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Objectives The COVID-19 pandemic has forced many healthcare organizations to stop the placement of undergraduate nursing students. As a result, undergraduate nursing students need the necessary training and practice to increase their competency. Therefore, effective strategies are needed to improve the effectiveness of online internships. This study aims to evaluate the impact of online cardiovascular health behavior modification training on nursing undergraduate students' health education competency and clinical decision-making perceptions using the Conceive-Design-Implement-Operate (CDIO) model. Methods This study utilized quasi-experimental research with a non-equivalent control group design. Nursing students undergoing internships at Zhongshan Hospital, Fudan University, Shanghai, China, from June 2020 to December 2021 were enrolled in this study. The participants were allocated into two groups, experimental and control groups. All participants completed a course designed to promote healthy behavior modification. The experimental group participants completed four modules through an online training course based on the CDIO model. The control group was given theoretical lectures on the same topic online. Health education competencies and clinical decision-making perceptions were assessed before and after the training. Statistical analysis was performed using IBM SPSS 28.0. Results A significant difference was observed between these two groups in their performance on the theoretical test (t = −2.291, P<0.05) and operational assessment (t = −6.415, P<0.01). The participants in the experimental group scored better than those in the control group. Post-test results indicated that students in the experimental group demonstrated significantly better health education competency (t = −3.601, P<0.01) and clinical decision-making perception (t = −3.726, P<0.01). Conclusion The study found that online courses based on the CDIO model are compelling. The study concluded that online classes are needed during the pandemic as it does not limit time and space. Nursing students can take their internship from anywhere as long as they can access the internet. Also, the study found that the online course was interactive and collaborative.
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The COVID-19 pandemic impacted the world through the anguish from a fast-spreading virus and by struggling with the increasing plastic waste. A catalytic cascade process where hydropyrolysis was coupled with downstream vapor-phase hydrotreatment was employed for the first time to upcycle real-world mixed plastic waste into drop-in fuels. This tandem vapor-phase hydrotreatment technology is feedstock-agnostic and therefore capable of upcycling different kinds of personal protective equipment (PPE) plastic waste into drop-in fuels over a non-noble bifunctional Ni/NiAl2O4 catalyst. A maximum 88.9 wt% single-pass yield of drop-in fuel-range hydrocarbons was obtained with a hydrotreatment temperature of 300 degrees C at 0.3 MPa H-2. Life cycle assessment showed that this catalytic cascade vapor-phase hydrotreatment approach had a high energy efficiency of 94%. The global warming potential of the obtained fuel could be reduced by 72% as a maximum in the low carbon future, compared with conventional fuel blends, indicating that it can be used as a promising chemical upcycling technology for achieving a sustainable plastic circular economy.