An Exploration Of The Views, Beliefs And Experiences Of UK Nurses And Midwives About Responding At Out Of Work Situations Where First Aid May Be Required.

Background: The nature of responding to or experiencing situations where first aid is indicated during off-duty time has been the subject of anecdotal debate in the healthcare professions. Despite this, very limited primary evidence exists in nursing, midwifery and the wider professions. Aim: To explore the nature of UK nurses’ and midwives’ experiences, beliefs and perceptions about responding at off-duty situations where first aid may be required with a view to developing an in-depth understanding of the area. Methodology: A constructivist grounded theory approach was employed to provide an in-depth exploration of 16 nurses’ and midwives’ views about responding to off-duty situations where first aid may be required. Within this broad context the research focus was one of open inquiry due to the paucity of primary evidence. The main sample was selected via a participant referral process that took place over a 2-year period. Loosely structured interviews enabled the discovery of rich data resulting in theme construction that led to the development of a substantive grounded theory. Findings: A core enduring in vivo theme, 'The Right Thing to Do', emerged as a central and consistent conceptual reality constructed via three key in vivo themes; 'Something I've Heard', 'Am I Covered?', 'Just Who I Am', each with a number of sub-themes. A pervading anxiety about responding at off-duty situations requiring first aid was persistently evident across these themes. Discussion: The study illuminates an area that has previously been the subject of largely anecdotal debate. The substantive theory of 'doing "The Right Thing" in a climate of anxiety' explores and illustrates the issues and tensions that exist surrounding the off-duty response. Implications and recommendations for practice and education curricula focus on the fostering of knowledge and understanding of professional identity, position in law and scope of practice, together with potential future research directions. This study provides the first qualitative primary evidence, and the second overall research study in the area, iv contributing a significant new perspective to a key area of practice, both nationally and globally. Limitations are acknowledged and outlined. Conclusion: This study found a strong sense of moral agency among nurses and midwives, despite a powerful underlying feeling of anxiety surrounding broader issues of urban myth, protection, and personal and professional identity. The substantive theory emerged as 'doing "The Right Thing" in a climate of anxiety'

A case study of asthma care in school age children using nurse-coordinated multidisciplinary collaborative practices

Aim: To describe the role of school nursing in leading and coordinating a multidisciplinary networked system of support for children with asthma, and to analyze the strengths and challenges of undertaking and supporting multiagency interprofessional practice. Background: The growth of networked and interprofessional collaborations arises from the recognition that a number of the most pressing public health problems cannot be addressed by single-discipline or -agency interventions. This paper identifies the potential of school nursing to provide the vision and multiagency leadership required to coordinate multidisciplinary collaboration. Method: A mixed-method single-case study design using Yin’s approach, including focus groups, interviews, and analysis of policy documents and public health reports. Results: A model that explains the integrated population approach to managing school-age asthma is described; the role of the lead school nurse coordinator was seen as critical to the development and sustainability of the model. Conclusion: School nurses can provide strategic multidisciplinary leadership to address pressing public health issues. Health service managers and commissioners need to understand how to support clinicians working across multiagency boundaries and to identify how to develop leadership skills for collaborative interprofessional practice so that the capacity for nursing and other health care professionals to address public health issues does not rely on individual motivation. In England, this will be of particular importance to the commissioning of public health services by local authorities from 2015

Visualizing the mobility and distribution of chlorophyll proteins in higher plant thylakoid membranes: effects of photoinhibition and protein phosphorylation

The definitive version is available at www.blackwell-synergy.co

Non-Photochemical Quenching in Cryptophyte Alga Rhodomonas salina Is Located in Chlorophyll a/c Antennae

Photosynthesis uses light as a source of energy but its excess can result in production of harmful oxygen radicals. To avoid any resulting damage, phototrophic organisms can employ a process known as non-photochemical quenching (NPQ), where excess light energy is safely dissipated as heat. The mechanism(s) of NPQ vary among different phototrophs. Here, we describe a new type of NPQ in the organism Rhodomonas salina, an alga belonging to the cryptophytes, part of the chromalveolate supergroup. Cryptophytes are exceptional among photosynthetic chromalveolates as they use both chlorophyll a/c proteins and phycobiliproteins for light harvesting. All our data demonstrates that NPQ in cryptophytes differs significantly from other chromalveolates – e.g. diatoms and it is also unique in comparison to NPQ in green algae and in higher plants: (1) there is no light induced xanthophyll cycle; (2) NPQ resembles the fast and flexible energetic quenching (qE) of higher plants, including its fast recovery; (3) a direct antennae protonation is involved in NPQ, similar to that found in higher plants. Further, fluorescence spectroscopy and biochemical characterization of isolated photosynthetic complexes suggest that NPQ in R. salina occurs in the chlorophyll a/c antennae but not in phycobiliproteins. All these results demonstrate that NPQ in cryptophytes represents a novel class of effective and flexible non-photochemical quenching

Nursing Standard podcast: Good Samaritan acts and the off-duty nurse.

Senior lecturer Carolyn Crouchman talks about her research into the duty of care and the implications for nurses

Role of the PsbS protein in protective energy dissipation in the photosynthetic membrane in higher plants

EThOS - Electronic Theses Online ServiceGBUnited Kingdo