Mary Andrews speaks

Mary Andrews speaks briefly about “South Brewer Childhood Memories,” an article she wrote as part of the Boomer Reporting Corps project a special initiative of Encore Leadership Corps, provided specialized mentoring and general skill-building workshops to Mainers over the age of 50

Dementia care in remote northern communities : perceptions of registered nurses

Little is known about Registered Nurses (RNs) and their work in northern Canada and the care of older adults with dementia in this setting. As the prevalence of dementia is predicted to increase over the next 30 years, the purpose of this project was to discover key concepts that depicted salient issues in dementia care in northern Saskatchewan from the perspective of RNs working in northern health care facilities. A sequential exploratory mixed method design was chosen for this study with a qualitative lead complemented by a secondary analysis of quantitative data. Interviews were conducted with 14 RNs, employed in small northern Saskatchewan communities, about their experiences with dementia caregiving and their perceptions of dementia care resources. The grounded theory method used in analysis of the interview data resulted in the construction of the theory, Insulating and Expanding the Awareness of Dementia in Northern Nursing. The study identified three categories of conditions that influenced awareness of dementia: Dementia Care and Community Caregiving, Characteristics of the Northern RN, and Northern Nursing Worklife. The quantitative secondary analysis, using a north-south comparison of data from the national survey (Stewart et al., 2005) in the multi-method study “The Nature of Nursing Practice in Rural and Remote Canada” (MacLeod et al., 2004), was used to explore contextual elements identified in the grounded theory analysis. The comparison of nursing practice in northern (n = 597) and southern (n = 2154) rural and small town communities found that fewer RNs in northern Canada reported dementia as a client characteristic, worked in long-term care, or in home care nursing positions, compared to RNs in southern Canada. Findings from both the qualitative and quantitative studies contribute to an understanding of the RNs’ awareness of dementia. Recommendations for increasing the awareness of dementia in northern nursing practice include enhancing the resources and services available to older adults with dementia in small northern communities. It is hoped that further exploration of dementia within northern communities will result in improved care for individuals with dementia and their families

Alien Registration- Andrews, Mary J. (Brewer, Penobscot County)

https://digitalmaine.com/alien_docs/11475/thumbnail.jp

Flesh, A Naked Dress

Flesh, A Naked Dress is a collection of five poems: Joy of the Perfect Tool, Texas, Estuary, Flesh, A Naked Dress, and An Event in the World. The form of the serial poem, adopted for this collection, is the one described by poet Jack Spicer. It is larger scaffolding for the poetry, which comes out of a meditative discipline or \u27dictation.\u27 The poem moves ahead, without looking back, in units that are somehow related, and which are chronological. The serial poem is written in order to understand: it is not understanding in order to write. To read units of the serial poem is like turning on lights in the rooms of a house, one at a time. Language in the poem acts as furniture for the rooms; Flesh, A Naked Dress investigates notions of body and soul, and in particular philosophical heritage of the philosophy of Plotinus. This investigation takes place in various geographies

Sustaining Reflective Conversation: A Narrative Exploration of Advising and Learning with Small-Business Entrepreneurs

This research examines my practice as a business adviser working with small firms under the government-funded ‘Business Link’ contract, and with other clients looking to develop their business activities. In exploring the mainstream literature on advising, which draws on systems-based, economic and management theory, the social and relational nature of advising is largely overlooked. In addressing this gap, I take a pragmatic approach, drawing on theory that regards advising as social and situated in the present. My experience corresponds closely with concepts such as the ‘conversation of gestures’ from Mead’s (1932, 1934) behavioural psychology, and relational concepts of power in Elias’s (1956, Elias and Scotson, 1994) process sociology, both of which acknowledge that we are caught up in interdependent webs of interaction. Burkitt (1991, 2002) takes up these ideas in exploring ideas of social ‘selves’ as does Stacey (2001) in exploring ‘complex responsive processes of relating’. Taking complexity sciences as a source domain has added a further body of literature that reflects the dynamic relationship between local interaction and emergent social patterning of organisation. Other work recognises the contribution to this view of experience, learning and knowledge as constructed relationally in the present, and further to this viewpoint I explore Siegel’s (2008, 2012, 2016) interpersonal neurobiology. In particular, I reference Siegel’s exploration of ‘mind’, in which, in a similar way to Mead, he sees mind as emerging both in and between individuals. The traditional view regards advising as a role in which the adviser is acting as a facilitator, transferring knowledge to the client. This view of advising follows a linear timeline, where the adviser is left unchanged in the process. My experience was of advising as a reflective, conversational process, where themes arose in the communicative participation of the client–adviser relationship. Advising was a messy and negotiated process from which novel and often surprising themes emerged unexpectedly in the midst of conversation. With clients, increased understanding of past experience and possibilities for the future are co-constructed in the present in ongoing complex responsive processes of relating (Griffin and Stacey, 2005). Taking a reflexive narrative research methodology is consistent with an understanding of learning and knowledge emerging from a dynamic social process of enquiry. This methodology explores the conversational nature of advising, recognising the temporal nature of research. I am drawing on experience of many years of working with the owners and managers of small firms. This process has continued in conversation with my supervisors, colleagues and other researchers, and my thinking and assumptions about practice has evolved. In this reflexive process, new perspectives have arisen, such as how meaning is co-created in tensions of resistance and recognition. In the narrative process, I also recognise the influence of policy, contractual responsibilities and other enabling and constraining factors on my work with clients. These influences are paradoxically forming and being formed by local interaction in the context of the here and now. This idea resonates strongly with the idea of experience evolving in the dynamic activities of everyday life understood as phronesis or practical wisdom (Flyvbjerg, 2005, Thomas, 2010). This research makes a number of contributions. In arguing for practice as complex, a process in which shifting power relations are arising in ongoing conversation taking place in the living present, I am addressing a gap in the literature. I argue that this social process, which evolves in and between client and adviser, has been largely overlooked in the literature on business advice. I am also paying attention to the use of artefacts in sustaining exploratory conversation Additionally, I am making a contribution to the methodology of qualitative research by using reflexive narrative methods in the exploration of personal practice. These narratives increase understanding of how such an approach can elicit deeper meaning from the advising process, adding to studies that challenge the ‘expert’ view of advising activity by paying attention to its social nature. I also contribute to the practice of business advising from a policy perspective, recognising that this research has implications for how advising services might be refocused and developed to meet the needs of small-business managers. Finally, in this reflexive process I have been making sense of my experience by drawing on theory that explores how ‘mind’, and a sense of ‘self’ emerge in our relationships with others. I hope that a further contribution is that other practitioners will recognise familiar patterns from which they might reflect and learn

