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


    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. Nursing Professional Organizations

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    Cristina Catallo


    Full Text Available Nurses have great potential to contribute to the development of health policy through political action. We undertook a systematic website review of international- and national-level professional nursing organizations to determine how they engaged registered nurses in health policy activities, including policy priority setting, policy goals and objectives, policy products, and mechanisms for engaging nurses in policy issues. We reviewed 38 organizations for eligibility and 15 organization websites met our inclusion criteria. Six professional nursing organizations had comprehensive websites with a discussion of specific policy goals and objectives, policy-related products and mechanisms for nurses to become engaged. Future research is needed to evaluate how nursing professional organizations establish policy priorities and to evaluate the effectiveness of the strategies used to politically engage nurses.

  3. Marketing in nursing organizations. (United States)

    Chambers, S B


    The purpose of chapter 3 is to provide a conceptual framework for understanding marketing. Although it is often considered to be, marketing is not really a new activity for nursing organizations. What is perhaps new to most nursing organizations is the conduct of marketing activities as a series of interrelated events that are part of a strategic marketing process. The increasingly volatile nursing environment requires a comprehensive approach to marketing. This chapter presents definitions of marketing, the marketing mix, the characteristics of nonprofit marketing, the relationship of strategic planning and strategic marketing, portfolio analysis, and a detailed description of the strategic marketing process. While this chapter focuses on marketing concepts, essential components, and presentation of the strategic marketing process, chapter 4 presents specific methods and techniques for implementing the strategic marketing process.

  4. Tobacco control policies of oncology nursing organizations. (United States)

    Sarna, Linda; Bialous, Stella Aguinaga


    Nurses, the largest group of health care professionals, and the policies of nursing organizations, have tremendous potential to promote health and tobacco control. Policies addressing tobacco use have been implemented by a variety of national and international nursing organizations. This article reviews existing tobacco control policies in oncology nursing organizations.

  5. Self-organizing map classifier for stressed speech recognition (United States)

    Partila, Pavol; Tovarek, Jaromir; Voznak, Miroslav


    This paper presents a method for detecting speech under stress using Self-Organizing Maps. Most people who are exposed to stressful situations can not adequately respond to stimuli. Army, police, and fire department occupy the largest part of the environment that are typical of an increased number of stressful situations. The role of men in action is controlled by the control center. Control commands should be adapted to the psychological state of a man in action. It is known that the psychological changes of the human body are also reflected physiologically, which consequently means the stress effected speech. Therefore, it is clear that the speech stress recognizing system is required in the security forces. One of the possible classifiers, which are popular for its flexibility, is a self-organizing map. It is one type of the artificial neural networks. Flexibility means independence classifier on the character of the input data. This feature is suitable for speech processing. Human Stress can be seen as a kind of emotional state. Mel-frequency cepstral coefficients, LPC coefficients, and prosody features were selected for input data. These coefficients were selected for their sensitivity to emotional changes. The calculation of the parameters was performed on speech recordings, which can be divided into two classes, namely the stress state recordings and normal state recordings. The benefit of the experiment is a method using SOM classifier for stress speech detection. Results showed the advantage of this method, which is input data flexibility.

  6. Classifying clinical decision making: interpreting nursing intuition, heuristics and medical diagnosis. (United States)

    Buckingham, C D; Adams, A


    This is the second of two linked papers exploring decision making in nursing. The first paper, 'Classifying clinical decision making: a unifying approach' investigated difficulties with applying a range of decision-making theories to nursing practice. This is due to the diversity of terminology and theoretical concepts used, which militate against nurses being able to compare the outcomes of decisions analysed within different frameworks. It is therefore problematic for nurses to assess how good their decisions are, and where improvements can be made. However, despite the range of nomenclature, it was argued that there are underlying similarities between all theories of decision processes and that these should be exposed through integration within a single explanatory framework. A proposed solution was to use a general model of psychological classification to clarify and compare terms, concepts and processes identified across the different theories. The unifying framework of classification was described and this paper operationalizes it to demonstrate how different approaches to clinical decision making can be re-interpreted as classification behaviour. Particular attention is focused on classification in nursing, and on re-evaluating heuristic reasoning, which has been particularly prone to theoretical and terminological confusion. Demonstrating similarities in how different disciplines make decisions should promote improved multidisciplinary collaboration and a weakening of clinical elitism, thereby enhancing organizational effectiveness in health care and nurses' professional status. This is particularly important as nurses' roles continue to expand to embrace elements of managerial, medical and therapeutic work. Analysing nurses' decisions as classification behaviour will also enhance clinical effectiveness, and assist in making nurses' expertise more visible. In addition, the classification framework explodes the myth that intuition, traditionally associated

  7. Knowledge management: organizing nursing care knowledge. (United States)

    Anderson, Jane A; Willson, Pamela


    Almost everything we do in nursing is based on our knowledge. In 1984, Benner (From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Menlo Park, CA: Addison-Wesley; 1984) described nursing knowledge as the culmination of practical experience and evidence from research, which over time becomes the "know-how" of clinical experience. This "know-how" knowledge asset is dynamic and initially develops in the novice critical care nurse, expands within competent and proficient nurses, and is actualized in the expert intensive care nurse. Collectively, practical "know-how" and investigational (evidence-based) knowledge culminate into the "knowledge of caring" that defines the profession of nursing. The purpose of this article is to examine the concept of knowledge management as a framework for identifying, organizing, analyzing, and translating nursing knowledge into daily practice. Knowledge management is described in a model case and implemented in a nursing research project.

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

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    Li, Jingpeng


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

  9. Factors affecting membership in specialty nursing organizations. (United States)

    White, Mary Joe; Olson, Rhonda S


    A discouraging trend in many specialty nursing organizations is the stagnant or declining membership. The research committee of the Southeast Texas Chapter of the Association of Rehabilitation Nurses (ARN) collected data and studied this trend to determine what changes would be necessary to increase membership. Using Herzberg's motivational theory as a framework, a review of the literature was initiated. There were few current studies on this issue, but relevant information was found about nursing's emerging workforce, as well as implications of the growth of magnet hospitals, which affect whether nurses join specialty nursing organizations. A multifaceted data-collection approach using convenience samples was designed. First, relevant literature was reviewed. Second, a survey was sent by e-mail to other ARN chapters. Third, a telephone survey on other specialty organizations in the geographic region was completed. Finally, members of the local ARN chapter and four other specialty organizations, as well staff nurses in the geographic area, were given questionnaires to complete. Descriptive statistics and cross tabulations were used to determine why nurses do and do not join specialty organizations (N = 81). The most frequent reasons for joining an organization were to increase knowledge, benefit professionally, network, and earn continuing education units. Reasons for choosing not to participate were family responsibilities, lack of information about these organizations, and lack of time. Ways to reverse the decline in membership are discussed.

  10. Nursing organizations face the future: will they thrive? (United States)

    Corcoran, R


    As nursing organizations look forward to the new century, it's important that they ensure their survival in the future by determining which actions they must take in the present to maintain their relevance in a rapidly changing world. This article describes today's nursing organization, contemplates the nursing organization of the future, and discusses the importance of nursing associations in organizational planning and community activism.

  11. Organization and financing of home nursing in the European Union.

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    Kerkstra, A.; Hutten, J.B.F.


    The aim of this study was to provide an overview of the organization and financing of home nursing in the 15 member states in the European Union. Home nursing was defined as the nursing care provided at the patients' home by professional home nursing organizations. Data were gathered by means of thr

  12. [Chilean's nursing knowledge organization and their tendencies]. (United States)

    Parra, Sara Mendoza; Klijin, Tatiana Paravic


    A Quantitative, descriptive and retrospective research that explored the Chilean Nursing knowledge organization an their tendencies. The universe was composed by scientists reports published in the Chilean nursing journals between 1965 and 2003 (N=214). Data were collected by an instrument based on the CIPE's and Nogueira's classification and cienciometría indications. Statistics measures of central tendency analysis was managed with SPSS. Some of the results obtained were: the more frequent study subject's was the professional nursing and the tendency is to be focused at the mature people's health necessities and their risk of being ill. It was found: little theoretical nursing sustenance at the reports. The "Ciencia y Enfermería" is the journal that exhibits the best scientific quality of alls.

  13. Role of professional organizations in advocating for the nursing profession. (United States)

    Matthews, Jennifer H


    Professional organizations and associations in nursing are critical for generating the energy, flow of ideas, and proactive work needed to maintain a healthy profession that advocates for the needs of its clients and nurses, and the trust of society. In this article the author discusses the characteristics of a profession, reviews the history of professional nursing organizations, and describes the advocacy activities of professional nursing organizations. Throughout, she explains how the three foundational documents of the nursing profession emphasize nursing advocacy by the professional organizations as outlined in the American Nurses Association Code of Ethics for Nurses With Interpretive Statements. The author concludes by encouraging all nurses to engage in their professional organizations and associations, noting how these organizations contribute to the accountability and voice of the profession to society.

  14. Hartford Gerontological Nursing Leaders: From Funding Initiative to National Organization. (United States)

    Van Cleave, Janet H; Szanton, Sarah L; Shillam, Casey; Rose, Karen; Rao, Aditi D; Perez, Adriana; O'Connor, Melissa; Walker, Rachel; Buron, Bill; Boltz, Marie; Bellot, Jennifer; Batchelor-Murphy, Melissa


    In 2000, the John A. Hartford Foundation established the Building Academic Geriatric Nursing Capacity Program initiative, acknowledging nursing's key role in the care of the growing population of older adults. This program has supported 249 nurse scientists with pre- and postdoctoral awards. As a result of the program's success, several Building Academic Geriatric Nursing Capacity Program awardees formed an alumni organization to continue to advance the quality care of older adults. This group of Building Academic Geriatric Nursing Capacity Program awardees joined others receiving support from the John A. Hartford Foundation nursing initiatives to grow a formal organization, the Hartford Gerontological Nursing Leaders (HGNL). The purpose of this article is to present the development, accomplishments, and challenges of the HGNL, informing other professional nursing organizations that are experiencing similar accomplishments and challenges. This article also demonstrates the power of a funding initiative to grow an organization dedicated to impact gerontological health and health care through research, practice, education, and policy.

  15. Indian ICU nurses' perceptions of and attitudes towards organ donation. (United States)

    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; pdonation. 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.

  16. Does international family nursing need a professional organization? (United States)

    Curry, Donna Miles


    An International Family Nursing Conference has been held on a periodic basis since the 1980s. It started with several nursing professionals with a common interest: wanting to meet to share research and practice ideas. The organization of these conferences has been completely voluntary and sponsored by some very benevolent individuals and an institution of higher education. The fact that any of these conferences came off is attributed to considerable personal financial support and an untold number of volunteer hours. A group met in 2005 at the 7th International Family Nursing Conference in Victoria, British Columbia, Canada, to discuss whether there was any interest in forming a professional organization for family nursing. This article explores the cost/ benefits of such an endeavor. Input from other small newly created professional nursing organizations is shared. Conclusions provide summative questions related to development of a formal international professional nursing organization that family nurses must address.

  17. Israeli breast care nurses as a learning organization

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    Ilana Kadmon


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

  18. The contribution of organization theory to nursing health services research. (United States)

    Mick, Stephen S; Mark, Barbara A


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

  19. Codependency in nurses. How it affects your organization. (United States)

    Wise, B; Ferreiro, B


    Codependence in a staff nurse affects both direct patient care and relationships with coworkers, physicians, and supervisors. Codependent behaviors negatively impact the nurse's sphere of influence. The nurse manager's codependency has the same impact, but the sphere of influence is larger and thus, the potential for harm is greater. Codependent behaviors enacted at different levels of an organization can disrupt an entire institution or profession. The author describes how nurses' practices are affected by codependent behaviors and identifies ways in which those behaviors can be modified by good management.

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

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    Vlaisavljević Željko


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

  1. Technology and structure of nursing organizations. (United States)

    Alexander, J W; Mark, B


    Theory building and theory application in nursing administration enable the nurse executive to work more effectively at the managerial task. Alexander and Mark apply a model that allows for comparison and contrast between various nursing units based on the nature of their work as assessed on the variables of technology and structure. In this model, technology is assessed on three dimensions: instability, variability, and uncertainty; and structure is assessed as to vertical participation, horizontal participation, and formalization. Cases studies clarify the model and show its application.

  2. The role of professional nursing organizations in maintaining a healthy workplace. (United States)

    Weber, Barbara B


    This article discusses how professional nursing organizations contribute to the goal of a healthy nursing practice environment through offering continuing education, developing practice standards, and promoting nursing competence through certifications.

  3. Classifying Microorganisms

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    Sommerlund, Julie


    This paper describes the coexistence of two systems for classifying organisms and species: a dominant genetic system and an older naturalist system. The former classifies species and traces their evolution on the basis of genetic characteristics, while the latter employs physiological characteris......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...... and integration possible, the field of molecular biology seems to be overwhelmingly homogeneous, and in need of heterogeneity and conflict to add drive and momentum to the work being carried out. The paper is based on observations of daily life in a molecular microbiology laboratory at the Technical University...

  4. Regulated wet nursing: managed care or organized crime? (United States)

    Obladen, Michael


    Wet nursing was widely practiced from antiquity. For the wealthy, it was a way to overcome the burdens of breastfeeding and increase the number of offspring. For the poor, it was an organized industry ensuring regular payment, and in some parishes the major source of income. The abuse of wet nursing, especially the taking in of several nurslings, prompted legislation which became the basis of public health laws in the second half of the 19th century. The qualifications demanded from a mercenary nurse codified by Soran in the 2nd century CE remained unchanged for 1,700 years. When artificial feeding lost its threat thanks to sewage disposal, improved plumbing, the introduction of rubber teats, cooling facilities and commercial formula, wet nursing declined towards the end of the 19th century.

  5. Classifying content-based Images using Self Organizing Map Neural Networks Based on Nonlinear Features

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    Ebrahim Parcham


    Full Text Available Classifying similar images is one of the most interesting and essential image processing operations. Presented methods have some disadvantages like: low accuracy in analysis step and low speed in feature extraction process. In this paper, a new method for image classification is proposed in which similarity weight is revised by means of information in related and unrelated images. Based on researchers’ idea, most of real world similarity measurement systems are nonlinear. Thus, traditional linear methods are not capable of recognizing nonlinear relationship and correlation in such systems. Undoubtedly, Self Organizing Map neural networks are strongest networks for data mining and nonlinear analysis of sophisticated spaces purposes. In our proposed method, we obtain images with the most similarity measure by extracting features of our target image and comparing them with the features of other images. We took advantage of NLPCA algorithm for feature extraction which is a nonlinear algorithm that has the ability to recognize the smallest variations even in noisy images. Finally, we compare the run time and efficiency of our proposed method with previous proposed methods.

  6. Poisons, toxungens, and venoms: redefining and classifying toxic biological secretions and the organisms that employ them. (United States)

    Nelsen, David R; Nisani, Zia; Cooper, Allen M; Fox, Gerad A; Gren, Eric C K; Corbit, Aaron G; Hayes, William K


    Despite extensive study of poisonous and venomous organisms and the toxins they produce, a review of the literature reveals inconsistency and ambiguity in the definitions of 'poison' and 'venom'. These two terms are frequently conflated with one another, and with the more general term, 'toxin.' We therefore clarify distinctions among three major classes of toxins (biological, environmental, and anthropogenic or man-made), evaluate prior definitions of venom which differentiate it from poison, and propose more rigorous definitions for poison and venom based on differences in mechanism of delivery. We also introduce a new term, 'toxungen', thereby partitioning toxic biological secretions into three categories: poisons lacking a delivery mechanism, i.e. ingested, inhaled, or absorbed across the body surface; toxungens delivered to the body surface without an accompanying wound; and venoms, delivered to internal tissues via creation of a wound. We further propose a system to classify toxic organisms with respect to delivery mechanism (absent versus present), source (autogenous versus heterogenous), and storage of toxins (aglandular versus glandular). As examples, a frog that acquires toxins from its diet, stores the secretion within cutaneous glands, and transfers the secretion upon contact or ingestion would be heteroglandular-poisonous; an ant that produces its own toxins, stores the secretion in a gland, and sprays it for defence would be autoglandular-toxungenous; and an anemone that produces its own toxins within specialized cells that deliver the secretion via a penetrating wound would be autoaglandular-venomous. Adoption of our scheme should benefit our understanding of both proximate and ultimate causes in the evolution of these toxins.

  7. Worldwide overview of critical care nursing organizations and their activities. (United States)

    Williams, G; Chaboyer, W; Thornsteindóttir, R; Fulbrook, P; Shelton, C; Wojner, A; Chan, D


    While critical care has been a specialty within nursing for almost 50 years, with many countries having professional organizations representing these nurses, it is only recently that the formation of an international society has been considered. A three-phased study was planned: the aim of the first phase was to identify critical care organizations worldwide; the aim of the second was to describe the characteristics of these organizations, including their issues and activities; and the aim of the third was to plan for an international society, if international support was evident. In the first phase, contacts in 44 countries were identified using a number of strategies. In the second phase, 24 (55%) countries responded to a survey about their organizations. Common issues for critical care nurses were identified, including concerns over staffing levels, working conditions, educational programme standards and wages. Critical care nursing organizations were generally favourable towards the notion of establishing a World Federation of their respective societies. Some of the important issues that will need to be addressed in the lead up to the formation of such a federation are now being considered.

  8. Organ procurement: should we teach undergraduate medical and nursing students? (United States)

    Korjian, Serge; Daaboul, Yazan; Stephan, Antoine; Aoun Bahous, Sola


    Organ procurement and transplant improve health outcomes among patients with organ failure. Although many strategies have been developed to overcome the organ shortage, the worldwide rates of organ donation remain suboptimal. The lack of commitment to the health care mission of organ donation and the limited expertise of health care professionals reflect 2 major barriers to organ procurement and raise the need to teach organ procurement to health care professionals early during their undergraduate education. To accommodate the various available curricular models and to develop a homogeneous and equitable teaching methodology irrespective of the adopted design, an early step is to set clear goals and objectives for an organ procurement program. Outcomes should be matched to different academic levels and tailored to the duration of each medical and nursing curriculum. In all cases, hands-on experience leads to a better understanding of the topic, especially with the advent of simulation techniques that may be useful for training as well as testing purposes. An effective program finally requires that attainment of objectives and outcomes are systematically tested using proper evaluation tools that adequately pair with the curricular design. In conclusion, organ procurement teaching should adopt a systematic evidence-based approach that simultaneously contributes to medical and nursing education and improves organ donation rates.

  9. Personnel resource distribution for nursing programs in Carnegie-classified Research I and II and Doctoral I institutions. (United States)

    Gosnell, D J; Biordi, D L


    Increasingly, nursing education programs, like other major institutions in the United States, are being charged to "do more with less." How to acquire sufficient human and material resources is a continuing challenge in an era of economic constraint. Benchmark data on the distribution of personnel resources within nursing programs is nearly nonexistent. To assess the personnel resources of nursing programs of major size and stature within the United States, a Personnel Resource Survey was mailed to the universe of all nursing programs located in Carnegie-designated Doctoral I, Research II, and Research I universities and/or colleges in the United States (n = 96). The return rate was 58 per cent, with a useable survey rate of 51 per cent (n = 49). Comparative numbers and ratios of administrators, faculty, students, and various levels and types of support staff by Carnegie-type institutions are presented. Findings indicate that, overall, nursing programs in Research I universities had 1.5 to 2 times as many personnel resources per student than programs in Doctoral I and Research II institutions. Doctoral I and Research II programs closely resembled each other. The details of the data, as well as its standardization into full-time equivalents, are useful to both university and nursing administrators, faculty, and staff in their comparisons and procurement of needed resources.

  10. Competencies in nursing students for organized forms of clinical moral deliberation and decision-making


    Uil-Westerlaken, Jeanette den; Cusveller, Bart


    Bachelor-prepared nurses are expected to be competent in moral deliberation and decision-making (MDD) in clinical practice. It is unclear, however, how this competence develops in nursing students. This study explores the development of nursing students’ competence for participating in organized forms of MDD in clinical practice, with an eye to improve nursing education. A cross-sectional descriptive survey was conducted by a questionnaire among first and fourth year bachelor nursing students...

  11. American Organization of Nurse Executives Care Innovation and Transformation program: improving care and practice environments. (United States)

    Oberlies, Amanda Stefancyk


    The American Organization of Nurse Executives conducted an evaluation of the hospitals participating in the Care Innovation and Transformation (CIT) program. A total of 24 hospitals participated in the 2-year CIT program from 2012 to 2013. Reported outcomes include increased patient satisfaction, decreased falls, and reductions in nurse turnover and overtime. Nurses reported statistically significant improvements in 4 domains of the principles and elements of a healthful practice environment developed by the Nursing Organizations Alliance.

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

    Fytilis, N.; Rizzo, D. M.


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

  13. Nursing Home Medical Staff Organization and 30-Day Rehospitalizations (United States)

    Lima, Julie C.; Intrator, Orna; Karuza, Jurgis; Wetle, Terrie; Mor, Vincent; Katz, Paul


    Objectives To examine the relationship between features of nursing home (NH) medical staff organization and residents’ 30-day rehospitalizations. Design Cross-sectional study combining primary data collected from a survey of medical directors, NH resident assessment data (minimum data set), Medicare claims, and the Online Survey Certification and Reporting (OSCAR) database. Setting A total of 202 freestanding US nursing homes. Participants Medicare fee-for-service beneficiaries who were hospitalized and subsequently admitted to a study nursing home. Measurements Medical staff organization dimensions derived from the survey, NH residents’ characteristics derived from minimum data set data, hospitalizations obtained from Part A Medicare claims, and NH characteristics from the OSCAR database and from Study outcome defined within a 30-day window following an index hospitalization: rehospitalized, otherwise died, otherwise survived and not rehospitalized. Results Thirty-day rehospitalizations occurred for 3788 (20.3%) of the 18,680 initial hospitalizations. Death was observed for 884 (4.7%) of residents who were not rehospitalized. Adjusted by hospitalization, resident, and NH characteristics, nursing homes having a more formal appointment process for physicians were less likely to have 30-day rehospitalization (b = −0.43, SE = 0.17), whereas NHs in which a higher proportion of residents were cared for by a single physician were more likely to have rehospitalizations (b = 0.18, SE = 0.08). Conclusion This is the first study to show a direct relationship between features of NH medical staff organization and resident-level process of care. The relationship of a more strict appointment process and rehospitalizations might be a consequence of more formalized and dedicated medical practice with a sense of ownership and accountability. A higher volume of patients per physician does not appear to improve quality of care. PMID:22682694

  14. Despite all odds: a three-part history of the professionalization of black nurses through two professional nursing organizations, 1908-1995. (United States)

    Mosley, M O


    This is the first in a series of articles which highlight the professionalization of Black nurses through two Black nursing organizations during the twentieth century. The second and third articles will appear in forthcoming issues of the JNBNA. The first article provides background information which sets the stage by highlighting the reasons why a separate professional organization was needed. The reasons include the practice or tolerance of institutional racism by society and White professional nursing organizations, the promotion of inferior status for Black nurses by Whites, and the maintainance of exclusionary membership policies limiting Black nurses' admission to professional nursing organizations such as the NLNE and the ANA. The purpose of these articles is to document contributions of the National Association of Colored Graduate Nurses (1908-1951, the first Black professional nursing organization recognized by the ANA and other White nursing organizations) and the National Black Nurses Association (1971-present). These two organizations advance the standards of nursing and develop leadership within the ranks of Black nurses. To accomplish this series, an historical method was used to identify political, social, and nursing events relevant to the development, growth, and establishment of the two Black nursing organizations. This investigation fills a void in the historiographies of professional nursing, Black studies, and women's studies.

  15. Policy perspectives of major nursing organizations, part II. Interview by David M Keepnews. (United States)

    Thompson, Pamela; Corcoran, Ruth; Dickenson-Hazard, Nancy; Davis-Lewis, Bettye; Gorham, Millicent


    Understanding the roles of interest groups is an important element of examining policy change. There are a number of interest groups that affect the policy environment for nursing and that shape the profession's impact on health policy. This article, the second of a two-part series, presents interviews with executive directors and chief executive officers of major nursing organizations about their organizations' policy priorities and policy-related activities. Included in this article are the American Organization of Nurse Executives, the National League for Nursing, Sigma Theta Tau International, and the National Black Nurses Association.

  16. Competencies in nursing students for organized forms of clinical moral deliberation and decision-making

    NARCIS (Netherlands)

    Uil-Westerlaken, Jeanette den; Cusveller, Bart


    Bachelor-prepared nurses are expected to be competent in moral deliberation and decision-making (MDD) in clinical practice. It is unclear, however, how this competence develops in nursing students. This study explores the development of nursing students’ competence for participating in organized for

  17. How many is too many? Collaboration of multiple nursing organizations for professional development. (United States)

    Redding, Donna A; Anglin, Linda T


    Representatives of 11 nursing organizations developed a unique consortium to produce an ongoing series of annual conferences focused on promoting professional nursing leadership among nurses in diverse practice areas including acute care, long-term care, community health, and nursing education. The consortium strategically added members and refined the format of the conferences based on participant feedback. The conferences feature a keynote speaker and practice-based breakout sessions designed to facilitate futuristic thinking among nurses. The conference is associated with a legislative roundtable to support interaction between nurses and legislators. Future expansion of the consortium will include representation of advanced practice nurses. The development of the consortium and its highly efficient methods of operation are described in this article as an example of multi-organizational collaboration to promote professional nursing leadership. Bonds have been formed between the consortium member organizations that are mutually beneficial to the members of all.

  18. Policy perspectives of major nursing organizations. Interview by David M. Keepnews. (United States)

    Stierle, Linda; Bednash, Geraldine Polly; Apple, Kathy


    Understanding the roles of interest groups is an important element of examining policy change. There are a number of interest groups that affect the policy environment for nursing and that shape the profession's impact on health policy. This article is the first of a series featuring interviews with executive directors/chief executive officers of three major nursing organizations, focusing on their policy priorities and how these priorities are determined. The three organizations featured in this article are the American Nurses Association (ANA), the American Association of Colleges of Nursing (AACN) and the National Council of State Boards of Nursing (NCSBN).

  19. A competence approach to adult continuing education for identify and classifying living organisms

    Directory of Open Access Journals (Sweden)

    Julio César Rifa Téllez


    Full Text Available A competence approach to the systematic identification and classification of vegetal organisms is described in connection with the training of Biology professors for integrating citizens’ attitude to plants, with strictly professional methods. Several theoretical methods were used to construct a general framework together with the application of surveys to experts. The findings include three units of competence together with its components, essential knowledge and performance indicators; patterns of achievement were set in three levels: 1 empirical distinction of the phytodiversity; 2 characterization in the context of wise range use and 3 systematization of systematic botany contents involved in leading the educational process characterized by protagonist strategic actions in management.

  20. Scaling up the global nursing health workforce: contributions of an international organization. (United States)

    Rukholm, Ellen E; Stamler, Lynnette Leeseberg; Talbot, Lise R; Bednash, Geraldine; Raines, Fay; Potempa, Kathleen; Nugent, Pauline; Clark, Dame Jill Macleod; Bernhauser, Sue; Parfitt, Barbara


    In this paper key highlights of the scholarly work presented at the Toronto 2008 Global Alliance for Nursing Education & Scholarship (GANES) conference are summarized, challenges opportunities and issues facing nursing education globally arising from the conference discourse are outlined and initial steps are suggested as a way forward to a shared global view of baccalaureate and graduate nursing education and scholarship. This shared view arises from beginning understandings of the issues and opportunities we face globally starting with and building upon the lessons learned from the literature and from the experiences of nursing educators and nursing education organization locally, regionally, nationally and internationally. The theme of the groundbreaking GANES Toronto conference was "Educating the future nursing and health workforce: A global challenge". One hundred seventy delegates from 17 countries attended the event, with over 80 papers presented. A primary focus of GANES is the contribution of a strategic alliance of national nursing education organizations to contribute to nursing education leading practices and policy that address the scaling up of global nursing and health workforce. The founding members of GANES see a clear link between a strong educational infrastructure and strong scholarship activities in nursing and the ability of a society to be healthy and prosperous. Evidence presented at the recent GANES conference supports that belief. Through the strength of partnerships and other capacity-building efforts, member countries can support each other to address the global nursing education and health challenges while respecting the local issues.

  1. Employed to go against one's values: nurse managers' accounts of ethical conflict with their organizations. (United States)

    Gaudine, Alice P; Beaton, Marilyn R


    This qualitative descriptive study examined ethical conflict in the workplace as experienced by nurse managers. Using semi-structured interviews, 15 nurse managers employed by 7 hospitals in 1 province in eastern Canada were interviewed. Four themes of ethical conflict were identified in the data: voicelessness, "where to spend the money," the rights of the individual versus the needs of the organization, and unjust practices on the part of senior administration and/or the organization. The authors identify factors that mitigated or worsened the ethical conflict, as well as the outcomes for the nurse managers. They also discuss the implications for nurses, hospitals, and future research.

  2. Organization of Hospital Nursing, Provision of Nursing Care, and Patient Experiences with Care in Europe

    NARCIS (Netherlands)

    L. Bruyneel (Luk); B. Li (Baoyue); D. Ausserhofer (Dietmar); E.M.E.H. Lesaffre (Emmanuel); I. Dumitrescu (Irina); H.L. Smith (Herbert L.); D.M. Sloane (Douglas M.); L.H. Aiken (Linda); W. Sermeus (Walter)


    textabstractThis study integrates previously isolated findings of nursing outcomes research into an explanatory framework in which care left undone and nurse education levels are of key importance. A moderated mediation analysis of survey data from 11,549 patients and 10,733 nurses in 217 hospitals

  3. [Nursing diagnosis and interventions in a patient with multiple organ failure -- report of a case]. (United States)

    Gerelli, A M; Soares, M A; Almeida, M A


    This study tries to identify Nursing Diagnoses and Interventions. It was done with a patient who was in critical health condition: multiple organs failure, in an Intensive Care Unit of a general hospital in Porto Alegre. The Case Study was the methodology used. Nursing Diagnoses is described mostly using NANDA Taxonomy. They are: Risk for Aspiration, Disuse Syndrome, Diarrhea, Risk for Infection, Impaired Tissue Integrity; and a Collaborative Problem was identified: Hypoglicemia. We have elaborated 34 Nursing Interventions for those diagnoses.

  4. European nursing organizations stand up for family presence during cardiopulmonary resuscitation: a joint position statement. (United States)

    Moons, Philip; Norekvål, Tone M


    Empirical evidence suggests that family presence during cardiopulmonary resuscitation (CPR) has beneficial effects. Although many American professional organizations have endorsed the idea of family presence, there is less formal support in Europe. In addition, the attitude of nurses from Anglo-Saxon countries, such as United Kingdom and Ireland, is more positive toward family presence than the attitude of nurses of mainland Europe. In order to support existing guidelines and to stimulate health care organizations to develop a formal policy with respect to family witnessed CPR, 3 important European nursing organizations have recently developed a joint position statement.

  5. Use of a professional organization (Council of International Neonatal Nurses) for global networking. (United States)

    Boykova, Marina


    The article illustrates the need to belong to professional specialty organizations to foster collaborations across the globe. The Council of International Neonatal Nurses is the exemplar for this professional group. The personal journey of the author to the global community of neonatal nurses is presented.

  6. The demonstration projects: creating the capacity for nursing health human resource planning in Ontario's healthcare organizations. (United States)

    Burkoski, Vanessa; Tepper, Joshua


    Timely access to healthcare services requires the right number, mix and distribution of appropriately educated nurses, physicians and other healthcare professionals. In Ontario, as in several other jurisdictions, changing demographics, patterns of health service utilization and an aging workforce have created challenges related to the supply of nurses available now and in the future to deliver quality patient care. From 2006 to 2009, the Nursing Secretariat (NS) of Ontario's Ministry of Health and Long-Term Care (the ministry) undertook a progressive and comprehensive approach to address the issue of nursing supply across the province through the introduction of 17 Nursing Health Human Resources Demonstration Projects (demonstration projects). The demonstration projects initiative has led to the creation of a unique collection of best practices, tools and resources aimed at improving organizational planning capacity. Evaluation of the initiative generated recommendations that may guide the ministry toward policy and program development to foster improved nursing health human resource planning capacity in Ontario healthcare organizations.

  7. Duty and dilemma: Perioperative nurses hiding an objection to participate in organ procurement surgery. (United States)

    Smith, Zaneta


    Perioperative nurses assist in organ procurement surgery; however, there is a dearth of information of how they encounter making conscientious objection requests or refusals to participate in organ procurement surgery. Organ procurement surgical procedures can present to the operating room ad hoc and can catch a nurse who may not desire to participate by surprise with little opportunity to refuse as a result of staffing, skill mix or organizational work demands. This paper that stems from a larger doctoral research study exploring the experiences of perioperative nurses participating in multi-organ procurement surgery used a grounded theory method to develop a substantive theory of the nurses' experiences. This current paper aimed to highlight the experiences of perioperative nurses when confronted with expressing a conscientious objection towards their participation in these procedures. A number of organizational and cultural barriers within the healthcare organization were seen to hamper their ability in expressing a conscience-based refusal, which lead to their reluctant participation. Perioperative nurses must feel safe to express a conscientious objection towards these types of surgical procedures and feel supported in doing so by their respective hospital organizations and not be forced to participate unwillingly.

  8. NAON: the second decade. A leader among specialty nursing organizations. (United States)

    Schoen, D C


    The new millennium coincides with the 20th Anniversary of NAON, and provides an occasion to look back and reflect on our past. The first decade of NAON was well described by Mary Rodts in her 1990 article in Orthopaedic Nursing, "NAON: The First Decade, A Firm Foundation for a Successful Future" (Orthopaedic Nursing 9(3), 15-26). This article is an attempt to look at the highlights of the second decade of NAON, 1990-2000.

  9. Public health nursing-indispensible and economical for everyone if organized. (United States)

    Emerson, Haven


    In August 1930, the editors of the original Public Health Nursing published an article derived from a speech made by Dr. Haven Emerson, then professor of public health administration at Columbia University, on the topic of the distribution and use of public health nurses. The speech was made before an audience of lay board members from hospitals and public health nursing organizations in Chicago, February 17, 1930. Emerson reported the results of a data analysis in which the numbers and credentials of public health nurses in 24 cities across the United States were reported. Excerpts from this report and Dr. Emerson's conclusions are powerful reminders that while there were issues of labor supply and distribution, the power of nurses to effect social transformation was central to the role as conceived by those administering public health services.

  10. Transplant tourism and organ trafficking: Ethical implications for the nursing profession. (United States)

    Corfee, Floraidh Ar


    Organ availability for transplantation has become an increasingly complex and difficult question in health economics and ethical practice. Advances in technology have seen prolonged life expectancy, and the global push for organs creates an ever-expanding gap between supply and demand, and a significant cost in bridging that gap. This article will examine the ethical implications for the nursing profession in regard to the procurement of organs from an impoverished seller's market, also known as 'Transplant Tourism'. This ethical dilemma concerns itself with resource allocation, informed consent and the concepts of egalitarianism and libertarianism. Transplant Tourism is an unacceptable trespass against human dignity and rights from both a nursing and collective viewpoint. Currently, the Australian Nursing and Midwifery Council, the Royal college of Nursing Australia, The Royal College of Nursing (UK) and the American Nurses Association do not have position statements on transplant tourism, and this diminishes us as a force for change. It diminishes our role as advocates for the most marginalised in our world to have access to care and to choice and excludes us from a very contemporary real debate about the mismatch of organ demand and supply in our own communities. As a profession, we must have a voice in health policy and human rights, and according to our Code of Ethics in Australia and around the world, act to promote and protect the fundamental human right to healthcare and dignity.

  11. Maths for medications: an analytical exemplar of the social organization of nurses' knowledge. (United States)

    Dyjur, Louise; Rankin, Janet; Lane, Annette


    Within the literature that circulates in the discourses organizing nursing education, there are embedded assumptions that link student performance on maths examinations to safe medication practices. These assumptions are rooted historically. They fundamentally shape educational approaches assumed to support safe practice and protect patients from nursing error. Here, we apply an institutional ethnographic lens to the body of literature that both supports and critiques the emphasis on numeracy skills and medication safety. We use this form of inquiry to open an alternate interrogation of these practices. Our main argument posits that numeracy skills serve as powerful distraction for both students and teachers. We suggest that they operate under specious claims of safety and objectivity. As nurse educators, we are captured by taken-for-granted understandings of practices intended to produce safety. We contend that some of these practices are not congruent with how competency actually unfolds in the everyday world of nursing practice. Ontologically grounded in the materiality of work processes, we suggest there is a serious disjuncture between educators' assessment and evaluation work where it links into broad nursing assumptions about medication work. These underlying assumptions and work processes produce contradictory tensions for students, teachers and nurses in direct practice.

  12. 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


    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.

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

    Directory of Open Access Journals (Sweden)

    Silvia Silva Souza


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

  14. Magnet status as a competitive strategy of hospital organizations: marketing a culture of excellence in nursing services. (United States)

    Tropello, Paula Grace Dunn


    With issues of patient safety, the nursing shortage, and managed care fiscal constraints, hospital organizations can strategically capture market share, while insuring best care practices, if they adopt the "Magnet Status" accreditation model. This quality indicator signifies to the consumer a culture of excellence in nursing services and fulfills the priority of customer satisfaction as a marketing strategy objective.

  15. The impact of university provided nurse electronic medical record training on health care organizations: an exploratory simulation approach. (United States)

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


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

  16. A review of Delphi surveys conducted to establish research priorities by specialty nursing organizations from 1985 to 1995. (United States)

    Rudy, S F


    Many nursing specialty organizations have completed Delphi surveys to establish their research priorities. The Society of Otorhinolaryngology-Head and Neck Nurses (SOHN) is currently conducting its own Delphi survey to the same end. This paper reviews the various Delphi methods employed by specialty nursing organizations on their members between 1985 and 1995. The studies reviewed are carefully limited to those commissioned by specialty nursing organizations and exclusive of those conducted by independent researchers who may have utilized specialty organization members. It presents an introduction to and definition of the Delphi methodology, as well as delving into methodologic and practical aspects of implementing a Delphi survey. It adds to the literature some information previously lacking on cost and time lines for studies, and will serve as a useful guide for future specialty nursing organizations who undertake a Delphi study as a novice effort. It intentionally does not recount the research priorities identified because it does not want to influence, in any way, responses of SOHN members involved in the ongoing Round I Delphi.

