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Sample records for classifying nursing organization

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

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    Helgeland Jon

    2010-02-01

    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

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    Li, Jingpeng

    2008-01-01

    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.

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    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

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    Bell, Julie Ann

    2013-01-01

    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

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    Arturo Juárez García

    2010-01-01

    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.

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    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

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    Arturo Juárez García

    2010-05-01

    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

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    Ilana Kadmon

    2015-01-01

    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.

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    Mick, Stephen S; Mark, Barbara A

    2005-01-01

    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

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    Vlaisavljević Željko

    2014-01-01

    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

    OpenAIRE

    Ilana Kadmon; Livia Kislev

    2015-01-01

    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.

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

    2013-01-01

    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

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    Sommerlund, Julie

    2006-01-01

    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.

    OpenAIRE

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

    1991-01-01

    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

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

    2014-01-01

    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

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

    2012-01-01

    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

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    Bard, Jonathan B. L.

    2012-01-01

    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

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    Fytilis, N.; Rizzo, D. M.

    2012-12-01

    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.

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

    2014-01-01

    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

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    Edvaldo Leal de Moraes

    2014-04-01

    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.

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

    2014-01-01

    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.

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    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

    OpenAIRE

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

    2016-01-01

    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

    OpenAIRE

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

    2015-01-01

    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

    OpenAIRE

    Aytaş, Özgür; Kartalcı, Şükrü; ÜNAL, Süheyla

    2011-01-01

    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.

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    Gilmartin, M J

    1998-01-01

    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.

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

    2016-03-01

    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

  8. [A MULTIDISCIPLINARY BIOPSYCHOSOCIAL INTEGRATED APPROACH IN ORGANIZATION OF REHABILITATIVE ACTIVITY IN NURSING HOMES (RSA)].

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

    2015-01-01

    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

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    Silvia Silva Souza

    2013-05-01

    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.

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

    2002-01-01

    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

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    Majeed, Farrukh

    2016-01-01

    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?

    DEFF Research Database (Denmark)

    Lippert, Ingmar

    2012-01-01

    . 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.

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

    2015-01-01

    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

    Science.gov (United States)

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

    2000-06-01

    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

    Directory of Open Access Journals (Sweden)

    Nikolas eKessler

    2015-03-01

    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.

    Science.gov (United States)

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

    2015-01-01

    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

    CERN Document Server

    Pal, Nikhil R; Das, J

    2009-01-01

    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

    OpenAIRE

    Skytt, Bernice

    2007-01-01

    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

    Directory of Open Access Journals (Sweden)

    M. Kuwata

    2012-12-01

    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

    Directory of Open Access Journals (Sweden)

    M. Kuwata

    2013-05-01

    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.

    Science.gov (United States)

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

    2010-01-01

    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.

    Science.gov (United States)

    Kim, Jong Kyung; Chang, Sun Ju

    2015-08-01

    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

    Science.gov (United States)

    Brown, Corina E.

    2013-01-01

    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

    Directory of Open Access Journals (Sweden)

    Sajad Parvin

    2011-09-01

    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

  5. CLASSIFIER IN BODO

    OpenAIRE

    Pratima Brahma

    2014-01-01

    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.

    Science.gov (United States)

    Ferguson, Stephanie L

    2013-11-01

    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

    Directory of Open Access Journals (Sweden)

    C. A. Stroud

    2012-09-01

    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

    OpenAIRE

    Lee, Hyun Jung; Park, Hyeoun-Ae

    2010-01-01

    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.

    Science.gov (United States)

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

    2016-03-01

    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

    Science.gov (United States)

    Baird, Bonni Lynn

    2012-01-01

    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

    OpenAIRE

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

    2011-01-01

    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].

    Science.gov (United States)

    Curchod, Claude

    2012-03-01

    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.

    Science.gov (United States)

    Crisp, Carol

    2016-01-01

    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.

    Science.gov (United States)

    Osadchy, Margarita; Keren, Daniel; Raviv, Dolev

    2016-04-01

    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

    CERN Document Server

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

    2016-01-01

    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

    Science.gov (United States)

    ... 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

    DEFF Research Database (Denmark)

    Christiansen, Charlotte

    2014-01-01

    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

    Science.gov (United States)

    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?

    Science.gov (United States)

    ... 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

    Directory of Open Access Journals (Sweden)

    Ignacio Rodríguez Novelle

    2008-12-01

    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

    OpenAIRE

    Ignacio Rodríguez Novelle; Javier Pérez Cid; Alvaro Salmador

    2008-01-01

    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

    OpenAIRE

    B. Santhi; R.Seethalakshmi

    2012-01-01

    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

    CERN Document Server

    Huang, Chien-Chung

    2009-01-01

    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”

    Science.gov (United States)

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

    2016-01-01

    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.

    Science.gov (United States)

    Donham, Greg W.; And Others

    1984-01-01

    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.

    Science.gov (United States)

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

    2014-01-01

    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.

    Science.gov (United States)

    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.

    OpenAIRE

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

    1991-01-01

    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

    OpenAIRE

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

    2014-01-01

    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.

    Science.gov (United States)

    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

    Science.gov (United States)

    ... 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.

    Science.gov (United States)

    Cohen, Jeremye D

    2006-01-01

    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

    Directory of Open Access Journals (Sweden)

    Bruna Parnov Machado

    2012-06-01

    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

    Science.gov (United States)

    ... 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

    Institute of Scientific and Technical Information of China (English)

    卢爱民

    2015-01-01

    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.

    Science.gov (United States)

    McGuire, Elaine; Kennerly, Susan M

    2006-01-01

    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.

    Science.gov (United States)

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

    2011-09-01

    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

    Directory of Open Access Journals (Sweden)

    Marcin Zmyslony

    2012-06-01

    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

    Directory of Open Access Journals (Sweden)

    Marcin Zmyslony

    2012-05-01

    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.

    Science.gov (United States)

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

    1998-01-01

    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

    OpenAIRE

    El-Bash, Amira

    2015-01-01

    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.

    Science.gov (United States)

    Cole, Frank L.; Mackey, Thomas

    1996-01-01

    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

    Science.gov (United States)

    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

    Directory of Open Access Journals (Sweden)

    Rosemarie Troskie

    1997-02-01

    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.

    Science.gov (United States)

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

    2016-03-01

    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.

    Science.gov (United States)

    Horton, Khim; Tschudin, Verena; Forget, Armorel

    2007-11-01

    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

    CERN Multimedia

    Computer Security Team

    2011-01-01

    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.

    Science.gov (United States)

    Kazis, Cornelia; Schwendimann, René

    2009-11-01

    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.

    Science.gov (United States)

    Thorman, Kathleen E

    2004-01-01

    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

    Science.gov (United States)

    ... 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.

    Science.gov (United States)

    Deyo, Patricia; Swartwout, Ellen; Drenkard, Karen

    2016-03-01

    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.

    Science.gov (United States)

    Barloon, Linda Funk; Hilliard, Wanda

    2016-06-01

    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

    International Nuclear Information System (INIS)

    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

    International Nuclear Information System (INIS)

    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

    Science.gov (United States)

    ... 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

    OpenAIRE

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

    2005-01-01

    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

    DEFF Research Database (Denmark)

    Larsen, Rasmus

    2000-01-01

    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

    Science.gov (United States)

    ... 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.

    Science.gov (United States)

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

    2012-01-01

    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

    Institute of Scientific and Technical Information of China (English)

    赵丹丹; 高蕾

    2014-01-01

    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

  1. PERFORMANCE OF AN AIR CLASSIFIER TO REMOVE LIGHT ORGANIC CONTAMINATION FROM ALUMINUM RECOVERED FROM MUNICIPAL WASTE BY EDDY CURRENT SEPARATION. TEST NO. 5.03, RECOVERY 1, NEW ORLEANS

    Science.gov (United States)

    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.

    Science.gov (United States)

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

    2016-01-01

    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

    Czech Academy of Sciences Publication Activity Database

    Klimešová, Dana; Ocelíková, E.

    2007-01-01

    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

    Czech Academy of Sciences Publication Activity Database

    Jiřina, Marcel; Jiřina jr., M.

    2014-01-01

    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

    Science.gov (United States)

    Nursing Outlook, 1976

    1976-01-01

    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

    Directory of Open Access Journals (Sweden)

    Ruzzakiah Jenal

    2011-11-01

    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

    OpenAIRE

    Lianos, Andreas; Yang, Yanyan

    2015-01-01

    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

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer

    2013-01-01

    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.

    Science.gov (United States)

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

    2016-01-01

    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

    DEFF Research Database (Denmark)

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

    2009-01-01

    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

    Science.gov (United States)

    2010-01-05

    ... 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

    Science.gov (United States)

    2011-06-14

    ... 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.

    Science.gov (United States)

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

    2010-06-01

    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

    Science.gov (United States)

    ... 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

    Directory of Open Access Journals (Sweden)

    Mohammed Naji Al-Kabi

    2005-01-01

    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

    CERN Document Server

    Kim, Hyeong-Chan

    2016-01-01

    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.

    Science.gov (United States)

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

    2011-01-01

    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

    Science.gov (United States)

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

    2008-09-01

    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

    OpenAIRE

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

    2014-01-01

    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

    Science.gov (United States)

    Catto, Jennifer

    2015-04-01

    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.

  1. ANALYSIS OF BAYESIAN CLASSIFIER ACCURACY

    Directory of Open Access Journals (Sweden)

    Felipe Schneider Costa

    2013-01-01

    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].

    Science.gov (United States)

    Pinto, Karina Araújo; de Melo, Cristina Maria Meira

    2010-09-01

    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

    OpenAIRE

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

    2010-01-01

    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

    Directory of Open Access Journals (Sweden)

    Booth Rachel Z.

    2002-01-01

    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.

    Science.gov (United States)

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

    2016-09-01

    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.

    Science.gov (United States)

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

    2016-01-01

    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)

    DEFF Research Database (Denmark)

    Mortensen, Randi A.; Nielsen, Gunnar Haase

    2001-01-01

    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

    OpenAIRE

    Baron, Judith

    1983-01-01

    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.

    OpenAIRE

    Patrick, T. B.; Springer, G K

    1994-01-01

    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

    OpenAIRE

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

    2006-01-01

    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

    OpenAIRE

    Crosley, Joan M.

    1984-01-01

    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

    Directory of Open Access Journals (Sweden)

    Peter Mathieu Van Bogaert

    2014-11-01

    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

    International Nuclear Information System (INIS)

    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

    DEFF Research Database (Denmark)

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

    2014-01-01

    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].

    Science.gov (United States)

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

    1998-12-01

    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.

    Science.gov (United States)

    Nielsen, B B

    1989-01-01

    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

    OpenAIRE

    Efstratios Athanasakis

    2013-01-01

    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?

    Directory of Open Access Journals (Sweden)

    Joan Ernest de Pedro Gómez

    2004-06-01

    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

    OpenAIRE

    Vanderbeek, Jean; Carson, Anne; Troy, Douglas

    2008-01-01

    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.

    Science.gov (United States)

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

    2016-06-01

    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.

    Science.gov (United States)

    Moye, Janet P; Swan, Beth Ann

    2009-01-01

    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.

    Science.gov (United States)

    Johnson, L J

    1990-09-01

    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.

    Science.gov (United States)

    2010-01-01

    ... 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.

    Science.gov (United States)

    Freitas, L

    1990-01-01

    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.

    Science.gov (United States)

    Davis, K; Glass, N

    1999-06-01

    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.

    NARCIS (Netherlands)

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

    2004-01-01

    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

    Directory of Open Access Journals (Sweden)

    Desai Geetha

    2003-01-01

    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.

    Science.gov (United States)

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

    2016-03-01

    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"

    DEFF Research Database (Denmark)

    Jepsen, Jørgen Riis

    2015-01-01

    . 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...

  10. THE NURSING DIAGNOSIS OF THE NURSING ACTIONS: PERCEPTION OF THE GRADUATE NURSING AND NURSING CARE

    OpenAIRE

    Cláudia Silveira Viera; Franciele Foschiera

    2004-01-01

    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.

    Science.gov (United States)

    Cricco-Lizza, Roberta

    2014-05-01

    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.

    Science.gov (United States)

    Livi, Lorenzo; Sadeghian, Alireza; Pedrycz, Witold

    2015-12-01

    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.

    Science.gov (United States)

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

    2012-12-01

    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.

    Science.gov (United States)

    Wendt, A; Brown, P

    2000-01-01

    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

    Science.gov (United States)

    Larsson, Laura S.; Butterfield, Patricia

    2016-01-01

    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:

    OpenAIRE

    Šmitek, Jana

    2000-01-01

    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

    Science.gov (United States)

    2011-03-15

    ... 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

    Science.gov (United States)

    2010-10-19

    ... 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.

    Science.gov (United States)

    Fondiller, Shirley H.; And Others

    1995-01-01

    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.

    Science.gov (United States)

    Komprood, Sarah R

    2013-02-01

    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

    Institute of Scientific and Technical Information of China (English)

    陈慧玉

    2011-01-01

    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.

    Science.gov (United States)

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

    2004-01-01

    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

    Energy Technology Data Exchange (ETDEWEB)

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

    1985-01-01

    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

    Science.gov (United States)

    ... 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

    OpenAIRE

    Carol F. Rocker

    2008-01-01

    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

    Directory of Open Access Journals (Sweden)

    Peter eVan Bogaert

    2015-10-01

    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.

    Science.gov (United States)

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

    2011-09-01

    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

    Science.gov (United States)

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

    2012-01-01

    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.

    Science.gov (United States)

    Springer, Rusla Anne; Clinton, Michael E

    2015-04-01

    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.

    Science.gov (United States)

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

    2011-01-01

    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.

    Science.gov (United States)

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

    2010-08-01

    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

    Directory of Open Access Journals (Sweden)

    Ayise Karadağ

    2016-02-01

    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

    Science.gov (United States)

    Samuel, Paul D.; Pines, Darryll J.

    2001-02-01

    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

    OpenAIRE

    Verma, Pramod

    2014-01-01

    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

    CERN Document Server

    Nova, David

    2015-01-01

    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

    Science.gov (United States)

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

    1994-01-01

    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.

    Science.gov (United States)

    2010-07-01

    ... 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.

    Science.gov (United States)

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

    2013-01-01

    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.

    Science.gov (United States)

    Kamau, Caroline; Medisauskaite, Asta; Lopes, Barbara

    2015-01-01

    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

    Directory of Open Access Journals (Sweden)

    Suresh Ramakrishnan

    2015-01-01

    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

    KAUST Repository

    Carroll, Raymond

    2012-09-01

    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

    CERN Document Server

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

    2009-01-01

    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

    OpenAIRE

    Zaghloul, Ashraf Ahmad Zaher; AlSokair, May Kosay

    2008-01-01

    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.

    Science.gov (United States)

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

    2009-01-01

    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

    Science.gov (United States)

    Torpey, Elka Maria

    2011-01-01

    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.

    Science.gov (United States)

    Allen, D

    1997-07-01

    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.

    Science.gov (United States)

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

    1989-01-01

    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.

    Science.gov (United States)

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

    2009-12-01

    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.

    Science.gov (United States)

    Harris, S H; Cummings, S H

    1996-01-01

    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.

    Science.gov (United States)

    Laming, Eleanor; Stewart, Angela

    2016-07-13

    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

    OpenAIRE

    Aysegül Koç

    2012-01-01

    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.

    Science.gov (United States)

    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.

    Science.gov (United States)

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

    2007-08-01

    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.

    Science.gov (United States)

    Warne, T; Holland, K; McAndrew, S

    2011-03-01

    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

    OpenAIRE

    Richter, Urban Maximilian

    2009-01-01

    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.

    Science.gov (United States)

    Sipes, Carolyn

    2016-01-01

    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.

    Science.gov (United States)

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

    2012-01-01

    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

    OpenAIRE

    Elliott, Arnold; Freeling, Paul; Owen, John

    1980-01-01

    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

    CERN Document Server

    Forrest, Stephanie

    1990-01-01

    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

    OpenAIRE

    Kumar, Anurag; Raj, Bhiksha

    2016-01-01

    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.

    Science.gov (United States)

    Windsor, A

    1987-04-01

    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

    Directory of Open Access Journals (Sweden)

    Seyedeh Toktam Masoumian Hoseini

    2015-04-01

    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.

    Science.gov (United States)

    Welton, John M; Harper, Ellen M

    2016-01-01

    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.

    Science.gov (United States)

    Jones, Audrey Elizabeth; Sambrook, Sally

    2010-12-01

    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

    CERN Document Server

    Khademi, Mahmoud; safayani, Meharn

    2010-01-01

    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

    KAUST Repository

    Amin, Talha

    2013-11-25

    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.

    Science.gov (United States)

    Baumann, Steven L

    2006-10-01

    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

    OpenAIRE

    Jirwe, Maria

    2008-01-01

    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

    Institute of Scientific and Technical Information of China (English)

    Zhi-Hua Liu; Dian Jiao; Xiao Sun

    2005-01-01

    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

    OpenAIRE

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

    2009-01-01

    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

    OpenAIRE

    Arentz, Will Archer

    2004-01-01

    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

    OpenAIRE

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

    2004-01-01

    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

    OpenAIRE

    Kim, Kyung In; Simon, Richard

    2010-01-01

    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

    Czech Academy of Sciences Publication Activity Database

    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

    OpenAIRE

    Hulley, Greg; Marwala, Tshilidzi

    2007-01-01

    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

    OpenAIRE

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

    2014-01-01

    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

    Directory of Open Access Journals (Sweden)

    Campbell Ann-Mari

    2008-10-01

    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?

    CERN Document Server

    Hu, Bao-Gang

    2011-01-01

    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...

  19. COMBINING CLASSIFIERS FOR CREDIT RISK PREDICTION

    Institute of Scientific and Technical Information of China (English)

    Bhekisipho TWALA

    2009-01-01

    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.

    Science.gov (United States)

    Harris, Alexandra

    2016-05-01

    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.

    Science.gov (United States)

    Glass, N; Davis, K

    1998-09-01

    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

    DEFF Research Database (Denmark)

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

    2001-01-01

    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

    International Nuclear Information System (INIS)

    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

    Directory of Open Access Journals (Sweden)

    Evaggelos Giavasopoulos

    2007-01-01

    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

    OpenAIRE

    A.A. Tjale; Bruce, J

    2007-01-01

    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].

    Science.gov (United States)

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

    1990-01-01

    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.

    Science.gov (United States)

    Reynolds, Alison; OBoyle, Colm

    2016-07-14

    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

    DEFF Research Database (Denmark)

    Kofod, Jens Erik; Birkemose, A.

    2004-01-01

    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

    Directory of Open Access Journals (Sweden)

    Raymann, Cornelia

    2006-02-01

    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

    DEFF Research Database (Denmark)

    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

    Institute of Scientific and Technical Information of China (English)

    赵文静; 朱爽; 马奔; 赵丽萍; 赵文州

    2015-01-01

    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

    Science.gov (United States)

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

    2009-01-01

    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

    Science.gov (United States)

    Denehy, Janice

    2010-01-01

    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].

    Science.gov (United States)

    Arakaki, Jorge

    2013-08-01

    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

    Directory of Open Access Journals (Sweden)

    Salsali Mahvash

    2005-03-01

    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

    Institute of Scientific and Technical Information of China (English)

    蒲静

    2015-01-01

    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?

    Science.gov (United States)

    Hu, Bao-Gang

    2014-02-01

    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

    Directory of Open Access Journals (Sweden)

    Mara Solange Gomes Dellaroza

    2015-03-01

    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

    Directory of Open Access Journals (Sweden)

    Myra C. Britiller

    2014-02-01

    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

    OpenAIRE

    EKİNCİ, Funda KAVAK Mine

    2013-01-01

    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.

    Science.gov (United States)

    Rajalahti, Elina; Saranto, Kaija

    2012-01-01

    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

    CERN Document Server

    Simpson, Edwin; Psorakis, Ioannis; Smith, Arfon

    2012-01-01

    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

    Institute of Scientific and Technical Information of China (English)

    Zhi-Hua Zhou; Yang Yu

    2005-01-01

    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

    CERN Document Server

    Hulley, Greg

    2007-01-01

    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

    Institute of Scientific and Technical Information of China (English)

    杨洋; 李晓玲

    2013-01-01

    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

    DEFF Research Database (Denmark)

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

    1998-01-01

    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.

    Science.gov (United States)

    Premji, Shahirose S; Hatfield, Jennifer

    2016-01-01

    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

    Directory of Open Access Journals (Sweden)

    Shahirose S. Premji

    2016-01-01

    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.

    Science.gov (United States)

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

    2016-05-01

    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

    Science.gov (United States)

    ... 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 ...

  11. Pediatric Endocrinology Nurses Society

    Science.gov (United States)

    ... International Welcome to PENS The Pediatric Endocrinology Nursing Society (PENS) is committed to the development and advancement ... PENS@kellencompany.com • Copyright © 2016 Pediatric Endocrinology Nursing Society • ALL RIGHTS RESERVED • Privacy Policy • Admin

  12. National Nursing Home Survey

    Science.gov (United States)

    The National Nursing Home Survey provides includes characteristics such as size of nursing home facilities, ownership, Medicare/Medicaid certification, occupancy rate, number of days of care provided, and expenses.

  13. Alternatives to Nursing Homes

    Science.gov (United States)

    ... this website may not be available. Alternatives to nursing homes Before you make any decisions about long ... live and what help you may need. A nursing home may not be your only choice. Discharge ...

  14. Nursing Home Quality Initiative

    Data.gov (United States)

    U.S. Department of Health & Human Services — This Nursing Home Quality Initiative (NHQI) website provides consumer and provider information regarding the quality of care in nursing homes. NHQI discusses...

  15. Psoriasis: Pregnancy and Nursing

    Science.gov (United States)

    ... to find out more! Email * Zipcode Pregnancy and Nursing In general, psoriasis does not affect the male ... psoriasis and birth » Treating psoriasis while pregnant or nursing There is little research on the impact of ...

  16. Nursing around the world.

    Science.gov (United States)

    Hurley, Gemma; Boulton, Jacqueline; Long, Adele; Norris, Lucy

    2016-05-12

    In this section, nurses who have worked in countries such as Tanzania, Sierra Leone and Nepal share their experiences and photos of nursing in environments vastly different to those they are used to. PMID:27172494

  17. Vietnam nursing in transition

    OpenAIRE

    Petrini, Marcia, A

    2000-01-01

    Vietnam as a country is undergoing major changes. Nursing is also experiencing many changes in education and practice. This study evaluated the current status of nursing in Vietnam, the planned direction for chage and the process that is being utilized

  18. Community Nursing Home (CNH)

    Data.gov (United States)

    Department of Veterans Affairs — The Community Nursing Home (CNH) database contains a list of all Community Nursing Home facilities under local contract to Veterans Health Administration (VHA). CNH...

  19. The history of the nurse anesthesia profession.

    Science.gov (United States)

    Ray, William T; Desai, Sukumar P

    2016-05-01

    Despite the fact that anesthesia was discovered in the United States, we believe that both physicians and nurses are largely unaware of many aspects of the development of the nurse anesthetist profession. A shortage of suitable anesthetists and the reluctance of physicians to provide anesthetics in the second half of the 19th century encouraged nurses to take on this role. We trace the origins of the nurse anesthetist profession and provide biographical information about its pioneers, including Catherine Lawrence, Sister Mary Bernard Sheridan, Alice Magaw, Agatha Cobourg Hodgins, and Helen Lamb. We comment on the role of the nuns and the effect of the support and encouragement of senior surgeons on the development of the specialty. We note the major effect of World Wars I and II on the training and recruitment of nurse anesthetists. We provide information on difficulties faced by nurse anesthetists and how these were overcome. Next, we examine how members of the profession organized, developed training programs, and formalized credentialing and licensing procedures. We conclude by examining the current state of nurse anesthesia practice in the United States. PMID:27041264

  20. Beginnings of nursing education and nurses’ contribution to nursing professional development in Serbia

    Directory of Open Access Journals (Sweden)

    Vlaisavljević Željko

    2014-01-01

    Full Text Available The oldest records of developmental beginnings of patients’ healthcare relate to the first hospital founded by St. Sava at the monastery Studenica in 1199. The profile of the Kosovian girl became the hallmark of nursing profession in Serbia. The first school for midwives was founded in 1899 at the Department of Gynecology and Obstetrics of the General State Hospital in Belgrade. However, there were no other schools for nurses in Serbia until the foundation of the School for Midwives of the Red Cross Society in 1021. Until then the healthcare of patients and the injured was carried out by self-taught volunteer nurses with completed short courses of patients’ healthcare. The first course for male and female nurses was organized by the Serbian Red Cross at the beginning of the First Serbian-Turkish War in 1876. During wars with Serbian participation in 19th and 20th centuries with Serbian participation, nurses gave a remarkable contribution being exposed to extreme efforts and often sacrificing their own lives. In war times great merit belongs to the members of the humanitarian society the Circle of Serbian Sisters founded in Belgrade in 1903, which was the resource of a great number of nurses who became the pride of nursing profession. Generations of nurses were educated on their example. In 2004 the annual award “Dušica Spasić” was established which is awarded to the best medical nurse in Serbia. Dušica Spasić was a medical nurse that died at her workplace, when aged 23 years, nursing the sick from variola.

  1. CLASSIFYING NODULAR LESIONS OF ORAL CAVITY

    OpenAIRE

    Sumit Bhateja

    2013-01-01

    Diagnosis of many lesions of the oral cavity is challenging to most cliniciansbecause of their uncommon prevalence. A number of cystic, osteodystrophic,microbial, tumor and tumor like lesions of the oral cavity are present withcharacteristic exophytic/raised surface; which makes their diagnosis and studysimpler. The present article is attempted at classifying the common nodular lesions ofthe oral cavity.

  2. The classifying topos of a topological bicategory

    CERN Document Server

    Bakovic, Igor

    2009-01-01

    For any topological bicategory 2C, the Duskin nerve N2C of 2C is a simplicial space. We introduce the classifying topos B2C of 2C as the Deligne topos of sheaves Sh(N2C) on the simplicial space 2NC. It is shown that the category of topos morphisms from the topos of sheaves Sh(X) on a topological space X to the Deligne classifying topos Sh(N2C) is naturally equivalent to the category of principal 2C-bundles. As a simple consequence, the geometric realization of the nerve N2C of a locally contractible topological bicategory 2C is the classifying space of principal 2C-bundles (on CW complexes), giving a variant of the result of Baas, Bokstedt and Kro derived in the context of bicategorical K-theory. We also define classifying topoi of a topological bicategory 2C using sheaves on other types of nerves of a bicategory given by Lack and Paoli, Simpson and Tamsamani by means of bisimplicial spaces, and we examine their properties.

  3. Automated mobility-classified-aerosol detector

    OpenAIRE

    Russell, Lynn M.; Flagan, Richard C.; Zhang, Shou-Hua

    2001-01-01

    An aerosol detection system for measuring particle number distribution with respect to particle dimension in an aerosol sample. The system includes an alternating dual-bag sampler, a radially classified differential mobility analyzer, and a condensation nucleus counter. Pressure variations in sampling are compensated by feedback control of volumetric flow rates using a plurality of flow control elements.

  4. Embedded feature ranking for ensemble MLP classifiers

    OpenAIRE

    Windeatt, T; Duangsoithong, R; Smith, R

    2011-01-01

    A feature ranking scheme for multilayer perceptron (MLP) ensembles is proposed, along with a stopping criterion based upon the out-of-bootstrap estimate. To solve multi-class problems feature ranking is combined with modified error-correcting output coding. Experimental results on benchmark data demonstrate the versatility of the MLP base classifier in removing irrelevant features.

