context

上下文
  • 文章类型: Journal Article
    Based on a socio-historical database consisting of semi-directional interviews with nurses from the Northeastern Ontario region and using narrative approach, this paper exploring a new way to present the results of research in the history of mental health care and services. The witnesses, nurses who practiced in a northern Ontario regional setting between 1965 and 2015 with patients with severe mental health disorders (SMHD), describe the challenges they may have faced in providing psychiatric care at different times of this long period of time during their practice. From the data we drew (extract) and build a narrative fictional scenario.
    Résumé. À partir d’une base de données sociohistoriques constituée d’entretiens semi-directifs avec des infirmières de la grande région du nord-est ontarien, nous explorons une nouvelle manière de présenter les résultats d’une recherche en histoire des soins et services de santé mentale en les scénarisant. Les témoins, des infirmières qui ont pratiqué en contexte régional nord-ontarien entre 1965 et 2015 auprès de patients aux prises avec des troubles de santé mentale graves (TSMG), font part des défis qu’a pu présenter pour elles de dispenser des soins psychiatriques selon les moments de cette période durant lesquels elles exerçaient. De leurs témoignages, nous avons extrait et construit un récit scénarisé.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    缺乏协调的卫生和社会护理方法会损害卫生系统提供普遍,公平,高品质,和财务上可持续的护理。如果实施令人满意,将专注于数字化集成护理的循证实践转移到新环境可以克服这一挑战。本文介绍了JADECARE设计的扩展方法,该方法旨在在整个欧洲传播有效的创新实践。
    扩展方法假装指导下一个采用者转移和采用实践,而提高其执行能力,并提供评估影响和成功的评估框架。
    JADECARE扩展努力基于文献中的指导原则,例如对原始实践的保真度与适应新环境所需的适应程度之间的平衡,需要在实施中进行能力建设,以弥合研究与常规实践之间的差距,并着重于解释原因,干预对谁以及在什么情况下起作用。
    JADECARE扩展方法是理论驱动和务实的,旨在促进复杂干预措施在不同背景下的转移。
    UNASSIGNED: The absence of a coordinated approach to health and social care compromises the ability of health systems to provide universal, equitable, high-quality, and financially sustainable care. Transferring evidence-based practices focused on digitally-enabled integrated care to new contexts can overcome this challenge if implementation is satisfactory. This paper presents the scaling-out methodology that JADECARE has designed to spread effective innovative practices across Europe.
    UNASSIGNED: The scaling-out methodology pretends to guide the Next Adopters in the transfer and adoption of practices, whereas increasing their implementation capacity and providing an evaluation framework to assess impact and success.
    UNASSIGNED: JADECARE scaling-out effort is based on guiding principles found in the literature such as the balance between fidelity to the original practice and the degree of adaptation required to fit the new context, the need for capacity building in implementation to bridge the gap between research and routine practice and the focus on explaining why, for whom and in what circumstances an intervention works.
    UNASSIGNED: The JADECARE scaling-out methodology is theory-driven and pragmatic and aims to facilitate the transfer of complex interventions across different contexts.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    感官分析方法在旨在最大程度地减少外部刺激的感官摊位中进行,缺乏生态有效性。沉浸式环境用于引入上下文提示,但是缺乏使用混合现实系统的研究。这项研究的主要目标是评估一个增强虚拟(AV)系统,其中参与者被插入到虚拟环境中并评估一个真实的产品,能够与两个维度交互。一个由102名消费者组成的小组在三个疗程中评估了五个商业桃汁样本,每个人都在不同的环境中:公共美食广场,客厅(AV环境),和实验室(传统的感官展位)。消费者总体评价喜欢,接着是公开评论,并回答了参与(EQ)和在场问卷(PQ)。环境的类型仅影响样本之间的享乐主义歧视,实验室环境是唯一有样本辨别能力的。尽管如此,每个样本在不同环境中的评估并不不同.关于参与,环境只会显著影响情商的“情感价值”因子,使用AV系统时更高。在虚拟环境中的存在水平在公共美食广场中明显更高,与情商因子得分显著相关。
