bluuebunny/crossref_metadata_2025_split huggingface dataset:
Graduate Nurses' Experiences of Interactions With Professional Nursing Staff During Transition to the Professional Role
Authors: Thomka Lisa A 
Published: January 2019

ABSTRACT
As new members of the nursing profession, graduate nurses (GNs), in their transition to the professional role, have a variety of experiences with registered nurses. These experiences give rise to diverse thoughts and emotional responses that may have a significant impact on nurses' own professional development and socialization to the professional role. Literature documenting GNs' perceptions and feelings regarding their orientation to the professional role is scarce. This study involved 16 nurses' descriptions of their own experiences, thoughts, and feelings that arose from interactions with nurse colleagues during their first year of professional nursing practice. There was a lack of consistency regarding the way in which GNs were assisted in this important transitional teaching and learning experience. Understanding GNs' perceptions of the process of transition to the professional role holds tremendous value for nursing education. This understanding could serve as a guide in the development of positive and appropriate orientation strategies as we strive to imbue nursing graduates with the professional values, attitudes, and behaviors that are essential in achieving outcomes reflective of quality patient care.
Learning Needs of Nurses Working in Canada's First Nations Communities and Hospitals
Authors: Silverman Barbara E , Goodine Wendy M , Ladouceur Michael G , Quinn Jillian 
Published: January 2019

ABSTRACT
Background: What are the learning needs of nurses providing services to Canada's First Nations Communities and Hospitals? First Nations (or Indian Band) are similar to communities except some comprise more than one geographic Native community. Aboriginal (or Native) individuals are members of the North American Indian, Inuit, or Métis peoples of Canada; those who reported being a Treaty or Registered Indian (with the Federal Government); or those who are members of an Indian Band/First Nation.
Method: A Canada-wide survey was completed to determine the learning needs of nurses working with Canada's Aboriginal persons.
Results: Nurses indicated both broad and specific aspects of their clinical practice, which were important to their continuing education (CE) needs. Broad thematic areas for continuing education included the following: emergency/acute care and obstetrics/gynecology clinical skills, health and physical assessment, mental health, and prenatal and postnatal care. Specific areas nurses cited for CE included issues related to: victims of violence; non-compliant clients; substance abuse; and fetal alcohol syndrome.
Conclusion: This study examined the learning needs of nurses working with Canada's Native people and provided a basis for comparing and contrasting CE issues of these nurses to other nurses working in remote locations around the world.
Continuing Education for Staff in Long-Term Care Facilities: Corporate Philosophies and Approaches
Authors: Ross Margaret M , Carswell Anne , Dalziel William B , Aminzadeh Faranak 
Published: January 2019

ABSTRACT
The purpose of this study was to determine corporate philosophies of continuing education and approaches to meeting the learning needs of staff who strive to provide for the increasingly challenging care requirements of seniors who reside in long-term care facilities. In-depth interviews lasting approximately 1 hour were conducted with key informants at the administrative level from nine long-term care facilities. Content analysis revealed a commitment to continuing education for staff. While recognizing the importance of organizational responsibility for continuing education, administrators placed emphasis on the individual responsibility of staff. Learning needs were identified as affective, managerial, and physical in nature. Challenges to providing continuing education programs were derived from a general lack of fiscal and human resources. A variety of measures was suggested as important to supporting the continuing learning of staff. Implications of this study point to the need for long-term care facilities to incorporate into their strategic plans measures of ensuring continuing education as a basis for the ongoing competence and development of staff. In addition, there is a need for collaboration between long-term care facilities and other institutions of a long-term care, acute care, and educational nature in the development of strategies to operationalize a philosophy of continuing learning as a basis for the provision of optimal care to residents.
Continuing Education in Sweden-To What Purpose?
Authors: Andersson Ewa Pilhammar 
Published: January 2019

