bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of a Tobacco Cessation Curricular Intervention Among Acute Care Nurse Practitioner Faculty Members
Authors: Heath Janie , Kelley Frances J. , Andrews Jeannette , Crowell Nancy , Corelli Robin L. , Hudmon Karen Suchanek 
Published: June 2020

Background In 2002, a report indicated that tobacco-related curricular content in educational programs for acute care nurse practitioners was insufficient. To provide healthcare professionals with the necessary knowledge and skills to intervene with patients who smoke tobacco, the Summer Institute for Tobacco Control Practices in Nursing Education was implemented at Georgetown University in Washington, DC.Objective To evaluate the impact of a train-the-trainer program in which the Rx for Change: Clinician-Assisted Tobacco Cessation curriculum was used among faculty members of acute care nurse practitioner programs.Methods Thirty faculty members participated in the 2-day train-the-trainer program. Surveys were administered at baseline and 12 months after training to examine perceived effectiveness for teaching tobacco content, the value of using an evidence-based national guideline, and the number of hours of tobacco content integrated in curricula.Results The percentage of faculty members who devoted at least 3 hours to tobacco education increased from 22.2% to 74.1% (P&lt;.001). Perceived effectiveness in teaching tobacco cessation also increased (P &lt; .001), as did mean scores for the perceived value of using an evidence-based national guideline (P&lt;.001).Conclusions Use of the Rx for Change train-the-trainer program can enhance the level of tobacco education provided in acute care nurse practitioner programs. Widespread adoption of an evidence-based tobacco education in nursing curricula is recommended to help decrease tobacco-related morbidity and mortality.
Accuracy and Precision of Noninvasive Temperature Measurement in Adult Intensive Care Patients
Authors: Lawson Lari , Bridges Elizabeth J. , Ballou Isabelle , Eraker Ruthe , Greco Sheryl , Shively Janie , Sochulak Vanessa 
Published: June 2020

Background Research on the accuracy and precision of noninvasive methods of measuring body temperature is equivocal.
Objectives To determine accuracy and precision of oral, ear-based, temporal artery, and axillary temperature measurements compared with pulmonary artery temperature.
Methods Repeated-measures design conducted for 6 months. Sequential temperature measurements on the same side of the body were obtained within 1 minute, with measurements repeated 3 times at 20-minute intervals. Accuracy, precision, and confidence limits were analyzed.
Results In 60 adults with cardiopulmonary disease and a pulmonary artery catheter, mean pulmonary artery temperature was 37.1°C (SD 0.6°C, range 35.3°C–39.4°C). Mean (SD) offset from pulmonary artery temperature (with the mean reflecting accuracy and SD reflecting precision) and confidence limits were 0.09°C (0.43°C) and −0.75°C to 0.93°C for oral measurements, −0.36°C (0.56°C) and −1.46°C to 0.74°C for ear measurements, −0.02°C (0.47°C) and −0.92°C to 0.88°C for temporal artery measurements, and 0.23°C (0.44°C) and −0.64°C to 1.12°C for axillary measurements. Percentage of pairs with differences greater than ±0.5°C was 19% for oral, 49% for ear, 20% for temporal artery, and 27% for axillary measurements. Intubation increased oral measurements compared with pulmonary artery temperatures (mean difference 0.3°C, SD 0.3°C, P = .001).
Conclusions Oral and temporal artery measurements were most accurate and precise. Axillary measurements underestimated pulmonary artery temperature. Ear measurements were least accurate and precise. Intubation affected the accuracy of oral measurements; diaphoresis and airflow across the face may affect temporal artery measurements.
Authorized Agent–Controlled Analgesia for Pain Management in Critically Ill Adult Patients
Authors: Benjenk Ivy , Messing Jonathan , Lenihan Megan J. , Hernandez Madelyn , Amdur Richard , Sirajuddin Sarah , Davison Danielle , Schroeder Mary E. , Sarani Babak 
Published: June 2020

Background
Patient-controlled analgesia is commonly used for adult patients requiring parenteral opioid analgesia in the postoperative setting. However, many patients are unable to use patient-controlled analgesia because of physical or cognitive limitations. Authorized agent–controlled analgesia, in which a nurse or family member activates the patient-controlled analgesia device, has been studied in the pediatric population but has received little attention in adults.

