Swiss School of Archaeology in Greece
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The Relationships Between New Ways of Working Practices, Work Engagement, and Social Isolation: P-O Fit as a Double-Edge Sword
No full textThis study examined relationships between new ways of working (NWW) practices, work engagement, and
perceptions of social isolation among Swiss public sector employees. Using data from 2,131 respondents across
five organizations, we tested whether person-organization (P-O) fit mediates these relationships. Results show
NWW practices are not directly linked to work engagement but are mediated by P-O fit. Access to colleagues and
supervisors was the only NWW practice directly linked to higher work engagement. Geographic flexibility and
flexible work schedules increased social isolation perceptions, while access to colleagues/supervisors and adequate
home workspace reduced it. P-O fit is positively associated with both work engagement and social isolation
perceptions, acting as a "double-edged sword." The findings reveal complex effects of NWW practices and suggest
careful implementation to balance outcomes. This study contributes to understanding NWW impacts in hybrid
work environments and has implications for public organizations
A gap analysis of governance and rights in ROAM guidance using the IUCN CEESP Natural Resource Governance Framework
No full textBeyond the Timeline: 1-Year Mortality Trends in Early Versus Late Prosthetic Valve Endocarditis.
No full textAmong 302 episodes of prosthetic valve endocarditis (PVE), 1-year mortality was 31%. There was no evidence indicating that early-onset PVE within 6 months from valve surgery led to a worse outcome compared to late-onset PVE (21% vs 32%, P = .126), despite similar redo valve surgeries across both categories
Early detection of clinical deterioration in a pediatric intermediate care unit: a best practice implementation project
No full textThe Pediatric Intermediate Care Unit (Ped-IMC) provides specialized monitoring and care for children at high risk of clinical deterioration. The Pediatric Early Warning Score (PEWS) assesses key factors, such as vital signs and concerns from parents and nursing staff. The score helps to predict clinical deterioration, trigger a rapid interprofessional response, reduce morbidity and mortality, and enhance staff safety.
This project aimed to promote the prompt identification of clinical deterioration and boost interprofessional response in a Ped-IMC through the implementation of best practices.
This project used the JBI Evidence Implementation Framework. A baseline audit was conducted to measure current practices against best practices. A follow-up audit was conducted 6 months after implementation to measure change. The audits investigated cardiopulmonary events and unplanned transfers to the pediatric intensive care unit (PICU). A staff survey measured sense of safety, and the Assessment of Interprofessional Team Collaboration Scale (AITCS) was used to measure job satisfaction and interprofessional collaboration.
After implementation, no cardiopulmonary events occurred (compared to one before implementation), and unplanned PICU transfers decreased from 17 (5%) to 14 (4%). Half of the medical and nursing staff (n = 30) completed the survey: interprofessional collaboration scores were stable, and job satisfaction increased from 88% to 97%. Health care providers reported feeling more listened to, with scores improving from 84% to 90%, while their sense of safety remained stable. Compliance with audit criteria increased from 0% to 100% for criteria 1 to 4, and from 0% to 24% for criterion 5.
Implementing PEWS was feasible and effective in enhancing patient safety. While results showed promising improvements in safety culture, reduced adverse events, and increased staff satisfaction, continued monitoring and long-term evaluations are necessary to ensure that PEWS remains a reliable tool in clinical practice.
http://links.lww.com/IJEBH/A423.
Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the University of Adelaide, JBI
Naviguer dans le système socio-sanitaire vaudois : une étude qualitative auprès des requérant·e·s d’asile et réfugié·e·s en vue du développement de la plateforme NaviSanté
No full textContexte
Dans un contexte européen marqué par des flux migratoires et des politiques d’asile sous tension, l’intégration des personnes issues de l’asile pose d’importants défis, notamment pour l’accès aux soins et aux aides sociales. Dans le canton de Vaud, la navigation dans le système socio-sanitaire reste complexe. Cette étude qualitative explore les parcours, les besoins et les obstacles de cette population, ainsi que le rôle potentiel d’un outil numérique tel que NaviSanté. Objectif
Cette recherche vise à explorer les parcours des requérant·e·s d’asile et réfugié·e·s dans le système socio-sanitaire vaudois afin d’identifier les obstacles, les défis et les besoins concrets de cette population auxquels la plateforme NaviSanté devrait pouvoir répondre.
