
Intervention development of the Person-Centred Observation and Reflection Tool (PORT) and acceptability and feasibility study, using surveys and focus groups in the UK, Norway and Spain.Results
PORT was reported as easy, accessible and acceptable to use. The observation was identified as powerful for individual staff development and provided an evidence-based source for underpinning individualised care planning. Potential time challenges associated with implementation were identified.Conclusion
Initial evaluation indicates PORT is an acceptable and feasible tool for use in health and social care settings for older people. Further research is needed on implementation models and the impacts of PORT use.Implications for Practice
PORT may be a useful tool to support individual staff development in care settings and person-centred care planning for people with dementia. 相似文献180.