The transitioning experiences of internationally-educated nurses into a Canadian health care system: A focused ethnography

<p>Abstract</p> <p>Background</p> <p>Beyond well-documented credentialing issues, internationally-educated nurses (IENs) may need considerable support in transitioning into new social and health care environments. This study was undertaken to gain an understanding of transitioning experiences of IENs upon relocation to Canada, while creating policy and practice recommendations applicable globally for improving the quality of transitioning and the retention of IENs.</p> <p>Methods</p> <p>A focused ethnography of newly-recruited IENs was conducted, using individual semi-structured interviews at both one-to-three months (Phase 1) and nine-to-twelve months post-relocation (Phase 2). A purposive sample of IENs was recruited during their orientation at a local college, to a health authority within western Canada which had recruited them for employment throughout the region. The interviews were recorded and transcribed, and data was managed using qualitative analytical software. Data analysis was informed by Roper and Shapira's framework for focused ethnography.</p> <p>Results</p> <p>Twenty three IENs consented to participate in 31 interviews. All IENs which indicated interest during their orientation sessions consented to the interviews, yet 14 did not complete the Phase 2 interview due to reorganization of health services and relocation. The ethno-culturally diverse group had an average age of 36.4 years, were primarily educated to first degree level or higher, and were largely (under) employed as "Graduate Nurses". Many IENs reported negative experiences related to their work contract and overall support upon arrival. There were striking differences in nursing practice and some experiences of perceived discrimination. The primary area of discontentment was the apparent communication breakdown at the recruitment stage with subsequent discrepancy in expected professional role and financial reimbursement.</p> <p>Conclusions</p> <p>Explicit and clear communication is needed between employers and recruitment agencies to avoid employment contract misunderstandings and to enable clear interpretation of the credentialing processes. Pre-arrival orientation of IENs including health care communications should be encouraged and supported by the recruiting institution. Moreover, employers should provide more structured and comprehensive workplace orientation to IENs with consistent preceptorship. Similar to findings of many other studies, diversity should be valued and incorporated into the professional culture by nurse managers.</p

Open heavy-flavour production and elliptic flow in p-Pb collisions at the LHC with ALICE

Measurements of open heavy flavour production in p-A collisions allow the investigation of Cold Nuclear Matter effects. In addition, they are an important tool for a complementary investigation of the long-range correlations found in small systems in the light flavour sector. In this work, production measurements of D mesons at mid-rapidity in p-Pb collisions at root S-NN = 5.02 TeV are reported. Production yields are also reported for the heavy-flavour hadron decay electrons at central rapidity at root(SNN) = 5.02 and 8.16 TeV. The elliptic flow (nu(2)) of heavy-flavour hadron decay electrons in high multiplicity p-Pb collisions at root(SNN) = 5.02 TeV is found to be positive with a significance larger than 5 sigma

Unveiling the strong interaction among hadrons at the LHC

ALICE Collaboration., Acharya, S., Adamová, D. et al. Publisher Correction: Unveiling the strong interaction among hadrons at the LHC. Nature 590, E13 (2021). https://doi.org/10.1038/s41586-020-03142-2The study of (anti-)deuteron production in pp collisions has proven to be a powerful tool to investigate the formation mechanism of loosely bound states in high-energy hadronic collisions. In this paper the production of (anti-)deuterons is studied as a function of the charged particle multiplicity in inelastic pp collisions at root s = 13 TeV using the ALICE experiment. Thanks to the large number of accumulated minimum bias events, it has been possible to measure (anti-)deuteron production in pp collisions up to the same charged particle multiplicity (dN(ch)/d eta similar to 26) as measured in p-Pb collisions at similar centre-of-mass energies. Within the uncertainties, the deuteron yield in pp collisions resembles the one in p-Pb interactions, suggesting a common formation mechanism behind the production of light nuclei in hadronic interactions. In this context the measurements are compared with the expectations of coalescence and statistical hadronisation models (SHM).Peer reviewe

Spin alignment measurements using vector mesons with ALICE detector at the LHC

We present new measurements related to spin alignment of K*(0) vector mesons at mid-rapidity for Pb-Pb collisions at root s(NN) = 2.76 and 5.02 TeV. The spin alignment measurements are carried out with respect to production plane and 2nd order event plane. At low p(T) the spin density matrix element rho(00) for K*(0) is found to have values slightly below 1/3, while it is consistent with 1/3, i.e. no spin alignment, at high p(T). Similar values of rho(00) are observed with respect to both production plane and event plane. Within statistical and systematic uncertainties, rho(00) values are also found to be independent of root s(NN). rho(00) also shows centrality dependence with maximum deviation from 1/3 for mid-central collisions with respect to both the kinematic planes. The measurements for K*(0) in pp collisions at root s = 13 TeV and for K-s(0) (a spin 0 hadron) in 20-40\% central Pb-Pb collisions at root s(NN) = 2.76 TeV are consistent with no spin alignment

