Low Levels Of Support Research Articles

Weighing the Evidence for the Abundant-Center Hypothesis

The abundant-center hypothesis posits that species density should be highest in the center of the geographic range or climatic niche of a species, based on the idea that the center of either will be the area with the highest demographic performance (e.g., greater fecundity, survival, or carrying capacity). While intuitive, current support for the hypothesis is quite mixed. Here, we discuss the current state of the abundant-center hypothesis, highlighting the relatively low level of support for the relationship. We then discuss the potential reasons for this lack of empirical support, emphasizing the inherent ecological complexity which may prevent the observation of the abundant-center in natural systems. This includes the role of non-equilibrial population dynamics, species interactions, landscape structure, and dispersal processes, as well as variable data quality and inconsistent methodology. The incorporation of this complexity into studies of the distribution of species densities in geographic or niche space may underlie the limited empirical support for the abundant-center hypothesis. We end by discussing potentially fruitful research avenues. Most notably, we highlight the need for theoretical development and controlled experimental testing of the abundant-center hypothesis.

Attitudes towards euro area reforms: Evidence from a randomized survey experiment

This paper provides insights into the determinants of euro area reform preferences by means of a randomized survey experiment in Germany. Respondents are confronted with a pro and a contra argument to reform proposals on a European Unemployment Benefit Scheme and a Sovereign Insolvency Procedure, respectively, with the contra argument being varied across respondents. Our results for the control group suggest that there is a low willingness to accept fiscal risk-sharing through common unemployment insurance, while a sovereign insolvency procedure aimed at strengthening market discipline is supported by a majority of the survey participants. Our randomized treatments highlighting specific potential adverse effects of the reforms lead to significant downward shifts in approval rates. Altruism, EU support, nationalism, political preferences and income are important predictors of support for the reform proposals. We also show that there is a striking contrast between the low level of support for transfers to other euro area member states and a broad acceptance of inner German transfers.

Exploratory Geovisualization of the Character and Distribution of American Climate Change Beliefs

AbstractAmericans remain polarized about climate change. However, recent scholarship reveals a plurality of climate change opinions among the public, with nontrivial support for a range of awareness, risk perceptions, and policy prescriptions. This study uses publicly available opinion estimates to examine the geographic variability of American climate change opinions and maps them as regions that share similarities or differences in the character of their beliefs. The exploratory geovisual environment of a self-organizing map is used to compare the support for 56 different climate opinions across all counties in the United States and arrange them into a spatially coherent grid of nodes. To facilitate the exploration of the patterns, a statistical cluster analysis groups together counties with the most similar climate beliefs. Choropleth maps visualize the clustering results from the self-organizing map. This study finds six groups of climate beliefs in which member counties exhibit a distinct regionality across the United States and share similarities in the magnitude of support for specific opinions. Groups that generally exhibit high or low levels of support for climate change awareness, risk perceptions, and policy prescriptions vary in their relative support for specific opinions. The results provide a nuanced understanding of different types of climate change opinions and where they exist geographically.

Public acceptability of a sugar-sweetened beverages tax and its associated factors in the Netherlands

Abstract Background Public acceptability of a sugar-sweetened beverages (SSBs) tax is important for governments in the decision-making process. Therefore, the aim of the present study was to investigate the level of public acceptability of an SSBs tax and its associated factors. Methods Dutch adults representative of the Dutch population for age, sex, educational level and location (n = 500) completed an online self-administered questionnaire. The acceptability of an SSBs tax was measured on a 7-point Likert scale. Associations between acceptability and sociodemographic factors, body mass index, SSB consumption, and beliefs about effectiveness (9 items, e.g. 'An SSBs tax would reduce people's SSB consumption'), appropriateness (7 items), socioeconomic and economic benefit (5 items), implementation (1 item) and trust (3 items) were assessed using multivariable linear regression analyses. Results Of the participants, 40% supported and 43% opposed an SSBs tax in general. Moreover, 42% supported (43% opposed) an SSBs tax as a strategy to reduce overweight and 55% supported (32% opposed) an SSBs tax if revenue is used for health initiatives. Participants with a low educational level (B=-0.82;95%CI = [-1.31,-0.32]), overweight (B=-0.49;95%CI = [-0.89,-0.09]), moderate or high SSB consumption (B=-0.86;95%CI = [-1.30,-0.43] and B=-1.01;95%CI = [-1.47,-0.56], respectively) and households with adolescents (B=-0.57;95%CI = [-1.09,-0.05]) reported lower acceptability of an SSBs tax than their counterparts. Beliefs about effectiveness, appropriateness, socioeconomic and economic benefit, implementation and trust were associated with acceptability (P < 0.001). Conclusions Public acceptability of an SSBs tax tends to be higher if revenue is used for health initiatives. Sociodemographic factors, body mass index, SSB consumption and several beliefs about effectiveness, appropriateness, socioeconomic and economic benefit, implementation and trust are associated with acceptability. Key messages It should be considered to include a recommendation to use revenue for health initiatives in global guidelines for SSBs taxes. Targeting population subgroups with low levels of support might be an effective strategy for communication campaigns.

