ROSIsat

As the cost of sending satellites into space continues to drive down, the use of CubeSats for orbital missions continues to rise. Even though these satellites are smaller than traditional satellites, they still provide the ability to take on important science-based missions at a fraction of the cost. The Radiation Orbital Shielding Investigation satellite (ROSIsat) previously known as Project Hermes, will be the first fully student-built satellite for Embry-Riddle’s Daytona Beach campus. The main research mission of ROSIsat consists of shielding onboard memory modules from space radiation using various materials. These materials include simulated Martian and Lunar regolith. To send a student-built CubeSat to space, the ROSIsat team is designing and integrating the majority of the satellite’s components in-house. These in-house components include the CubeSat’s chassis, on-board computer, magnetorquer and payload electronics.. ROSIsat will provide students with educational, technical, scientific, and legal knowledge that can be applied in their respective futures

Editorial: Interruptions and medication: Is 'Do not disturb' the answer?

Abstract

Playing the Game? A criminological account of the making and sharing of Probationary: The Game of Life on Licence

This article reflects on the production and dissemination of Probationary: The Game of Life on Licence. Probationary is an artwork in the form of a board game that takes its players on a journey as they navigate the complexities of the probation process. This article explores the interdisciplinary collaborations that underpinned both the making and the sharing of the game and examines the benefits and challenges of working with stakeholders in this way. We suggest that creative methodologies can provide new ways of engaging with research subjects and new means of disseminating academic research with a view to informing change

SATLASS (Satellite Autonomous Launch and Assembly)

CubeSats are small satellites composed of U’s. Each U of a CubeSat is approximately 100 x 100 x 113.5 mm and should weigh no more than 2 kg. CubeSats are predominantly used in Low Earth Orbit (LEO), but they have been expanded to use in interplanetary missions. Since the design, manufacturing, and launch of CubeSats are much cheaper than larger satellites (around $80,000 dollars for a 1U CubeSat as opposed to millions of dollars for a traditional satellite), a CubeSat is an attainable goal for a student-led team. CubeSats in the early 2000’s were university or research applications, but starting in the 2010’s they were expanded into the commercial sector. SATLASS aims to deliver three CubeSats from an initial orbit of 408.773 km (The orbit of the International Space Station) to a maximum final orbit of 478.773 km. SATLASS uses cold gas thrusters to manuver within orbits. While most other deployers operate from ground to orbit, SATLASS starts and ends its mission at a parking station, where it refuels for the next mission

Medication errors in hospitals: A literature review of disruptions to nursing practice during medication administration

© 2015 John Wiley & Sons Ltd. Aims and objectives: The purpose of this review was to explore what is known about interruptions and distractions on medication administration in the context of undergraduate nurse education. Background: Incidents and errors during the process of medication administration continue to be a substantial patient safety issue in health care settings internationally. Interruptions to the medication administration process have been identified as a leading cause of medication error. Literature recognises that some interruptions are unavoidable therefore in an effort to reduce errors, it is essential understand how undergraduate nurses learn to manage interruptions to the medication administration process. Design: Systematic, critical literature review. Methods: Utilising the electronic databases, of Medline, Scopus, PubMed and CINAHL, and recognised quality assessment guidelines, 19 articles met the inclusion criteria. Search terms included: nurses, medication incidents or errors, interruptions, disruption, distractions and multitasking. Results: Researchers have responded to the impact of interruptions and distractions on the medication administration by attempting to eliminate them. Despite the introduction of quality improvements, little is known about how nurses manage interruptions and distractions during medication administration or how they learn to do so. A significant gap in the literature exists in relation to innovative sustainable strategies that assist undergraduate nurses to learn how to safely and confidently manage interruptions in the clinical environment. Conclusions: Study findings highlight the need for further exploration into the way nurses learn to manage interruptions and distractions during medication administration. This is essential given the critical relationship between interruptions and medication error rates. Relevance to clinical practice: Better preparing nurses to safely fulfil the task of medication administration in the clinical environment, with increased confidence in the face of interruptions, could lead to a reduction in errors and concomitant improvements to patient safety

