Facilitators And Barriers To The Success Of Nursing Centers As Experienced By Nurse Executives

Some nursing centers have been confronted with many problems that have hindered their success or even motivated them to close. Other nursing centers have attained with unsurpassed proficiency and, consequently, have emulated success. The purpose of this nonexperimental descriptive study was to explore the facilitators and barriers to the success of nursing centers as experienced by nurse executives. The conceptual framework used was the McGill Model of Nursing created by Dr. Moyra Allen (Gottlieb & Rowat, 1985). Research questions included these: What factors are identifiable by nurse executives as being facilitators to the success of nursing centers? What factors are identifiable by nurse executives as being barriers to the success of nursing centers? Seventy-four nurse executives throughout the United States were surveyed utilizing the Nurse Managed Center (NMC)--Nurse Center Survey (Rosenkoetter, Zakutney, Reynolds, & Faller, 1993) developed at the University of North Carolina at Wilmington. Thirty-six returned questionnaires were utilized for data analysis. Facilitators were, in ranking order, reputation of the center, nursing expertise, iv satisfied patients, providing services where gaps occur, adequate referral patterns, recognition from other providers, cost effectiveness, variety of service, future oriented health perceptions, adequate space, marketing, and adequate funding. Barriers included, in ranking order, an unresponsive reimbursement system, limited perceptions of those in political positions, limitation of space/facilities, inadequate staffing, lack of profitability, physician resistance, too small patient pool, incompatibility of goals with organization, patient/community resistance, and lack of physician backup. ANOVA tests were utilized to examine for statistical significance between four geographical regions of the United States and number of responses to facilitators and barriers. Results indicate that there is no statistical significance between responses to facilitators and barriers and geographic region at the .05 level. Since no research has yet been performed on the various types of nursing centers as a whole until now and the factors that facilitate and/or hinder nursing centers are subject to change with the advent of health reform, further study in this area is needed to assist in providing current data on nursing centers and their ever- changing role on health care

Latinx Immigrant Families With Youth With Disabilities Participating in Civic Engagement to Promote Social Justice

Vulnerable populations are exposed to several disparities and inequalities representing an infringement of social justice and limiting their opportunities to live healthy and fulfilling lives. Latinx immigrant families with youth and young adults with disabilities represent one such vulnerable population. The purpose of this article is to describe and discuss the participation of Latinx immigrant families of youth and young adults with disabilities in two interrelated civic engagement projects aimed at promoting social justice and community participation. First, we will discuss the conceptual framework of social justice that grounded these cases of civic engagement, and then we will describe two case studies. Both cases of civic engagement emerged from Latinx immigrant families as part of meaningful conversations they had with the research team related to healthy lifestyles and community participation. The first case of civic engagement addresses walkability safety, and the second describes a community-engaged asset-mapping process. These two cases of civic engagement provided participants an opportunity to advocate for justice. Finally, we discuss the implications and challenges that vulnerable populations experience in making their voices heard by those in positions of power

The Grizzly, November 2, 1984

Limerick, Part 3, the Controversy: No Simple Solution in Sight • Students Harassed in Two Incidents • Majority of Students Choose Reagan • Editorial: Some Illuminating Self-abuse en Route to an Endorsement • Letter to the Editor • Election \u2784 • 3000 Alumni Return for Homecoming • News of Yesteryear: Coeds to Hold Dormitory Dawn Patrols • UC Student Attends London\u27s Richmond College • Faculty Symposium Here Tomorrow • proTheatre Presents A Thurber Carnival • Shorts: E.T. Forum; PMA Offers Free Admission; H & PE Offers New Course • Career Planning and Placement Offers Services • Debaters Shine • Bears Upset National Power • Soccer Team to Visit China • Diaphragms Stop Delta Pi in Football • Soccer Wins Two, Record at 14-3 • Swimmers Look Strong • Magic Show Tonight • O\u27Chi\u27s Fiftiethhttps://digitalcommons.ursinus.edu/grizzlynews/1126/thumbnail.jp

Preventing mental health problems in children : the families in mind population-based cluster randomised controlled trial.

