First Year Of Transition Research Articles

Key Issues in the First Year of Transition for a Large Medicaid-Funded Children's Service.

Behavioral Health Rehabilitation Service (BHRS) is a comprehensive service for Pennsylvania's Medicaid-enrolled youth and their families. In 2021, BHRS transitioned to Intensive Behavioral Health Service (IBHS) through state-wide policy change. To assess impact, the largest behavioral health managed care organization in the state compared service utilization in BHRS in 2019 versus IBHS in 2021. Results show that significantly more youth received non-Applied Behavior Analysis (non-ABA) services in BHRS (n = 13,795) than IBHS (n = 10,083) and more youth were discharged during the measurement period for BHRS versus IBHS (47% vs. 44%). Significantly more youth received ABA through IBHS versus BHRS (n = 4,385 vs. n = 2,690). The number of youth served in therapeutic service in IBHS did not indicate improved access during this first year of transition; however, more youth received evidence based treatments through IBHS indicating higher quality care for some youth and families.

New registered nurse and registered psychiatric nurse graduates' transition-to-practice amid the pandemic: An art-based grounded theory study

BackgroundAccording to the Transition Shock theory, new Registered Nurses face formidable obstacles within their first year of practice. However, little is known about the experience of new Registered Psychiatric Nurses entering the workforce. ObjectivesThe aim was to explore how new graduates from nursing and psychiatric nursing experience their transition into the workplace that included identifying mediating factors that assist or challenge these entry-level professionals within their transition. DesignConstructivist grounded theory methodology developed by Charmaz was utilized to explore the first-year transition period using art-based methods. Participants and settingA total of 13 new graduates practicing as Registered Nurses and Registered Psychiatric Nurse in a western Canadian province were recruited to participate in the study. Three art-based workshops occurred at four, eight, and 12-months starting in the fall of 2020 through the Spring of 2021 during the novel coronavirus pandemic with subsequent member checks in the Spring of 2022. MethodsA total of 38 interview and focus group data were collected. Art-based activities included sand tray and figurine object exercises, collaging, reflective and thematic writing, as well as group concept mapping. Through co-creation of knowledge using Charmaz's methodology, participants selected the major themes throughout their first year of transition with guided researcher facilitation. Data were analyzed using the constant comparative method of analysis for each workshop drawing on the art creations, discussion, and narrative reflective writing pieces generated by participants. ResultsParticipants were in a basic psychosocial process of growing personal and professional self. Through co-construction of knowledge with the participants, three substantive interconnected categories were identified: (1) Being thrown into the fire; (2) Adjusting and adapting to the team environment; and (3) Nurturing self and others. ConclusionsThe findings revealed many recommendations for employers hiring new graduates and nursing education programs preparing graduates for the practice arena.

The Transitional Experiences of Social Work Practitioners Working in Higher Education

ABSTRACT This paper explores the experiences of social work practitioners making a career move from front-line practice into academia. Six participants engaged in a focus group and subsequent individual semi-structured interviews to reflect on their transitional experiences. From this, factors that helped or hindered the transition were identified and pertinent themes were generated, explored, and analyzed. The paper concludes that meaningful relationships and having a sense of belonging are crucial to successful transition from practice to academia. Relationships are considered integral to both professional identity and positive experiences, particularly within the first year of transition, though their importance is often overlooked by the employing higher education institution.

Growth, Physiology, Weed Abundance and Yield in Rice (<em>Oryza Sativa</em> L.) Under Three Nutrient Input Systems in the Dry Zone of Sri Lanka

