bluuebunny/crossref_metadata_2025_split huggingface dataset:
Internal and external environmental factors affecting the performance of hospital‐based home nursing care
Authors: Noh J.‐W. , Kwon Y.‐D. , Yoon S.‐J. , Hwang J.‐I. 
Published: February 2011

NOH J.‐W., KWON Y.‐D., YOON S.‐J. & HWANG J.‐I. (2011) Internal and external environmental factors affecting the performance of hospital‐based home nursing care. International Nursing Review58, 263–269Aims:  This study aimed to measure the performance of hospital‐based home nursing care (HNC) and identify internal and external factors affecting the performance.Background:  Numerous studies on HNC services have been carried out by signifying their needs, efficiency and effectiveness. However, no study has ever been performed to determine the critical factors associated with HNC's positive results despite the deluge of positive studies on the service.Methods:  This study included all of the 89 training hospitals that were practising HNC service in Korea as of November 2006. The input factors affecting the performance were classified as either internal or external environmental factors. This analysis was conducted to understand the impact that the corresponding factors had on performance. Data were analysed by using multiple linear regressions.Results:  The internal and external environment variables affected the performance of HNC based on univariate analysis. The meaningful variables were internal environmental factors. Specifically, managerial resource (the number of operating beds and the outpatient/inpatient ratio) were meaningful when the multiple linear regression analysis was performed. Indeed, the importance of organizational culture (the passion of HNC nurses) was significant.Conclusion:  This study, considering the limited market size of Korea, illustrates that the critical factor for the development of hospital‐led HNC lies with internal environmental factors rather than external ones. Among the internal environmental factors, the hospitals' managerial resource‐related factors (specifically, the passion of nurses) were the most important contributing element.
Nursing personnel's perceptions of the organizational climate in public and private hospitals in Spain
Authors: Garcia‐Garcia I. , Ramos V. Benítez , Serrano J.L. Cobos , Ramos Cobos M.C. , Souza A. 
Published: February 2011

GARCIA‐GARCIA I., BENÍTEZ RAMOS V., COBOS SERRANO J.L., RAMOS COBOS M.C., SOUZA A. (2011) Nursing personnel's perceptions of the organizational climate in public and private hospitals in Spain. International Nursing Review58, 234–241Background:  Organizational climate is considered one of the most significant determinants of individual and group behaviour in institutions. The International Council of Nurses has launched a campaign to improve professional recognition, support for personal development, safety and health at work.Aim:  To analyse nursing personnel's organizational climate perceptions using the Work Environment Scale (WES) in two categories of hospitals.Methods:  A cross‐sectional survey was undertaken in public and private hospitals. Two sampling approaches were used. At the Public Hospital, the sample was randomly selected (n = 297, 168 nurses and 129 other nursing personnel). At the Private Hospitals, a convenience sampling method was used (n = 66, 14 nurses and 52 other nursing personnel). The study used descriptive and inferential statistic analyses to explain the nursing personnel perception of organizational climate and to explore variations between nurses and other nursing personnel in both categories of hospitals.Results:  Sixty per cent and seventy per cent of WES subscales yielded scores below the midpoint for the perception of work environment in public and private hospitals, respectively. Mean scores for both categories were similar, except for the subscales of Pressure and Control that were higher in Private Hospitals. In the Public Hospital, nurses scored significantly lower than other nursing personnel in Involvement, Innovation and Comfort.Conclusions:  Based on these findings, it is suggested that nurse managers should introduce strategies to set conditions for a better work environment in public and private hospitals.
Practices for caring in nursing: Brazilian research groups
Authors: Erdmann A.L. , de Andrade S.R. , Ferreira de Mello A.L. , Klock P. , do Nascimento K.C. , Santos Koerich M. , Stein Backes D. 
Published: February 2011

