Supporting Culture Change: Working Toward Smarter State Nursing Home Regulation

Examines how the legalistic and enforcement-based regulatory approach affects nursing homes' efforts to implement culture change. Highlights regulatory partnership models that promote high performance and outlines organizational and training issues

Vision, Mission, and Values: Design and Communication

Leaders in Jesuit institutions have an opportunity to live and express the university vision, mission and values in a variety of ways through forms of communication that embody the many ways the Jesuit tradition respects the whole person. It is easy to overlook these opportunities when our current institutional thinking is often consumed with academic assessment, measurement and accountability. The authors argue that leaders can bridge this gap by starting with Ignatian pedagogy and exploring the field of elegant design

Colonialism and Criminal Justice for Indigenous Peoples in Australia, Canada, New Zealand and the United States of America

Colonial processes impact the involvement of Indigenous Peoples in criminal justice. Despite differences, there is a distinctive pattern that can be seen in the criminal justice systems of the above-given four countries. Indigenous People are over-represented as offenders and victims. This overrepresentation has been caused by colonial processes marginalizing Indigenous Peoples. These processes include depopulation, legal control, the use of ideology through religion, education, media, urbanization, and paternalism. Governments have avoided addressing marginalization by focusing on the indigenization of criminal justice services. Dominant governments must take into account historical processes when developing policies and making decisions about Indigenous Peoples, or their efforts to end over-representation will be doomed to continuing failure

Murri Way! Aborigines and Torres Strait Islanders reconstruct social welfare practice

This book explores Aboriginal and Torres Strait Islander perceptions of their helping styles with their own people and the type of help they provide in the social welfare context. Through semi-structured depth interviews, the use of video as stimulus material and collaborative analysis with Aboriginal and Torres Islander participants, the book identifies the helping process within their own cultural communities and in particular the cultural aspects of their helping approach. In the course of this project active collaboration has occurred between indigenous and non-indigenous people in methodological and ethical processes that reflected as much as possible a political position of indigenous control of the project in relation to problem definition, choice of research methods, data analysis and use of findings. The intent of 'Murri Way' was to provide a 'springboard' for the development of Indigenous Best Practice Models. Readers attention is drawn to the recognition of the contribution of participant's wisdom and knowledge, page iv-vi; the Aboriginal and Torres Strait Islander Terms of Reference, p.95; and details of the inception and aspiration of the project in Chapter 2

Assessment of an established dialysis nurse practitioner model of care using mixed methods research

Aims and Objectives: To assess a dialysis nurse practitioner ( NP ) model of care by examining satisfaction, quality of life ( QOL ) and clinical outcomes of haemodialysis patients and explore experiences of dialysis nurses. Design: Mixed methods. Methods: Database analyses of dialysis indices amongst a sample ( n = 45 ) of haemodialysis patients; a survey ( n = 27 ) examining patient experience, satisfaction and QOL; and in-depth interviews with a sample ( n = 10 ) of nurses. Results: Nurses commended the NP role, with five themes emerging: “managing and co-ordinating”, “streamlining and alleviating”, “developing capability”, “supporting innovation and quality” and “connecting rurally”. Patients’ average age was 66 years and 71% were male. Patients’ satisfaction with the care they received was rated 3.5/4 or higher across seven parameters and the average QOL score was 7.9/10. Conclusion: The NP model of care is effective in enhancing patient care within a collaborative framework. The challenge is to sustain, and enhance the model, through mentorship programs for potential candidates

Gendered violence and sexualized representations in video games: (Lack of) effect on gender-related attitudes

This research explored how gender portrayals in video games affect gender-related attitudes. Two hundred participants from the United Kingdom and Malaysia participated across three experiments, where the appearance and behaviour of video game characters were manipulated with regard to target (enemy) gender (Study 1), sexually explicit attire (Study 2) and level of character agency (Study 3). We found minimal evidence that exposure to gender-stereotyped content resulted in differential gender-related attitudes (implicit associations, hostile and benevolent sexism, or rape myth acceptance). However, Study 1 findings showed that individuals who played a first-person shooter with male enemies showed lower endorsement of some (benevolent) sexist attitudes (cf. control) and showed difference in game behaviour (cf. female enemies). Together, our results suggest that short-term exposure to video games containing female characters (sexualised, passive, or otherwise) does not consistently lead to the endorsement of negative gender attitudes

