Barriers and facilitators to palliative care education in nursing and residential homes: a rapid review

Background: There is insufficient high-quality evidence to suggest that palliative care education can impact care home settings. Aims: To identify, appraise and synthesise all available evidence on the barriers and facilitators to providing palliative care education in residential and nursing care homes and to generate recommendations to increase the effectiveness of future palliative care education programmes in care homes. Methods: A rapid review searching CINAHL, Medline and ProQuest. One author screened full-text articles for inclusion. Any uncertainties were discussed with a second author. Findings: Twenty-two articles were included in the full review. Analysis of the included articles revealed the following overlapping themes: structural systems; cultural and personal issues; and knowledge translation issues with interaction. Conclusion: Addressing the barriers and facilitators when designing palliative care education programmes for care homes will lead to more successful outcomes

Transitions among crystal, glass, and liquid in a binary mixture with changing particle size ratio and temperature

Using molecular dynamics simulation we examine changeovers among crystal, glass, and liquid at high density in a two dimensional binary mixture. We change the ratio between the diameters of the two components and the temperature. The transitions from crystal to glass or liquid occur with proliferation of defects. We visualize the defects in terms of a disorder variable "D_j(t)" representing a deviation from the hexagonal order for particle j. The defect structures are heterogeneous and are particularly extended in polycrystal states. They look similar at the crystal-glass crossover and at the melting. Taking the average of "D_j(t)" over the particles, we define a disorder parameter "D(t)", which conveniently measures the degree of overall disorder. Its relaxation after quenching becomes slow at low temperature in the presence of size dispersity. Its steady state average is small in crystal and large in glass and liquid.Comment: 7 pages, 10 figure

Anti-Catholicism, Incorrigibility and Credulity in the Warming-Pan Scandal of 1688-9

Exploring the conspiratorial fictions surrounding the birth of James Francis Edward Stuart, prince of Wales, in 1688, this article argues for the centrality of confessional language and feeling in the representation of the revolution of 1688-9. The warming-pan scandal and related fictions, I argue, use obscurity and a (perceived) lack of evidence as the starting-point for a kind of propaganda that relies heavily on the suspension of disbelief, ironically demanding readerly faith in a sceptical, satirical, iconoclastic and pseudo-scientific deconstruction of an invented plot which ridicules Catholics for their implicit faith

Polarizability of interacting atoms: Relation to collision-induced light scattering and dielectric models

The polarizability tensor of a pair of interacting He atoms has been calculated as a function of internuclear separation r using the fully self-consistent Hartree-Fock theory. It was found that the trace of the polarizability tensor, α(r), to which the second dielectric virial coefficient Bε is directly proportional, decreases with decreasing r, giving a theoretical value of Bε=-0.093 a.u. at room temperature, compared with the experimental result Bε=-0.06±0.04 a.u., measured by Orcutt and Cole [J. Chem. Phys. 46, 697 (1967)]. This is the first calculation that predicts the correct sign of Bε. We conclude that for He the effects of overlap are of opposite sign from and of sufficient magnitude to overcome the contributions of the van der Waals interaction to α(r). Furthermore, the anisotropy of the pair polarizability β(r) can be represented by a simple form: β(r)=6α2r-3-λ e-r/r0, where r0=0.74 a.u., and the collision-induced light-scattering spectrum predicted by this form has an essentially exponential line shape. These results are in qualitative agreement with recent work on collision-induced light-scattering spectra from rare gases

Evaluating a palliative care education programme for domiciliary care workers

Background: Many domiciliary care workers have reported low confidence and isolation when delivering end of life care in patients’ homes. Project Extension for Community Healthcare Outcomes (ECHO) is an initiative that has demonstrated success in increasing confidence and knowledge of end of life care in UK nursing home and community hospice workers, but it has not been evaluated with domiciliary care workers. Aim: To test the acceptability of Project ECHO to domiciliary care workers as a means of increasing their knowledge of, and confidence in, delivering palliative care, and its effectiveness in reducing their isolation by developing a community of practice. Method: A service evaluation, involving one domiciliary care agency delivering care in the community, was conducted from May 2018 to April 2019. The participants were 25 home care workers who were employed by the agency. Participants were invited to attend an event at which gaps in their knowledge were identified, and a curriculum of learning on the Project ECHO programme was developed. The learning involved 12 educational sessions over 12 months, with each session teaching a different component of palliative care. Questionnaires were completed by the participants before and after the educational sessions to assess their effect. In addition, a focus group was conducted with four of the participants. Results: Comparison of the questionnaires completed before and after participating in the education sessions revealed an increase in self-reported knowledge across all 12 topics of the curriculum and an increase in confidence in seven of the 12 topics. However, attendance across the 12 sessions was variable, with no more than nine being attended by any one participant. Conclusion: Palliative care education for domiciliary care staff using ECHO methodology was well received, relevant and accessible, and may have the potential to improve self-assessed knowledge and confidence. However, finding an ideal time for as many staff to attend as possible may be challenging

Can group-based strategies increase community resilience? Longitudinal predictors of sustained participation in Covid-19 mutual aid and community support groups

Mutual aid groups have been a critical part of the coronavirus disease-2019 (Covid-19) response and continue to address the needs of people in their communities. To understand how mutual aid and similar community support groups can be sustained over time, we test the idea that using group-based strategies initiates psychological trajectories that shape future participation. We conducted a preregistered longitudinal survey among Covid-19 mutual aid and community support volunteers in the United Kingdom (nWave 1 = 600, May 2021; nWave 2 = 299, July–August 2021) who were registered panelists of an independent research organization. Assessments included measures of group-based strategies, collective participation predictors, participation experience, and sustained participation. Volunteers engaged in a wide range of support activities including shopping, emotional support provision, and deliveries. Two group-based strategies—group alliances and group horizontality—longitudinally predicted sustained participation. In addition, sense of community responsibility and burnout were longitudinal predictors of sustained participation. Importantly, predictors of sustained participation diverged for volunteers with different levels of volunteering experience. Our findings highlight group-based strategies as a potential resource for organizers seeking to sustain participation. Use can be tailored depending on the profiles of individual Covid-19 mutual aid volunteers. These findings have significance beyond Covid-19 as they are relevant to sustaining community resilience more generally

Ferrofluids as thermal ratchets

Colloidal suspensions of ferromagnetic nano-particles, so-called ferrofluids, are shown to be suitable systems to demonstrate and investigate thermal ratchet behavior: By rectifying thermal fluctuations, angular momentum is transferred to a resting ferrofluid from an oscillating magnetic field without net rotating component. Via viscous coupling the noise driven rotation of the microscopic ferromagnetic grains is transmitted to the carrier liquid to yield a macroscopic torque. For a simple setup we analyze the rotation of the ferrofluid theoretically and show that the results are compatible with the outcome of a simple demonstration experiment.Comment: 4 pages, 3 figures, corrected version, improved figures, to be published in Phys. Rev. Let