Objective:To systematically evaluate the qualitative studies on the decision dilemma of blood glucose management during pregnancy in patients with gestational diabetes mellitus, so as to provide reference for the subsequent formulation of intervention strategies.Methods:The qualitative studies on the decision dilemma of blood glucose management during pregnancy in patients with gestational diabetes mellitus in the Cochrane Library, CINAHL, EMbase, PubMed, PsycINFO, ProQuest, Web of Science, China National Knowledge Internet, Wanfang, VIP and Chinese Biomedical Database were searched from inception to May 2022. The JBI Critical Appraisal Tool for qualitative studies in Australia (2016) was used to evaluate the literature quality, and research results were summarized and integrated by integrating methods.Results:A total of 13 studies were included, 56 themes were extracted, and they were summarized into 9 categories, forming 3 integrated results as following, lack of personalized and professional information on blood glucose management, worring about the influence of blood glucose management on the health of mothers and children, conflict between daily life and blood glucose management plan.Conclusions:Health care workers should provide gestational diabetes mellitus patients with adequate personalized professional information support on blood glucose management to facilitate scientific decision-making during pregnancy, and also analyze the benefits and risks of different decisions for patients to help them make the best decision and strengthen their external support system to help them implement blood glucose management decisions.
推进工业绿色增长转型是中国实现2030年碳达峰和2060年前碳中和目标的关键.基于IPAT分析框架,结合环境规制视角,构建了中国工业污染排放的供给需求模型,进而采用空间随机前沿模型评估了中国2000-2016年的工业绿色增长效率.研究表明:①忽略省份间工业SO2排放的空间相关性和异质性都将高估中国工业绿色增长效率.②受宏观经济波动、工业结构变迁、环境治理政策出台等驱动,中国工业绿色增长效率可划分为波动上升(2000-2007年)、波动下降(2008-2011年)和稳步上升(2012-2016年)三个阶段.③中国工业绿色增长效率呈明显的聚集连片化的分布特征,到2016年较高效率及高效率省份逐步由东部地区少数省份扩展到东部地区、长江流域和黄河中下游的绝大部分省份,资源能源禀赋、经济发展阶段、技术积累与创新、区位条件、环境容量、环境规制政策执行力度等的差异是中国工业绿色增长效率空间分异的主要原因.
[目的]探讨以中国注册护士核心能力框架为基础制订的新聘护士岗前培训方案对新聘护士核心能力提高的效果.[方法]便利选取某三级甲等医院100名新聘护士作为研究对象,对其进行为期1周的集中岗前培训、11周的科室实践能力培训.分别在培训前后采用中国注册护士核心能力量表对其核心能力进行自评.[结果]培训后新聘护士核心能力水平总分及各维度得分明显高于培训前,伦理与法律实践、专业发展、临床护理等维度培训前后得分比较差异有统计学意义(P<0.05).[结论]以中国注册护士核心能力框架为基础制订的新聘护士集中岗前培训与科室轮转培训相结合的规范化培训模式,可有效提高新聘护士的核心能力,对新聘护士进入临床工作、提高医院护理质量有重要意义.
在中国财富伦理思想发展史上,司马光的财富伦理可谓既出于史,又着眼于治,更体现出资政育人的道德智慧,成为令当时和后世诸多政治家、经济家和思想家总结经验教训,反思世道人生的源头活水。司马光的财富伦理思想出于对国家长治久安的考虑,站在史学伦理和政治伦理的高度,针对当时朝廷的财政困境和化育财富风险而提出,有自己既源于传统又活化传统的特异之处。
宋元时期是我国封建社会商业发展的鼎盛时期。宋元商人的商德对于繁荣当时的商品经济乃至形塑后来商人之品质都具有重要作用。本文在分析宋元时期商业环境的基础上,详细论述了宋元时期商德的具体内容,寄望能对提高当世之商业精神有借鉴意义。宋元时期商德的具体内容有:求财重利与求仁重义的商业宗旨并存;诚信无欺与投机倒把的商业操守并存;保守守业与冒险创业的商业精神并存;团结互助与垄断排他的商业风气并存;勤劳节俭与奢侈求贵的商业品德并存;信奉迷信与崇尚科技的商业心理并存。
In a certain extent,the food safety problems reflect the modern social ethics hiatus phenomenon.This loss is reflected that utilitarian values have greatly inspired the expansion of egoism values and overhead the socialist collectivism mainstream values,the man's moral attribute has disappeared in material benefits in monologues and enlightenment and the restraint function of the Ethics is constantly being digested,etc.The Chinese traditional moral is able to fit the modern society from following four aspects: Re-establishing a theoretic base and developing the new theory on human nature;rebuilt-up the traditional morality and righteousness view and discarding the utilitarian trend;Publicizing integrity and responsibility and brightening traditional moral core values;Promoting the transition of the traditional virtue ethics to institutional ethics and strengthening traditional moral binding.
In this modern world, religion has being facing three big challenges from technological rationality, secularization, and pluralism of culture and value respectively. Through analyzing, the author claims that it is possible for the religion to respond to these challenges well by the way of ethic of religion: responding to the challenge from technological rationality with humanistic rationality of ethic of religion, responding to the challenge from secularization with the duality of holiness and secularity of ethic of religion, and responding to the challenge from pluralism of culture and value with universality of ethic of religion.