scholarly journals Analysing the Selection of Appropriate Technical Solutions for Nurses in a Clinical Setting

2021 ◽  
Author(s):  
Nicole Hechtel ◽  
Jörn Krückeberg ◽  
Maria Sebastião ◽  
Ronny Klawunn
Keyword(s):  
Nursing Staff ◽  
Clinical Setting ◽  
Participatory Approach ◽  
Professional Nursing ◽  
Technical Solutions ◽  
Selection Of

This work focuses the selection of technical solutions for professional nursing in a clinical setting. For a participatory approach the needs of the nursing staff are queried and analysed. Supplemented by data of patients a baseline for the selection of technical solutions is created.

scholarly journals Accuracy in dictation after improvement of reading and copying skills in a student with learning difficulties

2014 ◽  
Vol 31 (1) ◽  
pp. 25-34
Author(s):  
Ana Claudia Moreira Almeida Verdu ◽  
France Matos de Oliveira
Keyword(s):  
Clinical Setting ◽  
Learning Difficulties ◽  
Matching To Sample ◽  
Constructed Response ◽  
Reading And Writing ◽  
Teaching Tasks ◽  
Accurate Performance ◽  
Constructed Responses ◽  
Selection Of

The aim of this study was to use systematic teaching in a clinical setting using software to teach reading and writing in one boy with learning difficulties and obtain accurate performance in dictation. In the pre-test, the student showed good performance in matching-to-sample tasks (96% in matching printed words to dictated words; 88% in matching pictures to dictated words), although he obtained a low percentage of correct answers in the dictation of constructed responses (52%) and manuscripts (24%). The teaching strengthened the selection of printed words matched to dictated words and copying words. The student obtained 100% correct answers in the teaching tasks. In post-tests of dictation, he obtained 100% correct answers in constructed response and 96% correct answers in manuscripts. The results indicate that carefully teaching copying may promote accuracy in the performance of responding to minimal units in dictation tasks.

The clinical application of a scoring protocol to select endarterectomy or stenting for carotid artery stenosis

2020 ◽  
Author(s):  
Joonho Chung ◽  
Jung-Jae Kim ◽  
Yong Bae Kim ◽  
Sang Hyun Suh ◽  
Kyung-Yul Lee
Keyword(s):  
Clinical Practice ◽  
Surgical Treatment ◽  
Carotid Artery ◽  
Clinical Setting ◽  
Carotid Artery Stenosis ◽  
Treatment Options ◽  
Artery Stenosis ◽  
Related Complication ◽  
Symptomatic Stenosis ◽  
Selection Of

Abstract Background Our group previously described the protocol-based decision for choosing the proper surgical treatment option for carotid artery stenosis. The objective of this study is to describe our experiences of using this scoring protocol in the selection of endarterectomy or stenting for carotid artery stenosis. Methods Between October 2014 and March 2018, the scoring protocol was applied to a total of 105 consecutive patients. Eighty (76.2%) patients had symptomatic stenosis ≥50%, and 25 (23.8%) patients had asymptomatic stenosis ≥80%. We also speculated about how effectively the protocol worked in the real clinical setting. Results Stenting was performed in 73 patients and endarterectomy in 32 patients. Overall, 98 (93.3%) patients were treated according to the protocol, while the protocol was violated in seven (6.7%) patients. Sixty-one (58.1%) patients received treatments that were decided by the protocol. There were 37 (35.2%) patients who had the same score for both treatment options. Among these patients, 28 patients underwent stenting and nine patients underwent endarterectomy. In the stenting cases, 90.4% of the patients followed the protocol and violations occurred in 9.6%. In the endarterectomy cases, all of the patients followed the protocol. Overall, one patient had a procedure-related complication without morbidity. During the 12-month follow-ups, there were no restenoses or major strokes. Minor strokes were diagnosed in three (2.8%) patients. Conclusion In patients with carotid artery stenosis, stenting and endarterectomy should be considered simultaneously together, not against each other. Our scoring protocol can be used to weigh these options and applied in clinical practice.

scholarly journals Nursing staff’s experience of appearance issues in various nursing situations

