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Sample records for lep nursing interventions

  1. Identification of ICF categories relevant for nursing in the situation of acute and early post-acute rehabilitation

    Science.gov (United States)

    Mueller, Martin; Boldt, Christine; Grill, Eva; Strobl, Ralf; Stucki, Gerold

    2008-01-01

    Background The recovery of patients after an acute episode of illness or injury depends both on adequate medical treatment and on the early identification of needs for rehabilitation care. The process of early beginning rehabilitation requires efficient communication both between health professionals and the patient in order to effectively address all rehabilitation goals. The currently used nursing taxonomies, however, are not intended for interdisciplinary use and thus may not contribute to efficient rehabilitation management and an optimal patient outcome. The ICF might be the missing link in this communication process. The objective of this study was to identify the categories of the International Classification of Functioning, Disability and Health (ICF) categories relevant for nursing care in the situation of acute and early post-acute rehabilitation. Methods First, in a consensus process, "Leistungserfassung in der Pflege" (LEP) nursing interventions relevant for the situation of acute and early post-acute rehabilitation were selected. Second, in an integrated two-step linking process, two nursing experts derived goals of LEP nursing interventions from their practical knowledge and selected corresponding ICF categories most relevant for patients in acute and post-acute rehabilitation (ICF Core Sets). Results Eighty-seven percent of ICF Core Set categories could be linked to goals of at least one nursing intervention variable of LEP. The ICF categories most frequently linked with LEP nursing interventions were respiration functions, experience of self and time functions and focusing attention. Thirteen percent of ICF Core Set categories could not be linked with LEP nursing interventions. The LEP nursing interventions which were linked with the highest number of different ICF-categories of all were "therapeutic intervention", "patient-nurse communication/information giving" and "mobilising". Conclusion The ICF Core Sets for the acute hospital and early post

  2. Identification of ICF categories relevant for nursing in the situation of acute and early post-acute rehabilitation

    Directory of Open Access Journals (Sweden)

    Strobl Ralf

    2008-02-01

    Full Text Available Abstract Background The recovery of patients after an acute episode of illness or injury depends both on adequate medical treatment and on the early identification of needs for rehabilitation care. The process of early beginning rehabilitation requires efficient communication both between health professionals and the patient in order to effectively address all rehabilitation goals. The currently used nursing taxonomies, however, are not intended for interdisciplinary use and thus may not contribute to efficient rehabilitation management and an optimal patient outcome. The ICF might be the missing link in this communication process. The objective of this study was to identify the categories of the International Classification of Functioning, Disability and Health (ICF categories relevant for nursing care in the situation of acute and early post-acute rehabilitation. Methods First, in a consensus process, "Leistungserfassung in der Pflege" (LEP nursing interventions relevant for the situation of acute and early post-acute rehabilitation were selected. Second, in an integrated two-step linking process, two nursing experts derived goals of LEP nursing interventions from their practical knowledge and selected corresponding ICF categories most relevant for patients in acute and post-acute rehabilitation (ICF Core Sets. Results Eighty-seven percent of ICF Core Set categories could be linked to goals of at least one nursing intervention variable of LEP. The ICF categories most frequently linked with LEP nursing interventions were respiration functions, experience of self and time functions and focusing attention. Thirteen percent of ICF Core Set categories could not be linked with LEP nursing interventions. The LEP nursing interventions which were linked with the highest number of different ICF-categories of all were "therapeutic intervention", "patient-nurse communication/information giving" and "mobilising". Conclusion The ICF Core Sets for the acute

  3. Phytotherapy management: a new intervention for nursing intervention classification.

    Science.gov (United States)

    Paloma, Echevarria; Ovidio, Céspedes; Jessica, Rojas; Francisca, Sánchez Ayllón; Isabel, Morales; Maravillas, Gimenez

    2014-01-01

    We present a new nurse intervention: "Phytotherapy Management," which has been accepted by the editorial board of the Nursing Interventions Classification for inclusion in the 7th edition of the Nursing Intervention Classification. This could have implications for nursing practice and research. Content analysis, extensive search in the literature.

  4. Web-based interventions in nursing.

    Science.gov (United States)

    Im, Eun-Ok; Chang, Sun Ju

    2013-02-01

    With recent advances in computer and Internet technologies and high funding priority on technological aspects of nursing research, researchers at the field level began to develop, use, and test various types of Web-based interventions. Despite high potential impacts of Web-based interventions, little is still known about Web-based interventions in nursing. In this article, to identify strengths and weaknesses of Web-based nursing interventions, a literature review was conducted using multiple databases with combined keywords of "online," "Internet" or "Web," "intervention," and "nursing." A total of 95 articles were retrieved through the databases and sorted by research topics. These articles were then analyzed to identify strengths and weaknesses of Web-based interventions in nursing. A strength of the Web-based interventions was their coverage of various content areas. In addition, many of them were theory-driven. They had advantages in their flexibility and comfort. They could provide consistency in interventions and require less cost in the intervention implementation. However, Web-based intervention studies had selected participants. They lacked controllability and had high dropouts. They required technical expertise and high development costs. Based on these findings, directions for future Web-based intervention research were provided.

  5. Identification and Comparison of Interventions Performed by Korean School Nurses and U.S. School Nurses Using the Nursing Interventions Classification (NIC)

    Science.gov (United States)

    Lee, Eunjoo; Park, Hyejin; Nam, Mihwa; Whyte, James

    2011-01-01

    The purpose of the study was to identify Nursing Interventions Classification (NIC) interventions performed by Korean school nurses. The Korean data were then compared to U.S. data from other studies in order to identify differences and similarities between Korean and U.S. school nurse practice. Of the 542 available NIC interventions, 180 were…

  6. LEP physics

    CERN Multimedia

    CERN. Geneva

    2001-01-01

    Various aspects of the physics made at LEP 1 and LEP 2 (precision measurements and searches for new physics will be discussed, from the fundamental motivations to the publication of the results. The techniques and tools developed and applied to reach the a priori goals of LEP (beam energy measurement, luminosity determination, event selection,...) will be described with a few meaningful examples. The high level techniques & bright ideas which allowed LEP to exceed by a large amount its design performance, and the consequences outcome will also be presented.

  7. Nursing burnout interventions: what is being done?

    Science.gov (United States)

    Henry, Barbara J

    2014-04-01

    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.

  8. Mental Health Nursing in Greece: Nursing Diagnoses and Interventions in Major Depression.

    Science.gov (United States)

    Prokofieva, Margarita; Koukia, Evmorfia; Dikeos, Dimitris

    2016-08-01

    The aim of the study was to assess nursing diagnoses and nursing interventions that were accordingly implemented during the care of inpatients with major depression in Greece. Twelve nurses working in three major psychiatric hospitals were recruited. Semi-structured interviews were used and audio-recorded data indicated that risk for suicide, social isolation, low self-esteem, sleep problems, and imbalanced nutrition are the nursing diagnoses most commonly reported. Establishing trust and rapport is the primary intervention, followed by specific interventions according to each diagnosis and the individualized care plan. The findings of the study also highlight the need for nursing training in order to teach nurses initial assessment procedures and appropriate evidence-based intervention techniques.

  9. Public Health Interventions for School Nursing Practice

    Science.gov (United States)

    Schaffer, Marjorie A.; Anderson, Linda J. W.; Rising, Shannon

    2016-01-01

    School nurses (SNs) use public health nursing knowledge and skills to provide nursing services to school populations. The Public Health Intervention Wheel is a practice framework that can be used to explain and guide public health nursing interventions. SNs who were also members of the National Association of School Nurses completed an electronic…

  10. LEP beampipe section

    CERN Multimedia

    1989-01-01

    Short section of beampipe from the Large Electron Positron collider (LEP, for short). With its 27-kilometre circumference, LEP was the largest electron-positron accelerator ever built and ran from 1989 to 2000 at CERN. During 11 years of research, LEP's experiments provided a detailed study of the electroweak interaction. Measurements performed at LEP also proved that there are three – and only three – generations of particles of matter. LEP was closed down on 2 November 2000 to make way for the construction of the Large Hadron Collider in the same tunnel.

  11. LEP results

    International Nuclear Information System (INIS)

    Thresher, J.J.

    1990-01-01

    The first period of LEP operation ended on 22nd December 1989, rather less than two weeks before the start of this Conference. It brought to a close a most exciting time at CERN, starting in July 1989, when those involved in commissioning LEP attempted for the first time to start up the complete machine and then to give the experiments their first taste of what LEP had in store for them. By July almost all sections of LEP had been individually checked out. In particular, the entire injection chain had been tested with positrons a year earlier when a very successful injection test into the first completed LEP octant was carried out. Also by July the LEP detectors had been installed and were ready to take data with at least the most important sub-detector systems able to operate. By way of introduction a brief history of these first months of LEP operation is given in this paper. The first steps in bringing LEP into operation started on 14th July 1989 when positrons were injected into the ring for the first time. After only 55 minutes of magnet adjustments they had completed a full turn at the injection energy of 20 GeV. Further commissioning with positrons at this energy then followed to establish a stable circulating beam and then on 25th July the first electrons were successfully injected into LEP. By 31st July, after much work on beam accumulation had been done, a current of some 250 μA of positrons, i.e. about 60 μA in each of the four bunches was reached at 20 GeV and four days later on 4th August positrons were successfully ramped up to 47.5 GeV. Finally, at 23.15 on 13th August positrons were successfully ramped up to 47.5 GeV. Finally, at 23.15 on 13th August, just less than one month after the start of LEP commissioning, electrons and positrons were brought into collision at an energy of 45.5 GeV per beam

  12. LEP tunnel monorail

    CERN Multimedia

    1985-01-01

    A monorail from CERN's Large Electron Positron collider (LEP, for short). It ran around the 27km tunnel, transporting equipment and personnel. With its 27-kilometre circumference, LEP was the largest electron-positron accelerator ever built and ran from 1989 to 2000. During 11 years of research, LEP's experiments provided a detailed study of the electroweak interaction. Measurements performed at LEP also proved that there are three – and only three – generations of particles of matter. LEP was closed down on 2 November 2000 to make way for the construction of the Large Hadron Collider in the same tunnel.

  13. Pilot Testing of the NURSE Stress Management Intervention.

    Science.gov (United States)

    Delaney, Colleen; Barrere, Cynthia; Robertson, Sue; Zahourek, Rothlyn; Diaz, Desiree; Lachapelle, Leeanne

    2016-12-01

    Student nurses experience significant stress during their education, which may contribute to illness and alterations in health, poor academic performance, and program attrition. The aim of this pilot study was to evaluate the feasibility and potential efficacy of an innovative stress management program in two baccalaureate nursing programs in Connecticut, named NURSE (Nurture nurse, Use resources, foster Resilience, Stress and Environment management), that assists nursing students to develop stress management plans. An explanatory sequential mixed-methods design was used to evaluate the effects of the intervention with 40 junior nursing students. Results from this study provide evidence that the NURSE intervention is highly feasible, and support further testing to examine the effect of the intervention in improving stress management in nursing students. © The Author(s) 2015.

  14. CERN: Physics at LEP2

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1994-12-15

    With the LEP2 project pushing ahead to boost CERN's LEP electronpositron collider to higher energy, in February a Workshop on Physics at LEP2 will review the studies for the preparation and interpretation of LEP2 data. The organization of this Workshop and its final report will resemble the 1989 Workshop on Z Physics at LEP1.

  15. CERN: Physics at LEP2

    International Nuclear Information System (INIS)

    Anon.

    1994-01-01

    With the LEP2 project pushing ahead to boost CERN's LEP electronpositron collider to higher energy, in February a Workshop on Physics at LEP2 will review the studies for the preparation and interpretation of LEP2 data. The organization of this Workshop and its final report will resemble the 1989 Workshop on Z Physics at LEP1

  16. Mindfulness for Novice Pediatric Nurses: Smartphone Application Versus Traditional Intervention.

    Science.gov (United States)

    Morrison Wylde, Chelsey; Mahrer, Nicole E; Meyer, Rika M L; Gold, Jeffrey I

    The current study compares the effects of a traditionally delivered mindfulness (TDM) intervention to a smartphone delivered mindfulness (SDM) intervention, Headspace, an audio-guided mindfulness meditation program, in a group of novice nurses. Novice nurses participating in a pediatric nurse residency program were asked to participate in either a TDM or SDM intervention. Participants (N=95) completed self-administered pencil and paper questionnaires measuring mindfulness skills, and risk and protective factors at the start of their residency and three months after entering the program. Nurses in the SDM group reported significantly more "acting with awareness" and marginally more "non-reactivity to inner experience" skills compared to the TDM group. The smartphone intervention group also showed marginally more compassion satisfaction and marginally less burnout. Additionally, nurses in the SDM group had lower risk for compassion fatigue compared to the TDM group, but only when the nurses had sub-clinical posttraumatic symptoms at the start of the residency training program. Smartphone delivered mindfulness interventions may provide more benefits for novice nurses than traditionally delivered mindfulness interventions. However, the smart-phone intervention may be better indicated for nurses without existing symptoms of posttraumatic stress. Mindfulness interventions delivered through smartphone applications show promise in equipping nurses with important coping skills to manage stress. Because of the accessibility of smartphone applications, more nurses can benefit from the intervention as compared to a therapist delivered intervention. However, nurses with existing stress symptoms may require alternate interventions. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. Nursing diagnoses and interventions for post-acute-phase battered women.

    Science.gov (United States)

    Carlson-Catalano, J

    1998-01-01

    To identify nursing diagnoses and interventions applicable for post-acute-phase battered women. Eight battered women were interviewed twice for 2 hours. Gordon's functional health patterns provided the framework for data collection. Fifty-three nursing diagnoses and 52 nursing interventions were indicated in the data; 24 nursing diagnoses and 26 nursing interventions were present in all participants' data. With the use of comprehensive interventions, nurses can make a major contribution to society by enabling battered women to move to a more protected lifestyle.

  18. LEP Traceability

    CERN Document Server

    Billen, R

    2000-01-01

    After more than ten years of production for high energy physics, CERN's current flagship, LEP, will be closed down definitively October 1st, 2000. Starting immediately, some 30,000 tonnes of LEP materials will be removed from the tunnel to make room for LHC installation. The dismantling project is a major undertaking in terms of resources and constraints, which has to be completed in less than one year. Moreover, since LEP is classified as a nuclear installation in France (as if it was a nuclear power plant), special procedures have to be followed in addition to the normal environmental and safety issues. One major facet of the project is the "traceability" of everything that comes out of the LEP tunnel. This implies that each piece of equipment must be identified and tracked from its origin through any temporary storage to its final destination. Special procedures have to be followed for all materials even if they are not radioactive. As much of the equipment as possible will be recycled or disposed of. This...

  19. Multijets at LEP

    CERN Document Server

    Lutz, P

    1996-01-01

    At LEP 2, multi-jet events will become an important subject, both for standard physics (measurements of the W boson mass and the three-boson couplings) and in direct searches for new particles within or beyond the Standard Model. This presentation gives a comprehensive report of what has been learnt in this field at LEP 1 and LEP 1.5, emphasizing the measurements of the colour factors in QCD and the difficulties encountered when searching Higgs bosons in multi-jet events.

  20. LEP is upgraded

    CERN Multimedia

    1995-01-01

    A superconducting radio-frequency cavity is installed on the Large Electron-Positron (LEP) collider. This upgrade, known as LEP-2, allowed the accelerator to reach new, higher energies and so investigate new areas of physics.

  1. The situation and prospects of interventional nursing care in China

    International Nuclear Information System (INIS)

    Li Xiaorong; Xu Xiufang; Cheng Yongde

    2009-01-01

    Through the exploration and practice,the interventional nursing care has become an important part of Interventional Radiology, which bears a close relations to the pros and cons of the interventional therapeutic quality. The interventional nursing has been developing along the direction to become an independent nursing specialty. At the same time,various issues that affect the interventional nursing development start to emerge. At present, the setting up of a system to strengthen the establishment of the special care unit and human resources is urgently needed. The following measures are indispensable to promote the sustainable development of interventional care: to raise special awareness, to work out nursing routine and quality control standards, to explore the proficiency in order to stabilize nursing team, to pay attention to specialty education and to establish an integration mode for standardized training and professional development. (authors)

  2. submitter LEP Higgs

    CERN Document Server

    Mori, T

    2001-01-01

    As the LEP experiments verified the gauge interactions more and more rigorously, searches for the Higgs boson, which forms the very basis of the gauge theories, were taking on more and more importance in LEP physics. How this last missing particle in the Standard Model may be discovered (or totally excluded) will be the key to new physics beyond the Standard Model. Here I briefly describe how the LEP experiments together have closed in on this God particle during their 11 year running.

  3. Fast luminosity monitor at LEP

    International Nuclear Information System (INIS)

    Bini, C.; De Pedis, D.; De Zorzi, G.; Diambrini-Palazzi, G.; Di Cosimo, G.; Di Domenico, A.; Gauzzi, P.; Zanello, D.

    1994-01-01

    In 1990 the LEP-5 experiment measured luminosity at LEP by detecting the single bremsstrahlung photons emitted in the e + e - collisions. In 1991 the experiment was upgraded to exploit the intrinsic high speed of the method which allows luminosity measurement of the single bunches of LEP. In this paper the LEP-5 upgrade is described and the results of a test performed are discussed. ((orig.))

  4. After LEP

    International Nuclear Information System (INIS)

    Anon.

    1986-01-01

    The idea emerged for a ring of superconducting magnets, installed above the LEP ring, to collide protons together (or protons with antiprotons) at as high an energy as possible. Some work has been done to firm up the ideas for the new Collider: determining the best configuration for the proton-proton option and establishing its advantages over a realistic proton-antiproton option; assessing collisions between the electron beam of LEP and one proton beam; designing a complete section of the machine; making tentative designs of superconducting magnets providing between 8 and 10 tesla, and working out a European magnet development programme towards this goal; outlining where and how the various types of collisions could be exploited in the LEP tunnel. (orig./HSI).

  5. Groundbreaking for LEP

    International Nuclear Information System (INIS)

    Anon.

    1983-01-01

    On 13 September, CERN found itself once more in the international spotlight when President Frangois Mitterrand of France and President Pierre Aubert of Switzerland arrived for the official 'groundbreaking' ceremony for the 27-kilometre ring of the LEP electron-positron collider. As well as the Presidents of the two CERN host states under whose territory LEP will be constructed, there were ranking representatives of the CERN Member States, together with those of other countries who will take part in the first LEP experiments, expanding further the already large community of CERN users

  6. Steering the LEP project

    International Nuclear Information System (INIS)

    Adams, J.B.

    1979-01-01

    The plans for LEP are discussed with particular reference to the economic and political aspects rather than the scientific ones. The author outlines the steps which must be taken and the obstacles to be overcome before LEP can be built. Specific points considered are the energy of LEP, its size and siting and the cost and energy consumption. (W.D.L.)

  7. Nursing interventions for rehabilitation in Parkinson's disease: cross mapping of terms

    Directory of Open Access Journals (Sweden)

    Michelle Hyczy de Siqueira Tosin

    Full Text Available ABSTRACT Objective: to perform a cross-term mapping of nursing language in the patient record with the Nursing Interventions Classification system, in rehabilitation patients with Parkinson's disease. Method: a documentary research study to perform cross mapping. A probabilistic, simple random sample composed of 67 records of patients with Parkinson's disease who participated in a rehabilitation program, between March of 2009 and April of 2013. The research was conducted in three stages, in which the nursing terms were mapped to natural language and crossed with the Nursing Interventions Classification. Results: a total of 1,077 standard interventions that, after crossing with the taxonomy and refinement performed by the experts, resulted in 32 interventions equivalent to the Nursing Interventions Classification (NIC system. The NICs, "Education: The process of the disease.", "Contract with the patient", and "Facilitation of Learning" were present in 100% of the records. For these interventions, 40 activities were described, representing 13 activities by intervention. Conclusion: the cross mapping allowed for the identification of corresponding terms with the nursing interventions used every day in rehabilitation nursing, and compared them to the Nursing Interventions Classification.

  8. LEP superconducting cavity

    CERN Multimedia

    1995-01-01

    Engineers work in a clean room on one of the superconducting cavities for the upgrade to the LEP accelerator, known as LEP-2. The use of superconductors allow higher electric fields to be produced so that higher beam energies can be reached.

  9. Active Intervention Can Decrease Burnout In Ed Nurses.

    Science.gov (United States)

    Wei, Rong; Ji, Hong; Li, Jianxin; Zhang, Liyao

    2017-03-01

    The aim of this study was to evaluate whether active intervention can decrease job burnout and improve performance among ED nurses. This study was carried out in the emergency departments of 3 hospitals randomly selected from 8 comprehensive high-level hospitals in Jinan, China. A total of 102 nurses were enrolled and randomly divided into control and intervention groups. For 6 months, nurses in intervention groups were treated with ordinary treatment plus comprehensive management, whereas nurses in the control group were treated with ordinary management, respectively. Questionnaires were sent and collected at baseline and at the end of the study. The Student t test was used to evaluate the effect of comprehensive management in decreasing burnout. All ED nurses showed symptoms of job burnout at different levels. Our data indicated that comprehensive management significantly decreased emotional exhaustion and depersonalization (P burnout in ED nurses and contribute to relieving work-related stress and may further protect against potential mental health problems. Copyright © 2016 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

  10. A family systems nursing intervention model for paediatric health crisis.

    Science.gov (United States)

    Tomlinson, Patricia Short; Peden-McAlpine, Cynthia; Sherman, Suzan

    2012-03-01

    This article discusses the development of a family systems nursing intervention for clinical use in health crisis. Although studies in paediatric critical care provide evidence that family stress is an important clinical phenomenon, studies have demonstrated that few nurses have the requisite family intervention skills to provide family members with adequate support during crisis. In addition, few intervention studies that focus on provider-family relationships with the goal of reducing stress have been reported. This article contributes to the literature by redressing this lack. Data sources.  The literature search supporting this project spanned from 1980 to 2009 and included searches from classic nursing theory, family theory and relevant nursing research specific to the design of the intervention reported. The goal of the intervention is to provide a theoretical and practical foundation for explicit action that enhances relationships with caregivers thereby supporting the integrity of the family and enhancing their coping abilities. The intervention, based on the Family Systems Model and the family's understandings of the situation, defines specific goals and desired outcomes to guide strategic actions. Discussion of the conceptual foundation, procedural development and an example of the protocol is provided. Implications for nursing.  The intervention is designed for nurses with limited knowledge in family theory to aid them to better help families dealing with stress. The proposed intervention can be used to increase nurses' skills in family centred nursing care. Although designed for use in paediatric critical care, it can, with modifications, be used in other nursing specialty areas. © 2011 Blackwell Publishing Ltd.

  11. CAD for LEP

    CERN Multimedia

    1983-01-01

    A work station of the Computer-Aided Design system which was installed in 1982 to aid in the mechanics design for LEP. Visible on the screen is a design made for a pick-up for LEP. See Annual Report 1982 p. 79, Fig. 2.

  12. Pain Intervention for people with Dementia in nursing homes (PID): study protocol for a quasi-experimental nurse intervention.

    Science.gov (United States)

    Koppitz, Andrea; Bosshard, Georg; Blanc, Geneviève; Hediger, Hannele; Payne, Sheila; Volken, Thomas

    2017-04-21

    It is estimated that 19 to 83% of people with dementia suffer from pain that is inadequately treated in the last months of life. A large number of healthcare workers who care for these people in nursing homes lack appropriate expertise and may therefore not always recognise, assess and treat pain in those with dementia who have complex problems on time, properly and efficiently. The aim of this intervention trial is to identify care needs of people with dementia suffering from pain living in a nursing home. A quasi-experimental nurse-led intervention trial based on a convenience sample of four nursing homes in the Swiss Canton of Zurich examines the effects on dementia patients (n = 411), the healthcare institution and the qualification level of the healthcare workers compared to historical controls, using an event analysis and a multilevel analysis. Healthcare workers will be individually trained how to assess, intervene and evaluate acute and chronic pain. There are three data-monitoring cycles (T0, T1, T2) and two intervention cycles (I1, I2) with a total study duration of 425 days. There is also a process evaluation based on Dobbins analyses that analyse in particular the potentials for change in clinical practice of change agents. The aim of the intervention trial is to improve pain management strategies in older people with dementia in nursing homes. Clinically significant findings will be expected that will help reduce suffering in the sense of "total pain" for people with dementia. The joint intra- and interdisciplinary collaboration between practice and supply-oriented (nursing) research will have both a lasting effect on the efficiency measurement and provide scientifically sound results. Nursing homes can integrate the findings from the intervention trial into their internal quality control process. The potential for improvements can be directly influenced by the nursing home itself. Registration trial number: DRKS00009726 on DRKS, registered 10

  13. The normalization of nursing supervision in the comprehensive interventional therapy and diagnosis center

    International Nuclear Information System (INIS)

    Li Xue; Chen Jinhua; Zhang Weiguo; Wang Yi

    2009-01-01

    Objective: To discuss the normalization of nursing supervision in the comprehensive interventional therapy and diagnosis center in order to improve the nursing quality and work-efficiency. Methods: The following normalization measures were established: to formulate a new system of administration, to consummate interventional rules and regulations, to normalize various operation process and nursing norms, to design interventional nursing record, to cultivate professional interventional nurses, to establish the transversal connecting interventional nursing model, to enhance the interventional quality control of care, to consummate quality evaluation criterion and to enact unified management of the interventional consumed material by computer. Results: The expertise and skill of nursing personnel was significantly raised. The nursing personnel could assume the assistance and salvage in various large and complicate interventional operation. The nursing quality could meet the professional requirements. The administration of the interventional center gained the cohesive force and the nursing supervision became on the right track, right procedure and scientific principle. The nursing quality and work-efficiency was greatly improved. Conclusion: It is necessary to establish comprehensive interventional center and enforce the normalization of the nursing supervision for the development of the subject of interventional radiology. (authors)

  14. Spirituality Intervention and Outcomes: Corner stone of Holistic Nursing Practice

    Directory of Open Access Journals (Sweden)

    Mardiyono Mardiyono

    2011-01-01

    Full Text Available Background: Holistic nursing results in healing the whole person as human being that has interconnectedness of body mind social cultural spiritual aspect.Objective: The purpose of this paper is to examine the effects of Islamic spirituality interventions on health outcomes in nursing.Method: Databases searched for electronic journals and books that were published since 1994 to 2010 were included.Results: Spirituality intervention mainly composes of prayer, recitation of the holy Qur’an, remembrance of Allah, fasting, charity, prophets’ methods, and modified Islamic methods. Thirteen studies found that various outcomes have been highlighted when applied in several areas of nursing, such as stimulating baby’s cognitive ability in maternal nursing, promoting health during eating halal food, fasting, abstinence of alcohol and tobacco consumption, performing regular exercise, reducing anxiety, and pain in medical-surgical nursing. In mental health nursing, six studies explored effects of prayer and religious psychotherapy to enhance happiness and physical health and alleviate anxiety, and depression. Three studies reported Islamic cognitive therapy to alleviate the auditory hallucination, bereavement, and depression. In critical care nursing, three studies employed reciting the holy Qur’an and talqin in end of life care.Conclusion: Although the literature is limited in the amount and quality of spirituality interventions, some evidences have shown as integrative energy in nursing practice to promote health and minimize some symptoms. Spirituality interventions should be performed to acknowledge the high priority in holistic nursing and support interventions.Keywords: spirituality intervention, holistic nursing, Islam

  15. Advanced Nursing Process quality: Comparing the International Classification for Nursing Practice (ICNP) with the NANDA-International (NANDA-I) and Nursing Interventions Classification (NIC).

    Science.gov (United States)

    Rabelo-Silva, Eneida Rejane; Dantas Cavalcanti, Ana Carla; Ramos Goulart Caldas, Maria Cristina; Lucena, Amália de Fátima; Almeida, Miriam de Abreu; Linch, Graciele Fernanda da Costa; da Silva, Marcos Barragan; Müller-Staub, Maria

    2017-02-01

    To assess the quality of the advanced nursing process in nursing documentation in two hospitals. Various standardised terminologies are employed by nurses worldwide, whether for teaching, research or patient care. These systems can improve the quality of nursing records, enable care continuity, consistency in written communication and enhance safety for patients and providers alike. Cross-sectional study. A total of 138 records from two facilities (69 records from each facility) were analysed, one using the NANDA-International and Nursing Interventions Classification terminology (Centre 1) and one the International Classification for Nursing Practice (Centre 2), by means of the Quality of Diagnoses, Interventions, and Outcomes instrument. Quality of Diagnoses, Interventions, and Outcomes scores range from 0-58 points. Nursing records were dated 2012-2013 for Centre 1 and 2010-2011 for Centre 2. Centre 1 had a Quality of Diagnoses, Interventions, and Outcomes score of 35·46 (±6·45), whereas Centre 2 had a Quality of Diagnoses, Interventions, and Outcomes score of 31·72 (±4·62) (p Nursing Diagnoses as Process' dimension, whereas in the 'Nursing Diagnoses as Product', 'Nursing Interventions' and 'Nursing Outcomes' dimensions, Centre 1 exhibited superior performance; acceptable reliability values were obtained for both centres, except for the 'Nursing Interventions' domain in Centre 1 and the 'Nursing Diagnoses as Process' and 'Nursing Diagnoses as Product' domains in Centre 2. The quality of nursing documentation was superior at Centre 1, although both facilities demonstrated moderate scores considering the maximum potential score of 58 points. Reliability analyses showed satisfactory results for both standardised terminologies. Nursing leaders should use a validated instrument to investigate the quality of nursing records after implementation of standardised terminologies. © 2016 John Wiley & Sons Ltd.

  16. Continual summing-up, deepening the related researches and improving the interventional nursing

    International Nuclear Information System (INIS)

    Xu Xiufang; Zhang Xiumei; Ding Yue

    2011-01-01

    With the development of the medical technique in the field of clinical interventional radiology, the relevant interventional nursing team has also gradually grown and expanded. At present, there are certain differences in the development situation of interventional nursing between China and foreign countries. The experts in nursing fields in China should learn the matured experience from abroad to open up the features and superiorities of Chinese interventional nursing. Therefore, the nursing workers in China should continually to make summing-up, exert oneself to deepen the related researches and effectively improve the interventional nursing level. (authors)

  17. [Nursing care mapping for patients at risk of falls in the Nursing Interventions Classification].

    Science.gov (United States)

    Luzia, Melissa de Freitas; Almeida, Miriam de Abreu; Lucena, Amália de Fátima

    2014-08-01

    Identifying the prescribed nursing care for hospitalized patients at risk of falls and comparing them with the interventions of the Nursing Interventions Classifications (NIC). A cross-sectional study carried out in a university hospital in southern Brazil. It was a retrospective data collection in the nursing records system. The sample consisted of 174 adult patients admitted to medical and surgical units with the Nursing Diagnosis of Risk for falls. The prescribed care were compared with the NIC interventions by the cross-mapping method. The most prevalent care were the following: keeping the bed rails, guiding patients/family regarding the risks and prevention of falls, keeping the bell within reach of patients, and maintaining patients' belongings nearby, mapped in the interventions Environmental Management: safety and Fall Prevention. The treatment prescribed in clinical practice was corroborated by the NIC reference.

  18. submitter LEP precision results

    CERN Document Server

    Kawamoto, T

    2001-01-01

    Precision measurements at LEP are reviewed, with main focus on the electroweak measurements and tests of the Standard Model. Constraints placed by the LEP measurements on possible new physics are also discussed.

  19. Transtheoretical Model-based Nursing Intervention on Lifestyle Change: A Review Focused on Intervention Delivery Methods

    Directory of Open Access Journals (Sweden)

    Joo Yun Lee, RN

    2015-06-01

    Conclusions: ICT is not yet actively used in the TTM-based nursing interventions. Stage-matched interventions and TTM concepts were shown to be in partial use also in the TTM-based interventions. Therefore, it is necessary to develop a variety of ways to use ICT in tailored nursing interventions and to use TTM frameworks and concepts.

  20. LEP dismantling starts

    CERN Multimedia

    2000-01-01

    Since the end of November, various teams have been getting stuck into dismantling the LEP accelerator and its four experiments. After making the installations safe, the dismantling and removal of 40,000 tonnes of equipment is underway. Down in the tunnel, it is a solemn moment. It is 10 o'clock on 13 December and Daniel Regin, one of those heading the dismantling work, moves in on a magnet, armed with a hydraulic machine. Surrounded by teams gathered there for a course in dismantling, he makes the first cut into LEP. The great deconstruction has begun. In little over than a year, the accelerator will have been cleared away to make room for its successor, the LHC. The start of the operation goes back to 27 November. Because before setting about the machine with hydraulic shears and monkey wrenches, LEP had first to be made safe - it was important to make sure the machine could be taken apart without risk. All the SPS beam injection systems to LEP were cut off. The fluids used for cooling the magnets and superc...

  1. Is intercessory prayer valid nursing intervention?

    Science.gov (United States)

    Stang, Cecily Wellelr

    2011-01-01

    Is the use of intercessory prayer (IP) in modern nursing a valid practice? As discussed in current healthcare literature, IP is controversial, with authors offering support for and against the efficacy of the practice. This article reviews IP literature and research, concluding IP is a valid intervention for Christian nurses.

  2. [Nurses' Attitudes toward the “Advanced Nursing Process” before and after an educational intervention – a quasi-experimental study].

    Science.gov (United States)

    Leoni-Scheiber, Claudia; Gothe, Raffaella Matteucci; Müller-Staub, Maria

    2016-02-01

    The attitude of nurses influences their application of the Advanced Nursing Process. Studies reveal deficits in the application of the Advanced Nursing Process that is based on valid assessments and nursing classifications. These deficits affect decision-making and – as a result – nursing care quality. In German speaking countries nurses' attitudes towards nursing diagnoses as part of the Advanced Nursing Process were not yet measured. The aim of this study was to evaluate the effects of an educational intervention on nurses' attitude. A quasi-experimental intervention study was carried out in Austria and Germany. Before and after a standardised educational intervention 51 nurses estimated their attitude with the instrument Positions on Nursing Diagnosis (PND). Analyses were performed by Wilcoxon- and U-tests. Before the educational intervention the average attitude score of the Austrian nurses was more positive than in the German group. After the study intervention both groups regarded nursing diagnostics statistically significant more convincing and better understandable. However, both groups still described the application of the Advanced Nursing Process as difficult and demanding to perform. In the future, more attention should be given to the reflexion and development of nurses' attitude towards the Advanced Nursing Process because attitudes lead nurses' actions. In further studies influencing organizational and structural factors in diverse settings will be analysed.

  3. Communication skills training in a nursing home: effects of a brief intervention on residents and nursing aides

    Science.gov (United States)

    Sprangers, Suzan; Dijkstra, Katinka; Romijn-Luijten, Anna

    2015-01-01

    Effective communication by nursing home staff is related to a higher quality of life and a decrease in verbal and physical aggression and depression in nursing home residents. Several communication intervention studies have been conducted to improve communication between nursing home staff and nursing home residents with dementia. These studies have shown that communication skills training can improve nursing aides’ communication with nursing home residents. However, these studies tended to be time-consuming and fairly difficult to implement. Moreover, these studies focused on the communicative benefits for the nursing home residents and their well-being, while benefits and well-being for the nursing aides were neglected. The current study focused on implementing a brief communication skills training program to improve nursing aides’ (N=24) communication with residents with dementia (N=26) in a nursing home. The effects of the training on nursing aides’ communication, caregiver distress, and job satisfaction and residents’ psychopathology and agitation were assessed relative to a control group condition. Nursing aides in the intervention group were individually trained to communicate effectively with residents during morning care by using short instructions, positive speech, and biographical statements. Mixed ANOVAs showed that, after training, nursing aides in the intervention group experienced less caregiver distress. Additionally, the number of short instructions and instances of positive speech increased. Providing nursing aides with helpful feedback during care aids communication and reduces caregiver burden, even with a brief intervention that requires limited time investments for nursing home staff. PMID:25653513

  4. CERN: End of LEP's Z era

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1995-11-15

    Full text: Achapter of history at CERN's LEP electron-positron collider closed in October when the four big experiments, Aleph, Delphi, L3 and Opal, logged their final data at the Z energy, just over six years after LEP's first Z was detected. The LEP Z era has been one of great success, both in terms of physics results and the advances which have been made with the machine itself. LEP now takes a step towards becoming LEP2, when the energy is wound up from around 45 GeV to about 70 GeV per beam (September, page 6). By the end of LEP's 1995 run, each of the four LEP experiments had seen almost five million Zs. Now the spotlight at LEP shifts to producing pairs of W particles, the electrically charged counterparts of the Z. LEP's first Zs were recorded in August 1989, one month after the machine's first circulating beam. The 30,000 Z decays recorded by each experiment in 1989 confirmed that matter comes in just three distinct families of quarks and leptons. The values of the Z mass and width quoted in 1990 were 91.161 ± 0.031 GeV and 2.534 ± 0.027 GeV. By the beginning of 1995, these had been fine-tuned to the extraordinary accuracy of 91.1884 ± 0.0022 GeV and 2.4963 ± 0.0032 GeV, and when data from this year's run is included, will be even better. These results, combined with precision data from neutrino experiments and from Fermilab's Tevatron protonantiproton collider, have put the Standard Model of quarks and leptons through its most gruelling test yet. Right from the start, collaboration between LEP experiments and the accelerator team has been close, with frequent scheduling meetings determining how the machine is run. For the first few years, LEP ran on a diet of four bunches of electrons and four of positrons, but by the end of 1992, a way had been found to increase the luminosity by squeezing in more bunches. In 1993, the 'pretzel' scheme (October 1992, page 17), so called because of the shape traced out by the circulating beams, was running with eight

  5. The LEP program

    International Nuclear Information System (INIS)

    Allaby, J.V.

    1986-01-01

    Details of the LEP program are discussed in this paper. LEP is an electron-positron collider 26 kms in circumference. At present, four interaction regions are to be equipped with experiments, although there is the potential for eight crossing points with four-bunch operation. Before reviewing the experiments, some basic facts about LEP are recalled. The collider is located underground between the outskirts of Geneva and the Jura mountains. The major part of the tunnel in which LEP will be installed will be bored by machine in the ''molasse'' (a kind of sandstone) that lies at depths of several tens of meters below the surface of the ground in this region, which is formed of glacial moraine. However, about one-eighth of the circumference lies under the foothills of the Jura and here the tunnel must pass through the limestone rock where a boring machine cannot be used. Since the surface of the ground is itself not flat over this huge area, the plane of the machine is not horizontal, but slightly inclined to minimize the distance from the surface to the interaction regions; hence, the cost of the access shafts

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

    International Nuclear Information System (INIS)

    Feng Jianyu; Tian Ye; Wang Junlan

    2009-01-01

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

  7. LEP experiments take shape

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1986-05-15

    Excavation of the 27 kilometre tunnel and vast underground caverns for CERN's new LEP electronpositron collider is forging ahead, and equipment for the machine is arriving on the site in increasing quantities ready to attack the huge task of installation. At about the same time that LEP construction work began at CERN in 1983, physicists from some hundred research centres throughout the world began gearing up for the detailed design, construction and testing of the millions of components for the four big detectors – ALEPH, DELPHI, L3 and OPAL – which will study LEP's electron-positron collisions.

  8. LEP experiments take shape

    International Nuclear Information System (INIS)

    Anon.

    1986-01-01

    Excavation of the 27 kilometre tunnel and vast underground caverns for CERN's new LEP electronpositron collider is forging ahead, and equipment for the machine is arriving on the site in increasing quantities ready to attack the huge task of installation. At about the same time that LEP construction work began at CERN in 1983, physicists from some hundred research centres throughout the world began gearing up for the detailed design, construction and testing of the millions of components for the four big detectors – ALEPH, DELPHI, L3 and OPAL – which will study LEP's electron-positron collisions

  9. Feasibility of using the Omaha System to represent public health nurse manager interventions.

    Science.gov (United States)

    Monsen, Karen A; Newsom, Eric T

    2011-01-01

    To test the feasibility of representing public health nurse (PHN) manager interventions using a recognized standardized nursing terminology. A nurse manager in a Midwest local public health agency documented nurse manager interventions using the Omaha System for 5 months. ANALYTIC STRATEGY: The data were analyzed and the results were compared with the results from a parallel analysis of existing PHN intervention data. Interventions for 79 "clients" (projects, teams, or individuals) captured 76% of recorded work hours, and addressed 43% of Omaha System problems. Most problems were addressed at the "community" level (87.1%) versus the "individual" level (12.9%). Nursing practice differed between the 2 knowledge domains of public health family home visiting nursing and public health nursing management. Standardized nursing terminologies have the potential to represent, describe, and quantify nurse manager interventions for future evaluation and research. © 2011 Wiley Periodicals, Inc.

  10. An educational intervention impact on the quality of nursing records.

    Science.gov (United States)

    Linch, Graciele Fernanda da Costa; Lima, Ana Amélia Antunes; Souza, Emiliane Nogueira de; Nauderer, Tais Maria; Paz, Adriana Aparecida; da Costa, Cíntia

    2017-10-30

    to evaluate the impact of an educational intervention on the quality of nursing records. quasi-experimental study with before-and-after design conducted in a hospital. All the nurses in the cardiac intensive care unit of the hospital received the intervention, which consisted of weekly meetings during five months. To collect data, the instrument Quality of Diagnoses, Interventions and Outcomes was applied to the patients' charts in two moments: baseline and after intervention. the educational intervention had an impact on the quality of the records, since most of the items presented a significant increase in their mean values after the intervention, despite the low values in the two moments. the educational intervention proved to be effective at improving the quality of nursing records and a lack of quality was identified in the evaluated records, revealed by the low mean values and by the weakness of some questions presented in the items, which did not present a significant increase. Therefore, educational actions focused on real clinical cases may have positive implications for nursing practice.

  11. LEP commissioning

    International Nuclear Information System (INIS)

    Anon.

    1989-01-01

    On 14 July, as ail France celebrated the bicentenary of its revolution, CERN was the scene of a revolution of a very different kind. At 16.30 hrs, a 20 GeV positron beam went round the 27 kilometres (most of which is under French territory) of CERN's new LEP electron-positron storage ring. After more than a decade of careful planning and preparation, almost six years after groundbreaking, and two years after the start of equipment installation, the LEP team delivered on the day they had told people to mark five years ago

  12. Multiplicities and Correlations at LEP

    International Nuclear Information System (INIS)

    Sarkisyan, E.K.G.

    2002-01-01

    A brief review on recent charge multiplicity and correlation measurements at LEP is given. The measurements of un biased gluon jet multiplicity are discussed. Recent results on charged particle Bose-Einstein and Fermi-Dirac correlations at LEP1 are reported. New results on two-particle correlations of neutral pions are given. Correlations of more than two particles (high-order correlations) obtained using different methods are performed. Recent Bose-Einstein correlation measurements at LEP2 are discussed. (author)

  13. Multiplicities and correlations at LEP

    CERN Document Server

    Sarkisyan-Grinbaum, E

    2002-01-01

    A brief review on recent charge multiplicity and correlation measurements at LEP is given. The measurements of unbiased gluon jet multiplicity are discussed. Recent results on charged particle Bose- Einstein and Fermi-Dirac correlations at LEP1. are reported. New results on two-particle correlations of neutral pions are given. Correlations of more than two particles (high-order correlations) obtained using different methods are performed. Recent Bose-Einstein correlation measurements at LEP2 are discussed. (13 refs).

  14. The LEP physics program

    International Nuclear Information System (INIS)

    Davier, M.

    1985-06-01

    The physics program of LEP is reviewed in the context of recent developments from the SpantipS collider. LEP offers the unique possibility to unambiguously explore the particle spectrum up to a mass of 100 GeV i.e. over the mass range typical of the electroweak symmetry breaking. 31 refs.

  15. Focus on LEP

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1986-12-15

    When it begins operations early in 1989, the LEP electron-positron Collider now being built at CERN will provide beams of some 60 GeV (120 GeV collision energy). However with superconducting radiofrequency acceleration equipment complementing the conventional units, the beam energy eventually could be boosted to about 100 GeV per beam. In parallel with LEP construction, a vigorous development programme for these superconducting cavities has been underway at CERN.

  16. Focus on LEP

    International Nuclear Information System (INIS)

    Anon.

    1986-01-01

    When it begins operations early in 1989, the LEP electron-positron Collider now being built at CERN will provide beams of some 60 GeV (120 GeV collision energy). However with superconducting radiofrequency acceleration equipment complementing the conventional units, the beam energy eventually could be boosted to about 100 GeV per beam. In parallel with LEP construction, a vigorous development programme for these superconducting cavities has been underway at CERN

  17. An intervention program to promote health-related physical fitness in nurses.

    Science.gov (United States)

    Yuan, Su-Chuan; Chou, Ming-Chih; Hwu, Lien-Jen; Chang, Yin-O; Hsu, Wen-Hsin; Kuo, Hsien-Wen

    2009-05-01

    To assess the effects of exercise intervention on nurses' health-related physical fitness. Regular exercise that includes gymnastics or aerobics has a positive effect on fitness. In Taiwan, there are not much data which assess the effects of exercise intervention on nurses' health-related physical fitness. Many studies have reported the high incidence of musculoskeletal disorders (MSDs) in nurses However, there has been limited research on intervention programs that are designed to improve the general physical fitness of nurses. A quasi-experimental study was conducted at a medical centre in central Taiwan. Ninety nurses from five different units of a hospital volunteered to participate in this study and participated in an experimental group and a control group. The experimental group engaged in a three-month intervention program consisting of treadmill exercise. Indicators of the health-related physical fitness of both groups were established and assessed before and after the intervention. Before intervention, the control group had significantly better grasp strength, flexibility and durability of abdominal muscles than the experimental group (p work duration, regular exercise and workload and found that the experimental group performed significantly better (p flexibility, durability of abdominal and back muscles and cardiopulmonary function. This study demonstrates that the development and implementation of an intervention program can promote and improve the health-related physical fitness of nurses. It is suggested that nurses engage in an exercise program while in the workplace to lower the risk of MSDs and to promote working efficiency.

  18. The convergent LEP and SPS control systems

    International Nuclear Information System (INIS)

    Altaber, J.

    1987-01-01

    The major design contraint of the control system for LEP is the compatibility with the existing SPS control system. The first reason for this compatibility is to allow a long term convergence of the SPS control system towards the LEP one. The second reason is to operate both LEP and SPS machines from a unique main control room. The distributed architecture of LEP and the existing SPS control systems are described. The design of the equipment interface for both machines is explained. Finally, the infrastructure of the common main control room for LEP and SPS is described

  19. Nurse's Pocket Guide: Nursing Diagnoses with Interventions M Doenges M Moorbouse Nurse's Pocket Guide: Nursing Diagnoses with Interventions F A Davis 548pp £12.00 0-8036-2666-5 [Formula: see text].

    Science.gov (United States)

    1991-07-31

    My first thought when I began to read the Nurse's Pocket Guide: Nursing Diagnoses with Interventions was 'at last, a nursing dictionary instead of the usual medical dictionary for nurses!' Unfortunately, it did not live up to my expectations. The book starts out with a good idea but, like so many others, fails to communicate it effectively and simply.

  20. LEP and CEBAF polarimeters

    International Nuclear Information System (INIS)

    Placidi, M.; Burkert, V.; Rossmanith, R.

    1988-01-01

    This paper gives an overview on high energy electron (positron) polarimeters by describing in more detail the plans for the LEP polarimeter and the CEBAF polarimeters. Both LEP and CEBAF will have laser polarimeters. In addition CEBAF will be equipped with a Moller polarimeter (for currents below 1μA). 10 figs

  1. Content Validity of a Psychotherapeutic Intervention Model in Nursing: A Modified e-Delphi Study.

    Science.gov (United States)

    Sampaio, Francisco Miguel Correia; Sequeira, Carlos; Lluch Canut, Teresa

    2017-04-01

    To estimate the content validity of a psychotherapeutic intervention model in nursing. Mental health nurses encounter great extrinsic difficulties when it comes to providing psychotherapeutic interventions due to the fact that they are not allowed to perform such practice in some countries. In this light, the pursuit of a psychotherapeutic intervention model in nursing seems germane to guide the professionals' psychotherapeutic practice, contributing hereof to increase mental health nurses' professional autonomy. Modified e-Delphi. Data were collected from October 2015 to January 2016 by means of three rounds of online questionnaires. The initial questionnaire was structured into five sections: general structure of the model, patients' exclusion criteria, assessment framework, nursing diagnoses, and nursing psychotherapeutic interventions. From the 42 experts invited, at least twenty (20) participated in each round. The experts achieved consensus with regard to the conclusion that nursing psychotherapeutic interventions should always seek to address a nursing diagnosis. These defined furthermore that a psychotherapeutic intervention model in nursing should be exercised by means of 3 to 12 sessions using Nursing Interventions Classification (NIC) as a resource. Finally, experts deemed that the model should follow the principles of integrative psychotherapy, so that techniques from different schools of psychotherapy could therefore be used in conjunction to promote the resolution of a nursing diagnosis. Achieving consensus about the structure of a psychotherapeutic intervention model in nursing is imperative to guide nurses in the provision of nursing psychotherapeutic interventions and to enable an effective evaluation of the health gains associated with its implementation. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Nursing Intervention Practices for Smoking Cessation: A Large Survey in Hong Kong

    Directory of Open Access Journals (Sweden)

    Yim Wah Mak

    2018-05-01

    Full Text Available Previous studies have shown that nursing interventions are effective in helping people to stop smoking, but that the participation of nurses in tobacco control activities has been far from satisfactory. The primary objective of this study is to identify factors that encourage or discourage nurses from participating in providing smoking-cessation interventions to their clients, based on the 5 A’s (ask, advise, assess, assist, arrange framework. A cross-sectional survey was conducted among 4413 nurses in Hong Kong from different clinical specialties. A logistics regression analysis found that predictors for the practicing of all of the 5 A’s are nurses who want to receive training in smoking-cessation interventions, those who have received such training, and those who are primarily working in a medical unit or in ambulatory/outpatient settings. The regression model also showed that attitude towards smoking cessation was positively associated with all of the 5 A’s. The results indicate a need to encourage and provide nurses with opportunities to receive training on smoking-cessation interventions. Strategies to persuade nurses to provide smoking-cessation interventions are also important, since nurses are motivated to perform smoking-cessation interventions when they feel a stronger sense of mission to control tobacco use.

  3. [Effective interventions to reduce absenteeism among hospital nurses].

    Science.gov (United States)

    Blanca-Gutiérrez, Joaquín Jesús; Jiménez-Díaz, María del Carmen; Escalera-Franco, Luis Felipe

    2013-01-01

    To select and summarize the interventions that have proved effective in reducing absenteeism among hospital nurses. A scoping review was conducted through a literature search using Medline, Web of Science, Cinahl, Embase, Lilacs, Cuiden and Cochrane Library Plus databases. Of a total of 361 articles extracted, 15 were finally selected for this review. The implementation of multifaceted support or physical training programs can produce positive results in terms of reducing absenteeism among hospital nurses. Cognitive-behavioral type interventions require studies with larger samples to provide conclusive results. Establishing more flexible working shifts may also reduce absenteeism rates, although again studies with larger samples are needed. Programs aimed at managing change developed by nurses themselves, participatory management of professional relations, the support provided by supervisors who are opposed to hierarchical leadership styles, and wage supplements that reward the lack of absence can also reduce these types of indicators. Absenteeism can be considered as a final result and a consequence of the level of job satisfaction. The effectiveness of interventions to reduce absenteeism among hospital nurses will no doubt largely depend on the ability of these interventions to increase the job satisfaction of these workers. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

  4. Effekt of a two-stage nursing assesment and intervention - a randomized intervention study

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Poulsen, Ingrid; Hendriksen, Carsten

    % of geriatric patients have complex and often unresolved caring needs. The objective was to examine the effect of a two-stage nursing assessment and intervention to address the patients uncompensated problems given just after discharge from ED and one and six months after. Method: We conducted a prospective...... nursing assessment comprising a checklist of 10 physical, mental, medical and social items. The focus was on unresolved problems which require medical intervention, new or different home care services, or comprehensive geriatric assessment. Following this the nurses made relevant referrals...... to the geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Findings: Primary endpoints will be presented as unplanned readmission to ED; admission to nursing home; and death. Secondary endpoints will be presented as physical function; depressive symptoms...

  5. Factors influencing Dutch practice nurses' intention to adopt a new smoking cessation intervention.

    Science.gov (United States)

    Leitlein, Lisa; Smit, Eline Suzanne; de Vries, Hein; Hoving, Ciska

    2012-10-01

    This article is a report of a study that aimed to identify factors influencing practice nurses' and nurse practitioners' intention to adopt a new smoking cessation intervention. Although effective smoking cessation interventions exist and practice nurses can offer a considerable resource in advertising patients to quit smoking, due to several reasons the majority of practice nurses do not implement these interventions. A cross-sectional study was undertaken among Dutch practice nurses and nurse practitioners working in general practices (n = 139) using electronic questionnaires. Data were collected from January until March in 2009. T-tests were used to compare adopters with non-adopters about their predisposing and motivational factors. Logistic regression analyses were conducted to assess the variation in intention explained by these factors. The majority of practice nurses did not intend to adopt the new intervention (n = 85; 61.2%). More practice nurses than nurse practitioners intended to adopt the intervention. Attitude and perceived social norms were found to be positively correlated with the intention to adopt the intervention whereas satisfaction with current smoking cessation activities was found to be negatively correlated. Important associations were found between profession, attitude, social norms and satisfaction, and the intention to adopt the new smoking cessation intervention. Practice nurses who do not intend to adopt need to be persuaded of the advantages of adopting. Perceived social norms need to be restructured and before presenting the intervention to a general practice current smoking cessation activities should be determined to increase the intervention's compatibility with these current practices. © 2011 Blackwell Publishing Ltd.

  6. Drilling a borehole for LEP

    CERN Multimedia

    1981-01-01

    Boreholes were drilled along the earlier proposed line of the LEP tunnel under the Jura to find out the conditions likely to be encountered during the construction of the LEP tunnel (Annual Report 1981 p. 106, Fig. 10).

  7. Monitoring the waste water of LEP

    CERN Document Server

    Rühl, I

    1999-01-01

    Along the LEP sites CERN is discharging water of differing quality and varying amounts into the local rivers. This wastewater is not only process water from different cooling circuits but also water that infiltrates into the LEP tunnel. The quality of the discharged wastewater has to conform to the local environmental legislation of our Host States and therefore has to be monitored constantly. The most difficult aspect regarding the wastewater concerns LEP Point 8 owing to an infiltration of crude oil (petroleum), which is naturally contained in the soil along octant 7-8 of the LEP tunnel. This paper will give a short summary of the modifications made to the oil/water separation unit at LEP Point 8. The aim was to obtain a satisfactory oil/water separation and to install a monitoring system for a permanent measurement of the amount of hydrocarbons in the wastewater.

  8. Precision electroweak physics at LEP

    Energy Technology Data Exchange (ETDEWEB)

    Mannelli, M.

    1994-12-01

    Copious event statistics, a precise understanding of the LEP energy scale, and a favorable experimental situation at the Z{sup 0} resonance have allowed the LEP experiments to provide both dramatic confirmation of the Standard Model of strong and electroweak interactions and to place substantially improved constraints on the parameters of the model. The author concentrates on those measurements relevant to the electroweak sector. It will be seen that the precision of these measurements probes sensitively the structure of the Standard Model at the one-loop level, where the calculation of the observables measured at LEP is affected by the value chosen for the top quark mass. One finds that the LEP measurements are consistent with the Standard Model, but only if the mass of the top quark is measured to be within a restricted range of about 20 GeV.

  9. Using nursing intervention classification in an advance practice registered nurse-led preventive model for adults aging with developmental disabilities.

    Science.gov (United States)

    Hahn, Joan Earle

    2014-09-01

    To describe the most frequently reported and the most central nursing interventions in an advance practice registered nurse (APRN)-led in-home preventive intervention model for adults aging with developmental disabilities using the Nursing Intervention Classification (NIC) system. A descriptive data analysis and a market basket analysis were conducted on de-identified nominal nursing intervention data from two home visits conducted by nurse practitioners (NPs) from October 2010 to June 2012 for 80 community-dwelling adults with developmental disabilities, ages 29 to 68 years. The mean number of NIC interventions was 4.7 in the first visit and 6.0 in the second visit and last visit. NPs reported 45 different intervention types as classified using a standardized language, with 376 in Visit One and 470 in Visit Two. Approximately 85% of the sample received the Health education intervention. The market basket analysis revealed common pairs, triples, and quadruple sets of interventions in this preventive model. The NIC nursing interventions that occurred together repeatedly were: Health education, Weight management, Nutrition management, Health screening, and Behavior management. Five NIC interventions form the basis of an APRN-led preventive intervention model for individuals aging with lifelong disability, with health education as the most common intervention, combined with interventions to manage weight and nutrition, promote healthy behaviors, and encourage routine health screening. Less frequently reported NIC interventions suggest the need to tailor prevention to individual needs, whether acute or chronic. APRNs employing prevention among adults aging with developmental disabilities must anticipate the need to focus on health education strategies for health promotion and prevention as well as tailor and target a patient-centered approach to support self-management of health to promote healthy aging in place. These NIC interventions serve not only as a guide for

  10. [Emergency department triage: independent nursing intervention?].

    Science.gov (United States)

    Corujo Fontes, Sergio José

    2014-03-01

    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.

  11. Patients and ICU nurses' perspectives of non-pharmacological interventions for pain management.

    Science.gov (United States)

    Gélinas, Céline; Arbour, Caroline; Michaud, Cécile; Robar, Lauren; Côté, José

    2013-11-01

    Pain is a major stressor for critically ill patients. To maximize pain relief, non-pharmacological interventions are an interesting avenue to explore. The study aim was to describe the perspectives of patients/family members and nurses about the usefulness, relevance and feasibility of non-pharmacological interventions for pain management in the intensive care unit (ICU). A qualitative descriptive design was used. Patients/family members (n = 6) with a previous experience of ICU hospitalization and ICU nurses (n = 32) were recruited. Using a semi-structured discussion guide, participants were asked to share their perspective about non-pharmacological interventions that they found useful, relevant and feasible for pain management in the ICU. Interventions were clustered into five categories: a) cognitive-behavioural, b) physical, c) emotional support, d) helping with activities of daily living and, e) creating a comfortable environment. A total of eight focus groups (FGs) with patients/family members (two FGs) and ICU nurses (six FGs) were conducted. Overall, 33 non-pharmacological interventions were discussed. The top four non-pharmacological interventions found to be useful, relevant and feasible in at least half of the FGs were music therapy and distraction (cognitive-behavioural category), simple massage (physical category) and family presence facilitation (emotional support category). Interestingly, patients/family members and nurses showed different interests towards some interventions. For instance, patients discussed more about active listening/reality orientation, while nurses talked mostly about teaching/positioning. Four non-pharmacological interventions reached consensus in patients and nurses' FGs to be useful, relevant and feasible for pain management in the ICU. Other interventions seemed to be influenced by personal experience or professional role of the participants. While more evidence is required to conclude to their effectiveness, ICU nurses can

  12. Review of LEP results

    CERN Document Server

    Parodi, F

    2001-01-01

    I present a review of the results obtained during 10 years of activity in b-physics at LEP. Special emphasis is put on measurements that attained precisions not even envisaged at the beginning of the LEP programme (V/sub ub/ and Delta m/sub s/). Finally the impact of these measurements on the CKM parameters determination is presented. (16 refs).

  13. submitter Searches at LEP

    CERN Document Server

    Kawagoe, Kiyotomo

    2001-01-01

    Searches for new particles and new physics were extensively performed at LEP. Although no evidence for new particle/physics was discovered, the null results set very stringent limits to theories beyond the standard model. In this paper, searches at LEP and anomalies observed in the searches are presented. Future prospect of searches at the new energy frontier machines is also discussed.

  14. Raising the last LEP dipole

    CERN Multimedia

    Maximilien Brice

    2002-01-01

    The last of the 3280 dipole magnets from the Large Electron-Positron (LEP) collider is seen on its journey to the surface on 12 February 2002. The LEP era, which began at CERN in 1989 and ended 2000, comes to an end.

  15. Physics at LEP

    International Nuclear Information System (INIS)

    Ellis, J.; Peccei, R.

    1986-01-01

    This report surveys physics which may be investigated at LEP, the Large Electron-Positron collider under construction at CERN. Five general areas are emphasized, namely: precision measurements at the Z 0 peak; studies of toponium; searches for possible new particles; QCD, γγ, and heavy quark studies; and experiments at the highest LEP energies up to and beyond the W + W - pair-production threshold. Wherever possible, full cross section formulae are given, together with references to the original literature where more details may be found. (orig.)

  16. NANOPARTICLE OF FAITH ON NURSES INTERVENTIONS

    Directory of Open Access Journals (Sweden)

    Paula Soares Encarnação

    2016-07-01

    Full Text Available The World Health Organization, in recent years has stimulated the development of research studies that have positive implications for the quality of people's health, such as spirituality. This topic discusses the concept of faith as an expression of human spirituality; develops the idea of faith as a “nanoparticle” that can be used in nursing care as an intervention to promote people’s health, and explore the contribution to education in Nursing. Given these findings it is concluded that nurses should require training and develop research studies that demonstrate faith as a protective factor and a health promoter with salutogenic effects in the Portuguese context.