Objective
To evaluate the efficacy of authorized agent–controlled analgesia in critically ill adult patients.

Methods
A retrospective pilot study was conducted involving 46 patients who were placed on an authorized agent–controlled analgesia protocol in a mixed medical/surgical adult intensive care unit. Critical-Care Pain Observation Tool scores were abstracted for the 24 hours before and after initiation of authorized agent–controlled analgesia. Authorized agent–controlled analgesia was administered by nurses only.

Results
The mean (SD) change in pain score was –3.4 (2.0) (95% CI, –4.0 to –2.7), representing a 69% decrease in the mean (SD) pain score from before to after initiation of authorized agent–controlled analgesia (4.8 [1.8] vs 1.5 [1.6]; P &lt; .001). When the results were controlled for time, sedative administration, and opioid medication administration, the effect of authorized agent–controlled analgesia initiation on pain scores remained significant (P &lt; .001).

Conclusions
Use of authorized agent–controlled analgesia is associated with a reduction in pain in critically ill patients. Larger studies are warranted to confirm these findings.
Practice Recommendations for End-of-Life Care in the Intensive Care Unit
Authors: Jensen Hanne Irene , Halvorsen Kristin , Jerpseth Heidi , Fridh Isabell , Lind Ranveig 
Published: June 2020

Topic
A substantial number of patients die in the intensive care unit, so high-quality end-of-life care is an important part of intensive care unit work. However, end-of-life care varies because of lack of knowledge of best practices.

Clinical Relevance
Research shows that high-quality end-of-life care is possible in an intensive care unit. This article encourages nurses to be imaginative and take an individual approach to provide the best possible end-of-life care for patients and their family members.

Purpose of Paper
To provide recommendations for high-quality end-of-life care for patients and family members.

Content Covered
This article touches on the following domains: end-of-life decision-making, place to die, patient comfort, family presence in the intensive care unit, visiting children, family needs, preparing the family, staff presence, when the patient dies, after-death care of the family, and caring for staff.
Use of Physical Restraints in Critical Care Units: Nurses’ Knowledge, Attitudes, and Practices
Authors: Kısacık Öznur Gürlek , Sönmez Münevver , Coşğun Tuğba 
Published: June 2020

Background
Various factors affect the use of physical restraints in the intensive care unit, with nurses’ knowledge and attitudes being the strongest determinants.

Objective
To determine Turkish intensive care unit nurses’ knowledge, attitudes, and practices regarding physical restraints and factors influencing them.

Methods
This cross-sectional, correlational study was conducted in the intensive care units of state and university hospitals. A total of 191 nurses provided information on their sociodemographic and professional characteristics and completed a questionnaire on their knowledge, attitudes, and practices regarding physical restraints.

Results
Statistically significant differences were found between average knowledge scores according to type of intensive care unit, weekly working hours, work shift, and frequency of using physical restraints, with the highest scores found in nurses who worked in the surgical unit, worked 40 hours a week, worked only during the day, and used physical restraints every day. Significant differences were found between average attitude scores according to type of intensive care unit, with the highest scores found in nurses who worked in the cardiology unit. Significant differences were found between average practice scores according to level of education and use of physical restraints without a physician’s order, with the highest scores found in nurses with undergraduate and postgraduate degrees and those who did not use physical restraints without a physician’s order.

Conclusions
This study revealed inadequate knowledge about physical restraints and some unsafe practices among participants. Evidence-based guidelines and laws regarding physical restraints are needed, as well as regular training programs for involved personnel.
Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplant: Considerations for Critical Care Nursing Practice
Authors: Koons Brittany , Siebert Jennifer 
Published: June 2020

Topic
Candidates waiting for lung transplant are sicker now than ever before. Extracorporeal membrane oxygenation has become useful as a bridge to lung transplant for these critically ill patients.