  17. The role of nurses in the risk management of organ and tissue donation. (United States)

    Saviozzi, A


    In the setting of organ and tissue procurement, lack of transplantation and the resulting missed opportunity for wait-listed patients might be considered as an untoward effect, since it results in longer wait-list times, higher mortality rates for potential candidates, and harm to the entire society. Beyond the classical definition holding that an adverse event is the inadvertent transmission of disease from a donor to a recipient, we advocate it should also include nonreporting of potential deceased donors; unsuccessful donor management; failure in organ/tissue procurement as the result of impossibility to assess brain death, lack of clinical data, or technical problems during surgical procedures. Based on their education, experience, and competencies, nurses share the responsibility to participate in the evaluation of risks and in the implementation of appropriate strategies for error prevention during the entire procurement process.

  18. A plan quality classifier derived with overlap-wall-histogram of hollow organs for automatic IMRT plan quality control of prostate cancer cases

    Directory of Open Access Journals (Sweden)

    Ting Song


    article as: Song T, Tian Z, Jia X, Zhou L, Jiang SB, Gu X. A plan quality classifier derived with overlap-wall-histogram of hollow organs for automatic IMRT plan quality control of prostate cancer cases. Int J Cancer Ther Oncol 2014; 2(2:020241. DOI: 10.14319/ijcto.0202.41

  19. Nursing organizations call for phase-out of agricultural practices that promote antibiotic resistance. (United States)

    Clouse, Rebecca


    The use of antibiotics in agriculture is considered a contributing factor to the problem of antibiotic resistance. A majority of antibiotics and related drugs produced in the United States are not used to treat the infirm, but rather are used as feed additives for agricultural animals to promote growth and compensate for stressful and crowded growing conditions. Significant efforts must be made to decrease inappropriate overuse in animals and agriculture. Several leading health and political organizations have begun to address the issue. The American Nurses Association has established policies that call on Congress, the U.S. Food and Drug Administration, and meat producers to promptly phase out the agricultural practices that promote antibiotic resistance.

  20. 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


    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

  1. Opening the Black Box: Toward Classifying Care and Treatment for Children and Adolescents with Behavioral and Emotional Problems within and across Care Organizations (United States)

    Evenboer, K. E.; Huyghen, A. M. N.; Tuinstra, J.; Reijneveld, S. A.; Knorth, E. J.


    Objective: The Taxonomy of Care for Youth was developed to gather information about the care offered to children and adolescents with behavioral and emotional problems in various care settings. The aim was to determine similarities and differences in the content of care and thereby to classify the care offered to these children and youth within…

  2. Opening the black box : Toward classifying care and treatment for children and adolescents with behavioral and emotional problems within and across care organizations

    NARCIS (Netherlands)

    Evenboer, K.E.; Huyghen, A.M.N.; Tuinstra, J.; Reijneveld, S.A.; Knorth, E.J.


    Objective: The Taxonomy of Care for Youth was developed to gather information about the care offered to children and adolescents with behavioral and emotional problems in various care settings. The aim was to determine similarities and differences in the content of care and thereby to classify the c

  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 (United States)

    Brown, Corina E.


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

  4. [Evaluation of stress and human potential in the organization of nursing work]. (United States)

    Ragazzoni, P; Tinelli, G; Zotti, A M


    Recent specialized literature about nursing highlighted the causal link among stress, burnout and coping processes. The aim of this study was to evaluate the validity of specific instruments designed to select and manage professional nurses. The instruments studied were: Nurse Stress Index (NSI, Harris, 1989), Maslach Burnout Inventory (MBI, Maslach & Jackson, 1986); Coping Inventory for Stressful Situations (CISS, Endler & Parker, 1990); Job Content Questionnaire (JCQ, Karasek, 1986); and Frequency of Self Reinforcement Questionnaire (FSRQ, Heiby, 1982). 100 professional nurses working in an Institute of Care and Research completed the test battery. Data analysis showed a positive correlation among stress, burnout, emotion-oriented coping, psychophysiological overload and self-undervalue. Classification criteria such as age, sex and professional division moreover highlighted significant differences among nurses. The battery resulted reliable and sensitive in discriminating the different problems linked to nursing and in identifying subjects' personal resources.

  5. Identifying Nursing's Future Leaders. (United States)

    Gunning, Carolyn S.; Hawken, Patty L.


    A study determined that encouraging and supporting students in professional activities while they were still in school would lead those students to participate in professional nursing organizations after they graduated. Organized nursing needs to identify the factors that influence nurses to join organizations and concentrate on these factors to…

  6. Evaluation of initial implementation of an organized adult health program employing family nurse practitioners. (United States)

    Thompson, R S; Basden, P; Howell, L J


    An organized program for periodic health evaluation of adults was instituted at one Group Health Cooperative Clinic (A) using a fixed exam schedule and two family nurse practitioners (FNPs), working in a team with six family practitioners, to perform as many of the examinations as possible. We evaluated the effects of the FNP program at Clinic A in terms of six specific objectives, comparing it with the preexisting conventional pattern in another clinic (B). The evaluation showed 1) diminished waiting times at Clinic A; 2) no diminution in quality of examinations performed by FNPs; 3) lesser unit costs in Clinic A; 4) no indication of higher overall postexam outpatient utilization or costs for those examined by FNPs; 5) greater patient satisfaction at Clinic A than Clinic B, and for those examined by FNPs, compared with those examined by physicians (MDs); 6) only 17 per cent of FNP time was spent on health evaluations and met one half the overall demand at Clinic A; 7) FNPs made day-to-day practice qualitatively more complex for some MDs; and 8) different staffing ratios are probably necessary when FNPs are teamed with family physicians rather than internists.

  7. Dynamic system classifier (United States)

    Pumpe, Daniel; Greiner, Maksim; Müller, Ewald; Enßlin, Torsten A.


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

  8. American Nurses Association Nursing World (United States)

    ... ANA Staff Nurses Advanced Practice Nurses Nurse Managers Nursing Research Student Nurses Educators What is Nursing? NursingWorld About ... Online Course Alert! The Ins and Outs of Nursing Research 11/09/16 ANA Ready to Work with ...

  9. Dynamic system classifier

    CERN Document Server

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


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

  10. Nurses in post-operative heart surgery: professional competencies and organization strategies

    Directory of Open Access Journals (Sweden)

    Ana Paula Azevedo Santos


    Full Text Available Abstract OBJECTIVE To analyze nurses' competencies with regard to their work in post-operative heart surgery and the strategies implemented to mobilize these competencies. METHOD This was an exploratory study with a qualitative approach and a methodological design of collective case study. It was carried out in three post-operative heart surgery units, consisting of 18 nurses. Direct observation and semi-structured interviews were employed to collect data. Data were construed through thematic analysis. RESULTS nine competencies were found, as follows: theoretical-practical knowledge; high-complexity nursing care; nursing supervision; leadership in nursing; decision making; conflict management; personnel management; material and financial resources management; and on-job continued education. Organizational and individual strategies were employed to develop and improve competencies such as regular offerings of courses and lectures, in addition to the individual pursuit for knowledge and improvement. CONCLUSION the study is expected to lead future nurses and training centers to evaluate the need for furthur training required to work in cardiac units, and also the need for implementing programs aimed at developing the competencies of these professionals.

  11. National scientific literature on nursing ethics: a systematic Review

    Directory of Open Access Journals (Sweden)

    Ilka Nicéia D’Aquino Oliveira Teixeira


    Full Text Available Objective: To identify the most prevalent nursing ethical issues published in scientific Brazilian journals. Methods: A systematic literature review with the following inclusion criteria: (1 articles on Nursing Ethics written in Portuguese, English, French, and Spanish; (2 published in Brazilian journals; (3 in the period from January 1997 to February 2009. The search was carried out in four databases BDENF, LILACS, MEDLINE, and SCIELO. The key-words were ethics AND nursing. The selected studies were classified into categories. The content of the articles were analyzed using the Collective Subject Discourse. The categories generated discourses by organizing the main excerpts from the abstracts of the selected studies, which are the “key expressions”. Results: A hundred and thirty three articles that met the inclusion criteria were classified into eight categories: 1. Nursing Care; 2. Dilemmas and Controversies; 3. Education; 4. Legal Aspects; 5. Research; 6. Management; 7. Values and Beliefs; 8. Perspectives and Health Policies. The category “Nursing Care” prevailed in 36% of the selected articles, and it was classified into six subcategories. “Dilemmas and Controversies” was the second most prevalent category (15%. Conclusion: The number of theoretical papers on ethical issues is high, but there is little research on the ethical experiences in nursing practice.

  12. Classifying Returns as Extreme

    DEFF Research Database (Denmark)

    Christiansen, Charlotte


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

  13. Classifier in Age classification

    Directory of Open Access Journals (Sweden)

    B. Santhi


    Full Text Available 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 study addresses the limitations in the existing classifiers, as it uses the Grey Level Co-occurrence Matrix (GLCM for feature extraction and Support Vector Machine (SVM for classification. This improves the accuracy of the classification as it outperforms the existing methods.

  14. Intelligent Garbage Classifier

    Directory of Open Access Journals (Sweden)

    Ignacio Rodríguez Novelle


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

  15. Classifying Linear Canonical Relations


    Lorand, Jonathan


    In this Master's thesis, we consider the problem of classifying, up to conjugation by linear symplectomorphisms, linear canonical relations (lagrangian correspondences) from a finite-dimensional symplectic vector space to itself. We give an elementary introduction to the theory of linear canonical relations and present partial results toward the classification problem. This exposition should be accessible to undergraduate students with a basic familiarity with linear algebra.

  16. Generalized classifier neural network. (United States)

    Ozyildirim, Buse Melis; Avci, Mutlu


    In this work a new radial basis function based classification neural network named as generalized classifier neural network, is proposed. The proposed generalized classifier neural network has five layers, unlike other radial basis function based neural networks such as generalized regression neural network and probabilistic neural network. They are input, pattern, summation, normalization and output layers. In addition to topological difference, the proposed neural network has gradient descent based optimization of smoothing parameter approach and diverge effect term added calculation improvements. Diverge effect term is an improvement on summation layer calculation to supply additional separation ability and flexibility. Performance of generalized classifier neural network is compared with that of the probabilistic neural network, multilayer perceptron algorithm and radial basis function neural network on 9 different data sets and with that of generalized regression neural network on 3 different data sets include only two classes in MATLAB environment. Better classification performance up to %89 is observed. Improved classification performances proved the effectivity of the proposed neural network.

  17. Nurses' Resolutions of Six Ethical Dilemmas. (United States)

    Lawrence, Jeanette A.; Crisham, Patricia

    Six ethical dilemmas related to nursing practice were developed and presented to registered and trainee nurses for their resolution. A non-nurse group of university students also gave decisions about what a nurse should do in each ethically-loaded situation. A dilemma was classified as recurrent if its core problem was spontaneously mentioned by…

  18. Advanced urology nursing practice. (United States)

    Crowe, Helen


    Urology nursing has developed as a specialty over the past few decades in response to several factors, workload demands being a prime reason. Nurses are taking on additional roles and activities including procedures such as cystoscopy and prostate biopsy, and running nurse-led clinics for a variety of urological conditions. Audits of advanced urological nursing practice have shown this care to be of a high standard and investigative procedures performed by these nurses match the diagnostic quality of existing services. Professional urological nursing organizations support the professional needs of these nurses, but the provision of education and training for advanced practice activities remains an unaddressed need. A range of confusing advanced urology nursing titles exists, and uncertainty regarding the roles and scope of practice for these nurses remains a concern. Acceptance and support from medical colleagues is required for the success of advanced urological nursing practice, but opinions on these roles remain divided.

  19. 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


    Full Text Available Observations from the 2007 Border Air Quality and Meteorology Study (BAQS-Met 2007 in southern Ontario (ON, Canada, were used to evaluate Environment Canada's regional chemical transport model predictions of primary organic aerosol (POA. Environment Canada's operational numerical weather prediction model and the 2006 Canadian and 2005 US national emissions inventories were used as input to the chemical transport model (named AURAMS. 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. Co-located carbon monoxide (CO, PM2.5 black carbon (BC, and PM1 SO4 measurements were also used for evaluation and interpretation, permitting a detailed diagnostic model evaluation.

    At the urban site, good agreement was observed for the comparison of daytime campaign PM1 POA and HOA mean values: 1.1 μg m−3 vs. 1.2 μg m−3, respectively. However, a POA overprediction was evident on calm nights due to an overly-stable model surface layer. Biases in model POA predictions trended from positive to negative with increasing HOA values. This trend has several possible explanations, including (1 underweighting of urban locations in particulate matter (PM spatial surrogate fields, (2 overly-coarse model grid spacing for resolving urban-scale sources, and (3 lack of a model particle POA evaporation process during dilution of vehicular POA tail-pipe emissions to urban scales. Furthermore, a trend in POA bias was observed at the urban site as a function of the BC/HOA ratio, suggesting a possible association of POA underprediction for diesel combustion sources. For several time periods, POA overprediction was also observed for sulphate-rich plumes, suggesting that our model POA fractions for the PM2.5 chemical

  20. Comparative analysis of Edwardsiella isolates from fish in the eastern United States identifies two distinct genetic taxa amongst organisms phenotypically classified as E. tarda (United States)

    Griffin, Matt J.; Quiniou, Sylvie M.; Cody, Theresa; Tabuchi, Maki; Ware, Cynthia; Cipriano, Rocco C.; Mauel, Michael J.; Soto, Esteban


    Edwardsiella tarda, a Gram-negative member of the family Enterobacteriaceae, has been implicated in significant losses in aquaculture facilities worldwide. Here, we assessed the intra-specific variability of E. tarda isolates from 4 different fish species in the eastern United States. Repetitive sequence mediated PCR (rep-PCR) using 4 different primer sets (ERIC I & II, ERIC II, BOX, and GTG5) and multi-locus sequence analysis of 16S SSU rDNA, groEl, gyrA, gyrB, pho, pgi, pgm, and rpoA gene fragments identified two distinct genotypes of E. tarda (DNA group I; DNA group II). Isolates that fell into DNA group II demonstrated more similarity to E. ictaluri than DNA group I, which contained the reference E. tarda strain (ATCC #15947). Conventional PCR analysis using published E. tarda-specific primer sets yielded variable results, with several primer sets producing no observable amplification of target DNA from some isolates. Fluorometric determination of G + C content demonstrated 56.4% G + C content for DNA group I, 60.2% for DNA group II, and 58.4% for E. ictaluri. Surprisingly, these isolates were indistinguishable using conventional biochemical techniques, with all isolates demonstrating phenotypic characteristics consistent with E. tarda. Analysis using two commercial test kits identified multiple phenotypes, although no single metabolic characteristic could reliably discriminate between genetic groups. Additionally, anti-microbial susceptibility and fatty acid profiles did not demonstrate remarkable differences between groups. The significant genetic variation (<90% similarity at gyrA, gyrB, pho, phi and pgm; <40% similarity by rep-PCR) between these groups suggests organisms from DNA group II may represent an unrecognized, genetically distinct taxa of Edwardsiella that is phenotypically indistinguishable from E. tarda.

  1. Classifying bed inclination using pressure images. (United States)

    Baran Pouyan, M; Ostadabbas, S; Nourani, M; Pompeo, M


    Pressure ulcer is one of the most prevalent problems for bed-bound patients in hospitals and nursing homes. Pressure ulcers are painful for patients and costly for healthcare systems. Accurate in-bed posture analysis can significantly help in preventing pressure ulcers. Specifically, bed inclination (back angle) is a factor contributing to pressure ulcer development. In this paper, an efficient methodology is proposed to classify bed inclination. Our approach uses pressure values collected from a commercial pressure mat system. Then, by applying a number of image processing and machine learning techniques, the approximate degree of bed is estimated and classified. The proposed algorithm was tested on 15 subjects with various sizes and weights. The experimental results indicate that our method predicts bed inclination in three classes with 80.3% average accuracy.

  2. [A major game in the re-organization of the Professional Nursing School]. (United States)

    de Amorin, Wellington Mendonça; Barreira, Ieda de Alencar


    This is a historical-social description study supported on the thought of Pierre Bourdieu based on documental analysis. It describes the sanitarists and psychiatrists' actions from the reformulation of Education and Public Health Ministry into Education and Health Ministry in the beginning of New State and analyse the fight's strategies of the main agents to take advantage on their proposals of Professional Nursing School's reorganization. The fight's strategies that psychiatrists, sanitarists and certificated nurses had used to stake their projects, characterized a difficult battle inserted in a hard major game. The analyse of the ten course's months of the main document shows the conflict between those agents to impose a new rule to the school.

  3. Stack filter classifiers

    Energy Technology Data Exchange (ETDEWEB)

    Porter, Reid B [Los Alamos National Laboratory; Hush, Don [Los Alamos National Laboratory


    Just as linear models generalize the sample mean and weighted average, weighted order statistic models generalize the sample median and weighted median. This analogy can be continued informally to generalized additive modeels in the case of the mean, and Stack Filters in the case of the median. Both of these model classes have been extensively studied for signal and image processing but it is surprising to find that for pattern classification, their treatment has been significantly one sided. Generalized additive models are now a major tool in pattern classification and many different learning algorithms have been developed to fit model parameters to finite data. However Stack Filters remain largely confined to signal and image processing and learning algorithms for classification are yet to be seen. This paper is a step towards Stack Filter Classifiers and it shows that the approach is interesting from both a theoretical and a practical perspective.

  4. Classifying TDSS Stellar Variables (United States)

    Amaro, Rachael Christina; Green, Paul J.; TDSS Collaboration


    The Time Domain Spectroscopic Survey (TDSS), a subprogram of SDSS-IV eBOSS, obtains classification/discovery spectra of point-source photometric variables selected from PanSTARRS and SDSS multi-color light curves regardless of object color or lightcurve shape. Tens of thousands of TDSS spectra are already available and have been spectroscopically classified both via pipeline and by visual inspection. About half of these spectra are quasars, half are stars. Our goal is to classify the stars with their correct variability types. We do this by acquiring public multi-epoch light curves for brighter stars (rprogram for analyzing astronomical time-series data, to constrain variable type both for broad statistics relevant to future surveys like the Transiting Exoplanet Survey Satellite (TESS) and the Large Synoptic Survey Telescope (LSST), and to find the inevitable exotic oddballs that warrant further follow-up. Specifically, the Lomb-Scargle Periodogram and the Box-Least Squares Method are being implemented and tested against their known variable classifications and parameters in the Catalina Surveys Periodic Variable Star Catalog. Variable star classifications include RR Lyr, close eclipsing binaries, CVs, pulsating white dwarfs, and other exotic systems. The key difference between our catalog and others is that along with the light curves, we will be using TDSS spectra to help in the classification of variable type, as spectra are rich with information allowing estimation of physical parameters like temperature, metallicity, gravity, etc. This work was supported by the SDSS Research Experience for Undergraduates program, which is funded by a grant from Sloan Foundation to the Astrophysical Research Consortium.

  5. Nursing: Registered Nurses (United States)

    ... a diploma from an approved nursing program. Registered nurses also must be licensed. Education In all nursing education programs, students take courses in anatomy, physiology, microbiology, chemistry, nutrition, psychology, and other social and ...

  6. Comparing Burnout Across Emergency Physicians, Nurses, Technicians, and Health Information Technicians Working for the Same Organization. (United States)

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


    Studies on the topic of burnout measure the effects of emotional exhaustion (EE), depersonalization (DP) (negative or cynical attitudes toward work), and reduced sense of personal accomplishment (PA). While the prevalence of burnout in practicing emergency medicine (EM) professionals has been studied, little is known of the prevalence and factors across physicians, nurses, technicians, and health information technicians working for the same institution. The aim of this study was to assess burnout differences across EM professional types.The total population of 250 EM professionals at 2 public urban hospitals in Turkey were surveyed using the Maslach Burnout Inventory and basic social- and work-related demographics. Descriptive statistics, ANOVA, and additional post hoc tests were computed.Findings show that EE and DP scores were high across all occupational groups, while scores on PA were low. There was a statistically significant difference between nurses and medical technicians (P 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.

  7. Comparing Burnout Across Emergency Physicians, Nurses, Technicians, and Health Information Technicians Working for the Same Organization (United States)

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


    Abstract 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 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

  8. 军队医院护理管理组织结构的调查%Investigation on Nursing Management Organization Structure in Military Hospitals

    Institute of Scientific and Technical Information of China (English)

    刘云; 孙琳; 张爱琴; 郝瑾祎; 刘玉秀; 成琪


    目的 了解目前军队医院护理管理组织结构的现状及存在的问题.方法 编制军队医院护理管理组织结构调研表,采用问卷调查的方法,对32家军队医院护理管理组织职能情况、护理管理组织结构现状、护理管理流程现状、护理人员管理现况及其他建议等进行调查.结果 (1)护理管理组织职能定位不全面,全体专家对"提高护理服务质量"和"提高护士岗位技能"认同感较高;(2)护理组织结构不健全比较突出,在是否设立护理部、总护士长及各类管理和专业组织上认识差别显著;(3)护理人员管理制度不配套比较突出,设立薪酬和层级管理制度的医院比例偏低;(4)护理流程不完善依然存在,各级人员对质量管理、教学培训流程认同率较高,而护理成本管理和问题管理流程认同率较低.结论 进一步强化护理管理组织职能定位是更好发挥管理效能的重要保证,进一步完善护理管理组织结构是适应现代化医院功能任务的客观要求,进一步加强护理人员管理制度建设是护理专业建设发展的迫切要求,进一步重视护理管理流程改造是履行护理管理全方位职能的关键.%Objective To explore the current situation and existing problems of nursing management organization structure of military hospitals.Methods The research table of nursing management organization structure in military hospitals was developed to investigate the nursing management organizational function, nursing management organization structure status, nursing management flow status, nursing staff management status and other suggestions of 32 military hospitals, using questionnaires via mailing.Results (1) Nursing management organizational function orientation was not comprehensive.All the experts had higher sense of identity to improve nursing service quality and the nurse's post skills.(2)Imperfect nursing organizational structure sounded more prominent

  9. Cross border nursing. (United States)

    Cutshall, P


    In 1989, the Canadian Nurses Association asked a professional nurse from British Columbia to help nurses in Nepal develop their association an work on nursing legislation. Nepal had about 3000 nurses, including assistant nurse-midwives, 500 of whom were members of the Trained Nurses Association of Nepal (TNAN). It wanted to expand nursing's contribution to health care in Nepal. The nurses wanted to increase the visibility of the association, to become a self-sustaining organization, to establish a licensing law, and to improve the availability of continuing education. The Canadian nurse helped the Nepalese nurses with a workshop on association management covering record keeping and meeting plans. She helped a newly formed committee with licensing law and with decision factors in pursuing self-regulation for nursing. She discussed a work plan and a lobby strategy. She helped another committee develop objectives for the next year. A follow-up visit the next year revealed that the office was operating well and the association was keeping good records. TNAN sponsored workshops on professionalism and leadership. This visit yielded further progress on a licensing law and on identifying ways to become self-sufficient. The nurses discussed the Norwegian Nurses Association's (NNA) interest in providing funds to buy a building for TNAN use and to derive income from rent. NNA eventually donated the funds. By the 1992 visit, the nurses had revised and registered their constitution and bylaws. They had sponsored workshops on HIV/AIDS and mental health. The name was now the Nursing Association of Nepal (NAN). The newly created executive council had met frequently. NAN had expanded from 6 to 11 local branches. It had created 5 committees: fund raising, research, international coordination, nurses welfare, and publications. A workshop in western Nepal centered on quality nursing care. NAN had a role in the government's progress in primary health care and mental health services.

  10. Good nurse, bad nurse.... (United States)

    Alavi, C; Cattoni, J


    The construction of the nursing subject is discussed. The paper takes a historical perspective, arguing that the range of speaking positions available to the nurse is limited by gender, class and education. It evaluates the position of nursing in the university, showing how this also has propensity to limit the development of the nursing profession.

  11. 38 CFR 51.130 - Nursing services. (United States)


    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Nursing services. 51.130... FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Standards § 51.130 Nursing services. The facility management must provide an organized nursing service with a sufficient number of qualified nursing...

  12. Are managed care organizations in the United States impeding the delivery of primary care by nurse practitioners? A 2012 update on managed care organization credentialing and reimbursement practices. (United States)

    Hansen-Turton, Tine; Ware, Jamie; Bond, Lisa; Doria, Natalie; Cunningham, Patrick


    In 2014, the Affordable Care Act will create an estimated 16 million newly insured people. Coupled with an estimated shortage of over 60,000 primary care physicians, the country's public health care system will be at a challenging crossroads, as there will be more patients waiting to see fewer doctors. Nurse practitioners (NPs) can help to ease this crisis. NPs are health care professionals with the capability to provide important and critical access to primary care, particularly for vulnerable populations. However, despite convincing data about the quality of care provided by NPs, many managed care organizations (MCOs) across the country do not credential NPs as primary care providers, limiting the ability of NPs to be reimbursed by private insurers. To assess current credentialing practices of health plans across the United States, a brief telephone survey was administered to 258 of the largest health maintenance organizations (HMOs) in the United States, operated by 98 different MCOs. Results indicated that 74% of these HMOs currently credential NPs as primary care providers. Although this represents progress over prior assessments, findings suggest that just over one fourth of major HMOs still do not recognize NPs as primary care providers. Given the documented shortage of primary care physicians in low-income communities in the United States, these credentialing policies continue to diminish the ability of NPs to deliver primary care to vulnerable populations. Furthermore, these policies could negatively impact access to care for thousands of newly insured Americans who will be seeking a primary care provider in 2014.

  13. Emergent behaviors of classifier systems

    Energy Technology Data Exchange (ETDEWEB)

    Forrest, S.; Miller, J.H.


    This paper discusses some examples of emergent behavior in classifier systems, describes some recently developed methods for studying them based on dynamical systems theory, and presents some initial results produced by the methodology. The goal of this work is to find techniques for noticing when interesting emergent behaviors of classifier systems emerge, to study how such behaviors might emerge over time, and make suggestions for designing classifier systems that exhibit preferred behaviors. 20 refs., 1 fig.

  14. Wildfire Disasters and Nursing. (United States)

    Hanes, Patricia Frohock


    Multiple factors contribute to wildfires in California and other regions: drought, winds, climate change, and spreading urbanization. Little has been done to study the multiple roles of nurses related to wildfire disasters. Major nursing organizations support disaster education for nurses. It is essential for nurses to recognize their roles in each phase of the disaster cycle: mitigation, preparedness, response, and recovery. Skills learned in the US federal all-hazards approach to disasters can then be adapted to more specific disasters, such as wildfires, and issues affecting health care. Nursing has an important role in each phase of the disaster cycle.

  15. A State Nurses' Association Perspective. (United States)

    Boyer, Cheryl M.


    Discusses the accreditation and evolution of continuing education programs developed by state nurses' associations and other nursing organizations and the value of the accreditation. Also relates current accreditation system to the future of professional continuing education. (JOW)

  16. Feature Selection and Effective Classifiers. (United States)

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


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

  17. Nursing Leadership. (United States)

    Crisp, Carol


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

  18. How do nursing students perceive substance abusing nurses? (United States)

    Boulton, Martha A; Nosek, Laura J


    Substance abuse among nurses was recognized by nurse leaders and professional nursing organizations as a growing threat to patient safety and to the health of the abusing nurse more than 30years ago. Although numerous studies on nurse impairment were published in the 1980s and 1990s, there was minimal focus on student nurses' perceptions about impaired nurses and less research has been published more recently, despite a growing rate of substance abuse. A quasi-experimental study to explore the perceptions of student nurses toward nurses who are chemically dependent was conducted using a two-group, pretest-posttest design. The Perception of Nurse Impairment Inventory (PNII) was completed by student nurses at the beginning of their junior course work, prior to formal education about substance abuse. The PNII was repeated after the students received substance abuse education. The PNII was also completed by a control group of sophomore student nurses who did not receive the formal substance abuse education. A repeated measures analysis of variance was used to measure the differences between the two groups of students. Students who received the education chose more compassionate responses on the PNII and were more likely to respond that an impaired nurse's supervisor is responsible for supporting and guiding the impaired nurse to access professional care. Discrepancies in study findings about the efficacy of education for effecting positive attitudes of student nurses toward impaired nurses may be related to the length and type of the education.

  19. Sampling Based Average Classifier Fusion

    Directory of Open Access Journals (Sweden)

    Jian Hou


    fusion algorithms have been proposed in literature, average fusion is almost always selected as the baseline for comparison. Little is done on exploring the potential of average fusion and proposing a better baseline. In this paper we empirically investigate the behavior of soft labels and classifiers in average fusion. As a result, we find that; by proper sampling of soft labels and classifiers, the average fusion performance can be evidently improved. This result presents sampling based average fusion as a better baseline; that is, a newly proposed classifier fusion algorithm should at least perform better than this baseline in order to demonstrate its effectiveness.

  20. First evidence on the validity and reliability of the Safety Organizing Scale-Nursing home version (SOS-NH) (United States)

    Ausserhofer, Dietmar; Anderson, Ruth A.; Colón-Emeric, Cathleen; Schwendimann, René


    Background The Safety Organizing Scale is a valid and reliable measure on safety behaviors and practices in hospitals. Purpose of the study This study aimed to explore the psychometric properties of the Safety Organizing Scale-Nursing Home version (SOS-NH). Design and Methods In a cross-sectional analysis of staff survey data, we examined validity and reliability of the 9-item Safety SOS-NH using American Educational Research Association guidelines. Subjects and Setting This sub-study of a larger trial used baseline survey data collected from staff members (n=627) in a variety of work roles in 13 NHs in North Carolina and Virginia, USA. Results Psychometric evaluation of the SOS-NH revealed good response patterns with low average of missing values across all items (3.05%). Analyses of the SOS-NH’s internal structure (e.g., comparative fit indices = 0.929, standardized root mean square error of approximation = 0.045) and consistency (composite reliability = 0.94) suggested its one-dimensionality. Significant between-facility variability, intraclass correlations, within-group agreement and design effect confirmed appropriateness of the SOS-NH for measurement at the NH level, justifying data aggregation. The SOS-NH showed discriminate validity from one related concept, communication openness. Implications Initial evidence regarding validity and reliability of the SOS-NH supports its’ utility in measuring safety behaviors and practices among a wide range of NH staff members, including those with low literacy. Further psychometric evaluation should focus on testing concurrent and criterion validity, using resident outcome measures (e.g., patient fall rates). PMID:23684122

  1. Classified

    CERN Multimedia

    Computer Security Team


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

  2. Optimally Training a Cascade Classifier

    CERN Document Server

    Shen, Chunhua; Hengel, Anton van den


    Cascade classifiers are widely used in real-time object detection. Different from conventional classifiers that are designed for a low overall classification error rate, a classifier in each node of the cascade is required to achieve an extremely high detection rate and moderate false positive rate. Although there are a few reported methods addressing this requirement in the context of object detection, there is no a principled feature selection method that explicitly takes into account this asymmetric node learning objective. We provide such an algorithm here. We show a special case of the biased minimax probability machine has the same formulation as the linear asymmetric classifier (LAC) of \\cite{wu2005linear}. We then design a new boosting algorithm that directly optimizes the cost function of LAC. The resulting totally-corrective boosting algorithm is implemented by the column generation technique in convex optimization. Experimental results on object detection verify the effectiveness of the proposed bo...

  3. Nursing Supplies (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 ...

  4. Combining different types of classifiers


    Gatnar, Eugeniusz


    Model fusion has proved to be a very successful strategy for obtaining accurate models in classification and regression. The key issue, however, is the diversity of the component classifiers because classification error of an ensemble depends on the correlation between its members. The majority of existing ensemble methods combine the same type of models, e.g. trees. In order to promote the diversity of the ensemble members, we propose to aggregate classifiers of different t...

  5. Optimal weighted nearest neighbour classifiers

    CERN Document Server

    Samworth, Richard J


    We derive an asymptotic expansion for the excess risk (regret) of a weighted nearest-neighbour classifier. This allows us to find the asymptotically optimal vector of non-negative weights, which has a rather simple form. We show that the ratio of the regret of this classifier to that of an unweighted $k$-nearest neighbour classifier depends asymptotically only on the dimension $d$ of the feature vectors, and not on the underlying population densities. The improvement is greatest when $d=4$, but thereafter decreases as $d \\rightarrow \\infty$. The popular bagged nearest neighbour classifier can also be regarded as a weighted nearest neighbour classifier, and we show that its corresponding weights are somewhat suboptimal when $d$ is small (in particular, worse than those of the unweighted $k$-nearest neighbour classifier when $d=1$), but are close to optimal when $d$ is large. Finally, we argue that improvements in the rate of convergence are possible under stronger smoothness assumptions, provided we allow nega...

  6. Nurse Against Nurse: Horizontal Bullying in the Nursing Profession. (United States)

    Granstra, Katherine


    Healthcare professionals are not immune to bullying; in fact, they experience bullying at an alarming rate. Sometimes the bullying is passed down from superiors, but frequently bullying occurs between coworkers. This is known as "horizontal bullying," and it has become a serious issue within the nursing profession. Horizontal bullying between nurses can cause negative consequences for everyone involved, in particular the nurses, patients, and the entire organization. To fully address and resolve horizontal bullying in the nursing profession, we must consider many factors. The first step is to establish what constitutes bullying and to develop a clear process for dealing with it when it occurs. Before it is possible to eliminate the problem, we need to understand why bullying takes place. To be effective, solutions to the problem of horizontal bullying in the nursing profession must include the entire healthcare industry.

  7. Attitudes of Female and Male Nurses Toward Men in Nursing: A Replication and Comparison Study (United States)


    nurses believed that men would try to take over in both the work setting and the nursing organizations . Admittedly, a greater proportion of men...entering the profession have I I * 26 gone on to become nursing directors, hospital administrators, and I presidents of state level nursing organizations . Fottler’s

  8. Hybrid classifiers methods of data, knowledge, and classifier combination

    CERN Document Server

    Wozniak, Michal


    This book delivers a definite and compact knowledge on how hybridization can help improving the quality of computer classification systems. In order to make readers clearly realize the knowledge of hybridization, this book primarily focuses on introducing the different levels of hybridization and illuminating what problems we will face with as dealing with such projects. In the first instance the data and knowledge incorporated in hybridization were the action points, and then a still growing up area of classifier systems known as combined classifiers was considered. This book comprises the aforementioned state-of-the-art topics and the latest research results of the author and his team from Department of Systems and Computer Networks, Wroclaw University of Technology, including as classifier based on feature space splitting, one-class classification, imbalance data, and data stream classification.

  9. Nursing: What's a Nurse Practitioner? (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. Also, many doctors share office space with ...

  10. Transforming the image of nursing: the evidence for assurance. (United States)

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


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

  11. Toward an Unambiguous Profession: A Review of Nursing. Health Administration Perspectives No. A6. (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…

  12. 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


    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.

  13. Defining professional nursing accountability: a literature review. (United States)

    Krautscheid, Lorretta C


    Professional nursing accountability is described by both professional nursing organizations and nursing education credentialing agencies as a core aspect that underpins professional nursing practice. Although accountability is foundational to professional practice, a review of the literature revealed no consistent language or definition regarding professional nursing accountability. Instead, the literature itself reveals that professional nursing accountability is challenging to both describe and define. The ambiguity surrounding how to define professional nursing accountability contributes to challenges associated with both teaching and evaluating student nurse accountability within nursing education curricula. This article provides a reliable and comprehensive definition of professional nursing accountability derived from a synthesis of the literature. Recommendations for nursing education practice and recommendations for nursing education research are proposed.

  14. Doctoral specialization in nursing informatics.


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


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

  15. 3D Bayesian contextual classifiers

    DEFF Research Database (Denmark)

    Larsen, Rasmus


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

  16. 38 CFR 52.130 - Nursing services. (United States)


    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Nursing services. 52.130... FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Standards § 52.130 Nursing services. The program management must provide an organized nursing service with a sufficient number of qualified nursing...

  17. Nurse residency programs and the transition to child health nursing practice. (United States)

    Delack, Sandi; Martin, Jean; McCarthy, Ann Marie; Sperhac, Arlene M


    Nurse residency programs for newly licensed RNs are a critical component in bridging the clinical practice gap between education and practice. In May 2013, the Institute of Pediatric Nursing invited leaders from pediatric nursing organizations and children's hospitals to attend a forum on nurse residency programs for pediatric nurses. This article presents a summary of the discussions that occurred during the forum and makes recommendations for addressing issues related to nurse residency programs.

  18. Classifying Cereal Data (Earlier Methods) (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. Maximum margin Bayesian network classifiers. (United States)

    Pernkopf, Franz; Wohlmayr, Michael; Tschiatschek, Sebastian


    We present a maximum margin parameter learning algorithm for Bayesian network classifiers using a conjugate gradient (CG) method for optimization. In contrast to previous approaches, we maintain the normalization constraints on the parameters of the Bayesian network during optimization, i.e., the probabilistic interpretation of the model is not lost. This enables us to handle missing features in discriminatively optimized Bayesian networks. In experiments, we compare the classification performance of maximum margin parameter learning to conditional likelihood and maximum likelihood learning approaches. Discriminative parameter learning significantly outperforms generative maximum likelihood estimation for naive Bayes and tree augmented naive Bayes structures on all considered data sets. Furthermore, maximizing the margin dominates the conditional likelihood approach in terms of classification performance in most cases. We provide results for a recently proposed maximum margin optimization approach based on convex relaxation. While the classification results are highly similar, our CG-based optimization is computationally up to orders of magnitude faster. Margin-optimized Bayesian network classifiers achieve classification performance comparable to support vector machines (SVMs) using fewer parameters. Moreover, we show that unanticipated missing feature values during classification can be easily processed by discriminatively optimized Bayesian network classifiers, a case where discriminative classifiers usually require mechanisms to complete unknown feature values in the data first.

  20. Wound care in primary health care: district nurses' needs for co-operation and well-functioning organization. (United States)

    Friman, Anne; Klang, Birgitta; Ebbeskog, Britt


    Most patients with leg- and foot ulcers are managed within non-institutional care. The aim of this study was to investigate the district nurses' wound management, including wound appearance, assignment of responsibility, guidelines for wound treatment and co-operation with other professional groups. The study has a descriptive quantitative approach. Data was collected using a wound registration form and a questionnaire. The selection of participants was made by random sampling. District nurses (n = 26) in five health-care centers situated in central Stockholm and two of its suburbs, participated in the study. The results show that the wound appearance is dominated by traumatic wounds. Approximately 40% of the wounds were not medically diagnosed. The area of responsibility of different professional groups was not defined and guidelines for wound treatment were mostly lacking. The decision about wound management was generally made by the district nurse. Co-operation with the general practitioner was lacking and when a consultation with dermatologist was required, the routines concerning referral were undefined. Co-operation with the assistant nurses consisted of redressing the wounds in home care. Interprofessional co-operation was regarded as important for wound healing. The paper provides insights into the district nurses' wound management and co-operation in wound care.

