Five-step Process Research Articles

The impact of nurses working multiple jobs and drowsy driving accidents: A scoping literature review

Background and objectives: Nurses driving while sleep-deprived is a global problem; however, few studies have examined sleep deprivation impacted by nurses working multiple jobs concurrently. Nurses work in high-pressure environments and endure long working hours, which can exacerbate nurses' fatigue. As a result, nurses are susceptible to sleep deficiency and disrupted circadian rhythms. Conceivably, sleep deficiency and disruption in circadian rhythms impact nurses' performance and well-being. The strain of long work hours and insufficient sleep worsens when nurses work multiple jobs. Nevertheless, the adverse effects are not restricted to the healthcare contexts in which nurses work; nurses must also commute back home—this scoping review canvasses existing evidence showing the implications of working multiple jobs for drowsy driving accidents.Methods: In-depth primary data analysis highlights the connection between the two measures (multiple job-holding and drowsy driving accidents). A total of ten studies were identified from CINAHL, PubMed, ScienceDirect, and MEDLINE. These databases contain recent research on nursing trends. The focus was on studies published from 1988 to 2022. This timeframe widens the pool of evidence that can be included in the research using Arksey and O'Malley's five-step process for conducting this scoping review.Results: The review finds ten studies spotlighting the relationship between intensified job demands associated with multiple job-holding and fatigue, which predisposes nurses to drowsy driving and accidents. In-depth primary data analysis highlights the connection between the two measures; multiple job-holding and drowsy driving accidents.Conclusions: Nurses must be optimal performers, yet they work under exceptionally stressful circumstances. The present study suggests that sleep deficiency and disruptions to circadian rhythms have profound negative implications for nurses' well-being beyond health facilities. Sleep interruption is challenging when nurses hold multiple jobs due to intensified job demands. In addition, exhausted nurses working several jobs are prone to drowsy driving, which can lead to accidents. Subsequent research needs to precisely document the implications of multiple job-holding among nurses concerning its impact on drowsy driving and accidents.

Idea generation and integration method for inclusion and integration teamwork

Idea generation is fundamental in higher education, principally in engineering and creative areas. The challenge presented in our research was to correctly implement a progressive, intuitive categorization method to generate solutions, unifying individual proposals and ideas through a virtual platform or face-to-face sessions and real-time communication. This paper aims to present the implementation impact from students’ first-use perceptions and experiences, segmented by study area, gender, and semesters. Our research began with creating an idea generation method. Experienced design professionals integrated various tools to run on digital platforms. This method was called ICRI, an acronym for Ideation, Categorization, Regrouping, and Ideation. The method had two primary stages. The initial stage employed four-step where the students defined, investigated, established findings, and formed teams to move on to the second stage. This second stage comprised two parts, the first four-step where students generated ideas, reviewed, defined, and grouped them; the second five-step process involved focusing the ideas for regrouping, discussion, fusion, and writing new ideas. This method was applied to start a product design process or design strategy to create a project design. The results revealed high student acceptance of the method due to its practicality, rapidity, and functionality in generating ideas and active, equitable student participation. We found that certain students’ profiles are not optimistic about the use of such tools. Also, we found that there were no significant differences by gender of the student profile, but it was noted that female students liked the method more. The findings derived from the creation and application of the ICRI method were consequences of the need to create innovative practices to integrate higher education students. The ICRI method reinforces the trend of educational methods that address the relevance of collaborative idea generation and processes that facilitate effective interactions, even in a virtual and remote mode.

Human Resources Analytics for Public Personnel Management: Concepts, Cases, and Caveats

The advancement of data technology such as machine learning and artificial intelligence has broadened the scope of human resources (HR) analytics, commonly referred to as “people analytics.” This field has seen significant growth in recent years as organizations increasingly rely on algorithm-based predictive tools for HR-related decision making. However, its application in the public sector is not yet fully understood. This study examined the concepts and practices of HR analytics through a thematic review, and proposed a five-step process (define, collect, analyze, share, and reflect) for implementation in the public sector—the process aims to assist with the integration of HR analytics in public personnel management practices. By analyzing cases in both the public and private sectors, this study identified key lessons for functional areas such as workforce planning, recruitment, HR development, and performance management. This research also identified the necessary conditions for introducing HR analytics in public organizations, including data management, staff capabilities, and acceptance, and discussed the potential challenges of privacy, integrity, algorithmic bias, and publicness.

