Primary Commitment Research Articles

Reflections of nurses and primary healthcare managers on integrating hospital at home into public primary healthcare services: a Norwegian focus group study

Background Hospital at home (HaH) is an innovative approach to healthcare delivery that brings specialized services to patients’ homes. HaH services are typically available in urban areas where hospitals can easily reach nearby patients. An integrated care model that utilizes the public primary healthcare system may extend HaH services to include patients residing further away from hospitals. However, there is limited evidence of primary healthcare employees’ views on integrating HaH care into primary healthcare services. This study aimed to explore the reflections of primary healthcare employees on integrating HaH care into primary healthcare services. Methods Ten focus group interviews were conducted with homecare nurses and managers of primary healthcare services in five municipalities in Mid-Norway. Reflexive thematic analysis was used to analyze the data. Results The analysis resulted in three key themes regarding the integration of HaH care into primary healthcare. Participants discussed how they capture the distinctiveness of HaH care within the primary healthcare landscape. Moreover, they identified that the introduction of HaH care reveals opportunities to address challenges. Lastly, the study uncovered a strong primary healthcare commitment and a sense of professional pride among the participants. This resilience and dedication among primary healthcare employees appeared as an incentive to make the integration of HaH work. Conclusions This study offers valuable insights into integrating HaH into primary healthcare services, highlighting opportunities to address challenges. The resilience and dedication of primary healthcare employees underscore their commitment to adapting to and thriving with HaH care. To establish a sustainable HaH care model, it is important to address geographical limitations, consider the strain on providers, maintain robust relationships, enhance funding, and formalize decision-making processes.

Nursing vaccine mandates: Ethically justified, an infringement on autonomy, or both?

After almost a year and a half of the COVID-19 pandemic, many healthcare institutions in the United States announced that they would mandate COVID-19 vaccination, with medical and religious exceptions, as a term of employment. The mandates resulted in widely publicized protests from hospital staff, including some nurses, who argued that these medical institutions violated the ethical principle of autonomy. As the world enters the "post-pandemic period," decisions such as these, made during times of crisis, must be reviewed to provide clarity for when the next pandemic occurs. In this paper, we support the argument that such mandates are ethically justifiable. We explore the framework of objections that were brought forward by dissenters of this vaccine mandate. Next, we provide an analysis of conflicting ethical principles present when such mandates were deployed. Utilizing the American Nurses Association's Code of Ethics for Nurses, notably provisions 2, 3, and 6 we argue that it is an ethical duty of the nurse to be vaccinated. Specifically, we turn to provision two, which most explicitly underscores the necessity of vaccination as a function of the nurse's primary commitment to the patient. Next, we highlight the International Council of Nurses Code of Ethics which provides similar guidance internationally. Finally, we examine the applicability of the principles of public health, care ethics, and the nursing role as frameworks to underpin such mandates both for the current and for potential future pandemics, arguing that the nurse's ethical duty to be vaccinated spans these contexts.

Nursing's Primary Commitment Embedded in the Quintuple Aim.

Anecdotally, from personal experience as a growing editor and in talking with experienced editors, rejecting evidence-based project manuscripts that do not include patient outcomes is routine. Phrased differently, it is typic.

Capital sharing and socialization in an interprofessional student-led clinic: a Bourdieuan analysis.

Interprofessional student-led clinics offer authentic clinical experiences of collaborative patient care. However, theoretical research on the sustainability of these clinics, considering forms of capital beyond the economic, remains limited. This study addresses this gap by employing Bourdieu's theoretical framework to explore how alternative conceptions of capital; both social and cultural might sustain conditions for interprofessional working in a student-led clinic serving patients living with a chronic neurological impairment. The teaching and learning focussed clinic was established in 2018 to mirror a clinical service. Semi-structured focus groups with participants involving 20 students from 5 professions and 11 patients gathered in-depth insights into their experiences within the clinic. A thematic analysis was guided by Bourdieu's concepts of field, habitus, and capital. In the complex landscape of the student-led clinic, at the intersection of a patient support group, a hospital-based aged care facility, and university-based healthcare professions, three pivotal mechanisms emerged underpinning its sustainability: Fostering students' disposition to interprofessional care, Capitalizing on collaboration and patient empowerment, and a Culture of mutual exchange of capital. These themes illustrate how students and patients specific dispositions towards interprofessional healthcare enriched their habitus by focusing on shared patient well-being goals. Diverse forms of capital exchanged by students and patients fostered trust, respect, and mutual empowerment, enhancing the clinic experience. This study bridges an important gap in theoretically informed explorations of the conditions for sustaining student-led clinics, drawing on Bourdieu's theory. It accentuates the significance of investment of diverse forms of capital in such clinics beyond the economic, whilst emphasizing a primary commitment to advancing interprofessional healthcare expertise. Recognizing patients as equal partners shapes clinic dynamics. In order for student clinics to thrive in a sustainable fashion, educators must shift their focus beyond solely maximizing financial resources. Instead, they should champion investments in a wider range of capital forms. This requires active participation from all stakeholders; faculties, patient partners, service providers, and students. These findings underscore the importance of investing in interprofessional learning by optimizing various forms of capital, and embracing patients as dynamic contributors to the clinic's sustainability.

