A Practice-Based Inquiry Into the Correlation Between Nursing Retention Rates and Resiliency

Nurses are the frontline in the security of the United States. Their wellbeing and retention in the workforce is of the utmost of importance. Nurses are leaving at increasing levels with just over 27% turnover rates across the nation in 2021. Organizations are experiencing increasing fiscal losses and the average loss for a nurse leaving is just over $46,000. The prioritization of nurses’ wellbeing and taking steps to address policy that promotes the sustainability of this very valuable workforce has the potential to pay high dividends for nurses individually, the security of the nation, and the good of the organization. The researcher utilized a survey to examine the correlation between nursing retention rates and resiliency to provide evidence to guide best practices in nursing retention initiatives and interventions for increasing nursing resilience. The researcher used two tools, the Casey-Fink Nurse Retention Survey and the Connor-Davidson Resilience Scale, along with a demographic section designed to collect quantitative and qualitative data to hear the nurse, gain insight, and discover interventions to meet those needs. This survey through SurveyMonkey was disseminated to members of the Army Nurse Corps and 96 returned the survey. The participants were tenured nurses with a mean years of nursing of 18.26 years. Projected outcomes include interventions for a more prepared, healthier, more resilient workforce that can meet the current and future demands or threats against our nation. Outcomes also included improved value-based care, increased nursing retention, and decreased fiscal loss at the organization-level. From evidence gained through surveying nurses, the data were analyzed using Kendall rank correlations to examine the strength of the correlation between resilience and retention variables. The findings displayed high levels of stress in this workforce, with 67.25% of nurses stating high levels of stress and only half of them having a mentor. The findings indicate the need for work conditions conducive to a healthier work-life balance, such as iv the positive correlation between the availability of shorter shifts and increased retention. The current healthcare environment calls for an immediate and drastic change to care for and retain the nursing workforce and has the potential to lower costs for organizations and provide quality, value-based care, holistic health and wellness for nurses, and better patient outcomes because of their wellness. Keywords: nursing retention, resiliency, nursing welfare, attrition, nurse advocacy, work- life balanc

Co-operative Versus Independent Transport of Different Cargoes by Kinesin-1

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72137/1/j.1600-0854.2008.00722.x.pd

Temperature-dependent efficiency droop of blue InGaN micro-light emitting diodes

Temperature-dependent trends in radiative and Auger recombination coefficients have been determined at different injection carrier concentrations using InGaN micro-light emitting diodes 40 μm in diameter. The differential lifetime was obtained first from the measured modulation bandwidth and was then employed to calculate the carrier concentration in the quantum well active region. When the temperature increases, the carrier concentration increases, but both the radiative and Auger recombination coefficients decrease. In addition, the temperature dependence of radiative and Auger recombination coefficients is weaker at a higher injection carrier concentration, which is strongly related to phase space filling

MQW nanomembrane assemblies for visible light communications

We report color-conversion of InGaN LEDs and lasers using an AlInGaP multi-quantum-well nanomembrane. In particular, we demonstrate free-space OOK data transmission at 180 Mb/s from a laser diode blue-to-red converted by a heterogeneous nanomembrane/sapphire lens assembly

Seasonal Migration Distance Varies With Natal Dispersal and Predicts Parasitic Infection in Song Sparrows

Seasonal migration and natal dispersal represent the major large-scale movements in the lives of animals. Individuals that are relatively prone to movement and exploration might thus be more likely to disperse and also to migrate farther. Such movement might be either negatively associated with parasitic infection (if infection prevents hosts from successful long-distance migration) or positively associated (e.g. if longer-distance migrants encounter more abundant or more diverse parasites). We examined whether natal dispersal tendency predicts seasonal migration distance in song sparrows (Melospiza melodia) and whether migration distance predicts infection with bloodborne parasites upon arrival at the breeding grounds. Migration distance, inferred from stable hydrogen isotope analysis (δ2H) of winter-grown tissue, was repeatable (repeatability = 0.41) over years. Birds that were more likely to have immigrated from outside the breeding grounds, as inferred from genetic assignment tests, also overwintered farther south, as inferred from stable isotope analysis. The finding that individuals more prone to movement in the context of natal dispersal also tended to travel farther, on average, in the context of seasonal migration suggests consistent individual variation in large-scale movements across these two contexts. Although statistically significant, this effect was modest in scope and subtle relative to sex differences in inferred migration distance. Among after-second-year individuals, but not yearlings, longer-distance migrants were more likely, on average, to be infected with bloodborne parasites. Individual variation in propensity to long-distance movement may interact with age-related variation in exposure or susceptibility to parasites, to shape the role of animal migration in transporting infectious disease

Effects of time since fire on birds : how informative are generalized fire response curves for conservation management?

