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Facilitators of and barriers to the clinical implementation of evidence-based nursing guidelines based on the Consolidated Framework for Implementation Research:A multisite survey 认领 引用
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作者 Peiwei Qin Qiuru Liu +6 位作者 Haixia Wang Zeyu Li Junfang Shi Qiongfang Cui Yaxin Dai Xing Wu Peifen Ma 《International Journal of Nursing Sciences》 CSCD 2026年第3期255-262,I0001,I0002,共8页
Objective This study aimed to explore the facilitators of and barriers to the clinical translation of evidence-based nursing guidelines.Methods A convergent mixed-methods study design.First,206 nurses from 12 hospital... Objective This study aimed to explore the facilitators of and barriers to the clinical translation of evidence-based nursing guidelines.Methods A convergent mixed-methods study design.First,206 nurses from 12 hospitals were selected as study participants,and the Chinese version of the Organizational Readiness to Change Assessment(ORCA)scale was administered to assess the current readiness for guideline implementation.Subsequently,for the qualitative study,purposive sampling was used to select 15 nurses from the quantitative study sample for semistructured interviews.The framework analysis method was applied to code the transcribed texts using the Consolidated Framework for Implementation Research(CFIR),and thematic analysis was employed to identify facilitators and barriers to guideline implementation.Finally,all facilitating and barrier factors were systematically synthesized,and implementation strategies were matched using the Consolidated Framework for Implementation Research–Expert Recommendations for Implementing Change(CFIR–ERIC)tool.Results The organizational change readiness score was moderate-to-high(248.77±33.35).The quantitative study identified 25 facilitating factors(such as the scientific rigor of guideline implementation and a positive departmental culture)and 16 barriers(including insufficient resources to address patient awareness or needs and inadequate communication among team members).The qualitative study identified 25 facilitating factors(such as high self-efficacy in evidence-based practice and leadership support)and 11 barriers(such as implementation complexity and resource constraints).From a mixed-methods analysis,the top three barriers were identified as a lack of incentives,insufficient resources,and interdepartmental communication barriers.Based on the CFIR-ERIC mapping,implementation recommendations targeting the main barriers were identified,including tailoring implementation strategies,modifying incentive mechanisms or compensation structures,and establishing communication networks among team members.Conclusion This study systematically revealed,through a mixed-methods approach,the current status of nurses’readiness to participate in guideline implementation in China,as well as the facilitating factors and barriers.In the future,targeted strategies should be developed based on the identified barriers to promote the sustained implementation of guidelines. 展开更多
关键词 Barriers Consolidated framework for implementation research Evidence-based practice Guideline Facilitators Implementation science
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Developing implementation strategies for a community-based digital weight management program:A hybrid deductive–inductive thematic analysis grounded in implementation theory 认领 引用
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作者 Han Shi Jocelyn Chew Wen Wei Ang +3 位作者 Xuanming Sherman Tan Rakhi Vashishtha Soon Ling Chan Nick Sevdalis 《International Journal of Nursing Sciences》 CSCD 2026年第3期330-339,I0005,I0006,共10页
Objectives Community-based digital weight management programs have shown potential to address the public health concern of obesity,but often face implementation barriers.This study aimed to identify and evaluate curre... Objectives Community-based digital weight management programs have shown potential to address the public health concern of obesity,but often face implementation barriers.This study aimed to identify and evaluate current implementation barriers,facilitators,and further develop strategies.Methods A prospective qualitative study was conducted via workshops of stakeholders from community-based weight loss management services across Singapore,alongside a separate series of interviews for adopters.A hybrid deductive-inductive approach to thematic analysis was then adopted,informed by the Consolidated Framework for Implementation Research(CFIR),the Theoretical Domains Framework(TDF),and the Expert Recommendations for Implementing Change framework(ERIC).Interview transcripts were qualitatively coded based on relevant CFIR and TDF domains using a coding template.Subsequently,identified barriers and domains were mapped to ERIC strategies.Results A total of 48 and 145 barriers were identified based on adopter and implementer transcripts,spanning across 26 and 35 subdomains of the TDF and CFIR,respectively.Several barriers were consistently identified by both adopters and implementers,with the main consistency being a mismatch of expectations.These include differing expectations of public awareness on obesity as a disease,expectations on the flexibility of implementations,and expectations on support for personal motivation.Furthermore,43 adopter and 57 implementer facilitators were identified,spanning across 25 and 28 distinct subdomains of the TDF and CFIR framework,with the provision of incentives,societal and doctor endorsements as common facilitators.A total of 53 distinct ERIC implementation strategies subthemes were also identified.Conclusion The study identified underlying themes linking barriers and facilitators across implementers and adopters of community-based weight management services.These were mapped to ERIC strategies and contextualized using the Action,Actor,Context,Target,Time(AACTT)framework to specify actors and actions.Many of these strategies could be operationalized by policymakers and nurses,highlighting their central role in facilitating program adoption and delivery. 展开更多
