Management of area-wide integrated pest management programmes that integrate the sterile insect technique

International Nuclear Information System (INIS)

Dyck, V.A.; Vreysen, M.J.B.; Reyes Flores, J.; Regidor Fernandez, E.E.; Teruya, T.; Barnes, B.; Gomez Riera, P.; Lindquist, D.; Loosjes, M.

2005-01-01

Effective management of area-wide integrated pest management (AW-IPM) programmes that integrate the sterile insect technique (SIT) is key to success. Programme planning includes collection of baseline data and a feasibility assessment. The optimal management structure is where the programme can be implemented effectively and flexibly, independent of government politics, bureaucracy, and even corruption that impede timely goal achievement. Ideally, programmes include both public and private management, and require strong and steady financial support. Governments and donors are the most common sources of funds, but a mixture of public, community, and private funds is now the trend. Interrupted cash flow severely restrains programme performance. Physical support of programme operations must be reliable, and led by a maintenance professional. It is essential to have full-time, well-paid, and motivated staff led by a programme manger with technical and management experience. Programme failure is usually due to poor management and inadequate public support, and not to poor technology. (author)

Effects of a relaxation training programme on immediate and prolonged stress responses in women with preterm labour.

Science.gov (United States)

Chuang, Li-Lan; Lin, Li-Chan; Cheng, Po-Jen; Chen, Chung-Hey; Wu, Shiao-Chi; Chang, Chuan-Lin

2012-01-01

This paper is a report of an experimental study of the effects of relaxation-training programme on immediate and prolonged stress responses in women with preterm labour. Hospitalized pregnant women with preterm labour experience developmental and situational stress. However, few studies have been performed on stress management in such women. An experimental pretest and repeated post-test design was used to compare the outcomes for two groups in northern Taiwan from December 2008, to May 2010. A total of 129 women were randomly assigned to an experimental (n = 68) or control (n = 61) group. The experimental group participants were instructed to listen daily to a 13-minute relaxation programme. Measurements involved the stress visual analogue scale, finger temperatures, State Trait Anxiety Inventory, Perceived Stress Scale and Pregnancy-related Anxiety. Two-way analysis of variance and hierarchical linear modelling were used to analyse the group differences. Compared with those in the control group, participants in the experimental group showed immediate improvements in the stress visual analogue scale scores and finger temperatures. The State Trait Anxiety Inventory-State subscale score for the experimental group was significantly lower than that for the control group (P = 0·03). However, no statistically significant differences for the Perceived Stress Scale and Pregnancy-related Anxiety scores were found between the experimental group and the control group. The relaxation-training programme could improve the stress responses of women with preterm labour. © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.

Public sector's research programme on nuclear waste management

International Nuclear Information System (INIS)

Vuori, S.

2000-06-01

According to the Finnish nuclear energy legislation, each producer of nuclear waste is responsible for the safe handling, management and disposal of the waste as well as for the arising costs. Authorities supervise and control the implementation of the national waste management programme and set the necessary safety and other requirements. In these tasks the authorities are supported by a research programme on nuclear waste management that is independent of the implementing organisations and power companies. The main objective of the research programme has been to provide the authorities with information and research results relevant for the safety of nuclear waste management. The main emphasis in this research programme has been devoted to the final disposal of spent fuel. The whole area of the research programme has been subdivided into the following main topic areas: (1) Behaviour of bedrock (2) Geohydrology and geochemistry, (3) Release of radionuclides from repository and subsequent transport in bedrock, (4) Engineered safety barriers of the repository, system, (5) Performance and safety assessment of spent fuel disposal facilities, (6) Waste management technology and costs (7) Evaluation of the contents and scope of and observation of the realisation of the environmental impact assessment procedure for the siting of spent nuclear fuel disposal facility, and research on other societal and sociopolitical issues, and (8) Public information, attitude, and image issues for waste management facilities. The research programme has generated considerably increased information on the behaviour of the natural and technical release barriers of the disposal system and thereby contributed to building of confidence on the long-term safety of geological disposal of spent fuel. Furthermore, increased confidence among the public in the affected candidate municipalities has probably been achieved by the complementary studies conducted within the research programme on topics

The management of stress urinary incontinence: A case report

Directory of Open Access Journals (Sweden)

Preshani Reddy

2015-05-01

Full Text Available Introduction: Conservative management is the first option for patients with stress urinary incontinence (SUI. However, successful management of women diagnosed with SUI is dependent on a proper assessment and a tailored treatment plan. This case report aims to show the effectiveness of physiotherapy management in a 42-year-old patient diagnosed with SUI. Patient presentation: The patient’s main complaints were involuntary loss of urine on coughing, sneezing and lifting of heavy objects, which started following the birth of her third child. Management and outcome: The patient was taught the ‘Knack’ manoeuvre and provided with a tailored pelvic floor exercise programme. Improvement was noted at the third visit and the patient no longer had involuntary episodes. Conclusion: This case report shows the successful outcome of conservative management in a patient with stress urinary incontinence.

Stress Prevention through a Time Management Training Intervention: An Experimental Study

Science.gov (United States)

Häfner, Alexander; Stock, Armin; Pinneker, Lydia; Ströhle, Sabine

2014-01-01

The purpose of this study was to examine the effects of a short-term time management training programme on perceived control of time and perceived stress. The sample of 177 freshmen was randomly assigned to a time management training (n?=?89) and an active control group (CG) (n?=?88). We expected that an increase in external demands during the…

International Nuclear Management Academy Requirements for University Master’s Programmes in Nuclear Technology Management

International Nuclear Information System (INIS)

Grosbois, J. de; Hirose, H.; Adachi, F.; Liu, L.; Hanamitsu, K.; Kosilov, A.; Roberts, J.

2016-01-01

Full text: The development of any national nuclear energy programme is dependent on the successful development of qualified human resources, through a sustainable nuclear education and training programmes supported by government and industry. Among the broad range of specialists needed for the continued safe and economic utilization of nuclear technology for peaceful purposes, are a most vital component—managers. The International Nuclear Management Academy (INMA) is an IAEA facilitated collaboration framework in which universities provide master’s degree programmes focusing on the management aspect for the nuclear sector. INMA master’s programmes in Nuclear Technology Management (NTM) specify a common set of competency requirements that graduates should acquire to prepare them to become competent managers. This paper presents an overview of the INMA collaboration framework and the requirements for partner universities to implement master’s programmes in Nuclear Technology Management. (author

JYT - Publicly financed nuclear waste management research programme

International Nuclear Information System (INIS)

Vuori, S.

1992-07-01

The nuclear waste management research in Finland is funded both by the state and the utilities (represented in cooperation by the Nuclear Waste Commission of the Finnish power companies). A coordinated research programme (JYT) comprising the publicly financed waste management studies was started in 1989 and continues until 1993. The utilities continue to carry out a parallel research programme according to their main financial and operational responsibility for nuclear waste management. The research programme covers the following main topic areas: (1) Bedrock characteristics, groundwater and repository, (2) Release and transport of radionuclides, (3) Performance and safety assessment of repositories, and (4) Waste management technology and costs

JYT - Publicly financed nuclear waste management research programme

International Nuclear Information System (INIS)

Vuori, S.

1993-06-01

The nuclear waste management research in Finland is funded both by the state and the utilities (represented in cooperation by the Nuclear Waste Commission of the Finnish power companies). A coordinated research programme (JYT) comprising the publicly financed waste management studies was started in 1989 and continues until 1993. The utilities continue to carry out a parallel research programme according to their main financial and operational responsibility for nuclear waste management. The research programme covers the following main topic areas: (1) Bedrock characteristics, groundwater and repository, (2) Release and transport of radionuclides, (3) Performance and safety assessment of repositories, and (4) Waste management technology and costs

JYT - Publicly financed nuclear waste management research programme

International Nuclear Information System (INIS)

Vuori, S.

1991-07-01

The nuclear waste management research in Finland is funded both by the state and the utilities (represented in cooperation by the Nuclear Waste Commission of the Finnish power companies). A coordinated research programme (JYT) comprising the publicly financed waste management studies was started in 1989 and continues until 1993. The utilities continue to carry out a parallel research programme according to their main financial and operational responsibility for nuclear waste management. The research programme covers the following main topic areas: (1) Bedrock characteristics, groundwater and repository, (2) Release and transport of radionuclides, (3) Performance and safety assessment of repositories, and (4) Waste management technology and costs

Stress Management: Job Stress

Science.gov (United States)

Healthy Lifestyle Stress management Job stress can be all-consuming — but it doesn't have to be. Address your triggers, keep perspective and ... stress triggers, it's often helpful to improve time management skills — especially if you tend to feel overwhelmed ...

Manage Stress

Science.gov (United States)

... Manage Stress Print This Topic En español Manage Stress Browse Sections The Basics Overview Signs and Health ... and Health Effects What are the signs of stress? When people are under stress, they may feel: ...

Stress Management

Science.gov (United States)

Healthy Lifestyle Stress management By Mayo Clinic Staff Stress basics Stress is a normal psychological and physical reaction to the demands of life. ... some people's alarm systems rarely shut off. Stress management gives you a range of tools to reset ...

Policy Pathways: Energy Management Programmes for Industry

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-09-06

The IEA Policy Pathway publications provide details on how to implement specific recommendations drawn from the IEA 25 Energy Efficiency Policy Recommendations. This Policy Pathway, jointly produced by the International Energy Agency and the Institute for Industrial Productivity, develops the critical steps for policy makers implementing energy management programmes for industry. Optimising energy use in industry is essential to improve industrial competitiveness and achieve wider societal goals such as energy security, economic recovery and development, climate change mitigation and environmental protection.While there is significant potential to decrease energy consumption in this sector, opportunities to improve energy efficiency are still under-exploited. Energy management programmes have shown to be instrumental in addressing many of the barriers that inhibit wide-scale uptake of energy management in industry. The Policy Pathway builds on lessons learned from country experiences and provides actionable guidance on how to plan and design, implement, evaluate and monitor energy management programmes for industry.

Quality Management in Slovenian Education Programmes

Directory of Open Access Journals (Sweden)

Milena Alič

2015-05-01

Full Text Available Product and service quality, effective process management, continuous improvement and innovation are some essential conditions for making a successful business. They are often emphasised by managers of successful organizations, by authors of professional and scientific papers and even by politicians and journalists. Quality management standards and models, such as ISO 9001 and EFQM model appeared in assistance to the needs of organisations to assure stable product and service quality, to improve it and to make the production process and its supporting processes effective. It has been 28 years since the standard ISO 9001 appeared. Now it is the most widely spread global standard implemented in more than 1.100.000 organizations worldwide. If quality management was proved to be an important approach to make organizations operate better and thus to contribute to well-being of the society, it would be expected that it is somehow included in our regular school programmes on all the levels. We expect that learning and living quality approaches in childhood and youth would be the least costly way to improve the culture of quality in the society and to implement it in our organizations as well. The paper gives some insight in the situation by searching for quality management related programmes and approaches in our primary, secondary and tertiary school programmes. The purpose of this paper is only to highlight the issue of teaching for quality in our regular education programmes – just to become aware of it and to find some improvement opportunities. There should be still some more detailed research on this topic to give strong suggestions.

The European Programme Manager

DEFF Research Database (Denmark)

Larson, Anne; Bergman, E.; Ehlers, S.

The publication is a result of a cooperation between organisations in six European countries with the aim to develop a common European education for programme managers. It contains of a description of the different elements of the education together with a number of case-studies from the counties...

Indian programme on radioactive waste management

International Nuclear Information System (INIS)

Wattal, P.K.

2013-01-01

The primary objective of radioactive waste management is protection of human health, environment and future generation. This article describes, briefly, the Indian programme on management of different radioactive wastes arising in the entire nuclear fuel cycle adhering to this objective. (author)

A tailored relocation stress intervention programme for family caregivers of patients transferred from a surgical intensive care unit to a general ward.

Science.gov (United States)

Lee, Seul; Oh, HyunSoo; Suh, YeonOk; Seo, WhaSook

2017-03-01

To develop and examine a relocation stress intervention programme tailored for the family caregivers of patients scheduled for transfer from a surgical intensive care unit to a general ward. Family relocation stress syndrome has been reported to be similar to that exhibited by patients, and investigators have emphasised that nurses should make special efforts to relieve family relocation stress to maximise positive contributions to the well-being of patients by family caregivers. A nonequivalent control group, nonsynchronised pretest-post-test design was adopted. The study subjects were 60 family caregivers of patients with neurosurgical or general surgical conditions in the surgical intensive care unit of a university hospital located in Incheon, South Korea. Relocation stress and family burden were evaluated at three times, that is before intervention, immediately after transfer and four to five days after transfer. This relocation stress intervention programme was developed for the family caregivers based on disease characteristics and relocation-related needs. In the experimental group, relocation stress levels significantly and continuously decreased after intervention, whereas in the control group, a slight nonsignificant trend was observed. Family burden levels in the control group increased significantly after transfer, whereas burden levels in the experimental group increased only marginally and nonsignificantly. No significant between-group differences in relocation stress or family burden levels were observed after intervention. Relocation stress levels of family caregivers were significantly decreased after intervention in the experimental group, which indicates that the devised family relocation stress intervention programme effectively alleviated family relocation stress. The devised intervention programme, which was tailored to disease characteristics and relocation-related needs, may enhance the practicality and efficacy of relocation stress

Spinoffs from radiological emergency preparedness programmes to generic emergency management

International Nuclear Information System (INIS)

Sanders, M.E.

1986-01-01

In the USA, the radiological emergency preparedness (REP) programme for nuclear power plants is being used to enhance emergency management programmes for other types of emergencies. The REP programme is particularly useful in developing plans and preparedness measures for chemical accidents. The Integrated Emergency Management System (IEMS) approach provides a means for maximizing relationships between the REP programme and other programmes. IEMS essentially involves applying common elements of planning and preparedness to all types of emergencies, while recognizing that unique characteristics of specific natural and man-made emergencies require special planning and preparedness considerations. Features of the REP programme that make it compatible with the IEMS approach and useful in coping with other types of emergencies are: (1) the close co-operation between the national nuclear regulatory and emergency management organizations; (2) the programme integration among all levels of government, the nuclear power industry, public interest groups and the general public and (3) the comprehensiveness and sophistication of the programme. The REP programme in the USA represents a state-of-the-art emergency management capability. Some of its elements are readily transferrable to most other types of emergency preparedness programmes, while other elements can be adapted more readily to other hazard-specific programmes. The Bhopal accident has been a catalyst for this adaptation to chemical accidents, in such areas as furnishing hazard-specific information to the public, alert and notification systems, definition of the hazards and risks involved, establishing planning zones and developing close working relationships among the industry, the public and government

International Nuclear Management Programmes -- INMP-- (VNMU)

International Nuclear Information System (INIS)

Adachi, Fumio

2014-01-01

• INMP is an IAEA-facilitated collaboration for universities to provide master’s degree programs in nuclear management, targeting managers or future managers working in the nuclear sector. • There are currently no full master’s degree programmes specializing in management for the nuclear sector. • Managers at NPP are typically engineers with few chances of formal management education. • In newcomer countries to nuclear energy, working towards the introduction of nuclear power, often lack technical or managerial experience in nuclear energy

The IAEA's high level radioactive waste management programme

International Nuclear Information System (INIS)

Saire, D.E.

1994-01-01

This paper presents the different activities that are performed under the International Atomic Energy Agency's (IAEA) high level radioactive waste management programme. The Agency's programme is composed of five main activities (information exchange, international safety standards, R ampersand D activities, advisory services and special projects) which are described in the paper. Special emphasis is placed on the RADioactive WAste Safety Standards (RADWASS) programme which was implemented in 1991 to document international consensus that exists on the safe management of radioactive waste. The paper also raises the question about the need for regional repositories to serve certain countries that do not have the resources or infrastructure to construct a national repository

Stress Management: Positive Thinking

Science.gov (United States)

Healthy Lifestyle Stress management Positive thinking helps with stress management and can even improve your health. Practice overcoming negative self-talk ... with optimism is a key part of effective stress management. And effective stress management is associated with ...

The management of cardiovascular disease in the Netherlands: analysis of different programmes

Directory of Open Access Journals (Sweden)

Jane M. Cramm

2013-08-01

Full Text Available Background: Disease management programmes are increasingly used to improve the efficacy and effectiveness of chronic care delivery.But, disease management programme development and implementation is a complex undertaking that requires effective decision-making.Choices made in the earliest phases of programme development are crucial, as they ultimately impact costs, outcomes and sustainability. Methods: To increase our understanding of the choices that primary healthcare practices face when implementing such programmes and to stimulate successful implementation and sustainability, we compared the early implementation of eight cardiovascular disease management programmes initiated and managed by healthcare practices in various regions of the Netherlands. Using a mixed-methods design, we identified differences in and challenges to programme implementation in terms of context, patient characteristics, disease management level, healthcare utilisation costs, development costs and health-related quality of life. Results: Shifting to a multidisciplinary, patient-centred care pathway approach to disease management is demanding for organisations, professionals and patients, and is especially vulnerable when sustainable change is the goal. Funding is an important barrier to sustainable implementation of cardiovascular disease management programmes, although development costs of the individual programmes varied considerably in relation to the length of the development period. The large number of professionals involved in combination with duration of programme development was the largest cost drivers. While Information and Communication Technology systems to support the new care pathways did not directly contribute to higher costs, delays in implementation indirectly did. Conclusions: Developing and implementing cardiovascular disease management programmes is time-consuming and challenging. Multidisciplinary, patient-centred care demands multifaceted changes

The management of cardiovascular disease in the Netherlands: analysis of different programmes

Directory of Open Access Journals (Sweden)

Jane M. Cramm

2013-08-01

Full Text Available Background: Disease management programmes are increasingly used to improve the efficacy and effectiveness of chronic care delivery.But, disease management programme development and implementation is a complex undertaking that requires effective decision-making.Choices made in the earliest phases of programme development are crucial, as they ultimately impact costs, outcomes and sustainability.Methods: To increase our understanding of the choices that primary healthcare practices face when implementing such programmes and to stimulate successful implementation and sustainability, we compared the early implementation of eight cardiovascular disease management programmes initiated and managed by healthcare practices in various regions of the Netherlands. Using a mixed-methods design, we identified differences in and challenges to programme implementation in terms of context, patient characteristics, disease management level, healthcare utilisation costs, development costs and health-related quality of life.Results: Shifting to a multidisciplinary, patient-centred care pathway approach to disease management is demanding for organisations, professionals and patients, and is especially vulnerable when sustainable change is the goal. Funding is an important barrier to sustainable implementation of cardiovascular disease management programmes, although development costs of the individual programmes varied considerably in relation to the length of the development period. The large number of professionals involved in combination with duration of programme development was the largest cost drivers. While Information and Communication Technology systems to support the new care pathways did not directly contribute to higher costs, delays in implementation indirectly did.Conclusions: Developing and implementing cardiovascular disease management programmes is time-consuming and challenging. Multidisciplinary, patient-centred care demands multifaceted changes in

The management of cardiovascular disease in the Netherlands: analysis of different programmes.

Science.gov (United States)

Cramm, Jane M; Tsiachristas, Apostolos; Walters, Bethany H; Adams, Samantha A; Bal, Roland; Huijsman, Robbert; Rutten-Van Mölken, Maureen P M H; Nieboer, Anna P

2013-01-01

Disease management programmes are increasingly used to improve the efficacy and effectiveness of chronic care delivery. But, disease management programme development and implementation is a complex undertaking that requires effective decision-making. Choices made in the earliest phases of programme development are crucial, as they ultimately impact costs, outcomes and sustainability. To increase our understanding of the choices that primary healthcare practices face when implementing such programmes and to stimulate successful implementation and sustainability, we compared the early implementation of eight cardiovascular disease management programmes initiated and managed by healthcare practices in various regions of the Netherlands. Using a mixed-methods design, we identified differences in and challenges to programme implementation in terms of context, patient characteristics, disease management level, healthcare utilisation costs, development costs and health-related quality of life. Shifting to a multidisciplinary, patient-centred care pathway approach to disease management is demanding for organisations, professionals and patients, and is especially vulnerable when sustainable change is the goal. Funding is an important barrier to sustainable implementation of cardiovascular disease management programmes, although development costs of the individual programmes varied considerably in relation to the length of the development period. The large number of professionals involved in combination with duration of programme development was the largest cost drivers. While Information and Communication Technology systems to support the new care pathways did not directly contribute to higher costs, delays in implementation indirectly did. Developing and implementing cardiovascular disease management programmes is time-consuming and challenging. Multidisciplinary, patient-centred care demands multifaceted changes in routine care. As care pathways become more complex, they

The management of cardiovascular disease in the Netherlands: analysis of different programmes

Science.gov (United States)

Cramm, Jane M.; Tsiachristas, Apostolos; Walters, Bethany H.; Adams, Samantha A.; Bal, Roland; Huijsman, Robbert; Rutten-Van Mölken, Maureen P.M.H.; Nieboer, Anna P.

2013-01-01

Background Disease management programmes are increasingly used to improve the efficacy and effectiveness of chronic care delivery. But, disease management programme development and implementation is a complex undertaking that requires effective decision-making. Choices made in the earliest phases of programme development are crucial, as they ultimately impact costs, outcomes and sustainability. Methods To increase our understanding of the choices that primary healthcare practices face when implementing such programmes and to stimulate successful implementation and sustainability, we compared the early implementation of eight cardiovascular disease management programmes initiated and managed by healthcare practices in various regions of the Netherlands. Using a mixed-methods design, we identified differences in and challenges to programme implementation in terms of context, patient characteristics, disease management level, healthcare utilisation costs, development costs and health-related quality of life. Results Shifting to a multidisciplinary, patient-centred care pathway approach to disease management is demanding for organisations, professionals and patients, and is especially vulnerable when sustainable change is the goal. Funding is an important barrier to sustainable implementation of cardiovascular disease management programmes, although development costs of the individual programmes varied considerably in relation to the length of the development period. The large number of professionals involved in combination with duration of programme development was the largest cost drivers. While Information and Communication Technology systems to support the new care pathways did not directly contribute to higher costs, delays in implementation indirectly did. Conclusions Developing and implementing cardiovascular disease management programmes is time-consuming and challenging. Multidisciplinary, patient-centred care demands multifaceted changes in routine care. As

Cognitive Training Programme in the Decrease of Stress of Daily ...

African Journals Online (AJOL)

Cognitive Training Programme in the Decrease of Stress of Daily ... which involves, teaching mnemonic strategies: organization, visualization and association for ... and they should be made to participate in training to focus on thinking ability to ...

Learn to manage stress

Science.gov (United States)

Stress - managing; Stress - recognizing; Stress - relaxation techniques ... LEARN TO RECOGNIZE STRESS The first step in managing stress is recognizing it in your life. Everyone feels stress in a different way. ...

Evaluation of the Finnish nuclear waste management programme

International Nuclear Information System (INIS)

1994-05-01

In response to a request from Finland in November 1992, the International Atomic Energy Agency (IAEA) set up a Team of four experts (representatives from Belgium, Canada, Germany and Switzerland) to review the Finnish nuclear waste management programme within the auspices of IAEA's Waste Management programme (WATRP). During the early summer of 1993, the Team reviewed a large amount of documentation supplied by the Finnish industry, government and research organizations. The radioactive waste management programme areas within the Team's terms of reference included: (1) work being done in siting and building a conditional facility for spent nuclear fuel and siting and constructing a co-located repository, (2) the plans and activities for conditioning and disposing of the low and intermediate level waste from Finland's NPPs and (3) the plans for decommissioning Finland's reactors when that becomes necessary. The evaluation work and the recommendations of the Team are detailed in the report

Proceedings of the Specialist Meeting on Severe Accident Management Programme Development

International Nuclear Information System (INIS)

1992-04-01

Effective Accident Management planning can produce both a reduction in the frequency of severe accidents at nuclear power plants as well as the ability to mitigate a severe accident. The purpose of an accident management programme is to provide to the responsible plant staff the capability to cope with the complete range of credible severe accidents. This requires that appropriate instrumentation and equipment are available within the plant to enable plant staff to diagnose the faults and to implement appropriate strategies. The programme must also provide the necessary guidance, procedures, and training to assure that appropriate corrective actions will be implemented. One of the key issues to be discussed is the transition from control room operations and the associated emergency operating procedures to a technical support team approach (and the associated severe accident management strategies). Following a proposal made by the Senior Group of Experts on Severe Accident Management (SESAM), the Committee on the Safety of Nuclear Installations decided to sponsor a Specialist Meeting on Severe Accident Management Programme Development. The general objectives of the Specialist Meeting were to exchange experience, views, and information among the participants and to discuss the status of severe accident management programmes. The meeting brought together utilities, accident management programme developers, personnel training programme developers, regulators, and researchers. In general, the tone of the Specialist Meeting - designed to promote progress, as contrasted with conferences or symposia where the state-of-the-art is presented - was to be rather practical, and focus on accident management programme development, applications, results, difficulties and improvements. As shown by the conclusions of the meeting, there is no doubt that this objective was widely attained

Proceedings of the Specialist Meeting on Severe Accident Management Programme Development

Energy Technology Data Exchange (ETDEWEB)

NONE

1992-04-15

Effective Accident Management planning can produce both a reduction in the frequency of severe accidents at nuclear power plants as well as the ability to mitigate a severe accident. The purpose of an accident management programme is to provide to the responsible plant staff the capability to cope with the complete range of credible severe accidents. This requires that appropriate instrumentation and equipment are available within the plant to enable plant staff to diagnose the faults and to implement appropriate strategies. The programme must also provide the necessary guidance, procedures, and training to assure that appropriate corrective actions will be implemented. One of the key issues to be discussed is the transition from control room operations and the associated emergency operating procedures to a technical support team approach (and the associated severe accident management strategies). Following a proposal made by the Senior Group of Experts on Severe Accident Management (SESAM), the Committee on the Safety of Nuclear Installations decided to sponsor a Specialist Meeting on Severe Accident Management Programme Development. The general objectives of the Specialist Meeting were to exchange experience, views, and information among the participants and to discuss the status of severe accident management programmes. The meeting brought together utilities, accident management programme developers, personnel training programme developers, regulators, and researchers. In general, the tone of the Specialist Meeting - designed to promote progress, as contrasted with conferences or symposia where the state-of-the-art is presented - was to be rather practical, and focus on accident management programme development, applications, results, difficulties and improvements. As shown by the conclusions of the meeting, there is no doubt that this objective was widely attained.

Stress Management: Spirituality

Science.gov (United States)

Healthy Lifestyle Stress management Taking the path less traveled by exploring your spirituality can lead to a clearer life purpose, better personal relationships and enhanced stress management skills. By Mayo Clinic Staff Some stress relief ...

Managing Leadership Stress

CERN Document Server

Bal, Vidula; McDowell-Larsen, Sharon

2011-01-01

Everyone experiences stress, and leaders face the additional stress brought about by the unique demands of leadership: having to make decisions with limited information, to manage conflict, to do more with less . . . and faster! The consequences of stress can include health problems and deteriorating relationships. Knowing what signs of stress to look for and having a strategy for increasing your resources will help you manage leadership stress and be more effective over a long career.Table of ContentsThe Stress of Leadership 7Why Is Leadership Stressful? 8Stress Assessment 13When Stress Is Wh

Stress Management: Yoga

Science.gov (United States)

Healthy Lifestyle Stress management Is yoga right for you? It is if you want to fight stress, get fit and stay healthy. By ... particular, may be a good choice for stress management. Hatha is one of the most common styles ...

Spent fuel management in France: Programme status

International Nuclear Information System (INIS)

Chaudat, J.P.

1990-01-01

France's programme is best characterized as a closed fuel cycle including reprocessing, Plutonium recycling in PWR and use of breeder reactors. The current installed nuclear capacity is 52.5 GWe from 55 units. The spent fuel management scheme chosen is reprocessing. This paper describes the national programme, spent nuclear fuel storage, reprocessing and contracts for reprocessing of spent fuel from various countries. (author). 5 figs, 2 tabs

Operational programs for national radioactive waste and spent fuel management programme in Slovenia

International Nuclear Information System (INIS)

Zeleznik, Nadja; Kralj, Metka; Mele, Irena

2007-01-01

The first separate National Radioactive Waste and Spent Fuel Management Programme (National Programme) was prepared in Slovenia in 2005 as a supplementary part of the National Environmental Action Programme and was adopted in February 2006 by the Slovenian Parliament. The new National Programme includes all topics being relevant for the management of the radioactive waste and spent fuel which are produced in Slovenia, from the legislation and identification of different waste streams, to the management of radioactive waste and spent fuel, the decommissioning of nuclear facilities and management of (TE)NORM in the near future from 2006 up to the 2015. The National Programme identified the existing and possible future problems and proposed the technical solutions and action plans for two distinctive periods: 2006-2009 and 2010- 2015. According to the requirement of Act on Protection against Ionising Radiation and Nuclear Safety the national Agency for Radwaste Management (ARAO) prepared the operational programmes for the four year period with technical details on implementation of the National programme. ARAO gained the detailed plans of different involved holders and proposed 9 operational programmes with aims, measures, individual organizations in charge, expenses and resources for each of the programmes. The Operational programmes were already reviewed by the Ministry of Environment and Physical Planning and are under acceptance. The orientation of the radioactive waste management according to the National Programme and operational activities within additional limitations based on the strategical decisions of Slovenian Government is presented in the paper. (authors)

Effects of a group-based reproductive management extension programme on key management outcomes affecting reproductive performance.

Science.gov (United States)

Brownlie, Tom S; Morton, John M; Heuer, Cord; McDougall, Scott

2015-02-01

A group-based reproductive management extension programme has been designed to help managers of dairy herds improve herd reproductive performance. The aims of this study were, firstly, to assess effects of participation by key decision makers (KDMs) in a farmer action group programme in 2009 and 2010 on six key management outcomes (KMOs) that affect reproductive performance over 2 years (2009-2010 and 2010-2011), and secondly, to describe KDM intentions to change management behaviour(s) affecting each management outcome after participation in the programme. Seasonal calving dairy herds from four regions of New Zealand were enrolled in the study. Intentions to modify management behaviour were recorded using the formal written action plans developed during the extension programme. KMOs assessed were calving pattern of the herd, pre-calving heifer liveweight, pre-calving and premating body condition score (BCS), oestrus detection, anoestrus cow management and bull management. Participation was associated with improvements in heifer liveweight, more heifers calving in the first 6 weeks of the seasonal calving period, premating BCS and oestrus detection. No significant effects were observed on anoestrus cow management or bull management. KDMs with greater numbers of proposed actions had lower 6 week in-calf rates in the second study year than KDMs who proposed fewer actions. A more effective strategy to ensure more appropriate objectives is proposed. Strategies to help KDMs to implement proposed actions more successfully should be investigated to improve the programme further. Copyright © 2014 Elsevier Ltd. All rights reserved.

Update on waste management policies and programmes

International Nuclear Information System (INIS)

Anon.

1997-01-01

The NEA Nuclear Waste Bulletin has been prepared by the Radiation Protection and Waste Management Division of the OECD Nuclear Energy Agency to provide a means of communication amongst the various technical and policy groups within the waste management community. In particular, it is intended to provide concise information on current radioactive waste management activities, policies and programmes in Member countries and at the NEA. It is also intended that the Bulletin assists in the communication of recent developments in a variety of areas contributing to the development of acceptable technology for the management and disposal of nuclear waste (e.g., performance assessment, in-situ investigations, repository engineering, scientific data bases, regulatory developments, etc.). For practical purposes, the Bulletin does not include an exhaustive description of national programmes. The reader is therefore invited to go back to the information given in previous bulletins and, if necessary, to contact national correspondents in order to obtain a more complete picture of on-going activities. (authors)

Mantram repetition for stress management in veterans and employees: a critical incident study.

Science.gov (United States)

Bormann, Jill E; Oman, Doug; Kemppainen, Jeanne K; Becker, Sheryl; Gershwin, Madeline; Kelly, Ann

2006-03-01

This paper reports a study assessing the usefulness of a mantram repetition programme. Complementary/alternative therapies are becoming commonplace, but more research is needed to assess their benefits. A 5-week programme teaching a 'mind-body-spiritual' technique of silently repeating a mantram - a word or phrase with spiritual meaning - to manage stress was developed. A mantram was chosen by individuals, who were taught to repeat it silently throughout the day or night to interrupt unwanted thoughts and elicit the relaxation response. Participants who attended a 5-week course were invited to participate in the study. Of those who consented, a randomly selected subset (n = 66) was contacted approximately 3 months after the course for a telephone interview using the critical incident interviewing technique. Participants were asked whether the intervention was helpful or not, and if helpful, to identify situations where it was applied. Interviews were transcribed and incidents were identified and categorized to create a taxonomy of uses. The data were collected in 2001-2002. Participants included 30 veterans, mostly males (97%), and 36 hospital employees, mostly females (86%). Mean age was 56 years (sd = 12.94). Fifty-five participants (83.3%) practiced the technique and reported 147 incidents where the programme was helpful. Outcomes were organized into a taxonomy of incidents using four major categories that included managing: (a) emotions other than stress (51%); (b) stress (23.8%); (c) insomnia (12.9%); and (d) unwanted thoughts (12.3%). A group of raters reviewed the categories for inter-rater reliability. The majority of participants from two distinct samples reported that the mantram programme was helpful in a variety of situations. The critical incident interviewing method was found to be practical, efficient, and thorough in collecting and analyzing data. Such qualitative methods contribute to understanding the benefits of mind-body complementary therapies.

Designing a portfolio management programme to optimize cash-flow

International Nuclear Information System (INIS)

Fassom, D.

1996-01-01

The design and implementation of any portfolio management programme must, by definition, be tailored to the drivers and particular objectives of the company owning the assets. This paper will concentrate on one of the most important driving forces, namely managing cash-flow. Five key steps are required to achieve an effective portfolio management programme: 1. establish targets/goals; 2. describe and value the assets in your company's portfolio; 3. identify and catalogue potential 'customers'; 4. construct appropriate deal structures and other strategies to achieve your targets; 5. work hard and do deals. (author)

Parenting self-efficacy, parenting stress and child behaviour before and after a parenting programme.

Science.gov (United States)

Bloomfield, Linda; Kendall, Sally

2012-10-01

To explore whether changes in parenting self-efficacy after attending a parenting programme are related to changes in parenting stress and child behaviour. Adverse parenting is a risk factor in the development of a range of health and behavioural problems in childhood and is predictive of poor adult outcomes. Strategies for supporting parents are recognised as an effective way to improve the health, well-being and development of children. Parenting is influenced by many factors including the behaviour and characteristics of the child, the health and psychological well-being of the parent and the contextual influences of stress and support. Parenting difficulties are a major source of stress for parents, and parenting self-efficacy has been shown to be an important buffer against parenting stress. In all, 63 parents who had a child under the age of 10 years took part in the research. Of those, 58 returned completed measures of parenting self-efficacy, parenting stress and child behaviour at the start of a parenting programme and 37 at three-month follow-up. Improvements in parenting self-efficacy and parenting stress were found at follow-up, but there was less evidence for improvements in child behaviour. The findings clearly suggest a relationship between parenting self-efficacy and parenting stress; parents who are feeling less efficacious experience higher levels of stress, whereas greater parenting self-efficacy is related to less stress. This study adds to the evidence that parent outcomes may be a more reliable measure of programme effectiveness than child outcomes at least in the short term.

New nuclear programmes must not neglect waste management - 59077

International Nuclear Information System (INIS)

McCombie, Charles

2012-01-01

Many established nuclear power programmes have learned to their dismay that waste management and disposal are not tasks that can be postponed at will if public and political acceptance is a prerequisite for progress. In fact, some programmes that recognised this back in the 1970's and 1980's moved into leading positions in repository development. This happened, for example, in Sweden and Switzerland where already in the 1970's Laws were passed specifying that safe disposal must be demonstrated before new nuclear plants could operate. In recent years, it has become recognised that, in order to ensure that the radioactive wastes in any country are managed safely, it is necessary to have an established legislative and regulatory framework and also to create the necessary organizations for implementation and for oversight of waste management operations and facility development. Guidance on these issues is given in the Joint Convention and a number of other IAEA documents. The IAEA, and also the EC, have in addition published key overarching advisory documents for new nuclear programmes. These are useful for strategic planning but, when it comes to actual implementation projects, the advice tends to imply that all nuclear programmes, however large or small, should be pressing ahead urgently towards early operation of geological repositories. In practice, however, in small programmes there are neither economic nor technical drivers for early implementation of deep geological repositories. Constructing simpler facilities for the disposal of the larger volume of low-level wastes has higher priority. Nevertheless, in all countries political decisions have to be taken and policies set in place to ensure that geological disposal will implemented without unjustified delay. This paper distils out a set of key messages for new programmes. Amongst the most critical are the following. Even if disposal is far off, planning and organization should begin at the initiation of the

Creating meaningful business continuity management programme metrics.

Science.gov (United States)

Strong, Brian

2010-11-01

The popular axiom, 'what gets measured gets done', is often applied in the quality management and continuous improvement disciplines. This truism is also useful to business continuity practitioners as they continually strive to prove the value of their organisation's investment in a business continuity management (BCM) programme. BCM practitioners must also remain relevant to their organisations as executives focus on the bottom line and maintaining stakeholder confidence. It seems that executives always find a way, whether in a hallway or elevator, to ask BCM professionals about the company's level of readiness. When asked, they must be ready with an informed response. The establishment of a process to measure business continuity programme performance and organisational readiness has emerged as a key component of US Department of Homeland Security 'Voluntary Private Sector Preparedness (PS-Prep) Program' standards where the overarching goal is to improve private sector preparedness for disasters and emergencies. The purpose of this paper is two-fold: to introduce continuity professionals to best practices that should be considered when developing a BCM metrics programme as well as providing a case study of how a large health insurance company researched, developed and implemented a process to measure BCM programme performance and company readiness.

Financial aspects of veterinary herd health management programmes.

Science.gov (United States)

Ifende, V I; Derks, M; Hooijer, G A; Hogeveen, H

2014-09-06

Veterinary herd health management (VHHM) programmes have been shown to be economically effective in the past. However, no current information is available on costs and benefits of these programmes. This study compared economics and farm performance between participants and non-participants in VHHM programmes in 1013 dairy farms with over 40 cows. Milk Production Registration (MPR) data and a questionnaire concerning VHHM were used. Based on the level of participation in VHHM (as indicated in the questionnaire), costs of the programmes were calculated using a normative model. The economic value of the production effects was similarly calculated using normative modelling based on MPR data. Participants in VHHM had a better performance with regard to production, but not with regard to reproduction. Over 90 per cent of the VHHM participants were visited at least once every six weeks and most participants discussed at least three topics. In most farms, the veterinarian did the pregnancy checks as part of the VHHM programmes. There was a benefit to cost ratio of about five per cow per year for VHHM participants, and a mean difference in net returns of €30 per cow per year after adjusting for the cost of the programme. This portrays that participation in a VHHM programme is cost-efficient. There is, however, much unexplained variation in the net returns, possibly due to diverse approaches by veterinarians towards VHHM or by other factors not included in this analysis, like nutritional quality or management abilities of the farmer. British Veterinary Association.

Aspects of Knowledge Management Programme Implementation into Management System of NPP Operator

International Nuclear Information System (INIS)

Sudakov, V.

2016-01-01

Full text: The paper deals with the implementation of KM tools and approaches in NPPs of Slovenské elektrárne. The case study emphasizes the importance of KM programme introduction into the existing management system of the company taking into account sustainability and successful of the programme and demonstrates some practical examples. (author

Waste management assessment and technical review programme. WATRP. An international peer review service for radioactive waste management activities

International Nuclear Information System (INIS)

1994-09-01

International Atomic Energy Agency provides international peer review services in radioactive waste management to those Member States that have established radioactive waste management programmes. Such services are provided within Waste Management Assessment and Technical Review Programme (WATRP). The main objective of WATRP is to provide international expertise and information on a requested subject in the field of radioactive waste management and to validate that programmes and activities are sound and performing well. Refs, figs and tabs

The screening approach for review of accident management programmes

International Nuclear Information System (INIS)

Misak, J.

1999-01-01

In this lecture the screening approach for review of accident management programmes are presented. It contains objective trees for accident management: logic structure of the approach; objectives and safety functions for accident management; safety principles

A regional programme to improve skin cancer management.

Science.gov (United States)

McGeoch, Graham R; Sycamore, Mark J; Shand, Brett I; Simcock, Jeremy W

2015-12-01

In 2008, public specialist and general practice services in Canterbury were unable to manage demand for skin cancer treatment. Local clinicians decided the solution was to develop a see-and-treat skin excision clinic staffed by plastic surgeons and general practitioners (GPs), and the introduction of subsidised excisions in general practice. This paper describes the collaboration between clinicians, managers and funders and the results and quality management measures of these initiatives. There is an increasing incidence of skin cancer. GPs in Canterbury were unable to meet increasing demand for skin cancer treatment because some lacked confidence and competence in skin cancer management. There was no public funding for primary care management of skin cancer, driving patients to fully funded secondary care services. Secondary care services were at capacity, with no coordinated programme across primary and secondary care. The programme has resulted in a greater number of skin cancers being treated by the public health system, a reduction in waiting times for treatment, and fewer minor skin lesions being referred to secondary care. Quality measures have been achieved and are improving steadily. Development of the programme has improved working relationships between primary and secondary care clinicians. The strategy was to facilitate the working relationship between primary and secondary care and increase the capacity for skin lesion excisions in both sectors. Skin cancer management can be improved by a coordinated approach between primary and secondary care.

Mitigation of intergranular stress corrosion cracking in RBMK reactors. Final report of the programme's steering committee

International Nuclear Information System (INIS)

2002-09-01

In 2000 the IAEA initiated an Extrabudgetary Programme on Mitigation of Intergranular Stress Corrosion Cracking in RBMK Reactors to assist countries operating RBMK reactors in addressing the issue in austenitic stainless steel 300 mm diameter piping. Intergranular stress corrosion cracking of austenitic stainless steel piping in BWRs has been a major safety concern since the early seventies. Similar degradation was found in RBMK reactor piping in 1997. Early in 1998 the IAEA responded to requests for assistance from RBMK operating countries on this issue through activities organized in the framework of Technical Co-operation Department regional projects and the Extrabudgetary Programme on the Safety of WWER and RBMK Nuclear Power Plants. Results of these activities were a basis for the formulation of the objective and scope of the Extrabudgetary Programme on Mitigation of Intergranular Stress Corrosion Cracking in RBMK reactors ('the Programme'). The scope of the Programme included in-service inspection, assessment, repair and mitigation, and water chemistry and decontamination. The Programme was pursued by means of exchange of experience, formulation of guidance, transfer of technology, and training, which will assist the RBMK operators to address related safety concerns. The Programme implementation relied on voluntary extrabudgetary financial contributions from Japan, Spain, the United Kingdom and the USA, and on in kind contributions from Finland, Germany and Sweden. The Programme was implemented in close co-ordination with ongoing national and bilateral activities and major inputs to the Programme were provided through the activities of the Swedish International Project Nuclear Safety and of the US DOE International Nuclear Safety Program. The RBMK nuclear power plants in Lithuania, Russian Federation and Ukraine hosted most of the Programme activities. Support of these Member States involved in the Programme was instrumental for its successful completion in

A Masters Programme in Telecommunications Management--Demand-Based Curriculum Design

Science.gov (United States)

Gharaibeh, Khaled M.; Kaylani, Hazem; Murphy, Noel; Brennan, Conor; Itradat, Awni; Al-Bataineh, Mohammed; Aloqlah, Mohammed; Salhieh, Loay; Altarazi, Safwan; Rawashdeh, Nathir; del Carmen Bas Cerdá, María; Conchado Peiró, Andrea; Al-Zoubi, Asem; Harb, Bassam; Bany Salameh, Haythem

2015-01-01

This paper presents a curriculum design approach for a Masters Programme in Telecommunications Management based on demand data obtained from surveying the needs of potential students of the proposed programme. Through online surveys disseminated at telecom companies in Jordan, it was possible to measure the demand for such a programme and to…

Stress Management: Massage

Science.gov (United States)

Healthy Lifestyle Stress management Massage can be a powerful tool to help you take charge of your health and well-being. See if ... article: http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/massage/art-20045743 . Mayo Clinic Footer ...