  1. Staff nurses' perceptions of job empowerment and level of burnout: a test of Kanter's theory of structural power in organizations. (United States)

    Hatcher, S; Laschinger, H K


    Kanter's structural theory of organizational behavior was used as framework to explore the relationship between perceptions of power and opportunity and level of burnout in a sample of 87 hospital staff nurses. Data were collected using a modified version of the Conditions for Work Effectiveness Questionnaire (Chandler, 1986) and the Human Services Survey (Maslach & Jackson, 1986). Consistent with Kanter's theory, perceived access to power and opportunity was significantly related to the three aspects of burnout: level of emotional exhaustion and depersonalization (r = -.3419, p = .004; r = -.2931, p = .02), and personal accomplishments (r = .3630, p = .002). The results of this study are useful for nurse administrators positioned to create organizational structures than empower staff nurses and subsequently decrease burnout.

  2. Doctoral education for WOC nurses considering advanced practice nursing. (United States)

    Pieper, Barbara; Colwell, Janice


    Advanced practice nursing education is at a crossroads. Societal changes, increased health care demands, and leadership nursing organizations have identified the need of a doctor of nursing practice (DNP) degree as the advanced practice degree. WOC nurses need to examine DNP programs when considering returning for an advanced practice degree. This article explores nursing education at the doctorate level and areas the WOC nurse should consider when making a decision about attending a program. The WOC nurse needs to understand the similarities and differences of the doctor of philosophy and the DNP, issues about each program and its completion, personal factors, and the application process. Although selecting a doctoral program is a daunting experience, the education will provide opportunities for the WOC nurse to excel as a scholar, thus influencing the profession and the practice.

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

    Institute of Scientific and Technical Information of China (English)



    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。

  4. 76 FR 34761 - Classified National Security Information (United States)


    ... 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......

  5. Classifying self-gravitating radiations

    CERN Document Server

    Kim, Hyeong-Chan


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

  6. 42 CFR 482.23 - Condition of participation: Nursing services. (United States)


    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Nursing services. 482... Hospital Functions § 482.23 Condition of participation: Nursing services. The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished...


    Directory of Open Access Journals (Sweden)

    Felipe Schneider Costa


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

  8. Energy-Efficient Neuromorphic Classifiers. (United States)

    Martí, Daniel; Rigotti, Mattia; Seok, Mingoo; Fusi, Stefano


    Neuromorphic engineering combines the architectural and computational principles of systems neuroscience with semiconductor electronics, with the aim of building efficient and compact devices that mimic the synaptic and neural machinery of the brain. The energy consumptions promised by neuromorphic engineering are extremely low, comparable to those of the nervous system. Until now, however, the neuromorphic approach has been restricted to relatively simple circuits and specialized functions, thereby obfuscating a direct comparison of their energy consumption to that used by conventional von Neumann digital machines solving real-world tasks. Here we show that a recent technology developed by IBM can be leveraged to realize neuromorphic circuits that operate as classifiers of complex real-world stimuli. Specifically, we provide a set of general prescriptions to enable the practical implementation of neural architectures that compete with state-of-the-art classifiers. We also show that the energy consumption of these architectures, realized on the IBM chip, is typically two or more orders of magnitude lower than that of conventional digital machines implementing classifiers with comparable performance. Moreover, the spike-based dynamics display a trade-off between integration time and accuracy, which naturally translates into algorithms that can be flexibly deployed for either fast and approximate classifications, or more accurate classifications at the mere expense of longer running times and higher energy costs. This work finally proves that the neuromorphic approach can be efficiently used in real-world applications and has significant advantages over conventional digital devices when energy consumption is considered.

  9. Political participation of registered nurses. (United States)

    Vandenhouten, Christine L; Malakar, Crystalmichelle L; Kubsch, Sylvia; Block, Derryl E; Gallagher-Lepak, Susan


    Level of political participation and factors contributing to participation were measured among Midwest RNs (n = 468) via an online survey (Cronbach's α = .95). Respondents reported engaging in primarily "low cost" activities (e.g., voting, discussing politics, and contacting elected officials), with fewer reporting speaking at public gatherings, participating in demonstrations, and membership in nursing organizations. Psychological engagement was most predictive (p nursing organizations need to model and cultivate greater psychological engagement among students and nurses.

  10. Nursing, Nursing Education, and Anxiety. (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. Estimating nursing costs--a methodological review. (United States)

    Chiang, Bea


    A critical cost accounting issue relating to nursing costs is that nursing costs are currently averaged into the daily room rate in the hospitals. This accounting practice treats nursing units as cost centers as nursing costs are bundled into a per diem rate instead of billed separately. As a result, all patients in a given care unit of the hospital are presumed to consume the same amount of nursing care resources. This costing and billing system creates a mismatch between resources consumption and billed charges. The objective of this paper is to (1) demonstrate current practice to estimate nursing costs, (2) classify nursing costs into direct and indirect costs in order to refine the existing approaches and (3) argue that a system of billing nursing costs separately better reflects the costs of patient care.

  12. Mentoring practices benefiting pediatric nurses. (United States)

    Weese, Meghan M; Jakubik, Louise D; Eliades, Aris B; Huth, Jennifer J


    Previous studies examining predictors of pediatric nurse protégé mentoring benefits demonstrated that protégé perception of quality was the single best predictor of mentoring benefits. The ability to identify the mentoring practices that predict specific benefits for individual nurses provides a better understanding of how mentoring relationships can be leveraged within health care organizations promoting mutual mentoring benefits. This descriptive correlational, non-experimental study of nurses at a northeast Ohio, Magnet® recognized, free-standing pediatric hospital advances nursing science by demonstrating how mentoring practices benefit pediatric nurse protégés.

  13. Nursing management in hospital emergency service: integrative review of the literature

    Directory of Open Access Journals (Sweden)

    Renata Cristina Antonelli


    Full Text Available This is an integrative literature review, which aims to analyze scientific articles that discuss the work of nurses in the management of hospital emergency services. The databases used were Latin American and Caribbean Health Science Literature (LILACS, Medical Literature Analysis and Retrieval System Online (MEDLINE, Integrated Building Environmental Communications System (IBECS, Scientific Electronic Library Online (SciELO and Nursing Database (BDENF. To conduct the survey, 10 articles were selected and classified into two themes, namely: "analyzing the work of the nurse in hospital emergency services" and "organizing the nurse work in hospital emergency services". The first category discussed the functions of the nurse and the satisfaction of these professionals, and the second, the problems identified in the hospital emergency service and strategies to organize the service, respectively. The theme developed showed how the work of the nurse presents as manager of that service, in addition to various strategies to alleviate or eliminate the identified problems in the urgency and emergency units of the hospital services.

  14. [Nursing manpower and solutions in Taiwan]. (United States)

    Teng, Su-Wen


    The shortage of nursing manpower is a long-term problem worldwide that affects Taiwan despite this country's internationally admired achievements in terms of its healthcare and national health insurance systems. This article reviews discussions related to the nursing shortage issue published by the World Health Organization, International Council of Nurses, and Taiwan Ministry of Health and Welfare. Next, an overview is given of the nursing workforce profile, causal factors behind the nursing shortage, and demand for and supply of nursing manpower. Finally, problems, resolutions, and expected outcomes for the nursing shortage in Taiwan are analyzed.

  15. The reorganization of the nursing labor process: from team to primary nursing. (United States)

    Brannon, R L


    The author presents a labor process analysis of recent changes in nursing work on hospital wards. In the immediate post-World War II decades, hospital nursing was organized to include stratified nurses--registered and auxiliary nurses (licensed practical nurses and nurses' aides)--in a common labor process called "team nursing." Team nursing adapted Taylorist principles to sharply demarcate tasks between registered nurses (RNs) and auxiliaries. In the 1970s and 1980s, team nursing increasingly replaced by "primary nursing" with a majority of RNs. Auxiliaries were displaced as RNs assumed undivided responsibility for complete nursing care. The transition to primary nursing is partly explained through the convergence of managerial interests with the professionalizing interests of nursing's elite. However, primary nursing was not simply imposed from the top down. Team nursing produced divisiveness between RNs and auxiliaries at the same time that it forced these workers to violate the official differentiation of tasks and held RNs responsible for work performed by auxiliaries. Primary nursing eliminates the problems of team nursing as RNs perform reunified tasks in an unmediated RN-patient relationship. However, primary nursing has produced a new set of contradictions, including an intensified labor process.

  16. Defining and Classifying Interest Groups

    DEFF Research Database (Denmark)

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


    The interest group concept is defined in many different ways in the existing literature and a range of different classification schemes are employed. This complicates comparisons between different studies and their findings. One of the important tasks faced by interest group scholars engaged...... in large-N studies is therefore to define the concept of an interest group and to determine which classification scheme to use for different group types. After reviewing the existing literature, this article sets out to compare different approaches to defining and classifying interest groups with a sample...

  17. [Systematization of nursing assistance in critical care unit]. (United States)

    Truppel, Thiago Christel; Meier, Marineli Joaquim; Calixto, Riciana do Carmo; Peruzzo, Simone Aparecida; Crozeta, Karla


    This is a methodological research, which aimed at organizing the systematization of nursing assistance in a critical care unit. The following steps were carried out: description of the nursing practice; transcription of nursing diagnoses; elaboration of a protocol for nursing diagnosis based in International Classification for Nursing Practice (ICNP); determination of nursing prescriptions and the elaboration of guidelines for care and procedures. The nursing practice and care complexity in ICU were characterized. Thus, systematization of nursing assistance is understood as a valuable tool for nursing practice.

  18. Burnout in transplant nurses. (United States)

    Jesse, Michelle T; Abouljoud, Marwan S; Hogan, Kathy; Eshelman, Anne


    Context-Burnout is a response to chronic strain within the workplace and is common across nursing professions. Little has been published about burnout in organ transplant nurses. Objective-To report the prevalence of the 3 main components of burnout (emotional exhaustion, depersonalization, and reduced personal accomplishment) in organ transplant nurses and to examine factors that contribute to the development of burnout in transplant nurses. Design-Cross-sectional survey of transplant nurses (recruited via listservs) on professional and personal demographics, decisional authority, psychological job demands, supervisor and coworker support, frequency and comfort with difficult patient interactions, and burnout. Participants-369 transplant nurses. Results-About half reported high levels of emotional exhaustion, 15.7% reported high levels of depersonalization, and 51.8% reported low levels of personal accomplishment. Working more hours per week, lower decisional authority, greater psychological job demands, lower perceived supervisor support, and greater frequency and discomfort with difficult patient interactions were significant predictors of emotional exhaustion. Greater frequency and discomfort with difficult patient interactions were significant predictors of depersonalization. Younger age, lower decisional authority, and greater discomfort with difficult patient interactions were predictors of low personal accomplishment. Conclusions-The study provides strong evidence of the presence of burnout in transplant nurses and opportunities for focused and potentially very effective interventions aimed at reducing burnout.

  19. The relationship between electronic nursing care reminders and missed nursing care. (United States)

    Piscotty, Ronald J; Kalisch, Beatrice


    The purpose of the study was to explore relationships between nurses' perceptions of the impact of health information technology on their clinical practice in the acute care setting, their use of electronic nursing care reminders, and episodes of missed nursing care. The study aims were accomplished with a descriptive design using adjusted correlations. A convenience sample (N = 165) of medical and/or surgical, intensive care, and intermediate care RNs working on acute care hospital units participated in the study. Nurses from 19 eligible nursing units were invited to participate. Adjusted relationships using hierarchical multiple regression analyses indicated significant negative relationships between missed nursing care and nursing care reminders and perceptions of health information technology. The adjusted correlations support the hypotheses that there is a relationship between nursing care reminder usage and missed nursing care and a relationship between health information technology and missed nursing care. The relationships are negative, indicating that nurses who rate higher levels of reminder usage and health information technology have decreased reports of missed nursing care. The study found a significant relationship between nursing care reminders usage and decreased amounts of missed nursing care. The findings can be used in a variety of improvement endeavors, such as encouraging nurses to utilize nursing care reminders, aid information system designers when designing nursing care reminders, and assist healthcare organizations in assessing the impact of technology on nursing practice.

  20. What's changed and what's stayed the same: a case study in nursing and philanthropy. (United States)

    Judge, Kate


    Philanthropic resources can help the nursing profession and nurses advance the health of the nation. While progress has been made by nursing organizations, primarily in academia, to fundraise for nursing-focused projects over the last 20 years, nursing receives little of the total annual US giving. The American Nurses Foundation's recent expansion provides an example of changes in philanthropy within the context of how the core principles of fundraising and market change can leverage giving for nursing activities and nurses.

  1. From hesitation to appreciation: the transformation of a single, local donation-nurse project into an established organ-donation service. (United States)

    Gyllström Krekula, Linda; Malenicka, Silvia; Nydahl, Anders; Tibell, Annika


    This study evaluates the transition from a local project to promote organ donation to a permanent county-based donation service inspired by the Spanish model. To address the problem of declining donation rates, a project with one donation-specialized nurse (DOSS) was initiated at a single neuro-intensive care unit. This project was later expanded into a permanent on-call service consisting of seven DOSSes, covering a large urban county. During the different periods (before, during project and during permanent service), the DOSS function's effect on donation rates was significant, and the number of eligible donors that became actual donors increased from 37% to 73% and 74%, respectively. The effect on family vetoes was as prominent with a decrease from 34% to 8% and 14%. The staff appreciation of the DOSS function was also evident during the periods; all areas included in the questionnaire (family care, donor care and staff support) have improved greatly owing to the DOSS. The transition from a single, local donation-nurse project, to an on-call service with several DOSSes covering a large urban county was a success considering the donation rates as well as the staff's appreciation. Hence, organizational models from abroad can be adjusted and successfully adopted.

  2. Head Nurse Leadership Style and Staff Nurse Job Satisfaction: Are They Related. (United States)


    inservices to be provided to the nurse leaders of organizations; and encouraging the pursuit of higher education for all nurse leaders, specifically to...related more often to satisfaction. Longest (1974) reported differences in the way I practicing registered nurses and nursing educators perceived...Length of nursing career; (b) educational preparation; (c) length of time worked on unit; (d) work status (part-time or full-time); (e) shift primarily

  3. 血液肿瘤科护士感知组织氛围对职业倦怠的影响%Influence of perceptual organization atmosphere on j ob burnout of nurses in department of hematology oncology

    Institute of Scientific and Technical Information of China (English)

    仇蓉; 吴绮珣; 刘吉子; 周娟; 苏洁


    [目的]观察和了解血液肿瘤科护士感知组织氛围与职业倦怠现状,并探讨两者之间的关系。[方法]对300名血液肿瘤科护士运用护理组织氛围量表和职业倦怠普适量表进行调查。[结果]血液肿瘤科护士感知组织氛围得分为3.45分±0.48分,职业倦怠得分为4.25分±0.65分;感知组织氛围中人际和谐、支持认同和关心员工是护士职业倦怠的主要影响因素(P<0.01或P<0.05)。[结论]血液肿瘤科护理管理过程中良好的组织氛围非常重要,给予护理人员必要的人文关怀和温暖氛围,使其全身心地投入到工作当中,降低职业倦怠水平,提高护理服务质量。%Objective:To observe and understand the current situation of perception of organizational atmosphere and job burnout of nurses in department of hematology oncology,and to probe into the relationship between them.Methods:A total of 300 nurses in hematology oncology department were investigated by using nursing organization atmosphere scale and the job burnout common scale.Results:The perceptual organization atmos-phere score of nurses in hematology oncology department was 3.45±0.48.The job burnout score of them was 4.25±0.65.The interpersonal harmony,support identity and care staffs in the perceptual organization atmos-phere were the main influencing factors of nurses'job burnout (P<0.01 or P< 0.05).Conclusion:Good organ-ization atmosphere was very important in the process of nursing management in the department of hematology and oncology.Nursing staff should be given the necessary humanistic care and warm atmosphere.To let them put whole body into the work of the heart,so as to reduce their level of job burnout,and to improve the quality of nursing service.

  4. 75 FR 707 - Classified National Security Information (United States)


    ... National Security Information Memorandum of December 29, 2009--Implementation of the Executive Order ``Classified National Security Information'' Order of December 29, 2009--Original Classification Authority #0... 13526 of December 29, 2009 Classified National Security Information This order prescribes a...

  5. Competence areas of nursing students in Europe. (United States)

    Satu, Kajander-Unkuri; Leena, Salminen; Mikko, Saarikoski; Riitta, Suhonen; Helena, Leino-Kilpi


    The focus of this study is on European nursing education, where there have been several reforms over the last two decades attempting to harmonise curricula and degree structures. One of the most powerful reforms was started by the Bologna Declaration in 1999; since then, significant progress has been made towards achieving the European Higher Education Area (EHEA) and the implementation of the European Qualifications Framework (EQF) in education practice. The Directive of recognition of professional qualifications (2005/36/EC) regulates nursing education. All these strategies aim to harmonise nursing education, but specific competence areas in nursing are still missing within the European Union (EU). The purpose of this review was to seek competence areas for nursing students within the EU as identified in previous studies and other documents. Altogether, 67 competence areas were identified and classified into eight main categories: (1) professional and ethical values and practice, (2) nursing skills and intervention, (3) communication and interpersonal skills, (4) knowledge and cognitive ability, (5) assessment and improving quality in nursing, (6) professional development, (7) leadership, management and teamwork, and (8) research utilisation. In order to obtain a comprehensive concept of competence, more research is needed on nursing students' competence areas across the EU due to the fact that the EU is a common labour market and nurses are educated for the EU as a whole. Nursing is a global profession and nurse competence is central to patient care outcomes, so it is also internationally important that nurses have good competence.

  6. Aggregation Operator Based Fuzzy Pattern Classifier Design

    DEFF Research Database (Denmark)

    Mönks, Uwe; Larsen, Henrik Legind


    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 perfor....... The performances of novel classifiers using substitutes of MFPC's geometric mean aggregator are benchmarked in the scope of an image processing application against the MFPC to reveal classification improvement potentials for obtaining higher classification rates....

  7. How Is Childhood Leukemia Classified? (United States)

    ... tissues and organs beyond the bone marrow. These children often have fever, poor appetite, and weight loss. At this point the CML acts much like an aggressive acute leukemia (AML or, less often, ALL). Not ... questions about what phase your child’s CML is in, be sure to have the ...

  8. 15 CFR 4.8 - Classified Information. (United States)


    ... 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...

  9. Nursing Reclaims its Role. (United States)

    Diers, Donna


    An attempt is made to explain the nurses' role: what the nurse is, what the nurse does, how the nurse is viewed by society, why nurses suffer burnout, nursing costs, and health care system reform. (CT)

  10. Rheumatology outpatient nurse clinics: a valuable addition?

    NARCIS (Netherlands)

    Temmink, D.; Hutten, J.B.F.; Francke, A.L.; Rasker, J.J.; Huijer Abu-Saad, H.; Zee, J. van der


    Objectives: "Transmural rheumatology nurse clinics," where nursing care is provided under the joint responsibility of a home care organization and a hospital, were recently introduced into Dutch health care. This article gives insight into outcomes of the transmural rheumatology nurse clinics. Metho

  11. Evaluation of a nurse leadership development programme. (United States)

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


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

  12. Nursing and the Management Function. (United States)

    Sherman, V. Clayton

    The report describes a study designed to analyze nurses' management duties and to identify their tasks in planning, organizing, staffing. leading, communication, decision making, and controlling. A total of 117 supervisory nurses and unit managers from four Western Michigan short-term general hospitals in the 410-540 bed range participated in the…

  13. An institutional ethnography of nurses' stress. (United States)

    McGibbon, Elizabeth; Peter, Elizabeth; Gallop, Ruth


    There are three main conceptualizations of nurses' stress: occupational stress, moral distress, and traumatization (compassion fatigue, secondary traumatic stress, vicarious trauma). Although we have learned a great deal from these fields, some of them lack important contextual aspects of nurses' practice, such as the gendered nature of the workforce and the nature of the work, including bodily caring. The purpose of this study was to reformulate the nature of stress in nursing, with attention to important contextual aspects of nurses' practice. Smith's sociological frame of institutional ethnography was used to explicate the social organization of nurses' stress. Data collection methods included in-depth interviews, participant observation, and focus groups with pediatric intensive care nurses. Data analysis focused on the social organization of nurses' stress, including negotiating power-based hierarchies and articulating the patient to the system. The article concludes with recommendations for addressing nurses' stress through a more critical and contextual analysis.

  14. Leadership behaviours that foster nursing group power. (United States)

    Sieloff, Christina Leibold


    Today's health care environment presents many challenges to nursing groups as they seek to achieve their goals. All resources must be recognized and effectively utilized. Power, defined as the capacity to achieve goals (Sieloff 1995), is a valuable resource that can assist nursing groups in the achievement of their goals. The leader of a nursing group can make a significant difference in a group's ability to actualize their power capacity. The purpose of this article is to identify and discuss the use of a tool (Sieloff-King Assessment of Group Power within Organizations) to identify the nurse leader/group power variables that can be used to improve a nursing group's power as a resource in the achievement of its goals. Using behaviours related to a Nurse Leader's Power Competency and Power Perspective variables, identified in the Theory of Group Power within Organizations (Sieloff 1999), a nurse leader can foster a nursing group's power.

  15. Nursing Home Checklist (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 ...

  16. Nursing diagnosis


    Ščavničar, Ema


    Nursing diagnosis is an integral part of nursing process approach. There are many definitions, which have one common theme: it's a stth status of a client.A nursing diagnostic statement has two or three parts. The article includes section on making of nursing diagnosis and a section on classification. Negovalna diagnoza je sestavni del v procesnem pristopu zdravstvene nege. Predstavljene so definicije, katere temeljijo na varovančevem stanju zdravja. Negovalna diagnoza ima dva ali tri dele...

  17. Nursing burnout interventions: what is being done? (United States)

    Henry, Barbara J


    Many studies have documented high prevalence of burnout and compassion fatigue in oncology nurses. Burnout has detrimental effects on nurses, patients, and healthcare organizations. However, burnout interventions have been shown to improve the physical and mental health of nurses, patient satisfaction, and the organizational bottom line by reducing associated costs of burnout. Although treatment centers may prevent and correct burnout in oncology nurses by providing various interventions, few articles focus on those interventions. This article compiles and describes interventions that will serve as a reference to nurses and healthcare organization leaders interested in implementing similar programs.

  18. Nursing: What's a Nurse Practitioner? (United States)

    ... is a big part of the pediatric NP's role. Pediatric and family practice NPs can treat acute ( ... Nurse Practitioners (NAPNAP) and through local hospitals or nursing schools. Also, many doctors share office space with ...

  19. 22 CFR 125.3 - Exports of classified technical data and classified defense articles. (United States)


    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Exports of classified technical data and... IN ARMS REGULATIONS LICENSES FOR THE EXPORT OF TECHNICAL DATA AND CLASSIFIED DEFENSE ARTICLES § 125.3 Exports of classified technical data and classified defense articles. (a) A request for authority...

  20. Pavement Crack Classifiers: A Comparative Study

    Directory of Open Access Journals (Sweden)

    S. Siddharth


    Full Text Available Non Destructive Testing (NDT is an analysis technique used to inspect metal sheets and components without harming the product. NDT do not cause any change after inspection; this technique saves money and time in product evaluation, research and troubleshooting. In this study the objective is to perform NDT using soft computing techniques. Digital images are taken; Gray Level Co-occurrence Matrix (GLCM extracts features from these images. Extracted features are then fed into the classifiers which classifies them into images with and without cracks. Three major classifiers: Neural networks, Support Vector Machine (SVM and Linear classifiers are taken for the classification purpose. Performances of these classifiers are assessed and the best classifier for the given data is chosen.

  1. Comparing different classifiers for automatic age estimation. (United States)

    Lanitis, Andreas; Draganova, Chrisina; Christodoulou, Chris


    We describe a quantitative evaluation of the performance of different classifiers in the task of automatic age estimation. In this context, we generate a statistical model of facial appearance, which is subsequently used as the basis for obtaining a compact parametric description of face images. The aim of our work is to design classifiers that accept the model-based representation of unseen images and produce an estimate of the age of the person in the corresponding face image. For this application, we have tested different classifiers: a classifier based on the use of quadratic functions for modeling the relationship between face model parameters and age, a shortest distance classifier, and artificial neural network based classifiers. We also describe variations to the basic method where we use age-specific and/or appearance specific age estimation methods. In this context, we use age estimation classifiers for each age group and/or classifiers for different clusters of subjects within our training set. In those cases, part of the classification procedure is devoted to choosing the most appropriate classifier for the subject/age range in question, so that more accurate age estimates can be obtained. We also present comparative results concerning the performance of humans and computers in the task of age estimation. Our results indicate that machines can estimate the age of a person almost as reliably as humans.

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

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


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

  3. Organizational Commitment in Nurses

    Directory of Open Access Journals (Sweden)

    Azizollah Arbabisarjou


    Full Text Available Introduction: As increase in nursing shortages, absenteeism and turn over, organizational commitment is extensively important for retention of nurses. Organizational committed staff has higher efficiency; thus, more tendency to stay and less absenteeism are their characteristics. Being aware of nursing staff’s organizational commitment provides adequate information to authorities to make- decision and lead in adopting proper methods to determine the effectiveness of the Health Centers in the country. Hence, the present study carried out to examine the amount of nurses’ organizational commitment. Materials and Methods: The nurses were 200 subjects who participated in this descriptive- analytical study. They were engaged in teaching hospitals in Zahedan in 2016. Data were collected from 200 nurses in major hospitals. Samples were selected by a random sampling method. Questionnaires, including Demographic data, Organizational Commitment Questionnaires. Data were analyzed by SPSS version 21.0 using descriptive statistics, Pearson correlation, variance analysis and t-test. Findings: The results showed nurses’ average age was 30.05±6.56. The female subjects were 162. The average level of organizational commitment among nurses was 74.24±8.36, emotional commitment was 25.58±3.26. The component, and continued commitment was 24.36±4.05 and 24.30±3.48 for normative commitment. There was no relationship between the age and organizational commitment, emotional and continuing commitment, but their relation was significant with normative commitment. Conclusion: The result of the present study indicated that the grade of the organizational commitment of participating nurses in was moderate, in this study. An organization requires to the staff foe gaining to its goals, who do their duty along love and enthusiasm and are committed to this organization. Proper ground should be established in order to make and maintain these features in the staff.

  4. [Nursing care systematization according to the nurses' view: a methodological approach based on grounded theory]. (United States)

    de Medeiros, Ana Lúcia; dos Santos, Sérgio Ribeiro; de Cabral, Rômulo Wanderley Lima


    This study was aimed at understanding, from the nurses' perspective, the experience of going through the Systematization of nursing care (SNC) in an obstetric service unit. We used grounded theory as the theoretical and methodological framework. The subjects of this study consisted of thirteen nurses from a public hospital in the city of João Pessoa, in the state of Paraíba. The data analysis resulted in the following phenomenon. "perceiving SNC as a working method that organizes, directs and improves the quality of care by bringing visibility and providing security for the nursing staff" The nurses expressed the extent of knowledge about the SNC experienced in obstetrics as well as considered the nursing process as a decision-making process, which guides the reasoning of nurses in the planning of nursing care in obstetrics. It was concluded that nurses perceive the SNC as an instrument of theoretical-practical articulation leading to personalized assistance.

  5. Harmonising Nursing Terminologies Using a Conceptual Framework. (United States)

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


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

  6. Nursing the Nursing Shortage Back to Health. (United States)

    Weisbord, Anne


    Discusses shortage of nurses, improved compensation, and other benefits for nurses. Discusses effects of institutional reputation. Describes move to retention programs by nurse recruiters. Concludes image of nursing has developed into professional status. (ABL)

  7. A review of learning vector quantization classifiers

    CERN Document Server

    Nova, David


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

  8. Relation between Safety Organizing and Job Self-efficacy for ICU Nurses%安全组织与ICU护士工作效能感的关系探讨

    Institute of Scientific and Technical Information of China (English)

    杨旭英; 俞勤; 王志娟


    目的调查ICU护士的安全组织、工作效能感现状,分析两者之间的关系。方法采用中文版安全组织量表和工作效能感量表对15所三级医院948名ICU护士进行问卷调查。结果安全组织、工作效能感得分分别为(44.34±9.67)分、(29.56±5.87)分;ICU护士的安全组织与工作效能感呈正相关(r=0.822, P=0.002);职称、月收入、安全组织为工作效能感的影响因素(P<0.05)。结论 ICU护士的安全组织和工作效能感均处于中等水平,安全组织为ICU护士工作效能感的影响因素。%Objective To investigate current status of safety organizing and job self-efficacy of ICU nurses and analyze their relation.Methods Conducted questionnaire survey on 948 ICU nurses from 15 tertiary hospitals with safety organizing scale and job self-efficacy scale in Chinese version.Results The scores of safety organizing and job self-efficacy were (44.34±9.67) and (29.56±5.87) respectively. Safety organizing of ICU nurses was positively correlated with job self-efficacy (r=0.822, P=0.002). Title, monthly income and safety organizing were influencing factors for job self-efficacy (P<0.05). Conclusion The safety organizing and job self-efficacy of ICU nurses are at the middle level. Safety organizing is an influencing factors for job self-efficacy of ICU nurses.

  9. Deconvolution When Classifying Noisy Data Involving Transformations

    KAUST Repository

    Carroll, Raymond


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

  10. Recruiting and Retaining Army Nurses: An Annotated Bibliography (United States)


    rather than active duty). Also, identify ways in which nursing organizations could assist DOD in recruiting, develop videos of current nursing... nursing organizations . Slewitzke, Connie L., Vail, James D., and McMarlin, Susan A., US Army Reserve and National Guard Survey: An Analysis of Factors

  11. A Study of the Practical Nursing Programs in Vermont. (United States)

    Carr, Ruby C.

    The purpose of the study was to review the entire practical nursing program and to make recommendations for its long-term organization and objectives. Relevant information concerned (1) the history of practical nursing, (2) purpose, membership, and related information on four professional nursing organizations, (3) state and federal legislation…

  12. Nursing Revalidation


    F. Cannon; McCutcheon, K.


    This article details the Nursing and Midwifery Council revalidation requirements essential for all registered nurses and midwives in the United Kingdom. Nursing revalidation is effective from April 2016 and is built on the pre-existing Post-registration education and practice. Unlike the previous process, revalidation provides a more robust system which is clearly linked to the Code and should assist towards the delivery of quality and safe effective care

  13. Fostering nursing ethics for practical nursing


    森田, 敏子; モリタ, トシコ; Morita, Toshiko


    Higher nursing ethics can raise nursing quality. The author attempts to define theproblem from the seedling of sensibility in practical nursing and focuses on the clinical environment surrounding nursing ethics from its pedagogical and historicalaspects. On the basis of these standpoints, the author discusses issues on the practical nursing as a practitioner of nursing ethics.

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


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


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

  15. Documentation of Nursing Practice Using a Computerized Medical Information System (United States)

    Romano, Carol


    This paper discusses a definition of the content of the computerized nursing data base developed by the Nursing Department for the Clinical Center Medical Information System at the National Institutes of Health in Bethesda, Maryland. The author describes the theoretical framework for the content and presents a model to describe the organization of the nursing data components in relation to the process of nursing care delivery. Nursing documentation requirements of Nurse Practice Acts, American Nurses Association Standards of Practice and the Joint Commission on Accreditation of Hospitals are also addressed as they relate to this data base. The advantages and disadvantages of such an approach to computerized documentation are discussed.

  16. Logarithmic learning for generalized classifier neural network. (United States)

    Ozyildirim, Buse Melis; Avci, Mutlu


    Generalized classifier neural network is introduced as an efficient classifier among the others. Unless the initial smoothing parameter value is close to the optimal one, generalized classifier neural network suffers from convergence problem and requires quite a long time to converge. In this work, to overcome this problem, a logarithmic learning approach is proposed. The proposed method uses logarithmic cost function instead of squared error. Minimization of this cost function reduces the number of iterations used for reaching the minima. The proposed method is tested on 15 different data sets and performance of logarithmic learning generalized classifier neural network is compared with that of standard one. Thanks to operation range of radial basis function included by generalized classifier neural network, proposed logarithmic approach and its derivative has continuous values. This makes it possible to adopt the advantage of logarithmic fast convergence by the proposed learning method. Due to fast convergence ability of logarithmic cost function, training time is maximally decreased to 99.2%. In addition to decrease in training time, classification performance may also be improved till 60%. According to the test results, while the proposed method provides a solution for time requirement problem of generalized classifier neural network, it may also improve the classification accuracy. The proposed method can be considered as an efficient way for reducing the time requirement problem of generalized classifier neural network.

  17. Nursing informatics and nursing ethics

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer


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

  18. A Sequential Algorithm for Training Text Classifiers

    CERN Document Server

    Lewis, D D; Lewis, David D.; Gale, William A.


    The ability to cheaply train text classifiers is critical to their use in information retrieval, content analysis, natural language processing, and other tasks involving data which is partly or fully textual. An algorithm for sequential sampling during machine learning of statistical classifiers was developed and tested on a newswire text categorization task. This method, which we call uncertainty sampling, reduced by as much as 500-fold the amount of training data that would have to be manually classified to achieve a given level of effectiveness.

  19. An Analysis of Academic Programs Preparing Nursing Administrators. (United States)

    Stepura, Barbara A.; Tilbury, Mary S.

    Key elements of the master's level programs offering majors and/or minors in nursing administration and accredited by the National League for Nursing were assessed. The focus was admission and graduation stipulations and curriculum content. Courses were classified according to content and categorized as either administration, research,…

  20. Using RNA Sequencing to Classify Organisms into Three Primary Kingdoms. (United States)

    Evans, Robert H.


    Using the biochemical record to class archaebacteria, eukaryotes, and eubacteria involves abstractions difficult for the concrete learner. Therefore, a method is provided in which students discover some basic tenets of biochemical classification and apply them in a "hands-on" classification problem. The method involves use of RNA…

  1. Classifiers based on optimal decision rules

    KAUST Repository

    Amin, Talha


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

  2. An Efficient and Effective Immune Based Classifier

    Directory of Open Access Journals (Sweden)

    Shahram Golzari


    Full Text Available Problem statement: Artificial Immune Recognition System (AIRS is most popular and effective immune inspired classifier. Resource competition is one stage of AIRS. Resource competition is done based on the number of allocated resources. AIRS uses a linear method to allocate resources. The linear resource allocation increases the training time of classifier. Approach: In this study, a new nonlinear resource allocation method is proposed to make AIRS more efficient. New algorithm, AIRS with proposed nonlinear method, is tested on benchmark datasets from UCI machine learning repository. Results: Based on the results of experiments, using proposed nonlinear resource allocation method decreases the training time and number of memory cells and doesn't reduce the accuracy of AIRS. Conclusion: The proposed classifier is an efficient and effective classifier.

  3. Local Component Analysis for Nonparametric Bayes Classifier

    CERN Document Server

    Khademi, Mahmoud; safayani, Meharn


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

  4. Nursing Homes (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 ... Research Getting More Help Related Topics Assisted Living Community-Based ... Health of Nursing Home Residents Friday, September 18, 2015 Join our ...

  5. Classifying Genomic Sequences by Sequence Feature Analysis

    Institute of Scientific and Technical Information of China (English)

    Zhi-Hua Liu; Dian Jiao; Xiao Sun


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

  6. Searching and Classifying non-textual information


    Arentz, Will Archer


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

  7. Classifying the Quantum Phases of Matter (United States)


    2013), arXiv:1305.2176. [10] J. Haah, Lattice quantum codes and exotic topological phases of matter , arXiv:1305.6973. [11[ M. Hastings and S...CLASSIFYING THE QUANTUM PHASES OF MATTER CALIFORNIA INSTITUTE OF TECHNOLOGY JANUARY 2015 FINAL TECHNICAL REPORT...REPORT 3. DATES COVERED (From - To) JAN 2012 – AUG 2014 4. TITLE AND SUBTITLE CLASSIFYING THE QUANTUM PHASES OF MATTER 5a. CONTRACT NUMBER FA8750-12-2

  8. 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


    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


    Institute of Scientific and Technical Information of China (English)

    Bhekisipho TWALA


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

  10. A multi-class large margin classifier

    Institute of Scientific and Technical Information of China (English)

    Liang TANG; Qi XUAN; Rong XIONG; Tie-jun WU; Jian CHU


    Currently there are two approaches for a multi-class support vector classifier (SVC). One is to construct and combine several binary classifiers while the other is to directly consider all classes of data in one optimization formulation. For a K-class problem (K>2), the first approach has to construct at least K classifiers, and the second approach has to solve a much larger op-timization problem proportional to K by the algorithms developed so far. In this paper, following the second approach, we present a novel multi-class large margin classifier (MLMC). This new machine can solve K-class problems in one optimization formula-tion without increasing the size of the quadratic programming (QP) problem proportional to K. This property allows us to construct just one classifier with as few variables in the QP problem as possible to classify multi-class data, and we can gain the advantage of speed from it especially when K is large. Our experiments indicate that MLMC almost works as well as (sometimes better than) many other multi-class SVCs for some benchmark data classification problems, and obtains a reasonable performance in face recognition application on the AR face database.

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

    CERN Document Server

    Hu, Bao-Gang


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

  12. Using a nursing balanced scorecard approach to measure and optimize nursing performance. (United States)

    Jeffs, Lianne; Merkley, Jane; Richardson, Sandy; Eli, Jackie; McAllister, Mary


    The authors give an overview of one healthcare organization's experience in developing a nursing strategic plan and nursing balanced scorecard (NBS) using a focused planning process involving strategy mapping. The NBS is being used at this organization to manage the nursing strategic plan by leveraging and improving nursing processes and organizational capabilities as required, based on data and transparent communication of performance results to key stakeholders. Key strategies and insights may help other nurse leaders in developing or refining strategic approaches to measuring nursing performance. Vital to the success of an organization's strategic plan are ongoing endorsement, engagement and visibility of senior leaders. Quality of decisions made depends on the organization's ability to collect data from multiple sources using standardized definitions, mine data and extract them for statistical analysis and effectively present them in a compelling and understandable way to users and decision-makers.

  13. Nursing Ethics: A Lifelong Commitment. (United States)

    Gibbons, Susanne W; Jeschke, E Ann


    Over the past 30 years, the health-care context as well as the roles and responsibilities of nurses have drastically changed. Leaders in nursing around the world recognize that the health-care system is stressed and the well-being of the nursing workforce plagued by the pressures and challenges it faces in everyday practice. We do not intend to make a strong normative argument for why nursing ethics education should be done in a certain way, but instead show from where we have come and to where we can go, so that educators are positioned to address some of the current shortcomings in ethics education. Our goal is to provide an illustration of ethics education as an interwoven, ongoing, and essential aspect of nursing education and professional development. By developing professional identity as character, we hope that professional nurses are given the skills to stand in the face of adversity and to act in a way that upholds the core competencies of nursing. Ultimately, health-care organizations will thrive because of the support they provide nurses and other health-care professionals.

