Effect of Purposeful Nurse Rounding on Patient Satisfaction

Problem Delayed nurse response times in an inpatient setting can have a negative impact on patient experience, and is reflected in patient satisfaction surveys such as The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The purpose of this project is to improve HCAHPS scores related to “responsiveness” in an antepartum unit. Methods A prospective observational study designed to improve HCAHPS scores regarding nurse response time conducted as a retrospective and prospective review of data. Results of HCAHPS scores related to “responsiveness”, and actual nurse response times were examined before and after a nurse education tool was implemented. Results Of 37 (N=37) patients who completed the HCAHPS survey, 20 surveys were collected retrospectively and 17 were collected prospectively. The mean percentage for retrospective Responsiveness HCAHPS surveys was 65.26%. The mean percentage for prospective Responsiveness HCAHPS surveys was 89.68%. Of 957 (N=957) instances of patients utilizing their call light, 527 occurred prospectively, and 437 occurred retrospectively. The two-tailed independent samples t-test was not significant based on an alpha value of 0.05, t(925.34) = 1.66, p = .098. The two-tailed Mann-Whitney U test was not significant based on an alpha value of 0.05, U = 111454, z = -0.51, p = .611. Implications for practice Promoting purposeful rounding and nurse communication education in order to improve patient experience, HCAHPS scores, and nurse response time

Borgo Ulivia e Falsomiele: la definizione di una gerarchia spaziale come occasione per la riqualificazione di due insediamenti abitativi

Il progetto, redatto in occasione del MIUR – PRIN 2007 "Riqualificazione e aggiornamento del patrimonio di edilizia pubblica. Linee guida per gli interventi nei quartieri innovativi IACP nell’Italia centromerdionale. Palermo: quartieri, periferie e città contemporanea" per l’unità di ricerca di Palermo, individua nell’insediamento residenziale di Borgo Ulivia il punto di partenza per un intervento alla scala territoriale che prevede una nuova gerarchia degli spazi pubblici all’interno del tessuto insediativo, la messa a sistema degli assi viabilistici e ciclopedonali e la valorizzazione degli elementi del paesaggio

ASUHAN KEBIDANAN KOMPREHENSIF PADAIBU PRIMIGRAVIDA DIPUSKESMAS BAKUNASE KOTA KUPANGPERIODE TANGGAL 19 MARETS/D 10 MEI 2018.

Latar Belakang: Ukuran yang dipakai untuk menilai baik buruknya keadaan pelayanan kebidanan (Maternity Care) dalam suatu negara atau daerah pada umumnya ialah kematian maternal dan neonatal (Menurut definisi World Health Organizatio). Oleh sebab itu maka pemerintah dalam upaya penurunan AKI dan AKB salah satunya adalah Expanding Maternal Neonatal Survival (EMAS) dengan target penurunan AKI dan AKB sebesar 25%. Dengan dilakukan asuhan kebidanan secara berkelanjutan pada ibu hamil trimester III sampai perawatan masa KB diharapkan dapat memberikan kontribusi dalam upaya menurunkan AKI dan AKB di Indonesia serta tercapai kesehatan ibu dan anak yang optimal. Tujuan : Melakukan Asuhan kebidanan berkelanjutan dengan pendekatan manejemen asuhan kebidanan pada Ibu primigravida mulai dari kehamilan TM III, persalinan, nifas, bayi baru lahir dan keluarga berencana diwilayah Puskesmas Bakunase. Metode: Menggunakan metode case study atau metode penelahan Hasil: Setelah dilakukan asuhan kebidanan berkelanjutan pada Ny. A.N dari hamil hingga KB penulis menemukan perbedaan antara teori dan praktik pada saat melakukan asuhan dan tidak terdapat penyulit. Simpulan: Setelah dilakukan asuhan kebidanan secara berkelanjuatan keadaan pasien baik mulai dari kehamilan sampai KB

