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The weight of "the keys": two autoethnographic accounts of how mental health nurse training has changed over the decades
No full textPurpose: This paper aims to critically compare the impact and preparedness for practice of two types of mental health nurse training in the UK. One being a hospital-based apprenticeship model from the 1980s; the other a university-based and more academically focussed approach from this millennium. Design/methodology/approach: This autoethnographic reflective commentary describes and reviews the effectiveness of two training curricula for Registered Mental Nurse (RMN) training. The first being the certificate-level 1983 syllabus of the UK Central Council for Nursing, Midwifery and Health Visiting, which was replaced in the late 1990s by diploma and degree-level Project 2000 training of the General Nursing Council. Using a reflective narrative approach to describe the lived experience of two qualified nurses, it compares, reviews and critiques both initiatives. Findings: The author/researchers found both benefits and negatives inherent in each model. These were grouped into five key headings, which are a sense of belonging/identity; exposure to clinical practice; differences in training modality; development of clinical management skills and clinical preparedness; and academic merit. The older curriculum lacked an academic or research base, whereas the more recent approach encouraged and enhanced this element. However, with regard to preparing the clinician/registered nurse to feel confident in addressing a range of clinical and managerial challenges, the older style training seems to deliver better outcomes. They conclude that a move towards a "middle ground" between the two models may be of benefit to future RMN preparation.Research limitations/implicationsThis study reports on the experience of two registered nurses. Therefore, the sample size is small. However, autoethnography is acknowledged as an effective means of delivering qualitative research; in addition, the authors access and use material from the wider literature to triangulate and critique their approach. This paper adds to the literature but also allows for duplication by others to further test the findings.Practical implicationsThis type of study provides an opportunity for others to review, compare and contrast nursing or other multi-discipline changes in training/curriculum. The research method is one that is transferable and can be used within areas of practice, which have resource limitations. It provides an opportunity to replicate it in other services or jurisdictions.Social implicationsNursing in the UK has experienced significant change over the past four decades. For RMNs, the move from hospitals into the community has been transformational. In addition, the influence of higher academic standards and the influence of the recent pandemic have challenged the profession and individuals within it. This study demonstrates positive and negative elements of the dilemma faced by nurses and offers a further contribution to this area.Originality/valueThere are a number of academic papers, media stories, statutory reports and guidance that explore the impact of changes within nurse training. This paper uses a first person autoethnographic study of the impact and effectiveness of these changes at a human level, the nurse on the ground. It uses the ward medicine keys as the vehicle to represent the huge responsibility that newly qualified nurses must face; this is not widely represented elsewhere in the literature
An Improved Coupled Dynamic Modeling for Exploring Gearbox Vibrations Considering Local Defects
No full textGearbox is a key part in machinery, in which gear, shaft and bearing operate together to transmit motion and power. The wide usage and high failure rate of gearbox make it attract much attention on its health monitoring and fault diagnosis. Dynamic modeling can study the mechanism under different faults and provide theoretical foundation for fault detection. However, current commonly used gear dynamic model usually neglects the influence of bearing and shaft, resulting in incomplete understanding on gearbox fault diagnosis especially under the effect of local defects on gear and shaft. To address this problem, an improved gear-shaft-bearing-housing dynamic model is proposed to reveal the vibration mechanism and responses considering shaft whirling and gear local defects. Firstly, an eighteen degree-of-freedom gearbox dynamic model is proposed, taking into account the interaction among gear, bearing and shaft. Secondly, the dynamic model is iteratively solved. Then, vibration responses are expounded and analyzed considering gear spalling and shaft crack. Numerical results show that the gear mesh frequency and its harmonics have higher amplitude through the spectrum. Vibration RMS and the shaft rotating frequency increase with the spalling size and shaft crack angle in general. An experiment is designed to verify the rationality of the proposed gearbox model. Lastly, comprehensive analysis under different spalling size and shaft crack angle are analyzed. Results show that when spalling size and crack angle is lager, RMS and the amplitude of shaft rotating frequency will not increase linearly. The dynamic model can accurately simulate the vibration of gear transmission system, which is helpful to gearbox fault diagnosis
