Factors contributing to the commission of errors and omission of standard nursing practice among new nurses

Every year, millions of medical errors are committed, costing not only patient health and satisfaction, but thousands of lives and billions of dollars. Errors occur in many areas of the healthcare environment, including the profession of nursing. Nurses provide and delegate patient care and consequently, standard nursing responsibilities such as medication administration, charting, patient education, and basic life support protocol may be incorrect, inadequate, or omitted. Although there is much literature about errors among the general nurse population and there is indication that new nurses commit more errors than experienced nurses, not much literature asks the following question: What are the factors contributing to the commission of errors, including the omission of standard nursing care, among new nurses? Ten studies (quantitative, qualitative, and mixed-mode) were examined to identify these factors. From the 10 studies, the researcher identified the three themes of lack of experience, stressful working conditions, and interpersonal and intrapersonal factors. New nurses may not have had enough clinical time, may develop poor habits, may not turn to more experienced nurses and other professionals, may be fatigued from working too many hours with not enough staffing, may not be able to concentrate at work, and may not give or receive adequate communication. Based on these findings and discussion, suggested implications for nursing practice include extended clinical experience, skills practice, adherence to the nursing process, adherence to medications standards such as the five rights and independent double verification, shorter working hours, adequate staffing, no-interruption and no-phone zones, creating a culture of support, electronically entered orders, translation phones, read-backs, and standardized handoff reports

From Instability to Civil Liberties: Nonviolent Resistance in Afghanistan

When people have a fundamental issue at stake, giving in is not an option. For these types of conflict, when people’s rights are being violated, when their countries are occupied, or when they are oppressed and humiliated, they need a powerful way to persist and fight back. Oftentimes when people are left with no choice they will use the terrible and destructive nature of violence. For decades nonviolent resistance (NVR) movements have been associated with Gandhi and Martin Luther King, but people have been using nonviolent action for years. In fact, NVR has been a part of political life for millennia. From the time of 11th-century conqueror Mahmud of Ghazni to Abdul Ghaffar Khan, a Pakistan born proponent of nonviolence, to social change created by modern Afghan women\u27s resistance groups, nonviolent revolution has been a part of the rich history of the Kingdom of Afghanistan (Pal, 2002 & PBS News Desk, 2021). Historically there have been numerous case studies of groups that rose to challenge corruption by authorities, demand social reforms, and demonstrate against violent and authoritarian regimes. The following thesis aims to focus on the historical antecedents of the Afghanistan government and use comparative research of violence and nonviolence both in and out of the country. Data from foundational research in the field of nonviolence will be used to support the claim. This is used to both understand the ongoing oppression and direct evidence gathered to understand actions that have pushed back against these rules. The data collection organizes evidence of acts of nonviolence and civil resistance in the country. The data gathered will be organized into qualitative and quantitative graphics. Qualitative data can be broken down by category and attributes of the nonviolent tactics used and quantitative data aims to translate these to maps and charts to show where and how effective these campaigns are over time

An Evaluation of Videos used to Support Clinical Skills Teaching for Pre-registration Student Nurses

The NMC suggest that to ensure high quality patient care it is essential that student nurses develop competence in a range of clinical skills (NMC, 2010a). The aim of this project was to determine whether nursing students perform the skills of infection prevention; hand washing; aseptic technique and vital signs measurement more competently in an Observed Structured Clinical Examination (OSCE), when traditional face-to-face teaching is enhanced with the availability of skills videos via an e-learning platform. The study employed a randomised controlled design. An intervention group were taught face-to-face in the clinical skills lab and had the teaching supplemented by access to clinical skills videos. The control group received the same classroom face-to-face teaching but did not have access to the videoed blended e-learning resources. Student nurses of mixed gender and ages (n=229) were invited to volunteer to participate in the inhouse study. Eighty-eight students consented and were evenly divided by random allocation to the intervention group (n=44) and to the control group (n=44). The mean score for all clinical skills was higher in the OSCEs in the intervention group who viewed the videos, this was not, however, statistically significant as the results were >.05