  14. The future of nursing: domestic agenda, global implications. (United States)

    Shaffer, Franklin A; Davis, Catherine R; To Dutka, Julia; Richardson, Donna R


    The 2010 Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health, challenges the nursing profession to take a key role in redesigning the health care system. Intended to shape the future of nursing in the United States, the IOM report has implications for nursing worldwide. While individual states and nursing organizations are developing initiatives to implement the IOM recommendations in the United States, there must be a concomitant effort to examine the ripple effect on global health and the nursing community. This article addresses four IOM recommendations that are directly relevant to internationally educated nurses who practice across borders: nurse residency programs, lifelong learning, leading change to advance health, and interprofessional health care workforce data. The article discusses the IOM recommendations through a global perspective and offers policy implications for legislators, health care organizations and nurse educators, regulators and administrators.

  15. The Quad Council practice competencies for public health nursing. (United States)

    Swider, Susan M; Krothe, Joyce; Reyes, David; Cravetz, Michelle


    This article describes the most recent efforts by the Quad Council of Public Health Nursing organizations to review and revise the competencies for PHN practice, and highlights the implications of these competencies for practice, education, and research. The Quad Council is a coalition of four nursing organizations with a focus on public health nursing and includes the Association of Community Health Nursing Educators; the Association of Public Health Nursing (known prior to July 1, 2012 as the Association of State and Territorial Directors of Nursing); the Public Health Nursing section of the American Public Health Association; and the Council on Economics and Practice of the American Nurses' Association. The Quad Council competencies are based on the Council on Linkages competencies for public health professionals and were designed to ensure that public health nursing fits in the domain of public health science and practice.

  16. 护理人员野战护理技能训练的组织与实施%Organization and Implementation of Field Nursing Skills Training

    Institute of Scientific and Technical Information of China (English)

    张玉琴; 花曼曼; 刘静


    本文通过对新形势下军队中小医院护理人员掌握野战护理技能需要的现状分析,从提高野战护理思想认识、加强野战护理知识学习和技能培训三方面入手,探讨野战护理技能训练的具体方法,为提高护理人员野战技能提供指导。%The needs to master field nursing skills were analyzed of nursing staff during the new period in small-middle military hospitals ,and the methods to carry out nursing skill training were discussed from three as-pects ashelping them to realize the necessities to master this skill , studying field nursing knowledge and providing skills training .

  17. 高职护理专业有机化学教学探讨%Exploration on Vocational Nursing Organic Chemistry Teaching

    Institute of Scientific and Technical Information of China (English)



    For secondary school students of senior high vocational school nursing profession,there's certain difficulty in their study of organic chemistry,the teacher must according to actual condition,strengthen with the course teacher lectures emerges,clear teaching key points and difficulties,and to pay attention to the theory with practice,to improve the students' interest in study,and make full use of multimedia technology,arouses student's enthusiasm,the strengthening of teaching,to improve the theoretical knowledge understanding and so on aspect,efforts to achieve this course standards of teaching goal,the study of the course for the subsequent lay a good foundation%对于从初中入学的高职护理专业学生,在学习有机化学时存在着一定困难,老师要根据实际情况,加强同课程教师集体备课,明确教学重点、难点,在注重理论联系实际,提高学生学习兴趣,充分利用多媒体技术,调动学生的学习热情,加强实验教学,提高学生对理论知识的理解等方面下功夫,努力达到本课程标准规定的教学目标,为后续课程的学习打下良好的基础。

  18. 1例继发性血色病合并多器官损害的护理%Nursing on a patient with secondary hemochromatosis complicated with multiple organic lesions

    Institute of Scientific and Technical Information of China (English)

    黄美娟; 梁碧宁; 苏润婵


    总结1例继发性血色病合并多器官损害患者的护理,采取去铁胺治疗,护理上给予卧床休息与活动指引、吸氧、监测生命体征等,低铁饮食、皮肤护理、护肝治疗、心理护理、出院健康教育等.患者血清铁渐恢复正常,病情稳定出院.%This paper summarized nursing measures of a patient with secondary hemochromatosis complicated with multiple organic lesions. As the result of defetoxamine treatment and nursing measures included postural care, movement guidance, observation of vital signs, low iron diet, skin care, liver treatment care,psychological care and discharged guidance, patient's blood serum iron returned to normal level and discharged from hospital.

  19. Disaster preparedness for nurses: a teaching guide. (United States)

    Tillman, Paula


    As one of the largest groups of health care providers in the United States, nurses are trained to attend to the physical, psychological, and spiritual needs of their patients, making them highly qualified to influence the outcomes of victims of an emergency situation. Unfortunately, nursing programs offer limited content on delivering care under extreme conditions, and few continuing education programs are available to practicing nurses. This article provides a brief educational presentation that can be used without an extensive time commitment or in-depth instructor knowledge of the subject. The course content has been presented to nurses at the American Red Cross, at local chapter meetings of professional nursing organizations, and to both graduate and undergraduate nursing students. This presentation is not designed to be a comprehensive study of disaster nursing, but serves as a starting point that might lead to further study and encourage active participation in preparedness education and planning.

  20. Workplace violence in nursing today. (United States)

    Araujo, Susan; Sofield, Laura


    Workplace violence is not a new phenomenon and is often sensationalized by the media when an incident occurs. Verbal abuse is a form of workplace violence that leaves no scars. However, for nurses, the emotional damage to the individual can affect productivity, increase medication errors, incur absenteeism, and decrease morale and overall satisfaction within the nursing profession. This results in staffing turnover and creates a hostile work environment that affects the culture within the organization.

  1. Naturalistic nursing. (United States)

    Hussey, Trevor


    Where nurse education aims to provide an overarching intellectual framework, this paper argues that it should be the framework of naturalism. After an exposition of the chief features of naturalism and its relationship to science and morality, the paper describes naturalistic nursing, contrasting it with some other perspectives. There follows a defence of naturalism and naturalistic nursing against several objections, including those concerning spirituality, religion, meaning, morality, and alternative sources of knowledge. The paper ends with some of the advantages of the naturalistic approach.

  2. 系统组织能力培养在护士岗前培训中的应用%System Organization Ability Training in the Application of Nurses'Pre-service Training

    Institute of Scientific and Technical Information of China (English)

    童莉; 焦永倩; 李彬; 张艳卿; 王艳静


    目的:了解和培养新护士的系统组织能力,提高护理工作整体性、动态适应性,提升自身结构能力、发展发育能力、自我调节纠纷、自我服务、自我适应的能力。方法采用自行录制培训考核视频进行观看、培训,结合临床护理、实践技能,动态性的培养与开发临床护士应激情景感知能力,应用评判性思维能力测量表( CTDI-CV)对新护士在培训第1天和培训后3个月进行测量。结果培训前后系统组织能力得分,差异具有统计学意义(t=-6.658,P<0.05)。其中子条目1,2,3,6,7,9培训前后比较差异有统计学意义(t=-3.142,-6.876,-2.577,-5.39,-2.901,-2.325;P<0.05)结论有效、个体化的教育培养重点和临床思维引导是提高护士组织能力的价值取向,系统组织能力的供给方面(护士)与组织能力的需求方面(患者)均衡作用,是组织能力价值的最终测度指标,是创造、营造和维持自身竞争优势的源泉。%Objective To understand and cultivate new nurses'system organization ability ,improve nurses'work integrity and dynam-ic adaptability ,and raise their structure development ,self-adjusting disputes ,self-service and self-adaptive ability .Methods Using recorded training evaluation to watch video training combined with clinical nursing practice skills ,the training and development of dynam-ic clinical nurse stress situation awareness ,application of critical thinking ability inventory (CTDI-CV)was used to measure training for new nurses in 1 and 3 months after training .Results There were significant differeneesin sysrtern organization between before and ofter training (t=-6.658,P=0.000),and move spetifically there were significant differences in 1,2,3,6,7and 9 item(t=-3.142,-6.876,-2.577,-5.390,-2.901,-2.325;P<0.05)Conclusion Effective individualized education training focus and clinical thinking of leading

  3. Hypertension guideline implementation: experiences of Finnish primary care nurses

    DEFF Research Database (Denmark)

    Alanen, Seija; Ijäs, Jarja; Kaila, Minna;


    RATIONALE, AIMS AND OBJECTIVES: Evidence-based guidelines on hypertension have been developed in many western countries. Yet, there is little evidence of their impact on the clinical practices of primary care nurses. METHOD: We assessed the style of implementation and adoption of the national...... Hypertension Guideline (HT Guideline) in 32 Finnish health centres classified in a previous study as 'disseminators' (n = 13) or 'implementers' (n = 19). A postal questionnaire was sent to all nurses (n = 409) working in the outpatient services in these health centres. Additionally, senior nursing officers...... were telephoned to enquire if the implementation of the HT Guideline had led to a new division of labour between nurses and doctors. RESULTS: Questionnaires were returned from 327 nurses (80.0%), while all senior nursing officers (n = 32) were contacted. The majority of nurses were of the opinion...

  4. When the business of nursing was the nursing business: the private duty registry system, 1900-1940. (United States)

    Whelan, Jean C


    In the initial decades of the 20th century, most nurses worked in the private sector as private duty nurses dependent on their own resources for securing and obtaining employment with individual patients. To organize and systematize the ways in which nurses sought jobs, a structure of private duty registries, agencies which connected nurses with patients, was established via professional nurse associations. This article describes the origins of the private duty nurse labor market as the main employment field for early nurses and ways in which the private duty registry system connected nurses and patients. The impact of professional nurses associations and two registries, (New York and Chicago) illustrates how the business of nursing was carried out, including registry formation, operation, and administration. Private duty nurses are compelling examples of a previous generation of nurse entrepreneurs. The discussion identifies problems and challenges of private nursing practice via registries, including the decline and legacy of this innovative nurse role. The story of early 20th century nurse owned and operated registries provides an early and critical historical illustration of the realization of nurse power, entrepreneurship, and control over professional practice that we still learn from today.

  5. Averaged Extended Tree Augmented Naive Classifier

    Directory of Open Access Journals (Sweden)

    Aaron Meehan


    Full Text Available This work presents a new general purpose classifier named Averaged Extended Tree Augmented Naive Bayes (AETAN, which is based on combining the advantageous characteristics of Extended Tree Augmented Naive Bayes (ETAN and Averaged One-Dependence Estimator (AODE classifiers. We describe the main properties of the approach and algorithms for learning it, along with an analysis of its computational time complexity. Empirical results with numerous data sets indicate that the new approach is superior to ETAN and AODE in terms of both zero-one classification accuracy and log loss. It also compares favourably against weighted AODE and hidden Naive Bayes. The learning phase of the new approach is slower than that of its competitors, while the time complexity for the testing phase is similar. Such characteristics suggest that the new classifier is ideal in scenarios where online learning is not required.

  6. Evolving Classifiers: Methods for Incremental Learning

    CERN Document Server

    Hulley, Greg


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

  7. Reinforcement Learning Based Artificial Immune Classifier

    Directory of Open Access Journals (Sweden)

    Mehmet Karakose


    Full Text Available One of the widely used methods for classification that is a decision-making process is artificial immune systems. Artificial immune systems based on natural immunity system can be successfully applied for classification, optimization, recognition, and learning in real-world problems. In this study, a reinforcement learning based artificial immune classifier is proposed as a new approach. This approach uses reinforcement learning to find better antibody with immune operators. The proposed new approach has many contributions according to other methods in the literature such as effectiveness, less memory cell, high accuracy, speed, and data adaptability. The performance of the proposed approach is demonstrated by simulation and experimental results using real data in Matlab and FPGA. Some benchmark data and remote image data are used for experimental results. The comparative results with supervised/unsupervised based artificial immune system, negative selection classifier, and resource limited artificial immune classifier are given to demonstrate the effectiveness of the proposed new method.

  8. Dynamic Bayesian Combination of Multiple Imperfect Classifiers

    CERN Document Server

    Simpson, Edwin; Psorakis, Ioannis; Smith, Arfon


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

  9. 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


    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.

  10. [Leadership and communication in nursing management]. (United States)

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


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

  11. A Customizable Text Classifier for Text Mining

    Directory of Open Access Journals (Sweden)

    Yun-liang Zhang


    Full Text Available Text mining deals with complex and unstructured texts. Usually a particular collection of texts that is specified to one or more domains is necessary. We have developed a customizable text classifier for users to mine the collection automatically. It derives from the sentence category of the HNC theory and corresponding techniques. It can start with a few texts, and it can adjust automatically or be adjusted by user. The user can also control the number of domains chosen and decide the standard with which to choose the texts based on demand and abundance of materials. The performance of the classifier varies with the user's choice.

  12. A survey of decision tree classifier methodology (United States)

    Safavian, S. R.; Landgrebe, David


    Decision tree classifiers (DTCs) are used successfully in many diverse areas such as radar signal classification, character recognition, remote sensing, medical diagnosis, expert systems, and speech recognition. Perhaps the most important feature of DTCs is their capability to break down a complex decision-making process into a collection of simpler decisions, thus providing a solution which is often easier to interpret. A survey of current methods is presented for DTC designs and the various existing issues. After considering potential advantages of DTCs over single-state classifiers, subjects of tree structure design, feature selection at each internal node, and decision and search strategies are discussed.

  13. [Clinical nursing manpower: development and future prospects]. (United States)

    Lin, Chiou-Fen; Kao, Ching-Chiu


    The significant changes in nursing manpower utilization in Taiwan over the past two decades are due in large part to the implementation of the National Health Insurance program and the rising need for long-term care. The changes have impacted clinical nursing manpower utilization in two important ways. Firstly, there has been a substantial increase in overall demand for nursing manpower. In particular, the need for clinical nurses has nearly quadrupled during this time period. Secondly, the level of difficulty involved in patient care has risen dramatically, with factors including increased disease severity and increased care quality expectations, among others. These changes, coupled with demands on nursing manpower imposed from other sectors, underpin and further exacerbate the problem of nursing manpower shortages throughout the healthcare system. To raise the quality of the nursing work environment, the Ministry of Health and Welfare (MOHW) brought together Taiwan's key professional nursing organizations to promote 10 care-reform strategies, establish the nursing-aid manpower system, and create the nursing classification system as an approach to effectively attract nurses to take positions in the medical system.

  14. Organização do trabalho em enfermagem: implicações no fazer e viver dos trabalhadores de nível médio Work organization in nursing: implications for work performance and life of unregistered nurses

    Directory of Open Access Journals (Sweden)

    Denise Pires


    Full Text Available Este artigo reflete acerca da organização do trabalho da enfermagem no contexto do trabalho em saúde. Sustenta-se teoricamente nas formulações do materialismo histórico-dialético sobre o processo de trabalho humano, em uma abordagem crítica do conceito de profissão elaborado pela sociologia das profissões e em algumas teorias do campo da administração que vêm influenciando o trabalho da enfermagem. Teve por base os dados obtidos em 6 (seis pesquisas de campo que resultaram em 3 (três dissertações de mestrado e 3 (três teses de doutorado que trataram do tema, utilizando a abordagem da pesquisa qualitativa e envolvendo a participação de representantes dos diversos grupos que compõe a equipe de enfermagem. Conceitua organização do trabalho incluindo a perspectiva da vivência nos locais de trabalho e das relações macrossociais. Ressalta que as transformações que vêm ocorrendo no mundo do trabalho têm influenciado o trabalho em saúde, mas que o modelo de organização continua influenciado pela lógica taylorista. Conclui que a realidade da organização do trabalho da enfermagem pode ser mudada pela ação coletiva dos profissionais de enfermagem, em aliança com os demais setores organizados da sociedade e atendendo as necessidades dos usuários dos serviços.This article presents a reflection concerning the organization of work in nursing in the context of the organization of work in health care. It is theoretically sustained by the historical-dialectic materialism upon human labor process and it is also based upon a critical vision about the profession concept elaborated by the sociology of professions and upon some theories in the field of administration that have been influenced nursing work. The study is based upon data obtained in six (6 field research, three (3 of which resulted in master's theses and three (3 of which resulted in doctorate dissertations. These six researches dealt with the theme of the

  15. 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...... and 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....

  16. [Vision-impaired patients. Nursing diagnoses]. (United States)

    García-Carpintero Muñoz, M A


    The author analyzes the most habitual problems one encounters in patients suffering a visual deficit, using the NANDA diagnostic taxonomy. The author formulates and classifies these problems as well as the specific nursing treatments which should be carried out when dealing with each one of these problems.

  17. Nursing Home


    Allocca Hernandez, Giacomo Antonio


    Getting old involves a lot of changes in life. Family and social relations change and mobility can decrease. These variations require new settings, and of course special care. A nursing home is a place dedicated to help with this situation. Sometimes nursing homes can be perceived as mere institutions by society, and even by future residents. Inside, senior citizens are suppose to spend the rest of their lives doing the same activities day after day. How can we improve these days? Archite...

  18. Spirituality in nursing: nurses' perceptions about providing spiritual care. (United States)

    Ruder, Shirley


    Providing spiritual care is an important foundation of nursing and is a requirement mandated by accreditation organizations. Spiritual care is essential in all clinical areas but particularly in home care and hospice. Clinicians may be unable to respond to spiritual needs because of inadequate education or the assumption that spiritual needs should be addressed by clergy, chaplains, or other "spiritual" care providers. In reality, clinicians in the home may be in the best position to offer spiritual support when caring for patients at home at end of life. The purpose of this pilot study was to examine relationships between spirituality and nurses' providing spiritual care. Professional nurses (n = 69) working in 2 large healthcare organizations completed the Perceptions of Spiritual Care Questionnaire. Approximately, 33% of the nurses worked in home care. Significant correlations were found among those nurses whose reported nursing education programs adequately prepared them to meet spiritual needs and taught ways to incorporate spiritual care into practice and those who did not.

  19. Visual Classifier Training for Text Document Retrieval. (United States)

    Heimerl, F; Koch, S; Bosch, H; Ertl, T


    Performing exhaustive searches over a large number of text documents can be tedious, since it is very hard to formulate search queries or define filter criteria that capture an analyst's information need adequately. Classification through machine learning has the potential to improve search and filter tasks encompassing either complex or very specific information needs, individually. Unfortunately, analysts who are knowledgeable in their field are typically not machine learning specialists. Most classification methods, however, require a certain expertise regarding their parametrization to achieve good results. Supervised machine learning algorithms, in contrast, rely on labeled data, which can be provided by analysts. However, the effort for labeling can be very high, which shifts the problem from composing complex queries or defining accurate filters to another laborious task, in addition to the need for judging the trained classifier's quality. We therefore compare three approaches for interactive classifier training in a user study. All of the approaches are potential candidates for the integration into a larger retrieval system. They incorporate active learning to various degrees in order to reduce the labeling effort as well as to increase effectiveness. Two of them encompass interactive visualization for letting users explore the status of the classifier in context of the labeled documents, as well as for judging the quality of the classifier in iterative feedback loops. We see our work as a step towards introducing user controlled classification methods in addition to text search and filtering for increasing recall in analytics scenarios involving large corpora.

  20. Classifying Finitely Generated Indecomposable RA Loops

    CERN Document Server

    Cornelissen, Mariana


    In 1995, E. Jespers, G. Leal and C. Polcino Milies classified all finite ring alternative loops (RA loops for short) which are not direct products of proper subloops. In this paper we extend this result to finitely generated RA loops and provide an explicit description of all such loops.

  1. Classifying web pages with visual features

    NARCIS (Netherlands)

    de Boer, V.; van Someren, M.; Lupascu, T.; Filipe, J.; Cordeiro, J.


    To automatically classify and process web pages, current systems use the textual content of those pages, including both the displayed content and the underlying (HTML) code. However, a very important feature of a web page is its visual appearance. In this paper, we show that using generic visual fea

  2. Neural Classifier Construction using Regularization, Pruning

    DEFF Research Database (Denmark)

    Hintz-Madsen, Mads; Hansen, Lars Kai; Larsen, Jan;


    In this paper we propose a method for construction of feed-forward neural classifiers based on regularization and adaptive architectures. Using a penalized maximum likelihood scheme, we derive a modified form of the entropic error measure and an algebraic estimate of the test error. In conjunction...

  3. Large margin classifier-based ensemble tracking (United States)

    Wang, Yuru; Liu, Qiaoyuan; Yin, Minghao; Wang, ShengSheng


    In recent years, many studies consider visual tracking as a two-class classification problem. The key problem is to construct a classifier with sufficient accuracy in distinguishing the target from its background and sufficient generalize ability in handling new frames. However, the variable tracking conditions challenges the existing methods. The difficulty mainly comes from the confused boundary between the foreground and background. This paper handles this difficulty by generalizing the classifier's learning step. By introducing the distribution data of samples, the classifier learns more essential characteristics in discriminating the two classes. Specifically, the samples are represented in a multiscale visual model. For features with different scales, several large margin distribution machine (LDMs) with adaptive kernels are combined in a Baysian way as a strong classifier. Where, in order to improve the accuracy and generalization ability, not only the margin distance but also the sample distribution is optimized in the learning step. Comprehensive experiments are performed on several challenging video sequences, through parameter analysis and field comparison, the proposed LDM combined ensemble tracker is demonstrated to perform with sufficient accuracy and generalize ability in handling various typical tracking difficulties.

  4. Design and evaluation of neural classifiers

    DEFF Research Database (Denmark)

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


    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...

  5. Adaptively robust filtering with classified adaptive factors

    Institute of Scientific and Technical Information of China (English)

    CUI Xianqiang; YANG Yuanxi


    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. Face detection by aggregated Bayesian network classifiers

    NARCIS (Netherlands)

    Pham, T.V.; Worring, M.; Smeulders, A.W.M.


    A face detection system is presented. A new classification method using forest-structured Bayesian networks is used. The method is used in an aggregated classifier to discriminate face from non-face patterns. The process of generating non-face patterns is integrated with the construction of the aggr

  7. 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)



    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.

  8. MScanner: a classifier for retrieving Medline citations

    Directory of Open Access Journals (Sweden)

    Altman Russ B


    Full Text Available Abstract Background Keyword searching through PubMed and other systems is the standard means of retrieving information from Medline. However, ad-hoc retrieval systems do not meet all of the needs of databases that curate information from literature, or of text miners developing a corpus on a topic that has many terms indicative of relevance. Several databases have developed supervised learning methods that operate on a filtered subset of Medline, to classify Medline records so that fewer articles have to be manually reviewed for relevance. A few studies have considered generalisation of Medline classification to operate on the entire Medline database in a non-domain-specific manner, but existing applications lack speed, available implementations, or a means to measure performance in new domains. Results MScanner is an implementation of a Bayesian classifier that provides a simple web interface for submitting a corpus of relevant training examples in the form of PubMed IDs and returning results ranked by decreasing probability of relevance. For maximum speed it uses the Medical Subject Headings (MeSH and journal of publication as a concise document representation, and takes roughly 90 seconds to return results against the 16 million records in Medline. The web interface provides interactive exploration of the results, and cross validated performance evaluation on the relevant input against a random subset of Medline. We describe the classifier implementation, cross validate it on three domain-specific topics, and compare its performance to that of an expert PubMed query for a complex topic. In cross validation on the three sample topics against 100,000 random articles, the classifier achieved excellent separation of relevant and irrelevant article score distributions, ROC areas between 0.97 and 0.99, and averaged precision between 0.69 and 0.92. Conclusion MScanner is an effective non-domain-specific classifier that operates on the entire Medline

  9. 注重护生临床能力培养的客观结构化临床考试组织管理%OSCE organization and management focus on cultivating clinical nursing skills of nursing students

    Institute of Scientific and Technical Information of China (English)

    陈英; 曾凡; 朱丽; 曾铁英


    The objective structured clinical examination (OSCE) is used to test the clinical ability more widely, the field of nursing education gradually began to explore and apply the OSCE. OSCE is a clinical evaluation framework, which is objective and orderly. Combined with the actual situation of clinical nursing education in our hospital, we explore a set of scientific and practical scheme of the OSCE, its scientific, objective and feasibility are admitted. To provide the train of thought for the application of the OSCE in nursing education, according to the application of the OSCE clinical nursing education in our hospital, the design of the test station, the compilation of the cases, the establishment of evaluation standards, the recruiting and the training of standard patient (SP), the qualification of examiner, the test ways and the examination process, the treatment of examination results, the main features and the innovative points, the problems and the ideas of future improvement, are introudced in this paper, and provides a guideline for the application of clinical nursing teaching OSCE.%随着客观临床能力结构考试(OSCE)在临床能力测试中应用越来越广泛,护理教学领域中也逐渐开始OSCE的应用与探索.OSCE是一种客观的、有序的临床考核框架,并结合我院临床护理教学的实际情况,探索出一套科学的、实用的OSCE方案,其科学性、客观性、可行性均得到了认可.根据我院临床教学OSCE的应用情况,介绍了OSCE考站设计、病例编写、考核标准的制订、招募并培训标准化患者(SP)、考官的要求、考试方式及考试流程、考试结果的处理、主要特色及创新之处、存在问题及今后的改进措施,为临床护理教学OSCE的应用提供了思路.

  10. Experiences of foreign European nurses in The Netherlands.

    NARCIS (Netherlands)

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


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

  11. Representation of nurse's managerial practice in inpatient units: nursing staff perspective. (United States)

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


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

  12. Reliability and validity of the Chinese version Dimensions of Learning Organization Questionnaire for nurses%中文版护理人员学习型组织量表的信效度检验

    Institute of Scientific and Technical Information of China (English)

    吕芳芳; 祝筠; 陈海萍; 赵娟; 靳昭芳


    Objective To provide a feasible and reliable tool measuring nurses' learning organization culture. Methods With convenience sampling,a total of 513 clinical nurses were investigated with Chinese version Dimensions of Learning Organization Questionnaire (DLOQ ). We evaluated the reliability, validity and dimensions of the scale with internal consistency coefficient, exploratory factor analysis and correlation analysis. Results The Chinese version DLOQ for nurses comprised 16 items of four dimensions, including system connection and strategic leadership, creating learning environment toward a collective vision, team learning and innovation, and inquiry and dialogue. The accumulative variance contribution accounted for 69. 115%. Meanwhile,the Cronbach s a coefficient was 0. 887,with correlative coefficients between the items and the whole scale ranging from 0. 604 to 0. 765. Conclusion The Chinese version DLOQ for nurses has good reliability and validity up to psychological test standard, and can be applied in nursing field.%目的 为护理人员学习型组织文化提供可行的测评工具.方法 以方便抽样方法选取513名临床护理人员,采用中文版学习型组织量表进行问卷调查,通过计算量表的内部一致性系数、探索性因素分析和相关性分析来评价量表的信度、效度和维度构成.结果 护理人员学习型组织量表包括全局意识与战略领导、创造学习环境以形成共同愿景、团队合作与创新、倡导对话交流和调查研究4个维度,共计16个测量指标;累积方差贡献率为69.115%,量表内部一致性系数Cronbach's α为0.887.各因子与总分的相关系数为0.604~0.765.结论 护理人员学习型组织量表在信度和效度上均达到了可接受的标准,且符合心理测量学的要求,在护理领域具有适用性.

  13. 老年护理机构出院临终患者疾病构成帕累托图分析%Analysis with Pareto chart on disease component of discharged deathbed-patients from geriatric nursing organization

    Institute of Scientific and Technical Information of China (English)

    陶志敏; 靳艳; 施永兴


    目的 了解北京、天津、上海三城市老年护理机构出院临终患者的主要病种、多发病种,探讨我国城市老年护理机构临终关怀服务的重点.方法 运用帕累托图分析2005至2007年北京、天津、上海22所老年护理机构出院临终患者疾病构成情况.结果 心血管疾病、脑血管疾病、呼吸系统疾病、晚期恶性肿瘤、老年衰竭的累计构成占老年护理机构出院临终病例疾病构成的95%以上.结论 我国城市老年护理机构出院临终病例疾病病种相对比较集中,特别是心血管疾病、脑血管疾病、呼吸系统疾病、晚期恶性肿瘤、老年衰竭等应作为老年护理机构临终关怀服务的重点.%Objective To understand the main and multiple kinds of diseases and probe into key points of diseases for hospice care in geriatric nursing organization in Beijing, Tianjin and Shanghai city. Methods Pareto chart wag used to analyze situation on disease component of deathbed-patients discharged from 22 geriatric nursing organizations from years 2005 to 2007 in Beijing, Tianjin and Shanghai. Results Components of cardiovascular disease, cerebrovascular disease, respiratory system disease, finale malignancy and senile decrepitude were accounted more than 95%.Conclusions Kinds of diseases in deathbed-patients discharged from nursing organizations in city were relatively concentrated, especially cardiovascular disease, cerebrovascular disease, respiratory system disease, finale malignancy and senile decrepitude, etc should be focal point of hospice care service in geriatric nursing organizations.

  14. A return to diploma-prepared registered nurses. (United States)

    Kikuchi, June F


    A quarter of a century ago, the nursing profession in Canada took a bold step: to establish baccalaureate preparation in nursing as the standard for practice as a registered nurse in Canada. Towards that end, hospital schools of nursing gave way to collaborative programs designed to help hospital and college diploma nursing students make the transition into baccalaureate nursing programs. It is thus paradoxical that, today, the nursing profession in Canada should do anything to jeopardize its goal to have RNs prepared at the baccalaureate level. The purpose of this paper is to focus Canadian nurse leaders' attention on that very possibility, given that some professional nursing organizations in Canada have conceptualized a future RN practice that could result in the emergence of a new kind of healthcare professional and a return to diploma preparation of RNs.

  15. Nursing under the influence: a relational ethics perspective. (United States)

    Kunyk, Diane; Austin, Wendy


    When nurses have active and untreated addictions, patient safety may be compromised and nurse-health endangered. Genuine responses are required to fulfil nurses' moral obligations to their patients as well as to their nurse-colleagues. Guided by core elements of relational ethics, the influences of nursing organizational responses along with the practice environment in shaping the situation are contemplated. This approach identifies the importance of consistency with nursing values, acknowledges nurses interdependence, and addresses the role of nursing organization as moral agent. By examining the relational space, the tension between what appears to be opposing moral responsibilities may be healed. Ongoing discourse to identify authentic actions for the professional practice issue of nursing under the influence is called upon.

  16. Nurses’ perceptions on nursing supervision in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Beatriz Francisco Farah


    Full Text Available Objective: to understand the perceptions of nurses on nursing supervision in the work process. Methods: this is a qualitative research, with a semi-structured interview, performed with 16 nurses. Data analysis was performed through content analysis. Results: two meanings topics emerged from the speeches of the participants: Nurses´ activities in Primary Health Care Units and Nurses´ perceptions about nursing supervision. In the first category, the actions listed were filling out forms and reports under the supervision of the nursing service. In the second category, supervision was perceived as a function of management and follow-up of the activities planned by the team, in opposition to the classical supervision concept, which is inspecting. Conclusion: nursing supervision has been configured for primary care nurses as an administrative function that involves planning, organization, coordination, evaluation, follow-up and support for the health team.

  17. Nurse-physician communication: an organizational accountability. (United States)

    Arford, Patricia H


    Dysfunctional nurse-physician communication has been linked to medication errors, patient injuries, and patient deaths. The organization is accountable for providing a context that supports effective nurse-physician communication. Organizational strategies to create such a context are synthesized from the structural, human resource, political, and cultural frameworks of organizational behavior.

  18. Rehabilitation in the nursing home. (United States)

    Joseph, C L; Wanlass, W


    Despite the considerable challenges to providing high-quality rehabilitation in a long-term care facility, growing demographic and fiscal pressures are likely to push the nursing home into the forefront of rehabilitation for the frail elderly. Model programs have been implemented in recent years that present alternative ways to increase access to skilled services and improve quality of care in nursing homes without a drastic increase in costs. The teaching nursing home program has supported projects to make longterm care facilities centers for education, innovative clinical care, and research, thus bringing nursing homes into the mainstream of the medical establishment. A majority of US medical schools have recognized the need for training in long-term care and have formed affiliations with nursing homes. The Department of Veterans Affairs has a large national system of nursing homes, which has made a significant contribution to the training of health professionals in many fields. Demonstration projects such as the Social Health Maintenance Organization and On Lok have sought to decrease the fragmentation of health care services for the elderly and bring nursing homes into a continuum of care. The adoption of the OBRA regulations is building a base for comprehensive assessment and improved provision of care in nursing homes nationwide. Nursing home rehabilitation has the potential to decrease institutionalization in the short-term resident, whereas maintenance therapy can improve quality of life and decrease the cost of caring for patients who must be institutionalized. But to achieve this potential, significant barriers must be overcome. Negative attitudes about aging and nursing homes percolate through all levels of health care from lack of reimbursement at the federal and state levels to the professional priorities that continue to favor "high-tech" medicine and stigmatize nursing homes and those who work in them, to low expectations of caregivers and the

  19. [Ethical issues in nursing leadership]. (United States)

    Wang, Shu-Fang; Hung, Chich-Hsiu


    Social transition causes shifts and changes in the relationship between health professionals and their patients. In their professional capacity, it is important today for nurses to handle ethical dilemmas properly, in a manner that fosters an ethical environment. This article investigates the ethical concerns and decision processes of nurses from a knowledge construction perspective, and examines such issues as patient needs, staff perceptions, organizational benefits, and professional image. The decision making methods commonly used when facing ethical dilemma explored in this study include the traditional problem solving, nursing process, MORAL model, and Murphy's methods. Although decision making for ethical dilemmas is governed by no universal rule, nurses are responsible to try to foster a trusting relationship between employee and employer, health care providers and patients, and the organization and colleagues. When decision making on ethical dilemmas is properly executed quality care will be delivered and malpractice can be reduced.

  20. A Survey of Physicians Assigned to Madigan Army Medical Center to Determine Perceptions of the Role of the Professional Nurse; Do the Perceptions Substantiate Documented Elements Contributing to the Nursing Shortage. (United States)


    sanctions by national professional nursing organizations as the prerequisite for entrance into the practice of professional nursing. At the same time...that professional nursing organizations have made tremendous efforts to re- define the scope of practice for nurses trained at the various academic

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

    Directory of Open Access Journals (Sweden)

    Rahul Godghate,


    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.

  2. 2016 Guide to Nursing Certification Boards by Specialty. (United States)

    Gavin, Cara


    Membership in a professional organization creates opportunities for individuals to grow in countless ways. Often, it allows us to develop new knowledge and form networks that change our lives. There are many advantages of becoming a member of a specialty organization. Each year, Dimensions of Critical Care Nursing is proud to provide an updated list of our professional nursing organizations.

  3. Vascular nursing in Greece: luxury or necessity? (United States)

    Georgakarakos, Efstratios; Bitza, Christina; Papanas, Nikolaos; Matsagkas, Miltiadis; Lazarides, Miltos K


    Although peripheral arterial disease is prevalent in the primary care setting, insufficient vascular education among nurses and physicians coupled with certain economic constraints undermines treatment efficacy. Moreover, the burden of advanced venous pathology such as posthrombotic syndrome, venous ulcers, and lymphedema remains suboptimally treated. This article advocates the development of a vascular nursing specialty as a means to improving vascular care especially nowadays, when health care providers dictate comprehensive and cost-effective nursing practice and patient management. It also presents the first attempt to organize a Vascular Nursing Educational Session in Greece.

  4. The International Classification for Nursing Practice (ICNP)

    DEFF Research Database (Denmark)

    Mortensen, Randi A.; Nielsen, Gunnar Haase


    , 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...... assurance and communication among health care professionals....

  5. Nurse executives' perspectives on succession planning. (United States)

    Beyers, Marjorie


    Six nurse executives from 5 settings were interviewed to learn more about how succession planning is being applied in today's practice. Their experiences, presented in this article, provide a snapshot of ways succession planning can be applied in different organizations. Interviewees share their personal philosophy, concepts, and approaches to succession planning. Although these nurse executives approach succession planning differently, they share a belief that succession planning is embedded in the nurse executive role and that succession planning is key to sustaining quality nursing practice. Insights and recommendations for further study of succession planning are summarized.

  6. Nurse leaders' experiences of implementing regulatory changes in sexual health nursing practice in British Columbia, Canada. (United States)

    Bungay, Vicky; Stevenson, Janine


    Most research about regulatory policy change concerning expanded nursing activities has emphasized advanced practice roles and acute care settings. This study is a contribution to the small pool of research concerned with regulatory policy implementation for nurses undertaking expanded nursing practice activities in a public health context. Using the regulatory changes in certified nursing practice in one Canadian province as our starting point, we investigated the experiences of nurse leaders in implementing this change. Using a qualitative interpretive descriptive approach informed by tenets of complexity theory, we examined the experiences of 16 nurse leaders as situated within the larger public health care system in which nurses practice. Two interrelated themes, (a) preparing for certification and (b) the certification process, were identified to illustrate how competing and contrasting demands between health care and regulatory organizations created substantial barriers to policy change. Implications for health service delivery and future research are discussed.

  7. Organization and financing of home care in Europe: an overview.

    NARCIS (Netherlands)

    Kerkstra, A.; Hutten, J.


    The aim of this study was to provide an overview of the organization and financing of home nursing in the 15 member states in the European Union. Home nursing was defined as the nursing care provided at the patients' home by professional home nursing organizations. Data were gathered by means of thr

  8. School nursing. (United States)

    Igoe, J B


    School nursing has been in a process of transition since its inception. This role evolution parallels the growing complexity of the health, education, and social needs of America's youth. The workplace within which school nurses practice is equally complicated because health and education administrators often hold differing philosophies of management, and school health programs are ill-defined. Fortunately, there is growing support for an integrated services approach and the development of school health systems with nurses joining an interdisciplinary team rather than continuing to function as "boundary dwellers." The roles of the school nurse as primary care provider, school health coordinator, case manager, and epidemiologist are emerging and replacing outdated nursing functions. As the role of the school nurse shifts and expands, it produces a cascade effect. The role of the school health assistant to aid the nurse surfaces as the next logical step in planning. Numerous model school health programs exist today. The emphasis, and rightfully so, is preventive in nature and should be targeted at the preparation of a new generation of health consumers who are more self-reliant than their predecessors. Unfortunately, all these programs are plagued with financing problems that could be alleviated with the right plan for health care reform, such as an expansion of maternal and child health funds (Title V) to health departments and the introduction of school nursing leadership into the DASH office at the Centers for Disease Control and Prevention, a health education unit largely run by health educators, to reallocate some of these resources to the clinical preventive services needed in schools to reduce health risk behaviors. Finally, total quality management is the next issue on the horizon for this nursing specialty; benchmarking would be the place to start. In summary, systems development in the school health field is now underway, and it will not be easy, but this

  9. The nursing process: a time to remember its purpose

    Directory of Open Access Journals (Sweden)

    T. Heather Herdman


    Full Text Available We have a problem. Somehow, along the way, we lost track of what the nursing process is supposed to represent. Organizations produce documentation (often lots of paper or many computer screens of data incorporating nursing assessment, diagnoses/patient problems, interventions and outcomes which meet the requirements of accrediting organizations and regulatory bodies. However, ask the nurses what they think about the nursing process and you will often see eyes rolling, and hear complaints about the amount of time it takes “to do” the nursing process. It is a requirement that seems to be without benefit or purpose to many in practice.

