共找到 20 条结果
The development of modern nursing and consequently nursing research in Ex- Yugoslavia is about a century old. To profile the development, volume, and content of nursing research we completed a performance and spatial bibliometric analysis combined with synthetic content analysis to identify the most productive countries and institutions, most prolific source titles, country cooperation, publication production trends, the content of research and hot topics. The corpus was harvested from the Web of Science All databases and contained 1380 papers. Slovenia was the most productive country, followed by Croatia and Serbia. The synthetic content analysis demonstrated that nursing research in ex-Yugoslavian countries is growing both in scope and number of publications, notwithstanding the fact that research content differs between countries and it seems that each country is focused on their local health problems. A substantial part of the research is published in national journals in national languages however, it is noteworthy to note that some ex-Yugoslavian authors have succeeded in publishing their research in top nursing journals. The study also revealed substantial international coop
Nurses should rely on the best evidence, but tend to struggle with statistics, impeding research integration into clinical practice. Statistical significance, a key concept in classical statistics, and its primary metric, the p-value, are frequently misused. This topic has been debated in many disciplines but rarely in nursing. The aim is to present key arguments in the debate surrounding the misuse of p-values, discuss their relevance to nursing, and offer recommendations to address them. The literature indicates that the concept of probability in classical statistics is not easily understood, leading to misinterpretations of statistical significance. Much of the critique concerning p-values arises from such misunderstandings and imprecise terminology. Thus, some scholars have argued for the complete abandonment of p-values. Instead of discarding p-values, this article provides a comprehensive account of their historical context and the information they convey. This will clarify why they are widely used yet often misunderstood. The article also offers recommendations for accurate interpretation of statistical significance by incorporating other key metrics. To mitigate publication
Software is at the core of most scientific discoveries today. Therefore, the quality of research results highly depends on the quality of the research software. Rigorous testing, as we know it from software engineering in the industry, could ensure the quality of the research software but it also requires a substantial effort that is often not rewarded in academia. Therefore, this research explores the effects of research software testing integrated into teaching on research software. In an in-vivo experiment, we integrated the engineering of a test suite for a large-scale network simulation as group projects into a course on software testing at the Blekinge Institute of Technology, Sweden, and qualitatively measured the effects of this integration on the research software. We found that the research software benefited from the integration through substantially improved documentation and fewer hardware and software dependencies. However, this integration was effortful and although the student teams developed elegant and thoughtful test suites, no code by students went directly into the research software since we were not able to make the integration back into the research software
Recent advancements in large language models (LLMs) have significantly transformed medical systems. However, their potential within specialized domains such as nursing remains largely underexplored. In this work, we introduce NurseLLM, the first nursing-specialized LLM tailored for multiple choice question-answering (MCQ) tasks. We develop a multi-stage data generation pipeline to build the first large scale nursing MCQ dataset to train LLMs on a broad spectrum of nursing topics. We further introduce multiple nursing benchmarks to enable rigorous evaluation. Our extensive experiments demonstrate that NurseLLM outperforms SoTA general-purpose and medical-specialized LLMs of comparable size on different benchmarks, underscoring the importance of a specialized LLM for the nursing domain. Finally, we explore the role of reasoning and multi-agent collaboration systems in nursing, highlighting their promise for future research and applications.
This paper presents a scientometric analysis of research output from the University of Lagos, focusing on the two decades spanning 2004 to 2023. Using bibliometric data retrieved from the Web of Science, we examine trends in publication volume, collaboration patterns, citation impact, and the most prolific authors, departments, and research domains at the university. The study reveals a consistent increase in research productivity, with the highest publication output recorded in 2023. Health Sciences, Engineering, and Social Sciences are identified as dominant fields, reflecting the university's interdisciplinary research strengths. Collaborative efforts, both locally and internationally, show a positive correlation with higher citation impact, with the United States and the United Kingdom being the leading international collaborators. Notably, open-access publications account for a significant portion of the university's research output, enhancing visibility and citation rates. The findings offer valuable insights into the university's research performance over the past two decades, providing a foundation for strategic planning and policy formulation to foster research excellence
Modern research heavily relies on software. A significant challenge researchers face is understanding the complex software used in specific research fields. We target two scenarios in this context, namely long onboarding times for newcomers and conference reviewers evaluating replication packages. We hypothesize that both scenarios can be significantly improved when there is a clear link between the paper's ideas and the code that implements them. As a time- and staff-saving approach, we propose an LLM-based automation tool that takes in a paper and the software implementing the paper, and generates a trace mapping between research ideas and their locations in code. Initial experiments have shown that the tool can generate quite useful mappings.
