Teaching intercultural communication skills

Aims The aim of this tool is to develop your understanding of culture, and the need for awareness in intercultural communication. You will be engaged in learning through reflection, knowledge acquisition and practical activities. Learning outcomes When you have worked through this tool, you will be able to: • Articulate the need for the focus on intercultural communication in current nursing practice; • Discuss the theoretical underpinnings of intercultural communication, and the meaning of intercultural communication from different viewpoints; • Reflect on your own practice in relation to the ability to display intercultural communication; • Reflect on when it might be desirable to communicate competently at an intercultural level; • Identify strategies to nurture confidence in you

Dipolar and scalar 3^3He and 129^{129}Xe frequency shifts in mm-sized cells

We describe a $^{3}$He-$^{129}$Xe comagnetometer operating in stemless anodically bonded cells with a 6 mm$^3$ volume and a $^{129}$Xe spin coherence time of 300 sec. We use a $^{87}$Rb pulse-train magnetometer with co-linear pump and probe beams to study the nuclear spin frequency shifts caused by spin polarization of $^{3}$He. By systematically varying the cell geometry in a batch cell fabrication process we can separately measure the cell shape dependent and independent frequency shifts. We find that a certain aspect ratio of the cylindrical cell can cancel the effects of $^3$He magnetization that limit the stability of vapor-cell comagnetometers. Using this control we also observe for the first time a scalar $^{3}$He-$^{129}$Xe collisional frequency shift characterized by an enhancement factor $\kappa_{\text{HeXe}} = -0.011\pm0.001$.Comment: 4 pages, 4 figure

Developing tools to promote culturally competent compassion, courage, and intercultural communication in healthcare

Background: Compassion is an important concept in healthcare, and in addition, care should be delivered in a culturally competent manner, taking into account the values, culture, and health beliefs of the individual. However, the training of nurses and other healthcare professionals may not adequately equip them to practice in a manner which is both compassionate and culturally competent. In this paper, we report on the development of three learning tools, designed to promote the skills and strengthen the capacity of nurses and healthcare professionals to provide culturally competent and compassionate care. Methods: The project involved the participation of six European countries in the development of three learning tools, covering culturally competent compassion, culturally competent courage, and intercultural communication. The principles which informed the methodology derive from the previous work on the Papadopoulos, Tilki and Taylor (PTT) model of transcultural nursing and cultural competence, and were also informed by the Intercultural Education of Nurses in Europe (IENE1 & IENE2) projects. Each partner country was required to produce one tool for each topic area, based on guidance provided by the project co-ordinator, leading to the development of eighteen tools in total. The tools were administered mainly to student nurses to test their feasibility. Results: The emerging tools contained important theoretical and practical components, whereby innovative learning methods and case studies were included. Student nurses enjoyed using the tools, and enjoyed their flexibility. The learning tools enabled students to become stimulated and to engage together leading to a positive learning experience. Discussion: The tools allow for a positive learning experience and reflection of good practice to take place. The flexibility and content of the tools allows for them to be of equal value to other healthcare professionals as well as nursing staff. Conclusion: The tools were initially utilised mainly with student nurses and were received with a positive response. Work is now in place to further implement the tools and evaluate the longer term effects among a range of healthcare professionals and service user health outcomes

On the Interpretation of Supernova Light Echo Profiles and Spectra

The light echo systems of historical supernovae in the Milky Way and local group galaxies provide an unprecedented opportunity to reveal the effects of asymmetry on observables, particularly optical spectra. Scattering dust at different locations on the light echo ellipsoid witnesses the supernova from different perspectives and the light consequently scattered towards Earth preserves the shape of line profile variations introduced by asymmetries in the supernova photosphere. However, the interpretation of supernova light echo spectra to date has not involved a detailed consideration of the effects of outburst duration and geometrical scattering modifications due to finite scattering dust filament dimension, inclination, and image point-spread function and spectrograph slit width. In this paper, we explore the implications of these factors and present a framework for future resolved supernova light echo spectra interpretation, and test it against Cas A and SN 1987A light echo spectra. We conclude that the full modeling of the dimensions and orientation of the scattering dust using the observed light echoes at two or more epochs is critical for the correct interpretation of light echo spectra. Indeed, without doing so one might falsely conclude that differences exist when none are actually present.Comment: 18 pages, 22 figures, accepted for publication in Ap