The challenges, uncertainties and opportunities of bioaerosol dispersion modelling from open composting facilities

Bioaerosols are ubiquitous organic particles that comprise viruses, bacteria and coarser fractions of organic matter. Known to adversely affect human health, the impact of bioaerosols on a population often manifests as outbreaks of illnesses such as Legionnaires Disease and Q fever, although the concentrations and environmental conditions in which these impacts occur are not well understood. Bioaerosol concentrations vary from source to source, but specific human activities such as water treatment, intensive agriculture and composting facilitate the generation of bioaerosol concentrations many times higher than natural background levels. Bioaerosols are not considered ‘traditional’ pollutants in the same way as PM10, PM2.5, and gases such as NO2, and consequently dispersion models do not include a bespoke method for their assessment. As identified in previous studies, priority areas for improving the robustness of these dispersion models include: 1) the development of bespoke monitoring studies designed to generate accurate modelling input data; 2) the publication of a robust emissions inventory; 3) a code of practice to provide guidelines for consistent bioaerosol modelling practices; and 4) a greater understanding of background bioaerosol emissions. The aim of this research project, funded by the Natural Environmental Research Council (NERC), is to address these key areas through a better understanding of the generation, concentration and potential dispersion of bioaerosols from intensive agricultural and biowaste facilities, using case studies developed at specific locations within the UK. The objective is to further refine existing bioaerosol monitoring and modelling guidelines to provide a more robust framework for regulating authorities and site operators. This contribution outlines the gaps that hinder robust dispersion modelling, and describes the on-site bioaerosol data collection methods used in the study, explaining how they might be used to close these gaps. Examples of bioaerosol dispersion modelled using ADMS 5 are presented and discussed

Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses

© 2015 Elsevier Ltd. Background: Medication errors are a global phenomenon. Each year Australia-wide there are up to 96,000 preventable medication errors and in the United States there are approximately 450,000 preventable medication errors. One of the leading causes of errors is interruption yet some interruptions are unavoidable. In the interest of patient safety, nurses need to not only understand the impact of interruptions, but also be empowered with the knowledge and skills required to develop effective interruption management strategies. Well-planned simulation experiences have the potential to expose students to authentic clinical cases, otherwise unavailable to them, building critical thinking and clinical reasoning skills and preparing them for practice. Aim: This paper describes a simulated role-play experience that was developed to enable undergraduate nurses to experience, reflect on and analyse their responses to interruptions during medication administration. Methods: The simulation design presented in this paper was underpinned by both nursing and educational theorists, in combination with established simulation frameworks. Setting and Participants: Embedded within a clinical subject in 2013, the simulation experience was run over two campuses within a large Australian University. Participants included 528 second year undergraduate nursing students and 8 academic teaching staff. Outcome Mapping: To stimulate reflective learning debriefing immediately followed the simulation experience. Written reflections were completed and submitted over the following 4 weeks to extend the reflective learning process and review the impact of the experience from the student perspective. Conclusions: Undergraduate student nurses often have limited experiential background from which to draw knowledge and develop sound clinical judgements. Through exposure to clinical experiences in a safe environment, simulation technologies have been shown to create positive learning experiences and improve deductive reasoning and analysis. The heightened awareness of interruptions and their impacts on the medication administration process, along with techniques to manage interruptions more effectively serves to better prepare nurses for practice

Calm to chaos: Engaging undergraduate nursing students with the complex nature of interruptions during medication administration

