Reducing Vascular Access Complications Through Precise Cannulation Plan Implementation

Abstract Aneurysm, which is the dilatation of the arteriovenous fistula (AVF), and pseudo-aneurysm, which is caused by leaking of blood outside the arteriovenous graft (AVG), pose a threat to the vascular access (VA) and the patient (Mudoni et al., 2015). Uneven vein penetration by dialysis needles and subsequent skin scarring lead to the development of inflammatory changes in the VA area. Scab formation masks the signs of ongoing inflammation. Damage to and tearing of the scab can then lead to lethal exsanguination from the VA (Handlos, Marecová, Smatanová, Dvořáček, & Dobiáš, 2018). Dialysis staff members are trained to use the entire length of the VA for cannulation; this rope-ladder cannulation method relies on changing the puncture sites for each dialysis treatment (Twardowski, 2015). However, in daily clinical practice, often the same area of the fistula or graft is cannulated for reasons of comfort and ease (Verhallen, Kooistra, & Jaarsveld, 2007). An engaged outpatient in-center hemodialysis (HD) team adopts the use of a disposable measuring tool of their choice to create a VA-specific cannulation plan to achieve the aim of reducing aneurysm or pseudoaneurysm formation in new VA by 50% within one year. Weekly audits of Chairside VA assessment monitor adherence to cannulation plan. The monthly quality score VA-in-use percentage reflects VA longevity. Continuous assessment of patients’ care experience and the team’s adherence to the cannulation plan will identify opportunities for improvement, and determine the successful adoption of evidence-based practice (EBP)

Motivational Framework of Academic Scholars and Student Leaders: Comparative Analysis on Achievement and Mastery Goals

This study examined the motivational framework of the academic scholars and student leaders in terms of their achievement goals, sense of self, and facilitating conditions. Respondents were 163 scholars and 85 student leaders.  Utilizing the Inventory of School Motivation, Sense of Self Scale (SOS), and facilitating Conditions Questionnaire (McInerney et al., 2001), they were purposively chosen since they have different social processes, characteristics, and of different experiences. The survey questionnaire aimed to explore their motivations in pursuing their activities and to recognize their values and goals. Anchored on Personal Investment (PI) Theory (Maehr & Braskamp, 1986), this study explored the similarities and differences of the motivational characteristics of these two groups of students and how they have invest their resources, energy, time and talent.   Descriptive comparative and causal - correlation were used to guide the analysis of this research. Pearson was used to determine the relationship between socio-demographic and academic related characteristics of the respondents and motivational framework, and the inter-correlation of the different components of the motivational framework.  Results revealed that the two groups have multiple achievement goals. They were high in achievement goals and on mastery goals but differed in performance goals, social goals and extrinsic goals. In terms of sense of self, they have high knowledge and beliefs about oneself and moderate social support (facilitating conditions). These two groups likewise differed in adopting achievement goals, particularly in terms of mastery goals where the academic scholars scored higher in task goals than the student leaders. They also differed in performance goals, particularly in social power where the student leaders got significantly higher score than the academic scholars

Bridging Program\u27s Education Environment and Internationally Educated Nurses\u27 Role Transition

The purpose of this study was to explore a bridging program’s education environment and the role transition of internationally educated nurses (IENs) who were enrolled full-time in Semesters 1 and 2 of the Practical Nursing Bridging Program for IENs at a community college in Toronto, Canada, during the Winter Semester of school year 2018-2019. A survey questionnaire consisting of three parts was used to gather data from 68 IEN students who volunteered to participate in this study. Descriptive statistics and multiple regression analysis were used to analyze data. Participants’ responses to the open-ended question, “Could you please list any problems/issues you have encountered in the bridging program?”, were grouped based on similarity of ideas presented. Results indicate that all bridging program education environment components, as well as role transition subscales, were described as “agree.” Age, sex, place where nursing course was completed, number of years working as registered nurse, work before living in Canada, working place before coming to Canada, and number of years not working as nurse seem not to be predictors of the respondent’s perception on role transition. There is a significant relationship between the respondents’ perception of the teaching process within their bridging program’s education environment and role transition. However, view on teacher, academic, atmosphere and social self-perception seemed insignificant predictors of role transition. Participants’ responses to open-ended the question were classified into four groups of problems: concern with teachers, program content issues, program pace, and financial issues. Recommendations are provided in view of the study’s findings

Gender differences in climate change perception and adaptation strategies: A case study on three provinces in Vietnam’s Mekong River Delta

