bluuebunny/crossref_metadata_2025_split huggingface dataset:
Career Growth as a Mediator Between Scope of Practice, Importance of Practice and Emergency Nursing Competency Among School Nurses
Authors: Zoromba Mohamed Ali , El‐Gazar Heba Emad , Malek Mohamed Gamal Noaman , El‐Sayed Mona Metwally , Atta Mohamed Hussein Ramadan , Amin Shaimaa Mohamed 
Published: February 2025

ABSTRACTBackgroundSchool nurses are sometimes the sole healthcare professionals in schools, highlighting their significant role in delivering emergency care and the vital necessity of their competence in emergency nursing care. The scope of practice and ongoing professional development are hypothesized to play significant roles in enhancing these competencies.AimInvestigate the direct and indirect effects of the scope of current practice and the importance of training on the emergency nursing care competency of school nurses, with career growth serving as a potential mediator.MethodsA multi‐center cross‐sectional study was conducted with a convenient sample of 219 school nurses. Data were collected using the career growth of nurses' scale, the emergency nursing care competency scale for school nurses and the scope of school nursing practice tool. Mediation analysis was used to explore the direct and indirect effects of studied variables.ResultsMediation analysis indicated that the scope of current practice had a significant direct effect on career growth (β = 0.179) and emergency nursing care competency (β = 0.389). The importance of practice also had significant direct effects on career growth (β = 0.164) and emergency nursing care competency (β = 0.220). Additionally, career growth significantly mediated the relationship between both the scope of current practice (β = 0.110) and the importance of practice (β = 0.120) with emergency nursing care competency.ConclusionsThe findings emphasis the critical role of career growth as a mediator between the scope and importance of practice and emergency nursing care competency among school nurses. Expanding the scope of practice and emphasising the importance of professional activities can enhance career growth and improve emergency nursing care competencies.ImplicationsNurses scope of practice and clear career advancement through mentorship, advanced certifications, further education and enforcing policies mandating regular emergency care is crucial. Establishing a regulatory framework to define and expand the scope of practice for school nurses is also important.Patient or Public ContributionNo patient or public contribution.
The Perceptions of Male Accessibility to the Fields of Nursing Practice by Those Studying or Teaching Nursing in England: Cross‐Sectional Survey
Authors: Carter Daniel , Milasan Lucian Hadrian , Clifton Andrew , Mcgill George , Stribling Julian , De Vries Kay 
Published: February 2025

ABSTRACTAimsInvestigate the perception of male accessibility to the fields of nursing practice by those studying or teaching nursing in England.DesignCross‐sectional survey.MethodsOnline questionnaire with three closed‐scale questions and two open‐text questions designed to elicit perceptions on the accessibility of men to the fields of nursing practice. The questionnaire was distributed to the staff and students at 61 nursing schools in England. Inferential and descriptive statistics were used to analyse the closed questions data and inductive content analysis was used to analyse open‐text questions data.ResultsStudents (n = 52) and staff (n = 51) responded to the survey. Adult (Mdn = 6, IQR = 2) and mental health (Mdn = 6, IQR = 2) were perceived as the most accessible fields of nursing practice to men, and child (Mdn = 4, IQR = 2) the least. Specialised practice areas in acute and emergency (Mdn = 6, IQR = 2), education (Mdn = 6, IQR = 2), leadership (Mdn = 7, IQR = 1), prison services (Mdn = 7, IQR = 1), and research (Mdn = 7, IQR = 2) were rated the most accessible to men and neonatal care (Mdn = 3, IQR = 3) the least. Societal stereotyping and stigma were seen as barriers to men entering the nursing profession. The perception that nursing is a feminised profession persists and a distrust of men is associated with child nursing. Men were viewed as progressing to leadership roles with greater ease than women.ConclusionSocietal level stereotyping and stigma are perceived as prevalent in nursing practice areas considered less accessible to men entering the nursing profession.ImpactThis study adds insight into the gendered nature of nursing and highlights the barriers to men entering a profession with a workforce crisis.Reporting MethodsSTROBE cross‐sectional studies guidelines. COREQ guidelines for content analysis.Patient or Public ContributionNo patient or public contribution.
Prevalence of Periodontitis in a 70‐Year‐Old Population in Western Norway According to the ACES 2018 Classification Framework: A Cross‐Sectional Study
Authors: Elabdeen Hager R. Zein , Berggreen Ellen , Jensen Knut Helge , Sulo Gerhard , Kvalheim Siri Flagestad , Hasselgren Linda C. , Gerdts Eva , Iversen Marjolein Memelink , Bolstad Anne Isine , Bunæs Dagmar F. 
Published: February 2025

