The Voices of Graduates: Informing Faculty Practices to Establish Best Practices for Readying NCLEX-RN Applicants

Changes in the National Council of State Boards of Nursing along with other factors influence graduates’ successful completion of a nursing program and the licensing examination. Literature is scarce in the area of examining stu-dent perceptions of preparing for and taking the NCLEX-RN examination. Our study sought to fill this gap in knowledge by conducting a focus group and interviews with individuals who passed the NCLEX-RN on their first at-tempt and those who did not. This was a descriptive qualitative study which used semi-structured interviews and a focus group to examine graduates’ perceptions related to preparing for and taking the NCLEX-RN. Four themes emerged from the data: messages from faculty, preparation strategies, exam readiness, and the disconnection between pretest and intra-test experiences. Findings point towards the importance of implementing a variety of strate-gies to ensure that graduates successfully pass the NCLEX-RN

Celebrating the work of PGRs in Human and Health Sciences

The School of Human and Health Sciences is justifiably proud of its research. World renowned staff examine issues as diverse as criminal profiling, wound care and child protection. Emerging themes for research in the school range from examining mental health and well-being to innovative approaches to understanding crime, from the study of national identity to examining beliefs in witchcraft and possession. This diversity in research areas is reflected in the work of the postgraduate researchers (PgRs) registered for research degrees under the supervision of academic and research staff of the school. In order to showcase this research, the School hosts an annual research festival in which PgRs can either give an oral presentation of their work, or produce a poster. The launch of this new e-book is a showcase of research from the second annual festival in 2016

Fostering the Development of Emotional Intelligence among Health Science Students: Empowering Students to Impact Institutional Culture

Objectives: Identify challenges of navigating institutional culture for students interacting in a variety of clinical settings Discuss the importance of integrating concepts of emotional intelligence throughout curricular plans of study Consider contemporary research findings in the health science literature regarding emotional intelligence among students.https://jdc.jefferson.edu/nursingposters/1000/thumbnail.jp

Urban form, infrastructure, and spatial organization in the Roman Empire

Although there has been considerable interest in the nature of ancient cities, it has been difficult to identify and explore quantitative patterns in their design and amenities. In this article, we offer a model for the relationship between the size and infrastructure of settlements, before testing it against measures of the urban form of cities in the Roman Empire. This allows us to advocate a more consistent approach to investigating settlements that is capable of not only incorporating sites with divergent experiences into the same model, but also exposing their similarities and differences

Shifting perspectives on coastal impacts and adaptation

The Intergovernmental Panel on Climate Change reports reflect evolving attitudes in adapting to sea-level rise by taking a systems approach and recognizing that multiple responses exist to achieve a less hazardous coast.info:eu-repo/semantics/publishedVersio

A systematic review and economic evaluation of exercise referral schemes in primary care: a short report

Background - It is estimated that only 39% of men and 29% of women in England achieve the levels of physical activity that are recommended to protect health and prevent disease. One approach to addressing this problem has been the development of exercise referral schemes (ERSs), in which health professionals refer patients to external exercise providers. These schemes have been widely rolled out across the UK despite concerns that they may not produce sustained changes in levels of physical activity and, therefore, may not be cost-effective interventions. The evidence to determine clinical effectiveness and cost-effectiveness was evaluated in 2009. This review seeks to update this earlier work by incorporating new evidence and re-examining the cost-effectiveness. Objectives- To assess the clinical effectiveness and cost-effectiveness of ERSs compared with usual care. Design- Exhaustive searches of relevant electronic databases and journals were undertaken to identify new studies evaluating ERSs using a randomised controlled trial (RCT) design. RCTs that incorporated a qualitative evaluation of the intervention were identified in order to explore the barriers and facilitators to the uptake of and adherence to ERSs. Data were extracted using a previously designed tool and study quality assessed for potential bias. Where data could be pooled, meta-analyses were carried out. Qualitative analysis was also undertaken using a thematic approach. The cost-effectiveness was evaluated using a Markov structure which estimated the likelihood of becoming physically active and the subsequent risk reduction on coronary heart disease (CHD), stroke and type 2 diabetes mellitus. The model adopts a lifetime horizon, and a NHS and Personal Social Services perspective was taken with discounting at 1.5% for both costs and benefits. Results - The search identified one new RCT and one new qualitative study. The new data were pooled with existing data from the 2011 review by Pavey et al. [Pavey TG, Anokye N, Taylor AH, Trueman P, Moxham T, Fox KR, et al. The clinical effectiveness and cost-effectiveness of exercise referral schemes: a systematic review and economic evaluation. Health Technol Assess 2011;15(44)] to give a total of eight studies with 5190 participants. The proportion of individuals achieving 90–150 minutes of at least moderate-intensity activity per week at 6–12 months’ follow-up was greater for ERSs than usual care (relative risk 1.12; 95% confidence interval 1.04 to 1.20). Older patients and those referred for CHD risk factors appeared to be more likely than others to increase their levels of physical activity. Qualitative evidence suggests that interventions enabling the development of social support networks are beneficial in promoting uptake and adherence. Exercise referral gained 0.003 quality-adjusted life-years (QALYs) at an additional cost of £225 per person. The estimated mean incremental cost-effectiveness ratio (ICER) in the probabilistic sensitivity analysis was £76,276. In the univariate sensitivity analysis the results were very sensitive (ICERs ranged from  £100,000) to changes in the effect of ERSs on physical activity uptake and the duration of the protective effects and the direct health-related quality-of-life gains attributable to physical activity. Conclusions - Exercise referral schemes result in a small improvement in the number of people who increase their levels of physical activity. The cost-effectiveness analysis indicates that the ICER for ERSs compared with usual care is around £76,000 per QALY, although the cost-effectiveness of ERSs is subject to considerable uncertainty.National Institute for Health Research Health Technology Assessment programme

The earliest phases of high-mass star formation: a 3 square degree millimeter continuum mapping of Cygnus X

We have made an extensive 1.2mm continuum mosaicing study of the Cygnus X molecular cloud complex using the MAMBO cameras at the IRAM 30 m telescope. We then compared our mm maps with mid-IR images, and have made SiO(2-1) follow-up observations of the best candidate progenitors of high-mass stars. Our complete study of Cygnus X provides, for the first time, an unbiased census of massive young stellar objects. We discover 129 massive dense cores, among which 42 are probable precursors of high-mass stars. Our study qualifies 17 cores as good candidates for hosting massive IR-quiet protostars, while up to 25 cores potentially host high-luminosity IR protostars. We fail to discover the high-mass analogs of pre-stellar dense cores in CygnusX, but find several massive starless clumps that might be gravitationally bound. Since our sample is derived from a single molecular complex and covers every embedded phase of high-mass star formation, it gives the first statistical estimates of their lifetime. In contrast to what is found for low-mass class 0 and class I phases, the IR-quiet protostellar phase of high-mass stars may last as long as their better-known high-luminosity IR phase. The statistical lifetimes of high-mass protostars and pre-stellar cores (~ 3 x 10^4 yr and < 10^3 yr) in Cygnus X are one and two order(s) of magnitude smaller, respectively, than what is found in nearby, low-mass star-forming regions. We therefore propose that high-mass pre-stellar and protostellar cores are in a highly dynamic state, as expected in a molecular cloud where turbulent processes dominate.Comment: 32 pages, 62 figures to be published in Astronomy & Astrophysics journa