Sense of support within the family: a cross-sectional study of family members in palliative home care

BackgroundDespite evidence that family members’ support to each other can be of importance to its members, there are limited studies of factors related to family members’ sense of such support during palliative care.AimBased on the family systems approach, we evaluated which factors were associated with family members’ sense of support within their closest family in a palliative home care context and developed a model that predicts such sense of support.DesignA cross-sectional design was used. We interviewed 209 adult family members (69% of eligible) of adult patients with expected short survival receiving palliative home care.MethodsGeneralised linear models were used to evaluate individual factors related to family members’ sense of support within their closest family during palliative care. The Akaike Information Criterion (AIC) was applied in the model-building analyses.ResultsNineteen variables were identified that were significantly associated with the family members’ sense of support within the closest family. Model building selected six variables for predicting this sense of support (decreasing Wald values): family member perceiving support from other more distant family members; feeling secure with the provided palliative home care; possibility of respite if family member needed a break; family member living alone; being a child of the patient (inverse relationship); perceiving that the patient was supported by other family members.ConclusionsOur findings support clinical application of the Family Systems Theory in the context of palliative care. The factors identified may be of value in assisting practitioners in detecting and treating family members sensing a low level of support within the closest family.

How a State Measures Up: Ambulatory Care Pharmacists' Perception of Practice Management Systems for Comprehensive Medication Management in Utah.

Comprehensive medication management (CMM) is a patient-centered standard of care that ensures a patient’s medications are optimized. The CMM Practice Management Assessment Tool (PMAT) is a tool to assess areas of CMM practice management. The purpose of this project was to assess the state of CMM practice management based on clinical pharmacist perception for two health systems in the state of Utah, and to identify areas of excellence and/or improvement utilizing a novel method for PMAT analysis. The PMAT was distributed to all primary care-focused ambulatory care pharmacists employed by University of Utah Health (U of U Health) and Intermountain Healthcare (Intermountain). Ordinal responses were assigned to three possible categories of CMM support (High, Indifferent, and Low). Ten surveys were completed from U of U Health, and nine were completed from Intermountain. Thirty-two of the 86 survey questions resulted in a high level of support, and 25 questions resulted in a low level of support from the majority of respondents. Statistically significant differences between the institutions were found for 18 questions. The utilization of the PMAT within two Utah health systems highlighted areas of excellence and improvement and demonstrates a unique method for analysis of PMAT results.

Support Weighted Ensemble Model for Open Set Recognition of Wafer Map Defects

Wafer defect maps have different generation mechanisms according to the defect pattern, and automatic classification of wafer maps is therefore critical to reveal the root cause of the defects. In this paper, we examine the open set recognition problem, in which not only must wafer maps be classified using major defect patterns that are already known but also unknown defect patterns must also be detected. Our model is an ensemble model of a one-versus-one method that uses a convolutional neural network as the base classifier for wafer map classification. The proposed model calculates a weighted mean score for each defect pattern and determines the presence or absence of a pattern based on this score. The weight is calculated based on the proximity of data groups in the feature space and can be considered a support level at which a new wafer map belongs to a specific defect pattern. An untrained wafer map input into the model has a low support level and thus does not belong to any known defect pattern. An experiment was conducted using work-site failure bit count maps.

