A Dynamic and Inclusive Approach.

After a year of transition to a new publisher, Creative Nursing 2024 will build on our legacy of nurturing novice authors with a Student Article of the Year initiative; presenting courageous discourse as reflected in our overarching theme for the year, The Impact of Social Forces on Nursing and Health; and publishing even more new knowledge in the form of research and discussion of nursing theories and models. This issue's theme, Activism, Advocacy, and Allyship, is exemplified by articles about paths to a nursing workforce that reflect the people we serve, and about concepts such as hygge, dialectical pluralism, acculturative stress, shared decision-making for breast health, nature immersion, iceberg demographics, and self-care in palliative care.

How, scholar, do you want to be remembered by future generations?: Finding your own balance between the ownership of knowledge and the freedom to pursue economic interests.

To assume that copyright just protects "expressions," (unlike "ideas" protected by patents), may be misleading because a particularly ordered procedure is also protected by copyright law. The procedure as well as the image of Park's Sweet Spot Theory require prior written permission from the original copyright holder for its use. Because this would stymie future generations from building further on this idea, I returned the theory-based patent to society so that prospective research and development will have no hindrances in the establishment of new knowledge/solutions in nursing science.

Nobel prize in physiology or medicine by the Indian medical education system: How far and how close?

Every year, Nobel prizes are announced, recognizing the unique contributions of individuals and organizations across the globe. Currently, India hosts the largest medical education system in the world with 650 medical colleges spread all over India and capacity to train 100,000 MBBS medical doctors a year. India is also a hub of cost-effective pharmaceutical industries and dubbed as the 'pharmacy of the world'. However, the cost of care is still out of reach of a large section of the population. If India is to become a global economic power, such aspirations cannot be solely based on the consumer market-driven economy but on achieving supremacy in 'new knowledge' creation as well. The research capacity needs to be optimized and capable of translating research work into the domestic monopoly and control over newer knowledge, technologies, products, and services for global consumers. Cost of care for more than 1 billion people, even if it is through universal health coverage, can be significantly reduced by supporting research activities and creating domestic intellectual properties in the healthcare sector.

What Is the Co-Creation of New Knowledge? A Content Analysis and Proposed Definition for Health Interventions.

Co-creation of new knowledge has the potential to speed up the discovery and application of new knowledge into practice. However, the progress of co-creation is hindered by a lack of definitional clarity and inconsistent use of terminology. The aim of this paper is to propose a new standardised definition of co-creation of new knowledge for health interventions based on the existing co-creation literature. The authors completed a systematic search of electronic databases and Google Scholar using 10 of the most frequently used co-creation-related keywords to identify relevant studies. Qualitative content analysis was performed, and two reviewers independently tested the categorisation of papers. Of the 6571 papers retrieved, 42 papers met the inclusion criteria. Examination of the current literature on co-creation demonstrated how the variability of co-creation-related terms can be reduced to four collaborative processes: co-ideation, co-design, co-implementation and co-evaluation. Based on these four processes, a new definition of co-creation of new knowledge for health interventions is proposed. The analysis revealed the need to address the conceptual ambiguity of the definition of "co-creation of new knowledge". The proposed new definition may help to resolve the current definitional issues relating to co-creation, allowing researchers and policymakers to progress the development of co-creation of new knowledge in research and practice.

Del prestigio al indicador / From prestige to the indicator

Resumen Aumenta así la presión por publicar, pero en formatos definidos, estandarizados, esto, en tanto se debe publicar en revistas indexadas y sobre todo, indexadas en bases bibliográficas de impacto, este es un sistema que no escapa a la lógica capitalista monopolizadora que viene impactando directamente el quehacer investigativo universitario, el imaginario de prestigio y la construcción de conocimiento ubicado y de sentido, todo este panorama afecta por supuesto, el Ethos de la ciencia.

Abstract The pressure for publishing in defined and standardized formats mounts. This is due to the fact that articles should be published in indexed journals, but especially in impact bibliographic databases.This is a system, which cannot escape the monopolizing capitalist logic. This issue has been directly affecting the academic research endeavor, the view of prestige, and the construction of located and meaningful knowledge. All this outlook, by the way, affects the Ethos of science.

A Clinical Practice Perspective on Publishing in Oncology Nursing.

