188 research outputs found
Exposure to patient aggression and health outcomes for forensic mental health nurses:A cross-sectional survey
Aims: The aims of the study were to determine the types and prevalence of forensic mental health nurse exposure to patient aggression and explore the impact of these exposures on their physical and mental health and work absences. Design: Cross-sectional survey conducted January to April 2020. Methods: All 205 nurses working in an Australian high-security inpatient forensic mental health hospital were invited to participate. An online survey included the Perception of Prevalence of Aggression Scale to measure respondent exposure to types of patient aggression, and the SF-36v2 to measure mental and physical health. Absence from work and other work and individual characteristics were also explored. Results: Sixty-eight respondents completed the survey. Verbal abuse was the most experienced aggression type, followed by physical violence and observing violence, patient self-harming behaviours and sexual violence. Nurses who worked in acute units experienced significantly more exposure to overall aggression than nurses in non-acute units. Higher level of aggression was associated with number of days sick leave taken and days off due to aggression or violence. Higher level of aggression was associated with poorer mental health, and patient self-harming behaviour was associated with poorer physical health. Conclusions: Nurses in acute units experience higher levels of inpatient aggression and are therefore at increased risk of being impacted by the exposure. Findings indicate a psychological impact of exposure to frequent aggression and potential for an accumulative effect of exposure to traumatic events on nurse well-being. Nurses who are victim of, or witness, physical violence are most likely to take time off work. Impact: This study provides further evidence that forensic mental health nurses are frequently exposed to various forms of patient aggression. For some nurses, this exposure to patient aggression negatively impacted their mental and physical health. Employing organizations should therefore prioritize provision of formal support for nurses. No patient or public contribution.</p
CSW Best Practices
During the development of the CMR (Common Metadata Repository) (CMR) for the Earth Observing System Data and Information System (EOSDIS), CSW (Catalog Service for the Web) a number of best practices came to light. Given that the ESIP (Earth Science Information Partners) Discovery Cluster is committed to interoperability and standards in earth data discovery this seemed like a convenient moment to provide Best Practices to the organization in the same way we did for OpenSearch for this widely-used standard
Relevancy 101
Where we present an overview on why relevancy is a problem, how important it is and how we can improve it. The topic of relevancy is becoming increasingly important in earth data discovery as our audience is tuned to the accuracy of standard search engines like Google
Smart Handoffs: Defining Spatial and Temporal Parameters with Schema.org
No abstract availabl
OpenSearch Status
We will present an overview of our OpenSearch efforts over the past 6 months. We will discuss our Best Practices and those of CEOS concentrating on the compatibility issues between the two. We will also discuss the state of earth data OpenSearch implementations and their adherence to the standards, extensions and best practices available
End-to-End Solution for Data Customization with NASA's Earthdata Search
The goal of NASA's Earthdata Search End-to-End Services workflow is to take the pain and headache out of searching for data and getting that data back in a format that is usable with only that data that is relevant for you. For too long scientists have had to jump through endless hoops, use tools that only offer specific data or specific services, and perform any number of other non-science tasks just to get started on their actual project. Earthdata Search leverages the Common Metadata Repository's (CMR) newly implemented Unified Metadata Models for Services and Variables as well as a new service broker to expose and seamlessly integrate a collection's service capabilities and variables into an intuitive user interface. Using the new End-to-End Services workflow, scientists will be able to quickly see what data is available to be customized, what customization options are available, and actually perform those customizations on the data all within Earthdata Search, regardless of who the data provider is. This talk will demonstrate the simple workflow that will be available to end users and also give an overview covering how the workflow is enabled by the metadata stored within the CMR. (https://search.earthdata.nasa.gov/
Sustaining sexual and reproductive health through COVID-19 pandemic restrictions: qualitative interviews with Australian clinicians
Background. The sexual and reproductive health care of people with HIV and those at risk of HIV
has largely been delivered face-to-face in Australia. These services adapted to the coronavirus
disease 2019 (COVID-19) pandemic with a commitment to continued care despite major
impacts on existing models and processes. Limited attention has been paid to understanding the
perspectives of the sexual and reproductive health care workforce in the research on COVID-19
adaptations. Methods. Semi-structured interviews were conducted between June and September
2021 with 15 key informants representing a diverse range of service settings and professional roles in
the Australian sexual and reproductive health sector. Inductive themes were generated through a
process of reflexive thematic analysis, informed by our deductive interest in clinical adaptations.
Results. The major adaptations were: triage (rapidly adapting service models to protect the
most essential forms of care); teamwork (working together to overcome ongoing threats to
service quality and staff wellbeing), and the intwined themes of telehealth and trust (remaining
connected to marginalised communities through remote care). Despite impacts on care models
and client relationships, there were sustained benefits from the scaleup of remote care, and
attention to service safety, teamwork and communication. Conclusions. Attending to the
experiences of those who worked at the frontline of the COVID-19 response provides essential
insights to inform sustained, meaningful system reform over time. The coming years will provide
important evidence of longer-term impacts of COVID-19 interruptions on both the users and
providers of sexual and reproductive health services
Wear Reducing Technology Newly Applied To Severe Pumping Services
Case StudyA U.S. Gulf Coast refinery had experienced accelerated internal wear of FCCU cycle oil pumps, often requiring entire case replacements. Compared to typical industry pump performance, run lengths were shorter, and cost per installed was higher. The application requires pumps capable of withstanding significant catalyst fines. Several wear resistant products have been used in pumps. However, all are limited due to the nature of the technologies. Thermal spray coatings and weld overlays can be used in “line of sight” applications, but not for small interior surfaces. Thermal sprays suffer from failures of the mechanical bond. There is preferential erosion of the soft matrix between the hard particles in weld overlays. Hard diffusion coatings (boronizing) are very thin and can be punctured by large abrasive particles. Infiltration brazed tungsten carbide cladding (IBTCC) solves many of these issues. IBTCC was developed for extreme wear applications with difficult geometries such as downhole drilling tools and coal fired power plants. IBTCC combines a true metallurgical bond and a dense, uniform distribution of tungsten carbide particles throughout the coating, to create excellent erosion resistance and toughness in complex geometries. After 13 months in service, an IBTCC cycle oil pump showed no significant signs of internal erosion. This technology has also been applied to FCCU fractionator bottoms and debutanizer reboiler services, with no signs to date of increased vibration or loss of hydraulic performance. The case study will show how internal material changes can improve pump longevity and produce maintenance cost savings
- …