  10. Nursing portfolio study: the use in annual performance reviews. (United States)

    Capan, Michelle L; Ambrose, Heather L; Burkett, Marnie; Evangelista, Tonya R; Flook, Donna M; Straka, Kristen L


    Professional portfolios allow staff to document their participation in areas of education, certification, shared governance councils, national nursing organizations, and community outreach. In this study, nurses tracked their professional development in a virtual electronic portfolio. A preperception/postperception questionnaire for both staff and unit directors revealed that nursing portfolios proved to be a valuable tool during annual performance reviews to acknowledge accomplishments and encourage continued professional growth of individual direct-care staff nurses.

  11. [Standardization of activities in an oncology surgical center according to nursing intervention classification]. (United States)

    Possari, João Francisco; Gaidzinski, Raquel Rapone; Fugulin, Fernanda Maria Togeiro; Lima, Antônio Fernandes Costa; Kurcgant, Paulina


    This study was undertaken in a surgical center specializing in oncology, and it aimed to identify nursing activities performed during the perioperative period and to classify and validate intervention activities according to the Nursing Interventions Classification (NIC). A survey of activities was conducted using records and by direct observation of nursing care across four shifts. Activities were classified as NIC nursing interventions using the cross-mapping technique. The list of interventions was validated by nursing professionals in workshops. Forty-nine interventions were identified: 34 of direct care and 15 of indirect care. Identifying nursing interventions facilitates measuring the time spent in their execution, which is a fundamental variable in the quantification and qualification of nurses' workloads.

  12. Improving 2D Boosted Classifiers Using Depth LDA Classifier for Robust Face Detection

    Directory of Open Access Journals (Sweden)

    Mahmood Rahat


    Full Text Available Face detection plays an important role in Human Robot Interaction. Many of services provided by robots depend on face detection. This paper presents a novel face detection algorithm which uses depth data to improve the efficiency of a boosted classifier on 2D data for reduction of false positive alarms. The proposed method uses two levels of cascade classifiers. The classifiers of the first level deal with 2D data and classifiers of the second level use depth data captured by a stereo camera. The first level employs conventional cascade of boosted classifiers which eliminates many of nonface sub windows. The remaining sub windows are used as input to the second level. After calculating the corresponding depth model of the sub windows, a heuristic classifier along with a Linear Discriminant analysis (LDA classifier is applied on the depth data to reject remaining non face sub windows. The experimental results of the proposed method using a Bumblebee-2 stereo vision system on a mobile platform for real time detection of human faces in natural cluttered environments reveal significantly reduction of false positive alarms of 2D face detector.

  13. 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.


    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.

  14. Max-margin based Bayesian classifier

    Institute of Scientific and Technical Information of China (English)

    Tao-cheng HU‡; Jin-hui YU


    There is a tradeoff between generalization capability and computational overhead in multi-class learning. We propose a generative probabilistic multi-class classifi er, considering both the generalization capability and the learning/prediction rate. We show that the classifi er has a max-margin property. Thus, prediction on future unseen data can nearly achieve the same performance as in the training stage. In addition, local variables are eliminated, which greatly simplifi es the optimization problem. By convex and probabilistic analysis, an efficient online learning algorithm is developed. The algorithm aggregates rather than averages dualities, which is different from the classical situations. Empirical results indicate that our method has a good generalization capability and coverage rate.

  15. Classifying sows' activity types from acceleration patterns

    DEFF Research Database (Denmark)

    Cornou, Cecile; Lundbye-Christensen, Søren


    -dimensional axes, plus the length of the acceleration vector) are selected for each activity. Each time series is modeled using a Dynamic Linear Model with cyclic components. The classification method, based on a Multi-Process Kalman Filter (MPKF), is applied to a total of 15 times series of 120 observations......An automated method of classifying sow activity using acceleration measurements would allow the individual sow's behavior to be monitored throughout the reproductive cycle; applications for detecting behaviors characteristic of estrus and farrowing or to monitor illness and welfare can be foreseen....... This article suggests a method of classifying five types of activity exhibited by group-housed sows. The method involves the measurement of acceleration in three dimensions. The five activities are: feeding, walking, rooting, lying laterally and lying sternally. Four time series of acceleration (the three...

  16. Combining supervised classifiers with unlabeled data

    Institute of Scientific and Technical Information of China (English)

    刘雪艳; 张雪英; 李凤莲; 黄丽霞


    Ensemble learning is a wildly concerned issue. Traditional ensemble techniques are always adopted to seek better results with labeled data and base classifiers. They fail to address the ensemble task where only unlabeled data are available. A label propagation based ensemble (LPBE) approach is proposed to further combine base classification results with unlabeled data. First, a graph is constructed by taking unlabeled data as vertexes, and the weights in the graph are calculated by correntropy function. Average prediction results are gained from base classifiers, and then propagated under a regularization framework and adaptively enhanced over the graph. The proposed approach is further enriched when small labeled data are available. The proposed algorithms are evaluated on several UCI benchmark data sets. Results of simulations show that the proposed algorithms achieve satisfactory performance compared with existing ensemble methods.

  17. Classifying objects in LWIR imagery via CNNs (United States)

    Rodger, Iain; Connor, Barry; Robertson, Neil M.


    The aim of the presented work is to demonstrate enhanced target recognition and improved false alarm rates for a mid to long range detection system, utilising a Long Wave Infrared (LWIR) sensor. By exploiting high quality thermal image data and recent techniques in machine learning, the system can provide automatic target recognition capabilities. A Convolutional Neural Network (CNN) is trained and the classifier achieves an overall accuracy of > 95% for 6 object classes related to land defence. While the highly accurate CNN struggles to recognise long range target classes, due to low signal quality, robust target discrimination is achieved for challenging candidates. The overall performance of the methodology presented is assessed using human ground truth information, generating classifier evaluation metrics for thermal image sequences.

  18. Letter identification and the neural image classifier. (United States)

    Watson, Andrew B; Ahumada, Albert J


    Letter identification is an important visual task for both practical and theoretical reasons. To extend and test existing models, we have reviewed published data for contrast sensitivity for letter identification as a function of size and have also collected new data. Contrast sensitivity increases rapidly from the acuity limit but slows and asymptotes at a symbol size of about 1 degree. We recast these data in terms of contrast difference energy: the average of the squared distances between the letter images and the average letter image. In terms of sensitivity to contrast difference energy, and thus visual efficiency, there is a peak around ¼ degree, followed by a marked decline at larger sizes. These results are explained by a Neural Image Classifier model that includes optical filtering and retinal neural filtering, sampling, and noise, followed by an optimal classifier. As letters are enlarged, sensitivity declines because of the increasing size and spacing of the midget retinal ganglion cell receptive fields in the periphery.

  19. Classification Studies in an Advanced Air Classifier (United States)

    Routray, Sunita; Bhima Rao, R.


    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.

  20. Comparing cosmic web classifiers using information theory (United States)

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


    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.

  1. Comparing cosmic web classifiers using information theory

    CERN Document Server

    Leclercq, Florent; Jasche, Jens; Wandelt, Benjamin


    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.

  2. Design of Robust Neural Network Classifiers

    DEFF Research Database (Denmark)

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


    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 parameters. We...... suggest to adapt the outlier probability and regularisation parameters by minimizing the error on a validation set, and a simple gradient descent scheme is derived. In addition, the framework allows for constructing a simple outlier detector. Experiments with artificial data demonstrate the potential......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...

  3. Statistical Mechanics of Soft Margin Classifiers


    Risau-Gusman, Sebastian; Gordon, Mirta B.


    We study the typical learning properties of the recently introduced Soft Margin Classifiers (SMCs), learning realizable and unrealizable tasks, with the tools of Statistical Mechanics. We derive analytically the behaviour of the learning curves in the regime of very large training sets. We obtain exponential and power laws for the decay of the generalization error towards the asymptotic value, depending on the task and on general characteristics of the distribution of stabilities of the patte...

  4. Deterministic Pattern Classifier Based on Genetic Programming

    Institute of Scientific and Technical Information of China (English)

    LI Jian-wu; LI Min-qiang; KOU Ji-song


    This paper proposes a supervised training-test method with Genetic Programming (GP) for pattern classification. Compared and contrasted with traditional methods with regard to deterministic pattern classifiers, this method is true for both linear separable problems and linear non-separable problems. For specific training samples, it can formulate the expression of discriminate function well without any prior knowledge. At last, an experiment is conducted, and the result reveals that this system is effective and practical.

  5. [Emergency department triage: independent nursing intervention?]. (United States)

    Corujo Fontes, Sergio José


    The branch hospital triage aimed at, as well as exercised by nurses, has evolved to meet their needs to organize and make visible the nurses' duties. However, it is still not properly considered as independent nursing intervention. Evidencing practice triage nurse in hospital as experienced by their protagonists disclosed the possible causes of this paradoxical competence. In a sample of 41 nurses, of the 52 possible with previous experience in hospital triage in the Emergency Department of the Hospital General Dr. José Molina Orosa in Lanzarote, the nurses themselves carried out an opinion survey that group together statements about different aspects of the triaje nurse. In its results, 65.8% of those polled thought the triaje nursing training to be deficient and even though nearly half 48.7%, was considered competent to decide the level of emergency, 46.3% disagreed to take this task part of their duty. It is conclusive that the training received in hospital triage, regulated and sustained, is deficient, that is the main reason why professionals have their doubts to take on an activity they are not familiar with. Triage systems do not record the entire outcome of the nursing work and nursing methodology does not seem to be quite indicative for this task.

  6. Nursing image: an evolutionary concept analysis. (United States)

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


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

  7. Analysis of nursing education in Ghana: Priorities for scaling-up the nursing workforce. (United States)

    Bell, Sue Anne; Rominski, Sarah; Bam, Victoria; Donkor, Ernestina; Lori, Jody


    In this cross-sectional study, the strengths, challenges and current status of baccalaureate nursing education in Ghana were described using a descriptive design. The World Health Organization Global Standards for the Initial Education of Nurses and Midwives were used as the organizing framework, with baseline data on the status of nursing education from two state-funded universities in Ghana presented. A serious shortage of qualified faculty was identified, along with the need for significant upgrading to the existing infrastructure. Additionally, the number of qualified applicants far exceeds the available training slots. Faculty and infrastructure shortages are common issues in nursing education and workforce expansion; however, in low-resource countries, such as Ghana, these issues are compounded by high rates of preventable disease and injury. An understanding of the strengths and challenges of nursing education in Ghana can inform the development of strategies for nursing workforce expansion for other low-resource countries.

  8. The influence of organization identification on work engagement in nursing staff%组织认同感对护士工作投入的作用分析

    Institute of Scientific and Technical Information of China (English)

    罗雯; 赵庆华


    目的 调查护理人员组织认同感水平和工作投入状况,探讨影响护士工作投入的组织层面因素.方法 采用多阶段分层随机抽样的方法,使用工作投入量表和组织认同心理问卷调查652名护士;应用多元回归分析等方法探讨组织认同感对工作投入的影响.结果:①不同职务和不同用工性质的护士,在利益性认同感和归属性认同感方面,以及不同学历层次的护士,在归属性认同感上差异均有统计学意义;而成功性认同感在各组间差异无统计学意义.②护士组织认同感与工作投入总体状态之间存在相关性(r=0.122~0.431).③控制了人口统计学变量的影响后,护士组织认同感对工作投入3个维度,即活力、奉献和专注的方差变异解释率分别为21.8%、27.5%、18.8%.结论:组织认同感对护士工作投入的活力、奉献和专注3个因子产生不同程度的正向影响作用.可通过提高组织认同感,促进护士在组织行为上的良性发展,为有效实施工作投入干预机制提供依据.%Objective To investigate the level of nurses' organization identification and work engagement,and analyze the organizational factors influencing work engagement. Methods A total of 652 nurses were recruited by stratified sampling method. They were investigated with Utrecht Work Engagement Scale(UWES) and Organization Identification Questionnaire.Data were analyzed by multiple regression analysis. Results There were significant differences on the scores of beneficial identification and belonging identification in nurses with different posts and types of employment. Significant difference was also found on the score of belonging identification in nurses with different educational levels, while no significant difference was found on the score of success identification. Organization identification was positively correlated with the overall state of work engagement(r=0. 122~0.431). After controlling for the

  9. Mapping the future of environmental health and nursing: strategies for integrating national competencies into nursing practice. (United States)

    Larsson, Laura S; Butterfield, Patricia


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

  10. "Nurse's cramp"

    DEFF Research Database (Denmark)

    Jepsen, Jørgen Riis


    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....... 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...

  11. Nurses' career commitment and job performance: differences across hospitals. (United States)

    Mrayyan, Majd T; Al-Faouri, Ibrahim


    The interrelatedness of nurses' career commitment and job performance is debated. In nursing, few studies have focused on the relationship between the two concepts. A convenience sample of 640 registered nurses (RNs) from 24 hospitals was recruited. A comparative design was used to assess differences among governmental, teaching and private hospitals in regard to the concepts measured. In general, nurses were found to "agree" that they had a lifelong commitment to their careers, and that they were performing "well" their jobs in accordance with standards. Hospitals in the sample differed in most demographics except in gender, areas of work and decision-making styles. Based on the total scores of nurses' career commitment, there were no significant differences across hospitals. Based on the total scores of nurses' job performance, F-tests indicated some differences; the highest mean was at private hospitals. Using dimensional means of nurses' job performance uncovered no significant differences among hospitals. Individual items of nurses' job performance subscales differed, in some cases significantly, particularly for nurses working at private hospitals: nurses' career commitment was correlated positively and significantly with their job performance. Consistent with the current researchers' hypothesis, nurses' career commitment appears to influence job performance and is influenced by the nurses' characteristics and organizational factors in the workplace. Enhancing nurses' career commitment and their job performance should produce positive outcomes for nurses, patients and organizations.

  12. [The application of creative thinking teaching in nursing education]. (United States)

    Ku, Ya-Lie; Chang, Ching-Feng; Kuo, Chien-Lin; Sheu, Sheila


    Nursing education is increasingly expected to cultivate nursing student creative abilities in line with general Ministry of Education promotion of greater creativity within education and the greater leeway for creativity won domestically for nurses by professional nursing organizations. Creative thinking has been named by education experts in the United States as the third most important goal of nursing education. However, nursing students in Taiwan have been shown to test lower in terms of creativity than students enrolled in business management. Leaders in nursing education should consider methods by which to improve the creative thinking capabilities of nursing students. Articles in the literature indicate that courses in creative studies are concentrated in the field of education, with few designed specifically for nursing. The teaching of constructing creative thinking is particularly weak in the nursing field. The purpose of this article was to review literature on education and nursing in order to explore current definitions, teaching strategies, and evaluation approaches related to creativity, and to develop a foundation for teaching creativity in nursing. The authors hope that an appropriate creative thinking course for nursing students may be constructed by referencing guidance provided in this in order to further cultivate creative thinking abilities in nursing students that will facilitate their application of creative thinking in their future clinical practicum.

  13. Viabilidad de una propuesta de cambio para el mejoramiento continuo en una organización compleja: Departamento de Enfermería Viability of a proposal of changing and improving a complex organization nursing department

    Directory of Open Access Journals (Sweden)

    Nora Agnes Veja Villalobos


    Full Text Available El departamento de Enfermería es una organización compleja, que tiene su cultura, y que se compone de dos o más grupos enlazados por una red compleja de relaciones sociales, valores y metas comunes y sirven como contexto de las intervenciones de enfermería. La organización compleja envuelve tipo, subsistema, fronteras, filosofía, y estilo de vida, proceso de adaptación al entorno, integración, toma de decisiones, tratamiento de la información, comunicación, coalición-formación y compromiso. La propuesta teórica de cambio para el mejoramiento contínuo está basada en los siete pasos de la teoría de cambio de Lippitt y en el P.C.D.A.The nursing department is a complex organization, or a social system, made up of two or more groups interconnected through a complex net of social relations, common values and goals, used as the context for nursing interventions. The complex organization embodies type, subsystems, limitations, philosophy, life styles and process of adaptation to the environment, integration of subsystems, decision making, information processing, communications, coalition-formation and commitment. Theoretical interchange proposal to achieve full quality parameters is based on the seven stages of Lippit's exchange theory.

  14. Reconfiguration-based implementation of SVM classifier on FPGA for Classifying Microarray data. (United States)

    Hussain, Hanaa M; Benkrid, Khaled; Seker, Huseyin


    Classifying Microarray data, which are of high dimensional nature, requires high computational power. Support Vector Machines-based classifier (SVM) is among the most common and successful classifiers used in the analysis of Microarray data but also requires high computational power due to its complex mathematical architecture. Implementing SVM on hardware exploits the parallelism available within the algorithm kernels to accelerate the classification of Microarray data. In this work, a flexible, dynamically and partially reconfigurable implementation of the SVM classifier on Field Programmable Gate Array (FPGA) is presented. The SVM architecture achieved up to 85× speed-up over equivalent general purpose processor (GPP) showing the capability of FPGAs in enhancing the performance of SVM-based analysis of Microarray data as well as future bioinformatics applications.

  15. Nursing Knowledge: Big Data Science-Implications for Nurse Leaders. (United States)

    Westra, Bonnie L; Clancy, Thomas R; Sensmeier, Joyce; Warren, Judith J; Weaver, Charlotte; Delaney, Connie W


    The integration of Big Data from electronic health records and other information systems within and across health care enterprises provides an opportunity to develop actionable predictive models that can increase the confidence of nursing leaders' decisions to improve patient outcomes and safety and control costs. As health care shifts to the community, mobile health applications add to the Big Data available. There is an evolving national action plan that includes nursing data in Big Data science, spearheaded by the University of Minnesota School of Nursing. For the past 3 years, diverse stakeholders from practice, industry, education, research, and professional organizations have collaborated through the "Nursing Knowledge: Big Data Science" conferences to create and act on recommendations for inclusion of nursing data, integrated with patient-generated, interprofessional, and contextual data. It is critical for nursing leaders to understand the value of Big Data science and the ways to standardize data and workflow processes to take advantage of newer cutting edge analytics to support analytic methods to control costs and improve patient quality and safety.

  16. Explaining the experiences of nurses about post-registration nursing education context: A qualitative study

    Directory of Open Access Journals (Sweden)

    A. A Vaezi


    Full Text Available Introduction: One of the ways that can improve scientifically the nursing care behaviors is Post-Registration Nursing Education and sttaf development process. To achieve this objective appropriate context Post-Registration Education must be provided for nurses. Currently, despite the legal requirement for continuing education for nurses, this goal has not been achieved as desired. To achieve this goal, the underlying cause should be investigated. Therefore, the aim of this study was to explore nurses' experiences of nursing continuing education context by a qualitative study.  Methods: The study with a qualitative approach was conducted in 2011, 23 people from the Educational Supervisors, nurse managers and nurses with a purposeful sampling participated in the study . The data collected by unstructured interviews and field notes and were analyzed using conventional content analysis .  Results: During the process of content analysis, participants explained three themes includeing: 1 insufficient attitude to the required training 2 inadequate support 3 Passive training monitoring and the main theme of the study was inadequate perception of their legal education.  Conclusion: Currently, due to lack of motivation, support and effective supervision of Post-Registration Nursing Education nurses involved inactively in the learning process and continuing education is limited to the statutory approvals and business benefits of training for nurses and their organizations. So To improve this situation is required attention and good infrastructure Includeing adequate support and effective supervision.

  17. Burn Patient Expectations from Nurses

    Directory of Open Access Journals (Sweden)

    Sibel Yilmaz sahin


    Full Text Available AIM: Burn is a kind of painful trauma that requires a long period of treatment and also changes patients body image. For this reason, nursing care of burn patients is very important. In this study in order to provide qualified care to the burned patients, patient and #8217;s expectations from nurses were aimed to be established. METHODS: Patients and #8217; expectations were evaluated on 101 patients with burn in Ministry of Health Ankara Numune Education and Research Hospital Burn Service and Gulhane Military Medical Academy Education and Research Hospital Burn Center. A questionnaire which was developed by the researchers was used for collecting data. The questions on the questionnaire were classified into four groups to evaluate the patients and #8217; expectations about communication, information, care and discharge. Data was evaluated by using SPSS 12 package software. RESULTS: In this study, 48.5% of patients were at 18-28 age group, 79.2% were male and 51.5% of patients were employed. Almost all of patients expect nurses to give them confidence (98% and to give them information about latest developments with the disease. Patients prior expectation from nurses about care was to do their treatments regularly (100% and to take the necessary precautions in order to prevent infection (100%. 97% of patient expect nurses to give them information about the drugs, materials and equipment that they are going to use while discharge. CONCLUSION: As a result we found that burn patient expectations from nurses about communication, information, care and discharge were high. [TAF Prev Med Bull 2014; 13(1.000: 37-46

  18. Defining and classifying skin tears: need for a common language. (United States)

    Payne, R L; Martin, M L


    Very little has been written about skin tears. A common taxonomy and definition for each type of skin tear can organize teaching, practice, and research in the field. In 1990, Payne and Martin published the results of a descriptive clinical nursing research study on the epidemiology and management of skin tears in older adults. The Payne-Martin Classification System for Skin Tears, definitions, and characteristics of skin tears were presented. The purpose of this article is to critique their classification system and definitions. Criteria for evaluating taxonomies, internal validity, external validity, and utility, are used for the critique. A revision based upon continuing research and work with the classification system is presented. Further testing and modification will refine the classification and advance the science of wound care.

  19. Classifying and comparing fundraising performance for nonprofit hospitals. (United States)

    Erwin, Cathleen O


    Charitable contributions are becoming increasingly important to nonprofit hospitals, yet fundraising can sometimes be one of the more troublesome aspects of management for nonprofit organizations. This study utilizes an organizational effectiveness and performance framework to identify groups of nonprofit organizations as a method of classifying organizations for performance evaluation and benchmarking that may be more informative than commonly used characteristics such as organizational age and size. Cluster analysis, ANOVA and chi-square analysis are used to study 401 organizations, which includes hospital foundations as well as nonprofit hospitals directly engaged in fundraising. Three distinct clusters of organizations are identified based on performance measures of productivity, efficiency, and complexity. A general profile is developed for each cluster based upon the cluster analysis variables and subsequent analysis of variance on measures of structure, maturity, and legitimacy as well as selected institutional characteristics. This is one of only a few studies to examine fundraising performance in hospitals and hospital foundations, and is the first to utilize data from an industry survey conducted by the leading general professional association for healthcare philanthropy. It has methodological implications for the study of fundraising as well as practical implications for the strategic management of fundraising for nonprofit hospital and hospital foundations.

  20. Evolution of a collaborative model between nursing and computer science faculty and a community service organization to develop an information system. (United States)

    Vanderbeek, Jean; Carson, Anne; Troy, Douglas


    Nursing and computer science students and faculty worked with the American Red Cross to investigate the potential for information technology to provide Red Cross disaster services nurses with improved access to accurate community resources in times of disaster. Funded by a national 3-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 test results demonstrate the benefits of the technology and the value of interdisciplinary research. The work also created a sustainable learning and research model for the future. This article describes the collaborative model used in this interdisciplinary research and exemplifies the benefits to faculty and students of well-timed interdisciplinary and community collaboration.

  1. Do nurses who work in a fair organization sleep and perform better and why? Testing potential psychosocial mediators of organizational justice. (United States)

    Hietapakka, Laura; Elovainio, Marko; Heponiemi, Tarja; Presseau, Justin; Eccles, Martin; Aalto, Anna-Mari; Pekkarinen, Laura; Kuokkanen, Liisa; Sinervo, Timo


    We examined whether organizational justice is associated with sleep quality and performance in a population-based sample of 1,729 Finnish registered nurses working full time. In addition, we tested psychological mechanisms mediating the potential association. The results of multivariate linear regression analyses showed higher organizational justice to be associated with fewer sleeping problems (β values range from -.20 to -.11) and higher self-reported performance (β values range from .05 to .35). Furthermore, psychological distress (related to the psychological stress model) and job involvement (related to the psychosocial resource model) mediated the association between organizational justice and sleep. Sleeping problems partly mediated the association between organizational justice and performance. Psychological distress explained 51% to 83% and job involvement explained 10% to 15% of the total effects of justice variables on sleeping problems. The findings provide support for the psychological stress model and offer practical implications for reducing nurses' sleeping problems.

  2. Outplacement service for the nurse executive. (United States)

    Kangery, R; Freund, C M


    Outplacement service (OPS) is a human resource service provided by organizations to terminated executives. In addition to assisting organizations with the mechanics of the termination process, OPS helps terminated executives cope with the trauma of job loss and find new employment. Given the frequent involvement of nurse executives in termination decisions and the risk of termination inherent in their own positions, nurse executives have a vested interest in OPS policies and programs.

  3. [Moral distress in nursing care]. (United States)

    Negrisolo, Adriana; Brugnaro, Luca


    In nursing practice, the ability to make decisions regarding patients and to act on them is considered to be an expression of the professional nursing role. Problems may arise when a nurses would like to perform an action they believe morally correct but which are conflictual with the habits, organization or politics of the health structure in which they work. This inevitably produces moral distress in nurses who feel impotent to act as they feel they should. Although a certain amount of moral distress is part and parcel of the nursing profession , when it is excessive or prolonged it may become unacceptable and culminate in burn-out and the relative consequences. The aim of the study was to compare the level of moral stress in 111 Italian nurses working in different Operative Units to identify those clinical situations significantly associated with moral stress using the MDS scale. Similarly to studies performed in the USA, the level of moral stress in the 3 different work contexts was moderate, although some clinical situations were related to significant stress levels.

  4. Intelligent neural network classifier for automatic testing (United States)

    Bai, Baoxing; Yu, Heping


    This paper is concerned with an application of a multilayer feedforward neural network for the vision detection of industrial pictures, and introduces a high characteristics image processing and recognizing system which can be used for real-time testing blemishes, streaks and cracks, etc. on the inner walls of high-accuracy pipes. To take full advantage of the functions of the artificial neural network, such as the information distributed memory, large scale self-adapting parallel processing, high fault-tolerance ability, this system uses a multilayer perceptron as a regular detector to extract features of the images to be inspected and classify them.

  5. Classifying spaces of degenerating polarized Hodge structures

    CERN Document Server

    Kato, Kazuya


    In 1970, Phillip Griffiths envisioned that points at infinity could be added to the classifying space D of polarized Hodge structures. In this book, Kazuya Kato and Sampei Usui realize this dream by creating a logarithmic Hodge theory. They use the logarithmic structures begun by Fontaine-Illusie to revive nilpotent orbits as a logarithmic Hodge structure. The book focuses on two principal topics. First, Kato and Usui construct the fine moduli space of polarized logarithmic Hodge structures with additional structures. Even for a Hermitian symmetric domain D, the present theory is a refinem

  6. Learning Rates for -Regularized Kernel Classifiers

    Directory of Open Access Journals (Sweden)

    Hongzhi Tong


    Full Text Available We consider a family of classification algorithms generated from a regularization kernel scheme associated with -regularizer and convex loss function. Our main purpose is to provide an explicit convergence rate for the excess misclassification error of the produced classifiers. The error decomposition includes approximation error, hypothesis error, and sample error. We apply some novel techniques to estimate the hypothesis error and sample error. Learning rates are eventually derived under some assumptions on the kernel, the input space, the marginal distribution, and the approximation error.

  7. Gearbox Condition Monitoring Using Advanced Classifiers

    Directory of Open Access Journals (Sweden)

    P. Večeř


    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. 

  8. Cubical sets as a classifying topos

    DEFF Research Database (Denmark)

    Spitters, Bas

    Coquand’s cubical set model for homotopy type theory provides the basis for a computational interpretation of the univalence axiom and some higher inductive types, as implemented in the cubical proof assistant. We show that the underlying cube category is the opposite of the Lawvere theory of De...... Morgan algebras. The topos of cubical sets itself classifies the theory of ‘free De Morgan algebras’. This provides us with a topos with an internal ‘interval’. Using this interval we construct a model of type theory following van den Berg and Garner. We are currently investigating the precise relation...

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

    Warne, T; Holland, K; McAndrew, S


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

  10. 5 CFR 1312.23 - Access to classified information. (United States)


    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Access to classified information. 1312.23... Classified Information § 1312.23 Access to classified information. Classified information may be made... “need to know” and the access is essential to the accomplishment of official government duties....

  11. Rotational Study of Ambiguous Taxonomic Classified Asteroids (United States)

    Linder, Tyler R.; Sanchez, Rick; Wuerker, Wolfgang; Clayson, Timothy; Giles, Tucker


    The Sloan Digital Sky Survey (SDSS) moving object catalog (MOC4) provided the largest ever catalog of asteroid spectrophotometry observations. Carvano et al. (2010), while analyzing MOC4, discovered that individual observations of asteroids which were observed multiple times did not classify into the same photometric-based taxonomic class. A small subset of those asteroids were classified as having both the presence and absence of a 1um silicate absorption feature. If these variations are linked to differences in surface mineralogy, the prevailing assumption that an asteroid’s surface composition is predominantly homogenous would need to be reexamined. Furthermore, our understanding of the evolution of the asteroid belt, as well as the linkage between certain asteroids and meteorite types may need to be modified.This research is an investigation to determine the rotational rates of these taxonomically ambiguous asteroids. Initial questions to be answered:Do these asteroids have unique or nonstandard rotational rates?Is there any evidence in their light curve to suggest an abnormality?Observations were taken using PROMPT6 a 0.41-m telescope apart of the SKYNET network at Cerro Tololo Inter-American Observatory (CTIO). Observations were calibrated and analyzed using Canopus software. Initial results will be presented at AAS.

  12. Objectively classifying Southern Hemisphere extratropical cyclones (United States)

    Catto, Jennifer


    There has been a long tradition in attempting to separate extratropical cyclones into different classes depending on their cloud signatures, airflows, synoptic precursors, or upper-level flow features. Depending on these features, the cyclones may have different impacts, for example in their precipitation intensity. It is important, therefore, to understand how the distribution of different cyclone classes may change in the future. Many of the previous classifications have been performed manually. 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 850 hPa relative vorticity. A clustering method applied to large-scale fields from ERA-Interim at the time of cyclone genesis (when the cyclone is first detected), has been used to objectively classify identified cyclones. The results are compared to the manual classification of Sinclair and Revell (2000) and the four objectively identified classes shown in this presentation are found to match well. The relative importance of diabatic heating in the clusters is investigated, as well as the differing precipitation characteristics. The success of the objective classification shows its utility in climate model evaluation and climate change studies.

  13. Adaptive classifier for steel strip surface defects (United States)

    Jiang, Mingming; Li, Guangyao; Xie, Li; Xiao, Mang; Yi, Li


    Surface defects detection system has been receiving increased attention as its precision, speed and less cost. One of the most challenges is reacting to accuracy deterioration with time as aged equipment and changed processes. These variables will make a tiny change to the real world model but a big impact on the classification result. In this paper, we propose a new adaptive classifier with a Bayes kernel (BYEC) which update the model with small sample to it adaptive for accuracy deterioration. Firstly, abundant features were introduced to cover lots of information about the defects. Secondly, we constructed a series of SVMs with the random subspace of the features. Then, a Bayes classifier was trained as an evolutionary kernel to fuse the results from base SVMs. Finally, we proposed the method to update the Bayes evolutionary kernel. The proposed algorithm is experimentally compared with different algorithms, experimental results demonstrate that the proposed method can be updated with small sample and fit the changed model well. Robustness, low requirement for samples and adaptive is presented in the experiment.

  14. Classifying Coding DNA with Nucleotide Statistics

    Directory of Open Access Journals (Sweden)

    Nicolas Carels


    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.

  15. Classifying anatomical subtypes of subjective memory impairment. (United States)

    Jung, Na-Yeon; Seo, Sang Won; Yoo, Heejin; Yang, Jin-Ju; Park, Seongbeom; Kim, Yeo Jin; Lee, Juyoun; Lee, Jin San; Jang, Young Kyoung; Lee, Jong Min; Kim, Sung Tae; Kim, Seonwoo; Kim, Eun-Joo; Na, Duk L; Kim, Hee Jin


    We aimed to categorize subjective memory impairment (SMI) individuals based on their patterns of cortical thickness and to propose simple models that can classify each subtype. We recruited 613 SMI individuals and 613 age- and gender-matched normal controls. Using hierarchical agglomerative cluster analysis, SMI individuals were divided into 3 subtypes: temporal atrophy (12.9%), minimal atrophy (52.4%), and diffuse atrophy (34.6%). Individuals in the temporal atrophy (Alzheimer's disease-like atrophy) subtype were older, had more vascular risk factors, and scored the lowest on neuropsychological tests. Combination of these factors classified the temporal atrophy subtype with 73.2% accuracy. On the other hand, individuals with the minimal atrophy (non-neurodegenerative) subtype were younger, were more likely to be female, and had depression. Combination of these factors discriminated the minimal atrophy subtype with 76.0% accuracy. We suggest that SMI can be largely categorized into 3 anatomical subtypes that have distinct clinical features. Our models may help physicians decide next steps when encountering SMI patients and may also be used in clinical trials.

  16. Nurse leaders as stewards at the point of service. (United States)

    Murphy, Norma; Roberts, Deborah


    Nurse leaders, including clinical nurse educators, who exercise stewardship at the point of service, may facilitate practising nurses' articulation of their shared value priorities, including respect for persons' dignity and self-determination, as well as equity and fairness. A steward preserves and promotes what is intrinsically valuable in an experience. Theories of virtue ethics and discourse ethics supply contexts for clinical nurse educators to clarify how they may facilitate nurses' articulation of their shared value priorities through particularism and universalism, as well as how they may safeguard nurses' self-interpretation and discursive reasoning. Together, clinical nurse educators and nurses may contribute to management decisions that affect the point of service, and thus the health care organization.

  17. Teaching Nursing Leadership: Comparison of Simulation versus Traditional Inpatient Clinical. (United States)

    Gore, Teresa N; Johnson, Tanya Looney; Wang, Chih-hsuan


    Nurse educators claim accountability to ensure their students are prepared to assume leadership responsibilities upon graduation. Although front-line nurse leaders and nurse executives feel new graduates are not adequately prepared to take on basic leadership roles, professional nursing organizations such as the American Nurses Association (ANA) and the Association of Colleges of Nursing (AACN) deem leadership skills are core competencies of new graduate nurses. This study includes comparison of a leadership-focused multi-patient simulation and the traditional leadership clinical experiences in a baccalaureate nursing leadership course. The results of this research show both environments contribute to student learning. There was no statistical difference in the overall score. Students perceived a statistically significant difference in communication with patients in the traditional inpatient environment. However, the students perceived a statistical significant difference in teaching-learning dyad toward simulation.

  18. Doing Foucault: inquiring into nursing knowledge with Foucauldian discourse analysis. (United States)

    Springer, Rusla Anne; Clinton, Michael E


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

  19. Nursing intellectual capital theory: implications for research and practice. (United States)

    Covell, Christine L; Sidani, Souraya


    Due to rising costs of healthcare, determining how registered nurses and knowledge resources influence the quality of patient care is critical. Studies that have investigated the relationship between nursing knowledge and outcomes have been plagued with conceptual and methodological issues. This has resulted in limited empirical evidence of the impact of nursing knowledge on patient or organizational outcomes. The nursing intellectual capital theory was developed to assist with this area of inquiry. Nursing intellectual capital theory conceptualizes the sources of nursing knowledge available within an organization and delineates its relationship to patient and organizational outcomes. In this article, we review the nursing intellectual capital theory and discuss its implications for research and practice. We explain why the theory shows promise for guiding research on quality work environments and how it may assist with administrative decision-making related to nursing human resource management and continuing professional development.

  20. Nationwide peritoneal dialysis nurse training in Thailand: 3-year experience. (United States)

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


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

  1. Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork. (United States)

    Vogelsmeier, Amy; Scott-Cawiezell, Jill


    Leadership, communication, and teamwork are essential elements of organizational capacity and are linked to organizational performance. How those organizations actually achieve improved performance, however, is not clearly understood. In this comparative case study, nursing leadership who facilitated open communication and teamwork achieved improvement while nursing leadership who impeded open communication and teamwork did not.

  2. Comparison of Current Frame-Based Phoneme Classifiers

    Directory of Open Access Journals (Sweden)

    Vaclav Pfeifer


    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.

  3. Development of nursing CAI in the administration: nursing daily hospital problems. (United States)

    Carmagnani, M I; Cunha, I C; Marin, H F


    Since the nurse emerged as a qualified professional to attend human beings, the role which always characterized his/her action was assistance. Already since the foundation of the first nursing school, teaching aimed at developing the student to dispense nursing care necessary for the patient's assistance. When the nurse started to perform their activities in nosocomial and community institutions, the need for someone who would be responsible for the organization, coordination and control of nursing personnel and the Nursing Unit itself, in short, someone who would head the services became apparent. At present, the professional role of the nurse is changing regarding his/her overall assistance to the patient, caring directly, determining and/or carrying out nursing assistance necessary for the patient's health, maintenance or recovery. In this manner, it is necessary for nurses to use tools of administration science such as planning, decision making, and planned changes in order to be able to provide the nursing assistance with quality. Thus, this study aims at helping the development of the nurse's interest in computer during the teaching-learning process, motivating the search for knowledge in computerized sources. We intended to offer the opportunity for discussion and reflection on problems of nosocomial nursing practice, favoring interchange of theory and practice. The system is being developing using ToolBook Live Software to be run in Windows environment. The content of the subject allow the user (student or professional nursing) to choose the most correct answers to questions in the knowledge area. In this case, to discuss nursing administration issues through the study of practical situations is possible, such as the opportunity the verify the performance in tests.