Clinical Relevance
Critical care nurses must be prepared to care for the increasing number of lung transplant patients who require this advanced support method.

Purpose of Paper
To provide critical care nurses with the foundational knowledge essential for delivering quality care to this high-acuity transplant patient population.

Content Covered
This review describes the types of extracorporeal membrane oxygenation (venovenous and venoarterial), provides an overview of the indications and contraindications for extracorporeal membrane oxygenation, and discusses the role of clinical bedside nurses in the treatment of patients requiring extracorporeal membrane oxygenation as a bridge to lung transplant.
[Trophic activity of <em>Vulpes vulpes</em> in a wetland: which effects on the reproductive biology of <em>Ardea purpurea</em>?]
Authors: Alessandria Gianfranco , Carpegna Franco 
Published: June 2020

[In an Ardea purpurea colony regularly monitored from 2004 to 2018, some predatory events of Vulpes vulpes have been observed since 2010. This was followed by a reduction in the reproductive success and in the number of breeding pairs. Some herons likely abandoned their nests in the reed bed and moved to nesting on trees. The Authors discuss the possibility that these events were a consequence of the predatory activity of the red fox.]

[Article in Italian]
Geçici Stres Dönemi ve Sonrasında Hıyar Bitkilerinin İyon Dağılımının İncelenmesi
Authors: Nurullah BAYRAM  , Özlem ÜZAL  
Published: June 2020

Orkestra F1 hıyar çeşidinin kullanıldığı araştırmada; tuz stresi altında ve geri kazanım sürecinde hıyar bitkisindeki metabolik olayların nasıl etkilendiğini açıklığa kavuşturmak, tuz stresi altında meydana gelen zararlanmaların ve geri kazanım süresinde meydana gelen iyileşmelerin belirlenerek, bitkilerin tuz stresine karşı nasıl tepkiler verdiğini ve hangi uyum mekanizmaları geliştirdiğini anlamak amaçlanmıştır. Normal atmosferin sağlandığı iklim odasında ve su kültüründe yapılan çalışmada tuz uygulanmadan önce bitki örnekleri alınarak, besin çözeltisine 25, 50, 75 mM tuz konsantrasyonunu sağlayacak şekilde NaCl ilave edilmiştir. Tuz uygulamasının 6. ve 9. günlerinde örnek alma işlemi yapılmıştır. Daha sonra tuz uygulaması kesilip bitkiler hogland çözeltisinde gelişimine devam edilmiş, geri kazanım sürecinin 7. ve 14. günde bitki örnekleri alınmıştır. Bitkilerin, bazı biyokimyasal analizleri tespit edilmiştir. Araştırma sonucunda, uygulanan tuz stresinin süresinin ve konsantrasyonunun kısa süreli stres ve düşük tuz konsantrasyonunda (25 mM) geri kazanım sürecinin ikinci periyodunda toparlayabildiği söylenebilir. Bitkiler 50 ve 75 mM tuz konsantrasyonunda metabolik aktiviteyi kontrol altında tutabilmek için büyümelerini sınırlandırarak bitkiyi kontrol edebilecek seviyede tutmuştur. Bitkilerin kök, gövde ve yapraklarındaki Na, K, Ca ve Cl elementleri dağılımı analizler sonucunda tuz uygulanan her üç dönemde de bitkiler üzerindeki olumsuz etkiler geri kazanım sürecinin ikinci periyodunda azaldığı tespit edilmiştir.
Tokat-Kazova Ekolojik Koşullarında Farklı Sıra Arası ve Tohumluk Miktarlarının Yonca (Medicago sativa L.)'da Ot Verimi Üzerine Etkileri
Authors: Mahir ÖZKURT  , Yaşar KARADAĞ  
Published: June 2020

