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A phenomenological exploration of registered nurse degree apprentices' lived experiences
No full textThis qualitative study examines the mental health and wellbeing of registered nurse degree apprenticeship (RNDA) students across their 3-year programme. Using interpretative phenomenological analysis on interviews with three RNDA students, the study identifies distinct stressors, coping strategies and support structures affecting mental health. Findings reveal unique pressures from balancing academic and clinical roles, with themes including exhaustion from academic demands, programme design challenges, support network limitations, and role ambiguity. Recommendations for enhanced support systems and policy adjustments are offered to improve RNDA students’ mental health and educational experiences
Sustainable Management of Mediterranean Superyacht Marinas: A Comparative Assessment of Environmental Practices and Policy Implications
No full textThe Mediterranean superyacht industry significantly contributes to the region’s economy, but its rapid growth has raised serious environmental concerns. This study compares the emissions, waste management, and biodiversity protection of two marinas located in Sicily, Italy, and the Balearic Islands, Spain. A survey assessing the carbon footprint and water quality was distributed to the management of the marinas. The collected data were analysed and translated into tonnes of CO2 equivalent using emission factors. By calculating the carbon and water footprints of the two marinas, this study
aimed to understand the environmental impact of port-related operations. The JMarinas Environmental Decision Support System and a P-Mapping/Pareto approach were used to identify pollutant sources, following Pareto’s principle. The findings indicated that the primary operations of the marina sector are the main sources of pollution, with significant contributions from supporting activities. This study clarifies the origins of CO2 and pollution in marina operations, enabling the authors to recommend the close supervision of all recreational boating activities to reduce CO2 emissions and environmental degradation. By adopting these recommendations, policymakers, marina operators, and yacht owners can ensure the long-term sustainability of Mediterranean marinas
Enhancing support for survivors of sexual violence and abuse provided within integrated sexual health services
No full textInclusivity in Practice Education: The Views and Experiences of Nurse Educators Supporting Nursing Students With Mental Health Needs in Mental Health Clinical Placements
No full textAim: This study aimed to explore the perspectives and experiences of Nursing Practice Supervisors and Assessors, referred to as Nurse Educators, regarding their support for students with mental health needs during mental health clinical placements. Design: A qualitative survey design was employed to delve into Nurse Educators' views and experiences at two Mental Health Trusts in the Southeast of England, UK. Methods: Data were collected using Google Forms to create an anonymous online questionnaire. Thirty‐five Nurse Educators, comprising Practice Supervisors and Practice Assessors from two National Health Trusts, providing placements for two universities in the Southeast of England, responded to the survey. Thematic analysis was conducted to interpret the responses. Results: Factors which facilitated and inhibited Nurse Educators efforts to supporting students' mental health needs during placements were identified. They encompassed personal, professional, and procedural issues which were intricately intertwined to support students with mental health needs. While most Nurse Educators expressed a willingness to support students with mental health needs, challenges regarding the reasonableness of adjustments and their impact on Nurse Educators' practice were widely reported. Recommendations include a review of learning arrangements, guidelines, and policies for students with mental health needs in clinical placements, as well as tailored training of students' inclusive needs for Nurse Educators. No patient or public contribution
A colonic polyps detection algorithm based on an improved YOLOv5s
No full textColon cancer is a prevalent malignancy, substantially it prevented most effectively from killing patients through early endoscopic detection. With the rapid development of artificial intelligence technology, the early diagnosis rate of colonic polyps achieves greater clinical efficacy for colon cancer by applying target detection algorithms to colonoscopy images. This paper presents two outcomes achieved through the application of the improved YOLOv5s algorithm with annotated microscopy images of clinical cases and publicly available polyp image data: (1) enhancement of the C3(Cross Stage Partial Networks) module with multiple layers to C3SE(Cross Stage Partial Networks with Squeeze-and-Excitation) via the attention mechanism SE (squeeze-and-excitation) and (2) fusion of higher-level features utilizing BiFPN (the weighted bi-directional feature pyramid network). Experimental comparisons are performed based on a new image dataset of colonic polyps among more than 6 target detection algorithms to validate the better detection capability. The tests indicate that the YOLOv5s + BiFPN and YOLOv5s-1st-2nd-C3SE models exhibit enhancements of detection capability compared to the YOLOv5 algorithm according to the main indicators of the mAP, accuracy, and recall. The YOLOv5s + SEBiFPN model demonstrate a substantial improvement over the YOLOv5s algorithm, and establishing a benchmark technology for advancing computer-assisted diagnostic systems is feasible
What are the Barriers Experienced by Community Nurses in the Delivery of Pharmacological and Complementary Therapies in Adult Cancer Pain Management for End of Life Patients
No full textA self-adaptive discrete artificial bee colony algorithm based on block swap for steelmaking and continuous casting scheduling problem
No full textService agreements, claim descriptions and services to the disabled
No full textÚtdráttur - Þjónusta við fatlað fólk er lögbundið verkefni sveitarfélaganna á Íslandi. Verkefnið, sem áður var hjá ríkinu, er stórt og viðamikið. Í nýlegum lögum um þjónustu við fatlað fólk með langvarandi stuðningsþarfir nr. 38/2018 er heimild til staðar fyrir sveitarfélög að framselja þessa þjónustu í hendur einkaaðila, sjálfseignarstofnana eða félagasamtaka með gerð þjónustusamninga. Sveitarfélög skulu ganga úr skugga um, að í slíkum tilfellum þá verði réttarstaða notenda ekki lakari en annars hefði verið. Er þetta nánar útfært í reglugerð um eftirlit og eftirfylgni vegna þjónustu við fatlað fólk með langvarandi stuðningsþarfir nr.1036/2018 þar sem kveðið er á um gerð kröfulýsinga samhliða þjónustusamningum.