ABSTRACTAimTo assess the prevalence and severity of periodontitis in an older adult population in Western Norway using the periodontitis definition by the recently published ACES 2018 Classification Framework.Materials and MethodsIn the present study, 1298 70‐year‐old subjects answered a questionnaire and underwent a full‐mouth periodontal examination. The prevalence of periodontitis, stages, extents and grades was presented according to the Framework applying the 2018 periodontal classification scheme in epidemiological survey (ACES). Descriptive analyses were used, and results were expressed as percentages of the total number of observations.ResultsAccording to ACES, periodontitis was detected in 100% of the study population, and Stage II, Stage III and Stage IV were present in 21%, 75% and 4% of the individuals, respectively. The majority of periodontitis cases demonstrated generalised periodontitis and Grade B was the predominant grade in the periodontitis cases. The mean number of teeth in the study population was 25.3.ConclusionThere is a high burden of periodontitis in the present population of old individuals, and the majority of participants were classified as Stage III periodontitis. The cut‐offs for interdental clinical attachment loss in the definition of periodontitis affect the estimate of cases, stages and extent of periodontitis in older age groups.
Application of the 2018 Periodontal Status Classification to Epidemiological Survey Data (ACES) Framework to Estimate the Periodontitis Prevalence in the United States
Authors: Tay John Rong Hao , Holtfreter Birte , Baumeister Sebastian‐Edgar , Peres Marco A. , Nascimento Gustavo G. 
Published: February 2025

ABSTRACTAimsTo compare periodontitis prevalence estimates based on the Application of the 2018 periodontal status Classification to Epidemiological Survey data (ACES) and the Centers for Disease Control and Prevention/American Academy of Periodontology (CDC/AAP) classification.Materials and MethodsNational Health and Nutrition Examination Survey data for the years 2009/2010, 2011/2012 and 2013/2014 were survey‐weighted and post‐stratified to estimate the prevalence of periodontitis. Estimates based on ACES and CDC/AAP were cross‐classified and stratified by age group. Prevalence estimates using different partial recording protocols were examined.ResultsUsing the ACES framework, the prevalence of adults with periodontitis was 93.1% (95% CI: 91.9–94.2) (Stage I: 17.9%; Stage II: 46.2%; Stage III: 16.7%; Stage IV: 12.4%). Complexity factors did not alter Stage II prevalence. The CDC/AAP classification yielded a periodontitis prevalence of 38.9% (95% CI: 36.4–41.4) (Mild: 3.5%; Moderate: 28.1%; Severe: 7.3%). Partial recording protocols resulted in increased prevalence in the lower stages of periodontitis.ConclusionsThe European Federation of Periodontology/American Academy of Periodontology Classification (using the ACES framework) overestimates periodontitis cases compared with the CDC/AAP classification. Including complexity factors in the ACES framework provides limited benefits in staging periodontitis. Partial‐mouth recording protocols overestimate health and early disease stages while underestimating more severe disease.
The Experience of Setting up a Vascular Access Unit in a South European Large Hospital: The Step‐by‐Step Description of the First Year of Activity
Authors: Benvenuti Stefano , Porteri Elena , Ceresoli Rosanna , Pintossi Cristian , Bartolini Gabriele , Zanatta Francesca , Bevilacqua Patrizia , Musatti Paolo , Beretti Sonia , Comberti Enrico , Marinoni Fabio , Costabile Davide , Zanetti Elisabetta , Gazzaneo Marta , Finetti Federico , Mussa Baudolino , Verzeletti Andrea , Alberti Daniele , Rossi Camillo 
Published: February 2025