  17. Integrative Review of Facility Interventions to Manage Compassion Fatigue in Oncology Nurses.

    Science.gov (United States)

    Wentzel, Dorien; Brysiewicz, Petra

    2017-05-01

    Oncology nurses are regularly exposed to high-stress situations that may lead to compassion fatigue, and many institutions have implemented interventions to reduce burnout in nurses, but knowledge on the feasiblity, effectiveness, and nurses' experience of interventions is lacking.
. Electronic search of literature published from 1992-2015 was performed to evaluate in-facility interventions to manage compassion fatigue in oncology nurses. Databases used included CINAHL®, PubMed, Web of Science, Google Scholar, and PsycINFO®. 
. The goal was to evaluate the effectiveness, feasibility, and nurses' experience of interventions to manage compassion fatigue. The study designs, methods, and limitations were independently screened by the authors. 
. Of 164 studies, 31 met eligibility criteria. 
. The majority of the studies were conducted in Western countries, which suggests the need for additional research in other settings to determine effective interventions that address compassion fatigue and stress cross-culturally. Quantitative and qualitative studies failed to gain high scores in terms of quality. Limited conclusions can be drawn from small studies that report on outcomes with many confounding variables, such as turnover rate or general health of nurses, from a single institution. 
. Lack of empirical precision in evaluating the effectiveness, feasibility, and nurses' experiences of interventions indicates a need for future, more rigorously designed experimental studies. Because of the global increase in the number of patients being diagnosed and living with cancer, oncology nurses should be able to recognize and manage compassion fatigue.

  18. Mapping VIPS concepts for nursing interventions to the ISO reference terminology model for nursing actions: A collaborative Scandinavian analysis

    DEFF Research Database (Denmark)

    Ehnfors, Margareta; Angermo, Lilly Marit; Berring, Lene

    2006-01-01

    analyzed the VIPS model's concepts for nursing interventions using prototypical examples of nursing actions, involving 233 units of analyses, and collaborated in mapping the two models. All nursing interventions in the VIPS model comprise actions and targets, but a few lack explicit expressions of means......The aims of this study were to analyze the coherence between the concepts for nursing interventions in the Swedish VIPS model for nursing recording and the ISO Reference Terminology Model for Nursing Actions and to identify areas in the two models for further development. Seven Scandinavian experts....... In most cases, the recipient of care is implicit. Expressions for the aim of an action are absent from the ISO model. By this mapping we identified areas for future development of the VIPS model and the experience from nursing terminology work in Scandinavia can contribute to the international...

  19. LEP takes to the hills

    International Nuclear Information System (INIS)

    Anon.

    1981-01-01

    From 1-7 June the focal point of thinking about the European project for a very high energy electron-positron machine, LEP, moved up into the Swiss mountains. The European Committee for Future Accelerators, ECFA, organized a 'General Meeting on LEP' at the alpine resort of Villars. This was in the long tradition of ECFA meetings which try to ensure a broad consultation of the European High Energy Physics community before major decisions on CERN projects are taken. Over 400 physicists gathered at the Palace Hotel where they were very agreeably immersed in the happy Club Mediterranee ambience. The Conference was successful beyond expectation and left the feeling that the contacts and discussions had moved LEP significantly further towards its goals. Above all it demonstrated again the keenness of the community to become involved in the experimental programme of LEP and the great belief in the scientific promise of the machine

  20. At LEP, a new Physics. The dark matter

    International Nuclear Information System (INIS)

    Bouquet, A.; Haissinski, J.; Perrottet, M.; Renard, F.M.; Sadoulet, B.; Savoy, C.; Treille, D.

    1990-01-01

    The starting of LEP (European Large Electron-Positron storage rings) took place, in July 1989 and the 5 reports introduced during the 21th Summer School on Particle Physics (Ecole de Gif) locate, after a rapid recall of standard model, the problems that LEP will have to resolve in a more or less long time, LEP 100 or LEP 200. These reports are indexed separately [fr

  1. Can theoretical intervention improve hand hygiene behavior among nurses?

    Directory of Open Access Journals (Sweden)

    Baghaei R

    2016-06-01

    Full Text Available Rahim Baghaei,1 Elham Sharifian,1 Aziz Kamran2 1Inpatient Safety Research Center, Nursing and Midwifery School, Urmia University of Medical Sciences, Urmia, 2Public Health Department, Khalkhal Faculty of Medical Sciences, Ardabil University of Medical Sciences, Ardabil, IranBackground: Hand washing is the best strategy to prevent known nosocomial infections but the nurses' hand hygiene is estimated to be poor in Iran.Objective: This study aimed to determine the effectiveness of BASNEF (Behavior, Attitude, Subjective Norms, and Enabling Factors model on hand hygiene adherence education.Methods: This controlled quasi-experimental study was conducted on 70 hemodialysis unit nurses (35 case and 35 control in the health and educational centers of the University of Medical Sciences of Urmia, Iran. To collect the data, a six-part validated and reliable questionnaire was used. The data were analyzed using SPSS version18, using Wilcoxon, Mann–Whitney, chi-square, and Fisher's exact tests. The significance level was considered P<0.05.Results: The mean age was 38.4±8.1 years for the intervention group and 40.2±8.0 years for the control group. There was no significant difference between the two groups for any demographic variables. Also, before the intervention, there was no significant difference between the two groups for any components of the BASNEF model. Post-intervention, the attitude, subjective norms, enabling factors, and intention improved significantly in the intervention group (P<0.001, but hand hygiene behavior did not show any significant change in the intervention group (P=0.16.Conclusion: Despite the improving attitudes and intention, the intervention had no significant effect on hand hygiene behavior among the studied nurses.Keywords: hand hygiene, adherence, education nurse, behavior

  2. Pain Management Practices in a Pediatric Emergency Room (PAMPER) Study: interventions with nurses.

    Science.gov (United States)

    Le May, Sylvie; Johnston, C Celeste; Choinière, Manon; Fortin, Christophe; Kudirka, Denise; Murray, Louise; Chalut, Dominic

    2009-08-01

    Children's pain in emergency departments (EDs) is poorly managed by nurses, despite evidence that pain is one of the most commonly presenting complaints of children attending the ED. Our objectives were 2-fold: to verify if tailored educational interventions with emergency pediatric nurses would improve nurses' knowledge of pain management and nurses' pain management practices (documentation of pain, administration of analgesics, nonpharmacological interventions). This intervention study with a pre-post design (baseline, immediately after the intervention [T-2], and 6 months after intervention [T-3]) used a sample of nurses (N = 50) and retrospective chart reviews of children (N = 450; 150 charts reviewed each at baseline, T-2, and T-3) who presented themselves in the ED with a diagnosis known to generate moderate to severe pain (burns, acute abdominal pain, deep lacerations, fracture, sprain). Principal outcomes: nurses' knowledge of pain management (Pediatric Nurses Knowledge and Attitudes Survey [PNKAS] on pain) and nurses' clinical practices of pain management (Pain Management Experience Evaluation [PMEE]). Response rate on the PNKAS was 84% (42/50) at baseline and 50% (21/42) at T-2. Mean scores on PNKAS were 28.2 (SD, 4.9; max, 42.0) at baseline and 31.0 (SD, 4.6) at T-2. Results from paired t test showed significant difference between both times (t = -3.129, P = 0.005). Nurses who participated in the capsules improved their documentation of pain from baseline (59.3%) to T-2 (80.8%; chi = 12.993, P nurses increased their nonpharmacological interventions from baseline (16.7%) to T-3 (31.9%; chi = 8.623, P = 0.003). Finally, we obtained significant differences on pain documentation between the group of nurses who attended at least 1 capsule and the group of nurses who did not attend any capsule at both times (T-2 and T-3; chi = 20.424, P nurses' knowledge of pain management and some of the practices over time. We believe that an intervention tailored to nurses

  3. Evaluating sexual nursing care intervention for reducing sexual dysfunction in Indonesian cervical cancer survivors

    Directory of Open Access Journals (Sweden)

    Yati Afiyanti

    2016-01-01

    Full Text Available Objective: This study aims to describe the factors affecting successful nursing care intervention on sexuality. Methods: A one-group pre- and post-test design was used. Fifty-three cervical cancer survivors and their spouses were administered with nursing care intervention on sexuality in three sessions and evaluated after 6 weeks. Results: Sexual intervention reduced dyspareunia symptoms, improved vaginal lubrication, improved sexual satisfaction, and enhanced sexual arousal, sexual desire, and orgasm among cancer survivors and their spouses. The other influencing factors also simultaneously contributed to the success of nursing care intervention. Conclusions: Nursing care intervention on sexuality could be a part of supportive nursing care and an important aspect in standard nursing care for cancer patients in Indonesia.

  4. Slice of a LEP bending magnet

    CERN Multimedia

    This is a slice of a LEP dipole bending magnet, made as a concrete and iron sandwich. The bending field needed in LEP is small (about 1000 Gauss), equivalent to two of the magnets people stick on fridge doors. Because it is very difficult to keep a low field steady, a high field was used in iron plates embedded in concrete. A CERN breakthrough in magnet design, LEP dipoles can be tuned easily and are cheaper than conventional magnets.

  5. CERN: Towards LEP 200

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    In March a cryomodule with four superconducting radiofrequency accelerating cavities operated for the first time in CERN's new LEP electron-positron collider, the result of many years of careful research and development work and an important step on the road to boost LEP energies from their initial level around 50 GeV per beam to above the 82 GeV threshold for production of W pairs

  6. Strongly coupled SU(2v boson and LEP1 versus LEP2

    Directory of Open Access Journals (Sweden)

    M. Bilenky

    1993-10-01

    Full Text Available If new strong interactions exist in the electroweak bosonic sector (e.g., strong Higgs sector, dynamical electroweak breaking, etc., it is natural to expect new resonances, with potentially strong couplings. We consider an additional vector-boson triplet, V+-, V0, associated with an SU(2v local symmetry under the specific (but rather natural assumption that ordinary fermions are SU(2v singlets. Mixing of the V triplet with the W+-, Z0 bosons effectively leads to an SU(2L×U(1Y violating vector-boson-fermion interaction which is strongly bounded by LEP1 data. In contrast, the potentially large deviation of the Z0W+W- coupling from its SU(2L×U(1Y value is hardly constrained by LEP1 data. Results from experiments with direct access to the trilinear Z0W+W− coupling (LEP200, NLC are urgently needed.

  7. An intervention aimed at reducing plagiarism in undergraduate nursing students.

    Science.gov (United States)

    Smedley, Alison; Crawford, Tonia; Cloete, Linda

    2015-05-01

    Plagiarism is a current and developing problem in the tertiary education sector where students access information and reproduce it as their own. It is identified as occurring in many tertiary level degrees including nursing and allied health profession degrees. Nursing specifically, is a profession where standards and ethics are required and honesty is paramount. The aim of this study was to evaluate the change in nursing student's knowledge and understanding of plagiarism before and after an educational intervention in their first semester of the Bachelor of nursing degree at a private college of higher education in Sydney, Australia. This study concluded that an educational intervention can increase knowledge and awareness of plagiarism among nursing students. Copyright © 2014 Elsevier Ltd. All rights reserved.

  8. CERN: Higher energies at LEP

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    This year will be the last that CERN's 27-kilometre LEP electron-positron collider will run routinely at around 45 GeV per beam. In the run, scheduled to begin in May, the four big experiments will top up their harvest so far of over 12 million Z particles for a final polishing of precision Z data. Behind the scenes, LEP is being prepared for higher energy running and a new phase of physics. After a brief technical stop in October, the aim is for a test run of up to 70 GeV per beam before the end of the year. Higher energy demands more radiofrequency power, which will be supplied by superconducting cavities. With this goal in mind, a programme of development work began at CERN over ten years ago, when LEP was still on the drawing board. Initially this effort focused on cavities made from sheet niobium, but later switched to copper covered by a sputtered niobium film, which gives better thermal and r.f. performance (September 1990, page 24). The first industrially-manufactured four-cavity niobium coated module, complete with its cryostat and r.f plumbing, was installed in LEP in 1993. Although it quickly achieved its nominal accelerating gradient of 6 MV/m, its reliability was affected by unforeseen problems in the associated power couplers. This delayed the installation schedule, but after a crash programme of design and modification of the power couplers, together with improvements in actual cavity design and manufacture, module supply and testing has now attained a satisfactory rhythm. Two modules installed in LEP amassed between them over 50 days of continuous running in 1994, and confidence is now high that the emphasis can shift towards integrating the cavities into LEP, rather than running the cavities themselves. During LEP's 1994-5 winter shutdown, modules are being installed at Points 2 and 6. Later, additional cavities will be installed in Points 2, 6 and 8 prior to embarking on the higher energy test run at the end of the year. After

  9. Scenarios for physics at LEP

    International Nuclear Information System (INIS)

    Glashow, S.L.

    1979-01-01

    The author states his views regarding the importance of the experiments made possible if LEP is built. The main contribution of the LEP will be to understanding the physics of leptons, quarks and quantum chromodynamics. The author suggests the directions in which the new results might lead. (W.D.L.)

  10. Exploring School Nurse Interventions and Health and Education Outcomes: An Integrative Review

    Science.gov (United States)

    Best, Nakia C.; Oppewal, Sonda; Travers, Debbie

    2018-01-01

    School nurses intervene with students, parents, and school staff to advance the health and academic success of students. We conducted an integrative literature review of published research to describe the types of school nurse interventions and health and education outcome measures and to examine how school nurse interventions were linked to…

  11. What Barriers and Facilitators Do School Nurses Experience When Implementing an Obesity Intervention?

    Science.gov (United States)

    Schroeder, Krista; Smaldone, Arlene

    2017-12-01

    A recent evaluation of a school nurse-led obesity intervention demonstrated a 5% implementation rate. The purpose of this study was to explore school nurses' perceived barriers to and facilitators of the intervention in order to understand reasons for the low implementation rate. Methods included semi-structured individual interviews with school nurses. Data were analyzed using content analysis and heat mapping. Nineteen nurses participated and eight themes were identified. Parental and administrative gatekeeping, heavy nurse workload, obesogenic environments, and concerns about obesity stigma were barriers to implementation. Teamwork with parents and school staff was a key facilitator of implementation. Nurses also noted the importance of cultural considerations and highlighted the need to tailor the intervention to the unique needs of their school environment and student population. These findings suggest that for school nurses to play a key role in school-based obesity interventions, barriers must be identified and addressed prior to program implementation.

  12. LEP superconducting accelerating cavity module

    CERN Multimedia

    1995-01-01

    With its 27-kilometre circumference, the Large Electron-Positron (LEP) collider was the largest electron-positron accelerator ever built. The excavation of the LEP tunnel was Europe’s largest civil-engineering project prior to the Channel Tunnel. Three tunnel-boring machines started excavating the tunnel in February 1985 and the ring was completed three years later. In its first phase of operation, LEP consisted of 5176 magnets and 128 accelerating cavities. CERN’s accelerator complex provided the particles and four enormous detectors, ALEPH, DELPHI, L3 and OPAL, observed the collisions. LEP was commissioned in July 1989 and the first beam circulated in the collider on 14 July. The collider's initial energy was chosen to be around 91 GeV, so that Z bosons could be produced. The Z boson and its charged partner the W boson, both discovered at CERN in 1983, are responsible for the weak force, which drives the Sun, for example. Observing the creation and decay of the short-lived Z boson was a critical test of...

  13. Piloting interprofessional education interventions with veterinary and veterinary nursing students.

    Science.gov (United States)

    Kinnison, Tierney; Lumbis, Rachel; Orpet, Hilary; Welsh, Perdi; Gregory, Sue; Baillie, Sarah

    2011-01-01

    Interprofessional education (IPE) has received little attention in veterinary education even though members of the veterinary and nursing professions work closely together. The present study investigates veterinary and veterinary nursing students' and practitioners' experiences with interprofessional issues and the potential benefits of IPE. Based on stakeholder consultations, two teaching interventions were modified or developed for use with veterinary and veterinary nursing students: Talking Walls, which aimed to increase individuals' understanding of each other's roles, and an Emergency-Case Role-Play Scenario, which aimed to improve teamwork. These interventions were piloted with volunteer veterinary and veterinary nursing students who were recruited through convenience sampling. A questionnaire (the Readiness for Interprofessional Learning Scale [RIPLS]) was modified for use in veterinary education and used to investigate changes in attitudes toward IPE over time (pre-intervention, immediately post-intervention, and four to five months afterward). The results showed an immediate and significant positive change in attitude after the intervention, highlighting the students' willingness to learn collaboratively, their ability to recognize the benefits of IPE, a decreased sense of professional isolation, and reduced hierarchical views. Although nearly half of the students felt concerned about learning with students from another profession before the intervention, the majority (97%) enjoyed learning together. However, the positive change in attitude was not evident four to five months after the intervention, though attitudes remained above pre-intervention levels. The results of the pilot study were encouraging and emphasize the relevance and importance of veterinary IPE as well as the need for further investigation to explore methods of sustaining a change in attitude over time.

  14. Combination of the LEP II ffbar Results

    CERN Document Server

    Geweniger, C; Elsing, M; Goy, C; Holt, J; Liebig, W; Minard, M N; Renton, P B; Riemann, S; Sachs, K; Ward, P; Wynhoff, S

    2002-01-01

    Preliminary combinations of measurements of the 4 LEP collaborations of the process e+e-->ffbar at LEP-II are presented, using data from the full LEP-II data set where available. Cross-sections and forward-backward asymmetry measurements are combined for the full LEP-II data set. Combined differential cross-sections $\\frac{{\\rm d}\\sigma}{{\\rm d}\\cos\\theta}$ for electron-pairs, muon pair and tau-pair final states are presented. Measurements of the production of heavy flavours are combined. The combined results are interpreted in terms of contact interactions and the exchange Z' bosons and leptoquarks, and within models of low scale gravity in large extra dimensions.

  15. The DELPHI experiment at LEP

    International Nuclear Information System (INIS)

    Alekseev, G.D.; Bardin, D. Yu.; Bilen'kij, M.S.

    2000-01-01

    This paper summarizes the current status of the DELPHI experiment, which is operating at the Large Electron Positron (LEP) Collider at CERN. The results from running at the energies around the Z resonance (LEP1) are based on the full available data, while the results obtained at higher energies (LEP2) are based on the data collected up to 1998. The analysis of the data collected at the highest centre-of-mass energies (above 200 GeV) is still in progress and new results are expected. We present briefly some of the most important DELPHI results paying a special attention to the contribution of JINR group to the detector construction and data analysis

  16. LEP the large electron-positron project

    International Nuclear Information System (INIS)

    Schopper, H.

    1984-01-01

    LEP is an e + e - ring optimized for about 100 GeV per beam. The ring has a circumference of about 26.7 kilometers, and will be 80 to 125 meters deep underground. The existing accelerators, both the PS and the SPS, will be used as injectors. The cost of LEP is 910 million Swiss francs, at 1981 prices. This document describes the outline of the LEP project, especially, in relation to the present CERN site and experimental facilities. The present status of LEP, that is, machine ordering, installation or modification of the existing machines, is explained in the following areas: injection system, magnets, accelerating system, and experimental areas. As for the civil engineering works two international consortia are responsible for the excavation of the tunnel for the main ring. Some photographs are presented to show the status of the civil engineering works. For the transportation of both components and people, a monorail suspended from the ceiling of the tunnel is adopted. The first injection test into an octant is planned in the autumn of 1987, and the first beam all around the LEP will be at the end of 1988. (Aoki, K.)

  17. Efficacy of nursing interventions in reducing social and occupational disabilities among patients with neurosis.

    Science.gov (United States)

    Nagarajaiah; Jothimani, G; Parthasarathi, R; Reddemma, K; Giri, A T S

    2012-01-01

    Individuals suffering from neurosis suffer from social and occupational disabilities similar to that of psychoses. Though understanding of disabilities in neurosis is essential in management of the clients, the relevant interventional studies are very limited. The present study attempted to evaluate the effect of nursing interventions in reducing social and occupational disabilities in neurotic patients. Sixty neurotic patients diagnosed as per ICD 9 criteria were randomly assigned to experimental and control groups followed by pre-assessment by Groningen social disability schedule. Of the 10 sessions of nursing intervention, 3 were individual sessions with clients, 5 with clients and family members and 2 with small group of clients with similar problems; nursing intervention group and non-nursing intervention group received the routine drug treatment at rural community mental health centre, NIMHANS, Bengaluru. The post-assessment was carried out first, second, and the third month followed by the nursing intervention. The findings revealed statistically significant reduction in social and occupational disabilities. A community-based psychosocial intervention led by community health nurses catering to the needs of neurotic patients is indicated by the results.

  18. submitter LEP W measurements

    CERN Document Server

    Saeki, Takayuki

    2001-01-01

    of pair-production of W bosons, and LEP2 experiments started. ALEPH, DELPHI, L3, and OPAL experiments observed the pair-production of W bosons for the first time in $e^{+}e^{-}$ collisions. Since then, the four experiments had been collecting data successfully at the energies of 161 - 209 GeV, and the data acquisition of LEP experiments was finished on 2nd November 2001. The total integrated luminosities amounted to about 710 pb$^{-1}$ per each experiment and about 46 k W-pair events were produced in total. In this article, the results on W physics in LEP2 are presented, which cover the total cross section of the W boson pair-production, the W decay branching fractions, the triple gauge-boson couplings and the mass of the W boson. All the results are consistent with the Standard Model expectations within the measurement errors.

  19. Probing the Big Bang with LEP

    International Nuclear Information System (INIS)

    Schramm, D.N.

    1990-06-01

    It is shown that LEP probes the Big Bang in two significant ways: (1) nucleosynthesis and (2) dark matter constraints. In the first case, LEP verifies the cosmological standard model prediction on the number of neutrino types, thus strengthening the conclusion that the cosmological baryon density is ∼6% of the critical value. In the second case, LEP shows that the remaining non-baryonic cosmological matter must be somewhat more massive and/or more weakly interacting that the favorite non-baryonic dark matter candidates of a few years ago. 59 refs., 4 figs., 2 tabs

  20. Probing the Big Bang with LEP

    Energy Technology Data Exchange (ETDEWEB)

    Schramm, D.N. (Chicago Univ., IL (USA) Fermi National Accelerator Lab., Batavia, IL (USA))

    1990-06-01

    It is shown that LEP probes the Big Bang in two significant ways: (1) nucleosynthesis and (2) dark matter constraints. In the first case, LEP verifies the cosmological standard model prediction on the number of neutrino types, thus strengthening the conclusion that the cosmological baryon density is {approximately}6% of the critical value. In the second case, LEP shows that the remaining non-baryonic cosmological matter must be somewhat more massive and/or more weakly interacting that the favorite non-baryonic dark matter candidates of a few years ago. 59 refs., 4 figs., 2 tabs.

  1. Probing the Big Bang with LEP

    Science.gov (United States)

    Schramm, David N.

    1990-01-01

    It is shown that LEP probes the Big Bang in two significant ways: (1) nucleosynthesis, and (2) dark matter constraints. In the first case, LEP verifies the cosmological standard model prediction on the number of neutrino types, thus strengthening the conclusion that the cosmological baryon density is approximately 6 percent of the critical value. In the second case, LEP shows that the remaining non-baryonic cosmological matter must be somewhat more massive and/or more weakly interacting than the favorite non-baryonic dark matter candidates of a few years ago.

  2. Prototype steel-concrete LEP dipole magnet

    CERN Multimedia

    1981-01-01

    The magnetic field needed in the LEP dipole magnets was rather low, of a fraction of tesla. This lead to the conception of a novel yoke structure consisting of stacks of 1.5 mm thick low-carbon steel laminations spaced by 4.1 mm with the spaces filled with concrete. The excitation coils were also very simple: aluminium bars insulated by polyester boxes in this prototype, by glass-epoxy in the final magnets. For details see LEP-Note 118,1978 and LEP-Note 233 1980. See also 8111529,7908528X.

  3. CERN: End of LEP's Z era

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    Full text: Achapter of history at CERN's LEP electron-positron collider closed in October when the four big experiments, Aleph, Delphi, L3 and Opal, logged their final data at the Z energy, just over six years after LEP's first Z was detected. The LEP Z era has been one of great success, both in terms of physics results and the advances which have been made with the machine itself. LEP now takes a step towards becoming LEP2, when the energy is wound up from around 45 GeV to about 70 GeV per beam (September, page 6). By the end of LEP's 1995 run, each of the four LEP experiments had seen almost five million Zs. Now the spotlight at LEP shifts to producing pairs of W particles, the electrically charged counterparts of the Z. LEP's first Zs were recorded in August 1989, one month after the machine's first circulating beam. The 30,000 Z decays recorded by each experiment in 1989 confirmed that matter comes in just three distinct families of quarks and leptons. The values of the Z mass and width quoted in 1990 were 91.161 ± 0.031 GeV and 2.534 ± 0.027 GeV. By the beginning of 1995, these had been fine-tuned to the extraordinary accuracy of 91.1884 ± 0.0022 GeV and 2.4963 ± 0.0032 GeV, and when data from this year's run is included, will be even better. These results, combined with precision data from neutrino experiments and from Fermilab's Tevatron protonantiproton collider, have put the Standard Model of quarks and leptons through its most gruelling test yet. Right from the start, collaboration between LEP experiments and the accelerator team has been close, with frequent scheduling meetings determining how the machine is run. For the first few years, LEP ran on a diet of four bunches of electrons and four of positrons, but by the end of 1992, a way had been found to increase the luminosity by squeezing in more bunches. In 1993, the 'pretzel' scheme (October 1992, page 17), so called because of the shape traced out by

  4. Advanced practice nurses core competencies: a framework for developing and testing an advanced practice nurse discharge intervention.

    Science.gov (United States)

    Cooke, Liz; Gemmill, Robin; Grant, Marcia

    2008-01-01

    The purpose of this paper was to describe evidenced-based interventions as implemented by advanced practice nurses (APNs) conducting intervention research with a vulnerable population of blood and marrow transplant patients. In addition, each of the 6 core competencies of the APN role identified by Hamric are outlined and applied using a patient case study. These competencies are the following: direct clinical practice, expert coaching and advice, consultation, research skills, clinical and professional leadership, collaboration, and ethical decision making. This article chronicles a typical patient's journey through a post-hospital discharge nursing research study involving APNs as "intervention nurses" and discusses the various aspects of the APN core competencies throughout the process.

  5. Animal-Assisted Interventions in Dutch Nursing Homes: A Survey.

    Science.gov (United States)

    Schuurmans, Lonneke; Enders-Slegers, Marie-Jose; Verheggen, Theo; Schols, Jos

    2016-07-01

    Animal-assisted interventions (AAI) have become more and more popular in nursing homes in the past decade. Various initiatives for using animals in nursing homes have been developed over the years (eg, animal visiting programs, residential companion animals, petting zoos) and, on the whole, the number of nursing homes that refuse animals on their premises has declined. In this survey, we aimed to determine how many Dutch nursing homes offer AAIs, what type of interventions are used, and with what aim. We also focus on the use of underlying health, hygiene, and (animal) safety protocols. Using an online Dutch nursing home database, we invited all listed (457) nursing home organizations in the Netherlands (encompassing a total of 804 nursing home locations) to participate in our digital survey, powered by SurveyMonkey. The survey consisted of a total of 45 questions, divided into general questions about the use of animals in interventions; the targeted client population(s); and specific questions about goals, guidelines, and protocols. The results were analyzed with SPSS Statistics. In the end, 244 surveys, representing 165 organizations, were returned: 125 nursing homes used AAI in one way or another, 40 did not. Nursing homes that did not offer AAI cited allergy and hygiene concerns as the most important reasons. Most nursing homes offering AAI used visiting animals, mostly dogs (108) or rabbits (76). A smaller number of nursing homes had resident animals, either living on the ward or in a meadow outside. Almost all programs involved animal-assisted activities with a recreational purpose; none of the participating nursing homes provided animal assisted therapy with therapeutic goals. Psychogeriatric patients were most frequently invited to participate. A total of 88 nursing homes used alternatives when animals were not an option or not available. The most popular alternative was the use of stuffed animals (83) followed by FurReal Friends robotic toys (14). The

  6. CERN: LEP in the Alps

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    Full text: In January, when CERN's LEP electron-positron collider is enjoying a well-earned break, it has now become traditional for the hard pressed LEP team to have no respite. Instead they pack their bags and depart for Chamonix in the nearby French Alps to review the past year's experience and plan for the future. In the cold January 1993 light of Chamonix, 1992 (January/February, page 4) was deemed to have been a good year for LEP operations, with the switch to 90° betatron phase operation having paid off. The 65% improvement in integrated luminosity over 1991 was attributed to longer beam lifetimes, faster filling and improved overall efficiency. The commissioning of the eight-bunch 'pretzel' scheme was facilitated with the new optics, and break-even quickly achieved, so that physics could benefit from more bunches in the machine. During 1992, the injection chain was fully tested with eight bunches, and when this comes into routine operation this year, the pretzel scheme will benefit. Pretzel running also opens the possibility of still higher luminosity, up to 2x10 31 per sq cm per s, doubling the present level. However the finishing touches to high luminosity running are still more an art ('haute cuisine') than a science. Continuing studies of the inter correlation of different LEP conditions will help make this more systematic. The main factors affecting performance at 45 GeV are transverse mode coupling instabilities. The present working point gives good results, but there are still potentially interesting regions which need to be checked out. Beam lifetime and background are both limited by beam size and aperture. Background was reduced by improved focusing, while beam size is dominated by beam-beam effects. 90° operation proved its worth in 1992, but the inability to produce polarized beams was a disappointment, and a combined 90°/60° horizontal/vertical combination looked like offering the best of both worlds. Although

  7. Do educational interventions improve nurses' clinical decision making and judgement? A systematic review.

    Science.gov (United States)

    Thompson, Carl; Stapley, Sally

    2011-07-01

    Despite the growing popularity of decision making in nursing curricula, the effectiveness of educational interventions to improve nursing judgement and decision making is unknown. We sought to synthesise and summarise the comparative evidence for educational interventions to improve nursing judgements and clinical decisions. A systematic review. Electronic databases: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, CINAHL and PsycINFO, Social Sciences Citation Index, OpenSIGLE conference proceedings and hand searching nursing journals. Studies published since 1960, reporting any educational intervention that aimed to improve nurses' clinical judgements or decision making were included. Studies were assessed for relevance and quality. Data extracted included study design; educational setting; the nature of participants; whether the study was concerned with the clinical application of skills or the application of theory; the type of decision targeted by the intervention (e.g. diagnostic reasoning) and whether the evaluation of the intervention focused on efficacy or effectiveness. A narrative approach to study synthesis was used due to heterogeneity in interventions, study samples, outcomes and settings and incomplete reporting of effect sizes. From 5262 initial citations 24 studies were included in the review. A variety of educational approaches were reported. Study quality and content reporting was generally poor. Pedagogical theories were widely used but use of decision theory (with the exception of subjective expected utility theory implicit in decision analysis) was rare. The effectiveness and efficacy of interventions was mixed. Educational interventions to improve nurses' judgements and decisions are complex and the evidence from comparative studies does little to reduce the uncertainty about 'what works'. Nurse educators need to pay attention to decision, as well as pedagogical, theory in the design of interventions. Study design and

  8. Supersymmetric particles at LEP

    International Nuclear Information System (INIS)

    Barbiellini, G.; Coignet, G.; Gaillard, M.K.; Bonneaud, G.; Ellis, J.; Matteuzzi, C.; Wiik, H.

    1979-10-01

    The authors examine whether the supersymmetrization of nature at a mass scale up to 100 GeV can be confirmed or excluded by experiments with LEP. They review the qualitative features of the spectroscopy suggested by supersymmetric theories. Then they discuss possible production rates and means of detection of these particles at LEP. In this framework they make some remarks about other projects for future high energy physics machines which can be used for the study of supersymmetric phenomena. (HSI)

  9. B physics at LEP

    International Nuclear Information System (INIS)

    Kowalewski, R.V.; Rizzo, G.; Stocchi, A.

    1995-01-01

    LEP has contributed substantially to our knowledge of B hadrons. Results will be presented on the lifetimes of weakly decaying B hadrons and on BB oscillations; in each case the LEP results are the most precise measurements of these quantities. The first observations of orbitally excited beauty mesons and of Σ b and Σ b * baryons, obtained during the past year, will be reviewed. Recent measurements of charmonium production in B decays and searches for B c will also be presented. (orig.)

  10. Interventions to improve communication between people with dementia and nursing staff during daily nursing care: A systematic review.

    Science.gov (United States)

    Machiels, Mariska; Metzelthin, Silke F; Hamers, Jan P H; Zwakhalen, Sandra M G

    2017-01-01

    To provide adequate nursing care it is important for nursing staff to communicate effectively with people with dementia. Due to their limited communication skills, people with dementia have difficulties in understanding communication and expressing themselves verbally. Nursing staff members often report communication difficulties with people with dementia, which emphasises the urgent need for interventions to improve their communication with people in this specific target group. To provide an up-to-date overview of communication interventions that are applicable during daily nursing care activities, irrespective of care setting, and to describe the effects on communication outcomes in people with dementia and nursing staff. Systematic literature review DATA SOURCES: The Cochrane Library, CINAHL, PsycINFO, and Pubmed databases were searched for all articles published until the 23rd of February 2016. Papers were included, if: (1) interventions focused on communication between nursing staff and people with dementia and were applicable during daily nursing care; (2) studies were (randomised) controlled trials; (3) papers were written in English, Dutch, or German. Data were extracted on content and communication outcomes of interventions, and on methodological quality of the studies. The data extraction form and methodological quality checklist were based on the Method Guidelines for Systematic Reviews for the Cochrane Back Review Group. Six studies on communication interventions were included. All of the studies incorporated a communication skills training for nursing staff with a broad range in frequency, duration and content. In addition, there was wide variation in the communication outcome measures used. Four studies measured non-verbal communication, all found positive effects on at least some of the communication outcomes. Four studies measured verbal communication, of which three found positive effects on at least one of the measured outcomes. Methodological

  11. Nurses' expert opinions of workplace interventions for a healthy working environment: a Delphi survey.

    Science.gov (United States)

    Doran, Diane; Clarke, Sean; Hayes, Laureen; Nincic, Vera

    2014-09-01

    Much has been written about interventions to improve the nursing work environment, yet little is known about their effectiveness. A Delphi survey of nurse experts was conducted to explore perceptions about workplace interventions in terms of feasibility and likelihood of positive impact on nurse outcomes such as job satisfaction and nurse retention. The interventions that received the highest ratings for likelihood of positive impact included: bedside handover to improve communication at shift report and promote patient-centred care; training program for nurses in dealing with violent or aggressive behaviour; development of charge nurse leadership team; training program focused on creating peer-supportive atmospheres and group cohesion; and schedule that recognizes work balance and family demands. The overall findings are consistent with the literature that highlights the importance of communication and teamwork, nurse health and safety, staffing and scheduling practices, professional development and leadership and mentorship. Nursing researchers and decision-makers should work in collaboration to implement and evaluate interventions for promoting practice environments characterized by effective communication and teamwork, professional growth and adequate support for the health and well-being of nurses.

  12. Effects of a worksite physical activity intervention for hospital nurses who are working mothers.

    Science.gov (United States)

    Tucker, Sharon J; Lanningham-Foster, Lorraine M; Murphy, Justyne N; Thompson, Warren G; Weymiller, Audrey J; Lohse, Christine; Levine, James A

    2011-09-01

    Hospital nurses who are working mothers are challenged to maintain their personal health and model healthy behaviors for their children. This study aimed to develop and test an innovative 10-week worksite physical activity intervention integrated into the work flow of hospital-based nurses who were mothers. Three volunteer adult medical-surgical nursing units participated as intervention units. Fifty-eight nurses (30 intervention and 28 control) provided baseline and post-intervention repeated measurements of physical activity (steps) and body composition. Intervention participants provided post-intervention focus group feedback. For both groups, daily steps averaged more than 12,400 at baseline and post-intervention. No significant effects were found for physical activity; significant effects were found for fat mass, fat index, and percent fat (p working mothers. Future research is warranted with a larger sample, longer intervention, and additional measures. Copyright 2011, SLACK Incorporated.

  13. Evidence-based nursing interventions and guidelines for prone ...

    African Journals Online (AJOL)

    Although the prone positioning of a critically ill patient poses a challenge to nursing interventions, it remains the responsibility of nurses to develop a way to provide the same basic and intensive care to those patients lying prone as to those lying supine. The purpose of this study was firstly to conduct a systematic review of ...

  14. Communication skills training in a nursing home: Effects of a brief intervention on residents and nursing aides

    NARCIS (Netherlands)

    S. Sprangers (Suzan); K. Dijkstra (Katinka); A. Romijn-Luijten (Anna)

    2015-01-01

    textabstractEffective communication by nursing home staff is related to a higher quality of life and a decrease in verbal and physical aggression and depression in nursing home residents. Several communication intervention studies have been conducted to improve communication between nursing home

  15. The Heavy Baryon Physics by means LEP

    International Nuclear Information System (INIS)

    Lesiak, T.

    2000-07-01

    This report describes the experimental research about the heavy baryons which were obtained in the last decade at LEP. The most important among them concern the lifetimes of beauty baryons. The methods of theoretical description of heavy hadrons together with the LEP experimental apparatus are also discussed. Heavy baryon studies are shown in a broader perspective of other LEP results: the test of the standard model and the latest measurements concerning the beauty mesons. (author)

  16. Child development surveillance: intervention study with nurses of the Family Health Strategy.

    Science.gov (United States)

    Reichert, Altamira Pereira da Silva; Collet, Neusa; Eickmann, Sophie Helena; Lima, Marília de Carvalho

    2015-01-01

    to evaluate the effectiveness of an educational action in child development surveillance performed by nurses working in primary health care. interventional study with a before-and-after type of design, carried out with 45 nurses and 450 mothers of children under 2 years of age. Initially, it was evaluated the practices and knowledge of nurses on child development surveillance and the mothers were interviewed about these practices. Subsequently, workshops were carried out with nurses and four months later, the knowledge of nurses and the maternal information were reevaluated. after intervention there was significant increase in the frequency of the following aspects: from 73% to 100%, in relation to the practice of nurses of asking the opinion of mothers about their children's development; from 42% to 91%, regarding the use of the systematized instrument of evaluation; from 91% to 100% with respect to guidance to mothers on how to stimulate child development. the intervention contributed to the increase of knowledge of nurses and implementation of child development surveillance, showing the importance of this initiative to improve the quality of child health care.

  17. Observations on LEP with a view to SSC

    International Nuclear Information System (INIS)

    Toohig, T.E.

    1984-01-01

    From 24-29 October 1984 a visit was made to the LEP project at CERN with a view to extracting from the LEP planning and experience what might be useful in planning an SSC. With a circumference of 26.7 km, in a reasonably densely-populated area outside the boundaries of the CERN site, LEP already faces most of the problems of environment, public relations, maintenance and operation that will be faced by an SSC project. Information is presented under the headings of: (1) radiation protection; (2) heating, ventilation, and airconditioning; (3) electrical power distribution; (4) LEP experiments/UA1, UA2; (5) civil; (6) infrastructure installation; (7) survey; (8) safety; and (9) LEP controls. Each report lists the CERN individuals who generously provided their insights and help

  18. Interventions aimed at increasing research use in nursing: a systematic review

    Directory of Open Access Journals (Sweden)

    Moore Katherine

    2007-05-01

    Full Text Available Abstract Background There has been considerable interest recently in developing and evaluating interventions to increase research use by clinicians. However, most work has focused on medical practices; and nursing is not well represented in existing systematic reviews. The purpose of this article is to report findings from a systematic review of interventions aimed at increasing research use in nursing. Objective To assess the evidence on interventions aimed at increasing research use in nursing. Methods A systematic review of research use in nursing was conducted using databases (Medline, CINAHL, Healthstar, ERIC, Cochrane Central Register of Controlled Trials, and Psychinfo, grey literature, ancestry searching (Cochrane Database of Systematic Reviews, key informants, and manual searching of journals. Randomized controlled trials and controlled before- and after-studies were included if they included nurses, if the intervention was explicitly aimed at increasing research use or evidence-based practice, and if there was an explicit outcome to research use. Methodological quality was assessed using pre-existing tools. Data on interventions and outcomes were extracted and categorized using a pre-established taxonomy. Results Over 8,000 titles were screened. Three randomized controlled trials and one controlled before- and after-study met the inclusion criteria. The methodological quality of included studies was generally low. Three investigators evaluated single interventions. The most common intervention was education. Investigators measured research use using a combination of surveys (three studies and compliance with guidelines (one study. Researcher-led educational meetings were ineffective in two studies. Educational meetings led by a local opinion leader (one study and the formation of multidisciplinary committees (one study were both effective at increasing research use. Conclusion Little is known about how to increase research use in

  19. Electroweak physics with LEP

    International Nuclear Information System (INIS)

    Davier, M.

    1992-03-01

    The present status of electroweak physics at LEP is presented. The LEP machine and the detectors are described. The decays of Z neutral bosons in both leptonic and hadronic channels are studied. Neutral and charged sector are investigated, and a precise test of the Standard Model is given. Higgs boson searches and τ decay measurements are also described as well as quark mixing and B 0 B-bar 0 oscillations. All the seven contributions are individually indexed and abstracted for the INIS database. (K.A.) 100 refs

  20. Z Physics at LEP 1. Vol. 3

    International Nuclear Information System (INIS)

    Altarelli, G.; Kleiss, R.; Verzegnassi, C.

    1989-01-01

    The contents of this final report from the Workshop on Z Physics at LEP can be divided into two parts. The first part, comprising Vols. 1 and 2, is a relatively concise but fairly complete handbook on the physics of e + e - annihilation near the Z peak (with normal LEP luminosity and unpolarized beams, appropriate for the first phase of LEP operation). The second part (Vol. 3) is devoted to a review of the existing Monte Carlo event generators for LEP physics. A special effort has been made to co-ordinate the different parts of this report, with the aim of achieving a systematic and balanced review of the subject, rather than having simply a collection of separate contributions. (orig.)

  1. Z physics at LEP 1. Vol. 1

    International Nuclear Information System (INIS)

    Altarelli, G.; Kleiss, R.; Verzegnassi, C.

    1989-01-01

    The contents of this final report from the Workshop on Z Physics at LEP can be divided into two parts. The first part, comprising Vols. 1 and 2, is a relatively concise but fairly complete handbook on the physics of e + e - annihilation near the Z peak (with normal LEP luminosity and unpolarized beams, appropriate for the first phase of LEP operation). The second part (Vol. 3) is devoted to a review of the existing Monte Carlo event generators for LEP physics. A special effort has been made to co-ordinate the different parts of this report, with the aim of achieving a systematic and balanced review of the subject, rather than having simply a collection of separate contributions. (orig.)

  2. LEP des inquiétudes subsistent

    CERN Multimedia

    1984-01-01

    Certains propriétaires de terrains et de constructions situés sur le pourtour du LEP restent inquiets: qu'arriverait-il an cas de contestation sur la valeur de réparation d'éventuels dommages causés par la construction du LEP? (1 page).

  3. LEP Inauguration

    International Nuclear Information System (INIS)

    Anon.

    1989-01-01

    On 13 November, Heads of State, Heads of Government and Ministers from CERN's 14 Member States, together with more than a thousand invited guests, attended the inauguration ceremony of LEP, CERN's new 27-kilometre electron-positron collider

  4. Colour Reconnection at LEP2

    CERN Document Server

    Nandakumar, Raja

    2001-01-01

    Colour reconnection is the final state interaction between quarks from different sources. It is not yet fully understood and is a source of systematic error for W-boson mass and width measurements in hadronic \\WW decays at LEP2. The methods of measuring this effect and the results of the 4 LEP experiments at $183\\gev\\leq\\rts\\leq 202\\gev$ will be presented.

  5. 20 years ago: first collisions (at LEP)

    CERN Multimedia

    2009-01-01

    It’s been 20 years since the first electron positron collision at LEP, and I have to confess to a little self-indulgence in my message this week. Back then I was a member of the OPAL collaboration, the first to see collisions at LEP just before midnight on 13 August 1989 and almost exactly one month after the first circulating beam. It was a historic moment, and the atmosphere in the OPAL control room, 100 metres underground, was one of anticipation and excitement. We reported back to the LEP control room, champagne duly arrived, and over the next few hours, all the experiments were recording data. The pilot run was as smooth as it could be, and within weeks we were announcing new physics. It’s interesting to contrast the start-up of LEP with that of the LHC. With the benefit of hindsight, LEP seems to have got going without a hitch, and indeed it was a smooth start. We circulated beam on 14 July, much to the joy of one of our host states, and it was just a month ...

  6. Improved quality of nursing documentation: results of a nursing diagnoses, interventions, and outcomes implementation study.

    NARCIS (Netherlands)

    Muller-Staub, M.; Needham, I.; Odenbreit, M.; Lavin, M.A.; Achterberg, T. van

    2007-01-01

    PURPOSE: To evaluate the impact of the quality of nursing diagnoses, interventions, and outcomes in an acute care hospital following the implementation of an educational program. METHOD: In a pretest-posttest experimental design study, nurses from 12 wards of a Swiss hospital received an educational

  7. Exotic searches at lep

    International Nuclear Information System (INIS)

    Seager, P.

    2001-01-01

    The search for exotic processes at LEP is presented. The Standard Model Higgs has as yet not been observed. This provides freedom to search for processes beyond the Standard Model and even beyond the minimal version of the supersymmetric extension to the Standard Model. This paper outlines the searches for charged Higgs bosons, fermiophobic Higgs bosons, invisibly decaying Higgs bosons, technicolor, leptoquarks, unstable heavy leptons and excited leptons. The results presented are those from the LEP collaborations using data taken up to a centre-of-mass energy of √s = 202 GeV. (author)

  8. An efficacy trial of brief lifestyle intervention delivered by generalist community nurses (CN SNAP trial

    Directory of Open Access Journals (Sweden)

    Fanaian Mahnaz

    2010-02-01

    Full Text Available Abstract Background Lifestyle risk factors, in particular smoking, nutrition, alcohol consumption and physical inactivity (SNAP are the main behavioural risk factors for chronic disease. Primary health care (PHC has been shown to be an effective setting to address lifestyle risk factors at the individual level. However much of the focus of research to date has been in general practice. Relatively little attention has been paid to the role of nurses working in the PHC setting. Community health nurses are well placed to provide lifestyle intervention as they often see clients in their own homes over an extended period of time, providing the opportunity to offer intervention and enhance motivation through repeated contacts. The overall aim of this study is to evaluate the impact of a brief lifestyle intervention delivered by community nurses in routine practice on changes in clients' SNAP risk factors. Methods/Design The trial uses a quasi-experimental design involving four generalist community nursing services in NSW Australia. Services have been randomly allocated to an 'early intervention' group or 'late intervention' (comparison group. 'Early intervention' sites are provided with training and support for nurses in identifying and offering brief lifestyle intervention for clients during routine consultations. 'Late intervention site' provide usual care and will be offered the study intervention following the final data collection point. A total of 720 generalist community nursing clients will be recruited at the time of referral from participating sites. Data collection consists of 1 telephone surveys with clients at baseline, three months and six months to examine change in SNAP risk factors and readiness to change 2 nurse survey at baseline, six and 12 months to examine changes in nurse confidence, attitudes and practices in the assessment and management of SNAP risk factors 3 semi-structured interviews/focus with nurses, managers and clients

  9. Child development surveillance: intervention study with nurses of the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Altamira Pereira da Silva Reichert

    2015-10-01

    Full Text Available Objective: to evaluate the effectiveness of an educational action in child development surveillance performed by nurses working in primary health care.Methods: interventional study with a before-and-after type of design, carried out with 45 nurses and 450 mothers of children under 2 years of age. Initially, it was evaluated the practices and knowledge of nurses on child development surveillance and the mothers were interviewed about these practices. Subsequently, workshops were carried out with nurses and four months later, the knowledge of nurses and the maternal information were reevaluated.Results: after intervention there was significant increase in the frequency of the following aspects: from 73% to 100%, in relation to the practice of nurses of asking the opinion of mothers about their children's development; from 42% to 91%, regarding the use of the systematized instrument of evaluation; from 91% to 100% with respect to guidance to mothers on how to stimulate child development.Conclusions: the intervention contributed to the increase of knowledge of nurses and implementation of child development surveillance, showing the importance of this initiative to improve the quality of child health care.

  10. LEP for twice the energy

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1993-01-15

    In 1995, CERN's 27-kilometre LEP electron-positron collider should start operating for physics at considerably higher energy. Since its commissioning in 1989, the machine has been operating around 45.5 GeV per beam to give collision energies that home in on the Z particle - the electrically neutral carrier of the weak nuclear force, with a mass of 91 GeV. The Z, discovered at CERN in 1983 by Carlo Rubbia's UA1 protonantiproton tour de force, was for a long time a rare physics jewel. Until LEP came along, only a handful had been seen. With millions now captured by the four LEP experiments - Aleph, Delphi, L3 and Opal - the Z has become everyday physics, and the accumulated precision Z data give an incisive view inside today's Standard Model. The self-consistency of these measurements make physicists confident that the sixth ('top') quark should turn up around 150 GeV. But the Z is only one side of the picture. For the self-consistency of the Standard Model to become really watertight, a precision fix is also needed on the W at 81 GeV, the electrically charged companion of the Z. While the neutral Z can be produced directly in electron-positron annihilations, the charged Ws can only be produced in pairs, hence the call for higher energies at LEP. (The project is known as LEP200, but 200 GeV is acknowledged as an optimistic energy target.) To roughly double beam energy from around 45 GeV for Z physics to the level needed for W production calls for an additional 1900 Megavolts of accelerating voltage.

  11. LEP for twice the energy

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    In 1995, CERN's 27-kilometre LEP electron-positron collider should start operating for physics at considerably higher energy. Since its commissioning in 1989, the machine has been operating around 45.5 GeV per beam to give collision energies that home in on the Z particle - the electrically neutral carrier of the weak nuclear force, with a mass of 91 GeV. The Z, discovered at CERN in 1983 by Carlo Rubbia's UA1 protonantiproton tour de force, was for a long time a rare physics jewel. Until LEP came along, only a handful had been seen. With millions now captured by the four LEP experiments - Aleph, Delphi, L3 and Opal - the Z has become everyday physics, and the accumulated precision Z data give an incisive view inside today's Standard Model. The self-consistency of these measurements make physicists confident that the sixth ('top') quark should turn up around 150 GeV. But the Z is only one side of the picture. For the self-consistency of the Standard Model to become really watertight, a precision fix is also needed on the W at 81 GeV, the electrically charged companion of the Z. While the neutral Z can be produced directly in electron-positron annihilations, the charged Ws can only be produced in pairs, hence the call for higher energies at LEP. (The project is known as LEP200, but 200 GeV is acknowledged as an optimistic energy target.) To roughly double beam energy from around 45 GeV for Z physics to the level needed for W production calls for an additional 1900 Megavolts of accelerating voltage

  12. Prototype superconducting radio-frequency cavity for LEP

    CERN Multimedia

    1985-01-01

    This niobium superconducting cavity was part of the prototype stages for an upgrade to LEP, known as LEP-2. Superconducting cavities would eventually replace the traditional copper cavities and allow beam energies of 100 GeV.

  13. slice of LEP beamtube with getter strip

    CERN Multimedia

    1989-01-01

    A section of the LEP beam pipe. This is the chamber in which LEP's counter-rotating electron and positron beams travel. It is made of lead-clad aluminium. The beams circulate in the oval cross-section part of the chamber. In the rectangular cross-section part, LEP's innovative getter-strip vacuum pump is installed. After heating to purify the surface of the getter, the strip acts like molecular sticky tape, trapping any stray molecules left behind after the accelerator's traditional vacuum pumps have done their job.

  14. UX-15 Reaches LEP

    CERN Multimedia

    2001-01-01

    The creation of the world's largest sandstone cavern, not a small feat! At the bottom, cave-in preventing steel mesh can be seen clinging to the top of the tunnel. The digging of UX-15, the cavern that will house ATLAS, reached the upper ceiling of LEP on October 10th. The breakthrough which took place nearly 100 metres underground occurred precisely on schedule and exactly as planned. But much caution was taken beforehand to make the LEP breakthrough clean and safe. To prevent the possibility of cave-ins in the side tunnels that will eventually be attached to the completed UX-15 cavern, reinforcing steel mesh was fixed into the walls with bolts. Obviously no people were allowed in the LEP tunnels below UX-15 as the breakthrough occurred. The area was completely evacuated and fences were put into place to keep all personnel out. However, while personnel were being kept out of the tunnels below, this has been anything but the case for the work taking place up above. With the creation of the world's largest...

  15. Gender-based generalisations in school nurses' appraisals of and interventions addressing students' mental health.

    Science.gov (United States)

    Rosvall, Per-Åke; Nilsson, Stefan

    2016-08-30

    There has been an increase of reports describing mental health problems in adolescents, especially girls. School nurses play an important role in supporting young people with health problems. Few studies have considered how the nurses' gender norms may influence their discussions. To investigate this issue, semi-structured interviews focusing on school nurses' work with students who have mental health problems were conducted. Transcripts of interviews with Swedish school nurses (n = 15) from the Help overcoming pain early project (HOPE) were analysed using theories on gender as a theoretical framework and then organised into themes related to the school nurses' provision of contact and intervention. The interviewees were all women, aged between 42-63 years, who had worked as nurses for 13-45 years, and as school nurses for 2-28 years. Five worked in upper secondary schools (for students aged 16-19) and 10 in secondary schools (for students aged 12-16). The results show that school nurses more commonly associated mental health problems with girls. When the school nurses discussed students that were difficult to reach, boys in particular were mentioned. However, very few nurses mentioned specific intervention to address students' mental health problems, and all of the mentioned interventions were focused on girls. Some of the school nurses reported that it was more difficult to initiate a health dialogue with boys, yet none of the nurses had organized interventions for the boys. We conclude that generalisations can sometimes be analytically helpful, facilitating, for instance, the identification of problems in school nurses' work methods and interventions. However, the most important conclusion from our research, which applied a design that is not commonly used, is that more varied approaches, as well as a greater awareness of potential gender stereotype pitfalls, are necessary to meet the needs of diverse student groups.

  16. Virtual Nursing Intervention Adjunctive to Conventional Care: The Experience of Persons Living With HIV.

    Science.gov (United States)

    Côté, José; Rouleau, Geneviève; Ramirez-Garcia, Pilar; Bourbonnais, Anne

    2015-10-20

    Persons living with HIV (PLHIV) must adhere optimally to antiretroviral therapy (ART) on a daily basis and for their lifetime to maintain an undetectable viral load, allowing them to preserve their health. Taking advantage of the opportunity that information and communication technologies provide to broaden intervention modalities and intensify clinical follow-up, a virtual nursing intervention consisting of four interactive computer sessions was developed to empower PLHIV to manage their ART and symptoms optimally. Compared with other types of information and communication technologies-assisted interventions such as text messages, HIV Treatment, Virtual Nursing Assistance and Education (VIH-TAVIE) requires a certain degree of active engagement on the part of the user to develop and strengthen the self-management skills to optimize adherence. After the intervention's impact on ART adherence was measured quantitatively, a qualitative study was undertaken to describe how users experience the intervention. Understanding how PLHIV perceive being assisted asynchronously by a virtual nurse was of particular interest. The objective of the study was to explore and describe how PLHIV experience VIH-TAVIE, that is, receiving customized asynchronous accompaniment via a virtual nurse. A qualitative study was conducted with 26 PLHIV (20 men, 6 women) who received all four VIH-TAVIE sessions. Participants had been diagnosed with HIV 14 years earlier on average and had been on ART for a mean period of 10 years. The sessions lasted 20-30 minutes each and were received two weeks apart. They are hosted by a virtual nurse who engages the user in a self-management skills-learning process for the purpose of treatment adherence. Semistructured interviews were conducted lasting 30-40 minutes to get participants to share their experience of the intervention through personal stories and what they thought and felt during their participation. Data were analyzed using Miles and Huberman

  17. Last LEP superconducting module travels to surface

    CERN Multimedia

    Patrice Loïez

    2001-01-01

    The last superconducting module is raised from the Large Electron-Positron (LEP) collider tunnel, through the main shaft, to the surface. Superconducting modules were only used in the LEP-2 phase of the accelerator, from 1996 to 2000.

  18. Examining the Effects of a National League for Nursing Core Competencies Workshop as an Intervention to Improve Nurse Faculty Practice

    Science.gov (United States)

    VanBever Wilson, Robin R.

    2010-01-01

    Due to the complex challenges facing schools of nursing, a research study was implemented to introduce nurse faculty at one small rural northeastern Tennessee school of nursing to the NLN "Core Competencies for Nurse Educators". Utilizing Kalb's Nurse Faculty Self-Evaluation Tool as a pre- and post-intervention test, 30 nurse faculty…

  19. Around the laboratories: CERN: LEP in the Alps; Putting four LEP experiments together; Heavier ions

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    With CERN's 27-kilometre LEP electron-positron collider shut down for the winter, LEP specialists met in Chamonix in the French Alps from 19-25 January to review the machine's 1991 performance and to look at the ways of improving it. ; Since they started taking data in August 1989, the four big LEP experiments - Aleph, Delphi, L3 and Opal - have been providing precision information about the Z particle, the electrically neutral carrier of the weak nuclear force and at 91 GeV the heavisest elementary particle known.; Work by a major international collaboration is progressing well for a new heavy ion system, capable of providing experiments at CERN with a wide range of heavy ions, extending up to the heaviest elements in the Periodic Table. First beams should be available in 1994

  20. Preparing last LEP superconducting module for removal

    CERN Multimedia

    Patrice Loïez

    2000-01-01

    The last superconducting module travels along the LEP tunnel towards one of the shafts where it will be lifted to the surface. Superconducting modules were only used in the LEP-2 phase of the accelerator, from 1996 to 2000.

  1. Spiritual interventions and the impact of a faith community nursing program.

    Science.gov (United States)

    Shores, Cynthia Ingram

    2014-04-01

    Faith community nursing had its formal beginnings in the Midwestern United States in 1984 when six nurses received financial support from a local hospital to work in churches. Over time, the churches assumed increasing responsibility for the nurses' salaries. The success of this initiative was associated with the understanding that faith communities are dedicated to keeping people well. The number of programs increased over the past 30 years and now there are thousands of faith community nurses serving populations around the world. Research for this specialty practice has not experienced comparable growth, and is needed to further develop faith community nursing science. This study, based on the Roy Adaptation Model, used a qualitative design to identify spiritual nursing interventions that faith community nurses use in their practice, and to examine the spiritual impact of a faith community nursing program. Data were collected from faith community members, clergy representatives, and faith community nurses with a researcher-developed demographic tool and a six-item open-ended questionnaire that were both mailed to participants (N = 112; n = 52; response rate = 46%) and analyzed through content analysis. A variety of spiritual nursing interventions were identified. Themes related to the spiritual impact included the physical, mental, and spiritual health connection, caring, hope, spiritual support and benefits, and religious concepts.

  2. B physics at LEP

    International Nuclear Information System (INIS)

    Kowalewski, R.V.

    1993-01-01

    The experiments at LEP now dominate the world average b hadron lifetime, and have measured individual lifetimes for the pseudo-scalar B mesons and for b baryons with precisions of 15-20%. Measurements of the average mixing parameter [χ] at LEP suggest substantial B s mixing. Flavor oscillations have been observed directly for the B d , and searches for B s oscillations are underway. Some exclusive B decays have been reconstructed, and the mass of the B s has been measured. Most analyses are statistics limited, so further improvements can be expected as the data sample increases

  3. LEP Dismantling: Wagons Roll!

    CERN Multimedia

    2001-01-01

    The first trucks transporting material from LEP and its four experiments left CERN on 31 January. Since the LEP dismantling operation began, the material had been waiting to be removed from the sites of the four experiments and the special transit area on the Prévessin site. On the evening of 30 January, the French customs authorities gave the green light for the transport operation to begin. So first thing the next day, the two companies in charge of recycling the material, Jaeger & Bosshard (Switzerland) and Excoffier (France), set to work. Only 1500 truckloads to go before everything has been removed!

  4. LEP Electroweak and QCD Exhibition Lepton-Photon 2001

    CERN Multimedia

    2001-01-01

    The LEP collider an at centre-of-mass energies around the Z mass from 1989 to 1995 (LEP1).F om 1995 to 2000 (LEP2),the energy was gradually increased, crossing the W-pair production threshold in 1996,and eaching 208 GeV in 2000. Each of the four experiments,ALEPH,DELPHI,L3 and OPAL,observed around 4.5 million Z and 12 thousand W-pair events.

  5. W boson physics at LEP2

    International Nuclear Information System (INIS)

    Tonazzo, A.

    2000-01-01

    The precision study of W boson properties is one of the most important goals of the LEP2 physics programme. This paper provides an overview of the measurements performed by the four LEP experiments, with particular emphasis on the extraction of the W mass. A review of the results obtained with the data collected until 1999 is also presented

  6. Interventions that promote retention of experienced registered nurses in health care settings: a systematic review.

    Science.gov (United States)

    Lartey, Sarah; Cummings, Greta; Profetto-McGrath, Joanne

    2014-11-01

    The aim of this review was to report the effectiveness of strategies for retaining experienced Registered Nurses. Nursing researchers have noted that the projected nursing shortage, if not rectified, is expected to affect healthcare cost, job satisfaction and quality patient care. Retaining experienced nurses would help to mitigate the shortage, facilitate the transfer of knowledge and provision of quality care to patients. A systematic review of studies on interventions that promote the retention of experienced Registered Nurses in health care settings. Twelve studies were included in the final analysis. Most studies reported improved retention as a result of the intervention. Team work and individually targeted strategies including mentoring, leadership interest and in-depth orientation increased job satisfaction and produced higher retention results. Few published studies have examined interventions that promote the retention of experienced Registered Nurses in healthcare. Retention was highest when multiple interventions were used. Further research is needed to inform nurse leaders of ways to retain nurses and to maintain quality care in health care settings. Programmes targeting the retention of experienced nurses need to be considered when implementing measures to decrease the nursing shortage and its effects on quality care. © 2013 John Wiley & Sons Ltd.