The Relation of Work Environment and Stress in Classroom Management among Preschool Teachers

Directory of Open Access Journals (Sweden)

Abdul Said Ambotang

2011-10-01

Full Text Available The purpose of this research is to observe how far preschool teachers endure stress in carrying out their job which is influenced by the work climate including the management of classroom. This research is carried out by choosing a group of 55 preschool teachers as respondents in the district of Keningau Sabah. Data is analyzed using descriptive method (mean, inferential (T-test Statistic, one way ANOVA and Pearson correlation. Result showed that there were high positive relationships between the work climate with stress level among the teachers. (r = 0.807, p<0.01 and classroom management with level of stress (r = 0.770, p< 0.01. It is hoped that with the information obtained by this research will assist the Malaysian Ministry of Education in planning and designing a suitable programme to overcome the stress problem faced by teachers especially preschool teachers towards improving the teaching profession quality in the near future.

Spouses’ involvement in older patients’ fast-track programmes during total hip replacement using case management intervention. A study protocol of the SICAM-trial

DEFF Research Database (Denmark)

Berthelsen, Connie Bøttcher; Kristensson, Jimmie

2015-01-01

Aim To present the protocol of a two-group quasi-experimental study of spouses’ involvement through case management (The SICAM-trial) in older patients’ fast-track programmes during total hip replacement. Background Patients in fast-track programmes are required to take an active part in their tr......Aim To present the protocol of a two-group quasi-experimental study of spouses’ involvement through case management (The SICAM-trial) in older patients’ fast-track programmes during total hip replacement. Background Patients in fast-track programmes are required to take an active part...... in their treatment and rehabilitation. Spouses of older patients can often provide valued practical and emotional support, reducing stress, pain and length of stay – yet they are seldom invited to participate in a supporting role. Design A two-group quasi-experimental design with pre-test and repeated post...... and subsequently include the intervention group to avoid contamination of the control group. A case manager will be recruited to perform the case management intervention. Data will be collected from both groups at baseline, 2 weeks and 3 months after surgery. Outcome measures for patients include: functional...

The Spanish radioactive waste management programme

International Nuclear Information System (INIS)

Beceiro, A.R.

1994-01-01

All radioactive waste management activities in Spain are controlled by the Empresa Nacional de Residuos Radiactivos, installed by royal decree in 1984. The programme for low- and intermediate-level wastes is well advanced. A near-surface repository for these type of wastes has been in operation since October 1992. The programme for high-level wastes including spent fuel from the operating nuclear power plants is progressing stepwise. As the first step, effforts are made to secure the temporary storage of spent fuel. Final disposal is envisaged in an deep repository in one of the main geological media available in Spain, namely, granite, salt and clay. (orig.) [de

Stress Managment and Health Promotion

Directory of Open Access Journals (Sweden)

Asghar Dadkhah

2004-09-01

Full Text Available Health promotion approach is utilized to address the prevention, management and early intervention for stress management and also to promote positive mental and psychological health. Stress affects everyone and must be managed effectively to reduce its chronic and deleterious effects this study consists of two sections: in first section the principals of health promotion in different human existence levels, prevention of disease related to stress, the effect of stress on human well-being, and stress management were discussed. In second section the role of rehabilitation specialists (Medical technologist, nurses, occupational therapists, physiotherapists, respiratory therapists, and social workers in stress management were counted.

Investigating role stress in frontline bank employees: A cluster based approach

Directory of Open Access Journals (Sweden)

Arti Devi

2013-09-01

Full Text Available An effective role stress management programme would benefit from a segmentation of employees based on their experience of role stressors. This study explores role stressor based segments of frontline bank employees towards providing a framework for designing such a programme. Cluster analysis on a random sample of 501 frontline employees of commercial banks in Jammu and Kashmir (India revealed three distinct segments – “overloaded employees”, “unclear employees”, and “underutilised employees”, based on their experience of role stressors. The findings suggest a customised approach to role stress management, with the role stress management programme designed to address cluster specific needs.

TEACHING METHODS IN MBA AND LIFELONG LEARNING PROGRAMMES FOR MANAGERS

Directory of Open Access Journals (Sweden)

Jarošová, Eva

2017-09-01

Full Text Available Teaching methods in MBA and Lifelong Learning Programmes (LLP for managers should be topically relevant in terms of content as well as the teaching methods used. In terms of the content, the integral part of MBA and Lifelong Learning Programmes for managers should be the development of participants’ leadership competencies and their understanding of current leadership concepts. The teaching methods in educational programmes for managers as adult learners should correspond to the strategy of learner-centred teaching that focuses on the participants’ learning process and their active involvement in class. The focus on the participants’ learning process also raises questions about whether the programme’s participants perceive the teaching methods used as useful and relevant for their development as leaders. The paper presents the results of the analysis of the responses to these questions in a sample of 54 Czech participants in the MBA programme and of lifelong learning programmes at the University of Economics, Prague. The data was acquired based on written or electronically submitted questionnaires. The data was analysed in relation to the usefulness of the teaching methods for understanding the concepts of leadership, leadership skills development as well as respondents’ personal growth. The results show that the respondents most valued the methods that enabled them to get feedback, activated them throughout the programme and got them involved in discussions with others in class. Implications for managerial education practices are discussed.

Preparation of the National Radioactive Waste and Spent Fuel Management Programme in Slovenia

International Nuclear Information System (INIS)

Kralj, M.; Zeleznik, N.; Mele, I.; Veselic, M.

2006-01-01

The first separate National Radioactive Waste and Spent Fuel Management Programme (National Programme) was prepared in Slovenia in 2005, as a separate part of the National Environmental Action Programme that was adopted in June 2005. In the previous National Environmental Action Programme from the year 1999, the radioactive waste and spent fuel management was mentioned only briefly in the paragraph on radiation and nuclear safety with two main objectives: to provide an effective management of radioactive waste, and to keep the environmental ionising radiation under control. The new National Programme from 2005 includes all topics being relevant for the management of the radioactive waste and spent fuel, from the legislation and identification of different waste streams in Slovenia, to the management of radioactive waste and spent fuel, the decommissioning of nuclear facilities and management of (TE)NORM. It deals also with the relevant actors in the radioactive waste management, communication and information activities, and the financial aspects of the radioactive waste and spent fuel management. The National Programme was already adopted by the Slovenian Government in October 2005 and will go to Parliament proceedings. The Technical bases for the National Programme was prepared by ARAO and presented to the government in the beginning of 2005. The frames for this document were taken from relevant strategic documents: the Programme of decommissioning the nuclear power plant Krsko and the radioactive waste and spent fuel management, prepared in 2004 by Slovenian and Croatian experts (ARAO and APO), the Proposal of LILW Management Strategy (1999), the Strategy of Spent Fuel Management (1996), and the Resolution on the National Energy Programme (2004). ARAO made a detailed study on the amount and types of radioactive waste produced in Slovenia and future arising with emphasis on the minimization on radioactive waste production. It considered all producers of LILW and

Tourism and Management Study Programme through Blended Learning: Development and Results

Science.gov (United States)

Simonova, Ivana

2018-01-01

This paper introduces and discusses a tourism and management study programme at the Faculty of Informatics and Management (FIM), University of Hradec Králové. It begins with description of the programme, along with a summary of its history and is considered in the light of changes in accreditation requirements. Students' interest in the programme…

Programmes for tobacco and alcohol users in Australian work-places.

Science.gov (United States)

Richmond, R; Heather, N; Holt, P

1996-12-01

This article presents findings from a survey of programmes available for tobacco and alcohol users working in 455 of Australia's top 600 companies. Companies were twice as likely to have programmes for smokers (43%) as for problem drinkers (24%) and these programmes were more apparent in large companies. The majority of programmes for smoking were delivered within a health promotion context which included other life-style issues, such as nutrition, exercise, weight management and stress management. Although Employee Assistance Programs (EAPs) were the most commonly available type of work-place programme for excessive drinkers and other drug users, followed by Alcoholics Anonymous and local hospital clinics, only 6% had an EAP for alcohol. Only 21% of programmes for smokers and 12% for excessive alcohol users were evaluated. Around one-quarter of companies knew the costs of smoking programmes, and 9% reported costs of conducting programmes for excessive alcohol consumers.

Designing and implementing a geographical information system: A guide for managers of area-wide pest management programmes

International Nuclear Information System (INIS)

2006-04-01

Over the past two decades, the use of computer software and mapping methods known as geographical information systems (GIS) has been adopted by an ever growing variety of professionals. Every activity that deals with location dependent information can use GIS, and agriculture is no exception. The potential of GIS and remote sensing (RS) to facilitate the planning and implementation of areawide integrated pest management (AW-IPM) programmes is enormous but unfortunately, these methods are still much underused. AW-IPM programmes, especially those that integrate the sterile insect technique (SIT) with other surveillance and control methods, would benefit considerably by drawing on GIS/RS. These programmes are often implemented over large areas of even tens of thousands of square kilometres, where surveillance methods are deployed and large data sets are systematically generated on a daily basis. The acquisition of geo-referenced data sets on pest presence/absence, relative abundance, disease prevalence, crop damage, etc., that will allow accurate spatial and temporal analysis is important for proper and timely decision making to efficiently plan and implement any operational pest management programme. Animal health and plant protection officials and pest control programme managers might be intuitively aware of the importance of employing GIS as an analytical tool. However, they often lack a deeper understanding of its capabilities. Since GIS is a desk exercise using computers, data analysis is often left to the computer staff without proper directives from the programme managers on programmatic needs. This is unfortunate as it will usually NOT bring the desired GIS-processed information to the decision makers. This manual targets area-wide pest control programme administrators and managers of FAO and IAEA Member States in an attempt to demonstrate the type of data processing and spatial analysis that can be expected of GIS. The manual does not aim to provide

Publicly administrated nuclear waste management research programme 1994-1996. Final report

Energy Technology Data Exchange (ETDEWEB)

Vuori, S. [ed.] [VTT Energy, Espoo (Finland)

1997-09-01

The main objective of the JYT-programme has been to provide the authorities with independent information and research results relevant for the safety of nuclear waste management. The main emphasis in this research programme has been devoted to the final disposal of spent fuel. The whole area of the research programme has been subdivided into following main topic areas: (1) bedrock structure and stability, rock investigation methods and characteristics and flow of ground water, (2) release of radionuclides from a repository and subsequent transport in the bedrock, (3) performance and safety assessment of repositories and other phases of nuclear waste management, (4) natural analogue studies, (5) waste management technology and costs and (6) socio political and other societal issues and environmental impact assessment.

Publicly administrated nuclear waste management research programme 1994-1996. Final report

International Nuclear Information System (INIS)

Vuori, S.

1997-09-01

The main objective of the JYT-programme has been to provide the authorities with independent information and research results relevant for the safety of nuclear waste management. The main emphasis in this research programme has been devoted to the final disposal of spent fuel. The whole area of the research programme has been subdivided into following main topic areas: (1) bedrock structure and stability, rock investigation methods and characteristics and flow of ground water, (2) release of radionuclides from a repository and subsequent transport in the bedrock, (3) performance and safety assessment of repositories and other phases of nuclear waste management, (4) natural analogue studies, (5) waste management technology and costs and (6) socio political and other societal issues and environmental impact assessment

Impact of an occupation-based self-management programme on chronic disease management.

LENUS (Irish Health Repository)

O'Toole, Lynn

2013-02-01

There is a need for the development and evaluation of occupational therapy interventions enabling participation and contributing to self-management for individuals with multiple chronic conditions. This pilot study aimed to assess the feasibility and potential impact of an occupation-based self-management programme for community living individuals with multiple chronic conditions.

Ineffective programme management on the delivery of health ...

African Journals Online (AJOL)

outsourced to the Department of Public Works and the Independent. Development .... achieve a common strategic or business goal. ... Since programme management ... civil and structural engineering together with quantity surveying. The.

Managing Stress. Project Seed.

Science.gov (United States)

Muto, Donna; Wilk, Jan

One of eight papers from Project Seed, this paper describes a stress management project undertaken with high school sophomores. Managing Stress is described as an interactive workshop that offers young people an opportunity to examine specific areas of stress in their lives and to learn effective ways to deal with them. The program described…

Summary and conclusions of the specialist meeting on severe accident management programme development

International Nuclear Information System (INIS)

1992-01-01

The CSNI Specialist meeting on severe accident management programme development was held in Rome and about seventy experts from thirteen countries attended the meeting. A total of 27 papers were presented in four sessions, covering specific aspects of accident management programme development. It purposely focused on the programmatic aspects of accident management rather than on some of the more complex technical issues associated with accident management strategies. Some of the major observations and conclusions from the meeting are that severe accident management is the ultimate part of the defense in depth concept within the plant. It is function and success oriented, not event oriented, as the aim is to prevent or minimize consequences of severe accidents. There is no guarantee it will always be successful but experts agree that it can reduce the risks significantly. It has to be exercised and the importance of emergency drills has been underlined. The basic structure and major elements of accident management programmes appear to be similar among OECD member countries. Dealing with significant phenomenological uncertainties in establishing accident management programmes continues to be an important issue, especially in confirming the appropriateness of specific accident management strategies

Application of a theoretical framework to foster a cardiac-diabetes self-management programme.

Science.gov (United States)

Wu, C-J Jo; Chang, A M

2014-09-01

This paper analyses and illustrates the application of Bandura's self-efficacy construct to an innovative self-management programme for patients with both type 2 diabetes and coronary heart disease. Using theory as a framework for any health intervention provides a solid and valid foundation for aspects of planning and delivering such an intervention; however, it is reported that many health behaviour intervention programmes are not based upon theory and are consequently limited in their applicability to different populations. The cardiac-diabetes self-management programme has been specifically developed for patients with dual conditions with the strategies for delivering the programme based upon Bandura's self-efficacy theory. This patient group is at greater risk of negative health outcomes than that with a single chronic condition and therefore requires appropriate intervention programmes with solid theoretical foundations that can address the complexity of care required. The cardiac-diabetes self-management programme has been developed incorporating theory, evidence and practical strategies. This paper provides explicit knowledge of the theoretical basis and components of a cardiac-diabetes self-management programme. Such detail enhances the ability to replicate or adopt the intervention in similar or differing populations and/or cultural contexts as it provides in-depth understanding of each element within the intervention. Knowledge of the concepts alone is not sufficient to deliver a successful health programme. Supporting patients to master skills of self-care is essential in order for patients to successfully manage two complex, chronic illnesses. Valuable information has been provided to close the theory-practice gap for more consistent health outcomes, engaging with patients for promoting holistic care within organizational and cultural contexts. © 2014 International Council of Nurses.

Introducing innovation in a management development programme for a UK primary care organisation.

Science.gov (United States)

Smith, Paul; Hampson, Libby; Scott, Jonathan; Bower, Karen

2011-01-01

The aim of this paper is to examine the introduction of innovation as part of a management development programme at a primary care organisation, a legal form known as a Primary Care Trust (PCT), in the UK. The paper draws on experience of managing a successful management development programme for a PCT. The report of the case study analyses the key events that took place between 2008 and 2010, from direct observation, surveys, discussion and documentary evidence. The Northern PCT has partnerships with a number of educational providers to deliver their leadership and management development programmes. A close working relationship had developed and the programme is bespoke - hence it is current and of practical use to the UK's National Health Service (NHS). In addition, there are regular meetings, with module leaders gaining a firsthand understanding of the organisation's needs and aspirations. This has resulted in a very focused and personalised offering and a genuine involvement in the programme and individuals concerned. The research was conducted among a relatively small sample, and there is a lack of previous literature evidence to make significant comparisons. The paper identifies key implications for practitioners and educators in this area. This paper is one of few to investigate innovation and improvement in the NHS, and is unique in that it uses the lenses of a management development programme to explore this important, and under-researched, topic.

CERN Management & Communication Training programme

CERN Multimedia

HR Department

2009-01-01

Timetable of courses from November to December 2009 Please check our Web site to find out the number of places available, which may vary. Management Curriculum Managing Teams\t10, 11, 12 November (4 places available) CDP pour nouveaux superviseurs, part 1\t30 novembre, 1, 2 décembre (2 places disponibles) Managing by Project\t1, 2 December (full) Communication Curriculum Techniques d’exposé et de présentations\t10, 11 novembre + 8 décembre (complet) Managing Stress\t10, 11 November (6 places available) Communicating Effectively\t11, 12 November + 8, 9 December (4 places available) Orientation service\t12, 13 novembre (5 places disponibles) Gestion du stress\t17, 18 novembre (6 places disponibles) Animer ou participer à une réunion de travail\t9, 10, 11 décembre (3 places disponibles) If you are interested in attending any of the above course sessions, please talk to your supervisor and/or your DTO, and apply electronically via EDH from the course description p...

Publicly administrated nuclear waste management research programme 1994-1996. General plan for the research programme and research plan for 1994

International Nuclear Information System (INIS)

1994-01-01

The nuclear energy legislation of Finland includes detailed stipulations concerning nuclear waste management. Each producer of nuclear waste is responsible for the safe handling, management and disposal of the waste, and for the financing of these operations. The authorities supervise and control the implementation of the national waste management programme and set the necessary safety and other requirements. The principal goal of the JYT programme is to provide the authorities with information and research results relevant for the safety of nuclear waste management in order to support the various activities of the authorities. The whole field of the research programme is subdivided into the following main topic areas: (1) bedrock structure and stability, rock investigation methods, and characteristics and flow of groundwater, (2) release of radionuclides from a repository and subsequent migration in the bedrock, (3) performance and safety assessment of repositories and other phases of nuclear waste management (4) natural analogue studies, (5) waste management technology and costs and (6) sociopolitical and other societal issues and environmental impact assessment

Network-Embedded Management and Applications Understanding Programmable Networking Infrastructure

CERN Document Server

Wolter, Ralf

2013-01-01

Despite the explosion of networking services and applications in the past decades, the basic technological underpinnings of the Internet have remained largely unchanged. At its heart are special-purpose appliances that connect us to the digital world, commonly known as switches and routers. Now, however, the traditional framework is being increasingly challenged by new methods that are jostling for a position in the next-generation Internet. The concept of a network that is becoming more programmable is one of the aspects that are taking center stage. This opens new possibilities to embed software applications inside the network itself and to manage networks and communications services with unprecedented ease and efficiency. In this edited volume, distinguished experts take the reader on a tour of different facets of programmable network infrastructure and application exploit it. Presenting the state of the art in network embedded management and applications and programmable network infrastructure, the book c...

Effect of a multidisciplinary stress treatment programme on the return to work rate for persons with work-related stress. A non-randomized controlled study from a stress clinic

DEFF Research Database (Denmark)

Netterstrøm, Bo; Bech, Per

2010-01-01

ABSTRACT: BACKGROUND: In recent years an increasing number of patients have been referred to the medical sector with stress symptoms. Moreover, these conditions imply increased sickness absence. This indicates a need for treatment programmes in general medical practice. The aim of this study...... was to test the effect of a multidisciplinary stress treatment programme on the return to work (RTW) rate in persons with work-related stress and establish predictive factors for this outcome. METHODS: During a two-year period 63 out of 73 referrals to the Stress Clinic (a section of a Clinic of Occupational...... indicated by depression test score.On average each patient attended six one-hour sessions over the course of four months.A group of 34 employees referred to the Clinic of Occupational Medicine by their general practitioners served as a control group. Each participant had a one-hour consultation at baseline...

The Stress Management in the Enterprise Management System

Directory of Open Access Journals (Sweden)

Kuzmin Oleh Ye.

2017-05-01

Full Text Available The article systematizes the classification of the type of management by a number of attributes: horizon of ambition, priority style of interaction between management and managed systems, level of centralization, orientation, consideration of environmental impact, contents, type of activity, and response to deviation. Within terms of the attribute of response to deviations, place of the stress management is allocated near to the harmonic and the risk management. It has been substantiated that the stress management is the enterprise management system aimed at overcoming unwanted deviations that are significant, extreme, and have a significant negative impact on the operation of enterprise. In the structure of the stress management, the following integral components have been allocated and characterized: crisis, adaptive, reactive, fears, and anticipative.

Evaluation of constrained mobility for programmability in network management

NARCIS (Netherlands)

Bohoris, C.; Liotta, A.; Pavlou, G.; Ambler, A.P.; Calo, S.B.; Kar, G.

2000-01-01

In recent years, a significant amount of research work has addressed the use of code mobility in network management. In this paper, we introduce first three aspects of code mobility and argue that constrained mobility offers a natural and easy approach to network management programmability. While

Stress Management: Social Support

Science.gov (United States)

Healthy Lifestyle Stress management Having close friends and family has far-reaching benefits for your health. Here's how to build and maintain these ... article: http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/social-support/art-20044445 . Mayo Clinic ...

Managing complex workplace stress in health care organizations: leaders' perceived legitimacy conflicts.

Science.gov (United States)

Dellve, Lotta; Wikström, Ewa

2009-12-01

To conceptualize how health care leaders' strategies to increase their influence in their psychosocial work environment are experienced and handled, and may be supported. The complex nature of the psychosocial work environment with increased stress creates significant challenges for leaders in today's health care organizations. Interviews with health care leaders (n = 39) were analysed in accordance with constructivist grounded theory. Compound identities, loyalty commitments and professional interests shape conditions for leaders' influence. Strategies to achieve legitimacy were either to retain clinical skills and a strong occupational identity or to take a full leadership role. Ethical stress was experienced when organizational procedural or consequential legitimacy norms were in conflict with the leaders' own values. Leadership support through socializing processes and strategic support structures may be complementary or counteractive. Support programmes need to have a clear message related to decision-making processes and should facilitate communication between top management, human resource departments and subordinate leaders. Ethical stress from conflicting legitimacy principles may be moderated by clear policies for decision-making processes, strengthened sound networks and improved communication. Supportive programmes should include: (1) sequential and strategic systems for introducing new leaders and mentoring; (2) reflective dialogue and feedback; (3) team development; and (4) decision-making policies and processes.

Patient level cost of diabetes self-management education programmes: an international evaluation.

Science.gov (United States)

Doyle, Gerardine; O'Donnell, Shane; Quigley, Etáin; Cullen, Kate; Gibney, Sarah; Levin-Zamir, Diane; Ganahl, Kristin; Müller, Gabriele; Muller, Ingrid; Maindal, Helle Terkildsen; Chang, Wushou Peter; Van Den Broucke, Stephan

2017-06-04

The objective of this study was to examine the value of time-driven activity-based costing (TDABC) in understanding the process and costs of delivering diabetes self-management education (DSME) programmes in a multicountry comparative study. Outpatient settings in five European countries (Austria, Denmark, Germany, Ireland, UK) and two countries outside Europe, Taiwan and Israel. Providers of DSME programmes across participating countries (N=16) including healthcare professionals, administrators and patients taking part in DSME programmes. Primary measure: time spent by providers in the delivery of DSME and resources consumed in order to compute programme costs. Secondary measures: self-report measures of behavioural self-management and diabetes disease/health-related outcomes. We found significant variation in costs and the processes of how DSME programmes are provided across and within countries. Variations in costs were driven by a combination of price variances, mix of personnel skill and efficiency variances. Higher cost programmes were not found to have achieved better relative outcomes. The findings highlight the value of TDABC in calculating a patient level cost and potential of the methodology to identify process improvements in guiding the optimal allocation of scarce resources in diabetes care, in particular for DSME that is often underfunded. This study is the first to measure programme costs using estimates of the actual resources used to educate patients about managing their medical condition and is the first study to map such costs to self-reported behavioural and disease outcomes. The results of this study will inform clinicians, managers and policy makers seeking to enhance the delivery of DSME programmes. The findings highlight the benefits of adopting a TDABC approach to understanding the drivers of the cost of DSME programmes in a multicountry study to reveal opportunities to bend the cost curve for DSME. © Article author(s) (or their employer

Use of herd management programmes to improve the reproductive performance of dairy cattle.

Science.gov (United States)

McDougall, S; Heuer, C; Morton, J; Brownlie, T

2014-05-01

There has been a long history of herd health and production management programmes in many dairy industries around the world, but evidence for the efficacy of such programmes is limited. In response to a perceived decline in fertility of dairy cows, a herd reproductive management programme (InCalf) was introduced in New Zealand in 2007. This programme uses a management cycle approach that includes an assessment of the current herd status, identification of areas for improvement, development of a plan, implementation of this plan and finally a review process. The programme uses facilitators who work with farmers either in a one-to-one manner or in a formalised group setting that involves a series of meetings over a 12-month period (the farmer action group). The hypothesis that involvement in a reproductive management programme would improve herd reproductive performance was tested using a herd-level controlled randomised study (the National Herd Fertility Study) involving herds in four geographic regions of New Zealand over 2 years. Within each region, herds were ranked on the basis of the 6-week in-calf rate (i.e. the proportion of the herd pregnant in the first 6 weeks of the seasonal breeding programme) in the year preceding commencement of the study and then randomly assigned to be involved in a farmer action group or left as untreated controls. The key outcome variable of the study was the 6-week in-calf rate. Pregnancy diagnosis was undertaken at 12 weeks after the start of the seasonal breeding programme, which allowed determination of conception dates and hence calculation of the 6-week in-calf rate. Additional measurements including heifer live weight and body condition score (pre-calving and pre-mating) were undertaken to test whether treatment resulted in measurable changes in some of the key determinants of herd reproductive performance. Involvement in the farmer action group of InCalf resulted in a 2 percentage point increase in the 6-week in-calf rate

Perceived stress and dietary choices: The moderating role of stress management.

Science.gov (United States)

Errisuriz, Vanessa L; Pasch, Keryn E; Perry, Cheryl L

2016-08-01

Many college students exhibit unhealthy eating behaviors, consuming large quantities of high-fat foods and few fruits and vegetables. Perceived stress has been linked to daily dietary choices among college students; however, this work has been conducted among predominantly white, female populations. The role of perceived stress management in moderating this relationship is unclear. This study investigated the relationship between perceived stress and dietary choices among a diverse sample of male and female college freshmen and assessed whether perceived ability to manage stress moderated this relationship. 613 students from a large, public university completed an online survey which assessed past week consumption of various foods and beverages (e.g. soda, fast food, fruits, vegetables), as well as perceived stress and ability to manage stress. Hierarchical linear regression examined the association between perceived stress and past week dietary choices, and the moderating effect of perceived ability to manage stress, controlling for demographic variables. Perceived stress was positively associated with past week soda, coffee, energy drink, salty snack, frozen food, and fast food consumption (pmoderated the relationship between stress and sweet snack consumption. Individuals who reported low ability to manage stress consumed greater amounts. Findings indicate greater stress is associated with poor dietary choices among college freshmen. The relationship between stress and sweet snack consumption was exacerbated among those who reported low ability to manage stress. It may be important for college nutrition education programs to focus on the relationship between stress and diet and promote effective stress management techniques. Copyright © 2016 Elsevier Ltd. All rights reserved.

Managing high-risk patients: the Mass General care management programme

Directory of Open Access Journals (Sweden)

Dennis L Kodner

2015-09-01

Full Text Available The Massachusetts General Care Management Program (Mass General CMP or CMP was designed as a federally supported demonstration to test the impact of intensive, practice-based care management on high-cost Medicare fee-for-service (FFS beneficiaries—primarily older persons—with multiple hospitalisations and multiple chronic conditions. The Massachusetts General Care Management Program operated over a 6-year period in two phases (3 years each. It started during the first phase at Massachusetts General Hospital, a major academic medical centre in Boston, Massachusetts in collaboration with Massachusetts General Physicians Organisation. During the second phase, the programme expanded to two more affiliated sites in and around the Boston area, including a community hospital, as well as incorporated several modifications primarily focused on the management of transitions to post-acute care in skilled nursing facilities. At the close of the demonstration in July 2012, Mass General Massachusetts General Care Management Program became a component of a new Pioneer accountable care organisation (ACO. The Massachusetts General Care Management Program is focused on individuals meeting defined eligibility criteria who are offered care that is integrated by a case manager embedded in a primary care practice. The demonstration project showed substantial cost savings compared to fee-for-service patients served in the traditional Medicare system but no impact on hospital readmissions. The Massachusetts General Care Management Program does not rest upon a “whole systems” approach to integrated care. It is an excellent example of how an innovative care co-ordination programme can be implemented in an existing health-care organisation without making fundamental changes in its underlying structure or the way in which direct patient care services are paid for. The accountable care organisation version of the Massachusetts General Care Management Program

Developing a national programme of flood risk management measures: Moldova

Directory of Open Access Journals (Sweden)

Ramsbottom David

2016-01-01

Full Text Available A Technical Assistance project funded by the European Investment Bank has been undertaken to develop a programme of flood risk management measures for Moldova that will address the main shortcomings in the present flood management system, and provide the basis for long-term improvement. Areas of significant flood risk were identified using national hydraulic and flood risk modelling, and flood hazard and flood risk maps were then prepared for these high risk areas. The flood risk was calculated using 12 indicators representing social, economic and environmental impacts of flooding. Indicator values were combined to provide overall estimates of flood risk. Strategic approaches to flood risk management were identified for each river basin using a multi-criteria analysis. Measures were then identified to achieve the strategic approaches. A programme of measures covering a 20-year period was developed together with a more detailed Short-Term Investment Plan covering the first seven years of the programme. Arrangements are now being made to implement the programme. The technical achievements of the project included national hydrological and hydraulic modelling covering 12,000 km of river, the development of 2-dimensional channel and floodplain hydraulic models from a range of topographic and bathymetric data, and an integrated flood risk assessment that takes account of both economic and non-monetary impacts.

The central role of national programme management for the achievement of malaria elimination: a cross case-study analysis of nine malaria programmes.

Science.gov (United States)

Smith Gueye, Cara; Newby, Gretchen; Tulloch, Jim; Slutsker, Laurence; Tanner, Marcel; Gosling, Roland D

2016-09-22

A malaria eradication goal has been proposed, at the same time as a new global strategy and implementation framework. Countries are considering the strategies and tools that will enable progress towards malaria goals. The eliminating malaria case-study series reports were reviewed to identify successful programme management components using a cross-case study analytic approach. Nine out of ten case-study reports were included in the analysis (Bhutan, Cape Verde, Malaysia, Mauritius, Namibia, Philippines, Sri Lanka, Turkey, Turkmenistan). A conceptual framework for malaria elimination programme management was developed and data were extracted and synthesized. Findings were reviewed at a consultative workshop, which led to a revision of the framework and further data extraction and synthesis. Success factors of implementation, programme choices and changes, and enabling factors were distilled. Decentralized programmes enhanced engagement in malaria elimination by sub-national units and communities. Integration of the malaria programme into other health services was also common. Decentralization and integration were often challenging due to the skill and experience levels of newly tasked staff. Accountability for programme impact was not clarified for most programmes. Motivation of work force was a key factor in maintaining programme quality but there were few clear, detailed strategies provided. Different incentive schemes targeted various stakeholders. Training and supervision, although not well described, were prioritized by most programmes. Multi-sectoral collaboration helped some programmes share information, build strategies and interventions and achieve a higher quality of implementation. In most cases programme action was spurred by malaria outbreaks or a new elimination goal with strong leadership. Some programmes showed high capacity for flexibility through introduction of new strategies and tools. Several case-studies described methods for monitoring

Stress Management: A Rational Approach.

Science.gov (United States)

Reeves, Cecil

This workbook was designed for use as the primary resource tool during a l-day participatory stress management seminar in which participants identify stressful situations, conduct analyses, and develop approaches to manage the stressful situations more effectively. Small group warm-up activities designed to introduce participants, encourage…

Cost Analysis of Chronic Disease Self-Management Programmes Being Delivered in South Florida

Science.gov (United States)

Page, Timothy F.; Palmer, Richard C.

2014-01-01

Background: Chronic disease accounts for the majority of healthcare costs. The Chronic Disease Self-Management Programme (CDSMP) has been shown to be effective in reducing the burden of chronic disease. Objectives: The objective of this study was to measure the cost of delivering the Chronic Disease Self-Management Programme (CDSMP) in order to…

Implementing a screening programme for post-traumatic stress disorder following violent crime

Directory of Open Access Journals (Sweden)

Jonathan I. Bisson

2010-12-01

Full Text Available Background: The emergence of validated means to determine which individuals will develop post-traumatic stress disorder (PTSD following a traumatic event has raised the possibility of designing and implementing effective screening programmes following traumatic events. Objective: This study aimed to study the usefulness and implementation of a PTSD screening programme for victims of violent crime presenting to an emergency unit. Design: 3,349 individuals who presented to an emergency unit following a violent crime were asked to complete the Trauma Screening Questionnaire 2 weeks later. Those who scored above a standard cut-off were invited to attend a mental health assessment and subsequently offered treatment according to their needs. Results: Of the 3,349 individuals contacted, 572 (17.1% responded, 338 (10.1% screened positive, 26 (0.78% attended for assessment, and 9 (0.27% received treatment for PTSD. Conclusions: This simple screening programme was not as useful as was hoped raising questions regarding how best to develop screening programmes for PTSD following violent crime and other traumatic events.

Self-management programmes for people living with chronic obstructive pulmonary disease: a call for a reconceptualisation.

Science.gov (United States)

Jonsdottir, Helga

2013-03-01

To synthesise findings from previously published studies on the effectiveness of self-management programmes for people with chronic obstructive pulmonary disease. Self-management is a widely valued concept to address contemporary issues of chronic health problems. Yet, findings of self-management programmes for people with chronic obstructive pulmonary disease are indecisive. Literature review of (1) previously published systematic reviews and (2) an integrative literature review. Synthesis of findings from previously published systematic reviews (n = 4) of the effectiveness of self-management programmes for people with chronic obstructive pulmonary disease and an integrated review that was performed on papers published between January 2007-June 2012 (n = 9). Findings demonstrate that there are few studies on the effectiveness of self-management programmes on people with chronic obstructive pulmonary disease despite more than a decade of research activities. Outcomes of the studies reveal some increase in health-related quality of life and reduction in use of healthcare resources. The methodological approaches vary, and the sample size is primarily small. Families are not acknowledged. Features of patient-centredness exist in self-management programmes, particularly in the more recent articles. The effectiveness of self-management programmes for people with chronic obstructive pulmonary disease remains indecisive. A reconceptualisation of self-management programmes is called for with attention to a family-centred, holistic and relational care focusing on living with and minimising the handicapping consequences of the health problems in their entirety. © 2013 Blackwell Publishing Ltd.

Management of journalists professional stress

Directory of Open Access Journals (Sweden)

Rvović Jelena J.

2014-01-01

Full Text Available This research has been conducted with the purpose of identifying the causes of stress (stressors within the journalists' work in Serbia, their intensity and frequency, as well as their negative impact on health on one hand, and on the other hand to identify what is the role of Human Resources Management within the media in overcoming journalists' stress caused by identified stressors. . The research method, a Questionnaire (N=60 was created as a combination of modified pSS (perceived Stress Scale and a Questionnaire proposed by Cousins et al. (2004 for measuring of work-related stress intensity, adapted to the specific features of this research. Results have revealed a large number of stressors that can and must be managed; therefore the specific goal of this research would include the creation of a draft template for management of journalists' professional stress. If the media in Serbia wish to be organizations that care about their journalists' health, they will have to adopt certain activities through a department of HR management to prevail over stress at work, due to permanent exposure of journalists to their great professional demands. However, human resources management in the media can not protect the health of their journalists most efficiently by one activity only, considering that a large number of stressors have been identified in the research. The proposed activities of HR management in overcoming the work-related stress represent only a macro-framework for outlining this phenomenon in Serbia, because we shall not be able to ascertain that the proposed template for journalists' professional stress management is completely efficient, before its application is proven empirically, i.e. in practice. This should not be regarded as a limitation to this research, considering that only a small number of credible studies in the world are using quantified data for verifying their conclusions. In any case the need for a study based on evidence

Development of a self-managed loaded exercise programme for rotator cuff tendinopathy.

Science.gov (United States)

Littlewood, Chris; Malliaras, Peter; Mawson, Sue; May, Stephen; Walters, Stephen

2013-12-01

This paper describes a self-managed loaded exercise programme which has been designed to address the pain and disability associated with rotator cuff tendinopathy. The intervention has been developed with reference to current self-management theory and with reference to the emerging benefit of loaded exercise for tendinopathy. This self-managed loaded exercise programme is being evaluated within the mixed methods SELF study (ISRCTN 84709751) which includes a pragmatic randomised controlled trial conducted within the UK National Health Service. Copyright © 2012 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

Biomarkers of general stress in mussels as common indicators for marine biomonitoring programmes in Europe: The ICON experience

NARCIS (Netherlands)

Martínez-Gómez, C.; Robinson, C.D.; Burgeot, T.; Gubbins, M.J.; Halldórsson, H.P.; Albentosa, M.; Bignell, J.P.; Hylland, K.; Vethaak, A.D.

2017-01-01

This study investigated whether general stress biomarkers in mussels can be applied as common first-tier biomarkers in regional biomonitoring programmes in the North Sea (including Iceland) and western Mediterranean Sea. Stress on Stress (SoS) and lysosomal membrane stability (LMS) biomarkers were

Nuclear waste management programme 2003 for the Loviisa and Olkiluoto nuclear power plants

International Nuclear Information System (INIS)

2002-09-01

A joint company Posiva Oy founded by nuclear energy producing Teollisuuden Voima Oy (TVO) and Fortum Power and Heat Oy coordinates the research work of the companies on nuclear waste management in Finland. In Posiva's Nuclear Waste Management Programme 2003, an account of the nuclear waste management measures of TVO and Fortum is given as required by the sections 74 and 75 of the Finnish Nuclear Energy Degree. At first, nuclear waste management situation and the programme of activities are reported. The nuclear waste management research for the year 2003 and more generally for the years 2003-2007 is presented

Four African Nations Agree to Water Management Programme

International Nuclear Information System (INIS)

2013-01-01

Full text: Seeking to improve their management of water resources, four northeast African nations today agreed at the International Atomic Energy Agency (IAEA) to establish a long-term framework for utlizing a key underground water system. Chad, Egypt, Libya and Sudan signed a Strategic Action Programme (SAP) that aims to optimize the equitable use of the Nubian Sandstone Aquifer System, a huge water resource that lies beneath the four nations. The SAP also commits the countries to strengthen and build upon a previously existing regional coordination mechanism, in part by establishing a new Joint Authority for the Nubian Aquifer System. The Programme lays the groundwork for improving cooperation among the four arid nations and for strengthening their capacity to monitor and manage the aquifer effectively. With growing populations and decreasing water availability from other sources in the region, the aquifer is under mounting pressure. Removing water without a clear understanding of transboundary and other implications threatens water quality and has the potential to harm biodiversity and accelerate land degradation. The agreement resulted from a joint Technical Cooperation project of the United Nations Development Programme (UNDP) and the Global Environment Facility (GEF), the United Nations Educational, Scientific and Cultural Organization (UNESCO) and the IAEA. ''I congratulate all involved on this significant achievement,'' said IAEA Director General Yukiya Amano. ''Water is a key resource, and effective management and use of such water resources is essential for the future. The agreement of the Strategic Action Programme is the result of real cooperation between the four States, the Agency and UNDP-GEF. I am confident that this Programme will be a success and will benefit the people of the region. This positive project experience benefits strengthened and expanded cooperation between the IAEA and the UNDP-GEF.'' ''UNDP would like to congratulate the

Stress Management

Directory of Open Access Journals (Sweden)

Prof.Univ. Dr. Paul Marinescu

2007-05-01

Full Text Available In the post-modern management organizational leaders have the obligation of protecting their employees against factors that could cause damages to their potentially wealthy lives. Stress is such a factor. We shall attempt by means of the present article to draw attention on certain general aspects that should be taken into account in drafting plans for fighting against and diminishing the stress faced by the employees

Quality of care in patients with psoriasis: an initial clinical study of an international disease management programme.

Science.gov (United States)

de Korte, J; Van Onselen, J; Kownacki, S; Sprangers, M A G; Bos, J D

2005-01-01

Patients with psoriasis have to cope with their disease for many years or even throughout their entire life. To provide optimal care, a disease management programme was developed. This programme consisted of disease education, disease management training, and psychological support, together with topical treatment. To test a disease management programme in dermatological practice, to assess patients' satisfaction with this programme, and adherence to topical treatment. Additionally, disease severity and quality of life were assessed. An initial clinical investigation was conducted in 10 European treatment centres. A total of 330 patients were included. Patient satisfaction, adherence, disease severity and quality of life were measured with study-specific and standardized self-report questionnaires. Patients reported a high degree of satisfaction with the programme, and a high degree of adherence to topical treatment. Disease severity and quality of life significantly improved. The programme was well received by the participating professionals. The disease management programme was found to be a useful tool in the management of psoriasis, providing patients with relief from the burden of psoriasis in everyday life. A full-scale evaluation is recommended.

Talent Management Programmes at British, American and Canadian Universities: Comparative Study

Science.gov (United States)

Boichenko, Maryna

2015-01-01

The article deals with the peculiarities of talent management programmes implementation at the top British, American and Canadian universities. The essence of the main concepts of research--talent and talent management--has been revealed. Talent management is referred to as the systematic attraction, identification, development, engagement,…

CERN Management & Communication Training programme

CERN Multimedia

2007-01-01

Calendrier des cours prévus de septembre à décembre 2007
Calendar of courses for September to December 2007 Please check our Web site to find out the number of places available which may vary. Veuillez consulter notre site Web pour connaître le nombre de places disponibles qui peut varier. Management Curriculum / curriculum Management Personal Awareness & Impact (English) 10, 11, 12 September, (full) Managing by Project (English) 9, 10 October (2 places disponibles) Personal Awareness & Impact (English) 15, 16, 17 October, (full) Introduction to Leadership (English) 17, 18, 19 October, (full) Quality Management (Bilingual) 18, 19 October (10 places available) Managing Teams (English) 13, 14, 15 November (full) Communicating Effectively – residential (Bilingual) 20, 21, 22 November (full) Risk Management (English) 13, 14 December (6 places available) Communication Curriculum / curriculum communication Stress Management (English) 25, 26 September (6 places...

Managing Environmental Impact Assessment for Construction and Operation in New Nuclear Power Programmes

International Nuclear Information System (INIS)

2014-01-01

This publication describes the environmental impact assessment (EIA) process, its utilization and the necessary infrastructure for such a process in order to provide a holistic approach for EIA in new nuclear power programmes. It also emphasizes the environmental aspects unique to a nuclear power programme, assuming that a State embarking on such a programme already has an environmental regulatory framework for the industrial projects in place. This publication also describes the phased implementation of the EIA programme in accordance with the phases described in IAEA Nuclear Energy Series No. NG-G-3.1. This publication is addressed to senior managers, project managers or coordinators and technical specialists of government authorities and agencies, including regulatory bodies, operating organizations and supporting industries, and other organizations involved in environmental issues

Impact of social responsibility programmes in stakeholder satisfaction: an empirical study of Portuguese managers' perceptions

OpenAIRE

Fonseca, L.; Ramos, A.; Rosa, A.; Sampaio, P.

2012-01-01

This study investigates the relationship between social responsibility programmes of organizations and stakeholder satisfaction. Based on stakeholder theory, an online survey was administered to managers of Portuguese organizations with certified management systems. The findings suggest that stakeholder satisfaction is indeed increased with a social responsibility programme, as suggested by Freeman’s stakeholder theory. The components of social responsibility programmes that we discussed in t...

Financial aspects of veterinary herd health management programmes

NARCIS (Netherlands)

Ifende, V.I.; Derks, M.; Hooijer, G.A.; Hogeveen, H.

2014-01-01

Veterinary herd health management (VHHM) programmes are meant to support herd health and farmers’ income (Brand and Guard 1996). They were introduced in the Netherlands in the 1970s (Sol and Renkema 1984) and at present many veterinarians provide them to farmers. VHHM comprises a basic structure of

Update on Waste Management Policies and Programmes

International Nuclear Information System (INIS)

Anon.

