Care, Culture, and Education Nursing Students\u27 Perceptions of Care and Culture: Implications for Practice

Today\u27s nurses work and live in a multicultural society where they encounter patients whose backgrounds are different from theirs, and who need care from nurses who are both proficient in their work and knowledgeable about the role that culture plays in patient treatment. In this study, 45 student nurses enrolled in a baccalaureate program at a northeastern urban college completed a survey about their perceptions of care and culture including their relevance and application to the practice of nursing. Findings based on qualitative analyses indicated that parents and family were instrumental in students\u27 learning about care and a combination of family and educators influenced their learning about culture. Responses revealed that while the importance of obtaining specific cultural information from patients through effective communication was noted, the use of an interpreter was considered important by only one student. This finding is problematic since students were unaware of the importance of utilizing interpreter services when caring for a patient who has limited knowledge of the English language. The findings of this survey suggest the need for further transcultural education on the baccalaureate nursing level specifically as it pertains to communication with patients of diverse cultures in the provision of care

A study of Christian education in the church-related hospital

https://place.asburyseminary.edu/ecommonsatsdissertations/2253/thumbnail.jp

Facilitating open exchange of data and information

By broad consensus, Open Data presents great value. However, beyond that simple statement, there are a number of complex, and sometimes contentious, issues that the science community must address. In this review, we examine the current state of the core issues of Open Data with the unique perspective and use cases of the ocean science community: interoperability; discovery and access; quality and fitness for purpose; and sustainability. The topics of Governance and Data Publication are also examined in detail. Each of the areas covered are, by themselves, complex and the approaches to the issues under consideration are often at odds with each other. Any comprehensive policy on Open Data will require compromises that are best resolved by broad community input. In the final section of the review, we provide recommendations that serve as a starting point for these discussion

New directions and developments in defining, analyzing and measuring L2 speech fluency

In studying second language (L2) fluency attainment, researchers typically address questions about temporal and hesitation phenomena in a descriptive manner, cataloguing which features appear under which learning circumstances. The goal of this paper is to present a perspective on L2 fluency that goes beyond description by exploring a potential explanatory framework for understanding L2 fluency. This framework focuses on the cognitive processing that underlies the manifestation of fluency and disfluency, and on the ways social context might contribute to shaping fluency attainment. The framework provides a dynamical systems perspective of fluency and its development, with specific consequences for a research program on L2 fluency. This framework gives rise to new questions because of its focus on the intimate link between cognitive fluency and utterance fluency, that is, between measures of the speed, efficiency and fluidity of the cognitive processes thought to underlie implementation of the speech act and measures of the oral fluency of that speech act. Moreover, it is argued that cognitive and utterance fluency need to be situated in the social context of communication in order to take into account the role played by the pragmatic and the sociolinguistic nature of communication in shaping L2 fluency development

Cervical spine trauma imaging: is an additional swimmers projection of the cervico-thoracic junction justified?

NICE Head and Cervical Spine Guidelines (2007) advocate three-view Plain Radiography over CT for the initial assessment of cervical spine trauma. However, they provide no indication of what protocol should be utilised when the cervico-thoracic junction is not visualised by the first attempt. This study aimed to evaluate current practice. A retrospective audit of trauma patients was performed over a two month period (N=107). The results demonstrated that whilst all patients received the standard AP, AP open mouth and lateral projections, 74% of cases failed to demonstrate the cervico-thoracic junction. 67% of this population received an additional Swimmers View with a 74% success rate. The research findings highlight the practical limitations of the plain radiography technique. Whilst further training could perhaps reduce the non-visualisation rate of the cervico-thoracic junction, radiographers could in most cases predict the need for the additional swimmers projection and likelihood of success as part of the justification process. Whilst acknowledging the increase in thyroid dose by utilising CT, direct referral is perhaps justified in these cases, particularly if the patient presents with the clinical symptoms of cervical spine trauma

Preliminary clinical evaluation: The What/Where/How (WWH) approach to scoring.

The SCoR is driving for preliminary clinical evaluation (PCE) however; currently there is no method of quantification to assess quality. FRCR has an approach to quantify comments in the rapid reporting examination (CR2B).The aim of this project was to develop a robust scoring system that enables comprehensive image evaluation regardless of profession. An image test bank was administered using RadBench with equal prevalence of normal /abnormal. A random sample of attempts was selected to pilot the scoring model. Sensitivity, specificity and accuracy were calculated. A scoring system (WWH) was developed based on the WHAT (fracture type), WHERE (location), HOW (displacement/angulation) concept (Harcus & Wright 2014) to evaluate the PCE. The results were compared to those obtained using the FRCR model. Calculated actual mean accuracy, sensitivity and specificity scores were 87%, 80% and 93% respectively. FRCR scores were 88%, 80% and 97%. WWH scores were 65%, 37%, and 93%. The FRCR score appears to mirror the actual decision scores however it does not reflect the fact that the PCE for abnormal cases is often incomplete; 'What' 67%, 'Where' 87%, 'How' 7%. The PCE score should ideally correlate with the actual score in order to provide useful information to the referring clinician. Whilst most comments state the location, less states the type, and very few refer to angulation or displacement. Analysis of the PCE is a useful indicator for targeting professional development. The sam

Improved statistical methods for estimating infestation rates in quarantine research when hosts are naturally infested

