Acquisition of competencies of nurses: improving the performance of the healthcare system

Perspectives of the core competencies of nurses are varied among postgraduate-year nurses, which makes it challenging to establish training programs and develop evaluation instruments. Particularly critical for nurses is the ongoing acquisition of competencies throughout life. Sometimes this acquisition is funded by the healthcare system, but the key question is how the system leverages this acquisition and ultimately how it translates into patient care. This study seeks to explore nurses’ key competencies acquired through continuing education from the perspective of two groups of postgraduate nurses with different levels of experience and with different objectives to be assessed. An NGT procedure was applied to the group discussion. The participants were recruited according to basic factors such as the number of years of professional experience, their level of education, and their preferred professional status. Thus, seventeen professionals participated in the study, representing two public hospitals in the city. Following the NGT procedure, the competencies identified from the thematic analysis were scored and ranked to achieve a consensus. Eight core issues were derived in the novel group concerning transferring the competencies to patient care quality: holism, care work, organizational barriers, specialization, no transfer, confidence, knowledge, and instrumental tools. Four core issues were derived when asked about the relationship between the resources invested and the organizational and professional development of the nursing staff: professional development, positive learning, negative learning, and recognition. In the more experienced group, seven issues were derived from the first issue raised: continuous learning, quality, confidence, holism, safe care, autonomy, and technical issues. Additionally, six issues arose from the second question: satisfaction, autonomy, creativity, productivity, professional development, and recognition. In conclusion, the perceptions of the two selected groups are negative when it comes to assessing the extent to which the competencies acquired in lifelong learning are transferred to the patient and the system evaluates and recognizes these competencies for improvement

Does intensification result in higher efficiency and sustainability? An emergy analysis of Mediterranean sheep-crop farming systems

The embodiment of resources in agricultural products depends on the way they are made, i.e., the production system. We applied emergy analysis on three contrasting sheep-crop farming systems according to different degrees of specialization, integration and intensification of production in Mediterranean Spain. We studied emergy flows, transformity values and emergy indices at the system level and per product (lamb meat; permanent crops: rainfed olive and almond; arable crops: rainfed barley, irrigated barley, alfalfa and sunflower). We found that the specialized pasture-based sheep system had the lowest intensity and efficiency and the highest sustainability, as opposite to the partially-integrated mixed system, while the fully-integrated mixed system obtained a balanced position. Lamb meat production was 1.9 and 1.3 times more intensive and efficient, respectively, in the partially-integrated mixed system than in the pasture-based sheep system, but 5.1 times less sustainable. All sheep sub-systems had comparatively lower intensity and higher sustainability than crops due to their higher capacity to use local and renewable natural resources. Our findings suggest that further support of agricultural development based on local and renewable natural resources and best practices is necessary to ensure long-term farming sustainability and social welfare

Targeting best agricultural practices to enhance ecosystem services in European mountains

Agri-environmental policies in Europe are failing to sufficiently address ongoing environmental degradation, biodiversity decline, climate impacts, and societal demands for sustainability. To reverse this, policymakers, practitioners, and farmers need better guidance on which specific agricultural practice/s should be promoted and how to adapt current practices to reach the desired objectives. Here we use social valuation tools to elucidate the relationship between agricultural practices and the provision of key ecosystem services in mountains, including maintenance of scenery from agricultural landscapes, conservation of biodiversity, regulation of climate change through carbon sequestration, production of local quality products, maintenance of soil fertility, and prevention of forest wildfires. We use as case studies two contrasting but representative mountain agroecosystems in the Mediterranean and Nordic regions of Europe. We analyze the best agricultural practices in both agroecosystems to reach the targeted environmental outcomes under three plausible policy scenarios. We find significant differences in the average contribution of agricultural practices to ecosystem services provision, which suggest the need for regionalizing the research efforts and, consequently, the design of agri-environmental policies. However, we also identify practices for ecosystem service delivery across policy scenarios and agroecosystems. Among these, grazing and silviculture practices such as extending the grazing period, grazing in semi-natural habitats, grazing in remote and abandoned areas, adapting stocking rate to the carrying capacity, and moving flocks seasonally, stand out for their relevance in all policy scenarios. These results highlight the potential of adequate grazing and silviculture practices to deliver bundles of ecosystem services. Our study provides guidance to design agri-environmental policies in Europe that focus on rewarding farmers for their sustainable management of natural resources, climate change mitigation and adaption and biodiversity conservation