The Relationship between Primary School Teachers' Commitment to the Teaching Profession and Their Perceptions of Loneliness at Work

Bu çalışma, sınıf öğretmenlerinin öğretmenlik mesleğine bağlılık algıları ile iş yaşamında yalnızlık algıları arasındaki ilişkinin tespiti amacıyla yürütülmüştür. Yapılan araştırmada ilişkisel araştırma modeli kullanılmıştır. Araştırmanın evrenini 2021-2022 Eğitim-Öğretim yılında Bolu ili merkez ilçesinde yer alan resmi ilkokullarda görevli 550 sınıf öğretmeni oluşturmaktadır. Araştırmaya farklı ilkokullardan toplam 241 sınıf öğretmeni katılmıştır. Veri toplama aracı olarak kişisel bilgi formu, “Öğretmenlik Mesleğine Bağlılık Ölçeği” ile “İş Yaşamında Yalnızlık Ölçeği” kullanılmıştır. Çalışma bulgularının analizleri SPSS 20.0 paket programı kullanılarak gerçekleştirilmiştir. Verilerin analizinde ortalama, yüzde, standart sapma, frekans, korelasyon gibi betimsel istatistikler kullanılmış ve ölçeklerin güvenirlik analizleri için Cronbach Alpha katsayıları hesaplanmıştır. Araştırma sonuçlarına göre sınıf öğretmenlerinin öğretmenlik mesleğine bağlılık algılarının “Yüksek” düzeyde olduğu görülmüş, öğretmenlerin iş yaşamında yalnızlık algılarının ise “Düşük” düzeyde olduğu sonucuna ulaşılmıştır. Sınıf öğretmenlerinin öğretmenlik mesleğine bağlılık algıları ile iş yaşamında yalnızlık algıları arasında negatif yönlü ve orta düzeyde bir anlamlı ilişkinin olduğu sonucuna ulaşılmıştır.

Leadership experience and coping strategies of women secondary school principals: lesson from Ethiopia

ABSTRACT This study explored women principals’ leadership experiences, challenges, and their coping strategies for maintaining their positions. A qualitative study was employed using a semi-structured in-depth interview. Addis Ababa City Administration was purposively selected due to a high turnover of women principals. Eleven secondary school principals were selected using availability sampling as they are the only women principals in the city administration. The findings of the study revealed that women principals’ assignments in various positions such as department head, unit leader, vice principal, and women primary school principals commitment motivated them to aspire to become secondary school principals, along with strong support from their colleagues and their desire to be a leader. The study revealed that teachers’ unwillingness to accept women principals, insufficient support and inappropriate interference from top-level managers were major challenges they faced when executing their roles and responsibility. Respect for staff, patience, delegating work, implementing appropriate measures, and seeking cooperation from parents and the education department was found to be their crucial coping strategies. Large-scale research is needed, and more women principals should be encouraged to take leadership roles responsibilities.

When Is It Modernism? A Lesson from Indonesian Musik Kontemporer

AbstractWhen is it modernism? This article poses this question to traditionally based Indonesian musik kontemporer, as an occasion to examine a distinctive instance of musical modernism, but most importantly to illuminate issues with the question itself. Taking it literally, I identify when musik kontemporer was most clearly modernist, recognizing that modernism, and its conception of history, itself has a history. Scrutinizing the question's more usual goal of drawing a distinction between that which is and is not modernist, I show how the case of Rahayu Supanggah – a musician with a deep and primary commitment to the traditional performing arts, whose work has been shaped by his adoption of modernist ways of thinking without being fully defined by them – defies a simple answer. Ultimately, the article is concerned with what is at stake when invoking modernism, and what this means for the larger project of understanding musical modernism as a global phenomenon.

