Sample records for classifying nursing organization

  1. Classifying nursing organization in wards in Norwegian hospitals: self-identification versus observation

    Helgeland Jon


    Full Text Available Abstract Background The organization of nursing services could be important to the quality of patient care and staff satisfaction. However, there is no universally accepted nomenclature for this organization. The objective of the current study was to classify general hospital wards based on data describing organizational practice reported by the ward nurse managers, and then to compare this classification with the name used in the wards to identify the organizational model (self-identification. Methods In a cross-sectional postal survey, 93 ward nurse managers in Norwegian hospitals responded to questions about nursing organization in their wards, and what they called their organizational models. K-means cluster analysis was used to classify the wards according to the pattern of activities attributed to the different nursing roles and discriminant analysis was used to interpret the solutions. Cross-tabulation was used to validate the solutions and to compare the classification obtained from the cluster analysis with that obtained by self-identification. The bootstrapping technique was used to assess the generalizability of the cluster solution. Results The cluster analyses produced two alternative solutions using two and three clusters, respectively. The three-cluster solution was considered to be the best representation of the organizational models: 32 team leader-dominated wards, 23 primary nurse-dominated wards and 38 wards with a hybrid or mixed organization. There was moderate correspondence between the three-cluster solution and the models obtained by self-identification. Cross-tabulation supported the empirical classification as being representative for variations in nursing service organization. Ninety-four per cent of the bootstrap replications showed the same pattern as the cluster solution in the study sample. Conclusions A meaningful classification of wards was achieved through an empirical cluster solution; this was, however, only

  2. The Application of Bayesian Optimization and Classifier Systems in Nurse Scheduling

    Li, Jingpeng


    Two ideas taken from Bayesian optimization and classifier systems are presented for personnel scheduling based on choosing a suitable scheduling rule from a set for each persons assignment. Unlike our previous work of using genetic algorithms whose learning is implicit, the learning in both approaches is explicit, i.e. we are able to identify building blocks directly. To achieve this target, the Bayesian optimization algorithm builds a Bayesian network of the joint probability distribution of the rules used to construct solutions, while the adapted classifier system assigns each rule a strength value that is constantly updated according to its usefulness in the current situation. Computational results from 52 real data instances of nurse scheduling demonstrate the success of both approaches. It is also suggested that the learning mechanism in the proposed approaches might be suitable for other scheduling problems.

  3. Indian ICU nurses' perceptions of and attitudes towards organ donation.

    Vijayalakshmi, Poreddi; Nagarajaiah; Ramachandra; Math, Suresh Bada

    Nurses play a significant role in identifying and securing potential organ donors in the clinical environment. Research among Indian nurses related to organ donation is sparse. The present study aimed to investigate nurses' attitudes towards organ donation. A cross-sectional descriptive survey was carried out among nurses (n=184) at a tertiary care centre. Data were collected through self-report questionnaire. A majority (81%) of the respondents were 'willing to sign the card' for organ donation; however, only 3.8% (n=7) of them actually 'signed the organ donation card'. There were significant associations found between intentions to sign the organ donation card and gender (x2=5.852; pethical, social, and religious issues, and advocacy in the area of organ donation. Furthermore, nurse administrators must take the initiative to develop guidelines clarifying the role of nurses in the organ donation and transplantation process to promote organ donation and improve rates. PMID:26153809

  4. Teaching Pediatric Nursing Concepts to Non-Pediatric Nurses Using an Advance Organizer

    Bell, Julie Ann


    Non-pediatric nurses in rural areas often care for children in adult units, emergency departments, and procedural areas. A half-day program about pediatric nursing using constructivist teaching strategies including an advance organizer, case studies, and simulation was offered at a community hospital in Western North Carolina. Nurses reported a…

  5. Professional competences of nursing specialists in Mexican companies classified as risk level III and IV

    Arturo Juárez García


    The Occupational Health Nursing practice is an emergent area in Mexico, nevertheless, in other countries the nurses are the most frequent profession in this field. It is necessary increase the educative options in this practice under the best vanguard standards like the competencies system. There are evidences that show nurses as the professionals with the least competencies compared with others professionals, mainly in developing countries. In Mexico there are no standardized competencies in...

  6. How critical care nurses' roles and education affect organ donation.

    Jawoniyi, Oluwafunmilayo Ololade; Gormley, Kevin

    Organ and tissue dysfunction and failure cause high mortality rates around the world. Tissue and organs transplantation is an established, cost-effective, life-saving treatment for patients with organ failure. However, there is a large gap between the need for and the supply of donor organs. Acute and critical care nurses have a central role in the organ donation process, from identifying and assessing potential donors and supporting their families to involvement in logistics. Nurses with an in-depth knowledge of donation understand its clinical and technical aspects as well as the moral and legal considerations. Nurses have a major role to play in tackling organ and tissue shortages. Such a role cannot be adequately performed if nurses are not fully educated about donation and transplant. Such education could be incorporated into mandatory training and completed by all nurses. PMID:26153810

  7. Professional competences of nursing specialists in Mexican companies classified as risk level III and IV

    Arturo Juárez García


    Full Text Available The Occupational Health Nursing practice is an emergent area in Mexico, nevertheless, in other countries the nurses are the most frequent profession in this field. It is necessary increase the educative options in this practice under the best vanguard standards like the competencies system. There are evidences that show nurses as the professionals with the least competencies compared with others professionals, mainly in developing countries. In Mexico there are no standardized competencies in occupational health nursing, as well as studies about the competencies in nurses in this field and its relationship with demographic variables and occupational health indicators. In this way, it was designed a study with the following objectives: 1 To adapt and set up standardized competencies in this practice in Mexico, 2 To assess competences in nurses whose job is carried out in type III and IV companies, 3 To determine if there are differences in the competencies according to the demographic factors, and 4 To determine if there are a relationship among the competencies and key indicators of the occupational health services, such as the accident rates, “incapacities” (compensations ,and the number of medical attending at workplace.

  8. Israeli breast care nurses as a learning organization

    Ilana Kadmon


    Full Text Available This article will look at the theory of a Learning Organization as described by Senge and the Israeli Breast Care Nurses as an example. A description of the theory of a Learning Organization, the role of the Breast Care Nurses in Israel and the relation between the two will be described. Since 1996, the role of the Breast Care Nurse was founded in Israel. At that time, the role with its importance was very hard to be recognized by the health care team and other professionals of the multidisciplinary team for breast cancer patients. Since the role was initiated, it had been developing all over Israel through the support given by the Israel Cancer Association. As a learning organization, the Breast Care Nurses have a few goals: To learn to give patients the most updated and relevant information; to be a part and be seen as equal as the other members of the multidisciplinary team for breast cancer patients; to have knowledge which empowers them as a working group; to enable to teach students, mainly nursing students, in basic and further education and to help continually teach a new generation of nurses. This learning organization involves some formal and informal education. Although oncology nurses do much of the ideas we have described, we suggest using a strict model to help in implementing a Learning Organization. Future research can examine the outcomes of a Learning Organization on oncology nursing.

  9. The contribution of organization theory to nursing health services research.

    Mick, Stephen S; Mark, Barbara A


    We review nursing and health services research on health care organizations over the period 1950 through 2004 to reveal the contribution of nursing to this field. Notwithstanding this rich tradition and the unique perspective of nursing researchers grounded in patient care production processes, the following gaps in nursing research remain: (1) the lack of theoretical frameworks about organizational factors relating to internal work processes; (2) the need for sophisticated methodologies to guide empirical investigations; (3) the difficulty in understanding how organizations adapt models for patient care delivery in response to market forces; (4) the paucity of attention to the impact of new technologies on the organization of patient care work processes. Given nurses' deep understanding of the inner workings of health care facilities, we hope to see an increasing number of research programs that tackle these deficiencies. PMID:16360704

  10. Attitudes and knowledge of nurses on organ legacy and transplantation

    Vlaisavljević Željko


    Full Text Available Introduction. Nurses represent an important link in mediating between the potential donors and their relatives’ consent to organ and tissue transplantation. The message of the Health Department to potential donors about the importance of organ donation was supported by the Serbian Orthodox Church, the army and other institutions through media campaigns. Nurses could contribute to this action by their personal example. Objective. The aim of this study was identification and bivariate analysis of nurse attitude about organ donation, their knowledge about the importance of transplantation as treatment methods, as well as the connection between work experience and education level with the formation of attitudes and new skills. Methods. In this cross-sectional study, 291 nurses from the Clinical Center of Serbia, Belgrade, filled in the questionnaire on the effect of correlation between the length of the service and level of education on knowledge and attitudes toward organ transplantation and organ donation. Results. Out of 291 respondents, 67.4% have completed the nursing school and 32.6% have higher education. The majority (63.9% of respondents knew that the EEG was the most valid method for determining brain death. The question regarding the possibility of buying organs was answered correctly by 68.7% of respondents. A large majority (91% would accept organ transplant, if needed, but only 32.0% would be organ donors, and only 0.3% owned a donor card. In contrast, one third of nurses were already blood donors. Conclusion. In case of necessary transplantation, nurses would accept someone else’s organ, though they do not possess donor cards, but just few would donate their organs. It is possible that prejudice arises from ignorance and distrust in the health policy of the Republic of Serbia. However, besides negative attitude, nurses have expressed interest in learning and professional development in the area of transplantation.

  11. Israeli breast care nurses as a learning organization

    Ilana Kadmon; Livia Kislev


    This article will look at the theory of a Learning Organization as described by Senge and the Israeli Breast Care Nurses as an example. A description of the theory of a Learning Organization, the role of the Breast Care Nurses in Israel and the relation between the two will be described. Since 1996, the role of the Breast Care Nurse was founded in Israel. At that time, the role with its importance was very hard to be recognized by the health care team and other professionals of the multidisci...

  12. Organized music instruction as a predictor of nursing student success.

    Cesario, Sandra K; Cesario, Robert J; Cesario, Anthony R


    Stringent admission criteria exist for nursing programs in the United States, but better predictors of success are needed to reduce student attrition. Research indicates that organized music experiences are associated with greater academic success. This exploratory study examined the association between early music experiences and undergraduate nursing student success. Findings suggest that students with a music background were more likely to graduate, have higher grade point averages, and pass the licensure examination. Previous music education might be considered as an additional predictor of nursing student success. PMID:23778040

  13. Classifying Microorganisms

    Sommerlund, Julie


    This paper describes the coexistence of two systems for classifying organisms and species: a dominant genetic system and an older naturalist system. The former classifies species and traces their evolution on the basis of genetic characteristics, while the latter employs physiological characteris...

  14. Nurses' knowledge, attitudes, and beliefs regarding organ and tissue donation and transplantation.

    Matten, M R; Sliepcevich, E M; Sarvela, P D; Lacey, E P; Woehlke, P L; Richardson, C E; Wright, W R


    The acute shortage of human organs and tissues for transplantation has been attributed in part to health professionals, including nurses, for their reluctance to recognize and refer suitable candidates for donation. In 1988, nurses' knowledge, attitudes, and beliefs regarding organ and tissue donation and transplantation were assessed using a 70-item questionnaire. Respondents included 1,683 nurses employed in 62 rural and urban hospitals in the Midwest. Only 365 respondents (21.7 percent) re...

  15. Experience of nurses in the process of donation of organs and tissues for transplant

    Edvaldo Leal de Moraes; Marcelo José dos Santos; Miriam Aparecida Barbosa Merighi; Maria Cristina Komatsu Braga Massarollo


    OBJECTIVE: to investigate the meaning of the action of nurses in the donation process to maintain the viability of organs and tissues for transplantation.METHOD: this qualitative study with a social phenomenological approach was conducted through individual interviews with ten nurses of three Organ and Tissue Procurement Services of the city of São Paulo.RESULTS: the experience of the nurses in the donation process was represented by the categories: obstacles experienced in the donation proce...

  16. Using the RDP Classifier to Predict Taxonomic Novelty and Reduce the Search Space for Finding Novel Organisms

    Yemin Lan; Qiong Wang; Cole, James R.; Rosen, Gail L


    BACKGROUND: Currently, the naïve Bayesian classifier provided by the Ribosomal Database Project (RDP) is one of the most widely used tools to classify 16S rRNA sequences, mainly collected from environmental samples. We show that RDP has 97+% assignment accuracy and is fast for 250 bp and longer reads when the read originates from a taxon known to the database. Because most environmental samples will contain organisms from taxa whose 16S rRNA genes have not been previously sequenced, we aim to...

  17. The AEO, an Ontology of Anatomical Entities for Classifying Animal Tissues and Organs

    Bard, Jonathan B. L.


    This paper describes the AEO, an ontology of anatomical entities that expands the common anatomy reference ontology (CARO) and whose major novel feature is a type hierarchy of ~160 anatomical terms. The breadth of the AEO is wider than CARO as it includes both developmental and gender-specific classes, while the granularity of the AEO terms is at a level adequate to classify simple-tissues (~70 classes) characterized by their containing a predominantly single cell-type. For convenience and to...

  18. Coupling Self-Organizing Maps with a Naïve Bayesian classifier: A case study for classifying Vermont streams using geomorphic, habitat and biological assessment data

    Fytilis, N.; Rizzo, D. M.


    Environmental managers are increasingly required to forecast the long-term effects and the resilience or vulnerability of biophysical systems to human-generated stresses. Mitigation strategies for hydrological and environmental systems need to be assessed in the presence of uncertainty. An important aspect of such complex systems is the assessment of variable uncertainty on the model response outputs. We develop a new classification tool that couples a Naïve Bayesian Classifier with a modified Kohonen Self-Organizing Map to tackle this challenge. For proof-of-concept, we use rapid geomorphic and reach-scale habitat assessments data from over 2500 Vermont stream reaches (~1371 stream miles) assessed by the Vermont Agency of Natural Resources (VTANR). In addition, the Vermont Department of Environmental Conservation (VTDEC) estimates stream habitat biodiversity indices (macro-invertebrates and fish) and a variety of water quality data. Our approach fully utilizes the existing VTANR and VTDEC data sets to improve classification of stream-reach habitat and biological integrity. The combined SOM-Naïve Bayesian architecture is sufficiently flexible to allow for continual updates and increased accuracy associated with acquiring new data. The Kohonen Self-Organizing Map (SOM) is an unsupervised artificial neural network that autonomously analyzes properties inherent in a given a set of data. It is typically used to cluster data vectors into similar categories when a priori classes do not exist. The ability of the SOM to convert nonlinear, high dimensional data to some user-defined lower dimension and mine large amounts of data types (i.e., discrete or continuous, biological or geomorphic data) makes it ideal for characterizing the sensitivity of river networks in a variety of contexts. The procedure is data-driven, and therefore does not require the development of site-specific, process-based classification stream models, or sets of if-then-else rules associated with

  19. A system to automatically classify and name any individual genome-sequenced organism independently of current biological classification and nomenclature.

    Marakeby, Haitham; Badr, Eman; Torkey, Hanaa; Song, Yuhyun; Leman, Scotland; Monteil, Caroline; Lenwood S. Heath


    A broadly accepted and stable biological classification system is a prerequisite for biological sciences. It provides the means to describe and communicate about life without ambiguity. Current biological classification and nomenclature use the species as the basic unit and require lengthy and laborious species descriptions before newly discovered organisms can be assigned to a species and be named. The current system is thus inadequate to classify and name the immense genetic diversity withi...

  20. Experience of nurses in the process of donation of organs and tissues for transplant

    Edvaldo Leal de Moraes


    Full Text Available OBJECTIVE: to investigate the meaning of the action of nurses in the donation process to maintain the viability of organs and tissues for transplantation.METHOD: this qualitative study with a social phenomenological approach was conducted through individual interviews with ten nurses of three Organ and Tissue Procurement Services of the city of São Paulo.RESULTS: the experience of the nurses in the donation process was represented by the categories: obstacles experienced in the donation process, and interventions performed. The meaning of the action to maintain the viability of organs and tissues for transplantation was described by the categories: to change paradigms, to humanize the donation process, to expand the donation, and to save lives.FINAL CONSIDERATIONS: knowledge of the experience of the nurses in this process is important for healthcare professionals who work in different realities, indicating strategies to optimize the procurement of organs and tissues for transplantation.

  1. What ICU nurses in different Austrian hospitals know and think about the Austrian organ donation law.

    Zettel, Gabriele; Horvath, Angela; Vorobyeva, Ekaterina; Auburger, Christian; Zink, Michael; Stiegler, Philipp; Stadlbauer, Vanessa


    We previously reported a high level of information on the Austrian organ donation law in medical and non-medical students, patients and ICU nurses, whereby ICU nurses at University Hospital in Graz (n = 185) were very well informed and also had the most critical view of the Austrian organ donation law.This letter reports the extension of our previous study to ICU nurses from hospitals with a Christian background (n = 60). We found that ICU nurses in hospitals run by religious congregations considered the Austrian organ donation law to be good more often than did those at the University Hospital in Graz. A positive attitude was also influenced by gender and prior knowledge of the law.Reasons for this could be the Christian orientation of the hospitals or exposure to organ donation and transplantation procedures on the job. PMID:24938119

  2. Using the RDP classifier to predict taxonomic novelty and reduce the search space for finding novel organisms.

    Yemin Lan

    Full Text Available BACKGROUND: Currently, the naïve Bayesian classifier provided by the Ribosomal Database Project (RDP is one of the most widely used tools to classify 16S rRNA sequences, mainly collected from environmental samples. We show that RDP has 97+% assignment accuracy and is fast for 250 bp and longer reads when the read originates from a taxon known to the database. Because most environmental samples will contain organisms from taxa whose 16S rRNA genes have not been previously sequenced, we aim to benchmark how well the RDP classifier and other competing methods can discriminate these novel taxa from known taxa. PRINCIPAL FINDINGS: Because each fragment is assigned a score (containing likelihood or confidence information such as the boostrap score in the RDP classifier, we "train" a threshold to discriminate between novel and known organisms and observe its performance on a test set. The threshold that we determine tends to be conservative (low sensitivity but high specificity for naïve Bayesian methods. Nonetheless, our method performs better with the RDP classifier than the other methods tested, measured by the f-measure and the area-under-the-curve on the receiver operating characteristic of the test set. By constraining the database to well-represented genera, sensitivity improves 3-15%. Finally, we show that the detector is a good predictor to determine novel abundant taxa (especially for finer levels of taxonomy where novelty is more likely to be present. CONCLUSIONS: We conclude that selecting a read-length appropriate RDP bootstrap score can significantly reduce the search space for identifying novel genera and higher levels in taxonomy. In addition, having a well-represented database significantly improves performance while having genera that are "highly" similar does not make a significant improvement. On a real dataset from an Amazon Terra Preta soil sample, we show that the detector can predict (or correlates to whether novel sequences

  3. Organization of Nursing work regarding the integration of family care for hospitalized children

    Janaína Lopes da Silva; Emelynne Gabrielly de Oliveira Santos; Cintia Capistrano Teixeira Rocha; Cecília Nogueira Valença; Osvaldo de Góes Bay Júnior


    Objective: to discuss the organization of Nursing technician’s work in the interface of the care of family members of hospitalized children and to identify their perception of the insertion of family in caring for this child. Methods: this is an exploratory descriptive study with a qualitative approach, undertaken in the pediatric inpatient unit of a university hospital with six Nursing technicians, through semi-structured interviews. Results: professionals realized the importance of the fami...

  4. Learning to Classify Organic and Conventional Wheat – A Machine Learning Driven Approach Using the MeltDB 2.0 Metabolomics Analysis Platform

    Kessler, Nikolas; Bonte, Anja; Albaum, Stefan P.; Mäder, Paul; Messmer, Monika; Goesmann, Alexander; Niehaus, Karsten; Langenkämper, Georg; Nattkemper, Tim W.


    We present results of our machine learning approach to the problem of classifying GC-MS data originating from wheat grains of different farming systems. The aim is to investigate the potential of learning algorithms to classify GC-MS data to be either from conventionally grown or from organically grown samples and considering different cultivars. The motivation of our work is rather obvious on the background of nowadays increased demand for organic food in post-industrialized societies and th...

  5. Perspectives on Organ Donation in the Context of Sociodemographic Data and Levels of Burn Out in a Group of Nurse

    Aytaş, Özgür; Kartalcı, Şükrü; ÜNAL, Süheyla


    Aim: Today, the biggest problem of organ transplantation is that organ donation rates are very low. The belief and attitude of health workers can change organ donation rates, as they are referred to as the vital important in the information and instruction of the patients and their relatives for organ donation. The aim of this study is to examine how the sociodemographic data and level of burn out in nurses affected their thoughts on organ donation. Method: 201 nurses working in Inonu Uni...

  6. The nursing organization and the transformation of health care delivery for the 21st century.

    Gilmartin, M J


    Market transformations occurring within the health care industry require new patterns of organization and management to meet the increasing complexity of service delivery. A greater understanding of the innovation and entrepreneurial dynamic allows administrators, managers, and leaders to create a new vision of service delivery. Central management and leadership objectives include the development of service technologies that capitalize upon the inherent knowledge of workers to meet consumer needs. A strong sense of innovation and entrepreneurship leading to the introduction of new or improved nursing technologies is a primary component in the evolution of professional nursing practice for the 21st century. PMID:9505707

  7. Factors Associated With Medical and Nursing Students' Willingness to Donate Organs.

    Tumin, Makmor; Tafran, Khaled; Tang, Li Yoong; Chong, Mei Chan; Mohd Jaafar, Noor Ismawati; Mohd Satar, NurulHuda; Abdullah, Nurhidayah


    Malaysia suffers from a chronic shortage of human organs for transplantation. Medical and nursing students (MaNS) are future health professionals and thus their attitude toward organ donation is vital for driving national donation rates. This study investigates MaNS' willingness to donate organs upon death and the factors influencing their willingness. A cross-sectional design was used with a sample of 500 students (264 medical and 236 nursing) at the University of Malaya. A self-administrated questionnaire was used. The responses were analyzed by using descriptive statistics and multiple logistic regression. Of all respondents, 278 (55.6%) were willing to donate organs upon death, while the remaining 222 (44.4%) were unwilling to donate. Only 44 (8.8%) had donor cards. The multiple logistic regression revealed that the minorities ethnic group was more willing to donate organs than Malay respondents (adjusted odds ratio [aOR] = 1.98, P = 0.010). In addition, medical students were more willing to donate than nursing students (aOR = 2.53, P = 0.000). Respondents who have a family member with a donor card were more willing to donate than respondents who do not (aOR = 3.48, P = 0.006). MaNS who believed that their religion permits deceased donation were more willing to donate than their counterparts (aOR = 4.96, P = 0.000). Household income and sex were not significant predictors of MaNS' willingness to donate organs upon death. MaNS have moderate willingness, but low commitment toward deceased organ donation. Strategies for improving MaNS' attitude should better educate them on organ donation, targeting the most the Malay and nursing students, and should consider the influence of family attitude and religious permissibility on MaNS' willingness. PMID:27015207


    Panella, Lorenzo; Piccioni, Davide; Borcescu, Lidia; Isella, Celeste; Callegari, Camilla


    Objectives, social role and organization of Italian nursing homes (RSA) are characterized by a pronounced regional differentiation that causes situations which are difficult to compare about expected outcomes. The definition of a functional outcome is particularly difficult in institutionalized patients and this is due to the failure of a conclusive moment of the rehabilitative treatment. Furthermore we often take care of patients who have already been admitted to intensive and/or extensive rehabilitation units time after time, without further functional profit margin. The inconstant presence of professional figures of rehabilitation in nursing homes' staff makes difficult the drafting of an adequate rehabilitative project, especially for the multiple needs of frail old people. Starting with these assumptions, authors hypothesize and adopt a model of sanitary organization to consent a correct allocation of available resources, according to the patient's needs. They stratified all nursing home patients, using the Multidimensional Prognostic Index (MPI) and "Scheda di osservazione intermedia assistenza" (SOSIA), and measured the residual function. They concluded that a multidimensional evaluation of patients allows to identify wellness (of the sick person and of caregivers) as the main objective; nursing home organization could be think as a "complex supportive prosthesis for old people", made by the interaction among structure, operators and activities. PMID:26934811

  9. Nursing strategies for coping with the care of a potential organ donor

    Silvia Silva Souza


    Full Text Available This work aimed to understand strategies that the nursing staff from an Intensive Care Unit applies to situations involving the care of a person with brain death as a potential donor. The study was conducted through qualitative, descriptive and exploratory research, carried out by 14 members of the nursing staff who work with the potential organ donor. Data were collected through semi-structured interviews, and a thematic context analysis was applied. The strategies of coping focused on emotion were: escape from reality, and reframe the event. And the strategies focused on the problem were: provide competent care, and search for other support. It is concluded that caring for a person with brain death is constituted as a very stressful event to the nursing professionals. These professionals need institutional support to better cope with these situations, because depending on how they manage their task, it may directly influence the assistance provided to patients.