Social Support as a Moderator between Syndemics and Posttraumatic Stress among Women Experiencing Adversity

ABSTRACT Substance Abuse, Violence, and AIDS/HIV (i.e., SAVA) tend to co-occur and the clustering of these adversities may be associated with increased psychopathology. Little is known about how these co-existing adversities affect the mental health of women. Further, few studies have examined protective factors that could weaken the relationship between these SAVA adversities and posttraumatic stress symptoms (PTSS). The current study assessed this relationship, as well as the moderating effect of social support. Participants included 178 women (M age = 35.23, SD = 8.44; 71.0% Black) who were living with HIV, experiencing intimate partner violence, and/or using illicit substances. Women were recruited from community organizations and completed hour-long interviews. Findings indicated that experiencing more than one SAVA was associated with greater PTSS (ß =.28; p =.036). Results also supported the moderating role of social support (F(2,168) = 3.41, p=.035, R2 =.31, f 2 =.45). Among women with higher levels of support, having one SAVA adversity was associated with lower PTSS. However, among women with lower levels of support, having one SAVA was associated with higher PTSS. Results not only underscore how co-occurring adversities exacerbate PTSS, but also highlight the central role of social support as a protective factor among women.

Understanding support for regulatory approaches to wildfire management and performance of property mitigations on private lands

Formal regulation of private property and exploration of “risk transmission” across ownerships are two popular means for addressing wildfire management at landscape scales. However, existing studies also indicate that a number of barriers exist for implementing formal regulations surrounding wildfire risk, and that few efforts gauge influences on the resident support that serves as an important antecedent to implementation. Likewise, few studies of risk transmission incorporate social science literature to explore whether perceptions of wildfire sources influences support for regulatory approaches or performance of individual mitigations. The research presented here employed mixed-method, residential surveys of private property owners in Pend Oreille County, Washington, to explore potential influences on residents’ support for regulatory approaches for wildfire management on private properties, including perceptions of risk sources across the landscape and whether wildfire is a healthy component of the landscape. We also explore how the above factors, and other correlates such as part-time residency or proximity to neighboring properties, might influence the performance of private property mitigations across a range of rural properties in a larger landscape. Results suggest a low level of support for private property regulation for wildfire risk management and reduced wildfire response on properties where fewer personal mitigations are taking place. Consideration of wildfire risk sources and participation in collaborative actions or programs all had mixed effects, with perceptions of human ignitions on private lands correlating with support for property regulation and perceptions of human ignitions on public lands interacting with collaborative actions to correlate with higher levels of mitigation performance on individual properties. Results indicate that participation in wildfire actions and existing outreach programs were both relatively low in the landscape, and that engagement with such efforts do not significantly correlate with support for regulatory efforts. We conclude by comparing our findings to existing wildfire social science and suggesting future efforts or interpretations designed to advance a more nuanced view of the tradeoffs that private residents engage in when considering how their actions support landscape level wildfire management.

Public Opinion, Crisis, and Vulnerable Populations: The Case of Title IX and COVID-19

AbstractA central function of democratic institutions is to protect vulnerable populations. The stability and success of these institutions depends, in part, on popular support. Times of crisis can introduce novel dynamics that alter popular support for protective institutions, particularly among those who do not benefit from those protections. We explore this possibility in the context of Title IX's gender equality requirements and infrastructure to address sexual harassment in college sports. We conduct a large survey of college student-athletes to study their attitudes on these issues in response to the COVID-19 pandemic and concomitant financial challenges affecting college sports. We find that male student-athletes and those with sexist attitudes exhibit alarmingly low levels of support for ensuring the maintenance of equality and sexual harassment policy under Title IX during the COVID-19 crisis and eventual recovery. The results accentuate the vulnerability of certain populations during crises and the importance of maintaining strong institutional policy support during such times.

Порівняльний аналіз ставлення учителів фізичної культури до освітніх реформ в закладах загальної середньої освіти

Актуальність дослідження. У статті розглянуто питання впровадження освітніх реформ у фізичне виховання школярів. Основною передумовою таких змін є бажання України інтегруватися в європейський освітній простір. Мета дослідження – здійснити порівняльний аналіз підтримки реформ серед учителів фізич- ної культури, які передбачені «Новою українською школою». Методи дослідження – аналіз та узагальнення літературних джерел, опитування учителів фізичної культури на основі анкетування, їх математична обробка та порівняльний аналіз. Опитано 391 учителя фізичної культури із семи областей України, а саме: Львівської (n=100 – 25,8 %); Івано-Франківської (n=53 – 13,6 %); Тернопільської (n=54 – 13,8 %); Хмельницької (n=48 – 12,3 %); Вінницької (n=50 – 12,8 %); Дніпропетровської (n=36 – 9,2 %); та Херсонської (n=50 – 12,8 %). Із них – 259 чоловіки, що становить 66,2 % та 132 жінки, що становить 33,8 % від опитаних нами педагогів. Відзначимо, що в опитування залучено педагогів із різним педагогічним стажем і рівнем кваліфікації. Так, серед опитаних учителів 175 осіб (44,8 %) мають вищу кваліфікаційну категорію; 100 осіб (25,6 %) – першу; 62 особи (15,9 %) – другу та 54 (13,8 %) – категорію «спеціаліст». Результати роботи та висновки. Виявлено різний рівень під- тримки освітніх реформ серед учителів фізичної культури. Найвищий рівень підтримки мають такі нововве- дення: навчання через діяльність ігровими методами як у класі, так і поза його межами – 78,6 %; забезпечення різних форм здобуття середньої загальної освіти – 71,3 %. Вище та нижче за середній рівень підтримки освітніх реформ мають інтегроване навчання – 51,6 %; зміна структури закладу освіти – 51,6 %; інклюзивне навчання – 42,2 % і 12-річний термін здобуття освіти – 28,1 %. Низький рівень підтримки в учителів фізичної культури мають вербальне оцінювання навчальних досягнень учнів – 19,7 %.