Trading partners often require phytosanitary or quarantine treatments for fresh horticultural produce to ensure no economically important pest species are moved with the imported product. When developing such treatments, it is essential that the level of treatment efficacy can be determined. This is often based on the mortality of the total number of target pests exposed to treatment, but in naturally infested products this number is not always known. In such cases, the infestation rate and subsequently an estimate of the number of pests are obtained directly from a set of untreated control samples of the host product. The International Plant Protection Convention (IPPC) Secretariat has provided 2 formulas for these situations that place an interval around the point estimate obtained from the control samples to obtain an estimate of the infestation rate. However, these formulas do not allow a confidence level to be assigned to the estimate, and there are concerns with the assumptions regarding the distribution and the measure of variability used in the formulas. In this article, we propose 2 alternative formulas. We propose that the lower one-sided confidence limit should be applied to all infestation datasets that are approximately normally distributed. As infestation data are sometimes skewed, it is proposed the lower one-sided modified Cox confidence limit is applied to data approximately log-normal distributed. These well-recognized formulas are compared to the formulas recommended by the IPPC and applied to 3 datasets involving natural infestation

Barriers to access prevention of mother-to-child transmission for HIV positive women in a well-resourced setting in Vietnam

<p>Abstract</p> <p>Background</p> <p>According to Vietnamese policy, HIV-infected women should have access at least to HIV testing and Nevirapine prophylaxis, or where available, to adequate counselling, HIV infection staging, ARV prophylaxis, and infant formula. Many studies in high HIV prevalence settings have reported low coverage of PMTCT services, but there have been few reports from low HIV prevalence settings, such as Asian countries. We investigated the access of HIV-infected pregnant women to PMTCT services in the well-resourced setting of the capital city, Hanoi.</p> <p>Methods</p> <p>Fifty-two HIV positive women enrolled in a self-help group in Hanoi were consulted, through in-depth interviews and bi-weekly meetings, about their experiences in accessing PMTCT services.</p> <p>Results</p> <p>Only 44% and 20% of the women had received minimal and comprehensive PMTCT services, respectively. Nine women did not receive any services. Twenty-two women received no counselling. The women reported being limited by lack of knowledge and information due to poor counselling, gaps in PMTCT services, and fear of stigma and discrimination. HIV testing was done too late for optimal interventions and poor quality of care by health staff was frequently mentioned.</p> <p>Conclusion</p> <p>In a setting where PMTCT is available, HIV-infected women and children did not receive adequate care because of barriers to accessing those services. The results suggest key improvements would be improving quality of counselling and making PMTCT guidelines available to health services. Women should receive early HIV testing with adequate counselling, safe care and prophylaxis in a positive atmosphere towards HIV-infected women.</p

Seroprevalence of cytomegalovirus, Epstein Barr virus and varicella zoster virus among pregnant women in Bradford: a cohort study.

OBJECTIVE: To estimate the seroprevalence of cytomegalovirus (CMV), Epstein Barr virus (EBV) and varicella zoster virus (VZV) among pregnant women in Bradford by ethnic group and country of birth. METHODS: A stratified random sample of 949 pregnant women enrolled in the Born in Bradford birth cohort was selected to ensure sufficient numbers of White UK born women, Asian UK born women and Asian women born in Asia. Serum samples taken at 24-28 weeks' gestation were tested for CMV IgG, EBV IgG and VZV IgG. Each woman completed a questionnaire which included socio-demographic information. RESULTS: CMV seroprevalence was 49% among the White British women, 89% among South Asian UK born women and 98% among South Asian women born in South Asia. These differences remained after adjusting for socio-demographic factors. In contrast, VZV seroprevalence was 95% among women born in the UK but significantly lower at 90% among South Asian women born in Asia. EBV seroprevalence was 94% overall and did not vary by ethnic group/country of birth. CONCLUSIONS: Although about half of White British women are at risk of primary CMV infection in pregnancy and the associated increased risk of congenital infection, most congenital CMV infections are likely to be in children born to South Asian women with non-primary infection during pregnancy. South Asian women born in South Asia are at risk of VZV infection during pregnancy which could produce congenital varicella syndrome or perinatal chickenpox. Differences in CMV and VZV seroprevalence by ethnic group and country of birth must be taken into account when universal immunisation against these viruses is contemplated

Tap water use amongst pregnant women in a multi-ethnic cohort

<p>Abstract</p> <p>Background</p> <p>Studies of disinfection by-products in drinking water and measures of adverse fetal growth have often been limited by exposure assessment lacking data on individual water use, and therefore failing to reflect individual variation in DBP exposure.</p> <p>Methods</p> <p>Pregnant women recruited to the Born in Bradford cohort study completed a questionnaire which covers water exposure. Information was collected on water consumption, showering, bathing and swimming. Water exposure data from a subset of 39 women of the cohort are described here.</p> <p>Results</p> <p>Mean total tap water intake was 1.8 l/day, and women on average spent 146 minutes per week showering and bathing. Most tap water intake occurred at home (100% for unemployed, 71.8% for employed). Differences between age groups were observed for total tap water intake overall (p = 0.02) and at home (p = 0.01), and for bottled water intake (p = 0.05). There were differences between ethnic groups for tap water intake at home (p = 0.02) and total tap water intake at work (p = 0.02). Total tap water intake at work differed by income category (p = 0.001). Duration per shower was inversely correlated with age (Spearman's correlation -0.39, p = 0.02), and differed according to employment status (p = 0.04), ethnicity (p = 0.02) and income (p = 0.02).</p> <p>Conclusion</p> <p>This study provides estimates of water exposure in pregnant women in a multi-ethnic population in the north of England and suggests differences related to age, employment, income and ethnicity. The findings are valuable to inform exposure assessment in studies assessing the relationship between DBPs and adverse birth outcomes.</p