  5. Adaptively robust filtering with classified adaptive factors

    Institute of Scientific and Technical Information of China (English)

    CUI Xianqiang; YANG Yuanxi

    2006-01-01

    The key problems in applying the adaptively robust filtering to navigation are to establish an equivalent weight matrix for the measurements and a suitable adaptive factor for balancing the contributions of the measurements and the predicted state information to the state parameter estimates. In this paper, an adaptively robust filtering with classified adaptive factors was proposed, based on the principles of the adaptively robust filtering and bi-factor robust estimation for correlated observations. According to the constant velocity model of Kalman filtering, the state parameter vector was divided into two groups, namely position and velocity. The estimator of the adaptively robust filtering with classified adaptive factors was derived, and the calculation expressions of the classified adaptive factors were presented. Test results show that the adaptively robust filtering with classified adaptive factors is not only robust in controlling the measurement outliers and the kinematic state disturbing but also reasonable in balancing the contributions of the predicted position and velocity, respectively, and its filtering accuracy is superior to the adaptively robust filter with single adaptive factor based on the discrepancy of the predicted position or the predicted velocity.

  6. 75 FR 37253 - Classified National Security Information

    Science.gov (United States)

    2010-06-28

    ... and Records Administration Information Security Oversight Office 32 CFR Parts 2001 and 2003 Classified National Security Information; Final Rule #0;#0;Federal Register / Vol. 75, No. 123 / Monday, June 28, 2010 / Rules and Regulations#0;#0; ] NATIONAL ARCHIVES AND RECORDS ADMINISTRATION Information...

  7. Israeli registered nurse workforce

    OpenAIRE

    Glazer Greer

    2012-01-01

    Abstract This commentary on the article by Nirel, Riba, Reicher and Toren, "Registered nurses in Israel - workforce employment characteristics and projected supply", describes major findings from this important Israeli study and links findings to other nursing workforce studies worldwide. Israeli projections include a 25% decrease in RNs in the workforce by 2028; the greater likelihood of leaving the progression of young nurses compared to older nurses, and the greater likelihood of leaving t...

  8. Nurse led care

    OpenAIRE

    Cullum, N; Spilsbury, K; Richardson, G.

    2005-01-01

    What's the difference between medical and nursing care? The answer is not straightforward, but shortages in the medical workforce mean that nurses are increasingly called on to undertake work that was previously done by doctors (such as undertaking surgery,1 prescribing drugs, performing triage in emergency departments), whereas shortages in the nursing workforce mean that healthcare assistants now do many tasks that nurses are trained to do. This fluidity in professional roles and competenci...

  9. Nurses and burnout syndrome

    OpenAIRE

    Zarema Obradović; Amina Obradović; Ifeta Ćesir Škoro

    2013-01-01

    Introduction: The work of nurses is human. They help people in protection against diseases. Nurses are the largest group of health workers and all problems that appear in the health system are first recognized among them. Burnout syndrome appears among nurses very frequently. We present the leading factors for burnout among nurses in RMC „Dr Safet Mujic“ in Mostar, Bosnia and Herzegovina.Methods: It is a cross sectional descriptive study. We used an anonymous questionnaire with 20 questions. ...

  10. [Care in nursing in Brazil].

    Science.gov (United States)

    Spagnol, Carla Aparecida; Fortuna, Cinira Magali; Villa, Eliana Aparecida; Velloso, Isabela Silva Câncio; Salviano, Márcia Eller Miranda

    2015-09-01

    The aim of this paper is to propose a reflection about the care in Brazilian nursing considering some theorists. For doing so, we have started with a discussion about the anglo saxon concept of care and possible translations into Portuguese language. After this, some authors who have theoretically subsidized some scientific productions in healthcare and specifically in Brazilian nursing are introduced. Within this analysis, the presence of different ways of thinking nursing care were identified, but in relation to the concept of care, as it has been proposed in France, there are not too many studies and scientific research. However, despite the limitation of academic research about care in health area, particularly in Brazilian nursing, it is possible to observe that its conceptual assumptions tangent certain bets made in some health policies such as the National Humanization Policy and the Health Continuing Education Policy, as well as in the organization of the Unified Health System, that focus on the integrality of patient care. PMID:26685557

  11. District nursing in Dominica

    NARCIS (Netherlands)

    Kolkman, PME; Luteijn, AJ; Nasiiro, RS; Bruney, [No Value; Smith, RJA; Meyboom-de Jong, B

    1998-01-01

    District nurses constitute the basis of the primary health care services in Dominica. All encounters of three district nurses were registered using the international classification of primary care. Information on other aspects of district nursing was collected by participating observation and the us

  12. Culture and Nursing Symposium

    OpenAIRE

    Ümit Seviğ

    2009-01-01

    Health and Health CultureHealth and the Social Dimension of HealthCulture and Nursing PracticeThe Concept of Culture and NursinTranscultural-multicultural Nursing ExperienceHealth Personnel RelationshipCommunities, Nutrition and Health HabitsTranscultural-Nursing RequirementsTo live according to the different culture

  13. Adaptation to Turkish of NurseNurse Collaboration Scale

    OpenAIRE

    Çelik Durmuş, Serpil; Yıldırım, Aytolan

    2016-01-01

    Background: Nurse-nurse collaboration increases occupational satisfaction and the health care quality, decreases medical errors. Aim: This research was performed for the adaptation to Turkish of NurseNurse Collaboration Scale to determine the collaboration level between nurses.Methods: The research was planned methodologically (N=496) to test validity and reliability of “Nurse-nurse collaboration scale”. Original scale consists of 35 item and 5 sub-dimensions (problem solving, communicatio...

  14. Image Classifying Registration for Gaussian & Bayesian Techniques: A Review

    Directory of Open Access Journals (Sweden)

    Rahul Godghate,

    2014-04-01

    Full Text Available A Bayesian Technique for Image Classifying Registration to perform simultaneously image registration and pixel classification. Medical image registration is critical for the fusion of complementary information about patient anatomy and physiology, for the longitudinal study of a human organ over time and the monitoring of disease development or treatment effect, for the statistical analysis of a population variation in comparison to a so-called digital atlas, for image-guided therapy, etc. A Bayesian Technique for Image Classifying Registration is well-suited to deal with image pairs that contain two classes of pixels with different inter-image intensity relationships. We will show through different experiments that the model can be applied in many different ways. For instance if the class map is known, then it can be used for template-based segmentation. If the full model is used, then it can be applied to lesion detection by image comparison. Experiments have been conducted on both real and simulated data. It show that in the presence of an extra-class, the classifying registration improves both the registration and the detection, especially when the deformations are small. The proposed model is defined using only two classes but it is straightforward to extend it to an arbitrary number of classes.

  15. Critical-Thinking Types among Nursing and Management Undergraduates.

    Science.gov (United States)

    Thorpe, Karran; Loo, Robert

    2003-01-01

    The short form of the Watson-Glaser Critical Thinking Appraisal was completed by 233 nursing and 131 management students, yielding four clusters of critical thinking types. Discriminant analysis using cluster membership and subtest scores showed 96% were correctly classified. (Contains 40 references) (SK)

  16. Nursing 436A: Pediatric Oncology for Nurses.

    Science.gov (United States)

    Jackman, Cynthia L.

    A description is provided of "Pediatric Oncology for Nurses," the first in a series of three courses offered to fourth-year nursing students in pediatric oncology. The first section provides a course overview, discusses time assignments, and describes the target student population. Next, a glossary of terms, and lists of course goals, long-range…

  17. Nursing rituals: doing ethnography.

    Science.gov (United States)

    Wolf, Z R

    1993-08-01

    Types of nursing rituals identified in this study include therapeutic and occupational rituals. Therapeutic rituals (Douglas, 1963, 1966, 1975; Turner, 1957, 1967, 1969) are identified as symbolic healing actions that improve the condition of patients. Occupational rituals or rituals of socialization include symbolic actions that facilitate the transition of professional neophytes into their professional role (Bosk, 1980; Fox, 1979; Zerubavel, 1979). Nursing rituals fulfill an important although not highly visible function in a nursing unit of a modern American hospital. They enable nurses to carry out caring activities for patients who are acutely or chronically ill, old, and dying. Rituals help to reaffirm values and beliefs of nurses. Explication of the implicit meanings of nursing rituals illuminates nursing for nurses and others who seek to understand nursing services. Descriptive analyses of nursing rituals direct attention to the hidden work of the hospital staff nurse, work sometimes taken for granted by professionals and the public who fail to see the many difficult, intimate, and risky aspects of nursing work and how certain ritual behavior promotes its accomplishment. Other studies on nursing ritual are needed to expand the theory of nursing ritual in this descriptive analysis, and to move it from descriptive to explanatory theory. For example, the transmission of the beliefs, rules of conduct, and customs that take place during change-of-shift report has not been extensively investigated. Neither have the more practical aspects of shift report been studied, including the types of information exchanged or the influence of shift report on planning and priority setting for the nurses who work during the ensuing shift. Also, few empirical studies examine the effects of bathing on patient outcomes, such as skin integrity, cardiac function, and comfort levels, and patient bathing preferences. This is surprising, because the bath is such an essential ritual

  18. Strategic management and nurses: building foundations.

    Science.gov (United States)

    Crossan, Frank

    2003-09-01

    Effective strategic management is the means by which organizations achieve their desired levels of performance. There is a need to explore and describe the relationship between the profession of nursing and strategic management, with particular reference to nurses' participation in the field of strategy development and implementation. This paper aims to 'set the scene' in relation to such an exploration. The concept of strategic management is discussed and some possible definitions are explored. The need for nurses to be involved in strategic management is then considered, drawing on literature from nursing and general management sources. The overall aim of the paper is to provide a basis for further discussion and to generate ideas for research in the area. PMID:12930539

  19. Survey on knowledge, attitude and practice towards potential organ donors′ coordinating donation in clinical nurses%对临床护士潜在器官捐献相关知识认知、态度和行为现状的调查

    Institute of Scientific and Technical Information of China (English)

    刘红; 张媛; 徐凌忠

    2015-01-01

    Objective To understand the knowledge, attitudes and practice ( KAP ) of nurses in relation to potential organ donors′coordinating donation, in order to provide references for the establishment of the human organ donation coordination mode in clinical nurses. Methods The investigation was carried out among 375 nurses in one public hospital in June 2013. 353 questionnaires were returned, with a response rate of 94. 1%. Results A total of 66. 3% nurses thought that the main potential organ donors were derived from the sudden unexpected death of the crowds. The top three departments of the potential organ donors were intensive care unit, the emergency room and neurosurgery department. Only 20. 4% nurses discerned the indications of the potential organ donor, 65. 7% nurses thought the“popularization of knowledge” was the biggest advantage in public hospital in terms of organ donation, 68. 8% nurses were not willing to prompt donations intention initiatively to the families of potential organ donors, Only 44. 8% nurses were willing to be a part-time organ donation coordinators. Conclusions The KAP is not optimistic among nurses. This survey demonstrates a need for more continuing education and training, especially on how to identify potential organ donors. The organ donation coordinators′team should be built.%目的:了解公立医院临床护士对潜在器官捐献者协调捐献的认识、态度和行为的现状,为医院人体器官捐献协调模式的建立提供参考依据。方法于2013年6月对某公立医院的375名护士进行有关潜在器官捐献者相关知识知晓、态度和行为的问卷调查,其中有效问卷353份,有效应答率为94.1%。结果66.3%的护士认为潜在器官捐献者主要来源于突发意外的死亡人群;潜在器官捐献者的主要来源科室前3位为重症监护病房、急诊科和神经外科;只有20.4%的护士了解潜在器官捐献者的指征;65.7%的护士认为“宣传普及

  20. PRIMARY NURSING IMPLICATIONS ON NURSING CARE ASSISTANCE

    Directory of Open Access Journals (Sweden)

    Luciana Mahnis Pereira Carmona

    2002-06-01

    Full Text Available The authors present the method “Primary Nursing”, which has as principle the elevation of thenurse’s autonomy, in which he is responsible for the patient 24 hours a day. The also present the function of eachnurse engaged in that process, pointing out the advantages of the method and its implications in the practice. In itsreview, they put results of 07 present works accomplished with the introduction of the “Primary Nursing”. As finalconsiderations, the state that the “Primary Nursing” improves the quality of assistance given by the nurse, and itsperformance will mainly depend on the nurse’s interest, on changing the reference system towards the professionalcompetence.

  1. Role for a Labor-Management Partnership in Nursing Home Person-Centered Care

    Science.gov (United States)

    Leutz, Walter; Bishop, Christine E.; Dodson, Lisa

    2010-01-01

    Purpose: To investigate how a partnership between labor and management works to change the organization and focus of nursing home frontline work, supporting a transition toward person-centered care (PCC) in participating nursing homes. Design and Methods: Using a participatory research approach, we conducted case studies of 2 nursing homes…

  2. Advanced Practice Nursing: Is the Physician's Assistant an Accident of History or a Failure to Act?

    Science.gov (United States)

    Christman, Luther

    1998-01-01

    The responses of some nursing organizations regarding the establishment of collaborative relationships in the nursing profession may be responsible for the development of the physician assistant profession. The nursing profession should examine these responses while planning strategies to cope with the current chaos in health care. (JOW)

  3. WORK REDESIGN AND THE BALANCE OF CONTROL WITHIN A NURSING CONTEXT

    NARCIS (Netherlands)

    MOLLEMAN, E; VANKNIPPENBERG, A

    1995-01-01

    Within the nursing organization of four hospital wards, a new work design was introduced, which was primarily characterized by the delegation of responsibilities from head nurses to nurses and by the participation of patients. First, it was hypothesized that the participation of patients in health c

  4. Organizational Citizenship Behavior Among Iranian Nurses

    Directory of Open Access Journals (Sweden)

    S Alirezaie

    2012-04-01

    Full Text Available Background:Organizational Citizenship Behavior (OCB is defined as "individual behavior that is discretionary,not directly or explicitly recognized by the formal reward system, and that in the aggregate, promotes the effective functioning of organization".OCB, enhance job satisfaction among nursing employees.According to several findings, nurses' OCB have a positive and significant influence on job satisfaction.This research is aimed to study OCB among Iranian nurses.Methods:A cross-sectional, descriptive and analytical study was conducted among 510 nurses working in 15 teaching hospitals in Tehran,Iran to be selected by stratified random sampling. The respondents were asked to complete Netemeyer's organizational citizenship behavior questionnaire that encompassed four dimensions of OCB including Sportsmanship, Civil Virtue, Conscientiousness, Altruism and selected each item of OCB dimensions and identified their attitudes about OCB items were observed in hospitals of Tehran. The data was analyzed by T-test, ANOVA and Pearson statistical methods.Results:The results of this research showed that most of the nurses who studied in this study,had OCB behaviors. Also, we found that there was significant correlation between Iranian nurses' marriage status, qualifications and gender with sportsmanship, altruism and civic virtue.Conclusion:This research demonstrates the existence of OCB among Iranian nurses that are essential in developing patient - oriented behavior.The results can be used to develop further nursing management strategies for enhancement of OCB. Finally,the present study indicates new possibilities for future researches such as analysis and comparison of OCB between different hospitals and how nursing policy-makers can enhance these behaviors in Iranian hospitals.

  5. Creating a Healthy Camp Community: A Nurse's Role.

    Science.gov (United States)

    Lishner, Kris Miller; Bruya, Margaret Auld

    This book provides an organized, systematic overview of the basic aspects of health program management, nursing practice, and human relations issues in camp nursing. A foremost assumption is that health care in most camps needs improvement. Good health is dependent upon interventions involving social, environmental, and lifestyle factors that…

  6. A National Survey of Associate Degree Nursing Programs, 1967.

    Science.gov (United States)

    Lande, Sylvia

    To identify characteristics of existing associate degree nursing programs, a descriptive questionnaire was mailed to 218 programs in state-approved schools of nursing in the United States, its territories, and possessions. The questionnaire was designed to gain information on background characteristics, organization and administration, students,…

  7. 以学生为主体的模拟教学病例编制组织与管理%The organization and experience of simulation in nursing education characterized with students-involved case design

    Institute of Scientific and Technical Information of China (English)

    张京煜; 梁涛; 陈京立; 马伟光

    2012-01-01

    This paper aims to introduce the key steps of the organization system in the process of our simulation education program.Our College has embarked on the use of simulation education in the course of clinical nursing care III: oxygenation since 2008. The feature of our simulation teaching program is that students play the key role in the process of the case editing.The use of simulation helps students to learn nursing skills and other problem solving abilities in a relative real clinical scenario. The advantage of such approach is to make the best use of simulation education to increase students' critical thinking abilities.%我院自2008年开始,将模拟教学应用于“临床护理学:氧合”课程中,利用现代化的实验设备,使学生更好地在比较真实的临床场景下学习护理技能,并培养其解决问题的能力.本次模拟教学活动中由学生承担编辑病例的主要角色,学生参与病例设计的过程,不但能够巩固其专科知识和技术,而且能进一步提高其逻辑思维能力.本文主要介绍本次以学生参与病例设计为特征的模拟教学组织及管理的相关经验及体会.

  8. Developments in the Nursing Research

    OpenAIRE

    N Petroglou; S Dadoumi

    2008-01-01

    Technological and social changes as well as changes in health and demographic developments have modified considerably the role of nursing and made nursing research more and more essential. Nursing research aims at developing knowledge that guides and supports the whole field of nursing practice in order to improve the quality of nursing care and thereby improves the status of the profession. Like nursing itself, nursing research began with Florence Nightingale in her hospital reforms first in...

  9. Cooperation of a stoma nurse with multidisciplinary team

    OpenAIRE

    VOTRUBOVÁ, Veronika

    2014-01-01

    A stoma is an opening of a hollow organ on the surface of the body. The care for a stoma aims at returning a patient to ordinary life and it is exactly in this process that a stoma nurse should help the patient. The stoma nurse guides the patient through the pre-operative preparation, the post-operative preparation and also through the outpatient preparation in which the patient visits the stoma nurse in a stoma clinic. Cooperation of the stoma nurse with other members of the multidisciplinar...

  10. Psychiatric consultation-liaison nursing: revisiting the role.

    Science.gov (United States)

    Norwood, S L

    1998-07-01

    With their special training and assessment skills, psychiatric consultation-liaison nurses have a long history of making important contributions to patient care and staff development. This article reviews how psychiatric consultation-liaison nurses have traditionally approached and implemented the nursing consultation process. Issues facing psychiatric consultation-liaison nurses are discussed. Opportunities such as focusing on subspecialization; expanding practice settings; dealing with organization-based, rather than patient-based mental health issues; and entering intra- and entrepreneurial practice are also explored. PMID:9987220

  11. Enfermeras de quirófanos en el proceso de obtención de órganos torácicos en transplantes Living experiences by theatre nurses in the process of the retrieval of organs

    Directory of Open Access Journals (Sweden)

    Ana María Soler Castells

    2007-09-01

    Full Text Available Objetivo: explorar la experiencia vivida por las enfermeras de quirófano cuando participan en la obtención de órganos torácicos (corazón y pulmones. Participantes y métodos: estudio cualitativo, observacional y descriptivo a través del análisis de literatura relevante al tópico estudiado. Resultados: el equipo expuesto al proceso de obtención de órganos muestra un nivel de estrés derivado de la actividad que es específica de la actividad que desempeña. Este nivel de estrés depende de cómo la persona vive y resuelve la situación, de sus creencias y de la simbología intrínseca del corazón y los pulmones. También influye la presión de tiempo en la obtención de éstos órganos. Conclusión: El personal de enfermería que trabaja en la extracción de órganos torácicos está expuesto a un nivel de estrés específico a su actividad que a menudo no es contemplado. Diferentes estrategias de afrontamiento han aparecido desde su detección.Objective: to explore the living experience of theatre nurses when they participate in the retrieval of thoracic organs (heart and lungs. Methods: a qualitative, observational and descriptive study through an analysis of the relevant literature to the studied topic. Results: the team exposes to the retrieval of organs procedure shows a level of stress related to the activity that is specific to the activity. This level of stress depends of how the person lives and deals with the situation, her/his beliefs and the intrinsic symbolism of heart and lungs. Conclusion: the nursing staff that works in the retrieval of thoracic organs is exposed to a level of stress specific to its activity and that is not often contemplated. Different strategies of coping have appeared from its detection.

  12. Classification Studies in an Advanced Air Classifier

    Science.gov (United States)

    Routray, Sunita; Bhima Rao, R.

    2016-01-01

    In the present paper, experiments are carried out using VSK separator which is an advanced air classifier to recover heavy minerals from beach sand. In classification experiments the cage wheel speed and the feed rate are set and the material is fed to the air cyclone and split into fine and coarse particles which are collected in separate bags. The size distribution of each fraction was measured by sieve analysis. A model is developed to predict the performance of the air classifier. The objective of the present model is to predict the grade efficiency curve for a given set of operating parameters such as cage wheel speed and feed rate. The overall experimental data with all variables studied in this investigation is fitted to several models. It is found that the present model is fitting good to the logistic model.

  13. NETWORK FAULT DIAGNOSIS USING DATA MINING CLASSIFIERS

    Directory of Open Access Journals (Sweden)

    Eleni Rozaki

    2015-04-01

    Full Text Available Mobile networks are under more pressure than ever before because of the increasing number of smartphone users and the number of people relying on mobile data networks. With larger numbers of users, the issue of service quality has become more important for network operators. Identifying faults in mobile networks that reduce the quality of service must be found within minutes so that problems can be addressed and networks returned to optimised performance. In this paper, a method of automated fault diagnosis is presented using decision trees, rules and Bayesian classifiers for visualization of network faults. Using data mining techniques the model classifies optimisation criteria based on the key performance indicators metrics to identify network faults supporting the most efficient optimisation decisions. The goal is to help wireless providers to localize the key performance indicator alarms and determine which Quality of Service factors should be addressed first and at which locations.

  14. Comparing cosmic web classifiers using information theory

    CERN Document Server

    Leclercq, Florent; Jasche, Jens; Wandelt, Benjamin

    2016-01-01

    We introduce a decision scheme for optimally choosing a classifier, which segments the cosmic web into different structure types (voids, sheets, filaments, and clusters). Our framework, based on information theory, accounts for the design aims of different classes of possible applications: (i) parameter inference, (ii) model selection, and (iii) prediction of new observations. As an illustration, we use cosmographic maps of web-types in the Sloan Digital Sky Survey to assess the relative performance of the classifiers T-web, DIVA and ORIGAMI for: (i) analyzing the morphology of the cosmic web, (ii) discriminating dark energy models, and (iii) predicting galaxy colors. Our study substantiates a data-supported connection between cosmic web analysis and information theory, and paves the path towards principled design of analysis procedures for the next generation of galaxy surveys. We have made the cosmic web maps, galaxy catalog, and analysis scripts used in this work publicly available.

  15. Semantic Features for Classifying Referring Search Terms

    Energy Technology Data Exchange (ETDEWEB)

    May, Chandler J.; Henry, Michael J.; McGrath, Liam R.; Bell, Eric B.; Marshall, Eric J.; Gregory, Michelle L.

    2012-05-11

    When an internet user clicks on a result in a search engine, a request is submitted to the destination web server that includes a referrer field containing the search terms given by the user. Using this information, website owners can analyze the search terms leading to their websites to better understand their visitors needs. This work explores some of the features that can be used for classification-based analysis of such referring search terms. We present initial results for the example task of classifying HTTP requests countries of origin. A system that can accurately predict the country of origin from query text may be a valuable complement to IP lookup methods which are susceptible to the obfuscation of dereferrers or proxies. We suggest that the addition of semantic features improves classifier performance in this example application. We begin by looking at related work and presenting our approach. After describing initial experiments and results, we discuss paths forward for this work.

  16. Comparing cosmic web classifiers using information theory

    Science.gov (United States)

    Leclercq, Florent; Lavaux, Guilhem; Jasche, Jens; Wandelt, Benjamin

    2016-08-01

    We introduce a decision scheme for optimally choosing a classifier, which segments the cosmic web into different structure types (voids, sheets, filaments, and clusters). Our framework, based on information theory, accounts for the design aims of different classes of possible applications: (i) parameter inference, (ii) model selection, and (iii) prediction of new observations. As an illustration, we use cosmographic maps of web-types in the Sloan Digital Sky Survey to assess the relative performance of the classifiers T-WEB, DIVA and ORIGAMI for: (i) analyzing the morphology of the cosmic web, (ii) discriminating dark energy models, and (iii) predicting galaxy colors. Our study substantiates a data-supported connection between cosmic web analysis and information theory, and paves the path towards principled design of analysis procedures for the next generation of galaxy surveys. We have made the cosmic web maps, galaxy catalog, and analysis scripts used in this work publicly available.

  17. Design and evaluation of neural classifiers

    DEFF Research Database (Denmark)

    Hintz-Madsen, Mads; Pedersen, Morten With; Hansen, Lars Kai; Larsen, Jan

    In this paper we propose a method for the design of feedforward neural classifiers based on regularization and adaptive architectures. Using a penalized maximum likelihood scheme we derive a modified form of the entropy error measure and an algebraic estimate of the test error. In conjunction wit...... optimal brain damage pruning the test error estimate is used to optimize the network architecture. The scheme is evaluated on an artificial and a real world problem......In this paper we propose a method for the design of feedforward neural classifiers based on regularization and adaptive architectures. Using a penalized maximum likelihood scheme we derive a modified form of the entropy error measure and an algebraic estimate of the test error. In conjunction with...

  18. Robot Learning Using Learning Classifier Systems Approach

    OpenAIRE

    Jabin, Suraiya

    2010-01-01

    In this chapter, I have presented Learning Classifier Systems, which add to the classical Reinforcement Learning framework the possibility of representing the state as a vector of attributes and finding a compact expression of the representation so induced. Their formalism conveys a nice interaction between learning and evolution, which makes them a class of particularly rich systems, at the intersection of several research domains. As a result, they profit from the accumulated extensions of ...

  19. Classifiers Based on Inverted Distances. Chapter 19

    Czech Academy of Sciences Publication Activity Database

    Jiřina, Marcel; Jiřina jr., M.

    Rijeka: InTech, 2011 - (Funatsu, K.; Hasegawa, K.), s. 369-386 ISBN 978-953-307-547-1 R&D Projects: GA MŠk(CZ) 1M0567 Institutional research plan: CEZ:AV0Z10300504 Keywords : classification * neighbor distances * correlation dimension * Zipfian distribution Subject RIV: BB - Applied Statistics, Operational Research http://www.intechopen.com/books/new-fundamental-technologies-in-data-mining/classifiers-based-on-inverted-distances

  20. Comparing cosmic web classifiers using information theory

    OpenAIRE

    Leclercq, Florent; Lavaux, Guilhem; Jasche, Jens; Wandelt, Benjamin

    2016-01-01

    We introduce a decision scheme for optimally choosing a classifier, which segments the cosmic web into different structure types (voids, sheets, filaments, and clusters). Our framework, based on information theory, accounts for the design aims of different classes of possible applications: (i) parameter inference, (ii) model selection, and (iii) prediction of new observations. As an illustration, we use cosmographic maps of web-types in the Sloan Digital Sky Survey to assess the relative perf...

  1. Using Singularity Exponent in Distance based Classifier

    Czech Academy of Sciences Publication Activity Database

    Jiřina, Marcel; Jiřina jr., M.

    Los Alamitos : IEEE, 2010, s. 220-224 ISBN 978-1-4244-8135-4. [ISDA 2010. International Conference on Intelligent Systems Design and Applications /10./. Cairo (EG), 29.11.2010-01.12.2010] R&D Projects: GA MŠk 1M0567 Institutional research plan: CEZ:AV0Z10300504 Keywords : singularity exponent * nearest neighbor * classifier Subject RIV: IN - Informatics, Computer Science

  2. Classifying and evaluating architecture design methods

    OpenAIRE

    Aksit, Mehmet; Tekinerdogan, Bedir

    1999-01-01

    The concept of software architecture has gained a wide popularity and is generally considered to play a fundamental role in coping with the inherent difficulties of the development of large-scale and complex software systems. This document first gives a definition of architectures. Second, a meta-model for architecture design methods is presented. This model is used for classifying and evaluating various architecture design approaches. The document concludes with the description of the identi...