(4-(Adamantan-1-yl)-1-(isopropyl)-1H-imidazol-2-yl)methanol.

(4-(Adamantan-1-yl)-1-(isopropyl)-1H-imidazol-2-yl)methanol was prepared through a five-step process starting from commercially available 1-acetyladamantane. Each step proceeded in moderate-to-excellent yields and the overall yield across five steps was 28%. The compound was identified and characterized by 1H and 13C{1H} NMR, high-resolution mass spectroscopy, and elemental analysis. This compound and its derivatives have the potential to be used as precursors to the synthesis of biomimetic chelating ligands.

Nephrolithiasis as the first presentation of sarcoidosis- A case report

No abstract available

Multiple myeloma complicated with Melioidosis- a case report

No abstract available

A Case of Dapsone-induced DRESS syndrome and concomitant thyrotoxicosis

No abstract available

Implications of the current economic crisis on anaesthesia and critical care services in Sri Lanka: observations of a junior anaesthetist

No abstract available

A case of Henoch Schoenlein purpura and IgA nephropathy in an adult

No abstract available

Lymphadenopathy with colitis is a rare presentation of follicular lymphoma.

No abstract available

Systemic Lupus Erythematosus presenting as Sweet Syndrome: A Case Report

No abstract available

Two unusual presentations of vitamin B12 Deficiency.

Vitamin B12, a water-soluble vitamin is important in DNA synthesis. Inadequate intake of animal foods and pernicious anaemia (loss of intrinsic factor due to autoimmune atrophic gastritis) are known to be the most common causes of severe deficiency worldwide (1).
 Although most of the patients with deficiency have only mild haematological findings, very few presents present with symptomatic pancytopenia, severe anaemia (haemaglobin

Design and Development of Romblon State University Romblon Campus Accreditation Data Warehouse

Accreditation is conducted to assess and upgrade the educational quality of higher education institutions and programs, which requires complete documents for the precise information specification before the expert's review. Therefore, the documents and records of an institution must be effectively preserved to facilitate compliance with accreditation requirements. However, the data generally comes from different sources of various types, unstructured and distributed. This study designed a data warehouse to incorporate all the documents in preparation for college accreditation. The data warehouse was developed in a five-step process, considering the accreditation assessment with an emphasis on academics. Systems Development Life Cycle model was used in the development of the system. The ISO/IEC 25010:2011 standard was used to evaluate the system's acceptability using the eight characteristics. However, only applicable sub-characteristics such as suitability, efficiency, compatibility, usability, reliability, security, and maintainability were applied to evaluate the system. This standard ensures that the system meets the user's preference with the system being satisfied, and the essential features like uploading, viewing, and system maintenance by the administrator, are at their most excellent functional operation. The parameters which were created by the system can be used by other satellite campuses of Romblon State University, as well as other universities applying for accreditation of the Accrediting Agency of Chartered Colleges and Universities in the Philippines (AACCUP).

Minimizing the Risk of Wrong-site Dermatologic Surgery: The Five "I"s Process.