© 2017 John Wiley & Sons Ltd Aims and Objectives: To describe undergraduate student nurse responses to a simulated role-play experience focussing on managing interruptions during medication administration. Background: Improving patient safety requires that we find creative and innovative methods of teaching medication administration to undergraduate nurses in real-world conditions. Nurses are responsible for the majority of medication administrations in health care. Incidents and errors associated with medications are a significant patient safety issue and often occur as a result of interruptions. Undergraduate nursing students are generally taught medication administration skills in a calm and uninterrupted simulated environment. However, in the clinical environment medication administration is challenged by multiple interruptions. Design/Methods: A qualitative study using convenience sampling was used to examine student perceptions of a simulated role-play experience. Data were collected from 451 of a possible 528 student written reflective responses and subject to thematic analysis. Results: Students reported an increased understanding of the impacts of interruptions while administering medications and an improved awareness of how to manage disruptions. This study reports on one of three emergent themes: “Calm to chaos: engaging with the complex nature of clinical practice.”. Conclusions: Interrupting medication administration in realistic and safe settings facilitates awareness, allows for students to begin to develop management strategies in relation to interruption and increases their confidence. Students were given the opportunity to consolidate and integrate prior and new knowledge and skills through this role-play simulation

Towards improved bioaerosol model validation and verification

Bioaerosols, comprised of bacteria, fungi and viruses are ubiquitous in ambient air. Known to adversely affect human health, the impact of bioaerosols on a population often manifests as outbreaks of illnesses such as Legionnaires Disease and Q fever, although the concentrations and environmental conditions in which these impacts occur are not well understood. Bioaerosol concentrations vary from source to source, but specific industrialised human activities such as water treatment, intensive agriculture and open windrow composting facilitate the generation of bioaerosol concentrations many times higher than natural background levels. Bioaerosol sampling is currently undertaken according to the requirements of the Environment Agency’s regulatory framework, in which the collection of bioaerosols and not its long-term measurement is of most importance. As a consequence, sampling devices are often moved around site according to changing wind direction and sampling intervals are invariably short-term. The dispersion modelling of bioaerosols from composting facilities typically relies on proxy pollutant parameters. In addition, the use of short term emission data gathering strategies in which monitors are moved frequently with wind direction, do not provide a robust reliable and repeatable dataset by which to validate any modelling or to verify its performance. New sampling methods such as the Spectral Intensity Bioaerosol Sensor (SIBS) provide an opportunity to address several gaps in bioaerosol model validation and verification. In the context of model validation, this paper sets out the current weaknesses in bioaerosol monitoring from the perspective of robust modelling requirements

Pondering practice: Enhancing the art of reflection

© 2017 John Wiley & Sons Ltd Aims and objectives: The aim of this study was to describe the effect that immersive simulation experiences and guided reflection can have on the undergraduate nurses' understanding of how stressful environments impact their emotions, performance and ability to implement safe administration of medications. Background: Patient safety can be jeopardised if nurses are unsure of how to appropriately manage and respond to interruptions. Medication administration errors are a major patient safety issue and often occur as a consequence of ineffective interruption management. The skills associated with medication administration are most often taught to, and performed by, undergraduate nurses in a controlled environment. However, the clinical environment in which nurses are expected to administer medications is often highly stressed and nurses are frequently interrupted. Design/Methods: This study used role-play simulation and written reflections to facilitate deeper levels of student self-awareness. A qualitative approach was taken to explore students' understanding of the effects of interruptions on their ability to undertake safe medication administration. Convenience sampling of second-year undergraduate nursing students enrolled in a medical–surgical subject was used in this study. Data were obtained from 451:528 (85.42%) of those students and analysed using thematic analysis. Results: Students reported increasing consciousness and the importance of reflection for evaluating performance and gaining self-awareness. They described self-awareness, effective communication, compassion and empathy as significant factors in facilitating self-efficacy and improved patient care outcomes. Conclusions: Following a role-play simulation experience, student nurses reported new knowledge and skill acquisition related to patient safety, and new awareness of the need for empathetic and compassionate care during medication administration. Practicing medication administration in realistic settings adds to current strategies that aim to reduce medication errors by allowing students to reflect on and in practice and develop strategies to ensure patient safety. Relevance to clinical practice: Experiencing clinical scenarios within the safety of simulated environments, offers undergraduate student nurses an opportunity to reflect on practice to provide safer, more empathetic and compassionate care for patients in the future