  3. Neural Network Classifier Based on Growing Hyperspheres

    Czech Academy of Sciences Publication Activity Database

    Jiřina Jr., Marcel; Jiřina, Marcel

    2000-01-01

    Roč. 10, č. 3 (2000), s. 417-428. ISSN 1210-0552. [Neural Network World 2000. Prague, 09.07.2000-12.07.2000] Grant ostatní: MŠMT ČR(CZ) VS96047; MPO(CZ) RP-4210 Institutional research plan: AV0Z1030915 Keywords : neural network * classifier * hyperspheres * big -dimensional data Subject RIV: BA - General Mathematics

  4. [Necessary changes for advancing nursing as caring science].

    Science.gov (United States)

    de Pires, Denise Elvira Pires

    2013-09-01

    The article aimed to reflect upon the challenges involved in strengthening Nursing as a caring science. It is founded on the sociological theory, connecting three approaches: the historical-dialectic materialism perspective about the working process in health care and nursing; the sociology of professions from a critical perspective; and the philosophy of science. The discussion is organized considering the aspects of Nursing as a discipline, work and health care profession. It sustains that knowledge production should be driven both by the purpose of Nursing work which is providing care to human beings with health needs and to advocate for the indispensable work conditions to a safe and responsible practice. It concludes that to strengthening Nursing it is necessary to produce knowledge to support nursing care and the political actions defending safe work conditions, the universal right to health as well safe and high quality care. PMID:24092308

  5. Utilization of trauma guidelines by ER nurses in Thailand

    Institute of Scientific and Technical Information of China (English)

    Krongdai Unhasuta RN

    2012-01-01

    Objective: To improving trauma nursing practice in Thailand and other countries. Methods:As part of a larger study of 164 ER nurses, 83 nurses provided narrative responses to questions of CNPG utilization and barriers to implementation. Using a qualitative descriptive design and analysis, three major themes were identified: Guidelines reflect good practice; Nurses do not always follow guidelines; and System problems limit use. Results: The results suggest optimized guideline adherence would require using judgment in following CNPG; ensuring organized teamwork is essential; and providing maximum resources would promote optimal care.Conclusion: Clinical nursing practice guidelines (CNPG) have been developed in Thailand for resuscitation care of emergency room (ER) trauma patients. However, many nurses do not use guidelines effectively.

  6. Preparing nurses for leadership roles in cardiovascular disease prevention.

    Science.gov (United States)

    Lanuza, Dorothy M; Davidson, Patricia M; Dunbar, Sandra B; Hughes, Suzanne; De Geest, Sabina

    2011-07-01

    Cardiovascular disease (CVD) is a critical global health issue, and cardiovascular nurses play a vital role in decreasing the global burden and contributing to improving outcomes in individuals and communities. Cardiovascular nurses require the knowledge, skills, and resources that will enable them to function as leaders in CVD. This article addresses the education, training, and strategies that are needed to prepare nurses for leadership roles in preventing and managing CVD. Building on the World Health Organization core competencies for 21st-century health care workers, the specific competencies of cardiovascular nurses working in prevention are outlined. These can be further strengthened by investing in the development of cultural, system change and leadership competencies. Mentorship is proposed as a powerful strategy for promoting the cardiovascular nursing role and equipping individual nurses to contribute meaningfully to health system reform and community engagement in CVD risk reduction. PMID:21762853

  7. Nurses Returning to School: Motivators, Inhibitors and Job Satisfaction.

    Science.gov (United States)

    Harris, Patrick W; Burman, Mary E

    2016-01-01

    Health care employers and national nursing organizations are placing increased emphasis on nurses earning a baccalaureate degree or higher. This study examines the impact of motivators (professional and personal motivation), inhibitors (time constraints and employer discouragement), and job satisfaction on intent to return to school. Approximately half of the employed nurses in Wyoming were surveyed using a mailed questionnaire in the summer of 2013. Perceived employer discouragement and time constraints continued to play a direct role on intent to return to school regardless of nurse motivation or job satisfaction. However, motivation and job satisfaction also contributed to a nurse's intent to return to school. These results suggest that motivation and job satisfaction are significant regarding intent to return to school but can be limited by both perceived discouragement of one's employer and perceived time constraints. In order to meet the increasing demands of a better-educated nursing workforce, a shift in workplace dynamics may be warranted. PMID:27000192

  8. Nurses' professionalism in Canada: a labor process analysis.

    Science.gov (United States)

    Campbell, M L

    1992-01-01

    This article draws on a body of research conducted by the author over the past ten years on the social organization of nursing work. It explores questions surrounding nurses' contemporary labor process control and its meaning for nurses' professionalization and proletarianization. Both are dynamic processes, changing as public administration of the Canadian health care system changes and as nurses are successful in winning more complete self-regulation. Nurses are currently being articulated more and more securely to dominant ideas of public sector management through textually mediated technologies. Nurses find new upwardly mobile careers and challenging, responsible, and more respected work. However, as the generation of objective information for professional accountability, cost-accounting, and managerial decision-making becomes unified in computerized patient information systems, producing and using such information becomes a central and determining core of everyday nursing work. It organizes nurses into a "managed" practice of patient care, contradictory for them in many ways. Outstanding among these contradictions is a new professionalized standpoint of cost-efficiency that subordinates nurses' traditional interests and grounding of their work in the standpoint of care. PMID:1399180

  9. Establishment of the Asia Oncology Nursing Society (AONS

    Directory of Open Access Journals (Sweden)

    Kazuko Onishi

    2014-06-01

    Full Text Available Over the past several years, whenever an informal group of Asian oncology nurses gathered, they talked about their mutual desire to create an organization closer to their homes that would be similar to the European Oncology Nursing Society (EONS. They saw this as a means for more of their colleagues to learn about the latest in cancer nursing and to have a time and place to network among themselves. This message continued to gain strength whenever these nurses met at other international meetings such as the International Conference on Cancer Nursing (ICCN, the Multinational Association of Supportive Care in Cancer (MASCC and the Oncology Nursing Society in US. A definite and planned step toward forming an Asian organization as the first meeting was taken on June 24 2011 when several Asian nurses were attending a MASCC meeting in Greece. The second meeting was held in Prague, Czech Republic, in conjunction with the 17 th ICCN meeting on September 10 2012, where the participants of the meeting included 21 oncology nurses from Asian countries. Finally, the first official meeting of the board directors from nine countries was held on November 21 2013 in Bangkok, Thailand. Now, and in the future, sharing and collaborating in the practice, education and research for oncology nursing in Asia is needed.

  10. Establishment of the Asia Oncology Nursing Society (AONS

    Directory of Open Access Journals (Sweden)

    Kazuko Onishi

    2014-01-01

    Full Text Available Over the past several years, whenever an informal group of Asian oncology nurses gathered, they talked about their mutual desire to create an organization closer to their homes that would be similar to the European Oncology Nursing Society (EONS. They saw this as a means for more of their colleagues to learn about the latest in cancer nursing and to have a time and place to network among themselves. This message continued to gain strength whenever these nurses met at other international meetings such as the International Conference on Cancer Nursing (ICCN, the Multinational Association of Supportive Care in Cancer (MASCC and the Oncology Nursing Society in US. A definite and planned step toward forming an Asian organization as the first meeting was taken on June 24 2011 when several Asian nurses were attending a MASCC meeting in Greece. The second meeting was held in Prague, Czech Republic, in conjunction with the 17 th ICCN meeting on September 10 2012, where the participants of the meeting included 21 oncology nurses from Asian countries. Finally, the first official meeting of the board directors from nine countries was held on November 21 2013 in Bangkok, Thailand. Now, and in the future, sharing and collaborating in the practice, education and research for oncology nursing in Asia is needed.

  11. Student Triads: A Collaborative Approach to Practicum Experiences for Master's Nursing Students.

    Science.gov (United States)

    Goodwin, Miki; Jenkins-Weinrub, Edith

    2015-01-01

    This article presents an approach for a collaborative practicum experience for master's degree nursing students. The students were placed into triads and then assigned as a group to work in a large health care organization. A triad consisted of 1 student from each concentration of study: nursing administration, nursing education, or nursing informatics, and the group was immersed in real-time problem-solving and decision-making processes over the course of the year. PMID:25689075

  12. An Educational Program to Promote Emotional Mastery Skills in Nurse Managers.

    Science.gov (United States)

    Mularz, Laura A; Johansen, Mary L

    2016-01-01

    A curriculum was designed and implemented for nurse managers to develop and optimize emotional mastery skills. The program is outlined, implementation strategies were discussed, results were measured, and outcomes were reviewed. Outcomes from this program support the value and impact that nursing professional development specialists have on the development of nursing leadership. Nursing professional development specialists will find the curricula useful in addressing emotional mastery skill development in their organizations. PMID:27187837

  13. The impact of Chinese cultural values on Taiwan nursing leadership styles: comparing the self-assessments of staff nurses and head nurses.

    Science.gov (United States)

    Chang, Yuanmay

    2008-06-01

    perceptions. Results of this study identified the important cultural values "Ren" and "Yi". Managers and administrators could add the consideration of such cultural values into nursing leadership to enhance the organization in which Taiwan nurses work. PMID:18528817

  14. Academic Incivility in Nursing Education

    Science.gov (United States)

    Marlow, Sherri

    2013-01-01

    A well-documented and growing problem impacting the nursing shortage in the United States is the increasing shortage of qualified nursing faculty. Many factors contribute to the nursing faculty shortage such as retirement, dissatisfaction with the nursing faculty role and low salary compensation (American Association of Colleges of Nursing (AACN),…

  15. Ambulatory but sedentary : Impact on cognition and the rest-activity rhythm in nursing home residents with dementia

    NARCIS (Netherlands)

    Eggermont, Laura H. P.; Scherder, Erik J. A.

    2008-01-01

    Physical activity has been positively associated with cognition and the rest-activity rhythm. In the present study, nursing staff classified ambulatory nursing home residents with moderate dementia either as active (n = 42) or as sedentary (n = 34). We assessed the rest-activity rhythm by means of a

  16. Quality of life in urban-classified and rural-classified English local authority areas

    OpenAIRE

    Josep M. Campanera; Paul Higgins

    2011-01-01

    This paper presents the results of an analysis of the Audit Commission’s local quality-of-life indicators dataset to compare reported outcomes amongst 208 urban-classified and 144 rural-classified English local authority areas. We contextualise the demarcation of the urban and rural by reference to the transformational politics of the previous Labour government and its establishment of the sustainable communities initiative, whose controversial ‘place-based’ revitalisation essence continues t...

  17. NEURO FUZZY LINK BASED CLASSIFIER FOR THE ANALYSIS OF BEHAVIOR MODELS IN SOCIAL NETWORKS

    OpenAIRE

    Indira Priya Ponnuvel; Ghosh Dalim Kumar; Kannan Arputharaj; Ganapathy Sannasi

    2014-01-01

    In this study, a new link based classifier using neuro fuzzy logic has been proposed for analyzing the social behavior based on Weblog dataset. In this system, data are processed using a multistage structure. This system provides a diagnosis using a neuro fuzzy link based classifier that analyses the user’s behavior to specific diagnostic categories based on their cluster category in social networks. It uses random walks method to organize the labels. Since the links present in the soci...

  18. Building resilience in burns nurses: a descriptive phenomenological inquiry.

    Science.gov (United States)

    Kornhaber, Rachel Anne; Wilson, Anne

    2011-01-01

    The purpose of this qualitative study was to explore the concept of building resilience as a strategy for responding to adversity experienced by burns nurses. Nurses who care for patients with severe burn injury are often exposed to patients' pain and disfigurement, encountering emotional exhaustion, distress, reduced self-esteem, and desensitization to pain. Resilience has been identified as an essential characteristic for nurses in their work environment. Resilience assists nurses to bounce back and to cope in the face of adversity, sustaining them through difficult and challenging working environments. Nonetheless, there remains limited information that addresses the concept of building resilience in burns nurses. In 2009, seven burns nurses were recruited from a severe burn injury unit in New South Wales, Australia. A qualitative phenomenological methodology was used to construct themes depicting nurses' experiences. Participants were selected through purposeful sampling, and data were collected through in-depth individual semistructured interviews using open-ended questions. Data were analyzed with Colaizzi's phenomenological method of data analysis. The concept of building resilience as a strategy for coping with adversity was identified and organized into six categories: toughening up, natural selection, emotional toughness, coping with the challenges, regrouping and recharging, and emotional detachment. The findings clearly demonstrate that it is vital for burns nurses to build resilience to endure the emotional trauma of nursing patients with severe burn injury. Knowledge about building resilience could be incorporated into nursing education for both undergraduate and experienced nurses. Building resilience within the domain of burns nursing has the potential to retain nurses within the profession, having implications for staff development, orientation, and retention. PMID:21747335

  19. Standardized Nursing Documentation Supports Evidence-Based Nursing Management.

    Science.gov (United States)

    Mykkänen, Minna; Miettinen, Merja; Saranto, Kaija

    2016-01-01

    Nursing documentation is crucial to high quality, effective and safe nursing care. According to earlier studies nursing documentation practices vary and nursing classifications used in electronic patient records (EPR) are not yet standardized internationally nor nationally. A unified national model for documenting patient care improves information flow in nursing practice, management, research and development toward evidence-based nursing care. Nursing documentation quality, accuracy and development requires follow-up and evaluation. An audit instrument is used in the Kuopio University Hospital (KUH) when evaluating nursing documentation. The results of the auditing process suggest that the national nursing documentation model fulfills nurses' expectations of electronic tools, facilitating their important documentation duty. This paper discusses the importance of using information about nursing documentation and how we can take advantage of structural information in evidence-based nursing management. PMID:27332244

  20. Innovation in nursing education

    Directory of Open Access Journals (Sweden)

    Satı Dil

    2012-10-01

    Full Text Available Higher education programs work to expand their educational capacities by applying innovative strategies to meet future labor needs in all over the world. Nursing educators report that innovation required for the radical changes in nursing curriculum. Among the most important reasons for this requirements are showed that more than content to be installed on existing curriculum, repeating the same content on different courses, not taking into account the issues which the students want to learn by nursing educators, not enough supporting the innovative approaches and the use of electronic learning tools. In the litarature of nursing education innovation is provided by producting new knowledge and skills or replacing nursing curriculum. In this changing curriculum, educators not only the person who directs the course but also work to improve students’ intellectual and critical thinking, clinical decision making and care giving skills. To educate qualified nurses for meeting the expectations of globalizing world, implementing innovative strategies to nursing education has become mandatory. The purpose of this study is emphasizing the importance of two factors for the development of nursing education by using innovative strategies. These factors are, developing common educational strategic plans for the common future vision by higher nursing education institues and integration the innovative strategies on the nursing curriculum which supports developing the students’ professional knowledge and skills.

  1. Work motivation for Japanese nursing assistants in small- to medium-sized hospitals.

    Science.gov (United States)

    Kudo, Yasushi; Kido, Shigeri; Shahzad, Machiko Taruzuka; Yoshimura, Emiko; Shibuya, Akitaka; Aizawa, Yoshiharu

    2011-01-01

    Nursing assistants can work without a professional certification to help registered nurses and licensed practical nurses. Nursing assistants engage in various tasks, e.g., washing laundry, cleaning up, and clerk tasks regarding nursing. Enhancing work motivation among nursing assistants is essential for every hospital, because when nursing assistants do their jobs well, it allows registered nurses and licensed practical nurses to complete their own specialized jobs. We examined the predictors significantly associated with nursing assistants' work motivation. For those predictors, we produced items to examine job satisfaction. Those items are classified into intrinsic and extrinsic facets. The subjects for this study were Japanese nursing assistants working in 26 hospitals with 62-376 beds (4 public and 22 private hospitals). A total of 516 nursing assistants were analyzed, with the average age and standard deviation of 42.7 ± 12.9 years; the age of 456 female subjects was 43.8 ± 12.7 years and that of 60 male subjects was 34.3 ± 11.0 years. Our results show that "work motivation" is significantly associated with "free time to do one's own things," "nursing assistants as important partners on the job," "feeling helpful to patients," "participating in decision making," and "job-skill improvement." Free time to do one's own things is an extrinsic item. Hospital administrators must monitor the workload and their quality of life among nursing assistants. All the other significant items are intrinsic. Nursing assistants are not only motivated by money. They highly value the intrinsic nature and experience of their jobs. PMID:22112922

  2. Stress causing psychosomatic illness among nurses

    Directory of Open Access Journals (Sweden)

    Kane Pratibha

    2009-01-01

    Full Text Available Stress in nurses is an endemic problem. It contributes to health problems in nurses and decreases their efficiency. Documenting the causes and extent of stress in any healthcare unit is essential for successful interventions . Aim : Establishing the existence and extent of work stress in nurses in a hospital setting, identifying the major sources of stress, and finding the incidence of psychosomatic illness related to stress. Materials and Methods: This study used a questionnaire relating to stressors and a list of psychosomatic ailments. One hundred and six nurses responded and they were all included in the study. Stressors were based on four main factors: work related, work interactions, job satisfaction, and home stress. The factors relating to stress were given weights according to the severity. The total score of 50 was divided into mild, moderate, severe, and burnout. Results: Most important causes of stress were jobs not finishing in time because of shortage of staff, conflict with patient relatives, overtime, and insufficient pay. Psychosomatic disorders like acidity, back pain, stiffness in neck and shoulders, forgetfulness, anger, and worry significantly increased in nurses having higher stress scores. Increase in age or seniority did not significantly decrease stress. Conclusion: Moderate levels of stress are seen in a majority of the nurses. Incidence of psychosomatic illness increases with the level of stress. Healthcare organizations need to urgently take preemptive steps to counter this problem.

  3. Nurses' Psychosocial Barriers to Suicide Risk Management

    Directory of Open Access Journals (Sweden)

    Sharon Valente

    2011-01-01

    Full Text Available Suicide remains a serious health care problem and a sentinel event tracked by The Joint Commission. Nurses are pivotal in evaluating risk and preventing suicide. Analysis of nurses' barriers to risk management may lead to interventions to improve management of suicidal patients. These data emerged from a random survey of 454 oncology nurses' attitudes, knowledge of suicide, and justifications for euthanasia. Instruments included a vignette of a suicidal patient and a suicide attitude questionnaire. Results. Psychological factors (emotions, unresolved grief, communication, and negative judgments about suicide complicate the nurse's assessment and treatment of suicidal patients. Some nurses (=122 indicated that euthanasia was never justified and 11 were unsure of justifications and evaluated each case on its merits. Justifications for euthanasia included poor symptom control, poor quality of life, incurable illness or permanent disability, terminal illness, and terminal illness with inadequate symptom control or impending death, patient autonomy, and clinical organ death. The nurses indicated some confusion and misconceptions about definitions and examples of euthanasia, assisted suicide, and double effect. Strategies for interdisciplinary clinical intervention are suggested to identify and resolve these psychosocial barriers.

  4. A classifier neural network for rotordynamic systems

    Science.gov (United States)

    Ganesan, R.; Jionghua, Jin; Sankar, T. S.

    1995-07-01

    A feedforward backpropagation neural network is formed to identify the stability characteristic of a high speed rotordynamic system. The principal focus resides in accounting for the instability due to the bearing clearance effects. The abnormal operating condition of 'normal-loose' Coulomb rub, that arises in units supported by hydrodynamic bearings or rolling element bearings, is analysed in detail. The multiple-parameter stability problem is formulated and converted to a set of three-parameter algebraic inequality equations. These three parameters map the wider range of physical parameters of commonly-used rotordynamic systems into a narrow closed region, that is used in the supervised learning of the neural network. A binary-type state of the system is expressed through these inequalities that are deduced from the analytical simulation of the rotor system. Both the hidden layer as well as functional-link networks are formed and the superiority of the functional-link network is established. Considering the real time interpretation and control of the rotordynamic system, the network reliability and the learning time are used as the evaluation criteria to assess the superiority of the functional-link network. This functional-link network is further trained using the parameter values of selected rotor systems, and the classifier network is formed. The success rate of stability status identification is obtained to assess the potentials of this classifier network. The classifier network is shown that it can also be used, for control purposes, as an 'advisory' system that suggests the optimum way of parameter adjustment.

  5. 10 CFR 110.126 - Protection of classified information.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Protection of classified information. 110.126 Section 110... MATERIAL Special Procedures for Classified Information in Hearings § 110.126 Protection of classified information. Nothing in this subpart shall relieve any person from safeguarding classified information...

  6. 46 CFR 503.59 - Safeguarding classified information.

    Science.gov (United States)

    2010-10-01

    ... maintain: (1) A classified document register or log containing a listing of all classified holdings, and (2) A classified document destruction register or log containing the title and date of all classified... documents. (m) Combinations to dial-type locks shall be changed only by persons having an...

  7. Perceptions of "Nursing" and "Nursing Care" in the United States by Dutch Nursing Students.

    Science.gov (United States)

    Haloburdo, Esther P.; Thompson, Mary Ann

    2001-01-01

    In the opinions of 11 Dutch nursing students on a study tour of the United States, the U.S. emphasizes technical aspects of nursing and medical over nursing care, lacks team nursing and collegiality, and has a litigious environment. These negative images have implications for the use of U.S. nursing as a benchmark for global education and…

  8. Competency of Graduate Nurses as Perceived by Nurse Preceptors and Nurse Managers

    Science.gov (United States)

    Wise, Vanessa

    2013-01-01

    As newly graduated associate degree nurses (ADN) and baccalaureate degree nurses (BSN) enter into the workforce, they must be equipped to care for a complex patient population; therefore, the purpose of this study was to address the practice expectations and clinical competency of new nurses as perceived by nurse preceptors and nurse managers.…

  9. Undergraduate nursing students' compatibility with the nursing profession

    OpenAIRE

    Dianati Mansur; Adib-Hajbaghery Mohsen

    2005-01-01

    Abstract Background The high rate of attrition among nursing students has caused some nursing leaders to think about the necessity of considering students' personality during the process of admission into nursing schools. Due to the lack of studies on Iranian nursing students' personality traits, this study was designed to assess freshmen nursing students' personality characteristics and their compatibility with the demands of the nursing profession. Methods A descriptive study was conducted ...

  10. Nursing Students’ Views of Nursing Education Quality: A Qualitative Study

    OpenAIRE

    Kermansaravi, Fatihe; Navidian, Ali; Yaghoubinia, Fariba

    2015-01-01

    Background: Nursing education is currently facing challenges related to the application of nursing knowledge in clinical environments and inability of students in application of nursing procedures in clinical settings. Nursing students themselves represent the best means of identifying these challenges. This study was conducted aimed to understand the nursing students’ viewpoints and experiences concerning the challenges and deficiencies of the nursing education system. Methods: This qualitat...

  11. Evidence Based Nursing. A new perspective for Greek Nursing

    OpenAIRE

    Christina Ouzouni; Konstantinos Nakakis

    2008-01-01

    Despite the fact that nursing research has been developed in Greece, nevertheless the provision of nursing care is not based on current research findings, but rather on the knowledge gained by nurses during their undergraduate education. The transition of medicine in the last decade towards evidence based practice had definitely an impact on the nursing profession.The aim of this article is to briefly present evidence based nursing as a process and perspective to Greek nurses.Method: A litera...

  12. Modernization of Nursing Education and Nurse' It Competence

    OpenAIRE

    Šakalytė, Danguolė

    2015-01-01

    The use of technology in nursing is not new; in fact, nurses have become proficient in utilizing and adapting complex technology into caring nursing practice. Since nurses are the largest group of health care providers, discipline-specific competencies in the use of ICT and other technologies are imperative. This realization has catalyzed the steady development of nursing informatics. Nursing schools demonstrate use of recognized approaches to teaching and learning in their programs, includin...

  13. Support Vector classifiers for Land Cover Classification

    CERN Document Server

    Pal, Mahesh

    2008-01-01

    Support vector machines represent a promising development in machine learning research that is not widely used within the remote sensing community. This paper reports the results of Multispectral(Landsat-7 ETM+) and Hyperspectral DAIS)data in which multi-class SVMs are compared with maximum likelihood and artificial neural network methods in terms of classification accuracy. Our results show that the SVM achieves a higher level of classification accuracy than either the maximum likelihood or the neural classifier, and that the support vector machine can be used with small training datasets and high-dimensional data.

  14. Gearbox Condition Monitoring Using Advanced Classifiers

    Directory of Open Access Journals (Sweden)

    P. Večeř

    2010-01-01

    Full Text Available New efficient and reliable methods for gearbox diagnostics are needed in automotive industry because of growing demand for production quality. This paper presents the application of two different classifiers for gearbox diagnostics – Kohonen Neural Networks and the Adaptive-Network-based Fuzzy Interface System (ANFIS. Two different practical applications are presented. In the first application, the tested gearboxes are separated into two classes according to their condition indicators. In the second example, ANFIS is applied to label the tested gearboxes with a Quality Index according to the condition indicators. In both applications, the condition indicators were computed from the vibration of the gearbox housing. 

  15. Learnability of min-max pattern classifiers

    Science.gov (United States)

    Yang, Ping-Fai; Maragos, Petros

    1991-11-01

    This paper introduces the class of thresholded min-max functions and studies their learning under the probably approximately correct (PAC) model introduced by Valiant. These functions can be used as pattern classifiers of both real-valued and binary-valued feature vectors. They are a lattice-theoretic generalization of Boolean functions and are also related to three-layer perceptrons and morphological signal operators. Several subclasses of the thresholded min- max functions are shown to be learnable under the PAC model.

  16. Classifying LEP Data with Support Vector Algorithms

    CERN Document Server

    Vannerem, P; Schölkopf, B; Smola, A J; Söldner-Rembold, S

    1999-01-01

    We have studied the application of different classification algorithms in the analysis of simulated high energy physics data. Whereas Neural Network algorithms have become a standard tool for data analysis, the performance of other classifiers such as Support Vector Machines has not yet been tested in this environment. We chose two different problems to compare the performance of a Support Vector Machine and a Neural Net trained with back-propagation: tagging events of the type e+e- -> ccbar and the identification of muons produced in multihadronic e+e- annihilation events.

  17. Does nursing assistant certification increase nursing student's confidence level of basic nursing care when entering a nursing program?

    Science.gov (United States)

    Stombaugh, Angie; Judd, Andrea

    2014-01-01

    The purpose of this study was to explore nursing student's confidence level with basic nursing care when entering the nursing program after implementation of required nursing assistant certification for program admission. In addition, the relationship between being employed as a nursing assistant and confidence level with basic nursing care when entering the nursing program was explored. A Likert-scale survey assessing confidence levels of basic nursing care was sent to 156 nursing students admitted to a nursing program prior to their first nursing course. Confidence level with nursing skills, nursing assistant employment, and length of nursing assistant employment were assessed. Students were most confident in hand washing (M = 5.87, SD = 0.36), gloving and gowning (M =5.46, SD = 0.75), making an unoccupied bed (M = 5.38, SD = 0.88), and oral temperature (M = 5.30, SD = 0.87). Students were least confident in the fitting for cane (M = 1.74, SD = 1.16) and ambulation with crutches on steps (M =1.81, SD = 1.27). Nursing assistant employment increased student confidence with basic nursing care. Nursing programs cannot assume that students are prepared in basic nursing care based on a nursing assistant certification. PMID:24720945

  18. Comparison of Current Frame-Based Phoneme Classifiers

    Directory of Open Access Journals (Sweden)

    Vaclav Pfeifer

    2011-01-01

    Full Text Available This paper compares today’s most common frame-based classifiers. These classifiers can be divided into the two main groups – generic classifiers which creates the most probable model based on the training data (for example GMM and discriminative classifiers which focues on creating decision hyperplane. A lot of research has been done with the GMM classifiers and therefore this paper will be mainly focused on the frame-based classifiers. Two discriminative classifiers will be presented. These classifiers implements a hieararchical tree root structure over the input phoneme group which shown to be an effective. Based on these classifiers, two efficient training algorithms will be presented. We demonstrate advantages of our training algorithms by evaluating all classifiers over the TIMIT speech corpus.