OBJECTIVE: To describe how clinical problems and observations can generate ideas for writing for publication. DATA SOURCES: Journal articles, publishers' information for authors, online publishing resources, personal experience. CONCLUSION: Ideas for publishable manuscripts can be generated from clinical practice dilemmas, patient or nursing outcome data, and reading professional materials or attendance at professional meetings. Publishing opportunities for novice writers include case reports, letters to editors, abstracts for professional conferences, and articles in a variety of newsletters and journals. IMPLICATIONS FOR NURSING PRACTICE: Nurses working in clinical practice settings have a wealth of opportunities for identifying topics suitable for publication.

Identification of research hypotheses and new knowledge from scientific literature.

BACKGROUND: Text mining (TM) methods have been used extensively to extract relations and events from the literature. In addition, TM techniques have been used to extract various types or dimensions of interpretative information, known as Meta-Knowledge (MK), from the context of relations and events, e.g. negation, speculation, certainty and knowledge type. However, most existing methods have focussed on the extraction of individual dimensions of MK, without investigating how they can be combined to obtain even richer contextual information. In this paper, we describe a novel, supervised method to extract new MK dimensions that encode Research Hypotheses (an author's intended knowledge gain) and New Knowledge (an author's findings). The method incorporates various features, including a combination of simple MK dimensions. METHODS: We identify previously explored dimensions and then use a random forest to combine these with linguistic features into a classification model. To facilitate evaluation of the model, we have enriched two existing corpora annotated with relations and events, i.e., a subset of the GENIA-MK corpus and the EU-ADR corpus, by adding attributes to encode whether each relation or event corresponds to Research Hypothesis or New Knowledge. In the GENIA-MK corpus, these new attributes complement simpler MK dimensions that had previously been annotated. RESULTS: We show that our approach is able to assign different types of MK dimensions to relations and events with a high degree of accuracy. Firstly, our method is able to improve upon the previously reported state of the art performance for an existing dimension, i.e., Knowledge Type. Secondly, we also demonstrate high F1-score in predicting the new dimensions of Research Hypothesis (GENIA: 0.914, EU-ADR 0.802) and New Knowledge (GENIA: 0.829, EU-ADR 0.836). CONCLUSION: We have presented a novel approach for predicting New Knowledge and Research Hypothesis, which combines simple MK dimensions to achieve high F1-scores. The extraction of such information is valuable for a number of practical TM applications.

Improved Diagnosis and Care for Rare Diseases through Implementation of Precision Public Health Framework.

Public health relies on technologies to produce and analyse data, as well as effectively develop and implement policies and practices. An example is the public health practice of epidemiology, which relies on computational technology to monitor the health status of populations, identify disadvantaged or at risk population groups and thereby inform health policy and priority setting. Critical to achieving health improvements for the underserved population of people living with rare diseases is early diagnosis and best care. In the rare diseases field, the vast majority of diseases are caused by destructive but previously difficult to identify protein-coding gene mutations. The reduction in cost of genetic testing and advances in the clinical use of genome sequencing, data science and imaging are converging to provide more precise understandings of the 'person-time-place' triad. That is: who is affected (people); when the disease is occurring (time); and where the disease is occurring (place). Consequently we are witnessing a paradigm shift in public health policy and practice towards 'precision public health'.Patient and stakeholder engagement has informed the need for a national public health policy framework for rare diseases. The engagement approach in different countries has produced highly comparable outcomes and objectives. Knowledge and experience sharing across the international rare diseases networks and partnerships has informed the development of the Western Australian Rare Diseases Strategic Framework 2015-2018 (RD Framework) and Australian government health briefings on the need for a National plan.The RD Framework is guiding the translation of genomic and other technologies into the Western Australian health system, leading to greater precision in diagnostic pathways and care, and is an example of how a precision public health framework can improve health outcomes for the rare diseases population.Five vignettes are used to illustrate how policy decisions provide the scaffolding for translation of new genomics knowledge, and catalyze transformative change in delivery of clinical services. The vignettes presented here are from an Australian perspective and are not intended to be comprehensive, but rather to provide insights into how a new and emerging 'precision public health' paradigm can improve the experiences of patients living with rare diseases, their caregivers and families.The conclusion is that genomic public health is informed by the individual and family needs, and the population health imperatives of an early and accurate diagnosis; which is the portal to best practice care. Knowledge sharing is critical for public health policy development and improving the lives of people living with rare diseases.

Liberating Discoveries.

The author in this article identifies two liberating discoveries that foster human flourishing: the potential of new knowledge and the importance of living gratitude. These two liberating discoveries are explored from the humanbecoming perspective and cite important inquiries that expand understanding of the phenomena of new knowledge and feeling grateful.

