Adaptation to college and individuation-attachment : a review of first year students in contemporary Ireland

The substantive aim of this study was to examine the adaptation of young-adult‟s to college life in Ireland today. The study also assessed the participant‟s levels of individuation-attachment and its consequences for college adjustment. A number of personal variables were examined in relation to both the participants‟ college adjustment and individuation-attachment, with gender being of significant interest. Data were collected from a sample of 125 (78 females and 47 males) first-year college students attending a number of Dublin based institutions. Participants‟ completed quantitative measures of college adjustment and individuation-attachment. Findings indicated that overall student adjustment was positive, with levels of individuation-attachment having little effect on college adjustment. There was no significant relationship between the predictor variables and college adjustment. Nevertheless, females reported significantly lower levels of „Fear of Attachment‟ than their male counterparts. Interpretations of these results, their congruence within the context of the theoretical frameworks, and practical implications are discussed

And Now, Ladies and Gentlemen, Miss Judy Garland

Judy Garland has always been known for her standout role as “Dorothy” in The Wizard of Oz, but her life had many more trials than the character who sang about happy little bluebirds flying beyond the rainbow. She experienced not only successes like Oz, but also becoming known worldwide for her ability to capture an audience. She was more than an actress or a singer, she was a performer. Her need to be loved by an audience not only made it love her, but also had repercussions to her mental health. Despite many obstacles, Judy was persistent and determined to reach her audience

The Use of Faculty-Student Teams to Strengthen the Ethics Content in a DNP Program

Nurse practitioners are confronted with ethical dilemmas. Being able to identify these situations is essential to effective resolutions. Ethics content was introduced by a faculty-student team with subsequent survey regarding the usefulness of ethical frameworks in resolving dilemmas. One year later students were asked by another faculty-student team to define and identify ethically challenging situations they encountered. Those in clinical were better able to identify ethically challenging situations. Didactic portion only students do not seem to have the necessary skills to identify ethical dilemmas. Identifying the appropriate place to introduce and discuss ethical dilemmas is paramount for developing effective DNP curriculums

Investigating the impacts of time-of-use electricity rates on lower-income and senior-headed households: A case study of Milton, Ontario (Canada).

Through the Smart Metering Initiative in the Canadian province of Ontario, all residential electricity customers will be converted from a tiered rate regime to a time-of-use (TOU) rate regime by the year 2010. Although TOU rates are designed to be cost-neutral for the average consumer, research suggests that TOU rates may affect consumers differently depending on their socioeconomic characteristics. In an effort to better understand the effects of TOU rates on lower-income and senior-headed households, a case-study in Milton was conducted between June and December of 2007. The overarching thesis question is: What are the behavioural responses to, and financial impacts of, TOU electricity rates on lower-income and senior-headed households? Nine expert interviews were conducted with Ontario professionals working in government, environmental non-profit groups, citizen advocacy organizations and affordable housing associations in order to provide context for the study. Time-differentiated electricity consumption data were then collected from 199 households from two senior housing complexes and two affordable housing complexes in Milton, Ontario between June and December 2007. A questionnaire was also sent to each household to determine some socio-economic and structural characteristics of the households. The electricity consumption data collected from the four sites suggest that the households would not benefit financially from TOU rates given electricity consumption behaviour during the period prior to the implementation of TOU rates in June 2007. Thus, they would have to change their behaviour in order to benefit financially from TOU rates. During this pre-TOU period, Site A, Site B and Site C would have paid more, on average, for their electricity under TOU rates than on tiered rates ($0.34,$0.61 and $0.15 per week, respectively). While Site D, on average, would have seen no change under TOU rates. A conservation effect was detected by comparing the electricity consumption from billing periods in 2006 to corresponding billing periods in 2007 after the implementation of TOU rates. Site A saw a conservation effect during the first corresponding billing period (35$0.38, $0.51 and$0.16 more per week, respectively), while Site D would have seen no change in their electricity costs. In contrast, during the winter post-TOU period several sites paid less for electricity on TOU rates than they would have if they had continued on tiered rates. Site B, Site C and Site D paid, on average, $0.78,$0.16 and $1.76 less per week, respectively. Although Site A paid more under on TOU rates during the winter post-TOU (on average$0.18 more per week), the cost was less than during the summer post-TOU period. The change in costs expressed here does not reflect any reduced costs that may have resulted from conservation. For example, if the households were shown to have a conservation effect, they might have lower electricity costs. Additionally, the changes in costs do not reflect any additional fees or charges that might be attributed to the smart meter installation and the Smart Metering Initiative (e.g., additional fees from Milton Hydro). In conclusion, TOU rates appear to be ineffective at motivating these lower-income and senior-headed households in Milton, Ontario to shift electricity from on-peak periods to off-peak periods, however, a reduction in electricity usage may be attributed to TOU rates. Further research is required to confirm these effects. It is important to note that some of the lower-income and senior-headed households in this study appeared to see an increase in their electricity bill, particularly during the summer TOU period. Lower-income and senior-headed households are thought to be less able to shift electricity consumption, therefore it is important to develop mechanisms to identify households that are at risk of bill increases

Strategies for Strengthening Ethics Education in a DNP Program

Nurse practitioners frequently encounter ethical dilemmas, and their identification is essential to effective resolution. An innovative approach involving collaboration between doctor of nursing practice (DNP) and doctor of philosophy (PhD) faculty was used to address this need in a graduate nursing program. The results included a broader understanding of the synergy of the two educational backgrounds in translating and delivering evidence-based practices. The development and use of realistic case studies was a teaching strategy for ethics education. The unique backgrounds of each faculty member promote ethical practice among DNP students, which is essential to the profession

Impact of community based peer support in type 2 diabetes: a cluster randomised controlled trial of individual and/or group approaches

Background: Diabetes peer support, where one person with diabetes helps guide and support others, has been proposed as a way to improve diabetes management. We have tested whether different diabetes peer support strategies can improve metabolic and/or psychological outcomes.<p></p> Methods: People with type 2 diabetes (n=1,299) were invited to participate as either ‘peer’ or ‘peer support facilitator’ (PSF) in a 2x2 factorial pragmatic randomised cluster controlled trial across rural communities (130 clusters) in England. Peer support was delivered over 8-12 months by trained PSFs, supported by monthly meetings with a diabetes educator. Primary end point was HbA1c. Secondary outcomes included quality of life, diabetes distress, blood pressure, waist, total cholesterol and weight. Outcome assessors and investigators were masked to arm allocation. Main factors were 1:1 or group intervention. Analysis was by intention-to-treat adjusting for baseline.<p></p> Results: The 4 arms were well matched (Group n=330, 1:1 n=325, combined n=322, control n=322); 1035 (79·7%) completed the mid-point postal questionnaire and 1064 (81·9%) had a final HbA1c. A limitation was that although 92.6% PSFs and peers were in telephone contact, only 61.4% of intervention participants attended a face to face session.<p></p> Mean baseline HbA1c was 57 mmol/mol (7·4%), with no significant change across arms. Systolic blood pressure was reduced by -2·3mm Hg (-4·0 to -0·6) among those allocated group peer-support and -3·0mm Hg (-5·0 to -1·1) among those who attended group peer-support at least once. There was no impact on other outcomes by intention to treat or significant differences between arms in self-reported adherence or medication.<p></p> Conclusions: Group diabetes peer support over 8-12 months was associated with a small improvement in blood pressure but no other benefits. Long term benefits should be investigated