This brief summarizes the findings of a project output for the Policy Information and Response Platform on Climate Change and Rice in ASEAN and its Member Countries (PIRCCA), being implemented by the International Rice Research Institute (IRRI). The report focuses on the results of the survey conducted in the first half of 2015 on climate change perception and adaptation strategies of male and female farmers in three selected provinces across the Mekong River Delta (MRD) region in Vietnam: An Giang, Bac Lieu, and Tra Vihn. The survey gathered information on current climate change perceptions and adaptation strategies and gaps between the identified male and female respondents

The Roles of Principals in Teacher Competency Development for Students’ Morale Improvement

Education and learning in schools that do not pay attention to students’ morals have had an unfavorable impact on student development. This research aims to track the role of school principals in teacher development to improve students’ morale. It used a qualitative approach that involved the researchers as a research instrument. In collecting data, the principal is the key informant. The other informants were chosen based on the snowball sampling technique. This process continued until the data were saturated. In addition to interviews, research data were collected through observation and written documents. The data collected were analyzed following the steps proposed by Miles and Huberman (1984), such as data reduction, data presentation, and conclusions (illustration/verification). More specifically, data validation was done through triangulation. The results revealed that school principals had fewer roles in developing teacher competencies to improve students’ morale

The Current State of Climate Change Perceptions and Policies in Myanmar: 2014 Report

This report was constructed to assess the current perceptions and policies regarding climate change in Myanmar. It is comprised of a country report outlining current policies relating to climate change, as well as results from two stakeholder perception surveys conducted at the local and national level in Myanmar. The stakeholder perception survey was administered to 33 local stakeholders and 12 national stakeholders from government organizations, farmers’ groups, universities, and research institutes. Results indicate that the primary concern regarding climate change is mostly concentrated on rainfall trends, such as drought and flooding. In addition, local stakeholders have concerns over heat stress, whereas national stakeholders are less concerned with the issue. Only 11 local stakeholders report that their institution currently has a division or staff member working on climate change issues. Seven of 12 national stakeholders reported that their institutions did have a division or staff member working on climate change issues

The Current State of Climate Change Perceptions and Policies in Vietnam: 2014 Report

This report was constructed to assess the current perceptions and policies regarding climate change in Vietnam. The report comprises a country report, outlining current policies relating to climate change, stakeholder mapping regarding climate change locally and nationally, and results from two stakeholder perception surveys conducted locally and nationally in Vietnam. A total of 50 stakeholders were interviewed, 25 locally and 25 nationally. The stakeholders in the survey represented government offices, universities, research institutions, NGOs, and farmers’ groups. Concerns about climate change impacts included drought, flooding, rainfall variation, and salinity intrusion. These concerns, as well as the methods in which stakeholders would like to receive climate information, varied between local and national stakeholders as well as by the type of institution that the stakeholder represented. This emphasizes a need for location- and user-specific responses to climate change

The Effect of Teacher’s Responsibility and Understanding of the Local Wisdom Concept on Teacher’s Autonomy in Developing Evaluation of Learning Based on Local Wisdom in Special Needs School

This research examines the causal relationships between the variables of teacher’ s responsibility and understanding of the local wisdom concept on the autonomy of special education teachers. Data were collected using an online questionnaire from 457 special education teachers and analyzed using the SPSS 26.0 program for Windows. The results showed that (a) the causal relationship between the variables X1 and X2 on Y is in the linear regression equation, (b) partially, the causal relationship between X1 and Y is 0.735 in the strong category, while the causal relationship between X2 and Y is 0.815 which is in the very strong category; (c) Simultaneously, the causal relationship between variables X1 and X2 on Y with R Square = 0.743 which means that 74.30% of the autonomy of special education teachers to develop an evaluation of learning based on local wisdom is affected by the variables of teachers’ responsibilities in carrying out their duties and understanding of the local wisdom concept

Design and Fabrication of a Prototype Automated Instant Noodle Vending Machine

The project aims to help people especially those who are working in call centres to enjoy eating noodles easily and quickly during their short breaks. The unique feature of this instant noodle vending machine is that it eliminates the use of plastic or paper cups during dispensing. Instead, cooked noodle mix is directly dispensed into the mug provided by the user. The working prototype is flexible to dispense crushed noodles, four different flavours to choose from, and hot water. The dispensing process is sequential which starts from the detection of the cup, crushed noodles dispensing, seasoning dispensing based on the desired flavour, and lastly, the water injection. The researchers were able to design and fabricate the machine based on set standards with an acceptable percent error which are within the tolerance limits. The working prototype was fabricated, and statistical results showed an acceptable range of values