Factors Associated with Primary Care Provider's Job Satisfaction and Organizational Commitment in China: A Machine Learning-Based Random Forest Analysis.

The objective of the study is to explore the factors that influence the job satisfaction and organizational commitment of primary care providers in China, with a focus on the impact of the COVID-19 pandemic and the rescission of restriction policies. We utilized the 20-item Minnesota Satisfaction Questionnaire (MSQ) and the 25-item organizational commitment survey to assess job satisfaction and organizational commitment. In total, 435 valid responses were included in our analysis. The average scores for job satisfaction and organizational commitment were 80.6 and 90.8. After a two-step tuning process, we built random forest models by machine learning. The results show income change, working years, working years in the current institute, and age were the four most important features associated with job satisfaction, organizational commitment, and most of their dimensions. The number of professional fields engaged, gender, job status, and types of endowment insurance were least associated. During pandemic time, income-related factors remain a core concern for primary care providers, whereas job security may lose its importance. These findings suggest that financial bonuses may be an effective way to boost morale, and age-specific motivation plans may be necessary.

Altering regional development for sustainability: Lessons learned from strategic communications of RCE Saskatchewan (Canada) with government

An important part of successful strategies for sustainable development involves altering (or, in some cases, preventing) proposals for development that are unsustainable or have significant opportunity costs relative to more sustainable alternatives. In modern democracies, development proposals normally require formal public approvals (whether at the municipal, provincial/state, or national level) with opportunities for public and specialist input and oversight as well as legal remedies where due processes are not followed. This creates an important locus for ESD, specifically educational interventions by Regional Centers of Expertise on education for sustainable development (RCEs). RCEs are able to rapidly mobilize local, regional, and global expertise to engage such processes, frequently where there are narrow time frames and complex mechanisms for public input. The paper will use a case studies approach examining strategic communications of RCE Saskatchewan with various levels of government in proposed developments within its region in Western Canada. Despite a primary commitment of governments in the RCE Saskatchewan region to economic growth with a more limited role for sustainable development, the RCE has successfully contributed to substantially altering unsustainable development proposals in a range of areas since its acknowledgment in 2007. These proposals have included forest clear-cutting, large-scale water diversions, agricultural drainage, nuclear power, road construction, and potash mining. The RCE's interventions have been modest, involving letters and formal submissions through existing government channels aimed at public officials or elected representatives involved in key stages of decision making. This paper will document some of the main elements of the formal RCE correspondence that has lead to its strategic effectiveness including the RCE's ability to draw upon independent scholarly knowledge (including expertise about governmental processes) and legitimization of local sustainability expertise. These interventions have enabled local learning, modifications of specific development proposals, and, in some cases, system-wide transformations. Importantly, however, it highlights how an older form of university scholarship associated with the rise of the humanities, namely the art of formal correspondence or letter writing, can be customized to the goal of regional education for sustainable development.

Human rights in modern ideology of the Communist Party of China

Over the decade of Xi Jinping’s leadership the Chinese interpretation of human rights emphasized practical and legal aspects of the issue. At the same time, the elevation to normative status of “Xi Jinping’s ideas of a new era of socialism with Chinese characteristics” stimulated the process of theoretical systematization of the views of the party leader on the development of human rights. The notion that “happy life of the people is the greatest human right” gained key prominence. Chinese researchers underline the change of “generations” in the understanding of human rights, according to which the primary Western commitment to civil and political rights has been replaced by the priority of social and economic rights. China claims the authorship of modern comprehensive interpretation of human rights that facilitates better life for all population and all-embracing human development. Official interpretation of “China’s path of developing human rights” insists on connecting together the Marxist concept of human rights, Chinese reality, traditional Chinese culture and the achievements of human civilization. The key modern Chinese foreign policy concept of the “community of destiny of mankind” acts as a rationale for China’s human rights actions in the outside world.

Indian In The Cabinet: Speaking Truth to Power. By Jody Wilson-Raybould. Toronto, ON: HarperCollins Publishers Ltd., 2021.

Indian in the Cabinet is a groundbreaking memoir that reflects Jody Wilson-Raybould’s experiences and perspective as the first Indigenous woman in the simultaneous roles of Canada’s Minister of Justice and Attorney General. Within this context, she describes how, within the Canadian political system, power and truth are disassociated from one another. In order for real change to occur, fraudulent power must be dismantled and replaced with truth as a primary commitment in the democratic system of the Canadian government.