Demographic data collection is essential in education research, as demographic data allows researchers to better describe the participant population they study and to contextualize findings. However, current research practices for neurodiversity demographics often rely on prescriptive methods (e.g., requiring participants to report official diagnoses) rather than allowing participants to self-identify. This approach can: a) not allow participants to express their intersecting identities in ways that are authentic; and b) limit trustworthiness and reliability of the data and interpretation. In addition, inconsistent dissemination and representation of demographic data across studies hinder the accessibility and usability of this work. Through a literature review of neurodivergent student experiences with learning and performing STEM, we identified widespread discrepancies in how demographic information is collected and reported. This paper explores how neurodivergent identities can be more accurately and inclusively represented in education research. We present findings of a thematic analysis on the ways neurodivergent demographic data collection is done in the literature using data
Scientists' topic choices strongly influence both individual careers and the advancement of the scientific frontier. While a sizeable body of literature shows that specialisation in a few topics benefits individual careers and fosters impactful research, the role of research teams and their experience have been largely overlooked. This paper introduces experience as a concept distinct from specialisation and shifts the level of analysis from the individual to the research team, reflecting the increasingly team-based nature of science. Using novel publication-level measures of team specialisation and team experience applied to nearly 1 million biomedical publications, the study finds that both are positively associated with citation impact. However, the correlation with citation impact is markedly stronger for team experience than for team specialisation. The study demonstrates how science can be examined at the team level and suggests that future research should pay more attention to studying experience.
Consistent high-quality nursing care is essential for patient safety, yet current nursing education depends on subjective, time-intensive instructor feedback in training future nurses, which limits scalability and efficiency in their training, and thus hampers nursing competency when they enter the workforce. In this paper, we introduce a video-language model (VLM) based framework to develop the AI capability of automated procedural assessment and feedback for nursing skills training, with the potential of being integrated into existing training programs. Mimicking human skill acquisition, the framework follows a curriculum-inspired progression, advancing from high-level action recognition, fine-grained subaction decomposition, and ultimately to procedural reasoning. This design supports scalable evaluation by reducing instructor workload while preserving assessment quality. The system provides three core capabilities: 1) diagnosing errors by identifying missing or incorrect subactions in nursing skill instruction videos, 2) generating explainable feedback by clarifying why a step is out of order or omitted, and 3) enabling objective, consistent formative evaluation of procedures.