INTRODUCTION Wrong-site surgery remains a problem in surgery despite the WHO surgical checklist,1 reported as one per 100,000.2 The current process is nonspecific and does not form part of the process management.2 NHS England reports that 27.4% of general surgical never events were related to wrong skin condition surgery.3 Within dermatologic surgery, this impacts skin lesions, assessed by one practitioner and excised by another, and is accentuated by the high-volume nature of these clinics. Anatomic risk factors include misperception of patient orientation or poorly visualized areas, for example, back, head, and neck. Patient risk factors include multiple lesions at a similar site or communication issues, for example, mental capacity or mental/ physical disabilities. Therefore, there is a need to refine the process. TECHNIQUE Here, we propose a simple five-step process, deemed the five I’s process, for all skin lesions: Ink—mark the patient preoperatively with the intended incision Image—use secure photography or the patient’s smartphone4 Inject local anesthetic along the markings Incise along the markings Illustrate the surgery graphically These principles also draw relevance to other surgical domains, for example, illustrating procedures with limited visualization, such as complex head and neck reconstruction, or marking a donor site for tendon reconstruction. Ink When consenting a patient, the incision should be marked. In skin cancer excision, marking an adequate margin of uninvolved skin often leaves a bigger defect than the patient anticipates. This also helps the surgeon plan a suitable reconstructive method. Image A photograph with a hospital-approved device or medical photography is helpful, enabling the patient to understand the surgical plan and help to provide informed consent. For reconstruction of a scalp defect, a local flap requires more extensive incisions resulting in a larger postoperative wound but is likely to be more aesthetic in the long term. However, a patient may prefer coverage with a skin graft despite a contour defect and no hair growth from the grafted area for a simpler wound. Consent must be taken beforehand to ensure patient privacy and data protection compliance. Photographs should be securely stored and accessed via a centralized system, which most centers have. The UK has no restrictions for photography using a patient’s phone; however, this practice varies from country to country. Inject The first pause in the WHO checklist is to avoid wrong-site injections. Local anesthetic should be infiltrated along the inked lines. Preoperative markings of local flaps/sites for skin grafts help anticipate the type and volume of local anesthetic required. Incise The second surgical pause of the WHO checklist is incise. Then, the skin should be cut along the marked lines. Illustrate An illustration drawn on the operation note clarifies the exact surgical site and reconstruction method. This documentation should be uploaded to a centralized system or be available during follow-up to aid continuity of care, particularly if done by another physician or by virtual means. CONCLUSION The five I’s process is a memorable method to supplement the WHO checklist and minimizes miscommunication between patients and surgeons, and therefore, wrong-site surgery (Fig. 1). (See Video [online], which displays the five I’s process in the preoperative management of a patient.)Fig. 1.: This figure details the five I’s process. {"href":"Single Video Player","role":"media-player-id","content-type":"play-in-place","position":"float","orientation":"portrait","label":"Video 1.","caption":"This video displays the Five I’s in the preoperative management of a patient.","object-id":[{"pub-id-type":"doi","id":""},{"pub-id-type":"other","content-type":"media-stream-id","id":"1_4thb82k2"},{"pub-id-type":"other","content-type":"media-source","id":"Kaltura"}]}

Civil Aviation Approach to Safety Risk Management: A New Perspective on a Mature Process

This literature review aims at reflecting on current issues about how Civil Aviation Industry manages the notion of Risk. In face of recent indisputable challenges, such as COVID-19 Pandemic, geopolitical and energy crisis as well as unpredictable markets, but also chronically experienced volatility, uncertainty, complexity and ambiguity, as the main characteristics of the aviation operational environment (VUCA World), Aviation industry has to accept that this is the norm and consequently, do more. We suggest the adoption of the Sustainability-Ethics-Resilience, SER, aviation specific, overarching approach for managing Safety Risk, as an evolution of the generalized business model of ESG, and we provide reasons and solutions for that, based on evidence from the academic and the operational world. A systematic, five-step research method process for literature review has been used. We have taken into consideration article publication year 2017 onwards, and some classical ones from earlier on, using credible academic databases, complemented by statistical data, data on contemporary approach to safety risk management, as well as other aviation related data from aviation dedicated sites and official websites of multiple aviation key stakeholders.

The adaptation and fidelity tool to support social service practitioners in balancing fidelity and adaptations: Longitudinal, mixed-method evaluation study.

