286 research outputs found
Trade union strategy in Sydney's construction union: a Roman Catholic perspective
Rudd Government ministers have talked tough towards the more militant Australian trade unions since coming to office in November 2007. However, despite this, it is still fair to say that the removal of the Howard-Costello Government reduced neo-liberal hegemony by altering the invisible balance of power between capital and labour in the construction industry. Using a set of case studies, based on data obtained from fieldwork at the New South Wales, Australia branch of the Construction Forestry Mining and Energy Union (CFMEU), we document key elements of union strategy at the branch level in the year immediately after the removal of the Howard-Costello Government. A key aspect of branch level strategy was building site visits by a team of organisers, led by the divisional state secretary, designed to rebuild influence on site and reconnect with workers. Furthermore, the CFMEUâs hiring of foreign language speaking organisers and production of foreign language publications is a praiseworthy attempt to reach out to ethnic minority workers and bring them under the âmainstreamâ union umbrella. We use a theory framework of Roman Catholic social teaching to frame our discussions
Profile of Medical Radiation Science Practitioners as Lifelong Learners: Implications for the Design of Undergraduate Programs
Literature has shown the importance of lifelong learning in the training of today's workforce and the crucial role of Higher Education in preparing graduates for lifelong learning. The aim of the current study is to establish the profile of Medical Radiation Science (MRS) practitioners as lifelong learners and to examine the implications of these findings for MRS undergraduate programs in Australia. The study builds on Candy et. al.'s 1994 report, Developing Lifelong Learners through Undergraduate Education, by drawing on the report's profile of lifelong learners and the features of the undergraduate program that promote lifelong learning. This present study used both quantitative and qualitative approaches, including collating the stakeholders' views on lifelong learning via surveys, one-to-one interviews and focus group discussion.Findings from this study indicate that all stakeholders (MRS practitioners, Heads of MRS Departments, students and teaching staff) viewed lifelong learning to be relevant to the profession and are important attributes for MRS practitioners to attain. However, attributes that were directly related to clinical competencies were more highly valued than attributes which were perceived to be associated with learning competencies. For each of the 25 attributes surveyed, the actual level of attainment fell below the nominated level of importance. Furthermore, the workplace culture was found to be non-supportive of lifelong learning. All MRS courses in Australia promote lifelong learning as one of their course objectives. There is a general trend towards adopting teaching approaches that promote lifelong learning, while assessment methods that promote and evaluate lifelong learning attributes were lagging behind.These findings have implications for both the MRS workplace and the MRS undergraduate courses in Australia. There needs to be greater dialogue and collaboration between the MRS employers and the universities to address the gap identified in the attributes. A conceptual model integrating lifelong learning in the context of MRS has been introduced to circumnavigate the predicament felt by most respondents that clinical competency must take precedence over all other attributes. Selection criteria by employers for graduates who are entering the workplace for the first time serve as the vital link between the workplace and the universities. By incorporating lifelong learning attributes as an essential part of the selection criteria, students would come to see the relevance of lifelong learning in their undergraduate training. A learning portfolio can be used as a means of demonstrating that the appropriate learning has taken place. There needs to be a closer link between teaching and assessment by aligning the teaching of lifelong learning objectives and activities with the assessment methods. To this end, it is important that teaching staff must be provided with the appropriate professional support to cultivate lifelong learning attributes and to equip them with the appropriate facilitation skills, before the lecturers can be expected to adopt lifelong learning approaches. This research provides a snapshot of lifelong learning in the MRS profession and should assist in the implementation of lifelong learning strategies that would direct the future of the profession
An analysis of Singaporeâs aware case
Our case involves the womenâs group Association of Women for Action and Research (AWARE), founded on 25 November 1985, which has proven itself to be a tireless long-term campaigner for womenâs rights in Singapore. In this âAWARE caseâ, the executive committee of AWARE was surreptitiously taken over by fundamentalist Christian women from Church of Our Saviour at AWAREâs 28 March 2009 Annual General Meeting. In the second phase of this saga, the Extraordinary General Meeting on 2 May 2009 led to the secular âOld Guardâ recapturing AWARE and the Church of Our Saviour group being removed from power. This AWARE case shows the rise in power of fundamentalist Protestant Christianity within Singapore and its growing influence upon English-educated Chinese-Singaporeans. The fact that this upper middle-class demographic traditionally has supported the ruling Peopleâs Action Party (PAP) is probably one key reason why the government decided not to intervene in this particular case as part of âthe more consultative style of governmentâ first introduced by former PM Goh Chok Tong. The PAP governmentâs non-intervention in the takeover and recapture is extremely significant given its past record of authoritarian micro-management of dissent and oppositional opinions. It suggests more freedom for some NGOs in the contemporary era of Lee Hsien Loongâs prime-ministership. Significantly, PAP may be splitting into âreformistâ and âhardlineâ factions headed by, respectively, Lee Hsien Loong and the MP for Bishan-Toa Payoh GRC Mr Wong Kan Seng
Nursing sensitive outcomes: identifying a definition, exploration of conceptual challenges and an overview of the literature
