Concepcion and Mis-Concepcion: Why Unconscionability Survives the Supreme Court\u27s Arbitration Jurisprudence

States have long relied on the doctrines of unconscionability and public policy to protect individuals against unfair terms in mandatory arbitration provisions. The Supreme Court recently struck a blow to such efforts in AT&T Mobility LLC v. Concepcion and American Express Co. v. Italian Colors Restaurant. In those two cases, the Court established that a challenge to the enforceability of unfairly one-sided arbitration clauses is preempted if it would interfere with fundamental attributes of arbitration. Several commentators have argued that these decisions will dramatically alter the arbitration landscape, by wiping away virtually any contract defense to the validity of an arbitration agreement and giving corporations carte blanche to impose whatever terms they want into an arbitration clause. Many practitioners are aggressively pushing courts to take a similarly broad reading of Concepcion and Italian Colors. This article takes a contrary view. First, this article argues that the cases will have very little impact outside of the context of class action waivers, the subject matter of both Concepcion and Italian Colors. Applying state law to strike down arbitration provisions that are so one-sided as to be unconscionable ordinarily will not interfere with fundamental attributes of arbitration and should not be preempted

Well-being, turnover intention, and stigma attitudes of mental health transition-to-practice nurses : A cross-sectional study

There is global recognition that mental health nursing can be stressful and have detrimental effects on nurses' well-being and retention. With substantial nursing shortages, there is an urgent need to attract and retain nurses to sustain this workforce and provide effective mental healthcare. Mental health transition programs provide vital recruitment pathways and support novice registered nurses, enrolled nurses and experienced registered generalist nurses moving into this field. There is little evidence, however, on the well-being, resilience, and retention of nurses transitioning into mental health. The primary aims for this cross-sectional study were to describe demographic characteristics, perceived stress, well-being, resilience, mental illness stigma attitudes, work satisfaction, and turnover intention of four nurse cohorts entering mental health transition programs: generalist registered nurses, graduate and post-graduate registered nurses, and enrolled nurses; to explore relationships between these variables; and explore differences between these four nurse cohorts. Findings (n = 87) included overall moderate perceived stress, moderate well-being and resilience, high work satisfaction, low stigma, and low turnover intention. Higher turnover intention was associated with lower age and work satisfaction, and higher perceived stress. Generalist RNs had significantly higher stress and stigmatizing attitudes than Enrolled Nurses. Secondary analysis of well-being scores identified 14 nurses with scores indicating depression, with significantly lower resilience and work satisfaction, and significantly higher stress than the rest of the sample. To help prevent attrition, it is vital that mental health services provide tailored well-being initiatives during transition and intervene early to provide support for nurses with mental distress

Use of metabolomic and dereplication tools in the study of the chemical composition of some octocorals of the colombian caribbean and their cytotoxic activity

102 páginasLos océanos cubren un poco mas de dos terceras partes de la superficie de la tierra y los organismos que en ellos viven constituyen cerca del 2% de la materia orgánica presente en los mares; en particular, las aguas cálidas del Mar Caribe contribuyen a la diversidad de la fauna marina, en donde, los octocorales son la macrofauna arrecifal más visible. Estos organismos, son fuente productiva de una gran diversidad de compuestos químicos los cuales les sirven como defensa química contra depredadores, pero también mucho de ellos han presentado actividades biológicas importantes para combatir diferentes enfermedades; por lo cual, es importante investigar sobre nuevas herramientas de estudio que permitan explorar este gran potencial. Por lo anterior, en este proyecto se estudió la relación de la actividad citotóxica de algunos octocorales del Caribe Colombiano con respecto a su composición metabólica, usando diferentes herramientas como la dereplicación, útil en la identificación temprana de compuestos nuevos o conocidos con actividad biológica, el uso de Redes Moleculares de Productos Naturales (GNPS) que con el uso del software Cytoscape permitió observar “cluster” o agrupaciones de moléculas con patrones de fragmentación similares y finalmente; la herramienta metabolómica, que permitió detectar un gran número de metabolitos presentes en los organismos estudiados. Para el desarrollo de este proyecto, se utilizaron técnicas cromatográficas de alta eficiencia: cromatografía líquida ultra eficiente junto con espectrometría de masas de alta resolución (UPLCHRMS / Agilent 6540) y resonancia magnética nuclear (RMN / Agilent 600 MHz); que ayudó en la determinación del perfil global de los metabolitos presentes en los extractos octocorales; además, en los modelos generados a partir del análisis multivariado de componentes principales (PCA) y análisis discriminantes.Doctorado en BiocienciasDoctor en Biociencia

2002 SUMMA Ceremony Program

https://dc.suffolk.edu/comm/1163/thumbnail.jp

Empathic processes during nurse–consumer conflict situations in psychiatric inpatient units: A qualitative study

© 2016 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd on behalf of Australian College of Mental Health Nurses Inc. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.Empathy is a central component of nurse–consumer relationships. In the present study, we investigated how empathy is developed and maintained when there is conflict between nurses and consumers, and the ways in which empathy can be used to achieve positive outcomes. Through semistructured interviews, mental health nurses (n = 13) and consumers in recovery (n = 7) reflected on a specific conflict situation where they had experienced empathy, as well as how empathy contributed more generally to working with nurses/consumers. Thematic analysis was used to analyse the data, utilizing a framework that conceptualizes empathy experiences as involving antecedents, processes, and outcomes. The central theme identified was ‘my role as a nurse – the role of my nurse’. Within this theme, nurses focussed on how their role in managing risk and safety determined empathy experienced towards consumers; consumers saw the importance of nurse empathy both in conflict situations and for their general hospitalization experience. Empathy involved nurses trying to understand the consumer's perspective and feeling for the consumer, and was perceived by consumers to involve nurses ‘being there’. Empathic relationships built on trust and rapport could withstand a conflict situation, with empathy a core component in consumer satisfaction regarding conflict resolution and care. Empathy allows the maintenance of therapeutic relationships during conflict, and influences the satisfaction of nurses and consumers, even in problematic situations. Nurse education and mentoring should focus on nurse self-reflection and building empathy skills in managing conflict

What are the ethical dilemmas in the decision making processes of nursing people given Electroconvulsive therapy? A critical realist review of qualitative evidence

Electroconvulsive therapy (ECT) has a complex and contentious place in psychiatric care. Mental health nurses (MHNs) are of obligated to be part of this practice despite ethical concerns. To consider the ethical dilemmas and decision-making processes facing MHNs involved in the administration of ECT. A critical realist review of the literature surrounding ethical considerations and ECT was undertaken using thematic analysis. Four key themes emerged: the MHN as an advocate and conflict in their role, issues surrounding consent, questionable efficacy and unknown method of action, side effects, and legal issues and clinical guidelines. Using a critical realist framework for understanding, the decision-making process and ethical considerations are viewed as part of the empirical and actual parts of reality, while the potential for other, unseen causal powers to be at play is acknowledged. MHNs need to ensure they have an adequate ethical underpinning to their practice to enable them to navigate contentious areas of practice such as ECT to practice effectively and preserve safety. This may require moving beyond the traditional biomedical model of ethics. Developing an appreciation of unseen causal factors is also an essential part of MHNs’ developing professional competency.N/

Lovington Leader, 04-10-1914

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Training Programs for Improving Communication about Medical Research and Clinical Trials: A Systematic Review

Objectives: The aim of this article is to provide recommendations on the structure, materials, and outcomes that should be adopted for communication training programs designed to improve clinical trial education for patients