A systematic review of what factors attract and retain nurses in aged and dementia care

Aim. To present evidence-based factors for the recruitment and retention of licensed nurses caring for older people and persons with dementia. Background. The international nurse shortage crisis is intensified in the aged and dementia care sector. Strategies to address this crisis rely on qualitative, quasi-experimental, anecdotal and unsubstantiated literature. Design. Systematic literature review. Method. Search terms 'nurse''nurses''nursing''clinical supervision''staff''staffing''staff mix''staff levels''recruitment''retention''aged care''gerontology''gerontological''dementia care''residential''nursing home,' were used in all possible combinations and applied in a wide range of relevant academic databases, with secondary hand searches of selected bibliographies. Results. Two hundred and twenty-six papers were retrieved and scanned, with 105 chosen for closer examination that were relevant to recruitment and retention strategies for dementia and aged care nursing. Twenty-five of the papers chosen for review were rated at level 2++ to 3, according to the guidelines of the National Institute for Health and Clinical Excellence (The NICE Guidelines Manual, National Institute for Health and Clinical Excellence, London). The 25 critically reviewed papers are organised as promising strategies for (1) nurse recruitment and (2) nurse retention. Conclusions. The intrinsic rewards of the caring role attract nurses to dementia and aged care. Essential strategies linking recruitment with retention are: careful selection of student nurse clinical placements and their ongoing supervision and education, training for skills, leadership and teamwork for new and existing nurses, increased staffing levels, pay parity across different health settings and family friendly policies. Relevance to clinical practice. A family-friendly, learning environment that values and nurtures its nursing staff, in the same way as nurses are expected to value and care for their patients and residents, is critical in ensuring their retention in dementia and aged care. © 2010 Blackwell Publishing Ltd

Designing and Conducting Experiments for Range Beef Cows

Designing and conducting effective research for range beef systems involves analysis of intended application of the results, identification of factors affecting variation, and selection of appropriate research methods so that precise inferences can be made. Variances associated with time, location, animal, and error in grazing research can be high. Variation due to treatment × location and treatment × time interactions is reduced by increasing the number of locations and periods tested. Random error is reduced by increasing the total number of observations. Animals, pastures, and weather are significant sources of variation in grazing studies. Factors that influence nutrient requirements or nutrient intake of cows are potential sources of variation. Amount and quality of herbage produced are highly variable within and among years and are closely related to the amount and pattern of precipitation. Vegetative measurements (e.g., cover or standing biomass) should be planned as a step in developing experimental designs and to aid in experimental layout and interpretation of the data. Vegetation sampling should be less intensive and largely descriptive in large study areas when the objectives are to measure a livestock production response and vegetation responses are considered incidental. As the priority of the objectives moves toward emphasizing plant response and the size of the study area declines, the intensity of sampling on a land unit basis increases and the need for precision increases. Generally, multiple years of study are required to address between-year variances. Experimental units and replication are key to effective experimentation. Without replication in space and(or) time, there would be no estimate of experimental error. In supplementation studies on range, experimental units are generally animals, pastures, or ranches. Animal, pasture, and ranch have advantages and disadvantages as experimental units. The advantages and disadvantages are related to hypothesis, objectives, inference, resources, number of animals, and number of treatments. When economic evaluations are part of systems research, economists should be involved in planning the experiment and formulating hypotheses. Hypotheses and interpretation of biological data may be different than for economic data. Costs need to be estimated for correct unit of output, and cost alone may be insufficient to properly rank the economic outcomes of the research

REVIEW: Life-cycle, total-industry genetic improvement of feed efficiency in beef cattle: Blueprint for the Beef Improvement Federation

On a life-cycle basis, beef animals are able to consume large amounts of low-cost, low-quality forages relative to higher-cost concentrates compared with pigs and chickens. However, of the 3, beef is still more expensive to produce on a cost–per–edible pound basis. Accordingly, there is need for genetic programs and management changes that will improve efficiency, sustainability, and profitability of beef production. Options include improving reproductive rate, reducing feed used for maintenance, or both, while not reducing output. A goal for improving efficiency of feed utilization is to reduce the amount or proportion of feed used for maintenance. Such reduction is a target for genetic improvement, but such a goal does not include defining a single measure of efficiency. A single efficiency measure would likely lead to single-trait selection and not account for any potentially antagonistic effects on other production characteristics. Because we are not able to explain all variation in individual-animal intake from only knowledge of BW maintained and level of production, measuring feed intake is necessary. Therefore, our recommendation is that national cattle evaluation systems analyze feed intake as an economically relevant trait with incorporation of appropriate indicator traits for an EPD for feed intake requirements that could then be used in a multiple-trait setting such as in a selection index. With improvements in technology for measurement of feed intake, individual measures of feed intake should continually be collected to facilitate development of genetic predictors that enhance accuracy of prediction of progeny differences in national cattle evaluations

