Paper Version Research Articles

More house on an ever-shakier foundation: An administrator’s perspective on institutional reforms in the context of Christopher Martin’s ideal Right to Higher Education

In this paper version of the response I offered to Christopher Marin as part of the symposium on The Right to Higher Education at the 2022 North American Association for Philosophy & Education Conference, I present some practical challenges of post-secondary reforms in the context of Martin’s theory of the right to higher education. Specifically, I address Martin’s three jointly necessary distributive conditions – non-exclusion, adequate options and full public funding – as necessary conditions and significant constraints on meaningful reform toward his ideal of higher education within individual institutions in light of resource constraints in the nonideal, real world. I argue that we ought to aim toward fully realizing adults’ right to higher education yet to do so requires restructuring and reprioritizing post-secondary education on systemic scale.

Assessing the patient experience of respiratory syncytial virus infection: development of a patient-reported outcome measure

BackgroundRespiratory syncytial virus (RSV) causes significant morbidity and mortality in older adults. Despite a number of RSV vaccine candidates in clinical trials, there are no existing disease-specific, self-reported measures that assess the symptoms and severity of RSV infection from the perspective of adult patients with acute RSV. The objective of this study was to describe the initial conceptualization and development of the RSV Infection, Intensity and Impact Questionnaire (RSV-iiiQ), a new patient-reported outcome measure.MethodsA targeted review of the literature identified relevant existing measures, symptoms, and impacts of RSV. A draft version of the RSV-iiiQ was developed based on the Influenza Intensity and Impact Questionnaire (Flu-iiQ) with expert input. Qualitative interviews (N = 20) were conducted with participants to optimize the RSV-iiiQ conceptual model and confirm the content validity of the RSV-iiiQ. Interviews included concept elicitation and a cognitive debriefing assessment. A draft conceptual framework was developed, and the electronic clinical outcome assessment was piloted. All steps of instrument development followed Food and Drug Administration guidance for patient-reported outcomes.ResultsIn-depth concept elicitation interviews followed by cognitive debriefings demonstrated that the content of the items was comprehensive, covered the breadth of RSV symptoms and impacts, and was relevant to the experiences of individuals with RSV. Both the paper and electronic versions of the RSV-iiiQ were easily completed. Minor refinements were made to some items based on participant feedback, and the draft conceptual framework was refined.ConclusionsThe RSV-iiiQ was developed for use in clinical trials to measure the symptom intensity and impact of acute RSV infection from the perspective of adult patients. The tool was developed in accordance with current regulatory guidance and is useful to support patient-focused drug development.

Development and validation of an inflammatory bowel disease nutrition self-screening tool (IBD-NST) for digital use.

The identification of, and timely intervention for, patients with impaired nutritional status may reduce inflammatory bowel disease (IBD) complications. This study aimed to develop and validate an IBD-specific nutrition self-screening tool (IBD-NST) that identifies patients at nutrition risk. An expert IBD panel was consulted to support development of an IBD-NST. The tool was assessed in different cohorts of patients attending IBD outpatient clinics for face, content and convergent validity and repeat reliability. The tool was compared with (i) the malnutrition universal screening tool to assess face validity and (ii) subjective global assessment (SGA), hand-grip strength (HGS) and mid-arm muscle circumference to assess convergent validity. Tool content was informed by agreement between assessment tools, sensitivity analysis and chi-squared tests. The IBD-NST was completed electronically twice, 1 week apart to assess repeat reliability using observed agreement and kappa statistic. Statistical significance assumed at p < 0.05. In total, 282 IBD patients (175 with Crohn's disease) were recruited to validate the IBD-NST. The final validated IBD-NST includes body mass index (BMI), weight loss and IBD-specific nutrition-focussed questions which were acceptable to patients. It identified patients at risk of malnutrition, moderately or severely malnourished patients and patients at nutritional risk. The IBD-NST identified 54/179 (30%) patients at moderate or high nutrition risk and had excellent repeat reliability in 85 patients [r = 0.77 (95% CI 0.669 to 0.746)]. The IBD-NST is a self-screening tool, validated for use as either a paper or e-health version, that identifies patients at nutrition risk who are likely to benefit from dietetic assessment and intervention. Furthermore, patients with IBD symptoms who are concerned about their dietary intake can potentially access dietetic care more easily therefore encouraging greater self-management of IBD-related symptoms. The routine use of the IBD-NST as a self-screening tool would enable patient-led care in the outpatient setting and may facilitate timely access to dietetic care.