Í starfi sínu hafði höfundur rekist á ósamræmi í starfsumhverfi ólíkra þjónustuaðila sem störfuðu á grundvelli slíkra þjónustusamninga sem vakti upp spurningar um ástæður þessa ósamræmis og hvaða áhrif það hefði á rekstrarumhverfi þeirra og samkeppnisstöðu sem og stöðu notenda þeirra.
Hér verður farið yfir lagarammann sem heldur utan um þjónustu við fatlað fólk, samningana og kröfulýsingar sem gerðir eru við þjónustuaðila, matskvarði á þjónustuþörf fatlaðs fólks reifaður og staða kjarasamninga ólíkra þjónustuaðila sem starfa á grundvelli þjónustusamninga borin saman.
Byggir rannsóknin sem er eigindleg rannsókn á skoðun á lögum, samningum og lýsingum sem eiga við þjónustuna. Tekin voru viðtöl við fjóra einstaklinga sem allir hafa tengingu við málaflokk fatlaðra með mismunandi hætti.
Í lokin er rannsóknin dregin saman og niðurstaða kynnt. Það er von höfundar að niðurstöðurnar verði hagsmunaaðilum til góðs og hægt verði að nýta efnið til þess að betrumbæta og samræma rekstrarumhverfi þeirra sem starfa á grundvelli þjónustusamninga og þannig tryggja öruggari þjónustu fyrir notendur og jafnari rétt til handa starfsfólkinu sem starfar á þessum vettvangi.Abstract - Services for people with disabilities is a statutory task of the municipalities in Iceland. The project, which used to be with the state, is large and extensive. In the recent Act on services for disabled people with long-term support needs no. 38/2018, there is authorization for local authorities to delegate this service to private parties, non-profit organizations or associations in the form of service contracts. Local authorities must make sure that in such cases the legal position of the users will not be worse than it would have been otherwise. This is elaborated in more detail in the regulation on monitoring and follow-up for disabled people with long-term support needs no. 1036/2018, which stipulates the drawing up of claims alongside service contracts.
At her work, the author had come across inconsistencies in the working environment of different service providers operating based on such service contracts, which raised questions about the reason for this inconsistencies and what effect it would have on their operating environment and competitive position as well as the position of their service users.
Here, we will review the legal framework that manages services for disabled people, the agreements and specifications made with service providers, the assessment scale for the service needs of disabled people and the status of the collective agreement of different service providers who work based on service agreements compared.
The research is based on the examination of laws, contracts, and descriptions applicable to the services of people with disabilities. Interviews were also conducted with diverse parties from the sector all of whom have something to do with the service to people with disabilities in one way or the other and their opinions and views on the issues at hand revealed and discussed.
At the end, the study is summarized, and a conclusion is presented. It is the hope of the author that the results will benefit stakeholders and that the material can be used to refine and harmonize their operating environment, which is working on the basis of service contracts and to ensure safe service for the service users and equal rights for the staff working in this field
Beiting brostinna forsendna vegna hindrana er leiða af Covid-19
No full textÍ ritgerðinni er sjónum beint að skilyrðum reglunnar um brostnar forsendur með hliðsjón af þeim efnahagslegu áhrifum sem ákvarðanir íslenskra stjórnvalda vegna Covid-19 höfðu á samningssambönd. Í 2. kafla er fjallað um helstu meginreglur samningaréttar, einkum regluna um skuldbindingargildi samninga. Í 3. kafla er fjallað um regluna um brostnar forsendur og skilyrði fyrir beitingu hennar. Þar verða teknir til skoðunar dómar um brostnar forsendur. Þá er í 4. kafla ítarlega fjallað um ólögfestu regluna um force majure og hún borin saman við regluna um brostnar forsendur. Í 5. kafla er fjallað um aðgerðir stjórnvalda vegna Covid-19, áhrif þeirra og dómaframkvæmd þar sem reyndi á beitingu brostinna forsendna vegna áhrifa heimsfaraldursins. Sérstaklega verður fjallað um áhrif aðgerða stjórnvalda á skuldbindingargildi samninga með áherslu á tvo dóma Hæstaréttar, annars vegar Hrd. 19. febrúar 2024 (33/2023), og hins vegar Hrd. 19. febrúar 2024 (29/2023). Dómarnir varða áhrif Covid-19 á skuldbindingargildi leigusamninga og niðurstaðan í þeim er að miklu leyti samhljóma þar sem málin snertu sambærileg lagaleg álitaefni. Að lokum er í 6. kafla komist að niðurstöðu um réttaráhrif forsendubrests samninga vegna Covid-19, þ.e. hvort dómstólar hafi talið að heimsfaraldurinn réttlæti ógildingu samninga á grundvelli brostinna forsendna