Perspectives: nursing education - from vision to action in changing world

There is consensus that there are shared contemporary issues within nursing and nurse education that require collective consideration and, on occasion, shared solutions. Nonetheless, in the complex world in which we live, taking time to reflect on our work can become lost in the need to meet many competing demands. A conference can be expensive and time consuming, and as time pressures and deadlines loom risk becoming a short trip to present a paper rather than fuller engagement. With this in mind, we offer perspectives on our learning from The Federation of European Nurse Educators (FINE) 11th International FINE Conference in Malta (21–23 February 2018) and some opportunities and challenges facing nursing education today. FINE is a membership organisation, which, since its inception in 1994, has facilitated knowledge exchange and discussion around contemporary challenges in nursing education. Attendees came from 22 nations and five continents to share best practice and educational research innovation. This paper offers insight into key themes that emerged from the conference and the opportunities, innovations and challenges facing nursing education today. We include examples of papers debating these themes. In conclusion, we reflect on our experiences and offer benefits of global networking nursing education

Self-similar static solutions admitting a two-space of constant curvature

A recent result by Haggag and Hajj-Boutros is reviewed within the framework of self-similar space-times, extending, in some sense, their results and presenting a family of metrics consisting of all the static spherically symmetric perfect fluid solutions admitting a homothety.Comment: 6 page

Finitely generated infinite simple groups of infinite square width and vanishing stable commutator length

It is shown that there exist finitely generated infinite simple groups of infinite commutator width and infinite square width on which there exists no stably unbounded conjugation-invariant norm, and in particular stable commutator length vanishes. Moreover, a recursive presentation of such a group with decidable word and conjugacy problems is constructed.Comment: v4: 41 pages, 6 figures rescaled at 120%; references updated, typos corrected, other minor corrections. v3: minor changes to the title, text and figures. v2: 41 pages, 6 figures; correction: Ore's conjecture was proved in 2008; 2 references added. v1: 40 pages, 6 figure

Symmetries of Bianchi I space-times

All diagonal proper Bianchi I space-times are determined which admit certain important symmetries. It is shown that for Homotheties, Conformal motions and Kinematic Self-Similarities the resulting space-times are defined explicitly in terms of a set of parameters whereas Affine Collineations, Ricci Collineations and Curvature Collineations, if they are admitted, they determine the metric modulo certain algebraic conditions. In all cases the symmetry vectors are explicitly computed. The physical and the geometrical consequences of the results are discussed and a new anisitropic fluid, physically valid solution which admits a proper conformal Killing vector, is given.Comment: 19 pages, LaTex, Accepted for publication in Journal of Mathematical Physic

A Toolkit to assess health needs for congenital disorders in low- and middle-income countries: an instrument for public health action.

BACKGROUND: In 2010 the World Health Assembly called for action to improve the care and prevention of congenital disorders, noting that technical guidance would be required for this task, especially in low- and middle-income countries. Responding to this call, we have developed a freely available web-accessible Toolkit for assessing health needs for congenital disorders. METHODS: Materials for the Toolkit website (http://toolkit.phgfoundation.org) were prepared by an iterative process of writing, discussion and modification by the project team, with advice from external experts. A customized database was developed using epidemiological, demographic, socio-economic and health-services data from a range of validated sources. Document-processing and data integration software combines data from the database with a template to generate topic- and country-specific Calculator documents for quantitative analysis. RESULTS: The Toolkit guides users through selection of topics (including both clinical conditions and relevant health services), assembly and evaluation of qualitative and quantitative information, assessment of the potential effects of selected interventions, and planning and prioritization of actions to reduce the risk or prevalence of congenital disorders. CONCLUSIONS: The Toolkit enables users without epidemiological or public health expertise to undertake health needs assessment as a prerequisite for strategic planning in relation to congenital disorders in their country or region

Lepton Number Violating Radiative WW Decay in Models with R-parity Violation

Models with explicit R-parity violation can induce new rare radiative decay modes of the $W$ boson into single supersymmetric particles which also violate lepton number. We examine the rate and signature for one such decay, $W\rightarrow \tilde l\gamma$, and find that such a mode will be very difficult to observe, due its small branching fraction, even if the lepton number violating coupling in the superpotential is comparable in strength to electromagnetism. This parallels a similar result obtained earlier by Hewett in the case of radiative $Z$ decays.Comment: 10 pages, 2 figures(available on request), LaTex, ANL-HEP-PR-92-8

‘VIOLET’: a fluorescence-based simulation exercise for training healthcare workers in the use of personal protective equipment

Background Healthcare workers caring for patients with high-consequence infectious diseases (HCIDs) require protection from pathogen exposure, for example by wearing personal protective equipment (PPE). Protection is acquired through the inherent safety of the PPE components, but also their safe and correct use, supported by adequate training and user familiarity. However, the evidence base for HCID PPE ensembles and any associated training is lacking, with subsequent variation between healthcare providers. Aim To develop an evidence-based assessment and training tool for evaluating PPE ensembles and doffing protocols, in the assessment of patients with suspected HCIDs. Methods VIOLET (Visualising Infection with Optimised Light for Education and Training) comprises a healthcare mannequin adapted to deliver simulated bodily fluids containing UV-fluorescent tracers. On demand and remotely operated, the mannequin projectile vomits (blue), coughs (red), has diarrhoea (yellow) and is covered in sweat (orange). Wearing PPE, healthcare staff participate in an HCID risk assessment and examination of the ‘patient’, thereby becoming exposed to these bodily fluids. Contamination of PPE is visualized and body-mapped under UV light before and after removal. Observational findings and participant feedback, around its use as a training exercise, is also recorded. Findings Significant contamination from different exposure events was seen, enabling evaluation of PPE and doffing procedures used. Observational data and participant feedback demonstrated its strengths and success as a training technique. Conclusion Simulation exercises using VIOLET provide evidence-based assessment of PPE ensembles, and are a valuable resource for training of healthcare staff in wearing and safe doffing of PPE