  7. Electroweak physics at LEP2

    CERN Document Server

    Hemingway, Richard J

    2002-01-01

    On 2 November 2000 the LEP machine was finally closed after 12 years of glorious running. With the 4 operating detectors, ALEPH, DELPHI, L3, and OPAL, an enormous wealth of new data at the highest centre- of-mass energies has been recorded. These lectures will focus on aspects of electroweak physics within the energy span of LEP2, namely 130-209 GeV. All current data are in very good agreement with the electroweak standard model. (50 refs).

  8. The radiological impact of the LEP project on the environment

    International Nuclear Information System (INIS)

    Goebel, K.

    1981-01-01

    The siting of the large electron-positron (LEP) accelerator, its experimental areas, and its supporting infrastructure are discussed with respect to the radiological impact on the surrounding areas and on the population in the Pays de Gex and the Canton de Geneve. The final conclusions are based on work done by the former LEP Study Group and by the LEP Radiation Working Group. The calculations and estimates show that the stray ionizing radiation, the radioactivity, and the radiation-induced noxious chemical products released by the LEP installation will have only an insignificant impact on the area, the individual members of the public, and the population as a whole. This result for LEP 'phase 85' can also be extrapolated under reasonable assumptions for LEP 125 - a possible future development phase of the present project. (orig.)

  9. Premiers résultats en provenance du LEP2

    CERN Multimedia

    CERN Press Office. Geneva

    1996-01-01

    CERN's Large Electron-Positron collider, LEP, produced its first pair of fundamental particles known as W+ and W- today, taking particle physics research into new and unexplored territory. This follows a busy winter of upgrades which have transformed LEP into a new accelerator, earning it the name LEP2. Hundreds of physicists from all over the world come to CERN to do their research at LEP2, which will be further upgraded over the coming years, bringing the possibility of new discoveries and extending our understanding of the Universe.

  10. Interventions for improving the research literacy of nurses: a systematic review.

    Science.gov (United States)

    Hines, Sonia; Ramsbotham, Joanne; Coyer, Fiona

    2016-02-01

    Despite the importance of research literacy for nurses, many nurses report feeling unable to effectively read and understand research, which in turn results in lower research utilization in practice. Nurses themselves identify poor experiences with trying to understand and use research as factors that contribute to a reluctance to utilize research. This reluctance often leads nurses to seek other sources of information, such as colleagues, instead. The objective of this review was to identify the effectiveness of research literacy interventions on the research literacy of registered nurses. Registered nurses.Interventions of interest were those that evaluated the effectiveness of workplace educational programs or interventions conducted in a healthcare organization or tertiary-level educational facility aiming to improve or increase registered nurses' understanding of research literature.Outcomes of interest were research literacy, measured explicitly or as research knowledge, research understanding, use of research evidence in practice, and/or ability to critically appraise research.We considered experimental study designs such as randomized controlled trials, nonrandomized controlled trials, quasi-experimental, and before and after studies. A wide range of databases were searched in order to provide the most complete possible review of the evidence. Initial keywords used were: "research litera*", "research education", "research knowledge", "evidence-based practice education". Papers selected for retrieval were assessed by two independent reviewers for methodological validity prior to inclusion in the review using standardized critical appraisal instruments from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI). Data were extracted from papers included in the review using the standardized data extraction tool from JBI-MAStARI. Quantitative data would have been, if possible, pooled in statistical meta

  11. Burnout in Nurses Working With Youth With Chronic Pain: A Pilot Intervention.

    Science.gov (United States)

    Rodrigues, Nikita P; Cohen, Lindsey L; McQuarrie, Susanna Crowell; Reed-Knight, Bonney

    2018-05-01

    Nurse burnout is a significant issue, with repercussions for the nurse, patients, and health-care system. Our prior mixed-methods analyses helped inform a model of burnout in nurses working with youth with chronic pain. Our aims were to (a) detail the development of an intervention to decrease burnout; (b) evaluate the intervention's feasibility and acceptability; and (c) provide preliminary outcomes on the intervention. In total, 33 nurses working on a pediatric inpatient care unit that admits patients with chronic pain conditions participated in the single-session 90-min groups (eight to nine nurses per group). The intervention consisted of four modules including (1) helping patients view pain as multifaceted and shift attention to functioning; (2) teaching problem-solving and reflective listening skills; (3) highlighting positives about patients when venting with coworkers; and (4) improving nurses own self-care practices. Measures provided assessment of feasibility, acceptability, and effectiveness at baseline and 3 months postintervention in a single group, repeated measures design. Data support the feasibility and acceptability of the intervention. Pilot outcome results demonstrated improvements in the target behaviors of education on psychosocial influences, self-care, and venting to coworkers as well as self-compassion, general health, and burnout. There were no changes in pain beliefs or the target behaviors of focus on functioning, empathizing with patient, or highlighting positives. Our single-session tailored group treatment was feasible and acceptable, and pilot data suggest that it is beneficial, but a more comprehensive approach is encouraged to reduce burnout that might be related to multiple individual, unit, and system factors.

  12. Oral health educational interventions for nursing home staff and residents.

    Science.gov (United States)

    Albrecht, Martina; Kupfer, Ramona; Reissmann, Daniel R; Mühlhauser, Ingrid; Köpke, Sascha

    2016-09-30

    Associations between nursing home residents' oral health status and quality of life, respiratory tract infections, and nutritional status have been reported. Educational interventions for nurses or residents, or both, focusing on knowledge and skills related to oral health management may have the potential to improve residents' oral health. To assess the effects of oral health educational interventions for nursing home staff or residents, or both, to maintain or improve the oral health of nursing home residents. We searched the Cochrane Oral Health Trials Register (to 18 January 2016), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library, 2015, Issue 12), MEDLINE Ovid (1946 to 18 January 2016), Embase Ovid (1980 to 18 January 2016), CINAHL EBSCO (1937 to 18 January 2016), and Web of Science Conference Proceedings (1990 to 18 January 2016). We searched ClinicalTrials.gov and the World Health Organization International Clinical Trials Registry Platform for ongoing trials to 18 January 2016. In addition, we searched reference lists of identified articles and contacted experts in the field. We placed no restrictions on language or date of publication when searching the electronic databases. Randomised controlled trials (RCTs) and cluster-RCTs comparing oral health educational programmes for nursing staff or residents, or both with usual care or any other oral healthcare intervention. Two review authors independently screened articles retrieved from the searches for relevance, extracted data from included studies, assessed risk of bias for each included study, and evaluated the overall quality of the evidence. We retrieved data about the development and evaluation processes of complex interventions on the basis of the Criteria for Reporting the Development and Evaluation of Complex Interventions in healthcare: revised guideline (CReDECI 2). We contacted authors of relevant studies for additional information. We included nine RCTs involving

  13. Nursing care of patients receiving interventional therapy for hepatic artery stenosis after liver transplantation

    International Nuclear Information System (INIS)

    Wei Lin; Liu Shiguang

    2009-01-01

    Objective: To discuss the perioperative nursing care of patients who is going to receive interventional therapy for hepatic artery stenosis after liver transplantation and to provide useful reference for reducing surgery-related complication and for improving the prognosis of patients. Methods: Based on the patient's condition and operative requirement,we provided effective nursing care for 20 patients who were admitted to receive the interventional therapy for hepatic artery stenosis after liver transplantation. The nursing care included preoperative preparation,postoperative nursing and medical guidance at the time of discharge. Results: Interventional therapy was successfully performed in all 20 cases, and no hemorrhagic tendency or acute thrombosis occurred. Marked symptomatic improvement was obtained in all patients. Conclusion: The interventional therapy is an effective treatment for hepatic artery stenosis after liver transplantation. Intensive perioperative nursing care can well prevent the occurrence of surgery-related complications and can surely improve the therapeutic results. (authors)

  14. Diagram of a LEP superconducting cavity

    CERN Multimedia

    1991-01-01

    This diagram gives a schematic representation of the superconducting radio-frequency cavities at LEP. Liquid helium is used to cool the cavity to 4.5 degrees above absolute zero so that very high electric fields can be produced, increasing the operating energy of the accelerator. Superconducting cavities were used only in the LEP-2 phase of the accelerator, from 1996 to 2000.

  15. The LEP2 superconducting RF system

    CERN Document Server

    Butterworth, A; Brunner, O; Ciapala, Edmond; Frischholz, Hans; Geschonke, Günther; Peschardt, E; Sladen, J

    2008-01-01

    The upgrade of LEP2 energy to beyond the W boson production threshold required the progressive installation of a completely new radio-frequency (RF) accelerating system. The new system used superconducting (SC) cavities, which complemented and partially replaced the original LEP1 RF system based on conventional copper cavity technology. The final system consisted of 56 copper and 288 SC cavities and provided a peak acceleration of more than 3600 MV/turn. This paper describes the main elements of the SC system and reviews the 5 years of LEP2 operation at gradients well beyond the design specification. Also presented are some of the main performance limitations and problems encountered together with the various solutions and procedures found to eliminate them or reduce their effects.

  16. Implementation of brief alcohol interventions by nurses in primary care: do non-clinical factors influence practice?

    Science.gov (United States)

    Lock, Catherine A; Kaner, Eileen F S

    2004-06-01

    In the UK, GPs and practice nurses selectively provide brief alcohol interventions to risk drinkers. GPs' provision of a brief alcohol intervention can be predicted by patient characteristics, practitioner characteristics and structural factors such as the features of the practice and how it is organized. However, much less is known about possible modifiers of nurse practice. Our aim was to investigate if patient characteristics, nurse characteristics and practice factors influence provision of a brief alcohol intervention by practice nurses in primary health care. One hundred and twenty-eight practice nurses who had implemented a brief alcohol intervention programme in a previous trial based in the North of England were requested to screen adults presenting to their surgery and follow a structured protocol to give a brief intervention (5 min of advice plus an information booklet) to all 'risk' drinkers. Anonymized carbon copies of 5541 completed Alcohol Use Disorders Identification Test (AUDIT) screening questionnaires were collected after a 3-month implementation period and analysed by logistic regression analysis. Although AUDIT identified 1500 'risk' drinkers, only 926 (62%) received a brief intervention. Logistic regression modelling showed that patients' risk status as measured by AUDIT score was the most influential predictor of a brief intervention by practice nurses. However, risk drinkers who were most likely to receive a brief intervention were male. Patients' age or social class did not independently predict a brief intervention. The multilevel model was unable to identify any independent nurse characteristics that could predict a brief intervention, but indicated significant variation between nurses in their tendency to offer the intervention to patients. No structural factors were found to be positively associated with selective provision. Patient and nurse factors contributed to the selective provision of a brief intervention in primary care. If

  17. A meta-analysis of educational interventions designed to enhance cultural competence in professional nurses and nursing students.

    Science.gov (United States)

    Gallagher, Ruth W; Polanin, Joshua R

    2015-02-01

    Increasing professional nurses' and nursing students cultural competence has been identified as one way to decrease the disparity of care for vulnerable and minority groups, but effectiveness of training programs to increase competence remains equivocal. The purpose of this project is to synthesize educational interventions designed to increase cultural competence in professional nurses and nursing students. A systematic review and meta-analysis was conducted to synthesize all existing studies on increasing cultural competence. A comprehensive search and screen procedures was conducted to locate all cultural competence interventions implemented with professional nurses and nursing students. Two independent researchers screened and coded the included studies. Effect sizes were calculated for each study and a random-effects meta-analysis was conducted. A total of 25 studies were included in the review. Two independent syntheses were conducted given the disparate nature of the effect size metrics. For the synthesis of treatment-control designed studies, the results revealed a non-statistically significant increase in cultural competence (g¯=.38, 95% CI: -.05, .79, p=.08). Moderator analyses indicated significant variation as a function of the measurements, participant types, and funding source. The pretest-posttest effect size synthesis revealed a significant increase in overall cultural competence (g¯=.45, 95% CI: .24, .66, pcompetence have shown varied effectiveness. Greater research is required to improve these interventions and promote cultural competence. Copyright © 2014 Elsevier Ltd. All rights reserved.

  18. 4-jet events at LEP

    CERN Document Server

    Bizouard, M A

    1997-01-01

    Results of a special study made by the four LEP experiments on 4-jet events recorded at Vs = 130 - 136 , 161 and 172 GeV are related. This study concerns the ALEPH analysis which has shown an excess of 4-jet events in data recorded at Vs = 130 - 136 GeV. No significant evidence has been found by the 3 other experiments. Results have been combined after several checks which did not show differences of performance between the four LEP experiments.

  19. The application of nursing process method in training nurses working in the department of interventional radiology

    International Nuclear Information System (INIS)

    Ni Daihui; Wang Hongjuan; Yang Yajuan; Ye Rui; Qu Juan; Li Xinying; Xu Ying

    2010-01-01

    Objective: To describe the training procedure,typical training method and the clinical effect of nursing process method which was used to cultivate nurses working in the interventional ward. Methods: According to the evaluation index, the authors made a detail assessment of each nurse and found out individually the problems which needed to be perfected, then, the practicable measures were made for each individual nurse, after the training course the clinical results were evaluated. Results: After the nurses on different technical levels were cultivated with nursing process method, the comprehensive quality of each nurse was improved in different degree, and the general nursing quality of entire Department was also markedly improved. Conclusion: By using the nursing process method the cultivating period can be effectively shortened, the possible waste of time, manpower, material and energy cause by the blind training plan can be avoided. (authors)

  20. Virtual Nursing Intervention Adjunctive to Conventional Care: The Experience of Persons Living With HIV

    Science.gov (United States)

    Rouleau, Geneviève; Ramirez-Garcia, Pilar; Bourbonnais, Anne

    2015-01-01

    Background Persons living with HIV (PLHIV) must adhere optimally to antiretroviral therapy (ART) on a daily basis and for their lifetime to maintain an undetectable viral load, allowing them to preserve their health. Taking advantage of the opportunity that information and communication technologies provide to broaden intervention modalities and intensify clinical follow-up, a virtual nursing intervention consisting of four interactive computer sessions was developed to empower PLHIV to manage their ART and symptoms optimally. Compared with other types of information and communication technologies-assisted interventions such as text messages, HIV Treatment, Virtual Nursing Assistance and Education (VIH-TAVIE) requires a certain degree of active engagement on the part of the user to develop and strengthen the self-management skills to optimize adherence. After the intervention’s impact on ART adherence was measured quantitatively, a qualitative study was undertaken to describe how users experience the intervention. Understanding how PLHIV perceive being assisted asynchronously by a virtual nurse was of particular interest. Objective The objective of the study was to explore and describe how PLHIV experience VIH-TAVIE, that is, receiving customized asynchronous accompaniment via a virtual nurse. Methods A qualitative study was conducted with 26 PLHIV (20 men, 6 women) who received all four VIH-TAVIE sessions. Participants had been diagnosed with HIV 14 years earlier on average and had been on ART for a mean period of 10 years. The sessions lasted 20-30 minutes each and were received two weeks apart. They are hosted by a virtual nurse who engages the user in a self-management skills-learning process for the purpose of treatment adherence. Semistructured interviews were conducted lasting 30-40 minutes to get participants to share their experience of the intervention through personal stories and what they thought and felt during their participation. Data were analyzed

  1. CERN: A hinge between LEP and the LHC

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    Later this year, if all goes well, the beam energy of CERN's LEP electron-positron collider should be increased to around 70 GeV per beam (collision energy 140 GeV), giving a foretaste of things to come. Since 1989, the 27-kilometre ring has been operating around 45 GeV per beam to feed its four physics experiments with a steady diet of Z particles, the electrically neutral carriers of the weak nuclear force. This has given precision results on vital parameters of the Standard Model. Meanwhile work has been steadily pushing ahead to upgrade LEP to LEP2, installing superconducting radiofrequency cavities (January 1994, page 6) and ancillary cryogenics equipment to boost the machine's energy and reach new areas of physics interest. The initial goal is to produce pairs of W particles, the electrically charged counterparts of the Z. As far as the machine is concerned, at these higher energies, the 'beambeam' interaction between the contra-rotating electrons and positrons is reduced, so more particles can be pumped into the ring. To achieve this, LEP has switched to the new 'bunch train' scheme (see page 14) each train containing several 'carriages' (bunches) of particles. To attain its physics objectives, LEP2's target is 500 inverse picobarns of integrated luminosity over the next few years. This is a challenge as LEP's integrated luminosity to date (since the machine was commissioned in 1989) is some 160 inverse picobarns, itself viewed as no mean achievement. To reach higher energies, the accelerating power at LEP is being increased with installation of superconducting radiofrequency cavities. After initial trials with solid niobium, LEP2 relies on the more reliable performance provided by copper, with its better heat conduction properties, coated with a superconducting film of niobium. Even so heroic preprocessing is required to ensure optimal performance. After initial trials revealed welding weaknesses, the

  2. Self-care management strategies among individuals living with type 2 diabetes mellitus: nursing interventions

    OpenAIRE

    Hunt CW

    2013-01-01

    Caralise W HuntAuburn University School of Nursing, Auburn, AL, USAAbstract: Nurses provide care for individuals living with diabetes in a variety of areas. Nursing interventions assist individuals living with diabetes to manage diabetes and can positively affect outcomes. This article describes an integrated literature review conducted to evaluate and summarize nursing interventions and research in self-management of type 2 diabetes mellitus. PubMed, PsycINFO, CINAHL, and the Cochrane databa...

  3. Comprehensive nursing intervention to improve the ability of self-care behaviors of chronic hepatitis B

    Directory of Open Access Journals (Sweden)

    Sha YANG

    2013-12-01

    Full Text Available Objectives: To explore suitable long-term antiviral therapy and comprehensive nursing intervention to patients with chronic hepatitis B system. Methods: To treat 136 cases of chronic hepatitis B patients with comprehensive nursing intervention and to investigate their regular medication situation, bad habits, self-observation and illness review visits before the intervention and after one month, three months and six months. Results: Regular medication situation, bad habits, self-observation and illness review visits of the patients who were treated with comprehensive nursing intervention have improved, and differences were statistically significant (P <0.05.Conclusion: Comprehensive nursing intervention can improve compliance, rehabilitation, knowledge level and life quality of the hepatitis B patients who suffered from long-term medication treatment.

  4. τ physics at LEP

    International Nuclear Information System (INIS)

    Dam, M.

    1992-05-01

    Untill the end of the 1991 data taking period, the four LEP experiments have collected about 80000 τ + τ - pairs. Many precise measurements of the production and decay properties of the τ lepton at the Z o resonance have been performed. Accurate measurements of the τ lifetime along with measurements of inclusive and exclusive branching ratios provide interesting consistency tests in τ decays. Measurements from LEP confirm nonzero values of the average polarization of the τ, starting to yield precise measurements of the weak mixing parameter sin 2 θ w . A test of CP invariance in τ + τ - production has been performed. 23 refs., 6 tabs

  5. The nursing care of nausea and vomiting occurred in interventional treatment for acute myocardial infarction

    International Nuclear Information System (INIS)

    Meng Qing'na; Li Guoqing; Bai Xiaodong

    2011-01-01

    Objective: To investigate the effective nursing measures of nausea and vomiting occurred in percutaneous coronary intervention for acute myocardial infarction. Methods: During the period from Jan. 2010 to Feb. 2011, percutaneous coronary intervention was carried out in 109 patients with acute myocardial infarction. Among the 109 patients, 21 developed nausea, 83 developed vomiting one to three times and 5 developed projectile vomiting for 4-5 times. For these patients the nursing assessment was conducted, while proper psychological care, symptomatic nursing, psychosomatic relaxation, guidance for vomiting posture, vomiting nursing, balanced replenishment of fluid, etc. were carried out in order to ensure the accomplishment of percutaneous coronary intervention. Results: After the employment of nursing measures, no recurrence of vomiting was seen in 21 patients, the percutaneous coronary intervention was uninterruptedly completed in 83 patients, and in five patients with severe vomiting the procedure was eventually accomplished. Conclusion: The effective nursing care of nausea and vomiting plays an important auxiliary role in performing percutaneous coronary intervention for acute myocardial infarction. (authors)

  6. Nursing staff-led behavioural group intervention in psychiatric in-patient care: Patient and staff experiences.

    Science.gov (United States)

    Salberg, Johanna; Folke, Fredrik; Ekselius, Lisa; Öster, Caisa

    2018-02-15

    A promising intervention in mental health in-patient care is behavioural activation (BA). Interventions based on BA can be used by mental health nurses and other staff members. The aim of this study was to evaluate patients' and staff members' experiences of a nursing staff-led behavioural group intervention in mental health in-patient care. The intervention was implemented at three adult acute general mental health in-patient wards in a public hospital setting in Sweden. A self-administrated questionnaire, completed by 84 patients and 34 nurses and nurse assistants, was administered, and nonparametric data analysed using descriptive statistics. Our findings revealed that both patients and nursing staff ranked nursing care and care environment as important aspects in the recovery process. Patients and staff members reported overall positive experiences of the group sessions. Patients with higher frequencies of attendance and patients satisfied with overall care had a more positive attitude towards the intervention. A more positive experience of being a group leader was reported by staff members who had been leading groups more than ten times. The most common impeding factor during implementation, reported by staff members, was a negative attitude to change. Conducive factors were having support from a psychologist and the perception that patients were showing interest. These positive experiences reported by patients and nursing staff, combined with previous research in this field, are taking us one step further in evaluating group sessions based on BA as a meaningful nursing intervention in mental health in-patient care. © 2018 Australian College of Mental Health Nurses Inc.

  7. LEP Magnets Get a Second Lease of Life

    CERN Multimedia

    2001-01-01

    Removed one minute, recycled the next! Around 900 yokes from the LEP dipole magnets have been re-used as building material. 906 yokes from the LEP dipole magnets have been incorporated in the foundations of the new Building 954, where they have been used to create the underfloor space and reinforcements. The recycling of LEP is already under way. Over half of CERN's accelerator has been dismantled so far, and parts of its magnets are already beginning a new life: since 16 May, some of the LEP dipole magnet yokes have been re-used as building material. The dipole yokes, the only ones of their kind, are made up of steel plates and layers of concrete sandwiched together, thus forming blocks of reinforced concrete. It would be a painstaking task to separate the basic materials for re-use, which led to the idea of using the yokes intact as reinforcements. 906 LEP yokes have gone into the foundations of the brand-new Building 954 on the Prévessin site. They have been used to build the underfloor space ...

  8. An observation study of radiation exposure to nurses during interventional radiology procedure

    International Nuclear Information System (INIS)

    Komemushi, Atsushi; Tanigawa, Noboru; Aoki, Atsuko

    2010-01-01

    The purpose of this study was to prospectively measure the level of radiation exposure among nursing staff during interventional radiology procedures. All interventional radiology procedures performed at our institution between April 20 and June 19, 2009 were included in this study. Radiation exposure was measured as the equivalent dose penetrating tissue to a depth of 10 mm using electronic personal dosimeters attached outside (Ha) and inside (Hb) lead aprons. Effective dose (HE) was estimated by calculating from Ha and Hb. In total, data from 68 procedures were included in this study. Four nurses performed 71 nursing cares. The mean Ha was 0.70±1.0 μSv, while the mean Hb was 0.06±0.2 μSv. The mean HE was 0.14±0.3 μSv. The present findings indicate that during interventional radiology procedures, nurses were exposed to very low levels of radiation. (author)

  9. Nursing Assessment and Intervention to Geriatric Patients Discharged From Emergency Department

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Poulsen, Ingrid; Hendriksen, Carsten

    % of geriatric patients have complex and often unresolved caring needs. Objective: To examine the effect of a two-stage nursing assessment and intervention to address the patients uncompensated problems given just after discharge from ED and one and six months after. Method: We conducted a prospective...... nursing assessment comprising a checklist of 10 physical, mental, medical and social items. The focus was on unresolved problems which require medical intervention, new or different home care services, or comprehensive geriatric assessment. Following this the nurses made relevant referrals...... to the geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Findings: Primary endpoints will be presented as unplanned readmission to ED; admission to nursing home; and death. Secondary endpoints will be presented as physical function; depressive symptoms...

  10. Heavy flavour decays at LEP

    CERN Document Server

    Rousseau, D H

    2001-01-01

    Recent heavy flavour results from LEP experiments are presented. Special emphasis is put on complex inclusive B reconstruction methods with high potentialities for lifetime, mixing, CP violation studies and new measurements of IVubl· The new world average of r8-f'r8o is 1.08 ± 0.03. The new world average of Re parameter measured in inclusive B0 decay is 0.001 ± 0.009. The new LEP average of JV ub I measured from inclusive b->ulv branching fraction is 4.

  11. The Experience of Intense Pain: Nursing Management and Interventions.

    Science.gov (United States)

    Kiser-Larson, Norma

    Personal stories of illness give depth to otherwise clinical descriptions of diagnoses. This article offers an autobiographical narrative of complications after total knee replacement surgery. Diagnosis and nursing management of acute compartment syndrome, nociceptive and neuropathic origins of pain, pharmacologic and nursing interventions for pain, the use of prayer in illness, and compassionate caring from a Christian perspective are discussed.

  12. Selected topics on B physics at Lep

    International Nuclear Information System (INIS)

    Roudeau, P.

    1989-05-01

    I will consider mainly those aspects of B physics which are peculiarly relevant at LEP. I will envisage two scenarios for LEP operation: the standard one with the nominal luminosity and also a high luminosity run during which more than 10 8 hadronic Z 0 decays can be registered

  13. High precision measurements of the luminosity at LEP

    International Nuclear Information System (INIS)

    Pietrzyk, B.

    1994-01-01

    The art of the luminosity measurements at LEP is presented. First generation LEP detectors have measured the absolute luminosity with the precision of 0.3-0.5%. The most precise present detectors have reached the 0.07% precision and the 0.05% is not excluded in future. Center-of-mass energy dependent relative precision of the luminosity detectors and the use of the theoretical cross-section in the LEP experiments are also discussed. (author). 18 refs., 6 figs., 6 tabs

  14. Occupational Stress Management and Burnout Interventions in Nursing and Their Implications for Healthy Work Environments: A Literature Review.

    Science.gov (United States)

    Nowrouzi, Behdin; Lightfoot, Nancy; Larivière, Michael; Carter, Lorraine; Rukholm, Ellen; Schinke, Robert; Belanger-Gardner, Diane

    2015-07-01

    This article reports on a literature review of workplace interventions (i.e., creating healthy work environments and improving nurses' quality of work life [QWL]) aimed at managing occupational stress and burnout for nurses. A literature search was conducted using the keywords nursing, nurses, stress, distress, stress management, burnout, and intervention. All the intervention studies included in this review reported on workplace intervention strategies, mainly individual stress management and burnout interventions. Recommendations are provided to improve nurses' QWL in health care organizations through workplace health promotion programs so that nurses can be recruited and retained in rural and northern regions of Ontario. These regions have unique human resources needs due to the shortage of nurses working in primary care. © 2015 The Author(s).

  15. Interventional therapy for priapism caused by arteriovenous fistula of penis: the nursing experience in two patients

    International Nuclear Information System (INIS)

    Peng Jinxia; Liu Ping; Jia Hongtao

    2010-01-01

    Objective: To discuss the perioperative nursing measures for interventional treatment of priapism caused by arteriovenous fistula of penis in order to reduce the operation-related complications and to promote rehabilitation. Methods: A series of nursing steps were carried out in 2 patients who suffered from priapism caused by arteriovenous fistula of penis and received interventional therapy. The nursing measures included preoperative psychological nursing,routine preoperative examinations, promotion of friendly relations between nurse and patient, preparation for the operation method, the preparation of skin, postoperative nursing of patient's position, observation of penis erection and vital signs, postoperative psychological nursing, and the health guidance at the time of discharge. Results: After the interventional therapy two patients were successfully cured at the time of discharge. No complications related to the operation occurred. Three months after the operation the erect function of the penis remained normal. Conclusion: The interventional therapy is a safe and reliable technique for priapism caused by arteriovenous fistula of penis. The proper and effective perioperative and postoperative nursing measures can surely improve the successful rate of interventional treatment as well as prevent the occurrence of complications. (authors)

  16. [A workplace intervention aimed at increasing awareness in nursing personnel performing manual handling activities].

    Science.gov (United States)

    Scorpiniti, A; Lorusso, A; L'Abbate, N

    2007-01-01

    Here we describe a workplace intervention aimed at reducing the risk of low back pain in nursing personnel. The intervention we carried out included a specific ergonomic training and an exercise program according to the Feldenkrais Method. After the intervention, we evaluated its effect on the execution of manual handling activities in nurses. We found an increased rate of correct manual handling in the post-intervention period.

  17. Drift chamber vertex detectors for SLC/LEP

    Energy Technology Data Exchange (ETDEWEB)

    Hayes, K G

    1988-03-01

    Factors influencing the design of drift chamber vertex detectors for SLC and LEP are discussed including global strategy, chamber gas, cell design, and signal processing. The designs of the vertex chambers for the L3 and OPAL experiments at LEP and the Mark II experiment at the SLC are described.

  18. Mapping VIPS Concepts for Nursing Interventions to the ISO Reference Terminology Model for Nursing Actions: A Collaborative Scandinavian Analysis

    DEFF Research Database (Denmark)

    Lauge Berring, Lene; Ehnfors, Margareta; Angermo, Lilly

    2005-01-01

    The aims of this study were to analyze the coherence between the concepts for nursing interventions in the Swedish VIPS model for nursing recording and the ISO Reference Terminology Model for Nursing Actions and to identify areas in the two models for further development. Seven Scandinavian experts...

  19. Detectors for LEP: methods and techniques

    International Nuclear Information System (INIS)

    Fabjan, C.

    1979-01-01

    This note surveys detection methods and techniques of relevance for the LEP physics programme. The basic principles of the detector physics are sketched, as recent improvement in understanding points towards improvements and also limitations in performance. Development and present status of large detector systems is presented and permits some conservative extrapolations. State-of-the-art techniques and technologies are presented and their potential use in the LEP physics programme assessed. (Auth.)

  20. Pain management intervention targeting nursing staff and general practitioners: Pain intensity, consequences and clinical relevance for nursing home residents.

    Science.gov (United States)

    Dräger, Dagmar; Budnick, Andrea; Kuhnert, Ronny; Kalinowski, Sonja; Könner, Franziska; Kreutz, Reinhold

    2017-10-01

    Although chronic pain is common in older adults, its treatment is frequently inappropriate. This problem is particularly prevalent in nursing home residents. We therefore developed an intervention to optimize pain management and evaluated its effects on pain intensity and pain interference with function in nursing home residents in Germany. In a cluster-randomized controlled intervention, 195 residents of 12 Berlin nursing homes who were affected by pain were surveyed at three points of measurement. A modified German version of the Brief Pain Inventory was used to assess pain sites, pain intensity and pain interference with function in various domains of life. The intervention consisted of separate training measures for nursing staff and treating physicians. The primary objective of reducing the mean pain intensity by 2 points was not achieved, partly because the mean pain intensity at baseline was relatively low. However, marginal reductions in pain were observed in the longitudinal assessment at 6-month follow up. The intervention and control groups differed significantly in the intensity sum score and in the domain of walking. Furthermore, the proportion of respondents with pain scores >0 on three pain intensity items decreased significantly. Given the multifocal nature of the pain experienced by nursing home residents, improving the pain situation of this vulnerable group is a major challenge. To achieve meaningful effects not only in pain intensity, but especially in pain interference with function, training measures for nursing staff and physicians need to be intensified, and long-term implementation appears necessary. Geriatr Gerontol Int 2017; 17: 1534-1543. © 2016 Japan Geriatrics Society.

  1. PATIENT WITH DAMAGED ESPONTANEOUS VENTILATION: AN INTEGRATING REVIEW IN NURSING INTERVENTIONS ON USAGE OF ARTIFICIAL BREATHING

    Directory of Open Access Journals (Sweden)

    Luiz Augusto de Oliveira Antonucci

    2013-10-01

    Full Text Available This study aimed to analyze the nursing interventions given to patients with a diagnosis of spontaneous ventilation in impaired use of artificial respiration. It is an integrative literature review, the databases SciELO, LILACS, BIREME and MEDLINE. We used the key words: Nursing Care; Respiration, Artificial; Intensive Care; Nursing Diagnosis. The sample consisted of 11 items. Of these, ten were equivalent to the care of nursing interventions and suggested priority and/or optional. This study demonstrated that, despite the importance of interventions applied to patients on mechanical ventilation, many are not present in the literature, since this type of patient requires intensive nursing care, extensive and complex. Therefore, we need to encourage nurses to seek evidence to substantiate their clinical practice, providing support for implementation of appropriate interventions, providing the qualification of care.

  2. What Barriers and Facilitators Do School Nurses Experience When Implementing an Obesity Intervention?

    Science.gov (United States)

    Schroeder, Krista; Smaldone, Arlene

    2017-01-01

    A recent evaluation of a school nurse-led obesity intervention demonstrated a 5% implementation rate. The purpose of this study was to explore school nurses' perceived barriers to and facilitators of the intervention in order to understand reasons for the low implementation rate. Methods included semi-structured individual interviews with school…

  3. Communication that builds teams: assessing a nursing conflict intervention.

    Science.gov (United States)

    Nicotera, Anne Maydan; Mahon, Margaret M; Wright, Kevin B

    2014-01-01

    Quality communication is essential for building strong nursing teams. Structurational divergence (SD) theory explains how institutional factors can result in poor communication and conflict cycles; the theory has been developed in nursing context, although it is applicable to all organizational settings. We describe the design, implementation, and evaluation of an intervention to reduce SD and improve nurses' work life and team-member relationships. An intensive 9-hour course provided training in conflict/SD analysis and dialogic conflict/SD management to 36 working nurses from a variety of settings. Quantitative pre- and posttests were administered, with a comparison sample. The course reduced measures of negative conflict attitudes and behaviors: direct personalization, persecution feelings, negative relational effects, ambiguity intolerance, and triangulation (gossiping and complaining to uninvolved third parties). The course also increased important attitudes necessary for productive dialogue and conflict management: perceptions of positive relational effects, conflict liking, and positive beliefs about arguing. As compared with nonparticipants, participant posttests showed lower conflict persecution; higher recognition of positive relational effects; lower perceptions of negative relational effects; higher conflict liking; lower ambiguity intolerance; and lower tendency to triangulate. Qualitatively, participants perceived better understanding of, and felt more empowered to manage, workplace conflicts and to sustain healthier workplace relationships. This intervention can help nurses develop tools to improve system-level function and build productive team relationships.

  4. Nurses' Time Use in Forensic Psychiatry: Core Interventions Outlined in the Finnish Clinical Practice Guideline on Schizophrenia.

    Science.gov (United States)

    Tenkanen, Helena; Taskinen, Helena; Kontio, Raija; Repo-Tiihonen, Eila; Tiihonen, Jari; Kinnunen, Juha

    2016-01-01

    Forensic psychiatric nurses are key in implementing the core interventions outlined in the clinical practice guideline on schizophrenia. This study endeavors to ascertain how these were implemented in routine practice in forensic psychiatry by measuring how nurses use their time. Data were collected from registered nurses and practical mental nurses in all forensic psychiatric facilities in Finland using self-report diary forms for 1 week. In total, nurses used 20% of their weekly working hours on core interventions. The differences between the nurse groups were statistically significant (p ≤ 0.05) regarding the following core interventions: (a) care planning with physicians, (b) pharmacotherapy, and (c) basic clinical care. Nurses' qualifications, types of facilities and units, working experience, gender, and staffing levels explained the time used on core interventions. In summary, forensic psychiatric inpatients received insufficient appropriate nursing services according to the relevant guideline regarding schizophrenia. Furthermore, managerial recommendations need to restructure nurses' time use to increase the proportion of productive working hours spent with patients.

  5. Pouring concrete to form a model LEP dipole yoke

    CERN Multimedia

    1979-01-01

    The magnetic field needed in the LEP dipole magnets was rather low, of a fraction of tesla. This lead to the conception of a novel yoke structure consisting of stacks of 1.5 mm thick low-carbon steel laminations spaced by 4.1 mm with the spaces filled with concrete. For details see LEP-Note 118,1978 and LEP-Note 233,1980. See also 8111529, 8111710X, 7901023X,7908294

  6. A comparative study of a happiness intervention in medical-surgical nurses.

    Science.gov (United States)

    Appel, Linda; Labhart, Lana; Balczo, Pam; McCleary, Nancy; Raley, Mary; Winsett, Rebecca P

    2013-01-01

    An intervention study evaluating the impact of journaling on nurse happiness was conducted with 91 medical-surgical nurses. No differences in general happiness, percentage of time happy, and gratitude were detected among groups although journaling was qualitatively described as meaningful.

  7. The feasibility and acceptability of nurse-led chronic disease management interventions in primary care: An integrative review.

    Science.gov (United States)

    Stephen, Catherine; McInnes, Susan; Halcomb, Elizabeth

    2018-02-01

    To explore the feasibility and acceptability of nurse-led chronic disease management and lifestyle risk factor reduction interventions in primary care (general practice/family practice). Growing international evidence suggests that interventions delivered by primary care nurses can assist in modifying lifestyle risk factors and managing chronic disease. To date, there has been limited exploration of the feasibility and acceptability of such interventions. Integrative review guided by the work of Whittemore and Knafl (). Database search of CINAHL, Medline and Web of Science was conducted to identify relevant literature published between 2000-2015. Papers were assessed for methodological quality and data abstracted before thematic analysis was undertaken. Eleven papers met the inclusion criteria. Analysis uncovered four themes: (1) facilitators of interventions; (2) barriers to interventions; (3) consumer satisfaction; and (4) primary care nurse role. Literature supports the feasibility and acceptability of nurse-led interventions in primary care for lifestyle risk factor modification. The ongoing sustainability of these interventions rests largely on organizational factors such as funding, educational pathways and professional support of the primary care nursing role. Further robust research around primary care nurse interventions is required to strengthen the evidence base. © 2017 John Wiley & Sons Ltd.

  8. Quality of Electronic Nursing Records: The Impact of Educational Interventions During a Hospital Accreditation Process.

    Science.gov (United States)

    Nomura, Aline Tsuma Gaedke; Pruinelli, Lisiane; da Silva, Marcos Barragan; Lucena, Amália de Fátima; Almeida, Miriam de Abreu

    2018-03-01

    Hospital accreditation is a strategy for the pursuit of quality of care and safety for patients and professionals. Targeted educational interventions could help support this process. This study aimed to evaluate the quality of electronic nursing records during the hospital accreditation process. A retrospective study comparing 112 nursing records during the hospital accreditation process was conducted. Educational interventions were implemented, and records were evaluated preintervention and postintervention. Mann-Whitney and χ tests were used for data analysis. Results showed that there was a significant improvement in the nursing documentation quality postintervention. When comparing records preintervention and postintervention, results showed a statistically significant difference (P educational interventions performed by nurses led to a positive change that improved nursing documentation and, consequently, better care practices.

  9. What interventions can improve the mental health nursing practice environment?

    Science.gov (United States)

    Redknap, Robina; Twigg, Di; Towell, Amanda

    2016-02-01

    The nursing practice environment is an important factor for services to consider in the attraction and retention of a skilled workforce during future nursing shortages. Despite the significant number of international studies undertaken to understand the influence of the practice environment on nurse satisfaction and retention, few have been undertaken within the mental health setting. This paper reports on results from a survey conducted in a large Australian public mental health hospital to examine nurses' perceptions of their practice environment, and identifies interventions that could be implemented to improve the practice environment. The hospital is the only remaining, standalone public mental health hospital in Western Australia. © 2016 Australian College of Mental Health Nurses Inc.

  10. [Nursing intervention and evaluation of postoperative pain in preschool children with cleft lip and palate].

    Science.gov (United States)

    Gong, Caixia; Yan, Miao; Jiang, Fei; Chen, Zehua; Long, Yuan; Chen, Lixian; Zheng, Qian; Shi, Bing

    2014-06-01

    This study aimed to observe the postoperative pain rate and degree of pain in preschool children with cleft lip and palate, and investigate the effect of nursing intervention on pain relief. A total of 120 hospitalized cases of three- to seven-year-old preschool children with cleft lip and palate were selected from May to October 2011. The subjects were randomly divided into the control group and experimental groups 1, 2, and 3. The control group used conventional nursing methods, experimental group 1 used analgesic drug treatment, experimental group 2 used psychological nursing interventions, and experimental group 3 used both psychological nursing intervention and analgesic drug treatment. After 6, 12, 24, and 48 h, pain self-assessment, pain parent-assessment, and pain nurse-assessment were calculated for the four groups using the pain assessment forms, and their ratings were compared. The postoperative pain rates of the four groups ranged from 50.0% to 73.3%. The difference among the four groups was statistically significant (P palate is common. Psychological nursing intervention with analgesic treatment is effective in relieving postoperative pain.

  11. Doll therapy: an intervention for nursing home residents with dementia.

    Science.gov (United States)

    Shin, Juh Hyun

    2015-01-01

    The use of dolls as a therapeutic intervention for nursing home residents with dementia is relatively new. The current article describes a research study implemented with nursing home residents in Korea to examine the effects of doll therapy on their mood, behavior, and social interactions. A one-group, pretest-posttest design was used to measure the impact of doll therapy on 51 residents with dementia. Linear regression demonstrated statistically significant differences in aggression, obsessive behaviors, wandering, negative verbalization, negative mood, and negative physical appearance after introduction of the doll therapy intervention. Interactions with other individuals also increased over time. Findings support the benefits of doll therapy for nursing home residents with dementia; however, further research is needed to provide more empirical evidence and explore ethical considerations in the use of doll therapy in this vulnerable population. Copyright 2015, SLACK Incorporated.

  12. Treatment of radiodermatitis in cancer patients: support for nursing intervention

    International Nuclear Information System (INIS)

    Blecha, Flavio Peixoto; Guedes, Maria Teresa dos Santos

    2006-01-01

    Radiation therapy is a locoregional treatment modality aimed at cure, remission, prophylaxis, or palliation and is indicated singly or in association (neoadjuvant, concomitant, or adjuvant) with treatments like chemotherapy and surgery. One of the complications arising from ionizing radiation involves skin lesions referred to as radiodermatitis, which can involve acute or late reactions. Radiodermatitis affects the individual's quality of life, with altered body image, self-image, and self-esteem, leading to social isolation. The nurse's role is important in prevention and especially in intervention in such reactions. The objective of the current study was to review the state of the art, identify the products and dressings used, and contribute to evidence-based nursing interventions based on treatment of radiodermatitis. A systematic literature review was performed without meta-analysis using the Lilacs, Medline, PubMed, and CINAHL databases from 1993 to 2004. The results identified in the review failed to demonstrate the frequent use of a product that could be recommended for nursing practice. The majority of the products identified are not available in Brazil. The principal publications were in nursing journals in which the nurse was the research coordinator or consultant. The current study revealed a knowledge gap and the need for controlled clinical research led by nurses as the basis for treatment of radiodermatitis. (author)

  13. The application of comprehensive nursing measures in interventional therapy for deep vein thrombosis of lower extremities

    International Nuclear Information System (INIS)

    Huang Linfen; Guo Yanxue; Nan Yi; Pan Xiaohui

    2009-01-01

    Objective: To discuss the effective nursing measures in interventional therapy for deep vein thrombosis (DVT) of lower extremities in order to improve the successful rate of the procedure and to decrease the occurrence of complications. Methods: Comprehensive nursing measures, including general nursing care, specific nursing care and emergency nursing care, were employed in 63 DVT patients receiving interventional therapy. Clinical response and complications were observed. Results: After the treatment, the disorder was cured in 31 cases, while excellent result was seen in 26 cases and obvious improvement in 6 cases. During the procedure, bleeding at puncture site occurred in 16 cases, pulmonary embolism in 2 cases and cerebral hemorrhage in one case. No death occurred. Conclusion: Comprehensive nursing measures can effectively prevent or reduce the occurrence of complications, decrease the mortality rate. Therefore, Comprehensive nursing measures are the most helpful nursing care for DVT patients receiving interventional therapy. (authors)

  14. Light Higgs bosons at LEP

    International Nuclear Information System (INIS)

    Ekspong, G.

    1981-11-01

    Among possible production reactions for neutral Higgs bosons it is known that e + e - →Z 0 +H 0 offers advantages of relatively high production cross section and low background from other reactions. With Z 0 decaying to two electrons, which are measured, the existence of a Higgs candidate will be seen as a peak in the missing mass spectrum. It is shown that a sufficiently good mass resolution is obtainable to make a search for Higgs feasible at LEP. In its first phase, the energy of LEP limits the search to Higgs bosons of mass around 10 GeV. (Auth.)

  15. Le CERN fête le LEP

    CERN Multimedia

    CERN Press Office. Geneva

    2000-01-01

    Members of government from around the world gathered at CERN on 9 October to celebrate the achievements of the Large Electron Positron collider (LEP), the Laboratory's flagship particle accelerator. Over the eleven years of its operational lifetime, LEP has not only added greatly to mankind's pool of knowledge about the Universe, but has also changed the way that particle physics research is done, and proved to be a valuable training ground for young professionals in many walks of life.

  16. Determination of the LEP beam energy

    CERN Document Server

    Torrence, E

    2000-01-01

    This article describes the determination of the LEP beam energy above the production threshold for W boson pairs. A brief overview of the magnetic extrapolation method is presented which is currently used to determine the LEP beam energy to a relative precision of 2*10/sup -4 /. A new method for beam energy measurements based on an in-line energy spectrometer is presented, and current developments in the commissioning of this device are outlined. (2 refs).

  17. Search for new phenomena at LEP

    International Nuclear Information System (INIS)

    Richard, F.

    1992-01-01

    Recent searches for new particles and rare Z degree decays performed at LEP are reviewed. With the first few 10 4 events collected at LEP, many searches have already been performed: pair-produced heavy fermions and scalar bosons, light Higgs boson from the Standard Model (SM) and its most popular supersymmetric extension (MSSM). A large amount of territory has thus been already covered and one is left, after collecting 10 6 z 0 events with the four LEP experiments, with the difficult task to explore the Higgs sector and other Z 0 decays with very low branching ratios, typically a few 10 -5 . This experimental stuggle already pushes the various detectors at the limit of their capabilities and takes advantage of specific properties: momentum resolution for muons, energy resolution for electrons and photons, identification properties for leptons, hadronic calorimetry and hermeticity for neutrinos. 34 refs., 16 figs., 7 tabs

  18. Testing a two step Nursing intervention focused on decreasing rehospitalizations and nursing home sdmission post discharge from acute care

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Poulsen, Ingrid; Hendriksen, Carsten

    2013-01-01

    Older adults are at high risk of readmission on discharge from the Acute Medical and Emergency Department (ED). This study examines the effect of a two-stage nursing assessment and intervention to address older adults' uncompensated problems and thus intend to prevent readmission and functional...... decline. A randomized controlled study was conducted. Included were 271 patients aged 70 and over admitted to an ED. A brief standardized nursing assessment and intervention was carried out after discharge and at follow-up. No effect was found on readmission to hospital, admission to nursing home......, or death but the intervention group was less likely to be at risk of depression after 180 days. Whether this method can be recommended needs further study as well as knowledge is needed as to the organization and to reveal older adults' experiences on follow-up after ED stay....

  19. Interventions to Reduce Adult Nursing Turnover: A Systematic Review of Systematic Reviews.

    Science.gov (United States)

    Halter, Mary; Pelone, Ferruccio; Boiko, Olga; Beighton, Carole; Harris, Ruth; Gale, Julia; Gourlay, Stephen; Drennan, Vari

    2017-01-01

    Nurse turnover is an issue of concern in health care systems internationally. Understanding which interventions are effective to reduce turnover rates is important to managers and health care organisations. Despite a plethora of reviews of such interventions, strength of evidence is hard to determine. We aimed to review literature on interventions to reduce turnover in nurses working in the adult health care services in developed economies. We conducted an overview (systematic review of systematic reviews) using the Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, Applied Social Sciences Index and Abstracts, CINAHL plus and SCOPUS and forward searching. We included reviews published between 1990 and January 2015 in English. We carried out parallel blinded selection, extraction of data and assessment of bias, using the Assessment of Multiple Systematic Reviews. We carried out a narrative synthesis. Despite the large body of published reviews, only seven reviews met the inclusion criteria. These provide moderate quality review evidence, albeit from poorly controlled primary studies. They provide evidence of effect of a small number of interventions which decrease turnover or increase retention of nurses, these being preceptorship of new graduates and leadership for group cohesion. We highlight that a large body of reviews does not equate with a large body of high quality evidence. Agreement as to the measures and terminology to be used together with well-designed, funded primary research to provide robust evidence for nurse and human resource managers to base their nurse retention strategies on is urgently required.

  20. Probing anomalous gauge boson couplings at LEP

    International Nuclear Information System (INIS)

    Dawson, S.; Valencia, G.

    1994-01-01

    We bound anomalous gauge boson couplings using LEP data for the Z → bar ∫∫ partial widths. We use an effective field theory formalism to compute the one-loop corrections resulting from non-standard model three and four gauge boson vertices. We find that measurements at LEP constrain the three gauge boson couplings at a level comparable to that obtainable at LEPII

  1. Nursing on empty: compassion fatigue signs, symptoms, and system interventions.

    Science.gov (United States)

    Harris, Chelsia; Griffin, Mary T Quinn

    2015-01-01

    Few healthcare organizations acknowledge, discuss, or provide interventions for assisting with compassion fatigue. Yet, it is an important concept due to its individual, professional, and financial costs. This article defines compassion fatigue, differentiates it from burnout, and offers system interventions for supporting nurses and reducing compassion fatigue.

  2. Relapse prevention in patients with schizophrenia : A nursing intervention study

    NARCIS (Netherlands)

    Meijel, Berno van

    2003-01-01

    This thesis describes a study into the development and testing of a nursing intervention with a view to preventing psychotic relapses in patients suffering from schizophrenia or a related disorder. The purpose of the intervention is to recognise the early signs of an oncoming psychotic relapse. If

  3. LEP shuts down after eleven years of forefront research

    CERN Multimedia

    2000-01-01

    After extended consultation with the appropriate scientific committees, CERN’s Director-General Luciano Maiani announced today that the LEP accelerator had been switched off for the last time. LEP was scheduled to close at the end of September 2000 but tantalising signs of possible new physics led to LEP’s run being extended until 2 November. At the end of this extra period, the four LEP experiments had produced a number of collisions compatible with the production of Higgs particles with a mass of around 115 GeV. These events were also compatible with other known processes. The new data was not sufficiently conclusive to justify running LEP in 2001, which would have inevitable impact on LHC construction and CERN’s scientific programme. The CERN Management decided that the best policy for the Laboratory is to proceed full-speed ahead with the Large Hadron Collider (LHC) project. Steve Myers, Head of SL Division, with members of the LEP team, pulling the symbolic rope to swich off the accelerator. CERN Co...

  4. Primary structure of Lep d I, the main Lepidoglyphus destructor allergen.

    Science.gov (United States)

    Varela, J; Ventas, P; Carreira, J; Barbas, J A; Gimenez-Gallego, G; Polo, F

    1994-10-01

    The most relevant allergen of the storage mite Lepidoglyphus destructor (Lep d I) has been characterized. Lep d I is a monomer protein of 13273 Da. The primary structure of Lep d I was determined by N-terminal Edman degradation and partially confirmed by cDNA sequencing. Sequence polymorphism was observed at six positions, with non-conservative substitutions in three of them. No potential N-glycosylation site was revealed by peptide sequencing. The 125-residue sequence of Lep d I shows approximately 40% identity (including the six cysteines) with the overlapping regions of group II allergens from the genus Dermatophagoides, which, however, do not share common allergenic epitopes with Lep d I.

  5. Single-cell LEP-type cavity on measurement stand

    CERN Multimedia

    CERN PhotoLab

    1982-01-01

    A single-cell cavity, made of copper, with tapered connectors for impedance measurements. It was used as a model of LEP-type superconducting cavities, to investigate impedance and higher-order modes and operated at around 600 MHz (the LEP acceleration frequency was 352.2 MHz). See 8202500.

  6. Nurses' Perceptions of Implementing Fall Prevention Interventions to Mitigate Patient-Specific Fall Risk Factors.

    Science.gov (United States)

    Wilson, Deleise S; Montie, Mary; Conlon, Paul; Reynolds, Margaret; Ripley, Robert; Titler, Marita G

    2016-08-01

    Evidence-based (EB) fall prevention interventions to mitigate patient-specific fall risk factors are readily available but not routinely used in practice. Few studies have examined nurses' perceptions about both the use of these EB interventions and implementation strategies designed to promote their adoption. This article reports qualitative findings of nurses' perceptions about use of EB fall prevention interventions to mitigate patient-specific fall risks, and implementation strategies to promote use of these interventions. The findings revealed five major themes: before-study fall prevention practices, use of EB fall prevention interventions tailored to patient-specific fall risk factors, beneficial implementation strategies, overall impact on approach to fall prevention, and challenges These findings are useful to guide nurses' engagement and use of EB fall prevention practices tailored to patient-specific fall risk factors. © The Author(s) 2016.

  7. LEP inauguration

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1990-01-15

    13 November saw the culmination at CERN of weeks of intricate planning to put together a fitting formal inauguration of LEP, CERN's 27-kilometre electron-positron collider. The day was to witness an event worthy of the many years of assiduous endeavour to bring into being the world's largest scientific machine, a prime example of international collaboration and the portent of a new era in fundamental research.

  8. LEP at 90°

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1993-01-15

    With twice as many Z particles logged this year, the performance of CERN's LEP electron-positron collider continues to improve. Paradoxically, the improvement would have been even better had it not been for teething problems with new operating conditions which will eventually boost performance still higher. Now solidly established, these new conditions, notably the 90° (instead of the previous 60°) phase for transverse betatron oscillations, and the 'pretzel' scheme for eight bunches per beam instead of four (October, page 17), first had to be assimilated, and it took a few weeks before the LEP operating crews could add them to their full repertoire. Collision performance (measured by 'luminosity') continues to improve. Although in principle LEP has yet to deliver its 'design' luminosity of 1.3 x 10{sup 31} per sq cm per s at any one time, its best performance to date is not far off - 1.1 x 10{sup 31}. The crews have become very skilled at optimizing conditions during each beam coast, with continual careful grooming of the beams ensuring high collision rates. This, together with improved performance at the four detectors - Aleph, Delphi, L3, and Opal - have led to average efficiency increasing to 57% from 44% in 1991, so that the luminosity delivered over a day has exceeded what could have been expected initially, says Steve Myers.

  9. LEP at 90°

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    With twice as many Z particles logged this year, the performance of CERN's LEP electron-positron collider continues to improve. Paradoxically, the improvement would have been even better had it not been for teething problems with new operating conditions which will eventually boost performance still higher. Now solidly established, these new conditions, notably the 90° (instead of the previous 60°) phase for transverse betatron oscillations, and the 'pretzel' scheme for eight bunches per beam instead of four (October, page 17), first had to be assimilated, and it took a few weeks before the LEP operating crews could add them to their full repertoire. Collision performance (measured by 'luminosity') continues to improve. Although in principle LEP has yet to deliver its 'design' luminosity of 1.3 x 10 31 per sq cm per s at any one time, its best performance to date is not far off - 1.1 x 10 31 . The crews have become very skilled at optimizing conditions during each beam coast, with continual careful grooming of the beams ensuring high collision rates. This, together with improved performance at the four detectors - Aleph, Delphi, L3, and Opal - have led to average efficiency increasing to 57% from 44% in 1991, so that the luminosity delivered over a day has exceeded what could have been expected initially, says Steve Myers

  10. Perinatal death: bereavement interventions used by US and Spanish nurses and midwives.

    Science.gov (United States)

    Steen, Sue E

    2015-02-01

    Little research has been published from a global perspective regarding needs of nurses and midwives related to perinatal bereavement. To identify needs and concerns of US and Spanish nurses and midwives who have worked with perinatal death and to identify the bereavement interventions they use to help families with this experience. A cross-sectional study was conducted. Data were collected in 2011 from US (n=44) and Spanish (n=15) nurses and midwives via a questionnaire. Statistically significant differences between the nurses/midwives in each country were found regarding needs relating to knowledge, communication skills and managing personal feelings. Interventions of accompanying, listening, offering keepsakes, baptism discussion, and funeral planning were also found to be significantly different between the two groups. These findings demonstrate a continued need to increase the standard and consistency of perinatal bereavement care worldwide. Bereavement education in nursing curricula and practice settings in both cultures is essential to increase the standard of care.

  11. Evaluating a dignity care intervention for palliative care in the community setting: community nurses' perspectives.

    Science.gov (United States)

    McIlfatrick, Sonja; Connolly, Michael; Collins, Rita; Murphy, Tara; Johnston, Bridget; Larkin, Philip

    2017-12-01

    To evaluate a dignity care intervention provided by community nurses seeking to address dignity concerns for people with advanced and life-limiting conditions. Evidence would suggest that dying people fear a loss of dignity and a central focus of palliative care is to assist people to die with dignity. Whilst community nurses have a key role to play in the delivery of palliative care, specific interventions for dignity are lacking. A mixed methods study using online survey and focus group interviews and thematic analysis to examine data. Twenty four community nurses implemented the dignity care intervention for people with advanced and life-limiting conditions were recruited from four pilot sites across Ireland. Four focus group interviews and on line survey were conducted between March-June 2015. The community nurses found the dignity care intervention useful. It helped the nurses to provide holistic end-of-life care and assisted in the overall assessment of palliative care patients, identifying areas that might not otherwise have been noted. Whilst it was a useful tool for communication, they noted that it stimulated some emotionally sensitive conversations for which they felt unprepared. Implementing the dignity care intervention in practice was challenging. However, the dignity care intervention facilitated holistic assessment and identified patient dignity-related concerns that may not have been otherwise identified. Further support is required to overcome barriers and enable dignity-conserving care. Ensuring dignity is a key aspect of palliative and end-of-life care; however, community nurses may not feel equipped to address this aspect of care. Implementing a dignity care intervention can assist in identifying patient dignity-related concerns and provision of holistic care. Community nurses need more training to assist in difficult conversations relating to dignity and end-of-life care. © 2017 John Wiley & Sons Ltd.

  12. Effects of absenteeism feedback and goal-setting interventions on nurses' fairness perceptions, discomfort feelings and absenteeism.

    Science.gov (United States)

    Gaudine, Alice; Saks, Alan M; Dawe, Doreen; Beaton, Marilyn

    2013-04-01

    A longitudinal field experiment was conducted to test the effects of absenteeism feedback and goal-setting interventions on nurses' (1) fairness perceptions, (2) discomfort feelings and (3) absenteeism. Nurses' obstacles to reducing absenteeism were also explored. Absenteeism is a significant issue in health care and there is a need to avoid interventions that are seen to be negative, punitive or lead to sick nurses coming to work. Sixty-nine nurses working in a hospital in Eastern Canada received either: (1) absenteeism feedback with individual goal-setting, (2) absenteeism feedback with group goal-setting, or (3) no intervention, and were asked questions about how they could reduce their absenteeism. There was a significant decrease in the total number of days absent but no decrease in absent episodes, and a significant effect on fairness perceptions and discomfort feelings for the nurses in the absenteeism feedback conditions. Six categories of obstacles to reducing absenteeism were identified. The interventions made nurses feel their absence rate was less fair and to experience greater feelings of discomfort. The study's interventions may lead to a reduction in absence without the negative outcomes of a harsh absenteeism policy. © 2011 Blackwell Publishing Ltd.

  13. QCD at LEP

    CERN Document Server

    Metzger, W.J.

    2003-01-01

    Several preliminary QCD results from e+e- interactions at LEP are reported. These include studies of event shape variables, which are used to determine alpha_s and for studies of the validity of power corrections. Further, a study of color reconnection effects in 3-jet Z decays is reported.

  14. Nursing intervention to enhance acceptance of pregnancy in first-time mothers: focusing on the comfortable experiences of pregnant women.

    Science.gov (United States)

    Nakamura, Yasuka

    2010-06-01

    The purpose of the present study was to describe effective nursing care through evaluation of a nursing intervention that enhanced acceptance of pregnancy and focused on a comfortable experience for pregnant women. Thirty-two subjects who were expected to have a normal pregnancy were assigned into either the intervention or the control group. The nursing intervention consisted of the use of a pregnancy diary and four interviews, two of which were held in the first trimester, one in the second and one in the third trimester. The nursing care given was recorded in tapes and field notes. The data were analyzed using a qualitative content analysis method. As a result of analyzing the nursing care of 13 women pregnant for the first time who were provided with nursing intervention, the following seven categories of nursing care were extracted for the intervention: encouragement of women to record their experiences using a pregnancy diary; recognizing and acknowledging negative feelings; reducing the negative aspects of pregnancy and reframing; expression and reinforcement of positive feelings; clarification and reinforcement of positive meanings; awareness of own comfortable experiences; promotion of diverse comfortable aspects and continuation of comfortable experiences. The seven nursing care interventions were effective in increasing the comfortable experiences of pregnant women and enhancing a positive attitude towards pregnancy. Nursing intervention can aid in enhancing positivity and comfort in pregnant women. Furthermore, this nursing intervention can be applied to adolescents, socially disadvantaged pregnant women, and hospitalized women.