ABSTRACT
Background: Continuing education (CE) or recurrent education has long been used in Sweden to maintain and develop the competence of health care professionals. The purpose of this article is to describe the effects of CE with regards to changes in work activities, cognitive abilities, the use of knowledge, and involvement in research and development projects.
Method: A questionnaire was distributed to all students (966 individuals) in CE courses at the Department of Advanced Nursing Education at Göteborg University Sweden.
Results: Results indicated that CE leads to enhanced work satisfaction, extended work relevant competence, the attainment of professional goals, and enhanced self-confidence. The results further suggest that CE has not led to increased salaries, more power or authority, or greater possibilities to influence working situations.
Conclusion: CE leads to positive development at the level of individual knowledge and competence but is not always reflected in changes in the respondents' working situations or in forms of rewards. The question is: How long are nurses prepared to continue raising their professional competence without compensation in terms of higher pay, better professional recognition, and new duties?
Development of Continuing Nursing Education Offerings for the World Wide Web
Authors: Billings Diane M , Rowles Connie J 
Published: January 2019

ABSTRACT
Nurses are seeking continuing professional development that is easily accessible, convenient, and available at any time and any place. As nurses have increasing access to Internets and Intranets at home and their workplace, courses for continuing nursing education must be available to meet this need. This article discusses the planning, implementation, and evaluation of continuing nursing education (CNE) on the World Wide Web. The article explains how to develop a strategic plan, develop course offerings, select technology tools to support teaching and learning, and market and evaluate the courses.
There Really Is a Difference: Home Care Competencies
Authors: Blevins Cindy 
Published: January 2019

ABSTRACT
Background: More nurses are turning to home care agencies as sources of employment because of mergers, alliances, and increased emphasis on outpatient services. The unique differences in the home care nursing role necessitate adequate orientation and ongoing competency validation.
Method: A review of relevant nursing literature was conducted. The author also relied on her experiences as a home care educator.
Results: Nurses who enter the specialty of home care nursing can expect to learn specific competencies that are unique to home care.
Conclusion: Specific competencies unique to home care are proposed. There is scant published research regarding home care competencies to date.
Texas Nurses Respond to Mandatory Continuing Education
Authors: Prater Llewellyn , Neatherlin Jacquelin S 
Published: January 2019

ABSTRACT
This study investigated Texas nurses' attitudes toward mandatory continuing education, and their perceptions of skill improvement, knowledge enrichment, and improvement of health care to the public as a result of participation in continuing education programs. Seventy-two percent of the respondents had a positive attitude toward mandatory continuing education. Significant relationships were present between the attitudes and the perceptions of psychomotor skills improvement, cognitive improvement, affective skills improvement, and health care to the public. Four variables were predictive of the attitude toward mandatory education. In addition, the nurses preferred lecture or discussion formats and independent providers of continuing education.
Mandatory Continuing Education: Past, Present, and Future Trends and Issues
Authors: Eustace Larry W 
Published: January 2019

ABSTRACT
Mandatory continuing education (CE) for nurses continues to be a viable means by which nurses can remain competent in the face of ever-increasing knowledge and technology in the health care setting. A multiplicity of CE providers, offering a variety of teaching approaches, exists to ensure nurses remain competent and advance in their fields of practice. Presently, more research must be conducted to measure the effectiveness of CE programs on patient care outcomes. Scholarly investigation may assist in justifying mandatory CE for nurses if positive patient care outcomes can be identified. Several states are regulating professional nursing practitioners by requiring CE. Although some states have not endorsed mandatory CE for nurses, it is likely that more state boards of nursing will continue the slow but steady trend of requiring CE for relicensure-especially if research establishes positive patient care outcomes.
Swimming Practice and Scapular Kinematics, Scapulothoracic Muscle Activity, and the Pressure-Pain Threshold in Young Swimmers
Authors: Habechian Fernanda A. P. , Lozana Ana Letícia , Cools Ann M. , Camargo Paula R. 
Published: January 2019