ERDMANN A.L., DE ANDRADE S.R., FERREIRA DE MELLO A.L., KLOCK P., DO NASCIMENTO K.C., SANTOS KOERICH M. & STEIN BACKES D. (2011) Practices for caring in nursing: Brazilian research groups. International Nursing Review58, 379–385Background:  The present study considers the production of knowledge and the interactions in the environment of research and their relationships in the system of caring in nursing and health.Aim:  To elaborate a theoretical model of the organization of the practices used for caring, based on the experiences made by the research groups of administration and management in nursing, in Brazil.Methods:  The study is based on grounded theory. Twelve leaders of research groups, working as professors in public universities in the south and the south‐east of Brazil, distributed in sample groups, were interviewed.Findings:  The core phenomenon ‘research groups of administration and management in nursing: arrangements and interactions in the system of caring in nursing’ was derived from the categories: conceptual bases and contexts of the research groups; experiencing interactions in the research groups; functionality of the research groups; and outputs of the research groups. The research groups are integrated in the system of caring in nursing.Conclusions:  The activities of the Brazilian administration and management in nursing research groups are process oriented and in a process of constant renovation, socially relevant, operate in a complex scenario and contribute to the advancement of the organizations of the system of caring in nursing through strengthening the connection among academia, service and community.
Conflict management in public hospitals: the Cyprus case
Authors: Pavlakis A. , Kaitelidou D. , Theodorou M. , Galanis P. , Sourtzi P. , Siskou O. 
Published: February 2011

PAVLAKIS A., KAITELIDOU D., THEODOROU M., GALANIS P., SOURTZI P.& SISKOU O. (2011) Conflict management in public hospitals: the Cyprus case. International Nursing Review58, 242–248Background:  Conflict among health‐care personnel has been identified as an issue within health‐care settings around the world.Aim:  To investigate the existence and management of conflict among health‐care personnel in public hospitals in Cyprus; to assess the factors leading to conflict among staff members; to evaluate the consequences of conflict arising; and to consider the management strategies.Methods:  A self‐administered questionnaire was completed by a random sample of 1037 health‐care professionals in all (seven) state‐run hospitals in Cyprus in 2008.Results:  Mean age of respondents was 41 years, and 75% were female. Sixty‐four per cent of respondents reported that they had never been informed about conflict management strategies, with physicians being the least informed as the relative percentage was 79.8% (χ2 = 33, P < 0.001). Sixty per cent of health‐care professionals reported conflict at work with other health‐care personnel one to five times per week, and 37% of the respondents stated that they devote 90 min (mean value) from work during their shift in conflict resolution, meaning that managing conflicts may absorb 19% of working time daily. The majority of respondents agreed that organizational problems and communication gaps were the main issues creating conflict. Avoidance and collaboration were the preferable strategies for conflict resolution, used by 36.6% and 37.5% of the respondents, respectively.Conclusion:  Better communication, fair management practices and clear job descriptions and expectations may be needed in order to facilitate change and reverse the negative atmosphere that exists. Further education in conflict management for physicians, nurses and their managers may also be needed.
Commuting patterns among Italian nurses: a cross‐sectional study
Authors: Festini F. , Ciofi D. , Bisogni S. 
Published: February 2011

FESTINI F., CIOFI D. & BISOGNI S. (2011) Commuting patterns among Italian nurses: a cross‐sectional study. International Nursing Review58, 354–360Commuting is an additional burden that affects working stress, reduces leisure time and raises the risk of accidents. Little data are available about nurses' commuting patterns or the impact of commuting on their lives.Objectives:  The study aims to describe commuting patterns among Italian nurses and to explore possible associations with nurses' intention to change job.Methods:  This is a cross‐sectional study carried out in central Italy. Nurses were invited to participate through a variety of public measures. Those participating completed an online questionnaire available on a website established for this specific purpose.Results:  Five hundred sixty‐five nurses participated. The mean distance covered every day to go to work and back home is 30.8 km. A total of 43.3% of nurses cover 25 km or more every day to work; 5.7% cover 100 km or more. The mean time spent in commuting is 52.9 min daily. Furthermore, 14.5% of nurses spend every month commuting a time equal to or longer than the working time of 1 week. The mean monthly expenditure is 87.30 Euro (6% of mean salary). Nurses younger than 30 cover longer distances (P = 0.0006), spend more time (P = 0.001) and have higher expenditure (P = 0.003) than their older colleagues. Willingness to change job seems associated with the use of public means of transportation (P = 0.04). Nurses from the population under study cover longer distances, spend longer time in daily commuting and have higher monthly costs than the rest of the Italian workers' population.Conclusions:  Travelling to work represents a non‐negligible burden for nurses, particularly for younger nurses. Nurses seem to have lesser opportunities to rest and to recover energies than other workers. The Italian nurses' recruiting system may have a role in explaining our data. Further studies are needed to investigate the impact of nurses' commuting on the healthcare system.
Young adults talk about their problems
Authors: JACOBSSON GUNNEL , TYSKLIND FREDRIK , WERBART ANDRZEJ 
Published: February 2011

