Continuous Readiness Research Articles

E-Learning Experiences Among Nursing Students: A Scoping Review.

Electronic learning (e-learning) is a broader approach to learning that opens up new avenues for studying and teaching in many sectors of education outside of the standard classroom setting. This paper might enhance cultural competence among nursing students and the perspective of the lecturer. Literature databases of Cinahl "Ebsco", Pubmed, and Science Direct were searched, and 326 potentially relevant nursing research articles were reviewed between 2017 and 2022. Fourteen papers were found to meet the inclusion criteria. Fourteen articles were included for scoping review, themes include blended E-learning, nursing students' e-learning readiness, and The challenges with the E-learning system. First: Blended learning may be a beneficial educational strategy in nursing education but it also requires a cautious and carefully planned approach with sufficient time for each student. Second: E-readiness is an important component of academic success, and prospective e-learning users' capacity to use a new learning environment, as well as alternative technologies, is referred to as e-learning readiness. In addition, continuous readiness assessment is required to ensure the successful deployment of e-learning. Thirdly, Accessibility is the most significant challenge students experience; many other issues also challenge e-learning, such as Infrastructure, Ineffective Time Management, and a lack of Instant Communication. E-learning, on the other hand, can provide an alternate mode of education, blended learning Proven to be effective as a modern learning method, students' e-learning readiness was a significant predictor of their satisfaction and motivation in the classroom, there are still concerns about the instructional veracity of e-Learning, as well as how to analyze and overcome hurdles and fears in e-Learning. Specialized implications for practical ramifications include strategic management planning, curriculum enhancement, and raising standards at the lecturer level in several specific areas.

An Exploratory Investigation into Classroom Discourse in a Bruneian University

The paper inquired into the discourse practices in classroom teaching in a State university in Brunei Darussalam. Respondents comprised four (4), local Bruneian lecturers, from two (2) academic streams: STEM-driven and entrepreneurship programmes. Subjected to data saturation, teaching observations of each respondent were shadowed over several weeks. Data were recorded, transcribed, and analysed using the Classroom Discourse Observation Protocol (CDOP) to determine the types and frequencies of teacher-student utterances. Findings showed that the students were provided insufficient opportunities to interact meaningfully and that the lecturers who were leaning toward conventional teaching did minimal attempts to engage the students, failing to utilise appropriate prompts and basic questioning techniques believed to facilitate critical thinking and deep learning. Classroom discourse was propelled by a corresponding approach in teaching; hence continuous readiness in classroom teaching needs to be sustained, should students’ quality of learning be improved.

Enhancing Hospital Accreditation Practices: Building and Implementing a Continuous Readiness Model.

Accreditation Canada is moving from a three-to-five-year assessment cycle to a continuous assessment program. As our organization shifted to a culture of continuous readiness, we aimed to develop a model that would support a seamless transition. To develop our model, we completed a literature review, environmental scan and an organizational needs assessment. Grounded in quality management theory, our continuous readiness model includes overarching supporting infrastructure and tasks, tools and initiatives to embed the principles of continuous readiness across the organization. Our model provides organizations with a practical, evidence-informed process to support a state of continuous readiness for accreditation.

Time to Antiretroviral Treatment Initiation and Factors associated to Same Day Initiation in the West Region of Cameroon

Same-day Antiretroviral Treatment (ART) initiation after a positive HIV test result is vital for faster viral suppression. This study assessed the time to ART initiation and factors associated to SDAI in the West region of Cameroon. This was a cross-sectional retrospective study. The data was extracted from registers and patients’ medical records and analysed. The mean age of the 3053 participants was 36.9 (SD: 13.3), and 64.0% were female. A total of 2346 (76.8%) participants had initiated ART the same day of the diagnosis. Female gender (OR= 1.2; 95%CI:1.1-1.5), Tier 3 HF (OR= 1.3; 95%CI: 1-1.7), semi-urban facility’s location (OR= 1.4; 95%CI: 1.1-1.7), periods of test January-March 2020 (OR= 2; 95%CI: 1.6-2.6), April- June 2020 (OR= 1.7; 95%CI: 1.3-2.2), and July- September 2020 (OR= 3.4; 95%CI: 2.5-4.6), index case testing entry point (OR= 1.6; 95%CI: 1.2-2.1), active occupational situation (OR= 1.3; 95%CI: 1-1.7), and good general status (OR= 1.3; 95%CI: 1.1-1.6) were independently associated to same day initiation. In addition to WHO stage 2 (OR= 0.6; 95%), tuberculosis (OR= 0.2; 95%CI: 0.1-0.5), inpatient (OR= 0.2; 95%CI: 0.1-0.4) and emergency entry point (OR= 0.1; 95%CI: 0-0.2) were inversely associated to SDI. The ART initiation was timely for most clients in the West region of Cameroon, in alignment with the WHO recommendations. However, this was not the case among symptomatic, critically ill, and tuberculosis clients. This underscores the need for ongoing support, counselling, and continuous readiness assessment, as well as a strong linkage system for clients with delayed ART initiation.