Association between perceived exertion and executive functions with serve accuracy among male university tennis players: A pilot study.

Serve in tennis is a very important strokes and is positively correlated with the rankings of the Association of Tennis Professionals ranking. This study investigated the associations between time-course changes in the ratings for perceived exertion, executive function, and second serve accuracy during 30-min tennis exercise sessions. Eleven Japanese male tennis players participated in the study, and their executive function and second serve performance were evaluated using the paper version of the Stroop Color and Word Test, followed by a serve performance test. The participants took part in a 30-min tennis exercise program and performed the Stroop Color and Word Test, heart rate (HR) check, and second serve accuracy test before and after the tennis exercise. Pearson correlation was used to determine the relationships between the ratings for perceived exertion, interference scores on Stroop Color and Word Test performance, and second serve performance. Post exercise, the rating of perceived exertion tended to correlate with serve accuracy (r = -0.57, p = 0.07) and interference score (r = 0.65, p = 0.03). The pre-to-post changes in second serve accuracy were negatively associated with the changes in interference score (r = -0.54, p = 0.08) and interference score in the posttest (r = -0.73, p = 0.01). The results suggest that time-course changes in executive function when playing tennis are positively associated with the accuracy of the second serve. These findings expand the previous knowledge regarding the positive association between time-course changes in executive functions and percentage of points won when playing tennis by including more specific skills (i.e., second serve accuracy).

The Bangor Gambling Task: Computerized replication and reappraisal of an emotion-based decision task

Emotion-based decision making (EBDM) is the capacity to make decisions based on prior emotional consequences of actions. Several neuropsychological tasks, using different gambling paradigms and with different levels of complexity, have been designed to assess EBDM. The Bangor Gambling Task (BGT) was created as a brief and simple card gambling-task to assess EBDM. BGT contains a single-card deck and requires participants to decide whether to gamble or not, which can result in wins or losses. Unknown to the participant, the winning probabilities decrease throughout the task (from 0.75 in the first block to 0.25 in the fifth block), requiring participants to reduce their gambling probability to avoid long-term losses. A few studies have offered evidence regarding the BGT convergent validity. However, there are no computerized versions of BGT available, thus slowing the process of gathering information to explore the EBDM mechanisms behind the task, its validity, and clinical usefulness. In this article, we present a computerized version of the BGT using the Matlab environment and make all our code available. We explore BGT’s replicability and analyze its probabilistic structure, providing trial-level and block-level analyses. Eighty-one participants performed the computerized version, which followed the same structure as the original version. It took participants 8.5 ± 3.3 minutes to complete the task, which is faster than the paper version. Replicating previous studies, participants diminished their gambling probability throughout the task, learning to inhibit the initially rewarded gambling behavior. This change in gambling probability could be considered a proxy for EBDM. Our analyses suggest that the last blocks are especially sensitive to capturing deficits in EBDM, and we propose some modifications to BGT’s original version to enhance the initial exploratory and learning phase. Our results show that the BGT constitutes a quick and simple task to evaluate EBDM capacities.

Perceptions of E-Micromobility Vehicles Amongst Staff and Students at Universities in the North of England

Background: Currently, many journeys are under three miles, with most of these journeys completed using private cars. This leads to congestion, pollution and reduced opportunity for physical activity. Swapping private car journeys for walking, cycling or using electric micromobility (e-micromobility) vehicles, such as electric scooters and electric bicycles, could create healthier environments and populations. Whist e-micromobility vehicles are increasing in popularity, questions remain about how they might fit into current transport networks and how they are perceived by communities. Leeds is striving to become a zero emission city by 2030 and the student and staff population in Leeds is diverse and provides a good opportunity to explore perceptions relating to e-micromobility in the region.&amp;nbsp;Objective and methods: This study aimed to explore perceptions of e-scooters and e-bikes as key groups of e-micromobility vehicles amongst university staff and students working or studying at universities in Leeds. An online survey was disseminated online via social media, email networks and via Prolific in November 2021.Findings and implications: Few respondents currently use e-micromobility vehicles. Advantages of e-micromobility vehicles were mentioned and included reduced pollution and convenience for short journeys. Many respondents stated that they would be unlikely to purchase or hire an e-micromobility vehicle soon. Deterrents included cost, concerns about safety and uncertainties about where they can be ridden. Required regulations that respondents mentioned included compulsory training and maximum speed restrictions. These findings could inform future policy relating to e-micromobilities and support transport changes to support ambitions to achieve net zero emissions by 2030 in the region and beyond.