Méthode
Seize entretiens semi-structurés ont été réalisés, dont quatorze avec des requérant·e·s d’asile et réfugié·e·s d’origines, genres et statuts différents dans le canton de Vaud, et deux avec des professionnel·le·s travaillant auprès de cette population : un responsable de l’EVAM et une coordinatrice de PAIRES. Tous les entretiens ont été enregistrés, retranscrits et analysés de façon déductive à l’aide du logiciel MAXQDA comme outil d’organisation et de codification. Résultats
L’étude met en évidence plusieurs obstacles à l’accès au système socio-sanitaire vaudois, notamment la complexité administrative, les barrières linguistiques et une méconnaissance des droits chez les requérant·e·s d’asile et réfugié·e·s. Malgré certaines stratégies d’adaptation développées par cette population (Google Translate, recherche de soignant·e·s parlant la même langue), la dépendance aux institutions demeure forte. NaviSanté est perçu comme un outil utile, facilitant l’accès à l’information et l’autonomisation des utilisateur·trice·s.
Conclusion
Les résultats appellent à la nécessité de simplifier les démarches administratives, d’améliorer l’accès aux formations linguistiques ainsi que de renforcer les connaissances des personnes issues de l’asile afin d’optimiser leur autonomie et leur participation à la société suisse. Ils soulignent aussi l’importance d’intensifier la formation des professionnel·le·s du système socio-sanitaire aux spécificités du parcours des soins lié au contexte de l’asile, afin d’ajuster leurs interventions en conséquence. Dans cette perspective, NaviSanté pourrait créer un véritable levier, facilitant l’accès à des informations claires, contextualisées et multilingues sur le système socio-sanitaire vaudois
Namibian English in its multilingual environment
No full textAlready much discussed within the World Englishes research paradigm, English in Namibia only began to develop into a dominant lingua franca from 1990 onwards. The study’s central research questions are: How does spoken English vary in Namibia? Does it form one variety or several? And what is distinctly Namibian about it? To answer these questions, this study draws on perceptually contextualized speech data collected among young urban Namibian generations. It first identifies the historical and contemporary uses of English in Namibia in comparison with other languages. The patterns of code-switching into which Namibian English is embedded are illustrated based on a corpus of informal multilingual Namibian speech. The study then zooms in on its phonetic and grammatical features, with particular emphasis on how these features are perceived and socially distributed, and whether they represent transfers from native languages or imports from exogenous English varieties
Results of a multinational survey on the diagnostic and management practices of catheter-related arterial thrombosis in children and neonates: communication from the ISTH SSC Subcommittee on Pediatric and Neonatal Thrombosis and Hemostasis.
No full textArterial thrombosis is increasingly recognized in children and is most commonly related to the presence of an arterial catheter. Diagnosis and treatment of arterial thrombosis in children varies widely and consists of commonly available anticoagulants and antiplatelet drugs. No evidence-based guidelines exist for management strategies for catheter-related arterial thrombosis (CAT).
To understand pediatric hematologists' current practices and opinions in the management of CAT in children and neonates.
A multinational survey on diagnostic and management practices from experts and practitioners in the field was conducted by means of a questionnaire with general questions and specific clinical CAT scenarios in regard to umbilical arterial catheters, extremity indwelling arterial catheters, and cardiac catheterization.
Of 54 complete survey responses, there was agreement that Doppler ultrasound is the preferred diagnostic modality to identify CAT and unfractionated heparin and low-molecular-weight heparin are the preferred antithrombotic treatments, while thrombolysis/thrombectomy is used in life-/limb-threatening CAT, long-term follow-up is necessary to detect adverse outcomes, and generally no thrombophilia testing is indicated. There was considerable heterogeneity in treatment indications on when to start antithrombotic treatment, treatment duration, timepoint of catheter removal, and length of follow-up.
These results highlight some congruency, but also considerable heterogeneity, in the management practices of CAT. Based on these findings, an international guidance document is necessary to harmonize management practices and further clinical investigations of CAT