Competition anxiety in combat sports and the importance of mental toughness
No full textCombat sports require participants to engage in potentially dangerous forms of contact-based competition. Pressure to succeed, coupled with the risk of severe injury can induce significant levels of anxiety, which if uncontrolled, can negatively impact performance and possibly promote unsporting conduct. The present study examined competitive anxiety levels of combat sports athletes and determined whether self-reported scores were associated with mental toughness and Sportspersonship attitudes. A cross-sectional survey design was used whereby participants (N = 194) completed a battery of questionnaires measuring competitive combat sport experiences, demographic details, Sportspersonship traits (compliance towards rules, respect for opponents, and game perspective), and competition anxiety (somatic, cognitive, and self-confidence; reported retrospectively).Results suggest that mentally tough athletes experience lower levels of cognitive and somatic anxiety, and higher self-confidence, prior to competitions. Findings also found that athletes endorsing more altruistic and respectful attitudes in sport (Sportspersonship) reported higher levels of competition anxiety. The findings demonstrate that mental toughness is allied to positive attributes and could potentially be operationalized to improve both the retention and performance of combat sports athletes. Thus, the authors advocate the use of mental toughness coaching interventions within combat sport
The importance of digital mental health interventions to support people with diabetes related psychological outcomes: A narrative review
No full textDigital mental health interventions (DMHIs) are promising alternatives to traditional face-to-face psychological interventions to improve psychological outcomes in various chronic health conditions. However, their efficacy among people with diabetes is yet to be established. Therefore, this narrative review aims to identify the importance and need for evidence-based research on digital mental health interventions targeting the psychological outcomes in people with diabetes.Using a narrative review approach, this article highlights the technological advancements in diabetes healthcare and identifies a need for developing digital mental health interventions for people with diabetes.DMHIs are promising for improving psychological outcomes in people with diabetes. However, there is a need for further rigorous, controlled, and high-quality diabetes focused studies, to make firm conclusions on the effectiveness and appropriateness of DMHIs for patients with diabetes. This review also suggests that DMHIs based on psychological theories and studies with higher quality methodologies are also needed.This review highlights the contemporary literature on diabetes and related technological advancements. The findings of this study serve as a basis of the improvement of policy on digital mental health services for people with diabetes, to impact the global burden of the disease
Positive psychology pioneers: Kristin Neff's power and potential to influence mental health nursing
No full textThis article is the fifth in a series that celebrates the work of positive psychologists and how their work has the power and potential to influence mental health nursing practice. In this article, the work of Kristin Neff and her work on self-compassion is discussed. The practical activities provided in the article will help the reader increase their own awareness of self-compassion to develop their use and transferability within their own life
The potential of trustful leadership : an examination of its impact on stress and performance in the modern workplace
No full textTrust is a vital element of effective leadership, especially in high-stress work environments. While a single positive occurrence may create short-term trust, sustainable trust can only be established when an individual meets the criteria and indications of a trustworthy person. Trustful leadership is generally assumed to be positively related to employee performance in a stressed work environment.However, ambiguity surrounding empirical evidence on trust or trustworthiness, coupled with the existence of theoretical predictions and differences, underscores the complexity of these constructs. This research introduces a comprehensive exploration of the interplay between trustful leadership and employee performance, emphasizing the pivotal role of specific leadership strategies in high-stress contexts. By bridging the gap between theoretical predictions and empirical evidence, this study offers a novel perspective, enriching the discourse on trustful leadership and its tangible impacts in organizational settings.Using Interpretative Phenomenological Analysis (IPA), this paper investigates the relationship between trustful leadership and performance, examining the moderating effect of five strategies and behaviours — recognition, empowerment, reinforcement, communication, and mindful leadership behaviour.The study found that among these strategies, mindful leadership behaviour and empowerment had the most significant impact in enhancing the positive relationship between trustful leadership and employee performance in high-stress environments
