Older people maintaining mental health well-being through resilience : an appreciative inquiry study in four countries

Aim. To explore the experience and strategies of mental health well-being through resilience in older people across the four participating countries. Background. While there is increasing evidence of the way older people maintain physical well-being, there has not been the same emphasis when examining the ways in which older people enhance their resilience and so promote mental health well-being. Design. An Appreciative Inquiry approach was used. Method. A convenience sample of 58 people over the age of 65 years from Australia, UK, Germany, and South Africa were interviewed. Data were analysed using thematic analysis. Results. Participants described their experiences of mental health well-being in relation to: social isolation and loneliness; social worth; self-determination; and security. Strategies utilised include promoting resilience by maintaining community connections and relationships, keeping active, and emotional, practical and spiritual coping. Conclusion. The findings highlight the importance of maintaining mental health well-being through resilience. Although there were some variations between countries, these strategies for maintaining well-being transcended culture and nation. Relevance to clinical practice. Listening to older people through research such as the current study will help to determine what help is needed and how healthcare and policy makers can assist

General theory for integer-type algorithm for higher order differential equations

Based on functional analysis, we propose an algorithm for finite-norm solutions of higher-order linear Fuchsian-type ordinary differential equations (ODEs) P(x,d/dx)f(x)=0 with P(x,d/dx):=[\sum_m p_m (x) (d/dx)^m] by using only the four arithmetical operations on integers. This algorithm is based on a band-diagonal matrix representation of the differential operator P(x,d/dx), though it is quite different from the usual Galerkin methods. This representation is made for the respective CONSs of the input Hilbert space H and the output Hilbert space H' of P(x,d/dx). This band-diagonal matrix enables the construction of a recursive algorithm for solving the ODE. However, a solution of the simultaneous linear equations represented by this matrix does not necessarily correspond to the true solution of ODE. We show that when this solution is an l^2 sequence, it corresponds to the true solution of ODE. We invent a method based on an integer-type algorithm for extracting only l^2 components. Further, the concrete choice of Hilbert spaces H and H' is also given for our algorithm when p_m is a polynomial or a rational function with rational coefficients. We check how our algorithm works based on several numerical demonstrations related to special functions, where the results show that the accuracy of our method is extremely high.Comment: Errors concerning numbering of figures are fixe

Occupational balance: What tips the scales for new students?

The open question, ‘What prevents you from reaching occupational balance?’, was posed within a questionnaire aimed at exploring the meanings of occupation, health and wellbeing with a cohort of first-year occupational therapy students during their initial few weeks at university. Their written responses to the question about occupational balance were analysed and are discussed in this paper. Not surprisingly, occupational balance appeared to be achieved by only a few and more by chance than design. People, time and money factors were identified as the main impediments to achieving occupational balance, with psychological and emotional pressures being at the forefront. Interestingly, despite these barriers, the overall educational benefit of considering the occupational balance question in this way raised the students’ awareness of its relationship to health and wellbeing. This increased awareness might have longer-term health benefits, both personally and professionally, which would be worthy of further research

Effects of spiritual care training for palliative care professionals

Little is known about the effects of spiritual care training for professionals in palliative medicine. We therefore investigated prospectively the effects of such training over a six-month period. All 63 participants of the three and a half-day training were asked to fill out three questionnaires: before and after the training, as well as six months later. The questionnaires included demographic data, numeric rating scales about general attitudes towards the work in palliative care, the Self-Transcendence Scale (STS), the spiritual subscale of the Functional Assessment of Chronic Illness Therapy (FACIT-Sp) and the Idler Index of Religiosity (IIR). Forty-eight participants (76) completed all three questionnaires (91 women, median age 49 years; 51 nurses, 16 hospice volunteers, 14 physicians).Significant and sustained improvements were found in self-perceived compassion for the dying (after the training: P =0.002; 6 months later: P=0.025), compassion for oneself (P < 0.001; P =0.013), attitude towards one's family (P =0.001; P =0.031), satisfaction with work (P < 0.001; P =0.039), reduction in work-related stress (P < 0.001; P =0.033), and attitude towards colleagues (P =0.039; P =0.040), as well as in the FACIT-Sp (P < 0.001; P =0.040). Our results suggest that the spiritual care training had a positive influence on the spiritual well-being and the attitudes of the participating palliative care professionals which was preserved over a six-month period

Changes in undergraduate student alcohol consumption as they progress through university