  10. Classifying Microorganisms.

    Baker, William P.; Leyva, Kathryn J.; Lang, Michael; Goodmanis, Ben


    Focuses on an activity in which students sample air at school and generate ideas about how to classify the microorganisms they observe. The results are used to compare air quality among schools via the Internet. Supports the development of scientific inquiry and technology skills. (DDR)

  11. Saudi Nursing and Medical Student’s Knowledge and Attitude toward Organ Donation- A Comparative Cross-Sectional study

    Majeed, Farrukh


    Objectives Proper awareness among health professionals about organ donation is important for increasing organ procurement. Personal commitment and attitude of nurses are imperative as they have key role in identifying potential donors. The aim of this study was to compare prevailing knowledge and attitude of undergraduate female Saudi nursing and medical students’ toward organ donation. Methodology A cross sectional questionnaire using 29 item were filled by nursing (n=46) and medical (n=63) students’ at University of Dammam (KSA) during academic year 2014–15, to check and compare their knowledge and attitude about organ donation. The data were analyzed by descriptive statistics; chi square test and bivariate analysis to find out correlation. Results Level of knowledge of nursing group were significantly lower (p=0.000) than medical group while no significant difference in attitude score (p=0.591) between the two groups were found. Major source of knowledge for nursing was media (65.2%) and college/university for medical (50.8%) group. Both groups chose “anyone in need” as preferred recipients’ upon donation (nursing 60.3% and medical 52.2%) and opted “anyone” as donor in case of recipient (nursing 52.2% and medical 49.2%). The results indicate positive correlation between level of knowledge and attitude toward organ donation. Conclusions Nursing students have low knowledge toward organ donation as compared to medical students although they shows positive attitude toward this issue. This study ascertains the need of an effective educational program for nursing students of Saudi Arabia to improve their knowledge regarding organ donation and to raise organ procurement. PMID:27103903

  12. Carbon classified?

    Lippert, Ingmar


    . Using an actor- network theory (ANT) framework, the aim is to investigate the actors who bring together the elements needed to classify their carbon emission sources and unpack the heterogeneous relations drawn on. Based on an ethnographic study of corporate agents of ecological modernisation over a...... corporations construing themselves as able and suitable to manage their emissions, and, additionally, given that the construction of carbon emissions has performative consequences, the underlying practices need to be declassified, i.e. opened for public scrutiny. Hence the paper concludes by arguing for a...

  13. The impact of university provided nurse electronic medical record training on health care organizations: an exploratory simulation approach.

    Abrahamson, Kathleen; Anderson, James G; Borycki, Elizabeth M; Kushniruk, Andre W; Malovec, Shannon; Espejo, Angela; Anderson, Marilyn


    Training providers appropriately, particularly early in their caregiving careers, is an important aspect of electronic medical record (EMR) implementation. Considerable time and resources are needed to bring the newly hired providers 'up to speed' with the actual use practices of the organization. Similarly, universities lose valuable clinical training hours when students are required to spend those hours learning organization-specific EMR systems in order to participate in care during clinical rotations. Although there are multiple real-world barriers to university/health care organization training partnerships, the investment these entities share in training care providers, specifically nurses, to use and understand EMR technology encourages a question: What would be the cumulative effect of integrating a mutually agreed upon EMR system training program in to nursing classroom training on downstream hospital costs in terms of hours of direct caregiving lost, and benefits in terms of number of overall EMR trained nurses hired? In order to inform the development of a large scale study, we employed a dynamic systems modeling approach to simulate the theoretical relationships between key model variables and determine the possible effect of integrating EMR training into nursing classrooms on hospital outcomes. The analysis indicated that integrating EMR training into the nursing classroom curriculum results in more available time for nurse bedside care. Also, the simulation suggests that efficiency of clinical training can be potentially improved by centralizing EMR training within the nursing curriculum. PMID:25676937

  14. Predictors of Nursing Students' Performance in a One-Semester Organic and Biochemistry Course

    van Lanen, Robert J.; Lockie, Nancy M.; McGannon, Thomas


    In an effort to empower nursing students to successfully persist in chemistry, predictors of success for undergraduate nursing students enrolled in a one-semester organic and biochemistry course were identified. The sample consisted of 308 undergraduate nursing students enrolled in Chemistry 108 (Principles of Organic and Biochemistry) during a period of seven semesters. In this study, Supplemental Instruction (SI) is a nonremedial academic support program offered for Chemistry 108 students. Placement tests in Mathematics, Reading, and English are required of all entering students. The English Placement Test assesses proficiency in analytical reading and writing; the Nelson Denny Reading Test (Form E) assesses the student's understanding of written vocabulary and the mastery of reading comprehension, and the Mathematics Placement Test measures the student's mastery of arithmetic and algebraic calculations. Both demographic and academic variables were examined. For the entire sample, five predictor variables were identified: Mathematics Placement Test score, Chemistry 107 grade (a prerequisite), total number of SI sessions attended, Nelson Denny Reading Test (Form E) score, and age. Predictors for various subpopulations of the sample were also identified. Predictors for students of traditional age were Mathematics Placement Test score, total number of SI sessions attended, and Chemistry 107 grade. The best predictors for continuing education students were Chemistry 107 grade and Nelson Denny Test score.

  15. Learning to classify organic and conventional wheat - a machine-learning driven approach using the MeltDB 2.0 metabolomics analysis platform

    Nikolas eKessler


    Full Text Available We present results of our machine learning approach to the problem of classifying GC-MS data originating from wheat grains of different farming systems. The aim is to investigate the potential of learning algorithms to classify GC-MS data to be either from conventionally grown or from organically grown samples and considering different cultivars. The motivation of our work is rather obvious on the background of nowadays increased demand for organic food in post-industrialized societies and the necessity to prove organic food authenticity. The background of our data set is given by up to eleven wheat cultivars that have been cultivated in both farming systems, organic and conventional, throughout three years. More than 300 GC-MS measurements were recorded and subsequently processed and analyzed in the MeltDB 2.0 metabolomics analysis platform, being briefly outlined in this paper. We further describe how unsupervised (t-SNE, PCA and supervised (RF, SVM methods can be applied for sample visualization and classification. Our results clearly show that years have most and wheat cultivars have second-most influence on the metabolic composition of a sample. We can also show, that for a given year and cultivar, organic and conventional cultivation can be distinguished by machine-learning algorithms.

  16. Learning to Classify Organic and Conventional Wheat - A Machine Learning Driven Approach Using the MeltDB 2.0 Metabolomics Analysis Platform.

    Kessler, Nikolas; Bonte, Anja; Albaum, Stefan P; Mäder, Paul; Messmer, Monika; Goesmann, Alexander; Niehaus, Karsten; Langenkämper, Georg; Nattkemper, Tim W


    We present results of our machine learning approach to the problem of classifying GC-MS data originating from wheat grains of different farming systems. The aim is to investigate the potential of learning algorithms to classify GC-MS data to be either from conventionally grown or from organically grown samples and considering different cultivars. The motivation of our work is rather obvious nowadays: increased demand for organic food in post-industrialized societies and the necessity to prove organic food authenticity. The background of our data set is given by up to 11 wheat cultivars that have been cultivated in both farming systems, organic and conventional, throughout 3 years. More than 300 GC-MS measurements were recorded and subsequently processed and analyzed in the MeltDB 2.0 metabolomics analysis platform, being briefly outlined in this paper. We further describe how unsupervised (t-SNE, PCA) and supervised (SVM) methods can be applied for sample visualization and classification. Our results clearly show that years have most and wheat cultivars have second-most influence on the metabolic composition of a sample. We can also show that for a given year and cultivar, organic and conventional cultivation can be distinguished by machine-learning algorithms. PMID:25853128

  17. Designing fuzzy rule based classifier using self-organizing feature map for analysis of multispectral satellite images

    Pal, Nikhil R; Das, J


    We propose a novel scheme for designing fuzzy rule based classifier. An SOFM based method is used for generating a set of prototypes which is used to generate a set of fuzzy rules. Each rule represents a region in the feature space that we call the context of the rule. The rules are tuned with respect to their context. We justified that the reasoning scheme may be different in different context leading to context sensitive inferencing. To realize context sensitive inferencing we used a softmin operator with a tunable parameter. The proposed scheme is tested on several multispectral satellite image data sets and the performance is found to be much better than the results reported in the literature.

  18. First-line Nurse Managers' Preconditions for Practise : The Important Interplay between Person and Organization

    Skytt, Bernice


    The aim was to study personal and organizational conditions for first-line nurse managers and to identify and assess the skills and abilities important for leadership and management. Interviews were conducted with 5 first-line nurse managers, 5 registered nurses, 5 assistant nurses and one head of department delineating their perceptions of current and ideal roles of first-line nurse managers. Factor analysis was conducted to estimate validity and reliability of the Leadership and Management ...

  19. Classifying organic materials by oxygen-to-carbon elemental ratio to predict the activation regime of cloud condensation nuclei (CCN

    M. Kuwata


    Full Text Available The governing highly soluble, slightly soluble, or insoluble activation regime of organic compounds as cloud condensation nuclei (CCN was examined as a function of oxygen-to-carbon elemental ratio (O : C. New data were collected for adipic, pimelic, suberic, azelaic and pinonic acids. Secondary organic materials (SOMs produced by α-pinene ozonolysis and isoprene photo-oxidation were also included in the analysis. The saturation concentrations C of the organic compounds in aqueous solutions served as the key parameter for delineating regimes of CCN activation, and the values of C were tightly correlated to the O : C ratios. The highly soluble, slightly soluble, and insoluble regimes of CCN activation were found to correspond to ranges of [O : C] > 0.6, 0.2 < [O : C] < 0.6, and [O : C] < 0.2, respectively. These classifications were evaluated against CCN activation data of isoprene-derived SOM (O : C = 0.69–0.72 and α-pinene-derived SOM (O : C = 0.38–0.48. Isoprene-derived SOM had highly soluble activation behavior, consistent with its high O : C ratio. For α-pinene-derived SOM, although CCN activation can be modeled as a highly soluble mechanism, this behavior was not predicted by the O : C ratio, for which a slightly soluble mechanism was anticipated. Complexity in chemical composition, resulting in continuous water uptake and the absence of a deliquescence transition that can thermodynamically limit CCN activation, might explain the differences of α-pinene-derived SOM compared to the behavior of pure organic compounds. The present results suggest that atmospheric particles dominated by hydrocarbon-like organic components do not activate (i.e. insoluble regime whereas those dominated by oxygenated organic components activate (i.e. highly soluble regime.

  20. Classifying organic materials by oxygen-to-carbon elemental ratio to predict the activation regime of Cloud Condensation Nuclei (CCN

    M. Kuwata


    Full Text Available The governing highly soluble, slightly soluble, or insoluble activation regime of organic compounds as cloud condensation nuclei (CCN was examined as a function of oxygen-to-carbon elemental ratio (O : C. New data were collected for adipic, pimelic, suberic, azelaic, and pinonic acids. Secondary organic materials (SOMs produced by α-pinene ozonolysis and isoprene photo-oxidation were also included in the analysis. The saturation concentrations C of the organic compounds in aqueous solutions served as the key parameter for delineating regimes of CCN activation, and the values of C were tightly correlated to the O : C ratios. The highly soluble, slightly soluble, and insoluble regimes of CCN activation were found to correspond to ranges of [O : C] > 0.6, 0.2 < [O : C] < 0.6, and [O : C] < 0.2, respectively. These classifications were evaluated against CCN activation data of isoprene-derived SOM (O : C = 0.69–0.72 and α-pinene-derived SOM (O : C = 0.38–0.48. Isoprene-derived SOM had highly soluble activation behavior, consistent with its high O : C ratio. For α-pinene-derived SOM, although CCN activation can be modeled as a highly soluble mechanism, this behavior was not predicted by the O : C ratio, for which a slightly soluble mechanism was anticipated. Complexity in chemical composition, resulting in continuous water uptake and the absence of a deliquescence transition that can thermodynamically limit CCN activation, might explain the difference in the behavior of α-pinene-derived SOM compared to that of pure organic compounds. The present results suggest that atmospheric particles dominated by hydrocarbon-like organic components do not activate (i.e., insoluble regime whereas those dominated by oxygenated organic components activate (i.e., highly soluble regime for typical atmospheric cloud life cycles.

  1. Partnering with migrant friendly organizations: a case example from a Canadian school of nursing.

    Hickey, Jason; Gagnon, Anita J; Merry, Lisa


    Worldwide immigration to many high-income countries suggests that these countries' health care systems must become responsive to a more diverse population. Experiences working with newly arrived populations can provide healthcare students, professionals, and teachers, with valuable insight into the health and social conditions these newcomers face in both source and receiving countries. One way to gain this experience may be by developing partnerships between schools of nursing in receiving countries and international health organizations working in areas that are major migrant source regions for these countries. In this paper, we use a case example to describe, the process of identifying international, migrant-focused organizations, and the steps involved in developing partnerships with these organizations, for the implementation of a migrant health component in health professional curricula. After creating a set of criteria to evaluate partnership potential, we identified a list of international health organizations with whom we thought a partnership might be possible. Following application of our criteria, future work is being pursued with two organizations. Potential implications of this partnership include benefits to all parties involved that may help us move towards increased population and public health capacity. PMID:19581028

  2. The relationship between South Korean clinical nurses' attitudes toward organizations and voluntary turnover intention: A path analysis.

    Kim, Jong Kyung; Chang, Sun Ju


    The purpose of this study was to examine the relationship between attitudes toward their organizations and voluntary turnover intention among South Korean clinical nurses. Data from a total of 312 clinical nurses in six hospitals in South Korea were collected for the study. Both hierarchical multiple regression analysis and path analysis were used to analyse the data. The overall fit of the hypothetical model was good. Voluntary turnover intention was found to have significant direct pathways to job embeddedness and organizational commitment. Organizational commitment and satisfaction with organizational rewards had indirect pathways to voluntary turnover intention through job embeddedness. All variances explained 62.3% of the voluntary turnover intention scores. The findings suggest that greater job embeddedness, organizational commitment and satisfaction with organizational rewards lead to lower voluntary turnover intention among clinical nurses in South Korea. PMID:24666586

  3. Design, Development, and Psychometric Analysis of a General, Organic, and Biological Chemistry Topic Inventory Based on the Identified Main Chemistry Topics Relevant to Nursing Clinical Practice

    Brown, Corina E.


    This two-stage study focused on the undergraduate nursing course that covers topics in general, organic, and biological (GOB) chemistry. In the first stage, the central objective was to identify the main concepts of GOB chemistry relevant to the clinical practice of nursing. The collection of data was based on open-ended interviews of both nursing…

  4. A Classifier Ensemble of Binary Classifier Ensembles

    Sajad Parvin


    Full Text Available This paper proposes an innovative combinational algorithm to improve the performance in multiclass classification domains. Because the more accurate classifier the better performance of classification, the researchers in computer communities have been tended to improve the accuracies of classifiers. Although a better performance for classifier is defined the more accurate classifier, but turning to the best classifier is not always the best option to obtain the best quality in classification. It means to reach the best classification there is another alternative to use many inaccurate or weak classifiers each of them is specialized for a sub-space in the problem space and using their consensus vote as the final classifier. So this paper proposes a heuristic classifier ensemble to improve the performance of classification learning. It is specially deal with multiclass problems which their aim is to learn the boundaries of each class from many other classes. Based on the concept of multiclass problems classifiers are divided into two different categories: pairwise classifiers and multiclass classifiers. The aim of a pairwise classifier is to separate one class from another one. Because of pairwise classifiers just train for discrimination between two classes, decision boundaries of them are simpler and more effective than those of multiclass classifiers.The main idea behind the proposed method is to focus classifier in the erroneous spaces of problem and use of pairwise classification concept instead of multiclass classification concept. Indeed although usage of pairwise classification concept instead of multiclass classification concept is not new, we propose a new pairwise classifier ensemble with a very lower order. In this paper, first the most confused classes are determined and then some ensembles of classifiers are created. The classifiers of each of these ensembles jointly work using majority weighting votes. The results of these ensembles


    Pratima Brahma


    The present paper investigates the classifiers in Bodo. In Bodo classifiers have function as specific determiner of the physical shape or size, quantity and quality of the noun. Classifiers in Bodo are predominantly of monosyllabic structure. It occurs with numeral and the classifiers precede numeral. The monosyllabic structure may be single verb or simple verb and noun; it functions as classifiers by suffixing numerals. In Bodo, classifier can occur before and after in no...

  6. The global quest for nursing excellence.

    Ferguson, Stephanie L


    In this month's column, Stephanie Ferguson, PhD, RN, FAAN, Director, International Council of Nurses' (ICN) Leadership for Change Programme; Facilitator, ICN Global Nursing Leadership Institute; ICN Consultant for Nursing and Health Policy; and World Health Organization Consultant, provides a perspective on the importance of global nursing excellence and highlights the American Nurses Credentialing Center's strategic global quest for nursing excellence. PMID:24153194

  7. Evaluation of chemical transport model predictions of primary organic aerosol for air masses classified by particle component-based factor analysis

    C. A. Stroud


    Full Text Available Observations from the 2007 Border Air Quality and Meteorology Study (BAQS-Met 2007 in Southern Ontario, Canada, were used to evaluate predictions of primary organic aerosol (POA and two other carbonaceous species, black carbon (BC and carbon monoxide (CO, made for this summertime period by Environment Canada's AURAMS regional chemical transport model. Particle component-based factor analysis was applied to aerosol mass spectrometer measurements made at one urban site (Windsor, ON and two rural sites (Harrow and Bear Creek, ON to derive hydrocarbon-like organic aerosol (HOA factors. A novel diagnostic model evaluation was performed by investigating model POA bias as a function of HOA mass concentration and indicator ratios (e.g. BC/HOA. Eight case studies were selected based on factor analysis and back trajectories to help classify model bias for certain POA source types. By considering model POA bias in relation to co-located BC and CO biases, a plausible story is developed that explains the model biases for all three species.

    At the rural sites, daytime mean PM1 POA mass concentrations were under-predicted compared to observed HOA concentrations. POA under-predictions were accentuated when the transport arriving at the rural sites was from the Detroit/Windsor urban complex and for short-term periods of biomass burning influence. Interestingly, the daytime CO concentrations were only slightly under-predicted at both rural sites, whereas CO was over-predicted at the urban Windsor site with a normalized mean bias of 134%, while good agreement was observed at Windsor for the comparison of daytime PM1 POA and HOA mean values, 1.1 μg m−3 and 1.2 μg m−3, respectively. Biases in model POA predictions also trended from positive to negative with increasing HOA values. Periods of POA over-prediction were most evident at the urban site on calm nights due to an overly-stable model surface layer

  8. Crossmapping of Nursing Problem and Action Statements in Telephone Nursing Consultation Documentations with International Classification for Nursing Practice

    Lee, Hyun Jung; Park, Hyeoun-Ae


    Objectives This study is to cross-map telephone nursing consultation documentations with International Classification for Nursing Practice (ICNP; ver. 1.0 concepts). Methods The narrative telephone nursing consultation documentations of 170 ophthalmology nursing unit patients were analyzed. The nursing statements were examined and cross-mapped with the Korean version of the ICNP ver. 1.0. If all the concepts of a statement were mapped to ICNP concepts, it was classified as 'completely mapped'...

  9. Comparing Burnout Across Emergency Physicians, Nurses, Technicians, and Health Information Technicians Working for the Same Organization.

    Schooley, Benjamin; Hikmet, Neset; Tarcan, Menderes; Yorgancioglu, Gamze


    Studies on the topic of burnout measure the effects of emotional exhaustion (EE), depersonalization (DP) (negative or cynical attitudes toward work), and reduced sense of personal accomplishment (PA). While the prevalence of burnout in practicing emergency medicine (EM) professionals has been studied, little is known of the prevalence and factors across physicians, nurses, technicians, and health information technicians working for the same institution. The aim of this study was to assess burnout differences across EM professional types.The total population of 250 EM professionals at 2 public urban hospitals in Turkey were surveyed using the Maslach Burnout Inventory and basic social- and work-related demographics. Descriptive statistics, ANOVA, and additional post hoc tests were computed.Findings show that EE and DP scores were high across all occupational groups, while scores on PA were low. There was a statistically significant difference between nurses and medical technicians (P < 0.05) for EE; and between physicians and both nurses and medical technicians (P < 0.05) for PA; while no group differences were found for DP. Age, gender, economic well-being, and income level were all significant; while patient load and marital status showed no significance.Burnout can be high across occupational groups in the emergency department. Burnout is important for EM administrators to assess across human resources. Statistically significant differences across socio-demographic groups vary across occupational groups. However, differences between occupational groups may not be explained effectively by the demographic factors assessed in this or other prior studies. Rather, the factors associated with burnout are incomplete and require further institutional, cultural, and organizational analyses including differentiating between job tasks carried out by each EM job type. PMID:26962780

  10. The Mediating Effects of Basic Psychological Needs at Work on the Relationship between the Dimensions of the Learning Organization and Organizational Commitment in Registered Nurses

    Baird, Bonni Lynn


    The purpose of this study was to determine the mediating effects of the Basic Psychological Needs at Work, comprised of competence, autonomy and relatedness, on the relationship between the Dimensions of the Learning Organization and affective and normative organizational commitment in the United States nursing population. The study incorporated…

  11. Dengue—How Best to Classify It

    Srikiatkhachorn, Anon; Rothman, Alan L.; Robert V Gibbons; Sittisombut, Nopporn; Malasit, Prida; Ennis, Francis A.; Nimmannitya, Suchitra; Kalayanarooj, Siripen


    Since the 1970s, dengue has been classified as dengue fever and dengue hemorrhagic fever. In 2009, the World Health Organization issued a new, severity-based clinical classification which differs greatly from the previous classification.

  12. [Aging nurses. Reorganizing work to retain nurses].

