Nursing Staff Optimizing Elder Care

Older adults, 65 years and older, make up more than 50% of the acute care patient population at a Southwest Michigan critical access hospital. This DNP capstone project was implemented for nursing staff members in a small rural hospital to assist with improving knowledge and perceptions of caring for older adults. Realized outcomes from this educational initiative were not meant to create new information but instead to focus on clinical issues and apply best practice for the purpose of determining evidence based solutions. The project’s design implemented to assess outcomes was a quantitative, descriptive, quasi-experimental, non-randomized approach. The plan included a pre and post intervention survey using the Geriatric Institutional Assessment Profile (GIAP) from the Nurses Improving Care for Healthsystem Elders (NICHE) Program. Education was provided after the pre intervention survey was completed via classroom presentations, hand-outs, and informational emails. The GIAP survey was repeated post educational intervention. Thirty nursing staff members participated in the pre intervention survey and seventeen completed the post intervention survey. Independent samples t-test on measures related to knowledge and attitudes revealed compelling percent changes representing statistical significance between pre and post GIAP survey responses with a p value of ˂ .05 in all areas measured

Unhealthy sport sponsorship continues to target kids

In the final month of the countdown to the Olympic Games, our sports stars are probably not eating and drinking the Games sponsors\u27 foods. Again, as in previous Olympics, the Olympic Games sponsors are Coca-Cola, McDonald\u27s and Cadburys, whose foods and drinks are not good choices for athletes due to their lack of nutrition and high levels of salt, sugar and saturated fats

Staff Perceptions of the Barriers to Mobilizing ICU Patients

Purpose: Whilst early progressive mobilization is known to be safe and beneficial for patients in an intensive care unit (ICU), barriers still exist to its implementation. As part of a broader quality improvement project that had the overall aim of increasing the frequency of mobilization in our ICU, we conducted a survey of ICU staff to investigate their perceptions of the barriers to the early progressive mobilization of ICU patients. Method: A prospective survey of ICU staff in an Australian, tertiary care, public hospital ICU was undertaken. A total of 93 medical, nursing, and physiotherapy staff participated. A purpose-designed survey that investigated staff perceptions of the barriers to the early progressive mobilization of ICU patients was developed. The survey predominantly comprised closed statements requiring responses using a visual analogue scale. Barriers to early progressive mobilization were separated into three sections: patient-related, institutional-related, and other barriers. Results: Patient-related barriers were generally perceived as having the greatest influence on the mobilization of ICU patients, followed closely by institutional-related barriers. The factors that were perceived as most frequently preventing mobilization were hemodynamic instability, reduced level of consciousness, sedation, agitation, impending medical procedure, staff availability, and time constraints. Conclusions: ICU staff perceived that barriers to the early progressive mobilization of ICU patients were multifactorial and most frequently involved patients’ medical condition and resource limitations

Early lexical characteristics of toddlers with cleft lip and palate

pre-printMain Outcome Measures: The groups were compared for size of expressive lexicon reported on the MacArthur Communicative Development Inventory and the percentage of words beginning with obstruents and sonorants produced in a language sample. Differences between groups in the percentage of word initial consonants correct on the language sample were also examined. Results: Although expressive vocabulary was comparable at 13 months of age for both groups, size of the lexicon for the cleft group was significantly smaller than that for the noncleft group at 21 and 27 months of age. Toddlers with cleft palate produced significantly more words beginning with sonorants and fewer words beginning with obstruents in their spontaneous speech samples. They were also less accurate when producing word initial obstruents compared with the noncleft group. Conclusions: Toddlers with cleft palate demonstrate a slower rate of lexical development compared with their noncleft peers. The preference that toddlers with cleft palate demonstrate for words beginning with sonorants could suggest they are selecting words that begin with consonants that are easier for them to produce. An alternative explanation might be that because these children are less accurate in the production of obstruent consonants, listeners may not always identify obstruents when they occur

Building the case for independent monitoring of food advertising on Australian television

