bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS STRATEGI AKTUALISASI DIRI SASYA TRANGGONO PEREMPUAN PERUPA INDONESIA DALAM MASA PANDEMIK COVID-19
Authors: Adriati Ira
Published: June 2024

Sasya Tranggono is an Indonesian female artist who works with the subjects of puppets, flowers and butterflies. Her work is well known in the Indonesian art social scenes; she has actualized herself. In this research condition analyzes the self-actualization process during the Covid-19 pandemic. This research is a qualitative research. Using Abraham Maslow's theory of self-actualization which has been converted to fine arts, Hans Van Maneen's theory for the exhibition process, and Hennessy's theory relating to publication on social media. Based on the analysis, it can be seen that Sasya Tranggono tries to maintain her self-actualization even through social media such as Instagram and the web. She has collaborated with several galleries to exhibit her work online and offline. All of her publication strategies kept her at the pinnacle of self-actualization.
"Seni Teks" Dalam Prespektif Dunia Virtual
Authors: Rahmat Jabbaril
Published: June 2024

If that is the priority in weighing the mind and exploring the core of the perspective of thinking, of course, will move on to a "statement". Where the platform of thought will be the entrance and open a gap for other thoughts, because the thinking perspective finds the value of "abstract". The context of thinking is more about extracting the essence of thinking, so the value of art becomes abstract. The reality of the meaning of art is not only a question of form, but more than that, art will play freely about form. The basic theory of writing, using a qualitative frame of mind, using a curatorial approach. The form of virtue in art is actually not based on purely aesthetic values, but the depth of ideas as a way of "enlightenment" to determine the direction where we should be oriented. The result of this thought is, the continuity of artistic value is certainly constructed by; Awareness of the value of intensity, ethics-technique, psychology and full awareness of the essence of ideas (philosophy of art). So the perspective of virtue in art is the awareness of thinking about the abstraction of the universe itself, which is manifested in the form of works, namely the work of two dimensions of Text Art.
SEDEKAH LAWANG AGUNG SEBAGAI EKSPRESI RASA SYUKUR MASYARAKAT DESA PERNEK
Authors: Pathiassana Mega Trishuta
Published: June 2024

This research aims to find out the origin and meaning of Sedekah Lawang Agung Ritual tradition was growth and developed among community of Pernek Village, Moyo Hulu Sub-district, Sumbawa Besar Regency. This qualitative study employed purposive sampling method with data collection technique by observation and in-depth interview from the informants. The result of this study showed that there were changes in meaning and objective of the tradition implementation. In the beginning, this tradition was intended for refusing reinforcements on plague afflicted the community. However, the meaning turned into gratitude expression for the community over time. On the other hand, this event is also used as culture and tradition promotion media of Pernek Village community impacted to tourism aspect nowadays. This aspect is expected to rise income of the community by economic activity included in part of the tourism activities.
TRADISI REOG PONOROGO SEBAGAI BUDAYA PENGUAT JATI DIRI BANGSA
Authors: Bekti Bekti Galih Kurniawan
Published: June 2024

Penulisan artikel ini bertujuan untuk mengidentifikasi dan mengkaji nilai-nilai yang terkandung dalam tradisi Reog Ponorogo sebagai salah satu budaya penguat jati diri bangsa. Artikel ini disusun dengan menggunakan metode study literatur yakni metode pengumpulan data yang dilakukan dengan memanfaatkan sumber dan bahan kepustakaan. Adapun hasil dan kesimpulan dari penelitian ini melipuiti : 1. Nilai Religius, 2. Nilai sosial, 3. Nilai Ekonomi dan 4. Nilai pertunjukan.Namun budaya reog ponorogo ini mulai ditinggalkan seiring dengan perkembangan zaman. Hal ini ditandai dengan banyaknya korupsi, radikalisme, terorisme, serta tantangan era globalisasi yang dapat menyebabkan lemahya jati diri bangsa. Nilai-nilai yang terkandung dalam tradisi Reog Ponorogo ini diharapkan dapat menjadi salah satu budaya yang dapat menguatkan jati diri bangsa. Nilai-nilai Reog Ponorogo dapat digunakan sebagai sumber inspirasi dan dapat berkontribusi pada pembentukan jati diri bangsa.
Kerupuk Klenteng Bojonegoro Dalam Perspektif Sejarah dan Gastronomi Budaya
Authors: M. Dwi Cahyono  , Henri Nurcahyo
Published: June 2024