    Curchod, Claude


    The nurse population is growing old in most occidental countries. Facing the physical and psychological loud of their job, many nurses aspire to get retired before the legal age. Such a process is likely to increase the present nursing shortage and so to endanger the care access for a part of the population. Different concepts such the Work ability or the Age management have been developed to allow a better response the professionals' needs. Their offer models and tools to redesign the work organization in a way so that nurses would be able to stay at work in good conditions. These approaches require nevertheless a real political and organizational willingness. PMID:22616361

  13. Nursing Leadership.

    Crisp, Carol


    Nurse transformational leaders can serve in academic settings and at local, national, international professional nursing organizations and community-based groups. As a transformational leader, nurses can lead in any workplace. According to a study by Stanley (2012), clinical leaders are not sought for their capacity to outline a vision, but for their values and beliefs on display that are easily recognized in their actions. This encompasses the moral component of transformational leadership. It is the APRNs duty to continue to strive towards a better vision for the well-being of all nurses, patients, and colleagues. Autonomous APRNs are happier, healthier, and better prepared to provide the best patient care to their patients. We should not be happy to sit back and let others fight this fight. APRNs need to be on the frontline, leading the way. This is only an insight that I have gained after many frustrating years of cheering our profession and then being made to feel inferior at the same time. Only nurses, who have that nurturing spirit, would hold back if they felt it might hurt others. Don't back off or hold back! It might hurt those that follow! PMID:27089563

  14. Recognition Using Hybrid Classifiers.

    Osadchy, Margarita; Keren, Daniel; Raviv, Dolev


    A canonical problem in computer vision is category recognition (e.g., find all instances of human faces, cars etc., in an image). Typically, the input for training a binary classifier is a relatively small sample of positive examples, and a huge sample of negative examples, which can be very diverse, consisting of images from a large number of categories. The difficulty of the problem sharply increases with the dimension and size of the negative example set. We propose to alleviate this problem by applying a "hybrid" classifier, which replaces the negative samples by a prior, and then finds a hyperplane which separates the positive samples from this prior. The method is extended to kernel space and to an ensemble-based approach. The resulting binary classifiers achieve an identical or better classification rate than SVM, while requiring far smaller memory and lower computational complexity to train and apply. PMID:26959677

  15. Dynamic system classifier

    Pumpe, Daniel; Müller, Ewald; Enßlin, Torsten A


    Stochastic differential equations describe well many physical, biological and sociological systems, despite the simplification often made in their derivation. Here the usage of simple stochastic differential equations to characterize and classify complex dynamical systems is proposed within a Bayesian framework. To this end, we develop a dynamic system classifier (DSC). The DSC first abstracts training data of a system in terms of time dependent coefficients of the descriptive stochastic differential equation. Thereby the DSC identifies unique correlation structures within the training data. For definiteness we restrict the presentation of DSC to oscillation processes with a time dependent frequency {\\omega}(t) and damping factor {\\gamma}(t). Although real systems might be more complex, this simple oscillator captures many characteristic features. The {\\omega} and {\\gamma} timelines represent the abstract system characterization and permit the construction of efficient signal classifiers. Numerical experiment...

  16. Nursing Supplies

    ... Stages Listen Español Text Size Email Print Share Nursing Supplies Page Content Article Body Throughout most of ... budget. (Nursing equipment also makes wonderful baby gifts.) Nursing Bras A well-made nursing bra that comfortably ...

  17. Classifying Returns as Extreme

    Christiansen, Charlotte


    I consider extreme returns for the stock and bond markets of 14 EU countries using two classification schemes: One, the univariate classification scheme from the previous literature that classifies extreme returns for each market separately, and two, a novel multivariate classification scheme tha...

  18. Classifying Cereal Data

    The DSQ includes questions about cereal intake and allows respondents up to two responses on which cereals they consume. We classified each cereal reported first by hot or cold, and then along four dimensions: density of added sugars, whole grains, fiber, and calcium.

  19. Nursing: What's a Nurse Practitioner?

    ... nurses, or APNs) have a master's degree in nursing (MS or MSN) and board certification in their ... Nurse Practitioners (NAPNAP) and through local hospitals or nursing schools. In addition, many doctors share office space ...

  20. Intelligent Garbage Classifier

    Ignacio Rodríguez Novelle


    Full Text Available IGC (Intelligent Garbage Classifier is a system for visual classification and separation of solid waste products. Currently, an important part of the separation effort is based on manual work, from household separation to industrial waste management. Taking advantage of the technologies currently available, a system has been built that can analyze images from a camera and control a robot arm and conveyor belt to automatically separate different kinds of waste.

  1. Intelligent Garbage Classifier

    Ignacio Rodríguez Novelle; Javier Pérez Cid; Alvaro Salmador


    IGC (Intelligent Garbage Classifier) is a system for visual classification and separation of solid waste products. Currently, an important part of the separation effort is based on manual work, from household separation to industrial waste management. Taking advantage of the technologies currently available, a system has been built that can analyze images from a camera and control a robot arm and conveyor belt to automatically separate different kinds of waste.

  2. Classifier in Age classification

    B. Santhi; R.Seethalakshmi


    Face is the important feature of the human beings. We can derive various properties of a human by analyzing the face. The objective of the study is to design a classifier for age using facial images. Age classification is essential in many applications like crime detection, employment and face detection. The proposed algorithm contains four phases: preprocessing, feature extraction, feature selection and classification. The classification employs two class labels namely child and Old. This st...

  3. Classified Stable Matching

    Huang, Chien-Chung


    We introduce the {\\sc classified stable matching} problem, a problem motivated by academic hiring. Suppose that a number of institutes are hiring faculty members from a pool of applicants. Both institutes and applicants have preferences over the other side. An institute classifies the applicants based on their research areas (or any other criterion), and, for each class, it sets a lower bound and an upper bound on the number of applicants it would hire in that class. The objective is to find a stable matching from which no group of participants has reason to deviate. Moreover, the matching should respect the upper/lower bounds of the classes. In the first part of the paper, we study classified stable matching problems whose classifications belong to a fixed set of ``order types.'' We show that if the set consists entirely of downward forests, there is a polynomial-time algorithm; otherwise, it is NP-complete to decide the existence of a stable matching. In the second part, we investigate the problem using a p...

  4. Lived Experiences of Iranian Nurses Caring for Brain Death Organ Donor Patients: Caring as “Halo of Ambiguity and Doubt”

    Keshtkaran, Zahra; Sharif, Farkhondeh; Navab, Elham; Gholamzadeh, Sakineh


    Background: Brain death is a concept in which its criteria have been expressed as documentations in Harvard Committee of Brain Death. The various perceptions of caregiver nurses for brain death patients may have effect on the chance of converting potential donors into actual organ donors. Objective: The present study has been conducted in order to perceive the experiences of nurses in care-giving to the brain death of organ donor patients. Methods: This qualitative study was carried out by means of Heidegger’s hermeneutic phenomenology. Eight nurses who have been working in ICU were interviewed. The semi-structured interviews were recorded by a tape-recorder and the given texts were transcribed and the analyses were done by Van-Mannen methodology and (thematic) analysis. Results: One of the foremost themes extracted from this study included ‘Halo of ambiguity and doubt’ that comprised of two sub-themes of ‘having unreasonable hope’ and ‘Conservative acceptance of brain death’. The unreasonable hope included lack of trust (uncertainty) in diagnosis and verification of brain death, passing through denial wall, and avoidance from explicit and direct disclosure of brain death in patients’ family. In this investigation, the nurses were involved in a type of ambiguity and doubt in care-giving to the potentially brain death of organ donor patients, which were also evident in their interaction with patients’ family and for this reason, they did not definitely announce the brain death and so far they hoped for treatment of the given patient. Such confusion and hesitance both caused annoyance of nurses and strengthening the denial of patients’ family to be exposed to death. Conclusion: The results of this study reveal the fundamental perceived care-giving of brain death in organ donor patients and led to developing some strategies to improve care-giving and achievement in donation of the given organ and necessity for presentation of educational and

  5. Value of Consensual Ratings in Differentiating Organic and Functional Low Back Pain.

    Donham, Greg W.; And Others


    Evaluated 40 low back pain patients by a multidisciplinary team to identify the behavioral characteristics associated with functional and organic determinants of pain. Results indicated that behavioral observations of the orthopedists and the nursing staff revealed contrasting patterns of behavior for those patients classified as organic or…

  6. Transforming the image of nursing: the evidence for assurance.

    Wocial, Lucia D; Sego, Kelly; Rager, Carrie; Laubersheimer, Shellee; Everett, Linda Q


    A nurse's uniform influences perceptions about nursing practice and thus contributes significantly to the overall image of a nurse. A nurse's uniform also can represent the brand of an organization, the tangible and intangible attributes that distinguish an organization from its competitors. The rebranding of a major health care system provided a unique opportunity to refine the "image of nurses" within the organization. This article describes the planning, evidence gathering, and implementation of a major initiative to promote professional nursing practice. PMID:25350017

  7. Toward an Unambiguous Profession: A Review of Nursing. Health Administration Perspectives No. A6.

    Anderson, Odin W.

    National data on nurses and nursing are organized into the following sections: (1) The Nursing Profession and Society, (2) The Structure and Nature of the Nursing Profession, with subsections on nursing in the general hospital and related facilities, nursing in the mental hospital and related facilities, community nursing, occupational health…

  8. Doctoral specialization in nursing informatics.

    Gassert, C. A.; Mills, M. E.; Heller, B R


    A prototype program of doctoral study has been developed at the University of Maryland School of Nursing to prepare students with nursing expertise in the conceptualization and research of computer based information systems in hospitals, industry and other health care organizations. The graduate will be prepared to design effective nursing information systems; create innovative information technology; conduct research regarding integration of technology with nursing practice, administration, ...

  9. Iranian senior nursing managers’ experiences and understanding of social capital in the nursing profession

    Manoochehri, Houman; Lolaty, Hamideh Azimi; Hassani, Parkhideh; Arbon, Paul; Shorofi, Seyed Afshin


    Background: This study aimed to explore the role of social capital within the context of the nursing profession in Iran, based on the experience and perspectives of senior nursing managers. Materials and Methods: The study was conducted using the Graneheim and Lundman content analysis method. Using purposive sampling, 26 senior nursing managers from the Ministry of Health and Medical Education, the College of Nursing and Midwifery, the Iranian Nursing Organization, nursing associations and ho...

  10. Nursing, Nursing Education, and Anxiety.

    Biggers, Thompson; And Others

    In response to the current crisis in the field of nursing, a study examined nursing students' perceived work-related stress and differences among associate degree, diploma, and baccalaureate nursing programs in their preparation of nursing students. The 171 subjects, representing the three different nursing programs, completed a questionnaire…

  11. Nursing Positions

    ... Story" 5 Things to Know About Zika & Pregnancy Nursing Positions KidsHealth > For Parents > Nursing Positions Print A ... and actually needs to feed. Getting Comfortable With Breastfeeding Nursing can be one of the most challenging ...

  12. The aging nursing workforce: How to retain experienced nurses.

    Cohen, Jeremye D


    In the face of an anticipated nursing shortage, healthcare organizations must evaluate their culture, operations, and compensation system to ensure that these elements align with organizational efforts to retain nurses who are approaching retirement age. Management should focus on enhancing elements of job satisfaction and job embeddedness that will motivate nurses to remain both in the workforce and with their employer. Although much of this responsibility falls on the nurse manager, nurse managers are often not provided the necessary support by top management and are neither recognized nor held accountable for nurse turnover. Other retention initiatives can include altering working conditions to reduce both physical and mental stress and addressing issues of employee health and safety. As for compensation, organizations may be well-served by offering senior nursing staff flexible working hours, salary structures that reward experience, and benefit programs that hold value for an aging workforce. PMID:16916117

  13. Conflictos en las instituciones de salud: desafío necesario al trabajo del enfermero Conflicts in health organizations: a necessary challenge to nurse's work

    Bruna Parnov Machado


    Full Text Available Objetivo: estimular la búsqueda del conocimiento relativo a la enfermería en la gestión de conflictos en las instituciones de salud. Metodología: Se propone una reflexión teórica sobre los conflictos en las instituciones de salud, específicamente en relación al diario laboral del enfermero. Resultados: El conflicto está presente en las instituciones, independientemente del área de actuación. En el cotidiano laboral del enfermero, son muchas las situaciones que generan conflictos, sean los de carácter intrapersonal, interpersonal o intergrupal. Conclusión: Desde el punto de vista de la reflexión teórica, se considera que los conflictos representan un desafío necesario al trabajo del enfermero y deben ser comprendidos y transformados en factor de crecimiento y desarrollo de los equipos de salud.Objective: The objective is to instigate the search for knowledge on the nursing at conflict management inside the health services. Methods: This study is a theoretical reflexion about the conflicts in health organizations, specifically in the nursing daily labor. Results: In some way conflict is present in the organizations, independent of field. In the nurse's daily labor are many conflictual situations, whether they be intrapersonal, interpersonal or intergroup. Conclusions: It is therefore that conflicts represent a necessary challenge to nurse's work and should be understood and turned in factor of growth and development of health teams.

  14. Nursing: Registered Nurses

    ... nurses for jobs in health planning and development, marketing, consulting, policy development, and quality assurance. Some RNs ... workers was $36,200. Recommend this page using: Facebook Twitter LinkedIn tools Areas at a Glance Industries ...

  15. 责任制模式下护理团队的组织与管理分析%Analysis of Nursing Team Organization and Management Responsibility System



    In the operation of the hospital nursing team occupies a very important position, the management team of the organization construction and management quality also directly affects the hospital nursing work, so the organization and management of the responsibility system of nursing team to conduct in-depth research also has a very important signiifcance. The responsibility system, the holistic nursing team management mode can be more reasonable to consider technical grade hospitals today ignore the resources and the nursing staff, to take charge of the form, that is to say, according to neglect their own employment level and business level and the patient's condition number will be patient factors such as team a framework for the core indicator importantly, and between teams to form a tacit understanding, the only way to better improve team work quality and efifciency.%在医院的运营中护理团队占据着非常重要的位置,管理团队的组织建设和管理质量也直接影响到了医院护理工作的正常开展,所以对责任制度下护理团队的组织和管理进行深入的研究也有着非常重要的意义。责任制度下,整体护理的团队管理模式可以更加合理的考虑到当今医院的忽视资源以及护理人员的技术等级,采取分管的形式,护理团队中的每一个成员都要根据自己在团队中的职位和职责进行科学的分工,做到责任落实到人能更好的提高团队的工作质量和工作效率。

  16. Nurse managers as transformational and transactional leaders.

    McGuire, Elaine; Kennerly, Susan M


    Nurse managers demonstrating transformational leadership are more likely than transactional leaders to have committed staff nurse followers. Committed followers exert extra effort, thus improving unit performance and enhancing the organization's competitive advantage. PMID:16967888

  17. Reassessing nurse aide job satisfaction in a Texas nursing home.

    Thompson, Mark A; Horne, Kathleen K; Huerta, Timothy R


    This article reports a study that replicates and extends Castle's 2007 study by examining factors related to satisfaction of nurse aides at Carillon House, a 120-bed nonprofit skilled nursing facility in Lubbock, Texas. The Nursing Home Nurse Aide Job Satisfaction Questionnaire was adapted to allow for the collection of qualitative responses and administered to the nursing staff. The results suggest that satisfaction among nurse aides is related to rewards, workload, and the team environment created among coworkers. These findings differ from what is generally found in the literature and may be related to the higher-than-average satisfaction rating of nurse aides at this facility. The study provides evidence that large-scale surveys may have ignored a stratified effect where higher satisfaction organizations have different driving forces than what has been demonstrated in the literature to date. PMID:21634313

  18. Comparative Analysis of Classifier Fusers

    Marcin Zmyslony


    Full Text Available There are many methods of decision making by an ensemble of classifiers. The most popular are methods that have their origin in voting method, where the decision of the common classifier is a combination of individual classifiers’ outputs. This work presents comparative analysis of some classifier fusion methods based on weighted voting of classifiers’ responses and combination of classifiers’ discriminant functions. We discus different methods of producing combined classifiers based on weights. We show that it is notpossible to obtain classifier better than an abstract model of committee known as an Oracle if it is based only on weighted voting but models based on discriminant function or classifier using feature values and class numbers could outperform the Oracle as well. Delivered conclusions are confirmed by the results of computer experiments carried out on benchmark and computer generated data.

  19. Comparative Analysis of Classifier Fusers

    Marcin Zmyslony


    Full Text Available There are many methods of decision making by an ensemble of classifiers. The most popular are methods that have their origin in voting method, where the decision of the common classifier is a combination of individual classifiers’ outputs. This work presents comparative analysis of some classifier fusion methods based on weighted voting of classifiers’ responses and combination of classifiers’ discriminant functions. We discus different methods of producing combined classifiers based on weights. We show that it is not possible to obtain classifier better than an abstract model of committee known as an Oracle if it is based only on weighted voting but models based on discriminant function or classifier using feature values and class numbers could outperform the Oracle as well. Delivered conclusions are confirmed by the results of computer experiments carried out on benchmark and computer generated data.

  20. Feature Selection and Effective Classifiers.

    Deogun, Jitender S.; Choubey, Suresh K.; Raghavan, Vijay V.; Sever, Hayri


    Develops and analyzes four algorithms for feature selection in the context of rough set methodology. Experimental results confirm the expected relationship between the time complexity of these algorithms and the classification accuracy of the resulting upper classifiers. When compared, results of upper classifiers perform better than lower…

  1. Use Restricted - Classified information sharing, case NESA

    El-Bash, Amira


    This Thesis is written for the Laurea University of Applied Sciences under the Bachelor’s Degree in Security Management. The empirical research of the thesis was supported by the National Emergency Supply Agency as a CASE study, in classified information sharing in the organization. The National Emergency Supply Agency was chosen for the research because of its social significance and distinctively wide operation field. Being one of the country’s administrator’s actors, its range of tasks in ...

  2. Utilization of an Academic Nursing Center.

    Cole, Frank L.; Mackey, Thomas


    Using data from an academic nursing center that cared for 3,263 patients over eight months, diseases were classified using International Classification of Diseases codes, and procedures were classified using Current Procedural Terminology codes. Patterns of health care emerged, with implications for clinical teaching. (SK)

  3. Nursing Home Checklist

    Nursing home checklist Name of nursing home: ____________________________________________________ Address: ________________________________________________________________ Phone number: __________________________________________________________ Date of visit: _____________________________________________________________ Basic information Yes No Notes Is the nursing home Medicare certified? Is the nursing ...

  4. Nursing Dynamics

    Rosemarie Troskie


    Full Text Available Prof. Marie Muller is the Chairperson of the Department of Nursing at the Rand Afrikaans University where she has been teaching the subject Nursing Administration and Nursing Dynamics for more than fourteen years. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  5. Evaluation of a nurse leadership development programme.

    West, Margaret; Smithgall, Lisa; Rosler, Greta; Winn, Erin


    The challenge for nursing leaders responsible for workforce planning is to predict the knowledge, skills and abilities required to lead future healthcare delivery systems effectively. Succession planning requires a constant, competitive pool of qualified nursing leader candidates, and retention of those interested in career growth. Formal nursing leadership education in the United States is available through graduate education and professional nursing organisation programmes, such as the Emerging Nurse Leader Institute of the American Organization of Nurse Executives. However, there is also a need for local development programmes tailored to the needs of individual organisations. Leaders at Geisinger Health System, one of the largest rural health systems in the US, identified the need for an internal professional development scheme for nurses. In 2013 the Nurses Emerging as Leaders programme was developed to prepare nurse leaders for effective leadership and successful role transition. This article describes the programme and an evaluation of its effectiveness. PMID:26927790

  6. The value of nursing: a literature review.

    Horton, Khim; Tschudin, Verena; Forget, Armorel


    This article is part of a wider study entitled Value of Nursing, and contains the literature search from electronic databases. Key words for the search included 'values of nursing', 'values in nursing', 'organisational values' and 'professional identity'. Thirty-two primary reports published in English between 2000 and 2006 were identified. The findings highlight the importance of understanding values and their relevance in nursing and how values are constructed. The value of nursing is seen to be influenced by cultural change, globalization, and advancement in technology and medicine. These factors are crucial in providing a more structured and measured view of what nursing is, which will result in greater job satisfaction among nurses, better nurse retention and enhanced patient care within a supportive and harmonious organization. The findings of this review have implications for policy makers in recruitment and retention in determining the global value of nursing. PMID:17901183

  7. Classified

    Computer Security Team


    In the last issue of the Bulletin, we have discussed recent implications for privacy on the Internet. But privacy of personal data is just one facet of data protection. Confidentiality is another one. However, confidentiality and data protection are often perceived as not relevant in the academic environment of CERN.   But think twice! At CERN, your personal data, e-mails, medical records, financial and contractual documents, MARS forms, group meeting minutes (and of course your password!) are all considered to be sensitive, restricted or even confidential. And this is not all. Physics results, in particular when being preliminary and pending scrutiny, are sensitive, too. Just recently, an ATLAS collaborator copy/pasted the abstract of an ATLAS note onto an external public blog, despite the fact that this document was clearly marked as an "Internal Note". Such an act was not only embarrassing to the ATLAS collaboration, and had negative impact on CERN’s reputation --- i...

  8. Bringing nursing to the public.

    Kazis, Cornelia; Schwendimann, René


    For the past 5 years, an unusual program has been evolving in the University of Basel's Institute of Nursing Science master's program in Basel, Switzerland. A special course designed to help nurses master public communication skills requires students to play the roles of journalist, exhibition curator, conference organizer, radio reporter, and news producer. Two faculty members, an experienced radio and newspaper journalist and a nurse scientist, teach and support the students. By developing their competence in media relations, participants prepare themselves to tackle the course's long-term goal of bringing the nursing profession into the public eye. PMID:19731893

  9. Nursing leadership in the boardroom.

    Thorman, Kathleen E


    It is critical that nurse leaders, including chief nurse executives and service line directors, be part of the institutional decision-making process about resource allocation, strategic direction, and planning for the future. Nurse leaders can use numerous strategies to influence decisions made in the boardroom that affect the women's service line, including perinatal and women's health. These strategies include building on the importance of women's services to the organization, working in collaboration with senior leaders and key physician leaders, marketing, and reaching out to governing boards with information. Nurse leaders must continue to prepare for the future to thrive in the increasingly complex health care environment. PMID:15180202

  10. American Nurses Association Nursing World

    ... Annual Conference Join » Care Coordination: Capitalizing on the Nursing Role in Population Health --Register Now ! For more ... ANA » My ANA » Shop » ANA Nursing Knowledge Center Nursing Insider News 09/15/16 ANA’s Webinar Series: ...