An evaluation of the driving and restraining factors affecting the implementation of hospital accreditation standards: A force field analysis

ABSTRACT Background: Integrating accreditation standards in healthcare business operations is context-sensitive and affected by diverse factors. This study explored the driving and restraining factors influencing the implementation of accreditation standards in Saudi Arabian hospitals. Methods: A qualitative design using semi-structured in-depth interviews was employed. Twenty-seven hospital directors and 29 hospital quality directors were interviewed. Interviews were recorded, transcribed verbatim, and thematically analyzed. A force-field analysis framework was adopted to present a visual picture of the various factors influencing the implementation of hospital accreditation standards. Results: The analysis yielded 42 driving and restraining factors affecting the implementation of accreditation standards. The main drivers identified were teamwork, the quality mindset of leaders and staff, employing a continuous readiness model, and commitment toward customers. By contrast, insufficient manpower, infrastructural gaps, workforce recruitment challenges, variability among surveyors, the COVID-19 pandemic, limited financial support, and bureaucratic decision-making procedures were the main reported restrainers. At the national level, perceived restrainers pose a serious challenge to compliance with the existing accreditation model. Conclusion: Exploring the factors affecting accreditation standards implementation assists in assessing accreditation readiness, helps to prioritize efforts to strengthen drivers and weaken restrainers, and contributes to the institutionalization of accreditation standards.

Взаимосвязь уровня профессионального выгорания и стрессоустойчивости у сотрудников отдела охраны с различными сроками службы

The current state of the features of the professional activity of correctional officers is considered one of the most difficult and dangerous, especially for services that perform non-military services with weapons. The fact that employees have firearms with them during their service radically distinguishes their official duties from the work of other departments and services. As practice shows, even employees with long seniority may not always correctly anticipate and prevent the occurrence of crisis situations that may arise in circumstances specific to criminal enforcement activities: continuous readiness to act in an extreme situation (hostage-taking, escapes, riots, group disobedience, etc.), an increased level of danger to human life and health (the likelihood of using weapons to kill). All of the above places special requirements on the training of this category of employees, including psychological. Of no small importance is the development of the mental stability of the employees of the security department of the penitentiary service to the stress factors of professional activity, such as strict legal regulations, service with weapons, high responsibility for decisions made, service in any weather conditions, violation of sleep and wakefulness, etc.

Chwiejna lojalność żołnierzy Justyniana. Przyczyny rebelii w rzymskiej armii w Afryce w latach 536–546 n.e. Słowa

[The wavering loyalty of Emperor Justinian’s soldiers. The causes of the military revolts in Africa (536–545 AD)] Shortly after the liquidation of the Vandal rule in northern Africa and the restoration of the Roman administration, the newly established prefecture was shaken up by a series of military mutinies and rebellions. The revolts in the years 536–545 AD are represented in the contemporary witness accounts (esp. historian Procopius of Caesarea, poet Flavius Cresconius Corippus) as a case of a “civil war” among the Romans in the context of the concurrent conflict with the Berber (“Moor”) tribes. The history of the army mutinies has been depicted in accordance with the literary conventions and the propaganda‑oriented assumptions of the authors, with a striking background picture of the Roman army in a state of continual readiness to rise up in revolt against the emperor’s authority, which is something virtually unknown from any other contemporaneous war theatre, in consideration of a comparable scale. In his analysis of the unfolding events, the Author attempts to address not only the questions of the political intentions of the various rebellion leaders, but also (or even in particular) the motivations which would make the soldiers take part in such precarious undertakings. He points to a number of political, religious, and economic factors which caused the northern African army mutinies to escalate so violently, concluding with a paradoxical observation that in the newly established prefecture, the emperor would have counted on the loyalty of the locally recruited soldiers rather than on the elite troops to whose military skills he owed the re‑conquering of Africa.