Kerupuk (kadang ditulis krupuk) adalah sejenis makanan ringan yang terbuat dari tepung tapioka dan dikonsumsi sebagai pelengkap makanan pokok berupa nasi atau lainnya.  Pada umumnya kerupuk bukanlah makanan yang dapat “berdiri sendiri” melainkan hanya sebagai pelengkap, sebagaimana juga rempeyek. Berbeda dengan keripik atau rambak, yang dapat dikonsumsi secara mandiri, meski sebetulnya rambak juga digolongkan sebagai jenis kerupuk. Bagi  penggemar kerupuk, makan nasi tanpa kerupuk rasanya seperti ada yang kurang dan tidak lengkap. Kerupuk telah meniti perjalanan yang sangat panjang, lintas waktu, lintas masa, maka ada kerupuk tertentu yang menjadi "benda warisan" dari suatu generasi ke generasi berikutnya. Kerupuk merupakan produk budaya, maka benda warisan ini bisa dibilang sebagai "warisan budaya (heritage)". Kerupuk dalam konteks ini merupakan aset budaya yang dimiliki oleh negara atau lebih khusus lagi milik khas dari suatu daerah, yang diistilahi dengan "heritage lokal (daerah)'. Terbukalah kemungkinan ada suatu jenis kerupuk tertentu yang jadi ikon daerah, sebab ketenaran daerah itu justru karena kerupuk tertentu. Dalam hal ini Kerupuk Klenteng Bojonegoro (Kerupuk Bangjo) sudah menjadi salah satu ikon Kabupaten Bojonegoro lantaran memiliki kesejarahan yang panjang, (sejak tahun 1929) hingga dikelola oleh generasi keempat.
La supresión de las facultades de teología y derecho canónico en la universidad pública en el siglo XIX
Authors: Martínez Torres Francisco Miguel
Published: June 2024

En el siglo XIX, la secularización en España conllevó tensiones entre la Iglesia y el Estado, que fueron debidas por cambiantes relaciones, siendo la Ilustración y el Liberalismo causantes fundamentales de un proceso de cambio y modernización. La presencia de la Teología en la universidad pública generó debates sobre su relación con la ciencia y el mundo. Los diferentes planes de estudios y el análisis del Concordato en 1851 que suprimía las facultades de Teología y de Cánones, afectaron a la enseñanza y a la conexión entre la Iglesia y la sociedad, sin solución a alternativas moderadas, dejando un impacto e aislamiento de la Iglesia en la Universidad. El surgimiento del anticlericalismo moderno, debido a tensiones entre la Iglesia y el Estado, la revolución y la secularización, fue potenciado por corrientes filosóficas como el krausismo, el darwinismo, el marxismo y junto con la masonería, serían los principales propagadores del anticlericalismo y el indiferentismo religioso.La inclusión de la Teología y el Derecho Canónico en las universidades públicas sería compatible jurídicamente por los acuerdos firmados entre Estado Español y la Santa Sede, con la perspectiva de Bolonia, enriqueciendo a las ciencias humanísticas, el diálogo interdisciplinario y compresión de la sociedad, desde una perspectiva académica y civil.
NAVIGATING GLOBAL MARKETS: THE INTERSECTION OF INNOVATION AND ENTREPRENEURSHIP
Authors: Prof. Rajiv Chopra
Published: June 2024

Innovation and entrepreneurship serve as the primary engines propelling the global economy forward. In this collection of expert insights, we delve into the fundamental forces driving these regional economics, economic geography, and international economics. In recent decades, we've borne witness to a profound transformation in the world economy—a phenomenon commonly referred to as 'globalization'. This term encapsulates the rapid expansion of the free flow of goods, capital, people, ideas, information, and knowledge across borders. As we within multinational corporations and among independent entrepreneurs. Moreover, our contributors illuminate the critical role of location in fostering creativity, innovation deepen our comprehension of how innovation and entrepreneurship fuel economic development and foster growth in this globalized landscape, our experts underscore that the current era of globalization has ushered in a remarkable surge in entrepreneurial activity, evident both  and entrepreneurship. They emphasize that in a globalized economy, public policy must prioritize knowledge and ideas as the fundamental drivers of competitiveness and economic prosperity.dynamics, enriching our understanding with both theoretical frameworks and empirical evidence across various research domains, such as the economics of innovation and entrepreneurship,
Current Trends and Future Directions in Renewable Energy Systems
Authors: Aadya Sharma
Published: June 2024

A variety of technologies are included in renewable energy systems, which are intended to capture energy from renewable natural resources including sunlight, wind, water, and geothermal heat. These systems are not the same as fossil fuels, which have a limited supply and greatly exacerbate environmental degradation and climate change. Global initiatives to lessen the effects of climate change, cut greenhouse gas emissions, and achieve sustainable development must include the transition to renewable energy. It is crucial to define important words in the topic of renewable energy systems in order to comprehend it. Energy produced by constantly replenishing natural processes is referred to as renewable energy. This covers energy from biomass, geothermal, hydropower, wind, and solar sources. Photovoltaic cells or solar thermal collectors are used in solar power to extract energy from the sun. Using wind turbines, wind power transforms the kinetic energy of the wind into electrical energy. The energy of flowing water is harnessed to create electricity using hydropower. While geothermal energy uses heat from the Earth's core, biomass energy is created from organic materials.
E-Governance: An Effective Tool in Community Industry Services
Authors: Prof. Rajiv Chopra
Published: June 2024