RAN: Visualization of Information Retrieval Systems

“Fuzzy” modalities and active networks have garnered pro- found interest from both statisticians and end-users in the last several years. This is an important point to understand. in this position paper, we disconfirm the study of e-commerce. In order to fulfill this mission, we introduce a perfect tool for analyzing thin clients (RAN), which we use to demonstrate that voice-over-IP and DNS are largely incompatible

Person- and family-Centered Care: A Time for Reflection

In 2007, the Pediatric Perspectives column was launched in AACN Advanced Critical Care. The journey began with an “in the balcony” look at the state of pediatric acute and critical care nursing. Over the years, the column has covered various topics specific to the youngest population of patients. Although exciting interventional and technological advances have been made during this time, has person- and family-centered care (PFCC) implementation moved forward as quickly as other aspects of care? This question became reality as one of the authors of this article exited an interstate ramp only to look up and see billboards, a few blocks from a children\u27s hospital, with statements such as “Children\u27s hospital X does not provide evidence-based visiting hours” and “Children\u27s hospital X does not do family-centered care.” Interestingly, at the bottom of each billboard were references from evidence-based articles to validate the statements. These large reminders of gaps in care remained at the exit ramp for 3 months. It was clear, at least for the patient and family in need of telling their story, that improvements in PFCC are needed. This column reflects upon this challenge

Comparison of Recycling Outcomes in Three Types of Recycling Collection Units

Commercial institutions have many factors to consider when implementing an effective recycling program. This study examined the effectiveness of three different types of recycling bins on recycling accuracy by determining the percent weight of recyclable material placed in the recycling bins, comparing the percent weight of recyclable material by type of container used, and examining whether a change in signage increased recycling accuracy. Data were collected over 6 weeks totaling 30 days from 3 different recycling bin types at a Midwest university medical center. Five bin locations for each bin type were used. Bags from these bins were collected, sorted into recyclable and nonrecyclable material, and weighed. The percent recyclable material was calculated using these weights. Common contaminates found in the bins were napkins and paper towels, plastic food wrapping, plastic bags, and coffee cups. The results showed a significant difference in percent recyclable material between bin types and bin locations. Bin type 2 was found to have one bin location to be statistically different (p = 0.048), which may have been due to lack of a trash bin next to the recycling bin in that location. Bin type 3 had significantly lower percent recyclable material (p \u3c 0.001), which may have been due to lack of a trash bin next to the recycling bin and increased contamination due to the combination of commingled and paper into one bag. There was no significant change in percent recyclable material in recycling bins post signage change. These results suggest a signage change may not be an effective way, when used alone, to increase recycling compliance and accuracy. This study showed two or three-compartment bins located next to a trash bin may be the best bin type for recycling accuracy

Evaluating a Computer Program with a Structured Expert Review Process

A structured expert review process was implemented to evaluate the technical content and usability of a program on aeration system design for grain storages. Technical evaluation was used to determine if the computer program generated solutions similar to expert solutions. Other aspects of the evaluation focused on measures of ease of use, effectiveness of information conveyance and usefulness of solution. The evaluation procedure and questionnaires are described and results from the evaluation of an aeration system design program are summarized. The evaluation process served to validate the aeration system design program, generate suggestions for improving the program, identify areas for further research and advance aeration system design technology by bringing together experts representing the range of practice. The review process was beneficial and could be adapted for use with other decision support programs