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Åsa Bringsén ◽  
Johanna Sjöbeck ◽  
Pia Petersson
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Nursing Staff ◽  
Thematic Analysis ◽  
Health Care Professionals ◽  
Knowledge Development ◽  
Research Approach ◽  
Focus Group Interviews ◽  
Professional Nursing ◽  
Group Interviews

Abstract Background Health care professionals frequently interact with unknown patients in a process involving appearance-based judgements and priority-setting, all of which has an effect on health care equality. The healthcare provider–patient interaction is also highly relevant for the awareness and support of patients’ appearance concerns, with an associated possibility for improving patients’ satisfaction with their appearance and health. The aim was therefore to explore nursing staff’s experience of patients’ appearance issues in various nursing situations, with the purpose to facilitate awareness raising and knowledge development. Method A qualitative research approach with focus group interviews was chosen due to the exploratory aim of the study. Five semi-structured focus group interviews were conducted with 24 nursing staff in total (19 women and five men). The participants’ ages varied (20 to 45 years) as did their professional nursing experience. The interviews lasted approximately one hour, were digitally recorded, transcribed verbatim and analysed through thematic analysis. Results The thematic analysis resulted in the two themes Patient perspective and Professional nursing role, with associated subthemes. The findings showed the importance and impact of appearance issues in nursing situations and how these are linked to the health of the patients. Some groups of patients were identified as more vulnerable than others, which was associated with health care inequalities and health disparities. Value-based strategies along with knowledge, and skills for holistic person-centred care were identified as important resources for the development of appearance-related awareness and support in various nursing situations. Conclusion Strategies for improvement can be realised through the educational system for nursing staff, but mainly by using collective reflective learning forums in different workplaces. An empowerment approach is considered a useful framework for the implementation of holistic person-centred care, functioning as a resource for appearance-related awareness and support in various nursing situations. However, more research is needed on the complex and challenging phenomenon of appearance issues in nursing situations. Knowledge development related to successful person-centred strategies for appearance-related awareness and support is important, especially strategies with a salutogenic perspective.

scholarly journals Ламинарная обмотка тороидального поля для термоядерной электростанции типа Токамак

2021 ◽  
Vol 91 (12) ◽  
pp. 2018
Author(s):  
Д.С. Дежин ◽  
Е.Ю. Клименко
Keyword(s):  
Power Plant ◽  
Cost Reduction ◽  
Power Plants ◽  
Toroidal Field ◽  
Coil Design ◽  
Capital Costs ◽  
Routine Service ◽  
Operating Current ◽  
Technical Solutions ◽  
Selection Of

There are described some alternatives to traditional technical solutions used in the designs of experimental Tokamak thermonuclear installations. The proposals must significantly reduce capital costs of the construction of toroidal field windings for thermonuclear power plants of this type. Cost reduction may be achieved by choosing a coil design that excludes degradation of the properties of a superconducting cable, significant simplifications of the cable design, cooling the winding with thermosyphon, avoiding the occurrence of high voltages due to using a quench back method for the winding protection, A procedure is described for the reliable selection of the operating current of the cable and the maximum permissible values of the electric field in it. It is considered also a facility of access to the thermonuclear unit of the power plant for routine service without dismantling the toroidal field winding and its vacuum shell.

scholarly journals Modeling of asynchronous motor operation modes for the correct selection of voltage regulation devices

2020 ◽  
Vol 178 ◽  
pp. 01015 ◽  
Author(s):  
Azat Akhmetshin ◽  
George Marin ◽  
Dmitrii Mendeleev
Keyword(s):  
Voltage Drop ◽  
Asynchronous Motor ◽  
Electric Circuit ◽  
Voltage Regulation ◽  
Correct Selection ◽  
Voltage Level ◽  
Nominal Voltage ◽  
Motor Operation ◽  
Technical Solutions ◽  
Selection Of