Government makes best possible efforts to communicate and offer details to common man and businessman. Today’s government has full faith in E-Governance and widespread system of E-Governance across the entire globe proves its significance. E-Government is the online distribution of local/national government details, solutions to those, businesses and other government organizations. E-Governance is know-how which provides on the online accessibility to government solutions. It will help managers and higher authorities to perform their tasks effectively and efficiently. In this paper, essential support beams, models of E-Governance are mentioned. Different sections of E-Governance are explained like towns, non-urban places and wellness places. We have also critically evaluated the impact of E- Government on different solutions offered in different places by the federal government.
The Effect of Health Information Technology Assets on the Sustainability of Health Management Information Systems Usage Moderated by Strategy in Kendari City
Authors: Jumakil Jumakil , Syaifuddin Dedy Takdir , Jaya Muhammad Golok , Yuniar Nani
Published: June 2024

Background:Health policies in Indonesia facilitate public access to healthcare information in efforts to improve public health. These policies rely on the support of electronic healthcare information systems to provide health data and information. However, the usage of these systems faces various challenges that affect their sustainability.

Objective:To determine the effect of healthcare information technology assets on the sustainability of healthcare management information systems and the role of healthcare information technology strategies as a moderating variable.

Methods:This is a quantitative and explanatory research study. The sample consisted of 350 respondents, with a significance level of 0.05. Latent variables included the sustainability of healthcare management information system usage, healthcare information technology assets, and information system strategies, which also served as an intervening variable.

Results:The direct effect test yielded a p-value of 0.000 (<0.05), leading to the rejection of the null hypothesis. Thus, healthcare information technology assets and healthcare information technology strategies have a positive and significant effect on the sustainability of healthcare management information system usage. The indirect effect test yielded a p-value of 0.003 (<0.05), also leading to the rejection of the null hypothesis. These results indicate that the healthcare information technology strategies variable moderates the effect of healthcare information technology assets on the sustainability of healthcare management information system usage.

Conclusion:Healthcare information technology strategies strengthen the effect of healthcare information technology assets on the sustainability of healthcare management information system usage.

Keywords:Health Policy; Health Information Systems; Information Technology; Indonesia
AGROCHERNOZEM WATER REGIME IN THE CAMELINA SATIVA CRANTZ CROPS
Authors: Kazanov Vitaliy , Kurachenko Natal'ya
Published: June 2024

The purpose of the study is to assess the water regime of agrochernozems of the Kansk forest-steppe when the cultivation of Camelina sativa Crantz into oilseeds. The study was carried out in 2019–2021 on the territory of LLC OPH Solyanskoe, located in the Kansk forest-steppe of the Krasnoyarsk Region. The objects of the study were clay-illuvial typical agrochernozems, medium-thick, heavy loamy granulometric composition of land use LLC OPH Solyanskoye and camelina of the Uzhursky variety. In 2019, camelina was cultivated in a busy pair (pea-oat mixture), in 2020 – in a clean pair. The study was carried out at 4 sample sites from May to September with an interval of 10–12 days. Soil samples are ta-ken in an area of 0–100 cm through a 10 cm head. Weather conditions and the predecessor (occupied and clean fallow) influenced the distribution of moisture in the profile of typical clay-illuvial agrochernozems in the period from sowing to the full ripening of camelina. The reserves of productive moisture in the meter layer during the growing seasons varied from 151 to 68 mm. Dynamic changes in the reserves of productive moisture in camelina crops based on occupied fallow were assessed in a meter-thick layer of agrochernozem as average (Cv = 23–28 %), and in open fallow – as small (Cv = 16–20 %). The evapotranspiration consumption of moisture by Camelina from a meter layer of agrochernozem was estimated at 253–260 mm with its maximum consumption from a 0–50 cm layer of soil. The average moisture consumption for the formation of 1 ton of camelina seeds with a yield of 0.9–1.5 t/ha was 281–173 mm.
Therapeutic Group Therapy for Pregnant Women on Childbirth Readiness in the Kunciran Baru Health Center in Tangerang City
Authors: Fadilah Lailatul , Wijonarko Bangun
Published: June 2024

Introduction: Pregnancy and childbirth have an important role because of their enormous influence on human growth and development. Although there have been efforts to improve maternal health through various government programs, these efforts have only touched the physical aspect and have not yet made efforts to improve the psychosocial and psychiatric aspects of pregnant women. This is important because the growth and cognitive and emotional development of children are closely related to the mother's psychiatric problems during pregnancy. One of the efforts that can be done is an information program to educate individuals with emotional problems to be able to maintain homeostasis against unexpected changes or events that occur gradually, helping members cope with stress in life, focusing on dysfunctions of feelings, thoughts, and behaviors known as Therapeutic Group Therapy. Method: This research design uses quasi-experiments. The study subjects were taken by quota sampling, the sample of this study was pregnant women in the Kunciran Baru Health Center area of Tangerang City. The number of samples was 24 people. Data analysis using T-dependent test. Results:  the statistical test obtained a P value of 0.024 (P value ≤ 0.05), so it can be concluded that there is a significant difference between the average delivery readiness of the intervention group and the control group. Conclusion: it was concluded that there was a significant difference between the average delivery readiness of the intervention group and the control group.
«Kalevala—Unwritten Fragments» by Teatr Węgajty / Field Project: Trevor Hill’s Autoethnographic Narration
Authors: Hill Trevor , Hasiuk Magdalena
Published: June 2024