Jacobsson, G., Tysklind, F. & Werbart, A. (2011). Young adults talk about their problems. Scandinavian Journal of Psychology52, 282–289.This study aims to explore how young adults in psychotherapy and young adults in general describe their problems and how their problem formulations change over time. Two matched samples from longitudinal prospective studies were compared using thematic analysis. Semi‐structured, in‐depth interviews were conducted at baseline, 1.5 years after termination of psychotherapy (N = 12) in the clinical sample and 3 years after baseline in the non clinical sample (N = 12). Inductive thematic analysis revealed six themes: problems associated with oneself, family, intimate relationships, sense of belonging, occupation, and social roles. The psychotherapy sample was characterized by problems with oneself closely related to other problematic areas, at both pre‐treatment and at follow‐up 1.5 years after termination, while problematic sense of belonging was a general theme only prior to psychotherapy. However, they were less troubled by their problems after psychotherapy. Problems with oneself decreased considerably in the non‐clinical sample, while problems with intimate relationships were twice as frequent at follow‐up. In the psychotherapy sample, the initial experience of being passively trapped within their problems was transformed into an experience of being an active agent in their own life. However, considerable differences between the psychotherapy sample and non‐clinical sample still persisted at follow‐up.
Microessentialism: What is the Argument?
Authors: Needham Paul 
Published: February 2011

AbstractAccording to microessentialism, it is necessary to resort to microstructure in order to adequately characterise chemical substances such as water. But the thesis has never been properly supported by argument. Kripke and Putnam, who originally proposed the thesis, suggest that a so‐called stereotypical characterisation is not possible, whereas one in terms of microstructure is. However, the sketchy outlines given of stereotypical descriptions hardly support the impossibility claim. On the other hand, what naturally stands in contrast to microscopic description is description in macroscopic terms, and macroscopic characterisations of water are certainly possible. This suffices to counter the claim that microdescriptions are necessary. Whether it counters the impossibility claim depends on whether all macroscopic descriptions are stereotypical (stereotypical descriptions presumably being macroscopic). In so far as systematic import of “stereotypical” can be determined, it would seem not. But some macroscopic characterisations have definite affinity with everyday knowledge, which presumably stands in conflict with the spirit of the impossibility claim. Since what is characterised are properties expressed by predicates like “is water”, the necessity of identity has no bearing here, and matters of interpretation pose problems for claims to the effect that science fixes the extension of “water” as ordinarily understood.
Anreizeffekte und Angebotsinduzierung im Rahmen der Riester-Rente: Eine empirische Analyse geschlechts- und sozialisationsbedingter Unterschiede
Authors: Pfarr Christian , Schneider Udo 
Published: February 2011

AbstractIn 2001, the voluntary Riester pension scheme was implemented in Germany. Financial subsidies should provide incentives to increase private pension savings. In this paper, we hypothesize that these publicly subsidized savings are mainly driven by the incentives of child benefits and that supplier induced demand is an important factor. Using data from the Socio-economic Panel we analyze the key determinants in the choice of a Riester-pension. We find a higher probability to sign a Riester contract for those with higher income, higher education and children. Furthermore, we show that a contact with an insurance agent in the previous year is a major factor for the possession of a Riesterpension. Separate estimations regarding gender and socialization confirm our hypothesis of heterogeneous determinants.
Arteriovenous Access Closure in Hemodialysis Patients With Refractory Heart Failure: A Single Center Experience
Authors: Kurita Noriaki , Mise Naobumi , Tanaka Shinji , Tanaka Mototsugu , Sai Keiko , Nishi Takahiro , Miura Sumio , Kigawa Ikutaro , Miyairi Takeshi , Sugimoto Tokuichiro 
Published: February 2011