ABSTRACTAimThe article aims to describe the establishment and development of the Vascular Access Unit in a major hospital in Southern Europe during the SARS‐COV2 pandemic and to evaluate the benefits brought by the Unit.Implications for the Profession and Patient CareThe advantages of having a vascular access service for managing various vascular devices are widely recognized in many countries, due to the perceived benefits of reducing complications, increasing efficiency, and lowering costs.MethodsOperators were thoroughly and appropriately trained, enhancing the quality and suitability of vascular access by forming a multidisciplinary team to redesign the vascular access process.ResultsIn the first year, starting from July 2021, we implanted 6125 catheters. The Vascular Access Team achieved a higher percentage of first‐attempt cannulation success, which correlated with fewer complications, such as bleeding, and improved patient satisfaction. The complication rate was very low, with most issues arising from improper management.ConclusionEstablishing Vascular Access Teams should be a priority in large hospitals, as they can positively impact ward organization and significantly enhance patient satisfaction.
TUNA‐EBSD‐CL correlative multi‐microscopy study, on the example of Cu(In,Ga)S2 solar cell absorber
Authors: Hu Yucheng , Kusch Gunnar , Adeleye Damilola , Siebentritt Susanne , Oliver Rachel 
Published: February 2025

AbstractMulti‐microscopy offers significant benefits to the understanding of complex materials behaviour by providing complementary information from different properties. However, some characterisations may strongly influence other measurements in the same workflow. To acquire reliable and valid datasets, optimising multi‐microscopy procedure is necessary. In present work, we studied the influence of the measurement order on the quality of multi‐microscopy datasets. Multi‐microscopy incorporating tunnelling current AFM (TUNA), electron backscatter diffraction (EBSD), and cathodoluminescence (CL) on a polycrystalline solar cell absorber, Cu(In,Ga)S2 (CIGS), is used as an example. The investigation revealed potential characterisation‐induced contaminations, such as surface oxidation and hydrocarbon layer coating, of the sample surface. Their subsequent influence on the measurement results of following correlation techniques was examined. To optimise the dataset quality, multi‐microscopy should be carried out in TUNA‐EBSD‐CL order, from the most to the least surface sensitive techniques. With the optimised multi‐microscopy measurement order on a CIGS absorber, we directly correlated the local changes in electrical and opto‐electronic properties with the microstructure of grain boundaries (GBs). The described methodology may also provide insightful concepts for applying other AFM‐SEM‐based multi‐microscopy on different semiconductor materials.
“It was a good opportunity for us to be in touch with public health”: Independent community pharmacists’ experiences working with public health before and during COVID‐19
Authors: Rubinstein Ellen B. , Preugschas Anna‐Helena , Skoy Elizabeth , Nagel Lisa , Larson Mary 
Published: February 2025

AbstractPurposePharmacies have been a significant part of improving population health since before the COVID‐19 pandemic. However, little is known about the working relationships between pharmacies and public health entities. This exploratory study describes independent community pharmacists' perceptions during COVID‐19 of both pre‐existing and newly created relationships with public health.MethodsThis paper is based on 42 qualitative interviews conducted as part of a broader study on North Dakota pharmacy's role in the COVID‐19 pandemic. Authors analyzed interview data both deductively (based on a priori interview questions) and inductively (based on emergent themes). We used key quotes to map working relationships between pharmacy and public health on two axes: personal interactions and service provision.FindingsInterviewees worked at 42 pharmacies (21 urban and 21 rural) and described relationships with public health entities that fell into four categories: (i) service provision with personal interactions predating the pandemic; (ii) service provision without personal interactions predating the pandemic; (iii) personal interactions that evolved during the pandemic; and (iv) service provision that evolved during the pandemic. Rural pharmacists described personal interactions and pre‐pandemic service provision more often than urban pharmacists. Most urban pharmacists developed working relationships with public health entities solely because of the pandemic.ConclusionsThis study begins mapping the range of relationships that can exist between community pharmacies and public health entities. Our data suggest it may be possible to leverage pharmacists to extend public health's reach and improve the health of medically underserved, rural populations.
Evolution of Hybrid Inviability Associated With Chromosome Fusions
Authors: Boman Jesper , Näsvall Karin , Vila Roger , Wiklund Christer , Backström Niclas 
Published: February 2025

