AbstractCuban bulrush (Oxycaryum cubense Poepp. & Kunth Lye) is an invasive floating aquatic plant that causes negative ecological and economic impacts in the southeastern United States. Temperatures ...in the United States have increased over recent decades which can result in geographic expansion of invasive plants in North America. Accumulated degree-days (ADD) were utilized to develop predictive models (state and regional models) for Cuban bulrush growth from harvested biomass collected over one year in Mississippi, Louisiana, and Florida. Peak emergent biomass occurred from early to mid-fall (September-October) with growth continuing into winter. Accumulated degree days needed for Cuban bulrush to reach peak emergent biomass ranged from 6,469 (Mississippi), 7111 (regional), 7,643 (Florida), and 7,903 (Louisiana). Calendar days needed for Cuban bulrush to reach peak emergent biomass ranged from 292 (Mississippi) to 334 (Florida). Base temperature thresholds for Cuban bulrush were −6 C, −3 C, −3 C, and −2 C for Mississippi, Louisiana, regional, and Florida models respectively. The models suggest Cuban bulrush has a tolerance to lower air temperatures that could allow for survival in moderate winter conditions. Overall, model predictability was less accurate for populations further south (Florida) due to warmer winter temperatures, year-round growth, and difficulty defining when peak emergent biomass occurred. Results from this study indicate that Cuban bulrush growth is greater in warmer temperatures, though low base temperature thresholds suggest this species may be capable of expanding its invaded range to cooler climates beyond the southeastern United States.
The study objective was to investigate and synthesize available evidence relating to the psychological health of Emergency Dispatch Centre (EDC) operatives, and to identify key stressors experienced ...by EDC operatives.
Eight electronic databases (Embase, PubMed, Medline, CINAHL, PsycInfo, PsycArticles, The Psychology and Behavioural Sciences Collection, and Google Scholar) were searched. All study designs were included, and no date limits were set. Studies were included if they were published in English, and explored the psychological health of any EDC operatives, across fire, police, and emergency medical services. Studies were excluded if they related solely to other emergency workers, such as police officers or paramedics. Methodological quality of included studies was assessed using checklists adapted from the Critical Appraisal Skills Programme. A narrative synthesis was conducted, using thematic analysis.
A total of 16 articles were included in the review. Two overarching themes were identified during the narrative synthesis: 'Organisational and Operational Factors' and 'Interactions with Others'. Stressors identified included being exposed to traumatic calls, lacking control over high workload, and working in under-resourced and pressured environments. Lack of support from management and providing an emotionally demanding service were additional sources of stress. Peer support and social support from friends and family were helpful in managing work-related stress.
EDC operatives experience stress as a result of their work, which appears to be related to negative psychological health outcomes. Future research should explore the long-term effects of this stress, and the potential for workplace interventions to alleviate the negative impacts on psychological health.
CRD42014010806.
IntroductionAmong US veterans, more than 78% have a body mass index (BMI) in the overweight (≥25 kg/m2) or obese range (≥30 kg/m2). Clinical guidelines recommend multicomponent lifestyle programmes ...to promote modest, clinically significant body mass (BM) loss. Primary care providers (PCPs) often lack time to counsel and refer patients to intensive programmes (≥6 sessions over 3 months). Using peer coaches to deliver obesity counselling in primary care may increase patient motivation, promote behavioural change and address the specific needs of veterans. We describe the rationale and design of a cluster-randomised controlled trial to test the efficacy of the Peer-Assisted Lifestyle (PAL) intervention compared with enhanced usual care (EUC) to improve BM loss, clinical and behavioural outcomes (aim 1); identify BM-loss predictors (aim 2); and increase PCP counselling (aim 3).Methods and analysisWe are recruiting 461 veterans aged 18–69 years with obesity or overweight with an obesity-associated condition under the care of a PCP at the Brooklyn campus of the Veterans Affairs NY Harbor Healthcare System. To deliver counselling, PAL uses in-person and telephone-based peer support, a tablet-delivered goal-setting tool and PCP training. Patients in the EUC arm receive non-tailored healthy living handouts. In-person data collection occurs at baseline, month 6 and month 12 for patients in both arms. Repeated measures modelling based on mixed models will compare mean BM loss (primary outcome) between study arms.Ethics and disseminationThe protocol has been approved by the Institutional Review Board and the Research and Development Committee at the VA NY Harbor Health Systems (#01607). We will disseminate the results via peer-reviewed publications, conference presentations and meetings with stakeholders.Trial registration numberNCT03163264; Pre-results.
Nurses and midwives constitute the majority of the global health workforce and the largest health care expenditure. Efficient production, successful deployment, and ongoing retention based on ...carefully constructed policies regarding the career opportunities of nurses, midwives, and other providers in health care systems are key to ensuring universal health coverage. Yet nurses are constrained by practice regulations, workplaces, and career ladder barriers from contributing to primary health care delivery. Evidence shows that quality HIV care, comparable to that of physicians, is provided by trained nurses and associate clinicians, but many African countries' health systems remain dependent on limited numbers of physicians and fail to meet the demand for treatment. The World Health Organization endorses task sharing to ensure universal health coverage in HIV and maternal health, which requires an investment in nursing education, retention, and professional growth opportunities. Exemplars from Haiti, Rwanda, Republic of Georgia, and multi-country efforts are described.
