scholarly journals The importance of increasing frontline nurses’ leadership skills engaging in professional development programs

2020 ◽  
Vol 10 (9) ◽  
pp. 80
Author(s):  
Christine Fardellone ◽  
Jennifer Meyer ◽  
Launette Woolforde
Keyword(s):  
Professional Development ◽  
Leadership Development ◽  
The United States ◽  
Development Education ◽  
Convenience Sample ◽  
North East ◽  
The North ◽  
Clinical Ladder ◽  
Preceptor Programs ◽  
Leadership Competence

Problem/Significance: Nurses may not be required to engage in professional development; however professional development has been identified as a factor to improve leadership competence, confidence, decision making, and clinical practice. Specifically, nurses who participate in professional development education improve their leadership characteristics. This study will evaluate the leadership behaviors of frontline nurses participating in professional development compared to those who were not.Methods: A convenience sample of 248 staff nurses employed in the North East region of the United States responded to the descriptive observational study design. The subjective responses to the Leadership Practice Inventory® (LPI) and demographic variables were analyzed.Results: Clinical ladder nurses scored higher on all subscales of the LPI than did nurses not on the clinical ladder. Unit-based clinical champions scored highest on the LPI regardless of the clinical ladder level or participation.Conclusions: Professional development in the form of education, certification, preceptor programs, leadership development clinical ladder programs, and unit-based champions should be considered in order to improve patient outcomes.

scholarly journals Rethinking the Security Architecture of North East Asia

2010 ◽  
Vol 41 (2) ◽  
pp. 273
Author(s):  
Michael J Kelly ◽  
Sean Watts
Keyword(s):  
United States ◽  
East Asia ◽  
North Korea ◽  
The United States ◽  
United Nations Security Council ◽  
Collective Security ◽  
North East ◽  
The North ◽  
The Government ◽  
The Cold War

In the aftermath of the Cold War, many began to question the continuing efficacy, or at least call for reform, of collective security structures such as the North Atlantic Treaty Organization and the United Nations Security Council. Yet, North East Asia never enjoyed a formal, institutionalised collective security structure. As Russia and the United States recede and China emerges in North East Asia, this article questions whether now is the time to consider such an arrangement. Financially, Japan and South Korea are locked into a symbiotic relationship with China (as is the United States), while the government in Beijing continues to militarise and lay territorial and maritime claims to large areas of the region. Moreover, the regime in North Korea, with its new nuclear capabilities, remains unpredictable. Consequently, central components to the question of collective security in North East Asia are the equally vexing questions of what to do about North Korea and whether a new formalised security arrangement would include or exclude the People's Republic of China.

Codification and Automation of Psychiatric Data: the CAPRICE System

1973 ◽  
Vol 123 (575) ◽  
pp. 471-474 ◽  
Author(s):  
M. Valentine
Keyword(s):  
United States ◽  
United States Of America ◽  
Clinical History ◽  
The United States ◽  
Check List ◽  
North East ◽  
The North ◽  
Patient’S Experience ◽  
Comprehensive Listing ◽  
Psychiatric State

In the United States of America, many centres are now running automated data programmes in the psychiatric field (Kline and Laska, 1968; Ulett and Sletten, 1971). In Britain, such developments have been much more restricted; prominent examples however are the North-East Scotland psychiatric register, and the Maudsley Hospital—Institute of Psychiatry check-list, together with the Camberwell register. As a clinical itemization, the ‘Present Psychiatric State’ (Wing et al., 1967) presents a comprehensive listing of over 400 symptoms, the evaluation being confined to the previous four weeks of the patient's experience. This is a valuable research tool, but for routine clinical history requirements it would be both too detailed and, by definition, too limited in scope.

Annual Meeting of the (American) African Studies Association

1969 ◽  
Vol 7 (2) ◽  
pp. 319-322
Author(s):  
Helen Kitchen
Keyword(s):  
New York ◽  
Annual Meeting ◽  
Pacific Coast ◽  
The United States ◽  
African Studies ◽  
North East ◽  
The North ◽  
The Pacific ◽  
Middle West ◽  
The University

The membership of the African Studies Association now numbers 1,731— 734 fellows, 618 associates, and 379 student associates. Some 700 of these participated in the eleventh annual meeting of the Association. Although attendance was considerably below the 1,300 registered at the New York Hilton in 1967 and the nearly 1,000 who made their way to the University of Indiana in 1966, there is no indication that this reflects a declining interest in African studies in the United States. Rather, the A.S.A. custom of bringing its annual meetings in turn to scholars in the north-east, on the Pacific coast, and in the Middle West results in predictable fluctations in registration.