ContextWhereas alterations in scapular kinematics, scapulothoracic muscle activity, and pain sensitivity have been described in adult swimmers, no researchers have examined these outcomes in young swimmers.ObjectivesTo compare scapular kinematics, scapulothoracic muscle activation, and the pressure-pain threshold (PPT) of the shoulder muscles among young nonpractitioners (those who were not involved in sports involving the upper limbs), amateur swimmers, and competitive swimmers.DesignCross-sectional study.SettingLaboratory.Patients or Other ParticipantsA total of 90 individuals (age = 11.63 ± 0.61 years) in 3 groups: nonpractitioners, amateur swimmers, and competitive swimmers.Intervention(s)Scapular kinematics and activity of the upper trapezius, lower trapezius, and serratus anterior (SA) were measured during upper extremity elevation in the scapular plane. The PPT was assessed in the upper trapezius, infraspinatus, supraspinatus, middle deltoid, and tibialis anterior.Main Outcome Measure(s)Scapular kinematics, scapulothoracic muscle activation, and PPT. We conducted a 2-way mixed-model analysis of variance and a 1-way analysis of variance for scapular rotation and PPT, respectively. A Kruskal-Wallis test was used to assess muscle activity. The α level was set at .05.ResultsCompetitive swimmers presented more internal rotation at 90° (P = .03) and 120° (P = .047) and more anterior tilt at 90° (P = .03) than nonpractitioners. Amateur swimmers demonstrated more anterior tilt at 90° (P = .004) and 120° (P = .005) than nonpractitioners. Competitive swimmers had greater SA activation in the intervals from 60° to 90° (P = .02) and 90° to 120° (P = .01) than amateur swimmers. They also displayed more SA activation in the interval from 90° to 120° than nonpractitioners (P = .04). No differences were found in any of the muscles for the PPT (P &gt; .05).ConclusionsYoung competitive swimmers presented alterations in scapular kinematics and scapulothoracic muscle activation during upper extremity elevation that may be due to sport practice. Mechanical pain sensitivity was not altered in young swimmers.
Taping to Improve Scapular Dyskinesis, Scapular Upward Rotation, and Pectoralis Minor Length in Overhead Athletes
Authors: Ozer Sibel Tekeli , Karabay Damla , Yesilyaprak Sevgi Sevi 
Published: January 2019

Context
Deviations in scapular motions and subsequent alterations in associated soft tissues are thought to contribute to overuse shoulder injuries in overhead athletes. Whereas rigid and Kinesio taping are recommended for preventing these injuries, high-level evidence from clinical trials is still needed.

Objective
To determine and compare the short-term effects of rigid and Kinesio taping on scapular dyskinesis, scapular upward rotation, and pectoralis minor length in asymptomatic overhead athletes.

Design
Randomized controlled trial.

Setting
Athletic training rooms.

Patients or Other Participants
Seventy-two elite asymptomatic overhead athletes (age = 17.00 ± 4.09 years, height = 1.75 ± 0.11 m, mass = 67.26 ± 15.25 kg, body mass index = 21.80 ± 3.00).

Intervention(s)
We randomly assigned participants to 1 of 4 groups: rigid taping, Kinesio taping, placebo, or control (no taping). For the first 3 groups, we applied tape to the shoulder and scapular region.

Main Outcome Measure(s)
We evaluated all groups for observable scapular dyskinesis using the scapular dyskinesis test, scapular upward rotation using a digital inclinometer, and pectoralis minor length using the pectoralis minor index at baseline, immediately after taping, and at 60 to 72 hours after taping.

Results
The scapular dyskinesis percentage (P &lt; .05) decreased and the pectoralis minor index (P &lt; .001) increased immediately and at 60 to 72 hours after taping in the rigid-taping and Kinesio-taping groups. We observed no differences among groups for the change in the pectoralis minor index (P &gt; .05). Scapular upward rotation did not change after taping in any group (P &gt; .05).

Conclusions
Rigid or Kinesio taping of the shoulder and scapular region improved scapular dyskinesis and pectoralis minor length but did not alter scapular upward rotation. Short-term rigid and Kinesio taping may help improve scapular dyskinesis and pectoralis minor length in overhead athletes.
Hip-Muscle Activity in Men and Women During Resisted Side Stepping With Different Band Positions
Authors: Lewis Cara L. , Foley Hanna D. , Lee Theresa S. , Berry Justin W. 
Published: January 2019