Comparing a Computerized Digit Symbol Test to a Pen-and-Paper Classic.

Processing speed dysfunction is a core feature of psychosis and predictive of conversion in individuals at clinical high risk (CHR) for psychosis. Although traditionally measured with pen-and-paper tasks, computerized digit symbol tasks are needed to meet the increasing demand for remote assessments. Therefore we: (1) assessed the relationship between traditional and computerized processing speed measurements; (2) compared effect sizes of impairment for progressive and persistent subgroups of CHR individuals on these tasks; and (3) explored causes contributing to task performance differences. Participants included 92 CHR individuals and 60 healthy controls who completed clinical interviews, the Brief Assessment of Cognition in Schizophrenia Symbol Coding test, the computerized TestMyBrain Digit Symbol Matching Test, a finger-tapping task, and a self-reported motor abilities measure. Correlations, Hedges' g, and linear models were utilized, respectively, to achieve the above aims. Task performance was strongly correlated (r = 0.505). A similar degree of impairment was seen between progressive (g = -0.541) and persistent (g = -0.417) groups on the paper version. The computerized task uniquely identified impairment for progressive individuals (g = -477), as the persistent group performed similarly to controls (g = -0.184). Motor abilities were related to the computerized version, but the paper version was more related to symptoms and psychosis risk level. The paper symbol coding task measures impairment throughout the CHR state, while the computerized version only identifies impairment in those with worsening symptomatology. These results may be reflective of sensitivity differences, an artifact of existing subgroups, or evidence of mechanistic differences.

Poremećaji glasa kod osoba s Parkinsonovom bolešću - karakteristike, procena i tretman

Parkinson's disease is a progressive neurodegenerative disease that is primarily manifested by impairment of motor skills and speech. Although voice disorders characterize the speech of people with Parkinson's disease, they are still not sufficiently clarified from the clinical point of view. With that in mind, the aim of this paper is to present voice characteristics in Parkinson's disease, as well as assessment and treatment methods, based on a review of the available literature. The search of relevant literature was based on databases of scientific research works PubMed, KoBSON, Science Direct, Google Scholar, as well as works available in paper version. Papers published from 2000 until today dedicated to voice disorders in people with Parkinson's disease were analyzed. The results show that voice disorders occur within the clinical picture of Parkinson's disease and that the symptoms progress with the progression of the disease. The basic characteristics of the voice are monotony, hypophonia and hoarseness. Due to the great impact of voice disorders on speech intelligibility, different methods of speech therapy are used in treatment of these patients. Lee Silverman's method is the best known and the most effective method of phonation and respiration rehabilitation in people with Parkinson's disease. Based on a review and analysis of the available literature, it is evident that voice disorders are one of the significant symptoms of this disease, and that speech therapy assessment and voice treatment are essential elements of the rehabilitation of these patients.

Current Experience of Primary Health Care Physicians on Drug Provision Issues

Achieving universal health coverage is a key policy goal in many countries that are committed to strengthening primary health care (PHC). In this context, it is important to determine access to medications and related issues on the part of medical specialists. The purpose of our study is to study the experience of the medical staffs (general practitioners, nursing staff, pharmacist, therapist) with the state of drug supply at the PHC level. Methods. A questionnaire developed which included three main parts: general part; consultation of the patient regarding drug provision as well as generating applications for medicines and timely provision of the right drug to patients in PHC. The survey was conducted through a Google form and a paper version among medical staffs of PHC at the city level. A total 122 respondents participated in survey. Results. A larger number of nurses, 36.4%, and general practitioners, 28.9% attended in survey (p&lt;0.001). Most of them worked in a government organization (81.1%). 89.9% of respondents believe that the healthcare system guarantees the safety of pharmacotherapy (p =0.009), and 84.2% agree with the statement that the success of treatment depends on the provision of professional pharmaceutical consulting services. Also, medical specialist indicated on needs for training 89.8%. Conclusion. Our research demonstrates current prescribing practices in PHC facilities. There is a need for training of PHC specialists on the issues of identifying and forming an application for medicines, taking into account site indicators.

Risk Negotiation With People With Dementia: From Co-designed Paper Version to Implementation Preparation of an Electronic Conversation Tool.

