Putting the patient in patient safety: qualitative exploration and co-design of a new paradigm

There has been increasing interest in involving patients in patient safety. Whilst interventions have been introduced to support this, there are still barriers to patient involvement. Currently, there is a focus upon the clinical risk paradigm, where policymakers, academics and healthcare professionals define patient safety; however, evidence suggests that patients and healthcare professionals may conceptualise patient safety differently. This means that patient safety, as it is currently defined, may not be meaningful or accessible to patients. It is therefore necessary to understand, value and incorporate the patient perspective to support genuine patient involvement. This thesis aims to explore and compare different stakeholder perspectives of patient safety using qualitative methods, and reconcile these in a new patient safety paradigm. Chapter 1 provides the background to patient safety and patient involvement, and addresses the rationale for the thesis. Chapter 2 details the qualitative methods to be used in this research. Chapter 3 presents a systematic review using meta-study methodology to synthesise the current qualitative evidence that explores patient and healthcare professional perceptions of patient safety. Chapters 4 and 5 use constructivist grounded theory to explore patient and healthcare professional perceptions of patient safety within acute medicine for the elderly, elective surgery and maternity, and develop explanatory theory for their conceptualisations of patient safety. Additionally, these chapters allow a comparison of healthcare professional and patient conceptualisations, as well as comparison to existing definitions and models for patient safety. Chapter 6 presents the results of a co-design workshop involving patients and healthcare professionals in elective surgery; this utilises the qualitative findings of the thesis to develop a practical product that, if implemented, will broaden the current patient safety paradigm by identifying, understanding and using the patient perspective. Finally, Chapter 7 discusses the implications of this research for patient safety policy and practice.Open Acces

Sexual Assault and SANE (Sexual Assault Nurse Examiners) in Our Community

Sexual assault and sexual violence is a problem in our society, with one in four college women report surviving rape (15 percent) or attempted rape (12 percent) since their fourteenth birthday, and about 42% of survivors did not tell anyone about their rape. Research on the subject is being done and information in a special report, Extent, Nature, and Consequences of Rape Victimization: Findings from the National Violence Against Women Survey (NVAWS), conducted by American Prosecutors Research Institute and Boston College Connell School of Nursing, exposes some alarming statistics. The study reveals that over half of female victims and nearly seventy five percent of male victims are sexually abused or assaulted before turning 18 years old. Also, the NVAWS report estimates that nearly 17.7 million women and 2.8 million are forcibly raped at some point in their lives. Even though these numbers seem extreme they are in all probability low due to the fear of reporting these cases and incidents. Due to the personal nature of sexual assault incidents, the police department relies heavily on SANE (Sexual Assault Nurse Examiner) and SART (Sexual Assault Response Teams) for help in the investigation and prosecution of these cases. For my research, I read literature on sexual assault and SANE, and later I conducted several different interviews with people in our community that work with sexual assault victims. I wanted to find out more about sexual assault in my community, and whether there is a SANE program in my area because they are beneficial to the communities in which they are in

Pure Expectations: Examining the Meaning and Implications of Virginity Culture

The abstract for this presentation can be downloaded by clicking on the blue download button

The Grizzly, November 9, 2023

Vandalism in First Year Dorms • Upcoming Student Engagement Events • Prohibition Era at Bay • UCDC: Motion, Timbre & Rhythm • Word Search • The Most Anticipated Event of Hallows\u27 Eve • 5 Seniors, 1 Team: Leadership On and Off the Court • Iron Sharpens Ironhttps://digitalcommons.ursinus.edu/grizzlynews/2021/thumbnail.jp

Quantifying the spatiotemporal dynamics in a chorus frog (Pseudacris) hybrid zone over 30 years

© 2016 The Authors. Ecology and Evolution published by John Wiley & Sons Ltd. Although theory suggests that hybrid zones can move or change structure over time, studies supported by direct empirical evidence for these changes are relatively limited. We present a spatiotemporal genetic study of a hybrid zone between Pseudacris nigrita and P. fouquettei across the Pearl River between Louisiana and Mississippi. This hybrid zone was initially characterized in 1980 as a narrow and steep “tension zone,” in which hybrid populations were inferior to parentals and were maintained through a balance between selection and dispersal. We reanalyzed historical tissue samples and compared them to samples of recently collected individuals using microsatellites. Clinal analyses indicate that the cline has not shifted in roughly 30 years but has widened significantly. Anthropogenic and natural changes may have affected selective pressure or dispersal, and our results suggest that the zone may no longer best be described as a tension zone. To the best of our knowledge, this study provides the first evidence of significant widening of a hybrid cline but stasis of its center. Continued empirical study of dynamic hybrid zones will provide insight into the forces shaping their structure and the evolutionary potential they possess for the elimination or generation of species

IUCN Red List of Ecosystems

We begin by briefly examining the achievements of the IUCN Red List of Threatened Species, and offering it as the model and motivator for the creation of the IUCN Red List of Ecosystems (RLE). The history of the RLE concept within IUCN is briefly summarized, from the first attempt to formally establish an RLE in 1996 to the present. Major activities since 2008, when the World Conservation Congress initiated a “consultation process for the development, implementation and monitoring of a global standard for the assessment of ecosystem status, applicable at local, regional and global levels,” have included: development of a research agenda for strengthening the scientific foundations of the RLE, publication of preliminary categories and criteria for examination by the scientific and conservation community, dissemination of the effort widely by presenting it at workshops and conferences around the world, and encouraging tests of the system for a diversity of ecosystem types and in a variety of institutional settings. Between 2009 and 2012, the Red List of Ecosystems Thematic Group of the IUCN Commission on Ecosystem Management organized 18 workshops and delivered 17 conferences in 20 countries on 5 continents, directly reaching hundreds of participants. Our vision for the future includes the integration of the RLE to the other three key IUCN knowledge products (IUCN Red List of Threatened Species, World Database on Protected Areas and Key Biodiversity Areas), in an on-line, user-driven, freely-accessible information management system for performing biodiversity assessments. In addition we wish to pilot the integration of the RLE into land/water use planning and macro-economic planning. Fundamental challenges for the future include: substantial expansion in existing institutional and technical capacity (especially in biodiversity-rich countries in the developing world), progressive assessment of the status of all terrestrial, freshwater, marine and subterranean ecosystems, and development of a map of the ecosystems of the world. Our ultimate goal is that national, regional and global RLEs are used to inform conservation and land/water use decision-making by all sectors of society

Mechanical characterization of multilayered hydrogels: a rheological study for 3D-printed systems

We describe rheological protocols to study layered and three-dimensional (3D)-printed gels. Our methods allow us to measure the properties at different depths and determine the contribution of each layer to the resulting combined properties of the gels. We show that there are differences when using different measuring systems for rheological measurement, which directly affects the resulting properties being measured. These methods allow us to measure the gel properties after printing, rather than having to rely on the assumption that there is no change in properties from a preprinted gel. We show that the rheological properties of fluorenylmethoxycarbonyl-diphenylalanine (FmocFF) gels are heavily influenced by the printing process

Deoxidation impact on the impurity index of heat resistant steel 40H15N7G7F2MS

Analyzing failure causes of the parts made of heat resistant steel shows that one of the defining factors impacting the properties is concentration of harmful impurities both dissolved in steel and being in the form of nonmetallic inclusions. The latter, in turn, is considerably defined by the process of steel deoxidation