A phytosociological study of soligenous mires and springs in the north Pennines

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Embracing a culture in conducting research requires more than nurses' enthusiasm

Aims This study explored the perceptions of clinical nurses about their research knowledge and experiences to highlight any gaps in nurse education in supporting research activities in healthcare organisations. Background Nurses' research activities have been encouraged by moving hospital-based nurse education into higher education institutions whereby there is a stronger emphasis on teaching and developing nursing research at both undergraduate and post graduate levels. They were further encouraged by the introduction of advanced nurse practitioner roles, in the hope to increase opportunities for research participation. Whilst nurses' research activities have been explored in many countries, nurses in Singapore where there is a strong emphasis on evidence-based practice have not been investigated. Methods A mixed-methods exploratory descriptive design, using a questionnaire based on open and closed questions was employed to obtain the views of clinical nurses about their capacity and organisational support in conducting research. The questionnaires were distributed to convenient samples who attended one of the 4 research seminars held on separate occasions between July and August 2011 in Singapore. Results A total of 146 nurses were recruited. Whilst nurses demonstrated strong enthusiasm in conducting research, this characteristic feature was not adequate for them to embrace a research culture in organisations. Active participation as co-investigators was not possible in healthcare organisations where skewed distribution of resources towards medical and nurse researchers was perceived. Conclusions The results suggest a need for a significant shift in focus on educational training from imparting research contents to providing opportunities to experience the research process. Organisational support in terms of protected time and financial support ought to be in place for nursing research experience. The findings also demonstrated that in places where organisational support was available, awareness of research opportunities such as educational and organisational support needed to be strengthened. This in turn would enable more nurses particularly those who provide direct patient care to conduct research within the context of the competing nursing practice demands

Facial Discrimination: Darlene Jespersen’s Fight Against the Barbie-fication of Bartenders

Lambda Legal took up Darlene Jespersen\u27s case because restrictive, genderbased rules about personal appearance and deportment can pose particular burdens for anyone whose gender identity or expression varies from conventional stereotypes; lesbian, gay, bisexual, and transgender ( LGBT ) people are disproportionately burdened by such rules.7 Many LGBT people cannot readily conform to conventional gender stereotypes. 8 For others, simply the process of coming out as LGBT or queer gives rise to a deep critique of the artificially restrictive gender stereotypes that pervade our modern lives and shape corporate marketing campaigns

Pay growth, fairness and job satisfaction : implications for nominal and real wage rigidity

Theories of wage rigidity often rely on a positive relationship between pay changes and utility, arising from concern for fairness or gift exchange. Supportive evidence has emerged from laboratory experiments, but the link has not yet been established with field data. This paper contributes a first step, using representative British data. Workers care about the level and the growth of earnings. Below-median wage increases lead to an insult effect except when similar workers have real wage reductions or frm production is falling. Nominal pay cuts appear insulting even when the firm is doing badly

Understanding Dual Energy X-Ray Absorptiometry (DEXA) Bone Scan Results and Treatments

Patients come into the St. Albans NOTCH primary care office for a follow-up to their DEXA scan to learn about what their results mean and discuss any questions/concerns. This brochure will help to standardize the information presented by providers about the results.https://scholarworks.uvm.edu/fmclerk/1459/thumbnail.jp

Prosocial Behaviors: Their Motivations and Impacts on Organizational Culture

According to the International Corrupt Perceptions Index 2017, more than six billion people are living countries that are plagued by corruption (International Corrupt Perceptions Index, 2017). In an altruistic model of leadership, leaders act with the express intent of helping other people (Johnson, 2015). Within this model, good works manifest themselves as prosocial behaviors or “voluntary behavior(s) intended to benefit another and consisting of actions that benefit others or society” (Schminke, Arnaud, & Taylor, 2014, p. 730). These prosocial behaviors can create collaborative and inspirational environments (Axelsson & Axelsson, 2009), facilitate collectivism (Clarkson, 2014), and contribute to the long-term sustainability of an organization (Furnham, Treglown, Hyde, & Trickey, 2016). Leaders can nurture an altruistic environment in their organizations by motivating employees to participate in prosocial behaviors (Mallén, Chiva, Alegre, & Guinot, 2014). This article introduces the altruistic approach to leadership, explores prosocial behaviors, examines motivations for prosocial behaviors, and investigates how leaders can nurture benevolent cultures in their organizations by encouraging employees to demonstrate altruism and prosocial behaviors. Specifically, this article explores the impacts of prosocial behaviors on organizational culture

Frailty is independently associated with increased hospitalisation days in patients on the liver transplant waitlist

AIM: To investigate the impact of physical frailty on risk of hospitalisation in cirrhotic patients on the liver transplant waitlist. METHODS: Cirrhotics listed for liver transplantation at a single centre underwent frailty assessments using the Fried Frailty Index, consisting of grip strength, gait speed, exhaustion, weight loss, and physical activity. Clinical and biochemical data including MELD score as collected at the time of assessment. The primary outcome was number of hospitalised days per year; secondary outcomes included incidence of infection. Univariable and multivariable analysis was performed using negative binomial regression to associate baseline parameters including frailty with clinical outcomes and estimated incidence rate ratios (IRR). RESULTS: Of 587 cirrhotics, 64% were male, median age (interquartile range) was 60 (53-64) years and MELD score was 15 (12-18). Median Fried Frailty Index was 2 (1-3); 31.6% were classified as frail (fried frailty ≥ 3). During 12 mo of follow-up, 43% required at least 1 hospitalisation; 38% of which involved major infection. 107/184 (58%) frail and 142/399 (36%) non-frail patients were hospitalised at least once (P < 0.001). In univariable analysis, Fried Frailty Index was associated with total hospitalisation days per year (IRR = 1.51, 95%CI: 1.28-1.77; P ≤ 0.001), which remained significant on multivariable analysis after adjustment for MELD, albumin, and gender (IRR for frailty of 1.21, 95%CI: 1.02-1.44; P = 0.03). Incidence of infection was not influenced by frailty. CONCLUSION: In cirrhotics on the liver transplant waitlist, physical frailty is a significant predictor of hospitalisation and total hospitalised days per year, independent of liver disease severity