Training healthcare assistants working in adult acute inpatient wards in Psychological First Aid: An implementation and evaluation study.

WHAT IS KNOWN ON THE SUBJECT: Healthcare assistants are untrained and unregistered frontline staff but are expected to be proactive in preventing and responding to 'untoward' incidents quickly and efficiently when working within adult acute inpatient psychiatric settings. Healthcare assistants should be trained to provide enhanced care to service users residing in acute psychiatric settings. To date, a training programme in Psychological First Aid has not been expended in such a setting with nonregistered staff. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: The study demonstrates that training healthcare assistants in Psychological First Aid is useful in improving their confidence in caring for service users, therapeutic engagement with service users and ward culture in general. WHAT ARE THE IMPLICATIONS FOR PRACTICE: A training programme in Psychological First Aid for healthcare assistants to enhance ward culture can be implemented in different practice environments. Psychological First Aid is harmonious with nursing values and provides healthcare assistants with a relevant, useful and easily understood toolkit to apply in acute psychiatric settings. ABSTRACT: Introduction Healthcare assistants working within adult acute inpatient psychiatric settings are untrained and unregistered, however, they can contribute to quality service if they receive some training. Psychological First Aid training has never been expended in these settings, so this study intends to fill this gap in the existing evidence with this category of healthcare personnel. Aim The aim of this study was to introduce and evaluate first aid training for healthcare assistants. Method A pre/post design was adopted to gather data using questionnaires and interviews. The groups of participants included 16 healthcare assistants trained in Psychological First Aid, a sample of service users and four ward managers. Results Post-training, (a) healthcare assistants and service users ranked the therapeutic milieu of the ward more favourably, (b) the self-efficacy of the healthcare assistants increased, and the number of 'untoward' incidents decreased, and (c) health care assistants' confidence in their skills was high. The ward manager interviews post-training revealed four themes: (a) staff utilization of new skills and renewed enthusiasm, (b) calmer atmosphere on the ward and staff togetherness, (c) confidence and reflection on practice and (d) therapeutic engagement. Discussion Training healthcare assistants is useful in improving staff confidence, therapeutic engagement with service users and ward culture in general. Implications for practice Techniques and skills learnt are relevant and useful to healthcare assistants and provide an easily understood toolkit that is harmonious with nursing values. If executed correctly, the training can enhance practice and care outcomes and the overall service user experience

Enhanced dielectrophoresis of nanocolloids by dimer formation

We investigate the dielectrophoretic motion of charge-neutral, polarizable nanocolloids through molecular dynamics simulations. Comparison to analytical results derived for continuum systems shows that the discrete charge distributions on the nanocolloids have a significant impact on their coupling to the external field. Aggregation of nanocolloids leads to enhanced dielectrophoretic transport, provided that increase in the dipole moment upon aggregation can overcome the related increase in friction. The dimer orientation and the exact structure of the nanocolloid charge distribution are shown to be important in the enhanced transport

On the Radio Polarization Signature of Efficient and Inefficient Particle Acceleration in Supernova Remnant SN 1006

We present a radio polarization study of SN 1006, based on combined VLA and ATCA observations at 20 cm that resulted in sensitive images with an angular resolution of 10 arcsec. The fractional polarization in the two bright radio and X-ray lobes of the SNR is measured to be 0.17, while in the southeastern sector, where the radio and non-thermal X-ray emission are much weaker, the polarization fraction reaches a value of 0.6 +- 0.2, close to the theoretical limit of 0.7. We interpret this result as evidence of a disordered, turbulent magnetic field in the lobes, where particle acceleration is believed to be efficient, and a highly ordered field in the southeast, where the acceleration efficiency has been shown to be very low. Utilizing the frequency coverage of our observations, an average rotation measure of ~12 rad/m2 is determined from the combined data set, which is then used to obtain the intrinsic direction of the magnetic field vectors. While the orientation of magnetic field vectors across the SNR shell appear radial, a large fraction of the magnetic vectors lie parallel to the Galactic Plane. Along the highly polarized southeastern rim, the field is aligned tangent to the shock, and therefore also nearly parallel to the Galactic Plane. These results strongly suggest that the ambient field surrounding SN 1006 is aligned with this direction (i.e., from northeast to southwest) and that the bright lobes are due to a polar cap geometry. Our study establishes that the most efficient particle acceleration and generation of magnetic turbulence in SN 1006 is attained for shocks in which the magnetic field direction and shock normal are quasi-parallel, while inefficient acceleration and little to no generation of magnetic turbulence obtains for the quasi-perpendicular case.Comment: Accepted for publication in Astronomical Journa

Mock-Gaussian Behaviour for Linear Statistics of Classical Compact Groups

We consider the scaling limit of linear statistics for eigenphases of a matrix taken from one of the classical compact groups. We compute their moments and find that the first few moments are Gaussian, whereas the limiting distribution is not. The precise number of Gaussian moments depends upon the particular statistic considered