BACKGROUND: Unhealthy alcohol use amongst university students is a major public health concern. Although previous studies suggest a raised level of consumption amongst the UK student population there is little consistent information available about the pattern of alcohol consumption as they progress through university. The aim of the current research was to describe drinking patterns of UK full-time undergraduate students as they progress through their degree course. METHOD: Data were collected over three years from 5895 undergraduate students who began their studies in either 2000 or 2001. Longitudinal data (i.e. Years 1–3) were available from 225 students. The remaining 5670 students all responded to at least one of the three surveys (Year 1 n = 2843; Year 2 n = 2219; Year 3 n = 1805). Results: Students reported consuming significantly more units of alcohol per week at Year 1 than at Years 2 or 3 of their degree. Male students reported a higher consumption of units of alcohol than their female peers. When alcohol intake was classified using the Royal College of Physicians guidelines [1] there was no difference between male and females students in terms of the percentage exceeding recommended limits. Compared to those who were low level consumers students who reported drinking above low levels at Year 1 had at least 10 times the odds of continuing to consume above low levels at year 3. Students who reported higher levels of drinking were more likely to report that alcohol had a negative impact on their studies, finances and physical health. Consistent with the reduction in units over time students reported lower levels of negative impact during Year 3 when compared to Year 1. CONCLUSION: The current findings suggest that student alcohol consumption declines over their undergraduate studies; however weekly levels of consumption at Year 3 remain high for a substantial number of students. The persistence of high levels of consumption in a large population of students suggests the need for effective preventative and treatment interventions for all year groups

The poverty of journal publishing

The article opens with a critical analysis of the dominant business model of for-profit, academic publishing, arguing that the extraordinarily high profits of the big publishers are dependent upon a double appropriation that exploits both academic labour and universities’ financial resources. Against this model, we outline four possible responses: the further development of open access repositories, a fair trade model of publishing regulation, a renaissance of the university presses, and, finally, a move away from private, for-profit publishing companies toward autonomous journal publishing by editorial boards and academic associations. </jats:p

Quantum Spin Dynamics (QSD) II

We continue here the analysis of the previous paper of the Wheeler-DeWitt constraint operator for four-dimensional, Lorentzian, non-perturbative, canonical vacuum quantum gravity in the continuum. In this paper we derive the complete kernel, as well as a physical inner product on it, for a non-symmetric version of the Wheeler-DeWitt operator. We then define a symmetric version of the Wheeler-DeWitt operator. For the Euclidean Wheeler-DeWitt operator as well as for the generator of the Wick transform from the Euclidean to the Lorentzian regime we prove existence of self-adjoint extensions and based on these we present a method of proof of self-adjoint extensions for the Lorentzian operator. Finally we comment on the status of the Wick rotation transform in the light of the present results.Comment: 27 pages, Latex, preceded by a companion paper before this on

Quantum States of Topologically Massive Electrodynamics and Gravity

The free quantum states of topologically massive electrodynamics and gravity in 2+1 dimensions, are explicitly found. It is shown that in both theories the states are described by infrared-regular polarization tensors containing a regularization phase which depends on the spin. This is done by explicitly realizing the quantum algebra on a functional Hilbert space and by finding the Wightman function to define the scalar product on such a Hilbert space. The physical properties of the states are analyzed defining creation and annihilation operators. For both theories, a canonical and covariant quantization procedure is developed. The higher order derivatives in the gravitational lagrangian are treated by means of a preliminary Dirac procedure. The closure of the Poincar\'e algebra is guaranteed by the infrared-finiteness of the states which is related to the spin of the excitations through the regularization phase. Such a phase may have interesting physical consequences.Comment: 21 page, latex, no figure

Current nursing practice: challenges and successes

The changing healthcare environment is placing greater demands on all healthcare service sectors, including nursing practice. Nurses are professionally engaged in caring for human beings and to pursue nursing as their profession actively (Merriam Webster Dictionary 2011). However, every year, changes in the healthcare environment accelerate, opportunities become harder to predict, competitors emerge at an ever-increasing pace and partnering with internal and external customers becomes essential for success. It is thus inevitable that the pace of changes in nursing practice will continue to increase, and the level of complexity and interdependence in practice will continue to grow (Boss & Sims 2008, Politis 2006). These new practices and the things nurses will focus on will become their reality, and the actions they will perform will create their reality (Hall & Hammond, Reed 2007).Web of Scienc