A field experiment was conducted to compare the growth, physiology, weed abundance and yield in rice under three input systems; organic, conventional and integrated, during the 2019 <em>Yala </em>season as the second season of a long-term cropping systems trial. The design used a Randomized Complete Block Design (RCBD), with six (6) replicates for each treatment. The rice variety used in the experiment was Bg 300 and three treatments were based on three input systems such as T1 – Conventional input system (100% Department of Agriculture (DOA) inorganic fertilizer recommendation), T2 – Integrated system (50% of Department of Agriculture (DOA) inorganic fertilizer recommendation+50% of the rate of compost added to organic input system) and T3 – Organic system (No inorganic fertilizers and only compost with the rate of 10000 kg ha -1). At the panicle initiation and harvesting stages, there was a (p&lt;0.05) significant difference (in rice shoot biomass across the three input systems, with the organic system having the lowest values compared to the other two. At panicle initiation, 50 % heading, and harvesting phases, a significant difference (p&lt;0.05) in plant height was noted among the three input systems, with the organic system showing the lowest values at all stages. The organic system had the highest weed count at all three crop stages and no significant difference between integrated and conventional systems. The three input systems had a significant difference in final grain yield at 14 percent moisture. At 14% moisture, there was no difference in final grain yield between conventional and reduced systems (4.85 and 4.67 tonnes/ha) with the organic system having the lowest value (2.74 tonnes/ha). Overall results indicate that reducing inorganic fertilizers by 50% with the combination of organic manure as in the integrated system gives similar final grain yields as the conventional system of new improved varieties like Bg 300 in high potential areas like Anuradhapura. Also, organic systems can show low crop growth and yields due to inadequate nutrient supply through organic materials and high weed density during the first year of transition.

First-year experience of transitioning from registered nurse to nurse practitioner.

Transitioning to advanced practice, novice nurse practitioners need to take on new roles, learn new practice areas, and develop new skills. This process requires breaking old practices and work habits and facing new challenges. To explore the nature of nurse practitioners' work experiences during the first year of transition from registered nurse to nurse practitioner. This qualitative study was based on Husserl's phenomenological methodology. A purposive sample of 16 first-year nurse practitioners was recruited. Data were collected through in-depth interviews and analyzed by thematic content analysis. The approaches of Lincoln & Guba were applied to improve the validity of the study. Results showed that the first-year experience of transitioning from registered nurse to nurse practitioner fell into two overarching themes: challenge and adjustment. The challenge consists of five subthemes: "facing the expectation-reality gap," "managing others' expectations," "striving to acquire professional skills," "handling situational variability," and "bearing emotional burdens" subthemes. The adjustment includes five subthemes: "finding resources," "gaining experiences," "building relationships," "relieving stress," and "overcoming obstacles." Novice nurse practitioners face many challenges as they adjust to a new role during their first year on the job. New nurse practitioners develop coping strategies to help themselves adjust to their work. They also gradually gain new resources and experiences to help them stay positive in stressful situations and restore work-life balance. The challenges of transitioning from a registered nurse to a nurse practitioner cannot be overlooked. Novice nurse practitioners need appropriate support measures to adapt to advanced practice roles.

Experience of the National HIV-AIDS Reference Center of Turkey, in the Transition to the New HIV Diagnostic Algorithm; Comparative Analysis of Line-Immunoassay Test and Bio-Rad Geenius™ HIV-1/2 Antibody Confirmatory Assay

