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Experiences of Indonesian women with breast cancer underwent treatment decision-making: A qualitative study
No full text[[abstract]]Background: Patients with breast cancer face a complex situation upon receiving their diagnosis and considering future treatment options. In Indonesian culture, relatives and others significantly influence decision-making processes. Understanding the perspectives of Indonesian women with breast cancer regarding treatment decision-making can enhance satisfaction with the care provided.
Objective: This study aimed to explore the experiences of Indonesian women with breast cancer regarding treatment decision-making.
Methods: A qualitative descriptive study design was utilized. Purposive sampling was employed to select the study participants. In-depth interviews were conducted with 15 women with breast cancer between March and June 2023. The data were analyzed using thematic analysis.
Results: Three main themes were developed: 1) Emotional impact and uncertainty in cancer care, 2) Clear communication and support for patients, and 3) Family-centered decision-making in treatment planning.
Conclusion: This study highlights the perspectives of Indonesian women with breast cancer on treatment decision-making. Nurses play a crucial role in providing clear information to patients and their families during the decision-making process. Understanding the experiences of women with breast cancer can help support and empower patients through effective communication while they undergo treatment
[[alternative]]A Study on Grief Care Effects of Pet Funerals
No full text[[abstract]]本研究欲探討寵物道別儀式中結合身心靈整合心理治療模式是否對飼主產生悲傷關懷效果，並自編調查問卷希望瞭解飼主於參與寵物道別儀式後對「身體知覺」、「心理知覺」及「悲傷任務」三個向度的感受差異，並希望透過此研究結果提升大眾對寵物道別儀式的重視及需求。本研究採立意抽樣將研究對象設定在臺灣地區，因囿限於時間與研究經費，故以網路調查對本研究有興趣之民眾。共回收 445 份問卷，皆為有效問卷，經整理後以 SPSS 軟體進行資料的輸入及統計分析，再經由分析討論後，茲將本研究結論整理如下：一、寵物道別儀式以追思會形式為未來趨勢二、參與寵物道別儀式具顯著悲傷關懷效果三、飼主是否參與寵物道別儀式對悲傷任務的完成有顯著影響並依研究結果於未來研究方向及實務工作者兩個方向給予研究者之建議，希冀寵物生命紀念業未來能如殯葬服務業迎來現代化的改革。[[abstract]]This study aims to explore whether the body-mind-spirit integrated psychotherapy during the pet funerals has a grief care effect on pet owners. We also made a self designed questionnaire to understand the pet owners' perceptions of "body aesthesia", "psychological aesthesia" and "tasks of mourning" after participating in the pet funerals. And hope to use the results of this study to increase the public's importanceand demand for pet funerals.This study using the purposive sampling method, and set the research object in Taiwan. Due to limitations of time and research funds, an online survey was conducted among people who were interested in this study, and a total of 445 responses were collected. All questionnaires are valid questionnaires. After sorting, SPSS software was used for data input and statistical analysis. After analysis and discussion, the conclusions of this study are summarized as follows:1. Pet funerals in the form of Memorial is the trend.2. Participating in pet funerals has significant grief care effects.3. Whether the pet owner participates in the pet funerals has a significant impact on the completion of the tasks of mourning.Based on the research results, suggestions are given to researchers in two directions: future research directions, and practitioners. It is hoped that the pet life commemoration will usher in modern reforms like the funeral service in the future
[[alternative]]The Research on Well-Being, Perceived Risk, and Personality Traits for Women Engaging in Solo Slow Travel