1988-01-01

In addition to the regular items on national, international and NEA programme activities, this edition of the Bulletin contains two special contributions. First, a special editorial by Dr. Rudolf Rometsch, President of the Swiss National Cooperative for the Storage of Radioactive Waste (NAGRA) and current Chairman of the NEA Radioactive Waste Management Committee (RWMC), provides his personal reflections on the significance and relevance of the recent ''TRANSNUKLEAR AFFAIR'' to the waste management community. Secondly, the recently released Goguel Report from France is featured in the ''Topical Report'' section. This report provides a useful examination of site selection criteria for geological waste repositories [fr

Stress: Neurobiology, consequences and management

Directory of Open Access Journals (Sweden)

Anil Kumar

2013-01-01

Full Text Available Stress, both physical and psychological, is attracting increasing attention among neuroresearchers. In the last 20 decades, there has been a surge of interest in the research of stress-induced manifestations and this approach has resulted in the development of more appropriate animal models for stress-associated pathologies and its therapeutic management. These stress models are an easy and convenient method for inducing both psychological and physical stress. To understand the behavioral changes underlying major depression, molecular and cellular studies are required. Dysregulation of the stress system may lead to disturbances in growth and development, and may this may further lead to the development of various other psychiatric disorders. This article reviews the different types of stress and their neurobiology, including the different neurotransmitters affected. There are various complications associated with stress and their management through various pharmacological and non-pharmacological techniques. The use of herbs in the treatment of stress-related problems is practiced in both Indian and Western societies, and it has a vast market in terms of anti-stress medications and treatments. Non-pharmacological techniques such as meditation and yoga are nowadays becoming very popular as a stress-relieving therapy because of their greater effectiveness and no associated side effects. Therefore, this review highlights the changes under stress and stressor and their impact on different animal models in understanding the mechanisms of stress along with their effective and safe management.

Effects of a leisure programme on quality of life and stress of individuals with ASD.

Science.gov (United States)

García-Villamisar, D A; Dattilo, J

2010-07-01

Even though there is research demonstrating a positive relationship between leisure participation and the two constructs of quality of life and stress reduction, current conceptualisation of leisure as a contributor to quality of life is limited. In addition, in spite of improvements in accurate diagnosis of autism spectrum disorder (ASD) at increasingly earlier ages and proliferation of interventions, research associated with leisure and quality of life for people with ASD is lacking. Therefore, a study using a repeated measures design was used to measure effects of a 1-year group leisure programme intended to facilitate interaction with media, engagement in exercise, playing games and doing crafts, attending events, and participating in other recreation activities on quality of life and stress of 37 participants (22 male, 15 female), ages 17-39 (M = 31.49) years at the beginning of the programme) diagnosed with an ASD and a group of 34 adults with ASD as control group (waiting list) (19 male, 15 female), ages 24-38 (M = 30 at programme initiation) years. There was a significant decrease in overall scores of stress levels for participants over the course of the study and there was a significant increase in the four factors of quality of life that were measured (satisfaction, independence, competence and social interaction) as well as the total score for quality of life from baseline to the end of the intervention 12 months later. In contrast, the control group demonstrated no significant improvements related to stress or quality of life. Implications of these findings to leisure services and the quality of life of individuals with ASD are discussed. Findings support the contention that participation in recreation activities positively influenced the stress and quality of life of adults with ASD.

The Community's R and D programme on the management and storage of radioactive waste. Shared-cost action programmes

International Nuclear Information System (INIS)

McMenamin, T.

1993-01-01

Since 1975 the Commission of the European Communities (CEC) has been operating a series of shared-cost action programmes in the field of radioactive waste management with the primary objective of developing methods to protect the public and the environment against the potential hazards of radioactive waste. Member States with small, as well as sizeable, nuclear programmes have been taking part. The choice and type of topics for the programme have depended largely on the work being carried out nationally by these countries with the programmes acting as a support and extension to national projects. To this end they have acted as a catalyst in encouraging and promoting cross-border cooperation and have provided a unique opportunity to compare results and ideas leading to improved quality and efficiency. The list of publications covers reports, proceedings, communications and information leaflets produced and published in the framework of the cost-sharing research programmes of the Commission of the European Communities on radioactive waste management and disposal. The list, which is regularly updated, includes: reports of contractors on research supported by the Commission; reports on research in coordinated actions, assembled and edited by the Commission staff or on behalf of the Commission; proceedings of meetings, conferences and workshops organized and edited by the Commission staff; scientific reports, communications, annual progress reports and information leaflets produced and edited by the Commission staff. Not included are contributions of contractors and staff to national or international meetings, workshops, conferences and expert groups

Best Practices in the Management of an Operating Experience Programme at Nuclear Power Plants

International Nuclear Information System (INIS)

2010-08-01

The IAEA Fundamental Safety Principles (IAEA Safety Standards Series No. SF-1) state the need for operating organizations to establish a programme for the feedback and analysis of operating experience in nuclear power plants. Such a programme ensures that operating experience is analysed, events important to safety are reviewed in depth, lessons learned are disseminated to the staff of the organization and to the relevant national and international organizations and corrective actions are effectively implemented. In IAEA Operational Safety Review Team (OSART) and Peer Review of the effectiveness of the Operational Safety Performance Experience Review (PROSPER) missions, weaknesses in the management of operating experience (OE) programmes have been identified as one of the root causes of the recurrence of events. This publication has been developed to provide advice and assistance to nuclear installation managers and related institutions, including contractors and support organizations, to strengthen and enhance the management of their OE processes. In this publication, a number of barriers to the successful management of an OE programme have been identified. Managers are encouraged to review and evaluate these barriers with a view to identifying and eliminating them within their own organizations

Dealing Collectively with Critical Incident Stress Reactions in High Risk Work Environments

DEFF Research Database (Denmark)

Müller-Leonhardt, Alice; Strøbæk, Pernille Solveig; Vogt, joachim

2015-01-01

organisations. Indeed, we found that the CISM programme once integrated within the socio-cultural patterns of this specific working environment enhanced not only individual feelings of being supported but also organisational safety culture. Keywords: coping; safety culture; critical incident stress management......aim of this paper is to shift the representation of coping patterns within high risk occupations to an existential part of cultural pattern and social structure, which characterises high reliability organisations. Drawing upon the specific peer model of critical incident stress management (CISM......), in which qualified operational peers support colleagues who experienced critical incident stress, the paper discusses critical incident stress management in air traffic control. Our study revealed coping patterns that co-vary with the culture that the CISM programme fostered within this specific high...

Patient satisfaction with a pilot chronic pain management programme in Cape Town, South Africa

Directory of Open Access Journals (Sweden)

R. Parker

2009-01-01

Full Text Available Background: The goals of a chronic pain management clinic includeincreasing patient knowledge about pain, developing pain management skillsand increasing patients’ confidence in their pain management abilities.A  Chronic Pain Management Programme (CPMP based on evidence basedguidelines was developed at a chronic pain management clinic to facilitatepatient discharge to a primary healthcare level. Aim: The aim of this study was to explore patient satisfaction with, acceptability of and the perceived success which could be due to the CPMP developed at the Chronic Pain Management Clinic of Groote Schuur Hospital,Cape Town.Methods: Patients (n=14 were referred to the pilot study from the Chronic Pain Management Clinic. A s a pilot, four courses were run over a period ofone year. In order to reach the research aim, an eleven-question, structuredopen-ended interview was conducted with all participants. Results: Fourteen patients enrolled in the CPMP. Responses were favourable with participants emphasising the roleof increased knowledge about pain, the role of exercise and of stress management techniques. Participants also recog-nised a positive change in behaviours and attitudes following participation in the CPMP.Conclusions: Findings suggest that participants found the format of the course acceptable as regards course content,structure and delivery. Participant responses suggest that the course was acceptable and perceived as useful. However,future courses would benefit from refresher courses or structured support groups.

Medical care of type 2 diabetes in German disease management programmes: a population-based evaluation.

Science.gov (United States)

Stark, Reneé G; Schunk, Michaela V; Meisinger, Christine; Rathmann, Wolfgang; Leidl, Reiner; Holle, Rolf

2011-05-01

Type 2 diabetes disease management programmes (DDMPs) are offered by German social health insurance to promote healthcare consistent with evidence-based medical guidelines. The aim of this study was to compare healthcare quality and medical endpoints between diabetes management programme participants and patients receiving usual care designated as controls. All patients with type 2 diabetes (age range: 36-81) in a cross-sectional survey of a cohort study, performed by the Cooperative Health Research in the Region of Augsburg, received a self-administered questionnaire regarding their diabetes care. Physical examination and laboratory tests were also performed. The analysis only included patients with social health insurance and whose participation status in a diabetes disease management program was validated by the primary physician (n = 166). Regression analyses, adjusting for age, sex, education, diabetes duration, baseline waist circumference and clustering regarding primary physician were conducted. Evaluation of healthcare processes showed that those in diabetes disease management programmes (n = 89) reported medical examination of eyes and feet and medical advice regarding diet [odds ratio (OR): 2.39] and physical activity (OR: 2.87) more frequently, received anti-diabetic medications (OR: 3.77) and diabetes education more often (OR: 2.66) than controls. Both groups had satisfactory HbA(1c) control but poor low-density lipoprotein cholesterol control. Blood pressure goals (management programmes (OR: 2.21). German diabetes disease management programmes are associated with improved healthcare processes and blood pressure control. Low-density lipoprotein cholesterol control must be improved for all patients with diabetes. Further research will be required to assess the long-term effects of this diabetes disease management programme. Copyright © 2011 John Wiley & Sons, Ltd.

Public sector's research programme on spent fuel management in Finland supporting the authorities

International Nuclear Information System (INIS)

Vuori, S.; Rasilainen, K.

2000-01-01

A multiphase research program launched in 1989 to support Finnish authorities in their activities concerning spent fuel management is reviewed. The Finnish program for spent fuel management has so far managed to keep its original time schedule at least partly due to clearly defined responsibilities between the nuclear energy producing industry and the authorities. It appears that the public sector's research programme has been successful in its supporting role, because authorities have had good possibilities to adjust the emphasis and volume of the research programme from the very beginning. (author)

CERN Management & Communication Training programme

CERN Multimedia

2007-01-01

Calendrier des cours prévus de septembre à décembre 2007 Calendar of courses for September to December 2007 Please check our Web site to find out the number of places available which may vary. Veuillez consulter notre site Web pour connaître le nombre de places disponibles qui peut varier. Management Curriculum / curriculum Management Managing by Project (English)\t9, 10 October (Full) Personal Awareness & Impact (English)\t15, 16, 17 October, (Full) Introduction to Leadership (English)\t17, 18, 19 October, (Full) Managing Teams (English)\t13, 14, 15 November\t(1 place available)) Communicating Effectively – residential (Bilingual)\t20, 21, 22 November (Full) Risk Management (English)\t13, 14 December (6 places available) Core Development Package for new Supervisors and Section leaders (MARS exercice) Session to be scheduled from November 2007 to January 2008 Communication Curriculum / curriculum communication Stress Management (English)\t25, 26 September (4 p...

Focused training programmes for solving growth problems of very small businesses

Directory of Open Access Journals (Sweden)

S. Perks

2008-12-01

Full Text Available Purpose and objectives: The purpose of the study is to investigate the various types of focused training programmes that should be designed for eliminating or preventing small business growth problems. To help achieve this main objective, the following secondary goals are identified : • To highlight the role and nature of entrepreneurial training. • To identify possible focused training programmes for solving very small business problems. • To determine how training programmes should be structured to target very small business growth problems. • To explore which other method(s, besides training programmes could be uitilised for solving very small black business entrepreneurs' growth problems. • To provide trainers with guidelines in designing focused training programmes for solving very small business problems. Problem investigated: South African entrepreneurs have a poor skills record, which inhibits small business growth. The needs of a business changes as the business grows, resulting in growing pains for the very small business entrepreneur. Successful entrepreneurs are not necessarily academically inclined and often learn in a more dynamic, non-linear environment, therefore various specific focused training programmes need to be designed that can assist very small business entrepreneurs in eliminating or preventing small business growth problems. Methodology: A qualitative study was done, in which an empirical survey was conducted by means of a series of in-depth interviews with ten very small black business entrepreneurs. Findings: The empirical results identified seven types of training programmes focusing on financial management computer training, operations management, people management, marketing management, management and investment management. Other training programmes indicated were stress management, time management and security management. Within each of these types of training programmes specific focus areas were

Improving Educational Objectives of the Industrial and Management Systems Engineering Programme at Kuwait University

Science.gov (United States)

Aldowaisan, Tariq; Allahverdi, Ali

2016-01-01

This paper describes the process of developing programme educational objectives (PEOs) for the Industrial and Management Systems Engineering programme at Kuwait University, and the process of deployment of these PEOs. Input of the four constituents of the programme, faculty, students, alumni, and employers, is incorporated in the development and…

Appendix: Data management and data archive for the HYREX Programme

Directory of Open Access Journals (Sweden)

A. M. Roberts

2000-01-01

Full Text Available Since the mid 1980s, changes in political imperatives plus technological changes in computer hardware and software have heightened the awareness of the economic value and importance of quality datasets to scientific research. The Natural Environment Research Council’s (NERC interdisciplinary Thematic and Special Topic Programmes have highlighted the need for a coherent data management policy to provide and preserve these quality datasets for posterity. The Hydrological Radar EXperiment (HYREX Special Topic Programme brought together multi-disciplinary researchers from UK public sector laboratories and universities. In this paper, the HYREX data management strategy, its problems and its solutions are discussed. The HYREX data archive, situated at NERC’s British Atmospheric Data Centre, is described. Keywords: radar, data, archive, web, storm, flood

NDA generic research programme for higher activity waste management issues - 16390

International Nuclear Information System (INIS)

McKinney, James; Brownridge, Melanie

2009-01-01

NDA has a responsibility to ensure decommissioning activities are sufficiently technically underpinned and appropriate Research and Development (Rand D) is carried out. The NDA funds research and development (R and D) indirectly via the Site Licence Companies (SLCs) or directly. The main component of directly funded R and D is the NDA Direct Research Portfolio (DRP). The DRP is split into four framework areas: - University Interactions; - Waste Processing; - Material Characterisation; - Actinide and Strategic Nuclear Materials. These four framework areas were competed through an Official Journal of European Union (OJEU) process in 2008. Although all four areas involve waste management, Waste Processing and Material Characterisation specifically deal with Higher Activity Waste (HAW) waste management issues. The Waste Processing area was awarded to three groups: (i) National Nuclear Laboratory (NNL), (ii) Consortium led by Hyder Consulting Ltd, and (iii) Consortium led by UKAEA Ltd. The Material Characterisation area was awarded to three groups: (i) NNL, (ii) Serco, and (iii) Consortium led by UKAEA Ltd. The initial work in Waste Processing and Material Characterisation was centered on establishing a forward research programme to address the generic needs of the UK civil nuclear industry and the NDA strategic drivers for waste management and land quality. This has been achieved by the four main framework contractors from the Waste Processing and Materials Characterisation areas working together with the NDA to identify the key research themes and begin the development of the NDA's HAW Management Research Programme. The process also involves active engagement with both industry and regulators via the Nuclear Waste Research Forum (NWRF). The NDA's HAW Management Research Programme includes a number of themes: - Optimisation of Interim Store Operation and Design; - Alternative Waste Encapsulants; - Waste Package Integrity; - Alternative Waste treatment methods

The Communities R and D Programme: radioactive waste management and storage

International Nuclear Information System (INIS)

1977-01-01

The European Community's programme is the first and to this date the only joint international action dealing with those issues, which might well become decisive for the future of nuclear energy -the management and storage of radioactive waste. The first Annual Progress Report describes the scope and the state of advancement of this indirect action programme. At present 24 research contracts with research institutes in almost every member country of the EC are either signed or in the final stages of negociation. The objective of the R and D actions to be achieved by 1980 is the demonstration of either the technical potential or, for further advanced projects, the feasibility and even the industrial availability of methods for treating and stoping radwaste. The following aspects are investigated: processing of solid waste from reactors, reprocessing plants and the plutonium manufacture; intermediate and terminal storage of high activity and alpha wastes; advanced waste management methods as the storage of gaseous waste and the separation and transmutation of actinides. In addition to the scientific-technical R and D actions, a survey of the legal, administrative and financial problems encountered in radwaste management and storage is an essential part of the Communities' programme

Indian radioactive waste management programme: an overview

International Nuclear Information System (INIS)

Raj, Kanwar; Ozarde, P.D.

2009-01-01

The salient features of the closed fuel cycle are recovery and recycle of uranium and plutonium for reconversion as fuel. Emphasis is also being given to separation of useful isotopes of cesium and strontium for use in healthcare and in heat source applications and partitioning of minor actinides for transmutation. This finally leaves a very small percentage of material present in the spent fuel as radioactive waste, which needs to be managed. Radioactive waste management practices in India have roots in indigenous research and development in view of the importance accorded to it from the very inception of the country's nuclear energy programme. India's experience in the management of radioactive waste from research and power reactors, fuel reprocessing, and allied facilities is rich and comparable with international practices. (author)

Institutional Preventive Stress Management.

Science.gov (United States)

Quick, James C.

1987-01-01

Stress is an inevitable characteristic of academic life, but colleges and universities can introduce stress management activities at the organizational level to avert excessive tension. Preventive actions are described, including flexible work schedules and social supports. (Author/MSE)

Olympic Dam operations - environmental management programme

International Nuclear Information System (INIS)

1990-03-01

This is the 3rd Annual Report pertaining to the Olympic Dam Operations Environmental Management Programme and covers the period 1st March, 1989 to 28th February, 1990. The monitoring programe has provided detailed assessment of meteorological data, vegetation, fauna, soil stability, soil salinity, hydrogeology and well-fields both inside and outside the operations area. Mine site rehabilitation is considered to be progressing satisfactorily. Out of the 851 drill pad sites 72% have been rehabilitated to the stage where natural soil stability and plant cover has been achieved. Drill pad sites that have received good rainfall within one year of being ripped have rehabilitated very succesfully. Sites that receive no significant rainfall for more than two years, particularly on dune slopes may require re-ripping before successful regeneration can occur. To improve the drill pad site rehabilitation monitoring programme it is recommended that 200 drill sites be analysed each year. Air emission and solid waste data are also presented. This program is considered to be particularly successful in relation to SO 2 assessment. 90 tabs., 63 figs., ills

Disease management programmes in Germany: a fundamental fault.

Science.gov (United States)

Felder, Stefan

2006-12-01

In 2001 Germany introduced disease management programmes (DMPs) in order to give sick funds an incentive to improve the treatment of the chronically ill. By 1 March 2005, a total of 3275 programmes had been approved, 2760 for diabetes, 390 for breast cancer and 125 for coronary heart disease, covering roughly 1 million patients. German DMPs show a major fault regarding financial incentives. Sick funds increase their transfers from the risk adjustment scheme when their clients enroll in DMPs. Since this money is a lump sum, sick funds do not necessarily foster treatment of the chronically ill. Similarly, reimbursement of physicians is also not well targeted to the needs of DMPs. Preliminary evidence points to poor performance of German DMPs.

RD and D-Programme 2004. Programme for research, development and demonstration of methods for the management and disposal of nuclear waste, including social science research

Energy Technology Data Exchange (ETDEWEB)

NONE

2004-09-01

SKB (the Swedish Nuclear Fuel and Waste Management Co), which is owned by the companies that operate the Swedish nuclear power plants, has been assigned the task of managing and disposing of the spent nuclear fuel from the reactors. The Nuclear Activities Act requires a programme of comprehensive research and development and other measures that are needed to manage and dispose of nuclear waste in a safe manner and to decommission and dismantle the nuclear power plants. SKB is now presenting RD and D-Programme 2004 in fulfilment of this requirement. The programme describes SKB's plans for the period 2005-2010. The period of immediate concern is 2005-2007. The level of detail for the three subsequent years is naturally lower.The programme provides a basis for designing systems for safe management and disposal of the radioactive waste from the nuclear power plants. SKB's plan is to implement deep disposal of the spent fuel in accordance with the KBS-3 method. In the RD and D-Programme we describe our activities and planning for this line of action and the work that is being conducted on alternative methods. Review of the programme can contribute valuable outside viewpoints. The regulatory authorities and the Government can clarify how they look upon different parts of the programme and stipulate guidelines for the future. Municipalities and other stakeholders can, after studying the programme, offer their viewpoints to SKB, the regulatory authorities or the Government.The goal for the period up to the end of 2008 is to be able to submit permit applications for the encapsulation plant and the deep repository. This RD and D-Programme therefore differs from the preceding ones in that it concentrates on questions relating to technology development for these facilities. The programmes for safety assessment and research on the long-term processes that take place in the deep repository are then linked together with the programmes for technology development. Another new

RD and D-Programme 2004. Programme for research, development and demonstration of methods for the management and disposal of nuclear waste, including social science research

International Nuclear Information System (INIS)

2004-09-01

SKB (the Swedish Nuclear Fuel and Waste Management Co), which is owned by the companies that operate the Swedish nuclear power plants, has been assigned the task of managing and disposing of the spent nuclear fuel from the reactors. The Nuclear Activities Act requires a programme of comprehensive research and development and other measures that are needed to manage and dispose of nuclear waste in a safe manner and to decommission and dismantle the nuclear power plants. SKB is now presenting RD and D-Programme 2004 in fulfilment of this requirement. The programme describes SKB's plans for the period 2005-2010. The period of immediate concern is 2005-2007. The level of detail for the three subsequent years is naturally lower.The programme provides a basis for designing systems for safe management and disposal of the radioactive waste from the nuclear power plants. SKB's plan is to implement deep disposal of the spent fuel in accordance with the KBS-3 method. In the RD and D-Programme we describe our activities and planning for this line of action and the work that is being conducted on alternative methods. Review of the programme can contribute valuable outside viewpoints. The regulatory authorities and the Government can clarify how they look upon different parts of the programme and stipulate guidelines for the future. Municipalities and other stakeholders can, after studying the programme, offer their viewpoints to SKB, the regulatory authorities or the Government.The goal for the period up to the end of 2008 is to be able to submit permit applications for the encapsulation plant and the deep repository. This RD and D-Programme therefore differs from the preceding ones in that it concentrates on questions relating to technology development for these facilities. The programmes for safety assessment and research on the long-term processes that take place in the deep repository are then linked together with the programmes for technology development. Another new

Biomarkers of general stress in mussels as common indicators for marine biomonitoring programmes in Europe: The ICON experience.

Science.gov (United States)

Martínez-Gómez, Concepción; Robinson, Craig David; Burgeot, Thierry; Gubbins, Matt; Halldorsson, Halldor P; Albentosa, Marina; Bignell, John P; Hylland, Ketil; Vethaak, A Dick

2017-03-01

This study investigated whether general stress biomarkers in mussels can be applied as common first-tier biomarkers in regional biomonitoring programmes in the North Sea (including Iceland) and western Mediterranean Sea. Stress on Stress (SoS) and lysosomal membrane stability (LMS) biomarkers were analysed in resident mussels (Mytilus sp.) from 8 coastal sites and in transplanted mussels (Mytilus galloprovincialis) from two Spanish Mediterranean coastal sites. The assessment of results, as input to pollution monitoring strategies, was performed jointly for LMS and SoS data from the two regions. Contaminant body burden of the mussels was compared with biomarker results. The results demonstrated that these two general and non-expensive stress biomarkers in mussel can be applied throughout European waters, providing a cost-effective and harmonised approach to screen contaminant-related biological effects within the framework of wide-scale pollution biomonitoring programmes, such as that proposed by the European Union, i.e. the Marine Strategy Framework Directive. Copyright © 2015 Elsevier Ltd. All rights reserved.

Continuous Improvement in the Industrial and Management Systems Engineering Programme at Kuwait University

Science.gov (United States)

Aldowaisan, Tariq; Allahverdi, Ali

2016-01-01

This paper describes the process employed by the Industrial and Management Systems Engineering programme at Kuwait University to continuously improve the programme. Using a continuous improvement framework, the paper demonstrates how various qualitative and quantitative analyses methods, such as hypothesis testing and control charts, have been…

Management of Adult Education Programme in Abia State, Nigeria ...

African Journals Online (AJOL)

Adult Education is the instruction or controlled experiences for the mature person so that he/she may attain social, economic, cultural, political or technical competence or individual development. The importance of management in adult education programme cannot be over emphasized because of the vital role it plays in ...

Psychophysiological responses to stress after stress management training in patients with rheumatoid arthritis.

NARCIS (Netherlands)

Brouwer, S.J.M. de; Kraaimaat, F.W.; Sweep, F.C.; Donders, A.R.T.; Eijsbouts, A.; Koulil, S. van; Riel, P.L.C.M. van; Evers, A.W.M.

2011-01-01

BACKGROUND: Stress management interventions may prove useful in preventing the detrimental effects of stress on health. This study assessed the effects of a stress management intervention on the psychophysiological response to stress in patients with rheumatoid arthritis (RA). METHODS: Seventy-four

Training Programmes in Sustainable Forest Management in Austria, Croatia and Slovenia

Directory of Open Access Journals (Sweden)

Silvija Krajter Ostoić

2017-01-01

Full Text Available Background and Purpose: During the Erasmus+ project “Cooperation for Innovative Approach in Sustainable Forest Management Training (CIA2SFM” a study of the existing vocational education and training (VET and lifelong learning (LLL programmes in the field of sustainable forest management (SFM was conducted in Austria, Croatia and Slovenia. The aim of this paper is to get an overview of and analyse SFM-related VET and LLL programmes in the study area, with an emphasis on the identification of good practice examples and providing recommendations for improvement. Materials and Methods: A combined approach of literature review, Internet search and consultations with training providers was applied in order to collect data on training programmes conducted in the period 2006-2015 in Austria, Croatia and Slovenia. The programmes were analysed based on topics, types of methods used, existence of specified learning outcomes, programme evaluation by participants and how the programme was advertised. The analysis employed basic descriptive statistics. Topics were grouped into broader themes. Only training programmes targeting private forest owners, forestry professionals, and forestry entrepreneurs were analysed. Three examples of good practice in each country were selected based on collaboratively developed criteria. Results: In Austria, Croatia and Slovenia numerous training courses related to SFM were conducted in the analysed period, predominantly addressing target groups in forestry sector and covering a variety of topics. The relative importance of themes varied among countries. In order to facilitate the knowledge uptake by participants various methods were applied. Although indoor ex-cathedra approaches prevailed, it could be recognized that there is a growth in interest for foster demonstrations in the field, organizing field trips, emphasize on practical work and combining methods and approaches in most countries. Conclusions: Even if national

Managing workplace stress in community pharmacy organisations: lessons from a review of the wider stress management and prevention literature.

Science.gov (United States)

Jacobs, Sally; Johnson, Sheena; Hassell, Karen

2018-02-01

Workplace stress in community pharmacy is increasing internationally due, in part, to pharmacists' expanding roles and escalating workloads. Whilst the business case for preventing and managing workplace stress by employers is strong, there is little evidence for the effectiveness of organisational stress management interventions in community pharmacy settings. To identify and synthesise existing evidence for the effectiveness of organisational solutions to workplace stress from the wider organisational literature which may be adaptable to community pharmacies. A secondary synthesis of existing reviews. Publications were identified through keyword searches of electronic databases and the internet; inclusion and exclusion criteria were applied; data about setting, intervention, method of evaluation, effectiveness and conclusions (including factors for success) were extracted and synthesised. Eighteen reviews of the stress management and prevention literature were identified. A comprehensive list of organisational interventions to prevent or manage workplace stress, ordered by prevalence of evidence of effectiveness, was produced, together with an ordered list of the benefits both to the individual and employing organisation. An evidence-based model of best practice was derived specifying eight factors for success: top management support, context-specific interventions, combined organisational and individual interventions, a participative approach, clearly delineated tasks and responsibilities, buy-in from middle management, change agents as facilitators and change in organisational culture. This literature review provides community pharmacy organisations with evidence from which to develop effective and successful stress management strategies to support pharmacists and pharmacy staff. Well-designed trials of stress management interventions in community pharmacy organisations are still required. © 2017 Royal Pharmaceutical Society.

Psychophysiological responses to stress after stress management training in patients with rheumatoid arthritis.

Directory of Open Access Journals (Sweden)

Sabine J M de Brouwer

Full Text Available BACKGROUND: Stress management interventions may prove useful in preventing the detrimental effects of stress on health. This study assessed the effects of a stress management intervention on the psychophysiological response to stress in patients with rheumatoid arthritis (RA. METHODS: Seventy-four patients with RA, who were randomly assigned to either a control group or a group that received short-term stress management training, performed a standardized psychosocial stress task (Trier Social Stress Test; TSST 1 week after the stress management training and at a 9-week follow-up. Psychological and physical functioning, and the acute psychophysiological response to the stress test were assessed. RESULTS: Patients in the intervention group showed significantly lower psychological distress levels of anxiety after the training than did the controls. While there were no between-group differences in stress-induced tension levels, and autonomic (α-amylase or endocrine (cortisol responses to the stress test 1 week after the intervention, levels of stress-induced tension and cortisol were significantly lower in the intervention group at the 9-week follow-up. Overall, the response to the intervention was particularly evident in a subgroup of patients with a psychological risk profile. CONCLUSION: A relatively short stress management intervention can improve psychological functioning and influences the psychophysiological response to stress in patients with RA, particularly those psychologically at risk. These findings might help understand how stress can affect health and the role of individual differences in stress responsiveness. TRIAL REGISTRATION: TrialRegister.nl NTR1193.

Management of work-related stress by Finnish occupational physicians.

Science.gov (United States)

Kinnunen-Amoroso, M; Liira, J

2013-07-01

Occupational stress is a serious threat to the well-being of employees and organizations and may cause ill-health and loss of productivity. Determining the methods that occupational health (OH) services and employers use to manage work-related stress can help to detect both barriers and facilitating factors for effective stress management. To examine stress management methods used by OH physicians in Finland. Anonymous, self-administered e-mail questionnaire to Finnish OH physicians. A total of 222 OH physicians responded. Neither OH services nor their client organizations used standardized tools to assess or manage work-related stress. Work-related stress was assessed using patient interviews. Physicians reported that the main method used to manage occupational stress was supporting the individual employee. Half of the physicians attempted to involve workplaces in stress management by asking their patients to contact their supervisors regarding stress issues. In order to tackle work-related stress consistently and effectively employers and OH services should have agreed standardized protocols for managing stress in the workplace.

CERN Management & Communication Training programme

CERN Multimedia

HR Department

2009-01-01

Calendar of courses for February to June 2009 Please check our Web site to find out the number of places available which may vary. Management Curriculum Core Development Package for new Supervisors and Section leaders (3 + 2 days) 3, 4, 5 February (part 1) + 13, 14 May 2009 (part 2) (full) Core Development Package for Group Leaders (part 2) 24, 25, 26 February (full) Communicating Effectively – Residential\t23, 24, 25 March (2 places available) Quality Management 25, 26 March (10 places available) Introduction to Leadership 1, 2, 3 April (3 places available) Personal Awareness & Impact 5, 6, 7 May (full) 3, 4, 5 June (places available) Dealing with conflict / Gestion des conflits\t5 + 12 June (8 places available) (Session in English or in French) Managing Teams\t9, 10, 11 June (4 places available) Communication Curriculum Managing stress\t23, 24 February (6 places available) Negotiating Effectively\t3, 4 March (2 places available) Négociation efficace\t17, 18 mar...

RD and D-Programme 2004. Programme for research, development and demonstration of methods for the management and disposal of nuclear waste, including social science research

Energy Technology Data Exchange (ETDEWEB)

NONE

2004-09-01

SKB (the Swedish Nuclear Fuel and Waste Management Co), which is owned by the companies that operate the Swedish nuclear power plants, has been assigned the task of managing and disposing of the spent nuclear fuel from the reactors. The Nuclear Activities Act requires a programme of comprehensive research and development and other measures that are needed to manage and dispose of nuclear waste in a safe manner and to decommission and dismantle the nuclear power plants. SKB is now presenting RD and D-Programme 2004 in fulfilment of this requirement. The programme describes SKB's plans for the period 2005-2010. The period of immediate concern is 2005-2007. The level of detail for the three subsequent years is naturally lower.The programme provides a basis for designing systems for safe management and disposal of the radioactive waste from the nuclear power plants. SKB's plan is to implement deep disposal of the spent fuel in accordance with the KBS-3 method. In the RD and D-Programme we describe our activities and planning for this line of action and the work that is being conducted on alternative methods. Review of the programme can contribute valuable outside viewpoints. The regulatory authorities and the Government can clarify how they look upon different parts of the programme and stipulate guidelines for the future. Municipalities and other stakeholders can, after studying the programme, offer their viewpoints to SKB, the regulatory authorities or the Government.The goal for the period up to the end of 2008 is to be able to submit permit applications for the encapsulation plant and the deep repository. This RD and D-Programme therefore differs from the preceding ones in that it concentrates on questions relating to technology development for these facilities. The programmes for safety assessment and research on the long-term processes that take place in the deep repository are then linked together with the programmes for technology development. Another

Management of remanent lifetime. Short-term benefits of the maintenance evaluation and improvement programme

International Nuclear Information System (INIS)

Sainero Garcia, J.

1993-01-01

Remanent Lifetime Management, which is scientifically based on knowing the degradatory phenomena associated with aging, today allows us to optimize plant life through a long-term maintenance strategy combining preventive maintenance and condition monitoring programmes. Within a project for Remanent Lifetime Management (RLM), the determination of methods of control and mitigation of degradations due to aging depends on the programme of Maintenance Evaluation and Improvement (MEI). This programme, underpinned by the analysis of degradatory phenomena to which plant components are subjected, evaluates current maintenance practices and defines the complementary actions which would facilitate establishment of a long-term strategy to control aging. Together with this main objective of the RLM project, the MEI programme achieves short-term benefits since, right from the beginning, it offers solutions to mitigate and guard against degradations in crucial plant components, and generally sets out a programme to control aging. The MEI programme further serves as a tool to reach the final objectives of the new 10CFR50.65 rule, 'Requirements for Maintenance Programs for NPPs'. The MEI always offers the option should the Utility Owner decide to extend plant life. (author)

Do managers experience more stress than employees?

DEFF Research Database (Denmark)

Skakon, Janne; Kristensen, Tage S.; Christensen, Karl Bang

2011-01-01

Aim: To examine whether managers’ perceived stress and work strain is higher than perceived stress and work strain among employees. Methods: The study is based on questionnaire responses from 2052 respondents (128 managers and 1924 employees) at 48 worksites. Bi-variate and multivariate analyses...... were used to explain possible differences in stress levels and related mediators. Results: Managers experienced higher demands, higher level of conflicts, and lower degree of social support from peers. They tended to experience significantly lower emotional stress, whereas this trend was non......-significant with regards to behavioural, somatic and cognitive stress. The difference was partly explained by higher scores in the psychosocial work environment factors; job satisfaction, perceived management quality from their managers, influence, degrees of freedom at work, possibilities for development and meaning...

Stress Management for Sport.

Science.gov (United States)

Zaichkowsky, Leonard D., Ed.; Sime, Wesley E., Ed.

Included in this volume are papers on stress management in athletics; eight of the ten papers are followed with a "Coach's Reaction": (1) "Competitive Athletic Stress Factors in Athletes and Coaches" (Walter Kroll); (2) "Mental Preparation for Peak Performance in Swimmers" (Eugene F. Gauron)--Coach's Reaction by Suzi…

Mechanical massage and mental training programmes affect employees' anxiety, stress susceptibility and detachment-a randomised explorative pilot study.

Science.gov (United States)

Muller, Jasmin; Handlin, Linda; Harlén, Mikael; Lindmark, Ulrika; Ekström, Anette

2015-09-02

Working people's reduced ability to recover has been proposed as a key factor behind the increase in stress-related health problems. One not yet evidence-based preventive method designed to help employees keep healthy and be less stressed is an armchair with built-in mechanical massage and mental training programmes, This study aimed to evaluate possible effects on employees' experience of levels of "Anxiety", "Stress Susceptibility", "Detachment" and "Social Desirability" when using mechanical massage and mental training programmes, both separately and in combination, during working hours. Employees from four different workplaces were randomly assigned to one of the following groups: i) Massage and mental training (sitting in the armchair and receiving mechanical massage while listening to the mental training programmes, n=19), ii) Massage (sitting in the armchair and receiving mechanical massage only, n=19), iii) Mental training (sitting in the armchair and listening to the mental training programmes only, n=19), iv) Pause (sitting in the armchair but not receiving mechanical massage or listening to the mental training programmes, n=19), v) Control (not sitting in the armchair at all, n=17). In order to discover how the employees felt about their own health they were asked to respond to statements from the "Swedish Scale of Personality" (SSP), immediately before the randomisation, after four weeks and after eight weeks (end-of-study). There were no significant differences between the five study groups for any of the traits studied ("Somatic Trait Anxiety", "Psychic Trait Anxiety", "Stress Susceptibility", "Detachment" and "Social Desirability") at any of the occasions. However, the massage group showed a significant decrease in the subscale "Somatic Trait Anxiety" (p=0.032), during the entire study period. Significant decreases in the same subscale were also observed in the pause group between start and week eight (p=0.040) as well as between week four and week

The costs assessment of the RENEL's programme for radwaste management

International Nuclear Information System (INIS)

Barariu, Gh.; Andreescu, N.

1995-01-01

The paper presents first economical assessment of the Radwaste Management Programme of the Romanian Electricity Authority - Nuclear Power Group (RENEL-GEN) until closing all foreseeable activities in the field of nuclear waste processing and disposal. (Author) 1 Tab., 7 Refs

Tips for Disaster Responders: Preventing and Managing Stress

Science.gov (United States)

... actions to prevent stress and to strengthen your stress management skills is before your disaster assignment. Responder stress ... the disaster role, developing a personal toolkit of stress management skills, and preparing yourself and your loved ones. ...

Postgraduate Programmes on Environmental Water Resources Engineering and Management in Greek Universities

Science.gov (United States)

Latinopoulos, Pericles; Angelidis, Panagiotis

2014-01-01

The management of complex water problems is nowadays being practised through new ways and approaches. Therefore, water engineers, planners and managers should be appropriately educated through modern undergraduate curricula and by well-designed postgraduate specialisation programmes. Within this framework, a study of the specific characteristics…

Stress Management in Correctional Recreation.

Science.gov (United States)

Card, Jaclyn A.

Current economic conditions have created additional sources of stress in the correctional setting. Often, recreation professionals employed in these settings also add to inmate stress. One of the major factors limiting stress management in correctional settings is a lack of understanding of the value, importance, and perceived freedom, of leisure.…

The Methods of Stress Management and Their Classification

Directory of Open Access Journals (Sweden)

Honchar Mykhailo F.

2017-12-01

Full Text Available The article considers the content and classification of methods of stress management, which provides systematization of their varieties by the number of existing (character, time interval of application, direction of impact, period of action, way of account the interests of employees, level of formation, method of substantiation, content and the allocated new attributes (scale of changes in terms of stress management systems, level of novelty at enterprise, consistency, which allows to choose the appropriate types of such methods in overcoming undesirable deviations that have a significant negative impact on the functioning of economic entities. It has been determined that such methods are formed in the implementing of technology of stress-management; are the result of management activities of the steering subsystem of organization at each level of management; have alternative nature; form an information-management base for the adoption of managerial decisions in terms of the systems of stress administration. It has been specified that, with the assistance of certain methods in terms of stress management systems, managers can track existing and potential problems in the complex and dynamic environment of the organization, identify their relationships, identify «weak signals», adjust goals and tasks of management of critical undesirable deviations, determine indicators and criteria of stress-management, etc.

Financial incentives for disease management programmes and integrated care in German social health insurance.

Science.gov (United States)

Greb, Stefan; Focke, Axel; Hessel, Franz; Wasem, Jürgen

2006-10-01

As a result of recent health care reforms sickness funds and health care providers in German social health insurance face increased financial incentives for implementing disease management and integrated care. Sickness funds receive higher payments form the risk adjustment system if they set up certified disease management programmes and induce patients to enrol. If health care providers establish integrated care projects they are able to receive extra-budgetary funding. As a consequence, the number of certified disease management programmes and the number of integrated care contracts is increasing rapidly. However, contracts about disease management programmes between sickness funds and health care providers are highly standardized. The overall share of health care expenses spent on integrated care still is very low. Existing integrated care is mostly initiated by hospitals, is based on only one indication and is not fully integrated. However, opportunity to invest in integrated care may open up innovative processes, which generate considerable productivity gains. What is more, integrated care may serve as gateway for the introduction of more widespread selective contracting.

Practical implementation of optimal management strategies in conservation programmes: a mate selection method

Directory of Open Access Journals (Sweden)

Fernández, J.

2001-12-01

Full Text Available The maintenance of genetic diversity is, from a genetic point of view, a key objective of conservation programmes. The selection of individuals contributing offspring and the decision of the mating scheme are the steps on which managers can control genetic diversity, specially on ‘ex situ’ programmes. Previous studies have shown that the optimal management strategy is to look for the parents’ contributions that yield minimum group coancestry (overall probability of identity by descent in the population and, then, to arrange mating couples following minimum pairwise coancestry. However, physiological constraints make it necessary to account for mating restrictions when deciding the contributions and, therefore, these should be implemented in a single step along with the mating plan. In the present paper, a single-step method is proposed to optimise the management of a conservation programme when restrictions on the mating scheme exist. The performance of the method is tested by computer simulation. The strategy turns out to be as efficient as the two-step method, regarding both the genetic diversity preserved and the fitness of the population.

Clinical experience with a chronic pain management programme in Hong Kong Chinese patients.

Science.gov (United States)

Man, Alice K Y; Chu, M C; Chen, P P; Ma, M; Gin, Tony

2007-10-01

To describe experience with a chronic pain management programme in Hong Kong Chinese patients. Prospective study. Regional hospital, Hong Kong. Patients with chronic pain who participated in the first six Comprehensive Out-patient Pain Engagement programmes between 2002 and 2005. Comprehensive Out-patient Pain Engagement is a 14-day structured, multidisciplinary out-patient programme conducted over 6 weeks. It includes pain education, cognitive re-conceptualisation, training in communication skills and coping strategies, graded physical exercises and functional activities training. It aims to improve patient function and quality of life, despite persistent pain. Changes in scores from baseline values after joining the programme, with respect to several assessment tools. These included the following: visual analogue pain scale, Pain Catastrophizing Scale, Patient Self-efficacy Questionnaire, Canadian Occupational Performance Measure, Medical Outcome Survey-Short Form 36 Questionnaire, and duration of physical tolerances, medication utilisation, and work status records. Forty-five patients were available for analysis. After the Comprehensive Out-patient Pain Engagement programme, improvements in Medical Outcome Survey-Short Form 36 Questionnaire (role physical and vitality), Pain Catastrophizing Scale, Patient Self-efficacy Questionnaire, and Canadian Occupational Performance Measure were demonstrated (P<0.05). The duration of standing and sitting tolerances increased (P<0.05). An improvement in employment rate was also evident (P=0.01). The initial results of our management programme in Chinese patients with chronic pain are encouraging. This type of programme should be promoted more widely in this group of patients, as it appears to improve physical function, psychological well-being, and productivity.

Professional commitment to changing chronic illness care: results from disease management programmes.

Science.gov (United States)

Lemmens, Karin; Strating, Mathilde; Huijsman, Robbert; Nieboer, Anna

2009-08-01

The aim of this exploratory study was to investigate to what extent primary care professionals are able to change their systems for delivering care to chronic obstructive pulmonary disease (COPD) patients and what professional and organizational factors are associated with the degree of process implementation. Quasi-experimental design with 1 year follow-up after intervention. Three regional COPD management programmes in the Netherlands, in which general practices cooperated with regional hospitals. All participating primary care professionals (n = 52). COPD management programme. Professional commitment, organizational context and degree of process implementation. Professionals significantly changed their systems for delivering care to COPD patients, namely self-management support, decision support, delivery system design and clinical information systems. Associations were found between organizational factors, professional commitment and changes in processes of care. Group culture and professional commitment appeared to be, to a moderate degree, predictors of process implementation. COPD management was effective; all processes improved significantly. Moreover, theoretically expected associations between organizational context and professional factors with the implementation of COPD management were indeed confirmed to some extent. Group culture and professional commitment are important facilitators.

Research and technology programmes supporting waste management in BNFL

International Nuclear Information System (INIS)

Fairhall, G.A.; Horner, A.M.

2000-01-01

Waste Management is a major activity of BNFL in the UK and at various locations internationally. To support these activities extensive programmes of Research and Technology have been undertaken for many years. This involves practical studies involving active and non-active work at laboratory and pilot plant scale. Extensive use is also made of theoretical and modelling techniques. Current work is aimed at underpinning and improving current operations supporting the design and safety cases of new plant and addressing waste management activities of the future including decommissioning. (authors)

CERN Management & Communication Training programme

CERN Multimedia

HR Department

2009-01-01

Timetable of courses from October to December 2009 Please check our Web site to find out the number of places available, which may vary. Management Curriculum Communicating Leadership - 2 October, 29 October + 1 December - (full) CDP-SL for new supervisors, part 1 - 5, 6, 7 October - (2 places available) Introduction to Leadership - 7, 8, 9 October - (4 places available) Voice your Leadership - 13, 14 October - (full) Managing Teams - 10, 11, 12 November - (7 places available) Risk Management - 17, 18 November - (6 places available) Dealing with Conflict - 20, 27 November - (5 places available) CDP pour nouveaux superviseurs, part 1 - 30 novembre, 1, 2 décembre - (4 places disponibles) Communication Curriculum Making presentations - 14, 15 October + 9 November - (Full) Communiquer efficacement dans votre équipe - 19, 20 octobre - (7 places disponibles) Gestion du stress - 20, 21 octobre - (8 places disponibles) Communiquer efficacement - 21, 22 octobre + 9, 10 novemb...

