Voices of chief nursing executives informing a doctor of nursing practice program

The purpose of this article is to describe the business case framework used to guide doctor of nursing practice (DNP) program enhancements and to discuss methods used to gain chief nurse executives' (CNEs) perspectives for desired curricular and experiential content for doctor of nursing practice nurses in health care system executive roles. Principal results of CNE interview responses were closely aligned to the knowledge, skills and/or attitudes identified by the national leadership organizations. Major conclusions of this article are that curriculum change should include increased emphasis on leadership, implementation science, and translation of evidence into practice methods. Business, information and technology management, policy, and health care law content would also need to be re-balanced to facilitate DNP graduates' health care system level practice

SPEAKING ABSENCE: CONSIDERING THE VOICE IN AUSCHWITZ

Despite the proliferation of Holocaust literature and survivor testimonials, philosophy has largely ignored the problems that Auschwitz raises for the possibility of philosophic understanding in a post-Holocaust world. As such it has been suggested that Auschwitz marks not only the limits of reason but also of human understanding. However, even as post-Holocaust thinkers recognize this limit, they gloss over it, employing philosophical tools in their attempts at reconciling the concentrationary universe with the world of reason. In this paper I examine their attempts and then, using their writings, I suggest that any attempt at a philosophical understanding of Auschwitz will have to proceed negatively. That is, post-Holocaust philosophy must attend to the absences of meaning that are themselves the only meaning disclosed by survivor accounts, and the trope of the mute voice in Holocaust literature provides one such means of doing so

A Business Case Framework for Planning Clinical Nurse Specialist-led Interventions

Purpose: The purpose of this article is to describe a business case framework that can guide clinical nurse specialists (CNS) in clinical intervention development. Background: Increased emphasis on cost-effective interventions in healthcare requires skills in analyzing the need to make the business case, especially for resource-intensive interventions. This framework assists the CNS to anticipate resource use and then consider if the intervention makes good business sense. Business Case Framework: We describe a business case framework that can assist the CNS to fully explore the problem and determine if developing an intervention is a good investment. We describe several analyses that facilitate making the business case to include the following: problem identification and alignment with strategic priorities, needs assessment, stakeholder analysis, market analysis, intervention implementation planning, financial analysis, and outcome evaluation. The findings from these analyses can be used to develop a formal proposal to present to hospital leaders in a position to make decisions. By aligning intervention planning with organizational priorities and engaging patients in the process, interventions will be more likely to be implemented in practice and produce robust outcomes. Conclusion: The business case framework can be used to justify to organization decision makers the need to invest resources in new interventions that will make a difference for quality outcomes as well as the financial bottom line. This framework can be used to plan interventions that align with organizational strategic priorities, plan for associated costs and benefits, and outcome evaluation. Implications for CNS Practice: Clinical nurse specialists are well positioned to lead clinical intervention projects that will improve the quality of patient care and be cost-effective. To do so requires skill development in making the business case

The Role of Family Functioning in the Association Between Childhood Sexual Victimization and Substance Use in Non-treatment Populations: Results from a Native Canadian Community and Comparisons with the General Population

Using path analytic techniques, this study examines the relationship between childhood sexual victimization and alcohol consumption in adult life, focusing in particular on the role of family functioning and the surrounding social support network of family and friends. Two non-treatment populations are compared, one, an Ontario Native community, and the other, the general Ontario population. The models are estimated separately for males and females. While the results for the two samples differ significantly in certain respects (including by sex), the importance of family functioning as an intervening factor is apparent for both Natives and non-Natives. The results of the path analyses for the two samples suggest that, among the Native group, sexual abuse is significantly and positively related to alcohol consumption through the family dysfunction measure for both males and females and through non-family support for females alone. In the general population sample, conversely, none of the three social support measures tested link sexual abuse to alcohol consumption. Instead, quality of parental relationships appears relatively more important among males in particular in predicting level of family dysfunction and supportive relations with family. These findings provide limited support for the hypothesized mediating influence of the informal support network in the relationship of childhood sexual victimization to substance abuse outcomes; they also point to notable differences for males and females in the dynamics of family life and substance use. The comparability of the Native and non-Native populations with respect to prevalence estimates and implications of the findings for policy are discussed

Determinants of the Risk and Timing of Alcohol and Illicit Drug Use Onset Among Natives and Non-natives: Similarities and Differences