关键词 Health personnel Health policy Implementation science Obesity Patient participation Qualitative research Weight loss
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The Best Practice Spotlight Organization^(®)Model:An integrated guideline implementation methodology 认领 引用
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作者 Doris Grinspun Janet Chee +3 位作者 Tiare Pavez Hurtado Adriana Patricia Bonilla Marciales Runxi Tian M.Teresa Moreno-Casbas 《International Journal of Nursing Sciences》 CSCD 2026年第3期230-239,I0001,共10页
Sustained integration of evidence-based clinical practice guidelines into routine practice and education remains inconsistent across health systems.While implementation science offers robust theoretical explanations o... Sustained integration of evidence-based clinical practice guidelines into routine practice and education remains inconsistent across health systems.While implementation science offers robust theoretical explanations of determinants of success,published reports often under-specify how theory is operationalized through governance,knowledge mobilization,and measurement systems that support accountability and learning over time.This limits interpretability,replication,and cumulative learning across contexts.This paper presents the Best Practice Spotlight Organization®(BPSO®)Model,an integrated guideline implementation methodology designed to address this gap.The model specifies a system-level implementation architecture that integrates four core elements:1)action frameworks(Knowledge-to-Action and Social Movement Action),2)governance and accountability,3)knowledge mobilization,and 4)measurement and evaluation.Governance,knowledge mobilization,and measurement function as cross-cutting mechanisms across all phases to stabilize implementation effort,sustain engagement,and embed learning.The model is enacted through five iterative yet sequential phases:organizational readiness and preparation;planning and local adaptation;implementation and integration into practice;monitoring,evaluation,and outcomes;and sustainability and spread.Although the methodology originated within the Registered Nurses’Association of Ontario’s(RNAO’s)guideline implementation work,it is not dependent on RNAO-specific programs,tools,or data systems.Instead,the paper defines minimum functional requirements to support transferability across clinical,academic,and system contexts.The model is proportionate and adaptable across high-and low-resource environments,interprofessional settings,and digitally enabled systems.Grounded in over two decades of implementation experience and supported by a large body of multi-site and international evaluations,this paper focuses on specifying the methodological architecture that underpins sustained change.By making implementation logic explicit,the BPSO®Model offers a transferable and scalable approach to advancing evidence-based practice and supports more interpretable,cumulative learning across settings. 展开更多
关键词 Best practice guideline Best Practice Spotlight Organization Evidence-based practice Implementation science Knowledge mobilization Leadership Nursing Social movement action
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Barriers and facilitators of the implementation of a leadership training program based on the Developing and Sustaining Nursing Leadership Best Practice Guideline:A qualitative study 认领 引用
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作者 Mi Zhao Zhenhui Tao +3 位作者 Jialei Feng Li Song Yangliu Li Dong Pang 《International Journal of Nursing Sciences》 CSCD 2026年第3期273-281,共9页
Objectives This study aimed to identify barriers and facilitators influencing the implementation of a leadership training program based on the Developing and Sustaining Nursing Leadership Best Practice Guideline for n... Objectives This study aimed to identify barriers and facilitators influencing the implementation of a leadership training program based on the Developing and Sustaining Nursing Leadership Best Practice Guideline for nurse managers.Methods The descriptive qualitative study was conducted through semi-structured individual interviews at a tertiary hospital in Beijing,China.We selected 16 nurse managers who had participated in a leadership training program using a purposive sampling method with a maximum variation strategy from March to August 2024.The collected data were analyzed using thematic analysis.Results This study identified 7 barriers and 17 facilitators guided by the Consolidated Framework for Implementation Research(CFIR).Barriers were identified as:intervention characteristics(complexity of content,excessive content,challenging assignments after training,gap between theory and practice,and time-consuming),and inner setting(unclear training goals,mentor incompetence).Key facilitators emerged from:intervention characteristics(internally developed content,Best Practice Guideline with high level of evidence,focusing on leadership competency for manager,logically connected design),outer setting(meeting participants’needs,networking with leadership authority,peer pressure),inner setting(effective communication,supported teamwork,tension for change,fitting the participants’value),characteristics of individuals(intrinsic motivation,self-efficacy,beginning or mid-stage of change),and process(planning developed in advance,full motivation,feedback and team debriefing)domains.Conclusions This study identified drivers of implementation for a leadership training program in the Chinese context.These findings support the successful delivery of this program and can inform future leadership training and support improvements in nurse managers’leadership. 展开更多