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

    Directory of Open Access Journals (Sweden)

    Peter eVan Bogaert


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

  5. Ethical Dilemma and Countermeasure in Clinical Setting for Nurses in Department of Organ Transplantation%器官移植科护士在临床工作中的伦理困惑及对策

    Institute of Scientific and Technical Information of China (English)

    豆秋江; 叶海丹; 林清华; 陈公云; 陈璐


    针对器官移植科护士在临床工作中遭遇的伦理困惑,即对“移植术前家属要求不告知患者病情”、“照顾临终患者”及“实习护士带教”的困惑.提出以下解决对策:确定患者的根本利益所在,思考并灵活运用适当的伦理原则,采取有效的沟通方式及负责任的伦理行为,关怀照顾患者的身体和情绪反应,维护患者的根本利益,尊重及保障患者的权益.通过长期、循序渐进的临床护理伦理决策训练,提高伦理决策能力,在解决临床伦理问题的同时,又兼顾患者的最大利益,为其提供高品质的护理服务.%Based on the ethical dilemma usually encountered by nurses in the department of organ transplantation , such as not telling patients their diseases before transplantation according to their family members, taking care of the dying patients, and teaching the internship nurses, this paper proposed the following countermeasures: considering the fundamental benefits of patients, correctly applying the etkical principles, adopting effective communications and responsible ethical actions, taking care of patients'physical and emotional responses, respecting and ensuring the legal rights of patients. The ability of ethical decision making should be promoted via a long - term, gradual and orderly training, which can not only facilitate to resolve the ethical dilemmas but also give consideration to the patients right and provide high quality nursing service.

  6. Recruiting and Retaining Army Nurses: An Annotated Bibliography, 1990 (United States)


    nursing organizations could assist DOD in recruiting, develop videos of current nursing leaders who are also reservists for PR purposes, and encourage...occurred under the leadership of Julia Stinson, the Superintendent from 1919 to 1937. Also discussed is the relationship of the corps to the nursing ... organizations . Slewitzke, Connie L., Vail, James D., and M arlin, Susan A. US Army Reserve and National Guard Survey: An Analysis of Factors Which

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


    Mara Solange Gomes Dellaroza; Cristiane Nakaya Tada; Maria do Carmo Lourenço Haddad; Marli Terezinha Oliveira Vannuchi; Vanessa Gomes Maziero


    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 educatio...

  8. Optimizing A syndromic surveillance text classifier for influenza-like illness: Does document source matter? (United States)

    South, Brett R; South, Brett Ray; Chapman, Wendy W; Chapman, Wendy; Delisle, Sylvain; Shen, Shuying; Kalp, Ericka; Perl, Trish; Samore, Matthew H; Gundlapalli, Adi V


    Syndromic surveillance systems that incorporate electronic free-text data have primarily focused on extracting concepts of interest from chief complaint text, emergency department visit notes, and nurse triage notes. Due to availability and access, there has been limited work in the area of surveilling the full text of all electronic note documents compared with more specific document sources. This study provides an evaluation of the performance of a text classifier for detection of influenza-like illness (ILI) by document sources that are commonly used for biosurveillance by comparing them to routine visit notes, and a full electronic note corpus approach. Evaluating the performance of an automated text classifier for syndromic surveillance by source document will inform decisions regarding electronic textual data sources for potential use by automated biosurveillance systems. Even when a full electronic medical record is available, commonly available surveillance source documents provide acceptable statistical performance for automated ILI surveillance.

  9. Cultural competencies for graduate nursing education. (United States)

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


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

  10. Inductions Buffer Nurses' Job Stress, Health, and Organizational Commitment. (United States)

    Kamau, Caroline; Medisauskaite, Asta; Lopes, Barbara


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

  11. Financial literacy as an essential element in nursing management practice. (United States)

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


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

  12. Singapore - The Nursing Scene

    Directory of Open Access Journals (Sweden)

    M.A. Doyle


    Full Text Available In many ways Singapore still bears evidence of the period of British colonialism and the system of nursing service and nursing education is also still greatly influenced by the British system of nursing.

  13. Determining professionalism in Turkish students nurses

    Directory of Open Access Journals (Sweden)

    Ayise Karadağ


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

  14. Patient advocacy from the clinical nurses' viewpoint: a qualitative study (United States)

    Davoodvand, Shirmohammad; Abbaszadeh, Abbas; Ahmadi, Fazlollah


    One of the advanced nursing care procedures emphasized by nursing organizations around the world is patient or nursing advocacy. In addition to illustrating the professional power of nursing, it helps to provide effective nursing care. The aim of the present study was to explain the concept of patient advocacy from the perspective of Iranian clinical nurses. This was a qualitative study that examined the viewpoint and experiences of 15 clinical nurses regarding patient advocacy in nursing. The nurses worked in intensive care units (ICUs), coronary care units (CCUs), and emergency units. The study participants were selected via purposeful sampling. The data was collected through semi-structured interviews and analyzed using content analysis. Data analysis showed that patient advocacy consisted of the two themes of empathy with the patient (including understanding, being sympathetic with, and feeling close to the patient) and protecting the patients (including patient care, prioritization of patients’ health, commitment to the completion of the care process, and protection of patients' rights). The results of this study suggest that nurses must be empathetic toward and protective of their patients. The results of the present study can be used in health care delivery, nursing education, and nursing management and planning systems to help nurses accomplish their important role as patient advocates. It is necessary to further study the connections between patient advocacy and empathy. PMID:27471588

  15. Patient advocacy from the clinical nurses' viewpoint: a qualitative study. (United States)

    Davoodvand, Shirmohammad; Abbaszadeh, Abbas; Ahmadi, Fazlollah


    One of the advanced nursing care procedures emphasized by nursing organizations around the world is patient or nursing advocacy. In addition to illustrating the professional power of nursing, it helps to provide effective nursing care. The aim of the present study was to explain the concept of patient advocacy from the perspective of Iranian clinical nurses. This was a qualitative study that examined the viewpoint and experiences of 15 clinical nurses regarding patient advocacy in nursing. The nurses worked in intensive care units (ICUs), coronary care units (CCUs), and emergency units. The study participants were selected via purposeful sampling. The data was collected through semi-structured interviews and analyzed using content analysis. Data analysis showed that patient advocacy consisted of the two themes of empathy with the patient (including understanding, being sympathetic with, and feeling close to the patient) and protecting the patients (including patient care, prioritization of patients' health, commitment to the completion of the care process, and protection of patients' rights). The results of this study suggest that nurses must be empathetic toward and protective of their patients. The results of the present study can be used in health care delivery, nursing education, and nursing management and planning systems to help nurses accomplish their important role as patient advocates. It is necessary to further study the connections between patient advocacy and empathy.

  16. [Organizational structure of nursing services: reflections on the influence of the organizational power and culture]. (United States)

    Jericó, Marli Carvalho; Peres, Aida Maris; Kurcgant, Paulina


    This study addresses the culture and power influencing the organizational structure of the nursing services at a teaching hospital. The Nursing Service organizational structure (organization chart) was outlined due to the need of the general management of the hospital to standardize the nursing procedures. Due to this situation, the nursing managers' interest has arisen to widen the power setting, strengthening nursing in an intra-institutional environment.

  17. Nursing agency: the link between practical nursing science and nursing practice. (United States)

    Banfield, Barbara E


    The relationship of nursing science and nursing practice has been the topic of numerous discussions over the past decades. According to Orem, nursing science is a practical science, meaning that knowledge is developed for the sake of nursing practice. Within Orem's self-care deficit nursing theory, the concept of nursing agency links nursing science and nursing practice. Nursing agency refers to the power or ability of the nurse to design and produce systems of care. The relationship of practical nursing science, nursing practice, and nursing agency is examined in this article. Suggestions for further work related to nursing agency are provided.

  18. Understanding and classifying metabolite space and metabolite-likeness.

    Directory of Open Access Journals (Sweden)

    Julio E Peironcely

    Full Text Available While the entirety of 'Chemical Space' is huge (and assumed to contain between 10(63 and 10(200 'small molecules', distinct subsets of this space can nonetheless be defined according to certain structural parameters. An example of such a subspace is the chemical space spanned by endogenous metabolites, defined as 'naturally occurring' products of an organisms' metabolism. In order to understand this part of chemical space in more detail, we analyzed the chemical space populated by human metabolites in two ways. Firstly, in order to understand metabolite space better, we performed Principal Component Analysis (PCA, hierarchical clustering and scaffold analysis of metabolites and non-metabolites in order to analyze which chemical features are characteristic for both classes of compounds. Here we found that heteroatom (both oxygen and nitrogen content, as well as the presence of particular ring systems was able to distinguish both groups of compounds. Secondly, we established which molecular descriptors and classifiers are capable of distinguishing metabolites from non-metabolites, by assigning a 'metabolite-likeness' score. It was found that the combination of MDL Public Keys and Random Forest exhibited best overall classification performance with an AUC value of 99.13%, a specificity of 99.84% and a selectivity of 88.79%. This performance is slightly better than previous classifiers; and interestingly we found that drugs occupy two distinct areas of metabolite-likeness, the one being more 'synthetic' and the other being more 'metabolite-like'. Also, on a truly prospective dataset of 457 compounds, 95.84% correct classification was achieved. Overall, we are confident that we contributed to the tasks of classifying metabolites, as well as to understanding metabolite chemical space better. This knowledge can now be used in the development of new drugs that need to resemble metabolites, and in our work particularly for assessing the metabolite

  19. Scholarship in nursing: Degree-prepared nurses versus diploma-prepared nurses

    Directory of Open Access Journals (Sweden)

    Lizeth Roets


    Conclusion: The global nursing crisis, nor the nursing profession, will benefit by only training more nurses. The profession and the health care sector need more degree prepared nurses to improve scholarship in nursing.

  20. [Health for all--the development of community health nursing and public health nursing from the perspective of education]. (United States)

    Lin, Pay-Fan


    The purpose of this article was to examine the development of community health nursing and public health nursing in Taiwan from an educational perspective. Key issues addressed include: teaching strategies and scopes of practice used in community health nursing in Taiwan between 1910 and the 1950s; the philosophical foundations for the concepts of "health for all" and "social justice" in Taiwan's community health nursing; the five "P"s of community health nursing teaching and practice (population, prevention, promotion, policy, and partnership); the core competencies and scope of practice of community health nursing proposed by the TWNA Community Health Nursing Committee; and the core competencies and the tiers of classification proposed by the Quad Council of Public Health Nursing Organizations. This article helps to elucidate the inseparable relationship between community health nursing education and practice at both the micro and macro level and examines possible future directions for community health nursing in Taiwan. The author proposes the following recommendations for future community health nursing education development in Taiwan: 1) implement competence classifications appropriate to each nursing education preparation level, 2) promote multidisciplinary cooperation among education, practice, and policy, and 3) promote collaboration and consensus among community health nursing and public health related associations.

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

    Directory of Open Access Journals (Sweden)

    Seyedeh Toktam Masoumian Hoseini


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

  2. Classifying prion and prion-like phenomena. (United States)

    Harbi, Djamel; Harrison, Paul M


    The universe of prion and prion-like phenomena has expanded significantly in the past several years. Here, we overview the challenges in classifying this data informatically, given that terms such as "prion-like", "prion-related" or "prion-forming" do not have a stable meaning in the scientific literature. We examine the spectrum of proteins that have been described in the literature as forming prions, and discuss how "prion" can have a range of meaning, with a strict definition being for demonstration of infection with in vitro-derived recombinant prions. We suggest that although prion/prion-like phenomena can largely be apportioned into a small number of broad groups dependent on the type of transmissibility evidence for them, as new phenomena are discovered in the coming years, a detailed ontological approach might be necessary that allows for subtle definition of different "flavors" of prion / prion-like phenomena.

  3. Learning Vector Quantization for Classifying Astronomical Objects

    Institute of Scientific and Technical Information of China (English)


    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.

  4. A cognitive approach to classifying perceived behaviors (United States)

    Benjamin, Dale Paul; Lyons, Damian


    This paper describes our work on integrating distributed, concurrent control in a cognitive architecture, and using it to classify perceived behaviors. We are implementing the Robot Schemas (RS) language in Soar. RS is a CSP-type programming language for robotics that controls a hierarchy of concurrently executing schemas. The behavior of every RS schema is defined using port automata. This provides precision to the semantics and also a constructive means of reasoning about the behavior and meaning of schemas. Our implementation uses Soar operators to build, instantiate and connect port automata as needed. Our approach is to use comprehension through generation (similar to NLSoar) to search for ways to construct port automata that model perceived behaviors. The generality of RS permits us to model dynamic, concurrent behaviors. A virtual world (Ogre) is used to test the accuracy of these automata. Soar's chunking mechanism is used to generalize and save these automata. In this way, the robot learns to recognize new behaviors.

  5. Speech Emotion Recognition Using Fuzzy Logic Classifier

    Directory of Open Access Journals (Sweden)

    Daniar aghsanavard


    Full Text Available Over the last two decades, emotions, speech recognition and signal processing have been one of the most significant issues in the adoption of techniques to detect them. Each method has advantages and disadvantages. This paper tries to suggest fuzzy speech emotion recognition based on the classification of speech's signals in order to better recognition along with a higher speed. In this system, the use of fuzzy logic system with 5 layers, which is the combination of neural progressive network and algorithm optimization of firefly, first, speech samples have been given to input of fuzzy orbit and then, signals will be investigated and primary classified in a fuzzy framework. In this model, a pattern of signals will be created for each class of signals, which results in reduction of signal data dimension as well as easier speech recognition. The obtained experimental results show that our proposed method (categorized by firefly, improves recognition of utterances.

  6. Classifying and ranking DMUs in interval DEA

    Institute of Scientific and Technical Information of China (English)

    GUO Jun-peng; WU Yu-hua; LI Wen-hua


    During efficiency evaluating by DEA, the inputs and outputs of DMUs may be intervals because of insufficient information or measure error. For this reason, interval DEA is proposed. To make the efficiency scores more discriminative, this paper builds an Interval Modified DEA (IMDEA) model based on MDEA.Furthermore, models of obtaining upper and lower bounds of the efficiency scores for each DMU are set up.Based on this, the DMUs are classified into three types. Next, a new order relation between intervals which can express the DM' s preference to the three types is proposed. As a result, a full and more eonvietive ranking is made on all the DMUs. Finally an example is given.


    Varol, Erdem; Gaonkar, Bilwaj; Davatzikos, Christos


    Input features for medical image classification algorithms are extracted from raw images using a series of pre processing steps. One common preprocessing step in computational neuroanatomy and functional brain mapping is the nonlinear registration of raw images to a common template space. Typically, the registration methods used are parametric and their output varies greatly with changes in parameters. Most results reported previously perform registration using a fixed parameter setting and use the results as input to the subsequent classification step. The variation in registration results due to choice of parameters thus translates to variation of performance of the classifiers that depend on the registration step for input. Analogous issues have been investigated in the computer vision literature, where image appearance varies with pose and illumination, thereby making classification vulnerable to these confounding parameters. The proposed methodology addresses this issue by sampling image appearances as registration parameters vary, and shows that better classification accuracies can be obtained this way, compared to the conventional approach.

  8. Classifying antiarrhythmic actions: by facts or speculation. (United States)

    Vaughan Williams, E M


    Classification of antiarrhythmic actions is reviewed in the context of the results of the Cardiac Arrhythmia Suppression Trials, CAST 1 and 2. Six criticisms of the classification recently published (The Sicilian Gambit) are discussed in detail. The alternative classification, when stripped of speculative elements, is shown to be similar to the original classification. Claims that the classification failed to predict the efficacy of antiarrhythmic drugs for the selection of appropriate therapy have been tested by an example. The antiarrhythmic actions of cibenzoline were classified in 1980. A detailed review of confirmatory experiments and clinical trials during the past decade shows that predictions made at the time agree with subsequent results. Classification of the effects drugs actually have on functioning cardiac tissues provides a rational basis for finding the preferred treatment for a particular arrhythmia in accordance with the diagnosis.

  9. A Spiking Neural Learning Classifier System

    CERN Document Server

    Howard, Gerard; Lanzi, Pier-Luca


    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.

  10. Segmentation of Fingerprint Images Using Linear Classifier

    Directory of Open Access Journals (Sweden)

    Xinjian Chen


    Full Text Available An algorithm for the segmentation of fingerprints and a criterion for evaluating the block feature are presented. The segmentation uses three block features: the block clusters degree, the block mean information, and the block variance. An optimal linear classifier has been trained for the classification per block and the criteria of minimal number of misclassified samples are used. Morphology has been applied as postprocessing to reduce the number of classification errors. The algorithm is tested on FVC2002 database, only 2.45% of the blocks are misclassified, while the postprocessing further reduces this ratio. Experiments have shown that the proposed segmentation method performs very well in rejecting false fingerprint features from the noisy background.

  11. Diversity of Emotional Intelligence among Nursing and Medical Students


    Chun, Kyung Hee; Park, Euna


    Objectives The purpose of this study is to identify the types of perception of emotional intelligence among nursing and medical students and their characteristics using Q methodology, and to build the basic data for the development of a program for the would-be medical professionals to effectively adapt to various clinical settings in which their emotions are involved. Methods Data were collected from 35 nursing and medical students by allowing them to classify 40 Q statements related to emot...

  12. Classifying supernovae using only galaxy data

    Energy Technology Data Exchange (ETDEWEB)

    Foley, Ryan J. [Astronomy Department, University of Illinois at Urbana-Champaign, 1002 West Green Street, Urbana, IL 61801 (United States); Mandel, Kaisey [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, MA 02138 (United States)


    We present a new method for probabilistically classifying supernovae (SNe) without using SN spectral or photometric data. Unlike all previous studies to classify SNe without spectra, this technique does not use any SN photometry. Instead, the method relies on host-galaxy data. We build upon the well-known correlations between SN classes and host-galaxy properties, specifically that core-collapse SNe rarely occur in red, luminous, or early-type galaxies. Using the nearly spectroscopically complete Lick Observatory Supernova Search sample of SNe, we determine SN fractions as a function of host-galaxy properties. Using these data as inputs, we construct a Bayesian method for determining the probability that an SN is of a particular class. This method improves a common classification figure of merit by a factor of >2, comparable to the best light-curve classification techniques. Of the galaxy properties examined, morphology provides the most discriminating information. We further validate this method using SN samples from the Sloan Digital Sky Survey and the Palomar Transient Factory. We demonstrate that this method has wide-ranging applications, including separating different subclasses of SNe and determining the probability that an SN is of a particular class before photometry or even spectra can. Since this method uses completely independent data from light-curve techniques, there is potential to further improve the overall purity and completeness of SN samples and to test systematic biases of the light-curve techniques. Further enhancements to the host-galaxy method, including additional host-galaxy properties, combination with light-curve methods, and hybrid methods, should further improve the quality of SN samples from past, current, and future transient surveys.

  13. Integrative reviews of nursing research. (United States)

    Ganong, L H


    Integrative reviews of research are a valuable part of the process of creating and organizing a body of literature. It has been argued that integrative reviews should be held to the same standards of clarity, rigor, and replication as primary research. In this paper methods for conducting an integrative review are discussed. Seventeen reviews from nursing journals were examined and compared with a proposed set of criteria for reviews. The results indicated that the majority of integrative reviews in nursing fell short of primary research standards. Guidelines for conducting more rigorous reviews are presented.

  14. Jump starting your nursing career: toolbox for success. (United States)

    Jakubik, Louise D


    While there is no single path to career advancement in nursing, there are developmental tools and organizational systems to promote nurses' career advancement and to assist in the organization of professional accomplishments. As nurses achieve additional credentialing, certification, licensure and academic credentials, it is important that they list these credentials after their names to market their career accomplishments and expertise. Career tool boxes such as a file system, resume and professional portfolio, are key organizational systems for nurses to keep track of their success and to promote their careers in nursing.

  15. Compassionate nursing professionals as good citizens of the world. (United States)

    Crigger, Nancy J; Brannigan, Michael; Baird, Martha


    Globalization is reshaping the world and its people. Nursing, likewise, is in the process of expanding its worldview to one that accommodates global care. The authors further articulate a global ethic for nursing by distinguishing 2 concepts: world citizenship, as described by Martha Nussbaum, which calls nurses to critically evaluate personal and culture-based beliefs, and compassionate professional, which calls nurses to nurture partnerships of mutual respect. It is also important that nursing participate and support professional and international organizations that address social injustices related to healthcare, poverty, and public health.

  16. Screening, brief intervention, and referral to treatment (SBIRT) as an integral part of nursing practice. (United States)

    Finnell, Deborah S; Nowzari, Shahrzad; Reimann, Brie; Fischer, Leigh; Pace, Elizabeth; Goplerud, Eric


    ABSTRACT. Substance use screening, brief intervention, and referral to treatment (SBIRT) should be an integral part of the scope of nursing practice. This commentary is an appeal for nurses to advance their knowledge and competencies related to SBIRT. The question of how to move SBIRT into the mainstream of nursing practice was posed to several leaders of federal agencies, health care and nursing organizations, nurse educators, and nurse leaders. The authors provide recommendations for moving this set of clinical strategies (i.e., SBIRT) into day-to-day nursing practice.

  17. The cognitive style of nursing students: educational implications for teaching and learning. (United States)

    Noble, Kim A; Miller, Susan M; Heckman, James


    As cognitive and kinesthetic demands on nursing students increase, so does the need for optimal learning environments. Witkin's empirically supported measure of field dependent/independent cognitive style assesses the manner in which students perceive and process information and classifies them along a continuum of field dependence to field independence. Witkin's Groups Embedded Figures Test (GEFT) was administered to 876 students enrolled in 10 health care programs. Statistically significant differences in the GEFT mean scores of students enrolled in the different programs were discovered. The effect size was moderate. Undergraduate nursing students scored higher on the GEFT than did graduate or RN-to-BSN nursing students. However, nursing students were classified as more field dependent than students in other health-related disciplines. Due to their cognitive processing requirements, field-dependent nursing students may be at risk for academic failure. Therefore, instructional strategies tailored to students' needs should be incorporated into the nursing curriculum.

  18. Cancer nursing in Ontario: defining nursing roles. (United States)

    Fitch, Margaret I; Mings, Deborah


    The delivery of cancer care in Ontario is facing unprecedented challenges. Shortages in nursing, as in all professional disciplines, are having an impact on the delivery of cancer care. Oncology nurses have a major role to play in the delivery of optimum cancer care. Oncology nursing, when adequately defined and supported, can benefit the cancer delivery system, patients, and families. A primary nursing model is seen as being key to the delivery of optimum cancer care. Primary nursing as a philosophy facilitates continuity of care, coordination of a patient's care plan, and a meaningful ongoing relationship with the patient and his/her family. Primary nursing, when delivered in the collaboration of a nurse-physician team, allows for medical resources to be used appropriately. Defined roles enable nurses to manage patients within their scope of practice in collaboration with physicians. Enacting other nursing roles, such as nurse practitioners and advanced practice nurses, can also enable the health care system to manage a broader number of patients with more complex needs. This article presents a position paper originally written as the basis for an advocacy and education initiative in Ontario. It is shared in anticipation that the work may be useful to oncology nurses in other jurisdictions in their efforts to advance oncology nursing and improvement of patient care.

  19. Can ICNP® be used in the nursing care of a patient with pneumonia?

    Directory of Open Access Journals (Sweden)

    Grabowska Hanna


    Full Text Available Introduction. The international standard for nursing terminology included in the ICNP®, recommended by many organizations and associations, can be used in the daily professional practice to facilitate the nurses’ selection of appropriate diagnoses and nursing interventions.

  20. Can ICNP® be used in the nursing care of a patient with pneumonia?


    Grabowska Hanna


    Introduction. The international standard for nursing terminology included in the ICNP®, recommended by many organizations and associations, can be used in the daily professional practice to facilitate the nurses’ selection of appropriate diagnoses and nursing interventions.

  1. Classifying algorithms for SIFT-MS technology and medical diagnosis. (United States)

    Moorhead, K T; Lee, D; Chase, J G; Moot, A R; Ledingham, K M; Scotter, J; Allardyce, R A; Senthilmohan, S T; Endre, Z


    Selected Ion Flow Tube-Mass Spectrometry (SIFT-MS) is an analytical technique for real-time quantification of trace gases in air or breath samples. SIFT-MS system thus offers unique potential for early, rapid detection of disease states. Identification of volatile organic compound (VOC) masses that contribute strongly towards a successful classification clearly highlights potential new biomarkers. A method utilising kernel density estimates is thus presented for classifying unknown samples. It is validated in a simple known case and a clinical setting before-after dialysis. The simple case with nitrogen in Tedlar bags returned a 100% success rate, as expected. The clinical proof-of-concept with seven tests on one patient had an ROC curve area of 0.89. These results validate the method presented and illustrate the emerging clinical potential of this technology.

  2. 420芦山地震早期救援中急诊护士高效能运用组织管理分析%Efficient Organization and Management Analysis of Emergency Nurses in Early rescue on 420 Lushan earthquake The yucheng district People’s Hospital of Ya’an

    Institute of Scientific and Technical Information of China (English)

    李建南; 曾朝蓉(通讯作者)


    Objective:Investigating the efficient organization management methods of emergency nurses in early rescue of earthquake. Methods: Through the methods of emergency nurses as a group team leader and reinforcements nurses as crew, we could reach the goal of rescuing a large number of earthquake victims. Results: Both the functions of emergency nurses and the work of rescue were efficiently. Conclusion: In the early rescue of earthquake, the organization management of emergency nurses could reach the purposes of effective.%目的:探讨地震早期救援中,作为最熟悉急救工作之一的急诊护士的高效使用方法。方法通过运用急诊护士作为分组小组长,增援护士作为组员,分组式地进行地震伤员的抢救工作,以达到满足救护大量地震伤员的目的。结果使急诊护士较好发挥作用,得到了高效能使用,也使救援工作得以高效进行。结论地震救援早期,运用对急诊护士的管理使用,能使其达到高效能的目的。

  3. Project Management: Essential Skill of Nurse Informaticists. (United States)

    Sipes, Carolyn


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

  4. Registered nurse participation in performance appraisal interviews. (United States)

    Spence, Deborah Gail; Wood, Elizabeth E


    Performance appraisal interviews have, over the past two decades, become a common phenomenon in nursing. Yet evidence--both anecdotal and those reported in the literature--suggest that these interviews provide minimal satisfaction and are thus not always effective. This article presents the findings of an interpretive study that explored and documented the meaning and impact of participating in performance appraisal interviews. Data gleaned from nine New Zealand registered nurses employed by a single district health board provide evidence that nurses are often disappointed by the process of performance appraisal. Although they believe in the potential value of performance appraisal interviews, they seldom experience the feedback, direction, and encouragement necessary for an effective appraisal process. Changes to the current professional development program and its accompanying performance appraisal will require skilled commitment on the part of nurses, managers, and the employing organization to improve and develop the assessment and promotion of nursing practice.

  5. Nurse managers' leadership styles in Finland. (United States)

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


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

  6. School nurses' perceptions of empowerment and autonomy. (United States)

    DeSisto, Marie C; DeSisto, Thomas Patrick


    The purpose of this study was to explore Kanter's Theory of Structural Power in Organizations, using school nurses and to answer the research question of whether there is a relationship between empowerment and autonomy in school nurses. This study found a positive relationship between the nurses' perceptions of empowerment and autonomy. The school nurses surveyed perceived themselves to have a high degree of autonomy and a moderate degree of empowerment, and they reported that their access to informal power structures was higher than their access to formal power structures in their school systems. School nurses can benefit by understanding factors that can increase their empowerment in the workplace. They need to understand the organizational structure of their workplace to increase their effectiveness and job satisfaction.

  7. 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)



    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.

  8. Safe practice of population-focused nursing care: Development of a public health nursing concept. (United States)

    Issel, L Michele; Bekemeier, Betty


    Patient safety, a cornerstone of quality nursing care in most healthcare organizations, has not received attention in the specialty of public health nursing, owing to the conceptual challenges of applying this individual level concept to populations. Public health nurses (PHNs), by definition, provide population-focused care. Safe practice of population-focused nursing care involves preventing errors that would affect the health of entire populations and communities. The purpose of this article is to conceptually develop the public health nursing concept of safe practice of population-focused care and calls for related research. Key literature on patient safety is reviewed. Concepts applying to population-focused care are organized based on Donabedian's Framework. Structural, operational and system failures and process errors of omission and commission can occur at the population level of practice and potentially influence outcomes for population-patients. Practice, research and policy implications are discussed. Safe PHN population-focused practice deserves attention.

  9. The predominant leadership style in a nurse group which frequent a post-graduation courses


    Brandão Chaves, Enaura Helena; S. Souto De Moura, Gisela


    This study identify the leadership style is adopt for nurses which frequent Post-Graduation Courses offer by Schools of Nursing of Metropolitan region of Porto Alegre, Brazil. The data collection used an instrument proposed by David R. Frew was used in a sample of 184 nurses. The instrument classify the leadership in five styles: very autocratic, autocratic moderate mixed, democratic moderate and very democratic. The results shows the predominant utilization of the mixed style (83,15%) follow...

  10. Nursing home-acquired pneumonia. (United States)

    El Solh, Ali A


    Nursing home-acquired pneumonia (NHAP) was first described in 1978. Since then there has been much written regarding NHAP and its management despite the lack of well-designed studies in this patient population. The most characteristic features of patients with NHAP are the atypical presentation, which may lead to delay in diagnosis and therapy. The microbial etiology of pneumonia encompasses a wide spectrum that spans microbes recovered from patients with community-acquired pneumonia to organisms considered specific only to nosocomial settings. Decision to transfer a nursing home patient to an acute care facility depends on a host of factors, which include the level of staffing available at the nursing home, patients' advance directives, and complexity of treatment. The presence of risk factors for multidrug-resistant pathogens dictates approach to therapy. Prevention remains the cornerstone of reducing the incidence of disease. Despite the advance in medical services, mortality from NHAP remains high.

  11. Occupational health nursing in hungary. (United States)

    Hirdi, Henriett Éva; Hong, OiSaeng


    This article is the first about occupational health nursing in Hungary. The authors describe the Hungarian health care and occupational health care systems, including nursing education and professional organizations for occupational health nurses. The Fundamental Law of Hungary guarantees the right of every employee to healthy and safe working conditions, daily and weekly rest times and annual paid leave, and physical and mental health. Hungary promotes the exercise of these rights by managing industrial safety and health care, providing access to healthy food, supporting sports and regular physical exercise, and ensuring environmental protection. According to the law, the responsibility for regulation of the occupational health service lies with the Ministry of Human Resources. Safety regulations are under the aegis of the Ministry of National Economy.

  12. District nurses: relationships in nurse prescribing.


    Fisher, Richard


    Although nurse prescribing has been established in the UK for approximately 8 years, little is known about the effect this additional role is having on those who are involved in its processes. This article reports on the early phrases of an ethnographic study which is aiming to discover how prescribing is altering the ways in which district nurses relate to general practitioners, pharmacists, other community nurses, patients and carers during the experience of nurse prescribing. Using qualita...

  13. Nursing Jobs in Nursing Homes (United States)

    Torpey, Elka Maria


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

  14. Referring Patients to Nurses: Outcomes and Evaluation of a Nurse Flexible Sigmoidoscopy Training Program for Colorectal Cancer Screening

    Directory of Open Access Journals (Sweden)

    Mark J Dobrow


    Full Text Available Colorectal cancer is a significant health burden. Several screening options exist that can detect colorectal cancer at an early stage, leading to a more favourable prognosis. However, despite years of knowledge on best practice, screening rates are still very low in Canada, particularly in Ontario. The present paper reports on efforts to increase the flexible sigmoidoscopy screening capacity in Ontario by training nurses to perform this traditionally physician-performed procedure. Drawing on American, British and local experience, a professional regulatory framework was established, and training curriculum and assessment criteria were developed. Training was initiated at Princess Margaret Hospital and Sunnybrook and Women’s College Health Sciences Centre in Toronto, Ontario. (During the study, Sunnybrook and Women’s College Health Sciences Centre was deamalgamated into two separate hospitals: Women’s College Hospital and Sunnybrook Health Sciences Centre. Six registered nurses participated in didactic, simulator and practical training. These nurses performed a total of 77 procedures in patients, 23 of whom had polyps detected and biopsied. Eight patients were advised to undergo colonoscopy because they had one or more neoplastic polyps. To date, six of these eight patients have undergone colonoscopy, one patient has moved out of the province and another patient is awaiting the procedure. Classifying the six patients according to the most advanced polyp histology, one patient had a negative colonoscopy (no polyps found, one patient’s polyps were hyperplastic, one had a tubular adenoma, two had advanced neoplasia (tubulovillous adenomas and one had adenocarcinoma. All these lesions were excised completely at colonoscopy. Overall, many difficulties were anticipated and addressed in the development of the training program; ultimately, the project was affected most directly by challenges in encouraging family physicians to refer patients to

  15. 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


    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.

  16. [The style of leadership of nurses: description of an experience]. (United States)

    Chaves, Enaura Helena Brandão; de Moura, Gisela S


    This study identify the leadership style is adopt for nurses which frequent Post-Graduation Courses offer by Schools of Nursing of Metropolitan region of Porto Alegre, Brazil. The data collection used an instrument proposed by David R. Frew was used in a sample of 184 nurses. The instrument classify the leadership in five styles: very autocratic, autocratic moderate mixed, democratic moderate and very democratic. The results shows the predominant utilization of the mixed style (83.15%) followed by autocratic moderate (4.89%). The styles very autocratic and very democratic were less expressive (1.63%) and (0.54%) of the sample.

  17. Predictors of new graduate nurses' organizational commitment during a nurse residency program. (United States)

    Bratt, Marilyn Meyer; Felzer, Holly M


    Retaining newly graduated nurses is critical for organizations because of the significant cost of turnover. Since commitment to an organization is associated with decreased turnover intent, understanding factors that influence new graduates' organizational commitment is important. In a sample of nurse residency program participants, predictors of organizational commitment over time were explored. Perceptions of the work environment, particularly job satisfaction and job stress, were found to be most influential.

  18. Psychological contracts of hospice nurses. (United States)

    Jones, Audrey Elizabeth; Sambrook, Sally


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

  19. [Nursing care perspectives and foresights (United States)

    Lecordier, Didier; Jovic, Ljiljana


    As a continuation of its work and of the seminar on nursing sciences education in 2014, the “Association de recherche en soins infirmiers” (Arsi) organized a seminar on the 3rd and-4th of June 2016 in Nantes entitled : “nursing : perspectives and foresights”. More than fifty participants from the francophone area representing various sectors of practice : clinical, teaching, management and students gathered to debate and produce benchmarks to support the development of nursing sciences in France and to draw future directions for clinical practice and training. The successive sessions made it possible to reflect, to confront opinions, to make proposals and to identify the terms of the problematic of care and nursing knowledge today and the methodological elements relating to foresight. At the end of this very creative seminar, new avenues of reflection emerged shifting our usual look at the nurse profession. Orientations for training and practice have been defined with different stakes depending on the level of training and professional commitment. The strong links between professional, scientific and academic discipline have also been clarified, highlighting the importance to hold a high theoretical and scientific requirement, rigorous clinical practice, strong professional commitment and effective leadership.

  20. Fuzzy Wavenet (FWN classifier for medical images

    Directory of Open Access Journals (Sweden)

    Entather Mahos


    Full Text Available The combination of wavelet theory and neural networks has lead to the development of wavelet networks. Wavelet networks are feed-forward neural networks using wavelets as activation function. Wavelets networks have been used in classification and identification problems with some success. In this work we proposed a fuzzy wavenet network (FWN, which learns by common back-propagation algorithm to classify medical images. The library of medical image has been analyzed, first. Second, Two experimental tables’ rules provide an excellent opportunity to test the ability of fuzzy wavenet network due to the high level of information variability often experienced with this type of images. We have known that the wavelet transformation is more accurate in small dimension problem. But image processing is large dimension problem then we used neural network. Results are presented on the application on the three layer fuzzy wavenet to vision system. They demonstrate a considerable improvement in performance by proposed two table’s rule for fuzzy and deterministic dilation and translation in wavelet transformation techniques.

  1. Colorization by classifying the prior knowledge

    Institute of Scientific and Technical Information of China (English)

    DU Weiwei


    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.

  2. A Neural Network Classifier of Volume Datasets

    CERN Document Server

    Zukić, Dženan; Kolb, Andreas


    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,...

  3. Combining classifiers for robust PICO element detection

    Directory of Open Access Journals (Sweden)

    Grad Roland


    Full Text Available Abstract Background Formulating a clinical information need in terms of the four atomic parts which are Population/Problem, Intervention, Comparison and Outcome (known as PICO elements facilitates searching for a precise answer within a large medical citation database. However, using PICO defined items in the information retrieval process requires a search engine to be able to detect and index PICO elements in the collection in order for the system to retrieve relevant documents. Methods In this study, we tested multiple supervised classification algorithms and their combinations for detecting PICO elements within medical abstracts. Using the structural descriptors that are embedded in some medical abstracts, we have automatically gathered large training/testing data sets for each PICO element. Results Combining multiple classifiers using a weighted linear combination of their prediction scores achieves promising results with an f-measure score of 86.3% for P, 67% for I and 56.6% for O. Conclusions Our experiments on the identification of PICO elements showed that the task is very challenging. Nevertheless, the performance achieved by our identification method is competitive with previously published results and shows that this task can be achieved with a high accuracy for the P element but lower ones for I and O elements.

  4. Fault diagnosis with the Aladdin transient classifier (United States)

    Roverso, Davide


    The purpose of Aladdin is to assist plant operators in the early detection and diagnosis of faults and anomalies in the plant that either have an impact on the plant performance, or that could lead to a plant shutdown or component damage if allowed to go unnoticed. The kind of early fault detection and diagnosis performed by Aladdin is aimed at allowing more time for decision making, increasing the operator awareness, reducing component damage, and supporting improved plant availability and reliability. In this paper we describe in broad lines the Aladdin transient classifier, which combines techniques such as recurrent neural network ensembles, Wavelet On-Line Pre-processing (WOLP), and Autonomous Recursive Task Decomposition (ARTD), in an attempt to improve the practical applicability and scalability of this type of systems to real processes and machinery. The paper focuses then on describing an application of Aladdin to a Nuclear Power Plant (NPP) through the use of the HAMBO experimental simulator of the Forsmark 3 boiling water reactor NPP in Sweden. It should be pointed out that Aladdin is not necessarily restricted to applications in NPPs. Other types of power plants, or even other types of processes, can also benefit from the diagnostic capabilities of Aladdin.

  5. Is it important to classify ischaemic stroke?

    LENUS (Irish Health Repository)

    Iqbal, M


    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.

  6. Classifying Unidentified Gamma-ray Sources

    CERN Document Server

    Salvetti, David


    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...

  7. Terms used by nurses in the documentation of patient progress. (United States)

    Gomes, Denilsen Carvalho; Cubas, Marcia Regina; Pleis, Luiz Eduardo; Shmeil, Marcos Augusto Hochuli; Peluci, Ana Paula Veiga Domiciano


    Objective Describe the terms used in written records of patients' progress by nurses. Methods Descriptive research with a quantitative method that used a software to extract terms related to 148,200 nursing documentations of patient's progress, from 2010 to 2012, in a university hospital in Curitiba - Paraná. The terms were normalized, if appropriate, in spelling, gender, number and tense; then corpus of 2.638 terms was classified for analysis. Results There were problems related to the identification of the records; the use of trade names for designating artifacts used in the nursing practice; unconventional acronyms and abbreviations; and colloquial terms. Records of terms contained in standardized language of nursing diagnoses were found. Conclusion The language used by nurses is heterogeneous. There is a tendency to use terms of specialized language, even when there is no formal terminology standardization in the institution.

