NURS 230 Effectiveness of Florence Nightingale\u27s Environmental Theory

We have chosen to research the effectiveness of Florence Nightingale\u27s environmental theory

Access to Justice for a New Century: The Way Forward

This book is a timely addition to the literature on access to justice. The book\u27s essays address all aspects of the topic, including differing views on the meaning of access to justice; ways to improve access to legal services; litigation and its role in achieving social justice; and the roles of lawyers, citizens, and legal insitutions. Access to Justice for a New Century is based on papers given at an international symposium presented by the Law Society of Upper Canada, sponsored by the Law Foundation of Ontario.https://digitalcommons.osgoode.yorku.ca/faculty_books/1095/thumbnail.jp

Bestimmung biogeomorphologischer Rückkopplung zwischen Pflanzen und Sedimentation

Online First, geplanter Druck 202

Trauma-Informed Care (TIC) Interventions: An Evidence-Based Practice Project

This Evidence-Based Practice (EBP) project examined the following question: What are the characteristics and effectiveness of trauma-informed care (TIC) approaches on health and participation (well-being, quality of life) outcomes for populations who have experienced trauma

Trauma Experiences and Perspectives: An Evidence-Based Practice Project

This Evidence-Based Practice (EBP) project examined the following questions: How do individuals who have experienced trauma or adverse childhood experiences describe their experiences and the impact trauma has had on their life? How do healthcare professionals describe their experiences of working with individuals who have experienced trauma or adverse childhood experiences and their perspectives on trauma-informed training and approaches

The relationship between leadership, teamworking, structure, burnout and attitude to patients on acute psychiatric wards

Contains fulltext : 99818.pdf (publisher's version ) (Open Access)Background: Conflict (aggression, substance use, absconding, etc.) and containment (coerced medication, manual restraint, etc.) threaten the safety of patients and staff on psychiatric wards. Previous work has suggested that staff variables may be significant in explaining differences between wards in their rates of these behaviours, and that structure (ward organisation, rules and daily routines) might be the most critical of these. This paper describes the exploration of a large dataset to assess the relationship between structure and other staff variables. Methods: A multivariate cross-sectional design was utilised. Data were collected from staff on 136 acute psychiatric wards in 26 NHS Trusts in England, measuring leadership, teamwork, structure, burnout and attitudes towards difficult patients. Relationships between these variables were explored through principal components analysis (PCA), structural equation modelling and cluster analysis. Results: Principal components analysis resulted in the identification of each questionnaire as a separate factor, indicating that the selected instruments assessed a number of non-overlapping items relevant for ward functioning. Structural equation modelling suggested a linear model in which leadership influenced teamwork, teamwork structure; structure burnout; and burnout feelings about difficult patients. Finally, cluster analysis identified two significantly distinct groups of wards: the larger of which had particularly good leadership, teamwork, structure, attitudes towards patients and low burnout; and the second smaller proportion which was poor on all variables and high on burnout. The better functioning cluster of wards had significantly lower rates of containment events. Conclusion: The overall performance of staff teams is associated with differing rates of containment on wards. Interventions to reduce rates of containment on wards may need to address staff issues at every level, from leadership through to staff attitudes

Praxisnahes Küstenlabor zur Entwicklung von kurz- und langfristigen Strategien zum Schutz und zur Bewahrung der schleswig-holsteinischen Halligen (Living CoastLab Halligen)

Online First, geplanter Druck 202

Electron-Induced Radiolysis of Astrochemically Relevant Ammonia Ices

We elucidate mechanisms of electron-induced radiolysis in cosmic (interstellar, planetary, and cometary) ice analogs of ammonia (NH3), likely the most abundant nitrogen-containing compound in the interstellar medium (ISM). Astrochemical processes were simulated under ultrahigh vacuum conditions by high-energy (1 keV) and low-energy (7 eV) electron-irradiation of nanoscale thin films of ammonia deposited on cryogenically cooled metal substrates. Irradiated films were analyzed by temperature-programmed desorption (TPD). Experiments with ammonia isotopologues provide convincing evidence for the electron-induced formation of hydrazine (N2H4) and diazene (N2H2) from condensed NH3. To understand the dynamics of ammonia radiolysis, the dependence of hydrazine and diazene yields on incident electron energy, electron flux, electron fluence, film thickness, and ice temperature were investigated. Radiolysis yield measurements versus (1) irradiation time and (2) film thickness are semiquantitatively consistent with a reaction mechanism that involves a bimolecular step for the formation of hydrazine and diazene from the dimerization of amidogen (NH2) and imine (NH) radicals, respectively. The apparent decrease in radiolysis yield of hydrazine and diazene with decreasing electron flux at constant fluence may be due to the competing desorption of these radicals at 90 K under low incident electron flux conditions. The production of hydrazine at electron energies as low as 7 eV and an ice temperature of 22 K is consistent with condensed phase radiolysis being mediated by low-energy secondary electrons produced by the interaction of high-energy radiation with matter. These results provide a basis from which we can begin to understand the mechanisms by which ammonia can form more complex species in cosmic ices

Morale is high in acute inpatient psychiatry

Background: Morale on acute psychiatric wards has been considered to be problematic, and is reported to contribute to low quality patient care. Aim: To assess the relationship of staff morale to patient, service environment, physical environment, patient routines, conflict, containment, staff demographics, and staff group variables. Method: A multivariate cross sectional study was undertaken collecting data on morale and other variables on 136 acute admission psychiatric wards in England. Results: Morale was higher than published comparison samples. Length of time in post was correlated with low morale, and qualified nurses had higher emotional exhaustion but also higher personal accomplishment. The level of verbal abuse on a ward was associated with low morale, as was a higher level of social deprivation among patients. Higher levels of order and organisation correlated with better morale. Conclusions: Clear policies relating to the management of verbal abuse by patients, high levels of order and organisation, and staff rotation and education, may all support high morale. Acute inpatient psychiatry is generally a happy and rewarding work environment, and identified problems are likely to be due to other factors

3D Multi-system Bayesian Calibration with Energy Conservation to Study Rapidity-dependent Dynamics of Nuclear Collisions

Considerable information about the early-stage dynamics of heavy-ion collisions is encoded in the rapidity dependence of measurements. To leverage the large amount of experimental data, we perform a systematic analysis using three-dimensional hydrodynamic simulations of multiple collision systems -- large and small, symmetric and asymmetric. Specifically, we perform fully 3D multi-stage hydrodynamic simulations initialized by a parameterized model for rapidity-dependent energy deposition, which we calibrate on the hadron multiplicity and anisotropic flow coefficients. We utilize Bayesian inference to constrain properties of the early- and late- time dynamics of the system, and highlight the impact of enforcing global energy conservation in our 3D model