ПСИХОЛОГІЧНА ГОТОВНІСТЬ ФАХІВЦЯ ДО ДІЯЛЬНОСТІ В УМОВАХ ВЕДЕННЯ БОЙОВИХ ДІЙ

Introduction The special literature does not yet sufficiently clearly define the content and structure of such an extremely important component of the effectiveness and safety of extreme activities as psychological readiness. Its formation is one of the priority tasks during the professional training and further stages of the professional formation of a specialist.Purpose is to outline the content and structure of the psychological readiness of a specialist to operate in a combat environment. Determine the structure of such readiness and its types. For each type of readiness, identify the components, components and readiness indicators.Methods Analysis, synthesis, comparison and generalization of data, content analysis of psychological and special scientific literature on the research problemResults The problem of readiness of a specialist for professional activity for a long time is the subject of research of many scientists. It is clear that psychological readiness for various activities has its own specific features. However, the majority of researchers of this problem indicates the existence of general characteristics of psychological readiness for all types of activities. Holistic psychological readiness for activity is represented as a set of certain psychological properties and states of personality that make up subsystems of short-term and long-term readiness. Continuous readiness is a system of integrated properties, knowledge, experience of the individual. This readiness combines the awareness of the role of a particular profession in society, social responsibility, an attempt to independently and creatively solve professional problems, the installation of actualization of available knowledge. Short-term psychological readiness is a special mental state, characterized by the presence in the subject of the image of the structure of a certain action and a steady orientation of consciousness to its implementation.Conclusion In scientific research, the psychological readiness of a person is considered as a multifaceted, multicomponent, multifunctional and dynamic phenomenon. Scientists in different branches of psychology distinguish in the structure of psychological readiness for professional activity from two to six basic substructures: moral and psychological components (focus on professional activity, awareness of goals of activity, needs and interests of the individual) and specific personal and professional qualities that ensure quality performance professional functions (training, individual psychological features, etc.)

Health Care Providers’ Compliance to Joint Commission International Patient Safety Goals during the Pre and Post Accreditation Period (2015-2016) in Public Hospitals in the United Arab Emirates

Background: Preparing for JCI accreditation is a complex task. The work has to be based on JCI standards and requirements and usually lasts for two years. Patient safety is considered a fundamental principle of excellence in healthcare. However, the International Patient Safety Goals (IPSG) are considered as the most important chapter in the Joint Commission International standards and staff compliance is extremely required. Purpose: The purpose of the study is to assess the compliance of healthcare providers to the JCI Patient Safety Goals during the pre and post JCIA survey period (2015-2016) and to develop a model to assist healthcare providers to have better compliance with the JCI standards. 2015 represents the period within 2 years post accreditation and 2016 represents the period of one-year pre-accreditation. Methods: This is a descriptive, cross-sectional study. Two convenience samples from two governmental hospitals in the United Arab Emirates. The participants were selected at two points of time (2015 and 2016). The sample consisted of nurses, doctors and other healthcare providers who were questioned and observed to check their compliance to JCI Patient Safety Goals. Results: In terms of IPSG survey, the results reflected a decline in healthcare providers’ awareness post-JCIA survey from mean of (88.48) to (76.48), with (p< 0.001). Regarding health care providers’ compliance to IPSG documentation in patients’ files, the mean of compliance decreased from (M=94.6) to (M=84.39) post JCIA survey, (p< 0.001). Moreover, healthcare provider’s adherence to hospital policies related to JCI safety goals declined from (M= 100) pre JCIA to (M=45) post JCIA with (p< 0.001). Thus, the overall compliance and knowledge to JCI safety goals shows significant decline during the period of post survey (2015) compared to pre-survey (2016). Conclusion and Recommendations: The study found increase in compliance and adherence to International Patient Safety Goals standards prior to the accreditation surveys and with a marked decline in compliance and knowledge post accreditation. The author suggested a model of recommendations that emphasizes on the need for unannounced surveys by JCI after the accreditation and reaccreditation to ensure that compliance is not just for the purpose of the accreditation but is embedded in the daily routine and culture of the organization. It is extremely important to change from a survey preparation approach to continual readiness.

Maintaining a Continuous Readiness for Military Pilot Flights by Using Mobile Technology

Abstract Usage of mobile technology will help the flying personnel to coordinate and implement assigned tasks. Due to usage of smartphone, equipped with appropriate application, user will have the ability to track all task and recommendations with are automatically generated by the system. This type of solution will eliminate prophylaxis and training failings and positively affect the ability to flight of aviation personnel. Furthermore presented tool is also a mobile source of knowledge, data base containing: bulletins, information about aviation events, etc. The paper is a characteristic of the mobile application designated to supervise preventive and training duties of flying personnel, it presents operation algorithm, mathematical model and describes the purpose of the application.

