Iversennoble7270
To support the incorporation of Family Systems Nursing (FSN) in clinical practice, more understanding is needed about the implementation of FSN in home health practice settings. selleck chemicals Thus, the aim of this study was to evaluate nurses' perspectives about the implementation process of Family Systems Nursing Conversations (FSNCs) in home health care. A mixed-methods research design was used, integrating qualitative and quantitative data, and using triangulation as a methodological metaphor. The Quality Implementation Framework (QIF) was applied to guide the implementation process, and Proctor et al.'s taxonomy of implementation outcomes was used to evaluate the process. The findings demonstrated that FSN implementation was in progress. Overall, acceptability and appropriateness of FSNCs were evaluated as positive by home health nurses; however, some obstacles were found relating to feasibility, adoption, and fidelity. These results contribute to an increased understanding of the process and challenges of implementing FSNCs in home health care.
The microbial abundance and communities were characterized in CWs with different plant species during winter. Better removal efficiency with high microbial abundance and diversified microbial community were found in CWs planted with
This study confirmed that in winter, withered plants in CWs can effectively remove NH
-N and COD by affecting microbial abundance and community structure.
The microbial abundance and communities were characterized in CWs with different plant species during winter. Better removal efficiency with high microbial abundance and diversified microbial community were found in CWs planted with Phragmites australis. This study confirmed that in winter, withered plants in CWs can effectively remove NH4+-N and COD by affecting microbial abundance and community structure.
During the COVID-19 outbreak restricting measures may have affected the provision of good end-of-life care for patients with and without COVID-19.
To describe characteristics of patients who died and the care they received, and to examine how patient characteristics, setting and visiting restrictions are related to provided care and evaluation of the dying process.
An open observational online survey among healthcare professionals about their experience of end-of-life care that was provided to a patient with or without COVID-19 who died between March and July 2020.
Healthcare professionals (nurses, physicians and others) in the Netherlands from all settings home (
= 163), hospital (
= 249), nursing home (
= 192), hospice (
= 89) or elsewhere (
= 68).
Of patients reported on, 56% had COVID-19. Among these patients, 358 (84.4%) also had a serious chronic illness. Having COVID-19 was negatively, and having a serious chronic illness was positively associated with healthcare staff's favourable appreciation of end-of-life care. Often there had been visiting restrictions in the last 2 days of life (75.8%). This was negatively associated with appreciation of care at the end of life and the dying process. Finally, care at the end of life was less favourably appreciated in hospitals and especially nursing homes, and more favourably in home settings and especially hospices.
Our study suggests that end-of-life care during the COVID-19 pandemic may be further optimised, especially in nursing homes and hospitals. Allowing at least some level of visits of relatives seems a key component.
Our study suggests that end-of-life care during the COVID-19 pandemic may be further optimised, especially in nursing homes and hospitals. Allowing at least some level of visits of relatives seems a key component.In phytomanagement approach the application of a combination of amendments is an option for remediating arsenic polluted areas and valorized biomass obtained. Various amendments can be used. Biochar has been shown to reduce metal(loid) availability, and increase soil fertility, while iron sulfate has a considerable As binding capacity, and poultry manure is a source of nutrients. A phytotoxicity test was performed by applying the three amendments (2% biochar, 0.15%, 0.30% and 0.45% iron sulfate and 0.4% poultry manure) to a former tin mine technosol, to investigate their effects on (i) soil pore water properties, (ii) metal(loid) immobilization and (iii) Phaseolus vulgaris L. growth, used as a bioindicator. Biochar addition alone did not affect soil properties or plant parameters. However, the addition of iron sulfate acidified the soil, decreased soil pore water As concentrations, and increased the ones of Fe and Pb. It also improved plant growth, and reduced As and Pb aerial and root concentrations. Finally, the addition of poultry manure had no effect on soil and plants. Based on our results, the combination of iron sulfate with biochar may be a solution for reducing soil toxicity of the Abbaretz mining technosol, improving its fertility, and thus ameliorating plant growth.Novelty statementThe work presented in this manuscript describes the effect of amendment application, i.e., biochar, chicken dung and/or iron sulfate, on soil properties, metals availability and dwarf bean growth, plant used as bioindicator.Our results showed that the combination of a low amount of iron sulfate with biochar is the strategy to reduce soil toxicity, improved its fertility and consequently authorizes plant growth.This study is one of the first describing the effects of combined amendments on a mining soil properties with focusing on metal(loid) mobility.Consistent mindful self-care practices mitigate professional burnout and improve resilience to enable nurses provide safe and effective patient care. This study determined the levels and the influencing factors of mindful self-care of nurses in acute care settings. Data were collected from a convenience sample of 258 nurses from seven acute care hospitals using the 36-item Mindful Self-Care Scale. Data were analyzed using descriptive and correlation analyses. Nurses' mindful self-care scores were low, and female nurses had higher levels of mindful self-care than male nurses. Statistically significant negative correlations were found between nurses' mindful self-care levels and their age and clinical experience. Nurses' engagement in mindful self-care is low which may negatively affect their interactions with and care of patients and their families. Therefore, a need exists to develop and evaluate more clinical-based personal and organizational strategies to enhance the mindful self-care practices of nurses.
