Developing Community Nursing Practice: Promoting Case Management and Skill Enhancement to Support Shifting the Balance of Care

Five inter-related projects were commissioned by NHS Highland to further knowledge and understanding of key issues that can be used to inform particular aspects of care delivery that supports the community nurse review. The five projects reflect some of the core elements that have been identified to maximise nurses’ contributions in community settings (Scottish Executive 2006a). The projects were designed to provide qualitative evidence of the views of community nurses regarding case management and to support the delivery of skills in community nursing practice. Additionally community nurses identified the knowledge and skills required to develop practice tools that would support areas of generalist and specialist practice, specifically around child welfare and long term conditions (heart care). The five projects were: i. Literature review on case management models in Community Nursing. ii. Action research project to support implementation of Case Management Models in community nursing. iii. Literature review on practitioners with special interest. iv. Research to inform development of practitioner tools for child protection and long term conditions (heart care). v. Research to explore skills transition to support Shifting the Balance of Care. This project focused on 3 key initiatives that are influencing community nursing and it was apparent that they all shared common goals and challenges of implementation. For this reason, it was clear that any development in service provision would impact on, and articulate with, other health, social and profession based changes and could not be implemented in isolation from other related developments that underpin shifting the balance of care. Nurses in the studies articulated insightful challenges for shifting the balance of care, and related role developments, but these were, in the majority, followed by offering practical solutions

Personnel Administration

published or submitted for publicatio

The First Quarterly Report Covering the Quarter Ending June 30, 1939 for the State-Wide Paleontologic-Mineralogic Survey

Bureau of Economic Geolog

Social Security Programs Throughout the World: The Americas, 2011

[Excerpt] This fourth issue in the current four-volume series of Social Security Programs Throughout the World reports on the countries of the Americas. The combined findings of this series, which also includes volumes on Europe, Asia and the Pacific, and Africa, are published at six-month intervals over a two-year period. Each volume highlights features of social security programs in the particular region. The information contained in these volumes is crucial to our efforts, and those of researchers in other countries, to review different ways of approaching social security challenges that will enable us to adapt our social security systems to the evolving needs of individuals, households, and families. These efforts are particularly important as each nation faces major demographic changes, especially the increasing number of aged persons, as well as economic and fiscal issues

The Road Ahead for the U.S. Auto Industry

[Excerpt] In 2004, U.S. light vehicle sales were up slightly, reversing a moderate slide that began in 2001. The 1.3 percent gain brought the market total to 16.8 million units, approximately the same level as 2002, and the fourth highest sales on record. The trend, which began in 2001 of offering low or no cost financing along with high rebates has cast a cloud over the otherwise sunny sales outcome for the year. American consumers have continued the long-term shift towards a preference for light trucks over passenger cars. Trucks passed cars in 2001, hitting over half the market for the first time that year. In 2004, light trucks accounted for over 55 percent of the U.S. passenger vehicle market. Light truck sales reached 9.3 million units, up 3.6 percent over 2003. Passenger car sales were down 1.4 percent compared to 2003, reaching only 7.5 million units

Irish-American Nationalism: From the Kennedy Administration to the Clinton Administration

The Irish in America have always had a complex relationship with their government and with American society. Few groups have resisted cultural assimilation more fervently than the Irish, and arguably none have retained so strong a political link to the current affairs of their homeland. This interest has not always been constructive; Irish-American contributions to violent organizations in the Republic of Ireland and Northern Ireland, which span over a hundred years, have led to characterizations by the British press and international opinion of Irish-Americans as radical interlopers in ‘The Troubles’ who worsen the conflict and encourage bloodshed. The image of Irish- Americans that has been painted by British tabloids, Unionist agitators and popular perceptions in the US and UK are frankly incorrect. The new class of Irish-Americans that began their evolution and ascent with the election of the Kennedy finally matured into an active group of citizens ready to speak out for moderation and constitutional means to Irish unity in the late 1970s. This class represented the interest of the vast majority of Irish-Americans in their moderation, but were active in politics rather than reserving themselves to economic and career pursuits. Though occasionally taken with wistful visions of a romantic Irish history, these modern, educated citizens were not the rabid plotters of destruction they have been made out to be and deserve an accurate description of their politics and actions. The emergence of these well-informed moderates drowned out the influence of violent radicals, voiced concerns for peace in Northern Ireland to the governments of the United States, United Kingdom and Ireland, and heavily contributed to the peace process

THE COMPETITIVENESS OF DESTINATION ROMANIA

The aim of our paper is to depict the state of affairs in the Romanian tourist industry as well as to point out the necessary steps and the effective strategies in order to capitalize on the huge tourist potential of our country. The biggest problems thatcompetitiveness, analysis, ranking, investments, strategies