  15. accelerating cavity from LEP

    CERN Multimedia

    This is an accelerating cavity from LEP, with a layer of niobium on the inside. Operating at 4.2 degrees above absolute zero, the niobium is superconducting and carries an accelerating field of 6 million volts per metre with negligible losses. Each cavity has a surface of 6 m2. The niobium layer is only 1.2 microns thick, ten times thinner than a hair. Such a large area had never been coated to such a high accuracy. A speck of dust could ruin the performance of the whole cavity so the work had to be done in an extremely clean environment. These challenging requirements pushed European industry to new achievements. 256 of these cavities are now used in LEP to double the energy of the particle beams.

  16. Impact of Online Education on Nurses' Delivery of Smoking Cessation Interventions With Implications for Evidence-Based Practice.

    Science.gov (United States)

    Bialous, Stella A; Sarna, Linda; Wells, Marjorie J; Brook, Jenny K; Kralikova, Eva; Pankova, Alexandra; Zatoński, Witold; Przewozniak, Krzysztof

    2017-10-01

    Tobacco use is the leading cause of preventable disease and death in Europe and worldwide. Nurses, if properly educated, can contribute to decreasing the burden of tobacco use in the region by helping smokers quit smoking. To assess: (a) the feasibility of an online program to educate nurses in Czech Republic and Poland on evidence-based smoking cessation interventions for patients and (b) self-reported changes in practices related to consistently (usually or always) providing smoking cessation interventions to smokers, before and 3 months after participation in the program. A prospective single-group pre-post design. A total of 280 nurses from Czech Republic and 156 from Poland completed baseline and follow-up surveys. At 3 months, nurses were significantly more likely to provide smoking cessation interventions to patients who smoke and refer patients for cessation services (p Nurses significantly improved their views about the importance of nursing involvement in tobacco control. Education about tobacco control can make a difference in clinical practice, but ongoing support is needed to maintain these changes. Health system changes can also facilitate the expectation that delivering evidence-based smoking cessation interventions should be routine nursing care. Educating nurses on cessation interventions and tobacco control is pivotal to decrease tobacco-related disparities, disease, and death. Online methods provide an accessible way to reach a large number of nurses. © 2017 Sigma Theta Tau International.

  17. Experimentation at LEP

    International Nuclear Information System (INIS)

    Wiik, B.H.

    1979-01-01

    Some of the more basic processes in e + e - annihilation are discussed and the rates estimated. The following topics are treated: 1. Estimate of e + e - → hadrons. 2. Strong Interaction Issues. 3. Weak Interaction Issues. 4. The Higgs Particle(s). The contribution of experiments at LEP energies is assessed. (Auth.)

  18. Nonpharmacologic Pain Management Interventions in German Nursing Homes: A Cluster Randomized Trial.

    Science.gov (United States)

    Kalinowski, Sonja; Budnick, Andrea; Kuhnert, Ronny; Könner, Franziska; Kissel-Kröll, Angela; Kreutz, Reinhold; Dräger, Dagmar

    2015-08-01

    The reported prevalence of pain among nursing home residents (NHRs) is high. Insufficient use of analgesics, the conventional pain management strategy, is often reported. Whether and to what extent nonpharmacologic therapies (NPTs) are used to manage the pain of NHRs in Germany is largely unknown. The aim of this cluster-randomized trial was to assess the NPTs provided and to enhance the application and prescription of NPTs in NHRs on an individual level. There were six nursing homes in the intervention group and six in the control group. There were 239 NHRs, aged ≥65 years, with an average Mini-Mental State Examination score of at least 18 at baseline. Pain management interventions (cluster level) included an online course for physicians and 1-day seminar for nurses. Data on NPT applied by nurses and therapeutic NPT prescribed by physicians were obtained from residents' nursing documentation. Face-to-face interviews with NHRs assessed the NPT received. At baseline, 82.6% of NHR (mean age 83 years) were affected by pain, but less than 1 in 10 received NPT. The intervention did not result in a significant increase in the NPT applied by nurses, but did significantly increase the therapeutic NPT prescribed by physicians. Residents were active in using NPT to self-manage their pain. Given the prevalence of pain in NHRs, there is a clear need to improve pain management in this population. Extended use of NPT offers a promising approach. We recommend that nurses provide residents with education on pain-management techniques to support them in taking a proactive role in managing their pain. Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  19. LEP inauguration

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    13 November saw the culmination at CERN of weeks of intricate planning to put together a fitting formal inauguration of LEP, CERN's 27-kilometre electron-positron collider. The day was to witness an event worthy of the many years of assiduous endeavour to bring into being the world's largest scientific machine, a prime example of international collaboration and the portent of a new era in fundamental research.

  20. An integrative literature review of interventions to reduce violence against emergency department nurses.

    Science.gov (United States)

    Anderson, Linda; FitzGerald, Mary; Luck, Lauretta

    2010-09-01

    To critique the evidence that underpins interventions intended to minimise workplace violence directed against emergency department nurses, to inform researchers and policy makers regarding the design, development, implementation and evaluation of emergency nursing anti-violence and counter-violence interventions. Workplace violence perpetrated against emergency department nurses is at least continuing and at worst increasing. Occupational violence has detrimental effects on job satisfaction, retention and recruitment, and the quality and cost of patient care. An integrated literature review. Searches of the Cochrane Library, CINAHL, MEDLINE and the Joanna Briggs Institute between 1986-May 2007. Included articles were appraised and then synthesised into a narrative summary. Ten primary research studies were included. Interventions were classified as environmental, practices and policies, or skills. While each study has useful information regarding the implementation of interventions, there is no strong evidence for their efficacy. The weight of effort is still directed towards defining the phenomenon rather than addressing solutions. Studies that assessed the efficacy of a single intervention failed to take account of context; and participatory context-driven studies failed to provide generalisable evidence. Concerted multi-site and multi-disciplinary, action-oriented research studies are urgently needed to provide an evidence base for the prevention and mitigation of violence perpetrated against emergency department nurses. The investigation of interventions rather than repeatedly redefining the problem and directing resources into debating semantics or differentiating 'degrees' of violence and aggression is recommended. This review unambiguously identifies the gap in research-based interventions. © 2010 Blackwell Publishing Ltd.

  1. End view of steel-concrete prototype yoke for LEP dipoles

    CERN Multimedia

    CERN PhotoLab

    1979-01-01

    The magnetic field needed in the LEP dipole magnets was rather low, of a fraction of tesla. This lead to the conception of a novel yoke structure consisting of stacks of 1.5 mm thick low-carbon steel laminations spaced by 4.1 mm with the spaces filled with concrete. For details see LEP-Note 118,1978 and LEP-Note 233,1980. See also 7908528X, 8111710X, 8111529.

  2. Inside the LEP control room at start-up

    CERN Multimedia

    1989-01-01

    Physicists grouped around a screen in the LEP control room at the strat-up of LEP on 14 July 1989. The emotion of the moment is clear. Carlo Rubbia, Director-General of CERN at the time, is in the centre and on his left, Herwig Schopper, former Director-General of the Organization.

  3. Consequences from use of reminiscence - a randomised intervention study in ten Danish nursing homes

    Directory of Open Access Journals (Sweden)

    Sørensen Jan

    2010-06-01

    Full Text Available Abstract Background Reminiscence is the systematic use of memories and recollections to strengthen self-identity and self-worth. The study aim was to investigate the consequences for nursing home residents and staff of integrating reminiscence into daily nursing care. Methods In this randomised study, ten nursing homes were matched into two groups on the basis of location, type and size. In the period August 2006 - August 2007, staff in the Intervention Group were trained and supported in the use of reminiscence, involving individual and group sessions with residents as well as reminiscence boxes, posters and exhibitions. At baseline and again 6 and 12 months after the intervention start, data were collected on residents' cognitive level, agitated behaviour, general functioning and proxy-assessed quality of life, as well as on staff well-being and job satisfaction. Mixed linear modelling was used to analyse differences in outcome between the intervention and control groups. Results Project drop-out rates were 32% for residents and 38% for nursing staff. Most staff in the Intervention Group considered reminiscence a useful tool that improved their communication with residents, and that they would recommend to other nursing homes. There were no significant differences between residents in the Intervention and the Control Group in cognitive level, agitated behaviour or general functioning. Residents in the Intervention Group showed significant higher score at 6 months in quality of life subscale 'Response to surroundings', but there was no significant difference at 12 months. Positive effects of reminiscence were observed for all staff outcome measures, the only exception being SF-12 self-rated physical health. At 6 months after start of reminiscence, staff in the Intervention Group had significantly better scores than those in the Control Group for Personal accomplishment, Emotional exhaustion, Depersonalisation, 'Attitude towards individual

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

    Science.gov (United States)

    Houck, Dereen

    2014-08-01

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

  5. Bereavement care interventions and outcome criteria planned by community nurses in the Canary Islands.

    Science.gov (United States)

    Rodríguez-Álvaro, Martín; García-Hernández, Alfonso Miguel; Brito-Brito, Pedro Ruymán; Aguirre-Jaime, Armando; Fernández-Gutiérrez, Domingo Ángel

    2018-02-19

    Nursing care in bereavement is complex. Primary health care is the ideal setting to support the bereaved, but we do not know much about the care plans designed by primary health care nurses in the treatment of grief. To identify the outcomes criteria and interventions planned by nurses for mourners with and without complications in the Canary Islands. Retrospective longitudinal study, using the electronic health records of the Canary Islands health service of people with a diagnosis of grieving, risk of complicated grieving and complicated grieving, in the period 2009-2014. NOC outcomes criteria were recorded in 67% of the mourners, and up to 24 different outcomes were identified. The main outcomes measures were Grief resolution; Psychosocial adjustment, Life change; Coping; Family coping; Family social climate and Caregiver emotional health. The remaining outcomes were present in less than 1% of the mourners. Although the outcomes criteria proposed by nurses in the mourners with and without complications were quite homogeneous, differences in interventions were found. In 67% of the cases, NIC interventions were reported. Ninety-nine different interventions were identified in the mourners; the most frequent were Emotional support; Grief work facilitation; Active listening; Coping enhancement and counselling. The remaining identified interventions were present in less than 5% of patients. The main interventions in the mourners with complications were Grief work facilitation; Coping enhancement; Active listening; Counselling and Family integrity promotion. Nurses state that there are more interventions and outcomes in mourners with complications. Given the few methodologically reliable studies that prove their effectiveness, continued research in this area is recommended. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  6. LEP dominates LP-HEP

    Energy Technology Data Exchange (ETDEWEB)

    Fraser, Gordon

    1991-09-15

    CERN's LEP electron-positron collider was the star of this year's major physics meeting - the Joint International Lepton-Photon Symposium and Europhysics Conference on High Energy Physics (LP-HEP) - held in Geneva from 25 July - 1 August.

  7. Components for the CERN LEP ring

    Energy Technology Data Exchange (ETDEWEB)

    1987-01-01

    One of the most important experimental setups at the LEP (Large Electron Positron Collider) ring is called OPAL (Omni Purpose Apparatus for LEP). Sulzer-Escher Wyss, Zurich, is to deliver the iron yoke, i.e. the mechanical part of one of the nine OPAL detectors. The contract for the yoke includes essentially the two side parts, each consisting of ten modules and two end caps, the middle part, four special modules and two supporting rings, as well as both the poles. The combined weight of all the supply items comes to some 2300 t. (Auth.).

  8. Perioperative nursing for patients with diabetic foot receiving endovascular interventional therapy

    International Nuclear Information System (INIS)

    Yang Yang; Wang Feng; Li Ke; Li Cheng; Ji Donghua

    2010-01-01

    Objective: To study the effect of perioperative nursing on the living quality of patients with diabetic foot who are treated with endovascular interventional therapy. Methods: Specific perioperative nursing care plan was accordingly designed for 43 patients with diabetic foot. Endovascular balloon angioplasty and stent implantation were formed in these patients to treat their diabetic foot. The clinical results were observed. Results: Perioperative nursing effectively improved patient's limb blood supply, enhanced the healing of diabetic foot ulceration and increased the possibility of limb preservation. Conclusion: Endovascular therapy combined with corresponding perioperative nursing care can benefit more patients with diabetic foot. (authors)

  9. The LEP alarm system

    International Nuclear Information System (INIS)

    Tyrrell, M.W.

    1992-01-01

    Unlike alarm systems for previous accelerators, the LEP alarm system caters not only for the operation of the accelerator but also for technical services and provides the direct channel for personnel safety. It was commissioned during 1989 and has seen a continued development up to the present day. The system, comprising over 50 computers including 5 different platforms and 4 different operating systems, is described. The hierarchical structure of the software is outlined from the interface to the equipment groups, through the front end computers to the central server, and finally to the operator consoles. Reasons are given for choosing a conventional, as opposed to a 'knowledge based' approach. Finally, references are made to a prototype real time expert system for surveying the power converters of LEP, which was conducted during 1990 as part of the alarm development program. (author)

  10. Implementing the supportive supervision intervention for registered nurses in a long-term care home: a feasibility study.

    Science.gov (United States)

    McGilton, Katherine S; Profetto-McGrath, Joanne; Robinson, Angela

    2013-11-01

    This pilot study was conducted in response to the call in 2009 by the International Association of Gerontology and Geriatrics to focus on effective leadership structures in nursing homes and to develop leadership capacity. Few researchers have evaluated interventions aimed at enhancing the leadership ability of registered nurses in long-term care. The aim of the pilot study was to test the feasibility of a three-part supportive supervisory intervention to improve supervisory skills of registered nurses in long-term care. A repeated measures group design was used. Quantitative data were collected from healthcare aides, licensed practical nurses (i.e., supervised staff), and registered nurses (i.e., supervisors). Focus groups with care managers and supervisors examined perceptions of the intervention. There were nonsignificant changes in both the registered nurse supervisors' job satisfaction and the supervised staff's perception of their supervisors' support. Supervised staff scores indicated an increase in the use of research utilization but did not reflect an increase in job satisfaction. Focus group discussions revealed that the supervisors and care managers perceived the workshop to be valuable; however, the weekly self-reflection, coaching, and mentoring components of the intervention were rare and inconsistent. While the primary outcomes were not influenced by the Supportive Supervision Intervention, further effort is required to understand how best to enhance the supportive supervisory skills of RNs. Examples of how to improve the possibility of a successful intervention are advanced. Effective supervisory skills among registered nurses are crucial for improving the quality of care in long-term care homes. Registered nurses are receptive to interventions that will enhance their roles as supervisors. © 2013 Sigma Theta Tau International.

  11. Bottonium production at LEP

    International Nuclear Information System (INIS)

    Abraham, K.J.

    1989-03-01

    The production of γ ('3S 1 ) and η b ( 1 S 0 ) with two gluons from Z decay is investigated. It is found that at LEP luminosities experimental detection will hardly be feasible. (author). 9 refs.; 1 fig

  12. Discomforts occurring in the interventional therapy for diabetic foot: analysis of causes and nursing strategy

    International Nuclear Information System (INIS)

    Li Xue; Chen Jinhua; Wang Yi; Chen Rong

    2009-01-01

    Objective: To analyze the causes of discomfort occurring in the interventional treatment of diabetic foot, to discuss the individualized nursing measures for improving the patient's comfort and cooperation, and for increasing the successful rate of the interventional procedure. Methods: The control group included 9 patients who received conventional nursing care. The study group had 13 patients who accepted individualized nursing care and nursing intervention, which was designed according to every patient's individual conditions. Results: In the control group, one patient could not endure the surgery to the end because of the long operating time. Another two patients had to take examinations repeatedly because the imaging quality was very poor, which was caused by the body movement due to uncomfortable mechanical stimulation. Urinary retention occurred in one patient. The mean operative time of the control group was 2.8 hour per surgery. The average dosage of contrast medium used was 150-300 ml per procedure. All the subjects in the study group completed the surgery successfully, the mean operative time was 2.2 hour per surgery and the average dosage of contrast medium used was 100-200 ml per procedure. Conclusion: During the perioperative period of interventional treatment for diabetic foot, the effective individualized nursing care and nursing intervention, the measures to improve patient's comfort and the cooperation, etc. can certainly increase the successful rate, saving the operating time and reducing the contrast dosage. (authors)

  13. The impact of an intervention for nurse prescribers on consultations to promote patient medicine-taking in diabetes

    DEFF Research Database (Denmark)

    Latter, Sue; Sibley, Andrew; Skinner, Timothy C.

    2010-01-01

    Background: Nurse prescribers are in a key position to promote medicine-taking in diabetes. Although patients' beliefs about medicines are important predictors of medicine-taking, evidence suggests nurses do not routinely explore these. Objectives: To evaluate a theory-based intervention designed......-efficacy framework in the intervention, to promote nurses' confidence in working in a different way, may have been instrumental in effecting the changes found. Contextual factors influencing beliefs exploration in medicine-taking consultations were identified.......Background: Nurse prescribers are in a key position to promote medicine-taking in diabetes. Although patients' beliefs about medicines are important predictors of medicine-taking, evidence suggests nurses do not routinely explore these. Objectives: To evaluate a theory-based intervention designed...... to increase nurse prescribers' exploration of medicines' beliefs with people with diabetes. Design: Mixed methods concurrent triangulation design. Settings: Nurse prescribers were recruited from 7 Trusts in England. Participants: A purposive sample of 14 nurse prescribers attended four 1 day workshops...

  14. The evidence for nursing interventions in the Cochrane database of systematic reviews.

    NARCIS (Netherlands)

    Mistiaen, P.; Poot, E.; Hickox, S.; Wagner, C.

    2004-01-01

    In this paper the authors describe how they conducted a search of the Cochrane Database of Systematic Reviews in order to explore the evidence for nursing interventions. They identify the number of studies, the number of participants, and the conclusions of systematic reviews concerning nursing

  15. Structural Intervention With School Nurses Increases Receipt of Sexual Health Care Among Male High School Students.

    Science.gov (United States)

    Dittus, Patricia J; Harper, Christopher R; Becasen, Jeffrey S; Donatello, Robin A; Ethier, Kathleen A

    2018-01-01

    Adolescent males are less likely to receive health care and have lower levels of sexual and reproductive health (SRH) knowledge than adolescent females. The purpose of this study was to determine if a school-based structural intervention focused on school nurses increases receipt of condoms and SRH information among male students. Interventions to improve student access to sexual and reproductive health care were implemented in six urban high schools with a matched set of comparison schools. Interventions included working with school nurses to improve access to sexual and reproductive health care, including the provision of condoms and information about pregnancy and sexually transmitted disease prevention and services. Intervention effects were assessed through five cross-sectional yearly surveys, and analyses include data from 13,740 male students. Nurses in intervention schools changed their interactions with male students who visited them for services, such that, among those who reported they went to the school nurse for any reason in the previous year, those in intervention schools reported significant increases in receipt of sexual health services over the course of the study compared with students in comparison schools. Further, these results translated into population-level effects. Among all male students surveyed, those in intervention schools were more likely than those in comparison schools to report increases in receipt of sexual health services from school nurses. With a minimal investment of resources, school nurses can become important sources of SRH information and condoms for male high school students. Published by Elsevier Inc.

  16. LEP Dismantling Reaches Half-Way Stage

    CERN Multimedia

    2001-01-01

    LEP's last superconducting module leaves its home port... Just seven months into the operation, LEP dismantling is forging ahead. Two of the eight arcs which form the tunnel have already been emptied and the last of the accelerator's radiofrequency (RF) cavities has just been raised to the surface. The 160 people working on LEP dismantling have reason to feel pleased with their progress. All of the accelerator's 72 superconducting RF modules have already been brought to the surface, with the last one being extracted on 2nd May. This represents an important step in the dismantling process, as head of the project, John Poole, explains. 'This was the most delicate part of the project, because the modules are very big and they could only come out at one place', he says. The shaft at point 1.8 through which the RF cavity modules pass is 18 metres in diameter, while each module is 11.5 metres long. Some modules had to travel more than 10 kilometres to reach the shaft. ... is lifted up the PM 1.8 shaft, after a m...

  17. LEP dominates LP-HEP

    International Nuclear Information System (INIS)

    Fraser, Gordon

    1991-01-01

    CERN's LEP electron-positron collider was the star of this year's major physics meeting - the Joint International Lepton-Photon Symposium and Europhysics Conference on High Energy Physics (LP-HEP) - held in Geneva from 25 July - 1 August

  18. A look at LEP

    International Nuclear Information System (INIS)

    Anon.

    1986-01-01

    While work on the tunnel linking England and France under the English Channel has not yet begun, the 26.6 kilometre ring being built at CERN for the LEP electron-positron collider is one of Europe's major engineering projects. (orig./HSI).

  19. A Behavioral Intervention for Death Anxiety in Nurses.

    Science.gov (United States)

    White, Pamela Diane; And Others

    1983-01-01

    Conducted a treatment outcome study to evaluate change in death anxiety in nursing students (N=24) as a result of systematic desensitization, relaxation training, and no intervention. Both the desensitization and relaxation groups were more effective than no treatment. Improvement of available dependent measures of death anxiety is needed.…

  20. The programmed nursing care for lower extremity deep venous thrombus patients receiving interventional thrombolysis: its effect on living quality

    International Nuclear Information System (INIS)

    Qiao Cuiyun; Wang Zhujun; Lan Guiyun; Liang Zhiqiang; Shi Yonmin

    2011-01-01

    Objective: Tu study the effect of comprehensive programmed nursing intervention on the living quality in patients with lower extremity deep venous thrombus who receive interventional thrombolysis therapy. Methods: A total of 60 patients receiving interventional thrombolysis due to lower extremity deep venous thrombus were randomly and equally divided into two groups. Patients in study group (n=30) was treated with comprehensive programmed nursing intervention in addition to the conventional therapy and routine nursing care, while patients in control group (n=30) was treated with the conventional therapy and routine nursing care only. The conventional therapy and routine nursing care included the nursing assessment before the operation, observation of the vital signs and the cooperation psychological care during the operation, the performance of medication according to the doctor's orders after the operation, etc. The comprehensive programmed nursing intervention included the nursing assessment of the patient before operation and the scientifically making of the nursing plan, which mainly referred to the cognitive behavior, the psychological care and the health education. They were systematically carried out during the perioperative period. One month after discharge the patients were asked to pay a return visit. The living quality was evaluated with relevant standards, and the results were compared between the two groups. Results: The score of living quality in the study group was significantly higher than that in the control group (P<0.01). Conclusion: The comprehensive programmed nursing intervention can significantly improve the living quality of lower extremity deep venous thrombosis patients who receive interventional thrombolysis therapy. (authors)

  1. LEP Vacuum Chamber

    CERN Multimedia

    1983-01-01

    This is a cut-out of a LEP vacuum chamber for dipole magnets showing the beam channel and the pumping channel with the getter (NEG) strip and its insulating supports. A water pipe connected to the cooling channel can also be seen at the back.The lead radiation shield lining is also shown. See also 8305563X.

  2. Implementation of a School Nurse-led Intervention for Children With Severe Obesity in New York City Schools.

    Science.gov (United States)

    Schroeder, Krista; Jia, Haomiao; Wang, Y Claire; Smaldone, Arlene

    The Healthy Options and Physical Activity Program (HOP) is a school nurse-led intervention for children with severe obesity. HOP was developed by experts at the New York City Department of Health and Mental Hygiene and implemented in New York City schools beginning in 2012. The purpose of this study was to evaluate HOP implementation with the goal of informing HOP refinement and potential future HOP dissemination. This study entailed a retrospective analysis of secondary data. Analytic methods included descriptive statistics, Wilcoxon rank sum and Chi square tests, and multivariate logistic regression. During the 2012-2013 school year, 20,518 children were eligible for HOP. Of these, 1054 (5.1%) were enrolled in the program. On average, enrolled children attended one HOP session during the school year. Parent participation was low (3.2% of HOP sessions). Low nurse workload, low school poverty, higher grade level, higher BMI percentile, and chronic illness diagnosis were associated with student enrollment in HOP. As currently delivered, HOP is not likely to be efficacious. Lessons learned from this evaluation are applicable to future nurse-led obesity interventions. Prior to implementing a school nurse-led obesity intervention, nursing workload and available support must be carefully considered. Interventions should be designed to facilitate (and possibly require) parent involvement. Nurses who deliver obesity interventions may require additional training in obesity treatment. With attention to these lessons learned, evidence-based school nurse-led obesity interventions can be developed. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Observations of oral hygiene care interventions provided by nurses to hospitalized older people.

    Science.gov (United States)

    Coker, Esther; Ploeg, Jenny; Kaasalainen, Sharon; Carter, Nancy

    Dependent older hospitalized patients rely on nurses to assist them with the removal of plaque from their teeth, dentures, and oral cavities. Oral care interventions by 25 nurses on post-acute units, where patients have longer hospital stays, were observed during evening care. In addition to efforts to engage patients in oral care, nurses provided the following interventions: (a) supporting the care of persons with dentures; (b) supporting the care of natural teeth; (c) cleansing the tongue and oral cavity; and (d) moisturizing lips and oral tissues. Patients' oral hygiene care was supported in just over one-third of encounters. Denture care was inconsistently performed, and was infrequently followed by care of the oral cavity. Nurses did not encourage adequate self-care of natural teeth by patients, and infrequently moisturized tissues. Evidence-based oral hygiene care standards are required to assist nurses to support patients in achieving optimal oral hygiene outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. LEP Dismantling - a first Step into New Era

    CERN Multimedia

    2000-01-01

    The aim of the project is to remove the LEP machine and most of the services from the underground areas in order to install the LHC within the time constraints of its civil engineering and installation programmes The dismantling of LEP will be the first project to be executed under the new INB (Installation Nucléaire de Base) convention for the LHC. This talk will give an overview of the LEP Dismantling project covering traceability, planning, infrastructure and execution. It will explain what it means for our accelerators to be classified as INB's and will introduce the changes in working and safety procedures, which will be enforced from the beginning of October. Note: The presentation will be made in French with the transparencies in English.

  5. Biofeedback Intervention for Stress, Anxiety, and Depression among Graduate Students in Public Health Nursing.

    Science.gov (United States)

    Ratanasiripong, Paul; Kaewboonchoo, Orawan; Ratanasiripong, Nop; Hanklang, Suda; Chumchai, Pornlert

    2015-01-01

    Globally, graduate students have been found to have high prevalence of mental health problems. With increasing severity of mental health problems on university campuses and limited resources for mental health treatment, alternative interventions are needed. This study investigated the use of biofeedback training to help reduce symptoms of stress, anxiety, and depression. A sample of 60 graduate students in public health nursing was randomly assigned to either the biofeedback intervention or the control group. Results indicated that biofeedback intervention was effective in significantly reducing the levels of stress, anxiety, and depression over the 4-week period, while the control group had increases in symptoms of anxiety and depression over the same timeframe. As future leaders in the public health nursing arena, the more psychologically healthy the graduate students in public health nursing are, the better the public health nursing professionals they will be as they go forth to serve the community after graduation.

  6. Biofeedback Intervention for Stress, Anxiety, and Depression among Graduate Students in Public Health Nursing

    Directory of Open Access Journals (Sweden)

    Paul Ratanasiripong

    2015-01-01

    Full Text Available Globally, graduate students have been found to have high prevalence of mental health problems. With increasing severity of mental health problems on university campuses and limited resources for mental health treatment, alternative interventions are needed. This study investigated the use of biofeedback training to help reduce symptoms of stress, anxiety, and depression. A sample of 60 graduate students in public health nursing was randomly assigned to either the biofeedback intervention or the control group. Results indicated that biofeedback intervention was effective in significantly reducing the levels of stress, anxiety, and depression over the 4-week period, while the control group had increases in symptoms of anxiety and depression over the same timeframe. As future leaders in the public health nursing arena, the more psychologically healthy the graduate students in public health nursing are, the better the public health nursing professionals they will be as they go forth to serve the community after graduation.

  7. The OPAL Detector (an~Omni~Purpose~Apparatus~for~Lep)

    CERN Multimedia

    Schaile, D A; Watson, N; Craciun, M; Hanson, G; Mcmahon, T J; Stokes, W; Wilson, G W; Carter, J; Plane, D; Scharff-hansen, P; Sahr, O M; Rembser, C; Saeki, T; Nisius, R; Campana, S; Kormos, L L; Marchant, T E; Takeda, H; Kupper, M; Hill, J C; Hajdu, C; Hauschild, M; Charlton, D; Kellogg, R; Kluth, S; Asai, S; Nellen, B; Bright-thomas, P; Polok, J; Guenther, P O; Keeler, R; Schwick, C; Stephens, K; Zankel, K; Watkins, P; Chang, C Y; Roney, M; Fischer, H; Dubbert, J

    2002-01-01

    The OPAL Detector (an Omni Purpose Apparatus for Lep) \\\\ \\\\OPAL, a general purpose detector, was designed to study a wide range of unexplored physics at LEP. \\\\ \\\\At LEP1, one of the central issues is the precise determination of the mass, width and couplings to quarks and leptons of the Z$^{0}$ boson. At LEP2 the mass and couplings of the W$^\\pm$ bosons are determined. Accurate measurements of these quantities might reveal the mechanisms by which symmetries are broken. Many topics relating to heavy flavours are studied, including the properties of tau leptons, and the spectroscopy, lifetimes and mixing of hadrons containing b-quarks. \\\\ \\\\There are very active QCD and Two-Photon groups. Among the topics being studied are the determination of the strong coupling constant, $ \\alpha _{S} $, tests of the group structure of QCD, differences between quark- and gluon-induced jets, many aspects of the fragmentation process measurements of many different final states in photon-photon collision, and measurement of str...

  8. A Phenomenological Study of Nurse Manager Interventions Related to Workplace Bullying.

    Science.gov (United States)

    Skarbek, Anita J; Johnson, Sandra; Dawson, Christina M

    2015-10-01

    The aim of this study was to acquire nurse managers' perspectives as to the scope of workplace bullying, which interventions were deemed as effective and ineffective, and what environmental characteristics cultivated a healthy, caring work environment. Research has linked workplace bullying among RNs to medical errors, unsafe hospital environments, and negative patient outcomes. Limited research had been conducted with nurse managers to discern their perspectives. Six nurse managers from hospital settings participated in in-depth, semistructured interviews. Ray's theory of bureaucratic caring guided the study. These themes emerged: (a) awareness, (b) scope of the problem, (c) quality of performance, and (d) healthy, caring environment. Findings indicated mandated antibullying programs were not as effective as individual manager interventions. Systems must be in place to hold individuals accountable for their behavior. Communication, collective support, and teamwork are essential to create environments that lead to the delivery of safe, optimum patient care.

  9. A survey of nurse staffing levels in interventional radiology units throughout the UK

    International Nuclear Information System (INIS)

    Christie, A.; Robertson, I.

    2016-01-01

    Aim: To supplement previous surveys analysing provision of interventional radiology (IR), in-hours (IH) and out-of-hours (OOH), by specifically surveying the level of nursing support provided. Materials and methods: A web-based questionnaire was distributed to all British Society of Interventional Radiology (BSIR) members. This addressed several aspects of radiology nursing support for IR procedures, both IH and OOH. Results: Sixty percent of respondents indicated that they have a formal OOH service. Of these, all have a dedicated nursing rota, with the vast majority operating with one nurse. IH, 77% of respondents always have a scrubbed nurse assistant, but this reduces to 40% OOH. IH, 4% never have a scrubbed radiology nurse assistant, which rises to 25% OOH. IH, 75% of respondents always have a radiology nurse dedicated to patient monitoring, but this reduces to 20% OOH. IH, 3% never have a radiology nurse dedicated to patient monitoring, which rises to 42% OOH. Conclusion: A significant disparity exists in the level of IR nursing support between IH and OOH. The majority of sites provide a single nurse with ad hoc additional support. This is potentially putting patients at increased risk. Radiology nurses are integral to the safe and sustainable provision of IR OOH services and a greater focus is required to ensure adequate and safe staffing levels for 24/7 IR services. - Highlights: • A significant disparity exists between the level of nursing support provided in-hours and OOH. • This applies to both the availability of a nurse to scrub and to monitor the patient. • Having a dedicated 24/7 nursing rota is mandatory to providing a deliverable OOH service.

  10. Epidemiology, methodological and reporting characteristics of systematic reviews of nursing interventions published in China.

    Science.gov (United States)

    Shi, Chunhu; Zhu, Lin; Wang, Xue; Qin, Chunxia; Xu, Qi; Tian, Jinhui

    2014-12-01

    The importance of systematic reviews (SRs) of nursing interventions' impact on practice makes their methodological quality and reporting characteristics especially important as it directly influence their utility for clinicians, patients and policy makers.The study aims to assess the methodological quality and reporting characteristics of SRs of nursing interventions in Chinese nursing journals. Three Chinese databases were searched for SRs of nursing interventions from inception to October 2011. The assessment of multiple systematic reviews (AMSTAR) and Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) statements were used to assess methodological quality and reporting characteristics. Seventy-four SRs were included. The proportion of SRs complying with AMSTAR checklist items ranged from 0% to 82.4%. No SRs reported an 'a priori' design or conflict of interest. Only four items were found to be reported in more than 50% of the SRs: a list of included and excluded studies, the scientific quality of included studies, the appropriate use of methods to combine findings, and formulating conclusions appropriately. The majority of SRs of nursing interventions in China had major methodological and reporting flaws that limited their value to guide decisions. Chinese authors and journals should adopt and keep up with the AMSTAR and PRISMA statements to improve the quality of SRs in this field. © 2014 Wiley Publishing Asia Pty Ltd.

  11. [Psychometric properties of Q-DIO, an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes].

    Science.gov (United States)

    Müller-Staub, Maria; Lunney, Margaret; Lavin, Mary Ann; Needham, Ian; Odenbreit, Matthias; van Achterberg, Theo

    2010-04-01

    The instrument Q-DIO was developed in the years 2005 till 2006 to measure the quality of documented nursing diagnoses, interventions, and nursing sensitive patient outcomes. Testing psychometric properties of the Q-DIO (Quality of nursing Diagnoses, Interventions and Outcomes.) was the study aim. Instrument testing included internal consistency, test-retest reliability, interrater reliability, item analyses, and an assessment of the objectivity. To render variation in scores, a random strata sample of 60 nursing documentations was drawn. The strata represented 30 nursing documentations with and 30 without application of theory based, standardised nursing language. Internal consistency of the subscale nursing diagnoses as process showed Cronbach's Alpha 0.83 [0.78, 0.88]; nursing diagnoses as product 0.98 [0.94, 0.99]; nursing interventions 0.90 [0.85, 0.94]; and nursing-sensitive patient outcomes 0.99 [0.95, 0.99]. With Cohen's Kappa of 0.95, the intrarater reliability was good. The interrater reliability showed a Kappa of 0.94 [0.90, 0.96]. Item analyses confirmed the fulfilment of criteria for degree of difficulty and discriminative validity of the items. In this study, Q-DIO has shown to be a reliable instrument. It allows measuring the documented quality of nursing diagnoses, interventions and outcomes with and without implementation of theory based, standardised nursing languages. Studies for further testing of Q-DIO in other settings are recommended. The results implicitly support the use of nursing classifications such as NANDA, NIC and NOC.

  12. [Psychometric properties of Q-DIO, an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes].

    NARCIS (Netherlands)

    Muller-Staub, M.; Lunney, M.; Lavin, M.A.; Needham, I.; Odenbreit, M.; Achterberg, T. van

    2010-01-01

    The instrument Q-DIO was developed in the years 2005 till 2006 to measure the quality of documented nursing diagnoses, interventions, and nursing sensitive patient outcomes. Testing psychometric properties of the Q-DIO (Quality of nursing Diagnoses, Interventions and Outcomes.) was the study aim.

  13. Efficacy of a brief nurse-led pilot psychosocial intervention for newly diagnosed Asian cancer patients.

    Science.gov (United States)

    Mahendran, Rathi; Lim, Haikel A; Tan, Joyce Y S; Chua, Joanne; Lim, Siew Eng; Ang, Emily N K; Kua, Ee Heok

    2015-08-01

    Cancer patients experience distress and high levels of psychosocial concerns. However, in Asian countries like Singapore, patients are often unwilling to seek support and help from mental healthcare professionals, but, instead, are more willing to confide in nurses. This quasi-experimental study developed and tested the efficacy of a brief nurse-led psychosocial intervention to alleviate these patients' distress, minor psychiatric morbidity, and psychosocial concerns. The semi-structured intervention comprised 20- to 30-minute face-to-face sessions with trained oncology nurses, monthly for 2 months and then bimonthly for 4 months. Patients received psycho-education on symptoms of stress, anxiety, and depression and counseling and were taught behavioral techniques such as deep breathing, progressive muscle relaxation, and positive self-talk. The results of this study found that patients who received the intervention had reduced distress, depression, and anxiety levels and improved quality of life (QOL) at 6 months. Although further research is necessary to explore the efficacy and viability of this intervention, findings support brief nurse-led psycho-educational interventions in Asian settings especially for cancer patients reluctant to seek help from mental health professionals.

  14. Borderline personality disorder: nursing interventions using dialectical behavioral therapy.

    Science.gov (United States)

    Osborne, Unda L; McComish, Judith Fry

    2006-06-01

    Psychotherapeutic treatment of people with borderline personality disorder (BPD) is one of the greatest challenges confronting mental health professionals today. Clients with BPD are often difficult for nurses to work with, perhaps due to a lack of understanding of the underlying dynamics of the disorder. This article describes effective treatment strategies for BPD with a central focus on dialectical behavioral therapy (DBT). In typical mental health settings, nurses can effectively implement interventions using the concepts of DBT to help people with BPD build effective coping strategies and skillful behavioral responses for improved quality of life.

  15. Educational nurse-led lifestyle intervention for persons with mental illness.

    Science.gov (United States)

    Rönngren, Ylva; Björk, Annette; Audulv, Åsa; Enmarker, Ingela; Kristiansen, Lisbeth; Haage, David

    2018-06-01

    Although persons with severe mental illness face an increased risk of mortality and of developing negative health outcomes, research has shown that lifestyle interventions can sufficiently support their health. In response, this study examined a nurse-led lifestyle intervention developed in cooperation with members of municipal and county councils to gauge its impact on the quality of life, cognitive performance, walking capacity, and body composition of persons with severe mental illness. Lasting 26 weeks and involving 38 persons with severe mental illness, the intervention prioritised two components: the interpersonal relationships of persons with severe mental illness, staff, and group leaders and group education about physical and mental health. Pre-post intervention measurements of quality of life collected with the Manchester Short Assessment of Quality of Life, cognitive performance with the Frontal Systems Behaviour Scale, walking capacity with a 6-min walk test, and body composition in terms of waist circumference and body mass index were analysed using a nonparametric test Wilcoxon signed-rank test. Results suggest that the intervention afforded significant improvements in the health-related variables of quality of life, cognitive performance, walking capacity, and waist circumference for persons with severe mental illness. However, long-term studies with control groups and that examine parameters related to cardiovascular risk factors are essential to ensure the sustained impact of the intervention. © 2017 Australian College of Mental Health Nurses Inc.

  16. Therapeutic enhancement: nursing intervention category for patients diagnosed with Readiness for Therapeutic Regimen Management.

    Science.gov (United States)

    Kelly, Cynthia W

    2008-04-01

    To present a new nursing intervention category called therapeutic enhancement. Fewer than half of North Americans follow their physician's recommendations for diet and exercise, even when such are crucial to their health or recovery. It is imperative that nurses consider new ways to promote healthy behaviours. Therapeutic enhancement is intended to provide such a fresh approach. Traditional intervention techniques focusing on education, contracts, social support and more frequent interaction with physicians appear not to be effective when used alone. Successful strategies have been multidisciplinary; and have included interventions by professional nurses who assist patients to understand their disease and the disease process and that helps them to develop disease-management and self-management skills. Therapeutic enhancement incorporates The Stages of Change Theory, Commitment to Health Theory, Motivational Interviewing techniques and instrumentation specifically designed for process evaluation of health-promoting interventions. This is a critical review of approaches that, heretofore, have not been synthesised in a single published article. Based on the commonly used Stages of Change model, therapeutic enhancement is useful for patients who are at the action stage of change. Using therapeutic enhancement as well as therapeutic strategies identified in Stages of Change Theory, such as contingency management, helping relationships, counterconditioning, stimulus control and Motivational Interviewing techniques, nursing professionals can significantly increase the chances of patients moving from action to the maintenance stage of change for a specific health behaviour. Using the nursing intervention category, therapeutic enhancement can increase caregivers' success in helping patients maintain healthy behaviours.

  17. Measurement of e-γ interactions at LEP

    International Nuclear Information System (INIS)

    Palomares, C.

    2001-01-01

    This report shows the studies of different eγ interaction processes at LEP. The cross-section of the quasi-real Compton scattering has been measured at centre-of-mass energies between 20 GeV and 185 GeV, using the L3 detector at LEP. The production of single neutral intermediate vector bosons in Compton scattering is analyzed by the DELPHI and OPAL experiments. The production of single excited electrons in a eγ interaction has bee consider as well. (author)

  18. Effect of nurse-led medication reviews in psychiatric patients - an interventional study

    DEFF Research Database (Denmark)

    Sørensen, Ann Lykkegaard; Mainz, Jan; Poulsen, Birgitte Klindt

    will contribute with information regarding the effect of pharmacological training of nurses and possibly improve medication safety for psychiatric patients. Results from this study could serve as evidence, when hospital management makes decisions on how to accede the need for medication reviews as part...... nurses are the health professionals spending most time directly with the patient and very few studies investigate nurses’ role and potential in improving the appropriateness of medication. Therefore, the main objective of this study is to investigate the effect of educating nurses in general pharmacology...... and conducting systematic medication reviews using computer based screening. The effect is evaluated in a controlled interventional study. METHODS: An interventional study including 2 acute psychiatric wards. In one ward nurses’ will receive pharmacological training and the other ward will function as a control...

  19. A newly observed Effect affects the LEP Beam Energy

    CERN Document Server

    Brun, G; Galbraith, Peter; Henrichsen, K N; Koratzinos, M; Placidi, Massimo; Puzo, P; Drees, A; Geitz, M A

    1996-01-01

    The LEP magnetic bending field and therefore the beam energy is changed by a current flow over the vacuum chamber. The current is created by trains travelling between the Geneva main station and destinations in France. Some of the rail current leaks into earth and returns to the power station via the LEP tunnel, where the vacuum chamber is one of the conductors. Train leakage currents penetrate LEP at the injection lines from the SPS close to IP1 and between IP5 and IP7, thereby interacting with the magnetic dipole field. The observed changes in B field cause beam energy increases of several MeV.

  20. LEP the lord of the collider rings at CERN 1980-2000

    CERN Document Server

    Schopper, Herwig Franz

    2009-01-01

    Housed by a 4 m diameter tunnel of 27 km circumference, with huge underground labs and numerous surface facilities, and set up with a precision of 0.1 mm per kilometer, the Large Electron-Positron Collider (LEP) was not only the largest but also one of the most sophisticated scientific research instrument ever created by Man. Located at CERN, near Geneva, LEP was built during the years 1983 - 1989, was operational until 2000, and corroborated the standard model of particle physics through continous high precision measurements. The Author, director-general of CERN during the crucial period of the construction of LEP, recounts vividly the convoluted decision-making and technical implementation processes - the tunnel alone being a highly challenging geo- and civil engineering project - and the subsequent extremely fruitful period of scientific research. Finally he describes the difficult decision to close down LEP, at a time when the discovery of the Higgs boson seemed within reach. LEP was eventually dismantled...

  1. The Influence of Train Leakage Currents on the LEP Dipole Field

    CERN Document Server

    Bravin, Enrico; Dehning, Bernd; Drees, A; Galbraith, Peter; Geitz, M A; Henrichsen, K N; Koratzinos, M; Mugnai, G

    1998-01-01

    The determination of the mass and the width of the Z boson at CERN's LEP accelerator, an e+e- storage ring with a circumference of approximately 27 kilometres, imposes heavy demands on the knowledge of the LEP counter-rotating electron and positron beam energies. The precision required is of the order of 1 MeV or »20 ppm frequency. Due to its size the LEP collider is influenced by various macroscopic and regional factors such as the position of the moon or seasonal changes of the rainfall in the area, as reported earlier. A new and not less surprising effect of the LEP energy was observed in 1995: railroad trains in the Geneva region perturb the dipole field. A parasitic flow of electricity, originating from the trains, travels along the LEP ground cable and the vacuum chamber, interacting with the dipole field. An account of the phenomenon with its explanation substantiated by dedicated measurements is presented.

  2. Education and Health Matters: School Nurse Interventions, Student Outcomes, and School Variables

    Science.gov (United States)

    Wolfe, Linda C.

    2013-01-01

    This paper presents findings from a quantitative, correlational study that examined selected school nursing services, student academic outcomes, and school demographics. Ex post facto data from the 2011-2012 school year of Delaware public schools were used in the research. The selected variables were school nurse interventions provided to students…

  3. Nursing Education Interventions for Managing Acute Pain in Hospital Settings: A Systematic Review of Clinical Outcomes and Teaching Methods.

    Science.gov (United States)

    Drake, Gareth; de C Williams, Amanda C

    2017-02-01

    The objective of this review was to examine the effects of nursing education interventions on clinical outcomes for acute pain management in hospital settings, relating interventions to health care behavior change theory. Three databases were searched for nursing education interventions from 2002 to 2015 in acute hospital settings with clinical outcomes reported. Methodological quality was rated as strong, moderate, or weak using the Effective Public Health Practice Project Quality Assessment Tool for quantitative studies. The 12 eligible studies used varied didactic and interactive teaching methods. Several studies had weaknesses attributable to selection biases, uncontrolled confounders, and lack of blinding of outcome assessors. No studies made reference to behavior change theory in their design. Eight of the 12 studies investigated nursing documentation of pain assessment as the main outcome, with the majority reporting positive effects of education interventions on nursing pain assessment. Of the remaining studies, two reported mixed findings on patient self-report of pain scores as the key measure, one reported improvements in patient satisfaction with pain management after a nursing intervention, and one study found an increase in nurses' delivery of a relaxation treatment following an intervention. Improvements in design and evaluation of nursing education interventions are suggested, drawing on behavior change theory and emphasizing the relational, contextual, and emotionally demanding nature of nursing pain management in hospital settings. Crown Copyright © 2016. Published by Elsevier Inc. All rights reserved.

  4. Rare B decays at LEP

    CERN Document Server

    Kluit, P M

    2001-01-01

    The results of the LEP experiments for rare B decays will be reviewed, covering hadronic final states, radiative and other rare decays and results for the inclusive charmless branching ratio. (8 refs).

  5. The Large Hadron Collider in the LEP tunnel

    International Nuclear Information System (INIS)

    Brianti, G.; Huebner, K.

    1987-01-01

    The status of the studies for the CERN Large Hadron Collider (LHC) is described. This collider will provide proton-proton collisions with 16 TeV centre-of-mass energy and a luminosity exceeding 10 33 cm -2 s -1 per interaction point. It can be installed in the tunnel of the Large Electron-Positron Storage Ring (LEP) above the LEP elements. It will use superconducting magnets of a novel, compact design, having two horizontally separated channels for the two counter-rotating bunched proton beams, which can collide in a maximum of seven interaction points. Collisions between protons of the LHC and electrons of LEP are also possible with a centre-of-mass energy of up to 1.8 TeV and a luminosity of up to 2 x 10 32 cm -2 s -1 . (orig.)

  6. Enhancing self-directed learning among Italian nursing students: A pre- and post-intervention study.

    Science.gov (United States)

    Cadorin, L; Rei, A; Dante, A; Bulfone, T; Viera, G; Palese, A

    2015-06-01

    In accordance with Knowles's theory, self-directed learning (SDL) may be improved with tutorial strategies focused on guided reflection and critical analysis of the learning process. No evidence on effects on SDL abilities of different tutorial strategies offered to nursing students during the 1st clinical experience is available. To evaluate the effect of different tutorial strategies offered to nursing students on their SDL abilities. A pre-post intervention non-equivalent control group design was adopted in 2013. For the treatment group, structured and intensive tutorial interventions including different strategies such as briefing, debriefing, peer support, Socratic questioning, performed by university tutors were offered during the 1st clinical experience; for the control group, unstructured and non-intensive tutorial strategies were instead offered. Two Bachelor of Nursing Degree. Students awaiting their clinical experience (n=238) were the target sample. Those students who have completed the pre- and the post-intervention evaluation (201; 84.4%) were included in the analysis. SDL abilities were measured with the SRSSDL_ITA (Self Rating Scale of Self Directed Learning-Italian Version). A multiple linear regression analysis was developed to explore the predictive effect of individual, contextual and intervention variables. Three main factors explained the 36.8% of the adjusted variance in SDL scores have emerged: a) having received a lower clinical nurse-to-student supervision (B 9.086, β 2.874), b) having received higher level and structured tutorial intervention by university tutors (B 8.011, β 2.741), and c) having reported higher SDL scores at the baseline (B .550, β .556). A lower clinical nurse-to-student ratio (1:4), accompanied by unstructured and non-intensive tutorial intervention adopted by university tutors, seemed to be equivalent to an intensive clinical supervision (1:1) accompanied by higher level and structured tutorial strategies activated

  7. Quark radiation from LEP

    Energy Technology Data Exchange (ETDEWEB)

    Cartwright, Susan

    1992-04-15

    Like any other electrically charged particles, quarks should give out electromagnetic radiation (photons) when they vibrate. One of the physics results from CERN's LEP collider is the first clear observation of this quark radiation from electron-positron collisions. At lower energies this radiation could only be inferred.

  8. LEP vacuum chamber, prototype

    CERN Multimedia

    CERN PhotoLab

    1983-01-01

    Final prototype for the LEP vacuum chamber, see 8305170 for more details. Here we see the strips of the NEG pump, providing "distributed pumping". The strips are made from a Zr-Ti-Fe alloy. By passing an electrical current, they were heated to 700 deg C.

  9. Effectiveness of interventions for the development of leadership skills among nurses: a systematic review protocol.

    Science.gov (United States)

    Darragh, Michael; Traynor, Victoria; Joyce-McCoach, Joanne

    2016-06-01

    What interventions are the most effective for the development of leadership skills for nurses?The review objective is to systematically review the evidence to identify the effectiveness of interventions for the development of leadership skills among nurses. Centre for Evidence-based Initiatives in Health Care - University of Wollongong: an Affiliate Center of the Joanna Briggs Institute.

  10. Precision Experiments at LEP

    CERN Document Server

    de Boer, Wim

    2015-01-01

    The Large Electron Positron Collider (LEP) established the Standard Model (SM) of particle physics with unprecedented precision, including all its radiative corrections. These led to predictions for the masses of the top quark and Higgs boson, which were beautifully confirmed later on. After these precision measurements the Nobel Prize in Physics was awarded in 1999 jointly to 't Hooft and Veltman "for elucidating the quantum structure of electroweak interactions in physics". Another hallmark of the LEP results were the precise measurements of the gauge coupling constants, which excluded unification of the forces within the SM, but allowed unification within the supersymmetric extension of the SM. This increased the interest in Supersymmetry (SUSY) and Grand Unified Theories, especially since the SM has no candidate for the elusive dark matter, while Supersymmetry provides an excellent candidate for dark matter. In addition, Supersymmetry removes the quadratic divergencies of the SM and {\\it predicts} the Hig...

  11. Using ACHIS to Analyze Nursing Health Promotion Interventions for Vulnerable Populations in a Community Nursing Center: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Woi-Hyun S. Hong

    2009-09-01

    Conclusion: This research adds to the understanding of the importance of nurses' interventions toward health promotion with the vulnerable population. This preliminary analysis suggests that the ACHIS provide a clinical information system for collecting, storing, processing, retrieving, and managing clinical data in a data repository. [Asian Nursing Research 2009;3(3:130–138

  12. Searches for Higgs bosons and supersymmetry at LEP

    CERN Document Server

    van Vulpen, I B

    2004-01-01

    This note presents an overview of the main results from searches for Higgs bosons and supersymmetry at LEP. Most of the results presented here are combined results from the four LEP experiments (ALEPH, DELPHI, L3 and OPAL). No signal is observed and the (negative) search results are interpreted in a wide class of models allowing parameter space to be excluded. All limits are set at 95% CL.

  13. LEP a new instrument for high-energy physics

    CERN Document Server

    Udo, Fred

    1981-01-01

    Describes the LEP project of CERN. LEP (large electron/positron storage ring) is to be used to investigate electron/positron collisions at 44 to 260 GeV. The circumference of the ring will be 30.6 km. The theory is outlined. Two circular systems of beam bundles (electrons and positrons) move in opposite directions and are accelerated and focused (to 0.4 mm diameter) until collisions take place. (11 refs).

  14. LEP asymmetries and fits of the standard model

    International Nuclear Information System (INIS)

    Pietrzyk, B.

    1994-01-01

    The lepton and quark asymmetries measured at LEP are presented. The results of the Standard Model fits to the electroweak data presented at this conference are given. The top mass obtained from the fit to the LEP data is 172 -14-20 +13+18 GeV; it is 177 -11-19 +11+18 when also the collider, ν and A LR data are included. (author). 10 refs., 3 figs., 2 tabs

  15. LEP vacuum chamber, early prototype

    CERN Multimedia

    CERN PhotoLab

    1978-01-01

    The structure of LEP, with long bending magnets and little access to the vacuum chamber between them, required distributed pumping. This is an early prototype for the LEP vacuum chamber, made from extruded aluminium. The main opening is for the beam. The small channel to the right is for cooling water, to carry away the heat deposited by the synchroton radiation from the beam. The 4 slots in the channel to the left house the strip-shaped ion-getter pumps (see 7810255). The ion-getter pumps depended on the magnetic field of the bending magnets, too low at injection energy for the pumps to function well. Also, a different design was required outside the bending magnets. This design was therefore abandoned, in favour of a thermal getter pump (see 8301153 and 8305170).

  16. Registering Nursing Interventions in Electronic Environments in Accordance with Nursing Process: an Example from Turkey

    Directory of Open Access Journals (Sweden)

    Fatma Ay

    2013-01-01

    Full Text Available Background: As being a professional occupation, development of nursing is affected by technological advancements in other fields. Aim of nursing is offering a safe, efficient and quality care. In general, lots of data, both quantitive and qualitative, is registered by nurses to the system of health records. Also usage of care plansadapted to computer environment has the benefits like eased risk management and analysis, standardization of given care, establishment of the communication between multi-discipliner care members, eased reading of documents.Aim: To determine the characteristics of electronic records to be able to employ nursing process successfully, a computer software which takes into account and reflects both the thinking process and condition of working places needs to be developed.Results: While computer and care plan usage have many positive ways, generally in Turkey it’s observed that usage of both are not at a desired level in nursing services. The computer software which is used to improve patient care quality must have qualities like being systematic, permanent, enabling diagnosises to be analyzed viadiscussions and to be systematically assessed, and giving guidance to nursing applications.Conclusion: Electronic patient registration system used by nurses should make time-saving possible, be easily used with easy menus, save all applications exactly, have warning and alarm systems, display necessary interventions at appropriate times, be a guide for patient care.

  17. Quark radiation from LEP

    International Nuclear Information System (INIS)

    Cartwright, Susan

    1992-01-01

    Like any other electrically charged particles, quarks should give out electromagnetic radiation (photons) when they vibrate. One of the physics results from CERN's LEP collider is the first clear observation of this quark radiation from electron-positron collisions. At lower energies this radiation could only be inferred

  18. Nursing interventions for rehabilitation in Parkinson's disease: cross mapping of terms.

    Science.gov (United States)

    Tosin, Michelle Hyczy de Siqueira; Campos, Débora Moraes; Andrade, Leonardo Tadeu de; Oliveira, Beatriz Guitton Renaud Baptista de; Santana, Rosimere Ferreira

    2016-08-08

    to perform a cross-term mapping of nursing language in the patient record with the Nursing Interventions Classification system, in rehabilitation patients with Parkinson's disease. a documentary research study to perform cross mapping. A probabilistic, simple random sample composed of 67 records of patients with Parkinson's disease who participated in a rehabilitation program, between March of 2009 and April of 2013. The research was conducted in three stages, in which the nursing terms were mapped to natural language and crossed with the Nursing Interventions Classification. a total of 1,077 standard interventions that, after crossing with the taxonomy and refinement performed by the experts, resulted in 32 interventions equivalent to the Nursing Interventions Classification (NIC) system. The NICs, "Education: The process of the disease.", "Contract with the patient", and "Facilitation of Learning" were present in 100% of the records. For these interventions, 40 activities were described, representing 13 activities by intervention. the cross mapping allowed for the identification of corresponding terms with the nursing interventions used every day in rehabilitation nursing, and compared them to the Nursing Interventions Classification. realizar o mapeamento cruzado de termos da linguagem de Enfermagem, com o sistema de Classificação das Intervenções de Enfermagem, em prontuários de pacientes com doença de Parkinson em reabilitação. estudo de pesquisa documental, para realização de mapeamento cruzado. Amostra probabilística, do tipo aleatória simples, composta por 67 prontuários de pacientes com doença de Parkinson que participaram de programa de reabilitação, entre março de 2009 e abril de 2013. Pesquisa realizada em três etapas onde foram mapeados os termos de Enfermagem em linguagem livre e cruzados com o sistema de Classificação das Intervenções de Enfermagem. foram identificadas 1.077 intervenções normalizadas que, após o cruzamento

  19. LEP and results obtained by DELPHI after four years of operation; LEP i wyniki uzyskane przez DELPHI po czterech latach dzialania

    Energy Technology Data Exchange (ETDEWEB)

    Blocki, J. [Warsaw Univ. (Poland). Inst. Fizyki Doswiadczalnej; Brueckman de Renstrom, P.; Budziak, A. [Institute of Nuclear Physics, Cracow (Poland)] [and others

    1993-10-01

    We characterize the most important problems of modern elementary particles physics, for the solution of which the LEP (Large Electron Positron) accelerator was built. We present the characteristics of this accelerator. The structure and properties of the DELPHI detector are described with special emphasis on the contribution of Polish groups. The most important results obtained so far in the LEP accelerator are discussed. (author). 12 refs, 17 figs, 1 tab.

  20. Electroacoustic oscillations in the LEP SC. cavities

    CERN Document Server

    Boussard, Daniel; Tückmantel, Joachim

    1996-01-01

    The LEP superconducting cavities have been plagued by electroacoustic oscillations. Tests have been done to eliminate these by a special feed-back loop in the tuning circuit as well as a feed-forward path, but they could only be eliminated safely up to the design field by running the cavities close to tune neglecting beam-loading compensation. This technique proved successful during the first LEP2 test run at 70 GeV. The mechanism and essential parameters driving these oscillations have been analysed as well as the corresponding stronger loading of the power coupler.

  1. Measurement of the W mass at LEP

    CERN Document Server

    Przysiezniak, H

    2000-01-01

    The mass of the W boson is measured using W pair events collected with the ALEPH, DELPHI, L3 and OPAL detectors at LEP2. Three methods are used: the cross section method, the lepton energy spectrum method and the direct reconstruction method, where the latter is described more in detail. For data collected at E/sub cm/=161, 172 and 183 GeV, the following combined preliminary result is obtained: M/sub W//sup LEP/=80.37+or-0.08 GeV/c/sup 2/. (5 refs).

  2. Geriatric Nursing Assessment and Intervention in an Emergency Department – a Pilot Study

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Wagner, Lis; Henriksen, Carsten

    2012-01-01

    Aim To describe and test a model for structured nursing assessment and intervention to older people discharged from Emergency Department (ED). Background Older people recently discharged from hospital are at high risk of readmission. This risk may increase when they are discharged straight home...... and intervenes at discharge from ED, and at follow-up. However a randomized controlled test should be carried out to confirm this. Relevance to clinical practice Nursing assessment and intervention should be implemented in the ED to reduce older peoples’ unrevealed problems....

  3. Soft gluon coherence at LEP

    International Nuclear Information System (INIS)

    Gaidot, A.

    1993-01-01

    After a brief overview of the experimental status on colour coherence at LEP we will focus on two recent approaches to the subject: the sub-jet multiplicities and the azimuthal correlations between pair of particles. (author)

  4. Software development to support decision making in the selection of nursing diagnoses and interventions for children and adolescents.

    Science.gov (United States)

    Silva, Kenya de Lima; Évora, Yolanda Dora Martinez; Cintra, Camila Santana Justo

    2015-01-01

    to report the development of a software to support decision-making for the selection of nursing diagnoses and interventions for children and adolescents, based on the nomenclature of nursing diagnoses, outcomes and interventions of a university hospital in Paraiba. a methodological applied study based on software engineering, as proposed by Pressman, developed in three cycles, namely: flow chart construction, development of the navigation interface, and construction of functional expressions and programming development. the software consists of administrative and nursing process screens. The assessment is automatically selected according to age group, the nursing diagnoses are suggested by the system after information is inserted, and can be indicated by the nurse. The interventions for the chosen diagnosis are selected by structuring the care plan. the development of this tool used to document the nursing actions will contribute to decision-making and quality of care.

  5. Effect of an Ergonomics-Based Educational Intervention Based on Transtheoretical Model in Adopting Correct Body Posture Among Operating Room Nurses.

    Science.gov (United States)

    Moazzami, Zeinab; Dehdari, Tahere; Taghdisi, Mohammad Hosein; Soltanian, Alireza

    2015-11-03

    One of the preventive strategies for chronic low back pain among operating room nurses is instructing proper body mechanics and postural behavior, for which the use of the Transtheoretical Model (TTM) has been recommended. Eighty two nurses who were in the contemplation and preparation stages for adopting correct body posture were randomly selected (control group = 40, intervention group = 42). TTM variables and body posture were measured at baseline and again after 1 and 6 months after the intervention. A four-week ergonomics educational intervention based on TTM variables was designed and conducted for the nurses in the intervention group. Following the intervention, a higher proportion of nurses in the intervention group moved into the action stage (p 0.05) after the intervention. The TTM provides a suitable framework for developing stage-based ergonomics interventions for postural behavior.