AbstractArteriovenous dialysis access may impose a burden on the cardiac system. The objective of this study is to examine the usefulness of access closure in hemodialysis patients with refractory heart failure and to identify possible factors associated with symptomatic improvements. The study population comprised 33 hemodialysis patients with symptomatic heart failure (New York Heart Association [NYHA] class ≥II), who underwent arteriovenous access closure (30 fistulas and three grafts) between 1991 and 2008. In all patients, heart failure was refractory to all possible medical and surgical treatments, and persisted after optimal dry weight control. First, short‐term changes in hemodynamics, clinical symptoms and echocardiographic morphology were examined. Second, clinical and echocardiographic parameters were compared between responders (N = 23), who demonstrated NYHA class improvement after access closure, and non‐responders (N = 10). After access closure, systolic blood pressure rose and the heart rate decreased significantly. Body weight and echocardiographic parameters did not change significantly. Twenty‐three patients (70%) demonstrated NYHA class improvement and were designated as responders. In responders, the duration from access creation to closure was significantly shorter and fewer had ischemic heart disease, compared with non‐responders. Access flow, cardiac output and ejection fraction were comparable between the two groups. Although the five‐year survival was 20.2% in all patients, responders showed better early survival than non‐responders. Arteriovenous access closure improved clinical symptoms in 70% of patients with refractory heart failure. This improvement was especially likely to be achieved in patients without ischemic heart disease and those who developed heart failure within a relatively short time after access creation.
Prostatic cavitary lesions containing urine in dogs
Authors: Bokemeyer J. , Peppler C. , Thiel C. , Failing K. , Kramer M. , Gerwing M. 
Published: February 2011

Objectives: The purpose of this retrospective study was to determine the proportion of urine‐containing prostatic cavitary lesions (“urinary cysts”) in dogs and to describe their clinical management.Methods: The study included dogs with clinically relevant prostatic‐retention cyst/abscess (n=87) treated initially by percutaneous ultrasound‐guided drainage of the prostatic cavity. Based on a prostatic fluid:serum creatinine ratio, the study population was divided into two groups: group 1 (n=16) with and group 2 (n=71) without evidence of urine within the lesion. Medical records of both the groups were reviewed.Results: Cavitary lesions containing urine were observed in 16 of the 87 dogs (18·4%; group 1). In 10 (62·5%) of the group 1 dogs, abdominal surgery was recommended, because of recurrent filling during follow‐up. In group 2, abdominal surgery was recommended in only 11 of 71 cases (15·5%).ClinicalSignificance: In dogs, 18·4% (95% confidence interval, 10·9 to 28·1%) of the prostatic cavitary lesions contain urine. Measurement of creatinine within the prostatic cavity fluid is a helpful tool in diagnosing a presurgical intra‐prostatic urethral fistulation, and these dogs tend to require a more aggressive surgical therapy than percutaneous drainage alone.
Temporo‐mandibular joint condylectomy and its effect over occlusion in cats: cadaveric study
Authors: El‐Warrak A. O. , Ferrer G. A. , Lanthier T. , Loureiro Silva B. , El‐Warrak L. O. 
Published: February 2011