Luxurious Surfaces: Chinese Decorative Arts from the 15th to the Early 20th Century

Luxurious Surfaces: Chinese Decorative Arts from the Fifteenth to the Early Twentieth Century is a highly anticipated exhibition that highlights student learning in the art history program. The curators, William Caterham ’20, Ashley Jeffords ’20, Merlyn Maldonado Lopez ’22, Sarah Paul ’22, James Raphaelson ’21, Megan Reimer ’22, Shannon Zeltmann ’21 and Tianrun Zhao ’20, are students enrolled in the Art History Method class in Fall 2019. The exhibition examines the quintessential characteristics and the meaning of Chinese decorative arts embedded in the luxurious surfaces of sixteen carefully selected works from Gettysburg College’s Asian Art Collection.https://cupola.gettysburg.edu/artcatalogs/1032/thumbnail.jp

Management Control System, Human Resource Management Practices, and Organizational Performance of Selected Higher Education Institutions in the Southern Asia Pacific

This study aimed to evaluate and analyze the Management Control Systems and Human Resource Management practices of selected tertiary institutions in the Southern Asia Pacific and determine their relationship to organizational performance. The respondents’ profile such as age, educational attainment, position, and length of service were also considered in the study as moderator variables. The study used the descriptive-correlational research design. Data from 483 respondents were analyzed using descriptive and inferential statistics. Results of the study showed that management control system, human resource management practices, and organizational performance of the respondent institutions were good. Management control system and human resource management practices were significantly related to organizational performance. There was no significant difference in the level of the schools’ performance when the respondents’ profile was considered. Among the dimensions of Management Control System and Human Resource Management practices that significantly predict organizational performance were relationship, operating and measurement, compensation, recruitment, reporting and evaluation, training and development, and strategic planning. The relationship was found to be the best predictor of organizational performance, learning and growth, business and pr

Uncoupling proteins and energy expenditure in mice divergently selected for heat loss

The objective of this study was to determine whether variation in energy expenditure created by selection on heat loss is mediated by uncoupling protein-1 (UCP1) in brown adipose tissue. Divergent selection for heat loss developed lines of mice with high (MH) and low (ML) maintenance energy expenditure. Concentration of UCP1 mRNA in brown adipose tissue (BAT) was 93% greater in ML than in MH mice (P \u3c 0.02). Two new lines of mice, KH and KL, were bred by backcrossing a UCP1 knockout gene into the MH and ML lines, respectively; KH and KL with both knockout (−/−) and wild type (+/+) UCP1 genotypes were generated. At 13 wk of age, KH mice exhibited greater heat loss (166 kcal∙kg0.75∙d−1) than KL mice (126.4 kcal∙ kg0.75∙d−1) regardless of the UCP1 knockout (P \u3c 0.0001). Concentration of UCP2 mRNA in BAT was 74% greater in UCP1 knockout mice (−/−) than in wild type (+/+; P = 0.0001). We conclude that response to selection for increased energy expenditure was not mediated by increased expression or function of UCP1

Estimates of Genetic Parameters for Feed Intake, Feeding Behavior, and Daily Gain in Composite Ram Lambs

Our objective was to estimate genetic parameters for feed intake, feeding behavior, and ADG in composite ram lambs (¹⁄₂ Columbia, ¹⁄₄ Hampshire, ¹⁄₄ Suffolk). Data were collected from 1986 to 1997 on 1,239 ram lambs from approximately 11 to 17 wk of age at the U.S. Meat Animal Research Center near Clay Center, NE. Feeding equipment consisted of an elevated pen with an entrance chute that permitted access to the feeder by only one ram lamb at a time, with disappearance of feed measured by an electronic weighing system. Ram lambs were grouped 11 per pen from 1986 to 1989, and nine per pen from 1990 to 1997. Data were edited to exclude invalid feeding events, and approximately 80% of the data remained after edits were applied. Traits analyzed were daily feed intake (DFI), event feed intake (EFI), residual feed intake (RFI), daily feeding time (DFT), event feeding time (EFT), number of daily feeding events (DFE), and ADG. Feed intake traits of DFI and EFI had estimated heritabilities of 0.25 and 0.33, respectively, whereas estimated heritability of RFI was 0.11. Heritability estimates for feeding behavior traits, including DFT, EFT, and DFE, ranged from 0.29 to 0.36. Average daily gain had an estimated heritability of 0.26. Genetic correlations were positive between all pairs of traits, except for RFI and ADG, and that estimate was essentially zero. Phenotypic correlations were generally similar to genetic correlations. Genetic correlations were large (0.80) between DFI and ADG, intermediate between DFI and RFI (0.61) and between DFT and DFE (0.55), and low (0.17 to 0.31) for the other pairs of traits, with the exception of RFI and ADG (−0.03). Genetic correlations between behavioral traits were greater than correlations between behavioral traits and measures of feed intake or ADG; however, selection for ADG and/or feed intake would be expected to cause some changes in feeding behavior