  19. Cultural competence in nursing : nurses' perceptions

    OpenAIRE

    Semuhungu, Thierry; Mohamed Naseer, Mohamed Niroz

    2010-01-01

    The purpose of this final project was to explore the nurses´ perceptions of cultural competence in nursing.This final project is based on 15 scientific research articles. The data was collected using Cinahl, Sage Journals, Pubmed, Wiley Interscience and manual search through the library journal collections. Literature review was used as a methodology. A critical appraisal was conducted to ensure the literature suitability to this final project. Deductive content analysis approach was adopted ...

  20. Motivational incentives of nurses and nursing leadership

    OpenAIRE

    Bakola H.; Zyga S.; Panoutsopoulos G.; Alikari V.

    2016-01-01

    Introduction: In the health sector which is characterized much more as a "labor intensive" rather than as "capital intensive" human capital is the core for improving efficiency, enhancing productivity and maximizing the quality of service. Purpose: The purpose of this paper is to highlight the need for motivating nurses, presenting a realistic framework of incentives as well as the role of nursing leadership in this. Method: Literature review was carried out based on research and ...

  1. Nursing Aides, Orderlies, and Attendants

    Science.gov (United States)

    ... Z INDEX | OOH SITE MAP | EN ESPAÑOL Healthcare > Nursing Assistants and Orderlies PRINTER-FRIENDLY EN ESPAÑOL Summary ... of workers and occupations. What They Do -> What Nursing Assistants and Orderlies Do About this section Nursing ...

  2. Nursing interventions in inpatient psychiatry

    NARCIS (Netherlands)

    Frauenfelder, F.; Muller-Staub, M.; Needham, I.; Achterberg, T. van

    2013-01-01

    The successful application of the Nursing Interventions Classification (NIC) in inpatient psychiatry depends on whether the classification adequately describes nursing care in this setting. The present study aimed to identify nursing interventions mentioned in journal articles on psychiatric inpatie

  3. Ethical aspects of nursing research

    OpenAIRE

    Alexsandra Rodrigues Feijão

    2014-01-01

    With the advances of nursing scientific production in recent decades, in tandem with the growth of nursing postgraduate programs in Brazil, the discussion about ethics in research with human beings is perennial and relevant to nursing research.

  4. Nurses and subordination: a historical study of mental nurses' perceptions on administering aversion therapy for 'sexual deviations'.

    Science.gov (United States)

    Dickinson, Tommy; Cook, Matt; Playle, John; Hallett, Christine

    2014-12-01

    This study aimed to examine the meanings that nurses attached to the 'treatments' administered to cure 'sexual deviation' (SD) in the UK, 1935-1974. In the UK, homosexuality was considered a classifiable mental illness that could be 'cured' until 1992. Nurses were involved in administering painful and distressing treatments. The study is based on oral history interviews with fifteen nurses who had administered treatments to cure individuals of their SD. The interviews were transcribed for historical interpretation. Some nurses believed that their role was to passively follow any orders they had been given. Other nurses limited their culpability concerning administering these treatments by adopting dehumanising and objectifying language and by focussing on administrative tasks, rather than the human beings in need of their care. Meanwhile, some nurses genuinely believed that they were acting beneficently by administering these distinctly unpleasant treatments. It is envisaged that this study might act to reiterate the need for nurses to ensure their interventions have a sound evidence base and that they constantly reflect on the moral and value base of their practice and the influence that science and societal norms can have on changing views of what is considered 'acceptable practice'. PMID:23876127

  5. On becoming a Nurse

    DEFF Research Database (Denmark)

    Thrysøe, Lars

    , ph.d. cand.cur., RN, both Research Unit of Nursing, Institute of Clinical Research, Faculty of Health Sciences, University of Southern Denmark; Adjunct, ph.d., cand.mag. Nina Bonnerup Dohn, Institute for Language, Communication and Information Sciences, University of Southern Denmark; Professor, ph...... students transitioning into their new roles as Registered Nurses, and how their interactions with other health personnel affect their experiences.   Background It is important to gain more knowledge about what characterizes this transition in order to better understand and counteract the current decline...... for themselves about being a nurse.  These uncertainties can contribute to student nurses deciding to drop out of the educational program and new Registered Nurses feeling marginalized in the work place or leaving the profession disillusioned. A study conducted by the Danish Nurses Association (2007) show...

  6. Motivational incentives of nurses and nursing leadership

    Directory of Open Access Journals (Sweden)

    Bakola H.

    2016-04-01

    Full Text Available Introduction: In the health sector which is characterized much more as a "labor intensive" rather than as "capital intensive" human capital is the core for improving efficiency, enhancing productivity and maximizing the quality of service. Purpose: The purpose of this paper is to highlight the need for motivating nurses, presenting a realistic framework of incentives as well as the role of nursing leadership in this. Method: Literature review was carried out based on research and review articles from international (PubMed, Medline and Greek (Iatrotek databases. Results: The high performance of nursing staff depends on factors such as working environment conditions, financial rewards, job stress, etc. The international literature review highlighted as the main motivation factors for health care workers, the assessment by managers and colleagues, the personal achievements, the economic stability as well as training and job characteristics. The framework of incentives should include measures to improve work conditions and environment, measures for developing a working framework, incentives for moral compensation and self-realization. The role of nursing leadership should be based on the theory of path-goal for the improving of nursing practice, patient satisfaction and reduction of hospitalization costs. Conclusions: In order to apply a proper motivation of nursing staff, in addition to effective implementation of existing provisions, further changes to the legal framework without "personal" criteria focused more on punishment other than a reward , should be required.

  7. Making classifying selectors work for foam elimination in the activated-sludge process.

    Science.gov (United States)

    Parker, Denny; Geary, Steve; Jones, Garr; McIntyre, Lori; Oppenheim, Stuart; Pedregon, Vick; Pope, Rod; Richards, Tyler; Voigt, Christine; Volpe, Gary; Willis, John; Witzgall, Robert

    2003-01-01

    Classifying selectors are used to control the population of foam-causing organisms in activated-sludge plants to prevent the development of nuisance foams. The term, classifying selector, refers to the physical mechanism by which these organisms are selected against; foam-causing organisms are enriched into the solids in the foam and their rapid removal controls their population at low levels in the mixed liquor. Foam-causing organisms are wasted "first" rather than accumulating on the surface of tanks and thereby being wasted "last", which is typical of the process. This concept originated in South Africa, where pilot studies showed that placement of a flotation tank for foam removal prior to secondary clarifiers would eliminate foam-causing organisms. It was later simplified in the United States by using the aeration in aeration tanks or aerated channels coupled with simple baffling and adjustable weirs to make continuous separation of nuisance organisms from the mixed liquor. PMID:12683467

  8. Cross-classified occupational exposure data.

    Science.gov (United States)

    Jones, Rachael M; Burstyn, Igor

    2016-09-01

    We demonstrate the regression analysis of exposure determinants using cross-classified random effects in the context of lead exposures resulting from blasting surfaces in advance of painting. We had three specific objectives for analysis of the lead data, and observed: (1) high within-worker variability in personal lead exposures, explaining 79% of variability; (2) that the lead concentration outside of half-mask respirators was 2.4-fold higher than inside supplied-air blasting helmets, suggesting that the exposure reduction by blasting helmets may be lower than expected by the Assigned Protection Factor; and (3) that lead concentrations at fixed area locations in containment were not associated with personal lead exposures. In addition, we found that, on average, lead exposures among workers performing blasting and other activities was 40% lower than among workers performing only blasting. In the process of obtaining these analyses objectives, we determined that the data were non-hierarchical: repeated exposure measurements were collected for a worker while the worker was a member of several groups, or cross-classified among groups. Since the worker is a member of multiple groups, the exposure data do not adhere to the traditionally assumed hierarchical structure. Forcing a hierarchical structure on these data led to similar within-group and between-group variability, but decreased precision in the estimate of effect of work activity on lead exposure. We hope hygienists and exposure assessors will consider non-hierarchical models in the design and analysis of exposure assessments. PMID:27029937

  9. A systematic comparison of supervised classifiers.

    Directory of Open Access Journals (Sweden)

    Diego Raphael Amancio

    Full Text Available Pattern recognition has been employed in a myriad of industrial, commercial and academic applications. Many techniques have been devised to tackle such a diversity of applications. Despite the long tradition of pattern recognition research, there is no technique that yields the best classification in all scenarios. Therefore, as many techniques as possible should be considered in high accuracy applications. Typical related works either focus on the performance of a given algorithm or compare various classification methods. In many occasions, however, researchers who are not experts in the field of machine learning have to deal with practical classification tasks without an in-depth knowledge about the underlying parameters. Actually, the adequate choice of classifiers and parameters in such practical circumstances constitutes a long-standing problem and is one of the subjects of the current paper. We carried out a performance study of nine well-known classifiers implemented in the Weka framework and compared the influence of the parameter configurations on the accuracy. The default configuration of parameters in Weka was found to provide near optimal performance for most cases, not including methods such as the support vector machine (SVM. In addition, the k-nearest neighbor method frequently allowed the best accuracy. In certain conditions, it was possible to improve the quality of SVM by more than 20% with respect to their default parameter configuration.

  10. Classifying Coding DNA with Nucleotide Statistics

    Directory of Open Access Journals (Sweden)

    Nicolas Carels

    2009-10-01

    Full Text Available In this report, we compared the success rate of classification of coding sequences (CDS vs. introns by Codon Structure Factor (CSF and by a method that we called Universal Feature Method (UFM. UFM is based on the scoring of purine bias (Rrr and stop codon frequency. We show that the success rate of CDS/intron classification by UFM is higher than by CSF. UFM classifies ORFs as coding or non-coding through a score based on (i the stop codon distribution, (ii the product of purine probabilities in the three positions of nucleotide triplets, (iii the product of Cytosine (C, Guanine (G, and Adenine (A probabilities in the 1st, 2nd, and 3rd positions of triplets, respectively, (iv the probabilities of G in 1st and 2nd position of triplets and (v the distance of their GC3 vs. GC2 levels to the regression line of the universal correlation. More than 80% of CDSs (true positives of Homo sapiens (>250 bp, Drosophila melanogaster (>250 bp and Arabidopsis thaliana (>200 bp are successfully classified with a false positive rate lower or equal to 5%. The method releases coding sequences in their coding strand and coding frame, which allows their automatic translation into protein sequences with 95% confidence. The method is a natural consequence of the compositional bias of nucleotides in coding sequences.

  11. Nurse stress at two different organizational settings in Alexandria

    OpenAIRE

    Ashraf AZ Zaghloul; Abou El Enein, Nagwa Y

    2009-01-01

    Ashraf AZ Zaghloul, Nagwa Y Abou El EneinDepartment of Health Administration and Behavioural Sciences, High Institute of Public Health, University of Alexandria, Alexandria, EgyptObjective: The objective of the study was to explore the difference in stress levels among nurses working at two different health care organizations and the determinants of nurse stress within each organization. Job stress is defined as the harmful emotional and physical reactions resulting from the interactions betw...

  12. Developing emergency nursing competence.

    Science.gov (United States)

    Proehl, Jean A

    2002-03-01

    Developing and maintaining the competence emergency nurses need is an important function of emergency clinical nurse specialists (CNS), educators, and other members of the emergency department (ED) leadership team. A thorough orientation is the first and most important step in developing the competence of emergency nurses. After orientation, the challenge is to maintain currency of practice in the face of incessant change such as new medications, new equipment, and new therapies in emergency care. This article focuses on the orientation of emergency nurses. A related article in this issue addresses assessment of competency. PMID:11818264

  13. The understanding of the special administration of nursing care in the intervention ward

    International Nuclear Information System (INIS)

    Because of the particularity of the interventional therapy,that is,the interventional management covers a large scope in clinical application and involves the diagnosis and treatment of various diseases of multiple systems and organs,the clinical interventional practice has really brought an unprecedented challenge for the administration of the nursing care in the intervention ward. In our hospital, independent nursing group for the intervention ward was established two years ago. For the past two years, we have constantly groped and summarized the reasonable and effect administration of interventional nursing care. Pertinent administrative measures, such as nurse training, strengthening of communication with physicians and focusing on key links in nursing care and promptly finding out the weak points in clinical work, have effectively improved the quality of clinical nursing, in this way the clinical nursing practice has been integrated into the interventional therapy and the safe and high-quality nursing service has been provided to the patients. (authors)

  14. Managing parental groups during early childhood: New challenges faced by Swedish child health-care nurses.

    Science.gov (United States)

    Lefèvre, Åsa; Pia, Lundqvist; Eva, Drevenhorn; Inger, Hallström

    2015-09-01

    The purpose of this study was to describe child health centre (CHC) nurses' views of managing parental groups during early childhood. All 311 CHC nurses working within the Swedish CHC system in one county were asked to complete a web-based questionnaire. Findings showed that although the CHC nurses were experienced, several found group leadership challenging and difficult. The need for specialized groups for young parents, single parents and parents whose first language was not Swedish was identified by 57% of the nurses. The CHC nurses found the participation of fathers in their parental groups to be low (an estimate of 10-20%), and 30% of the nurses made special efforts to make the fathers participate. Education in group dynamics and group leadership can strengthen CHC nurses in managing parental groups. It is recommended that specialized parental groups are organized by a few family centres so CHC nurses can develop their skill in managing such groups. PMID:24298189

  15. Professional nurses in unions: working together pays off.

    Science.gov (United States)

    Breda, K L

    1997-01-01

    Professionalism versus unionization of nurses is often posited as a dichotomy of mutually exclusive choices. Many US nurses are alienated from militancy and activism because they are viewed as unprofessional. This stance weakens nurses' ability to organize coalitions, to increase their power bases, and to advocate for both nurses and clients. This article examines how nurses worked together in a labor union to realize professional gains. Ethnography, including participant observation and ethnographic interviews, was the method used to study unionized registered nurses (RNs) in a 60-bed, private, not-for-profit psychiatric hospital in rural southern New England. The union nurses' position as workers in a gendered profession was analyzed. Nurses' union involvement, solidarity, and working conditions were considered in the context of a patriarchal and authoritarian hospital setting. Collaborative decision making and an innovative conflict resolution strategy allowed nurses to voice professional concerns. Unionization allowed RNs to collectively mobilize as a legitimate ideological force in the hospital culture and to enhance their professional status. Their ability to resolve conflicts and to implement change within this context were evaluated. PMID:9094836

  16. Chief nursing officer executive development: a crisis or a challenge?

    Science.gov (United States)

    Frederickson, Keville; Nickitas, Donna

    2011-01-01

    The roles and responsibilities of nurses are expanding, as they become more involved in administration and leadership within their field. Nurses are taking on executive positions, which have become a crucial part of hospital organizations. With this expansion, an executive development program is necessary to provide nurses with the knowledge and competencies that these executive positions require. Their focus must evolve from singular bedside practice to the greater scope of health care administration. Leadership skills are extremely important, in addition to interpersonal, management, mentoring, and interprofessional skills. A number of nursing associations have worked to develop a set of curricula for nurse executive education, but a consistent and specific set of academic requirements has yet to be agreed upon. With the importance of the chief nursing officer's (CNO) role in the function of a hospital and the requirement of the knowledge of the changing health care system in the United States, it is essential that nurses are provided with proper education and training that will help them become successful nurse executives. Some suggestions include a dual MSN/MBA degree, a PhD in nursing, continuing education institutes, and mentoring programs. However, research must be done to clarify the best way to prepare CNOs for their roles. PMID:21900820

  17. The bone care nurse project.

    Science.gov (United States)

    Casentini, Cristiana; Chiaramonti, Giuseppe; Amedei, Antonietta; Cioppi, Federica; Falchetti, Alberto; Masi, Laura; Brandi, Maria Luisa

    2011-01-01

    In today's society, citizens are called to play an increasingly active role in decision planning related to the various aspects of work, social and political life. This trend has been also confirmed in the health's field. In fact, the citizen is also required to have the skills to take responsibility for his/her own health, to have knowledge of the health care system, understand the advice and instructions of health professionals, actively participating with them in the therapeutical path. The lack or an inadequate level of these skills will affect both the health of the individual and the costs related to the National Health System. The nursing staff that interfaces between physicians and patients plays a key role in health's promotion as an important determinant of health and welfare of the patient-citizen. With regard to osteoporosis, due to better knowledge of its determining causes, it is now possible an easy access to diagnosis and treatment options before fragility fractures occur, providing a real prevention to such complications. Prevention must be addressed to two different, but related, objectives: 1) prevention of osteoporosis; and 2) prevention of fragility fractures in patients with osteoporosis. In the context of both primary and secondary prevention, the nurse can better informed the patients and/or citizens about either the risks related to an inappropriate behavior or situations and events particularly dangerous to health, as well as provide information to simply and effectively implement protective measures. This project aims to raise awareness and create competent and specialized nurse figures, with a good understanding of the bone diseases, through the organization of seminars and training courses. Thus, it will be create clinical pathways and welfare in which the figure of the "Bone Care Nurse" will be responsible for administration of questionnaires relating to lifestyle and, for patients in drug treatment, questionnaires designed to assess

  18. Exploring senior nurses' experiences of leading organizational change.

    Science.gov (United States)

    Boyal, Amunpreet; Hewison, Alistair

    2016-01-01

    Purpose - The aim of this paper is to explore Senior nurses' experiences of leading organizational change. There is a substantial literature reporting middle-level nurse managers' experiences of change; however, there is less evidence concerning senior nurses' perspectives. In view of this, interview data collected from senior nurses, as part of a study of major organizational change, were analysed to redress this imbalance. Design/methodology/approach - In-depth semi-structured interviews (n = 14) were conducted with senior nurses (between 2009 and 2012). Findings - Senior nurses' activity centred on leadership and workforce issues, internal influences and external pressures. In periods of change, appropriate leadership was vital, and "weak" leaders were considered to have an adverse effect on teams. Concerns were expressed about financial strictures and their impact on patient care and service provision. The senior nurses were striving to provide the best quality of service delivery with the limited resources available. Concentration on operational matters was necessary to maintain stability in periods of change. However, this prevented senior nurses from influencing strategic decision-making in their organizations. Practical implications - If senior nurses are to realise their potential to operate at a strategic level, they need to be given time and support to lead, rather than just react to change. This research emphasises the importance of a "nursing voice" to inform board-level decisions and maintain a focus on patient care. Originality/value - This research sheds light on the work of a key group of staff in health-care organizations. Understanding senior nurses' experience of and contribution to change is a useful contribution to health services research. PMID:26764959

  19. Evaluation of the Community Health Nursing Course of First Year Proficiency Certificate Level Nursing in Nepal

    Directory of Open Access Journals (Sweden)

    Mandira Shahi

    2014-03-01

    Full Text Available INTRODUCTION: Community health is very much important in nursing education. It is essential because it maximizes the health status of individuals, families, groups and the community through direct approach with them. The main purpose of the study was to identify the gap in Community Health Nursing I course in Proficiency Certificate Level first year nursing program in Nepal. METHODS: Mix methods of research having qualitative and quantitative method were used in the study. Data were collected from 12 subject teachers, 35 nursing graduates and 61 Proficiency Certificate Level first year nursing students. The study used structured, five-point rating scale and open ended questions according to Strengths, Weaknesses, Opportunities and Threats analysis for the self-administered questionnaire. FINDINGS: Common view points of the three sector's respondents (student, nursing graduate and teachers regarding the strengths of curriculum are: curriculum is based on Primary Health Care approach and covers preventive and promotive aspects of health. Regarding weaknesses, they said that there is inadequate time for practice, there is lack of innovative methods and materials, the course didn't cover new trends of environmental pollution and changes, global warming, greenhouse effect, climate change and deforestation etc. Similarly, they added that curriculum is not revised regularly and there is insufficient supervision in field. Likewise, regarding opportunities, they said that there is job opportunity in social organization as Community Health Nursing/Public Health Nurse. Moreover, they said that there is lack of employment scope as threats point. CONCLUSION: The paper concludes that new issues and trends of community health nursing should be added, and curriculum should be revised regularly.

  20. Knowledges of nurses about classified crisis intervention on the standard internal and surgery wards

    OpenAIRE

    SOCHOROVÁ, Alena

    2008-01-01

    Crisis intervention introduces professional help to a person in crisis. Every person experiences their crisis in specific way. Crisis intervention doesn`t only mean communication skills, which include verbal, nonverbal, and paraverbal areas. Even though crisis intervention is especially a domain of psychiatric units, knowledge of it is important even in departments not specifically conversant with illnesses of psyche. In health care within the Czech Republic exist standards for crisis interve...

  1. The global nursing shortage: an overview of issues and actions.

    Science.gov (United States)

    Oulton, Judith A

    2006-08-01

    Today's global nursing shortage is having an adverse impact on health systems around the world. A major initiative by the International Council of Nurses (ICN) yielded important information regarding the shortage and solutions to it. These are organized into five priority areas: policy intervention; macroeconomics and health sector funding; workforce planning and policy, including regulation; positive practice environments; and retention and recruitment (includes migration); and nursing leadership. Internationally momentum is building, providing the opportunity to bring attention to these issues and to take action. This article presents an overview of the global nursing shortage (which, since 2002, has been termed a global crisis), provides the perspectives of the ICN, and discusses the ICN's initiatives regarding that crisis. Founded in 1899, the ICN is the world's first and largest organization for health professionals. As a federation of national nurses' associations in 129 countries, ICN represents the more than 13 million nurses working worldwide. It works to ensure quality nursing care for all, sound health policies globally, the advancement of nursing knowledge, and the presence worldwide of a respected, competent professional workforce. PMID:17071693

  2. More in sorrow than in anger: the British nurses' strike of 1988.

    Science.gov (United States)

    Hayward, S; Fee, E

    1992-01-01

    In early 1988 the nurses of Britain's National Health Service reached a peak of frustration. They took unprecedented industrial action to bring the state of nursing, and problems within the Health Service, to the attention of the nation. Throughout the crisis there was acrimonious debate between the Royal College of Nursing, which acts as both a professional association and a negotiating unit and opposed the strike, and the trade unions, which organized it. Their conflict undermined the nurses' solidarity and highlighted deep and complex tensions within the profession. On the day of action, labor withdrawal was widespread but inconsistent. In the end, the nurses made some gains, but most of their concerns were ignored. The government promoted the divisions between nursing unions; the media were critical of the nurses' actions; however, the labor movement supported them, and the British Medical Journal voiced the merits of the nurses' case. The struggle of the British nurses exemplifies issues and dilemmas facing nurses throughout the world. The increasing militancy of nurses in many countries reflects their dissatisfaction with pay, working conditions, and career opportunities. Many nurses are torn between the ideals of professionalism and the realities of their workplace and are ambivalent about the principles of collective bargaining. This article addresses these ambivalences and stresses the need to find creative solutions to match nurses' unique place in the political economy of health care. PMID:1644505

  3. A Spiking Neural Learning Classifier System

    CERN Document Server

    Howard, Gerard; Lanzi, Pier-Luca

    2012-01-01

    Learning Classifier Systems (LCS) are population-based reinforcement learners used in a wide variety of applications. This paper presents a LCS where each traditional rule is represented by a spiking neural network, a type of network with dynamic internal state. We employ a constructivist model of growth of both neurons and dendrites that realise flexible learning by evolving structures of sufficient complexity to solve a well-known problem involving continuous, real-valued inputs. Additionally, we extend the system to enable temporal state decomposition. By allowing our LCS to chain together sequences of heterogeneous actions into macro-actions, it is shown to perform optimally in a problem where traditional methods can fail to find a solution in a reasonable amount of time. Our final system is tested on a simulated robotics platform.

  4. Learning Vector Quantization for Classifying Astronomical Objects

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    The sizes of astronomical surveys in different wavebands are increas-ing rapidly. Therefore, automatic classification of objects is becoming ever moreimportant. We explore the performance of learning vector quantization (LVQ) inclassifying multi-wavelength data. Our analysis concentrates on separating activesources from non-active ones. Different classes of X-ray emitters populate distinctregions of a multidimensional parameter space. In order to explore the distributionof various objects in a multidimensional parameter space, we positionally cross-correlate the data of quasars, BL Lacs, active galaxies, stars and normal galaxiesin the optical, X-ray and infrared bands. We then apply LVQ to classify them withthe obtained data. Our results show that LVQ is an effective method for separatingAGNs from stars and normal galaxies with multi-wavelength data.

  5. Automatic Fracture Detection Using Classifiers- A Review

    Directory of Open Access Journals (Sweden)

    S.K.Mahendran

    2011-11-01

    Full Text Available X-Ray is one the oldest and frequently used devices, that makes images of any bone in the body, including the hand, wrist, arm, elbow, shoulder, foot, ankle, leg (shin, knee, thigh, hip, pelvis or spine. A typical bone ailment is the fracture, which occurs when bone cannot withstand outside force like direct blows, twisting injuries and falls. Fractures are cracks in bones and are defined as a medical condition in which there is a break in the continuity of the bone. Detection and correct treatment of fractures are considered important, as a wrong diagnosis often lead to ineffective patient management, increased dissatisfaction and expensive litigation. The main focus of this paper is a review study that discusses about various classification algorithms that can be used to classify x-ray images as normal or fractured.

  6. Combining Heterogeneous Classifiers for Relational Databases

    CERN Document Server

    Manjunatha, Geetha; Sitaram, Dinkar

    2012-01-01

    Most enterprise data is distributed in multiple relational databases with expert-designed schema. Using traditional single-table machine learning techniques over such data not only incur a computational penalty for converting to a 'flat' form (mega-join), even the human-specified semantic information present in the relations is lost. In this paper, we present a practical, two-phase hierarchical meta-classification algorithm for relational databases with a semantic divide and conquer approach. We propose a recursive, prediction aggregation technique over heterogeneous classifiers applied on individual database tables. The proposed algorithm was evaluated on three diverse datasets, namely TPCH, PKDD and UCI benchmarks and showed considerable reduction in classification time without any loss of prediction accuracy.

  7. Effects of shadowing and supervised on-the-job inductions on mental health nurses

    OpenAIRE

    Kamau, Caroline

    2014-01-01

    Supervised on-the-job inductions or inductions through shadowing can help new nurses gain realistic information about the job role, the organization and procedures within it. This study investigated whether the induction of new mental health nurses is a key predictor of job performance, attitudes towards the organization and work-related stress. Data from 5337 mental health nurses who took part in the NHS Staff Survey of 2011 were analysed. Results showed that the more the work-related stress...

  8. Classifying gauge anomalies through SPT orders and classifying anomalies through topological orders

    CERN Document Server

    Wen, Xiao-Gang

    2013-01-01

    In this paper, we systematically study gauge anomalies in bosonic and fermionic weak-coupling gauge theories with gauge group G (which can be continuous or discrete). We argue that, in d space-time dimensions, the gauge anomalies are described by the elements in Free[H^{d+1}(G,R/Z)]\\oplus H_\\pi^{d+1}(BG,R/Z). The well known Adler-Bell-Jackiw anomalies are classified by the free part of the group cohomology class H^{d+1}(G,R/Z) of the gauge group G (denoted as Free[H^{d+1}(G,\\R/\\Z)]). We refer other kinds of gauge anomalies beyond Adler-Bell-Jackiw anomalies as nonABJ gauge anomalies, which include Witten SU(2) global gauge anomaly. We introduce a notion of \\pi-cohomology group, H_\\pi^{d+1}(BG,R/Z), for the classifying space BG, which is an Abelian group and include Tor[H^{d+1}(G,R/Z)] and topological cohomology group H^{d+1}(BG,\\R/\\Z) as subgroups. We argue that H_\\pi^{d+1}(BG,R/Z) classifies the bosonic nonABJ gauge anomalies, and partially classifies fermionic nonABJ anomalies. We also show a very close rel...