No full text[[abstract]]21世紀，當代工作生活施壓不斷，對個體提出不懈需求，這對個體旅遊經歷的模式和動態帶來了明顯的變革。為因應當代工作環境的挑戰和高壓條件，人們開始採用非傳統的旅遊方式，強調更緩慢的節奏、體驗豐富性，以及對旅程的悠閒態度，這一獨特的旅行方式被冠以"慢遊"之名。過去，社會中女性的地位受到傳統性別規範的約束，但隨著時代的演進和社會的現代化發展，女性的地位逐漸上升，得益於許多傑出的女性企業家和成功人士，她們的崛起不僅改變了女性在家庭、職場和社會中的地位，還為其他女性樹立了強大的典範。獨自旅遊在現代社會變得越來越普遍，女性紛紛參與其中，她們透過旅行來追求身心休息和恢復，以滿足對全面健康的需求。這種行為不僅是對過去社會地位限制的一種回應，同時也是女性獨立性和自主權的體現。本研究旨在探討女性獨自慢遊、幸福感、知覺風險和獨特的人格特質之間的影響。本研究的基本前提是，慢、深思熟慮的旅遊方式為個體，特別是女性，提供了反思、尋求寧靜以及在當代生活節奏快節奏中促進個人成長的機會和空間。為了研究這些變數之間的關係，我們進行了一項結構化問卷調查，於2024年1月3日至2024年2月27日在網路上進行，共回收240份問卷，其中206名已經或有意參與獨自慢旅行的女性參與其中。這項研究有助於理解不同的人格特質的女性在進行慢遊的旅程中所感知的知覺風險和進行慢遊後所達到的幸福感。透過對幸福感、知覺風險和人格特質的研究和分析，能更全面地理解這一趨勢如何影響個體的生活和幸福感，並提供更豐富的旅遊體驗。本研究發現在進行獨自慢遊的過程中，女性最擔心的是行李遺失風險，而時間風險則相反，説明在旅途中女性對時間的擔心較爲弱。而盡責性人格的女性獲得的幸福感相較其餘人格特質較高。研究結果發現在幸福感中，自主性及環境掌控會隨著年齡的增長而隨之增加。女性則可以透過獨自慢遊發現生活的目的、經由慢遊的過程中自我成長也可增加社交的機會，以此來提高自身的自信心。此外，政府部門可以透過本篇研究結果深入瞭解獨自慢遊的潛在益處，制定相應的旅遊政策，以支持和鼓勵這種旅遊方式，同時提高當地居民的認知度，促進旅遊目的地的可持續發展和經濟增長。旅遊業者可以積極推廣獨自慢遊相關的旅遊行程，宣傳慢遊的核心特點，擴大消費者對這一旅遊方式的認知，從而擴大市場份額並實現經濟增長。對於消費者則可以更深入地了解自身是否適合進行獨自慢遊，以及預期可能獲得的幸福感和旅遊過程中的知覺風險，可以幫助他們做出明智的旅遊決策，以滿足個人需求和期望，促進更有意義和豐富的旅行體驗。[[abstract]]In response to the challenges of the modern work environment and high-pressure conditions, people are increasingly adopting a non-traditional approach to travel, emphasizing a slower pace, experiential richness, and a leisurely attitude towards the journey, commonly referred to as "slow travel." This shift is particularly pronounced among women, who have traditionally faced societal constraints on their roles in both the home and the workplace. The changing status of women in society, marked by the rise of prominent female entrepreneurs and successful individuals, has contributed to a more equal and empowering environment for women. As a result, women are increasingly engaging in solo travel, using it to seek physical and mental rejuvenation, and fulfill their holistic health needs. This behavior serves as both a response to past societal constraints and an expression of female independence and autonomy.This study aims to investigate the impact of solo slow travel on women's well-being, perceived risk, and unique personality traits. The fundamental premise of this research is that slow and contemplative travel provides individuals, especially women, with opportunities and space for reflection, tranquility, and personal growth during the fast-paced modern life. In order to explore the relationships among these variables, a structured questionnaire survey was conducted online from January 3rd, 2024, to February 27th, 2024. A total of 240 responses were collected, with 206 women who had already engaged in or expressed intention to engage in solo slow travel participating in the survey. This study contributes to the understanding of the perceived risk and subsequent well-being experienced by women with different personality traits during their slow travel journeys. Through the study and analysis of well-being, perceived risk, and personality traits, a comprehensive understanding of how this trend impacts individuals' lives and well-being is achieved. This study found that during solo slow travel, women are most concerned about the risk of lost luggage, while concerns about time risks are comparatively low, indicating that women worry less about time during their journeys. Additionally, women with conscientious personality traits experience higher levels of well-being compared to those with other personality traits. The results also reveal that autonomy and environmental mastery increase with age. Furthermore, government authorities have the opportunity to formulate relevant travel policies that support and encourage this travel mode, which, in turn, can promote the sustainable development of travel destinations and economic growth. Travel industry operators can actively promote solo slow travel-related itineraries, highlighting the core aspects of slow travel and increasing consumer awareness of this travel style, thereby expanding their market share and stimulating economic growth. For consumers, gaining a deeper understanding of whether they are suitable for solo slow travel and what well-being and perceived risk they can anticipate during their journey can help them make informed travel decisions that align with their personal needs and expectations, ultimately enhancing a more meaningful and enriching travel experience
[[alternative]]How Does the Self-Consistency of Indigenous Peoples Affect Happiness and Participating Intention of Cultural Activity?