Pendekatan Model Pembelajaran Flipped Classroom Dengan Media Video Interaktif Untuk Meningkatkan Hasil Belajar Siswa Pada Materi Stoikiometri Di SMA Negeri 3 Manado

The purpose of this study was to improve student learning outcomes on stoichiometric material by using the flipped classroom learning model with interactive video media at SMA Negeri 3 Manado. This research is a quantitative research using a quasi-experimental design, a study that uses two groups, there is an experimental group and a control group to determine the significant difference between the two groups after treatment. Prior to the treatment, the students were given a pretest (pretest) and after the treatment, the students were given a final test (posttest). The population in this study were all class X IPA SMA Negeri 3 Manado and the sample consisted of 2 classes, namely class X IPA 1 as the experimental class and class X IPA 5 as the control class, each totaling 27 people. The data collection technique used in this research is using tests, tests in this case pretest and posttest. Based on the research data, the results of the t-test analysis at the real level (α) = 0.05 were obtained: tcount = 4.87 and ttable = 2.0066, with the experimental class N-Gain test of 0.65 and the control class 0.36. So it can be concluded that there are differences in student learning outcomes using the flipped classroom learning model with interactive video media on stoichiometric material at SMA Negeri 3 Manado.Tujuan penelitian ini adalah untuk meningkatkan hasil belajar siswa pada materi stoikiometri dengan menggunakan model pembelajaran flipped classroom dengan media video interaktif di SMA Negeri 3 Manado. Penelitian yang dilakukan adalah penelitian kuantitatif dengan menggunakan desain eksperimen semu, penelitian yang menggunakan dua kelompok, ada  kelompok eksperimen dan kelompok kontrol untuk mengetahui perbedaan yang signifikan antara kedua kelompok tersebut setelah perlakuan. Sebelum dilakukan perlakuan siswa diberikan tes awal (pretest) dan setelah dilakukan perlakuan siswa diberikan tes akhir (posttest). Populasi dalam penelitian ini yaitu seluruh kelas X IPA SMA Negeri 3 Manado dan sampel terdiri dari 2 kelas, yaitu kelas X IPA 1 sebagai kelas eksperimen dan kelas X IPA 5 sebagai kelas kontrol, masing-masing berjumlah 27 orang. Teknik pengumpulan data yang digunakan dalam penelitian ini yaitu menggunakan tes, Tes dalam hal ini pretest  dan posttest. Berdasarkan data hasil penelitian diperoleh hasil analisis uji-t pada taraf nyata (α) = 0.05 didapat: thitung = 4.87 dan ttabel = 2.0066, dengan uji N-Gain kelas eksperimen sebesar 0.65 dan kelas kontrol 0.36. Jadi dapat disimpulkan bahwa terdapat perbedaan hasil belajar siswa menggunakan model pembelajaran flliped classroom dengan media video interaktif pada materi stoikiometri di SMA Negeri 3 Manado

Consumers’ Attitude Toward Energy Conservation in a Middle-Size City

This study explores the attitude of household consumers toward conservation in their electrical usage. It examines whether a time-of-day pricing structure will influence their response to shifting their electrical usage from peak to non-peak hours. It also attempts to measure their perceived elasticity of electricity consumption