Understanding student early departure from a Master of Public Health programme in South Africa

Directory of Open Access Journals (Sweden)

T Dlungwane

2017-10-01

Full Text Available Background. Student departure from university without completing a qualification is a major concern in higher education. Higher Education South Africa reported that in undergraduate studies, 35% of students depart after the first year and only 15% of students who enrol complete their degree within the minimum permissible time. At postgraduate level, the departure from Masters programmes in South Africa (SA ranged from 30% to 67% in 2010. Early departure refers to students who leave an academic programme within the first semester of commencing their studies. At one SA university, there were a total of 109 first-time Master of Public Health (MPH student registrations in 2013 and 2014. By the end of the first semester in the respective years, a total of 27 students actively deregistered from the programme and 11 students did not sit the first-semester examinations, representing an aggregate 35% rate of early departure. The factors associated with early departure at the University of KwaZulu-Natal are not well understood. Objective. To understand factors associated with early departure in the MPH programme at the University of KwaZulu-Natal. Method. A mixed-methods design was implemented. Students who departed within the first semester of commencing the MPH programme in 2013/2014 were followed up. Data were collected using self-administered questionnaires and in-depth interviews. Results. Failure to balance work and academic obligations with poor time management, stress and academic demands related to the programme, and insufficient academic progress were found to be associated with student early departure from the MPH programme. Conclusion. Student early departure from the MPH programme was influenced by multifaceted factors. Senior students can mentor new students as early as possible in their programme. The orientation block should include development activities such as time management, stress management and effective study skills to assist

CERN Management & Communication Training programme

CERN Multimedia

HR Department

2009-01-01

Timetable of courses from February to June 2009 Please check our Web site to find out the number of places available, which may vary. Management Curriculum Core Development Package for new Supervisors and Section leaders (3 + 2 days) 3, 4, 5 February (part 1) + 13, 14 May 2009 (part 2)\t(full) Core Development Package for Group Leaders (part 2) 24, 25, 26 February (full) Communicating Effectively – Residential\t23, 24, 25 March (2 places available) Quality Management\t25, 26 March (10 places available) Introduction to Leadership\t1, 2, 3 April (3 places available) Personal Awareness & Impact\t5, 6, 7 May (full) 3, 4, 5 June (places available) Dealing with conflict / Gestion des conflits\t5 + 12 June (8 places available) (Session in English or in French) Managing Teams\t9, 10, 11 June (4 places available) Communication Curriculum Managing stress\t23, 24 February (6 places available) Negotiating Effectively\t3, 4 March (2 places available) Négociation efficace\t17, 18 mars (6 places d...

Public sector managers and work stress

DEFF Research Database (Denmark)

Møller, Ann-Kristina Løkke; Madsen, Henning

2014-01-01

Purpose: The purpose of this paper is to identify the determinants of perceived work-related stress among public sector managers. Design/methodology/approach: A general questionnaire-based survey of managers at all managerial levels in Danish organizations concerning the content of their job...... and the way it is practiced (n=1,500, response rate 72 per cent) are applied. For the purpose of this paper only specific information related to the perception of work stress among public sector managers is analyzed (n=400). Findings: The perception of stress are influenced by factors like gender, managerial...... - in a positive as well as a negative way. However, the findings point to issues which call for more in-depth analyses. Practical implications: The identified significant determinants influencing the perception of stress point to issues where preventive initiatives can be taken. Social implications: Since work-related...

Characteristics of a self-management support programme applicable in primary health care: a qualitative study of users' and health professionals' perceptions.

Science.gov (United States)

Solberg, Hilde Strøm; Steinsbekk, Aslak; Solbjør, Marit; Granbo, Randi; Garåsen, Helge

2014-11-08

Development of more self-management support programmes in primary health care has been one option used to enhance positive outcomes in chronic disease management. At present, research results provide no consensus on what would be the best way to develop support programmes into new settings. The aim of the present study was therefore to explore users' and health professionals' perceptions of what would be the vital elements in a self - management support programme applicable in primary health care, how to account for them, and why. Four qualitative, semi-structured focus group interviews were conducted in Central Norway. The informants possessed experience in development, provision, or participation in a self-management support programme. Data was analysed by the Systematic Text Condensation method. The results showed an overall positive expectation to the potential benefits of development of a self-management support programme in primary health care. Despite somewhat different arguments and perspectives, the users and the health professionals had a joint agreement on core characteristics; a self-management support programme in primary health care should therefore be generic, not disease specific, and delivered in a group- based format. A special focus should be on the everyday- life of the participants. The most challenging aspect was a present lack of competence and experience among health professionals to moderate self-management support programmes. The development and design of a relevant and applicable self-management support programme in primary health care should balance the interests of the users with the possibilities and constraints within each municipality. It would be vital to benefit from the closeness of the patients' every-day life situations. The user informants' perception of a self-management support programme as a supplement to regular medical treatment represented an expanded understanding of the self-management support concept. An exploring

Stress management in dental students: a systematic review

Science.gov (United States)

Alzahem, Abdullah M; Van der Molen, Henk T; Alaujan, Arwa H; De Boer, Benjamin J

2014-01-01

This study compared the effectiveness of stress management programs in dental education by systematic review of the literature. The number of studies concerning stress management programs for dental students is limited compared with studies discussing sources of stress. Several types of programs for stress management have been reported, and differ in their duration, content, and outcomes. Two main strategies have been used to help stressed students, ie, decreasing the number of stressors and increasing the ability to cope with stress. The first strategy includes several components, such as reducing fear of failure and workload pressure due to examinations and requirements. The second strategy includes coping techniques, such as deep breathing exercises. Although positive effects have been reported for most of the programs, these have mainly been evaluated using subjective self-report measures. There is a need for more research to identify the most effective stress management program. PMID:24904226

Planning and management support for NPP personnel SAT-based training programmes

International Nuclear Information System (INIS)

Ziakova, M.

1998-01-01

Planning and management support for NPP personnel SAT-based training programmes is described for the following job positions: reactor operator; turbine operator; reactor maintenance worker; pump maintenance worker; chemistry foreman; health physics foreman; electric maintenance worker

National programme: Finland

International Nuclear Information System (INIS)

Forsten, J.

1986-01-01

Finland's programmes in the field of reactor pressure components are presented in this paper. The following information on each of these programmes is given: the brief description of the programme; the programme's schedule and duration; the name of the project manager

Decommissioning Programme Management: reducing risk and cost while accelerating schedules through improved planning, Earned Value Management and safe work execution

International Nuclear Information System (INIS)

Hansen, S.E.

2008-01-01

CH2M HILL experience includes more than two decades of managing nuclear facilities and providing clean-up and operations support for commercial and government facilities worldwide. Our expertise ranges from decommissioning and defence sector businesses to nuclear technology development and innovation. Our approach places top priority on the safe execution of work while reducing both risk and cost. Our nuclear services include: programme management, nuclear safety analysis, radiological protection, radioactive waste management, nuclear remediation, nuclear materials and waste transportation management, nuclear safeguards and security services, and nuclear decontamination and decommissioning. This paper will discuss our approach which has resulted in a strong track record of accelerating schedules and reducing costs of major nuclear programmes, including Rocky Flats, Idaho, and our work at UKAEA sites. (author)

A programme management approach for supporting a transition to integrated flood management in the Netherlands

NARCIS (Netherlands)

Rijke, J.S.; Van Herk, S.; Zevenbergen, C.; Ashley, R.

2012-01-01

In the Netherlands and many other developed countries, flood management is transitioning from sectoral engineering approaches to more integrated approaches. The 2.3 billion Euro Room for the River programme plays an important role in this transition, because it is the first large scale

Evaluation of programme for energy management in buildings; Evaluering av program for energiledelse i bygg

Energy Technology Data Exchange (ETDEWEB)

NONE

2004-07-01

Enova SF needed to evaluate the programmes for energy management for greater and smaller building owners. The question was: What has been the impact of the Buildings Network and the energy management programmes for greater and smaller building owners on energy conservation and economic life , and are the programmes operated efficiently? The buildings which participated in the Buildings Network in 1996 - 2002 had an average reduction of the energy consumption of about 7 per cent, which is somewhat less than the supposed potential of 10 per cent. There is some uncertainty in this calculation and the true figure is probably 1 or 2 per cent higher. Whether this energy conservation tendency has continued after Enova took over the responsibility for the programme in 2002 is too early to measure. It is very probable that the public support to the projects has triggered off the saving, that is, there has been few free riders. After 2002, Enova has made the programme more efficient and the cost per building has been halved in the period 2001 - 2003. But some of the original infrastructure of the programme has been discontinued.

Work-related stress management by Finnish enterprises.

Science.gov (United States)

Kinnunen-Amoroso, Maritta; Liira, Juha

2014-01-01

Work-related stress has become one of the major problems in working societies and it increases employees' risk of disease. Its importance has been emphasized also due to its' great socio-economic consequences. Different stress management and worksite interventions have been implemented, however, the actual practices in companies have been assessed little. The purpose of this study was to examine how enterprises in Finland manage work-related stress. An assessment of work-related stress methods was conducted in 40 enterprises acting in the metropolitan area of Finland in May 2010 by a questionnaire. The concept of work-related stress was well known by participants. Enterprises rarely had their own work-related stress management protocol even though all of the workplaces had experienced work-related stress at some point. The collaboration between the workplace and occupational health services varied. Companies easily placed the responsibility for work-related stress assessment and handling on occupational health services. Workplaces have to pay more attention to work-related stress and related issues. The easiest way to do this is to collaborate with occupational health services. Protocols for collaboration should be developed jointly using the available models which have been established as cost-effective.

Management of Industrial Processes with Programmable Logic Controller

Directory of Open Access Journals (Sweden)

Marius Tufoi

2009-10-01

Full Text Available In a modern economy, automation (the control is primarily to raise the competitiveness of a product, either directly through price or quality, or indirectly through the improvement of working conditions of staff productive. The control of industrial processes involves the management of dynamic systems that have continuous states. These systems are described by differential equations and, in general, analog inputs and outputs. Management of these systems is achieved, in general, with classical automation, by automation or with analog computers which contains modules with input / output analog performance. If states, inputs and outputs of a system can be modeled using binary variables, then these systems can be driven with Programmable Logic Controller.

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.

Caseload management, work-related stress and case manager self-efficacy among Victorian mental health case managers.

Science.gov (United States)

King, Robert

2009-05-01

In Australia and comparable countries, case management has become the dominant process by which public mental health services provide outpatient clinical services to people with severe mental illness. There is recognition that caseload size impacts on service provision and that management of caseloads is an important dimension of overall service management. There has been little empirical investigation, however, of caseload and its management. The present study was undertaken in the context of an industrial agreement in Victoria, Australia that required services to introduce standardized approaches to caseload management. The aims of the present study were therefore to (i) investigate caseload size and approaches to caseload management in Victoria's mental health services; and (ii) determine whether caseload size and/or approach to caseload management is associated with work-related stress or case manager self-efficacy among community mental health professionals employed in Victoria's mental health services. A total of 188 case managers responded to an online cross-sectional survey with both purpose-developed items investigating methods of case allocation and caseload monitoring, and standard measures of work-related stress and case manager personal efficacy. The mean caseload size was 20 per full-time case manager. Both work-related stress scores and case manager personal efficacy scores were broadly comparable with those reported in previous studies. Higher caseloads were associated with higher levels of work-related stress and lower levels of case manager personal efficacy. Active monitoring of caseload was associated with lower scores for work-related stress and higher scores for case manager personal efficacy, regardless of size of caseload. Although caseloads were most frequently monitored by the case manager, there was evidence that monitoring by a supervisor was more beneficial than self-monitoring. Routine monitoring of caseload, especially by a workplace

Effectiveness of a Dental Students Stress Management Program

Directory of Open Access Journals (Sweden)

Abdullah M. Alzahem

2015-12-01

Full Text Available The dental education stress effects and sources were explored thoroughly in the literature, but the effectiveness of stress management programs received less attention. This study introduced a new stress management program, named Dental Education Stress Management (DESM program. It showed its effectiveness in a quasi-experimental pretest-posttest-follow-up-control group design. The new program was based on the principle of psychoeducation and consisted of three 90-min sessions, to teach dental students how to better deal with their stress symptoms and to reduce their general stress level. Two instruments were used to assess the level of stress of the dental students, namely the Dental Environment Stress questionnaire (DES, and the Psychological Stress Measure (PSM-9. Results show that the DESM program has the desired effect of decreasing the stress levels of its participants, and these effects lasted for at least two weeks. Because of several methodological limitations of the study more research is needed to draw more generalizable conclusions.

Evaluating disease management programme effectiveness: an introduction to the regression discontinuity design.

Science.gov (United States)

Linden, Ariel; Adams, John L; Roberts, Nancy

2006-04-01

Although disease management (DM) has been in existence for over a decade, there is still much uncertainty as to its effectiveness in improving health status and reducing medical cost. The main reason is that most programme evaluations typically follow weak observational study designs that are subject to bias, most notably selection bias and regression to the mean. The regression discontinuity (RD) design may be the best alternative to randomized studies for evaluating DM programme effectiveness. The most crucial element of the RD design is its use of a 'cut-off' score on a pre-test measure to determine assignment to intervention or control. A valuable feature of this technique is that the pre-test measure does not have to be the same as the outcome measure, thus maximizing the programme's ability to use research-based practice guidelines, survey instruments and other tools to identify those individuals in greatest need of the programme intervention. Similarly, the cut-off score can be based on clinical understanding of the disease process, empirically derived, or resource-based. In the RD design, programme effectiveness is determined by a change in the pre-post relationship at the cut-off point. While the RD design is uniquely suitable for DM programme evaluation, its success will depend, in large part, on fundamental changes being made in the way DM programmes identify and assign individuals to the programme intervention.

Relationship between Stress Management Skills and ...

African Journals Online (AJOL)

Nekky Umera

instrument were correlated with current students' grade point average scores ... guidance and counselling programmes while concerned authorities should endeavour ... male and female students in schools and the way it is managed may reflect in .... These results buttress the opinion that both male and female students are.

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.

Establishing an independent mobile health programme for chronic disease self-management support in Bolivia

Directory of Open Access Journals (Sweden)

John D Piette

2014-08-01

Full Text Available Background: Mobile health (m-health work in low and middle-income countries (LMICs mainly consists of pilot programmes with an unclear path to scaling and dissemination. We describe the deployment and testing of an m-health platform for non-communicable disease (NCD self-management support in Bolivia. Methods: 364 primary care patients in La Paz with diabetes or hypertension completed surveys about their use of mobile phones, health and access to care. 165 of those patients then participated in a 12-week demonstration of automated telephone monitoring and self-management support. Weekly Interactive Voice Response (IVR calls were made from a platform established at a university in La Paz, under the direction of the regional health ministry. Results: 37% of survey respondents spoke indigenous languages at home, and 38% had six or fewer years of education. 82% had a mobile phone; half (45% used text messaging with a standard phone, and 9% had a smartphone. Smartphones were least common among patients who were older, spoke indigenous languages, or had less education. IVR programme participants completed 1007 self-management support calls, with an overall response rate of 51%. IVR call completion was lower among older adults, but was not related to patients’ ethnicity, health status or healthcare access. IVR health and self-care reports were consistent with information reported during baseline interviews. Patients’ likelihood of reporting excellent, very good, or good health (versus fair or poor health via IVR increased during programme participation, and was associated with better medication adherence. Patients completing follow-up interviews were satisfied with the programme, with 19/20 (95% reporting that they would recommend it to a friend. Conclusions: By collaborating with LMICs, m-health programmes can be transferred from higher-resource centres to LMICs and implemented in ways that improve access to self-management support among people

The Community's R and D Programme on radioactive waste management and storage

International Nuclear Information System (INIS)

1980-01-01

The objective of the R and D actions to be achieved by 1980 is the demonstration of either the technical potential or, for further advanced projects, the feasibility and even the industrial availability of methods for treating and storing radwaste. The following aspects are investigated: - processing of solid waste from reactors, reprocessing plants and the plutonium fuel fabrication; - intermediate and terminal storage of high activity and alpha wastes; - advanced waste management methods as the storage of gaseous wastes. This report presents the most important results achieved under the programme. In addition to the scientific-technical R and D actions, a survey of the legal, administrative and financial problems encountered in radwaste management and storage is an essential part of the Communities' programme

The Ottawa Panel guidelines on programmes involving therapeutic exercise for the management of hand osteoarthritis.

Science.gov (United States)

Brosseau, Lucie; Thevenot, Odette; MacKiddie, Olivia; Taki, Jade; Wells, George A; Guitard, Paulette; Léonard, Guillaume; Paquet, Nicole; Aydin, Sibel Z; Toupin-April, Karine; Cavallo, Sabrina; Moe, Rikke Helene; Shaikh, Kamran; Gifford, Wendy; Loew, Laurianne; De Angelis, Gino; Shallwani, Shirin Mehdi; Aburub, Ala' S; Mizusaki Imoto, Aline; Rahman, Prinon; Álvarez Gallardo, Inmaculada C; Cosic, Milkana Borges; Østerås, Nina; Lue, Sabrina; Hamasaki, Tokiko; Gaudreault, Nathaly; Towheed, Tanveer E; Koppikar, Sahil; Kjeken, Ingvild; Mahendira, Dharini; Kenny, Glen P; Paterson, Gail; Westby, Marie; Laferrière, Lucie; Longchamp, Guy

2018-06-01

To identify programmes involving therapeutic exercise that are effective for the management of hand osteoarthritis and to provide stakeholders with updated, moderate to high-quality recommendations supporting exercises for hand osteoarthritis. A systematic search and adapted selection criteria included comparable trials with exercise programmes for managing hand osteoarthritis. Based on the evaluated evidence, a panel of experts reached consensus through a Delphi approach endorsing the recommendations. A hierarchical alphabetical grading system (A, B, C+, C, C-, D-, D, D+, E, F) was based on clinical importance (≥15%) and statistical significance ( P 12 weeks) trials for physical function and pinch strength. Despite that many programmes involving exercise with positive recommendations for clinical outcomes are available to healthcare professionals and hand osteoarthritis patients that aid in the management of hand osteoarthritis, there is a need for further research to isolate the specific effect of exercise components.

Gamification in Stress Management Apps: A Critical App Review

Science.gov (United States)

Christmann, Corinna A; Bleser, Gabriele

2017-01-01

Background In today’s society, stress is more and more often a cause of disease. This makes stress management an important target of behavior change programs. Gamification has been suggested as one way to support health behavior change. However, it remains unclear to which extend available gamification techniques are integrated in stress management apps, and if their occurrence is linked to the use of elements from behavior change theory. Objective The aim of this study was to investigate the use of gamification techniques in stress management apps and the cooccurrence of these techniques with evidence-based stress management methods and behavior change techniques. Methods A total of 62 stress management apps from the Google Play Store were reviewed on their inclusion of 17 gamification techniques, 15 stress management methods, and 26 behavior change techniques. For this purpose, an extended taxonomy of gamification techniques was constructed and applied by 2 trained, independent raters. Results Interrater-reliability was high, with agreement coefficient (AC)=.97. Results show an average of 0.5 gamification techniques for the tested apps and reveal no correlations between the use of gamification techniques and behavior change techniques (r=.17, P=.20), or stress management methods (r=.14, P=.26). Conclusions This leads to the conclusion that designers of stress management apps do not use gamification techniques to influence the user’s behaviors and reactions. Moreover, app designers do not exploit the potential of combining gamification techniques with behavior change theory. PMID:28592397

Quality indicators for in-hospital geriatric co-management programmes: a systematic literature review and international Delphi study.

Science.gov (United States)

Van Grootven, Bastiaan; McNicoll, Lynn; Mendelson, Daniel A; Friedman, Susan M; Fagard, Katleen; Milisen, Koen; Flamaing, Johan; Deschodt, Mieke

2018-03-16

To find consensus on appropriate and feasible structure, process and outcome indicators for the evaluation of in-hospital geriatric co-management programmes. An international two-round Delphi study based on a systematic literature review (searching databases, reference lists, prospective citations and trial registers). Western Europe and the USA. Thirty-three people with at least 2 years of clinical experience in geriatric co-management were recruited. Twenty-eight experts (16 from the USA and 12 from Europe) participated in both Delphi rounds (85% response rate). Participants rated the indicators on a nine-point scale for their (1) appropriateness and (2) feasibility to use the indicator for the evaluation of geriatric co-management programmes. Indicators were considered appropriate and feasible based on a median score of seven or higher. Consensus was based on the level of agreement using the RAND/UCLA Appropriateness Method. In the first round containing 37 indicators, there was consensus on 14 indicators. In the second round containing 44 indicators, there was consensus on 31 indicators (structure=8, process=7, outcome=16). Experts indicated that co-management should start within 24 hours of hospital admission using defined criteria for selecting appropriate patients. Programmes should focus on the prevention and management of geriatric syndromes and complications. Key areas for comprehensive geriatric assessment included cognition/delirium, functionality/mobility, falls, pain, medication and pressure ulcers. Key outcomes for evaluating the programme included length of stay, time to surgery and the incidence of complications. The indicators can be used to assess the performance of geriatric co-management programmes and identify areas for improvement. Furthermore, the indicators can be used to monitor the implementation and effect of these programmes. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All

Pain management: evaluating the effectiveness of an educational programme for surgical nursing staff.

Science.gov (United States)

Lin, Pi-Chu; Chiang, Hsiao-Wen; Chiang, Ting-Ting; Chen, Chyang-Shiong

2008-08-01

The purpose of this study was to assess the effectiveness of a pain management education programme in improving the nurses' knowledge about, attitude towards and application of relaxation therapy. Pain of surgical patients has long been an existing problem of health care. Nursing staff need to be educated continuously to develop the professional ability of pain management. A quasi-study design with pre- and posttest and post- and posttest was used. Subjects were chosen from a medical centre in Taipei by convenience sampling. The total sample size of 81 was segregated into a study group of 42 and control group of 39 participants. The study group attended a seven-session pain management programme totalling 15 hours. The control group received no pain management training. Scaled measurements were taken on pain management knowledge and attitude and relaxation therapy practice. (1) Scores for pain management knowledge differed significantly between the two groups (F = 40.636, p = 0.001). (2) Attitudes towards pain management differed between the two groups (F = 8.328, p = 0.005) and remained stable over time (F = 1.603, p = 0.205). (3) Relaxation therapy practice differed significantly between the two groups, with the study group better than the control group (F = 4.006, p = 0.049). (4) Relaxation therapy was applied to nearly all (97.5%) of the patients cared for by study group nurses. All of the instructed patients performed this technique one to three times per day postsurgery. Continuing education can improve nurses' knowledge about, attitude towards and behaviour of pain management. Results of this study could be used to guide the development and implementation of continuing education programmes for nursing staff to enhance patients' care knowledge and skills.

Knowledge management as a support mechanism for improving software programmes in micro, small and medium-sized companies

Directory of Open Access Journals (Sweden)

Joanna Capote

2008-01-01

Full Text Available Organisations have been forced to change their philosophy due to the vast amount of information made available when running software process improvement (SPI programmes and working in a way leading to maintaining and converting this information into knowledge in order to adapt and integrate changes quickly and thereby ensuring re-maining in the competitive market. This article presents some of the most significant antecedents in defining and im-plementing knowledge management (KM in SPI programmes which have been adapted for use in small software companies, as such management represents a philosophy of true organisational capital for companies involved in software improvement projects. The advisability of implementing KM in SPI programmes or projects arising from pri-mary knowledge management targets is analysed, as is its adaptation for such projects according to identified needs, especially related to documenting and manipulating tangible and intangible products produced in an SPI pro-gramme.

Effects of a School-Based Stress Prevention Programme on Adolescents in Different Phases of Behavioural Change

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Vierhaus, Marc; Maass, Asja; Fridrici, Mirko; Lohaus, Arnold

2010-01-01

This study examines whether the assumptions of the Transtheoretical Model (TTM) are useful to evaluate the effectiveness of a school-based stress prevention programme in adolescence to promote appropriate coping behaviour. The TTM assumes three consecutive phases in the adoption of behavioural patterns. Progress throughout the phases is promoted…

Gamification in Stress Management Apps: A Critical App Review.

Science.gov (United States)

Hoffmann, Alexandra; Christmann, Corinna A; Bleser, Gabriele

2017-06-07

In today's society, stress is more and more often a cause of disease. This makes stress management an important target of behavior change programs. Gamification has been suggested as one way to support health behavior change. However, it remains unclear to which extend available gamification techniques are integrated in stress management apps, and if their occurrence is linked to the use of elements from behavior change theory. The aim of this study was to investigate the use of gamification techniques in stress management apps and the cooccurrence of these techniques with evidence-based stress management methods and behavior change techniques. A total of 62 stress management apps from the Google Play Store were reviewed on their inclusion of 17 gamification techniques, 15 stress management methods, and 26 behavior change techniques. For this purpose, an extended taxonomy of gamification techniques was constructed and applied by 2 trained, independent raters. Interrater-reliability was high, with agreement coefficient (AC)=.97. Results show an average of 0.5 gamification techniques for the tested apps and reveal no correlations between the use of gamification techniques and behavior change techniques (r=.17, P=.20), or stress management methods (r=.14, P=.26). This leads to the conclusion that designers of stress management apps do not use gamification techniques to influence the user's behaviors and reactions. Moreover, app designers do not exploit the potential of combining gamification techniques with behavior change theory. ©Alexandra Hoffmann, Corinna A Christmann, Gabriele Bleser. Originally published in JMIR Serious Games (http://games.jmir.org), 07.06.2017.

Management of the camera electronics programme for the World Space Observatory ultraviolet WUVS instrument

Science.gov (United States)

Patel, Gayatri; Clapp, Matthew; Salter, Mike; Waltham, Nick; Beardsley, Sarah

2016-08-01

World Space Observatory Ultraviolet (WSO-UV) is a major international collaboration led by Russia and will study the universe at ultraviolet wavelengths between 115 nm and 320 nm. The WSO Ultraviolet Spectrograph (WUVS) subsystem is led by a consortium of Russian institutes and consists of three spectrographs. RAL Space is contracted by e2v technologies Ltd to provide the CCD readout electronics for each of the three WUVS channels. The programme involves the design, manufacturing, assembly and testing of each Camera Electronics Box (CEB), its associated Interconnection Module (ICM), Electrical Ground Support Equipment (EGSE) and harness. An overview of the programme will be presented, from the initial design phase culminating in the development of an Engineering Model (EM) through qualification whereby an Engineering Qualification Model (EQM) will undergo environmental testing to characterize the performance of the CEB against the space environment, to the delivery of the Flight Models (FMs). The paper will discuss the challenges faced managing a large, dynamic project. This includes managing significant changes in fundamental requirements mid-programme as a result of external political issues which forced a complete re-design of an existing CEB with extensive space heritage but containing many ITAR controlled electronic components to a new, more efficient solution, free of ITAR controlled parts. The methodology and processes used to ensure the demanding schedule is maintained through each stage of the project will be presented including an insight into planning, decision-making, communication, risk management, and resource management; all essential to the continued success of the programme.

Programme on radioactive waste management of the C.E.C.: orientations, motivations, organization and evolution

International Nuclear Information System (INIS)

Bishop, G.R.

1980-01-01

The Commission of the European Communities favours the development of nuclear energy to contribute to the solution of the energy problems. The Commission favours also the development of a complete nuclear fuel cycle including reprocessing and fast breeders. Thus the Commission is interested in the setting-up of effective solutions to problems of radioactive waste management. The Commission is operating by means of a Direct Action Programme, developed in the Joint Research Centre, and of an Indirect Action Programme, developed under contracts with national laboratories and industries. The programmes of the Commission cover all of the most important aspects of radioactive waste conditioning and disposal. The Commission is operating in strict connection with international organizations; collaboration agreements are in preparation with non-Community countries. The Plan of Action (1980 to 1992) in the Field of Radioactive Waste Management, recently approved by the Council, entrusts to the Commission a wider role in the implementation of the waste management policies

The Community's research and development programme on radioactive waste management and storage

International Nuclear Information System (INIS)

Orlowski, S.; Gandolfo, J.M.

1988-01-01

This is the first annual progress report of the European Community's 1985-89 programme of research on radioactive waste management and disposal, carried out by public organizations and private firms in the Community under cost-sharing contracts with the Commission of the European Communities. The 1985-89 programme is aiming at perfecting and demonstrating a system for managing the radioactive waste produced by the nuclear industry, ensuring at the various stages the best possible protection of man and the environment. This first report describes the work to be carried out under the research contracts already concluded before end of 1986 as well as the initial work performed and the first results obtained. For each contract, paragraph C ''Progress of work and obtained results'' was prepared by the contractor under the responsibility of the project leader

Contract Management Monitoring And Evaluation Of Ghana School Feeding Programme At Atwima Kwanwoma District

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Andrews Osei Mensah

2015-08-01

Full Text Available Ghana School Feeding Programme was introduced at Atwima Kwanwoma District and other parts of the country in 2008 to alleviate hunger and to provide good nutrition for pupils in the public basic schools. Caterers were given contract to provide food to the school pupils on every school-going day under Ghana school feeding programme. Some years have lapsed and there is the need to look back and evaluate this programme taking into consideration the award and management of those contracts. The study also examined how the programme is monitored and evaluated. Data was collected from 80 respondents comprising 29 school pupils and 51 other actors through the use of questionnaire and interview guide It was realised that caterers who are well experience in catering services were awarded contracts based on their past experience and financial abilities through submission of their certificates but not necessarily through bidding. The main component of managing the caterers contract included monitoring payment of debt and problems solving as well as supervision through visiting the schools on quarterly basis. The programme has helped to increase enrolment and retaining pupils in school. It was found out that food giving to the pupils was not served on time not regularly bases and was not sufficient to the pupils as well. The health component of the programme has not been successful as expected. It is recommended that fruits and variety of foods need to be introduced together with de-worming the pupils.

Increasing engagement with, and effectiveness of, an online CBT-based stress management intervention for employees through the use of an online facilitated bulletin board: study protocol for a pilot randomised controlled trial.

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Carolan, Stephany; Harris, Peter R; Greenwood, Kathryn; Cavanagh, Kate

2016-12-15

The evidence for the benefits of online cognitive behaviour therapy (CBT)-based programmes delivered in a clinical context is clear, but this evidence does not translate to online CBT-based stress management programmes delivered within a workplace context. One of the challenges to the delivery of online interventions is programme engagement; this challenge is even more acute for interventions delivered in real-world settings such as the workplace. The purpose of this pilot study is to explore the effect of an online facilitated discussion group on engagement, and to estimate the potential effectiveness of an online CBT-based stress management programme. This study is a three-arm randomised controlled trial (RCT) comparing a minimally guided, online, CBT-based stress management intervention delivered with and without an online facilitated bulletin board, and a wait list control group. Up to 90 employees from six UK-based organisations will be recruited to the study. Inclusion criteria will include age 18 years or over, elevated levels of stress (as measured on the PSS-10 scale), access to a computer or a tablet and the Internet. The primary outcome measure will be engagement, as defined by the number of logins to the site; secondary outcome measures will include further measures of engagement (the number of pages visited, the number of modules completed and self-report engagement) and measures of effectiveness (psychological distress and subjective wellbeing). Possible moderators will include measures of intervention quality (satisfaction, acceptability, credibility, system usability), time pressure, goal conflict, levels of distress at baseline and job autonomy. Measures will be taken at baseline, 2 weeks (credibility and expectancy measures only), 8 weeks (completion of intervention) and 16 weeks (follow-up). Primary analysis will be conducted on intention-to-treat principles. To our knowledge this is the first study to explore the effect of an online

The experience of facilitators and participants of long term condition self-management group programmes: A qualitative synthesis.

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Hughes, Stephen; Lewis, Sophie; Willis, Karen; Rogers, Anne; Wyke, Sally; Smith, Lorraine

2017-12-01

Our aim was to systematically review the qualitative literature about the experiences of both facilitators and participants in a range of group-based programmes to support the self-management of long-term conditions. We searched 7 databases using the terms 'self-management', 'group' and 'qualitative'. Full text articles meeting the inclusion criteria were retrieved for review. A thematic synthesis approach was used to analyse the studies. 2126 articles were identified and 24 were included for review. Group participants valued being with similar others and perceived peer support benefits. Facilitators (HCP and lay) had limited group specific training, were uncertain of purpose and prioritised education and medical conformity over supportive group processes and the promotion of self-management agency and engagement. Overall, studies prioritised positive descriptions. Group programmes' medical self-management focus may reduce their ability to contribute to patient-valued outcomes. Further research is needed to explore this disconnect. This review supports broadening the scope of group-based programmes to foreground shared learning, social support and development of agency. It is of relevance to developers and facilitators of group self-management programmes and their ability to address the burden of long-term conditions. Copyright © 2017 Elsevier B.V. All rights reserved.

Importance of strategic management in the implementation of private medicine retailer programmes: case studies from three districts in Kenya

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Marsh Vicki

2010-07-01

Full Text Available Abstract Background The home-management of malaria strategy seeks to improve prompt and effective anti-malarial drug use through the informal sector, with a potential channel being the Private Medicine Retailers (PMRs. Previous evaluations of PMR programmes focused on their impact on retailer knowledge and practices, with limited evidence about the influence of implementation processes on the impacts at scale. This paper examines how the implementation processes of three PMR programmes in Kenya, each scaled up within a district, contributed to the outcomes observed. These were a Ministry of Health programme in Kwale district; and two programmes supported by non-governmental organizations in collaboration with government in Kisii Central and Bungoma districts. Methods The research methods included 24 focus group discussions with clients and PMRs, 19 in-depth interviews with implementing actors, document review and a diary of events. The data were analysed using the combination of a broad policy analysis framework and more specific scaling up/diffusion of innovations frameworks. Results The Kisii programme, a case study of successful implementation, was underpinned by good relationships between district health managers and a “resource team”, supported by a memorandum of understanding which enabled successful implementation. It had flexible budgetary and decision making processes which were responsive to local contexts, and took account of local socio-economic activities. In contrast, the Kwale programme, which had implementation challenges, was characterised by a complex funding process, with lengthy timelines, that was tied to the government financial management system which constrained implementation Although there was a flexible funding system in Bungoma, a perceived lack of transparency in fund management, inadequate management of inter-organisational relationships, and inability to adapt and respond to changing circumstances led to

Importance of strategic management in the implementation of private medicine retailer programmes: case studies from three districts in Kenya.

Science.gov (United States)

Abuya, Timothy; Amin, Abdinasir; Molyneux, Sassy; Akhwale, Willis; Marsh, Vicki; Gilson, Lucy

2010-07-02

The home-management of malaria strategy seeks to improve prompt and effective anti-malarial drug use through the informal sector, with a potential channel being the Private Medicine Retailers (PMRs). Previous evaluations of PMR programmes focused on their impact on retailer knowledge and practices, with limited evidence about the influence of implementation processes on the impacts at scale. This paper examines how the implementation processes of three PMR programmes in Kenya, each scaled up within a district, contributed to the outcomes observed. These were a Ministry of Health programme in Kwale district; and two programmes supported by non-governmental organizations in collaboration with government in Kisii Central and Bungoma districts. The research methods included 24 focus group discussions with clients and PMRs, 19 in-depth interviews with implementing actors, document review and a diary of events. The data were analysed using the combination of a broad policy analysis framework and more specific scaling up/diffusion of innovations frameworks. The Kisii programme, a case study of successful implementation, was underpinned by good relationships between district health managers and a "resource team", supported by a memorandum of understanding which enabled successful implementation. It had flexible budgetary and decision making processes which were responsive to local contexts, and took account of local socio-economic activities. In contrast, the Kwale programme, which had implementation challenges, was characterised by a complex funding process, with lengthy timelines, that was tied to the government financial management system which constrained implementation Although there was a flexible funding system in Bungoma, a perceived lack of transparency in fund management, inadequate management of inter-organisational relationships, and inability to adapt and respond to changing circumstances led to implementation difficulties. For effective scaling up of PMR

Stress management in dental students: a systematic review

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Alzahem AM

2014-05-01

Full Text Available Abdullah M Alzahem,1 Henk T Van der Molen,2 Arwa H Alaujan,3 Benjamin J De Boer4 1King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia; 2Institute of Psychology, Faculty of Social Sciences, Erasmus University, Rotterdam, the Netherlands; 3Dental Services, Central Region, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia; 4Clinical Psychology, Princess Nora University, Riyadh, Saudi Arabia Abstract: This study compared the effectiveness of stress management programs in dental education by systematic review of the literature. The number of studies concerning stress management programs for dental students is limited compared with studies discussing sources of stress. Several types of programs for stress management have been reported, and differ in their duration, content, and outcomes. Two main strategies have been used to help stressed students, ie, decreasing the number of stressors and increasing the ability to cope with stress. The first strategy includes several components, such as reducing fear of failure and workload pressure due to examinations and requirements. The second strategy includes coping techniques, such as deep breathing exercises. Although positive effects have been reported for most of the programs, these have mainly been evaluated using subjective self-report measures. There is a need for more research to identify the most effective stress management program. Keywords: students, dentistry, education, management, stress

Design element alternatives for stress-management intervention websites.

Science.gov (United States)

Williams, Reg A; Gatien, Gary; Hagerty, Bonnie

2011-01-01

Typical public and military-sponsored websites on stress and depression tend to be prescriptive. Some require users to complete lengthy questionnaires. Others reproduce printed flyers, papers, or educational materials not adapted for online use. Some websites require users to follow a prescribed path through the material. Stress Gym was developed as a first-level, evidence-based, website intervention to help U.S. military members learn how to manage mild to moderate stress and depressive symptoms using a self-help intervention with progress tracking and 24/7 availablility. It was designed using web-based, health-management intervention design elements that have been proven effective and users reported they prefer. These included interactivity, self-pacing, and pleasing aesthetics. Users learned how to manage stress by accessing modules they choose, and by practicing proven stress management strategies interactively immediately after login. Test results of Stress Gym with Navy members demonstrated that it was effective, with significant decreases in reported perceived stress levels from baseline to follow-up assessment. Stress Gym used design elements that may serve as a model for future websites to emulate and improve upon, and as a template against which to compare and contrast the design and functionality of future online, health-intervention websites. Copyright © 2011 Elsevier Inc. All rights reserved.

Using intervention mapping (IM) to develop a self-management programme for employees with a chronic disease in the Netherlands

NARCIS (Netherlands)

Detaille, S.I.; van der Gulden, J.W.J.; Engels, J.A.; Heerkens, Y.F.; van Dijk, F.J.H.

2010-01-01

ABSTRACT: BACKGROUND: Employees with a chronic disease often encounter problems at work because of their chronic disease. The current paper describes the development of a self-management programme based on the Chronic Disease Self-Management Programme (CDSMP) of Stanford University to help employees

Views of commissioners, managers and healthcare professionals on the NHS Health Check programme: a systematic review.

Science.gov (United States)

Mills, Katie; Harte, Emma; Martin, Adam; MacLure, Calum; Griffin, Simon J; Mant, Jonathan; Meads, Catherine; Saunders, Catherine L; Walter, Fiona M; Usher-Smith, Juliet A

2017-11-15

To synthesise data concerning the views of commissioners, managers and healthcare professionals towards the National Health Service (NHS) Health Check programme in general and the challenges faced when implementing it in practice. A systematic review of surveys and interview studies with a descriptive analysis of quantitative data and thematic synthesis of qualitative data. An electronic literature search of MEDLINE, Embase, Health Management Information Consortium, Cumulative Index of Nursing and Allied Health Literature, Global Health, PsycInfo, Web of Science, OpenGrey, the Cochrane Library, NHS Evidence, Google Scholar, Google, ClinicalTrials.gov and the International Standard Randomised Controlled Trial Number registry from 1 January 1996 to 9 November 2016 with no language restriction and manual screening of reference lists of all included papers. Primary research reporting views of commissioners, managers or healthcare professionals on the NHS Health Check programme and its implementation in practice. Of 18 524 citations, 15 articles met the inclusion criteria. There was evidence from both quantitative and qualitative studies that some commissioners and general practice (GP) healthcare professionals were enthusiastic about the programme, whereas others raised concerns around inequality of uptake, the evidence base and cost-effectiveness. In contrast, those working in pharmacies were all positive about programme benefits, citing opportunities for their business and staff. The main challenges to implementation were: difficulties with information technology and computer software, resistance to the programme from some GPs, the impact on workload and staffing, funding and training needs. Inadequate privacy was also a challenge in pharmacy and community settings, along with difficulty recruiting people eligible for Health Checks and poor public access to some venues. The success of the NHS Health Check Programme relies on engagement by those responsible for its

Using intervention mapping (IM) to develop a self-management programme for employees with a chronic disease in the Netherlands.

NARCIS (Netherlands)

Detaille, S.I.; Gulden, J.W.J. van der; Engels, J.A.; Heerkens, Y.H.; Dijk, F.J. van

2010-01-01

BACKGROUND: Employees with a chronic disease often encounter problems at work because of their chronic disease. The current paper describes the development of a self-management programme based on the Chronic Disease Self-Management programme (CDSMP) of Stanford University to help employees with a

Using intervention mapping (IM) to develop a self-management programme for employees with a chronic disease in the Netherlands

NARCIS (Netherlands)

Detaille, Sarah I.; van der Gulden, Joost W. J.; Engels, Josephine A.; Heerkens, Yvonne F.; van Dijk, Frank J. H.

2010-01-01

Employees with a chronic disease often encounter problems at work because of their chronic disease. The current paper describes the development of a self-management programme based on the Chronic Disease Self-Management programme (CDSMP) of Stanford University to help employees with a chronic

POST GRADUATE PROGRAMME IN DIETETICS &FOOD SERVICE MANAGEMENT (MSCDFSM PROGRAMME of IGNOU: Access through the Lucknow Regional Centre

Directory of Open Access Journals (Sweden)

J. S. DOROTHY

2014-10-01

Full Text Available Indira Gandhi National Open University (IGNOU which was established initially as a Single mode Distance Teaching Institution (DTI in the year 1985 opened its campus to face-to-face education in the year 2008 and thus now is a Dual mode Distance Teaching Institution (DTI. The Post Graduate Programme (Master of Science in Dietetics and Food Service Management (MScDFSM Programme of IGNOU offered through the Distance Learning Mode from the year 2005 has been the boon in developing human resources involved in Nutrition and Dietetics services and also serves as a mode for continuing education among the professionals on-the-job. Accessibility to the programme is independent of the qualification earned at the Bachelor’s level as at IGNOU flexibility of the qualification is ensured for fulfilling the eligibility criteria into the MScDFSM Programme so that the diverse needs of the aspirants are accommodated at entry level itself. The Programme is unique in that it has compulsory Dissertation and Internship besides the Theory and Practical Courses. The Self-Study is enriched by the Teacher inbuilt Self-instructional Study Materials coupled with compulsory submission of the Tutor Marked Assignments (TMA which phase learning and initiate the didactic communication between the Academic Counsellor (who facilitate the Academic Transactions at the field level functionary - the Learner Support Centre and the Learner. The MSc DFSM Programme of IGNOU, as the distance learning programme offered by the School of Continuing Education (SOCE of IGNOU in the Indian Sub-Continent only. This paper discusses how the MScDFSM Programme of IGNOU is contributing to the staff development of in-service Nutritionists and Dietitians through the distance education/learning mode in Lucknow (Uttar Pradesh, North India Regional Centre. This paper also highlights the Institutions, which served as the Learner Support Centres from the year 2005 (when the programme was launched till 2011

Managerial Stress Management as an Asset in People Management Being a Marketing Strategy Element

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Branislav Radnović

2013-07-01

Full Text Available Any service organization operating under turbulent market conditions must have a successful marketing strategy. A successful marketing strategy implies proper management of all elements within a marketing mix: service package, price, distribution channels, promotion, service process, service ambience and people. People, i.e. primarily the employed within an organization are one of the elements that must be appropriately considered when drawing up and implementing a marketing strategy. Proper personnel management must nowadays include good management of managerial stress. Adequate managerial stress management is preconditioned by successful identification of sources of managerial stress. The aim of this paper is to present the importance of proper and timely identification of sources of managerial stress. The paper demonstrates the carried out scientific research based on a method that is universal for all types of organizations, regardless of their type and activity, in order to precisely identify the sources of managerial stress and define its proper management, as an asset in people management, which is an element of marketing strategy. The research was conducted using a survey, sampling 100 employees in 13 organizations throughout Serbia. Survey results indicated that the most important sources of managerial stress are: participation in decision-making, selection process, earnings, and time and deadlines pressure. Therefore, recommendations are provided for directing identified sources of managerial stress towards successful management of people as an element of marketing strategy.