  6. A Multidisciplinary Workplace Intervention for Chronic Low Back Pain among Nursing Assistants in Iran.

    Science.gov (United States)

    Shojaei, Sarallah; Tavafian, Sedigheh Sadat; Jamshidi, Ahmad Reza; Wagner, Joan

    2017-06-01

    Interventional research with a 6-month follow-up period. We aimed to establish the effectiveness of a multidisciplinary workplace intervention on reduction of work-related low back pain (WRLBP), using ergonomic posture training coupled with an educational program based on social cognitive theory. WRLBP is a major occupational problem among healthcare workers, who are often required to lift heavy loads. Patient handling is a particular requirement of nurse aides, and has been reported as the main cause of chronic WRLBP. We included 125 nursing assistants from two hospitals affiliated to Qom University of Medical Sciences from May to December 2015. There was an intervention hospital with a number of 63 nursing assistants who received four multidisciplinary educational sessions for 2 hours each plus ergonomic posture training over two days and a control hospital with a number of 62 nursing assistants who didn't receive educational intervention about low back pain. The outcomes of interest were reductions in WRLBP intensity and disability from baseline to the follow up at 6 months, which were measured using a visual analog scale and the Quebec Disability Scale. Descriptive and analytical statistics were used to analyze the data. The comparison tests showed significant change from baseline in reduction of WRLBP intensity following the multidisciplinary program, with scores of 5.01±1.97 to 3.42±2.53 after 6 months on the visual analog scale in the intervention group ( p working in hospitals.

  7. Conditions, interventions, and outcomes in nursing research: a comparative analysis of North American and European/International journals. (1981-1990).

    Science.gov (United States)

    Abraham, I L; Chalifoux, Z L; Evers, G C; De Geest, S

    1995-04-01

    This study compared the conceptual foci and methodological characteristics of research projects which tested the effects of nursing interventions, published in four general nursing research journals with predominantly North American, and two with predominantly European/International authorship and readership. Dimensions and variables of comparison included: nature of subjects, design issues, statistical methodology, statistical power, and types of interventions and outcomes. Although some differences emerged, the most striking and consistent finding was that there were no statistically significant differences (and thus similarities) in the content foci and methodological parameters of the intervention studies published in both groups of journals. We conclude that European/International and North American nursing intervention studies, as reported in major general nursing research journals, are highly similar in the parameters studied, yet in need of overall improvement. Certainly, there is no empirical support for the common (explicit or implicit) ethnocentric American bias that leadership in nursing intervention research resides with and in the United States of America.

  8. Testing the tau lepton universality at LEP

    CERN Document Server

    Dittmar, M

    1991-01-01

    Measurements of r lepton production and its decay properties at LEP are reviewed and compared with the corresponding µ results. Excellent agreement of lepton universality in z0 decays has been found, taking the average values from the four LEP experiments, the ratio of the partial width for z0 decays into r- and µ pairs is 0.996 ± 0.016. The search for flavour changing leptonic z0 decays is discussed; from the absence of any signal, stringent limits (95% c.l.) of the zo branching ratio of 7.2 x 10-5 and 35 x io-5 were obtained for z0 decays into er and µr. The first preliminary results on leptonic r branching ratios are in good agreement with the world average. Therefore the existing two sigma puzzle, the too small leptonic branching ratio or the too long r lifetime, remains. These first results indicate also that much higher precision should be achieved during the next years of LEP, sufficient to establish or resolve this problem. Finally, the r polarisation measurements are compared. The most accurate m...

  9. Assessment of an educational intervention based on constructivism in nursing students from a Mexican public university.

    Science.gov (United States)

    Jiménez Trujano, Laura; Morán Peña, Laura

    2015-12-01

    This work sought to evaluate the effect of an educational intervention centered on the analysis of clinical cases to inquire on conceptual learning in students on the theme of nursing care of women with complicated puerperium. This was a quasi-experimental study with before and after evaluation. Two groups of students participated from the eighth semester of the nursing program, which professionalized individuals who were already nursing technicians: the study group (n = 33) was taught the theme of nursing care to women with complicated puerperium with the case analysis technique and the control group (n = 27) received traditional teaching. A self-applied question here was used related to the thematic unit, which included three clinical cases and the resolution of a total of 37 questions related to set cases. This questionnaire was the same applied before and after the intervention. The pre-intervention mean score was similar in both groups (26 during the study and 27 during the intervention). Upon completing the educational intervention, the post-intervention scores were equal in both groups (27 points). The intra-group analysis showed that in the study group the intervention produced a slight change in conceptual learning, which was statistically significant. During the post-hoc analysis differences in scores were found in students who worked in hospitals with tier three level of care. Educational intervention favored conceptual learning slightly in the study group. It is necessary to explore other intervening variables that propitiate this learning in the program.

  10. Compositeness at LEP

    International Nuclear Information System (INIS)

    Bardadin-Otwinowska, M.

    1992-01-01

    Searches for compositeness made by four LEP collaborations are reported. Limits are set on excited fermion masses and couplings. A limit on the branching ratio Z→γγγ is determined. Four-fermion and two-fermion, two-boson contact terms are studied in the reactions e + e - →l + l - and e + e - →γγ respectively and limits are obtained on the energy scale of a new interaction

  11. The consent process in interventional radiology: the role of specialist nurses

    International Nuclear Information System (INIS)

    Davies, L.; Laasch, H.-U.; Wilbraham, L.; Marriott, A.; England, R.E.; Martin, D.F.

    2004-01-01

    AIMS: To evaluate the impact of patient education by specialist nurses on patients' understanding of interventional procedures, their anxiety levels and satisfaction with the given information. MATERIALS AND METHODS: Sixty patients attending the radiology department for gastrointestinal interventional procedures were interviewed. Patients were assessed using a combination of categorical and visual analogue scales. Parameters were assessed on admission and after additional information had been given by specialist nurses. After the procedure patients were asked to rate the quality of information given and their overall satisfaction. RESULTS: Four of the 60 patients were excluded due to a Mini Mental Test score of <7. Only 35 (62.5%) claimed to have been given information by the referring consultant. Fifty-three patients received additional information before formally giving consent, 50 (96.2%) from the specialist nurses. Patient anxiety before and after information did not significantly change (p=0.52), but there was significant improvement in levels of satisfaction (p=0.001) and perceived understanding (p<0.001). Patients rated overall quality of information at an average of 9.2/10 and overall satisfaction was high (median=9.1/10). CONCLUSION: The use of specialist nurses to educate patients greatly increases patient understanding. The process of informed consent is improved and patient satisfaction is increased

  12. The consent process in interventional radiology: the role of specialist nurses

    Energy Technology Data Exchange (ETDEWEB)

    Davies, L.; Laasch, H.-U.; Wilbraham, L.; Marriott, A.; England, R.E.; Martin, D.F. E-mail: derrick.martin@smtr.nhs.uk

    2004-03-01

    AIMS: To evaluate the impact of patient education by specialist nurses on patients' understanding of interventional procedures, their anxiety levels and satisfaction with the given information. MATERIALS AND METHODS: Sixty patients attending the radiology department for gastrointestinal interventional procedures were interviewed. Patients were assessed using a combination of categorical and visual analogue scales. Parameters were assessed on admission and after additional information had been given by specialist nurses. After the procedure patients were asked to rate the quality of information given and their overall satisfaction. RESULTS: Four of the 60 patients were excluded due to a Mini Mental Test score of <7. Only 35 (62.5%) claimed to have been given information by the referring consultant. Fifty-three patients received additional information before formally giving consent, 50 (96.2%) from the specialist nurses. Patient anxiety before and after information did not significantly change (p=0.52), but there was significant improvement in levels of satisfaction (p=0.001) and perceived understanding (p<0.001). Patients rated overall quality of information at an average of 9.2/10 and overall satisfaction was high (median=9.1/10). CONCLUSION: The use of specialist nurses to educate patients greatly increases patient understanding. The process of informed consent is improved and patient satisfaction is increased.

  13. Organisational intervention to reduce occupational stress and turnover in hospital nurses in the Northern Territory, Australia.

    Science.gov (United States)

    Rickard, Greg; Lenthall, Sue; Dollard, Maureen; Opie, Tessa; Knight, Sabina; Dunn, Sandra; Wakerman, John; MacLeod, Martha; Seller, Jo; Brewster-Webb, Denise

    2012-01-01

    To evaluate the impact of an organisational intervention aimed to reduce occupational stress and turnover rates of 55% in hospital nurses. The evaluation used a pre- and post-intervention design, triangulating data from surveys and archival information. Two public hospitals (H1 and H2) in the Northern Territory (NT) Australia participated in the intervention. 484 nurses from the two NT hospitals (H1, Wave 1, N = 103, Wave 2, N = 173; H2, Wave 1, N = 75, Wave 2, N = 133) responded to questionnaires administered in 2008 and in 2010. The intervention included strategies such as the development and implementation of a nursing workload tool to assess nurse workloads, roster audits, increased numbers of nursing personnel to address shortfall, increased access to clinical supervision and support for graduates, increased access to professional development including postgraduate and short courses, and a recruitment campaign for new graduates and continuing employees. We used an extended Job Demand-Resources framework to evaluate the intervention and 17 evaluation indicators canvassing psychological distress, emotional exhaustion, work engagement, job satisfaction, job demands, job resources, and system factors such as psychosocial safety climate. Turnover rates were obtained from archival data. Results demonstrated a significant reduction in psychological distress and emotional exhaustion and a significant improvement in job satisfaction, across both hospitals, and a reduction in turnover in H2 from 2008 and 2010. Evidence suggests that the intervention led to significant improvements in system capacity (adaptability, communication) in combination with a reduction in job demands in both hospitals, and an increase in resources (supervisor and coworker support, and job control) particularly in H1. The research addresses a gap in the theoretical and intervention literature regarding system/organisation level approaches to occupational stress. The approach was very successful

  14. Niobium LEP 2 accelerating cavities

    CERN Multimedia

    An accelerating cavity from LEP. This could be cut open to show the layer of niobium on the inside. Operating at 4.2 degrees above absolute zero, the niobium is superconducting and carries an accelerating field of 6 million volts per metre with negligible losses. Each cavity has a surface of 6 m2. The niobium layer is only 1.2 microns thick, ten times thinner than a hair. Such a large area had never been coated to such a high accuracy. A speck of dust could ruin the performance of the whole cavity so the work had to be done in an extremely clean environment. These challenging requirements pushed European industry to new achievements. 256 of these cavities were used in an upgrade of the LEP accelerator to double the energy of the particle beams.

  15. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses.

    Science.gov (United States)

    Öztürk Birge, Ayşegül; Tel Aydin, Hatice

    2017-08-01

    This study aims to investigate the effect of nonpharmacological intervention training on delirium recognition and the intervention strategies of intensive care (ICU) nurses. This is a quasi-experimental study conducted using a pretest-posttest design. The study sample included a total of 95 patients staying in the medical ICU of a university hospital and 19 nurses working in these units. The data were collected using the Patient and Nurse Introduction, Confusion Assessment Method for the ICU, and Delirium Risk Factors, and Non-pharmacological Interventions in Delirium Prevention Forms. Delirium was identified in 26.5% and 20.9% of the patients in the pre- and posttraining phase, respectively. Patients with delirium had a longer duration of stay in the ICU, lower mean Glasgow Coma Scale score and a higher number of medications in daily treatment (pdelirium increased 8.5-fold by physical restriction and 3.4-fold by the presence of hypo/hypernatremia. The delirium recognition rate of nurses increased from 7.7% to 33.3% in the post-training phase. Our study results show that training can increase the efficiency of ICU nurses in the management of delirium. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Purification and characterization of Lep d I, a major allergen from the mite Lepidoglyphus destructor.

    Science.gov (United States)

    Ventas, P; Carreira, J; Polo, F

    1992-04-01

    A major allergen of the storage mite Lepidoglyphus destructor (Lep d I) has been purified by affinity chromatography using an anti-Lep d I monoclonal antibody. The purity of the protein obtained by this procedure was assessed by reverse-phase HPLC. Lep d I displayed a molecular weight of 14 kD on SDS-PAGE under non-reducing conditions, and 16 kD in the presence of a reducing agent. Analytical IEF revealed a little charge microheterogeneity, showing three bands with pIs 7.6-7.8. Purified Lep d I retained IgE-binding ability, as proved by immunoblotting experiments after SDS-PAGE and RAST with individual sera from L. destructor-sensitive patients. Results from the latter technique demonstrated that 87% of L. destructor-allergic patients had specific IgE to Lep d I, and a good correlation between IgE reactivity with L. destructor extract and Lep d I was found. In addition, RAST inhibition experiments showed that IgE-binding sites on Lep d I are major L. destructor-allergenic determinants, since Lep d I could inhibit up to 75% the binding of specific IgE to L. destructor extract; on the other hand, Lep d I did not cross-react with D. pteronyssinus allergens.

  17. Software development to support decision making in the selection of nursing diagnoses and interventions for children and adolescents

    Directory of Open Access Journals (Sweden)

    Kenya de Lima Silva

    2015-10-01

    Full Text Available Objective: to report the development of a software to support decision-making for the selection of nursing diagnoses and interventions for children and adolescents, based on the nomenclature of nursing diagnoses, outcomes and interventions of a university hospital in Paraiba.Method: a methodological applied study based on software engineering, as proposed by Pressman, developed in three cycles, namely: flow chart construction, development of the navigation interface, and construction of functional expressions and programming development.Result: the software consists of administrative and nursing process screens. The assessment is automatically selected according to age group, the nursing diagnoses are suggested by the system after information is inserted, and can be indicated by the nurse. The interventions for the chosen diagnosis are selected by structuring the care plan.Conclusion: the development of this tool used to document the nursing actions will contribute to decision-making and quality of care.

  18. A Business Case Framework for Planning Clinical Nurse Specialist-Led Interventions.

    Science.gov (United States)

    Bartlett Ellis, Rebecca J; Embree, Jennifer L; Ellis, Kurt G

    2015-01-01

    The purpose of this article is to describe a business case framework that can guide clinical nurse specialists (CNS) in clinical intervention development. Increased emphasis on cost-effective interventions in healthcare requires skills in analyzing the need to make the business case, especially for resource-intensive interventions. This framework assists the CNS to anticipate resource use and then consider if the intervention makes good business sense. We describe a business case framework that can assist the CNS to fully explore the problem and determine if developing an intervention is a good investment. We describe several analyses that facilitate making the business case to include the following: problem identification and alignment with strategic priorities, needs assessment, stakeholder analysis, market analysis, intervention implementation planning, financial analysis, and outcome evaluation. The findings from these analyses can be used to develop a formal proposal to present to hospital leaders in a position to make decisions. By aligning intervention planning with organizational priorities and engaging patients in the process, interventions will be more likely to be implemented in practice and produce robust outcomes. The business case framework can be used to justify to organization decision makers the need to invest resources in new interventions that will make a difference for quality outcomes as well as the financial bottom line. This framework can be used to plan interventions that align with organizational strategic priorities, plan for associated costs and benefits, and outcome evaluation. Clinical nurse specialists are well positioned to lead clinical intervention projects that will improve the quality of patient care and be cost-effective. To do so requires skill development in making the business case.

  19. A pilot study on the feasibility of training nurses to formulate multicomponent oral health interventions in a residential aged care facility.

    Science.gov (United States)

    Deutsch, Alan; Siegel, Emma; Cations, Monica; Wright, Clive; Naganathan, Vasi; Brodaty, Henry

    2017-12-01

    This 10 weeks feasibility study investigated whether residential care nurses with 12 hours advanced oral health training in assessments and saliva testing could formulate, implement and monitor individualised oral care plans of early dementia residents. Four trained lead advocate nurses using SXI-D, OHIP14, oral health assessment tool (OHAT) assessments and a modified saliva test formulated nurse scheduled comprehensive oral care plans (NSCOCPs) by selecting and scheduling preventive products and procedures multiple times throughout the day to alkalise the mouth of 8 residents as an adjunct to assisted brushing and high-fluoride toothpaste. Nurse assessments, saliva tests and care plans were validated against oral health therapist (OHT) findings. Care plan agreement between Nurse and OHT intervention selection and scheduling was high (75%-88%). Untrained nurse compliance was very high, 86%-99% for the 4930 scheduled interventions. Untrained nurses delivered multiple scheduled interventions by following NSCOCPs despite initially not understanding the reason for each of 9 interventions categories. NSCOCPs could track and monitor whether a recommended intervention had been completed by general nursing staff over 3 nursing shifts. The role of nurses may have to be expanded beyond traditional roles to meet the growth and changes in oral health needs in residential facilities. Intensive training of a few lead advocate nurses to assess risk and formulate individualised NSCOCPs provides a method to transfer knowledge to untrained staff and deliver multicomponent preventive interventions soon after entry into residential care where timely visits by dental professionals to examine residents and prescribe preventive interventions are infrequent or unlikely. © 2017 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd.

  20. The Impact of an Educational Program in Brief Interventions for Alcohol Problems on Undergraduate Nursing Students: A Brazilian Context.

    Science.gov (United States)

    Junqueira, Marcelle Aparecida de Barros; Rassool, G Hussein; Santos, Manoel Antônio dos; Pillon, Sandra Cristina

    2015-01-01

    Nurses are the prime movers in the prevention and harm reduction in alcohol-related harm especially for those patients who are unwilling to access specialist care. The aim of the study is to evaluate the attitudes and knowledge of nursing students before and after Brief Intervention Training for alcohol problems. A quasi-experimental study was conducted with 120 undergraduate nursing students. Sixty recruited students were randomized into experimental and control groups (n = 60 each). Participants completed questionnaires on knowledge and attitudes before and after this training of brief intervention. The brief intervention program, 16 hours of duration, includes training for screening and early recognition, nursing, and the treatment of alcohol problems. Analysis of the data showed statistically significant positive change in the nursing students' knowledge (identifications and care) and personal and professional attitudes in working with patients with alcohol problems after the educational intervention. The experimental group differed significantly in all the variables measured at posteducational program. The provision of educational program on brief intervention in undergraduate nursing education can be an effective way for acquisition of knowledge and changes in attitudes in working with patients with alcohol problems.

  1. [Nursing interventions on the physical environment of Neonatal Intensive Care Units].

    Science.gov (United States)

    Miquel Capó Rn, I

    2016-01-01

    The objectives of this study are to analyse nursing interventions regarding noise and lighting that influence neurodevelopment of the preterm infant in the Neonatal Intensive Care Unit. A review of the literature was performed using the databases: Cuiden Plus, PubMed, IBECS and Cochrane Library Plus. The inclusion and exclusion criteria were established in accordance with the objectives and limits used in each database. Of the 35 articles used, most were descriptive quantitative studies based on the measurement of sound pressure levels and lighting in the Neonatal Intensive Care Units. The countries included in this study are Brazil and the United States, and the variables analysed were the recording the times of light and noise. Based on the high levels of light and noise recorded in the Neonatal Intensive Care Units, nursing interventions that should be carried out to reduce them are described. The evidence indicates that after the implementation of these interventions, the high levels of both environmental stimuli are reduced significantly. Despite the extensive literature published on this problem, the levels of light and noise continue to exceed the recommended limits. Therefore, nurses need to increase and enhance their efforts in this environment, in order to positively influence neurodevelopment of premature newborn. Copyright © 2016 Elsevier España, S.L.U. y SEEIUC. All rights reserved.

  2. Lack of specific hybridization between the lep genes of Salmonella typhimurium and Bacillus licheniformis

    NARCIS (Netherlands)

    van Dijl, J M; Jong, de Anne; Smith, H; Bron, Sierd; Venema, G

    1991-01-01

    This paper describes an attempt to clone the Bacillus licheniformis lep gene, encoding signal peptidase, using the Salmonella typhimurium lep gene as a hybridization probe. Although a hybridizing fragment was obtained, DNA sequence analysis indicated that it did not contain the lep gene. Instead,

  3. Co-creative development of an eHealth nursing intervention: Self-management support for outpatients with cancer pain.

    Science.gov (United States)

    Hochstenbach, Laura M J; Courtens, Annemie M; Zwakhalen, Sandra M G; Vermeulen, Joan; van Kleef, Maarten; de Witte, Luc P

    2017-08-01

    Co-creative methods, having an iterative character and including different perspectives, allow for the development of complex nursing interventions. Information about the development process is essential in providing justification for the ultimate intervention and crucial in interpreting the outcomes of subsequent evaluations. This paper describes a co-creative method directed towards the development of an eHealth intervention delivered by registered nurses to support self-management in outpatients with cancer pain. Intervention development was divided into three consecutive phases (exploration of context, specification of content, organisation of care). In each phase, researchers and technicians addressed five iterative steps: research, ideas, prototyping, evaluation, and documentation. Health professionals and patients were consulted during research and evaluation steps. Collaboration of researchers, health professionals, patients and technicians was positive and valuable in optimising outcomes. The intervention includes a mobile application for patients and a web application for nurses. Patients are requested to monitor pain, adverse effects and medication intake, while being provided with graphical feedback, education and contact possibilities. Nurses monitor data, advise patients, and collaborate with the treating physician. Integration of patient self-management and professional care by means of eHealth key into well-known barriers and seem promising in improving cancer pain follow-up. Nurses are able to make substantial contributions because of their expertise, focus on daily living, and their bridging function between patients and health professionals in different care settings. Insights from the intervention development as well as the intervention content give thought for applications in different patients and care settings. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Mindfulness-based stress reduction: an intervention to enhance the effectiveness of nurses' coping with work-related stress.

    Science.gov (United States)

    Smith, Sarah A

    2014-06-01

    This critical literature review explored the current state of the science regarding mindfulness-based stress reduction (MBSR) as a potential intervention to improve the ability of nurses to effectively cope with stress. Literature sources include searches from EBSCOhost, Gale PowerSearch, ProQuest, PubMed Medline, Google Scholar, Online Journal of Issues in Nursing, and reference lists from relevant articles. Empirical evidence regarding utilizing MBSR with nurses and other healthcare professionals suggests several positive benefits including decreased stress, burnout, and anxiety; and increased empathy, focus, and mood. Nurse use of MBSR may be a key intervention to help improve nurses' ability to cope with stress and ultimately improve the quality of patient care provided. © 2014 NANDA International, Inc.

  5. Assessment of an educational intervention based on constructivism in nursing students from a Mexican public university

    Directory of Open Access Journals (Sweden)

    Laura Jiménez Trujano

    2015-12-01

    Full Text Available Objective.This work sought to evaluate the effect of an educational intervention centered on the analysis of clinical cases to inquire on conceptual learning in students on the theme of nursing care of women with complicated puerperium. Methodology. This was a quasi-experimental study with before and after evaluation. Two groups of students participated from the eighth semester of the nursing program, which professionalized individuals who were already nursing technicians: the study group (n = 33 was taught the theme of nursing care to women with complicated puerperium with the case analysis technique and the control group (n = 27 received traditional teaching. A self-applied question here was used related to the thematic unit, which included three clinical cases and the resolution of a total of 37 questions related to set cases. This questionnaire was the same applied before and after the intervention. Results. The pre-intervention mean score was similar in both groups (26 during the study and 27 during the intervention. Upon completing the educational intervention, the post-intervention scores were equal in both groups (27 points. The intra-group analysis showed that in the study group the intervention produced a slight change in conceptual learning, which was statistically significant. During the post-hoc analysis differences in scores were found in students who worked in hospitals with tier three level of care. Conclusion. Educational intervention favored conceptual learning slightly in the study group. It is necessary to explore other intervening variables that propitiate this learning in the program.

  6. Polarization at LEP: Status and prospects

    International Nuclear Information System (INIS)

    Koutchouk, J.P.

    1993-01-01

    The first evidence of a measurable signal of transverse polarization was observed at the end of 1990. In 1991, polarized beams were repeatedly obtained with average and peak polarization levels of 10 and 19% and used to calibrate the beam energy by resonant depolarization. Simulation studies show that the polarization level can be increased above the 50% by harmonic spin matching. This is sufficient to open the possibility of doing physics with longitudinally polarized beams. A spin rotator has been designed for LEP. The feasibility study of operating LEP in this mode concludes at the possibility of providing polarized beams at a good performance level, if the high photon background can be reduced to a tolerable level. (author). 10 refs, 3 figs, 5 tabs

  7. Conflicting priorities: evaluation of an intervention to improve nurse-parent relationships on a Tanzanian paediatric ward

    DEFF Research Database (Denmark)

    Manongi, Rachel N; Nasuwa, Fortunata R; Mwangi, Rose

    2009-01-01

    such as the Health Workers for Change initiative have been successful in improving provider-client relationships in various developing country settings, but have not yet been reported in the complex environment of hospital wards. We evaluated the HWC approach for improving the relationship between nurses and parents...... outcome of the intervention was not met. The priorities of the intervention--to improve nurse-parent relationships--did not match the priorities of the nursing staff. Development of awareness and empathy was not enough to provide care that was satisfactory to clients in the context of working conditions...

  8. Pediatric nurses' beliefs and pain management practices: an intervention pilot.

    Science.gov (United States)

    Van Hulle Vincent, Catherine; Wilkie, Diana J; Wang, Edward

    2011-10-01

    We evaluated feasibility of the Internet-based Relieve Children's Pain (RCP) protocol to improve nurses' management of children's pain. RCP is an interactive, content-focused, and Kolb's experiential learning theory-based intervention. Using a one-group, pretest-posttest design, we evaluated feasibility of RCP and pretest-posttest difference in scores for nurses' beliefs, and simulated and actual pain management practices. Twenty-four RNs completed an Internet-based Pain Beliefs and Practices Questionnaire (PBPQ, alpha=.83) before and after they completed the RCP and an Acceptability Scale afterward. Mean total PBPQ scores significantly improved from pretest to posttest as did simulated practice scores. After RCP in actual hospital practice, nurses administered significantly more ibuprofen and ketorolac and children's pain intensity significantly decreased. Findings showed strong evidence for the feasibility of RCP and study procedures and significant improvement in nurses' beliefs and pain management practices. The 2-hr RCP program is promising and warrants replication with an attention control group and a larger sample.

  9. Nursing interventions for promoting self-care of persons with type 2 diabetes: an integrative review

    Directory of Open Access Journals (Sweden)

    Glória Yanne Martins de Oliveira

    2016-12-01

    Full Text Available This is an integrative review aiming at analyzing and identifying the evidence available in the literature on nursing interventions to promote self-care for persons with type 2 diabetes mellitus. Data collection occurred in the Latin American and Caribbean Health Sciences (LILACS, MEDLINE (via EBSCO, Cumulative Index to Nursing and Allied Health Literature (CINAHL and SCOPUS. The survey of articles occurred in July and August 2015 by two independent reviewers. The initial search identified 239 articles and eight of them met the selection criteria. Health education has emerged as a strategic field for implementing nursing interventions. Interventions with patient monitoring and that provided more care time were more satisfactory regarding self-care practices. The Orem's Self-Care Deficit Theory is indicated as a guide to direct the educator in self-care of diabetic persons.

  10. Effectiveness of a multifactorial intervention to reduce physical restraints in nursing home residents.

    Science.gov (United States)

    Koczy, Petra; Becker, Clemens; Rapp, Kilian; Klie, Thomas; Beische, Denis; Büchele, Gisela; Kleiner, Andrea; Guerra, Virginia; Rissmann, Ulrich; Kurrle, Susan; Bredthauer, Doris

    2011-02-01

    To evaluate the effectiveness of a multifactorial intervention to reduce the use of physical restraints in residents of nursing homes. Cluster-randomized controlled trial. Forty-five nursing homes in Germany. Three hundred thirty-three residents who were being restrained at the start of the intervention. Persons responsible for the intervention in the nursing homes attended a 6-hour training course that included education about the reasons restraints are used, the adverse effects, and alternatives to their use. Technical aids, such as hip protectors and sensor mats, were provided. The training was designed to give the change agents tools for problem-solving to prevent behavioral symptoms and injuries from falls without using physical restraints. The main outcome was the complete cessation of physical restraint use on 3 consecutive days 3 months after the start of the intervention. Secondary outcomes were partial reductions in restraint use, percentage of fallers, number of psychoactive drugs, and occurrence of behavioral symptoms. The probability of being unrestrained in the intervention group (IG) was more than twice that in the control group (CG) at the end of the study (odds ratio=2.16, 95% confidence interval=1.05-4.46). A partial reduction of restraint use was also about twice as often achieved in the IG as in the CG. No negative effect was observed regarding medication or behavioral symptoms. The percentage of fallers was higher in the IG. The intervention reduced restraint use without a significant increase in falling, behavioral symptoms, or medication. © 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society.

  11. Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

    Science.gov (United States)

    Meddings, Jennifer; Saint, Sanjay; Krein, Sarah L.; Gaies, Elissa; Reichert, Heidi; Hickner, Andrew; McNamara, Sara; Mann, Jason D.; Mody, Lona

    2017-01-01

    BACKGROUND Urinary tract infections (UTIs) in nursing homes are common, costly, and morbid. PURPOSE Systematic literature review of strategies to reduce UTIs in nursing home residents DATA SOURCES Ovid MEDLINE, Cochrane Library, CINAHL, Web of Science and Embase through June 22, 2015. STUDY SELECTION Interventional studies with a comparison group reporting at least one outcome for: catheter-associated UTI (CAUTI), UTIs not identified as catheter-associated, bacteriuria, or urinary catheter use. DATA EXTRACTION Two authors abstracted study design, participant and intervention details, outcomes, and quality measures. DATA SYNTHESIS Of 5,794 records retrieved, 20 records describing 19 interventions were included: 8 randomized controlled trials, 10 pre-post non-randomized interventions, and 1 non-randomized intervention with concurrent controls. Quality (range 8-25, median 15) and outcome definitions varied greatly. Thirteen studies employed strategies to reduce catheter use or improve catheter care; nine studies employed general infection prevention strategies (e.g., improving hand hygiene, surveillance, contact precautions, reducing antibiotics). The nineteen studies reported 12 UTI outcomes, 9 CAUTI outcomes, 4 bacteriuria outcomes, and 5 catheter use outcomes. Five studies showed CAUTI reduction (1 significantly); nine studies showed UTI reduction (none significantly); 2 studies showed bacteriuria reduction (none significantly). Four studies showed reduced catheter use (1 significantly). LIMITATIONS Studies were often underpowered to assess statistical significance; none were pooled given variety of interventions and outcomes. CONCLUSIONS Several practices, often implemented in bundles, appear to reduce UTI or CAUTI in nursing home residents such as improving hand hygiene, reducing and improving catheter use, managing incontinence without catheters, and enhanced barrier precautions. PMID:28459908

  12. Nurses' experience of using an application to support new parents after early discharge: an intervention study.

    Science.gov (United States)

    Boe Danbjørg, Dorthe; Wagner, Lis; Rønde Kristensen, Bjarne; Clemensen, Jane

    2015-01-01

    Background. A development towards earlier postnatal discharge presents a challenge to find new ways to provide information and support to families. A possibility is the use of telemedicine. Objective. To explore how using an app in nursing practice affects the nurses' ability to offer support and information to postnatal mothers who are discharged early and their families. Design. Participatory design. An app with a chat, a knowledgebase, and automated messages was tried out between hospital and parents at home. Settings. The intervention took place on a postnatal ward with approximately 1,000 births a year. Participants. At the onset of the intervention, 17 nurses, all women, were working on the ward. At the end of the intervention, 16 nurses were employed, all women. Methods. Participant observation and two focus group interviews. The data analysis was inspired by systematic text condensation. Results. The nurses on the postnatal ward consider that the use of the app gives families easier access to timely information and support. Conclusions. The app gives the nurses the possibility to offer support and information to the parents being early discharged. The app is experienced as a lifeline that connects the homes of the new parents with the hospital.

  13. Heavy quark physics from LEP

    International Nuclear Information System (INIS)

    Dornan, P.J.

    1997-01-01

    A review of some of the latest results on heavy flavor physics from the LEP Collaborations is presented. The emphasis is on B physics, particularly new results and those where discrepancies is given of the many techniques which have been developed to permit these analyses

  14. Heavy quark physics from LEP

    Energy Technology Data Exchange (ETDEWEB)

    Dornan, P.J. [Imperial College of Science Technology and Medicine, London (United Kingdom)

    1997-01-01

    A review of some of the latest results on heavy flavor physics from the LEP Collaborations is presented. The emphasis is on B physics, particularly new results and those where discrepancies is given of the many techniques which have been developed to permit these analyses.

  15. LEP shines light on dark matter

    International Nuclear Information System (INIS)

    Fox, Patrick J.; Harnik, Roni; Kopp, Joachim; Tsai, Yuhsin

    2011-01-01

    Dark matter pair production at high energy colliders may leave observable signatures in the energy and momentum spectra of the objects recoiling against the dark matter. We use LEP data on monophoton events with large missing energy to constrain the coupling of dark matter to electrons. Within a large class of models, our limits are complementary to and competitive with limits on dark matter annihilation and on WIMP-nucleon scattering from indirect and direct searches. Our limits, however, do not suffer from systematic and astrophysical uncertainties associated with direct and indirect limits. For example, we are able to rule out light (< or approx. 10 GeV) thermal relic dark matter with universal couplings exclusively to charged leptons. In addition, for dark matter mass below about 80 GeV, LEP limits are stronger than Fermi constraints on annihilation into charged leptons in dwarf spheroidal galaxies. Within its kinematic reach, LEP also provides the strongest constraints on the spin-dependent direct detection cross section in models with universal couplings to both quarks and leptons. In such models the strongest limit is also set on spin-independent scattering for dark matter masses below ∼4 GeV. Throughout our discussion, we consider both low energy effective theories of dark matter, as well as several motivated renormalizable scenarios involving light mediators.

  16. Complications and nursing care in interventional treatment of diabetic foot via radial artery access

    International Nuclear Information System (INIS)

    Liu Lingyun; Zhou Xiaoxiang; Zeng Yongmei; Chen Junfei; Lai Lisha; Pang Pengfei; Zhu Kangshun

    2009-01-01

    Objective: To evaluate the therapeutic effect of interventional treatment via radial artery access for diabetic foot and to summarize its complications and nursing care. Methods: The interventional treatment via radial artery access was performed in twenty patients with diabetic foot. The preoperative psychological nursing care, the nursing of the punctured site of radial artery and the indwelling catheter, the complications of the puncture site and thrombolytic therapy were reviewed and retrospectively analyzed. Results: Some complications occurred in eight cases, including hematoma at puncture site (n= 1), oozing of blood (n=3), gingival bleeding (n=1) and pain (n=3). No retention of urine or infection occurred. Conclusion: It is very important to pay enough attention to the nursing care of puncture site and indwelling catheter sheath and to make a close observation of patient's condition in order to reduce the occurrence of complications. Rich clinical experience and careful observation after the operation can definitely reduce the occurrence of thrombolytic complications and improve the patient's living quality. (authors)

  17. Dysphagia in the patient after stroke: consequences and nurse intervention

    Directory of Open Access Journals (Sweden)

    Ana Frias

    2015-12-01

    Full Text Available Objectives: to check the consequences of poststroke dysphagia and to reflect on the nurse’s intervention in dysphagia rehabilitation. Methodology: it was performed a systematic literature review of the topic in question; research based on international databases EBSCOhost, LILACS, SciELO.We were able to identify some studies publications between 2006 and 2014. We intend to answer the guiding question: What are the consequences of dysphagia in the patient after stroke? » Results vs. Discussion: after a thorough analysis, we have selected 11 articles and found that the most frequent consequences of dysphagia are the pulmonary complications by saliva and/or food suction. The nurse specialist still has a barely visible role, but his/her interventions are critical in these patients rehabilitation. Conclusions: rehabilitation is essential to avoid the consequences of poststroke dysphagia. The rehabilitation process must go through a multidisciplinary team of which nurses are an integral and essential part.

  18. Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach.

    Science.gov (United States)

    Cassista, Julianne; Payne-Gagnon, Julie; Martel, Brigitte; Gagnon, Marie-Pierre

    2014-01-01

    The manipulation of glass ampoules involves risk of particle contamination of parenteral medication, and the use of filter needles has often been recommended in order to reduce the number of particles in these solutions. This study aims to develop a theory-based intervention to increase nurse intention to use filter needles according to clinical guideline recommendations produced by a large university medical centre in Quebec (Canada). Using the Intervention Mapping framework, we first identified the psychosocial determinants of nurse intention to use filter needles according to these recommendations. Second, we developed and implemented an intervention targeting nurses from five care units in order to increase their intention to adhere to recommendations on the use of filter needles. We also assessed nurse satisfaction with the intervention. In total, 270 nurses received the intervention and 169 completed the posttest questionnaire. The two determinants of intention, that is, attitude and perceived behavioral control, were significantly higher after the intervention, but only perceived behavioral control remained a predictor of intention. In general, nurses were highly satisfied with the intervention. This study provides support for the use of Intervention Mapping to develop, implement, and evaluate theory-based interventions in order to improve healthcare professional adherence to clinical recommendations.

  19. Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach

    Directory of Open Access Journals (Sweden)

    Julianne Cassista

    2014-01-01

    Full Text Available The manipulation of glass ampoules involves risk of particle contamination of parenteral medication, and the use of filter needles has often been recommended in order to reduce the number of particles in these solutions. This study aims to develop a theory-based intervention to increase nurse intention to use filter needles according to clinical guideline recommendations produced by a large university medical centre in Quebec (Canada. Using the Intervention Mapping framework, we first identified the psychosocial determinants of nurse intention to use filter needles according to these recommendations. Second, we developed and implemented an intervention targeting nurses from five care units in order to increase their intention to adhere to recommendations on the use of filter needles. We also assessed nurse satisfaction with the intervention. In total, 270 nurses received the intervention and 169 completed the posttest questionnaire. The two determinants of intention, that is, attitude and perceived behavioral control, were significantly higher after the intervention, but only perceived behavioral control remained a predictor of intention. In general, nurses were highly satisfied with the intervention. This study provides support for the use of Intervention Mapping to develop, implement, and evaluate theory-based interventions in order to improve healthcare professional adherence to clinical recommendations.

  20. Nursing staff's communication modes in patient transfer before and after an educational intervention.

    Science.gov (United States)

    Kindblom-Rising, Kristina; Wahlstrom, Rolf; Ekman, Sirkka-Liisa; Buer, Nina; Nilsson-Wikmar, Lena

    2010-10-01

    The objective was to explore and describe nursing staff's body awareness and communication in patient transfers and evaluate any changes made after an educational intervention to promote staff competence in guiding patients to move independently. In total, 63 nursing staff from two hospitals wrote weekly notes before and after the intervention. The topics were: A) reflect on a transfer during the last week that you consider was good and one that was poor; B) reflect on how your body felt during a good and a poor transfer. The notes were analysed with content analysis. The results showed five different communication modes connected with nursing staff's physical and verbal communication. These communication modes changed after 1 year to a more verbal communication, focusing on the patient's mobility. The use of instructions indicated a new or different understanding of patient transfer, which may contribute to a development of nursing staff's competence. STATEMENT OF RELEVANCE: The present findings indicate that patient transfer consists of communication. Therefore, verbal and bodily communication can have an integral part of training in patient transfer; furthermore, the educational design of such programmes is important to reach the goal of developing new understanding and enhancing nursing staff's competence in patient transfer.

  1. Summary of the Photon Structure Functions - Measurements at LEP

    International Nuclear Information System (INIS)

    Przybycien, M.

    2002-01-01

    The present status of the photon structure functions measurements at LEP is discussed. The short introduction to the kinematics and theoretical framework of the structure functions measurements at LEP is given first. Then follow presentations of the most important measurements, ranging from the QED photon structure function, through the hadronic structure functions of real and virtual photons, and at the end the first measurement of the electron structure function is shown. (author)

  2. Synchrotron radiation interferences between small dipoles at LEP

    International Nuclear Information System (INIS)

    Bovet, C.; Burns, A.; Meot, F.; Placidi, M.; Rossa, E.; Vries, J. de

    1997-06-01

    Synchrotron Radiation interferences between small dipoles in the very low (visible) frequency range have been studied at the LEP diagnostic mini-wiggler. Their understanding allowed a substantial brightness gain by adequate layout modifications. The phenomenon is described analytically in terms of time coherence effects. This serves as a basis for further detailed numerical simulations of the experiment by means of stepwise ray-tracing, and allows precise interpretation of the spectral, polarization and intensity measurements collected at LEP. It also provides guidelines for SR diagnostic at injection energy in LHC

  3. Effect of music as nursing intervention for people diagnosed with fibromyalgia.

    Science.gov (United States)

    Onieva-Zafra, María Dolores; Castro-Sánchez, Adelaida María; Matarán-Peñarrocha, Guillermo A; Moreno-Lorenzo, Carmen

    2013-06-01

    Primary fibromyalgia, a poorly understood chronic pain syndrome, is a disorder of uncertain etiology. The ultimate goal of fibromyalgia treatment is to develop a multimodal therapy. In recent years, the use of music as an intervention for the pain management and other symptoms has increased. The purpose of this study was to investigate the effects of music on pain and depression for people diagnosed with fibromyalgia using Rogers' theory of the unitary human being as the theoretical framework. An experimental 4-week longitudinal trial design was undertaken. Sixty patients diagnosed with fibromyalgia were randomly assigned to either a music intervention group or a control group. Music interventions consisted of listening to music once a day for 4 consecutive weeks using two types of CDs. Pain was measured with the McGill Pain Questionnaire Long Form and depression with the Beck inventory; a 100-mm visual analog scale was used to measure pain and depression. The treatment group reported a significant reduction in pain and depression at week 4 compared with the control group. Members of the control group reported no differences in pain. The findings of this pilot study suggest the importance of music therapy as a nursing intervention and justify further investigation into music as a self-management intervention to reduce pain and depression. Copyright © 2013 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  4. Polarization at LEP. Vol. 2

    International Nuclear Information System (INIS)

    Alexander, G.; Altarelli, G.; Blondel, A.; Coignet, G.; Keil, E.; Plane, D.E.; Treille, D.

    1988-01-01

    This report contains a collection of papers covering the most important part of studies carried out by five study groups in view of a programme of experiments with polarized beams at LEP, the Large Electron-Positron collider under construction at CERN. The emphasis is on precision measurements at the Z peak. Such measurements are shown to be of considerable theoretical interest as well as very clean from the point of view of theoretical and experimental uncertainties. The measurement of the beam polarization can certainly be performed with sufficient accuracy, thanks to the availability of both e + and e - beam polarization. The normalization of the data taken with different beam helicities poses certain constraints that are described. Substantial progress has been made in understanding the possibility of providing longitudinally polarized beams in the LEP machine: The design of new wigglers and spin rotators, the study of correction procedures and results of numerical simulations are presented. (orig.)

  5. THE CHANGES OF PHYSICAL AND PSYCHOLOGICAL SEXUAL COMPLAINS IN WOMEN WITH POST TREATMENT CERVICAL CANCER AFTER SEXUAL NURSING INTERVENTION

    Directory of Open Access Journals (Sweden)

    Afiyanti Afiyanti

    2017-04-01

    Full Text Available Introduction: Despite increasing awareness related to sexual health for cervical cancer survivors, health care providers are passive in addressing their sexual issues. The objectives were to develop and investigate the effect of a sexual nursing intervention packet to mitigate sexual dysfunction among cervical cancer survivors. Method: A sample of 104 survivors were participated consecutively based on required inclusive criteria in this quasi-experimental study. The sexual nursing intervention packet focused on the physical, psychological, and care of relational aspects of sexual health elements. The packet consisted of 6 weekly 2-hour sessions. Results: The participants reported poor sexual satisfaction and sexual function. There were no statistically signi fi cant differences in sexual interest, sexual arousal, orgasm, and vaginal lubrication improvement following the intervention, although all the variables in the intervention group were improved clinically. The sexual nursing intervention packet was effective in increasing sexual satisfaction and decreasing dispareunia among cervical cancer survivors. Discussion: This study suggests that the quality of life in cervical cancer survivors could be improved with the sexual nursing intervention packet provided as part of supportive group care. This program may be more effective if delivered earlier and for a longer period. Implications for Practice: The sexual nursing intervention packet offers an opportunity to facilitate small-group dynamics that lay the ground for further contacts leading to earlier recognition of sexual problems and active involvement for sexual health improvement for cervical cancer survivors and nurses. It could be utilized for survivor education or support groups to increase sexual satisfaction following cancer treatment.

  6. Impact of Intervention to Improve Nursing Home Resident-Staff Interactions and Engagement.

    Science.gov (United States)

    Hartmann, Christine W; Mills, Whitney L; Pimentel, Camilla B; Palmer, Jennifer A; Allen, Rebecca S; Zhao, Shibei; Wewiorski, Nancy J; Sullivan, Jennifer L; Dillon, Kristen; Clark, Valerie; Berlowitz, Dan R; Snow, Andrea Lynn

    2018-04-30

    For nursing home residents, positive interactions with staff and engagement in daily life contribute meaningfully to quality of life. We sought to improve these aspects of person-centered care in an opportunistic snowball sample of six Veterans Health Administration nursing homes (e.g., Community Living Centers-CLCs) using an intervention that targeted staff behavior change, focusing on improving interactions between residents and staff and thereby ultimately aiming to improve resident engagement. We grounded this mixed-methods study in the Capability, Opportunity, Motivation, Behavior (COM-B) model of behavior change. We implemented the intervention by (a) using a set of evidence-based practices for implementing quality improvement and (b) combining primarily CLC-based staff facilitation with some researcher-led facilitation. Validated resident and staff surveys and structured observations collected pre and post intervention, as well as semi-structured staff interviews conducted post intervention, helped assess intervention success. Sixty-two CLC residents and 308 staff members responded to the surveys. Researchers conducted 1,490 discrete observations. Intervention implementation was associated with increased staff communication with residents during the provision of direct care and decreased negative staff interactions with residents. In the 66 interviews, staff consistently credited the intervention with helping them (a) develop awareness of the importance of identifying opportunities for engagement and (b) act to improve the quality of interactions between residents and staff. The intervention proved feasible and influenced staff to make simple enhancements to their behaviors that improved resident-staff interactions and staff-assessed resident engagement.

  7. LEP superconducting cavities go into storage

    CERN Multimedia

    Patrice Loïez

    2001-01-01

    Superconducting radio-frequency cavities from the LEP-2 phase (1996-2000) are put into storage in the tunnel that once housed the Intersecting Storage Rings (ISR), the world’s first proton collider, located at CERN.

  8. The observation and nursing of patients receiving interventional management for biliary complications occurred after liver transplantation

    International Nuclear Information System (INIS)

    Li Xiaohui; Zhu Kangshun; Lian Xianhui; Qiu Xuanying

    2009-01-01

    Objective: To discuss the perioperative nursing norm for patients who are suffering from biliary complications occurred after liver transplantation and who will receive interventional management to treat the complications. Methods: Interventional therapies were performed in 20 patients with biliary complications due to liver transplantation. The interventional procedures performed in 20 cases included percutaneous biliary drainage (n = 13), percutaneous biliary balloon dilatation (n = 5) and biliary stent implantation (n = 7). The clinical results were observed and analyzed. Results: Biliary tract complications occurred after liver transplantation were seen frequently. Proper interventional management could markedly improve the successful rate of liver transplantation and increase the survival rate of the patients. In accordance with the individual condition, proper nursing measures should be taken promptly and effectively. Conclusion: Conscientious and effective nursing can contribute to the early detection of biliary complications and, therefore, to improve the survival rate of both the transplanted liver and the patients. (authors)

  9. The LEP injection monitors: Design and first results with beam

    International Nuclear Information System (INIS)

    Burtin, G.; Colchester, R.; Fischer, C.; Halvarsson, B.; Hemery, J.Y.; Jung, R.; Levitt, S.; Vouillot, J.M.

    1989-01-01

    The LEP injection monitors comprise of split foil monitors, luminescent screens and beam stoppers. The monitors are described with particular emphasis on their special features. These include: their low loss factors, their protection against synchrotron radiation and the screen read-out with a CCD chip. The results obtained during the positron injection tests in LEP in July 1988 are reported. 8 figs

  10. Evaluating an Art-Based Intervention to Improve Practicing Nurses' Observation, Description, and Problem Identification Skills.

    Science.gov (United States)

    Nease, Beth M; Haney, Tina S

    Astute observation, description, and problem identification skills provide the underpinning for nursing assessment, surveillance, and prevention of failure to rescue events. Art-based education has been effective in nursing schools for improving observation, description, and problem identification. The authors describe a randomized controlled pilot study testing the effectiveness of an art-based educational intervention aimed at improving these skills in practicing nurses.

  11. Determination of the LEP Beam Energy using Radiative Fermion-pair Events, 2004

    CERN Document Server

    Abbiendi, G; Åkesson, P F; Alexander, G; Allison, J; Amaral, P; Anagnostou, G; Anderson, K J; Asai, S; Axen, D A; Bailey, I; Barberio, E; Barillari, T; Barlow, R J; Batley, J Richard; Bechtle, P; Behnke, T; Bell, K W; Bell, P J; Bella, G; Bellerive, A; Benelli, G; Bethke, Siegfried; Biebel, O; Boeriu, O; Bock, P; Boutemeur, M; Braibant, S; Brown, R M; Burckhart, H J; Campana, S; Capiluppi, P; Carnegie, R K; Carter, A A; Carter, J R; Chang, C Y; Charlton, D G; Ciocca, C; Csilling, A; Cuffiani, M; Dado, S; de Roeck, A; De Wolf, E A; Desch, Klaus; Dienes, B; Donkers, M; Dubbert, J; Duchovni, E; Duckeck, G; Duerdoth, I P; Etzion, E; Fabbri, Franco Luigi; Ferrari, P; Fiedler, F; Fleck, I; Ford, M; Frey, A; Gagnon, P; Gary, J W; Geich-Gimbel, C; Giacomelli, G; Giacomelli, P; Giunta, M; Goldberg, J; Gross, E; Grunhaus, Jacob; Gruwé, M; Günther, P O; Sen-Gupta, A; Hajdu, C; Hamann, M; Hanson, G G; Harel, A; Hauschild, M; Hawkes, C M; Hawkings, R; Hemingway, R J; Herten, G; Heuer, R D; Hill, J C; Hoffman, K; Horváth, D; Igo-Kemenes, P; Ishii, K; Jeremie, H; Jovanovic, P; Junk, T R; Kanzaki, J; Karlen, Dean A; Kawagoe, K; Kawamoto, T; Keeler, R K; Kellogg, R G; Kennedy, B W; Kluth, S; Kobayashi, T; Kobel, M; Komamiya, S; Kramer, T; Krieger, P; Von Krogh, J; Kühl, T; Kupper, M; Lafferty, G D; Landsman, Hagar Yaël; Lanske, D; Lellouch, D; Letts, J; Levinson, L; Lillich, J; Lloyd, S L; Loebinger, F K; Lü, J; Ludwig, A; Ludwig, J; Mader, W; Marcellini, S; Martin, A J; Masetti, G; Mashimo, T; Mättig, P; McKenna, J A; McPherson, R A; Meijers, F; Menges, W; Merritt, F S; Mes, H; Meyer, N; Michelini, A; Mihara, S; Mikenberg, G; Miller, D J; Mohr, W; Mori, T; Mutter, A; Nagai, K; Nakamura, I; Nanjo, H; Neal, H A; Nisius, R; O'Neale, S W; Oh, A; Oreglia, M J; Orito, S; Pahl, C; Pásztor, G; Pater, J R; Pilcher, J E; Pinfold, J L; Plane, D E; Pooth, O; Przybycien, M B; Quadt, A; Rabbertz, K; Rembser, C; Renkel, P; Roney, J M; Rossi, A M; Rozen, Y; Runge, K; Sachs, K; Saeki, T; Sarkisyan-Grinbaum, E; Schaile, A D; Schaile, O; Scharff-Hansen, P; Schieck, J; Schörner-Sadenius, T; Schröder, M; Schumacher, M; Seuster, R; Shears, T G; Shen, B C; Sherwood, P; Skuja, A; Smith, A M; Sobie, R J; Söldner-Rembold, S; Spanó, F; Stahl, A; Strom, D; Ströhmer, R; Tarem, S; Tasevsky, M; Teuscher, R; Thomson, M A; Torrence, E; Toya, D; Tran, P; Trigger, I; Trócsányi, Z L; Tsur, E; Turner-Watson, M F; Ueda, I; Ujvári, B; Vollmer, C F; Vannerem, P; Vertesi, R; Verzocchi, M; Voss, H; Vossebeld, Joost Herman; Ward, C P; Ward, D R; Watkins, P M; Watson, A T; Watson, N K; Wells, P S; Wengler, T; Wermes, N; Wilson, G W; Wilson, J A; Wolf, G; Wyatt, T R; Yamashita, S; Zer-Zion, D; Zivkovic, L

    2004-01-01

    We present a determination of the LEP beam energy using "radiative return" fermion-pair events recorded at centre-of-mass energies from 183 GeV to 209 GeV. We find no evidence of a disagreement between the OPAL data and the LEP Energy Workings Group's standard calibration. Including the energy- averaged 11 MeV uncertainty in the standard determination, the beam energy we obtain from the OPAL data is higher than that obtained from the LEP calibration by 0+-34(stat.)+-27(syst.)MeV

  12. Prospects for the Higgs boson in e+e- collisions at LEP 200

    International Nuclear Information System (INIS)

    Gross, E.; Lellouch, D.; Read, A.L.

    1998-05-01

    The authors evaluate the combined sensitivity of the four LEP collaborations to exclude or discover the Standard Model Higgs boson with the LEP collider at centre-of-mass energies of 189-200 GeV. It is argued that neighter Standard Model nor the Supersymmetric Higgs search benefits from an upgrade of LEP to its peak centre-of-mass energy (e.g. upgrade 198 GeV to 200 GeV) if this degrades the integrated luminosity by a factor of two or more. 7 refs., 11 figs

  13. CERN: LEP in action again

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    On 25 March, electron and positron beams were colliding again in LEP, CERN's new 27-kilometre electron-positron collider, marking the end of the winter shutdown and the commencement of a hefty run scheduled to last, with only minor interruptions, through to the end of August

  14. CERN: LEP to higher energy/LHC magnet string test

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    At 19.45 on 31 October, CERN's LEP electron-positron collider, equipped with superconducting radiofrequency accelerating cavities, registered its first events at a record collision energy of 130 GeV. During November, LEP went on to operate in the 130-140 GeV collision energy range. Fabrication and installation of the superconducting radiofrequency accelerating cavities needed to boost the energy of LEP's electron and positron beams have speeded up as confidence and expertise have increased. 16 additional cavities were installed in a brief technical stop during October. For the substantially upgraded machine to supply 65 GeV beams immediately and at luminosities comparable to those routinely attained before shows that the complicated technology needed for the superconducting cavities and mastering the machine itself are well under control - yet another remarkable achievement in CERN's tradition of remarkable achievements. Before the end-1995 run, LEP had been operating around the Z resonance at 91 GeV ever since its commissioning in 1989. LEP precision data on the Z, the electrically neutral carrier of the weak nuclear force, is now complete, and attention shifts toward the next major objective, accumulating data on the W, the Z's electrically charged counterpart. Unlike the Z, produced singly in electron-positron annihilations, the electrically charged Ws have to be produced in pairs. During the coming long shutdown, more superconducting modules will be installed to prepare for recommencement of operations in June, this time at collision energies of 161 GeV, allowing a first step across a longawaited 2W threshold. Later in the year more cavities will be ready to boost collision energies to 176 GeV. However in the meantime the LEP experiments, no longer blinded by the Z resonance, will be keeping a sharp eye open for new physics, and in particular for signs of as yet unseen supersymmetric particles. Theorists have long been convinced that our

  15. Communication skills intervention: promoting effective communication between nurses and mechanically ventilated patients.

    Science.gov (United States)

    Dithole, K S; Thupayagale-Tshweneagae, Gloria; Akpor, Oluwaseyi A; Moleki, Mary M

    2017-01-01

    Patients in the Intensive Care Unit (ICU) often experience communication difficulties - usually associated with mechanical ventilation - resulting in psychological problems such as anxiety, fear, and depression. Good communication between nurses and patients is critical for success from personalised nursing care of each patient. The purpose of this study is to describe nurses' experience of a communication skills training intervention. A convenience sample of twenty intensive care nurses participated in the study. Data was collected by means of interviews with nurses. Data from the interviews were analysed using qualitative thematic content analysis. Six themes emerged: (1) acceptance of knowledge and skills developed during workshops; (2) management support; (3) appreciation of augmentative and alternative communication (AAC) devices; (4) change in attitudes; and (5) the need to share knowledge with others and (6) inclusion of communication skills workshop training as an integral part of an orientation programme for all nurses. The findings of this study indicated that the application of augmentative and alternative communication devices and strategies can improve nurse-patient communication in intensive care units. Therefore, the implementation of communication skills training for intensive care nurses should constantly be encouraged and, indeed, introduced as a key element of ICU care training.

  16. Teaching a Course in Abnormal Psychology and Behavior Intervention Skills for Nursing Home Aides.

    Science.gov (United States)

    Glenwick, David S.; Slutzsky, Mitchel R.; Garfinkel, Eric

    2001-01-01

    Describes an 11-week course given at a nursing home to nursing home aides that focused on abnormal psychology and behavior intervention skills. Discusses the course goals, class composition, and course description. Addresses the problems and issues encountered with teaching this course to a nontraditional population in an unconventional setting.…

  17. A new LAN concept for LEP machine networks

    CERN Document Server

    Guerrero, L E

    1995-01-01

    LEP networks, implemented in 1987, are based on two Token-ring backbones using TDM as the transmission medium. The general topology is based on routers and on a distributed backbone. To avoid the instabilities introduced by the TDM and all the conversion layers it has been decided to upgrade the LEP machine network and to evaluate a new concept for the overall network topology. The new concept will also fulfil the basic requirements for the future LHC network. The new approach relies on a large infrastructure which connects all the eight underground pits of LEP with single-mode fibres from the Prevessin control room (PCR). From the bottom of the pits, the two adjacent alcoves will be cabled with multi-mode fibres. FDDI has been selected as the MAC protocol. This new concept is based on switching and routing between the PCR and the eight pits. In each pit a hub will switch between the FDDI LMA backbone and the local Ethernet segments. Two of these segments will reach the alcoves by means of a 10Base-F link. In...

  18. Development of an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes: the Q-DIO.

    Science.gov (United States)

    Müller-Staub, Maria; Lunney, Margaret; Odenbreit, Matthias; Needham, Ian; Lavin, Mary Ann; van Achterberg, Theo

    2009-04-01

    This paper aims to report the development stages of an audit instrument to assess standardised nursing language. Because research-based instruments were not available, the instrument Quality of documentation of nursing Diagnoses, Interventions and Outcomes (Q-DIO) was developed. Standardised nursing language such as nursing diagnoses, interventions and outcomes are being implemented worldwide and will be crucial for the electronic health record. The literature showed a lack of audit instruments to assess the quality of standardised nursing language in nursing documentation. A qualitative design was used for instrument development. Criteria were first derived from a theoretical framework and literature reviews. Second, the criteria were operationalized into items and eight experts assessed face and content validity of the Q-DIO. Criteria were developed and operationalized into 29 items. For each item, a three or five point scale was applied. The experts supported content validity and showed 88.25% agreement for the scores assigned to the 29 items of the Q-DIO. The Q-DIO provides a literature-based audit instrument for nursing documentation. The strength of Q-DIO is its ability to measure the quality of nursing diagnoses and related interventions and nursing-sensitive patient outcomes. Further testing of Q-DIO is recommended. Based on the results of this study, the Q-DIO provides an audit instrument to be used in clinical practice. Its criteria can set the stage for the electronic nursing documentation in electronic health records.

  19. LEP copper accelerating cavities

    CERN Multimedia

    Laurent Guiraud

    1999-01-01

    These copper cavities were used to generate the radio frequency electric field that was used to accelerate electrons and positrons around the 27-km Large Electron-Positron (LEP) collider at CERN, which ran from 1989 to 2000. The copper cavities were gradually replaced from 1996 with new superconducting cavities allowing the collision energy to rise from 90 GeV to 200 GeV by mid-1999.

  20. The Application of Nursing Interventions: Generalist Therapy to Against Hopelessness on Elderly

    Directory of Open Access Journals (Sweden)

    Ike Mardiati Agustin

    2015-10-01

    Full Text Available Introduction: An increasing number of elderly people followed the emergence of mental health problems. One of mental health problem that arises is hopelesness. Nursing action to hopelesness in elderly people in society is not to optimals. The aimed of this paper was gave an overview about the application of nursing intervention: generalist therapy to against hopelesness on elderly. Method: This research was used descriptive analytic design. Population were elders who lived at RW 3 and RW 4, Kelurahan Ciwaringin, Kota Bogor. Samples were 10 respondents, taken according to purposive sampling technique. Independent variable was generalist therapy, while dependent variables were sign and symptoms of hopelessness and ability to cope with hopelessness. Data were collected by using questionnaire, then analyzed by using frequency distribution. Result: The results showed that generalist therapy can decrease elder’s sign and symptoms of hopelessness (21% and increase their ability to cope with hopelessness (72%. Discussion: It can be concluded that generalist therapy can be used as one of nursing intervention to against hopelesness in the elderly. Keywords: hopelesness, elderly, generalist therapy

  1. Enhancing the Capacity of School Nurses to Reduce Excessive Anxiety in Children: Development of the CALM Intervention.