Primary care provider's job satisfaction and organizational commitment after COVID-19 restrictions ended: A mixed-method study using a mediation model.

ObjectivesMore and more countries have decided to cancel most or even all COVD-19 restrictions. However, it is unclear how ending of restrictions will affect primary care providers' job satisfaction and organizational commitment. Our objectives are to explore the current status and possible change in primary care providers' job satisfaction and organizational commitment after massive restriction policies ended in China.MethodsThis was a mixed-method study that utilized structured questionnaires and semi-structured qualitative individual interviews. The 20-item Minnesota Satisfaction Questionnaire (MSQ) and 25-item organizational commitment survey were adopted to assess job satisfaction and organization commitment. Descriptive statistics and mediation models, as well as inductive thematic analysis, were used to analyze quantitative and qualitative data.ResultsA total of 18 interviews and 435 valid survey responses were included in our analysis. The average scores for job satisfaction and organizational commitment were 80.6 and 90.8. The thematic analysis revealed one major theme: ethical and moral responsibility to provide care as primary care providers, on which we established a mediation model. The mediation analysis revealed that normative commitment could positively affect the other four dimensions of organizational commitment and job satisfaction. The direct effect of affective commitment on job satisfaction was significant (LLCI = 0.11, ULCI = 0.31), and the mediators were identified to have a partial mediating effect instead of a total mediating effect.ConclusionAfter COVID-19 restrictions end, the job satisfaction and organizational commitment of primary care providers will return to levels before the pandemic and during this estimated process, a brief rise in resignation is predictable. The normative commitment positively affects the other four dimensions of organizational commitment and job satisfaction for primary care providers, which suggests a possible way to motivate primary care providers when restrictions end.

An Effective Load Management for Grid Connected Hybrid Energy Sources

This paper introduces to control a standalone hybrid renewable system, involving PV cell and wind turbines as the primary energy sources along with fuel cell and battery energy source as an emotionally supportive system. While trying to work on the solidness and security of the hybrid renewable system sustainable framework, a battery bank, is incorporated as supporting units, due to the discontinuous and fluctuation in primary energy sources commitment. In this paper we model an independent sustainable source micro grid with various sources, which are wind energy with PMSG, PV panel, Fuel cell and battery storage system. Analysis of each source is done under variation conditions and variation of source parameters, such as wind speed of wind turbine, illumination, temperature of PV cell and state of charge of the battery. If main power sources of PV panel and wind turbines is not available, the battery storage device act as backup supply for load. This storage source (battery) can be charged when abundance power is produced from the PV panel and wind generation system. Investigation on each sources with dynamic changes of boundaries are studied with siumulation results analysis is studied by utilizing MATLAB/ SIMULINK software.

Abstract PR06: Identifying regulatory transcription factors in primary liver cancer cell lineage commitment using single cell ATAC sequencing

Abstract Hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (iCCA) are the two main types of primary liver cancer (PLC), a leading cause of cancer related mortality. The key mechanisms of transcription regulation that delineates a cell of origin to either HCC or iCCA remain underexplored. We hypothesize that chromatin accessibility patterns reflect transcriptional regulatory circuitry that controls PLC lineage development. We aim to trace developmental lineages of cells that compose tumors using single cell chromatin accessibility data. Single cell Assay for Transposase-Accessible Chromatin (ATAC) and RNA sequencing was done on biopsies collected from 16 patients, including 13 patients with HCC and 3 patients with iCCA tumors enrolled for interventional studies at the NIH Clinical Center. ATAC and RNA sequencing libraries were made using the 10X Genomics Chromium platform. Downstream analysis includes graph-based clustering, UMAP embedding, and cell type label transfer using Seurat v3.0. Transcription factor (TF) activity estimation was done using ChromVAR. In total, we collected high quality chromatin accessibility data from 18,609 cells and gene expression data from 32,127 cells. Using the gene expression data, we transferred malignant and non-malignant cell type labels to our chromatin accessibility data. Clustering based on the most variably accessible chromatin peaks successfully separated cells by cell type identity. Strikingly, further clustering of malignant cells alone using the most variable TF activity scores separated cells into clusters based on tumor type, suggesting variation in TF activity was driven by differences between HCC and iCCA tumors. Comparing TF activity between HCC and iCCA, we discovered 31 significant differentially activated TFs between the 2 lineages (FDR<0.1). Gene set enrichment analysis revealed these 31 TFs fell into distinct families that regulate cell proliferation and differentiation. To further explore the role of these TFs in PLC, we utilized bulk transcriptome data collected from the TIGER-LC cohort, including samples from 62 HCC and 91 iCCA patients. Hierarchical clustering of the TIGER-LC cohort based on expression of the identified 31 TFs separated patients into 2 main clusters, 1 dominantly HCC and 1 dominantly iCCA. Several TFs strongly enriched in either HCC or iCCA showed mutual exclusivity in expression. To investigate the interplay between the microenvironment and activation of lineage associated TFs, we characterized the non-malignant cells for which we collected single cell chromatin accessibility data. Our data suggests proportions of certain T-cell and myeloid cell subtypes may be different between HCC and iCCA. We are further exploring transcriptional regulatory circuity of paracrine signaling between the surrounding microenvironment and malignant cells in the role of PLC lineage commitment. In conclusion, we hypothesize that activation of these TFs with interplay of the microenvironment may drive and sustain lineage commitment between HCC and iCCA tumors. Citation Format: Amanda J Craig, Lichun Ma, Sophia Heinrich, Michael Kelly, Tim Greten, Xin Wei Wang. Identifying regulatory transcription factors in primary liver cancer cell lineage commitment using single cell ATAC sequencing [abstract]. In: Proceedings of the AACR Special Conference: Advances in the Pathogenesis and Molecular Therapies of Liver Cancer; 2022 May 5-8; Boston, MA. Philadelphia (PA): AACR; Clin Cancer Res 2022;28(17_Suppl):Abstract nr PR06.