Information systems for administration, clinical documentation and quality assurance in an Austrian disease management programme.

Science.gov (United States)

Beck, Peter; Truskaller, Thomas; Rakovac, Ivo; Bruner, Fritz; Zanettin, Dominik; Pieber, Thomas R

2009-01-01

5.9% of the Austrian population is affected by diabetes mellitus. Disease Management is a structured treatment approach that is suitable for application to the diabetes mellitus area and often is supported by information technology. This article describes the information systems developed and implemented in the Austrian disease management programme for type 2 diabetes. Several workflows for administration as well as for clinical documentation have been implemented utilizing the Austrian e-Health infrastructure. De-identified clinical data is available for creating feedback reports for providers and programme evaluation.

Managing stress in a crisis.

Science.gov (United States)

Wright-Reid, Alison

2018-01-01

Crisis situations are inherently uncertain and threatening. Although the primal stress reactions they provoke deliver some advantages, they so severely restrict intellect and behaviour that consultants observe crisis teams making the same mistakes over and again. Stress risks can be managed before, during and after a crisis. Crisis planning can select the right people, control the crisis team environment, and mitigate fatigue risks and memory demands. Because stress reactions are primitive, stress can be manipulated at a remarkably primitive level and teams can increase their resilience through such basics as sleep and breathing skills. Teams can learn to manipulate perceptions of danger, to tolerate uncertainty and to become comfortable making decisions which were reasonable at the time. Crisis leaders can frame the crisis as a challenge and options as gains, and can ensure the team avoids groupthink and challenges the paradigm. Where individuals are trained to apply critical thinking processes, intuitive decision-making is not only fast, but also accurate, and helps to challenge assumptions, predictions and groupthink. Crises are more easily recognised and managed where training has covered critical decision methods.

Managing Teacher Stress and Burnout.

Science.gov (United States)

Sparks, Dennis; Hammond, Janice

This monograph offers a practical guide for identifying and managing those stressors that are in the specific domain of the individual--exercise, diet, sleep, interpersonal relations, time and conflict management, and relaxation. The first section covers stress theory; methods to identify and clarify stressors; restoration of a balanced…

Chinese Postgraduate Choices When Considering a UK Business and Management Programme

Science.gov (United States)

Manns, Yihan; Swift, Jonathan

2016-01-01

This research investigated Chinese students' decision making processes for enrolling on a postgraduate taught business and management programme in a UK university, based on structured interviews, followed by a survey of just over 450 respondents. The validity and reliability of the research instrument were assessed prior to issuing the survey.…

Technology transfer on long-term radioactive waste management - a feasible option for small nuclear programmes?

International Nuclear Information System (INIS)

Mele, I.; Mathieson, J.

2007-01-01

The EU project CATT - Co-operation and technology transfer on long-term radioactive waste management for Member States with small nuclear programmes investigated the feasibility of countries with small nuclear programmes implementing long-term radioactive waste management solutions within their national borders, through collaboration on technology transfer with those countries with advanced disposal concepts. The main project objective was to analyse the existing capabilities of technology owning Member States and the corresponding requirements of potential technology acquiring Member States and, based on the findings, to develop a number of possible collaboration models and scenarios that could be used in a technology transfer scheme. The project CATT was performed as a specific support action under the EU sixth framework programme and it brought together waste management organisations from six EU Member States: UK, Bulgaria, Germany, Lithuania, Slovenia and Sweden. In addition, the EC Joint Research Centre from the Netherlands also participated as a full partner. The paper summarises the analyses performed and the results obtained within the project. (author)

Competences and life management programmes

International Nuclear Information System (INIS)

Brunatti, S.; Bergara, A.; Ranalli, J.; Versaci, R.

2007-01-01

Full text: The nuclear industry is, at present, at a crucial juncture, where it has to decide about the future of the first generation of nuclear plants, which are approaching the end of their licensed service life. At the same time, long term experience and new advances have established that it is possible to extend the life of nuclear plants beyond their initially licensed life by another 20-30 years. Extending the operating life of existing nuclear plants will help to reduce the short term need for new generating capacity - without new capital costs. However, these extensions must take place in the context of careful safety analysis and monitoring of equipment ageing concerns. A nuclear power plant must be managed in a safe and efficient manner throughout all the life cycle stages from design through decommissioning. The consequences of management decisions about nuclear power plants can have profound economic impacts for the nuclear power plant owner, and possibly for the national economy. In addition, the consequence of a major failure or accident can have catastrophic national socio-economic effects that may be felt internationally. The safe and effective management of a nuclear power plant therefore requires dramatically different perspectives in time from the majority of other industries. The impact of some decisions extends beyond the normal strategic perspective of both owners and governments. The integration of activities for ageing management, safety management and business management of a nuclear power plant are an essential element of 'life cycle management'. The loss of information at any stage of a nuclear power plants life deprives people, at later stages, of knowledge that could be important to safe, economic completion of work or which could aid the analysis of problems and options. It is costly to go through the learning process again, with a risk of potential events or incidents, programme delays, physical injury and increased regulatory

Work site stress management: national survey results.

Science.gov (United States)

Fielding, J E

1989-12-01

The National Survey of Work Site Health Promotion Activities established baseline data on the frequency of nine types of health promotion activity at private work sites with more than 50 employees in the United States. Stress management activities were provided at 26.6% of work sites. Types of activities at those work sites with some stress management activity included group counseling (58.5%), individual counseling (39.3%), follow-up counseling (25.9%), special events (11.5%), providing information about stress (80.7%), providing a place to relax (64.8%), and making organizational changes to reduce employee stress (81.2%). Frequency of activities varied by industry type and by region of the country. Incidence of most types of activities did not increase as work site size increased, although the likelihood of having any of these activities did increase with work site size. Stress management activities were more likely to be present at work sites with a medical staff or health educator. An increase in output, productivity, or quality was the most frequently cited benefit (46.5%). Negative effects were reported at 2.6% of the work sites. Other health promotion activities found at the work sites surveyed included smoking cessation (61.8%), treatment and control of high blood pressure (36.7%), and weight control (34.7%). Employee Assistance Programs were responsible for stress management at 62% of the work sites with an Employee Assistance Program.

Stress Management: When and How to Say No

Science.gov (United States)

Healthy Lifestyle Stress management Sure it's easier to say yes, but at what price to your peace of mind? Here's why saying ... 12, 2016. Barbara Woodward Lips Patient Education Center. Stress management. Rochester, Minn.: Mayo Foundation for Medical Education and ...

Meddling in the KBS Programme and Swedish Success in Nuclear Waste Management

Energy Technology Data Exchange (ETDEWEB)

Elam, Mark (Univ. of Goeteborg, Goeteborg (Sweden)), e-mail: mark.elam@sts.gu.se; Sundqvist, Goeran (Univ. of Oslo, Oslo (Norway))

2010-09-15

In this paper the intention is to analyse and re/describe the qualities that underlie the current fame and good standing of Swedish nuclear waste management (the so-called KBS Programme). Inspired by work in the actor-network theory tradition, we want to argue that the success of the KBS Programme can be best accounted for with reference to qualities which are the reverse of those you might otherwise expect. While you might imagine its good name to be ascribable to the constancy, solidity and singularity of the solution being advanced, we want to argue that it is rather the infidelity, fluidity and heterogeneity of this solution that can best account for the leading position of Swedish nuclear waste management today. In fact, we wish to assert that it is through the effacement of the inherent importance of the latter set of qualities, that the KBS Programme has been able to promote a vision of itself as successfully imbued with the former set. The enduring template for Swedish nuclear waste management was established in 1977 through the Nuclear Stipulation Act. This gave rise to the cultivation of a new expertise within the Swedish nuclear industry of demonstrating indubitable solutions to nuclear waste problems close at hand. Thus, while it may appear that the KBS Programme has always been about the conception, and step by step implementation of a completely coherent and largely unvarying approach to the geological disposal of nuclear waste, this can be seen as effacing another reality. Bringing this other reality back into view, we see that for the KBS Programme, attaining the goal of the geological disposal of nuclear waste has never been as important as maintaining the ability to demonstrate its attainability. The KBS Programme is firstly a long-running programme in the material semiotics of nuclear fuel safety and the production of palpable signs of the accomplishment of geological disposal close at hand. This production of palpable signs has extended to the

Meddling in the KBS Programme and Swedish Success in Nuclear Waste Management

International Nuclear Information System (INIS)

Elam, Mark; Sundqvist, Goeran

2010-09-01

In this paper the intention is to analyse and re/describe the qualities that underlie the current fame and good standing of Swedish nuclear waste management (the so-called KBS Programme). Inspired by work in the actor-network theory tradition, we want to argue that the success of the KBS Programme can be best accounted for with reference to qualities which are the reverse of those you might otherwise expect. While you might imagine its good name to be ascribable to the constancy, solidity and singularity of the solution being advanced, we want to argue that it is rather the infidelity, fluidity and heterogeneity of this solution that can best account for the leading position of Swedish nuclear waste management today. In fact, we wish to assert that it is through the effacement of the inherent importance of the latter set of qualities, that the KBS Programme has been able to promote a vision of itself as successfully imbued with the former set. The enduring template for Swedish nuclear waste management was established in 1977 through the Nuclear Stipulation Act. This gave rise to the cultivation of a new expertise within the Swedish nuclear industry of demonstrating indubitable solutions to nuclear waste problems close at hand. Thus, while it may appear that the KBS Programme has always been about the conception, and step by step implementation of a completely coherent and largely unvarying approach to the geological disposal of nuclear waste, this can be seen as effacing another reality. Bringing this other reality back into view, we see that for the KBS Programme, attaining the goal of the geological disposal of nuclear waste has never been as important as maintaining the ability to demonstrate its attainability. The KBS Programme is firstly a long-running programme in the material semiotics of nuclear fuel safety and the production of palpable signs of the accomplishment of geological disposal close at hand. This production of palpable signs has extended to the

Stress in crisis managers: evidence from self-report and psychophysiological assessments.

Science.gov (United States)

Janka, A; Adler, C; Fischer, L; Perakakis, P; Guerra, P; Duschek, S

2015-12-01

Directing disaster operations represents a major professional challenge. Despite its importance to health and professional performance, research on stress in crisis management remains scarce. The present study aimed to investigate self-reported stress and psychophysiological stress responses in crisis managers. For this purpose, 30 crisis managers were compared with 30 managers from other disciplines, in terms of self-reported stress, health status and psychophysiological reactivity to crisis-related and non-specific visual and acoustic aversive stimuli and cognitive challenge. Crisis managers reported lower stress levels, a more positive strain-recuperation-balance, greater social resources, reduced physical symptoms, as well as more physical exercise and less alcohol consumption. They exhibited diminished electrodermal and heart rate responses to crisis-related and non-specific stressors. The results indicate reduced stress and physical complaints, diminished psychophysiological stress reactivity, and a healthier life-style in crisis managers. Improved stress resistance may limit vulnerability to stress-related performance decline and facilitate preparedness for major incidents.

The theoretical model of the school-based prevention programme Unplugged.

Science.gov (United States)

Vadrucci, Serena; Vigna-Taglianti, Federica D; van der Kreeft, Peer; Vassara, Maro; Scatigna, Maria; Faggiano, Fabrizio; Burkhart, Gregor

2016-12-01

Unplugged is a school-based prevention programme designed and tested in the EU-Dap trial. The programme consists of 12 units delivered by class teachers to adolescents 12-14 years old. It is a strongly interactive programme including a training of personal and social skills with a specific focus on normative beliefs. The aim of this work is to define the theoretical model of the program, the contribution of the theories to the units, and the targeted mediators. The programme integrates several theories: Social Learning, Social Norms, Health Belief, theory of Reasoned Action-Attitude, and Problem Behaviour theory. Every theory contributes to the development of the units' contents, with specific weights. Knowledge, risk perception, attitudes towards drugs, normative beliefs, critical and creative thinking, relationship skills, communication skills, assertiveness, refusal skills, ability to manage emotions and to cope with stress, empathy, problem solving and decision making skills are the targeted mediators of the program. © The Author(s) 2015.

Preventing Stress in Organizations How to Develop Positive Managers

CERN Document Server

Donaldson-Feilder, Emma; Yarker, Joanna

2011-01-01

Preventing Stress in Organizations:How to Develop Positive Managersoffers an innovative, evidence-based approach to help managers prevent and reduce workplace stress in their staff.Provides information on the critical skills managers must develop in order to prevent stress in their staff, and the key ongoing behaviours that promote a healthy work environmentShows practitioners in occupational psychology, HR, Health and Safety and related professions how positive management can be integrated into an organization???s existing practices and processesServes as an essential guide for managers thems

THRESHOLD OF SIGNIFICANCE IN STRESS MANAGEMENT

Directory of Open Access Journals (Sweden)

Elena RUSE

2015-12-01

Full Text Available Stress management is the individual's ability to handle any situation, external conditions, to match the demands of the external environment. The researchers revealed several stages in the stress response. A first phase was called ‘‘alert reaction'' or ‘‘immediate reaction to stress‘‘, phase in which there are physiological modifications and manifestations that occur under psychological aspect. Adaptation phase is the phase in which the reactions from the first phase diminishes or disappears. Exhaustion phase is related to the diversity of stress factors and time and may exceed the resources of the human body to adapt. Influencing factors may be: limited, cognitive, perceptual, and a priori. But there is a threshold of significance in stress management. Once the reaction to external stimuli occurs, awareness is needed. The capability effect occurs, any side effect goes away and comes out the ''I AM'' effect.

Nurse- and peer-led self-management programme for patients with an implantable cardioverter defibrillator; a feasibility study

Directory of Open Access Journals (Sweden)

van Eijk Jacques

2007-09-01

Full Text Available Abstract Background The prevalence of cardiovascular disease is increasing. Improved treatment options increase survival after an acute myocardial infarction or sudden cardiac arrest, although patients often have difficulty adjusting and regaining control in daily life. In particular, patients who received an implantable cardioverter defibrillator (ICD experience physical and psychological problems. Interventions to enhance perceived control and acceptance of the device are therefore necessary. This paper describes a small-scale study to explore the feasibility and the possible benefits of a structured nurse- and peer-led self-management programme ('Chronic Disease Self-Management Program' – CDSMP among ICD patients. Methods Ten male ICD patients (mean age = 65.5 years participated in a group programme, consisting of six sessions, led by a team consisting of a nurse specialist and a patient with cardiovascular disease. Programme feasibility was evaluated among patients and leaders by measuring performance of the intervention according to protocol, attendance and adherence of the participating ICD patients, and patients' and leaders' opinions about the programme. In addition, before and directly after attending the intervention, programme benefits (e.g. perceived control, symptoms of anxiety and depression, and quality of life were assessed. Results The programme was conducted largely according to protocol. Eight patients attended at least four sessions, and adherence ranged from good to very good. On average, the patients reported to have benefited very much from the programme, which they gave an overall report mark of 8.4. The leaders considered the programme feasible as well. Furthermore, improvements were identified for general self-efficacy expectancies, symptoms of anxiety, physical functioning, social functioning, role limitations due to physical problems, and pain. Conclusion This study suggests that a self-management programme led by a

[Evaluation of disease management programmes--assessing methods and initial outcomes from a health economic perspective].

Science.gov (United States)

Birnbaum, Dana Sophie; Braun, Sebastian

2010-01-01

Evaluation represents a substantial component of the concept of Disease Management Programmes. This and the fact that the implementation of Disease Management Programmes constitutes a major change in the German healthcare system require that the criteria established by the German Federal Social Insurance Authority (Bundesversicherungsamt) be carefully reviewed. The present paper focuses on the evaluation method and the economic data. The pre-/-post study design used in the evaluation is known to be vulnerable to threats to internal validity. The objective of this paper is to analyze whether these threats to internal validity which have been known theoretically are confirmed by the results of the final reports. A review of the final reports of health insurance companies like the AOK, Barmer and a group of the BKK in Westfalen-Lippe shows that this question can be answered in the affirmative. The pre-/-post design without control groups is unable to recognize the failure or success of the Disease Management concept. The reasons include a high drop-out rate as well as the lack of consideration of the characteristics of chronic disease. Hence the evaluation method has failed to prove the quality of Disease Management Programmes in Germany. This is why consistent further development is needed.

Nurse manager cognitive decision-making amidst stress and work complexity.

Science.gov (United States)

Shirey, Maria R; Ebright, Patricia R; McDaniel, Anna M

2013-01-01

  The present study provides insight into nurse manager cognitive decision-making amidst stress and work complexity.   Little is known about nurse manager decision-making amidst stress and work complexity. Because nurse manager decisions have the potential to impact patient care quality and safety, understanding their decision-making processes is useful for designing supportive interventions.   This qualitative descriptive study interviewed 21 nurse managers from three hospitals to answer the research question: What decision-making processes do nurse managers utilize to address stressful situations in their nurse manager role? Face-to-face interviews incorporating components of the Critical Decision Method illuminated expert-novice practice differences. Content analysis identified one major theme and three sub-themes.   The present study produced a cognitive model that guides nurse manager decision-making related to stressful situations. Experience in the role, organizational context and situation factors influenced nurse manager cognitive decision-making processes.   Study findings suggest that chronic exposure to stress and work complexity negatively affects nurse manager health and their decision-making processes potentially threatening individual, patient and organizational outcomes.   Cognitive decision-making varies based on nurse manager experience and these differences have coaching and mentoring implications. This present study contributes a current understanding of nurse manager decision-making amidst stress and work complexity. © 2012 Blackwell Publishing Ltd.

Reducing Stress within the Rehabilitative Work Setting - A Report on the ROSE Project

Science.gov (United States)

Wells, John S. G.; Denny, Margaret

Reducing Occupational Stress in Employment (ROSE) is an EU funded project which aims to develop a combined person and work directed stress management programme in order to improve the long-term retention of staff in the vocational rehabilitation sector for mental health and intellectual disabilities.

Virtual Reality Applications for Stress Management Training in the Military.

Science.gov (United States)

Pallavicini, Federica; Argenton, Luca; Toniazzi, Nicola; Aceti, Luciana; Mantovani, Fabrizia

2016-12-01

Stress Management Training programs are increasingly being adopted in the military field for resilience empowerment and primary stress prevention. In the last several years, advanced technologies (virtual reality in particular) have been integrated in order to develop more innovative and effective stress training programs for military personnel, including soldiers, pilots, and other aircrew professionals. This systematic review describes experimental studies that have been conducted in recent years to test the effectiveness of virtual reality-based Stress Management Training programs developed for military personnel. This promising state-of-the-art technology has the potential to be a successful new approach in empowering soldiers and increasing their resilience to stress. To provide an overview from 2001 to 2016 of the application of virtual reality for Stress Management Training programs developed for the military, a computer-based search for relevant publications was performed in several databases. Databases used in the search were PsycINFO, Web of Science (Web of Knowledge), PubMed, and Medline. The search string was: ("Virtual Reality") AND ("Military") AND ["Stress Training" OR ("Stress Management")]. There were 14 studies that met the inclusion criteria and were included in the review. The main observation to be drawn from this review is that virtual reality can provide interactive Stress Management Training to decrease levels of perceived stress and negative affect in military personnel. This technology appears to be a promising tool for assessing individuals' resilience to stress and for identifying the impact that stress can have on physiological reactivity and performance.Pallavicini F, Argenton L, Toniazzi N, Aceti L, Mantovani F. Virtual realtiy applications for stress management training in the military. Aerosp Med Hum Perform. 2016; 87(12):1021-1030.

The relationship between emotional intelligence and stress management

Directory of Open Access Journals (Sweden)

Saras Ramesar

2009-05-01

Full Text Available Regardless of where one lives in the world, one cannot escape three defi ning forces of our time: globalisation, the information revolution and the speed of change (Cascio, 2001. To ensure continued organisational performance and to maintain the competitive advantage, organisations must therefore constantly implement changes in strategy, structure, process and culture (Higgs, 2002; Langley, 2000. Goleman (1998 proposes a solution of self-awareness as a key skill in handling stress, thereby indicating that a lack of emotional intelligence in such an unstable environment means possible failure that can impact on everyone’s future. The general aim of this research was to determine whether there is a relationship between emotional intelligence and stress management in a group of managers. This was done through a quantitative study of the relationship between stress management and emotional intelligence. These constructs were operationalised by means of a combination of scales present in the Feelings and Emotions domain of the Occupational Personality Questionnaire (OPQ32i and the Emotional Quotient Inventory (Bar-On EQ-i. The correlation and regression results seem to indicate that stress management (the ability to cope with stress is a component of emotional intelligence, while stress can be either an input or an outflow of emotional intelligence or the lack thereof.

Why do managers allocate resources to workplace health promotion programmes in countries with national health coverage?

Science.gov (United States)

Downey, Angela M; Sharp, David J

2007-06-01

There is extensive evidence that worksite health promotion (WHP) programmes reduce healthcare costs and improve employee productivity. In many countries, a large proportion of healthcare costs are borne by the state. While the full benefits of WHP are still created, they are shared between employers and the state, even though the employer bears the full (after-tax) cost. Employers therefore have a lower incentive to implement WHP activity. We know little about the beliefs of managers with decision responsibility for the approval and implementation of WHP programmes in this context. This article reports the results of a study of the attitudes of Canadian senior general managers (GMs) and human resource managers (HRMs) in the auto parts industry in Ontario, Canada towards the consequences of increasing discretionary spending on WHP, using Structural Equation Modelling and the Theory of Planned Behaviour. We identified factors that explain managers' intentions to increase discretionary spending on wellness programmes. While both senior GMs and HRMs are motivated primarily by their beliefs that WHP reduces indirect costs of health failure, GMs were also motivated by their moral responsibility towards employees (but surprisingly HRMs were not). Importantly, HRMs, who usually have responsibility for WHP, felt constrained by a lack of power to commit resources. Most importantly, we found no social expectation that organizations should provide WHP programmes. This has important implications in an environment where the adoption of WHP is very limited and cost containment within the healthcare system is paramount.

The DOE technology development programme on severe accident management

International Nuclear Information System (INIS)

Neuhold, R.J.; Moore, R.A.; Theofanous, T.G.

1998-01-01

The US Department of Energy (DOE) is sponsoring a programme in technology development aimed at resolving the technical issues in severe accident management strategies for advanced and evolutionary light water reactors (LWRs). The key objective of this effort is to achieve a robust defense-in-depth at the interface between prevention and mitigation of severe accidents. The approach taken towards this goal is based on the Risk Oriented Accident Analysis Methodology (ROAAM). Applications of ROAAM to the severe accident management strategy for the US AP600 advanced LWR have been effective both in enhancing the design and in achieving acceptance of the conclusions and base technology developed in the course of the work. This paper presents an overview of that effort and its key technical elements

The International Hydrological Programme of UNESCO

Science.gov (United States)

Tejada-Guibert, J.

2007-12-01

UNESCO's International Hydrological Programme (IHP) is the only intergovernmental scientific program of the UN system on freshwater having a global scope. Since its inception in 1975, IHP has been at the forefront of international cooperation on water research and management, bringing together scientists, engineers, policy- makers, managers, and stakeholders. Currently there are over 160 National Committees for the IHP, including the US. During six successive phases, IHP has evolved into a transdisciplinary, action-oriented and policy- relevant program with a strong scientific core responding to the needs of the Member States. This presentation will address the concepts underpinning the strategic plan of the seventh phase of IHP (2008-2013) and the proposed lines of action. Adaptation to the impacts of global changes on river basins and aquifer systems is a theme central to this phase. Global changes associated with climate, demographic factors and modifications in land use, among other factors, can have significant impacts on the hydrological cycle and on water resources. Due to the global character of such changes, its potential interaction with the hydrological cycle, and the transboundary nature of many river basins and aquifers, international cooperation is essential to improve our understanding and to efficiently address the challenges posed to water resources. During IHP-VII, particularly stressed and/or vulnerable areas (i.e. arid and semi-arid regions, the Polar regions, glaciated mountainous, urban areas and coastal regions) will be assessed, with the aim of supporting the development of mitigation and adaptation strategies by Member States and policies based on institutional synergies to diminish stresses on water resources. Strengthening water governance for sustainability is another thematic concentration, emphasizing the need of society to be able to respond adequately to the critical freshwater challenges. Lessons learned from the cross

Adherence to internet-based mobile-supported stress management

DEFF Research Database (Denmark)

Zarski, A C; Lehr, D.; Berking, M.

2016-01-01

of this study was to investigate the influence of different guidance formats (content-focused guidance, adherence-focused guidance, and administrative guidance) on adherence and to identify predictors of nonadherence in an Internet-based mobile-supported stress management intervention (ie, GET.ON Stress......) for employees. Methods: The data from the groups who received the intervention were pooled from three randomized controlled trials (RCTs) that evaluated the efficacy of the same Internet-based mobile-supported stress management intervention (N=395). The RCTs only differed in terms of the guidance format...... of the predictors significantly predicted nonadherence. Conclusions: Guidance has been shown to be an influential factor in promoting adherence to an Internet-based mobile-supported stress management intervention. Adherence-focused guidance, which included email reminders and feedback on demand, was equivalent...

Challenges to a successful waste management programme

International Nuclear Information System (INIS)

Le Bars, Y.

2005-01-01

I have chosen to testify about my personal experience as a practitioner in the development and implementation of sensitive public policies and about some of the lessons I have learnt in various related fields. Those fields do not only include Andra, but also the exchanges from which I benefit within EDRAM, the club (that I currently chair) of agency directors responsible for those programmes, as well as within the Forum for Stakeholder Confidence (FSC) of the DECD/NEA. Last but not least, I would also introduce some lessons from my previous activities in the city planning, and in the management of water projects. In order to succeed, a sound policy relating to a sustainable radioactive-waste management must be able to take up a certain number of challenges. Three of those challenges seem essential to me: combining the technical and social aspects of the issue; organizing a suitable context in which the definition and the implementation of the policy will take place; and achieving a solid implementation locally. (author)

Work-related stress management between workplace and occupational health care.

Science.gov (United States)

Kinnunen-Amoroso, Maritta; Liira, Juha

2016-06-13

Work-related stress has been evaluated as one of the most important health risks in Europe. Prevention of work related stress and interventions to reduce risk factors for stress in the workplace are conducted together by the enterprise and occupational health services. The aim of the study was to examine the experiences of Finnish occupational physicians on the stress management with enterprises. From the Finnish Association of Occupational Health Physicians membership list 207 physicians responded to self-administered anonymous questionnaire. The data were analysed using SPSS 17.0. The client enterprises contacted occupational health services frequently about work-related stress. Collaboration between occupational health and enterprises was strongest in companies' own occupational health services and generally with most experienced physicians. Occupational health services and enterprises shared responsibility for managing work-related stress. Professional experience and close contact with organisation management favours successful stress management between occupational health and enterprises.

Impact of parental weight status on a school-based weight management programme designed for Mexican-American children.

Science.gov (United States)

Moreno, J P; Johnston, C A; Hernandez, D C; LeNoble, J; Papaioannou, M A; Foreyt, J P

2016-10-01

While overweight and obese children are more likely to have overweight or obese parents, less is known about the effect of parental weight status on children's success in weight management programmes. This study was a secondary data analysis of a randomized controlled trial and investigated the impact of having zero, one or two obese parents on children's success in a school-based weight management programme. Sixty-one Mexican-American children participated in a 24-week school-based weight management intervention which took place in 2005-2006. Children's heights and weights were measured at baseline, 3, 6 and 12 months. Parental weight status was assessed at baseline. Repeated measures anova and ancova were conducted to compare changes in children's weight within and between groups, respectively. Within-group comparisons revealed that the intervention led to significant decreases in standardized body mass index (zBMI) for children with zero (F = 23.16, P weight management programme appears to be most efficacious for children with one or no obese parents compared to children with two obese parents. These results demonstrate the need to consider parental weight status when engaging in childhood weight management efforts. © 2015 World Obesity.

Nuclear knowledge management in radioactive waste management programmes

International Nuclear Information System (INIS)

Vetere, Claudia L.; Gomiz, Pablo R.; Lavalle, Myriam; Masset, Elvira

2015-01-01

In late 2007, the Nuclear Knowledge Management (NKM) group of the Argentine Atomic Energy Commission (CNEA), understanding the need to preserve knowledge related with radioactive waste, formulated the CONRRaD Project with the aim of developing and implementing a sustainable knowledge management system. The CONRRaD Project was highly focused on minimising the loss of radioactive waste management knowledge related to processes and facilities as a consequence of staff ageing and retiring, promoting transfer and preservation so as to ensure that future generations interpret and improve the management of waste, protecting the environment and people's health. The National Programme for Radioactive Waste Management (NPRWM) has the responsibility of maintaining a documented record system to preserve the knowledge that is available and relates to the facilities for radioactive wastes treatment, conditioning, packaging, storing and disposal of low-level radioactive wastes. The STOReR system has been designed with the aim of ensuring traceability through all the steps of radioactive waste management from generation to storage or disposal. Apart from upgrading an application in use since 2001, the new software includes improvements in the inventory calculations according to the current regulations. Basically, the system consists of two applications. One application called PAGE is on the Net and it is available for the producers. These producers are the facilities that generate radioactive waste as a consequence of their normal operation. PAGE enables the producers to access all the services provided by AGE more easily. Not only are producers the users of PAGE, but there are also authorised owners of radioactive sources and devices because AGE provides transitory or permanent storage of these elements. The other application called STOReR is the main one which provides the capabilities needed to support the whole system, such as the databases storage and management. STORe

Spanish recruitment programmes for Latin Americans in countries of origin: a flexible management framework

Directory of Open Access Journals (Sweden)

Ana Mª López-Sala

2014-09-01

Full Text Available In the past decade, countries whose markets needed seasonal labour have sought new ways of importing foreign workers through channelling and recruitment programmes in countries of origin. This article seeks to demonstrate that, in the case of Spain, the effective development of this process has only been possible because of a flexible and dynamic system in which bilateral agreements have played a major role, among them those signed with some Latin American countries. Flexible management of these programmes has been implemented via legislation, via the institutions and actors involved, and via the immigrants themselves, who have managed (or been forced to adapt to the changes of a labour market conditioned by the globalisation of labour and capital.

Stress Testing as a Tool of Bank Risk Management

Directory of Open Access Journals (Sweden)

Antonyuk Oksana I.

2013-12-01

Full Text Available The goal of the article is development of theoretical, methodological and practical recommendations on the use of stress testing by Ukrainian commercial banks. Stress testing is defined as a part of bank risk management on the basis of scientific studies of domestic and foreign scientists. The article marks the essence of the bank stress testing and identifies its role in the structure of banks’ risk management in Ukraine. It considers goals of conducting stress testing in banking institutions. It identifies main aspects and specific features of conducting stress testing of bank risks. It characterises main advantages and shortcomings of use of stress testing in the modern bank risk management. It generalises the world and European approaches to the methods of conducting stress testing in commercial banks in comparison with the Ukrainian methodical recommendations. It shows that results of stress testing have practical value, since they help to preliminary assess influence of potentially negative events upon the state of the loan portfolio of the bank and make relevant managerial decisions.

THE INFLUENCE OF ORGANISATIONAL CULTURE ON THE TOTAL QUALITY MANAGEMENT PROGRAMME PERFORMANCE

Directory of Open Access Journals (Sweden)

Roldán, José L.

2012-09-01

Full Text Available This paper aims to examine the relationships between different types of cultures and effectiveness in Total Quality Management (TQM implementation. Using Cameron’s framework, we have tested the connection between a quality culture taxonomy and TQM programme performance using data from a survey carried out with 113 Spanish companies that have implemented TQM systems. A structural equation modelling is proposed to assess the links between both types of constructs using the Partial Least Squares (PLS technique. The most substantial results confirm, in the sample analysed, the relationship between quality culture types and the TQM programme performance, and there being different influence levels of the quality cultures.

Leadership and management for an effective radiation protection programme: A study on open cast diamond mining in Lesotho

International Nuclear Information System (INIS)

Thetha, Pakeng

2016-04-01

Leadership and Management system commitment to safety is recognised as a fundamental component of an organisation's safety culture. This study focuses on how organisations can integrate leadership and management in achieving an effective radiation protection programme (RPP), in Lesotho's diamond mining industry. The study made a comparative analysis of relevant studies made on similar open pit mines and industries around the world. The findings suggest that, leaders and managers should ensure that prior radiological assessment is done in order to streamline the radiation protection programme to satisfy the needs of the individual mining companies thus making it more effective. Furthermore there is a need to ensure that leadership and management are integrated at every level of the organization in the implementation of the RPP. Lesotho Diamond Mining industry has no radiation protection programme in place thus its effectiveness could not be assessed. Leaders and managers should be involved at all levels of the organization from site specific radiological evaluation, design, funding, training and implementation of the RPP. Senior managers, supervisors and workers have the responsibility to ensure the protection of those occupationally exposed the public, the environment and future generations by implementing the RPP effectively and efficiently. (au)

Saltwell PIC Skid Programmable Logic Controller (PLC) Software Configuration Management Plan

International Nuclear Information System (INIS)

KOCH, M.R.

1999-01-01

This document provides the procedures and guidelines necessary for computer software configuration management activities during the operation and maintenance phases of the Saltwell PIC Skids as required by LMH-PRO-309/Rev. 0, Computer Software Quality Assurance, Section 2.6, Software Configuration Management. The software configuration management plan (SCMP) integrates technical and administrative controls to establish and maintain technical consistency among requirements, physical configuration, and documentation for the Saltwell PIC Skid Programmable Logic Controller (PLC) software during the Hanford application, operations and maintenance. This SCMP establishes the Saltwell PIC Skid PLC Software Baseline, status changes to that baseline, and ensures that software meets design and operational requirements and is tested in accordance with their design basis

music performance as a therapy for managing stress amongst

African Journals Online (AJOL)

USER

performance as therapy would be a vital tool for managing stress amongst the .... work with the elderly, processing and relaxation work, and rhythmic entrainment for .... male and female lecturers on the strategies for stress management using.

Managing work-related stress in the district nursing workplace.

Science.gov (United States)

Burke, Michelle

2013-11-01

This article aims to highlight the issue of work-related stress within the district nursing workplace. It will acknowledge how the management of work-related stress has previously been discussed within nursing literature and will consider the emerging relationship between staff working conditions, staff wellbeing and quality of patient care. It will reintroduce the Health and Safety Executive's (HSE's) Management Standards approach to tackling work-related stress, which provides management support to reduce environmental work stressors and encourage enabling work environments and a positive workplace culture.

Patients' experiences of a multidisciplinary team-led community case management programme: a qualitative study.

Science.gov (United States)

Gowing, Alice; Dickinson, Claire; Gorman, Tom; Robinson, Louise; Duncan, Rachel

2016-09-09

To explore the views and experiences of patients on the care they have received while enrolled on the Northumberland High Risk Patient Programme (NHRPP). This programme involved case finding of frail patients using a multidisciplinary team (MDT)-led community case management programme, and support of patients through care planning and regular reviews using primary, community, secondary and social care professionals. A qualitative study using semistructured interviews, which were digitally recorded, transcribed and subject to thematic analysis. Community patients receiving primary care in the county of Northumberland, England. 23 participants took part, of which 16 were patients enrolled on the NHRPP, and 7 carers. GP practices were selected purposively by size, deprivation and location, and patients identified and invited by General Practitioners to participate. 4 main themes emerged from the data: awareness and understanding of the NHRPP, confidence in the primary healthcare team, limitations of home care and the active role of being a patient. Despite having a low level of awareness of the details of the NHRPP, participants did think that its broad aim made sense. Participants discussed their high level of satisfaction with their care and access to team members. However, some limitations of alternatives to hospital care were identified, including the need to consider psychological as well as medical needs, the importance of overnight care and the needs of those without informal carers. Finally, participants discussed the active nature of being a patient under the NHRPP if they were to contribute fully to planning and managing their own care. This study has identified that a programme of MDT-led case management was generally very well received by patients and their families. However, a number of factors were identified that could improve the implementation of the programme and further research needs to be undertaken to address these. Published by the BMJ

A disease management programme for patients with diabetes mellitus is associated with improved quality of care within existing budgets.

Science.gov (United States)

Steuten, L M G; Vrijhoef, H J M; Landewé-Cleuren, S; Schaper, N; Van Merode, G G; Spreeuwenberg, C

2007-10-01

To assess the impact of a disease management programme for patients with diabetes mellitus (Type 1 and Type 2) on cost-effectiveness, quality of life and patient self-management. By organizing care in accordance with the principles of disease management, it is aimed to increase quality of care within existing budgets. Single-group, pre-post design with 2-year follow-up in 473 patients. Substantial significant improvements in glycaemic control, health-related quality of life (HRQL) and patient self-management were found. No significant changes were detected in total costs of care. The probability that the disease management programme is cost-effective compared with usual care amounts to 74%, expressed in an average saving of 117 per additional life year at 5% improved HRQL. Introduction of a disease management programme for patients with diabetes is associated with improved intermediate outcomes within existing budgets. Further research should focus on long-term cost-effectiveness, including diabetic complications and mortality, in a controlled setting or by using decision-analytic modelling techniques.

Nuclear waste management in Finland. Final report of public sector's research programme JYT2001 (1997-2001)

International Nuclear Information System (INIS)

Rasilainen, K.

2002-05-01

According to Finnish nuclear energy legislation, each producer of nuclear waste is responsible for the safe handling, management, and disposal of its waste, as well as for the costs arising. The Posiva company, owned by the nuclear energy-producing power companies, is in charge of spent nuclear fuel management in Finland. The authorities supervise the management of nuclear waste and issue regulations for this purpose. In these demanding tasks the authorities have been supported by the Public Sector's Research Programme on Nuclear Waste Management (JYT2001). The objective of JYT2001 was to provide the authorities with independent expertise and research results relevant to the safety of nuclear waste management. Emphasis was placed on the geological disposal of spent nuclear fuel. The research area was divided into (1) technical studies on the safety of spent fuel disposal, and (2) social science studies related to nuclear waste management. The technical studies covered bedrock behaviour, the hydrogeology and geochemistry of the bedrock, the stability of the bentonite buffer, and the migration of radionuclides in the bedrock. In addition, performance assessment methodology was covered, as well as waste management technologies and costs. The social science studies were focussed on observing the Decision in Principle (DiP) process including the Environmental Impact Assessment (EIA), and media issues related to the spent fuel disposal facility. JYT2001 provided considerable support to the authorities in helping them deal with technical and social science questions. The Government's positive Decision in Principle (DiP) on Posiva's application for a spent fuel disposal facility in Eurajoki was ratified by Parliament in May 2001. The existence of a credible JYT2001 programme, independent of Posiva, obviously contributed to the high level of public confidence in the Finnish nuclear waste management programme. According to the schedule of the Finnish nuclear waste management

An Innovative Supply Chain Management Programme Structure: Broadening the SCM Skill Set

Science.gov (United States)

Okongwu, Uche

2007-01-01

This paper proposes a matrix structure for training Supply Chain Management (SCM) professionals. It is an innovative programme structure that combines two approaches: cross-border and inter-organisational. It enables the students to comprehend complex and specific business environments and to understand the diverse nature of SCM systems in both…

A qualitative study of patients' experiences of participating in SPACE for COPD: a Self-management Programme of Activity, Coping and Education.

Science.gov (United States)

Apps, Lindsay D; Harrison, Samantha L; Mitchell, Katy E; Williams, Johanna E A; Hudson, Nicky; Singh, Sally J

2017-10-01

The aim of this study was to understand experiences of participation in a supported self-management programme for chronic obstructive pulmonary disease (COPD). There is a wealth of clinical trials examining the outcomes of self-management interventions for individuals with COPD, but current understanding regarding patients' perspectives of such complex interventions is limited. Further insight may help to tailor self-management interventions and maximise patient engagement. Semi-structured interviews were conducted with individuals participating in a self-management programme, SPACE for COPD. Interviews took place at 6 weeks and 6 months following the programme. Data were analysed at each time point using inductive thematic analysis, and subsequently re-examined together. 40 interviews were undertaken and four themes emerged from the analysis: perceptions of the programme; lifestyle changes; social support; and disrupting factors and barriers to maintaining routines. SPACE for COPD was acceptable to participants in this study. The importance of education and social support was emphasised at both time points studied, but there were challenges such as comorbidities, ill health of family members and limited maintenance of exercise behaviours over the longer term. Further consideration of the role of carers and partners may help to improve adherence to self-management programmes once healthcare professional support has stopped.

Eu-funded nuclear research on plant life management in the 4. and 5. framework programme

International Nuclear Information System (INIS)

Lemaitre, P.; Van Goethem, G.

2001-01-01

In this paper an overview will be given of the European Union EURATOM research in the field of plant life management and ageing of structural components. The results obtained so far in the projects executed under the 5. framework programme (FP-5/1999-2002) will be presented and discussed in detail. The objectives of the 5. framework programme, which is end-user driven, are: 1) to develop a common basis for the continued safe operation and prolonging the safe operational life-spans of existing nuclear installations; 2) to develop better methods for their inspection, maintenance and management (both in terms of performance and occupational exposure). The following three sections were proposed under this heading of the work programme: Integrity of equipment and structures, on-line monitoring, inspection and maintenance, and organisation and management of safety. Besides the traditional technological challenges, socio-economic concerns are also taken on board, such as public acceptance and cost of the nuclear option as well as plant simplification and man-technology-organisation interaction. An additional challenge for the EU consists of the enlargements process towards Central and Eastern European Countries in the coming years. Therefore FP5 pays attention also to plant safety assessments of VVER reactors and to the spreading of the new safety culture in these candidate countries in co-operation with similar activities run at the Commission especially under the programmes of Tacis/Phare and of the Joint Research Centre (JRC). In the area of plant life management so far 18 projects have been selected for funding by the European Commission. Most of them are costs shared actions, which means that the European Commission on the one hand and the project partners on the other hand provide each 50 % of the necessary funding. The total contract value of the selected projects is about 18 million euros. (authors)

Eu-funded nuclear research on plant life management in the 4. and 5. framework programme

Energy Technology Data Exchange (ETDEWEB)

Lemaitre, P.; Van Goethem, G. [European Commission, Dir. General Research, Bruxelles (Belgium)

2001-07-01

In this paper an overview will be given of the European Union EURATOM research in the field of plant life management and ageing of structural components. The results obtained so far in the projects executed under the 5. framework programme (FP-5/1999-2002) will be presented and discussed in detail. The objectives of the 5. framework programme, which is end-user driven, are: 1) to develop a common basis for the continued safe operation and prolonging the safe operational life-spans of existing nuclear installations; 2) to develop better methods for their inspection, maintenance and management (both in terms of performance and occupational exposure). The following three sections were proposed under this heading of the work programme: Integrity of equipment and structures, on-line monitoring, inspection and maintenance, and organisation and management of safety. Besides the traditional technological challenges, socio-economic concerns are also taken on board, such as public acceptance and cost of the nuclear option as well as plant simplification and man-technology-organisation interaction. An additional challenge for the EU consists of the enlargements process towards Central and Eastern European Countries in the coming years. Therefore FP5 pays attention also to plant safety assessments of VVER reactors and to the spreading of the new safety culture in these candidate countries in co-operation with similar activities run at the Commission especially under the programmes of Tacis/Phare and of the Joint Research Centre (JRC). In the area of plant life management so far 18 projects have been selected for funding by the European Commission. Most of them are costs shared actions, which means that the European Commission on the one hand and the project partners on the other hand provide each 50 % of the necessary funding. The total contract value of the selected projects is about 18 million euros. (authors)

Changes to the way support programme tasks are managed in the IAEA's Department of Safeguards

International Nuclear Information System (INIS)

Khlebnikov, N.; Hamilton, A.