Arab gripes pose challenges for Syrian Kurds’ control

2019 ◽  
Keyword(s):  
United States ◽  
Decision Making ◽  
Saudi Arabia ◽  
The United States ◽  
Content Type ◽  
Power Dynamic ◽  
North East ◽  
The North ◽  
North Eastern ◽  
Underlying Causes

Subject Kurdish-Arab tensions in north-east Syria Significance Significant protests between April and June by Arab tribes in north-eastern Syria against Kurdish governance have subsided in north-eastern Syria after Saudi Arabia intervened to encourage de-escalation. However, the underlying causes, including grievances over economic distribution, heavy-handed security methods and a lack of Arab representation in decision-making, have not been resolved. Impacts A deterioration in cooperation between Arab tribes and the SDF may facilitate the operations of IS sleeper cells. The United States and partners will look for further ways to alleviate the concerns of Arab tribes in the area. Ankara and Damascus, which both have designs on the north-east, will play up protests to justify intervention. A mooted Turkish invasion of the border area could radically shift the power dynamic in the region.

Syria players’ next steps hinge on US withdrawal plans

2019 ◽  
Keyword(s):  
United States ◽  
The United States ◽  
Military Policy ◽  
Content Type ◽  
North East ◽  
The North ◽  
Us Military

Significance Confusion still reigns over US military policy on Syria two months after US President Donald Trump’s announcement of a withdrawal. Washington is seeking a deal between Kurdish elements of the Syrian Democratic Forces (SDF) -- its local allies -- and Ankara, which wants to invade areas of the north-east, but has not yet found one. Impacts Ankara will not engage in any offensive that could bring Turkish troops into conflict with US forces. If the United States leaves suddenly, the Turkish army will move quickly to seize priority targets. An emphasis on Kurdish identity by SDF elements could provoke unease among the north-east’s Arabs.

Evaluating the Transfer of Care from Psychiatric Hospitals to District-Based Services

1993 ◽  
Vol 162 (S19) ◽  
pp. 6-6 ◽  
Author(s):  
Julian Leff
Keyword(s):  
Inner City ◽  
Large Scale ◽  
Medical Officer ◽  
Psychiatric Hospitals ◽  
The United States ◽  
Regional Health ◽  
North East ◽  
The North ◽  
Steady Rate ◽  
Regional Medical

In July 1983 the Regional Medical Officer of the North East Thames Regional Health Authority (NETRHA) appeared on television to announce the closure of Claybury Hospital and much of Friern Hospital over a ten-year period.When NETRHA announced its decision, the policy to be pursued was innovative because it involved psychiatric hospitals serving inner-city populations, and because there was apparently no intention to achieve its aim by decanting patients into other psychiatric hospitals, as had been done with the closures of St Wulstan's and Banstead Hospitals. Although the run-down of psychiatric hospitals had been occurring at a steady rate in the United States and in England and Wales since the early 1950s, there had been few attempts to evaluate the policy, and none had been in any sense comprehensive (this supplement, paper 7). Clinicians and research workers in the field of social psychiatry were well aware of the need for large-scale evaluative studies, since protagonists and opponents of the policy of deinstitutionalisation were locked in a polemical argument which was pursued with increasing stridency through lack of reliable information.

scholarly journals Hydro-businesses: National and Global Demands on the São Francisco River Basin Environment of Brazil

2010 ◽  
Vol 55 (S18) ◽  
pp. 203-233
Author(s):  
Lucigleide Nery Nascimento ◽  
Mimi Larsen Becker
Keyword(s):  
Large Scale ◽  
The United States ◽  
Economic Approach ◽  
Hydro Power ◽  
Federal Policies ◽  
Sao Francisco River ◽  
North East ◽  
The North ◽  
São Francisco River

SummaryThe São Francisco River provided very obvious, close-by forms of sustenance for local communities. Beginning in the mid-1950s, the river became the place for large hydro-electric facilities, large-scale flooding, and population resettlement. A decade later, the federal government began working on pilot irrigation projects that would lead to areas described today as the Brazilian California. Hydro-power for Brazilian cities such as Recife and Salvador and irrigation for grapes and mangoes destined for the United States and Europe are among the eco-system services this river supplies. The purpose of federal policies for the north-east went beyond mitigation of the consequences of droughts, the hydraulic approach, and started to follow an economic approach based upon development; as a consequence, river and user came to be distant from one another. The two major intensive uses of the river, electricity and irrigation, threaten the long-term sustainability of this system.