  11. Nurse Manager Competencies Supporting Patient Engagement.

    Deyo, Patricia; Swartwout, Ellen; Drenkard, Karen


    Patient engagement is an important element in transitioning care delivery to achieve population health management goals. Providers are challenged to develop care delivery processes that better engage patients in their life journey across the healthcare continuum. Nurse leaders are central to this process. Building upon the American Organization of Nurse Executives competencies for nurse executives, the nurse manager role requires specific skills to translate the vision of patient engagement into practice. PMID:26906688

  12. Legal Considerations of Psychiatric Nursing Practice.

    Barloon, Linda Funk; Hilliard, Wanda


    There are major legal issues that affect psychiatric nursing and guidelines for practicing in a legal and responsible manner. Advances in understanding of psychiatric conditions and developments in how nurses care for psychiatric patients result in changes in regulations, case law, and policies that govern nursing practice. Professional development, keeping abreast of current research and literature regarding clinical practice and trends, and involvement in professional organizations are some of the ways that psychiatric nurses can meet the challenges of their profession. PMID:27229273

  13. Estimation of the dose to the nursing infant due to direct irradiation from activity present in maternal organs and tissues

    Radionuclides deposited internally in the mother will give rise to a radiation dose in the infant in two ways. The radionuclides may be transferred through milk and give rise to an internal dose in the infant, or the radionuclides may emit photons that are absorbed by the infant, giving rise to an external dose. In this paper, the external dose to the newborn infant caused by direct irradiation was estimated for monoenergetic photons. Voxel models (also called voxel phantoms) of the mother and infant were made in three geometries. These models, consisting of volume elements, or voxels, were designed so that the infant model was placed in the lap, at the breast and on the shoulder of the mother model. The Visual Monte Carlo (VMC) code was used to transport the photons through the voxel models. Source regions for the emitted photons, such as the whole body, the thyroid, the lung, the liver and the skeleton, were chosen. For the validation of the calculation procedure, VMC results were favourably compared with the results obtained by using other Monte Carlo programs and also with the previously published results for specific absorbed fractions. This paper provides estimates of the external dose per photon to the infant for photon energies between 0.05 and 2.5 MeV. The external dose per photon estimates were made for the three geometries and for the sources listed above. The results show that, for the geometry of the nursing infant model at the breast, the highest dose to the infant per photon comes from radionuclides deposited in the mother's liver. For the nursing infant model at the shoulder, the highest dose to the infant per photon comes from radionuclides deposited in the mother's thyroid, and for the nursing infant model in the lap, the highest dose to the infant per photon comes from radionuclides deposited uniformly in the whole body. The dose per photon results were then used to estimate the dose an infant might receive over the lactation period (6 months

  14. Disassembly and Sanitization of Classified Matter

    The Disassembly Sanitization Operation (DSO) process was implemented to support weapon disassembly and disposition by using recycling and waste minimization measures. This process was initiated by treaty agreements and reconfigurations within both the DOD and DOE Complexes. The DOE is faced with disassembling and disposing of a huge inventory of retired weapons, components, training equipment, spare parts, weapon maintenance equipment, and associated material. In addition, regulations have caused a dramatic increase in the need for information required to support the handling and disposition of these parts and materials. In the past, huge inventories of classified weapon components were required to have long-term storage at Sandia and at many other locations throughout the DoE Complex. These materials are placed in onsite storage unit due to classification issues and they may also contain radiological and/or hazardous components. Since no disposal options exist for this material, the only choice was long-term storage. Long-term storage is costly and somewhat problematic, requiring a secured storage area, monitoring, auditing, and presenting the potential for loss or theft of the material. Overall recycling rates for materials sent through the DSO process have enabled 70 to 80% of these components to be recycled. These components are made of high quality materials and once this material has been sanitized, the demand for the component metals for recycling efforts is very high. The DSO process for NGPF, classified components established the credibility of this technique for addressing the long-term storage requirements of the classified weapons component inventory. The success of this application has generated interest from other Sandia organizations and other locations throughout the complex. Other organizations are requesting the help of the DSO team and the DSO is responding to these requests by expanding its scope to include Work-for- Other projects. For example

  15. Nursing: Licensed Practical and Licensed Vocational Nurses

    ... LPNs) and licensed vocational nurses (LVNs) provide basic nursing care. They work under the direction of registered ... licensed vocational nurses work in many settings, including nursing homes and extended care facilities, hospitals, physicians’ offices, ...

  16. Al-Hadith Text Classifier

    Mohammed Naji Al-Kabi; Ghassan Kanaan; Riyad Al-Shalabi; Saja I. Al- Sinjilawi; Ronza S. Al- Mustafa


    This study explore the implementation of a text classification method to classify the prophet Mohammed (PBUH) hadiths (sayings) using Sahih Al-Bukhari classification. The sayings explain the Holy Qur`an, which considered by Muslims to be the direct word of Allah. Present method adopts TF/IDF (Term Frequency-Inverse Document Frequency) which is used usually for text search. TF/IDF was used for term weighting, in which document weights for the selected terms are computed, to classify non-vocali...

  17. 3D Bayesian contextual classifiers

    Larsen, Rasmus


    We extend a series of multivariate Bayesian 2-D contextual classifiers to 3-D by specifying a simultaneous Gaussian distribution for the feature vectors as well as a prior distribution of the class variables of a pixel and its 6 nearest 3-D neighbours.......We extend a series of multivariate Bayesian 2-D contextual classifiers to 3-D by specifying a simultaneous Gaussian distribution for the feature vectors as well as a prior distribution of the class variables of a pixel and its 6 nearest 3-D neighbours....

  18. About Critical Care Nursing

    ... requiring intense and vigilant nursing care. Number of Critical Care Nurses in the United States According to "The Registered ... nurses who work in a hospital setting. Where Critical Care Nurses Work According to "The Registered Nurse Population" study, ...

  19. Nurse educators establishing new venues in global nursing education.

    Shishani, Kawkab; Allen, Carol; Shubnikov, Eugene; Salman, Khlood; Laporte, Ronald E; Linkov, Faina


    Nurses represent the largest number of health care workers worldwide, but they are currently underutilized for global health practices. This may be due to the fact that global health programs are not incorporated in nursing education in many countries. The World Health organization (WHO) recognized the importance of building capacity and having well-prepared nurses who are able to exchange knowledge and expertise worldwide, but did not offer practical solutions. A nursing Super course recognizes the gap between what WHO advocates for and what needs to be done in nursing education to achieve well prepared nurses. A solution suggested is to develop well-structured contents that are applicable and can be shared among nursing programs worldwide. A nursing Supercourse is proposed to provide lectures prepared by expert nursing educators and researchers in global health. The nursing Supercourse has emerged from the parent Supercourse that is a virtual library of lectures developed by world experts in public health and medicine. It represents a global library of over 4,300 public health and medical lectures and a network of over 56,000 public health professionals in 174 countries of the world. These lectures are written in different languages, prepared in easy format, and can be accessed through the internet. In other words does not require the usage of any advanced technology. The Supercourse educational technology has been used successfully in Epidemiology education focusing on multiple topics in public health such as non- communicable disease prevention (NCD), chronic diseases, disaster preparedness, environmental health, and others. Training of nursing students in global health while there are attending nursing programs needs to be a part of the national and international health efforts for disease prevention and health promotion. PMID:22459145

  20. Analysis of the Implementation of Organ Donation Families in"Nursing pathway"in Patients with Brain Death%"护理路径"在脑死亡患者捐献器官家属中的实施

    赵丹丹; 高蕾


    Objective To explore the observation about a comprehensive analysis that hospitalapply Liverpool nursing path organ in brain death patients with organ donation wil ingness.Mathods To apply this nursing path in twenty brain death patients was in our hospital from January to December 2012.Group randomly two groups. observation group (Liverpool nursing path group)has 11 cases,control group (routine nursing path group)has 9 cases.To observe related data about the complete degree of organ preservation between two groups,and patient'family about nursing satisfacion.Make a comprehensive analysis.Results Organ preserving rate was 90.9%in observation group,nunursing satisfacion was 100%.Organ preserving rate was 66.7%in control group,nunursing satisfacion was 55.6%.Observation group the indicators are the bet er than control group.Differences are statistical y significant ( <0.05).Conclusion Application of Liverpool nursing path in brain death patients with organ donation wil ingness,which has achieved good clinical ef ect.Improve the care of dying patients.Strengthen the patient'family for nursing satisfacion.Demonstrate the important position and advantage in nursing work flow.The Liverpool nursing path is worth the clinical promotion,is practical and feasible nursing methods.Improve comprehensive nursing quality.%目的探讨观察"护理路径"在有器官移植捐献意愿的脑死亡患者中的应用进行综合分析。方法对2012年1月~12月入住的20例脑死亡患者的进行护理,随机分组,观察组(护理路径组)11例和对照组(常规护理路径组)9例,观察两组患者护理后器官保存的完整程度,及患者家属对于护理的满意度等相关资料,进行综合分析。结果观察组,器官完整保存率为院90.9%,护理满意度100%,对照组器官完整保存率为院66.7%,护理满意度55.6%,观察组各项指标均优于对照组,差异有统计学意义(<0.05)。结论"利物浦护理路径"在有器官


    The report describes a test in which aluminum cans recovered from municipal waste, together with known amounts of contaminant, were processed by a 'zig-zag' vertical air classifier to remove aerodynamically light contaminant. Twelve test runs were conducted; the proportions of co...

  2. Addressing the Elephant in the Room: Nurse Manager Recognition of and Response to Nurse-to-Nurse Bullying.

    Gilbert, Rebecca T; Hudson, John S; Strider, David


    Health care bullying is a pervasive, underestimated, and underreported problem that results in poor outcomes for staff, patients, and health care organizations. The most common form of health care bullying occurs between nurses. Nurse managers hold an important role in the prevention and elimination of frontline nurse-to-nurse bullying. An anonymous Web-based survey was conducted to uncover what behaviors nurse managers perceive as bullying and how they respond to bullying acts. Respondents who had witnessed or been victimized by bullying were more apt to identify bullying and those who had been victimized or supervised nurses for more than 20 years were more prone to act upon bullying behaviors. There was only a moderate correlation between the identification of and response to bullying behaviors. Finally, overt bullying elicited a stronger response for intervention than covert bullying. Although nurse managers are well positioned to prevent and eliminate nurse-to-nurse bullying, they may not recognize it and often lack the skills and support necessary to address it. Decreases in nurse-to-nurse bullying reduce health care costs, improve nurse and patient satisfaction, and enhance patient outcomes. Therefore, nurse managers at all levels need education and support to ensure proper identification of bullying and, furthermore, to prevent and eliminate the behaviors. PMID:27259133

  3. Knowledge Uncertainty and Composed Classifier

    Klimešová, Dana; Ocelíková, E.


    Roč. 1, č. 2 (2007), s. 101-105. ISSN 1998-0140 Institutional research plan: CEZ:AV0Z10750506 Keywords : Boosting architecture * contextual modelling * composed classifier * knowledge management , * knowledge * uncertainty Subject RIV: IN - Informatics, Computer Science

  4. Correlation Dimension-Based Classifier

    Jiřina, Marcel; Jiřina jr., M.


    Roč. 44, č. 12 (2014), s. 2253-2263. ISSN 2168-2267 R&D Projects: GA MŠk(CZ) LG12020 Institutional support: RVO:67985807 Keywords : classifier * multidimensional data * correlation dimension * scaling exponent * polynomial expansion Subject RIV: BB - Applied Statistics, Operational Research Impact factor: 3.469, year: 2014

  5. Reference Sources for Nursing

    Nursing Outlook, 1976


    The ninth revision (including a Canadian supplement) of a list of nursing reference works lists items in the following sections: abstract journals, audiovisuals, bibliographies, dictionaries, directories, drug lists and pharmacologies, educational programs, histories, indexes, legal guides, library administration and organization, research grants,…

  6. A Cyclical Nurse Schedule Using Goal Programming

    Ruzzakiah Jenal


    Full Text Available Scheduling is a very tedious task in organizations where duty is around the clock. Constructing timetable for nurses in hospital is one of the challenging jobs for the head nurse or nurse manager. It requires a lot of time to spend for generating a good and fair timetable. Thus, in this study, we propose a cyclical nurse scheduling model using a 0-1 goal programming that would help the head nurse or nurse manager to have less effort on building new schedules periodically. The proposed model satisfies the stated hospital’s policies and the nurses’ preferences. The result obtained from this model gives an optimal solution where all goals are achieved. The model also provides an unbiased way of scheduling the nurses and thus leads to an overall higher satisfaction and fairness to the nurses and the hospital management.

  7. Classifying unstructured text using structured training instances and ensemble classifiers

    Lianos, Andreas; Yang, Yanyan


    Typical supervised classification techniques require training instances similar to the values that need to be classified. This research proposes a methodology that can utilize training instances found in a different format. The benefit of this approach is that it allows the use of traditional classification techniques, without the need to hand-tag training instances if the information exists in other data sources. The proposed approach is presented through a practical classification applicati...

  8. Nursing informatics and nursing ethics

    Kaltoft, Mette Kjer


    All healthcare visions, including that of The TIGER (Technology-Informatics-Guiding-Educational-Reform) Initiative envisage a crucial role for nursing. However, its 7 descriptive pillars do not address the disconnect between Nursing Informatics and Nursing Ethics and their distinct communities......-of-(care)-decision. Increased pressure for translating 'evidence-based' research findings into 'ethically-sound', 'value-based' and 'patient-centered' practice requires rethinking the model implicit in conventional knowledge translation and informatics practice in all disciplines, including nursing. The aim is to aid 'how...... nurses and other health care scientists more clearly identify clinical and other relevant data that can be captured to inform future comparative effectiveness research. 'A prescriptive, theory-based discipline of '(Nursing) Decisionics' expands the Grid for Volunteer Development of TIGER's newly launched...

  9. Harmonising Nursing Terminologies Using a Conceptual Framework.

    Jansen, Kay; Kim, Tae Youn; Coenen, Amy; Saba, Virginia; Hardiker, Nicholas


    The International Classification for Nursing Practice (ICNP®) and the Clinical Care Classification (CCC) System are standardised nursing terminologies that identify discrete elements of nursing practice, including nursing diagnoses, interventions, and outcomes. While CCC uses a conceptual framework or model with 21 Care Components to classify these elements, ICNP, built on a formal Web Ontology Language (OWL) description logic foundation, uses a logical hierarchical framework that is useful for computing and maintenance of ICNP. Since the logical framework of ICNP may not always align with the needs of nursing practice, an informal framework may be a more useful organisational tool to represent nursing content. The purpose of this study was to classify ICNP nursing diagnoses using the 21 Care Components of the CCC as a conceptual framework to facilitate usability and inter-operability of nursing diagnoses in electronic health records. Findings resulted in all 521 ICNP diagnoses being assigned to one of the 21 CCC Care Components. Further research is needed to validate the resulting product of this study with practitioners and develop recommendations for improvement of both terminologies. PMID:27332245

  10. Aggregation Operator Based Fuzzy Pattern Classifier Design

    Mönks, Uwe; Larsen, Henrik Legind; Lohweg, Volker


    This paper presents a novel modular fuzzy pattern classifier design framework for intelligent automation systems, developed on the base of the established Modified Fuzzy Pattern Classifier (MFPC) and allows designing novel classifier models which are hardware-efficiently implementable. The...

  11. 75 FR 705 - Classified National Security Information


    ... Executive Order 13526--Classified National Security Information Memorandum of December 29, 2009--Implementation of the Executive Order ``Classified National Security Information'' Order of December 29, 2009... ] Executive Order 13526 of December 29, 2009 Classified National Security Information This order prescribes...

  12. 76 FR 34761 - Classified National Security Information


    ... Classified National Security Information AGENCY: Marine Mammal Commission. ACTION: Notice. SUMMARY: This... information, as directed by Information Security Oversight Office regulations. FOR FURTHER INFORMATION CONTACT..., ``Classified National Security Information,'' and 32 CFR part 2001, ``Classified National Security......

  13. Creating tomorrow's leaders today: the Emerging Nurse Leaders Program of the Texas Nurses Association.

    Sportsman, Susan; Wieck, Lynn; Yoder-Wise, Patricia S; Light, Kathleen M; Jordan, Clair


    The Texas Nurses Association initiated an Emerging Nurse Leaders Program as an approach to engaging new nurses in the leadership of the professional association. This article explains the program's origin, the commitment of the Texas Nurses Association to this process, the implementation of the plan, and the discussions that launched a new way of connecting leaders across generations. Further, it is an approach that any professional organization can use to encourage the involvement of new leaders. PMID:20411880

  14. Nursing Homes

    ... Medications & Older Adults Making Your Wishes Known Home & Community Home › Aging & Health A to Z › Nursing Homes Font size A A A Print Share ... home residents than in individuals living in the community. Length of Stay ... is common among nursing home residents, the length of stay varies greatly. ...

  15. Al-Hadith Text Classifier

    Mohammed Naji Al-Kabi


    Full Text Available This study explore the implementation of a text classification method to classify the prophet Mohammed (PBUH hadiths (sayings using Sahih Al-Bukhari classification. The sayings explain the Holy Qur`an, which considered by Muslims to be the direct word of Allah. Present method adopts TF/IDF (Term Frequency-Inverse Document Frequency which is used usually for text search. TF/IDF was used for term weighting, in which document weights for the selected terms are computed, to classify non-vocalized sayings, after their terms (keywords have been transformed to the corresponding canonical form (i.e., roots, to one of eight Books (classes, according to Al-Bukhari classification. A term would have a higher weight if it were a good descriptor for a particular book, i.e., it appears frequently in the book but is infrequent in the entire corpus.

  16. Classifying self-gravitating radiations

    Kim, Hyeong-Chan


    We study static systems of self-gravitating radiations confined in a sphere by using numerical and analytic calculations. We classify and analyze the solutions systematically. Due to the scaling symmetry, any solution can be represented as a segment of a solution curve on a plane of two-dimensional scale invariant variables. We find that a system can be conveniently parametrized by three parameters representing the solution curve, the scaling, and the system size, instead of the parameters defined at the outer boundary. The solution curves are classified to three types representing regular solutions, conically singular solutions with, and without an object which resembles an event horizon up to causal disconnectedness. For the last type, the behavior of a self-gravitating system is simple enough to allow analytic calculations.

  17. The impact of supervisor-subordinate relationships on nurses' ability to solve workplace problems: implications for their commitment to the organization.

    Brunetto, Yvonne; Farr-Wharton, Rodney; Shacklock, Kate


    This chapter uses the structural and relational dimension of social capital theory (SCT) as a lens for examining the impact of the supervisor-subordinate relationship on nurses' perceptions of the usefulness of their workplace networks, sociability, and affective commitment. A survey was used to collect data from 1,064 Australian nurses. The findings suggest that nurses rely on very small workplace networks (typically only one other person) with which they have strong ties. Further, in over half of the cases, the supervisor (the Nurse Unit Manager (NUM)) holds the centric position. Moreover, for those nurses who did not include the NUM in their workplace network, their position appears even worse. For example, the usual reason given by nurses for not including the NUM was that the NUM was unavailable. This is a concern for health-care management because the past two decades have delivered many changes to the nursing profession, including a reduction in the number of nursing positions and subsequent higher workloads. The consequences suggest that without effective workplace networks, nurses are working under conditions where solving problems is more difficult. PMID:21887947

  18. Clustering signatures classify directed networks

    Ahnert, S. E.; Fink, T. M. A.


    We use a clustering signature, based on a recently introduced generalization of the clustering coefficient to directed networks, to analyze 16 directed real-world networks of five different types: social networks, genetic transcription networks, word adjacency networks, food webs, and electric circuits. We show that these five classes of networks are cleanly separated in the space of clustering signatures due to the statistical properties of their local neighborhoods, demonstrating the usefulness of clustering signatures as a classifier of directed networks.

  19. Time management behaviors of head nurses and staff nurses employed in Tehran Social Security Hospitals, Iran in 2011

    Ebrahimi, Hossein; Hosseinzadeh, Rahele; Tefreshi, Mansoreh Zaghari; Hosseinzadeh, Sadaf


    Background: Effective time management is considered important for managers for achieving the goals in an organization. Head nurses can improve their efficiency and performance with effective use of time. There has always been a lot of disagreement in understanding time management behaviors of head nurses; therefore, the present study was conducted with an aim to compare the understanding of head nurses and staff nurses of the time management behaviors of head nurses employed in Social Securit...

  20. Classifying Southern Hemisphere extratropical cyclones

    Catto, Jennifer


    There is a wide variety of flavours of extratropical cyclones in the Southern Hemisphere, with differing structures and lifecycles. Previous studies have classified these manually using upper level flow features or satellite data. In order to be able to evaluate climate models and understand how extratropical cyclones might change in the future, we need to be able to use an automated method to classify cyclones. Extratropical cyclones have been identified in the Southern Hemisphere from the ERA-Interim reanalysis dataset with a commonly used identification and tracking algorithm that employs 850hPa relative vorticity. A clustering method applied to large-scale fields from ERA-Interim at the time of cyclone genesis (when the cyclone is first identified), has been used to objectively classify these cyclones in the Southern Hemisphere. This simple method is able to separate the cyclones into classes with quite different development mechanisms and lifecycle characteristics. Some of the classes seem to coincide with previous manual classifications on shorter timescales, showing their utility for climate model evaluation and climate change studies.


    Felipe Schneider Costa


    Full Text Available The naïve Bayes classifier is considered one of the most effective classification algorithms today, competing with more modern and sophisticated classifiers. Despite being based on unrealistic (naïve assumption that all variables are independent, given the output class, the classifier provides proper results. However, depending on the scenario utilized (network structure, number of samples or training cases, number of variables, the network may not provide appropriate results. This study uses a process variable selection, using the chi-squared test to verify the existence of dependence between variables in the data model in order to identify the reasons which prevent a Bayesian network to provide good performance. A detailed analysis of the data is also proposed, unlike other existing work, as well as adjustments in case of limit values between two adjacent classes. Furthermore, variable weights are used in the calculation of a posteriori probabilities, calculated with mutual information function. Tests were applied in both a naïve Bayesian network and a hierarchical Bayesian network. After testing, a significant reduction in error rate has been observed. The naïve Bayesian network presented a drop in error rates from twenty five percent to five percent, considering the initial results of the classification process. In the hierarchical network, there was not only a drop in fifteen percent error rate, but also the final result came to zero.

  2. [Nurses' practice in health audit].

    Pinto, Karina Araújo; de Melo, Cristina Maria Meira


    The objective of this investigation was to identify nurses' practice in heath audit. The hermeneutic-dialectic method was used for the analysis. The study was performed in three loci: the internal audit service of a hospital; the external audit service of a private health service buyer, and the state audit service of the public health system (SUS, acronym in Portuguese for Sistema Unico de Saúde-Unique Health System), in Bahia. Nine audit nurses were interviewed. In the SUS audit, the nurses report being fulfilled with their practice and with the valorization of their professional role. In the private audit--both inside and outside of health organizations--the nurses' activities are focused on meeting the interests of their contractors, and do not get much involved with the care delivered by the nursing team and with the needs of service users. PMID:20964043

  3. Classification of Breast Cancer Using SVM Classifier Technique

    B.Senthil Murugan; S.Srirambabu; Santhosh Kumar. V


    This paper proposes a technique for classifying the breast cancer from mammogram. The proposed system aims at developing the visualization tool for detecting the breast cancer and minimizing the scheme of detection. The detection method is organized as follows: (a) Image Enhancement (b) Segmentation (c) Feature extraction (d) Classification using SVM classifier Technique. Image enhancement step concentrates on converting an image to more and better understandable level thereby applying Median...

  4. The nursing shortage: a worldwide problem

    Booth Rachel Z.


    Full Text Available A worldwide shortage of nurses has been acknowledged by the multidisciplinary Global Advisory Group of the World Health Organization. The shortage is caused by an increased demand for nurses, while fewer people are choosing nursing as a profession and the current nurses worldwide are aging. The shortage applies to nurses in practice as well as the nurse faculty who teach students. The inter-country recruitment and migration of nurses from developing countries to developed countries exacerbates the problem. Although public opinion polls identifies the nurse as the person who makes the health care system work for them, the conditions of the work environment in which the nurse functions is unsatisfactory and must change. Numerous studies have shown the positive effects on the nurse of a healthy work environment and the positive relationships between nursing care and patient outcomes. It is important that government officials, insurance companies, and administrators and leaders of health care systems acknowledge and operationalize the value of nurses to the health care system in order to establish and maintain the integrity and viability of that system.