Shortly after the first detection of human immundeficiency virus (HIV) infection in USA in 1981, the number of cases have increased gradually from all around the world. Turkey's high capacity for tourism and the unique geographic location extending between Europe and Asia, provides convenience for the passage of individuals across the countries and sexually transmitted infections including HIV, as well. According to the official data of the Ministry of Health; there are 25809 HIV positive and 1958 AIDS cases as of November 30, 2020, after the epidemic started in 1985 in Turkey. Despite the decrease in the number of newly detected HIV cases as a result of serious measures taken for the transmission of infection worldwide, the increase in the number of cases still continues in our country. Shortening the reporting period and starting treatment as soon as possible in the diagnosis of infection is critical for the control of the epidemic. For this purpose, Centers for Disease Control and Prevention (CDC) published a new test algorithm in 2010, which suggested the use of the Geenius™ HIV ½ supplemental assay test instead of western blot tests, which have been used for many years to verify HIV screening test positivity. In this study, we aimed to report the experience of the National HIV-Acquiner Immundeficiency Syndrome(AIDS) and Viral Hepatitis Reference Laboratories of Turkey in the first year of transition to the new HIV algorithm and to evaluate the diagnostic performance of Geenius™ HIV ó and line immunassay (LIA) s. A total of 2090 anti-HIV positive patient sera sent to National HIV-AIDS and Viral Hepatitis Reference Laboratories of Turkey, Ankara for HIV confirmation were included in the study. All samples were retested with a fourth-generation enzyme linked immunosorbent assay (ELISA) test (VIDAS® HIV-1/2 Duo Ultra assay, BioMerieux, France) followed by the confirmatory tests; Geenius™ HIV 1/2 confirmatory assay (BioRad, Redmond, WA) and Line-immunoassay (INNO-LIA HIV ½ Score, Fujirebio, reverse transcriptase polymerase chain reaction (RT-PCR) (artus HI Virus-1 RT-PCR, Qiagen, Germany) test and in-house HIV-2 RNA and proviral DNA PCR. The sensitivity, specificity, and the agreement of the each assay were compared. Cohen's Kappa analysis was used for the evaluation of the agreement between the tests. According to the new algorithm which recommended Geenius™ test besides HIV-1 RNA test, 1707 (81.7%) HIV-1 positive samples were identified. Of these samples; 95.9% and 95.02% were identified as HIV-1 positive by GeeniusTM and INNO-LIA, respectively. However, 2.5% of the positive samples were negative with Geenius™ and 3.5% with INNO-LIA. One and a half percentage (1.5%) of these samples were detected with Geenius™ and 1.4% with INNO-LIA as indeterminant. When all the positive samples determined with ELISA were evaluated; it was detected that,1.3% were indeterminate by Geenius™ test and 2.4% by the INNO-LIA test. When the INNO-LIA test was regarded as the gold standard method; sensitivity, specificity, positive predictive and negative predictive values of the Geenius™ test were as follows; 99.7%, 96.1%, 98.9%, and 99.1%. The agreement between INNO-LIA and Geenius™ tests was found to be 98.95% (κ= 0.969; very good). When the Geenius™ and HIV-1 PCR tests were evaluated together for the confirmation; the sensitivities of Geenius™ and INNO-LIA tests were 99.8% and 98.3%, specificities were 89.8% and 85.3%, respectively. Slight positive bands were detected in the gp36 or gp140 bands, the HIV-2 specific envelope proteins, were detected in seven samples, However, the positivity disappeared after the dilution of the samples and it was accepted as false positivite reaction due to the absence of HIV-2 RNA and proviral DNA in these samples. In conclusion; we concluded that Geenius ™ and INNO-LIA tests have a perfect agreement in HIV diagnosis and due to the rapid and reliable results provided for the HIV test protocol, Geenius™ test can be used safely as an alternative to the immunoblot tests. HIV-1 RNA testing must be performed in all HIV confirmation centers in order to detect acute HIV cases in the fast and early period which are the main reason for the updates in HIV diagnosis.

DESEMPENHO DO CAFÉ CONILON CONSORCIADO COM ADUBOS VERDES EM ÁREA DE TRANSIÇÃO AGROECOLÓGICA

Objetivou-se com este trabalho avaliar as características morfo-agronômicas do cafeeiro conilon submetido a diferentes manejos de espécies de adubos verdes. Foram avaliados cafeeiros contendo as espécies de adubo verde: feijão guandu, feijão de porco, mucuna preta e margaridão mexicano, em ambas as entrelinhas adjacentes (100%) e apenas na entrelinha localizada na entrelinha superior (50%), além de um tratamento testemunha (adubação convencional). A unidade experimental constituiu-se de uma planta de cafeeiro, variedade clonal “Incaper 8142” Conilon Vitória variedade 12 V (precoce), com espaçamento de 2,30 x 2,60 m, com cinco repetições. Utilizou-se bordadura de uma planta de cafeeiro entre as unidades experimentais. As varáveis avaliadas foram: comprimento do maior ramo ortotrópico (ALT); diâmetro dos ramos ortotrópicos (DRO); número de ramos plagiotrópicos lançados (NRP); número de nós produtivos dos ramos plagiotrópicos (NP); litros de café colhido in natura (LTS); quilogramas de café cereja produzidos por planta (kg). O manejo 50% de feijão guandu foi superior ao convencional para a maioria das características avaliadas, portanto pode ser recomendado, para o primeiro ano de transição.