The text discusses the performance Kalevala The Unwritten Fragments of the Węgajty Theatre / Field Project, which in 2000/2001 opened a new phase in the theatre’s activity. The performance continued the thematic, aesthetic, and method choices of the Węgajty Village Theatre, while also opening new paths of exploration. The group’s work was particularly transformed, and a new quality was brought into its accompanying reflection, by the presence of the actor and anthropologist Trevor Hill. The analysis of Hill’s autoethnographic description of their work on Kalevala allows us to distinguish three dimensions of autoethnography: as an innovative technique of obtaining information, as a research method (analytical autoethnography), and as an indicator of a new paradigm of producing knowledge about social life and its participants (evocative autoethnography).The use of the autoethnographic method in research on the Węgajty Theatre made it possible to access information that is otherwise difficult to obtain, including the actor’s experiences and internal processes.
Literackie przestrzenie agencji reklamowych w wybranych powieściach po 1945 r.
Authors: Łozowski Maciej
Published: June 2024

This article focuses on the literary depiction of advertising agencies in selected prose works after 1945. These specific spaces first appeared in American prose. After 1989, Polish writers also began to portray them. Despite this, they have not yet been extensively described by domestic literary scholars. This paper attempts to outline their characteristic features. It explores the evolution of the American advertising novel genre, pointing out Polish attempts to adopt it in the early 21st century. It also focuses on the spatial structure of advertising agencies and the organization of work conditioned by a specific corporate culture. The methods used for analysis include literary interpretation and narratology.
GFRP COMPOSITES: A MATERIAL TO STRENGTHEN REINFORCED CONCRETE BEAMS WITH WEB OPENINGS FOR SHEAR
Authors:   School of Civil and Environmental Engineering, Addis Ababa Institute of Technology, Addis Ababa University, Addis Ababa, Ethiopia, GEBRE Abrham , TEKIE Seare ,   School of Civil and Environmental Engineering, Addis Ababa Institute of Technology, Addis Ababa University, Addis Ababa, Ethiopia, GEBRE Yisihak ,   School of Civil and Environmental Engineering, Addis Ababa Institute of Technology, Addis Ababa University, Addis Ababa, Ethiopia
Published: June 2024

Buildings that require mechanical and electrical services must have utility pipes and ducts. The services include air conditioning, power supply, telephone lines, network cables, sewerage lines, water supply and etc. A reinforced concrete (RC) deep beam with web openings experiences excessive cracking and deflection, as well as a decrease in beam stiffness. Enlargement of these openings near supports would reduce beams’ capacity for shear. Hence, analysis and design of such beams require careful consideration, particularly with regard to their performance. In addition, design compliance to relevant codes and standards, and selection of suitable material properties and construction techniques are needed. When such an enlargement is unavoidable, strengthening of beam for shear and flexure is necessary. In this study, the use of GFRP (Glass-Fiber Reinforced Polymer) composites for strengthening of RC beams with openings is experimentally investigated. As compared to the control beam, test results showed that using GFRP was found to be effective in increasing the shear strength of beams with openings by 40% to 60%. Test results of beams with web openings exhibited higher shear strength than the predicted values whereas for strengthened beams with GFRP, code predictions are found conservative.
The professional interactions between speech language therapist and dentist
Authors: Costanzo Martina , Puleio Francesco , Lo Giudice Roberto , Alibrandi Angela , Campione Ilenia
Published: June 2024

Aim: This study investigates the collaborative efforts between speech language therapists and dentists to address the challenges faced by patients with concurrent dental and speech issues. It underscores the importance of understanding the complex interactions within the craniofacial system and its implications for both oral health and communication abilities.
Methods: A questionnaire-based research was conducted involving speech language therapists and dentists, using Google Forms as the medium of data collection. This study was disseminated through professional networks, where practitioners provided information on their demographics, practices of collaboration, and the perceived advantages of such interdisciplinary work. All ethical standards were adhered to, ensuring the confidentiality and informed consent of the participants.
Results: The findings indicate that dentists, often see first patient visits beyond recommended ages primarily for existing conditions, deviating from preventive norms. About half communicate monthly with speech language therapists, revealing gaps in early care and collaboration. Speech language therapists focus on language disorders and orofacial myofunctional disorders (SMOF), with 37% collaborating frequently with dentists. This interaction highlights the potential for enhanced patient outcomes through interdisciplinary cooperation. Despite these challenges, both groups acknowledged the benefits of their collaborative efforts.
Conclusions: The partnership between speech language therapists and dentists represents a vital area of healthcare, aimed at tackling the complex issues of oral health and communication through a multidisciplinary approach. Although obstacles in collaboration were identified, the positive outcomes observed from such partnerships emphasize the importance of developing a unified framework to improve integrated healthcare delivery in the future.
Teaching Machine Learning and Deep Learning Introduction: An Innovative Tutorial-Based Practical Approach
Authors: Sabrigiriraj M. , Manoharan K.
Published: June 2024

