Coming out as a human capitalist: community development at the nexus of people and place

Community development

Expertise in clinical nursing educators: An exploratory study

A primary goal of professional education is to prepare practitioners who can provide quality care essential to the well-being of individuals and society. An essential component of professional education is a practiced-based experience. The purpose of this study was to identify and describe the qualities of clinical nursing educators who were recognized by peers as being expert clinical practitioners. This study was exploratory and non-experimental. A qualitative approach was used. Through observations and interviews, beginning descriptions and explication of dimensions of expertise of clinical nursing educators were achieved. The population for this study was selected from nursing faculty of 10 private baccalaureate nursing programs in one Midwestern state. Only full-time faculty involved in clinical nursing education as part of their faculty role were chosen. A sample of six teachers was chosen from three of the nursing programs that responded to the survey. All of the participants had a minimum of five years teaching experience. Data were gathered through semi-structured interviews and observations. The participants were observed in a variety of settings including community agencies, client homes, hospitals, and laboratories. The settings reflected a diversity of acuteness, and urgency. The constant comparative method was used in analysis and interpretation of the data. Whereas many unique factors influenced the personal attitudes and histories of the participants, four commonalities emerged. From a thematic analysis of these data four major attributes were identified as representative of expert clinical nursing education: commitment, integration, intuition, and reflection. All of the participants sustained their commitment to teaching by on-going, personal and professional growth, facilitated by change and challenge. Knowledge components were integrated in relation to the resources and demands of the settings observed and maintained by knowledge development and experience. The expert practice of these clinical educators was characterized by intuitive links between ability to read situations and ways of responding. Reflective thinking nourished their sense of mission and belief in the educational process. This study provided rich descriptions of the beliefs and practices of six experts in clinical nursing education. These descriptions can provide a structure for viewing clinical nursing education through participant reflection and performance in practice. The study demonstrated that commonalities can be identified among clinical nursing educators across diverse specialized settings

Getting What You Deserve: A Handbook for the Assertive Consumer

https://digitalcommons.nyls.edu/fac_books/1130/thumbnail.jp

Prevalence of extreme detergent resistance among the \u3ci\u3eEnterobacteriaceae\u3c/i\u3e

The detergent-resistance properties of 208 independent isolates of the Enterobacteriaceae have been examined. Of these bacterial strains, 200 were able to grow in the presence of ≥5% sodium dodecyl sulfate, including all members of the Klebsielleae tribe. This resistance does not appear to be plasmid encoded. It is proposed that detergent-resistant organisms he termed saponotolerant or saponophilic, by analogy with other microorganisms occupying harsh ecological niches. In contrast to their prevalent resistance to anionic detergents, not one of the 208 strains tested was found to grow in the presence of three different cationic detergents. This sensitivity to cationic detergents may be of significance in combating nosocomial infections. La resistance it I\u27 action de detergents a ete evaluee chez 208 souches non-apparentees d\u27 Enterobacteriaceae. Deux cents de ces souches bacteriennes incluant tous les membres de la tribu des Klebsielleae ont ete capables de pousser en presence d\u27une concentration ≥5% de dodecyl sulfate de sodium. Cette resistance ne semble pas de nature plasmidique. Pour designer ces organismes resistants aux detergents, il est propose d\u27utiliser les termes saponotolerants ou saponophiles par analogie avec d\u27autres microorganismes qui occupent aussi des niches ecologiques hostiles. Contrastant avec la forte prevalence des souches resistantes aux detergents anioniques, on constate qu\u27aucune des 208 souches n\u27etait capable de pousser en presence de trois detergents cationiques differents. Cette sensibilite aux detergents cationiques pourrait s\u27averer interessante it exploiter dans la lutte aux infections nosocomiales

Dimensions of Community Change: How the Community of Sudbury Responded to Industrial Exposures and Cleaned up its Environment

A city in northern Ontario, which has suffered more than a century of pollution from mining, went from being internationally notorious for its pollution to winning awards for its environmental restoration. The inquiry was into the levers of change that led from an awareness of environmental destruction to taking action. Semi-structured interviews were conducted with 60 people from the community, politicians, industry, miners, and academics. The theory-based analysis led to a community-change model that has helped identify the multiple layers of change required for the re-greening of the environment. With reference to the collective impact literature, this city-level case study found that the city has embraced change based upon agreement on an emerging vision, taking advantage of a confluence of timing and events, adopting evidence-based knowledge, building a sense of pride and place, and having a diffuse yet linked leadership. The Sudbury story is helpful for other industrial communities looking to achieve change

Are Different Rhythms Good for Different Functions?