Dead Space to Tidal Volume Ratio Is Associated With Higher Postextubation Support in Children.

Extubation failure is associated with increased duration of mechanical ventilation, length of hospital stay, and mortality. An elevated dead-space-to-tidal-volume ratio (VD/VT) has been proposed as a predictor of successful extubation in children. We hypothesized that a higher VD/VT value would be associated with extubation failure and higher postextubation respiratory support. This was a prospective, observational, cohort study. All subjects were < 18 y old and were extubated in the pediatric multidisciplinary ICU or the cardiac ICU at an academic medical center from June 2016 through March 2017. Using arterial blood gas analysis and mainstream volumetric capnography, daily VD/VT measurements were obtained on intubated subjects using an automated algorithm. Respiratory support upon extubation was based on the clinical team's judgment and defined as low (ie, room air or nasal cannula) or high (ie, high-flow nasal cannula, CPAP, or bi-level positive airway pressure). Subjects were monitored for 48 h after extubation for escalation in respiratory support and need for re-intubation. Of 189 subjects included in the analysis, 166 were successfully extubated and 23 (12%) required re-intubation. There was no significant difference in final VD/VT between those who extubated successfully and those who failed extubation, with a median VD/VT of 0.28 (interquartile range [IQR] 0.20-0.37) vs 0.29 (IQR 0.21-0.33), respectively (P = .87). Those who received a high level of support upon extubation had a higher VD/VT than those who received a low level of support, with a median of 0.32 (IQR 0.23-0.39) vs 0.25 (IQR 0.16-0.30), respectively (P < .001). This association remained significant when controlling for age, duration of intubation, and cyanotic congenital heart disease (odds ratio 1.63, 95% CI 1.18-2.24). There was no significant relationship between VD/VT and extubation success, although VD/VT was associated with the level of respiratory support provided following extubation. Further studies should investigate whether the use of VD/VT can help reduce extubation failure rates with varying levels of postextubation respiratory support.

The Influence of Emotional Support from Parents, Peers, and Romantic Partners on Changes in Purpose in Life and Mastery in Young Adulthood

Purpose in life and mastery over one’s environment are important assets for positive youth development but little is known about how they change or interact during the transition to young adulthood, or how they may be moderated by support from relationships. The current study examines longitudinal associations between purpose in life and mastery in a sample of Canadian youth (N = 662) ages 18 to 29 across three biennial waves of data. Purpose in life and mastery were reciprocally associated within and across time, suggesting that these assets develop in tandem. However, emotional support from friends and romantic partners also moderated the associations. Specifically, the reciprocal association were significant for youth with high levels of friend and romantic partner support, but not for youth with low levels of support. Father and mother emotional support did not moderate the pathways. Findings highlight the importance of peer and romantic partner emotional support in cultivating youth’s sense of purpose in life and mastery during the transition to young adulthood.

666-P: Predictors and Effects of Participation in Peer Support: A Prospective Structural Equation Modeling Analysis