Machine learning and deep learning techniques have penetrated deep into the various domains of engineering, science, and technology. They are very powerful tools to solve a wide variety of complex problems in those domains. This paper presents an innovative tutorial with practical examples of teaching the introduction to machine learning and deep learning. Starting with the basic concepts, the tutorial takes the readers through the basics of linear regression, logistic regression, and deep neural networks. Then the fundamental association between linear regression, logistic regression, and deep neural network is revealed using the practical examples. This tutorial article provides a solid base for readers aspiring to learn machine learning and deep learning with a systematic and practical approach.
THE ROLE OF A PSYCHIATRIC CONSULTATION LIAISON NURSE IN A GENERAL HOSPITAL: A CASE STUDY APPROACH
Authors: Sharrock Julie , Happell Brenda
Published: June 2024

Growing support for the role of the psychiatric consultation-liaison nurse in assisting general nurses in caring for patients experiencing mental health problems in the general hospital environment is evident from the relevant literature. However, there remains a paucity of research which examines the process of this nursing role or its impact on outcomes for nurses and patients. This paper seeks to contribute to the literature in articulating the role of the psychiatric consultation-liaison nurse using a case study approach to describe the role of the nurse in assessing the needs of, and, planning and providing care to two general hospital patients experiencing mental health problems, and the general nurses caring for them.
EMOTION AND CARDIAC TECHNOLOGY: AN INTERPRETIVE STUDY
Authors: Anderson Carole , Moyle Wendy , McAllister Margaret
Published: June 2024

This paper presents a frequently overlooked aspect of advanced technological care - that of the human dimension and emotions. Emotionality is defined as the emotional ways that a client experiences their embodied experience as a recipient of a cardiac pacemaker. One individual’s story from a larger interpretive study of clients who received pacemakers is presented and interpreted. Kev’s story encapsulates the difficulties of dealing with and understanding cardiac technology. When Kev’s heart malfunctions he confronts a new reality; an experience where the ‘technological body’ is linked confusingly with emotion. This complex interplay between technology, the body and emotionality is discussed to demonstrate the importance of the mediating role that nurses can and should play in clients’ adaptation and recovery.
POOLE’S ALGORITHM: NURSING MANAGEMENT OF DISTURBED BEHAVIOUR IN OLDER PEOPLE - THE EVIDENCE
Authors: Poole Julia
Published: June 2024

Disturbed behaviour in older people is a challenging and complex clinical problem. Accurate nursing assessment and management are key elements for good outcomes. The literature shows that nurses do not consistently understand this clinical syndrome and appropriate education is needed. In recognition of limited time frames and of theories of learning, an algorithm has been developed detailing, in order of priority, the management of aggression, delirium, depression or other mental disorders and dementia, plus an outline of supportive communication and care techniques. Three separate packages, each comprising a booklet of lecture notes and resources plus a matching poster are available. Each of these relates particularly to the needs of older people in aged care facilities, acute care or the community.
PREVENTING AGEISM IN NURSING STUDENTS: AN ACTION THEORY APPROACH
Authors: De la Rue Mary Beth
Published: June 2024

Australia has an ageing population and increased longevity has resulted in a larger proportion of the older population surviving to be 75 years and older. As a result of demographic trends, nurses are more likely to come into contact with older people. Ageism existsin Australian society and can unfortunately be found in some practicing nurses. ‘Ageism’ is a term used to describe a process of systematic stereotyping and discrimination against older people because they are very old, in a similar vein as racism and sexismaccomplish this with skin colour and gender.
The aim of this study was to explore final year Bachelor of Nursing (BN) students’ attitudes toward ageism and emancipate them to come to terms with these issues to prevent replication of ageism in their future practice as registered nurses (RNs). Critical social theory (Fay 1987) combined with Stringer’s (1996) model of Participatory Action Research (PAR) provided the theoretical directions forthis study. Nine final year BN students at the University of Southern Queensland (USQ) volunteered to participate. Data were collected by focus group meetings and clinical diaries over a duration of six months.
Findings of this study revealed an acute self-awareness of what ageism was and a personal fear of the ageing process itself. Identified issues are discussed and re-framed in the form of recommendations so they can offer potential for renewed critical consciousraising to prevent ageism.
FROM ‘DEPENDENT ON’ TO ‘DEPENDED ON’: THE EXPERIENCE OF TRANSITION FROM STUDENT TO REGISTERED NURSE IN A PRIVATEHOSPITAL GRADUATE PROGRAM
Authors: Goh Karen , Watt Elizabeth
Published: June 2024

