Leadership, job satisfaction and intention to leave among registered nurses in the North West and Free State provinces of South Africa

Background: The nurse leadership of a hospital is identified as the single most important aspect of the practice environment that impacts nurse outcomes. When nurses are satisfied with their jobs, they tend to remain with their employers and become more productive in their workplaces. Objectives: This study aimed to investigate the relationship between leadership, job satisfaction and intentions to leave among registered nurses (RNs) working in hospitals in the North West and Free State provinces of South Africa. Methods: A cross-sectional survey design was adopted. The population (N = 680) with the sample (n = 204) included RNs in medical–surgical units in both private and public hospitals in the two provinces. Data were collected using the RN4CAST questionnaire. Results: RNs were satisfied with the items pertaining to leadership except for praise and recognition (55.7%). They also indicated high levels of overall job satisfaction (70.5%) but were dissatisfied with wages (50%), study leave (40.9%) and opportunities for advancement (40.1%). Furthermore, 46.1% of the RNs intended to leave their current hospitals. The results indicated a relationship between leadership and job satisfaction (r = 0.47; p = 0.00) and between intention to leave and job satisfaction (d = 0.50). Conclusion: The nurse managers played a significant role influencing RN’s level of job satisfaction, while job satisfaction was highly correlated with intention to leave. The nurse leadership can improve job satisfaction by giving praise and recognition to the RNs for jobs well done, and RNs should be afforded the opportunity to advance their careers through further studies. Keywords: Leadership,  job satisfaction, intention to leave, Nurs

Relationship between tumour PTEN/Akt/COX-2 expression, inflammatory response and survival in patients with colorectal cancer

In patients with colorectal cancer (CRC), local and systemic inflammatory responses have been extensively reported to associate with cancer survival. However, the specific signalling pathways responsible for inflammatory responses are not clear. The PTEN/Akt pathway is a plausible candidate as it may play a role in mediating inflammation via COX-2, and has been associated with cancer progression. This study therefore examined the relationship between tumour PTEN/Akt/COX-2 expression, inflammatory responses and survival in CRC patients using a tissue microarray. In 201 CRC patients, activation of tumour-specific PTEN/Akt significantly associated with poorer CSS (12.0yrs v 7.3yrs, P=0.032), poorer differentiation (P=0.032), venous invasion (P=0.008) and peritoneal involvement (P=0.004). Patients were stratified for peri-nuclear expression of COX-2 to examine associations with inflammatory responses. In patients with absent peri-nuclear COX-2 expression, activation of tumour-specific PTEN/Akt significantly associated with poorer CSS (11.9yrs v 5.4yrs, P=0.001), poorer differentiation (P=0.018), venous invasion (P=0.003) and peritoneal involvement (P=0.001). However, no associations were seen with either the local or systemic inflammatory responses. In CRC patients, tumour-specific PTEN/Akt pathway activation was significantly associated with poorer CSS, particularly when peri-nuclear COX-2 expression was absent. However, activation of the PTEN/Akt pathway appears not to be responsible for the regulation of inflammatory responses

Effects of Alcohol and Expectancy Upon Episodic Memory in Individuals Reporting Alcoholic Blackouts

In a within-subject placebo design, 10 heavy drinkers reporting alcoholic blackouts showed significant decrements in episodic memory when receiving alcohol but not on days when a placebo was given. Parallel deficits were observed on recall and recognition measures. On placebo days, self-ratings of intoxication were related to the degree of observed performance decrement. Memory deficits appear to be primarily pharmacologic rather than expectancy effects of drinking

Representative bureaucracy: does female police leadership affect gender-based violence arrests?

Representative bureaucracy theory postulates that passive representation leads to active representation of minority groups. This article investigates the passive representation of female police officers at leadership levels and the active representation of women vis-a-vis gender-based violence arrest rates in the UK. Much of the extant research on representative bureaucracy is located at street level, with evidence showing that discretionary power of minority bureaucrats can lead to active representation. This article is focused on leadership levels of a public bureaucracy. The empirical research is based upon a panel dataset of female police officers as an independent variable and gender-based violence arrest rates as a dependent variable. The analysis reveals that there is little evidence of active representation of women by female police leadership

Modes of Multiple Star Formation

This paper argues that star forming environments should be classified into finer divisions than the traditional isolated and clustered modes. Using the observed set of galactic open clusters and theoretical considerations regarding cluster formation, we estimate the fraction of star formation that takes place within clusters. We find that less than 10% of the stellar population originates from star forming regions destined to become open clusters, confirming earlier estimates. The smallest clusters included in the observational surveys (having at least N=100 members) roughly coincide with the smallest stellar systems that are expected to evolve as clusters in a dynamical sense. We show that stellar systems with too few members N < N_\star have dynamical relaxation times that are shorter than their formation times (1-2 Myr), where the critical number of stars N_\star \approx 100. Our results suggest that star formation can be characterized by (at least) three principal modes: I. isolated singles and binaries, II. groups (N<N_\star), and III. clusters (N>N_\star). Many -- if not most -- stars form through the intermediate mode in stellar groups with 10<N<100. Such groups evolve and disperse much more rapidly than open clusters; groups also have a low probability of containing massive stars and are unaffected by supernovae and intense ultraviolet radiation fields. Because of their short lifetimes and small stellar membership, groups have relatively little effect on the star formation process (on average) compared to larger open clusters.Comment: accepted to The Astrophysical Journa