Many electrical appliances are used in production and in everyday life, which include elements that are extremely sensitive to voltage deviations from acceptable values. Failure in their work can cause equipment failure or a breakdown in technological processes. There are a number of technical solutions to solve this problem, one of which is the using of voltage control devices such as boost transformers. The principle of operation of booster transformers is the introduction of a longitudinal EMF into the electric circuit, which provides booster. The choice of voltage regulation devices consists in determining its power and the required transformation ratio. The latter needs some justification, because it cannot be formally accepted: if it is necessary to increase the voltage, for example by 5%, it is enough to introduce a longitudinal EMF of 5% of the nominal voltage into the electric circuit. This is due to the fact that with increasing voltage from the load side, the power consumption also increases, which causes an increase in voltage drop compared to modes in the absence of voltage regulation devices. Thus, the load will receive a slightly lower voltage level in comparison with the desired one.

Analysis of the nursing staff selection system by the example of a stationary medical organization

2021 ◽  
pp. 59-67
Author(s):  
Svetlana Viktorovna Arkhipova ◽  
Tatyana Vladimirovna Bessonova
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Nursing Staff ◽  
Medical Personnel ◽  
Selection System ◽  
Rational Selection ◽  
Medical Organization ◽  
Effective Use ◽  
Selection Of

The aim of the study was to search for effective forms of selection of nursing personnel and their placement in a medical organization. Results: the analysis and study of the reasons for the turnover of nursing staff were carried out, effective forms of selection and placement of personnel in the organization were recommended. Conclusion: a qualitatively new level of development of the health care system cannot be achieved without the effective use of human resources. The study showed the role of personnel management, effective use of «human resources», rational selection of medical personnel.

The Inpatient Behavioral Rating Scale: A 26-Item Scale for Recording Nursing Observations of Patients' Mood and Behavior

1977 ◽  
Vol 40 (2) ◽  
pp. 543-549 ◽  
Author(s):  
Richard A. Green ◽  
Llewellyn Bigelow ◽  
Paul O'Brien ◽  
Deborah Stahl ◽  
Richard J. Wyatt
Keyword(s):  
Clinical Research ◽  
Nursing Staff ◽  
Clinical Setting ◽  
Behavioral Change ◽  
Rating Scale ◽  
Clinical Investigation ◽  
Behavioral Rating ◽  
Optical Scan ◽  
And Behavior ◽  
Item Scale

The Inpatient Behavioral Rating Scale is an inventory designed to record daily nursing observations of mood and behavior of patients in a clinical setting. It has 26 items characterizing a broad range of psychopathology and is suitable for use where change in mood and behavior is relevant to clinical investigation. The format is an optical scan sheet for ease of computer entry and analysis. In over a year of use on two clinical research wards, the scale has been found sensitive to behavioral change, reliable, and easy to use by the nursing staff.

scholarly journals ampR Gene Mutations That Greatly Increase Class C β-Lactamase Activity in Enterobacter cloacae

2000 ◽  
Vol 44 (3) ◽  
pp. 561-567 ◽  
Author(s):  
Akio Kuga ◽  
Ryoichi Okamoto ◽  
Matsuhisa Inoue
Keyword(s):  
Escherichia Coli ◽  
Clinical Setting ◽  
Point Mutations ◽  
Gene Mutations ◽  
Enterobacter Cloacae ◽  
Class C ◽  
Selection Of

ABSTRACT The ampC and ampR genes ofEnterobacter cloacae GN7471 were cloned into pMW218 to yield pKU403. Four mutant plasmids derived from pKU403 (pKU404, pKU405, pKU406, and pKU407) were isolated in an AmpD mutant ofEscherichia coli ML4953 by selection with ceftazidime or aztreonam. The β-lactamase activities expressed by pKU404, pKU405, pKU406, and pKU407 were about 450, 75, 160, and 160 times higher, respectively, than that expressed by the original plasmid, pKU403. These mutant plasmids all carried point mutations in theampR gene. In pKU404 and pKU405, Asp-135 was changed to Asn and Val, respectively. In both pKU406 and pKU407, Arg-86 was changed to Cys. The ease of selection of AmpR mutations at a frequency of about 10−6 in this study strongly suggests that derepressed strains, such as AmpD or AmpR mutants, could frequently emerge in the clinical setting.

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