Using document analysis to identify core concepts for dietetics: The first step in promoting conceptual learning

Concept‐based approaches to curriculum design have been proposed in nursing and health sciences education to address the issue of content overload in curricula but have not been described in dietetics. This study aimed to identify core concepts for the dietetics discipline in Australia and investigate the commonality and differences in these concepts across different dietetic organizations across the world. This study used document analysis of a purposive sample of international dietetics competency or proficiency standards identified from English‐speaking dietetic organizations worldwide. Content analysis was applied to the performance criteria or equivalent from 10 documents (nine organizations) to identify the most common elements. A total of 1,007 statements were analyzed. Fifty‐six concepts were developed. The four most frequent concepts coded across all statements were “critical thinking,” “communication,” “nutrition and dietetic service,” and “quality assurance and improvement.” There were 55 concepts common to all standards. The concept of “food security” was not present in one of the standards from the United States. The concepts that emerged from this study were common across different English‐speaking dietetic organizations across the world. Small differences on the emphasis of concepts, between different competency standards may reflect the health needs; health, political, economic, and social systems; and the cultural context of a country. Identifying core concepts in dietetics is the first step to help to inform curriculum design, which may address overcrowded curricular and promote conceptual learning.     

探讨引入JCI标准理念提升药品检验机构留样管理质量

目的:引入美国医疗机构评审联合委员会国际部(JCI)标准理念,促进药品检验机构改进留样管理.方法:借鉴JCI标准理念,从管理制度和操作规程、工作目标与计划、人员管理与培训、留样出入库和库存管理、留样管理信息化和质控工作以及留样库房安全管理等方面,探讨加强药品检验机构留样管理的方法.结果 与结论:药品检验机构引入JCI标...     

When Is Age Choosing Ageist Discrimination?

When the Covid‐19 pandemic reached the United States in spring 2020, many states and hospitals announced crisis standards of care plans that used age as a categorical exclusion criterion. Such age choosing was quickly flagged as discriminatory, and so some states and hospitals shifted to embedding age as a tiebreaker deeper in their plans. Different rationales were given for using age as a tiebreaker: that younger patients were more likely to survive than older patients, that saving younger patients would save more life years, and that younger patients deserved a chance to live through life's stages. We provide a critical analysis of these three rationales, noting the differences between them, and then questioning the ethical and legal justifications for such age choosing.     

上海市参与新型冠状病毒肺炎危重症护理护士胜任力和应对能力现状分析

目的 ：调查上海市参与新型冠状病毒（新冠）肺炎危重症护理护士的重症监护病房（intensive care unit,ICU）胜任力和传染病突发事件应对能力现状,并分析其影响因素。方法 ：采用便利抽样法抽取上海市6所三级甲等医院参与过新冠肺炎ICU工作的护士234名为研究对象。按原科室属性分为ICU组和非ICU组,采用ICU护士胜任力调查问卷和医护人员传染病突发事件应对能力调查问卷分别进行调查。结果：回收有效问卷234份,其中ICU组44份,非ICU组190份。2组ICU护士胜任力均处于良好水平,ICU组[（82.23±10.02）分]高于非ICU组[（71.14±11.36）分]（P<0.05）,ICU组的良好及以上水平达到70.5%,非ICU组仅56.9%,而ICU组处于合格及以下水平的护士占29.5%。传染病突发事件应对能力ICU组为（3.62±0.70）分,非ICU组为（3.50±0.65）分,ICU组在准备、救援和整体应对能力均显著高于非ICU组（P<0.05）。多元线性回归显示,工作年限、是否具有突发事件应急救援经历和传染病突发事件应对能力等级是参与新冠肺炎危重症...     

国家药品标准物质一级直供的实施要点研究

标准物质是药品检定的重要物质基础,法定供应国家药品标准物质是中国食品药品检定研究院(简称中检院)的主要职能之一.2019年,中检院对标准物质的供应模式实施了改革,改变两级供应而全面实施一级直供,面对激增的工作量与严格的质量控制要求,中检院通过调整部分工序环节、建成分发可追溯制度、建立9步包装工序、约束运输时效等措施,基...     

论制定中医药科研机构设置国际标准的现实意义

采用文献研究和问卷调查的方法,分析了国外中医药科研机构的发展模式及现状,探讨了制定中医药科研机构设置国际标准的必要性和现实意义,并提出制定中医药科研机构设置国际标准,充分借助和利用现代医药科研的仪器设备,遵循化繁为简、突出共性,以及分类指导、抓住重点的四项原则.     

退白汤中当归、黄芪、丹参、首乌、补骨脂的TLC法鉴别

目的制定退白汤的TLC鉴别方法。方法采用TLC法对处方中当归、黄芪、丹参、首乌、补骨脂的有效成分阿魏酸、黄芪甲苷、原儿茶醛、大黄素、香豆素类、补骨脂素、异补骨脂素进行定性鉴别。结果各品种的薄层色谱特征明显,专属性强。结论该方法可以准确地进行定性鉴别,能有效地控制退白汤的质量。