Bu araştırma Tokat-Kazova ekolojik koşullarında farklı sıra arası ve tohumluk miktarlarının yoncada ot verimine etkisini belirlemek amacıyla 2014-2016 yılları arasında yürütülmüştür. Araştırmada Bilensoy-80 yonca çeşidinde, dört farklı sıra aralığında (15, 30, 45 ve 60 cm) altı farklı tohumluk miktarı (0.5, 1.0, 1.5, 2.0, 2.5 ve 3.0 kg/da) incelenmiştir. Deneme tesadüf bloklarından bölünmüş parseller deneme deseninde dört tekerrürlü olarak yürütülmüş, sıra aralığı ana parsellere, tohumluk miktarları ise alt parsellere yerleştirilmiştir. Araştırmadan elde edilen iki yıllık ortalama sonuçlara göre, en yüksek yeşil ot verimi (9 456.1 kg/da), 15 cm sıra arası ve 2.5 kg/da tohumluk miktarı uygulamasından elde edilirken, en yüksek ana sap çapı (3.20 mm) 15 cm sıra arası ve 0.5 kg/da tohumluk miktarı uygulamasından, en yüksek bitki boyu ise (80.4 cm) 30 cm sıra arası ve 0.5 kg/da tohumluk miktarı uygulamasından elde edilmiştir. Araştırmadan elde edilen sonuçlara göre, Tokat- Kazova ekolojik koşullarında yoncadan yüksek ot verimi alabilmek için 15 cm sıra arası mesafesi ve 2.5 kg/da tohumluk miktarı ile yetiştirilmesinin uygun olacağı sonucuna varılmıştır.
The Unethical Practice of Omitting Language in State Science Standards: Denying Students True Democratic Freedom
Authors: Wildes Annie Noel 
Published: June 2020

Climate change due to global warming is impacting the natural environment and humanity. Yet, legislators in states whose economies are in oil production, a major contributor of carbon dioxide emissions through the combustion of fossil fuels, continue to reject the evidence. Legislators go as far to say these findings are “hyperbole” and teaching such ideas would influence young students to a one sided argument. Legislators, through bills and resolutions rejecting such language in state science academic standards, deny students access to equitable science education opportunities. I submit this denial is unethical. It denies students opportunities to analyze and develop solutions to a problem that jeopardizes their future and generations to come. I use the frameworks of Karl Marx and Antonio Gramsci to identify the underlying causes of this problem. Understanding the underlying causes of the problem provides educators with a clearer vision of our responsibilities to act in providing equitable science education for our students.
IDENTIFIKASI PENYEBAB RUSAKNYA HEAVY LIQUID CHAMBER PADA LO PURIFIER MITSUBISHI SJ25T DI MV. JINGU DENGAN METODE FTA
Authors: Gangga Putra Mahardika  , Agus Tjahjono  , Sumardi  
Published: June 2020