  9. 22 CFR 125.3 - Exports of classified technical data and classified defense articles.

    Science.gov (United States)

    2010-04-01

    ... classified defense articles. 125.3 Section 125.3 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC... commodity for shipment. A nontransfer and use certificate (Form DSP-83) executed by the applicant, foreign... reexport after a temporary import will be transferred or disclosed only in accordance with the...

  10. Gene-expression Classifier in Papillary Thyroid Carcinoma: Validation and Application of a Classifier for Prognostication

    DEFF Research Database (Denmark)

    Londero, Stefano Christian; Jespersen, Marie Louise; Krogdahl, Annelise;

    2016-01-01

    frozen tissue from 38 patients was collected between the years 1986 and 2009. Validation cohort: formalin-fixed paraffin-embedded tissues were collected from 183 consecutively treated patients. RESULTS: A 17-gene classifier was identified based on the expression values in patients with and without...

  11. Music Therapy Training for Undergraduate Nursing Students: A Modality to Foster Interest in Gerontological Nursing.

    Science.gov (United States)

    Lin, Hui-Chuan; Chen, Shu-Ling; Hsieh, Chia-En; Lin, Ping-Yi

    2016-06-01

    HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. To obtain contact hours you must: 1. Read the article, "Music Therapy Training for Undergraduate Nursing Students: A Modality to Foster Interest in Gerontological Nursing" found on pages 25-31, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until May 31, 2019. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. ACTIVITY OBJECTIVES 1. Identify the worldwide shortage of nurses specializing in

  12. School Nurse Perspectives

    Science.gov (United States)

    Borja, Mary C.; Amidon, Christine; Spellings, Diane; Franzetti, Susan; Nasuta, Mary

    2009-01-01

    This article features school nurses from across the country who are championing for school-located influenza immunization within their communities. These nurses are: (1) Mary C. Borja; (2) Christine Amidon; (3) Diane Spellings; (4) Susan Franzetti; and (5) Mary Nasuta. (Contains 6 figures.)

  13. Nursing activities score

    NARCIS (Netherlands)

    Miranda, DR; Nap, R; de Rijk, A; Schaufeli, W; Lapichino, G

    2003-01-01

    Objectives. The instruments used for measuring nursing workload in the intensive care unit (e.g., Therapeutic Intervention Scoring System-28) are based on therapeutic interventions related to severity of illness. Many nursing activities are not necessarily related to severity of illness, and cost-ef

  14. Primary care nursing role and care coordination: an observational study of nursing work in a community health center.

    Science.gov (United States)

    Anderson, Daren R; St Hilaire, Daniel; Flinter, Margaret

    2012-05-01

    Care coordination is a core element of the Patient-Centered Medical Home and requires an effective, well educated nursing staff. A greater understanding of roles and tasks currently being carried out by nurses in primary care is needed to help practices determine how best to implement care coordination and transform into PCMHs. We conducted an observational study of primary care nursing in a Community Health Center by creating a classification schema for nursing responsibilities, directly observing and tracking nurses' work, and categorizing their activities. Ten nurses in eight different practice sites were observed for a total of 61 hours. The vast majority of nursing time was spent in vaccine and medication administration; telephone work; and charting and paper work, while only 15% of their time was spent in activity that was classified broadly as care coordination. Care coordination work appeared to be subsumed by other daily tasks, many of which could have been accomplished by other, lesser trained members of the health care team. Practices looking to implement care coordination need a detailed look at work flow, task assignments, and a critical assessment of staffing, adhering to the principal of each team member working to the highest level of his or her education and license. Care coordination represents a distinct responsibility that requires dedicated nursing time, separate from the day to day tasks in a busy practice. To fully support these new functions, reimbursement models are needed that support such non visit-based work and provide incentives to coordinate and manage complex cases, achieve improved clinical outcomes and enhance efficiency of the health system. This article describes our study methods, data collection, and analysis, results, and discussion about reorganizing nursing roles to promote care coordination. PMID:22686111

  15. Decreasing nurse staffing costs in a hospital setting: development and support of core staff stability.

    Science.gov (United States)

    Tuttas, Carol A

    2003-01-01

    The nursing shortage is a well-documented phenomenon that has impacted health care settings woldwide. A corresponding magnitudinal cost factor is linked directly to this dilemma, health care organizations struggle to meet professional nurse staffing, safety and quality requirements. The acute care hospital setting in South Florida is one of the hardest hit by the bedside nurse shortage. Nurse staffing presents as a cost accounting challenge that demands the application of management control systems by creative, energetic, and financially savvy nursing system administrators. Future-oriented planning is critical if repercussions of a foreseeable progressive worsening of this condition are to be avoided and control of future patient outcomes achieved. PMID:12856907

  16. Classifying gauge anomalies through symmetry-protected trivial orders and classifying gravitational anomalies through topological orders

    Science.gov (United States)

    Wen, Xiao-Gang

    2013-08-01

    In this paper, we systematically study gauge anomalies in bosonic and fermionic weak-coupling gauge theories with gauge group G (which can be continuous or discrete) in d space-time dimensions. We show a very close relation between gauge anomalies for gauge group G and symmetry-protected trivial (SPT) orders (also known as symmetry-protected topological (SPT) orders) with symmetry group G in one-higher dimension. The SPT phases are classified by group cohomology class Hd+1(G,R/Z). Through a more careful consideration, we argue that the gauge anomalies are described by the elements in Free[Hd+1(G,R/Z)]⊕Hπ˙d+1(BG,R/Z). The well known Adler-Bell-Jackiw anomalies are classified by the free part of Hd+1(G,R/Z) (denoted as Free[Hd+1(G,R/Z)]). We refer to other kinds of gauge anomalies beyond Adler-Bell-Jackiw anomalies as non-ABJ gauge anomalies, which include Witten SU(2) global gauge anomalies. We introduce a notion of π-cohomology group, Hπ˙d+1(BG,R/Z), for the classifying space BG, which is an Abelian group and include Tor[Hd+1(G,R/Z)] and topological cohomology group Hd+1(BG,R/Z) as subgroups. We argue that Hπ˙d+1(BG,R/Z) classifies the bosonic non-ABJ gauge anomalies and partially classifies fermionic non-ABJ anomalies. Using the same approach that shows gauge anomalies to be connected to SPT phases, we can also show that gravitational anomalies are connected to topological orders (i.e., patterns of long-range entanglement) in one-higher dimension.

  17. [Transformational leadership in nursing].

    Science.gov (United States)

    Strapasson, Maria Rejane; Medeiros, Cássia R G

    2009-01-01

    This qualitative research aimed at verifying if the presuppositions of Transformational Leadership are present in the nurses practice in a medium size hospital in the countryside of Rio Grande do Sul. The researched people were eleven head nurses in different sectors of the hospital, who have been working for one year or more in the inquired medical institution. The tools used for the research was a semi-structured interview. The data have been analysed through content analyses method, in which five categories emerged: the meaning of leadership; essential abilities for leadership activity; leadership ability in everyday nurse activity; participation of the Institution in leadership development; and the resistance of nurses to the changing process. Some of the presuppositions are identified and noticed as important, although not totally present in everyday activity of nurses. PMID:19430681

  18. Humanized nursing service in the operating room

    OpenAIRE

    Cui-ping MU

    2014-01-01

    Objective: To improve the quality of nursing service. Methods: To improve nursing service of the aspects of nursing environment, nursing intervention and nursing aesthetics. Results: To achieve the goal that patient satisfaction rate was 100% and to stimulate the enthusiasm of the medical staff. Conclusion: Humanized nursing service is an effective method of improving efficiency and quality of nursing in the operating room.

  19. Making Connections: Linking Generalist and Specialist Essentials in Baccalaureate Community/Public Health Nursing Education and Practice.

    Science.gov (United States)

    Kaiser, Katherine Laux; Carter, Kimberly Ferren; O'Hare, Patricia A.; Callister, Lynn Clark

    2002-01-01

    Describes the work of a task force to revise public health nursing curriculum that combined the expertise of the American Association of Colleges of Nursing and specialty organizations. Discusses the current state of community/public health nursing and the model used to identify core professional knowledge and values underpinning the curriculum.…

  20. Evolutionary conceptual analysis: faith community nursing.

    Science.gov (United States)

    Ziebarth, Deborah

    2014-12-01

    The aim of the study was to report an evolutionary concept analysis of faith community nursing (FCN). FCN is a source of healthcare delivery in the USA which has grown in comprehensiveness and complexity. With increasing healthcare cost and a focus on access and prevention, FCN has extended beyond the physical walls of the faith community building. Faith communities and healthcare organizations invest in FCN and standardized training programs exist. Using Rodgers' evolutionary analysis, the literature was examined for antecedents, attributes, and consequences of the concept. This design allows for understanding the historical and social nature of the concept and how it changes over time. A search of databases using the keywords FCN, faith community nurse, parish nursing, and parish nurse was done. The concept of FCN was explored using research and theoretical literature. A theoretical definition and model were developed with relevant implications. The search results netted a sample of 124 reports of research and theoretical articles from multiple disciplines: medicine, education, religion and philosophy, international health, and nursing. Theoretical definition: FCN is a method of healthcare delivery that is centered in a relationship between the nurse and client (client as person, family, group, or community). The relationship occurs in an iterative motion over time when the client seeks or is targeted for wholistic health care with the goal of optimal wholistic health functioning. Faith integrating is a continuous occurring attribute. Health promoting, disease managing, coordinating, empowering and accessing health care are other essential attributes. All essential attributes occur with intentionality in a faith community, home, health institution and other community settings with fluidity as part of a community, national, or global health initiative. A new theoretical definition and corresponding conceptual model of FCN provides a basis for future nursing

  1. Concept caring in nursing

    Directory of Open Access Journals (Sweden)

    Lenka Drahošová

    2016-05-01

    Full Text Available Aim: The aim of this literature review was to search for qualitative studies focusing on the concept of caring in nursing, to analyse them and to synthesize knowledge that concerns the definition of the concept of caring in nursing from the point of view of nurses and patients. Design: Review. Methods: Qualitative studies were searched for systematically in the electronic databases Academic Search Complete (EBSCO, CINAHL, Medline, Science Direct, and the Wiley Library Online, according to set criteria and defined key words for the period 1970-2015. Seven selected articles were analysed after selection of documents with the aid of a sorting chart. Results: Nurses understand caring in nursing as a relationship with patients which is characterised on the nurses' part by an individual and empathetic approach, attentiveness, experience and sensitivity. Through caring, active communication takes place, providing information which reduces anxiety and leads to the breaking down of barriers. This relationship helps protect patients' autonomy, dignity and comfort. It requires experience on the part of nurses, and it is influenced by the environment. The nurses' personal qualities (what professional knowledge, attitudes and skills they have and their availability, reliability, and emotional and physical support are important to patients. Conclusion: The concept of caring is a content specific interpersonal process which is characterized by the professional knowledge, skills, personal maturity, and interpersonal sensitivity of nurses, which result in the protection, emotional support, and the meeting of bio-psycho-social needs of patients. The results of the overview study could contribute to an explanation and understanding of the nature of caring as a fundamental feature of the discipline of nursing.

  2. The development of the next generation of nurse leaders.

    Science.gov (United States)

    Aduddell, Kathie A; Dorman, Genie E

    2010-03-01

    This article explains the development of a value-added leadership focus to a graduate nursing program. With the changes to and complexity within the health care system, advanced practice nurses need academic preparation in advanced care management of populations and leadership competencies. Strategic environmental scanning suggested that some revisions could better prepare future nurse leaders. Through literature review and focus groups, faculty's analysis provided evidence for development of a different kind of advanced practice nurse. This process led to a graduate program that prepares nurse leaders who are competent in the clinical settings and leadership roles of today's health care organizations. The 40-semester hour program allows flexibility for minimum career disruption and a choice of tracks to accommodate individuals' educational needs. Grounded in practicum experiences and guided by health care theory, policy, and research, graduates possess the knowledge and competencies to assume the advanced leadership roles required in future health care systems. PMID:19954136

  3. Exploring nursing students' level of preparedness for disaster response.

    Science.gov (United States)

    Schmidt, Cheryl K; Davis, Jennifer M; Sanders, Jenna L; Chapman, Laura A; Cisco, Mary Catherine; Hady, Arlene R

    2011-01-01

    This descriptive study explores students' perceptions of personal and program preparedness for disasters. Participants in this online survey included 1,348 nursing students from every state plus Guam, Puerto Rico, and theVirgin Islands. The study explored three questions: a) the level of preparedness, including learning about different types of disasters, preparing disaster plans, creating disaster kits, and participating in community disaster response efforts; b) the impact of disasters on nursing students; and c) strategies to assist nursing students during disasters. Results indicated that nursing students throughout the country are generally not well prepared for disasters. Nurse educators need to develop strategies to prepare their students for disasters. The American Red Cross provides templates for organizations, including colleges and universities, to prepare their campuses for emergencies. Faculty need to collaborate with staff and students to develop and implement plans appropriate for their programs. PMID:22235694

  4. Supporting Graduate Nurse Transition: Collaboration Between Practice and University.

    Science.gov (United States)

    Bull, Rosalind; Shearer, Toniele; Phillips, Michelle; Fallon, Anne

    2015-09-01

    Making the transition from student to RN is challenging and demanding. In Australia, where nurses commonly graduate after 3 years in a Bachelor of Nursing program, graduate transition programs have been established in the workplace to support and socialize new graduates to nursing practice. These programs vary in content, rigor, and available support mechanisms, and no nationally agreed upon standards of expected graduate performance exist. Providing a structured, evidence-based, and clinically focused education and support program specific to the needs of graduate nurses contributes to quality care and patient safety and has significant benefits for the individual graduate, the employing organizations, and health care. This article presents the development and implementation of the Bachelor of Nursing With Clinical Honors (Transition to Practice) program offered by the University of Tasmania, in collaboration with St. Vincent's Private Hospital, Sydney, Australia. PMID:26352044

  5. MISR Level 2 TOA/Cloud Classifier parameters V003

    Data.gov (United States)

    National Aeronautics and Space Administration — This is the Level 2 TOA/Cloud Classifiers Product. It contains the Angular Signature Cloud Mask (ASCM), Regional Cloud Classifiers, Cloud Shadow Mask, and...

  6. Optimized Radial Basis Function Classifier for Multi Modal Biometrics

    Directory of Open Access Journals (Sweden)

    Anand Viswanathan

    2014-07-01

    Full Text Available Biometric systems can be used for the identification or verification of humans based on their physiological or behavioral features. In these systems the biometric characteristics such as fingerprints, palm-print, iris or speech can be recorded and are compared with the samples for the identification or verification. Multimodal biometrics is more accurate and solves spoof attacks than the single modal bio metrics systems. In this study, a multimodal biometric system using fingerprint images and finger-vein patterns is proposed and also an optimized Radial Basis Function (RBF kernel classifier is proposed to identify the authorized users. The extracted features from these modalities are selected by PCA and kernel PCA and combined to classify by RBF classifier. The parameters of RBF classifier is optimized by using BAT algorithm with local search. The performance of the proposed classifier is compared with the KNN classifier, Naïve Bayesian classifier and non-optimized RBF classifier.

  7. Nurse leader resilience: career defining moments.

    Science.gov (United States)

    Cline, Susan

    2015-01-01

    Resilience is an essential component of effective nursing leadership. It is defined as the ability to survive and thrive in the face of adversity. Resilience can be developed and internalized as a measure to improve retention and reduce burnout. Nurse leaders at all levels should develop these competencies to survive and thrive in an increasingly complex health care environment. Building positive relationships, maintaining positivity, developing emotional insight, creating work-life balance, and reflecting on successes and challenges are effective strategies for resilience building. Nurse leaders have a professional obligation to develop resilience in themselves, the teams they supervise, and the organization as a whole. Additional benefits include reduced turnover, reduced cost, and improved quality outcomes through organizational mindfulness. PMID:25714948

  8. Trends in breastfeeding research by Brazilian nurses

    Directory of Open Access Journals (Sweden)

    Mônica Oliveira B. Oriá

    2005-02-01

    Full Text Available Exclusive breastfeeding is acknowledged as important for survival, optimal growth, and development of infants. The current review presents a synthesis of research output by Brazilian nurses on breastfeeding over the last 20 years, analyzes the theoretical and methodological issues emerging from studies on breastfeeding in Brazil, and provides directions for future research and practice by nurses in the area breastfeeding. Studies included in this review were identified through LILACS searches of Portuguese-language sources. Articles were organized and analyzed chronologically by comparing the evolution of the Brazilian Breastfeeding Program. The incomplete research output of the Brazilian nursing profession in regard to breastfeeding research needs to be addressed. In addition, specific cultural, sociological, and anthropological characteristics of Brazilian regional settings remain to be explored. Emphasis on potential confounders and critical interrelations is warranted.

  9. Development and Evaluation for Active Learning Instructional Design of Epidemiology in Nursing Informatics Field.

    Science.gov (United States)

    Majima, Yukie

    2016-01-01

    Nursing education classes are classifiable into three types: lectures, classroom practice, and clinical practice. In this study, we implemented a class that incorporated elements of active learning, including clickers, minutes papers, quizzes, and group work and presentation, in the subject of "epidemiology", which is often positioned in the field of nursing informatics and which is usually taught in conventional knowledge-transmission style lectures, to help students understand knowledge and achieve seven class goals. Results revealed that the average scores of the class achievement (five levels of evaluation) were 3.6-3.9, which was good overall. The highest average score of the evaluation of teaching materials by students (five levels of evaluation) was 4.6 for quizzes, followed by 4.2 for announcement of test statistics, 4.1 for clickers, and 4.0 for news presentation related to epidemiology. We regard these as useful tools for students to increase their motivation. One problem with the class was that it took time to organize the class: creation of tests, class preparation and marking, such as things to be returned and distribution of clickers, and writing comments on small papers. PMID:27332214

  10. Evaluation of an innovative nurse educational programme of nurse education

    OpenAIRE

    Hartley, Mavis E.

    1996-01-01

    In 1984 the English National Board (the newly appointed controlling body for nurse education in England) invited schools of nursing to submit innovatory and progressive programmes for nurse education. Basis for selection was the capacity of the programmes to begin to address the demands for a new type of nursing practitioner. The programmes were to be aimed at providing an education that would enable the nurse of the future to adapt to the changing needs created by an increasingly dynamic nur...

  11. Professional Nursing Duties in the Central Services: Hospital Pharmacy Nurses

    OpenAIRE

    Inmaculada Gómez-Villegas; Belén Ruíz-Pérez; Dolores López-del-Pino; Francisco García-España

    2015-01-01

    Introduction. The new demands of a fast changing world necessitate expanding the traditional concepts of nursing, extending the classical aspects to cover new areas. Purpose. Based on their professional duties, the nursing team in the pharmacy of a second-level hospital aimed to establish a theoretical and situational framework for nurses working in the central services. Material and Methods. Application of the nursing process to nursing work in an area with no direct contact with patients. R...

  12. Clinical autonomy and nurse/physician collaboration in emergency nurses

    OpenAIRE

    Cotter, Patrick Thomas

    2013-01-01

    Aim: To investigate clinical autonomy and Nurse/Physician collaboration among emergency nurses and the relationship between these concepts, personal characteristics and organisational influences. Background: Nurses have been identified as having a significant role in addressing the challenges of providing modern healthcare. Emergency nurses have reported competence in a wide range of emergency care skills. However, there is evidence that Emergency Department (ED) nurses may have lower levels ...

  13. Clinical Wisdom among Proficient Nurses

    DEFF Research Database (Denmark)

    Uhrenfeldt, Lisbeth; Hall, Elisabeth

    2007-01-01

    This paperexamines clinical wisdom which has emerged from a broader study anout nurse managers´influence on proficient registered nurse turnover and retention. The purpose of the study was to increase understanding of proficient nurses´experience and clinical practice by giving voice to the nurses...

  14. Nursing phenomena in inpatient psychiatry

    NARCIS (Netherlands)

    Frauenfelder, F.; Muller-Staub, M.; Needham, I.; Achterberg, T. van

    2011-01-01

    Little is known about the question if the nursing diagnosis classification of North American Nursing Association-International (NANDA-I) describes the adult inpatient psychiatric nursing care. The present study aimed to identify nursing phenomena mentioned in journal articles about the psychiatric i

  15. Evaluation of online machine translation by nursing users.

    Science.gov (United States)

    Anazawa, Ryoko; Ishikawa, Hirono; Takahiro, Kiuchi

    2013-08-01

    Nurses whose native language is not English may face a language barrier when they read nursing literature published internationally. Freely accessible online machine translation could be one possible solution to reduce their burden. In the present study, English-Japanese translations of nursing article abstracts from the major online machine translation system, Google Translate, were evaluated by 250 nursing faculty members across Japan using a previously verified method for evaluating intelligibility. The abstracts were evaluated according to sections typically classified in structured abstracts: title, background, aim, method, result, discussion, conclusion, and relevance to clinical practice. We also asked for respondents' impressions on the perceived usefulness of the translated abstract as a whole. The results indicated that Google Translate had minimally acceptable quality and identified the word count and the existence of unidentifiable words of source texts as factors contributing to translation quality. Nurses may benefit from Google Translate when reading the professional literature. However, our results suggest that more effort should be made to improve online machine translation performance, and emphasize the importance of providing training and education for nursing professionals to utilize this technology. PMID:23851708

  16. Scientific production on surgical nursing: analysis of the quantitative studies carried out between 2005 and 2009

    OpenAIRE

    Keila Maria de Azevedo Ponte; Maria Cristina Leite Araújo Borges; Francisca Adriana Barreto; Thereza Maria Magalhães Moreira; Lúcia de Fátima da Silva; Ana Virgínia de Melo Fialho

    2012-01-01

    This study aimed to analyze the characteristics of quantitative studies of nursing scientific publication in the surgical area. Research with quantitative approach carried out in the Virtual Healthcare Library with articles of quantitative nature, published from 2005 to 2009, in journals classified as A1, A2 and B1 by the Capes Nursing Qualis system 2008, full-text available on-line and in Portuguese. 28 articles were analyzed and it was detected that most of them are descriptive, exploratory...

  17. Classifying Unidentified Gamma-ray Sources

    CERN Document Server

    Salvetti, David

    2016-01-01

    During its first 2 years of mission the Fermi-LAT instrument discovered more than 1,800 gamma-ray sources in the 100 MeV to 100 GeV range. Despite the application of advanced techniques to identify and associate the Fermi-LAT sources with counterparts at other wavelengths, about 40% of the LAT sources have no a clear identification remaining "unassociated". The purpose of my Ph.D. work has been to pursue a statistical approach to identify the nature of each Fermi-LAT unassociated source. To this aim, we implemented advanced machine learning techniques, such as logistic regression and artificial neural networks, to classify these sources on the basis of all the available gamma-ray information about location, energy spectrum and time variability. These analyses have been used for selecting targets for AGN and pulsar searches and planning multi-wavelength follow-up observations. In particular, we have focused our attention on the search of possible radio-quiet millisecond pulsar (MSP) candidates in the sample of...

  18. Is it important to classify ischaemic stroke?

    LENUS (Irish Health Repository)

    Iqbal, M

    2012-02-01

    Thirty-five percent of all ischemic events remain classified as cryptogenic. This study was conducted to ascertain the accuracy of diagnosis of ischaemic stroke based on information given in the medical notes. It was tested by applying the clinical information to the (TOAST) criteria. Hundred and five patients presented with acute stroke between Jan-Jun 2007. Data was collected on 90 patients. Male to female ratio was 39:51 with age range of 47-93 years. Sixty (67%) patients had total\\/partial anterior circulation stroke; 5 (5.6%) had a lacunar stroke and in 25 (28%) the mechanism of stroke could not be identified. Four (4.4%) patients with small vessel disease were anticoagulated; 5 (5.6%) with atrial fibrillation received antiplatelet therapy and 2 (2.2%) patients with atrial fibrillation underwent CEA. This study revealed deficiencies in the clinical assessment of patients and treatment was not tailored to the mechanism of stroke in some patients.

  19. Stress fracture development classified by bone scintigraphy

    International Nuclear Information System (INIS)

    There is no consensus on classifying stress fractures (SF) appearing on bone scans. The authors present a system of classification based on grading the severity and development of bone lesions by visual inspection, according to three main scintigraphic criteria: focality and size, intensity of uptake compare to adjacent bone, and local medular extension. Four grades of development (I-IV) were ranked, ranging from ill defined slightly increased cortical uptake to well defined regions with markedly increased uptake extending transversely bicortically. 310 male subjects aged 19-2, suffering several weeks from leg pains occurring during intensive physical training underwent bone scans of the pelvis and lower extremities using Tc-99-m-MDP. 76% of the scans were positive with 354 lesions, of which 88% were in th4e mild (I-II) grades and 12% in the moderate (III) and severe (IV) grades. Post-treatment scans were obtained in 65 cases having 78 lesions during 1- to 6-month intervals. Complete resolution was found after 1-2 months in 36% of the mild lesions but in only 12% of the moderate and severe ones, and after 3-6 months in 55% of the mild lesions and 15% of the severe ones. 75% of the moderate and severe lesions showed residual uptake in various stages throughout the follow-up period. Early recognition and treatment of mild SF lesions in this study prevented protracted disability and progression of the lesions and facilitated complete healing

  20. Classifying auroras using artificial neural networks

    Science.gov (United States)

    Rydesater, Peter; Brandstrom, Urban; Steen, Ake; Gustavsson, Bjorn

    1999-03-01

    In Auroral Large Imaging System (ALIS) there is need of stable methods for analysis and classification of auroral images and images with for example mother of pearl clouds. This part of ALIS is called Selective Imaging Techniques (SIT) and is intended to sort out images of scientific interest. It's also used to find out what and where in the images there is for example different auroral phenomena's. We will discuss some about the SIT units main functionality but this work is mainly concentrated on how to find auroral arcs and how they are placed in images. Special case have been taken to make the algorithm robust since it's going to be implemented in a SIT unit which will work automatic and often unsupervised and some extends control the data taking of ALIS. The method for finding auroral arcs is based on a local operator that detects intensity differens. This gives arc orientation values as a preprocessing which is fed to a neural network classifier. We will show some preliminary results and possibilities to use and improve this algorithm for use in the future SIT unit.

  1. A Neural Network Classifier of Volume Datasets

    CERN Document Server

    Zukić, Dženan; Kolb, Andreas

    2009-01-01

    Many state-of-the art visualization techniques must be tailored to the specific type of dataset, its modality (CT, MRI, etc.), the recorded object or anatomical region (head, spine, abdomen, etc.) and other parameters related to the data acquisition process. While parts of the information (imaging modality and acquisition sequence) may be obtained from the meta-data stored with the volume scan, there is important information which is not stored explicitly (anatomical region, tracing compound). Also, meta-data might be incomplete, inappropriate or simply missing. This paper presents a novel and simple method of determining the type of dataset from previously defined categories. 2D histograms based on intensity and gradient magnitude of datasets are used as input to a neural network, which classifies it into one of several categories it was trained with. The proposed method is an important building block for visualization systems to be used autonomously by non-experts. The method has been tested on 80 datasets,...