The home care workforce provides essential support for older people with dementia to live a life of fulfillment. "Enabling Choices," an evidence-informed conversation tool, aims to negotiate risk around everyday activities between home care workers, people with dementia and their informal carers. This paper describes tool conversion into electronic format and preparation for implementation throughout a large Australian health and aged care service provider, utilizing the Implementation Framework for Aged Care (IFAC). Using codesign principles, the tool was converted from paper-based to electronic format involving frontline, operational and Information Management Services staff, and people with dementia/carers. Focus groups and interviews identified tool acceptability, feasibility, and appropriateness. For implementation preparation, the wider socio-cultural-political context was mapped, and key questions of the IFAC addressed. Environment, workflow, and training requirements were determined, and strategies for behavior change ascertained. Numerous opportunities and challenges exist for the widespread upscale of an evidence-informed tool into practice.

The Triplet Link of Carbon Emission, Economic Development, and Income Inequality: A Global Panel Model Perspective (Submitted Paper Version)

The Triplet Link of Carbon Emission, Economic Development, and Income Inequality: A Global Panel Model Perspective (Submitted Paper Version)

Food combination questionnaire for Japanese: relative validity regarding food and nutrient intake and overall diet quality against the 4-day weighed dietary record.

The aim of this cross-sectional study was to examine the relative validity of food and nutrient intakes and overall diet quality scores derived using a newly developed dietary assessment questionnaire (food combination questionnaire, FCQ). Dietary data were collected from 222 Japanese adults (111 for each sex) aged 30-76 years using the online FCQ and then the 4-non-consective-day weighed dietary record (DR). The median of Spearman correlation coefficients for sixteen food groups was 0⋅32 among women and 0⋅38 among men. The median of Pearson correlation coefficients for forty-six nutrients was 0⋅34 among women and 0⋅31 among men. The Pearson correlation coefficient between the total scores of Healthy Eating Index-2015 (HEI-2015) derived from the DR and FCQ was 0⋅37 among women and 0⋅39 among men. The corresponding value for the Nutrient-Rich Food Index 9.3 (NRF9.3) total scores was 0⋅39 among women and 0⋅46 among men. Bland-Altman plots for these diet quality scores showed poor agreement at the individual level, although mean difference was small for the HEI-2015 (but not NRF9.3). Similar results were obtained using the paper version of FCQ, which was answered after conducting the DR, except for somewhat high Pearson correlation coefficients for the total scores of HEI-2015 (0⋅50 among both women and men) and NRF9.3 (0⋅37 among women and 0⋅53 among men). In conclusion, this analysis may lend support to the possible use of the FCQ as a rapid dietary assessment tool in large-scale epidemiologic studies in Japan, but further refinement of this tool should be pursued.

Some Compound Fractional Poisson Processes

In this paper, we introduce and study fractional versions of the Bell–Touchard process, the Poisson-logarithmic process and the generalized Pólya–Aeppli process. The state probabilities of these compound fractional Poisson processes solve a system of fractional differential equations that involves the Caputo fractional derivative of order 0&lt;β&lt;1. It is shown that these processes are limiting cases of a recently introduced process, namely, the generalized counting process. We obtain the mean, variance, covariance, long-range dependence property, etc., for these processes. Further, we obtain several equivalent forms of the one-dimensional distribution of fractional versions of these processes.

Implementation and evaluation of a pain assessment app and novel community platform for long-term care health professionals

Objective A tablet app, based on the Pain Assessment Checklist for Seniors with Limited Ability to Communicate-II (PACSLAC-II), has been shown to have clinical utility and unique advantages. We aimed to replicate and extend the previous validation of the app through the implementation and evaluation of a new community platform involving a quality indicator (QI) monitoring feature and a resource community portal (CP) that work in conjunction with an updated version of the app. Methods We employed a mixed-methods multiple-baseline design across 11 long-term care (LTC) units. Units were randomly assigned to conditions which varied in number of app features available. Data included unit-level QIs as well as questionnaires and semi-structured interviews with health professionals. Results Following use of the app, we found improvements in unit-level QIs regardless of availability of the QI/CP features. During interviews, participants expressed a preference for the app over a paper version of the PACSLAC-II due to reasons such as the app’s ability to summarize information. Utilization of the community portal websites was unrelated to staff questionnaire-assessed stress/burnout. Conclusions Despite the positive effects on the care of residents, the COVID-19 pandemic presented challenges and interfered with the long-term maintenance of the QI results.