关键词 Barriers Consolidated framework for implementation research Facilitators Nursing leadership Qualitative study Training program
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Dynamics analysis and DSP implementation of the Rulkov neuron model with memristive synaptic crosstalk 认领 引用
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作者 Yichen Bi Jun Mou +3 位作者 Herbert Ho-Ching Iu Nanrun Zhou Santo Banerjee Suo Gao 《Chinese Physics B》 SCIE EI CAS CSCD 2026年第1期108-122,共15页
The human brain is a complex intelligent system composed of tens of billions of neurons interconnected through synapses,and its intricate network structure has consistently attracted numerous scientists to explore the... The human brain is a complex intelligent system composed of tens of billions of neurons interconnected through synapses,and its intricate network structure has consistently attracted numerous scientists to explore the mysteries of brain functions.However,most existing studies have only verified the biological mimicry characteristics of memristors at the single neuron-synapse level,and there is still a lack of research on memristors simulating synaptic coupling between neurons in multi-neuron networks.Based on this,this paper uses discrete memristors to couple dual discrete Rulkov neurons,and adds synaptic crosstalk between the two discrete memristors to form a neuronal network.A memristor-coupled dual-neuron map,called the Rulkov-memristor-Rulkov(R-M-R)map,is constructed to simulate synaptic connections between neurons in biological tissues.Then,the equilibrium points of the R-M-R map are studied.Subsequently,the effect of parameter variations on the dynamic performance of the R-M-R map is comprehensively analyzed using bifurcation diagram,phase diagram,Lyapunov exponent spectrum(LEs),firing diagram,and spectral entropy(SE)complexity algorithms.In the RM-R map,diverse categories of periodic,chaotic,and hyperchaotic attractors,as well as different states of firing patterns,can be observed.Additionally,different types of state transitions and coexisting attractors are discovered.Finally,the feasibility of the model in digital circuits is verified using a DSP hardware platform.In this study,the coupling principle of biological neurons is simulated,the chaotic dynamic behavior of the R-M-R map is analyzed,and a foundation is laid for deciphering the complex working mechanisms of the brain. 展开更多
关键词 Rulkov neuron discrete memristor firing patterns synaptic crosstalk DSP implementation
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Building a culture of suicide prevention and care:Implementation of an evidence-based guideline of the Registered Nurses’Association of Ontario in a Chilean occupational hospital 认领 引用
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作者 Daniela Godoy Pamela Vidal +1 位作者 Francisca Abarca Javiera Peña 《International Journal of Nursing Sciences》 CSCD 2026年第3期316-322,I0004,共7页
Objectives We aimed to describe the implementation process and provide a baseline characterization of suicidal behavior during the first year of implementing the Registered Nurses’Association of Ontario(RNAO)Best Pra... Objectives We aimed to describe the implementation process and provide a baseline characterization of suicidal behavior during the first year of implementing the Registered Nurses’Association of Ontario(RNAO)Best Practice Guideline(BPG)for suicide prevention in a tertiary occupational hospital in Santiago,Chile.Methods A cross-sectional descriptive study was guided by the Knowledge-to-Action(KTA)framework.The implementation process included:1)assessment of the local context;2)adaptation of 26 RNAO BPG recommendations through the first four phases of the KTA cycle;and 3)use of institutional data from April 2024 to April 2025 to establish a baseline of suicidal behavior.Data sources included Emergency Department(ED)consultations,hospital admissions,liaison psychiatry referrals,patient safety reports,and staff training records.Data were analyzed using descriptive statistics.Results The preliminary assessment identified variable levels of compliance with the RNAO BPG recommendations,with 9 fully met,12 partially met,and 4 unmet.Contextual analysis revealed key barriers and facilitators at the individual,team,and organizational levels,and identified priority stakeholders.Based on these findings,context-adapted strategies were developed,including protocol standardization,staff training,structured referral pathways,and environmental safety measures.Institutional data showed 7,936 ED consultations,of which 577(7.3%)involved suicidal behavior.Among 368 admitted patients with primary mental health diagnoses,336(91.3%)were linked to suicide risk.Liaison psychiatry documented 7 cases from medical-surgical wards,while patient safety records identified three suicide-related sentinel events associated with mild to moderate harm.Conclusions Implementation demonstrated that evidence-based nursing,guided by the KTA framework,supports standardized detection and management of suicide risk.These findings provide an initial characterization of suicidal behavior in an occupational health setting and underscore the importance of context-adapted strategies,continuous training,and institutional cultural change to support implementation. 展开更多