  8. Optimized Radial Basis Function Classifier for Multi Modal Biometrics

    Directory of Open Access Journals (Sweden)

    Anand Viswanathan


    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.

  9. MISR Level 2 TOA/Cloud Classifier parameters V003 (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...

  10. District nurse training


    Elliott, Arnold; Freeling, Paul; Owen, John


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

  11. Cultivating Synergy in Nursing, Bioethics, and Policy. (United States)

    Grady, Christine


    Nursing and bioethics have a lot in common because they share concerns about life and death, illness and health, the rights of individuals and communities, ethical patient care, health care delivery, and public health. Nurses and bioethicists contribute to ethical practice, ethics scholarship, and health policy-making in a variety of ways. Some nurses have bioethics education or experience, some bioethicists study or collaborate closely with nurses, and some of us proudly identify as both bioethicists and as nurses. Despite certain shared and interwoven aims, bioethicists and nurses often accomplish their goals in dissimilar ways, have diverse educational and training trajectories as well as distinct roles and responsibilities, and are viewed differently within health care organizations. Yet the work of bioethics and nursing can be, and in my view should more often be, synergistic. That synergism may be especially critical in the arena of health policy and ethics. Nurses can bring extraordinary insights and real-world experiences to the policy table but are not always considered essential contributors.

  12. Does occupational health nursing exist in India?

    Directory of Open Access Journals (Sweden)

    Rajnarayan R Tiwari


    Full Text Available Background: Occupational health services are important to develop healthy and productive work forces, which should be delivered through occupational health team. Occupational health nurse (OHN is an important member of this team and is required to apply nursing principles in conserving the health of workers in occupational settings. Purpose: This article attempts to map the occupational health nursing courses in India and design competencies and curriculum for such a course. Materials and Methods: Information through the Internet, printed journals, and perspectives of the key stakeholders were the principal sources of data. Discussion: In India, there is a need to initiate a course on occupational health nursing to provide occupational health services for the organized and unorganized sector workforce. A certificate course for occupational health nursing for 3-4 months duration offered through contact session mode can be an opportune beginning. However, to cater employed nurses an online course can be another effective alternative. The theoretical part should essentially include modules on occupational diseases, industrial hygiene, and occupational health legislation, whereas the modules on practical aspects can include visits to industries. Taking into account the existing norms of Indian Factories Act for hazardous units of organized sector an estimated 1,34,640 OHNs are required. Conclusion: There is a need-supply gap in the number of occupational health nursing manpower in India, which can be attributed to the absence of any course to train such manpower.

  13. [Understanding level on tuberculosis among hospital nurses]. (United States)

    Ishii, Hideko; Odauchi, Satori; Funabashi, Kaori; Ohta, Kazuko; Yamashita, Takeko


    Tuberculosis control in big cities should be focused on preventing defaulting from treatment, and the prevention of the emergence of multi-drug resistant tuberculosis, and the improvement of treatment success rate. Since it is needed to organize continued case management system starting from hospitalization, discharge, management of regular drug taking at outpatient clinics and final cure, close collaboration should be made between hospital nurses and public health nurses. For this purpose, there should be no difference about the understanding on tuberculosis control between clinical and public health nurses. This research was aimed to examine "How much interest and recognition do hospital nurses have about tuberculosis control." The Aichi Nursing Association cooperated with this research. The results showed that 60% of tuberculosis ward nurses were more than forty years old, and they have served more than ten years in TB word. The levels of understanding on tuberculosis among nurses working in tuberculosis hospitals were much higher than those in general hospitals. However, it is necessary to organize a collaboration system between hospitals and public health center to improve TB case management.

  14. [Introduction to nursing aesthetics]. (United States)

    Chen, Chen-Jung; Tsai, Chuan-Hsiu; Chen, Yi-Chang


    Empirical, aesthetic, ethical, and personal knowing are the four fundamental patterns of knowledge inquiry. Of these, the aesthetic knowing pattern is least discussed in nursing literature. This article discusses the definition of nursing aesthetics; its utilization in practice; and correlations between aesthetics and clinical practice. One of the advantages inherent to nursing is its ability to deliver skillful care directly to patients. Skillful performance is essential to reduce discrepancies between goals and patterns. Aesthetic nursing addresses more than the form of nursing. It further addresses the crucial elements of nursing knowledge. The science of nursing is influential in its ability to attain harmony among abundant empiric content, power of beneficence, and pleasure of aesthetic experience. In clinical practice, nurses can employ aesthetic nursing through various channels to create meaning and promote the professional image of nurses. Concepts listed in this article may be utilized in clinical supervision, practice and education.

  15. Method of generating features optimal to a dataset and classifier

    Energy Technology Data Exchange (ETDEWEB)

    Bruillard, Paul J.; Gosink, Luke J.; Jarman, Kenneth D.


    A method of generating features optimal to a particular dataset and classifier is disclosed. A dataset of messages is inputted and a classifier is selected. An algebra of features is encoded. Computable features that are capable of describing the dataset from the algebra of features are selected. Irredundant features that are optimal for the classifier and the dataset are selected.

  16. Recognition of pornographic web pages by classifying texts and images. (United States)

    Hu, Weiming; Wu, Ou; Chen, Zhouyao; Fu, Zhouyu; Maybank, Steve


    With the rapid development of the World Wide Web, people benefit more and more from the sharing of information. However, Web pages with obscene, harmful, or illegal content can be easily accessed. It is important to recognize such unsuitable, offensive, or pornographic Web pages. In this paper, a novel framework for recognizing pornographic Web pages is described. A C4.5 decision tree is used to divide Web pages, according to content representations, into continuous text pages, discrete text pages, and image pages. These three categories of Web pages are handled, respectively, by a continuous text classifier, a discrete text classifier, and an algorithm that fuses the results from the image classifier and the discrete text classifier. In the continuous text classifier, statistical and semantic features are used to recognize pornographic texts. In the discrete text classifier, the naive Bayes rule is used to calculate the probability that a discrete text is pornographic. In the image classifier, the object's contour-based features are extracted to recognize pornographic images. In the text and image fusion algorithm, the Bayes theory is used to combine the recognition results from images and texts. Experimental results demonstrate that the continuous text classifier outperforms the traditional keyword-statistics-based classifier, the contour-based image classifier outperforms the traditional skin-region-based image classifier, the results obtained by our fusion algorithm outperform those by either of the individual classifiers, and our framework can be adapted to different categories of Web pages.

  17. Holistic relief of pain - Nursing approach

    Directory of Open Access Journals (Sweden)

    Evaggelos Giavasopoulos


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

  18. Nursing assistants' dilemma: caregiver versus caretaker. (United States)

    Holmberg, Michelle D; Flum, Marian; West, Cheryl; Zhang, Yuan; Qamili, Shpend; Punnett, Laura


    Focus groups were conducted with over 150 certified nursing assistants (CNAs) in seven nursing homes to obtain their opinions on how the work environment supported or impeded their caregiving to residents. Strong opinions emerged about work environment interference with CNAs' ability to provide quality and comprehensive care. Participants also believed that their supervisors did not respect the value of the care and nurturing that CNAs provided. This contrasted with the respect that CNAs voiced for residents. The findings highlight the need for improved relationships between CNAs and management and suggest some desirable features of work organization in nursing homes.

  19. A salaried compensation model for postanesthesia nurses. (United States)

    Mushala, M E; Henderson, M A


    Health care organizations involved in innovative and creative work redesign projects may find traditional pay structures inadequate to meet the needs of the changing environment. The idea of salaried compensation for registered nurses is not unprecedented. However, few salaried compensation models for nurses are described in the literature. This article presents a model that we believe will be of particular interest to nurses in PACUs, because its design allows for adequate call coverage plus flexibility in scheduling. In addition, this compensation model eliminates incidental overtime, thus allowing for a more predictable salary budget.

  20. Nurse leaders' perceptions of an approaching organizational change. (United States)

    Salmela, Susanne; Eriksson, Katie; Fagerström, Lisbeth


    The aim of the study was to achieve more profound understanding of nurse leaders' perceptions of an approaching organizational change. We used a three-dimensional hermeneutical method of interpretation to analyze text from 17 interviews. The results suggest that nurse leaders were positive toward and actively engaged in continual change to their units, even though they perceived themselves as mere spectators of the change process. The nurse leaders believed that change might benefit patients and patient care, yet their adaptation lacked deeper engagement. The approaching merger affected the nurse leaders' identities on a deeply personal level. They experienced uneasiness and anxiety with regard to being nurse leaders, the future of nursing care, and their mandate as patient advocates. Nurse leaders are in a critical position to influence the success of organizational change, but the organizations covered in this study were not incorporating their knowledge and experiences into the change.

  1. Nursing leadership in Chile: a concept in transition. (United States)

    Alarcon, Ana M; Astudillo, Paula R; Barrios, Sara A; Rivas, Edith E


    The purposes of this two-year research study were to uncover Chilean nurses' perspectives of the elements that comprise leadership, and to identify challenges faced by nurse leaders in modern health administration. The research question is, What are the structural components that define and characterize nursing leadership in Chile? Nine nurses from different professional backgrounds volunteered to take part in audiorecorded successive interviews. The research methodology was a kind of grounded theory. Findings suggest that leadership is characterized mainly by exerting a positive influence on others based on good communication, knowledge of management, and a futurist vision of the nursing profession. Crisis and transition in nursing leadership were associated with external and internal forces, such as reforms in healthcare organizations and changes in the nursing conceptual framework.

  2. Development of a combined GIS, neural network and Bayesian classifier methodology for classifying remotely sensed data (United States)

    Schneider, Claudio Albert

    This research is aimed at the solution of two common but still largely unsolved problems in the classification of remotely sensed data: (1) Classification accuracy of remotely sensed data decreases significantly in mountainous terrain, where topography strongly influences the spectral response of the features on the ground; and (2) when attempting to obtain more detailed classifications, e.g. forest cover types or species, rather than just broad categories of forest such as coniferous or deciduous, the accuracy of the classification generally decreases significantly. The main objective of the study was to develop a widely applicable and efficient classification procedure for mapping forest and other cover types in mountainous terrain, using an integrated GIS/neural network/Bayesian classification approach. The performance of this new technique was compared to a standard supervised Maximum Likelihood classification technique, a "conventional" Bayesian/Maximum Likelihood classification, and to a "conventional" neural network classifier. Results indicate a considerable improvement of the new technique over the standard Maximum Likelihood classification technique, as well as a better accuracy than the "conventional" Bayesian/Maximum Likelihood classifier (13.08 percent improvement in overall accuracy), but the "conventional" neural network classifiers outperformed all the techniques compared in this study, with an overall accuracy improvement of 15.94 percent as compared to the standard Maximum Likelihood classifier (from 46.77 percent to 62.71 percent). However, the overall accuracies of all the classification techniques compared in this study were relative low. It is believed that this was caused by problems related to the inadequacy of the reference data. On the other hand, the results also indicate the need to develop a different sampling design to more effectively cover the variability across all the parameters needed by the neural network classification technique

  3. Counting, Measuring And The Semantics Of Classifiers

    Directory of Open Access Journals (Sweden)

    Susan Rothstein


    Full Text Available This paper makes two central claims. The first is that there is an intimate and non-trivial relation between the mass/count distinction on the one hand and the measure/individuation distinction on the other: a (if not the defining property of mass nouns is that they denote sets of entities which can be measured, while count nouns denote sets of entities which can be counted. Crucially, this is a difference in grammatical perspective and not in ontological status. The second claim is that the mass/count distinction between two types of nominals has its direct correlate at the level of classifier phrases: classifier phrases like two bottles of wine are ambiguous between a counting, or individuating, reading and a measure reading. On the counting reading, this phrase has count semantics, on the measure reading it has mass semantics.ReferencesBorer, H. 1999. ‘Deconstructing the construct’. In K. Johnson & I. Roberts (eds. ‘Beyond Principles and Parameters’, 43–89. Dordrecht: Kluwer publications.Borer, H. 2008. ‘Compounds: the view from Hebrew’. In R. Lieber & P. Stekauer (eds. ‘The Oxford Handbook of Compounds’, 491–511. Oxford: Oxford University Press.Carlson, G. 1977b. Reference to Kinds in English. Ph.D. thesis, University of Massachusetts at Amherst.Carlson, G. 1997. Quantifiers and Selection. Ph.D. thesis, University of Leiden.Carslon, G. 1977a. ‘Amount relatives’. Language 53: 520–542.Chierchia, G. 2008. ‘Plurality of mass nouns and the notion of ‘semantic parameter”. In S. Rothstein (ed. ‘Events and Grammar’, 53–103. Dordrecht: Kluwer.Danon, G. 2008. ‘Definiteness spreading in the Hebrew construct state’. Lingua 118: 872–906., B. 1992. ‘Toward a common semantics for English count and mass nouns’. Linguistics and Philosophy 15: 597–640., A. & Landman, F. 1998. ‘Strange relatives of the third kind

  4. [Reflections on spiritual management in the nursing profession]. (United States)

    Wang, Mei-Hua; Hung, Chich-Hsiu


    Facing dramatic change in modern society, people have to keep pace with their work and with competition. They may enter a state of exhaustion after a period of time. Leaders usually apply spiritual management to their organizations, for the direct purpose of reinforcing their employees' states of mind, and the indirect purpose of enhancing the organization's efficiency. Through a review of literature on scholars' views on spiritual management and organizations' achievements with spiritual management, this article offers suggestions for the application of spiritual management in clinical nursing and the nursing education system. The authors hope that it might serve as a reference in the development of spiritual management in our nursing professional organizations.

  5. District nurses prescribing as nurse independent prescribers. (United States)

    Downer, Frances; Shepherd, Chew Kim


    Nurse prescribing has been established in the UK since 1994, however, limited focus has been placed on the experiences of district nurses adopting this additional role. This phenomenological study explores the experiences of district nurses prescribing as nurse independent prescribers across the West of Scotland. A qualitative Heideggarian approach examined the every-day experiences of independent prescribing among district nurses. A purposive sample was used and data collected using audio taped one-to-one informal interviews. The data was analysed thematically using Colaizzi's seven procedural steps. Overall these nurses reported that nurse prescribing was a predominantly positive experience. Participants identified improvements in patient care, job satisfaction, level of autonomy and role development. However, some of the participants indicated that issues such as support, record keeping, confidence and ongoing education are all major influences on prescribing practices.

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

    Arakaki, Jorge


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

  7. Internal marketing and the antecedents of nurse satisfaction and loyalty. (United States)

    Peltier, James W; Pointer, Lucille; Schibrowsky, John A


    Employee satisfaction and retention are critical issues that influence the success of any organization. Yet, one of the most critical problems facing the worldwide health care industry is the shortage of qualified nurses. Recent calls have been made within the traditional nursing literature for research that utilizes marketing and business models to better understand nurse satisfaction and retention. The purpose of this study is to develop scales that can be used to empirically test a model of the proposed antecedents of nurse job satisfaction and loyalty which have been used widely in the internal marketing and the relationship-marketing literature. Specifically, the study will investigate the degree to which structural bonding, social bonding, financial bonding activities, and quality of care impact how well nurses are satisfied with their job and their commitment to the organization. The results show that quality of care most impacted nurse satisfaction and loyalty, followed by structural, social, and financial bonds.

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

    Directory of Open Access Journals (Sweden)

    Mara Solange Gomes Dellaroza


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

  9. A model for empowerment of nursing in Iran

    Directory of Open Access Journals (Sweden)

    Salsali Mahvash


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

  10. A new approach to classifier fusion based on upper integral. (United States)

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


    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.

  11. 应急救援中野战医疗所的护理组织管理%Nursing organization and management of field medical clinics in emergency rescue

    Institute of Scientific and Technical Information of China (English)

    许芳; 常大川; 王昱


    目的 探讨应急救援中野战医疗所护理组织管理的做法,为今后应急救援积累实战经验.方法 快速启动医学救援应急预案,合理调配护理人力资源,落实工作制度,做好灾区消毒隔离及卫生防疫工作.结果 野战医疗所共救治伤病员2999人次,开展手术26例,巡诊6 500人次,开展消毒隔离及卫生防疫工作面积44万平方米,确保了灾区无疫情发生,手术病人无一例感染等并发症发生,无护理缺陷、差错事故发生.结论 快速启动应急预案、合理调配人力资源、严格落实工作制度、抓好消毒防疫工作是野战医疗所完成应急救援任务的有力保障.%Objective To explore the practice of nursing organization and management of field medical clinics in emergency rescue and to accumulate actual combat experience for future. Methods The management included starting medical rescue emergency plans quickly,allocating nursing human resources reasonably , implementing working systems, and doing work of disinfection and isolation, health epidemic prevention in disaster area well. Results Totally 2,999 sick and wounded were treated and cured in the field medical clinic,26 cases of operation were implemented, 6,500 cases accepted toured diagnosis and 440,000 square meters area was dealt with disinfection and isolation and health epidemic prevention. It ensured the disaster area free of the epidemic situation,complication,nursing defect and mistakes. Conclusion Starting medical rescue emergency plans quickly,allocating human resources reasonably , implementing work systems strictly and doing disinfection and epidemic prevention work well are strong guarantees for field medical clinics to complete rescue mission.

  12. 地震灾区临时产房的组建及护理管理%The foundation and nursing organization of temporary labor-room at earthquake disaster area

    Institute of Scientific and Technical Information of China (English)

    赵敬茹; 陈淼


    报告了在四川地震灾区组建临时产房并顺利展开工作的经验.根据灾区特点和专科需要,采用简易活动板房代替帐篷作为产房;配备产房必要的设施和药品;针对专业护理人员少、经验少的现状,因地制宜对护理人员进行有效的培训,并进行科学、规范的护理管理.在临时产房成立后的15 d中,共完成11例产妇的接产,无一例感染发生,亦无差错、事故发生.%As the order, the medical team from PLA general hospital found the temporary labor-room and started to work at Dujiangyan very rapidly. According to the characteristic of Sichuan disaster area, we chose the rational materials as the labor-room, furnished the necessary instruments and drugs, took effective training according to the lack of professional nursing staffs and the lack of experience, and did scientific organization. Then until 15 days after the foundation of temporary labor-room, our nursing unit completed 11 cases of accompanying and 4 cases of labor. We got a well achievement that none of those cases had infection,mistake or accident.

  13. 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


    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.

  14. Elderly multiple system organ failure hospice 36 cases of nursing research%老年多系统器官功能衰竭临终关怀36例的护理研究

    Institute of Scientific and Technical Information of China (English)

    满建秀; 韩旭


    Objective to explore the application of elderly patients with multiple system organ failure clinical effect of hospice care. Methods selected from our hospital in 2011-2013 were admitted in elderly patients with multiple system organ failure dying of 72 cases with random number table, it can be divided into control group and experimental group, 36 cases in each group have patients. control group patients received routine nursing care, nursing on the basis of the experimental group patients in the control group patients hospice care, compared two groups of death in patients with acceptance and quality of life. Results compared with the control group patients, the group of death acceptance and satisfaction with the quality of life in patients with significantly higher, compared with statistical significance (P < 0.05). Conclusion the multiple system organ failure in elderly patients with terminal application of hospice care, can improve the old patients with terminal cognitive attitude towards death, improve the quality of life of dying patients, worth clinical promotion.%目的:探究对老年多系统器官功能衰竭患者应用临终关怀的临床效果。方法选自本院2011年至2013年收治的老年多系统器官功能衰竭临终患者72例,以随机数字表的方式将其分为对照组与实验组,每组各有患者36例。对照组患者接受常规护理,实验组患者在对照组患者护理的基础上应用临终关怀护理,对比2组患者对死亡的接受程度和生活质量。结果相对于对照组患者,实验组患者对死亡接受程度以及生活质量满意程度明显更高,对比有统计学意义(P<0.05)。结论对多系统器官功能衰竭老年临终患者应用临终关怀护理,能够改善老年临终患者对死亡的认知态度,提高患者临终前的生活质量,值得临床推广。

  15. Strains in the nurse-doctor relationship. (United States)

    Selmanoff, E D


    Many problems and conflicts between nurses and doctors in the hospital stem from the organizational structure of the hospital rather than from the personalities of the individuals involved. Nurses often assert the latter. Understanding these conflicts requires that they be examined in terms of the organizational context within which they occur. To understand the modern American hospital it is useful to view its development. Private practitioners who at one time had cared for patients in their homes shifted the locus of care to the hospital as medical care became more complex in the latter half of the nineteenth century. Three selected aspects of hospital structure that are seen as sources of strain for nurses in their relationship with doctors are: (1) Doctors do not see themselves as full-fledged members of the hospital organization. While nurses, who do, feel bound by the operating rules of the hospital, doctors tend to operate as free agents. There is probably little that nurses can do to reduce this source of strain. (2) The hospital has two lines of authority, administrative and medical, unlike most large-scale organizations which have only one. Nurses are in the former while doctors are in the latter hierarchy. The "influence relationship" between nurses and doctors is largely unarticulated; informally "negotiated" patterns prevail. Nurses can be more aggressive in attempting to develop institutional patterns that are mutually satisfactory to themselves and to doctors and that meet the needs of the hospital as a whole. (3) In the absence of a functioning health team nurses have assumed responsibility, without the requisite authority, for the coordination of patient care. Although this action is for the immediate benefit of patients nurses should realize that it also tends to retard the development of needed organizational changes in the hospital. Nurses generally accept the possibility of changing the personality structure of an individual. They should be

  16. Nurse Educator’s Affective Teaching Strategies

    Directory of Open Access Journals (Sweden)

    Myra C. Britiller


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

  17. [Nurses' work in Peru: origin and social conditions]. (United States)

    Barba, M C; de Martos, M V; da Fonseca, R M


    The study aimed at reviewing the history of the genesis and social formation of nurses work in Peru in order to understand it according to women's social situation in the context of a masculine society organized under capitalism. Thus, nursing formation was influenced by the Nightingale School and the exercise of the Peruvian nurses was characterized by the reproduction of social functions that are historically feminine, with a knowledge and practice subordinated to medical knowledge, that is mainly directed by a masculine ideology.

  18. Developing a sense of community among nursing students. (United States)

    Foli, Karen J; Karagory, Pamela M; Gibson, Gregory; Kirkpatrick, Jane M


    For beginning students, becoming a member of the nursing profession starts with experiences in nursing school. Better understanding of the experiences that contribute to sense of community for students can guide faculty efforts and curricular decisions. Using the sense of community model as a framework, the authors assessed the influence of a freshman-level class and other leadership and student organization experiences on the students' perceptions of the school of nursing as community. The authors discuss the study and its outcomes.

  19. Using Nursing Languages in School Nursing Practice. Second Edition (United States)

    Denehy, Janice


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

  20. Nursing Home Work Practices and Nursing Assistants' Job Satisfaction (United States)

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


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

  1. Meals in nursing homes

    DEFF Research Database (Denmark)

    Kofod, Jens Erik; Birkemose, A.


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

  2. COMFORT: evaluating a new communication curriculum with nurse leaders. (United States)

    Goldsmith, Joy; Wittenberg-Lyles, Elaine


    Nursing faculty face increasing instructional demands to keep pace with mounting knowledge and competency requirements for student nurses. In the context of nursing practice, tasks and time pressures detract from the high skill and aptitude expectation of communication. The communication, orientation and opportunity, mindful presence, family, openings, relating, and team (COMFORT) curriculum, an acronym that represents 7 basic nursing communication principles, has been introduced into the communication module of the End-of-Life Nursing Education Consortium, which currently provides the only standardized undergraduate and graduate nurse training in hospice and palliative care. This study examines the potential efficacy of the COMFORT curriculum for everyday communication challenges experienced by members of the Georgia Organization of Nurse Leaders. Participants were prompted to describe communication barriers and then apply an aspect of the COMFORT curriculum to this barrier. Responses revealed primary communication barriers with co-workers and patient/families. Nurses predominantly identified directly correlating components in the COMFORT framework (C-communication, F-family) as solutions to the topics described as barriers. Based on confirmation of extant literature addressing generalist nurse communication challenges, there is support for the inclusion of COMFORT across the nursing curriculum to efficiently and effectively teach communication strategies to nurses.

  3. [Comparative study of needs of transplanted patients or those waiting for an organ transplantation and the nurses' attitudes of these needs]. (United States)

    Baert, C; Cocula, N; Delran, J; Faubel, E; Foucaud, C; Martins, V


    Literature has shown that information, education and support had a beneficial effect on how the patients and their family lived through the transplant process. In our daily practice, we are permanently confronted with requests for information and psychological adjustments from our patients. Do the needs of this population meet the representations of the care-takers? Our theoretical framework is based on the theories of Maslow and Callista Roy, on the concept of social representations according to Moscovici and on the steps of the transplant process. To carry out this survey, we used a questionnaire which we gave to the patients at the different phases of the graft and to the nurses of the services involved in the transplant. There was a similarity of the results between the two populations, despite some differences for certain items. The development of a programme for information and for education will enable an improvement of the care quality thanks to the adaptation of knowledge to the needs of the transplanted patients.

  4. Black Women in Nursing Education Completion Programs: Issues Affecting Participation. (United States)

    Aiken, Lolita Chappel; Cervero, Ronald M.; Johnson-Bailey, Juanita


    Interviews with 10 black women enrolled in or graduated from baccalaureate nursing programs identified intrapersonal and cultural factors encouraging their participation. Hindrances were classified as the experience of being the "other" and the culture of racism. Findings show that individual and institutional racism is a barrier in registered…

  5. Critical-Thinking Types among Nursing and Management Undergraduates. (United States)

    Thorpe, Karran; Loo, Robert


    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)

  6. Image Classifying Registration and Dynamic Region Merging

    Directory of Open Access Journals (Sweden)

    Himadri Nath Moulick


    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

  7. Rule Based Ensembles Using Pair Wise Neural Network Classifiers

    Directory of Open Access Journals (Sweden)

    Moslem Mohammadi Jenghara


    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.

  8. Perspectives on nursing knowledge. (United States)

    Takahashi, T


    On May 19, 1991, in Tokyo, Japan, four nurse theorists participated in a panel discussion at Discovery International, Inc.'s Biennial Nurse Theorist Conference. The participants were Imogene M. King, Hildegard E. Peplau, Rosemarie Rizzo Parse, and Martha E. Rogers. The goal of the conference was to present the latest views on nursing knowledge of these nurse leaders. The panel discussion provided the nurse theorists with an opportunity to engage in dialogue regarding issues of concern to the audience. The panel moderator was Hiroko Minami of St. Luke's College of Nursing in Tokyo.

  9. The nursing crisis. (United States)

    McVEAGH, T C


    Three concrete proposals are made for the improvement of the present nursing situation:1. Make nursing education more easily available by holding the prerequisites to a minimum and concentrating upon the real essentials of nursing, granting the student the R.N. degree when she has completed this basic and essential training.2. Utilize more fully the principles of group nursing as applied to "specialing" whether in the home or in the hospital.3. Completely avoid the use of sub-standard nurses, while furnishing to the nurse such non-technical service (through the use of maid assistants or others) as shall make practicable the complete utilization of her skill and training.

  10. Mentorship: A Model of Nursing (United States)


    that can potentially harm the protege’s career. The mentor markets the prctege through increased visibility within and outside the organization by...producing role expectations ( Urbano , 1986). Called the creeping, crawling phase (Gunderson and Kenner, 1988), the protege tries to adjust to a new...form with Mentor 39 colleagues ( Urbano , 1986). Called sitting, standing phase, the nurse develops fine motor skills necessary to connect knowledge with



    K. M. H. Cavalcante; Botelho, M.L.; P. P. Cavalcanti; F. M. P. Garcia


    Aimed to identify and discuss nursing diagnosis present in 50 Case Studies developed by students of graduation nursing of Federal University of Mato Grosso - Campus of Sinop, in a unit of clinical medical. Documentary research that addressed quantitatively the nursing diagnosis proposed using the Taxonomy II of NANDA-I (2009-2011). It was documented 82 different diagnosis, and covered all the 13 domains. The involvement of all the domains and the large variability of diagnoses identified sug...

  12. Exposing Baccalaureate Nursing Students to Transitional Care. (United States)

    OʼConnor, Melissa; Arcamone, Angelina; Amorim, Frances; Hoban, Mary Beth; Boyd, Regina M; Fowler, Lauren; Marcelli, Theresa; Smith, Jacalyn; Nassar, Kathleen; Fitzpatrick, M Louise


    Management and facilitation of care transitions from hospital to alternative settings requires skill and attention to avoid adverse events. Several interprofessional organizations and nurse leaders have called for the expansion and redesign of undergraduate nursing curricula to include care transitions. Yet there is little evidence describing how undergraduate baccalaureate nursing students are educated on this critical topic or how successful they are in improving student knowledge about care transitions. To address this gap, an in-classroom and clinical experience was implemented to prepare students to manage and facilitate care transitions from the hospital to alternative settings-including the home. Perceptions of undergraduate nursing students and home healthcare nurse preceptors were assessed via an electronic survey that was emailed to participants. Forty-eight responses to the survey were received. Students agreed this experience contributed to their understanding of caring for adults and older adults who are experiencing a care transition and they had a good understanding of care transitions to apply to their future nursing courses. Home healthcare nurse preceptors agreed they were able to demonstrate transitional care and that students were engaged. Future work should include expanding transitional care immersion to other care settings as well as the inclusion of additional healthcare disciplines in care transition education.

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

    Directory of Open Access Journals (Sweden)

    Vlaisavljević Željko


    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.

  14. Creativity and connections: the future of nursing education and practice: the Massachusetts Initiative. (United States)

    Sroczynski, Maureen; Gravlin, Gayle; Route, Paulette Seymour; Hoffart, Nancy; Creelman, Patricia


    Education and practice partnerships are key to effective academic program design and implementation in a time of decreasing supply and increasing demands on the nursing profession. An integrated education/practice competency model can positively impact patient safety, improve patient care, increase retention, and ensure a sufficient and competent nursing workforce, which is paramount to survival of the health care system. Through the contributions of nursing leaders from the broad spectrum of nursing and industry organizations within the state, the Massachusetts Nurse of the Future project developed a competency-based framework for the future design of nursing educational programs to meet current and future practice needs. The Massachusetts Nurse of the Future Nursing Core Competencies(©) expand on the Institute of Medicine's core competencies for all health care professionals and the Quality and Safety Education for Nurses competencies for quality and safety to define the expectations for all professional nurses of the future. The Massachusetts Nurse of the Future Nursing Core Competencies define the knowledge, attitude, and skills required as the minimal expectations for initial nursing practice following completion of a prelicensure professional nursing education program. These competencies are now being integrated into new models for seamless, coordinated nursing curriculum and transition into practice within the state and beyond.

  15. Relationships between registered nurse staffing, processes of nursing care, and nurse-reported patient outcomes in chronic hemodialysis units. (United States)

    Thomas-Hawkins, Charlotte; Flynn, Linda; Clarke, Sean P


    Little attention has been given to the effects of registered nurse (RN) staffing and processes of nursing care on patient outcomes in hemodialysis units. This research examined the effects of patient-to-RN ratios and necessary tasks left undone by RNs on the likelihood of nurse-reported frequent occurrences of adverse patient events in chronic hemodialysis units. Study findings revealed that high patient-to-RN ratios and increased numbers of tasks left undone by RNs were associated with an increased likelihood of frequent occurrences of dialysis hypotension, skipped dialysis treatments, shortened dialysis treatments, and patient complaints in hemodialysis units. These findings indicate that federal, state, and dialysis organization policies must foster staffing structures and processes of care in dialysis units that effectively utilize the invaluable skills and services of professional, registered nurses.

  16. Bayesian classifiers applied to the Tennessee Eastman process. (United States)

    Dos Santos, Edimilson Batista; Ebecken, Nelson F F; Hruschka, Estevam R; Elkamel, Ali; Madhuranthakam, Chandra M R


    Fault diagnosis includes the main task of classification. Bayesian networks (BNs) present several advantages in the classification task, and previous works have suggested their use as classifiers. Because a classifier is often only one part of a larger decision process, this article proposes, for industrial process diagnosis, the use of a Bayesian method called dynamic Markov blanket classifier that has as its main goal the induction of accurate Bayesian classifiers having dependable probability estimates and revealing actual relationships among the most relevant variables. In addition, a new method, named variable ordering multiple offspring sampling capable of inducing a BN to be used as a classifier, is presented. The performance of these methods is assessed on the data of a benchmark problem known as the Tennessee Eastman process. The obtained results are compared with naive Bayes and tree augmented network classifiers, and confirm that both proposed algorithms can provide good classification accuracies as well as knowledge about relevant variables.

  17. Stochastic margin-based structure learning of Bayesian network classifiers. (United States)

    Pernkopf, Franz; Wohlmayr, Michael


    The margin criterion for parameter learning in graphical models gained significant impact over the last years. We use the maximum margin score for discriminatively optimizing the structure of Bayesian network classifiers. Furthermore, greedy hill-climbing and simulated annealing search heuristics are applied to determine the classifier structures. In the experiments, we demonstrate the advantages of maximum margin optimized Bayesian network structures in terms of classification performance compared to traditionally used discriminative structure learning methods. Stochastic simulated annealing requires less score evaluations than greedy heuristics. Additionally, we compare generative and discriminative parameter learning on both generatively and discriminatively structured Bayesian network classifiers. Margin-optimized Bayesian network classifiers achieve similar classification performance as support vector machines. Moreover, missing feature values during classification can be handled by discriminatively optimized Bayesian network classifiers, a case where purely discriminative classifiers usually require mechanisms to complete unknown feature values in the data first.

  18. Nursing operations automation and health care technology innovations: 2025 and beyond. (United States)

    Suby, ChrysMarie


    This article reviews why nursing operations automation is important, reviews the impact of computer technology on nursing from a historical perspective, and considers the future of nursing operations automation and health care technology innovations in 2025 and beyond. The increasing automation in health care organizations will benefit patient care, staffing and scheduling systems and central staffing offices, census control, and measurement of patient acuity.

  19. Advanced Practice Nursing: Is the Physician's Assistant an Accident of History or a Failure to Act? (United States)

    Christman, Luther


    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)

  20. Role for a Labor-Management Partnership in Nursing Home Person-Centered Care (United States)

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


    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…

  1. Recognition of Arabic Sign Language Alphabet Using Polynomial Classifiers



    Building an accurate automatic sign language recognition system is of great importance in facilitating efficient communication with deaf people. In this paper, we propose the use of polynomial classifiers as a classification engine for the recognition of Arabic sign language (ArSL) alphabet. Polynomial classifiers have several advantages over other classifiers in that they do not require iterative training, and that they are highly computationally scalable with the number of classes. Based on...

  2. Classifying Lupus Nephritis: An Ongoing Story

    Directory of Open Access Journals (Sweden)

    Saba Kiremitci


    Full Text Available The role of the renal biopsy in lupus nephritis is to provide the diagnosis and to define the parameters of prognostic and therapeutic significance for an effective clinicopathological correlation. Various classification schemas initiated by World Health Organization in 1974 have been proposed until the most recent update by International Society of Nephrology/Renal Pathology Society in 2004. In this paper, we reviewed the new classification system with the associated literature to highlight the benefits and the weak points that emerged so far. The great advantage of the classification emerged to provide a uniform reporting for lupus nephritis all over the world. It has provided more reproducible results from different centers. However, the studies indicated that the presence of glomerular necrotizing lesion was no longer significant to determine the classes of lupus nephritis leading to loss of pathogenetic diversity of the classes. Another weakness of the classification that also emerged in time was the lack of discussions related to the prognostic significance of tubulointerstitial involvement which was not included in the classification. Therefore, the pathogenetic diversity of the classification still needs to be clarified by additional studies, and it needs to be improved by the inclusion of the tubulointerstitial lesions related to prognosis.

  3. A Proactive Innovation for Health Care Transformation: Health and Wellness Nurse Coaching. (United States)

    Erickson, Helen Lorraine; Erickson, Margaret Elizabeth; Southard, Mary Elaine; Brekke, Mary E; Sandor, M Kay; Natschke, Mary


    A cohort of holistic nurses, recognizing opportunities inherent in health care transformation, organized and worked together from 2009 to 2012. The goal was to hold space for holistic nursing by developing a health and wellness coaching role and certification program for holistic nurses. The intent was to ensure that holistic nurses could work to the fullest of their ability within the evolving health care system, and others could discover the merit of holistic nursing as they explored the possibilities of nurse coaching. Challenges emerged that required the cohort plan strategies that would hold the space for nursing while also moving toward the intended goal. As they worked, this cohort demonstrated leadership skills, knowledge, values, and attitudes of holistic nursing that provide an example for others who follow in the wake of health care transformation. The American Holistic Credentialing Corporation's perspective of the events that unfolded and of the related decisions made by the coalition provides a record of the evolution of holistic nursing.

  4. The Henry street consortium population-based competencies for educating public health nursing students. (United States)

    Schaffer, Marjorie A; Cross, Sharon; Keller, Linda O; Nelson, Pamela; Schoon, Patricia M; Henton, Pat


    The Henry Street Consortium, a collaboration of nurse educators from universities and colleges and public health nurses (PHNs) from government, school, and community agencies, developed 11 population-based competencies for educating nursing students and the novice PHN. Although many organizations have developed competency lists for experts, the Consortium developed a set of competencies that clearly define expectations for the beginning PHN. The competencies are utilized by both education and practice. They guide nurse educators and PHNs in the creation of learning experiences that develop population-based knowledge and skills for baccalaureate nursing students. Public health nursing leaders use the competencies to frame their expectations and orientations for nurses who are new to public health nursing. This paper explains the meaning of each of the 11 population-based competencies and provides examples of student projects that demonstrate competency development. Strategies are suggested for nurse educators and PHNs to promote effective population-based student projects in public health agencies.

  5. Dutch transmural nurse clinics for chronic patients: a descriptive study.

    NARCIS (Netherlands)

    Temmink, D.; Francke, A.L.; Kerkstra, A.; Huyer Abu-Saad, H.