Fire is both a widespread natural disturbance that affects the distribution of species and a tool that can be used to manage habitats for species. Knowledge of temporal changes in the occurrence of species after fire is essential for conservation management in fire-prone environments. Two key issues are: whether postfire responses of species are idiosyncratic or if multiple species show a limited number of similar responses; and whether such responses to time since fire can predict the occurrence of species across broad spatial scales. We examined the response of bird species to time since fire in semiarid shrubland in southeastern Australia using data from surveys at 499 sites representing a 100-year chronosequence. We used nonlinear regression to model the probability of occurrence of 30 species with time since fire in two vegetation types, and compared species\u27 responses with generalized response shapes from the literature. The occurrence of 16 species was significantly influenced by time since fire: they displayed six main responses consistent with generalized response shapes. Of these 16 species, 15 occurred more frequently in mid- or later-successional vegetation (&gt;20 years since fire), and only one species occurred more often in early succession (&lt;5 years since fire). The models had reasonable predictive ability for eight species, some predictive ability for seven species, and were little better than random for one species. Bird species displayed a limited range of responses to time since fire; thus a small set of fire ages should allow the provision of habitat for most species. Postfire successional changes extend for decades and management of the age class distribution of vegetation will need to reflect this timescale. Response curves revealed important seral stages for species and highlighted the importance of mid- to late-successional vegetation (&gt;20 years). Although time since fire clearly influences the distribution of numerous bird species, predictive models of the spatial distribution of species in fire-prone landscapes need to incorporate other factors in addition to time since fire.<br /

Rationality as the Rule of Reason

The demands of rationality are linked both to our subjective normative perspective (given that rationality is a person-level concept) and to objective reasons or favoring relations (given that rationality is non-contingently authoritative for us). In this paper, I propose a new way of reconciling the tension between these two aspects: roughly, what rationality requires of us is having the attitudes that correspond to our take on reasons in the light of our evidence, but only if it is competent. I show how this view can account for structural rationality on the assumption that intentions and beliefs as such involve competent perceptions of downstream reasons, and explore various implications of the account

The XMM-Newton Wide Angle Survey (XWAS): the X-ray spectrum of type-1 AGN

We discuss the broad band X-ray properties of one of the largest samples of X-ray selected type-1 AGN to date (487 objects in total), drawn from the XMM-Newton Wide Angle Survey. The objects cover 2-10 keV luminosities from ~10^{42}-10^{45} erg s^{-1} and are detected up to redshift ~4. We constrain the overall properties of the broad band continuum, soft excess and X-ray absorption, along with their dependence on the X-ray luminosity and redshift and we discuss the implications for models of AGN emission. We constrained the mean spectral index of the broad band X-ray continuum to =1.96+-0.02 with intrinsic dispersion sigma=0.27_{-0.02}^{+0.01}. The continuum becomes harder at faint fluxes and at higher redshifts and luminosities. The dependence of Gamma with flux is likely due to undetected absorption rather than to spectral variation. We found a strong dependence of the detection efficiency of objects on the spectral shape which can have a strong impact on the measured mean continuum shapes of sources at different redshifts and luminosities. We detected excess absorption in ~3% of our objects, with column densities ~a few x10^{22} cm^{-2}. The apparent mismatch between the optical classification and X-ray properties of these objects is a challenge for the standard AGN unification model. We found that the fraction of objects with detected soft excess is ~36%. Using a thermal model, we constrained the soft excess mean temperature and intrinsic dispersion to ~100 eV and sigma~34 eV. The origin of the soft excess as thermal emission from the accretion disk or Compton scattered disk emission is ruled out on the basis of the temperatures detected and the lack of correlation of the measured temperature with the X-ray luminosity (abridged).Comment: 13 pages, 24 figures, Accepted for publication in Astronomy and Astrophysic

Endomicroscopic and transcriptomic analysis of impaired barrier function and malabsorption in environmental enteropathy

Introduction: Environmental enteropathy (EE) is associated with growth failure, micronutrient malabsorption and impaired responses to oral vaccines. We set out to define cellular mechanisms of impaired barrier function in EE and explore protective mechanisms. Methods: We studied 49 adults with environmental enteropathy in Lusaka, Zambia using confocal laser endomicroscopy (CLE); histology, immunohistochemistry and mRNA sequencing of small intestinal biopsies; and correlated these with plasma lipopolysaccharide (LPS) and a zinc uptake test. Results: CLE images (median 134 for each study) showed virtually ubiquitous small intestinal damage. Epithelial defects, imaged by histology and claudin 4 immunostaining, were predominantly seen at the tips of villi and corresponded with leakage imaged in vivo by CLE. In multivariate analysis, circulating log-transformed LPS was correlated with cell shedding events (β = 0.83; P = 0.035) and with serum glucagon-like peptide-2 (β = -0.13; P = 0.007). Zinc uptake from a test dose of 25mg was attenuated in 30/47 (64%) individuals and in multivariate analysis was reduced by HIV, but positively correlated with GLP-2 (β = 2.72; P = 0.03). There was a U-shaped relationship between circulating LPS and villus surface area. Transcriptomic analysis identified 23 differentially expressed genes in severe enteropathy, including protective peptides and proteins. Conclusions: Confocal endomicroscopy, claudin 4 immunostaining and histology identify epithelial defects which are probably sites of bacterial translocation, in the presence of which increased epithelial surface area increases the burden of translocation. GLP 2 and other protective peptides may play an important role in mucosal protection in EE