No full text[[abstract]]臺灣擁有多元的族群，也孕育文化多種樣貌，了解自己所處的文化價值對於個體的自我概念之影響，而個體的自我一致性會影響其主觀感受及意圖，此為重要的議題。然而，根據過往文獻發現不少著重探討消費者在自我認同或組織認同對於休閒活動的參與意願，但鮮少探究原住民族群於文化活動參與之實證分析。本研究以原住民為研究對象，於原住民相關社群、大學原住民資源中心發放網路問卷、部落設點填寫紙本問卷，運用便利抽樣進行問卷調查，共計回收316份有效問卷。研究結果顯示，自我一致性正向且顯著影響族群認同；自我一致性正向且顯著影響文化活動參與意圖；族群認同正向且顯著影響文化活動參與意圖；自我一致性正向且顯著影響幸福感；族群認同正向且顯著影響幸福感。族群認同對自我一致性與幸福感及文化活動參與意圖之間具有部分中介效果。因此，從本研究實證原住民的族群認同可強化自我一致性，進而影響原住民的幸福感及文化活動參與意願。根據本研究之研究結果，提出未來研究方向之建議，可供相關單位後繼研究之參考。[[abstract]]Taiwan has a diverse ethnic group and a variety of cultures. It is critical to understand the impact of cultural values on an individual's self-concept, and the effect of self-consistency on subjective feelings and intentions. According to the literature review, it was found that many literatures explore consumers' willingness to participate in leisure activities based on self-identity or organizational identification, but few empirical analyzes explore the participation of indigenous groups in cultural activities.This study took Aboriginal people as the research subjects. Online questionnaires were distributed in Aboriginal-related communities and university Aboriginal resource centers, and paper questionnaires were filled in at tribal sites. Convenience sampling was used to conduct a questionnaire survey. A total of 316 valid questionnaires were collected. The research results show that self-congruity positively and significantly affects ethnic identity; self-congruity positively and significantly affects the intention to participate in cultural activities; ethnic identity positively and significantly affects the intention to participate in cultural activities; ethnic identity has a positive and significant impact on self-congruity and participation in cultural activities; self-congruity positively and significantly affects happiness; ethnic identity positively and significantly affects happiness. Ethnic identity has a partial Mediation effect on the relationship Self-consistency and happiness and participating intention of cultural activity. Therefore, this study proves that the ethnic identity of indigenous people can strengthen self-consistency, thereby affecting the willingness of indigenous people to happiness and participating intention of cultural activity. Based on the research results of this study, suggestions for future research directions are put forward, which can be used as a reference for subsequent research by relevant units
[[alternative]]Assisted Medical Imaging Diagnosis Report Generation Model Based on Lesion Prediction Model - A Case Study of Chest X-Ray
No full text[[abstract]]背景動機:醫學成像技術協助醫師在觀察病人身體健康狀況時，有了更精準的醫療診斷，尤其對於器官日漸衰老的老年人，更成為了必不可少的檢查項目之一。在現今的環境，老年人隨處可見，醫師的工作量相對地也跟著增加，因此，隨著深度學習技術成熟，開始有許多醫學影像診斷報告生成模型出現，在不斷地改良下，報告品質持續上升，但以胸腔 X 光影像為例，目前產生的報告中，仍會將有問題的病灶部位，描述成正常健康的狀況，或是將健康的部位，描述成有異常的狀況。目的:為解決上述問題，本研究建立影像病灶部位預測模型，預測胸腔 X 光影像中的病灶部位，輔助診斷報告生成模型，當報告描述許多部位的健康狀況時，預測模型能夠判斷每個部位的健康狀況是否有誤，提高其準確性。未來醫院導入報告生成模型時，可以透過此預測模型輔助。方法:本研究透過美國建立的公開醫學影像資料庫(Open-i)收集胸腔 X 光影像和診斷報告，但除了影像外，沒有病灶部位標籤可以建立前面提到的影像病灶部位預測模型，因此會透過提示工程請 ChatGPT 提取診斷報告中的每個部位，以及標註是否異常。再來會進行資料篩選，篩選的原因主要是本研究收集的資料集中有些病灶部位較少出現，因此保留常出現異常的部位，確保後續訓練模型時，有不錯的成效，未來可以收集更多資料，補足較少出現的病灶部位，預測更多類別。資料收集完後，會經過資料預處理，包含醫學影像預處理和診斷報告預處理，預處理完後，建立診斷報告生成模型和的影像病灶部位預測模型，最後分析後者模型預測的病灶部位是否比前者模型生成的病灶部位有更好的結果，達到輔助判斷報告中每個部位的健康狀況是否有誤。結果:在研究結果中，比較影像病灶部位預測模型和診斷報告生成模型，它們之間各自生成病灶部位的表現，部分準確率高出後者 6%以上，部分精確率高出後者 7%左右，代表預測的答案比起診斷報告生成模型描述的答案，有更高的比例是正確答案，部分召回率高出 19%以上，代表真實答案中，預測正確的比例較高，綜合起來，部分 F1 分數高出 10%以上。總結來說，前者可以有幫助地輔助後者應該包含哪些病灶部位的描述，有能力判斷報告中每個部位的健康狀況是否有誤。結論與建議: 在部分準確率、部分精確率、部分召回率和部分 F1 分數等指標的評估下，都高於診斷報告生成模型生成的病灶部位，代表藉由影像病灶部位預測模型的輔助，有不錯的效果。未來建立不同醫學影像(例如:超音波、核磁共振造影等)的診斷報告生成模型時，可以透過此預測模型，判斷描述的內容是否有誤，運用於不同醫學影像診斷報告自動生成領域，只要透過提示工程，交由大型語言模型，提取報告中的部位，以及標註是否異常，就可以有效建立預測模型所需的訓練資料。