Modernization of Nursing Education and Nurse' It Competence

The use of technology in nursing is not new; in fact, nurses have become proficient in utilizing and adapting complex technology into caring nursing practice. Since nurses are the largest group of health care providers, discipline-specific competencies in the use of ICT and other technologies are imperative. This realization has catalyzed the steady development of nursing informatics. Nursing schools demonstrate use of recognized approaches to teaching and learning in their programs, including, but not limited to, adult education, self-directed learning, e-learning and clinical simulation. The article’ aims are to review modernization of nursing education and to assess nurse’ IT competence according to professional skills comparing groups with different educational background and work experience

SOCIAL MOBILITY OF FAMILIES AT RISK

Social mobility is shifting from one social status to another, commonly to a status that is either higher or lower. Disadvantaged family affects all social risk: poverty, unemployment, and addictions, violence, crime environment. The authors try to review the situation of families at risk in the community; to investigate the changes of social mobility of the families at risk. The aim of research in presented article is – to reveal the social mobility and the changes of the social status of families at risk in X community. Performing the research, the literature analysis and instantly qualitative study were done. Several qualitative research methods: observation, genogram, family social network, and family functioning assessment questionnaire were selected.

EVIDENCE-BASED PRACTICE TEACHING INTEGRATION IN COLLEGE NURSING STUDIES: HISTORICAL AND LEGAL ASPECTS

To better understand and analyze the education of evidence-based practice, it is necessary to review the context and premises of the formation of evidence-based practice itself. The beginning of the evidence-based practice movement in the teaching of health professionals’ dates back to 1910 and looking at the health care system; first, there was evidence-based medicine. In 1990, Sackett's initiative at McMaster University in Canada, it was decided to change the term "evidence-based medicine" to "evidence-based practice" (Mackey Bassendowski, 2017; Thom Eaves, 2015). In nursing, the beginning of evidence-based practice is linked to the reforms of nursing science and practice by the first nursing researcher, Florence Nightingale, from 1854 to 1910, although the term of “evidence-based practice” was not yet known at the time. The professional training of nurses as one of the leading health professionals is related to health policy and the development of nursing science. The European Qualifications Framework (EHEA) defines the expected learning outcomes for professionals with a bachelor's degree, including the skills to find, evaluate, reflect, and apply scientific information in practice (Bologna Working Group, 2005). Despite international and national recommendations, it is difficult for many higher education institutions to refine the steps of teaching evidence-based practice in nursing study programs. These difficulties are revealed by the ambiguity in the definition of the concept of evidence-based practice (Horntvedt et al. 2018).The problematic question is: What is the basis for integrating evidence-based practice training into college nursing study programs?The study is based on the scientific literature review.