Interleukin 7 Regulates the Survival and Generation of Memory CD4 Cells

Cytokines, particularly those of the common γ chain receptor family, provide extrinsic signals that regulate naive CD4 cell survival. Whether these cytokines are required for the maintenance of memory CD4 cells has not been rigorously assessed. In this paper, we examined the contribution of interleukin (IL) 7, a constitutively produced common γ chain receptor cytokine, to the survival of resting T cell receptor transgenic memory CD4 cells that were generated in vivo. IL-7 mediated the survival and up-regulation of Bcl-2 by resting memory CD4 cells in vitro in the absence of proliferation. Memory CD4 cells persisted for extended periods upon adoptive transfer into intact or lymphopenic recipients, but not in IL-7− mice or in recipients that were rendered deficient in IL-7 by antibody blocking. Both central (CD62L+) and effector (CD62L−) memory phenotype CD4 cells required IL-7 for survival and, in vivo, memory cells were comparable to naive CD4 cells in this regard. Although the generation of primary effector cells from naive CD4 cells and their dissemination to nonlymphoid tissues were not affected by IL-7 deficiency, memory cells failed to subsequently develop in either the lymphoid or nonlymphoid compartments. The results demonstrate that IL-7 can have previously unrecognized roles in the maintenance of memory in the CD4 cell population and in the survival of CD4 cells with a capacity to become memory cells

Inter-rater reliability, intra-rater reliability and internal consistency of the Brisbane Evidence-Based Language Test

Purpose: To examine the inter-rater reliability, intra-rater reliability, internal consistency and practice effects associated with a new test, the Brisbane Evidence-Based Language Test. Methods: Reliability estimates were obtained in a repeated-measures design through analysis of clinician video ratings of stroke participants completing the Brisbane Evidence-Based Language Test. Inter-rater reliability was determined by comparing 15 independent clinicians’ scores of 15 randomly selected videos. Intra-rater reliability was determined by comparing two clinicians’ scores of 35 videos when re-scored after a two-week interval. Results: Intraclass correlation coefficient (ICC) analysis demonstrated almost perfect inter-rater reliability (0.995; 95% confidence interval: 0.990–0.998), intra-rater reliability (0.994; 95% confidence interval: 0.989–0.997) and internal consistency (Cronbach’s α = 0.940 (95% confidence interval: 0.920–1.0)). Almost perfect correlations (0.998; 95% confidence interval: 0.995–0.999) between face-to-face and video ratings were obtained. Conclusion: The Brisbane Evidence-Based Language Test demonstrates almost perfect inter-rater reliability, intra-rater reliability and internal consistency. High correlation coefficients and narrow confidence intervals demonstrated minimal practice effects with scoring or influence of years of clinical experience on test scores. Almost perfect correlations between face-to-face and video scoring methods indicate these reliability estimates have direct application to everyday practice. The test is available from brisbanetest.org. Implications for Rehabilitation The Brisbane Evidence-Based Language Test is a new measure for the assessment of acquired language disorders. The Brisbane Evidence-Based Language Test demonstrated almost perfect inter-rater reliability, intra-rater reliability and internal consistency. High reliability estimates and narrow confidence intervals indicated that test ratings vary minimally when administered by clinicians of different experience levels, or different levels of familiarity with the new measure. The test is a reliable measure of language performance for use in clinical practice and research

Siteworks: ecologies and technologies

SITEWORKS is an interdisciplinary research and practice project that invites artists, scientists and scholars to respond to the Bundanon property through the lens of their specific discipline. Over four years this has led to a series of interactive projects, many utilising electronic technologies. The inaugural investigations focussed on the geomorphology of the site and palaeoenvironmental research, specifically in the area of sea level rise and climate change. In subsequent years the focus has been on water and the river; land management; Indigenous cultural heritage, and food security