Minyak lumas merupakan kebutuhan yang sangat penting dalam pengoperasian permesinan di kapal baik untuk Mesin Induk maupun permesinan bantu. Maka dari itu sebagian besar kapal niaga dilengkapi dengan pesawat yang dapat menjaga kualitas minyak lumas yang disebut Lube Oil Purifier. Dimana pesawat ini fungsinya untuk membersihkan kotoran maupun kandungan air pada minyak lumas dengan proses purifikasi. Dalam penelitian ini penulis mempunyai beberapa masalah yang menjadi tujuan penulisan: faktor penyebab rusaknya heavy liquid chamber pada Lube Oil Purifier pada saat beroperasi, penilaian dengan metode FTA terhadap pencegahan terjadinya trouble pada Purifier saat beroperasi, dan langkah yang harus dilakukan jika mendeteksi abnormalitas pada purifier untuk mencegah kerusakan Lube Oil Purifier tersebut.
Agar faktor yang dapat menyebabkan rusaknya heavy liquid chamber pada Lube Oil Purifier dan pencegahan terjadinya trouble serta kerusakan dapat diketahui maka dalam karya tulis ini penulis menggunakan analisa dengan metode Fault Tree Analysis (FTA). Metode FTA digunakan dalam menganalisa kejadian kegagalan dalam sistem. Metode FTA dapat didefinisikan sebagai analisa untuk mencari penyebab terjadinya masalah dari masalah puncak hingga menuju akar permasalahan menggunakan diagram pohon kegagalan dengan tujuan mencari faktor terkecil baik dari mesin maupun manusia yang dapat menyebabkan terjadinya suatu kegagalan tersebut. Dari hasil penelitian menggunakan metode FTA maka didapatkan faktor yang dapat menyebabkan kerusakan pada heavy liquid chamber dan trouble yang terjadi pada Lube Oil Purifier. Maka perawatan dan perbaikan pada setiap komponen perlu lebih diperhatikan, hal tersebut dapat dilakukan dengan mengikuti sistem perawatan berencana yang terdapat di setiap kapal yang telah ditentukan oleh perusahaan berdasarkan kebijakan perusahaan, instruction book dan makers.
Selain itu pengawasan pada Lube Oil Purifier yang sedang beroperasi juga diperlukan untuk memantau kondisi pengoperasian. Pada kesimpulan dan saran dikemukakan tentang pentingnya mengadakan perawatan dan pemeriksaan secara rutin terhadap semua bagian yang beresiko menimbulkan trouble dan kerusakan pada Lube Oil Purifier. Bila didapati adanya trouble pada pengoperasian Lube Oil Purifier maka pengoperasian harus segera dihentikan dan dilakukan pengecekan.
ANALISIS PENGARUH KARAKTERISTIK INDIVIDU DAN KARAKTERISTIK PEKERJAAN TERHADAP PRESTASI KERJA (STUDI PADA PEGAWAI POLITEKNIK ILMU PELAYARAN SEMARANG)
Authors: Janny Adriani Djari  
Published: June 2020

As for target of this research to analyse individual characteristic influence to labour capacity of Politeknik Ilmu Pelayaran Semarang and to analyse work characteristic influence to labour capacity of Politeknik Ilmu Pelayaran Semarang. Research regarding do individual characteristic influence intervening motivation and work characteristic to labour capacity take population officer of Politeknik Ilmu Pelayaran Semarang amounting to 218 people. Intake of sample with sampling random technique representing technique intake of sample at random with determination of is amount of sampel used by slovin formula obtained by 142 responder. As for data obtained with kuesioner with data analysis use linear regression. Pursuant to research which have been done by hence can be obtained by the following conclusion is existence of positive influence and signifikan between individual characteristic and work characteristic to labour capacity.
PROSEDUR PENURUNAN FREE FALL LIFEBOAT DENGAN MENGGUNAKAN DAVIT GUNA MENGURANGI RESIKO KECELAKAAN PADA SAAT LATIHAN ABANDON SHIP DRILL DI MV. GEOPARK VENUS
Authors: Samsul Huda  , Slamet Riyadi  , Prastiyo Jaya Kumara  
Published: June 2020

Supaya pelayaran dapat berjalan dengan aman, diperlukan free fall lifeboat yang dapat beroperasi dengan normal. Salah satu indikator free fall lifeboat dalam keadaan normal dapat dilihat dari kondisi fisik dan fungsinya. Dan untuk mencapai pelaksaan latihan penurunan free fall lifeboat dalam keadaan aman dibutuhkan pemahaman dasar setiap crew kapal tentang prosedur penurunan free fall lifeboat, serta tugas masing-masing crew selain itu latihan penurunan free fall lifeboat harus dilaksanakan secara terjadwal sesuai dengan ketetapan masingmasing perusahaan perkapalan. Ada 4 tahapan prosedur penurunan free fall lifeboat yaitu planning, Organizing, Actuating dan Controling.
Dari proses tersebut dapat ditarik kesimpulan kegagalan dalam pelaksanaan latihan penurunan free fall lifeboat dikarenakan ketidakpahaman seorang crew kapal terhadap prosedur penurunan freefall lifeboat dan seorang crew harus memahami tugas dan tanggung jawab dalam suatu kegiatan sesuai dengan muster list.
PENGARUH BUDAYA ORGANISASI DAN KOMITMEN ORGANISASI TERHADAP ORGANIZATIONAL CITIZENSHIP BEHAVIOR (OCB) PADA PEGAWAI POLITEKNIK ILMU PELAYARAN (PIP)
Authors: Moh. Zaenal Arifin  
Published: June 2020