A Study of the Coronal Plasma in RS CVn binary systems

XMM-Newton has been performing comprehensive studies of X-ray bright RS CVn binaries in its Calibration and Guaranteed Time programs. We present results from ongoing investigations in the context of a systematic study of coronal emission from RS CVns. We concentrate in this paper on coronal abundances and investigate the abundance pattern in RS CVn binaries as a function of activity and average temperature. A transition from an Inverse First Ionization Potential (FIP) effect towards an absence of a clear trend is found in intermediately active RS CVn systems. This scheme corresponds well into the long-term evolution from an IFIP to a FIP effect found in solar analogs. We further study variations in the elemental abundances during a large flare.Comment: to appear in The Twelfth Cool Stars, Stellar Systems and the Sun, eds. A. Brown, T.R. Ayres, G.M. Harper, (Boulder: Univ. of Colorado), in pres

A questionnaire survey reviewing radiologists’ and clinical specialist radiographers’ knowledge of CT exposure parameters

OBJECTIVE: To review knowledge of computed tomography (CT) parameters and their influence on patient dose and image quality amongst a cohort of clinical specialist radiographers (CSRs) and examining radiologists. METHODS: A questionnaire survey was devised and distributed to a cohort of 65 examining radiologists attending the American Board of Radiology exam in Kentucky in November 2011. The questionnaire was later distributed by post to a matching cohort of Irish CT CSRs. Each questionnaire contained 40 questions concerning CT parameters and their influence on both patient dose and image quality. RESULTS: A response rate of 22 % (radiologists) and 32 % (CSRs) was achieved. No difference in mean scores was detected between either group (27.8 ± 4 vs 28.1 ± 4, P = 0.87) although large ranges were noted (18–36). Considerable variations in understanding of CT parameters was identified, especially regarding operation of automatic exposure control and the influence of kilovoltage and tube current on patient dose and image quality. Radiologists were unaware of recommended diagnostic reference levels. Both cohorts were concerned regarding CT doses in their departments. CONCLUSIONS: CT parameters were well understood by both groups. However, a number of deficiencies were noted which may have a considerable impact on patient doses and limit the potential for optimisation in clinical practice. KEY POINTS: • CT users must adapt parameters to optimise patient dose and image quality. • The influence of some parameters is not well understood. • A need for ongoing education in dose optimisation is identified

Decision-making for active living infrastructure in new communities: a qualitative study in England.

BACKGROUND: Urban design can influence population levels of physical activity and subsequent health impacts. This qualitative study investigates local level decision-making for 'active living' infrastructure (ALI)-walking and cycling infrastructure and open spaces in new communities. METHODS: Thirty-five semi-structured interviews with stakeholders, and limited ethnographic observations, were conducted with local government and private sector stakeholders including urban and transport planners, public health practitioners, elected councillors and developers. Interview transcripts were coded and analysed thematically. RESULTS: Public health practitioners in local government could act as knowledge brokers and leaders to motivate non-health stakeholders such as urban and transport planners to consider health when designing and building new communities. They needed to engage at the earliest stages and be adequately resourced to build relationships across sectors, supporting non-health outcomes such as tackling congestion, which often had greater political traction. 'Evidence' for decision-making identified problems (going beyond health), informed solutions, and also justified decisions post hoc, although case study examples were not always convincing if not considered contextually relevant. CONCLUSION: We have developed a conceptual model with three factors needed to bridge the gap between evidence and ALI being built: influential public health practitioners; supportive policies in non-health sectors; and adequate resources.This work was supported by the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration [grant numbers 087636/Z/08/Z, ES/G007462/1, MR/K023187/1 to ALG and DO]; and the National Institute for Health Research [grant number 16/137/34 to LF]. ALG and DO are supported by the Medical Research Council (MC_UU_12015/6) and Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. LF is supported by the NIHR Global Health Research Group and Network on Diet and Activity. No funder had any role in the study design; data collection, analysis, or interpretation; in the writing of the report; or in the decision to submit the article for publication