Leadership competencies of first-line nurse managers: a quantitative study

Purpose This paper aims to examine the leadership competencies of first-line nurse managers (FLNMs) at the unit level in the eastern region of Ghana. Design/methodology/approach The paper is a quantitative cross-section design. Findings Nurse managers exhibited a moderate level of knowledge and ability to apply leadership competencies. Gender, rank, qualification, professional experience, management experience and management training jointly predicted the leadership competencies of FLNMs [(R2 = 0.158, p = 0.016]. However, only management training was a significant predictor in the model. Practical implications Inappropriate leadership competencies have severe consequences for patients and staff outcomes. This situation necessitates a call for a well-structured program for the appointment of FLNMs based on competencies. Originality/value This study is the first in Ghana which we are aware of that examined the leadership competencies at the unit level that identifies predictors of leadership competencies.

Feto-Maternal Consequences of Obesity in Pregnancy

Introduction: Potential ill effects of obesity in pregnancy pose a challenge encompassing many comorbidities that threaten the life and require special attention. Pregnancy is the most crucial event for women surrounded with multiple complexities. Obesity during pregnancy leads to life threatening events for mother as well as fetus. Purpose of the present study was to identify the feto-maternal outcomes of obesity during pregnancy. Methodology: An observational cross-section design was used. Non-probability convenient sampling was done to collect data from 170 women. Data related to predominated maternal problem during pregnancy and fetus birth was collected. Ethical considerations were followed. Data was analyzed through SPSS (version 24.0). Results: Findings revealed multiple consequences of obesity on both mother and fetus. Obesity was considered as a mainstay of feto-maternal complications and findings revealed a significant association (p-value <0.05). Conclusion: Obesity is a signal for many adverse feto-maternal outcomes during pregnancy that poses a challenge for both mother and fetus. It is concluded from this study that there is ample need to educate mothers regarding the hazardous consequences of obesity in pregnancy. Keywords: Fetus, Maternal, Consequences, Obesity, Pregnancy

Influence of the Geometrical Cross-Section Design on the Dynamic Cyclic Fatigue Resistance of NiTi Endodontic Rotary Files—An In Vitro Study

The aim of this study was to analyze and compare the influence of the geometrical cross-section design on the dynamic cyclic fatigue resistance of NiTi endodontic rotary files. Materials and Methods: Forty sterile endodontic rotary files were selected and distributed into the following study groups: A: 25.06 double S-shaped cross-section NiTi alloy endodontic rotary files (Mtwo) (n = 10); B: 20.04 rectangular cross-section NiTi alloy endodontic rotary files (T Pro E1) (n = 10); C: 25.04 convex triangular cross-section NiTi alloy endodontic rotary files (T Pro E2) (n = 10); and D: 25.06 triangular cross-section NiTi alloy endodontic rotary files (T Pro E4) (n = 10). A cyclic fatigue device was used to conduct the static cyclic fatigue tests with stainless steel artificial root canal systems with 200 µm and 250 µm apical diameter, 60° curvature angle, 3 mm radius of curvature, 20 mm length, and 4% and 8% taper. The results were analyzed using the ANOVA test and Weibull statistical analysis. Results: All the pairwise comparisons presented statistically significant differences between the time to failure and number of cycles to failure for the cross-section design study groups (p < 0.001). Conclusions: the double S-shaped cross-section of Mtwo NiTi endodontic files shows higher cyclic fatigue resistance than the rectangular cross-section of T Pro E1 NiTi endodontic files, the convex triangular cross-section of T Pro E2 NiTi endodontic files, and the triangular cross-section of T Pro E4 NiTi endodontic files.

Landscape design of “Tanjung Budaya Pemuteran” coast area based on landscape engineering

“Tanjung Budaya Pemuteran” is a place of coastal tourism and alternative tourism based on community culture in Pemuteran Village, Bali. The landscape characteristic and inherent local wisdom make this bay is a unique place. Gebug ende is the native rain harvesting ritual of Pemuteran society, which can be suggestive evidence. Currently, Tanjung Budaya Pemuteran landscapes not suitable to support the site function. This research aims to identify the existing landscape to make Tanjung Budaya Pemuteran use optimally without disregarding inherent local wisdom. Landscape analysis spatial with the quantitative and qualitative approach used to know the potential and constraint. The landscape engineering approach is used to measure the volume of rainwater to optimize the result of Gebug ende rain harvesting. The basic concept of this landscape design is named “Identities of Pemuteran”. Design concept generated through the transformation of Gebug ende. The block plan becomes a schematic design product that consists of a welcome area, a culture tourism area, a recreation area, and a service area. Each area is connected by primer and secondary circulation. Plants on-site are regulated based on vegetation groups of Barrington, Pes caprae, Mangroves, and existing. Visuals on the site are also arranged according to the design plan. The landscape engineering method produced the construction of a rainwater harvester with a volume of 10 m3. Site plan interpretations are explained in more detail through the site section, design details, and some illustrations.