Endometrioze sergančių pacienčių savipriežiūros vertinimas

Abstract. Endometriosis is a chronic, estrogen-dependent, incurable gynecological disease, the causes of which are still unclear. One of the most important factors in proper disease control is patient involvement in self-care. Well-directed self-care can help reduce the symptoms and damage caused by endometriosis. Aim. To evaluate the self-care of patients with endometriosis. A quantitative research was conducted, using a survey. The research was conducted on the Internet, on the social platform Facebook, in the endometriosis group. During the study, 70 adult women of childbearing age (18–49 years) with endometriosis were surveyed. 64 questionnaires were selected for data analysis. For descriptive statistics, percentage distribution of data is used. The rank and interval scales are used for analytical statistics. The Chi-square (χ²) criterion and a statistical significance of p<0.05 were used for the correlation between two attributes. Results and conclusions. A higher proportion of respondents do not use any self-care at all, and a statistically significant effect was found between duration of illness and use of self-care. The longer the duration of illness, the less self-care is used. It also found that the most effective self-care interventions are heat applications, nutrition and phytotherapy, while the least effective are yoga and psychotherapy. The study showed that self-care is insufficient in the management of endometriosis and its symptoms.Santrauka. Endometriozė – tai lėtinė, nuo estrogenų priklausoma, neišgydoma ginekologinė liga, kurios atsiradimo priežastys iki šiol nėra aiškios. Vienas svarbiausių veiksnių tinkamai ligos kontrolei yra sergančiosios įsitraukimas į savipriežiūrą, tikslingai pasirinkti ir taikomi savipriežiūros veiksmai gali padėti sumažinti endometriozės sukeliamus simptomus ir pažeidimus.  Tyrimo tikslas – įvertinti endometrioze sergančių pacienčių savipriežiūrą. Atliktas kiekybinis tyrimas, taikant anketinę apklausą socialinėje platformoje Facebook, endometriozės grupėje. Tyrimo metu buvo apklausta 70 suaugusių vaisingo amžiaus (18–49 m.) moterų, kurios serga endometrioze. Duomenų analizei atrinktos 64 anketos. Aprašomajai statistikai taikomas procentinis duomenų pasiskirstymas, analitinei statistikai – ranginės, intervalinės skalės. Dviejų požymių sąsajoms naudotas chi kvadrato (χ²) kriterijus ir statistinio patikimumo reikšmė p < 0,05. Tyrimo rezultatai ir išvados. Didesnė dalis respondenčių visai netaiko jokių savirūpos veiksmų, nustatytas statistiškai reikšmingas ryšys tarp sirgimo trukmės ir savipriežiūros veiksmų taikymo. Kuo ilgesnė sirgimo trukmė, tuo mažiau taikoma savipriežiūros veiksmų. Taip pat nustatyta, kad efektyviausi savipriežiūros veiksmai, respondenčių nuomone, yra šilumos aplikacijos, mityba ir fitoterapija, o mažiau efektyvūs – joga ir psichoterapija. Tyrimas parodė, kad respondenčių savipriežiūra yra nepakankama valdant endometriozę ir jos sukeltus simptomus

Assessment of a Wind Turbine Blade Erosion Lifetime Prediction Model with Industrial Protection Materials and Testing Methods

Leading edge protection (LEP) coating systems are applied to protect turbine blade edges from rain erosion. The performance of a LEP system is assessed in an accelerated rain erosion test (RET) as a metric for industrial application, but these tests are expensive. Modelling methods are available to predict erosion, based on fundamental material properties, but there is a lack of validation. The Springer model (1976) is analysed in this work to assess it as a tool for using material fundamental properties to predict the time to failure in a rain erosion test. It has been applied, referenced and industry validated with important partial considerations. The method has been applied successfully for erosion damage by wear performance prediction when combined with prior material data from rain erosion test (RET), instead of obtaining it directly from fundamental properties measured separately as Springer proposed. The method also offers accurate predictions when coupled with modified numerical parameters obtained from experimental RET testing data. This research aims to understand the differences between the experimental data used by Springer and the current industry approach to rain erosion testing, and to determine how it may introduce inaccuracies into lifetime predictions of current LEP systems, since they are very different to those tested in the historic modelling validation. In this work, a review of the modelling is presented, allowing for the understanding of key issues of its computational implementation and the required experimental material characterisation. Modelling results are discussed for different original application issues and industry-related LEP configuration cases, offering the reader to interpret the limits of the performance prediction when considering the variation in material fundamental properties involved

Įrodymais grįstos slaugos mokymo integravimas į vaikų priežiūros ir slaugos studijų dalyką ir vaikų slaugos praktiką