As for target of which will reach in this research is to analysing cultural influence of organization to PIP Semarang officer Organizational Citizenship Behavior (OCB). Analysing organizational komitmen influence to PIP Semarang officer Organizational Citizenship Behavior (OCB). Pursuant to above mentioned background, hence researcher will test about cultural influence of organizational comitment and organization to officer Organizational Citizenship Behavior (OCB) in is PIP Semarang. Population in this research is PIP Semarang officer amounting to 319 one who consist of 215 PNS and 104 contract officer.To determine the amount of sample to be used as the source of information in this research is used by Slovin formula.
Pursuant to result of calculation of determination of is amount of sampel with Slovin formula hence amount of minimum sampel which needed in this research is 178 PIP Semarang officer responder. Data which is used in research is primary data and secunder. Method analyse data use doubled linear regression analysis.
Pursuant to result of research can be concluded by proven organizational culture have an effect on positively of significant to PIP Semarang officer Organizational Citizenship Behavior (OCB). Its Meaning, if organizational culture as according to individual values hence will push the make-up of employees Organizational Citizenship Behavior (OCB). Proven Organizational Comitment have an effect on positively of significant to PIP Semarang officer Organizational Citizenship Behavior (OCB). Its Meaning, if employees have strong organizational comitment hence this matter will push employees for have high Organizational Citizenship Behavior (OCB)
PENGOPERASIAN CARGO CONTROL ROOM UNTUK KELANCARAN PROSES BONGKAR MUAT PADA KAPAL MT. KETALING
Authors: Samsul Huda  , Andri Yulianto  , Taufik Qur Romadhon  
Published: June 2020

Cargo control room mempunyai peranan yang sangat penting terhadap kelancaranproses bongkar muat di kapal tanker, maka apabila dalam pengoperasian cargo controlroom tidak berjalan dengan baik dan benar, maka proses bongkar muat akan tehambat danhal ini dapat mengakibatkan kerugian bagi perusahaan.
Dalam penelitian ini diambilbeberapa masalah mengenai bagaimana cara pengoperasian cargo control room yang baikagar proses bongkar muat dapat berjalan dengan lancar dan kesalahan-kesalahan apa sajayang menjadi hambatan dalam pengoperasian cargo control room.Dalam menulis penelitian ini penulis menggunakan penelitian melalui pendekatankualitatif karena akan menyajikan data-data yang diperoleh secara deskriptif atau membuatgambaran mengenai situasi atau kejadian dan lebih banyak melakukan observasi danwawancara secara langsung terhadap objek.
Hasil penelitian yang dilakukan penulis selama praktek di kapal MT. Ketaling,pengoperasian cargo control room di MT. Ketaling masih belum berjalan dengan baikkarena perwira jaga masih sering melakukan kesalahan dan sering mengalami kendalakendaladalam pengoperasian cargo control room, perwira jaga tidak mengetahui line-linepipa muatan yang harus dibuka saat pembongkaran, perwira jaga tidak menyiapkan alatkomunikasi dan kurangnya pengawasan selama proses bongkar muat di cargo control room.Pembahasan dalam penelitian ini adalah pengoperasian cargo control room ada tiga tahapyaitu persiapan, pengawasan dan pelaksanaan. Kendala yang menghambat antara lainKebocoran pipa, kerusakan pompa, alat komunikasi, salah komunikasi, kurang pengawasan,perwira mengandalkan juru pompa, serah terima jaga kurang baik. Untuk mengatasi kendalatersebut dengan cara merawat pompa, alat komunikasi, berkomunikasi dengan baik,pengawasan rutin, memberi pelatihan dan melakukan serah terima dengan baik.