9,814 research outputs found

    Nursesā€™ compliance with handover practices in adult medical surgical units at a tertiary care hospital in Karachi, Pakistan

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    Background: The exchange of the shift changeover report of patient, from nurse to nurse at the patient\u27s bedside is known as bedside handover. Although this method is becoming more and more popular in the nursing sector, not many people genuinely practice it.Purpose: To determine the different factors impacting nurses\u27 compliance and to evaluate the compliance rate of nurses to comply with bedside handover guidelines.Methods: A cross-sectional observational study was conducted in the medical surgical ward at the Aga Khan University Hospital, Karachi. During the study, the structured bedside handover technique known as kardex, which adheres to SBAR (Situation, background, assessment, recommendations), that was already being used in the hospital setting was converted into binary scale checklist and was utilized. The clinical instructor and researcher at same time observed 26 participants together in order to improve reliability, and inter-rater agreement was computed. Cohenā€™s Kappa value (1.000) depicts perfect agreement between two raters. Regression, independent T-test, one-way ANOVA, and descriptive statistics were used to analyse the data.Results: The observed data had a mean compliance of 69.1 and a standard deviation of 18.6. The mean compliance\u27s 95% confidence interval (CI) spans from 65.9 to 72.3 (95% CI [65.9, 72.3]). A number of parameters were considered in the analysis of the compliance rates. Moderate adherence to protocols was seen in the age groups of 20ā€“30 and 31ā€“40 years, with 67.8% and 69.0%, respectively. There was a notable difference in adherence between the sexes, with women showing greater levels at 72.1% and men at 55.8%. There was no discernible influence of qualifications on compliance. At shift handovers, however, unique trends emerged, night shifts had the highest compliance (74.4%), followed by evening shifts (71.0%) and morning shifts (64.9%). Interestingly, at 77.1%, nurses with more than five years of experience showed the strictest adherence. These findings highlight a range of factors that affect compliance rates, demonstrating different adherence levels among nurses based on age, gender, shift schedules, and experience. Conclusion: Key trends in compliance are shown by the data analysis comprising 131 nurses from an array of demographic backgrounds. Compliance is non-significant with age, while it is highly influenced by gender, with younger people and female adhering to more rules. Experience levels show a significant link that favours people with 6 to 15 years of experience, while qualifications have little bearing. Compliance is somewhat impacted by shift assignments; nurses working the night shift have the highest mean compliance. Additionally, there is no discernible impact of the selected handover technique on compliance. For healthcare facilities looking to enhance bedside handover procedures for better patient care and safety, these findings provide practical insights

    A STUDY OF GENDER IN SENIOR CIVIL SERVICE POSITIONS IN IRELAND. ESRI RESEARCH SERIES NUMBER 66 DECEMBER 2017

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    Women make up the majority of those employed in the civil service but are underrepresented at the most senior grades, where key policy and operational decisions are taken. Action 8 of the Civil Service Renewal Plan commits to improving gender balance at each level, including senior grades. The present study was commissioned by a high-level steering group set up to oversee implementation of this action. It draws on a combination of administrative data, reanalysis of the Civil Service Employee Engagement Survey conducted in 2015, and in-depth work history interviews with 50 senior civil servants across four departments. In addition, in-depth interviews were conducted with staff involved in recruitment and promotion within the public service. This rich combination of data yields new insights into the processes shaping gender differences in representation at the most senior grades of the civil service and thus provides a strong evidence base to inform future policy and practice

    Will SDN be part of 5G?

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    For many, this is no longer a valid question and the case is considered settled with SDN/NFV (Software Defined Networking/Network Function Virtualization) providing the inevitable innovation enablers solving many outstanding management issues regarding 5G. However, given the monumental task of softwarization of radio access network (RAN) while 5G is just around the corner and some companies have started unveiling their 5G equipment already, the concern is very realistic that we may only see some point solutions involving SDN technology instead of a fully SDN-enabled RAN. This survey paper identifies all important obstacles in the way and looks at the state of the art of the relevant solutions. This survey is different from the previous surveys on SDN-based RAN as it focuses on the salient problems and discusses solutions proposed within and outside SDN literature. Our main focus is on fronthaul, backward compatibility, supposedly disruptive nature of SDN deployment, business cases and monetization of SDN related upgrades, latency of general purpose processors (GPP), and additional security vulnerabilities, softwarization brings along to the RAN. We have also provided a summary of the architectural developments in SDN-based RAN landscape as not all work can be covered under the focused issues. This paper provides a comprehensive survey on the state of the art of SDN-based RAN and clearly points out the gaps in the technology.Comment: 33 pages, 10 figure

    EVEREST IST - 2002 - 00185 : D23 : final report

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    Deliverable pĆŗblic del projecte europeu EVERESTThis deliverable constitutes the final report of the project IST-2002-001858 EVEREST. After its successful completion, the project presents this document that firstly summarizes the context, goal and the approach objective of the project. Then it presents a concise summary of the major goals and results, as well as highlights the most valuable lessons derived form the project work. A list of deliverables and publications is included in the annex.Postprint (published version

    Final report on the evaluation of RRM/CRRM algorithms

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    Deliverable public del projecte EVERESTThis deliverable provides a definition and a complete evaluation of the RRM/CRRM algorithms selected in D11 and D15, and evolved and refined on an iterative process. The evaluation will be carried out by means of simulations using the simulators provided at D07, and D14.Preprin

    Systematic review of transition models for young people with long-term conditions: A report for NHS Diabetes.

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    Aims For many young people with Type 1 diabetes, transition from paediatric to adult care can result in a marked deterioration in glycaemic control. A systematic review assessed the effectiveness of transition models, or components of models, for managing the transition process in young people with long-term conditions, including Type 1 diabetes. This involved identifying (i) the main barriers and facilitators in implementing a successful transition programme, and (ii) the key issues for young people with long-term conditions and professionals involved in the transition process. Methods The following databases were searched from inception to August 2012: MEDLINE, EMBASE, PsychINFO, CINAHL, ASSIA, Social Services Abstracts, Academic Search Complete, Social Science Citation Index, Cochrane and Campbell Libraries. Selected studies included young people aged 11 to 25 diagnosed with long-term conditions who were in transition from paediatric to adult secondary health care services. Results 16 systematic reviews and 13 primary studies were included from 9992 records retrieved. No single transition model was uniquely effective. The most successful transitions centred around: young person-focused; age and developmentally appropriate content and delivery; self-management education; family participation; paediatric and adult collaboration; designated transition clinics; transition co-ordinator; young personā€™s portfolio; specific professionals training; multidisciplinary approach; structured process embedded in service delivery. There were no distinctive characteristics of condition-specific Type 1 diabetes services. Conclusion This important and timely review summarises the key factors that need to be considered for the development of transition programmes for young people with long-term conditions, including those with Type 1 diabetes

    Deliverable 9 - Evaluation report of training and the use of training tools

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    Van der Klink, M. R., Kicken, W., Drachsler, H., Stoyanov, S., & Boshuizen, H. P. A. (2011). Deliverable 9 - Evaluation report of training and the use of training tools. Heerlen, The Netherlands, Open Universiteit in the Netherlands.This deliverable describes the design, development and evaluation of a learning network that was developed for medical professionals interested and/or responsible for improving handoversHandover - 2008 - 22340
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