ContextWeakness or decreased activation of the hip abductors and external rotators has been associated with lower extremity injury, especially in females. Resisted side stepping is commonly used to address hip weakness. Whereas multiple variations of this exercise are used clinically, few data exist regarding which variations to select.ObjectiveTo investigate differences in muscle-activation and movement patterns and determine kinematic and limb-specific differences between men and women during resisted side stepping with 3 resistive-band positions.DesignControlled laboratory study.SettingLaboratory.Patients or Other ParticipantsA total of 22 healthy adults (11 men, 11 women; age = 22.8 ± 3.0 years, height = 171.6 ± 10.7 cm, mass = 68.5 ± 11.8 kg).Intervention(s)Participants side stepped with the resistive band at 3 locations (knees, ankles, feet).Main Outcome Measure(s)We collected surface electromyography of the gluteus maximus, gluteus medius, and tensor fascia lata (TFL) for the moving and stance limbs during the concentric and eccentric phases. We also measured trunk inclination, hip and knee flexion, and hip-abduction excursion.ResultsHip-abductor activity was higher in women than in men (P ≤ .04). The pattern of TFL activity in the stance limb differed by sex. Women performed the exercise in greater forward trunk inclination (P = .009) and had greater hip excursion (P = .003). Gluteus maximus and medius activity increased when the band was moved from the knees to the ankles and from the ankles to the feet, whereas TFL activity increased only when the band was moved from the knees to the ankles. Findings were similar for both the stance and moving limbs, but the magnitudes of the changes differed.ConclusionsCompared with placing the band around the ankles, placing the band around the feet for resisted side stepping elicited more activity in the gluteal muscles without increasing TFL activity. This band placement is most appropriate when the therapeutic goal is to activate the muscles that resist hip adduction and internal rotation.
MOBILIZACE CHEMICKÝCH SLOŽEK STRUSKOVÉ DEPONIE V NÁRODNÍ PŘÍRODNÍ REZERVACI RUDICKÉ PROPADÁNÍ
Authors: Baldík Vít , Krumlová Hana , Buriánek David , Kryštofová Eva , Janderkova Jana , Sedláček Jan , Novotný Roman , Dostalík Martin 
Published: January 2019

The Rudice swallow hole (Rudické propadání) National Nature Monument is a locality affected by occasional mass movements and landslides. During exceptional rainfall events, the slag material from the slopes of a small valley called “Ve struskách” (“In the Slags”) slides into an episodic stream, which enters the local karst system near the swallow hole of the Jedovnice Creek (Jedovnický potok).The slag was dumped in the locality in consequence of the past processing of iron ore in blast furnaces, which had been built near Jedovnice by the princely Salm family in the 19th century. Even though the blast furnaces were closed down a hundred years ago, the slag components leaking into the Rudice stream sink cave system still demonstrably damage the speleothems. This was the majorimpulse for us to have a closer look at the geochemical properties of the slag.The chemical composition was determined by silicate analyses carried out in the Institute of Geological Sciences at the Faculty of Sciences of the Masaryk University in Brno and in the ACME laboratories in Canada. The ACME laboratories determined heavy metal contents by atomic absorption spectroscopy (AAS) and by inductively coupled plasma mass spectrometry (ICP-MS). The petrographic characterization of the slag and its enclosures was conducted based on point analyses by a wavelength dispersive X ray (WDX) electron microprobe. Predictions regarding the geochemical behavior of the slag components in an aqueous environment were made using the sequential extraction analysis (SEA) according to Tessier (1979).We have found the expected spatial variability of the basic chemical composition of the slag dumps, as well as the presence of heavy metals (cadmium and especially zinc are present at high concentrations).The slag material exhibits a glassy amorphous structure containing occasional mineral crystals, droplets of pure or oxidized iron and fragments of other materials (such as charcoal or blast furnace bricks). The ongoing weathering of the slag is accompanied by oxidation of crude iron and formation of limonite. Apart from that, the material is not subject to signifi cant secondary transformations. The results of the sequential extraction analyses of slag and soil samples suggest that Cd and Zn are chemically bound to the “carbonate fraction”, which, in general, tends to dissolve under acidic conditions. Even though the environment of the carbonate rock cave systems is typically alkaline, there is a persisting risk of mobilization of heavy metals by acid soil solutions. From the environmental point of view, the slag deposition primarily represents a source of clastic material, which contaminates the cave system and damages speleothems by mechanical abrasion.
SEISMICKÉ JEVY REGISTROVANÉ STANICÍ VRAC V ROCE 2017
Authors: Havíř Josef 
Published: January 2019

