Mental health nurses' encounters with occupational health services

This is a pre-copyedited, author-produced version of an article accepted for publication in Occupational Medicine following peer review. Under embargo until 16 June 2019. The version of recordJ. Oates, J. Jones, and N. Drey, ‘Mental health nurses’ encounters with occupational health services’, Occupational Medicine, kqy084, (2018), is available online at: https://doi.org/10.1093/occmed/kqy084.Background: Staff wellbeing is vital to the functioning of the UK National Health Service (NHS). Mental health nurses with personal experience of mental illness can offer a professionally and personally informed insight into the occupational health service offered by their employer. Aims: To investigate mental health nurses’ views of occupational health provision in the NHS, based on their personal experience. Methods: A qualitative interview study using a purposive sample of mental health nurses with personal experience of mental illness. Results: Twenty-seven mental health nurses met the inclusion criteria. Thematic analysis identified three themes: comparisons of ‘relative expertise’ between the mental health nurse and the occupational health clinician; concerns about ‘being treated’ by a service at their work; and ‘returning to work’. Conclusion: Occupational health provision in mental health settings must take account of the expertise of its staff. Further research, looking at NHS occupational health provision from the provider perspective is warranted.Peer reviewe

Communication between therapists and nurses working in inpatient interprofessional teams: Systematic review and meta-ethnography

Purpose: The aim of the synthesis was to develop new understanding about the influences on communication in interprofessional teams from therapist and nurse perspectives. Methods: Six electronic databases were searched, combined with citation tracking and hand searching, yielding 3994 papers. Three researchers were involved in screening and quality appraisal, resulting in 18 papers for synthesis, using the process of meta-ethnography. Concepts were identified, compared and translated under five category headings. Two researchers mapped interpretative summaries and a line of argument was created. Results: The line of argument is that four inter-related contingences underpin effective communication between therapists and nurses. Effective communication depends on there being a genuine need to give and receive information for patient care, the capacity to attend to, hold, and use information, and opportunities to share space to enable communication to occur. The fourth contingency is good quality relationships and this is the glue that holds the contingencies together. Conclusion: This synthesis has provided an opportunity to illuminate how therapists and nurses accomplish interprofessional work through communication. The contingencies of need, capacity, opportunity and quality of relationships create a new structure for understanding what underpins communication between these two groups .Peer reviewedFinal Accepted Versio

More experiments may help explore what works in conservation

The following article is republished from The Conversation, dated 6 November 2018. The article has not been edited, but we have attributed the author and her institute, given the internet citations, and used a non-copyrighted illustration

Building a Cohesive Classroom: The effects of music on cooperation and community in a public, lower elementary, Montessori classroom

The following research assesses how the daily integration of singing and listening to music helps to construct a socially cohesive, cooperative and joyful classroom during clean up time. This study combined group singing opportunities, a music listening station and music played during clean up time. The songs used for this study included lyrical themes of cooperation, happiness, overcoming obstacles and/or friendship. The thirty-day study involved twenty-one participants between the ages of six and nine at a public, Montessori school in Missouri. Each individual completed a pre- and post-survey, as well as a survey each time they used the music listening station. During clean up time, observations were taken daily to record instances of helpful behaviors and joy amongst the participants. Results of the surveys showed that the intervention was successful at increasing positive experiences during clean up time and including a Music Listening Station as an available work choice. The intervention was not successful in creating positive experiences when singing together as a group. Further research may include the use of other mediums to promote community and collaboration like the fine arts, sports or other group oriented activities