Factorial Structure and Diagnostic Accuracy of a Digital Version of the Alcohol Use Disorders Identification Test (d-AUDIT) to Detect Hazardous and Problematic Drinking in Primary Care.

We studied the factorial structure and diagnostic performance in primary care of a digital version of the Alcohol Use Disorders Identification Test (d-AUDIT) for screening for excessive drinking. In two primary care centers in Santiago, Chile, we conducted a cross-sectional study involving 330 people 18 years of age or older who had drunk alcohol six or more times in the last year. The d-AUDIT was developed from the paper version validated in Chile and was self-administered on 7-inch tablets. Trained psychologists evaluated the participants using a 1-year Timeline Followback and the alcohol use disorders section from the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. We used confirmatory factorial analysis to examine the structure of the d-AUDIT and areas under the receiver operating characteristic curves (AUCs) to examine the diagnostic performance of the d-AUDIT. A two-factor model presented good overall fit, with item loads in the 0.53-0.88 range. The correlation among factors was .74, reflecting a good discriminant validity. The total score and the Fast Alcohol Screening Test (FAST) score (i.e., bingeing, role failure, blackouts, and others' concern items) obtained the best diagnostic performance for problematic drinking, with AUCs of 0.94 (CI [0.91, 0.97]) and 0.92 (CI [0.88, 0.96]), respectively. The FAST could differentiate hazardous drinking (cut point three in men and one in women) from problematic drinking (cut point four in men and two in women). We replicated prior factor analysis findings of a two-factor structure for the d-AUDIT with a good discriminant validity. The FAST obtained excellent diagnostic performance and retained some ability to discriminate between hazardous and problematic drinking.

S39 Use of Electronic Cigarettes in Inflammatory Bowel Disease: A Pilot Study

Background: Inflammatory bowel disease (IBD) is a chronic inflammatory disorder of the gastrointestinal tract likely involving both a genetic predisposition and environmental triggers. Cigarette smoking (CS) has well established links to IBD, as current and former use are risk factors for Crohn’s Disease (CD) and Ulcerative Colitis (UC) respectively. CS may result in increased use of glucocorticoids, immunosuppression and intestinal resection in patients with CD. Nicotine free e-cigarettes can induce gastrointestinal mucosal inflammation, impair the gut mucosal barrier and increase expression of pro-inflammatory cytokines. Data describing the use of e-cigarettes in IBD patients in the US is lacking. We conducted pilot study to determine prevalence and patterns of e-cigarette use in a large academic IBD practice. Methods: This was an IRB-approved study of adult patients with a confirmed diagnosis of IBD. Enrollment occurred in one of 2 arms: (1) MyChart Arm and (2) In-Person Arm. In Arm #1, a query of the electronic medical record (EMR) was performed of all IBD patients (using ICD-10 codes) with a clinic visit between 11/1/2020–10/31/2021. Using the MyChart research functionality within the EMR, eligible patients were directly contacted with a standardized recruitment message. Upon confirming interest, a personalized survey link was created via RedCap (research electronic data capture) and distributed to the patient via e-mail. In-person enrollment (Arm #2) was introduced in August of 2022. Eligible patients were approached by study staff during an existing IBD-related clinic visit. If interested, patients were provided a study information letter and a paper version of the survey to complete. Resulting data was then entered into the RedCap database. Survey questions elicited information regarding: (1) patient demographics, (2) description of current and former use of traditional tobacco products and of e-cigarettes, (3) duration and frequency of use, (4) product preference (5) perception of risk of e-cigarette use, and (6) interest in cessation. Results: A total of 62 patients completed the survey. The majority of our study population was female (n = 41/62; 66.1%), with a mean age of 39.3. Most patients reported a diagnosis of CD (n = 33/62; 53.2%). Approximately 2-thirds of respondents indicated they were “never” cigarette smokers (n = 41/62; 66.1%), and current use of traditional cigarettes was reported at 8.1% (5/62). E-cigarette use (former or current) was reported in 21.7% of patients (n = 13/60), with most beginning as adults (n = 12/13; 92.4%), and using multiple times per day (n = 10/13; 76.9%). Of those reporting e-cigarette use, the majority described their reason for use as “an attempt to quit use of a traditional tobacco product” (n = 7/13; 53.8%). Additionally, of those reporting e-cigarette use, majority considered e-cigarette use to be “less harmful” or “about the same” level of risk compared to CS (12/13; 92.3%). Conclusion(s): This pilot study establishes that e-cigarette use is prevalent in our large volume IBD academic practice, and may in fact be higher than cigarette smoking or other traditional tobacco products. A follow-up project is planned to evaluate implications of e-cigarette use on IBD-related disease outcomes.