There has been increasing interest in the issues around the transition from university student to registered nurse (RN). This transition period is acknowledged as a time of significant stress as graduates endeavour to consolidate their nursing knowledge and gain mastery of clinical skills in a working environment. They require support and guidance to effect a successful transition. There has been little published research on the transitional experience of graduates in Australian hospitals.
This study explored the transitional experiences of nurses who had completed their first year of clinical practice after graduation in a Victorian private hospital graduate nurse program. A qualitative approach using techniques of the Grounded Theory method was utilised. Five volunteer graduates were interviewed using a semi-structured format. Interviews were transcribed and analysed to identify emergent themes and categories.
Three major themes were identified that described the transition experience for the participants. These were: ‘developmental first steps’ which described the unexpected shock and feelings of being unprepared on entry to the work setting along with the reality of the unrealistic expectations of colleagues; ‘developmental stumbling blocks’ which described the multiple role and personal stressors that challenged the participants; and ‘striding ahead’ which described the factors that facilitated the participants adaptation to the RN role.
URINARY TRACT INFECTION IN CLIENTS WITH SPINAL CORD INJURY WHO USE INTERMITTENT CLEAN SELF CATHETERISATION
Authors: Moy Melissa , Amsters Delena
Published: June 2024

Urinary tract infection (UTI) was identified as a significant issue for people with spinal cord injury (SCI) performing intermittent clean self-catheterisation (ICSC) in the community.
A review of the literature was undertaken to establish the major risk factors of UTI and how these risks could be reduced in practice. The majority of authors recommended the use of a clean catheterisation technique in the community. The maintenance of appropriate bladder volumes, low residuals and regular emptying intervals appear to be of paramount importance for minimising risk of UTI for this client group.
THE RELATIONSHIP BETWEEN CRITICAL THINKING AND CONFIDENCE IN DECISION-MAKING
Authors: Hoffman Kerry , Elwin Carolyn
Published: June 2024

Nurses make decisions every day while planning and delivering care within their scope of practice. Effective and appropriate decision-making requires the acquisition and utilisation of pertinent data as well as higher order thinking skills such as decisionmaking and critical thinking.
Research aims: The aim of this study was to examine the relationship between critical thinking and confidence in decision-making for new graduate nurses.
Methods: Critical thinking scores for two groups of new graduate nurses were correlated to confidence in decision-making scores for the same nurses.
Major findings: The study had some surprising and interesting findings. Contrary to prior studies that have found either no relationship or a positive correlation between critical thinking and confidence in decision-making, this study found a negative correlation between these two variables. These findings have implications both for tertiary nursing education and continuing clinical education.
Conclusion: New graduate nurses who have higher critical thinking scores and seem more hesitant in decisionmaking should be encouraged in their questioning attitude. There is a need for professional development courses that raise awareness of the importance of a nursing culture that encourages a more open questioning attitude to decision-making.
WHAT DO YOU GET WHEN YOU FALL IN LOVE?: WAREHOUSE YOUTH HEALTH CENTRE CHLAMYDIA AUDIT
Authors: Cole Rose , Jasiak Shane
Published: June 2024

Objective: The aim of the chlamydia audit was to determine the rate of positive diagnosis of chlamydia trachomatis in young people aged 12 to 25 years of age who were tested at the Warehouse Youth Health Centre, Sydney, Australia, in 2001 and to review current practice relating to chlamydia testing.
Design: A retrospective study was conducted on the medical records of clients identified through the pathology register as having a chlamydia test during 2001 from 1 January to 31 December 2001. The data were descriptively analysed.
Setting: The Warehouse Youth Health Centre, an FPA (Family Planning Australia) Health service which targets young people in Western Sydney, New South Wales, Australia.
Results: Chlamydia tests were performed on 194 clients at the Warehouse Youth Health Centre in 2001. Tests were performed on 179 (92.3%) female and 15 (7.7%) male clients. The overall positivity rate was 8.8% (17/194). Of the positive chlamydia tests 82.4% (14/17) were female clients and 17.6% (3/17) were male clients. The most common reasons for the clinician or client requesting the chlamydia tests were because the client was symptomatic, had unprotected sexual intercourse or had multiple partners.
Conclusion: The major recommendation from this audit is for chlamydia screening for all sexually active young people under the age of 25 years.
MENTAL HEALTH ISSUES WITHIN THE GENERAL HEALTH CARE SYSTEM: IMPLICATIONS FOR THE NURSING PROFESSION
Authors: Happell Brenda , Platania-Phung Chris
Published: June 2024

Aim: The aim of this paper is to briefly describe the prevalence of mental illness within the general health care population and the implications for the nursing profession.
Primary argument: The nursing profession espouses holism as its philosophy of care. This philosophy embraces the essential interaction between the biological, psychological and social aspects of each individual. The mainstreaming of mental health services within the general health care system has increased the level of contact nurses have with people experiencing mental health problems, yet the research evidence suggests they are not confident or competent in meeting the associated needs.
Conclusion: There is an urgent need for education of the current and future nursing workforce if the challenges presented by mental health issues are to be addressed.
PARENTS’ PREFERRED CHILD HEALTH INFORMATION SOURCES: IMPLICATIONS FOR NURSING PRACTICE
Authors: Keatinge Diana
Published: June 2024