    Sensory analysis methodologies are performed in sensory booths designed to minimise external stimuli, lacking ecological validity. Immersive environments are used to introduce contextual cues, but there is a lack of studies using mixed reality systems. The main goal of this study was to evaluate an augmented virtuality (AV) system where participants are inserted into a virtual environment and evaluate a real product, being able to interact with both dimensions. A panel of 102 consumers evaluated five samples of commercial peach nectars in three sessions, each in a different environment: public food court, living room (AV environments), and laboratory (traditional sensory booth). Consumers rated overall liking, followed by open comments, and also answered an Engagement (EQ) and a Presence Questionnaire (PQ). The type of environment only affected hedonic discrimination among samples, with the laboratory setting being the only one with sample discrimination. Nonetheless, each sample was not evaluated differently across the different environments. Concerning engagement, the environment only significantly influenced the EQ\'s \'Affective Value\' factor, being higher when using an AV system. The level of presence in the virtual environment was significantly higher in the public food court, being significantly correlated with the EQ factor scores.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    今天的精神病理学和心理干预的科学和实践更像是一个岛屿群岛,而不是一个单一的陆地,不同传统之间的联系既有限又充满误解。
    我们对该问题的分析和解决方案是基于过程的治疗(PBT)。PBT将精神病理学定义为对给定上下文的失败适应过程。治疗涉及通过环境依赖或环境改变的生物心理社会策略的应用来适应,从而实现目标。
    这种针对临床培训和实践的跨理论和综合概念的连贯方法通过针对生物心理社会变化过程提供了坚实的基础,使用具体的复杂网络分析方法分析这些过程,并组织多维和多层次进化科学的知识发现。
    PBT是功能分析的一种新的经验形式,导致建立在与客户特定需求直接相关的元素或内核上的干预措施和培训。在PBT中,只要治疗持续,病例的制定就会继续。
    UNASSIGNED: The science and practice of psychopathology and psychological intervention of today is more like an island archipelago than it is a single land mass, and connections between different traditions are both limited and fraught with misunderstanding.
    UNASSIGNED: Our analysis and solution to the problem is process-based therapy (PBT). PBT defines psychopathology as failed adaptation processes to a given context. Therapy involves adaptation through context-dependent or context-altering applications of biopsychosocial strategies that allows a goal to be met.
    UNASSIGNED: This coherent approach to more transtheoretical and integrative concepts of clinical training and practice provides a firm foundation by targeting biopsychosocial processes of change, analyzing these processes using an idiographic complex network analytic approach, and organizing findings on the intellectual agora of multi-dimensional and multi-level evolutionary science.
    UNASSIGNED: PBT is a new empirical form of functional analysis, resulting in interventions and trainings that are built on elements or kernels of direct relevance to client\'s specific needs. In PBT, case formulation continues as long as treatment persists.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:已经制定了一些针对低价值护理的举措(即,浪费)在决策中取得了不同的成功。因此,决策是一个复杂的过程,上下文对低价值护理决策的影响是有限的。因此,需要更详细地了解居民的决策,以减少未来的低价值护理。这项研究探讨了居民经历的哪些因素会影响他们关于低价值护理的决策。
    方法:我们采用名义分组技术(NGT)选择四个低价值护理小插曲。在这些小插曲的提示下,我们对居民进行了个别采访。我们使用归纳-演绎方法对定性数据进行了主题分析,以布朗芬布伦纳的社会生态框架为指导。这一框架在社会政治方面为“背景”提供了指导,环境,组织,人际关系,和个人水平。
    结果:2022年,我们采访了荷兰一所大学医学中心的19名居民。我们确定了33个影响居民决策的环境因素,鼓励或不鼓励低价值护理。环境因素存在于以下层次,具有相应的类别:(1)环境和社会政治:社会,专业医学协会,和治理;(2)组织:设施特征,社会基础设施,和工作基础设施;(3)人际关系:住院病人,住院医师监督,和居民-其他人;和(4)个人:个人属性和工作结构。
    结论:本文描述了影响居民低价值护理决策的33个环境因素。居民尤其受到与患者和主管互动相关的因素的影响。此外,组织因素和更广泛的环境设定了居民做出决策的边际。虽然承认可能有必要采取针对所有环境因素的多(面)干预方法来阻止低价值护理的提供,改善居民-患者动态中的沟通技巧,以识别和解释低价值护理似乎是居民可以自己施加影响的一个特殊兴趣点。
    BACKGROUND: Several initiatives have been developed to target low-value care (ie, waste) in decision-making with varying success. As such, decision-making is a complex process and context\'s influence on decisions concerning low-value care is limitedly explored. Hence, a more detailed understanding of residents\' decision-making is needed to reduce future low-value care. This study explores which contextual factors residents experience to influence their decision-making concerning low-value care.