Reactive Attachment Disorder: Challenges for Early Identification and Intervention within the Schools

Attachment is of key importance in childhood development. The quality of attachment relationship between the child and parent/primary caregiver may have an effect on the child and future relationships and social success (Rubin, Bukowski, & Parker, 1998). When a child fails to bond with a caring adult, attachment becomes disordered and children may not be able to bond appropriately or at all with other people. This inability to relate and connect with others may disrupt or arrest not only children\u27s social development, but also their overall development. The purpose of this review is to synthesize information and research on characteristics, diagnosis, and interventions currently in practice in working with young children with Reactive Attachment Disorder (RAD). A discussion will highlight the themes found during this review and conclude with implications for intervention and practice

Molecular excitation in the Eagle nebula's fingers

Context: The M16 nebula is a relatively nearby Hii region, powered by O stars from the open cluster NGC 6611, which borders to a Giant Molecular Cloud. Radiation from these hot stars has sculpted columns of dense obscuring material on a few arcmin scales. The interface between these pillars and the hot ionised medium provides a textbook example of a Photodissociation Region (PDR). Aims: To constrain the physical conditions of the atomic and molecular material with submillimeter spectroscopic observations. Methods: We used the APEX submillimeter telescope to map a ~3'x3' region in the CO J=3-2, 4-3 and 7-6 rotational lines, and a subregion in atomic carbon lines. We also observed C18O(3-2) and CO(7-6) with longer integrations on five peaks found in the CO(3-2) map. The large scale structure of the pillars is derived from the molecular lines' emission distribution. We estimate the magnitude of the velocity gradient at the tips of the pillars and use LVG modelling to constrain their densities and temperatures. Excitation temperatures and carbon column densities are derived from the atomic carbon lines. Results: The atomic carbon lines are optically thin and excitation temperatures are of order 60 K to 100 K, well consistent with observations of other Hii region-molecular cloud interfaces. We derive somewhat lower temperatures from the CO line ratios, of order 40 K. The Ci/CO ratio is around 0.1 at the fingers tips.Comment: 4 pages, APEX A&A special issue, accepte

A VLA Search for Water Masers in Six HII Regions: Tracers of Triggered Low-Mass Star Formation

We present a search for water maser emission at 22 GHz associated with young low-mass protostars in six HII regions -- M16, M20, NGC 2264, NGC 6357, S125, and S140. The survey was conducted with the NRAO Very Large Array from 2000 to 2002. For several of these HII regions, ours are the first high-resolution observations of water masers. We detected 16 water masers: eight in M16, four in M20, three in S140, and one in NGC 2264. All but one of these were previously undetected. No maser emission was detected from NGC 6357 or S125. There are two principle results to our study. (1) The distribution of water masers in M16 and M20 does not appear to be random but instead is concentrated in a layer of compressed gas within a few tenths of a parsec of the ionization front. (2) Significantly fewer masers are seen in the observed fields than expected based on other indications of ongoing star formation, indicating that the maser-exciting lifetime of protostars is much shorter in HII regions than in regions of isolated star formation. Both of these results confirm predictions of a scenario in which star formation is first triggered by shocks driven in advance of ionization fronts, and then truncated approximately 10^5 years later when the region is overrun by the ionization front.Comment: 30 pages, 20 figures, 3 tables. Accepted for publication by ApJ. Full resolution figures and PS and PDF versions with full-res figures available at http://eagle.la.asu.edu/healy/preprints/hhc0

Disruption to Functional Networks in Neonates With Perinatal Brain Injury Predicts Motor Skills at 8 Months

Objective: Functional connectivity magnetic resonance imaging (fcMRI) of neonates with perinatal brain injury could improve prediction of motor impairment before symptoms manifest, and establish how early brain organization relates to subsequent development. This cohort study is the first to describe and quantitatively assess functional brain networks and their relation to later motor skills in neonates with a diverse range of perinatal brain injuries. Methods: Infants ( Results: Disruption to connectivity of the somatomotor and frontoparietal executive networks predicted motor impairment at 4 and 8 months. This disruption in functional connectivity was not found to be driven by differences between clinical groups, or by any of the specific measures we captured to describe the clinical course. Conclusion: fcMRI was predictive over and above other clinical measures available at discharge from the NICU, including structural MRI. Motor learning was affected by disruption to somatomotor networks, but also frontoparietal executive networks, which supports the functional importance of these networks in early development. Disruption to these two networks might be best addressed by distinct intervention strategies