Structured heterogeneity in Scottish stops over the 20th Century

How and why speakers differ in the phonetic implementation of phonological contrasts, and the relationship of this ‘structured heterogeneity’ to language change, has been a key focus over fifty years of variationist sociolinguistics. In phonetics, interest has recently grown in uncovering ‘structured variability’—how speakers can differ greatly in phonetic realization in nonrandom ways—as part of the long-standing goal of understanding variability in speech. The English stop voicing contrast, which combines extensive phonetic variability with phonological stability, provides an ideal setting for an approach to understanding structured variation in the sounds of a community’s language that illuminates both synchrony and diachrony. This article examines the voicing contrast in a vernacular dialect (Glasgow Scots) in spontaneous speech, focusing on individual speaker variability within and across cues, including over time. Speakers differ greatly in the use of each of three phonetic cues to the contrast, while reliably using each one to differentiate voiced and voiceless stops. Interspeaker variability is highly structured: speakers lie along a continuum of use of each cue, as well as correlated use of two cues—voice onset time and closure voicing—along a single axis. Diachronic change occurs along this axis, toward a more aspiration-based and less voicing-based phonetic realization of the contrast, suggesting an important connection between synchronic and diachronic speaker variation

Integrated Skills, Integrated Data: Mapping Best Practice and Collections for Innovation and Engagement

In recent years the University of Edinburgh [UoE] has seen change, mergers, external partnerships and innovation at the heart of its growth and activity. Collections at UoE were not immune from these changes and have pioneered projects that both support and highlight unique educational cultures. Technology and the dissemination of collections has not only engendered positive relationships with academics but has created wider opportunities for the use of collections in teaching, learning and research. This momentum and an established commitment to the interoperability of data and standards presented an opportunity to look for a global solution to collections management within the converged, cross disciplinary environment. This included harnessing expertise in the University with systems development for large European projects and wider project management. This session will explore how UoE became the first European contributor to the collections management tool Archives Space. Snapshots of a converged culture and how 'archives' have benefited from this (including how 'techies' and 'archivists' worked together). An upbeat finale will look at what the team at the UoE achieved and are excited about for the future

Overcoming the Unprecedented: Southern Voters Battle Against Voter Suppression, Intimidation, and a Virus

This report describes the 2020 elections in five Southern states—Alabama, Florida, Georgia, Louisiana, and Mississippi—with a particular emphasis on election administration problems; voter suppression; the efforts of voting rights organizations to mobilize voters and protect their votes; and the actions of extremists who sought to intimidate voters and spread disinformation.As this report shows, it is abundantly clear that our electoral system needs repair. Numerous states have erected new barriers to voting since the U.S. Supreme Court in 2013 gutted a critical component of the Voting Rights Act of 1965. Many also cling to Jim Crow-era laws, such as felony disenfranchisement, that were specifically designed to suppress the Black vote—or they refuse to enact commonsense changes that would make voting easier and accessible to all citizens. At the same time, some states maintain archaic administrative systems that are woefully inadequate to meet the needs of voters today and ensure fair elections.This report provides a blueprint for reforming the electoral system. The Biden administration and Congress must act quickly to shore up the stability of the electoral process and put our democracy on a firmer footing. Passage of federal laws, including those that strengthen the Voting Rights Act, are necessary steps forward on the path to reform—toward ensuring that all Americans have easy and equal access to the ballot box

UNICORNS: Uveitis in childhood prospective national cohort study protocol

Background: Childhood uveitis is a rare inflammatory eye disease which is typically chronic, relapsing-remitting in nature, with an uncertain aetiology (idiopathic). Visual loss occurs due to structural damage caused by uncontrolled inflammation. Understanding of the determinants of long term outcome is lacking, including the predictors of therapeutic response or how to define disease control. Aims: To describe disease natural history and outcomes amongst a nationally representative group of children with non-infectious uveitis, describe the impact of disease course on quality of life for both child and family, and identify determinants of adverse visual, structural and developmental outcomes. Methods: UNICORNS is a prospective longitudinal multicentre cohort study of children newly diagnosed with uveitis about whom a core minimum clinical dataset will be collected systematically. Participants and their families will also complete patient-reported outcome measures annually from recruitment. The association of patient (childand treatment- dependent) characteristics with outcome will be investigated using logistic and ordinal regression models which incorporate adjustment for within-child correspondence between eyes for those with bilateral disease and repeated outcomes measurement. Discussion: Through this population based, prospective longitudinal study of childhood uveitis, we will describe the characteristics of childhood onset disease. Early (1-2 years following diagnosis) outcomes will be described in the first instance, and through the creation of a national inception cohort, longer term studies will be enabled of outcome for affected children and families