    'Transmural care' can be defined as patient-tailored care provided on the basis of close collaboration and joint responsibility between hospitals and home care organizations. One form of transmural care is transmural nurse clinics for chronically ill. This study describes 62 transmural nurse clinics

  6. Creating a Healthy Camp Community: A Nurse's Role. (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…

  7. The organizational and performance effects of nurse practitioner roles

    NARCIS (Netherlands)

    van Offenbeek, MAG; Knip, M


    Background. Most studies evaluating the roles of Nurse Practitioners have compared the care delivered by individual Nurse Practitioners with that provided by other professionals. These studies should be complemented by research focusing on a higher unit of analysis, namely the organization of the ca

  8. Lessons in media advocacy: a look back at Saskatchewan's nursing education debate. (United States)

    Leurer, Marie Dietrich


    Nurses are encouraged to exert their influence in the realm of public policy, particularly policies related to the nursing profession, the health care system and the health of their clients. Media advocacy can be used by nursing organizations to mobilize public support on policy issues in order to influence policy makers. This article retrospectively examined the media advocacy efforts of nursing stakeholders in Saskatchewan, Canada in response to a new government policy that would have impacted educational requirements for licensure as a registered nurse (RN) in that province. Print media sources from the period January to March, 2000 were examined to determine the specific media advocacy techniques used by nursing organizations within the framework of the policy cycle. The success of nursing stakeholders in reversing the government position highlights the effectiveness of media advocacy as a tool to disseminate messages from the nursing profession in order to impact policy.

  9. A Collaborative State of the Science Initiative: Transforming Moral Distress into Moral Resilience in Nursing. (United States)

    Rushton, Cynda Hylton; Schoonover-Shoffner, Kathy; Kennedy, Maureen Shawn


    : To examine practices for addressing moral distress, a collaborative project was developed by the Johns Hopkins Berman Institute of Bioethics, the Johns Hopkins School of Nursing, the American Journal of Nursing, and the Journal of Christian Nursing, along with the American Association of Critical-Care Nurses and the American Nurses Association. Its purpose was to identify strategies that individuals and systems can use to mitigate the detrimental effects of moral distress and foster moral resilience. On August 11 and 12, 2016, an invitational symposium, State of the Science: Transforming Moral Distress into Moral Resilience in Nursing, was held at the Johns Hopkins School of Nursing in Baltimore, Maryland. Forty-five nurse clinicians, researchers, ethicists, organization representatives, and other stakeholders took part. The result of the symposium was group consensus on recommendations for addressing moral distress and building moral resilience in four areas: practice, education, research, and policy. Participants and the organizations represented were energized and committed to moving this agenda forward.

  10. Construction of unsupervised sentiment classifier on idioms resources

    Institute of Scientific and Technical Information of China (English)

    谢松县; 王挺


    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.

  11. 6 CFR 7.23 - Emergency release of classified information. (United States)


    ... 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...

  12. [The Spanish influence in Colombian nursing]. (United States)

    Velandia, A L


    Four statements inferenced from: religious traditions, gender or woman status, military heritage and ethnic inheritance, and their influence in nursing, are presented in this article. The ethnic inheritance analyses the issue based upon the cultural influences of the native-indigenous groups and the spanish and mediterranean attributes in nursing development. The religious tradition began with Pedro Claver's J.C. presence between 1610 and 1617. His presence is followed by the "Hermanos Hospitalarios de San Juan de Dios" in 1768, and further with the presence of the sisters of Charity in 1873. Lastly, the article compares the Barcelona's Santa Cruz hospital organization, where at that time, seems to appear a new type of nursing arrangement; with present functions and charges, currently utilized in colombian hospitals (administrator of patient rooms, "servidor", women in charge of female patients and sick children, "ecónoma", chief in charge, and senior male nurse).

  13. Practical strategies for nursing education program evaluation. (United States)

    Lewallen, Lynne Porter


    Self-evaluation is required for institutions of higher learning and the nursing programs within them. The literature provides information on evaluation models and instruments, and descriptions of how specific nursing education programs are evaluated. However, there are few discussions in the nursing education literature of the practical aspects of nursing education program evaluation: how to get started, how to keep track of data, who to involve in data collection, and how to manage challenging criteria. This article discusses the importance of program evaluation in the academic setting and provides information on practical ways to organize the evaluation process and aggregate data, and strategies for gathering data from students, graduates, alumni, and employers of graduates.

  14. Empowerment in nursing: paternalism or maternalism? (United States)

    Christensen, Martin; Hewitt-Taylor, Jaqui

    The aim of this article is to explore whether patient empowerment flourishes in the wake of current health reforms or if there is a power struggle between nursing and medicine as to what is in the patients' best interest. Shifting the balance of power from healthcare professionals to patients has become a key element of healthcare policy in England. The RCN's definition of nursing places patient empowerment as a central remit of nurses. However, achieving genuine patient empowerment is not easy and requires individuals and organizations to alter their beliefs, values and behaviours. To empower patients nurses must be in a position to share power and this may require a realignment of the traditional power base within health care. Although empowerment is often viewed on a one-to-one level between professionals and patients, for true patient empowerment to occur, issues of power and control must also be addressed at a national and political level.

  15. The nurse manager: change agent, change coach? (United States)

    Stefancyk, Amanda; Hancock, Beverly; Meadows, Mary T


    Change in today's health care landscape is a daily, if not hourly, reality. The nurse manager must have strong leadership skills to navigate through change with a focus on the patient and the provision of safe and reliable care. The historical term for those leading change is "change agent." In this article, the authors introduce the idea of a change coach, building on the nurse manager foundational skill of coaching and weaving this concept into the manager's role in change. A change coach uses the coaching behaviors including guidance, facilitation, and inspiration to inspire others toward change, altering human capabilities, and supporting and influencing others toward change. An exemplar of the nurse manager's role as a change coach in practice is provided using American Organization of Nurse Executives' Care Innovation and Transformation initiative. It is the agile manager that is able to successfully move between the roles of change agent and change coach to continuously transform the environment and how care is delivered.

  16. Nurse Managers’ Leadership Styles in Finland

    Directory of Open Access Journals (Sweden)

    Soili Vesterinen


    Full Text Available 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.

  17. Course strategies for clinical nurse leader development. (United States)

    Gerard, Sally; Grossman, Sheila; Godfrey, Marjorie


    The scope of the clinical nurse leader (CNL) is evolving in practice across the country. The preparation of this pivotal role in a complex healthcare environment has prompted the collaboration of nurse academics, nurse administrators, and clinicians to design unique educational experiences to maximize best practice. Knowledge attained regarding healthcare improvement and patient safety must not only be theoretical, but personal and application focused. Utilizing the American Association of Colleges of Nursing's CNL white paper and published resources faculty developed a clinical leadership course focused on active learning and reflection. Students explore concepts of improvement and quality related to business models of high functioning organizations including healthcare. Three key components of the course are described in detail; "quality is personal", executive interviews and the "5P" clinical microsystems assessment. Evaluation outcomes are discussed. Course content and innovative teaching/learning strategies for CNL are shared which may support the growth of CNL program development nationally.

  18. [Ethical aspects concerning nurses' managerial activity]. (United States)

    Trevizan, Maria Auxiliadora; Mendes, Isabel Amélia Costa; Lourenço, Maria Regina; Shinyashiki, Gilberto Tadeu


    Aiming at addressing the ethical aspects concerning nurses' managerial activities, the authors of this work referred to Etzioni and adopted a hospital classification as a reference of organization in which consent is based on the internalization of rules accepted as legitimate. Regarding patients, their need to adapt to medical behavior and hospital rules through internalization is considered to be a result of physicians', nurses' and the hospital's power. However, the authors view that such internalization is naive, without consent, especially by taking into account that most Brazilian patients do not know that they should or should not consent and are used to obeying. Thus, the work focused on nurses' managerial actions, indicating that they must be based on professional values, the Nursing ethical code as well as on the rights of hospitalized patients, thus integrating qualified care guided by respect, free consent and promotion of patients as the protagonists and subjects of care.

  19. Exploring improvisation in nursing. (United States)

    Hanley, Mary Anne; Fenton, Mary V


    Improvisation has long been considered a function of music, dance, and the theatre arts. An exploration of the definitions and characteristics of this concept in relation to the art and practice of nursing provide an opportunity to illuminate related qualities within the field of nursing. Nursing has always demonstrated improvisation because it is often required to meet the needs of patients in a rapidly changing environment. However, little has been done to identify improvisation in the practice of nursing or to teach improvisation as a nursing knowledge-based skill. This article strives to explore the concept of improvisation in nursing, to describe the characteristics of improvisation as applied to nursing, and to utilize case studies to illustrate various manifestations of improvisation in nursing practice.

  20. American Nephrology Nurses' Association (United States)

    ... Help Join/Renew Jobs Contact Corporate Shop American Nephrology Nurses' Association About ANNA Association About ANNA Strategic ... Activities CExpress Events National Events Chapter / Local Events Nephrology Nurses Week ANNA Education Modules CKD Modules Education ...

  1. Nursing Home Quality Initiative (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 quality...

  2. Pediatric Endocrinology Nurses Society (United States)

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

  3. International Transplant Nurses Society (United States)

    ... The Mission of ITNS The International Transplant Nurses Society is committed to the promotion of excellence in ... 20-1589538 Copyright © 2006 - 2014 International Transplant Nurses Society (ITNS). No materials, including graphics, may be reused, ...

  4. Alternatives to Nursing Homes (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 ...

  5. Community Nursing Home (CNH) (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...

  6. National Nursing Home Survey (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.

  7. Nursing Home Quality Initiative (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...

  8. The role of the nurse executive in fostering and empowering the advanced practice registered nurse. (United States)

    Talbert, Tukea L


    The nurse executive plays a critical role in the design, oversight, and outcomes of the delivery of care and a key role in the success of the integration of advanced practice registered nurses (APRNs) into an organization. The critical areas that nurse executives must consider to foster and empower APRNs are: (1) knowledge and self preparation, especially of political initiatives that affect the role, (2) visionary leadership and development of clear role expectations and appropriate credentialing, (3) strategies to reduce disconnection between the APRN and their practice setting, and (4) appropriate education and marketing of the role to stakeholders.

  9. Using color histograms and SPA-LDA to classify bacteria. (United States)

    de Almeida, Valber Elias; da Costa, Gean Bezerra; de Sousa Fernandes, David Douglas; Gonçalves Dias Diniz, Paulo Henrique; Brandão, Deysiane; de Medeiros, Ana Claudia Dantas; Véras, Germano


    In this work, a new approach is proposed to verify the differentiating characteristics of five bacteria (Escherichia coli, Enterococcus faecalis, Streptococcus salivarius, Streptococcus oralis, and Staphylococcus aureus) by using digital images obtained with a simple webcam and variable selection by the Successive Projections Algorithm associated with Linear Discriminant Analysis (SPA-LDA). In this sense, color histograms in the red-green-blue (RGB), hue-saturation-value (HSV), and grayscale channels and their combinations were used as input data, and statistically evaluated by using different multivariate classifiers (Soft Independent Modeling by Class Analogy (SIMCA), Principal Component Analysis-Linear Discriminant Analysis (PCA-LDA), Partial Least Squares Discriminant Analysis (PLS-DA) and Successive Projections Algorithm-Linear Discriminant Analysis (SPA-LDA)). The bacteria strains were cultivated in a nutritive blood agar base layer for 24 h by following the Brazilian Pharmacopoeia, maintaining the status of cell growth and the nature of nutrient solutions under the same conditions. The best result in classification was obtained by using RGB and SPA-LDA, which reached 94 and 100 % of classification accuracy in the training and test sets, respectively. This result is extremely positive from the viewpoint of routine clinical analyses, because it avoids bacterial identification based on phenotypic identification of the causative organism using Gram staining, culture, and biochemical proofs. Therefore, the proposed method presents inherent advantages, promoting a simpler, faster, and low-cost alternative for bacterial identification.

  10. Nurse Preparation and Organizational Support for Supervision of Unlicensed Assistive Personnel in Nursing Homes: A Qualitative Exploration (United States)

    Siegel, Elena O.; Young, Heather M.; Mitchell, Pamela H.; Shannon, Sarah E.


    Purpose: Nursing supervision of the routine daily care (e.g., grooming, feeding, and toileting) that is delegated to unlicensed assistive personnel (UAP) is critical to nursing home service delivery. The conditions under which the supervisory role is organized and operationalized at the work-unit level, taking into account workloads, registered…

  11. Multi-input distributed classifiers for synthetic genetic circuits.

    Directory of Open Access Journals (Sweden)

    Oleg Kanakov

    Full Text Available For practical construction of complex synthetic genetic networks able to perform elaborate functions it is important to have a pool of relatively simple modules with different functionality which can be compounded together. To complement engineering of very different existing synthetic genetic devices such as switches, oscillators or logical gates, we propose and develop here a design of synthetic multi-input classifier based on a recently introduced distributed classifier concept. A heterogeneous population of cells acts as a single classifier, whose output is obtained by summarizing the outputs of individual cells. The learning ability is achieved by pruning the population, instead of tuning parameters of an individual cell. The present paper is focused on evaluating two possible schemes of multi-input gene classifier circuits. We demonstrate their suitability for implementing a multi-input distributed classifier capable of separating data which are inseparable for single-input classifiers, and characterize performance of the classifiers by analytical and numerical results. The simpler scheme implements a linear classifier in a single cell and is targeted at separable classification problems with simple class borders. A hard learning strategy is used to train a distributed classifier by removing from the population any cell answering incorrectly to at least one training example. The other scheme implements a circuit with a bell-shaped response in a single cell to allow potentially arbitrary shape of the classification border in the input space of a distributed classifier. Inseparable classification problems are addressed using soft learning strategy, characterized by probabilistic decision to keep or discard a cell at each training iteration. We expect that our classifier design contributes to the development of robust and predictable synthetic biosensors, which have the potential to affect applications in a lot of fields, including that of

  12. Multi-input distributed classifiers for synthetic genetic circuits. (United States)

    Kanakov, Oleg; Kotelnikov, Roman; Alsaedi, Ahmed; Tsimring, Lev; Huerta, Ramón; Zaikin, Alexey; Ivanchenko, Mikhail


    For practical construction of complex synthetic genetic networks able to perform elaborate functions it is important to have a pool of relatively simple modules with different functionality which can be compounded together. To complement engineering of very different existing synthetic genetic devices such as switches, oscillators or logical gates, we propose and develop here a design of synthetic multi-input classifier based on a recently introduced distributed classifier concept. A heterogeneous population of cells acts as a single classifier, whose output is obtained by summarizing the outputs of individual cells. The learning ability is achieved by pruning the population, instead of tuning parameters of an individual cell. The present paper is focused on evaluating two possible schemes of multi-input gene classifier circuits. We demonstrate their suitability for implementing a multi-input distributed classifier capable of separating data which are inseparable for single-input classifiers, and characterize performance of the classifiers by analytical and numerical results. The simpler scheme implements a linear classifier in a single cell and is targeted at separable classification problems with simple class borders. A hard learning strategy is used to train a distributed classifier by removing from the population any cell answering incorrectly to at least one training example. The other scheme implements a circuit with a bell-shaped response in a single cell to allow potentially arbitrary shape of the classification border in the input space of a distributed classifier. Inseparable classification problems are addressed using soft learning strategy, characterized by probabilistic decision to keep or discard a cell at each training iteration. We expect that our classifier design contributes to the development of robust and predictable synthetic biosensors, which have the potential to affect applications in a lot of fields, including that of medicine and industry.

  13. Nursing Management Visionary Leader 2006: North Carolina chief nurse officer earns journal's annual leadership award. (United States)

    Wessman, Joan


    The following manuscript is the winning Visionary Leader 2006 entry submitted to Nursing Management by the staff of Moses Cone Health System, Greensboro, N.C., in recognition of Joan Wessman, chief nurse officer at the organization. Joan was formally recognized for her achievements during the opening ceremony of Congress 2006, October 15, in Philadelphia, Pa., during which she received the award, sponsored this year by B.E. Smith.

  14. Nursing students and Haiku. (United States)

    Anthony, M L


    The emphasis in nursing education is frequently on facts, details, and linear issues. Students need more encouragement to use the creative abilities which exist in each of them. The use of haiku, a simple unrhymed Japanese verse, is one method which stimulates nursing students to use their creativity. A haiku exercise worked well in encouraging a group of nursing students to express their feelings.

  15. District nursing in Dominica

    NARCIS (Netherlands)

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


    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

  16. Research Issues: Nursing & Professionalization. (United States)

    Rosenfeld, Peri

    Nursing has always been viewed as a "women's profession" as evidenced by the fact that 97 percent of the 1.9 million registered nurses in the United States are female. The values of helping others, altruism, compassion, and sacrifice are associated with women and with nursing. However, because many young people today do not view these values as…

  17. Nursing Role Transition Preceptorship (United States)

    Batory, Susan M.


    The preceptorship clinical experience in a practical nursing (PN) program at a Midwestern community college is considered crucial to the PN students' transition from novice nurse to professional nurse. However, no research has been available to determine whether the preceptorship clinical accomplishes its purpose. A case study was conducted to…

  18. Nursing Leadership, Missing Questions, and the Elephant(s) in the Room: Problematizing the Discourse on Nursing Leadership. (United States)

    Cutcliffe, John; Cleary, Michelle


    To expose inconsistencies and contradictions in the nurse leadership literature ("text"), this article adopts a deconstructive approach and draws upon the work of Derrida in examining the text or discourse. What is almost entirely missing in the literature are articles that ask difficult, searching questions that challenge some of the taken-for-granted truths or maxims about nursing leadership. The current examination of the literature, described in this article, shows: (a) a lack of convergence of the literature and health care/nursing organizations concerning leadership, (b) a conflation of nursing leadership with managerial or administrative positions, and

  19. Establishment of the Asia Oncology Nursing Society (AONS

    Directory of Open Access Journals (Sweden)

    Kazuko Onishi


    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.

  20. Establishment of the Asia Oncology Nursing Society (AONS

    Directory of Open Access Journals (Sweden)

    Kazuko Onishi


    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.

  1. Workforce utilization of visible and linguistic minorities in Canadian nursing. (United States)

    Premji, Stephanie; Etowa, Josephine B


    Aim  This study seeks to develop a diversity profile of the nursing workforce in Canada and its major cities. Background  There is ample evidence of ethnic and linguistic segregation in the Canadian labour market. However, it is unknown if there is equitable representation of visible and linguistic minorities in nursing professions. Methods  We cross-tabulated aggregate data from Statistics Canada's 2006 Census. Analyses examined the distribution of visible and linguistic minorities, including visible minority sub-groups, among health managers, head nurses, registered nurses, licensed nurses and nurse aides for Canada and major cities as well as by gender. Results  In Canada and its major cities, a pyramidal structure was found whereby visible and linguistic minorities, women in particular, were under-represented in managerial positions and over-represented in lower ranking positions. Blacks and Filipinos were generally well represented across nursing professions; however, other visible minority sub-groups lacked representation. Conclusions  Diversity initiatives at all levels can play a role in promoting better access to and quality of care for minority populations through the increased cultural and linguistic competence of care providers and organizations. Implications for Nursing Management  Efforts to increase diversity in nursing need to be accompanied by commitment and resources to effectively manage diversity within organizations.

  2. Utilization of trauma guidelines by ER nurses in Thailand

    Institute of Scientific and Technical Information of China (English)

    Krongdai Unhasuta RN


    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.

  3. Nurses Returning to School: Motivators, Inhibitors and Job Satisfaction. (United States)

    Harris, Patrick W; Burman, Mary E


    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.

  4. Nursing 436A: Pediatric Oncology for Nurses. (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…

  5. Quantum classifying spaces and universal quantum characteristic classes

    CERN Document Server

    Durdevic, M


    A construction of the noncommutative-geometric counterparts of classical classifying spaces is presented, for general compact matrix quantum structure groups. A quantum analogue of the classical concept of the classifying map is introduced and analyzed. Interrelations with the abstract algebraic theory of quantum characteristic classes are discussed. Various non-equivalent approaches to defining universal characteristic classes are outlined.

  6. Classifying queries submitted to a vertical search engine

    NARCIS (Netherlands)

    Berendsen, R.; Kovachev, B.; Meij, E.; de Rijke, M.; Weerkamp, W.


    We propose and motivate a scheme for classifying queries submitted to a people search engine. We specify a number of features for automatically classifying people queries into the proposed classes and examine the eectiveness of these features. Our main nding is that classication is feasible and that

  7. 16 CFR 1610.4 - Requirements for classifying textiles. (United States)


    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Requirements for classifying textiles. 1610... REGULATIONS STANDARD FOR THE FLAMMABILITY OF CLOTHING TEXTILES The Standard § 1610.4 Requirements for classifying textiles. (a) Class 1, Normal Flammability. Class 1 textiles exhibit normal flammability and...

  8. Classifying spaces with virtually cyclic stabilizers for linear groups

    DEFF Research Database (Denmark)

    Degrijse, Dieter Dries; Köhl, Ralf; Petrosyan, Nansen


    We show that every discrete subgroup of GL(n, ℝ) admits a finite-dimensional classifying space with virtually cyclic stabilizers. Applying our methods to SL(3, ℤ), we obtain a four-dimensional classifying space with virtually cyclic stabilizers and a decomposition of the algebraic K-theory of its...

  9. 21 CFR 1402.4 - Information classified by another agency. (United States)


    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Information classified by another agency. 1402.4 Section 1402.4 Food and Drugs OFFICE OF NATIONAL DRUG CONTROL POLICY MANDATORY DECLASSIFICATION REVIEW § 1402.4 Information classified by another agency. When a request is received for information that...

  10. 25 CFR 304.3 - Classifying and marking of silver. (United States)


    ... 25 Indians 2 2010-04-01 2010-04-01 false Classifying and marking of silver. 304.3 Section 304.3 Indians INDIAN ARTS AND CRAFTS BOARD, DEPARTMENT OF THE INTERIOR NAVAJO, PUEBLO, AND HOPI SILVER, USE OF GOVERNMENT MARK § 304.3 Classifying and marking of silver. For the present the Indian Arts and Crafts...

  11. Developments in the Nursing Research



    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...

  12. Assimilating to Hierarchical Culture: A Grounded Theory Study on Communication among Clinical Nurses. (United States)

    Kim, MinYoung; Oh, Seieun


    The purpose of this study was to generate a substantive model that accounts for the explanatory social processes of communication in which nurses were engaged in clinical settings in Korea. Grounded theory methodology was used in this study. A total of 15 clinical nurses participated in the in-depth interviews. "Assimilating to the hierarchical culture" emerged as the basic social process of communication in which the participants engaged in their work environments. To adapt to the cultures of their assigned wards, the nurses learned to be silent and engaged in their assimilation into the established hierarchy. The process of assimilation consisted of three phases based on the major goals that nurses worked to achieve: getting to know about unspoken rules, persevering within the culture, and acting as senior nurse. Seven strategies and actions utilized to achieve the major tasks emerged as subcategories, including receiving strong disapproval, learning by observing, going silent, finding out what is acceptable, minimizing distress, taking advantages as senior nurse, and taking responsibilities as senior nurse. The findings identified how the pattern of communication in nursing organizations affected the way in which nurses were assimilated into organizational culture, from individual nurses' perspectives. In order to improve the rigid working atmosphere and culture in nursing organizations and increase members' satisfaction with work and quality of life, managers and staff nurses need training that focuses on effective communication and encouraging peer opinion-sharing within horizontal relationships. Moreover, organization-level support should be provided to create an environment that encourages free expression.

  13. Analysis of Sequence Based Classifier Prediction for HIV Subtypes

    Directory of Open Access Journals (Sweden)

    S. Santhosh Kumar


    Full Text Available Human immunodeficiency virus (HIV is a lent virus that causes acquired immunodeficiency syndrome (AIDS. The main drawback in HIV treatment process is its sub type prediction. The sub type and group classification of HIV is based on its genetic variability and location. HIV can be divided into two major types, HIV type 1 (HIV-1 and HIV type 2 (HIV-2. Many classifier approaches have been used to classify HIV subtypes based on their group, but some of cases are having two groups in one; in such cases the classification becomes more complex. The methodology used is this paper based on the HIV sequences. For this work several classifier approaches are used to classify the HIV1 and HIV2. For implementation of the work a real time patient database is taken and the patient records are experimented and the final best classifier is identified with quick response time and least error rate.

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

    DEFF Research Database (Denmark)

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


    Objectives To describe the criterion validity of nursing home staff's assessment of organic disorder compared with ICD-10 criteria, and to identify determinants of staff assessment of organic disorder. Method Two hundred and eighty-eight residents were diagnosed using the GMS-AGECAT. Nursing staf...... 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.......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...... members were interviewed about the residents' activities of Daily Living, behavioural problems, orientation in surroundings and communication skills, and asked if the resident had an organic disorder. Multiple logistic regression was used to select the items that most strongly determined staff assessment...

  15. Reporting Misconduct of a Coworker to Protect a Patient: A Comparison between Experienced Nurses and Nursing Students

    Directory of Open Access Journals (Sweden)

    Abraham Mansbach


    Full Text Available Purpose. Whistleblowing is the reporting of illegal, immoral, or illegitimate practices to persons or organizations that may affect the action. The current study compares experienced nurses to nursing students regarding their willingness to blow the whistle to protect a patient’s interests. Methods. 165 participants were divided into two groups: 82 undergraduate nursing students and 83 experienced nurses. Participants responded to two vignettes that described a colleague’s and a manager’s misconduct at work. Results. The nursing students perceived the severity of the misconduct significantly lower compared to the experienced nurses. The nursing students also ranked the internal and external whistleblowing indices higher than the nurses, but the differences did not reach statistical significance. For each of the examined internal and external indices, professional experience was found to be significant in multivariate regression analyses. Conclusions. Even though nursing students perceived the severity of the misconduct significantly lower than the experienced nurses, the students demonstrated a greater readiness to blow the whistle, both internally and externally. Recommendations for handling comparable situations are offered.

  16. Voices of oncology nursing society members matter in advocacy and decisions related to U.S. Health Policy. (United States)

    Saria, Marlon Garzo; Stone, Alec; Walton, AnnMarie Lee; Brown, Gean; Norton, Vicki; Barton-Burke, Margaret


    The Oncology Nursing Society (ONS), a member of the Nursing Organizations Alliance, invests in advocating for health and public policy decisions by sending members to the Nurse in Washington Internship (NIWI) program annually. NIWI provides a forum to educate nurses on the legislative process, giving attendees a better understanding of political, legislative, and regulatory issues facing nurses. The 2014 ONS delegation participated in training and lobbying focused on federal funding issues, nursing education, workforce oversight, and funding for nursing research. The three-day program ended with a Capitol Hill visit where nurses met with their respective legislators or their staff, using skills learned at NIWI briefings to influence policy for nurses and the patients they serve. Critical health and public policy decisions affecting nurses, their practice, and their patients require participation in and understanding of the legislative process. This article provides a glimpse into the three-day experience of the delegates attending the 2014 NIWI.

  17. Postpartal nursing diagnosis. (United States)

    Gorrie, T M


    The responsibility of nurses for postpartal patients has changed greatly in the past few years. No longer is it adequate to assess and manage only those physical problems that occur during the hospital stay. Today, potential psychosocial problems and consequences of parental knowledge deficit are part of nursing's domain of diagnosis and management. A review of the purpose of nursing diagnosis is important. Clarifying the difference between medical diagnosis and nursing diagnosis is also essential if one is to be comfortable with the process. Careful scrutiny of the unique needs of new parents will form the basis for formulating meaningful postpartal nursing diagnosis.

  18. Work motivation for Japanese nursing assistants in small- to medium-sized hospitals. (United States)

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


    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.

  19. The impact of Chinese cultural values on Taiwan nursing leadership styles: comparing the self-assessments of staff nurses and head nurses. (United States)

    Chang, Yuanmay


    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.

  20. Computer Literacy Needs of Nurse Educators and Nurse Managers


    Arnold, Jean M.; Bauer, Carol A.


    A questionnaire was used to survey the computer literacy needs of 445 nurse educators and nurse managers within a northeastern metropolitan area. There are commonalities and differences between nurse educators and nurse managers regarding advanced computer applications; but both groups expressed an urgent need for continuing nursing education courses at the advanced level.

  1. Community Health Nursing Curriculum. Components in Baccalaureate Nursing Education. (United States)

    Catell, Grace Manion

    Community health nursing curriculum components in a sample of baccalaureate nursing programs were investigated. Questionnaires were sent to a sample of 12 National League of Nursing (NLN) accredited, generic, baccalaureate nursing programs representative of the four NLN regions in the United States. Community health nursing content in theory…

  2. [Essential data set's archetypes for nursing care of endometriosis patients]. (United States)

    Spigolon, Dandara Novakowski; Moro, Claudia Maria Cabral


    This study aimed to develop an Essential Data Set for Nursing Care of Patients with Endometriosis (CDEEPE), represented by archetypes. An exploratory applied research with specialists' participation that was carried out at Heath Informatics Laboratory of PUCPR, between February and November of 2010. It was divided in two stages: CDEEPE construction and evaluation including Nursing Process phases and Basic Human Needs, and archetypes development based on this data set. CDEEPE was evaluated by doctors and nurses with 95.9% of consensus and containing 51 data items. The archetype "Perception of Organs and Senses" was created to represents this data set. This study allowed identifying important information for nursing practices contributing to computerization and application of nursing process during care. The CDEEPE was the basis for archetype creation, that will make possible structured, organized, efficient, interoperable, and semantics records.

  3. [Homophobia among nursing students]. (United States)

    Campo-Arias, Adalberto; Herazo, Edwin; Cogollo, Zuleima


    Homophobia is defined as a general negative attitude towards homosexual persons, with implications on public health. This fact has been less investigated among nursing students. The objective of this review was to learn about the prevalence of homophobia and its associated variables among nursing students. A systematic review was performed on original articles published in EBSCO, Imbiomed, LILACS, MEDLINE, Ovid, and ProQuest, including articles published between 1998 and 2008 in English, Portuguese and Spanish. Keywords used were homophobia, homosexuality, and nursing students. Descriptive analysis was performed. Eight studies were analyzed. The incidence of homophobia in nursing students is between 7% and 16%. Homophobia is more common among males and religious conservatism people. Homophobia is quite frequent in nursing students. This negative attitude toward homosexuality may affect services and care giving by nursing professions and could have negative implications in nursing practice.

  4. Pedagogical Posters in Nurse Education

    DEFF Research Database (Denmark)

    Kelly, Hélène; Bagger, Bettan


    . Working with posters forces students to organize, evaluate and reflect upon information and develops their abilities to communicate health knowledge. Students have learned to present their ideas in an A4 poster format that resembles the types of posters one normally sees at professional conferences....... The posters are produced on computers and as such the students learn to employ the computer as a creative tool. Students evaluate the use of posters as a concrete and useful tool of value to their forthcoming professional work as purveyors of health promotion knowledge. The poster as a pedagogical tool......Experiences from teaching nursing students at bachelor level with respect to prevention and health promotion have resulted in the introduction of poster presentations as a pedagogical tool. Poster presentations were introduced as a result of Bologna recommendations shifting the goal of nurse...

  5. Malignancy and Abnormality Detection of Mammograms using Classifier Ensembling

    Directory of Open Access Journals (Sweden)

    Nawazish Naveed


    Full Text Available The breast cancer detection and diagnosis is a critical and complex procedure that demands high degree of accuracy. In computer aided diagnostic systems, the breast cancer detection is a two stage procedure. First, to classify the malignant and benign mammograms, while in second stage, the type of abnormality is detected. In this paper, we have developed a novel architecture to enhance the classification of malignant and benign mammograms using multi-classification of malignant mammograms into six abnormality classes. DWT (Discrete Wavelet Transformation features are extracted from preprocessed images and passed through different classifiers. To improve accuracy, results generated by various classifiers are ensembled. The genetic algorithm is used to find optimal weights rather than assigning weights to the results of classifiers on the basis of heuristics. The mammograms declared as malignant by ensemble classifiers are divided into six classes. The ensemble classifiers are further used for multiclassification using one-against-all technique for classification. The output of all ensemble classifiers is combined by product, median and mean rule. It has been observed that the accuracy of classification of abnormalities is more than 97% in case of mean rule. The Mammographic Image Analysis Society dataset is used for experimentation.

  6. Relationship between nursing care quality, nurse staffing, nurse job satisfaction, nurse practice environment, and burnout: literature review

    Directory of Open Access Journals (Sweden)

    Virya Koy


    Full Text Available The purpose of this literature review is to explore the relationship between nurse staffing, nurse job satisfaction, nurse practice environment, burnout, and nursing care quality through a consideration of what is meant by perceptions of nursing care quality. Different people define nursing care quality in many ways. It is complex, multi-faceted and multi-dimensional, and attempts to assess, monitor, evaluate and improve nursing care quality have evolved over a number of years. Of particular interest is the way in which changes in nurse staffing, nurse job satisfaction, nurse practice environment, and burnout may affect the quality of nursing care delivery. A search was conducted using the CINAHL, Medline and Embase databases, HINARI, Science Direct, Google, and PubMed. The terms searched included quality of health care; nursing care quality; nurse job satisfaction; nurse practice environment; burnout; and nurse staffing. Papers were included for their relevance to the field of enquiry. The original search was conducted in 2003 and updated in 2004. Quality of care is a complex, multi-dimensional concept, which presents researchers with a challenge when attempting to evaluate it. Many different tools have assessed nursing care quality. In addition, the review found that there were relationships between nurse staffing, nurse job satisfaction, nurse practice environment, burnout, and nursing care quality. [Int J Res Med Sci 2015; 3(8.000: 1825-1831

  7. Academic Incivility in Nursing Education (United States)

    Marlow, Sherri


    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),…

  8. [Nurse home visits in France]. (United States)

    Monguillon, Dominique; Gracia, Pierre-Benjamin


    Nurse home visits in France. More and more nurses carry out home visits, either as freelance nurses or employees of a nurse home visits service, a home hospital care structure or a nursing care centre. These home visits are both demanded by patients and encouraged by the health authorities. As a consequence, the service is expanding every year.

  9. Research progress in nursing subspecialization

    Institute of Scientific and Technical Information of China (English)

    Fang Wang; Li Yuan; Zhen-Zhen Xiong; Rao Li


    With the rapid development of medical departments in recent years, nursing subspecialization has increased in prominence and performance. This highly subspecialized division of labor system not only improves the quality of nursing care but also promotes the development of nursing science. Today, developing nursing subspecialization has become the direction and strategy for the development of clinical nursing practice in many countries.

  10. Stress causing psychosomatic illness among nurses

    Directory of Open Access Journals (Sweden)

    Kane Pratibha


    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.

  11. Introducing systems biology for nursing science. (United States)

    Founds, Sandra A


    Systems biology expands on general systems theory as the "omics'' era rapidly progresses. Although systems biology has been institutionalized as an interdisciplinary framework in the biosciences, it is not yet apparent in nursing. This article introduces systems biology for nursing science by presenting an overview of the theory. This framework for the study of organisms from molecular to environmental levels includes iterations of computational modeling, experimentation, and theory building. Synthesis of complex biological processes as whole systems rather than isolated parts is emphasized. Pros and cons of systems biology are discussed, and relevance of systems biology to nursing is described. Nursing research involving molecular, physiological, or biobehavioral questions may be guided by and contribute to the developing science of systems biology. Nurse scientists can proactively incorporate systems biology into their investigations as a framework for advancing the interdisciplinary science of human health care. Systems biology has the potential to advance the research and practice goals of the National Institute for Nursing Research in the National Institutes of Health Roadmap initiative.

  12. Nurses' Psychosocial Barriers to Suicide Risk Management

    Directory of Open Access Journals (Sweden)

    Sharon Valente


    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.

  13. Faint spatial object classifier construction based on data mining technology (United States)

    Lou, Xin; Zhao, Yang; Liao, Yurong; Nie, Yong-ming


    Data mining can effectively obtain the faint spatial object's patterns and characteristics, the universal relations and other implicated data characteristics, the key of which is classifier construction. Faint spatial object classifier construction with spatial data mining technology for faint spatial target detection is proposed based on theoretical analysis of design procedures and guidelines in detail. For the one-sidedness weakness during dealing with the fuzziness and randomness using this method, cloud modal classifier is proposed. Simulating analyzing results indicate that this method can realize classification quickly through feature combination and effectively resolve the one-sidedness weakness problem.

  14. Representation of classifier distributions in terms of hypergeometric functions

    Institute of Scientific and Technical Information of China (English)


    This paper derives alternative analytical expressions for classifier product distributions in terms of Gauss hypergeometric function, 2F1, by considering feed distribution defined in terms of Gates-Gaudin-Schumann function and efficiency curve defined in terms of a logistic function. It is shown that classifier distributions under dispersed conditions of classification pivot at a common size and the distributions are difference similar.The paper also addresses an inverse problem of classifier distributions wherein the feed distribution and efficiency curve are identified from the measured product distributions without needing to know the solid flow split of particles to any of the product streams.

  15. [Nursing and marketing: an introduction to the subject]. (United States)

    de Moura, Gisela Maria Schebella Souto


    The administration of health care services is becoming more and more professional. New models and strategies used by service companies, in other areas, are being introduced in these organizations. Through this importation process of models, marketing concepts and tools have been incorporated. The objective of this theoretical essay is offering the nurses an introductory view about marketing. In order to reach this objective, the text was organized into sections that approach its history and basic concepts, social marketing, a few subjects under discussion currently and studies carried out in the marketing area, which involve nursing and health care services. In this way, it is expected to contribute to the professional improvement of nursing.

  16. Standardized Nursing Documentation Supports Evidence-Based Nursing Management. (United States)

    Mykkänen, Minna; Miettinen, Merja; Saranto, Kaija


    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.

  17. Innovation in nursing education

    Directory of Open Access Journals (Sweden)

    Satı Dil


    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.

  18. Competency of Graduate Nurses as Perceived by Nurse Preceptors and Nurse Managers (United States)

    Wise, Vanessa


    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.…

  19. [Stress and nursing : study to evaluation the level of satisfaction in nurses]. (United States)

    Murgia, Carla; Sansoni, Julita


    Not unfrequently stress in nurses is related to work organization. The literature shows that the nursing profession has a high risk of psychological stress. Stress is one of the factors that contributes to inefficiency, increasing staff turnover and sick leave, and reduces the quality and quantity of care , affecting health costs and diminishing work satisfaction. This article presents the results of a study performed to evaluate 34 variables, constituting the Nursing Stress Scale (NSS) , and their level in the nursing staff of a Rome specialistic hospital. Of the 80 nurses who received the questionaire , 49 responded, a sufficient number to make the results of the study significant. The authors illustrate the methods used together with some socio-demographic considerations and how some of these can be correlated to the 7 factors adopted for multi-variate analysis. The results obtained were concordant with those described in the literature, confirming that poor organization and conflictual or ambiguous work roles negatively affect well-being and that nursing directors should bear this in mind when aiming to create a harmonious work environment.

  20. Managing parental groups during early childhood: New challenges faced by Swedish child health-care nurses. (United States)

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


    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.