  2. Colorization by classifying the prior knowledge

    Institute of Scientific and Technical Information of China (English)

    DU Weiwei

    2011-01-01

    When a one-dimensional luminance scalar is replaced by a vector of a colorful multi-dimension for every pixel of a monochrome image,the process is called colorization.However,colorization is under-constrained.Therefore,the prior knowledge is considered and given to the monochrome image.Colorization using optimization algorithm is an effective algorithm for the above problem.However,it cannot effectively do with some images well without repeating experiments for confirming the place of scribbles.In this paper,a colorization algorithm is proposed,which can automatically generate the prior knowledge.The idea is that firstly,the prior knowledge crystallizes into some points of the prior knowledge which is automatically extracted by downsampling and upsampling method.And then some points of the prior knowledge are classified and given with corresponding colors.Lastly,the color image can be obtained by the color points of the prior knowledge.It is demonstrated that the proposal can not only effectively generate the prior knowledge but also colorize the monochrome image according to requirements of user with some experiments.

  3. Leadership in nursing: An experience of hospital nurses in the south of Santa Catarina/SC.

    Directory of Open Access Journals (Sweden)

    Dalila Felipe Bitencourt

    2013-01-01

    Full Text Available Qualitative research using the case study, it’s order to understand the vision of nurses in a hospital in the southern of Santa Catarina/SC about their experience as leaders of nursing team. Participants were ten nurses working in this role. Data collection was performed in the hospital, between the months of May and June 2012, using the technique of semi-structured interview, based on the guiding question of the study. The analysis of data was performed qualitative and comprised the organization, classification and final analysis. The results show that most nurses do not feel prepared to exercise a leading role, which derives, in most cases, the lack of academic preparation, institutional issues and the reasons inherent in early stage, especially insecurity. The professionals working in other categories of nursing at the same institution need to learn to position themselves against the new post, especially in dealing with colleagues who are now under his leadership. While most have expressed difficulties in the process of transition between academia and professional life were identified that professionals are clear about the roles, skills and abilities necessary for leadership. It is also noted that nurses feel that in some situations they cannot exercise their leadership in the way they consider most appropriate.

  4. Optimizing enactment of nursing roles: redesigning care processes and structures

    Directory of Open Access Journals (Sweden)

    Jackson K

    2014-02-01

    Full Text Available Karen Jackson,1 Deborah E White,2 Jeanne Besner,1 Jill M Norris21Health Systems and Workforce Research Unit, Alberta Health Services, Calgary, Alberta, Canada; 2Faculty of Nursing, University of Calgary, Calgary, Alberta, CanadaBackground: Effective and efficient use of nursing human resources is critical. The Nursing Role Effectiveness Model conceptualizes nursing practice in terms of key clinical role accountabilities and has the potential to inform redesign efforts. The aims of this study were to develop, implement, and evaluate a job redesign intended to optimize the enactment of registered nurse (RN clinical role accountabilities.Methods: A job redesign was developed and implemented in a single medical patient care unit, the redesign unit. A mixed-methods design was used to evaluate the job redesign; a second medical patient care unit served as a control unit. Data from administrative databases, observations, interviews, and demographic surveys were collected pre-redesign (November 2005 and post-redesign (October 2007.Results: Several existing unit structures and processes (eg, model of care delivery influenced RNs' ability to optimally enact their role accountabilities. Redesign efforts were hampered by contextual issues, including organizational alignment, leadership, and timing. Overall, optimized enactment of RN role accountabilities and improvements to patient outcomes did not occur, yet this was predictable, given that the redesign was not successful. Although the results were disappointing, much was learned about job redesign.Conclusion: Potential exists to improve the utilization of nursing providers by situating nurses' work in a clinical role accountability framework and attending to a clear organizational vision and well-articulated strategic plan that is championed by leaders at all levels of the organization. Health care leaders require a clear understanding of nurses' role accountabilities, support in managing change, and

  5. Multiresistant pathogens in geriatric nursing – infection control in residential facilities for geriatric nursing in Germany

    Directory of Open Access Journals (Sweden)

    Peters, Claudia

    2014-09-01

    Full Text Available [english] Background: The increase of multidrug-resistant organisms (MDROs causes problems in geriatric nursing homes. Older people are at increased a growing risk of infection due to multimorbidity and frequent stays in hospital. A high proportion of the elderly require residential care in geriatric nursing facilities, where hygiene requirements in nursing homes are similar to those in hospitals. For this reason we examined how well nursing homes are prepared for MDROs and how effectively protect their infection control residents and staff.Methods: A cross-sectional study was performed on infection control in residential geriatric nursing facilities in Germany 2012. The questionnaire recorded important parameters of hygiene, resident and staff protection and actions in case of existing MDROs.Results: The response was 54% in Hamburg and 27% in the rest of Germany. Nursing homes were generally well equipped for dealing with infection control: There were standards for MDROs and regular hygiene training for staff. The facilities provided adequate protective clothing, affected residents are usually isolated and hygienic laundry processing conducted. There are deficits in the communication of information on infected residents with hospitals and general practitioners. 54% of nursing homes performed risk assessments for staff infection precaution.Conclusion: There is a growing interest in MDROs and infection control will be a challenge in for residential geriatric nursing facilities in the future. This issue has also drawn increasing attention. Improvements could be achieved by improving communication between different participants in the health service, together with specific measures for staff protection at work.

  6. Governance of professional nursing practice in a hospital setting: a mixed methods study

    Directory of Open Access Journals (Sweden)

    José Luís Guedes dos Santos

    2015-12-01

    Full Text Available Objective: to elaborate an interpretative model for the governance of professional nursing practice in a hospital setting. Method: a mixed methods study with concurrent triangulation strategy, using data from a cross-sectional study with 106 nurses and a Grounded Theory study with 63 participants. The quantitative data were collected through the Brazilian Nursing Work Index - Revised and underwent descriptive statistical analysis. Qualitative data were obtained from interviews and analyzed through initial, selective and focused coding. Results: based on the results obtained with the Brazilian Nursing Work Index - Revised, it is possible to state that nurses perceived that they had autonomy, control over the environment, good relationships with physicians and organizational support for nursing governance. The governance of the professional nursing practice is based on the management of nursing care and services carried out by the nurses. To perform these tasks, nurses aim to get around the constraints of the organizational support and develop management knowledge and skills. Conclusion: it is important to reorganize the structures and processes of nursing governance, especially the support provided by the organization for the management practices of nurses.

  7. Nursing Practice Environment and Registered Nurses' Job Satisfaction in Nursing Homes

    Science.gov (United States)

    Choi, JiSun; Flynn, Linda; Aiken, Linda H.

    2012-01-01

    Purpose: Recruiting and retaining registered nurses (RNs) in nursing homes is problematic, and little research is available to guide efforts to make nursing homes a more attractive practice environment for RNs. The purpose of this study was to examine relationships between aspects of the nursing practice environment and job satisfaction among RNs…

  8. Classification systems in nursing : Formalizing nursing knowledge and implications for nursing information systems

    NARCIS (Netherlands)

    Goossen, WTF; Epping, PJMM; Abraham, IL

    1996-01-01

    The development of nursing information systems (NIS) is often hampered by the fact that nursing lacks a unified nursing terminology and classification system. Currently there exist various initiatives in this area. We address the question as to how current initiatives in the development of nursing t

  9. Organization Design

    OpenAIRE

    Milton Harris; Artur Raviv

    2002-01-01

    This paper attempts to explain organization structure based on optimal coordination of interactions among activities. The main idea is that each manager is capable of detecting and coordinating interactions only within his limited area of expertise. Only the CEO can coordinate company wide interactions. The optimal design of the organization trades off the costs and benefits of various configurations of managers. Our results consist of classifying the characteristics of activities and manager...

  10. Some Thoughts on Nursing

    Directory of Open Access Journals (Sweden)

    Despina Sapountzi-Krepia

    2013-01-01

    Full Text Available The core concept of nursing is care; although caring is a universal concept and a component of the philosophies guiding the practice of all health and caring professions. Human beings learn to care bybeing cared by other people. In primitive societies there was not a clear distinction between healer and carer. However, caring, healing, and curing include a meaning of getting control over and expressing power upon people who are receiving care. That was a crucial point for the separation of caring from healing and curing. Nursing evolved from the mother's role and is frequently identified in people's perception more as a woman's duty than a job. Nursing continues to struggle to overcome the stereotypes held for centuries. However, as nursing is maturing as a science, an emphasis on the meaning of care and the approach of nursing as a purely caring science is apparent in many scientific nursing books and papers. Caring is evolving as a new paradigm for nursing, as the profession seeks its rightful place in the modern societies.

  11. Innovation in nursing education

    Directory of Open Access Journals (Sweden)

    Satı Dil

    2012-10-01

    Full Text Available Innovation is defined as “renewal of science and technology to create the invention will for supplying benefit economically and socially, being different". All over the world, higher education programs are working to expand educational capacities, in order to meet future labor needs by applying innovative strategies. Nursing educators indicates curricula reveals fundamental changes for the existing innovation. Innovatıon for nursing education perform by replacing nursing education program or producing new knowledge and skills. To produce qualified nurses who can meets the requirements in the globalized world; nursing education has become imperative to implement innovative strategies. But great and repeated contents of existing curriculas, ignorence of students’ learning wish and unsufficient useage of electronic learning tools are became obstacles behind developing innovatıon strategies in nursing educatıon. The purpose of this study, to draw out attention on the importance of providing a common future visio and integration methods within innovative strategies to support the development of vocational knowledge and skills of nursing students.

  12. My Name is Nurse.

    Science.gov (United States)

    2016-05-01

    : Editor's note: From its first issue in 1900 through to the present day, AJN has unparalleled archives detailing nurses' work and lives over more than a century. These articles not only chronicle nursing's growth as a profession within the context of the events of the day, but they also reveal prevailing societal attitudes about women, health care, and human rights. Today's nursing school curricula rarely include nursing's history, but it's a history worth knowing. To this end, From the AJN Archives offers articles selected to fit today's topics and times.This month's article, from the May 1993 issue, is a tongue-in-cheek editorial by former editor-in-chief Mary B. Mallison. In it, she introduces us to the "PerceptoPhone"-an imaginary device that allows the wearer to access the thoughts of nurses. PerceptoPhones are used to educate hospital trustees on nurses' essential but often invisible abilities: to identify early warning signs of complications; teach and encourage; and carefully assess, soothe, and heal-abilities that are "hard to quantify with usual accounting methods." More than 20 years later, we still look for better ways to teach the public about nursing. PMID:27123629

  13. Social accountability and nursing education in South Africa

    Directory of Open Access Journals (Sweden)

    Susan J. Armstrong

    2015-05-01

    Full Text Available Background: There is global emphasis on transforming health workforce education in support of universal health coverage. Objective: This paper uses a social accountability framework, specifically the World Health Organization's six building blocks for transformative education, to explore key informants’ perspectives on nursing education in South Africa. Methods: Using a snowballing sampling technique, 44 key informants were selected purposively on the basis of their expertise or knowledge of the research area. Semi-structured interviews were conducted with the key informants after informed consent had been obtained. The interviews were analysed using template analysis. Results: South Africa has strategic plans on human resources for health and nursing education, training, and practice and has a well-established system of regulation and accreditation of nursing education through the South African Nursing Council (SANC. Key informants criticised the following: the lack of national staffing norms; sub-optimal governance by both the SANC and the Department of Health; outdated curricula that are unresponsive to population and health system needs; lack of preparedness of nurse educators; and the unsuitability of the majority of nursing students. These problems are exacerbated by a perceived lack of prioritisation of nursing, resource constraints in both the nursing education institutions and the health training facilities, and general implementation inertia. Conclusion: Social accountability, which is an essential component of transformative education, necessitates that attention be paid to the issues of governance, responsive curricula, educator preparedness, and appropriate student recruitment and selection.

  14. The organizational transformative power of nurse residency programs.

    Science.gov (United States)

    Kramer, Marlene; Maguire, Pat; Halfer, Diana; Budin, Wendy C; Hall, Debra S; Goodloe, Lauren; Klaristenfeld, Jessica; Teasley, Susan; Forsey, Lynn; Lemke, Johanna

    2012-01-01

    Residency programs for newly licensed registered nurses (NLRNs) have been strongly advocated by the Institute of Medicine, American Organization of Nurse Executives, and other professional organizations. Their cost-effectiveness as well as their impact on NLRN retention, job and practice satisfaction, improved performance, and reduction in environmental reality shock has been demonstrated. This qualitative study sought answers to the question: what people, components, processes and activities of Nurse Residency Programs (NRPs), and the work environment are instrumental in the transition and integration of NLRNs into the professional practice role and into professional communities? In the course of interviewing 907 nurses-NLRNs, experienced nurses, managers, and educators-practicing on clinical units with confirmed "very healthy work environments" in 20 Magnet hospitals, it became evident that not only did NRPs positively impact the professional socialization of NLRNs, they led to transformative changes in the organization and in the practice of other health care professionals. The organizational transformative changes described by the interviewees are presented for each of the 7 major challenges identified by NLRNs-delegation, prioritization, managing patient care delivery, autonomous decision-making, collaboration with other disciplines, constructive conflict resolution, and utilizing feedback to restore self-confidence. If it can be demonstrated that these transformative changes stimulated by NRPs also lead to improved patient outcomes, NRPs may be the most significant organization transformation instituted by nurse leaders in recent years. PMID:22407208

  15. Classifying rock lithofacies using petrophysical data

    Science.gov (United States)

    Al-Omair, Osamah; Garrouch, Ali A.

    2010-09-01

    This study automates a type-curve technique for estimating the rock pore-geometric factor (λ) from capillary pressure measurements. The pore-geometric factor is determined by matching the actual rock capillary pressure versus wetting-phase saturation (Pc-Sw) profile with that obtained from the Brooks and Corey model (1966 J. Irrigation Drainage Proc. Am. Soc. Civ. Eng. 61-88). The pore-geometric factor values are validated by comparing the actual measured rock permeability to the permeability values estimated using the Wyllie and Gardner model (1958 World Oil (April issue) 210-28). Petrophysical data for both carbonate and sandstone rocks, along with the pore-geometric factor derived from the type-curve matching, are used in a discriminant analysis for the purpose of developing a model for rock typing. The petrophysical parameters include rock porosity (phi), irreducible water saturation (Swi), permeability (k), the threshold capillary-entry-pressure (Pd), a pore-shape factor (β), and a flow-impedance parameter (n) which is a property that reflects the flow impedance caused by the irreducible wetting-phase saturation. The results of the discriminant analysis indicate that five of the parameters (phi, k, Pd, λ and n) are sufficient for classifying rocks according to two broad lithology classes: sandstones and carbonates. The analysis reveals the existence of a significant discriminant function that is mostly sensitive to the pore-geometric factor values (λ). A discriminant-analysis classification model that honours both static and dynamic petrophysical rock properties is, therefore, introduced. When tested on two distinct data sets, the discriminant-analysis model was able to predict the correct lithofacies for approximately 95% of the tested samples. A comprehensive database of the experimentally collected petrophysical properties of 215 carbonate and sandstone rocks is provided with this study.

  16. [ABC supplies classification: a managment tool of costs in nursing].

    Science.gov (United States)

    Lourenço, Karina Gomes; Castilho, Valéria

    2006-01-01

    The implementation of costs management systems has been extremely helpful to healthcare area owing to their efficacy in cutting expenditures as well as improving service quality. The ABC classification is an applied strategy to stocktaking and control. The research, which consists of an exploratory/descriptive quantitative analysis, has been carried out in order to identify, in a year time period, the demand for supplies at Universidade de Sao Paulo's Hospital. Of 1938 classified materials, 67 itens had been classified that they correspond to the materials with bigger costs for the hospital. 31.3% of these A-Class supplies catalogued items are the nursing materials, more used for the nursing team. PMID:16915729

  17. Compassion fatigue in nurses.

    Science.gov (United States)

    Yoder, Elizabeth A

    2010-11-01

    Compassion fatigue, trigger situations, and coping strategies were investigated in hospital and home care nurses. The Professional Quality of Life Scale measured compassion fatigue, compassion satisfaction, and burnout. Narrative questions elicited trigger situations and coping strategies. Compassion fatigue scores were significantly different between nurses who worked 8- or 12-hour shifts. Fifteen percent of the participants had scores indicating risk of the compassion fatigue. There were significant differences in compassion satisfaction, depending on the unit worked and time as a nurse. The most common category of trigger situations was caring for the patient. Work-related and personal coping strategies were identified. PMID:21035028

  18. Compassion Competence in Nurses.

    Science.gov (United States)

    Lee, Youngjin; Seomun, GyeongAe

    2016-01-01

    The purpose of study was to identify the attributes of the concept of compassion competence for nurses. A hybrid model was used to develop the concept, which included fieldwork performed. The concept of compassion competence was found to possess 3 dimensions: (a) acquisition of a wealth of knowledge; (b) development of skills of emotional communication, sensitivity, insight, and self-regulation; and (c) development of attitudes of respect and empathy, and maintenance of occupational distance. Compassion competence could be useful for developing ways to enhance the knowledge, skills, and attitudes required for nurses to provide compassionate care in various nursing practices. PMID:27149235

  19. Nursing Care after Death

    OpenAIRE

    Gong, Xi

    2012-01-01

    Nurses care, help and support patients before they are born, when they are alive and after they die. The starting points of this study were how nurses provide physical care for the dead patients and psychological care for the bereaved families. The purpose of this study was to describe the role of a nurse when patients die. The aims of this study were that the results of the study could help the nurses’ clinical work and could be used as part of teaching material in post-mortem care or nu...

  20. Presentation skills for nurses.

    Science.gov (United States)

    Foulkes, Mark

    2015-02-20

    This article emphasises the importance of effective presentation skills. Such skills allow nurses to share knowledge and expertise and to communicate clearly in a range of workplace scenarios. Nurses are increasingly being asked to present in formal and informal situations, such as conferences, poster presentations, job interviews, case reports and ward-based teaching. This article explores the principles underpinning the development of these skills, discusses the situations in which they could be applied and demonstrates how nurses might improve and develop as presenters. PMID:25690236

  1. Nursing concepts and theories

    Directory of Open Access Journals (Sweden)

    Regina Szylit Bousso

    2014-02-01

    Full Text Available The theory framework of nursing science is built in a dynamic process that arises from practice and is reproduced through research, mainly by analysis and development of concepts and theories. This study presents a theory reflection on nursing knowledge construction and points out subsidies for future studies in the area. The interrelation among theory, research, and clinical practice is required for continuous development of nursing as a profession and science. Ideally, the practice must be based on theory that is validated by research. Therefore, theory, research, and practice affect each other reciprocally and continuously.

  2. Welcome to Nursing Reports

    OpenAIRE

    Marilyn Kirshbaum, Editor-in-Chief

    2011-01-01

    I am absolutely thrilled to have such an opportunity to make a unique contribution to my profession and the wider community. At heart, I have been a nurse for a very long time. I have spent many years in clinical practice and have been fortunate to have personally thrived in the pursuit of scientific inquiry, analysis, reporting and scholarship in nursing. As this is the first editorial of Nursing Reports, I would like to share my vision. An open access journal of this kind is intended, first...

  3. Are patients with chronic pain and fibromyalgia correctly classified by MMPI-2 validity scales and indexes?

    OpenAIRE

    Alfonso Palmer; Carmen Borrás; Javier Pérez-Pareja; Albert Sesé; Manuel Vilariño

    2013-01-01

    A study was designed to find out whether MMPI-2 validity scales and indexes differentiate between truefibromyalgia sufferers, patients with chronic organic pain and normal people, as well as whether they arecorrectly classified. 105 subjects participated in the study, 27 diagnosed with fibromyalgia and 44 withchronic organic pain and 34 were healthy people, who answered the MMPI-2 following standardinstructions. The results showed that fibromyalgia patients scored higher than the control grou...

  4. A new approach to classifier fusion based on upper integral.

    Science.gov (United States)

    Wang, Xi-Zhao; Wang, Ran; Feng, Hui-Min; Wang, Hua-Chao

    2014-05-01

    Fusing a number of classifiers can generally improve the performance of individual classifiers, and the fuzzy integral, which can clearly express the interaction among the individual classifiers, has been acknowledged as an effective tool of fusion. In order to make the best use of the individual classifiers and their combinations, we propose in this paper a new scheme of classifier fusion based on upper integrals, which differs from all the existing models. Instead of being a fusion operator, the upper integral is used to reasonably arrange the finite resources, and thus to maximize the classification efficiency. By solving an optimization problem of upper integrals, we obtain a scheme for assigning proportions of examples to different individual classifiers and their combinations. According to these proportions, new examples could be classified by different individual classifiers and their combinations, and the combination of classifiers that specific examples should be submitted to depends on their performance. The definition of upper integral guarantees such a conclusion that the classification efficiency of the fused classifier is not less than that of any individual classifier theoretically. Furthermore, numerical simulations demonstrate that most existing fusion methodologies, such as bagging and boosting, can be improved by our upper integral model. PMID:23782843

  5. Validation of the Practice Environment Scale of the Nursing Work Index (PES-NWI for the Portuguese nurse population

    Directory of Open Access Journals (Sweden)

    Eileen Lake

    2012-01-01

    Full Text Available Background: The need to obtain efficiency gains and to focus practice on obtaining value has influenced research in the area of nursing environment and nursing outcomes. The conclusions reached in those studies highlight the need for better nurse/patient ratios, better qualified nurses, and greater involvement of nurses in decision-making and in clinical management, which will lead to increased levels of productivity and satisfaction and, consequently,better patient outcomes and better organization. The study and creation of favourable practice environments may play a fundamental role on that. Practice environments have been studied since the 1980s (Lake, 2002 with the aim of better understanding their effect on nursing professionals and on patient outcomes. More recently, focus has also been put on their connection to patient safety.Aim: To translate and validate the Practice Environment Scale of the Nursing Work Index (PES-NWI for producing a Portuguese version of the scale ready to be used for the assessment of nursing practice environments in Portugal.Methodology: Translation, cultural validation and back-translation were achieved with the collaboration of a group of nurses and nursing teachers. The psychometric validation of the Portuguese version was reached by extracting the principal components using a varimax rotation (construct validity. The analysis of the criterionvalidity was carried out through correlation using Barton’s Job Satisfaction Scale and scale reliability was assessed through the analysis of internal consistency using Cronbach’s Alpha. An electronic version of the instrument was created and given to a sample of nurses who were members of the National Board for Nursing and who were invited to fill out the scale via email. A total of 418 responses were received.Results: The analysis identified an eight-factor solution which, following a deeper semantic analysis resulted in seven subscales. The scale’s global internal

  6. Face Detection Using a First-Order RCE Classifier

    Directory of Open Access Journals (Sweden)

    Byeong Hwan Jeon

    2003-08-01

    Full Text Available We present a new face detection algorithm based on a first-order reduced Coulomb energy (RCE classifier. The algorithm locates frontal views of human faces at any degree of rotation and scale in complex scenes. The face candidates and their orientations are first determined by computing the Hausdorff distance between simple face abstraction models and binary test windows in an image pyramid. Then, after normalizing the energy, each face candidate is verified by two subsequent classifiers: a binary image classifier and the first-order RCE classifier. While the binary image classifier is employed as a preclassifier to discard nonfaces with minimum computational complexity, the first-order RCE classifier is used as the main face classifier for final verification. An optimal training method to construct the representative face model database is also presented. Experimental results show that the proposed algorithm yields a high detection ratio while yielding no false alarm.

  7. The relationship between cancer patients′ perception of nursing care and nursing attitudes towards nursing profession

    OpenAIRE

    Gulay Ipek Coban; Gulistan Yurdagul

    2014-01-01

    Objective: The aim of this study is to evaluate the patients′ perceptions of nursing care with different types of cancer in Turkey and its relationship with nursing attitudes towards nursing profession. Methods: An exploratory approach utilizing cross-sectional design with a structured questionnaire, administered to patients nurses a face-to-face, with specific questions about demographic and health status and two standardized scales: Patient Perception of Hospital Experience with Nursing Car...

  8. Exposure of Nurses to Electromagnetic Fields

    International Nuclear Information System (INIS)

    Devices that produce electromagnetic fields (EMF) within the range of 0-300 GHz are widely used in surgical and diagnostic procedures. As a result a large number of physicians and other groups of medical personnel may be exposed to EMF. Even if patients' exposure, sometimes quite high, is inevitable or even recommended, medical personnel should be substantially protected against EMF exposure. Evaluation of nurses' exposure to EMF was based on an analysis of EMF magnitudes in the surrounding of magnetic resonance imaging (MRI) and electrosurgical units. These two kinds of apparatus are the strongest EMF sources in health service facilities. The measurements were performed according to the norms and hygiene regulations binding in Poland. Measurements performed by the Nofer Institute of Medicine in Lodz, and data collected by the Central Database on EMF Sources were used in the analysis. The Central Database is run by the Nofer Institute of Medicine at the behest of the Chief Sanitary Inspector. The study showed that nurses' exposure to EMF emitted by MRI and electrosurgical units complies with Polish norms and hygiene regulations and can be classified as negligible or allowable. It was found that work of nurses in exposure to EMF emitted by MRI and electrosurgical units can be regarded as safe, which means that their health should not be endangered by the performed job. (author)

  9. Infections in Nursing Homes: Epidemiology and Prevention Programs.

    Science.gov (United States)

    Montoya, Ana; Cassone, Marco; Mody, Lona

    2016-08-01

    This review summarizes current literature pertaining to infection prevention in nursing home population including post-acute care patients and long-term care residents. Approximately 2 million infections occur each year and more than one-third of older adults harbor multidrug-resistant organisms in this setting. Surveillance, hand hygiene, isolation precautions, resident and employee health programs, education, and antibiotic stewardship are essential elements of infection prevention and control programs in nursing homes. This article discusses emerging evidence suggesting the usefulness of interactive multimodal bundles in reducing infections and antimicrobial resistance, thereby enhancing safety and quality of care for older adults in nursing homes. PMID:27394025

  10. Development of the role of director of advanced practice nursing.

    Science.gov (United States)

    Rhodes, Catherine A; Fusilero, Jane; Williams, Christine M

    2010-01-01

    Advanced practice nurses (APNs) are integral to cost-effective delivery of health care in large health care organizations. Development of the leadership position of director of advanced practice nurses in a large teaching institution provides leadership to APNs in various settings, contributes to staff satisfaction, facilitates increased professional growth, and provides improved quality and fiscal outcomes. Job satisfaction, productivity, accountability, and communication may be enhanced through implementation of the role of director of advanced practice nursing and a committee structure of APNs, as was found in this academic health system. PMID:20306882

  11. Nursing Education in Denmark, Finland, Norway and Sweden

    DEFF Research Database (Denmark)

    Larsen, Birte Hedegaard

    2010-01-01

    the guiding principles, national directives and educational structures and content of Bachelor’s degree programmes from 1990 to 2008 and of further educational levels in the four Scandinavian countries. Discussion.  There are similarities as well as substantial differences in the educational...... structures, contents and lengths in the different nursing programmes. Nursing education is organized in the three cycles described in the Bologna Process, but there are differences regarding names and terms for degrees and allocation of European Credit Transfer System credits. Implications for nursing...