Learning the language of health equity Squires, Allison; Thompson, Roy
Research in nursing & health,
December 2021, 2021-12-00, 20211201, Letnik:
44, Številka:
6
Journal Article
Recenzirano
Odprti dostop
We have created this editorial series around “Learning the Language of Health Equity” that will be published in RINAH over the next seven issues. The inspiration for this series came from an early ...part of Ijeoma Oluo's book “So You Want to Talk About Race” (Oluo, 2019). One important message in Oluo's book was: Mistakes are inevitable when talking about race, equity, inequality, and related issues of discrimination, especially if you belong to a historically dominant group; for example, being White in the US. Whether you are a White person attempting to discuss race with someone who self-identifies as Black, or a cisgender individual discussing gender identity with an individual who self-identifies as a transgender person, then similar principles apply.Our goal with this editorial series is to deepen our understanding of the importance of learning the language of health equity in its many forms so that the evidence published by RINAH, and other nursing and midwifery journals are less likely to reflect bias, unconscious or otherwise. We further acknowledge the global readership of RINAH who live and work in various political, economic, geographic, and sociocultural contexts and may face similar challenges in their own countries. By initiating these discussions through this editorial series, our goal is to help nursing and midwifery researchers, administrators, practicing professionals, and students learn the fundamentals of the language of health equity. Together, as we learn the basic language of health equity, we improve our chances of having more productive dialogs around racism, discrimination, sexism, and related topics that will advance the professions and make them more inclusive. In turn, more equitable health outcomes may result for those with whom we work.
The purpose of this consensus paper was to convene leaders and scholars from eight Expert Panels of the American Academy of Nursing and provide recommendations to advance nursing's roles and ...responsibility to ensure universal access to palliative care. On behalf of the Academy, these evidence-based recommendations will guide nurses, policy makers, government representatives, professional associations, and interdisciplinary and community partners to integrate palliative nursing services across health and social care settings. Through improved palliative nursing education, nurse-led research, nurse engagement in policy making, enhanced intersectoral partnerships with nursing, and an increased profile and visibility of palliative care nurses worldwide, nurses can assume leading roles in delivering high-quality palliative care globally, particularly for minoritized, marginalized, and other at-risk populations. Part II herein provides a summary of international responses and policy options that have sought to enhance universal palliative care and palliative nursing access to date. Additionally, we provide ten policy, education, research, and clinical practice recommendations based on the rationale and background information found in Part I. The consensus paper's 43 authors represent eight countries (Australia, Canada, England, Kenya, Lebanon, Liberia, South Africa, United States of America) and extensive international health experience, thus providing a global context for the subject matter.
Language barriers between nurses and patients increasing affect nursing practice, regardless of where care is delivered. The article provides background information about language barriers between ...nurses and patients, and how these barriers affect patient outcomes.
The purpose of this consensus paper was to convene leaders and scholars from eight Expert Panels of the American Academy of Nursing and provide recommendations to advance nursing's roles and ...responsibility to ensure universal access to palliative care. Part I of this consensus paper herein provides the rationale and background to support the policy, education, research, and clinical practice recommendations put forward in Part II. On behalf of the Academy, the evidence-based recommendations will guide nurses, policy makers, government representatives, professional associations, and interdisciplinary and community partners to integrate palliative nursing services across health and social care settings. The consensus paper's 43 authors represent eight countries (Australia, Canada, England, Kenya, Lebanon, Liberia, South Africa, United States of America) and extensive international health experience, thus providing a global context for the subject matter. The authors recommend greater investments in palliative nursing education and nurse-led research, nurse engagement in policy making, enhanced intersectoral partnerships with nursing, and an increased profile and visibility of palliative nurses worldwide. By enacting these recommendations, nurses working in all settings can assume leading roles in delivering high-quality palliative care globally, particularly for minoritized, marginalized, and other at-risk populations.
According to the U.S. census Bureau, close to 20% of the U.S. population speaks a language other than English at home. Home health care (HHC) patients who speak English less than very well or have ...limited English proficiency (LEP) are at an increased risk for medication mismanagement and serious health consequences. The purpose of this study was to examine if there were differences in medication management between English-speaking patients and patients with LEP receiving HHC services. Data for this cross-sectional observation study were collected from 2010 to 2014. Medication management was measured by two items in the Centers for Medicare and Medicaid Services–mandated Outcomes Assessment Information Set (OASIS). All patients in the database who were taking medications and had a valid admission and discharge assessment from HHC were included in the analysis. Inverse probability of treatment weighting (IPTW) with a marginal structural model was used to address potential imbalances in observed patient characteristics when estimating the effect of having LEP or being an English-speaking HHC patient on changes in medication management over the course of a HHC episode. Estimates from marginal structural model with inverse probability weighting indicate that being LEP was associated with less improvement in medication management and increased likelihood of getting worse over the course of a HHC episode. This study is one of the first to demonstrate that patients with LEP experience disparities in medication management when compared to English-speaking patients in HHC.
PDF