关键词 Evidence-based practice Implementation science Health care Quality improvement Suicide
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Blood biomarkers for Alzheimer’s disease:Key challenges of clinical implementation 认领 引用
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作者 Rafaela Luiza C.Franco Tai R.Hunter Fernanda G.De Felice 《Neural Regeneration Research》 SCIE CAS CSCD 2026年第6期2361-2362,共2页
Alzheimer’s disease(AD)is a complex,progressive neurodegenerative disorder and the leading cause of dementia worldwide.It is characterized by the accumulation of extracellular amyloid-beta(Aβ)plaques and intracellul... Alzheimer’s disease(AD)is a complex,progressive neurodegenerative disorder and the leading cause of dementia worldwide.It is characterized by the accumulation of extracellular amyloid-beta(Aβ)plaques and intracellular tau neurofibrillary tangles,leading to synaptic dysfunction,neuronal loss,and cognitive decline.These pathological changes can begin decades before clinical symptoms emerge,highlighting the critical need for early,accessible,and accurate diagnostic tools. 展开更多
关键词 blood biomarkers amyloid beta plaques tau neurofibrillary tanglesleading alzheimer s disease ad clinical implementation Alzheimers disease neurodegenerative disorder diagnostic tools
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Implementation of the Registered Nurses’Association of Ontario pressure injury prevention guideline:National outcomes from the Chilean Best Practice Spotlight Organization®program 认领 引用
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作者 Tiare Pavez Hurtado Cristian Lara Román 《International Journal of Nursing Sciences》 CSCD 2026年第3期307-315,共9页
Objective This study aimed to examine the implementation processes and system-level outcomes associated with the national adoption of the Registered Nurses’Association of Ontario(RNAO)pressure injury prevention Best ... Objective This study aimed to examine the implementation processes and system-level outcomes associated with the national adoption of the Registered Nurses’Association of Ontario(RNAO)pressure injury prevention Best Practice Guideline across high-complexity public hospitals in Chile,from a Best Practice Spotlight Organization®(BPSO®)Host Model perspective.Methods This study universe included all institutions incorporated into the national BPSO Host Ministry of Health(MINSAL)program between 2018 and 2022(n=29),integrating BPSO®s from all implementation stages that remained active during the 2023–2024 study period.Quantitative data were obtained from aggregated Nursing Quality Indicators for Reporting and Evaluation(NQuIRE®).Qualitative data were derived from annual institutional implementation reports and analyzed using directed content analysis guided by an implementation science framework.Results Eighteen high-complexity public hospitals submitted complete datasets,of which eleven reported indicators specific to the Pressure Injury Prevention guideline.Improvements were observed across all process indicators,including risk assessment at admission(+2.3%),risk reassessment(+7.9%),and use of pressure-redistributing support surfaces(+4.6%).Although 30.75%of patients were classified as moderate or high risk,pressure injury incidence remained stable at 1.2%–1.3%,well below global pooled estimates.Pioneer hospitals demonstrated consistently higher adherence to preventive processes and lower pressure injury incidence compared with later adopters.Qualitative findings identified leadership,stakeholder engagement,governance structures,and standardized monitoring as key enablers of implementation,while challenges persisted in sustaining bedside practice change and patient engagement.Conclusions A Host-led national implementation strategy can strengthen adherence to evidence-informed pressure injury prevention practices,reduce system-level variability,and sustain low incidence across a public hospital network.The Chilean BPSO®Host model illustrates how coordinated governance,standardized indicators,and structured implementation support can scale evidence-based practice in middle-income health systems. 展开更多
关键词 Implementation science Nursing Patient safety Practice guidelines Pressure injury Quality indicators
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Meminductor synaptic coupling in a heterogeneous HR–FHN neuron network:Model,dynamics,and DSP implementation 认领 引用
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作者 Yang Yin Zhijun Li 《Chinese Physics B》 SCIE EI CAS CSCD 2026年第6期227-237,共11页
To functionally emulate the history-dependent plasticity and electromagnetic induction effects inherent in biochemical synapses,this paper proposes a heterogeneous neural network model in which Hindmarsh–Rose(HR)neur... To functionally emulate the history-dependent plasticity and electromagnetic induction effects inherent in biochemical synapses,this paper proposes a heterogeneous neural network model in which Hindmarsh–Rose(HR)neurons and FitzHugh–Nagumo(FHN)neurons are coupled via a synaptic connection composed of a meminductor in series with a resistor.This architecture explicitly decouples synaptic function:the linear resistor models the instantaneous conductive pathway,while the meminductor implements the history-dependent plastic pathway.The complex firing dynamics of the coupled system are systematically investigated through bifurcation diagrams,Lyapunov exponent spectra,phase portraits,and time-series analysis.The results show that variations in synaptic coupling strength and coupling resistance can induce transitions between diverse firing patterns,including chaotic spiking,periodic bursting,and alternations between periodic and chaotic