Factors influencing primary care organization commitment to technical assistance for pharmacist clinical services integration

BackgroundWhile technical assistance (TA) has been utilized by primary care organizations (PCOs) for electronic health record installation and medical home recognition, little is known about PCOs’ use of TA to optimize pharmacist clinical services and integration in team-based care or population health programs. In 2019, the Connecticut Office of Health Strategy’s State Innovation Model Program funded a no-cost TA initiative for 9 PCOs to initiate and/or advance pharmacist clinical services. ObjectiveTo assess organizational, operational, and pharmacist factors that influenced PCO commitment to the TA program. MethodsDuring the TA program, data were collected from multiple sources including PCO demographic data; discussions and meetings with PCO medical, pharmacy, and administrative leaders; on-site workflow observations; and pharmacist coaching sessions.Configurational comparative methods were applied using the data collected during the TA program. Candidate factors were identified and calibrated on the basis of the researchers’ knowledge of the TA program, organizational readiness for change models, implementation science frameworks, and published literature. Each candidate factor was iteratively assessed until 13 factors were selected and calibrated by independently assigning each factor a dichotomous value across PCOs. Calibration differences between the researchers were discussed until consensus was reached. Solutions were modeled using the Coincidence Analysis (cna) package in R and RStudio (RStudio, PBC). ResultsOf the 9 PCOs, 4 committed to participating in the TA program. Only 1 factor, the presence of a hired pharmacist, consistently distinguished PCOs that committed from those that did not, with 100% coverage and 80% consistency. ConclusionPCO commitment to participate in the TA program was best explained by the factor of already having hired a pharmacist. These results can inform future efforts to engage PCOs in TA, primary care policy initiatives, and future research to understand factors influencing PCO success with pharmacist clinical services integration.

Redirecting Care: Compassionate Management of the Sick or Preterm Neonate at the End of Life.

The primary moral commitment of medical care has traditionally been based on a belief in the intrinsic value and significance of human life and a desire to protect the most vulnerable from harm. In this respect, the care of newborn infants who are at the border of viability is no different. Despite the intrinsic value of the life of every newborn, all agree that there is no moral duty of doctors to provide every possible treatment where the prognosis is hopeless. Instead, every action and treatment should be orientated towards the best interests of the individual child and towards the minimisation of serious harm. Decisions about the withholding or withdrawal of life-supportive treatment should be made collaboratively between professionals and parents, with discussion starting prior to delivery wherever possible. The goals of neonatal palliative care are to prevent or minimise pain and distressing symptoms and to maximise the opportunity for private, loving interaction between the dying baby and his or her parents and the wider family. Physical contact, gentle stroking, cuddles and tender loving care are of central importance for the dying baby. At the same time, we must provide psychological support for parents and family as they go through the profound and painful life experience of accompanying their baby to death. To enable a baby to die well, pain-free and in the arms of loving parents and carers is not a failure but a triumph of neonatal care.