    Science.gov (United States)

    Drake, Kelly L; Stewart, Catherine E; Muggeo, Michela A; Ginsburg, Golda S

    2015-08-01

    Excessive anxiety is among the most common psychiatric problems facing youth. Because anxious youth tend to have somatic complaints, many seek help from the school nurse. Thus, school nurses are in an ideal position to provide early intervention. This study addresses this problem and describes the plans to develop and test a new intervention (Child Anxiety Learning Modules; CALM), delivered by school nurses, to reduce child anxiety and improve academic functioning. An iterative development process including consultation with an expert panel, two open trials, and a pilot randomized controlled study comparing CALM to usual care is proposed. Feedback will be solicited from all participants during each phase and data on outcome measures will be provided by children, parents, teachers, and independent evaluators. Data will be collected on intervention satisfaction and feasibility. Primary outcomes that include child anxiety symptoms, classroom behavior, and school performance (e.g., attendance, grades, standardized test scores) will be collected at pre- and post-interventions and at a 3-month follow-up evaluation. Pediatric anxiety is a common problem that school nurses frequently encounter. Consequently, they are well positioned to play a key role in enhancing access to behavioral health interventions to reduce anxiety and may therefore make a significant positive public health impact. © 2015 Wiley Periodicals, Inc.

  2. Deformation analysis of LEP

    International Nuclear Information System (INIS)

    Jin, F.; Mayoud, M.; Quesnel, J.P.

    1999-01-01

    LEP (Large Electron Positron Collider) is in an underground accelerator, located in a tunnel of 27 km circumference and from 40 to 160 m deep. It is the largest accelerator in the world. The electrons and positrons circulate in opposite directions and hit each other in four points. The collisions are observed by means of detectors, housed in large underground caverns. Due to the sensitivity of such accelerators to alignment errors a complete leveling is made every year, followed by a 'smoothing' process - i.e. an optimal refinement of successive positions - which makes that the accelerator is kept operational with respect to misalignments. The annual leveling of LEP can be characterised as follows: - A quasi circle of 27 km circumference in tunnel; - Measurements with a LEICA NA3000 (σ = ± 0.4 mm/km, statistically ± 0.04 to ± 0.05 mm/station, at intervals of 39.5 m); - Maximum height difference of 120 m between the highest point and the lowest point; - Measured points: alignment reference targets of the quadrupole magnets (entrance and exit points); -800 quadrupole magnets, 1600 points to measure; - Cholesky method, with two independent traverses (forward/backward loops). The data processing is made by least squares, according to a free network concept. In addition, a smoothing procedure (successive fits within a sliding window) is also carried out after each annual leveling measurement, in the purpose of refining the successive positions and finding the points being vertically too far (more than 0.3 mm in general) from the local smoothing curve. These points are then brought physically on their smoothed position (realignment) in order to keep the vertical configuration of LEP as optimal as possible. Tilt (transverse slope) measurements are also taken during this realignment process, thus putting the corrected element back to its right transverse position and reducing the correlated radial movement associated to this defect. (authors)

  3. Effect of stress management interventions on job stress among nurses working in critical care units.

    Science.gov (United States)

    Light Irin, C; Bincy, R

    2012-01-01

    Stress in nurses affects their health and increases absenteeism, attrition rate, injury claims, infection rates and errors in treating patients. This in turn significantly increases the cost of employment in healthcare units. Proper management of stress ensures greater efficiency at work place and improved wellbeing of the employee. Therefore, a pre-experimental study was conducted among 30 Critical Care Unit nurses working inMedical College Hospital, Thiruvananthapuram, (Kerala) to assess the effect of stress management interventions such as Job Stress Awareness, Assertiveness Training, Time Management, andProgressive Muscle Relaxation on job stress. The results showed that caring for patients, general job requirements and workload were the major sources of stress for the nurses. The level of severe stress was reduced from 60 percent to 20 percent during post-test. The Stress Management Interventions were statistically effective in reducing the stress of nurses at p<0.001 level.

  4. Advances in particle physics: the LEP contribution, Conclusions and perspectives

    CERN Document Server

    Richard, F

    2002-01-01

    LEP1 precision measurements, combined with LEP2 searches for the Higgs boson, define the framework for future investigations in subatomic physics. In particular they define the energy and the luminosity which are needed at a future e sup + e sup - collider to settle the issue of the origin of mass and to complement the LHC on the various scenarios proposed beyond the Standard Model. (authors)

  5. Arrêt du LEP après onze années de recherches de pointe

    CERN Multimedia

    CERN Press Office. Geneva

    2000-01-01

    After extended consultation with the appropriate scientific committees, CERN 's Director-General Luciano Maiani announced today that the LEP accelerator had been switched off for the last time. LEP was scheduled to close at the end of September 2000 but tantalising signs of possible new physics led to LEP's run being extended until 2 November. At the end of this extra period, the four LEP experiments had produced a number of collisions compatible with the production of Higgs particles with a mass of around 115 GeV.

  6. [The Effect of a Movie-Based Nursing Intervention Program on Rehabilitation Motivation and Depression in Stroke Patients].

    Science.gov (United States)

    Kwon, Hye Kyung; Lee, Sook Ja

    2017-06-01

    The aim of this study was to develop and measure the effect of a movie-based-nursing intervention program designed to enhance motivation for rehabilitation and reduce depression levels in stroke patients. The study used a quasi-experimental, nonequivalent control group and a pretest-posttest design. The 60 research subjects were assigned to the experimental (n=30) or control group (n=30). The moviebased nursing intervention program was provided for the experimental group during 60-minute sessions held once per week for 10 weeks. The program consisted of patient education to strengthen motivation for rehabilitation and reduce depression, watching movies to identify role models, and group discussion to facilitate therapeutic interaction. After 10 weeks of participation in the movie-based nursing intervention program, the experimental group's rehabilitation motivation score was significantly higher, F=1161.54 (within groups df=49, between groups df=1), pmotivation for rehabilitation and increased depression during the rehabilitation process. © 2017 Korean Society of Nursing Science

  7. Measurement of triple-gauge-boson couplings in the experiment ALEPH and at LEP; Mesure des couplages a trois bosons dans l'experience ALEPH et au LEP

    Energy Technology Data Exchange (ETDEWEB)

    Bruneliere, R

    2003-04-01

    Precise measurements at LEP1 and SLD dramatically confirm the Standard Model predictions. Nevertheless, the most crucial consequence of a non-Abelian gauge theory, namely the specific form of the self-couplings of the W, Z and {gamma} was poorly tested. W pair production at LEP2 was a unique opportunity to measure accurately both W boson parameters and its gauge couplings. This thesis presents a study of WW events reconstruction on one hand, and a measurement of the anomalous couplings on the other hand. A precise measurement of the W mass (accuracy {approx} 10{sup -4}) is a major goal of the LEP2 program. The reconstruction of W mass disintegration products, used for this measurement, is very sensitive to the simulation defaults: an essential task is to understand and minimize their effects. This work presents a detailed study of the electromagnetic showers simulation in ALEPH. From this study, a new event reconstruction is proposed, which is tested on the LEP energy measurement obtained from Z return process. Triple gauge-boson couplings are measured from the data collected with the ALEPH detector between 1997 and 2000. Then, results are combined with the other three LEP experiments. This measurement directly confirms the non-Abelian nature of the electroweak sector. No deviation from the Standard Model is observed. (author)

  8. Effect of a creative-bonding intervention on Taiwanese nursing students' self-transcendence and attitudes toward elders.

    Science.gov (United States)

    Chen, Shiue; Walsh, Sandra M

    2009-04-01

    Nursing students worldwide have little interest in caring for a growing elder population. The purpose of this study, based on self-transcendence theory, was to test the effectiveness of a creative-bonding intervention (CBI) to promote self-transcendence and positive attitudes towards elders in Taiwanese nursing students. A quasi-experimental design was used to compare a CBI group (n = 100) with a friendly visit (FV) control group (n = 94). ANCOVA results indicated that after the intervention, the CBI group had significantly more positive attitudes towards elders than the FV group. Nursing school faculty may want to promote art-making activities between students and elders to foster students' interest in elder care.

  9. Model of Dipole Field Variations in the LEP Bending Magnets

    CERN Document Server

    Bravin, Enrico; Drees, A; Mugnai, G

    1998-01-01

    The determination of the Z mass at LEP requires a knowledge of the relative beam energy in the order of 10 ppm, therefore it is essential to understand the dipole field variations to the same level of accuracy. In LEP the bending magnet field shows a relative increase of the order of 100 ppm over 10 hours, which was found to be caused by leakage currents from railways flowing along the vacuum cham ber and temperature variations. A LEP dipole test bench was set up for systematic investigations. Field variations were monitored with NMR probes while the cooling water temperature of both coil and vacuum chamber was kept under control. The results lead to a parametrisation of the magnetic field variation as a function of the vacuum chamber current and temperature.

  10. Regarding “Development of a postgraduate interventional cardiac nursing curriculum” by Currey et al.

    OpenAIRE

    Gill, F; Leslie, GD; Grech, C; Latour, JM

    2016-01-01

    publisher: Elsevier articletitle: Regarding “Development of a postgraduate interventional cardiac nursing curriculum” by Currey et al. journaltitle: Australian Critical Care articlelink: http://dx.doi.org/10.1016/j.aucc.2015.12.038 content_type: simple-article copyright: © 2015 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  11. Program LEP to addition of gamma spectra from germanium detectors; Programa LEPS para suma de espectros gammas de detectores de germanio

    Energy Technology Data Exchange (ETDEWEB)

    Romero, L

    1986-07-01

    The LEP program, written in FORTRAN IV, performs the addition of two spectra, collected with different detectors, from the same sample. This application, adds the two gamma spectra obtained from two opposite LEPS Germanium Detectors (Low Energy Photon Spectrometer), correcting the differences (channel/energy) between both two spectra, and fitting them before adding. The total-spectrum is recorded at the computer memory as a single spectrum. The necessary equipment, to run this program is: - Two opposite germanium detectors, with their associate electronics. - Multichannel analyzer (2048 memory channel minimum) - Computer on-line interfacing to multichannel analyzer. (Author) 4 refs.

  12. L3 experiment dismantling at LEP

    CERN Multimedia

    Laurent Guiraud

    2001-01-01

    The last muon chamber is removed from the L3 experiment at the LEP collider, which was in operation from 1989 to 2000. The large red magnet yoke will be reused by the ALICE experiment when the LHC is constructed.

  13. The LEP impedance model

    Energy Technology Data Exchange (ETDEWEB)

    Zotter, B [European Organization for Nuclear Research, Geneva (Switzerland)

    1996-08-01

    This report describes a number of measurements and computations of the impedance of the Large Electron Positron collider LEP at CERN. The work has been performed over several years, together with D. Brandt, K. Cornelis, A. Hofmann, G. Sabbi and many others. The agreement between measurements of single bunch instabilities on the machine and computer simulations is in general excellent and gives confidence in the impedance model used. (author)

  14. Effects of an intervention aimed at improving nurse-patient communication in an oncology outpatient clinic

    DEFF Research Database (Denmark)

    Rask, Mette Trøllund; Jensen, Mette Lund; Andersen, Jørn

    2009-01-01

    skills training program in nursing cancer care. Twenty-four nurses in an oncology outpatient clinic participated and were randomly assigned to the intervention program or a control group. A total of 413 patients treated in the clinic during 2 recruitment periods (before and after the communication skills...

  15. Hall full of LEP magnets waiting to be installed in November 1987

    CERN Multimedia

    1987-01-01

    The white magnets in the background are LEP's innovative dipole magnets. They are made of plates of stell with the intervening spaces filled out with concrete. For the relatively low bending fields used in LEP, this technique offers a much cheaper alternative to solid steel costing about half the price. The blue magnets in the foreground are quadrupole focusing magnets and the small yellow magnets in the background are sextupoles which correct the beams "chromaticity", just as optical systems correct for the different wavelengths which make up light, these sextupoles correct for the spread of momenta in LEP's particle beams.

  16. Radiative four-fermion processes at LEP2

    International Nuclear Information System (INIS)

    Montagna, G.; Nicrosini, O.; Osmo, M.; Piccinini, F.; Moretti, M.

    2001-01-01

    The production of four fermions plus a visible photon in electron-positron collisions is analyzed, with particular emphasis on the LEP2 energy range. The study is based on the calculation of exact matrix elements, including the effect of fermion masses. In the light of the present measurements performed at LEP, triple and quartic anomalous gauge couplings are taken into account. Due to the presence of a visible photon in the final state, particular attention is paid to the treatment of higher-order QED corrections. Explicit results for integrated cross sections and differential distributions are shown and commented on. The features of the Monte Carlo program WRAP, used to perform the calculation and available for experimental analysis, are described. (orig.)

  17. Testing the Q-DIO as an instrument to measure the documented quality of nursing diagnoses, interventions, and outcomes.

    NARCIS (Netherlands)

    Muller-Staub, M.; Lunney, M.; Lavin, M.A.; Needham, I.; Odenbreit, M.; Achterberg, T. van

    2008-01-01

    PURPOSE: To describe pilot testing of Quality of Diagnoses, Interventions and Outcomes (Q-DIO), an instrument to measure quality of nursing documentation. DESIGN: Instrument testing was performed using a random, stratified sample of 60 nursing documentations representing hospital nursing with and

  18. Quantum chromodynamics studies at LEP2

    Indian Academy of Sciences (India)

    swaban swaban

    Studies of the annihilation process at LEP2 have given rise to results on jet rate, event ..... The electroweak theory explain the data at all these energies. .... like (a) smooth suppression of hadron-like and point-like 7 interaction, (b) dual parton.

  19. Maailmas lokkab globaalne terrorism / Ando Leps

    Index Scriptorium Estoniae

    Leps, Ando, 1935-

    2002-01-01

    29. märtsil moodustati Riias ülemaailmsel kuritegevuse- ja terrorismivastasel foorumil Läänemerega piirnevate riikide Kuritegevuse- ja Terrorismivastane Foorum. Võeti vastu põhikiri, nimetati ametisse juhatus ja büroo direktor. Foorumi üheks kaasesimeheks valiti Ando Leps. Autor: Keskerakond. Parlamendisaadik

  20. Globaliseeruv kuritegevus ja terror / Ando Leps

    Index Scriptorium Estoniae

    Leps, Ando, 1935-

    2002-01-01

    29. märtsil moodustati Riias ülemaailmsel kuritegevuse- ja terrorismivastasel foorumil Läänemerega piirnevate riikide Kuritegevuse- ja Terrorismivastane Foorum. Võeti vastu põhikiri, nimetati ametisse juhatus ja büroo direktor. Foorumi üheks kaasesimeheks valiti Ando Leps. Autor: Keskerakond. Parlamendisaadik

  1. Large hadron collider in the LEP tunnel. Proceedings. Vol. 2

    International Nuclear Information System (INIS)

    1984-01-01

    A Workshop, jointly organized by ECFA and CERN, took place at Lausanne and at CERN in March 1984 to study various options for a pp (or panti p) collider which might be installed at a later data alongside LEP in the LEP tunnel. Following the exploration of e + e - physics up to the highest energy now foreseeable, this would open up the opportunity to investigate hadron collisions in the new energy range of 10 to 20 TeV in the centre of mass. These proceedings put together the documents prepared in connection with this Workshop. They cover possible options for a Large Hadron Collider (LHC) in the LEP tunnel, the physics case as it stands at present, and studies of experimental possibilities in this energy range with luminosities as now considered. See hints under the relevant topics. (orig./HSI)

  2. Large hadron collider in the LEP tunnel. Proceedings. Vol. 1

    International Nuclear Information System (INIS)

    1984-01-01

    A Workshop, jointly organized by ECFA and CERN, took place at Lausanne and at CERN in March 1984 to study various options for a pp (or panti p) collider which might be installed at a later date alongside LEP in the LEP tunnel. Following the exploration of e + e - physics up to the highest energy now foreseeable, this would open up the opportunity to investigate hadron collisions in the new energy range of 10 to 20 TeV in the centre of mass. These proceedings put together the documents prepared in connection with this Workshop. They cover possible options for a Large Hadron Collider (LHC= in the LEP tunnel, the physics case at it stands at present, and studies of experimental possibilities in this energy range with luminosities as now considered. See hints under the relevant topics. (orig.)

  3. Effects of nursing intervention models on social adaption capability development in preschool children with malignant tumors: a randomized control trial.

    Science.gov (United States)

    Yu, Lu; Mo, Lin; Tang, Yan; Huang, Xiaoyan; Tan, Juan

    2014-06-01

    The objectives of this study are to compare the effects of two nursing intervention models on the ability of preschool children with malignant tumors to socialize and to determine if these interventions improved their social adaption capability (SAC) and quality of life. Inpatient preschool children with malignant tumors admitted to the hospital between December 2009 and March 2012 were recruited and randomized into either the experimental or control groups. The control group received routine nursing care, and the experimental group received family-centered nursing care, including physical, psychological, and social interventions. The Infants-Junior Middle School Student's Social-Life Abilities Scale was used to evaluate SAC development of participants. Participants (n = 240) were recruited and randomized into two groups. After the intervention, the excellent and normal SAC rates were 27.5% and 55% in the experimental group, respectively, compared with 2.5% and 32.5% in the control group (p intervention, SAC in experimental group was improved compared with before intervention (54.68 ± 10.85 vs 79.9 ± 22.3, p intervention in the control group (54.70 ± 11.47 vs. 52 ± 15.8, p = 0.38). The family-centered nursing care model that included physical, psychological, and social interventions improved the SAC of children with malignancies compared with children receiving routine nursing care. Establishing a standardized family-school-community-hospital hierarchical multi-management intervention model for children is important to the efficacy of long-term interventions and to the improvement of SAC of children with malignancies. Copyright © 2014 John Wiley & Sons, Ltd.

  4. Burnout intervention studies for inpatient elderly care nursing staff: systematic literature review.

    Science.gov (United States)

    Westermann, Claudia; Kozak, Agnessa; Harling, Melanie; Nienhaus, Albert

    2014-01-01

    Staff providing inpatient elderly and geriatric long-term care are exposed to a large number of factors that can lead to the development of burnout syndrome. Burnout is associated with an increased risk of absence from work, low work satisfaction, and an increased intention to leave. Due to the fact that the number of geriatric nursing staff is already insufficient, research on interventions aimed at reducing work-related stress in inpatient elderly care is needed. The aim of this systematic review was to identify and analyse burnout intervention studies among nursing staff in the inpatient elderly and geriatric long-term care sector. A systematic search of burnout intervention studies was conducted in the databases Embase, Medline and PsycNet published from 2000 to January 2012. We identified 16 intervention studies. Interventions were grouped into work-directed (n=2), person-directed (n=9) and combined approaches (work- and person-directed, n=5). Seven out of 16 studies observed a reduction in staff burnout. Among them are two studies with a work-directed, two with a person-directed and three with a combined approach. Person-directed interventions reduced burnout in the short term (up to 1 month), while work-directed interventions and those with a combined approach were able to reduce burnout over a longer term (from 1 month to more than 1 year). In addition to staff burnout, three studies observed positive effects relating to the client outcomes. Only three out of ten Randomised Control Trials (RCT) found that interventions had a positive effect on staff burnout. Work-directed and combined interventions are able to achieve beneficial longer-term effects on staff burnout. Person-directed interventions achieve short-term results in reducing staff burnout. However, the evidence is limited. Copyright © 2012 Elsevier Ltd. All rights reserved.

  5. Higgs particle searches at LEP

    International Nuclear Information System (INIS)

    Martin, J.P.

    1996-01-01

    Results on searches for the Higgs particle performed by the four LEP experiments are received in the framework of the Standard Model, Two Doublet Model, and Minimal Supersymmetric Model. The combined mass lower limit for the standard Higgs boson is 66 GeV/c 2 at 95 % CL for a statistics of 14.6 Million hadronic Z decays. (authors)

  6. Colour reconnection at LEP2

    CERN Document Server

    Abreu, P

    2002-01-01

    The preliminary results on the search of colour reconnection effects (CR) from the four experiments at LEP, ALEPH, DELPHI, L3 and OPAL, are reviewed. Extreme models are excluded by studies of standard variables, and on going studies of a method first suggested by L3, the particle flow method (D. Duchesneau, (2001)), are yet inconclusive. (22 refs).

  7. Early prototype of a superconducting RF cavity for LEP

    CERN Multimedia

    CERN PhotoLab

    1979-01-01

    As early as 1979, before LEP became an approved project, studies were located in the ISR Division. Although Cu-cavities were foreseen, certainly for the 1st energy-stage, superconducting cavities were explored as a possible alternative for the 2nd energy-stage. This began with very basic studies of manufacture and properties of Nb-cavities. This one, held by Mr.Girel, was made from bulk Nb-sheet, 2.5 mm thick. It was dimensioned for tests at 500 MHz (LEP accelerating RF was 352.2 MHz). See also 8004204, 8007354, 8209255, 8210054, 8312339.

  8. Hint of a Z' boson from the CERN LEP II data

    International Nuclear Information System (INIS)

    Gulov, A. V.; Skalozub, V. V.

    2007-01-01

    The many-parametric fits of the LEP2 data on e + e - →e + e - , μ + μ - , τ + τ - processes are performed with the goal to estimate the signals of the Abelian Z ' boson. Four independent parameters must be fitted, if the derived already low-energy relations between the Z ' couplings to the standard model fermions are taken into consideration. No signals are found when the complete LEP2 data set for these processes is treated. In the fit of the backward bins, the hint at the 1.3σ confidence level is detected. The Z ' couplings to the vector and axial-vector lepton currents are constrained. The comparisons with the one-parameter fits and with the corresponding LEP1 experiments are fulfilled

  9. Particle physics and the LEP project

    International Nuclear Information System (INIS)

    Roussarie, A.

    1985-01-01

    A very didactic chronological account of the last 20 years of elementary particle physics is presented. After some recall on matter constituents and interactions between these constituents, some details are given on researches which will be made in LEP, the e + -e - collider [fr

  10. Interventions of the nursing diagnosis „Acute Pain“ – Evaluation of patients' experiences after total hip arthroplasty compared with the nursing record by using Q-DIO-Pain: a mixed methods study

    Science.gov (United States)

    Zanon, David C; Gralher, Dieter; Müller-Staub, Maria

    2017-01-01

    Background: Pain affects patients' rehabilitation after hip replacement surgery. Aim: The study aim was to compare patients' responses, on their received pain relieving nursing interventions after hip replacement surgery, with the documented interventions in their nursing records. Method: A mixed methods design was applied. In order to evaluate quantitative data the instrument „Quality of Diagnoses, Interventions and Outcomes“ (Q-DIO) was further developed to measure pain interventions in nursing records (Q-DIO-Pain). Patients (n = 37) answered a survey on the third postoperative day. The patients' survey findings were then compared with the Q-DIO-Pain results and cross-validated by qualitative interviews. Results: The most reported pain level was „no pain“ (NRS 0 – 10 Points). However, 17 – 50 % of patients reported pain levels of three or higher and 11 – 22 % of five or higher in situations of motion / ambulation. A significant match between patients' findings and Q-DIO-Pain results was found for the intervention „helping to adapt medications“ (n = 32, ICC = 0.111, p = 0.042, CI 95 % 2-sided). Otherwise no significant matches were found. Interviews with patients and nurses confirmed that far more pain-relieving interventions affecting „Acute Pain“ were carried out, than were documented. Conclusions: Based on the results, pain assessments and effective pain-relieving interventions, especially before or after motion / ambulation should be improved and documented. It is recommended to implement a nursing standard for pain control.

  11. Engaging Nurses in Research for a Randomized Clinical Trial of a Behavioral Health Intervention

    Directory of Open Access Journals (Sweden)

    Lona Roll

    2013-01-01

    Full Text Available Nurse involvement in research is essential to the expansion of nursing science and improved care for patients. The research participation challenges encountered by nurses providing direct care (direct care nurses include balancing patient care demands with research, adjusting to fluctuating staff and patient volumes, working with interdisciplinary personnel, and feeling comfortable with their knowledge of the research process. The purpose of this paper is to describe efforts to engage nurses in research for the Stories and Music for Adolescent/Young Adult Resilience during Transplant (SMART study. SMART was an NIH-funded, multisite, randomized, behavioral clinical trial of a music therapy intervention for adolescents/young adults (AYA undergoing stem cell transplant for an oncology condition. The study was conducted at 8 sites by a large multidisciplinary team that included direct care nurses, advanced practice nurses, and nurse researchers, as well as board-certified music therapists, clinical research coordinators, and physicians. Efforts to include direct care nurses in the conduct of this study fostered mutual respect across disciplines in both academic and clinical settings.

  12. section of an accelerating cavity from LEP

    CERN Multimedia

    This is a section of an accelerating cavity from LEP, cut in half to show the layer of niobium on the inside. Operating at 4.2 degrees above absolute zero, the niobium is superconducting and carries an accelerating field of 6 million volts per metre with negligible losses. Each cavity has a surface of 6 m2. The niobium layer is only 1.2 microns thick, ten times thinner than a hair. Such a large area had never been coated to such a high accuracy. A speck of dust could ruin the performance of the whole cavity so the work had to be done in an extremely clean environment. These challenging requirements pushed European industry to new achievements. 256 of these cavities are now used in LEP to double the energy of the particle beams.

  13. Demonstration model of LEP bending magnet

    CERN Multimedia

    CERN PhotoLab

    1981-01-01

    To save iron and raise the flux density, the LEP bending magnet laminations were separated by spacers and the space between the laminations was filled with concrete. This is a demonstration model, part of it with the spaced laminations only, the other part filled with concrete.

  14. Using Nurse Ratings of Physician Communication in the ICU To Identify Potential Targets for Interventions To Improve End-of-Life Care.

    Science.gov (United States)

    Ramos, Kathleen J; Downey, Lois; Nielsen, Elizabeth L; Treece, Patsy D; Shannon, Sarah E; Curtis, J Randall; Engelberg, Ruth A

    2016-03-01

    Communication among doctors, nurses, and families contributes to high-quality end-of-life care, but is difficult to improve. Our objective was to identify aspects of communication appropriate for interventions to improve quality of dying in the intensive care unit (ICU). This observational study used data from a cluster-randomized trial of an interdisciplinary intervention to improve end-of-life care at 15 Seattle/Tacoma area hospitals (2003-2008). Nurses completed surveys for patients dying in the ICU. We examined associations between nurse-assessed predictors (physician-nurse communication, physician-family communication) and nurse ratings of patients' quality of dying (nurse-QODD-1). Based on 1173 nurse surveys, four of six physician-nurse communication topics were positively associated with nurse-QODD-1: family questions, family dynamics, spiritual/religious issues, and cultural issues. Discussions between nurses and physicians about nurses' concerns for patients or families were negatively associated. All physician-family communication ratings, as assessed by nurses, were positively associated with nurse-QODD-1: answering family's questions, listening to family, asking about treatments patient would want, helping family decide patient's treatment wishes, and overall communication. Path analysis suggested overall physician-family communication and helping family incorporate patient's wishes were directly associated with nurse-QODD-1. Several topics of physician-nurse communication, as rated by nurses, were associated with higher nurse-rated quality of dying, whereas one topic, nurses' concerns for patient or family, was associated with poorer ratings. Higher nurse ratings of physician-family communication were uniformly associated with higher quality of dying, highlighting the importance of this communication. Physician support of family decision making was particularly important, suggesting a potential target for interventions to improve end-of-life care.

  15. New wave form surveillance and diagnostics for the LEP injection kickers

    CERN Document Server

    Carlier, E; Verhagen, H

    1995-01-01

    The introduction of the Bunch Train Scheme in LEP requires a more precise and automatic supervision of the stability of the LEP injection kickers in timing and amplitude. Comprehensive and user-friendly diagnostic tools are required for in-depth investigation of equipment behaviour. A new system is currently being prepared using to a large extent commercial data acquisition hardware and hardware independent software products.

  16. Dissemination of the nurse-administered Tobacco Tactics intervention versus usual care in six Trinity community hospitals: study protocol for a comparative effectiveness trial

    Directory of Open Access Journals (Sweden)

    Duffy Sonia A

    2012-08-01

    Full Text Available Abstract Background The objectives of this smoking cessation study among hospitalized smokers are to: 1 determine provider and patient receptivity, barriers, and facilitators to implementing the nurse-administered, inpatient Tobacco Tactics intervention versus usual care using face-to-face feedback and surveys; 2 compare the effectiveness of the nurse-administered, inpatient Tobacco Tactics intervention versus usual care across hospitals, units, and patient characteristics using thirty-day point prevalence abstinence at thirty days and six months (primary outcome post-recruitment; and 3 determine the cost-effectiveness of the nurse-administered, inpatient Tobacco Tactics intervention relative to usual care including cost per quitter, cost per life-year saved, and cost per quality-adjusted life-year saved. Methods/Design This effectiveness study will be a quasi-experimental design of six Michigan community hospitals of which three will get the nurse-administered Tobacco Tactics intervention and three will provide their usual care. In both the intervention and usual care sites, research assistants will collect data from patients on their smoking habits and related variables while in the hospital and at thirty days and six months post-recruitment. The intervention will be integrated into the experimental sites by a research nurse who will train Master Trainers at each intervention site. The Master Trainers, in turn, will teach the intervention to all staff nurses. Research nurses will also conduct formative evaluation with nurses to identify barriers and facilitators to dissemination. Descriptive statistics will be used to summarize the results of surveys administered to nurses, nurses’ participation rates, smokers’ receipt of specific cessation services, and satisfaction with services. General estimating equation analyses will be used to determine differences between intervention groups on satisfaction and quit rates, respectively, with

  17. Transdisciplinary Intervention by an Itinerant School Nurse in Two Rural Classrooms.

    Science.gov (United States)

    Stile, Stephen W.; Bentley, Nona

    1988-01-01

    Reports two transdisciplinary interventions conducted by an Itinerant school nurse. The case studies presented involve a Prader-Willi syndrome student enrolled in a class for the trainable mentally handicapped and a student enrolled in a regular fourth grade classroom but considered at risk for placement in a behavior disorders setting. (JHZ)

  18. Interventionist training and intervention fidelity monitoring and maintenance for CONNECT, a nurse-led primary palliative care in oncology trial.

    Science.gov (United States)

    Robbins-Welty, Gregg A; Mueser, Lisa; Mitchell, Chandler; Pope, Nicole; Arnold, Robert; Park, SeoYoung; White, Doug; Smith, Kenneth J; Reynolds, Charles; Rosenzweig, Margaret; Bakitas, Marie; Schenker, Yael

    2018-06-01

    Intervention fidelity is a critical component of behavioral research that has received inadequate attention in palliative care studies. With increasing focus on the need for palliative care models that can be widely disseminated and delivered by non-specialists, rigorous yet pragmatic strategies for training interventionists and maintaining intervention fidelity are needed. (1) Describe components of a plan for interventionist training and monitoring and maintaining intervention fidelity as part of a primary palliative care trial (CONNECT) and (2) present data about perceived training effectiveness and delivery of key intervention content. Post-training evaluations, visit checklists, and visit audio-recordings. Data were collected from June, 2016 through April, 2017. We include procedures for (1) identification, training and certification of oncology nurses as CONNECT interventionists; (2) monitoring intervention delivery; and (3) maintaining intervention quality. All nurses (N = 14) felt prepared to deliver key competencies after a 3-day in-person training. As assessed via visit checklists, interventionists delivered an average of 94% (SD 13%) of key content for first intervention visits and 85% (SD 14%) for subsequent visits. As assessed via audio-recordings, interventionists delivered an average of 85% (SD 8%) of key content for initial visits and 85% (SD 12%) for subsequent visits. We present a 3-part strategy for training interventionists and monitoring and maintaining intervention delivery in a primary palliative care trial. Training was effective in having nurses feel prepared to deliver primary palliative care skills. As assessed via nursing checklists and visit audio-recordings, intervention fidelity was high.

  19. Occupational health nursing interventions to reduce third-party liability in workplace injuries.

    Science.gov (United States)

    Delk, Kayla L

    2012-03-01

    This article explores general principles of workers' compensation law and the ability to sue third parties for employee injuries by using case law and the treatise Larson's Workers' Compensation Law. This overview provides occupational health nurses with a background on workers' compensation law, who is liable for employee injuries, and how recovery from third parties is distributed between the employer or insurer and the employee. The author then explores interventions that occupational health nurses can implement to reduce employee injury and employer costs for providing workers' compensation. The goal of this article is to stimulate occupational health nurses' critical-thinking and problem-solving skills so they may identify risks and implement cost-effective solutions that will prevent injuries to employees. Copyright 2012, SLACK Incorporated.

  20. Reduced withdrawal and failure rates of accelerated nursing students enrolled in pharmacology is associated with a supportive intervention.

    Science.gov (United States)

    Doggrell, Sheila Anne; Schaffer, Sally

    2016-02-01

    To reduce nursing shortages, accelerated nursing programs are available for domestic and international students. However, the withdrawal and failure rates from these programs may be different than for the traditional programs. The main aim of our study was to improve the retention and experience of accelerated nursing students. The academic background, age, withdrawal and failure rates of the accelerated and traditional students were determined. Data from 2009 and 2010 were collected prior to intervention. In an attempt to reduce the withdrawal of accelerated students, we set up an intervention, which was available to all students. The assessment of the intervention was a pre-post-test design with non-equivalent groups (the traditional and the accelerated students). The elements of the intervention were a) a formative website activity of some basic concepts in anatomy, physiology and pharmacology, b) a workshop addressing study skills and online resources, and c) resource lectures in anatomy/physiology and microbiology. The formative website and workshop was evaluated using questionnaires. The accelerated nursing students were five years older than the traditional students (p students, than for traditional students who have undertaken first year courses in anatomy and physiology (p = 0.04 in 2010). The withdrawing students were predominantly the domestic students with non-university qualifications or equivalent experience. The failure rates were also higher for this group, compared to the traditional students (p = 0.05 in 2009 and 0.03 in 2010). In contrast, the withdrawal rates for the international and domestic graduate accelerated students were very low. After the intervention, the withdrawal and failure rates in pharmacology for domestic accelerated students with non-university qualifications were not significantly different than those of traditional students. The accelerated international and domestic graduate nursing students have low withdrawal

  1. The LEP project

    International Nuclear Information System (INIS)

    Picasso, E.

    1988-01-01

    This paper reports on the present state of installation of utilities (electricity, cooling, ventilation, access equipment, lifts, travelling cranes, emergency exits, etc.) and machine components, closely followed the installation schedule. The controls and the beam instrumentation systems of LEP are being mounted and tested. It is in fact foreseen that the installation of 7 out of 8 octants will be completed at the beginning of next year and the last octant (under the Jura) required an accelerated installation program. The installation of the machine is under way simultaneously in at least three quarters of the ring

  2. Production of new particles in e+e- reactions at LEP I energies

    International Nuclear Information System (INIS)

    Dobado, A.

    1987-01-01

    The possibility of lep I of producing new particles is considered. We arrive at the general conclusion that lep I may make it possible to complete the detection of the particles that make up the ''standard model'' and, in addition, to discover some supersymmetric particle or to rule out most of the supersymmetric models. (author)

  3. Performance of the upgraded small angle tile calorimeter at LEP

    CERN Document Server

    Alvsvaag, S J; Barreira, G; Benvenuti, Alberto C; Bigi, M; Bonesini, M; Bozzo, M; Camporesi, T; Carling, H; Cassio, V; Castellani, L; Cereseto, R; Chignoli, F; Della Ricca, G; Dharmasiri, D R; Espirito-Santo, M C; Falk, E; Fenyuk, A; Ferrari, P; Gamba, D; Giordano, V; Guz, Yu; Guerzoni, M; Gumenyuk, S A; Hedberg, V; Jarlskog, G; Karyukhin, A N; Klovning, A; Konoplyannikov, A K; Kronkvist, I J; Lanceri, L; Leoni, R; Maeland, O A; Maio, A; Mazza, R; Migliore, E; Navarria, Francesco Luigi; Nossum, B; Obraztsov, V F; Onofre, A; Paganoni, M; Pegoraro, M; Peralta, L; Petrovykh, L P; Pimenta, M; Poropat, P; Prest, M; Read, A L; Romero, A; Shalanda, N A; Simonetti, L; Skaali, T B; Stugu, B; Terranova, F; Tomé, B; Torassa, E; Trapani, P P; Verardi, M G; Vallazza, E; Vlasov, E; Zaitsev, A

    1998-01-01

    The small angle tile calorimeter (STIC) provides calorimetric coverage in the very forward region of the DELPHI experiment at the CERN LEP collider. The structure of the calorimeters, built with so- called "shashlik" technique, $9 allows the insertion of tracking detectors within the sampling structure, in order to make it possible to determine the direction of the showering particle. Presented here are some results demonstrating the performance of the $9 calorimeter and of these tracking detectors at LEP. (5 refs).

  4. Patient-centred communication intervention study to evaluate nurse-patient interactions in complex continuing care

    Science.gov (United States)

    2012-01-01

    Background Communication impairment is a frequent consequence of stroke. Patients who cannot articulate their needs respond with frustration and agitation, resulting in poor optimization of post-stroke functions. A key component of patient-centred care is the ability of staff to communicate in a way that allows them to understand the patient’s needs. We developed a patient-centred communication intervention targeting registered and unregulated nursing staff caring for complex continuing care patients with communication impairments post stroke. Research objectives include 1) examining the effects of the intervention on patients’ quality of life, depression, satisfaction with care, and agitation; and (2) examining the extent to which the intervention improves staff’s attitudes and knowledge in caring for patients with communication impairments. The intervention builds on a previous pilot study. Methods/design A quasi-experimental repeated measures non-equivalent control group design in a complex continuing care facility is being used. Patients with a communication impairment post-stroke admitted to the facility are eligible to participate. All staff nurses are eligible. Baseline data are collected from staff and patients. Follow-up will occur at 1 and 3 months post-intervention. Subject recruitment and data collection from 60 patients and 30 staff will take approximately 36 months. The Patient-Centred Communication Intervention consists of three components: (1) development of an individualized patient communication care plan; (2) a one-day workshop focused on communication and behavioural management strategies for nursing staff; and (3) a staff support system. The intervention takes comprehensive patient assessments into account to inform the development of communication and behavioural strategies specifically tailored to each patient. Discussion The Patient-Centred Communication Intervention will provide staff with strategies to facilitate interactions with

  5. Patient-centred communication intervention study to evaluate nurse-patient interactions in complex continuing care

    Directory of Open Access Journals (Sweden)

    McGilton Katherine S

    2012-10-01

    Full Text Available Abstract Background Communication impairment is a frequent consequence of stroke. Patients who cannot articulate their needs respond with frustration and agitation, resulting in poor optimization of post-stroke functions. A key component of patient-centred care is the ability of staff to communicate in a way that allows them to understand the patient’s needs. We developed a patient-centred communication intervention targeting registered and unregulated nursing staff caring for complex continuing care patients with communication impairments post stroke. Research objectives include 1 examining the effects of the intervention on patients’ quality of life, depression, satisfaction with care, and agitation; and (2 examining the extent to which the intervention improves staff’s attitudes and knowledge in caring for patients with communication impairments. The intervention builds on a previous pilot study. Methods/design A quasi-experimental repeated measures non-equivalent control group design in a complex continuing care facility is being used. Patients with a communication impairment post-stroke admitted to the facility are eligible to participate. All staff nurses are eligible. Baseline data are collected from staff and patients. Follow-up will occur at 1 and 3 months post-intervention. Subject recruitment and data collection from 60 patients and 30 staff will take approximately 36 months. The Patient-Centred Communication Intervention consists of three components: (1 development of an individualized patient communication care plan; (2 a one-day workshop focused on communication and behavioural management strategies for nursing staff; and (3 a staff support system. The intervention takes comprehensive patient assessments into account to inform the development of communication and behavioural strategies specifically tailored to each patient. Discussion The Patient-Centred Communication Intervention will provide staff with strategies to

  6. LEP1 measurement of heavy quark forward-backward asymmetries with Opal detector

    International Nuclear Information System (INIS)

    Lafoux, H.

    1996-01-01

    Using all data collected by OPAL during the first phase of LEP operation, called LEP1, we have measured the b and c quark forward-backward asymmetries on and around the Z 0 peak. The measurement, which is based on prompt leptons produced in semileptonic decays of heavy quarks, has been optimized using artificial neural networks whenever necessary, that is whenever the problem to solve implied taking into account simultaneously a large number of parameters. Our results are compatible with other LEP measurements and with the Standard Model predictions for a top quark of 174±31 GeV/c□ and a Higgs boson mass between 60 and 1000 GeV/c□. (author). 159 refs., 88 figs., 37 tabs

  7. Lep vertical tunnel movements - lessons for future colliders

    Energy Technology Data Exchange (ETDEWEB)

    Pitthan, R [CERN-Conseil Europeen pour la recherche nucleaire, Clic-Study Group and the Survey Group, Geneve (Switzerland)

    1999-07-01

    The data from 10 years of vertical surveys verify for all of LEP the previous observation, localized to region P1, that LEP floor movements are predominantly deterministic. This rules out the ATL model as being correct for this tunnel. If generalized, for yearly movements a random ATL model underestimates the possible maximum long-term motions. In contrast, extrapolation of the LEP vertical data to the short-term (hours and days) time-scale shows that the random approach predicts larger short-term movements than the deterministic model. This means that simulations using the ATL hypothesis are overtly pessimistic with regard to the frequency of operational realignments required. Depending on the constants chosen in the models these differences can be large, of the order of a magnitude and more. This paper deals solely with the directly measured months-to-years tunnel motions in rock, and the extrapolation of such ground motions to hourly or daily time-spans It does not, address the important question of the contribution of hourly-scale movements of the accelerator components, which could have a random part, to the combined motion. Nor does it address the question of movements of accelerator tunnels like HERA or TRISTAN which are built in water and debris, and not in solid rock. (author)

  8. Lep vertical tunnel movements - lessons for future colliders

    International Nuclear Information System (INIS)

    Pitthan, R.

    1999-01-01

    The data from 10 years of vertical surveys verify for all of LEP the previous observation, localized to region P1, that LEP floor movements are predominantly deterministic. This rules out the ATL model as being correct for this tunnel. If generalized, for yearly movements a random ATL model underestimates the possible maximum long-term motions. In contrast, extrapolation of the LEP vertical data to the short-term (hours and days) time-scale shows that the random approach predicts larger short-term movements than the deterministic model. This means that simulations using the ATL hypothesis are overtly pessimistic with regard to the frequency of operational realignments required. Depending on the constants chosen in the models these differences can be large, of the order of a magnitude and more. This paper deals solely with the directly measured months-to-years tunnel motions in rock, and the extrapolation of such ground motions to hourly or daily time-spans It does not, address the important question of the contribution of hourly-scale movements of the accelerator components, which could have a random part, to the combined motion. Nor does it address the question of movements of accelerator tunnels like HERA or TRISTAN which are built in water and debris, and not in solid rock. (author)

  9. Global voltage control for the LEP RF system

    International Nuclear Information System (INIS)

    Ciapala, E.; Butterworth, A.; Peschardt, E.

    1993-01-01

    The LEG RF system is installed as independent 16 cavity units. In addition to the eight copper cavity units originally installed 12 units with super-conducting cavities are being added for the LEP200 energy upgrade. The total RF voltage determines the synchrotron tune (Qs) and must be controlled precisely during energy ramping. Local function generators in each of the RF units are pre-loaded such that when triggered simultaneously by ramp timing events transmitted over the general timing system the total voltage varies to give the Qs function required. A disadvantage is that loss of RF in a unit at any time after the loading process cannot be corrected. As the number of RF units increases automatic control of the total RF voltage and its distribution around LEP becomes desirable. A global voltage control system, based on a central VME controller, has recently been installed. It has direct and rapid access to the RF units over the LEP time division multiplexing system. Initial tests on operation and performance at fixed energy and during energy ramping are described, as well as the implementation of a Qs loop in which Qs can be set directly using on-line synchrotron frequency measurements

  10. LEP and results obtained by DELPHI after four years of operation

    International Nuclear Information System (INIS)

    Blocki, J.

    1993-10-01

    We characterize the most important problems of modern elementary particles physics, for the solution of which the LEP (Large Electron Positron) accelerator was built. We present the characteristics of this accelerator. The structure and properties of the DELPHI detector are described with special emphasis on the contribution of Polish groups. The most important results obtained so far in the LEP accelerator are discussed. (author). 12 refs, 17 figs, 1 tab

  11. LEP1 measurement of heavy quark forward-backward asymmetries with Opal detector; Mesure de l`asymetrie avant-arriere des quarks lourds a LEP1 avec le detecteur Opal

    Energy Technology Data Exchange (ETDEWEB)

    Lafoux, H

    1996-04-30

    Using all data collected by OPAL during the first phase of LEP operation, called LEP1, we have measured the b and c quark forward-backward asymmetries on and around the Z{sup 0} peak. The measurement, which is based on prompt leptons produced in semileptonic decays of heavy quarks, has been optimized using artificial neural networks whenever necessary, that is whenever the problem to solve implied taking into account simultaneously a large number of parameters. Our results are compatible with other LEP measurements and with the Standard Model predictions for a top quark of 174{+-}31 GeV/c{open_square} and a Higgs boson mass between 60 and 1000 GeV/c{open_square}. (author). 159 refs., 88 figs., 37 tabs.

  12. LEP sees the end of the tunnel

    CERN Multimedia

    2002-01-01

    After 14 months, which have seen the removal of 30,000 tonnes of material from the tunnel, the LEP dismantling operation has now been completed. LHC installation, which will be subject to new safety rules, can go ahead.

  13. 'I can actually talk to them now': qualitative results of an educational intervention for emergency nurses caring for clients who self-injure.

    Science.gov (United States)

    McAllister, Margaret; Moyle, Wendy; Billett, Stephen; Zimmer-Gembeck, Melanie

    2009-10-01

    This Australian study evaluated the effectiveness of a solution-focused education intervention in extending and improving emergency nursing responses to patients who present because of self-injury. Emergency nurses commonly report lack of training and feeling unskilled in managing people who present because of self-harm. Most educational interventions have provided content knowledge, yet rarely have they focused on conveying the value of health promotion strategies such as proactive skills and coping strategies. A mixed method pretest-posttest group design was used. Nurses (n = 36) were interviewed to examine differences in professional identity, awareness of self-injury and clinical reasoning. The qualitative results are presented in this paper and these showed improvements in knowledge and understanding of self-harm, self-belief in nurses' capacity to positively influence clients and the value of health promotion skills. The intervention produced a positive attitudinal shift towards clients and an expressed intention to act in ways that were more person-centred and change oriented. The solution-focused education intervention appears to show promise as an intervention for enabling nurses to value their unique contribution to providing a health service that is more proactive and health-promoting. Interactive education bringing psychosocial skills to technical nursing staff builds confidence, competence and more person-focused care.

  14. Colour reconnection in DELPHI at LEP

    International Nuclear Information System (INIS)

    Abreu, P.

    2003-01-01

    The preliminary results of two different methods for the search of colour reconnection effects (CR), used in the DELPHI experiment at LEP are presented. The methods were found to be largely uncorrelated, and a combined likelihood for values of the κ strength parameter in the SK-I model is given

  15. Semileptonic b branching fractions at LEP

    CERN Document Server

    Gagnon, P

    2000-01-01

    I review recent results on semileptonic branching fractions at LEP for Z/sup 0/ to bb data, for the average b hadron then for b baryons. From the inclusive BR(b to lX), one can obtain the most precise value for the CKM matrix element V/sub cb/. (14 refs).

  16. Work satisfaction and dissatisfaction--caregivers' experiences after a two-year intervention in a newly opened nursing home.

    Science.gov (United States)

    Häggström, Elisabeth; Skovdahl, Kirsti; Fläckman, Birgitta; Kihlgren, Annika L; Kihlgren, Mona

    2005-01-01

    The aim of the study was to investigate, from the narratives of nine enrolled nurses and one nurses' aide directly involved in patient care, the deeper meaning of work satisfaction and dissatisfaction when working with the older people. Both nationally and internationally, there is little research documented regarding the working situation of the enrolled nurses and nurses' aides who make up the majority of care for older people today. With this in mind, it is important to focus on how these occupational groups experience their work with the older residents in municipal care, following a two-year intervention. The study is part of a larger longitudinal study, with a quasi-experimental design within the municipal system of care for older people in Sweden. The investigation was carried out following a two-year intervention, which included: education, support and clinical supervision. The interviews were performed 12 and 24 months after start of the intervention and were analysed with a phenomenological-hermeneutic method inspired by Ricoeur's philosophy. The findings from these narratives illustrated a change compared with the findings from the first interviews, when the nursing home had just opened. There was a shift from a dominance of dissatisfaction with work, to a dominance of work satisfaction and this was expressed in the following themes: experience of a changed perspective, experience of open doors, and experience of closed doors. Each theme emerged from several different subthemes and each subtheme that had been expressed in the caregivers' narratives was interpreted. The study shows that the caregivers' experience of work satisfaction in the workplace exceeded their experience of dissatisfaction and that the intervention, consisting of: education, support, and supervision might have facilitated this positive development where the older residents were prioritized. It also shows that communication and understanding between management and staff had increased

  17. Effects of a pain programme on nurses' psychosocial, physical and relaxation interventions.

    NARCIS (Netherlands)

    Francke, A.L.; Luiken, J.B.; Garssen, B.; Huijer-Abu Saad, H.; Grypdonck, M.

    1996-01-01

    The effectiveness of a continuing education programme on pain assessment and management was investigated in 106 surgical cancer nurses. It was found that the programme led to a more positive attitude towards physical and relaxation interventions (such as the use of relaxation, distraction and

  18. Search for charged Higgs bosons at LEP2 with Delphi detector; Recherche des bosons de higgs charges a LEP2 avec le detecteur DELPHI

    Energy Technology Data Exchange (ETDEWEB)

    Silvestre, R

    1997-09-01

    Charged Higgs bosons are particles that are predicted by most theoretical models based on the minimal standard model, they are responsible for the breaking of the symmetry implied by the gauge group SU(2){sub L}*U(1){sub Y}. This work is devoted to the search after this particle in the experimental data collected by the DELPHI experiment. Different analysis strategies have been defined to study the 3 possible final states: H{sup +}H{sup -} {yields} {tau}{sup +}{nu}{sub {tau}}{tau}{sup -}{nu}-bar{sub {tau}}, H{sup +}H{sup -} {yields} cs{tau}{nu}{sub {tau}} and H{sup +}H{sup -} {yields} cs-bar c-bar s. Different hypothesis have been made about the value of the branching ratio of the hadronic decay of Higgs boson. After having analysed the experimental data collected when electron-positron collision energy was 161.3 GeV (in the mass center frame) the author concludes that: m{sub H} > 48.7 GeV/c{sup 2} if Br(H{sup +} {yields} hadrons) < 0.6 (90% CL). A similar analysis performed on all the experimental data leads to: m{sub H} > 52 GeV/c{sup 2} if Br(H{sup +} {yields} hadrons) < 0.7 (95% CL). At the end of 1995 the LEP collider entered a new operating phase (LEP2) which would eventually enable the collision energy to reach 192 GeV in the mass center frame. An analysis of a simulation representing LEP2 operating at 192 GeV has been made. From this analysis the author concludes first that it will be possible to discover a Higgs boson in LEP2 only if its mass is less than 60 GeV/c{sup 2}, secondly that if no Higgs boson is detected at the end of LEP2 phase, it will mean that its mass is greater than 70 GeV/c{sup 2}. (A.C.)

  19. Risk assessment and subsequent nursing interventions in a forensic mental health inpatient setting: Associations and impact on aggressive behaviour.

    Science.gov (United States)

    Maguire, Tessa; Daffern, Michael; Bowe, Steven J; McKenna, Brian

    2018-03-01

    To examine associations between risk of aggression and nursing interventions designed to prevent aggression. There is scarce empirical research exploring the nature and effectiveness of interventions designed to prevent inpatient aggression. Some strategies may be effective when patients are escalating, whereas others may be effective when aggression is imminent. Research examining level of risk for aggression and selection and effectiveness of interventions and impact on aggression is necessary. Archival case file. Data from clinical files of 30 male and 30 female patients across three forensic acute units for the first 60 days of hospitalisation were collected. Risk for imminent aggression as measured by the Dynamic Appraisal of Situational Aggression, documented nursing interventions following each assessment, and acts of aggression within the 24-hours following assessment were collected. Generalised estimating equations were used to investigate whether intervention strategies were associated with reduction in aggression. When a Dynamic Appraisal of Situational Aggression assessment was completed, nurses intervened more frequently compared to days when no Dynamic Appraisal of Situational Aggression assessment was completed. Higher Dynamic Appraisal of Situational Aggression assessments were associated with a greater number of interventions. The percentage of interventions selected for males differed from females; males received more pro re nata medication and observation, and females received more limit setting, one-to-one nursing and reassurance. Pro re nata medication was the most commonly documented intervention (35.9%) in this study. Pro re nata medication, limit setting and reassurance were associated with an increased likelihood of aggression in some risk bands. Structured risk assessment prompts intervention, and higher risk ratings result in more interventions. Patient gender influences the type of interventions. Some interventions are associated with

  20. A multi-component patient-handling intervention improves attitudes and behaviors for safe patient handling and reduces aggression experienced by nursing staff

    DEFF Research Database (Denmark)

    Risør, Bettina Wulff; Casper, Sven Dalgas; Andersen, Lars L.

    2017-01-01

    This study evaluated an intervention for patient-handling equipment aimed to improve nursing staffs' use of patient handling equipment and improve their general health, reduce musculoskeletal problems, aggressive episodes, days of absence and work-related accidents. As a controlled before......-after study, questionnaire data were collected at baseline and 12-month follow-up among nursing staff at intervention and control wards at two hospitals. At 12-month follow-up, the intervention group had more positive attitudes towards patient-handling equipment and increased use of specific patient......-handling equipment. In addition, a lower proportion of nursing staff in the intervention group had experienced physically aggressive episodes. No significant change was observed in general health status, musculoskeletal problems, days of absence or work-related accidents. The intervention resulted in more positive...

  1. Effect on mental health of a participatory intervention to improve psychosocial work environment: a cluster randomized controlled trial among nurses.

    Science.gov (United States)

    Uchiyama, Ayako; Odagiri, Yuko; Ohya, Yumiko; Takamiya, Tomoko; Inoue, Shigeru; Shimomitsu, Teruichi

    2013-01-01

    Improvement of psychosocial work environment has proved to be valuable for workers' mental health. However, limited evidence is available for the effectiveness of participatory interventions. The purpose of this study was to investigate the effect on mental health among nurses of a participatory intervention to improve the psychosocial work environment. A cluster randomized controlled trial was conducted in hospital settings. A total of 434 nurses in 24 units were randomly allocated to 11 intervention units (n=183) and 13 control units (n=218). A participatory program was provided to the intervention units for 6 months. Depressive symptoms as mental health status and psychosocial work environment, assessed by the Job Content Questionnaire, the Effort-Reward Imbalance Questionnaire, and the Quality Work Competence questionnaire, were measured before and immediately after the 6-month intervention by a self-administered questionnaire. No significant intervention effect was observed for mental health status. However, significant intervention effects were observed in psychosocial work environment aspects, such as Coworker Support (pwork environment, but not mental health, among Japanese nurses.

  2. Electroweak couplings from heavy flavors at LEP

    CERN Document Server

    Clare, R

    1991-01-01

    This talk presents the results of the four LEP experiments, Aleph, Delphi, 13 and Opal, on the partial widths for z0 --> cc and z0 --> bb (r cc and r biJ, and the forward-backward asymmetries Ace and Abb.

  3. Interlocks for the LEP Radio-Frequency System

    CERN Document Server

    Livesley, S

    2000-01-01

    Interlocks for the LEP RF system totalled more than 7000. They provided protection for the personnel and a wide range of equipment: copper cavities, superconducting cavities, klystrons and high voltage equipment. The interlock system layout, functionality and components are described.

  4. Performance of a shashlik calorimeter at LEP II

    CERN Document Server

    Ferrari, P; Klovning, A; Maeland, O A; Stugu, B; Benvenuti, Alberto C; Giordano, V; Guerzoni, M; Navarria, Francesco Luigi; Verardi, M G; Camporesi, T; Bozzo, M; Cereseto, R; Barreira, G; Espirito-Santo, M C; Maio, A; Onofre, A; Peralta, L; Pimenta, M; Tomé, B; Carling, H; Falk, E; Hedberg, V; Jarlskog, G; Kronkvist, I J; Bonesini, M; Chignoli, F; Gumenyuk, S A; Leoni, R; Mazza, R; Negri, P; Paganoni, M; Petrovykh, L P; Terranova, F; Dharmasiri, D R; Nossum, B; Read, A L; Skaali, T B; Castellani, L; Pegoraro, M; Fenyuk, A; Guz, Yu; Karyukhin, A N; Konoplyannikov, A K; Obraztsov, V F; Shalanda, N A; Vlasov, E; Zaitsev, A; Bigi, M; Cassio, V; Gamba, D; Migliore, E; Romero, A; Simonetti, L; Torassa, E; Trapani, P P; Bari, M D; Della Ricca, G; Lanceri, L; Poropat, P; Prest, M; Vallazza, E

    1999-01-01

    The small angle tile calorimeter (STIC) is a sampling lead- scintillator calorimeter, built with "shashlik" technique. Results are presented from extensive studies of the detector performance at LEP. (5 refs).

  5. A Study of the Magnetic Dipole Field of LEP during the 1995 Energy Scan

    CERN Document Server

    Dehning, Bernd; Geitz, M A

    1996-01-01

    In preparation for the 1995 LEP energy scan additional instrumentation was installed in two tunnel dipoles to monitor the time evolution of the magnetic field during experimental fills. Significant increase of the bending field superimposed by day-time dependent fluctuations on a minute time scale were revealed. These unexpected features could be correlated with earth currents captured by the LEP vacuum chamber and the ground cable. The currents are produced in particular by trains circulating in the Geneva area. This study presents a summary of our understanding of the LEP dipole field.

  6. $B^{0}\\overline{B^{0}}$ oscillations at LEP

    CERN Document Server

    Palla, Fabrizio

    2001-01-01

    We report the LEP results on B/sup 0/B/sup 0/ oscillations, together with a review of the analysis strategies. Many measurements of the B /sub d//sup 0/ oscillation frequency have been performed giving an average, Delta m/sub d/=0.486+or-0.015 ps/sup -1/. Lower limits on Delta m/sub s/ are presented, giving a LEP-combined limit, Delta m /sub s/>11.8 ps/sup -1/, with an expected exclusion limit of 14.5 ps /sup -1/. When combined with SLD and CDF, a tantalising 2.5% effect at about 17 ps/sup -1/ is observed, having a probability of about 2.5% for a fluctuation of a sample where the true frequency is beyond the global sensitivity. (19 refs).

  7. Evaluation of a Cultural Competence Intervention with Implications for the Nurse-Patient Encounter

    Science.gov (United States)

    Bradford, Althea Betty

    A short-term intervention on participants' knowledge of cultural competence was provided to 38 students in a baccalaureate nursing program at Winston-Salem State University (WSSU). The study examined the effectiveness of this intervention. Although WSSU is a Historically Black University, the majority of students in this program were White. Six tools were used for data collection. The Cultural Competence Survey consisted of 19 Likert Scale items that also gave participants an opportunity to elaborate on each response. Four tools allowed participants to provide written answers to prompts related to cultural competence. The final tool made it possible for the investigator to record impressions and reflections regarding various aspects of the study. Results showed that the students are familiar with cultural competence and want to avoid stereotypical behavior in their nurse-patient encounters. The study suggests a need for education in cultural competence in three areas: 1) accepting that cultural competence is a lifelong endeavor, 2) understanding patients from a holistic perspective, and 3) recognizing that all people have biases; however, the competent nurse is self-aware and has been educated to recognize biased behavior.

  8. Frequently observed risk factors for fall-related injuries and effective preventive interventions: a multihospital survey of nurses' perceptions.

    Science.gov (United States)

    Tzeng, Huey-Ming; Yin, Chang-Yi

    2013-01-01

    There is an urgent need to prioritize the risk factors for injurious falls and effective interventions in nursing practice. Registered nurses perceived that the most frequently observed risk factors were confusion, gait problems, Alzheimer disease, disorientation, and inability to follow safety instructions. The most effective interventions were keeping hospital bed brakes locked, keeping floor surfaces clean/dry, using appropriate footwear for patients, maintaining a call light within reach, and reducing tripping hazards.

  9. Bose-Einstein correlations in W+ W- events at LEP2

    CERN Document Server

    van Dalen, Jorn A

    2000-01-01

    Analyses of Bose-Einstein Correlations in w+w- events at LEP2 by the four LEP collaborations are presented. In particular, Bose-Einstein correlations in w+w- overlap are investigated and the possible existence of these correlations between particles coming from different W's, which may influence the W mass measurements in the fully-hadronic channel e+e- --+ w+w- --+ qiihq3ij<. No evidence for such an inter-W Bose-Einstein correlation is found by L3 and ALEPH. Possible indication of these correlations by DELPHI is mentioned.

  10. A users view of the SPS and LEP control systems

    International Nuclear Information System (INIS)

    Bailey, R.