Peer support provides benefits across varied health concerns. As opposed to simple offer of support, however, predictors of and importance of levels of participation are not well understood. Analyses of 7 peer support interventions, with 1,612 participants address these questions, first identifying characteristics that predict participation, and then examining whether, controlling for those characteristics, participation itself predicts benefit, using reduced HbA1c as an indicator of benefit. From the U.S. (5 sites), Hong Kong, and the UK, interventions shared emphases on peer supporters helping adults with type 2 diabetes improve disease management. Common data included pre/post hemoglobin A1c (HbA1c), contacts of participants with peer supporters, health literacy, availability/satisfaction with support for diabetes management from family/clinical team, and gender, age, education, and years with diabetes. From structural equation modeling, significant findings indicated 1) older age and lower levels of support for diabetes management predicted more contacts with peer supporters, and 2) more contacts predicted lower levels of final HbA1c. Effects of contacts on HbA1c included those with baseline HbA1c &amp;gt; 7.5% or &amp;gt; 9%. No contacts and tertiles of low, moderate, and high contacts showed a linear, dose-response relationship with final HbA1c (p &amp;lt; 0.001). Baseline and covariate-adjusted, final HbA1c was 8.19% versus 7.85% for those with no and high contacts, respectively. Among those using insulin (29.7%), only those in the high group achieved greater benefit than those with no contacts. Reflecting other findings that peer support reaches/benefits those at greater disadvantage, those reporting less social support for diabetes management were more likely to participate in peer support. Participation in turn predicted better glycemic control across levels of baseline glycemic control and in a dose response relationship across levels of participation. Disclosure G.X. Ayala: None. J.C. Chan: None. A. Cherrington: None. J.P. Elder: None. E.B. Fisher: Research Support; Self; Merck Foundation, Sanofi China. M. Heisler: None. A. Howard: None. H. Parada: None. M. Safford: None. D. Simmons: None. T.S. Tang: None. Funding Merck Foundation; Eli Lilly and Company Foundation; Bristol-Myers Squibb Foundation

Green Development in the Construction of Family Houses in Urban and Rural Settlements in Slovakia

Measures that have been implemented to promote green development and environmental protection are increasingly affecting the construction of family houses and hence the economic and social growth. The representatives of the Europe Regional Network of World Green Building Council claim that the building emissions in Europe create up to 36% of the total carbon dioxide production. Therefore, the application of ecological building materials can be one of the possible ways to reach equilibrium between the social-economic growth and green development. The main objective of this paper was to find out the approach of people in urban and rural settlements in Slovakia towards the question of green development in terms of selection of building material for the construction of a family house and their economic-social situation. The issue was mapped in Slovakia using the empirical survey in the form of a questionnaire. The research was evaluated using statistical hypothesis testing methods, descriptive statistics methods, and data visualization. The main economic and social coordinates were identified that influence the choice of building materials for the construction of houses. The results led to conclusions that extend the current knowledge in the field of green development and sustainability in connection with the construction of family houses and the economic–social question in Slovakia. Results indicated that ecological materials are underestimated at nearly 71%. The identified reason for the research is, besides the economic and social issue, mainly the low level of information and promotion of ecological materials that can be used for the construction of family houses, as well as the low level of support by the state of those who are interested in the construction of ecological houses. The following research perspectives in this area should focus even more deeply on the synchronization of ecological, economic, and social aspects of sustainability, not only in the construction of family houses from ecological materials in Slovakia, but also in the construction of public and other buildings in urban and rural settlements.

The Nature, Logic, and Significance of Strong Communities for Children.

High levels of stress and low levels of support for parents have significant implications for child safety, particularly for families living in neighborhoods which are dangerous and disadvantaged. Building on this knowledge about the causes and correlates of child maltreatment, the U.S. Advisory Board on Child Abuse and Neglect (1993) recommended a neighborhood-based child protection strategy. This article describes Strong Communities for Children, a community-based child maltreatment prevention intervention designed to carry out the Board’s recommendations. During an initial period of development and evaluation (lasting more than 7 years) of the first such initiative (located in communities near Greenville, SC), Strong Communities added substantially to the knowledge base on the role of community factors in children’s safety. It also advanced understanding of ways to operationalize some of the ideas underlying the Board’s proposed strategy. This article (a) describes the conceptual foundation, the logic model, and the engagement strategies that comprise Strong Communities; (b) provides an overview of the results from the first comprehensive initiative; (c) discusses their significance; and (d) concludes with discussion of the possibilities for Strong Communities in the current context.

Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics

AimTo investigate anxiety, stress, and depression levels of physicians during the Covid-19 outbreak and explored associated factors in both clinical and general site. MethodsAn online survey is conducted to asses psychological responses of healthcare workers and related factors during Covid-19 outbreak. It is consisted of three subsections covering the following areas: 1) sociodemographic data 2) information on individuals` working condition 3) Depression Anxiety and Stress Scale-21 (DAS-21). ResultsOf all 442 participants, 286 (64.7%) had symptoms of depression, 224 (51.6%) anxiety, and 182 (41.2%) stress. Being female, young, and single, having less work experience, working in frontline were associated with higher scores, whereas having a child was associated with lower scores in each subscale. Factors found to be associated with higher DAS-21 total scores in frontline workers were as follows: increased weekly working hours, increased number of Covid-19 patients cared for, lower level of support from peers and supervisors, lower logistic support, and lower feelings of competence during Covid-19 related tasks. ConclusionsOur findings highlight the factors which need to be taken into consideration to protect the mental wellbeing of doctors while fighting with a disaster that has major impacts on society worldwide.