Aim: To ascertain parents’ preferences in sources of health information concerning their children’s general health care needs, and caring for their children when they are sick.
Design: Exploratory/descriptive design. A telephone survey secured data for the study and qualitative content analysis and descriptive statistics were used for analysis.
Setting & Participants: Part 2 of a larger study in which Part 1 evaluated parents’ satisfaction with a paediatric telephone triage service. One hundred of the 101 parents who were recruited for Part 1 of the study participated in Part 2, an examination of parents’ preferences in information sources relating to their child’s health.
Main Outcome Measures: Parents’ preferences in child health information sources varied according to the perceived severity of their child’s illness.
Results: Parents frequently selected more than one item on a list of health information sources provided. In a nonurgent situation when children were sick a total of 170 selections were made by parents, with ‘telephone advice line’ the source most frequently selected (58, 34%), followed by general practitioner (27, 15.8%). In an emergency situation the most frequently selected information source was again ‘telephone advice line’ (74, n=129, 57.4%), followed by ‘other’ (31, n=129, 24.3%) often identified as relating to dialing ‘000’ (Australia’s emergency services number). Finally, when parents required information about the general health care needs of their child, ‘other’ (most frequently identified as books) was selected on 40 (n=185, 21.6%) occasions, followed by child health clinic (35, n= 185, 18.9%).
Conclusion: Parents prefer to receive information about the health care needs of their child from another person rather than a printed or audio-visual source.
WARFARIN USE IN THE ELDERLY: THE NURSES’ PERSPECTIVE
Authors: Bajorek Beata , Krass Ines , Ogle Susan , Duguid Margaret , Shenfield Gillian
Published: June 2024

Objective: To explore the barriers to warfarin use from the perspective of nurses working in aged care.
Design: A qualitative study, involving a semi-structured group interview, during March-April 2001.
Setting and Subjects: Eleven nurses, employed within the catchment of the Northern Sydney Area Health Service, who were involved in the care of elderly warfarinised patients.
Main outcome measure: Identification, via thematic analysis, of the main themes underpinning the nursing perspective on warfarin use in this setting, with regard to their perceived role/s, experiences with patients, and potential strategies for managing the therapy.
Results: Five main themes were identified: perceived patient attitude toward warfarin; barriers to the use of warfarin; expressed lack of confidence in the processes involved; nurses’ role in warfarin use; and strategies to improve warfarin use. Nurses were concerned about warfarin use in the elderly, but felt they had a limited capacity to intervene.
Conclusion: Nurses are potentially underutilised as a resource and support for both patients and prescribers, in the management of warfarin therapy.
THE EFFECTIVENESS OF A 15 MINUTE WEEKLY MASSAGE IN REDUCING PHYSICAL AND PSYCHOLOGICAL STRESS IN NURSES
Authors: Bost Nerolie , Wallis Marianne
Published: June 2024

Objective: To investigate the effectiveness of massage therapy in reducing physiological and psychological indicators of stress in nurses employed in an acute care hospital.
Design: Randomised controlled trial.
Setting: Acute care hospital in Queensland.
Subjects: Sixty nurses were recruited to the five week study and randomly assigned to two groups.
Intervention: A 15 minute back massage once a week. The control group did not receive any therapy.
Main outcome measures: Demographic information, a life events questionnaire and a brief medical history of all participants was completed at enrolment. Physiological stress was measured at weeks one, three and five by urinary cortisol and blood pressure readings. Psychological stress levels were measured at weeks one and five with the State-Trait Anxiety Inventory (STAI).
Results: Differences in the change in urinary cortisol and blood pressure between the two groups did not reach statistical significance. However, STAI scores decreased over the five weeks for those participants who received a weekly massage. The STAI scores of the control group increased over the five week period. These differences between the groups were statistically significant.
Conclusion: The results of this study suggest that massage therapy is a beneficial tool for the health of nurses as it may reduce psychological stress levels. It is recommended that further large studies be conducted to measure the symptoms of stress rather than the physiological signs of stress in nurses.
Promoting quality care for older people in meal management: whose responsibility is it?
Authors: Crack Julie , Crack Geoff
Published: June 2024

Objective: To examine the role of registered nurses and allied health workers in meal management, assessment, safe environment and care planning for older people in residential aged care.
Primary Argument: Nurses and carers are often the first to observe and put into place strategies to prevent choking in residents with swallowing difficulties. Coroners’ reports have raised issues with regard to the role of the registered nurse, resident autonomy and the effectiveness of speech pathologist assessments in avoiding incidents that compromise resident’s health and well being.
Conclusions: In residential aged care the role of the registered nurse involves managing a complex environment. In the area of meal management, nurses are struggling to have their knowledge and expertise recognised. Nurses need to develop strategies to articulate and demonstrate their contribution to meal management in order to promote their knowledge and skills. Nurses must actively continue to develop their body of knowledge through research; otherwise ‘expert’ knowledge will be accessed from elsewhere. This paper will outline a number of areas for future development and research which focuses on the needs of older people and staff in this area.
Reflections on nursing
Authors: Francis Karen
Published: June 2024