[[abstract]]Background: Medical imaging technology assists physicians in observing patients'health conditions, resulting in more accurate medical diagnoses. This is especially crucial for the aging organs of the elderly, making it an essential examination item. In today's environment, elderly individuals are ubiquitous, correspondingly increasing physicians' workloads. Therefore, with the maturation of deep learning technology, many medical image diagnosis report generation models have emerged. These models are continuously improving, and the quality of the reports is steadily increasing. However, taking chest X-ray images as an example, the reports generated still sometimes describe problematic lesion areas as normal healthy conditions or depict healthy areas as abnormal.Purpose: To address the aforementioned issues, this study establishes a lesion prediction model to predict lesion areas in chest X-ray images. This model assists the diagnostic report generation model by ensuring accuracy when the report describes the health conditions of various areas. The prediction model can identify whether the health conditions of each area have been described correctly, thereby improving accuracy. In the future, hospitals can incorporate this prediction model to support the report generation model.Methods: In this study, chest X-ray images and diagnostic reports were collected from the publicly available medical imaging database Open-i, established in the United States. However, there are no lesion area labels available to establish the aforementioned lesion prediction model aside from the images. Therefore, we will use prompt engineering to ask ChatGPT to extract each area from the diagnostic reports and label whether they are abnormal. Data filtering will then be carried out. The main reason for filtering is that some lesion area appear less frequently in the dataset collected for this study. Thus, we will retain the frequently appearing lesion area to ensure good performance when training the model. In the future, more data can be collected to fill in the less frequently appearing lesion areas to predict more categories. After data collection, data preprocessing will be performed, including medical image preprocessing and diagnostic report preprocessing. Once preprocessing is complete, we will establish the diagnostic report generation model and the lesion prediction model. Finally, we will analyze whether the lesion areas predicted by the latter model yield better results compared to those generated by the former model, thereby aiding in determining the accuracy of the health status of each area in the report.Results: In the research results, we compared the performance of the lesion prediction model and the diagnostic report generation model in generating lesion areas. The partial accuracy of the lesion prediction model was more than 6% higher, and the partial precision was approximately 7% higher compared to the diagnostic report generation model. This indicates that the prediction model were more often correct than the answers described by the diagnostic report generation model. The partial recall was more than 19% higher, meaning a higher proportion of the true answers were correctly predicted. Overall, the partial F1 score was more than 10% higher in some instances. In summary, the lesion prediction model can better assist the diagnostic report generation model in determining which lesion areas should be described and is capable of identifying inaccuracies in the health status descriptions of each area in the report.Conclusion and suggestion: In evaluating metrics such as partial accuracy, partial precision, partial recall, and partial F1 score, the lesion areas generated by the lesion prediction model exceed those of the diagnostic report generation model. This indicates that the lesion prediction model effectively assists in improving results. In the future, when establishing diagnostic report generation models for different medical imaging (e.g., ultrasound, magnetic resonance imaging, etc.), this prediction model can be used to verify the correctness of the content described. This approach can be applied in the field of automatic generation of different medical imaging diagnostic reports. By using prompt engineering with large language models to extract the areas mentioned in the reports and label whether they are abnormal, training data necessary for the prediction model can be effectively established
[[alternative]]The Effect of Different Stimulus Rates on Auditory Brainstem Responses in Tinnitus Patients: A Preliminary Study
