Aurora Volume 86

College formerly located at Olivet, Illinois and known as Olivet University, 1912-1923; Olivet College, 1923-1939, Olivet Nazarene College, 1940-1986, Olivet Nazarene University, 1986-https://digitalcommons.olivet.edu/arch_yrbks/1152/thumbnail.jp

Aurora Volume 87

College formerly located at Olivet, Illinois and known as Olivet University, 1912-1923; Olivet College, 1923-1939, Olivet Nazarene College, 1940-1986, Olivet Nazarene University, 1986-https://digitalcommons.olivet.edu/arch_yrbks/1153/thumbnail.jp

Relationship between Horizontal Violence among Registered Nurses and Falls

Background: Horizontal violence is a manifestation of oppressed group behavior leading to low self-esteem and feelings of worthlessness among nurses. Horizontal violence leads to the creation of a hostile, unsafe work environment preventing nurses from performing at their highest potentials. A hostile work environment leads to a culture of unsafe patient care which may result in increased harm to patients. An understanding of why horizontal violence occurs and the implications of this phenomenon are the first steps in addressing this destructive behavior as well as protecting patients from harm. Health care environments must support nurses to perform at their best in order to provide safe high quality patient care. Methodology: This was a correlation descriptive study of the relationship between nurses\u27 responses to an online questionnaire regarding prevalence of horizontal violence and NDNQI data submission of the number of unit falls, with and without injury. Data was analyzed and correlated at the individual and group levels but was not simultaneously correlated to demonstrate individual responses as predictors of group outcomes. Simultaneous analysis of hierarchical subjects would require more complex analytical methods outside the scope of this study. Results: A majority of the responses to the survey on prevalence of horizontal violence among registered nurses indicated exposure to at least one of these behaviors. Only 42 out of 168 respondents (25%) gave the response never to all four items. At least one horizontal violence behavior was experienced by 126 out of 168 respondents (75%) over a six-month period. Individual response (n=168) to the prevalence of horizontal did not positively correlate to the number of unit falls with and without injury. The mean of individual responses per unit (n=6) did not positively correlate to the number of falls with and without injury. No statistical significance was obtained regarding the relationship between prevalence of horizontal violence among registered nurses and falls. Conclusions: While this study did not demonstrate a positive relationship between the prevalence of horizontal violence and falls, undesirable patient outcomes have been shown in the literature to result from care provided in an environment of poor communication and lack of team work. In the presence of increased numbers of poor patient outcomes, including falls, it is strongly recommended that the work environment be assessed for the presence of horizontal violence

Aurora Volume 85

College formerly located at Olivet, Illinois and known as Olivet University, 1912-1923; Olivet College, 1923-1939, Olivet Nazarene College, 1940-1986, Olivet Nazarene University, 1986-https://digitalcommons.olivet.edu/arch_yrbks/1151/thumbnail.jp

Experimental study of two prestressed steel beam-concrete slab bridge units (FHWA-OK-6)

The behavior of two 55 ft. long prestressed, composite steel beam concrete slab bridge units was studied. The type of unit tested is currently used in county road bridge construction, where the use of prefabricated units is especially economical. In primary test phases, the first unit was subjected to 3 years of sustained loading, over 2,000,000 cycles of fatigue loading was statically loaded to failure. The second unit underwent 500,000 cycles of fatigue loading and was statically loaded to its yield level. In supplementary test phases, pushout-type specimens with channel and stud shear connectors, identical to those in the bridge units, were studied to determine the difference between the two connector types under sustained and ultimate loading conditions, In addition, transverse slab strength tests were performed at six locations on the first unit, and on six similar, simply supported, control slabs. The transverse slab strength tests were performed to verify that arching action occurs in the bridge slab. The presence of arching action in the bridge slab changed the mode of slab failure from a relatively ductile flexural failure, to a sudden punching failure at a much higher concentrated load. Test results were compared to theoretical predictions and AASHTO Specification limitations. It was found that the behavior of the unit was reasonably predictable, and that with a minor connection detail change, the prestressed, composite steel beam design concept is suitable for county road bridge use.Aug-86N

Aurora Volume 87

College formerly located at Olivet, Illinois and known as Olivet University, 1912-1923; Olivet College, 1923-1939, Olivet Nazarene College, 1940-1986, Olivet Nazarene University, 1986-https://digitalcommons.olivet.edu/arch_yrbks/1153/thumbnail.jp