2001-01-01

Full text: The Department of Safeguards and the 16 Member State Support Programmes jointly manage about 250 tasks. Recently, in response to a number of events, the Department has reorganized the manner in which these tasks are proposed and managed. The presentation and paper will document the following: The need to change - Although there have been a number of significant successes it has been recognised that both the way in which tasks are proposed and the management of tasks could be better performed. In particular the Report of the External Auditor 1999 stated the following: With respect to the R and D Programme the Agency 'has had difficulty in defining and prioritising tasks'; 'Ideas for tasks have come from operational units but not always in a coordinated manner'; 'I support the Agency's consideration of a move towards more centralised planning of task priorities' and the application of the 'general principles of good programme or project management. The tone of these comments was generally repeated by Member State Support Programme Co-ordinators at their meeting in November 1999 and by the Programme Performance Assessment System Report on Equipment Development. Of course the Department already knew that improvements could be made. The 'old' system - Prior to the changes three structures dominated the organisation. Firstly, a task approval process that did not allow for the application of the Department's priorities in a coordinated manner. Each task proposal was judged on its individual merits. Secondly, the distribution of task management responsibilities throughout the Department again did not allow easy coordination. Finally the focus on Member State task review meetings which did not allow the coordination of tasks in a particular subject area. The consequences of this were almost certainly the duplication of tasks, the performance of the wrong tasks and poor prioritisation of work. All at a time when the Department was generally short of resources. The

Effectiveness of stress management training on stress reduction in pregnant women

Directory of Open Access Journals (Sweden)

Mahboobeh Shirazi

2016-10-01

Full Text Available Background: There are evidences that suggest the impact of stress on pregnancy outcome. Prolong antenatal depression and anxiety may cause lots of adverse pregnancy outcomes such as abortion, still birth, low birth weight and preterm labor. The aim of this pre-posttest randomized control trial study was to determine the role of stress management training in the first trimester on stress reduction in pregnant women referring to General Yas Women Hospital related to Tehran University of Medical Sciences in Tehran, Iran, from May 2014 to January 2016. Methods: Anxiety status of 75 pregnant women in the first trimester was assessed by standard anxiety questioner using Hamilton anxiety rating score. Scores 18-25, 25-35 and >35 were considered for mild, moderate and severe anxiety, respectively. According to the level of anxiety, women with moderate and severe anxiety as the interventional group were arranged for participation in stress management workshops, applying mindfulness technique including: body scan, setting meditation and passing thought technique in 5 an hour sessions. For this experimental group were made available CD training for practicing lessons during the week. All groups didn’t need to medical treatment according to the psychiatrist interview. In the ending of therapy, clinical groups were assessed by anxiety scale again. Women with mild anxiety as the control group received only regular prenatal care without any psychological interventions. The validity and reliability of questioner were approved by experts in this field. This research was supported by Tehran University of Medical Sciences and Health Services grant and also the study approved by ethics committee of Tehran University of Medical Sciences. Data were analyzed using the statistical software SPSS version 18, and Student’s t-test analyses were performed. Results: The level of anxiety and stress was decreased significantly between women in clinical groups, 27.5 to 14

The European Communities' research programme on management of low and intermediate level wastes

International Nuclear Information System (INIS)

Simon, R.; Cecille, L.

1989-01-01

In the European Communities' third R and D programme on Management and Disposal of Radioactive Wastes a large number of projects have been commissioned to develop treatment and conditioning processes for low and intermediate level wastes and to qualify the conditioned waste forms. The paper presents the main objectives of this research and summarizes some of the more important studies. In liquid waste treatment, the research includes processes to separate actinides by new extractive methods and application of selective inorganic ion exchangers as well as electrochemically controlled ion exchange processes and a series of purification methods involving membrane techniques. The most important issue of solid waste management in the programme is the treatment and conditioning of plutonium containing wastes, for which a strategic study had been commissioned to optimize the choice between different treatment and conditioning options. Processes being studied include two advanced decontamination techniques and a variety of conditioning methods for incinerator ash and fuel element hulls. Another task of the programme is devoted to the qualification of waste forms. This comprises the characterization of the most common low and intermediate level waste products with respect to leaching, waste form stability, radiation resistance and compatibility with the respective disposal environments. In the course of the programme, the development of methods for quality assurance and in particular quality control has become an important issue: the control of the nuclide inventory, of the chemical composition of the wastes and of the correct operation of treatment and conditioning processes is being investigated in special laboratories. (author). 21 refs, 4 tabs

Management of uncertainties and the role of risk in Andra programme

International Nuclear Information System (INIS)

Grevoz, A.

2004-01-01

This paper aims at presenting some aspects of the management of uncertainties in the programmes of Andra for the study of a deep geological repository for high level, long-lived wastes. After presenting very briefly the context of risk-management in the French safety rules, it will discuss how Andra has attempted to link the notions of uncertainties and risk in its 'Dossier 2001' for the clay medium, how this could be made compatible with a deterministic safety approach, what feedback it got from this first exercise, and what are the perspectives for future work. (author)

Mindfulness training for stress management: a randomised controlled study of medical and psychology students.

Science.gov (United States)

de Vibe, Michael; Solhaug, Ida; Tyssen, Reidar; Friborg, Oddgeir; Rosenvinge, Jan H; Sørlie, Tore; Bjørndal, Arild

2013-08-13

Distress and burnout among medical and psychology professionals are commonly reported and have implications for the quality of patient care delivered. Already in the course of university studies, medicine and psychology students report mental distress and low life satisfaction. There is a need for interventions that promote better coping skills in students in order to prevent distress and future burnout. This study examines the effect of a seven-week Mindfulness-Based Stress Reduction (MBSR) programme on mental distress, study stress, burnout, subjective well-being, and mindfulness of medical and psychology students. A total of 288 students (mean age = 23 years, 76% female) from the University of Oslo and the University of Tromsø were randomly allocated to an intervention or control group. The control group continued with their standard university courses and received no intervention. Participants were evaluated using self-reported measures both before and after the intervention. These were: the 'General Health Questionnaire, Maslach Burnout Inventory Student version, Perceived Medical School Stress, Subjective Well-being, and Five Facet Mindfulness Questionnaire' and additional indices of compliance. Following the intervention, a moderate effect on mental distress (Hedges'g 0.65, CI = .41, .88), and a small effect on both subjective well-being (Hedges'g 0.40, CI = .27, .63) and the mindfulness facet 'non-reacting' (Hedges'g 0.33, CI = .10, .56) were found in the intervention group compared with the control group. A higher level of programme attendance and reported mindfulness exercises predicted these changes. Significant effects were only found for female students who additionally reported reduced study stress and an increase in the mindfulness facet 'non-judging'. Gender specific effects of participation in the MBSR programme have not previously been reported, and gender differences in the present study are discussed. Female medical and psychology

A Systematic Review of Stress-Management Programs for Medical Students

Science.gov (United States)

Shiralkar, Malan T.; Harris, Toi B.; Eddins-Folensbee, Florence F.; Coverdale, John H.

2013-01-01

Objective: Because medical students experience a considerable amount of stress during training, academic leaders have recognized the importance of developing stress-management programs for medical students. The authors set out to identify all controlled trials of stress-management interventions and determine the efficacy of those interventions.…

Managing Stress to Control High Blood Pressure

Science.gov (United States)

... Aortic Aneurysm More Managing Stress to Control High Blood Pressure Updated:Jan 29,2018 The importance of stress ... This content was last reviewed October 2016. High Blood Pressure • Home • Get the Facts About HBP • Know Your ...

Assessing the Food Safety Attitudes and Awareness of Managers of School Feeding Programmes in Mpumalanga, South Africa.

Science.gov (United States)

Sibanyoni, J J; Tabit, F T

2017-08-01

The managers of school feeding programmes are responsible for ensuring the safety of the food which is provided to schoolchildren, but very few studies have been conducted on the food safety knowledge and awareness of these managers. The objective of this study is to evaluate the food safety attitudes and awareness of managers of the National School Nutrition Programme (NSNP) in schools in Mpumalanga, a province of South Africa. A cross-sectional survey study was conducted in which questionnaires were used to collect data from 300 NSNP food service managers. The majority of schools offering NSNP meals were located in informal settlements and most were found to lack basic resources such as electricity (power supplies to the food preparation facility) and potable tap water in their kitchens. No school was found to have implemented the hazard analysis and critical control points (HACCP) programme, and only a few staff had received food safety training. Food safety implementation is worst in informal schools in rural areas due to limited resources and infrastructure. The NSNP food service managers in some schools-especially those located in rural settlements-were found to have little knowledge and awareness of HACCP. These results indicate an urgent need to provide NSNP managers with food safety training and resources (potable water supplies, electricity, dedicated food preparation facilities), particularly in schools in rural settlements.

Web system for dosimetric data management of internal monitoring programme at IPEN

International Nuclear Information System (INIS)

Lima, Vanesa R. de; Rodriguez Junior, Orlando; Todo, Alberto S.

2008-01-01

Full text: The internal monitoring programme are carried out for the occupationally exposed workers that develop activities in the radioisotope production plant, fuel cycle facilities, waste management installations, cyclotron and the reactor facility at Institute of Nuclear Energy and Research (IPEN). According to the National Nuclear Energy Commission (CNEN), Regulation NN-3.01, the dose of each worker should be maintained at least for a period of 30 years. With this purpose, an online system, called 'IntDosWeb', was developed with the objective of the management for data dosimetric of internal monitoring programme. The system IntDosWeb, based on free software, was developed in programming language PHP and environment database PostgreSQL. This system is to be available at the local net, Intranet. The database maintains information about identification of the worker that handles non-sealed radioactive sources, physical and chemical characteristics of the radionuclides, monitoring types, measurement data and the dose. This system is able to generate annual reports of the individuals and the historical dose. Several simulation cases have been put into effect to check the on-line software functional capabilities. The users can access the dosimetric information according to following database field: monitoring period, monitoring type, intake pattern, radionuclide type and monitoring data from a specific installation or from each worker. The system was tested in the routinely service of internal dosimetry at IPEN. The rastreability of the information made in the internal monitoring programme was a success and also guaranteeing the reliability and integrity of the stored information. The IntDosWeb was shown as a helpful tool for analysis of the committed effective dose in the radiation protection programme, besides obeying the legal demands of the Brazilian Regulatory Commission. (author)

Psychosocial behaviour management programme for home-dwelling people with dementia: A cluster-randomized controlled trial.

Science.gov (United States)

Nakanishi, Miharu; Endo, Kaori; Hirooka, Kayo; Granvik, Eva; Minthon, Lennart; Nägga, Katarina; Nishida, Atsushi

2018-03-01

Little is known about the effectiveness of a psychosocial behaviour management programme on home-dwelling people with dementia. We developed a Behaviour Analytics & Support Enhancement (BASE) programme for care managers and professional caregivers of home care services in Japan. We investigated the effects of BASE on challenging behaviour of home-dwelling people with dementia. A cluster-randomized controlled trial was conducted with home care providers from 3 different districts in Tokyo. Each provider recruited persons with dementia aged 65 years or older to receive home care in the BASE programme in August 2016. An online monitoring and assessment system was introduced to the intervention group for repeated measures of challenging behaviour with a total score of the Neuropsychiatric Inventory. Care professionals in both the intervention and control groups evaluated challenging behaviour of persons with dementia at baseline (September 2016) and follow-up (February 2017). A majority of persons with dementia had Alzheimer disease (59.3%). One-hundred and forty-one persons with dementia were included in the intervention group and 142 in the control group. Multilevel modelling revealed a significant reduction in challenging behaviour in the intervention group after 6 months (mean score, 18.3 to 11.2) compared with that of the control group (11.6 to 10.8; P dwelling people with dementia. Future research should examine the long-term effects of behaviour management programmes on behaviour, nursing home placement, and hospital admission of home-dwelling people with dementia. Copyright © 2017 John Wiley & Sons, Ltd.

Radiological impact of the management of radioactive waste arising from the Argentine Nuclear Programme

International Nuclear Information System (INIS)

Migliori de Beninson, A.; Cancio, D.

1984-01-01

The Argentine nuclear programme, as it stands at present, provides for the construction of four nuclear power plants in addition to those of Atucha I and Embalse and for the establishment of such fuel cycle facilities as are required to supply all of these plants. This paper evaluates the radiological impact (collective dose commitment) expected from the management of the radioactive wastes arising in the facilities mentioned above throughout the useful life of the reactors. The maximum individual doses to be expected as a result of the planned high-level-waste repository are also estimated. The evaluations presented are partly specific to the sites under consideration, but they also include estimates of the total collective dose commitments resulting from the management of radioactive waste under the Argentine nuclear programme. (author)

Public relations and political support in area-wide integrated pest management programmes that integrate the sterile insect technique

International Nuclear Information System (INIS)

Dyck, V.A.; Regidor Fernandez, E.E.; Reyes Flores, J.; Teruya, T.; Barnes, B.; Gomez Riera, P.; Lindquist, D.; Reuben, R.

2005-01-01

The public relations component of area-wide integrated pest management (AW-IPM) programmes that integrate the sterile insect technique (SIT) has a large impact on programme success. Full-time professionals should direct public relations activities and secure vital political support from governments and community organizations. Good communication among programme staff, and between programme staff and the public, is required to maintain participation and support, and to keep the work goal-oriented even when some programme activities are controversial. The media can be valuable and effective partners by informing the public about the real facts and activities of a programme, especially if this is done in a non-technical and straightforward way. Ongoing research support improves the programme technology, provides technical credibility on contentious issues, and solves operational problems. Programme failure can result from poor public relations and inadequate public support. (author)

Stress and ways of coping among nurse managers: An integrative review.

Science.gov (United States)

Labrague, Leodoro J; McEnroe-Petitte, Denise M; Leocadio, Michael C; Van Bogaert, Peter; Cummings, Greta G

2018-04-01

To appraise and synthesise empirical studies examining sources of occupational stress and ways of coping utilised by nurse managers when dealing with stress. The Nurse Manager's role is challenging yet draining and stressful and has adverse consequences on an individual's overall health and well-being, patients' outcomes and organisational productivity. Considerable research has been carried out; however, an updated and broader perspective on this critical organisational issue has not been performed. An integrative review. Five databases (Cumulative Index to Nursing and Allied Health Literature, SCOPUS, PubMed, PsychINFO and MEDLINE) were searched to identify relevant articles. Search terms and MeSH terms included: "charge nurse," "coping," "coping strategy," "coping style," "psychological adaptation," "psychological stress," "stressors," "nurse manager" and "unit manager." Twenty-two articles were included in this review. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guidelines. Four themes were identified: moderate stress levels, common sources of stress, ways of coping and the impact of nurses' characteristics on stress. Nurse managers experienced moderate levels of stress mainly from heavy workloads, lack of resources and financial responsibilities. Enhancing social support and promoting job control were seen as important in reducing work stress and its related consequences. Additional studies using a more rigorous method and a larger sample size preferably in multicultural settings would shed more light on this topic. Hospital and nurse administrators play an important role in promoting supportive structures for daily professional practice for nurse managers through staffing, organisational resources, support services, leadership and stress management training. © 2017 John Wiley & Sons Ltd.

Formation and Use of Stress Management Systems in Enterprises

Directory of Open Access Journals (Sweden)

Honchar Mykhailo F.

2017-12-01

Full Text Available In the article there developed a typology of factors of forming and using stress management systems in enterprises that implies their division into factors of direct and indirect impact. The first group includes the factor of the management system as a whole, competence of the staff, information support, goals and tasks of stress management, temporary orientation of systems of stress management and its object. In turn, the factors of indirect impact include the level and scale of the enterprise’s activities, stability of the functioning environment, organizational culture, psychological management features, organizational communications, stakeholder interests, social responsibility, and corporate image. Knowledge and understanding of such factors contributes to a more thorough diagnosis of processes within these systems, as well as selection of an adequate model of managerial behavior. In addition, the results provide an opportunity to optimize the parameters of stress management systems based on identification of the level of influence of each of these factors. It is concluded that most of the factors in forming and using stress management systems in enterprises are those that are purposefully exposed to influence on the part of the organization, for example, by making decisions, attracting additional resources, increasing the competence of the staff, reviewing the terms of contracts with partners, changing methods of performing work, etc. This is due to the fact that most of the factors considered are factors of the internal environment.

Development of Verbal Expressive Skills Management Programme (VESMP for Patients with Brocas Aphasia

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Humaira Shamim

2017-06-01

Full Text Available Introduction: Disorders of communication, including aphasia (mainly post stroke caused by the left hemisphere brain damage, is a major community health issue. The prevalence of aphasia after stroke is 25% in Pakistan in which Broca’s aphasia is predominant in stroke patients who have anterior lesion in the frontal lobe of the left hemispheres. The verbal expressive skills management programme (VESMP is the software which developed augmented management for patients to enhance verbal expressive skills for patients with severe Broca’s aphasia from different geographic areas. Moreover, the software increases the independencies which are not observed in other traditional techniques. This study is the pathway for maintaining and improving the functional life of patients. Objectives: The main objective was to develop the verbal expressive skills management programme (VESMP to enhance verbal expressive skills of patients with severe Broca’s aphasia. Methodology: Initially a pilot study with eight cases is carried out. The nonprobability purposive sampling technique was used to recruit the patients with severe aphasia who received therapy through VESMP programme on their smart phones. It contains seven domains: spontaneous speech, comprehension, naming, reading, writing, imitation, and automated speech. The programme was developed in Urdu language and its content was selected from grade three Urdu Punjab text books. The program was then updated with the help of guidance and feedback received from five experts of the relevant field. The patients scoring is recorded for each domain on basis of correct responses. The study was conducted in YUSRA general hospital and Pakistan Railway Hospital, Rawalpindi. The study includes patients that are 40+ years old, and have three months of post stroke with diagnosis of chronic Broca’s Aphasias, patients with severe cognitive impairment were excluded from the study. The pre-and post score was recorded for each

Planning and management support for NPP personnel SAT-based training programmes

International Nuclear Information System (INIS)

Ziakova, M.

1998-01-01

This paper deals with planning and management support for NPP personnel SAT based training programmes based on IAEA TC Project SLR/0/003 on upgrading NPP personnel training, with the aim of upgrading NPP safety and reliability of NPP operation and maintenance. The costs needed include both Slovak and IAEA sources. Five stages of the Project are defined: planning; organizing; motivating; implementation; control, review and accountability

Identification of the factors associated with outcomes in a Condition Management Programme

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Demou Evangelia

2012-10-01

Full Text Available Abstract Background A requirement of the Government’s Pathways to Work (PtW agenda was to introduce a Condition Management Programme (CMP. The aim of the present study was to identify the differences between those who engaged and made progress in this telephone-based biopsychosocial intervention, in terms of their health, and those who did not and to determine the client and practitioner characteristics and programme elements associated with success in a programme aimed at improving health. Methods Data were obtained from the CMP electronic spreadsheets and clients paper-based case records. CMP standard practice was that questionnaires were administered during the pre- and post-assessment phases over the telephone. Each client’s record contains their socio-demographic data, their primary health condition, as well as the pre- and post-intervention scores of the health assessment tool administered. Univariate and multivariate statistical analysis was used to investigate the relationships between the database variables. Clients were included in the study if their records were available for analysis from July 2006 to December 2007. Results On average there were 112 referrals per month, totalling 2016 referrals during the evaluation period. The majority (62.8% of clients had a mental-health condition. Successful completion of the programme was 28.5% (575 “completers”; 144 “discharges”. Several factors, such as age, health condition, mode of contact, and practitioner characteristics, were significant determinants of participation and completion of the programme. The results showed that completion of the CMP was associated with a better mental-health status, by reducing the number of clients that were either anxious, depressed or both, before undertaking the programme, from 74% to 32.5%. Conclusions Our findings showed that an individual's characteristics are associated with success in the programme, defined as completing the intervention

Developing international alumni activities in Mikkeli University of Applied Sciences : Case Business Management degree programme

OpenAIRE

Honkaniemi, Meri

2014-01-01

My thesis focuses on international alumni activities in Mikkeli University of Applied Sciences. My aim was to find development ideas and recommendations for the international side of the alumni activities. I intended to offer realistic suggestions enough in order to make them work in practice too. I put also my effort on finding recommendations for Business Management programme, because I wanted to make sure that international alumni activities get attention in degree programme level too. ...

Stress Management in the Workplace. WBGH Worksite Wellness Series.

Science.gov (United States)

Jaffe, Dennis T.; And Others

This paper on designing and implementing a stress management program in the workplace begins by defining stress. A brief overview of the relationship of stress to health and personal style follows. The subsequent discussion of the relationship between stress and work focuses on these topics: work contributes to stress; stress affects work…

Intervention for hazardous alcohol use and high level of stress in university freshmen: a comparison between an intervention and a control university.

Science.gov (United States)

Andersson, Claes; Johnsson, Kent O; Berglund, Mats; Ojehagen, Agneta

2009-12-11

The first year of university studies is associated with increased levels of alcohol drinking and stress. This study examines the one-year outcome of both primary and secondary interventions of one alcohol programme and one stress intervention programme at an intervention university in comparison with a control university. At the intervention university all freshmen were offered a primary prevention programme for hazardous alcohol use and stress management and, in addition, those who had high ratings for stress and/or hazardous alcohol use were offered a secondary intervention programme for alcohol consumption and/or stress management. Freshmen still attending the two universities one year later responded to follow-up questionnaires. The primary alcohol and stress interventions were associated with lower alcohol expectancies and mental symptoms, but no differences in AUDIT scores (-0.2, CI 95% -0.5 to 0.1), estimated blood alcohol concentrations or stress in comparison to freshmen at the control university. The secondary alcohol interventions were associated with decreased AUDIT (-1.1, CI 95% -2.0 to -0.2) as well as alcohol expectancies, blood alcohol concentrations, stress and mental symptoms in comparison to high-risk freshmen at the control university. The secondary stress interventions were associated with decreased mental symptoms and alcohol expectancies, but not stress, AUDIT scores (-0.6, CI 95% -1.4 to 0.2) and blood alcohol concentrations in comparison to high-risk freshmen at the control university. This study suggests that both primary and secondary alcohol and stress interventions have 1-year effects in university freshmen and could be implemented in university settings.

[Options for stress management in obesity treatment].

Science.gov (United States)

Czeglédi, Edit

2016-02-14

Overeating and physical inactivity are of great importance in the etiology of obesity. Psychological factors are often found in the background of life style. Chronic stress can contribute to physical inactivity and behaviors that hinder the keeping of a diet (e.g., irregular eating pattern, emotional eating). Results of randomized controlled trials show that relaxation can reduce emotional eating, improve cognitive restraint, and thereby reduce weight. However, stress management is more than relaxation. It consists of adaptive emotion-focused and problem-focused coping strategies and skills to improve relationships. Deflection skills may help in replacing emotional eating with other behaviors. Cognitive restructuring, saying no, and problem solving help to prevent or manage conflicts and difficulties otherwise would result in overeating due to distress. Developing stress management skills may result in greater compliance with the treatment. The techniques presented in the study can be easily applied by general practitioners or specialists, and provide tools for optimizing obesity treatment.

Evaluation of a nurse-led disease management programme for chronic kidney disease: a randomized controlled trial.

Science.gov (United States)

Wong, Frances Kam Yuet; Chow, Susan Ka Yee; Chan, Tony Moon Fai

2010-03-01

Patients with end stage renal failure require dialysis and strict adherence to treatment plans to sustain life. However, non-adherence is a common and serious problem among patients with chronic kidney disease. There is a scarcity of studies in examining the effects of disease management programmes on patients with chronic kidney disease. This paper examines whether the study group receiving the disease management programme have better improvement than the control group, comparing outcomes at baseline (O1), at 7 weeks at the completion of the programme (O2) and at 13 weeks (O3). This is a randomized controlled trial. The outcome measures were non-adherence in diet, fluid, dialysis and medication, quality of life, satisfaction, symptom control, complication control and health service utilisation. There was no significant difference between the control and study group for the baseline measures, except for sleep. Significant differences (padherence, sleep, symptom, staff encouragement, overall health and satisfaction. Sustained effects at O3 were noted in the outcome measures of continuous ambulatory peritoneal dialysis (CAPD) non-adherence degree, sleep, symptom, and effect of kidney disease. Many studies exploring chronic disease management have neglected the group with end stage renal failure and this study fills this gap. This study has employed an innovative model of skill mix using specialist and general nurses and demonstrated patient improvement in diet non-adherence, CAPD non-adherence, aspects of quality of life and satisfaction with care. Redesigning chronic disease management programmes helps to optimize the use of different levels of skills and resources to bring about positive outcomes. Copyright 2009 Elsevier Ltd. All rights reserved.

Web-Based and Mobile Stress Management Intervention for Employees

DEFF Research Database (Denmark)

Heber, E.; Lehr, D.; Ebert, D. D.

2016-01-01

Background: Work-related stress is highly prevalent among employees and is associated with adverse mental health consequences. Web-based interventions offer the opportunity to deliver effective solutions on a large scale; however, the evidence is limited and the results conflicting. Objective......: This randomized controlled trial evaluated the efficacy of guided Web-and mobile-based stress management training for employees. Methods: A total of 264 employees with elevated symptoms of stress (Perceived Stress Scale-10, PSS-10 >= 22) were recruited from the general working population and randomly assigned...... to an Internet-based stress management intervention (iSMI) or waitlist control group. The intervention (GET. ON Stress) was based on Lazarus's transactional model of stress, consisted of seven sessions, and applied both well-established problem solving and more recently developed emotion regulation strategies...

Mindfulness-based stress reduction as a stress management intervention for healthy individuals: a systematic review.

Science.gov (United States)

Sharma, Manoj; Rush, Sarah E

2014-10-01

Stress is a global public health problem with several negative health consequences, including anxiety, depression, cardiovascular disease, and suicide. Mindfulness-based stress reduction offers an effective way of reducing stress by combining mindfulness meditation and yoga in an 8-week training program. The purpose of this study was to look at studies from January 2009 to January 2014 and examine whether mindfulness-based stress reduction is a potentially viable method for managing stress. A systematic search from Medline, CINAHL, and Alt HealthWatch databases was conducted for all types of quantitative articles involving mindfulness-based stress reduction. A total of 17 articles met the inclusion criteria. Of the 17 studies, 16 demonstrated positive changes in psychological or physiological outcomes related to anxiety and/or stress. Despite the limitations of not all studies using randomized controlled design, having smaller sample sizes, and having different outcomes, mindfulness-based stress reduction appears to be a promising modality for stress management. © The Author(s) 2014.

Transient stress control of aeroengine disks based on active thermal management

International Nuclear Information System (INIS)

Ding, Shuiting; Wang, Ziyao; Li, Guo; Liu, Chuankai; Yang, Liu

2016-01-01

Highlights: • The essence of cooling in turbine system is a process of thermal management. • Active thermal management is proposed to control transient stress of disks. • The correlation between thermal load and transient stress of disks is built. • Stress level can be declined by actively adjusting the thermal load distribution. • Artificial temperature gradient can be used to counteract stress from rotating. - Abstract: The physical essence of cooling in the turbine system is a process of thermal management. In order to overcome the limits of passive thermal management based on thermal protection, the concept of active thermal management based on thermal load redistribution has been proposed. On this basis, this paper focuses on a near real aeroengine disk during a transient process and studies the stress control mechanism of active thermal management in transient conditions by a semi-analytical method. Active thermal management is conducted by imposing extra heating energy on the disk hub, which is represented by the coefficient of extra heat flow η. The results show that the transient stress level can be effectively controlled by actively adjusting the thermal load distribution. The decline ratio of the peak equivalent stress of the disk hub can be 9.0% for active thermal management load condition (η = 0.2) compared with passive condition (η = 0), even at a rotation speed of 10,000 r/min. The reason may be that the temperature distribution of the disk turns into an artificial V-shape because of the extra heating energy on the hub, and the resulting thermal stresses induced by the negative temperature gradients counteract parts of the stress from rotating.

Applicability of Non-Modular Assessment in Construction Management and Allied Undergraduate Programmes: Perspective of the Academics Involved

Science.gov (United States)

Wedawatta, Gayan

2018-01-01

Undergraduate programmes on construction management and other closely related built environment disciplines are currently taught and assessed on a modular basis. This is the case in the UK and in many other countries globally. However, it can be argued that professionally oriented programmes like these are better assessed on a non-modular basis,…

To Be or Not to Be (Stressed): The Critical Role of a Psychologically Healthy Workplace in Effective Stress Management.

Science.gov (United States)

Grawitch, Matthew J; Ballard, David W; Erb, Kaitlyn R

2015-10-01

This article explains how key practices pertaining to the psychologically healthy workplace can be used to develop a comprehensive approach to stress management in contemporary organizations. Specifically, we demonstrate the ways in which employee involvement, recognition, work-life balance, health and safety, and growth and development practices can be used to assist in the reduction of work stress and the proactive management of strain. Although many organizations strive to establish a positive environment conducive to work and well-being, identifying where to begin can often seem like a daunting task. Currently, many stress management efforts emphasize individual-level interventions that are simply implemented alongside existing organizational practices. We propose that a broader perspective allows for a better understanding of the stress process, resulting in the ability to consider a wider range of changes to organizational processes. Combining knowledge regarding psychologically healthy workplace practices, stress management intervention levels and the personal resource allocation framework, we present a comprehensive framework for approaching workplace stress management, which can be tailored to the unique needs of various organizations, departments and employees. By adopting this broader perspective, we believe organizations can more strategically address employee stress, resulting in more effective stress management and a profound impact on stress-related outcomes. Copyright © 2014 John Wiley & Sons, Ltd.

''RESURS'' - The Russian scientific-technical programme for NPP equipment lifetime monitoring, estimation, prediction and management

International Nuclear Information System (INIS)

Emelyanov, V.

1994-01-01

RESURS programme is described implementation of which will allow to work out regulatory-methodological basis providing legal and technical solution of NPP equipment lifetime management, prediction, monitoring and estimation problems

Development of a balance, safe mobility and falls management programme for people with multiple sclerosis.

Science.gov (United States)

Gunn, Hilary; Endacott, Ruth; Haas, Bernhard; Marsden, Jonathan; Freeman, Jennifer

2017-08-07

To utilise stakeholder input to inform the structure, format and approach of a multiple sclerosis (MS) balance, safe mobility and falls management programme. Using a three-round nominal group technique, participants individually rated their agreement with 20 trigger statements, followed by a facilitated group discussion and re-rating. Three mixed groups included service users (n = 15) and providers (n = 19). Quantitative analysis determined agreement, whilst qualitative responses were analysed thematically. Median scores for each of the 20 trigger statements did not change significantly over sequential rounds, however, deviations around the medians indicated more agreement amongst participants over time. Key recommendations were: Aims and approach: The programme should be tailored to the needs of people with MS. Falls and participation-based outcomes are equally important. Structure and format: The programme should balance expected burden and anticipated benefit, moving away from models requiring weekly attendance and promoting and supporting self-efficacy. Optimising engagement: Support to maintain engagement and intensity of practice over the long term is essential. Sustainability: Adequate funding is necessary. Staff should have MS specific knowledge and experience. Participants collaboratively identified critical components of a MS balance, safe mobility and falls management programme. They also highlighted the importance of a collaborative, user-centred, MS-specific approach. Implications for Rehabilitation People with multiple sclerosis need condition-specific interventions focussed on maximising balance and safe mobility and reducing falls. Programme design should support self-efficacy and flexible engagement. Adequate support and funding are seen as essential by both service users and providers.

University Lawyers: A Study of Legal Risk, Risk Management and Role in Work Integrated Learning Programmes

Science.gov (United States)

Cameron, Craig; Klopper, Christopher

2015-01-01

Work integrated learning (WIL) is in growing demand by multiple stakeholders within the higher education sector in Australia. There are significant and distinct legal risks to universities associated with WIL programmes. University lawyers, along with WIL administrators and university management, are responsible for managing legal risk. This…

A stress management workshop improves residents' coping skills.

Science.gov (United States)

McCue, J D; Sachs, C L

1991-11-01

We describe the effectiveness of a stress management workshop designed for physicians. Of the 64 medicine, pediatrics, and medicine-pediatrics residents who agreed to participate in the workshop, the 43 who could be freed from clinical responsibilities constituted the intervention group; the 21 residents who could not be freed from clinical responsibilities were asked to be the nonintervention group. The ESSI Stress Systems Instrument and Maslach Burnout Inventory were administered to control subjects and workshop participants 2 weeks before and 6 weeks after the workshop. The half-day workshops taught management of the stresses of medical practice through: (1) learning and practicing interpersonal skills that increase the availability of social support; (2) prioritization of personal, work, and educational demands; (3) techniques to increase stamina and attend to self-care needs; (4) recognition and avoidance of maladaptive responses; and (5) positive outlook skills. Overall, the ESSI Stress Systems Instrument test scores for the workshop participants improved (+1.27), while the nonintervention group's mean scores declined (-0.65). All 21 individual ESSI Stress Systems Instrument scale items improved for the workshop, compared with eight of 21 items for the nonintervention group. The workshop group improved in the Maslach Burnout Inventory emotional exhaustion scale and deteriorated less than the nonintervention group in the depersonalization scale. We conclude that a modest, inexpensive stress management workshop was received positively, and can lead to significant short-term improvement in stress and burnout test scores for medicine and pediatrics residents.

An Empirical Comparative Investigation of Operations Management Programmes: Demand, Content and Entrance Criteria within the Context of Internationalization

Science.gov (United States)

Wang, Chengbo; Chen, Xuezhong; Edgar, David; Zhao, Yang

2013-01-01

In higher education institutes (HEIs), Operations Management programmes (OMPs) are among those programmes attracting a substantial amount of international student enrollment. With the current situation that the government is reducing its funding input, the UK HEIs' financial balance relies more than before on the international students who pay…

Employee stress management: An examination of adaptive and maladaptive coping strategies on employee health.

Science.gov (United States)

Holton, M Kim; Barry, Adam E; Chaney, J Don

2015-01-01

Employees commonly report feeling stressed at work. Examine how employees cope with work and personal stress, whether their coping strategies are adaptive (protective to health) or maladaptive (detrimental to health), and if the manner in which employees cope with stress influences perceived stress management. In this cross-sectional study, a random sample of 2,500 full-time university non-student employees (i.e. faculty, salaried professionals, and hourly non-professionals) were surveyed on health related behaviors including stress and coping. Approximately 1,277 completed the survey (51% ). Hierarchical logistic regression was used to assess the ability of adaptive and maladaptive coping strategies to predict self-reported stress management, while controlling for multiple demographic variables. Over half of employees surveyed reported effective stress management. Most frequently used adaptive coping strategies were communication with friend/family member and exercise, while most frequently used maladaptive coping strategies were drinking alcohol and eating more than usual. Both adaptive and maladaptive coping strategies made significant (p stress management. Only adaptive coping strategies (B = 0.265) predicted whether someone would self-identify as effectively managing stress. Use of maladaptive coping strategies decreased likelihood of self-reporting effective stress management. Actual coping strategies employed may influence employees' perceived stress management. Adaptive coping strategies may be more influential than maladaptive coping strategies on perceived stress management. Results illustrate themes for effective workplace stress management programs. Stress management programs focused on increasing use of adaptive coping may have a greater impact on employee stress management than those focused on decreasing use of maladaptive coping. Coping is not only a reaction to stressful experiences but also a consequence of coping resources. Thereby increasing the

CSIR NYENDA programme: traffic management R&D capacity building - balancing the opportunities and constraints

CSIR Research Space (South Africa)

Labuschagne, FJJ

2009-07-01

Full Text Available The CSIR's NyendaWeb programme is developed to provide support to the road safety and traffic management fraternity particularly to efforts aimed at stopping the carnage on South African roads and then also to achieve sustainability in transport...

Management of radioactive wastes - an overview of the Indian programme

International Nuclear Information System (INIS)

Thomas, K.T.; Sunder Rajan, N.S.; Balu, K.; Khan, A.A.

1977-01-01

An overview of the management of radioactive wastes with particular reference to the Indian Nuclear Programme is presented. The initial design philosophy of the radwaste management system is discussed in relation to accepting a calculated, minimum discharge of radioactivity to the environment. A brief report of the operational experience with the low and intermediate level radwaste systems is given. Factors that influence the review of the present philosophy for future adoption are presented. Some methods being developed for decreasing release of the radioactivity to the environment are discussed. Among techniques considered are solar evaporation, delay and decay of fission rare gases from power reactors and concentration and storage of Kr 85 from fuel reprocessing plants. Problems in the management of high level and alph-bearing wastes are discussed with particular reference to the nature of the waste generated and the policy under implementation for their management. The matrices, solidification processes, modes of interim storage and criteria for selection of site for ultimate dispensation of the solidified high level wastes in geological formations are described. An approach towards the solution of the probelm of management of alpha-bearing waste is also presented

Do weight management programmes delivered at professional football clubs attract and engage high risk men? A mixed-methods study.

Science.gov (United States)

Hunt, Kate; Gray, Cindy M; Maclean, Alice; Smillie, Susan; Bunn, Christopher; Wyke, Sally

2014-01-21

The prevalence of obesity in men in the UK is amongst the highest in Europe but men are less likely than women to use existing weight loss programmes. Developing weight management programmes which are appealing and acceptable to men is a public health priority. Football Fans in Training (FFIT), a men-only weight management programme delivered to groups of men at top professional football clubs, encourages men to lose weight by working with, not against, cultural ideals of masculinity. To inform further development of interventions in football club settings, the current study explored who is attracted to FFIT and why overweight/obese men choose to take part. A mixed-methods study analysing baseline data on 747 men aged 35-65 years with BMI ≥ 28 kg/m2 who were participants in a randomised controlled trial of FFIT, and data from 13 focus group discussions with 63 men who had attended the programme. Objectively-measured mean body mass index was 35.3 kg/m2 (sd 4.9). Overall over 90% of participants were at very high or extremely high risk of future ill-health. Around three-quarters of participants in all age groups were at 'very high' risk of type 2 diabetes, hypertension and cardiovascular disease (72%, 73% and 80% of men aged 35-44, 45-54 and 55-64 years respectively). A further 21%, 16% and 13% were at 'extremely high' risk. Qualitative data revealed that the powerful 'draw' of the football club attracted men otherwise reluctant to attend existing weight management programmes. The location and style of delivery of early FFIT sessions fostered team spirit; men appreciated being with others 'like them' and the opportunity to undertake weight management in circumstances that enhanced physical and symbolic proximity to something they valued highly, the football club. The delivery of a weight management intervention via professional football clubs attracted men at high risk of ill-health. The setting enabled men to join a weight management programme in

The problem of professional burnout in stress management

Directory of Open Access Journals (Sweden)

Makasheva Natalia

2016-01-01

Full Text Available The problem of professional burnout is extremely relevant in current stress management. By its nature, professional burnout is a unique type of stress syndrome that is characterized by emotional exhaustion. It leads to loss of energy and interest in one’s job. A burnout could be the result of such syndromes as – burnout and boreout. It could emerge as the reaction of the organism to the high working intensity and stress working conditions or due to the boredom and absence of the sphere for professional realization. Both syndromes negatively influence the professional activity and require serious research and an adequate approach to the study. Studies have been conducted in the higher educational environment and among production employees. The studies were conducted with the application of the existing tests for revealing the “boreout” and “burnout” syndromes. Studies have shown that the syndrome “burnout” is common among workers with free working regulations, whose work requires greater independence, initiative and responsibility. According to the results of the study, the employees who are more free in the performance of their professional duties (teachers, managers are less subjected to the boreout syndrome. For the prevention and control of professional burnout company management needs to apply the achievements of stress management.

A psycho-educational programme to facilitate principals’ management of union members’ aggression in schools

OpenAIRE

2015-01-01

Ph.D. (Educational Psychology) The researcher explored and described principals’ management of union members’ aggression in schools. The overarching aim was to assist principals who experience aggression from union members in the schools they head. To accomplish this, the researcher developed, implemented and evaluated a psycho-educational programme to manage union members’ aggression through the facilitation of their mental health. Union members’ aggressive behaviour and attitudes have be...

RDandD Programme 2007. Programme for research, development and demonstration of methods for the management and disposal of nuclear waste

International Nuclear Information System (INIS)

2007-09-01

The programme describes in general terms the planned measures and the facilities that are needed for the task, with a focus on the plans for the period 2008-2013. The period of immediate concern is 2008-2010. The level of detail for the three subsequent years is naturally lower. The programme provides a basis for designing systems to manage and dispose of the radioactive waste from the nuclear power plants. SKB intends to dispose of the spent nuclear fuel in accordance with the KBS-3 method. In the RDandD Programme we describe our activities and the planning for it. We also deal with societal research and other methods for disposal of spent nuclear fuel. The planning for low- and intermediate-level waste, as well as for the societal research, is presented in separate parts. The upcoming review of the programme can contribute valuable outside viewpoints. The regulatory authorities and the Government can clarify how they view different parts of the activity. Municipalities and other stakeholders can, after studying the programme, offer their viewpoints to SKB, the regulatory authorities or the Government. The most important milestone during the coming three-year period is to submit applications under the Nuclear Activities Act for the final repository for spent nuclear fuel and under the Environmental Code for the final repository system. RDandD programme 2007 therefore focuses on the technology development that is needed to realize the final repository for spent nuclear fuel. The site investigations in Forsmark and Laxemar will be concluded in 2007. The work of compiling the applications for the final repository is under way. In contrast to the immediately preceding programmes, RDandD Programme 2007 therefore also contains a summary of the site investigation phase and a look ahead at the steps that remain before the final repository can be put into operation. RDandD Programme 2007 consists of six parts: Part I SKB's plan of action; Part II Final repository for spent

RDandD Programme 2007. Programme for research, development and demonstration of methods for the management and disposal of nuclear waste

Energy Technology Data Exchange (ETDEWEB)

2007-09-15

The programme describes in general terms the planned measures and the facilities that are needed for the task, with a focus on the plans for the period 2008-2013. The period of immediate concern is 2008-2010. The level of detail for the three subsequent years is naturally lower. The programme provides a basis for designing systems to manage and dispose of the radioactive waste from the nuclear power plants. SKB intends to dispose of the spent nuclear fuel in accordance with the KBS-3 method. In the RDandD Programme we describe our activities and the planning for it. We also deal with societal research and other methods for disposal of spent nuclear fuel. The planning for low- and intermediate-level waste, as well as for the societal research, is presented in separate parts. The upcoming review of the programme can contribute valuable outside viewpoints. The regulatory authorities and the Government can clarify how they view different parts of the activity. Municipalities and other stakeholders can, after studying the programme, offer their viewpoints to SKB, the regulatory authorities or the Government. The most important milestone during the coming three-year period is to submit applications under the Nuclear Activities Act for the final repository for spent nuclear fuel and under the Environmental Code for the final repository system. RDandD programme 2007 therefore focuses on the technology development that is needed to realize the final repository for spent nuclear fuel. The site investigations in Forsmark and Laxemar will be concluded in 2007. The work of compiling the applications for the final repository is under way. In contrast to the immediately preceding programmes, RDandD Programme 2007 therefore also contains a summary of the site investigation phase and a look ahead at the steps that remain before the final repository can be put into operation. RDandD Programme 2007 consists of six parts: Part I SKB's plan of action; Part II Final repository for spent

RDandD Programme 2007. Programme for research, development and demonstration of methods for the management and disposal of nuclear waste

Energy Technology Data Exchange (ETDEWEB)

2007-09-15

The programme describes in general terms the planned measures and the facilities that are needed for the task, with a focus on the plans for the period 2008-2013. The period of immediate concern is 2008-2010. The level of detail for the three subsequent years is naturally lower. The programme provides a basis for designing systems to manage and dispose of the radioactive waste from the nuclear power plants. SKB intends to dispose of the spent nuclear fuel in accordance with the KBS-3 method. In the RDandD Programme we describe our activities and the planning for it. We also deal with societal research and other methods for disposal of spent nuclear fuel. The planning for low- and intermediate-level waste, as well as for the societal research, is presented in separate parts. The upcoming review of the programme can contribute valuable outside viewpoints. The regulatory authorities and the Government can clarify how they view different parts of the activity. Municipalities and other stakeholders can, after studying the programme, offer their viewpoints to SKB, the regulatory authorities or the Government. The most important milestone during the coming three-year period is to submit applications under the Nuclear Activities Act for the final repository for spent nuclear fuel and under the Environmental Code for the final repository system. RDandD programme 2007 therefore focuses on the technology development that is needed to realize the final repository for spent nuclear fuel. The site investigations in Forsmark and Laxemar will be concluded in 2007. The work of compiling the applications for the final repository is under way. In contrast to the immediately preceding programmes, RDandD Programme 2007 therefore also contains a summary of the site investigation phase and a look ahead at the steps that remain before the final repository can be put into operation. RDandD Programme 2007 consists of six parts: Part I SKB's plan of action; Part II Final repository for

Stress Management in the Police Work

Directory of Open Access Journals (Sweden)

Valeria-Liliana-Amelia Purda-Nicoară (Netotea-Suciu

2012-09-01

Full Text Available According to the World Health Organization estimates, stress is one of the risk factors most frequently affecting human health, along with obesity, alcoholism, drugs and smoking, and the suicide due to work-related stress will be the main cause of death in 2025 (Turc, 2006. Given this, and the that the profession of police officer has been ranked in the top ten most stressful jobs the U.S. (by The American Institute of Stress and categorized as one of the most stressful occupations in the world (by Michael Pittaro, executive director of The Council on Alcohol and Drug Abuse in 2008, in a study on occupational stress in police1, both because of the nature of police work, and because of the multiple influences associated with the work environment, this article aims to briefly review the issue of stress in the field of police work, covering many aspects of it, such as sources of stress, forms of stress and its implications, the prevention factors, strategies to reduce stress and combat its negative effects, so that workers in this field be able to recognize it when stress is present and what it was caused by, and be able to manage it effectively.