Muon physics at forward rapidity with the ALICE detector upgrade

ALICE is the experiment specifically designed to study the Quark-Gluon Plasma (QGP) in heavy-ion collisions at the CERN LHC. The ALICE detector will be upgraded during the Long Shutdown 2, planned for 2019-2020, in order to cope with the maximum interaction rate of 50 kHz of Pb-Pb collisions foreseen for Runs 3 and 4. The ambitious programme of high-precision measurements, expected for muon physics after 2020, requires an upgrade of the front-end and readout electronics of the existing Muon Spectrometer. This concerns the Cathode Pad Chambers (CPC) used for tracking and the Resistive Plate Chambers (RPC) used for triggering and for muon identification. The Muon Forward Tracker (MFT), an internal tracker added in front of the front absorber of the existing Muon Spectrometer, is also part of the ALICE detector upgrade programme. It is based on an assembly of circular planes made of Monolithic Active Pixel Sensors (MAPS), covering the pseudorapidity range 2.5 < eta < 3.6. The MFT will improve present measurements and enable new ones. A selection of results from physics performance studies will be presented, together with an overview of the technical aspects of the upgrade project

Light (anti-)nuclei production and elliptic flow at the LHC with ALICE

Results on the production of stable light nuclei, including deuterons, He-3, He-4 and the corresponding anti-nuclei, in Pb-Pb collisions at root s(NN) = 2.76 TeV and root s(NN) = 5.02 TeV are presented and compared with theoretical predictions and with the results in small systems to provide insight into the production mechanisms of (anti-)nuclei at colliders. The experimental results are presented giving a critical view of their comparison to the expectations from coalescence and hydrodynamic models that aim at describing both the p(T)-spectra and the elliptic flow

Higher moment fluctuations of identified particle distributions from ALICE

Cumulants of conserved charges fluctuations are regarded as a potential tool to study the criticality in the QCD phase diagram and to determine the freeze-out parameters in a model-independent way. At LHC energies, the measurements of the ratio of the net-baryon (net-proton) cumulants can be used to test the lattice QCD predictions. In this work, we present the first measurements of cumulants of the net-proton number distributions up to $4^{th}$ order in Pb--Pb collisions at $\sqrt{s_{\mathrm{NN}}}$ = 2.76 and 5.02 TeV as a function of collision centrality. We compare our cumulant ratios results with the STAR experiment net-proton results measured in the first phase of the Beam Energy Scan program at RHIC. The results can be used to obtain the chemical freeze-out parameters at LHC.Comment: 4 pages, 3 figures, Proceedings of XXVIIth International Conference on Ultrarelativistic Nucleus-Nucleus Collisions (Quark Matter 2018

Direct photon elliptic flow in Pb-Pb collisions at root s(NN)=2.76 TeV

The elliptic flow of inclusive and direct photons was measured at mid-rapidity in two centrality classes 0-20% and 20-40% in Pb-Pb collisions at root s(NN) = 2.76 TeV by ALICE. Photons were detected with the highly segmented electromagnetic calorimeter PHOS and via conversions in the detector material with the e(broken vertical bar)e pairs reconstructed in the central tracking system. The results of the two methods were combined and the direct-photon elliptic flow was extracted in the transverse momentum range 0.9 < p(T) < 6.2 GeV/c. A comparison to RHIC data shows a similar magnitude of the measured direct-photon elliptic flow. Hydrodynamic and transport model calculations are systematically lower than the data, but are found to be compatible. (C) 2018 The Author. Published by Elsevier B.V.Peer reviewe

Measuring (KSK +/-)-K-0 interactions using pp collisions at root s=7 TeV

We present the first measurements of femtoscopic correlations between the K-S(0) and K-+/- particles in pp collisions at root s = 7 TeV measured by the ALICE experiment. The observed femtoscopic correlations are consistent with final-state interactions proceeding solely via the a(0)(980) resonance. The extracted kaon source radius and correlation strength parameters for (KSK-)-K-0 are found to be equal within the experimental uncertainties to those for (KSK+)-K-0. Results of the present study are compared with those from identical-kaon femtoscopic studies also performed with pp collisions at root s = 7 TeV by ALICE and with a (KSK +/-)-K-0 measurement in Pb-Pb collisions at root s(NN) = 2.76 TeV. Combined with the Pb-Pb results, our pp analysis is found to be compatible with the interpretation of the a (980) having a tetraquark structure instead of that of a diquark. (C) 2018 Published by Elsevier B.V.Peer reviewe

Search for collectivity with azimuthal J/psi-hadron correlations in high multiplicity p-Pb collisions at ,root s(NN)=5.02 and 8.16 TeV

We present a measurement of azimuthal correlations between inclusive J/psi and charged hadrons in p-Pb collisions recorded with the ALICE detector at the CERN LHC. The J/psi are reconstructed at forward (p-going, 2.03 <y <3.53) and backward (Pb-going, -4.46 <y <-2.96) rapidity via their mu(+)mu(-) decay channel, while the charged hadrons are reconstructed at mid-rapidity (vertical bar eta vertical bar <1.8). The correlations are expressed in terms of associated charged-hadron yields per W . trigger. A rapidity gap of at least 1.5 units is required between the trigger J/psi and the associated charged hadrons. Possible correlations due to collective effects are assessed by subtracting the associated per-trigger yields in the low-multiplicity collisions from those in the high-multiplicity collisions. After the subtraction, we observe a strong indication of remaining symmetric structures at Delta phi approximate to 0 and Delta phi approximate to pi), similar to those previously found in two-particle correlations at middle and forward rapidity. The corresponding second-order Fourier coefficient (v(2) ) in the transverse momentum interval between 3 and 6 GeV/c is found to be positive with a significance of about 5 sigma. The obtained results are similar to the J/psi v(2) coefficients measured in Pb-Pb collisions at root s(NN) = 5.02 TeV, suggesting a common mechanism at the origin of the J/psi v(2) . (C) 2018 The Author. Published by Elsevier B.V.Peer reviewe