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Background: In situ simulation is the practice of using simulated scenarios to improve skill implementation, train critical thinking and problem-solving abilities, and enhance self-efficacy. This study aimed to enhance nursing knowledge, skills, and attitudes toward clinical work by applying in situ simulation training to improve the healthcare of critically ill patients.
Methods: This study was conducted from a medical center in northern Taiwan and included 86 trainees who received intensive care training courses from 1 June 2017 to 31 May 2019. The self-report knowledge assessment, empathetic self-efficacy scale, skill assessment, and attitudes of instructors before and after training were collected. The statistical analysis used the Wilcoxon test for knowledge and attitudes, and chi-square tests were used for skills to evaluate the learning effect.
Results: The results showed a statistically significant improvement in knowledge, skills, attitudes, and empathy in nursing care.
Conclusions: In situ simulation learning can be an accepted method for nursing skills in the intensive care unit. Through this study, we understood that the in situ simulation method was beneficial to nurses' care and care thinking processes. It is worth developing and evaluating integrated simulation education to enhance learning, change behavior, and promote holistic care in the nursing field.
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http://dx.doi.org/10.3390/healthcare11212851 | DOI Listing |
Adv Mater
September 2025
NRC (Nanostructure Research Centre), Wuhan University of Technology, Wuhan, 430070, China.
Thermoelectric nanoplates derived from anisotropic van der Waals (vdW) materials such as BiTe are pivotal for flexible electronics and microscale thermal management. Their performance critically depends on grain boundary (GB) microstructure, but the atomic-scale mechanisms governing grain growth in these highly anisotropic systems remain elusive. This particularly concerns the competition between individual nanoplate reshaping driven by facet stabilization and collective merging at GBs.
View Article and Find Full Text PDFJ Colloid Interface Sci
September 2025
Department of Thermal Science and Energy Engineering, University of Science and Technology of China, 96 Jinzhai Road, Hefei 230026, PR China. Electronic address:
Heterojunctions have garnered significant attention in the field of photocatalysis due to their exceptional ability to facilitate the separation of photogenerated charge carriers and their high efficiency in hydrogen reaction. However, their overall photocatalytic performance is often constrained by electron transport rates and suboptimal hydrogen adsorption/desorption kinetics. To address these challenges, this study develops a g-CN/MoS@MoC dual-effect synergistic solid-state Z-type heterojunction, synthesized through the in-situ sulfurization of MoC combined with ultrasonic self-assembly technique.
View Article and Find Full Text PDFJ Refract Surg
September 2025
Department of Refractive Surgery, Shanghai Aier Eye Hospital, Shanghai.
Purpose: To analyze the effects of ablation interruption on ablation depths and clinical refractive outcomes to characterize the impact of ambient temperature changes and ablation interruption on ocular surface temperature (OST) during excimer laser ablation.
Methods: This prospective study was conducted on laser ablations in polymethylmethacrylate (PMMA) plates and porcine corneas to simulate laser in situ keratomileusis (LASIK) treatments using the EX500 laser (Alcon Laboratories, Inc) at ambient temperatures of 18, 20, and 22 °C. Ablation interruption was performed for 1, 2, 3, 4, and 5 seconds at the 10th second of the treatment of -9.
J Refract Surg
September 2025
From National Engineering Research Center of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Purpose: To use parametric numerical simulation to characterize and compare the differences in corneal biomechanical responses to laser in situ keratomileusis (LASIK) and keratorefractive lenticule extraction (KLEx) under various surgical settings.
Methods: The Finite Element Model was used in a parametric study to evaluate corneal biomechanical responses to LASIK and KLEx, considering variations in preoperative corneal thickness, corneal flap/cap thickness and diameter, refractive correction, and optical zone diameter. Surgery-induced stress, displacement, and interface contact pressure were compared between LASIK and KLEx using the Wilcoxon signed-rank test.
Adv Mater
September 2025
Department of Engineering Science, University of Oxford, Oxford, OX1 3PJ, UK.
Hydrogen embrittlement (HE) poses a significant challenge to the durability of materials used in hydrogen production and utilization. Disentangling the competing nanoscale mechanisms driving HE often relies on simulations and electron-transparent sample techniques, limiting experimental insights into hydrogen-induced dislocation behavior in bulk materials. This study employs in situ Bragg coherent X-ray diffraction imaging to track three-dimensional (3D) dislocation and strain field evolution during hydrogen charging in a bulk grain of austenitic 316 stainless steel.
View Article and Find Full Text PDF