Using a theory of planned behaviour framework to explore hand hygiene beliefs at the '5 critical moments' among Australian hospital-based nurses 59

© 2015 White et al. Background: Improving hand hygiene among health care workers (HCWs) is the single most effective intervention to reduce health care associated infections in hospitals. Understanding the cognitive determinants of hand hygiene decisions for HCWs with the greatest patient contact (nurses) is essential to improve compliance. The aim of this study was to explore hospital-based nurses ' beliefs associated with performing hand hygiene guided by the World Health Organization's (WHO) 5 critical moments. Using the belief-base framework of the Theory of Planned Behaviour, we examined attitudinal, normative, and control beliefs underpinning nurses' decisions to perform hand hygiene according to the recently implemented national guidelines. Methods: Thematic content analysis of qualitative data from focus group discussions with hospital-based registered nurses from 5 wards across 3 hospitals in Queensland, Australia. Results: Important advantages (protection of patient and self), disadvantages (time, hand damage), referents (supportive: patients, colleagues; unsupportive: some doctors), barriers (being too busy, emergency situations), and facilitators (accessibility of sinks/products, training, reminders) were identified. There was some equivocation regarding the relative importance of hand washing following contact with patient surroundings. Conclusions: The belief base of the theory of planned behaviour provided a useful framework to explore systematically the underlying beliefs of nurses ' hand hygiene decisions according to the 5 critical moments, allowing comparisons with previous belief studies. A commitment to improve nurses' hand hygiene practice across the 5 moments should focus on individual strategies to combat distraction from other duties, peer-based initiatives to foster a sense of shared responsibility, and management-driven solutions to tackle staffing and resource issues. Hand hygiene following touching a patient's surroundings continues to be reported as the most neglected opportunity for compliance

European marine omics biodiversity observation network: a strategic outline for the implementation of omics approaches in ocean observation

Marine ecosystems, ranging from coastal seas and wetlands to the open ocean, accommodate a wealth of biological diversity from small microorganisms to large mammals. This biodiversity and its associated ecosystem function occurs across complex spatial and temporal scales and is not yet fully understood. Given the wide range of external pressures on the marine environment, this knowledge is crucial for enabling effective conservation measures and defining the limits of sustainable use. The development and application of omics-based approaches to biodiversity research has helped overcome hurdles, such as allowing the previously hidden community of microbial life to be identified, thereby enabling a holistic view of an entire ecosystem’s biodiversity and functioning. The potential of omics-based approaches for marine ecosystems observation is enormous and their added value to ecosystem monitoring, management, and conservation is widely acknowledged. Despite these encouraging prospects, most omics-based studies are short-termed and typically cover only small spatial scales which therefore fail to include the full spatio-temporal complexity and dynamics of the system. To date, few attempts have been made to establish standardised, coordinated, broad scaled, and long-term omics observation networks. Here we outline the creation of an omics-based marine observation network at the European scale, the European Marine Omics Biodiversity Observation Network (EMO BON). We illustrate how linking multiple existing individual observation efforts increases the observational power in large-scale assessments of status and change in biodiversity in the oceans. Such large-scale observation efforts have the added value of cross-border cooperation, are characterised by shared costs through economies of scale, and produce structured, comparable data. The key components required to compile reference environmental datasets and how these should be linked are major challenges that we address.</jats:p

On the role of discipline-related self-concept in deep and surface approaches to learning among university students

The current research examined the role that students' discipline-related self-concepts may play in their deep and surface approaches to learning, their overall learning outcomes, and continued engagement in the discipline itself. Using a cross-lagged panel design of first-year university psychology students, a causal path was observed in which students' Semester 1 deep approach to learning positively predicted their Semester 2 psychology-student social identification; this relationship was mediated by students' actual Semester 1 learning. Moreover, relatively high levels of Semester 2 psychology-student social identification led to a desire for further engagement in the discipline through an enhanced intent to continue their psychology studies. In contrast, discipline-related self-concept was not observed to act as a precursor to learning approaches. Overall, the current data provide clear evidence not only for the validity of the deep learning approach construct, but for the theoretical claims associating a deep learning approach with an impact on self-concept, and the educational value of encouraging a deep learning approach both for short-term academic performance and for continuing motivation to engage in the discipline. © 2012 Springer Science+Business Media B.V

Ultrasound technology for examining the mechanics of the muscle, tendon, and ligament

Ultrasound imaging provides a means to look inside the body and examine how tissues respond to mechanical stress or muscle contraction. As such, it can provide a valuable tool for understanding how muscle, tendon, and ligament mechanics influence the way we move, or vice versa, in health and disease, or to understand how and why these tissues might get injured due to chronic or acute loading. This chapter explores the basic concepts of ultrasound and how it can be used to examine muscle, tendon, and ligament structure and mechanical function. It introduces different techniques, like conventional B-mode imaging, threedimensional ultrasound, and various forms of elastography that can be used to quantify geometrical and mechanical properties of the muscle, tendon, and ligament. Furthermore, methods to quantify muscle and tendon mechanical function during dynamic human movement are explored, and recommendations provided on which techniques are most suitable for different biomechanical investigations. Finally, some predictions about how new ultrasound imaging technologies might continue to advance our understanding of human motion are proposed and explored

Building Well-Being:Neighbourhood Flourishing and Approaches for Participatory Urban Design Intervention

The characterisation of individual Subjective Well-being (SWB) is increasingly robust, whereas social SWB at neighbourhood-level is not. We propose a preliminary framework for neighbourhood flourishing: strong SWB among neighbourhood residents. Urban design may positively affect neighbourhood flourishing. We demonstrate the utility of the framework in designing neighbourhoods via participatory case studies, using two approaches: Health Impact Assessment (HIA) and Extreme and Participatory Citizen Science (EPaCS). We show promising links between residents’ participation, urban design factors and neighbourhood flourishing outcomes. Our cases reveal resources, problems, and solutions not necessarily uncovered by technical ‘experts’, increasing the likelihood of supporting neighbourhood flourishing. We conclude that EPaCS and HIA have potential for the application of our framework. Neighbourhood flourishing may be a key yardstick by which urban environments and participatory processes should be judged. We recommend that the framework and its application be developed further via collaboration between academics, policy-makers, practitioners and communities