states.Crucially,the meminductive synapse introduces activity-dependent multistability,manifested as the coexistence of multiple firing patterns determined by its initial internal state.Phase synchronization analysis further demonstrates that adjusting the coupling resistance provides an independent control mechanism that effectively enhances or suppresses synchronous firing between the two heterogeneous neurons,even at a fixed coupling strength.Finally,the physical feasibility of the system is validated through successful digital implementation on a digital signal processor(DSP)platform,as experimental measurements show excellent agreement with numerical simulations.This study establishes the meminductor as a biomimetically grounded element for chemical synapse emulation and provides a dynamically rich,hardware-validated platform for neuromorphic computing and information processing. 展开更多
关键词 meminductor heterogeneous neuron network firing pattern synchronization DSP implementation
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Generative artificial intelligence in extractive metallurgy:Industrial applications,limitations and implementation pathways 认领 引用 被引量：1
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作者 Himeshkumar A.Patel Skand Verma 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2026年第7期2313-2337,共25页
The extractive metallurgy sector is undergoing rapid digital transformation drivenby Industry 4.0,advanced sensing,and artificial intelligence(AI).While machine learning has been widely adopted for predictive control ... The extractive metallurgy sector is undergoing rapid digital transformation drivenby Industry 4.0,advanced sensing,and artificial intelligence(AI).While machine learning has been widely adopted for predictive control and optimization,the role of generative artificial intelligence in metallurgical engineering remains inadequately characterized in the literature.This paper critically reviews the state of generative AI for extractive metallurgy,focusing on practical industrial applications rather than purely theoretical AI methods.We synthesize peer-reviewed research,industrial case studies,and emerging applications across commnution,flotation,hydrometallurgy,pyrometallurgy,ore sorting,and plant reliability.The review identifies five key generative AI models applicable to metallurgy:generative diffusion models,flow-based models,variational autoencoders,generative pre-trained transformers,and generative adversarial networks.Generative AI presents a transformative opportunity for extractive metallurgy,offering solutions for optimized process control,enhanced mineral recovery,predictive maintenance,and improved sustainability.While generative AI offers significant potential,its deployment requires rigorous validation,physics-informed modeling,and hybrid human AI workflows in metallurgical plants. 展开更多
关键词 generative AI mineral processing digitalization AI in metallurgy data-driven process optimization AI implementation
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The Implementation Path of Digital Personalized Picture Books in Promoting Sharing Behavior among Young Children 认领 引用
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作者 Hui Deng Mohan Liu +1 位作者 Yi Liu Tengwei Fang 《Journal of Contemporary Educational Research》 2026年第4期325-331,共7页
Against the background of the digital transformation of preschool education,digital personalized picture books have become an important carrier for cultivating children’s prosocial behaviors.This study focuses on the... Against the background of the digital transformation of preschool education,digital personalized picture books have become an important carrier for cultivating children’s prosocial behaviors.This study focuses on the internal mechanism and practical paths of digital personalized picture books promoting young children’s sharing behavior.Findings show that deep personalization(name+image+scene)is significantly better than nominal personalization,which only replaces names;role identification serves as the core mediator connecting personalized reading and actual sharing behavior;AR interaction,repeated reading,and adult guidance can strengthen the effect of behavior transfer.Accordingly,this paper constructs a complete implementation path of“three-dimensional personalized design-multimodal interactive reading-layered adult guidance-situated behavior transfer,”providing a theoretical basis and operable solutions for kindergartens and families to use digital personalized picture books to improve young children’s sharing behavior. 展开更多
关键词 Digital personalized picture books Sharing behavior Implementation path Role identification AR interaction Preschool education
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Analysis and Suggestions on the Implementation of the Early Settlement Mechanism of Drug Patent Disputes in China 认领 引用
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作者 Jia Siyao Yuan Xiaoliang Dong Li 《Asian Journal of Social Pharmacy》 CAS 2026年第2期190-204,共15页
Objective To analyze the present situation and problems of the early settlement mechanism of drug patent disputes in China,and to provide reference for further promoting and perfecting the system.Methods Firstly,compa... Objective To analyze the present situation and problems of the early settlement mechanism of drug patent disputes in China,and to provide reference for further promoting and perfecting the system.Methods Firstly,comparative method was used to analyze the drug patent linking system between China and the United States,and then a questionnaire was designed by literature research and expert interviews.The survey results were statistically analyzed to find out the problems in the implementation of the early settlement mechanism of drug patent disputes in China.Finally,some solutions were put forward.Results and Conclusion There are some problems in the implementation of the early settlement mechanism of drug patent disputes in China,which need to be solved as soon as possible.In view of these problems,countermeasures and suggestions are put forward to provide reference for further optimization of the system. 展开更多
