An Online Educational Program Improves Pediatric Oncology Nurses’ Knowledge, Attitudes, and Spiritual Care Competence

This study evaluated the potential impact of an online spiritual care educational program on pediatric nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. It was hypothesized that the intervention would increase nurses’ positive attitudes toward and knowledge of spiritual care and increase nurses’ level of perceived spiritual care competence. A positive correlation was expected between change in nurses’ perceived attitudes toward and knowledge of spiritual care and change in nurses’ perceived spiritual care competence. A prospective, longitudinal design was employed, and analyses included one-way repeated-measures analysis of variance, linear regression, and partial correlation. Statistically significant differences were found in nurses’ attitudes toward and knowledge of spiritual care and nurses’ perceived spiritual care competence. There was a positive relationship between change scores in nurses’ attitudes toward and knowledge of spiritual care and nurses’ spiritual care competence. Online spiritual care educational programs may exert a lasting impact on nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. Additional studies are required to evaluate the direct effects of educational interventions patient outcomes

Environmental and nursing-staff factors contributing to aggressive and violent behaviour of patients in mental health facilities

Background: Aggressive and violent behaviour of inpatients in mental health facilities disrupts the therapeutic alliance and hampers treatment. Objectives: The aim of the study was to describe patients’ perceptions of the possible environmental and staff factors that might contribute to their aggressive and violent behaviour after admission to a mental health facility; and to propose strategies to prevent and manage such behaviour. Research design: A qualitative, phenomenological study was utilised, in which purposefully sampled inpatients were interviewed over a six-month period. Inpatients were invited to participate if they had been admitted for at least seven days and were in touch with reality. Method: Forty inpatients in two mental health facilities in Cape Town participated in facet-face, semi-structured interviews over a period of six months. Tesch’s descriptive method of open coding formed the framework for the data analysis and presentation of the results. Trustworthiness was ensured in accordance with the principles of credibility, confirm ability, transferability and dependability. Results: Analysis of the data indicates two central categories in the factors contributing to patients’ aggressive and violent behaviour, namely, environmental factors and the attitude and behaviour of staff. Conclusion: From the perspective of the inpatients included in this study, aggressive and violent episodes are common and require intervention. Specific strategies for preventing such behaviour are proposed and it is recommended that these strategies be incorporated into the in-service training Programmes of the staff of mental health facilities. These strategies could prevent, or reduce, aggressive and violent behaviour in in-patient facilities.Department of HE and Training approved lis

A report on the development and implementation of a preceptorship training programme for registered nurses

BACKGROUND: Clinical supervision represents an important aspect in the development of nursing students’ clinical skills. At the School of Nursing (SoN) the clinical supervisors employed by the University of the Western Cape (UWC) have limited contact sessions with students in the clinical setting. However, with the increase in student numbers a need was identified to strengthen the support given to nursing students in the service setting. OBJECTIVE: A preceptorship training programme for nurses was developed in 2009, aimed at improving the clinical teaching expertise of professional nurses. The planning phase, based on a preceptorship model, represents a collaborative undertaking. by the higher education institution and the nursing directorate of the Provincial Government Western Cape. Method: A two-week, eight credit, short course was approved by the university structures and presented by staff members of the school. The teaching and learning strategies included interactive lectures, small group activities and preceptor-student encounters in simulated and real service settings. Some of the course outcomes were: applying the principles of clinical teaching and learning within the context of adult education, understanding the preceptor role and managing Results: To date, fifty-four participants have attended the course. Following an internal review of the pilot programme in 2010, relevant adjustments to the programme were made. CONCLUSION: It is recommended that all the stakeholders be involved in the development and implementation of a contextually relevant preceptorship training programme. It is further recommended that the school embarks on an extensive programme evaluation.Department of HE and Training approved lis

Emissions budgets for shipping in a 2°C and a 4°C global warming scenario, and implications for operational efficiency