No full text[[abstract]]研究背景：耳鳴為耳鼻喉科門診常見主訴之一，而聽性腦幹反應則為臨床上診斷神經病理的常規檢查。由於有許多研究發現只有在高刺激速率下，才能更有效的偵測到具聽覺路徑病理之病患的ABR異常，故本研究使用最大長度序列技術觀察不同刺激速率對於耳鳴患者滴答音及變頻音誘發聽性腦幹反應之影響。本研究結果有機會幫助科學家了解耳鳴生成機制。方法：本研究招募40名擁有正常的聽覺敏感度受測者，年齡介於18至35歲，分爲性別及年齡匹配的耳鳴組及對照組各20名，耳鳴組需患有耳鳴至少三個月以上。所有受測者皆進行純音聽力檢查、耳聲傳射檢查、滴答音與變頻音誘發之聽性腦幹反應檢查及噪音暴露史問卷的填寫。此外，耳鳴組會進行耳鳴頻率與響度匹配測試、耳鳴頻譜測試及填寫耳鳴功能指數量表。結果：耳鳴組與對照組在骨導純音閾值、耳聲傳射及噪音暴露史無顯著差異，然而發現耳鳴組的1k及16k Hz氣導純音閾值顯著較耳鳴組差；在45 dB nHL、刺激速率87.1 Hz下Click-ABR所誘發之第V波振幅，耳鳴組顯著較對照組小；在45 dB nHL、刺激速率27.1 Hz下Chirp-ABR所誘發之III-V波波間潛時，耳鳴組的顯著較對照組短。結論：根據噪音暴露史及耳聲傳射測試結果推測耳鳴組的耳鳴來源並非來自積累的噪音傷害和外毛細胞異常。耳鳴組 click-ABR 所誘發之第 V 波振幅顯著較對照組小，可能是因為未影響第 I 波振幅的高自主放電率聽神經受損使得輸入減少，導致第V波振幅下降。而耳鳴組 chirp-ABR 之 III-V 波波間潛時顯著較對照組短暗示了腦幹層級中樞聽覺系統的神經傳導時間有異常的增快，推論耳鳴患者可能有中樞過度活躍的問題。[[abstract]]Background: Tinnitus is a common complaint in outpatient otorhinolaryngology, and auditory brainstem response (ABR) is a routine test for clinical diagnosis of neuropathology. Since many studies have found that ABR abnormalities in patients with auditory pathology can be more effectively detected only at high stimulation rates, the present study used the maximum length sequence technique to observe the effects of different stimulus rates on the click and chirp-evoked auditory brainstem responses of normal-hearing subjects with tinnitus. The results of this study may help scientists to understand the mechanism of tinnitus generation.Methods: Forty subjects with normal hearing sensitivity, aged 18-35 years, were recruited for this study, divided into 20 sex- and age-matched control subjects and 20 tinnitus subjects, who had been suffering from tinnitus for at least three months. All subjects were screened for pure tone audiometry (PTA), otoacoustic emission (OAE), auditory brainstem response evoked by click and chirp, and were asked to complete a questionnaire on noise exposure. In addition, tinnitus frequency and loudness matching test, tinnitus spectrum test and Tinnitus Functional Index will be performed.Results: No group differences were observed in the bone-conducted PTA, OAE and noise exposure. However, tinnitus group has significantly lower air-conducted pure-tone threshold at 1k and 16k Hz. And wave V amplitude evoked by click-ABR at 45 dB nHL and a stimulus rate of 87.1 Hz is significantly smaller in tinnitus group. In addition, III-V interwave latency evoked by chirp-ABR at 45 dB nHL and a stimulus rate of 27.1 Hz is significantly shorter in tinnitus group.Conclusion: Based on the results, it was hypothesized that the source of tinnitus in the tinnitus group was not due to cumulative noise damage and outer hair cell abnormalities. Wave V amplitude evoked by click-ABR in the tinnitus group was significantly smaller probably due to reduced inputs from the high-spontaneous firing rate auditory nerves, which did not affect wave I amplitude, resulting in a decrease in the wave V amplitude. In the tinnitus group, III-V interwave latency of the chirp-ABR was significantly shorter, suggesting that the neural conduction time of the central auditory system at brainstem level was abnormally fast, and it was implied that patients with tinnitus might have a problem of central hyperactivity
[[alternative]]The benefits of a parent-child music program to parent-child interaction
No full text[[abstract]]親子互動對家長與幼兒都具有其重要性，良好的親子互動可以增進親子間的親密感外，對幼兒的發展與家長的學習與成長都有所幫助。本研究以幼兒親子音樂課程介入，探討課程實施前後於親子互動的差異、家長背景變項對親子互動差異的影響、家長參與親子課程後對親子互動的改變與感受，以及家長對幼兒親子音樂課程的觀點。親子課程參與者為1.5歲~未滿4歲幼兒及其家長，共計39組親子，進行為期10周，每周一次45分鐘的幼兒親子音樂課程。研究方法採量化及質化混和設計；量化研究設計採單組前、後測設計，在課程開始前與結束後分別進行10分鐘的親子互動錄影，依據影片對親子進行「親子遊戲互動量表」前測、後測記分；質性資料採主題分析法，在課程結束後，邀請願意受訪的家長進行約30~40分鐘半結構式訪談，共有23位家長接受訪談。量化研究結果發現：1.在幼兒親子音樂課程介入後，親子互動整體表現有明顯的提升，在回應、鼓勵、指導面向有顯著的差異；2.參與幼兒親子音樂課程後，在親子互動的情感、回應、鼓勵與指導與整體表現的差異，大致不因家長背景變項而有所不同；質性資料的分析結果發現：3.家長參與幼兒親子音樂課程後，對情感、回應、鼓勵與指導有正向積極的改變與感受；4.家長幼兒親子音樂課程後，對課程設計與教學方法的觀點多為正向與肯定。研究建議透過嚴謹的親子課程規畫，可有助提升親子互動與幼兒發展；在教學設計上，應多納入育兒指導，並提供親子彼此觀摩學習的機會。同時，課程應用素材應留意其易於延伸應用性，以利親子在家中持續互動，延伸課程成效。另，本研究也建議相關單位增加開設連續性親子課程，有助強化課程效益；在師資訓練上，可加強對親子互動不同構面的認知及相關輔導策略，有助親子課程成效。[[abstract]]Parent-child interaction is crucial for both parents and young children. Pisitive parent-child interaction enhance intimacy, benefiting children’s development and parents’ growth. This study investigates changes in parent-child interaction before and after participating in an early childhood parent-child music program, examining the impact of parental background variables, changes in parent-child interaction and parenting feelings, and parents' perspectives on the program. The study involved 39 parent-child pairs with children aged 1.5 to under 4 years, attending a 45-minute music class once a week for ten weeks. A mixed-method design was used, combining quantitative and qualitative approaches. For quantitative research, a single-group pretest-posttest design