The transition of Croatian and Slovenian economic elites into the Kingdom of Serbs, Croats and Slovenes

The article discusses the transition of Croatian and Slovene economic elites to the new Yugoslav state after 1918. After an extensive presentation of the broader economic and social context and moments of change with the new state, the authors analyzes the characteristics of the transition on a wide sample of successful entrepreneurs from both countries. The criteria for selecting cases were wealth, business performance, social positioning and reputation. The comparison shows that the transition did not significantly change the economic and social position of the economic elites in the new Yugoslav environment. The exception were members of the nobility, whose economic and social position changed due to agrarian reform, falling agricultural prices and political stigmatization. In the Slovenian environment, the national question was more important than in Croatia. This brought some more risk in the first year of transition for the partial expropriation of members of the economic elites who were considered to be of the German identification. However, in the long run they did maintain their economic and social position in the new country as well.

Book forum

When people change their physical sex traits and their social gender presentation to align with their affirmed gender (frequently referred to as “transitioning”), the breadth and enormity of the experience is hard to adequately describe. There have been plenty of books using narrative to recount personal experiences of transition, but First Year Out by Sabrina Symington uniquely paints the process of physical and social transition through the medium of graphic novel. Readers intimately walk alongside Lily, a transgender woman, as she navigates her first year of transition from male to female. By using graphic narrative, Symington imbues the story with rich communication about the transition process through pictures, colors, words, movement, and even silence. Sometimes, words are not enough to convey what is felt and experienced during transition. Indeed, some of the most intense emotional moments of the book are conveyed through frames with no text at all.

Perceived needs and coping resources of newly hired nurses.

Objective:Newly hired nurses who do not transition well often leave their first nursing position or nursing prematurely, at great cost to themselves, the profession, hiring organizations and patients. The purpose of this secondary analysis study was to better understand the transition experience of new graduate nurses and experienced nurses as they moved to a new setting in nursing, and the preceptor’s role in that transition.Methods:Schlossberg’s Transition Theory provided the framework for the secondary analysis of a large qualitative data set that were collected from 118 newly hired nurses who were predominantly female and Caucasian with the majority being under the age of 30 years and having less than 1-year experience. The data available for secondary analysis included all transcripts from the original study.Results:Two main themes were identified: Institutional Support and Sense of Self.Discussion:Preceptors are critical early in the transition and the newly hired nurse continues to look for support beyond the first year of the transition. Hospitals should consider implementing transition to practice programs that support the newly hired nurse, to include those with prior experience, throughout the first year of transition and should also consider a mentorship program of support after the first year.

Parallels

American students are participating in study abroad programs in increasing numbers. While there is significant research on the first year of transition to college, little is known about the study abroad student's first semester in the program. This study is designed to determine the parallels, if any, between student transition experiences during the first semester of college in the USA and the first semester of study abroad for American students. The research indicates that students planning to study abroad are in need of increased information on transition issues and that study abroad students often face issues more challenging than those of their first semester of study USA.

Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized childrens hospital in Saudi Arabia.

BACKGROUNDFall injuries among children during hospital stay is a major patient safety issue. Inpatient pediatric falls can lead to numerous negative consequences. In contrast to adults, there is a paucity of information on the prevalence and risk factors associated with children’s falls during hospitalization.OBJECTIVESIdentify the prevalence of fall injuries among hospitalized children and describe the demographic and environmental factors that could predict a higher risk of severe outcomes of fall.DESIGNDescriptive, cross-sectional prevalence study.SETTINGSpecialized children’s hospital.PATIENTS AND METHODSData was obtained through the electronic Safety Reporting System (SRS). All reported fall events during hospitalization in children ≤14 years of age for the period from 1 April 2015 to 30 April 2016 were included. Fall events that occurred in the day care unit and the outpatient clinic were excluded.MAIN OUTCOME MEASURESPrevalence and possible risk factors for fall events.SAMPLE SIZE48.RESULTSThe prevalence of falls among the 4860 admitted children was 9.9 (95% CI=7.5, 13.1) per 1000 patients (48/4860). A majority of the falls were among boys (n=26, 54%), in the age group from 1–5 years old (n=22, 46%), in children at high risk of falling (n=35, 73%), with normal mobility status (n=21, 44%), and with no history of previous falls (n=33, 69%). Severe injuries accounted for 25% of falls (n=12). However, falls among the moderate risk category (n=9, 69%) were more often severe than falls among the high risk category of children (n=12, 34%) (P=.03).CONCLUSIONRisk factor identification is required to prevent falls and their severe outcomes.LIMITATIONSUnderreporting and single-centered study.