Objective: To determine the effect of unilateral condylectomy on dental occlusion in cats. Methods: Twelve feline cadaver heads were randomly submitted to either a right or left unilateral condylectomy of the temporo‐mandibular joint. The distance between the mandibular and maxillary canine tooth was measured before (B0) and after the unilateral condylectomy (P0). A right or left latero‐‐lateral standardised force (4 N) was applied to the mandibular mentus area before and after the surgical procedure. These measurements were analysed with a linear model for repeated measures. Results: The comparative analysis between pre‐ and postsurgical values indicated no significant variation in teeth displacement following condylectomy between B0 and P0 measurements. Statistically significant differences were detected after either left or right condylectomy with respect to all measurements after application of the standardised forces. Occlusion changes are significant when comparing bites before and after surgery. Clinical Significance: Unilateral condylectomy causes a significant increase in latero‐lateral amplitude of jaw movement which might clinically affect feline dental occlusion. Clinical studies are required to determine the effect of unilateral condylectomies on mastication and dental occlusion in feline patients.
Diabetes type 2 self‐management among Thai Muslim women
Authors: Lundberg Pranee C , Thrakul Supunnee 
Published: February 2011

lundberg pc & thrakul s (2011) Journal of Nursing and Healthcare of Chronic Illness 3, 52–60 Diabetes type 2 self‐management among Thai Muslim womenAim.  To explore and describe Thai Muslim women’s self‐management of diabetes type 2.Background.  The importance of diabetes self‐management is well recognised. However, research on diabetes self‐management in Thailand is limited, and no such research related to Muslim patients with diabetes type 2 has been found.Methods.  An explorative qualitative study using ethnography was conducted. The ethnographic method was based on qualitative interview and participant observation carried out in 2008. Orem’s self‐care deficit nursing theory provided the theoretical framework. Purposive convenience sampling was used, and twenty‐nine women aged 40–80 years participated.Results.  Four themes of self‐management among Thai Muslim women with diabetes type 2 emerged, viz., daily life practices (dietary management, exercise, use of medicine, see doctor to follow‐up, self‐monitoring of blood sugar and use of herbal remedies), impact of the illness (feeling psychological burden of diabetes and struggling to control the disease), everyday life as before (maintaining religious practices and learning to live with the disease) and family support.Conclusion.  The Thai Muslim women suffered from a partial self‐care deficit. The results underline the importance of taking religious traditions into account in the care, offering health education that helps patients cope with their disease, involving family members who can reinforce information given to patients, and increasing self‐management power and capability of patients.Relevance to clinical practice.  When caring for Thai Muslim women with diabetes type 2, health care professionals should stimulate their patients to adopt a powerful strategy for modifying their daily life behaviour, and they should be aware of the existence of certain problematic behaviour of their patients. It is also important that they understand the roles of cultural background, religious tradition and family as parts of the basis for educational strategies aimed at helping patients successfully integrate disease management into their lives.
Development of a DNA Microarray for Enterococcal Species, Virulence, and Antibiotic Resistance Gene Determinations among Isolates from Poultry
Authors: Champagne J. , Diarra M. S. , Rempel H. , Topp E. , Greer C. W. , Harel J. , Masson L. 
Published: February 2011

ABSTRACT

A DNA microarray (Enteroarray) was designed with probes targeting four species-specific taxonomic identifiers to discriminate among 18 different enterococcal species, while other probes were designed to identify 18 virulence factors and 174 antibiotic resistance genes. In total, 262 genes were utilized for rapid species identification of enterococcal isolates, while characterizing their virulence potential through the simultaneous identification of endogenous antibiotic resistance and virulence genes. Enterococcal isolates from broiler chicken farms were initially identified by using the API 20 Strep system, and the results were compared to those obtained with the taxonomic genes
atpA
,
recA
,
pheS
, and
ddl
represented on our microarray. Among the 171 isolates studied, five different enterococcal species were identified by using the API 20 Strep system:
Enterococcus faecium
,
E. faecalis
,
E. durans
,
E. gallinarum
, and
E. avium
. The Enteroarray detected the same species as API 20 Strep, as well as two more:
E. casseliflavus
and
E. hirae
. Species comparisons resulted in 15% (27 isolates) disagreement between the two methods among the five API 20 Strep identifiable species and 24% (42 isolates) disagreement when considering the seven Enteroarray identified species. The species specificity of key antibiotic and virulence genes identified by the Enteroarray were consistent with the literature adding further robustness to the redundant taxonomic probe data. Sequencing of the
cpn60
gene further confirmed the complete accuracy of the microarray results. The new Enteroarray should prove to be a useful tool to accurately genotype strains of enterococci and assess their virulence potential.