Background: High ethical sensitivity positively affects the quality of nursing care; nevertheless, Chinese nurses’ ethical sensitivity and the factors influencing it have not been described. Research objectives: The purpose of this study was to describe ethical sensitivity and to explore factors influencing it among Chinese-registered nurses, to help nursing administrators improve nurses’ ethical sensitivity, build harmony between nurses and patients, and promote the patients’ health. Research design: This was a descriptive, cross-sectional study. Participants and research context: We recruited 500 nurses (...) from several departments in three tertiary hospitals. The Chinese Moral Sensitivity Questionnaire–Revised version and the Jefferson Scale of Empathy-Health Professionals were used to assess the nurses’ ethical sensitivity and empathy ability, respectively. Fifteen sociodemographic variables were included in the questionnaires. Ethical considerations: Informed consent was obtained from the participants regarding participation and data storage and handling. This program has been examined and supported by the research center of medical ethics and professional ethics of Guilin Medical University. The Approval No. was 2016RWYB04. The whole research process is conducted strictly according to ethical requirements. Results: The valid response rate was 84.40%. The total score of Chinese Moral Sensitivity Questionnaire–Revised was 35.82 ± 8.17. The subscale scores of moral responsibility and strength and sense of moral burden were 21.50 ± 4.91 and 14.33 ± 3.98, respectively. Significant differences were found among age groups, gender, years of working, category of profession, and quality of family communication regarding nurses’ ethical sensitivity. Regression analysis showed that the main factors influencing nurses’ ethical sensitivity were gender, years of working, quality of family communication, career satisfaction, and empathic ability. Discussion: Our findings suggest that Chinese nurses’ ethical sensitivity in tertiary hospitals in Guilin is at a medium level. Conclusion: The director of nursing schools and hospitals in China should pay attention to nurses’ ethical sensitivity and should intensify education and training to improve nurses’ ethical sensitivity. Further studies should focus on interventions aimed at improving Chinese nurses’ ethical sensitivity. (shrink)

Resumen: La esencia del desarrollo del ecoturismo moderno reside en la coexistencia armónica y armoniosa de la relación entre el hombre y la naturaleza, que es la práctica ecológica del turismo bajo el trasfondo del desarrollo sostenible moderno. El desarrollo del turismo tradicional se centra en los intereses económicos y descuida la protección sostenible de la ecología turística, y el ecoturismo se ha convertido gradualmente en la dirección de desarrollo y reforma del turismo contemporáneo. El taoísmo hace hincapié en seguir (...) a la naturaleza, lo que tiene evidentes tendencias naturalistas, proporciona diferentes perspectivas filosóficas clásicas tradicionales para comprender la relación entre la naturaleza y el desarrollo humano, y tiene un importante significado esclarecedor para promover el desarrollo común del hombre y la naturaleza. El taoísmo aboga por respetar e imitar las leyes del desarrollo natural, persiguiendo la armonía general entre el hombre y la naturaleza, y es coherente con la naturaleza intrínseca del ecoturismo moderno. Por lo tanto, basándose en el pensamiento ecológico taoísta, la investigación explora la vía de desarrollo de la cultura ecoturística sostenible contemporánea y proporciona orientación teórica para el desarrollo armonioso y la unidad del hombre y la naturaleza. (shrink)

Background “Crisis military deployment” was defined as a situation in which military personnel are suddenly ordered to duty to support an operation away from their home station and in a potentially dangerous environment. As a result of complex changes in the global political and economic landscape, military nurses are assuming an increasing number of crisis military deployment tasks. Moral distress has been widely studied among civilian nurses. However, little is known about the moral distress military nurses experience during military deployments (...) in crisis. Aim This review discussed the current state of research on the phenomenon, unique factors, specific sources, and measurement tools. Methods The scope of the study was defined using a framework developed by Arksey and O’Malley. Following English databases were searched: PubMed, CINAHL, Cochrane Library, Web of Science, and Embase, using MeSH terms and free word combinations; furthermore, Chinese databases: CNKI and CBMDisc, were explored using thematic terms from inception until January 20, 2023. Data were selected and defined by the inclusion and exclusion criteria and independently screened by two researchers. Ethical considerations The scoping review adhered to sound scientific practice and respected authorship and reference sources. Results Finally, 21 articles were included in the review. The moral distress of military nurses in crisis military deployments had unique and specific sources and reported positive aspects. The deployment environment and nature of the mission, responsibilities and obligations of military nurses, and the limited rights of patients were unique factors. Specific sources included third-party intervention, military triage, resource allocation, futile care, care of the enemy, and return to the battlefield. Military nurses in deployment reported positive aspects. They grow in their inner strength, build deep friendships and gain a greater sense of professional value. Conclusion It is important to understand the unique factors and specific sources of moral distress faced by military nurses in crisis military deployments and to identify the positive aspects. This research will help prepare military nurses for future deployments in advance by providing useful information to mitigate and eliminate moral distress. (shrink)

书名原文:Transport processes in plasmas.vol.1,Classisal transport.

Infant language learners are faced with the difficult inductive problem of determining how new words map to novel or known objects in their environment. Bayesian inference models have been successful at using the sparse information available in natural child-directed speech to build candidate lexicons and infer speakers’ referential intentions. We begin by asking how a Bayesian model optimized for monolingual input generalizes to new monolingual or bilingual corpora and find that, especially in the case of the bilingual input, the model (...) shows a significant decrease in performance. In the next experiment, we propose the ME Model, a modified Bayesian model, which approximates infants’ mutual exclusivity bias to support the differential demands of monolingual and bilingual learning situations. The extended model is assessed using the same corpora of real child-directed speech, showing that its performance is more robust against varying input and less dependent than the Intentional Model on optimization of its parsimony parameter. We argue that both monolingual and bilingual demands on word learning are important considerations for a computational model, as they can yield significantly different results than when only one such context is considered. (shrink)