Developing and applying Mach 4.5 nozzle in hypersonic wind tunnel

Mach 4.5 tests in a conventional trans-supersonic wind tunnel are often accompanied by the air liquefaction phenomenon, resulting in the low reliability of test data. The Mach 4.5 nozzle developed in a hypersonic wind tunnel is able to heat airflow and provide more accurate test data. At present, China does not have the capability to test the Mach 4.5 nozzle in the 0.5-meter hypersonic wind tunnel. This gap may be filled by developing the Mach 4.5 nozzle in the hypersonic wind tunnel. The axisymmetric nozzle profile was calculated by the inviscid flow calculation method, and the boundary layer was modified by the Sivells-Payne method. Then, the numerical simulation was carried out, and the simulation results prove that the nozzle profile thus calculated meets the design requirements of the Mach number. For its structural design, a three-section design method is adopted to ensure the continuity and smoothness of the inner surface so as to better calibrate the flow field. Standard model tests were also carried out. The test results show that the velocity field of the Mach 4.5 nozzle we developed meets technical requirements. The standard model test data provide data reliable support for the development of aircraft.

Minimizing the Negative Effects of Coolant Channels on the Torsional and Torsional-Axial Stiffness of Drills

Coolant channels allow internal coolant delivery to the cutting region and significantly improve drilling, but these channels also reduce the torsional and torsional-axial stiffness of the drills. Such a reduction in stiffness can degrade the quality of the drilled holes. The evacuation of cutting chips and the delivery of the cutting fluid put strict geometrical restrictions on the cross-section design of the drill. This necessitates careful selection and optimization of features such as the geometry of the coolant channels. This paper presents a new method that uses Prandtl’s stress function to predict the torsional and torsional-axial stiffness values. Using this method drills with one central channel are compared to those with two eccentric coolant channels, which shows that with the same cross-section area, the reduction of axial and torsional-axial stiffness is notably smaller for the design with two eccentric channels compared to a single central channel. The stress function method is further used to select the appropriate location of the eccentric coolant channels to minimize the loss of torsional and torsional-axial stiffness. These results are verified by comparison to the results of three-dimensional finite element analyses.

Analysis of Patient Satisfaction with Family Center Care Services Based on Importance Performance Analysis and Customer Satisfaction Index

Background : In the era of globalization, excellent service is a key element in hospitals and care units. Patient satisfaction is an indicator of the first hospital to use to measure the quality of health care. Patients and families of parents patient care determine if they can be active in care and decision-making. Objective : Determine the "Patient Satisfaction Analysis Of Service Center Family Care (FCC) Based Importance Performance Analysis ( IPA) And Customer Satisfaction Index(CSI) In The Finches RSAU Dr. Salamun Bandung " Descriptive and cross-section design. Method : The research was conducted from 27 June 2019 to 31 June 2019 and involved a sample of 30 respondents. Data were collected by the distributing questionnaires. The data are processed using the Univariate, Importance Efficiency Analysis (IPA) and Customer Satisfaction Index (CSI). Results : The results of this study, the 5 dimensions of service most nursing FCC is very satisfied category, namely reliability dimension ( 94.27 %), Assurance ( 94.85 %), Tangible ( 93.52 %) ), Empathy ( 96.22 %), And responsiveness ( 94.27 %) ( 94.27 percent ). Conclusion : Patient satisfaction with community care centers (FCC) based on (IPA) and (CSI) in the room finches pretty good RSAU Bandung Dr. Salamun.

DOES HUMAN RESOURCES DEVELOPMENT AND ORGANIZATIONAL CULTURE STILL IMPACT ON EMPLOYEE PERFORMANCE?

This study aims to analyze (1) the effect of human resource development on employee performance, (2) ) The Influence of Organizational Culture on Employee Performance (3) The Influence of Human Resource Development and Organizational Culture on Employee Performance. The object of this research is PT.Sega Mas Banjarmasin. This study uses a survey method with a cross section design. The sampling technique uses saturated side (census). Respondents in this study were 40 permanent employees at PT.Sega Mas-Banjarmasin. This research resulted in the findings that by developing education and training, work capacity, knowledge skills, skills abilities, attitudinal abilities of employees organizational goals were achieved. Human Resource Developmentis a way to achieve an organizational goal effectively and efficiently through the implementation of individual duties and obligations in the organization. The findings of this study seem to enrich understanding of how to improve organizational performance through the inculcation of an effective Organizational Culture. This study found that the Organizational Culture that is built by increasing the culture of innovation, employee-oriented organizational activities and also paying attention to existing problems have implications for employee serenity and performance