Introduction/background: A literature review on nursing sensitive outcomes has been conducted as part of a larger research project. The literature was reviewed to: - identify a definition of nursing sensitive outcomes - determine the conceptual models used to describe nursing sensitive outcomes - identify significant contributions made by researchers on the development and use of nursing sensitive outcomes in clinical practice.The overall aim of the research project is to develop a set of indicators that provides a balanced view of nursing care and its contribution to patient outcomes. It is anticipated that this research will broaden the debate on nursing sensitive outcomes so that the contribution that nursing care makes to patient outcomes is able to be identified and measured
A psychometric analysis of the Caring Assessment Tool version V
Aim The aim of this study was to examine the factor structure and construct validity of the Caring Assessment Tool version V (CATâV) for patients in Australian hospitals. Design Secondary analysis of CATâV surveys from the Australian Nursing Outcomes Collaborative (AUSNOC) data set was used. The CAT was originally developed in the United States of America. Methods The 27âitem CATâV was administered to patients prior to discharge from eight wards in three Australian hospitals in 2016. The psychometric properties of the CAT were evaluated using item analysis and exploratory factor analyses. Results Item analysis of surveys from 476 participants showed high levels of perceived caring behaviours and actions. Exploratory factor analysis revealed a twoâfactor structure consisting of: Nurse-patient communication; and Feeling cared for. The CATâV is a reliable and valid instrument for measuring patients\u27 perceptions of the attitudes and actions of nurses in Australia
Bifacial Photovoltaic Systems Energy Yield Modelling
AbstractA bifacial photovoltaic model was developed not only to calculate the power and energy yield for bifacial modules for various setup and installation conditions but also to identify suitable bifacial module applications and markets. The bifacial model shows that the energy yield for bifacial modules is very much location dependent and hugely influenced by how they are setup and installed. There is a need to have the modules mounted at a certain elevation above the ground to gain maximum energy yield. It is also important to ensure there is no blockage for the direct sun to shine on the area directly beneath the module. For locations at low latitude, a higher elevation is required. For locations at high latitude, the probability of the direct sunlight reaching the ground directly under the module is higher. Therefore, less module mounting elevation is required. However, there is a saturation point for energy yield improvement with increased module mounting height. In addition to the mounting height, a sufficient length of clearance path in front of the module array should be considered. The model also shows that the ground reflectance is one of the key parameters for bifacial module performance. The model indicates that >10% of energy yield gain with 20% background reflectance from REC bifacial multi-crystalline silicon solar module array with a bifaciality of 0.6 is achievable in Konstanz, Germany. This correlates well with the measured field energy yield data of the bifacial prototype modules
Recent developments in frailty identification, management, risk factors and prevention : A narrative review of leading journals in geriatrics and gerontology
Funding The Frailty Epidemiology Research Network (EPI-FRAIL) is an international collaborative project aimed at filling knowledge gaps in the field of frailty epidemiology. The network was established as part of a NWO/ZonMw Veni fellowship awarded to E.O. Hoogendijk (Grant no. 91618067). P. Hanlon is funded through a Clinical Research Training Fellowship from the Medical Research Council (Grant reference: MR/S021949/1). Z. Liu was supported by the Soft Science Research Program of Zhejiang Province (2023KXCX-KT011). J. JylhÀvÀ has received grant support from the Swedish Research Council (grant no. 2018-02077), the Academy of Finland (grant no. 349335), the Sigrid Jusélius Foundation, the Yrjö Jahnsson Foundation and the Instrumentarium Science Foundation. M. Sim is supported by a Royal Perth Hospital Research Foundation Career Advancement Fellowship and an Emerging Leader Fellowship from the Future Health Research and Innovation Fund (Department of Health, Western Australia). R. Ambagtsheer receives funding from the Australian Medical Research Future Fund (grant #MRF2016140). D. L. Vetrano receives financial support from the Swedish Research Council (2021-03324). S. Shi reports funding from the National Institute of Aging, R03AG078894-01. None of the funding agencies had any role in the conduct of the study; collection, management, analysis, or interpretation of the data; or preparation, review, or approval of the manuscript.Peer reviewedPublisher PD
Atrial Fibrillation and the Prognostic Performance of Biomarkers in Heart Failure
BACKGROUND: Consideration of circulating biomarkers for risk stratification in heart failure (HF) is recommended, but the influence of atrial fibrillation (AF) on prognostic performance of many markers is unclear. We investigated the influence of AF on the prognostic performance of circulating biomarkers in HF. METHODS: N-terminal pro-B-type natriuretic peptide (NT-proBNP), mid-regional-pro-atrial natriuretic peptide, C-type natriuretic peptide (CNP), NT-proCNP, high-sensitivity troponin-T, high-sensitivity troponin-I, mid-regional-propeptide adrenomedullin, co-peptin, growth differentiation factor-15, soluble Suppressor of Tumorigenicitiy (sST2), galectin-3, and procalcitonin plasma concentrations were measured in a prospective, multicenter study of adults with HF. AF was defined as a previous history of AF, and/or presence of AF/flutter on baseline 12-lead electrocardiogram. The primary outcome was the composite of HF-hospitalization or all-cause mortality at 2 years. RESULTS: Among 1099 patients (age 62 +/- 12years, 28% female), 261(24%) patients had AF. Above-median concentrations of all biomarkers were independently associated with increased risk of the primary outcome. Significant interactions with AF were detected for galectin-3 and sST2. In considering NT-proBNP for additive risk stratification, sST2 (adjusted hazard ratio [AHR]1.85, 95%confidence interval [C.I.] 1.17-2.91) and galectin-3 (AHR1.85, 95%C.I. 1.09-2.45) were independently associated with increased primary outcome only in the presence of AF. The prognostic performance of sST2 was also stronger in AF for all-cause mortality (AF: AHR2.82, 95%C.I. 1.26-6.21; non-AF: AHR1.78, 95% C.I. 1.14-2.76 without AF), while galectin-3 predicted HF-hospitalization only in AF (AHR1.64, 95%C.I. 1.03-2.62). CONCLUSIONS: AF modified the prognostic utility of selected guideline-endorsed HF-biomarkers. Application of markers for prognostic purposes in HF requires consideration of the presence or absence of AF
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