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Nurturing an engaged next generation through onboarding
No full textMulti-generational family business success requires the development of family members who have an active interest in the business, are connected and committed to one another and to the business, are involved in activities related to the family business and are willing to do what is right for the family and the business. As any human resources professional will tell you, a key to having engaged employees is the onboarding process. This is particularly true when the employees are NextGen family members
Challenges in Deprescribing Among Older Adults in Post-Acute Care Transitions to Home
No full textObjectives Medications with a higher risk of harm or that are unlikely to be beneficial are used by nearly all older patients in home health care (HHC). The objective of this study was to understand stakeholders’ perspectives on challenges in deprescribing these medications for post-acute HHC patients. Design Qualitative individual interviews were conducted with stakeholders involved with post-acute deprescribing. Setting and Participant Older HHC patients, HHC nurses, pharmacists, and primary/acute care/post-acute prescribers from 9 US states participated in individual qualitative interviews. Measures Interview questions were focused on the experience, processes, roles, training, workflow, and challenges of deprescribing in hospital-to-home transitions. We used the constant comparison approach to identify and compare findings among patient, prescriber, and pharmacist and HHC nurse stakeholders. Results We interviewed 9 older patients, 11 HHC nurses, 5 primary care physicians (PCP), 3 pharmacists, 1 hospitalist, and 1 post-acute nurse practitioner. Four challenges were described in post-acute deprescribing for HHC patients. First, PCPs\u27 time constraints, the timing of patient encounters after hospital discharge, and the lack of prioritization of deprescribing make it difficult for PCPs to initiate post-acute deprescribing. Second, patients are often confused about their medications, despite the care team\u27s efforts in educating the patients. Third, communication is challenging between HHC nurses, PCPs, specialists, and hospitalists. Fourth, the roles of HHC nurses and pharmacists are limited in care team collaboration and discussion about post-acute deprescribing. Conclusions and Implications Post-acute deprescribing relies on multiple parties in the care team yet it has challenges. Interventions to align the timing of deprescribing and that of post-acute care visits, prioritize deprescribing and allow clinicians more time to complete related tasks, improve medication education for patients, and ensure effective communication in the care team with synchronized electronic health record systems are needed to advance deprescribing during the transition from hospital to home
Ecological Moral Character: A Catholic Model
No full textAn ecological model through which we can imagine Aquinas\u27 vision of moral characterThe images we use to think about moral character are powerful. They inform our understanding of the moral virtues and the ways in which moral character develops. However, this aspect of virtue ethics is rarely discussed.In Ecological Moral Character, Nancy M. Rourke creates an ecological model through which we can form images of moral character. She integrates concepts of ecology with Aquinas\u27 vision and describes the dynamics of a moral character in terms of the processes and functions that take place in an ecosystem. The virtues, the passions, the will, and the intellect, are also described in terms of this model.Ecological Moral Character asks readers to choose deliberately the models we use to imagine moral character and offers this ecological virtue model as a vital framework for a period of environmental crisis.https://fisherpub.sjf.edu/bookshelf/1085/thumbnail.jp
A Course in Research Methods Can Improve Your Sleep
No full textOften students have apprehension about research-based courses. I strive to communicate the value of good sleep habits to my students while teaching research methods and writing. Incorporating sleep education into the course allows students to approach course content in a way that is less intimidating and personally meaningful
Synthesis and crystal structures of bis[1-oxopyridin-2-olato(1−)]bis(pentafluorophenyl)silicon(IV)–tetrahydrofuran–pentane (2/1/1), bis[1-oxopyridin-2-olato(1−)]bis(p-tolyl)silicon(IV), and dimesitylbis[1-oxopyridin-2-olato(1−)]silicon(IV)
No full textThe neutral organosilicon(IV) complex, (C6F5)2Si(OPO)2 (OPO = 1-oxopyridin-2-one, C5H4NO2), was synthesized from (C6F5)2Si(OCH3)2 and 2 equiv. of 1-hydroxypyridin-2-one in tetrahydrofuran (THF). Single crystals grown from the diffusion of n-pentane into a THF solution were identified as a THF hemisolvate and an n-pentane hemisolvate, (C6F5)2Si(OPO)2·0.5THF·0.5C5H12 (1). p-Tolyl2Si(OPO)2 (2) and mesityl2Si(OPO)2 (3) crystallized directly from reaction mixtures of 2 equiv. of Me3Si(OPO) with p-tolyl2SiCl2 and mesityl2SiCl2, respectively, in acetonitrile. The oxygen-bonded carbon and nitrogen atoms of the OPO ligands in 1, 2, and 3 were modeled as disordered indicating co-crystallization of up to three possible diastereomers in each. Solution NMR studies support the presence of exclusively the all-cis isomer in 1 and multiple isomers in 2. Poor solubility of 3 limited its characterization in solution