    METHODS: We employed nominal group technique (NGT) to select four low-value care vignettes. Prompted by these vignettes, we conducted individual interviews with residents. We analyzed the qualitative data thematically using an inductive-deductive approach, guided by Bronfenbrenner\'s social-ecological framework. This framework provided guidance to \"context\" in terms of sociopolitical, environmental, organizational, interpersonal, and individual levels.
    RESULTS: In 2022, we interviewed 19 residents from a Dutch university medical center. We identified 33 contextual factors influencing residents\' decision-making, either encouraging or discouraging low-value care. The contextual factors resided in the following levels with corresponding categories: (1) environmental and sociopolitical: society, professional medical association, and governance; (2) organizational: facility characteristics, social infrastructure, and work infrastructure; (3) interpersonal: resident-patient, resident-supervising physician, and resident-others; and (4) individual: personal attributes and work structure.
    CONCLUSIONS: This paper describes 33 contextual factors influencing residents\' decision-making concerning low-value care. Residents are particularly influenced by factors related to interactions with patients and supervisors. Furthermore, organizational factors and the broader environment set margins within which residents make decisions. While acknowledging that a multi(faceted)-intervention approach targeting all contextual factors to discourage low-value care delivery may be warranted, improving communication skills in the resident-patient dynamics to recognize and explain low-value care seems a particular point of interest over which residents can exercise an influence themselves.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Editorial
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    情境特征是情景记忆不可或缺的;然而,我们对上下文对模式分离的影响知之甚少,促进重叠记忆表征的正交化的海马功能。最近的研究表明,各种海马外脑区支持模式分离;然而,尚未研究海马旁皮层-一个参与上下文表征模式分离的区域的具体作用.这里,我们调查了海马旁皮层的贡献(特别是,海马旁区域)对记忆区分的上下文恢复效果,使用功能磁共振成像。在扫描过程中,参与者在独特的上下文场景中看到了物体图像,然后是识别任务,该任务涉及在其原始上下文或诱饵上下文上重复编码对象或视觉上相似的诱饵。检索时的上下文恢复改善了项目识别,但阻碍了记忆区分。至关重要的是,我们感兴趣的区域分析了海马旁位置区域和对象选择视觉区域,枕骨外侧皮层表明,在成功的记忆决定过程中,与引诱环境相比,旧环境下海马旁区域的活动减少,而与对象新颖性无关。枕骨外侧皮层活动仅在旧物体和诱饵物体之间区分。这些结果表明,场景和对象选择皮层区域可能会不同地帮助上下文和特定于项目的记忆特征的模式分离。
    Contextual features are integral to episodic memories; yet, we know little about context effects on pattern separation, a hippocampal function promoting orthogonalization of overlapping memory representations. Recent studies suggested that various extrahippocampal brain regions support pattern separation; however, the specific role of the parahippocampal cortex-a region involved in context representation-in pattern separation has not yet been studied. Here, we investigated the contribution of the parahippocampal cortex (specifically, the parahippocampal place area) to context reinstatement effects on mnemonic discrimination, using functional magnetic resonance imaging. During scanning, participants saw object images on unique context scenes, followed by a recognition task involving the repetitions of encoded objects or visually similar lures on either their original context or a lure context. Context reinstatement at retrieval improved item recognition but hindered mnemonic discrimination. Crucially, our region of interest analyses of the parahippocampal place area and an object-selective visual area, the lateral occipital cortex indicated that while during successful mnemonic decisions parahippocampal place area activity decreased for old contexts compared to lure contexts irrespective of object novelty, lateral occipital cortex activity differentiated between old and lure objects exclusively. These results imply that pattern separation of contextual and item-specific memory features may be differentially aided by scene and object-selective cortical areas.