Stoma product selection: a guide for community nurses

2022 ◽  
Vol 27 (1) ◽  
pp. 20-24
Author(s):  
Jennie Burch

With 205 000 people in the UK with a stoma, it is likely that community nurses will need to consider which stoma products are most appropriate to use with this group of patients. This article explores the three output stomas, what stoma appliances are most commonly used for each type of stoma and why. Understanding how often stoma appliances should be changed empowers the community nurse in their decision-making process to ascertain whether changes to current care are needed. There is also information available about some of the more commonly used stoma accessories and when these may be necessary. With so many stoma-related products available, it can be difficult to know what to use and when; therefore, this article seeks to offer data to aid stoma care in the community.

2012 ◽  
Vol 15 (7) ◽  
pp. A278
Author(s):  
A. Kalbasko ◽  
M. Andreykiv ◽  
A. Van Engen ◽  
O. Zorzi

2018 ◽  
Vol 6 (2) ◽  
pp. 79-100 ◽  
Author(s):  
Oliver Jonas ◽  
Ibrahim Sirkeci

With the success of e-books in the last decade, e-book piracy has become increasingly prevalent. This is a significant threat to the publishing industry, publishers and authors alike. Despite efforts to inhibit illegal downloading of e-book files, unauthorized download platforms have not lost much popularity. One of the underlying problems is a limited understanding of the determinants that drive consumers in their choice between legal and illegal download options. This article identifies and critically evaluates the key product attributes in the decision-making process of consumers downloading e-books from legal and illegal sources. By providing consumer insights, the publishing industry and e-book sellers can be guided to meet consumer demand better and design marketing plans to attract consumers towards legal download sources and discourage e-book piracy. The consumer choice between legal and illegal e-book download platforms is analysed using the multi-attribute theory for consumer decision making. 23 attributes were tested using an online questionnaire and analysed by logistic regression. Three attributes were found to be significant in determining the choice of download platforms: A low perception of the importance of copyright compliance, dissatisfaction with the security of download platforms and dissatisfaction with e-book prices in online stores.


Author(s):  
Hussein A. Abdou ◽  
Shaair T. Alam ◽  
James Mulkeen

Purpose – This paper aims to distinguish whether the decision-making process of the Islamic financial houses in the UK can be improved through the use of credit scoring modeling techniques as opposed to the currently used judgmental approaches. Subsidiary aims are to identify how scoring models can reclassify accepted applicants who later are considered as having bad credit and how many of the rejected applicants are later considered as having good credit, and highlight significant variables that are crucial in terms of accepting and rejecting applicants, which can further aid the decision-making process. Design/methodology/approach – A real data set of 487 applicants is used consisting of 336 accepted credit applications and 151 rejected credit applications made to an Islamic finance house in the UK. To build the proposed scoring models, the data set is divided into training and hold-out subsets. The training subset is used to build the scoring models, and the hold-out subset is used to test the predictive capabilities of the scoring models. Seventy per cent of the overall applicants will be used for the training subset, and 30 per cent will be used for the testing subset. Three statistical modeling techniques, namely, discriminant analysis, logistic regression (LR) and multilayer perceptron (MP) neural network, are used to build the proposed scoring models. Findings – The findings reveal that the LR model has the highest correct classification (CC) rate in the training subset, whereas MP outperforms other techniques and has the highest CC rate in the hold-out subset. MP also outperforms other techniques in terms of predicting the rejected credit applications and has the lowest misclassification cost above other techniques. In addition, results from MP models show that monthly expenses, age and marital status are identified as the key factors affecting the decision-making process. Originality/value – This contribution is the first to apply credit scoring modeling techniques in Islamic finance. Also in building a scoring model, the authors' application applies a different approach by using accepted and rejected credit applications instead of good and bad credit histories. This identifies opportunity costs of misclassifying credit applications as rejected.


Author(s):  
Olivares-Caminal Rodrigo ◽  
Douglas John ◽  
Guynn Randall ◽  
Kornberg Alan ◽  
Paterson Sarah ◽  
...  

This chapter looks at the background of the Banking Act 2009 and various other reforms in the UK. While the Banking Act 2009 was originally introduced to deal with banks in distress it has been significantly modified to apply to a range of UK institutions such as building societies, investment firms, and central counterparties and banking groups. The 2009 Act provides the ‘appropriate regulator’, and the Bank of England as resolution authority provides the tools to deal with a UK institution that is experiencing financial difficulties. The chapter also looks at the recovery and resolution plans that are now an integral part of the decision-making process for the authorities as they decide how best to prepare an institution in advance of crisis.


2017 ◽  
Vol 51 (2) ◽  
pp. 488-496
Author(s):  
Clare Ravenwood ◽  
Graham Walton ◽  
Derek Stephens

Making decisions on academic library opening hours is complex with many pressures on managers. This research surveys senior academic library managers from the UK, using a questionnaire to reveal views on library opening hours, the decision-making process, and the pressures which influenced their decisions. A variety of factors were found, in particular satisfying undergraduate demands. The research also revealed the sources of information important in making decisions on opening hours and the influence of ‘political’ issues in the decision-making process. Some institutions remove complexity by utilising 24/7 opening, though this is not an option for many.


Author(s):  
Titi Savitri Prihatiningsih

Background: Medical profession regulation are carried out through certification and licensure which can be executed by the government, the organizational profession or the collaboration of both. Having a long standing credibility in professional regulation, medical professions have required every medical graduate to undergo certification and licensure process. The UK system adopts the government-led and the USA system has opted for the professional-led medical regulation. In Indonesia currently there are two laws regulating medical profession, namely Medical Practice Law No.29/2004 and Medical Education Law. No.20/2013. These two Laws have given mandates for medical profession regulation to different stakeholders, resulting in conflicting roles and functions, particularly in certification and licensure. Attempts to overcome these situations have been initiated, by inviting all stakeholders involved to discuss the solution during the period of December 2014-January 2015. This study aims at understanding the decision making process to achieve consensus using the concept of collaborative governance.Method: Qualitative method using a case study is applied and documents analysis is used for data collection. Thematic analysis is employed for data analysis.Results: Six themes are identified to reflect the decision making process in collaborative governance. It starts with distrust, followed by mutual understanding and willingness to listen, then common goals are agreed. Each stakeholder conducts an internal reflection and eventually accepts a consensus.Conclusion: The concept of collaborative governance can be applied in medical profession regulation to achieve consensus in collective decision making process.


Sign in / Sign up

Export Citation Format

Share Document