  5. The Nurse Leader Role in Crisis Management.

    Edmonson, Cole; Sumagaysay, Dio; Cueman, Marie; Chappell, Stacey


    Leaders from the American Organization of Nurse Executives describe the dynamic state of today's healthcare system related to crisis management. Adaptive leadership, driven by strong values and morality, can guide leaders and organizations through the most difficult times. PMID:27556647

  6. Unfinished nursing care: An important performance measure for nursing care systems.

    VanFosson, Christopher A; Jones, Terry L; Yoder, Linda H


    Performance measurement is a core administrative function and an essential component of organizational quality programs. The prevalence of performance measurement initiatives increased significantly after the release of the Institute of Medicine series on quality. Nursing performance measures are limited in their scope, resulting in an underrepresentation of process measures. Development of performance indicators that reflect how effectively organizational units actually transform nursing resources into nursing services should be a high priority. Unfinished nursing care is a nursing process performance measure that reflects the complexity of the nursing care environment and can be useful in comparing process performance across systems and organizations. Unfinished nursing care is congruent with many of the National Quality Forum requirements for endorsement and warrants further refinement as an important nurse-sensitive performance measure. PMID:26850334

  7. The International Classification for Nursing Practice (ICNP)

    Mortensen, Randi A.; Nielsen, Gunnar Haase


    This publication deals with the general field of health informatics and some issues particular to nursing. It starts with an introduction to health care, discussing the ‘classification and management in nursing information technology’ and the ‘nursing minimum data set’, health concepts......, an introduction to nursing science and the International Classification for Nursing Practice (ICNP). The textbook continues with an information technology aspects’ section. in this section important aspects of health informatics and hospital information systems are discussed, like data protection...... and confidentiality, telecare service for nurses, data analysis methods and classification methods. The last section of this book deals with the organizational impact of health informatics. Major topics are: impacts of communications, information and technology on organizations, impact in nursing environment, quality...

  8. Nursing: Practice Applications

    Baron, Judith


    Nursing practice applications include an overview of an HIS that incorporates nursing practice, an analysis of a clinical nursing database, a description of an acuity system and two nursing care planning systems.

  9. Classifying and identifying servers for biomedical information retrieval.

    Patrick, T. B.; Springer, G K


    Useful retrieval of biomedical information from network information sources requires methods for organized access to those information sources. This access must be organized in terms of the information content of information sources and in terms of the discovery of the network location of those information sources. We have developed an approach to providing organized access to information sources based on a scheme of hierarchical classifiers and identifiers of the servers providing access to ...

  10. Value of intensified nursing

    Raymann, Cornelia; Konta, Brigitte; Prusa, Nina; Frank, Wilhelm


    The concept "intensified nursing" is mentioned in differentiation to concepts of "nursing care" or "nursing" which intensifies resources or patient contact. Especially psychic and social needs of patients are very appreciated in nursing. A similar type of nursing is known under the concept "advanced nursing practice" (ANP) which means, that a specialised, academically trained nurse offers an extended nursing care in which a focus on the published knowledge of evidence based research is made. ...

  11. Computerized Nursing Care Planning Utilizing Nursing Diagnosis

    Crosley, Joan M.


    This paper presents a brief description of the beginning phase of a long term project introducing computerized nursing care planning utilizing nursing diagnoses within one nursing department. Areas for future study are proposed.

  12. Nurse Work Engagement Impacts Job Outcome and Nurse-Assessed Quality of Care: Model Testing with Nurse Practice Environment and Nurse Work Characteristics as Predictors

    Peter Mathieu Van Bogaert


    Full Text Available Key words: burnout,job satisfaction, nurse retention, nurse practice environment,quality of care, acute health care,structural equation modelling. Aim:To explore the mechanisms through which nurse practice environment dimensions are associated with job outcomes and nurse-assessed quality of care. Mediating variables tested included nurse work characteristics of workload, social capital, decision latitude, as well as work engagement dimensions of vigor, dedication and absorption.Background: Understanding to support and guide the practice community in their daily effort to answer most accurate complex care demands along with a stable nurse workforce are challenging.Design: Cross-sectional survey.Method:Based on previous empirical findings,a structural equation model designed with valid measurement instruments was tested.The study population was registered acute care hospital nurses(N = 1201 in twoindependent hospitals and one hospital group with six hospitals in Belgium.Results: Nurse practice environment dimensions predicted job outcome variables and nurse ratings of quality of care.Analyses were consistent with features of nurses’ work characteristics including perceived workload,decision latitude,and social capital,as well as three dimension of work engagement playing mediating roles between nurse practice environment and outcomes.A revised model adjusted using various fit measures explained 60 % and 47 % of job outcomes and nurse - assessed quality of care,respectively.Conclusion: Study findings show that aspects of nurse work characteristics such as workload,decision latitude and social capital along with nurse work engagement(e.g.vigor, dedication and absorption play a role between how various stakeholders such as executives,nurse managers and physicians will organize care and how nurses perceive job outcomes and quality of care.

  13. Waste classifying and separation device

    A flexible plastic bags containing solid wastes of indefinite shape is broken and the wastes are classified. The bag cutting-portion of the device has an ultrasonic-type or a heater-type cutting means, and the cutting means moves in parallel with the transferring direction of the plastic bags. A classification portion separates and discriminates the plastic bag from the contents and conducts classification while rotating a classification table. Accordingly, the plastic bag containing solids of indefinite shape can be broken and classification can be conducted efficiently and reliably. The device of the present invention has a simple structure which requires small installation space and enables easy maintenance. (T.M.)

  14. Defining and Classifying Interest Groups

    Baroni, Laura; Carroll, Brendan; Chalmers, Adam;


    The interest group concept is defined in many different ways in the existing literature and a range of different classification schemes are employed. This complicates comparisons between different studies and their findings. One of the important tasks faced by interest group scholars engaged in...... large-N studies is therefore to define the concept of an interest group and to determine which classification scheme to use for different group types. After reviewing the existing literature, this article sets out to compare different approaches to defining and classifying interest groups with a sample...... cluster actors according to a number of key background characteristics and second assess how the categories of the different interest group typologies relate to these clusters. We demonstrate that background characteristics do align to a certain extent with certain interest group types but also find...

  15. [Leadership and communication in nursing management].

    Trevizan, M A; Mendes, I A; Fávero, N; Melo, M R


    Considering communication and leadership, authors examine the role of the leader as a focus of reception and transmission of information, based on the classification of Mintzberg related to their informative roles, such as the leader acting as monitor, disseminator and spokesman. Contextualizing this approach in the scenery of nursing management, authors study the dimension of nurses-leaders role as an essential element of communication in the systems of organization of nursing care. PMID:9934247

  16. Applying andragogy in nursing continuing education.

    Nielsen, B B


    Andragogy, a philosophical orientation for adult education, receives little attention in the nursing continuing education literature. Yet, the tenets of andragogy form the organizing framework for programming. This article defines andragogy and provides selected results of a research study designed to test andragogical concepts in long-term oncology nursing continuing education programs. The results of the study suggest a new way of viewing the goals of nursing continuing education activities. PMID:2495310

  17. Synthesizing Knowledge about Nursing Shift Handovers: Overview and Reflections from Evidence-Based Literature

    Efstratios Athanasakis


    Background: Nursing shift handovers consider to be a pattern of communication that is applied in everyday clinical nursing practice, in order to be fulfilled the goals of organization, continuity, consistency and safety of care that nurses provide to patients.Aim: The aim of this review was the evaluation of the body of current research evidence examined issues concerning shift handovers in nursing.Methodology: A combination of various search terms: nurses, nursing, shift handovers and bedsid...

  18. Las organizaciones ¿favorecen o dificultan una práctica enfermera basada en la evidencia? Health care organizations: favouring or hindering the practise of evidence based nursing?

    Joan Ernest de Pedro Gómez


    Full Text Available El Artículo pretende desde una mirada crítica reflexionar sobre la posición e influencia de las organizaciones, respecto al desarrollo en la práctica clínica de los cuidados enfermeros. Es mucha la evidencia y son muchas las razones para demandar de las organizaciones, un posicionamiento que favorezca el cambio en los Modelos de Práctica Enfermera (MPE. Dada la influencia que tienen los cuidados en los resultados del proceso clínico (morbi-moratlidad y entendiendo éste como el objetivo de las organizaciones sanitarias, parece lógico intentar que las estructuras organizativas abandonen procesos asistenciales totalmente desfasados, para ofrecer los mejores servicios de salud. Para ello es necesario aplicar los resultados de investigación, tanto en la dotación de enfermeras como en la definición de servicios y cuidados enfermeros. Son las organizaciones las que deben establecer las condiciones para que las Enfermeras actúen en un plano de colaboración con otros profesionales y no de sumisión, posición desde la cual no pueden desarrollar su potencial profesional, el cual resulta necesario para un cambio de la prestación de servicios, adaptando éste a las demandas existentes. Sin la adecuada gestión, encaminada a la utilización del conocimiento enfermero como valor organizacional, será imposible adaptar las necesidades de cuidados a las demandas de servicios. Las organizaciones deben optar por un servicio en el que el MPE permita la inclusión de aquellos resultados de investigación con notables efectos en la calidad de sus procesos, las organizaciones deben asumir la responsabilidad de actuar bajo un modelo, que a todas luces no puede ser otro que el de aplicar en la práctica clínica las evidencias producidas por la investigación.This paper is intended to provide a critical reflection about how organizations influence the nursing clinical practice development. There is an increasing evidence in nursing science and a

  19. Evolution of a Collaborative Model between Nursing and Computer Science Faculty and a Community Service Organization to Develop an Information System

    Vanderbeek, Jean; Carson, Anne; Troy, Douglas


    Nursing and computer science students and faculty worked with the American Red Cross to investigate the potential for information technology to provide Red Cross disaster services nurses with improved access to accurate community resources in times of disaster. Funded by a national three-year grant, this interdisciplinary partnership led to field testing of an information system to support local community disaster preparedness at seven Red Cross chapters across the United States. The field te...

  20. Hybrid k -Nearest Neighbor Classifier.

    Yu, Zhiwen; Chen, Hantao; Liuxs, Jiming; You, Jane; Leung, Hareton; Han, Guoqiang


    Conventional k -nearest neighbor (KNN) classification approaches have several limitations when dealing with some problems caused by the special datasets, such as the sparse problem, the imbalance problem, and the noise problem. In this paper, we first perform a brief survey on the recent progress of the KNN classification approaches. Then, the hybrid KNN (HBKNN) classification approach, which takes into account the local and global information of the query sample, is designed to address the problems raised from the special datasets. In the following, the random subspace ensemble framework based on HBKNN (RS-HBKNN) classifier is proposed to perform classification on the datasets with noisy attributes in the high-dimensional space. Finally, the nonparametric tests are proposed to be adopted to compare the proposed method with other classification approaches over multiple datasets. The experiments on the real-world datasets from the Knowledge Extraction based on Evolutionary Learning dataset repository demonstrate that RS-HBKNN works well on real datasets, and outperforms most of the state-of-the-art classification approaches. PMID:26126291

  1. Growing ambulatory care nurse leaders in a multigenerational workforce.

    Moye, Janet P; Swan, Beth Ann


    Ambulatory care faces challenges in sustaining a nursing workforce in the future as newly licensed nurses are heavily recruited to inpatient settings and retirements will impact ambulatory care sooner than other areas. Building a diverse team by recruiting nurses of different ages (generations) and skills may result in a more successful and robust organization. Knowledge about generational characteristics and preferences will aid nurse leaders and recruiters in attracting high-quality, talented nurses. Nurses of Generations X and Y can increase their likelihood of success in ambulatory care by better understanding intergenerational issues. PMID:20050492

  2. Strategic management: a new dimension of the nurse executive's role.

    Johnson, L J


    The growth of corporate orientation for health care structures, with a focus on bottom-line management, has radically altered the role of nurse executives. With the organization's emphasis on performance, productivity, and results, successful nurse executives are now integrating the management of the delivery of nursing care with the management of complex corporate structures and relationships. The editor of Executive Development discusses the rapidly changing expectations and demands of the contemporary nurse executive's work. The nurse executive's role can be viewed from many perspectives: its scope, its value, its structure, its content. Content--"What does the nurse executive do that makes a real difference?"--is the focus here. PMID:2203884

  3. 15 CFR 4.8 - Classified Information.


    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Classified Information. 4.8 Section 4... INFORMATION Freedom of Information Act § 4.8 Classified Information. In processing a request for information..., the information shall be reviewed to determine whether it should remain classified. Ordinarily...

  4. Historical roots and future perspectives related to nursing ethics.

    Freitas, L


    This article traces the evolution of the development and the refinement of the professional code from concerns about the ethical conduct of nurses to its present state as a professional code for all nurses. The importance and the relationship of the Ethics Committee of the American Nurses' Association (ANA) to the development of the code and other ANA programs and structural units is also presented. The recognized need for a code of ethics to establish nursing as a profession has been present throughout the evolution of the professional nursing organization. A distinction between ethical conduct of nurses and a code of ethics for professional nurses has been made by nursing leaders. The code has been refined to reflect nursing's changing relationship to society and the societal concerns of the times. PMID:2198306

  5. Contemporary theories and contemporary nursing--advancing nursing care for those who are marginalized.

    Davis, K; Glass, N


    This paper critiques the topic of postmodernism and how it is represented in nursing and social science literature. This critique classified the debates into three identifiable constructs, those being: dissatisfaction; fragmentation and integration. The authors propose a solution from the integration debate by putting forward the notion of an 'integrated postmodern turn'. The 'solution' is situated within feminism and draws on modernist and postmodernist theory. The integrated model is grounded in nursing clinical examples which demonstrate the usefulness and workability of this approach when caring for those who are marginalized by nurses because of their ethnicity, gender, cultural and/or spiritual beliefs. PMID:11096793

  6. Experiences of foreign European nurses in The Netherlands.

    Veer, A. de; Ouden, D.J. den; Francke, A.


    As a result of the shortage of nurses, Dutch health care organizations want to recruit nurses from outside Europe (e.g. Indonesia, South Africa). The Dutch government, however, is not encouraging this policy and prefers to recruit within the European Union. In order to better support such nurses, it

  7. Perception and knowledge about narcotics among nurses

    Desai Geetha


    Full Text Available Aim: To determine the extent to which nurses are able to correctly identify drugs as narcotics and to ascertain their perception of the addiction potential of opiates when used for pain management. Methods: A questionnaire was administered to 86 nurses who attended palliative care workshops in India. Findings: Only morphine (95%, heroin (71% and codeine (75% were correctly identified as narcotics by the majority of participants. Imipramine (34%, diazepam (20% and phenobarbitone (39% were wrongly classified as narcotics by many nurses. Dextropropoxyphene (11%, pentazocine (21%, buprenorphine (15% were correctly classified as narcotics by fewer than half the participants. Only 14% knew that that the frequency of psychological dependence due to use of morphine for cancer pain was less than 1%.

  8. Representation of nurse's managerial practice in inpatient units: nursing staff perspective.

    Lima, Rogério Silva; Lourenço, Eliana Bernardes; Rosado, Sara Rodrigues; Fava, Silvana Maria Coelho Leite; Sanches, Roberta Seron; Dázio, Eliza Maria Rezende


    Objective To understand the meanings that nursing staff gives to nurse's managerial practice in the inpatient unit. Methods This is an exploratory and descriptive research with qualitative approach, conducted in a general hospital in a Southern city of Minas Gerais State. We used the Theory of Social Representations as theoretical framework. The study sample were composed by 23 nursing technicians and five nursing assistants. Data collection was conducted through semi-structured interviews, from December 2011 to January 2012. For data analysis we used the discourse analysis, according to social psychology framework. Results The meanings attributed to management occurred from the closeness/distance to staff and to patients` care actions. Conclusions The managerial nurse, perceived as a process apart from care, is classified as non familiar practice, of hard understanding and valuation. PMID:26934613

  9. "Nurse's cramp"

    Jepsen, Jørgen Riis


    . Three patients with “nurse’s cramp” related to this task are presented. The patients were referred to a department of occupational medicine due to volar forearm and hand pain related to tablet-dosing from blister packs. A detailed physical examination including a neurological assessment was performed......Calculating the number of tablets or capsules to administer to patients is one of the most common tasks that a nurse is required to make. Home care and nursing home staff may dose tablets for clients for up to two hours per day. An increasing proportion of tablets are dispensed in blister packs...


    Cláudia Silveira Viera; Franciele Foschiera


    This study sought to verify the nurses knowledge about the nursing diagnosis and to perceive if thereare or not applicability of it in care planning nursing process. The methodological approach was the Field Researchwith hospital nurses and professor of a Nursing College in western region of Paraná state. As result was found that,nursing diagnosis isnt used because theres a lack of human resources in these hospitals. Although graduationlearning, there are difficulties to nursing diagnosis app...

  11. The need to nurse the nurse: emotional labor in neonatal intensive care.

    Cricco-Lizza, Roberta


    In this 14-month ethnographic study, I examined the emotional labor and coping strategies of 114, level-4, neonatal intensive care unit (NICU) nurses. Emotional labor was an underrecognized component in the care of vulnerable infants and families. The nature of this labor was contextualized within complex personal, professional, and organizational layers of demand on the emotions of NICU nurses. Coping strategies included talking with the sisterhood of nurses, being a super nurse, using social talk and humor, taking breaks, offering flexible aid, withdrawing from emotional pain, transferring out of the NICU, attending memorial services, and reframing loss to find meaning in work. The organization had strong staffing, but emotional labor was not recognized, supported, or rewarded. The findings can contribute to the development of interventions to nurse the nurse, and to ultimately facilitate NICU nurses' nurturance of stressed families. These have implications for staff retention, job satisfaction, and delivery of care. PMID:24675967

  12. Entropic One-Class Classifiers.

    Livi, Lorenzo; Sadeghian, Alireza; Pedrycz, Witold


    The one-class classification problem is a well-known research endeavor in pattern recognition. The problem is also known under different names, such as outlier and novelty/anomaly detection. The core of the problem consists in modeling and recognizing patterns belonging only to a so-called target class. All other patterns are termed nontarget, and therefore, they should be recognized as such. In this paper, we propose a novel one-class classification system that is based on an interplay of different techniques. Primarily, we follow a dissimilarity representation-based approach; we embed the input data into the dissimilarity space (DS) by means of an appropriate parametric dissimilarity measure. This step allows us to process virtually any type of data. The dissimilarity vectors are then represented by weighted Euclidean graphs, which we use to determine the entropy of the data distribution in the DS and at the same time to derive effective decision regions that are modeled as clusters of vertices. Since the dissimilarity measure for the input data is parametric, we optimize its parameters by means of a global optimization scheme, which considers both mesoscopic and structural characteristics of the data represented through the graphs. The proposed one-class classifier is designed to provide both hard (Boolean) and soft decisions about the recognition of test patterns, allowing an accurate description of the classification process. We evaluate the performance of the system on different benchmarking data sets, containing either feature-based or structured patterns. Experimental results demonstrate the effectiveness of the proposed technique. PMID:25879977

  13. Nursing image: an evolutionary concept analysis.

    Rezaei-Adaryani, Morteza; Salsali, Mahvash; Mohammadi, Eesa


    A long-term challenge to the nursing profession is the concept of image. In this study, we used the Rodgers' evolutionary concept analysis approach to analyze the concept of nursing image (NI). The aim of this concept analysis was to clarify the attributes, antecedents, consequences, and implications associated with the concept. We performed an integrative internet-based literature review to retrieve English literature published from 1980-2011. Findings showed that NI is a multidimensional, all-inclusive, paradoxical, dynamic, and complex concept. The media, invisibility, clothing style, nurses' behaviors, gender issues, and professional organizations are the most important antecedents of the concept. We found that NI is pivotal in staff recruitment and nursing shortage, resource allocation to nursing, nurses' job performance, workload, burnout and job dissatisfaction, violence against nurses, public trust, and salaries available to nurses. An in-depth understanding of the NI concept would assist nurses to eliminate negative stereotypes and build a more professional image for the nurse and the profession. PMID:23343236

  14. The NCLex Examination: preparing for future nursing practice.

    Wendt, A; Brown, P


    One nursing organization that closely tracks the direction of healthcare and nursing practice is the National Council of State Boards of Nursing, Inc. As the developer of the National Council Licensure Examination for Registered Nurses (NCLEX-RN examination), maintaining currency of the examination is of primary importance to the National Council. The authors discuss recent trends in the NCLEX-RN Test Plan. PMID:16646187

  15. Mapping the Future of Environmental Health and Nursing: Strategies for Integrating National Competencies into Nursing Practice

    Larsson, Laura S.; Butterfield, Patricia


    Nurses are increasingly the primary contact for clients concerned about health problems related to their environment. In response to the need for nursing expertise in the field of environmental health, the Institute of Medicine (IOM), Agency for Toxic Substances and Disease Registry (ATSDR), and National Institute of Nursing Research (NINR) have designed core competencies for the nursing profession. The IOM competencies focus on four areas: (1) knowledge and concepts; (2) assessment and referral; advocacy, ethics, and risk communication; and (4) legislation and regulation. The competencies establish a baseline of knowledge and awareness in order for nurses to prevent and minimize health problems associated with exposure to environmental agents. To address the known difficulties of incorporating new priorities into established practice, nurses attending an environmental health short course participated in a nominal group process focusing on the question, “What specific actions can we take to bring environmental health into the mainstream of nursing practice?” This exercise was designed to bring the concepts of the national initiatives (IOM, NINR, ATSDR) to the awareness of individual nurses involved in the direct delivery of care. Results include 38 action items nurses identified as improving awareness and utilization of environmental health principles. The top five ideas were: (1) get environmental health listed as a requirement or competency in undergraduate nursing education; (2) improve working relationships with interdepartmental persons—a team approach; (3) strategically place students in essential organizations such as NIOSH, ATSDR, or CDC; (4) educate nurse educators; and (5) create environmental health awards in nursing. The 38 original ideas were also reorganized into a five-tiered conceptual model. The concepts of this model include: (1) developing partnerships; (2) strengthening publications; (3) enhancing continuing education; (4) updating nursing

  16. Sistemi delitve dela v bolnišnični zdravstveni negi: Modalities of nursing practice in hospital nursing care:

    Šmitek, Jana


    The formation of an adequate system or model of task delegation in hospital practice is a responsible task of nursing management. The article presents, from the point of view of strong and weak points, traditional systems of task delegation in nursing care-the system of holistic nursing care of individual patients, multiple patient assignment, functional model, team system and system of primary nursing care. Among alternative models, typical case management as a variety of better organized sy...

  17. 76 FR 14033 - National Advisory Council on Nurse Education and Practice; Notice of Meeting


    ... constraints that influence or limit the recruitment of diverse students into the profession of nursing; (4... within the nursing profession. Experts from nursing professions of both public and private organizations... the nursing workforce; (2) summarize the current data trends and existing information on diversity...

  18. 75 FR 64318 - National Advisory Council on Nurse Education and Practice; Notice of Meeting


    ... constraints that influence or limit the recruitment of diverse students into the profession of nursing; (4... within the nursing profession. Experts from professional nursing, public and private organizations will... nursing workforce; (2) summarize the current data trends and existing information on diversity in...