关键词 drug patent dispute early resolution mechanism current situation of implementation countermeasure and suggestion
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Evaluation of the implementation of the Critical Care Asia and Africa Intensive Care Unit registry in Ethiopia 认领 引用
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作者 Adam D Laytin Ayalew Zewdie +6 位作者 Menbeu Sultan Amelia J Brandt Ararso B Olani Geremew Werkeshe Sean M Berenholtz William Checkley Bhakti Hansoti 《World Journal of Critical Care Medicine》 2026年第1期138-150,共13页
BACKGROUND Intensive care unit(ICU)capacity is underdeveloped in sub-Saharan Africa,and outcomes for critical care lag behind higher resource settings.It is essential to understand local case-mix,processes of care and... BACKGROUND Intensive care unit(ICU)capacity is underdeveloped in sub-Saharan Africa,and outcomes for critical care lag behind higher resource settings.It is essential to understand local case-mix,processes of care and clinical outcomes in African ICUs to close these gaps.To this end,ICU registries are valuable tools for clinical research,quality improvement and capacity building.The Critical Care in Asia and Africa(CCAA)Network has specially developed a novel ICU registry for resource-limited settings.AIM To evaluate the feasibility,acceptability,and perceived sustainability of the CCAA ICU registry in the Ethiopian clinical context.METHODS Eight months following the pilot implementation of the CCAA ICU registry at two academic medical centers in Addis Ababa,Ethiopia,we conducted a qua-litative evaluation.We conducted key informant interviews and focus group discussions with members of the ICU registry team,medical and nursing staff,and leadership team.We coded and analyzed transcripts deductively using a thematic content approach.RESULTS Emergent themes related to feasibility included data collection,data quality and factors necessary for success.Those related to acceptability included utility,accessibility and comparison to other methods.Those related to perceived sustainability included institutional future,ownership and expansion.Overall,respondents felt that the CCAA ICU registry was feasible and acceptable in their ICUs.They identified important threats to perceived sustainability including multiple channels of communication and infrastructure and human resource limitations,and proposed adaptations to address these threats.CONCLUSION The CCAA ICU registry is a promising tool for research and quality improvement in ICUs in sub-Saharan Africa,but successful implementation requires a clear understanding of regional and institutional influencing factors. 展开更多
关键词 Intensive care unit Clinical registry Implementation Evaluation Quality improvement Ethiopia Sub-Saharan Africa
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Discussion on the Construction Plan and Implementation Scheme of the"Four-in-one"Smart Functional Experiment Center at Hubei University of Medicine 认领 引用
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作者 Desen CHEN Huaqiong HE +6 位作者 Qi HUANG Li LI Jixia PENG Jing KE Qiufang ZHANG Hongtao ZHENG Shengying WU 《Asian Agricultural Research》 2026年第8期40-42,共3页
[Objectives]Based on the existing resources of the Functional Experiment Center at Hubei University of Medicine,this study explores the integration,planning,design,and construction of a"four-in-one"smart lab... [Objectives]Based on the existing resources of the Functional Experiment Center at Hubei University of Medicine,this study explores the integration,planning,design,and construction of a"four-in-one"smart laboratory.[Methods]The necessity of constructing a smart laboratory is elucidated from the national,university,and college levels,with specific requirements proposed for its development.First,construction objectives are defined;subsequently,existing resources are integrated,planned,and designed to ultimately overcome technical challenges,resulting in a smart laboratory tailored to the university s needs.[Results]Through comprehensive research and demonstration,the construction plan and implementation scheme for the smart laboratory are presented in both graphical and textual formats.[Conclusions]Following multiple expert seminars,it is concluded that this scheme aligns with the development trend of"Internet+Education",facilitating the deep integration of education and information technology,thereby enhancing the level of informatization construction and application at the university. 展开更多
关键词 Functional laboratory Integration planning&design Construction plan and objectives Implementation scheme Four-in-one smart laboratory
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Evaluation of Implementation Effects and Optimization Strategies for Helicopter Aerial Spraying Operations Against Hyphantria cunea in Zhangdian District,Zibo City 认领 引用
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作者 Xinqing LI Hao YANG +4 位作者 Ying LYU Wenqian YU Enhong ZHAO Tingting CAO Dong ZHANG 《Agricultural Biotechnology》 2026年第3期18-20,46,共3页