Nursing notes, an important part of Electronic Health Records (EHRs), track a patient's health during a care episode. Summarizing key information in nursing notes can help clinicians quickly understand patients' conditions. However, existing summarization methods in the clinical setting, especially abstractive methods, have overlooked nursing notes and require reference summaries for training. We introduce QGSumm, a novel query-guided self-supervised domain adaptation approach for abstractive nursing note summarization. The method uses patient-related clinical queries for guidance, and hence does not need reference summaries for training. Through automatic experiments and manual evaluation by an expert clinician, we study our approach and other state-of-the-art Large Language Models (LLMs) for nursing note summarization. Our experiments show: 1) GPT-4 is competitive in maintaining information in the original nursing notes, 2) QGSumm can generate high-quality summaries with a good balance between recall of the original content and hallucination rate lower than other top methods. Ultimately, our work offers a new perspective on conditional text summarization, tailored to clinical app
This scientometric study analyzes Avian Influenza research from 2014 to 2023 using bibliographic data from the Web of Science database. We examined publication trends, sources, authorship, collaborative networks, document types, and geographical distribution to gain insights into the global research landscape. Results reveal a steady increase in publications, with high contributions from Chinese and American institutions. Journals such as PLoS One and the Journal of Virology published the highest number of studies, indicating their influence in this field. The most prolific institutions include the Chinese Academy of Sciences and the University of Hong Kong, while the College of Veterinary Medicine at South China Agricultural University emerged as the most productive department. China and the USA lead in publication volume, though developed nations like the United Kingdom and Germany exhibit a higher rate of international collaboration. "Articles" are the most common document type, constituting 84.6% of the total, while "Reviews" account for 7.6%. This study provides a comprehensive view of global trends in Avian Influenza research, emphasizing the need for collaborative efforts ac
In a clustered observational study, treatment is assigned to groups and all units within the group are exposed to the treatment. Here, we use a clustered observational study (COS) design to estimate the effectiveness of Magnet Nursing certificates for emergency surgery patients. Recent research has introduced specialized weighting estimators for the COS design that balance baseline covariates at the unit and cluster level. These methods allow researchers to adjust for observed confounders, but are sensitive to unobserved confounding. In this paper, we develop new sensitivity analysis methods tailored to weighting estimators for COS designs. We provide several key contributions. First, we introduce a key bias decomposition, tailored to the specific confounding structure that arises in a COS. Second, we develop a sensitivity framework for weighted COS designs that constrain the error in the underlying weights. We introduce both a marginal sensitivity model and a variance-based sensitivity model, and extend both to accommodate multiple estimands. Finally, we propose amplification and benchmarking methods to better interpret the results. Throughout, we illustrate our proposed methods b
As the aging population increases and the shortage of healthcare workers increases, the need to examine other means for caring for the aging population increases. One such means is the use of humanoid robots to care for social, emotional, and physical wellbeing of the people above 65. Understanding skilled and long term care nursing home administrators' perspectives on humanoid robots in caregiving is crucial as their insights shape the implementation of robots and their potential impact on resident well-being and quality of life. This authors surveyed two hundred and sixty nine nursing homes executives to understand their perspectives on the use of humanoid robots in their nursing home facilities. The data was coded and results revealed that the executives were keen on exploring other avenues for care such as robotics that would enhance their nursing homes abilities to care for their residents. Qualitative analysis reveals diverse perspectives on integrating humanoid robots in nursing homes. While acknowledging benefits like improved engagement and staff support, concerns persist about costs, impacts on human interaction, and doubts about robot effectiveness. This highlights compl
Objective. To perform a modern bibliometric analysis of the research based on the Roy Adaptation Model, a founding nursing model proposed by Sor Callista Roy in the1970s. Method. A descriptive and longitudinal study. We used information from the two dominant scientific databases, Web Of Science and SCOPUS. We obtained 137 publications from the Core Collection of WoS, and 338 publications from SCOPUS. We conducted our analysis using the software Bibliometrix, an R-package specialized in creating bibliometric analyses from a perspective of descriptive statistics and network analysis, including co-citation, co-keyword occurrence and collaboration networks. Results. Our quantitative results show the main actors around the research based on the model and the founding literature or references on which this research was based. We analyze the main keywords and how they are linked. Furthermore, we present the most prolific authors both in number of publications and in centrality in the network of coauthors. We present the most central institutions in the global network of collaboration. Conclusions. We highlight the relevance of this theoretical model in nursing and detail its evolution. Th
While LLMs have demonstrated medical knowledge and conversational ability, their deployment in clinical practice raises new risks: patients may place greater trust in LLM-generated responses than in nurses' professional judgments, potentially intensifying nurse-patient conflicts. Such risks highlight the urgent need of evaluating whether LLMs align with the core nursing values upheld by human nurses. This work introduces the first benchmark for nursing value alignment, consisting of five core value dimensions distilled from international nursing codes: Altruism, Human Dignity, Integrity, Justice, and Professionalism. We define two-level tasks on the benchmark, considering the two characteristics of emerging nurse-patient conflicts. The Easy-Level dataset consists of 2,200 value-aligned and value-violating instances, which are collected through a five-month longitudinal field study across three hospitals of varying tiers; The Hard-Level dataset is comprised of 2,200 dialogue-based instances that embed contextual cues and subtle misleading signals, which increase adversarial complexity and better reflect the subjectivity and bias of narrators in the context of emerging nurse-patient
Latest advances in the field of natural language processing (NLP) enable new use cases for different domains, including the medical sector. In particular, transcription can be used to support automation in the nursing documentation process and give nurses more time to interact with the patients. However, different challenges including (a) data privacy, (b) local languages and dialects, and (c) domain-specific vocabulary need to be addressed. In this case study, we investigate the case of home care nursing documentation in Switzerland. We assessed different transcription tools and models, and conducted several experiments with OpenAI Whisper, involving different variations of German (i.e., dialects, foreign accent) and manually curated example texts by a domain expert of home care nursing. Our results indicate that even the used out-of-the-box model performs sufficiently well to be a good starting point for future research in the field.
