A Model for Hospital Discharge Preparation: From Case Management to Care Transition

There has been a proliferation of initiatives to improve discharge processes and outcomes for the transition from hospital to home and community-based care. Operationalization of these processes has varied widely as hospitals have customized discharge care into innovative roles and functions. This article presents a model for conceptualizing the components of hospital discharge preparation to ensure attention to the full range of processes needed for a comprehensive strategy for hospital discharge

Undergraduate Nursing Students’ Attitudes Toward Mental Health Nursing

Objectives: The purpose of this study was to describe undergraduate nursing students’ attitudes toward mental health nursing and how these attitudes influenced their professional career choices in mental health nursing. Design: A descriptive, online survey was utilized to examine students’ perceptions of mental health nursing. A total of 229 junior and senior nursing students were recruited from eight nursing colleges in Midwestern United States to participate in this survey. Results: Students of different ages, genders, ethnicities, and nursing programs did not report significantly different perceptions of: (a) knowledge of mental illness; (b) negative stereotypes; (c) interest in mental health nursing as a future career; and (d), and beliefs that psychiatric nurses provide a valuable contribution to consumers and the community. Negative stereotypes were significantly different between students who had mental health nursing preparation either in class (p = 0.0147) or in clinical practice (p = 0.0018) and students who had not. There were significant differences in anxiety about mental illness between students who had classes on mental health nursing (p = .0005), clinical experience (p = 0.0035), and work experience in the mental health field (p = 0.0012). Significant differences in an interest in a future career in mental health nursing emerged between students with and without prior mental health experience and between students with and without an interest in an externship program with p-values of 0.0012 and \u3c 0.0001, respectively. Conclusions: The more exposure that students have to mental health nursing through clinical experiences, theory classes, and previous work in the field, the more prepared they feel about caring for persons with mental health issues

Easy Table Runner

This is a how-to guide that provides instructions for making an easy table runner

Individual Nurse Productivity in Preparing Patients for Discharge Is Associated with Patient Likelihood of 30-Day Return to Hospital

Objective: Applied to value-based health care, the economic term “individual productivity” refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient’s likelihood of a 30-day return to hospital [readmission and emergency department (ED) visits]. Research Design: Secondary analysis of patient-nurse data from a cluster-randomized multisite study of patient discharge readiness and readmission. Patients reported discharge readiness scores; postdischarge outcomes and other variables were extracted from electronic health records. Using the structure-process-outcomes model, we viewed patient readiness for hospital discharge as a proximal outcome of the discharge preparation process and used it to measure nurse productivity in discharge preparation. We viewed hospital return as a distal outcome sensitive to discharge preparation care. Multilevel regression analyses used a split-sample approach and adjusted for patient characteristics. Subjects: A total 522 nurses and 29,986 adult (18+ y) patients discharged to home from 31 geographically diverse medical-surgical units between June 15, 2015 and November 30, 2016. Measures: Patient discharge readiness was measured using the 8-item short form of Readiness for Hospital Discharge Scale (RHDS). A 30-day hospital return was a categorical variable for an inpatient readmission or an ED visit, versus no hospital return. Results: Variability in individual nurse productivity explained 9.07% of variance in patient discharge readiness scores. Nurse productivity was negatively associated with the likelihood of a readmission (−0.48 absolute percentage points, P\u3c0.001) and an ED visit (−0.29 absolute percentage points, P=0.042). Conclusions: Variability in individual clinician productivity can have implications for acute care quality patient outcomes

Access to preventive health services of migrants in five EU countries

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Концепт «девушка» в национально-языковых картинах мира (на материале фразеологических единиц русского, украинского, польского, болгарского языков)

Данная статья является попыткой сопоставительного анализа концепта "девушка" в национально-языковых картинах мира на материале фразеологии и паремиологии некоторых славянских языков. Выделяются наиболее характерные, идентичные для разных этнокультур качества молодой девушки. Делается вывод о разной степени языковой андроцентричности в экспликации рассматриваемого концепта.Дана стаття є спробою зіставного аналізу концепту "дівчина" в національномовних картинах світу на матеріалі фразеології та пареміології деяких слов'янських мов. Виділяються найбільш характерні, ідентичні для різних етнокультур риси молодої дівчини. Авторка приходить до висновку щодо різної міри мовної андроцентричності в експлікації розглянутого концепту.The given article is an attempt to analyze the concept "Girl" in the nationallanguage world pictures based on phraseology of some Slavonic languages. The most typical features of a young girl identified for different ethnical cultures are elicited. The author finds that the androcentrical verbal expression of this concept is different, to some extent