was used, recording 10-minute parent-child interaction videos before and after the program. These videos were scored using the "Parent-Child Interaction Scale." For qualitative data, thematic analysis was conducted through semi-structured interviews with 23 willing parents, each lasting 30-40 minutes. Quantitative results showed significant improvement in overall parent-child interaction post-program, with notable differences in response, encouragement, and guidance dimentions. These improvements were generally unaffected by parental background variables. Qualitative analysis revealed positive changes in parents’ emotions, responsiveness, encouragement, and guidance. Parents expressed positive and affirmative perspectives on the program’s curriculum design and instruction methods. The study suggests that well-planned parent-child programs can enhance parent-child interaction and child development. Program design should include more parenting guidance and opportunities for parents and children to observe and learn from each other. Materials used in the program should be easy to extend for continued home interaction. Continuous parent-child programs are recommended to strengthen the benefits of the courses. In terms of teacher training, it is beneficial to enhance understanding of parent-child interaction dimensions and related counseling strategies to improve the effectiveness of parent-child programs
[[alternative]]The Effects of Heart Surgery Nursing Mobile Micro-course in Perioperative Registered Nurse
No full text[[abstract]]背景： 心臟手術為複雜之外科手術，需經驗豐富且接受過特殊培訓的手術團隊，手術室護理師於值班時若遇到不熟悉且複雜性高之手術，易降低手術護理完整性且使病人處於危險情境中；護理師必須不斷的學習來支持臨床實務的需求，手術室護理繼續教育多流於形式或僅單一主題，護理師難以在課後形成學習遷移，無法有效提升手術全期護理知能，微課程具有小範圍影片之簡短特性並聚焦一個重點，且不受時空的限制，適用於職場學習。目的： 本研究旨在探討心臟手術護理行動微課程對護理師之心臟手術護理認知、學習動機、學習投入及學習滿意度之成效。方法： 本研究採重複測量的隨機分派臨床試驗，研究對象為台灣北部某醫學中心手術室護理師共 74 位接受線上非同步教學，其中實驗組（n=38）使用微課程，對照組（n=36）則為線上簡報；在課程開始前接受心臟手術護理認知測驗及學習動機前測，課程一周後接受後測，包括：認知測驗、學習動機、學習投入與學習滿意度，課程結束後四週進行認知延宕測。結果： 兩組護理師之基本人口學特性具同質（p > .05）。教學介入前，兩組間之心臟手術護理認知與學習動機無顯著差異（p > .05）；教學介入後，兩組之認知與學習動機都有顯著提升（p .05）；兩組之學習投入與學習滿意度俱佳，且實驗組得分高於對照組，但未達統計上顯著差異（p > .05）。結論與建議： 本研究發現微課程可有效提升手術室護理師心臟手術護理認知、學習動機、學習投入及學習滿意度。微課程的學習不受時間與空間的影響，並且是以一口大小的內容，具有結構化、有趣且可視化的數位學習方式。未來研究可運用微課程來設計不同的教學主題，擴大樣本數並進行更多的學習成效測量，以提升手術室護理師學習成效，並具體反應在臨床實務，進而提升更好的手術護理品質。關鍵字：微課程、心臟手術護理、學習動機、學習投入、行動學習[[abstract]]Background: Cardiac surgery is a complex surgical procedure that requires an experienced and specially trained surgical team. Operating room nurses may encounter unfamiliar and highly complex surgeries during their shifts, which can compromise the integrity of surgical nursing care and place patients at risk. Nurses must continually learn to meet the demands of clinical practice. Continuing education for operating room nurses often remains formalistic or focuses on single topics, making it difficult for nurses to transfer learning into practice effectively. This inability limits the enhancement of comprehensive perioperative nursing knowledge. Micro-course, characterized by brief, focused videos on specific topics and unaffected by temporal or spatial constraints, is suitable for workplace learning.Purpose: This study aims to investigate the effectiveness of " micro-course " and "online presentations" on cardiac surgery nursing knowledge, learning motivation, learning engagement, and satisfaction among nurses.Methods: This study employed a repeated-measures randomized clinical trial. The participants were 74 operating room nurses from a medical center in northern Taiwan. The experimental group (n=38) received a micro-course, while the control group (n=36) received an online presentation. Both groups participated in asynchronous online learning. Prior to the intervention, all participants completed a pre-test, which included a cognitive assessment and a learning motivation. One week after the course, a post-test was administered, measuring cognitive assessment, learning motivation, learning engagement, and learning satisfaction. Four weeks after the course, a cognitive retention test was conducted. Results: The basic demographic characteristics of the two groups of nurses were homogeneous (p > .05). Before the educational intervention, there were no significant differences in cognition and learning motivation between the groups (p > .05). After the intervention, both groups showed significant improvements