BackgroundExternalising and internalising problems affect one in seven school-aged children and are the single strongest predictor of mental health problems into early adolescence. As the burden of mental health problems persists globally, childhood prevention of mental health problems is paramount. Prevention can be offered to all children (universal) or to children at risk of developing mental health problems (targeted). The relative effectiveness and costs of a targeted only versus combined universal and targeted approach are unknown. This study aims to the effectiveness, costs and uptake of two approaches to early childhood prevention of mental health problems ie: a Combined universal-targeted approach, versus a Targeted only approach, in comparison to current primary care services (Usual care).DesignThree armed, population-level cluster randomised trial (2010-2014) within the universal, well child Maternal Child Health system, attended by more than 80% of families in Victoria, Australia at infant age eight months. Participants: Families of eight month old children from nine participating local government areas. Randomised to one of three groups: Combined, Targeted or Usual care. Intervention: (a) the Combined universal and targeted program where all families are offered the universal Toddlers Without Tears group parenting program followed by the targeted Family Check-Up one-on-one program or (b) the Targeted Family Check-Up program. The Family Check-Up program is only offered to children at risk of behavioural problems. Analysis: Participants will be analysed according to the trial arm to which they were randomised, using logistic and linear regression models to compare primary and secondary outcomes. An economic evaluation (cost consequences analysis) will compare incremental costs to all incremental outcomes from a societal perspective.DiscussionThis trial will inform public health policy by making recommendations about the effectiveness and cost-effectiveness of these early prevention programs. If effective prevention programs can be implemented at the population level, the growing burden of mental health problems could be curbed.<br /

Tempo and Pattern of Avian Brain Size Evolution

Relative brain sizes in birds can rival those of primates, but large-scale patterns and drivers of avian brain evolution remain elusive. Here, we explore the evolution of the fundamental brain-body scaling relationship across the origin and evolution of birds. Using a comprehensive dataset sampling> 2,000 modern birds, fossil birds, and theropod dinosaurs, we infer patterns of brain-body co-variation in deep time. Our study confirms that no significant increase in relative brain size accompanied the trend toward miniaturization or evolution of flight during the theropod-bird transition. Critically, however, theropods and basal birds show weaker integration between brain size and body size, allowing for rapid changes in the brain-body relationship that set the stage for dramatic shifts in early crown birds. We infer that major shifts occurred rapidly in the aftermath of the Cretaceous-Paleogene mass extinction within Neoaves, in which multiple clades achieved higher relative brain sizes because of a reduction in body size. Parrots and corvids achieved the largest brains observed in birds via markedly different patterns. Parrots primarily reduced their body size, whereas corvids increased body and brain size simultaneously (with rates of brain size evolution outpacing rates of body size evolution). Collectively, these patterns suggest that an early adaptive radiation in brain size laid the foundation for subsequent selection and stabilization

Community-engaged asset mapping with Latinx immigrant families of youth with disabilities

Asset mapping is a participatory methodology that engages community members in identifying services and settings that promote health and well-being. This study aimed to identify community assets from the perspective of Latinx immigrant families with youth with disabilities. Latinx immigrant families (n = 21) participated in the mapping, followed by a reflection session and an open forum (n = 30). The findings revealed that families identified faith-based organizations and social service agencies as some of the main assets in their communities, while they identified mental health services as the most needed. The results also showed that participants preferred to utilize services and resources that are within walking distance of their homes, provide safe spaces, treat them well, offer bilingual services, do not require documentation, and are affordable. This study has important implications for community scholars and practitioners interested in implementing asset-based methodologies that focus on participants as experts of their own realities and agents of change and that promote advocacy and empowerment actions.Chicago CommunityTrust C20181661