A Person-Centered Perspective on the Role of Peer Support and Extreme Peer Orientation in Youth with Type 1 Diabetes: A Longitudinal Study.

Despite clear evidence that peers are crucial for youth development, research on the role of peers for youth with Type 1 diabetes (T1D) is scarce. The present study identified trajectory classes of perceived peer functioning in youth with T1D, based on peer support and extreme peer orientation (EPO). Further, classes were compared with respect to their trajectories of depressive symptoms, diabetes-specific distress, treatment adherence, and HbA1c values. Five hundred and fifty-nine youth (14-25 years) with T1D completed questionnaires at baseline, 1, 2, and 3 years later. Latent class growth analysis identified classes of perceived peer functioning. Multigroup latent growth curve modelling assessed whether these classes were characterized by different trajectories of general and diabetes-specific functioning. A socially normative class (48%) was characterized by trajectories of high support and low EPO over time. A socially reserved class (29%) was characterized by low support and EPO, and a socially oriented class (17%) by high support and EPO. Finally, a socially vulnerable class (6%) was characterized by low support and high EPO. The normative class functioned significantly better over time than the other classes. The vulnerable class functioned significantly worse compared to the reserved class, despite experiencing equally low levels of support. The results underscore the need to take youths' orientation toward the peer context into account alongside support when tapping into the role of peers, because individuals with low levels of support and EPO functioned substantially better than individuals with similar low levels of support but high levels of EPO.

Trends in Social Support Experienced by Pacific Men and Women over the Adult Lifespan: An Age-Based Latent Growth Model

Introduction: Our study investigated the development of social support experienced by Pacific men and women across the adult lifespan in New Zealand (18 to 65 years of age). &#x0D; Methods: We examined differences in social support using data from the first six annual waves of the New Zealand Attitudes and Values Study (N = 501 women and 238 men) using an age-based latent growth model.&#x0D; Results and Discussion: Mean levels of social support decreased as Pacific peoples aged. More specifically, Pacific men demonstrated a significant decrease in social support and older Pacific men demonstrated the lowest levels of support of all Pacific peoples. In comparison, Pacific women maintained higher levels of social support compared to Pacific men, with social support remaining relatively stable across the lifespan of Pacific women.&#x0D; Conclusion: Our research explores the importance of social support and its link to health and wellbeing among Pacific communities in New Zealand. This is important because we need to understand the factors that could buffer outcomes of low social support such as mental illness and possibly suicide among Pacific peoples.

Are nurses recognised, prepared and supported to teach nursing students: Mixed methods study

BackgroundThe requirement for clinical teaching and supervision of undergraduate nursing students is a continual high volume, high impact essential requirement of registered nursing staff. Nurses are integral in facilitating the learning of nursing students in the practice environment to deliver quality safe care. However nurses engaged in teaching and supervising nursing students have unique challenges. ObjectiveTo understand how well recognised, prepared, and supported nurses perceive they are to teach and supervise undergraduate nursing students in the practice environment? MethodsNurses from 12 different wards of two hospitals were invited to participate in the study. A sequential mixed methods approach comprising hard-copy questionnaires, completed by 59 nurses, and six focus groups. Four feedback sessions verified findings. ResultsA low level of recognition and support for the amount of time available to nurses to teach and supervise was reported from both survey and focus group data. Four themes emerged from focus groups. Nurses recognised their role to teach and supervise students; The role in teaching and supervision was not recognised at a system level; Nurses could be more prepared to teach and supervise students; and Nurses required more support for their role in teaching and supervising students. A major challenge was the low level of support nurses perceived from the education sector in preparing students for placements. The nurses reported a disconnection of components of the student placement system, which was difficult to negotiate when undertaking this teaching and supervision role. ConclusionThe complex practice environment, where nursing student numbers are increasing and nurses have to navigate an often disconnected student placement system, requires a rethink of the precentorship or buddy one-to-one model of clinical placement. Addressing these challenges will be an essential step in protecting the interests of the public, nurses and nursing profession.