    1992-01-01

    Every accelerator has a control system; at present the SPS has two, both of which are needed to run the machine. Consequently a user of the SPS/LEP complex has to be concurrently familiar with three control systems. While this situation brings problems it allows, even forces, comparison between the different systems, which in turn enriches the user viewpoint. This paper assesses the SPS and LEP control systems from the point of view of the user, who may be an equipment specialist, operator, accelerator physicist or combinations thereof. (author)

  11. Assessment of a learning intervention in palliative care based on clinical simulations for nursing students.

    Science.gov (United States)

    Sarabia-Cobo, Carmen María; Alconero-Camarero, Ana Rosa; Lavín-Alconero, Lucía; Ibáñez-Rementería, Isabel

    2016-10-01

    Major deficiencies exist in undergraduate nursing education for Palliative Care. Opportunities to care for dying patients are often unavailable to students in traditional clinical settings. Palliative care simulation is an innovative strategy that may help to prepare undergraduate nursing students to provide quality palliative/end of life care. It is valuable to explore the student nurses' beliefs, feelings and satisfaction regarding the impact that simulation clinic applied to palliative care has and how it influenced their overall experience of caring for a dying patient and the patient's family. This study aimed to evaluate a learning intervention in palliative care using a low-fidelity clinical simulation for undergraduate nursing students from a Spanish university, based on the analytics of their expectations and learning objectives. Sixty-eight students participated in this mixed descriptive design study, they participated in a palliative care simulation scenario and completed three questionnaires which assess the knowledge and expectations before the simulation and the subsequent satisfaction with the performance and learning received. The intervention in question met students' learning expectations, singling out social abilities as important tools in palliative care training, and the students were satisfied with the presented case studies. Our results suggest that low-fidelity clinical simulation intervention training in palliative care is an appropriate and low-cost tool for acquiring competitive skills. Learning in the simulation scenarios provides a mechanism for students to improve student communication skills. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Particle Correlations at LEP

    CERN Document Server

    Kress, Thomas

    2002-01-01

    Particle correlations are extensively studied to obtain information about the dynamics of hadron production. From 1989 to 2000 the four LEP collaborations recorded more than 16 million hadronic Z0 decays and several thousand W+W- events. In Z0 decays, two-particle correlations were analysed in detail to study Bose-Einstein and Fermi-Dirac correlations for various particle species. In fully-hadronic W+W- decays, particle correlations were used to study whether the two W bosons decay independently. A review of selected results is presented.

  13. Evaluation of an educational "toolbox" for improving nursing staff competence and psychosocial work environment in elderly care: results of a prospective, non-randomized controlled intervention.

    Science.gov (United States)

    Arnetz, J E; Hasson, H

    2007-07-01

    Lack of professional development opportunities among nursing staff is a major concern in elderly care and has been associated with work dissatisfaction and staff turnover. There is a lack of prospective, controlled studies evaluating the effects of educational interventions on nursing competence and work satisfaction. The aim of this study was to evaluate the possible effects of an educational "toolbox" intervention on nursing staff ratings of their competence, psychosocial work environment and overall work satisfaction. The study was a prospective, non-randomized, controlled intervention. Nursing staff in two municipal elderly care organizations in western Sweden. In an initial questionnaire survey, nursing staff in the intervention municipality described several areas in which they felt a need for competence development. Measurement instruments and educational materials for improving staff knowledge and work practices were then collated by researchers and managers in a "toolbox." Nursing staff ratings of their competence and work were measured pre and post-intervention by questionnaire. Staff ratings in the intervention municipality were compared to staff ratings in the reference municipality, where no toolbox was introduced. Nursing staff ratings of their competence and psychosocial work environment, including overall work satisfaction, improved significantly over time in the intervention municipality, compared to the reference group. Both competence and work environment ratings were largely unchanged among reference municipality staff. Multivariate analysis revealed a significant interaction effect between municipalities over time for nursing staff ratings of participation, leadership, performance feedback and skills' development. Staff ratings for these four scales improved significantly in the intervention municipality as compared to the reference municipality. Compared to a reference municipality, nursing staff ratings of their competence and the

  14. LEP constraints on grand unified theories

    International Nuclear Information System (INIS)

    Sarkar, Utpal

    1993-01-01

    Recent developments on grand unified theories (GUTs) in the context of the LEP measurements of the coupling constants are reviewed. The three coupling constants at the electroweak scale have been measured at LEP quite precisely. One can allow these couplings to evolve with energy following the renormalization group equations for the various groups and find out whether all the coupling constants meet at any energy. It was pointed out that the minimal SU(5) grand unified theory fails to satisfy this test. However, various extensions of the theory are still allowed. These extensions include (i) supersymmetric SU(5) GUT, with some arbitrariness in the susy breaking scale arising from the threshold corrections, (ii) non-susy SU(5) GUTs with additional fermions as well as Higgs multiplets, which has masses of the order of TeV, and (iii) non-renormalizable effect of gravity with a fine tuned relation among the coupling constants at the unification energy. The LEP results also constrain GUTs with an intermediate symmetry breaking scale. By adjusting the intermediate symmetry breaking scale, one usually can have unification, but these theories get constrained. For example, the left-right symmetric theories coming from GUTs can be broken only at energies higher than about ∼10 10 GeV. This implies that if right handed gauge bosons are found at energies lower than this scale, then that will rule out the possibility of grand unification. Another recent interesting development on the subject, namely, low energy unification, is discussed in this context. All the coupling constants are unified at energies of the order of ∼10 8 GeV when they are embedded in an SU(15)GUT, with some particular symmetry breaking pattern. But even in this case the results of the intermediate symmetry breaking scale remain unchanged. (author). 16 refs., 3 figs

  15. Fermion pair physics at LEP2

    International Nuclear Information System (INIS)

    Georgios, Anagnostou

    2004-01-01

    Combined measurements of the 4 LEP collaborations for the fermion pair processes e + e - →f anti f are presented. The results show no significant deviations when compared with the Standard Model predictions and are used to set limits on contact interactions, Z' gauge bosons and low scale gravity models with large extra dimensions. (orig.)

  16. [European particle accelerator conference, Rome, Italy, and visit to the LEP storage ring and LEP detectors L3 and ALEPH at CERN, Geneva, Switzerland, June 5-16, 1988]: Foreign trip report

    International Nuclear Information System (INIS)

    Blumberg, L.N.

    1988-01-01

    A selection of papers presented at the EPAC Conference relating to accelerator technology, facilities proposed, planned or under construction, and operating machines are discussed. Also noted are discussions at CERN with personnel from the LEP superconducting RF, the LEP L3 and ALEPH detectors, and the LHC superconducting magnet groups

  17. Effects of a giant exercising board game intervention on ambulatory physical activity among nursing home residents: a preliminary study.

    Science.gov (United States)

    Mouton, Alexandre; Gillet, Nicolas; Mouton, Flore; Van Kann, Dave; Bruyère, Olivier; Cloes, Marc; Buckinx, Fanny

    2017-01-01

    This study examined the effects of a giant (4×3 m) exercising board game intervention on ambulatory physical activity (PA) and a broader array of physical and psychological outcomes among nursing home residents. A quasi-experimental longitudinal study was carried out in two comparable nursing homes. Ten participants (aged 82.5±6.3 and comprising 6 women) meeting the inclusion criteria took part in the 1-month intervention in one nursing home, whereas 11 participants (aged 89.9±3.1 with 8 women) were assigned to the control group in the other nursing home. The giant exercising board game required participants to per-form strength, flexibility, balance and endurance activities. The assistance provided by an exercising specialist decreased gradually during the intervention in an autonomy-oriented approach based on the self-determination theory. The following were assessed at baseline, after the intervention and after a follow-up period of 3 months: PA (steps/day and energy expenditure/day with ActiGraph), cognitive status (mini mental state examination), quality of life (EuroQol 5-dimensions), motivation for PA (Behavioral Regulation in Exercise Questionnaire-2), gait and balance (Tinetti and Short Physical Performance Battery), functional mobility (timed up and go), and the muscular isometric strength of the lower limb muscles. In the intervention group, PA increased from 2,921 steps/day at baseline to 3,358 steps/day after the intervention (+14.9%, P =0.04) and 4,083 steps/day (+39.8%, P =0.03) after 3 months. Energy expenditure/day also increased after the intervention (+110 kcal/day, +6.3%, P =0.01) and after 3 months (+219 kcal/day, +12.3%, P =0.02). Quality of life ( P <0.05), balance and gait ( P <0.05), and strength of the ankle ( P <0.05) were also improved after 3 months. Such improvements were not observed in the control group. The preliminary results are promising but further investigation is required to confirm and evaluate the long-term effectiveness

  18. Electro-Magnetic Bunch Length Measurement in LEP

    CERN Document Server

    Vos, L

    1998-01-01

    Bunch lengths between 3 and 12 mm have been measured routinely in LEP in 1997 with a small (7 mm diameter) button electrode. The measurement method is based on the spectral analysis of the electrode signal and relies on the fact that the transfer function of the complete set-up, including the signal cable, can be computed rather exactly thus eliminating the need for external calibration. The information of beam intensity is recovered as a by-product. It provides an interesting internal validation of the measurement by comparison with the normal intensity measurement. The system has been used to detect subtle but real bunch length changes with bunch intensity which can be attributed to the inductive impedance in LEP. A value for the imaginary (inductive) longitudinal impedance is derived from the observations. An indication for the resistive part of the impedance is given as well.

  19. Self-Efficacy and Nutrition Education: A Study of the Effect of an Intervention with Faith Community Nurses.

    Science.gov (United States)

    Gotwals, Beth

    2018-02-01

    The faith community provides an important access point for practice focused on population health at a time when health issues such as obesity and overweight are affecting large number of Americans. The purpose of this study was to examine faith community nurses' self-efficacy perceptions following a nutrition educational intervention. A convenience sample of 92 faith community nurses were randomly assigned to experimental and control groups. The t-distribution analysis revealed significant differences between the nutrition knowledge self-efficacy (p = .016) and nutrition counseling self-efficacy (p = .010) post-test scores for the experimental and control groups. This type of educational intervention provides a model to be used with faith community nurses as they integrate faith and health in this setting.

  20. Interrelationship between core interventions and core competencies of forensic psychiatric nursing in Finland.

    Science.gov (United States)

    Tenkanen, Helena; Tiihonen, Jari; Repo-Tiihonen, Eila; Kinnunen, Juha

    2011-03-01

    The importance of core competencies (CC) and their relationship to core interventions in clinical practice guidelines on schizophrenia (CPGS), and the abilities to master these competencies were studied among registered nurses (RN) and practical mental nurses (PMN) in a forensic psychiatric setting. Data were collected from RNs, PMNs, and managers of all five forensic psychiatric facilities in Finland. The research material was obtained by using a 360-degree feedback method. The response rate was 68% (N = 428). The differences between the nurse groups were statistically significant (p ≤ 0.05) regarding the importance of and ability to master the following CCs: (1) pharmacotherapy, (2) knowledge in forensic psychiatry and violent behavior, (3) the treatment of violent patients, (4) processing patient's and own emotion, and (5) need-adapted treatment of the patient. Overall, RNs exceeded PMNs in mastering the CCs, however the principles of the CPGS were not achieved within the current resources in Finland. In summary, RNs, rather than PMNs, should be recruited for work in forensic psychiatric nursing, although a considerable amount of specific training would still be required to achieve competence. Implications of our research indicate that all nurses working in this area need to receive further education in forensic psychiatry and in forensic psychiatric nursing. © 2011 International Association of Forensic Nurses.

  1. Consensus-Based Palliative Care Competencies for Undergraduate Nurses and Physicians: A Demonstrative Process with Colombian Universities.

    Science.gov (United States)

    Pastrana, Tania; Wenk, Roberto; De Lima, Liliana

    2016-01-01

    A World Health Assembly (WHA) resolution adopted in 2014 strongly encourages member states to integrate palliative care (PC) in undergraduate training for health professionals. The study objective was to describe a consensus-based process workshop to develop PC competences for medical and nursing schools in Colombia and to present a summary of the findings. The workshop included 36 participants representing 16 medical and 6 nursing schools from 18 universities in Colombia. Participants were distributed in four thematic groups. Using the International Association for Hospice and Palliative Care (IAHPC) List of Essential Practices (LEP) as guidance, they were asked to discuss and define PC competencies at the undergraduate level. Participants provided feedback and approved each recommendation, and then were asked to complete an evaluation. The resulting competences were separated into six categories: (1) Definition and Principles of PC, (2) Identification and Control of Symptoms, (3) End-of-Life Care, (4) Ethical and Legal Issues, (5) Psychosocial and Spiritual Issues, and (6) Teamwork. A comparative analysis revealed that treatment of several symptoms in the IAHPC LEP (pain, dyspnea, constipation, nausea, vomit, diarrhea, delirium, and insomnia) were included in the competencies. All of the IAHPC LEP related to psychological/emotional/spiritual care was included. The evaluation rate of return was 80%. The assessment was very positive: total score of 4.7/5.0; SD = 0.426), with 89% considering the workshop to be helpful. The workshop provided an opportunity for individuals from different disciplines to discuss competencies and achieve consensus. The resulting competencies will be helpful in the development of PC curricula for physicians and nurses throughout schools in Colombia and other countries.

  2. Determination of the bending field integral of the LEP spectrometer dipole

    International Nuclear Information System (INIS)

    Chritin, R.; Cornuet, D.; Dehning, B.; Hidalgo, A.; Hildreth, M.; Kalbreier, W.; Leclere, P.; Mugnai, G.; Palacios, J.; Roncarolo, F.; Torrence, E.; Wilkinson, G.

    2005-01-01

    The LEP spectrometer performed calibrations of the beam energy in the 2000 LEP run, in order to provide a kinematical constraint for the W boson mass measurement. The beam was deflected in the spectrometer by a steel core dipole, and the bending angle was measured by Beam-Position Monitors on either side of the magnet. The energy determination relies on measuring the change in bending angle when ramping the beam from a reference point at 50GeV to an energy within the LEP W physics regime, typically 93GeV. The ratio of integrated bending fields at these settings (approximately 1.18Tm/0.64Tm) must be known with a precision of a few 10 -5 . The paper reports on the field mapping measurements which were conducted to determine the bending integral under a range of excitation currents and coil temperatures. These were made in the laboratory before and after spectrometer operation, using a test-bench equipped with a moving arm, carrying an NMR probe and Hall probes, and in the LEP tunnel itself, with a mapping trolley inside the vacuum chamber. The mapping data are related to local readings supplied by fixed NMR probes in the dipole, and a predictive model developed which shows good consistency for all datasets within the estimated uncertainty, which is 14x10 -5 for the moving arm, and 3x10 -5 for the mapping trolley. Measurements are also presented of the field gradient inside the dipole, and of the environmental magnetic fields in the LEP tunnel. When applied to the spectrometer energy calibrations, the bending field model calculates the ratio of integrated fields with an estimated uncertainty of 1.5x10 -5

  3. New development of hadron physics at new laser electron beam line (LEP2) of SPring-8

    International Nuclear Information System (INIS)

    Muramatsu, Norihito; Niiyama, Masayuki; Yosoi, Masaru

    2015-01-01

    This paper introduces the outline of LEPS2 beam line and two types of large detectors (electromagnetic calorimeter BGOegg and solenoid spectrometer), LEPS2/BGOegg experiment, and the target physics using LEPS2 solenoid spectrometer. In LEPS2 beam line, experiments are performed with the improvement of beam intensity by nearly one digit due to the simultaneous incidence of multiple lasers of high output, as well as with the installation of a large solid angle high-resolution detector. In LEPS2/BGOegg experiment, direct observation with a large solid angle of mesons such as π 0 , η, η', and ω has become possible, which has given expectation for new physics. As one of the physics at the core of BGOegg experiments, there is the systematic examination of interaction between η' and nucleus/nucleon. In the physics using a solenoid spectrometer, the first target is the measurement of penta-quark particle Θ + . (A.O.)

  4. Interventions to address deficits of pharmacological pain management in nursing home residents--A cluster-randomized trial.

    Science.gov (United States)

    Könner, F; Budnick, A; Kuhnert, R; Wulff, I; Kalinowski, S; Martus, P; Dräger, D; Kreutz, R

    2015-10-01

    To evaluate the effect of interventions for general practitioners and nursing home staff to improve pain severity and appropriateness of pain medication in nursing home residents (NHR). This cluster-randomized controlled trial was conducted in six nursing homes in the intervention and control group, respectively. Pain management was analysed before (T0) and after (T1, T2) an educational intervention in 239 NHR, aged ≥65 years, without moderate or severe cognitive impairment. Primary and secondary outcomes were average pain severity and appropriateness of pain medication as determined with the Numeric Rating Scale and Pain Medication Appropriateness Scale (PMASD ), respectively. At T0, 72.2% and 73.7% of NHR (mean age 83 years) reported pain (average pain severity 2.4) in the intervention and control group, respectively. The PMASD at T0 was 53.9 in the intervention group and 60.8 in the control group (p = 0.12), while 20.6% compared to 6.9% (p = 0.009) received no pain medication in the two groups. At T2, non-significant improvements in the average pain severity (1.59) and PMASD (61.07) were observed in the intervention group. Moreover, the mean individual PMASD increased by 8.09 (p = 0.03) and the proportion of NHR without pain medication decreased by 50% (p = 0.03) in the intervention group. No appreciable changes were found in the control group at T2. NHR exhibited a high prevalence of pain with overall low severity, while a high proportion of individuals received inappropriate pain medications. Both findings were not significantly improved by the intervention, although some aspects of drug treatment were meaningful improved. © 2015 European Pain Federation - EFIC®

  5. LEP - Large Electron Positron Exhibition LEPFest 2000

    CERN Multimedia

    2000-01-01

    The Large Electron-Positron Collider (LEP) is 27 km long. Its four detectors (ALEPH, DELPHI, L3, OPAL) measure precisely what happens in the collisions of electrons and positrons. These conditions only exist-ed in the Universe when it was about 10 -10 sec old.

  6. Study of event shape variables at LEP

    CERN Document Server

    Sarkar, Subir

    1997-01-01

    We present the LEP results on the study of the hadronic event shape variables. Excellent detector performance and improved theoretical calculations make it possible to study quantum chromodynamics with small experimental and theoretical uncertainties. QCD predictions describe data well at energies above the Z peak.

  7. High accuracy magnetic field mapping of the LEP spectrometer magnet

    CERN Document Server

    Roncarolo, F

    2000-01-01

    The Large Electron Positron accelerator (LEP) is a storage ring which has been operated since 1989 at the European Laboratory for Particle Physics (CERN), located in the Geneva area. It is intended to experimentally verify the Standard Model theory and in particular to detect with high accuracy the mass of the electro-weak force bosons. Electrons and positrons are accelerated inside the LEP ring in opposite directions and forced to collide at four locations, once they reach an energy high enough for the experimental purposes. During head-to-head collisions the leptons loose all their energy and a huge amount of energy is concentrated in a small region. In this condition the energy is quickly converted in other particles which tend to go away from the interaction point. The higher the energy of the leptons before the collisions, the higher the mass of the particles that can escape. At LEP four large experimental detectors are accommodated. All detectors are multi purpose detectors covering a solid angle of alm...

  8. Une énergie record ouvre de nouvelles perspectives de découvertes au LEP

    CERN Document Server

    CERN Press Office. Geneva

    1999-01-01

    At CERN on 2 August 1999 at 11h15, beams of electrons and positrons were accelerated in the Large Electron Positron Collider (LEP) to 100 GeV and brought into collision for the first time at this energy. There were two reasons for the backslapping, cheering and popping of corks that followed in the LEP control room. First, the setting of a new energy record for an electron-positron accelerator, represents a tremendous technical achievement by CERN accelerator specialists. Second, the collision energy of 200 GeV opens up exciting new discovery potential for the LEP experiments.

  9. The effect of reflective writing interventions on the critical thinking skills and dispositions of baccalaureate nursing students.

    Science.gov (United States)

    Naber, Jessica; Wyatt, Tami H

    2014-01-01

    The importance of critical thinking is well-documented by the American Association of Colleges of Nursing and the National League for Nursing. Reflective writing is often used to increase understanding and analytical ability. The lack of empirical evidence about the effect of reflective writing interventions on critical thinking supports the examination of this concept. Study objectives were: This study used an experimental, pretest-posttest design. The setting was two schools of nursing at universities in the southern United States. The convenience sample included 70 fourth-semester students in baccalaureate nursing programs. Randomly assigned control and experimental groups completed the California Critical Thinking Skills Test (CCTST) and the California Critical Thinking Dispositions Inventory Test (CCTDI). The experimental group completed six reflective writing assignments. Both groups completed the two tests again. Results showed that the experimental group had a significant increase (p=0.03) on the truthseeking subscale of the CCTDI when compared to the control group. The experimental group's scores increased on four CCTST subscales and were higher than the control group's on three CCTST subscales. The results of this study make it imperative for nursing schools to consider including reflective writing-especially assignments based on Paul's (1993) model-in nursing courses. If future studies, testing over longer periods of time, show significant increases in critical thinking, those interventions could be incorporated into nursing curriculum and change the way nurse educators evaluate students. Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. Building expert agreement on the importance and feasibility of workplace health promotion interventions for nurses and midwives: A modified Delphi consultation.

    Science.gov (United States)

    Perry, Lin; Nicholls, Rachel; Duffield, Christine; Gallagher, Robyn

    2017-11-01

    To use a Delphi panel to determine the relative importance and feasibility of workplace health promotion interventions to promote and support the health of the Australian nursing and midwifery workforce. The nursing workforce experiences rates of ill health above that of other workforces, yet there is little investment in workplace health promotion. The study used a modified Delphi design conducted between September and November 2015. Eleven of 19 purposively selected expert panellists discussed, rated and provided feedback through two rounds of an electronic questionnaire about the relative importance and feasibility of 46 workplace health promotion interventions and processes for nurses and midwives. Scores for importance and feasibility were calculated and ranked and a composite score of importance multiplied by feasibility. Mental health strategies were prioritized as the most important and feasible of the intervention topics, followed closely by healthy eating and physical activity interventions; smoking cessation ranked lowest. The most highly ranked interventions targeted healthy eating, stress management and resilience training. Highest ranked processes to support development of a healthy work environment included intersectoral collaboration and employee wellness groups. Study findings prompt consideration of health promotion opportunities to support nurses' health and well-being. Findings identified key workplace health promotion priorities and provide direction for policy makers and managers to promote nursing and midwifery workforce health. © 2017 John Wiley & Sons Ltd.

  11. Oral Assessment and Nursing Interventions among Nigerian Nurses ...

    African Journals Online (AJOL)

    Background: Assessment of oral condition, oral care, and informing the attending doctor of unusual oral findings for possible consultation or referral to a dentist are the advocated roles of hospital nurses. The objective of the study was thus to assess the roles of Nigerian nurses in the assessment of oral conditions of ...

  12. Scattering of thermal photons by a 46 GeV positron beam at LEP

    International Nuclear Information System (INIS)

    Bini, C.; De Zorzi, G.; Diambrini-Palazzi, G.; Di Cosimo, G.; Di Domenico, A.; Gauzzi, P.; Zanello, D.

    1991-01-01

    The scattering of thermal photons present in the vacuum pipe of LEP against the high energy positron beam has been detected. The spectrum of the back-scattered photons is presented for a positron beam energy of 46.1 GeV. Measurements have been performed in the interaction region 1 with the LEP-5 experiment calorimeter. (orig.)

  13. Mass of the W and trilinear gauge couplings at DELPHI and LEP

    International Nuclear Information System (INIS)

    Parzefall, Ulrich

    2000-01-01

    Preliminary measurements of the W boson mass and of the trilinear gauge boson couplings are presented using data taken by DELPHI at centre-of-mass energies of 189 GeV and below. Results from the other three LEP collaborations ALEPH, L3 and OPAL are included to obtain the combined LEP measurements. The experimental methods used in DELPHI to determine the W mass and the trilinear gauge couplings are described

  14. Search for new physics at LEP 2

    CERN Document Server

    Gross, Eilam

    1997-01-01

    The results of the search for Higgs bosons, Charginos, Neutralinos, Sleptons, Squarks and light Gravitinos with the LEP accelerator at 130-172 GeV center-of-mass energy are briefly described. Prospects for Standard Model Higgs search at higher center-of-mass energies are also given.

  15. Beam instrumentation in the LEP Pre-injector

    International Nuclear Information System (INIS)

    Battisti, S.; Bottollier, J.F.; Frammery, B.; Szeless, B.; Van Rooy, M.

    1987-01-01

    The main purpose of this paper is to review the beam instrumentation of the LEP pre-injector (LPI) including its design philosophy and software. The usefulness of these equipments for the LPI start-up is considered from an operational point of view and encountered problems are mentioned

  16. RF Trip and Beam Loss Diagnostics in LEP using GPS timing

    CERN Document Server

    Arnaudon, L; Beetham, G; Ciapala, Edmond; Juillard, J C; Olsen, R; CERN. Geneva. SPS and LEP Division

    2000-01-01

    A fast diagnostics system has been installed in LEP to allow precise time-stamping of RF unit trips. The system also monitors the fast decay of current when a beam loss occurs. From the information gathered it is now possible to determine which RF units have provoked a beam loss at high energy and which have tripped as a result. The system uses GPS equipment installed at all of the even points of LEP together with fast local DSP acquisition and event recording units in each RF sector. An overall control application driven by the LEPExec arms the system at the start of each fill, calculates and displays RF and trip beam loss events in sequence, then stores the results in a database. The system installation was completed in time for the LEP 2000 startup and initial problems were quickly resolved. Throughout the year it has proved invaluable for high energy running. The experience gained will also be very useful for similar diagnostics applications in LHC.

  17. Report of the 1997 LEP2 working group on 'searches'

    International Nuclear Information System (INIS)

    Allanach, B.C.; Blair, G.A.; Diaz, M.A.

    1997-08-01

    A number of research program reports are presented from the LEP2 positron-electron collider in the area of searches for Higgs bosons, supersymmetry and supergravity. Working groups' reports cover prospective sensitivity of Higgs boson searches, radiative corrections to chargino production, charge and colour breaking minima in minimal Supersymmetric Standard Model, R-party violation effects upon unification predictions, searches for new pair-produced particles, single sneutrino production and searches related to effects similar to HERA experiments. The final section of the report summarizes the LEP 2 searches, concentrating on gians from running at 200 GeV and alternative paradigms for supersymmetric phenomenology. (UK)

  18. Program LEPS to addition of gamma spectra from germanium detectors

    International Nuclear Information System (INIS)

    Romero, L.

    1986-01-01

    The LEP program, written in FORTRAN IV, performs the addition of two spectra, collected with different detectors, from the same sample. This application, adds the two gamma spectra obtained from two opposite LEPS Germanium Detectors (Low Energy Photon Spectrometer), correcting the differences (channel/energy) between both two spectra, and fitting them before adding. The total-spectrum is recorded at the computer memory as a single spectrum. The necessary equipment, to run this program is: - Two opposite germanium detectors, with their associate electronics. - Multichannel analyzer (2048 memory channel minimum) - Computer on-line interfacing to multichannel analyzer. (Author) 4 refs

  19. The effects of intervention based on supportive leadership behaviour on Iranian nursing leadership performance: a randomized controlled trial.

    Science.gov (United States)

    Shirazi, Mandana; Emami, Amir Hossein; Mirmoosavi, Seyed Jamal; Alavinia, Seyed Mohammad; Zamanian, Hadi; Fathollahbeigi, Faezeh; Masiello, Italo

    2016-04-01

    To assess the effects of a workshop on supportive leadership behaviour (SLB) on the performance of head nurses, using a randomized controlled trial design. The effect of transformational leadership on SLB in nursing management is emphasised. A total of 110 head nurses working at university hospitals were included randomly in two control and intervention groups. The head nurses in the intervention group participated in supportive leadership training, but the control group did not. Performance in supportive leadership was assessed with a validated instrument, which six subordinates used to assess their head nurse (n = 731). There was a significant difference in SLB scores from baseline to the 3 month follow-up (P leadership behaviour, particularly the interactive multifaceted training, improved the leadership performance of the head nurses who participated in this study. Health policy decision makers should apply SLB, which is a significant leadership style, to improve the outcomes in other groups of health-care management, such as physicians. Future studies are needed to investigate the effects of such workshops in longer periods of follow up. © 2015 John Wiley & Sons Ltd.

  20. Multifaceted nutritional intervention among nursing-home residents has a positive influence on nutrition and function

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Damkjær, Karin; Beyer, Nina

    2008-01-01

    intervention study with nutrition (chocolate and homemade oral supplements), group exercise twice a week (45-60 min, moderate intensity), and oral care intervention one to two times a week, with the aim of improving nutritional status and function in elderly nursing-home residents. A follow-up visit was made 4......-home residents by means of a multifaceted intervention consisting of chocolate, homemade supplements, group exercise, and oral care. (C) 2008 Elsevier Inc. All rights reserved....

  1. Is a nurse-led telephone intervention a viable alternative to nurse-led home care and standard care for patients receiving oral capecitabine? Results from a large prospective audit in patients with colorectal cancer.

    Science.gov (United States)

    Craven, Olive; Hughes, Carol Anne; Burton, Amy; Saunders, Mark P; Molassiotis, Alex

    2013-05-01

    Home care nursing has been shown to be a valuable service for patients receiving oral chemotherapy; however, associated costs can be high and telephone-based services may be more cost-effective options. This prospective audit explored the usefulness of a nurse-led telephone intervention for supporting cancer patients treated with Capecitabine, comparing historical findings from a randomised trial evaluating a home-based intervention over standard care with a modified nurse-led telephone follow-up intervention. Self-reported toxicity and service use were assessed in 298 patients who received nurse-led telephone follow-up, compared with historical data from 164 patients (81 receiving standard care and 83 home care intervention). Findings suggested that nurse-led telephone follow-up can potentially lead to reduced toxicity (chest pain, vomiting, oral mucositis, nausea, insomnia) when compared with standard care, and that it has a similar impact on the management of some symptoms when compared with home care (i.e. vomiting, oral mucositis), although it was not as effective as the home care intervention for other toxicities (diarrhoea and insomnia). These encouraging findings need to be explored further using a randomised trial design before we reach any conclusions. Further research should also include a health economics study to assess the cost-effectiveness of the telephone-based services for patients receiving oral chemotherapy. © 2013 Blackwell Publishing Ltd.

  2. Statistical methods and the Higgs at 115 GeV at LEP; Methodes statistiques et le Higgs a 115 GeV au LEP

    Energy Technology Data Exchange (ETDEWEB)

    Lutz, P

    2001-07-01

    The purpose of these lectures is to give the means to understand the results provided by the Higgs working group (HWG) that combines data from 4 experiments concerning the search for the Higgs boson at LEP. The first part deals with experimental analysis, it means phenomenology and how to select the interesting events. In the second part, the author presents statistical methods and statistical tools that are used to process data, it is shown that combining different analyses may increase the sensitivity level. The third part is dedicated to the situation at the LEP concerning the search for the Higgs boson by July 2001. Data are consistent for either a standard Higgs at around 115.6 GeV or a minimal supersymmetric model scenario.

  3. Effectiveness of a first-aid intervention program applied by undergraduate nursing students to preparatory school children.

    Science.gov (United States)

    Wafik, Wagida; Tork, Hanan

    2014-03-01

    Childhood injuries constitute a major public health problem worldwide. First aid is an effective life-preservation tool at work, school, home, and in public locations. In this study, the effectiveness of a first-aid program delivered by undergraduate nursing students to preparatory school children was examined. This quasi-experimental study was carried out on 100 school children in governmental preparatory schools in Egypt. The researchers designed a program for first-aid training, and this was implemented by trained nursing students. The evaluation involved immediate post-test and follow-up assessment after two months. The results showed generally low levels of satisfactory knowledge and inadequate situational practice among the school students before the intervention. Statistically-significant improvements were shown at the post- and follow-up tests. Multivariate regression analysis identified the intervention and the type of school as the independent predictors of the change in students' knowledge score, while the intervention and the knowledge score were the predictors of the practice score. The study concluded that a first-aid training program delivered by nursing students to preparatory school children is effective in improving their knowledge and practice. © 2013 Wiley Publishing Asia Pty Ltd.

  4. Parent and Teacher Perceptions of the Impact of School Nurse Interventions on Children's Self-Management of Diabetes

    Science.gov (United States)

    Peery, Annette I.; Engelke, Martha Keehner; Swanson, Melvin S.

    2012-01-01

    Diabetes is a common chronic illness among school-age children. The school nurse collaborates with the student, parents, and teachers to help the child manage their diabetes effectively. Very little is known about the relationship between school nurse interventions and parent/teacher perceptions of the child's self-management. We examined this…

  5. Knowledge and attitudes of nurses towards alcohol and related problems: the impact of an educational intervention

    Directory of Open Access Journals (Sweden)

    Janaina Soares

    2013-10-01

    Full Text Available An exploratory study of quasi-experimental approach that aimed to verify the impact of an educational intervention on attitudes and knowledge of nurses towards alcohol use and associated problems. The sample included 185 nurses, divided into two groups: 84 submitted to a training course and formed the experimental group. Data were collected through a knowledge survey and an attitude scale. The attitudes of the participants of both groups were positive. There were no significant differences between groups in relation to knowledge. The strongest predictors of positive attitudes were possessed preparation to act with chemical dependents (OR = 2.18, "have received increased workload during graduation on the theme, 'alcohol and other drugs'" (OR = 1.70, and "completed graduate school" (OR = 2.59. The educational intervention had a positive impact on the attitudes of nurses towards alcoholics, work and interpersonal relationships with such clientele.

  6. CERN: A big year for LEP

    International Nuclear Information System (INIS)

    Anon.

    1991-01-01

    In April this year's data-taking period for CERN's big LEP electron-positron collider got underway, and is scheduled to continue until November. The immediate objective of the four big experiments - Aleph, Delphi, L3 and Opal - will be to increase considerably their stock of carefully recorded Z decays, currently totalling about three-quarters of a million

  7. The effectiveness of the nursing intervention program on feeling of burden and coping among caregivers of children with epilepsy

    OpenAIRE

    Maaly El-malky; Magda Mohsen; Hemat Amer

    2016-01-01

    Epilepsy is one of the most common pediatric neurological disorders, which have negative psychological, emotional, and physical consequences of providing care. Nursing intervention is a key element of managing these patients and their families in order to reduce feelings of burden and enhancing coping among caregivers. Aim: To evaluate the effectiveness of nursing intervention on a feeling of burden and coping among caregivers of children with epilepsy. Design: A quasi-experimental design (on...

  8. Production of excited charmed mesons at LEP

    CERN Document Server

    Abbaneo, D

    2000-01-01

    Studies od the production of orbitally excited charmed and charmed strange mesons in e+e- collisions, performed by the LEP collaborations are reviewed. Measurements of the production rates of orbitally excited charmed mesons in semileptonic b decays are presented. Searches for charmed meson radial excitations are also briefly discussed.

  9. On radiative corrections to supersymmetric Higgs boson masses and their implications for LEP searches

    International Nuclear Information System (INIS)

    Ellis, J.; Zwirner, F.

    1991-01-01

    We present calculations of the one-loop radiative corrections to the mass of the neutral CP-odd Higgs boson (A) in the minimal supersymmetric extension of the standard model, as well as to the neutral CP-even Higgs (h, H) masses and mixing angles. We use these results to recalculate the cross-sections for Higgs production at LEP in the h + (Z * + fanti f), h (H)Z 0 and h (H) A final states. We delineate the domains of parameter space accessible at LEP at the Z 0 peak and at LEP II with a center-of-mass energy of 180, 190 or 200 GeV. (orig.)

  10. Screening and brief intervention in high schools: School nurses' practices and attitudes in Massachusetts.

    Science.gov (United States)

    Lunstead, Julie; Weitzman, Elissa R; Kaye, Dylan; Levy, Sharon

    2017-01-01

    Screening, brief intervention, and referral to treatment (SBIRT) is recommended as a strategy to prevent or reduce adolescent substance use. Offering SBIRT in schools may provide an opportunity to reach adolescents not accessing primary care. The objective is to assess school nurses' attitudes and practices regarding adolescent SBIRT. The authors administered electronically and in person a questionnaire including 29 items on SBIRT attitudes and practices to school nurses registered for the Northeastern University's School Health Institute Summer Program in Massachusetts (N = 168). Survey questions were adapted from a questionnaire originally developed by the American Academy of Pediatrics. One hundred and forty-four nurses completed the survey for a response rate of 85.7%. More than three quarters of the respondents (77.0%) were in favor of universal alcohol screening in schools. None of the respondents reported screening their students on a regular basis. More than half (64.4%) of nurses reported screening students; however, they did so only when they suspected alcohol use. During these instances, only 17.9% used a validated screening tool and almost all (98.2%) used face-to-face clinical interviews. When addressing alcohol use by a student, the large majority of respondents reported including the following recommended clinical strategies: asking about problems related to alcohol use (56.3%), explaining the harms of alcohol use (70.1%), and advising abstinence (73.6%). On average, respondents spend 5 to 10 minutes discussing alcohol use with their students. Survey respondents were supportive of universal alcohol screening in school, although few were doing so at the time. When respondents identified students using alcohol, their interventions were closely aligned with clinical recommendations for brief intervention. Implementation of SBIRT that focuses on standardized, annual screening has the potential to deliver high-quality care in this setting.

  11. Search for neutral MSSM Higgs bosons at LEP

    CERN Document Server

    Schael, S.; Bruneliere, R.; De Bonis, I.; Decamp, D.; Goy, C.; Jezequel, S.; Lees, J.P.; Martin, F.; Merle, E.; Minard, M.N.; Pietrzyk, B.; Trocme, B.; Bravo, S.; Casado, M.P.; Chmeissani, M.; Crespo, J.M.; Fernandez, E.; Fernandez-Bosman, M.; Garrido, L.; Martinez, M.; Pacheco, A.; Ruiz, H.; Colaleo, A.; Creanza, D.; De Filippis, N.; de Palma, M.; Iaselli, G.; Maggi, G.; Maggi, M.; Nuzzo, S.; Ranieri, A.; Raso, G.; Ruggieri, F.; Selvaggi, G.; Silvestris, L.; Tempesta, P.; Tricomi, A.; Zito, G.; Huang, X.; Lin, J.; Ouyang, Q.; Wang, T.; Xie, Y.; Xu, R.; Xue, S.; Zhang, J.; Zhang, L.; Zhao, W.; Abbaneo, D.; Barklow, T.; Buchmuller, O.; Cattaneo, M.; Clerbaux, B.; Drevermann, H.; Forty, R.W.; Frank, M.; Gianotti, F.; Hansen, J.B.; Harvey, J.; Hutchcroft, D.E.; Janot, P.; Jost, B.; Kado, M.; Mato, P.; Moutoussi, A.; Ranjard, F.; Rolandi, L.; Schlatter, D.; Teubert, F.; Valassi, A.; Videau, I.; Badaud, F.; Dessagne, S.; Falvard, A.; Fayolle, D.; Gay, P.; Jousset, J.; Michel, B.; Monteil, S.; Pallin, D.; Pascolo, J.M.; Perret, P.; Hansen, J.D.; Hansen, J.R.; Hansen, P.H.; Kraan, A.C.; Nilsson, B.S.; Kyriakis, A.; Markou, C.; Simopoulou, E.; Vayaki, A.; Zachariadou, K.; Blondel, A.; Brient, J.C.; Machefert, F.; Rouge, A.; Videau, H.; Ciulli, V.; Focardi, E.; Parrini, G.; Antonelli, A.; Antonelli, M.; Bencivenni, G.; Bossi, F.; Capon, G.; Cerutti, F.; Chiarella, V.; Mannocchi, G.; Laurelli, P.; Mannocchi, G.; Murtas, G.P.; Passalacqua, L.; Kennedy, J.; Lynch, J.G.; Negus, P.; O'Shea, V.; Thompson, A.S.; Wasserbaech, S.; Cavanaugh, R.; Dhamotharan, S.; Geweniger, C.; Hanke, P.; Hepp, V.; Kluge, E.E.; Putzer, A.; Stenzel, H.; Tittel, K.; Wunsch, M.; Beuselinck, R.; Cameron, W.; Davies, G.; Dornan, P.J.; Girone, M.; Marinelli, N.; Nowell, J.; Rutherford, S.A.; Sedgbeer, J.K.; Thompson, J.C.; White, R.; Ghete, V.M.; Girtler, P.; Kneringer, E.; Kuhn, D.; Rudolph, G.; Bouhova-Thacker, E.; Bowdery, C.K.; Clarke, D.P.; Ellis, G.; Finch, A.J.; Foster, F.; Hughes, G.; Jones, R.W.L.; Pearson, M.R.; Robertson, N.A.; Smizanska, M.; van der Aa, O.; Delaere, C.; Leibenguth, G.; Lemaitre, V.; Blumenschein, U.; Holldorfer, F.; Jakobs, K.; Kayser, F.; Muller, A.S.; Renk, B.; Sander, H.G.; Schmeling, S.; Wachsmuth, H.; Zeitnitz, C.; Ziegler, T.; Bonissent, A.; Coyle, P.; Curtil, C.; Ealet, A.; Fouchez, D.; Payre, P.; Tilquin, A.; Ragusa, F.; David, A.; Dietl, H.; Ganis, G.; Huttmann, K.; Lutjens, G.; Manner, W.; Moser, H.G.; Settles, R.; Villegas, M.; Wolf, G.; Boucrot, J.; Callot, O.; Davier, M.; Duflot, L.; Grivaz, J.F.; Heusse, P.; Jacholkowska, A.; Serin, L.; Veillet, J.J.; Azzurri, P.; Bagliesi, G.; Boccali, T.; Foa, L.; Giammanco, A.; Giassi, A.; Ligabue, F.; Messineo, A.; Palla, F.; Sanguinetti, G.; Sciaba, A.; Sguazzoni, G.; Spagnolo, P.; Tenchini, R.; Venturi, A.; Verdini, P.G.; Awunor, O.; Blair, G.A.; Cowan, G.; Garcia-Bellido, A.; Green, M.G.; Medcalf, T.; Misiejuk, A.; Strong, J.A.; Teixeira-Dias, P.; Clifft, R.W.; Edgecock, T.R.; Norton, P.R.; Tomalin, I.R.; Ward, J.J.; Bloch-Devaux, B.; Boumediene, D.; Colas, P.; Fabbro, B.; Lancon, E.; Lemaire, M.C.; Locci, E.; Perez, P.; Rander, J.; Tuchming, B.; Vallage, B.; Litke, A.M.; Taylor, G.; Booth, C.N.; Cartwright, S.; Combley, F.; Hodgson, P.N.; Lehto, M.; Thompson, L.F.; Bohrer, A.; Brandt, S.; Grupen, C.; Hess, J.; Ngac, A.; Prange, G.; Borean, C.; Giannini, G.; He, H.; Putz, J.; Rothberg, J.; Armstrong, S.R.; Berkelman, K.; Cranmer, K.; Ferguson, D.P.S.; Gao, Y.; Gonzalez, S.; Hayes, O.J.; Hu, H.; Jin, S.; Kile, J.; McNamara, P.A.; Nielsen, J.; Pan, Y.B.; von Wimmersperg-Toeller, J.H.; Wiedenmann, W.; Wu, J.; Wu, S.L.; Wu, X.; Zobernig, G.; Dissertori, G.; Abdallah, J.; Abreu, P.; Adam, W.; Adzic, P.; Albrecht, T.; Alderweireld, T.; Alemany-Fernandez, R.; Allmendinger, T.; Allport, P.P.; Amaldi, U.; Amapane, N.; Amato, S.; Anashkin, E.; Andreazza, A.; Andringa, S.; Anjos, N.; Antilogus, P.; Apel, W.D.; Arnoud, Y.; Ask, S.; Asman, B.; Augustin, J.E.; Augustinus, A.; Baillon, P.; Ballestrero, A.; Bambade, P.; Barbier, R.; Bardin, D.; Barker, G.J.; Baroncelli, A.; Battaglia, M.; Baubillier, M.; Becks, K.H.; Begalli, M.; Behrmann, A.; Ben-Haim, E.; Benekos, N.; Benvenuti, A.; Berat, C.; Berggren, M.; Berntzon, L.; Bertrand, D.; Besancon, M.; Besson, N.; Bloch, D.; Blom, M.; Bluj, M.; Bonesini, M.; Boonekamp, M.; Booth, P.S.L.; Borisov, G.; Botner, O.; Bouquet, B.; Bowcock, T.J.V.; Boyko, I.; Bracko, M.; Brenner, R.; Brodet, E.; Bruckman, P.; Brunet, J.M.; Buschbeck, B.; Buschmann, P.; Calvi, M.; Camporesi, T.; Canale, V.; Carena, F.; Castro, N.; Cavallo, F.; Chapkin, M.; Charpentier, P.; Checchia, P.; Chierici, R.; Chliapnikov, P.; Chudoba, J.; Chung, S.U.; Cieslik, K.; Collins, P.; Contri, R.; Cosme, G.; Cossutti, F.; Costa, M.J.; Crennell, D.; Cuevas, J.; D'Hondt, J.; Dalmau, J.; da Silva, T.; Da Silva, W.; Della Ricca, G.; De Angelis, A.; De Boer, W.; De Clercq, C.; De Lotto, B.; De Maria, N.; De Min, A.; de Paula, L.; Di Ciaccio, L.; Di Simone, A.; Doroba, K.; Drees, J.; Eigen, G.; Ekelof, T.; Ellert, M.; Elsing, M.; Espirito Santo, M.C.; Fanourakis, G.; Fassouliotis, D.; Feindt, M.; Fernandez, J.; Ferrer, A.; Ferro, F.; Flagmeyer, U.; Foeth, H.; Fokitis, E.; Fulda-Quenzer, F.; Fuster, J.; Gandelman, M.; Garcia, C.; Gavillet, P.; Gazis, E.; Gokieli, R.; Golob, B.; Gomez-Ceballos, G.; Goncalves, P.; Graziani, E.; Grosdidier, G.; Grzelak, K.; Guy, J.; Haag, C.; Hallgren, A.; Hamacher, K.; Hamilton, K.; Haug, S.; Hauler, F.; Hedberg, V.; Hennecke, M.; Herr, H.; Hoffman, J.; Holmgren, S.O.; Holt, P.J.; Houlden, M.A.; Hultqvist, K.; Jackson, J.N.; Jarlskog, G.; Jarry, P.; Jeans, D.; Johansson, E.K.; Johansson, P.D.; Jonsson, P.; Joram, C.; Jungermann, L.; Kapusta, F.; Katsanevas, S.; Katsoufis, E.; Kernel, G.; Kersevan, B.P.; Kerzel, U.; King, B.T.; Kjaer, N.J.; Kluit, P.; Kokkinias, P.; Kourkoumelis, C.; Kouznetsov, O.; Krumstein, Z.; Kucharczyk, M.; Lamsa, J.; Leder, G.; Ledroit, F.; Leinonen, L.; Leitner, R.; Lemonne, J.; Lepeltier, V.; Lesiak, T.; Liebig, W.; Liko, D.; Lipniacka, A.; Lopes, J.H.; Lopez, J.M.; Loukas, D.; Lutz, P.; Lyons, L.; MacNaughton, J.; Malek, A.; Maltezos, S.; Mandl, F.; Marco, J.; Marco, R.; Marechal, B.; Margoni, M.; Marin, J.C.; Mariotti, C.; Markou, A.; Martinez-Rivero, C.; Masik, J.; Mastroyiannopoulos, N.; Matorras, F.; Matteuzzi, C.; Mazzucato, F.; Mazzucato, M.; Mc Nulty, R.; Meroni, C.; Migliore, E.; Mitaroff, W.; Mjoernmark, U.; Moa, T.; Moch, M.; Monig, Klaus; Monge, R.; Montenegro, J.; Moraes, D.; Moreno, S.; Morettini, P.; Mueller, U.; Muenich, K.; Mulders, M.; Mundim, L.; Murray, W.; Muryn, B.; Myatt, G.; Myklebust, T.; Nassiakou, M.; Navarria, F.; Nawrocki, K.; Nicolaidou, R.; Nikolenko, M.; Oblakowska-Mucha, A.; Obraztsov, V.; Olshevski, A.; Onofre, A.; Orava, R.; Osterberg, K.; Ouraou, A.; Oyanguren, A.; Paganoni, M.; Paiano, S.; Palacios, J.P.; Palka, H.; Papadopoulou, T.D.; Pape, L.; Parkes, C.; Parodi, F.; Parzefall, U.; Passeri, A.; Passon, O.; Peralta, L.; Perepelitsa, V.; Perrotta, A.; Petrolini, A.; Piedra, J.; Pieri, L.; Pierre, F.; Pimenta, M.; Piotto, E.; Podobnik, T.; Poireau, V.; Pol, M.E.; Polok, G.; Pozdniakov, V.; Pukhaeva, N.; Pullia, A.; Rames, J.; Read, A.; Rebecchi, P.; Rehn, J.; Reid, D.; Reinhardt, R.; Renton, P.; Richard, F.; Ridky, J.; Rivero, M.; Rodriguez, D.; Romero, A.; Ronchese, P.; Roudeau, P.; Rovelli, T.; Ruhlmann-Kleider, V.; Ryabtchikov, D.; Sadovsky, A.; Salmi, L.; Salt, J.; Sander, C.; Savoy-Navarro, A.; Schwickerath, U.; Segar, A.; Sekulin, R.; Siebel, M.; Sisakian, A.; Smadja, G.; Smirnova, O.; Sokolov, A.; Sopczak, A.; Sosnowski, R.; Spassov, T.; Stanitzki, M.; Stocchi, A.; Strauss, J.; Stugu, B.; Szczekowski, M.; Szeptycka, M.; Szumlak, T.; Tabarelli, T.; Taffard, A.C.; Tegenfeldt, F.; Timmermans, J.; Tkatchev, L.; Tobin, M.; Todorovova, S.; Tome, B.; Tonazzo, A.; Tortosa, P.; Travnicek, P.; Treille, D.; Tristram, G.; Trochimczuk, M.; Troncon, C.; Turluer, M.L.; Tyapkin, I.A.; Tyapkin, P.; Tzamarias, S.; Uvarov, V.; Valenti, G.; Van Dam, P.; Van Eldik, J.; van Remortel, N.; Van Vulpen, I.; Vegni, G.; Veloso, F.; Venus, W.; Verdier, P.; Verzi, V.; Vilanova, D.; Vitale, L.; Vrba, V.; Wahlen, H.; Washbrook, A.J.; Weiser, C.; Wicke, D.; Wickens, J.; Wilkinson, G.; Winter, M.; Witek, M.; Yushchenko, O.; Zalewska, A.; Zalewski, P.; Zavrtanik, D.; Zhuravlov, V.; Zimine, N.I.; Zintchenko, A.; Achard, P.; Zupan, M.; Adriani, O.; Aguilar-Benitez, M.; Alcaraz, J.; Alemanni, G.; Allaby, J.; Aloisio, A.; Alviggi, M.G.; Anderhub, H.; Andreev, V.P.; Anselmo, F.; Arefiev, A.; Azemoon, T.; Aziz, T.; Bagnaia, P.; Bajo, A.; Baksay, G.; Baksay, L.; Baldew, S.V.; Banerjee, S.; Banerjee, Sw.; Barczyk, A.; Barillere, R.; Bartalini, P.; Basile, M.; Batalova, N.; Battiston, R.; Bay, A.; Becattini, F.; Becker, U.; Behner, F.; Bellucci, L.; Berbeco, R.; Berdugo, J.; Berges, P.; Bertucci, B.; Betev, B.L.; Biasini, M.; Biglietti, M.; Biland, A.; Blaising, J.J.; Blyth, S.C.; Bobbink, G.J.; Bohm, A.; Boldizsar, L.; Borgia, B.; Bottai, S.; Bourilkov, D.; Bourquin, M.; Braccini, S.; Branson, J.G.; Brochu, F.; Burger, J.D.; Burger, W.J.; Cai, X.D.; Capell, M.; Cara Romeo, G.; Carlino, G.; Cartacci, A.; Casaus, J.; Cavallari, F.; Cavallo, N.; Cecchi, C.; Cerrada, M.; Chamizo, M.; Chang, Y.H.; Chemarin, M.; Chen, A.; Chen, G.; Chen, G.M.; Chen, H.F.; Chen, H.S.; Chiefari, G.; Cifarelli, L.; Cindolo, F.; Clare, I.; Clare, R.; Coignet, G.; Colino, N.; Costantini, S.; de la Cruz, B.; Cucciarelli, S.; de Asmundis, R.; Deglon, P.; Debreczeni, J.; Degre, A.; Dehmelt, K.; Deiters, K.; della Volpe, D.; Delmeire, E.; Denes, P.; DeNotaristefani, F.; De Salvo, A.; Diemoz, M.; Dierckxsens, M.; Dionisi, C.; Dittmar, M.; Doria, A.; Dova, M.T.; Duchesneau, D.; Duda, M.; Echenard, B.; Eline, A.; El Hage, A.; El Mamouni, H.; Engler, A.; Eppling, F.J.; Extermann, P.; Falagan, M.A.; Falciano, S.; Favara, A.; Fay, J.; Fedin, O.; Felcini, M.; Ferguson, T.; Fesefeldt, H.; Fiandrini, E.; Field, J.H.; Filthaut, F.; Fisher, P.H.; Fisher, W.; Forconi, G.; Freudenreich, K.; Furetta, C.; Galaktionov, Yu.; Ganguli, S.N.; Garcia-Abia, P.; Gataullin, M.; Gentile, S.; Giagu, S.; Gong, Z.F.; Grenier, G.; Grimm, O.; Gruenewald, M.W.; Guida, M.; Gupta, V.K.; Gurtu, A.; Gutay, L.J.; Haas, D.; Hatzifotiadou, D.; Hebbeker, T.; Herve, A.; Hirschfelder, J.; Hofer, H.; Hohlmann, M.; Holzner, G.; Hou, S.R.; Hu, J.; Jin, B.N.; Jindal, P.; Jones, L.W.; de Jong, P.; Josa-Mutuberra, I.; Kaur, M.; Kienzle-Focacci, M.N.; Kim, J.K.; Kirkby, J.; Kittel, W.; Klimentov, A.; Konig, A.C.; Kopal, M.; Koutsenko, V.; Kraber, M.; Kraemer, R.W.; Kruger, A.; Kunin, A.; Ladron de Guevara, P.; Laktineh, I.; Landi, G.; Lebeau, M.; Lebedev, A.; Lebrun, P.; Lecomte, P.; Lecoq, P.; Le Coultre, P.; Le Goff, J.M.; Leiste, R.; Levtchenko, M.; Levtchenko, P.; Li, C.; Likhoded, S.; Lin, C.H.; Lin, W.T.; Linde, F.L.; Lista, L.; Liu, Z.A.; Lohmann, W.; Longo, E.; Lu, Y.S.; Luci, C.; Luminari, L.; Lustermann, W.; Ma, W.G.; Malgeri, L.; Malinin, A.; Mana, C.; Mans, J.; Martin, J.P.; Marzano, F.; Mazumdar, K.; McNeil, R.R.; Mele, S.; Merola, L.; Meschini, M.; Metzger, W.J.; Mihul, A.; Milcent, H.; Mirabelli, G.; Mnich, J.; Mohanty, G.B.; Muanza, G.S.; Muijs, A.J.M.; Musicar, B.; Musy, M.; Nagy, S.; Natale, S.; Napolitano, M.; Nessi-Tedaldi, F.; Newman, H.; Nisati, A.; Novak, T.; Nowak, H.; Ofierzynski, R.; Organtini, G.; Pal, I.; Palomares, C.; Paolucci, P.; Paramatti, R.; Passaleva, G.; Patricelli, S.; Paul, T.; Pauluzzi, M.; Paus, C.; Pauss, F.; Pedace, M.; Pensotti, S.; Perret-Gallix, D.; Piccolo, D.; Pierella, F.; Pieri, M.; Pioppi, M.; Piroue, P.A.; Pistolesi, E.; Plyaskin, V.; Pohl, M.; Pojidaev, V.; Pothier, J.; Prokofiev, D.; Rahal-Callot, G.; Rahaman, M.A.; Raics, P.; Raja, N.; Ramelli, R.; Rancoita, P.G.; Ranieri, R.; Raspereza, A.; Razis, P.; Rembeczki, S.; Ren, D.; Rescigno, M.; Reucroft, S.; Riemann, S.; Riles, Keith; Roe, B.P.; Romero, L.; Rosca, A.; Rosemann, C.; Rosenbleck, C.; Rosier-Lees, S.; Roth, S.; Rubio, J.A.; Ruggiero, G.; Rykaczewski, H.; Sakharov, A.; Saremi, S.; Sarkar, S.; Salicio, J.; Sanchez, E.; Schafer, C.; Schegelsky, V.; Schopper, H.; Schotanus, D.J.; Sciacca, C.; Servoli, L.; Shevchenko, S.; Shivarov, N.; Shoutko, V.; Shumilov, E.; Shvorob, A.; Son, D.; Souga, C.; Spillantini, P.; Steuer, M.; Stickland, D.P.; Stoyanov, B.; Straessner, A.; Sudhakar, K.; Sultanov, G.; Sun, L.Z.; Sushkov, S.; Suter, H.; Swain, J.D.; Szillasi, Z.; Tang, X.W.; Tarjan, P.; Tauscher, L.; Taylor, L.; Tellili, B.; Teyssier, D.; Timmermans, C.; Ting, S.C.C.; Ting, S.M.; Tonwar, S.C.; Toth, J.; Tully, C.; Tung, K.L.; Ulbricht, J.; Valente, E.; Van de Walle, R.T.; Vasquez, R.; Vesztergombi, G.; Vetlitsky, I.; Viertel, G.; Vivargent, M.; Vlachos, S.; Vodopianov, I.; Vogel, H.; Vogt, H.; Vorobiev, I.; Vorobyov, A.A.; Wadhwa, M.; Wang, Q.; Wang, X.L.; Wang, Z.M.; Weber, M.; Wynhoff, S.; Xia, L.; Xu, Z.Z.; Yamamoto, J.; Yang, B.Z.; Yang, C.G.; Yang, H.J.; Yang, M.; Yeh, S.C.; Zalite, An.; Zalite, Yu.; Zhang, Z.P.; Zhao, J.; Zhu, G.Y.; Zhu, R.Y.; Zhuang, H.L.; Zichichi, A.; Zimmermann, B.; Zoller, M.; Abbiendi, G.; Ainsley, C.; Akesson, P.F.; Alexander, G.; Allison, J.; Amaral, P.; Anagnostou, G.; Anderson, K.J.; Asai, S.; Axen, D.; Azuelos, G.; Bailey, I.; Barberio, E.; Barillari, T.; Barlow, R.J.; Batley, R.J.; Bechtle, P.; Behnke, T.; Bell, K.W.; Bell, P.J.; Bella, G.; Bellerive, A.; Benelli, G.; Bethke, S.; Biebel, O.; Boeriu, O.; Bock, P.; Boutemeur, M.; Braibant, S.; Brigliadori, L.; Brown, R.M.; Buesser, K.; Burckhart, H.J.; Campana, S.; Carnegie, R.K.; Carter, A.A.; Carter, J.R.; Chang, C.Y.; Charlton, D.G.; Ciocca, C.; Csilling, A.; Cuffiani, M.; Dado, S.; de Jong, S.; De Roeck, A.; De Wolf, E.A.; Desch, K.; Dienes, B.; Donkers, M.; Dubbert, J.; Duchovni, E.; Duckeck, G.; Duerdoth, I.P.; Etzion, E.; Fabbri, F.; Feld, L.; Ferrari, P.; Fiedler, F.; Fleck, I.; Ford, M.; Frey, A.; Gagnon, P.; Gary, J.W.; Gascon-Shotkin, S.M.; Gaycken, G.; Geich-Gimbel, C.; Giacomelli, G.; Giacomelli, P.; Giunta, M.; Goldberg, J.; Gross, E.; Grunhaus, J.; Gruwe, M.; Gunther, P.O.; Gupta, A.; Hajdu, C.; Hamann, M.; Hanson, G.G.; Harel, A.; Hauschild, M.; Hawkes, C.M.; Hawkings, R.; Hemingway, R.J.; Herten, G.; Heuer, R.D.; Hill, J.C.; Hoffman, K.; Horvath, D.; Igo-Kemenes, P.; Ishii, K.; Jeremie, H.; Jost, U.; Jovanovic, P.; Junk, T.R.; Kanaya, N.; Kanzaki, J.; Karlen, D.; Kawagoe, K.; Kawamoto, T.; Keeler, R.K.; Kellogg, R.G.; Kennedy, B.W.; Kluth, S.; Kobayashi, T.; Kobel, M.; Komamiya, S.; Kramer, T.; Krieger, P.; von Krogh, J.; Kruger, K.; Kuhl, T.; Kupper, M.; Lafferty, G.D.; Landsman, H.; Lanske, D.; Layter, J.G.; Lellouch, D.; Letts, J.; Levinson, L.; Lillich, J.; Lloyd, S.L.; Loebinger, F.K.; Lu, J.; Ludwig, A.; Ludwig, J.; Mader, W.; Marcellini, S.; Martin, A.J.; Masetti, G.; Mashimo, T.; Mattig, P.; McKenna, J.; McPherson, R.A.; Meijers, F.; Menges, W.; Merritt, F.S.; Mes, H.; Meyer, N.; Michelini, A.; Mihara, S.; Mikenberg, G.; Miller, D.J.; Moed, S.; Mohr, W.; Mori, T.; Mutter, A.; Nagai, K.; Nakamura, I.; Nanjo, H.; Neal, H.A.; Nisius, R.; O'Neale, S.W.; Oh, A.; Oreglia, M.J.; Orito, S.; Pahl, C.; Pasztor, G.; Pater, J.R.; Pilcher, J.E.; Pinfold, J.; Plane, D.E.; Poli, B.; Pooth, O.; Przybycien, M.; Quadt, A.; Rabbertz, K.; Rembser, C.; Renkel, P.; Roney, J.M.; Rozen, Y.; Runge, K.; Sachs, K.; Saeki, T.; Sarkisyan, E.K.G.; Schaile, A.D.; Schaile, O.; Scharff-Hansen, P.; Schieck, J.; Schorner-Sadenius, T.; Schroder, M.; Schumacher, M.; Scott, W.G.; Seuster, R.; Shears, T.G.; Shen, B.C.; Sherwood, P.; Skuja, A.; Smith, A.M.; Sobie, R.; Soldner-Rembold, S.; Spano, F.; Stahl, A.; Strom, D.; Strohmer, R.; Tarem, S.; Tasevsky, M.; Teuscher, R.; Thomson, M.A.; Torrence, E.; Toya, D.; Tran, P.; Trigger, I.; Trocsanyi, Z.; Tsur, E.; Turner-Watson, M.F.; Ueda, I.; Ujvari, B.; Vollmer, C.F.; Vannerem, P.; Vertesi, R.; Verzocchi, M.; Voss, H.; Vossebeld, J.; Ward, C.P.; Ward, D.R.; Watkins, P.M.; Watson, A.T.; Watson, N.K.; Wells, P.S.; Wengler, T.; Wermes, N.; Wilson, G.W.; Wilson, J.A.; Wolf, G.; Wyatt, T.R.; Yamashita, S.; Zer-Zion, D.; Zivkovic, L.; Heinemeyer, S.; Pilaftsis, A.; Weiglein, G.