Динамика объемов промышленного производства в период кризиса и ее прогнозирование

Целью статьи является определение факторов, влияющих на деятельность предприятия и, выявление антикризисных мер для улучшения их состояния. Ведь проблема состоит в том, что не существует такого метода, который бы стопроцентно истребил кризис, многие научные исследования посвящены именно этой проблеме, в них присутствуют попытки выявления причин возникновения кризиса и факторов, влияющих на деятельность предприятий

Role of Quantum Confinement in Luminescence Efficiency of Group IV Nanostructures

Experimental results obtained previously for the photoluminescence efficiency (PL$_{eff}$) of Ge quantum dots (QDs) are theoretically studied. A $\log$-$\log$ plot of PL$_{eff}$ versus QD diameter ($D$) resulted in an identical slope for each Ge QD sample only when $E_{G}\sim (D^2+D)^{-1}$. We identified that above $D\approx$ 6.2 nm: $E_{G}\sim D^{-1}$ due to a changing effective mass (EM), while below $D\approx$ 4.6 nm: $E_{G}\sim D^{-2}$ due to electron/ hole confinement. We propose that as the QD size is initially reduced, the EM is reduced, which increases the Bohr radius and interface scattering until eventually pure quantum confinement effects dominate at small $D$

Spontaneous Abortions and Shift Work in a Cohort of Nurses in Norway

Background: An association between spontaneous abortions and shift work has been suggested, but present research results are conflicting. The aim of the study is to evaluate the relationship between spontaneous abortions among nurses, shift schedules, and nights worked. Methods: This is a longitudinal study where we identified 914 females from a cohort of nurses in Norway who had worked the same type of shift schedule 2008-2010; either permanent day shift, three-shift rotation or permanent night shift. Information on age, work and life-style factors, as well as spontaneous abortions during lifetime and the past three years (2008-2010) was obtained by annual questionnaires. Results: A higher prevalence of experienced spontaneous abortions before study start (2008) was found among nurses working permanent night shift compared to other nurses. In a linear regression analysis, a risk of 1.3 was found for experienced spontaneous abortions before study start among permanent night shift nurses, with day shift as reference, when adjusting for age, smoking, caffeine and job strain, but the finding was not statistical significant (95 per cent confidence interval 0.8-2.1). Permanent night shift workers had a risk of 1.5 experiencing spontaneous abortions in 2008-2010 compared to day shift nurses, although not statistical significant (95 per cent confidence interval 0.7-3.5). The number of night shifts the past three years was not associated with experiencing spontaneous abortions 2008-2010, but associated with a reduced risk of experiencing spontaneous abortions during lifetime. The results must be interpreted in the light of a possible selection bias; both selections into the occupation of nursing and into the different shift types of the more healthy persons may have occurred in this population. Conclusion: No significant increased risk of spontaneous abortion among permanent night shift nurses compared to day-time nurses was found in this study, and no association was found between spontaneous abortions and the number of worked night shifts.The Western Norway Regional Health Authority (grant no 911386) and the Norwegian Nurses Organization

Parametrizing horizontally-averaged wind and temperature profiles in the urban roughness sublayer

Tower-based measurements from within and above the urban canopy in two cities are used to evaluate several existing approaches that parametrize the vertical profiles of wind speed and temperature within the urban roughness sublayer (RSL). It is shown that current use of Monin–Obukhov similarity theory (MOST) in numerical weather prediction models can be improved upon by using RSL corrections when modelling the vertical profiles of wind speed and friction velocity in the urban RSL using MOST. Using anisotropic building morphological information improves the agreement between observed and parametrized profiles of wind speed and momentum fluxes for selected methods. The largest improvement is found when using dynamically-varying aerodynamic roughness length and displacement height. Adding a RSL correction to MOST, however, does not improve the parametrization of the vertical profiles of temperature and heat fluxes. This is expected since sources and sinks of heat are assumed uniformly distributed through a simple flux boundary condition in all RSL formulations, yet are highly patchy and anisotropic in a real urban context. Our results can be used to inform the choice of surface-layer representations for air quality, dispersion, and numerical weather prediction applications in the urban environment