  19. Leaders from Nursing's History.

    Fondiller, Shirley H.; And Others


    Looks at the lives and accomplishments of four leaders in professional nursing: (1) Loretta Ford, who championed the cause of nurse practitioners; (2) Mable Staupers, a pioneer in community health and nursing; (3) Janet Geister, a leader in private nursing; and (4) Isabel Stewart, who led the movement to standardize nursing education. (JOW)

  20. Nursing student attitudes toward oncology nursing: an evidence-based literature review.

    Komprood, Sarah R


    Oncology education can impact nursing students' attitudes toward oncology and their interest in oncology nursing. To explore that relationship, a literature search was conducted using the CINAHL®, Cochrane Library, ERIC®, PubMed, and Scopus® databases. Nineteen pertinent studies were incorporated into the review, and recommendations were graded by strength of evidence schemas. The reviewed literature indicated undergraduate oncology education may be effective in encouraging nursing students to consider oncology as a practice area. Negative attitudes toward oncology such as fear and pessimism often are seen in students and practicing nurses. Educational interventions for students and nurses are effective in increasing knowledge and skills that are instrumental in fostering confidence and positive attitudes toward oncology nursing. All nursing students should have organized, mandatory clinical and didactic oncology nursing education experiences. Additional research is needed to support the effectiveness of educational strategies in influencing students' intent to practice oncology nursing. Innovative strategies including nontraditional clinical experiences, internships, fellowships, high-fidelity simulation, and postgraduate residencies are needed to provide adequate educational opportunities for nursing students to foster a strong and proficient oncology nursing workforce. PMID:23372107

  1. Nursing care of chronic renal failure and multiple organ failure patients%慢性肾衰及并发多脏器功能衰竭患者的护理



    目的 探讨护理在肾衰及并发多脏器功能衰竭治疗中的作用.方法 对慢性肾衰及并发多脏器功能衰竭30例患者在正常治疗的同时配合以综合、饮食及心理护理.结果 29例患者积极配合治疗,1例患者因经济原因放弃治疗,治疗过程中无严重不良反应.结论 对慢性肾衰及并发多脏器功能衰竭患者在正常治疗的同时配合以综合、饮食及心理护理,极大地提高了患者的生活质量.%Objective To investigate the nursing care of chronic renal failure and multiple organ failure. Methods From Jun, 2008 to May 2010, 29 patients of chronic renal failure and multiple organ failure were involved in the present study. The synthesizing nursing, diet guidance,and psychological education were completed with regulate treatment. Results Twenty- nine patients coordinated to treatment positively, and one of them gave up treating because of economic reason, the others did not suffer serious adverse reactions. Conclusion The life quality of chronic renal failure and multiple organ failure patients enormously improved by synthesizing nursing, diet guidance, psychological education and regulated treatment.

  2. Managing the multigenerational nursing team.

    Hu, Jie; Herrick, Charlotte; Hodgin, Kim Allard


    Today's workforce is more diverse in age than ever before. This study examined the generational profiles of two groups (the Silent Generation, and Baby Boomers vs. Generation X and Generation Y) in terms of the following variables: characteristics, communication styles, and significance of tasks. The purpose was to assist nurse managers to maximize departmental effectiveness by capitalizing on the unique characteristics of the multigenerational nursing team. A descriptive design was used to examine nursing staff perceptions of their generational profiles, communication styles, and significance of tasks. The convenience sample included registered nurses, nurse technicians and nursing secretaries from two departments, a medical-surgical and a critical care department (N = 62). The study provided participants with the opportunity to give their interpretations of their generational types. Similarities and differences of generational profiles were found between the two groups. There were no significant differences in communication style and significance of tasks between the two groups (P > .05). However, there were differences in expectations regarding commitment to the manager versus the organization and the type and timing of rewards for performance. All four generational groups had vastly different employment demands and different needs for orientation, training, advancement, benefits, perks, and retirement options. PMID:15638341

  3. Rotary fluidized dryer classifier for coal

    Sakaba, M.; Ueki, S.; Matsumoto, T.


    The development of equipment is reproted which uses a heat transfer medium and hot air to dry metallurgical coal to a predetermined moisture level, and which simultaneously classifies the dust-producing fine coal content. The integral construction of the drying and classifying zones results in a very compact configuration, with an installation area of 1/2 to 1/3 of that required for systems in which a separate dryer and classifier are combined. 6 references.

  4. International Transplant Nurses Society

    ... 25th Annual ITNS Symposium The International Transplant Nurses Society (ITNS) cordially invites transplant nurses and other transplant ... pocket guide, developed by the International Transplant Nurses Society (ITNS), provides an overview of the interventions used ...

  5. Addressing Nurse-to-Nurse Bullying to Promote Nurse Retention

    Carol F. Rocker


    Nurse-to-nurse bullying in the workforce is contributing to the current nursing shortage. The literature reveals both victims and witnesses of bullying suffer silently and are often confused as to what to do when presented with bullying behavior. This confusion frequently contributes to nurses leaving their chosen profession. Canadian lawmakers are now beginning to address workplace bulling behaviors. The purpose of this paper is to raise awareness of the challenges associated with workplace ...

  6. Nurse Managers’ Perceptions and Experiences Regarding Staff Nurse Empowerment: A Qualitative Study

    Peter eVan Bogaert


    Full Text Available AimTo study nurse managers’ perceptions and experiences with staff nurse structural empowerment and the impact on the nurse manager leadership role and style.BackgroundNurse managers’ leadership roles may be viewed as challenging given the complex needs of patients in the context of staff nurses’ involvement in clinical as well organizational decision-making processes, in interdisciplinary care settings.DesignQualitative phenomenological study MethodsIndividual semi-structured interviews of 8 medical or surgical nurse managers were conducted in a 600-bed Belgian university hospital between December 2013 and June 2014. This organization was undergoing a transformational process to convert from a classic hierarchical and departmental structure to one that was flat and interdisciplinary.ResultsNurse managers were familiar with and held positive attitudes about nurse structural empowerment in the hospital. They conveyed the positive impact of empowerment on their staff nurses that in turn improved the quality of care and patient safety. Structural empowerment was supported by several change initiatives at the unit and hospital levels and nurse managers’ experiences with these initiatives was reported as mixed because of the changing demands on their manager role and leadership style. In addition, pressure was experienced both by staff nurses and nurse managers through direct patient care priorities, tightly scheduled projects and miscommunication.ConclusionNurse managers reported a favourable impact of structural empowerment on staff nurses’ professional attitudes and the safety and quality of care on their units. However, they also reported that the empowerment process, created changing demands in the manager role as well as daily practice dilemmas with regard to needed leadership styles. Clear organisational goals and dedicated support for nurses as well as nursing unit managers will be imperative to sustain an empowered practice

  7. Nationwide peritoneal dialysis nurse training in Thailand: 3-year experience.

    Thaiyuenwong, Jutiporn; Mahatanan, Nanta; Jiravaranun, Somsong; Boonyakarn, Achara; Rodpai, Somrak; Eiam-Ong, Somchai; Tungsanga, Kriang; Dhanakijcharoen, Prateep; Kanjanabuch, Talerngsak


    Peritoneal dialysis (PD) center is not possible to operate if there is no availability of dedicated PD nurse. Generally, the nurse has to play many roles, including educator coordinator, and sometimes leader. As professionalism, the PD nurses need to have both theoretical and practical skills. With the tremendous leap of PD population after the launch of "PD First" policy in Thailand, the shortage of skillful PD nurse is concerned. Hence, the nationwide PD nurse training course was established with the collaborations of many organizations and institutes. Until now, 3 generations of 225 PD nurses are the productions of the course. This number represents 80 percent of PD nurses distributed throughout the whole nation. The survey operated in the year 2010 demonstrated that the output of the course was acceptable in terms of quality since most of the trained PD nurses had a confidence in taking care of PD patients. The quality of patient care is good as indicated by KPIs. PMID:22043585

  8. Nursing Informatics in New Zealand: From History to Strategy

    Honey, Michelle L.L.; Westbrooke, Lucy A.


    As technological advances saw computers become more common, nurses in New Zealand were inspired to look for ways to harness the use of computers and other technologies to aid patient care and their practice. This paper traces the history of the development of nursing informatics in New Zealand from the earliest days in the 1980s through to the present, when nurses have leadership roles in informatics and are represented at the highest levels in national decision making, thereby influencing the development of national strategies. Nurses have developed a strong informatics profile through working collaboratively with other organizations, yet ensuring that the interests of nurses are maintained. In addition, the support from international nursing informatics pioneers and New Zealand nurses contribution to the international nursing informatics community is highlighted. PMID:24199078

  9. Doing Foucault: inquiring into nursing knowledge with Foucauldian discourse analysis.

    Springer, Rusla Anne; Clinton, Michael E


    Foucauldian discourse analysis (FDA) is a methodology that is well suited to inquiring into nursing knowledge and its organization. It is a critical analytic approach derived from Foucault's histories of science, madness, medicine, incarceration and sexuality, all of which serve to exteriorize or make visible the 'positive unconscious of knowledge' penetrating bodies and minds. Foucauldian discourse analysis (FDA) holds the potential to reveal who we are today as nurses and as a profession of nursing by facilitating our ability to identify and trace the effects of the discourses that determine the conditions of possibility for nursing practice that are continuously shaping and (re)shaping the knowledge of nursing and the profession of nursing as we know it. In making visible the chain of knowledge that orders the spaces nurses occupy, no less than their subjectivities, FDA is a powerful methodology for inquiring into nursing knowledge based on its provocation of deep critical reflection on the normalizing power of discourse. PMID:25683171

  10. Cultural competencies for graduate nursing education.

    Clark, Lauren; Calvillo, Evelyn; Dela Cruz, Felicitas; Fongwa, Marie; Kools, Susan; Lowe, John; Mastel-Smith, Beth


    Nursing is challenged to meet the health needs of ethnic and socioculturally diverse populations. To this end, American Association of Colleges of Nursing (AACN) charged an expert nursing faculty advisory group to formulate competencies for graduate nursing education, expanding them to integrate leadership and scholarship. The Cultural Competency in Baccalaureate Nursing Education served as the springboard for the initiative. In formulating the graduate cultural competencies and the toolkit, the advisory group reviewed all AACN Essentials documents and the cultural competency literature, drew upon their collective experiences with cultural diversity, and used cultural humility as the supporting framework. Six core competencies were formulated and endorsed by the AACN board of directors and key professional nursing organizations. A companion toolkit was compiled to provide resources for the implementation of the competencies. A 1-day conference was held in California to launch the cultural competencies and toolkit. Dissemination to graduate nursing programs is in process, with emphasis on faculty readiness to undertake this graduate educational transformation. The AACN Cultural Competencies for Graduate Nursing Education set national standards to prepare culturally competent nurses at the graduate level who will contribute to the elimination of health disparities through education, clinical practice, research, scholarship, and policy. PMID:21596352

  11. Nurse prescribing in mental health: national survey.

    Dobel-Ober, D; Brimblecombe, N; Bradley, E


    Mental health nurses can now train to become independent prescribers as well as supplementary prescribers. Independent nurse prescribing can potentially help to reorganize mental health services, increase access to medicines and improve service user information, satisfaction and concordance. However, mental health nursing has been slow to undertake prescribing roles, and there has been little work conducted to look at where nurse prescribing is proving successful, and those areas where it is less so. This survey was designed to collect information from directors of nursing in mental health trusts about the numbers of mental health prescribers in England, gather views about prescribing in practice, and elicit intentions with regards to the development of nurse prescribing. In some Trusts, the number of mental health nurse prescribers has increased to the point where wider impacts on workforce, the configuration of teams and services are inevitable. Currently, the way that prescribing is used within different organizations, services and teams varies and it is unclear which setting is most appropriate for the different modes of prescribing. Future work should focus on the impact of mental health nurse prescribing on service delivery, as well as on service users, colleagues and nurses themselves. PMID:20633075

  12. Determining professionalism in Turkish students nurses

    Ayise Karadağ


    Full Text Available Characteristics of the nursing profession include educational standards, professional organizations, commitment, autonomy, continuing education, body of knowledge and competencies, social value, and a code of ethics. This study was carried out with the aim of determining the professional attitudes of nursing students in Turkey. It was a descriptive study. This study was conducted in 25 nursing schools that provide graduate level nursing education in Turkey. The sample of the study included 1412 final year nursing students who were selected by random sampling from nursing schools offering education at bachelor level. Data was collected using a questionnaire, which included demographic characteristics of students and an Inventory to Measure Professional Attitudes in Student Nurses (IPASN. The mean score of IPASN was 4.1 ± 0.5 and the areas the highest mean scores were for autonomy, competence and continuous education whilst lowest ones were for  cooperation, contribution to scientific knowledge, and participating in professional organizations. In conclusion, the overall mean scores of professional attitudes for nursing students were found to be satisfying and some recommendations were made to improve subgroups scores.

  13. Classifying helicopter gearbox faults using a normalized energy metric

    Samuel, Paul D.; Pines, Darryll J.


    A normalized energy metric is used to classify seeded faults of the OH-58A main transmission. This gearbox comprises a two-stage transmission with an overall reduction of 17.44:1. Loaded gearbox test runs are used to evaluate the sensitivity of a non-stationary fault metric for early fault detection and classification. The non-stationary fault metric consists of a simple normalized energy index developed to account for a redistribution of sideband energy of the dominant mesh frequency and its harmonics in the presence of actual gearbox faults. This index is used to qualitatively assess the presence, type and location of gearbox faults. In this work, elements of the normalized energy metric are assembled into a feature vector to serve as input into a self-organizing Kohonen neural network classifier. This classifier maps vibration features onto a two-dimensional grid. A feedforward back propagation neural network is then used to classify different faults according to how they cluster on the two-dimensional self-organizing map. Gearbox faults of OH-58A main transmission considered in this study include sun gear spalling and spiral bevel gear scoring. Results from the classification suggest that the normalized energy metric is reasonably robust against false alarms for certain geartrain faults.

  14. Serefind: A Social Networking Website for Classifieds

    Verma, Pramod


    This paper presents the design and implementation of a social networking website for classifieds, called Serefind. We designed search interfaces with focus on security, privacy, usability, design, ranking, and communications. We deployed this site at the Johns Hopkins University, and the results show it can be used as a self-sustaining classifieds site for public or private communities.

  15. A review of learning vector quantization classifiers

    Nova, David


    In this work we present a review of the state of the art of Learning Vector Quantization (LVQ) classifiers. A taxonomy is proposed which integrates the most relevant LVQ approaches to date. The main concepts associated with modern LVQ approaches are defined. A comparison is made among eleven LVQ classifiers using one real-world and two artificial datasets.

  16. A fuzzy classifier system for process control

    Karr, C. L.; Phillips, J. C.


    A fuzzy classifier system that discovers rules for controlling a mathematical model of a pH titration system was developed by researchers at the U.S. Bureau of Mines (USBM). Fuzzy classifier systems successfully combine the strengths of learning classifier systems and fuzzy logic controllers. Learning classifier systems resemble familiar production rule-based systems, but they represent their IF-THEN rules by strings of characters rather than in the traditional linguistic terms. Fuzzy logic is a tool that allows for the incorporation of abstract concepts into rule based-systems, thereby allowing the rules to resemble the familiar 'rules-of-thumb' commonly used by humans when solving difficult process control and reasoning problems. Like learning classifier systems, fuzzy classifier systems employ a genetic algorithm to explore and sample new rules for manipulating the problem environment. Like fuzzy logic controllers, fuzzy classifier systems encapsulate knowledge in the form of production rules. The results presented in this paper demonstrate the ability of fuzzy classifier systems to generate a fuzzy logic-based process control system.

  17. 32 CFR 775.5 - Classified actions.


    ... 32 National Defense 5 2010-07-01 2010-07-01 false Classified actions. 775.5 Section 775.5 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES PROCEDURES FOR IMPLEMENTING THE NATIONAL ENVIRONMENTAL POLICY ACT § 775.5 Classified actions. (a) The fact that a...

  18. Financial literacy as an essential element in nursing management practice.

    Talley, Linda B; Thorgrimson, Diane H; Robinson, Nellie C


    Grooming nurses at all levels of the organization to master health care executive skills is critical to the organization's success and the individual's growth. Selecting and executing next steps for nursing leadership team development is critical to success. Leaders must make it their responsibility to provide nurses with increased exposure to quality, safety, and financial data, thereby allowing nurses to translate data while achieving and sustaining successful outcomes. The work of the CNO Dashboard to measure, report, trend, and translate clinical and non-clinical outcomes must be integrated throughout all levels of nursing staff so that nursing practice is positioned to continually strive for best practice. The education and evolution of nurses as business managers is critical to building a strong RN workforce. PMID:23691748

  19. Inductions Buffer Nurses' Job Stress, Health, and Organizational Commitment.

    Kamau, Caroline; Medisauskaite, Asta; Lopes, Barbara


    Nurses suffer disproportionate levels of stress and are at risk of sickness-absence and turnover intentions, but there is a lack of research clarifying preventions. This study investigated the impact of inductions (job preparation courses) about mental health for nurses' job stress, general health, and organizational commitment. Data from 6,656 nurses were analyzed using structural equation modeling (SEM), showing that mental health inductions increase nurses' job satisfaction, which reduces their occupational stress and improves their health. SEM showed that these occupational health benefits increase the nurses' commitment to the organization. Job satisfaction (feeling valued, rewarded) also had a direct effect on nurses' intentions to continue working for the organization. Mental health inductions are therefore beneficial beyond job performance: they increase occupational health in the nursing profession. PMID:24971576

  20. Adaboost Ensemble Classifiers for Corporate Default Prediction

    Suresh Ramakrishnan


    Full Text Available This study aims to show a substitute technique to corporate default prediction. Data mining techniques have been extensively applied for this task, due to its ability to notice non-linear relationships and show a good performance in presence of noisy information, as it usually happens in corporate default prediction problems. In spite of several progressive methods that have widely been proposed, this area of research is not out dated and still needs further examination. In this study, the performance of multiple classifier systems is assessed in terms of their capability to appropriately classify default and non-default Malaysian firms listed in Bursa Malaysia. Multi-stage combination classifiers provided significant improvements over the single classifiers. In addition, Adaboost shows improvement in performance over the single classifiers.

  1. Deconvolution When Classifying Noisy Data Involving Transformations

    Carroll, Raymond


    In the present study, we consider the problem of classifying spatial data distorted by a linear transformation or convolution and contaminated by additive random noise. In this setting, we show that classifier performance can be improved if we carefully invert the data before the classifier is applied. However, the inverse transformation is not constructed so as to recover the original signal, and in fact, we show that taking the latter approach is generally inadvisable. We introduce a fully data-driven procedure based on cross-validation, and use several classifiers to illustrate numerical properties of our approach. Theoretical arguments are given in support of our claims. Our procedure is applied to data generated by light detection and ranging (Lidar) technology, where we improve on earlier approaches to classifying aerosols. This article has supplementary materials online.

  2. Designing Kernel Scheme for Classifiers Fusion

    Haghighi, Mehdi Salkhordeh; Vahedian, Abedin; Modaghegh, Hamed


    In this paper, we propose a special fusion method for combining ensembles of base classifiers utilizing new neural networks in order to improve overall efficiency of classification. While ensembles are designed such that each classifier is trained independently while the decision fusion is performed as a final procedure, in this method, we would be interested in making the fusion process more adaptive and efficient. This new combiner, called Neural Network Kernel Least Mean Square1, attempts to fuse outputs of the ensembles of classifiers. The proposed Neural Network has some special properties such as Kernel abilities,Least Mean Square features, easy learning over variants of patterns and traditional neuron capabilities. Neural Network Kernel Least Mean Square is a special neuron which is trained with Kernel Least Mean Square properties. This new neuron is used as a classifiers combiner to fuse outputs of base neural network classifiers. Performance of this method is analyzed and compared with other fusion m...

  3. Constructing a nurse appraisal form: A Delphi technique study

    Zaghloul, Ashraf Ahmad Zaher; AlSokair, May Kosay


    Objective The study was conducted with the aim to construct a unified nurse appraisal format to be used at hospitals performing under different healthcare organizations in the Eastern Province in the Kingdom of Saudi Arabia. Methodology The study included hospitals representing different healthcare organizations within the Eastern Province. The target population included Hospital head nurses and nurse supervisors and the snowball sampling technique was employed to select the panel subjects. R...

  4. What nurses want: the nurse incentives project.

    Wieck, K Lynn; Dols, Jean; Northam, Sally


    Today's nurse executives are struggling with leadership challenges of managing the multigenerational workforce, financial imperatives to deliver better care for lower costs, and competition to provide the optimal work environment to retain nurses. The purpose of the Nurse Incentives Project was to determine satisfaction with current employment incentives and potential managerial actions which might decrease or delay turnover by registered nurses. This study spawned recommendations regarding the role of incentives in designing an environment where benefits and perks will be seen as incentives to stay and thrive in the current nursing workplace. The results show that nurses know what they want. Attention to generational priorities and flexible benefits programs may help to create the cohesive work environment that nurses seek. Investment into creating delivery arenas where satisfied nurses are caring for satisfied patients is a worthwhile goal. PMID:19558077

  5. Nursing Jobs in Nursing Homes

    Torpey, Elka Maria


    The need for practical nurses who focus on caring for older people is growing. According to the U.S. Census Bureau, the number of people ages 65 and older is expected to increase from 40 million to 72 million between 2010 and 2030. And the U.S. Bureau of Labor Statistics (BLS) projects that this increasing population will result in job growth for…

  6. Nursing, knowledge and practice.

    Allen, D


    Recent commentators have suggested that academic knowledge is irrelevant to nursing practice and may actually undermine nursing's traditional caring ethos. Furthermore, by making nursing more academic, it is claimed that 'natural' but non-academic carers are prevented from pursuing a career in nursing. Debates about the relationship between nursing, knowledge and practice have a long history and have to be understood in terms of wider political and economic issues relating to nursing, its status within society and the changing role of nurses within the health services division of labour. One crucial issue is nursing's status as women's work. Critics of developments in nurse education draw an ideological equation between nursing work and the traditional female role. From this perspective the qualities that make a good nurse cannot be taught, rather they are founded on 'natural' feminine skills. Irrespective of whether caring is 'natural' or not, it is questionable as to whether, for today's nurses, being caring is sufficient. The shape of nursing jurisdiction is a long way removed from its origins in the Victorian middle-class household. In addition to their traditional caring role, contemporary nurses may also have complex clinical, management and research responsibilities, as well as being crucial coordinators of service provision. It is suggested that these and future developments in health services make the need for an educated nursing workforce even more pressing. In order to adequately prepare nurses for practice, however, it is vital that nurse education reflects the reality of service provision. PMID:10180381

  7. Report from the American Nurses' Association council on psychiatric and mental health nursing.

    Joel, L A; Baldwin, B; Stevens, G


    Society has demonstrated a major need for expanded gerontological and geropsychiatric nursing services. Current needs have not yet been met and the call for service will increase throughout the balance of this century and beyond. Social responsiveness demands that nurses: (1) formally establish their clinical authority in care of the aged; (2) lobby for public policy which enables the provider professional to control the practice environment, rather than be controlled by it; (3) improve the educational preparation of nurses to care for the aged; and (4) expand the professions' scientific and research base in this area. The national professional organization of registered nurses, the American Nurses' Association, provides leadership to influence the course of nursing as it continues to provide vital services in a dramatically changing environment. PMID:2744491

  8. The new fundamentals in nursing: introducing beginning quality and safety education for nurses' competencies.

    Preheim, Gayle J; Armstrong, Gail E; Barton, Amy J


    This article describes the redesign of the fundamentals of nursing course using an organizing framework and teaching strategies identified in the Quality and Safety Education for Nurses (QSEN) initiative. Six QSEN competencies (patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics) are essential for nursing practice. Beginning knowledge, skills, and attitudes (KSAs) associated with each competency were identified in a preliminary Delphi survey as important to incorporate early in prelicensure nursing curricula. Redesign requires a shift in focus from task-training and psychomotor skills development to incorporation of a systems context, reflecting redefined values and interventions associated with safety, quality, and professional nursing roles. A course revision, based on the QSEN competencies definitions, selected beginning KSAs, exemplar resources, and teaching strategies, is described. The reframing of fundamentals of nursing is essential to prepare new graduates for contemporary practice. PMID:20000251

  9. Reflections on ethnocentrism and racism: a challenge for advanced practice nurses.

    Harris, S H; Cummings, S H


    As nurses and patient populations increasingly reflect the changing demographics of the United States, it will be necessary for nurses to address the critical issues surrounding a multicultural society. Nurses have been relatively quiet on the topic of ethnocentric and racist behavior. If advanced practice nurses are to be successful in assisting nurses and organizations to embrace cultural diversity, understanding ethnocentric and racist behaviors is key to developing strategies to facilitate the provision of culturally competent care. PMID:9447077

  10. Parish nursing: an innovative community nursing service.

    Laming, Eleanor; Stewart, Angela


    This article explains the concept of parish nursing and provides a historical perspective of this service. It describes the development of a parish nursing service in Heartsease, Norwich, which complements community nursing practice by focusing on the importance of providing spiritual care alongside physical, psychological and social care. Case studies are provided to illustrate the benefits of a parish nursing service to individuals and the community. PMID:27406519

  11. Rehabilitation Nursing: Applications for Rehabilitation Nursing

    Aysegül Koç


    Rehabilitation nursing is a specialist form of rehabilitation requiring specialist nursing. Furthermore, as in many areas ofnursing, nurses in this field recognize that there is a need to increase the quality of and provide the most up-to-date carefor their patients and patients’ families. To achieve high levels of competence, neurological rehabilitation nurses need tobe aware of the existing body of research in this field. Effective hospital and community rehabilitation services areincreasin...

