Staff Nurse Ratings of Implementation Self-Efficacy for EBP (ISE4EBP) and Organizational EBP Readiness

There is limited research about nurses' confidence in implementing evidence into clinical practice. The purpose of this study was to further test, refine and strengthen the Implementation Self-Efficacy for EBP (ISE4EBP) scale and gain knowledge about staff nurses' perspectives of their confidence in EBP implementation in relation to the work environment as measured by the Context Assessment Index (CAI). We proposed, higher nurses confident in implementing evidence into practice would result in higher levels of implementing evidence-based practices (EBP). Bandura's theory of self-efficacy, which postulates that task-specific self-efficacy predicts performance guided the study. In a sample of 75 registered nurses, the overall average score for the ISE4EBP scale was 63%, indicating moderate confidence in implementation strategies. This study furthered the construct validity of the ISE4EBP scale by demonstrating associations between the ISE4EBP scores with the CAI.No embargoAcademic Major: Nursin

Multidisciplinary systems optimization by linear decomposition

In a typical design process major decisions are made sequentially. An illustrated example is given for an aircraft design in which the aerodynamic shape is usually decided first, then the airframe is sized for strength and so forth. An analogous sequence could be laid out for any other major industrial product, for instance, a ship. The loops in the discipline boxes symbolize iterative design improvements carried out within the confines of a single engineering discipline, or subsystem. The loops spanning several boxes depict multidisciplinary design improvement iterations. Omitted for graphical simplicity is parallelism of the disciplinary subtasks. The parallelism is important in order to develop a broad workfront necessary to shorten the design time. If all the intradisciplinary and interdisciplinary iterations were carried out to convergence, the process could yield a numerically optimal design. However, it usually stops short of that because of time and money limitations. This is especially true for the interdisciplinary iterations

Optimization by decomposition: A step from hierarchic to non-hierarchic systems

A new, non-hierarchic decomposition is formulated for system optimization that uses system analysis, system sensitivity analysis, temporary decoupled optimizations performed in the design subspaces corresponding to the disciplines and subsystems, and a coordination optimization concerned with the redistribution of responsibility for the constraint satisfaction and design trades among the disciplines and subsystems, and a coordination optimization concerned with the redistribution of responsibility for the constraint satisfaction and design trades among the disciplines and subsystems. The approach amounts to a variation of the well-known method of subspace optimization modified so that the analysis of the entire system is eliminated from the subspace optimization and the subspace optimizations may be performed concurrently

Approximate simulation model for analysis and optimization in engineering system design

Computational support of the engineering design process routinely requires mathematical models of behavior to inform designers of the system response to external stimuli. However, designers also need to know the effect of the changes in design variable values on the system behavior. For large engineering systems, the conventional way of evaluating these effects by repetitive simulation of behavior for perturbed variables is impractical because of excessive cost and inadequate accuracy. An alternative is described based on recently developed system sensitivity analysis that is combined with extrapolation to form a model of design. This design model is complementary to the model of behavior and capable of direct simulation of the effects of design variable changes

An integrated computer procedure for sizing composite airframe structures

A computerized algorithm to generate cross-sectional dimensions and fiber orientations for composite airframe structures is described, and its application in a wing structural synthesis is established. The algorithm unifies computations of aeroelastic loads, stresses, and deflections, as well as optimal structural sizing and fiber orientations in an open-ended system of integrated computer programs. A finite-element analysis and a mathematical-optimization technique are discussed

A system approach to aircraft optimization

Mutual couplings among the mathematical models of physical phenomena and parts of a system such as an aircraft complicate the design process because each contemplated design change may have a far reaching consequence throughout the system. Techniques are outlined for computing these influences as system design derivatives useful for both judgemental and formal optimization purposes. The techniques facilitate decomposition of the design process into smaller, more manageable tasks and they form a methodology that can easily fit into existing engineering organizations and incorporate their design tools

The case for aerodynamic sensitivity analysis

No specific solutions are offered, nor verified by applications, for its subject problem which is sensitivity analysis in Computational Fluid Dynamics (CFD). Instead, a plea is made to the CFD community for extending their present capability to include sensitivity analysis. The plea is made from the viewpoint of an aeronautical engineer, not an expert in CFD methods, who needs the sensitivity information when working at the junction of aerodynamics, structures, active controls, and other disciplines whose inputs need to be integrated in aircraft design

Aircraft optimization by a system approach: Achievements and trends

Recently emerging methodology for optimal design of aircraft treated as a system of interacting physical phenomena and parts is examined. The methodology is found to coalesce into methods for hierarchic, non-hierarchic, and hybrid systems all dependent on sensitivity analysis. A separate category of methods has also evolved independent of sensitivity analysis, hence suitable for discrete problems. References and numerical applications are cited. Massively parallel computer processing is seen as enabling technology for practical implementation of the methodology

Two alternative ways for solving the coordination problem in multilevel optimization

Two techniques for formulating the coupling between levels in multilevel optimization by linear decomposition, proposed as improvements over the original formulation, now several years old, that relied on explicit equality constraints which were shown by application experience as occasionally causing numerical difficulties. The two new techniques represent the coupling without using explicit equality constraints, thus avoiding the above diffuculties and also reducing computational cost of the procedure. The old and new formulations are presented in detail and illustrated by an example of a structural optimization. A generic version of the improved algorithm is also developed for applications to multidisciplinary systems not limited to structures

A technique for locating function roots and for satisfying equality constraints in optimization

A new technique for locating simultaneous roots of a set of functions is described. The technique is based on the property of the Kreisselmeier-Steinhauser function which descends to a minimum at each root location. It is shown that the ensuing algorithm may be merged into any nonlinear programming method for solving optimization problems with equality constraints