Reflection on creating a coaching approach to student nurse clinical leadership development

Coaching is as an intervention that facilitates another person’s learning, development and performance. Applied to student nurse practice learning, coaching has the potential to promote leadership learning that is student-led, less focused on following the directions of a mentor and more focused on students taking responsibility for identifying their learning goals and objectives. This article provides personal perspectives about how a partnership between four Greater Manchester (GM) universities and its partner practice organisations collaborated to developed, implement and evaluate a coaching approach to student nurse clinical leadership development, peer learning, whilst at the same time increasing practice placement capacity. In this article the GM Synergy Model is introduced. This article focuses on the perspectives of setting up a project team, testing the model prior to its implementation and developing a robust evaluation framework. Coaching as a model for student support and clinical leadership development is transferable to the new NMC Future Nurse: Standards of proficiency for registered nurses with the practice supervisor role complimenting the role of the coach in clinical practice

Health education England : workforce transformation- proposal for funding- Greater Manchester placement provider and HEI collaborative : implementation and evaluation of the synergy model for promoting effectiveness in learning in practice through coaching (Final report)

Within Greater Manchester a new model of undergraduate student nurse supervision in clinical practice has been implemented within predominantly adult and children and young people fields of practice. The Greater Manchester (GM) Synergy Model applies coaching methodologies with emphasis placed on student nurse’s clinical leadership development and collaborative and facilitative learning whilst at the same time increasing practice learning placement capacity in multiple areas. Health Education England (HEE) have commissioned a project with deliverables and outputs, with this being the final document that reports on key project areas: 1) Review of the existing literature that identifies the challenges, value and impact on clinical leadership when adopting models for undergraduate student support (coaching and mentoring) and presents new perspectives to what is already known 2) Development of the robust framework identifying the structures and processes required to implement and sustain GM Synergy both during and post completion of the project 3) Development of the robust eligibility and readiness framework for identifying potential GM Synergy clinical placement areas within healthcare organisations 4) Coaching educators in conjunction with identified organisational GM Synergy Lead to provide structured education and development opportunities 5) Development of the evidenced-informed recommendations for best practice in models of support that develop the undergraduate student’s clinical leadership skills, knowledge and behaviours. Where the model has been implemented, there is evidence of an increased capacity on the GM Synergy placement areas. Across adult and children and young people fields of practice there is an increase of practice learning placement in excess of 250 students

A simple method to assess the oxidative susceptibility of low density lipoproteins

BACKGROUND: Oxidative modification of low density lipoproteins (LDL) is recognized as one of the major processes involved in atherogenesis. The in vitro standardized measurement of LDL oxidative susceptibility could thus be of clinical significance. The aim of the present study was to establish a method which would allow the evaluation of oxidative susceptibility of LDL in the general clinical laboratory. RESULTS: LDL was isolated from human plasma by selective precipitation with amphipathic polymers. The ability of LDL to form peroxides was assessed by measuring thiobarbituric acid reactive substances (TBARS) after incubation with Cu(2+) and H(2)O(2). Reaction kinetics showed a three-phase pattern (latency, propagation and decomposition phases) which allowed us to select 150 min as the time point to stop the incubation by cooling and EDTA addition. The mixture Cu(2+)/H(2)O(2) yielded more lipoperoxides than each one on its own at the same time end-point. Induced peroxidation was measured in normal subjects and in type 2 diabetic patients. In the control group, results were 21.7 ± 1.5 nmol MDA/mg LDL protein, while in the diabetic group results were significantly increased (39.0 ± 3.0 nmol MDA/mg LDL protein; p < 0.001). CONCLUSION: a simple and useful method is presented for the routine determination of LDL susceptibility to peroxidation in a clinical laboratory

Acceptability of novel lifelogging technology to determine context of sedentary behaviour in older adults