On-Farm Information: A Valuable Tool for the Sustainable Management of Mountain Pastures in Protected Natural Areas

Mountain pastures have traditionally been maintained by livestock. The analysis of data concerning farms\u27 characteristics, productive-reproductive management and land use of commercial farms can constitute a real approach to study these systems and the changes that are occurring. This information is necessary to develop new utilisation guidelines, making compatible livestock production and conservation of natural resources. This paper describes a methodological framework to study the issues described above through some examples taken out from a wider research project (Mandaluniz et al., 2003)

Unravelling opportunities, synergies, and barriers for enhancing silvopastoralism in the Mediterranean

Silvopastoral systems combine wood perennials with forage and livestock. These multipurpose wood-pasture habitats represent an important part of European bio-cultural and ecological heritage. However, their gradual disappearance due to processes of farm abandonment and intensification as well as forestry abandonment threatens biodiversity conservation and bio-cultural heritages. The behaviours of forest owners and livestock farmers determine the success of silvopastoral systems since a productive coherence between forest management and livestock grazing is required for their optimal functioning. In this study, we investigate the livestock farmers’ and forest owners’ attitudes and opinions towards wood pasture grazing and their relationship with structural factors and farming objectives in two Spanish regions. We used data collected through surveys to identify opportunities, synergies, and barriers in the integration of these actors in joint silvopastoralism. The results reveal a relationship between production objectives and positive attitudes towards silvopastoralism and the environmental functions provided by this activity, in both farmers and forest owners. Cattle farmers express a greater economic interest in wood pastures, as compared to sheep farmers who perceive more difficulties in using them. Acknowledgement of the role of grazing in landscape maintenance is positively correlated with a wide spectrum of objectives of forest owners, from the economic-productivist to the more altruistic profiles. The most synergies are found between cattle farmers and small forest owners for joint silvopastoral management. However, the incorporation of sheep grazing is advisable for the sustainable management of these systems, and hence additional efforts may be required to integrate such farming systems into silvopastoral management. As it currently stands, the EU Common Agricultural Policy appears to be inadequate for maintaining silvopastoral systems.info:eu-repo/semantics/publishedVersio

A novel TBP-TAF complex on RNA Polymerase II-transcribed snRNA genes

Initiation of transcription of most human genes transcribed by RNA polymerase II (RNAP II) requires the formation of a preinitiation complex comprising TFIIA, B, D, E, F, H and RNAP II. The general transcription factor TFIID is composed of the TATA-binding protein and up to 13 TBP-associated factors. During transcription of snRNA genes, RNAP II does not appear to make the transition to long-range productive elongation, as happens during transcription of protein-coding genes. In addition, recognition of the snRNA gene-type specific 3′ box RNA processing element requires initiation from an snRNA gene promoter. These characteristics may, at least in part, be driven by factors recruited to the promoter. For example, differences in the complement of TAFs might result in differential recruitment of elongation and RNA processing factors. As precedent, it already has been shown that the promoters of some protein-coding genes do not recruit all the TAFs found in TFIID. Although TAF5 has been shown to be associated with RNAP II-transcribed snRNA genes, the full complement of TAFs associated with these genes has remained unclear. Here we show, using a ChIP and siRNA-mediated approach, that the TBP/TAF complex on snRNA genes differs from that found on protein-coding genes. Interestingly, the largest TAF, TAF1, and the core TAFs, TAF10 and TAF4, are not detected on snRNA genes. We propose that this snRNA gene-specific TAF subset plays a key role in gene type-specific control of expression