Archibald “Stewart” Hunter MBChB, FRCP(Ed) FRCP(Glas), DCH, 7 March, 1936-18 February, 2021

2021 ◽  
pp. 1-2
Author(s):  
Jonathan Wyllie
Keyword(s):  
The United States ◽  
Church Of Scotland ◽  
Paediatric Cardiology ◽  
North East ◽  
The North ◽  
Cardiology Department ◽  
The Family ◽  
The Many ◽  
The University ◽  
Newcastle Upon Tyne

Stewart Hunter was born in 1936 in Comrie, Perthshire. He was the son of Margaret (Peggy) and Archibald Hunter who was a minister in the Church of Scotland and later became Professor of New Testament Theology at the University of Aberdeen. Whilst Stewart chose medicine over the Kirk, he still studied at Aberdeen University. Following qualification in 1960, he chose to specialise in Paediatric Cardiology moving his family to London to learn how to treat children born with heart malformations at Great Ormond Street. Subsequently, he and the family moved back north to Edinburgh to continue that speciality at the Sick Children’s Hospital. In 1969, he was appointed as a lecturer in paediatric cardiology in the academic department of Newcastle University. Between 1972 and 1973, he and the family went to a research post in the United States of America in Pennsylvania where he was part of a team researching and publishing on the use of cineangiography in adults, a technique which he then extended with Dr Mike Tynan to children and infants upon his return to Newcastle. He returned to a second consultant post at Newcastle General Hospital, where the North East Clinical Paediatric Cardiology department was sited before moving to the new purpose built department of Paediatric Cardiology at Freeman Hospital, Newcastle upon Tyne in 1977. His career is a list of achievements which is perhaps most notable for the many clinicians of varying backgrounds with whom he collaborated, supported, taught and developed over the years.

The Creation of Cab Signaling

2019 ◽  
Author(s):  
John Hofbauer
Keyword(s):  
The United States ◽  
Light Rail ◽  
Signaling System ◽  
Signaling Systems ◽  
Train Control ◽  
North East ◽  
The North ◽  
Rail Systems ◽  
The Us ◽  
Pennsylvania Railroad

Cab signaling enforces the separation between trains as well as enforcing trains to reduce speed as the train approaches signals displaying STOP. Cab signaling allow for and provides a safe way to eliminate the number of wayside automatic signals while the number of controlled speeds can be increased. Light Rail Transit (LRT) systems today are built completely with cab signaling and only fixed wayside signals are placed at interlockings for routing information. Experimental cab signaling systems began in the United States in the 1920s, kicked off by the Interstate Commerce Commission (ICC) ruling that required some form of Automatic Train Control (ATC) be installed on one passenger division by 1925. This paper will begin with examining the initial ATC designs (intermediate and continuous), the first experimental installations, the testing challenges and the overall enhancements that pioneered cab signaling systems in the US. The focus will include the teaming of the Pennsylvania Railroad with Union Switch and Signal (US&S) to develop, build and successfully test the continuous cab signaling system which later became the de facto standard. The early systems implemented used two (2) speeds, methods on adding a third speed and how the system became integrated with the existing automatic block signaling. How Pennsylvania Railroad (currently Amtrak) is still using the technology that started 100 years ago on the North East Corridor. It will also introduce how Light Rail systems operate on speed commands using cab codes.

Forest fire causes and extent on United States Forest Service lands

2005 ◽  
Vol 14 (3) ◽  
pp. 213 ◽  
Author(s):  
Scott L. Stephens
Keyword(s):  
United States ◽  
Rocky Mountains ◽  
The United States ◽  
Forest Service ◽  
United States Forest Service ◽  
Relative Area ◽  
Area Burned ◽  
North East ◽  
The North ◽  
South West

Nationally, the causes and extent of fire on lands administrated by the United States Forest Service varied significantly from 1940 to 2000, with California experiencing the largest relative annual burned areas. The south-east and California experienced the largest relative area burned by fires from human ignitions. No significant differences were detected in the relative area burned by lightning in California, the upper and central Rocky Mountains, and the south-west, which all experienced the highest levels. The north-west and Rocky Mountains have experienced significant increases in the relative total area burned; the north-east, south-east, California, and coastal Alaska all remained unchanged. The northern Rocky Mountains, south-west, and north-east have all experienced significant increases in the amount of area burned by lightning without significant increases in lightning ignitions. Increasing fuel hazards in these areas probably contributed to the increasing area burned by lightning fires; changing climate could have also contributed to the increase in wildfire area from 1940 to 2000. To be effective across the diverse forest types and conditions in the USA, fire policy should better recognize and respond to the diversity of US forests and how they have burned in the past. This analysis determined that there is high geographical diversity on wildfire occurrence and causes. Local input is therefore important in designing diverse, ground-based solutions to address fire management challenges in the United States.

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