697 research outputs found

    Contemporary nursing graduates\u27 transition to practice: A critical review of transition models

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    AIM AND OBJECTIVE: To critically review contemporary transition theories to determine how they apply to the newly qualified graduate registered nurse programmes. BACKGROUND: Graduate nurse transition to employment is the time of significant change which has resulted in high attrition rates. Graduates are often challenged by their expectation of nursing practice and the reality of the role. The transition from hospital-based training to university-based training has resulted in the need for primary employment to commence with graduate/orientation/internship programmes to help support new graduates transition into clinical practice. One transition model, Duchscher\u27s stages of transition theory, utilised three former theories to develop a final model. DESIGN: A narrative critical literature review. METHOD: The theories selected for the review were Kramer\u27s reality shock theory, Benner\u27s novice to expert theory, Bridges transition theory and Duchscher\u27s stages of transition theory. CONCLUSION: Duchscher\u27s stages of transition theory reflects the experiences of registered nursing transition into the workforce directly from university. The application of the theory is effective to guide understanding of the current challenges that new graduate nurse\u27s experience today. There is a need for new graduates to complete their university degree as advanced beginners in order to decrease the experience of transition shock and keep pace with rapidly changing demands of the clinical environment. This may be achieved by increasing ward-based simulation in university education. A theoretical framework can provide a deep understanding of the various stages and processes of transition and enable development of successful programmes. RELEVANCE TO CLINICAL PRACTICE: Both universities and hospitals need to adapt their current practice to align with the needs of new graduates due to large student numbers and ongoing systematic advancements to decrease the attrition rate

    Positive psychology of Malaysian students: impacts of engagement, motivation, self-compassion and wellbeing on mental health

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    Malaysia plays a key role in education of the Asia Pacific, expanding its scholarly output rapidly. However, mental health of Malaysian students is challenging, and their help-seeking is low because of stigma. This study explored the relationships between mental health and positive psychological constructs (academic engagement, motivation, self-compassion, and wellbeing), and evaluated the relative contribution of each positive psychological construct to mental health in Malaysian students. An opportunity sample of 153 students completed the measures regarding these constructs. Correlation, regression, and mediation analyses were conducted. Engagement, amotivation, self-compassion, and wellbeing were associated with, and predicted large variance in mental health. Self-compassion was the strongest independent predictor of mental health among all the positive psychological constructs. Findings can imply the strong links between mental health and positive psychology, especially selfcompassion. Moreover, intervention studies to examine the effects of self-compassion training on mental health of Malaysian students appear to be warranted.N/

    Commodifying development experience: deconstructing development as gift in the development blockbuster

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    This paper discusses the recent rise of popular ‘blockbuster’ books written by international development industry insiders and produced by commercial publishers. The paper explores a set of common stylistic devices found within this emerging genre. Though each book is different, a key trope is the story of an author's earlier professional life—the hard lessons and gritty insights that have supposedly emerged from it—that normally underpins each narrative. By living the challenges involved in development work at first hand, and by making mistakes and experiencing epiphanies along the way, these author-professionals want readers to know that they have found out the hard way that long-cherished beliefs about development now need to be questioned. Readers are invited to relive these lessons and epiphanies, and to think and act differently about development by upholding a highly pragmatic form of development professionalism. Combining elements of research monograph, self-help book and personal memoir, these development blockbuster books can be understood not only as commodities, but also as part of the development gift. The authors promise a gift of experience but, in reality, these books are mundane commodities enmeshed in capitalist exchange relations

    Insights from birthing experiences of fistula survivors in North-central Nigeria: Interplay of structural violence

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    Obstetric Fistula is an abnormal opening between the vagina and rectum resulting from prolonged and obstructed labour. Studies indicate that delays in accessing maternal care and home birth contribute to the development of fistula. Survivors are usually women of low socioeconomic status residing in rural locations. This study explores the birthing experiences of 15 fistula survivors through a narrative inquiry approach at a repair centre in North-central Nigeria. Using structural violence as a lens, it describes the role of social, political and health systems in the inequitable access to care for women. For women opting for home births, preference for home delivery was mainly due to lack of finances, poor health systems and cultural practices. Rural location inhibited access as, women seeking facility delivery faced transfer delays to referral centres when complications developed. Inequitable maternal health services in rural locations in Nigeria are inherently linked to access to health care; and these contribute to the increased incidences of fistulae. Structural intervention is a health policy priority to address poor health systems and achieve universal health coverage to address maternal health issues in Nigeria

    The central region of M31 observed with XMM-Newton (I. Group properties and diffuse emission)

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    We present the results of a study based on an XMM-Newton Performance Verification observation of the central 30 arcmin of the nearby spiral galaxy M31. In the 34-ks European Photon Imaging Camera (EPIC) exposure, we detect 116 sources down to a limiting luminosity of 6 x 10^35 erg/s (0.3--12 keV, d = 760 kpc). The luminosity distribution of the sources detected with XMM-Newton flattens at luminosities below ~ 2.5 x 10^37 erg/s. We make use of hardness ratios for the detected sources in order to distinguish between classes of objects such as super-soft sources and intrinsically hard or highly absorbed sources. We demonstrate that the spectrum of the unresolved emission in the bulge of M31 contains a soft excess which can be fitted with a ~ 0.35-keV optically-thin thermal-plasma component clearly distinct from the composite point-source spectrum. We suggest that this may represent diffuse gas in the centre of M31, and we illustrate its extent in a wavelet-deconvolved image.Comment: to appear in the XMM-Newton special issue of A&A (Vol 365, January 2001). High-resolution versions of fig. 1 and fig. 6 available on reques

    Astronomy & Astrophysics The central region of M 31 observed with XMM-Newton I. Group properties and diffuse emission

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    Abstract. We present the results of a study based on an XMM-Newton Performance Verification observation of the central 30 of the nearby spiral galaxy M 31. In the 34-ks European Photon Imaging Camera (EPIC) exposure, we detect 116 sources down to a limiting luminosity of 6 10 35 erg s −1 (0.3-12 keV, d = 760 kpc). The luminosity distribution of the sources detected with XMM-Newton flattens at luminosities below ∌2.5 10 37 erg s −1 . We make use of hardness ratios for the detected sources in order to distinguish between classes of objects such as super-soft sources and intrinsically hard or highly absorbed sources. We demonstrate that the spectrum of the unresolved emission in the bulge of M 31 contains a soft excess which can be fitted with a ∌0.35-keV optically-thin thermal-plasma component clearly distinct from the composite point-source spectrum. We suggest that this may represent diffuse gas in the centre of M 31, and we illustrate its extent in a wavelet-deconvolved image
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