Effect of Shared Governance on Nurse-Sensitive Indicator and Satisfaction Outcomes by Magnet® Recognition Status

2021 ◽  
Vol 51 (7/8) ◽  
pp. 379-388
Author(s):  
Karen Gabel Speroni ◽  
Kirsten Wisner ◽  
Melanie Ober ◽  
Fiona Haines ◽  
Cynthia Walters ◽  
...  
2021 ◽  
Vol 51 (5) ◽  
pp. 287-296
Author(s):  
Karen Gabel Speroni ◽  
Kirsten Wisner ◽  
Amy Stafford ◽  
Fiona Haines ◽  
Majeda A. AL-Ruzzieh ◽  
...  

BIO-PROTOCOL ◽  
2018 ◽  
Vol 8 (8) ◽  
Author(s):  
Aparecida Silva ◽  
Keini Dressano ◽  
Paulo Ceciliato ◽  
Juan Carlos Guerrero-Abad ◽  
Daniel Moura

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
C. Rääf ◽  
V. Barkauskas ◽  
K. Eriksson Stenström ◽  
C. Bernhardsson ◽  
H. B. L. Pettersson

AbstractThe pure alpha emitter 148Gd may have a significant radiological impact in terms of internal dose to exposed humans in case of accidental releases from a spallation source using a tungsten target, such as the one to be used in the European Spallation Source (ESS). In this work we aim to present an approach to indirectly estimate the whole-body burden of 148Gd and the associated committed effective dose in exposed humans, by means of high-resolution gamma spectrometry of the gamma-emitting radiogadolinium isotopes 146Gd and 153Gd that are accompanied by 148Gd generated from the operation of the tungsten target. Theoretical minimum detectable whole-body activity (MDA) and associated internal doses from 148Gd are calculated using a combination of existing biokinetic models and recent computer simulation studies on the generated isotope ratios of 146Gd/148Gd and 153Gd/148Gd in the ESS target. Of the two gamma-emitting gadolinium isotopes, 146Gd is initially the most sensitive indicator of the presence of 148Gd if whole-body counting is performed within a month after the release, using the twin photo peaks of 146Gd centered at 115.4 keV (MDA < 1 Bq for ingested 148Gd, and < 25 Bq for inhaled 148Gd). The corresponding minimum detectable committed effective doses will be less than 1 µSv for ingested 148Gd, but substantially higher for inhaled 148Gd (up to 0.3 mSv), depending on operation time of the target prior to the release. However, a few months after an atmospheric release, 153Gd becomes a much more sensitive indicator of body burdens of 148Gd, with a minimum detectable committed effective doses ranging from 18 to 77 µSv for chronic ingestion and between 0.65 to 2.7 mSv for acute inhalation in connection to the release. The main issue with this indirect method for 148Gd internal dose estimation, is whether the primary photon peaks from 146 and 153Gd can be detected undisturbed. Preliminary simulations show that nuclides such as 182Ta may potentially create perturbations that could impair this evaluation method, and which impact needs to be further studied in future safety assessments of accidental target releases.


2021 ◽  
pp. 1-21
Author(s):  
Christian Downie

Abstract In policy domains characterised by complexity, international organizations (IOs) with overlapping mandates and governance functions regularly interact in ways that have important implications for global governance. Yet the dynamics of IO interactions remain understudied. This article breaks new ground by building on the theoretical insights of organizational ecology to examine IO competition, cooperation, and adaptation in the domain of energy. Drawing on original empirical data, I consider three related hypotheses: (1) competition between IOs in the same population is likely to centre on material resources; (2) IOs are more likely to cooperate when they have a shared governance goal; and (3) individual IOs can adapt by changing their goals and boundaries. In considering these hypotheses, this article highlights the limits of the organizational ecology approach and the need to broaden it to account for the possibility that IOs do cooperate, and that individual IOs, such as the International Energy Agency, have the capacity to adapt to changes in their environment.


2010 ◽  
Vol 2010 (151) ◽  
pp. 71-81 ◽  
Author(s):  
Matthew A. Crellin
Keyword(s):  

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