Objective To provide an independent monitoring report examining the ongoing impact of Australian self-regulatory pledges on food and drink advertising to children on commercial television. Design Analysis of food advertisements across comparable sample time periods in April/May 2006, 2007, 2009, 2010 and 2011. The main outcome measure comprised change in the mean rate of non-core food advertisements from 2006 to 2011. Setting Sydney free-to-air television channels. Subjects Televised food advertisements. Results In 2011 the rate of non-core food advertisements was not significantly different from that in 2006 or 2010 (3·2/h v. 4·1/h and 3·1/h), although there were variations across the intervening years. The rate of fast-food advertising in 2010 was significantly higher than in 2006 (1·8/h v. 1·1/h, P \u3c 0·001), but the same as that in 2011 (1·5/h). Conclusions The frequency of non-core food advertising on Sydney television has remained essentially unchanged between 2006 and 2011, despite the implementation of two industry self-regulatory pledges. The current study illustrates the value of independent monitoring as a basic requirement of any responsive regulatory approach

Food Security: The What, How, Why and Where to of Food Security in NSW. Discussion Paper

This Discussion Paper considers food security in the context of food supply and access systems, and articulates how it links with food consumption patterns, weight and risk of chronic disease, in order to provide direction for research, policy and programs. The paper provides an overview of what is meant by the term ‘food security’, a summary of studies describing patterns of food insecurity in Australia, and strategies for promoting food security, with examples of programs. This synthesis also discusses the implications for research and programs in NSW. Importantly, it also seeks to clarify where there are or might be both common and divergent approaches to addressing food security and obesity and chronic disease prevention. Whilst there are known global and national influences on food security, this document mainly focuses on community, household and individual level food security

Promoting Health and Nutrition Through Sport: Attitudes of the Junior Sporting Community

Introduction: This study aimed to provide information on parents’, children’s and sporting officials’ attitudes to sponsorship arrangements, and their support of potential policy interventions to reorient sponsorship to be more health promoting. Methods: Sports clubs (n=20) known to have food and beverage sponsors in Sydney, Illawarra and Canberra/Queanbeyan were selected. Parents and children at sports clubs were recruited through convenience sampling by approaching those attending the sports club at the time of the survey and those children who had a signed consent form. Sports clubs were visited between May and November 2010. At each club, one sports club official, ten parents of players aged 5 to 14 years, and five children aged 10 to 14 years were surveyed. Results: The majority of sporting officials and parents were supportive of policies to restrict unhealthy food and beverage sponsorship of elite sport and children’s sports clubs. More than two-thirds of all children were able to correctly recall sponsors of their sports club and almost half could correctly name at least one sponsor of their favourite elite sports team. Most children thought that food and beverage companies sponsored sport to help out sports clubs and liked to return the favour to these sponsors by buying their products. Conclusion: Children’s high level of recall of food and beverage sponsors is concerning as this recall is likely to be linked to children’s product preferences and consumption behaviours. Alternative funding mechanisms are required to replace community and elite sport sponsorship from unhealthy food and beverage companies to reduce the promotional effects of this marketing on children’s food choices and eating behaviours

Building Solutions to Protect Children from Unhealthy Food and Drink Sport Sponsorship.

In Australia, and indeed across the world, the proportion of children who are overweight or obese is increasing. Almost one-quarter of school-aged children are now overweight or obese. While the causes of obesity are complex and many, children’s exposure to high levels of unhealthy food marketing is one factor that affects the food and drinks that children like, ask for, buy and consume. Extensive research evidence has found that, in general, children are exposed to high levels of food marketing, most of which is for unhealthy or high fat, sugar and/or salt food and drinks. The most commonly advertised foods have been found to be sugar-sweetened breakfast cereals, savoury snacks, fast food restaurants, onfectionery and soft drinks

In or Out? Perceptions of Inclusion and Exclusion Among AIS Members

People want a sense of community, a benefit that a professional association such as the Association for Information Systems (AIS) can provide to members. When attempts to create a shared experience fall short and we feel excluded, we disengage and stop further attempts to participate. In this paper, we lay a foundation for individual and association inclusion practices in the AIS. First, we describe the current state of inclusion practices in the academy and in the AIS. Then, we describe findings from a survey of AIS members that measured their perceptions about inclusion and exclusion and factors that cultivated these perceptions. In doing so, we establish a baseline against which we can measure future change. Our data yields key insights about diversity and inclusion in the AIS, and we offer recommendations for all individuals in various roles and positions in the AIS