in cognition and learning motivation (p .05). Both groups exhibited good learning engagement and learning satisfaction, with the experimental group scoring higher than the control group, but these differences were not statistically significant (p > .05).Conclusion and Recommendations: This study found that micro-course effectively enhances cardiac surgery nursing knowledge, learning motivation, learning engagement, and satisfaction among operating room nurses. Micro-course 's format, unaffected by time and space constraints, offers structured, engaging, and visual digital learning experiences in bite-sized portions. Future studies could explore micro-course interventions across different educational topics, expand sample sizes, and conduct more comprehensive assessments of learning outcomes to further enhance the effectiveness of operating room nurses' education. These efforts could translate into improved clinical practice and better quality of surgical nursing care.Keywords: micro-course, cardiac surgery nursing, learning motivation, learning engagement, mobile learnin
[[alternative]]The Relationship among Knowledge, Self-efficacy and Educational Needs in Applications of Crash Cart among New Nurses
No full text[[abstract]]背 景：急救是所有醫護人員必備的專業能力，也是醫療品質重要指標。醫護人員必需熟悉急救車備物及使用方式方可爭取時間，提高急救的成功率。然而，實務上仍會發現醫護人員對於急救備物及藥物認識不足，容易影響急救品質，嚴重可能導致急救失效。目 的：為能了解護理人員對於急救車作業所遭遇的困難與需求，本研究聚焦於護理人員對於急救車作業之知識表現與自我效能，觀察二者之關係，探討影響之因素及預測之因子，並進一步搭配需求的調查，以期提供臨床繼續教育及未來課程規劃與設計參考。方 法：本研究採橫斷式調查研究，針對北區某醫學中心護理人員，使用自擬「護理人員對急救車作業的知識、自我效能與教育需求卷急救車作業」結構式問卷，透過網路問卷平台，以方便取樣進行問卷之發放與收集，共蒐集95份有效樣本，根據研究問題進行描述性統計分析、推論性統計分析、相關性分析與多元迴歸分析。結 果：研究結果顯示，在作業表現部份，護理人員對急救車作業的整體知識程度與自我效能雖達及格與普通水準，但仍屬偏低，急救車藥物之知識表現高於急救車用物；急救車知識程度與自我效能僅有低度正向相關，未達到理想的影響效果。就影響因素部份，護理級階、急救經驗與科別類型對於急救車作業知識程度與自我效能會有顯著影響。而就預測因子部份，知識程度之預測因子為護理級階；自我效能之預測因子則包含護理級階與急救經驗。最後，就訓練需求部份，護理人員對於急救車教育訓練認為相當重要並有高度的需求。結論與建議：急救車作業為護理人員必備之能力，為了提升護理人員的急救車作業知識表現與自我效能，在課程面，建議更進一步就護理級階、急救經驗、工作科別，分別更深入的了解各類人員之特性與訓練需求，設計差異化的教育訓練計畫；在教學面，則建議增加急救實踐機會，並運用情境模擬教學方法，提昇急救車作業自我效能，並檢視課程之教學設計平衡藥物與用物之訓練、並兼顧知識傳達與信心建立。關鍵字：急救車作業、知識表現、自我效能、教育需求[[abstract]]Background:Emergency care is an essential professional skill for all medical personnel and a critical indicator of healthcare quality. Medical staff must be familiar with the equipment and use of crash cart to save time and improve the success rate of emergency care. However, in practice, it is still found that medical staff's knowledge of emergency equipment and drugs is insufficient, which can easily affect the quality of emergency care and, in severe cases, lead to failure.Objective:To understand the difficulties and needs encountered by nursing staff in emergency vehicle operations, this study focuses on the knowledge performance and self-efficacy of nursing staff regarding emergency vehicle operations. It aims to observe the relationship between the two, explore influencing factors and predictive variables, and further match the needs survey to provide references for clinical continuing education and future curriculum planning and design.Method:This study adopted a cross-sectional survey method, targeting nursing staff at a medical center in the northern region. A self-designed structured questionnaire titled "Knowledge, Self-Efficacy, and Educational Needs of Nursing Staff in Crash Cart Operations" was used. The questionnaire was distributed and collected through an online platform using convenience sampling, with a total of 95 valid samples collected. Descriptive statistical analysis, inferential statistical analysis, correlation analysis, and multiple regression analysis were conducted based on the research questions.Results:The study results indicate that in terms of operational performance, the overall knowledge level and self-efficacy of nursing staff regarding emergency vehicle operations were at a passing or average level but still relatively low. Knowledge performance on emergency vehicle drugs was higher than that on emergency vehicle equipment. There was only a low positive correlation between emergency vehicle knowledge level and self-efficacy, failing to reach the ideal impact effect. Regarding influencing factors, nursing level, emergency experience, and department type significantly affected the knowledge level and self-efficacy of emergency vehicle operations. The predictive factor for knowledge level was nursing level, while the predictive