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The strengths and weaknesses of transitional support programs for newly registered nurses
Authors: Evans Jennifer , Boxer Elaine , Sanber Shukri
Published: June 2024

Objective: The transition experiences of new graduate nurses from university to the workplace have not changed since the transfer of nurse education to the tertiary sector despite the implementation of transition support programs. This study aimed to determine the strengths and weaknesses of transition support programs for newly registered nurses.
Design: A qualitative descriptive design using face-to-face interviews was chosen. Theme extraction was used to analyse the data and quotes from the interviews were chosen to illustrate and support the themes.
Setting: The study was carried out in seven hospitals in area health services in and around Sydney, representing both small and large facilities with bed numbers ranging from 195 to 530.
Subjects: Nine newly graduated registered nurses and 13 experienced registered nurses participated in the study.
Main outcome measures: This was an evaluative study designed to gather data about established transition support programs for newly graduated nurses working in New South Wales.
Results: Three themes arose from the analysis; Programs operate in a clinical environment which results in unsupportive behaviour toward new graduate nurses; Nurse unit managers influence the experiences of new graduate nurses in their workplace; and, Transition support programs are provided to redress the perceived inadequacy of university preparation for registered nurses.
Conclusions: The support afforded and the experience gained by the new graduates was an obvious strength of the programs. Weaknesses of the programs included the times when new graduates worked without support and the unrealistically high expectation of what can reasonably be expected of newly registered nurses.
Nurses’ knowledge and practice involving patients’ resuming sexual activity following myocardial infarction: implications for training
Authors: Leyla  , Nuran
Published: June 2024

Objective:The main aim of the study was to determine the knowledge level of cardiology nurses in relation to sexual and other lifestyle adjustments required of their patients following myocardial infarction (MI).
Design: This descriptive study conducted structured interviews using a data collection questionnaire.
Setting: Cardiology nurses working in cardiology clinics and outpatient clinics of university hospitals in Turkey.
Subjects: The study was completed with 108 nurses.
Main outcome measures: Nurses’ knowledge and practice pertaining to sexual adjustment issues including changes in sexual activity and the correct sexual practices following MI were measured.
Results: Accurate and appropriate responses by nurses to the questions regarding sexual activity in post‑MI patients were rare, ranging from 0.9% for nine out of 15 questions to 23.1% for one out of 15 questions. However unmarried nurses’ knowledge about the factors influencing patients’ sexual activity and post‑MI changes affecting their sexual activity was higher than for married nurses. The findings indicated that almost all the nurses (99.4%) did not provide sexual education to post‑MI patients due to a lack of knowledge and skill and their perception that sexual issues belong to a patient’s private domain.
Conclusions: This study expanded the knowledge base regarding the knowledge and skill that should be required for nurses when providing sexual education. The data highlighted nurses’ neglect and avoidance in addressing sexual issues due to inadequate knowledge as well as cultural factors. The results clearly suggest the importance of addressing topics regarding sexual life during basic nursing education and continuing education programs.
Assessing leadership in nurse practitioner candidates
Authors: Watson Cathy
Published: June 2024

Objective: The aim of this study was to explore the concept of leadership as it applies to nurse practitioners (NPs) and examine the issues around assessing NP candidates in Australia for leadership qualities.
Setting: Currently in Australia, registration as a nurse, midwife, enrolled nurse or nurse practitioner is conducted at the state or territory rather than the national level. Nurse practitioner is a protected title in Australia. To practice as a nurse practitioner in Australia, candidates must be endorsed or authorised by the nurse registering authority in the relevant state or territory of Australia. The NP candidate can be based in both hospital and community settings, caring for both inpatients and outpatients, over a range of specialty areas. The context of this paper is Victoria, Australia. Currently there is no national process for the registration of NPs. Each Australian state or territory determines its ownrequirements.
Subjects: Nurse practitioner candidates in Victoria, Australia.
Primary argument: Clinical leadership is difficult to define and assessment of NP candidates for leadership qualities can be subjective and inconsistent. Leadership is often confused with management and those who are seen by their colleagues as leaders are not necessarily in senior positions. NP candidates applying for endorsement or authorisation to practice as a nurse practitioner are assessed for competency in leadership by the nurse registering authorities with no clear defining criteria. Many of the leadership indicators may fall under a different Standard of Competency for NPs (ANMC 2006).
Conclusions: Those who are seen as leaders do not necessarily fulfill consistent and predictable criteria. Many NP candidates will not have achieved clinical leadership as outlined in the ANMC standards for Nurse Practitioners (2006). Definition of leadership has been notoriously difficult across nursing and other disciplines. The concept of transformational leadership appears to fit the NP model appropriately, although measurement of transformational leadership is as equally problematic as the traditional view of leadership. Until an acceptable definition of clinical leadership for an NP is developed, assessing NP candidates for this quality should be creative and flexible, and recognition should be given that leadership qualities may be in developmental stage.