  12. Leadership-organizational culture relationship in nursing units of acute care hospitals.

    Science.gov (United States)

    Casida, Jesus; Pinto-Zipp, Genevieve

    2008-01-01

    The phenomena of leadership and organizational culture (OC) has been defined as the driving forces in the success or failure of an organization. Today, nurse managers must demonstrate leadership behaviors or styles that are appropriate for the constantly changing, complex, and turbulent health care delivery system. In this study, researchers explored the relationship between nurse managers' leadership styles and OC of nursing units within an acute care hospital that had achieved excellent organizational performance as demonstrated by a consistent increase in patient satisfaction ratings. The data from this study support that transformational and transactional contingent reward leaderships as nurse manager leadership styles that are associated with nursing unit OC that have the ability to balance the dynamics of flexibility and stability within their nursing units and are essential for maintaining organizational effectiveness. It is essential for first-line nursing leaders to acquire knowledge and skills on organizational cultural competence. PMID:18389837

  13. Nursing directors' leadership styles and faculty members' job satisfaction in Taiwan.

    Science.gov (United States)

    Chen, Hsiu-Chin; Baron, Mark

    2006-10-01

    Nursing leaders in Taiwan seldom receive the leadership training necessary to lead an academic organization. As a result, leaders may experience burn out, and dissatisfaction among faculty may increase. This study examined nursing faculty members' perceptions of nursing directors' leadership and their job satisfaction levels to understand how perceptions of leadership styles related to job satisfaction in Taiwan. This descriptive, correlational, cross-sectional study used self-administered questionnaires. Transformational leadership theory supported the research framework. Nine schools with nursing programs awarding diplomas to students participated in this study. A total of 175 questionnaires were returned (72% response rate). The findings indicated that Taiwan's nursing directors tend to display transformational leadership more frequently in their workplaces and that Taiwan's nursing faculty members are moderately satisfied in their jobs. In addition, nursing faculty in Taiwan are more satisfied with directors who practice the leadership style of attributed idealized influence. PMID:17058695

  14. Effects of the Evidence-Based Nursing Care Algorithm of Dysphagia for Nursing Home Residents.

    Science.gov (United States)

    Park, Yeonhwan; Oh, Seieun; Chang, Heekyung; Bang, Hwal Lan

    2015-11-01

    HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. To obtain contact hours you must: 1. Read the article, "Effects of the Evidence-Based Nursing Care Algorithm of Dysphagia for Nursing Home Residents" found on pages 30-39, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until October 31, 2018. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. ACTIVITY OBJECTIVES 1. Explain the development and testing of the Evidence-Based Nursing Care Algorithm of

  15. Disaster nursing: Self-reported competence of nursing students and registered nurses, with focus on their readiness to manage violence, serious events and disasters.

    Science.gov (United States)

    Nilsson, Jan; Johansson, Eva; Carlsson, Marianne; Florin, Jan; Leksell, Janeth; Lepp, Margret; Lindholm, Christina; Nordström, Gun; Theander, Kersti; Wilde-Larsson, Bodil; Gardulf, Ann

    2016-03-01

    The World Health Organization and the International Council of Nurses recognises the importance of nurses' involvement in disaster preparedness and response. The aim of this study was to describe and compare self-reported disaster nursing competence (DNC) among nursing students (NSs) and among registered nurses (RNs) with professional experience. Further to investigate possible associations between self-reported DNC and background factors. A cross-sectional study was conducted of 569 NSs and 227 RNs. All respondents completed the 88-item Nurse Professional Competence Scale, including three items assessing DNC. Significant differences were found among the NSs depending on which University/University College they had attended. RNs reported significantly higher overall DNC and better ability to handle situations involving violence, and to apply principles of disaster medicine during serious events. RNs working in emergency care reported significantly better DNC ability, compared with RNs working in other areas of healthcare. Multiple linear regression analysis showed that working night shift and working in emergency care were positively associated with high self-reported overall DNC. The results indicate that workplace experience of serious events increase the readiness of registered nurses to handle violence, to act in accordance with safety regulations, and to apply principles of disaster medicine during serious events. PMID:26776502

  16. Model documentation of assessment and nursing diagnosis in the practice of nursing care management for nursing students

    OpenAIRE

    A. Aziz Alimul Hidayat; M. Kes

    2015-01-01

    Model documentation of assessment and nursing diagnosis in the practice of nursing care management is an integration model in nursing care records, especially records nursing assessment and diagnosis in one format. This model can reduce the duration of the recording in nursing care, and make it easier for students to understand the nursing diagnosis, so that nursing interventions more effective. The purpose of this paper was to describes the form integration documentation of nursing assessmen...

  17. Peat classified as slowly renewable biomass fuel

    International Nuclear Information System (INIS)

    thousands of years. The report states also that peat should be classified as biomass fuel instead of biofuels, such as wood, or fossil fuels such as coal. According to the report peat is a renewable biomass fuel like biofuels, but due to slow accumulation it should be considered as slowly renewable fuel. The report estimates that bonding of carbon in both virgin and forest drained peatlands are so high that it can compensate the emissions formed in combustion of energy peat

  18. Leadership and ethics in nurse-nurse relationships.

    Science.gov (United States)

    Milton, Constance L

    2009-04-01

    Qualities of nursing leadership may be reflected in the patterns of relating illuminated through communications between interdependent members of a discipline and interdisciplinary professional healthcare relationships. Authority and responsibility in leading-following reside with the designated leader. However, there is power with person in situation with the ever-present possibility of conflict. The author in this column will begin a discussion of conflict in nurse-nurse relationships and offer questions for straight thinking regarding the ethics of leading-following situations with nurse-nurse relationships from a humanbecoming nursing theoretical perspective. PMID:19342708

  19. A nursing diagnosis based model: guiding nursing practice.

    Science.gov (United States)

    Krenz, M; Karlik, B; Kiniry, S

    1989-05-01

    Fiscal uncertainty, anxiety about nursing retention, and public scrutiny characterize the hospital milieu. During times such as these, introducing a conceptual model may appear inpractical and untimely. However, the conceptual model at Robert Wood Johnson University Hospital has demonstrated many practical applications. It guides nursing practice and provides a framework for quality assurance, documentation of nursing care, and education of nurses in the hospital. Future plans include using the model as a basis for developing a computerized care planning system and a method for cost accounting for nursing. The authors describe how the model serves to unify, give direction, simplify, and improve nursing practice. PMID:2723785

  20. Nursing victims of violence.

    Science.gov (United States)

    Sekula, Kathleen

    2016-09-01

    Nurse executives are key to providing quality care to patients affected by violence, with the growth in crime being a critical consideration in designing patient care and fostering collaboration across teams. PMID:27581907

  1. Nursing Home Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — The data that is used by the Nursing Home Compare tool can be downloaded for public use. This functionality is primarily used by health policy researchers and the...

  2. Nursing Home Data Compendium

    Data.gov (United States)

    U.S. Department of Health & Human Services — The compendium contains figures and tables presenting data on all Medicare- and Medicaid-certified nursing homes in the United States as well as the residents in...

  3. Nursing education and learning

    DEFF Research Database (Denmark)

    Sangild Stølen, Karen Marie

    2013-01-01

    Background: Learning professional skills in the clinic is central to the acquisition of professional competences for future nurses. There are no clear vision of how learning takes place in the clinic and the question is how education in the clinic may lead to the professional skills that enable...... future nurses to take care for patients. Design and setting: The project Learning in Practice was accomplished from 2011 to early 2013, in collaboration between educations of nursing and educational theory educations at UCC North Zealand. The results in this paper is related to the examination...... of the nurse education only. The examination is based on four non-participating observations, four participating observations and three focus group interviews, respectively, four students, four clinical supervisors and four teachers . The clinical context was local hospitals. The data were analyzed...

  4. Skilled Nursing Facility PPS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 4432(a) of the Balanced Budget Act (BBA) of 1997 modified how payment is made for Medicare skilled nursing facility (SNF) services. Effective with cost...

  5. Emergency Nurses Association

    Science.gov (United States)

    ... Find us on Facebook Watch our videos on YouTube Add us on Google+ Join our conversation on ... be reduced through behavior and workplace modifications. Workplace Violence Prevention for Nurses The National Institute for Occupational ...

  6. The drama of nursing.

    Science.gov (United States)

    Holmes, C A

    1992-08-01

    This exploratory paper considers a few possibilities for conceiving nursing as a form of aesthetic praxis. More specifically, drawing on the works of Erving Goffman on dramaturgy, and Elizabeth Burns on theatre, it makes some suggestions concerning nursing as a form of dramatic performance, and briefly attempts to relate this to concepts of praxis drawn from the writings of Hannah Arendt and critical social theorists. In contrast to Goffman's dramaturgy, which stresses the artifice of social relations and suggests a cynical view of human interactions, a critical theory of dramatic praxis introduces a normative dimension in which performance may become self-realizing and emancipatory as it aspires to the status of aesthetic praxis. Conceived in such terms, nursing practice becomes a powerful form of self-expression which has the potential to become liberating for the nurse and the patient. PMID:1506545

  7. Nursing Home Compare Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — These are the official datasets used on the Medicare.gov Nursing Home Compare Website provided by the Centers for Medicare and Medicaid Services. These data allow...

  8. Jurisdiction in community nursing services.

    Science.gov (United States)

    Ellefsen, B

    1998-10-01

    This article focuses on community-health nursing services and their jurisdiction in Norway. The aim of the study was to analyze and gain a better understanding of community-nursing services' jurisdiction and jurisdictional pressure. The areas of investigation were degree of jurisdictional control, pattern of pressure in the jurisdiction, and nurses' strategies to deal with this pressure. The respondents were nurses in public health nursing service, home nursing service, and nursing homes. The results showed that nurses in the three different community-nursing services had different degrees of formal and informal control in their jurisdictions. Patterns of pressure were visible both inside and outside of the jurisdiction. Jurisdictional pressure led to strategies that strengthened control of the work, fortified professional status, or both. PMID:9775738

  9. Visibility of Latin American Nursing Research (1959-2005).

    OpenAIRE

    Mendoza-Parra, S.; Paravic-Klijn, T.; Muñoz-Muñoz, Ana-M.; Barriga, O.A.; Jiménez-Contreras, E.

    2009-01-01

    Objectives: To analyze scientific activity in Latin American nursing using bibliometric indicators. Materials and Methods: This is a quantitative, descriptive study of the universe of Latin American nursing journals (119) and scientific documents(13,208) published according to current library databases including: the Web of Science (WOS), Medline, LILACS, Periodica, Cuiden, and SciELO. A database was prepared using ProCite. Results: The PAHO (Pan American Health Organization) Open-acces...

  10. In Search of a Croatian Model of Nursing Education

    OpenAIRE

    Šimunović, Vladimir J.; Županović, Marija; Mihanović, Frane; Zemunik, Tatijana; Bradarić, Nikola; Janković, Stipan

    2010-01-01

    Aim To analyze the present status and ongoing reforms of nursing education in Europe, to compare it with the situation in Croatia, and to propose a new educational model that corresponds to the needs of the Croatian health care system. Methods The literature on contemporary nursing education in Europe and North America was reviewed, together with European Commission directives and regulations, as well as pertinent World Health Organization documents. In addition, 20...

  11. Essays on the cost structure of nonprofit nursing homes

    OpenAIRE

    Di Giorgio, Laura; Filippini, Massimo

    2013-01-01

    Public provision of institutionalized long term care will pose an increasing challenge to the sustainability of public finances. Population ageing has been recognized as one of the main factors driving health care costs increase in Europe and is expected to further raise the demand of nursing home care. To ensure a sustainable system in the next decades, policymakers need evidence on the determinants of nursing care costs and how to best organize the sector to ensure efficient provisio...

  12. Cultural experiences of immigrant nurses at two hospitals in Chile

    OpenAIRE

    Gabriel Rodríguez; Luz Angélica-Muñoz; Luiza Akiko Komura Hoga

    2014-01-01

    OBJECTIVE: to explore the cultural experiences of nurses who immigrated to Chile. The study´s theoretical framework was the Purnell Model for Cultural Competence.METHOD: Leininger's Observation-Participation-Reflection method was developed at two hospitals in the city of Santiago, and ethnographic interviews were held with 15 immigrant nurses.RESULTS: among Purnell's 12 domains, the following were identified: Overview/heritage, Communication, Workforce issues, Family roles and organization, B...

  13. American Association of Colleges of Nursing

    Science.gov (United States)

    ... Joining Forces Public Health Nursing QSEN Module Series NURSING SHORTAGE RESOURCES About the Nursing Shortage I mpact ... Social Media Communities American Association of Colleges of Nursing One Dupont Circle, NW Suite 530 Washington, DC ...

  14. [Nursing care in prison].

    Science.gov (United States)

    Aujard, Ségolène; de Brisoult, Béatrice; Broussard, Daniel; Petitclerc-Roche, Solenne; Lefort, Hugues

    2016-03-01

    In France, nurses practising in the prison environment work in a health care unit, for somatic care, or in a regional medical-psychological unit for large facilities and psychological care. These units belong to the regional hospitals. Located at the heart of the prison, they cater for prisoner-patients. On the frontline, the nurse has specific autonomy and responsibility in this unique context. PMID:26975674

  15. Nurses and burnout syndrome

    Directory of Open Access Journals (Sweden)

    Zarema Obradović

    2013-04-01

    Full Text Available Introduction: The work of nurses is human. They help people in protection against diseases. Nurses are the largest group of health workers and all problems that appear in the health system are first recognized among them. Burnout syndrome appears among nurses very frequently. We present the leading factors for burnout among nurses in RMC „Dr Safet Mujic“ in Mostar, Bosnia and Herzegovina.Methods: It is a cross sectional descriptive study. We used an anonymous questionnaire with 20 questions. Our sample was random with 30% of all nurses which were working in this Medical Center in January-February 2012.Results: In our study 77.9% nurses work in the hospital. 52% have over 16 years of work experience. 34.6% of examinees are satisfi ed with interpersonal relationships, 31.7 % are satisfi ed with relationships with the superior. Motivation for work have 51% of examinees, a big number comes unwilling on work.For 83.7% overtime work is the reason for dissatisfaction 71.2% examinees think that they can't make progress on work. A high percentage of examinees doesn't think about problems related to work outside working hours, a good sleep have 38.5% and 56.7% wakes up tired. Many of examinees are not satisfiedwith workplace, and 58.7% would like to change it.Conclusion: Nurses employed in RMC „Dr Safet Mujic“ Mostar are exposed to many factors during work which can cause the burnout syndrome. It is necessary to expand the study on a larger group of nurses and to implement the measures for reducing risks of burnout syndrome.

  16. Feasibility and outcomes of paid undergraduate student nurse positions.

    Science.gov (United States)

    Gamroth, Lucia; Budgen, Claire; Lougheed, Mary

    2006-09-01

    new graduates and to retain existing nurses. Stakeholder groups were administrators, labour organizations, professional associations, educators and government. One idea to support job readiness and retention focussed on the feasibility of implementing cooperative education for nursing students. The effort was unsuccessful owing to lack of funding, but resulted in a review of the literature on cooperative education and other work-study programs. Cooperative education connects classroom learning with paid work experience for the purpose of enhancing students' education (Fitt and Heverly 1990; Heinemann and De Falco 1992; Ryder 1987). Reported benefits for students were improved job preparation and graduate retention (Ishida et al. 1998), additional staffing and reduction in orientation time (Cusack 1990; Ishida et al. 1998), increased practice judgment (Cusack 1990; Siedenberg 1989) and better workload management (Ross and Marriner 1985). A work-study model reported in the literature offered benefits similar to those of cooperative education, with greater flexibility in design. An example was the University of Texas Health Science Center at Houston's collaborative work-study scholarship program with local hospitals (Kee and Ryser 2001). Students in second clinical semesters were employed as unlicensed personnel by hospitals. The students, as unlicensed personnel, worked to the level of their nursing preparation. Reported benefits for students were academic credit, financial assistance, interaction with multidisciplinary teams, opportunity to refine clinical skills, understanding of nurses' roles and guaranteed interview for positions on graduation (Kee and Ryser 2001). Benefits for practice organizations were skilled help, the opportunity to recruit new nurses and increased interaction with a university nursing program. While nurse education stakeholders in British Columbia were exploring options, the concept of undergraduate student nurse employment was initiated by a

  17. Rule Based Ensembles Using Pair Wise Neural Network Classifiers

    Directory of Open Access Journals (Sweden)

    Moslem Mohammadi Jenghara

    2015-03-01

    Full Text Available In value estimation, the inexperienced people's estimation average is good approximation to true value, provided that the answer of these individual are independent. Classifier ensemble is the implementation of mentioned principle in classification tasks that are investigated in two aspects. In the first aspect, feature space is divided into several local regions and each region is assigned with a highly competent classifier and in the second, the base classifiers are applied in parallel and equally experienced in some ways to achieve a group consensus. In this paper combination of two methods are used. An important consideration in classifier combination is that much better results can be achieved if diverse classifiers, rather than similar classifiers, are combined. To achieve diversity in classifiers output, the symmetric pairwise weighted feature space is used and the outputs of trained classifiers over the weighted feature space are combined to inference final result. In this paper MLP classifiers are used as the base classifiers. The Experimental results show that the applied method is promising.

  18. Organizational Cynicism Levels of the Nurses

    Directory of Open Access Journals (Sweden)

    Ahmet Tayfun

    2014-03-01

    Full Text Available That the organizations' being in a changing environment necessitated the permanent change. To keep pace with this change is possible with both developing the organizations' physical and technological possibilities and improving human resources. Especially, the prime duty of hospitals which appear in health sector is to produce service. Due to this feature, human resources have a greater importance than the other sectors. Organizations want their employees to show maximum level of performance. However, employees may show negative attitudes about organizations because of some reasons. This attitude is explained by the concept 'cynism' whose origin is based on ancient Greek.The aim of this study is to determine the employees' organizational cynism levels. What's more, the aim is to determine whether there is a significant difference between employees' organizational cynism levels and their age, educational status, length of service in the profession and the length of service in the hospital. Within the scope of the study, a questionnaire was applied to 391 nurses and the results were analyzed statistically. At the result of the study, it can be expressed that nurses show intermediate level of organizational cynism behavior. Furthermore, a significant difference was found between nurses' the length of service in the profession and behavioral dimension which is out of organizational cynism dimensions, between cognitive dimension and the length of work, between affective dimension with the cognitive dimension and educational status. A significant difference wasn't found between age variable and organizational cyni sm dimensions.

  19. Nursing development units: their structure and orientation.

    Science.gov (United States)

    Redfern, S; Stevens, W

    1998-05-01

    This paper provides background material about the Department of Health funded Nursing Development Units (NDUs), specifically their biographical and contextual characteristics, their aims and values, and their organization of work and resources acquired. The data were drawn from questionnaires to clinical leaders and from documentation. The findings are summarized under five questions which address the NDUs' values and aims, their organization of work, multiprofessional working, activeness in acquiring resources and support and the effect of the host organization. Taken as a whole, the aims match the vision of the ideal NDU specified by the pioneers of the NDU movement, and most clinical leaders subscribed to primary nursing as their preferred mode of organizing nursing work. Multiprofessional working was a common feature and there was considerable evidence of equality in team membership status. A small number of NDUs had been awarded grants for research and most were successful in generating income from conferences. Nearly all had links with an academic institution. NDUs that had the support of their Trust's management were able to market their services successfully. Our findings indicate that many NDUs have made good progress but their clinical leaders are the first to admit that there is much more to be done. PMID:9661383

  20. 二级甲等医院急诊科护理人员工作投入与组织承诺相关性研究%Study on the relationship between job engagement and organization commitment of nursing staffs in emergency departments in 2A -level hospital

    Institute of Scientific and Technical Information of China (English)

    孟宪东; 李继平

    2011-01-01

    Objective To analyze the relationship between job engagement and organization commitment of nursing staffs in emergency departments in 2A -level hospitals.Methods A total of 281 emergency nursing staffs from 46 2A -level hospitals were recriuted in the study.The nurses were investigated with general information questionnaire, Utrecht Work Engagement Scale (UWES) and Three- Component Conceptualization of Organization Commitment (3 -OC).Multiple linear regression and confirmatory factor analysis were adopted to analyze the data.Results The coefficients of determination of job engagement to affective commitment and normative commitment were 0.466 and 0.364 respectively.The correlation between job engagement and organization commitment of nursing staff of emergency departments in 2A - level hospitals was significant ( r =0.645 ).Conclusion There is a positive correlation between job engagement and organization commitment.The level of organization commitment can be effected by the level of job engagement.%目的 探索二级甲等医院急诊科护理人员工作投入与组织承诺的关系.方法 抽取成都市46所二级甲等医院的281名急诊科护理人员,采用护理人员一般资料问卷、Utrecht工作投入量表和三因素组织承诺量表对其进行调查,采用多元线性回归分析及验证性因子分析方法进行分析.结果 二级甲等医院急诊科护理人员工作投入总体水平对组织承诺中情感承诺和规范承诺的总体决定系数分别为0.466和0.364.工作投入总体水平与其组织承诺总体水平的相关系数为0.645.结论 二级甲等医院急诊科护理人员工作投入与组织承诺呈正相关,工作投入程度影响组织承诺水平.

  1. Evidence Based Nursing. A new perspective for Greek Nursing

    Directory of Open Access Journals (Sweden)

    Christina Ouzouni

    2008-07-01

    Full Text Available Despite the fact that nursing research has been developed in Greece, nevertheless the provision of nursing care is not based on current research findings, but rather on the knowledge gained by nurses during their undergraduate education. The transition of medicine in the last decade towards evidence based practice had definitely an impact on the nursing profession.The aim of this article is to briefly present evidence based nursing as a process and perspective to Greek nurses.Method: A literature search was performed in order to identify and review relevant articles concerning evidence based nursing.Conclusions: It has been supported that in the practice of evidence based nursing, a nurse has to decide whether the evidence is relevant for the individual patient. The incorporation of clinical expertise should balance the risks and benefits of a possible treatment and take into consideration the patient’s unique clinical circumstances and preferences. The stages to identify evidence for nursing practice follow firstly a question which must be addressed for a particular clinical problem. Then, a literature search is performed in order to access the evidence and critically appraise it and finally the best available evidence that fits into a particular case is utilized. Evidence based nursing bears benefits for patients, nurses and health care services, as well. In the process of implementing evidence based nursing in Greece there are several constraints. Taking these difficulties into consideration and until Greek nurses familiarize themselves with evidence based nursing care, it is necessary to constitute workgroups of nurse researchers aiming at forming clinical guidelines for nursing practice, which will based on the best available evidence.

  2. Zadovoljstvo z delom v zdravstveni negi: indicators of nurses' job satisfaction: indikatorji zadovoljstva medicinskih sester: Job satification in nursing:

    OpenAIRE

    Prosen, Mirko

    2010-01-01

    Introduction: In times of the prevailing economic recession and social changes, nurses' job satisfaction presents a challenge for healthcare organizations to prevent the negative implications of job dissatisfaction. In order to maintain and/or enhance job satisfaction, it is necessary to investigate the determinants and job satisfaction indicators and take appropriate measures accordingly. The purpose of this paper is to collect information on some significant determinants of nurses' job sati...

  3. Helping nurses cope with grief and compassion fatigue: an educational intervention.

    Science.gov (United States)

    Houck, Dereen

    2014-08-01

    Oncology nurses may experience intense physical and emotional exhaustion, identified in the literature as symptoms of cumulative grief and compassion fatigue, with significant consequences for both nurses and organizations. The first step in preventing these consequences is recognition. Organizations should provide nurses with resources including education, counseling, and opportunities to grieve. Nurses need to learn the importance of work-life balance, self-care strategies, and communication skills. Using recommendations from the literature, an educational intervention was designed with the purpose of providing nurses with knowledge, skills, and resources to practice effective self-care and recognize when assistance is needed. The program's objective was to help nurses develop the coping skills and inner resources necessary to maintain their emotional and physical health. PMID:25095300

  4. Negotiation. A skill for nurses.

    Science.gov (United States)

    Hrinkanic, J

    1998-11-01

    As cutbacks and health care reform bring changes to nurses' roles and health care structures, conflict almost invariably arises. Clashes stem from unclear expectations about new roles, poor communication between management and staff, a lack of clear jurisdiction over changing responsibilities, personal differences in approaches to nursing and conflicting interests as different departments struggle to maintain their share of the health care dollar. The friction could be at the individual or the group level; it might exist between shifts of nurses, between nurses and their managers, or between nurse managers and other administration. In all cases, you, the nurse, are the one who must deal with it. PMID:10025279

  5. Image Classifying Registration and Dynamic Region Merging

    Directory of Open Access Journals (Sweden)

    Himadri Nath Moulick

    2013-07-01

    Full Text Available In this paper, we address a complex image registration issue arising when the dependencies between intensities of images to be registered are not spatially homogeneous. Such a situation is frequentlyencountered in medical imaging when a pathology present in one of the images modifies locally intensity dependencies observed on normal tissues. Usual image registration models, which are based on a single global intensity similarity criterion, fail to register such images, as they are blind to local deviations of intensity dependencies. Such a limitation is also encountered in contrast enhanced images where there exist multiple pixel classes having different properties of contrast agent absorption. In this paper, we propose a new model in which the similarity criterion is adapted locally to images by classification of image intensity dependencies. Defined in a Bayesian framework, the similarity criterion is a mixture of probability distributions describing dependencies on two classes. The model also includes a class map which locates pixels of the two classes and weights the two mixture components. The registration problem is formulated both as an energy minimization problem and as a Maximum A Posteriori (MAP estimation problem. It is solved using a gradient descent algorithm. In the problem formulation and resolution, the image deformation and the class map are estimated at the same time, leading to an original combination of registration and classification that we call image classifying registration. Whenever sufficient information about class location is available in applications, the registration can also be performed on its own by fixing a given class map. Finally, we illustrate the interest of our model on two real applications from medical imaging: template-based segmentation of contrast-enhanced images and lesion detection in mammograms. We also conduct an evaluation of our model on simulated medical data and show its ability to take into

  6. Changing tides: improving outcomes through mentorship on all levels of nursing.

    Science.gov (United States)

    Race, Tara Kay; Skees, Janet

    2010-01-01

    Critical care nursing is one of the most stressful specialties in the nursing profession. The demands of the specialty can lead to frustration and burnout at very high rates. High-quality, effective mentorship can be a valuable tool in recruiting and retaining nurses for these areas as well as improving their sense of job satisfaction. However, it must be understood that effective mentorship begins with the organizational culture and must have organizational buy-in to be successful. Also, because of the nursing shortage and high turnover in the critical care units, new graduates are frequently hired into these areas. Mentorship for these new nurses is crucial to their success and retention as a new employee. If we do not foster growth and development of young nurses, they may flounder, become extremely frustrated, and seek out new alternative employment settings. Mentoring new graduates may begin as early as their first exposure to critical care nursing in their undergraduate nursing program as it did for this author (T.K.R.). My critical care nurse faculty is the reason I entered critical care nursing and is now the reason that I have branched into education. The information in this article is not only pertinent to those working in critical care; it can be utilized and explored on all levels of nursing. Through effective mentorship, we can positively impact our healthcare organizations; improve job satisfaction; and promote professional development and empowerment in students, new graduates, staff nurses, educators, nurse leaders, and nurse faculty. Most importantly, mentoring can result in improved nursing care, high-quality healthcare, and improved patient outcomes. PMID:20234205

  7. Missionaries and the early development of nursing in China.

    Science.gov (United States)

    Chen, K

    1996-01-01

    By the late 1930s, nursing, which had come into being in China in the 1880s, had developed into a profession represented by a well-organized national association with a membership of 6,000, which was continuously expanding by hundreds of new recruits trained at nearly 200 nursing schools all over the country. The progress was remarkable. In retrospect, we can easily discern the outstanding contribution made by the Western medical missionaries. To the latter's dedication, the profession owed its birth and its incipient growth in particular. Trained missionary nurses, following in the footsteps of missionary pioneers, penetrated into all parts of the country to start dispensaries and hospitals literally from nothing. In 1923, China had 53 percent of the missionary hospital beds and 48 percent of the missionary doctors in the world. Missionary nurses constituted 32 percent of the total number of nurses in China in 1923 and their number reached a peak of nearly 700 in 1927. Although the number of medical missionaries, physicians, and nurses was tiny compared to the size of the nation's population, and although their interest in "healing the sick" aimed to serve their primary goal of "saving the soul," their contribution to nursing development in China, especially their efforts in training native nurses at numerous missionary hospitals and nursing schools, can hardly be overestimated. Derived from missionary involvement was another important contributor to the rapid progress of nursing: the Nurses' Association of China. Born in a critical stage of nursing development in the country, the NAC organized the profession and regulated its training through sponsoring registration, holding examinations, and developing a standard required curriculum. Essentially, it played the role of a great organizer and paved the way for the further growth of the profession. Coming from a totally different culture, missionaries had to overcome a lot of difficulty to adapt themselves to the

  8. Organizing for non-learning

    DEFF Research Database (Denmark)

    Nickelsen, Niels Christian Mossfeldt; Elkjær, Bente

    The set-up of telecare embraces new possibilities for professional autonomy and discretion among nurses, but also an increasingly complicated relation to doctors. We denote this dilemma ‘organizing for non-learning’. The study draws on ethnography and visual methods in relation to a large 5 mio...... dilemma of rendering the nurse both accountable and increasingly dependent Keywords:Telecare, ethnography, social worlds, organizing, non-learning...