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    记住完成的目标-称为前瞻记忆(PM)-对于日常生活中的成功至关重要,然而,很少的实证工作致力于研究教育环境中的前瞻性记忆。这项研究的主要目标是调查学生完成许多面向未来的学术意图(PM任务)的能力,同时关注讲座,看看工作记忆容量(WM)和添加微妙的上下文信息是否会支持学生完成PM任务的可能性。参与者参加了为期2小时的大学课程类活动。在整个会议期间,偶尔有机会完成几个自然PM任务之一。以下发现是基于我们的贝叶斯模型的结果。发现提供有关何时可以完成PM任务的微妙上下文线索可能会提高性能。要记住的PM意图的数量(即,负载)对正在进行的任务性能或PM性能没有明显的影响。此外,WM容量的个体差异可能预测PM性能的近零变化。目前的发现对教育工作者有意义的意义,其中提供上下文,即使在微妙的层面上,可以增强学生完成任务的记忆能力,而不改变他们专注于手头任务的能力。此外,似乎要求学生记住完成多个,预期的课堂任务不太可能阻碍任务完成或他们专注于其他正在进行的任务的能力。
    Remembering to complete goals-termed prospective memory (PM)-is critical for success in everyday life, yet minimal empirical work has been dedicated to examining prospective memory within an educational setting. The main goal of this study was to investigate students\' ability to complete numerous future-oriented academic intentions (PM tasks) while simultaneously paying attention to a lecture and to see if working memory capacity (WM) and adding subtle contextual information would support the students\' likelihood of completing their PM tasks. Participants took part in a 2-hour session of college course-like activities. Throughout the session, there was occasionally the opportunity to complete one of several naturalistic PM tasks. The following findings are based on the results of our Bayesian models. Providing subtle contextual clues about when PM tasks could be completed was found to likely increase performance. The number of PM intentions to be remembered (i.e., load) produced no discernable effect on ongoing task performance or PM performance. Furthermore, individual differences in WM capacity were likely to be predictive of a near-zero change in PM performance. The current findings hold meaningful implications for educators, wherein providing context, even at a subtle level, can enhance students\' ability to remember to complete tasks, without altering their ability to focus on the tasks at hand. Moreover, it appears that asking students to remember to complete multiple, prospective in-class tasks is not likely to hinder task completion or their ability to focus on other ongoing tasks.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    在整个美国历史上,学术进步中的社会经济差异一直存在。和成长心态干预-改变了对智力延展性的信念-在减少这些差异方面表现出了希望。对这种差异的研究以及如何纠正它们都可以从对青少年发展的“长远观点”中受益,遵循约翰·舒伦伯格的传统。要做到这一点,这项研究的重点是在过渡到高中期间,成长心态在短期学业进步中的作用,作为长期教育成就的贡献者。在Mindset×Context视角的指导下,我们分析了九年级学生为期一年的全国代表性研究的新随访数据(国家学习心态研究,n=10,013;50%女性;53%白人;63%来自较低的SES背景)。保守的贝叶斯分析显示,青少年在九年级开始时的成长心态信念预测了他们四年后的大学入学率。这些模式对于来自较低SES背景的青少年来说更强,有一些证据表明,九年级数学老师对成长心态的支持缓和了学生心态的影响。因此,学生和老师的特定时间组合可能会改变长期轨迹,使青少年能够在关键的过渡点发展和使用信念,从而支持累积的课程学习和成就进入大学的途径。值得注意的是,在COVID-19大流行爆发后,成长心态对大学入学的预测能力下降,这发生在大学二年级,给大学的坚持带来了结构性障碍。
    Socioeconomic disparities in academic progress have persisted throughout the history of the United States, and growth mindset interventions-which shift beliefs about the malleability of intelligence-have shown promise in reducing these disparities. Both the study of such disparities and how to remedy them can benefit from taking the \"long view\" on adolescent development, following the tradition of John Schulenberg. To do so, this study focuses on the role of growth mindsets in short-term academic progress during the transition to high school as a contributor to longer-term educational