Acute care nurses' perceptions of barriers to using research information in clinical decision-making

Aim. To examine the barriers that nurses feel prevent them from using research in the decisions they make. Background. A sizeable research literature focusing on research utilization in nursing has developed over the past 20 years. However, this literature is characterized by a number of weaknesses: self-reported utilization behaviour; poor response rates and small, nonrandom sampling strategies. Design. Cross-case analysis involving anonymised qualitative interviews, observation, documentary audit and Q methodological modelling of shared subjectivities amongst nurses. The case sites were three large acute hospitals in the north of England. One hundred and eight nurses were interviewed, 61 of whom were also observed for a total of 180 h, and 122 nurses were involved in the Q modelling exercise (response rate of 64%). Results. Four perspectives were isolated that encompassed the characteristics associated with barriers to research use. These related to the individual, organization, nature of research information itself and environment. Nurses clustered around four main perspectives on the barriers to research use: (1) Problems in interpreting and using research products, which were seen as too complex, 'academic' and overly statistical; (2) Nurses who felt confident with research-based information perceived a lack of organizational support as a significant block; (3) Many nurses felt that researchers and research products lack clinical credibility and that they fail to offer the desired level of clinical direction; (4) Some nurses lacked the skills and, to a lesser degree, the motivation to use research themselves. These individuals liked research messages passed on to them by a third party and sought to foster others' involvement in research-based practice, rather than becoming directly involved themselves. Conclusions. Rejection of research knowledge is not a barrier to its application. Rather, the presentation and management of research knowledge in the workplace represent significant challenges for clinicians, policy-makers and the research community

The accessibility of research-based knowledge for nurses in United Kingdom acute care settings

Background. The successful dissemination of the results of the National Health Service (NHS) research and development strategy and the development of evidence based approaches to health care rely on clinicians having access to the best available evidence; evidence fit for the purpose of reducing the uncertainties associated with clinical decisions. Aim. To reveal the accessibility of those sources of information actually used by nurses, as well as those which they say they use. Design. Mixed method case site, using interview, observational, Q sort and documentary audit data in medical, surgical and coronary care units (CCUs) in three acute hospitals. Results. Three perspectives on accessibility were identified: (a) the humanist-in which human sources of information were the most accessible; (b) local information for local needs-in which locally produced resources were seen as the most accessible and (c) moving towards technology-in which information technology begins to be seen as accessible. Nurses' experience in a clinical specialty is positively associated with a perception that human sources such clinical nurse specialists, link nurses, doctors and experienced clinical colleagues are more accessible than text based sources. Clinical specialization is associated with different approaches to accessing research knowledge. Coronary care unit nurses were more likely perceive local guidelines, protocols and on-line databases as more accessible than their counterparts in general medical and surgical wards. Only a third of text-based resources available to nurses oil the wards had any explicit research base. These, and the remainder were Out of date (mean age of textbooks 11 years), and authorship hard to ascertain. Conclusion. A strategy to increase the use of research evidence by nurses should harness the influence of clinical nurse specialists, link nurses and those engaged in practice development. These roles Could act as 'conduits' through which research-based messages for practice, and information for clinical decision making, could flow. This role should be explored and enhanced

N=(1,1) super Yang--Mills theory in 1+1 dimensions at finite temperature

We present a formulation of N=(1,1) super Yang-Mills theory in 1+1 dimensions at finite temperature. The partition function is constructed by finding a numerical approximation to the entire spectrum. We solve numerically for the spectrum using Supersymmetric Discrete Light-Cone Quantization (SDLCQ) in the large-N_c approximation and calculate the density of states. We find that the density of states grows exponentially and the theory has a Hagedorn temperature, which we extract. We find that the Hagedorn temperature at infinite resolution is slightly less than one in units of (g^(2) N_c/pi)^(1/2). We use the density of states to also calculate a standard set of thermodynamic functions below the Hagedorn temperature. In this temperature range, we find that the thermodynamics is dominated by the massless states of the theory.Comment: 16 pages, 8 eps figures, LaTe

Ordered and periodic chaos of the bounded one dimensinal multibarrier potential

Numerical analysis indicates that there exists an unexpected new ordered chaos for the bounded one-dimensional multibarrier potential. For certain values of the number of barriers, repeated identical forms (periods) of the wavepackets result upon passing through the multibarrier potential.Comment: 16 pages, 9 figures, 1 Table. Some former text removed and other introduce

High Speed Phase-Resolved 2-d UBV Photometry of the Crab pulsar

We report a phase-resolved photometric and morphological analysis of UBV data of the Crab pulsar obtained with the 2-d TRIFFID high speed optical photometer mounted on the Russian 6m telescope. By being able to accurately isolate the pulsar from the nebular background at an unprecedented temporal resolution (1 \mu s), the various light curve components were accurately fluxed via phase-resolved photometry. Within the $UBV$ range, our datasets are consistent with the existing trends reported elsewhere in the literature. In terms of flux and phase duration, both the peak Full Width Half Maxima and Half Width Half Maxima decrease as a function of photon energy. This is similarly the case for the flux associated with the bridge of emission. Power-law fits to the various light curve components are as follows; \alpha = 0.07 \pm 0.19 (peak 1), \alpha = -0.06 \pm 0.19 (peak 2) and \alpha = -0.44 \pm 0.19 (bridge) - the uncertainty here being dominated by the integrated CCD photometry used to independently reference the TRIFFID data. Temporally, the main peaks are coincident to \le 10 \mu s although an accurate phase lag with respect to the radio main peak is compromised by radio timing uncertainties. The plateau on the Crab's main peak was definitively determined to be \leq 55 \mu s in extent and may decrease as a function of photon energy. There is no evidence for non-stochastic activity over the light curves or within various phase regions, nor is there evidence of anything akin to the giant pulses noted in the radio. Finally, there is no evidence to support the existence of a reported 60 second modulation suggested to be as a consequence of free precession.Comment: 13 pages, 12 figures, accepted for publication in Astronomy & Astrophysic

