Barriers and facilitators for the use of NURSING bedside handovers : implications for evidence‐based practice

BACKGROUND: Previous studies on bedside handovers have identified nurse-related barriers and facilitators for implementing bedside handovers, but have neglected the existing ward's nursing care system as an important influencing factor. AIMS: To determine the association between the existing nursing care system (i.e., decentralized, two-tier, or centralized) on a ward and the barriers and facilitators of the bedside handover. METHODS: Structured individual interviews (N = 106) on 14 nursing wards in eight hospitals were performed before implementation of bedside handovers. The structured interview guide was based on a narrative review. Direct content analysis was used to determine the nursing care system of a ward and the degree to which barriers and facilitators were present. Pearson's Chi-square analysis was used to determine whether there were associations between the nursing care systems concerning the presence of barriers and facilitators for implementing bedside handovers. RESULTS: Twelve barriers and facilitators were identified, of which three are new to literature: the possible loss of opportunities for socializing, collegiality, and overview; head nurse's role; and role of colleagues. The extent to which barriers and facilitators were present differed across nursing care systems, with the exception of breach of confidentiality (barrier), and an existing structured handover (facilitator). Overall, nurses working in decentralized nursing care systems report fewer barriers against and more facilitators in favor of using bedside handovers than nurses in two-tier or centralized systems. LINKING EVIDENCE TO ACTION: Before implementing bedside handovers, the context of the nursing care system may be considered to determine the most effective process to implement change. Based on these study findings, implementing bedside handovers could be more challenging on wards with a two-tier or centralized care system

Proton acceleration by irradiation of isolated spheres with an intense laser pulse

We report on experiments irradiating isolated plastic spheres with a peak laser intensity of 2-3 x 10(20) W cm(-2). With a laser focal spot size of 10 mu m full width half maximum (FWHM) the sphere diameter was varied between 520 nm and 19.3 mu m. Maximum proton energies of similar to 25 MeV are achieved for targets matching the focal spot size of 10 mu m in diameter or being slightly smaller. For smaller spheres the kinetic energy distributions of protons become nonmonotonic, indicating a change in the accelerating mechanism from ambipolar expansion towards a regime dominated by effects caused by Coulomb repulsion of ions. The energy conversion efficiency from laser energy to proton kinetic energy is optimized when the target diameter matches the laser focal spot size with efficiencies reaching the percent level. The change of proton acceleration efficiency with target size can be attributed to the reduced cross-sectional overlap of subfocus targets with the laser. Reported experimental observations are in line with 3D3V particle in cell simulations. They make use of well-defined targets and point out pathways for future applications and experiments.DFG via the Cluster of Excellence Munich-Centre for Advanced Photonics (MAP) Transregio SFB TR18NNSA DE-NA0002008Super-MUC pr48meIvo CermakCGC Instruments in design and realization of the Paul trap systemIMPRS-APSLMUexcellent Junior Research FundDAAD|ToIFEEuropean Union's Horizon research and innovation programme 633053Physic

Emerging nuclear collectivity in 124−130^{124-130}Te

The emergence of nuclear collectivity near doubly-magic $^{132}$Sn was explored along the stable, even-even $^{124-130}$Te isotopes. Preliminary measurements of the $B(E2;4^{+}_{1}\rightarrow2^{+}_{1})$ transition strengths are reported from Coulomb excitation experiments primarily aimed at measuring the $g$ factors of the $4^{+}_{1}$ states. Isotopically enriched Te targets were excited by 198-205 MeV $^{58}$Ni beams. A comparison of transition strengths obtained is made to large-scale shell-model calculations with successes and limitations discussed.Comment: 5 pages, 3 figures, Submitted to Proceedings HIAS 2019, EPJ Web of Conference

Shape polarization in the tin isotopes near N=60N=60 from precision gg-factor measurements on short-lived 11/2−11/2^- isomers

The $g$ factors of $11/2^-$ isomers in semimagic $^{109}$Sn and $^{111}$Sn (isomeric lifetimes $\tau = 2.9(3)$ ns and $\tau = 14.4(7)$ ns, respectively) were measured by an extension of the Time Differential Perturbed Angular Distribution technique, which uses \LaBr detectors and the hyperfine fields of a gadolinium host to achieve precise measurements in a new regime of short-lived isomers. The results, $g(11/2^-; {^{109}\textrm{Sn}}) = -0.186(8)$ and $g(11/2^-; {^{111}\textrm{Sn}}) = -0.214(4)$, are significantly lower in magnitude than those of the $11/2^-$ isomers in the heavier isotopes and depart from the value expected for a near pure neutron $h_{11/2}$ configuration. Broken-symmetry density functional theory calculations applied to the sequence of $11/2^-$ states reproduce the magnitude and location of this deviation. The $g(11/2^-)$ values are affected by shape core polarization; the odd $0h_{11/2}$ neutron couples to $J^{\pi}=2^+,4^+,6^+...$ configurations in the weakly-deformed effective core, causing a decrease in the $g$-factor magnitudes.Comment: 8 pages, 7 figures. Accepted in Physics Letters

Evaluation of DFO-HOPO as an octadentate chelator for zirconium-89.

The future of 89Zr-based immuno-PET is reliant upon the development of new chelators with improved stability compared to the currently used deferoxamine (DFO). Herein, we report the evaluation of the octadentate molecule DFO-HOPO (3) as a suitable chelator for 89Zr and a more stable alternative to DFO. The molecule showed good potential for the future development of a DFO-HOPO-based bifunctional chelator (BFC) for the radiolabelling of biomolecules with 89Zr. This work broadens the selection of available chelators for 89Zr in search of improved successors to DFO for clinical 89Zr-immuno-PET

Evidence for shape coexistence and superdeformation in 24Mg

The E0 transition depopulating the first-excited 0+ state in 24Mg has been observed for the first time, and the E0 transition strength determined by electron-positron pair and γ-ray spectroscopy measurements performed using the Super-e pair spectrometer. The E0 transition strength is ρ2×103=380(70). A two-state mixing model implies a deformation of the first-excited 0+ state of β2≈1 and a change in the mean-square charge radius of Δ〈r2〉≈1.9fm2, which suggests a significant shape change between the ground state and first-excited 0+ state in 24Mg. The observed E0 strength gives direct evidence of shape coexistence and superdeformation in 24Mg, bringing this nucleus into line with similar behaviour in nearby N=Z nuclei. This result agrees with recent theoretical work on the cluster nature of 24Mg and has potential ramifications for nuclear reactions of astrophysical importance