5 research outputs found

    Delivery of antimicrobial stewardship competencies in UK pre-registration nurse education programmes: a national cross-sectional survey

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    Background: Registered nurses perform numerous functions critical to the success of antimicrobial stewardship but only 63% of pre-registration nursing programmes include any teaching about stewardship. Updated nursing standards highlight nurses require antimicrobial stewardship knowledge and skills. Aim: To explore the delivery of key antimicrobial stewardship competencies within updated pre-registration nursing programmes. Method: A cross-sectional survey design. Data was collected between March and June 2021. Findings: Lecturers from 35 universities responsible for teaching antimicrobial stewardship participated. The provision of antimicrobial stewardship teaching and learning was inconsistent across programmes with competencies in infection prevention and control, patient centred care, and interprofessional collaborative practice taking precedent over those pertaining to the use, management, and monitoring of antimicrobials. On-line learning and teaching surrounding hand hygiene, personal protective equipment, and immunisation theory was reported to have increased during the pandemic. Only a small number of respondents reported that students shared taught learning with other healthcare professional groups. Conclusion: There is a need to ensure consistency in antimicrobial stewardship across programmes, and greater knowledge pertaining to the use, management and monitoring of antimicrobials should be included. Programmes need to adopt teaching strategies and methods that allow nurses to develop interprofessional skill in order to practice collaboratively

    A century of trends in adult human height

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    Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5-22.7) and 16.5 cm (13.3-19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8-144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries

    Mid- to Late Cenozoic canyon development on the eastern margin of the Rockall Trough, offshore Ireland

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    The sediment-undersupplied eastern margin of the Rockall Trough, west of Ireland, is incised by numerous canyons and slope failure features. Swath multibeam bathymetry has been integrated with 2D seismic profiles to constrain the Neogene evolution of the slope and its canyons. The morphology varies along the margin, with canyon heads located at mid-slope depths in the south but extending onto the shelf in the north. West of Porcupine Bank, slope gullies connect with a distributative channel system on the trough floor, while north of Porcupine Bank the basin floor is flat and featureless. Draped fault-blocks and deep structures exerted an important influence on slope gradients, canyon extent and geometry. A ‘bottom driven’ upslope–retrogressive slope failure mechanism is inferred for canyon formation. They were initiated by failure localisation following widespread slope rotation and instability linked to differential subsidence that produced a latest Eocene–early Oligocene (C30) regional unconformity. In the NE Rockall, where the greatest density of canyons occurs, a large mass failure wedge directly overlies the C30 surface and the seabed canyons have incised the upper part of the wedge. Axial profile data indicate that canyons in the NE Rockall Trough formed in Mid-Cenozoic times but were locally reutilised as sediment conduits during Plio-Pleistocene slope progradation. <br/
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