<strong>Objective:</strong> Lifelogging, using body worn sensors (activity monitors and time lapse photography) has the potential to shed light on the context of sedentary behaviour. The objectives of this study were to examine the acceptability, to older adults, of using lifelogging technology and indicate its usefulness for understanding behaviour.<strong> </strong><strong>Method:</strong> 6 older adults (4 males, mean age: 68yrs) wore the equipment (ActivPAL^TM and Vicon Revue^TM/SenseCam^TM) for 7 consecutive days during free-living activity. The older adults’ perception of the lifelogging technology was assessed through semi-structured interviews, including a brief questionnaire (Likert scale), and reference to the researcher&#39;s diary. <strong>Results:</strong> Older adults in this study found the equipment acceptable to wear and it did not interfere with privacy, safety or create reactivity, but they reported problems with the actual technical functioning of the camera. <strong>Conclusion:</strong> This combination of sensors has good potential to provide lifelogging information on the context of sedentary behaviour

IL-4-secreting CD4+ T cells are crucial to the development of CD8+ T-cell responses against malaria liver stages.

CD4+ T cells are crucial to the development of CD8+ T cell responses against hepatocytes infected with malaria parasites. In the absence of CD4+ T cells, CD8+ T cells initiate a seemingly normal differentiation and proliferation during the first few days after immunization. However, this response fails to develop further and is reduced by more than 90%, compared to that observed in the presence of CD4+ T cells. We report here that interleukin-4 (IL-4) secreted by CD4+ T cells is essential to the full development of this CD8+ T cell response. This is the first demonstration that IL-4 is a mediator of CD4/CD8 cross-talk leading to the development of immunity against an infectious pathogen

The New Political Economy of EU State Aid Policy

Despite its importance and singularity, the EU’s state aid policy has attracted less scholarly attention than other elements of EU competition policy. Introducing the themes addressed by the special issue, this article briefly reviews the development of EU policy and highlights why the control of state aid matters. The Commission’s response to the current economic crisis notably in banking and the car industry is a key concern, but the interests of the special issue go far beyond. They include: the role of the European Commission in the development of EU policy, the politics of state aid, and a clash between models of capitalism. The special issue also examines the impact of EU policy. It investigates how EU state aid decisions affect not only industrial policy at the national level (and therefore at the EU level), but the welfare state and territorial relations within federal member states, the external implications of EU action and the strategies pursued by the Commission to limit any potential disadvantage to European firms, and the conflict between the EU’s expanding legal order and national

Understanding Urban Demand for Wild Meat in Vietnam: Implications for Conservation Actions

Vietnam is a significant consumer of wildlife, particularly wild meat, in urban restaurant settings. To meet this demand, poaching of wildlife is widespread, threatening regional and international biodiversity. Previous interventions to tackle illegal and potentially unsustainable consumption of wild meat in Vietnam have generally focused on limiting supply. While critical, they have been impeded by a lack of resources, the presence of increasingly organised criminal networks and corruption. Attention is, therefore, turning to the consumer, but a paucity of research investigating consumer demand for wild meat will impede the creation of effective consumer-centred interventions. Here we used a mixed-methods research approach comprising a hypothetical choice modelling survey and qualitative interviews to explore the drivers of wild meat consumption and consumer preferences among residents of Ho Chi Minh City, Vietnam. Our findings indicate that demand for wild meat is heterogeneous and highly context specific. Wild-sourced, rare, and expensive wild meat-types are eaten by those situated towards the top of the societal hierarchy to convey wealth and status and are commonly consumed in lucrative business contexts. Cheaper, legal and farmed substitutes for wild-sourced meats are also consumed, but typically in more casual consumption or social drinking settings. We explore the implications of our results for current conservation interventions in Vietnam that attempt to tackle illegal and potentially unsustainable trade in and consumption of wild meat and detail how our research informs future consumer-centric conservation actions

EFTfitter: A tool for interpreting measurements in the context of effective field theories

Over the past years, the interpretation of measurements in the context of effective field theories has attracted much attention in the field of particle physics. We present a tool for interpreting sets of measurements in such models using a Bayesian ansatz by calculating the posterior probabilities of the corresponding free parameters numerically. An example is given, in which top-quark measurements are used to constrain anomalous couplings at the Wtb-vertex.The authors would like to thank Fabian Bach, Kathrin Becker, Dominic Hirschbühl and Mikolaj Misiak for their help and for the fruitful discussions. In particular, the authors would like to thank Fabian Bach for providing the code for the single-top cross sections. N.C. acknowledges the support of FCT-Portugal through the contract IF/00050/2013/CP1172/CT00