Nursing homes and other long term-care facilities account for a disproportionate share of COVID-19 cases and fatalities worldwide. Outbreaks in U.S. nursing homes have persisted despite nationwide visitor restrictions beginning in mid-March. An early report issued by the Centers for Disease Control and Prevention identified staff members working in multiple nursing homes as a likely source of spread from the Life Care Center in Kirkland, Washington to other skilled nursing facilities. The full extent of staff connections between nursing homes---and the crucial role these connections serve in spreading a highly contagious respiratory infection---is currently unknown given the lack of centralized data on cross-facility nursing home employment. In this paper, we perform the first large-scale analysis of nursing home connections via shared staff using device-level geolocation data from 30 million smartphones, and find that 7 percent of smartphones appearing in a nursing home also appeared in at least one other facility---even after visitor restrictions were imposed. We construct network measures of nursing home connectedness and estimate that nursing homes have, on average, connections
The application of deep learning to nursing procedure activity understanding has the potential to greatly enhance the quality and safety of nurse-patient interactions. By utilizing the technique, we can facilitate training and education, improve quality control, and enable operational compliance monitoring. However, the development of automatic recognition systems in this field is currently hindered by the scarcity of appropriately labeled datasets. The existing video datasets pose several limitations: 1) these datasets are small-scale in size to support comprehensive investigations of nursing activity; 2) they primarily focus on single procedures, lacking expert-level annotations for various nursing procedures and action steps; and 3) they lack temporally localized annotations, which prevents the effective localization of targeted actions within longer video sequences. To mitigate these limitations, we propose NurViD, a large video dataset with expert-level annotation for nursing procedure activity understanding. NurViD consists of over 1.5k videos totaling 144 hours, making it approximately four times longer than the existing largest nursing activity datasets. Notably, it encompa
During nursing studies, it is crucial to develop emotional skills for both academic success and quality patient care. Utilizing technologies like thermography can be instrumental in nursing education to assess and enhance these skills. The study aims to evaluate the effectiveness of thermography in monitoring and improving the emotional skills of nursing students through a case study approach. The case study involved exposing a student to various emotional stimuli, including videos and music, and measuring facial temperature changes. These changes were recorded using a FLIR E6 camera across three phases: acclimatization, stimulus, and response. Environmental factors such as temperature and humidity were also recorded. Distinct thermal responses were observed for different emotions. For instance, during the acclimatization phase with video stimuli, forehead temperatures varied between positive emotions (joy: 34.5\textdegree C to 34.5\textdegree C) and negative emotions (anger: 36.1\textdegree C to 35.1\textdegree C). However, there was a uniform change in temperature during both stimulus (joy: 34.7\textdegree C to 35.0\textdegree C, anger: 35.0\textdegree C to 35.0\textdegree C) and
This paper explores the application of large language models (LLMs) in nursing and elderly care, focusing on AI-driven patient monitoring and interaction. We introduce a novel Chinese nursing dataset and implement incremental pre-training (IPT) and supervised fine-tuning (SFT) techniques to enhance LLM performance in specialized tasks. Using LangChain, we develop a dynamic nursing assistant capable of real-time care and personalized interventions. Experimental results demonstrate significant improvements, paving the way for AI-driven solutions to meet the growing demands of healthcare in aging populations.