Evidence-based interventions (EBIs) seldom fit seamlessly into a setting and are often adapted. The literature identifies practitioners' management of fidelity and adaptations as problematic but offers little guidance. This study aimed to investigate practitioners' perceptions of the feasibility and usability of an intervention aimed to support them in fidelity and adaptation management when working with EBIs. The intervention, the adaptation and fidelity tool (A-FiT), was developed based on the literature, along with input from social service practitioners and social services' Research and Development units' personnel. The intervention consisted of two workshops where the participants were guided through a five-step process to manage fidelity and adaptations. It was tested in a longitudinal mixed-method intervention study with 103 practitioners from 19 social service units in Stockholm, Sweden. A multimethod data collection was employed, which included interviews at follow-up, questionnaires at baseline and follow-up (readiness for change and self-rated knowledge), workshop evaluation questionnaires (usability and feasibility) after each workshop, and documentation (participants' notes on worksheets). To analyze the data, qualitative content analysis, Kruskal-Wallis tests, and Wilcoxon rank-sum tests were performed. Overall, the practitioners had a positive perception of the intervention and perceived it as relevant for fidelity and adaptation management (mean ratings over 7.0 on usability and feasibility). The workshops also provided new knowledge and skills to manage fidelity and adaptations. Furthermore, the intervention provided insights into the practitioners' understanding about adaptation and fidelity through a more reflective approach. Practical tools are needed to guide professionals not only to adhere to intervention core elements but also to help them to manage fidelity and adaptation. The proposed A-FiT intervention for practitioners' management of both fidelity and adaptation is a novel contribution to the implementation literature. Potentially, the next step is an evaluation of the intervention's impact in an experimental design.

Design Thinking in Science Education: Enhancing Undergraduate Students' Motivation and Achievement in Learning Biology

The purpose of this study was to investigate the effects of a design-thinking-based teaching method on optimizing students’ motivation and understanding of cell biology. This method is based on creativity and creating solutions and is primarily human focused. It involves a five-step process: discovery, explanation, thinking, experimenting, and developing. In this study, the researchers employed empathy in redesigning the content after each class based on student feedback and reflections. The sample included 92 female students: 50 in a design-thinking classroom and 42 in a conventional classroom. Three instruments were developed: a teachers’ guide, an achievement test, and a questionnaire on students’ motivation toward learning biology. Data were analyzed using the mean, standard deviation, an ANCOVA test, and size effect. The results showed that there were statistically significant differences in students’ increased motivation and achievement of biology in favor of the design-thinking classes. Although the results indicated that there was a statistically significant difference for teaching by the design-thinking method in improving students’ achievement according to students’ GPA, the results did not indicate a statistically significant difference in enhancing students’ motivation toward learning biology according to GPA. Therefore, instructors and curriculum developers should restructure the contents of their courses according to the design-thinking model to optimize students’ motivation and understanding of cell biology.

Knowledge, attitudes and practices on healthy lifestyle related behaviours among trainees of youth training centres in Sri Lanka

Introduction: The adolescent and youth health module has been introduced to the youth training centres in 2017. Objectives: To assess the knowledge, attitudes and practices on healthy lifestyle-related behaviours including healthy eating practices, physical activity and substance misuse among youth trainees attached to youth training centres in Sri Lanka Methods: A descriptive cross-sectional study was carried out among a sample of 425 youth trainees aged 15-29 years from six youth training centres selected using simple random sampling technique, using a pre-tested self-administered questionnaire. Scoring system was developed for measuring knowledge, attitude and practices on healthy behaviour and percentage scores were presented with median and inter quartile range (IQR). Associated factors for accepted levels were identified using Chi-squared Test or Fisher’s Exact Test. Results: All 425 participants responded. Majority (n=365; 85.9%) were Sinhalese, while 355 (83.6%) were Buddhists. Mean age was 18.6 years (SD=1.82). Most (n=344; 80.9%) were living in their own homes. Median percentage scores for knowledge, attitudes and practices on healthy lifestyle-related behaviours were 65.2 (IQR: 52.2, 69.6), 33.3 (25.0, 50.0) and 58.5 (48.1, 66.0), respectively. A majority, 80.7% (n=243) had an acceptable level of knowledge and 72.7% (n=309) an acceptable level of practice. Only 16.0% (n=68) had accepted level of attitudes. Youth trainee’s ethnicity, religion, age, education level and participation in the youth health module training were significantly related to their knowledge in healthy lifestyle-related behaviour (p<0.05). However, none of these were significantly associated with trainee’s attitudes on healthy behaviours although a significantly higher percentage of older youth were found to have healthy attitudes towards healthy behaviour. Conclusions & Recommendations: It is recommended to revise the training module, focusing more on attitudinal change with regards to the healthy lifestyle related behaviours. Delivery of the youth health module in both Sinhala and Tamil languages needs to be looked into.

Promotion of physical activity among Sri Lankans

No abstract available

Active life and the role of community design

No abstract available