Insight into Translational Activation in Yeast Mitochondria

Mitochondrial function depends on over a thousand proteins, of which the majority are nuclear DNA-encoded and approximately one percent are mitochondrial DNA-encoded. The mitochondrial DNA of Saccharomyces cerevisiae contains eight protein-encoding genes, seven of which are required for proper function of the respiratory complexes and one encodes a ribosomal protein. The bigenomic nature of the oxidative phosphorylation complexes requires coordinated expression and regulation from both the nuclear and the mitochondrial genomes. It is currently unclear how this regulatory network operates. However, it is thought that nuclear genome-encoded messengers localized to the mitochondria aid in this coordination. A family of proteins termed mitochondrial translational activators has been shown to control the expression of all mitochondrial-encoded protein genes in a gene-specific manner. Evidently, each mitochondrial mRNA is regulated by a specific protein or a subset of proteins that permits translation of that transcript. If these factors are absent, there will be no synthesis of the polypeptide, leading to a respiratory deficient cell. Although a functional link between translational activators and the mitochondrial genes they control has long been established genetically, the activation mechanism is entirely unknown. This study focuses on the mechanism of activation of two representative members of this translational activator family, Pet111p and Cbp1p. These activators are required for the expression of COX2 and COB, respectively. Translational activators have been shown to have multiple functions including, transcript stabilization and mRNA localization to the membrane, as well as to the translation machinery. Current genetic data suggests that both Pet111p and Cbp1p interact with RNA targets in the 5′-untranslated regions of COX2 and COB, respectively. However, neither the identity of these sites, nor has the ability of these proteins to interact with RNA ever been demonstrated. The objective of this study is to characterize the functional mechanism of translational activation for both Pet111p and Cbp1p and ultimately learn how they aid in the coordination of dual-genomic expression

The Usefulness of Neutrality

Recently, the idea of therapeutic neutrality has been attacked. Many observers have suggested that the neutral therapist is inhuman and unempathic. Actually, being a neutral therapist means being especially human and empathic. The neutral therapist\u27s empathic contact with the patient is the most extensive in that it includes not only contact with feelings and thoughts of which the patient is aware, but also contact with all those intolerable thoughts and feelings of which the patient prefers to be unaware. Such awareness in the therapist is possible only when the therapist remains, as Anna Freud (I) recommends, equidistant from the patient\u27s id, ego and superego, that is equidistant from the forces generating the patient\u27s psychic conflict. Such objectivity does not preclude warmth, rather it directly evolves from warm and authentic contact with the patient

Examining facilitators of trust in a pediatric collaborative care model: a qualitative study

Community-based participatory research is an equitable approach to research involving the community in all aspects of the research process to help promote the application of research findings directly to populations. The current study employed a community-based participatory research approach to help identify barriers and facilitators of trust in providers in a collaborative care model of integrated behavioral health at a Federally Qualified Health Center serving mostly Latine children and families called the psychiatry conference. 14 parents and six children were interviewed qualitatively about their experiences with the psychiatry conference and a thematic analysis approach was employed to identify themes related to facilitators of trust in providers. Results found that facilitators of trust included: the primary care provider serving as a bridge to help trusting relationships form between the psychiatrist and families, reciprocal respect between providers and families, and the psychiatrist taking an educational approach. Barriers to trust included: the quality and availability of interpreter services as well as lack of a tailored approach for patients depending on diagnosis. Other factors such as parent-child synchrony and optimism contributed to final reactions to the psychiatry conference as well as retention processes. This study helps to elucidate how to implement a CBPR study in an integrated care setting as well as ways to improve the acceptability of primary care behavioral health services for Latine children and families.Educational Psycholog

Spacecraft Coatings Optimizing LiDAR Debris Tracking and Light Pollution Impacts

Space safety and astronomy are at odds. The problem posed by space debris and derelict satellites in the low Earth orbit is an existential threat to all space operations. These dangerous objects in space are more easily tracked with ground-based LiDAR if they are highly reflective, especially in the near-infrared (NIR) range. At the same time, reflective objects in orbit are the bane of ground-based astronomers, causing light pollution and marring images with bright streaks. How can this tension be resolved? The hypothesis tested is that a near-infrared-transparent (NIRT) coating which is opaque in the visible light range and transparent in the NIR range is a promising candidate for use in satellite construction. This experiment tests whether typical spacecraft surfaces such as anodized aluminum or multi-layer insulation (MLI) with a NIRT coating applied will absorb visible light and reflect NIR. The findings confirm the efficacy of the NIRT coating for this purpose, reducing visible light reflection by 47% (+/-3%) and increasing reflection in the NIR by 7% (+/-2%). This promising novel NIRT coating may help provide a path forward to resolve the tension between astronomy and the space industry