THE CONTRIBUTION OF ARABIC PHONOLOGY TO ENGLISH PRONUNCIATION

Abstrak Tidak adanya dua bunyi bahasa Inggris, /θ/ dan /ð/ dalam Bahasa Indonesia yang dapat ditemukan dalam bahasa Arab dapat membuat orang Indonesia lebih mudah mengucapkan bahasa Inggris. Penelitian ini menyelidiki lima anak berusia 9-10 tahun yang mampu melafalkan bahasa Arab (makhorijul huruf) tetapi tidak pernah belajar bahasa Inggris di lembaga kursus atau bimbingan belajar mana pun. Karena penelitian ini berupaya menemukan makna suatu fenomena bahasa, metode kualitatif pun digunakan. Metode kualitatif digunakan untuk mengeksplorasi dan memahami makna individu atau kelompok yang berkaitan dengan masalah sosial atau manusia dan menguraikan konten selama tes yang diberikan. Hasil penelitian menunjukkan bahwa dari 100 data yang berasal dari 20 kata yang diucapkan oleh 5 subjek, subjek penelitian sebagian besar berhasil melafalkan kata-kata secara akurat. Subjek penelitian ini berhasil dalam pelafalan karena pengucapan bunyi /θ/ dan /ð/ yang tidak ada dalam Bahasa Indonesia dapat ditemukan dalam bahasa Arab. Semua subjek yang berhasil melafalkan bunyi adalah karena mereka mendapatkan transfer bahasa positif dari bahasa Arab. Kata kunci: Fonologi, Bahasa Inggris, Bahasa Indonesia, Arab. Abstract The absence of two English sounds, /θ/ and /ð/ in Bahasa Indonesia that can be found in Arabic may lead Indonesian people easier to pronounce English. This research investigates five children aged 9-10 years who are able to pronounce Arabic (makhorijul huruf) but never learn English at any course or tutoring agency. Since this study seeks to find the meaning of a language phenomenon, qualitative method is used. Qualitative method is used for exploring and understanding the meaning of individual or groups ascribe to social or human problem and elaborate into content during the given test. The result shows that from 100 data which come from 20 words pronounced by 5 subjects, the subjects of the research are mostly succeded in pronuncing the words accurately. The subjects of the research are succeded in pronunciation because producing /θ/ and /ð/ sounds which are absent in Bahasa Indonesia can be found in Arabi.. All the subjects are succeeded in pronuncing the sounds is because they get positive language transfer from Arabic. Keywords: Phonology, English, Bahasa Indonesia, Arabic

Investigation on C02 Induced Asphaltene Precipitation Using Baronia Oil Samples

Asphaltene precipitation is one of the serious problems during the secondary and tertiary oil recovery in light oil reservoirs using C02 injection. Baronia RV2 light oil sample has been chosen to study the possibility of asphaltene precipitation during the contact of C02 with oil. When C02 is in contact with light oil, there is a tendency for asphaltene precipitation which might lead to serious production and reservoir problems such as permeability reduction, porosity alteration, and plugging of wellbore and possibility of blocking the whole production system. The present research is to investigate the asphaltene precipitation phenomenon and to analyze the mechanism of asphaltene deposition during the C02 injection process. A laboratory study for crude oil characterization has been carried out to determine the properties of reservoir fluid. A routine and special PVT analysis using a high pressure and temperature visual cell has been carried out to examine the phase behavior of asphaltene and C02• Oil expansion test under C02 injection and micro- slim tube test have been carried out to investigate the swelling factor and minimum miscibility pressure and to identify the effect of different concentration of C02 on asphaltene precipitation. Static and dynamic asphaltene studies have been carried out to determine the asphaltene precipitation at different C02 concentrations and different pressures. Asphaltene precipitation was found during the static asphaltene test when the C02 concentration was changed under reservoir pressure and temperature. The results show that the amount of precipitated asphaltene increased with increasing the concentration of injected C02 . However; in the dynamic test asphaltene precipitation fluctuated when both pressure and C02 concentration were changed simultaneously. Results from dynamic asphaltene test were analyzed using statistical analysis method to predict the asphaltene precipitation under the effect of both pressure and C02 concentration. Multiple regression analysis and analysis of variance (ANOVA) were used to get the multiple linear regression model of asphaltene precipitation for Baronia RY2. The model was tested by using different concentration of C02 at selected pressures to predict the asphaltene precipitation at any pressure and C02 concentration. Comparison was made between the measured and predicted asphaltene precipitation

A compendium of Technologies, Practices, Services and Policies for Scaling Climate Smart Agriculture in Odisha (India)