  12. Nursing 302: An Introduction to Psychiatric Nursing.

    Blaustein, Jenna Rose

    A description is provided of "Introduction to Psychiatric Nursing," a 7-week course offered to juniors and seniors in a bachelor of science nursing program. The first sections present information on curricular placement, time assignments, and the targeted student population, and define psychiatric/mental health nursing. Next, the course…

  13. Job satisfaction among multiple sclerosis certified nurses.

    Gulick, Elsie E; Halper, June; Costello, Kathleen


    Several studies document high levels of job satisfaction among certified nurses, but no study has examined job satisfaction and factors influencing job satisfaction of certified multiple sclerosis (MS) nurses. This study tested a theoretical model proposing that two organizational factors, colleague relationships and benefits, will predict job satisfaction. Job satisfaction was represented by four factors: autonomy, professional status, professional growth, and time efficiency. Participants included MS nurses certified for 6 months or more practicing mostly in three countries (Canada, Great Britain, and the United States) who anonymously completed the Misener Nurse Practitioner Job Satisfaction Scale, an overall job satisfaction rating, and demographic information. Findings indicate that colleague relationships and benefits significantly estimated organization structure and that autonomy, professional status, professional growth, and time efficiency significantly estimated job satisfaction; furthermore, organization factors such as colleague relationships and benefits significantly predict job satisfaction. Among the countries, several statistically significant differences were observed between job satisfaction factors as well as items in both organization and job satisfaction subscales. Average factor scores among the countries were mostly rated satisfactory. The International Organization of Multiple Sclerosis Nurses Executive Board plans to use the study findings to see how it needs to focus efforts as an organization toward enhancing and standardizing MS care and develop MS nurse professionalism worldwide. PMID:17847673

  14. The catcher in the why: developing an evidence-based approach to the organization, delivery and evaluation of pre-registration nurse educational programmes.

    Warne, T; Holland, K; McAndrew, S


    Changes to the pedagogy of pre-registration nurse education and training have become a global phenomenon. However, the evidence base to inform responses to these changes and the impact on nursing practice is limited. This paper explores the outcomes of an innovative approach aimed at ensuring responses to these drivers for change, particularly in curriculum development, the organisation, management and delivery of programmes and the enhancement of the student experience, are evidence based. This paper reports on an organisational change project undertaken in a School of Nursing in the North West of England, UK. The project involved 12 interrelated work streams used to explore aspects of the student journey from recruitment through progression to eventual employment. An evidence base was developed through a methodological bricolage that drew upon a robust and authentic mixture of systematic literature reviews, contemporaneous analysis of educational practice and evaluation of the student experience. This was used to underpin the decision making processes required to promote innovation in programme design, to increase the involvement of students in the facilitation and evaluation of their learning experiences, and helped shape the organisational changes required for embedding an evidenced-based culture in the School. Consistent and transformational leadership has been key to the project's success in communicating and managing the changes. PMID:21094090

  15. Controlled self-organisation using learning classifier systems

    Richter, Urban Maximilian


    The complexity of technical systems increases, breakdowns occur quite often. The mission of organic computing is to tame these challenges by providing degrees of freedom for self-organised behaviour. To achieve these goals, new methods have to be developed. The proposed observer/controller architecture constitutes one way to achieve controlled self-organisation. To improve its design, multi-agent scenarios are investigated. Especially, learning using learning classifier systems is addressed.

  16. Project Management: Essential Skill of Nurse Informaticists.

    Sipes, Carolyn


    With the evolution of nursing informatics (NI), the list of skills has advanced from the original definition that included 21 competencies to 168 basic competencies identified in the TIGER-based Assessment of Nursing Informatics Competencies (TANIC) and 178 advanced skills in the Nursing Informatics Competency Assessment (NICA) L3/L4 developed by Chamberlain College of Nursing, Nursing Informatics Research Team (NIRT). Of these competencies, project management is one of the most important essentials identified since it impacts all areas of NI skills and provides an organizing framework for processes and projects including skills such as design, planning, implementation, follow-up and evaluation. Examples of job roles that specifically require project management skills as an essential part of the NI functions include management, administration, leadership, faculty, graduate level master's and doctorate practicum courses. But first, better understanding of the NI essential skills is vital before adequate education and training programs can be developed. PMID:27332201

  17. Nurse managers' leadership styles in Finland.

    Vesterinen, Soili; Suhonen, Marjo; Isola, Arja; Paasivaara, Leena


    Nurse managers who can observe their own behaviour and its effects on employees can adjust to a better leadership style. The intention of this study was to explore nurses' and supervisors' perceptions of nurse managers' leadership styles. Open-ended interviews were conducted with 11 nurses and 10 superiors. The data were analysed by content analysis. In the study, six leadership styles were identified: visionary, coaching, affiliate, democratic, commanding, and isolating. Job satisfaction and commitment as well as operation and development work, cooperation, and organizational climate in the work unit were the factors, affected by leadership styles. The nurse managers should consider their leadership style from the point of view of employees, situation factors, and goals of the organization. Leadership styles where employees are seen in a participatory role have become more common. PMID:23008767

  18. District nurse training

    Elliott, Arnold; Freeling, Paul; Owen, John


    Training for district nursing is being reviewed. By 1981 district nurses will have a new administrative structure, a new curriculum, and a new examination. Training for nursing, like that for general practice, is to become mandatory. The history of the development of district nurse training is briefly described.

  19. Parallelism and programming in classifier systems

    Forrest, Stephanie


    Parallelism and Programming in Classifier Systems deals with the computational properties of the underlying parallel machine, including computational completeness, programming and representation techniques, and efficiency of algorithms. In particular, efficient classifier system implementations of symbolic data structures and reasoning procedures are presented and analyzed in detail. The book shows how classifier systems can be used to implement a set of useful operations for the classification of knowledge in semantic networks. A subset of the KL-ONE language was chosen to demonstrate these o

  20. Classifier Risk Estimation under Limited Labeling Resources

    Kumar, Anurag; Raj, Bhiksha


    In this paper we propose strategies for estimating performance of a classifier when labels cannot be obtained for the whole test set. The number of test instances which can be labeled is very small compared to the whole test data size. The goal then is to obtain a precise estimate of classifier performance using as little labeling resource as possible. Specifically, we try to answer, how to select a subset of the large test set for labeling such that the performance of a classifier estimated ...

  1. Nursing students' perceptions of clinical experience.

    Windsor, A


    Senior nursing students were interviewed in this study to better understand the clinical learning experience from the students' point of view. Results of the study revealed that the nursing students were indeed learning in their clinical experience. The major categories of learning were classified as nursing skills, time management, and professional socialization. The quality of learning was reportedly affected by the quality of the student's preparation, characteristics of the instructor, and the variety of clinical opportunities to which students were exposed. The data also reflected a pattern of student development which was separated into three stages. The first stage was permeated with anxiety and obsession with the rules of task performance. The second stage was a difficult transition period where students struggled with identifying the roles of nurses. During the final stage, the students become more comfortable with performing nursing tasks and become interested in expanding their role and becoming more independent. As the students strived for independence, they identified more closely with staff nurses and withdrew from instructors. PMID:3035128

  2. Quality of Care of Nursing from Brain Death Patient in ICU Wards

    Seyedeh Toktam Masoumian Hoseini


    Full Text Available Introduction: Nowadays, Intensive Care Unit (ICU nurses play a significant and key role in the care of brain dead patients and their families, therefore their Practice extremely important to the success of organ donation. To assess ICU nurse's practice in relation to nurse's role in the organ donation process from brain dead patients in Iran. Materials and Methods:In a cross-sectional analytical study 90 ICU nurses in Ghaem and Imam Reza Hospitals in Mashhad through stratified random sampling allocation method were selected. Data collection tools included a questionnaire on demographic information, factors influencing nurse's practice during the organ donation process and surveying "nurse's practice in relation to their roles in the organ donation process." Results: 90 nurses participated in this study. (70.0% of the research subjects had spoken with their own families about organ donation, and (20.0% had organ donation cards. Practice scores were calculated on a scale of 100. The mean score of nurses' practice was (6.04± 3.66. 96.7% of nurses’ weak practice in terms of their roles in the organ donation process. Conclusion: As a result, they do not have adequate practice regard nurse's role in organ donation process and in relation to brain death patient and their families. Therefore it is suggested to include nursing courses in the organ donation process and organ transplantation as well as educational programs to acquaint nurses with their roles in the process to improve their practice by different training methods.

  3. Measuring Nursing Care Value.

    Welton, John M; Harper, Ellen M


    The value of nursing care as well as the contribution of individual nurses to clinical outcomes has been difficult to measure and evaluate. Existing health care financial models hide the contribution of nurses; therefore, the link between the cost and quality o nursing care is unknown. New data and methods are needed to articulate the added value of nurses to patient care. The final results and recommendations of an expert workgroup tasked with defining and measuring nursing care value, including a data model to allow extraction of key information from electronic health records to measure nursing care value, are described. A set of new analytic metrics are proposed. PMID:27055306

  4. Psychological contracts of hospice nurses.

    Jones, Audrey Elizabeth; Sambrook, Sally


    Psychological contracts have been described as individuals' beliefs regarding the obligations, expectations, and contributions that exist between them and their employer. They can be influenced by the organization's culture and philosophy, through human resources policies, and through the employee's personality and characteristics. Owing to the recent economic crisis, hospices in the UK are currently in a transitional phase and are being expected to demonstrate efficiencies that might be more in line with a business model than a health-care environment. This may conflict with the philosophical views of hospice nurses. To support nurses through this transition, it might be helpful to understand the antecedents of hospice nurses' behaviour and how they construct their psychological contracts. Failure to offer adequate support might lead to negative outcomes such as a desire to leave the organisation, poorer quality work, or disruptive behaviour. This study used a modified grounded theory approach involving in-depth interviews to explore the context and content of the psychological contracts of hospice nurses in the UK. Four main themes emerged: the types of psychological contracts formed, how the contracts are formed, their contents, and the breaches and potential violations the nurses perceive. PMID:21240104

  5. Local Component Analysis for Nonparametric Bayes Classifier

    Khademi, Mahmoud; safayani, Meharn


    The decision boundaries of Bayes classifier are optimal because they lead to maximum probability of correct decision. It means if we knew the prior probabilities and the class-conditional densities, we could design a classifier which gives the lowest probability of error. However, in classification based on nonparametric density estimation methods such as Parzen windows, the decision regions depend on the choice of parameters such as window width. Moreover, these methods suffer from curse of dimensionality of the feature space and small sample size problem which severely restricts their practical applications. In this paper, we address these problems by introducing a novel dimension reduction and classification method based on local component analysis. In this method, by adopting an iterative cross-validation algorithm, we simultaneously estimate the optimal transformation matrices (for dimension reduction) and classifier parameters based on local information. The proposed method can classify the data with co...

  6. Classifiers based on optimal decision rules

    Amin, Talha


    Based on dynamic programming approach we design algorithms for sequential optimization of exact and approximate decision rules relative to the length and coverage [3, 4]. In this paper, we use optimal rules to construct classifiers, and study two questions: (i) which rules are better from the point of view of classification-exact or approximate; and (ii) which order of optimization gives better results of classifier work: length, length+coverage, coverage, or coverage+length. Experimental results show that, on average, classifiers based on exact rules are better than classifiers based on approximate rules, and sequential optimization (length+coverage or coverage+length) is better than the ordinary optimization (length or coverage).

  7. Nursing in Turkey.

    Baumann, Steven L


    The current discussion on the nursing shortage needs to focus as much on nursing job satisfaction and retention as on nursing recruitment and education. Selected aspects of the motivational psychology of Abraham Maslow, Mihaly Csikszentmihalyi, and Frederick Hertzberg are here discussed in light of the challenges-opportunities of nursing in Turkey and elsewhere. Also discussed is an innovative program to support the application of nursing theory and professional development in Toronto, Canada. PMID:16982724

  8. Cultural competence in nursing

    Jirwe, Maria


    The overall aim of this thesis is to explore, analyze and clarify how cultural competence is understood. This is explored from the perspective of nurses, nursing students, nurse educators, and nurse researchers in relation to the Swedish care context. The field of transcultural nursing and cultural competence was founded in the United States in the 1950s in response to an increased awareness of cultural diversity arising from immigration. In Sweden an interest in transcultur...

  9. Classifying Genomic Sequences by Sequence Feature Analysis

    Zhi-Hua Liu; Dian Jiao; Xiao Sun


    Traditional sequence analysis depends on sequence alignment. In this study, we analyzed various functional regions of the human genome based on sequence features, including word frequency, dinucleotide relative abundance, and base-base correlation. We analyzed the human chromosome 22 and classified the upstream,exon, intron, downstream, and intergenic regions by principal component analysis and discriminant analysis of these features. The results show that we could classify the functional regions of genome based on sequence feature and discriminant analysis.

  10. Quality Classifiers for Open Source Software Repositories

    Tsatsaronis, George; Halkidi, Maria; Giakoumakis, Emmanouel A.


    Open Source Software (OSS) often relies on large repositories, like SourceForge, for initial incubation. The OSS repositories offer a large variety of meta-data providing interesting information about projects and their success. In this paper we propose a data mining approach for training classifiers on the OSS meta-data provided by such data repositories. The classifiers learn to predict the successful continuation of an OSS project. The `successfulness' of projects is defined in terms of th...

  11. Searching and Classifying non-textual information

    Arentz, Will Archer


    This dissertation contains a set of contributions that deal with search or classification of non-textual information. Each contribution can be considered a solution to a specific problem, in an attempt to map out a common ground. The problems cover a wide range of research fields, including search in music, classifying digitally sampled music, visualization and navigation in search results, and classifying images and Internet sites.On classification of digitally sample music, as method for ex...

  12. Nomograms for Visualization of Naive Bayesian Classifier

    Možina, Martin; Demšar, Janez; Michael W Kattan; Zupan, Blaz


    Besides good predictive performance, the naive Bayesian classifier can also offer a valuable insight into the structure of the training data and effects of the attributes on the class probabilities. This structure may be effectively revealed through visualization of the classifier. We propose a new way to visualize the naive Bayesian model in the form of a nomogram. The advantages of the proposed method are simplicity of presentation, clear display of the effects of individual attribute value...

  13. Probabilistic classifiers with high-dimensional data

    Kim, Kyung In; Simon, Richard


    For medical classification problems, it is often desirable to have a probability associated with each class. Probabilistic classifiers have received relatively little attention for small n large p classification problems despite of their importance in medical decision making. In this paper, we introduce 2 criteria for assessment of probabilistic classifiers: well-calibratedness and refinement and develop corresponding evaluation measures. We evaluated several published high-dimensional probab...

  14. Classifier Aggregation Using Local Classification Confidence

    Štefka, David; Holeňa, Martin

    Setúbal: INSTICC, 2009, s. 173-178. ISBN 978-989-8111-66-1. [ICAART 2009. International Conference on Agents and Artificial Intelligence /1./. Porto (PT), 19.01.2009-21.01.2009] R&D Projects: GA AV ČR 1ET100300517 Institutional research plan: CEZ:AV0Z10300504 Keywords : classifier aggregation * classifier combining * classification confidence Subject RIV: IN - Informatics, Computer Science

  15. Evolving Classifiers: Methods for Incremental Learning

    Hulley, Greg; Marwala, Tshilidzi


    The ability of a classifier to take on new information and classes by evolving the classifier without it having to be fully retrained is known as incremental learning. Incremental learning has been successfully applied to many classification problems, where the data is changing and is not all available at once. In this paper there is a comparison between Learn++, which is one of the most recent incremental learning algorithms, and the new proposed method of Incremental Learning Using Genetic ...

  16. Binary Classifier Calibration: Non-parametric approach

    Naeini, Mahdi Pakdaman; Cooper, Gregory F.; Hauskrecht, Milos


    Accurate calibration of probabilistic predictive models learned is critical for many practical prediction and decision-making tasks. There are two main categories of methods for building calibrated classifiers. One approach is to develop methods for learning probabilistic models that are well-calibrated, ab initio. The other approach is to use some post-processing methods for transforming the output of a classifier to be well calibrated, as for example histogram binning, Platt scaling, and is...

  17. Night nursing – staff's working experiences

    Campbell Ann-Mari


    Full Text Available Abstract Background Although the duties and working conditions of registered, and enrolled nurses have previously been described from different perspectives, they have not been examined from the night nursing aspect. The aim of the study was to describe the night nursing staff's working experiences. Methods The design of the study is qualitative and descriptive. Interviews were conducted with 10 registered and 10 enrolled nurses working as night staff at a Swedish University Hospital. The interview guide was thematic and concerned the content of their tasks, as well as the working conditions that constitute night nursing. In addition, the interviews were transcribed verbatim and analyzed using content analysis. Results The night duties have to be performed under difficult conditions that include working silently in dimmed lighting, and making decisions when fatigue threatens. According to the night staff, its main goals are to provide the patients with rest and simultaneously ensure qualified care. Furthermore, the night nursing staff must prepare the ward for the daytime activities. Conclusion The most important point is the team work, which developed between the registered and enrolled nurses and how necessary this team work is when working at night. In order for nurses working at night to be fully appreciated, the communication between day and night staff in health care organizations needs to be developed. Furthermore, it is important to give the night staff opportunities to use its whole field of competence.

  18. What are the Differences between Bayesian Classifiers and Mutual-Information Classifiers?

    Hu, Bao-Gang


    In this study, both Bayesian classifiers and mutual information classifiers are examined for binary classifications with or without a reject option. The general decision rules in terms of distinctions on error types and reject types are derived for Bayesian classifiers. A formal analysis is conducted to reveal the parameter redundancy of cost terms when abstaining classifications are enforced. The redundancy implies an intrinsic problem of "non-consistency" for interpreting cost terms. If no data is given to the cost terms, we demonstrate the weakness of Bayesian classifiers in class-imbalanced classifications. On the contrary, mutual-information classifiers are able to provide an objective solution from the given data, which shows a reasonable balance among error types and reject types. Numerical examples of using two types of classifiers are given for confirming the theoretical differences, including the extremely-class-imbalanced cases. Finally, we briefly summarize the Bayesian classifiers and mutual-info...


    Bhekisipho TWALA


    Credit risk prediction models seek to predict quality factors such as whether an individual will default (bad applicant) on a loan or not (good applicant). This can be treated as a kind of machine learning (ML) problem. Recently, the use of ML algorithms has proven to be of great practical value in solving a variety of risk problems including credit risk prediction. One of the most active areas of recent research in ML has been the use of ensemble (combining) classifiers. Research indicates that ensemble individual classifiers lead to a significant improvement in classification performance by having them vote for the most popular class. This paper explores the predicted behaviour of five classifiers for different types of noise in terms of credit risk prediction accuracy, and how could such accuracy be improved by using pairs of classifier ensembles. Benchmarking results on five credit datasets and comparison with the performance of each individual classifier on predictive accuracy at various attribute noise levels are presented. The experimental evaluation shows that the ensemble of classifiers technique has the potential to improve prediction accuracy.

  20. Nursing to achieve organizational performance: Consider the role of nursing intellectual capital.

    Harris, Alexandra


    The success and performance of healthcare organizations relies on the strategic management of knowledge. Nursing Intellectual Capital (NIC) has emerged as a concept involving nursing knowledge resources that create value in healthcare organizations. This article aims to discuss the importance of considering knowledge resources in the context of healthcare performance, with specific reference to NIC. Reflections are then provided on how leaders can look to advance NIC for improved performance. PMID:27060807

  1. An emancipatory impulse: a feminist postmodern integrated turning point in nursing research.

    Glass, N; Davis, K


    This article critiques the current debates regarding feminism, postmodernism, and feminist/postmodernism within nursing research. The critique classified the debates into three identifiable constructs: dissatisfaction, fragmentation, and integration. The authors propose a solution from the integration debate as an emancipatory "workable" turning point for nursing research. The solution is situated within feminism and draws on the epistemological constructs of both modernism and postmodernism. Nursing research is framed within the proposed ontological links that characterize the integrated solution. PMID:9730406

  2. Assessment of dementia in nursing home residents by nurses and assistants

    Sørensen, Lisbeth Uhrskov; Foldspang, Anders; Gulmann, Nils Christian;


    Objectives To describe the criterion validity of nursing home staff's assessment of organic disorder compared with ICD-10 criteria, and to identify determinants of staff assessment of organic disorder. Method Two hundred and eighty-eight residents were diagnosed using the GMS-AGECAT. Nursing staff......- as well as under-labelling of residents, a tendency that will affect communication with medical personnel and may lead to inadequate or wrong medical treatment and to negative performance as well as negative role expectations in everyday life in nursing homes....

  3. Survey on nursing of breast cancer patients treated with radiotherapy following to breast-conserving surgery. Actual states and problems for nursing care by certified nurses in breast cancer nursing

    The purpose of the present study is to elucidate the actual states and problems of nursing care provided by certified nurses in breast cancer patients treated with radiotherapy following to breast-conserving surgery. The survey was conducted by a postal anonymous questionnaire. Participants were drawn from the list of certified nurses on the website of Japanese Nursing Association. The questionnaires consisted of multiple choice questions regarding the contents of care performed before, during and after radiotherapy, and free questionnaire on the related problems. The rate of valid replies was 41.2% (40 out of 97 subjects). Before radiotherapy, the accomplishing rate exceeded 70% in about half of all nursing cares. The accomplishing rates were 30 to 50% in about 90% of all cares and 40 to 60% in all cares during and after radiotherapy, respectively. Problems were classified into three categories high-quality practice of radiotherapy nursing, establishment of continuing care system and improvement of cooperation. It is recommended to achieve high quality radiotherapy nursing by certified nurses, the establishment of continuing care system and the improvement of cooperation in order to improve nursing care during and after radiotherapy. (author)

  4. Holistic relief of pain - Nursing approach

    Evaggelos Giavasopoulos


    Full Text Available It is well known that the patients who suffer from pain can develop a wide variety of behaviours. At the same time they experience a plethora of biological, psychological and social problems. Undeniably the nurses constitute an integral part of the multidisciplinary team of approach and relief of patient’s pain. The nurse’s role is developed and organized with independence in the health care team and expresses itself in a wide spectrum of activities. Aim in the present article is to highlight the force of nurse among the multidisciplinary team, analyzing the multiple roles undertaken by nurses, as well as the necessity for holistic approach of pain.