Creating an experiential learning and applied learning through digital technology. Vevox Workshop 2.0
No full textA novel feature elimination approach in ensemble learning on NSL-KDD dataset in comparison with Variable Elimination Algorithm to improve accuracy
No full textAim: Purpose of the research is comparison of Variable Elimination Algorithm with an accurate feature elimination strategy for Ensemble Learning using NSL-KDD dataset.Materials and Methods: Accuracy is analyzed for feature elimination. Classification of feature elimination is done using ensemble learning whose size of sample (N=34) as well as Variable Elimination Algorithm of (N=34) whose size of sample produced with G-power value 80%.Results: Ensemble Learning accuracy becomes 82.74% and is more than Variable Elimination Algorithm with accuracy 76.62%. Significance value becomes 0.033 (p<0.05) indicating the performance of proposed work has significance.Conclusion: Ensemble Learning performs whose accuracy is 82.74% when compared to Variable Elimination Algorithm of accuracy 76.62% along with the subset of variables in marginal distribution
Team leader survival syndrome, tenure and management styles towards professional subordinates on construction megaprojects; sustainability and corporate governance
No full textThe modern construction industry is highly competitive and cost-driven, with tangible adversarial relationships between projects’ contractual parties at individual and organisational levels; there are conflict of interest as people to survive. Accordingly, team leaders on construction megaprojects (CMPs) in multinational engineering organisations strive to survive in such competitive markets. The research aim is to investigate relationships between team leaders’ tenure and management styles toward professional subordinates on CMPs and elaborates how corporate governance can optimally address this conflict of interest and adversarial relationships.The research methodology adopted processes of inducting theory using case studies. A qualitative approach was adopted as a primary data collection and analysis source. It involved case studies through primary data collection in semi-structured face-to-face interviews with 38 professional subordinates (interviewees) to discuss impacts of team leaders’ tenure on their management style [5-team leader, case studies]. The research methodology is based on building theories from case-study grounded theory research methodologies.The research introduced the notion that team leader survival syndrome is pronounced, and evidenced by adversarial reactions towards new or experienced professional subordinates; where team leaders perceive professional subordinates, especially at senior technical levels, as potential risks that jeopardise their positions and employment survival possibilities. The syndrome is proven based on real-life case studies; it is constant, tangible, and serious disorder of attitudes and behaviours. Longer tenure stimulates and accelerates these phenomena and syndrome, with 58% of team leaders exhibiting such syndromes. Optimum employee tenure is between 7 to 10 years. Corporate governance provides good resolution practices.The research implications are useful to construction industry and academia. However, the analysis is limited to the case studies considered in Canada and Qatar. Due to small sample size for both case studies and respondents to the questionnaire survey, it is recommended for future exploration to expand the scope of research to larger sample size and various demographic and geographic locations.Corporates should acknowledge the presence of team leader survival syndrome. They should thoroughly investigate socio-political relationships behind it and seek to understand consequences on professional subordinates. Corporates should also adopt a 360-degree feedback system; they should limit trust given to team leaders in this regard to responsible trust, to eliminate manipulation. Team leaders are perceived as being not always truthful and misrepresent capabilities and performance of their professional subordinates to senior managers. Corporate governance holistic multi-dimensional perspectives are required to provide resolutions of team leader survival syndrome.The research has discovered a phenomenon that team leaders on CMPs in AEC organisations, prompted by virtue of long tenure in corporate or by power of their managerial level in organisations, perceive their professional subordinates, especially senior technical employees, as potential risks. It is thought promoting them would put their own positions and security of tenure at risk. Hence, team leaders act adversarially, to enhance their own survival prospects. This research introduced the novel team leader survival syndrome, and introduced analyses, practical implications, and recommendations