Paternal adaptation in first-time fathers: a phenomenological study

Objective: This study aimed to explore men’s experiences of paternal adaptation during their first year of transition to parenthood.Background: Stepping into fatherhood is one of the most important events that may occur in a man’s life and can lead to fundamental changes in their identity and lifestyle. However, to our knowledge, no studies have been conducted on men’s experiences of paternal adaptation in an Iranian context.Methods: In this phenomenological study, 15 Iranian men who had the experience of parenting for the first time were recruited using the purposeful sampling method. In-depth semi-structured interviews guided by a questionnaire were used to collect data. The data were analysed using interpretative phenomenological analysis.Results: The data analysis resulted in the development of 26 themes, 8 subordinate themes and 3 superordinate themes. The superordinate themes included ‘steps toward adaptation’, ‘obstacles to the path of adaptation’ and ‘stabilisation in the paternal position’.Conclusion: Perceived self-efficacy and satisfaction in fatherhood means an adaptation to the paternal role. Factors influencing paternal adaptation can be classified into the domains of ‘facilitating factors’ and ‘inhibiting factors’.

Exploring the Lived Experience, Meaning and Imperatives of Fatherhood: An Interpretative Phenomenological Analysis.

Introduction:There have been considerable changes in the concept and meaning of fatherhood in the past few decades and a lot of studies has down in this area, but there is no information about fathering and fatherhood from Iranian perspective, thus present study designed to explore the men’s understanding of fathering and paternal role during their first year of transition to parenthood.Method:This phenomenological study included accounts of 17 Iranian fathers, who had experienced fathering for the first time. Data was analyzed using the Interpretative Phenomenological Analysis (IPA) approach.Results:The results reveal that a father is a man who reproduces a child and accepts the responsibility for supporting his family as the fulcrum. A father is a good-tempered, faithful, patient and hardworking man with essential knowledge and proficiency. A father should accept his role as the father. He is also expected to participate actively in dealing with family daily issues, value and promote the health and well-being of his children, and have skills of self-management and self-care.Conclusion:Iranian fathers not only committed to play their traditional roles and responsibilities, but also welcome new roles such as constantly being with their children and providing emotional support to them.

Transitioning from Māori-medium to English-medium education: emerging findings of a pilot study

Māori-bilingual education in New Zealand has come a long way towards injecting life into the Māori language. However, only a small number of families commit to bilingual education for the long term. This paper discusses why Māori parents either turn away from Māori-bilingual education or prematurely transition to English-medium schools. It then reports the findings of an ethnographic pilot study of a Māori-bilingual graduate who transitioned to an English-medium secondary school after more than eight years attending Māori-bilingual programmes. The student's transition was very successful, both in terms of acquiring high levels of academic language proficiency and necessary cultural knowledge. However, it was highly reliant on the support and interventions her parents provided throughout her schooling – particularly regarding both English and Māori languages. This article focuses on the student's first year of transition and, in particular, the language and cultural issues that her family had to navigate to ensure her success.

“10 lessons for new clinicians”

&lt;p&gt;As a new clinician, if you have trained as a lawyer via a traditional legal education route you inevitably have very little experience of clinical education to bring to the role, although you of course have your professional and practical experience to draw on. Although many readers are experienced clinicians, this is a timely opportunity to go back to the beginning and re-assess the potential problems or risk areas that clinicians face at the beginning of a new academic year, with a new intake of students. Society changes continually so each year will bring new issues as well as those well known to all clinicians.&lt;/p&gt;&lt;p&gt;In clinic at Northumbria University final year students are placed in to groups of up to six students known as firms and each firm is allocated an area of law such as employment or housing. Each firm is supervised by a qualified solicitor who allocates cases to the students. Students can work individually or in pairs, depending on the complexity of the case. At the end of the academic year, students are assessed on their practical performance using grade descriptors. They also submit reflective pieces about their experiences in clinic.&lt;/p&gt;&lt;p&gt;These “lessons” have emerged from our own first year of transition from practising lawyer to clinical educator. We hope some of them ring true with other new clinicians.&lt;/p&gt;

The Helpfulness and Timing of Transition Program Education

The purpose of this study was to examine relationships between transition program education and new graduate nurse transition. Although new graduates preferred hands-on learning, the helpfulness of workshops was associated with better transition. New graduates, many of whom were from the Millennial Generation, liked a variety of educational modalities. Access to support was better for nurse graduates who received education delivered throughout the first year of transition.