    2006-01-01

    The four LEP collaborations, ALEPH, DELPHI, L3 and OPAL, have searched for the neutral Higgs bosons which are predicted by the Minimal Supersymmetric Standard Model (MSSM). The data of the four collaborations are statistically combined and examined for their consistency with the background hypothesis and with a possible Higgs boson signal. The combined LEP data show no significant excess of events which would indicate the production of Higgs bosons. The search results are used to set upper bounds on the cross-sections of various Higgs-like event topologies. The results are interpreted within the MSSM in a number of ``benchmark" models, including CP-conserving and CP-violating scenarios. These interpretations lead in all cases to large exclusions in the MSSM parameter space. Absolute limits are set on the parameter tanb and, in some scenarios, on the masses of neutral Higgs bosons.

  12. [Socianalytical device: intervention instrument and data collection in qualitative research in nursing].

    Science.gov (United States)

    Spagnol, Carla Aparecida; L'Abbate, Solange; Monceau, Gilles; Jovic, Ljiljana

    2016-03-01

    The aims of this paper is to describe and to analyze the use of a socioanalytical device as a data collection too as well as a space of professional practice and work relations analysis, with nurses from a School Hospital of the Minas Gerais Federal University, Brazil. The qualitative approach was chosen to develop an intervention research with Institutional Analysis as theoretical and methodological framework. In the first stage of data collection, an exploratory research was carried out through a questionnaire and, in the second phase, a socianalytical device was built in 5 meetings that took place during two months. For the nurses, the analysis device has enabled personal and professional growth; to review positions; to exchange experience and to reflect on their own problems through the experience of other colleagues. We conclude that the socioanalytical device was a space for discussion, for analysis of professional practice and was the methodological strategy for data collection in this research. It has allowed the creation and recreation of forms of intervention, the production of knowledge and has improved quality of health work.

  13. The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) study.

    Science.gov (United States)

    Paul, Ian M; Williams, Jennifer S; Anzman-Frasca, Stephanie; Beiler, Jessica S; Makova, Kateryna D; Marini, Michele E; Hess, Lindsey B; Rzucidlo, Susan E; Verdiglione, Nicole; Mindell, Jodi A; Birch, Leann L

    2014-07-18

    Because early life growth has long-lasting metabolic and behavioral consequences, intervention during this period of developmental plasticity may alter long-term obesity risk. While modifiable factors during infancy have been identified, until recently, preventive interventions had not been tested. The Intervention Nurses Starting Infants Growing on Healthy Trajectories (INSIGHT). Study is a longitudinal, randomized, controlled trial evaluating a responsive parenting intervention designed for the primary prevention of obesity. This "parenting" intervention is being compared with a home safety control among first-born infants and their parents. INSIGHT's central hypothesis is that responsive parenting and specifically responsive feeding promotes self-regulation and shared parent-child responsibility for feeding, reducing subsequent risk for overeating and overweight. 316 first-time mothers and their full-term newborns were enrolled from one maternity ward. Two weeks following delivery, dyads were randomly assigned to the "parenting" or "safety" groups. Subsequently, research nurses conduct study visits for both groups consisting of home visits at infant age 3-4, 16, 28, and 40 weeks, followed by annual clinic-based visits at 1, 2, and 3 years. Both groups receive intervention components framed around four behavior states: Sleeping, Fussy, Alert and Calm, and Drowsy. The main study outcome is BMI z-score at age 3 years; additional outcomes include those related to patterns of infant weight gain, infant sleep hygiene and duration, maternal responsiveness and soothing strategies for infant/toddler distress and fussiness, maternal feeding style and infant dietary content and physical activity. Maternal outcomes related to weight status, diet, mental health, and parenting sense of competence are being collected. Infant temperament will be explored as a moderator of parenting effects, and blood is collected to obtain genetic predictors of weight status. Finally, second

  14. The effectiveness of a nurse-initiated intervention to reduce catheter-associated bloodstream infections in an urban acute hospital: an intervention study with before and after comparison.

    Science.gov (United States)

    Tsuchida, Toshie; Makimoto, Kiyoko; Toki, Masayo; Sakai, Keiko; Onaka, Emiko; Otani, Yoshiko

    2007-11-01

    Catheter care is considered to be important for prevention of catheter-associated bloodstream infections (CABSIs) although epidemiological evidence is sparse. To identify problems associated with catheter care and evaluate the effectiveness of nurse-initiated interventions to reduce CABSIs. An intervention study with before and after comparison. CABSI surveillance was conducted in a 560-bed acute hospital located in a major urban area in Japan. Patients were enrolled in this study from April 2000 to December 2002 based on the following criteria: (1) adult inpatients; and (2) those in whom central venous lines or Swan-Ganz catheters were inserted for 2 days or longer. In the first year, risk factors for CABSI and problems associated with catheter care were identified by inspection of the infection control nurse (ICN) or four trained link nurses, and the laboratory results. In the subsequent 2 years, the following interventions based on the surveillance results were implemented: (1) enhanced skin preparation by scrubbing with regular bathing soap and tap water; (2) a new method for stabilisation of the catheter inserted into the internal jugular vein, where additional dressing was placed over the sterilised dressing; (3) educating the staff on maximal sterile precautions by teaching staff members at their section meetings and displaying posters; (4) use of a check list and observation of catheter insertion by link nurses to monitor compliance; and (5) selection of a disinfectant that requires shorter contact time and has longer residual effect. After these interventions were implemented, the overall bloodstream infection (BSI) rate declined from 4.0/1000 device-days to 1.1/1000 device-days (p<0.005). We identified four problems-those related to skin preparation, dressing, sterile precautions and disinfectant. We implemented a series of interventions to reduce CABSIs; the overall CABSI rate decreased significantly.

  15. Comparison of LEP and QST and their contribution to standard sensory diagnostic assessment of spinal lesions: a pilot study.

    Science.gov (United States)

    Geber, Christian; Baumgärtner, Ulf; Fechir, Marcel; Vogt, Thomas; Birklein, Frank; Treede, Rolf-Detlef

    2011-06-01

    This study evaluates the additional use of laser-evoked potentials (LEP) and quantitative sensory testing (QST) in the sensory assessment of spinal lesions. Four consecutive patients with spinal lesions verified by MRI and clinical evidence for mild spinothalamic tract involvement were included. The electrophysiological workup [somatosensory evoked potentials (SEP) and LEP] was compared to QST. Electrophysiology and QST were reassessed after about 6 months. LEP detected impaired spinothalamic tract function in 7/8 examinations. QST pointed to spinothalamic tract lesions by loss of thermal function (3/8); most frequent positive sensory signs (3/8) were paradoxical heat sensations. LEP and QST results were concordant in 6/8 examinations. SEPs were abnormal in 2/8 examinations. Congruent results between SEP and both LEP and QST were obtained in 3/8 examinations. LEP detected more deficits than any single QST parameter or their combination but additional QST allows the detection of positive sensory signs. The diagnostic gain of SEP was limited.

  16. How nursing leadership and management interventions could facilitate the effective use of ICT by student nurses.

    Science.gov (United States)

    Willmer, Marian

    2007-03-01

    . These reasons include lack of time for Information and Communications Technology activities by both students and the qualified nurses and some staff with poor Information and Communications Technology skills. This situation is compounded by insufficient computer hardware; lack of information about the essence and value of Information and Communications Technology; perception of the direct relevance of Information and Communications Technology activities to patient care; software materials not adequate for purpose and lack of comprehensive budget and financial recognition for student's engagement with Information and Communications Technology. 'Smile and the whole world smile with you'. This old saying has a lot of truth in it. Applied to Information and Communications Technology skills development and use by student nurses we are confronted with an uncomfortable reality of many qualified nurses who themselves are not comfortable or proficient with the use of Information and Communications Technology. Some do not see the essential need for Information and Communications Technology and its direct relevance to improving patient care, nor is this always supported by the current software and systems. Willmer argued that the achievement of effective implementation of the National Health Service National Programme for Information and Technology requires efficient change management and leading people skills, and an understanding of National Health Service culture. In this article the case is made that evidence-based management and leadership interventions are a feasible approach for a sustained implementation of Information and Communications Technology use and skills development by student nurses.

  17. Physics at LEP2. Vol. 2

    International Nuclear Information System (INIS)

    Altarelli, G.; Sjoestrand, T.; Zwirner, F.

    1995-01-01

    This is final report of the Workshop on Physics at LEP2, held at CERN during 1995. The first part of vol. 1 is devoted to aspects of machine physics of particular relevance to experiments, including the energy, luminosity and interaction regions, as well as the measurement of beam energy. The second part of vol. 1 is a relatively concise, but fairly complete, handbook on the physics of e + e - annihilation above the WW threshold and up to √s∼200 GeV. It contains discussions on WW cross-sections and distributions, W mass determination, Standard Model processes, QCD and gamma-gamma physics, as well as aspects of discovery physics, such as Higgs, new particle searches, triple gauge boson couplings and Z'. The second volume contains a review of the existing Monte Carlo generators for LEP2 physics. These include generators for WW physics, QCD and gamma-gamma processes, Bhabha scattering and discovery physics. A special effort was made to co-ordinate the different parts, with a view to achieving a systematic and balanced review of the subject, rather than just publishing a collection of separate contributions. (orig.)

  18. Physics at LEP2. Vol. 1

    International Nuclear Information System (INIS)

    Altarelli, G.; Sjoestrand, T.; Zwirner, F.

    1996-01-01

    This is the final report of the Workshop on Physics at LEP2, held at CERN during 1995. The first part of vol. 1 is devoted to aspects of machine physics of particular relevance to experiments, including the energy, luminosity and interaction regions, as well as the measurement of beam energy. The second part of vol. 1 is a relatively concise, but fairly complete, handbook on the physics of e + e - annihilation above the WW threshold and up to √s∼200 GeV. It contains discussions on WW cross-sections and distributions, W mass determination, Standard Model processes, QCD and gamma-gamma physics, as well as aspects of discovery physics, such as Higgs, new particle searches, triple gauge boson couplings and Z'. The second volume contains a review of the existing Monte Carlo generators for LEP2 physics. These include generators for WW physics, QCD and gamma-gamma processes, Bhabha scattering and discovery physics. A special effort was made to co-ordinate the different parts, with a view to achieving a systematic and balanced review of the subject, rather than just publishing a collection of separate contributions. (orig.)

  19. Physics at LEP2. Vol. 2

    Energy Technology Data Exchange (ETDEWEB)

    Altarelli, G [ed.; Sjoestrand, T [ed.; Zwirner, F [ed.

    1995-02-19

    This is final report of the Workshop on Physics at LEP2, held at CERN during 1995. The first part of vol. 1 is devoted to aspects of machine physics of particular relevance to experiments, including the energy, luminosity and interaction regions, as well as the measurement of beam energy. The second part of vol. 1 is a relatively concise, but fairly complete, handbook on the physics of e{sup +}e{sup -} annihilation above the WW threshold and up to {radical}s{approx}200 GeV. It contains discussions on WW cross-sections and distributions, W mass determination, Standard Model processes, QCD and gamma-gamma physics, as well as aspects of discovery physics, such as Higgs, new particle searches, triple gauge boson couplings and Z`. The second volume contains a review of the existing Monte Carlo generators for LEP2 physics. These include generators for WW physics, QCD and gamma-gamma processes, Bhabha scattering and discovery physics. A special effort was made to co-ordinate the different parts, with a view to achieving a systematic and balanced review of the subject, rather than just publishing a collection of separate contributions. (orig.).

  20. Lessons on Ancient China for LEP Adolescents.

    Science.gov (United States)

    Wigglesworth, Pierre Giles

    A unit in a Glendale, California sixth grade social studies curriculum is presented as a model for addressing two problems in the instruction of the growing population of limited English-proficient (LEP) students: (1) inadequate teacher training; and (2) shortage of appropriate, effective instructional materials. For the curriculum segment on…

  1. Effect of music intervention on apathy in nursing home residents with dementia.

    Science.gov (United States)

    Tang, Qiubi; Zhou, Ying; Yang, Shuixian; Thomas, Wong Kwok Shing; Smith, Graeme D; Yang, Zhi; Yuan, Lexin; Chung, Joanne Wai-Yee

    2018-03-15

    This study examined the effectiveness of group music intervention in the treatment of nursing home residents with apathy. Apathy can clinically defined with a score of 40 or above on the apathy evaluation scale (AES). Seventy-seven residents were randomly assigned to the intervention or control group. The intervention group was given a music intervention programme, which included listening to traditional music, including nostalgic songs, and playing musical instruments three times a week, for a total of twelve weeks. Results demonstrated a decrease in apathy scores in the intervention group (z = 4.667, P  0.05). Cognitive function, as assessed by Mini Mental State Examination (MMSE) score, was stable in the intervention group (t = 1.720, P > 0.05), but declined in the control group (t = -1.973, P <0.05). We conclude that music intervention has the potential to be an effective therapy for the treatment of apathy in the early stages of dementia. Copyright © 2018 Elsevier Inc. All rights reserved.

  2. Future frontiers for e+e- collisions: physics of SLC and LEP

    International Nuclear Information System (INIS)

    Dorfan, J.M.

    1986-04-01

    A brief historical review is given of the contribution to particle physics of e + e - interactions, followed by a discussion of the LEP and SLC machines and the reasons for developing linear colliders. A brief overview of the Standard Model and some essential formalism for the process e + e - → f anti f are presented, followed by a discussion of detectors. Tests of the Standard Model and physics beyond the Standard Model that can be made running at the Z 0 are considered. LEP physics at energies above the Z 0 is discussed

  3. Patient knowledge of risk factors 18 months after a nurse-led vascular intervention

    LENUS (Irish Health Repository)

    Tone, J M

    2011-01-01

    Background and aims: Eighteen months after the completion of a vascular risk intervention study, the authors aimed to ascertain whether participants who attended the intensive, nurse-led group had better retention of knowledge of diabetes and heart disease compared with those who had undergone standard diabetes care. Method: A knowledge-based questionnaire was sent to participants who completed the vascular risk intervention study, 94 from the intensive, nurse-led group and 94 from the standard care group. Results: A response rate of 75% was achieved. Although more participants in the intensive group achieved recommended vascular risk targets, there was no increase in retained knowledge of vascular risks. A high proportion of the total cohort could not quantify targets for blood pressure (67.2%), cholesterol (65.1%) or HbA1c (68.1%). Conclusion: In this cohort of people with type 2 diabetes, knowledge retention regarding treatment targets was poor. Education programmes should stress awareness of vascular risk factors and diabetes.

  4. Logistics of LEP installation

    International Nuclear Information System (INIS)

    Genier, C.; Capper, S.

    1988-01-01

    The size of the LEP project, coupled with the tight construction schedules, calls for organized planning, logistics, monitoring and control. This is being carried out at present using tools such as ORACLE the Relational Database Management System, running on a VAX cluster for data storage and transfer, micro-computers for on-site follow-up, and PC's running Professional ORACLE, DOS and XENIX linked to a communications network to receive data feedback concerning transport and handling means. Following over 2 years of installations, this paper presents the methods used for the logistics of installation and their results

  5. Jet physics at LEP

    International Nuclear Information System (INIS)

    Venus, W.

    1991-01-01

    The results of studies of the jet structure of hadronic Z 0 decays performed in the first year of Large Electron-Positron collider (LEP) operation are reviewed. The measurements of the quantum chromodynamics (QCD) coupling constant α s (M z )and the detection of the presence of the triple gluon vertex are summarized. After a brief review of the promising status of QCD in relation to even the very soft processes, the running of the coupling constants to high energy is considered in the context of grand unified theories. The necessity and importance of further theoretical work is stressed. (author)

  6. Enhancing the Capacity of School Nurses to Reduce Excessive Anxiety in Children: Development of the CALM Intervention

    Science.gov (United States)

    Drake, Kelly L.; Stewart, Catherine E.; Muggeo, Michela A.; Ginsburg, Golda S.

    2015-01-01

    Problem: Excessive anxiety is among the most common psychiatric problems facing youth. Because anxious youth tend to have somatic complaints, many seek help from the school nurse. Thus, school nurses are in an ideal position to provide early intervention. This study addresses this problem and describes the plans to develop and test a new…

  7. Fermion pair production at LEP2 and interpretations

    International Nuclear Information System (INIS)

    Abbiendi, G.

    2001-01-01

    Preliminary results on e + e - → f f-bar, f = e, μ, τ, q, including all LEP2 data are discussed. Good agreement is found with the Standard Model up to the highest energies. Limits on possible new physics are extracted

  8. The DELPHI Trigger System at LEP2 Energies

    CERN Document Server

    Augustinus, A; Charpentier, P; De Wulf, J P; Fontanelli, F; Formenti, F; Gaspar, C; Gavillet, P; Goorens, R; Laugier, J P; Musico, P; Paganoni, M; Sannino, M; Valenti, G

    2003-01-01

    In this paper we describe the modifications carried out on the DELPHI trigger complex since the beginning of the high energy runs of LEP. The descriptions of the trigger configurations and performances for the 2000 data taking period are also presented.

  9. Potentials of heat recovery from 850C LEP cooling water

    International Nuclear Information System (INIS)

    Koelling, M.

    1982-06-01

    Most of the cooling water from LEP has a too low temperature (30 to 40 0 C) to be considered for economical recovery of energy. However, it is hoped that the heat from the klystrons be removed at a temperature of 85 0 C and that this part of the LEP cooling water might be used for saving primary energy. In this study different possibilities have been investigated to make use of the waste heat for heating purposes during winter time, for saving energy in the refrigeration process in summer and for power generation. Cost estimates for these installations are also given and show their economic drawbacks. (orig.)

  10. A theory-based educational intervention targeting nurses' attitudes and knowledge concerning cancer-related pain management: A study protocol of a quasi-experimental design

    Directory of Open Access Journals (Sweden)

    Gustafsson Markus

    2011-09-01

    Full Text Available Abstract Background Pain is one of the most frequent problems among patients diagnosed with cancer. Despite the availability of effective pharmacological treatments, this group of patients often receives less than optimal treatment. Research into nurses' pain management highlights certain factors, such as lack of knowledge and attitudes and inadequate procedures for systematic pain assessment, as common barriers to effective pain management. However, educational interventions targeting nurses' pain management have shown promise. As cancer-related pain is also known to have a negative effect on vital aspects of the patient's life, as well as being commonly associated with problems such as sleep, fatigue, depression and anxiety, further development of knowledge within this area is warranted. Methods/design A quasi-experimental study design will be used to investigate whether the implementation of guidelines for systematic daily pain assessments following a theory-based educational intervention will result in an improvement in knowledge and attitude among nurses. A further aim is to investigate whether the intervention that targets nurses' behaviour will improve hospital patients' perception of pain. Data regarding nurses' knowledge and attitudes to pain (primary outcome, patient perception regarding pain (secondary outcome, together with socio-demographic variables, will be collected at baseline and at four weeks and 12 weeks following the intervention. Discussion Nursing care is nowadays acknowledged as an increasingly complicated activity and "nursing complexity is such that it can be seen as the quintessential complex intervention." To be able to change and improve clinical practice thus requires multiple points of attack appropriate to meet complex challenges. Consequently, we expect the theory-based intervention used in our quasi-experimental study to improve care as well as quality of life for this group of patients and we also envisage that

  11. A theory-based educational intervention targeting nurses' attitudes and knowledge concerning cancer-related pain management: a study protocol of a quasi-experimental design.

    Science.gov (United States)

    Borglin, Gunilla; Gustafsson, Markus; Krona, Hans

    2011-09-23

    Pain is one of the most frequent problems among patients diagnosed with cancer. Despite the availability of effective pharmacological treatments, this group of patients often receives less than optimal treatment. Research into nurses' pain management highlights certain factors, such as lack of knowledge and attitudes and inadequate procedures for systematic pain assessment, as common barriers to effective pain management. However, educational interventions targeting nurses' pain management have shown promise. As cancer-related pain is also known to have a negative effect on vital aspects of the patient's life, as well as being commonly associated with problems such as sleep, fatigue, depression and anxiety, further development of knowledge within this area is warranted. A quasi-experimental study design will be used to investigate whether the implementation of guidelines for systematic daily pain assessments following a theory-based educational intervention will result in an improvement in knowledge and attitude among nurses. A further aim is to investigate whether the intervention that targets nurses' behaviour will improve hospital patients' perception of pain. Data regarding nurses' knowledge and attitudes to pain (primary outcome), patient perception regarding pain (secondary outcome), together with socio-demographic variables, will be collected at baseline and at four weeks and 12 weeks following the intervention. Nursing care is nowadays acknowledged as an increasingly complicated activity and "nursing complexity is such that it can be seen as the quintessential complex intervention." To be able to change and improve clinical practice thus requires multiple points of attack appropriate to meet complex challenges. Consequently, we expect the theory-based intervention used in our quasi-experimental study to improve care as well as quality of life for this group of patients and we also envisage that evidence-based guidelines targeting this patient group's pain

  12. The Impact of Arts Activity on Nursing Staff Well-Being: An Intervention in the Workplace

    Directory of Open Access Journals (Sweden)

    Simona Karpavičiūtė

    2016-04-01

    Full Text Available Over 59 million workers are employed in the healthcare sector globally, with a daily risk of being exposed to a complex variety of health and safety hazards. The purpose of this study was to investigate the impact of arts activity on the well-being of nursing staff. During October–December 2014, 115 nursing staff working in a hospital, took part in this study, which lasted for 10 weeks. The intervention group (n = 56 took part in silk painting activities once a week. Data was collected using socio-demographic questions, the Warwick-Edinburgh Mental Well-Being Scale, Short Form—36 Health Survey questionnaire, Reeder stress scale, and Multidimensional fatigue inventory (before and after art activities in both groups. Statistical data analysis included descriptive statistics (frequency, percentage, mean, standard deviation, non-parametric statistics analysis (Man Whitney U Test; Wilcoxon signed—ranks test, Fisher’s exact test and reliability analysis (Cronbach’s Alpha. The level of significance was set at p ≤ 0.05. In the intervention group, there was a tendency for participation in arts activity having a positive impact on their general health and mental well-being, reducing stress and fatigue, awaking creativity and increasing a sense of community at work. The control group did not show any improvements. Of the intervention group 93% reported enjoyment, with 75% aspiring to continue arts activity in the future. This research suggests that arts activity, as a workplace intervention, can be used to promote nursing staff well-being at work.

  13. Small-x physics at LEP/LHC

    International Nuclear Information System (INIS)

    Bartels, J.; Schuler, G.A.

    1990-12-01

    The small-x behavior of deep inelastic structure functions in QCD is discussed. After a brief review of theoretical ideas we describe numerical estimates which show that LEP/LHC will be extremely useful for distinguishing between 'standard QCD' and 'new' physics in the low-x region. We also discuss which measurements will be useful for unravelling the new features of small-x physics. (orig.)

  14. Developing awareness of sustainability in nursing and midwifery using a scenario-based approach: Evidence from a pre and post educational intervention study.

    Science.gov (United States)

    Richardson, Janet; Grose, Jane; Bradbury, Martyn; Kelsey, Janet

    2017-07-01

    The delivery of healthcare has an impact on the environment and contributes to climate change. As a consequence, the way in which nurses and midwives use and dispose of natural resources in clinical practice, and the subsequent impact on the environment, should be integral component of nursing and midwifery education. Opportunities need to be found to embed such issues into nursing curricula; thus bringing sustainability issues 'closer to home' and making them more relevant for clinical practice. The study was designed to measure the impact of a sustainability-focussed, scenario-based learning educational intervention on the attitudes and knowledge of student nurses and midwives. Pre test/Post test intervention study using scenario-based learning as the educational intervention. The Sustainability Attitudes in Nursing Survey (SANS_2) was used as the outcome measure. Clinical skills session in a UK University School of Nursing and Midwifery. 676 second year undergraduate nursing and midwifery students. The 7-point scale SANS survey was completed before and after the teaching session; standard non-parametric analysis compared pre and post intervention scores. Changes were observed in attitude towards climate change and sustainability and to the inclusion of these topics within the nursing curricula (p=0.000). Participants demonstrated greater knowledge of natural resource use and the cost of waste disposal following the session (p=0.000). Participants also reported that sessions were realistic, and levels of agreement with statements supporting the value of the session and the interactive nature of delivery were higher following the session. Using a scenario-based learning approach with nursing and midwifery students can change attitudes and knowledge towards sustainability and climate change. Embedding this approach in the context of clinical skills provides a novel and engaging approach that is both educationally sound and clinically relevant. Copyright © 2017

  15. Describing the implementation of an innovative intervention and evaluating its effectiveness in increasing research capacity of advanced clinical nurses: using the consolidated framework for implementation research.

    Science.gov (United States)

    McKee, Gabrielle; Codd, Margaret; Dempsey, Orla; Gallagher, Paul; Comiskey, Catherine

    2017-01-01

    Despite advanced nursing roles having a research competency, participation in research is low. There are many barriers to participation in research and few interventions have been developed to address these. This paper aims to describe the implementation of an intervention to increase research participation in advanced clinical nursing roles and evaluate its effectiveness. The implementation of the intervention was carried out within one hospital site. The evaluation utilised a mixed methods design and a implementation science framework. All staff in advanced nursing roles were invited to take part, all those who were interested and had a project in mind could volunteer to participate in the intervention. The intervention consisted of the development of small research groups working on projects developed by the nurse participant/s and supported by an academic and a research fellow. The main evaluation was through focus groups. Output was analysed using thematic analysis. In addition, a survey questionnaire was circulated to all participants to ascertain their self-reported research skills before and after the intervention. The results of the survey were analysed using descriptive statistics. Finally an inventory of research outputs was collated. In the first year, twelve new clinical nurse-led research projects were conducted and reported in six peer reviewed papers, two non-peer reviewed papers and 20 conference presentations. The main strengths of the intervention were its promptness to complete research, to publish and to showcase clinical innovations. Main barriers identified were time, appropriate support from academics and from peers. The majority of participants had increased experience at scientific writing and data analysis. This study shows that an intervention, with minor financial resources; a top down approach; support of a hands on research fellow; peer collaboration with academics; strong clinical ownership by the clinical nurse researcher

  16. The unique contribution of the nursing intervention pain management on length of stay in older patients undergoing hip procedures.

    Science.gov (United States)

    Kerr, Peg; Shever, Leah; Titler, Marita G; Qin, Rui; Kim, Taikyoung; Picone, Debra M

    2010-02-01

    The purpose of this study was to examine the unique contribution of the nursing intervention pain management on length of stay (LOS) for 568 older patients hospitalized for hip procedures. Propensity-score-adjusted analysis was used to determine the effect of pain management on LOS. The LOS for hospitalizations that received pain management was 0.78 day longer than that for hospitalizations that did not receive pain management. Other variables that were predictors of LOS included several context-of-care variables (e.g., time spent in the intensive care unit, registered nurse skill mix, etc.), number of medical procedures and unique medications, and several other nursing interventions. Copyright 2010 Elsevier Inc. All rights reserved.

  17. [Influence of an 8-week exercise intervention on body composition, physical fitness, and mental health in female nursing students].

    Science.gov (United States)

    Yamazaki, Fumio; Yamada, Hisao; Morikawa, Sachiko

    2013-03-01

    To determine the effectiveness of habitual exercise on the health promotion of college students, we measured the body composition and physical fitness of female nursing students before (Pre) and after (Post) an 8-week low-intensity exercise intervention. We also conducted a questionnaire survey of their mental health condition before and at every 4 weeks during the intervention. The quantity of physical exercise increased (P exercise intervention did not alter the body weight, but decreased the body fat (Pre, 26.8 ± 0.5%; Post, 24.9 ± 0.5%, P health were significantly raised by the intervention. These results suggest that habitual exercise for 8 weeks was effective for the promotion of physical and mental health in female nursing students.

  18. LEP Radio Frequency Copper Cavity

    CERN Multimedia

    The pulse of a particle accelerator. 128 of these radio frequency cavities were positioned around CERN's 27-kilometre LEP ring to accelerate electrons and positrons. The acceleration was produced by microwave electric oscillations at 352 MHz. The electrons and positrons were grouped into bunches, like beads on a string, and the copper sphere at the top stored the microwave energy between the passage of individual bunches. This made for valuable energy savings as it reduced the heat generated in the cavity.

  19. The LEP project

    International Nuclear Information System (INIS)

    Anon.

    1980-01-01

    At its 64th Session on 19-20 December, the CERN Council received a document from its Scientific Policy Committee entitled 'Proposal for the next major accelerator project at CERN'. Following the studies which have been carried out over the past few years, the SPC recommended that the 'Design Study of a 22 to 130 GeV electronpositron colliding beam machine (LEP)' should be used as the basis for planning the next accelerator for CERN and recommended that the accelerator should be built adjacent to the existing Laboratory.These recommendations were mostly favourably received by the delegates of the CERN Member States and the stage seems set for the formal presentation of the project in June of this year

  20. Using appreciative inquiry to transform student nurses' image of nursing.

    Science.gov (United States)

    Chauke, Motshedisi E; Van Der Wal, Dirk; Botha, Annalie

    2015-08-19

    Literature provides adequate evidence of a poor perception of nursing within the profession, resulting in high rates of attrition of student nurses and newly qualified nurses. The nursing profession, in particular nurse educators, has an ethical and professional responsibility to find innovative strategies to promote the positive image of nursing amongst student nurses. The purpose of the study was to explore the potential of appreciative inquiry (AI) as an intervention teaching strategy to transform student nurses' image of nursing. A quantitative, quasi-experimental, explorative-descriptive design comprising the pretest, appreciative inquiry as intervention, and the post-test was used. Convenience sampling was used to select third and fourth year college and university student nurses in the Gauteng province of South Africa for the pre- and the post-test respectively. Data were collected by means of a questionnaire and analysed by SPSS version 20.0. The pretest results revealed a mix of positive and negative perceptions of the image of nursing amongst student nurses. The negative perceptions of the image of nursing that needed intervention included the working conditions of nurses, and the perception of nursing as a profession that was not respected and appreciated. The post-test results showed a significant and positive change in the student nurses' perception of the image of nursing as a respected and appreciated profession. Although AI resulted in a negative to positive change in some aspects of student nurses' image of nursing, the negative perceptions of the working conditions of nurses remained and became more negative. The positive image of gender in nursing was enhanced following the implementation of AI. Appreciative inquiry demonstrated potential as a teaching strategy to produce a positive nursing image change and positive orientation towards nursing amongst student nurses.

  1. Changing adherence-related beliefs about ICS maintenance treatment for asthma: feasibility study of an intervention delivered by asthma nurse specialists.

    Science.gov (United States)

    Chapman, Sarah C E; Barnes, Neil; Barnes, Mari; Wilkinson, Andrea; Hartley, John; Piddock, Cher; Weinman, John; Horne, Rob

    2015-06-05

    The Necessity-Concerns Framework (NCF) posits that non-adherence to inhaled corticosteroids (ICS) in asthma is influenced by doubts about the necessity for ICS and concerns about their potential adverse effects. This feasibility study examined whether these beliefs could be changed by briefing asthma nurse specialists on ways of addressing necessity beliefs and concerns within consultations. Pre-post intervention study. Secondary care. Patients with a diagnosis of moderate to severe asthma who were prescribed daily ICS were recruited to either a hospital care group (n=79; 71.0% female) or intervention group (n=57; 66.7% female). Asthma nurse specialists attended a 1.5-day NCF briefing. Beliefs about ICS (primary outcome) and self-reported adherence were measured preconsultation and 1 month postconsultation. Participants also rated their satisfaction with their consultations immediately after the consultation. Consultation recordings were coded to assess intervention delivery. After the NCF briefing, nurse specialists elicited and addressed beliefs about medicine more frequently. The frequency of using the NCF remained low, for example, open questions eliciting adherence were used in 0/59 hospital care versus 14/49 (28.6%) intervention consultations. Doubts about personal necessity for, and concerns about, ICS were reduced at 1 month postbriefing (pchanged nurse consultations, but not sufficiently enough to fully address non-adherence or adherence-related ICS beliefs (necessity and concerns). More effective techniques are needed to support nurse specialists and other practitioners to apply the intervention in hospital asthma review consultations. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  2. [Analysis of interventions designed to improve clinical supervision of student nurses in Benin].

    Science.gov (United States)

    Otti, André; Pirson, Magali; Piette, Danielle; Coppieters T Wallant, Yves

    2017-12-05

    The absence of an explicit and coherent conception of the articulation between theory and practice in the reform of nursing training in Benin has resulted in poor quality clinical supervision of student nurses. The objective of this article is to analyze two interventions designed to improve the quality of supervision. A student welcome booklet developed by means of a consultative and provocative participatory approach was tested with twelve student nurses versus a control group. Content analysis of the data collected by individual semi-directed interviews and during two focus groups demonstrated the value of this tool. Student nurses were also taught to use to training diaries inspired by the ?experiential learning? Training diaries were analysed using a grid based on the descriptive elements of the five types of Scheepers training diaries (2008). According to the student nurses, the welcome booklet provided them with structured information to be used as a reference during their training and a better understanding of their teachers, and allowed them to situate the resources of the training course with a lower level of stress. Fifty-eight per cent of the training diaries were are mosaics, reflecting the reflective practice and self-regulated learning of student nurses. This activity also promoted metacognitive dialogue with their supervisors. The student welcome booklet appeared to facilitate integration of student nurses into the clinical setting and promoted professional and organizational socialization. The training diary improved the quality of clinical learning by repeated reflective observation of student nurses and helped to maintain permanent communication with the supervisors.

  3. At work on LEP, the world’s most powerful electron–positron collider

    CERN Document Server

    Patrice Loiez,

    1999-01-01

    The LHC will be built inside the same tunnel as an existing accelerator, the Large Electron Positron (LEP) collider which came on stream in 1989. LEP will be removed from the tunnel at the end of this year to make way for the LHC. Here technicians make delicate adjustments to one of LEP’s thousands of magnets.

  4. QCD measurements in photon-photon collisions at LEP

    OpenAIRE

    Csilling, Akos

    2001-01-01

    An overview of the latest results of the LEP collaborations on QCD measurements in photon-photon collisions is presented, including measurements of the total hadronic cross-section, the production of heavy quarks and dijets and the structure functions of real and virtual photons.

  5. Exclusive Channels in Photon-Photon Collisions at LEP

    OpenAIRE

    Braccini, Saverio

    2002-01-01

    The study of exclusive channels in photon-photon collisions at e+e- colliders allows to investigate the structure and the properties of hadrons in a very clean experimental environment. A concise review of the most recent results obtained at LEP is presented.

  6. Demystifying Nursing Theory: A Christian Nursing Perspective.

    Science.gov (United States)

    Schaffer, Marjorie A; Sandau, Kristin; Missal, Bernita

    How does nursing theory apply to nursing practice? Nursing theory can explain the why and how of nursing practice, guide nursing interventions, and provide a framework for measuring outcomes. This article briefly explains nursing theory, provides examples for applying theory to nursing practice, and proposes questions for examining the consistency of nursing theories with Christian perspectives. A helpful table illustrating grand, middle-range, and situation-specific theories and their application to nursing practice and research, along with references, is provided online as supplemental digital content. Three caring theories are analyzed from biblical beliefs.

  7. Measurement of the W mass at LEP 200

    International Nuclear Information System (INIS)

    Bijnens, J.; Zeppenfeld, D.; Kunszt, Z.

    1987-01-01

    Each of the four LEP experiments can measure in at least three ways the mass of the W boson at LEP 200 with an accuracy of the order of 100 MeV (or better). W mass measurement from the threshold behavior of σ (e + e - →W + W - ), W mass reconstruction using the W decay products, and W mass reconstruction from the end point of the lepton energy spectrum. The integrated luminosity of 500 events/pb used in this study provides a better statistical accuracy (50-60 MeV) but it appears difficult to control the systematical uncertainties at such a level. All the methods proposed in this report require the knowledge of the machine beam energy which gives in any case an absolute limit on the W mass measurement accuracy. Then, the theoretical interest in measuring M W at the 1 o/oo level is discussed. 22 figs; 25 refs

  8. Tests of electroweak interactions at CERN's LEP Collider

    Science.gov (United States)

    Fearnley, T. A.

    1995-08-01

    Precision measurements of electroweak interactions at the Z0 energy are performed at four experiments at the Large Electron Positron (LEP) Collider at CERN in Geneva, Switzerland. The large amount of data obtained from 1989 until today allows detailed comparisons with the predictions made by the Standard Model. Within the experimental errors the agreement with the Standard Model is good. Fits to the LEP data allow an indirect determination of the mass of the top quark: Mt=173+12+18-13-20 GeV, assuming a Higgs boson mass of 300 GeV. The first errors reflect the experimental errors (systematic and statistical) on the measurements. The second errors correspond to the variation of the central value when varying the Higgs mass between 60 and 1000 GeV. This paper reviews the results of the measurements of electroweak interactions, and compares the results with predictions made by the Standard Model.

  9. The Effect of an Educational Intervention Program on the Adoption of Low Back Pain Preventive Behaviors in Nurses: An Application of the Health Belief Model.

    Science.gov (United States)

    Sharafkhani, Naser; Khorsandi, Mahboobeh; Shamsi, Mohsen; Ranjbaran, Mehdi

    2016-02-01

    Study Design Randomized controlled trial. Objective The purpose of this study was to identify the effect of a theory-based educational intervention program on the level of knowledge and Health Belief Model (HBM) constructs among nurses in terms of the adoption of preventive behaviors. Methods This pretest/posttest quasi-experimental study was conducted on 100 nurses who were recruited through the multistage sampling method. The nurses were randomly assigned to intervention and control groups. The participants were evaluated before and 3 months after the educational intervention. A multidimensional questionnaire was prepared based on the theoretical structures of the HBM to collect the data. Data analysis was performed using descriptive and inferential statistics. Results There was no significant difference in the mean values of HBM constructs prior to the intervention between the intervention and control groups. However, after the administration of the educational program, the mean scores of knowledge and HBM constructs significantly increased in the intervention group when compared with the control group (p educational intervention based on the HBM was effective in improving the nurses' scores of knowledge and HBM constructs; therefore, theory-based health educational strategies are suggested as an effective alternative to traditional educational interventions.

  10. Hypothalamic growth hormone receptor (GHR) controls hepatic glucose production in nutrient-sensing leptin receptor (LepRb) expressing neurons.

    Science.gov (United States)

    Cady, Gillian; Landeryou, Taylor; Garratt, Michael; Kopchick, John J; Qi, Nathan; Garcia-Galiano, David; Elias, Carol F; Myers, Martin G; Miller, Richard A; Sandoval, Darleen A; Sadagurski, Marianna

    2017-05-01

    The GH/IGF-1 axis has important roles in growth and metabolism. GH and GH receptor (GHR) are active in the central nervous system (CNS) and are crucial in regulating several aspects of metabolism. In the hypothalamus, there is a high abundance of GH-responsive cells, but the role of GH signaling in hypothalamic neurons is unknown. Previous work has demonstrated that the Ghr gene is highly expressed in LepRb neurons. Given that leptin is a key regulator of energy balance by acting on leptin receptor (LepRb)-expressing neurons, we tested the hypothesis that LepRb neurons represent an important site for GHR signaling to control body homeostasis. To determine the importance of GHR signaling in LepRb neurons, we utilized Cre/loxP technology to ablate GHR expression in LepRb neurons (Lepr EYFPΔGHR ). The mice were generated by crossing the Lepr cre on the cre-inducible ROSA26-EYFP mice to GHR L/L mice. Parameters of body composition and glucose homeostasis were evaluated. Our results demonstrate that the sites with GHR and LepRb co-expression include ARH, DMH, and LHA neurons. Leptin action was not altered in Lepr EYFPΔGHR mice; however, GH-induced pStat5-IR in LepRb neurons was significantly reduced in these mice. Serum IGF-1 and GH levels were unaltered, and we found no evidence that GHR signaling regulates food intake and body weight in LepRb neurons. In contrast, diminished GHR signaling in LepRb neurons impaired hepatic insulin sensitivity and peripheral lipid metabolism. This was paralleled with a failure to suppress expression of the gluconeogenic genes and impaired hepatic insulin signaling in Lepr EYFPΔGHR mice. These findings suggest the existence of GHR-leptin neurocircuitry that plays an important role in the GHR-mediated regulation of glucose metabolism irrespective of feeding.

  11. Hypothalamic growth hormone receptor (GHR controls hepatic glucose production in nutrient-sensing leptin receptor (LepRb expressing neurons

    Directory of Open Access Journals (Sweden)

    Gillian Cady

    2017-05-01

    Full Text Available Objective: The GH/IGF-1 axis has important roles in growth and metabolism. GH and GH receptor (GHR are active in the central nervous system (CNS and are crucial in regulating several aspects of metabolism. In the hypothalamus, there is a high abundance of GH-responsive cells, but the role of GH signaling in hypothalamic neurons is unknown. Previous work has demonstrated that the Ghr gene is highly expressed in LepRb neurons. Given that leptin is a key regulator of energy balance by acting on leptin receptor (LepRb-expressing neurons, we tested the hypothesis that LepRb neurons represent an important site for GHR signaling to control body homeostasis. Methods: To determine the importance of GHR signaling in LepRb neurons, we utilized Cre/loxP technology to ablate GHR expression in LepRb neurons (LeprEYFPΔGHR. The mice were generated by crossing the Leprcre on the cre-inducible ROSA26-EYFP mice to GHRL/L mice. Parameters of body composition and glucose homeostasis were evaluated. Results: Our results demonstrate that the sites with GHR and LepRb co-expression include ARH, DMH, and LHA neurons. Leptin action was not altered in LeprEYFPΔGHR mice; however, GH-induced pStat5-IR in LepRb neurons was significantly reduced in these mice. Serum IGF-1 and GH levels were unaltered, and we found no evidence that GHR signaling regulates food intake and body weight in LepRb neurons. In contrast, diminished GHR signaling in LepRb neurons impaired hepatic insulin sensitivity and peripheral lipid metabolism. This was paralleled with a failure to suppress expression of the gluconeogenic genes and impaired hepatic insulin signaling in LeprEYFPΔGHR mice. Conclusion: These findings suggest the existence of GHR-leptin neurocircuitry that plays an important role in the GHR-mediated regulation of glucose metabolism irrespective of feeding. Keywords: Growth hormone receptor, Hypothalamus, Leptin receptor, Glucose production, Liver

  12. Heavy quark production at SLC and LEP

    International Nuclear Information System (INIS)

    Hearty, C.

    1990-06-01

    Experiments at SLC and LEP have made preliminary measurements of the relative partial widths of the c and b quarks. Using D* tagging, DELPHI has found R c bar c triple-bond/Γ c bar c/Γ hadr. = 0.162 ± 0.032 ± 0.031, in good agreement with the Standard Model value of 0.171. ALEPH has used semileptonic decays of charm to obtain 0.148 ± 0.044 -0.038 +0.045 . Three experiments have used semileptonic Β decays to measurement R b bar b: R b bar b = 0.23 ± 0.10 (Mark II), 0.218 ± 0.010 ± 0.021 (L3), and 0.220 ± 0.016 ± 0.024 (ALEPH). All agree well with the expected value of 0.217. The uncertainty in branching ratios of c and b hadrons is the largest systematic error in all of the results. Future LEP measurements of the branching ratios may reduce the errors. R b bar b will also be measured with different, and possibly lower, systematic errors by Mark II using impact parameter tagging

  13. Capability of LEP-type surfaces to describe noncollinear reactions 2 - Polyatomic systems

    CERN Document Server

    Espinosa-Garcia, Joaquin

    2001-01-01

    In this second article of the series, the popular LEP-type surface for collinear reaction paths and a "bent" surface, which involves a saddle point geometry with a nonlinear central angle, were used to examine the capacity of LEP-type surfaces to describe the kinetics and dynamics of noncollinear reaction paths in polyatomic systems. Analyzing the geometries, vibrational frequencies, curvature along the reaction path (to estimate the tunneling effect and the reaction coordinate-bound modes coupling), and the variational transition- state theory thermal rate constants for the NH//3 + O(**3P) reaction, we found that the "collinear" LEP-type and the "bent" surfaces for this polyatomic system show similar behavior, thus allowing a considerable saving in time and computational effort. This agreement is especially encouraging for this polyatomic system because in the Cs symmetry the reaction proceeds via two electronic states of symmetries **3A prime and **3A double prime , which had to be independently calibrated....

  14. Search for Excited Leptons at LEP

    CERN Document Server

    Achard, P.; Aguilar-Benitez, M.; Alcaraz, J.; Alemanni, G.; Allaby, J.; Aloisio, A.; Alviggi, M.G.; Anderhub, H.; Andreev, Valery P.; Anselmo, F.; Arefev, A.; Azemoon, T.; Aziz, T.; Bagnaia, P.; Bajo, A.; Baksay, G.; Baksay, L.; Baldew, S.V.; Banerjee, S.; Banerjee, Sw.; Barczyk, A.; Barillere, R.; Bartalini, P.; Basile, M.; Batalova, N.; Battiston, R.; Bay, A.; Becattini, F.; Becker, U.; Behner, F.; Bellucci, L.; Berbeco, R.; Berdugo, J.; Berges, P.; Bertucci, B.; Betev, B.L.; Biasini, M.; Biglietti, M.; Biland, A.; Blaising, J.J.; Blyth, S.C.; Bobbink, G.J.; Bohm, A.; Boldizsar, L.; Borgia, B.; Bottai, S.; Bourilkov, D.; Bourquin, M.; Braccini, S.; Branson, J.G.; Brochu, F.; Burger, J.D.; Burger, W.J.; Cai, X.D.; Capell, M.; Cara Romeo, G.; Carlino, G.; Cartacci, A.; Casaus, J.; Cavallari, F.; Cavallo, N.; Cecchi, C.; Cerrada, M.; Chamizo, M.; Chang, Y.H.; Chemarin, M.; Chen, A.; Chen, G.; Chen, G.M.; Chen, H.F.; Chen, H.S.; Chiefari, G.; Cifarelli, L.; Cindolo, F.; Clare, I.; Clare, R.; Coignet, G.; Colino, N.; Costantini, S.; de la Cruz, B.; Cucciarelli, S.; van Dalen, J.A.; de Asmundis, R.; Deglon, P.; Debreczeni, J.; Degre, A.; Dehmelt, K.; Deiters, K.; della Volpe, D.; Delmeire, E.; Denes, P.; DeNotaristefani, F.; De Salvo, A.; Diemoz, M.; Dierckxsens, M.; Dionisi, C.; Dittmar, M.; Doria, A.; Dova, M.T.; Duchesneau, D.; Duda, M.; Echenard, B.; Eline, A.; El Hage, A.; El Mamouni, H.; Engler, A.; Eppling, F.J.; Extermann, P.; Falagan, M.A.; Falciano, S.; Favara, A.; Fay, J.; Fedin, O.; Felcini, M.; Ferguson, T.; Fesefeldt, H.; Fiandrini, E.; Field, J.H.; Filthaut, F.; Fisher, P.H.; Fisher, W.; Fisk, I.; Forconi, G.; Freudenreich, K.; Furetta, C.; Galaktionov, Iouri; Ganguli, S.N.; Garcia-Abia, Pablo; Gataullin, M.; Gentile, S.; Giagu, S.; Gong, Z.F.; Grenier, Gerald Jean; Grimm, O.; Gruenewald, M.W.; Guida, M.; van Gulik, R.; Gupta, V.K.; Gurtu, A.; Gutay, L.J.; Haas, D.; Hakobyan, R.S.; Hansen, J.M.; Hatzifotiadou, D.; Hebbeker, T.; Herve, Alain; Hirschfelder, J.; Hofer, H.; Hohlmann, M.; Holzner, G.; Hou, S.R.; Hu, Y.; Jin, B.N.; Jones, Lawrence W.; de Jong, P.; Josa-Mutuberria, I.; Kafer, D.; Kaur, M.; Kienzle-Focacci, M.N.; Kim, J.K.; Kirkby, Jasper; Kittel, W.; Klimentov, A.; Konig, A.C.; Kopal, M.; Koutsenko, V.; Kraber, M.; Kraemer, R.W.; Kruger, A.; Kunin, A.; Ladron de Guevara, P.; Laktineh, I.; Landi, G.; Lebeau, M.; Lebedev, A.; Lebrun, P.; Lecomte, P.; Lecoq, P.; Le Coultre, P.; Le Goff, J.M.; Leiste, R.; Levtchenko, M.; Levtchenko, P.; Li, C.; Likhoded, S.; Lin, C.H.; Lin, W.T.; Linde, F.L.; Lista, L.; Liu, Z.A.; Lohmann, W.; Longo, E.; Lu, Y.S.; Luci, C.; Luminari, L.; Lustermann, W.; Ma, W.G.; Malgeri, L.; Malinin, A.; Mana, C.; Mans, J.; Martin, J.P.; Marzano, F.; Mazumdar, K.; McNeil, R.R.; Mele, S.; Merola, L.; Meschini, M.; Metzger, W.J.; Mihul, A.; Milcent, H.; Mirabelli, G.; Mnich, J.; Mohanty, G.B.; Muanza, G.S.; Muijs, A.J.M.; Musicar, B.; Musy, M.; Nagy, S.; Natale, S.; Napolitano, M.; Nessi-Tedaldi, F.; Newman, H.; Nisati, A.; Kluge, Hannelies; Ofierzynski, R.; Organtini, G.; Pal, I.; Palomares, C.; Paolucci, P.; Paramatti, R.; Passaleva, G.; Patricelli, S.; Paul, Thomas Cantzon; Pauluzzi, M.; Paus, C.; Pauss, F.; Pedace, M.; Pensotti, S.; Perret-Gallix, D.; Petersen, B.; Piccolo, D.; Pierella, F.; Pioppi, M.; Piroue, P.A.; Pistolesi, E.; Plyaskin, V.; Pohl, M.; Pojidaev, V.; Pothier, J.; Prokofev, D.; Quartieri, J.; Rahal-Callot, G.; Rahaman, Mohammad Azizur; Raics, P.; Raja, N.; Ramelli, R.; Rancoita, P.G.; Ranieri, R.; Raspereza, A.; Razis, P.; Ren, D.; Rescigno, M.; Reucroft, S.; Riemann, S.; Riles, Keith; Roe, B.P.; Romero, L.; Rosca, A.; Rosier-Lees, S.; Roth, Stefan; Rosenbleck, C.; Rubio, J.A.; Ruggiero, G.; Rykaczewski, H.; Sakharov, A.; Saremi, S.; Sarkar, S.; Salicio, J.; Sanchez, E.; Schafer, C.; Schegelsky, V.; Schopper, H.; Schotanus, D.J.; Sciacca, C.; Servoli, L.; Shevchenko, S.; Shivarov, N.; Shoutko, V.; Shumilov, E.; Shvorob, A.; Son, D.; Souga, C.; Spillantini, P.; Steuer, M.; Stickland, D.P.; Stoyanov, B.; Straessner, A.; Sudhakar, K.; Sultanov, G.; Sun, L.Z.; Sushkov, S.; Suter, H.; Swain, J.D.; Szillasi, Z.; Tang, X.W.; Tarjan, P.; Tauscher, L.; Taylor, L.; Tellili, B.; Teyssier, D.; Timmermans, Charles; Ting, Samuel C.C.; Ting, S.M.; Tonwar, S.C.; Toth, J.; Tully, C.; Tung, K.L.; Ulbricht, J.; Valente, E.; Van de Walle, R.T.; Vasquez, R.; Veszpremi, V.; Vesztergombi, G.; Vetlitsky, I.; Vicinanza, D.; Viertel, G.; Villa, S.; Vivargent, M.; Vlachos, S.; Vodopianov, I.; Vogel, H.; Vogt, H.; Vorobev, I.; Vorobyov, A.A.; Wadhwa, M.; Wang, Q.; Wang, X.L.; Wang, Z.M.; Weber, M.; Wienemann, P.; Wilkens, H.; Wynhoff, S.; Xia, L.; Xu, Z.Z.; Yamamoto, J.; Yang, B.Z.; Yang, C.G.; Yang, H.J.; Yang, M.; Yeh, S.C.; Zalite, A.; Zalite, Yu.; Zhang, Z.P.; Zhao, J.; Zhu, G.Y.; Zhu, R.Y.; Zhuang, H.L.; Zichichi, A.; Zimmermann, B.; Zoller, M.

    2003-01-01

    A search for charged and neutral excited leptons is performed in 217 pb-1 of data collected with the L3 detector at LEP at centre-of-mass energies up to 209 GeV. The pair- and single-production mechanisms are investigated and no signals are detected. Combining with L3 results from searches at lower centre-of-mass energies, gives improved limits on the masses and couplings of excited leptons.

  15. Evaluation of AHRQ's on-time pressure ulcer prevention program: a facilitator-assisted clinical decision support intervention for nursing homes.

    Science.gov (United States)

    Olsho, Lauren E W; Spector, William D; Williams, Christianna S; Rhodes, William; Fink, Rebecca V; Limcangco, Rhona; Hurd, Donna

    2014-03-01

    Pressure ulcers present serious health and economic consequences for nursing home residents. The Agency for Healthcare Research & Quality, in partnership with the New York State Department of Health, implemented the pressure ulcer module of On-Time Quality Improvement for Long Term Care (On-Time), a clinical decision support intervention to reduce pressure ulcer incidence rates. To evaluate the effectiveness of the On-Time program in reducing the rate of in-house-acquired pressure ulcers among nursing home residents. We employed an interrupted time-series design to identify impacts of 4 core On-Time program components on resident pressure ulcer incidence in 12 New York State nursing homes implementing the intervention (n=3463 residents). The sample was purposively selected to include nursing homes with high baseline prevalence and incidence of pressure ulcers and high motivation to reduce pressure ulcers. Differential timing and sequencing of 4 core On-Time components across intervention nursing homes and units enabled estimation of separate impacts for each component. Inclusion of a nonequivalent comparison group of 13 nursing homes not implementing On-Time (n=2698 residents) accounts for potential mean-reversion bias. Impacts were estimated via a random-effects Poisson model including resident-level and facility-level covariates. We find a large and statistically significant reduction in pressure ulcer incidence associated with the joint implementation of 4 core On-Time components (incidence rate ratio=0.409; P=0.035). Impacts vary with implementation of specific component combinations. On-Time implementation is associated with sizable reductions in pressure ulcer incidence.

  16. The effectiveness of interventions to enhance self-management support competencies in the nursing profession: a systematic review.

    Science.gov (United States)

    Duprez, Veerle; Vandecasteele, Tina; Verhaeghe, Sofie; Beeckman, Dimitri; Van Hecke, Ann

    2017-08-01

    The aim of this study was to explore the effectiveness and effective components of training interventions to enhance nurses' competencies in self-management support in chronic care. The growing burden of chronic diseases puts an increasing focus on nurses' self-management support of people living with a chronic illness. The most effective method to train nurses' competencies in self-management support remains unclear. Systematic literature review. PubMed, CINAHL, Cochrane CENTRAL, EMBASE, Web of Science, ERIC and PsycARTICLES databases were searched up to August 2015. Eligible studies reported on training interventions to enhance chronic care self-management support competencies in nurses. Outcomes were defined as trainees' reactions to the training (level 1), changes in trainees' competencies (level 2) or changes in trainees' performance in practice (level 3) concerning self-management support. Risk of bias was assessed. Level 1 outcomes were synthesized narratively. Standardized mean differences were calculated per study for level 2 and 3 outcomes. In total, 25 studies were included. Twelve of these studies included level 1 outcomes, eight studies included level 2 outcomes and 10 studies included level 3 outcomes. Effect sizes in favour of training ranged from -0·36 - 1·56 (level 2) and from 0·06 - 5·56 (level 3). Theory-driven training interventions with time to practice, (video) feedback and follow-up generated the most training effects. Caution is needed due to the inconsistent study quality. To date, there is a knowledge gap concerning the most effective method to train nurses' competencies in self-management support. More well-designed, longitudinal studies are needed. © 2016 John Wiley & Sons Ltd.

  17. Developing a prenatal nursing care International Classification for Nursing Practice catalogue.

    Science.gov (United States)

    Liu, L; Coenen, A; Tao, H; Jansen, K R; Jiang, A L

    2017-09-01

    This study aimed to develop a prenatal nursing care catalogue of International Classification for Nursing Practice. As a programme of the International Council of Nurses, International Classification for Nursing Practice aims to support standardized electronic nursing documentation and facilitate collection of comparable nursing data across settings. This initiative enables the study of relationships among nursing diagnoses, nursing interventions and nursing outcomes for best practice, healthcare management decisions, and policy development. The catalogues are usually focused on target populations. Pregnant women are the nursing population addressed in this project. According to the guidelines for catalogue development, three research steps have been adopted: (a) identifying relevant nursing diagnoses, interventions and outcomes; (b) developing a conceptual framework for the catalogue; (c) expert's validation. This project established a prenatal nursing care catalogue with 228 terms in total, including 69 nursing diagnosis, 92 nursing interventions and 67 nursing outcomes, among them, 57 nursing terms were newly developed. All terms in the catalogue were organized by a framework with two main categories, i.e. Expected Changes of Pregnancy and Pregnancy at Risk. Each category had four domains, representing the physical, psychological, behavioral and environmental perspectives of nursing practice. This catalogue can ease the documentation workload among prenatal care nurses, and facilitate storage and retrieval of standardized data for many purposes, such as quality improvement, administration decision-support and researches. The documentations of prenatal care provided data that can be more fluently communicated, compared and evaluated across various healthcare providers and clinic settings. © 2016 International Council of Nurses.

  18. Structural analyses of Legionella LepB reveal a new GAP fold that catalytically mimics eukaryotic RasGAP.

    Science.gov (United States)

    Yu, Qin; Hu, Liyan; Yao, Qing; Zhu, Yongqun; Dong, Na; Wang, Da-Cheng; Shao, Feng

    2013-06-01

    Rab GTPases are emerging targets of diverse bacterial pathogens. Here, we perform biochemical and structural analyses of LepB, a Rab GTPase-activating protein (GAP) effector from Legionella pneumophila. We map LepB GAP domain to residues 313-618 and show that the GAP domain is Rab1 specific with a catalytic activity higher than the canonical eukaryotic TBC GAP and the newly identified VirA/EspG family of bacterial RabGAP effectors. Exhaustive mutation analyses identify Arg444 as the arginine finger, but no catalytically essential glutamine residues. Crystal structures of LepB313-618 alone and the GAP domain of Legionella drancourtii LepB in complex with Rab1-GDP-AlF3 support the catalytic role of Arg444, and also further reveal a 3D architecture and a GTPase-binding mode distinct from all known GAPs. Glu449, structurally equivalent to TBC RabGAP glutamine finger in apo-LepB, undergoes a drastic movement upon Rab1 binding, which induces Rab1 Gln70 side-chain flipping towards GDP-AlF3 through a strong ionic interaction. This conformationally rearranged Gln70 acts as the catalytic cis-glutamine, therefore uncovering an unexpected RasGAP-like catalytic mechanism for LepB. Our studies highlight an extraordinary structural and catalytic diversity of RabGAPs, particularly those from bacterial pathogens.

  19. OPAL: selection and acquisition of LEP data

    International Nuclear Information System (INIS)

    Le Du, P.

    1985-01-01

    The OPAL project (Omni Purpose aparatus for LEP) is presented. It will be a frame and an example to explain the main problems and limitations concerning the mode of event selection, acquisition and information transfer to the final registering system. A quick review of the different problems related to data selection and acquisition is made [fr

  20. Stress and anxiety among nursing students: A review of intervention strategies in literature between 2009 and 2015.

    Science.gov (United States)

    Turner, Katrina; McCarthy, Valerie Lander

    2017-01-01

    Undergraduate nursing students experience significant stress and anxiety, inhibiting learning and increasing attrition. Twenty-six intervention studies were identified and evaluated, updating a previous systematic review which categorized interventions targeting: (1) stressors, (2) coping, or (3) appraisal. The majority of interventions in this review aimed to reduce numbers or intensity of stressors through curriculum development (12) or to improve students' coping skills (8). Two studies reported interventions using only cognitive reappraisal while three interventions combined reappraisal with other approaches. Strength of evidence was limited by choice of study design, sample size, and lack of methodological rigor. Some statistically significant support was found for interventions focused on reducing stressors through curriculum development or improving students' coping skills. No statistically significant studies using reappraisal, either alone or in combination with other approaches, were identified, although qualitative findings suggested the potential benefits of this approach do merit further study. Progress was noted since 2008 in the increased number of studies and greater use of validated outcome measures but the review concluded further methodologically sound, adequately powered studies, especially randomized controlled trials, are needed to determine which interventions are effective to address the issue of excessive stress and anxiety among undergraduate nursing students. Copyright © 2016 Elsevier Ltd. All rights reserved.