Nephrologists’ Perspectives on Gender Disparities in CKD and Dialysis

IntroductionGlobally, there are more women with chronic kidney disease (CKD), yet they comprise only 40% of patients receiving kidney replacement therapy by dialysis. We aimed to describe the perspectives of nephrologists on gender disparities in access to care and outcomes in CKD and dialysis.MethodsWe conducted semistructured interviews with 51 nephrologists (28, 55% women) from 22 countries from October 2019 to April 2020. Transcripts were analyzed thematically.ResultsWe identified 6 themes. Related to women were primary commitment to caregiving (with subthemes of coordinating care, taking charge of health management, deprioritizing own health, centrality of family in decision-making); vigilance and self-reliance (diligence and conscientiousness, stoicism and tolerating symptoms, avoiding burden on family, isolation and coping alone); and stereotyping, stigma, and judgment (body image, dismissed as anxiety, shame and embarrassment, weakness and frailty). Related to men was protecting masculinity (safeguarding the provider role, clinging to control, self-regard, and entitled). Decisional power and ownership included men’s dominance in decision-making and women’s analytical approach in treatment decisions. Inequities compounded by social disadvantage (financial and transport barriers, without social security, limited literacy, entrenched discrimination, vulnerability) were barriers to care for women, particularly in socioeconomically disadvantaged communities.ConclusionNephrologists perceived that women with CKD faced many challenges in accessing care related to social norms and roles of caregiving responsibilities, disempowerment, lack of support, stereotyping by clinicians, and entrenched social and economic disadvantage. Addressing power differences, challenging systemic patriarchy, and managing unconscious bias may help to improve equitable care and outcomes for all people with CKD.

“Ain’t the American Dream Grand”: Satirical Play in Rockstar’s Grand Theft Auto V

Rockstar Games is a video game publisher famous for its immersive and highly detailed action-adventure titles set in America, thanks to its two main franchises, Red Dead Redemption and Grand Theft Auto. This article explores how Rockstar employs the location and game play elements of Grand Theft Auto V (2013), a title that has now generated over $6 billion in worldwide sales, to critique elements of American culture, politics, and lifestyle. Presented by Rockstar co-founder Dan Houser as “the endpoint of the American dream,” Grand Theft Auto V provides a crime-laden journey through a simulated Southern California landscape (“San Andreas”). The game is awash with social and political commentary. Of interest here is how, through specific game mechanics such as “satirical play,” the title targets the concept of “the American Dream,” and exposes themes of excess consumption, fake-ness, and social decay in the Californian and broader American experience. Exposition of these themes is, however, compromised by Rockstar’s primary commitment to deliver a mainstream gameplay experience, resulting in mixed messages and moments of ludonarrative dissonance.

Analysis of the relationship between patient’s satisfaction with the quality of nursing Service and Service in nursing care

Caring is essential for a nurse, by which a nurse is able to provide comprehensive nursing care. The purpose of this study is to analyse the relationship between the quality of nursing service and service in caring in nursing towards patients’ satisfaction at X hospital. It’s an Analytical category study with quantitative analytical category using cross sectional design. Sample taken in this study consisted of 66 hospitalized patients, which was divided into a group of patients treated with the implemantion of caring in nursing by the nurses who hadn’t received training program and a group treated by the nurses who had received training program. Result indicates there is a correlation between the quality of nursing service and patients’satisfaction. It is essential that nursing’s primary commitment be maintained in order to promote the quality of nursing service and nurses’ awarness of prioritizing caring in nursing during their nursing service.

Big Data and Its Applications

The term, Big Data, has been authored to refer to the extensive heave of data that can’t be managed by traditional data handling methods or techniques. The field of Big Data plays an indispensable role in various fields, such as agriculture, banking, data mining, education, chemistry, finance, cloud computing, marketing, health care stocks. Big data analytics is the method for looking at big data to reveal hidden patterns, incomprehensible relationship and other important data that can be utilize to resolve on enhanced decisions. There has been a perpetually expanding interest for big data because of its fast development and since it covers different areas of applications. Apache Hadoop open source technology created in Java and keeps running on Linux working framework was used. The primary commitment of this exploration is to display an effective and free solution for big data application in a distributed environment, with its advantages and indicating its easy use. Later on, there emerge to be a required for an analytical review of new developments in the big data technology. Healthcare is one of the best concerns of the world. Big data in healthcare imply to electronic health data sets that are identified with patient healthcare and prosperity. Data in the healthcare area is developing past managing limit of the healthcare associations and is relied upon to increment fundamentally in the coming years.