Test reliability and comparability of paper and Chinese electronic version of the western Ontario and McMaster University osteoarthritis index: protocol for a randomised controlled clinical trial

IntroductionThe Western Ontario and McMaster University osteoarthritis index (WOMAC) is the most commonly used indicator of disease-specific outcome in knee osteoarthritis for its convenience and reliability. It has two formats...

Comics As a Tool for Research on Gender Violence. Interview With Nayanika Mookherjee on the Graphic Novel Birangona. Towards Ethical Testimonies of Sexual Violence During Conflict (2019)

Comics and the recently emerged graphic novel format are among the art forms that researchers have chosen to disseminate and provide a visual representation of their work. This relationship between comics and research, which is part of a practice labelled as “arts-based research”, has been facilitated by comics’ recognised narrative and didactic abilities. Research on gender-based violence has not been deaf to the call of comics art, and, in some rare but interesting cases, it has exploited the features of the medium to visualise and circulate research findings. An example is the graphic novel Birangona (Mookherjee &amp; Najmun Nahar, 2019 Durham University), authored by the researcher Nayanika Mookherjee and by the comics artist Najmun Nahar Keya, which was circulated, both in an online and paper version, with the aim of popularizing a set of guidelines on how to conduct oral history data collection with survivors of wartime rape. This interview with Professor Nayanika Mookherjee, the co-author of the graphic novel and the anthropologist who conducted the research with wartime rape testimonies from which the guidelines were taken, has the objective of presenting the arts-based research project Birangona and discussing, in a scholarly fashion, the implementation of visual arts methodologies (and comics-based methodologies in particular) to research gender violence.

Extended and Generic Higher-Order Elements for MEMS Modeling

State-dependent resistors, capacitors, and inductors are a common part of many smart engineering solutions, e.g., in MEMS (Micro-Electro-Mechanical Systems) sensors and actuators, Micro/NanoMachines, or biomimetic systems. These memory elements are today modeled as generic and extended memristors (MR), memcapacitors (MC), and meminductors (ML), which are more general versions of classical MR, MC, and ML from the infinite set of the fundamental elements of electrical engineering, known as Higher-Order Elements (HOEs). It turns out that models of many complex phenomena in MEMS cannot be constructed only from classical and state-dependent elements such as R, L, and C, but that other HOEs with generalized behavior should also be used. Thus, in this paper, generic and extended versions of HOEs are introduced, overcoming the existing limitation to MR, MC, and ML elements. The relevant circuit theorems are formulated, which generalize the well-known theorems of classical memory elements, and their application to model complex processes of various physical natures in MEMS is shown.

Establishment and application of information-based training and assessment platform for clinical nursing operation technology

BackgroundThe paper version of the training assessment was time-consuming and labor-consuming. It is an inevitable trend to change the appraisal method utilizing information technology. This study aimed to realize convenient and rapid management of the whole process of clinical nursing operation technology through information-based training and assessment platform.MethodsCombined with the operation mode of clinical nursing operation skills and set the basic functions of the information platform of clinical nursing operation training and assessment, the information-based training and evaluation platform for clinical nursing operation skills was established. The platform was officially operated in a tertiary level A general hospital in Shandong Province in 2018.ResultsThe information-based training and assessment platform is composed of Management Center (Computer Terminal) and a client terminal (APP terminal). The computer terminal contains 11 modules, and the APP terminal contains 8 modules. By December 2020, a total of 12,619 nurses had completed the training in nursing operation skills, and a total of 11,986 nurses had completed the examination. The examination results of nursing operation skills of the same nurses in 2018 were significantly higher than those in 2017(P < 0.05), and the error rate was significantly lower (P < 0.05). From 2016 to 2020, the scores of nasal feeding, CPR, and respiratory airbag of N1 level nurses significantly increased after using the information-based training and Assessment Platform (P < 0.05).ConclusionBased on the information terminal training assessment can realize the management of the whole process of clinical nursing operation technology training and assessment, which is better than the traditional method, and is a very practical and convenient clinical training and assessment method.