attainment. Guided by the Mindset × Context perspective, we analyzed new follow-up data to a one-year nationally representative study of ninth graders (National Study of Learning Mindsets, n = 10,013; 50% female; 53% white; 63% from lower-SES backgrounds). A conservative Bayesian analysis revealed that adolescents\' growth mindset beliefs at the beginning of ninth grade predicted their enrollment in college 4 years later. These patterns were stronger for adolescents from lower-SES backgrounds, and there was some evidence that the ninth-grade math teacher\'s support for the growth mindset moderated student mindset effects. Thus, a time-specific combination of student and teacher might alter long-term trajectories by enabling adolescents to develop and use beliefs at a critical transition point that supports a cumulative pathway of course-taking and achievement into college. Notably, growth mindset became less predictive of college enrollment after the onset of the COVID-19 pandemic, which occurred in the second year of college and introduced structural barriers to college persistence.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    情景记忆由两个过程说明:通常识别项目时的“熟悉度”和检索与项目绑定的完整上下文详细信息时的“回忆”。矛盾的是,人们有时报告上下文信息是熟悉的,但不记得细节,这是现有理论不容易解释的。我们测试了项目识别置信度和源记忆的组合,专注于“仅项目点击,来源未知”(“项目熟悉度”),\'具有正确源内存的低置信度命中\'(\'上下文熟悉度\'),和\'具有正确源内存\'的高置信度命中(\'recollection\')。多个受试者内部(试验)和受试者之间(个体差异)水平的结果表明,这些水平在行为和生理上都不同。行为上,交叉交互在响应时间上很明显,在项目识别过程中,上下文熟悉度比每个条件都慢,但在源内存期间更快。电生理,a条件x时间x位置三重解离在事件相关电位(ERP)中是明显的,然后独立复制。上下文熟悉度在800-1200ms内表现出独立的负中心效应,在项目熟悉度(400至600ms)和回忆度(600至900ms)方面与阳性ERP区分开来。因此,这三个条件相互排斥,情节记忆的过程根本不同。语境熟悉是情景记忆的第三个独特过程。
    对过去事件的记忆被广泛认为是通过两个不同的过程来运行的:一个在获取自信时称为“回忆”,记忆的具体细节,另一个叫做“熟悉度”,当只有一种不确定但有意识的意识,即一个项目以前经历过。当人们成功地检索到诸如先前事件的源或上下文之类的详细信息时,它被认为反映了回忆。我们证明了对上下文的熟悉程度在功能上与对项目和回忆的熟悉程度不同,并提供了一个新的三变量模型。三种记忆反应类型在多种行为和生理指标上有区别,在试验水平和受试者之间的个体差异中,也是。也就是说,传统上被认为是两种记忆过程实际上是三种,当使用足够敏感的多措施时,这一点变得很明显。类似于仅使用二维镜头观看三维图片时缺少明显的元素,当我们有能力寻找记忆的三个过程时,我们可以看到它们清晰地分离,并且可以在来自不同实验室的不同队列的几项不同研究中独立复制。一起,这些数据表明,背景熟悉是人类情景记忆的第三过程。
    Episodic memory is accounted for with two processes: \'familiarity\' when generally recognizing an item and \'recollection\' when retrieving the full contextual details bound with the item. Paradoxically, people sometimes report contextual information as familiar but without recollecting details, which is not easily accounted for by existing theories. We tested a combination of item recognition confidence and source memory, focusing upon \'item-only hits with source unknown\' (\'item familiarity\'), \'low-confidence hits with correct source memory\' (\'context familiarity\'), and \'high-confidence hits with correct source memory\' (\'recollection\'). Results across multiple within-subjects (trial-wise) and between subjects (individual variability) levels indicated these were behaviorally and physiologically distinct. Behaviorally, a crossover interaction was evident in response times, with context familiarity being slower than each condition during item recognition, but faster during source memory. Electrophysiologically, a Condition x Time x Location triple dissociation was evident in event-related potentials (ERPs), which was then independently replicated. Context familiarity exhibited an independent negative central effect from 800-1200 ms, differentiated from positive ERPs for item-familiarity (400 to 600 ms) and recollection (600 to 900 ms). These three conditions thus reflect mutually exclusive, fundamentally different processes of episodic memory. Context familiarity is a third distinct process of episodic memory.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号