To achieve the widely accepted goal of keeping global temperature rise below 2°C above pre-industrial levels, greenhouse gas emissions must reduce drastically over the coming decades. Under this premise, the assumption that the shipping industry realises the same proportionate CO2 emission reductions as all other sectors on average has strong implications. This paper begins by considering an appropriate global CO2 emissions budget associated with a temperature rise of 2°C. Next, a range of future demand scenarios for international transport shipping are presented. Meeting the demand in any of the scenarios, while remaining within the emissions budget, requires stringent increases in overall operational efficiency. Different emissions and efficiency trajectories – with efficiency expressed in terms of the Energy Efficiency Operational Indicator (EEOI) – in line with the 2°C target are analysed. The potential short and long term levers of operational efficiency are explored

Policy implications of meeting the 2C climate target

The inherently global nature of shipping has (certainly in the past half century) dictated the regulation of the shipping sector. Both the IMO and the ICS have affirmed their position that the regulation of shipping must, first and foremost, be the responsibility of agents at the global multilateral level. One interpretation of this is that shipping should be viewed akin to a sovereign nation in its own right. This position has significant implications for the responsibility of the sector as a whole in responding to the challenges posed by climate change. In the first instance, both the IMO and the ICS have established that the shipping industry is committed to its responsibility for reducing its carbon emissions, however it is also asserted that any response must be proportionate to shipping’s share of the total global emissions. Mitigating against dangerous climate change has conventionally been associated with maintaining temperature rise at least under a 2°C threshold, and that framing is also used in this paper. Scenarios of future shipping greenhouse gas (GHG) emissions suggest that under current policy, shipping emissions are expected to rise significantly – by 50 to 250% (IMO 3rd GHG study, 2014). This paper follows from the work of Smith et al (2015) presented in MEPC 68 that explores alternatives to the current expectations of shipping’s CO2. The shipping system model GloTraM is used to generate future scenarios up to 2050 under current policy, an imposed bunker levy, and under a cap and trade emission trading scheme with the cap set to shipping achieving a consistent proporition of the overall 2°C emission budget. The impact of these different scenarios on fuel mix, technology, EEOI and carbon price is then explored

Solution processed amorphous silicon surface passivation layers

Amorphous silicon thin films, fabricated by thermal conversion of neopentasilane, were used to passivate crystalline silicon surfaces. The conversion is investigated using X ray and constant final state yield photoelectron spectroscopy, and minority charge carrier lifetime spectroscopy. Liquid processed amorphous silicon exhibits high Urbach energies from 90 to 120 meV and 200 meV lower optical band gaps than material prepared by plasma enhanced chemical vapor deposition. Applying a hydrogen plasma treatment, a minority charge carrier lifetime of 1.37 ms at an injection level of 1015 cm3 enabling an implied open circuit voltage of 724 mV was achieved, demonstrating excellent silicon surface passivatio

The Use of New Media by Political Parties in the 2008 National Election

The overall purpose of this research project has been to undertake an empirical, exploratory study into how political parties in New Zealand make use of ICTs in and around the 2008 national election campaign, and their implications. The following research questions have been explored: How, in what form, and to what extent did political parties in New Zealand make use of ICTs during the 2008 national election? How can the use, and non-use, of ICTs be understood and explained? What are the implications of the uptake and use of ICTs by New Zealand political parties for their external relationships with voters? What recommendations can be made regarding the use of ICTs by New Zealand political parties for election campaigning

EU data protection reform: Opportunities and concerns

Last year, the European Commission proposed a comprehensive reform of the EU's data protection rules. The proposed regulation has been surrounded by fierce controversy and has been the subject of frenzied lobbying by global corporations, industry groups, research centres and privacy campaigners on both sides of the Atlantic. This Forum applies cool economic reasoning to this heated issue. What are the potential economic benefits of EU harmonisation? Will the proposed regulation negatively impact the competitiveness and innovation of European firms in the global marketplace? Or could it jeopardise attempts to protect privacy as a fundamental right in civil societies