Managing Stress in the Principalship.

Science.gov (United States)

Lyons, James E.

1990-01-01

The principal's office is frequently a collection point for problems and demands. Secondary school principals often average 1,000 interactions daily. Principals can manage stress by declining to solve every problem, delegating responsibility, reexamining their supervisory role, developing networks of trusted friends, and engaging in…

Ottawa Panel Evidence-Based Clinical Practice Guidelines for Patient Education Programmes in the Management of Osteoarthritis

Science.gov (United States)

Health Education Journal, 2011

2011-01-01

Objective: The purpose of this study was to develop guidelines and recommendations on patient education programmes of any type, targeted specially to individuals with OA and which were designed to improve the clinical effectiveness of managing OA. Methods: The Ottawa Methods Group contacted specialized organizations that focus on management for…

Use of e-Learning for Stress management – Multi-group moderation analysis

Directory of Open Access Journals (Sweden)

Aamir Sarwar

2016-12-01

Full Text Available The goal of this study is to find out the moderating role of type of industry and different levels of management with respect to eLearning perception, eLearning advantages and use of eLearning for Stress Management. Study tried to find out relationship between perceptions of eLearning, eLearning Advantages, perception of using eLearning for corporate training and more specifically for stress management. A cross sectional survey is conducted through structured questionnaire to collect the data from 686 managers working at different levels including 331 from manufacturing sector and 355 from services sector. Results of the study show positive relationship between perception of eLearning and eLearning for stress management and this relationship is significantly stronger for services industry. Positive relationship between eLearning advantages and eLearning for stress management and this relationship is significantly stronger for manufacturing industry. Study also revealed that positive relationship between eLearning perception and eLearning for stress management and this relationship is not significantly stronger for senior management than for middle management.

Radioactive waste management: outline of the research programme of the Commission of the European Communities

International Nuclear Information System (INIS)

Bresesti, M.

1980-01-01

The lines of activity, the main achievements and the perspectives of the research programme of the Commission of the European Communities on radioactive waste management, are presented. In particular an overall view of the activity on chemical separation and nuclear transmutation of actinides is given, as introduction to the various presentations of the JRC staff on specific aspects of this waste management strategy

Guidelines for integrated risk assessment and management in large industrial areas. Inter-Agency programme on the assessment and management of health and environmental risks from energy and other complex industrial systems

International Nuclear Information System (INIS)

1998-01-01

The IAEA, the United Nations Environment Programme (UNEP) within the framework of the Awareness and Preparedness for Emergencies at Local Level (APELL), the United Nations Industrial Development Organization (UNIDO) and the World Health Organization (WHO) decided in 1986 to join forces in order to promote the use of integrated area wide approaches to risk management. An Inter-Agency Programme, which brings together expertise in health the environment, industry and energy, all vital for effective risk management, was established. The Inter-Agency Programme on the assessment and Management of Health and Environmental Risks from Energy and Other Complex Industrial Systems aims at promoting and facilitating the implementation of integrated risk assessment and management for large industrial areas. This initiative includes the compilation of procedures and methods for environmental and public health risk assessment, the transfer of knowledge and experience amongst countries in the application of these procedures and the implementation of an integrated approach to risk management. The purpose of the Inter-Agency Programme is to develop a broad approach to the identification, prioritization and minimization of industrial hazards in a given geographical area. The UN organizations sponsoring this programme have been involved for several years in activities aimed at assessment and management of environmental and health risks, prevention of major accidents and emergency preparedness. These Guidelines have been developed on the basis of experience from these activities to assist in the planning and conduct of regional risk management projects. They provide a reference framework for the undertaking of integrated health and environmental risk assessment for large industrial areas and for the formulation of appropriate risk management strategies

Guidelines for integrated risk assessment and management in large industrial areas. Inter-Agency programme on the assessment and management of health and environmental risks from energy and other complex industrial systems

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-01-01

The IAEA, the United Nations Environment Programme (UNEP) within the framework of the Awareness and Preparedness for Emergencies at Local Level (APELL), the United Nations Industrial Development Organization (UNIDO) and the World Health Organization (WHO) decided in 1986 to join forces in order to promote the use of integrated area wide approaches to risk management. An Inter-Agency Programme, which brings together expertise in health the environment, industry and energy, all vital for effective risk management, was established. The Inter-Agency Programme on the assessment and Management of Health and Environmental Risks from Energy and Other Complex Industrial Systems aims at promoting and facilitating the implementation of integrated risk assessment and management for large industrial areas. This initiative includes the compilation of procedures and methods for environmental and public health risk assessment, the transfer of knowledge and experience amongst countries in the application of these procedures and the implementation of an integrated approach to risk management. The purpose of the Inter-Agency Programme is to develop a broad approach to the identification, prioritization and minimization of industrial hazards in a given geographical area. The UN organizations sponsoring this programme have been involved for several years in activities aimed at assessment and management of environmental and health risks, prevention of major accidents and emergency preparedness. These Guidelines have been developed on the basis of experience from these activities to assist in the planning and conduct of regional risk management projects. They provide a reference framework for the undertaking of integrated health and environmental risk assessment for large industrial areas and for the formulation of appropriate risk management strategies. Refs, figs, tabs.

Effectiveness of a Comprehensive Stress Management Program to Reduce Work-Related Stress in a Medium-Sized Enterprise

Science.gov (United States)

2014-01-01

Objectives To assess the effectiveness of a comprehensive workplace stress management program consisting of participatory action-oriented training (PAOT) and individual management. Methods A comprehensive workplace stress management program was conducted in a medium-sized enterprise. The baseline survey was conducted in September 2011, using the Korean Occupational Stress Scale (KOSS) and Worker’s Stress Response Inventory (WSRI). After implementing both organizational and individual level interventions, the follow up evaluation was conducted in November 2011. Results Most of the workers participated in the organizational level PAOT and made Team-based improvement plans. Based on the stress survey, 24 workers were interviewed by a researcher. After the organizational and individual level interventions, there was a reduction of several adverse psychosocial factors and stress responses. In the case of blue-collar workers, psychosocial factors such as the physical environment, job demands, organizational system, lack of rewards, and occupational climate were significantly improved; in the case of white-collar workers, the occupational climate was improved. Conclusions In light of these results, we concluded that the comprehensive stress management program was effective in reducing work-related stress in a short-term period. A persistent long-term follow up is necessary to determine whether the observed effects are maintained over time. Both team-based improvement activities and individual interviews have to be sustainable and complementary to each other under the long-term plan. PMID:24524591

Effectiveness of a comprehensive stress management program to reduce work-related stress in a medium-sized enterprise.

Science.gov (United States)

Kim, Shin-Ae; Suh, Chunhui; Park, Mi-Hee; Kim, Kunhyung; Lee, Chae-Kwan; Son, Byung-Chul; Kim, Jeong-Ho; Lee, Jong-Tae; Woo, Kuck-Hyun; Kang, Kabsoon; Jung, Hyunjin

2014-01-01

To assess the effectiveness of a comprehensive workplace stress management program consisting of participatory action-oriented training (PAOT) and individual management. A comprehensive workplace stress management program was conducted in a medium-sized enterprise. The baseline survey was conducted in September 2011, using the Korean Occupational Stress Scale (KOSS) and Worker's Stress Response Inventory (WSRI). After implementing both organizational and individual level interventions, the follow up evaluation was conducted in November 2011. Most of the workers participated in the organizational level PAOT and made Team-based improvement plans. Based on the stress survey, 24 workers were interviewed by a researcher. After the organizational and individual level interventions, there was a reduction of several adverse psychosocial factors and stress responses. In the case of blue-collar workers, psychosocial factors such as the physical environment, job demands, organizational system, lack of rewards, and occupational climate were significantly improved; in the case of white-collar workers, the occupational climate was improved. In light of these results, we concluded that the comprehensive stress management program was effective in reducing work-related stress in a short-term period. A persistent long-term follow up is necessary to determine whether the observed effects are maintained over time. Both team-based improvement activities and individual interviews have to be sustainable and complementary to each other under the long-term plan.

The effect of an emotional intelligence development programme on accountants

Directory of Open Access Journals (Sweden)

Cara S. Jonker

2009-09-01

Full Text Available The  objective  of  this  research was to compile and  evaluate  a development programme  aimed at emotional  intelligence (EI  in the accounting profession. A two-group design (pre- and post-test was used. An accidental  sample  (experimental and control group was taken from future employees within a financial management environment. The  BarOn-EQ-i was administered and further data were gathered qualitatively by means of diary entries. The results showed an improvement in total EI level. The specific areas of EI that were developed due to the programme included the following subscales: interpersonal, adaptability and general mood. The specific EI factors that showed improvement included self-regard, self-actualisation, interpersonal relations, reality testing, problem solving, flexibility, stress tolerance and optimism.

Dimensions of Organisational Stress: A Study of Managers in Mauritius

African Journals Online (AJOL)

This study examined the dimensions of organisational stress. Data were gathered from 161 managers through a questionnaire. These managers represented five different organisations. Seven dimensions of stress were extracted through varimax rotated factor analysis. Experience of inequity, role overload, and inadequacy ...

Integrated planning of laboratory, in-situ, modelling and natural analogue studies in the Swiss radioactive waste management programme

International Nuclear Information System (INIS)

McKinley, I.G.; Zuidema, P.

2001-01-01

After more than 25 years of development, the Swiss radioactive waste management programme has a well established disposal strategy supported by an integrated R and D infrastructure. The process of implementation of repository projects is constrained by political factors, but a dynamic R and D programme is strongly guided by periodic integrated performance assessments and includes: Experimental studies in conventional and ''hot'' laboratories; Projects in underground test facilities and field test sites; Model development verification and validation; Natural and archaeological analogue projects. R and D in the Swiss national programme focuses on filling remaining gaps in system understanding, enhancing confidence via validation and demonstration projects, system optimisation and maintaining state of the art technical capacity in key areas. Increasingly, such work is carried out in collaboration with partner national waste management organisations. In addition, The National Cooperative for the Disposal of Radioactive Waste (Nagra) provides support services to developing programmes - which allows Nagra to widen its range of experience while providing attractive access to a knowledge base accumulated at a cost of over 750 M CHF. (author)

Technical, environmental and regulatory aspects of waste management and their reflection in the IAEA programme

International Nuclear Information System (INIS)

Richter, D.K.

1982-01-01

Within the IAEA training course on waste management this paper is intended to overview technological, radiological, encironmental, regulatory and institutional aspects of importance in establishing a waste management policy for nuclear power programmes; the objectives and results of IAEA activities in this field; and some current issues from a national and international perspective with special consideration on the needs of countries embarking on nuclear power. (orig./RW)

Impact of an intervention programme on knowledge, attitude and practice of healthcare staff regarding pharmaceutical waste management, Gaza, Palestine.

Science.gov (United States)

Tabash, M I; Hussein, R A; Mahmoud, A H; El-Borgy, M D; Abu-Hamad, B A

2016-09-01

To assess knowledge, attitude and practice (KAP) of healthcare staff regarding pharmaceutical waste management; and to determine the impact of an educational programme on the KAP survey items. Pre-post-test intervention study. The pre-intervention phase was performed using a sample of 530 out of 1500 healthcare workers. A predesigned interview questionnaire was used to assess KAP. Next, an educational programme was designed and offered to a subsample of 69 healthcare workers. KAP were re-assessed for the programme attendees using the same interview questionnaire, both immediately (post-test) and six months after the end of the programme (follow-up test). The parametric paired sample t-test was used to assess the difference between pre-test and follow-up test results. Poor knowledge and poor practice levels (scores 50%) detected in the pre-intervention phase were found to improve to satisfactory levels (scores ≥75%) in the follow-up phase. Attitude was found to be positive (score ≥75%) in all phases of the study. The educational programme led to a significant improvement in KAP of healthcare staff regarding pharmaceutical waste management (P<0.001). Copyright © 2016. Published by Elsevier Ltd.

Monitoring sterile and wild insects in area-wide integrated pest management programmes

International Nuclear Information System (INIS)

Vreysen, M.J.B.

2005-01-01

Insect pest control programmes, which integrate the release of sterile insects, can be efficient only if the released insects have an optimal biological quality. Frequent monitoring of the quality of reared insects after being released in the field is an important but often neglected component of area-wide integrated pest management (AW-IPM) programmes that integrate the sterile insect technique (SIT). Parameters of sterile insects, which should be monitored regularly, are sexual competitiveness of the released insects, and related components, e.g. survival, mobility, dispersal characteristics, and spatial occupation of the habitat. A well-balanced monitoring programme will, at any given time, provide essential feedback on the progress being made. This information is prerequisite to efficient implementation of the release and cost-efficient use of sterile insects. The type of monitoring to be done will be determined largely by the particular biology of the target insect species. The most important parameter in relation to the release of sterile insects is the rate of sterility induced in the wild insect pest population; it will provide the best evidence that any observed changes, e.g. in the density of the target insect, are caused by the release of sterile insects. (author)

Lower limb stress fractures in sport: Optimising their management and outcome

Science.gov (United States)

Robertson, Greg A J; Wood, Alexander M

2017-01-01

Stress fractures in sport are becoming increasing more common, comprising up to 10% of all of sporting injuries. Around 90% of such injuries are located in the lower limb. This articles aims to define the optimal management of lower limb stress fractures in the athlete, with a view to maximise return rates and minimise return times to sport. Treatment planning of this condition is specific to the location of the injury. However, there remains a clear division of stress fractures by “high” and “low” risk. “Low risk” stress fractures are those with a low probability of fracture propagation, delayed union, or non-union, and so can be managed reliably with rest and exercise limitation. These include stress fractures of the Postero-Medial Tibial Diaphysis, Metatarsal Shafts, Distal Fibula, Medial Femoral Neck, Femoral Shaft and Calcaneus. “High risk” stress fractures, in contrast, have increased rates of fracture propagation, displacement, delayed and non-union, and so require immediate cessation of activity, with orthopaedic referral, to assess the need for surgical intervention. These include stress fractures of the Anterior Tibial Diaphysis, Fifth Metatarsal Base, Medial Malleolus, Lateral Femoral Neck, Tarsal Navicular and Great Toe Sesamoids. In order to establish the optimal methods for managing these injuries, we present and review the current evidence which guides the treatment of stress fractures in athletes. From this, we note an increased role for surgical management of certain high risk stress fractures to improve return times and rates to sport. Following this, key recommendations are provided for the management of the common stress fracture types seen in the athlete. Five case reports are also presented to illustrate the application of sport-focussed lower limb stress fracture treatment in the clinical setting. PMID:28361017

Lower limb stress fractures in sport: Optimising their management and outcome.

Science.gov (United States)

Robertson, Greg A J; Wood, Alexander M

2017-03-18

Stress fractures in sport are becoming increasing more common, comprising up to 10% of all of sporting injuries. Around 90% of such injuries are located in the lower limb. This articles aims to define the optimal management of lower limb stress fractures in the athlete, with a view to maximise return rates and minimise return times to sport. Treatment planning of this condition is specific to the location of the injury. However, there remains a clear division of stress fractures by "high" and "low" risk. "Low risk" stress fractures are those with a low probability of fracture propagation, delayed union, or non-union, and so can be managed reliably with rest and exercise limitation. These include stress fractures of the Postero-Medial Tibial Diaphysis, Metatarsal Shafts, Distal Fibula, Medial Femoral Neck, Femoral Shaft and Calcaneus. "High risk" stress fractures, in contrast, have increased rates of fracture propagation, displacement, delayed and non-union, and so require immediate cessation of activity, with orthopaedic referral, to assess the need for surgical intervention. These include stress fractures of the Anterior Tibial Diaphysis, Fifth Metatarsal Base, Medial Malleolus, Lateral Femoral Neck, Tarsal Navicular and Great Toe Sesamoids. In order to establish the optimal methods for managing these injuries, we present and review the current evidence which guides the treatment of stress fractures in athletes. From this, we note an increased role for surgical management of certain high risk stress fractures to improve return times and rates to sport. Following this, key recommendations are provided for the management of the common stress fracture types seen in the athlete. Five case reports are also presented to illustrate the application of sport-focussed lower limb stress fracture treatment in the clinical setting.

Implementing case-based teaching strategies in a decentralised nursing management programme in South Africa

Directory of Open Access Journals (Sweden)

Zethu Nkosi

2013-11-01

Full Text Available Background: Case-based education has a long history in the disciplines of education, business, law and the health professions. Research suggests that students who learn via acase-based method have advanced critical thinking skills and a greater ability for application of knowledge in practice. In medical education, case-based methodology is widely used to facilitate knowledge transfer from theoretical knowledge to application in patient care. Nursing education has also adopted case-based methodology to enhance learner outcomes and critical thinking. Objectives: The objectives of the study was to describe a decentralised nursing management education programme located in Durban, South Africa and describe the perceptions of nursing faculty facilitators regarding implementation of this teaching method. Method: Data was collected through the use of one-on-one interviews and also focus groups amongst the fifteen facilitators who were using a case-based curriculum to teach the programme content. The average facilitator was female, between 41 and 50 years of age,working part-time, educated with a baccalaureate degree, working as a professional nurse for between 11 and 20 years; slightly more than half had worked as a facilitator for three or more years. Results: The facilitators identified themes related to the student learners, the learning environment, and strengths and challenges of using facilitation to teach the content through cases. Decentralised nursing management educational programmes can meet the needs of nurses who are located in remote areas which are characterised by poor transportation patterns and limited resources and have great need for quality healthcare services. Conclusion: Nursing faculty facilitators need knowledgeable and accessible contact with centrally based full-time nursing faculty in order to promote high quality educational programmes.

IAEA Perspectives and Programme on Nuclear Knowledge Management

International Nuclear Information System (INIS)

Grosbois, J. de

2016-01-01

Full text: There are many challenging issues facing Member States with respect to knowledge management. Each country’s situation and history with nuclear technology is different and strategic issues and immediate priorities are not the same. Member States recognize nuclear technology is inherently complex and requires advanced specialization and expertise. Maintaining a competent workforce is always of concern, especially in organizations with an aging workforce. Countries making major transitions such as gearing up for new build construction or decommissioning projects face particular challenges. Licensed nuclear facilities operate under a range of different organizational business models. For example, some rely heavily on outsourced and external services, and different approaches are needed to ensure critical knowledge is available and maintained. For countries phasing out nuclear power, critical knowledge must be maintained to ensure decommissioning and environmental remediation of sites is done in a responsible manner. Newcomer countries have the difficult challenge of building up their needed workforce competencies to be ready in time to support construction and commissioning schedules. The capture, preservation, transfer and overall management of design knowledge over the technology lifecycle is another important issue that is needed to ensure both the economics and safety of nuclear facilities over their lifetimes, and is especially important to ensure life extension and refurbishment projects can be implemented cost effectively. This presentation will present an overall perspective of the major knowledge management challenges and issues facing the nuclear sector and provide an overview of the IAEA’s nuclear knowledge management programme and initiatives that support Member States in addressing them. (author

The Effects and Costs of a Group-Based Education Programme for Self-Management of Patients with Type 2 Diabetes. A Community-Based Study

Science.gov (United States)

Molsted, Stig; Tribler, Jane; Poulsen, Peter B.; Snorgaard, Ole

2012-01-01

The worldwide epidemic of Type 2 diabetes necessitates evidence-based self-management education programmes. The purpose of this study was to investigate the effects and costs of an empowerment-based structured diabetes self-management education programme in an unselected group of patients with Type 2 diabetes. Seven hundred and two patients…

Cross-country discrepancies on public understanding of stress concepts: evidence for stress-management psychoeducational programs

OpenAIRE

Souza-Talarico, Juliana Nery; Wan, Nathalie; Santos, Sheila; Fialho, Patr?cia Paes Araujo; Chaves, Eliane Corr?a; Caramelli, Paulo; Bianchi, Estela Ferraz; Santos, Aline Talita; Lupien, Sonia J

2016-01-01

Background Negative effects of stress have pose one of the major threats to the health and economic well being of individuals independently of age and cultural background. Nevertheless, the term ?stress? has been globally used unlinked from scientificevidence-based meaning. The discrepancies between scientific and public stress knowledge are focus of concern and little is know about it. This is relevant since misconceptions about stress may influence the effects of stress-management psychoedu...

Spent fuel management: current status and prospects of the IAEA programme

International Nuclear Information System (INIS)

1987-05-01

This report, which is a result of the second IAEA Advisory Group Meeting, is intended to provide the reader with an overview of the status of Spent Fuel Management Programmes in a number of leading countries, with a description of the past IAEA activities in this field of Nuclear Fuel Cycle and with the Agency's plans for the next 2-3 years, based on the proposals of Member States. Separate abstracts were prepared for each of the 16 papers in this report

The community's R and D programme on radioactive waste management and storage

International Nuclear Information System (INIS)

1978-01-01

The objective of the R and D actions is the demonstration of either the technical potential or, for further advanced projects, the feasibility and even the industrial availability of methods for treating and storing radwaste. The following aspects are investigated: processing of solid waste from reactors, reprocessing plants and the plutonium manufacture; intermediate and terminal storage of high activity and alpha waste; advanced waste management methods as the storage of gaseous waste. In addition to the scientific-technical R and D actions, a survey of the legal, administrative and financial problems encountered in radwaste management and storage is an essential part of the Communities' programme

Individual Stress Management Coursework in Canadian Teacher Preparation Programs

Science.gov (United States)

Harris, Gregory E.

2011-01-01

Teacher stress is a significant issue facing the teaching profession. The current paper explores individual stress management as a viable option to address stress in this profession. Specifically, Canadian teacher education programs are examined to identify the prevalence of pre-service teacher education courses focused on individual stress…

Stress and anxiety in women with gestational diabetes during dietary management.

Science.gov (United States)

Hui, Amy Leung; Sevenhuysen, Gustaaf; Harvey, Dexter; Salamon, Elizabeth

2014-01-01

To explore the stress and anxiety experiences during dietary management in women with gestational diabetes (GDM). Thirty women with GDM from the Winnipeg area participated in the mixed methods study. Each participant completed a Food Choice Map semistructured interview, a Perceived Stress Scale, a Pregnancy Anxiety Scale, a State-Trait Anxiety Inventory-Trait questionnaire, and a demographic questionnaire. Stress and anxiety experiences were identified from interview transcripts and categorized into themes based on the constant comparative method. Questionnaire scores aided in interpreting the stress and anxiety experience in the qualitative data. Three major themes were generated from the interviews: (1) stress related to GDM diagnosis and the perception of a high risk pregnancy; (2) stress over losing control of GDM during the process of dietary management; and (3) anxiety related to the fear of maternal and infant complications. Women on insulin experienced significantly higher levels of perceived stress (P stress was more prevalent in women using insulin compared to the ones on diet treatment only (Fisher exact test, P Unhealthy diet coping strategies occurred with the stress and anxiety. Stress and anxiety were associated with different contexts in this study sample. Women who were on insulin experienced significantly higher levels of perceived stress related to dietary management. © 2014 The Author(s).

Saltwell Leak Detector Station Programmable Logic Controller (PLC) Software Configuration Management Plan (SCMP)

International Nuclear Information System (INIS)

WHITE, K.A.

2000-01-01

This document provides the procedures and guidelines necessary for computer software configuration management activities during the operation and maintenance phases of the Saltwell Leak Detector Stations as required by HNF-PRO-309/Rev.1, Computer Software Quality Assurance, Section 2.4, Software Configuration Management. The software configuration management plan (SCMP) integrates technical and administrative controls to establish and maintain technical consistency among requirements, physical configuration, and documentation for the Saltwell Leak Detector Station Programmable Logic Controller (PLC) software during the Hanford application, operations and maintenance. This SCMP establishes the Saltwell Leak Detector Station PLC Software Baseline, status changes to that baseline, and ensures that software meets design and operational requirements and is tested in accordance with their design basis

Coping strategies for managing occupational stress for improved ...

African Journals Online (AJOL)

Occupational stress is receiving increasing concern as killer of workers and productivity deterrent. This paper assessed its management and some coping strategies, with a view to improving productivity among workers. The paper adopted literature review approach to x-ray the concept of occupational stress, symptoms of ...

The role of intrinsic motivation in a group of low vision patients participating in a self-management programme to enhance self-efficacy and quality of life.

Science.gov (United States)

Tay, Kay Chai Peter; Drury, Vicki Blair; Mackey, Sandra

2014-02-01

Self-management programmes have previously been found to decrease health problems, enhance quality of life and increase independence. However, there is no literature that examines the influence of the participants' intrinsic motivation on the outcomes of such programmes. This study examined the role of intrinsic motivation in a pilot low vision self-management programme to enhance self-efficacy and quality of life of the programme participants. A positive association was observed between the female participants' perceived choice and perceived competence, two underlying dimensions of the Intrinsic Motivation Inventory. In addition, a positive correlation was observed between the younger participants' perceived competence and the change in their quality of life. The findings provide some support for consideration of participants' intrinsic motivation in the development of effective self-management programmes. © 2013 Wiley Publishing Asia Pty Ltd.

Development of a Faith-Based Stress Management Intervention in a Rural African American Community.

Science.gov (United States)

Bryant, Keneshia; Moore, Todd; Willis, Nathaniel; Hadden, Kristie

2015-01-01

Faith-based mental health interventions developed and implemented using a community-based participatory research (CBPR) approach hold promise for reaching rural African Americans and addressing health disparities. To describe the development, challenges, and lessons learned from the Trinity Life Management, a faith-based stress management intervention in a rural African American faith community. The researchers used a CBPR approach by partnering with the African American faith community to develop a stress management intervention. Development strategies include working with key informants, focus groups, and a community advisory board (CAB). The community identified the key concepts that should be included in a stress management intervention. The faith-based "Trinity Life Management" stress management intervention was developed collaboratively by a CAB and an academic research team. The intervention includes stress management techniques that incorporate Biblical principles and information about the stress-distress-depression continuum.

Stages of Learning during a Self-Directed Stress Management Experience

Science.gov (United States)

Larson, Karl L.

2015-01-01

Purpose: The purpose of the study was to document the stages of learning reflected through student journaling during a self-directed experience in stress management, and the relationship of those stages to a historical model. Methods: College students participating in a full-semester course in stress management theory were required to select a…

The return to work discussion: a qualitative study of the line manager conversation about return to work and the development of an educational programme.

Science.gov (United States)

Cohen, Debbie; Allen, Joanna; Rhydderch, Melody; Aylward, Mansel

2012-07-01

To investigate the conversation between line manager and employee about return to work to inform the development of an online interactive educational programme for line managers to improve the effectiveness of their discussions. An inductive qualitative approach, using the principles of action research and motivational interviewing were adopted. The results informed the development of the educational programme for line managers. Middle grade line managers in a large public services employer in the UK. Four discussion groups were conducted over a period of 8 months. Line managers explored the challenges of the return to work interview, analysed their interactions with employees and constructed the content of an educational programme. Multiple methods were used to build engagement with participants, including video and role-play. Nine line managers were recruited across 3 business areas. Managers recognised that their conversations focused on the organisations' policies and procedures and the outcome, rather than the interaction. They recognised the strength of shifting style to shared decision-making and guidance rather than process and instruction. These communication strategies were depicted in the educational programme. The content and flow of the return to work discussion is of high importance and influences employee behaviour and return to work outcomes.

Changes in stress and coping from a randomized controlled trial of a three-month stress management intervention

DEFF Research Database (Denmark)

Willert, M.V.; Thulstrup, A.M.; Hertz, J.

2009-01-01

Objectives The aim of this study was to investigate whether it group-based stress management intervention, based on principles from cognitive behavior therapy, call reduce stress and alter coping strategies in an occupationally diverse population with extensive symptoms of work-related stress....... Methods Using a randomized wait list control design, 102 participants were divided into two groups: intervention and wait list control. The intervention was a three-month group-based stress management program. Outcomes measures were the Perceived Stress Scale (PSS-10, range 0-40 points) and five......% Cl -0.89-0.07) favouring the intervention. The gains achieved during treatment were maintained when followed up three months later. Conclusions Treatment is Superior to the control condition in positively affecting perceived stress and positive reframing. When followed up, the gains achieved...

Decreasing Students' Stress through Time Management Training: An Intervention Study

Science.gov (United States)

Häfner, Alexander; Stock, Armin; Oberst, Verena

2015-01-01

The aim of this study was to examine the effects of a time management training program on perceived control of time and perceived stress in the context of higher education. Twenty-three undergraduate students attended a time management training intervention and reported demands, perceived stress and perceived control of time directly before 2 and…

THE INFLUENCE OF ORGANISATIONAL CULTURE ON THE TOTAL QUALITY MANAGEMENT PROGRAMME PERFORMANCE

OpenAIRE

Roldán, José L.; Leal-Rodríguez, Antonio L.; Leal, Antonio G.

2012-01-01

This paper aims to examine the relationships between different types of cultures and effectiveness in Total Quality Management (TQM) implementation. Using Cameron’s framework, we have tested the connection between a quality culture taxonomy and TQM programme performance using data from a survey carried out with 113 Spanish companies that have implemented TQM systems. A structural equation modelling is proposed to assess the links between both types of constructs using the Partial Least Square...

Monitoring and Evaluation of an Early Childhood Development Programme: Implications for Leadership and Management

Science.gov (United States)

Hodgson, Sarah; Papatheodorou, Theodora; James, Mary

2014-01-01

The article aims to discuss preliminary findings from a participatory monitoring and evaluation (M&E) framework, used in a community-based early childhood development (ECD) programme in KwaZulu-Natal South Africa, and their implications for leadership and management. The purposes of the M&E were for LETCEE, the implementing organization,…

The association between changes in pressure pain sensitivity and changes in cardiovascular physiological factors associated with persistent stress

DEFF Research Database (Denmark)

Ballegaard, Søren; Petersen, Pernille B.; Harboe, Gitte S.

2014-01-01

Abstract Objectives. To evaluate the possible association between pressure pain sensitivity of the chest bone (PPS) and cardiovascular physiological factors related to persistent stress in connection with a three-month PPS-guided stress-reducing experimental intervention programme. Methods. Forty......-two office workers with an elevated PPS (≥ 60 arbitrary units) as a sign of increased level of persistent stress, completed a single-blinded cluster randomized controlled trial. The active treatment was a PPS (self-measurement)-guided stress management programme. Primary endpoints: Blood pressure (BP), heart...... between-group reductions were observed in respect to BP, HR, PRP, total and LDL cholesterol, and total number of elevated risk factors (p stress intervention method applied in this study induced a decrease in PPS which was associated with a clinically relevant decrease in resting...

Implementing case-based teaching strategies in a decentralised nursing management programme in South Africa

Directory of Open Access Journals (Sweden)

Zethu Nkosi

2013-11-01

Full Text Available Background: Case-based education has a long history in the disciplines of education, business, law and the health professions. Research suggests that students who learn via a case-based method have advanced critical thinking skills and a greater ability for application of knowledge in practice. In medical education, case-based methodology is widely used to facilitate knowledge transfer from theoretical knowledge to application in patient care. Nursing education has also adopted case-based methodology to enhance learner outcomes and critical thinking.Objectives: The objectives of the study was to describe a decentralised nursing management education programme located in Durban, South Africa and describe the perceptions of nursing faculty facilitators regarding implementation of this teaching method.Method: Data was collected through the use of one-on-one interviews and also focus groups amongst the fifteen facilitators who were using a case-based curriculum to teach the programme content. The average facilitator was female, between 41 and 50 years of age, working part-time, educated with a baccalaureate degree, working as a professional nurse for between 11 and 20 years; slightly more than half had worked as a facilitator for three or more years.Results: The facilitators identified themes related to the student learners, the learning environment, and strengths and challenges of using facilitation to teach the content through cases. Decentralised nursing management educational programmes can meet the needs of nurses who are located in remote areas which are characterised by poor transportation patterns and limited resources and have great need for quality healthcare services.Conclusion: Nursing faculty facilitators need knowledgeable and accessible contact with centrally based full-time nursing faculty in order to promote high quality educational programmes.

Training, supervision and quality of care in selected integrated community case management (iCCM) programmes: A scoping review of programmatic evidence.

Science.gov (United States)

Bosch-Capblanch, Xavier; Marceau, Claudine

2014-12-01

To describe the training, supervision and quality of care components of integrated Community Case Management (iCCM) programmes and to draw lessons learned from existing evaluations of those programmes. Scoping review of reports from 29 selected iCCM programmes purposively provided by stakeholders containing any information relevant to understand quality of care issues. The number of people reached by iCCM programmes varied from the tens of thousands to more than a million. All programmes aimed at improving access of vulnerable populations to health care, focusing on the main childhood illnesses, managed by Community Health Workers (CHW), often selected bycommunities. Training and supervision were widely implemented, in different ways and intensities, and often complemented with tools (eg, guides, job aids), supplies, equipment and incentives. Quality of care was measured using many outcomes (eg, access or appropriate treatment). Overall, there seemed to be positive effects for those strategies that involved policy change, organisational change, standardisation of clinical practices and alignment with other programmes. Positive effects were mostly achieved in large multi-component programmes. Mild or no effects have been described on mortality reduction amongst the few programmes for which data on this outcome was available to us. Promising strategies included teaming-up of CHW, micro-franchising or social franchising. On-site training and supervision of CHW have been shown to improve clinical practices. Effects on caregivers seemed positive, with increases in knowledge, care seeking behaviour, or caregivers' basic disease management. Evidence on iCCM is often of low quality, cannot relate specific interventions or the ways they are implemented with outcomes and lacks standardisation; this limits the capacity to identify promising strategies to improve quality of care. Large, multi-faceted, iCCM programmes, with strong components of training, supervision, which

Training, supervision and quality of care in selected integrated community case management (iCCM) programmes: A scoping review of programmatic evidence

Science.gov (United States)

Bosch–Capblanch, Xavier; Marceau, Claudine

2014-01-01

Aim To describe the training, supervision and quality of care components of integrated Community Case Management (iCCM) programmes and to draw lessons learned from existing evaluations of those programmes. Methods Scoping review of reports from 29 selected iCCM programmes purposively provided by stakeholders containing any information relevant to understand quality of care issues. Results The number of people reached by iCCM programmes varied from the tens of thousands to more than a million. All programmes aimed at improving access of vulnerable populations to health care, focusing on the main childhood illnesses, managed by Community Health Workers (CHW), often selected bycommunities. Training and supervision were widely implemented, in different ways and intensities, and often complemented with tools (eg, guides, job aids), supplies, equipment and incentives. Quality of care was measured using many outcomes (eg, access or appropriate treatment). Overall, there seemed to be positive effects for those strategies that involved policy change, organisational change, standardisation of clinical practices and alignment with other programmes. Positive effects were mostly achieved in large multi–component programmes. Mild or no effects have been described on mortality reduction amongst the few programmes for which data on this outcome was available to us. Promising strategies included teaming–up of CHW, micro–franchising or social franchising. On–site training and supervision of CHW have been shown to improve clinical practices. Effects on caregivers seemed positive, with increases in knowledge, care seeking behaviour, or caregivers’ basic disease management. Evidence on iCCM is often of low quality, cannot relate specific interventions or the ways they are implemented with outcomes and lacks standardisation; this limits the capacity to identify promising strategies to improve quality of care. Conclusion Large, multi–faceted, iCCM programmes, with strong

Logistics management in Universal Immunisation Programme.

Science.gov (United States)

Bachani, D; Bansal, R D

1990-01-01

The review of the National Immunization Programme of India in 1989 focused attention to the issue of storage and distribution of vaccines. Cold-chain equipment such as walk-in-coolers (WICs), deep freezers, ice-lined refrigerators (ILRs), and vaccine carriers proliferated after the introduction of the universal immunization program (UIP) but the available units fell short of the official targets in 1988, especially ILRs (7500 proposed and 2876 available) and vaccine carriers (250,000 proposed and 35,500 available). Some states had over 6 months of supplies of vaccines whose management posed problems of losing potency: oral polio virus (OPV) potency was acceptable in 63% of stock in 1988. Syringes, needles, stoves, pressure-cooker sterilizers, dial thermometers, and refrigerator repair kits were in short supply especially at the primary health care (PHC) level. Only 1/3 of subcenters had sterilizers and 58% had vaccines carriers. Logistics management on the state level required provision of vaccines based on previous use and eligible population with even distribution throughout the year. On the district level WICs were needed for every district with 1.5 million inhabitants. Recording of vaccine requirement, utilization, and storage would aid target allocations and avoid wastage. On the institutional and PHC level an ILR and a transporting vehicle was needed. The number of women and children eligible for immunization had to be calculated based on real population figures. Cold-chain capacity of 30,000-40,000 vials was required for a district as well as about 500 reusable syringes and needles a year along with vaccination cards exceeding the number of women and children by 10% for recordkeeping at the PHC center.

Gender differences and job stress management techniques of library ...

African Journals Online (AJOL)

This study aimed at ascertaining gender and work related stress among library ... library staff indicated non-conducive work environment as the cause of job stress. ... flexible work hours and developing healthy life styles as management tips.

Water management. A core task of the Wismut remediation programme

International Nuclear Information System (INIS)

Paul, Michael; Meyer, Juergen; Jenk, Ulf; Kassahun, Andrea; Schramm, Andrea; Baacke, Delf; Forbrig, Norbert; Metschies, Thomas

2015-01-01

Water management and conventional technical water treatment are by far the most cost-intensive long-term tasks of the Wismut remediation programme. Over the medium term, there is no viable alternative to the operation of active systems to catch and treat contaminated mine waters at the Ronneburg, Schlema, Koenigstein, Poehla, Seelingstaedt and Heimsdorf sites. Based on the status quo this paper outlines the key issues of the Wismut GmbH water management strategy over the medium and long term. lt is focused primarily on achieving protection goals for potentially impacted water bodies in the surroundings of Wismut sites and on optimising associated remediation expenditure as well as on creating the prerequisites for achieving low post-remedial care and maintenance or walk-away system status over the long term. The topic of this paper is the presentation of priority tasks related to future water management at Wismut sites in Saxony and Thuringia. The reflections are based on experiences and lessons learned and take into account current statutory management requirements referring to ground and surface water bodies affected by Wismut. The paper is based on a presentation made at the International Mining Symposium WISSYM 2015 on 2nd September 2015 in Bad Schlema, Germany.

Effective Stress Management: A Model of Emotional Intelligence, Self-Leadership, and Student Stress Coping

Science.gov (United States)

Houghton, Jeffery D.; Wu, Jinpei; Godwin, Jeffrey L.; Neck, Christopher P.; Manz, Charles C.

2012-01-01

This article develops and presents a model of the relationships among emotional intelligence, self-leadership, and stress coping among management students. In short, the authors' model suggests that effective emotion regulation and self-leadership, as mediated through positive affect and self-efficacy, has the potential to facilitate stress coping…

Creative Arts Interventions for Stress Management and Prevention—A Systematic Review

Science.gov (United States)

Martin, Lily; Bauer, Katharina; Nottensteiner, Alina; Mergheim, Katja

2018-01-01

Stress is one of the world’s largest health problems, leading to exhaustion, burnout, anxiety, a weak immune system, or even organ damage. In Germany, stress-induced work absenteeism costs about 20 billion Euros per year. Therefore, it is not surprising that the Central Federal Association of the public Health Insurance Funds in Germany ascribes particular importance to stress prevention and stress management as well as health enhancing measures. Building on current integrative and embodied stress theories, Creative Arts Therapies (CATs) or arts interventions are an innovative way to prevent stress and improve stress management. CATs encompass art, music, dance/movement, and drama therapy as their four major modalities. In order to obtain an overview of CATs and arts interventions’ efficacy in the context of stress reduction and management, we conducted a systematic review with a search in the following data bases: Academic Search Complete, ERIC, Medline, Psyndex, PsycINFO and SocINDEX. Studies were included employing the PICOS principle and rated according to their evidence level. We included 37 studies, 73% of which were randomized controlled trials. 81.1% of the included studies reported a significant reduction of stress in the participants due to interventions of one of the four arts modalities. PMID:29470435

Creative Arts Interventions for Stress Management and Prevention—A Systematic Review

Directory of Open Access Journals (Sweden)

Lily Martin

2018-02-01

Full Text Available Stress is one of the world’s largest health problems, leading to exhaustion, burnout, anxiety, a weak immune system, or even organ damage. In Germany, stress-induced work absenteeism costs about 20 billion Euros per year. Therefore, it is not surprising that the Central Federal Association of the public Health Insurance Funds in Germany ascribes particular importance to stress prevention and stress management as well as health enhancing measures. Building on current integrative and embodied stress theories, Creative Arts Therapies (CATs or arts interventions are an innovative way to prevent stress and improve stress management. CATs encompass art, music, dance/movement, and drama therapy as their four major modalities. In order to obtain an overview of CATs and arts interventions’ efficacy in the context of stress reduction and management, we conducted a systematic review with a search in the following data bases: Academic Search Complete, ERIC, Medline, Psyndex, PsycINFO and SocINDEX. Studies were included employing the PICOS principle and rated according to their evidence level. We included 37 studies, 73% of which were randomized controlled trials. 81.1% of the included studies reported a significant reduction of stress in the participants due to interventions of one of the four arts modalities.

Occupational Stress, Mental Health Status and Stress Management Behaviors among Secondary School Teachers in Hong Kong

Science.gov (United States)

Leung, Sharron S. K.; Mak, Yim Wah; Chui, Ying Yu; Chiang, Vico C. L.; Lee, Angel C. K.

2009-01-01

Objective: This study aimed to examine occupational stress and mental health among secondary school teachers in Hong Kong, and to identify the differences between those actively engaged in stress management behaviors and those who were not. Design: Survey design was adopted using validated instruments including Occupational Stress Inventory…

A Study of Learning Stress and Stress Management Strategies of the Students of Postgraduate level: A Case Study of Islamia University of Bahawalpur, Pakistan

OpenAIRE

Bukhsh, Qadir; Shahzad, Abid; Nisa, Muzammil

2011-01-01

Stress management .........................This study was designed to study Learning Stress and Stress Management Strategies for University Students. The objectives of the study were to find out the common symptoms of stress, causes of stress and to suggest stress management strategies used by students for coping with stress. For collecting data, survey method was adopted. This study was completed by following the procedure of descriptive method of research. 39 questions were used for data co...

Using intervention mapping (IM to develop a self-management programme for employees with a chronic disease in the Netherlands

Directory of Open Access Journals (Sweden)

Heerkens Yvonne F

2010-06-01

Full Text Available Abstract Background Employees with a chronic disease often encounter problems at work because of their chronic disease. The current paper describes the development of a self-management programme based on the Chronic Disease Self-Management programme (CDSMP of Stanford University to help employees with a chronic somatic disease cope with these problems at work. The objective of this article is to present the systematic development and content of this programme. Methods The method of intervention mapping (Bartholomew 2006 was used to tailor the original CDSMP for employees with a chronic somatic disease. This paper describes the process of adjusting the CDSMP for this target group. A needs assessment has been carried out by a literature review and qualitative focus groups with employees with a chronic disease and involved health professionals. On the basis of the needs assessment, the relevant determinants of self-management behaviour at work have been identified for the target population and the objectives of the training have been formulated. Furthermore, techniques have been chosen to influence self-management and the determinants of behaviour and a programme plan has been developed. Results The intervention was designed to address general personal factors such as lifestyle, disease-related factors (for example coping with the disease and work-related personal factors (such as self-efficacy at work. The course consists of six sessions of each two and a half hour and intents to increase the self management and empowerment of employees with a chronic somatic disease. Conclusion Intervention mapping has been found to be a useful tool for tailoring in a systematic way the original CDSMP for employees with a chronic somatic disease. It might be valuable to use IM for the development or adjusting of interventions in occupational health care.