factors for self-efficacy included nursing level and emergency experience. Finally, in terms of training needs, nursing staff considered education and training on emergency vehicle operations to be very important and highly necessary.Conclusion and Recommendations:Emergency vehicle operations are essential skills for nursing staff. To enhance nursing staff's knowledge performance and self-efficacy in emergency vehicle operations, it is recommended to further understand the characteristics and training needs of various personnel based on their nursing level, emergency experience, and department type to design differentiated educational training programs. In terms of teaching, it is suggested to increase emergency practice opportunities, use scenario simulation teaching methods, improve self-efficacy in emergency vehicle operations, and review the course design to balance training on drugs and equipment while ensuring the transmission of knowledge and building confidence.Keywords: Crash Cart, knowledge level, self-efficacy, educational need
[[alternative]]Factors related to partner involvement for pregnant women with non-compliance to take malaria preventive medication in Malawi
No full text[[abstract]]Background: Malaria remains a major public health issue in Malawi, particularly affecting pregnant women who are at increased risk of severe disease and adverse pregnancy outcomes. Despite the availability of preventive medications, noncompliance among pregnant women is a significant problem. Previous studies have shown that social and familial support, especially from husbands or partners, can influence health behaviors and medication adherence. However, the specific factors that affect husband/partner involvement in the context of malaria prevention in pregnant women are not well understood. Identifying these factors is crucial for designing targeted interventions to improve compliance and reduce the burden of malaria in this vulnerable population.Purpose: The purpose of this study was to investigate the factors influencing husband/partner involvement in the non-compliance of pregnant women to malaria preventive medication in Malawi. Methodology: A cross-sectional study design was employed to assess factors related to husband/partner involvement in pregnant women's non-compliance with malaria preventive medication in Malawi. Data was collected from 200 postnatal women who were in the postnatal section of the maternity ward using structured questionnaires. Statistical analyses, including descriptive statistics and multiple linear regression, were performed to identify significant factors associated with husband/partner involvement.Results: The study identified several significant factors related to husband/partner involvement in the non-compliance of pregnant women with malaria preventive medication. Marital status was significantly associated with husband involvement (t = -4.63, p < 0.001). Economic level also showed a significant relationship (F = 6.67, p < 0.001), indicating that higher economic status was linked with husband involvement. Parity was another significant factor (t = 2.09, p = 0.04), with primiparous women showing higher husband involvement. Additionally, the influence of “No” healthcare workers' messages on Intermittent Preventive Treatment in pregnancy using sulfadoxine-pyrimethane (IPTp-SP) was significant (t = 4.18, p < 0.001). Predictive analysis confirmed that marital status, economic level, parity, and healthcare workers' messages on IPTp-SP were significant predictors of husband involvement in the overall model 24%.Conclusion: This study identified key factors influencing partner involvement in the non-compliance of pregnant women with malaria preventive medication in Malawi. Significant predictors of husband involvement included marital status, economic level, parity, and healthcare workers' messages on IPTp-SP. The findings underscore the importance of targeting educational campaigns and interventions in their partners. These factors collectively highlight the nuanced interplay between socio-economic status, healthcare communication, and familial dynamics in influencing husband involvement. Keywords: partner involvement, noncompliance, intermittent preventive treatment of malaria in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP), malaria prevention, pregnant wome