238455 research outputs found
Sort by
Leadership Competencies and Attributes of Advanced Practice Nurses in Hospital Management: A Scoping Review Protocol
No full textThis research project aims to systematically examine and synthesize the existing body of knowledge on leadership competencies and attributes of Advanced Practice Nurses (APNs) within hospital management contexts through a scoping review methodology. Nursing leadership has been consistently identified as a central determinant of healthcare quality, patient safety, team performance, and organizational effectiveness. In increasingly complex hospital environments—characterized by high clinical acuity, interprofessional collaboration, and resource constraints—the leadership role of nurses with advanced clinical and decision-making responsibilities has become particularly strategic.
Advanced Practice Nurses are internationally recognized as professionals with graduate-level education, advanced clinical expertise, and expanded autonomy, often combining direct patient care with responsibilities related to service coordination, quality improvement, and organizational leadership. Despite the global expansion of advanced nursing roles, there remains substantial conceptual dispersion in the literature regarding which leadership competencies and personal attributes are most relevant for APNs operating in hospital management and administrative settings. Existing studies and reviews frequently address leadership in nursing in broad terms or focus on clinical outcomes of advanced practice roles, without offering an integrated and context-specific synthesis of leadership competencies applicable to hospital management.
The primary purpose of this project is to map, describe, and organize leadership competencies and attributes attributed to APNs working in hospital management. Specifically, the study seeks to identify technical–managerial, relational, ethical, and communication-related competencies; to explore how these competencies are conceptualized and operationalized across different healthcare systems; and to examine the methods and instruments used to assess leadership in advanced nursing practice. Additionally, the review will identify reported barriers and facilitators influencing leadership practice among APNs in hospital settings.
Methodologically, the project adopts a scoping review design following the frameworks proposed by Arksey and O’Malley and the Joanna Briggs Institute, with reporting guided by the PRISMA-ScR checklist. A comprehensive search strategy will be applied to major international databases and grey literature sources, with no time restrictions and inclusion of studies published in English, Portuguese, and Spanish. The use of a scoping review approach is particularly appropriate given the heterogeneity of study designs, theoretical models, and professional contexts addressed in the literature.
The expected outcomes of this project include: (1) a comprehensive mapping of leadership competencies and attributes associated with APNs in hospital management; (2) a descriptive synthesis of theoretical models, assessment approaches, and contextual factors related to leadership practice; and (3) the development of an integrative conceptual framework that organizes leadership competencies into coherent domains relevant to complex hospital environments. This framework is expected to support advanced nursing education, inform organizational leadership development strategies, and contribute to policy discussions on the regulation and implementation of advanced practice nursing roles, particularly in contexts where such roles are still emerging.
By consolidating fragmented evidence and highlighting knowledge gaps, this research will contribute to strengthening the scientific basis for leadership development in advanced nursing practice and provide a reference point for future empirical studies, curriculum design, and health system planning
Interventions for the Prevention of Child Sexual Abuse in the School Context and Their Contributions: Scope Review Protocol
No full textThis review aims to map the scientific evidence regarding interventions used in schools for the prevention of sexual violence against children, and their contributions
Microbiological and biological effects of titanium printed surfaces: a systematic review correlated with surface treatments
No full textAdvances in additively manufactured bone implants present limitations that challenge their clinical success. Among these, the presence of partially fused metallic particles stands out, as they can affect the physicochemical, mechanical, and biological properties of the biomaterial. The literature suggests that these particles can cause stress concentration with consequent biomechanical failures and even promote microbial adhesion, peri-implant inflammation, and thus delay osseointegration. Therefore, surface treatments are proposed to optimize printed surfaces. However, there is still no consensus on the real need for their application, since these surfaces were developed to biomimic bone tissue
Clinical supervision of psychologists in primary care: a scoping review protocol
No full textAbstract
Introduction
The prevalence of long-term conditions (LTCs) and mental health disorders in England is increasing, placing significant strain on primary care services. General practitioners (GPs) face escalating workloads and often lack specialist training in behaviour change interventions, despite evidence of their effectiveness. The integration of practitioner psychologists into primary care services has been recommended as way to address these challenges, however, this recommendation has yet to be implemented across the UK. Clinical supervision is central to safe and effective psychological practice, however, existing UK supervision guidelines do not specifically address supervision within primary care contexts. Currently, there has been no review on the topic of clinical supervision of psychological professionals within UK primary care settings.
Objective
This scoping review aims to map the extent, range and nature of literature on clinical supervision of psychology professionals integrated within primary care, identify gaps and inform future guidelines.
Methods and analysis
The review will follow Arksey and O’Malley’s framework and Joanna Briggs Institute recommendations. English-language sources published from 1998 onwards will be searched across multiple databases (e.g., CINAHL, MEDLINE, PsycINFO, Web of Science) and grey literature. Screening and data extraction will be conducted independently by two reviewers using Covidence, with results synthesised narratively. Reporting will adhere to the PRISMA-ScR checklist.
Ethics and dissemination
Ethics approval is not required for this scoping review.
Dissemination of the findings will include a peer-reviewed publication and presentation at conference events.
Key words
Clinical supervision, integration, primary care, psychology professional
When anger enhances memory: Neural mechanisms of social rejection
No full textThis study investigated the neurocognitive processes through which perceived social rejection influences associative memory performance via anger across adulthood. Behavioral assessments in 274 adults (aged 18–89) and neuroimaging data (structural and resting-state fMRI) from a subsample (N = 189) supported a sequential pathway in which anger mediates the effect of perceived rejection and enhanced associative memory. Structural analyses revealed that gray matter volumes of the left inferior parietal gyrus (angular gyrus), precuneus, and superior temporal regions were associated with sensitivity to social evaluation and perceived rejection, consistent with an antecedent role of structural features in shaping emotional responses. Functional connectivity analyses demonstrated that coupling between emotion-related regions (e.g., amygdala, precuneus) and memory-related regions (e.g., parahippocampal cortex, cingulate cortex) mediates the link between anger and memory, indicating that the cognitive benefit arises through anger-driven neural reorganization. Together, these findings provide mechanistic evidence that negative social experiences can facilitate adaptive cognitive engagement when appraised through anger, highlighting a multilevel pathway from social perception to emotional response and neural network dynamics that support associative memory
Why Templar Treasure Is Not at Oak Island: A Logistical, Historical, and Operational Analysis Jerry Harrah Independent Researcher
No full textThis paper evaluates the long-standing claim that Oak Island conceals treasure deposited by
the Knights Templar. By examining historical timelines, operational doctrine, maritime
logistics, and risk management practices, the paper demonstrates that Oak Island does not
align with how the Templars—or any competent organization—would have selected,
constructed, or utilized a treasure repository. The evidence instead supports Oak Island as a
functional industrial and logistical site rather than a symbolic or vault-based cache
Pemodelan dan Analisis Hubungan kuantitatif struktur dan aktivitas (QSAR/HKSA) dan Desain Senyawa Baru
No full textmateri ini membahas Pemodelan dan Analisis Hubungan kuantitatif struktur dan aktivitas (QSAR/HKSA) dan Desain Senyawa Bar
"Testing Standards for AI-based Scores"
No full textThis repository contains the Jupyter Notebook for the empirical example in the paper "Testing Standards for AI-based Scores in Automated Essay Scoring"