Aspects of nuclear waste management after a 4-year Nordic programme

International Nuclear Information System (INIS)

Moberg, L.

1990-01-01

Six areas of concern in nuclear waste management have been dealt with in a four-year Nordic research programme. They include work in two international projects, Hydrocoin dealing with modelling of groundwater flow in crystalline rock, and Biomovs, concerned with biosphere models. Geologic questions of importance to the prediction of future behaviour are examined. Waste quantities from the decommissioning of nuclear power stations are estimated, and total amounts of waste to be transported in the Nordic countries are evaluated. Waste amounts from a hypothetical reactor accident are also calculated. (author)

Outlook for the IAEA's technical co-operation programme

International Nuclear Information System (INIS)

Samiei, Massoud

1998-01-01

This is a slide presentation dealing with the following subjects: - the IAEA's programmes; - the technical co-operation programme; - past trends in the TC programme; - new initiatives in TC; - TC programme profile; - perspectives for the future. The major programmes conducted by IAEA are concerning: - nuclear power and fuel cycle; - nuclear applications; - nuclear, radiation and waste safety, nuclear verification and security material; - management of technical co-operation; - policy making, coordination and support. In relation with the IAEA role in development process the author presents the legal framework for TC, the programme structure, and programme areas, resources, budgets, cycle, approval and implementation. Two plots regarding the recipients with and without NPP's are displayed for the period 1980-1994. Also, according to the status of the member states (without and with nuclear power programme) the programme priorities are presented. For the first case these are: radiation and waste safety, food and agriculture, water resources management human health and nutrition, human resources development, environmental protection and industrial applications. For the second case there are mentioned: radiation and nuclear safety, nuclear power operation and maintenance management, radioactive waste management, environment protection and sustainable energy options. Concerning the regional distribution the following figures are given for 1997: West Asia, 9%; Europe, 18%; Inter-regional, 11%; Africa, 24%; Latin America, 21%; East Asia and Pacific, 17%. In conclusion, the hope is expressed that the value of Technical Co-operation Programme would be seen not only in the successful transfer of technology but also, in the way that the nuclear technologies may satisfy demands for sustainable development by having a lasting impact on the life of the majority in a cost effective and environmentally sound manner

Stress resiliency, psychological empowerment and conflict management styles among baccalaureate nursing students.

Science.gov (United States)

Pines, Eula W; Rauschhuber, Maureen L; Norgan, Gary H; Cook, Jennifer D; Canchola, Leticia; Richardson, Cynthia; Jones, Mary Elaine

2012-07-01

This article is a report of a Neuman Systems Model-guided correlational study of the relations of stress resiliency, psychological empowerment, selected demographic characteristics (age, ethnicity, semester in school) and conflict management styles. Emerging evidence suggests that stress resiliency and psychological empowerment can strengthen student nurses in academic achievement and coping with stress. Little is known about conflict management styles of students and the relationship to empowerment, resiliency and the implications for managing workplace conflict. A correlational study was conducted in Spring 2010 with 166 baccalaureate students. Most participants were female, single, Hispanic and 25 years old. The data collection instruments included the Stress Resiliency Profile, the Psychological Empowerment Instrument, the Conflict Mode Instrument and a demographic inventory. Descriptive and inferential correlational statistics were used to analyse the data. Students scored in the high range for focusing on their deficiencies in conflict situations; they scored above the 60th percentile for avoiding and accommodating behaviours and were less likely to use competing or collaborating strategies to manage conflict. Empowerment scores were significantly correlated with stress resiliency scores. Students with high scores on empowerment had high scores on the skill recognition subscale of the Stress Resiliency Profile suggesting more resilience; high scores on empowerment were related to high necessitating subscale scores of the Stress Resiliency Profile suggesting a predisposition to stress. Neuman Systems Model may provide guidance for educators to strengthen student nurses' management of stressors in the workplace. © 2011 Blackwell Publishing Ltd.

Developing an education programme for schools on radioactive waste management

International Nuclear Information System (INIS)

Curd, P.J.; Hutchins, J.S.

1991-01-01

United Kingdom Nirex Ltd. is responsible for the development of a deep disposal facility for Britain's solid low and intermediate-level radioactive wastes. In line with their technical programme Nirex has a substantial public information programme costing in excess of Brit-pounds 1M per year. An important part of this programme is the need to develop an effective education programme for schools. This paper details the development and content of this education programme and the rationale behind the development in its current form

Association between satisfaction and stress with aspects of job and practice management among primary care physicians.

Science.gov (United States)

Mazzaglia, Giampiero; Lapi, Francesco; Silvestri, Caterina; Roti, Lorenzo; Giustini, Saffi Ettore; Buiatti, Eva

2009-01-01

Reforms introduced in the last decade in Italian general practice, have contributed to the changing role of primary care physicians (PCPs) within the Italian National Health Service, with potential difficulties adapting that may lead to job stress and dissatisfaction. The present study aims to compare job satisfaction and stress levels of PCPs working in primary healthcare teams (PHCTs) with those for practitioners operating in single ambulatory offices, and to assess potential associations with aspects of job and practice management. A postal survey was conducted between January and March 2005 among PCPs working in Tuscany. Data were collected by using a structured questionnaire containing questions concerning personal, professional, job and practice characteristics. The Warr-Cook-Wall scale and the Cooper test were used to assess job satisfaction and stress, respectively. From 3043 PCPs, a response rate of 45.2% was achieved. Significant differences were found between PHCT physicians and solo practitioners in several aspects of their job. Physicians working in PHCTs appeared more satisfied in some aspects of their practice such as organisation, whereas they were less satisfied about workload and interaction with other healthcare providers. Multivariate modelling showed relevant aspects of dissatisfaction and stress, particularly the difficulties of collaboration with other healthcare providers, and access to specialised services. Reform strategies aimed at improving the quality of care among PCPs needs to take into account the contextual determinants of physician satisfaction and stress, and should highlight programmes that might be pursued to improve the integration of PCPs within the Italian National Health System.

Task 9. Deployment of photovoltaic technologies: co-operation with developing countries. The role of quality management, hardware certification and accredited training in PV programmes in developing countries

Energy Technology Data Exchange (ETDEWEB)

Fitzgerald, M. C. [Institute for Sustainable Power, Highlands Ranch, CO (United States); Oldach, R.; Bates, J. [IT Power Ltd, The Manor house, Chineham (United Kingdom)

2003-09-15

This report for the International Energy Agency (IEA) made by Task 9 of the Photovoltaic Power Systems (PVPS) programme takes a look at the role of quality management, hardware certification and accredited training in PV programmes in developing countries. The objective of this document is to provide assistance to those project developers that are interested in implementing or improving support programmes for the deployment of PV systems for rural electrification. It is to enable them to address and implement quality assurance measures, with an emphasis on management, technical and training issues and other factors that should be considered for the sustainable implementation of rural electrification programmes. It is considered important that quality also addresses the socio-economic and the socio-technical aspects of a programme concept. The authors summarise that, for a PV programme, there are three important areas of quality control to be implemented: quality management, technical standards and quality of training.

Healthcare managers' leadership profiles in relation to perceptions of work stressors and stress.

Science.gov (United States)

Lornudd, Caroline; Bergman, David; Sandahl, Christer; von Thiele Schwarz, Ulrica

2016-05-03

Purpose The purpose of this study is to investigate the relationship between leadership profiles and differences in managers' own levels of work stress symptoms and perceptions of work stressors causing stress. Design/methodology/approach Cross-sectional data were used. Healthcare managers ( n = 188) rated three dimensions of their leadership behavior and levels of work stressors and stress. Hierarchical cluster analysis was performed to identify leadership profiles based on leadership behaviors. Differences in stress-related outcomes between profiles were assessed using one-way analysis of variance. Findings Four distinct clusters of leadership profiles were found. They discriminated in perception of work stressors and stress: the profile distinguished by the lowest mean in all behavior dimensions, exhibited a pattern with significantly more negative ratings compared to the other profiles. Practical implications This paper proposes that leadership profile is an individual factor involved in the stress process, including work stressors and stress, which may inform targeted health promoting interventions for healthcare managers. Originality/value This is the first study to investigate the relationship between leadership profiles and work stressors and stress in healthcare managers.

Managing the demands of the preregistration mental health nursing programme: The views of students with mental health conditions.

Science.gov (United States)

Ramluggun, Pras; Lacy, Mary; Cadle, Martha; Anjoyeb, Mahmood

2018-05-30

An increasing number of students with a pre-existing mental health condition are enrolling on preregistration mental health nursing programmes. The challenges faced by these students in managing the demands of the programme have not been fully explored. Mental health and well-being is an integral part of providing a healthy university in which students can flourish. The purpose of the study was to explore how students with an underlying mental health issue manage the demands of the mental health nursing programme. The outcomes of the study are aimed at informing inclusive teaching and learning and current student support provision. Ethics approval was given. Students from two universities in South East England who met the criterion of having a pre-existing mental health condition when enrolling on the mental health preregistration nursing programme were invited to take part. Nine students took part in the study. Using an interpretative descriptive design, 1:1 face-to-face, audio-taped, semistructured interviews were undertaken. The data were analysed using a framework approach, and this revealed four main themes: timing of disclosure; managing lived experience in learning environments; students' coping mechanisms, and experience of support. Recommendations for practice was that approved education institutes (AEIs) should ensure they have a robust, inclusive practice by implementing strategies to develop these students' resilience, and enhance their learning and the current support provisions. This will ensure the barriers to disclosing their mental health conditions are recognized and minimized to enable these students to fully contribute to their own learning and teaching experience. © 2018 Australian College of Mental Health Nurses Inc.

Evaluation of a self-management programme for patients with chronic obstructive pulmonary disease.

Science.gov (United States)

Turner, Ap; Anderson, Jk; Wallace, Lm; Kennedy-Williams, P

2014-06-30

Self-management is becoming an important part of treatment for patients with chronic obstructive pulmonary disease (COPD). We conducted a longitudinal survey of patients with COPD who attended a 7-week group-based lay and clinician co-delivered COPD self-management programme (SMP)to see whether they became more activated, enjoyed better health status, and quality of life, were less psychologically distressed and improved their self-management abilities. The main analysis was a per-protocol analysis (N = 131), which included only patients who attended ≥5 SMP sessions and who returned a 6-month follow-up questionnaires. Changes in the mean values of the patient outcomes were compared over time using paired t tests and general linear model for repeated measures. Patient activation significantly improved 6 months after the SMP (p management abilities (self-monitoring and insight p = 0.03), constructive attitude shift (p = 0.04), skills and technique acquisition, (p management abilities. © The Author(s) 2014.

Stress management at the worksite: reversal of symptoms profile and cardiovascular dysregulation.

Science.gov (United States)

Lucini, Daniela; Riva, Silvano; Pizzinelli, Paolo; Pagani, Massimo

2007-02-01

Work stress may increase cardiovascular risk either indirectly, by inducing unhealthy life styles, or directly, by affecting the autonomic nervous system and arterial pressure. We hypothesized that, before any apparent sign of disease, work-related stress is already accompanied by alterations of RR variability profile and that a simple onsite stress management program based on cognitive restructuring and relaxation training could reduce the level of stress symptoms, revert stress-related autonomic nervous system dysregulation, and lower arterial pressure. We compared 91 white-collar workers, enrolled at a time of work downsizing (hence, in a stress condition), with 79 healthy control subjects. Psychological profiles were assessed by questionnaires and autonomic nervous system regulation by spectral analysis of RR variability. We also tested a simple onsite stress management program (cognitive restructuring and relaxation training) in a subgroup of workers compared with a sham subgroup (sham program). Workers presented an elevated level of stress-related symptoms and an altered variability profile as compared with control subjects (low-frequency component of RR variability was, respectively, 65.2+/-2 versus 55.3+/-2 normalized units; Pstress management program, which also slightly lowered systolic arterial pressure. No changes were observed in the sham program group. This noninvasive study indicates that work stress is associated with unpleasant symptoms and with an altered autonomic profile and suggests that a stress management program could be implemented at the worksite, with possible preventive advantages for hypertension.

Stress and Primary Headache: Review of the Research and Clinical Management.

Science.gov (United States)

Martin, Paul R

2016-07-01

This review begins with a discussion of the nature of stress and then presents the functional model of primary headache as a framework for conceptualizing the complex relationship between stress and headaches. Research is reviewed on stress as a trigger of headaches and how stress can play a role in the developmental and psychosocial context of headaches. Clinical management of headaches from a stress perspective is considered both at the level of trials of behavioral interventions that broadly fit into the stress management category and the additional strategies that might be useful for individual cases based on the research demonstrating associations between stress and headaches. The review concludes by suggesting that although some researchers have questioned whether stress can trigger headaches, overall, the literature is still supportive of such a link. Advances in methodology are discussed, the recent emphasis on protective factors is welcomed, and directions for future research suggested.

The potential inclusion of value management subject for postgraduate programmes in Malaysia

Science.gov (United States)

Che Mat, M.; Karim, S. B. Abd; Amran, N. A. E.

2018-02-01

The development of construction industry is increasing tremendously. To complement with this scenario, Value Management (VM) is needed to achieve the optimum function by reducing or eliminating the unnecessary cost that does not contribute to the product, system or service. As VM has been increasingly applied to enhance and improve value in construction projects, the purpose of this study is to implement VM as a subject for master’s students at selected public universities in Malaysia. The research is conducted to investigate the potential inclusion of VM as a subject at master degree programmes in Malaysia. Questionnaire survey was designed and delivered to existing master students to explore the current understanding of VM as well as the possibility of introducing VM as a subject. The results showed that the level of awareness on VM is high, yet the understanding of VM is low. This research presents the result of implementing VM as a subject learning for master’s level programme at selected public universities in Malaysia.

The European fusion technology programme

International Nuclear Information System (INIS)

Goedkoop, J.A.

1984-01-01

With the 1982-86 pluriannual programme, reactor technology became a separate chapter in the fusion research programme of the European Commission. It comprises work on materials, the breeder blanket, tritium management, magnet coils, maintenance and the safety and environmental aspects. After an overview of the programme each of these areas is discussed briefly and some remarks are made on the role played by the European fission energy and magnet laboratories. (author)

Dose management programmes at Kaiga Generating Station

International Nuclear Information System (INIS)

Vijayan, P.; Prabhakaran, V.; Managavi, Sadashiv B.; Danannavar, Veerendra; Biju, P.; Manoj Kumar, M.; Shrikrishna, U.V.

2001-01-01

Kaiga Generating Station (KGS) has two units of pressurized heavy water reactors of 220 MWe each capacity. KGS-2 started power generation since 1999 and KGS-1 since 2000. Several programmes such as assessment of radioactive condition, training on radiological safety aspects, job planning in radioactive areas, etc. are conducted periodically to implement an effective dose control programmes in KGS. These efforts are briefly discussed in this report. Facilities and techniques to implement ALARA programs are also highlighted in this report. (author)

Using Biofeedback while Immersed in a Stressful Videogame Increases the Effectiveness of Stress Management Skills in Soldiers

Science.gov (United States)

Bouchard, Stéphane; Bernier, François; Boivin, Éric; Morin, Brian; Robillard, Geneviève

2012-01-01

This study assessed the efficacy of using visual and auditory biofeedback while immersed in a tridimensional videogame to practice a stress management skill (tactical breathing). All 41 participants were soldiers who had previously received basic stress management training and first aid training in combat. On the first day, they received a 15-minute refresher briefing and were randomly assigned to either: (a) no additional stress management training (SMT) for three days, or (b) 30-minute sessions (one per day for three days) of biofeedback-assisted SMT while immersed in a horror/first-person shooter game. The training was performed in a dark and enclosed environment using a 50-inch television with active stereoscopic display and loudspeakers. On the last day, all participants underwent a live simulated ambush with an improvised explosive device, where they had to provide first aid to a wounded soldier. Stress levels were measured with salivary cortisol collected when waking-up, before and after the live simulation. Stress was also measured with heart rate at baseline, during an apprehension phase, and during the live simulation. Repeated-measure ANOVAs and ANCOVAs confirmed that practicing SMT was effective in reducing stress. Results are discussed in terms of the advantages of the proposed program for military personnel and the need to practice SMT. PMID:22558370

[Construction of the Time Management Scale and examination of the influence of time management on psychological stress response].

Science.gov (United States)

Imura, Tomoya; Takamura, Masahiro; Okazaki, Yoshihiro; Tokunaga, Satoko

2016-10-01

We developed a scale to measure time management and assessed its reliability and validity. We then used this scale to examine the impact of time management on psychological stress response. In Study 1-1, we developed the scale and assessed its internal consistency and criterion-related validity. Findings from a factor analysis revealed three elements of time management, “time estimation,” “time utilization,” and “taking each moment as it comes.” In Study 1-2, we assessed the scale’s test-retest reliability. In Study 1-3, we assessed the validity of the constructed scale. The results indicate that the time management scale has good reliability and validity. In Study 2, we performed a covariance structural analysis to verify our model that hypothesized that time management influences perceived control of time and psychological stress response, and perceived control of time influences psychological stress response. The results showed that time estimation increases the perceived control of time, which in turn decreases stress response. However, we also found that taking each moment as it comes reduces perceived control of time, which in turn increases stress response.

Are cardiovascular disease risk assessment and management programmes cost effective? A systematic review of the evidence.

Science.gov (United States)

Lee, John Tayu; Lawson, Kenny D; Wan, Yizhou; Majeed, Azeem; Morris, Stephen; Soljak, Michael; Millett, Christopher

2017-06-01

The World Health Organization recommends that countries implement population-wide cardiovascular disease (CVD) risk assessment and management programmes. The aim of this study was to conduct a systematic review to evaluate whether this recommendation is supported by cost-effectiveness evidence. Published economic evaluations were identified via electronic medical and social science databases (including Medline, Web of Science, and the NHS Economic Evaluation Database) from inception to March 2016. Study quality was evaluated using a modified version of the Consolidated Health Economic Evaluation Reporting Standards. Fourteen economic evaluations were included: five studies based on randomised controlled trials, seven studies based on observational studies and two studies using hypothetical modelling synthesizing secondary data. Trial based studies measured CVD risk factor changes over 1 to 3years, with modelled projections of longer term events. Programmes were either not, or only, cost-effective under non-verified assumptions such as sustained risk factor changes. Most observational and hypothetical studies suggested programmes were likely to be cost-effective; however, study deigns are subject to bias and subsequent empirical evidence has contradicted key assumptions. No studies assessed impacts on inequalities. In conclusion, recommendations for population-wide risk assessment and management programmes lack a robust, real world, evidence basis. Given implementation is resource intensive there is a need for robust economic evaluation, ideally conducted alongside trials, to assess cost effectiveness. Further, the efficiency and equity impact of different delivery models should be investigated, and also the combination of targeted screening with whole population interventions recognising that there multiple approaches to prevention. Copyright © 2017. Published by Elsevier Inc.

Stress management standards: a warning indicator for employee health.

Science.gov (United States)

Kazi, A; Haslam, C O

2013-07-01

Psychological stress is a major cause of lost working days in the UK. The Health & Safety Executive (HSE) has developed management standards (MS) to help organizations to assess work-related stress. To investigate the relationships between the MS indicator tool and employee health, job attitudes, work performance and environmental outcomes. The first phase involved a survey employing the MS indicator tool, General Health Questionnaire-12 (GHQ-12), job attitudes, work performance and environmental measures in a call centre from a large utility company. The second phase comprised six focus groups to investigate what employees believed contributed to their perceived stress. Three hundred and four call centre employees responded with a response rate of 85%. Significant negative correlations were found between GHQ-12 and two MS dimensions; demands (Rho = -0.211, P job performance, job motivation and increased intention to quit but low stress levels were associated with reduced job satisfaction. Lack of management support, recognition and development opportunities were identified as sources of stress. The findings support the utility of the MS as a measure of employee attitudes and performance.

Community's research and development programme on radioactive waste management and storage shared-cost action (1990-94). Annual progress report 1991

International Nuclear Information System (INIS)

1992-01-01

In december 1989 the Council of Ministers of the European Communities adopted the fourth R and D programme on 'Management and Storage of radioactive waste' for the period 1990-1994. Contract negotiations for selected research proposals lead to the signature of contracts with some 93 bodies in charge of carrying out the working programme. This annual report, covering the year 1991 presents for each contract the objectives, the whole research programme and a synopsis of progress and results achieved as prepared by the contractor under the responsibility of the project leader. Part A deals with the study of management systems, treatment and characterization of waste, general aspects of the waste disposal and the safety of geological disposal systems. The running activities on construction and operation of underground facilities in candidated geological media for disposal is presented in part B

Stress amongst middle level managers in schools

OpenAIRE

2014-01-01

M.Ed. (Psychology of Education) This research study originated from the belief that teachers in general, and secondary school teachers in particular, are under an inordinate amount of stress brought about largely as a result of their work as teachers and educators. Moving from that basic premise the research unfolded towards exploring at both theoretical and empirical level, the major causes and management of stress in education within a South African educational context. The study starts ...

Challenges in the management of support and care programmes for child-headed households in South Africa.

Science.gov (United States)

Human, Sarie P; van Rensburg, Gisela H

2011-10-01

The present study reports on data collected in a larger study on 'A situational analysis of child-headed households in South Africa'. The purpose of this study was to explore the management and control of available and required services, resources and safety nets for children in child-headed households. The significance of having a better understanding of the challenges, limitations but importance for government structures to manage and control programmes will enhance the implementation and maintenance of focused and sustainable support structures and programmes which will effectively address the needs of child-headed households. An exploratory and descriptive, quantitative survey was conducted to provide information on government structures at a national level and the nine provinces in South Africa. The population consisted of the Departments of Social Development, Education, Health and Agriculture, at both national and provincial levels. The main findings included a lack of clarity regarding the concept and definition of a child-headed household, lack of empirical data, a diversity of needs and challenges in terms of location and geographical distribution of available infrastructure and support systems; programmes that are not inclusive and integrated; and contradictions in the stipulations and implementation of existing policies and capacity and human resources shortages. It was concluded that the magnitude, uniqueness and complexity of the phenomenon necessitate effective and sound scientific management principles. This is achieved by providing legal clarity of the concept; developing relevant policies and ensuring effective implementation thereof; rigorous monitoring and evaluation based on comprehensive empirical data; and protecting the rights and safety of these children and ensuring an enabling environment for all stakeholders to address needs and challenges. The role of the nurse manager is to ensure a holistic approach to children living in child

Evaluating nurses' knowledge, attitude and competency after an education programme on suicide prevention.

Science.gov (United States)

Chan, Sally Wai-chi; Chien, Wai-tong; Tso, Steve

2009-10-01

The aim of this study was to evaluate an education programme on suicide prevention for nurses working in general hospitals. A mixed method design that included a single group pretest-posttest analysis and focus group interviews was used. A convenient sample of 54 registered nurses was recruited from the medical and surgical units of two regional general hospitals. An 18-hour education programme on suicide prevention based on reflective learning principles was provided to the participants. The outcome measures used included participants' attitudes towards, knowledge of, competence in and stress levels arising from suicide prevention and management. Eighteen participants joined the focus group interviews. There were statistically significant positive changes in the pre- and post-test measures of participants' attitudes and competence levels. Qualitative data showed that participants had applied the new knowledge they acquired in clinical practice. They perceived themselves as being more aware of the problem of suicide and more competent in managing suicide risk. Participants highlighted certain barriers that exist to providing optimal care, including inadequate manpower, lack of support from senior staff and a lack of guidelines. Ongoing education may be necessary to expedite changes. The education programme provided can be delivered to other health care professional groups and the results further evaluated.

Role of anuloma viloma pranayama in reducing stress in chronic alcoholics

International Nuclear Information System (INIS)

Kumar, L.R.

2011-01-01

Despite improved clinical care, heightened public awareness and wide spread use of health innovations, alcoholism remains a leading cause of death in many parts of the world. Chronic alcoholics suffer from stress and multitude of symptoms. The progressive addiction to alcohol will gradually nullify all other interests in the patient's life so that a deterioration of the physical, psychological, social, cultural and religious values takes place. The role of yoga in healing asthma, arthritis and other disorders has been known. Methods: Breathing technique (Anuloma Viloma Pranayama) was taught to chronic alcoholics. Using galvanic skin resistance, stress levels were measured before and after anuloma viloma yoga in controls and chronic alcoholics. Results: Reduced stress levels were noted using the galvanic skin resistance in both controls and chronic alcoholics after yogic breathing. Conclusion: There is a promising effect of simple yoga techniques in organising effective rehabilitation and treatment programmes to reduce stress in chronic alcoholics. This study would help to chart out a better management programme for enhancing relapse and alleviate the symptoms. (author)

[Health locus of control of patients in disease management programmes].

Science.gov (United States)

Schnee, M; Grikscheit, F

2013-06-01

Health locus of control beliefs plays a major role in improving self-management skills of the chronically ill - a main goal in disease management programmes (DMP). This study aims at characterising participants in disease management regarding their health locus of control. Data are based on 4 cross-sectional postal surveys between spring and autumn of 2006 and 2007 within the Health Care Monitor of the Bertelsmann Foundation. Among the 6 285 respondents, 1 266 are chronically ill and not enrolled in a DMP and 327 are participating in a DMP. A high internal locus of control (HLC) occurs significantly less often in DMP patients than in normal chronically ill patients (and healthy people) controlling for age, gender and social class. With increasing age, a high internal locus of control is also significantly less likely. When comparing healthy people, the chronically ill and the DMP participants a social gradient of a high internal locus of control belief can be observed. The weaker internal and higher doctor-related external locus of control of DMP participants should be carefully observed by the physician when trying to strengthen the patients' self-management skills. Evaluators of DMP should take into account the different baselines of DMP patients and relevant control groups and incorporate these differences into the evaluation. © Georg Thieme Verlag KG Stuttgart · New York.

Feasibility of including patients with migration background in a structured heart failure management programme: A prospective case-control study exemplarily on Turkish migrants.

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Roman Pfister

Full Text Available Structured management programmes deliver optimized care in heart failure patients and improve outcome. We examined the feasibility of including patients with migration background speaking little or no German in a heart failure management programme.After adaption of script material and staff to Turkish language we aimed to recruit 300 Turkish and 300 German (control group patients within 18 months using the operational basis of a local heart failure management programme for screening, contact and inclusion. Of 488 and 1,055 eligible Turkish and German patients identified through screening, 165 Turkish (34% and 335 German (32% patients consented on participation (p = 0.46. General practitioners contributed significantly more of the Turkish (84% than of the German patients (16%, p<0.001. Contact attempts by programme staff were significantly less successful in Turkish (52% than in German patients (60%, p = 0.005 due to significantly higher rate of missing phone numbers (36% vs 25%, invalid address data (28% vs 7% and being unreachable by phone more frequently (39% vs 26%, all p<0.001. Consent rate was significantly higher in successfully contacted Turkish (63% compared to German patients (50%, p<0.001.The inclusion of Turkish minority patients into a heart failure management programme is feasible with higher consent rate than in Germans. However, effort is high due to inherent logistic adaptions and barriers in identification and contacting of patients.DRKS00007780.

Liquid-waste management systems improvement programmes at Los Alamos Scientific Laboratory

International Nuclear Information System (INIS)

Emelity, L.A.; Stanley, P.M.; Buchholz, J.R.

1981-01-01

Programmes at the Los Alamos Scientific Laboratory (LASL) are approximately 50% nuclear weapons related and 50% general energy research and development. Since its beginning in the 1940s, liquid industrial wastes have been contaminated with isotopes of plutonium, americium, uranium and various beta-gamma emitters, but management and treatment efforts were, owing to the proportions of the various isotopes, directed primarily at the alpha emitters. The evolution in management methods at LASL since the 1940s has been reported in previous papers. This treatise discusses the most recent three-phase effort to modernize the systems to the probable standards of the next twenty years. The first phase, provision of a double-encased, continuously monitored sewer system will soon be under construction. The second phase, modernization of the treatment facilities, has been funded and is in the final design stage. The third phase, not funded as of this date, will provide lined, monitored solar evaporation ponds for total management of the treated industrial wastes with no release of any liquid to the environment. (author)

Programme evaluation: Can it improve human resource management practice?

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Johann Louw

2012-07-01

Full Text Available Orientation: This is the final article in the special edition on human resource (HR programmes and evaluation. Its starting point is that programme evaluation is the application of a wide range of social science research methods that provide credible information about the need, use, planning, effectiveness and cost of a programme. Research purpose: The purpose of this article is to review the other articles in this volume, and to draw out general conclusions about their contributions to knowledge in the field. Motivation for the study: If evaluations are undertaken in the HR domain in South Africa, they remain mostly unpublished, and thus cannot contribute to a knowledge base for the field. Research design, approach and method: This article provides a theory-based approach to programme evaluation. The seven articles were analysed in terms of two major functions of programme evaluation, namely to ask ‘How does a programme work?’, and ‘Does it work?‘ Main findings: Eight overarching themes are identified in the articles included in this volume. Practical/managerial implications: The evidence discussed here can be used to make better decisions, promote organisational learning, improve practice, and enhance employee wellbeing. Contribution/value-add: The main contribution of this concluding article is its argument that research and theory in this field can enhance the work of HR professionals, by providing evidence about how ‘good’ a programme is, and why it is good. This adds substantial value in a world characterised by accountability and evidence-based practice.

The Effect of Peer-Led Self-Management Education Programmes for Adolescents with Asthma: A Systematic Review and Meta-Analysis

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Zhong, Connie S.; Melendez-Torres, G. J.

2017-01-01

Background: Adolescents with asthma face unique challenges due to hormonal changes, psychosocial development and healthcare transition. Peer-led self-management programmes may increase treatment adherence and social adjustment by addressing these challenges. The purpose of this study was to assess whether peer-led self-management programmes…

Practical assessment of the SWMM programme

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Hlustik, P.

2017-10-01

The article describes the advantages and disadvantages of the SWMM programme user environment when working with it. The Storm Water Management Model (SWMM) is a programme developed by the U.S. EPA (United States Environmental Protection Agency). The SWMM programme is used worldwide to plan, analyse and design rainfall-runoff, combined and separate sanitary sewage systems and other drainage systems in urban areas [1]. The programme is freely available to download from the U.S. EPA website [2].

Predictors of nurse manager stress: a dominance analysis of potential work environment stressors.

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Kath, Lisa M; Stichler, Jaynelle F; Ehrhart, Mark G; Sievers, Andree

2013-11-01

Nurse managers have important but stressful jobs. Clinical or bedside nurse predictors of stress have been studied more frequently, but less has been done on work environment predictors for those in this first-line leadership role. Understanding the relative importance of those work environment predictors could be used to help identify the most fruitful areas for intervention, potentially improving recruitment and retention for nurse managers. Using Role Stress Theory and the Job Demands-Resources Theory, a model was tested examining the relative importance of five potential predictors of nurse manager stress (i.e., stressors). The work environment stressors included role ambiguity, role overload, role conflict, organizational constraints, and interpersonal conflict. A quantitative, cross-sectional survey study was conducted with a convenience sample of 36 hospitals in the Southwestern United States. All nurse managers working in these 36 hospitals were invited to participate. Of the 636 nurse managers invited, 480 responded, for a response rate of 75.5%. Questionnaires were distributed during nursing leadership meetings and were returned in person (in sealed envelopes) or by mail. Because work environment stressors were correlated, dominance analysis was conducted to examine which stressors were the most important predictors of nurse manager stress. Role overload was the most important predictor of stress, with an average of 13% increase in variance explained. The second- and third-most important predictors were organizational constraints and role conflict, with an average of 7% and 6% increase in variance explained, respectively. Because other research has shown deleterious effects of nurse manager stress, organizational leaders are encouraged to help nurse managers reduce their actual and/or perceived role overload and organizational constraints. Copyright © 2013 Elsevier Ltd. All rights reserved.

A theory evaluation of an induction programme

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Kenrick Hendricks

2012-07-01

Full Text Available Orientation: An induction programme is commonly used to help new employees understand their job within the organisation. Research purpose: The main aim of this study was to examine whether or not the programme theory of an induction programme was plausible and would lead to the intended outcomes as described by the programme manager. Motivation for the study: Induction training is one of the most common training programmes in an organisation. However, there is little research to evaluate whether or not the activities of an induction programme will lead to the intended outcomes of such a programme. Research design, approach and method: This theory evaluation used a descriptive design. One hundred and thirteen employees of a media company completed a ten-item, five-point Likert scale which measured their perceptions of the programme’s outcome, identification with the organisation and intentions to stay with the organisation. Main findings: From this theory evaluation it was apparent that an induction programme based on an implausible programme theory could be problematic. An implausible programme theory affects the design of the programme activities and unsuitable activities may not deliver the desired outcomes. Practical/managerial implications: The intention of the evaluation is to guide human resource managers through a process of replacing an implausible programme theory with one that is plausible, and which ensures better alignment of programme activities and outcomes. Contribution/value-add: The evaluators showed how a plausible programme theory could improve programme design. This redesigned induction programme may lead to benefits, such as staff retention and company identification, rather than the vague assumption that it has been conforming to a legal obligation.

Implementation and evaluation of a clinical data management programme in a primary care centre.

LENUS (Irish Health Repository)

Sweeney, J

2014-11-01

Electronic health records (EHR) support clinical management, administration, quality assurance, research, and service planning. The aim of this study was to evaluate a clinical data management programme to improve consistency, completeness and accuracy of EHR information in a large primary care centre with 10 General Practitioners (GPs). A Clinical Data Manager was appointed to implement a Data Management Strategy which involved coding consultations using ICPC-2 coding, tailored support and ongoing individualised feedback to clinicians. Over an eighteen month period there were improvements in engagement with and level of coding. Prior to implementation (August 2011) 4 of the 10 GPs engaged in regular coding and 69% of their consultation notes were coded. After 12 months, all 10 GPs and 6 nurses were ICPC-2 coding their consultations and monthly coding levels had increased to 98%. This structured Data Management Strategy provides a feasible sustainable way to improve information management in primary care.

Certified Integral Programme Management for R&D European Projects in Marine Sciences

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Castro, Ayoze; Hildebrandt, silvia; Quevedo, Eduardo; Meme, Simone; Loustau, Josefina; Hernandez-Brito, Joaquin; Llinás, Octavio

2017-04-01

The Oceanic Platform of the Canary Islands (PLOCAN) is a multipurpose service centre with novel land-based and sea-based infrastructures to support research, technology development an innovation in the marine and maritime sectors. Its mission is to promote long-term observation and sustainability of the ocean, providing a cost-effective combination of services, such as observatories, test site, base for underwater vehicles, training and innovation hub. PLOCAN has been actively participating in the European Commission Blue Growth strategy to support sustainable growth in the marine and maritime sectors as a whole. As a result, during the period 2014-2016, there has been a particularly high increase in the number of projects in execution in the organization. In order to successfully manage this situation, the development of a robust, effective and certified programme management system has turned out to be essential. To do so, an integral management methodology was specifically created and has successfully passed the ISO 9001:2008 certification in 2016.

Using biofeedback while immersed in a stressful videogame increases the effectiveness of stress management skills in soldiers.

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Stéphane Bouchard

Full Text Available This study assessed the efficacy of using visual and auditory biofeedback while immersed in a tridimensional videogame to practice a stress management skill (tactical breathing. All 41 participants were soldiers who had previously received basic stress management training and first aid training in combat. On the first day, they received a 15-minute refresher briefing and were randomly assigned to either: (a no additional stress management training (SMT for three days, or (b 30-minute sessions (one per day for three days of biofeedback-assisted SMT while immersed in a horror/first-person shooter game. The training was performed in a dark and enclosed environment using a 50-inch television with active stereoscopic display and loudspeakers. On the last day, all participants underwent a live simulated ambush with an improvised explosive device, where they had to provide first aid to a wounded soldier. Stress levels were measured with salivary cortisol collected when waking-up, before and after the live simulation. Stress was also measured with heart rate at baseline, during an apprehension phase, and during the live simulation. Repeated-measure ANOVAs and ANCOVAs confirmed that practicing SMT was effective in reducing stress. Results are discussed in terms of the advantages of the proposed program for military personnel and the need to practice SMT.

Stress Management Apps With Regard to Emotion-Focused Coping and Behavior Change Techniques: A Content Analysis.

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Christmann, Corinna Anna; Hoffmann, Alexandra; Bleser, Gabriele

2017-02-23

Chronic stress has been shown to be associated with disease. This link is not only direct but also indirect through harmful health behavior such as smoking or changing eating habits. The recent mHealth trend offers a new and promising approach to support the adoption and maintenance of appropriate stress management techniques. However, only few studies have dealt with the inclusion of evidence-based content within stress management apps for mobile phones. The aim of this study was to evaluate stress management apps on the basis of a new taxonomy of effective emotion-focused stress management techniques and an established taxonomy of behavior change techniques. Two trained and independent raters evaluated 62 free apps found in Google Play with regard to 26 behavior change and 15 emotion-focused stress management techniques in October 2015. The apps included an average of 4.3 behavior change techniques (SD 4.2) and 2.8 emotion-focused stress management techniques (SD 2.6). The behavior change technique score and stress management technique score were highly correlated (r=.82, P=.01). The broad variation of different stress management strategies found in this sample of apps goes in line with those found in conventional stress management interventions and self-help literature. Moreover, this study provided a first step toward more detailed and standardized taxonomies, which can be used to investigate evidence-based content in stress management interventions and enable greater comparability between different intervention types. ©Corinna Anna Christmann, Alexandra Hoffmann, Gabriele Bleser. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 23.02.2017.

Using a Voltage Domain Programmable Technique for Low-Power Management Cell-Based Design

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Ching-Hwa Cheng

2011-09-01

Full Text Available The Multi-voltage technique is an effective way to reduce power consumption. In the proposed cell-based voltage domain programmable (VDP technique, the high and low voltages applied to logic gates are programmable. The flexible voltage domain reassignment allows the chip performance and power consumption to be dynamically adjusted. In the proposed technique, the power switches possess the feature of flexible programming after chip manufacturing. This VDP method does not use an external voltage regulator to regulate the supply voltage level from outside of the chip but can be easily integrated within the design. This novel technique is proven by use of a video decoder test chip, which shows 55% and 61% power reductions compared to conventional single-Vdd and low-voltage designs, respectively. This power-aware performance adjusting mechanism shows great power reduction with a good power-performance management mechanism.

Integrating an incident management system within a continuity of operations programme: case study of the Bank of Canada.

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Loop, Carole

2013-01-01

Carrying out critical business functions without interruption requires a resilient and robust business continuity framework. By embedding an industry-standard incident management system within its business continuity structure, the Bank of Canada strengthened its response plan by enabling timely response to incidents while maintaining a strong focus on business continuity. A total programme approach, integrating the two disciplines, provided for enhanced recovery capabilities. While the value of an effective and efficient response organisation is clear, as demonstrated by emergency events around the world, incident response structures based on normal operating hierarchy can experience unique challenges. The internationally-recognised Incident Command System (ICS) model addresses these issues and reflects the five primary incident management functions, each contributing to the overall strength and effectiveness of the response organisation. The paper focuses on the Bank of Canada's successful implementation of the ICS model as its incident management and continuity of operations programmes evolved to reflect current best practices.

Nuclear power plant ageing management programmes in foreign countries

International Nuclear Information System (INIS)

Simola, K.; Laakso, K.; Pekkonen, A.

1992-09-01

The report describes ageing studies of nuclear power plants and research programmes on plant life extension in foreign countries. Ageing studies are aimed to ascertain that the availability and safety of components and structures can be maintained throughout the plant lifetime. In life extension programmes the purpose is to evaluate the technical and economical possibilities to extend the plant lifetime beyond the originally planned operation period, without reducing the plant safety. The main emphasis of the report is put on the ageing and life extension programmes in the United States. Besides the U.S. studies, research on plant life extension possibilities conducted in France and Japan are also described. Examples of studies performed in other nuclear energy producing countries are given. These examples are mainly related to the development of maintenance programmes and techniques

Executing A Customer Relationship Management Programme In An Emerging Market: An Empirical Approach

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Akinyele Samuel

2013-05-01

Full Text Available Retail financial services in all markets, including emerging markets, are undergoing major transaction, driven by change, deregulation and customer sophistication. Customer service and specifically relationship management in particular, are crucial to attaining a sustainable competitive advantage in the marketplace. The execution of a one- to- one programme within an emerging economy is the focus of this paper, specifically in the financial services environment. The steps in the execution of customer relationship management (CRM as proposed by Peppers, Rogers and Dorf (1999b are examined and the effect on customer service in an emerging market is investigated. The findings indicates that there are positive associations with these steps and customer service.

Chronic Disease Management Programmes: an adequate response to patients’ needs?

Science.gov (United States)

Rijken, Mieke; Bekkema, Nienke; Boeckxstaens, Pauline; Schellevis, François G.; De Maeseneer, Jan M.; Groenewegen, Peter P.

2012-01-01

Abstract Background  Inspired by American examples, several European countries are now developing disease management programmes (DMPs) to improve the quality of care for patients with chronic diseases. Recently, questions have been raised whether the disease management approach is appropriate to respond to patient‐defined needs. Objective  In this article we consider the responsiveness of current European DMPs to patients’ needs defined in terms of multimorbidity, functional and participation problems, and self‐management. Method  Information about existing DMPs was derived from a survey among country‐experts. In addition, we made use of international scientific literature. Results  Most European DMPs do not have a solid answer yet to the problem of multimorbidity. Methods of linking DMPs, building extra modules to deal with the most prevalent comorbidities and integration of case management principles are introduced. Rehabilitation, psychosocial and reintegration support are not included in all DMPs, and the involvement of the social environment of the patient is uncommon. Interventions tailored to the needs of specific social or cultural patient groups are mostly not available. Few DMPs provide access to individualized patient information to strengthen self‐management, including active engagement in decision making. Conclusion  To further improve the responsiveness of DMPs to patients’ needs, we suggest to monitor ‘patient relevant outcomes’ that might be based on the ICF‐model. To address the needs of patients with multimorbidity, we propose a generic comprehensive model, embedded in primary care. A goal‐oriented approach provides the opportunity to prioritize goals that really matter to patients. PMID:22712877

Do managers experience more stress than employees? Results from the Intervention Project on Absence and Well-being (IPAW) study among Danish managers and their employees.

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Skakon, Janne; Kristensen, Tage S; Christensen, Karl Bang; Lund, Thomas; Labriola, Merete

2011-01-01

To examine whether managers' perceived stress and work strain is higher than perceived stress and work strain among employees. The study is based on questionnaire responses from 2052 respondents (128 managers and 1924 employees) at 48 worksites. Bi-variate and multivariate analyses were used to explain possible differences in stress levels and related mediators. Managers experienced higher demands, higher level of conflicts, and lower degree of social support from peers. They tended to experience significantly lower emotional stress, whereas this trend was insignificant with regards to behavioural, somatic and cognitive stress. The difference was partly explained by higher scores in the psychosocial work environment factors; job satisfaction, perceived management quality from their managers, influence, degrees of freedom at work, possibilities for development and meaning of work. For behavioural stress, 41% of the difference was explained by the preventive factors, 20% for somatic stress, 39% for emotional stress and 56% for cognitive stress. This study indicates that the preventive psychosocial factors explain parts of the managers' lower stress level. These results contradict the lay perception of managers being under higher pressure and experiencing more stress than employees. Interventions aiming at reducing employee stress levels, especially regarding behavioural and cognitive stress, could benefit from focussing on psychosocial work environment exposures such as skill discretion, meaning of work, psychological demands, information flow and management quality.

Bolsa Família (Family Grant Programme: an analysis of Brazilian income transfer programme

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Luciana Mourão

2012-06-01

Full Text Available Income transfer programmes are common in various countries and play an important role in combating poverty. This article presents a review of the results of the Bolsa Família (Family Grant Programme, implemented in Brazil by the government of Lula da Silva in 2004. Over the last seven years many evaluations of the programme have been conducted, allowing an overview of its results and its strong and weak points to be mapped. Five central aspects relating to the programme are discussed in article five: (1 programme access, (2 hunger fighting results, (3 programme financial impacts, (4 conditioning factors of education and health, (5 supplementary programs and social mobility. The results of scientific research were presented for each of these aspects, and any of these believed to be convergent or divergent were discussed. As a general result it was concluded that the programme has generated significant results for the country, but there are still some issues that need to be reviewed, such as conditioning factors and the integrated management of the programme.