Influence of organic amendments on growth, yield and quality of wheat and on soil properties during transition to organic production

A transition period of at least 2 years is required for annual crops before the produce may be certified as organically grown. The purpose of this study was to evaluate the effects of three organic amendments on the yield and quality of wheat (Triticum aestivum L.) and on soil properties during transition to organic production. The organic amendments were composted farmyard manure (FYMC), vermicompost and lantana (Lantana spp. L.) compost applied to soil at four application rates (60 kg N ha−1, 90 kg N ha−1, 120 kg N ha−1 and 150 kg N ha−1). The grain yield of wheat in all the treatments involving organic amendments was markedly lower (36–65% and 23–54% less in the first and second year of transition, respectively) than with the mineral fertilizer treatment. For the organic treatments applied at equivalent N rates, grain yield was higher for FYMC treatment, closely followed by vermicompost. In the first year of transition, protein content of wheat grain was higher (85.9 g kg−1) for mineral fertilizer treatment, whereas, in the second year, there were no significant differences among the mineral fertilizer treatment and the highest application rate (150 kg N ha−1) of three organic amendments. The grain P and K contents were, however, significantly higher for the treatments involving organic amendments than their mineral fertilizer counterpart in both years. Application of organic amendments, irrespective of source and rate, greatly lowered bulk density (1.14–1.25 Mg m−3) and enhanced pH (6.0–6.5) and oxidizable organic carbon (13–18.8 g kg−1) of soil compared with mineral fertilizer treatment after a 2-year transition period. Mineral fertilized plots, however, had higher levels of available N and P than plots with organic amendments. All the treatments involving organic amendments, particularly at higher application rates, enhanced soil microbial activities of dehydrogenase, β-glucosidase, urease and phosphatase compared with the mineral fertilizer and unamended check treatments. We conclude that the application rate of 120 kg N ha−1 and 150 kg N ha−1 of all the three sources of organic amendments improved soil properties. There was, however, a 23–65% reduction in wheat yield during the 2 years of transition to organic production.

The FSU Economies: First Year of Transition

A senior CIA analyst, just recently retired, reviews the economic performances of the Soviet successor states in turbulent 1992 and first quarter 1993. A general assessment of national income and GDP precedes a more detailed survey of sectoral performance (output by sector of origin and GNP by end use) and inflation in the republics. Final sections examine the extent to which economic problems in the various republics are a reflection of disrupted production linkages visa-vis reduced demand for output. Performance in republics opting for more dramatic reforms are contrasted with those in which major change thus far has been postponed. 9 tables, 4 figures, 23 references.

CONSTRAINTS ON SYSTEMIC TRANSFORMATION AND THEIR POLICY IMPLICATIONS

The purpose of this paper is to provide a general framework for more detailed presentations of the microand macro-economics of the transition of former centrally planned economies under commu nist party states to political democracies and mar ket-oriented economies. Section II describes the problem of the generally disappointing pace and course of transition. Some possible sources of the problem are that sectoral policies might have been decided in too narrow an analytical framework or might have overlooked some significant structural and system constraints on the societies under tran sition. Section III enumerates the main subsets of a structural system which is the target of specific policies formulated for the transition. These sub sets refer to the different ways in which actors in societies interact and for the most part correspond to different areas of expertise, each with its own specialists often making recommendations in isola tion. Section IV describes the typical state of the general structural system of a country in Central or Eastern Europe as a consequence of the last years of communist government and the first year of transi tion. This condition is described as a collection of interacting disequilibria, which are set into motion by the withdrawal of communist authority. Section V describes the main elements of economic policies in the transition, as well as the evidence of the problems of implementing them. Section VI con siders the specific political and moral or value circumstances in which economic policies of tran sition are being decided and executed. Additional constraints on economic policies are identified here. In section VII, the conclusion, consideration is given to the possibility of viewing the political constraints on economic policies as part of an optimum policy design. This appears to be a diffi cult task indeed, yet what now seem to be impeding the transformation of economic institutions are increasingly constraining political conditions.