scholarly journals The NPs Role of Assessing and Intervening with Older Adult Drivers

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Tamatha Arms

As the silver tsunami continues, assessing and intervening with older adult drivers are becoming an essential aspect of the comprehensive geriatric exam. The current lack of time efficient clinical guidelines is a concern and barrier for NPs. The purpose of this study was to identify strategies currently used by NPs. The critical incident technique was used to obtain data from a convenience sample of NPs. A total of 89 incidents were collected. The perspective of the NP can provide important information for developing clinical guidelines to promote individual and community safety.

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1964
Author(s):  
Kate Maslin ◽  
Hazel A. Billson ◽  
Caitlin R. Dean ◽  
Julie Abayomi

Hyperemesis Gravidarum (HG) is a condition at the extreme end of the pregnancy sickness spectrum, which can cause poor oral intake, malnutrition, dehydration and weight loss. The aim of this study is to explore the role of Registered Dietitians (RD) in the management of HG in the United Kingdom (UK). A survey was designed and distributed electronically to members of the British Dietetic Association. There were 45 respondents, 76% (n = 34) worked in secondary care hospitals, 11% (n = 5) were in maternal health specialist roles. The most commonly used referral criteria was the Malnutrition Universal Screening Tool (40%, n = 18), followed by second admission (36%, n = 16). However 36% (n = 16) reported no specific referral criteria. About 87% (n = 37) of respondents did not have specific clinical guidelines to follow. Oral nutrition supplements were used by 73% (n = 33) either ‘sometimes’ or ‘most of the time’. Enteral and parenteral nutrition were less commonly used. There was an inconsistent use of referral criteria to dietetic services and a lack of specific clinical guidelines and patient resources. Further training for all clinicians and earlier recognition of malnutrition, alongside investment in the role of dietitians were recommended to improve the nutritional care of those with HG.


2019 ◽  
Vol 29 (7) ◽  
pp. 1065-1079 ◽  
Author(s):  
Roderik F. Viergever

The critical incident technique (CIT) is a qualitative research tool that is frequently used in health services research to explore what helps or hinders in providing good quality care or achieving satisfaction with care provision. However, confusion currently exists on the nature of the CIT: Is it a method for data collection and analysis or a methodology? In this article, I explain why this distinction is important and I argue that the CIT is a methodology (and not a method) for the following reasons: Key methodological dimensions are described for the CIT; it has a clear focus; studies that apply this technique make use of various methods for data collection and analysis; it describes, explains, evaluates, and justifies the use of a specific format for those methods; it implies philosophical and practical assumptions; and studies that use the CIT cannot easily make use of additional methodologies simultaneously.


DIALOGO ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 247-259
Author(s):  
Gavril Beniamin Micle

"In studies of charismatic movements, an essential aspect is often overlooked: any authentic religion requires assumption by faith, (to have no other Gods other than Me!). Or precisely this kind of mentality is promoted in the charismatic movements, of spiritual openness, which is willing to give credit to everything, is specific to culture, not religion. The religious dimension of the charismatic believer is of the syncretic type, unity in diversity, not of assumption, but based on the notion of option, and not on dogma, which leads him to donjuanism. Or it is precisely this danger that is underlined by St. Gregory Senaite, who warns us not to receive, if we see, anything sensitive or intelligible, inside or outside, whether it appears to you in the image of Christ, as an angel or a saint, or if it is shown to you as a light. For the mind itself has the ability to imagine things and can change, beware of receiving or rejecting those that do not know for sure come from the Holy Ghost. The problem of discerning between truth and lie, spiritual or devilish work, is the purpose of this scientific approach. The diverse plethora of charismatic offerings, as well as the interference with traditional Christianity, make us, like Pilate, ask: what is the Truth? or, rather, how can the Truth be distinguished among so many truths?"


2021 ◽  
pp. 088626052110428
Author(s):  
Gabriella Bentley ◽  
Osnat Zamir

The transition to motherhood is a significant developmental milestone in many women’s lives. This transitional period may be more stressful for women with a history of childhood maltreatment (CM) than for women without such a history. This study tested whether parental self-efficacy (PSE) accounts for the link between CM and parental stress in mothers transitioning to motherhood. The study used a convenience sample of 1,306 first-time mothers of children aged two years or younger. Mothers filled out online self-report questionnaires assessing history of CM, PSE, and prenatal stress. Consistent with the hypotheses, exposure to CM was directly associated with greater parental stress. Also, PSE partially mediated the associations between CM and parental stress, such that mothers with a history of childhood abuse reported a lower level of PSE, which in turn was associated with greater parental stress. In conclusion, the study highlights the important role of negative cognitions related to parenting for maternal dysfunction following exposure to childhood abuse. These findings suggest a need to incorporate preventive interventions designed to promote PSE for mothers exposed to CM. Such programs may alleviate parental stress and further support the healthy development of the child.


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