This study aimed at the damage caused by Hyphantria cunea in Zhangdian District,Zibo City in 2023,and adopted helicopter low-volume aerial spraying technology for control operations.The implementation effects were eva... This study aimed at the damage caused by Hyphantria cunea in Zhangdian District,Zibo City in 2023,and adopted helicopter low-volume aerial spraying technology for control operations.The implementation effects were evaluated and optimization strategies were proposed by real-time monitoring of operation data and analysis of the pesticide application effect and flight path coverage.The results showed that the actual sprayed area of the project was 1348.67 hm2,with the verified effective control area being 1210.93 hm2.The average pesticide application rate was 2880 g/hm2,with a lower deviation of 4%.The study found that some sorties had problems such as insufficient pesticide application and unstable flight speed.It is necessary to improve the control effect by optimizing route planning,enhancing operation standardization,and adjusting pesticide application rate. 展开更多
关键词 Hyphantria cunea Aerial spraying operation Aerial spraying Implementation effect Optimization strategy
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Long-term Mechanism and Implementation Path of Increasing Income of Rural Low-income Population in Zhejiang Province from the Perspective of Common Prosperity 认领 引用
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作者 Peiyi YE 《Asian Agricultural Research》 2026年第2期23-26,共4页
Taking the rural low-income population of Zhejiang Province as its subject, this paper examines how to build a sustainable income-growth mechanism and identify feasible implementation paths within the context of the c... Taking the rural low-income population of Zhejiang Province as its subject, this paper examines how to build a sustainable income-growth mechanism and identify feasible implementation paths within the context of the common prosperity strategy. The research identifies key obstacles to income expansion, including an undiversified industrial structure, insufficient human capital, and a lack of robust social protection. These call for systemic solutions featuring institutional innovation, resource consolidation, and capability enhancement. Building on Zhejiang's experience as a common prosperity demonstration zone, the article constructs an integrated framework centered on four pillars: industrial empowerment, education upgrading, social security reinforcement, and digital coordination. It further offers concrete policy proposals involving the cultivation of localized industries, vocational skill training, enhanced safety nets, and the adoption of digital tools. The study thus offers both theoretical insights and practical paradigms for tackling the challenge of raising incomes in low-income rural areas. 展开更多
关键词 Common prosperity Rural low-income population Long-term mechanism of increasing income Implementation path Zhejiang Province
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Unveiling Sustainable Development for High-Maturity Fields:Core Connotations,Key Dilemmas,and Strategic Implementations 认领 引用
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作者 Wang Jinxiao Sun Qian +2 位作者 Xiang Yaoquan Li Weibin Chen Yijia 《China Oil & Gas》 CAS 2026年第3期58-65,共8页
Mature exploration and development areas constitute the core foundation for safeguarding national energy security.However,prolonged development has given rise to a range of increasingly prominent challenges,including ... Mature exploration and development areas constitute the core foundation for safeguarding national energy security.However,prolonged development has given rise to a range of increasingly prominent challenges,including declining production capacity,shrinking profit margins,and tightening environmental constraints,all of which have become significant impediments to achieving sustainable development in these areas.Grounded in the theoretical evolution of sustainable development and drawing on the core framework of ESG evaluation,this study defines the essential connotations of sustainable development for oil fields,constructs a threedimensional evaluation system encompassing sustainable production capacity,sustainable profitability,and environmental management capability,and establishes a corresponding set of key indicators.On this basis,the study systematically analyzes the development challenges confronting mature exploration and development areas across these three dimensions,and proposes targeted implementation strategies at the levels of technological innovation,cost control,and coordinated environmental governance.The findings of this study provide theoretical grounding and practical reference for mature exploration and development areas in China to overcome development bottlenecks and establish replicable sustainable development modes,thereby supporting the coordinated advancement of national energy security and the maritime power strategy. 展开更多
关键词 mature exploration and development areas sustainable development essential connotations key challenges implementation strategies
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Research on the Implementation Dilemmas and Countermeasures of Nursing Continuing Education Policies Based on the Smith Model 认领 引用
18
作者 Mengyao Huang Rugang Liu 《Journal of Clinical and Nursing Research》 2026年第6期133-140,共8页