  9. To fuse or not to fuse: Fuser versus best classifier

    Energy Technology Data Exchange (ETDEWEB)

    Rao, N.S.

    1998-04-01

    A sample from a class defined on a finite-dimensional Euclidean space and distributed according to an unknown distribution is given. The authors are given a set of classifiers each of which chooses a hypothesis with least misclassification error from a family of hypotheses. They address the question of choosing the classifier with the best performance guarantee versus combining the classifiers using a fuser. They first describe a fusion method based on isolation property such that the performance guarantee of the fused system is at least as good as the best of the classifiers. For a more restricted case of deterministic classes, they present a method based on error set estimation such that the performance guarantee of fusing all classifiers is at least as good as that of fusing any subset of classifiers.

  10. Welcome to Nursing Reports

    Directory of Open Access Journals (Sweden)

    Marilyn Kirshbaum, Editor-in-Chief

    2011-03-01

    Full Text Available I am absolutely thrilled to have such an opportunity to make a unique contribution to my profession and the wider community. At heart, I have been a nurse for a very long time. I have spent many years in clinical practice and have been fortunate to have personally thrived in the pursuit of scientific inquiry, analysis, reporting and scholarship in nursing. As this is the first editorial of Nursing Reports, I would like to share my vision. An open access journal of this kind is intended, first and foremost, to provide a communication platform from which all levels of credible knowledge relative to nursing, from all reaches of the world, could be disseminated, diffused and debated. A key objective is to make rigorously conducted research accessible to the full spectrum of practicing nurses, academics, educators and interested members of the public. It will be the job of the editorial team to ensure that high academic and ethical standards for research and reporting are reached so that we can build a strong and sound reputation; we want the journal to be widely read and influential within the broad fields of nursing, health and social care. A second objective relates to the relatively new paradigm of open access journals; there is huge scope here to reach out to nurses in the world, not only those who have subscriptions or affiliated with academic or health service libraries. The focus of the journal is to present a global perspective of nursing, its advances and issues of current concern. As nurses we are committed to the health of communities – our personal contribution may be clinical, political, educative or academic. Therefore submissions on all areas relevant to nursing are requested, whether they are in the form of empirical reports, reviews of literature, conceptual analyses, debates, short reports from around the globe or open letters that are of concern to the international community. I believe that this journal could be so vibrant and

  11. Integrating quality and safety education into clinical nursing education through a dedicated education unit.

    Science.gov (United States)

    Masters, Kelli

    2016-03-01

    The Institute of Medicine and American Association of Colleges of Nursing are calling for curriculum redesign that prepares nursing students with the requisite knowledge and skills to provide safe, high quality care. The purpose of this project was to improve nursing students' knowledge of quality and safety by integrating Quality and Safety Education for Nurses into clinical nursing education through development of a dedicated education unit. This model, which pairs nursing students with front-line nursing staff for clinical experiences, was implemented on a medical floor in an acute care hospital. Prior to implementation, nurses and students were educated about the dedicated education unit and quality and safety competencies. During each clinical rotation, students collaborated with their nurses on projects related to these competencies. Students' knowledge was assessed using questions related to quality and safety. Students who participated in the dedicated education unit had higher scores than those with traditional clinical rotations. Focus groups were held mid-semester to assess nurses' perceptions of the experience. Five themes emerged from the qualitative data including thirsting for knowledge, building teamwork and collaboration, establishing trust and decreasing anxiety, mirroring organization and time management skills, and evolving confidence in the nursing role. PMID:26777871

  12. Conflict and Stress in Hospital Nursing: Improving Communicative Responses to Enduring Professional Challenges.

    Science.gov (United States)

    Moreland, Jennifer J; Apker, Julie

    2016-07-01

    Nurses function as central figures of health teams, coordinating direct care and communication between team members, patients, and their families. The importance of nurses to health care cannot be understated, but neither can the environmental struggles nurses routinely encounter in their jobs. Organizational communication and nursing scholarship show conflict and stress as two visible and ongoing challenges. This case study aims to (a) explore the ways conflict communication and communicative stress are experienced and endure in nursing and (b) understand how nurses discursively (mis)manage conflict and stress. Open-ended survey comments from nurses (N = 135) employed at a large teaching and research hospital were qualitatively analyzed. Weick's model of organizing, specifically his notion of communication cycles, emerged as a conceptual lens helpful for understanding cyclical conflict and stress. Results show that exclusionary communication, specifically nonparticipatory and unsupportive messages, contribute to nurse conflict and stress. Nurses tend to (mis)manage conflict and stress using respectful and disrespectful discourse. These communication patterns can facilitate or prohibit positive change. Metaphorically, nurse communicative conflict and stress can be depicted as fire. Relationships can go up in flames due to out-of-control fires in the form of destructive conflict. However, conflict and stress, like fire, can be harnessed for positive ends such as organizational decision making and innovation. Findings suggest conveying respect may help nurses manage and even avoid flames of conflict and stress. Solutions are offered to mitigate the effects of conflict and stress while developing respectful organizational cultures. PMID:26606058

  13. Evidential multinomial logistic regression for multiclass classifier calibration

    OpenAIRE

    Xu, Philippe; Davoine, Franck; Denoeux, Thierry

    2015-01-01

    The calibration of classifiers is an important task in information fusion. To compare or combine the outputs of several classifiers, they need to be represented in a common space. Probabilistic calibration methods transform the output of a classifier into a posterior probability distribution. In this paper, we introduce an evidential calibration method for multiclass classification problems. Our approach uses an extension of multinomial logistic regression to the theory of belief functions. W...

  14. Taxonomy grounded aggregation of classifiers with different label sets

    OpenAIRE

    SAHA, AMRITA; Indurthi, Sathish; Godbole, Shantanu; Rongali, Subendhu; Raykar, Vikas C.

    2015-01-01

    We describe the problem of aggregating the label predictions of diverse classifiers using a class taxonomy. Such a taxonomy may not have been available or referenced when the individual classifiers were designed and trained, yet mapping the output labels into the taxonomy is desirable to integrate the effort spent in training the constituent classifiers. A hierarchical taxonomy representing some domain knowledge may be different from, but partially mappable to, the label sets of the individua...

  15. Investigating The Fusion of Classifiers Designed Under Different Bayes Errors

    Directory of Open Access Journals (Sweden)

    Fuad M. Alkoot

    2004-12-01

    Full Text Available We investigate a number of parameters commonly affecting the design of a multiple classifier system in order to find when fusing is most beneficial. We extend our previous investigation to the case where unequal classifiers are combined. Results indicate that Sum is not affected by this parameter, however, Vote degrades when a weaker classifier is introduced in the combining system. This is more obvious when estimation error with uniform distribution exists.

  16. The SVM Classifier Based on the Modified Particle Swarm Optimization

    OpenAIRE

    Liliya Demidova; Evgeny Nikulchev; Yulia Sokolova

    2016-01-01

    The problem of development of the SVM classifier based on the modified particle swarm optimization has been considered. This algorithm carries out the simultaneous search of the kernel function type, values of the kernel function parameters and value of the regularization parameter for the SVM classifier. Such SVM classifier provides the high quality of data classification. The idea of particles' {\\guillemotleft}regeneration{\\guillemotright} is put on the basis of the modified particle swarm ...

  17. The analysis of cross-classified categorical data

    CERN Document Server

    Fienberg, Stephen E

    2007-01-01

    A variety of biological and social science data come in the form of cross-classified tables of counts, commonly referred to as contingency tables. Until recent years the statistical and computational techniques available for the analysis of cross-classified data were quite limited. This book presents some of the recent work on the statistical analysis of cross-classified data using longlinear models, especially in the multidimensional situation.

  18. Near-Optimal Evasion of Convex-Inducing Classifiers

    CERN Document Server

    Nelson, Blaine; Huang, Ling; Joseph, Anthony D; Lau, Shing-hon; Lee, Steven J; Rao, Satish; Tran, Anthony; Tygar, J D

    2010-01-01

    Classifiers are often used to detect miscreant activities. We study how an adversary can efficiently query a classifier to elicit information that allows the adversary to evade detection at near-minimal cost. We generalize results of Lowd and Meek (2005) to convex-inducing classifiers. We present algorithms that construct undetected instances of near-minimal cost using only polynomially many queries in the dimension of the space and without reverse engineering the decision boundary.

  19. Transition of Experienced and New Graduate Nurses to a Pediatric Hospital.

    Science.gov (United States)

    Klingbeil, Carol; Schiffman, Rachel F; Ziebert, Carolyn; Totka, Joan P; Schmitt, Catherine A; Doyle, Lynn; Stelter, Ashley; Stonek, Alice V; Ke, Weiming; Johnson, Norah

    2016-01-01

    This study reports on the 3-, 6-, 12-, and 18-month outcomes of 118 newly hired registered nurses (RNs) who completed a 12-month transition-to-practice program at a pediatric hospital. Experienced RNs (n = 42) and new graduate RNs (n = 76) showed improved organization, prioritization, communication, and leadership skills over time. The experienced RNs reported better communication and leadership skills than the new graduate nurses. Results inform transition program development for both new and experienced nurses. PMID:27434319

  20. Implementation of a nursing home quality improvement project to reduce resident pain: a qualitative case study.

    Science.gov (United States)

    Abrahamson, Kathleen; DeCrane, Susan; Mueller, Christine; Davila, Heather Wood; Arling, Greg

    2015-01-01

    This article describes the experiences of staff members working within nursing homes that successfully implemented a quality improvement project aimed at reducing resident pain. Interviews were conducted with 24 nursing home employees from within 8 facilities participating in the quality improvement project. Findings were organized using the Consolidated Framework for Implementation Research. Interdisciplinary communication, supportive leadership, training, and nursing assistant participation facilitated implementation. Increased documentation, resistance to change, and difficulty measuring outcomes were perceived challenges. PMID:25407787

  1. NURSING PROCESS: A PROPOSAL OF TEACHING THROUGH THE PROBLEM-BASED LEARNING.

    OpenAIRE

    Adélia Yaeko Kiosen Nakatani

    2002-01-01

    The way that teaching has been organized at the schools can represent na obstacle for the acquisition of theabilities to think, to reflect and to make decisions, influencing the coping with practical problems during the NursingProcess. The goal of the present study is to analyze the implementation of a proposal of teaching Nursing Processthrough the Problematical method, particularly through the Arch Method. This is an action-research project,developed at the Nursing School of the Federal Uni...

  2. The Evolution of Definitions for Nursing Informatics: A Critical Analysis and Revised Definition

    OpenAIRE

    Staggers, Nancy; Thompson, Cheryl Bagley

    2002-01-01

    Despite the fact that nursing informatics is entering its third decade as a specialty within nursing, many definitions still exist to describe the field. This paper offers a rationale for a definition for nursing informatics and a critical analysis of past definitions. An organizing framework of technology-oriented, conceptual, and role-oriented definitions is used to critique these definitions. Subsequently, a revised definition is proposed. This evolutionary definition integrates critical c...

  3. Findings From a Nursing Care Audit Based on the Nursing Process: A Descriptive Study

    OpenAIRE

    Poortaghi; Salsali; Ebadi; Rahnavard; Maleki

    2015-01-01

    Background Although using the nursing process improves nursing care quality, few studies have evaluated nursing performance in accordance with nursing process steps either nationally or internationally. Objectives This study aimed to audit nursing care based on a nursing process model. Patients and Methods This was a cross-sectional descriptive study in which a nursing audit checkl...

  4. Doação e transplante de órgãos: produção científica da enfermagem brasileira Donación y transplante de órganos: producción científica de la enfermería brasileña Organ donation and transplantation: Brazilian nursing publications

    Directory of Open Access Journals (Sweden)

    Emilia Aparecida Cicolo

    2010-04-01

    Full Text Available Estudo bibliográfico cujos objetivos foram identificar e caracterizar as produções científicas de enfermagem em doação e transplante de órgãos, no período de 1997 a 2007. Realizou-se busca das publicações nacionais nas bases de dados LILACS, MEDLINE, BDENF, PERIENF E DEDALUS, com as palavras-chave: "enfermagem e transplante" e "enfermagem e doação". Os 30 artigos encontrados foram analisados sob diversos aspectos, obtendo-se como resultados principais: a maioria originou-se do Sudeste, teve abordagem qualitativa, foi da autoria de enfermeiros assistenciais e abordou o tema transplante, especialmente renal e hepático. Conclui-se que se faz necessário um maior número de estudos científicos, desenvolvidos pela enfermagem de todo o país, sobre os diversos aspectos da doação e transplante de órgãos.Estudio bibliográfico cuyos objetivos fueron identificar y caracterizar las producciones científicas de enfermería sobre donación y trasplante de órganos, en el período de 1997 a 2007. Se buscaron publicaciones en las bases de datos LILACS, MEDLINE, BDENF, PERIENF Y DEDALUS, con las palabras clave: "enfermería y trasplante" y "enfermería y donación", identificándose 30 artículos. Los resultados encontrados mostraron que los trabajos se originaron principalmente en el Sudeste, el enfoque cualitativo fue el más utilizado, los enfermeros fueron los autores principales y los temas utilizados con más frecuencia fueron el trasplante renal y el hepático. Se concluye que es necesario más publicaciones de enfermería brasileña sobre donación y trasplante de órganos.The objectives of this bibliographic study were to identify and to characterize nursing scientific productions of organ donation and transplantation since 1997 to 2007. The LILACS, MEDLINE, BDENF, PERIENF AND DEDALUS databases were searched using the following keywords: "nursing and transplantation" and "nursing and donation", identifying 30 articles. The results

  5. Development of quality standards in inflammatory bowel disease management and design of an evaluation tool of nursing care

    Directory of Open Access Journals (Sweden)

    Antonio Torrejón

    2013-06-01

    Full Text Available Background and aims: nursing management of inflammatory bowel disease (IBD is highly relevant for patient care and outcomes. However, there is evidence of substantial variability in clinical practices. The objectives of this study were to develop standards of healthcare quality for nursing management of IBD and elaborate the evaluation tool "Nursing Care Quality in IBD Assessment" (NCQ-IBD based on these standards. Methods: a 178-item healthcare quality questionnaire was developed based on a systematic review of IBD nursing management literature. The questionnaire was used to perform two 2-round Delphi studies: Delphi A included 27 IBD healthcare professionals and Delphi B involved 12 patients. The NCQ-IBD was developed from the list of items resulting from both Delphi studies combined with the Scientific Committee's expert opinion. Results: the final NCQ-IBD consists of 90 items, organized in 13 sections measuring the following aspects of nursing management of IBD: infrastructure, services, human resources, type of organization, nursing responsibilities, nurse-provided information to the patient, nurses training, annual audits of nursing activities, and nursing research in IBD. Using the NCQ-IBD to evaluate these components allows the rating of healthcare quality for nursing management of IBD into 4 categories: A (highest quality through D (lowest quality. Conclusions: the use of the NCQ-IBD tool to evaluate nursing management quality of IBD identifies areas in need of improvement and thus contribute to an enhancement of care quality and reduction in clinical practice variations.

  6. Providing Information About Nursing Studies and Nursing as a Profession

    OpenAIRE

    Sushchenko, Nadezda; Irzikeviciute, Aiste

    2016-01-01

    The aim of this thesis is to provide knowledge about nursing studies and nursing as a profession to potential applicants to nursing degree programme. This is achieved by providing sufficient and correct information, which will later be used to create a video. The video could be viewed on Metropolia University of Applied Sciences webpage by potential applicants interested in applying to the nursing degree programme. Video production is part of the innovation project. The idea for this ...

  7. Reality of cooperation of a stoma nurse with shift nurses.

    OpenAIRE

    KRATOCHVÍLOVÁ, Markéta

    2010-01-01

    Abstract Reality of cooperation of a stoma nurse with shift nurses Pernicious diseases of intestines and rectum often lead to creation of a temporary or permanent intestinal outlet alias stoma. Having been diagnosed, the patient is confided to the care of healthcare workers, in particular nurses, who endeavour to provide the patient with the highest possible quality care in the most intensive manner. At present, almost every hospital has a specially trained stoma nurse who should play the rol...

  8. Swedish ambulance nurses' experiences of nursing patients suffering cardiac arrest.

    Science.gov (United States)

    Larsson, Ricard; Engström, Åsa

    2013-04-01

    Effective pre-hospital treatment of a person suffering cardiac arrest is a challenging task for the ambulance nurses. The aim of this study was to describe ambulance nurses' experiences of nursing patients suffering cardiac arrest. Qualitative personal interviews were conducted during 2011 in Sweden with seven ambulance nurses with experience of nursing patients suffering cardiac arrests. The interview texts were analyzed using qualitative thematic content analysis, which resulted in the formulation of one theme with six categories. Mutual preparation, regular training and education were important factors in the nursing of patients suffering cardiac arrest. Ambulance nurses are placed in ethically demanding situations regarding if and for how long they should continue cardio-pulmonary resuscitation (CPR) to accord with pre-hospital cardiac guidelines and patients' wishes. When a cardiac arrest patient is nursed their relatives also need the attention of ambulance nurses. Reflection is one way for ambulance nurses to learn from, and talk about, their experiences. This study provides knowledge of ambulance nurses' experiences in the care of people with cardiac arrest. Better feedback about the care given by the ambulance nurses, and about the diagnosis and nursing care the patients received after they were admitted to the hospital are suggested as improvements that would allow ambulance nurses to learn more from their experience. Further development and research concerning the technical equipment might improve the situation for both the ambulance nurses and the patients. Ambulance nurses need regularly training and education to be prepared for saving people's lives and also to be able to make the right decisions. PMID:23577977

  9. It takes chutzpah: oncology nurse leaders.

    Science.gov (United States)

    Green, E

    1999-01-01

    Chutzpah, according to the Oxford Dictionary of Current English (1996) is a slang term from the Yiddish language which means shameless audacity. Chutzpah has been used to identify people with courage who take on situations that others avoid and somehow achieve the impossible. Tim Porter-O'Grady (1997) recently wrote that management is dead, and has been replaced by process leadership. Health care organizations have made shifts from hierarchical structures to process or program models where people have dual/multiple reporting/communication relationship. In this new orientation, management functions of controlling, directing, organizing and disciplining are replaced by process leadership functions of coordinating, facilitating, linking and sustaining (Porter O'Grady, 1997). Herein lies the challenge for oncology nurse leaders: "what lies behind us and what lies before us are tiny matters compared to what lies within us" (Ralph Waldo Emerson). Leadership is not a function of job title. The evidence for this is clear in current practice.... There are no/few positions of nurse leaders. Titles have changed to eliminate the professional discipline, and reflect a non-descript orientation. The new titles are process leaders, program leaders, professional practice leaders. Nurse leaders need new points of reference to take in the challenges of influencing, facilitating and linking. Those points of reference are: principle-centered leadership, integrity and chutzpah. This presentation will focus on examining current thinking, defining key characteristics and attributes, and using scenarios to illustrate the impact of leadership. We, as leaders in oncology nursing, must use chutzpah to make positive change and long-term gains for patient care and the profession of nursing. PMID:10232143

  10. 6 CFR 7.23 - Emergency release of classified information.

    Science.gov (United States)

    2010-01-01

    ... Classified Information Non-disclosure Form. In emergency situations requiring immediate verbal release of... information through approved communication channels by the most secure and expeditious method possible, or...

  11. Unsupervised Supervised Learning II: Training Margin Based Classifiers without Labels

    CERN Document Server

    Donmez, Pinar; Lebanon, Guy

    2010-01-01

    Many popular linear classifiers, such as logistic regression, boosting, or SVM, are trained by optimizing a margin-based risk function. Traditionally, these risk functions are computed based on a labeled dataset. We develop a novel technique for estimating such risks using only unlabeled data and p(y). We prove that the technique is consistent for high-dimensional linear classifiers and demonstrate it on synthetic and real-world data. In particular, we show how the estimate is used for evaluating classifiers in transfer learning, and for training classifiers with no labeled data whatsoever.

  12. Construction of unsupervised sentiment classifier on idioms resources

    Institute of Scientific and Technical Information of China (English)

    谢松县; 王挺

    2014-01-01

    Sentiment analysis is the computational study of how opinions, attitudes, emotions, and perspectives are expressed in language, and has been the important task of natural language processing. Sentiment analysis is highly valuable for both research and practical applications. The focuses were put on the difficulties in the construction of sentiment classifiers which normally need tremendous labeled domain training data, and a novel unsupervised framework was proposed to make use of the Chinese idiom resources to develop a general sentiment classifier. Furthermore, the domain adaption of general sentiment classifier was improved by taking the general classifier as the base of a self-training procedure to get a domain self-training sentiment classifier. To validate the effect of the unsupervised framework, several experiments were carried out on publicly available Chinese online reviews dataset. The experiments show that the proposed framework is effective and achieves encouraging results. Specifically, the general classifier outperforms two baselines (a Naïve 50% baseline and a cross-domain classifier), and the bootstrapping self-training classifier approximates the upper bound domain-specific classifier with the lowest accuracy of 81.5%, but the performance is more stable and the framework needs no labeled training dataset.

  13. Facial expression recognition with facial parts based sparse representation classifier

    Science.gov (United States)

    Zhi, Ruicong; Ruan, Qiuqi

    2009-10-01

    Facial expressions play important role in human communication. The understanding of facial expression is a basic requirement in the development of next generation human computer interaction systems. Researches show that the intrinsic facial features always hide in low dimensional facial subspaces. This paper presents facial parts based facial expression recognition system with sparse representation classifier. Sparse representation classifier exploits sparse representation to select face features and classify facial expressions. The sparse solution is obtained by solving l1 -norm minimization problem with constraint of linear combination equation. Experimental results show that sparse representation is efficient for facial expression recognition and sparse representation classifier obtain much higher recognition accuracies than other compared methods.

  14. Using Classifiers to Identify Binge Drinkers Based on Drinking Motives.

    Science.gov (United States)

    Crutzen, Rik; Giabbanelli, Philippe

    2013-08-21

    A representative sample of 2,844 Dutch adult drinkers completed a questionnaire on drinking motives and drinking behavior in January 2011. Results were classified using regressions, decision trees, and support vector machines (SVMs). Using SVMs, the mean absolute error was minimal, whereas performance on identifying binge drinkers was high. Moreover, when comparing the structure of classifiers, there were differences in which drinking motives contribute to the performance of classifiers. Thus, classifiers are worthwhile to be used in research regarding (addictive) behaviors, because they contribute to explaining behavior and they can give different insights from more traditional data analytical approaches. PMID:23964957

  15. Acute childhood leukemia: Nursing care

    International Nuclear Information System (INIS)

    Modern therapy for childhood acute leukemia has provided a dramatically improved prognosis over that of just 30 years ago. In the early 1960's survival rates for acute lymphocytic leukemia (ALL) and acute myelogenous leukemia (AML) were 4% and 3%, respectively. By the 1980's survival rates had risen to 72% for all and 25% to 40% for AML. Today, a diagnosis of all carries an 80% survival rate and as high as a 90% survival rate for some low-risk subtypes. Such high cure rates depend on intense and complex, multimodal therapeutic protocols. Therefore, nursing care of the child with acute leukemia must meet the demands of complicated medical therapies and balance those with the needs of a sick child and their concerned family. An understanding of disease process and principles of medical management guide appropriate and effective nursing interventions. Leukemia is a malignant disorder of the blood and blood- forming organs (bone marrow, lymph nodes and spleen). Most believe that acute leukemia results from a malignant transformation of a single early haematopoietic stem cell that is capable of indefinite self-renewal. These immature cells of blasts do not respond to normal physiologic stimuli for differentiation and gradually become the predominant cell in the bone marrow

  16. Cost of nursing turnover in a Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Paula Buck de Oliveira Ruiz

    2016-02-01

    Full Text Available Abstract OBJECTIVE To map the sub processes related to turnover of nursing staff and to investigate and measure the nursing turnover cost. METHOD This is a descriptive-exploratory study, classified as case study, conducted in a teaching hospital in the southeastern, Brazil, in the period from May to November 2013. The population was composed by the nursing staff, using Nursing Turnover Cost Calculation Methodology. RESULTS The total cost of turnover was R$314.605,62, and ranged from R$2.221,42 to R$3.073,23 per employee. The costs of pre-hire totaled R$101.004,60 (32,1%, and the hiring process consumed R$92.743,60 (91.8% The costs of post-hire totaled R$213.601,02 (67,9%, for the sub process decreased productivity, R$199.982,40 (93.6%. CONCLUSION The study identified the importance of managing the cost of staff turnover and the financial impact of the cost of the employee termination, which represented three times the average salary of the nursing staff.

  17. Cost of nursing turnover in a Teaching Hospital.

    Science.gov (United States)

    Ruiz, Paula Buck de Oliveira; Perroca, Marcia Galan; Jericó, Marli de Carvalho

    2016-02-01

    OBJECTIVE To map the sub processes related to turnover of nursing staff and to investigate and measure the nursing turnover cost. METHOD This is a descriptive-exploratory study, classified as case study, conducted in a teaching hospital in the southeastern, Brazil, in the period from May to November 2013. The population was composed by the nursing staff, using Nursing Turnover Cost Calculation Methodology. RESULTS The total cost of turnover was R$314.605,62, and ranged from R$2.221,42 to R$3.073,23 per employee. The costs of pre-hire totaled R$101.004,60 (32,1%), and the hiring process consumed R$92.743,60 (91.8%) The costs of post-hire totaled R$213.601,02 (67,9%), for the sub process decreased productivity, R$199.982,40 (93.6%). CONCLUSION The study identified the importance of managing the cost of staff turnover and the financial impact of the cost of the employee termination, which represented three times the average salary of the nursing staff. PMID:27007427

  18. The Impact of Organizational Factors on Nurses Turnover Intention Behavior at Public Hospitals in Jordan: How Does Leadership, Career Advancement and Pay-Level Influence the Turnover Intention Behavior among Nurses

    OpenAIRE

    Mohammad Alhamwan; Norazuwa Bt Mat; Imad Al Muala

    2015-01-01

    Background: Turnover intention has the possibility to have destructive effects on the life of nurses, healthcare organizations and societies in general. It is considered as one of the major problems that many organizations face, because higher costs and losses could happen because of turnover intention. All over the world, nurses shortage in increase. Organizational factors such as leadership, advancement opportunities, and pay level are among the most connected to the nurses turnover intenti...

  19. Authentication of Nursing 2: Reflective Processes in Nursing

    DEFF Research Database (Denmark)

    Larsen, Kristian; Cox, Helen

    This material has been reproduced and communicated on behalf of Deakin University pursuant to Part VB of the Copyright Act 1968. It is studymaterials produced for HNN706, Authentication of Nursing 2: Reflective Processes in Nursing, which is one of the units offered by the School of Nursing...

  20. Chief Nursing Officers: the past, present and future of nursing.

    Science.gov (United States)

    Cummings, Jane; McArdle, Charlotte; McQueen, Fiona; White, Jean

    2016-05-12

    In celebration of International Nurses Day, Jane Cummings, Charlotte McArdle, Fiona McQueen and Jean White, Chief Nursing Officers (CNOs) for England, Northern Ireland, Scotland and Wales, reflect on the state of nursing in their respective countries, and what the future might hold for this rapidly evolving profession. PMID:27172492