Stakeholders engaged in agricultural research for development (AR4D) are increasingly tackling risks associated with climate change in smallholder systems. Accordingly, development and scaling of climate-smart agriculture (CSA) are one of the priorities for all the organizations, departments and ministries associated with the farm sector. Having a ‘one-stop-shop’ compiled in the format of a compendium for CSA technologies, practices and services would therefore serve a guide for all the stakeholders for scaling CSA in smallholder systems. Bringing out a Compendium on Climate-Smart Agriculture (CSA) for Odisha, India was therefore thought of during the workshop on ‘Scaling Climate-Smart Agriculture in Odisha’ organized at Bhubaneswar on 18-19 July 2018 by International Rice Research Institute (IRRI) in collaboration with Department of Agriculture (DoA) & Farmers’ Empowerment, Indian Council of Agricultural Research-National Rice Research Institute (ICAR-NRRI), Orissa University of Agriculture and Technology (OUAT) & International Maize and Wheat Improvement Center (CIMMYT) under the aegis of CGIAR Research program on Climate Change, Agriculture and Food Security (CCAFS). The main objectives to bring forth this compendium are: to argue the case for agriculture policies and practices that are climate-smart; to raise awareness of what can be done to make agriculture policies and practices climatesmart; and to provide practical guidance and recommendations that are well referenced and, wherever possible, based on lessons learned from practical action. CSA programmes are unlikely to be effective unless their implementation is supported by sound policies and institutions. It is therefore important to enhance institutional capacities in order to implement and replicate CSA strategies. Institutions are vital to agricultural development as well as the realisation of resilient livelihoods.They are not only a tool for farmers and decision-makers, but are also the main conduit through which CSA practices can be scaled up and sustained. The focus in this compendium is on CSA and it’s relevant aspects, i.e., (i) technologies and practices, (ii) services, (iii) technology targeting, (iv) business models, (v) capacity building, and (vi) policies. The approaches and tools available in the compendium span from face-to-face technicianfarmer dialogues to more structured exchanges of online and offline e-learning. In every scenario it is clear that tailoring to local expectations and needs is key. In particular, the voice of farmers is essential to be captured as they are the key actors to promote sustainable agriculture, and their issues need to be prioritized. CSA practices are expected to sustainably increase productivity and resilience (adaptation), reduce Greenhouse Gases (mitigation), and enhance achievement of national food security along with sustainable development goals. CSA is widely expected to contribute towards achieving these objectives and enhance climate change adaptation. CSA practices have to be included in State’s Climate Policy as a priority intervention as the state steps up efforts to tackle climate change. Furthermore, emphasis shoud be laid on CSA training for a sustainable mode to enhance CSA adoption in the state hence the relevance of developing this document. The adaption of climate related knowledge, technologies and practices to local conditions, promoting joint learning by farmers, researchers, rural advisor and widely disseminating CSA practices, is critical. This compendium brings together a collection of experiences from different stakeholders with background of agricultural extension and rural advisory services in supporting CSA. The contributions are not intended to be state-of-the art academic articles but thought and discussion pieces of work in progress. The compendium itself is a ‘living‘ document which is intended to be revised periodically

OCCUPATIONAL PSYCHOLOGY IN HIGHER EDUCATIONAL INSTITUTIONS: A STUDY IN PAKISTAN

The work engagement and job burnout are rapidly emerging areas in research on human resources management and occupational psychology in Pakistan. This study is conducted to investigate and estimate the work engagement its relationship with organization commitment and burnout among the faculty of higher education institutions. The population for this study comprised faculty members of higher education institutions employing approximately 100 or more than 100 faculty members. All the male and female faculty members working in different departments are included in the sample of the study. In this study, convenient sampling method applied to collect the data. UWES (Utrecht Work Engagement Scale), MBI-GS (Maslach Burnout Inventory-General Survey) and organizational commitment scale. The relationship between the dimensions and the study constructs are significant. All the dimensions of burnout are significantly and negatively predicting work engagement among the respondents. Two dimensions of work engagement are positively and significantly predicting organizational commitment among the respondents. Two dimension of burnout are negatively predicting organizational commitment among the respondents