Nurse Residency Program: Is this worth my time?

Question: The purpose of this evidence-based practice project was to determine in new graduate nurses, how does Nurse Residency Program versus traditional orientation effect confidence and competence in high risk/low volume procedures. Hypothesis: It was hypothesized that Nurse Residency Program was superior to traditional orientation for improving confidence and competence in high risk/low volume procedures. Methods: A literature review was conducted using CINAHL with key words “orientation”, “Nurse Residency Program”, “confidence”, “competence”, and “transition”. Results: The results of the literature search identified two studies that utilized quantitative strategies and found statistically significant results favoring Nurse Residency Programs over orientation alone. Four studies used qualitative strategies identified several repeating themes, including enhanced learning, improved communication, competency, interprofessional relationships, and peer support/communication. Conclusion: From the results obtained, it is concluded that the hypothesis was supported. Implications: To further study this topic, data obtained from this cohort of Nurse Residency participants can be reviewed at the completion of the program.https://scholar.rochesterregional.org/nursingresearchday_2023/1009/thumbnail.jp

Effect of Ozone, Clothing, Temperature, and Humidity on the Total OH Reactivity Emitted from Humans

People influence indoor air chemistry through their chemical emissions via breath and skin. Previous studies showed that direct measurement of total OH reactivity of human emissions matched that calculated from parallel measurements of volatile organic compounds (VOCs) from breath, skin, and the whole body. In this study, we determined, with direct measurements from two independent groups of four adult volunteers, the effect of indoor temperature and humidity, clothing coverage (amount of exposed skin), and indoor ozone concentration on the total OH reactivity of gaseous human emissions. The results show that the measured concentrations of VOCs and ammonia adequately account for the measured total OH reactivity. The total OH reactivity of human emissions was primarily affected by ozone reactions with organic skin-oil constituents and increased with exposed skin surface, higher temperature, and higher humidity. Humans emitted a comparable total mixing ratio of VOCs and ammonia at elevated temperature-low humidity and elevated temperature-high humidity, with relatively low diversity in chemical classes. In contrast, the total OH reactivity increased with higher temperature and higher humidity, with a larger diversity in chemical classes compared to the total mixing ratio. Ozone present, carbonyl compounds were the dominant reactive compounds in all of the reported conditions

Measurement report: In situ observations of deep convection without lightning during the tropical cyclone Florence 2018

Hurricane Florence was the sixth named storm in the Atlantic hurricane season 2018. It caused dozens of deaths and major economic damage. In this study, we present in situ observations of trace gases within tropical storm Florence on 2 September 2018, after it had developed a rotating nature, and of a tropical wave observed close to the African continent on 29 August 2018 as part of the research campaign CAFE Africa (Chemistry of the Atmosphere: Field Experiment in Africa) with HALO (High Altitude and LOng Range Research Aircraft). We show the impact of deep convection on atmospheric composition by measurements of the trace gases nitric oxide (NO), ozone (O$_{3}$), carbon monoxide (CO), hydrogen peroxide (H$_{2}$O$_{2}$), dimethyl sulfide (DMS) and methyl iodide (CH$_{3}$I) and by the help of color-enhanced infrared satellite imagery taken by GOES-16. While both systems, i.e., the tropical wave and the tropical storm, are deeply convective, we only find evidence for lightning in the tropical wave using both in situ NO measurements and data from the World Wide Lightning Location Network (WWLLN)