THE FORMATIONOF SCIENTIFIC AND RESEARCH COMPETENCY OF FUTURE OFFICERS IN THE PROCESS OF PROFESSIONAL CYCLE DISCIPLINES STUDYING AS A PEDAGOGICAL PROBLEM

The current military-political state of Ukraine results in a rapid increase in the necessity for the professional and personal qualities of future officers, who must navigate in the information flow promptly, evaluate and analyze it critically, be able to compare, analyze, generalize, and choose the best options for solving professional situations.Among the key personal qualities of a future officer there are creativity, ability to continuous readiness for selfeducation and self-development, ability to perform search activities, gain new knowledge, outline the prospects of own self-education direction and plan a strategy for its development. That is why the important role in the system of professional training of the future officer is played by the research activity, which is the basis of the formation of the specialist’s scientific competence.The development of the research competence of a future officer involves the move from educational activities to research and further to professional in the context of effective problem solving of a certain range of professional tasks.The research competence comprises the critical thinking ability and the ability to analyze the professional situation reflexively.A specialist, who has developed the components of scientific research competence at an appropriate level, is better adapted in the social and professional environment.The discipline “Methodology and Organization of Scientific Research” is a system-forming core of the future officers’ scientific and research competence development. The aim of this discipline is to provide cadets with knowledge and practical skills in the field of scientific research organization, fundamentals of scientific and technical creativity and legal protection of intellectual property.In the process of systematic analysis of the educational-professional program it was stated that a future officer should be able to: conduct a scientific research on specific issues of the technical assignment for research work; to choose the methods and means of the simulation of processes and physical phenomena correctly; to prepare the report materials for the research work; to organize and provide the patent and innovative work in the department on a separate topic; be able to analyze and substantiate the object, subject, tasks of the scientific research; to have the methodological bases of research of properties, characteristics, parameters of objects of the weapon and special equipment; the skills of presenting the results of scientific research.

A socio-economic analysis of increased staffing in the Norwegian helicopter emergency medical service

BackgroundThe European Aviation Safety Agency (EASA) is preparing a new set of regulations that will cover working and resting periods for crew members engaged in emergency medical services with helicopters (HEMS) and aeroplanes (AEMS). Such a shared European regulatory framework has already been introduced for the majority of commercial operations with aeroplanes, whereas national regulations are still in place for helicopter operations. A possible consequence of changing the regulations on working and resting periods for helicopter operations is that current abilities to provide 24-h, continuous emergency readiness with the same helicopter crew will be changed to a daily shift pattern with two, and even up to three, different crews to cover one 24-h period.MethodsA cost-benefit study is used to analyse whether changed working and resting periods, through the introduction of a shared European framework are socio-economically profitable for Norwegian helicopter emergency medical service (HEMS). For the study, relevant data is available for the total of nine HEMS helicopters of the three regions in Norway, for the period 2006–2013.The aim of the study is to document whether changed working and resting periods will be socio-economically beneficial for the Norwegian HEMS.ResultsThe expected present value of changing the current regulations on working and resting periods is estimated at negative 181 million NOK over a 40-year period. This includes the assumption that all missions that are not completed today due to limitation in crew availability will be completed upon introducing new working and resting periods. In the current regulatory regime for the Norwegian HEMS, there are on average seven missions per HEMS base annually that are not completed due to the limitations in crew availability with the current working and resting periods. Changing the regulations on working and resting periods is estimated to be cost-effective when a minimum of 14 missions per year are prevented from being cancelled due to crew availability.DiscussionThe benefit and cost elements used in the socio-economic analysis contain an estimated benefit of the measure, based on the valuation of life years gained for a limited number of patients. The prerequisites for life years gained, with the associated monetary value for quality-adjusted life years, are important for the outcome of the cost-benefit analysis. In this study 6.95 life years gained is used as basis for the benefit of the measure. This number is based on the conclusion of two studies, which have studied the benefits of HEMS helicopters staffed with a doctor in Norway.In a cost-benefit analyses, a quantification shall as far as possible be made in monetary values of all the positive and negative effects the measure entails. In this analysis, one criticism may be that these effects are relatively few, the investment costs (the increased operating costs) are not provided a detailed description of, and other factors such as; effect on the environment, risk of simultaneous requirements of the HEMS helicopter with possible negative effect for the patient who most needs it, likelihood of accidents with associated negative effect are neither included in the cost-benefit analysis.ConclusionAlternations to the working and resting periods for Norwegian HEMS operations that will result in a change from the current 24-h, continuous emergency readiness with the same crew, to a set-up with two, and up to three, different crews are not found to be socio-economically beneficial.