ABSTRACTChromosomal rearrangements, such as inversions, have received considerable attention in the speciation literature due to their hampering effects on recombination. Less is known about how other rearrangements, such as chromosome fissions and fusions, can affect the evolution of reproductive isolation. Here, we use crosses between populations of the wood white butterfly (Leptidea sinapis) with different karyotypes to identify genomic regions associated with hybrid inviability. We map hybrid inviability candidate loci by contrasting allele frequencies between F2 hybrids that survived until the adult stage with individuals of the same cohort that succumbed to hybrid incompatibilities. Hybrid inviability candidate regions have high genetic differentiation between parental populations, reduced recombination rates, and are enriched near chromosome fusions. By analysing sequencing coverage, we exclude aneuploidies as a direct link between hybrid inviability and chromosome fusions. Instead, our results point to an indirect relationship between hybrid inviability and chromosome fusions, possibly related to reduced recombination in fused chromosomes. Thus, we map postzygotic isolation to chromosomal rearrangements, providing crucial empirical evidence for the idea that chromosome number differences between taxa can contribute to speciation.
Tea trolley teaching in critical care: Integrating evidence‐based practice with library services
Authors: McGivern H. , Bridge S. , Sutherland S. , Reynolds E. , Ede J. 
Published: February 2025

AbstractTea trolley teaching is a tried and tested method of providing bedside education to hospital staff. This project aimed to integrate the tea trolley teaching model, already established in our local critical care unit, with library services. The goal was to equip clinical staff with the necessary training to retrieve literature and support evidence‐based practice. Our evaluation highlights the value of this combined intervention of teaching research skills to upskill staff working in our intensive care units. This paper describes a scalable model of critical care bedside education that integrates library‐focused teaching to upskill nurses in some of the prerequisite skills needed for evidence‐based practice (EBP).
Role of a Dementia Virtual Reality App in Developing Situated Empathy, Attitude and Person‐Centred Care—A Qualitative Approach
Authors: Tan Chin Pei , Howes Dora C. , Manikam Ambelorfam , Lim Sok Mui 
Published: February 2025

ABSTRACTBackgroundThe demands of any health education programme including nurse education would benefit from innovative ways to support students learning in an effective and efficient manner. Such approaches resonate particularly when caring for older people living with dementia, due to multifactorial manifestations of the condition, patients' difficulty in articulating their needs and the potential for negative care outcomes. Empathy is an important part of understanding dementia and is also recognised as a complex and multidimensional concept.ObjectiveThis study investigated the impact of undergraduate nursing students' 15‐min use of the Experience Dementia in Singapore (EDIS) virtual reality app in their tutorial lesson for developing their empathy, changing their attitude and increasing their sensitivity for person‐centred care of people with dementia.MethodWe carried out content and thematic analysis of data anonymously collected via the in‐class learning activities at the start and at the end of the lesson.ResultsAll participating students (n = 89, 89% response rate) achieved their learning goal to experience a first‐person perspective and gain insights into needs and care for persons living with dementia. The results showed students transitioned from having mainly knowledge foremost in their mind, to more empathetic and care related thoughts when delivering care to persons living with dementia. The experience made more students aware of how they could communicate care, make environmental modifications to support and develop an attitude of person‐centred care for persons living with dementia and their families. The analysis resulted in four themes: (1) immersive learning—walking in the shoes of the person living with dementia (2) feelings evoked from the first‐person perspective (3) little things, big impact; little things, positive impact; and (4) communicating care.ConclusionThe EDIS virtual reality app was an efficient and effective way for students to develop essential elements, especially empathy, as well as positive attitudes and sensitivity towards person‐centred care for those living with dementia.Implications for PracticeThe first‐hand experience the VR app offers allows students to challenge pre‐conceived perceptions about older people and those living with dementia. As such, it is a versatile tool that can be incorporated into a variety of study and training programmes for students, professionals and caregivers who provide care or care solutions for persons living with dementia and their families.
Barriers and facilitators to engagement in psychological therapy in first episode psychosis: A meta‐ethnography and qualitative comparative analysis
Authors: Fahy Leanne , Lee Linda , Newlove Liberty , Wood Lisa , O'Driscoll Ciarán 
Published: February 2025