  5. A concept analysis of holistic nursing care in paediatric nursing

    A.A. Tjale; Bruce, J


    Holistic nursing care is widely advocated and is espoused in the philosophy of the South African Nursing Council. This concept is unclear, variously interpreted and poorly understood in paediatric nursing. This study was undertaken to examine the meaning of holistic nursing care and to develop a framework for holistic nursing care, which can be utilised in nurse education settings and in clinical nursing practice in the context of paediatric nursing. A qualitative, interpretive, explorative a...

  6. [A study of the nurses quitting Legnano Hospital USSL 70].

    Canto, L; Casali, E; Giussani, F; Tonazzi, S; Sisti, P


    Reasons why nurses left a general Hospital were analyzed through a questionnaire sent to all nurses who abandoned their position over the last 5 years (218). 50.6% of these nurses do not live in Lombardy region. 127 (57.7%) answered the questionnaire. 35% of whom answered the questionnaire would get back to work in the hospital. The main reason for hospital leave is related to family reasons (children and parents) for registered nurses and to shift work state enrolled nurses. Low salary is the main problem for 21-30 years old nurses. According to nurses who answered the questionnaire, more efficient recruitment and retention strategies should include higher salaries, riqualification of the profession in general and improvement of working conditions and organization. PMID:2127128

  7. Nurses' experiences of leech therapy in plastic and reconstructive surgery.

    Reynolds, Alison; OBoyle, Colm


    The aim of this study was to explore nurses' experience of using leech therapy. Leech therapy is useful in promoting revascularisation of skin grafts. Nurse disquiet in their role as leech therapists has been noted. This study explored the experience of Irish nurses. A qualitative design with an interview schedule was used to learn about emotional and practical clinical experiences. Interviews were carried out with seven nurses working with leeches in reconstructive surgery in 2013. These interviews were coded and explored for themes. Results revealed that many nurses feel aversion to the use of leeches. This may be associated with the use of a parasitic organism as treatment in conflict with the nurse's role in cross infection. It was also found that management of a nurse's own and patient's emotional responses is required. In conclusion, preparation for the role of leech therapy beyond the purely practical is necessary, and should explore affective responses of the practitioner and patients. PMID:27409780

  8. Meals in nursing homes

    Kofod, Jens Erik; Birkemose, A.


    Undernutrition is present among 33% of nursing home residents in Denmark. Hence, it is relevant to examine the meal situation at nursing homes to single out factors that may increase or reduce the residents' food intake. in the ongoing Danish nursing home debate it is claimed that a new type...... of nursing home improves the residents' meal situation with a positive effect on nutrition. The aim of this work is to test the general hypothesis that (i) residents appreciate the meal situation in these nursing homes and (ii) nutritional status of the residents is improved in this type of nursing home....... This study was carried out in four Danish nursing homes at various locations in Denmark. The methods used are qualitative interviews and observations at four nursing homes in combination with measurement of body mass index (BMI) at two of the four nursing homes. Undernutrition is defined as a BMI below 20...

  9. Value of intensified nursing

    Raymann, Cornelia


    Full Text Available The concept "intensified nursing" is mentioned in differentiation to concepts of "nursing care" or "nursing" which intensifies resources or patient contact. Especially psychic and social needs of patients are very appreciated in nursing. A similar type of nursing is known under the concept "advanced nursing practice" (ANP which means, that a specialised, academically trained nurse offers an extended nursing care in which a focus on the published knowledge of evidence based research is made.From the thin literature to this topic a selection of predetermined topics was analysed where at least two articles with a sufficient high methodical quality were available. The selected topic groups were: „Infant and paediatric nursing", "gerontology" and "oncology". Generally the five publications concerning infant and paediatric nursing could conclusive show a benefit of intensified nursing. Further research is still needed to prove intensified nursing care. Two publications could be found to the gerontological intensified nursing; both used an extended nursing model and an enlarged use of resources. Both studies demonstrated a measurable success in the applied parameters. Two studies also could be analysed in the oncological field in which successes were also provable by the applied parameters. The success was given especially in a higher patient satisfaction, one study showed an improved scheduling (time planning of nurses. There was not one article concerning economic questions of intensified nursing care. It has to be taken into account that the financial resources have to be used effectively also in nursing nowadays. It has to be assumed that the costs are driven by increased use of resources. Savings can be achieved, however, in the form of avoided therapies and days in hospital by intensified nursing. The intensified nursing can be considered as similar cost-effective as conventional models of nursing. Ethically it is necessary to consider that the

  10. Organizations

    Hatch, Mary Jo

    Most of us recognize that organizations are everywhere. You meet them on every street corner in the form of families and shops, study in them, work for them, buy from them, pay taxes to them. But have you given much thought to where they came from, what they are today, and what they might become in...... considers many more. Mary Jo Hatch introduces the concept of organizations by presenting definitions and ideas drawn from the a variety of subject areas including the physical sciences, economics, sociology, psychology, anthropology, literature, and the visual and performing arts. Drawing on examples from...... prehistory and everyday life, from the animal kingdom as well as from business, government, and other formal organizations, Hatch provides a lively and thought provoking introduction to the process of organization....

  11. Maintenance and nursing of 12 brain death organ donation donor in ICU%重症监护病房12例脑死亡器官捐献供体的维护及护理

    赵文静; 朱爽; 马奔; 赵丽萍; 赵文州


    Objective To discuss maintenance and nursing of 12 brain death organ dona-tion donor in ICU.Methods The materials of 12 cases with organ donation cardiac death (DCD) in our hospital were summarized,and DCD procedures were developed.And complete maintenance and care for the body according to China Cardiac Death Organ Donation Work Guide.Results There are 35 donor organs from 12 cases,among which there were 23 kidneys,11 livers,one heart and 8 pair of cornea.Conclusion Implementation of organ maintenance and timely care was im-portant work program in DCD,adjusting donor organs function can ensure smoothly organ dona-tion.%目的:探讨重症监护病房脑死亡后器官捐献供体的维护及护理。方法总结性分析12例心脏死亡器官捐献(DCD)工作的临床资料,制定 DCD 工作程序,并依据《中国心脏死亡器官捐献工作指南》完成供体的维护及护理。结果12例供体共产出器官35个,其中肾脏23个、肝脏11个、心脏1个及角膜8对。结论在重症监护病房实施正确及时的器官维护及护理是 DCD 工作的重要程序,在器官切取前将供体器官的功能调o到最佳状态,可确保器官的顺利捐献。

  12. Nursing Home Work Practices and Nursing Assistants' Job Satisfaction

    Bishop, Christine E.; Squillace, Marie R.; Meagher, Jennifer; Anderson, Wayne L.; Wiener, Joshua M.


    Purpose: To estimate the impact of nursing home work practices, specifically compensation and working conditions, on job satisfaction of nursing assistants employed in nursing homes. Design and Methods: Data are from the 2004 National Nursing Assistant Survey, responses by the nursing assistants' employers to the 2004 National Nursing Home Survey,…

  13. Using Nursing Languages in School Nursing Practice. Second Edition

    Denehy, Janice


    The purpose of this updated manual is to define and describe standardized nursing languages, highlight how nursing languages are a part of the nursing process, and illustrate through case examples how nursing languages are used in school nursing practice. This manual also summarizes the history and development of three nursing classifications, the…

  14. [Meanings and conceptualizations of nursing: the point of view of students from the nursing degree program at the Universidad Nacional de Lanús, 2008-2010].

    Arakaki, Jorge


    This work looks into the meanings of nursing from the point of view of the students in an undergraduate nursing degree program. The research took place at the Universidad Nacional de Lanús using semistructured interviews - eleven individual and seven group interviews - carried out between 2008 and 2010. A content analysis was then undertaken and the most relevant meanings in relation to four themes were selected: reasons for studying nursing, what nursing is, nursing as a profession, and working in nursing. Multiple and diverse ways of defining nursing were uncovered. Utilizing some conceptual developments from the sociology of the professions, the meanings were organized into four conceptualizations that represent ways of understanding nursing: as a vocation, as a profession, with a utilitarian perspective and with a community perspective. The conclusions reached indicate the need to broaden the debate regarding the types of nurses that are being trained. PMID:23989623

  15. A model for empowerment of nursing in Iran

    Salsali Mahvash


    Full Text Available Abstract Background While the Iranian nursing profession tries to reach to its full capacity for participating in the maintenance of public health, its desire to develop is strongly influenced by cultural, economic, and religious factors. The concept of empowerment is frequently used in nursing and the health services, particularly in relation to the quality of care, since the mission of nursing is to provide safe and quality nursing care thereby enabling patients to achieve their maximum level of wellness. When considering the importance of nursing services in any health system, the 54th World Health Assembly recommended that programs be designed to strengthen and promote the nursing profession. Since empowerment is crucial to the role of nurses, a qualitative study was conducted and aimed at designing a model for empowering nurses in Iran. Methods A grounded theory approach was used for analyzing the participants' experiences, their perceptions and the strategies affecting empowerment. Data collection was done through Semi-structured interviews and participant observation. Forty-four participants were interviewed and 12 sessions of observation were carried out. Results Three main categories emerged from the data collected; these are "personal empowerment", "collective empowerment", and "the culture and structure of the organization." From the participants' perspective, empowerment is a dynamic process that results from mutual interaction between personal and collective traits of nurses as well as the culture and the structure of the organization. Impediments, such as power dynamics within the health care system hinder nurses from demonstrating that they possess the essential ingredients of empowerment. Conclusion A model was designed for empowering the nursing profession in Iran. Implementing this model will not only define nursing roles, identify territories in the national healthcare system, but it will restructure nursing systems, sub

  16. Nursing experience of PROSIMA GYNECARE pelvic floor reconstruction in the treatment of pelvic organ prolapse%GYNECARE PROSIMA盆底重建术治疗盆腔脏器脱垂的护理体会



    总结了我院对7例盆腔脏器脱垂患者实施GYNECARE PROSIMA盆底重建术,通过充分的术前准备和术后护理,无并发症发生,因此恰当的护理是GYNECARE PROSIMA盆底重建术成功的重要因素之一。%Summarizes our hospital on 7 cases of pelvic organ prolapse implementation GYNECARE PROSIMA pelvic floor reconstruction, by sufficient preoperative preparation and postoperative nursing care, no complications occurred, so proper care is one of the important factors in success of the operation GYNECARE PROSIMA pelvic floor reconstruction Abstract.

  17. What are the differences between Bayesian classifiers and mutual-information classifiers?

    Hu, Bao-Gang


    In this paper, both Bayesian and mutual-information classifiers are examined for binary classifications with or without a reject option. The general decision rules are derived for Bayesian classifiers with distinctions on error types and reject types. A formal analysis is conducted to reveal the parameter redundancy of cost terms when abstaining classifications are enforced. The redundancy implies an intrinsic problem of nonconsistency for interpreting cost terms. If no data are given to the cost terms, we demonstrate the weakness of Bayesian classifiers in class-imbalanced classifications. On the contrary, mutual-information classifiers are able to provide an objective solution from the given data, which shows a reasonable balance among error types and reject types. Numerical examples of using two types of classifiers are given for confirming the differences, including the extremely class-imbalanced cases. Finally, we briefly summarize the Bayesian and mutual-information classifiers in terms of their application advantages and disadvantages, respectively. PMID:24807026

  18. The teaching of nursing management in undergraduate: an integrative review

    Mara Solange Gomes Dellaroza


    Full Text Available The study aims to identify the dynamics of teaching management in nursing degree. It is an integrative literature review with research conducted in the following online database platforms: SciELO, Medline, Lilacs and BDENF. The keywords used in the study were: competency-based education, professional competence, education, nursing, organization and administration, management, nursing, educational assessment, organization of management services, management of professional practice and education. All articles published in the last 10 years which answered the question presented to approach the teaching of nursing management in Brazil, published in any language were included. Those that were not presented in full text were excluded. Of the 1432 studies identified after matching the keywords, only 8 were selected for answering objective of this review. From these results, three related themes emerged: the teaching plans, workload and program content; methodologies of teaching and learning in nursing management; challenges faced in developing the teaching of nursing management.

  19. Nurse Educator’s Affective Teaching Strategies

    Myra C. Britiller


    Full Text Available Teaching is highly charged with feeling, aroused by and directed towards not just people, but also values and ideals (Garritz, 2010. Emotions and feelings greatly affect the way the students learn and acquire knowledge. There must be a balance between the three domains of learning because once one domain is left behind, the other domains will be affected. The purpose of this study is to determine nurse educators’ affective teaching strategies. Specifically, it assessed the strategies of nurse educators on how to develop the affective domain of student nurses. In addition, the study assessed the values of student nurses in terms of God-centeredness, Leadership, Integrity, and Nationalism. Lastly, the researchers proposed innovative teaching methodologies to enhance the attitudes of nursing students. This study used descriptive research design. The respondents of the study were the nursing students and clinical instructors of Lyceum of the Philippines University – Batangas. 190 student nurses were chosen through stratified random sampling while 10 clinical instructors were chosen based on the number of times they handled the students both in lecture and clinical area. The instruments were selfmade and standardized questionnaire and interview guide to obtain the data needed for the study. The data gathered are compiled, organized and tabulated for statistical treatment. Weighted mean was utilized to compute the quantitative data whereas the interview was used to form the qualitative analysis. Role modelling is the most common strategy of nurse educators to enhance the affective domain of student nurses. Their actions consciously and unconsciously affecting the attitude of the students. Hence, confidence among the students needs most attention in developing affective domain as it produce change in other values presented in the study. The proposed teaching strategies aim to enhance the affective domain of nursing students in line with the

  20. Violence Against Psychiatry Nurses

    EKİNCİ, Funda KAVAK Mine


    This study of violence by patients on nurses working in a psychiatric clinic was carried out to evaluate.This study Elazig Mental Health and Diseases Hospital employees and 60 service nurse who accepted to work performed. This study nurses administered a questionnaire regarding socio-demographic characteristics and violence. The nurses included in the study 73.3% were married, 50% of high school graduates, 83.3% of service working as a nurse. 100% of the nurses suffered violence in the last y...

  1. Nursing informatics competences still challenging nurse educators.

    Rajalahti, Elina; Saranto, Kaija


    In recent years nursing documentation has been one of the most important development areas of nursing informatics (NI) in Finland. The purpose of this study is to describe the development of the nurse educators' competences in nursing documentation during a project called eNNI. The eNNI project (2008-2010) was a cooperative project by nurse educators and working life experts. The goal of the project was to implement the national documentation model and thereby improve operational processes at workplaces. The study includes pre- and post-test questioning of NI applications with a web-based questionnaire (n=136). The data were analyzed with distribution, cross-tabulations and average tests and descriptive statistic multivariate method. According to the results, the ICT skills of the nurse educators were good at the end of the project, and they had good information literacy competence. On the other hand, their advanced NI skills left room for improvement. PMID:22874332

  2. Dynamic Bayesian Combination of Multiple Imperfect Classifiers

    Simpson, Edwin; Psorakis, Ioannis; Smith, Arfon


    Classifier combination methods need to make best use of the outputs of multiple, imperfect classifiers to enable higher accuracy classifications. In many situations, such as when human decisions need to be combined, the base decisions can vary enormously in reliability. A Bayesian approach to such uncertain combination allows us to infer the differences in performance between individuals and to incorporate any available prior knowledge about their abilities when training data is sparse. In this paper we explore Bayesian classifier combination, using the computationally efficient framework of variational Bayesian inference. We apply the approach to real data from a large citizen science project, Galaxy Zoo Supernovae, and show that our method far outperforms other established approaches to imperfect decision combination. We go on to analyse the putative community structure of the decision makers, based on their inferred decision making strategies, and show that natural groupings are formed. Finally we present ...

  3. Adapt Bagging to Nearest Neighbor Classifiers

    Zhi-Hua Zhou; Yang Yu


    It is well-known that in order to build a strong ensemble, the component learners should be with high diversity as well as high accuracy. If perturbing the training set can cause significant changes in the component learners constructed, then Bagging can effectively improve accuracy. However, for stable learners such as nearest neighbor classifiers, perturbing the training set can hardly produce diverse component learners, therefore Bagging does not work well. This paper adapts Bagging to nearest neighbor classifiers through injecting randomness to distance metrics. In constructing the component learners, both the training set and the distance metric employed for identifying the neighbors are perturbed. A large scale empirical study reported in this paper shows that the proposed BagInRand algorithm can effectively improve the accuracy of nearest neighbor classifiers.

  4. Evolving Classifiers: Methods for Incremental Learning

    Hulley, Greg


    The ability of a classifier to take on new information and classes by evolving the classifier without it having to be fully retrained is known as incremental learning. Incremental learning has been successfully applied to many classification problems, where the data is changing and is not all available at once. In this paper there is a comparison between Learn++, which is one of the most recent incremental learning algorithms, and the new proposed method of Incremental Learning Using Genetic Algorithm (ILUGA). Learn++ has shown good incremental learning capabilities on benchmark datasets on which the new ILUGA method has been tested. ILUGA has also shown good incremental learning ability using only a few classifiers and does not suffer from catastrophic forgetting. The results obtained for ILUGA on the Optical Character Recognition (OCR) and Wine datasets are good, with an overall accuracy of 93% and 94% respectively showing a 4% improvement over Learn++.MT for the difficult multi-class OCR dataset.

  5. The Perioperative Nursing of Patients with Pelvic Organ Prolapse undergoing Pelvic Floor Reconstruction%微创盆底重建术治疗盆腔器官脱垂患者的围手术期护理

    杨洋; 李晓玲


    目的 探讨加用网片盆底重建术(PROSIMA)治疗盆腔器官脱垂患者的围手术期护理方法.方法 对2010年6月-2011年6月收治的23例盆腔脏器脱垂患者施行的PROSIMA护理措施进行回顾性总结.结果 23例患者术后尿失禁症状明显好转,舒适感增加;仅1例发生尿潴留,予重置尿管后顺利排尿;治愈率达100%.术后6个月复查时均无阴道壁膨出或穹隆脱垂,未出现下尿路感染、网片侵蚀、下肢疼痛等并发症.结论 有效的护理措施可减少PROSIMA术后并发症,对提高手术成功率、促进患者康复有明显作用.%Objective To study the perioperative nursing for patients with pelvic organ prolapse undergoing Prosima devices pelvic floor reconstruction. Methods Twenty-three consecutive women with pelvic organ prolapse undergoing transvaginal placement of Prosima devices for pelvic floor reconstruction were enrolled retrospectively in this study from June 2010 to June 2011 in Urology Department of West China Hospital. All patients received distinctive nursing measures in support of the treatment. Results The cure rate of the surgical management was 100% with great symptoms relief and patients' well-being. Postoperative urinary retention occurred in one case which was cured by urinary catheterization in a few days. After six-month follow-up, there was no anterior vaginal or vault prolapse recurrence, no severe complication such as urinary tract infection, mesh erosion or groin pain. Conclusions Effective perioperative nursing measures can reduce the morbidity of postoperative complications after pelvic floor reconstruction. It is a significant way to assist surgical management and patients' recovery.

  6. Design of Robust Neural Network Classifiers

    Larsen, Jan; Andersen, Lars Nonboe; Hintz-Madsen, Mads;


    This paper addresses a new framework for designing robust neural network classifiers. The network is optimized using the maximum a posteriori technique, i.e., the cost function is the sum of the log-likelihood and a regularization term (prior). In order to perform robust classification, we present...... a modified likelihood function which incorporates the potential risk of outliers in the data. This leads to the introduction of a new parameter, the outlier probability. Designing the neural classifier involves optimization of network weights as well as outlier probability and regularization...

  7. Call to Action for Nurses/Nursing.

    Premji, Shahirose S; Hatfield, Jennifer


    The 13 million nurses worldwide constitute most of the global healthcare workforce and are uniquely positioned to engage with others to address disparities in healthcare to achieve the goal of better health for all. A new vision for nurses involves active participation and collaboration with international colleagues across research practice and policy domains. Nursing can embrace new concepts and a new approach-"One World, One Health"-to animate nursing engagement in global health, as it is uniquely positioned to participate in novel ways to improve healthcare for the well-being of the global community. This opinion paper takes a historical and reflective approach to inform and inspire nurses to engage in global health practice, research, and policy to achieve the Sustainable Development Goals. It can be argued that a colonial perspective currently informs scholarship pertaining to nursing global health engagement. The notion of unidirectional relationships where those with resources support training of those less fortunate has dominated the framing of nursing involvement in low- and middle-income countries. This paper suggests moving beyond this conceptualization to a more collaborative and equitable approach that positions nurses as cocreators and brokers of knowledge. We propose two concepts, reverse innovation and two-way learning, to guide global partnerships where nurses are active participants. PMID:27144160

  8. Call to Action for Nurses/Nursing

    Shahirose S. Premji


    Full Text Available The 13 million nurses worldwide constitute most of the global healthcare workforce and are uniquely positioned to engage with others to address disparities in healthcare to achieve the goal of better health for all. A new vision for nurses involves active participation and collaboration with international colleagues across research practice and policy domains. Nursing can embrace new concepts and a new approach—“One World, One Health”—to animate nursing engagement in global health, as it is uniquely positioned to participate in novel ways to improve healthcare for the well-being of the global community. This opinion paper takes a historical and reflective approach to inform and inspire nurses to engage in global health practice, research, and policy to achieve the Sustainable Development Goals. It can be argued that a colonial perspective currently informs scholarship pertaining to nursing global health engagement. The notion of unidirectional relationships where those with resources support training of those less fortunate has dominated the framing of nursing involvement in low- and middle-income countries. This paper suggests moving beyond this conceptualization to a more collaborative and equitable approach that positions nurses as cocreators and brokers of knowledge. We propose two concepts, reverse innovation and two-way learning, to guide global partnerships where nurses are active participants.

  9. The nurse match instrument: Exploring professional nursing identity and professional nursing values for future nurse recruitment.

    Mazhindu, Deborah M; Griffiths, Lauren; Pook, Carol; Erskine, Allen; Ellis, Roger; Smith, Fleur


    From April 1st 2015 it will be mandatory for Higher Education Institutions (HEI) in the United Kingdom (UK) providing pre-qualifying health care higher education to use a Values Based Recruitment (VBR) tool, to ensure only the candidates with the "right" personal identity and values commensurate with the Professional Identity of Nursing (PIN) are accepted for nurse education. "Nurse Match" instrument was developed to enhance the recruitment and selection of candidates for pre-qualifying nursing. Action Research into PIN commenced with voluntary, purposive, convenience samples of qualified nurses (n = 30), Service Users (N = 10), postgraduate diploma nurses in mental health (N = 25), third year mental health branch students (N = 20) and adult and child student nurses in years 2 and 3 (N = 20) in Focus Groups. Data collection and analysis occurred concomitantly between July 2013 and October 2014, aided by NVivo 10 software and revealed Key Quality Indicators (KQIs) of the social construction of PIN. Construct development included a literature review spanning the last fifteen years, which identified four main themes; 1. Nursing's ethics and values. 2. Nursing's professional identity and caring. 3. Nursing's emotional intelligence. 4. Nursing's professionalism. Nurse Match offers an evidence-based enhancement to VBR, for future nurse recruitment locally, nationally and internationally. PMID:27235564

  10. Oncology Nursing Society

    ... Hill Days Monday, August 22, 2016 Oncology Nursing Society Announces Support for DAISY Foundation Monday, August 8, 2016 Oncology Nursing Society and Haymarket Media Inc. Announce Navigation Summit Collaboration ...