Aspectos reprodutivos de uma população de Physalaemus gracilis (BOULENGER 1883) (Anura: Leptodactylidae) do sul do Brasil

We investigated the reproductive biology of Physalaemus gracilis in a population from the state of Rio Grande do Sul (Brazil), and collected a total of 871 individuals through pitfall traps from May 2001 to January 2003. The largest collection of individuals occurred during the autumn and winter months, in July 2001 and from May to August 2002. The occurrence of individuals caught in pitfall traps was positively related to the temperature. The data about snout-vent length changed throughout the seasons, decreasing in spring and summer, possibly due to the recruitment of juvenile individuals. This population presented a seasonal reproductive activity and sexual dimorphism, characterized by higher values of snout-vent length and weight in females in comparison to males. The reproductive investment of the studied population supports the idea that larger females invest proportionally more in their offspring. The gradual increase of female gonadosomatic index, which coincided with the largest amount of mature oocytes, may indicate that females were prepared to oviposition process that would probably occur in spring. In contrast, males may have a continuous readiness to mate throughout the year. Keywords: amphibians, gonadosomatic index, reproductive investment, seasonality.

The Center for Nursing Excellence: A Health System Model for Intentional Improvement and Innovation.

An innovative Center for Nursing Excellence model that supports structural empowerment and the achievement of exemplary nursing, patient, and organizational outcomes was implemented in 2 separate health systems in the western United States. Formal leadership roles for nursing practice, research, professional education, and Magnet® continual readiness are aligned to ensure that Magnet designation is attained and maintained in system hospitals.

What Every ED Nurse Should Know About Suicide Risk Assessment

Suicide is internationally recognized as a major cause of preventable death, particularly among older adults and persons with a history of psychiatric and/or substance use disorders. Historical perceptions of suicide still have an impact on modern attitudes, assumptions, and practices. Perceptions about suicide are generally defined by spiritual, cultural, ethnic, and social factors. The Centers for Disease Control and Prevention (CDC) defines suicide as “death caused by self-directed injurious behavior with any intent to die as a result of the behavior” (p. 25). 1 Crosby AE Ortega L Melanson C Self-directed Violence Surveillance: Uniform Definitions and Recommended Data Elements. Version 1.0. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta, GA2011 Google Scholar Deborah Antai-Otong is Continuous Readiness Officer and Psychiatric Mental Health Nurse Practitioner, Department of Veterans Affairs, Arlington, TX.

The Creation of a Continual Readiness Committee in the PACU

The Creation of a Continual Readiness Committee in the PACU

Building Joint Commission Continuous Readiness in Partnership With Nursing Students

A partnership between an academic medical center and a college of nursing has proven to be an equally beneficial opportunity for continuous readiness for The Joint Commission. Nursing students learn the principles of regulatory compliance and accreditation through simulated surveys in their leadership and management course. The medical center receives continuous feedback and achieves survey readiness and fluency with better-prepared new graduates.

Making pharmacists’ patient care services consistent, predictable, measurable

Making pharmacists’ patient care services consistent, predictable, measurable

System Health Assessment

ABSTRACT Complex systems are increasingly confronted by two conflicting sets of requirements: on the one hand, demands for continuous operational readiness with high reliability and availability; on the other, the need to minimize life cycle cost, implying reduced inspections, maintenance, and logistics support. An emerging paradigm to address this challenge is prognostics and health management (PHM), where measures of system health are used to determine needs for preventive and corrective maintenance, to optimize maintenance scheduling and parts stocking, and to forecast when a system will reach the end of its useful life. Two key components of PHM are a definition of system health and a strategy for how it is to be measured as part of system health assessment (SHA). In this article we discuss system health as a general concept, illustrate its application with examples, and describe how the use of system health metrics as part of an SHA program can facilitate PHM.

Cooperative structures and critical functions to deliver resilience within network society

Stating that our world is more and more susceptible and ever-evolving network, the authors propose a distributed mechanism – the Hubmaster – to strengthen its resilience. It will improve the management of crisis in key areas of dynamic mapping, continual learning, risk taking and decision-making. It will be a complement to the needed new resilience culture that encourages constant awareness and investigation of the network, a willingness to share and refresh knowledge and continuous readiness to take community action.