An Exploratory Study of Patient Falls

Debate continues between the contribution of education level and clinical expertise in the nursing practice environment. Research suggests a link between Baccalaureate of Science in Nursing (BSN) nurses and positive patient outcomes such as lower mortality, decreased falls, and fewer medication errors. Purpose: To examine if there a negative correlation between patient falls and the level of nurse education at an urban hospital located in Midwest Illinois during the years 2010-2014? Methods: A retrospective crosssectional cohort analysis was conducted using data from the National Database of Nursing Quality Indicators (NDNQI) from the years 2010-2014. Sample: Inpatients aged ≥ 18 years who experienced a unintentional sudden descent, with or without injury that resulted in the patient striking the floor or object and occurred on inpatient nursing units. Results: The regression model was constructed with annual patient falls as the dependent variable and formal education and a log transformed variable for percentage of certified nurses as the independent variables. The model overall is a good fit, F (2,22) = 9.014, p = .001, adj. R2 = .40. Conclusion: Annual patient falls will decrease by increasing the number of nurses with baccalaureate degrees and/or certifications from a professional nursing board-governing body

Training of Crisis Mappers and Map Production from Multi-sensor Data: Vernazza Case Study (Cinque Terre National Park, Italy)

This aim of paper is to presents the development of a multidisciplinary project carried out by the cooperation between Politecnico di Torino and ITHACA (Information Technology for Humanitarian Assistance, Cooperation and Action). The goal of the project was the training in geospatial data acquiring and processing for students attending Architecture and Engineering Courses, in order to start up a team of "volunteer mappers". Indeed, the project is aimed to document the environmental and built heritage subject to disaster; the purpose is to improve the capabilities of the actors involved in the activities connected in geospatial data collection, integration and sharing. The proposed area for testing the training activities is the Cinque Terre National Park, registered in the World Heritage List since 1997. The area was affected by flood on the 25th of October 2011. According to other international experiences, the group is expected to be active after emergencies in order to upgrade maps, using data acquired by typical geomatic methods and techniques such as terrestrial and aerial Lidar, close-range and aerial photogrammetry, topographic and GNSS instruments etc.; or by non conventional systems and instruments such us UAV, mobile mapping etc. The ultimate goal is to implement a WebGIS platform to share all the data collected with local authorities and the Civil Protectio

Future-proofing the state: managing risks, responding to crises and building resilience

Summary: This book focuses on the challenges facing governments and communities in preparing for and responding to major crises — especially the hard to predict yet unavoidable natural disasters ranging from earthquakes and tsunamis to floods and bushfires, as well as pandemics and global economic crises. Future-proofing the state and our societies involves decision-makers developing capacities to learn from recent ‘disaster’ experiences in order to be better placed to anticipate and prepare for foreseeable challenges. To undertake such futureproofing means taking long-term (and often recurring) problems seriously, managing risks appropriately, investing in preparedness, prevention and mitigation, reducing future vulnerability, building resilience in communities and institutions, and cultivating astute leadership. In the past we have often heard calls for ‘better future-proofing’ in the aftermath of disasters, but then neglected the imperatives of the message. Future-Proofing the State is organised around four key themes: how can we better predict and manage the future; how can we transform the short-term thinking shaped by our political cycles into more effective long-term planning; how can we build learning into our preparations for future policies and management; and how can we successfully build trust and community resilience to meet future challenges more adequately

Culture and disaster risk management - stakeholder attitudes during Stakeholder Assembly in Lisbon, Portugal

This report provides a summary of the topics discussed and the results of the third CARISMAND Stakeholder Assembly conducted in Lisbon, Portugal on 27-28 February 2018. In order to promote cross-sectional knowledge transfer and gather a variety of attitudes and perceptions, as in the first and second CARISMAND Stakeholder Assemblies held in Romania and Italy in the previous years, the audience consisted of a wide range of practitioners who are typically involved in disaster management, e.g., civil protection, the emergency services, paramedics, nurses, environmental protection, Red Cross, firefighters, military, and the police. Further, these practitioners were from several regions in Portugal, including the island of Madeira. The 40 participants were recruited via invitations sent to various Portuguese organisations and institutions, and via direct contacts of the Civil Protection Department in Lisbon which is one of the partners in the CARISMAND consortium. The event consisted of a mix of presentations and discussion groups to combine dissemination with information gathering (for the detailed schedule/programme see Appendix 1). Furthermore, this third Stakeholder Assembly was organised and specifically designed to discuss and collect feedback on a comprehensive set of recommendations for disaster practitioners, which will form one of the core elements of the CARISMAND Work Package 9 ‘Toolkit’. These recommendations, which have all been formulated on the basis of Work Packages 2-10 results, were structured in four, main “sets”: 1. Approaches to ethnicity in disaster management; 2. Culturally aware disaster-related training activities; 3. Cultural factors in disaster communication, with the sub-sets: a. Cultural values and emotions; (cross-)cultural symbols; “physical” aides and methods; b. Involvement of cultural leaders; involvement of specific groups; usage of social media and mobile phone apps; and 4. Improving trust, improving disaster management. In an initial general assembly, the event started with presentations of the CARISMAND project and its main goals and concepts, including the concept of culture adopted by CARISMAND, and the planned CARISMAND Toolkit architecture and functionalities. These were followed by a detailed presentation of the first of the above mentioned sets of recommendations for practitioners. Then, participants of the Stakeholder Assembly were split into small groups in separate breakout rooms, where they discussed and provided feedback to the presented recommendations. Over the course of the 2-day event, this procedure was followed for all four sets of recommendations. To follow the cyclical design of CARISMAND events, and wherever meaningful and possible, the respective Toolkit recommendations for practitioners provided also the basis for a respective “shadow” recommendation for citizens which will be discussed accordingly in the last round of CARISMAND Citizen Summits (Citizen Summit 5 in Lisbon, and Citizen Summit 6 in Utrecht) in 2018. The location of the Third Stakeholder Assembly was selected to make use of the extensive local professional network of the Civil Protection Department in Lisbon, but also due to Portugal being a traditional “melting pot” where, over more than a millennium, people from different cultural backgrounds and local/ethnical origins (in particular Africa, South America, and Europe) have lived both alongside and together. All documents related to the Working Groups, i.e. discussion guidelines and consent forms, were translated into Portuguese. Accordingly, all presentations, as well as the group discussions were held in Portuguese, aiming to avoid any language/education-related access restrictions, and allowing participating practitioners to respond intuitively and discuss freely in their native language. For this purpose, simultaneous interpreters and professional local moderators were contracted via a local market research agency (EquaçãoLógica), which also provided the basic data analysis of all Working Group discussions and an independent qualitative evaluation of all recommendations presented in the event. The results of this analysis and evaluation will demonstrate that most recommendations were seen by the participating practitioners to be relevant and useful. In particular, those recommendations related to the use of cultural symbols and the potential of mobile phone apps and/or social media were perceived as stimulating and thought-provoking. Some recommendations were felt to be less relevant in the specific Portuguese context, but accepted as useful in other locations; a very small number was perceived to be better addressed to policy makers rather than practitioners. These and all other suggestions for improvement of the presented CARISMAND Toolkit recommendations for practitioners have been taken up and will be outlined in the final chapter of this report.The project was co-funded by the European Commission within the Horizon2020 Programme (2014-2020).peer-reviewe