AbstractObjectivesDisengagement from psychological therapies in first‐episode psychosis (FEP) is a common occurrence, with personal costs associated with untreated problems. This study aimed to establish the barriers and facilitators of people experiencing FEP to engagement in psychological therapies by undertaking a meta‐ethnography and Qualitative Comparative Analysis (QCA) of existing qualitative literature.MethodsA systematic search was conducted in multiple databases including Psychinfo, Ovid Medline, Web of Science, EthOs, OPENgrey and Procrest in July 2021 (updated in July 2024). The search identified 6966 titles and 71 full texts that were reviewed for eligibility. Twenty‐three studies were found to meet eligibility and were critically appraised. Data was systematically extracted and synthesized in a meta‐ethnography and QCA.ResultsSeven themes were identified as barriers to engagement in psychological therapy (Ambivalence to therapy, Emotional distress, Fluctuating symptoms, Negative expectations, Physical capacity, Service limitations and Therapy preference unmet) and six themes were identified as facilitators (Destigmatizing, Accessibility of digital therapy, Positive expectations of therapy are met, Service factors, Therapists interpersonal approach and skills and Therapy preferences met). The QCA identified a model with the Therapists interpersonal approach and skills, as sufficient (i.e. whenever that condition is present, the outcome is also guaranteed to be present) for engagement in psychological therapy, while Emotional distress was a sufficient barrier to engagement.ConclusionsEngagement is a multifaceted construct with many factors unique to an individual's experience, impacted by emotional, social, practical and service‐level factors. Strengths, limitations and recommendations of the findings are discussed.
An interpersonal form of faith
Authors: Tian Yuan 
Published: February 2025

AbstractAn athlete has faith in her unathletic partner to run a marathon, a teacher has faith in her currently poor‐performing students to improve in the future, and your friend has faith in you to succeed in the difficult project that you have been pursuing, even, and especially, when your chance of failing is non‐trivial. This paper develops and defends a relational view of interpersonal faith by considering four interesting phenomena: first, in virtue of placing faith in someone, we stand in solidarity with that person; second, interpersonal faith is called for during moments of difficulty, but it can seem inappropriate during moments of ease; third, one's faith in others can feel unwelcomed, and can be rejected; and fourth, when interpersonal faith is frustrated, disappointment, rather than resentment, is warranted. I propose that when the faithor (e.g., your friend) places faith in the faithee (e.g., you) to φ, the faithor does something close to inviting the faithee to (re)commit to φ‐ing. This invitation‐like move, once properly taken up by the faithee, puts both sides of the faith in a new kind of normative relationship that is in the same broad family as a promissory relationship, albeit with a different normative profile.
Temporal and small‐scale spatial variation in standing stock phenology and reproduction of Australian hijiki analogues informs aquaculture potential
Authors: Vairo Daniel , Bellgrove Alecia , Biancacci Cecilia 
Published: February 2025

SUMMARYExploration of Australian fucoids for aquaculture has been limited, despite their high diversity and endemism. Sargassum fusiforme (hijiki in Japanese) is a highly‐valued seaweed worldwide for human consumption, but concerns about high arsenic concentrations limit importation into countries with strict safe‐food regulations. We investigated the temporal and small‐scale spatial variation in distribution, abundance, thallus length, reproduction and biofouling of two Australian fucoids, Cystophora torulosa and Caulocystis uvifera, as candidates for aquaculture production and alternatives to hijiki. Temporal variation was assessed quarterly over a 12‐month period at a single site for each species, while small‐scale spatial variation was assessed at a single site for each species, comparing high‐shore and low‐shore for intertidal C. torulosa, and distance from the shore for subtidal C. uvifera. For C. torulosa, no significant variation in distribution, abundance or reproduction was observed; however, thallus lengths peaked in June (winter). Moreover, biofouling was minimal overall. Significant temporal variation was observed for C. uvifera with peaks in thallus lengths and reproduction in November (spring), and biofouling in February (summer). The temporal and spatial consistency in reproduction and minimal biofouling may render cultivation of C. torulosa more practical for successful commercialization than C. uvifera. Further investigation of these two Australian hijiki analogues is warranted to inform aquaculture investment.