Development of a Text Message Stress Management Intervention and its Impact on Perceived Stress and Coping Self-efficacy among Student Nurses

Purpose: The purpose of the two studies was to develop a text message intervention and examine its effects on lowering perceived stress and increasing coping self-efficacy among nursing students. We also explored stress perceptions and investigated student satisfaction with the text message stress management program. Methods: For the first study, twenty three students participated in the focus groups for intervention development. Sample messages were presented to participants and feedback was requested. The messages were modified based on student feedback. The second study utilized an experimental pre/post design with a convenience sample (N=101) to examine the effects of the text message stress management intervention. An analysis of covariance (ANCOVA) was conducted to control for initial individual differences in pre perceived stress and pre self-efficacy scores. Results: All participants reported feelings of perceived stress and feedback resulted in a 30 message text message intervention. One message, Monday through Friday, was texted over a six week period. There was not a statistically significant difference in post perceived stress scores. However, there was a statistically significant difference in post intervention coping self-efficacy scores between the intervention and control groups, F (1,85) = 14.18, p \u3c .01, ɲ2 = .14. The students provided favorable feedback about the intervention. Conclusions: Text messages are an effective means to communicate and provide support to students. This intervention shows promise in increasing student confidence and ability to cope with stress. Many factors, such as time in the semester and life events, contribute to feelings of perceived stress. Nonetheless, increasing self-efficacy in effectively coping with stress could be beneficial in buffering future stress encounters as students transition into professional practice

Inter-individual variation in postprandial glycaemic responses in women co-ingesting green leafy vegetables with a carbohydrate meal : interactions with the sirtuin system

The authors acknowledge the support of the Scottish Government Rural and Environment Science and Analytical Services (RESAS) Strategic Research Programme. Clinical biochemistry lab at the Foresterhill hospital for analysing sex hormone samples, Human Nutrition Unit staff and analytical staff and the Rowett Institute, University of Aberdeen and Alex Stewart for providing the compositional information for the meal interventions used. Finally, we would like to thank the volunteers participating in VegGI study. Open access via Wiley agreementPeer reviewedPublisher PD

Emergency Department Escalation in Theory and Practice: A Mixed-Methods Study Using a Model of Organizational Resilience

Study objective Escalation policies are used by emergency departments (EDs) when responding to an increase in demand (eg, a sudden inflow of patients) or a reduction in capacity (eg, a lack of beds to admit patients). The policies aim to maintain the ability to deliver patient care, without compromising safety, by modifying “normal” processes. The study objective is to examine escalation policies in theory and practice. Methods This was a mixed-method study involving a conceptual analysis of National Health Service escalation policies (n=12) and associated escalation actions (n=92), as well as a detailed ethnographic study of escalation in situ during a 16-month period in a large UK ED (n=30 observations). Results The conceptual analysis of National Health Service escalation policies found that their use requires the ability to dynamically reconfigure resources (staff and equipment), change work flow, and relocate patients. In practice, it was discovered that when the ED is under pressure, these prerequisites cannot always be attained. Instead, escalation processes were adapted to manage pressures informally. This adaptive need (“work as done”) was found to be incompletely specified in policies (“work as imagined”). Conclusion Formal escalation actions and their implementation in practice differed and varied in their effectiveness. Monitoring how escalation works in practice is essential in understanding whether and how escalation policies help to manage workload

Patient flow management: codified and opportunistic escalation actions

In this chapter, we outline the prerequisites for an effective response to patient flow pressures and discuss two case studies of work practices that have evolved to manage flow across organisational boundaries. An argument is presented calling for a better coordinated, more effective and sustainable approach to patient flow transitions across boundaries

T cell-mediated immune responses in human newborns: ready to learn?

Infections with intracellular pathogens are often more severe or more prolonged in young infants suggesting that T cell-mediated immune responses are different in early life. Whereas neonatal immune responses have been quite extensively studied in murine models, studies of T cell-mediated immunity in human newborns and infants are scarce. Qualitative and quantitative differences when compared with adult immune responses have been observed but on the other hand mature responses to certain vaccines and infectious pathogens were demonstrated during the postnatal period and even during foetal life. Herein, we review the evidence suggesting that under appropriate conditions of stimulation, protective T cell-mediated immune responses could be induced by vaccines in early life.Journal ArticleReviewFLWINinfo:eu-repo/semantics/publishe