Research advances in prevention and treatment of cerebral radiation necrosis / 中华放射肿瘤学杂志

Cerebral radiation necrosis (CRN) is a serious complication of radiotherapy for intracranial tumors and skull base tumors.Since there lacked effective therapeutic methods in the past,CRN was once considered to be progressive and irreversible.With the development of histopathology and neuroimaging,the development and progression of CRN is gradually clarified,and new therapeutic methods have been developed.In recent years,the scholars at home and abroad have tried to use bevacizumab (a humanized monoclonal antibody targeting vascular endothelial growth factor),nerve growth factor,and ganglioside in the treatment of CRN and have achieved definite therapeutic effects.In some patients,cerebral necrosis was even repaired and reversed.This article reviews the incidence,pathophysiology,treatment,and prognosis of CRN.

Development of self-efficacy of newly graduated registered nurses in an aged care program.

AIM: To evaluate an aged care program in developing self-efficacy of newly graduated registered nurses. METHODS: An evaluation of the program was conducted using a mixed methods approach. Twenty-four nurses completed the pre- and post-survey of aged care nursing self efficacy and attended one of three focus groups held to gain in-depth understanding of their insight into the program. RESULTS: There was an increase in nurses' self-efficacy post-program. The increased self-efficacy and new knowledge gained enhanced nurses' confidence and enabled them to critically appraise their workplace practices. CONCLUSIONS: The improved confidence resulting from increased self-efficacy and new knowledge gained from the aged care program enabled nurses to critically appraise the practices in their workplace, demonstrating the program's effectiveness. Aged care service providers should support continuing education for aged care nurses to ensure sustainability of a competent workforce to manage the increasing aged care population.

Valorização por pós-graduandos dos papéis do professor de ciências da saúde / Valuation by graduated students of the roles of the health sciences teacher

Introdução: No passado, idealmente, o Professor de Ciências da Saúde deveria ser conferencista exímio e ter grande competência profissional. Atualmente, os papéis de um “bom professor” são mais amplos. O estudo foi desenvolvido com o objetivo de verificar se este novo conceito está disseminado entre pós-graduandos, coletando suas opiniões sobre o valor de múltiplos papéis. Método: Opiniões de 92 pós-graduandos foram colhidas por meio de questionário, autoadministrado, contendo 13 itens relacionados com as principais atribuições do Professor de Ciências da Saúde: administrador institucional; avaliador de alunos; avaliador de cursos; captador de recursos materiais externos, para a instituição; gerador de novos conhecimentos; membro ativo da estrutura universitária; modelo de atitudes, valores e crenças; planejador de cursos/currículos; produtor de material didático; profissional hábil e competente; provedor de informações na prática médica; provedor de informações para o aluno em aulas formais; tutor/facilitador. As respostas foram registradas em escala Likert de 5 pontos, sendo o ponto 1 correspondente a “sem importância” e o ponto 5 a “muito importante”. Resultados: O papel mais valorizado foi o de “gerador de novos conhecimentos”, seguido dos papéis de “avaliador de alunos” e de “provedor de informações em aulas formais”. E os menos valorizados foram: “tutor”, “modelo de atitudes valores e crenças” e “captador de recursos para a instituição”. Conclusão: Os resultados indicam que há necessidade de inclusão, nos Programas de Pós-Graduação, de maior número de atividades formativas que ampliem a visão dos mestrandos e doutorandos sobre os múltiplos papéis do moderno professor de ciências da saúde.

Background: In the past, the Professor of Health Sciences was ideally supposed to be a distinguished lecturer with high professional competence. Today, the roles of a “good teacher” have expanded. The objective of the present study was to determine whether this new concept is disseminated among postgraduate students, whose opinions about the values of multiple roles were surveyed. Method: The opinions of 92 postgraduate students were collected with a self-administered questionnaire containing 13 items related to the major attributions of a Professor of Health Sciences: institutional administrator; evaluator of students; evaluator of courses; fund raiser for external financial resources, for the institution; generator of new knowledge; active member of the university structure; role model for actions, values and beliefs; planner of courses/syllabi; producer of teaching material; skilled and competent professional; provider of information in medical practice; provider of information for the students in formal classes; tutor/facilitator. The replies were scored on a 5-point Likert scale, with point 1 corresponding to “not important” and point 5 to “very important”. Results: The most valued role was that of “generator of new knowledge”, followed by “evaluator of students” and “provider of information in formal classes’. And the least valued roles were: “tutor”, “role model for attitudes, values and beliefs”, and “fund raiser for external financial resources, for the institution”. Conclusion: The results indicate the need to include a larger number of educational activities in order to expand the view of Masters and Doctoral students regarding the multiple roles of modern Professors of Health Sciences.