Creating a new education paradigm to prepare nurses for the 21st Century

Nurse educators are accountable to keep baccalaureate education responsive to the ever changing healthcare delivery environment. The changing context of healthcare delivery requires focusing on population health and social determinants, providing interprofessional, team-based care, advancing innovation, and preparing practice ready baccalaureate nursing graduates. To be practice ready, nursing graduates must be agile and think and reason on their feet due to increasing care complexity beyond the hospital walls, changing care needs of individuals and families, advancing technology, shifting settings of care delivery, and managing multiple transitions. The purpose of this paper is to consider these healthcare changes and share a new baccalaureate nursing curriculum that radically shifts the paradigm from caring for patients to caring for people, and transforms from a diseased-based, acute care focused curriculum to one promoting a culture of health and multiple new and emerging roles of registered nurses

Service and support requirements of people with younger onset dementia and their families final report, August, 2012

In 2011, Alzheimer’s Australia NSW (AlzNSW) was engaged by Ageing, Disability and Home Care (ADHC) to research the service and support requirements of people with younger onset dementia and their families in New South Wales. AlzNSW partnered with the Social Policy Research Centre (SPRC) and UnitingCare Ageing to conduct the research. This report outlines the methods, findings and policy implications of the research. Dementia is a major cause of disability amongst older people and some younger people aged under 65 years, causing ‘progressive change and degeneration in cognitive mental functions, such as memory, language, rational thinking and social skills, as well as behaviour, emotion and personality’ (Mocellin, Scholes and Velakoulis, 2008:1). Younger onset dementia is defined as dementia which occurs before the age of 65 years and under 50 years for Aboriginal people.   *Other authors - Ariella Meltzer, Karen R Fisher, Denise Thompson and Robyn Fain

State-Level Wage AGI Gap for tax years 2000-2002

The Bureau of Economic Analysis (BEA), under contract with the Internal Revenue Service (IRS) Office of Research, undertook an update of BEA’s state-level wage reconciliation for 2000 between BEA wages and salaries and IRS wages and salaries in Adjusted Gross Income. The initial reconciliation for the year 2000 was documented in the BEA Working Paper, The Feasibility of Producing Personal Income to Adjusted Gross Income (PI-AGI) Reconciliations by State. This study updates state estimates of the reconciliation of BEA and IRS wages and salaries for 2001 and 2002.

A process-oriented language for describing aspects of reading comprehension

Includes bibliographical references (p. 36-38)The research described herein was supported in part by the National Institute of Education under Contract No. MS-NIE-C-400-76-011

Predicting the need for aged care services at the small area level: the CAREMOD spatial microsimulation model

Most industrialised societies face rapid population ageing over the next two decades, including sharp increases in the number of people aged 85 years and over. As a result, the supply of and demand for aged care services has assumed increasing policy prominence. The likely spatial distribution of the need for aged care services is critical for planners and policy makers. This article describes the development of a regional microsimulation model of the need for aged care in New South Wales, a state of Australia. It details the methods involved in reweighting the 1998 Survey of Disability, Ageing and Carers, a national level dataset, against the 2001 Census to produce synthetic small area estimates at the statistical local area level. Validation shows that survey variables not constrained in the weighting process can provide unreliable local estimates. A proposed solution to this problem is outlined, involving record cloning, value imputation and alignment. Indicative disability estimates arising from this process are then discussed.Disability, ageing, spatial analysis, aged care, cloning; imputation; alignment; NATSEM

Challenges and Solutions in Constructing a Microsimulation Model of the Use and Costs of Medical Services in Australia

This paper describes the development of a microsimulation model =HealthMod‘ which simulates the use and costs of medical and related services by Australian families. Australia has a universal social insurance scheme known as =Medicare‘ which provides all Australians with access to free or low-cost essential medical services. These services are provided primarily by general practitioners as well as specialist doctors but also include diagnostic and imaging services. Individuals may pay a direct out-of pocket contribution if fees charged for services are higher than the reimbursement schedule set by government. HealthMod is based on the Australian 2001 National Health Survey. This survey had a number of deficiencies in terms of modelling the national medical benefits scheme. The article outlines three major methodological steps that had to be taken in the model construction: the imputation of synthetic families, the imputation of short-term health conditions, and the annualisation of doctor visits and costs. Some preliminary results on the use of doctor services subsidised through Australia‘s Medicare are presented.Economic microsimulation modelling, medical services, use and costs, Australia

Economic stress and depressive symptoms among southern African American women: an examination of mediating and moderating factors

This study examines the effects of economic hardship on mental health for 501 African American women from Georgia and Mississippi. Three issues are of particular concern: (1) the differential response patterns to economic stress and depressive symptoms; (2) the utilization of coping resources such as social support, sense of control, and religiosity to moderate the link between economic stress and depressive symptoms; and (3) a comprehensive understanding of the relationship between economic hardship, economic stress, and depressive symptoms. Findings suggest that African American women in Georgia and Mississippi are less likely to report both economic stress and depressive symptoms if they have high incomes, are married, and are older. These findings are similar to previous studies and suggest that sociodemographic characteristics are key determinants of African American women\u27s mental health. Although none of the coping resources were found to moderate the link between economic stress and depressive symptoms, social support and religious involvement significantly reduced depressive symptoms. In addition, unlike previous studies that suggest that the impact of economic hardship on depression is mediated through economic stress, findings from this study provides evidence to the contrary. For this sample of African American women, the overall economic conditions are the primary determinants of depressive symptoms

Modeling the diffusion of reactive and nonreactive solutes in cores from the Cannikin Test Site, Amchitka Island, Alaska

The migration and distribution of contaminants in the subsurface environment are controlled by groundwater movement and the extent of interaction between the contaminants and surrounding rock matrix. Studies have shown that diffusion through the rock matrix may serve as a prominent contaminant retardation mechanism in crystalline igneous rocks; The diffusion of reactive and nonreactive solutes through basalt and breccia cores from the Cannikin Test Site, Amchitka Island, Alaska has been studied. Lead (Pb(II)) and cesium (Cs(I)) were chosen as reactive solutes and bromide (Br-) was chosen as the nonreactive solute. Because retardation due to sorption is expected to affect the apparent diffusion of the reactive solutes, batch equilibrium experiments were performed using Pb(II) and Cs(I) in order to determine equilibrium distribution coefficients. Two different experimental setups were used to estimate diffusion coefficients. The results show that diffusion of the ions through the basalt was slower than through the breccia

Oxidant stress and platelet responsiveness : implications of body mass index and the modulating effects of diet, acute exercise and selenium supplementation

EThOS - Electronic Theses Online ServiceGBUnited Kingdo