Navigating Through the Challenges of Healthcare Simulated Education

Background: The use of simulation as an adjunct tool for student learning and development in addition to traditional didactic teaching modalities has been traditionally favored by health care education. However, evidence suggest that there are limitations to the current use of simulation and thoughtful considerations must be made to leverage the current use of simulation to promote further learning strategies including the use of haptic technology. The aim of this research is to examine the strengths and limitations of haptic technology and to identify opportunities for future research relating to the use and adaptation of haptic technology as part of a pedagogical framework to overcome the existing challenges in simulated education. Methods: The primary method used is based on the integrative review framework by Whittemore and Knafl (2005). Results: Five themes have emerged from the analysis of the literature and includes knowledge and skills development with haptic technology, patient safety and outcomes, limitations and future implications of haptic technology. Discussions and Conclusions: These findings suggest the many benefits associated with haptic technology and its integration into simulated education as it establishes and promotes greater knowledge, skills, and learning outcomes. Continuous research and evaluation is recommended to support further integration of this technology. Interdisciplinary Reflection: The nature, scope, and breadth of this research requires the expertise that extends far beyond a single discipline. An interdisciplinary approach including healthcare, nursing, and medical education, health informatics, computer science, data and software management is essential to effectively address the complexities of this research

Organizational behaviour during instability: A critical discourse analysis of shared mental model through various forms of acute care learning using mixed methods

Background: The purpose of this study is to better understand nurses\u27 performance based on training processes. This will determine if group training will increase performance compared to independent training through a shared mental model in a contextual setting of unpredictability mediated by the effects of nurses’ perceptions of patient safety climate. A mixed methods study is conducted using critical discourse analysis of organizational documentation and semi-structured interviews to determine measures of contextual setting when identifying and treating sex trade workers. Methods: Pragmatic study will analyze two groups of 125 nurses each determining the impact of group and individual training when developing a shared mental model based on performance of identifying trafficked persons. New identification tools will be introduced to identical departments separated geographically that have comparable staff who currently receive identical training. Results: Little research exists that examines influence of contextual setting of unpredictable environments with shared mental model, and examining the mediating effects of patient safety climate. It is anticipated that this research will produce new findings towards the current body of literature. Discussion & Conclusion: Beyond the increase to current literature regarding training methods nursing professionals working in an environment of uncertainty, there will also be an anticipated benefit towards the sample populating of sex workers who have increased risk of harm due to recent changes in Canadian legislation (C-36). Interdisciplinary Reflection: Concepts from the social sciences and business are combined for increased understanding of how training influences the mental model in unpredicted environments

P12. The Influence of Leader-Member Exchange and Structural Empowerment on Nurses Perception of Patient Safety Climate

Background: Reports have illustrated the lack of supportive and inclusive work environments is a causative factor of health related absences and nursing attrition. This has been reported to lead to increased risk to nurses’ safety, patients’ safety and poorer patient outcomes. Methods: The purpose of this study is to examine the impact of the four dimensions of Leader-Member Exchange (LMX) (contribution, affect, loyalty, and professional respect) of nurse managers and access to the four structures of structural empowerment (SE) (support, opportunity, resources, and information) on nurses’ perceptions of patient safety climate (PSC). A cross-sectional survey is conducted using a random sample of 230 nurses across Ontario in acute care settings. Leader-Member Exchange-MDM, Conditions for Work Effectiveness Questionnaire-II, and Patient Safety Climate Questionnaire are used to measure study variables. Results: No specific research has examined the influence of LMX, and structural empowerment, on patient safety climate. This research proposal will meet the needs of the gap identified within the literature. Currently data is collected and waiting for analysis. Discussion & Conclusion: This study may uncover some of the processes by which each of these variables influences the next. Interdisciplinary Reflection: This study targets nursing leaders in front-line managerial positions, possibly increasing their awareness of SE allowing them to develop a more positive working environment on their unit that will lead to increased productivity and increased patient safety. Middle and upper management will be interested in these findings to examine positive influences to LMX and developing strategies and training to be provided to front-line managers to enhance a PSC

Soccer-Specific Stadiums and Attendance in Major League Soccer: Investigating the Novelty Effect

Major League Soccer (MLS) officials have focused on the construction of soccer-specific stadiums as a key aspect of the league’s development strategy. Research in numerous professional sport contexts has found that teams tend to experience an increase in attendance after moving into new stadiums. Researchers have termed this phenomenon the novelty effect. Given MLS’s longtime emphasis on constructing soccer-specific stadiums, the purpose of the current study was to examine the extent to which a novelty effect exists in MLS. Results of a repeated measures t test indicated that clubs experienced an increase in attendance during their first season in a soccer-specific stadium, and this novelty effect appears to persist to a significant extent for at least 3 years. However, the relatively young age of the league, the success of a club such as Seattle Sounders FC playing in a multipurpose venue, and the costs associated with stadium construction present important issues for further research and consideration

Further investigations of the deep double donor magnesium in silicon

The deep double donor levels of substitutional chalcogen impurities in silicon have unique optical properties which may enable a spin/photonic quantum technology. The interstitial magnesium impurity (Mg$_i$) in silicon is also a deep double donor but has not yet been studied in the same detail as have the chalcogens. In this study we look at the neutral and singly ionized Mg$_i$ absorption spectra in natural silicon and isotopically enriched 28-silicon in more detail. The 1s(A$_1$) to 1s(T$_2$) transitions, which are very strong for the chalcogens and are central to the proposed spin/photonic quantum technology, could not be detected. We observe the presence of another double donor (Mg$_{i*}$) that may result from Mg$_i$ in a reduced symmetry configuration, most likely due to complexing with another impurity. The neutral species of Mg$_{i*}$ reveal unusual low lying ground state levels detected through temperature dependence studies. We also observe a shallow donor which we identify as a magnesium-boron pair

Noncovariant gauge fixing in the quantum Dirac field theory of atoms and molecules

Starting from the Weyl gauge formulation of quantum electrodynamics (QED), the formalism of quantum-mechanical gauge fixing is extended using techniques from nonrelativistic QED. This involves expressing the redundant gauge degrees of freedom through an arbitrary functional of the gauge-invariant transverse degrees of freedom. Particular choices of functional can be made to yield the Coulomb gauge and Poincar\'{e} gauge representations. The Hamiltonian we derive therefore serves as a good starting point for the description of atoms and molecules by means of a relativistic Dirac field. We discuss important implications for the ontology of noncovariant canonical QED due to the gauge freedom that remains present in our formulation.Comment: 8 pages, 0 figure

The Robertson v. Princeton Case: Too Important to Be Left to the Lawyers

Offers comments from eleven contributors on the Robertson family's donor rights suit against the Woodrow Wilson School of Public and International Affairs for violation of donor intent. Explores its effects on and implications for the nonprofit sector

A Mg-pair isoelectronic bound exciton identified by its isotopic fingerprint in 28^{28}Si

We use the greatly improved optical linewidths provided by highly enriched $^{28}$Si to study a photoluminescence line near 1017 meV previously observed in the luminescence spectrum of natural Si diffused with Mg, and suggested to result from the recombination of an isoelectronic bound exciton localized at a Mg-pair center. In $^{28}$Si this no-phonon line is found to be comprised of five components whose relative intensities closely match the relative abundances of Mg-pairs formed by random combinations of the three stable isotopes of Mg, thus confirming the Mg-pair hypothesis. We further present the results of temperature dependence studies of this center that reveal unusual and as yet unexplained behaviour.Comment: 5 pages, 4 figure