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Nursing staff require culturally relevant and dementia-specific education to care for the increasing number of First Nation Elders experiencing memory loss. The culturally safe dementia care (CSDC) research team, composed of researchers, decision makers and Secwepemc Elders, was formed to address this.
To increase the capacity of nurses to care for First Nations Elders with memory loss in a culturally safe way.
Our community-based research used purposive sampling and mixed methods to create, implement and evaluate an education programme for nurses. Thirty-four Elders from six Secwepemc communities participated in roundtables to share views and stories of dementia and nursing care. These data were used to create four teaching stories for the storytelling sessions and talking circles with Elders which, together with the Indigenous Cultural Competency (ICC) training, comprised the CSDC education programme. Thirty-eight nurses (healthcare aides, licensed practical nurses and registered nurses) working in Central British Columbia began the CSDC study and 15 nurses took part in the education programme, evaluated the storytelling session and completed the three pre- and post-measures (Approaches to Dementia Questionnaire (ADQ), ICC knowledge quiz and self-assessment, and Care Plans). The pre- and post-tests were scored, and the data were analysed statistically. The data from the roundtables and talking circles were analysed thematically through a collaborative process.
The scores for the ADQ Hope sub-scale, the ICC knowledge quiz and the Care Plans increased from pre- to post-test. All nurse participants judged the storytelling session to be effective and their learning outcomes reflected culturally safe dementia care.
This programme can improve the knowledge, skills and values of nurses to provide culturally safe dementia care.
This programme can improve the knowledge, skills and values of nurses to provide culturally safe dementia care.Uniform deposition and distribution of lithium ion (Li+ ) on the surface of lithium metal anode is crucial for long-life and high-safety lithium metal batteries. However, the preparation of stable solid-electrolyte interphase (SEI) is mostly based on trial and error in the absence of guideline. Herein, covalent organic framework (COF) with high Young's modulus and low surface work function is in situ synthesized on Li anode to stabilize Li|electrolyte interface. Notably, Young's modulus, mechanical index for Li dendrite resistance, and surface work function, electrical index for Li+ distribution, can be regarded as macroscopically detectable indicators to evaluate the artificial SEI before battery assembly. The COFTpPa modified Li metal anodes delivered stable cycling over 1000 (2000) h at high current density of 5 (2) mA cm-2 in the ether-based electrolyte, and the full cells with commercial LiFePO4 electrode (mass loading of 16.5 mg cm-2 ) demonstrate remarkably enhanced cycling performance with a high reversible capacity of 152.3 mAh g-1 (retention of 96.8%) after 300 cycles.The engineering of biological molecules is the fundamental concept behind the design of complex materials with desirable functions. Over the last few decades, peptides and proteins have emerged as useful building blocks for well-defined nanostructures with controlled size and dimensions. Short peptides in particular have received much attention due to their inherent biocompatibility, lower synthetic cost, and ease of tunability. In addition to the diverse self-assembling properties of short peptides comprising coded amino acids and their emerging applications in nanotechnology, there is now growing interest in the properties of peptides composed of non-canonical amino acids. Such non-natural oligomers have been shown in recent years to form well-defined secondary structures similar to natural proteins, with the ability to self-assemble to generate a wide variety of nanostructures with excellent biostability. This review describes recent events in the development of supramolecular assemblies of peptides composed completely of non-coded amino acids and their hybrid analogues. this website Special attention is paid to understanding the supramolecular assemblies at the atomic level and to considering their potential applications in nanotechnology.Bi2 Te3 has attracted great attention because of its excellent thermoelectric (TE) performance around room temperature. However, the TE property of the n-type Bi2 Te3 is still relatively low compared to the p-type counterpart, which seriously hinders its commercial application with a combination of the n-type and p-type materials. Herein, an effective process of Cl and W co-doping is employed into the n-type Bi2 Te3 materials to enhance its TE properties. The Bi1.996 W0.004 Te2.476 Cl0.024 Se0.5 sample achieves a peak and average ZT over 1.3 and 1.2, respectively, at temperature range of 300-575 K. A 24-leg TE module of this n-type material and a home-made p-type Bi2 Te3 sample can produce a high efficiency over 6% at a temperature gradient of 235 K, which possesses a 71% improvement compared with a commercial Bi2 Te3 module. This high performance is ascribed to the effect of the Cl and W doping. This co-doping not only significantly increases the Grüneisen parameter but also successfully induces interstitial atoms in the van der Waals gap, which lead to a low lattice thermal conductivity (κl ) of 0.31W m-1 K-1 and a boosted charge transport. This finding represents an important step to promote the development of the n-type Bi2 Te3 materials.
To determine the prevalence of fever phobia among caregivers of children presenting to New Zealand EDs.
A cross-sectional survey was administered to caregivers of children <5 years of age presenting to three New Zealand EDs. We defined fever phobia as caregivers having a high level of concern regarding fever or having incorrect beliefs regarding the consequences of fever.
A total of 502 caregivers completed the survey. Fever phobia was present in 365 (74.3% [95% confidence interval, CI 70.3-78.0%]) respondents, with 242 (49.3% [95% CI 44.9-53.7%]) caregivers reporting a high level of concern regarding fever, and 288 (61.8% [95% CI 57.3-66.1%]) caregivers reporting at least one incorrect belief regarding the consequences of fever. Majority of caregivers (n=383, 87.6% [95% CI 84.2-90.4%]) knew the correct dosing interval for paracetamol, compared to less than half of caregivers (n=179, 42.5% [95% CI 37.9-47.3%]) for ibuprofen. Caregivers reported non-evidence-based fever management practices such as sponging, always giving paracetamol and/or ibuprofen for fever, and waking children from sleep to give antipyretics.