Evidence-based nursing is one of the newest paradigms in nursing. Its application means that future nurses need to know how to obtain reliable evidence, to match it with their clinical competence and the needs and values of the patient. Appropriate content for training evidence-based nursing ensures that future nurses have a positive attitude towards evidence-based nursing and its application in child care and nursing. Aim. To validate theoretically and empirically the possibilities of teaching evidence-based nursing in the Child Care and Nursing study subject and in the Pediatric Nursing Practice. A three-phase action research study was conducted and a mixed-methods research approach. Interviews and a questionnaire survey were conducted. Interview data analysed using qualitative content analysis. The questionnaire data were analysed using an independent samples t-test with a significance level of p < 0.05. The participants were 74 students in their second year of study. Results and conclusions. A curriculum of study subject and practice has been developed to teach the steps of evidence-based nursing. The tasks have been developed to enhance students' learning of evidence-based nursing. Two iterative cycles of action research were carried out to teach the renewed Child Care and Nursing study course and Pediatric Nursing Practice.  A student survey was carried out at the end of the training. Students scored highest on skills in disseminating information with colleagues, applying evidence and evaluating performance. Meanwhile, more emphasis should be placed on teaching students to understand the formulation of questions and to critically evaluate evidence.Įrodymais grįsta slauga – tai viena naujausių paradigmų slaugoje ir jos taikymas reiškia, kad būsimieji slaugytojai turi mokėti ir žinoti, kaip gauti patikimus įrodymus, suderinti juos su savo klinikine kompetencija ir paciento poreikiais. Tinkamas įrodymais grįstos slaugos mokymo turinys užtikrina būsimųjų slaugytojų teigiamą požiūrį į įrodymais grįstą slaugą ir jos taikymą vaikų priežiūroje ir slaugoje. Tyrimo tikslas – teoriškai ir empiriškai pagrįsti įrodymais grįstos slaugos mokymo galimybes Vaikų priežiūros ir slaugos studijų dalyke bei Vaikų slaugos praktikoje. Atliktas trijų etapų veiklos tyrimas, taikant mišraus tyrimo prieigą. Atlikta interviu ir anketinė apklausa. Interviu duomenys analizuoti taikant kokybinę turinio analizę. Anketinės apklausos duomenys analizuoti taikant nepriklausomų imčių t testą, nustatant reikšmingumo lygmenį  p < 0,05. Tyrime dalyvavo 74 studentai, studijuojantys antrame kurse. Tyrimo rezultatai ir išvados. Sukurta studijų dalyko ir praktikos programa apima įrodymais grįstos slaugos žingsnių mokymą. Parengtos užduotys skirtos plėtoti studentų įrodymais grįstos slaugos gebėjimus. Atlikti du pasikartojantys veiklos tyrimo ciklai, kurių  metu  buvo dėstomas atnaujintas Vaikų priežiūros ir slaugos studijų dalykas bei Vaikų slaugos praktika. Baigus mokymą atlikta studentų apklausa. Tyrimo duomenys rodo, kad studentai geriausiai įsivertino informacijos sklaidos su kolegomis, įrodymų taikymo ir veiklos rezultatų įvertinimo įgūdžius. Nustatyta, kad daugiau dėmesio tikslinga skirti studentų supratimo apie klausimų formulavimą mokymui ir kritiniam įrodymų vertinimui

Impact of meteorological data factors and material characterization method on the predictions of leading edge erosion of wind turbine blades

Leading edge erosion of wind turbine blades is a major contributor to wind farm energy yield losses and maintenance costs. Presented is a multidisciplinary framework for predicting rain erosion lifetimes of wind turbine blades. Key aim is assessing the sensitivity of lifetime predictions to: modeling aspects (material erosion model, blade aerodynamics), input data and/or their preprocessing (joint frequency distribution of wind speed and droplet size based on synchronous site-specific measurements versus frequency distribution generated with partly site-agnostic modeling standards, wind speed records of nacelle anemometer or extrapolated at hub height from met masts), and environmental conditions (UV weathering). The analyses consider a Northwest England onshore site where a utility-scale turbine is operational, focus on a reference 5 MW turbine assumed operational at the site, and use a typical leading edge coating material. It is found that the largest variations in erosion lifetime predictions are due to material erosion model (based on rain erosion test data or fundamental material properties) and wind and rain model (measurement-based joint wind speed and droplet size distribution or standard-based modeled distribution). The use of joint wind and rain distribution also enables identifying wind/rain states with highest erosion potential, knowledge paramount to deploying erosion-safe turbine control

Comparative effectiveness of initial computed tomography and invasive coronary angiography in women and men with stable chest pain and suspected coronary artery disease: multicentre randomised trial

To assess the comparative effectiveness of computed tomography and invasive coronary angiography in women and men with stable chest pain suspected to be caused by coronary artery disease