Broadband seismic station VRAC, operated by Institute of Physics of the Earth (Masaryk University) and situated westwards of village Vranov u Brna, is equipped with seismometer STS-2 high gain and by digitizer Quanterra Q330. This instrumentation allows recording of broad band of frequencies from tenths of Hz to hundreds of seconds. It is important for usage of the VRAC station, which is part of several seismic networks, including Czech regional seismic network and global International Monitoring System of the CTBTO. In frame of these networks, station VRAC has to record of seismic signal of both local and teleseismic events. During year 2017, station VRAC recorded 6 855 seismic events (10 699 picked seismic phases). More than 70% of recorded events were represented by local events with epicentral distance less than 360 km. Induced events (mining tremors) and quarry blasts dominated among these local events. In addition, 197 natural tectonic events were recorded (89 on the territory of the Czech Republic). In the region of the Bohemian massif, most important natural seismicity was observed in the area of west Bohemia, where seismic swarm occured in July 2017. Exceptional tectonic event (10. 12. 2017, ML = 3.5) was recorded from the NE part of the Bohemian Massif (near Hlučín). About 25% of events registered by station VRAC were represented by teleseismic events with epicentral distance exceeding 2 000 km, including Korean nuclear test from 3. 9. 2017. Records of relatively small teleseismic events show signifi cant eff ect of the PKP caustic zone in respect of detectability of station VRAC.
MIGRACE RADIONUKLIDU 226Ra V SEDIMENTECH RYCHVALDSKÉ STRUŽKY
Authors: Morcinek Radek , Zeman Josef 
Published: January 2019

Large amounts of mining waters are discharged into waterstreams in the region of Ostrava-Karviná Mining District. This paper deals with discharged mine water from the Žofie watershaft , which is located in Petrvald basin in Czech part of Upper Silesian coal basin. Mine water may affect surface watercourses, especially their sediments, which may have increased activity of radium 226Ra. The aim of this work was to evaluate geochemical evolution of the Rychvald creek with regard to the mobility of radium 226Ra and estimate the degree of influence. From the results, it is evident that the mine waters significantly affect the composition of Rychvald creek. Increased equivalent dose was measured only up to the wastewater treatment plant, which probably considerably diluted the water, consequently diminishing migration abilities of radium. From the result of physicochemical parameters it is evident that discharged mine water from the Žofie watershaft affects mainly conductivity, due to high mineralization of discharged mine water. Increased doses of the gamma radiation equivalent, which are related to the increased mass activity of radium 226Ra, were found in the sediment of the first 1 200 m of the Rychvaldské creek. However the determined increased activities of radium 226Ra do not represent neither substantial risk for human health nor important risk for the environment.
VÝVOJ PODZEMNÍHO ODTOKU VE VÝCHODNÍ POLOVINĚ ČR
Authors: Vaníček Petr , Chroustová Kateřina , Bízová Josefína , Říčka Adam 
Published: January 2019

The depletion of groundwater storage caused by the climate changes is frequently discussed issue. Thus, the baseflow evolution from 2006 to 2015 (at two locations from 1994 to 2016) was assessed at 10 watersheds situated in the eastern part of Czech Republic. Six observed watersheds are situated in the crystalline rocks (Strážek Moldanubicum and Orlice-Sněžník Unit) and four in sedimentary rocks (Vienna Basin, Ždánice Unit, Vysoké Mýto Syncline and Ústí Syncline). The evolution of the groundwater storage and baseflow is based on the springs and rivers flow rates evaluation respectively. The groundwater storage evolution from the spring watersheds was determined by the Maillet equation. The automated baseflow separation accomplished by PART (USGS) program was applied for the river watersheds and then expressed by linear regression in MS Excel. The long-term decrease of groundwater storage and baseflow was revealed in all observed watersheds. The rate of this decline is very different in each watershed and ranges from 10 to 85%. The increase of groundwater exploitation or change of vegetation cover or seasonal distribution of groundwater recharge was not confirmed. Relating to the correlation between precipitation and baseflow evolution, the reason for groundwater depletion resides in the decreasing amount of precipitation.