This essay discusses the relationship between the physiology of rhythms and potential functional roles. We focus on how the biophysics underlying different rhythms can give rise to different abilities of a network to form and manipulate cell assemblies. We also discuss how changes in the modulatory setting of the rhythms can change the flow of information through cortical circuits, again tying physiology to computation. We suggest that diverse rhythms, or variations of a rhythm, can support different components of a cognitive act, with multiple rhythms potentially playing multiple roles

New dynamics in cerebellar Purkinje cells: torus canards

We describe a transition from bursting to rapid spiking in a reduced mathematical model of a cerebellar Purkinje cell. We perform a slow-fast analysis of the system and find that -- after a saddle node bifurcation of limit cycles -- the full model dynamics follow temporarily a repelling branch of limit cycles. We propose that the system exhibits a dynamical phenomenon new to realistic, biophysical applications: torus canards.Comment: 4 pages; 4 figures (low resolution); updated following peer-review: language and definitions updated, Figures 1 and 4 updated, typos corrected, references added and remove

Virtual reality for psycho-education on self-stigma in depression:Design of a randomised controlled trial

Background: Major Depressive Disorder (MDD) is a prevalent and disabling mental health condition. Patients with MDD often deal with self-stigma, which can lead to more depressive symptoms. Psychoeducation about depression has proven to be effective in reducing depressive symptomatology and self-stigma. Involving a significant other in psychoeducation for depression, might increase mutual understanding. Virtual reality (VR) offers the opportunity to experience the perspective of having or living with someone with a mental condition. For this study an immersive VR environment is developed. The main objective of this study is to test whether our VR psychoeducation intervention is more successful in reducing self-stigma than standard psychoeducation for MDD.Methods: In this randomised controlled trial (RCT), 80 couples of patients and their significant other will be included and randomly assigned to one of two conditions: the VR psychoeducation intervention and standard psychoeducation. Patients will be aged 18 to 65, diagnosed with MDD. The main study parameter is self-stigma, as measured by the Internalized Stigma of Mental Illness scale. Secondary parameters include depressive symptoms, loneliness and perceived social support for the patient and burden of care and quality of life for the significant other.Limitations: No control for nonspecific factors, limited individual adjustment, patients are not able to participate without a significant other.Conclusions: VR might open up the opportunity to reduce self-stigma and thereby improve the efficacy of psychoeducation in MDD.</p

Virtual reality for psycho-education on self-stigma in depression:Design of a randomised controlled trial

Background: Major Depressive Disorder (MDD) is a prevalent and disabling mental health condition. Patients with MDD often deal with self-stigma, which can lead to more depressive symptoms. Psychoeducation about depression has proven to be effective in reducing depressive symptomatology and self-stigma. Involving a significant other in psychoeducation for depression, might increase mutual understanding. Virtual reality (VR) offers the opportunity to experience the perspective of having or living with someone with a mental condition. For this study an immersive VR environment is developed. The main objective of this study is to test whether our VR psychoeducation intervention is more successful in reducing self-stigma than standard psychoeducation for MDD.Methods: In this randomised controlled trial (RCT), 80 couples of patients and their significant other will be included and randomly assigned to one of two conditions: the VR psychoeducation intervention and standard psychoeducation. Patients will be aged 18 to 65, diagnosed with MDD. The main study parameter is self-stigma, as measured by the Internalized Stigma of Mental Illness scale. Secondary parameters include depressive symptoms, loneliness and perceived social support for the patient and burden of care and quality of life for the significant other.Limitations: No control for nonspecific factors, limited individual adjustment, patients are not able to participate without a significant other.Conclusions: VR might open up the opportunity to reduce self-stigma and thereby improve the efficacy of psychoeducation in MDD.</p