Objective: Employing probability samples from the Ontario Health Survey Supplement (Ontario Ministry of Health, 1990/91) and a community of Native Ontario reserve residents (Embree, 1993), this study compared and contrasted Natives\u27 and Non-natives\u27 determinants of drug and alcohol use onset. Method: Proportional Hazards techniques identified factors associated with the risk and timing of onset of substance use (alcohol and illicit drugs) for both cultural groups, and special attention was paid to the role of family background characteristics as precursors to early alcohol and drug-use onset. Results: The multivariate results reveal that, for both Natives and Non-natives alike, and considering both drinking and drug use onset together, age cohort predominates as a risk factor, with youngest groups at greatest risk, and especially in the case of drug use other than alcohol. Males also exhibit consistently higher risks of both alcohol and other substance use, and this is true to a greater extent for Non-natives. For the model of drug use timing, age of alcohol use onset is the second best predictor for Natives, although its effect is still apparent, albeit weaker, in the case of Non-natives. The results concerning age at first regular drinking lend further support to previous findings that alcohol use is a powerful predisposing factor to the use of illicit substances. However, the evident cultural disparity in the predictive power of this measure also suggests that Natives may lag behind the general population with respect to recently observed shifts in the pattern of substance use progression (i.e., away from alcohol use as a necessary precondition to illicit use of other drugs). As for family characteristics, a number of factors emerge as determinants of risk but appear to depend, at least in part, on the cultural group and the substance under consideration: namely, parental substance abuse, paternal history of depression, quality of parental relations, parental occupational background, and sexual abuse during childhood. Conclusions: Overall, the findings point to the salience of family background in affecting early onset drinking and drug use, behaviors well-recognized to have potentially adverse mental and physical health consequences, as well as negative social outcomes

Certain Factors Affecting the Legibility of Stop Signs

In the evolution of highway signs, the square or rectangular shape was first used to indicate any conditions which might affect driving on the highway. When it became necessary to differentiate between conditions along the right-of-way from conditions on the right-of-way, it was decided to rotate the square sign 45 degrees and let the diamond-shaped sign stand for curves, dips, hills, and other conditions on the roadway proper. Later, when a sign was needed to indicate STOP someone suggested cutting off the corners and making an octagonal sign of the diamond. The round sign was adopted as the designation for highway-railway crossings

Innovative Opportunities for Civility: Professional Development in a Time of COVID-19

The impact of the COVID-19 pandemic on nursing professional development has spurred innovative teaching efforts by educators. The application of new technology provided innovative support for participant engagement and allowed for evaluation of civility education learning outcomes. A technology expert provided necessary support in a live virtual environment. A planned dress rehearsal prior to the live event ensured the functionality of the virtual platform. The versatility of the new technology allowed breakout rooms and interactive software applications. Nursing professional development practitioners can use these tips to reimagine other face-to-face educational activities into a virtual platform

Feminist phenomenology and the woman in the running body

Modern phenomenology, with its roots in Husserlian philosophy, has been taken up and utilised in a myriad of ways within different disciplines, but until recently has remained relatively under-used within sports studies. A corpus of sociological-phenomenological work is now beginning to develop in this domain, alongside a longer standing literature in feminist phenomenology. These specific social-phenomenological forms explore the situatedness of lived-body experience within a particular social structure. After providing a brief overview of key strands of phenomenology, this article considers some of the ways in which sociological, and particularly feminist phenomenology, might be used to analyse female sporting embodiment. For illustrative purposes, data from an autophenomenographic project on female distance running are also included, in order briefly to demonstrate the application of phenomenology within sociology, as both theoretical framework and methodological approach

Sporting embodiment: sports studies and the (continuing) promise of phenomenology

Whilst in recent years sports studies have addressed the calls ‘to bring the body back in’ to theorisations of sport and physical activity, the ‘promise of phenomenology’ remains largely under-realised with regard to sporting embodiment. Relatively few accounts are grounded in the ‘flesh’ of the lived sporting body, and phenomenology offers a powerful framework for such analysis. A wide-ranging, multi-stranded, and interpretatively contested perspective, phenomenology in general has been taken up and utilised in very different ways within different disciplinary fields. The purpose of this article is to consider some selected phenomenological threads, key qualities of the phenomenological method, and the potential for existentialist phenomenology in particular to contribute fresh perspectives to the sociological study of embodiment in sport and exercise. It offers one way to convey the ‘essences’, corporeal immediacy and textured sensuosity of the lived sporting body. The use of Interpretative Phenomenological Analysis (IPA) is also critically addressed. Key words: phenomenology; existentialist phenomenology; interpretative phenomenological analysis (IPA); sporting embodiment; the lived-body; Merleau-Pont

Accuracy of responses from postal surveys about continuing medical education and information behavior: experiences from a survey among German diabetologists

BACKGROUND: Postal surveys are a popular instrument for studies about continuing medical education habits. But little is known about the accuracy of responses in such surveys. The objective of this study was to quantify the magnitude of inaccurate responses in a postal survey among physicians. METHODS: A sub-analysis of a questionnaire about continuing medical education habits and information management was performed. The five variables used for the quantitative analysis are based on a question about the knowledge of a fictitious technical term and on inconsistencies in contingency tables of answers to logically connected questions. RESULTS: Response rate was 52%. Non-response bias is possible but seems not very likely since an association between demographic variables and inconsistent responses could not be found. About 10% of responses were inaccurate according to the definition. CONCLUSION: It was shown that a sub-analysis of a questionnaire makes a quantification of inaccurate responses in postal surveys possible. This sub-analysis revealed that a notable portion of responses in a postal survey about continuing medical education habits and information management was inaccurate