Sediment Transport Model for Seepage Erosion of Streambank Sediment

Erosion by lateral, subsurface flow is known to erode streambank sediment in numerous geographical locations; however, the role of seepage erosion on mass failure of streambanks is not well understood. In the absence of an established sediment transport model for seepage erosion, the objectives of this research were to investigate the mechanisms of erosion due to concentrated, lateral subsurface flow and develop an empirical sediment transport model for seepage erosion of noncohesive sediment on near-vertical streambanks. Laboratory experiments were performed using a two-dimensional soil lysimeter of a reconstructed streambank profile packed with three different soil layers to mimic seepage erosion occurring at Little Topashaw Creek (LTC) in northern Mississippi. Soil samples from LTC streambanks indicated considerable hydraulic conductivity contrast between an overlying silt loam layer (SiL), highly permeable loamy sand, and confining clay loam layer. Lysimeter experiments were conducted with various upstream water table heads, overburden heights, and lysimeter slopes. Bank failure occurred prior to the total release of negative pore-water pressures in the SiL layer suggesting that such a mechanism was not critical for bank collapse due to seepage erosion. A seepage erosion transport model for conductive, noncohesive soil layers was derived based on a dimensionless sediment discharge and dimensionless seepage flow shear stress. The advantage of this sediment transport model is that it relates sediment flux to seepage discharge from the streambank

Sediment Transport Model for Seepage Erosion of Streambank Sediment

Erosion by lateral, subsurface flow is known to erode streambank sediment in numerous geographical locations; however, the role of seepage erosion on mass failure of streambanks is not well understood. In the absence of an established sediment transport model for seepage erosion, the objectives of this research were to investigate the mechanisms of erosion due to concentrated, lateral subsurface flow and develop an empirical sediment transport model for seepage erosion of noncohesive sediment on near-vertical streambanks. Laboratory experiments were performed using a two-dimensional soil lysimeter of a reconstructed streambank profile packed with three different soil layers to mimic seepage erosion occurring at Little Topashaw Creek (LTC) in northern Mississippi. Soil samples from LTC streambanks indicated considerable hydraulic conductivity contrast between an overlying silt loam layer (SiL), highly permeable loamy sand, and confining clay loam layer. Lysimeter experiments were conducted with various upstream water table heads, overburden heights, and lysimeter slopes. Bank failure occurred prior to the total release of negative pore-water pressures in the SiL layer suggesting that such a mechanism was not critical for bank collapse due to seepage erosion. A seepage erosion transport model for conductive, noncohesive soil layers was derived based on a dimensionless sediment discharge and dimensionless seepage flow shear stress. The advantage of this sediment transport model is that it relates sediment flux to seepage discharge from the streambank

Interaction effects and quantum phase transitions in topological insulators

We study strong correlation effects in topological insulators via the Lanczos algorithm, which we utilize to calculate the exact many-particle ground-state wave function and its topological properties. We analyze the simple, noninteracting Haldane model on a honeycomb lattice with known topological properties and demonstrate that these properties are already evident in small clusters. Next, we consider interacting fermions by introducing repulsive nearest-neighbor interactions. A first-order quantum phase transition was discovered at finite interaction strength between the topological band insulator and a topologically trivial Mott insulating phase by use of the fidelity metric and the charge-density-wave structure factor. We construct the phase diagram at $T = 0$ as a function of the interaction strength and the complex phase for the next-nearest-neighbor hoppings. Finally, we consider the Haldane model with interacting hard-core bosons, where no evidence for a topological phase is observed. An important general conclusion of our work is that despite the intrinsic nonlocality of topological phases their key topological properties manifest themselves already in small systems and therefore can be studied numerically via exact diagonalization and observed experimentally, e.g., with trapped ions and cold atoms in optical lattices.Comment: 13 pages, 12 figures. Published versio

Coherent matter waves emerging from Mott-insulators

We study the formation of (quasi-)coherent matter waves emerging from a Mott insulator for strongly interacting bosons on a one-dimensional lattice. It has been shown previously that a quasi-condensate emerges at momentum k=\pi/2a, where a is the lattice constant, in the limit of infinitely strong repulsion (hard-core bosons). Here we show that this phenomenon persists for all values of the repulsive interaction that lead to a Mott insulator at a commensurate filling. The non-equilibrium dynamics of hard-core bosons is treated exactly by means of a Jordan-Wigner transformation, and the generic case is studied using a time-dependent density matrix renormalization group technique. Different methods for controlling the emerging matter wave are discussed.Comment: 20 pages, 11 figures. Published versio

Direct evidence for the Maldacena conjecture for N=(8,8) super Yang-Mills theory in 1+1 dimensions

We solve N=(8,8) super Yang-Mills theory in 1+1 dimensions at strong coupling to directly confirm the predictions of supergravity at weak coupling. We do our calculations in the large-N_c approximation using Supersymmetric Discrete Light-Cone Quantization with up to 3*10^{12} basis states. We calculate the stress-energy correlator as a function of the separation r and find that at intermediate values of r the correlator behaves as r^{-5} to within errors as predicted by weak-coupling supergravity. We also present an extension to significantly higher resolution of our earlier results for the same correlator in the N=(2,2) theory and see that in this theory the correlator has very different behavior at intermediate values of r.Comment: 12 pp., 6 figures, LaTe