Objective:This study aims to analyze the practical dilemmas encountered in the implementation of nursing continuing education policies and propose policy optimization suggestions.It provides theoretical support and pr... Objective:This study aims to analyze the practical dilemmas encountered in the implementation of nursing continuing education policies and propose policy optimization suggestions.It provides theoretical support and practical references for optimizing the implementation path of nursing continuing education policies,improving the mechanism for the continuous development of nursing talent,and enhancing the quality of nursing professional development.Methods:Using the Smith Policy Implementation Model as the theoretical framework,a multidimensional analytical framework was constructed from four aspects:idealized policy,implementing agency,target group,and external environment.Combining the latest national continuing education policy documents,a questionnaire was designed,reviewed by experts,and pre-tested on a small scale.The questionnaire was revised multiple times to ensure its quality.The survey was conducted among registered nurses working at Taizhou Second People’s Hospital,who completed the questionnaire anonymously online.Results:During the implementation of continuing education policies,approximately 29.67%of nurses reported that the latest policy introduced in 2025(uniform 25 credits)was unreasonable,particularly unfriendly to junior nurses,and that the continuing education content lacked specificity and practicality,as well as specialization.Nearly 92.31%of nurses reported that their motivation to participate in continuing education was solely driven by the need for career advancement and regular assessments.Difficulties encountered in personal continuing education included busy clinical work schedules,fragmented learning,and boring and useless content.Nearly half(45.58%)of nurses reported a lack of continuing education resources in their hospitals,and that hospitals mandated credit fulfillment without recognizing the value of high-credit/high-education individuals.Approximately 40.58%of nurses reported that economic downturns increased family burdens,and high course fees discouraged participation in nursing continuing education.Conclusion:Through targeted analysis of the above four aspects,future policy formulation and implementation should focus on addressing the specificity and practicality of nursing continuing education,emphasizing specialized training in key areas;enhancing nurses’motivation to participate in nursing continuing education by diversifying and enriching learning content to increase its appeal;improving hospital educational and training resources,such as inviting renowned experts from other hospitals to teach and breaking down regional resource-sharing barriers through university-hospital collaborations;and increasing the availability of free or low-cost continuing education options. 展开更多
关键词 Smith policy implementation model Nursing Continuing education Policy Countermeasures
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A Study on the Mechanisms and Implementation Strategies for Building Resilience among Undergraduate Students at Local Universities 认领 引用
19
作者 Jing Wang Chunhui You +1 位作者 Wei Chen Danyan Gao 《Journal of Contemporary Educational Research》 2026年第6期44-51,共8页
Against the backdrop of increasingly fierce social competition,the“lying flat”mindset has quietly taken hold among undergraduates at local universities,reflecting their lack of resilience in the face of adversity.Ba... Against the backdrop of increasingly fierce social competition,the“lying flat”mindset has quietly taken hold among undergraduates at local universities,reflecting their lack of resilience in the face of adversity.Based on the actual manifestations of the“lying flat”phenomenon among undergraduates at local universities,this paper systematically analyzes the mechanisms underlying resilience.It proposes strategies and supporting measures for fostering resilience across five key areas:government management,family environment,school education,online media regulation,and personal capacity building.The aim is to provide practical guidance and reference for addressing the“lying flat”challenge among undergraduates at local universities and enhancing the quality of talent cultivation in these institutions. 展开更多
关键词 Local universities Undergraduates Resilience Mechanisms of action Implementation strategies
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Analysis of the Implementation Path of State-owned Enterprises’Foreign Trade Strategy under the New Situation 认领 引用
20
作者 Yunlong Xie 《Proceedings of Business and Economic Studies》 2026年第7期72-77,共6页
This paper mainly explores the implementation path of state-owned enterprises’foreign trade strategy under the new circumstances.By analyzing the current situation of state-owned enterprises’foreign trade developmen... This paper mainly explores the implementation path of state-owned enterprises’foreign trade strategy under the new circumstances.By analyzing the current situation of state-owned enterprises’foreign trade development,the core characteristics of state-owned enterprises’foreign trade development,and the severe challenges in state-owned enterprises’foreign trade development,combined with case studies and practical experiences,a diversified strategic implementation framework consisting of strategic positioning,market layout,industrial upgrading,business model innovation,and risk prevention and control is constructed.The research results show that state-owned enterprises need to balance national strategies and market-oriented operations.Starting from improving the global market system,enhancing the high-end position of the value chain,accelerating digitalization and green transformation,and establishing a full-process risk control system,they can effectively respond to external challenges,cultivate new advantages in international competition,and achieve high-quality development of foreign trade. 展开更多
关键词 New situation State-owned enterprises Foreign trade Strategic transformation Implementation path
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